Healthy & Productive People

Goal 1: Maintain community's health status
Source: Health Department     HP Goal1     4/10/2015
About this measure:
This measure indicates the rate of self-reported smoking in samples of students in grades 9-12 voluntarily participating in the Youth Risk Behavioral Survey (YRBS). LLCHD conducts the YRBS every other year in Lincoln and Lancaster County high schools; the Nebraska Department of Health and Human Services conducts the YRBS every other year in high schools across the state.
Why this is important:
More than 80% of adult smokers began smoking before 18 years of age. Every year, 1,000 youth in Nebraska under age 18 become new daily smokers. If current smoking trends continue, 38,000 children and youth now alive in Nebraska will likely die prematurely from smoking related illnesses. Preventing youth from starting to use tobacco and developing a nicotine addiction is far more effective than helping them break the addictive behavior.
What is being done:
• Coordinate retail compliance checks, utilizing Lincoln Police Department and youth, to monitor illegal tobacco sales including sales of ENDS (electronic cigarettes) to minors.
• Continue to work with and recruit owners/managers of multi-unit housing facilities to implement smoke-free housing policies.
• Promote and assist with implementation of tobacco-free campus policies among businesses, post-secondary education, and human services agencies. Promote inclusion of vapor products in tobacco-free campus policies.
• Promote inclusion of vapor products in existing tobacco-free campus policies among businesses, post-secondary education, and human service agencies.
• Provide comprehensive tobacco prevention education emphasizing the health hazards of tobacco use including the use of electronic devices and the hazards of exposure to environmental tobacco smoke and possibly to vapor.
• Train youth in the tobacco industry’s point-of-sale marketing of tobacco products in the retail environment (The tobacco industry is spending a million dollars an hour nationally on tobacco marketing. Campaign for Tobacco Free Kids, 2016). These youth will bring this information to their peers, neighborhoods, and community leaders.
• Coordinate the work of the Tobacco Free Lancaster County coalition and its four community task forces – business and school tobacco-free campuses, smoke-free housing, tobacco-free outdoor environments, and youth tobacco prevention.
• Utilize community tobacco prevention messaging through social media, bus ads, television, and public television.
• Provide support to owners of businesses and multi-unit housing that serve primarily non-English speaking clientele to implement smoke-free/tobacco-free policies.



Source: Health Department     HP Goal1     5/22/2015
About this measure:
This measure indicates the rate of unintentional injury to children 0 to 14 years of age while walking, biking, or being transported in a motor vehicle and is determined using annual hospital discharge data. The LLCHD monitors data to keep appraised of childhood injury trends and provides this information to stakeholders including the Safe Kids Lincoln-Lancaster County coalition.
Why this is important:
The physical safety of children is a priority concern for community leaders. Unintentional injury to children walking, biking, or being transported in a motor vehicle are among the most common and potentially serious threats to children’s safety. This measure allows stakeholders to monitor injury trends and to effectively direct programs and resources to prevent these unintentional injuries to children.
What is being done:
- Provide training to ensure child passenger safety technicians and instructors are nationally certified (more than 50 technicians and instructors in Lancaster County).
- Coordinate and provide, with the aid of certified safety technicians and instructors, child passenger safety seat inspection and education for the general public and for low-income/at-risk populations.
- Provide child passenger safety training to hospital staff responsible for educating parents of newborns on proper installation and use of car seats upon patient dismissal.
- Provide Child Care Transportation Training for childcare center staff responsible for transporting children. Lincoln/Lancaster County childcare center staff must have this training to comply with State regulations.
- Provide, in conjunction with elementary schools, pedestrian and bicycle safety education to children in Kindergarten through 5th grade.
- Coordinate the work of the Child Passenger Safety and Pedestrian & Bike Safety task forces of the Safe Kids Lincoln-Lancaster County coalition.
- Promote community awareness of bike/pedestrian/vehicle injury prevention among children 0 – 14 years through community events and through the media including utilization of the “Share the Road Campaign”.




Source: Health Department     HP Goal1     1/27/2017
About this measure:
The data for this indicator is derived from the Immunization Clinic of the Lincoln-Lancaster County Health Department. The number of visits to the clinic for vaccines may fluctuate with the number of people who are living in poverty, who are uninsured, who do not have health insurance that pays for vaccines, and who do not have a medical home. The number of vaccines given may fluctuate with the type of vaccine available (e.g. four vaccines in one shot) and new recommendations by the CDC.
Why this is important:
The Public Health Clinic is considered a safety-net provider, assuring children whose parents/guardians cannot afford it are protected against vaccine-preventable disease which can cause heart failure, meningitis (infection of the covering around the brain & spinal cord), mental retardation, life-threatening infections that can block the windpipe, pneumonia (infection in the lungs), liver failure, paralysis, blood infections, certain cancers, and death.
What is being done:
The Public Health Clinic of the Lincoln-Lancaster County Health Department provides immunizations to children living in Lancaster County who are uninsured, underinsured, or Medicaid-eligible. Vaccines are made available by the Vaccine for Children federal program through our state health department*. Our clinic staff assures best practices in vaccine administration by following the recommended schedule of the Center for Disease Control & Prevention/Advisory Committee on Immunization Practices.

