D224 Final for Task 1 copy copy

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Feb 20, 2024

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1 Colt Beachboard Western Governors University Global and Population Health Marcus Gaut December 12, 2023

2 D224 Task 1: Proposed Population-Based Intervention Bertie County is a rural county in northeastern North Carolina that spans 42 square miles (ECU). According to the U.S. Census Bureau, Bertie County has a population of 17,934, with 20.7% of the subpopulation living in poverty. The number of residents living in poverty is currently above the state average. The races in Bertie County are 60.4 % black, 3% white, 0.9% American Indian, 0.8% Asian, 0.1% Native Hawaiian and other pacific islander, 1.6% two or more races, 2.6% Hispanic Latino, and 1.6% white alone non-Hispanic. The gender percentage in Bertie County is 48.6% female and 51.4% male. Of the population in the county, 4.4% are persons under five years, 16.8% are persons under 18 years, and 25.2% are persons 65 years and over. The median household income is $37,571. The education level for Bertie County is 80.2% high school graduates, and 15% have a bachelor’s degree or higher (U.S). Crime rates for Bertie County are 1,669.0 per 100,000, violent crime 454.6 per 100,000, and property crime is 1,214.3 per 100,000 (Crime). There are 5,170 total working residents in Bertie County, with 1,286 working in government, 3,885 working in private industry, 317 working in agriculture, forestry, fishing, and hunting; 37 working in construction; 2,094 working in manufacturing; 63 working in wholesale trade; 252 working in retail trade; 165 working in transportation and warehousing; 10 working in information; 48 working in finance and insurance; 6 working in real estate and rental

3 and leasing; 27 working in professional technical service; 259 working in administrative waste services; 363 working in educational services; 639 working in health care and social assistance; 184 working in accommodation and food services; and 764 working in public administration (County). Bertie County has public transportation through the Choanoke Public Transportation Authority, which costs $2 per ride. Bertie County has one hospital. Primary care is available through Bertie Rural Health, Cashie Medical Center, and ECU Family Medicine. The ratio of primary care providers to patients is 1:893. Bertie County leads in the state food hardship index and ranked 13 th in infant mortality. Residents within the county currently have access to 5 food pantries and can apply, if eligible, for SNAP benefits and Meals on Wheels. Now, Bertie County is in the lower 25% of the unhealthiest counties in North Carolina. In addition to lower-than- average health rates, 11.9% of residents have no health insurance (Bertie County). A1 Protection from the weather is an environmental concern for Bertie County residents living below the poverty line. The outside temperatures can range from below freezing during the winter months to mid to high 90s during the summer, not including the heat index temperatures. These temperatures pose a risk to poverty-stricken residents due to their limited ability to obtain adequate heating and cooling. With scarce heating and cooling resources, the risk of residents having a heat stroke, hypothermia, or other serious health concerns increases. A2 Residents below the poverty line are at a higher risk than the larger population. For example, seniors and disabled populations living in poverty are at risk for multiple reasons, such as not adequately affording housing, utilities, food, health care, and transportation. Children living below the poverty line are also at risk for physical health and behavioral and emotional problems (Bertie).

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