Alamance County Assessment 2011 Presented by the 2011 Community - - PowerPoint PPT Presentation

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Alamance County Assessment 2011 Presented by the 2011 Community - - PowerPoint PPT Presentation

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Alamance County Assessment 2011 Presented by the 2011 Community Assessment Task Force Under the joint leadership of: Healthy Alamance Alamance County Health Department Alamance Regional Medical Center United Way of Alamance County Why Have

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Alamance County Assessment 2011

Presented by the 2011 Community Assessment Task Force Under the joint leadership of: Healthy Alamance Alamance County Health Department Alamance Regional Medical Center United Way of Alamance County

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Why Have a Community Assessment?

Social Conditions Quality of Life

Social Policy Social Service Interventions Health Policy Health Interventions

Health

Source: Green, L.W. & Kreuter, M.W. (1999). Chapter Two: Social assessment and participatory planning. Health Promotion Planning: An Educational and Ecological Approach. 4th edition. Mayfield Publishing Company.

Alamance County Community Assessment 2011

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Data Collection Process

Elon Poll Secondary Data Focus Groups Community Forum Surveyed 846 English Speaking Adults by Telephone US Census Interviewed 3 Groups: Newcomers, Ex- Offenders & Latinos Hosted 2 Sessions Stratified Random Sampling State Center for Health Statistics Discussed Important Issues Presented Findings & Obtained Feedback 51 Questions Local Data Analyzed Data Created Report

Alamance County Community Assessment 2011

The Community Assessment brochure provides a brief

  • verview of the process & main findings
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2011 Community Assessment

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Demographics

Alamance County Community Assessment 2011

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Demographics

135,640 136,488 138,282 140,227 142,661 145,360 148,053 150,358 151,131

July ' 2002 July '2003 July ' 2004 July '2005 July '2006 July '2007 July '2008 July '2009 July '2010

Population Growth

US Census Bureau Alamance County Community Assessment 2011

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Demographics

Alamance County Community Assessment 2011

1990 2000 2010 736 8,836 16,639

2000 4000 6000 8000 10000 12000 14000 16000 18000

2010 Census Hispanic/Latino Growth

Alamance County, NC Source: 2010 US Census Bureau

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Demographics

Under 5 5 to 9 10 to 14 15 to 19 20 to 24 25 to 34 35 to 44 45 to 54 55 to 59 60 to 64 65 to 74 75 to 84 85 and

  • ver

Alamance 6.60% 6.60% 6.50% 7.00% 6.90% 12.80% 14.70% 14.00% 6.10% 4.90% 7.00% 5.00% 1.80% NC 7.00% 6.60% 6.70% 6.90% 6.80% 13.40% 14.80% 14.30% 6.20% 5.10% 6.60% 4.20% 1.40%

0.00% 2.00% 4.00% 6.00% 8.00% 10.00% 12.00% 14.00% 16.00%

Alamance County Population Distribution by Age US Census Bureau, American Community Survey Demographic and Housing Estimate: 2006-2008 Alamance NC

Alamance County Community Assessment 2011

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Demographics

Ethnicity Make-up of Alamance County US Census Bureau 2010

19% 1.20% 11.50% 0.70% 71% 21% 2.20% 8% 1.30% 69.00% African American / Black Asian / Pacific Islander Hispanic / Latino Native American Caucasion

Alamance NC

Alamance County Community Assessment 2011

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Demographics – Special Populations

Persons Living with a Disability 2000 5-20 yrs old 8.6% 21-64 yrs old 21.6% 65+ yrs old 47.4% Total Population with disability 20.5%

Alamance County Community Assessment 2011

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Health Assessment

Alamance County Community Assessment 2011

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Environmental Health

  • 92% of residents indicated that their pet’s

rabies vaccinations are up to date compared to 81% in 2007.

  • 77% indicated that their pets are spayed or

neutered.

