Bronx Community Health Dashboard: Influenza (Flu)

Transcription

1 Bronx Community Health Dashboard: Influenza (Flu) Last Updated: 1/24/218 See last slide for more information about this project. 1

2 215 deaths Flu/pneumonia is the 3 rd leading cause of death in Bronx 2,5 2,583 2, 1,977 1,5 1, Heart disease Cancer Influenza & pneumonia Chronic lower respiratory disease Diabetes Stroke 2 Data source: New York City Mortality Data (EpiQuery), 215.

3 3 Flu Vaccination

4 Age-adjusted percent receiving flu vaccine in the last 12 months Bronx adults are more likely to report getting a flu vaccination in the prior year 6 Bronx Excluding the Bronx Data source: New York City Community Health Survey,

5 Age-adjusted percent receiving flu vaccine in the last 12 months Bronx neighborhood with the highest flu vaccination rate is Kingsbridge 11 Kingsbridge 12 NE Bronx 13 Fordham-Bronx Pk 14 Pelham-Throgs Neck 15/16/17 South Bronx Data source: New York City Community Health Survey, 216.

6 Age-adjusted percent receiving flu vaccine in the last 12 months Bronx has the second highest flu vaccination rate. In the Bronx, older adults, females, and Hispanics have the highest flu vaccination rates Bronx only Data source: New York City Community Health Survey, 216. Age specific rates not age-adjusted.

7 Age-adjusted percent receiving flu vaccine in the last 12 months Flu vaccination coverage does not vary dramatically by education, though individuals with high (but not the highest) incomes are least likely to have been vaccinated Less than high school High school Some college College graduate Lowest household income Low household income Medium household income High household income Highest household income 7 Data source: New York City Community Health Survey, 216.

8 Age-adjusted percent receiving flu vaccine in the last 12 months NYC adults with health insurance coverage have a higher flu vaccination rate Yes Health insurance coverage No 8 Data source: New York City Community Health Survey, 216.

9 Emergency Department (ED) Visits for Influenza-Like Illness (ILI) ILI is based on chief complaints made by the patient and is not based on laboratory diagnosis. NYC Syndromic Surveillance System captures data on ED visits from all 53 EDs in NYC. 9

10 Rate of ILI ED visits per 1, ED visits for ILI are highest in the Bronx Bronx Brooklyn Manhattan Queens Staten Island 1 Data source: New York City Syndromic Surveillance Data, 1/1/216-4/3/217. Analysis by Montefiore OCPH. 216 population estimates are from Census. Data are not age-adjusted.

11 Rate of ILI ED visits per 1, ED visits for ILI has remained highest in the Bronx for the past 11 flu seasons 1,4 Bronx Brooklyn Manhattan Queens Staten Island 1,2 1, Data source: New York City Syndromic Surveillance Data, 1/1/26-4/3/217. Analysis by Montefiore OCPH. 216 population estimates are from Census.

12 Rate of ILI ED visits per 1, In the Bronx, ED visits for ILI are highest for children ages -4 5, 5,257 4,5 4, 3,5 3, 2,5 2, 1,5 1,619 1, Age Groups 12 Data source: New York City Syndromic Surveillance Data, 1/1/216-4/3/217. Analysis by Montefiore OCPH. 216 population estimates are from Census.

13 South Bronx has the highest ILI visit rate in NYC 13 Data source: New York City Syndromic Surveillance Data, 1/1/216-4/3/217. Analysis by Montefiore OCPH. 216 population estimates are from Census. Blank ZIP Codes have no visits or too few visits to calculate reliable rate.

14 Laboratory-Confirmed Influenza 14

15 Age-adjusted rate of laboratory confirmed influenza per 1, population Since 29 rates of laboratory confirmed influenza have consistently been higher in the Bronx as compared to the rest of NYC 45 Bronx Brooklyn Manhattan Queens Staten Island Increase may pick up increased use of laboratory test and does not indicate that flu is more common. Data are best used to compare boroughs to each other Data source: New York City EpiQuery: Communicable Disease Surveillance Data,

16 In the Bronx, the neighborhood with the highest rate of laboratory confirmed influenza is Northeast Bronx Age-adjusted rate of laboratory confirmed influenza per 1, population Northeast Bronx (12) Fordham - Bronx Park (13) Pelham - Throgs Neck (14) Crotona - Tremont (15) Hunts Point - Mott Haven (17) High Bridge - Morrisania (16) Kingsbridge - Riverdale (11) 16 Data source: New York City EpiQuery: Communicable Disease Surveillance Data, 216.

17 17 Mortality from Influenza and Pneumonia

18 Age-adjusted mortality rate from influenza and pneumonia per 1, Age-adjusted mortality rate from influenza and pneumonia per 1, in 215 Generally, influenza/pneumonia mortality in the Bronx has been higher than the rest of NYC and the US overall 5 U.S. overall Bronx NYC, excluding the Bronx Bx Bk Q M SI 18 Data source: Underlying Cause of Death,

19 Age-adjusted mortality rate from influenza and pneumonia per 1, Males have a higher mortality rate from influenza and pneumonia in the Bronx than females 6 Male Female 6 Hispanic NHB NHW Data source: Underlying Cause of Death,

20 Age-adjusted mortality rate from influenza and pneumonia per 1, Within the Bronx, Hunts Point has the highest mortality rate from influenza and pneumonia Data source: NYC Community District Data (EpiQuery), 215.

21 About the Community Health Dashboard Project The goal of the project is to provide Bronx-specific data on risk factors and health outcomes with an emphasis on presenting data on trends, socio-demographic differences (e.g., by age, sex, race/ethnicity, etc.) and sub-county/neighborhood level data Data will be periodically updated as new data becomes available. Produced by Montefiore s Office of Community & Population Health using publicly-available data sources For more information please contact Colin Rehm, PhD, Manager of Research & Evaluation (crehm@montefiore.org). 21