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Community Health Assessment

Hampstead, MD

Frostburg State University

Patti Spaar

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Introduction

The health and wellness of any community is essential for its well-being and prosperity.

One way to assess the level of wellness is by the use of a Community Health Assessment.

Certain measures such as resources, climate, population, and age are but a few that are examined

in a well-prepared assessment. Public health nurses rely on data from surveys to aid in the health

care delivery to a specific population. “Assessment for community health nurses means

collecting and evaluating information about a community’s health status to discover existing or

potential needs and assets as a basis for planning future action” (Allender, Rector, & Warner,

2014, pg. 492). The following paper will examine the statistics surrounding the community of

Hampstead, Maryland. A Community Needs Assessment was performed and the following data

compiled to exhibit the needs of the current population. Additionally, health goals for the

community are presented with specific objectives in order to attain them.

Community as a Place

Hampstead, Maryland is a small town in Carroll County, Maryland in the northeastern part

of the state. Settled in 1786, Hampstead covers 3.28 square miles and is located at 39 36’ 17.3

North Latitude and 76 50’ 59.9” West Longitude (see Appendix A.) The town is home to 6,354

people having seen a 25.6% increase in population since 2000 (city-data.com). The town consists

of rolling hills and farmland mixed in with a downtown that is currently undergoing a

revitalization. Hampstead prides itself in its family-centered community feel with friendly

neighborhoods, good schools, and small businesses. Driving through on Route 30, one notices a

rural community with newer construction sub-divisions with sidewalks, streetlights, and well-

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maintained grounds. This is in contrast to the older, historic homes that line Main Street downtown.

Many of these homes are in disrepair or are vacant and on the market for sale. There are also

apartment complexes, condominiums, and townhomes. The estimated median house or

condominium value in 2012 was $235,369 and the median gross rent; $914 (city-data.com).

Environmentally, Hampstead is considered average when compared to the rest of the country.

In terms of waste management the town has trash and recyclables pick-up every Thursday or

Friday with bulk trash being accepted on specific dates throughout the year. Air quality statistics

reported in 2012 measured the Air Quality Index (AQI) at 88.0 which is in the average range (see

Appendix B). The water supply for the town’s residents come from the Wissahickon aquifer, which

lies 300 feet below the earth’s surface (mde.maryland.gov). This underground river is tapped by

drilling wells and in that process purification is aided. This source is naturally replenished by

rainfall. Currently, treatment facilities provide 150 million gallons of clean drinking water every

year (mde.maryland.gov, 2013).

People of the Community

Of the 6,354 people living in Hampstead in 2013, 49.6% were male (3,153) and 50.4%

were female (3,201). Of these, 91.9% were Caucasian (5,812); 3% Hispanic (188), and 1.9%

Black (123). The remaining 3.4% were Asian, American Indian, or Native Hawaiian (200). The

latest data reports the median resident age is 35.3 years while compared to the median resident

age of the state of Maryland of 34.4 years (city-data.com).

While compiling information pertaining to birth and death rates, no data was available for

the town of Hampstead specifically. For the purpose of this report, live birth and death statistics

were for Carroll County. In 2013 there were 1,551 live birth reported and 1,486 deaths. This

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includes male and female of all races and ethnic groups residing in the county

(dhmh.Maryland.gov). More detailed information can be found in Appendix C. In addition,

according to the Community Benefit & Health Improvement Plan for Carroll County in fiscal

year 2014-2016, data indicate that the leading cause of death is cancer. The incidence of breast

cancer and melanoma are greater in Carroll County than the Maryland state averages. Other

conditions such as Obesity, Diabetes, and Cardiovascular disease are leading causes of morbidity

and mortality (healthycarroll.org, 2012)

Turning to education, 90% of the population of Hampstead are high school graduates or

better which is the 3rd most of other towns in the area. Included in that 90% figure are those that

have obtained a Bachelor’s degree or higher (29.9%) and those with some post-secondary

education (29.7%) (towncharts.com). The unemployment rate is 4.5% which is lower than the

national average although Hampstead has seen less recent job growth as compared

nationally.(See figure 1) The household income is $75,135 with the largest percentage of

families, 28.3%, earning between $100,000 and $150,000 annually.

