The following information was compiled from various agencies in the state
who collect statistics. Much of the information came from Kids Count Missouri,
The Missouri Department of Health and Senior Services, the Department
of Elementary and Secondary Education, and others. Many of the statistics
were from a range of years and the information could have changed since
the statistics were gathered. We hope this gives a picture of some of
the county problem areas as well as areas we are impacting.
The Randolph County Caring Communities organization put a committee together
to look at three problem areas for the community to focus on after reviewing
the statistics from the area and some of the sources they have available.
The three issues that impact overall health in the community that will
be addressed is women smoking, teenage pregnancy, and child abuse, neglect,
and out of home placements of children. We hope by bringing this information
to the community it will be possible to make more people aware of problems
and potentially to help in solving them.
You may either scroll down to view the entire report or jump to the following
sections by clicking on a topic:
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1. DEMOGRAPHICS
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1a.
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Age
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2000
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S
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Fewer 1-5 year olds and fewer 15-44 year olds
than state. More over 65 year olds than state average.
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1b.
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Gender
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1998
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S
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51.7% Male and 48.3% Female
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1c.
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Marital Status
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2000
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S
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5.7/1000 is a low rate compared to other counties
in the state. This is almost the lowest rate in the state.
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1d.
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Race/Ethnicity
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S
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Less than state average for all minorities.
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11% black, 2% Hispanic
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1e.
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Non-English speaking students in school
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S
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None indicated.
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1f.
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Geographic Distrib. of Population
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51 per square mile versus 80 per square mile
for the state.
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80%
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1g.
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Population increase or decrease
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Population is decreasing slightly with more
aging population. Population has remained fairly steady for years.
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1h.
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Density of population
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51 per square mile.
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2. EDUCATION
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2a.
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Education Levels
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2000
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S
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We think the average education level is probably
10th grade - 38.3 high school diploma or equiv.
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32.7%
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2b.
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High School Graduation Rate
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2001
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Y
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S
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Graduation rate is 20% less than state average.
In 1996 69% and in 2000 was 76.8%.
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2c.
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Drop-out Rate
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2000
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Y
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S
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Has recently improved to 4.1 % versus 3.8%
for the state - Moberly 6.5%
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3.80%
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2d.
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Literacy
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2001
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S
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Numbers are 10 % higher for unsatisfactory.
ACT scores in Moberly are dropping.
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3. SOCIO-ECONOMIC
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3a.
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Average Household Income
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97-98
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S
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81% of the average state income. This amounts
to $27,987.
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3b.
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Per Capita Income
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1998
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S
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73.4% of the state per capita income. This
is $18,451 versus $23,912 for the state.
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3c.
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Participation in Free/Reduced Cost
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2002
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S
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48.6% of kids versus 38.2% for state.
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38.20%
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3d.
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Single-Parent Households
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2000
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S
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Kids Count indicates 26.3% up from base year
17.4%
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3e.
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Percent of Population at or below 100%
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89-98
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S
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OSEDA indicates 16.8% Poor.
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3f.
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Assessed Valuation
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2002
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P
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Assessed valuation equals $283,146,537
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3g.
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Leading Industry
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2002
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P
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Manufacturing, service, and retail sales
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3h.
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Transfer Payments
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1999
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S
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Total transfer payments went up 61.68% since
1990
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3i.
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Unemployment Rate
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2000
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S
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4.3% but appears to be creeping upward for
2002. Was 5.5% in 1996 base year.
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4. ENVIRONMENT
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4a.
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Age of Housing
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2002
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P
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Lots of pre 1950's homes. Many homes with asbestos
shingle siding and lead paint.
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4b.
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Lead Abatement Projects
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2002
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P
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No major projects occuring at present.
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4c.
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Food Borne Outbreaks
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2002
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P
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No major food outbreaks. County wide food ordinance.
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4d.
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Communicable Disease Outbreaks
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2002
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P
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Mostly influenza and sexually transmitted diseases.
