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Bergen Beach, Brooklyn

"Bergen Beach" redirects here. For the unincorporated community in Fond du Lac County, Wisconsin, see Bergen Beach, Wisconsin.

Neighborhood of Brooklyn in New York City

Bergen Beach is a residential neighborhood in the borough of Brooklyn, New York City. It is located on a peninsula abutting Jamaica Bay in the southeastern portion of the borough, and is bordered by Mill Basin and the neighborhood of the same name to the south and west; the neighborhood of Flatlands to the northwest; Paerdegat Basin and the neighborhood of Canarsie to the northeast; and Jamaica Bay and the Belt Parkway to the east. Bergen Beach contains a sub-neighborhood named Georgetown. The vast majority of residents are white, and the neighborhood generally has a suburban quality.

Bergen Beach was originally an island. The Canarsie Indians who occupied the area referred to it as Winnipague. The island was renamed Bergen Island for early settler Hans Hansen Bergen. From to , Percy G. Williams and Thomas Adams operated an amusement park in the area. Bergen Beach was connected to the rest of Brooklyn via landfill by , although development did not come for many years. In the s, a housing development called "Georgetowne" was proposed for Bergen Beach, but it was never built due to opposition from local residents. As a result, much of Bergen Beach was not fully developed until the s.

Bergen Beach is part of Brooklyn Community District 18, and its primary ZIP Code is [1] It is patrolled by the 63rd Precinct of the New York City Police Department.[4]

Geography[edit]

Originally, Bergen Beach was an island in Jamaica Bay off the coast of Canarsie, called "Bergen Island"[5] or "Bergen's Island".[6]:&#;9&#; Most of the island was sea-level meadows, but 60 acres (24&#;ha) of the island were uplands, or hilly areas located above sea level.[7]:&#;10–11&#; The sea-level meadows were replete with shell middens, or mounds, harvested from univalves and bivalves caught in Jamaica Bay.[6]:&#;12&#; A bulkhead was built along the shore in the late s, and was later connected to the uplands of nearby Mill Basin. This created a continuous embankment between Mill Basin and Paerdegat Basin, which was later used for the construction of Belt Parkway.[8]:&#;77&#;

Bergen Island was connected to the mainland by , when the marshland was filled in,[9] though some sources state that the island was connected to the mainland by [10] More fill was added in the s.[11] This fill was unstable, and as a result, parts of Bergen Beach have been sinking.[5] Many homes in the area were built so that if the ground in front of the house sank, extra steps could be added. The sinking land is particularly pronounced in some parts of Bergen Beach, where minor rainfall or snow melt can cause ponding and flooding in the streets.[12]

The modern neighborhood of Bergen Beach is adjacent to Canarsie and Paerdegat Basin to the northeast, Flatlands to the west, Mill Basin to the southwest, and Jamaica Bay to the southeast.[13] The website Forgotten NY delineates the boundaries of Bergen Beach as Paerdegat Basin to the northeast, Ralph and Mill Avenues to the west, Avenue U and the Little Mill Basin waterway to the southwest, and Jamaica Bay to the southeast.[11]Google Maps defines the boundaries similarly, except that Veterans Avenue, instead of Avenue U, forms part of the southwestern boundary.[14] Georgetown is considered a subsection of Bergen Beach. It is bounded by Ralph Avenue to the west, Avenue N to the south, Avenue U to the southeast, and Paerdegat Basin to the northeast.[12][15] Both Bergen Beach and Georgetown are zoned as predominantly residential neighborhoods with one- or two-family residences. Small commercial overlays and recreational waterfront uses also exist, and a strip along Bergen Basin is zoned for light industrial uses.[16]

History[edit]

Historic image of the Bergen House

Early settlement[edit]

The coastal lands around Jamaica Bay, including present-day Bergen Beach, were originally settled by the Canarsie Indians. At the time, the Native Americans referred to Bergen Island as "Winnipague"[7]:&#;4&#; or "Winnippague".[6]:&#;9&#;[17] The Canarsie Indians also called the island "Wimbaco", a name meaning "fine water place".[6]:&#;9&#; The Native Americans likely used Bergen Island to create wampum.[18]:&#;&#;[19]:&#;64&#; This location may have been chosen because it was easy to defend: the Indians could see intruders from the uplands and form a line of defense across the narrow flat that led to the island. Through the 20th century, the shell middens that resulted from the wampum-making process were used to create roads, as well as for fertilizer.[6]:&#;10&#; Remnants of Native American activity on the island, including stone markings, conch shell beds, and broken arrow tips, could be seen through the midth century.[7]:&#;4&#;[18]:&#;&#; Bergen Island may also have contained fields that the Indians used for planting.[7]:&#;8&#;[19]:&#;65&#;[20]:&#;36–44&#; There were collectively three planting fields on Bergen Island and in Canarsie.[6]:&#;9&#;[19]:&#;65&#;

In , the Dutch Republic incorporated much of the current New York City area into the colony of New Netherland.[7]:&#;4&#; In , as the Dutch were expanding outward from present-day Manhattan, Dutch settlers founded the town of Achtervelt (later Amersfoort) and purchased 15, acres (6,&#;ha) around Jamaica Bay. Amersfoort was centered around the present-day intersection of Flatbush Avenue and Flatlands Avenue.[7]:&#;9&#; The Dutch also founded a trading post on Bergen Island, which they renamed "Mentelaer's Island".[21] Ownership of Bergen Island was granted to John Underhill in , and Underhill soon sold the property to others.[7]:&#;11&#; New Netherland became British New York in , and Amersfoort was renamed Flatlands.[7]:&#;9&#; Bergen Island, as well as nearby Mill Island and Barren Island, were part of the Town of Flatlands. A settler named Elbert Elbertse bought Bergen Island in , and by the s, all three islands were leased by Elbertse. When he died in , he bequeathed 60 acres (24&#;ha) of the island to his son.[7]:&#;11&#;

The island was known as "Winnipague" through the 18th century.[7]:&#;11&#; By the turn of the century, it had been renamed for Hans Hansen Bergen, an early Norwegian[22] or Dutch settler of New Netherland.[13][23][24]:&#;59&#; He lived in the Bergen House,[21] which was built sometime before [7]:&#;11&#; One story has it that Bergen's house was hit by British bombs during the American Revolutionary War,[25] but this is not supported by documentation. Another rumor, that the American spy Nathan Hale was executed near or on Bergen Island, is also refuted by other evidence.[7]:&#;11&#;

By the s, Cornelius Bergen owned a farm on the island along the Jamaica Bay coast.[7]:&#;11&#; However, Bergen Island remained largely undeveloped until the end of the century.[7]:&#;38&#; According to an map, John C. Bergen owned most of the island, which only had two structures and a dirt road.[8]:&#;77&#;

Amusement park[edit]

Boardwalk of Bergen Beach, circa

In the late s, vaudeville theater manager Percy G. Williams partnered with Thomas Adams, the chewing gum magnate, to buy acres (&#;ha) of marshland on Bergen Island.[10][13][26] The island was sold to the Germania Real Estate and Improvement Company in It quickly laid out streets between Avenues T and Z, east of present-day East 70th Street.[7]:&#;38&#;[8]:&#;77&#;

Williams and Adams had meant to construct housing, but instead decided to emulate the successful Coney Island resort further west.[27] They converted Bergen Island into a resort, which was connected to the rest of the city by the Flatbush Avenue streetcar route (now the B41 bus).[11][21][28] The resort opened in with a dance hall, concessions, rides and a pier.[9] The Flatbush Avenue streetcar to Bergen Beach started operating in May [29] The coast of Bergen Island, and the park itself, came to be known as "Bergen Beach".[8]:&#;77&#; In August , the New York Herald characterized the "brightly caparisoned and gilded resort" at Bergen Beach:

The board walk echoes with the tread of Egyptian dancing girls, Irish villagers, knights in armor, girls in clinging lace costumes, young men in white duck trousers, soubrettes adorned with yellow tresses, jugglers, mountebanks, opera singers, and Frankfurter sausage venders. The Casino is for dining either inside or on the veranda; steak or raw clams. Inside you can watch the soubrettes sing and dance. There are annexes to the Casino on either end of the boardwalk where they sell drinks; hard and soft. The intervening gulfs (along the Boardwalk) are filled with Moorish castles, Egyptian encampments, Irish villages, black Americans, white Coney Island fakirs, blood testing machines, vitascopes, knock-the-baby-down skill games.[30]

The report went on to describe the Irish Village, Mystic Moorish Maze, Egyptian encampment, scenic railway and other attractions.[30] There were also bathing facilities, exhibits, sideshows, eating places and a beer garden.[26] The park had a "casino",[31] which at the time meant a place where entertainments were staged.[27] The casino put on vaudeville, musical comedies and stock company productions.[9] The Trocadero Theatre was also located on the Bergen Beach boardwalk.[7]:&#;38&#;[31]

In March , the Brooklyn Rapid Transit Company offered to buy the Bergen Beach resort, but could not meet Williams's price. Separately, the frequency of trolley service was reduced since the Flatbush Avenue tracks had been damaged by a storm that winter.[32] In April of that month, Williams announced that the resort would not open unless the BRT repaired the trolley tracks to Bergen Beach.[33] Later the trolley service improved, since Bergen Beach was a good source of fares. In the summer of the casino staged The Girl in Black, a popular musical-and-comedy show that ran for the whole season.[31] The resort suffered $25, in damages (equivalent to $72, in ) due to a fire in , but The New York Times reported that "the tide in Jamaica Bay and two Brooklyn Rapid Transit trolley cars" brought the water that ultimately saved the park from burning down.[34] The Percy Williams Amusement Park opened the next year at the Bergen Beach resort.[21] This became one of several amusement districts in the New York City area, competing with similar resorts in Canarsie; Coney Island; Rockaway Beach, Queens; and Staten Island.[35]

A roller skating rink at the park opened in , with a band playing in the afternoons.[31][36] That year, surveyors were sent to map the settlements around Jamaica Bay as part of a project to dredge the bay for potential use. They reported that at the time, the only occupied settlements along Jamaica Bay were located at Canarsie and Bergen Beach.[37] Piers for ferry service were constructed along Bergen Beach at Avenues V and X. Two ferry routes to Canarsie ran between and , and for a short time, there was also a ferry to Rockaway Beach.[7]:&#;66&#; However, ferry routes to Bergen Beach were not profitable, and it was hard to navigate the shallow channels near Bergen Island.[7]:&#;38&#;

A more serious fire in crippled the Percy Williams Amusement Park's operations, destroying $, worth of property (equivalent to $11,, in ).[31] By , two more amusement parks had been built, as well as a scenic railroad.[7]:&#;38&#; The resorts in Coney Island and Rockaway Beach proved to be more popular than Bergen Beach because the other resorts had easy transit access, whereas Bergen Beach did not.[13] Pollution from Barren Island, a notorious waste processing site,[38] also decreased the appeal of Bergen Beach.[10] As a result, the Bergen Beach resort closed by [31]

In , as part of a dredging project in nearby Rockaway Inlet, the city agreed to add bulkheads along 4, feet (1,&#;m) of the Bergen Beach coast. Williams and Adams later sued, ostensibly to delay the project.[39]

Redevelopment[edit]

After the failure of the amusement park, Bergen Beach was redeveloped.[21] In , real estate developers Max Natanson and Mandlebaum & Levine bought Williams and Adams's former amusement park for close to $2 million (equivalent to $29,, in ).[40] At the time, they planned to develop Bergen Beach's 3, lots as a residential area with an entertainment district. There would have been a beach and an amusement park similar to Williams and Adams's park.[41] However, this plan never materialized, and by ,[13] the lots were sold off piece-by-piece to different people.[21]

Bungalows and vacation houses were built on the coast of "Flatlands Bay", around Bergen Island, before World War I. However, city records from to do not indicate where exactly these houses were erected. In , the New York City Department of Docks began leasing lots and bungalows on Bergen Beach. As of , the yearly rates for these lots ranged between $10 and $ (worth between $ and $3, in ).[7]:&#;39&#; Bergen's house itself was demolished during the construction of Belt Parkway, also known as the Shore Parkway, in the s. When the parkway opened in , though, it did not spur development in Bergen Beach.[21] The WPA Guide to New York City mentions that the area comprising present-day Mill Basin and Bergen Beach was the residence of "pathetic communities of squatters, who live in makeshift houses, and eke out a living by fishing and scouring the near-by city dumps for odd necessities". At the time, the southern shore was still marshland.[42] Although fourteen single-family houses were built in the s,[43] much of the neighborhood retained a rural character through the s.[21]

Starting in the s, a series of suburban waterfront communities were being rapidly developed in Southeast Brooklyn, including in present-day Bergen Beach, Canarsie, and Mill Basin. By , a new 69th Precinct building for the New York City Police Department, as well as the South Shore High School in Canarsie, had to be constructed to accommodate the growing population.[44] The neighborhood had some of the most expensive houses in Brooklyn by [45] Bergen Beach only became popular as a suburban neighborhood toward the end of the 20th century.[21] Further development did not come until the s, when more of the marsh was filled in.[11] From to , prices of residential lots in Bergen Beach increased fourfold. At the time, one developer was constructing two- and three-bedroom apartments with prices ranging between $, and $,[5] The last city-owned sites along Paerdegat Basin were sold to private developers between and [46]

In the s, a combined sewer overflow (CSO) facility for Paerdegat Basin was built in Bergen Beach. It was completed in August [47]

Georgetowne[edit]

A part of the neighborhood called Georgetowne, located to the north of Bergen Beach proper, was undeveloped until the s, when a community of two-story semi-attached colonials called Georgetowne Greens was proposed.[48] Many of the homes would have been built on the landfilled section of the area.[12] Around the same time, Mayor John Lindsay sought to build a unit middle-class housing development called Harbour Village in the same area. Harbour Village would be a Mitchell-Lama development built using modular construction.[49] The uncertainty of whether it would be approved brought new construction on Georgetowne Greens to a halt.[12]

The New York City Board of Estimate approved Harbour Village by an 18–0 vote on March 25, [50] However, it ultimately rejected the proposal in September after public outcry by the mostly white, mostly well-off residents of nearby Bergen Beach and Mill Basin.[51] By that point, interest in Georgetowne Greens had waned, and the project was terminated. The first houses built for the development still remain.[52] The area was ultimately developed as the neighborhood of Georgetown,[12] though parts of Georgetown remained undeveloped through the s.[11] The "Georgetowne" appellation still exists in the name of a strip mall in Georgetown.[53]

[edit]

St. Bernard Clairvaux Church

Located along the southern coast of Brooklyn, Bergen Beach has a suburban quality.[54] The nearest stores are located in the Georgetown Shopping Center, as well as a Key Food location in Mill Basin.[55] Bergen Beach also contains the Mill Harbor Condominiums, one of the few gated communities in New York City.[56] The neighborhood includes the St. Bernard Clairvaux Church, located on Veterans Avenue near 69th Street.[54] Bergen Beach and Georgetown are part of Brooklyn Community Board 18, which also includes Canarsie, Mill Basin, Marine Park, and the southern portion of Flatlands.[57]

Bergen Beach and Georgetown are located in ZIP Code , which also includes Mill Basin, Marine Park, and the southern portion of Flatlands. Based on data from the United States Census, the combined population of Georgetown, Marine Park, Bergen Beach, and Mill Basin was 45,, an increase of 2, (%) from the 42, counted in the United States Census. Covering an area of 1, acres (&#;ha), the neighborhood had a population density of inhabitants per acre (17,/sq&#;mi; 6,/km2).[2]

By the end of the 20th century, the vast majority of Bergen Beach residents were white, as were most residents of adjacent neighborhoods such as Mill Basin and Marine Park.[54] Specifically, many of the residents were Italian-Americans.[13] The United States Census counted 3, residents, of which three were black; as of the United States Census, there were 28 black residents.[54] However, by , the number of black residents in Southeast Brooklyn had risen %, the steepest such increase of any area in the city. As of that year, the African American population in these neighborhoods represented % of the total population.[58] As of the Census, the racial makeup of Southeast Brooklyn was % (33,) White, % (4,) African American, % (47) Native American, % (2,) Asian, % (7) Pacific Islander, % () from other races, and % () from two or more races. Hispanic or Latino of any race were % (3,) of the population.[3]

Police and crime[edit]

Bergen Beach is patrolled by the New York City Police Department's 63rd Precinct.[55] The precinct also covers Marine Park, Mill Basin, and part of Flatlands.[4] Because of the precinct's distance from Bergen Beach, some residents had complained that there was not enough police presence in the neighborhood.[59] The 63rd Precinct ranked 31st safest out of 69 patrol areas for per-capita crime in [60]

The 63rd Precinct has a lower crime rate than in the s, with crimes across all categories having decreased by % between and The precinct reported 5 murders, 14 rapes, 88 robberies, felony assaults, 92 burglaries, grand larcenies, and 62 grand larcenies auto in [61]

Recreation[edit]

The New York City Department of Parks and Recreation operates several parks in the Bergen Beach area. Joseph T. McGuire Park is located on Bergen Avenue, along the eastern coast of Bergen Beach between Avenue V and Shore Parkway. It contains several fields for sports such as baseball and volleyball.[62] Bergen Beach Playground is located in Bergen Beach's northwestern section along East 71st Street between Avenues N and T.[63] Hickman Playground, located on Veterans Avenue between East 66th and 68th Streets, is named for Flatlands resident Vincent Hickman, who died during the Korean War.[64]

Since , the Jamaica Bay Riding Academy has operated a horseback riding school along Shore Parkway with 80 stables. The academy spans acres (&#;ha) within the Gateway National Recreation Area, which borders Bergen Beach to the south.[65]

Education[edit]

P.S. , a public elementary school, is located in Bergen Beach.[66]Success Academy Charter Schools also operates an elementary school in Bergen Beach.[67]

Brooklyn Public Library operates the Mill Basin Library at Ralph Avenue, near Avenue N. The Mill Basin Library first opened in , and it has been located in its current building since [68]

Notable streets[edit]

Private Cosmo L. Barone Triangle is bounded by Avenue U, East 71st Street, and Veterans Avenue. It is named after Pfc. Cosmo Barone, a soldier who grew up in Brooklyn and died during the Vietnam War.[69] Veterans Avenue, in turn, was renamed to honor soldiers who fought in World War II. It had been named Island Avenue because it originally led to Bergen Island.[11]

Mill Lane exists in several small, disconnected segments south of Avenue N. One segment is located in the extreme western section of present-day Bergen Beach.[70] It formerly connected with a Native American trail named Bergen Beach Road, which led from the town of Flatlands to Bergen Island.[71]

Ralph Avenue, the western boundary of Bergen Beach, was named after Ralph Patchen, an early landowner in Brooklyn who owned land further north along the avenue.[24]:&#;93–94&#;

Transportation[edit]

There is very little public transportation in Bergen Beach.[55] The neighborhood is far away from the New York City Subway, and many residents drive their own vehicles.[55] The only public transportation is the B3, B41, and BM1 bus routes, operated by MTA Regional Bus Operations.[28]

The B3 route formerly ran further into Bergen Beach, serving East 73rd and East 74th Streets, but was truncated to Avenue U and East 71st Street in [72] The B41 route actually has two branches: one to Bergen Beach and one to the Kings Plaza shopping mall.[28] It was a descendant of the Flatbush Avenue streetcar route, which was replaced by the current bus service in March [73]

References[edit]

  1. ^ ab"NYC Planning Community Profiles". casinobet77.asia. New York City Department of City Planning. Retrieved March 18,
  2. ^ abTable PL-P5 NTA: Total Population and Persons Per Acre – New York City Neighborhood Tabulation Areas*, Archived June 10, , at the Wayback Machine, Population Division – New York City Department of City Planning, February Retrieved June 16,
  3. ^ abTable PL-P3A NTA: Total Population by Mutually Exclusive Race and Hispanic Origin – New York City Neighborhood Tabulation Areas*, Archived June 10, , at the Wayback Machine, Population Division – New York City Department of City Planning, March 29, Retrieved June 14,
  4. ^ ab"NYPD – 63rd Precinct". casinobet77.asia. Archived from the original on May 25, Retrieved October 3,
  5. ^ abcWaite, Thomas L. "Postings; On Bedrock in Bergen Beach: Bucking That Sinking Feeling"Archived January 15, , at the Wayback Machine, The New York Times, October 23, Retrieved May 9, "At the same time, Bergen Beach is sinking back into the Jamaica Bay marshland from which it rose as landfill. Everything that is not on piles driven down to bedrock – everything except the houses – is breaking, buckling and leaving cliffs."
  6. ^ abcdefKearns, Betsy; Kirkorian, Ceca; Schaefer, Richard (September ). "Water Quality Facility Plan: Paerdegat Basin, Brooklyn, New York: Phase lA Archaeological Assessment"(PDF). casinobet77.asia. New York City Department of Environmental Protection. Archived(PDF) from the original on February 7, Retrieved January 25,
  7. ^ abcdefghijklmnopqrstBlack, Frederick R. (). "Jamaica Bay: A History"(PDF). United States Department of the Interior, National Park Service. Archived(PDF) from the original on February 5,
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  9. ^ abcSlide, Anthony (). "Percy G. (Garnett) Williams". The Encyclopedia of Vaudeville. Univ. Press of Mississippi. p.&#; ISBN&#;. Retrieved May 17,
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  49. ^"City Plan Commission Approves Modular Housing for Brooklyn". The New York Times. September 10, Archived from the original on January 17, Retrieved January 16,
  50. ^"PROTESTERS HALT ESTIMATE SESSION". The New York Times. March 26, Archived from the original on January 17, Retrieved January 16,
  51. ^Clines, Francis X. (September 15, ). "Estimate Board Reverses Itself, Votes to Halt Brooklyn Mid‐Income Project". The New York Times. ISSN&#; Archived from the original on January 18, Retrieved January 17,
  52. ^"A tranquil slice of suburbia". The Weekly Nabe. March 30, Archived from the original on November 5,
  53. ^"Checkin' in with…Adam Diamond, Georgetown's fresh-faced civic leader". Brooklyn Daily. July 22, Archived from the original on January 17, Retrieved January 16,
  54. ^ abcdFriedman, Andrew (June 3, ). "NEIGHBORHOOD REPORT: SOUTHEAST BROOKLYN; Drops of Diversity in a Quiet Area". The New York Times. Archived from the original on January 16, Retrieved January 15,
  55. ^ abcdTeicher, Jordan G. (July 8, ). "City Living: Bergen Beach satisfies your craving for real suburban living". am New York. Archived from the original on January 16, Retrieved January 15,
  56. ^Mooney, Jake (January 28, ). "Gates in Place of Doormen". The New York Times. Archived from the original on January 16, Retrieved January 15,
  57. ^Brooklyn Community BoardsArchived December 21, , at the Wayback Machine, New York City. Retrieved December 31,
  58. ^Musumeci, Natalie; Durkin, Erin (September 22, ). "Black pop. growing in south Bk". NY Daily News. Archived from the original on January 16, Retrieved January 15,
  59. ^"Bergen Beach is an NYPD desert, some say". New York Post. October 20, Archived from the original on January 20, Retrieved January 19,
  60. ^"Flatlands – casinobet77.asia Crime and Safety Report". casinobet77.asia. Archived from the original on April 15, Retrieved October 6,
  61. ^"63rd Precinct CompStat Report"(PDF). casinobet77.asia. New York City Police Department. Retrieved July 22,
  62. ^"McGuire Fields&#;: NYC Parks". New York City Department of Parks & Recreation. Archived from the original on January 16, Retrieved January 15,
  63. ^"Bergen Beach Playground&#;: NYC Parks". New York City Department of Parks & Recreation. Archived from the original on January 16, Retrieved January 15,
  64. ^"Hickman Playground&#;: NYC Parks". New York City Department of Parks & Recreation. Archived from the original on January 16, Retrieved January 15,
  65. ^Carter, Ilise S. (June 22, ). "Jamaica Bay Riding Academy in Bergen Beach". The New York Times. Archived from the original on January 16, Retrieved January 15,
  66. ^"Welcome to P.S. 's Website – P.S. Bergen Beach – K". New York City Department of Education. June 26, Archived from the original on October 7, Retrieved January 17,
  67. ^"Success Academy Charter School – Bergen Beach in Brooklyn, NY". Niche. Archived from the original on January 17, Retrieved January 17,
  68. ^"History". Brooklyn Public Library. November 7, Archived from the original on January 23, Retrieved January 23,
  69. ^"Barone Triangle Highlights – Barone Triangle&#;: NYC Parks". New York City Department of Parks & Recreation. April 19, Archived from the original on February 4, Retrieved January 16,
  70. ^"ROAD REMNANTS. Some of Brooklyn's lost lanes". Forgotten New York. November Archived from the original on January 17, Retrieved January 16,
  71. ^Bolton, R.P. (). Indian Paths in the Great Metropolis. Indian Paths in the Great Metropolis. Museum of the American Indian, Heye foundation. p.&#; Retrieved January 16,
  72. ^"Evaluation of Service Reductions"(PDF). MTA New York City Transit. September 23, pp.&#;B Archived(PDF) from the original on January 6, Retrieved May 15,
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Источник: [casinobet77.asia]

How Much Money Do The Top Income Earners Make?

