University of New Mexico Health Science Center Clinical/Translational Science Center New Mexico Community Executive Brief for Researchers and Communities Prepared by Alexis Padilla, PhD. September 2010 Content Page Background ……………………………………………………………………………………………………………………... 3 Table 1. New Mexico Social Determinants of Health ……………………………………………………… 4 …………………………………………………………. 5 Table 3. Leading Causes of Death: National Data ………………………………………………………….. 6 Table 4a. New Mexico Licensed Health Professionals (2009) ……………………………………… 7 Table 4b. New Mexico Licensed Health Professionals (2010) ………………………………….…… 8 Table 5. New Mexico Health Care Clinics and Resources ………….………………………………… 9 Table 6. New Mexico County Health Rankings ……………………….……………………………………… 12 Table 7. New Mexico Comprehensive Health Planning Council Priority Needs …..……… 13 Table 8. New Mexico Community Environmental Concerns ………………………………………… 14 Concluding Considerations ……………………………………………………………………………………………. 15 Table 2. New Mexico Leading Causes of Death 2 New Mexico Community Executive Brief for Researchers and Communities Background The present document condenses information compiled by the Health Science Center Office of Community Health (OCH) in its 2010 County Health Report Cards, along with national data from the Center for Disease Control (CDD) and county ranking data from the Health Science Center’s Institute for Public Health (IPH). Congruent with the Clinical and Translational Science Center (CTSC) interdisciplinary bridging mission of community relevant research formulation and implementation, the purpose of this executive brief health data documentation is to facilitate concrete reciprocal links between communities and researchers. This endeavor strives toward diversifying needs based research projects, which will catalyze new or refined research lines that pursue and complement the comprehensive health priorities identified by County Health Councils throughout the state as well as other local level community constituencies with evidencebased scientific analysis and rigorous methodologies. The foregoing tables capture general statewide data contrasted with national indicators. Categories include aspects such as social determinants of health, leading causes of death, licensed health professional distribution, comprehensive health priorities and environmental health. 3 Table 1 County Bernalillo Catron Chaves Cibola Colfax Curry De Baca Doňa Ana Eddy Grant Guadalupe Harding Hidalgo Lea Lincoln Los Alamos Luna McKinley Mora Otero Quay Rio Arriba Roosevelt Sandoval San Juan San Miguel Santa Fe Sierra Socorro Taos Torrance Union Valencia New Mexico Social Determinants of Health People per Square Mile (2000) 477.4 0.5 10.1 5.6 3.8 32.0 1.0 45.9 12.4 7.8 1.5 0.4 1.7 12.6 4.0 167.8 8.4 ( Year?) 13.7 2.7 9.4 3.5% 7.0 7.4 24.2 20.6 6.4 67.7 3.2 (Year ?) 2.7 13.6 5.1 1.1 62.0 Median Household Income (2004) $ 45,147 (Year 2007) $ 24,913 $ 29,779 $ 29,888 $ 32,336 (Year 2003) $ 31,824 $ 27,377 $ 30,740 $ 36,329 $ 29,926 $ 25,248 $ 25,670 $ 23,702 $ 34,766 $ 33,642 $ 94,640 (Year 2003) $ 22,888 $ 27,301 (Year ?) $ 25,743 $ 32,400 $ 24,779 $ 32,935 $ 28,918 $ 47,745 $ 36,821 $ 27,972 $ 43,727 $ 23,821 $ 26,622 $ 29,508 $ 30,347 $ 29,818 $ 36,955 Person Below Poverty, Percent (2007) Unemployment Rate (2009) 14.9% 20.8% 20.5 % 24.5% 17.1% 18.5% 17.8% 23.9% 16.1% 17.7% 25.5% 13.6% (Year 2004) 24.0% 18.6% 14.0% 3.1% (Year 2003) 32.5% 26.5% (Year 2003) 22.4% 20.4% 23.5% (Year 2004) 21.2% 24.4% 10.3% 18.4% 24.5% 15.0% 23.9% 30.4% 17.6% 22.7% 16.8% 15.7% 7.7% 10.1% 7.1% 6.9% 8.2% 4.3% 5.0% 7.0% 5.9% 11.6% 8.7% 4.1% 7.5% 8.0% 6.1% 3.0% 17.8% 8.6% 14.2% 6.6% 7.2% 7.7% 4.5% 7.7% 8.9% 7.4% 6.4% 5.3% 4.8% 9.5% 7.7% 6.0% 7.7% Source: University of New Mexico, Health Science Center, Office of Community Health, “New Mexico County Health Report Cards” 2010. 