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Health Focus Areas by County - 1999-2004 CHA and 2000 CHA Update Albany County Department of Health CHA 1999 to 2004 Focus Access to Preventative and Primary Care Violence Healthy Births Cardio-vascular disease/cerebral vascular disease CHA Update 2000 Focus Delivering Environmental Health protective services. Providing home health care and wellness programs for elderly adults Coordinating county-wide violence prevention activities. Reducing risk factors for chronic diseases and injuries Reducing the incidence and controlling the spread of communicable disease. Evaluating and coordinating services for Children with Special Needs. Promoting healthy births Improving children's access to and receipt of medical and dental care. Monitoring and assessing community health status. Allegany County Department of Health CHA 1999 to 2004 Focus Cancer Screening and Behaviour Modification Education Mental Health Unintentional Injuries Adolescent and Teenage Pregnancy Childhood Disease - Children Age 0-4 yrs Dental Health CHA Update 2000 Focus West Nile Virus Surveillance Cancer Screening & Behavior Modification Education Mental Health Adolescent & Teenage Pregnancy Unintentional Injuries Childhood Disease - Age 0-4 years Broome County Health Department CHA 1999 to 2004 Focus Nutrition and diet Addiction to tobacco, alcohol, and other drugs CHA Update 2000 Focus Enhancement and expansion of Maternal Child Health & Development Division home visiting services. HIV Care Network/HIV/AIDS Services. Inability to manage stress and anger West Nile Virus prevention, surveillance and control Community - based consumer education addressing nutrition and diet. Community - based consumer education related to addiction to tobacco, alcohol, and other Community - based consumer health education focusing on the inability to manage stress and anger. Page 1 of 30 Health Focus Areas by County - 1999-2004 CHA and 2000 CHA Update Cattaraugus County Health Department CHA 1999 to 2004 Focus Tobacco control Teen Wellness Dental Health CHA Update 2000 Focus West Nile Virus Tobacco Control Teen Wellness Dental Health Cayuga County Department of Health and Human Services CHA 1999 to 2004 Focus Not able to identify Not listed Not listed Not listed Not able to identify CHA Update 2000 Focus Participate in local and statewide efforts to recruit and retain personnel in health shortage areas, especially Home Health Aides. Work at local, regional and state level to provide surveillance, education and control activities addressing prevention of adverse health effects related to West Nile Virus. Implement R.N. based intensive pre-natal/early home visitation program through our Safe Schools Healthy Students Partnership federal grant called the "Nurse Family Partnership". Increase access to health and dental care for un/underinsured people through facilitated enrollment in health insurance plans. Pursue funding to improve chronic disease outcomes through prevention and screening with a focus on colo-rectal health. Continue to work toward reducing teen pregnancy rates throughout the county. Pursue creation of capacity for parenting education classes for people in the community Improve access to Dental Services for the underserved Chautauqua County Health Department CHA 1999 to 2004 Focus Not able to identify Not able to identify CHA Update 2000 Focus Wellness/Quality of Life. Youth Development. Disease Prevention Access to Health Care/Health Insurance Page 2 of 30 Health Focus Areas by County - 1999-2004 CHA and 2000 CHA Update Chemung County Health Department CHA 1999 to 2004 Focus Diet and exercise (overweight and obesity) Access to dental care for low-income and uninsured persons. Stress, depression and mental health. Access to medical for low-income and uninsured persons. Cancer Violent and abusive behaviour Child Abuse and neglect Teen Pregnancy Smoking and Tobacco Use Substance Abuse CHA Update 2000 Focus Stress, Depression and Mental Health. Substance Abuse Nutrition Physical Activity Smoking and Tobacco Use Chenango County Health Department CHA 1999 to 2004 Focus Injury Control Assisted Living Facilities for the Elderly Collaborative Health Education and Nutrition Outreach Lead Screening Immunization services Chronic Disease Education/Counselling/Screening Dental Services for Persons with Low-Income. Access to Health and Mental Health Services CHA Update 2000 Focus Preschool Special Education Program. West Nile Virus. Cerebrovascular Deaths. Pneumonia Deaths. Prostate Cancer Deaths Colorectal Cancer Deaths. Breast Cancer Deaths. Cancer Deaths Diseases of the Heart. Acute Myocardial Infarction Unintentional Injury Deaths Page 3 of 30 Health Focus Areas by County - 1999-2004 CHA and 2000 CHA Update Clinton County Department of Health CHA 1999 to 2004 Focus Not listed Use of tobacco products Driving While Intoxicated (DWI) Teenage Pregnancy Affordability of health care Underage drinking Child abuse (physical and emotional) CHA Update 2000 Focus Drinking Water Program - Enhancement. Hand washing initiative. Tobacco Use. Healthy Births Mental Health Needs Health and Prevention education. Substance Abuse: Alcohol and