Running head: EFOLIO 1
eFolio- Essential VII
Julie Miller
Frostburg State University
EFOLIO 2
eFolio- Essential VIII
Baccalaureate Essential VII, Clinical Prevention and Population health, examines the role
of the Baccalaureate prepared nurse in the context of population-focused nursing.
Populationfocused nursing involves identifying determinants of health, prioritizing
primary prevention when possible, actively identifying and reaching out to those who
might benefit from a service, and using available resources to assure best overall
improvement in the health of the population (ANA, 2007).
The nursing process plays a critical role in Population heath, and all of the elements of the
nursing process such as assessment, planning and implementation rely on collaboration with the
community and other healthcare workers and agencies. An in-depth assessment of the population
of interest is necessary to provide appropriate, evidence-based interventions, and also to respond
to disasters or emergency situations.
Exemplar
In the Population-Based Nursing Practice class in the RN to BSN program, the
assignment that best reflects clinical prevention and population health was the community health
assessment (Appendix A). This assessment required the use of information technologies to
acquire accurate, current data on the chosen community. A “Windshield Survey” was also done
by driving through the community and inspecting the physical environment, such as the
condition of homes, sidewalks and streets in the area. The Windshield Survey provided an
opportunity to observe the residents of the town and their activities. Personal interviews of
community members provided another insight into the community. After completing the
community health assessment, Community Diagnoses and suggested interventions were
developed in conjunction with the Healthy People 2020. This assignment posed a challenge
EFOLIO 3
because it was very time-consuming, but it also made me realize how comprehensive a
community health assessment needs to be in order to accurate and provide interventions that will
meet the needs of the community.
Reflection
The community health assessment reflected many of the key components of Essential
VII. These included: use of technology in population-focused care and use of biostatistics,
population assessment, population-focused interventions, and communicating and sharing
information and the need for appropriate evidence-based interventions (AACN, 2008). In order
to implement interventions, an assessment of community resources, such as health care facilities
and agencies must be done; this allows collaboration with these providers. The core concept of
population nursing is to “Advocate for social justice, including a commitment to the health of
vulnerable populations and elimination of health disparities” (AACN, 2008, p. 25). Only through
a thorough community health assessment, can the nurse recognize the vulnerable members of the
community and act as an advocate for these individuals.
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References
American Association of Colleges of Nursing, (October 20, 2008). The essentials of
baccalaureate education. Washington, DC: Author.
American Nurses Association (2007). Public health nursing: Scope and standards of practice.
Silver Spring, MD: Author.
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Appendix A
Community Health Assessment
Julie Miller
Frostburg State University
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Abstract
A community health assessment is much more than data collection. It is looking at the
community from various aspects and discovering the strengths and needs of the community. A
Windshield Survey is invaluable when performing a community assessment because the
assessment is no longer just about numbers; it is about the residents of the community, the
environment they live in, the challenges presented by the location, and the benefits of living
there. Personal interviews with community members provide another level of insight into the
needs of the community. The nursing process is used when evaluating needs and determining
objectives and interventions that will best meet these needs. The town of Grantsville was the
community I chose to research.
Grantsville is an area rich in history. Daniel Grant purchased the land that is now
Grantsville in 1795. George Washington and General Braddock passed through this area in 1755,
and the Braddock Road was constructed along the same passage. The National Road (Alternate
Route 40) was built along the Braddock Road and was the first federally funded highway in the
United States. The Casselman Bridge, a popular tourist attraction, was built in 1813 and is now a
State Park (Directory, 2013). Grantsville is a lush agricultural area and the town of Grantsville is
home to 766 individuals, as well as a tourist destination for travelers.
