2. Introduction to Curry County
Geography and Transportation
Population and Demographics

3.  34% of residents live in
remote areas
 Brookings-Harbor area
encompasses 49.7% of
Curry’s population
(11,120)
 Port Orford 0.05%
(1,225)
 Gold Beach, the county
seat, 11% (2,445)
Sixes River

4. 15 10 5 0 5 10
00-04
05-09
10-14
15-19
20-24
25-29
30-34
35-39
40-44
45-49
50-54
55-59
60-64
65-69
70-74
75-79
80-84
85+
Percent of Population
Population Distribution by Age, Curry County vs. Oregon
Oregon
Curry
U.S. Census Bureau, 2010

5. Social Determinants of Health
Education
Employment
Income and Poverty
Housing

6. Social Determinants of Health

7. Percent >25 without a high school
diploma, U.S. Census Bureau, 2010

8.  AMO graduation
rates , 2009-2010
 Total = 67.8%
 AMO graduation
rates, 2011-12
 Total = 59.2%
 Male = 55.2%
 Female = 64.4%

9.  Source: American Community Survey

10. Renter Housing Burden, U.S. Census Bureau,
American Community Survey

11. Manufactured Housing in Curry
 Total households =10,350
 Manufactured homes estimated total = 3,647
 Thus 35.2% of homes in Curry are manufactured
 Oregon’s manufactured home estimate is
approximately 8.5-10%
 Possibility of ~2000 manufactured homes lived in
by residents 50 years or older
Total
Built
before
1980
Built
between
1950-
1969
Built
between
1970-
1982
Built
between
1983-
1999
Built
between
2000-
newer
Blank
Amount of
Homes
2539 1105 256 924 910 434 15
Percentage 44.00% 10% 36% 36% 17%
Privately Owned Manufactured Homes

12. Health Factors and Behaviors
Health Factor Rankings
Physical Environment
Crime
Physical Activity, Obesity, & Built Environment
Tobacco Use

13.  Source: County Health Factor Rankings
Curry County is :
 19 health factors
 15 health behaviors
 10 tobacco use
 30 diet and exercise
 25 alcohol use
 23 socioeconomic
factors
 26 clinical care
 1 physical
environment
(air/water quality
and access to
recreation and
healthy foods)

14. Arthritis Status Compared to Obesity and No Physical
Activity in Oregon Adults
 Obese status in Curry is 29% vs. 24.5% in Oregon
 49.4% of adults met CDC recommendations for physical
activity in Curry County and 37.4% consumed at least five
servings of fruits and vegetables per day (Oregon BRFSS,
2006-2009

15.  In 2009, 24% of Curry adults reported zero leisure
physical activity

16. Tobacco Use
 According to the Oregon Health Authority (Curry
County Tobacco Fact Sheet 2011), over 21 percent
of deaths, or 65 deaths annually, are linked to
tobacco use. 3,302 Curry adults regularly smoke
cigarettes and 1,261 suffer from a serious illness
caused by tobacco use.

17. Preventative Health Screenings
Influenza Vaccination Rates among Health Care Workers,
Oregon, 2008 (Oregon BRFSS)
In past 12
months
Persons who work
in a health care facility
Persons with direct
patient contact
Flu shot
received
51.9% 49.4%
FluMist
received
1 .0% 1.3%
 Immunizations- 41% Pneumonia and Flu Shots
 In 2011, Curry child immunization rates were 12% below
the state average at a rate of 67.7% and 14.3% below the
national average.
 Cholesterol and Colon Cancer Screening- 50% and 62%
 Pap Smears and Mammograms- NA and 64% Medicare
 Diabetic- 86% Medicare

18. Maternal and Child Health
Birth Outcomes
Prenatal Care
Adverse Childhood Experiences
Insurance and Family Supports

19. Maternal and Child Health Stats
 Curry averages 180 live births annually
 Average of 7 LBW babies born annually
 In 2009, 115 of 180 (63%) of pregnant women
accessed 1st trimester care. In 2010, 172 of 180
(95.6%) women received prenatal care in Curry.
 June 2009 - September 2011, Oregon Healthy Kids
enrollment increased from 1,115 to 1,648 children,
(48% of Curry’s children)
 Low-income children = 1,961
 2010, Curry WIC served 53% of pregnant women
and 410 families, 64% from working families

20. Adverse Child Experience (ACE)
 Childhood abuse, physical and emotional neglect,
and family dysfunction

22. Curry County ACEs
Harm Referrals
 23.3% related to domestic violence
 55.8% were related to substance abuse
Foster Care
 Approximately 3% or 89 of 3,296 children were in foster
care in Curry during 2011
Victims by Age
5 years and younger
6 to 12 years
13+ years
Source of Harm
Domestic Violence
Substance Abuse
Other