Drugs. Access to and Delivering of Health Care Columbia County Department of Health CHA 1999 to 2004 Focus Cardiovascular heart disease mortality Deaths due to Falls. COPD mortality Lyme disease. Alcohol-related motor vehicle crashes (number killed or injured). CHA Update 2000 Focus Increase public awareness of rabies and reduce the number of persons who place themselves at risk for exposure. Increase the number of children who receive regular dental care services such as screening, cleaning and sealants. Alert the community to the threat of West Nile Virus on their health status and seek support & participation in preventive interventions. Reduce the number of deaths due to falls. Reduce the number of deaths due to chronic obstructive pulmonary disease related to tobacco Reduce Lyme disease through increased public awareness and increased early diagnosis by providers. Reduce the numbers of alcohol related motor vehicle injuries and deaths. Cardiovascular Disease - Increase the number of persons who engage in regular physical activity for at least 30 min/day. Page 4 of 30 Health Focus Areas by County - 1999-2004 CHA and 2000 CHA Update Cortland County Health Department CHA 1999 to 2004 Focus Not able to identify CHA Update 2000 Focus Mildly Ill Child Day Care Program. Childhood Asthma Control and Management. Health Insurance for uninsured/underinsured. Mosquito and Vector Control Immunization Activities Injury Prevention. Chronic Disease Prevention Communicable Disease Surveillance & Control Teen Pregnancy Prevention Activities PCAP/MOMS Home Health and Hospice Care Dental Health - Access to care for the unisured and underinsured. Delaware County Public Health CHA 1999 to 2004 Focus Improve Childhood Immunization levels Awareness of Diabetes Risk Factors Cancer Education and Screening Improvement of Health Behaviours Dental Health Care CHA Update 2000 Focus West Nile Virus Vehicle Safety Prevention and Cessation regarding use of Tobacco Products. Improve Childhood Immunization Levels. Increase Awareness of Diabetes Risk Factors. Expand Cancer Education and Screening. Improve Health Behaviours. Improve Dental Health Care Page 5 of 30 Health Focus Areas by County - 1999-2004 CHA and 2000 CHA Update Dutchess County Department of Health CHA 1999 to 2004 Focus Smoking/Tobacco use. Guns/Street Violence The Elderly Domestic Violence Depression Adolescents CHA Update 2000 Focus Medical Examiner/Forensic Examiner HIV/AIDS Water Quality. Lyme Disease. West Nile Virus Diabetes Asthma Cardiac Health Dental Health Preschool Nutrition and Physical Activity Smoking Guns/Street Violence The Elderly Domestic Violence Adolescent Health Erie County Department of Health CHA 1999 to 2004 Focus Begin to recruit "subscriber support" from community partners within the Health Priorities Consortium to continue annual updates to the Community Health Status Package as a source of outcome measurement. CHA Update 2000 Focus Youth Development. Develop a Community Health Report Card for each county and the region, based on the Community Health Status data, and work with the community partners to identify shared priorities for targeting community and private intervention effort. Design and produce a geographically based package of all Healthy People 2000 & Healthier NY 2006 related indicators that can be tabulated from WNY record-level vital statistic and hospital discharge files. All community partners will receive tabular and diskette versions of the package. Conduct a series of workshops with the community partners to achieve the adoption of standards for health risk assessment by evaluating existing instruments developed by the WHO, CDC, HEDIS 3.0, etc. for pubic health and managed care use. The package will also include morbidity and health risk behavior estimates based on a small pilot survey using the health risk screening instrument adopted by the group. Recruit community partner representation from the major HMO's, rural health networks, interested hospital and community wellness programs, Medicaid Managed Care Coalition, the voluntary health agencies and others. Health Education & Promotion. Physical Activity/Nutrition Access To Care & Insurance. Page 6 of 30 Health Focus Areas by County - 1999-2004 CHA and 2000 CHA Update Essex County Public Health Department CHA 1999 to 2004 Focus Tobacco Use Healthy Births Mental Health Needs Health & Prevention Education Substance Abuse : Alcohol & Drugs Access to and Delivery of Health Care CHA Update 2000 Focus Reduce alcohol/motor vehicle injury. Reduce exposure to communicable disease such as West Nile Virus. Develop partnerships to meet identified health needs. Reduce tobacco use among youth Reduce teen pregnancy. Increase available mental health services. Increase prevention education in nutrition & physical activity Substance abuse, Alcoholic & other drugs. Access to and Delivery of Health Care Franklin County Public Health Services CHA 1999 to 2004 Focus Tobacco Use Healthy Births Mental Health Needs Health & Prevention Education Substance Abuse : Alcohol & Drugs Access to and Delivery of Health Care CHA Update 2000 Focus Tobacco Use. Healthy Births Mental Health Needs. Health & Prevention Education. Substance