Ever wonder how much money do the top income earners make? Once you know how much the top income earners make, then you can better shoot to be a top income earner yourself. After all, everything is relative when it comes to money.

Americans are rich by world standards. With a median household income of roughly $70,, America consistently ranks in the Top 20 richest countries in the world. Many of the world&#;s top income earners live right here in our great country.

Other rich countries that have a higher GDP per capita than America include Liechtenstein ($K), Qatar, Monaco, Macau, Luxembourg, Bermuda, Singapore, Isle of Man, Brunei, Ireland, Norway, Falkland Islands, UAB, S. Maarten, Kuwait, and Gibraltar. Countries with similar GDP per capita to America include Hong Kong, Switzerland, and Saudi Arabia.

If at birth, you had the mental capacity to choose where you&#;d like to live for most of your life, living in a top 20 richest country will more than likely help you become a top income earner as well.

Even if you end up being the most mediocre producer, you are still miles ahead of much of the world. Too bad many of us can&#;t pick where we want to grow up and earn a living. As such, it&#;s nice to understand how we compare against the rest of the world to give us some perspective.

Let&#;s take a look at what the top income earners make in America.

What The Top 1%, 5%, 10%, 25%, and 50% Income Earners Make

Based on the Internal Revenue Service&#;s database below, here&#;s how much the top Americans make. For , the numbers are all about 15% &#; 20% higher partly thanks to inflation. Since the previous financial crisis in &#; , the top 10% have significantly widened the wealth gap.

  • Top 1%: $, and up ($,+ in )
  • Top 5%: $, ($,+ in )
  • Top 10%: $, ($,+ in )
  • Top 25%: $67, ($80,+ in )
  • Top 50%: >$33, ($35,+ in )

The rich have gotten much richer during the pandemic. Therefore, the top income earners are making even more than ever before. Sadly, the wealth gap has widened as we continue through a K-shaped recovery.

Summary Of Top Income Earners Tax Data

Here is data from the IRS that highlights what the top income earners make. A top income earner is considered someone who makes a top 10%, top 5%, and top 1% income.

There is not a lot of data about the mega-rich, those in the top %. However, I also write a huge post highlighting people who make over $1 million a year and how.

Chart Of The Top Income Earners And Tax Contribution - How Much Money Do The Top Income Earners Make?

Based on a previous + survey study on Financial Samurai in Fall , about 80% of readers are in the Top 25% income earners ($67,+). Good to know that many of you are doing well.

The table also tells us a number of things about equality or inequality, namely that the top 1% of tax payers pay 38% of all income taxes yet only have a 20% share of total AGI.

Further, the top 50% of tax payers pay practically all of the nation&#;s federal taxes (%) while commanding % of total AGI. This table from the IRS is the source for the often politically bantered argument that 47% of American income earners pay zero federal income taxes.

If you do another little exercise and compare the top 25% of American income to the Top 10 per capita income countries in the world, you can once again see how lucky most of us are.

Broaden Tax Collection

If only we could get all American wage earns to pay some taxes. It would go a long way to help shoring up our budget. Congress constantly holds the nation hostage by bickering over whether to cut $10 billion here, $50 billion there. All we have to do is encourage those who earn above the poverty line to pay some tax. We&#;d raise billions a year right there for example!

Let&#;s have everyone contribute to the welfare of our country. We are all in this together! For those who are just struggling to keep their heads above water, let&#;s lend them a helping hand.

The top 1% income earner in is now earning at least $, a year. But in some states, like Connecticut, the top income earners make over $, a year.

Who Are The Majority Who Pay No Federal Income Taxes?

Back around , roughly 47% of Americans pay no income taxes. In , more than 60% of working Americans didn&#;t pay any federal income taxes, largely due to the pandemic.

The Americans who pay no income taxes fall into three groups:

The working poor. The earned income tax credit and the child credit can help families making $50, or more pay no taxes or get money back. About 60% of those not paying income taxes do contribute to payroll taxes. Meaning they must have some source of earned income.

The elderly. An increased standard deduction for those over 65, and an exemption on part of Social Security earnings, means that many older Americans pay no income taxes. Please remember though that the elderly have paid their dues through decades worth of federal taxation during their careers.

The low-income. A family of four claiming only the standard deduction and personal exemptions pays no federal income tax on its first ~$26, of income. The standard deduction per person is now $12, in Further, each family gets a $ child tax credit.

Not Everybody Has The Ability To Make A Top Income

As you can see, being poor or elderly likely means you don&#;t pay net federal income taxes. We&#;re all going to grow old one day, so let&#;s give this group a pass. The elderly paid into the system, so let&#;s take care of them. I don&#;t think any of us would rather be poor so we can pay no federal taxes. Therefore, let&#;s give them a pass too.

This leaves us with a low-income group that may have made some suboptimal decisions. Some of these decisions include having children while not being able to support themselves. Children are estimated to cost roughly $, from the ages of Perhaps having multiple children on a low income is not ideal. But, how do you deny passion?

Top one percent income levels - How Much Money Do The Top Income Earners Make?

Living In America Is Rich

If you work in America, you can see from a top down and bottoms up perspective you&#;re doing fantastic. If you are in the bottom 50% of Americans who earn less than $33, a year, know that you can earn more if you want to.

Half the battle is just moving to a vibrant location such as the San Francisco Bay Area. Billions of dollars are flowing through the city due to technology innovation. It&#;s not like you have to brave the high seas to reach America. It&#;s not like you need to ride a horse for three months to get from New York to California. All you&#;ve got to do is hop on a bus or a plane to be where the action is.

25 years ago, I remember making $ a month working at McDonald&#;s for $/hour. With wages 3X higher now, I&#;d be pulling in $1, a month or $20, a year! Heck, tack on driving for Uber for 20 hours a week part-time at $36/hour. You&#;ll make another $2, a month and be in the top 50% of income earners no problem.

There&#;s an entire gig economy out there for freelancers to make extra money after work, or freelance full time. Why not take advantage to become a top income earner yourself?

Please Put In The Work

If you are only working 40 hours a week or less and complaining why you can&#;t get ahead, you need to seriously re-evaluate your work ethic and expectations. Anybody can do it. You just can&#;t be delusional enough to think that you&#;ll be able to compete when everybody in the world who wants to get ahead is working 60+ hours a week and getting paid much less to boot!

Spend some time online understanding global wages from our biggest competitors in China and India. In order to maintain our incomes, we must constantly be updating our skills.

There are plenty of six figure jobs out there for the taking. You just need to have the desire, motivation, work ethic, and perseverance to get there. Did you know the San Francisco police chief makes $, a year? Further, when he retires, he&#;ll get a $, a year pension for life! It&#;s not just doctors, lawyers, venture capitalists, bankers, movie stars and athletes who make healthy sums of money.

A Variety Of Jobs Pay Well

Even my friend who is a union electrician makes $, a year. He also gets a $5, a month pension when he retires at What&#;s more, he isn&#;t allowed to work more than 35 hours a week. Let&#;s not count the $30, a year he makes doing side jobs with all that free time. There are six figure earners in practically every single industry, including the non-profit industry!

Back to my point where if everybody earns a million dollars a year, nobody is rich. Living in San Francisco, it certainly feels like most are in the top 5% of income earners ($,). Train janitors and elevator technicians in the Bay Area can make over $, a year with overtime.

I&#;m sure many who live and work in Manhattan, and potentially LA and Chicago feel the same way. The cost of living is expensive out here, and that&#;s predominantly driven by high wages.

Combine two income earners with these amounts, and you can really start understanding why surpassing what the government deems as wealthy ($,) is not too difficult. Thankfully in +, President Biden only wants to raise taxes on households making over $, a year.

In fact, I argue that in many of the larger cities in America, you&#;ve got to earn closer to $, a year just to live a middle class lifestyle. It sounds crazy. But it&#;s true if you take a careful look at the budget I put together. A middle-class lifestyle means owning a home, being able to raise two kids, and save for retirement.

The Top Income Earners Pay The Most Taxes

The top 1% of income earners will likely continue to pay a higher percentage share of overall income taxes than their share of income justifies. If things were fair, the top 1% would only have to pay 20% of total income taxes since 20% is their share of total income. Alas, the rich pay almost double what they owe.

Therefore, it&#;s not worth constantly demonizing the rich for &#;not paying their fair share.&#; The rich donate the most and employ the most people.

On the flip side, the bottom 50% who earn % of total earnings only pay % in total taxes. But, as we learned above, most of the bottom 50% are elderly or poor. Nobody is asking the bottom 50% to pay more taxes.

It&#;s impossible to create a fair tax system that everybody will agree on. But we can look at the data to understand who is making the most and least income. We can see who is paying the most and least in taxes.

It&#;s great to be a top income earner. However, it&#;s even greater to be happy. Find your balance!

Here are three things top income earners do below.

Top Income Earners Invest In Real Estate

Real estate is one of the favorite asset classes to build wealth by top income earners. Real estate is tangible, provides utility, and generates valuable income. With mortgage rates staying at record-lows and more people working from home, the growth of real estate will likely be strong for years to come.

Top income earners invest in rental properties for cash flow. Given interest rates have plummeted, the value of rental income has gone way up because it takes more capital to generate the same amount of income. Top income earners who really cherish their time also invest in real estate crowdfunding to earn income % passively.

Best Real Estate Platforms

Fundrise is the best real estate crowdfunding platform where investors can invest in private eREITs that invest in hundreds of properties across America. By investing in a diversified fund, investors gain real estate exposure in a low volatility way. Fundrise is free to usign up and explore. With inflation picking up, it&#;s a good idea to invest in real estate to ride the inflation wave.

For accredited investors who like to invest in individual deals, take a look at CrowdStreet. CrowdStreet focuses on commercial real estate opportunities in hour cities. hour cities have higher growth rates, lower valuations, and higher cap rates than hour cities. Think Charleston, South Carolina versus New York City, New York.

Due to demographic shifts to lower cost areas of the country, the closely vetted CrowdStreet deals in hour cities look attractive as well. CrowdStreet is also free to sign up and explore. With CrowdStreet, you can build your own select real estate fund.

Personally, I&#;ve invested $, in 18 real estate deals across the heartland of America. The income is completely passive. Further, I get to diversify my real estate holdings away from expensive San Francisco.

Top Income Earners Own Businesses

We are in the technology and internet age now. If you really want unlimited earnings potential, you might as well be your own boss someday. It costs so little now to just start your own website so you can brand yourself online.

You will connect with like-minded people, find new jobs and consulting opportunities, and potentially make a healthy living online. Take a look at this income statement example of a friend with a simple personal finance blog.

How much can you make blogging for a living

I started Financial Samurai in as a hobby to help make sense of the financial destruction back then. Today, Financial Samurai is one of my most valuable assets.

You can start your WordPress site like this one with Bluehost for as little as $ a month. Come up with a unique and memorable domain name. Find a free website theme. Then connect your hosting and you&#;ll be up and running in 30 minutes.

The best thing you can do while you have a job is work on your side hustle during off hours. You never know what might happen if you just start.

Top Income Earners Track Their Net Worth

Finally, top income earners religiously track their net worths. You can only truly optimize your wealth if you know where all your money is going. Sign up for Personal Capital, the web&#;s #1 free wealth management tool to get a better handle on your finances.

I&#;ve been using them since and have made much wiser financial decisions since. In addition to better money oversight, run your investments through their award-winning Investment Checkup tool. The tool will show you exactly how much you are paying in fees. Further, it will give you insights into your asset allocation. I was paying $1, a year in fees I had no idea I was paying.

After you link all your accounts, use their Retirement Planning calculator. It pulls your real data to give you as pure an estimation of your financial future as possible. Your financial future is too important not to take it seriously. You don&#;t want to end up old and not have enough money because there is no rewind button!

Retirement Planner Personal Capital

Join 50,+ others and subscribe to my free weekly newsletter. Since , the newsletter has helped people achieve financial freedom sooner, rather than later.If you want to be one of the top income earners, you need as much actionable advice as possible.

Filed Under: Career & Employment, Most Popular, Taxes

Источник: [casinobet77.asia]

Did you know? - Iowa Department of Public Health

IowaDepartment

ofPublicHealth


IDPH

Annual Report &

Budget Summary

Promoting and protecting the health ofIowans


Table of Contents

IowaDepartmentofPublicHealth – Contact Information 4

A Message from the Director 6

Iowa’s PublicHealth System – Overview 8

IowaDepartmentofPublicHealth – Budget Summary 11

IowaDepartmentofPublicHealth – Programs and Services 12

Access to Quality Rural Health Services 13

Acute Disease Epidemiology 15

Adolescent Health 17

Brain Injury 19

Cancer 21

Child Health 23

Child Health Specialty Clinics 25

Child Protection Centers 27

Communication & Planning 29

Congenital & Inherited Disorders 31

Dental Board 33

Diabetes Prevention & Control 35

Disability & Health 37

Disaster Operations & Response 39

Early Childhood 41

Emergency Medical Services (EMS) 43

Environmental Epidemiology 45

Environmental Health Engineering 47

Environmental Health Services & Outreach 49

Family Planning 51

Finance 53

Gambling Prevention & Treatment 55

hawk-i Outreach 57

Health Care Safety Net 59

Health Care Transformation 61

Health Information Technology (Iowa e-Health) 63

Health Statistics 65

Health Workforce 67

Page 2 of


Table of Contents

Heart Disease & Stroke 69

HIV/AIDS & Viral Hepatitis 71

Home Visiting 73

Immunization 75

Information Management 77

Injury Prevention & EMS for Children 79

Local PublicHealth Services 81

Maternal Health 83

Medical Examiner, Office of the State 85

Medicine, Board of 87

Multicultural Health 89

Nursing, Board of 91

Nutrition & Physical Activity 93

Oral Health 95

Pharmacy, Board of 97

Prescription Services 99

Professional Licensure

Radiological Health

Sexually Transmitted Disease Prevention

Substance Abuse & Gambling Treatment Programs Licensure

Substance Abuse Prevention

Substance Abuse Recovery

Substance Abuse Treatment

Suicide Prevention, Youth

Tobacco Use Prevention & Control

Toxicology

Tuberculosis Control

Violence Prevention

WIC - Special Supplemental Nutrition Program for Women, Infants, & Children

Page 3 of


IowaDepartmentofPublicHealth – Contact Information

Department Director’s Office

Mariannette Miller-Meeks, B.S.N., casinobet77.asia, M.D., Director


State Board ofHealth

Dental Board

Board of Medicine

Board of Nursing

Board of Pharmacy

Office of the State Medical Examiner

Division of Acute Disease Prevention and Emergency Response

Gerd Clabaugh, Deputy Director, Division Director


Center for Acute Disease Epidemiology

Bureau of Communication and Planning

Center for Disaster Operations and Response

Office ofHealth Information Technology

Bureau of Immunization and TB

Bureau of Emergency Medical Services (EMS)

Division of Administration and Professional Licensure

Marcia Spangler, Division Director


● Bureau of Finance

● Bureau ofHealth Statistics

● Bureau of Information Management

● Bureau of Professional Licensure

Division of Behavioral Health

Kathy Stone, Division Director


Office of Disability, Injury, and Violence Prevention

Office of Gambling Treatment and Prevention

Bureau of HIV, STD, and Hepatitis

Bureau of Substance Abuse

Page 4 of


IowaDepartmentofPublicHealth – Contact Information

Division of Environmental Health

Ken Sharp, Division Director


Bureau of Environmental Health Services

Bureau of Lead Poisoning Prevention

Bureau of Radiological Health

Office of the Plumbing and Mechanical Systems Board

Division ofHealth Promotion and Chronic Disease Prevention

Julie McMahon, Division Director


Bureau of Chronic Disease Prevention and Management

Center for Congenital and Inherited Disorders

Bureau of Family Health

Office ofHealth Care Transformation

Bureau of Local PublicHealth Services

Office of Minority and Multicultural Health

Bureau of Nutrition and Health Promotion

Bureau of Oral and Health Delivery Systems

Division of Tobacco Use Prevention and Control

Meghan O'Brien, Division Director


Youth Tobacco Prevention

Community Partnerships

Quitline Iowa

Smokefree Air Act

Tobacco Retail Compliance

Surveillance and Evaluation

Go to casinobet77.asia for more information about the department, including health

statistics, publications, and program information.

Page 5 of


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In this Annual Report and Budget Summary, you will find detailed descriptions of the programs

and services that help IDPH achieve our mission of promoting and protecting the health of

Iowans. I urge you to take a moment to read about the good work being done by each division,

bureau, and program. I believe public health’s everyday contribution to the lives ofIowans is

both significant and necessary to the future of our state

Sincerely,

Dr. Mariannette Miller-Meeks, B.S.N., casinobet77.asia, M.D.

Director, IowaDepartmentofPublicHealth

Page 7 of


Iowa’s PublicHealth System – Overview

Vision

Healthy Iowans living in healthy communities.

Mission

Promoting and protecting the health ofIowans.

Guiding Principles

We strive for INNOVATION and CONTINUOUS IMPROVEMENT in our

activities to promote and protect the health ofIowans.

With a collective sense of SOCIAL JUSTICE, our activities reflect an

understanding and acceptance of DIVERSITY among Iowans.

We encourage COLLABORATION in our activities and in our decisionmaking

so that we respond more effectively to emerging issues and assure

the highest QUALITY of services we can provide.

We recognize the value of a healthy COMMUNITY in developing healthy

Iowans. We encourage our employees, Iowa’s communities, and individual

Iowans to work together as PARTNERS to build a healthy Iowa.

We are committed to using EVIDENCE-BASED strategies to assure our

programs focus on creating RESULTS that improve the health ofIowans.

What does PublicHealth do?

Public health is a partnership of local public health, the IowaDepartmentofPublicHealth

(IDPH), non-profit organizations, health care providers, policymakers, businesses, and many

others working together to promote and protect the health ofIowans. Public health strives to

improve the quality of life for all Iowans by assuring access to quality population-based health

services related to the following goals:

● Preventing injuries;

● Promoting healthy behaviors;

● Protecting against environmental hazards;

● Strengthening the public health infrastructure;

● Preventing epidemics and the spread of disease; and

● Preparing for, responding to, and recovering from public health emergencies.

Page 8 of


How does Iowa’s PublicHealth System meet these goals?

In Iowa, local boards of health are responsible for protecting the public’s health. County

boards of supervisors appoint the members of the local boards of health. Iowa law gives broad

authority to local boards of health to decide what public health services to provide within their

jurisdictions and how to provide them. Thus, the size and structure of local public health

agencies and the services they provide varies greatly throughout the state. Local boards of

health work with agencies, businesses, health care providers, and others to assure public

health services are being provided in their jurisdiction.

The IowaDepartmentofPublicHealth (IDPH) partners with local public health, policymakers,

health care providers, business and many others to fulfill our mission of promoting and

protecting the health ofIowans. IDPH’s primary role is to support Iowa’s 98 county boards of

health, 2 city boards of health, and 1 district board of health in this mission. To do this, IDPH

provides technical support, consultation, and funding. IDPH also provides a variety of direct

services such as licensing health professionals; regulating emergency medical services and

substance abuse treatment providers; regulating radioactive materials; and collecting birth,

death, and marriage records. The State Board ofHealth is the policymaking body for IDPH.

Iowa’s governor appoints State Board ofHealth members and the department’s director.

Page 9 of


How the IowaDepartmentofPublicHealth is Organized

Iowa has had a state public health agency since when the Eighteenth General Assembly

formed the State Board ofHealth to “provide for the collecting of vital statistics and to assign

certain duties to local boards of health.” Since then, its duties have greatly expanded. Today’s

IDPH serves as the state’s leader in administering and funding public health, overseeing more

than 85 programs and employing more than people.

The State Board ofHealth is IDPH’s legally designated policy-making body. The Board has the

power and the duty to adopt, promulgate, amend, and repeal administrative rules and

regulations. The Board also advises and makes recommendations to the governor, General

Assembly, and the IDPH director, on public health, hygiene, and sanitation. The IDPH director

works closely with the State Board ofHealth to develop state health policy.

IDPH is organized into seven units.

1. Director’s Office

2. Division of Acute Disease Prevention and Emergency Response

3. Division of Administration and Professional Licensure

4. Division of Behavioral Health

5. Division of Environmental Health

6. Division ofHealth Promotion and Chronic Disease Prevention

7. Division of Tobacco Use Prevention and Control

IDPH provides administrative support for 24 professional licensure boards that regulate and

license various health professions. IDPH also provides staff for several consumer-oriented

councils and task forces. Many Iowans serve on these various boards and commissions. They

provide regular input into the department’s policy development, program planning,

implementation, and evaluation efforts.

Contracting is done with more than entities, in all 99 counties, to provide populationbased

health services and a limited number of personal health services. These contractors

include county boards of health and boards of supervisors, community-action programs, public

health nursing agencies, maternal and child-health agencies, substance abuse prevention

agencies, emergency medical service providers, HIV/AIDS prevention and care providers, and

many others.

Page 10 of


IowaDepartmentofPublicHealth – Budget Summary

Total expenditures in State Fiscal Year (SFY) were $,, The following chart

shows the breakdown for expenditures by funding source:

General Funds

$46,,

23%

Federal Funds

$,,

61%

Other Funds

$32,,

16%

“Other Funds” refer to fees collected and retained by individual programs or via memoranda

of understanding that have been established with other state agencies, or grants received

from private organizations.

The following table shows SFY , , and expenditure information for the

department as a whole. This Annual Report and Budget Summary also includes SFY ,

, and expenditure information for individual department programs and services.

Table 1. IowaDepartmentofPublicHealth Budget Summary

SFY Actual SFY Actual SFY Estimate

State General Fund $52,, $46,, $48,,

Federal funds $,, $,, $,,

Other funds $31,, $32,, $46,,

Total funds $,, $,, $,,

FTEs

Note: Total funds may not equal sum of individual funding sources due to rounding.

Page 11 of


IowaDepartmentofPublicHealth – Programs and Services

The following pages include details about department programs and services. These profiles

include

● the name of the program/service,

● a main telephone number and Internet address,

● the division overseeing the program/service,

● why the program/service is important to promoting and protecting the health of

Iowans,

● a description of services,

● at least one measure of progress toward program goals, and

● state fiscal year , , and expenditure information.

Not all programs will have data for the measures of progress. In these cases, the data for

the most recent year available is reported for the measure. Overall, programs met targets or

showed progress toward meeting targets for 64 (56%) of the reported measures in the

profiles for which there were targets, an decrease from last year in which 58% of targets were

met. More detailed information about how we are doing is available in the How do we

measure our progress? section of each profile.

To take a virtual tour of IDPH and view the most recent versions of the profiles, go to

casinobet77.asia

Page 12 of


Access to Quality Rural Health Services

Division ofHealth Promotion & Chronic Disease Prevention

Phone:

casinobet77.asiaHealthcasinobet77.asia

Rural Iowa has charming towns and productive farmlands. Residents are known for their strong work ethics and mid-west

rural way of life. In addition, residing in rural areas sometimes means a lack of timely access to all needed health care

services. There are 82 critical access hospitals, 10 rural hospitals, federally certified rural health clinics and several other

medical clinics and public health offices offering health and safety services to rural residents.

IDPH’ s Rural Health programs have a number of projects, and work with partners to ensure strategies and initiatives so

rural Iowans are better able to get quality health care, occupational safety programs and disease prevention services.

Transportation services also play a role in the ability of rural residents especially the elderly, to readily see their healthcare

provider. In the recent IDPH Community Health Needs Assessment and Health Improvement Plan (CHNA & HIP), access to

health care was ranked as the top need by Iowa counties.

Didyouknow? Iowa’s population is 3,, people with 1,, or 43% living in rural areas. Of the 92

rural hospitals, 82 hospitals are classified as critical access hospitals and have a maximum of 25

beds. Rural hospitals also bring an array of outpatient services and skilled care centers to

communities. Additionally, Iowa also has federally certified rural health clinics with primary

care services. Rural health systems are a strong economic engine for rural counties.

Why is Access to Quality Rural Health Services important

to promoting and protecting the health ofIowans?

● All Iowans need to be able to get timely emergency health care

access.

● With the Affordable Care Act, Iowa will be adjusting to new systems

of care. IDPH is assisting facilities in addressing these changes.

Which IowaPublicHealth Goals

are we working to achieve?

Strengthen the public health infrastructure

● Rural health care providers are increasing cost effective access through the meaningful use of electronic health records.

● IDPH can effectively speak on behalf of rural health issues at the national and state levels.

● No other state entity provides a high level of assistance and advocacy for health care access.

● The Bureau of Oral and Health Delivery Systems programs maintain Iowa’s commitment to become the healthiest state

in the nation.

What do we do?

Provide funding to rural hospitals, organizations, and health

systems to assist with implementing projects that will: improve

the quality of healthcare, improve financial and operational

performance, and develop collaborative regional and local

health delivery systems.

Provide technical assistance for variety of improvement

activities including: project management, staffing, education,

technology purchases, and community engagement initiatives.

Collect and distribute information on the local, state, and

national levels on rural health issues.