23. Morbidity and Chronic Disease
Mental and Physical State
Heart Disease
Hypertension
Blood Cholesterol
Arthritis
Diabetes
Asthma

24. Chronic Disease Prevalence, 2008-2011 (*Heart
disease includes angina, heart attack, and stroke)
0
5
10
15
20
25
30
35
High Cholesterol Arthritis High Blood
Pressure
Asthma Diabetes Heart Disease*
Curry County
Oregon

25. Chronic Disease Stats
 18.6% of Curry County residents reported fair or
poor health
 The prevalence of heart attack and angina in Curry
County is higher than Oregon’s but has decreased
since 2004 (6%, 2009)
 >45 jumps to 12%
 High blood pressure decreased in Curry County
from 35% to 25.8% from 2004-2009
 High blood cholesterol has risen 27% to 33%

27.  2006-2009 arthritis prevalence increased from 27.2%
to 34.1%

28. Mortality
Leading Causes of Death
Healthy People 2020
Age and Manner of Death
Years of Potential Life Lost (YPLL)

29. Leading Causes of Death (2005-2009): Crude Death Rates per 100,000
Source: Oregon Department of Human Services and Oregon Office of Rural Health
Brookings Gold Beach Port Orford Curry County Oregon
Cancer 420.2 397.7 436.1 425.1 191.4
Heart Disease 391.0 445.8 383.8 397.6 169.4
Chronic Lower
Respiratory Disease
96.3 107.3 104.7 101.5 48.8
Cerebrovascular
Disease (Stroke)
99.2 87.4 61.1 91.1 51.2
Unintended Injuries 61.3 39.3 95.9 63.6 41.0
Diabetes 43.8 78.7 61.1 54.1 28.4
Alzheimer’s 67.1 21.9 34.9 52.2 32.0
Suicide 35.0 21.9 69.8 35.1 15.3
Alcohol Induced 20.4 30.6 52.3 25.6 13.8
Flu and Pneumonia 29.2 13.1 17.4 24.7 13.5

30. 0
50
100
150
200
250
300
350
400
450
Cerebrovascular
Disease
Heart Disease Cancer
Healthy People 2020 Oregon Curry County
Crude Death Rates per 100,000 utilized by Healthy People 2020
Oregon and Curry 2005-2009 data

31. Age and Manner of Death
1
10
100
1000
10000
100000
CrudeDeath(logarithmicscale)
Age
Crude Death Trends by Age, 2011
Oregon
Curry

32. Premature Death
 Fatalities under 55 years of age are attributable to
unintentional injuries, suicides, and alcohol-
induced death
 Top 3 Oregon Injuries: (#1 cause of death for <45)
1. Falls
2. Poisonings
3. Motor Vehicle Crash Fatalities
 Curry County is similar to Oregon regarding
manner, age, and mechanism of death. Differs in
rates of death. Suicide a concern in Curry County.
(Oregon Injury and Violence Prevention Program, 2011)

34.  In 2009, there were 10 violent deaths reported for Curry
County, all of which were suicides.
Suicide Death Rates per 100,000 by Age and Sex,
Oregon, 2011

35.  Unintentional injuries are #1 cause of death for persons aged
1-44 years in Oregon
 In 2011, there were 18 deaths
Average Unintentional Poisoning Mortality by Age and
Sex, Oregon, 2011

36.  HIV rate of 0.5 per 1000 in 2010
 In 2011, the incidence of Gonorrhea was 4.7 per 100,000
in Curry County, while the incidence of Chlamydia
significantly higher, 156 per 100,000.
 3 cases of Hepatitis B
Oregon STD 10 Year Trends

37. Health Care
OHP Coverage
Dental Coverage
Provider Supply
Hospitals
Preventable Hospitalizations
Unmet Healthcare Needs

38. Insurance Status
Current Month Eligible Clients , August 2011
Health Plan Plus:
TANF, PLMC, AB/AD,
GA, OAA, CHIP, Child
Protective Services,
PLMW
Health Plan
Standard:
Adults/Couples and
Families
Medical Assistance
Other: CAWEM,
QMB, BCCP
Total Medical
Assistance Programs
Curry County 2,769 471 233 3,473
Oregon 526,577 66,782 44,709 638,068
 23% of Curry residents uninsured in 2012
 16.5% of residents eligible for OHP in 2011
 In 2012, there were 587 dually enrolled
individuals in Medicare and Medicaid
 Ready to Smile estimated value of services
provided is $135,945 between September 2011
and May 2012