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Community Health Assessment
Location
Boundaries and Topography
The town of Grantsville is located in Western Maryland, within the north central aspect
of Garrett County with a Northern Longitude of -79.16 and Latitude of 39.7; it is 0.98 square
miles (United States Census Bureau, 2013). The town of Grantsville is 20 miles west of
Cumberland, MD and 30 miles northeast of Oakland, MD. Grantsville is less than one half mile
west of the Casselman River. Within the town limits, Grantsville’s topography is mildly sloping
with elevation ranges from 2,450 feet at the southwestern aspect of town and 2,220 feet at the
east side of town. Alternate Route 40 (which runs east/west) goes through Grantsville and is
called Main Street within the town. On the west side of town, Route 495 links from Route 40 to
eastern Deep Creek Lake, MD, and Route 669 runs from Alternate Route 40 to Springs,
Pennsylvania (“Town of Grantsville, 2009).
Environmental Controls
Waste Disposal. For a monthly fee to the residents of Grantsville, a private contractor,
through the town of Grantsville, collects trash weekly from town residents and hauls it to a
landfill near Oakland, MD. The residents are not required to recycle. (Town of Grantsville,
2009). Residents also have the option of purchasing a refuse permit for fifty dollars/year. This
allows them to use ay refuse and recycling location in Garrett County; the closest location is
EFOLIO 8
located on Alternate Route 40, less than two miles east of Grantsville. Garrett County residents
are able to recycle at these sites with no charge (“Solid waste and, 2013). To the east of town is a
Waste Water Treatment plant that has a maximum capacity of 600,000 gallons per day; the daily
usage is typically 100,000 gallons. (“Town of Grantsville, 2009).
Water Supply. The town of Grantsville’s water supply comes from four wells and four
springs located west of Grantsville. The town of Grantsville runs the water treatment plant,
which uses chlorination; they also contract with Maryland Environmental Service for backup as
necessary (“Town of Grantsville, 2009).
Air Pollution. The Air Quality index in 2010 was 3.82, which is much better than the
national average of 31.96. The level of Sulfur Dioxide was 2.58 ppb, which is about average;
within the town limits, there are five Sulfur Dioxide monitors. The nearest Carbon Monoxide
monitor is 7.7 miles from Grantsville. The Carbon Monoxide level was measured at 0.161 ppm;
this is less than one-half the national average of 0.334ppm ("Grantsville, Maryland," 2013
Climate. Grantsville receives over 80 inches of snow each year. Snow removal on side
streets is taken care of by the town of Grantsville; Alternate Route 40 (Main Street) is plowed by
State Roads and Garrett County snow removal vehicles (“Town of Grantsville, 2009).
Type of Housing and Overall Condition
According to the U.S. Census Bureau (2007-2011), there are 378 homes in the town of
Grantsville. 202 homes are owner occupied and 176 are renter occupied (USCB, 2013). Sixty-
four percent of those homes are family households. “A family household is composed of persons
related to the householder by birth, marriage, or adoption” (“Town of Grantsville, 2009,
Appendix, p. 16). There are three housing complexes in Grantsville that were developed with
government funding/assistance. These complexes contain 18 to 36 units and house senior,
EFOLIO 9
disabled, and low to moderate-income families. According to the Town of Grantsville
Comprehensive Plan, although the majority of homes were built prior to 1980, they are “well
maintained” with very few exceptions (Town of Grantsville, 2009). This was also noted in the
windshield survey.
Population
Population Profiles
According to the 2010 census, the population of the town of Grantsville, Maryland was
766 ("USCB, 2010)
Age. Of the town population, 25.6% were between the ages of 0-19, 31.9% were between
the ages of 20-44, 22.7% were between the ages of 45-64 and 19.8% were over the age of 64
(USCB, 2010) (Appendix B).
Sex. Males made up 47.1% of the population and females accounted for 52.9% of the
population (USCB, 2010) (Appendix C).
Race/Ethnicity. Of the 766 residents of the town of Grantsville, 98.3% were Caucasian,
0.1% were African American, 0.4% were American Indian and 1.2% identified as two or more
races; there were no Asians or Pacific Islanders listed in the town’s census. Twelve individuals
(1.6%) identified as Hispanic (USCB, 2010) (Appendix D).