Abuse: Alcohol & Drugs. Access to and delivery of Health Care. Page 7 of 30 Health Focus Areas by County - 1999-2004 CHA and 2000 CHA Update Fulton County Public Health Department CHA 1999 to 2004 Focus Not able to identify CHA Update 2000 Focus To reduce the deaths from liver disease. Prevention of low birth weight babies Children 0-4 who are underweight. Pneumonia 0-4 Otitis Media 0-4 Short gestation <37 weeks Unintentional injury < 10 To increasepreventative treatment to known positive TB reactors who remain untreated. To reduce Septicemia death rates. Reduction of spontaneous fetal deaths. To reverse the increased hospitalization rates for diabetes. Reduction of death rates for COPD. Reduction of hospitalization rats for bronchitis and COPD. Reduction of colorectal and lung cancer rates. Reduction of colorectal, lung, cervical & Breast cancer deaths. Reduction of hospitalization rates for arteriosclerosis. To reduce teen pregnancy rates. Reduction of hospitalization rates due to fire arms. Reduction of hospitalization rates due to falls. Reduction of hospital rates for respiratory interference. Reduction of hospital rates for respiratory interference. Reduction of DWI arrests. Reduction of MVA accidents. Reduction of motor vehicle accidents. Reduction of cancer deaths. Reduction of live birth rates to teens. Reduction of COPD Reduction of domestic violence rates. Reduction of high rates of hospitalization for asthma & gastroenteritis age 1-4 Low rates of lead testing in children 1 and 2 Reduction of early premature mortality of adults age 65. Reduction of infant deaths. Page 8 of 30 Health Focus Areas by County - 1999-2004 CHA and 2000 CHA Update Areas Reduction of perinatal and neonatal deaths. Reduction of hospitalization due to machine injuries. Reduction of accidental death rates. Areas Genesee County Public Health Department CHA 1999 to 2004 Focus Dental Health Lead Poisoning and Prevention Maternal and Perinatal Care Injury Prevention Family Planning Nutrition Sexually Transmitted Diseases Tuberculosis Communicable diseases Immunization Child Health HIV Home Care Health Education Rabies Public Water Supply Protection Environmental Radiation Protection Community Sanitation and Food Protection Realty Subdivision Individual Water and Sewage Systems Nuisances Chemical Emergencies Chronic Disease CHA Update 2000 Focus Offer technical assistance to United Memorial Hospital Reduce the us of tobacco in adolescents and teens Develop an arthropod borne disease surveillance system with regional capacity Increase access to pediatric dental services Increase timeliness of childhood immunizations Decrease morbidity/mortality due to chronic disease ie. Asthma and diabetes Increase acccess to public water Access to health care/insurance coverage Page 9 of 30 Health Focus Areas by County - 1999-2004 CHA and 2000 CHA Update Greene County Public Health Nursing CHA 1999 to 2004 Focus Stop smoking (local hospital) Walking program (Dept.For Aging) Work with StopDWI on TIPPs training CHA Update 2000 Focus Reduce unintentional injuries & deaths. Reduce alcohol - related motor vehicle injuries & deaths. Reduce lung cancer disease & deaths. Reduce cardiovascular diseae & deaths. Hamilton County Public Health Nursing Service CHA 1999 to 2004 Focus Complete telephone survey of behavioral risk factors in order to plan and prioritize Public Health activities. Expand health education programs for schoolage children and adults 40-55 years old. Maintain current level of Public Health Programs and service while monitoring access to health care. CHA Update 2000 Focus Begin to explore the needs of the local EMS providers and develop avenues of support, such as continuing education modules. Support Convalescent Care Programs through service providers for CHF and respiratory diagnosis to reduce the number of hospital re-admissions and subsequent re-admissions to the Begin to facilitate community partnerships through participation in collaborative efforts with Community Services and the Social Services Departments including participating in community needs assessment. Improve access to care to our children by actively advertising our role as Facilitated Enrollers for the Child Health Plus Program. Improve chronic disease programming and education by actively participating in the 7 County Diabetes Coalition and attempting to increase the attendance at blood pressure clinics and seminars. Improve existing cancer related programming including health education and outreach by actively participate in coalitions such as the Healthy Living Partnerships for breast cancer awareness and colorectal screening. Expand health education programs for school age children and adults 40-55 years old. Monitoring Access to Care. Maintain current level of Public Health Programs and service, while Page 10 of 30 Health Focus Areas by County - 1999-2004 CHA and 2000 CHA Update Herkimer County Public Health Nursing Service CHA 1999 to 2004 Focus Access Teen Population CHA Update 2000 Focus Education & Prevention of West Nile Virus. Promote Health Education. Monitor Health Status to Identify County Health Problems. Reducing Tobacco Product Use. Improving Maternal/Child Health