Community Health Status Assessment Findings

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1 Community Health Status Assessment Findings WePLAN 2020 WePLAN is the Cook County Department of Public Health s community health assessment and community health improvement plan. The following summary presents key findings from the Community Health Status Assessment (CHSA). The purpose of the CHSA is to identify priority community health and quality of life issues. Questions answered include: "How healthy are our residents?" and "What does the health status of our community look like?" The structure for this assessment and the selection of indicators was based on guidance from the National Association of County and City Health Officials CHSA At-A-Glance document and the County Health Rankings. Data were included from a wide variety of sources including vital records from the Illinois Department of Public Health, USA 2000 and 2010 Census, American Community Survey (ACS) , US, IL, Cook, and the SCC Behavioral Risk Factor (BRFSS) and Youth Risk Behavior (YRBS) surveys. Findings: There has been a significant net increase in the overall number of vulnerable populations, including children living in poverty, in Suburban Cook County (SCC). From 2000 to , the number of people living in poverty in SCC increased by 71% (from 156,249 to 267,274 persons). Poverty rates ranged from over 16% in the South district to 6% in the North district. The number of children living in poverty in SCC more than doubled from 2000 to A deplorable one out of every 4 children in the South district lives in poverty compared to 1 out of 10 children in the North district. Although there was very little population growth in Suburban Cook County, the racial/ethnic composition changed drastically. The total minority population increased by over 30%, while the non-hispanic white population decreased by 14%. Hispanics had the largest rate of growth, 46% with the Non-Hispanic African American population increasing by 17%. In 2000, there were more African Americans than Hispanics (340,351 and 318,096 respectively), and by the 2010 Census the Hispanic population (465,897) exceeded the African American population (399,822). Chronic diseases continue to be the leading causes of death in SCC. Coronary Heart disease (CHD) is the second leading cause of death among SCC residents. However the CHD mortality rate is significantly decreasing in SCC and across all districts thanks largely to improved medical care. Cancer is the leading cause of death in SCC with significant disparities. The South district experienced the highest overall age-adjusted cancer mortality rate (213 deaths per 100,000) as well as Non-Hispanic African Americans (207 deaths per 100,000). The age adjusted mortality rate for colorectal cancer for Non-Hispanic African Americans was nearly 70% higher (26.0 per 100,000) than that of Whites (16.0) Similar disparities exist for breast cancer mortality rates among females as well. The age-adjusted female breast cancer mortality rate for the North district (19.1 per 100,000) was 40% smaller than rates for females in the South district (33.2 per 100,000). Stroke (cerebrovascular disease) is the 3 rd leading cause of death in SCC. Stroke mortality for the South district is significantly decreasing since The age-adjusted Diabetes-related mortality rate for Non-hispanic African Americans in SCC (82.0 per 100,000) is more than double that of Whites (37.9 per 100,000) Age-adjusted mortality rate for suicide among Whites (13.9 per 100,000) in SCC is more than double that of Nonhispanic African Americans (5.7 per 100,000). However, for homicides, the age-adjusted mortality rate for Nonhispanic African Americans is 20.4 per 100,000 compared to SCC whites at 1.6 per 100,000. Overall crude birth rates are decreasing in SCC with teen birth rates decreasing for all race/ethnic groups except Asians (with insufficient data). Infant mortality rates for African Americans in SCC (14.7 per 1,000 live births) is significantly higher than that for Whites (3.6 per 1,000) live births. Chronic diseases continue to represent the leading causes of deaths in SCC. Disparities among race/ethnic groups as well as geographical have remained persistent. Page 1 of 1 Community Health System Assessment Fact Sheet 03/29/2016 cookcountypublichealth.org

2 Suburban Cook County Health Data Profile 2016 Community Health Status Assessment

3 Demographics. Poverty. Socioeconomic Status Social Determinants of Health. Risk Behaviors. Mortality. All Cause Coronary Heart Disease All Cancer Colorectal Cancer Lung Cancer Breast Cancer (female only) Prostate Cancer Cerebrovascular Disease Motor Vehicle Accidents Diabetes related Conditions Suicide Homicide

4 Firearm Related Injuries Maternal Child Health Crude Birth Rate Infant Mortality Rate Preterm Births Inadequate Prenatal Care Low Birth Weight Births Teen Births Communicable Diseases Gonorrhea Chlamydia

5 Demographics Between the 2000 and 2010 censuses, there was very little population growth in Suburban Cook County (SCC). The racial/ethnic make up however changed drastically. The age ratios were very similar except over 85 there were more females than males, women out numbered men nearly 3 to 1. Although there was very little population growth in Suburban Cook County, the racial/ethnic composition changed drastically. The total minority population increased by over 30%, while the non Hispanic white population decreased by 14%. Hispanics had the largest rate of growth, 46% with the Non Hispanic African American population increasing by 17%. In 2000, there were more African Americans than Hispanics (340,351 and 318,096 respectively), and by the 2010 Census the Hispanic population (465,897) exceeded the African American population (399,822).

6 Poverty The nuber of persons in poverty in SCC increased by 71% from 2000 to The North and Southwest districts experienced the highest increase (70%) in the number of people in poverty. Across SCC, and even larger increase (88%) occurred in the number of children living in poverty. The number of children living in poverty more than doubled for the North district and increased 88% for children in the South district. Suburban Cook County (SCC) Data Net Change % Net Change Persons In Poverty SCC 156, , , % North 33,656 56,966 23, % West 40,473 63,104 22, % SWest 45,018 76,439 31, % South 21,180 34,175 12, % Children in Poverty SCC 50,463 94,654 44, % North 8,800 18,415 9, % West 13,623 23,381 9, % SWest 18,049 30,289 12, % South 6,634 12,465 5, % Persons Below 200% Poverty SCC 431, , , % North 107, ,796 32, % West 118, ,718 22, % SWest 109, ,986 14, % South 56,100 71,655 15, %

7 Socioeconomic Status Overall the unadjusted median income for SCC increased 12% from $52,482 in 2000 to $58,693 according to the ACS estimate. The medican income increased for all districts except the South wich remained at approximately $48,000. The unemployment rate more than doubled in SCC from 4.8% in 2000 to 10.6% for The unemployment rate doubled as well for all SCC districts The West district experienced the lowest increase (102%) in unemployment with the Southwest district experiencing the largest increase (137%). Overall, the South district had the largest unemployment rate at 16%. The total population of people over 25 without a high school diploma or the equivalent changed very little between the 2000 Census and the ACS. In SCC, the percentage of persons over 25 with a high school diploma was around 26%. The highest percentage of people without high school diplomas were in the Southwest district, over 32% at both time periods.

8 Social Determinants of Health The diversitydatakids.org project and the Kirwan Institute for the Study of Race and Ethnicity (the national leader in community opportunity mapping) have combined their knowledge and experience to construct a first of its kind, neighborhood level Child Opportunity Index for the 100 largest US metropolitan areas. The goal of this work is to create measures of neighborhood based opportunities that children need to develop and lead healthy lives. The Child Opportunity Index is a measure of relative opportunity across all neighborhoods (i.e., census tracts) in a metropolitan area. The index is constructed of 19 individual data indicators across three topical domains: Educational Opportunity, Health and Environmental Opportunity, Social and Economic Opportunity. Dark colors represent healthier areas with more opportunities at the neighborhood level for children whereas lighter colors represent those areas that are less healthy and do not offer many neighborhood based opportunities for children. Every community must prepare for and respond to hazardous events, whether a natural disaster like a tornado or disease outbreak, or a human made event like a harmful chemical spill. A number of factors may weaken a community s ability to prevent human suffering and financial loss in the event of disaster. These factors are known as social vulnerability. The Social Vulnerability Index (SVI) helps emergency response planners and public health officials identify and map the communities that will most likely need support before, during, and after a hazardous event. The SVI uses U.S. Census data to determine the social vulnerability of every Census tract. Census tracts are subdivisions of counties for which the Census collects statistical data.the SVI ranks each tract on 14 social factors, including poverty, lack of vehicle access, and crowded housing, and groups them into four r elated themes: Socioeconomic Status, Household composition, Race/Ethnicity/Language, and Housing/Transportation. Dark colors represent areas of higher vulnerability and lighter colors represent neighborhoods which are less vulnerable.

9 Risk Behaviors Cigarette smoking harms nearly every organ of the body, causes many diseases, and reduces the health of smokers in general. Nationwide, cigarette smoking is responsible for more than 480,000 deaths annually (including deaths from secondhand smoke). Over 1 in 5 adults in Illinois smoke compared to 18% of adults in Illinois and the U.S. However the prevalence of smoking among youth in SCC (12%) is lower than that of youth in Illinois (18%) and the U.S. (19.5%). Regular physical activity can produce long term health benefits. People of all ages, shapes, sizes, and abilities can benefit from being physically active. The more physical activity you do, the greater the health benefits. Over 27% of adults in SCC are physically inactive compared to 22% of adults in Illinois and the United States. As part of a healthy diet, fruit and vegetables can lower risk of stroke, heart disease and some cancers.they are often low in fat, helping you to maintain a healthy weight. Eighty five percent of adults and 77% of youth in SCC do not consume the recommended 5 servings of fruits and vegetables per day. Two out of three adults and one out of three youth in SCC are obese and/or overweight.

10 Mortality Community Health Status Assessment

11 All Cause Mortality What is it? All cause mortality rate is the number of total deaths from any cause per 100,000 people in a population over a certain time period. Why is it important? All cause mortality can assist in monitoring and comparing the health of populations, serve as a proxy for life expectancyi and can be one of several factors used to calculate population size. All cause age adjusted mortality rates declined from to per 100,000 population between 2008 and 2012 for SCC. However, disparities remain with males, and Non hispanic African American populations experiencing the highest rates as well as among populations in the South district. Suburban Cook County (SCC) Data Trend^ REGION SCC * CCDPH North * West SWest South SCC by Race/Ethnicity Asian (NH) * Black (NH) Hispanic White (NH) SCC by Gender Female * Male SCC by Age Groups Under 1 yr yrs yrs yrs yrs yrs yrs ** yrs yrs 1, , , , , yrs 4, , , , ,445.5 * 85 yrs + 13, , , , ,346.2 ^ Significant at p< 0.10 (*), p< 0.05 (**)

12 Higher! Equivalent Lower! Area All Cause Mortality by Town of Residence ` (combined) ID Total # of Age Adjusted rate per Total # of Age Adjusted rate per ID Area Population deaths 100,000 pop Population deaths 100,000 pop 75 Alsip 96, E 112 Lynwood 45, E 1 Arlington Heights 375,412 3, E 55 Lyons 53, E 2 Barrington 28, E 113 Markham 62, E 3 Barrington Hills 10, L 114 Matteson 95, E 4 Bartlett 84, E 57 Maywood 120,160 1, E 76 Bedford Park 2, ,161.1 H 56 McCook~ 1, S 37 Bellwood 95, E 58 Melrose Park 127,279 1, E 39 Berkeley 26, E 87 Merrionette Park 9, E 40 Berwyn 283,549 1, E 115 Midlothian 74, E 77 Blue Island 118, E 19 Morton Grove 116,432 1, E 78 Bridgeview 82, E 20 Mount Prospect 270,625 1, E 41 Broadview 39, E 21 Niles 148,989 2, E 42 Brookfield 94, E 59 Norridge 72,859 1, E 5 Buffalo Grove 68, E 61 North Riverside 33, E 74 Burbank 144,727 1, E 22 Northbrook 165,824 2, E 97 Burnham 21, ,030.0 H 23 Northfield 27, E 43 Burr Ridge 19, E 60 Northlake 61, E 98 Calumet City 185,007 1, E 116 Oak Forest 139,801 1, E 99 Calumet Park 39, E 88 Oak Lawn 283,595 3, E 100 Chicago Heights 151,130 1, E 71 Oak Park 259,325 1, E 79 Chicago Ridge 71, E 117 Olympia Fields 24, E 44 Cicero 419,283 1, E 89 Orland Hills 35, E 101 Country Club Hills 82, E 90 Orland Park 283,466 2, E 45 Countryside 29, E 24 Palatine 343,093 1, E 80 Crestwood 54, E 91 Palos Heights 62, E 7 Des Plaines 291,784 3, E 92 Palos Hills 87, E 102 Dixmoor 18, E 93 Palos Park 24, ,095.0 H 103 Dolton 115, E 118 Park Forest 93, E 104 East Hazel Crest 7, E 25 Park Ridge 187,371 1, E 9 Elgin 120, L 119 Phoenix 9, E 10 Elk Grove Village 165,475 1, E 120 Posen 30, E 70 Elmwood Park 124,363 1, E 26 Prospect Heights 81, E 35 Evanston 372,455 2, E 121 Richton Park 68, E 81 Evergreen Park 99, E 62 River Forest 55, E 105 Flossmoor 47, E 63 River Grove 51, E 106 Ford Heights 13, E 122 Riverdale 67, ,071.2 H 46 Forest Park 70, E 64 Riverside 44, E 73 Forest View~ 3, E 123 Robbins 26, ,072.8 H 47 Franklin Park 91, E 27 Rolling Meadows 120, E 11 Glencoe 43, L 28 Roselle 18, E 12 Glenview 223,745 2, E 65 Rosemont 21, E 107 Glenwood 44, E 125 South Chicago Heights 20, ,100.3 H 13 Golf~ 2, S 124 Sauk Village 52,540 2, E 14 Hanover Park 103, E 29 Schaumburg 371, E 108 Harvey 125,938 1,107 1,032.0 H 66 Schiller Park 58,959 2, E 48 Harwood Heights 43, E 36 Skokie 324, E 109 Hazel Crest 70, E 30 South Barrington 22, E 83 Hickory Hills 70, E 126 South Holland 110,138 1, E 49 Hillside 40, E 127 Steger 20, ,165.5 H 50 Hinsdale 11, L 72 Stickney 33, E 51 Hodgkins 9, E 67 Stone Park 24, E 15 Hoffman Estates 259,715 1, E 31 Streamwood 199, E 84 Hometown 21, E 94 Summit 55, E 110 Homewood 96, E 128 Thornton 11, E 52 Indian Head Park 19, E 129 Tinley Park 246,515 2, E 16 Inverness 37, L 68 Westchester 83,579 1, E 85 Justice 64, ,067.6 H 69 Western Springs 64, E 17 Kenilworth 12, L 32 Wheeling 188,525 1, E 53 La Grange 77, E 95 Willow Springs 27, E 54 La Grange Park 67, L 33 Wilmette 135, L 111 Lansing 141,655 1, E 34 Winnetka 60, L 86 Lemont 80, E 96 Worth 53, E 18 Lincolnwood 62, L `Rates based on 2010 Population! Significantly higher/lower than the benchmark at p<0.05 *Benchmark :73.8 per 100,000 pop S Counts suppressed for events between 1 and 4; Rates not calculated for events less than 20 ~Interpret with caution, Population<1,000 Source: Illinois Department of Public Health (IDPH) Death File,

13 Coronary Heart Disease Mortality What is it? Coronary heart disease (CHD) is a narrowing of the small blood vessels that supply blood and oxygen to the heart. What causes it? Factors that increase the risk of CHD include smoking, lack of exercise, obesity, diabetes, high blood pressure, and elevated total cholesterol levels CHD is the second leading cause of death in Suburban Cook County (SCC), responsible for over 3,500 deaths per year and results in large costs to the health care system and lower productivity. Age adjusted CHD mortality rates declined for SCC and all 4 districts (North, West, Southwest, South) of SCC. Suburban Cook County (SCC) Data Trend^ REGION SCC ** CCDPH ** North ** West * SWest * South ** SCC by Race/Ethnicity Asian (NH) Black (NH) Hispanic White (NH) ** SCC by Gender Female ** Male ** SCC by Age Groups Under 1 yr yrs yrs yrs yrs yrs yrs ** yrs yrs yrs ** 85 yrs + 2, , , , ,287.5 ** ^ Significant at p< 0.10 (*), p< 0.05 (**)

