Winnebago County Health Department401 Division StreetRockford, IL 61104
(815) 720-4000
Primary Care Clinic Breast & Cervical Cancer401 Division Street 2909 North Main StreetRockford, IL 61104 Rockford, IL 61103
(815) 490-1876 (815) 633-4010
North Main Annex Millennium Center2909 North Main Street 220 Madison Street
Rockford, IL 61103 Rockford, IL 61104(815) 282-6667 (815) 720-4000
Public Health Services
2001 Annual ReportOctober 1, 2000 – September 30, 2001
Public Health
PreventsEpidemics
ProtectsThe Environment, Workplace, Housing, Food & Water
PromotesHealthy Behaviors
AssuresThe Quality, Accessibility & Accountability
of Public Health Services
Dear Community Residents:
Everyone has a stake in public health. Some fourteen years ago, the Institute of Medicine (IOM) in its landmark report on “The Future of Public Health” envisioned that public health is“what we as a society do collectively to assure the conditions for people to be healthy.” This Department has proudly and diligently over the past year, as in many previous years, attemptedto provide the encouragement, support and willingness to partner with other segments of the community to more comprehensively address our community’s health needs.
This Department, together with the Rockford Public School District, the Rockford Health Council, Janet Wattles, the University of Illinois School of Medicine, the 61104 Collaborative andthe Children’s Home and Aide Society, worked together to successfully compete for an IDHS grant to develop a school-based health clinic in the Rockford Public School District. This clinicis being designed to serve three elementary schools, Beyer, Kishwaukee, and Rock River.
Additionally, FCM and WIC services were moved to the West State Street Crusader Clinic location and to the Illinois Department of Human Services office in an effort to enhance partneringwith both of those organizations and to provide more direct services to our shared clients. This has further allowed the closing of our small Arthur Avenue office and opening of office spaceat the Millennium Center, 220 S. Madison, to relieve severe space problems at our main facility at 401 Division Street. This has provided badly needed program space for adolescent healthservices and a wide variety of health education and community health screening services. One of those services was the anti-tobacco initiative that worked in partnership with IDPH’s “IDecide” Project and the Regional Superintendent of Schools Office to touch virtually every middle and high school in the community with anti-tobacco programming. This included over thepast year the launching of a highly interactive website entitled “TEENZ247” to facilitate encouragement and support for teen smoking cessation efforts.
This Department’s bioterrorism efforts started considerably before the tragic events of September 11, by applying for and successfully receiving funding from IDPH to develop a bioterrorismplanning annex to the community’s existing emergency disaster plan. The Department’s response capacity during 2001 was tested in a number of ways in the process of dealing effectively withviral meningitis, cryptosporidiosis, Hepatitis A, tuberculosis and syphilis outbreaks. All of these outbreaks would have been considerably worse without the astute observations of outstandingclinicians and prompt reporting of the same to the Department for appropriate follow up and intervention to assure disease spread is controlled. This early detection and timely responsedepends on a solid local public health infrastructure that must continue to be supported at even greater levels of investment if we are in fact to realize our vision for a safer and healthierWinnebago County in this new age of “preparedness.”
Respectfully,
J. Maichle Bacon
From the Administrator...
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Table of Contents
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Letter from the Administrator ............................................ 1Table of Contents ............................................................... 2Mission & Vision Statements .............................................. 3Leadership Team/Board of Health Members ..................... 4Financial Figures ............................................................ 5-7Birth Data in Winnebago County ....................................... 8Top 10 Causes of Death ..................................................... 9Clinical Services .............................................................. 10Disease Control ................................................................ 11Selected Reportable Diseases ........................................... 12Health Support Services ............................................. 13-14Community Health Promotion .................................... 15-16Environmental Health ...................................................... 17Operations ........................................................................ 182001 Winnebago County Health Dept. Highlights .......... 19Winnebago County Health Department Map ................... 20Let Us Help You ............................................................... 21
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To generate community efforts and interest,to prevent disease, promote health
and assure that vital elements are in placeto improve the health of the residents
of Winnebago County.