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4e.
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Water Quality
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2002
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P
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Most of the county is on rural water or municipal
systems.
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4f.
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Water Fluoridation
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2002
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P
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All municipal and rural water is fluoridated.
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4g.
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Air Quality
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2002
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P
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Good. Very few industrial pollutants.
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4h.
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Solid Waste
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2002
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P
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City operated landfill, and private. All incorporated
on sewage. No onsite sewage ordinance for county.
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4i.
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Other
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2002
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P
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Repeated attempts for county sewage ordinance
have failed with Co. Commission. Have some rural junk piles
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5. PUBLIC SAFETY
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5a.
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Homicide Rate
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1998
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S
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Low. Randolph County rate is 3.5 versus 10.4
for the state. Only 1 murder in 1998.
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5b.
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Overall Crime Rate
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1998
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S
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1004 in a population of 24,052.
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5c.
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Violent Crime Rate
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1998
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S
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Approx. 100 were violent crimes such as murder,
rape, assault and rest were burglary, theft, and motor vehicle theft.
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5d.
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Juvenile Crime Rate
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96-99
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S
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Rate per 1000 youth age 10-17 130.2 in 1996
and 116.0 in 1999.
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5e.
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Seat Belt/Child Safety Seat Use
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1996
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Y
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S
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22 % of crashes had not used seat belts.
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5f.
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Illegal Drug Use
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2002
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P
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We think there is a significant alcohol and
drug problem especially marijuana and methamphetamine.
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5g.
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DWI Arrest Rate
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1996
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S
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Traffic accidents involved alcohol 3.5 % of
the time.
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5h.
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Other
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1996
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S
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There were 1244 traffic accidents in Randolph
Co. and 295,086 in Missouri. Deaths were 6 in Randolph and 710 in
Mo.
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6. FAMILY/DOMESTIC VIOLENCE
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6a.
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Child Abuse and Neglect
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96-00
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S
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Kids Count 2001 indicates 39.8 per 1000 versus
42.0 for the state. The rate in 95-97 was 19.4 Randolph vs. 15.6
state.
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6b.
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Child Out-of-Home Placement
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96-00
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Y
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S
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9.4 per 1000 for Randolph versus 5.3 per 1000
for the state
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6c.
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Domestic Partner Violence
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S
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Rates were too small
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6d.
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Elder Abuse and Neglect
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94-99
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S
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Rates were too small but for 94-99 assault
injuries in the ER was 613.3 versus 461.7 for the state. This is
a high rate.
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6e.
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Other
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94-99
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S
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Fights and beatings also had a high rate of
404.0 for Randolph versus 232.0 for the state.
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7. UNINTENDED INJURIES
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7a.
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Work-related Injuries
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89-99
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S
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Death rate is low with 3.8 versus 2.1 for Mo.
It is considered not significant.
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7b.
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Alcohol and Drug Related Traffic Accidents
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1996
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S
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The DWI rate for traffic accidents indicated
3.5% impairment involved in MVA.
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7c.
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Motor Vehicle Accident Injuries
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94-99
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Y
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S
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High rate for hospital admissions and ER but
not for deaths.
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7d.
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Unintentional Injuries
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1999
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Y
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S
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High rate of deaths, hospitalizations, and
ER 30-40% higher than state average.
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7e.
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Firearms Injuries
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94-99
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S
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For Randolph 3.3 versus 5.1 state inpatient
hospital and 19.8 versus 17.3 rate for Mo.
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7f.
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Other
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94-99
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Y
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S
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High rate of falls, burns, and poisonings
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8. MATERNAL AND CHILD HEALTH
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8a.
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Unintended Pregnancies
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2000
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Y
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P
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The births to teens 61.3/1000 versus 48.6/1000
for Mo. We assume these were unintended.
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8b.
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Smoking during Pregnancy
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2000
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Y
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S
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103 out of 357smoked during pregnancy.
