Healthy & Productive People

Goal 1: Maintain community's health status
Source: Health Department     HP Goal1     3/31/2014
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 2,000 youth in Nebraska under age 18 become new daily smokers. If current smoking trends continue, 36,000 children and youth now alive in Nebraska will likely die prematurely from smoking related illnesses. Preventing youth from starting to use tobacco is far more effective than helping them break the addictive behavior.
What is being done:
Youth continue to experiment with tobacco in succumbing to peer-pressure, tobacco advertising, and emulating negative behavior of adult role models. LLCHD, TFLC, City departments and community partners strive to prevent initiation of tobacco use and reduce current rates of youth tobacco use by:
• Monitoring retailer compliance of illegal sales of tobacco products to minors
• Educating youth on the dangerous consequences of tobacco use
• Educating youth on the impact of tobacco advertising
• Assist youth sports organizations in establishing tobacco-free policies
• Promote tobacco free environments
• Utilizing peer support to prevent tobacco initiation



Source: Health Department     HP Goal1     11/14/2012
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:
City Departments, local school districts, parents, and community partners have worked to reduce the risk of injury to children as pedestrians, cyclists, and passengers in motor vehicles. Injury prevention measures include:
• Integrating evidence-based pedestrian and bicycle safety environmental recommendations in long and short term traffic plan designs, and construction designs for new and renovated schools
• Retro-fitting existing intersections with pedestrian countdown timers
• Provide pedestrian and bicycle safety education to school children at greatest risk of injury
• Provide car seat inspection and education for the general public and populations at greatest risk of injury.



Source: Health Department     HP Goal1     4/2/2014
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 vaccine 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, 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     3/31/2014
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 caused 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 weight. Carrying excess weight places individuals at much greater risk for future development and early onset of many chronic diseases and health conditions such as coronary heart disease, type 2 diabetes, cancer, high blood pressure, stroke, sleep apnea and respiratory problems, and osteoarthritis. Obesity not only contributes to premature death, but also increases health care costs and is linked to reduced worker productivity and chronic absence from work.
What is being done:
LLCHD is working with many community partners to provide leadership and support in key evidence-based strategies to reduce the incidence of obesity among Lincoln and Lancaster County residents. Because obesity and lack of physical activity are so closely linked, many programs address both issues.
• Promotion throughout the community of the 54321GO obesity prevention message that promotes 5 daily servings of fruits and vegetables, 4 or more glasses of water, 3 servings of low fat dairy, 2 hours or less of screen time, and 1 hour or more of physical activity
• Promoting worksite vending and cafeteria policies that provide healthier options
• Encouraging schools, worksites to promote walking/biking to school/work
• Educating the public about healthy food choices



Source: Health Department     HP Goal1     3/31/2014
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:
Policy-related tobacco prevention efforts conducted byLLCHD, City departments and the member organizations of the Tobacco Free Lancaster County coalition include:
• Enact the Lincoln Smoking Regulation Act in 2005 prohibiting smoking in indoor work and public environments
• Assist businesses in establishing a smoke/tobacco-free campus policy
• Assist owners/managers of multi-unit housing properties in establishing smoke and tobacco-free policies
• Support the tobacco free parks policy
• Promote the Nebraska Tobacco Quit-line to assist individuals to quit using tobacco