October 17, 2010

New Report Pegs San Leandro With Highest Rate of Tuberculosis in Alameda County


A July 2010 report by the Alameda County Department of Public Health (ACDPH) shows San Leandro with the highest rate of tuberculosis and a high rate of asthma-related emergency room visits. Numerous statistics and comparisons related to a variety of health and well-being measures are included in the report. The report, entitled "The Health of Alameda County Cities and Places" was prepared by the ACDPH and commissioned by Hospital Council of Northern and Central California and generally covers data from 2006 to 2008.

For San Leandro, some of the most interesting findings are the high rate of tuberculosis, the high crime and homicide mortality rate, and the high incidence of asthma.

"The purpose of the report is to inform the hospital community about the health status of county and city residents; to identify gaps in services; and to assist in developing programs that target appropriate population sub-groups and health conditions." The report notes that "communities of color and low-income communities continue to fare poorest on most key health indicators" but does not delve into the root causes for any of the conditions or gaps identified.

The rate of tuberculosis cases in San Leandro was highest in Alameda County with 13.8 cases per 100,000 from 2007 to 2009, compared to the county average of 9.8. In real numbers, that means about 11 cases of tuberculosis in San Leandro, since the population is less than 100,000. San Leandro had the third-highest rate of HIV/AIDS cases, behind Emeryville and Oakland. For sexually-transmitted diseases, San Leandro was well below the county average.

In the crime category, San Leandro has the fourth highest rate of property crime out of the 15 Alameda County cities, behind Berkeley, Emeryville, and Oakland. For violent crime, San Leandro trails only Oakland and Emeryville. San Leandro's rate of assault emergency department visits was second highest, behind Oakland.

One of the more surprising statistics was the homicide mortality by city, with San Leandro's rate of 13.2 per 100,000 second only to Oakland's 23.5 per 100,000. Since the rate is based on where the person resided rather than where the person was killed, this may be skewed by San Leandro residents who were killed elsewhere.

The top three leading causes of death in San Leandro are the same as for Alameda County as a whole: heart disease, cancer, and stroke. Those born in San Leandro have a life expectancy of 81 years, slightly below the 81.4 years for Alameda County as a whole and well below the 88.2 years of Emeryville.

San Leandro Unified School District had the fifth-highest percentage of overweight children (33.6%), behind Emeryville (50.3%), Hayward (38.4%), San Lorenzo (36.4%), and Oakland (36.4%).

San Leandro was below the county average for diabetes mortality, hospitalization for coronary heart disease, and stroke hospitalization, but third highest for stroke mortality. San Leandro had the third-highest rate of asthma emergency visits, behind Oakland and Hayward and the second-highest rate of asthma hospitalization for children less than five years old.

The lung cancer rate for San Leandro was fourth highest, behind Alameda, Oakland, and Livermore, but the mortality rate from lung cancer was third highest. San Lorenzo had the highest rate of colorectal cancer, while San Leandro was below the county average. San Leandro was below the county's rate for both female breast cancer and prostate cancer.

For injuries, San Leandro had a rate of unintentional injury emergency department visits slightly higher than the county average with deaths from unintentional injuries below the county average. Death from motor vehicle accidents in San Leandro was the second-lowest rate in the county.

San Leandro had the fifth-highest rate of teen births, just above the county average.

An estimated 15% of adults and 6% of children in San Leandro don't have health insurance.

The report notes some stark differences between ethnic groups, but not at the city level.

The complete 278-page report can be downloaded from http://www.acphd.org/AXBYCZ/Admin/DataReports/cape_00_health_accities_fullrpt.pdf. The overall findings for Alameda County as a whole are contained in the Executive Summary.

Posted by Mike Katz-Lacabe at October 17, 2010 3:40 PM | TrackBack
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