● Develop projects and activities that may be used and serve as

models for communities throughout Iowa.

● Coordinate Health Care Reform efforts for Health and Long

Term Care and for the Direct Care Workforce.

● The Bureau of Oral and Health Delivery Systems’ three health

delivery system programs (State Office of Rural Health, FLEX -

Medicare Rural Hospital Flexibility Program, and SHIP - Small

Rural Hospital Improvement Program) use federal-state

partnerships to find and solve problems regarding rural health

care access.

Page 13 of


How do we measure our progress?

Number of unduplicated technical assistance encounters

(substantive information, advice, education, and training)

provided to Iowa communities, clinics, hospitals, providers

and others by staff in IDPH’s Rural Health Programs and

Primary Care Office.

Data Source: Bureau progress reports. Data are available annually.

How are we doing? We continue to increase encounters

and assistance with a total of 1, communities, clinics,

hospitals, providers, and others to serve Iowans in FY

1,

1,


communities

communities


clinics

communities

clinics

hospitals


clinics

hospitals

providers


hospitals

& EMS

providers

providers

& EMS

& EMS

others

0

others

others


Federal Fiscal Year

# of communities

# of clinics 99

# of hospitals

# of providers & EMS agencies

others 73 67

What can Iowans do to help?

1. Learn more about the Bureau of Oral and Health Delivery Systems and the importance of rural health

care access by visiting casinobet77.asiaHealthcasinobet77.asia

2. Take part in rural health and local community planning for health services.

Expenditures

FLEX: federal grant: State Office of Rural Health: federal grant:

SHIP: federal grant: Health Delivery Systems: general fund &

intra state receipts*; State funds are used for a match for the Office of Rural

Health Grant: K; K/ (40%).

State Fiscal Year

Actual

State Fiscal Year

Actual

State Fiscal Year

Estimate

State funds $, $, $,

Federal funds $1,, $1,, $1,,

Other funds* $0 $53, $53,

Total funds $1,, $2,, $1,,

FTEs

Note: Funding information is intended to provide an overview of funding related to the program area. It does not

include all federal and state requirements and/or restrictions for the use of funds. Contact the program area for

more detailed budget information.

IowaDepartmentofPublicHealth Division ofHealth Promotion & Chronic Disease Prevention Access to Quality Rural Health Services

Phone: Fax: casinobet77.asiaHealthcasinobet77.asia

4th Floor, Lucas Building E. 12th Street Des Moines, IA

FLEX – Phone:

casinobet77.asia?prog=FLEX&pg=Home

SHIP – Phone:

casinobet77.asiaHealthcasinobet77.asia?prog=RHPC&pg=SHIP

State Office of Rural Health – Phone:

casinobet77.asiaHealthcasinobet77.asia?prog=RHPC&pg=SORH

Page 14 of


Acute Disease Epidemiology

Division of Acute Disease Prevention & Emergency Response

Phone:

casinobet77.asia

It began with a few cases in eastern Iowa. Cases that had spent time in both the Mississippi River and county swimming

pools. Within a matter of weeks, there were hundreds of cases of the parasitic disease, cryptosporidiosis. Resistant to

chlorine, crypto thrives in water environments. Those who ingest the parasite experience profuse diarrhea, stomach

cramps, and low-grade fevers. The crypto outbreak of was the largest in Iowa history with nearly 1, cases reported

to the Center for Acute Disease Epidemiology (CADE).

CADE works to keep Iowans healthy by studying the causes, determining the risks, and controlling the spread of diseases. By

continually monitoring, tracking, and testing for diseases, CADE works to prevent future disease outbreaks.

Didyouknow? The majority of food-borne illness originates from food eaten and prepared at home.

Why is CADE important to promoting and protecting the

health ofIowans?

● All Iowans are affected by disease. CADE receives an average of 20

disease reports daily (about 5, per year) that must be

investigated.

● Epidemiology (the study of disease) helps track illness to determine

when there is a widespread threat to your health.

● Disease is spread in many ways. With the help of county health

agencies and providers, CADE investigated and/or referred nearly

4, cases of infectious disease.

Which IowaPublicHealth Goals

are we working to achieve?

Prevent epidemics & the spread of disease

Prepare for, respond to, & recover from

public health emergencies

Promote healthy behaviors

30

How outbreaks began

Sources of Known Outbreaks,

28

# of outbreaks

25

20

15

10

8

5

0

Foodborne

Spread

person-toperson

2

Contact

with

animals

0

Waterborne

2

Vaccine

Preventable

0

Unknown

What do we do?

● Monitor and control infectious diseases.

● Plan and prepare for public health emergencies through

training exercises.

● Epidemiologists work with counties to fight diseases and

outbreaks.

● Develop and use ways to prevent and control diseases.

● Provide advice, equipment, and assistance to health care

providers.

Page 15 of


How do we measure our progress?

Number of infectious disease consultations provided to

clinicians, local public health officials, hospital infection control

staff, and the public.

Target: 11,

30,

25,

20,

15,

10,

5,

0


Calendar Year

# of consultations 11, 28, 15, 11, 11,

Data Source: CADE staff logs, email accounts. Data are available annually.

How are we doing? CADE continues to provide thousands of

consultations each year.

Percent of disease reports that are sent out for follow-up by

local public health within 48 hours of receiving them.

Target: 90%

%

90%

80%

70%

60%

50%

40%

30%

20%

10%

0%


Calendar Year

% sent within 48 hours 99% 98% 98% 98% 98%

Data Source: CADE disease report processing system. Data are available annually.

How are we doing? CADE refers disease reports to local

public health agencies for follow up investigation. In

addition, and as a reminder for investigations that remain

open, CADE sends an “outstanding reports” notification to

counties on a routine basis. This is one indication that local

public health agencies are more aware of the importance of

complete and timely disease investigation and reporting.

What can Iowans do to help?

1. All Iowans can help stay well and prevent the spread of illness with good health habits: eat healthy

foods, exercise, keep your vaccinations up-to-date, and remember to wash your hands!

2. Public health officials and health care providers should be aware of infectious diseases and remember

the importance of reporting those diseases to IDPH by phone at or fax at


3. All Iowans can learn about diseases and the way diseases are spread by getting information and advice

from trustworthy sources casinobet77.asia

Expenditures

General fund, federal funds, & private grants*: K; //

///AR

State Fiscal Year

Actual

State Fiscal Year

Actual

State Fiscal Year

Estimate

State funds $, $, $,

Federal funds $1,, $2,, $2,,

Other funds* $, $, $,

Total funds $2,, $3,, $3,,

FTEs

Note: Funding information is intended to provide an overview of funding related to the program area. It does not

include all federal and state requirements and/or restrictions for the use of funds. Contact the program area for more

detailed budget information.

IowaDepartmentofPublicHealth Division of Acute Disease Prevention & Emergency Response Acute Disease Epidemiology

Phone: Fax: casinobet77.asia

5th Floor, Lucas Building E. 12th Street Des Moines, IA

Page 16 of


Adolescent Health

Division ofHealth Promotion & Chronic Disease Prevention

Phone:

casinobet77.asia

Behaviors ofyoung people are influenced at individual, peer, family, school, community, and societal levels. Because many

societal factors contribute to adolescent health, safety, and well-being, a collaborative effort engaging multiple partners

and sectors is necessary. Such joint efforts can also help to promote a more comprehensive approach to addressing

adolescent health – one that views adolescents as whole persons, recognizing and drawing upon their assets and not just

focusing on their risks.

Didyouknow? Adolescents and young adults are youth between the ages of 10 and 24 years old.

They make up % of the population in Iowa. This time of life is characterized by significant change

and transition (second only to the 1 st year of life). It provides a great opportunity to build the capacity

and strength ofyouth to lead healthy, productive lives.

Why is the Adolescent Health program important to

promoting and protecting the health ofIowans?

● Adolescence is a period where patterns are established and

lifestyle choices have both current and future implications for

health and well-being.

● The investment that Iowans make in the health and well-being of

young people impacts our state now and for the future, by

engaging youth with community leaders.

● Risk factors in adolescent’s lives include: unplanned pregnancy;

Which IowaPublicHealth Goals

are we working to achieve?

Promote healthy behaviors

Prevent epidemics & the spread of disease

homelessness; suicide; motor vehicle crashes, including those caused by drinking and driving; substance use and abuse;

smoking; sexually transmitted infections (STIs) including human immunodeficiency virus (HIV); and lack of connections to

caring and supportive adults, families, schools, and communities.

● Supporting young people to make positive choices – such as eating nutritiously, engaging in physical activity, and avoiding

substance abuse, will decrease their risk of sustaining serious injuries or developing chronic diseases in adulthood.

What do we do?

Education for Adolescents

Healthy relationships

Adolescent development

Educational and career services

Community Service Learning

Healthy life skills

Sexual health

Reproductive Life Planning

Bullying

Suicide prevention

Adolescent health website—casinobet77.asia

TEEN Line resource and referral

Pregnancy Prevention

Personal Responsibility Education Program

Abstinence Education Grant Program

Health Promotion

All youth have safe and supportive families, schools, and communities

All youth are healthy and socially competent

All youth are successful in school

All youth are prepared for a productive adulthood

All youth have access to health care services for their physical, mental, sexual, so

emotional, and spiritual well-being

Page 17 of


How do we measure our progress?

Number of births to teens ages 15 to 17 (per 1, females

ages 15 to 17).

Target: 13












Calendar Year

teen birth rate

Data Source: IDPH Vital Records Birth Data. Data are available annually.

How are we doing? The teen birth rate has been trending

down since In , Iowa reached its target of less

than births to teens per 1, females from age

Percent ofIowa high school students who graduate in four

years.

Healthy Iowans

Target: 90%

%

%

%

%

%

%

%

%

%

%

%

Data Source: IowaDepartmentof Education.


Calendar Year

Graduation Rate % % % % %

How are we doing? The state wide high school graduation rate is

percent, a decrease of percent from the percent

graduation rate for the class of The rate remains

ahead of the rate of percent.

What can Iowans do to help?

1. Learn more about adolescent health by going to casinobet77.asia

2. Share with friends and colleagues how prevention, early intervention and timely treatment improve health

status for adolescents, prepare them for healthy adulthood, and decrease the incidence of many chronic

diseases in adulthood.

3. Encourage routine health care visits for adolescents to receive reccommended immunizations.

4. Encourage young people to visit the adolescent health website by going to casinobet77.asia

5. Physicians and other health care providers can provide anticipatory guidance during the adolescent well visit

by reviewing various risk factors that teens may encounter.

Expenditures

Federal funds: /

State Fiscal Year

Actual

State Fiscal Year

Actual

State Fiscal Year

Estimate

State funds $0 $0 $0

Federal funds $1, $, $,

Total funds $1, $, $,

FTEs

Note: Funding information is intended to provide an overview of funding related to the program area. It does not

include all federal and state requirements and/or restrictions for the use of funds. Contact the program area for

more detailed budget information.

IowaDepartmentofPublicHealth Division ofHealth Promotion & Chronic Disease Prevention Adolescent Health

Phone: Fax: casinobet77.asia

5 th Floor, Lucas Building E. 12th Street Des Moines, IA

Page 18 of


Brain Injury

Division of Behavioral Health

Phone:

casinobet77.asia

You can’t always see it, but it is all around you. Brain injuries can be the result of something as minor as a slip on an icy

sidewalk or as major as a head-on car crash. Brain Injury affects children and adults all over Iowa. Whatever the cause, to

whomever the person; brain injuries can result in physical, mental, and social changes. Individuals with brain injury and

their families need proper diagnosis and treatment to deal with the daily challenges they face.

The Brain Injury program works to improve the lives ofIowans living with brain injuries and their families by linking people

with services, promoting safety to prevent brain injuries from happening and to train providers to best work with

individuals who have sustained a brain injury. A life may be changed by a brain injury – but that life goes on and the Brain

Injury program works to ensure that life is the best and most productive it can be.

Didyouknow? According to the Centers for Disease Control and Prevention (CDC), nearly % of people in Iowa

or approximately 50, Iowans are currently living with long –term disabilities caused by a brain

injury (CDC, ).

Why is the Brain Injury program important to promoting

and protecting the health ofIowans?

● In , there were more than 17, emergency department visits

resulting in a diagnosis of traumatic brain injury (TBI) in Iowa; over

2, Iowans were hospitalized because of TBI; and individuals

lost their lives.

● Brain injuries happen in a wide variety of ways. The top causes

include falls, vehicle crashes, being hit by an object, and assaults.

● Falls, which can result in brain injury, are the leading cause of injury

to elderly Iowans.

● Brain injury can cause changes in thinking, language, learning, emotions, and behavior. It can

also increase the risk of epilepsy, Parkinson’s disease, and other brain disorders.

TBI cases in Iowa,

Which IowaPublicHealth Goals

are we working to achieve?

Prevent injuries

Promote healthy behaviors

Deaths

()

Hospitalizations

(2,)

Emergency Department

Visits (18,)

No Services

Sought (?)

What do we do?

● Promote and carry out brain injury prevention activities.

● Provide brain injury information, awareness, and learning

opportunities.

● Work through the Brain Injury Association ofIowa to match

Iowans with brain injury and their families to supports and

services.

● Study the needs of people with brain injury and their families

to better meet their needs.

● Make recommendations to other state departments to

support a comprehensive statewide service delivery system.

● Administer contracts for provider training through the Iowa

Association of Community Providers.

Page 19 of


How do we measure our progress?

Number of health professionals receiving brain injury training.

2,

1,

1,

1,

1,

1,





0


State Fiscal Year

Target

# of professionals 1, 1, 1, 1, 1, 1,

Data Source: Program records. Data are available annually. data are not yet available.

How are we doing? Over 1, Iowa healthcare professionals

continue to be trained on an annual basis.

Number ofIowans with brain injury that get information about

living with it and preventing secondary disabilities.

3,

3,

2,

2,

1,

1,


0

# ofIowans getting

information


State Fiscal Year

Target

1, 2, 2, 2, 2, 3,

Data Source: Brain Injury Association ofIowa. Data are available annually. data are not yet available.

How are we doing? The number ofIowans with brain injury

receiving information about living with brain injury has almost

doubled since

What can Iowans do to help?

1. Iowans and family members experiencing brain injury can advocate for increased and appropriate

brain injury related services. For more information, contact the Brain Injury Alliance ofIowa at

casinobet77.asia or call

2. Healthcare professionals can provide appropriate services to Iowans with brain injury. For more

information on special training opportunities, go to

casinobet77.asia .

3. All Iowans can help prevent the likelihood of brain injury by using seat belts and helmets. To learn

more about injury prevention, go to casinobet77.asia

Expenditures

General fund & federal funds: K/;

State Fiscal Year

Actual

State Fiscal Year

Actual

State Fiscal Year

Estimate

State funds $, $, $,

Federal funds $, $, $,

Total funds $, $, $,

FTEs

Note: Funding information is intended to provide an overview of funding related to the program area. It does not

include all federal and state requirements and/or restrictions for the use of funds. Contact the program area for more

detailed budget information.

IowaDepartmentofPublicHealth Division of Behavioral Health Brain Injury

Phone: Fax: casinobet77.asia

6th Floor, Lucas Building E. 12th Street Des Moines, IA

Page 20 of


Cancer

.

Division ofHealth Promotion & Chronic Disease Prevention

Phone: Fax:

casinobet77.asia

Nearly 17, Iowans will be diagnosed with cancer this year and 6, will die. But cancer statistics are more than

numbers. They represent real people. The IowaDepartmentofPublicHealth’s cancer programs educate, prevent, detect,

and treat cancer, one person at a time.

“Jane,” a 60 year-old Iowan with no health insurance, was having wrist surgery when her orthopedic surgeon discovered a

lump in her breast. Immediately, the orthopedic surgeon contacted her family and another surgeon was brought in for an

emergency breast examination. A biopsy was performed and cancer was discovered.

Thankfully, the surgeon was a Care for Yourself provider and knew that the program would cover the breast exam and

biopsy. Jane’s enrollment in the IowaDepartmentofPublicHealth’s Care for Yourself program was completed upon leaving

surgery. She is now receiving the treatment she needs to live a long life.

Didyouknow?

Cancer is the second leading cause of premature death for Iowans.

Why are cancer programs important to promoting and

protecting the health ofIowans?

● Cancer affects nearly all Iowans.

● Many types of cancer can be prevented, or when detected early,

can be successfully treated.

● More than half ofIowans diagnosed with cancer will survive it.

Which IowaPublicHealth Goals

are we working to achieve?

Promote healthy behaviors

Strengthen the public health infrastructure

What do we do?

Iowa Comprehensive Cancer Control Program collaborates with the

Iowa Cancer Consortium and state partners to develop the state

cancer control plan and put it into action by:

Providing financial support to the Iowa Cancer Consortium to

reduce the burden of cancer. A revised state cancer plan and

more information are located at casinobet77.asia and

casinobet77.asia

Funding projects that educate Iowans on cancer screenings,

prevention, and quality of life.

Working to raise awareness to reducing skin cancer. Information

for schools, homes, and worksites is available at

casinobet77.asia

Iowa Care for Yourself Breast and Cervical Cancer Early Detection

Program helps low-income women access breast and pelvic exams,

mammograms, and Pap tests. The program reimburses health care

providers for screening and diagnostic services provided to eligible

women. The program also works to increase awareness across the

state of the importance of early detection, diagnosis, and

treatment. For more information please visit

casinobet77.asia

Iowa Get Screened: Colorectal Cancer Program works with

community partners, local public heath offices, health care

providers and Federally Qualified Health Centers to provide

colorectal cancer screening services to Iowans who are uninsured

or underinsured, at or below percent of the federal poverty

level, and those who are at average or an increased risk for

colorectal cancer. Additional program goals include::

Increase colorectal cancer screening rates among Iowan’s ages

50 to 64;

Provide social marketing and public education to increase

colorectal cancer screenings and detection at earlier and more

treatable stages to lower mortality rates;

Educate health care providers about colorectal cancer

screenings;

Encourage system changes that will increase screening rates

and access to services.

Please visit casinobet77.asia for more information.

Page 21 of


How do we measure our progress?

Cancer incidence and death rates (per , Iowans).







0


Calendar Year

Target

age-adjusted incidence rate

age-adjusted death rate

What can Iowans do to help?

1. Learn more about cancer risks and symptoms,

prevention, early detection, treatment, and survivorship.

2. Live healthier lives; quit smoking or do not start,

maintain a reasonable weight, exercise, eat a diet rich in

fruits and vegetables and avoid too much sun.

3. Have regular age and risk-appropriate cancer screenings

(Pap test, mammogram, skin check, colonoscopy, etc.).

4. Join the Iowa Cancer Consortium and help reduce the

burden of cancer in Iowa.

Visit casinobet77.asia and casinobet77.asia to

learn more.

Data Source: State Health Cancer Registry. Data are available annually. Go to casinobet77.asia

for information about age-adjusted rates. & data are not

yet released.

How are we doing? The number of cancer deaths has declined

since

Number of women screened, and number of mammograms

and Pap tests provided.









0


State Fiscal Year

Target

# of mammograms

# of Pap tests

# of women screened

Data Source: BCCEDP Data Set. Data are available annually. SFY data has not been finalized and is

subject to change.

Expenditures

Iowa Comprehensive Cancer Control Program: general fund, and

federal funds: K/; //

Breast & Cervical Cancer Early Detection: federal funds, private

grant*, and intra-state receipts* (Dept of Transportation – License

Plate Sales): //; K/

Iowa Get Screened Colorectal Cancer Program: federal funds:

/

State Fiscal

Year

Actual

State Fiscal

Year

Actual

State Fiscal

Year

Estimate

State funds $, $, $1,,

Federal funds $3,, $3,, $3,,

Other funds* $, $, $,

Total funds $4,, $4,, $5,,

FTEs

Note: Funding information is intended to provide an overview of funding related to the program area. It does

not include all federal and state requirements and/or restrictions for the use of funds. Contact the program area

for more detailed budget information.

How are we doing? In SFY, the program screened 5,

women and provided 5, mammograms and 2, pap tests.

IowaDepartmentofPublicHealth Division ofHealth Promotion & Chronic Disease Prevention Cancer

4th Floor, Lucas Building E. 12th Street Des Moines, IA

Iowa Comprehensive Cancer Control Program: Phone: casinobet77.asia

Iowa Care for Yourself Breast and Cervical Cancer Early Detection Program: Phone: casinobet77.asia

Iowa Get Screened Colorectal Cancer Program: Phone

casinobet77.asia

Page 22 of


Child Health

Division ofHealth Promotion & Chronic Disease Prevention

Phone:

casinobet77.asia

Successful promotion of children’s health is rooted in a partnership of families, communities, health care providers, and

public health providers. Iowa’s Child Health programs promote the development of local systems of health care to ensure

that all Iowa children have regular, preventive health care. The Child Health programs strive to make family-centered,

community-based, and culturally-sensitive health services available to all Iowa children.

Didyouknow? Research shows that for every $1 invested in early health care and education of a young child,

Iowa will see an economic return of $17 per child.

Why are Child Health programs important to promoting

and protecting the health ofIowans?

● Child Health programs provide access to regular preventive health

services that affect a child’s physical and mental health, success in

school, and health in later years.

● Child Health programs advocate for medical homes that provide a

consistent source of comprehensive primary care and facilitate

partnerships between families and providers.

● Child Health programs reach out to underserved populations, who

Which IowaPublicHealth Goals

are we working to achieve?

Promote healthy behaviors

Strengthen the public health infrastructure

are least likely to access preventive health services. Programs serve low-income children, adolescents, and minorities.

● Child Health programs address barriers to accessing preventive health services including health care coverage,

transportation, and interpretation.

● Child Health programs link families to community-based services based upon family needs.

What do we do?



Provide funding for 22 Child Health centers that assure child

health services are available in all 99 counties for children and

youth ages birth to In FFY , , Iowa children

accessed health care services through Iowa’s communitybased

Child Health centers.

Encourage community-based Child Health agencies to work

closely with medical providers to ensure family-centered,

community-based, and culturally-sensitive preventive health

services are offered.

● Provide access to community-based health resources through

the toll free Healthy Families Line, a hour information and

referral phone line.

● Assist in developing local health care systems that meet

present and future health needs.

● Support community-based child health agencies that link

clients to medical and dental providers and other needed

services.

Page 23 of


How do we measure our progress?

Percent of Medicaid enrolled children who receive at least one

recommended well child exam.

Percent of children served in Child Health programs who

report a medical home.

National Target: 80%

%

90%

80%

70%

60%

50%

40%

30%

20%

10%

0%

% who receive at least 1

screen


Federal Fiscal Year (FFY)

72% 72% 75% 81% 81%

%

Iowa Target: 95%

90%

80%

70%

60%

50%

40%

30%

20%

10%

0%


Federal Fiscal Year (FFY)

% with a medical home 74% 79% 81% 94% 94%

Data Source: Federal CMS report. Data are available annually. Beginning with federal fiscal year

(FFY) data, the report is based upon the number of children continuously enrolled in Medicaid for

a minimum of 90 days who receive at least one well child exam during the year. FFY data are not

yet available.

How are we doing? Medicaid enrolled children receiving at

least one well child exam per year remained stable at 81% for

FFY This is slightly higher than the expectation for all

states set by the national Centers for Medicare and Medicaid

Services (CMS) of maintaining at least 80%.

Data Source: Child & Adolescent Reporting System (CAReS). Annual unduplicated counts are based upon

the federal fiscal year (FFY) October-September. Beginning with FFY , this data is based upon the

number of children that received services where their medical home status could be assessed.

How are we doing? There has been steady improvement in

assuring children served by Child Health programs have a

medical home.

What can Iowans do to help?

1. Learn more about community-based child health services by going to

casinobet77.asia

casinobet77.asia

casinobet77.asia

2. Learn more about the healthy development of children. Go to casinobet77.asia

3. Refer uninsured or underinsured families to Child Health centers by contacting the Healthy Families toll

free line at

Expenditures

General fund, RIFF funds, federal funds, & intra state receipts* (Dept of Human

Services); State funds are used for a 75% match for the Title V Block Grant:

K///; K; K; //

State Fiscal Year

Actual

State Fiscal Year

Actual

State Fiscal Year

Estimate

State funds $, $, $,

Federal funds $1,, $1,, $1,,

Other funds* $3,, $3,, $4,,

Total funds $6,, $6,, $6,,

FTEs

Note: Funding information is intended to provide an overview of funding related to the program area. It does not

include all federal and state requirements and/or restrictions for the use of funds. Contact the program area for

more detailed budget information.

IowaDepartmentofPublicHealth Division ofHealth Promotion & Chronic Disease Prevention Child Health

Phone: or Fax: casinobet77.asia

5th Floor, Lucas Building E. 12th Street Des Moines, IA

Page 24 of


Child Health Specialty Clinics

Division ofHealth Promotion & Chronic Disease Prevention

Phone:

casinobet77.asia

Erin’s Story (as told by her mother)*

When we first adopted Erin, it was difficult for our family to get answers or help for her complex behavioral and developmental

concerns. Our adoption specialist at DHS suggested that we call Child Health Specialty Clinics. At CHSC, the Advanced

Registered Nurse Practitioner and Staff Nurse conducted a complete developmental and health assessment. Along with the

Family Navigator, they made recommendations, helped with paperwork, and coordinated support services.