14 Higher! Equivalent Lower! Area Coronary Heart Disease^ Mortality by Town of Residence ` (combined) ID Total # of Age adjusted rate per Total # of Age adjusted rate per ID Area Population deaths 100,000 pop Population deaths 100,000 pop 75 Alsip 96, E 112 Lynwood 45, E 1 Arlington Heights 375, E 55 Lyons 53, E 2 Barrington 28, E 113 Markham 62, E 3 Barrington Hills 10, S 114 Matteson 95, E 4 Bartlett 84, E 57 Maywood 120, E 76 Bedford Park 2, S 56 McCook~ 1,137 5 S 37 Bellwood 95, E 58 Melrose Park 127, H 39 Berkeley 26, E 87 Merrionette Park 9, E 40 Berwyn 283, E 115 Midlothian 74, H 77 Blue Island 118, E 19 Morton Grove 116, E 78 Bridgeview 82, H 20 Mount Prospect 270, E 41 Broadview 39, E 21 Niles 148, E 42 Brookfield 94, E 59 Norridge 72, E 5 Buffalo Grove 68, E 61 North Riverside 33, E 74 Burbank 144, E 22 Northbrook 165, E 97 Burnham 21, H 23 Northfield 27, E 43 Burr Ridge 19, E 60 Northlake 61, E 98 Calumet City 185, E 116 Oak Forest 139, E 99 Calumet Park 39, E 88 Oak Lawn 283, E 100 Chicago Heights 151, E 71 Oak Park 259, E 79 Chicago Ridge 71, E 117 Olympia Fields 24, E 44 Cicero 419, E 89 Orland Hills 35, E 101 Country Club Hills 82, E 90 Orland Park 283, E 45 Countryside 29, E 24 Palatine 343, E 80 Crestwood 54, E 91 Palos Heights 62, E 7 Des Plaines 291, E 92 Palos Hills 87, E 102 Dixmoor 18, E 93 Palos Park 24, H 103 Dolton 115, E 118 Park Forest 93, E 104 East Hazel Crest 7, S 25 Park Ridge 187, E 9 Elgin 120, L 119 Phoenix 9, E 10 Elk Grove Village 165, E 120 Posen 30, H 70 Elmwood Park 124, E 26 Prospect Heights 81, L 35 Evanston 372, E 121 Richton Park 68, E 81 Evergreen Park 99, E 62 River Forest 55, L 105 Flossmoor 47, E 63 River Grove 51, E 106 Ford Heights 13, E 122 Riverdale 67, E 46 Forest Park 70, E 64 Riverside 44, E 73 Forest View~ 3, S 123 Robbins 26, H 47 Franklin Park 91, E 27 Rolling Meadows 120, E 11 Glencoe 43, L 28 Roselle 18, E 12 Glenview 223, L 65 Rosemont 21, E 107 Glenwood 44, E 125 South Chicago Heights 20, H 13 Golf~ 2,505 S 124 Sauk Village 52, E 14 Hanover Park 103, E 29 Schaumburg 371, E 108 Harvey 125, E 66 Schiller Park 58, L 48 Harwood Heights 43, E 36 Skokie 324, L 109 Hazel Crest 70, E 30 South Barrington 22, E 83 Hickory Hills 70, E 126 South Holland 110, E 49 Hillside 40, E 127 Steger 20, H 50 Hinsdale 11,144 S 72 Stickney 33, E 51 Hodgkins 9, E 67 Stone Park 24, S 15 Hoffman Estates 259, E 31 Streamwood 199, E 84 Hometown 21, E 94 Summit 55, E 110 Homewood 96, E 128 Thornton 11, E 52 Indian Head Park 19, E 129 Tinley Park 246, E 16 Inverness 37, L 68 Westchester 83, E 85 Justice 64, H 69 Western Springs 64, E 17 Kenilworth 12,567 6 S 32 Wheeling 188, E 53 La Grange 77, E 95 Willow Springs 27, E 54 La Grange Park 67, E 33 Wilmette 135, L 111 Lansing 141, E 34 Winnetka 60, E 86 Lemont 80, E 96 Worth 53, E 18 Lincolnwood 62, L ^ICD 10 code: I00 I09, I11, I13, I20 I51 `Rates based on 2010 Population! Significantly higher/lower than the benchmark at p<0.05 *Benchmark :103.4 per 100,000 pop S Counts suppressed for events between 1 and 4; Rates not calculated for events less than 20 ~Interpret with caution, Population<1,000 Source: Illinois Department of Public Health (IDPH) Death File,

15 All Cancer Mortality What is it? Cancer is a term used for diseases in which abnormal cells grow and divide without control, spread to other tissues, and do not function normally. Lung, prostate, and colon cancer are the leading causes of cancer death for men; lung, breast, and colon cancer are the leading causes of cancer death for women. Why is it important: Cancer is the leading cause of death in the U.S. and Suburban Cook County (SCC). More than 5,000 SCC resdidents die of cancer each year. The age adjusted mortality rate for NH African Americans (207.7 per 100,000 population) was almost double the rate for Hispanics (109.1) in The rate for males from 2008 to 2012 was conistently higher than for females with the age adjusted mortality trend decreasing for females. Suburban Cook County (SCC) Data Trend^ REGION SCC CCDPH North ** West SWest South SCC by Race/Ethnicity Asian (NH) Black (NH) Hispanic White (NH) SCC by Gender Female * Male SCC by Age Groups Under 1 yr yrs yrs yrs yrs yrs yrs * yrs yrs yrs 1, , , , , yrs + 1, , , , ,821.3 ^ Significant at p< 0.10 (*), p< 0.05 (**)

16 Higher! Equivalent Lower! Area All Cancer ^ Mortality by Town of Residence ` (combined) ID Total # of Age adjusted rate per Total # of Age adjusted rate per ID Area Population deaths 100,000 pop Population deaths 100,000 pop 75 Alsip 96, E 112 Lynwood 45, H 1 Arlington Heights 375, E 55 Lyons 53, E 2 Barrington 28, E 113 Markham 62, E 3 Barrington Hills 10, S 114 Matteson 95, E 4 Bartlett 84, E 57 Maywood 120, E 76 Bedford Park 2, S 56 McCook~ 1,137 S 37 Bellwood 95, E 58 Melrose Park 127, Berkeley 26, E 87 Merrionette Park 9, S 40 Berwyn 283, E 115 Midlothian 74, E 77 Blue Island 118, E 19 Morton Grove 116, E 78 Bridgeview 82, E 20 Mount Prospect 270, E 41 Broadview 39, E 21 Niles 148, E 42 Brookfield 94, E 59 Norridge 72, E 5 Buffalo Grove 68, E 61 North Riverside 33, E 74 Burbank 144, E 22 Northbrook 165, E 97 Burnham 21, H 23 Northfield 27, E 43 Burr Ridge 19, E 60 Northlake 61, E 98 Calumet City 185, E 116 Oak Forest 139, E 99 Calumet Park 39, E 88 Oak Lawn 283, E 100 Chicago Heights 151, E 71 Oak Park 259, E 79 Chicago Ridge 71, E 117 Olympia Fields 24, E 44 Cicero 419, E 89 Orland Hills 35, E 101 Country Club Hills 82, E 90 Orland Park 283, E 45 Countryside 29, L 24 Palatine 343, E 80 Crestwood 54, E 91 Palos Heights 62, E 7 Des Plaines 291, E 92 Palos Hills 87, E 102 Dixmoor 18, E 93 Palos Park 24, H 103 Dolton 115, E 118 Park Forest 93, E 104 East Hazel Crest 7, S 25 Park Ridge 187, E 9 Elgin 120, E 119 Phoenix 9, E 10 Elk Grove Village 165, E 120 Posen 30, E 70 Elmwood Park 124, E 26 Prospect Heights 81, E 35 Evanston 372, E 121 Richton Park 68, E 81 Evergreen Park 99, E 62 River Forest 55, L 105 Flossmoor 47, E 63 River Grove 51, E 106 Ford Heights 13, E 122 Riverdale 67, H 46 Forest Park 70, E 64 Riverside 44, E 73 Forest View~ 3,482 6 S 123 Robbins 26, H 47 Franklin Park 91, E 27 Rolling Meadows 120, E 11 Glencoe 43, L 28 Roselle 18, E 12 Glenview 223, E 65 Rosemont 21, E 107 Glenwood 44, E 125 South Chicago Heights 20, E 13 Golf~ 2,505 5 S 124 Sauk Village 52, E 14 Hanover Park 103, H 29 Schaumburg 371, E 108 Harvey 125, H 66 Schiller Park 58, L 48 Harwood Heights 43, E 36 Skokie 324, E 109 Hazel Crest 70, H 30 South Barrington 22, E 83 Hickory Hills 70, E 126 South Holland 110, E 49 Hillside 40, E 127 Steger 20, H 50 Hinsdale 11, S 72 Stickney 33, E 51 Hodgkins 9, E 67 Stone Park 24, E 15 Hoffman Estates 259, E 31 Streamwood 199, E 84 Hometown 21, H 94 Summit 55, E 110 Homewood 96, E 128 Thornton 11, E 52 Indian Head Park 19, E 129 Tinley Park 246, E 16 Inverness 37, L 68 Westchester 83, E 85 Justice 64, E 69 Western Springs 64, E 17 Kenilworth 12, S 32 Wheeling 188, E 53 La Grange 77, E 95 Willow Springs 27, L 54 La Grange Park 67, L 33 Wilmette 135, L 111 Lansing 141, E 34 Winnetka 60, L 86 Lemont 80, E 96 Worth 53, E 18 Lincolnwood 62, L ^ICD Code: C00 C97 `Rates based on 2010 Population! Significantly higher/lower than the benchmark at p<0.05 *Benchmark :161.5 per 100,000 pop S Counts suppressed for events between 1 and 4; Rates not calculated for events less than 20 ~Interpret with caution, Population<1,000 Source: Illinois Department of Public Health (IDPH) Death File,

17 Colorectal Cancer Mortality What is it? Colorectal cancer, also called colon cancer or large bowel cancer includes cancerous growths in the colon or rectum. What causes it? Risk factors include age (over 50), family history of colorectal cancer, chronic inflammatory bowel diseases, benign polyps, physical inactivity, and a diet high in fat. Why is it important: Colorectal cancer is the 2nd leading cause of cancer death in the U.S., Illinois, and Suburban Cook County (SCC). Over 500 people die each year of colorectal cancer in SCC, though rates are decreasing significantly overall from 2008 to Males have higher rates than females and non Hispanic African American rates are higher than Whites. Suburban Cook County (SCC) Data Trend^ REGION SCC ** CCDPH ** North West SWest South SCC by Race/Ethnicity Asian (NH) Black (NH) Hispanic White (NH) SCC by Gender Female * Male SCC by Age Groups Under 1 yr yrs yrs yrs yrs yrs yrs yrs yrs yrs ** 85 yrs ^ Significant at p< 0.10 (*), p< 0.05 (**)

18 Higher! Equivalent Lower! Area Colorectal Cancer ^ Mortality by Town of Residence ` (combined) ID Total # of Age adjusted rate per Total # of Age adjusted rate per ID Area Population deaths 100,000 pop Population deaths 100,000 pop 75 Alsip 96, S 112 Lynwood 45,198 8 S 1 Arlington Heights 375, L 55 Lyons 53,692 7 S 2 Barrington 28,147 9 S 113 Markham 62, S 3 Barrington Hills 10,859 0 S 114 Matteson 95, H 4 Bartlett 84, S 57 Maywood 120, H 76 Bedford Park 2,901 S 56 McCook~ 1,137 S 37 Bellwood 95, S 58 Melrose Park 127, H 39 Berkeley 26,041 S 87 Merrionette Park 9,490 S 40 Berwyn 283, E 115 Midlothian 74, S 77 Blue Island 118, H 19 Morton Grove 116, L 78 Bridgeview 82, S 20 Mount Prospect 270, E 41 Broadview 39,627 8 S 21 Niles 148, L 42 Brookfield 94, S 59 Norridge 72, E 5 Buffalo Grove 68, S 61 North Riverside 33,358 8 S 74 Burbank 144, E 22 Northbrook 165, L 97 Burnham 21,034 S 23 Northfield 27,103 6 S 43 Burr Ridge 19,222 S 60 Northlake 61, S 98 Calumet City 185, H 116 Oak Forest 139, E 99 Calumet Park 39, S 88 Oak Lawn 283, L 100 Chicago Heights 151, H 71 Oak Park 259, E 79 Chicago Ridge 71, S 117 Olympia Fields 24, S 44 Cicero 419, E 89 Orland Hills 35,782 S 101 Country Club Hills 82, S 90 Orland Park 283, E 45 Countryside 29,465 S 24 Palatine 343, E 80 Crestwood 54, H 91 Palos Heights 62,701 9 S 7 Des Plaines 291, E 92 Palos Hills 87, S 102 Dixmoor 18,191 S 93 Palos Park 24, S 103 Dolton 115, H 118 Park Forest 93, E 104 East Hazel Crest 7,709 S 25 Park Ridge 187, L 9 Elgin 120, S 119 Phoenix 9,801 S 10 Elk Grove Village 165, E 120 Posen 30,061 5 S 70 Elmwood Park 124, H 26 Prospect Heights 81, S 35 Evanston 372, L 121 Richton Park 68, S 81 Evergreen Park 99, E 62 River Forest 55, S 105 Flossmoor 47, S 63 River Grove 51, S 106 Ford Heights 13,746 S 122 Riverdale 67, S 46 Forest Park 70, S 64 Riverside 44,373 9 S 73 Forest View~ 3,482 0 S 123 Robbins 26, S 47 Franklin Park 91, S 27 Rolling Meadows 120, E 11 Glencoe 43,611 S 28 Roselle 18,641 S 12 Glenview 223, L 65 Rosemont 21,008 S 107 Glenwood 44, S 125 South Chicago Heights 20,712 8 S 13 Golf 2,505 0 S 124 Sauk Village 52, L 14 Hanover Park 103, S 29 Schaumburg 371,019 8 S 108 Harvey 125, H 66 Schiller Park 58, L 48 Harwood Heights 43, S 36 Skokie 324,064 S 109 Hazel Crest 70, S 30 South Barrington 22,906 6 S 83 Hickory Hills 70, S 126 South Holland 110, H 49 Golf~ 40, S 127 Steger 20,521 S 50 Hinsdale 11,144 S 72 Stickney 33,994 5 S 51 Hodgkins 9,461 S 67 Stone Park 24,712 S 15 Hoffman Estates 259, E 31 Streamwood 199, E 84 Hometown 21,733 9 S 94 Summit 55,312 S 110 Homewood 96, E 128 Thornton 11,666 S 52 Indian Head Park 19,057 7 S 129 Tinley Park 246, E 16 Inverness 37,060 8 S 68 Westchester 83, E 85 Justice 64, S 69 Western Springs 64,923 7 S 17 Kenilworth 12,567 S 32 Wheeling 188, L 53 La Grange 77, S 95 Willow Springs 27,670 S 54 La Grange Park 67, S 33 Wilmette 135, L 111 Lansing 141, E 34 Winnetka 60,912 S 86 Lemont 80, S 96 Worth 53,919 5 S 18 Lincolnwood 62, S ^ICD 10 code: C18 C21 `Rates based on 2010 Population! Significantly higher/lower than the benchmark at p<0.05 *Benchmark :14.5 per 100,000 pop S Counts suppressed for events between 1 and 4; Rates not calculated for events less than 20 ~Interpret with caution, Population<1,000 Source: Illinois Department of Public Health (IDPH) Death File,