Reduction of Teen Pregnancy. Access to Health Care. Access to Dental Care. Jefferson County Public Health Service CHA 1999 to 2004 Focus Adolescent Pregnancy Prevention Mental Health and Violent and Abusive Behaviours HIV/AIDS Prevention Alcoholism Heart Disease CHA Update 2000 Focus Childhood Overweight Worksite Wellness West Nile Virus Tobacco Control. Adolescent Pregnancy Prevention Mental Health/Violent & Abusive Behavior HIV/AIDS Prevention Alcoholism Heart Disease Page 11 of 30 Health Focus Areas by County - 1999-2004 CHA and 2000 CHA Update Lewis County Public Health Agency CHA 1999 to 2004 Focus Dementia Teen Pregnancy Cancer Rabies CHA Update 2000 Focus Pertussis & other reportable disease. Alcohol abuse Low levels of lead testing 1 & 2 yr. Olds West Nile Virus. Access to dental care. Heart disease & risk factors. Dementia in elderly Teen Pregnancy Cancer & risk factors. Rabies. Livingston County Department of Health CHA 1999 to 2004 Focus Access to Health Care Violence Teen Pregnancy Respite Services Mental Health Inactivity and Improper Diet Immunizations Five Leading Screenable causes of Death Exposure to Toxic and Infectious agents. Chemical Dependency CHA Update 2000 Focus MCH Home Visiting Program EMS Pre Hospital Care Public Water Supply Enhancement. Increasing Services to the Hispanic Population Diabetes. Hospice Services Teen Pregnancy Prevention MCH Violence Prevention Programs Diabetes in the Schools Hanson's Quarry West Nile Virus Page 12 of 30 Health Focus Areas by County - 1999-2004 CHA and 2000 CHA Update Madison County Department of Health CHA 1999 to 2004 Focus Not able to identify CHA Update 2000 Focus Drinking Water Supplies West Nile Virus Residents not aware of available health services Infant Deaths. Child Safety Seat Use Tobacco Use Prevention & Control Diabetes. Breast Cancer. Teen Pregnancy. Alzheimer's Disease. Arthrities. Alcohol Use Heart Disease Lack of teen activities. Cancer. Monroe County Health Department CHA 1999 to 2004 Focus Older Adult Report Card - To be determined, Fall, 1998 Adult Report Card - To be determined, Fall, 1998 Adolescent Report Card - Building youth competencies to promote healthy lives. Adolescent Report Card - Reduce Tobacco Use Maternal Child Health Report Card - Improve Birth Outcomes. Maternal Child Health Report Card - Improve Access to Preventive Services. CHA Update 2000 Focus Environmental Health: Reduce hazards in the home Environmental Health: Reduce pollution from small businesses Environmental Health: Reduce Industrial Pollution Environment Health: Improve Water Quality Older Adult Health (ages 65+ years): Promote Behaviors that prevent or delay complications and disability for chronic disease Older Adult Health (ages 65+ years): Promote use of preventive health services Adult Health (ages 18-64 years): Promote use of preventive health services Adult Health (ages 18-64 years): Promote Healthy Behaviors that Reduce the Risk of Chronic Disease Adolescent Health: Build Youth Competencies to Promote Healthy Lives Adolescent Health: Reduce Adolescent Smoking Maternal Child Health: Improve Access to Preventive Services (Children 0-9 years0 Maternal Child Health: Improve Birth Outcomes Page 13 of 30 Health Focus Areas by County - 1999-2004 CHA and 2000 CHA Update Montgomery County Public Health CHA 1999 to 2004 Focus Childhood Asthma Rabies Control Lead Screening Immunization services HIV/AIDS Teen Pregnancy Prevention Nutrition/Physical Activity Healthy Heart Program CHA Update 2000 Focus West Nile Virus education and surveillance. Improving diabetes education Improving childhood asthma hospitalization rates. Educating residents about Rabies. Reducing childhood lead poisoning Improving adult immunization rate HIV/AIDS education Reducing teen pregnancy rate. Improving nutrition and increasing physical activity Improving health status of residents. Page 14 of 30 Health Focus Areas by County - 1999-2004 CHA and 2000 CHA Update Nassau County Department of Health CHA 1999 to 2004 Focus Decrease heart disease and improve senior health by expanding opportunities for safe physical activity. Decrease cancer mortality by supporting breast health education and services and decreasing smoking, especially in women. Ensure appropriate services to families of Children with Special Health Care Needs (CSHCN) and assure that health insurance plans do not shirk their responsibility to cover these services. Expand access to primary and preventive health care to County residents by assisting with Child Health Plus enrollment, and expanding low cost services at health care facilities throughout the County. Decrease the prevalence of tobacco use for all ages, especially teens, and decrease environmental tobacco smoke exposure. Support and expand violence prevention initiatives including increased public awareness and resources available such as restaurant rest room poster initiatives. Improve the economic security of residents and reduce the health disparities associated with poverty. Continue public education, monitoring and surveillance activities for communicable diseases, including new pathogens and preparedness for bioterrorism. Continue environmental health and safety