Economy Hampstead, MD United States

Unemployment Rate 4.50% 6.30%

Recent Job Growth 0.71% 1.18%

Future Job Growth 36.90% 36.10%

Sales Taxes 6.00% 6.00%

Income Taxes 7.80% 4.72%

Income per Cap. $32,045 $28,051

Household Income $75,135 $53,046

Family Median Income $87,768 $64,585

Figure 1.. Unemployment Rate in Hampstead (Bestplaces.net)

There are various occupations represented in the town of Hampstead. Figure 2 details the

breakdown by percentage. Management and business along with Sales and Administrative

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Support make up 46.38 of total positions held in the town. Although the town is traditionally

rural, the farming industry no longer plays a vital role in the occupation of Hampstead’s citizens.

Jos. A. Banks corporate center and Wal-Mart are the two largest employers in town.

Hampstead U.S.

Management, business, finance 23.72% 14.36%

Engineering, computers, science 8.14% 5.24%

Community, social services 2.97% 1.66%

Legal 0.29% 1.17%

Education, library 5.14% 6.10%

Arts, design, media, sports, entertainment 0.92% 1.88%

Healthcare practitioners and technology 5.89% 5.49%

Healthcare support 1.07% 2.47%

Firefighters, law enforcement 1.53% 2.24%

Food preparation, serving 4.10% 5.61%

Building maintenance 8.43% 3.97%

Personal care 1.30% 3.54%

Sales, office, administrative support 22.66% 24.89%

Farming, fishing, forestry 0.00% 0.73%

Construction, extraction, maintenance/repair 8.86% 8.56%

Production, transportation, material moving 4.99% 12.10%

Figure 2. Population by Occupation (Bestplaces.net)

Social System

Hampstead, Maryland has a vibrant public school system as well as several colleges and

universities within 25 miles of the town center. Hampstead Elementary and Spring Garden

Elementary serve the town’s youngest students in K-5, while Shiloh Middle School teaches those

in grades 6-8. North Carroll High School (See figure 3) is the only secondary school in

Hampstead and has a current enrollment of over 1800 students (city-data.com, 2013).

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Figure 3. North Carroll High School (Wikipedia.com)

There are many public parks for recreation in the town. Hampstead Municipal Park is

centrally located and has 2 baseball diamonds, a multipurpose field, pavilion, picnic area,

restrooms, a walking trail, and volleyball courts (See figure 4). In addition, there are several

smaller parks including Lions Club Park, Melvin Miller Park, North Carroll Community Pond,

and Chief Sites Memorial Park (hampsteadmd.gov). The town hosts little league baseball, girls

softball, soccer, and lacrosse at the various parks. Reservations for private use are available a

several pavillions.

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Figure 4. Hampstead Municipal Park (hampsteadmd.gov)

The North Carroll Senior Center is conveniently located in the main shopping and

restaurant area of the town. The Center is open 6 days a week and its mission is to have keep the

seniors happy, healthy, and well-informed. Nearby the center is the North Carroll Branch of the

Carroll County Public Library. A health club, The Four Seasons Sports Complex houses several

indoor soccer fields, weight rooms, dance floors, and aerobic rooms. In the summer there are two

pools for members and a swim team that the whole community can join. Lastly, Oakmont Green,

an 18- hole PGA golf course located on Golf View Lane and is open to the public. The course

holds classes for adults and children and is open daily from sunrise to sunset.

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Childcare and daycare services are available both in private homes and in centers.

Currently there are 9 centers located within the town limits including Celebree Learning Center

(See figure 5) and Shiloh Stepping Stones. See

Appendix D for additional information.