Mission Statement
Vision Statement
A safer and healthier communityfor Winnebago County.
Board of Health Members
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Leadership Team
J. Maichle Bacon, MPH, CPHA Karen Ayala, BASW Larry Swacina, MS, RS, CIHPublic Health Administrator Health Support Environmental Health
Debbie Anderson, BS Ginny Penzi, RN, MBA Michael Thomas, DO, MPH, TMManagement Services Community Health Promotion Epidemiologist
Sheila Kloster, BS, CM Lee Sanderson-Eads, RN, MBA Acting Clinical Director
Operations Disease Control
Alphonso Goode, President John E. Halversen, DDS Patricia R. Lewis, Ph.D.Stephen Kiley, LCSW Einar Forsman Inara McGroarty
John VanLandingham, MD Louise Hoover Amy HillNeil Maloney Richard Warrner, MD David R. Helland, DVM
STATEMENT OF REVENUES & EXPENDITURES FOR PERIOD: OCTOBER 1, 2000 THROUGH SEPTEMBER 30, 2001
Unaudited % of TotalREVENUES:
Taxes $ 2,544,625 26.7%Fees $ 1,572,692 16.5%Federal, State & Local Grants $ 5,421,127 56.8%
TOTAL: RECEIPTS $ 9,538,444 100.0%
EXPENDITURES: Health Funds:
Administration/Public Relations $ 434,627 4.7%Building & Grounds $ 385,382 4.2%Black Male Health $ 20,125 0.2%Case Management $ 209,043 2.3%Disease Control $ 435,362 4.7%Environmental Health $ 943,515 10.3%Health Education $ 188,890 2.1%Health Promotion $ 242,247 2.6%Laboratory $ 160,446 1.7%Mental Health $ 52,764 0.6%Operational Services $ 499,512 5.4%Pediatrics $ 285,891 3.1%Primary Care $ 13,422 0.1%Violence Awareness $ 68,110 0.7%
Total Health Funds $ 3,939,336 42.9%
Financial Figures
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Grant Funds:Americore $ 885 0.0%Adolescent Health $ 286,797 3.1%Audio Visual $ 19,181 0.2%Breast & Cervical Cancer Prevention $ 184,138 2.0%Child Immunizations $ 9,955 0.1%Dasa - Comp $ 1,129 0.0%Dental Sealant $ 9,912 0.1%Grandparents $ 4,628 0.1%HUD Lead $ 1,313 0.0%Healthy Kids $ 1,140,125 12.4%Health & Wellness $ 24,488 0.3%Health Works - DCFS Case Management $ 137,749 1.5%HOPWA $ 19,700 0.2%Indo-Refugee $ 192,146 2.1%Lead $ 14,121 0.2%Local Grant $ 67,224 0.7%Maternal Child $ 1,063 0.0%Miscellaneous Aids Grants $ 502,744 5.5%Newborn Screening $ 10,920 0.1%Nurse Consultant $ 50,633 0.6%Problem Pregnancy $ 3,891 0.0%Project Success $ 46,958 0.5%Prostrate Screening $ 32,335 0.4%Primary Prevention $ 112,282 1.2%Ryan White $ 558,845 6.1%Teen Parent $ 210,664 2.3%Tobacco Free Communities $ 332,595 3.6%Tuberculosis Care $ 94,572 1.0%Women, Infant & Children $ 658,285 7.2%Women’s Health $ 501,021 5.5%Women’s Initiative $ 17,080 0.2%
Total Grant Funds $ 5,247,379 57.1%TOTAL: EXPENDITURES $ 9,186,715 100% Note: cash basis
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Financial FiguresExpenditure by Category
Actual 2001Capital 3% Internal Service 0%
Contractual25%
Supplies6%
Personnel66%
Unaudited Statement of DisbursementsActual 2001
Federal, State &Local Grants
57%
Taxes27%
Fees16%
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WINNEBAGO COUNTY - 2000Birth DataLow Birth Weight 8.3% (332/4021)Plural Births 3.9% (156/4021)White Births 81.2% (3266/4021)Black Births 15.5% (624/4021)Other Races 3.3% (131/4021)Teen Births 13.3% (535/4021)Single Parent 37.4% (1506/4021)
TOTAL BIRTHS 4021
Winnebago County Birth Data
TEEN BIRTHS - 1999Winnebago County 14.0%Illinois 12.0%
TEEN BIRTHS - 2000Winnebago County 13.3%Illinois 11.4%
INFANT MORTALITY - 1999Winnebago County 8.9%Illinois 8.3%
INFANT MORTALITY - 2000Winnebago County 9.9%Illinois 8.3%
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Comments: In Winnebago County, we have increasing cancer deaths and decreasing Heart Diseasedeaths, with Heart Disease still the leading cause of death. The top four cancer deaths in WinnebagoCounty are: 1. Lung, 2. Colon, 3. Breast, 4. Prostrate.
