This map shows the geographic location of dentists currently practicing in Davidson-County as well as areas that are likely experiencing disparities in oral health care.
To bring awareness to the current health conditions in low-income areas such as North-Nashville, the Oral Health Needs Index (OHNI) made an easy-to-access, oral health focused, Geographic Information System (GIS) based tool that allows people to find services based on their environment and resources.
Identifying dental providers who accept Medicaid and other public dental insurance in areas of low socioeconomic status can be difficult. With OHNI, users get a clear visualization of communities with lack of services. Lack of transportation and finding participating providers is a major barrier for low-income and rural populations. Identifying these barriers and how they contribute to health disparities experienced by under-served communities is important. It allows for a better understanding of ways to combat disparities in disadvantaged communities.
The U.S. Department of Agriculture’s Food Safety and Inspection Service (FSIS) recalled 90,000 pounds of ham. Johnston County Hams recalled five different ham products Tuesday. The contaminated meat product got distributed to Maryland, North Carolina, New York, South Carolina, and Virginia. These are the products:
Country Style Fully Cooked Boneless Deli Ham
Ole Fashioned Sugar Cured The Old Dominion Brand Hams Premium Fully Cooked Country Ham
Padow’s Hams & Deli, Inc. Fully Cooked Country Ham Boneless Glazed With Brown Sugar
Premium Fully Cooked Country Hamm Less Salt
Goodnight Brothers Country Ham Boneless Fully Cooked
The Center for Disease Control and Prevention (CDC) led an epidemiological investigation of listeriosis after reports from the FSIS. Through the combined efforts of local state departments and the CDC, the outbreak link is between illness and Johnston Country Ham products. The recall stemmed from ham products possibly exposed to Listeria monocytogenes. Listeria is one of the most common foodborne illness-causing agents. This example continues the streak of the foodborne illness outbreaks in the U.S. My last blog touched more on this public health issue.
For news about this outbreak check out:
For more information on the foodborne illness, outbreak checks my last post.
One public health issue that needs more attention is foodborne disease outbreaks. Foodborne outbreaks account for approximately 9.2 million illnesses each year. According to the Center of Disease Control and Prevention (CDC), approximately 800 foodborne disease outbreaks are reported annually, resulting in roughly 15,000 illnesses (18% of which resulted in hospitalization) and 20 deaths each year.
Figure 1: Displays the most common pathogens that cause food borne illness, outbreaks, hospitalization, and deaths from 2009-2015.
Foodborne outbreaks are the result of two or more cases of foodborne illness caused by a similar pathogen. When foodborne outbreaks occur, the cases are reported to both the local and state department. After gathering information from those departments, the CDC follows up with an investigation. It is always important to be aware of warnings for food outbreaks and food recall alerts. Be careful of what you eat. Remember to Wash your hands when preparing and handling foods.
For more information click the following link:
In the midst of newsworthy Hepatitis A outbreaks in Kentucky, San Diego, and Michigan, this map depicts the number of Hepatitis A incidents across the United States from 2017-2018. The number fluctuations in each state over the last year is alarming considering that there are few national regulations being put into place in the realm of food safety. Catherine Huddle from Food Safety News explains that although the CDC recommends that all children should be vaccinated at the ages of 1 and 2, ” the CDC has not recommended Hepatitis A vaccinations for food service workers” (Huddle, 2018). We can only hope that more information and awareness of Hepatitis A outbreaks can help force a decline in it’s prevalence. For more information of state reported Hepatitis A incidents you can visit the Food Safety News web page.
Check out this map that shows the number of National Health Service Corps (NHSC) sites in Tennessee as of 10/6/17 and the number of National Committee for Quality Assurance certified Patient Center Medical Home (PCMH) sites in Tennessee as of 1/23/18.
For more information on the Patient Centered Medical Home click here.
By Julia Watson
Today’s map shows the rate of self reported pesticide related illness by state for the year of 2014 per 100,000 person. From the map we can see some states had rates ranging as low as 0.00 to 0.27 indicated by the yellow shading. In contrast some states, such as Alaska, Florida, Alabama, Mississippi, Arkansas, New York, Kansas and Virginia had rates as high as 0.87 to 2.56 indicated by the dark blue shading. However, its important to note that because these are self-reported rates the date is subjected to under-reporting. In addition, because these exposures are self-reported both the type of pesticide and the degree of illness associated with the exposure may be mis-classified since the designation by the poison control center for both is based on the description provided by the caller.
According to the CDC farmworkers are among those when are subjected to pesticide exposure. For more information on migrant workers click here.
By Julia Watson
Check out this map which shows the percent of people living with HIV who were uninsured by county for the year of 2014 ages 13 and older. From the map we can see that a large portion of counties within Hawaii, the north east, and some midwest states had some of the lowest percentages of people with HIV who where uninsured indicated by the yellow shading. In contrast states in the south and west had some of the highest percentages of people living with HIV who were uninsured. We can see Alaska and Texas were predominantly shaded dark, indicating percentages ranging as high as 19 to 39.
By Julia Watson
Check out this map that shows the percent of people living with HIV who are living in poverty by county for the year of 2014. From the map we can see that a large portion of counties in the southern and western states have a higher percentage of people with HIV living in poverty, indicated by the dark shading. We can also see that Alaska has counties shaded dark, such as Yukon-Koyukuk Census area, indicating the percentage of those living in poverty range from 22.61 to 47.40.
By Julia Watson
Ambulatory-care sensitive conditions (ACSCs) are conditions where effective community care and management can help prevent the need for hospital admission. The map below shows the rate of hospital stays for ACSCs per 1,000 Medicare enrollees. From the map we can see a large portion of counties within western states had a lower ACSCs rate indicated by the yellow/light orange shading compared to counties within various southern states who had higher rates, indicated by the darker shaded counties. Map like this allow health providers to then look deeper into why these rates vary. For instance, since ACSC’s are medical problems that are potentially preventable, such as hypertension, health care providers might hypothesize counties with higher rates are lacking health care providers.
By Julia Watson
Check out this map from the CDC which shows which counties in 2015 had high opioid prescribing. The CDC found similar characteristics amongst these counties such as having a higher percent of white residents, more dentists and primary care providers, more people who were uninsured or unemployed.
By Julia Watson