Figure 5. Celebree Learning Center (ChildCareCenters.us)

The nearest airport and Amtrak station are located at Baltimore-Washington Thurgood

Marshall International Airport (BWI) which is 24 miles from the city center. There are no public

means of transportation in Hampstead and residents rely on their own vehicles for commuting to

and from work. Butler Mobility is a private company that provides reduced-fare transportation

for seniors and other town residents. Carroll Area Transit provides free transportation for special

needs residents special needs residents. (See Figure 6 and 7). Barwood Taxi Service is available

for hire 24 hours a day.

Figure 6. BWI Airport (baltimoresun.com)

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Hampstead Transportation

Nearest airports (within 30 miles of city

center) 0 (1)

Total Amtrak train stations (within

30 miles of city 0 (1)

Average one way commute (mins) 34

Workers who carpool 9.3%

Workers taking public

transportation 0.0%

Workers who walk to work 0.7%

Working from home 1.6

Figure 7. Transportation (areavibes.com)

Hampstead saw just 4 violent crimes and 73 property crimes in 2012. This calculates to a

1 in 83 chance that a resident would be the victim of a crime which is far better than the majority

of other U.S. cities its size (movoto.com, 2014). The good news for the town is that the total

number of all crimes has slightly fallen within the past 5 years. See Appendix E for more

information. Hampstead

has its own city Police

Department and its motto is

Integrity, Community, and

Service. As far as fire

protection, The Hampstead

Volunteer Fire Company has been in existence since 1900 providing emergency support services

to the town and surrounding areas. There is a single station which is located on Main Street,

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housing 2 Engines, 1 Truck, 1 Brush Unit, and 2 Paramedic equipped ambulances, and 2 Utility

vehicles (hampsteadvfd.org).

A search for healthcare providers revealed numerous private practices and an urgent care

center within 15 miles of the city center. While Hampstead does not have a community hospital,

18 miles away is Carroll Hospital Center. Carroll Hospital Center is a 193-bed private, non-profit

hospital with nearly 400 physicians that see over 432,000 patients per year (healthycarroll.org).

The Wal-Mart in Hampstead has a Vision Center which has an optometrist on staff who provides

basic eye care. Additionally, there are 4 full-service physical therapy facilities including North

Carroll Physical Therapy pictured below. (See Figure 8). A search revealed no inpatient

addictions treatment centers but North Carroll Counseling Center offers outpatient treatment for

dual diagnosis.

Figure 8. North Carroll Physical Therapy (northcarrollpt.com)

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A wonderful gem in the community is the Residences at Hampstead School, a beautiful,

fully restored historic building that was constructed in 1919 as the town’s premier school. It is

now serving as low-income senior housing. The facility has many amenities including an on-site

fitness and wellness center. See figure 9.

Figure 9. Residences at Hampstead School

(SeniorHousing.net.com,)

Hampstead Community Comprehensive Plan

In 2010, the Hampstead Community Comprehensive Plan was published to map out

strategic goals for the town. Community involvement was encouraged and with the help of the

county commissioners, several key elements were put forth as the vision for planning area goals.

Several key proposals were: 1) To limit the ultimate size of the town to maintain the small-town

atmosphere, 2) To ensure the character of new development, 3) To encourage the development of

sidewalks and pedestrian paths, 4) To encourage alternate means of transportation, 5) To

enhance personal and public safety, 6) To ensure the parks are used efficiently by all user groups,

7) To support the Hampstead Volunteer Fire Department and the North Carroll Police Auxiliary,

8) To promote water conservation, 9) To focus economic development efforts on businesses that

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provide high-quality jobs, 10) To support local farmers and to establish a local farmer’s market,

11) To work with property owners to help restore historic structures, 12) To promote Town-wide

“Wi-Fi”, 13) To support community recreational events, 14) To create pedestrian links with

other communities, and 15) To support private sector housing opportunities to meet the needs of

the young and elderly (www.mdp.state.md.us). The plan goes on to identify how the goals can be

accomplished and will be re-evaluated with an updated analysis in 2016.