The Amish and Mennonite community live in farmland surrounding the town of
Grantsville, and use retail and medical services within the town; they also sell produce and wares
at the Grantsville Farmer’s Market and local tourist shops (“Town of Grantsville, 2009).
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Birth and Death Rates. Birth and death rates were not available for Grantsville, so data
was retrieved from Garrett County statistics. During the time period of 2000-2006, the birth rate
per 1,000 populations was 10.3 and the death rate during the same time frame was 8.3 per 1,000
(“Garrett county, Maryland”, 2013). During the time frame of 2009-2011, the age-adjusted
death rate for heart disease and malignant neoplasms did not differ significantly from the
Maryland average (GCHD, 2013).
Leading Cause of Morbidity and Mortality. Data from Garrett County was used since
none was available from the town of Grantsville, MD. The leading cause of death in 2011 was
malignant neoplasms (31%), followed by heart disease (25%), and chronic lower respiratory
disease (10%) (GCHD, 2013) (Appendix E). In the Status of Health report, issued by the Garrett
County Health Department in 2013, key indicators were identified as priorities in
morbidity/mortality in Garrett County. These issues included: youth and adult tobacco use,
obesity, heart disease, adult influenza vaccine rates, and adults without health insurance (GCHD,
2013).
Population Stability. The population of Grantsville has grown from 619 in the year 2000, to 766
in 2010. In 2000, 53% of Grantsville residents lived in the same home that they resided in in
1995 (“Town of Grantsville, 2009).
Socioeconomic Status
The 2011estimated median household income in Grantsville was $47,814. This is much
lower than the Maryland median estimated income of $70,004 (USCB, 2010). According to
Grantsville’s Comprehensive Plan report, “Grantsville had a higher percentage of the population
below the poverty level (22.2 percent) than Garrett County (9.8 percent) and than Maryland as a
whole (6.1 percent)” (“Town of Grantsville, 2009, p. 21). The number of households receiving
EFOLIO 11
public assistance was 4.1%, which is higher than Garrett County and the state of Maryland
(“Town of Grantsville, 2009).
Occupations. Within the town limits, the Flushing Shirt Company is the number one
employer, followed by Goodwill Nursing Home, Grantsville Elementary School, and the
Casselman Hotel and Restaurant (Directory, 2013). The town of Grantsville has strong
agricultural base, and farms in the surrounding areas supply milk, corn, soybeans, hay and
sunflower seeds (Mast, 2013).
Several businesses, such as the Beitzel Corporation (contracting/fabricators) and
Clayburn Refractory Company are located within five miles of Grantsville; both of these
businesses have over 100 employees. A 110-acre industrial park located less than one mile from
Grantsville. This industrial park houses six businesses like New England Truss Company and
Closet Maid (Garrett County Chamber of Commerce, 2013).
Employment Level. Education and health care are the top occupations of the residents of
the town of Grantsville, followed by retail, construction, and accommodation and food service.
The majority (79.5%) of workers receive private wage/salaries, 14.4% are government workers,
and 6.3% are self-employed (USCB, 2010) (Appendix F).
Educational Status. Of the Grantsville population over 25 years of age, 6.5% have less
than a ninth grade education, 10.8% have a ninth to twelfth grade education with no diploma,
32.5% have a high school diploma, 18.3% have had some college, and 31.9% have a college
degree (USCB, 2010) (Appendix G).
Social System
Adequacy of Facilities
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Educational. Grantsville Elementary School has 220 students (kindergarten through fifth
grade) with an average of 10.5 students per teacher. Of these students, 99% are Caucasian and
1% identify as two or more races. The third grade math scores were 87%, which is 1% below the
state average and reading scores were 90%, which was 5% above the state average. Seventy-five
percent of the students are eligible for free or reduced lunch (“Grantsville elementary,” 2013).
Grantsville Elementary received a seven out of ten rating from “Great Schools” ("Grantsville
elementary school," 2013).
