ALLEN COUNTY PROFILE, Allen County, Indiana

OTHER HEALTH INDICATORS

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In this section:
HIV and AIDS
IMMUNIZATIONS
HEALTH INSURANCE COVERAGE
SEXUALLY TRANSMITTED DISEASES
TUBERCULOSIS
PRENATAL CARE
now covered in Condition of Children web site at SB6AllenCounty.org.

HIV and AIDS in Allen County
Number of Cases and Deaths:
98
99
00
01
02
03
04
TOTAL HIV/AIDS Reported (Cumulative)
373
407
433
468
499
534
554
AIDS since 1982 (Cumulative)
222
239
256
276
294
320
333
HIV since 1982  (Cumulative)
151
168
177
192
205
214
221
Deaths Reported  (Cumulative)
143
163
172
183
190
201
208

Deaths are reported by county; there is no indication whether that person was a resident of Allen County. Similarly, the number of cases reported by county does not indicate residency.
Persons Living With AIDS in Allen County by Gender, Race/Ethnicity
Male
272
Female
61
 
White
206
Black
100
Hispanic *
20
 
 TOTAL
333

* ISDH reporting apparently does not indicate a race for Hispanics, and identifies Hispanics as separate and distinct from the White or Black races.
Source: Indiana State Department of Health, Quarterly (March) HIV STD Reports



IMMUNIZATIONS in Allen County
Immunization is one of the best means for protection against contagious diseases. While immunizations are not just for children, regulation at this stage is not possible. All states now require proof of immunization or other evidence of immunity against some of these diseases for admission to school, although the requirements do vary from state to state. In Indiana, the Indiana Department of Health has records on the internet detailing what percentage of students have been vaccinated for each school, pre-school, public university, head start program and other similar programs. The Indiana State Department of Health provides information by school corporation for immunization statistics. The Allen County School Districts report is available. As of June, 2006, the data from 2002 was the most recent data reported by schools on this site. For other information, the general immunization link to ISDH is provided in Caveat Box.


HEALTH INSURANCE COVERAGE in Allen County

Numerous studies have associated a lack of health insurance with poorer health and earlier death, as well as delayed and inadequate medical care.

The cost of health care services is often a barrier to the accessibility of health care, and this can be a factor irregardless of whether a person has health care insurance. Three fourths of persons in the United States in 1994 who had difficulties paying their medical bills had some type of health insurance (See Source 1.). Studies investigating insurance availability often are able to characterize those who have insurance and those who do not, but characterizing affordability among persons who are under-insured is limited, and so the true issue of health care affordability remains unresolved.

In Allen County, Parkview Health has commissioned a health assessment survey for the four county area of Allen, Huntington, Noble, and Whitley, due to be released in September. The preliminary release finds that 19.4% of those surveyed were uninsured, and this was alarming since a similar survey done in 2001 had the percent of uninsured at 11.3%. A similar survey done in Indianapolis in 2002 showed 13.7% uninsured, and the national percentage for uninsured is 15.2%. (See Source 2.). The study done for Parkview was based on a phone survey, and since households without telephones generally have lower incomes than those with telephones, the percentage of those uninsured may be underestimated. Also, a 1995 report by the CDC (See Source 3.) calculated that the number of those underinsured was approximately half that of those uninsured. If this ratio is still applicable, then almost one third of the local residents are without adequate insurance (19.4% not insured plus approximately one half that amount with insurance that results in an "underinsured" situation).

A link to the the full 176 (powerpoint) slide presentation.



SEXUALLY TRANSMITTED DISEASES in Allen County
Provisional Data for 2005
Allen County: Number of Cases
Rate per 100,000 Population
Indiana: Number of Cases
Rate per 100,000 Population
Chlamydia
1,719
499.7
20,183
321.8
Gonorrhea
705
204.9
8,166
130.2
Syphilis
7
2.03
69
1.1
Source: Indiana State Dept of Health
DATA on STDs:
Statistically, Chlamydia is more prevalent among females (approximately 75% of the cases involve females), gonorrhea cases are almost split evenly between male and female, and the syphilis cases are primarily male (60-80%).
Approximately 40 percent of the chlamydia cases are whites, and another 40 percent are of the black race (with 10-20 percent unknown race). In the last 2 years (2004-05), 60-64 percent of the gonorrhea cases have been black, with the remainder being primarily white or unknown.
STDs have been diagnosed in children younger than 14 (approximately 1 percent of all cases of gonorrhea and chlamydia). It gets worse- 37 percent of all chlamydia patients are in the 15-19 age group, and 27 percent of all gonorrhea patients are in this age group. See the Condition of Children web site for the age breakdown of these STDs.


TUBERCULOSIS in Allen County
Allen County
Rate Per 100,000 Population
State of Indiana
Rate Per 100,000 Population
2000
10
3.0
145
2.4
2001
9
2.7
115
1.9
2002
10
3.0
128
2.1
2003
16
4.7
143
2.3
2004
22
6.4
124
2.1
Source: Indiana State Dept of Health
The number of tuberculosis cases in Indiana has declined from approximately 2,000 in 1956 to 124 in 2004. The percentage of deaths due to TB has also declined. Credit is given to chemotherapy as reducing the number of deaths. In 1996-2000, an average if 19 Hoosiers died per year due to TB. The ratio of deaths to new annual cases has ranged from 15.2 percent to 7.8 percent since 2000.

Allen County was considered to have outbreaks of TB in 2003 and 2004.



Definitions: HIV and AIDS definitions from KnowHIVAIDS, A Viacom Global Public Education Initiative

HIV(Human Immunodeficiency Virus) is the virus that causes AIDS (Acquired Immunodeficiency Syndrome). HIV harms the body's immune system by attacking certain kinds of cells known as helper T cells or CD4 cells, which defend the body against illness. These cells are attacked by the virus and the body becomes unable to defend itself against certain cancers, viruses, bacteria, or parasites. If left untreated, HIV can lead to AIDS and death.
AIDS (Acquired Immunodeficiency Syndrome) occurs when an individual's immune system is weakened by HIV to the point where they develop any number of diseases or cancers. People who haven't had one of these diseases or cancers, but whose immune system is shown by a laboratory test to be severely damaged are also considered to have progressed to an AIDS diagnosis.
TUBERCULOSIS: an aiborne disease caused by a group of bacteria. TB usually affects the lungs, but can affect other parts of the body. Some individuals can become infected but do not become ill. This group cannot transmit the infection to others.
Sources: Aids Link to Indiana State Department of Health; General Immunization Link to ISDH
(1)Blendeon RJ et all, Paying medical bills in the United States. JAMA 1994;271:949-51.
(2) Health Insurance Coverage in the United States: 2002; Current Population Reports, US Census Bureau. Sept 2003.
(3) State-Specific Prevalence Estimates of Uninsured and Underinsured Persons



Data Release Dates:

To access the spreadsheet file (microsoft excel) containing this data, click here.

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