19 Lung Cancer Mortality What is it? Lung cancer results from uncontrolled cell growth in tissues of the lung. In many cases lung cancer metastasizes, spreading to other tissues in the body. What causes it? Cigarette smoking and/or exposure to tobacco smoke is the most common cause of lung cancer. Why is it important: Lung cancer is the leading cause of cancer death among men and women in the U.S., Illinois, and Suburban Cook County (SCC). Lung cancer is responsible for more than 1,300 deaths in SCC each year. Overall in SCC, the age adjusted mortality rate for females (37.5 per 100,000) was below the HP2020 goal of 45.5 per 100,000 and males (55.2 per 100,000) did not meet the goal in Suburban Cook County (SCC) Data Trend^ REGION SCC CCDPH North West SWest South SCC by Race/Ethnicity Asian (NH) Black (NH) Hispanic White (NH) SCC by Gender Female Male SCC by Age Groups Under 1 yr yrs yrs yrs yrs yrs yrs ** yrs * yrs yrs yrs ^ Significant at p< 0.10 (*), p< 0.05 (**)

20 Higher! Equivalent Lower! Area Lung Cancer ^ Mortality by Town of Residence ` (combined) ID Total # of Age adjusted rate per Total # of Age adjusted rate per ID Area Population deaths 100,000 pop Population deaths 100,000 pop 75 Alsip 96, E 112 Lynwood 45, E 1 Arlington Heights 375, E 55 Lyons 53, E 2 Barrington 28, S 113 Markham 62, E 3 Barrington Hills 10,859 9 S 114 Matteson 95, E 4 Bartlett 84, E 57 Maywood 120, E 76 Bedford Park 2,901 S 56 McCook~ 1,137 0 S 37 Bellwood 95, E 58 Melrose Park 127, E 39 Berkeley 26, H 87 Merrionette Park 9,490 S 40 Berwyn 283, E 115 Midlothian 74, E 77 Blue Island 118, E 19 Morton Grove 116, L 78 Bridgeview 82, H 20 Mount Prospect 270, L 41 Broadview 39, E 21 Niles 148, E 42 Brookfield 94, E 59 Norridge 72, E 5 Buffalo Grove 68, E 61 North Riverside 33, E 74 Burbank 144, E 22 Northbrook 165, E 97 Burnham 21, S 23 Northfield 27, S 43 Burr Ridge 19, S 60 Northlake 61, H 98 Calumet City 185, E 116 Oak Forest 139, E 99 Calumet Park 39, E 88 Oak Lawn 283, E 100 Chicago Heights 151, E 71 Oak Park 259, E 79 Chicago Ridge 71, H 117 Olympia Fields 24, S 44 Cicero 419, E 89 Orland Hills 35, S 101 Country Club Hills 82, E 90 Orland Park 283, E 45 Countryside 29, S 24 Palatine 343, L 80 Crestwood 54, E 91 Palos Heights 62, E 7 Des Plaines 291, E 92 Palos Hills 87, E 102 Dixmoor 18, S 93 Palos Park 24, E 103 Dolton 115, E 118 Park Forest 93, E 104 East Hazel Crest 7,709 5 S 25 Park Ridge 187, E 9 Elgin 120, E 119 Phoenix 9,801 7 S 10 Elk Grove Village 165, E 120 Posen 30, S 70 Elmwood Park 124, E 26 Prospect Heights 81, E 35 Evanston 372, L 121 Richton Park 68, E 81 Evergreen Park 99, E 62 River Forest 55, S 105 Flossmoor 47, E 63 River Grove 51, E 106 Ford Heights 13,746 S 122 Riverdale 67, E 46 Forest Park 70, E 64 Riverside 44, S 73 Forest View~ 3,482 S 123 Robbins 26, H 47 Franklin Park 91, E 27 Rolling Meadows 120, E 11 Glencoe 43, S 28 Roselle 18, S 12 Glenview 223, L 65 Rosemont 21, S 107 Glenwood 44, E 125 South Chicago Heights 20, E 13 Golf~ 2,505 S 124 Sauk Village 52, L 14 Hanover Park 103, E 29 Schaumburg 371, E 108 Harvey 125, E 66 Schiller Park 58, L 48 Harwood Heights 43, E 36 Skokie 324,064 S 109 Hazel Crest 70, H 30 South Barrington 22, S 83 Hickory Hills 70, E 126 South Holland 110, E 49 Hillside 40, E 127 Steger 20, H 50 Hinsdale 11,144 S 72 Stickney 33, H 51 Hodgkins 9, S 67 Stone Park 24,712 8 S 15 Hoffman Estates 259, E 31 Streamwood 199, E 84 Hometown 21, S 94 Summit 55, E 110 Homewood 96, E 128 Thornton 11, S 52 Indian Head Park 19, S 129 Tinley Park 246, E 16 Inverness 37, S 68 Westchester 83, E 85 Justice 64, H 69 Western Springs 64, L 17 Kenilworth 12,567 S 32 Wheeling 188, E 53 La Grange 77, E 95 Willow Springs 27, S 54 La Grange Park 67, S 33 Wilmette 135, L 111 Lansing 141, E 34 Winnetka 60, S 86 Lemont 80, E 96 Worth 53, H 18 Lincolnwood 62, L ^ICD 10 code: C34 `Rates based on 2010 Population! Significantly higher/lower than the benchmark at p<0.05 *Benchmark : 45.5 per 100,000 pop S Counts suppressed for events between 1 and 4; Rates not calculated for events less than 20 ~Interpret with caution, Population<1,000 Source: Illinois Department of Public Health (IDPH) Death File,

21 Breast Cancer Mortality (females only) What is it? Breast cancer is a malignant tumor that starts from cells of the breast. It is found mostly in females, but men can get breast cancer, too (note that this brief is limited to breast cancer among females). What causes it? Risk factors for breast cancer can include reproductive history, being overweight/obese, and physical inactivity. Why is it important: Breast cancer is the second leading cause of cancer death among females in the U.S., Illinois, and Suburban Cook County (SCC). Since 2008, approximately 380 women die of breast cancer each year in SCC. The highest age adjusted mortality rate for women was in the South district (33.2 per 100,000 women) in Suburban Cook County (SCC) Data Trend REGION SCC CCDPH North West SWest South SCC by Race/Ethnicity Asian (NH) Black (NH) Hispanic White (NH) SCC by Gender Female Male na na na na na SCC by Age Groups Under 1 yr yrs yrs yrs yrs yrs yrs * yrs yrs yrs yrs * ^ Significant at p< 0.10 (*), p< 0.05 (**)

22 Higher! Equivalent Lower! Area Breast Cancer (females Only) ^ Mortality by Town of Residence ` (combined) ID Total # of Age adjusted rate per Total # of Age adjusted rate per ID Area Population deaths 100,000 pop Population deaths 100,000 pop 75 Alsip 96, S 112 Lynwood 45, S 1 Arlington Heights 375, L 55 Lyons 53,692 8 S 2 Barrington 28,147 8 S 113 Markham 62,529 6 S 3 Barrington Hills 10,859 0 S 114 Matteson 95, H 4 Bartlett 84, S 57 Maywood 120, H 76 Bedford Park 2,901 0 S 56 McCook~ 1,137 0 S 37 Bellwood 95, S 58 Melrose Park 127, S 39 Berkeley 26,041 S 87 Merrionette Park 9,490 0 S 40 Berwyn 283, L 115 Midlothian 74, S 77 Blue Island 118, S 19 Morton Grove 116, S 78 Bridgeview 82, S 20 Mount Prospect 270, L 41 Broadview 39,627 S 21 Niles 148, L 42 Brookfield 94, S 59 Norridge 72, S 5 Buffalo Grove 68,143 S 61 North Riverside 33, S 74 Burbank 144, H 22 Northbrook 165, L 97 Burnham 21,034 S 23 Northfield 27,103 9 S 43 Burr Ridge 19,222 S 60 Northlake 61, S 98 Calumet City 185, E 116 Oak Forest 139, H 99 Calumet Park 39,107 7 S 88 Oak Lawn 283, L 100 Chicago Heights 151, H 71 Oak Park 259, E 79 Chicago Ridge 71, H 117 Olympia Fields 24,966 S 44 Cicero 419, L 89 Orland Hills 35,782 S 101 Country Club Hills 82, S 90 Orland Park 283, E 45 Countryside 29,465 S 24 Palatine 343, E 80 Crestwood 54, S 91 Palos Heights 62, S 7 Des Plaines 291, E 92 Palos Hills 87, E 102 Dixmoor 18,191 7 S 93 Palos Park 24, S 103 Dolton 115, S 118 Park Forest 93, H 104 East Hazel Crest 7,709 0 S 25 Park Ridge 187, E 9 Elgin 120, S 119 Phoenix 9,801 S 10 Elk Grove Village 165, E 120 Posen 30,061 5 S 70 Elmwood Park 124, S 26 Prospect Heights 81,198 8 S 35 Evanston 372, L 121 Richton Park 68,341 8 S 81 Evergreen Park 99, E 62 River Forest 55, S 105 Flossmoor 47,336 8 S 63 River Grove 51, S 106 Ford Heights 13,746 S 122 Riverdale 67, S 46 Forest Park 70, S 64 Riverside 44,373 7 S 73 Forest View~ 3,482 0 S 123 Robbins 26,555 S 47 Franklin Park 91, S 27 Rolling Meadows 120, S 11 Glencoe 43,611 8 S 28 Roselle 18,641 S 12 Glenview 223, E 65 Rosemont 21,008 S 107 Glenwood 44, S 125 South Chicago Heights 20,712 S 13 Golf~ 2,505 0 S 124 Sauk Village 52, L 14 Hanover Park 103,168 8 S 29 Schaumburg 371,019 9 S 108 Harvey 125, H 66 Schiller Park 58, L 48 Harwood Heights 43,092 8 S 36 Skokie 324,064 S 109 Hazel Crest 70, H 30 South Barrington 22,906 S 83 Hickory Hills 70,257 9 S 126 South Holland 110, S 49 Hillside 40,785 7 S 127 Steger 20,521 S 50 Hinsdale 11,144 0 S 72 Stickney 33,994 S 51 Hodgkins 9,461 S 67 Stone Park 24,712 0 S 15 Hoffman Estates 259, H 31 Streamwood 199, E 84 Hometown 21,733 S 94 Summit 55,312 S 110 Homewood 96, S 128 Thornton 11,666 0 S 52 Indian Head Park 19,057 S 129 Tinley Park 246, E 16 Inverness 37,060 S 68 Westchester 83, S 85 Justice 64,703 S 69 Western Springs 64,923 S 17 Kenilworth 12,567 0 S 32 Wheeling 188, L 53 La Grange 77, S 95 Willow Springs 27,670 0 S 54 La Grange Park 67, S 33 Wilmette 135, L 111 Lansing 141, E 34 Winnetka 60,912 8 S 86 Lemont 80, S 96 Worth 53, S 18 Lincolnwood 62, S ^ICD 10 code: C50, Females Only `Rates based on 2010 Population! Significantly higher/lower than the benchmark at p<0.05 *Benchmark :20.7 per 100,000 pop S Counts suppressed for events between 1 and 4; Rates not calculated for events less than 20 ~Interpret with caution, Population<1,000 Source: Illinois Department of Public Health (IDPH) Death File,

23 Prostate Cancer Mortality What is it? There are several types of cells in the prostate, but nearly all prostate cancers start in the gland cells. Some prostate cancers can grow and spread quickly, but most of the time, prostate cancer grows slowly. What causes it? It is not known what causes prostate cancer, however, risk factors include age, diet, race and family history. Why is it important: Prostate cancer is the second leading cause of cancer death among men in SCC with over 250 deaths each year in SCC. The non hispanic African American rate (44.9/100,000 men) is more than double that for White men (19.5/100,000 men). Suburban Cook County (SCC) Data Trend^ REGION SCC ** CCDPH ** North West ** SWest South SCC by Race/Ethnicity Asian (NH) Black (NH) * Hispanic White (NH) ** SCC by Gender Female na na na na na Male ** SCC by Age Groups Under 1 yr yrs yrs yrs yrs yrs yrs yrs yrs yrs yrs ^ Significant at p< 0.10 (*), p< 0.05 (**)

24 Higher! Equivalent Lower! Area Prostate Cancer ^ Mortality by Town of Residence ` (combined) ID Total # of Age adjustedrate per Total # of Age adjustedrate per ID Area Population deaths 100,000 pop Population deaths 100,000 pop 75 Alsip 96,340 9 S 112 Lynwood 45,198 8 S 1 Arlington Heights 375, H 55 Lyons 53,692 5 S 2 Barrington 28,147 S 113 Markham 62, S 3 Barrington Hills 10,859 S 114 Matteson 95, L 4 Bartlett 84,445 S 57 Maywood 120, S 76 Bedford Park 2,901 0 S 56 McCook~ 1,137 0 S 37 Bellwood 95, S 58 Melrose Park 127,279 8 S 39 Berkeley 26,041 S 87 Merrionette Park 9,490 0 S 40 Berwyn 283, S 115 Midlothian 74,145 S 77 Blue Island 118, S 19 Morton Grove 116, S 78 Bridgeview 82,341 5 S 20 Mount Prospect 270, H 41 Broadview 39,627 7 S 21 Niles 148, E 42 Brookfield 94, S 59 Norridge 72, S 5 Buffalo Grove 68,143 5 S 61 North Riverside 33,358 9 S 74 Burbank 144, S 22 Northbrook 165, Burnham 21,034 S 23 Northfield 27,103 5 S 43 Burr Ridge 19,222 S 60 Northlake 61,660 6 S 98 Calumet City 185, S 116 Oak Forest 139, S 99 Calumet Park 39,107 5 S 88 Oak Lawn 283, H 100 Chicago Heights 151, S 71 Oak Park 259, S 79 Chicago Ridge 71,543 S 117 Olympia Fields 24,966 9 S 44 Cicero 419, S 89 Orland Hills 35,782 S 101 Country Club Hills 82,742 8 S 90 Orland Park 283, L 45 Countryside 29,465 S 24 Palatine 343, E 80 Crestwood 54, S 91 Palos Heights 62, S 7 Des Plaines 291, H 92 Palos Hills 87,402 9 S 102 Dixmoor 18,191 S 93 Palos Park 24, S 103 Dolton 115, S 118 Park Forest 93, S 104 East Hazel Crest 7,709 0 S 25 Park Ridge 187, S 9 Elgin 120,516 5 S 119 Phoenix 9,801 0 S 10 Elk Grove Village 165, L 120 Posen 30,061 S 70 Elmwood Park 124, S 26 Prospect Heights 81,198 7 S 35 Evanston 372, E 121 Richton Park 68,341 9 S 81 Evergreen Park 99, S 62 River Forest 55,814 7 S 105 Flossmoor 47,336 7 S 63 River Grove 51,091 S 106 Ford Heights 13,746 S 122 Riverdale 67,594 9 S 46 Forest Park 70,683 8 S 64 Riverside 44,373 * S 73 Forest View~ 3,482 S 123 Robbins 26,555 8 S 47 Franklin Park 91,555 5 S 27 Rolling Meadows 120, S 11 Glencoe 43,611 S 28 Roselle 18,641 S 12 Glenview 223, E 65 Rosemont 21,008 S 107 Glenwood 44,842 8 S 125 South Chicago Heights 20,712 S 13 Golf~ 2,505 S 124 Sauk Village 52, E 14 Hanover Park 103,168 8 S 29 Schaumburg 371,019 S 108 Harvey 125, S 66 Schiller Park 58, H 48 Harwood Heights 43,092 S 36 Skokie 324,064 0 S 109 Hazel Crest 70, S 30 South Barrington 22,906 S 83 Hickory Hills 70, S 126 South Holland 110, E 49 Hillside 40,785 S 127 Steger 20,521 5 S 50 Hinsdale 11,144 0 S 72 Stickney 33,994 S 51 Hodgkins 9,461 S 67 Stone Park 24,712 S 15 Hoffman Estates 259, S 31 Streamwood 199, S 84 Hometown 21,733 5 S 94 Summit 55,312 5 S 110 Homewood 96, S 128 Thornton 11,666 S 52 Indian Head Park 19,057 S 129 Tinley Park 246, S 16 Inverness 37,060 S 68 Westchester 83, S 85 Justice 64,703 S 69 Western Springs 64, S 17 Kenilworth 12,567 S 32 Wheeling 188, S 53 La Grange 77,744 7 S 95 Willow Springs 27,670 S 54 La Grange Park 67,923 7 S 33 Wilmette 135, L 111 Lansing 141, S 34 Winnetka 60,912 8 S 86 Lemont 80,225 5 S 96 Worth 53,919 5 S 18 Lincolnwood 62,973 8 S ^ICD 10 code:c61, Males Only `Rates based on 2010 Population! Significantly higher/lower than the benchmark at p<0.05 *Benchmark :21.8 per 100,000 pop S Counts suppressed for events between 1 and 4; Rates not calculated for events less than 20 ~Interpret with caution, Population<1,000 Source: Illinois Department of Public Health (IDPH) Death File,

