1. DEMOGRAPHICS

1a.

Age

2000

S

Fewer 1-5 year olds and fewer 15-44 year olds than state. More over 65 year olds than state average.

1b.

Gender

1998

S

51.7% Male and 48.3% Female

1c.

Marital Status

2000

S

5.7/1000 is a low rate compared to other counties in the state. This is almost the lowest rate in the state.

1d.

Race/Ethnicity

S

Less than state average for all minorities.

11% black, 2% Hispanic

1e.

Non-English speaking students in school

S

None indicated.

1f.

Geographic Distrib. of Population

51 per square mile versus 80 per square mile for the state.

80%

1g.

Population increase or decrease

Population is decreasing slightly with more aging population. Population has remained fairly steady for years.

1h.

Density of population

51 per square mile.

2. EDUCATION

2a.

Education Levels

2000

S

We think the average education level is probably 10th grade - 38.3 high school diploma or equiv.

32.7%

2b.

High School Graduation Rate

2001

Y

S

Graduation rate is 20% less than state average. In 1996 69% and in 2000 was 76.8%.

2c.

Drop-out Rate

2000

Y

S

Has recently improved to 4.1 % versus 3.8% for the state - Moberly 6.5%

3.80%

2d.

Literacy

2001

S

Numbers are 10 % higher for unsatisfactory. ACT scores in Moberly are dropping.

3. SOCIO-ECONOMIC

3a.

Average Household Income

97-98

S

81% of the average state income. This amounts to $27,987.

3b.

Per Capita Income

1998

S

73.4% of the state per capita income. This is $18,451 versus $23,912 for the state.

3c.

Participation in Free/Reduced Cost

2002

S

48.6% of kids versus 38.2% for state.

38.20%

3d.

Single-Parent Households

2000

S

Kids Count indicates 26.3% up from base year 17.4%

3e.

Percent of Population at or below 100%

89-98

S

OSEDA indicates 16.8% Poor.

3f.

Assessed Valuation

2002

P

Assessed valuation equals $283,146,537

3g.

Leading Industry

2002

P

Manufacturing, service, and retail sales

3h.

Transfer Payments

1999

S

Total transfer payments went up 61.68% since 1990

3i.

Unemployment Rate

2000

S

4.3% but appears to be creeping upward for 2002. Was 5.5% in 1996 base year.

4. ENVIRONMENT

4a.

Age of Housing

2002

P

Lots of pre 1950's homes. Many homes with asbestos shingle siding and lead paint.

4b.

Lead Abatement Projects

2002

P

No major projects occuring at present.

4c.

Food Borne Outbreaks

2002

P

No major food outbreaks. County wide food ordinance.

4d.

Communicable Disease Outbreaks

2002

P

Mostly influenza and sexually transmitted diseases.

4e.

Water Quality

2002

P

Most of the county is on rural water or municipal systems.

4f.

Water Fluoridation

2002

P

All municipal and rural water is fluoridated.

4g.

Air Quality

2002

P

Good. Very few industrial pollutants.

4h.

Solid Waste

2002

P

City operated landfill, and private. All incorporated on sewage. No onsite sewage ordinance for county.

4i.

Other

2002

P

Repeated attempts for county sewage ordinance have failed with Co. Commission. Have some rural junk piles

5. PUBLIC SAFETY

5a.

Homicide Rate

1998

S

Low. Randolph County rate is 3.5 versus 10.4 for the state. Only 1 murder in 1998.

5b.

Overall Crime Rate

1998

S

1004 in a population of 24,052.

5c.

Violent Crime Rate

1998

S

Approx. 100 were violent crimes such as murder, rape, assault and rest were burglary, theft, and motor vehicle theft.

5d.

Juvenile Crime Rate

96-99

S

Rate per 1000 youth age 10-17 130.2 in 1996 and 116.0 in 1999.

5e.

Seat Belt/Child Safety Seat Use

1996

Y

S

22 % of crashes had not used seat belts.

5f.

Illegal Drug Use

2002

P

We think there is a significant alcohol and drug problem especially marijuana and methamphetamine.

5g.

DWI Arrest Rate

1996

S

Traffic accidents involved alcohol 3.5 % of the time.

5h.

Other

1996

S

There were 1244 traffic accidents in Randolph Co. and 295,086 in Missouri. Deaths were 6 in Randolph and 710 in Mo.

6. FAMILY/DOMESTIC VIOLENCE

6a.

