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Murray Sagsveen

Murray Sagsveen. State Health Officer North Dakota Department of Health. STATE HEALTH COUNCIL. Howard C. Anderson, R.Ph. Chairman. ADMINISTRATIVE ASSISTANT. Londa Rodahl. PUBLIC INFORMATION. STATE FORENSIC EXAMINER. Debra Anderson. George Mizell, M.D. ADMINISTRATIVE SERVICES.

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Murray Sagsveen

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  1. Murray Sagsveen State Health Officer North Dakota Department of Health

  2. STATE HEALTH COUNCIL Howard C. Anderson, R.Ph. Chairman ADMINISTRATIVE ASSISTANT Londa Rodahl PUBLIC INFORMATION STATE FORENSIC EXAMINER Debra Anderson George Mizell, M.D. ADMINISTRATIVE SERVICES HEALTH RESOURCES PREVENTIVE HEALTH SECTION SECTION SECTION Robert A. Barnett Fred Gladden Steve McDonough, M.D. ACCOUNTING EMERGENCY HEALTH DISEASE CONTROL SERVICES Kathy Albin Timothy Wiedrich Fred Heer CRIME LAB HEALTH FACILITIES FOOD AND LODGING Aaron Rash Fred Gladden Kenan Bullinger HEALTH INFORMATION HEALTH PROMOTION SYSTEMS AND EDUCATION Sandra Adams PERSONNEL MATERNAL AND CHILD HEALTH Jennifer Bandy Sandra Anseth VITAL RECORDS MICROBIOLOGY Beverly Wittman Jim Anders North Dakota Department of Health GOVERNOR Edward T. Schafer ADVISORY COUNCIL Jim Brosseau, M.D. STATE HEALTH OFFICER Julie Blehm, M.D. Dennis Wolf, M.D. Murray G. Sagsveen ENVIRONMENTAL HEALTH SECTION Francis Schwindt CHEMISTRY Myra Kosse ENVIRONMENTAL ENGINEERING Dana Mount MUNICIPAL FACILITIES Jack Long WASTE MANAGEMENT Neil Knatterud WATER QUALITY Dennis Fewless February 1, 1998

  3. State Health Council Howard C. Anderson Chairman Health Care Industry Turtle Lake, ND Gary Riffe Vice Chairman Health Care Industry Jamestown, ND Darlene Rinn Secretary Consumer Minot, ND Ronald A. Anderson Consumer Keene, ND Linda Nelson Consumer Casselton, ND Carmen Toman Consumer Grand Forks, ND Jim Brosseau, M.D. Health Care Industry Grand Forks, ND Clifford R. Porter Energy Industry Bismarck, ND Lori Wightman Consumer Fargo, ND Lowell Herfindahl Health Care Industry Tioga, ND Joel Smith Manufacturing/Processing Industry Fargo, ND

  4. Advisory Council • James D. Brosseau, M.D. • Internal Medicine • Altru Health Systems, Grand Forks, ND • Julie A. Blehm, M.D. • Internal Medicine • Medical Arts Clinic, P.C., Minot, ND • Dennis E. Wolf, M.D. • Family Practice • Great Plains Clinic, Dickinson, ND

  5. Mission Statement We, as public employees, are dedicated to the goal of assuring that North Dakota is a healthy place to live and to the belief that each person should have an equal opportunity to enjoy good health. To accomplish this mission, we are committed to the promotion of healthy lifestyles, protection and enhancement of the environment and provision of quality health care services for the people of North Dakota.

  6. Vital Signs On an average day in North Dakota: • 23.5 babies are born, 5.5 of them are born out of wedlock and 2 are born to teenage mothers • 16 people die, 5 of them from heart disease and 3.75 from cancer • 13 people get married and 6 people get divorced Source: ND Dept. of Health, Vital Records

  7. Vital Signs In an average week: • 1.2 infants die • 1.4 children between ages 1 and 19 die • 1.5 people commit suicide • 3 people die from diabetes • 4 people die from influenza and pneumonia • 4.4 people die as a result of accidents Source: ND Dept. of Health, Vital Records

  8. Vital Signs In an average month: • 1 person younger than age 20 commits suicide • 2.7 people die as a result of some type of accident • 75.81 is the average age at death Source: ND Dept. of Health, Vital Records

