Part 1: Windshield Survey
Component: Windshield Survey – Boundaries
Directions: Describe physical boundaries: Highways, railroad tracks, natural bodies of water or mountains etc. that mark the boundaries. Locate your community on a google map and compare to your findings. Are the boundaries as evidence as the physical boundaries observed?
Assessment: The city of Largo is surrounded by water. Tampa bay to the east and the Gulf of Mexico to the west. The Anclote River to the north and the mouth of Tampa Bay to the south. There are 4 major bridges leading to the county, 3 from the City of Tampa, FL. and 1 from the south connecting back to Bradenton FL. There are 2 major highways in the county US 275 runs north and south on the barrier and US 19 for the interior county. The community of Del Prado sits inside the City of Largo, and has 1 major road, Walsingham Rd. that runs west and east, connecting to the major highways. The community has sidewalks and cross walks going across the major streets lighted paths and roadway signs and directional, there is also a county trail and bridges that go over roads for children and others to walk to get to school or shopping. Boundaries on map are easy to locate on physical land.
Area is easy to get around and maneuver. Public transportation is close, and major grocery stores and pharmacies are within walking distance. Sidewalks well maintained and free of debris, cross walks have anti slip guards to prevent falling during wet conditions. There are also nearby eateries and MD offices that one can walk to as well without crossing major roads or intersections. Per county page, There are 4,521 miles of paved roads in the county, which cross 142 bridges. The first bridge to span Tampa Bay was the Gandy Causeway in 1924, and shortened the traveling distance between St. Petersburg and Tampa from 43 to 19 miles. Pinellas connected with Manatee County when the Sunshine Skyway bridge opened in 1954. Pinellas County Government Home Page. (2016).
Component: Physical Characteristics
Directions: Community Existence: How long has the community been in existence? Demographic Data: People: What type of people do you see? For example, young, old, homeless, families, or loners. How do you feel in the community, welcome? How does the community look? What condition are the homes in? Are the windows covered with bars for protection or surrounded by fences? What is the age and architecture of the houses and buildings? Are the lawns cared for or is there landscaping? Do you see trash or abandoned cars & houses? Open Space: Is there space around the houses? How is it used? Is the space residential or commercial, public or private? Are there lots or lawns? What type of green space is within the
community? Is this an established neighborhood/community, new subdivision, apartment buildings, vacant buildings, or how old is the community?
Assessment Findings Community Existence: The Del Prado Community was established 1969 and is in the city of Largo, FL. Demographic Data: There are all families, mostly above 50, and majority white, some still with children in the home. You can see children riding bikes or walking to nearby parks. A lot of people walking in community and walking pets. Everyone says hello, and a sense of safety, neighborhood has several police officers and first responders and medical personnel residing. How Does the Community Look: Homes were built in late 1970s, space around homes are landscaped with grass plants or trees, all have nice curb appeal and sidewalks, most have fences some do not, there are no bars on windows. The housing developments are mostly Deed restricted. Lawns are maintained mostly by lawn services, there are no abandoned cars, trash or empty homes. Commercial vehicles cannot be parked on road or drive way overnight. There are community parks and recreation center, and there are trails for horseback riding and dog walking. Signs are well maintained not faded and cross walks are timed for 40 sec to cross. There are several schools within walking distance and also bus service provided, routes have crossing guards.
Analysis In comparison the city of Largo was established 1905, Largo is now the 4th largest city in the Tampa Bay Area with more than 80,000 residents. Del Prado: 2,203 people per square mile Largo: 5,007 people per square mile
Everyone appears to get along and have a sense of community pride. People of all ages stop and talk and gather with neighbors at ends of driveways to converse. Although predominately white, there are mixed race families and children that are not bullied by other kids and all seem to get along well and play together. Being that it is deed restricted keeps standards high and not allow for un-kept areas of the community. Other neighborhoods within Largo are not Deed restricted but still maintain homes and lawns and walk ways.
Component: Psychosocial Characteristics
Directions: Religion: What types of religious institutions/organizations do you see? Health & Social Services: What evidence of acute or chronic health conditions such as, drug addiction, alcoholism, or mental illness do you observe? What types of clinics, hospitals, doctor offices, etc. are there? Is the hospital accessible to community members? Do you see child care facilities? Do you see homeless or abuse shelters?