Elon Poll 2011

Alamance County Community Assessment 2011

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Environmental Health

  • 23.5% of Alamance County residents dispose of

unused medication in the toilet

  • 25% of households dispose of their unused

chemicals in the garbage Elon Poll 2011

Alamance County Community Assessment 2011

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Health Status

18% 3.50% 3.40% 8.90% 10% 2.60% 2.30% 6.00% 18% 3.60% 3.30% 9.10%

Poor or fair health Poor physical health days Poor mental health days Low birth weight

NC 2011 Morbidity Health Rankings

Alamance County Target Value North Carolina

Alamance County Community Assessment 2011

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Health Status

16% 31% 31% 15% 7%

Alamance County Residents‘ Description of Their Own Health

Excellent Very Good Good Fair Poor NC Behavioral Risk Factor Surveillance Survey, 2010

Alamance County Community Assessment 2011

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Health Status - Disability

  • 8.6% of Alamance County residents are in a bed or a chair for

most of all of the day because of their health. - 2011 Elon University Poll

  • According to the 2010 Behavioral Risk Factor Surveillance

Survey, 23% of Alamance County residents report a mild, moderate or severe disability compared to 17% statewide.

Alamance County Community Assessment 2011

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Leading Causes of Death

Rank ALAMANCE / Total Deaths Rank NC / Total Deaths 1 Cancer – All sites / 332 1 Cancer / 17,476 2 Heart Disease / 290 2 Heart Disease / 17,133 3 Chronic lower respiratory disease / 98 3 Cerebrovascular disease / 4,391 4 Cerebrovascular disease (stroke) / 88 4 Chronic lower respiratory diseases / 4,324 5 Other Unintentional injuries / 53 5 Other Unintentional injuries / 2,764 6 Alzheimer’s disease / 48 6 Alzheimer’s disease / 2,645 7 Nephritis, nephrotic syndrome, & nephrosis / 44 7 Diabetes mellitus / 2,107 8 Pneumonia & influenza / 41 8 Nephritis, nephrotic syndrome, & nephrosis / 1,827 9 Diabetes mellitus / 37 9 Pneumonia & influenza / 1,719 10 Septicemia / 24 10 Motor vehicle injuries / 1,394

Source: NC State Center for Health Statistics

Alamance County Community Assessment 2011

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Cancer

493.6 152 76.4 46.8 154.5 522.8 151.8 81.2 47.6 165

Total Female Breast Lung Colorectal Prostate

Age-Adjusted Cancer Incidence Rates 2005-2007

NC State Center for Health Statistics, Pocket Guide 2009

North Carolina Alamance

Alamance County Community Assessment 2011

Source: NC State Center for Health Statistics

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Heart Disease & Stroke

243.2 191.7 70.7 50.5 226.9 187.5 71 57.7 Heart Disease 1999-2003 Heart Disease 2005-2009 Stroke 1999-2003 Stroke 2005-2009

Heart Disease &Stroke Death Rates in Alamance County & North Carolina (1999-2003, 2005-2009)

North Carolina Alamance County

Alamance County Community Assessment 2011

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Heart Disease & Stroke

299 177 219.4 257.2 258 137.2 181.4 216.3 Men Women Caucasians Minorities

Age Adjusted Heart Disease Mortality Alamance County, NC

1999-2003 2005-2009

Alamance County Community Assessment 2011

Source: NC State Center for Health Statistics

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Diabetes

  • Diabetes Prevalence Rate in Alamance County

is 10.6% (BRFSS, 2009)

  • 9th Leading Cause of Death

Alamance County Community Assessment 2011

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Injury

  • The leading cause of unintentional injury
  • f children age 0-14 in both North

Carolina and Alamance County is motor vehicle accidents.

  • Alamance County has a higher rate of

deaths due to unintentional injuries than North Carolina as a whole.

