hat task 1 community health assessment of collin county

A healthy community provides for the health of both the individual and community throughout all stages of life. The information covered within regards the community of Collin County, Texas involving a plethora of sources that include the U.S. Census Bureau, U.S. County Health Rankings, interviews and correspondence with key county individuals, personal report per the residents themselves, as well as visual drive through of the community and outlying areas. Epidemiology & Community Description: Collin County is one of two hundred fifty four counties in the state of Texas. It is in the northeastern part of Texas and is bordered by Grayson County to the north, Fannin County to the northeast, Hunt County to the east, Rockwall County to the southeast, Dallas County to the south, and Denton County to the west.

Collin County is part of the Dallas/Fort Worth Metroplex with Collin County making an approximate population of 782,341 in 2010, with a projected 1.000.000 in 2020, and 1,166,700 in 2030. Collin County has a total area of 886 square miles, of which 848 square miles is land and 38 square miles is water. The population density was 580 people per square mile. Mckinney, the county seat, is located near the center of the county with a population in 2010 of 131,117. The ethnic mix of Collin County includes Caucasians at 79.9%, African Americans at 8.0%, American Indians at 0.6%, Hispanics at 14.1% and Asian/Pacific Islander at 9.9%—however; the primary race is white coming in at 79.9 percent of the population. The county offers educational learning centers in the form of public and private schools as well as a public community college with campuses located throughout the county and even many outside of the county. The county has excellent healthcare with numerous clinics, multiple Level 3 trauma hospitals, and one Level 2 that offers specialty services such as interventional neurology, also known as a “Brain Cath” for stroke victims as well as the general services offered by most hospitals, a public health department. Other healthcare services involve a Tuberculosis Clinic, STD/HIV Clinic, Perinatal Hepatitis B prevention program, and multiple indigent programs. Cultural Assessment: Collin County has an approximate population of 782,341 as per the 2010 US Census report.

The median age for the population of Collin County is 33 years of age. Comparing the US Census report from the year 2000 the population was 491,675 and has increased by an amazing 290,666 residents over the last ten years. This shows amazing growth, especially when that is not the case for the bulk of the nation. In the September 2012 issue of Money magazine, McKinney (the county seat of Collin county) was ranked 2nd place as Best Places to Live in the United States. This was after earning the 5th best places to live in Money magazine during July of 2010. There were 181,970 households out of which 40.60% had children under the age of 18 living with them, 62.10% were married, 7.50% had a female head of house with no husband present, and 27.30% were non-families. 22.10% of all households were made up of individuals and 3.10% had someone living alone who was 65 years of age or older. The average household size was 2.68 and the average family size was 3.18. In the county, the population was spread out with 28.70% under the age of 18, 7.40% from 18 to 24, 37.90% from 25 to 44, 20.70% from 45 to 64, and 5.30% who were 65 years of age or older. There was a greater female to male ratio with every 100 females age 18 and over, there were 97.80 males. The median income for a household in the county was $70,835, and the median income for a family was $81,856 (these figures had risen to $77,671 and $91,881 respectively as of a 2007 estimate).

Males had a median income of $57,392 versus $36,604 for females. The per capita income for the county was $33,345. About 3.30% of families and 4.90% of the population were below the poverty line, including 5.10% of those under age 18 and 7.10% of those age 65 or over. The morbidity and mortality of the residents of Collin County will be discovered along with the accomplishment or lack thereof that they have achieved in regards to the Healthy People 2010 initiative. Mortality is defined by deaths, considered premature, before the age of 75. Morbidity refers to how healthy people define their health-related quality of life (overall health, physical health, mental health) and includes birth outcomes that reflect infants born with a low birth weight. Infant mortality is studied because it is a good indicator of the state of health of a community as a whole. The infant mortality rate per the Healthy People 2020 stated goal is 4.5 percent, with low birth weight of 5.5 percent. The Collin County low birth weight is 7.7 percent, and the infant mortality rate is 5.2 percent both exceeding HP 2020’s goal and showing room for improvement. Health practices, and thus measurements of the general health of a community include controlling blood pressure, cholesterol and triglycerides, physical activity and thus prevention of obesity, cancer screenings such as colonoscopies and mammograms, smoking cessation, and finally homicide and suicide.