  9. Resident Live BirthsNorth Dakota ~ 1980 - 1998 ** **Estimate Source: ND Dept. of Health, Vital Records

  10. Urban-Rural Population DistributionNorth Dakota, 1900-1996 Source: U.S. Bureau of the Census

  11. Population Distribution North Dakota 1960-1990 Source: U.S. Bureau of the Census

  12. Expenditures by SectionJuly 1, 1995 through June 30, 1997 Total Expenditures = $65.6 Million Source: ND Dept. of Health, Administrative Services

  13. Sections of theNorth Dakota Department of Health • Administrative Services • Preventive Health • Environmental Health • Health Resources

  14. Administrative Services Section Administrative Services Section The Administrative Services Section provides support services to all divisions of the North Dakota Department of Health and assists in coordinating department activities.

  15. Administrative Services Section Office of Statistical Services: • Collects data about the health of North Dakotans • Conducts research about North Dakotans’ health and use of health care services • Produces reports for external and internal audiences and • Conducts health policy research

  16. Administrative Services Section The Crime Lab Division is responding to the growing problem of illegal drug use. Number of Forensic cases opened: • 4,445 in 1997 • 4,022 in 1996 • 3,900 in 1995

  17. Preventive Health Section The goal of the Preventive Health Section is to promote good health and prevent illness and disease.

  18. Preventive Health Section The Maternal and Child Health Division works to improve the health of: • Women • Infants and children • Adolescents

  19. Preventive Health Section The Disease Control Division deals with: • Disease outbreaks • Immunizations • Sexually transmitted diseases • Injury prevention • Chronic diseases

  20. Preventive Health Section The Health Promotion and Education Division educates North Dakotans about: • Cancer prevention and control • Tobacco prevention and control • Cardiovascular disease • Healthy lifestyles for school-age children

  21. Restaurants and bars Hotels and motels Mobile home parks Campgrounds Bed and breakfasts Retail food stores Meat markets and Bakeries Preventive Health Section The Food and Lodging Division protects public health through licensure and inspection of:

  22. Preventive Health Section The Microbiology Division provides diagnostic and referral services: • Conducts testing for many exotic diseases and emerging infections and • Serves as the state lab for FDA dairy and EPA water bacteriological testing programs

  23. Preventive Health Section Local Public Health Units 24 single and multi-county health departments provide the following services: • Maternal and child health programs • Health promotion • Communicable disease programs • Spousal and child abuse programs • School health screening and education • Environmental health programs • Home health visits

  24. Preventive Health Section Local Public Health Units Towner Renville Divide Bottineau Burke Rolette Cavalier Pembina Pierce Ramsey Walsh Williams McHenry Ward Mountrail Benson Nelson Grand Forks McKenzie Eddy McLean Sheridan Wells Steele Foster Traill Griggs Dunn Mercer Oliver Billings Golden Valley Kidder Stutsman Burleigh Barnes Cass Stark Morton La Moure Ransom Slope Hettinger Logan Grant Emmons Richland Bowman Sioux McIntosh Dickey Sargent Adams City/County Health District Multi County Health District Single County Health District Single County Health Department City/County Health Department None January 1999

  25. Environmental Health Section The goal of the Environmental Health Section is to safeguard the quality of North Dakota’s air, land and water resources.

  26. Environmental Health Section EHS issues environmental permits for: • Wastewater discharges (800 facilities) • Air Pollution (900 facilities) • Hazardous wastes (9 facilities) • Solid waste (14 municipal, 25 industrial and special) • Feedlots (900 facilities)

  27. Environmental Health Section Other EHS Programs • Drinking water (600 systems) • Radiation Control (80 radioactive licenses and 750 X-ray) • Underground storage tanks (3,450 tanks) • Revolving loan programs • Wastewater treatment - $6.5 million per year • Drinking water - $24 million the first two years • Groundwater quality

  28. Environmental Health Section Chemistry Lab • Organic analysis (man-made components, such as pesticides) • Inorganic analysis (naturally occurring compounds, such as fertilizer)

  29. Health Resources The Division of Health Facilities works to: assure that services are consistent with accepted standards of practice and that building structures meet established requirements.

  30. Health Resources The Division of Health Facilities monitors: • Buildings • Equipment and • Services to people

  31. Health Resources Emergency Health Services The Division of Emergency Health Services is the lead agency for North Dakota’s Emergency Medical Services (EMS) System.