Alamance County Community Assessment 2011

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Infectious Disease

Alamance County Community Assessment 2011

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Infectious Disease

Alamance County Community Assessment 2011

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Infectious Disease

Alamance County Community Assessment 2011

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Oral Health

  • The numbers of adults who have visited the

dentist, dental hygienist, or dental clinic in the past year, 2008 (BRFSS). Yes No

  • Alamance

71 % 29 %

Alamance County Community Assessment 2011

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Maternal and Child Health

2005 2006 2007 2008 2009 Total 64.2 69.2 65.1 62.5 53.6 White 57.3 58.9 56.5 52 46.9 Minority 80.9 91.6 84.2 90.2 72.1 10 20 30 40 50 60 70 80 90 100 Pregnancy per 1,000

Alamance County Adolescent Pregnancy Rate

1995-1999 2000-2004 2005-2009 Total Rate 9.3 10.4 7.9 2 4 6 8 10 12

Infant Deaths per 1000 Live Births

Alamance County Overal Infant Mortality Rate - 5 Year Trends

WIC Breastfeeding Rates

Alamance County

NC

Source: Alamance County WIC Program

2005 2009 2009

Breastfeeding initiation rate

48.1% 52.4% 54.6%

Breastfeeding at 6 weeks

32.0% 32.9% 32.6%

Breastfeeding at 6 months

17.6% 19.6% 17.1%

Alamance County Community Assessment 2011

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Prevention

56% 67% 41% 28% 72% 72% 49% 37% 0% 10% 20% 30% 40% 50% 60% 70% 80% Colonscopy / Sigmoidoscopy PSA HIV Test Flu Shot 2005 2010

Alamance County Community Assessment 2011

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Emergency Preparedness

  • 37% of Alamance County residents said in a

community disaster or emergency, they could take care of themselves for up to one week at

  • home. One in five residents know they would

need assistance within the first 3 days. Elon Poll 2011

Alamance County Community Assessment 2011

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Mental Health

  • 90% of persons in Alamance identified mental

health as important or very important to the

  • verall well-being of Alamance County.

Elon Poll, 2011

  • Less than 60% of the projected number of

persons with adult mental health issues access services.

Local Service Data, 2010 Progress Reports

Alamance County Community Assessment 2011

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Health Promotion

  • Obesity was identified as one of the most

important health issues by Alamance County

  • residents. Elon Poll 2011
  • 32.2% of Alamance County residents said that

healthy foods was a top priority when grocery

  • shopping. Elon Poll 2011
  • According to the 2010 NC Behavioral Risk

Factor Surveillance System (BRFSS) 29.8% of Alamance County adults smoke.

Alamance County Community Assessment 2011

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Substance Abuse

  • 37.1% of High School Students (12th grade)

and 20.2% of 9th graders reported using alcohol in the past 30 days.

  • PRIDE Data, 2010
  • In 2009 there were 2,723 visits to the

emergency room in Alamance County by 18- 24 year olds due to substance abuse.

  • NC DETECT

Alamance County Community Assessment 2011

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Healthcare Access

2011 Elon University Poll:

  • Health care access was identified as the most

important health issue in Alamance County.

  • 75.1% of Alamance County residents believe that the

access to health care is very important to the overall health of the people.

  • 56.7% have a close friend or family member that

does not have health insurance.

Alamance County Community Assessment 2011

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Healthcare Access

21.20% 19.00% 22.00% 20.50% 16.00% 35.00% 29.40% 13.40% 26.60% 16% 32.60% 2.20%

0.00% 5.00% 10.00% 15.00% 20.00% 25.00% 30.00% 35.00% 40.00%

% of Residents Reporting No Health Insurance Coverage

2010 NC BRFSS

Alamance County Community Assessment 2011

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Healthcare Access

According to 2010 NC Behavioral Risk Factor Surveillance Survey:

  • 22% of residents employed in Alamance report not having

insurance coverage.

  • 22% of Alamance County residents do not have one person

that they think of as their primary care physician.

  • 26.3% of Alamance County residents reported that within the

past year they did not see a doctor because of the cost.

Alamance County Community Assessment 2011

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Social Assessment

Alamance County Community Assessment 2011

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Education

  • Public Schools/Education was

identified as the second most important issue facing the community by Alamance County residents. Elon Poll/Focus Groups 2011

Alamance County Community Assessment 2011

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Education

Percentage of HS Student Dropouts

(Alamance County compared to NC and Peer Counties) Peer Counties – Craven, Chatham and Rockingham Alamance County Community Assessment 2011

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Education

  • The number of dropouts for 2009-2010 was 324.

