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The Community Health Epidemiology Assessment Essay

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Abstract

The community health status of Idaho City, Idaho was assessed for health needs and risks by the collection of data utilizing the Population Economic Status Assessment Form, the Neighborhood/ Community Safety Inventory, Cultural Assessment Tool and Disaster Assessment and Planning Guide. This information provides current statistic information on Idaho City. The quality of life of this historic mining town makes up for the services they lack. Basic necessities are available locally while healthcare, emergency care and disaster assistance must come from county support or by travelling to the nearest larger city of Boise.

Overall, Idaho City is a moderately healthy community. Idaho City needs improvements in access to medical care locally and in promoting health maintenance for its population.

Community Description:

Idaho City, Idaho with a population of 486 (U.S. Census Bureau, 2010 Census) is situated approximately 36 miles Northeast of Boise, Idaho at an elevation of 3907 feet (Advameg, Inc 2003-2012). “Idaho City is a city in and the county seat of Boise County, Idaho, United States” (Idaho City, Idaho.

Ask.com Encyclopedia). The city has a total area of 0.67 square miles with all of it being land. Idaho City has a continental climate; summer is dry and hot while winter is cold and snowy. The city is served by State Highway 21, a two-lane undivided highway that travels through the Boise National Forest.

It connects to Boise to the southwest and continues on northeast to Lowman (Idaho City, Idaho. Ask.com Encyclopedia). There are four restaurants, 13 local businesses and 2 places for lodging (Advameg, Inc 2003-2012). Idaho City has an elementary/middle school and a high school. They also have a library. The only health care service is a dentist. The Basin Community Health Center which opened in 1997 was run by a nurse practitioner until it closed in September 2011 (Grey, Jamie. (July 20, 2011). One must make the commute to Boise for routine care and either commute for emergency care or go to the local sheriff and radio for ambulance transfer to Boise.

Community Data:

When the 2010 census was completed it was determined there were 216 households, and 124 families residing in Idaho City (U.S. Census Bureau, 2010 Census). Out of the 216 households 28.2% had children under the age of 18, making up 23.9% of the population. The median age was 42.2 with 51.1% being male and 48.9% female (Advameg, Inc 2003-2012). The racial statistics show 94.2% are white with the remaining 5.8% a mix of Native American, Asian and/or two or more races. The estimated median household income in 2009 was $35,507 compared to $44, 926 for Idaho in general (Advameg, Inc 2003-2012).

The percentage of the population living in poverty in 2009 was 19.0%. Housing values in 2009 were $115,359 while average gross rent was $525 (Advameg, Inc 2003-2012). Of the residents over age 25, 85.5% have a high school or higher education with 14.8% having either a bachelor’s degree, graduate or professional degree. The unemployment rate for this same group was 8.2%. However, overall unemployment in August 2012 was 6.0% (Idaho City, Idaho. Ask.com Encyclopedia). General labor is the most common occupation, employing 98%, and they commute an average of 30 minutes to work (Advameg, Inc 2003-2012).

Cultural Assessment:

In the Idaho City community there are four religious congregations. The Church of Latter Day Saints (LDS) has the largest following with 39.2%; the Catholic Church follows with 25.1%. The remaining 35.6% is divided with 20.3% attending the Evangelical Lutheran Church in American and 15.3% the Assemblies of God. The majority of this population is avid outdoorsmen. The mountains offer a multitude of outdoor winter and summer activities but there are limited indoor activities. They offer a variety of wildlife for recreational viewing or for hunting. They offer wild greens and berries. The mountain trees provide wood for building and heating while the lakes and streams offer recreational use and fishing.

One can be self sufficient living off the land. Despite the active outdoor lifestyle Boise County is above average at 8.2% for adult diabetes and 26.9% for obesity (Advameg, Inc 2003-2012). The community knows where to obtain routine medical care but due to lack of convenience it is not a priority. Most locals will go to one another for a home remedy and try natural remedies before consulting the medical community in Boise. Whether it is the small number of local businesses or the low population the relationships in Idaho City are supportive and interconnected. It is a place where the locals look out for and know one another, each others children, parents and grandparents.

Neighborhood and Community Safety:

Idaho City employs one full time police officer. The 2007 crime index score was 168.4 (Advameg, Inc 2003-2012) with theft the number one crime. There were eight reported thefts down from fifteen in 2006. Burglaries remained the same at three for both 2006 and 2007 followed by assault with a report of two, an increase from zero for 2006. There are no reports of auto theft, arson robbery, murder or rape. The local fire department is based on volunteers. The air quality index is below the national average, the water clean and pure, coming from the reservoirs filled from the winter snow melting.Disaster Assessment and Planning:

Although Idaho may seem disaster free because it ranks low when it comes to risk, it is not immune. Idaho has fewer disasters that impact peoples lives due to the sparse population. Flooding, earthquake, lightening storms, avalanche and wildfires often times result in disaster. People are encouraged to prepare on a personal level, however agencies from the city to federal level plan, train and conduct exercises routinely. Boise County Emergency Management plans for and responds to the large scale disasters such as forest fires, flooding, earthquake, landslides and pandemic illness.

They develop and coordinate exercises, maintain HAZMAT and Medical response equipment and are currently assigned the task of upgrading, maintaining and planning for communication needs within the county (Veridean Technology Solutions). Boise County Emergency Management is the focal point with the Idaho Bureau of Homeland Security and Boise County (Veridean Technology Solutions). Homeland Security responds to earthquakes, while the National Forests in the state brings in seasonal workers to fight wildfires. Idaho has one of the most complex and largest fire management programs in the federal Bureau of Land Management. Regional areas can request state support who can also request federal support. Community Diagnosis:

Environmentally healthy, socially healthy and economically stable the community lacks medical support and guidance. They are at risk for medical emergency and potentially poor health maintenance due to the distance they must commute for routine and emergency care. Development of community access to local medical care and health education, prevention and maintenance needs to be prioritized.

GENOGRAM INTERPRETATION

Idaho City is a small rural community located Idaho. The majority of this community is white and has a fewer more males than females. Idaho City has low crime, good air quality and a multitude of outdoor activities. While the residents of Idaho City are interconnected they must depend on the larger county for services related to disaster and emergency response. The county lacks local medical services so health prevention is not a priority to this population where obesity and adult diabetes is above average.

References:

Advameg, Inc (2003-2012). Idaho City, Idaho (Idaho 83631) profile: population, maps, real estate, averages, homes, statistics, relocation, travel, jobs, hospitals, schools, crime, moving, houses, news. City-Data.Com. Retrieved from http://www.city-data.com/city/Idaho-City-Idaho.html

Grey, Jamie. (July 20, 2011) Only medical clinic in town to close in Idaho City. KTVB.COM Retrieved from http://www.ktvb.com/news/Only-medical-clinic-in-town-to-close-in-Idaho-City

Idaho City, Idaho. Ask.com Encyclopedia. Retrieved from http://www.ask.com/wiki/Idaho_City, _Idaho

U.S. Census Bureau, 2010 Census. Retrieved from http://quickfacts.census.gov/qfd/states/16/16015.html

Veridean Technology Solutions. Emergency Management. Boise County Idaho. Retrieved from http://www.boisecounty.us/Emergency_Management.aspx

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