4 Table 2 New Mexico Leading Causes of Death. Rates per 100,000 County Alcohol Diabetes Drugs Heart Diseases Stroke Bernalillo Catron Chaves Cibola Colfax Curry De Baca Doňa Ana Eddy Grant Guadalupe Harding Hidalgo Lea Lincoln Los Alamos Luna McKinley Mora Otero Quay Rio Arriba Roosevelt Sandoval San Juan San Miguel Santa Fe Sierra Socorro Taos Torrance Union Valencia 46.6 45.8 .48 66.9 45.5 38.1 79.5 34.9 41.7 41.2 58.9 52.2 39.4 43.2 40.1 26.1 49.4 91.6 85.1 40.6 41.5 99.0 28.4 38.5 54.9 70.3 45.1 57.1 71.3 55.5 58.7 86.4 50.9 24.7 26.7 27.2 26.9 16.9 19.0 10.8 16.5 16.6 27.8 12.8 24.1 175.6 124.2 174.2 158.9 168.7 266.2 122.9 137.7 209.6 163.2 152.1 37.8 100.4 244.0 157.6 159.7 281.5 121.5 145.3 233.8 200.7 145.9 282.2 148.7 174.5 139.9 126.6 131.7 164.0 117.3 237.6 183.8 150.0 36.0 .49 62.6 36.5 26.6 .50 35.1 35.9 47.6 .46 35.3 15.3 25.2 24.8 64.8 32.9 36.9 43.7 49.9 66.6 31.3 38.4 42.1 25.5 27.0 59.0 33.4 13.4 33.7 7.5 17.8 19.2 4.8 13.3 12.4 19.8 16.7 14.1 51.2 20.4 14.1 12.5 23.3 17.2 19.3 20.8 22.0 28.4 16.2 28.5 36.5 25.8 37.7 25.5 29.3 29.8 42.1 74.8 35.9 15.2 6.5 16.1 36.5 13.6 22.0 24.3 33.5 38.8 40.4 34.4 36.8 20.5 26.7 43.3 19.3 19.9 74.1 46.9 All Causes (Year 2006) 783.6 378.5 804.5 771.2 785.5 825.5 747.1 668.8 888.1 689.5 806.5 339.2 577.2 924.4 552.9 557.1 815.7 818.9 721.3 777.5 760.3 947.4 933.9 710.4 809.8 823.4 627.9 799.5 854.0 698.5 993.8 953.5 821.0 Source: University of New Mexico, Health Science Center, Office of Community Health, “New Mexico County Health Report Cards” 2010. 5 Table 3 Racial Groups All Races African American American Indian/Alaska Native Asian/ Pacific Islander Hispanic White Leading Causes of Death: National Data (2005) Age-Adjusted Death Rates per 100,000 Persons by Race Leading Causes of Death All Cancer Diabetes Heart Homicide HIV Causes Disease 798.8 1016.5 183.8 222.7 24.6 46.9 211.1 271.3 6.1 21.1 Liver Disease & Cirrhosis 4.2 9.0 19.4 7.7 Motor Stroke Suicide VehicleRelated Injuries 15.2 46.6 10.9 14.5 65.2 5.2 Unintentional Injuries 39.1 38.7 663.4 123.2 41.6 141.8 7.7 2.7 22.6 24.8 34.8 11.7 54.7 440.2 110.5 16.6 113.3 2.9 0.6 3.6 7.6 38.6 5.2 17.9 590.7 785.3 122.8 182.6 33.6 22.5 157.3 207.8 7.5 3.7 4.7 2.2 13.9 9.2 14.7 15.6 35.7 44.7 5.6 12.0 31.3 40.1 Source: Center for Disease Control and Prevention, Office of Minority Health and Health Disparities, “Population Data and Representative Mortality and Case Rates” October 2009. Based on Data from: Health, United States, 2007. http://www.cdc.gov/nchs/data/hus/hus07.pdf#029 6 Table 4a New Mexico Licensed Health Professionals. January 2009 County MD/DO (Total per Licensing Board) 2,422 2 133 19 17 64 1 325 76 68 3 1 1 60 37 50 28 114 1 75 7 50 20 120 173 61 476 13 17 74 4 3 27 Bernalillo Catron Chaves Cibola Colfax Curry De Baca Doňa Ana Eddy Grant Guadalupe Harding Hidalgo Lea Lincoln Los Alamos Luna McKinley Mora Otero Quay Rio Arriba Roosevelt Sandoval San Juan San Miguel Santa Fe Sierra Socorro Taos Torrance Union Valencia MDs 2,329 2 124 18 16 56 1 304 69 65 3 0 1 52 33 49 24 111 1 64 7 47 19 112 157 55 466 11 16 71 2 2 25 DOs 93 0 9 1 1 8 0 21 7 3 0 1 0 8 4 1 4 3 0 9 0 3 1 8 16 6 10 2 1 3 2 1 2 Nurse Practitioners 310 0 16 7 4 14 0 58 16 7 1 0 1 17 5 6 6 12 4 7 4 15 5 14 18 7 55 0 3 14 4 1 6 Physician Assistants 213 0 11 5 2 2 0 28 7 15 0 0 1 6 3 11 2 10 1 9 0 8 2 10 27 10 39 2 1 12 1 0 13 Occupational Therapists 279 0 11 0 0 7 0 32 4 10 0 0 0 0 4 7 1 11 0 10 1 5 1 16 27 6 58 3 5 9 1 0 15 Physical Therapists 534 0 27 3 4 10 0 75 18 26 0 0 0 15 10 27 9 5 0 25 0 11 8 Unknown 75 24 122 1 7 22 2 2 Unknown Dentists 526 0 10 9 5 26 1 35 25 6 0 0 2 7 11 59 7 20 1FT/1PT 20 3 12 7 34 78 21 125 2 6 26 0 1 21 Source: University of New Mexico, Health Science Center, Office of Community Health, “New Mexico County Health Report Cards” 2010. 