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The leading causes of death within the county are heart-related diseases as well as cancer.HIV-related deaths are also three times that of the entire New York City’s rate (Community health profiles 2015, Brooklyn Community District 5, 2015).Heart-related diseases were the highest ranking leading cause of death for both males andfemales in all four boroughs and New York City as a whole. It was also the primary cause of premature death for males and the second leading cause for females in the Bronx. Furthermore, itwas the second highest leading cause of premature death to both males and females in Brooklyn, Manhattan, and Queens (Community health profiles 2015, Brooklyn Community District 5, 2015).Top death causes and rates (per 100,000 people)DISEASE AND RANKDEATH TOLLDEATH RATEBRONX/ NEW YORK1.HEART ILLNESSES680172.3/ 202.62.CANCER615137.4/ 156.73.HIV16527.0/ 8.44.FLU14237.4/ 27.45.DIABETES11226.7/20.66.STROKE10525.7/ 18.87.DRUG RELATED10316.3/ 8.68.RESPIRATORY10223.8/ 19.8NYC DOHMH, Bureau of Vital Statistics, 2009-2013
COMMUNITY HEALTH & POPULATION-FOCUSED NURSING TASK 16It can be observed from the table above that death rates are higher than the rate in the wider New York area. This shows that there is a need for better healthcare in Bronx County.Infant mortality and premature deaths are also prevalent in the Bronx. As such, there is a general decrease in these across aspects the city. However, Bronx still has five times the rate of the city. There are also differences in premature death among neighborhoods. Premature deaths refer to the death of individuals less than 65 years old. According to Community Health Profiles of 2015, premature deaths are three times more in the Bronx than in the Financial District (Manhattan). This shows the need for proper healthcare in the county. The percentages of adults who are obese were higher in the Bronx and Brooklyn than in New York State, and compared to the New York State Prevention Agenda 2017 (NYS PA) target. The percentage of children and adolescents who are obese was higher in all four boroughs than both the New York State and the NYS PA 2017 target. The Bronx and Brooklyn also had the highest obesity rates according to self-reported height and weight (Healthy people 2020, 2010).. Infant Mortality Rate (per 1000 live births)FORDHAM AND UNIVERSITY HEIGHTSUPPER EAST SIDE5.41.0NYC of Vital DOHMH, Bureau Statistics, 2011-2013
COMMUNITY HEALTH & POPULATION-FOCUSED NURSING TASK 17Premature Mortality RatesFORDHAM AND UNIVERSITY HEIGHTSFINANCIAL DISTRICT266.275.6NYC of Vital DOHMH, Bureau Statistics, 2011-2013Both tables show that the mortality rates are higher in the Bronx than in the general New York City and its neighboring districts.C. Healthy People 2020 goalsThis is a tool that is meant for the management by the public, government and private sector parties. It has a mission, vision, and goals that guide it for achieving its objectives. The goals offer the areas that require emphasis by the government of the United States to attain sustainable health come year 2020. The Healthy People 2020 was developed under the collaboration of the Department of Health and Human Services of the U.S government as well as