39. County Docs and Practitioners by County
Curry County, Oregon 2012 Licensure Data, Oregon Office of Rural Health
Certified Nurse Anesthetists 1
Family Practitioner 6.8
General Practitioner 0.8
Internists 5.2
Nurse Practitioners 11
Obstetricians/Gynecologists 1.6
Pediatricians 0
PAs 3
Certified Nurse Midwives 1
Dental Hygienists 8
Dentists 11
Psychiatrists 1.7
RNs 76
General Surgeons 0
Other Surgeons 1

40. Health Care Provider Type Curry County
Numbers
Curry County Ratio Oregon Ratio
Primary Care Physicians 12 1:2124 1:984
Emergency Physicians 0 1:5820
General Surgeons 0 1:10418
Obstetricians/Gynecologists 1 1:10918 1:3386
Physician Assistants 2 1:10670 1:4165
Registered Nurses 87 1:245 1:107
Nurse Practitioners 12 1:1778 1:1956
Nurse Anesthetists-CRNA 1 1:21340 1:12451
Pharmacists 4 1:5335 1:1716
Psychiatrists 3 1:7113 1:6437
Physical Therapists 11 1:1940 1:1593
Dieticians 1 1:21340 1:1614
Dental Hygienists 9 1:2371 1:1614
Dentists 12 1:2041 1:2360
 Provider Ratios 2009-2011 Oregon Office of Rural Health (Combined data)
Sutter numbers not included

41.  Curry County Hospitalizations in Oregon and California, 2010
Hospital Name
Curry
Residents
Brookings/Harbor
Curry General 712 314
Sutter Coast 605 593
Rogue Valley 382 313
Bay Area 335 70
Sacred Heart - Riverbend 113 30
Oregon Health Sciences 80 41
Southern Coos General 75 0
Three Rivers 48 41
All other Oregon 111 76
All other California 92 81
Total Oregon and California
Hospitalizations
2,553 1,559

42. Diagnosis Rollup Conditions or Diseases %
Live Born 9.5
Pneumonia (except that caused by tuberculosis or sexually transmitted
disease) 6.3
Septicemia (except in labor) 5.1
Congestive heart failure; non-hypertensive 4.1
Prolonged pregnancy 2.7
Urinary tract infections 2.7
Gastrointestinal hemorrhage 2.7
Cardiac dysrhythmias 2.3
Alcohol-related mental disorders 2.1
Acute cerebrovascular disease 1.9
Pancreatic disorders (not diabetes) 1.9
Nonspecific chest pain 1.8
Asthma 1.6
Deficiency and other anemia 1.6
Skin and subcutaneous tissue infections 1.5
Curry Resident Conditions Seen at Curry General
and Sutter Coast, 2010
 Source: Hospital Discharge Dataset, 2010

43.  ACSC ratio <1.00 area has lower preventable hospitalization
rate than the state as a whole;
 = 1.00 equals the state's rate;
 > 1.00 above average hospitalization for preventable
conditions.
 The mean ACSC Ratio for rural service areas is 1.27. The
service areas with the largest ratios compared to the state are:
 1. Warm Springs 4.81
 2. Gold Beach 2.41
 3. Reedsport 2.26
 4. Lakeview 2.12
 5. Coos Bay 2.04
 6. Wallowa/Enterprise 2.00
 7. Bandon 1.95
 8. Coquille/Myrtle Point 1.94
 9. Elgin 1.88
Preventable Hospitalizations
2012 Unmet Health Care Need in Rural Oregon Report, ORH

44. Substance Abuse and Mental
Health
Dependence
Motor Vehicle Injuries
Substance Induced Death
Psychological Stress, Youth
Mental Health Service Data

45. 0
200
400
600
800
1000
1200
1400
12-17 years 18-25 years 26 or older
Estimated # of Persons with Alcohol Dependence by Age,
Curry County (National Survey on Drug Use and Health)
2008-2010

46. 0
50
100
150
200
250
300
350
12-17 years 18-25 years 26 or older
Estimated # of Persons with Drug Abuse and Dependence by
Age, Curry County (National Survey on Drug Use and Health)
2008-2010

50. Conclusion & Intervention
• Curry County #1 for natural
environment.
• education
• unemployment
• child poverty
• immunizations
• health care access, quality, &
workforce
• tobacco use
• obesity
• substance abuse
• premature death rates
• High blood cholesterol,
arthritis, asthma, and suicide
are on the rise