Through CHSC, our family utilized a variety of services including dietician services, physical therapy,

occupational therapy, speech therapy, respite, and parenting classes, all of which have contributed to

the growth and development of our daughter.

CHSC has helped us become more understanding about Erin’s developmental disabilities and special

health care needs. If I’m ever feeling overwhelmed or frustrated, I know I can call my Family Navigator,

even if I don’t have an appointment. We are now able to anticipate our daughter’s needs and have

become better equipped to deal with her behaviors at home and in public. Her overall development has

progressed greatly and we hope that she continues to get the help she needs at school and in the

community.

*Name has been changed

Didyouknow? , Iowa children have some degree of a special health care need.

(National Survey on Children’s Health, )

Why is Child Health Specialty Clinics important to

promoting and protecting the health ofIowans?

Which IowaPublicHealth Goals

are we working to achieve?

● Research suggests that about 15 to 20% of all children 0 to 18

years of age have some type of special health care need.

● Children and youth with special health care needs require services

that are more intensive and comprehensive than children and

youth without special care needs require. These specialty services

are often not available or accessible throughout Iowa.

● Research shows that specialty services are an important addition

to primary care services for children and youth who have chronic illnesses or developmental delays.

Strengthen the public health infrastructure

Promote healthy behaviors

● Federal rules require that at least 30% of each state’s Title V Maternal and Child Health Block Grant be used to focus on

children and youth with special health care needs.

What do we do?




Improve access to direct-care pediatric specialty services,

including behavioral consultations and nutrition services

through telehealth technology.

Provide community-based expertise and guidance about

specialty care.

Offer policy and planning expertise to improve the service

system for all children and youth with special health care

needs and their families.

● Provide care coordination to help families organize needed

services so that they can be used easily.

● Provide family support through a statewide family navigator

network and partnering family advocacy groups.

● Promote spread of the medical/health home model among

community-based primary care providers, especially for

improving quality of care for children and youth with special

health care needs.

Page 25 of


How do we measure our progress?

Percent of children with special health needs (CSHCN) ages 0-

18 years whose families’ partner in decision-making at all

levels and are satisfied with the services they receive.

Data Source: National CSHCN Survey. Data are available approximately every 5 years.

How are we doing?

In , Iowa – %; National – %.

Percent of CSHCN ages years who receive coordinated,

ongoing, comprehensive care within a medical home.

Data Source: National CSHCN Survey. Data are available approximately every 5 years.

What can Iowans do to help?

1. Iowans who have or knowof children or youth with

special needs can contact CHSC by visiting

casinobet77.asia

2. All Iowans can recognize the essential public health role

CHSC plays as Iowa’s Title V program for children and

youth with special health care needs.

3. All Iowans can tell their state legislators about the

importance of a system of care for children and youth

with special health care needs and their families.

4. All Iowans can be inclusive of children with special health

care needs and their families.

How are we doing?

In , Iowa – %; National – %.

In , Iowa – %; National – %.

Percent of CSHCN ages years whose families have

adequate private and/or public insurance to pay for the

services they need.

Data Source: National CSHCN Survey. New data are available approximately every 5 years.

How are we doing?

In , Iowa – %; National – %.

In , Iowa – %; National – %.

Percent of CSHCN ages years whose families report the

community-based service systems are organized so they can

use them easily.

Expenditures

General fund & federal grant: K;

State Fiscal

Year

Actual

State Fiscal

Year

Actual

State Fiscal

Year

Estimate

State funds $, $, $,

Federal funds $1,, $1,, $2,,

Total funds $2,, $2,, $2,,

FTEs

Note: Funding information is intended to provide an overview of funding related to the program area. It does

not include all federal and state requirements and/or restrictions for the use of funds. Contact the program area

for more detailed budget information.

Data Source: National CSHCN Survey. Data are available approximately every 5 years.

How are we doing?

In , Iowa – %; National – %.

Percent ofyouth with special health care needs who received

the services necessary to make transitions to all aspects of

adult life, including adult health care, work, and

independence.

Data Source: National CSHCN Survey. Data are available approximately every 5 years.

How are we doing?

In , Iowa – %; National – %.

In , Iowa – %; National – %.

IowaDepartmentofPublicHealth Division ofHealth Promotion & Chronic Disease Prevention Child Health Specialty Clinics

Phone: Fax: casinobet77.asia

Hawkins Drive Room CDD Iowa City, IA

Page 26 of


Child Protection Centers

Division of Behavioral Health

Phone:

casinobet77.asia

Child abuse. No one wants to imagine the mental and physical pain an abused child must endure. Unfortunately, the pain

can sometimes be prolonged by the very systems designed to protect the victims. Child Protection Centers provide a safe

environment where all exams and interviews can occur in one place.

It took great courage for “Allen,” a year old boy, to reveal that his stepfather had sexually abused him for years. It was

extremely difficult and embarrassing for Allen to share the details of his abuse. With the non-threatening environment of

the Child Protection Center, he was able to give authorities enough details to take his case to trial, resulting in a guilty

conviction and prison time for his stepfather.

Child Protection Centers work to ease the pain of abuse through understanding and awareness.

Didyouknow? In state fiscal year , 3, children were served in a Child Protection Center funded by the

IowaDepartmentofPublicHealth (IDPH).

Why are Child Protection Centers important to

promoting and protecting the health ofIowans?

● Children who are victims of alleged child abuse are often further

victimized by the numerous interviews and exams. At a Child

Protection Center, all investigation can occur in one place.

● IDPH manages five Child Protection Centers in Iowa, including;

Allen Child Protection Center in Waterloo, Mercy Child Advocacy in

Sioux City, Mississippi Valley Child Protection Center in Muscatine, Regional Child Protection

Center in Des Moines (Blank), and St. Luke’s Child Protection Center in Hiawatha.

Which IowaPublicHealth Goals

are we working to achieve?

Strengthen the public health infrastructure

What do Child Protection Centers do?

● Provide a comprehensive, culturally competent,

multidisciplinary team response to allegations of child abuse

in a dedicated, child-friendly setting.

● Provide a multidisciplinary team including; law enforcement,

counties attorneys, physicians and nurses, mental health

professionals, family advocacy, and child protection center

staff to ensure children and families are not subjected to

Источник: [casinobet77.asia]

African Grand Casino 241% Match - sorry

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  • Источник: [casinobet77.asia]

    How Much Money Do The Top Income Earners Make?

    Ever wonder how much money do the top income earners make? Once you know how much the top income earners make, then you can better shoot to be a top income earner yourself. After all, everything is relative when it comes to money.

    Americans are rich by world standards. With a median household income of roughly $70,, America consistently ranks in the Top 20 richest countries in the world. Many of the world&#;s top income earners live right here in our great country.

    Other rich countries that have a higher GDP per capita than America include Liechtenstein ($K), Qatar, Monaco, Macau, Luxembourg, Bermuda, Singapore, Isle of Man, Brunei, Ireland, Norway, Falkland Islands, UAB, S. Maarten, Kuwait, and Gibraltar. Countries with similar GDP per capita to America include Hong Kong, Switzerland, and Saudi Arabia.

    If at birth, you had the mental capacity to choose where you&#;d like to live for most of your life, living in a top 20 richest country will more than likely help you become a top income earner as well.

    Even if you end up being the most mediocre producer, you are still miles ahead of much of the world. Too bad many of us can&#;t pick where we want to grow up and earn a living. As such, it&#;s nice to understand how we compare against the rest of the world to give us some perspective.

    Let&#;s take a look at what the top income earners make in America.

    What The Top 1%, 5%, 10%, 25%, and 50% Income Earners Make

    Based on the Internal Revenue Service&#;s database below, here&#;s how much the top Americans make. For , the numbers are all about 15% &#; 20% higher partly thanks to inflation. Since the previous financial crisis in &#; , the top 10% have significantly widened the wealth gap.

    • Top 1%: $, and up ($,+ in )
    • Top 5%: $, ($,+ in )
    • Top 10%: $, ($,+ in )
    • Top 25%: $67, ($80,+ in )
    • Top 50%: >$33, ($35,+ in )

    The rich have gotten much richer during the pandemic. Therefore, the top income earners are making even more than ever before. Sadly, the wealth gap has widened as we continue through a K-shaped recovery.

    Summary Of Top Income Earners Tax Data

    Here is data from the IRS that highlights what the top income earners make. A top income earner is considered someone who makes a top 10%, top 5%, and top 1% income.

    There is not a lot of data about the mega-rich, those in the top %. However, I also write a huge post highlighting people who make over $1 million a year and how.

    Chart Of The Top Income Earners And Tax Contribution - How Much Money Do The Top Income Earners Make?

    Based on a previous + survey study on Financial Samurai in Fall , about 80% of readers are in the Top 25% income earners ($67,+). Good to know that many of you are doing well.

    The table also tells us a number of things about equality or inequality, namely that the top 1% of tax payers pay 38% of all income taxes yet only have a 20% share of total AGI.

    Further, the top 50% of tax payers pay practically all of the nation&#;s federal taxes (%) while commanding % of total AGI. This table from the IRS is the source for the often politically bantered argument that 47% of American income earners pay zero federal income taxes.

    If you do another little exercise and compare the top 25% of American income to the Top 10 per capita income countries in the world, you can once again see how lucky most of us are.

    Broaden Tax Collection

    If only we could get all American wage earns to pay some taxes. It would go a long way to help shoring up our budget. Congress constantly holds the nation hostage by bickering over whether to cut $10 billion here, $50 billion there. All we have to do is encourage those who earn above the poverty line to pay some tax. We&#;d raise billions a year right there for example!

    Let&#;s have everyone contribute to the welfare of our country. We are all in this together! For those who are just struggling to keep their heads above water, let&#;s lend them a helping hand.

    The top 1% income earner in is now earning at least $, a year. But in some states, like Connecticut, the top income earners make over $, a year.

    Who Are The Majority Who Pay No Federal Income Taxes?

    Back around , roughly 47% of Americans pay no income taxes. In , more than 60% of working Americans didn&#;t pay any federal income taxes, largely due to the pandemic.

    The Americans who pay no income taxes fall into three groups:

    The working poor. The earned income tax credit and the child credit can help families making $50, or more pay no taxes or get money back. About 60% of those not paying income taxes do contribute to payroll taxes. Meaning they must have some source of earned income.

    The elderly. An increased standard deduction for those over 65, and an exemption on part of Social Security earnings, means that many older Americans pay no income taxes. Please remember though that the elderly have paid their dues through decades worth of federal taxation during their careers.

    The low-income. A family of four claiming only the standard deduction and personal exemptions pays no federal income tax on its first ~$26, of income. The standard deduction per person is now $12, in Further, each family gets a $ child tax credit.

    Not Everybody Has The Ability To Make A Top Income

    As you can see, being poor or elderly likely means you don&#;t pay net federal income taxes. We&#;re all going to grow old one day, so let&#;s give this group a pass. The elderly paid into the system, so let&#;s take care of them. I don&#;t think any of us would rather be poor so we can pay no federal taxes. Therefore, let&#;s give them a pass too.

    This leaves us with a low-income group that may have made some suboptimal decisions. Some of these decisions include having children while not being able to support themselves. Children are estimated to cost roughly $, from the ages of Perhaps having multiple children on a low income is not ideal. But, how do you deny passion?

    Top one percent income levels - How Much Money Do The Top Income Earners Make?

    Living In America Is Rich

    If you work in America, you can see from a top down and bottoms up perspective you&#;re doing fantastic. If you are in the bottom 50% of Americans who earn less than $33, a year, know that you can earn more if you want to.

    Half the battle is just moving to a vibrant location such as the San Francisco Bay Area. Billions of dollars are flowing through the city due to technology innovation. It&#;s not like you have to brave the high seas to reach America. It&#;s not like you need to ride a horse for three months to get from New York to California. All you&#;ve got to do is hop on a bus or a plane to be where the action is.

    25 years ago, I remember making $ a month working at McDonald&#;s for $/hour. With wages 3X higher now, I&#;d be pulling in $1, a month or $20, a year! Heck, tack on driving for Uber for 20 hours a week part-time at $36/hour. You&#;ll make another $2, a month and be in the top 50% of income earners no problem.

    There&#;s an entire gig economy out there for freelancers to make extra money after work, or freelance full time. Why not take advantage to become a top income earner yourself?

    Please Put In The Work

    If you are only working 40 hours a week or less and complaining why you can&#;t get ahead, you need to seriously re-evaluate your work ethic and expectations. Anybody can do it. You just can&#;t be delusional enough to think that you&#;ll be able to compete when everybody in the world who wants to get ahead is working 60+ hours a week and getting paid much less to boot!

    Spend some time online understanding global wages from our biggest competitors in China and India. In order to maintain our incomes, we must constantly be updating our skills.

    There are plenty of six figure jobs out there for the taking. You just need to have the desire, motivation, work ethic, and perseverance to get there. Did you know the San Francisco police chief makes $, a year? Further, when he retires, he&#;ll get a $, a year pension for life! It&#;s not just doctors, lawyers, venture capitalists, bankers, movie stars and athletes who make healthy sums of money.

    A Variety Of Jobs Pay Well

    Even my friend who is a union electrician makes $, a year. He also gets a $5, a month pension when he retires at What&#;s more, he isn&#;t allowed to work more than 35 hours a week. Let&#;s not count the $30, a year he makes doing side jobs with all that free time. There are six figure earners in practically every single industry, including the non-profit industry!

    Back to my point where if everybody earns a million dollars a year, nobody is rich. Living in San Francisco, it certainly feels like most are in the top 5% of income earners ($,). Train janitors and elevator technicians in the Bay Area can make over $, a year with overtime.

    I&#;m sure many who live and work in Manhattan, and potentially LA and Chicago feel the same way. The cost of living is expensive out here, and that&#;s predominantly driven by high wages.

    Combine two income earners with these amounts, and you can really start understanding why surpassing what the government deems as wealthy ($,) is not too difficult. Thankfully in +, President Biden only wants to raise taxes on households making over $, a year.

    In fact, I argue that in many of the larger cities in America, you&#;ve got to earn closer to $, a year just to live a middle class lifestyle. It sounds crazy. But it&#;s true if you take a careful look at the budget I put together. A middle-class lifestyle means owning a home, being able to raise two kids, and save for retirement.

    The Top Income Earners Pay The Most Taxes

    The top 1% of income earners will likely continue to pay a higher percentage share of overall income taxes than their share of income justifies. If things were fair, the top 1% would only have to pay 20% of total income taxes since 20% is their share of total income. Alas, the rich pay almost double what they owe.

    Therefore, it&#;s not worth constantly demonizing the rich for &#;not paying their fair share.&#; The rich donate the most and employ the most people.

    On the flip side, the bottom 50% who earn % of total earnings only pay % in total taxes. But, as we learned above, most of the bottom 50% are elderly or poor. Nobody is asking the bottom 50% to pay more taxes.

    It&#;s impossible to create a fair tax system that everybody will agree on. But we can look at the data to understand who is making the most and least income. We can see who is paying the most and least in taxes.

    It&#;s great to be a top income earner. However, it&#;s even greater to be happy. Find your balance!

    Here are three things top income earners do below.

    Top Income Earners Invest In Real Estate

    Real estate is one of the favorite asset classes to build wealth by top income earners. Real estate is tangible, provides utility, and generates valuable income. With mortgage rates staying at record-lows and more people working from home, the growth of real estate will likely be strong for years to come.

    Top income earners invest in rental properties for cash flow. Given interest rates have plummeted, the value of rental income has gone way up because it takes more capital to generate the same amount of income. Top income earners who really cherish their time also invest in real estate crowdfunding to earn income % passively.

    Best Real Estate Platforms

    Fundrise is the best real estate crowdfunding platform where investors can invest in private eREITs that invest in hundreds of properties across America. By investing in a diversified fund, investors gain real estate exposure in a low volatility way. Fundrise is free to usign up and explore. With inflation picking up, it&#;s a good idea to invest in real estate to ride the inflation wave.

    For accredited investors who like to invest in individual deals, take a look at CrowdStreet. CrowdStreet focuses on commercial real estate opportunities in hour cities. hour cities have higher growth rates, lower valuations, and higher cap rates than hour cities. Think Charleston, South Carolina versus New York City, New York.

    Due to demographic shifts to lower cost areas of the country, the closely vetted CrowdStreet deals in hour cities look attractive as well. CrowdStreet is also free to sign up and explore. With CrowdStreet, you can build your own select real estate fund.

    Personally, I&#;ve invested $, in 18 real estate deals across the heartland of America. The income is completely passive. Further, I get to diversify my real estate holdings away from expensive San Francisco.

    Top Income Earners Own Businesses

    We are in the technology and internet age now. If you really want unlimited earnings potential, you might as well be your own boss someday. It costs so little now to just start your own website so you can brand yourself online.

    You will connect with like-minded people, find new jobs and consulting opportunities, and potentially make a healthy living online. Take a look at this income statement example of a friend with a simple personal finance blog.

    How much can you make blogging for a living

    I started Financial Samurai in as a hobby to help make sense of the financial destruction back then. Today, Financial Samurai is one of my most valuable assets.

    You can start your WordPress site like this one with Bluehost for as little as $ a month. Come up with a unique and memorable domain name. Find a free website theme. Then connect your hosting and you&#;ll be up and running in 30 minutes.

    The best thing you can do while you have a job is work on your side hustle during off hours. You never know what might happen if you just start.

    Top Income Earners Track Their Net Worth

    Finally, top income earners religiously track their net worths. You can only truly optimize your wealth if you know where all your money is going. Sign up for Personal Capital, the web&#;s #1 free wealth management tool to get a better handle on your finances.

    I&#;ve been using them since and have made much wiser financial decisions since. In addition to better money oversight, run your investments through their award-winning Investment Checkup tool. The tool will show you exactly how much you are paying in fees. Further, it will give you insights into your asset allocation. I was paying $1, a year in fees I had no idea I was paying.

    After you link all your accounts, use their Retirement Planning calculator. It pulls your real data to give you as pure an estimation of your financial future as possible. Your financial future is too important not to take it seriously. You don&#;t want to end up old and not have enough money because there is no rewind button!

    Retirement Planner Personal Capital

    Join 50,+ others and subscribe to my free weekly newsletter. Since , the newsletter has helped people achieve financial freedom sooner, rather than later.If you want to be one of the top income earners, you need as much actionable advice as possible.

    Filed Under: Career & Employment, Most Popular, Taxes

    Источник: [casinobet77.asia]

    Did you know? - Iowa Department of Public Health

    IowaDepartment

    ofPublicHealth


    IDPH

    Annual Report &

    Budget Summary

    Promoting and protecting the health ofIowans


    Table of Contents

    IowaDepartmentofPublicHealth – Contact Information 4

    A Message from the Director 6

    Iowa’s PublicHealth System – Overview 8

    IowaDepartmentofPublicHealth – Budget Summary 11

    IowaDepartmentofPublicHealth – Programs and Services 12

    Access to Quality Rural Health Services 13

    Acute Disease Epidemiology 15

    Adolescent Health 17

    Brain Injury 19

    Cancer 21

    Child Health 23

    Child Health Specialty Clinics 25

    Child Protection Centers 27

    Communication & Planning 29

    Congenital & Inherited Disorders 31

    Dental Board 33

    Diabetes Prevention & Control 35

    Disability & Health 37

    Disaster Operations & Response 39

    Early Childhood 41

    Emergency Medical Services (EMS) 43

    Environmental Epidemiology 45

    Environmental Health Engineering 47

    Environmental Health Services & Outreach 49

    Family Planning 51

    Finance 53

    Gambling Prevention & Treatment 55

    hawk-i Outreach 57

    Health Care Safety Net 59

    Health Care Transformation 61

    Health Information Technology (Iowa e-Health) 63

    Health Statistics 65

    Health Workforce 67

    Page 2 of


    Table of Contents

    Heart Disease & Stroke 69

    HIV/AIDS & Viral Hepatitis 71

    Home Visiting 73

    Immunization 75

    Information Management 77

    Injury Prevention & EMS for Children 79

    Local PublicHealth Services 81

    Maternal Health 83

    Medical Examiner, Office of the State 85

    Medicine, Board of 87

    Multicultural Health 89

    Nursing, Board of 91

    Nutrition & Physical Activity 93

    Oral Health 95

    Pharmacy, Board of 97

    Prescription Services 99

    Professional Licensure

    Radiological Health

    Sexually Transmitted Disease Prevention

    Substance Abuse & Gambling Treatment Programs Licensure

    Substance Abuse Prevention

    Substance Abuse Recovery

    Substance Abuse Treatment

    Suicide Prevention, Youth

    Tobacco Use Prevention & Control

    Toxicology

    Tuberculosis Control

    Violence Prevention

    WIC - Special Supplemental Nutrition Program for Women, Infants, & Children

    Page 3 of


    IowaDepartmentofPublicHealth – Contact Information

    Department Director’s Office

    Mariannette Miller-Meeks, B.S.N., casinobet77.asia, M.D., Director


    State Board ofHealth

    Dental Board

    Board of Medicine

    Board of Nursing

    Board of Pharmacy

    Office of the State Medical Examiner

    Division of Acute Disease Prevention and Emergency Response

    Gerd Clabaugh, Deputy Director, Division Director


    Center for Acute Disease Epidemiology

    Bureau of Communication and Planning

    Center for Disaster Operations and Response

    Office ofHealth Information Technology

    Bureau of Immunization and TB

    Bureau of Emergency Medical Services (EMS)

    Division of Administration and Professional Licensure

    Marcia Spangler, Division Director


    ● Bureau of Finance

    ● Bureau ofHealth Statistics

    ● Bureau of Information Management

    ● Bureau of Professional Licensure

    Division of Behavioral Health

    Kathy Stone, Division Director


    Office of Disability, Injury, and Violence Prevention

    Office of Gambling Treatment and Prevention

    Bureau of HIV, STD, and Hepatitis

    Bureau of Substance Abuse

    Page 4 of


    IowaDepartmentofPublicHealth – Contact Information

    Division of Environmental Health

    Ken Sharp, Division Director


    Bureau of Environmental Health Services

    Bureau of Lead Poisoning Prevention

    Bureau of Radiological Health

    Office of the Plumbing and Mechanical Systems Board

    Division ofHealth Promotion and Chronic Disease Prevention

    Julie McMahon, Division Director


    Bureau of Chronic Disease Prevention and Management

    Center for Congenital and Inherited Disorders

    Bureau of Family Health

    Office ofHealth Care Transformation

    Bureau of Local PublicHealth Services

    Office of Minority and Multicultural Health

    Bureau of Nutrition and Health Promotion

    Bureau of Oral and Health Delivery Systems

    Division of Tobacco Use Prevention and Control

    Meghan O'Brien, Division Director


    Youth Tobacco Prevention

    Community Partnerships

    Quitline Iowa

    Smokefree Air Act

    Tobacco Retail Compliance

    Surveillance and Evaluation

    Go to casinobet77.asia for more information about the department, including health

    statistics, publications, and program information.

    Page 5 of


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    In this Annual Report and Budget Summary, you will find detailed descriptions of the programs

    and services that help IDPH achieve our mission of promoting and protecting the health of

    Iowans. I urge you to take a moment to read about the good work being done by each division,

    bureau, and program. I believe public health’s everyday contribution to the lives ofIowans is

    both significant and necessary to the future of our state

    Sincerely,

    Dr. Mariannette Miller-Meeks, B.S.N., casinobet77.asia, M.D.

    Director, IowaDepartmentofPublicHealth

    Page 7 of


    Iowa’s PublicHealth System – Overview

    Vision

    Healthy Iowans living in healthy communities.

    Mission

    Promoting and protecting the health ofIowans.

    Guiding Principles

    We strive for INNOVATION and CONTINUOUS IMPROVEMENT in our

    activities to promote and protect the health ofIowans.

    With a collective sense of SOCIAL JUSTICE, our activities reflect an

    understanding and acceptance of DIVERSITY among Iowans.

    We encourage COLLABORATION in our activities and in our decisionmaking

    so that we respond more effectively to emerging issues and assure

    the highest QUALITY of services we can provide.

    We recognize the value of a healthy COMMUNITY in developing healthy

    Iowans. We encourage our employees, Iowa’s communities, and individual

    Iowans to work together as PARTNERS to build a healthy Iowa.

    We are committed to using EVIDENCE-BASED strategies to assure our

    programs focus on creating RESULTS that improve the health ofIowans.

    What does PublicHealth do?

    Public health is a partnership of local public health, the IowaDepartmentofPublicHealth

    (IDPH), non-profit organizations, health care providers, policymakers, businesses, and many

    others working together to promote and protect the health ofIowans. Public health strives to

    improve the quality of life for all Iowans by assuring access to quality population-based health

    services related to the following goals:

    ● Preventing injuries;

    ● Promoting healthy behaviors;

    ● Protecting against environmental hazards;

    ● Strengthening the public health infrastructure;

    ● Preventing epidemics and the spread of disease; and

    ● Preparing for, responding to, and recovering from public health emergencies.