25 Higher! Equivalent Lower! Area Prostate Cancer ^ Mortality by Town of Residence ` (combined) ID Total # of Age adjustedrate per Total # of Age adjustedrate per ID Area Population deaths 100,000 pop Population deaths 100,000 pop 75 Alsip 96,340 9 S 112 Lynwood 45,198 8 S 1 Arlington Heights 375, H 55 Lyons 53,692 5 S 2 Barrington 28,147 S 113 Markham 62, S 3 Barrington Hills 10,859 S 114 Matteson 95, L 4 Bartlett 84,445 S 57 Maywood 120, S 76 Bedford Park 2,901 0 S 56 McCook~ 1,137 0 S 37 Bellwood 95, S 58 Melrose Park 127,279 8 S 39 Berkeley 26,041 S 87 Merrionette Park 9,490 0 S 40 Berwyn 283, S 115 Midlothian 74,145 S 77 Blue Island 118, S 19 Morton Grove 116, S 78 Bridgeview 82,341 5 S 20 Mount Prospect 270, H 41 Broadview 39,627 7 S 21 Niles 148, E 42 Brookfield 94, S 59 Norridge 72, S 5 Buffalo Grove 68,143 5 S 61 North Riverside 33,358 9 S 74 Burbank 144, S 22 Northbrook 165, Burnham 21,034 S 23 Northfield 27,103 5 S 43 Burr Ridge 19,222 S 60 Northlake 61,660 6 S 98 Calumet City 185, S 116 Oak Forest 139, S 99 Calumet Park 39,107 5 S 88 Oak Lawn 283, H 100 Chicago Heights 151, S 71 Oak Park 259, S 79 Chicago Ridge 71,543 S 117 Olympia Fields 24,966 9 S 44 Cicero 419, S 89 Orland Hills 35,782 S 101 Country Club Hills 82,742 8 S 90 Orland Park 283, L 45 Countryside 29,465 S 24 Palatine 343, E 80 Crestwood 54, S 91 Palos Heights 62, S 7 Des Plaines 291, H 92 Palos Hills 87,402 9 S 102 Dixmoor 18,191 S 93 Palos Park 24, S 103 Dolton 115, S 118 Park Forest 93, S 104 East Hazel Crest 7,709 0 S 25 Park Ridge 187, S 9 Elgin 120,516 5 S 119 Phoenix 9,801 0 S 10 Elk Grove Village 165, L 120 Posen 30,061 S 70 Elmwood Park 124, S 26 Prospect Heights 81,198 7 S 35 Evanston 372, E 121 Richton Park 68,341 9 S 81 Evergreen Park 99, S 62 River Forest 55,814 7 S 105 Flossmoor 47,336 7 S 63 River Grove 51,091 S 106 Ford Heights 13,746 S 122 Riverdale 67,594 9 S 46 Forest Park 70,683 8 S 64 Riverside 44,373 * S 73 Forest View~ 3,482 S 123 Robbins 26,555 8 S 47 Franklin Park 91,555 5 S 27 Rolling Meadows 120, S 11 Glencoe 43,611 S 28 Roselle 18,641 S 12 Glenview 223, E 65 Rosemont 21,008 S 107 Glenwood 44,842 8 S 125 South Chicago Heights 20,712 S 13 Golf~ 2,505 S 124 Sauk Village 52, E 14 Hanover Park 103,168 8 S 29 Schaumburg 371,019 S 108 Harvey 125, S 66 Schiller Park 58, H 48 Harwood Heights 43,092 S 36 Skokie 324,064 0 S 109 Hazel Crest 70, S 30 South Barrington 22,906 S 83 Hickory Hills 70, S 126 South Holland 110, E 49 Hillside 40,785 S 127 Steger 20,521 5 S 50 Hinsdale 11,144 0 S 72 Stickney 33,994 S 51 Hodgkins 9,461 S 67 Stone Park 24,712 S 15 Hoffman Estates 259, S 31 Streamwood 199, S 84 Hometown 21,733 5 S 94 Summit 55,312 5 S 110 Homewood 96, S 128 Thornton 11,666 S 52 Indian Head Park 19,057 S 129 Tinley Park 246, S 16 Inverness 37,060 S 68 Westchester 83, S 85 Justice 64,703 S 69 Western Springs 64, S 17 Kenilworth 12,567 S 32 Wheeling 188, S 53 La Grange 77,744 7 S 95 Willow Springs 27,670 S 54 La Grange Park 67,923 7 S 33 Wilmette 135, L 111 Lansing 141, S 34 Winnetka 60,912 8 S 86 Lemont 80,225 5 S 96 Worth 53,919 5 S 18 Lincolnwood 62,973 8 S ^ICD 10 code:c61, Males Only `Rates based on 2010 Population! Significantly higher/lower than the benchmark at p<0.05 *Benchmark :21.8 per 100,000 pop S Counts suppressed for events between 1 and 4; Rates not calculated for events less than 20 ~Interpret with caution, Population<1,000 Source: Illinois Department of Public Health (IDPH) Death File,

26 Cerebrovascular Disease Mortality What is it? Cerebrovascular disease, also known as a stroke, occurs when an artery in the brain bursts or is clogged by a blood clot, resulting in brain damage. What causes it? Factors that increase the risk of stroke include atrial fibrillation, hypertension, high cholesterol, diabetes, artherosclerosis, tobacco use, advanced age (55+ years) and previous history of stroke. Why is it important: Stroke is the third leading cause of death in Suburban Cook County (SCC), responsible for over 1,000 deaths each year. For 2012, the South district had the highest age adjusted stroke mortality rate (48.2/100,000 population) compared to the other districts. Suburban Cook County (SCC) Data Trend^ REGION SCC CCDPH North West SWest South ** SCC by Race/Ethnicity Asian (NH) Black (NH) Hispanic White (NH) SCC by Gender Female Male SCC by Age Groups Under 1 yr yrs yrs yrs yrs yrs yrs yrs yrs yrs yrs ^ Significant at p< 0.10 (*), p< 0.05 (**)

27 Higher! Equivalent Lower! Area Cerebrovascular Disease ^ Mortality by Town of Residence ` (combined) ID Total # of Age adjusted rate per Total # of Age adjusted rate per ID Area Population deaths 100,000 pop Population deaths 100,000 pop 75 Alsip 96, E 112 Lynwood 45, S 1 Arlington Heights 375, E 55 Lyons 53, E 2 Barrington 28, H 113 Markham 62, H 3 Barrington Hills 10,859 S 114 Matteson 95, E 4 Bartlett 84, E 57 Maywood 120, H 76 Bedford Park 2,901 S 56 McCook~ 1,137 0 S 37 Bellwood 95, E 58 Melrose Park 127, H 39 Berkeley 26, S 87 Merrionette Park 9,490 S 40 Berwyn 283, E 115 Midlothian 74, E 77 Blue Island 118, E 19 Morton Grove 116, E 78 Bridgeview 82, H 20 Mount Prospect 270, L 41 Broadview 39, S 21 Niles 148, H 42 Brookfield 94, E 59 Norridge 72, E 5 Buffalo Grove 68, H 61 North Riverside 33, E 74 Burbank 144, E 22 Northbrook 165, E 97 Burnham 21,034 S 23 Northfield 27, S 43 Burr Ridge 19,222 6 S 60 Northlake 61, H 98 Calumet City 185, E 116 Oak Forest 139, H 99 Calumet Park 39, S 88 Oak Lawn 283, H 100 Chicago Heights 151, H 71 Oak Park 259, E 79 Chicago Ridge 71, E 117 Olympia Fields 24, S 44 Cicero 419, H 89 Orland Hills 35,782 6 S 101 Country Club Hills 82, H 90 Orland Park 283, E 45 Countryside 29, S 24 Palatine 343, E 80 Crestwood 54, E 91 Palos Heights 62, H 7 Des Plaines 291, H 92 Palos Hills 87, E 102 Dixmoor 18,191 S 93 Palos Park 24, E 103 Dolton 115, H 118 Park Forest 93, E 104 East Hazel Crest 7,709 S 25 Park Ridge 187, E 9 Elgin 120, E 119 Phoenix 9,801 5 S 10 Elk Grove Village 165, E 120 Posen 30,061 S 70 Elmwood Park 124, E 26 Prospect Heights 81, E 35 Evanston 372, E 121 Richton Park 68, H 81 Evergreen Park 99, E 62 River Forest 55, E 105 Flossmoor 47, E 63 River Grove 51, E 106 Ford Heights 13,746 5 S 122 Riverdale 67, E 46 Forest Park 70, E 64 Riverside 44, S 73 Forest View~ 3,482 5 S 123 Robbins 26, H 47 Franklin Park 91, E 27 Rolling Meadows 120, E 11 Glencoe 43,611 7 S 28 Roselle 18,641 9 S 12 Glenview 223, E 65 Rosemont 21,008 S 107 Glenwood 44, E 125 South Chicago Heights 20, S 13 Golf~ 2,505 S 124 Sauk Village 52, S 14 Hanover Park 103, S 29 Schaumburg 371, E 108 Harvey 125, H 66 Schiller Park 58, S 48 Harwood Heights 43, E 36 Skokie 324, E 109 Hazel Crest 70, H 30 South Barrington 22,906 S 83 Hickory Hills 70, E 126 South Holland 110, E 49 Hillside 40, S 127 Steger 20, S 50 Hinsdale 11,144 S 72 Stickney 33, S 51 Hodgkins 9,461 S 67 Stone Park 24,712 S 15 Hoffman Estates 259, E 31 Streamwood 199, E 84 Hometown 21,733 9 S 94 Summit 55, E 110 Homewood 96, E 128 Thornton 11,666 S 52 Indian Head Park 19, S 129 Tinley Park 246, H 16 Inverness 37, S 68 Westchester 83, E 85 Justice 64, H 69 Western Springs 64, E 17 Kenilworth 12,567 2 S 32 Wheeling 188, E 53 La Grange 77, E 95 Willow Springs 27, S 54 La Grange Park 67, L 33 Wilmette 135, L 111 Lansing 141, E 34 Winnetka 60, S 86 Lemont 80, E 96 Worth 53, S 18 Lincolnwood 62, E ^ICD 10 code: I60 I69 `Rates based on 2010 Population! Significantly higher/lower than the benchmark at p<0.05 *Benchmark :33.8 per 100,000 pop S Counts suppressed for events between 1 and 4; Rates not calculated for events less than 20 ~Interpret with caution, Population<1,000 Source: Illinois Department of Public Health (IDPH) Death File,

28 Motor Vehicle Accident Mortality What is it? Motor vehicle accident mortality involves the death of a driver, passenger, or pedestrian (including bicyclists) as the result of a collision with a motor vehicle. Why is it important? While great efforts have been made to reduce injuries and fatalities in the last century, nationwide, motor vehicle accidents (MVA) are a leading cause of death for people 1 to 44 years old. Alcohol and age are important factors in MVA fatalities and many are preventable. While MVAs account for nearly 135 deaths in SCC each year, the age adjusted mortality rates for all age, major race/ethnic, and geographical groups were below the HP2020 goal of 12.3 per 100,000 population. Suburban Cook County (SCC) Data Trend^ REGION SCC CCDPH North West SWest South SCC by Race/Ethnicity Asian (NH) Black (NH) Hispanic White (NH) SCC by Gender Female Male SCC by Age Groups Under 1 yr yrs yrs yrs yrs yrs yrs yrs yrs yrs yrs ^ Significant at p< 0.10 (*), p< 0.05 (**)

29 Higher! Equivalent Lower! Area Motor Vehicle Accident^ Mortality by Town of Residence ` (combined) ID Total # of Age adjusted rate per Total # of Age adjusted rate per ID Area Population deaths 100,000 pop Population deaths 100,000 pop 75 Alsip 96,340 8 S 112 Lynwood 45,198 S 1 Arlington Heights 375, S 55 Lyons 53,692 S 2 Barrington 28,147 S 113 Markham 62,529 7 S 3 Barrington Hills 10,859 S 114 Matteson 95,653 9 S 4 Bartlett 84,445 S 57 Maywood 120,160 6 S 76 Bedford Park 2,901 0 S 56 McCook~ 1,137 0 S 37 Bellwood 95,209 6 S 58 Melrose Park 127,279 8 S 39 Berkeley 26,041 S 87 Merrionette Park 9,490 5 S 40 Berwyn 283,549 9 S 115 Midlothian 74,145 S 77 Blue Island 118,554 8 S 19 Morton Grove 116,432 9 S 78 Bridgeview 82, S 20 Mount Prospect 270, S 41 Broadview 39,627 S 21 Niles 148,989 S 42 Brookfield 94,879 S 59 Norridge 72,859 S 5 Buffalo Grove 68,143 S 61 North Riverside 33,358 S 74 Burbank 144, S 22 Northbrook 165,824 S 97 Burnham 21,034 0 S 23 Northfield 27,103 S 43 Burr Ridge 19,222 0 S 60 Northlake 61,660 S 98 Calumet City 185, S 116 Oak Forest 139,801 6 S 99 Calumet Park 39,107 S 88 Oak Lawn 283, S 100 Chicago Heights 151, S 71 Oak Park 259,325 7 S 79 Chicago Ridge 71,543 S 117 Olympia Fields 24,966 5 S 44 Cicero 419, L 89 Orland Hills 35,782 S 101 Country Club Hills 82,742 5 S 90 Orland Park 283, S 45 Countryside 29,465 S 24 Palatine 343, S 80 Crestwood 54,720 S 91 Palos Heights 62,701 S 7 Des Plaines 291, E 92 Palos Hills 87,402 5 S 102 Dixmoor 18,191 S 93 Palos Park 24,251 S 103 Dolton 115,519 9 S 118 Park Forest 93, S 104 East Hazel Crest 7,709 S 25 Park Ridge 187,371 9 S 9 Elgin 120,516 9 S 119 Phoenix 9,801 S 10 Elk Grove Village 165,475 8 S 120 Posen 30,061 S 70 Elmwood Park 124,363 8 S 26 Prospect Heights 81,198 7 S 35 Evanston 372, S 121 Richton Park 68,341 S 81 Evergreen Park 99,163 7 S 62 River Forest 55,814 0 S 105 Flossmoor 47,336 5 S 63 River Grove 51,091 S 106 Ford Heights 13,746 S 122 Riverdale 67, S 46 Forest Park 70,683 5 S 64 Riverside 44,373 S 73 Forest View~ 3,482 0 S 123 Robbins 26,555 S 47 Franklin Park 91,555 S 27 Rolling Meadows 120, S 11 Glencoe 43,611 0 S 28 Roselle 18,641 S 12 Glenview 223, S 65 Rosemont 21,008 S 107 Glenwood 44,842 S 125 South Chicago Heights 20,712 9 S 13 Golf~ 2,505 0 S 124 Sauk Village 52, S 14 Hanover Park 103,168 S 29 Schaumburg 371,019 S 108 Harvey 125,938 8 S 66 Schiller Park 58, S 48 Harwood Heights 43,092 S 36 Skokie 324,064 0 S 109 Hazel Crest 70,428 5 S 30 South Barrington 22,906 S 83 Hickory Hills 70,257 6 S 126 South Holland 110,138 6 S 49 Hillside 40,785 0 S 127 Steger 20,521 S 50 Hinsdale 11,144 S 72 Stickney 33,994 S 51 Hodgkins 9,461 S 67 Stone Park 24,712 0 S 15 Hoffman Estates 259,715 9 S 31 Streamwood 199, S 84 Hometown 21,733 S 94 Summit 55, S 110 Homewood 96,593 S 128 Thornton 11,666 0 S 52 Indian Head Park 19,057 0 S 129 Tinley Park 246, H 16 Inverness 37,060 S 68 Westchester 83,579 S 85 Justice 64,703 S 69 Western Springs 64,923 S 17 Kenilworth 12,567 S 32 Wheeling 188,525 9 S 53 La Grange 77,744 S 95 Willow Springs 27,670 S 54 La Grange Park 67,923 S 33 Wilmette 135,379 S 111 Lansing 141,655 8 S 34 Winnetka 60,912 S 86 Lemont 80,225 0 S 96 Worth 53,919 S 18 Lincolnwood 62,973 S ^ICD 10 code:v02 V04, V09.0, V09.2, V12 V14,V19.0 V19.2, V19.4 V19.6, V20 V79,V80.3 V80.5, V81.0 V81.1, V82.0 V82.1, V83 V86, V87.0 V87.8,V88.0 V88.8, V89.0, V89.2 `Rates based on 2010 Population! Significantly higher/lower than the benchmark at p<0.05 *Benchmark :12.3 per 100,000 pop S Counts suppressed for events between 1 and 4; Rates not calculated for events less than 20 ~Interpret with caution, Population<1,000 Source: Illinois Department of Public Health (IDPH) Death File,