The lifestyle practices, coping mechanisms, and general health behaviors practiced by a community reflect their overall health monitoring for abnormal findings and behavior can allow early intervention and treatment. This can increase a communities positive outcomes and influence positive behaviors for the citizens of that community (Collin County Health Care Services, 2010). The knowledge of a community’s behavioral and mental health allows education and intervention into poor health choices and practices such as binge alcohol drinking, substance abuse, and tobacco use. In addition to mental health issues such as depression, anxiety, and thoughts of self-harm. Substance use is a major risk factor for many diseases. Smoking is linked to cardiovascular disease, cancer, and chronic lung disease. Alcohol is often associated with violence, injury, and HIV infection. Sexual activity increases with substance use and often with individuals experiencing mental health issues.

Almost all areas compared in the Community Health Status Indicators showed Collin County favorable to the peer median county value. Teen pregnancy was 1.4 percent, with the lowest being 1.2 percent. Breast cancer was 24.2 percent, colon cancer was 13.5 percent, coronary heart disease was 133.9 percent, stroke was 41.6 percent, lung cancer was 44.3 percent, homicide was 2.4 percent, and suicide was 9.2 percent. While Collin was favorable when compared to peer counties, the only areas that it met or exceeded the Healthy People Target was with regards to colon cancer, coronary heart disease, homicide, and stroke (U.S. Dept. of Health & Human Services, 2012). Neighborhood and Community Safety: Collin County Emergency Services Department has 23 fire departments located throughout the county 19 supported by the county and 4 being volunteer staffed. Each of the cities within the county has at least 2, but usually more fire departments. Police departments are located within each city and there is a Collin County Sherriff’s complex located on 45 acres, and includes the administration building, detention administration building, inmate housing clusters, and a central energy/maintenance plant. According to the recent statistics, crime in Collin County has been on a steady rise in the last ten years.

The total number of crimes reported included an increase in violent crime by 30 percent from 1999 to 2008. That same period saw an increase in violent crime by 2 percent. There were an alarming number of thefts coming in at 133,033 with 14,906 of these being automobile thefts. (RecordsPedia, 2012). The county has an extensive public works program, with the 50 miles per year asphalt program where they county attempts to pave every county road within 10 years. So far they have paved 295 0f 473 miles with an expected completion date of 2014. The county has adequate waste disposal for the residents and has landfill space readily available for public dumping as well as an extensive recycling program. The cities offer public waste and recycling removal if the resident lives within the city limits. There are private waste disposal companies that offer curbside pickup outside the city limits for a monthly fee. Collin county meets the national air quality standards with regards to Carbon Monoxide, Nitrogen Dioxide, Sulfur Dioxide, Ozone, Particulate Matter, and Lead ( U.S. Dept. of Health & Human Services, 2012). There are many lakes as well as numerous areas that are wooded and contain wildlife within the county so hunting is a popular sport but there is also an increase in wildlife vector-prone illness such as Lyme disease from ticks.

However, the main problem that was seen in Collin County during the summer of 2012 was West Nile Virus. It became an epidemic that required aerial spraying of almost the entire Dallas/Fort Worth Metroplex. The public health department was warning people to stay indoors, and if they needed to go outside to completely cover themselves as well as use high deet mosquito spray. Warnings were posted throughout the community to drain all stagnant water ( U.S. Dept. of Health & Human Services, 2012). Disaster Planning and Safety: Collin County is part of The North Texas Fusion Center in the Dallas/Fort Worth area and participates in joint exercises and events relating to emergency preparedness. The EMS office provides disaster preparedness education to the public and hosts mock emergencies that incorporate local fire, EMS, hospitals, and reserve medical corps to test the readiness of the county. The population most at risk in the event of a disaster would be the elderly and disabled—they have a lack of resources and often no family structure to support them.