Economy: Is it a thriving community or a struggling community? Are there shopping centers or neighborhood stores? Are there grocery stores within walking distance to homes? ? Are there industries, & places for employment? Transportation: How do people get around? What type of private & public transportation is available? Do you see people walking or riding bikes? Are there buses, is the public transportation accessible and how frequently is it available? Is there a major highway nearby? Can people with disabilities get around easily? Safety: Are there sidewalks & bike trails for people to travel safely? What types of protective services are available, fire, police, and ambulance? Are they visible in the community? Do you observe any evidence of criminal behavior? Do you feel safe in the community? Politics & Government: Are there signs of political activity, such as election signs or billboards? Communication / Media: Are there common areas where people gather? Neighborhood hangouts, school yard, store, bare, park, etc.)? What types of billboards do you see? Education: Are there schools in the area? How do they look? What is the nearest elementary / middle school? Are there libraries? Are there children of school-age visible in the neighborhood during the day? Recreation: Where do children play? What facilities for recreation do you see, ball fields, parks, or pools? Values What races do you see? Is the population homogeneous or integrated? Do you see indicators of more than one ethnicity, restaurants, churches, private schools, festivals? Are there signs is a language other than English? Can you tell what the people value? Is the environment in decay or disrepair?
Assessment Findings Religion: Catholic, Baptist, Methodist and Lutheran churches nearby. Health & Social Services: Largo Health Dept. is located 3 miles east, offers help with medical and WIC programs. There are a lot of beach bars so alcoholism could be a problem. There are 3 mental health facilities for behavioral and drug abuse, Opioid addiction is very high in Pinellas County. There are 2 local Hospitals Largo Med main and Largo Med Indian Rocks. Several primary care practices mainly D.O. and Largo med are a DO teaching Hospital. You can find all specialties in the community. The hospitals are very accessible, largo Meds are situated in neighborhood areas. There a several child care facilities and a rainbow recovery for sick kids of working parents staffed by nurses. There are no Homeless or abuse shelters; those are in the south end of the county in the St. Petersburg. Economy: The area is thriving. A new Outdoor Mall with health food grocery store is currently
Analysis Catholics make up the majority of 34% Methodist at 11% Baptist 8% Muslim 4% Lutheran 2% Churches are well kept and have programs advertised for after school and day care There are several thriving medical practices in the community that serves all demographics and socioeconomic backgrounds. There needs to be more addiction practices as the pain pill epidemic is growing. There is one main homeless community in the downtown St Pete suburb of the county that people volunteer at and donate clothes to. There are several Golf and fitness centers and gyms in the community that encourage health. This is the area is a big draw to the retirement crowd, with the proximity of recreation and medical facilities. The community is thriving, one grocery store Publix is known for hiring retired personal and the
being built. Grocery Stores are less than 1 mile walking distance as are produce stands with local fare. While the area is light on industries, there are plenty of employment opportunity at beach restaurants and hotels. Hospital and medical jobs, and retail. Transportation: Walk, bike, car or bus Safety: Yes there are sidewalks and bike trails, even bike lanes on the major roads in town. We have fire and EMS dispatch less than 1.5 mile for the community. The sheriff office is 2 miles east. The community has several law enforcement and fireman living in the housing community along with nurses and some doctors. There is no evidence of criminal activity as the police officers bring there cruisers home and park them in front of their house, so it seems to be a big deterrent for crime. Politics & Government: Currently there is an election going on and billboards for local and state government position are posted. Communication / Media: There are community centers, and ethnic clubs were people gather. There are several balls parks that house little leagues and adult leagues. There is no store front loitering. Billboards are for restaurants, medi-spas and preparing for hurricane season with website and phone number. Also boat sales and repair and storage. Education: There are 3 sets of public elementary schools 1 built in the 1900s with the same old school front charm, but new additions built on. 3 sets of middle schools, 2 from the 1970s and 1 from 1980. 3 sets of High schools 1 rebuilt in 2015 2 others from 1970s. All have been updated inside, and look in good condition, no high security gates like in inner cities. Nearest elm/middle school is Oakhurst. There are 2 libraries, 1 in town and 1 at the local college with public access. School age children are seen riding bikes to school in groups or walking.