*The Secretary, the Department of Health and Human Services (HHS), and by delegation the Director, Centers for Disease Control and Prevention (CDC), are authorized under Section 311 and Section 317 of the Public Health Service Act, as amended, 42 U.S.C. 243 and 42 U.S.C. 247b, to assist states and their political subdivisions in the prevention and control of communicable diseases; to advise the states on matters relating to the preservation and improvement of the public’s health; and to make grants to states and, in consultation with the state health authorities, to agencies and political subdivisions of states to assist in meeting the costs of communicable disease control programs.



Source: Health Department     HP Goal1     12/20/2016
About this measure:
This measure indicates the rate of self-reported obesity (Body Mass Index of 30 or greater) among residents 18 years and older of Lincoln and Lancaster County voluntarily participating in the annual Adult Behavior Risk Factor Surveillance System (BRFSS).
Why this is important:
Obesity is a complex health issue generally influenced by lack of physical activity, unhealthy eating patterns, or a combination of the two with genetics, lifestyle and the environment all playing important roles in determining a person’s body weight. Carrying excess weight places individuals at much greater risk for future development and early onset of many chronic diseases and health conditions including coronary heart disease, type 2 diabetes, certain types of cancers, high blood pressure, stroke, sleep apnea and respiratory problems, and osteoarthritis. Obesity not only contributes to premature death, but it also increases health care costs and is linked to reduced worker productivity and chronic absence from work.
What is being done:
Impacting obesity requires effort throughout the community including schools, health care, City Departments, youth serving agencies, the food industry, child care centers, and all who can impact population and individual health including families and children. The Health Department is working with many community partners and other City Departments to provide leadership and support in key evidence-based strategies to reduce the incidence of obesity.
• Active transportation interventions designed to encourage and support youth and adults to engage in active living, (e.g., walking, bicycling, skating) including to school or work. These programs have the potential to increase physical activity and improve health among a large number of people on a regular basis.
• Let’s Move! Lincoln and Playful Cities, USA Initiatives
• Working with family and youth serving organizations, schools, grocery stores, worksites and others to implement nutrition and physical activity supporting policies around the 5-4-3-2-1 Go!® countdown message.



Source: Health Department     HP Goal1     12/20/2016
About this measure:
This measure indicates the rate of self-reported smoking among residents in Lincoln/Lancaster County 18 years of age and older voluntarily participating in the annual Behavioral Risk Factor Surveillance Survey (BRFSS).
Why this is important:
Tobacco use continues to take a tremendous toll on the personal health of thousands of Lincoln and Lancaster County residents and has a significantly negative impact on the economy. This measure allows stakeholders to annually monitor and compare local tobacco use and to most effectively direct programs and resources to decrease and prevent tobacco use.
What is being done:
• Ensure family practice physician offices are knowledgeable about, and are promoting the Nebraska Tobacco Quitline to their tobacco using clientele.
• Continue to work with and recruit owners/managers of multi-unit housing facilities to implement smoke-free housing policies.
• Promote and assist with implementation of tobacco-free campus policies among businesses, post-secondary education, and human service agencies. Promote inclusion of vapor products in tobacco-free campus policies.
• Promote inclusion of vapor products in existing tobacco-free campus policies among businesses, post-secondary education, and human service agencies.
• Provide comprehensive tobacco prevention education emphasizing the health hazards of tobacco use including the use of electronic devices and the hazards of exposure to environmental tobacco smoke and possibly to vapor.
• Coordinate the work of the Tobacco Free Lancaster County coalition and its four community task forces – business and school tobacco-free campuses, smoke-free housing, tobacco-free outdoor environments, and youth tobacco prevention.
• Utilize community tobacco prevention messaging through social media, bus ads, television, and public television.
• Provide support to owners of businesses and multi-unit housing that serve primarily non-English speaking clientele to implement smoke-free/tobacco-free policies.



Source: Health Department     HP Goal1     12/20/2016
About this measure:
This measure indicates the rate of self-reported moderate physical activity among residents in Lincoln and Lancaster County 18 years of age and older voluntarily participating in the annual Behavioral Risk Factor Surveillance System (BRFSS) survey.
Why this is important:
Regular physical activity can play a role in achieving and maintaining a healthy body weight, improving mental health related to stress or depression, and maintaining healthy muscles, bones and joints. Incorporating daily movement helps lower the risks associated with chronic diseases such as heart disease, stroke, diabetes, arthritis and some cancers. While individuals make their own behavior choices, the policies, systems and environments in which we live influence those choices.
What is being done:
Active living is influenced by personal, social, economic, and environmental factors that can either support or inhibit physical activity. It is important that the public is educated about the benefits of regular physical activity and that the environment supports active living. The Health Department is working with many community partners and other City Departments to provide leadership and support in key evidence-based strategies to increase active living.
• Active transportation interventions designed to encourage and support youth and adults to engage in active living, (e.g., walking, bicycling, skating) including to school or work. These efforts can increase physical activity and improve health among a large number of people on a regular basis.
• Let’s Move! Lincoln and Playful Cities, USA Initiatives
• Working with family and youth serving organizations, schools, grocery stores, worksites and others to implement nutrition and physical activity supporting policies around the 5-4-3-2-1 Go!® countdown message.