  32. Current Issues • Tobacco legislation • Teen suicide • Access to health care services in rural North Dakota • Partnership between the North Dakota Department of Health and local public health departments • Shaken Baby Syndrome Spring 1998

  33. Source: ND Dept. of Health, Health Resources Section

  34. Source: ND Dept. of Health, Health Resources Section and Office of Statistical Services

  35. Hospitals North Dakota ~ 1999 Cavalier Renville V V V Divide Bottineau Burke V Rolette V Towner V Pembina V V V V Williams V V Walsh Ramsey McHenry Ward V Mountrail V Pierce V V Benson Nelson Grand Forks V V V V V Eddy McLean McKenzie V Wells Sheridan Traill Griggs V V Foster Steele V V Mercer V Dunn V Oliver Barnes Stutsman Billings Kidder Burleigh Cass V V V V Golden Valley V V V V V V Morton Stark Ransom La Moure Logan Emmons Slope Hettinger V V V Richland Grant V Adams McIntosh V Sioux V Dickey Sargent V Bowman V Source: ND Dept. of Health, Health Resources Section

  36. Total PopulationNorth Dakota ~ 1970 - 1998 Source: U.S. Bureau of the Census

  37. Population Age 65 and OverNorth Dakota ~ 1970 - 1990 Source: U.S. Bureau of the Census

  38. Population Age 65 and OverNorth Dakota Vs United States Source: U.S. Bureau of the Census

  39. Coronary Heart Disease1980 - 1996 Male and Female Coronary Heart Disease Death Rates Risk Factors for Coronary Heart Disease • High blood pressure • Smoking • High fat diet • Sedentary lifestyle • Excessive alcohol use * • Age-adjusted death rate per 100,000 North Dakotans Source: ND Dept. of Health, Vital Records

  40. Lung Cancer1980 - 1996 Male and Female Lung Cancer Death Rates Risk Factors for Lung Cancer • Smoking • Environmental tobacco smoke • Exposure to radon decay products, asbestos or ionizing radiation * *Age-adjusted death rate per 100,000 North Dakotans Source: ND Dept. of Health, Vital Records

  41. Diabetes Death Rate*All Races ** *Diabetes as an underlying and contributing cause. **Age-adjusted death rate per 100,000 North Dakotans Source: ND Dept. of Health, Vital Records

  42. Diabetes Death Rate*Native Americans ** *Diabetes as an underlying and contributing cause. **Age-adjusted death rate per 100,000 North Dakotans Source: ND Dept. of Health, Vital Records

  43. DiabetesRisk Factors for Diabetes • Overweight (20 percent or more above ideal weight) • Family history of diabetes • Personal history of diabetes during pregnancy • Member of an ethnic group with high prevalence of diabetes

  44. North Dakota Community HospitalsAdmissions: 1980-1993 Source: Office of National Health Statistics in HCFA Office of Actuary

  45. North Dakota Community HospitalsOutpatient Visits: 1980-1993 Source: Office of National Health Statistics in HCFA Office of Actuary

  46. Source: Federal Reserve Bank of Minneapolis (http://woodrow.mpls.frb.fed.us)

  47. North Dakota Population Statistics Divide Renville Pembina Towner Cavalier Burke Bottineau Rolette 18.4% 24.5% 17.4% 11.3% 11.1% 16.8% Williams McHenry Pierce Mountrail Walsh Ramsey Ward Benson 1.3% Nelson Grand Forks 5.4% McKenzie 15.7% Eddy McLean Wells 21.1% 11.3% Dunn Traill Griggs Steele Foster 14% Mercer Sheridan Burleigh Kidder Stutsman Billings Barnes Cass Oliver 4.5% 11.2% Golden Valley 13.6% 13.7% Stark 3.7% Morton Grant Hettinger Ransom La Moure Logan Emmons 17.3% 15.1% Slope 16.3% .7% Sioux McIntosh Dickey Bowman Sargent Adams 14.4% 14.5% 11.5% Richland Counties with Greatest Population Loss 1990-98 Counties with Greatest Population Loss 1990-96 Counties with Greatest Population Gain 1990-98 Counties with Greatest Populaiton Gain 1990-96 Source: North Dakota Census Data Center

  48. Nursing Facility Residents by AgeND vs US ~ 1995 Sources: US: National Center for Health Statistics - 1995 National Nursing Home Survey ND: ND Department of Human Services - 1995

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