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8c.
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Immunization Rate
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2000
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S
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Public Clinics went from 86.2% to 65.4% in
2000. This appears to be due to computer reporting lags.
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8d.
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Low Birth Weight
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2000
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Y
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S
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Randolph 10.6 versus 7.7 in Missouri
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8e.
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Birth Defects
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94-98
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Y
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S
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High rate of defects. Randolph equals 7.1 rate
versus rate of 5.5 for state.
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8f.
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Number of Births to Teens
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2000
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Y
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S
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54 out of 357 61.3 /1000 versus 48.6 / 1000
for state.
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8g.
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Number of Births to Women over 40
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2000
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S
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24 out of 357
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8h.
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Rate of Multiple Births
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2000
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S
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9 sets of twins out of 357
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8i.
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Births to Women without High School
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2000
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Y
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S
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86 of 357 24.4% for Randolph versus 19.3 for
Missouri.
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8j.
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Inadequate Prenatal Care
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2000
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Y
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S
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45 out of 357 were inadequate and 2 had no
prenatal care.
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8k.
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Repeat Pregnancies under age 20
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00-01
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S
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WIC reports indicate we have 28 % of prenatals
are in the category of closely spaced pregnancies.
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8l.
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Birth Spacing less than 18 months
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2000
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S
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25 out of 357
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8m.
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Child Emergency Room Visits
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We have not found this information but believe
it is high.
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8n.
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Causes of Child Hospitalizations
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94-97
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Y
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S
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Injuries high 191.6 rate for Randolph versus
118.0 for Missouri.
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8o.
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Lead Testing Rates/Percentage Elevated
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2000
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S
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WIC reports indicate we have very few children
or mothers with elevated blood lead levels. All children in WIC
and Child Health Conference are screened for lead.
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8p.
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Other
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95-99
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Y
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S
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High rates of morbidity for infant birth defects,
VLBW, preterm.
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9. INFECTIOUS DISEASE
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9a.
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HIV/AIDS
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1998
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S
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Not significant
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9b.
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Sexually Transmitted Disease
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1998
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S
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Less than state rate.
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9c.
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Communicable Disease
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2002
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P
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Various
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9d.
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Salmonella
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1998
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S
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Only 2 cases. Not significant.
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9e.
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Tuberculosis
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1998
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S
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Not significant
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9f.
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Vaccine-Preventable Diseases
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2002
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P
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Very few indicated by local disease surveillance
activities.
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9g.
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Hepatitis A and B
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1998
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S
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Not significant
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9h.
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E-Coli H-0157
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1998
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S
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Not significant
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9i.
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Other
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1998
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Y
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S
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High rate of influenza hospitalizations.
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10. NUTRITION
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10a.
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Pregnant Women Achieving Proper Weight
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00-01
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Y
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S
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We have significantly more women overweight
than underweight. The reports in WIC indicate 8-10% not achieving
proper weight gain.
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10b.
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Breast Feeding Rates
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2001
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S
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WIC reports indicate a 37% breast feeding rate
for the postpartum women. There are 193 postpartum women on the
program currently.
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10c.
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Potential Eligible being served by WIC
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1999
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S
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High rate being served with Randolph at rate
of 61 versus 38.9 for state. The WIC program sets new records for
participation every month.
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10d.
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Iron Deficiency Anemia among WIC Population
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00-01
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Y
|
S
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The WIC reports indicate 12-15% of children
are anemic and 7-10% of women are anemic. Infants indicate 6% anemic
in 00 and 1% in 01.
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10e.
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Obesity
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1998
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S
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BRFSS indicates lack of physical activity in
34.1% of population and this would indicate at least that amount
of obesity.
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10f.
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Daily Consumption of Fruit and Vegetables
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1998
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Y
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Five a day participation indicates 81.0% do
not eat the recommended 5 a day servings.
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10g.