Alamance County Community Assessment 2011

407 439 457 356 324 50 100 150 200 250 300 350 400 450 500 2005-2006 2006-2007 2007-2008 2008-2009 2009-2010

5 Year Comparison on Number of High School Dropouts in ABSS

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Education

Alamance County Community Assessment 2011

4,477 4,449 4,565 4,445 4,737 5,488 3108 3119 3190 3176 3546 4188 3,000 3,500 4,000 4,500 5,000 5,500 6,000 2004-05 2005-06 2006-07 2007-08 2008-09 2009-10 Curriculum FTE Fall Cirriculum Headcount

5-year growth 23% 5-year growth 34%

Growth in Enrollment at ACC

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Education

Alamance County Community Assessment 2011

20.75 27.50 31.00 34.25 35.50 38.00 38.00 39.50 42.00 50.00 56.50 20.00 25.00 30.00 35.00 40.00 45.00 50.00 55.00 60.00

Cost per credit hour (set by General Assembly)

Cost per credit hour

5-year growth 49%

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Income/Financial Security

  • 64.2% of Alamance County residents

surveyed in the Elon Poll said they knew someone in their family or a close friend that “does not have enough money to pay their bills”

Alamance County Community Assessment 2011

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Income/Financial Security

  • $90,897,894 in unemployment benefits has

been paid in Alamance County

(12/2007-8/2009)

  • In 2009 the state EITC (Earned Income Tax

Credit) provided refunds of $842,455 to working families in Alamance County.

Alamance County Community Assessment 2011

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Income/Financial Security

Alamance County Community Assessment 2011

2,000 4,000 6,000 8,000 10,000 12,000 14,000 16,000 18,000 Less than $10,000 $10,000 to $29,999 $30,000 to $49,999 $50,000 to $74,999 $75,000 to $99,999 $100,000 to $149,999 $150,000 or more

Household Income Comparison 2005 /2009

2009 Number of Households 2005 Number of Households

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Income/Financial Security

  • An Alamance County family of four

must earn $46,825 to cover basic costs such as housing, food, child care, health care, and transportation.

  • This total is 212.4% of the FPL (Federal

Poverty Level) which is $21,200.

Alamance County Community Assessment 2011

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Income/Financial Security

Alamance County Community Assessment 2011

Total Medicaid Population Medicaid Eligibles as % of Total Population

County

23,172 16%

State

1,500,204 16%

Medicaid Eligibles Compared to State Totals for June 2009

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Credit Counseling

  • Alamance County experienced a record high of

975 housing foreclosures in 2010. –Realtytrac Data

  • The number of foreclosures decreased in about

75 areas of the state and increased in the remaining 25, including Alamance County.

Alamance County Community Assessment 2011

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Credit Counseling

19,302 22,393 27,308 26,227 5,000 10,000 15,000 20,000 25,000 30,000 2007 2008 2009 2010

NC Bankruptcy Filings

NC Bankruptcy Filings 20 40 60 2007 2008 2009 2010 56 52 46 46 44 48 54 54

Chapter 13 and Chapter 7 Analysis

% Chapter 7 % Chapter 13

Alamance County Community Assessment 2011

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Housing

Alamance County Community Assessment 2011

Occupants with a Housing Cost Burden in Alamance County 2005-2009

31 12 47 10 20 30 40 50 60 70 80 90 100 Owners with a mortgage Owners without mortgage Renters

Percent paying 30 percent or more of income for housing

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Unemployment

2004 2006 2008 2010 Alamance 6.80% 5.40% 5.40% 11% NC 6.20% 5.10% 4.80% 10% 0.00% 2.00% 4.00% 6.00% 8.00% 10.00% 12.00%

Alamance County vs. NC Unemployment Rates 2004-2010 Source: US Bureau of Labor Statistics

Alamance NC

Alamance County Community Assessment 2011

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Employment

Alamance County Employment by Industry, 2008

Alamance County Chamber of Commerce Public Administration 5% Arts & Hospitality 11% Healthcare & Social Assistance 13% Educational Services 9%