surveillance and enforcement activities to ensure protection of the public through safe drinking water, and adequate sanitation, recreational and food service operations. Protect the environment and future water supply of the County 1) through elimination of nonconforming underground storage tanks, and decesing the use of pesticides by bysinesses and home owners; and 2) improve estuarine ecology on the north and south Improve housing conditions by eliminating lead hazards, work with local municipalities to ensure unsafe conditions are corrected and advocate for loan and grant programs to expand home ownership through rehabs and new construction. Expand the focus on health promotion of children and youth by partnering with schools to increase the availability of school-based clinics, as well as parenting support and comprehensive school health education, including HIV. Accomplish the transfer of the Health Centers primary care services and the Home Health Agency to the Nasau Health Care Corporation, and work with the Corporation to expand comprehensive services available in target communities. CHA Update 2000 Focus Ensure appropriate services to families of Chidlren with Special Health Care Needs (CSHCN) and assure that health insurance plans do not shirk their responsibility to cover these Improve housing conditions by eliminating lead hazards, work with local municipalities to ensure unsafe conditions are corrected and advocate for loan and grant programs to expand home ownership through rehabs and new construction. Protect the environment and future water supply of the County 1) through elimination of nonconforming underground storage tanks, and decreasing the use of pesticides by businesses and homeowners; and 2) improve estuarine ecology on the north and south shores. Continue environmental health and safety surveillance and enforcement activities to ensure protection of the public through safe drinking water, and adequate sanitation, recreational and food service operations. Continue public education, monitoring and surveillance activities for communicable diseases, including new pathogens and preparedness for bioterrorism. Improve the economic security of residents and reduce the health disparities associated with poverty. Support and expand violence prevention initiatives including increased public awareness and resources available such as restaurant rest room poster initiatives. Address the health disparity of community residents through an infant mortality prevention program, HIV education and outreach; expand the Healthy Heart program to moe work sites; and work with other health care providers and voluntary agencies to expand their focus and programming to help close this gap. Expand access to primary and preventive health care to County residents by assisting with Child Health Plus enrollment, and expanding low cost services at health care facilities throughout the County. Improve the efficiency and quality of services provided by the Early Intervention Program. Decrease cancer mortality by supporting breast health education and services and decreasing smoking, especially in women. Minimize the risk of West Nile Disease, through health education, prevention, surveillance (of humans, birds, and mosquitoes), mapping and other relevant activities. Reduce morbidity and mortality from Chlamydia and AIDS by implementing Chlamydia reporting, surveillance and contact notification (required by State as of 8/30/00), and by implementing HIV partner notification and surveillance (required as of 6/30/00). Raise awareness in the health care provider community about the potential for a bioterrorist Address the health disparity of community residents through an infant mortality prevention program, HIV education and outreach: expand the Healthy Heart program to more work sites: and work with other health care providers and voluntary agencies to expand their focus and programming to help close this gap. Work with other health-related Nassau County agencies to reduce duplication of effort and share information. Educate health professionals and students about the issues and principles of public health, and promote careers in public health. Decrease the prevalence of tobacco use for all ages, especially teens, and decrease enviornmental tobacco smoke exposure. Page 15 of 30 Health Focus Areas by County - 1999-2004 CHA and 2000 CHA Update NewYork City Department of Health CHA 1999 to 2004 Focus Provide for the mental health care needs of New Yorkers. Improve access to quality health care. Improve the health of children and families. Insure that New York City has a healthy environment by protecting its air, food, and Prevent diseases caused by infectious agents and environmental and occupational CHA Update 2000 Focus AIDS Child Health Initiative Child asthma Infant mortality Immunizations Lead poisoning prevention Oral health School health Health Care Access Preventing chronic disease Correctional health services Reaching at-risk populations Communicable and emerging infectious diseases Tuberculosis Sexually Transmitted Diseases Violence and injuries Minority, refugee and immigrant health Gay and lesbian health Mental health services Children