Middle and high school students travel by bus to Northern Middle and High School in
Accident, Maryland, which is 15 miles from Grantsville. There are four colleges/universities less
than 45 miles from Grantsville: Frostburg State University, Allegany College of Maryland,
Garrett Community College (GCC) and West Virginia University (Grantsville, Maryland, 2013).
GCC has a Northern Outreach Center in Grantsville that provides non-credit courses (Garrett
Community College, 2013).
Recreational. The town of Grantsville has a park consisting of several pavilions, a stage,
four basketball courts, four tennis courts, two softball fields, an oval path for walking/running,
two children’s playgrounds, and restroom facilities. This was noted during the windshield
survey. The park is open year round, but is utilized by the community from May to August.
During this time, the community hosts events such as concerts, Grantsville Days, the Western
Maryland Truck Show, Farmer’s Market, and the circus (Directory, 2013). The town of
Grantsville maintains the park (“Town of Grantsville, 2009).
Grantsville Elementary is the only facility in the town of Grantsville that is available for
indoor recreational activities. There is an athletic field at Grantsville Elementary School that can
be used for sporting events (“Town of Grantsville, 2009).
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New Germany State Park is five miles south of Grantsville and Big Run State
Park is 16 miles from Grantsville. The Casselman River Bridge State Park is a local tourist
attraction and is located east of Grantsville. The Deep Creek Lake area is 20 miles from
Grantsville (Directory, 2013).
Religious Resources. There are three churches within the town of Grantsville: one
Lutheran church, one Assembly of God church and one nondenominational church. In Garrett
County, the Christ Lutheran Church in Oakland, Maryland distributes clothing through the
House of Hope, and St. Ann’s Catholic Church (one mile west of Grantsville) serves as a
countywide food distribution center for the Catholic Charities. The Lighthouse World Outreach
Center, located one mile south of Grantsville, also collects and distributes food to needy families
in the area (Calis, 2013).
Service Clubs. The Lions Club is an active organization in Grantsville and meets twice a
month. They fundraise throughout the year and support local projects such as college
scholarships and providing funds for eye examinations, eye glasses (“Grantsville lions club,”
2013).
Daycare. There are no licensed daycare providers within the town of Grantsville, but
there are two providers within five miles (Child Care Center US, 2013).
Adequacy of Provisions
Transportation. The Garrett Transit Service serves Grantsville. This is a “demand-
response” system that requires several days’ notice. There are no fixed routes and charges for
transport are based on distance. Senior citizens, handicapped individuals and youth under the age
of twelve receive a reduced fare. The nearest Greyhound bus station is in Hagerstown, Maryland
(70 miles), and the closest taxi service is in Cumberland, MD (23 miles) (“Town of Grantsville,
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2009). The Bay Runner Shuttle provides transport for a fee to Baltimore bus, Amtrak and BWI
airport. The shuttle service runs daily from the Pilot Travel Center, which is less than three miles
from the town of Grantsville. Charter services are also available through Bay Runner Shuttle
(“Bay Runner Shuttle, 2013).
Safety. The Garrett County Sherriff’s Department and the Maryland State Police provide
Law enforcement for the town of Grantsville depending on the nature on an incident and the
proximity of a responding officer(s). A sheriff’s deputy patrols Grantsville when on duty and the
Maryland State Police patrol interstate 68 (“Town of Grantsville, 2009).
Grantsville has a Volunteer Fire Department that has approximately 50 members who
respond from their homes or places of work. “The company maintains two engines and a brush
truck, two tankers that each carries 1,600 gallons of water, and a heavy-duty rescue vehicle”
(“Town of Grantsville, 2009, p. 28).
The Northern County Rescue Squad is located in the town of Grantsville and has 60-70
volunteer members. Many of these volunteers have their emergency medical technician
certification and several are paramedics. From 6 p.m. to 6 a.m., the rescue squad has assigned
crews; from 6 a.m. to 6 p.m., volunteers respond from their homes or places of work.