disabled to do small tasks as bagging groceries or helping you to your car. There are also new homes and construction going on as a sign of prosperity for the community. Fishing industry is big: IN ONE DAY, Commercial fisherman haul in 82,000 pounds of fish (5,345,683/yr.), 1,769 pounds of crabs, clams and lobsters (645,694/yr.) and 2,128 pounds of shrimp (776,732/yr.) (SOURCE: Florida Wildlife Commission) Pinellas County’s top key business sectors are health services, tourism services, manufacturing and financial services. Over 40,000 businesses call Pinellas County home. Over 390,562 people are currently employed in our county. The community is big on public transportation; they have several bus routes all over the major and access roads. A convenient small terminal is on the corner near the grocery store where you can transfer to different lines. The beach has a trolley service that takes you from one end of Pinellas Co beaches to the other end. There are 5735 PSTA bus stops, 208 buses, 16 trolleys, 11.4 million riders annually/39,000 daily 8.6 million miles of transit each – and growing. The neighborhood is very safe, last crime was in 1988 in this immediate neighborhood and was perpetrated by the ex-spouse. There are retail thefts that do occur and mostly by transients or kids shoplifting. There are 3,638 miles of sidewalks countywide; 1,072 miles of sidewalks in unincorporated neighborhoods 469 signalized intersections. I have personally seen several republican signs in the front yards of homes in the community. Also for the judge position. There have not been any rally’s locally but once the election draws near, you will see the candidates waving at major intersections holding signs. The area seems to encourage and rally around youth league activities and sports. They also have
Recreation: There are several recreation centers for kids with pools and sporting activities and indoor activities as well. There are skate parks and county parks. Values: Mostly white, with some black and mixed race families. Some Asians and other ethnicities. Several Italian, Mexican and Caribbean island, Chinese, Indian and Thai restaurants. 1 private Chinese school, but most ethnicities integrate their children in the public school where they learn English and American customs. Every culture has their areas in good repair, and hangs their countries flag out along with American flag on certain holidays, no one is targeted. Signs are all in English.
seasonal preparedness signs around the county. Loitering is discouraged, with signs posted. Largo has several A rated schools with many magnet programs for excelling. Children are seen together going to school with crossing guards on every corner. There is a new St Petersburg College, where one can obtain a 4 year degree. Children are either at the beach or the recreational parks that have summer activities after school and year round play. The community is big on youth activities and encourages sports or indoor time, like computer and academics and home economic type classes. Pinellas County has 43 golf courses and 1059 tennis courts 2865 shuffle board courts. Pinellas County Government Home Page. (2016). It doesn’t appear that someone’s ethnicity changes the way they have community pride and value their home. This town has a yearly native American pow wow with parade and carnival the community seems to rally around, also in the downtown area they celebrate gay pride, and hang rainbow flags in front of businesses year round, it does not appear to effect patronage or target them for crime.
Part II: Community Data
Component: Community Data
Directions: Utilize different databases to gather data to assess the community’s health status and to identify vulnerable populations in the community. For example: The CDC National Vital Statistics Report @ http://www.cdc.gov/nchs/hus/gettingstarted.htm and http://www.cdc.gov/nchs/products/nvsr.htm .You will also need to access for your state. For example: http://chfs.ky.gov/dph/vital/2005+Vital+Statistics+Reports.htm for Kentucky.
• Per: http://www.floridacharts.com/charts/default.aspx
• Per: www.pinellascounty.org/default.htm
• Live Births: Community/County: 8744
• General Death: County: 11,658
• Mortality 35%
• Infant: Community Death:719
• Heart: County Deaths: 186 Living with: 288
• Cancer: Community Death: 160.4 Living with 2009
• Stroke: 38.7 Death community Deaths County: 465 Living with: 3,498
• Accidents: Community Death: 12.6
• Diabetes: Community: 32.0 County Deaths: 21.1 County Living with: 2001
• Suicide: Community: 18.3
• AIDs: Community Death: 4.2
• Morbidity 58%
• Tuberculosis: Deaths 0 cases 25
• Syphilis: Deaths 0 cases 103
• Gonorrhea Deaths 0 cases 120
• AIDS: Community Death: 4.2 cases 234
• Life Expectancy 75 years of age
Component: Census Data
Directions: Go to the United States Census Bureau @ http://factfinder.census.gov/faces/nav/jsf/pages/index.xhtml to locate the following data:
• Population count: 17,712
• Persons under 5 years, percent: 4.33
• Persons under 18 years, percent 12.98