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Senior Nutrition Sites
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2003
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P
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Higbee senior center and Moberly Towers
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10h.
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Participation in Food Assistance Programs
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1999
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S
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Food Stamps are at a high rate for prenatals
at 20.7 rate for Randolph versus 16.1 for the state.
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10i.
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% of individuals with cvd eating fewer high
fat foods
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10j.
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% of individuals with cvd exercising more
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2002
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MRMC hospital has a cardiac wellness center
but we do not have the statistics for this.
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10k.
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%of individuals with diabietes and/or diagnosed
|
96-00
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Y
|
S
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High rate of diabetes with 18.4 rate for Randolph
and only 14.8 for the state rate.
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10l.
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% of babies born with neural tube defects
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94-98
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S
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Not significant. All other birth defects appear
to be high.
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10m.
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Other
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11. CHRONIC DISEASE
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11a.
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Smoking Rates (Teens and Adults)
|
1998
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Y
|
S
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High rate for prenatals with Randolph rate
at 26.1 versus 18.3 for the state. The BRFSS also indicates 26%
of population in Northeast smokes.
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11b.
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Sedentary Lifestyle
|
1998
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Y
|
S
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BRFSS indicates 34.1% of NE Mo population does
no physical activity.
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11c.
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Causes of Hospitalization
|
1998
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S
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1253 Age adj rate for Randolph versus 1005.9
Mo Not Signif. Heart and Circulatory problems at high rate.
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11d.
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Persons with Functional Limitations
|
2002
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P
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We have a significant population of elderly
who have functional limitations. The sheltered workshop also has
a number of working age adults with mental and physical functional
limitations.
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12. MORTALITY RATE INDICATORS
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12a.
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All Cancers
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88-98
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S
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141.2 Randolph versus 136.6 Mo and not significant.
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12b.
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Breast Cancer
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88-98
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S
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24.0 rate for Randolph versus 21.4 for Mo Not
signficant.
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12c.
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Cardiovascular Disease
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88-98
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|
S
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147.2 Age Adj. Rate Randolph versus 153.3 Mo
Not Significant.
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12d.
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Cerebrovascular Disease
|
2003
|
|
S
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22.2 Randolph versus 27.7 rate for Mo This
is a low rate.
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12e.
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Pulmonary Disease
|
88-98
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S
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27.4 rate versus 22.7 for Mo. Not significant.
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12f.
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Infant Mortality
|
2000
|
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S
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Kids Count 8.5/1000 Randolph versus 7.5 /1000
Mo.
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12g.
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Alcohol Related
|
88-98
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|
S
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6.5 for Randolph versus 9.0 for Mo. This is
Not significant. This includes all substance abuse.
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12h.
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Substance Abuse
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88-98
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|
S
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103.6 for Randolph versus 109 for Mo. Not Significant.
This is for tobacco use only.
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12i.
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Suicide
|
88-98
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S
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13.9 versus 3 Not significant.
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12j.
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Unintentional Injury Death Rate
|
88-98
|
Y
|
S
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48.3 versus 39.2 for Mo. This is a high rate.
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12k.
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Child Deaths
|
96-00
|
Y
|
S
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38.8/100,000 versus 26.5 for Mo.
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12l.
|
Diabetes
|
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12m.
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Other
|
88-98
|
Y
|
S
|
17.6 versus 13.9 Mo this is a high rate of
pneumonia and influenza.
|
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13. HEALTH CARE SYSTEM
|
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13a.
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Physician/Patient Ratios
|
|
|
S
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1 to 649
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13b.
|
Access to Medicaid Providers
|
2002
|
|
P
|
Randolph County Health and various providers
in community. MC+ area.
|
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13c.
|
Access to Dental Services
|
2002
|
Y
|
P
|
Mid Mo Dental and RCHD and United Way Coupons.
Also through private dentists. Need more education. We have just
received an award to supplement our dental program from the Mo.