30 Diabetes Related Mortality What is it? Diabetes mellitus is a group of diseases in which the body either does not properly utilize or does not produce insulin resulting in high blood glucose levels. What causes it? The causes of Type 1 diabetes are unknown. Type 2 diabetes is associated with obesity, physical inactivity, family history, and race/ethnicity. Why is it important: Over 1,300 people die each year in SCC due to diabetes related conditions. However, disparities exist. NH African Americans are the only major race/ethnic group remaining that have not achieved the HP2020 goal of 66.6 age adjusted deaths per 100,000 population. Suburban Cook County (SCC) Data Trend^ REGION SCC ** CCDPH ** North ** West SWest South SCC by Race/Ethnicity Asian (NH) Black (NH) Hispanic White (NH) ** SCC by Gender Female Male SCC by Age Groups Under 1 yr yrs yrs yrs yrs yrs yrs ** yrs yrs yrs yrs ^ Significant at p< 0.10 (*), p< 0.05 (**)

31 Higher! Equivalent Lower! Area Diabetes Related ^ Mortality by Town of Residence ` (combined) ID Total # of Age adjusted rate per Total # of Age adjusted rate per ID Area Population deaths 100,000 pop Population deaths 100,000 pop 75 Alsip 96, E 112 Lynwood 45, E 1 Arlington Heights 375, L 55 Lyons 53, E 2 Barrington 28, E 113 Markham 62, E 3 Barrington Hills 10,859 S 114 Matteson 95, E 4 Bartlett 84, E 57 Maywood 120, E 76 Bedford Park 2,901 5 S 56 McCook~ 1,137 S 37 Bellwood 95, H 58 Melrose Park 127, E 39 Berkeley 26, S 87 Merrionette Park 9,490 7 S 40 Berwyn 283, E 115 Midlothian 74, E 77 Blue Island 118, E 19 Morton Grove 116, L 78 Bridgeview 82, E 20 Mount Prospect 270, L 41 Broadview 39, E 21 Niles 148, E 42 Brookfield 94, E 59 Norridge 72, E 5 Buffalo Grove 68, E 61 North Riverside 33, L 74 Burbank 144, E 22 Northbrook 165, E 97 Burnham 21, S 23 Northfield 27, S 43 Burr Ridge 19,222 8 S 60 Northlake 61, E 98 Calumet City 185, E 116 Oak Forest 139, E 99 Calumet Park 39, H 88 Oak Lawn 283, E 100 Chicago Heights 151, H 71 Oak Park 259, E 79 Chicago Ridge 71, H 117 Olympia Fields 24, S 44 Cicero 419, E 89 Orland Hills 35, S 101 Country Club Hills 82, E 90 Orland Park 283, E 45 Countryside 29, E 24 Palatine 343, L 80 Crestwood 54, E 91 Palos Heights 62, E 7 Des Plaines 291, E 92 Palos Hills 87, E 102 Dixmoor 18, S 93 Palos Park 24, E 103 Dolton 115, E 118 Park Forest 93, H 104 East Hazel Crest 7,709 S 25 Park Ridge 187, L 9 Elgin 120, E 119 Phoenix 9, S 10 Elk Grove Village 165, E 120 Posen 30, H 70 Elmwood Park 124, E 26 Prospect Heights 81, L 35 Evanston 372, L 121 Richton Park 68, H 81 Evergreen Park 99, E 62 River Forest 55, S 105 Flossmoor 47, S 63 River Grove 51, E 106 Ford Heights 13, S 122 Riverdale 67, H 46 Forest Park 70, E 64 Riverside 44, L 73 Forest View~ 3,482 S 123 Robbins 26, H 47 Franklin Park 91, E 27 Rolling Meadows 120, E 11 Glencoe 43, S 28 Roselle 18,641 8 S 12 Glenview 223, L 65 Rosemont 21,008 5 S 107 Glenwood 44, E 125 South Chicago Heights 20, E 13 Golf~ 2,505 S 124 Sauk Village 52, E 14 Hanover Park 103, E 29 Schaumburg 371, E 108 Harvey 125, E 66 Schiller Park 58, E 48 Harwood Heights 43, E 36 Skokie 324,064 7 S 109 Hazel Crest 70, E 30 South Barrington 22, S 83 Hickory Hills 70, E 126 South Holland 110, E 49 Hillside 40, E 127 Steger 20, S 50 Hinsdale 11,144 S 72 Stickney 33, E 51 Hodgkins 9,461 8 S 67 Stone Park 24, S 15 Hoffman Estates 259, E 31 Streamwood 199, E 84 Hometown 21, S 94 Summit 55, E 110 Homewood 96, E 128 Thornton 11,666 9 S 52 Indian Head Park 19, S 129 Tinley Park 246, E 16 Inverness 37, S 68 Westchester 83, E 85 Justice 64, H 69 Western Springs 64, S 17 Kenilworth 12,567 S 32 Wheeling 188, E 53 La Grange 77, E 95 Willow Springs 27, S 54 La Grange Park 67, E 33 Wilmette 135, L 111 Lansing 141, E 34 Winnetka 60,912 9 S 86 Lemont 80, E 96 Worth 53, H 18 Lincolnwood 62, L ^ICD 10 code: E10 E14 (any cause of death: underlying, 1st, 2nd, etc.) `Rates based on 2010 Population! Significantly higher/lower than the benchmark at p<0.05 *Benchmark :66.6 per 100,000 pop S Counts suppressed for events between 1 and 4; Rates not calculated for events less than 20 ~Interpret with caution, Population<1,000 Source: Illinois Department of Public Health (IDPH) Death File,

32 Suicide Mortality What is it? A suicide is a death resulting from the use of force against oneself. Why is it important? Nationally, suicide is the second leading cause of death for persons 25 34, and the third for persons Suicide accounts for nearly 215 deaths each year in SCC. The age adjusted suicide rates for non hispanic African Americans (5.7/100,000) and females (3.6/100,000) in SCC was below the HP2020 goal of 10.2 deaths per 100,000 population. However, the age adjusted suicide rate for Whites (13.9 per 100,000) was more than double the rate for non hispanic African Americans and the rate for males (16.8/100,000) was more than four times the rate for females. Suburban Cook County (SCC) Data Trend^ REGION SCC CCDPH North West SWest South SCC by Race/Ethnicity Asian (NH) Black (NH) Hispanic White (NH) SCC by Gender Female Male SCC by Age Groups Under 1 yr yrs yrs yrs yrs yrs yrs yrs yrs yrs yrs ^ Significant at p< 0.10 (*), p< 0.05 (**)

33 Higher! Equivalent Lower! Area Suicide^ Mortality by Town of Residence ` (combined) ID Total # of Age adjusted rate per Total # of Age adjusted rate per ID Area Population deaths 100,000 pop Population deaths 100,000 pop 75 Alsip 96, S 112 Lynwood 45,198 8 S 1 Arlington Heights 375, H 55 Lyons 53,692 6 S 2 Barrington 28,147 S 113 Markham 62,529 S 3 Barrington Hills 10,859 S 114 Matteson 95,653 5 S 4 Bartlett 84, S 57 Maywood 120,160 S 76 Bedford Park 2,901 0 S 56 McCook~ 1,137 0 S 37 Bellwood 95,209 5 S 58 Melrose Park 127, S 39 Berkeley 26,041 S 87 Merrionette Park 9,490 S 40 Berwyn 283, E 115 Midlothian 74, S 77 Blue Island 118, S 19 Morton Grove 116,432 9 S 78 Bridgeview 82,341 9 S 20 Mount Prospect 270, L 41 Broadview 39,627 S 21 Niles 148, S 42 Brookfield 94, S 59 Norridge 72,859 6 S 5 Buffalo Grove 68,143 7 S 61 North Riverside 33,358 S 74 Burbank 144, S 22 Northbrook 165, H 97 Burnham 21,034 S 23 Northfield 27,103 6 S 43 Burr Ridge 19,222 S 60 Northlake 61,660 7 S 98 Calumet City 185, S 116 Oak Forest 139, S 99 Calumet Park 39,107 S 88 Oak Lawn 283, H 100 Chicago Heights 151,130 9 S 71 Oak Park 259, L 79 Chicago Ridge 71,543 8 S 117 Olympia Fields 24,966 S 44 Cicero 419, L 89 Orland Hills 35,782 S 101 Country Club Hills 82,742 6 S 90 Orland Park 283, H 45 Countryside 29,465 S 24 Palatine 343, H 80 Crestwood 54,720 7 S 91 Palos Heights 62, S 7 Des Plaines 291, H 92 Palos Hills 87,402 6 S 102 Dixmoor 18,191 S 93 Palos Park 24,251 7 S 103 Dolton 115,519 6 S 118 Park Forest 93,202 6 S 104 East Hazel Crest 7,709 S 25 Park Ridge 187, E 9 Elgin 120, S 119 Phoenix 9,801 S 10 Elk Grove Village 165, S 120 Posen 30,061 0 S 70 Elmwood Park 124, S 26 Prospect Heights 81,198 S 35 Evanston 372, L 121 Richton Park 68,341 S 81 Evergreen Park 99,163 S 62 River Forest 55,814 7 S 105 Flossmoor 47,336 8 S 63 River Grove 51, S 106 Ford Heights 13,746 0 S 122 Riverdale 67,594 S 46 Forest Park 70,683 S 64 Riverside 44,373 9 S 73 Forest View~ 3,482 0 S 123 Robbins 26,555 0 S 47 Franklin Park 91,555 7 S 27 Rolling Meadows 120, S 11 Glencoe 43,611 S 28 Roselle 18,641 S 12 Glenview 223, E 65 Rosemont 21,008 S 107 Glenwood 44,842 S 125 South Chicago Heights 20,712 5 S 13 Golf~ 2,505 0 S 124 Sauk Village 52, E 14 Hanover Park 103,168 * S 29 Schaumburg 371,019 6 S 108 Harvey 125,938 7 S 66 Schiller Park 58, L 48 Harwood Heights 43,092 S 36 Skokie 324,064 S 109 Hazel Crest 70,428 S 30 South Barrington 22,906 6 S 83 Hickory Hills 70, S 126 South Holland 110,138 S 49 Hillside 40,785 S 127 Steger 20,521 S 50 Hinsdale 11,144 0 S 72 Stickney 33,994 S 51 Hodgkins 9,461 0 S 67 Stone Park 24,712 S 15 Hoffman Estates 259, S 31 Streamwood 199, S 84 Hometown 21,733 S 94 Summit 55,312 S 110 Homewood 96,593 5 S 128 Thornton 11,666 S 52 Indian Head Park 19,057 0 S 129 Tinley Park 246, E 16 Inverness 37,060 S 68 Westchester 83,579 9 S 85 Justice 64,703 S 69 Western Springs 64,923 5 S 17 Kenilworth 12,567 S 32 Wheeling 188, S 53 La Grange 77,744 8 S 95 Willow Springs 27,670 S 54 La Grange Park 67,923 S 33 Wilmette 135, S 111 Lansing 141, S 34 Winnetka 60,912 6 S 86 Lemont 80, S 96 Worth 53,919 8 S 18 Lincolnwood 62,973 S ^ICD 10 code: X60 X84, U03, Y87 `Rates based on 2010 Population! Significantly higher/lower than the benchmark at p<0.05 *Benchmark :10.2 per 100,000 pop S Counts suppressed for events between 1 and 4; Rates not calculated for events less than 20 ~Interpret with caution, Population<1,000 Source: Cook County Department of Public Health, Communicable disease control,

34 Homicide Mortality What is it? Homicide is the intentional use of force against another resulting in death. Why is it important? Homicide is often associated with other crimes, notably robbery. Motivation is usually different between genders as well. Among female victims, homicide is often associated with intimate partner violence, whereas male victims are often related to drugs.from 2008 to 2012, homicide was the leading cause of death of young adults (15 24 years of age) in Suburban Cook County (SCC) accounting for 25% of all deaths among this age group. The age ajusted homicde rate for non hispanic African Americans (20.4/100,000 population) is 13 times the rate for Whites (1.6/100,000 population). Suburban Cook County (SCC) Data Trend^ REGION SCC CCDPH North West SWest South SCC by Race/Ethnicity Asian (NH) Black (NH) Hispanic White (NH) SCC by Gender Female Male SCC by Age Groups Under 1 yr yrs yrs yrs yrs yrs yrs yrs yrs yrs yrs ^ Significant at p< 0.10 (*), p< 0.05 (**)