Top Ten Causes of Death in Winnebago
WINNEBAGO COUNTY - 2000Cause No. of Deaths %Heart Disease 716 (28.9%)Cancer 612 (24.8%)Stroke 173 ( 7.0%)Injury (Accident/Intentional) 158 ( 6.4%)Chronic Lung Disease 110 ( 4.4%)Other Cardiovascular 65 ( 2.6%)Alzheimer’s Disease 85 ( 3.4%)Diabetes 78 ( 3.2%)Pnemonia/Influenza 57 ( 2.3%)Other Respiratory 37 ( 1.5%)All Other 379 (15.3%)TOTAL 2,470 (100%)
WINNEBAGO COUNTY - 1999Cause No. of Deaths %Heart Disease 748 (29.6%)Cancer 566 (22.4%)Stroke 189 ( 7.5%)Injury (Accident/Intentional) 153 ( 6.1%)Chronic Lung Disease 130 ( 5.2%)Other Cardiovascular 80 ( 3.2%)Alzheimer’s Disease 77 ( 3.0%)Diabetes 71 ( 2.8%)Pnemonia/Influenza 61 ( 2.4%)Other Respiratory 41 ( 1.6%)All Other 407 (16.1%)TOTAL 2,523 (100%)
Immunizations for Children & AdultsImmunizations for children up to 21 years old.Pediatric Immunizations: 6,301Pediatric Physical Exams: 1,456
Crusader Primary Care Clinicat the Winnebago County Health DepartmentPrimary Family Care Clinic three days a weekNumber of People Served: 1,345
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Clinical Services
Women’s HealthGynecological services for women. Breast and Cervicalcancer screening.Breast & Cervical Cancer Screening: 341Pregnancy Tests: 3,095Women’s Health Clients: 11,085Women’s Health Exams: 3,450
Promotes childhood immunizations and women’s health,including cancer screening.
Disease Control
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Sexually Transmitted Diseases:Confidential diagnosis and treatment of sexuallytransmitted diseases.
Total Visits: 3,933
AIDS Education, Counseling and Testing:Anonymous and confidential HIV counseling andtesting, AIDS prevention education
presentations.
Number of HIV Tests: 1,701
TB Care Program:A referral site for skin test positive and active TB Casesin Winnebago County.
Total Number of People Served: 1,192
Ryan White Programs:Case management and assistance for persons with HIV/AIDS, including housing, nutrition, and transportation.
Number of People Served: 340
Refugee Screening Program:Health screening, examination and referrals.
Number of people screened: 400
International Travel Consultations:Education and immunization for those
going to foreign countries.
Number of Immunizations: 1,840
Provides investigation and actions to control communicable diseases.