Current Community Health Needs

A windshield survey was conducted on March 27, 2015. Driving through town one can

see a flurry of activity and the many opportunities for recreation and shopping. On this

particular day, traffic in the outlying shopping area was heavy and the Wal-Mart parking lot was

¾ full. Observing patrons one can see a high level of obesity. Many of the restaurants were small

family-owned business, however, several were observed advertising “happy hour prices” and

other alcohol specials. Two community parks were visited and there were no observations of

anyone utilizing the facilities on this bright, sunny day. There were only a few people walking on

the various sidewalks and one pedestrian was observed walking a dog on the paved walking trail.

Outside of the senior center, a van was picking up clients to transport. Several teens were

observed outside of a convenience store near the high school and all were smoking cigarettes.

When visiting the historic downtown area, it was noted that the sidewalks in many areas are

crumbling and the 2 local police officers were engaged in a traffic stop and appeared to be

searching the inside of a vehicle while the driver sat hand-cuffed on the curb.

In the residential areas, where the many newer homes exist, one sees well-maintained

yards with various degrees of improvement; some elaborate. The residences are situated outside

of the business district but have easy access to schools and restaurants. The busy main road,

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Route 30, is a hazard for pedestrians and it appears that it is not conducive to walking or cycling.

No bike lanes were observed and no pedestrians were observed in the cross-walks. Observations

on this day expose some health concerns for the community. These concerns include obesity,

which leads to cardiovascular disease and diabetes, tobacco use, which causes cancer, and access

to health care, which can lead to non-compliance with a health regimen. These concerns are

inter-related when forming diagnoses as they all contribute to poor health and need to be

addressed.

Community Health Diagnosis

The Windshield Survey and Community Assessment serve as the basis for diagnosing the

above-mentioned health needs of the town of Hampstead, Maryland. When formulating

recommendations one must look to the national health promotion and disease prevention agenda

entitled Healthy People 2020. In the publication, objectives and targets for the health of the

nation are discussed and “By encouraging collaboration across communities, empowering

individuals to make better choices, and measuring progress toward set bench-marks, Healthy

People 2020 provides a road map for achieving longer and healthier lives for all Americans”

(Allender, Rector & Warner, 2014, pg. 463.) Using county data, it is estimated that 68.9% of the

citizens are obese. (healthycarroll.org). This is a concern because obesity leads to diabetes,

cardiovascular disease, limited mobility, and eventually early death. Secondly, with cancer as the

leading cause of death in the county in which Hampstead is a part, one must address tobacco use

and the need for community outreach in assisting its members to quit, and lastly, poor access to

health care such as long travel distances form rural areas are a hindrance to many. The following

recommendations can be made when addressing these objectives:

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1. Reduce the level of obesity of the citizens of the county by initiating wellness programs at

area grocery stores, community centers, and fitness centers. Promoting healthy eating habits

in schools and libraries, as well as making the town more walker-friendly. As stated in

Healthy People 2020, individuals need to be empowered to make better choices as nutrition,

physical activity, and obesity are public health priorities. Changing eating and exercise

habits will go a long way in decreasing the prevalence of obesity.

Diagnosis: Imbalanced Nutrition: more than body requirements

Recommendations:

Identify causes and contributing factors

Establish weight-reduction programs

Promote well and physical activity

2. Reduce the number of individuals who use tobacco product by initiating community

education through Carroll Hospital Center and public service announcement with a possible

campaign to get local pharmacies to stop selling tobacco products. Teaching about the

effects of cigarette smoke and the harm is does to one’s health will help in cessation.

Diagnosis: Impaired Gas Exchange

Recommendations:

Identify what leads someone to start smoking

Encourage, through to attend smoking cessation classes

Financial assistance for medication for smoking cessation

3. Increase ease of access to health services especially to those individuals who have mobility

difficulties or live far distances from medical facilities. Compliance with medication use and

keeping appointments with physicians should be encouraged. Many patients have trouble

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understanding their health care needs and instructions. More user-friendly discharge

instructions from health care providers can assist patients with compliance thus leading to

better outcomes. The leading indicator mentioned first in Healthy People 2020 is access to

health care.

