county has 20.9 percent, and Texas has 19.4 percent (City-data, n.d.). Mr. B.K. (personal communication, July 1, 2019), explains that most calls received are because the community thinks that the fire department also serves as a primary care provision, and are able to offer transportation. According to the Centers for Disease Control and Prevention (CDC), a very common morbidity within the population is kidney disease. Lung disease is also another top offender within the general population, due to smoking and second hand smoke. Montgomery county has a high percentage of obese residents at 35.5 percent compared to the overall state of Texas at 38 percent, and the national percentage at 36.1 percent ( ). Of the different ethnicities, the Hispanics ranked at 35 percent for high cholesterol, with 20 percent in Willis (City-data, n.d.). Unfortunately, there is an astonishing increase in deaths daily as the result of heart disease. There were 500,200,00 to be exact, recently reported by the CDC. Once again, the Hispanic 4465-5_19
population ranked the highest of heart disease and stroke deaths (CDC, n.d.). When speaking to Mrs. L.G., the school nurse (personal communication, July 1, 2019)… She stated the observed increase in the number of school aged children with obesity. City- data reports that only 44.7 percent of residents partake in healthy eating, whereas the overall state of Texas is 48 percent. Sadly, the low-income population with preschool aged children have a 19.5 percent obesity rate, compared to Texas at 15.7 percent (City- data, n.d.). According to the CDC, Texas is currently ranked number ten with the highest adult obesity rate. The statistics provided by the CDC reveal that 32.4 percent of residents are obese and has drastically increased by 21 percent from the year 2000. The current hypertension rate is 31 percent, and the high cholesterol rate is 42.4 percent. The CDC has reported that the number of deaths as the result of heart disease is 175 per every 100,000 people, and the stroke death rate is listed at 43 to every 100,000 (CDC, n.d.). Nationally, the obesity problem seems to be just as equivalent at 30.1 percent, with hypertension diagnosis’ steadily increasing annually at a rate of 31.3 percent. High cholesterol is reported at 30.2 percent. Sadly, the rate of heart disease deaths is 614,348/100,000 persons (CDC, n.d.). Lung disease such as lung cancer, was noted to have a significantly high rate in Montgomery County, at 250.2 per 100,000 people. Smoking has always been a huge advertisement and enticed many over the years, increasing the exposure of carcinogens. There were many residents noted smoking in their cars with the windows cracked and small children in the car. While many placed have banned public smoking, and many facilities have posted signs not to smoke within a certain distance of the building, many choose not to follow the rules and do it any way. I can’t stand walking by someone and having to inhale their disgusting second hand smoke. It’s a senseless act and children should have to be victims to this kind of stupidity. For Montgomery County, the statistics for lung cancer within the Caucasian group are 92/100,000. Hispanics are the least noted
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