I interviewed with Dr. Crawford from my hometown, Wenatchee,
Washington. He is a pediatrician but had information for me on some statistics
within the Chelan and Douglas Counties within Wenatchee. I focused on the top
reasons for hospitalization and other health issues in Chelan/Douglas.
1.Unintentional
Injury is the number one reason for hospitalization in my hometown. These
injuries can include unintentional falls, unintentional poisonings, motor
vehicle accidents, etc. In Wenatchee specifically there are numerous car and
motorcycle incidents which require hospitalization. More unique to our town are
work-related injuries. Wenatchee is an agricultural community with many
orchards and a large population of migrant workers. Injuries related to this
include falling off ladders while picking fruit, accidents involving a tractor
or forklift, and crushing injuries with fruit bins. These incidents often require
hospitalization as they can result in serious and life-threatening injuries. Hospitalization
for this has risen by 45% since 2000.
2. Heart Disease
is another cause for hospitalization. We have interesting trends here because
Wenatchee has high populations of elderly people, who are more likely to have
heart disease. On the other hand, we also have high populations of Hispanics,
who are 20% less likely to have heart disease than other non-Hispanic adults. Outside
of those two groups, the youth and younger adults live very active lifestyles and
eat healthier foods, as is the trend in Wenatchee (and Washington for that
matter). This is helping them to prevent heart disease, but does not make up
for the high amounts of older people who are being hospitalized for such.
Fortunately, heart disease has declined by 22% since 2000.
3. Respiratory
Disease can include simpler things like the common cold or pneumonia. It
can also include pulmonary embolisms and lung cancer. In Chelan/Douglas
counties, it accounted for 2.9% of hospitalizations, as opposed to the 7.8% for
heart disease. Respiratory disease has declined by 64% since 2000. Similar to
the heart disease issues, we do have a lot of older adults who have less
healthy practices than those of the younger generation there, including their
high cigarette usage. This contributes to the hospitalization quite a bit,
along with a surprising amount of pneumonia cases.
4. Digestive Disease
was also a high cause for hospitalization. This has such a wide scope of
diseases, though, that I was surprised it wasn’t higher. Of the most common were
things like Irritable Bowel Syndrome and Colitis. Digestive system disease
counted for 7.4% of hospitalizations in Chelan/Douglas. There has also been a
decline by 13% since 2000.
The last trend is one that has been on the rise just in the
last two to three years, and therefore has less data but Dr. Crawford mentioned
its concerning increase in our town.
5. Teen Suicide,
whether attempted or successful, is a cause for hospitalization that has
increased a considerable amount in the last few years. There have been a higher
amount of attempted suicides than the public is aware of, but according to Dr.
Crawford, it is an issue we need to watch out for. Our high school (including
recent graduates) has suffered two suicides just in the last few months. In the
past 5 years there have been many more. This concern is one more closely
related to those social determinants of health and have to watch for among the
teens in our area.
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