  • Prof. Tech

Services & Admin. Services 13% Information, Finance, & Real Estate 4% Retail Trade 14% Wholesale Trade,

  • Trans. & Whse

6% Manufacturing 19% Utililties & Construction 6%

Alamance County Community Assessment 2011

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Transportation

Ridership – Elon University East Burlington/Downtown Loop

61.00% 39.00%

Fall 2010/Spring 2011

Students Public 39.00% 61.00%

Spring 2010

Students Public

Alamance County Community Assessment 2011

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Hunger

Alamance County Community Assessment 2011

Year Active Cases # of People in Case Benefits Average Benefit per Person # Applications Taken 2007 5,070 11,571 $1,043,809 $90.20 579 2008 5,917 13,196 $1,272,135 $96.40 699 2009 8,064 18,206 $2,299,622 $126.31 891 2010 9,730 21,421 $2,760,640 $128.87 937 2011 11,202 24,204 $2,988,896 $123.48 607 Alamance County Food and Nutrition Services 5-Year Chart:

The month of July data will be used for each year:

55% caseload increase in five years

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Hunger

  • In Alamance County 19% of citizens are

food insecure.

  • Additional money required to meet

food needs in Alamance County in 2009 - $11,286,110.

  • Average cost of a meal is $2.45 =

$220.50 a month for one person.

Alamance County Community Assessment 2011

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Hunger

  • Students receiving free and

reduced lunch at school for 2010-2011 is 52.74%. -ABSS

Alamance County Community Assessment 2011

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Child Care

  • In Alamance County, there are nearly 3,000

children birth to five enrolled in licensed, regulated child care.

  • 75% are either with a stay-at-home parent or

reside in some form of unregulated child care.

Alamance County Community Assessment 2011

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Child Support

Number of Child Support Cases in Court

3128 3877 466845544652 40554426464746724280 1000 2000 3000 4000 5000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 YEARS

Alamance County Community Assessment 2011

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Domestic Violence

  • Countywide, 1,463 calls related to domestic violence

and 489 arrests from January – June 2011

  • During the year 2010, there were:

822 domestic violence crisis calls, 867 safety planning/crisis counseling sessions, assistance with 661 domestic violence protective orders, and emergency shelter for 84 women and children.

Alamance County Community Assessment 2011

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Domestic Violence

Family Abuse Services of Alamance County Court Advocacy Program

437 692 782 200 400 600 800 1000 2008 2009 2010 Number of Protective Orders

Alamance County Community Assessment 2011

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Sexual Assault

Alamance County Community Assessment 2011

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Child Abuse & Neglect

Abuse & Neglect Abuse Neglect Dependency

Alamance County Community Assessment 2011

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Elderly Population

Alamance County Community Assessment 2011

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Elderly Population

Alamance County Community Assessment 2011

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Elderly Population – Abuse Neglect

Alamance County Community Assessment 2011

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Crime

Law Enforcement Agency Statewide Rank Overall Crime 2010 Crime Rate

Officers per 1,000 population

Town of Gibsonville #20 1571.9 Alamance County #61 2013.0

2.1

Town of Elon #119 2697.1

2.6

Town of Haw River #224 4352.0

3.9

City of Mebane #229 4462.7

2.0

City of Graham #236 4566.9

2.3

City of Burlington #342 7469.0

2.2

State of NC 3955.7

Alamance County Community Assessment 2011

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Group Discussion

  • What do you think about

the quality of life in Alamance County?

Alamance County Community Assessment 2011

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Group Discussion

  • What would you like to see

changed that would make

  • ur community a better

place to live?

Alamance County Community Assessment 2011

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Prioritization

  • What is the magnitude of the problem, level
  • f concern & feasibility of creating positive

change?

Alamance County Community Assessment 2011

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Next Steps

  • The Full Report is posted online :

www.alamancecommunityassessment.com

  • January – June 2012 Community Action

Planning will take place.

  • The Community Assessment Team is available

for presentations at any time, please contact Healthy Alamance (336) 513-5590.

Alamance County Community Assessment 2011

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Closing Remarks – Thank YOU!

Alamance County Community Assessment 2011