Review of Available Childhood Asthma Data Allegheny County, 2018 1 - - PowerPoint PPT Presentation

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Review of Available Childhood Asthma Data Allegheny County, 2018

Percent of Children with Asthma among School children in Allegheny County 2008-2016

2 4 6 8 10 12 14 2008-09 2009-10 2010-11 2011-12 2012-13 2013-14 2014-15 2015-16

Allegheny County State of PA

Source: Pennsylvania Department of Health, Bureau of Community Health Systems, Division of School Health

Percent (%)

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HATS Survey (2014, Ages 14-19)

Has a doctor or nurse ever told you that you have asthma?

Ever had asthma Demographics % CI* Race

Non-Hispanic White 20 17-23 Non-Hispanic Black 27 16-34 Non-Hispanic Other 29 16-42 Hispanic 35 10-60

Gender

Female 20 16-24 Male 24 20-28

Age

14-15 24 18-29 16-17 22 17-27 18-19 21 16-26

Education

Grade 12 or less 23 19-26 High School Grad/College 21 15-27

*95% Confidence Interval

• Reporting asthma diagnosis is more likely

among

• Black teens
• Males
• Younger teens (14-15)
• High School Grad/College education
• These differences are not significant, which

could mean no true difference exists, or the sample size was too low to detect a difference

Source: Healthy Adolescent Teen Survey (HATS), 2014

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Hospitalization Rates and Healthy People (HP) 2020 Goals

HP2020 Goal Target 2016 Rate 2016 White 2016 Black

Reduce Hospitalizations for asthma among children < 5 years 18.2 per 10,000 10.7 per 10,000 6.8 per 10,000 26.6 per 10,000 Reduce hospitalizations for asthma among children and adults aged 5-64 years 8.7 per 10,000 5.5 per 10,000 3.8 per 10,000 17.2 per 10,000 Reduce hospitalizations for asthma among adults aged 65+ 20.1 per 10,000 7.9 per 10,000 6.8 per 10,000 14.5 per 10,000

Sources: Healthy People 2020 Objectives, Respiratory Diseases: https://www.healthypeople.gov/2020/topics-objectives/topic/respiratory-diseases/objectives Pennsylvania Health Care Cost Containment Council (PHC4), 2016

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Allegheny County Age-Specific Asthma Hospitalization Rates for children 0-17 years, 2015-2016

Source: Pennsylvania Health Care Cost Containment Council (PHC4), 2015-2016

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Allegheny County Age-Specific Asthma Hospitalization Rates by Gender (Ages 0-17) 2012-2016

Source: Pennsylvania Health Care Cost Containment Council (PHC4), 2012-2016

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Allegheny County Age-Specific Asthma Hospitalization Rate by Race (Ages 0-17) 2012-2016

Source: Pennsylvania Health Care Cost Containment Council (PHC4), 2015-2016

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Allegheny County Hospitalization Rates by Zip Code (ages 0-17): 2012-2016

Legend

Allegheny County Rivers Zip Code Boundaries Rate per 10,000 3.427- 8.513 8.514 - 12.159 12.160 - 19.981 19.982 - 27.591 27.592- 42.105

Rates for areas with less than 10 events were not calculated

Source: Pennsylvania Health Care Cost Containment Council (PHC4), 2012-2016

• We are using an EpiCenter standard definition and

algorithm to extract the information

• ED visit data is based on chief complaint categorized by

symptom classification

• It is NOT based on diagnosis and may include more than
• ne category in addition to asthma (e.g. cough,

respiratory, ILI, neurological, gastrointestinal, etc.)

• ED visits are visits only, we do not know the actual

number of persons who visited the ED

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Definition of ED Visit

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Allegheny County Childhood Asthma ED Visit Rates by Gender 2013-2017

10 20 30 40 50 60 70 80 2013 2014 2015 2016 2017

Rate per 10,000 Male Female County

10 20 30 40 50 60 70 80 90 2013 2014 2015 2016 2017

Rate per 10,000 0-4 5-11 12-18

Allegheny County Childhood Asthma ED Rates by Age Group 2013-2017

Source: EpiCenter, Health Monitoring Systems, 2013-2017

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Percent of Allegheny County ED Visits by Age, 2017

Source: EpiCenter, Health Monitoring Systems, 2017

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Percent of ED Visits by Gender, 2017

Source: EpiCenter, Health Monitoring Systems, 2017

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Allegheny County ED Visit Rates by Zip Code, 2017

Rates for areas with less than 10 events were not calculated

Legend

Allegheny County Rivers

Zip Code Boundaries

Rate per 10,000

14.564 - 39.234 39.235 - 85.501 85.502 - 102.201 102.202 - 116.042 116.043 - 288.329

Source: EpiCenter, Health Monitoring Systems, 2017

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ACHD Air Quality Program Data

Air Quality Monitors in Allegheny County