7 Table 4b County Bernalillo Catron Chaves Cibola Colfax Curry De Baca Doňa Ana Eddy Grant Guadalupe Harding Hidalgo Lea Lincoln Los Alamos Luna McKinley Mora Otero Quay Rio Arriba Roosevelt Sandoval San Juan San Miguel Santa Fe Sierra Socorro Taos Torrance Union Valencia New Mexico Licensed Health Professionals. January 2010 MD/DO (Total per Licensing Board) 2,516 3 123 16 18 62 0 326 70 68 2 1 2 59 35 57 26 104 1 72 9 49 18 136 183 58 499 12 17 77 5 3 24 MDs 2,412 3 115 15 17 52 0 307 62 65 2 0 2 51 29 55 23 102 1 61 9 46 16 128 165 54 489 10 16 73 3 3 23 DOs 104 0 8 1 1 10 0 19 8 3 0 1 0 8 6 2 3 2 0 9 0 3 2 8 18 4 10 1 1 4 2 0 1 Nurse Practitioners Physician Assistants 262 0 16 3 3 1 0 27 8 19 0 0 1 5 3 12 4 13 0 8 0 13 2 13 32 10 52 4 2 13 2 0 6 Occupational Therapists Physical Therapists Dentists Source: University of New Mexico, Health Science Center, Office of Community Health, “New Mexico County Health Report Cards” 2010. 8 Table 5 County Bernalillo Catron Chaves Cibola Colfax Curry De Baca New Mexico Healthcare Clinics and Resources Clinics & Resources Catron County Center, (Reserve) Eastern New Mexico Medical Center (Roswell) La Casa de Buena Salud Inc., (Roswell) Roswell Medical Clinic (Roswell) Grants Medical Center (Grants) To’Haajilee Health Clinic (Canoncito) Western New Mexico Medical Group (Grants) Acoma Canoncito Laguna Service Unit (San Fidel) Cibola General Hospital (Grants) Raton Health Office (NM Dept. of Health) Miners Colfax Medical Center La Casa de Buena Salud Plains Regional Medical Center Laurel Plains Healthcare ……………………………….…..…….………. Laurel Ridge Healthcare ……………………………………….…………. Retirement Ranch …………………………………………….…..…….... De Baca Family Practice Clinic……………………………….……..…... Pecos Valley Care Center………………………………………………… Services Rios Net Providers general medicine o family practice o mental health o immunization 88 (Albuquerque) 2 (Quemado Reserve) 1 (Roswell) 8 = 3-Grants/ 1-Pine Hiull 4-San Fidel 2 = 1-Angel Fire 1-Springer 1 (Clovis) nursing home nursing home nursing home family practice nursing home Doňa Ana Eddy Grant Guadalupe Harding Hidalgo 19 = 3-Anthony/ 8-Las Cruces 2-Santa Theresa/ 4-Hatch 1-Chaparral/ 1-Sunland Park Loving Family Health Center (Presbyterian Medical Services) Saint Francis Family Medical Center (Presbyterian Medical Services) Artesia General Hospital Carlsbad Medical Center Hidalgo Medical Services……………………………………………….…. Mimbres Valley Clinic…...……………………………….………..……..… Silver Internal Medicine………………………………………………….… Silver Schools Health Center Hidalgo Medical Services……….………. Fort Bayard Medical Center Gila Regional Medical Center……..…………………………………….…. Santa Rosa Medical Clinic Guadalupe County Hospital Los Amigos Health Care Roy Clinic Hidalgo Medical Services………………………………………………….. .Animas Valley Clinic ……………………………………………….……… family practice medicine, family planning dental family practice pediatric o pediatric primary care o family practices pediatrics o podiatry o neurology primary health 2 (Silver City) general hospital o psychiatric unit 2 = 1-Anton Chico 1-Santa Rosa primary medical care • family planning primary care primary care 1 (Roy) 9 Table 5 New Mexico Healthcare Clinics and Resources (Continued) County Clinics & Resources Lea Lincoln Jal Clinic Lea Regional Medical Center Nor-Lea General Hospital Hondo Valley Community Health Center………………………………… Los Alamos Luna La Casa De Buena Salud Inc………………………….………………….. Lincoln County Medical Center………………………………………….… Los Alamos Medical Center Sombrillo Nursing & Rehabilitation Ben Archer Health Center………………………………………………… Silver Internal Medicine………………………………………….…..