    Page 8 of


    How does Iowa’s PublicHealth System meet these goals?

    In Iowa, local boards of health are responsible for protecting the public’s health. County

    boards of supervisors appoint the members of the local boards of health. Iowa law gives broad

    authority to local boards of health to decide what public health services to provide within their

    jurisdictions and how to provide them. Thus, the size and structure of local public health

    agencies and the services they provide varies greatly throughout the state. Local boards of

    health work with agencies, businesses, health care providers, and others to assure public

    health services are being provided in their jurisdiction.

    The IowaDepartmentofPublicHealth (IDPH) partners with local public health, policymakers,

    health care providers, business and many others to fulfill our mission of promoting and

    protecting the health ofIowans. IDPH’s primary role is to support Iowa’s 98 county boards of

    health, 2 city boards of health, and 1 district board of health in this mission. To do this, IDPH

    provides technical support, consultation, and funding. IDPH also provides a variety of direct

    services such as licensing health professionals; regulating emergency medical services and

    substance abuse treatment providers; regulating radioactive materials; and collecting birth,

    death, and marriage records. The State Board ofHealth is the policymaking body for IDPH.

    Iowa’s governor appoints State Board ofHealth members and the department’s director.

    Page 9 of


    How the IowaDepartmentofPublicHealth is Organized

    Iowa has had a state public health agency since when the Eighteenth General Assembly

    formed the State Board ofHealth to “provide for the collecting of vital statistics and to assign

    certain duties to local boards of health.” Since then, its duties have greatly expanded. Today’s

    IDPH serves as the state’s leader in administering and funding public health, overseeing more

    than 85 programs and employing more than people.

    The State Board ofHealth is IDPH’s legally designated policy-making body. The Board has the

    power and the duty to adopt, promulgate, amend, and repeal administrative rules and

    regulations. The Board also advises and makes recommendations to the governor, General

    Assembly, and the IDPH director, on public health, hygiene, and sanitation. The IDPH director

    works closely with the State Board ofHealth to develop state health policy.

    IDPH is organized into seven units.

    1. Director’s Office

    2. Division of Acute Disease Prevention and Emergency Response

    3. Division of Administration and Professional Licensure

    4. Division of Behavioral Health

    5. Division of Environmental Health

    6. Division ofHealth Promotion and Chronic Disease Prevention

    7. Division of Tobacco Use Prevention and Control

    IDPH provides administrative support for 24 professional licensure boards that regulate and

    license various health professions. IDPH also provides staff for several consumer-oriented

    councils and task forces. Many Iowans serve on these various boards and commissions. They

    provide regular input into the department’s policy development, program planning,

    implementation, and evaluation efforts.

    Contracting is done with more than entities, in all 99 counties, to provide populationbased

    health services and a limited number of personal health services. These contractors

    include county boards of health and boards of supervisors, community-action programs, public

    health nursing agencies, maternal and child-health agencies, substance abuse prevention

    agencies, emergency medical service providers, HIV/AIDS prevention and care providers, and

    many others.

    Page 10 of


    IowaDepartmentofPublicHealth – Budget Summary

    Total expenditures in State Fiscal Year (SFY) were $,, The following chart

    shows the breakdown for expenditures by funding source:

    General Funds

    $46,,

    23%

    Federal Funds

    $,,

    61%

    Other Funds

    $32,,

    16%

    “Other Funds” refer to fees collected and retained by individual programs or via memoranda

    of understanding that have been established with other state agencies, or grants received

    from private organizations.

    The following table shows SFY , , and expenditure information for the

    department as a whole. This Annual Report and Budget Summary also includes SFY ,

    , and expenditure information for individual department programs and services.

    Table 1. IowaDepartmentofPublicHealth Budget Summary

    SFY Actual SFY Actual SFY Estimate

    State General Fund $52,, $46,, $48,,

    Federal funds $,, $,, $,,

    Other funds $31,, $32,, $46,,

    Total funds $,, $,, $,,

    FTEs

    Note: Total funds may not equal sum of individual funding sources due to rounding.

    Page 11 of


    IowaDepartmentofPublicHealth – Programs and Services

    The following pages include details about department programs and services. These profiles

    include

    ● the name of the program/service,

    ● a main telephone number and Internet address,

    ● the division overseeing the program/service,

    ● why the program/service is important to promoting and protecting the health of

    Iowans,

    ● a description of services,

    ● at least one measure of progress toward program goals, and

    ● state fiscal year , , and expenditure information.

    Not all programs will have data for the measures of progress. In these cases, the data for

    the most recent year available is reported for the measure. Overall, programs met targets or

    showed progress toward meeting targets for 64 (56%) of the reported measures in the

    profiles for which there were targets, an decrease from last year in which 58% of targets were

    met. More detailed information about how we are doing is available in the How do we

    measure our progress? section of each profile.

    To take a virtual tour of IDPH and view the most recent versions of the profiles, go to

    casinobet77.asia

    Page 12 of


    Access to Quality Rural Health Services

    Division ofHealth Promotion & Chronic Disease Prevention

    Phone:

    casinobet77.asiaHealthcasinobet77.asia

    Rural Iowa has charming towns and productive farmlands. Residents are known for their strong work ethics and mid-west

    rural way of life. In addition, residing in rural areas sometimes means a lack of timely access to all needed health care

    services. There are 82 critical access hospitals, 10 rural hospitals, federally certified rural health clinics and several other

    medical clinics and public health offices offering health and safety services to rural residents.

    IDPH’ s Rural Health programs have a number of projects, and work with partners to ensure strategies and initiatives so

    rural Iowans are better able to get quality health care, occupational safety programs and disease prevention services.

    Transportation services also play a role in the ability of rural residents especially the elderly, to readily see their healthcare

    provider. In the recent IDPH Community Health Needs Assessment and Health Improvement Plan (CHNA & HIP), access to

    health care was ranked as the top need by Iowa counties.

    Didyouknow? Iowa’s population is 3,, people with 1,, or 43% living in rural areas. Of the 92

    rural hospitals, 82 hospitals are classified as critical access hospitals and have a maximum of 25

    beds. Rural hospitals also bring an array of outpatient services and skilled care centers to

    communities. Additionally, Iowa also has federally certified rural health clinics with primary

    care services. Rural health systems are a strong economic engine for rural counties.

    Why is Access to Quality Rural Health Services important

    to promoting and protecting the health ofIowans?

    ● All Iowans need to be able to get timely emergency health care

    access.

    ● With the Affordable Care Act, Iowa will be adjusting to new systems

    of care. IDPH is assisting facilities in addressing these changes.

    Which IowaPublicHealth Goals

    are we working to achieve?

    Strengthen the public health infrastructure

    ● Rural health care providers are increasing cost effective access through the meaningful use of electronic health records.

    ● IDPH can effectively speak on behalf of rural health issues at the national and state levels.

    ● No other state entity provides a high level of assistance and advocacy for health care access.

    ● The Bureau of Oral and Health Delivery Systems programs maintain Iowa’s commitment to become the healthiest state

    in the nation.

    What do we do?

    Provide funding to rural hospitals, organizations, and health

    systems to assist with implementing projects that will: improve

    the quality of healthcare, improve financial and operational

    performance, and develop collaborative regional and local

    health delivery systems.

    Provide technical assistance for variety of improvement

    activities including: project management, staffing, education,

    technology purchases, and community engagement initiatives.

    Collect and distribute information on the local, state, and

    national levels on rural health issues.

    ● Develop projects and activities that may be used and serve as

    models for communities throughout Iowa.

    ● Coordinate Health Care Reform efforts for Health and Long

    Term Care and for the Direct Care Workforce.

    ● The Bureau of Oral and Health Delivery Systems’ three health

    delivery system programs (State Office of Rural Health, FLEX -

    Medicare Rural Hospital Flexibility Program, and SHIP - Small

    Rural Hospital Improvement Program) use federal-state

    partnerships to find and solve problems regarding rural health

    care access.

    Page 13 of


    How do we measure our progress?

    Number of unduplicated technical assistance encounters

    (substantive information, advice, education, and training)

    provided to Iowa communities, clinics, hospitals, providers

    and others by staff in IDPH’s Rural Health Programs and

    Primary Care Office.

    Data Source: Bureau progress reports. Data are available annually.

    How are we doing? We continue to increase encounters

    and assistance with a total of 1, communities, clinics,

    hospitals, providers, and others to serve Iowans in FY

    1,

    1,


    communities

    communities


    clinics

    communities

    clinics

    hospitals


    clinics

    hospitals

    providers


    hospitals

    & EMS

    providers

    providers

    & EMS

    & EMS

    others

    0

    others

    others


    Federal Fiscal Year

    # of communities

    # of clinics 99

    # of hospitals

    # of providers & EMS agencies

    others 73 67

    What can Iowans do to help?

    1. Learn more about the Bureau of Oral and Health Delivery Systems and the importance of rural health

    care access by visiting casinobet77.asiaHealthcasinobet77.asia

    2. Take part in rural health and local community planning for health services.

    Expenditures

    FLEX: federal grant: State Office of Rural Health: federal grant:

    SHIP: federal grant: Health Delivery Systems: general fund &

    intra state receipts*; State funds are used for a match for the Office of Rural

    Health Grant: K; K/ (40%).

    State Fiscal Year

    Actual

    State Fiscal Year

    Actual

    State Fiscal Year

    Estimate

    State funds $, $, $,

    Federal funds $1,, $1,, $1,,

    Other funds* $0 $53, $53,

    Total funds $1,, $2,, $1,,

    FTEs

    Note: Funding information is intended to provide an overview of funding related to the program area. It does not

    include all federal and state requirements and/or restrictions for the use of funds. Contact the program area for

    more detailed budget information.

    IowaDepartmentofPublicHealth Division ofHealth Promotion & Chronic Disease Prevention Access to Quality Rural Health Services

    Phone: Fax: casinobet77.asiaHealthcasinobet77.asia

    4th Floor, Lucas Building E. 12th Street Des Moines, IA

    FLEX – Phone:

    casinobet77.asia?prog=FLEX&pg=Home

    SHIP – Phone:

    casinobet77.asiaHealthcasinobet77.asia?prog=RHPC&pg=SHIP

    State Office of Rural Health – Phone:

    casinobet77.asiaHealthcasinobet77.asia?prog=RHPC&pg=SORH

    Page 14 of


    Acute Disease Epidemiology

    Division of Acute Disease Prevention & Emergency Response

    Phone:

    casinobet77.asia

    It began with a few cases in eastern Iowa. Cases that had spent time in both the Mississippi River and county swimming

    pools. Within a matter of weeks, there were hundreds of cases of the parasitic disease, cryptosporidiosis. Resistant to

    chlorine, crypto thrives in water environments. Those who ingest the parasite experience profuse diarrhea, stomach

    cramps, and low-grade fevers. The crypto outbreak of was the largest in Iowa history with nearly 1, cases reported

    to the Center for Acute Disease Epidemiology (CADE).

    CADE works to keep Iowans healthy by studying the causes, determining the risks, and controlling the spread of diseases. By

    continually monitoring, tracking, and testing for diseases, CADE works to prevent future disease outbreaks.

    Didyouknow? The majority of food-borne illness originates from food eaten and prepared at home.

    Why is CADE important to promoting and protecting the

    health ofIowans?

    ● All Iowans are affected by disease. CADE receives an average of 20

    disease reports daily (about 5, per year) that must be

    investigated.

    ● Epidemiology (the study of disease) helps track illness to determine

    when there is a widespread threat to your health.

    ● Disease is spread in many ways. With the help of county health

    agencies and providers, CADE investigated and/or referred nearly

    4, cases of infectious disease.

    Which IowaPublicHealth Goals

    are we working to achieve?

    Prevent epidemics & the spread of disease

    Prepare for, respond to, & recover from

    public health emergencies

    Promote healthy behaviors

    30

    How outbreaks began

    Sources of Known Outbreaks,

    28

    # of outbreaks

    25

    20

    15

    10

    8

    5

    0

    Foodborne

    Spread

    person-toperson

    2

    Contact

    with

    animals

    0

    Waterborne

    2

    Vaccine

    Preventable

    0

    Unknown

    What do we do?

    ● Monitor and control infectious diseases.

    ● Plan and prepare for public health emergencies through

    training exercises.

    ● Epidemiologists work with counties to fight diseases and

    outbreaks.

    ● Develop and use ways to prevent and control diseases.

    ● Provide advice, equipment, and assistance to health care

    providers.

    Page 15 of


    How do we measure our progress?

    Number of infectious disease consultations provided to

    clinicians, local public health officials, hospital infection control

    staff, and the public.

    Target: 11,

    30,

    25,

    20,

    15,

    10,

    5,

    0


    Calendar Year

    # of consultations 11, 28, 15, 11, 11,

    Data Source: CADE staff logs, email accounts. Data are available annually.

    How are we doing? CADE continues to provide thousands of

    consultations each year.

    Percent of disease reports that are sent out for follow-up by

    local public health within 48 hours of receiving them.

    Target: 90%

    %

    90%

    80%

    70%

    60%

    50%

    40%

    30%

    20%

    10%

    0%


    Calendar Year

    % sent within 48 hours 99% 98% 98% 98% 98%

    Data Source: CADE disease report processing system. Data are available annually.

    How are we doing? CADE refers disease reports to local

    public health agencies for follow up investigation. In

    addition, and as a reminder for investigations that remain

    open, CADE sends an “outstanding reports” notification to

    counties on a routine basis. This is one indication that local

    public health agencies are more aware of the importance of

    complete and timely disease investigation and reporting.

    What can Iowans do to help?

    1. All Iowans can help stay well and prevent the spread of illness with good health habits: eat healthy

    foods, exercise, keep your vaccinations up-to-date, and remember to wash your hands!

    2. Public health officials and health care providers should be aware of infectious diseases and remember

    the importance of reporting those diseases to IDPH by phone at or fax at


    3. All Iowans can learn about diseases and the way diseases are spread by getting information and advice

    from trustworthy sources casinobet77.asia

    Expenditures

    General fund, federal funds, & private grants*: K; //

    ///AR

    State Fiscal Year

    Actual

    State Fiscal Year

    Actual

    State Fiscal Year

    Estimate

    State funds $, $, $,

    Federal funds $1,, $2,, $2,,

    Other funds* $, $, $,

    Total funds $2,, $3,, $3,,

    FTEs

    Note: Funding information is intended to provide an overview of funding related to the program area. It does not

    include all federal and state requirements and/or restrictions for the use of funds. Contact the program area for more

    detailed budget information.

    IowaDepartmentofPublicHealth Division of Acute Disease Prevention & Emergency Response Acute Disease Epidemiology

    Phone: Fax: casinobet77.asia

    5th Floor, Lucas Building E. 12th Street Des Moines, IA

    Page 16 of


    Adolescent Health

    Division ofHealth Promotion & Chronic Disease Prevention

    Phone:

    casinobet77.asia

    Behaviors ofyoung people are influenced at individual, peer, family, school, community, and societal levels. Because many

    societal factors contribute to adolescent health, safety, and well-being, a collaborative effort engaging multiple partners

    and sectors is necessary. Such joint efforts can also help to promote a more comprehensive approach to addressing

    adolescent health – one that views adolescents as whole persons, recognizing and drawing upon their assets and not just

    focusing on their risks.

    Didyouknow? Adolescents and young adults are youth between the ages of 10 and 24 years old.

    They make up % of the population in Iowa. This time of life is characterized by significant change

    and transition (second only to the 1 st year of life). It provides a great opportunity to build the capacity

    and strength ofyouth to lead healthy, productive lives.

    Why is the Adolescent Health program important to

    promoting and protecting the health ofIowans?

    ● Adolescence is a period where patterns are established and

    lifestyle choices have both current and future implications for

    health and well-being.

    ● The investment that Iowans make in the health and well-being of

    young people impacts our state now and for the future, by

    engaging youth with community leaders.

    ● Risk factors in adolescent’s lives include: unplanned pregnancy;

    Which IowaPublicHealth Goals

    are we working to achieve?

    Promote healthy behaviors

    Prevent epidemics & the spread of disease

    homelessness; suicide; motor vehicle crashes, including those caused by drinking and driving; substance use and abuse;

    smoking; sexually transmitted infections (STIs) including human immunodeficiency virus (HIV); and lack of connections to

    caring and supportive adults, families, schools, and communities.

    ● Supporting young people to make positive choices – such as eating nutritiously, engaging in physical activity, and avoiding

    substance abuse, will decrease their risk of sustaining serious injuries or developing chronic diseases in adulthood.

    What do we do?

    Education for Adolescents

    Healthy relationships

    Adolescent development

    Educational and career services

    Community Service Learning

    Healthy life skills

    Sexual health

    Reproductive Life Planning

    Bullying

    Suicide prevention

    Adolescent health website—casinobet77.asia

    TEEN Line resource and referral

    Pregnancy Prevention

    Personal Responsibility Education Program

    Abstinence Education Grant Program

    Health Promotion

    All youth have safe and supportive families, schools, and communities

    All youth are healthy and socially competent

    All youth are successful in school

    All youth are prepared for a productive adulthood

    All youth have access to health care services for their physical, mental, sexual, so

    emotional, and spiritual well-being

    Page 17 of


    How do we measure our progress?

    Number of births to teens ages 15 to 17 (per 1, females

    ages 15 to 17).

    Target: 13












    Calendar Year

    teen birth rate

    Data Source: IDPH Vital Records Birth Data. Data are available annually.

    How are we doing? The teen birth rate has been trending

    down since In , Iowa reached its target of less

    than births to teens per 1, females from age

    Percent ofIowa high school students who graduate in four

    years.

    Healthy Iowans

    Target: 90%

    %

    %

    %

    %

    %

    %

    %

    %

    %

    %

    %

    Data Source: IowaDepartmentof Education.


    Calendar Year

    Graduation Rate % % % % %

    How are we doing? The state wide high school graduation rate is

    percent, a decrease of percent from the percent

    graduation rate for the class of The rate remains

    ahead of the rate of percent.

    What can Iowans do to help?

    1. Learn more about adolescent health by going to casinobet77.asia

    2. Share with friends and colleagues how prevention, early intervention and timely treatment improve health

    status for adolescents, prepare them for healthy adulthood, and decrease the incidence of many chronic

    diseases in adulthood.

    3. Encourage routine health care visits for adolescents to receive reccommended immunizations.

    4. Encourage young people to visit the adolescent health website by going to casinobet77.asia

    5. Physicians and other health care providers can provide anticipatory guidance during the adolescent well visit

    by reviewing various risk factors that teens may encounter.

    Expenditures

    Federal funds: /

    State Fiscal Year

    Actual

    State Fiscal Year

    Actual

    State Fiscal Year

    Estimate

    State funds $0 $0 $0

    Federal funds $1, $, $,

    Total funds $1, $, $,

    FTEs

    Note: Funding information is intended to provide an overview of funding related to the program area. It does not

    include all federal and state requirements and/or restrictions for the use of funds. Contact the program area for

    more detailed budget information.

    IowaDepartmentofPublicHealth Division ofHealth Promotion & Chronic Disease Prevention Adolescent Health

    Phone: Fax: casinobet77.asia

    5 th Floor, Lucas Building E. 12th Street Des Moines, IA

    Page 18 of


    Brain Injury

    Division of Behavioral Health

    Phone:

    casinobet77.asia

    You can’t always see it, but it is all around you. Brain injuries can be the result of something as minor as a slip on an icy

    sidewalk or as major as a head-on car crash. Brain Injury affects children and adults all over Iowa. Whatever the cause, to

    whomever the person; brain injuries can result in physical, mental, and social changes. Individuals with brain injury and

    their families need proper diagnosis and treatment to deal with the daily challenges they face.

    The Brain Injury program works to improve the lives ofIowans living with brain injuries and their families by linking people

    with services, promoting safety to prevent brain injuries from happening and to train providers to best work with

    individuals who have sustained a brain injury. A life may be changed by a brain injury – but that life goes on and the Brain

    Injury program works to ensure that life is the best and most productive it can be.

    Didyouknow? According to the Centers for Disease Control and Prevention (CDC), nearly % of people in Iowa

    or approximately 50, Iowans are currently living with long –term disabilities caused by a brain

    injury (CDC, ).

    Why is the Brain Injury program important to promoting

    and protecting the health ofIowans?

    ● In , there were more than 17, emergency department visits

    resulting in a diagnosis of traumatic brain injury (TBI) in Iowa; over

    2, Iowans were hospitalized because of TBI; and individuals

    lost their lives.

    ● Brain injuries happen in a wide variety of ways. The top causes

    include falls, vehicle crashes, being hit by an object, and assaults.

    ● Falls, which can result in brain injury, are the leading cause of injury

    to elderly Iowans.

    ● Brain injury can cause changes in thinking, language, learning, emotions, and behavior. It can

    also increase the risk of epilepsy, Parkinson’s disease, and other brain disorders.

    TBI cases in Iowa,

    Which IowaPublicHealth Goals

    are we working to achieve?

    Prevent injuries

    Promote healthy behaviors

    Deaths

    ()

    Hospitalizations

    (2,)

    Emergency Department

    Visits (18,)

    No Services

    Sought (?)

    What do we do?

    ● Promote and carry out brain injury prevention activities.

    ● Provide brain injury information, awareness, and learning

    opportunities.

    ● Work through the Brain Injury Association ofIowa to match

    Iowans with brain injury and their families to supports and

    services.

    ● Study the needs of people with brain injury and their families

    to better meet their needs.

    ● Make recommendations to other state departments to

    support a comprehensive statewide service delivery system.

    ● Administer contracts for provider training through the Iowa

    Association of Community Providers.

    Page 19 of


    How do we measure our progress?

    Number of health professionals receiving brain injury training.

    2,

    1,

    1,

    1,

    1,

    1,





    0


    State Fiscal Year

    Target

    # of professionals 1, 1, 1, 1, 1, 1,

    Data Source: Program records. Data are available annually. data are not yet available.

    How are we doing? Over 1, Iowa healthcare professionals

    continue to be trained on an annual basis.

    Number ofIowans with brain injury that get information about

    living with it and preventing secondary disabilities.

    3,

    3,

    2,

    2,

    1,

    1,


    0

    # ofIowans getting

    information


    State Fiscal Year

    Target

    1, 2, 2, 2, 2, 3,

    Data Source: Brain Injury Association ofIowa. Data are available annually. data are not yet available.

    How are we doing? The number ofIowans with brain injury

    receiving information about living with brain injury has almost

    doubled since

    What can Iowans do to help?

    1. Iowans and family members experiencing brain injury can advocate for increased and appropriate

    brain injury related services. For more information, contact the Brain Injury Alliance ofIowa at

    casinobet77.asia or call

    2. Healthcare professionals can provide appropriate services to Iowans with brain injury. For more

    information on special training opportunities, go to

    casinobet77.asia .

    3. All Iowans can help prevent the likelihood of brain injury by using seat belts and helmets. To learn

    more about injury prevention, go to casinobet77.asia

    Expenditures

    General fund & federal funds: K/;

    State Fiscal Year

    Actual

    State Fiscal Year

    Actual

    State Fiscal Year

    Estimate

    State funds $, $, $,

    Federal funds $, $, $,

    Total funds $, $, $,

    FTEs

    Note: Funding information is intended to provide an overview of funding related to the program area. It does not

    include all federal and state requirements and/or restrictions for the use of funds. Contact the program area for more

    detailed budget information.

    IowaDepartmentofPublicHealth Division of Behavioral Health Brain Injury

    Phone: Fax: casinobet77.asia

    6th Floor, Lucas Building E. 12th Street Des Moines, IA

    Page 20 of


    Cancer

    .

    Division ofHealth Promotion & Chronic Disease Prevention

    Phone: Fax:

    casinobet77.asia

    Nearly 17, Iowans will be diagnosed with cancer this year and 6, will die. But cancer statistics are more than

    numbers. They represent real people. The IowaDepartmentofPublicHealth’s cancer programs educate, prevent, detect,

    and treat cancer, one person at a time.

    “Jane,” a 60 year-old Iowan with no health insurance, was having wrist surgery when her orthopedic surgeon discovered a

    lump in her breast. Immediately, the orthopedic surgeon contacted her family and another surgeon was brought in for an

    emergency breast examination. A biopsy was performed and cancer was discovered.

    Thankfully, the surgeon was a Care for Yourself provider and knew that the program would cover the breast exam and

    biopsy. Jane’s enrollment in the IowaDepartmentofPublicHealth’s Care for Yourself program was completed upon leaving

    surgery. She is now receiving the treatment she needs to live a long life.

    Didyouknow?

    Cancer is the second leading cause of premature death for Iowans.

    Why are cancer programs important to promoting and

    protecting the health ofIowans?

    ● Cancer affects nearly all Iowans.

    ● Many types of cancer can be prevented, or when detected early,

    can be successfully treated.

    ● More than half ofIowans diagnosed with cancer will survive it.

    Which IowaPublicHealth Goals

    are we working to achieve?

    Promote healthy behaviors

    Strengthen the public health infrastructure

    What do we do?