with special needs Page 16 of 30 Health Focus Areas by County - 1999-2004 CHA and 2000 CHA Update Niagara County Health Department CHA 1999 to 2004 Focus Not able to identify CHA Update 2000 Focus West Nile Virus Improving birth outcomes in the African American community Public sewage systems along Lake Ontario Children's Insurance coverage Stroke Respiratory Cancer Heart Disease Diabetes. Asthma. Gonorrhea prevention. Injury Prevention Page 17 of 30 Health Focus Areas by County - 1999-2004 CHA and 2000 CHA Update Oneida County Health Department CHA 1999 to 2004 Focus Education Access and Delivery of Health Care CHA Update 2000 Focus West Nile Virus Child Health Lead Poisoning Prevention. Maternal and Child Health. Family Planning Nutrition Injury Prevention. STD, HIV, TB, Communicable Diseases. Dental Chronic Disease. Prenatal Care Assistance Program. Child Safety Seats. Helmets for Children. Preventive Dentistry Program for High Risk Underserved Children. Tobacco Use and Prevention Healthy Families Program Asthma Coalition Infant Mortality Review Immunizations. Onondaga County Department of Health CHA 1999 to 2004 Focus Chronic Disease Family Planning Maternal and Infant health. Injury Prevention and Control Child Health Maternal and Perinatal Care. Sexually transmitted diseases Tuberculosis HIV and AIDS. CHA Update 2000 Focus Reduce risks associated with West Nile Virus. Reduce incidence of tuberculosis. Reduce morbidity and mortality due to chronic diseases. Reduce incidence of intentional and unintentional injury. Reduce incidence of sexually transmitted diseases, including HIV. Improve birth outcomes and children's health. Page 18 of 30 Health Focus Areas by County - 1999-2004 CHA and 2000 CHA Update Ontario County Community Health Services CHA 1999 to 2004 Focus Nutrition Prevention of Chronic Diseases Alcohol/Substance Abuse/Tobacco CHA Update 2000 Focus Reduce the number of Sexually Transmitted Disease cases in the eastern side of the county. "Success for Geneva's Young Children" -- address childcare and child abuse & neglect. Secondary Prevention of chronic disease - community - wide support for Age - appropriate screenings (hypertension, diabetes, cholesterol, cancer). Primary Prevention of chronic diseases - education/intervention for community - wide Reduce Substance abuse by the elderly. Reduce substance abuse in School - age children (alcohol, tobacco, other) Orange County Health Department CHA 1999 to 2004 Focus Education and Community Outreach Patient services Maternal and Child Health CHA Update 2000 Focus Hypertension control Diabetes control Adult health insurance enrollment Affordable lead free housing Early immunization program Early enrollment in prenatal care Nutrition education in WIC Page 19 of 30 Health Focus Areas by County - 1999-2004 CHA and 2000 CHA Update Orleans County Health Department CHA 1999 to 2004 Focus Not mentioned CHA Update 2000 Focus Medicaid (2nd order) Smoking (2nd order) Obesity (2nd order) Diabetes (2nd order) Lung Cancer (2nd order) Breast Cancer (2nd order) Injuries (1st order) HIV (1st order) Parenting Classes (1st order) Access to Psychiatric Inpatient Care (1st order) Genital Cancer Cardiovascular Disease (1st order) Infant mortality (1st order) Low birthweight (1st order) Teen Pregnancy (2nd order) Oswego County Health Department CHA 1999 to 2004 Focus Tobacco Substance Abuse Mental Health CHA Update 2000 Focus School Based Hep B Clinics. West Nile Virus. Unintentional Injury. Substance Abuse. Mental Health. Tobacco. Page 20 of 30 Health Focus Areas by County - 1999-2004 CHA and 2000 CHA Update Otsego County Department of Health CHA 1999 to 2004 Focus Access to Health Care for the Unisured and under-insured Access to Dental Care CHA Update 2000 Focus Leatherstocking's Promise for Youth. Increasing the availability of smoking cessation services. Reducing youth tobacco use among teens Reducing risk factors for Colon Cancer Non Intentional Injury Prevention. Domestic Violence Prevention Access to Health Care for the uninsured and underinsured. Access to Dental Care. Putnam County Health Department CHA 1999 to 2004 Focus Injury Prevention Nutrition Family Planning Maternal and Perinatal Care Lead Child Health Dental HIV Chronic Disease Immunization Tuberculosis STD Control of Communicable Diseases CHA Update 2000 Focus Injury Prevention. Nutrition. Family Planning. Maternal and Perinatal Care. Lead. Child Health. Dental. HIV Chronic Disease. Immunization. Tuberculosis STD Control of Communicable disease. Rensselaer County Department of Health CHA 1999 to 2004 Focus Cardio-vascular diseae/Cerebral vascular disease. Healthy births Violence Access to preventive and primary care CHA Update 2000 Focus 2000 CHA Update not submitted Page 21 of 30 Health Focus Areas by County - 1999-2004 CHA and 2000 CHA Update Rockland County Health Department CHA 1999 to 2004 Focus Breast Cancer Child Health CHA Update 2000 Focus Home Health Care. Contracts with dental plans. Uninsured for families. Prenatal Care. Adult Immunization. Comprehensive Tobacco Prevention Program. HIV/AIDS (including housing and outreach and partner notification). Tuberculosis Program. Bioterrorism Preparedness. Healthy