State of Public Health in OC PPT Slides

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State of Public Health in Orange County May 28, 2025

Orange County Health Officer State of Health Address May 28, 2025

Family members with ownership of stocks: AbbVie, Bristol Myers Squibb, Johnson and Johnson, Merck, Pfizer, United Health, CVS Health, Walt Disney, Intuitive Surgical, Idexx Lab, Crispr

Therapeutics, Apple, Dell, Microsoft, Meta, Oracle, Palantir, Salesforce, CrowdStrike, Verizon, VMware, Nvidia, LIT, Tesla

Veronica Kelley, DSW, LCSW

Agency Director

Lorraine Daniel, MPA

Assistant Agency Director

County Health Officer & Deputy Health Officers

Duty of protecting & promoting

public health across Orange County and cities, guardian of Public Health

Has authority to control communicable diseases and respond to emergencies

Director of

Deputy Director of Government Affairs &

Communications

Staff: 9

Communications

Custodian of Records

Grants & Funding

Legislation & Policy

Public Health and Nursing Services

Staff: 712

Clinical Services (Tb/HIV/STD)

Community Nursing Services

Health Promotions & Community Planning

Communicable Disease Control Division

Environmental Health

Public Health Lab

Compliance Officer

Office of Compliance

Staff: 6

State & Federal Compliance

Code of Conduct

Training & Education

Director of

Behavioral Health Services

Staff: 1,373

Adult and Older Adult Services

Behavioral Health Services Act

Children and Youth Services

Crisis and Acute Care Services

Data Analytics

Forensics

Substance Use Disorder Services

Director of Specialized Medical Services

Staff: 350

Emergency Medical Services

California Children Services

Office of the Public Guardian

Medical Safety Net

Employee Health Services

Director Of Correctional Health Services

Staff: 513

Adult Correctional Health Services

Juvenile Health Services

OC Cares

Orangewood Children and Family

Center Medical Services

Health Officer and Deputy Health Officers of Orange County

Regina Chinsio-Kwong, DO

“Dr. CK” County Health Officer

Matthew Zahn, MD Deputy Health Officer

Almaas Shaikh, MD MPH FACS Deputy Health Officer

Orange County Health Officer State of Health Address May 28, 2025

Orange County Health Officer State of Health Address May 28, 2025

La Habra Star 23 December 1938 — California Digital Newspaper Collection 1938

Image from: figure-1-2-public-health-achievements-of-the-twentieth-c-entury-l.jpg (1024×768)

Orange County Health Officer State of Health Address May 28, 2025

Orange County (OC) Health Care Agency Today

State of Public Health Report

Statewide mortality data trends can be found at: https://www.cdph.ca.gov/Programs/CHSI/Pages/County-HealthStatus-Profiles---Statewide-Mortality-Trends-Visualizations.aspx

Orange County Health Officer State of Health Address May 28, 2025

County Health Rankings & Roadmaps

Orange County Health Officer State of Health Address May 28, 2025

Health Data- Life Expectancy

Orange County Health Officer State of Health Address May 28, 2025

Orange County - Pediatric Population

Conditions of Children Report released December 2024

Orange County - Pediatric Population

Total Number of Death for Infants under 1 in Orange County (2017-2023)

Total

Certain conditions originating in the perinatal period

Congenital malformations, deformations and chromosomal abnormalities

Total Number of Death for Ages 1 to 17 in Orange County (2017-2023) Total

Accidents (unintentional injuries)

Cancer (Malignant neoplasms

*Note that missing data represent suppressed counts of fewer than 11 deaths

Source: California Comprehensive Death File (AKA CCDF)

Orange County - Pediatric Population

EveryParentOC.org

Every Parent OC is a resource for anyone who is thinking of becoming pregnant, is pregnant, or has a new baby. Our goal is to provide you with information and resources necessary to experience pregnancy and parenting in a safe and healthy way.

Aging Population

2024-2025 Orange County Community Indicators- 25th Anniversary Report

2024-2025 Community Indicators Report - Orange County Business Council (OCBC)

Orange County Health Officer State of Health Address May 28, 2025

Report on Aging in Orange County 2024

https://www.ocagingservicescollaborative.org/wp-content/uploads/2024/06/Report-on-Aging-in-Orange-County2024.pdf

Health

Data - Death Rates in Orange County

Orange County Health Officer State of Health Address May 28, 2025

Orange County Health Officer State of Health Address May 28, 2025

Orange County Health Officer State of Health Address May 28, 2025

Behavioral Health- Suicide Rates

(Source: HCA Suicide Data Dashboard, https://www.ochealthinfo.com/services-programs/mental-healthcrisis-recovery/wellness-promotion-prevention/suicide-prevention-3; CA Department of Finance Population Projections, P-3, July 2022 Vintage. https://dof.ca.gov/forecasting/demographics/projections/)

Behavioral Health- Number of Drug and Alcohol Deaths Involving Specified Substance, Orange County

Orange County Health Officer State of Health Address May 28, 2025

Opioid related Overdose Trends

Orange County Health Officer State of Health Address May 28, 2025

Orange County Fentanyl-Related Overdose Deaths

Youth & Young Adults 2018 - 2023

Emerging Issues - Nitrous Oxide Recreational Use

Recreational Use of Nitrous Oxide (N2O) is on the Rise!