    Iowa Comprehensive Cancer Control Program collaborates with the

    Iowa Cancer Consortium and state partners to develop the state

    cancer control plan and put it into action by:

    Providing financial support to the Iowa Cancer Consortium to

    reduce the burden of cancer. A revised state cancer plan and

    more information are located at casinobet77.asia and

    casinobet77.asia

    Funding projects that educate Iowans on cancer screenings,

    prevention, and quality of life.

    Working to raise awareness to reducing skin cancer. Information

    for schools, homes, and worksites is available at

    casinobet77.asia

    Iowa Care for Yourself Breast and Cervical Cancer Early Detection

    Program helps low-income women access breast and pelvic exams,

    mammograms, and Pap tests. The program reimburses health care

    providers for screening and diagnostic services provided to eligible

    women. The program also works to increase awareness across the

    state of the importance of early detection, diagnosis, and

    treatment. For more information please visit

    casinobet77.asia

    Iowa Get Screened: Colorectal Cancer Program works with

    community partners, local public heath offices, health care

    providers and Federally Qualified Health Centers to provide

    colorectal cancer screening services to Iowans who are uninsured

    or underinsured, at or below percent of the federal poverty

    level, and those who are at average or an increased risk for

    colorectal cancer. Additional program goals include::

    Increase colorectal cancer screening rates among Iowan’s ages

    50 to 64;

    Provide social marketing and public education to increase

    colorectal cancer screenings and detection at earlier and more

    treatable stages to lower mortality rates;

    Educate health care providers about colorectal cancer

    screenings;

    Encourage system changes that will increase screening rates

    and access to services.

    Please visit casinobet77.asia for more information.

    Page 21 of


    How do we measure our progress?

    Cancer incidence and death rates (per , Iowans).







    0


    Calendar Year

    Target

    age-adjusted incidence rate

    age-adjusted death rate

    What can Iowans do to help?

    1. Learn more about cancer risks and symptoms,

    prevention, early detection, treatment, and survivorship.

    2. Live healthier lives; quit smoking or do not start,

    maintain a reasonable weight, exercise, eat a diet rich in

    fruits and vegetables and avoid too much sun.

    3. Have regular age and risk-appropriate cancer screenings

    (Pap test, mammogram, skin check, colonoscopy, etc.).

    4. Join the Iowa Cancer Consortium and help reduce the

    burden of cancer in Iowa.

    Visit casinobet77.asia and casinobet77.asia to

    learn more.

    Data Source: State Health Cancer Registry. Data are available annually. Go to casinobet77.asia

    for information about age-adjusted rates. & data are not

    yet released.

    How are we doing? The number of cancer deaths has declined

    since

    Number of women screened, and number of mammograms

    and Pap tests provided.









    0


    State Fiscal Year

    Target

    # of mammograms

    # of Pap tests

    # of women screened

    Data Source: BCCEDP Data Set. Data are available annually. SFY data has not been finalized and is

    subject to change.

    Expenditures

    Iowa Comprehensive Cancer Control Program: general fund, and

    federal funds: K/; //

    Breast & Cervical Cancer Early Detection: federal funds, private

    grant*, and intra-state receipts* (Dept of Transportation – License

    Plate Sales): //; K/

    Iowa Get Screened Colorectal Cancer Program: federal funds:

    /

    State Fiscal

    Year

    Actual

    State Fiscal

    Year

    Actual

    State Fiscal

    Year

    Estimate

    State funds $, $, $1,,

    Federal funds $3,, $3,, $3,,

    Other funds* $, $, $,

    Total funds $4,, $4,, $5,,

    FTEs

    Note: Funding information is intended to provide an overview of funding related to the program area. It does

    not include all federal and state requirements and/or restrictions for the use of funds. Contact the program area

    for more detailed budget information.

    How are we doing? In SFY, the program screened 5,

    women and provided 5, mammograms and 2, pap tests.

    IowaDepartmentofPublicHealth Division ofHealth Promotion & Chronic Disease Prevention Cancer

    4th Floor, Lucas Building E. 12th Street Des Moines, IA

    Iowa Comprehensive Cancer Control Program: Phone: casinobet77.asia

    Iowa Care for Yourself Breast and Cervical Cancer Early Detection Program: Phone: casinobet77.asia

    Iowa Get Screened Colorectal Cancer Program: Phone

    casinobet77.asia

    Page 22 of


    Child Health

    Division ofHealth Promotion & Chronic Disease Prevention

    Phone:

    casinobet77.asia

    Successful promotion of children’s health is rooted in a partnership of families, communities, health care providers, and

    public health providers. Iowa’s Child Health programs promote the development of local systems of health care to ensure

    that all Iowa children have regular, preventive health care. The Child Health programs strive to make family-centered,

    community-based, and culturally-sensitive health services available to all Iowa children.

    Didyouknow? Research shows that for every $1 invested in early health care and education of a young child,

    Iowa will see an economic return of $17 per child.

    Why are Child Health programs important to promoting

    and protecting the health ofIowans?

    ● Child Health programs provide access to regular preventive health

    services that affect a child’s physical and mental health, success in

    school, and health in later years.

    ● Child Health programs advocate for medical homes that provide a

    consistent source of comprehensive primary care and facilitate

    partnerships between families and providers.

    ● Child Health programs reach out to underserved populations, who

    Which IowaPublicHealth Goals

    are we working to achieve?

    Promote healthy behaviors

    Strengthen the public health infrastructure

    are least likely to access preventive health services. Programs serve low-income children, adolescents, and minorities.

    ● Child Health programs address barriers to accessing preventive health services including health care coverage,

    transportation, and interpretation.

    ● Child Health programs link families to community-based services based upon family needs.

    What do we do?



    Provide funding for 22 Child Health centers that assure child

    health services are available in all 99 counties for children and

    youth ages birth to In FFY , , Iowa children

    accessed health care services through Iowa’s communitybased

    Child Health centers.

    Encourage community-based Child Health agencies to work

    closely with medical providers to ensure family-centered,

    community-based, and culturally-sensitive preventive health

    services are offered.

    ● Provide access to community-based health resources through

    the toll free Healthy Families Line, a hour information and

    referral phone line.

    ● Assist in developing local health care systems that meet

    present and future health needs.

    ● Support community-based child health agencies that link

    clients to medical and dental providers and other needed

    services.

    Page 23 of


    How do we measure our progress?

    Percent of Medicaid enrolled children who receive at least one

    recommended well child exam.

    Percent of children served in Child Health programs who

    report a medical home.

    National Target: 80%

    %

    90%

    80%

    70%

    60%

    50%

    40%

    30%

    20%

    10%

    0%

    % who receive at least 1

    screen


    Federal Fiscal Year (FFY)

    72% 72% 75% 81% 81%

    %

    Iowa Target: 95%

    90%

    80%

    70%

    60%

    50%

    40%

    30%

    20%

    10%

    0%


    Federal Fiscal Year (FFY)

    % with a medical home 74% 79% 81% 94% 94%

    Data Source: Federal CMS report. Data are available annually. Beginning with federal fiscal year

    (FFY) data, the report is based upon the number of children continuously enrolled in Medicaid for

    a minimum of 90 days who receive at least one well child exam during the year. FFY data are not

    yet available.

    How are we doing? Medicaid enrolled children receiving at

    least one well child exam per year remained stable at 81% for

    FFY This is slightly higher than the expectation for all

    states set by the national Centers for Medicare and Medicaid

    Services (CMS) of maintaining at least 80%.

    Data Source: Child & Adolescent Reporting System (CAReS). Annual unduplicated counts are based upon

    the federal fiscal year (FFY) October-September. Beginning with FFY , this data is based upon the

    number of children that received services where their medical home status could be assessed.

    How are we doing? There has been steady improvement in

    assuring children served by Child Health programs have a

    medical home.

    What can Iowans do to help?

    1. Learn more about community-based child health services by going to

    casinobet77.asia

    casinobet77.asia

    casinobet77.asia

    2. Learn more about the healthy development of children. Go to casinobet77.asia

    3. Refer uninsured or underinsured families to Child Health centers by contacting the Healthy Families toll

    free line at

    Expenditures

    General fund, RIFF funds, federal funds, & intra state receipts* (Dept of Human

    Services); State funds are used for a 75% match for the Title V Block Grant:

    K///; K; K; //

    State Fiscal Year

    Actual

    State Fiscal Year

    Actual

    State Fiscal Year

    Estimate

    State funds $, $, $,

    Federal funds $1,, $1,, $1,,

    Other funds* $3,, $3,, $4,,

    Total funds $6,, $6,, $6,,

    FTEs

    Note: Funding information is intended to provide an overview of funding related to the program area. It does not

    include all federal and state requirements and/or restrictions for the use of funds. Contact the program area for

    more detailed budget information.

    IowaDepartmentofPublicHealth Division ofHealth Promotion & Chronic Disease Prevention Child Health

    Phone: or Fax: casinobet77.asia

    5th Floor, Lucas Building E. 12th Street Des Moines, IA

    Page 24 of


    Child Health Specialty Clinics

    Division ofHealth Promotion & Chronic Disease Prevention

    Phone:

    casinobet77.asia

    Erin’s Story (as told by her mother)*

    When we first adopted Erin, it was difficult for our family to get answers or help for her complex behavioral and developmental

    concerns. Our adoption specialist at DHS suggested that we call Child Health Specialty Clinics. At CHSC, the Advanced

    Registered Nurse Practitioner and Staff Nurse conducted a complete developmental and health assessment. Along with the

    Family Navigator, they made recommendations, helped with paperwork, and coordinated support services.

    Through CHSC, our family utilized a variety of services including dietician services, physical therapy,

    occupational therapy, speech therapy, respite, and parenting classes, all of which have contributed to

    the growth and development of our daughter.

    CHSC has helped us become more understanding about Erin’s developmental disabilities and special

    health care needs. If I’m ever feeling overwhelmed or frustrated, I know I can call my Family Navigator,

    even if I don’t have an appointment. We are now able to anticipate our daughter’s needs and have

    become better equipped to deal with her behaviors at home and in public. Her overall development has

    progressed greatly and we hope that she continues to get the help she needs at school and in the

    community.

    *Name has been changed

    Didyouknow? , Iowa children have some degree of a special health care need.

    (National Survey on Children’s Health, )

    Why is Child Health Specialty Clinics important to

    promoting and protecting the health ofIowans?

    Which IowaPublicHealth Goals

    are we working to achieve?

    ● Research suggests that about 15 to 20% of all children 0 to 18

    years of age have some type of special health care need.

    ● Children and youth with special health care needs require services

    that are more intensive and comprehensive than children and

    youth without special care needs require. These specialty services

    are often not available or accessible throughout Iowa.

    ● Research shows that specialty services are an important addition

    to primary care services for children and youth who have chronic illnesses or developmental delays.

    Strengthen the public health infrastructure

    Promote healthy behaviors

    ● Federal rules require that at least 30% of each state’s Title V Maternal and Child Health Block Grant be used to focus on

    children and youth with special health care needs.

    What do we do?




    Improve access to direct-care pediatric specialty services,

    including behavioral consultations and nutrition services

    through telehealth technology.

    Provide community-based expertise and guidance about

    specialty care.

    Offer policy and planning expertise to improve the service

    system for all children and youth with special health care

    needs and their families.

    ● Provide care coordination to help families organize needed

    services so that they can be used easily.

    ● Provide family support through a statewide family navigator

    network and partnering family advocacy groups.

    ● Promote spread of the medical/health home model among

    community-based primary care providers, especially for

    improving quality of care for children and youth with special

    health care needs.

    Page 25 of


    How do we measure our progress?

    Percent of children with special health needs (CSHCN) ages 0-

    18 years whose families’ partner in decision-making at all

    levels and are satisfied with the services they receive.

    Data Source: National CSHCN Survey. Data are available approximately every 5 years.

    How are we doing?

    In , Iowa – %; National – %.

    Percent of CSHCN ages years who receive coordinated,

    ongoing, comprehensive care within a medical home.

    Data Source: National CSHCN Survey. Data are available approximately every 5 years.

    What can Iowans do to help?

    1. Iowans who have or knowof children or youth with

    special needs can contact CHSC by visiting

    casinobet77.asia

    2. All Iowans can recognize the essential public health role

    CHSC plays as Iowa’s Title V program for children and

    youth with special health care needs.

    3. All Iowans can tell their state legislators about the

    importance of a system of care for children and youth

    with special health care needs and their families.

    4. All Iowans can be inclusive of children with special health

    care needs and their families.

    How are we doing?

    In , Iowa – %; National – %.

    In , Iowa – %; National – %.

    Percent of CSHCN ages years whose families have

    adequate private and/or public insurance to pay for the

    services they need.

    Data Source: National CSHCN Survey. New data are available approximately every 5 years.

    How are we doing?

    In , Iowa – %; National – %.

    In , Iowa – %; National – %.

    Percent of CSHCN ages years whose families report the

    community-based service systems are organized so they can

    use them easily.

    Expenditures

    General fund & federal grant: K;

    State Fiscal

    Year

    Actual

    State Fiscal

    Year

    Actual

    State Fiscal

    Year

    Estimate

    State funds $, $, $,

    Federal funds $1,, $1,, $2,,

    Total funds $2,, $2,, $2,,

    FTEs

    Note: Funding information is intended to provide an overview of funding related to the program area. It does

    not include all federal and state requirements and/or restrictions for the use of funds. Contact the program area

    for more detailed budget information.

    Data Source: National CSHCN Survey. Data are available approximately every 5 years.

    How are we doing?

    In , Iowa – %; National – %.

    Percent ofyouth with special health care needs who received

    the services necessary to make transitions to all aspects of

    adult life, including adult health care, work, and

    independence.

    Data Source: National CSHCN Survey. Data are available approximately every 5 years.

    How are we doing?

    In , Iowa – %; National – %.

    In , Iowa – %; National – %.

    IowaDepartmentofPublicHealth Division ofHealth Promotion & Chronic Disease Prevention Child Health Specialty Clinics

    Phone: Fax: casinobet77.asia

    Hawkins Drive Room CDD Iowa City, IA

    Page 26 of


    Child Protection Centers

    Division of Behavioral Health

    Phone:

    casinobet77.asia

    Child abuse. No one wants to imagine the mental and physical pain an abused child must endure. Unfortunately, the pain

    can sometimes be prolonged by the very systems designed to protect the victims. Child Protection Centers provide a safe

    environment where all exams and interviews can occur in one place.

    It took great courage for “Allen,” a year old boy, to reveal that his stepfather had sexually abused him for years. It was

    extremely difficult and embarrassing for Allen to share the details of his abuse. With the non-threatening environment of

    the Child Protection Center, he was able to give authorities enough details to take his case to trial, resulting in a guilty

    conviction and prison time for his stepfather.

    Child Protection Centers work to ease the pain of abuse through understanding and awareness.

    Didyouknow? In state fiscal year , 3, children were served in a Child Protection Center funded by the

    IowaDepartmentofPublicHealth (IDPH).

    Why are Child Protection Centers important to

    promoting and protecting the health ofIowans?

    ● Children who are victims of alleged child abuse are often further

    victimized by the numerous interviews and exams. At a Child

    Protection Center, all investigation can occur in one place.

    ● IDPH manages five Child Protection Centers in Iowa, including;

    Allen Child Protection Center in Waterloo, Mercy Child Advocacy in

    Sioux City, Mississippi Valley Child Protection Center in Muscatine, Regional Child Protection

    Center in Des Moines (Blank), and St. Luke’s Child Protection Center in Hiawatha.

    Which IowaPublicHealth Goals

    are we working to achieve?

    Strengthen the public health infrastructure

    What do Child Protection Centers do?

    ● Provide a comprehensive, culturally competent,

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    Источник: [casinobet77.asia]

    Bergen Beach, Brooklyn

    "Bergen Beach" redirects here. For the unincorporated community in Fond du Lac County, Wisconsin, see Bergen Beach, Wisconsin.

    Neighborhood of Brooklyn in New York City

    Bergen Beach is a residential neighborhood in the borough of Brooklyn, New York City. It is located on a peninsula abutting Jamaica Bay in the southeastern portion of the borough, and is bordered by Mill Basin and the neighborhood of the same name to the south and west; the neighborhood of Flatlands to the northwest; Paerdegat Basin and the neighborhood of Canarsie to the northeast; and Jamaica Bay and the Belt Parkway to the east. Bergen Beach contains a sub-neighborhood named Georgetown. The vast majority of residents are white, and the neighborhood generally has a suburban quality.

    Bergen Beach was originally an island. The Canarsie Indians who occupied the area referred to it as Winnipague. The island was renamed Bergen Island for early settler Hans Hansen Bergen. From to , Percy G. Williams and Thomas Adams operated an amusement park in the area. Bergen Beach was connected to the rest of Brooklyn via landfill by , although development did not come for many years. In the s, a housing development called "Georgetowne" was proposed for Bergen Beach, but it was never built due to opposition from local residents. As a result, much of Bergen Beach was not fully developed until the s.

    Bergen Beach is part of Brooklyn Community District 18, and its primary ZIP Code is [1] It is patrolled by the 63rd Precinct of the New York City Police Department.[4]

    Geography[edit]

    Originally, Bergen Beach was an island in Jamaica Bay off the coast of Canarsie, called "Bergen Island"[5] or "Bergen's Island".[6]:&#;9&#; Most of the island was sea-level meadows, but 60 acres (24&#;ha) of the island were uplands, or hilly areas located above sea level.[7]:&#;10–11&#; The sea-level meadows were replete with shell middens, or mounds, harvested from univalves and bivalves caught in Jamaica Bay.[6]:&#;12&#; A bulkhead was built along the shore in the late s, and was later connected to the uplands of nearby Mill Basin. This created a continuous embankment between Mill Basin and Paerdegat Basin, which was later used for the construction of Belt Parkway.[8]:&#;77&#;

    Bergen Island was connected to the mainland by , when the marshland was filled in,[9] though some sources state that the island was connected to the mainland by [10] More fill was added in the s.[11] This fill was unstable, and as a result, parts of Bergen Beach have been sinking.[5] Many homes in the area were built so that if the ground in front of the house sank, extra steps could be added. The sinking land is particularly pronounced in some parts of Bergen Beach, where minor rainfall or snow melt can cause ponding and flooding in the streets.[12]

    The modern neighborhood of Bergen Beach is adjacent to Canarsie and Paerdegat Basin to the northeast, Flatlands to the west, Mill Basin to the southwest, and Jamaica Bay to the southeast.[13] The website Forgotten NY delineates the boundaries of Bergen Beach as Paerdegat Basin to the northeast, Ralph and Mill Avenues to the west, Avenue U and the Little Mill Basin waterway to the southwest, and Jamaica Bay to the southeast.[11]Google Maps defines the boundaries similarly, except that Veterans Avenue, instead of Avenue U, forms part of the southwestern boundary.[14] Georgetown is considered a subsection of Bergen Beach. It is bounded by Ralph Avenue to the west, Avenue N to the south, Avenue U to the southeast, and Paerdegat Basin to the northeast.[12][15] Both Bergen Beach and Georgetown are zoned as predominantly residential neighborhoods with one- or two-family residences. Small commercial overlays and recreational waterfront uses also exist, and a strip along Bergen Basin is zoned for light industrial uses.[16]

    History[edit]

    Historic image of the Bergen House

    Early settlement[edit]

    The coastal lands around Jamaica Bay, including present-day Bergen Beach, were originally settled by the Canarsie Indians. At the time, the Native Americans referred to Bergen Island as "Winnipague"[7]:&#;4&#; or "Winnippague".[6]:&#;9&#;[17] The Canarsie Indians also called the island "Wimbaco", a name meaning "fine water place".[6]:&#;9&#; The Native Americans likely used Bergen Island to create wampum.[18]:&#;&#;[19]:&#;64&#; This location may have been chosen because it was easy to defend: the Indians could see intruders from the uplands and form a line of defense across the narrow flat that led to the island. Through the 20th century, the shell middens that resulted from the wampum-making process were used to create roads, as well as for fertilizer.[6]:&#;10&#; Remnants of Native American activity on the island, including stone markings, conch shell beds, and broken arrow tips, could be seen through the midth century.[7]:&#;4&#;[18]:&#;&#; Bergen Island may also have contained fields that the Indians used for planting.[7]:&#;8&#;[19]:&#;65&#;[20]:&#;36–44&#; There were collectively three planting fields on Bergen Island and in Canarsie.[6]:&#;9&#;[19]:&#;65&#;

    In , the Dutch Republic incorporated much of the current New York City area into the colony of New Netherland.[7]:&#;4&#; In , as the Dutch were expanding outward from present-day Manhattan, Dutch settlers founded the town of Achtervelt (later Amersfoort) and purchased 15, acres (6,&#;ha) around Jamaica Bay. Amersfoort was centered around the present-day intersection of Flatbush Avenue and Flatlands Avenue.[7]:&#;9&#; The Dutch also founded a trading post on Bergen Island, which they renamed "Mentelaer's Island".[21] Ownership of Bergen Island was granted to John Underhill in , and Underhill soon sold the property to others.[7]:&#;11&#; New Netherland became British New York in , and Amersfoort was renamed Flatlands.[7]:&#;9&#; Bergen Island, as well as nearby Mill Island and Barren Island, were part of the Town of Flatlands. A settler named Elbert Elbertse bought Bergen Island in , and by the s, all three islands were leased by Elbertse. When he died in , he bequeathed 60 acres (24&#;ha) of the island to his son.[7]:&#;11&#;

    The island was known as "Winnipague" through the 18th century.[7]:&#;11&#; By the turn of the century, it had been renamed for Hans Hansen Bergen, an early Norwegian[22] or Dutch settler of New Netherland.[13][23][24]:&#;59&#; He lived in the Bergen House,[21] which was built sometime before [7]:&#;11&#; One story has it that Bergen's house was hit by British bombs during the American Revolutionary War,[25] but this is not supported by documentation. Another rumor, that the American spy Nathan Hale was executed near or on Bergen Island, is also refuted by other evidence.[7]:&#;11&#;

    By the s, Cornelius Bergen owned a farm on the island along the Jamaica Bay coast.[7]:&#;11&#; However, Bergen Island remained largely undeveloped until the end of the century.[7]:&#;38&#; According to an map, John C. Bergen owned most of the island, which only had two structures and a dirt road.[8]:&#;77&#;

    Amusement park[edit]

    Boardwalk of Bergen Beach, circa

    In the late s, vaudeville theater manager Percy G. Williams partnered with Thomas Adams, the chewing gum magnate, to buy acres (&#;ha) of marshland on Bergen Island.[10][13][26] The island was sold to the Germania Real Estate and Improvement Company in It quickly laid out streets between Avenues T and Z, east of present-day East 70th Street.[7]:&#;38&#;[8]:&#;77&#;

    Williams and Adams had meant to construct housing, but instead decided to emulate the successful Coney Island resort further west.[27] They converted Bergen Island into a resort, which was connected to the rest of the city by the Flatbush Avenue streetcar route (now the B41 bus).[11][21][28] The resort opened in with a dance hall, concessions, rides and a pier.[9] The Flatbush Avenue streetcar to Bergen Beach started operating in May [29] The coast of Bergen Island, and the park itself, came to be known as "Bergen Beach".[8]:&#;77&#; In August , the New York Herald characterized the "brightly caparisoned and gilded resort" at Bergen Beach:

    The board walk echoes with the tread of Egyptian dancing girls, Irish villagers, knights in armor, girls in clinging lace costumes, young men in white duck trousers, soubrettes adorned with yellow tresses, jugglers, mountebanks, opera singers, and Frankfurter sausage venders. The Casino is for dining either inside or on the veranda; steak or raw clams. Inside you can watch the soubrettes sing and dance. There are annexes to the Casino on either end of the boardwalk where they sell drinks; hard and soft. The intervening gulfs (along the Boardwalk) are filled with Moorish castles, Egyptian encampments, Irish villages, black Americans, white Coney Island fakirs, blood testing machines, vitascopes, knock-the-baby-down skill games.[30]

    The report went on to describe the Irish Village, Mystic Moorish Maze, Egyptian encampment, scenic railway and other attractions.[30] There were also bathing facilities, exhibits, sideshows, eating places and a beer garden.[26] The park had a "casino",[31] which at the time meant a place where entertainments were staged.[27] The casino put on vaudeville, musical comedies and stock company productions.[9] The Trocadero Theatre was also located on the Bergen Beach boardwalk.[7]:&#;38&#;[31]

    In March , the Brooklyn Rapid Transit Company offered to buy the Bergen Beach resort, but could not meet Williams's price. Separately, the frequency of trolley service was reduced since the Flatbush Avenue tracks had been damaged by a storm that winter.[32] In April of that month, Williams announced that the resort would not open unless the BRT repaired the trolley tracks to Bergen Beach.[33] Later the trolley service improved, since Bergen Beach was a good source of fares. In the summer of the casino staged The Girl in Black, a popular musical-and-comedy show that ran for the whole season.[31] The resort suffered $25, in damages (equivalent to $72, in ) due to a fire in , but The New York Times reported that "the tide in Jamaica Bay and two Brooklyn Rapid Transit trolley cars" brought the water that ultimately saved the park from burning down.[34] The Percy Williams Amusement Park opened the next year at the Bergen Beach resort.[21] This became one of several amusement districts in the New York City area, competing with similar resorts in Canarsie; Coney Island; Rockaway Beach, Queens; and Staten Island.[35]