35 Higher! Equivalent Lower! Area Homicide ^ Mortality by Town of Residence ` (combined) ID Total # of Age adjusted rate per Total # of Age adjusted rate per ID Area Population deaths 100,000 pop Population deaths 100,000 pop 75 Alsip 96,340 9 S 112 Lynwood 45,198 7 S 1 Arlington Heights 375, S 55 Lyons 53,692 S 2 Barrington 28,147 S 113 Markham 62, S 3 Barrington Hills 10,859 S 114 Matteson 95, S 4 Bartlett 84,445 0 S 57 Maywood 120, H 76 Bedford Park 2,901 0 S 56 McCook~ 1,137 0 S 37 Bellwood 95, S 58 Melrose Park 127,279 6 S 39 Berkeley 26,041 S 87 Merrionette Park 9,490 0 S 40 Berwyn 283, S 115 Midlothian 74,145 5 S 77 Blue Island 118, S 19 Morton Grove 116,432 S 78 Bridgeview 82,341 S 20 Mount Prospect 270,625 5 S 41 Broadview 39,627 6 S 21 Niles 148,989 S 42 Brookfield 94,879 S 59 Norridge 72,859 0 S 5 Buffalo Grove 68,143 0 S 61 North Riverside 33,358 S 74 Burbank 144,727 8 S 22 Northbrook 165,824 S 97 Burnham 21,034 S 23 Northfield 27,103 0 S 43 Burr Ridge 19,222 0 S 60 Northlake 61,660 6 S 98 Calumet City 185, L 116 Oak Forest 139,801 S 99 Calumet Park 39,107 7 S 88 Oak Lawn 283, S 100 Chicago Heights 151, L 71 Oak Park 259,325 7 S 79 Chicago Ridge 71,543 S 117 Olympia Fields 24,966 S 44 Cicero 419, L 89 Orland Hills 35,782 S 101 Country Club Hills 82, S 90 Orland Park 283,466 S 45 Countryside 29,465 0 S 24 Palatine 343,093 S 80 Crestwood 54,720 S 91 Palos Heights 62,701 S 7 Des Plaines 291, S 92 Palos Hills 87,402 S 102 Dixmoor 18,191 S 93 Palos Park 24,251 S 103 Dolton 115, H 118 Park Forest 93, S 104 East Hazel Crest 7,709 S 25 Park Ridge 187,371 0 S 9 Elgin 120,516 5 S 119 Phoenix 9,801 0 S 10 Elk Grove Village 165,475 S 120 Posen 30,061 S 70 Elmwood Park 124,363 7 S 26 Prospect Heights 81,198 S 35 Evanston 372, S 121 Richton Park 68,341 5 S 81 Evergreen Park 99,163 8 S 62 River Forest 55,814 S 105 Flossmoor 47,336 S 63 River Grove 51,091 0 S 106 Ford Heights 13,746 S 122 Riverdale 67, S 46 Forest Park 70,683 S 64 Riverside 44,373 0 S 73 Forest View~ 3,482 0 S 123 Robbins 26,555 9 S 47 Franklin Park 91,555 S 27 Rolling Meadows 120,445 S 11 Glencoe 43,611 0 S 28 Roselle 18,641 S 12 Glenview 223,745 S 65 Rosemont 21,008 0 S 107 Glenwood 44,842 S 125 South Chicago Heights 20, S 13 Golf~ 2,505 0 S 124 Sauk Village 52,540 0 S 14 Hanover Park 103,168 S 29 Schaumburg 371,019 5 S 108 Harvey 125, H 66 Schiller Park 58,959 5 S 48 Harwood Heights 43,092 0 S 36 Skokie 324,064 0 S 109 Hazel Crest 70, S 30 South Barrington 22,906 S 83 Hickory Hills 70,257 S 126 South Holland 110, S 49 Hillside 40,785 S 127 Steger 20,521 S 50 Hinsdale 11,144 S 72 Stickney 33,994 S 51 Hodgkins 9,461 0 S 67 Stone Park 24,712 S 15 Hoffman Estates 259,715 S 31 Streamwood 199,635 5 S 84 Hometown 21,733 0 S 94 Summit 55,312 S 110 Homewood 96,593 S 128 Thornton 11,666 S 52 Indian Head Park 19,057 S 129 Tinley Park 246,515 S 16 Inverness 37,060 0 S 68 Westchester 83,579 S 85 Justice 64,703 S 69 Western Springs 64,923 S 17 Kenilworth 12,567 0 S 32 Wheeling 188,525 0 S 53 La Grange 77,744 S 95 Willow Springs 27,670 S 54 La Grange Park 67,923 0 S 33 Wilmette 135,379 0 S 111 Lansing 141, S 34 Winnetka 60,912 S 86 Lemont 80,225 0 S 96 Worth 53,919 S 18 Lincolnwood 62,973 0 S ^ICD 10 code: X85 Y09, U01 U02, Y87.1 `Rates based on 2010 Population!Significantly higher/lower than the benchmark at p<0.05 *Benchmark : 5.5 per 100,000 pop S Counts suppressed for events between 1 and 4; Rates not calculated for events less than 20 ~Interpret with caution, Population<1,000 Source: Illinois Department of Public Health (IDPH) Death File,

36 Firearm related Mortality What is it? Firearm fatalities include homicides and suicides where the weapon was a firearm, as well as firearm accidents. Why is it important? Firearm fatalities are preventable. Of all the firearm fatalities in the U.S., 54.6 percent were suicide and 41 percent were homicide.firearm injuries have a high case fatality rate, approximately 40%. Overall, the firearm related age adjusted mortality rate for SCC (8.0 per 100,000) in 2012 met the HP2020 goal of 10.6 per 100,000 population. While the age adjusted mortality rates for Whites (6.1/100,000) and Hispanics (4.1/100,000) for SCC in 2012 were similar. the non hispanic African American rate was 20.2 per 100,000 population, almost double the HP 2020 goal. Suburban Cook County (SCC) Data Trend^ REGION SCC CCDPH North * West SWest South SCC by Race/Ethnicity Asian (NH) Black (NH) Hispanic White (NH) SCC by Gender Female Male SCC by Age Groups Under 1 yr yrs yrs yrs yrs yrs yrs yrs yrs yrs yrs ^ Significant at p< 0.10 (*), p< 0.05 (**)

37 Higher! Equivalent Lower! Area Firearm related ^ Mortality by Town of Residence ` (combined) ID Total # of Age adjusted rate per Total # of Age adjusted rate per ID Area Population deaths 100,000 pop Population deaths 100,000 pop 75 Alsip 96,340 7 S 112 Lynwood 45,198 9 S 1 Arlington Heights 375, S 55 Lyons 53,692 S 2 Barrington 28,147 S 113 Markham 62, S 3 Barrington Hills 10,859 S 114 Matteson 95,653 9 S 4 Bartlett 84,445 S 57 Maywood 120, H 76 Bedford Park 2,901 0 S 56 McCook~ 1,137 0 S 37 Bellwood 95, E 58 Melrose Park 127,279 9 S 39 Berkeley 26,041 S 87 Merrionette Park 9,490 S 40 Berwyn 283, S 115 Midlothian 74,145 7 S 77 Blue Island 118, S 19 Morton Grove 116,432 S 78 Bridgeview 82,341 S 20 Mount Prospect 270,625 6 S 41 Broadview 39,627 5 S 21 Niles 148,989 7 S 42 Brookfield 94,879 5 S 59 Norridge 72,859 S 5 Buffalo Grove 68,143 S 61 North Riverside 33,358 S 74 Burbank 144, S 22 Northbrook 165,824 5 S 97 Burnham 21,034 S 23 Northfield 27,103 5 S 43 Burr Ridge 19,222 S 60 Northlake 61,660 7 S 98 Calumet City 185, L 116 Oak Forest 139,801 7 S 99 Calumet Park 39,107 8 S 88 Oak Lawn 283, S 100 Chicago Heights 151, E 71 Oak Park 259,325 9 S 79 Chicago Ridge 71,543 S 117 Olympia Fields 24,966 0 S 44 Cicero 419, L 89 Orland Hills 35,782 S 101 Country Club Hills 82, S 90 Orland Park 283, S 45 Countryside 29,465 0 S 24 Palatine 343, S 80 Crestwood 54,720 5 S 91 Palos Heights 62,701 S 7 Des Plaines 291, L 92 Palos Hills 87,402 6 S 102 Dixmoor 18,191 S 93 Palos Park 24,251 S 103 Dolton 115, H 118 Park Forest 93, S 104 East Hazel Crest 7,709 S 25 Park Ridge 187,371 S 9 Elgin 120,516 7 S 119 Phoenix 9,801 0 S 10 Elk Grove Village 165,475 8 S 120 Posen 30,061 S 70 Elmwood Park 124,363 9 S 26 Prospect Heights 81,198 S 35 Evanston 372, S 121 Richton Park 68,341 S 81 Evergreen Park 99,163 9 S 62 River Forest 55,814 5 S 105 Flossmoor 47,336 S 63 River Grove 51,091 S 106 Ford Heights 13,746 S 122 Riverdale 67, S 46 Forest Park 70,683 7 S 64 Riverside 44,373 S 73 Forest View~ 3,482 0 S 123 Robbins 26,555 8 S 47 Franklin Park 91,555 S 27 Rolling Meadows 120,445 S 11 Glencoe 43,611 0 S 28 Roselle 18,641 S 12 Glenview 223,745 S 65 Rosemont 21,008 S 107 Glenwood 44,842 5 S 125 South Chicago Heights 20, S 13 Golf~ 2,505 0 S 124 Sauk Village 52, S 14 Hanover Park 103,168 S 29 Schaumburg 371,019 S 108 Harvey 125, H 66 Schiller Park 58, S 48 Harwood Heights 43,092 S 36 Skokie 324,064 0 S 109 Hazel Crest 70,428 9 S 30 South Barrington 22,906 S 83 Hickory Hills 70,257 S 126 South Holland 110, S 49 Hillside 40,785 0 S 127 Steger 20,521 S 50 Hinsdale 11,144 0 S 72 Stickney 33,994 S 51 Hodgkins 9,461 0 S 67 Stone Park 24,712 S 15 Hoffman Estates 259,715 5 S 31 Streamwood 199,635 7 S 84 Hometown 21,733 S 94 Summit 55,312 6 S 110 Homewood 96,593 5 S 128 Thornton 11,666 S 52 Indian Head Park 19,057 0 S 129 Tinley Park 246,515 8 S 16 Inverness 37,060 S 68 Westchester 83,579 7 S 85 Justice 64,703 S 69 Western Springs 64,923 S 17 Kenilworth 12,567 S 32 Wheeling 188,525 7 S 53 La Grange 77,744 S 95 Willow Springs 27,670 S 54 La Grange Park 67,923 S 33 Wilmette 135,379 5 S 111 Lansing 141, S 34 Winnetka 60,912 S 86 Lemont 80,225 5 S 96 Worth 53,919 5 S 18 Lincolnwood 62,973 S ^ICD 10 code: U01.4, W32 W34, X72 X74, X93 X95, Y22 Y24, Y35.0 `Rates based on 2010 Population! Significantly higher/lower than the benchmark at p<0.05 *Benchmark :10.5 per 100,000 pop S Counts suppressed for events between 1 and 4; Rates not calculated for events less than 20 ~Interpret with caution, Population<1,000 Source: Illinois Department of Public Health (IDPH) Death File,

38 Maternal Child Health Community Health Status Assessment

39 Crude Birth Rate What is it? The crude birth rate (CBR) is the number of live births for a specified geographic area divided by the total population for that area and multiplied by 1,000. Why is it important? The CBR in the U.S. has remained relatively stable for the past 20 years. Much of the stabilization can be attributed to family planning and contraceptives and is listed as one of the CDC s Ten Great Public Health Achievements. The CBR for SCC is dcreasing significantly from 13.0/1,000 live births in 2008 to 11.7 in The CBR is decreasing for all major race/ethnic groups except for Whites whose rates have remained stable. In 2012, Asians had the highest CBR (15.9/1,000 live births) compared to Whites with the lowest CBR rate of 9.3 Suburban Cook County (SCC) Data Trend REGION SCC ** CCDPH North West ** SWest South SCC by Race/Ethnicity Asian (NH) * Black (NH) ** Hispanic ** White (NH) SCC by Mother's Age Group yrs yrs yrs yrs yrs yrs yrs yrs ^ Significant at p< 0.10 (*), p< 0.05 (**)

40 Higher! Equivalent Lower! Area Crude Birth Rate By Town of Residence ` (combined) ID Total # of Total # of rate per 1,000 pop ID Area Population births Population births rate per 1,000 pop 75 Alsip 96,340 1, E 112 Lynwood 45, E 1 Arlington Heights 375,412 4, L 55 Lyons 53, H 2 Barrington 28, E 113 Markham 62, H 3 Barrington Hills 10, L 114 Matteson 95,653 1, L 4 Bartlett 84,445 1, H 57 Maywood 120,160 1, H 76 Bedford Park 2, H 56 McCook~ 1, S 37 Bellwood 95,209 1, E 58 Melrose Park 127,279 2, H 39 Berkeley 26, E 87 Merrionette Park 9, E 40 Berwyn 283,549 4, H 115 Midlothian 74, E 77 Blue Island 118,554 2, H 19 Morton Grove 116,432 1, L 78 Bridgeview 82,341 1, H 20 Mount Prospect 270,625 3, E 41 Broadview 39, L 21 Niles 148,989 1, L 42 Brookfield 94,879 1, E 59 Norridge 72, L 5 Buffalo Grove 68, L 61 North Riverside 33, L 74 Burbank 144,727 1, E 22 Northbrook 165,824 1, L 97 Burnham 21, L 23 Northfield 27, L 43 Burr Ridge 19, L 60 Northlake 61, H 98 Calumet City 185,007 2, H 116 Oak Forest 139,801 1, L 99 Calumet Park 39, E 88 Oak Lawn 283,595 3, L 100 Chicago Heights 151,130 2, H 71 Oak Park 259,325 3, E 79 Chicago Ridge 71,543 1, H 117 Olympia Fields 24, L 44 Cicero 419,283 7, H 89 Orland Hills 35, E 101 Country Club Hills 82,742 1, E 90 Orland Park 283,466 2, L 45 Countryside 29, L 24 Palatine 343,093 5, H 80 Crestwood 54, L 91 Palos Heights 62, L 7 Des Plaines 291,784 5, H 92 Palos Hills 87, L 102 Dixmoor 18, L 93 Palos Park 24, E 103 Dolton 115,519 1, E 118 Park Forest 93,202 1, E 104 East Hazel Crest 7, L 25 Park Ridge 187,371 1, L 9 Elgin 120,516 1, H 119 Phoenix 9, E 10 Elk Grove Village 165,475 1, L 120 Posen 30, H 70 Elmwood Park 124,363 1, L 26 Prospect Heights 81,198 1, H 35 Evanston 372,455 4, E 121 Richton Park 68, E 81 Evergreen Park 99,163 1, L 62 River Forest 55, L 105 Flossmoor 47, L 63 River Grove 51, E 106 Ford Heights 13, H 122 Riverdale 67,594 1, H 46 Forest Park 70, H 64 Riverside 44, L 73 Forest View~ 3, E 123 Robbins 26, H 47 Franklin Park 91,555 1, H 27 Rolling Meadows 120,445 1, H 11 Glencoe 43, L 28 Roselle 18, E 12 Glenview 223,745 2, L 65 Rosemont 21, H 107 Glenwood 44, L 125 South Chicago Heights 20, E 13 Golf~ 2, S 124 Sauk Village 52, H 14 Hanover Park 103,168 1, H 29 Schaumburg 371,019 4, H 108 Harvey 125,938 2, H 66 Schiller Park 58, H 48 Harwood Heights 43, L 36 Skokie 324,064 3, L 109 Hazel Crest 70, E 30 South Barrington 22, L 83 Hickory Hills 70, L 126 South Holland 110,138 1, L 49 Hillside 40, E 127 Steger 20, H 50 Hinsdale 11, L 72 Stickney 33, E 51 Hodgkins 9, E 67 Stone Park 24, H 15 Hoffman Estates 259,715 3, E 31 Streamwood 199,635 3, H 84 Hometown 21, L 94 Summit 55, H 110 Homewood 96, L 128 Thornton 11, L 52 Indian Head Park 19, L 129 Tinley Park 246,515 2, L 16 Inverness 37, L 68 Westchester 83, L 85 Justice 64,703 1, H 69 Western Springs 64, L 17 Kenilworth 12, L 32 Wheeling 188,525 2, H 53 La Grange 77, E 95 Willow Springs 27, L 54 La Grange Park 67, L 33 Wilmette 135, L 111 Lansing 141,655 1, L 34 Winnetka 60, L 86 Lemont 80, L 96 Worth 53, H 18 Lincolnwood 62, L `Rates based on 2010 Population! Significantly higher/lower than the benchmark at p<0.05 *Benchmark :12.4 per 1,000 pop S Counts suppressed for events between 1 and 4; Rates not calculated for events less than 20 ~Interpret with caution, Population<1,000 Source: Illinois Department of Public Health (IDPH) Natality File,