Child Abuse and Neglect

96-00

S

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.

6b.

Child Out-of-Home Placement

96-00

Y

S

9.4 per 1000 for Randolph versus 5.3 per 1000 for the state

6c.

Domestic Partner Violence

S

Rates were too small

6d.

Elder Abuse and Neglect

94-99

S

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.

6e.

Other

94-99

S

Fights and beatings also had a high rate of 404.0 for Randolph versus 232.0 for the state.

7. UNINTENDED INJURIES

7a.

Work-related Injuries

89-99

S

Death rate is low with 3.8 versus 2.1 for Mo. It is considered not significant.

7b.

Alcohol and Drug Related Traffic Accidents

1996

S

The DWI rate for traffic accidents indicated 3.5% impairment involved in MVA.

7c.

Motor Vehicle Accident Injuries

94-99

Y

S

High rate for hospital admissions and ER but not for deaths.

7d.

Unintentional Injuries

1999

Y

S

High rate of deaths, hospitalizations, and ER 30-40% higher than state average.

7e.

Firearms Injuries

94-99

S

For Randolph 3.3 versus 5.1 state inpatient hospital and 19.8 versus 17.3 rate for Mo.

7f.

Other

94-99

Y

S

High rate of falls, burns, and poisonings

8. MATERNAL AND CHILD HEALTH

8a.

Unintended Pregnancies

2000

Y

P

The births to teens 61.3/1000 versus 48.6/1000 for Mo. We assume these were unintended.

8b.

Smoking during Pregnancy

2000

Y

S

103 out of 357smoked during pregnancy.

8c.

Immunization Rate

2000

S

Public Clinics went from 86.2% to 65.4% in 2000. This appears to be due to computer reporting lags.

8d.

Low Birth Weight

2000

Y

S

Randolph 10.6 versus 7.7 in Missouri

8e.

Birth Defects

94-98

Y

S

High rate of defects. Randolph equals 7.1 rate versus rate of 5.5 for state.

8f.

Number of Births to Teens

2000

Y

S

54 out of 357 61.3 /1000 versus 48.6 / 1000 for state.

8g.

Number of Births to Women over 40

2000

S

24 out of 357

8h.

Rate of Multiple Births

2000

S

9 sets of twins out of 357

8i.

Births to Women without High School

2000

Y

S

86 of 357 24.4% for Randolph versus 19.3 for Missouri.

8j.

Inadequate Prenatal Care

2000

Y

S

45 out of 357 were inadequate and 2 had no prenatal care.

8k.

Repeat Pregnancies under age 20

00-01

S

WIC reports indicate we have 28 % of prenatals are in the category of closely spaced pregnancies.

8l.

Birth Spacing less than 18 months

2000

S

25 out of 357

8m.

Child Emergency Room Visits

We have not found this information but believe it is high.

8n.

Causes of Child Hospitalizations

94-97

Y

S

Injuries high 191.6 rate for Randolph versus 118.0 for Missouri.

8o.

Lead Testing Rates/Percentage Elevated

2000

S

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.

8p.

Other

95-99

Y

S

High rates of morbidity for infant birth defects, VLBW, preterm.

9. INFECTIOUS DISEASE

9a.

HIV/AIDS

1998

S

Not significant

9b.

Sexually Transmitted Disease

1998

S

Less than state rate.

9c.

Communicable Disease

2002

P

Various

9d.

Salmonella

1998

S

Only 2 cases. Not significant.

9e.

Tuberculosis

1998

S

Not significant

9f.

Vaccine-Preventable Diseases

2002

P

Very few indicated by local disease surveillance activities.

9g.

Hepatitis A and B

1998

S

Not significant

9h.

E-Coli H-0157

1998

S

Not significant

9i.

Other

1998

Y

S

High rate of influenza hospitalizations.

10. NUTRITION

10a.

Pregnant Women Achieving Proper Weight

00-01

Y

S

We have significantly more women overweight than underweight. The reports in WIC indicate 8-10% not achieving proper weight gain.

10b.

Breast Feeding Rates

2001

S

WIC reports indicate a 37% breast feeding rate for the postpartum women. There are 193 postpartum women on the program currently.

10c.

Potential Eligible being served by WIC

1999

S

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.

10d.

Iron Deficiency Anemia among WIC Population

00-01

Y

S

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.

10e.