Adequacy of Services and Providers
Healthcare Services. An Outreach Center of the Garrett County Health Department is
located on the west side of town. The Outreach Center provides services such as WIC, mental
health, and addiction services. The Garrett County Department of Social Services is located
within the same building. Although there is a full-time receptionist, services are rendered on a
part-time basis (“Town of Grantsville, 2009).
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A senior center is located near the park and provides hot meals on site Tuesday through
Thursday; the center workers also provide “Meals on Wheels” Tuesday through Thursday. When
schools are cancelled due to inclement weather, the senior center is also closed. The senior center
provides crafts, quilting, exercise classes, entertainment and demonstrations (Durst, Director of
Garrett County Senior Centers, 2013).
Healthcare Facilities. Within the town of Grantsville, there is a satellite laboratory of
Western Maryland Health System located on Main Street in the Casselman Ventures Building.
Goodwill Retirement Community in Grantsville offers retirement homes, assisted living and a
107 bed skilled nursing home (Directory, 2013).
Healthcare Providers. Dr. Robin Bissell, M.D. has an office in the Grantsville Medical
Center. She provides same day appointments for acute and chronic care needs. Her office is open
Monday through Thursday. Dr. Terry Dornburg, D.D.S., provides family dentistry Monday
through Thursday; he is also located at the Grantsville Medical Center. Dr. Ronald Gillum, DC is
a chiropractor that practices on a part-time basis in Grantsville. Medical Rehabilitation Systems
is located four miles west of Grantsville and provides physical therapy services Monday through
Friday (Directory, 2013). Grantsville has two hospitals within a 30-mile radius; Western
Maryland Hospital to the east and Garrett Memorial Hospital to the south. To the west of
Grantsville, West Virginia University Health Systems and Mon General Hospital are less than an
hours drive (Garrett County Chamber of Commerce, 2013).
Windshield Survey
A windshield survey was done on October 20, 2013. The town of Grantsville is an
inviting town with a sense of history. Along Main Street, businesses include: a pharmacy, a
barber, two banks, an insurance agency, a liquor store, a hobby shop, an antique store, a
EFOLIO 16
museum, a post office, two convenience stores, a pizza shop, and the Casselman Restaurant and
hotel and an apartment building that also houses a print shop and a needlework shop. Most of the
houses along Main Street appear well maintained, but older. There are sidewalks along both
sides of Main Street that look new and in good shape.
The side streets of Grantsville do not have sidewalks, and individuals walking along the
roads have to walk on the roadway to get around parked cars. Several businesses have hitching
posts for their Amish customers who ride to Grantsville in a horse and buggy.
There are various businesses on the side streets of Grantsville like the Newman Funeral
Home and Car Quest Auto; the library is located on the west side of town. The library is near the
park and is new construction. There are many newly constructed, large homes located near the
library.
The community park appears to be the hub of the neighborhood, with youth and families
using its facilities. In the evening, there were people walking their dogs, playing basketball,
baseball or tennis, and children playing on the playground. Several teens were observed smoking
near the basketball courts. One family was having a picnic meal at one of the pavilions. Three
children were riding bicycles in the park and they were wearing bicycle helmets. Two young
women were walking on the walking path around the park. Several adults in Grantsville
appeared overweight and one child appeared obese. No suspicious activity for drugs was
observed.