Diagnosis: Readiness for Advanced Knowledge

Recommendations:

Develop a plan for learning

Encourage and enhance optimum wellness

Provide mobile access to health facilities for those with greatest hardship

Conclusion

Hampstead, Maryland is a historic community that is currently undergoing a

revitalization of its downtown area. The residents enjoy a beautiful rural setting with the

amenities of a modern city. There is a lot of open space that promotes recreation and a sense of

community. There are, however several areas that can be improved upon. These mainly

encompass healthy living and the need for education as to how to attain optimum wellness. The

incidence of obesity, the prevalence of cigarette smoking, and the difficult access to health care

make up the top three issues recommended by this assessment for improvement. The strategic

plan for the community is in line with attaining these goals.

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References

Allender, J. A., Rector, C., & Warner, K.D. (2014) Community & public health nursing.

Philadelphia, PA: Lippincott Williams & Wilkins.

AreaVibes.Com (2015). Hampstead, MD retrieved from:

http://www.areavibes.com/hampstead-md/transportation/

BestPlaces.net (2014). Economy in Hampstead, MD. Retrieved from:

http://www.bestplaces.net/economy/city/maryland/hampstead

Child Care Centers (2015). Retrieved from:

http://www.childcarecenters.us

City-Data. (2013) Hampstead, MD. Retrieved from:

http://www.city-data.com/city/Hampstead-Maryland.html

Community Benefit and Health Improvement Plan. (2012). Retrieved from:

http://www.healthycarroll.org/assessments-data/cb-hip/

Department of Health and Mental Hygiene (2015). Retrieved from:

http://dhmh.maryland.gov/SitePages/Home.aspx

Hampstead Community Comprehensive Plan (2010).

http://hampsteadmd.gov/vertical/sites/%7BCA134C93-41FE-418F-AD8C-

87A5045BAF79%7D/uploads/2010_Hampstead_Community_Comprehensive_Plan.pdf

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Hampstead, MD; Town of Hampstead. (2013). Retrieved from:

http://hampsteadmd.gov

Hampstead Volunteer Fire Department (2015). Retrieved from:

http://hampsteadvfd.org/

Maryland Department of the Environment (2015). Water Quality Source. Retrieved from:

http://www.mde.maryland.gov/assets/document/watersupply/2010ccr/Carroll/0060003/

Movoto.com. (2012). These are the Ten Safest Places to Live in Maryland. Retrieved from:

http://www.movoto.com/md/safest-places-in-maryland/

North Carroll Physical Therapy, Inc. (2012) Retrieved from:

http://northcarrollpt.com/

Residences at Hampstead School (2014). Retrieved from:

http://www.seniorhousingnet.com/seniorliving-detail/residences-at-hampstead-

school_1211-north-main-street_hampstead_md_21074-564040

The Baltimore Sun: BWI Airport through the Years. Retrieved April 24, 2015 from:

http://www.baltimoresun.com/business/bal-bwi-pg-photogallery.html

Town Charts; Hampstead, Maryland Education Data (2015). Retrieved from:

http://www.towncharts.com/Maryland/Education/Hampstead-town-MD-Education-data.html

U.S. Department of Health and Human Services. (2013). Healthy People 2020. Retrieved from:

http://www.healthypeople.gov/2020/default.aspx.

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Wikipedia.com (2015). Retrieved from:

http://en.wikipedia.org/wiki/North_Carroll_High_School

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Appendix A

Map of Hamsptead

+-

(city-data.com)

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Appendix B

(city-data.com)

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Appendix C Carroll County, Maryland Birth Statistics 2013C

CARROLL COUNTY

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Carroll County, Maryland Death Statistics, 2013