Foundation for Health.
|
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13d.
|
Access to Mental Health Services
|
2002
|
|
P
|
University Behavioral Health, various community
providers and social workers. MSW on RCHD staff
|
|
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13e.
|
Availability of Other Health Care Manpower
|
2002
|
|
P
|
Urgent Care Clinics at MRMC and Boone location
in Moberly. Also various private physicians.
|
|
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13f.
|
Medically Uninsured Population
|
2002
|
Y
|
P
|
MC+ has helped significantly but we still see
a number of folks without insurance. We get them treated.
|
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13g.
|
Emergency Medical Services Response Time/Distance
to Care
|
2002
|
|
P
|
EMS and ER centrally located in the county
at the junction of Highway 24 and 63. This probably makes access
to most all parts of the county within 15 minutes.
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13h.
|
Hospitals in the County
|
2002
|
|
P
|
Moberly Regional Medical Center
|
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13i.
|
Nursing Homes
|
2002
|
|
P
|
At least 5 in county.
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13j.
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Access to Tertiary Care
|
2002
|
|
P
|
35 miles south in Columbia.
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13k.
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Home Health Care
|
2002
|
|
P
|
2 agencies located in county. Various out of
county providers.
|
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13l.
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911 Service
|
2002
|
|
P
|
Enhanced 911 in Moberly and working on county
wide.
|
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13m.
|
Reproductive Health Services
|
2002
|
|
P
|
RCHD for Title V and X and 3 OB/GYN in county
as well as various physicians.
|
|
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13n.
|
Local Enforcement of Laws re: Tobacco Sales
to Minors
|
2002
|
|
P
|
Only if there is a complaint. No active enforcement.
|
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13o.
|
Public Transportation
|
2002
|
|
P
|
Magic City Express, OATS, Moberly Taxi, and
CareTran
|
|
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13p.
|
Other
|
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14. COMMUNITY HEALTH RESOURCES
|
|
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14a.
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Recreational/Exercise Facilities/Opportunities
|
2002
|
|
P
|
Working on YMCA founder's campaign. Gold's
Gym, MRMC Wellness Center, Moberly Gymnastics, Rothwell Park has
walking, biking, jogging paths and numerous outdoor sports fields.
|
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14b.
|
Drug and Alcohol Treatment
|
2002
|
|
P
|
ESCAPE and various programs in the area.
|
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14c.
|
Smoking Cessation
|
2002
|
|
P
|
Randolph County Health is in the process of
offering smoking cessation programs.
|
|
|
14d.
|
Health Education Opportunities
|
2002
|
|
P
|
Randolph County Health is working with Monroe
to provide a multicounty chronic disease health educator focusing
on tobacco, nutrition, and exercise.
|
|
|
14e.
|
Wellness/Prevention Programs
|
2002
|
|
P
|
Randolph County Health has a nutrition grant,
and a health promotion and worksite wellness program. One staff
member is concentrating on health promotion in the county.
|
|
|
14f.
|
Summer Feeding Sites
|
2002
|
|
P
|
One site in the community.
|
|
|
14g.
|
Services for those with Physical Disability
|
2002
|
|
P
|
Sheltered workshop in the county. Numerous
services for education and therapy are available in the community.
|
|
|
14h.
|
Food Pantry Resources
|
2002
|
|
P
|
Cherith Brook Food Pantry associated with central
Mo food banks is in operation.
|
|
|
14i.
|
Crisis Centers
|
2002
|
|
P
|
Women's Shelter is funded through United Way.
Take women and children. Numerous counselors in the area.
|
|
|
14j.
|
Community Coalitions/Partnerships
|
2002
|
|
P
|
Caring Communities is very active as is C2000
and Health and Hope Ministries.
|
|
|
14k.
|
School Nurse/Student Ratio
|
2002
|
|
P
|
Has improved significantly with school health
grants.
|
|
|
14l.
|
Other
|
|
|
|
|
|
|