Neighborhoods Program Healthy Heart Program West Nile Virus Surveillance and Control. Breast Health Child Health Saratoga County Public Health Nursing Service CHA 1999 to 2004 Focus Ongoing community assessment & disease surveillance. Decrease the number of motor vehicle injuries and deaths in Saratoga county Promote education and programs to decrease the incidence of Breast and Colon cancer. Increase access and availability of Nutrition services to encompass all age groups CHA Update 2000 Focus Promote the mammal and bird surveillance of West Nile Virus. Increase community awareness and education targeted to high risk county residents. Promote the use of larvacides, and assist residents with ways to eliminate areas of mosquito breeding. Increased incidence of motor vehicle accidents and associated deaths, in Saratoga County. Collaboration with local organizations to promote education and subsequently decreae the incidence of injuries and deaths. Expansion of (e.). Promotion of access and availability of adult preventive services. Promotion of Access to and availability of services for low income population, especially mothers and children. Increased incidence, based on cancer mapping, related to lung, colorectal and breast. Target education to reach areas of higher incidence and those individuals at the highest risk, the goal to decrease the incidence. Expansion of (d.), with the addition of lung cancer. On-going community assessment and diseae surveillance. Decrease the number of motor vehicle injuries and deaths in Saratoga County. Promote education and programs to decrease the incidence of breast and colon cancer. Increase access and availability of nutrition services to encompass all age groups. Promotion of access and availability of adult preventive services. Promotion of access to and availability of services for low income population, especially mothers and children. Page 22 of 30 Health Focus Areas by County - 1999-2004 CHA and 2000 CHA Update Schenectady County Public Health Services CHA 1999 to 2004 Focus Access to preventive and primary care. Healthy Births Violence Cardio-vascular/ Cerebral vascular disease CHA Update 2000 Focus City Schools Health Services Assessment Safe Drinking Water Act West Nile Virus Violence Prevention Healthy Births Access to care Cardiovascular Disease Schoharie County Department of Health CHA 1999 to 2004 Focus Not able to identify CHA Update 2000 Focus 2002 CHA Update not submitted Schuyler County Home Health Agency CHA 1999 to 2004 Focus Not able to identify CHA Update 2000 Focus Increasing Access to Care. Radon (Education, Identification, Mitigation) West Nile Virus. Dental Health. Teen Pregnancy. Nutrition. Physical activity level. Tobacco Use. Seneca CountyHealth Department CHA 1999 to 2004 Focus Preventive Health Services Women's Health Transportation CHA Update 2000 Focus Closure + Redevelopment of Seneca Army Depot. Uninsured study Flu/Tetanus Vaccine Shortage. West Nile Virus. Page 23 of 30 Health Focus Areas by County - 1999-2004 CHA and 2000 CHA Update St Lawrence County Public Health Department CHA 1999 to 2004 Focus Access to Health Care Developmental Delay in Infants and Toddlers Low Birth Weight Injury Prevention Chronic Diseases Communicable Diseases CHA Update 2000 Focus Developmental delay in infants and toddlers Low birth weight Injury Prevention Chronic Disease Communicable Disease Steuben County Public Health & Nursing Services CHA 1999 to 2004 Focus Alcohol and Substance Abuse CHA Update 2000 Focus Diabetes. EMS. Tuberculosis Injury Prevention ( booster seat use ) Increasing Access to Care. Radon (Education, Identification, Mitigation) West Nile Virus. Sexual Activity ( Teen Pregnancy ). Violent and Abusive Behavior (Child Abuse) Dental Health. Substance Use/Abuse. Nutrition. Physical Activity level. Tobacco Use Suffolk County Department of Health Services CHA 1999 to 2004 Focus Tobacco Use Substance Abuse : Alcohol and Other Drugs Sexual Activity Healthy Births Access to and Delivery of Health Care CHA Update 2000 Focus Tobacco Use Substance Abuse Sexual Activity Healthy Births Access to and delivery of health care Page 24 of 30 Health Focus Areas by County - 1999-2004 CHA and 2000 CHA Update Sullivan County Public Health Nursing CHA 1999 to 2004 Focus The need to improve the economic profile of the community. Teen Pregnancy. Uninsured. Transportation. HIV. Access to care problems for the elderly. Mental Health Services. CHA Update 2000 Focus Increase data available for CHA. Increase data available for CHA. Increase childhood immunization rates. Minimize exposure to commuicable disease. Reduce tobacco use. Decrease poverty. Reduce exposure to rabies. Lower suicide rates Lower AIDS transmission. Reduce cancer & heart disease. Reduce teen pregnancy Increase access to health care. Increase access to transportation. Tioga County Health Department CHA 1999 to 2004 Focus Homicides. Violent and Abusive Behaviour. Unintentional Injury. Tobacco Use. Substance Abuse and Other Drugs. Sexual Activity. Safe and Healthy Work Environment. Physical Activity. Nutrition Mental Health. Healthy Births Health Education. Education. Access to Health Care CHA Update 2000 Focus Enhanced