…… Mimbres Memorial Hospital………………………………………………. Mimbres Memorial Nursing Home Services Rios Net Providers o Immunizations oPrimary care oSTD screenings & Treatment oLaboratory primary care and referrals oOb/Gyn general hospital 1 (Ruidoso) primary care and referrals omental health and substance abuse odental family practice opediatrics opodiatry oneurology general hospital 3 = 2-Columbus/ 1-Deming McKinley Mora Otero Quay Rio Arriba Roosevelt Mora Valley Community Health Service Wagon Mound Clinic (Health Care Centers of Northern New Mexico). Ben Archer Health Center…………………………………………………. Sacramento Mountain Medical Center…………………………………... Gerald Champion Regional Medical Center…………………………….. Logan Family Health Center………………………………………….…… Dr. Dan C. Trigg Memorial Hospital……………………………………… Laurel Hills Healthcare……………………………………...…….. Truchas Clinic (Health Care Centers of Northern New Mexico) Española Hospital…………………………………………....…………….. Nursing home facility. Rehab center………………………………….….. La Casa de Buena Salud Roosevelt General Hospital Heartland Continuing Care Center family care family planning oimmunizations ohealth screening primary care odental care oOb/Gyn oReferrals Children primary care obehavioral health osupportive living programs general hospital family care general hospital nursing home primary care o health screening o immunizations o diabetes education o family planning general hospital nursing home Sandoval San Juan San Miguel 28 =12-Crowpoint/12-Gallup 3-Tohatchi 3 = 2-Mora 1-Wagon 1 (Alamogordo) 8 = 2-Logan 6-Tucumcari 17 = 1-Abiquiu/ 1-Chama/ 1-Coyote/ 3-Dulce/ 1-El Rito/ 2-Embudo/ 6 Espanola/ 1Santa Clara/ 1-Santa Cruz 1 (Portales) 6 = 3-Bernalillo/ 2-Cuba/ 1-Jemez Pueblo Farmington Community Health Center (Presbyterian Medical Services) San Juan Oncology San Juan Regional Cancer Center Northern Navajo Medical Center San Juan Regional Medicine Center Las Vegas Clinic …………………………………………….…………….. Pecos Valley Medical Center……………………………….…………….. San Miguel Clinic …………………………………………………….……. Las Vegas Medical Center………………………..………..……………... Alta Vista Regional Hospital………………………………………………. 17 = 1-Farmington 16-Shiprock primary care o dental care o referrals primary care o referrals o counseling oOb/GYN primary care psychiatric hospital general hospital 13 = 7-Las Vegas 5-Pecos/ 1-Ribera 10 Table 5 County New Mexico Healthcare Clinics and Resources (Continued) Clinics & Resources Services Rios Net Providers primary care o dental o referrals 21 = 19-Santa/ 1-Edgewood/ 1-Pojoaque 1 (Truth Or Consequences) Santa Fe Sierra Socorro Taos Torrance Union Valencia Ben Archer Health Center…………………………………………………. Sierra Vista Hospital New Mexico State Veteran’s Home…………………………………….… Sierra Health Care Center………………………………………………… Magdalena Area Health Center………………………………………...... Socorro General Hospital ………………………………………………… Socorro Good Samaritan Village……………………………………….… Las Clinicas del Norte……………………………………………………... Penasco Medical…………………………………………………………… Questa Health Center………………………………………………..….... Holy Cross Hospital……………………………...................................... Mountainair Family Health Center Union County General Hospital………………………………………….. Clayton Nursing & Rehabilitation Center……....................................... First Choice Community Healthcare…………………………………..….. Los Lunas Medical Center………………...…………………………….… Presbyterian Medical Group – Belen…………………………………….. Presbyterian Medical Group – LosLunas…………………………….….. nursing home nursing home family practice o family planning o immunizations General Hospital General Hospital primary care o Ob/Gyn o mental health o family health care o referrals medical care o dental o children services o behavioral health supportive living programs general hospital 1 (Socorro) 16 = 8-Taos/ 3-Peňasco 5-Llano/Quemado 2 = 1-Estancia/ 1-Moriarty general hospital nursing home primary care o dental services primary care o family medicine o Ob-Gyn services o pediatrics pharmacy, lab, referrals o health education. primary care o urgent care o diagnostics o mammography podiatry o cardiology o Ob/Gyn services family practice 9 = 1-Belen/ 1-Los Lunas/ 7-Isleta Pueblo Source: University of New Mexico, Health Science Center, Office of Community Health, “New Mexico County Health Report Cards” 2010. 