Community Health Diagnoses
Diagnosis #1
Increased body fat related to lack of physical activity as evidenced by number of
overweight individuals in the community. This community diagnosis is a top priority because it
EFOLIO 17
affects the entire community, regardless of age, gender or race. Obesity has been recognized as a
national health issue and needs to be addressed at the community level. The Garrett County
Health Department identified obesity as an issue with morbidity and mortality in Garrett County
(GCHD, 2013). Residents in Grantsville have the opportunity to use the park for leisure
activities, but have no recreational facility available in the community. In cold weather months,
when outdoors exercise is difficult, a recreational facility would help address this issue. This
aligns with the Healthy People 2020 objective PA-2.2: “Increase the proportion of adults who
engage in aerobic physical activity of at least moderate intensity for more than 300
minutes/week, or more than 150 minutes/week of vigorous intensity, or an equivalent
combination” (“Physical Activity,” 2013). Healthy People 2020 objectives related to increased
physical activity link to The Community Preventative Services Task Force, which recommends
“enhanced access to places for physical activity.” The task force cited ten studies that showed
decreased body fat in community members who were given access to a recreational facility
(Community Preventative Services Task Force, 2013).
Diagnosis #2
Potential for respiratory illness/disease in adolescents related to smoking as evidenced by
increased number of smoking-related illnesses. A Healthy People 2020 objective is TU-2:
Reduce tobacco use by adolescents (“Tobacco use,” 2013). This diagnosis was identified as the
second priority due to the Garrett County Health Department’s 2013 health status report; tobacco
use was identified as an issue that needs addressed in Garrett County. Also, malignant neoplasms
were the leading cause of death in Garrett County (GCHD, 2013). Community guide
recommendations suggest: “Mass media campaigns are recommended for increasing tobacco use
cessation based on strong evidence of their effectiveness in reducing tobacco use among
EFOLIO 18
adolescents when implemented in combination with tobacco price increases, school-based
education, and other community education programs” (Preventative services: What,” 2013).
Signage in the community promoting healthy behaviors and discouraging tobacco use combined
with anti-smoking education in the school setting and community programming may influence
adolescents in their choices about tobacco use/cessation. The messaging could also be effective
with adults and youth in the community as well.
Diagnosis #3
Decreased physical activity related to lack of sidewalks to safely walk on as evidenced by
few elderly individuals walking in Grantsville. This relates to the Healthy People 2020 objective
PA-1: Reduce the proportion of adults who engage in no leisure-time activity (“Physical
activity,” 2013). This is the third priority community diagnosis because physical activity is
essential to the health and well being of the community, this is especially true in the elderly who
may want to participate in physical activity like walking, but do not feel safe walking on the
road. The Garrett County Health Department’s 2013 status report concluded by saying Garrett
County needs to empower it’s residents to lead a healthy lifestyle (GCHD, 2013). The
Community Guide Recommendations suggest the use of urban design to change the physical
environment, and in turn, promote physical activity (The effectiveness of,” 2013). An example of
this would be putting sidewalks on the side streets of Grantsville. This would not only promote
physical activity, but it would also provide a safer environment for the community.
Conclusion
Grantsville is a thriving community that has seen recent improvements like a new library
and Outreach Center in the town. In spite of a lower socioeconomic status than the Maryland
average, Grantsville is well maintained and has a stable population. This town has strong
EFOLIO 19
community resources such as volunteerism in the fire department and ambulance service,
outreach programs through the Garrett County Health Department, and local churches who
distribute food and clothing to the needy. This sense of community contributes to the health and
well being of Grantsville’s residents and is something to be commended.
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References
Bay runner shuttle. (2013).
Retrieved from https://bayrunnershuttle.com/west/rates_schedules.asp?loc=grantsville
Calis, F, Catholic Charities. (2013, November 6). Interview by J Miller. Local churches and
services provided.
Child Care Center US. (2013). Home and group home daycare in Grantsville, Md.
Retrieved from http://childcarecenter.us/maryland_homecare/grantsville_md_city
Community Preventative Services Task Force. (2013, October 25). Environmental and policy
approaches to increase physical activity: Creation of or enhanced access to places for
physical activity combined with informational outreach activities.
Retrieved from
http://www.thecommunityguide.org/pa/environmental-policy/improvingaccess.html
Directory of the greater Grantsville business association, 2013.
Durst, R, Director of Garrett County Senior Centers. (2013, November 6). Interview by J Miller.
Grantsville Senior Center.
Garrett Community College. (2013). Northern outreach center.
