Miami-Dade County: A Case Study

With that said, the Colorectal Cancer Prevention Campaign program’ s intention is to use its opportunities to positively change this weakness. For example, using the SWOT findings, the conclusion is that the organization identified some weaknesses such as the low education level affecting most of the population, and a lack of understanding which caused a lack of motivation to participate in colorectal cancer screening. With that said, the organization’s intention is to use this opportunity to educate the community on the issue while collaborating with the Department of Health to provide resources to help with this objective. Afterword, the organization intends to use the positive outcomes such as increase early detection and decrease cost for treatment to get the attention of other stakeholders such as insurance companies and policy

Since 1980, the United States has taken on 10-year plans that outline certain key national health objectives set to be accomplished during a 10-year timeframe (Shi & Singh, 2015). These initiatives are founded on medical care with prevention services, health promotion, education, community health care, and increased access to integrated services. The initiative, Healthy People 2010: Healthy People in Healthy Communities, launched in 2000. The initiative emphasizes the role of community partners such as

Through REACH, CDC supports awardee partners that will establish community-based programs and culturally-tailored interventions serving African Americans, American Indians, Hispanics/Latinos, Asian Americans, Alaska Natives, and Pacific Islanders. Interventions focus on proper nutrition, physical activity, tobacco use and exposure, and chronic disease prevention, risk reduction and management opportunities. Additionally, awardees will address health disparities in heart disease, diabetes, and infant health. The intent of REACH is to build an evidence base that supports community-centered approaches to reducing or eliminating health disparities. (REACH 2014 Awardees, para.

In an approach to health promotion and the prevention of diseases that affect the Hispanic community disproportionately we can look at prevention in 3 levels, primary, secondary and tertiary. Primary prevention would be preventing a disease or injury before it occurs. This could be done with the use of education and legislation on safety and health practices. Secondary prevention would be reducing the impact of the disease or injury that has occurred. This could be accomplished by early detection and health screenings. Lastly the tertiary prevention would be used to alleviate the impact of ongoing illness or an injury that has lasting effects. This would be accomplished by helping to manage chronic and complex diseases/conditions and permanent disabilities. This would help improve quality of life and life expectancy. One condition, while not a leading cause of death, but on the rise in the Hispanic community is the high incidence of HIV. The incidence rate is 3 time higher for Hispanics than white Americans. In 2013 the HIV rate in Hispanics counted as 23% of all new infections. Hispanic males were 85% of these new infections. ("CDC," 2015)

Miami Dade College, as many other educational institutions in the country, has an international presence. More than 1,000 out of its 170,000 students represent different countries and speak 41 different languages. Among the different international affiliations, Miami Dade is a member of the Community College Initiative Program, which provides citizens from other countries the opportunity to study at a college in the United States. The program helps students develop their leadership and professional skills, and proficiency in English.

In order to address the health needs of Hispanics we need to look at the neighborhoods that they predominantly reside in. The CDC points out that Hispanics are more likely to live in areas that don’t

“CDC has reported previously on geographic trends and health disparities related to heart disease mortality in Women and Heart Disease: An Atlas of Racial and Ethnic Disparities in Mortality (2000) and Men and Heart Disease: An Atlas of Racial and Ethnic Disparities in Mortality (2001). The Atlas of Heart Disease Hospitalizations Among Medicare Beneficiaries is the first publication to document geographic and racial disparities in heart disease hospitalizations” (CDC, 2013).

Amy Wilson-Stronks, M.P.P., Project Director, Health Disparities, Division of Quality Measurement and Research, The Joint Commission. Paul Schyve, M.D., Senior Vice President, The Joint Commission Christina L. Cordero, Ph.D., M.P.H., Associate Project Director, Division of Standards and Survey Methods, The Joint Commission Isa Rodriguez, Project Coordinator, Division of Quality Measurement and Research, The Joint Commission Mara Youdelman, J.D., L.L.M., Senior Attorney, National Health Law Program

Through the years, Miami’s population seems to be growing fast and it is shown through the increase of development in apartment buildings and expansion of neighborhoods that were once rural areas. According to the Suburban Stats website (2016 and 2015), currently the total population in Miami is 2,496,435. Majority of Miami’s population are whites who account for 1,841,887, Native Hawaiian’s came out to be the minority totaling 126 and Hispanic’s resulted in a total of 1,623,859.

The U.S. Census Bureau currently projects the U.S. population to increase from 319 million to 417 million people between 2014 and 2016.1 Currently, the U.S. Census Bureau’s 2014 National Projections Report has put an emphasis on the rapid growth of the American population due to two factors; change in age structure and the shift of racial and ethnic compositions of the population.1 With a significant growth in the American population, health disparities in regards to race, ethnicity, gender, income and geographical location have risen tremendously, further creating a gap of health literacy.4 This gap in health literacy has created many potential problems in adequate

However, the Kansas Health Institute (2015) along with the Robert Wood Johnson Foundation and the Kansas Health Foundation in the development of an action plan, the Kansas Turning Point project, to address the health disparities in Kansas. The action plan addresses the important factors of (1). Encourage better and more consistent data, (2). Monitor health conditions, (3). Develop minority-targeted health programs, (4). Improve the workforce, (5). Establish an office of minority health, (6). Build accountability, (7). Support communities (Kansas Health Institute,

The setting is a community health center at the St. Joseph Health Center in Jamaica Queens, New York. This is a community health center in a low income area of New York. The center deals with all types of patients from expectant mothers to the elderly. They offer a range of services for low income families and individuals without insurance. The doctors are volunteers, and the staff is committed to disease prevention and awareness. They periodically arrange a health fair to reach out to patients who may otherwise not see a physician for the entire year.

Alachua County is located in North Florida and is the 23rd most populated county out of 67 counties. The 2010 United States Census [BLANK] that there were approximately 247,336 individuals living in Alachua County made up of 100,516 households and 53,500 families. The average household size is 2.32 while the average family size was approximately 2.91. Whites are the predominant ethnic group making up 63 percent of Alachua County while African Americans account for 19.8 percent of the population and Hispanics account for 8.8 percent of the population. About 8.4 percent of the remaining population is made up of Native Americans, Asian/Pacific Islanders, and other races.

There are many health disparities that exist among the Hispanic population. Many of these are chronic conditions that affect the population. Obesity is one of the many examples of conditions that have increased for the Hispanic population. The CDC (2014) states, “The prevalence of obesity among female Mexican American adults during 2007–2010 was larger than the prevalence among female white, non-Hispanic adults during the same years” (p. 1). This is one of the many statistics that show an example of a health disparity in the Hispanic population. Another example of a problem that is prevalent in the Hispanic community is the health promotion and screening rates. The CDC (2014) states, “A smaller percentage of Hispanic adults aged 50-75 years reported being up-to-date with colorectal cancer screening in 2010 than their non-Hispanic adult counterparts”

Retrieved from http://www.fao.org/docrep/x0259e/x0259e03.htm Maxwell, S. (2017, August 1). Orphans of an epidemic: Florida's opioid crisis. Retrieved from http://www.orlandosentinel.com/opinion/os-florida-opioid-epidemic-deaths-scott-maxwell-20170731-story.html Riegelman, R. K., & Kirkwood, B. (2015). Communicable Diseases. In Public health 101: Healthy people--healthy populations (2nd ed., pp.