LAKE COUNTY, Calif. – A new state health report shows that many of California’s counties are improving their health outcomes, while Lake County was rated worst in the state from overall death rates with poor health showings in other key health categories.
The California Department of Public Health released its “County Health Status Profiles 2013,” coauthored with the California Conference of Local Health Officers, in coordination with National Public Health Week, Apr. 1-7. It’s the 20th anniversary edition of the report, which the state began in 1993.
The report showed that California has achieved important national health goals for reducing deaths due to cancer, motor vehicle crashes, homicide and suicide, and in reducing the incidence of AIDS, gonorrhea and low-birthweight infants.
“These trends point to a healthier California,” said Dr. Ron Chapman, director of the California Department of Public Health. “However, far too many Californians still struggle with chronic diseases related to diet, physical activity and smoking. We all have a stake in building a healthier California.”
Statewide, the new report points to declines in deaths due to heart disease, stroke, breast cancer, prostate cancer, colorectal cancer and reduced incidence of tuberculosis, while identifying increases in deaths due to Alzheimer’s disease and an uptick in the incidence of chlamydia.
The 2013 profiles provides a snapshot of key public health indicators for each of California’s 58 counties and the state and compares them to goals established by the federal “Healthy People 2020 National Objectives.”
The report showed that 56 counties and California met the national goal for AIDS cases and female gonorrhea, with death rates declining for accidents, diabetes and influence/pneumonia.
While Lake was among the 56 counties meeting the goals for AIDS cases, it didn’t fare as well in the other categories.
For Lake County – the health issues of which recently were given low marks in the nationwide County Health Rankings – the new state report pointed to clear problems.
“It is hard to sugar coat our health data,” said Lake County Public Health Officer Dr. Karen Tait.
Based on Tait’s analysis of the latest data, Lake County’s rates have worsened in the areas of death from all causes, for which it ranked last, or No. 58, in the state; as well as stroke (No. 57); chronic lower respiratory disease (No. 56); accidents (No. 57); chlamydia infections (No. 24) and low birthweight infants (No. 32).
Lake County was listed No. 54 for firearms-related deaths, infant mortality and prenatal care begun during the first trimester of pregnancy; No. 55 for coronary heart disease and deaths due to pneumonia and influenza, No. 56 for prostate cancer deaths, motor vehicle crashes and Hispanic infant mortality; No. 57, or next to last, for suicide rate, deaths due to chronic liver disease and cirrhosis; and No. 58 for drug-induced deaths and infant mortality for Asian/Pacific Islanders.
In several ratings areas, the report stated that rates were deemed unreliable due to too few data elements.
Tait pointed out that health issues are very much tied to lifestyle choices and behaviors. “Our smoking rates continue to be high and almost certainly factor strongly into cancer, cardiovascular and respiratory disease rates.”
While Tait said it’s painful to see where the county stands with respect to the data in the new report, she suggested there are important perspectives to consider, among them, trends for improvement.
Areas of improvement, said Tait, included rates for all cancer deaths (No. 52), lung cancer (No. 54), births to teen mothers (No. 47), adequate prenatal care (No. 51) and breastfeeding initiation (No. 39), Tait said.
Citing data from the California Cancer Registry, she said Lake County has experienced overall improvements in both invasive cancer incidence and overall cancer mortality in Lake County since 2005.
“What this may mean is that, even though we are seeing positive changes, we are not making them as fast as other counties in California,” she said.
She said the public health department recognizes that health tends to correlate with socioeconomic factors, “and we recognize that we have our challenges here in Lake County.”
Tait added, “I think it is important to realize that poor health choices are not simply a matter of poor decision-making. It is difficult for people to be motivated toward improving their health when they are struggling and discouraged.”
She explained that socioeconomic burdens are an explanation for poor health, but not an excuse. “There are more hurdles to overcome in order to get motivated to practice healthier behaviors.”
Tait said Lake County has a strong sense of community, and she thinks it’s important for people to provide each other with the encouragement they need to be physically active, eat healthful foods, stop using tobacco and other drugs, and drive defensively.
The Lake County Health Services Department is offering its own encouragement through the “Climb to the Peak of Health” effort, which offers small steps to take in reaching better health. The assessment brochure can be found at http://health.lakecountyca.gov/ .
The new report and the data it provides are expected to have an impact on the update of the Lake County Community Health Needs Assessment, which is now under way, as Lake County News has reported.
The document looks at Lake County’s specific health challenges and priorities. The original assessment, published in October 2010, drew heavily on that year’s county health profile.
Email Elizabeth Larson at This email address is being protected from spambots. You need JavaScript enabled to view it. . Follow her on Twitter, @ERLarson, or Lake County News, @LakeCoNews.
2013 County Health Status Profiles