Retrieved from http://www.garrettcollege.edu/getstarted/findaclass/cewd/noc
Garrett County Chamber of Commerce. (2013). Community profile & membership directory.
Cumberland, MD: Alliance Publishing and Marketing, Inc.
Garrett County Health Department. (2013). Status of health 2013.
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Retrieved from website: http://www.garretthealth.org/status of health/status
2013/2013StatusofHealth.pdf
Garrett County, Maryland. (2013).
Retrieved from http://www.city-data.com/county/Garrett_County-MD.html
Grantsville, Maryland. (2013).
Retrieved from http://www.city-data.com/city/Grantsville-Maryland.html
Grantsville elementary. (2013).
Retrieved from
http://www.schoolstats.org/MD/GRANTSVILLEELEMENTARY/240036000668
Grantsville elementary school. (2013).
Retrieved from http://www.greatschools.org/maryland/grantsville/706-Grantsville-
Elementary-School/
Grantsville lions club. (2013).
Retrieved from http://e-clubhouse.org/sites/grantsvillemd/
Maryland Department of Planning, (2009). Town of Grantsville comprehensive plan.
Retrieved from
http://www.grantsvillemd.us/Grantsville Comprehensive Plan 2009.pdf
Mast, B. (2013, October 20). Interview by Miller J. Grantsville agriculture.
Physical activity. (2013, August 28).
Retrieved from
http://www.healthypeople.gov/2020/topicsobjectives2020/objectiveslist.aspx?topicId=33
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Preventive services: What works to promote health? (community guide recommendation. (2013,
March 29).
Retrieved from http://www.healthypeople.gov/2020/topicsobjectives2020/ebr.aspx?
topicId=41
Solid waste and recycling home. (2013).
Retrieved from http://garrettcounty.org/solid-waste-recycling
The effectiveness of urban design and land use and transport policies and practices to increase
physical activity: a systematic review. (community guide recommendation). (2013, March
29).
Retrieved from http://www.healthypeople.gov/2020/topicsobjectives2020/ebr.aspx?
topicId=33
Tobacco use. (2013, August 28).
Retrieved from
http://www.healthypeople.gov/2020/topicsobjectives2020/objectiveslist.aspx?topicId=41
United States Census Bureau. (2013, November 08). Geography: 2013 U.S. gazetteer files.
Retrieved from
http://www2.census.gov/geo/gazetteer/2012_Gazetteer/2012_gaz_place_24.txt
United States Census Bureau. (2010). Community facts.
Retrieved from Town of Grantsville Comprehensive Plan
United States Census Bureau. (2013). Tenure.
Retrieved from http://www.census.gov/easystats/
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Appendix A
EFOLIO 24
Appendix B
0-19
20-44
45-64
64 & over
0 5 10 15 20 25 30 35
Age of Grantsville Population2010
Percent
Age
Appendix C
EFOLIO 25
Male47%
Female53%
Sexes in Grantsville, MD2010
Appendix D
EFOLIO 26
Caucasian African American American Indian 2 or more races0.0
20.0
40.0
60.0
80.0
100.0
120.0
98.3
0.1 0.4 1.2
Races in Grantsville2010
Perc
ent
Appendix E
EFOLIO 27
31%
25%
10%
8%
8%
5%
5%
8%
Causes of Death in Garrett County2011
Malignant neoplasmsHeart diseaseChronic lower respiratory diseaseAlzheimersCerebrovascularDiabetesAccidentsOther
Appendix F
EFOLIO 28
Private wage/salaries Government workers Self-employed0
10
20
30
40
50
60
70
80
90
79.5
14.4
6.3
Employment of Grantsville Residents2010 (over age 25)
Perc
ent
Appendix G
EFOLIO 29
6.50%
10.80%
32.50%
18.30%
31.90%
Education Level of Grantsville Residents 2010
< 9th grade education9th-12th grade education with no diplomaHigh school diplomaSome collegeCollege degree