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Appendix D

Child Care & Day Care Hampstead, MD

1. Wee Care Best Child Care & Day Care

4390 Downhill Trail

Hampstead, MD 21074

Phone number (410) 374-3203

2. Play Centers

Child Care & Day Care, Preschools, Elementary Schools

3725 Mount Carmel Rd

Hampstead, MD 21074

Phone number (410) 374-3710

3. Shiloh Stepping Stones Child Care

Child Care & Day Care

3459 Shiloh Rd

Hampstead, MD 21074

Phone number (410) 239-9349

4. Playtime

Child Care & Day Care

Spring Garden Elementary

Hampstead, MD 21074

Phone number (410) 374-1888

5. Celebree Learning Center, Inc.

Child Care & Day Care

2323 Hanover Pike

Hampstead, MD 21074

Phone number (410) 374-5026

6. Little People Daycare

Child Care & Day Care

4229 North Woods Trail

Hampstead, MD 21074

Phone number (410) 374-6106

7. Berry Best Child Care Center

4390 Downhill Trail

Hampstead, MD 21074

Phone number (410) 374-3203

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Appendix E

Movoto Real Estate's Safest Places In Maryland

CITY POPULATION RANK VIOLENT

CRIMES

PER

100,000

RESIDENTS

PROPERTY

CRIMES

PER

100,000

RESIDENTS

TOTAL

CRIMES

PER

100,000

RESIDENTS

CHANCE

OF

VIOLENT

CRIME

CHANCE

OF

PROPERTY

CRIME

CHANCE

OF

CRIME

Hampstead 6,393 1 63 1,142 1,204 1,598 1:88 1:83

Ocean Pines 11,935 2 117 695 813 1:853 1:144 1:123

Thurmont 6,320 2 111 807 918 1:903 1:124 1:109

Glenarden 6,113 2 82 1,603 1,685 1:1,223 1:62 1:59

Taneytown 6,801 5 103 1,485 1,588 1:972 1:67 1:63

Brunswick 6,014 6 83 1,729 1,812 1:1,203 1:58 1:55

Bowie 55,765 7 142 1,625 1,766 1:706 1:62 1:57

New

Carrollton

12,366 8 243 1,714 1,957 1:412 1:58 1:51

Frostburg 9,049 9 155 2,696 2,851 1:646 1:37 1:35

District

Heights

5,948 10 252 2,371 2,623 1:397 1:42 1:38

Cheverly 6,291 11 366 1,907 2,273 1:274 1:52 1:44

Havre de

Grace

13,166 12 235 2,787 3,023 1:425 1:36 1:33

Easton 16,202 13 346 2,771 3,117 1:289 1:36 1:32

Belton 23,295 14 305 2,816 3,121 1:328 1:36 1:32

Annapolis 39,255 15 451 2,654 3,105 1:222 1:38 1:32

Takoma

Park

17,185 16 372 2,857 3,230 1:269 1:35 1:31

Riverdale

Park

7,087 17 536 2,512 3,048 1:187 1:40 1:33

La Plata 8,982 18 412 2,828 3,240 1:243 1:35 1:31

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Bel Air 10,285 19 389 3,559 3,947 1:257 1:28 1:25

Chestertown 5,305 20 660 2,639 3,299 1:152 1:38 1:30

Aberdeen 15,208 21 493 3,051 3,544 1:203 1:33 1:28

Hagerstown 40,275 22 489 3,615 4,104 1:204 1:28 1:24

Laurel 25,591 23 524 3,169 3,693 1:191 1:32 1:27

Frederick 66,808 24 570 2,842 3,413 1:175 1:35 1:29

Greenbelt 23,506 25 489 4,403 4,892 1:204 1:23 1:20

Westminster 18,786 26 649 4,173 4,823 1:154 1:24 1:21

Mount

Rainier

8,234 27 887 3,364 4,251 1:113 1:30 1:24

Hyattsville 17,889 28 559 6,591 7,150 1:179 1:15 1:14

Bladensburg 9,322 29 998 5,031 6,029 1:100 1:20 1:17

Cumberland 20,939 30 793 6,758 7,551 1:126 1:15 1:13

Cambridge 12,454 30 1,028 5,669 6,697 1:97 1:18 1:15

Salisbury 30,778 32 1,189 6,040 7,229 1:84 1:17 1:14

Baltimore 625,474 33 1,405 4,660 6,065 1:71 1:21 1:16

Elkton 15,681 34 1,244 8,067 9,311 1:80 1:12 1:11

Ocean City 7,179 35 1,295 19,599 20,894 1:77 1:5 1:5

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