Obesity

1998

S

BRFSS indicates lack of physical activity in 34.1% of population and this would indicate at least that amount of obesity.

10f.

Daily Consumption of Fruit and Vegetables

1998

Y

Five a day participation indicates 81.0% do not eat the recommended 5 a day servings.

10g.

Senior Nutrition Sites

2003

P

Higbee senior center and Moberly Towers

10h.

Participation in Food Assistance Programs

1999

S

Food Stamps are at a high rate for prenatals at 20.7 rate for Randolph versus 16.1 for the state.

10i.

% of individuals with cvd eating fewer high fat foods

10j.

% of individuals with cvd exercising more

2002

MRMC hospital has a cardiac wellness center but we do not have the statistics for this.

10k.

%of individuals with diabietes and/or diagnosed

96-00

Y

S

High rate of diabetes with 18.4 rate for Randolph and only 14.8 for the state rate.

10l.

% of babies born with neural tube defects

94-98

S

Not significant. All other birth defects appear to be high.

10m.

Other

11. CHRONIC DISEASE

11a.

Smoking Rates (Teens and Adults)

1998

Y

S

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.

11b.

Sedentary Lifestyle

1998

Y

S

BRFSS indicates 34.1% of NE Mo population does no physical activity.

11c.

Causes of Hospitalization

1998

S

1253 Age adj rate for Randolph versus 1005.9 Mo Not Signif. Heart and Circulatory problems at high rate.

11d.

Persons with Functional Limitations

2002

P

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.

12. MORTALITY RATE INDICATORS

12a.

All Cancers

88-98

S

141.2 Randolph versus 136.6 Mo and not significant.

12b.

Breast Cancer

88-98

S

24.0 rate for Randolph versus 21.4 for Mo Not signficant.

12c.

Cardiovascular Disease

88-98

S

147.2 Age Adj. Rate Randolph versus 153.3 Mo Not Significant.

12d.

Cerebrovascular Disease

2003

S

22.2 Randolph versus 27.7 rate for Mo This is a low rate.

12e.

Pulmonary Disease

88-98

S

27.4 rate versus 22.7 for Mo. Not significant.

12f.

Infant Mortality

2000

S

Kids Count 8.5/1000 Randolph versus 7.5 /1000 Mo.

12g.

Alcohol Related

88-98

S

6.5 for Randolph versus 9.0 for Mo. This is Not significant. This includes all substance abuse.

12h.

Substance Abuse

88-98

S

103.6 for Randolph versus 109 for Mo. Not Significant. This is for tobacco use only.

12i.

Suicide

88-98

S

13.9 versus 3 Not significant.

12j.

Unintentional Injury Death Rate

88-98

Y

S

48.3 versus 39.2 for Mo. This is a high rate.

12k.

Child Deaths

96-00

Y

S

38.8/100,000 versus 26.5 for Mo.

12l.

Diabetes

12m.

Other

88-98

Y

S

17.6 versus 13.9 Mo this is a high rate of pneumonia and influenza.

13. HEALTH CARE SYSTEM

13a.

Physician/Patient Ratios

S

1 to 649

13b.

Access to Medicaid Providers

2002

P

Randolph County Health and various providers in community. MC+ area.

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.

13d.

Access to Mental Health Services

2002

P

University Behavioral Health, various community providers and social workers. MSW on RCHD staff

13e.

Availability of Other Health Care Manpower

2002

P

Urgent Care Clinics at MRMC and Boone location in Moberly. Also various private physicians.

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.

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.

13h.

Hospitals in the County

2002

P

Moberly Regional Medical Center

13i.

Nursing Homes

2002

P

At least 5 in county.

13j.

Access to Tertiary Care

2002

P

35 miles south in Columbia.

13k.

Home Health Care

2002

P

2 agencies located in county. Various out of county providers.

13l.

911 Service

2002

P

Enhanced 911 in Moberly and working on county wide.

13m.

Reproductive Health Services

2002

P

RCHD for Title V and X and 3 OB/GYN in county as well as various physicians.

13n.

Local Enforcement of Laws re: Tobacco Sales to Minors

2002

P

Only if there is a complaint. No active enforcement.

13o.

Public Transportation

2002

P

Magic City Express, OATS, Moberly Taxi, and CareTran

13p.

Other

14. COMMUNITY HEALTH RESOURCES

14a.

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.

14b.

Drug and Alcohol Treatment

2002

P

ESCAPE and various programs in the area.

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