41 Infant Mortality Rate What is it? Infant mortality is the number of deaths to infants under one year of age per 1,000 live births in a given year. Why is it important? The infant mortality rate is often used as a basic tool to measure the health of a population and for comparison between populations. Whilte the overall infant mortality rate for SCC in 2012 (6.5/1,000 live births) was close to the HP2020 goal of 6.0/1,000 live births, the infant mortality rate for non hispanic African American mothers (14.7/1,000 live births) was four times greater than that for White mothers (3.6/1,000 live births) in SCC. Furthermore, the infant mortality rates is decreasing significantly for Whites, but has remained the same for non hispanic African Americans. Suburban Cook County (SCC) Data Trend^ REGION SCC CCDPH North West SWest South SCC by Race/Ethnicity Asian (NH) Black (NH) Hispanic White (NH) ** SCC by Mother's Age Group yrs na na na na na yrs na na na na na yrs na na na na na yrs na na na na na yrs na na na na na yrs na na na na na yrs na na na na na yrs na na na na na yrs na na na na na ^ Significant at p< 0.10 (*), p< 0.05 (**)

42 Higher! Equivalent Lower! ID Area Live births Infant Mortality Rate By Town of Residence ` (combined) # of # of rate per 1,000 births ID Area Live births deaths deaths rate per 1,000 births 75 Alsip 1,227 S 112 Lynwood S 1 Arlington Heights 4, E 55 Lyons S 2 Barrington S 113 Markham S 3 Barrington Hills 23 0 S 114 Matteson 1, S 4 Bartlett 1,237 5 S 57 Maywood 1, H 76 Bedford Park 51 0 S 56 McCook~ 13 0 S 37 Bellwood 1,229 9 S 58 Melrose Park 2, E 39 Berkeley 310 S 87 Merrionette Park 103 S 40 Berwyn 4, E 115 Midlothian 976 S 77 Blue Island 2, H 19 Morton Grove 1,176 5 S 78 Bridgeview 1, S 20 Mount Prospect 3, E 41 Broadview 421 S 21 Niles 1,342 S 42 Brookfield 1,172 S 59 Norridge 552 S 5 Buffalo Grove 709 S 61 North Riverside 320 S 74 Burbank 1, S 22 Northbrook 1,369 S 97 Burnham 225 S 23 Northfield S 43 Burr Ridge 122 S 60 Northlake S 98 Calumet City 2, H 116 Oak Forest 1,596 8 S 99 Calumet Park 494 S 88 Oak Lawn 3, S 100 Chicago Heights 2, S 71 Oak Park 3, S 79 Chicago Ridge 1, S 117 Olympia Fields 145 S 44 Cicero 7, E 89 Orland Hills 403 S 101 Country Club Hills 1, S 90 Orland Park 2, S 45 Countryside 272 S 24 Palatine 5, E 80 Crestwood 541 S 91 Palos Heights 512 S 7 Des Plaines 5, E 92 Palos Hills S 102 Dixmoor 175 S 93 Palos Park 279 S 103 Dolton 1, S 118 Park Forest 1, S 104 East Hazel Crest 50 0 S 25 Park Ridge 1,548 6 S 9 Elgin 1,719 6 S 119 Phoenix 106 S 10 Elk Grove Village 1, S 120 Posen 444 S 70 Elmwood Park 1,393 7 S 26 Prospect Heights 1,208 9 S 35 Evanston 4, E 121 Richton Park S 81 Evergreen Park 1, S 62 River Forest 355 S 105 Flossmoor 309 S 63 River Grove 651 S 106 Ford Heights 237 S 122 Riverdale 1, H 46 Forest Park S 64 Riverside 420 S 73 Forest View~ 37 S 123 Robbins 404 S 47 Franklin Park 1,212 6 S 27 Rolling Meadows 1, H 11 Glencoe S 28 Roselle S 12 Glenview 2,227 7 S 65 Rosemont 300 S 107 Glenwood S 125 South Chicago Heights 260 S 13 Golf~ 14 0 S 124 Sauk Village S 14 Hanover Park 1,986 7 S 29 Schaumburg 4, S 108 Harvey 2, H 66 Schiller Park S 48 Harwood Heights S 36 Skokie 3, S 109 Hazel Crest S 30 South Barrington S 83 Hickory Hills S 126 South Holland 1,092 9 S 49 Hillside S 127 Steger S 50 Hinsdale S 72 Stickney 388 S 51 Hodgkins 135 S 67 Stone Park 449 S 15 Hoffman Estates 3, E 31 Streamwood 3, E 84 Hometown 201 S 94 Summit S 110 Homewood S 128 Thornton 114 S 52 Indian Head Park 126 S 129 Tinley Park 2, S 16 Inverness 186 S 68 Westchester 913 S 85 Justice 1,129 8 S 69 Western Springs S 17 Kenilworth 63 0 S 32 Wheeling 2, S 53 La Grange 954 S 95 Willow Springs 279 S 54 La Grange Park 667 S 33 Wilmette 902 S 111 Lansing 1, S 34 Winnetka S 86 Lemont 738 S 96 Worth S 18 Lincolnwood 475 S `Rates based on 2010 Population! Significantly higher/lower than the benchmark at p<0.05 *Benchmark :6.0 per 1,000 pop S Counts suppressed for events between 1 and 4; Rates not calculated for events less than 20 ~Interpret with caution, Population<1,000 Source: Illinois Department of Public Health (IDPH) Natality File,

43 Preterm Birth Rate What is it? Preterm birth is the birth of an infant before 37 weeks of pregnancy. Why is it important? Preterm birth is the greatest contributor to infant death, with most preterm related deaths occurring among babies who were born very preterm (before 32 weeks). The overall preterm birth rates were highest in the South district (11.1 per 1,000 live births) and lowest in the North district (9.1 per 1,000 live births). The overall premature birth rate (9.5 per 1,000 live births) was similar for Asians, Hispanics, and Whites. However, the premature birth rate for non hispanic African Americans was 13.2 in 2012 and did not meet the HP2020 goal of Suburban Cook County (SCC) Data Trend^ REGION SCC CCDPH North West SWest South SCC by Race/Ethnicity Asian (NH) Black (NH) Hispanic White (NH) SCC by Mother's Age Group yrs yrs yrs yrs yrs * yrs yrs yrs yrs ^ Significant at p< 0.10 (*), p< 0.05 (**)

44 Higher! Equivalent Lower! ID Area Live births Preterm Birth Rate By Town of Residence ` (combined) # of # of rate per 1,000 births ID Area Live births births births rate per 1,000 births 75 Alsip 1, E 112 Lynwood E 1 Arlington Heights 4, L 55 Lyons E 2 Barrington L 113 Markham E 3 Barrington Hills 23 S 114 Matteson 1, E 4 Bartlett 1, E 57 Maywood 1, H 76 Bedford Park 51 6 S 56 McCook~ 13 S 37 Bellwood 1, E 58 Melrose Park 2, L 39 Berkeley E 87 Merrionette Park S 40 Berwyn 4, L 115 Midlothian E 77 Blue Island 2, E 19 Morton Grove 1, L 78 Bridgeview 1, L 20 Mount Prospect 3, L 41 Broadview H 21 Niles 1, E 42 Brookfield 1, L 59 Norridge E 5 Buffalo Grove E 61 North Riverside E 74 Burbank 1, L 22 Northbrook 1, L 97 Burnham E 23 Northfield S 43 Burr Ridge S 60 Northlake L 98 Calumet City 2, H 116 Oak Forest 1, L 99 Calumet Park H 88 Oak Lawn 3, L 100 Chicago Heights 2, E 71 Oak Park 3, L 79 Chicago Ridge 1, E 117 Olympia Fields S 44 Cicero 7, L 89 Orland Hills E 101 Country Club Hills 1, H 90 Orland Park 2, L 45 Countryside E 24 Palatine 5, L 80 Crestwood E 91 Palos Heights L 7 Des Plaines 5, L 92 Palos Hills E 102 Dixmoor H 93 Palos Park E 103 Dolton 1, H 118 Park Forest 1, E 104 East Hazel Crest S 25 Park Ridge 1, L 9 Elgin 1, E 119 Phoenix S 10 Elk Grove Village 1, E 120 Posen E 70 Elmwood Park 1, E 26 Prospect Heights 1, E 35 Evanston 4, L 121 Richton Park E 81 Evergreen Park 1, E 62 River Forest E 105 Flossmoor E 63 River Grove L 106 Ford Heights H 122 Riverdale 1, H 46 Forest Park L 64 Riverside E 73 Forest View~ 37 S 123 Robbins H 47 Franklin Park 1, L 27 Rolling Meadows 1, L 11 Glencoe L 28 Roselle E 12 Glenview 2, L 65 Rosemont L 107 Glenwood E 125 South Chicago Heights E 13 Golf~ 14 S 124 Sauk Village E 14 Hanover Park 1, L 29 Schaumburg 4, L 108 Harvey 2, E 66 Schiller Park L 48 Harwood Heights L 36 Skokie 3, E 109 Hazel Crest H 30 South Barrington S 83 Hickory Hills L 126 South Holland 1, E 49 Hillside L 127 Steger E 50 Hinsdale 105 S 72 Stickney E 51 Hodgkins S 67 Stone Park L 15 Hoffman Estates 3, L 31 Streamwood 3, E 84 Hometown E 94 Summit L 110 Homewood E 128 Thornton S 52 Indian Head Park S 129 Tinley Park 2, E 16 Inverness S 68 Westchester E 85 Justice 1, L 69 Western Springs E 17 Kenilworth 63 S 32 Wheeling 2, L 53 La Grange L 95 Willow Springs E 54 La Grange Park L 33 Wilmette L 111 Lansing 1, E 34 Winnetka L 86 Lemont E 96 Worth L 18 Lincolnwood E `Rates based on 2010 Population! Significantly higher/lower than the benchmark at p<0.05 *Benchmark :11.4 per 1,000 pop S Counts suppressed for events between 1 and 4; Rates not calculated for events less than 20 ~Interpret with caution, Population<1,000 Source: Illinois Department of Public Health (IDPH) Natality File,

45 Inadequate Prenatal Care What is it? Inadequate prenatal care (IPNC) is the percentage of births to women beginning prenatal care after the 3rd month of pregnancy or receiving no prenatal care. Why is it important:? Beginning prenatal care in the first trimester of pregnancy is important because it allows the health of the fetus to be monitored. Women with IPNC are more likely to have poor outcomes such as preterm birth and low birth weight babies. The overall percentage of women who received IPNC has remained around 12% from 2008 to Although non Hispanic African Americans (14.0 %) and Hispanics (15.1%) have the highest rates of IPNC, trends have significantly decreased for both groups between 2008 and Suburban Cook County (SCC) Data Trend^ REGION SCC CCDPH North West SWest South SCC by Race/Ethnicity Asian (NH) Black (NH) * Hispanic * White (NH) SCC by Mother's Age Group yrs yrs yrs yrs yrs yrs yrs ** yrs ** yrs ^ Significant at p< 0.10 (*), p< 0.05 (**)

46 Higher! Equivalent Lower! Area Inadequate Prenatal Care By Town of Residence ` (combined) ID Prenatal # PNC Prenatal # PNC Percent ID Area CarePopulation births CarePopulation births Percent 75 Alsip 1, E 112 Lynwood E 1 Arlington Heights 4, E 55 Lyons E 2 Barrington L 113 Markham E 3 Barrington Hills 23 S 114 Matteson 1, E 4 Bartlett 1, E 57 Maywood 1, E 76 Bedford Park S 56 McCook~ 13 S 37 Bellwood 1, E 58 Melrose Park 2, E 39 Berkeley E 87 Merrionette Park S 40 Berwyn 4, E 115 Midlothian E 77 Blue Island 2, E 19 Morton Grove 1, E 78 Bridgeview 1, E 20 Mount Prospect 3, E 41 Broadview E 21 Niles 1, E 42 Brookfield 1, E 59 Norridge E 5 Buffalo Grove E 61 North Riverside E 74 Burbank 1, E 22 Northbrook 1, E 97 Burnham E 23 Northfield E 43 Burr Ridge S 60 Northlake E 98 Calumet City 2, E 116 Oak Forest 1, E 99 Calumet Park H 88 Oak Lawn 3, E 100 Chicago Heights 2, H 71 Oak Park 3, L 79 Chicago Ridge 1, E 117 Olympia Fields E 44 Cicero 7,835 1, E 89 Orland Hills E 101 Country Club Hills 1, H 90 Orland Park 2, E 45 Countryside E 24 Palatine 5, E 80 Crestwood E 91 Palos Heights L 7 Des Plaines 5,680 1, E 92 Palos Hills E 102 Dixmoor E 93 Palos Park E 103 Dolton 1, E 118 Park Forest 1, E 104 East Hazel Crest S 25 Park Ridge 1, E 9 Elgin 1, E 119 Phoenix S 10 Elk Grove Village 1, E 120 Posen E 70 Elmwood Park 1, E 26 Prospect Heights 1, E 35 Evanston 4, E 121 Richton Park H 81 Evergreen Park 1, E 62 River Forest L 105 Flossmoor E 63 River Grove E 106 Ford Heights H 122 Riverdale 1, E 46 Forest Park L 64 Riverside E 73 Forest View~ 37 6 S 123 Robbins H 47 Franklin Park 1, E 27 Rolling Meadows 1, E 11 Glencoe L 28 Roselle E 12 Glenview 2, E 65 Rosemont E 107 Glenwood E 125 South Chicago Heights H 13 Golf~ 14 S 124 Sauk Village H 14 Hanover Park 1, E 29 Schaumburg 4, E 108 Harvey 2, E 66 Schiller Park E 48 Harwood Heights E 36 Skokie 3, E 109 Hazel Crest H 30 South Barrington S 83 Hickory Hills E 126 South Holland 1, E 49 Hillside E 127 Steger E 50 Hinsdale S 72 Stickney E 51 Hodgkins E 67 Stone Park E 15 Hoffman Estates 3, E 31 Streamwood 3, E 84 Hometown E 94 Summit H 110 Homewood E 128 Thornton E 52 Indian Head Park S 129 Tinley Park 2, E 16 Inverness S 68 Westchester E 85 Justice 1, E 69 Western Springs L 17 Kenilworth 63 6 S 32 Wheeling 2, E 53 La Grange E 95 Willow Springs E 54 La Grange Park L 33 Wilmette L 111 Lansing 1, E 34 Winnetka L 86 Lemont E 96 Worth E 18 Lincolnwood E `Rates based on 2010 Population! Significantly higher/lower than the benchmark at p<0.05 *Benchmark :22.4 per 1,000 pop S Counts suppressed for events between 1 and 4; Rates not calculated for events less than 20 ~Interpret with caution, Population<1,000 Source: Illinois Department of Public Health (IDPH) Natality File,

47 Singleton Low Birth Weight What is it? Singleton Low birth weight (LBW) refers to infants weighing less than 5 pounds 8 ounces (2,500 grams). Why is it important: LBW is the greatest factor for neonatal mortality. LBW babies are also more likely to have disabilities and suffer greater morbidity later in life. LBW has remained stable in SCC (approximately 6.1 % of births) and across all districts from 2008 to With 5% of live births resulting in LBW, the Norh had the lowest rate and the South, with 8.1% of births had the highest rate when compared to other SCC districts. The percentage of LBW births is significantly trending downwards for Asians and Whites, and increasing upwards for Hispanics from LBW births for non hispanic African Americans has remained stable. Suburban Cook County (SCC) Data Trend^ REGION SCC CCDPH North West SWest South SCC by Race/Ethnicity Asian (NH) * Black (NH) Hispanic ** White (NH) ** SCC by Mother's Age Group yrs yrs ** yrs yrs ** yrs yrs yrs yrs ^ Significant at p< 0.10 (*), p< 0.05 (**)