There is a community wide warning system, more specifically sirens that is activated in the event of bad weather(tornadoes) or another type of disaster—there is a routine monthly test of this system. The public health department has plans to provide more education to the public on how to become more prepared and to increase the awareness of the need for home emergency plans. There are numerous services available at the EMS office, police headquarters, and the public health departments on how to be prepared yet there is a lack of community involvement. When routinely asked (random sample of individuals within the community) the majority have no personal emergency plan in place, and either show a flagrant disregard for the possibility of an emergency of that magnitude, or they become horrified when they realize just how unprepared they are.

This is compounded when thoughts of their family, home, or work in the event of such a large-scale disaster, nor did they have information on what or how the county response to such a disaster would be carried out. Community Genogram: Collin County, Texas

Disaster Assessment and Planning

* State of Texas has emergency response plan for each county * Collin County has public works disaster plan
* North Central Texas Fusion Center’s mock exercise with surrounding counties * County wide emergency warning system—tested monthly
* Health department provides extensive communication
* Residents lack involvement and most have no plan in place

Community and Neighborhood Safety

* Water quality is poor due to algae growth
* Air quality is good
* Collin is not a superfund site
* High potential for drowning due to many lakes
* Higher risk for wildlife vector-borne illnesses
* Strong police, fire, and EMS presence and response
* Crime is on the rise, including theft and violent crimes * Public health department is very active
Cultural Assessment

* Second best place to live in the U.S.
* Primarily white-raced with 77.21%
* Large Suburbs on the edge of the 4th largest city in the U.S. * Small rural based communities
* Primary industry is Service, Health care, and education * Both public and private schools
* Community Colleges and Universities abound in and around the county * Teen pregnancy is low
* Crime rate is up by 30% and violent crime rate is up by 2% * Inside and outside recreational areas
Population—Socio-economic Status

* Situated in North Texas
* Approx. Population of 491,675
* Mainly populated by Whites at over 81.39%
* Blacks approx. 4.79%, Native American 6.92%, Asian 0.05%, Pacific Islander 4.26% * Average income for a family is $75,709
* 47% of adults 25 and older have a bachelors or higher degree * Total unemployment or under employment is 7.3%


In the combined assessments listed above it is clear in an overall perspective that Collin County, Texas is a healthy and safe place to live and raise a family. There are great schools and jobs within the community and a good response from law enforcement and emergency services. The unemployment rate is an area is low, and wages are great. The need for at-risk populations to be more prepared in the event of a disaster must be addressed and rectified, as well as getting the residents engaged in emergency preparedness activities. There is a low teen pregnancy rate, but the water conditions need to be addressed. There also should be public swimming education, and safety programs implemented. The increase in violent crime is lastly an area that law enforcement must address and put plans of action in place to halt such an alarming trend.

Community Diagnosis:
Collin County is a healthy, exploding community. There are areas that require improvement such as in water quality; the STD incidence rate, rising crime rate, and increase in crimes of violence. There is also a dire need within the community for personal disaster preparedness education on resource distribution, planning, and how to access such services in the event of a large-scale disaster. Even with educational resources available and plans in place within the county, the community is still unprepared for what to do when faced with a natural or manmade disaster and there is lack of engagement on the part of the civilian population. With these suggested changes, continued focus and education on risk, illness, disease prevention, and preparedness for disasters Collin County, Texas will continue to be an excellent place to live and work.

Collin County Health Care Services. (2010). Our services. Retrieved from http://www.co.collin.tx.us/healthcare_services/index.jsp RecordsPedia. (2012). Crime Statistics. Retrieved from
http://recordspedia.com/Texas/Collin-County/Crime-Statistics U.S. Dept. of Health & Human Services. (2009). Community Health Status Indicators. Retrieved from

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