11 Table 6 County Bernalillo Catron Chaves Cibola Colfax Curry De Baca Doňa Ana Eddy Grant Guadalupe Harding Hidalgo Lea Lincoln Los Alamos Luna McKinley Mora Otero Quay Rio Arriba Roosevelt Sandoval San Juan San Miguel Santa Fe Sierra Socorro Taos Torrance Union Valencia New Mexico County Health Rankings (2008) Overall Health Rankings Health Outcomes Rankings Health Mortality Morbidity Outcome Rank Rank Score 11.5 12 11 6 Health Outcome Rank 9 21 18 8 12 22 18 9 14 20 15.5 11.5 13.5 14 10 8 20 26 21 15 7 10 16 11 5 22 11 7.5 20 12.5 4 22 5 11 18 20 15 3 1 25 14 25 1 2 21 12 23 3 4 19.5 13 24 1 2 16 17 22 5 6 23 9 6 24 23 12 4 9 16 2 22 26 4 18 7 19 24 12 8 6 20 4 17 25 3 14 9 16.5 21.5 13 10.5 8.5 17.5 7 14.5 23 4.5 13.5 11 9 25 23 7 15 19 3 13 21 6 26 7 24 18 3 14 2 16 11 16 25 3 1 18 16 14 18 10 Health Determinants Rank 4 24 19 21 5 13 6 18 15 12 30 14 20 10 8 1 33 26 28 7 32 23 16 3 11 17 2 31 29 9 27 22 25 Health Determinants Score 8.25 21.00 18.00 18.75 8.75 15.10 8.85 17.65 15.60 14.90 26.20 15.35 18.40 14.10 11.15 1.65 28.65 23.05 25.10 9.35 27.20 20.70 16.90 4.90 14.50 17.25 4.70 27.20 25.50 13.30 24.30 19.05 21.15 Health Determinants Rankings Health Health Socioeconomic Behaviors Care Factors 7 13 18 17 5 20 5 8 28 15 33 25 2 21 9 1 24 14 29 10 31 19 12 3 21 15 4 30 27 11 26 32 23 2 32 18 9 9 7 5 25 6 8 28 30 31 22 15 1 33 18 24 14 16 26 29 4 13 12 3 23 21 11 27 16 20 Physical Environment 10 27 18 25 11 11 14 25 5 17 21 2 31 2 13 1 32 33 24 7 30 20 16 6 7 21 4 29 28 15 23 9 19 23 4 18 12 20 33 10 14 30 18 8 1 11 32 2 14 26 31 6 9 14 24 27 14 27 21 21 3 7 25 13 5 27 Source: University of New Mexico. Office of the Vice President for Community Health. Institute for Public Health. 2009. Report prepared by Sara Araujo, BA. Compiled from 2008 Data. 12 Table 7 New Mexico Comprehensive Health Planning Council Priority Needs County Year Needs Bernalillo 2010 Catron Chaves 2007 Cibola Colfax Curry De Baca Doňa Ana Eddy Grant 2007 2007 Guadalupe Harding Hidalgo Lea Lincoln Los Alamos Luna McKinley Mora Otero Quay Rio Arriba Roosevelt Sandoval San Juan San Miguel Santa Fe 2008 • Eliminate health access barriers such as those related to culture and language • Ensure there is comprehensive and inclusive health systems planning in Bernalillo County; with an emphasis on prevention across all levels of future health planning • Promote the development of a health care system that focuses on meeting human needs and creating health, rather than creating profit • Coverage and access to health care services • Substance abuse • Access to child health care • Access to primary health care • Access to family-directed prevention • Access to prenatal care for pregnant women • Health promotion and education activities • Breaking the cycle of Abuse • Obesity • Improving health of child-bearing women, children, and their families • Diabetes • Obesity • Child abuse and neglect • Youth Substance abuse • Underage Drinking • Teen pregnancy • Obesity/Nutrition • Teen pregnancy • Mental health • Access to health care services • Teen health • Youth Health • Safety • Suicide • Teen pregnancy • Encourage sustainable economic development in the area • Increase programs and treatment options for behavioral health in the County • Lower the occurrence of domestic violence in our community • Increase the number of resilient families in the county • Raise the fitness and nutrition levels of Grant County • Obesity • Mental Health • Youth Development • Access to health care services • Transportation for the elderly • Substance Abuse • Teen pregnancy • Suicide Prevention • Family Resiliency • Emergency Preparedness • Housing • Teen pregnancy • Substance Abuse • Domestic Violence • Sexual Assault • Substance abuse • Underage drinking • Violence and crime prevention • Access to health care services • Diabetes • Substance Abuse • Teen pregnancy • Poverty and income inequity • Institutional racism • Multigenerational trauma • Behavioral health • Substance abuse • Family stability • Child health care • Obesity • Obesity • Substance Abuse • Access to mental health care services • Youth suicide • Teen pregnancy • Access to health care services • Obesity • Adolescent Health • Immunizations • Emergency Preparedness • Continuum of care • Obesity • Oral health • Improving Teen health • Addressing Violence related behavior issues in youth • Access to health care services • Diabetes • Substance abuse • Teen pregnancy • Violence/abuse • Low birth weight • Healthy child development • Improved family nutrition • Reducing Obesity • Networking and collaboration/partnerships • Raising community awareness/ educational outreach • Contractual oversight of County Maternal and Child Health Programs • Teen pregnancy • Youth suicide • Access to health care services in North Socorro County • Fitness/nutrition • Substance abuse • Teen pregnancy • Substance abuse • Teen pregnancy • Violence/abuse • Youth violence • Access to Community Based Resources • Teen Pregnancy and Birth to Single Parents • Immunizations • Behavioral health • Substance abuse • Teen pregnancy • Access to health care Sierra Socorro Taos Torrance Union Valencia 2007 2008 2006 2006 Source: University of New Mexico, Health Science Center, Office of Community Health, “New Mexico County Health Report Cards” 2010. 13 Table 8 County Bernalillo Catron Chaves Cibola Colfax Curry De Baca Doňa Ana Eddy Grant Guadalupe Harding Hidalgo Lea Lincoln Los Alamos Luna McKinley Mora Otero Quay Rio Arriba Roosevelt Sandoval San Juan San Miguel Santa Fe Sierra Socorro Taos Torrance Union Valencia New Mexico Community Environmental Concerns Year Concerns • Solid Waste • Socio-demographic • Unintended Injury • Water Quantity/Quality • Indoor Air Quality • Water Quality • Food Safety • Ambient Air • Housing • Sanitation • Thrash/ illegal dumping • Animal and Vector Control • Water quantity & conservation, Water recycling • Community clean- up & walking/bike paths • Natural disasters • Safety & health: unused buildings • Land use: yards unkept, impaired views, trash • Hazardous chemicals: harm to people & environment • Graffiti • Ambient air pollution • Drinking water quality • Solid waste/trash litter • Unsafe abandoned properties • Loss of farmland • Lack of recycling facility • Solid waste, illegal dumping • Ambient air quality: dust, pollution, diaries • Flooding • Agroindustry • Arsenic in water • Water supply – ground water • Built environment • Indoor air/ second hand smoke & toxics in materials • Ambient air quality/mines, dust • social/ youth, schools,diet • West Nile virus • Ground water pollution, mercury, etc. • Solid waste disposal • Roadside trash • Ambient air quality • Air quality: dust • Water quality • Waste disposal • Food safety • Vector control • Trains: Air pollution, Noise, Safety • Ground Water Quality/hx of hazardous waste,nitrate, floride • Waste Disposal; Illegal Dumping • Hazardous Material Disposal: concerns about increase cancer • Border Concerns: Drugs, alien traffic • Housing • Teen pregnancy • Mental health issues: teens & adults • Need to encourage non-toxic consumer products • Respiratory issues • Ground Water Quality: fluoride, Perchol-rate • Solid Waste Capacity • Illegal dumping • Vector borne diseases • Ground water pollution from Septic tanks • Solid waste/ trash • Water quality/ quantity waste water disposal • Environmental institutional racism • Ambient air quality/ dust, fumes, road work • Animal/ livestock control • Behavioral health • Substance abuse • Family stability • Child health care • Obesity • Drinking Water Quantity • Food Safety: Lack of training, illness • Solid Waste: Lack enforcement • Noise: Lack enforcement • Accessibility for disabled • Solid waste disposal • Water quality & quantity • Food safety • Indoor air quality • Insects • Septic systems: improper set backs and disposal • Sewage in ground & surface water • Lack of community waste disposal Systems • Solid waste/illegal dumping • Insects: mosquitoes, flies, bee • Adolescent Health • Immunizations • Emergency Preparedness • Solid Waste Illegal dumping • Food Safety at home • Water Quality: Meet new standards & private wells • Indoor air quality / Ambient air quality / Fire • Water Quality/Quantity • Waste, Solid (capacity, trash disposal – illegal dumping) Hazardous, & Radioactive (Pollution/Disposal)• Animal/Livestock/Vector Control & Vector-borne illness • Natural Hazards/Disasters (fire/wind/drought, flooding • Alcohol/ Drug Abuse • Drought • Vector borne illness • Radiological materials • Domestic Violence • Water quality • Drought: supply, soil issues, conservation • Industrial pollution: LANL/Molycorp • Ambient air • IAQ/radon • Poverty • Alcohol, substance abuse • Ground water quality and quantity • Unsafe housing (abandoned) • Indoor air quality smoking & second-hand smoke • Solid Waste • Community clean-up • Water & air pollution • Cancer • Drug Abuse • Jobs • Teen Pregnancy • School overcrowding • Need Hospital & concerns about poverty Source: University of New Mexico, Health Science Center, Office of Community Health, “New Mexico County Health Report Cards” 2010. 14 Concluding Considerations In using this brief’s tables, researchers and communities need to keep in mind that some of the data compiled corresponds to counties with rates for various years. Therefore, it may not yield ideal comparative analysis conditions. However, alternative sources may allow for a uniform distribution of rates per year. Nevertheless, health data for specific populations such as tribal context in particular, off reservation Native Americans and certain Hispanic community comparisons may involve greater data collection challenges, as the current nature of sources still provides a rather scattered picture, one that calls for rigorous data triangulation and careful scrutiny of the limitations observable in each of the databases at hand. In part, as a way to generate fruitful conversations on tangible ways to address these challenges, the CTSC plans to facilitate a much deeper research focused dialogue in action at the community level through the incorporation of two community liaison individuals. These bridging actors, along with OCH’s Health Extension Rural Officers, and other key players within and outside the Health Science Center, will make sure that research rigor and community health priorities can go hand in hand in the construction of a brighter future for the health of New Mexico counties, towns and neighborhoods. In addition, there is a very important health disparity component represented by the community scholars, the intercultural communication processes and all the other activities to be facilitated through the P20 grant received in 2010 by the Health Science Center from the National Institutes of Health. In sum, every one gains as health issues and improvements are measured in terms of tangible outcomes and benchmarks as well as more valid and reliable data. The process has the potential to be sufficiently specific and detailed to transform the research landscape as well as service, health policy, workforce development and other relevant spheres of action for diverse constituencies throughout our state. 15
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