Here are some tips of what to do with Nitrous Oxide canisters:

1. Do not puncture, incinerate or store N2O canisters near flammable materials

2. Do NOT dispose N2O canisters in the regular trash

3. Contact OC Waste & Recycling for further instructions on where you can turn these items in

4. Follow the center’s recommendations

Non-Communicable Diseases

Orange County Health Officer State of Health Address May 28, 2025

Ongoing Challenges - Controlling Infectious Diseases

• 2024-2025 Winter Respiratory Season

• COVID-19

• Respiratory Syncytial Virus (RSV)

• Influenza

Orange County Health Officer State of Health Address May 28, 2025

Tuberculosis (TB) Control

https://ochealthinfo.com/services-programs/hivstd-and-tb-clinics/pulmonary-disease-services

Infectious Disease Trends

Sexually Transmitted Infections

- Chlamydia cases were down by 26% from a peak in 2019 (14,260 to 10,482 cases)

- Gonorrhea cases were down by 27% from a peak in 2021 (5,341 to 3,871 cases)

- Contagious syphilis cases were down by 47% in 2021 (944 to 501 cases)

- Congenital syphilis cases were down by 53% in 2022 (32 to 15 cases)

- Mpox cases were down from 294 in 2022 to 30 in 2024

- Newly diagnosed with HIV: 230

- Persons living with HIV (PLWH) who are aware of their HIV status 6,955

- Estimated # of persons unaware of their HIV status: 1,706

Other Infectious Diseases - Hepatitis C

• 747 new cases (age-adjusted rate 22.4 cases/100,000) of chronic hepatitis C infection were identified in OC in 2024.

• This is a 19% decrease compared to 2023.

• Changing Epidemiology

• < 40 yo - Primary risk factor was injection drug use

• > 65 yo - Variety of risk factors identified

Orange County Health Officer State of Health Address May 28, 2025

Orange County Health Officer State of Health Address May 28, 2025

Cancer Mortality - Race

Orange County Health Officer State of Health Address May 28, 2025

Orange County Health Officer State of Health Address May 28, 2025

Emerging Challenges- Impacts of Climate on Infectious Disease

Coccidiomycosis/ Valley Fever

Orange County Health Officer State of Health Address May 28, 2025

Dengue
Case County By Year
LegionellaCase County by Year

Emerging Challenges – H5N1

- Bird Flu

Orange County Health Officer State of Health Address May 28, 2025

Vaccination Rates in our Schools

Orange County Health Officer State of Health Address May 28, 2025

Emerging Issues - Silicosis and Fabricated Stone Workers

June- Silicosis Awareness

Month

• Orange County has well over 100 fabricated stone businesses.

• To date, 60 cases of silicosis have been diagnosed in Orange County since 2019!

What is needed?

- Increased Education/Awareness

- Improved surveillance/detection of disease

- Improved Care Pathway navigation for affected individuals

Link: https://www.cdph.ca.gov/Programs/CCDPHP/DEODC/OHB/Pages/essdashboard.aspx

Ongoing/Emerging Issues - Natural Disasters and Potential Man-made Disasters

Orange County Health Officer State of Health Address May 28, 2025

Readiness and Response

Orange County Health Officer State of Health Address May 28, 2025

National Challenges impacting local Public Health

As a result of federal funding reductions (including Epidemiology and Lab Capacity Enhancing Detection and Immunization and Vaccines for Children grants), the HCA Public Health Services has had to evaluate mandated services and community capacity to absorb impacted care.

As a result of thorough discussions, the following Programs are impacted:

• Emergency Dental Services – effective May 6, 2025

• Pediatric Clinic/Family Planning Access, Care and Treatment Program (PACT)- effective June 30, 2025

Where will clients be referred to?

Clients will be connected to alternative providers through a coordinated transition plan- (Medi-Cal Managed Care and Medi-Cal

Dental Providers, Federally Qualified Health Centers, Community Clinics and Family PACT providers in the community)

Will HCA’s 17th Street Clinic continue to offer clinical services?

Yes. The following clinics remain operational: Immunization Clinic, Pulmonary Disease Services Clinic, Testing, Treatment and Care Clinic.

If Clients have questions about services, who can they contact?

The HCA Health Referral Line will remain available to the public for Public Health related questions and clinic services: (800) 564-8448 M-F 8am-5pm

Local Initiatives/Community Health Efforts

Orange County Health Officer State of Health Address May 28, 2025

Safeguarding Public Health is Everyone’s Responsibility

Prevention, Promotion, Protection, Partnership Orange County Health Officer State of Health Address May 28, 2025

Public Health In Transition

Orange County Health Officer State of Health Address May 28, 2025

www.ochealthinfo.com

Follow the OC Health Care Agency on Social Media

Orange County Health Officer State of Health Address May 28, 2025

Cancer Dashboards

1.California Cancer Registry

Cancer cases are collected from physicians, pathologists, hospitals, and treatment facilities are reported to a statewide systemCaliforniaCancer Registry (CCR). The state also participates in the CDC’s National Program of Cancer Registries and in the Surveillance, Epidemiology, and End Results (SEER) program of the National Cancer Institute (NCI).

The public can also access data through the Cal*Explorer Cancer Data by clicking on the tab “Data for Public” (https://www.ccrcal.org/retrieve-data/datafor-the-public/) then clicking on “Access Cal*Explorer-CA Cancer Data or access Health Maps on the right.

2.UCI Chao Family Comprehensive Cancer Center (CFCCC) Cancer Burden Catchment Area Dashboard

Locally, UCI Chao Family Comprehensive Cancer Center (CFCCC) has created a Cancer Burden Catchment Area Dashboard to help the community understand the cancer burden in Orange County.

This can be accessed by visiting https://cancer.uci.edu/about/catchment-area.

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