• Person 65 years and over, percent: 26.94
• White alone, percent: 88.1
• Black or African America alone, percent: 6.8
• Asian alone, percent 1.8
• Native Hawaiian and other Pacific Islander alone, percent 0.0
• Two or More Races, percent 1.6
• Hispanic or Latino, , percent White alone, not Hispanic or Latino, percent: 22.1
• Foreign born persons, 9,552 residents are foreign born (4.8% Latin America, 3.0% Europe, 2.1% North America, 1.5% Asia).http://www.cdc.gov/nchs/hus/gettingstarted.htmhttp://www.cdc.gov/nchs/products/nvsr.htmhttp://chfs.ky.gov/dph/vital/2005+Vital+Statistics+Reports.htmhttp://factfinder.census.gov/faces/nav/jsf/pages/index.xhtml
Read more: http://www.city-data.com/city/Largo-Florida.html#ixzz4MdKqbzAt
• High school graduate or higher, percent or persons age 25+: 37.3
• Language other than English spoken at home, percentage 58.0%
• Bachelor’s degree or higher, percent of persons age 25+: 17.65
• Veterans: 2,086
• Median household income: $ 48,497
• Poverty, percent 10.5
Identify Vulnerable Populations & Identify 2 Potential Health Care Needs Vulnerable population in the community are the elderly as they make up over 26% and 2 potential health care needs would be 1.safety, as they are greater potential for falls in and out of the home, they would benefit from home health aides or care takers. They also need to have wearable devices in case of falls, and 2. Motor Vehicle Accidents as there are a high number of older drivers that are injured and killed daily in the county from driving. Also the communication barriers as many come from foreign countries and don’t speak English well or are able to read at all. This can have health issue consequence when following treatment plans of care, taking RX or driving. All RX can be printed in a language the person is comfortable with at many larger chain retailers. There should be case managers that go out and visit community members post D/C with a major illness to assess their home environment and assure care and follow up is being maintainedhttp://www.city-data.com/city/Largo-Florida.html#ixzz4MdKqbzAt
Part III: Environmental Assessment
Component: Environmental Assessment
Directions: Go to Scorecard http://scorecard.goodguide.com/about/about.tcl Enter zip code (Zip Code to Your Community) to collect data to assess environmental risks.
Assessment Toxic Chemicals:
• Top Polluter in County: Blue Hawaiian Prods. Inc. Largo FL. 66,620 pounds
• Top Chemical Released in County: SULFURIC ACID
• % of houses with high risk of lead Air .01 in Pinellas County or 1,274 pounds in air
• Top Polluter in County Environmental Justice (Environmental Justice Mapper) Progress Energy in St. Petersburg FL. 495,038 pounds
• Identify Unequal Distribution of Burdens by Race/Ethnicity
DISTRIBUTION OF BURDENS BY RACE/ETHNICITY Releases of Toxic Chemicals (indicator of chemical releases) Ratio People of Color 21000 0.60 Whites 35000 Cancer Risks from Hazardous Air Pollutants (added risk per 1,000,000) Ratio People of Color 250 1.04 Whites 240 Superfund Sites (sites per square mile) Ratio People of Color .0014 0.48 Whites .0029 Facilities Emitting Criteria Air Pollutants (facilities per square mile) Ratio People of Color 2.6 1.53 Whites 1.7 (“About Scorecard,” n.d.)
• Chemical exposure on health: Chemicals can be absorbed from the skin and form the soil where we ingest plants grown from contaminated ground. It can lead to cancers, and illness to elderly, immune compromised and pregnant women fetus. Breathing in such toxins can make one sick, dizzy and have long term health consequences.
• Lead exposure on health: Per the CDC, It does not matter if a person breathes-in, swallows, or absorbs lead particles, the health effects are the same; however, the body absorbs higher levels of lead when it is breathed-in. Exposure to high levels of lead may cause anemia, weakness, and kidney and brain damage. Very high lead exposure can cause death. Lead can cross the placental barrier, which means pregnant women who are exposed to lead also expose their unborn child. Lead can damage a developing baby’s nervous system. Even low-level lead exposures in developing babies have been found to affect behavior and intelligence. Lead exposure can cause miscarriage, stillbirths, and infertility (“CDC – Lead: Health Problems Caused by Lead – NIOSH Workplace Safety and Health Topic,” n.d.).
• Poor Air quality on health: can irritate your eyes, nose, and throat, cause shortness of breath, aggravate asthma and COPD and even affect your cardiovascular system. Breathing polluted air for long periods of time can cause more serious healthhttp://scorecard.goodguide.com/about/about.tcl
• Unequal Distribution of Burden: The rate of exposure in the community was almost the same for whites and other ethnic backgrounds. Each almost developed that same disease at the same ratio. IT would be how they are treated that would come into play such as culture, experiences from pat treatments or doctors appointments. They would also need a plan of care developed strictly for their values and beliefs.