    A roller skating rink at the park opened in , with a band playing in the afternoons.[31][36] That year, surveyors were sent to map the settlements around Jamaica Bay as part of a project to dredge the bay for potential use. They reported that at the time, the only occupied settlements along Jamaica Bay were located at Canarsie and Bergen Beach.[37] Piers for ferry service were constructed along Bergen Beach at Avenues V and X. Two ferry routes to Canarsie ran between and , and for a short time, there was also a ferry to Rockaway Beach.[7]:&#;66&#; However, ferry routes to Bergen Beach were not profitable, and it was hard to navigate the shallow channels near Bergen Island.[7]:&#;38&#;

    A more serious fire in crippled the Percy Williams Amusement Park's operations, destroying $, worth of property (equivalent to $11,, in ).[31] By , two more amusement parks had been built, as well as a scenic railroad.[7]:&#;38&#; The resorts in Coney Island and Rockaway Beach proved to be more popular than Bergen Beach because the other resorts had easy transit access, whereas Bergen Beach did not.[13] Pollution from Barren Island, a notorious waste processing site,[38] also decreased the appeal of Bergen Beach.[10] As a result, the Bergen Beach resort closed by [31]

    In , as part of a dredging project in nearby Rockaway Inlet, the city agreed to add bulkheads along 4, feet (1,&#;m) of the Bergen Beach coast. Williams and Adams later sued, ostensibly to delay the project.[39]

    Redevelopment[edit]

    After the failure of the amusement park, Bergen Beach was redeveloped.[21] In , real estate developers Max Natanson and Mandlebaum & Levine bought Williams and Adams's former amusement park for close to $2 million (equivalent to $29,, in ).[40] At the time, they planned to develop Bergen Beach's 3, lots as a residential area with an entertainment district. There would have been a beach and an amusement park similar to Williams and Adams's park.[41] However, this plan never materialized, and by ,[13] the lots were sold off piece-by-piece to different people.[21]

    Bungalows and vacation houses were built on the coast of "Flatlands Bay", around Bergen Island, before World War I. However, city records from to do not indicate where exactly these houses were erected. In , the New York City Department of Docks began leasing lots and bungalows on Bergen Beach. As of , the yearly rates for these lots ranged between $10 and $ (worth between $ and $3, in ).[7]:&#;39&#; Bergen's house itself was demolished during the construction of Belt Parkway, also known as the Shore Parkway, in the s. When the parkway opened in , though, it did not spur development in Bergen Beach.[21] The WPA Guide to New York City mentions that the area comprising present-day Mill Basin and Bergen Beach was the residence of "pathetic communities of squatters, who live in makeshift houses, and eke out a living by fishing and scouring the near-by city dumps for odd necessities". At the time, the southern shore was still marshland.[42] Although fourteen single-family houses were built in the s,[43] much of the neighborhood retained a rural character through the s.[21]

    Starting in the s, a series of suburban waterfront communities were being rapidly developed in Southeast Brooklyn, including in present-day Bergen Beach, Canarsie, and Mill Basin. By , a new 69th Precinct building for the New York City Police Department, as well as the South Shore High School in Canarsie, had to be constructed to accommodate the growing population.[44] The neighborhood had some of the most expensive houses in Brooklyn by [45] Bergen Beach only became popular as a suburban neighborhood toward the end of the 20th century.[21] Further development did not come until the s, when more of the marsh was filled in.[11] From to , prices of residential lots in Bergen Beach increased fourfold. At the time, one developer was constructing two- and three-bedroom apartments with prices ranging between $, and $,[5] The last city-owned sites along Paerdegat Basin were sold to private developers between and [46]

    In the s, a combined sewer overflow (CSO) facility for Paerdegat Basin was built in Bergen Beach. It was completed in August [47]

    Georgetowne[edit]

    A part of the neighborhood called Georgetowne, located to the north of Bergen Beach proper, was undeveloped until the s, when a community of two-story semi-attached colonials called Georgetowne Greens was proposed.[48] Many of the homes would have been built on the landfilled section of the area.[12] Around the same time, Mayor John Lindsay sought to build a unit middle-class housing development called Harbour Village in the same area. Harbour Village would be a Mitchell-Lama development built using modular construction.[49] The uncertainty of whether it would be approved brought new construction on Georgetowne Greens to a halt.[12]

    The New York City Board of Estimate approved Harbour Village by an 18–0 vote on March 25, [50] However, it ultimately rejected the proposal in September after public outcry by the mostly white, mostly well-off residents of nearby Bergen Beach and Mill Basin.[51] By that point, interest in Georgetowne Greens had waned, and the project was terminated. The first houses built for the development still remain.[52] The area was ultimately developed as the neighborhood of Georgetown,[12] though parts of Georgetown remained undeveloped through the s.[11] The "Georgetowne" appellation still exists in the name of a strip mall in Georgetown.[53]

    [edit]

    St. Bernard Clairvaux Church

    Located along the southern coast of Brooklyn, Bergen Beach has a suburban quality.[54] The nearest stores are located in the Georgetown Shopping Center, as well as a Key Food location in Mill Basin.[55] Bergen Beach also contains the Mill Harbor Condominiums, one of the few gated communities in New York City.[56] The neighborhood includes the St. Bernard Clairvaux Church, located on Veterans Avenue near 69th Street.[54] Bergen Beach and Georgetown are part of Brooklyn Community Board 18, which also includes Canarsie, Mill Basin, Marine Park, and the southern portion of Flatlands.[57]

    Bergen Beach and Georgetown are located in ZIP Code , which also includes Mill Basin, Marine Park, and the southern portion of Flatlands. Based on data from the United States Census, the combined population of Georgetown, Marine Park, Bergen Beach, and Mill Basin was 45,, an increase of 2, (%) from the 42, counted in the United States Census. Covering an area of 1, acres (&#;ha), the neighborhood had a population density of inhabitants per acre (17,/sq&#;mi; 6,/km2).[2]

    By the end of the 20th century, the vast majority of Bergen Beach residents were white, as were most residents of adjacent neighborhoods such as Mill Basin and Marine Park.[54] Specifically, many of the residents were Italian-Americans.[13] The United States Census counted 3, residents, of which three were black; as of the United States Census, there were 28 black residents.[54] However, by , the number of black residents in Southeast Brooklyn had risen %, the steepest such increase of any area in the city. As of that year, the African American population in these neighborhoods represented % of the total population.[58] As of the Census, the racial makeup of Southeast Brooklyn was % (33,) White, % (4,) African American, % (47) Native American, % (2,) Asian, % (7) Pacific Islander, % () from other races, and % () from two or more races. Hispanic or Latino of any race were % (3,) of the population.[3]

    Police and crime[edit]

    Bergen Beach is patrolled by the New York City Police Department's 63rd Precinct.[55] The precinct also covers Marine Park, Mill Basin, and part of Flatlands.[4] Because of the precinct's distance from Bergen Beach, some residents had complained that there was not enough police presence in the neighborhood.[59] The 63rd Precinct ranked 31st safest out of 69 patrol areas for per-capita crime in [60]

    The 63rd Precinct has a lower crime rate than in the s, with crimes across all categories having decreased by % between and The precinct reported 5 murders, 14 rapes, 88 robberies, felony assaults, 92 burglaries, grand larcenies, and 62 grand larcenies auto in [61]

    Recreation[edit]

    The New York City Department of Parks and Recreation operates several parks in the Bergen Beach area. Joseph T. McGuire Park is located on Bergen Avenue, along the eastern coast of Bergen Beach between Avenue V and Shore Parkway. It contains several fields for sports such as baseball and volleyball.[62] Bergen Beach Playground is located in Bergen Beach's northwestern section along East 71st Street between Avenues N and T.[63] Hickman Playground, located on Veterans Avenue between East 66th and 68th Streets, is named for Flatlands resident Vincent Hickman, who died during the Korean War.[64]

    Since , the Jamaica Bay Riding Academy has operated a horseback riding school along Shore Parkway with 80 stables. The academy spans acres (&#;ha) within the Gateway National Recreation Area, which borders Bergen Beach to the south.[65]

    Education[edit]

    P.S. , a public elementary school, is located in Bergen Beach.[66]Success Academy Charter Schools also operates an elementary school in Bergen Beach.[67]

    Brooklyn Public Library operates the Mill Basin Library at Ralph Avenue, near Avenue N. The Mill Basin Library first opened in , and it has been located in its current building since [68]

    Notable streets[edit]

    Private Cosmo L. Barone Triangle is bounded by Avenue U, East 71st Street, and Veterans Avenue. It is named after Pfc. Cosmo Barone, a soldier who grew up in Brooklyn and died during the Vietnam War.[69] Veterans Avenue, in turn, was renamed to honor soldiers who fought in World War II. It had been named Island Avenue because it originally led to Bergen Island.[11]

    Mill Lane exists in several small, disconnected segments south of Avenue N. One segment is located in the extreme western section of present-day Bergen Beach.[70] It formerly connected with a Native American trail named Bergen Beach Road, which led from the town of Flatlands to Bergen Island.[71]

    Ralph Avenue, the western boundary of Bergen Beach, was named after Ralph Patchen, an early landowner in Brooklyn who owned land further north along the avenue.[24]:&#;93–94&#;

    Transportation[edit]

    There is very little public transportation in Bergen Beach.[55] The neighborhood is far away from the New York City Subway, and many residents drive their own vehicles.[55] The only public transportation is the B3, B41, and BM1 bus routes, operated by MTA Regional Bus Operations.[28]

    The B3 route formerly ran further into Bergen Beach, serving East 73rd and East 74th Streets, but was truncated to Avenue U and East 71st Street in [72] The B41 route actually has two branches: one to Bergen Beach and one to the Kings Plaza shopping mall.[28] It was a descendant of the Flatbush Avenue streetcar route, which was replaced by the current bus service in March [73]

    References[edit]

    1. ^ ab"NYC Planning

      Bergen Beach, Brooklyn

      "Bergen Beach" redirects here. For the unincorporated community in Fond du Lac County, Wisconsin, see Bergen Beach, Wisconsin.

      Neighborhood of Brooklyn in New York City

      Bergen Beach is a residential neighborhood in the borough of Brooklyn, New York City. It is African Grand Casino 241% Match on a peninsula abutting Jamaica Bay in the southeastern portion of the borough, African Grand Casino 241% Match, and is bordered by Mill Basin and the neighborhood of the same name to the south and west; the neighborhood of Flatlands to the northwest; Paerdegat Basin and the neighborhood of Canarsie to the northeast; and Jamaica Bay and the Belt Parkway to the east. Bergen Beach contains a sub-neighborhood named Georgetown. The vast majority of residents are white, and the neighborhood generally has a suburban quality.

      Bergen Beach was originally an island. The Canarsie Indians who occupied the area referred to it as Winnipague, African Grand Casino 241% Match. The island was renamed Bergen Island for early settler Hans Hansen Bergen. From toPercy G. Williams and Thomas Adams operated an amusement park in the area. Bergen Beach was connected to the rest of Brooklyn via landfill byalthough development did not come for many years. In the s, a housing development called "Georgetowne" was proposed for Bergen Beach, but it was never built due to opposition from local residents. As a result, much of Bergen Beach was not fully developed until the s.

      Bergen Beach is part of Brooklyn Community District 18, and its primary ZIP Code is [1] It is patrolled by the 63rd Precinct of the New York City Police Department.[4]

      Geography[edit]

      Originally, Bergen Beach was an island in Jamaica Bay off the coast of Canarsie, called "Bergen Island"[5] or "Bergen's Island".[6]:&#;9&#; Most of the island was sea-level meadows, but 60 acres (24&#;ha) of the island were uplands, or hilly areas located above sea level.[7]:&#;10–11&#; The sea-level meadows were replete with shell middens, or mounds, harvested from univalves and bivalves caught in Jamaica Bay.[6]:&#;12&#; A bulkhead was built along the shore in the late s, and was later connected to the uplands of nearby Mill Basin. This created a continuous embankment between Mill Basin and Paerdegat Basin, African Grand Casino 241% Match, which was later used for the construction of Belt Parkway.[8]:&#;77&#;

      Bergen Island was connected to the mainland bywhen the marshland was filled in,[9] though some sources state that the island was connected to the mainland by [10] More fill was added in the s.[11] This fill was unstable, and as a result, parts of Bergen Beach have been sinking.[5] Many homes in the area were built so that if the ground in front of the house sank, extra African Grand Casino 241% Match could be added. The sinking land is particularly pronounced in some parts of Bergen Beach, where minor rainfall or snow melt can cause ponding and flooding in the streets.[12]

      The modern neighborhood of Bergen Beach is adjacent to Canarsie and Paerdegat Basin to the northeast, Flatlands to the west, Mill Basin to the southwest, and Jamaica Bay to the southeast.[13] The website Forgotten NY delineates the boundaries of Bergen Beach as Paerdegat Basin to the northeast, Ralph and Mill Avenues to the west, Avenue U and the Little Mill Basin waterway to the southwest, and Jamaica Bay to the southeast.[11]Google Maps defines the boundaries similarly, except that Veterans Avenue, instead of Avenue U, forms part of the southwestern boundary.[14] Georgetown is considered a subsection of Bergen Beach. It is bounded by Ralph Avenue to the west, Avenue N to the south, Avenue U to the southeast, and Paerdegat Basin to the northeast.[12][15] Both Bergen Beach and Georgetown are zoned as predominantly residential neighborhoods with one- or two-family residences. Small commercial overlays and recreational waterfront uses also exist, and a strip along Bergen Basin is zoned for light industrial uses.[16]

      History[edit]

      Historic image of the Bergen House

      Early settlement[edit]

      The coastal lands around Jamaica Bay, including present-day Bergen Beach, were originally settled by the Canarsie Indians. At the time, the Native Americans referred to Bergen Island as "Winnipague"[7]:&#;4&#; or "Winnippague".[6]:&#;9&#;[17] The Canarsie Indians also called the island "Wimbaco", a name meaning "fine water place".[6]:&#;9&#; The Native Americans likely used Bergen Island to create wampum.[18]:&#;&#;[19]:&#;64&#; This location may have been chosen because it was easy to defend: the Indians could see intruders from the uplands and form a line of defense across the narrow flat that led to the island. Through the 20th century, the shell middens that resulted from the wampum-making process were used to create roads, as well as for fertilizer.[6]:&#;10&#; Remnants of Native American activity on the island, including stone markings, conch shell beds, and broken arrow tips, could be seen through the midth century.[7]:&#;4&#;[18]:&#;&#; Bergen Island may also have contained fields that the Indians used for planting.[7]:&#;8&#;[19]:&#;65&#;[20]:&#;36–44&#; There were collectively three planting fields on Bergen Island and in Canarsie.[6]:&#;9&#;[19]:&#;65&#;

      Inthe Dutch Republic incorporated much of the current New York City area into the colony of Extra Vegas Casino No Deposit Bonus Codes Netherland.[7]:&#;4&#; Inas the Dutch were expanding outward from present-day Manhattan, Dutch settlers founded the town of Achtervelt (later Amersfoort) and purchased 15, acres (6,&#;ha) around Jamaica Bay. Amersfoort was centered around the present-day intersection of Flatbush Avenue and Flatlands Avenue.[7]:&#;9&#; The Dutch also founded a trading post on Bergen Island, which they renamed "Mentelaer's Island".[21] Ownership of Bergen Island was granted to John Underhill inand Underhill soon sold the property to others.[7]:&#;11&#; New Netherland became British New York inand Amersfoort was renamed Flatlands.[7]:&#;9&#; Bergen Island, as well as nearby Mill Island and Barren Island, were part of the Town of Flatlands. A settler African Grand Casino 241% Match Elbert Elbertse bought Bergen Island inand by the s, all three islands were leased by Elbertse. When he African Grand Casino 241% Match inhe bequeathed 60 acres (24&#;ha) of the island to his son.[7]:&#;11&#;

      The island was known as "Winnipague" through the 18th century.[7]:&#;11&#; By the turn of the century, it had been renamed for Hans Hansen Bergen, an early Norwegian[22] or Dutch settler of New Netherland.[13][23][24]:&#;59&#; He lived in the Bergen House,[21] which was built sometime before [7]:&#;11&#; One story has it that Bergen's PrimaPlay Casino 60 Free Spins was hit by British bombs during the American Revolutionary War,[25] but this is not supported by documentation. Another rumor, that the American spy Nathan Hale was executed near or on Bergen Island, is also refuted by other evidence.[7]:&#;11&#;

      By the s, Cornelius Bergen owned a farm on the island along the Jamaica Bay coast.[7]:&#;11&#; However, Bergen Island remained largely undeveloped until the end of the century.[7]:&#;38&#; According to an map, African Grand Casino 241% Match, John C. Bergen owned most of the island, which only had two structures and a dirt road.[8]:&#;77&#;

      Amusement park[edit]

      Boardwalk of Bergen Beach, circa

      In the late s, vaudeville theater manager Percy G. Williams partnered with Thomas Adams, the chewing gum magnate, to buy acres (&#;ha) of marshland on Bergen Island.[10][13][26] The island was sold to the Germania Real Estate and Improvement Company in It quickly laid out streets between Avenues T and Z, east of present-day East 70th Street.[7]:&#;38&#;[8]:&#;77&#;

      Williams and Adams had meant to construct housing, but instead decided to emulate the successful Coney Island resort further west.[27] They converted Bergen Island into a resort, which was connected to the rest of the city by the Flatbush Avenue streetcar route (now the B41 bus).[11][21][28] The resort opened in with a dance hall, concessions, rides and a pier.[9] The Flatbush Avenue streetcar to Bergen Beach started operating in May [29] The coast of Bergen Island, and the park itself, came to be known as "Bergen Beach".[8]:&#;77&#; In AugustAfrican Grand Casino 241% Match, the New York Herald characterized the "brightly caparisoned and gilded resort" at Bergen Beach:

      The board walk echoes with the tread of Egyptian dancing girls, African Grand Casino 241% Match, Irish villagers, knights in armor, girls in clinging lace costumes, young men in white duck trousers, African Grand Casino 241% Match, soubrettes adorned with yellow tresses, jugglers, mountebanks, opera singers, and Frankfurter sausage venders. The Casino is for dining either inside or on the veranda; steak or raw clams. Inside you can watch the soubrettes sing and dance. There are annexes to the Casino on either end of the boardwalk where they sell drinks; hard and soft. The intervening gulfs (along the Boardwalk) are filled with Moorish castles, Egyptian encampments, Irish villages, black Americans, white Coney Island fakirs, blood testing machines, vitascopes, knock-the-baby-down skill games.[30]

      The report went on to describe the Irish Village, Mystic Moorish Maze, Egyptian encampment, scenic railway and other attractions.[30] There were also bathing facilities, exhibits, sideshows, eating places and a beer garden.[26] The park Best Visa Casinos 2022 | US Online Casinos That Accept Visa a "casino",[31] which at the time meant a place where entertainments were staged.[27] The casino put on vaudeville, musical comedies and stock company productions.[9] The Trocadero Theatre was also located on the Bergen Beach boardwalk.[7]:&#;38&#;[31]

      In Marchthe Brooklyn Rapid Transit Company offered to buy the Bergen Beach resort, but could not meet Williams's price. Separately, the frequency of trolley service was reduced since the Flatbush Avenue tracks had been damaged by a storm that winter.[32] In April of that month, Williams announced that the resort would not open unless the BRT repaired the trolley tracks to Bergen Beach.[33] Later the trolley service improved, African Grand Casino 241% Match, since Bergen Beach was a good source of fares. In the summer of the casino staged The Girl in Black, a popular musical-and-comedy show that ran for the whole season.[31] The resort suffered $25, in damages (equivalent to $72, in ) due to a fire inbut African Grand Casino 241% Match New York Times reported that "the tide in Jamaica African Grand Casino 241% Match and two Brooklyn Rapid Transit trolley cars" brought the water that ultimately saved the park from burning down.[34] The Percy Williams Amusement Park opened the next year at the Bergen Beach resort.[21] This became one of several amusement districts in the New York City area, ALC Casino: Review of the Best Deposit Bonus in 2022 with similar resorts in Canarsie; Coney Island; Rockaway Beach, Queens; and Staten Island.[35]

      A roller skating rink at the park opened inwith a band playing in the afternoons.[31][36] That year, surveyors were sent to map the settlements around Jamaica Bay as part of a project to dredge the bay for potential use. They reported that at the time, the only occupied settlements along Jamaica Bay were located at Canarsie and Bergen Beach.[37] Piers for ferry service were constructed along Bergen Beach at Avenues V and X. Two ferry routes to Canarsie ran between andand for a short time, there was also a ferry to Rockaway Beach.[7]:&#;66&#; However, ferry routes to Bergen Beach were not profitable, and it was hard to navigate the shallow channels near Bergen Island.[7]:&#;38&#;

      A more serious fire in crippled the Percy Williams Amusement Park's operations, destroying $, worth of property (equivalent to $11, in ).[31] ByAfrican Grand Casino 241% Match, two more amusement African Grand Casino 241% Match had been built, as well as a scenic railroad.[7]:&#;38&#; The resorts in Coney Island and Rockaway Beach proved to be more popular than Bergen Beach because the other resorts had easy transit access, whereas Bergen Beach did not.[13] Pollution from Barren Island, a notorious waste processing site,[38] also decreased the appeal of Bergen Beach.[10] As a result, the Bergen Beach resort closed by [31]

      Inas part of a dredging project in nearby Rockaway Inlet, the city agreed to add bulkheads along 4, feet (1,&#;m) of the Bergen Beach coast. Williams and Adams later sued, ostensibly to delay the project.[39]

      Redevelopment[edit]

      After the failure of the amusement park, Bergen Beach was redeveloped.[21] Inreal estate developers Max Natanson and Mandlebaum & Levine bought Williams and Adams's former amusement park for close to $2 million (equivalent to $29, in ).[40] At the time, they planned to develop Bergen Beach's 3, lots as a residential area with an entertainment district. There would have been a beach and an amusement park similar to Williams and African Grand Casino 241% Match park.[41] However, this plan never materialized, and by ,[13] the lots were sold off piece-by-piece to different people.[21]

      Bungalows and vacation houses were built on the coast of "Flatlands Bay", African Grand Casino 241% Match, around Bergen Island, before World War I. However, city records from to do not indicate where exactly these houses were erected. Inthe New York City Department of Docks began leasing lots and bungalows on Bergen Beach. As ofthe yearly rates for these lots ranged between $10 and $ (worth between $ and $3, in ).[7]:&#;39&#; Bergen's house itself was demolished during the construction of Belt Parkway, also known as the Shore Parkway, in the s. When the parkway opened inthough, it did not spur development in Bergen Beach.[21] The WPA Guide to New York City mentions that the area comprising present-day Mill Basin and Bergen Beach was the residence of "pathetic communities of squatters, who live in makeshift houses, and eke out a living by fishing and scouring the near-by city dumps for odd necessities". At the time, the southern shore was still marshland.[42] Although fourteen single-family houses were built in the s,[43] much of the neighborhood retained a rural character through the s.[21]

      Starting in the s, a series of suburban waterfront communities were being rapidly developed in Southeast Brooklyn, including in present-day Bergen Beach, Canarsie, and Mill Basin. Bya new 69th Precinct building for the New York City Police Department, as well as the South Shore High School in Canarsie, had to be constructed to accommodate the growing population.[44] The neighborhood had some of the most expensive houses in Brooklyn by [45] Bergen Beach only became popular as a suburban neighborhood toward the end of the 20th century.[21] Further development did not come until the s, when more of the marsh was filled in.[11] From toprices of residential lots in Bergen Beach increased fourfold. At the time, one developer African Grand Casino 241% Match constructing two- and three-bedroom apartments with prices ranging between $, and $,[5] The last city-owned sites along Paerdegat Basin were sold to private developers between and [46]

      In the s, a combined sewer overflow (CSO) facility for Paerdegat Basin was built in Bergen Beach. It African Grand Casino 241% Match completed in August [47]

      Georgetowne[edit]

      A part of the neighborhood called Georgetowne, located to the north of Bergen Beach proper, was undeveloped until the s, when a community of two-story semi-attached colonials called Georgetowne Greens was proposed.[48] Many of the homes would have been built on the landfilled section of the area.[12] Around the same time, Mayor John Lindsay sought to build a unit middle-class housing development called Harbour Village in the same area. Harbour Village would be a Mitchell-Lama development built using modular construction.[49] The uncertainty of whether it would be approved brought new construction on Georgetowne Greens to a halt.[12]

      The New York City Board of Estimate approved Harbour Village by an 18–0 vote on March 25, [50] However, it ultimately rejected the proposal in September after public outcry by the mostly white, mostly well-off residents of nearby Bergen Beach and Mill Basin.[51] By that point, interest in Georgetowne Greens had waned, and the project was terminated. The first houses built for the development still remain.[52] The area was ultimately developed as the neighborhood African Grand Casino 241% Match Georgetown,[12] though parts of Georgetown remained undeveloped through the s.[11] The "Georgetowne" appellation still exists in the name of a strip mall in Georgetown.[53]