48 Higher! Equivalent Lower! Area Singleton Low Birth Weight By Town of Residence ` (combined) ID Low Birth # of Low Birth # of Percent ID Area Weight births Weight births Percent 75 Alsip 1, H 112 Lynwood E 1 Arlington Heights E 55 Lyons L 2 Barrington 1, E 113 Markham 1, E 3 Barrington Hills 4, L 114 Matteson S 4 Bartlett 1, E 57 Maywood E 76 Bedford Park 4, E 56 McCook~ 23 S 37 Bellwood 1, E 58 Melrose Park E 39 Berkeley H 87 Merrionette Park E 40 Berwyn S 115 Midlothian 3, E 77 Blue Island 4, E 19 Morton Grove 13 S 78 Bridgeview 1, L 20 Mount Prospect 2, E 41 Broadview S 21 Niles E 42 Brookfield L 59 Norridge E 5 Buffalo Grove 118 S 61 North Riverside 1, E 74 Burbank S 22 Northbrook 2, E 97 Burnham S 23 Northfield 7, E 43 Burr Ridge H 60 Northlake 97 5 S 98 Calumet City E 116 Oak Forest 1, E 99 Calumet Park E 88 Oak Lawn 1, E 100 Chicago Heights S 71 Oak Park E 79 Chicago Ridge 2, E 117 Olympia Fields 2, E 44 Cicero E 89 Orland Hills H 101 Country Club Hills E 90 Orland Park S 45 Countryside 4, E 24 Palatine 2, E 80 Crestwood 1, E 91 Palos Heights 1, E 7 Des Plaines S 92 Palos Hills 1, E 102 Dixmoor 5, E 93 Palos Park 48 7 S 103 Dolton H 118 Park Forest 1, H 104 East Hazel Crest 2, E 25 Park Ridge 1, E 9 Elgin 1, E 119 Phoenix 1, E 10 Elk Grove Village S 120 Posen E 70 Elmwood Park 1, L 26 Prospect Heights S 35 Evanston E 121 Richton Park S 81 Evergreen Park E 62 River Forest S 105 Flossmoor 1, E 63 River Grove 1, E 106 Ford Heights L 122 Riverdale S 46 Forest Park S 64 Riverside E 73 Forest View~ 1, E 123 Robbins L 47 Franklin Park E 27 Rolling Meadows S 11 Glencoe S 28 Roselle E 12 Glenview E 65 Rosemont 36 S 107 Glenwood H 125 South Chicago Heig S 13 Golf~ S 124 Sauk Village S 14 Hanover Park S 29 Schaumburg E 108 Harvey E 66 Schiller Park E 48 Harwood Heights S 36 Skokie E 109 Hazel Crest E 30 South Barrington 1, L 83 Hickory Hills E 126 South Holland 3, E 49 Hillside 2, H 127 Steger 2, L 50 Hinsdale 1, E 72 Stickney 97 S 51 Hodgkins E 67 Stone Park 14 0 S 15 Hoffman Estates 3, E 31 Streamwood 3, E 84 Hometown S 94 Summit S 110 Homewood 1, E 128 Thornton H 52 Indian Head Park E 129 Tinley Park E 16 Inverness 1, E 68 Westchester 59 S 85 Justice 2, E 69 Western Springs 1, H 17 Kenilworth 51 S 32 Wheeling S 53 La Grange L 95 Willow Springs 1, E 54 La Grange Park E 33 Wilmette 1, E 111 Lansing 4, E 34 Winnetka 2, E 86 Lemont 3, E 96 Worth 1, H 18 Lincolnwood E `Rates based on 2010 Population! Significantly higher/lower than the benchmark at p<0.05 *Benchmark :7.8 per 1,000 pop S Counts suppressed for events between 1 and 4; Rates not calculated for events less than 20 ~Interpret with caution, Population<1,000 Source: Illinois Department of Public Health (IDPH) Natality File,

49 Teen Birth Rate What is it? The teen birth rate (TBR) is measured as the number of births to teens ages per 1,000 females in the population Why is it important? Teen mothers are also less likely to be married or have social support. They are also more likely to smoke and less likely to initiate prenatal care in the first trimester, which can lead to poor birth outcomes. The teen birth rate has decreased in SCC and across all districts and major race/ethnic groups. The non hispanic African American teen birth rate has decreased from 57.1 per 1,000 females in 2008 to 30.7 per 1,000 females in However, the non hispanic African American rate is almost three times the rate of Whites (30.7 vs 6.9 per 1,000 females in Suburban Cook County (SCC) Data Trend^ REGION SCC ** CCDPH ** North ** West * SWest ** South ** SCC by Race/Ethnicity Asian (NH) Black (NH) ** Hispanic ** White (NH) * SCC by Mother's Age Group yrs na na na na na yrs na na na na na yrs na na na na na yrs na na na na na yrs na na na na na yrs na na na na na yrs na na na na na yrs na na na na na yrs na na na na na ^ Significant at p< 0.10 (*), p< 0.05 (**)

50 Higher! Equivalent Lower! Area Teen Birth Rate By Town of Residence ` (combined) ID Teen # of Teen # of rate per 1,000 pop ID Area Population births Population births rate per 1,000 pop 75 Alsip 10, L 112 Lynwood 2, E 1 Arlington Heights 3, L 55 Lyons 1, E 2 Barrington 3,865 8 S 113 Markham 1, E 3 Barrington Hills 1,040 S 114 Matteson 2, E 4 Bartlett 8, L 57 Maywood 18, H 76 Bedford Park 715 S 56 McCook 8,915 S 37 Bellwood H 58 Melrose Park H 39 Berkeley 2, E 87 Merrionette Park 3,220 S 40 Berwyn 3, H 115 Midlothian 8, E 77 Blue Island H 19 Morton Grove 3, L 78 Bridgeview 2, E 20 Mount Prospect 7, L 41 Broadview 1, H 21 Niles L 42 Brookfield 1, L 59 Norridge 2, S 5 Buffalo Grove L 61 North Riverside 8, S 74 Burbank 5, L 22 Northbrook 2,485 9 S 97 Burnham 1, H 23 Northfield 7,265 8 S 43 Burr Ridge 2,800 S 60 Northlake 1, H 98 Calumet City 4, H 116 Oak Forest 15, L 99 Calumet Park 1, H 88 Oak Lawn 1, L 100 Chicago Heights 1, H 71 Oak Park 2, L 79 Chicago Ridge H 117 Olympia Fields 1, S 44 Cicero 3, H 89 Orland Hills 16, S 101 Country Club Hills 1, H 90 Orland Park 3, L 45 Countryside 1, S 24 Palatine L 80 Crestwood 6, E 91 Palos Heights 1,975 8 S 7 Des Plaines E 92 Palos Hills 4, L 102 Dixmoor 1, H 93 Palos Park 8,425 5 S 103 Dolton 2, H 118 Park Forest 5, E 104 East Hazel Crest 12,290 7 S 25 Park Ridge 6, S 9 Elgin 2, L 119 Phoenix 5, S 10 Elk Grove Village L 120 Posen 2, E 70 Elmwood Park 10, E 26 Prospect Heights 6, H 35 Evanston 7, L 121 Richton Park 1, E 81 Evergreen Park L 62 River Forest 7,410 6 S 105 Flossmoor 0 18 S 63 River Grove 4, E 106 Ford Heights 1, H 122 Riverdale 1, H 46 Forest Park 2, E 64 Riverside 1,860 8 S 73 Forest View 1,895 5 S 123 Robbins 1, H 47 Franklin Park L 27 Rolling Meadows 3, E 11 Glencoe 4,110 S 28 Roselle S 12 Glenview 1, L 65 Rosemont S 107 Glenwood H 125 South Chicago Heights 3, E 13 Golf 9,965 S 124 Sauk Village H 14 Hanover Park 4, L 29 Schaumburg 2, L 108 Harvey 8, H 66 Schiller Park 3, H 48 Harwood Heights 4,720 5 S 36 Skokie 1, L 109 Hazel Crest 1, H 30 South Barrington 2,115 S 83 Hickory Hills 3, L 126 South Holland E 49 Hillside E 127 Steger H 50 Hinsdale 670 S 72 Stickney E 51 Hodgkins 1, S 67 Stone Park 2, H 15 Hoffman Estates 7, L 31 Streamwood L 84 Hometown 10,620 8 S 94 Summit 2, H 110 Homewood 1, L 128 Thornton 3,525 S 52 Indian Head Park 5,840 S 129 Tinley Park 3, L 16 Inverness 1,945 S 68 Westchester 11, L 85 Justice 3, H 69 Western Springs 465 S 17 Kenilworth 3,890 S 32 Wheeling 1, E 53 La Grange 2, L 95 Willow Springs 1,470 S 54 La Grange Park S 33 Wilmette 5,285 S 111 Lansing E 34 Winnetka 5,420 S 86 Lemont L 96 Worth L 18 Lincolnwood 2,165 5 S `Rates based on 2010 Population; females years! Significantly higher/lower than the benchmark at p<0.05 *Benchmark :29.4 per 1,000 pop S Counts suppressed for events between 1 and 4; Rates not calculated for events less than 20 ~Interpret with caution, Population<1,000 Source: Illinois Department of Public Health (IDPH) Natality File,

51 Communicable Disease Community Health Status Assessment

52 Gonorrhea Incidence (15 44 yrs) What is it? Infection with the bacterium Neisseria gonorrhoeae (GC) causes gonorrheal infections, the second most commonly reported communicable disease in Suburban Cook County, Illinois and in the United States. Gonorrheal infections are easily treated with appropriate antibiotics, but drug resistant strains are on the rise. Why is it important? Untreated gonorrhea can cause serious and permanent health problems in both women and men. In women, gonorrhea can spread and cause pelvic inflammatory disease (PID). In men, gonorrhea can cause a painful condition called epididymitis in the tubes attached to the testicles. If not treated, gonorrhea can spread to the blood or joints. This condition can be lifethreatening. Suburban Cook County (SCC) Data Trend REGION SCC CCDPH North West SWest South SCC by Race/Ethnicity Asian (NH) Black (NH) 1, Hispanic White (NH) SCC by Gender Female Male SCC by Age Groups yrs yrs yrs yrs yrs yrs

53 Higher! Equivalent Lower! Area Gonorrhea ^ Incidence (15 44 yrs.) by Town of Residence ` (combined) ID Total # of Incidence rate per Total # of Incidence rate per ID Area Population events 100,000 pop Population events 100,000 pop 75 Alsip 96, L 112 Lynwood 45, H 1 Arlington Heights 375, L 55 Lyons 53, S 2 Barrington 28,147 0 S 113 Markham 62, ,455.9 H 3 Barrington Hills 10,859 0 S 114 Matteson 95, H 4 Bartlett 84, S 57 Maywood 120, ,203.0 H 76 Bedford Park 2,901 S 56 McCook~ 1,137 0 S 37 Bellwood 95, H 58 Melrose Park 127, L 39 Berkeley 26, E 87 Merrionette Park 9,490 9 S 40 Berwyn 283, L 115 Midlothian 74, L 77 Blue Island 118, H 19 Morton Grove 116, S 78 Bridgeview 82, S 20 Mount Prospect 270, L 41 Broadview 39, H 21 Niles 148, S 42 Brookfield 94, S 59 Norridge 72,859 8 S 5 Buffalo Grove 68, S 61 North Riverside 33, S 74 Burbank 144,727 S 22 Northbrook 165, S 97 Burnham 21, H 23 Northfield 27,103 S 43 Burr Ridge 19,222 0 S 60 Northlake 61, S 98 Calumet City 185, H 116 Oak Forest 139, L 99 Calumet Park 39, ,017.9 H 88 Oak Lawn 283, L 100 Chicago Heights 151, H 71 Oak Park 259, E 79 Chicago Ridge 71, L 117 Olympia Fields 24, E 44 Cicero 419, L 89 Orland Hills 35, S 101 Country Club Hills 82, H 90 Orland Park 283, L 45 Countryside 29,465 8 S 24 Palatine 343, L 80 Crestwood 54, L 91 Palos Heights 62, S 7 Des Plaines 291, L 92 Palos Hills 87, L 102 Dixmoor 18, H 93 Palos Park 24,251 S 103 Dolton 115, ,267.3 H 118 Park Forest 93, H 104 East Hazel Crest 7,709 S 25 Park Ridge 187, L 9 Elgin 120, L 119 Phoenix 9, ,733.0 H 10 Elk Grove Village 165, S 120 Posen 30, E 70 Elmwood Park 124, L 26 Prospect Heights 81,198 7 S 35 Evanston 372, L 121 Richton Park 68, H 81 Evergreen Park 99, E 62 River Forest 55, S 105 Flossmoor 47, E 63 River Grove 51,091 7 S 106 Ford Heights 13, ,093.0 H 122 Riverdale 67, ,746.4 H 46 Forest Park 70, E 64 Riverside 44,373 9 S 73 Forest View~ 3,482 S 123 Robbins 26, ,591.5 H 47 Franklin Park 91, S 27 Rolling Meadows 120, L 11 Glencoe 43,611 S 28 Roselle 18,641 6 S 12 Glenview 223, L 65 Rosemont 21,008 S 107 Glenwood 44, H 125 South Chicago Heights 20, H 13 Golf~ 2,505 0 L 124 Sauk Village 52, L 14 Hanover Park 103, L 29 Schaumburg 371, S 108 Harvey 125, ,612.1 H 66 Schiller Park 58, L 48 Harwood Heights 43,092 S 36 Skokie 324,064 0 S 109 Hazel Crest 70, ,191.0 H 30 South Barrington 22, S 83 Hickory Hills 70, S 126 South Holland 110, H 49 Hillside 40, H 127 Steger 20, H 50 Hinsdale 11,144 S 72 Stickney 33,994 0 S 51 Hodgkins 9,461 S 67 Stone Park 24,712 7 S 15 Hoffman Estates 259, L 31 Streamwood 199, L 84 Hometown 21, S 94 Summit 55, L 110 Homewood 96, E 128 Thornton 11,666 S 52 Indian Head Park 19,057 S 129 Tinley Park 246, L 16 Inverness 37,060 S 68 Westchester 83, E 85 Justice 64, E 69 Western Springs 64,923 S 17 Kenilworth 12,567 S 32 Wheeling 188, E 53 La Grange 77, L 95 Willow Springs 27,670 S 54 La Grange Park 67,923 7 S 33 Wilmette 135,379 S 111 Lansing 141, H 34 Winnetka 60,912 S 86 Lemont 80, S 96 Worth 53, S 18 Lincolnwood 62, S `Rates based on 2010 Population! Significantly higher/lower than the benchmark at p<0.05 *Benchmark : per 100,000 pop S Counts suppressed for events between 1 and 4; Rates not calculated for events less than 20 ~Interpret with caution, Population<1,000 Source: Cook County Department of Public Health, Communicable Disease Control,

54 Chlamydia Incidence (15 44 yrs) What is it? Chlamydial infections are caused by the bacterium Chlamydia trachomatis. C. trachomatis infections are easily cured with appropriate antibiotics. Though chlamydial infections are the most commonly reported communicable disease in Cook County Department of Public Health s (CCDPH) jurisdiction as well as the United States overall, underreporting is a significant problem because most individuals with chlamydial infections are asymptomatic and do not seek testing. Why is it important? Because most people with chlamydial infections have no symptoms, many infections may go untreated. Untreated chlamydial infections, in turn, can lead to significant reproductive sequelae. Suburban Cook County (SCC) Data Trend REGION SCC CCDPH North West 1, , , , ,202.2 SWest South 1, , , , ,962.4 SCC by Race/Ethnicity Asian (NH) Black (NH) 2, , , , ,740.1 Hispanic White (NH) SCC by Gender Female 1, , , , ,354.6 Male SCC by Age Groups yrs 1, , , , , yrs 2, , , , , yrs 1, yrs yrs yrs

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