Part IV: Community Member Interviews
Component: Community Member Interviews
Directions: Interview 3 Community Members (for example: police or fireman; school teacher, community member (no official title), mechanic, or librarian, ; and business owner or store clerk/manager) to determine their perspective on:
• Perceived health/illness beliefs, values, attitudes and practices that influence the health
• Community Strengths
• Community Needs
• Level of Safety
• General Concerns This portion of the assessment will give you an idea of how people in the community see the community they live in.
Community Member 1 Community Member 2 Community Member 3
Name: ABCD Position: Owner Contact Information: 123-456- 7890 Health/Illness Beliefs, Values, Attitudes and Practices The Pinellas trail and local gyms are busy with people doing their part to commit to their idea of health and wellness. I believe most eat healthy and see doctors regularly from what I see in my crowded doctor office. I think they stay on top of health issues as they arise. Community Strengths: In our community we have annual yard sales and picnics to bring about togetherness, neighbors are friendly and respectful to each other. Community Needs: Finishing road work projects that have gone on way to long, more options for shopping and less drug stores and banks and das stations, which seem to be on every corner. Level of Safety: I feel very safe in
Name: ABCD Position: Owner Contact Information: 123- 456-7890 Health/Illness Beliefs, Values, Attitudes and Practices: The listed above issues vary in the community due to the high level of diversity among the age groups, ethnic backgrounds and social status. From what I have witnessed in the area concerning the above issues is that they are all commonly based upon conveniences of people residing in the community. Community Strengths: The community is diverse in age, gender, ethnic background and living and social status. All to which bring different views, values and customs that help maintain the surrounding living conditions. There is local fire
Name: ABCD Position: Owner Contact Information: 123-456- 7890 Health/Illness Beliefs, Values, Attitudes and Practices: In the community health values are centered on the health of each individual person and child no matter what background. Whether from physical harm, abuse or illness it Is the place of the community and family that the health and safety are number 1 concern. Community Strengths: The community promotes cleanliness, health and hygiene, to assure preventive measures are being taken towards threats of bacteria and infection. Immunization campaigns are a high priority. Community Needs: The community needs stronger policies in place when it comes to sending children to school when
my community with the presences of law enforcement around me. We also have to look out for each other and be aware of our surroundings. General Concerns: Economic recovery to all so we can prosper as a nation which seems to be stagnant.
departments, community hospital and sheriff office with in the area which provide EMS when needed. There are 3 schools and 5 churches that actively maintain their presence within the community as well. Community Needs: I believe a community center for children serves as a great asset to help keep social barriers as a low. I think an outpatient addiction center would be helpful for those in need, but also to give more intelligence as to the level of substance abuse is prevalent within the community. Level of Safety: I believe the level of safety is high in the area, but there is always room for improvement. Example: covered bus stops for children, better lighting on country back roads. General Concerns: The community has grown over the last few years causing congestions on major road ways especially during tourist season. Foreign travelers on the road. Locals vs. tourist. Also road ways become parking lots, and tourist in cars they are not comfortable driving and the elderly can create accidents. This is nothing new however in order to avoid segregation and discourse zoning laws and enforcement needs to be looked at in efforts to maintain healthy population levels. Hospitals can only
they are ill in order to prevent spreading illness to others in the community. Level of Safety: High, as each member of the community holds the same beliefs and values, in order for safety to be maintained. General Concerns: The spread of childhood disease from lack of immunizations and not keeping children home is a great concern to the health and wellbeing of the community.
expand to a limited service, the more overrun and down trotted the area will become. Going back to my statement on community needs, I think the more equipped and pronounced areas for children to gather, the more law enforcement is able to maintain safety in their concerns. Also utilizing the broken window theory the more places that are well kept, then the more positive changes communities begin to see.
Summarize Findings All 3 seem to share the same vision. No one seems to see any difference in beliefs or cultures getting access to health care or is concerned about it, only one with vaccination concerns. All have a strong sense of community and want a healthy safe environment. All place a value and concern on the needs of children and safety. We pretty much see the community the same as a safe healthy environment to grow up work and live.
Part V: Collaboration
Component: Collaboration with Community Healthcare Team Member
Directions: Meet with a healthcare member in the community and present assessment findings. Collaborate with the healthcare official to identify the top 3 priority needs for the assessed community. From the list of top 3 priority needs select 1 to focus on for your Program Planning Proposal and identify the target population.