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Legionaires Disease 1Lyme Disease 5Pertussis 3Rash Illness 0Salmonella 53Tuberculosis 9Gonorrhea 737Chlamydia 1181Syphilis 14Non-gonococcal urethritis 703Cervicitis 468Herpes 73AIDS 20HIV 22
Shigella 16Bacterial Meningitis 5Viral Meningitis 98Blastomycosis 4Campylobacter 35Chicken Pox 189Cryptosporidium 21E Coli 0157 H7 5Giardia 31Group A Strep 18Hepatitis A 18Hepatitis B 8Hepatitis C 2Histoplasmosis 3
Selected Reportable Diseases in Winnebago County
Family Case ManagementFamily support to ensure adequate health care for pregnantwomen and infants through the age of one. Services now pro-vided at S. Beloit: NMA; DHS; Crusader Clinic; Division St.Numbers Served: 7,117 families
Women, Infants, Children(WIC Supplemental Feeding)Numbers Served: 10,610 clientsSupplemental food program for pregnant women, infants andchildren up to five years.Numbers Served: 10,610 clients
LeadScreening, testing, education and follow-up.Numbers Served: 495 lead draw performed
Health Support Service
Prevention InitiativeEarly childhood education for the Rockford School District#205 block grant. It includes funding for intensive casemanagement services through preventative initiative.Numbers Served: 49 families received services (this repre-sents a slight decline from last year due to staff turn-over)
KidCareEnrollment in state health insurance program for children ofeligible families.Numbers Served: 358 applications were initiated for medicalinsurance coverage
Social Work/Mental HealthSupport services for Health Department clients, includingfood and community referrals.Numbers Served: 448 total
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HealthWorksEnsure necessary, quality health care services for fosterchildren in the nine northwest counties of Illinois.Numbers Served: 1,183 children received services
Teen Parent ServicesFully integrated with Family Case Management, to provideteen parents with more intensive case management servicesthat focus on educational achievement.Numbers Served: 286 unduplicated clients received services
Teen Pregnancy Prevention GrantServices to provide primary and secondary pregnancyprevention to local teens.Numbers Served: 1,426 teens received at least 1 session of
Problem PregnancySmoking Cessations program for pregnant women enrolledin WIC.Numbers Served: 571 clients
GeneticsEducation and service referral for the families of childrendiagnosed as having birth defects and genetic disorders.Numbers Served: 458 cleints received a genetics’ screening
Hish-Risk Nursing96% of all APORS referrals received follow-up, face-to-faceservices from Medical Case ManagerNumbers Served: 209 maternal high-risk referrals wereprocessed 2696 HRI/APORS infants were served
Other Health Support Services News:• Over 300 car seats were distributed to Winnebago Countyfamilies• Teen Parent Services received First Place for InnovativeProgramming Award from the Illinois Dept. of Human
Services• WCHD was selected as a site for the “It’s Time” SmokingCessation program which will conclude in this coming year
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Community Health PromotionProvides prevention and screening programs to improve the health of those in our community.