Water Supply. Chlamydia Reporting. Hepatitis B Immunization of 7th Grade students Public Health Law 2164 Amendment. West Nile Virus. Reducing S.T.D./HIV Reducing Intentional Injury Reducing Dental Disease. Reducing Lung and Bronchus Cancer. Reducing Motor Vehicle Death Reducing Unintentional Injury. Reducing Colorectal Cancer. Reducing C.O.P.D Reduce Cerebrovascular Disease. Page 25 of 30 Health Focus Areas by County - 1999-2004 CHA and 2000 CHA Update Tompkins County Health Department CHA 1999 to 2004 Focus Not able to identify CHA Update 2000 Focus Diabetes outreach and education to health professionals and general public. Topics : risk factors, symptoms, disease management. TCHD - Staff addition : medical social worker Increase public awareness of TCHD's mission and services Tobacco Use Prevention and Education Traffic Safety Board Development Worksite Health Promotion West Nile Virus Surveillance and Education. Projected increase in population 50 - 64+. Planning for services for this increase in this population sector. Lack of health insurance Accessible and affordable dental care. Unmet need : Information on health, health services, disease management. Ulster County Health Department CHA 1999 to 2004 Focus Violent and Abusive Behaviour. Uninterntional Injuries. Tobacco Use. Substance Abuse : Alcohol and Other Drugs Sexual Activity Safe and Healthy Work Environment. Physical Activity. Nutrition Mental Health. Healthy Births Education. Access to and Delivery of Health Care. CHA Update 2000 Focus Increased collaboration with other county departments, community groups and agencies Tuberculosis control Physical Activity. Asthma management in elementary - school aged children Smoking prevention, especialy for elementary school - aged children West Nile Virus. Page 26 of 30 Health Focus Areas by County - 1999-2004 CHA and 2000 CHA Update Warren County Health Services CHA 1999 to 2004 Focus Tobacco Use. Healthy Births. Mental Health Needs Health and Prevention Education Substance Abuse : Alcohol and Drugs Access To and Delivery of Health Care. CHA Update 2000 Focus Emergency Medical Services. Healthy Births. Mental Health Needs Health & Prevention Education. Substance Abuse : Alcohol & Drugs. Assess To and Delivery of Health Care Washington County Public Health Services CHA 1999 to 2004 Focus Not able to identify. CHA Update 2000 Focus WNV Public Education, Diseae Management and Prevention (onset 8/2/2000). Migrant Health Primary and Preventive Care Access Wellness & Disease Management. Identification of Diabetes Mellitus. Lack of Access to Primary & Preventive Care Related to No Transportation. Multiple Unwed Pregnancy Late entry into Prenatal Care Health Care for Under or Uninsured Poor Utilization of Preventive Health / Dental Care. Reducing Lead Risk Rabies Management & Control Page 27 of 30 Health Focus Areas by County - 1999-2004 CHA and 2000 CHA Update Wayne County Public Health Service CHA 1999 to 2004 Focus Violent/Abusive behaviour Tobacco Use Substance Abuse. Sexual activity. CHA Update 2000 Focus Radon Add Rabies post exposure prophylaxis to Plan Promote/Increase access to migrant health services Promote/Increase STD/HIV surveillance West Nile Virus - Prevention, Response, Control. Collect and assess cancer exposures and related illnesses data. Reduce child passenger safety related injuries and promote booster seat use among children 4 - 8 years old. Improve access to prenatal care & education. Reduce tobacco use among teens. Increase access to dental health services. Improve health education efforts directed toward teens. Promote good nutrition and physical activity among Wayne County residents. Improve access to primary and preventive health care. Increase STD testing and treatment options and preventive education for males. Page 28 of 30 Health Focus Areas by County - 1999-2004 CHA and 2000 CHA Update Westchester County Department of Health CHA 1999 to 2004 Focus Not listed CHA Update 2000 Focus Chronic Diseases Child Health Children with Disabilities Maternal and Perinatal Care Family Planning Nutrition Injury Prevention and Control Sexually Transmitted Diseases Tuberculosis Dental Health Education and services Immunizations Dental Health Education and Services (providing pediatric dental clinic services; prevention of baby bottle tooth decay) HIV/AIDS Env. Health: Public Health Protection Environmental Health Risk Control Environmental Quality Health Education Laboratories Home Health Services Medical Examiner Communicable Diseases Wyoming County Health Department CHA 1999 to 2004 Focus Improved Service Delivery. Diabetes - Identification & Education. Heart Health. CHA Update 2000 Focus Mental Health. Wellness/Quality of Life. Disease Prevention. Physical Activity Nutrition Youth Development Access to Health Care and Insurance Coverage (AH) Page 29 of 30 Health Focus Areas by County - 1999-2004 CHA and 2000 CHA Update Yates County Health Department CHA 1999 to 2004 Focus Dental Health Alcohol and Substance Abuse CHA Update 2000 Focus Diabetes. Increasing Access to Care Radon (Education, Identification, Mitigation) West Nile Virus. Dental Health. Nutrition. Physical activity level. Tobacco Use. Page 30 of 30