Community Health Member Top 3 Priority Needs Describe Target Population
Name: Deleted for Privacy Position: Past community health nurse for Medicaid/Medicare public health clinic Contact Information: Phone:Deleted for privacy Email: deleted for privacy
1. Reduce prescription drug abuse. Educate on alternative pain method treatments. 2. High cancer rates and lack of insured persons. Need for education 3. Increase awareness for immunization’s for school aged children.
Elderly and adolescents/adults, all races.
Program Planning Proposal: Collaborate with a community health member (for example: public health nurse, school health nurse, Red Cross nurse) to formulate a community diagnosis and develop an intervention plan that takes into account assessment findings with a focus on determinants of health, available resources, and the range of activities that contribute to health and the prevention of illness, injury, disability, or premature death. Develop a community diagnosis. Use the correct format: Health Risk/problem/potential of/for (specific injury, illness, or potential of, complications of, etc.) among (specific population) related to (supporting evidence of risk factors) as evidenced by (contributing factors). We did 2 because we saw the need for both to be addressed.
• Health risk of prescription drug abuse among adults and adolescents in Pinellas Co. FL. related to high use of opioid pain medications as evidenced by increased pain clinics, and high accidental overdose rate.
• Potential for Skin cancer among elderly population related to a lack education on sun exposure and follow up with skin care prevention as evidenced by high cancer rate in community and amount of elderly with dermatological lesions and bandages on skin.
• Health risk of low birth rate among pregnant adolescents in downtown Memphis related to inadequate income as evidenced by insecure housing, high school dropout rates, and high unemployment rates.
• Potential for accidents among children traveling to and from school related to a lack of sidewalks in the neighborhood and crosswalk guards as evidenced by children walking and crossing the streets unattended.
1. Identify 1 possible solution to address targeted need. On substance abuse: Have town hall education on prescription drug misuse. On skin cancer: Have PCP educate on sunscreen and risk for skin cancer from exposure to sun at peak times and using coverage protection. Have regular skin exams.
2. Identify 1 primary, secondary, or tertiary intervention strategy to address targeted need. On
substance abuse: Increase more rehabilitation programs to monitor patients in pain management. On skin cancer: Increase advertisement in drug stores and billboards about the damage of the sun, have media remind people to wear sun screen and hats during high UV rays during weather report on local news.
3. Develop 1 expected outcome in the form of a measurable objective – delineate who, what, and
when (outcome objective, process objective, management objectives). On substance abuse: Reduction in overdose admissions within 6 months of rehab program post pain clinic visits due to opioid pain medication over use or abuse. On skin cancer: Reduction in patients reporting skin cancer lesions to PCP in 1 year post removal or basal or squamous cancer.
4. Delineate 2 evaluation strategies (to determine if the intervention was successful). On substance abuse: Use surveys in ERs, see reduction in types of narcotics being prescribed by pain clinics in 5 years’ time. See a reduction on admissions to substance abuse centers or arrests for possession of narcotics in 2 year time. On skin cancer: see reduction of reportable cases to state in 2 years. See less people with bandages on face from having lesion removal or seeing more people using sunscreen and wearing hats and long sleeves shirts while out in peak sun.
5. Identify potential resources needed to address targeted need (list a minimum of 3). 1. Case Managers or Community health nurses to make house calls and follow ups on patients admitted for opioid abuse, overdose or withdrawal. 2. Have policy makers change the way pain clinics prescribe medications, no more fee for service, must take insurance plans only. 3. Must adhere to DEA guidelines and lab draws for other substance abuse. 1. Mobile skin cancer checkups going around the county. 2. Have more dermatology follow ups and referrals in place from primary care MD. 3. More media coverage such as billboards, and TV ads to remind about sun protection use.
About Scorecard. (n.d.).
Retrieved from http://scorecard.goodguide.com/about/about.tcl
Pinellas County Government Home Page. (2016).
Retrieved from http://www.pinellascounty.org/default.htm
Health Untied States 2015. (2015).
Retrieved from http://www.cdc.gov/nchs/data/hus/hus15.pdf
FLORIDA DEPARTMENT OF HEALTH. (2016).
FloridaCHARTS.com – Florida Health Statistics and Community Health Data. Retrieved from
American FactFinder – Results. (n.d.). Retrieved from
CDC – Lead: Health Problems Caused by Lead – NIOSH Workplace Safety and Health Topic. (n.d.). Retrieved from