Health Promotion:Promotes health and wellness within our community throughawareness, education, screenings and immunization.Number of screening/immunizations: 32,537
Oral Health:Seeks to reduce the incidence of oral disease througheducation, referrals and preventive dental treatment inschools.Number of people served: 4,632School-based preventative dental treatment includes exams,cleanings, fluoride treatments and dental sealants on incomeeligible children.Number of Sealants: 5,574
Audio-Visual Screening:Provide vision and hearing screenings to all children inpreschools, daycare centers and private and parochialschools. Services detect vision/hearing problems thatotherwise might go undetected.Number of Vision Screenings: 13,000Number of Hearing Screenings: 12,500
Maternal Child Prevention:Provides ATOD, violence prevention and women’s issueseducation to female adolescents in the Winnebago Countyarea.Number of People Served: 2,254
Nurse Consultant:Provide education on all health and safety issues to childcareproviders, families and children in child care settings. Linkfamilies with children in child care settings to appropriatecommunity resources.Number of Technical Assists: 104
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Teens Against Tobacco Use (TATU), Life SkillTraining, Freedom From Smoking:Focuses on increasing youth awareness about the dangersof any form of tobacco use. Freedom From Smoking uses apositive behavior change approach that teaches theparticipant how to become a non-smoker.Number of TATU Students Served / Freedom FromSmoking Participants: 4,180*Life Skills Training began late September of 2001
Not on Tobacco (NOT):Provides teens the opportunity to participate in a school-based, voluntary cessation support program. The programsare designed to help high school student stop smoking,reduce the number of cigarettes smoked, increase healthylifestyle behaviors and improve life management skills.Number of Students Served: 48
Violence Prevention Collaborative:Composed of over 75 members, from the community, socialservice agencies, media, grassroots organizations, churches
law enforcement, health care, public housing, educationand judicial sectors of the community.Number of People Served: 1,063Number of Printed Materials Handed Out: 5,000
Black Male Health:The program provides educational information to blackmales regarding lifestyle changes to reduce health risks.Black males rank last in life expectancy and experienceelevated morbidity and mortality.Number of People Served: 330
Violence Prevention:Increases community awareness of violence as a publichealth issue and establishes a mentoring program foridentified at-risk youth.Many high-risk youth lack positiverole models and do not value school. As a result, there is alack of support and educational readiness for schoolsuccess.Total People Served: 5,646
Environmental Health
Inspect, investigate and monitor issues regardingwater, food, lead safety and nuisance control.
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Neighborhood EnvironmentalRegulation of hotels and motels, pest control and nuisanceresolution. Compliance with minimum housing health codes,lead paint inspections and education home health hazards.Number of Inspections:18,254
LaboratoryLaboratory testing for Health Department Divisions,municipalities and the general public. Major testing includeswater and pollen counts.Number of Environmental Tests: 9,437Number of RPR (STD tests): 3,419
Public Facilities SanitationPlan review, inspection and regulation of food establish-ments, tanning facilities and public pools. Sanitariansperform routine food establishment inspections as well asinvestigate complaints about incidents of possible food borneillnesses.Number of Inspections: 6,872
Pollution ControlIssue and inspect septic systems, test water wells, monitorair, groundwtaer and land quality. Periodically evaluate andupdate septic codes as needed. Participate with IDPH, IEPAand USEPA on environmental quality and compliance issues.Number of Tests: 2,862
Operations
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Vital Statistics
Births: Deaths:Births in Winnebago County 4,884 Deaths in Winnebago County 2,803Births to Winnebago County Residents 3,818 Deaths of Winnebago County Residents 2,297Birth Certificates Issued 3,352 Death Certificates Issued 2,381
Certificates:
Birth and death certificates and burial permits forresidents of Winnebago County.
Records
Provide centralized administration of health recordsand coordinate information services.
Provides birth and death certificates and centralized administration of health records.
2001 Winnebago County Health Department Highlights
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2001 Winnebago County Health Department Highlights• Crusader Clinic expanded a Primary Care Clinic three days a week at the Health Department.• The Department received a Bioterrorism Preparedness Planning Grant.• Teenz247 Anti-Smoking Website was launched.• The Women’s Health Division expanded the Breast & Cervical Screening Cancer Clinic.• The Winnebago County Health Department coordinated the 1st Annual Earth Fest.• The Health Department is expanding case management and WIC services to the DHS office and Crusader Clinic.• Adolescent Health Services received First Place for Innovative Programming award from the Illinois Department of Human Services.• Successfully contained outbreaks of Viral Meningitis, Cryptosporidium and Hepatitis A.• Awarded IDHS Grant to initiate School-Based Health Center in the Rockford School District #205.• Hired Black Health Coordinator to bring more focus to health disparities.• 93.55% of WIC children, up to age 2, are immunized; up from 89% in 2000.• Childhood Immunizations are now available on a full-time basis at Division Street location.• 300 Car Seats were given to Winnebago County families through Health Support Services Divison.
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Winnebago County Health Department Map