      [edit]

      St. Bernard Clairvaux Church

      Located along the southern coast of Brooklyn, Bergen Beach has a suburban quality.[54] The nearest stores are located in the Georgetown Shopping Center, as well as a Key Food location in Mill Basin.[55] Bergen Beach also contains the Mill Harbor Condominiums, one of the few gated communities in New York City.[56] The neighborhood includes the St. Bernard Clairvaux Church, located on Veterans Avenue near 69th Street.[54] Bergen Beach and Georgetown are part of Brooklyn Community Board 18, which also includes Canarsie, Mill Basin, Marine Park, and the southern portion of Flatlands.[57]

      Bergen Beach and Georgetown are located in ZIP Codewhich also includes Mill Basin, Marine Park, and the southern portion of Flatlands. Based on data from the United States Census, the combined population of Georgetown, Marine Park, Bergen Beach, and Mill Basin was 45, an African Grand Casino 241% Match of 2, (%) from the 42, counted in the United States Census. Covering an area ReelEmperor Casino No Deposit Bonus Codes 1, acres (&#;ha), the neighborhood had a population density of inhabitants per acre (17,/sq&#;mi; 6,/km2).[2]

      By the end of the 20th century, the vast majority of Bergen Beach residents were white, as were most residents of adjacent neighborhoods such as Mill Basin and Marine Park.[54] Specifically, many of the residents were Italian-Americans.[13] The United States Census counted 3, residents, of which three were black; as of the United States Census, there were 28 black residents.[54] However, bythe number of black residents in Southeast Brooklyn had risen %, the steepest such increase of any area in the city. As of that year, the African American population in these neighborhoods represented % of the total population.[58] As of the Census, the racial makeup of Southeast Brooklyn was % (33,) White, % (4,) African American, % (47) Native American, % (2,) Asian, % (7) Pacific Islander, % () from other races, and % () from two or more races. Hispanic or Latino of any race were % (3,) of the population.[3]

      Police and crime[edit]

      Bergen Beach is patrolled by the New York City Police Department's 63rd Precinct.[55] The precinct also covers Marine Park, Mill Basin, and part of Flatlands.[4] Because of the precinct's distance from Bergen Beach, some residents had complained that there was not enough police presence in the neighborhood.[59] The 63rd Precinct ranked 31st safest out of 69 patrol areas for per-capita crime in [60]

      The 63rd Precinct has a lower crime rate than in the s, with crimes across all categories having decreased by % between and The precinct reported 5 murders, 14 rapes, 88 robberies, felony assaults, 92 burglaries, grand larcenies, and 62 grand larcenies auto in [61]

      Recreation[edit]

      The New York City Department of Parks and Recreation operates several parks in the Bergen Beach area. Joseph T. McGuire Park is African Grand Casino 241% Match on Bergen Avenue, along the eastern coast of Bergen Beach between Avenue V and Shore Parkway. It contains several fields for sports such as baseball and volleyball.[62] Bergen Beach Playground is located in Bergen Beach's northwestern section along East 71st Street between Avenues N and T.[63] Hickman Playground, located on Veterans Avenue between East 66th and 68th Streets, is named for Flatlands resident Vincent Hickman, who died during African Grand Casino 241% Match Korean War.[64]

      Sincethe Jamaica Bay Riding Academy has operated a horseback riding school along Shore Parkway with 80 stables. The academy spans acres (&#;ha) within the Gateway National Recreation Area, which borders Bergen Beach to the south.[65]

      Education[edit]

      P.S.a public elementary school, is located in Bergen Beach.[66]Success Academy Charter Schools also operates an elementary school in Bergen Beach.[67]

      Brooklyn Public Library operates the Mill Basin Library at Ralph Avenue, near Avenue N. The Mill Basin Library first opened inand it has been located in its current building since [68]

      Notable streets[edit]

      Private Cosmo L. Barone Triangle is bounded by Avenue U, East 71st Street, and Veterans Avenue. It is named after Pfc. Cosmo Barone, a soldier who grew up in Brooklyn and died during the Vietnam War.[69] Veterans Avenue, in turn, was renamed to honor soldiers who fought in World War II. It had been named Island Avenue because it originally led to Bergen Island.[11]

      Mill Lane exists in several small, disconnected segments south of Avenue N. One segment is located in the extreme western section of present-day Bergen Beach.[70] It formerly connected with a Native American trail named Bergen Beach Road, which led from the town of Flatlands to Bergen Island.[71]

      Ralph Avenue, the western boundary of Bergen Beach, was named after Ralph Patchen, an early landowner in Brooklyn who owned land further north along the avenue.[24]:&#;93–94&#;

      Transportation[edit]

      There is very little public transportation in Bergen Beach.[55] The neighborhood is far away from the New York City Subway, and many residents drive their own vehicles.[55] The only public transportation is the B3, B41, and BM1 bus routes, operated by MTA Regional Bus Operations.[28]

      The B3 route formerly ran further into Bergen Beach, serving East 73rd and East 74th Streets, but was truncated to Avenue U and East 71st Street in [72] The B41 route actually has two branches: one to Bergen Beach and one to the Kings Plaza shopping mall.[28] It was a descendant of the Flatbush Avenue streetcar 666 Casino No Deposit Bonus Codes, which was replaced by the current bus service in March [73]

      References[edit]

      1. ^ ab"NYC Planning

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        Dr. Mariannette Miller-Meeks, B.S.N., casinobet77.asia, M.D.

        Director, IowaDepartmentofPublicHealth

        Page 7 of


        Iowa’s PublicHealth System – Overview

        Vision

        Healthy Iowans living in healthy communities.

        Mission

        Promoting and protecting the health ofIowans.

        Guiding Principles

        We strive for INNOVATION and CONTINUOUS IMPROVEMENT in our

        activities to promote and protect the health ofIowans.

        With a collective sense of SOCIAL JUSTICE, our activities reflect an

        understanding and acceptance of DIVERSITY among Iowans.

        We encourage COLLABORATION in our activities and in our decisionmaking

        so that we respond more effectively to emerging issues and assure

        the highest QUALITY of services we can provide.

        We recognize the value of a healthy COMMUNITY in developing healthy

        Iowans. We encourage our employees, Iowa’s communities, and individual

        Iowans to work together as PARTNERS to build a healthy Iowa.

        We are committed to using EVIDENCE-BASED strategies to assure our

        programs focus on creating RESULTS that improve the health ofIowans.

        What does PublicHealth do?

        Public health is a partnership of local public health, the IowaDepartmentofPublicHealth

        (IDPH), non-profit organizations, health care providers, policymakers, businesses, African Grand Casino 241% Match, and many

        others working together to promote and protect the health ofIowans. Public health strives to

        improve the quality of life for all Iowans by assuring access to quality population-based health

        services related to the following goals:

        ● Preventing injuries;

        ● Promoting healthy behaviors;

        ● Protecting against environmental hazards;

        ● Strengthening the public health infrastructure;

        ● Preventing epidemics and the spread of disease; and

        ● Preparing for, African Grand Casino 241% Match, responding to, and recovering from public health emergencies.

        Page 8 of


        How does Iowa’s PublicHealth System meet these goals?

        In Iowa, local boards of health are responsible for protecting the public’s health. County

        boards of supervisors appoint the members of the local boards of health. Iowa law gives broad

        authority to local boards of health to decide what public health services to provide within their

        jurisdictions and how to provide them. Thus, the size and structure of local public health

        agencies and the services they provide varies greatly throughout the state. Local boards of

        health work with agencies, businesses, health care providers, and others to assure public

        health services are being provided in their jurisdiction.

        The IowaDepartmentofPublicHealth (IDPH) partners with local public health, policymakers,

        health care providers, business and many others to fulfill our mission of promoting and

        protecting the health ofIowans. IDPH’s primary role is to support Iowa’s 98 county boards of

        health, African Grand Casino 241% Match, 2 city boards of health, and 1 district board of health in this mission. To do this, African Grand Casino 241% Match, IDPH

        provides technical support, consultation, and funding. IDPH also provides a variety of direct

        services such as licensing health professionals; regulating emergency medical services and

        substance abuse treatment providers; regulating radioactive materials; and collecting birth,

        death, and marriage records. The State Board ofHealth is the policymaking African Grand Casino 241% Match for IDPH.

        Iowa’s governor appoints State Board ofHealth members African Grand Casino 241% Match the department’s director.

        Page 9 of


        How the IowaDepartmentofPublicHealth is Organized

        Iowa has had a state public health agency since when the Eighteenth General Assembly

        formed the State Board ofHealth to “provide for the collecting of vital statistics and to assign

        certain duties to local boards of health.” Since then, its duties have greatly expanded. Today’s

        IDPH serves as the state’s leader in administering and funding public health, overseeing more

        than 85 programs and employing more than people.

        The State Board ofHealth is IDPH’s legally designated policy-making body. The Board has the

        power and the duty to adopt, promulgate, amend, and repeal administrative rules and

        regulations. The Board also advises and makes recommendations to the governor, General

        Assembly, and the IDPH director, on public health, hygiene, and sanitation. The IDPH director

        works closely with the State Board ofHealth to develop state health policy.

        IDPH is organized into seven units.

        1. Director’s Office

        2. Division of Acute Disease Prevention and Emergency Response

        3. Division of Administration and Professional Licensure

        4. Division of Behavioral Health

        5. Division of Environmental Health

        6. Division ofHealth Promotion and Chronic Disease Prevention

        7. Division of Tobacco Use Prevention King Billy Casino No Deposit Bonus Codes Control

        IDPH provides administrative support for 24 professional licensure boards that regulate and

        license various health professions. IDPH also provides staff for several consumer-oriented

        councils and task forces. Many Iowans serve on these various boards and commissions, African Grand Casino 241% Match. They

        provide regular input into the department’s policy development, program planning,

        implementation, and evaluation efforts.

        Contracting is done with more than entities, in all 99 counties, to provide populationbased

        health services and a limited number of personal health services. These contractors

        include county boards of health and boards of supervisors, community-action programs, public

        health nursing agencies, maternal and child-health agencies, substance abuse prevention

        agencies, emergency medical service providers, HIV/AIDS prevention and care providers, and

        many others.

        Page 10 of


        IowaDepartmentofPublicHealth – Budget Summary

        Total expenditures in State Fiscal Year (SFY) were $, The following chart

        shows the breakdown for expenditures by funding source:

        General Funds

        $46,

        23%

        Federal Funds

        $,

        61%

        Other Funds

        $32,

        16%

        “Other Funds” refer to fees collected and retained by individual programs or via memoranda

        of understanding that have been established with other state agencies, or grants received

        from private organizations.

        The following table shows SFY, and expenditure information for the

        department as a whole. This Annual Report and Budget Summary also includes SFY ,

        , and expenditure information for individual department programs and services.

        Table 1. IowaDepartmentofPublicHealth Budget Summary

        SFY Actual SFY Actual SFY Estimate

        State General Fund $52, $46, $48,

        Federal funds $, $, $,

        Other funds $31, $32, $46,

        Total funds $, $, $,

        FTEs

        Note: Total funds may not equal sum of individual funding sources due to rounding.

        Page 11 of


        IowaDepartmentofPublicHealth – Programs and Services

        The following pages include details about department programs and services. These profiles

        include

        ● the name of the program/service,

        ● a main telephone number and Internet address,

        ● the division overseeing the program/service,

        ● why the program/service is important to promoting and protecting the health of

        Iowans,

        ● a description of services,

        ● at least one measure of progress toward program goals, and

        ● state fiscal year, and expenditure information.

        Not all programs will have data for the measures of progress. In these cases, the data for

        the most recent year available is reported for the measure. Overall, programs met targets or

        showed progress toward meeting targets for 64 (56%) of the reported measures in the

        profiles for which there were targets, an decrease from last year in which 58% of targets African Grand Casino 241% Match. More detailed information about how we are doing is available in the How do we

        measure our progress? section of each profile.

        To take a virtual tour of IDPH and view the most recent versions of the profiles, go to

        casinobet77.asia

        Page 12 of


        Access to Quality Rural Health Services

        Division ofHealth Promotion & Chronic Disease Prevention

        Phone:

        casinobet77.asiaHealthcasinobet77.asia

        Rural Iowa has charming towns and productive farmlands. Residents are known for their strong work ethics and mid-west

        rural way of life. In addition, residing in rural areas sometimes means a lack of timely access to all needed health care

        services. There are 82 critical access hospitals, 10 rural hospitals, federally certified rural health clinics and several other

        medical clinics and public health offices offering health and safety services to rural residents.

        IDPH’ s Rural Health programs have a number of projects, and work with partners to ensure strategies and initiatives so

        rural Iowans are better able to get quality health care, occupational safety programs and disease prevention services.

        Transportation services also play a role in the ability of rural residents especially the elderly, to readily see their healthcare

        provider. In the recent IDPH Community Health Needs Assessment and Health Improvement Plan (CHNA & HIP), access to

        health care was ranked as the top need by Iowa counties.

        Didyouknow? Iowa’s population is 3, people with 1, or 43% living in rural areas. Of the 92

        rural hospitals, African Grand Casino 241% Match, 82 hospitals are classified as critical access hospitals and have a maximum of 25

        beds. Rural hospitals also bring an array of outpatient services and skilled care centers to

        communities. Additionally, Iowa also has federally certified rural health clinics with primary

        care services. Rural health systems are a strong economic engine for rural counties.

        Why is Access to Quality Rural Health Services important

        to promoting and protecting the health African Grand Casino 241% Match All Iowans need to be able to get timely emergency health care

        access.

        ● With the Affordable Care Act, Iowa will be adjusting to new systems

        of care. IDPH is assisting facilities in addressing these changes.

        Which African Grand Casino 241% Match Goals

        are we working to achieve?

        Strengthen the public health infrastructure

        ● Rural health care providers are increasing cost effective access through the meaningful use of electronic health records.

        ● IDPH can effectively speak on behalf of rural health issues at the national and state levels.

        ● No other state entity provides a high level of assistance and advocacy for health care access.

        ● The Bureau of Oral and Health Delivery Systems programs maintain Iowa’s commitment to become the healthiest state

        in the nation.

        What do we do?

        Provide funding to rural hospitals, organizations, and health

        systems to assist with implementing projects that will: improve

        the quality of healthcare, improve financial and operational

        performance, and develop collaborative regional and local

        health delivery systems.

        Provide technical assistance for variety of improvement

        activities including: project management, staffing, education,

        technology purchases, and community engagement initiatives.

        Collect and distribute information on the local, state, and

        national levels on rural health issues.

        ● Develop projects and activities that may be used and serve as

        models for communities throughout Iowa.

        ● Coordinate Health Care Reform efforts for Health and Long

        Term Care and for the Direct Care Workforce.

        ● The Bureau of Oral and Health Delivery Systems’ three health

        delivery system programs (State Office of Rural Health, FLEX -

        Medicare Rural Hospital Flexibility Program, and SHIP - Small

        Rural Hospital Improvement Program) use federal-state

        partnerships to find and solve problems regarding rural health

        care access.

        Page 13 of


        How do we measure our progress?

        Number of unduplicated technical assistance encounters

        (substantive information, advice, education, and training)

        provided to Iowa communities, clinics, hospitals, providers

        and others by staff in IDPH’s Rural Health Programs and

        Primary Care Office.

        Data Source: Bureau progress reports. Data are available annually.

        How are we doing? We continue to increase encounters

        and assistance with a total of 1, communities, clinics,

        hospitals, providers, and others to serve Iowans in FY

        1,

        1,


        communities

        communities


        clinics

        communities

        clinics

        hospitals


        clinics

        hospitals

        providers


        hospitals

        & EMS

        providers

        providers

        & EMS

        & EMS

        others

        0

        others

        others


        Federal Fiscal Year

        # of communities

        # of clinics 99

        # of hospitals

        # of providers & EMS agencies

        others 73 67

        What can Iowans do to help?

        1. Learn more about the Bureau of Oral and Health Delivery Systems and the importance of rural health

        care access by visiting casinobet77.asiaHealthcasinobet77.asia

        2. Take part in rural health and local community planning for health services.

        Expenditures

        FLEX: federal grant: State Office of Rural Health: federal grant:

        SHIP: federal grant: Health Delivery Systems: general fund &

        intra state receipts*; State funds are used for a match for the Office of Rural

        Health Grant: K; K/ (40%).

        State Fiscal Year

        Actual

        State Fiscal Year

        Actual

        State Fiscal Year

        Estimate

        State funds $, $, $,

        Federal funds $1, $1, $1,

        Other funds* $0 $53, $53,

        Total funds $1, $2, $1,

        FTEs

        Note: Funding information is intended to provide an overview of funding related to the program area. It does not

        include all federal and state requirements and/or restrictions for the use of funds. Contact the program area for

        more detailed budget information.

        IowaDepartmentofPublicHealth Division ofHealth Promotion & Chronic Disease Prevention Access to Quality Rural Health Services

        Phone: Fax: casinobet77.asiaHealthcasinobet77.asia

        4th Floor, Lucas Building E. 12th Street Des Moines, IA

        FLEX – Phone:

        casinobet77.asia?prog=FLEX&pg=Home

        SHIP – Phone:

        casinobet77.asiaHealthcasinobet77.asia?prog=RHPC&pg=SHIP

        State Office of Rural Health – Phone:

        casinobet77.asiaHealthcasinobet77.asia?prog=RHPC&pg=SORH

        Page 14 of


        Acute Disease Epidemiology

        Division of Acute Disease Prevention & Emergency Response

        Phone:

        casinobet77.asia

        It began with a few cases in eastern Iowa. Cases that had spent time in both the Mississippi River and county swimming

        pools. Within a matter of weeks, there were hundreds of cases of the parasitic disease, cryptosporidiosis. Resistant to

        chlorine, crypto thrives in water environments. Those who ingest the parasite experience profuse diarrhea, stomach

        cramps, and low-grade fevers. The crypto outbreak of was the largest in Iowa history with nearly 1, cases reported

        to the Center for Acute Disease Epidemiology (CADE).

        CADE works to keep Iowans healthy by studying the causes, determining the risks, African Grand Casino 241% Match, and controlling the spread of diseases. By

        continually monitoring, tracking, and testing for diseases, CADE works to prevent future disease outbreaks.

        Didyouknow? The majority of food-borne illness originates from food eaten and prepared at home.

        Why is CADE important to promoting and protecting the

        health ofIowans?

        ● All Iowans are affected by disease. CADE receives an average of 20

        disease reports daily (about 5, per year) that must be

        investigated.

        ● Epidemiology (the study of disease) helps African Grand Casino 241% Match illness to determine

        when there is a widespread threat to your health.

        ● Disease is spread in many ways. With the help of county health

        agencies and providers, CADE investigated and/or referred nearly

        4, cases of infectious disease.

        Which IowaPublicHealth Goals

        are we working to achieve?

        Prevent epidemics & the spread of disease

        Prepare for, respond to, & recover from

        public health emergencies

        Promote healthy behaviors

        30

        How outbreaks began

        Sources of Known Outbreaks, African Grand Casino 241% Match of outbreaks

        25

        20

        15

        10

        8

        5

        0

        Foodborne

        Spread

        person-toperson

        2

        Contact

        with

        animals

        0

        Waterborne

        2

        Vaccine

        Preventable

        0

        Unknown

        What do we do?

        ● Monitor and control infectious diseases.

        ● Plan and prepare for public health emergencies through

        training exercises.

        ● Epidemiologists work with counties to fight diseases and

        outbreaks.

        ● Develop and use ways to prevent and control diseases.

        ● Provide advice, equipment, and assistance to health care

        providers.

        Page 15 of


        How do we measure our progress?

        Number of infectious disease consultations provided to

        clinicians, local public health officials, hospital infection control

        staff, and the public.

        Target: 11,

        30,

        25,

        20,

        15,

        10,

        5,

        0


        Calendar Year

        # of consultations 11, African Grand Casino 241% Match, 28, 15, 11, 11,

        Data Source: CADE staff logs, email accounts. Data are available annually.

        How are we doing? CADE continues to provide thousands of

        consultations each year.

        Percent of disease reports that are sent out for follow-up by

        local public health within 48 hours of receiving them.

        Target: 90%

        %

        90%

        80%

        70%

        60%

        50%

        40%

        30%

        20%

        10%

        0%


        Calendar Year

        % sent within 48 hours 99% 98% 98% 98% 98%

        Data Source: CADE disease report processing system. Data are available annually.

        How are we doing? CADE refers disease reports to local

        public health agencies for follow up investigation, African Grand Casino 241% Match. In

        addition, and as a reminder for investigations that remain

        open, CADE sends an “outstanding reports” notification to

        counties on a routine basis. This is African Grand Casino 241% Match indication that local

        public health agencies are more aware of the importance of

        complete and timely disease investigation and reporting.

        What can Iowans do to help?

        1. All Iowans can help stay well and prevent the spread of illness with good health habits: eat healthy

        foods, exercise, keep your vaccinations up-to-date, African Grand Casino 241% Match, and remember to wash your hands!

        2. Public health officials and health care providers should be aware of infectious diseases and remember

        the importance of reporting those diseases to IDPH African Grand Casino 241% Match phone at or fax at


        3. All Iowans can learn about diseases and the way diseases are spread by getting information and advice

        from trustworthy sources casinobet77.asia

        Expenditures

        General fund, federal funds, & private grants*: K; //

        ///AR

        State Fiscal Year

        Actual

        State Fiscal Year

        Actual

        State Fiscal Year

        Estimate

        State funds $, $, $,

        Federal funds $1, $2, $2,

        Other funds* $, $, $,

        Total funds $2, $3, $3,

        FTEs

        Note: Funding information is intended to provide an overview of funding related to the program area. It does not

        include all federal and state requirements and/or restrictions for the use of funds. Contact the program area for more

        detailed budget information.

        IowaDepartmentofPublicHealth Division of Acute Disease Prevention & Emergency Response Acute Disease Epidemiology

        Phone: Fax: casinobet77.asia

        5th Floor, African Grand Casino 241% Match, Lucas Building E. 12th Street Des Moines, IA

        Page 16 of


        Adolescent Health

        Division ofHealth Promotion & Chronic Disease African Grand Casino 241% Match

        casinobet77.asia

        Behaviors ofyoung people are influenced at individual, peer, family, school, community, and societal levels. Because many

        societal factors contribute to adolescent health, safety, and well-being, a collaborative African Grand Casino 241% Match engaging multiple partners

        and sectors is necessary. Such joint efforts can also help to promote a more comprehensive approach to addressing

        adolescent health – one that views adolescents as whole persons, recognizing and drawing upon their assets and not just

        focusing on their risks.

        Didyouknow? Adolescents and young adults are youth between the ages of 10 and 24 years old.

        They make up % of the population in Iowa. This time of life is characterized by significant change

        and transition (second only to the 1 st year of life). It provides a great opportunity to build the capacity

        and strength ofyouth to lead healthy, productive lives.

        Why is the Adolescent Health program important to

        promoting and protecting the health ofIowans?

        ● Adolescence is a period where patterns are established and

        lifestyle choices have both current and future implications for

        health and well-being.

        ● The investment that Iowans make in the health and well-being of

        young people impacts our state now and for the future, by

        engaging youth with community leaders.

        ● Risk factors in adolescent’s lives include: unplanned pregnancy;

        Which IowaPublicHealth Goals

        are we working to achieve?

        Promote healthy behaviors

        Prevent epidemics & the spread of disease

        homelessness; suicide; motor vehicle crashes, including those caused by drinking and driving; substance use and abuse;

        smoking; sexually transmitted infections (STIs) including human immunodeficiency virus (HIV); and lack of connections to

        caring and supportive adults, families, schools, and communities.

        ● Supporting young people to African Grand Casino 241% Match positive choices – such as eating nutritiously, engaging in physical activity, and avoiding

        substance abuse, African Grand Casino 241% Match, will decrease their risk of sustaining serious injuries or developing chronic diseases in adulthood.

        What do we do?

        Education for Adolescents

        Healthy relationships

        Adolescent development

        Educational and career services

        Community Service Learning

        Healthy life skills

        Sexual health

        Reproductive Life Planning

        Bullying

        Suicide prevention

        Adolescent health website—casinobet77.asia

        TEEN Line resource and referral

        Pregnancy Prevention

        Personal Responsibility Education Program

        Abstinence Education Grant Program

        Health Promotion

        All youth have safe and supportive families, schools, and communities

        All youth are healthy and socially competent

        All youth are successful in school

        All youth are prepared for a productive adulthood

        All youth have access to health care services for their physical, mental, sexual, so

        emotional, and spiritual well-being

        Page 17 of


        How do we measure our progress?

        Number of births to teens ages 15 to 17 (per 1, females

        ages 15 to 17).

        Target: 13












        Calendar Year

        teen birth rate

        Data Source: IDPH Vital Records Birth Data, African Grand Casino 241% Match. Data are available annually.

        How are we doing? The teen birth rate has been trending

        down since InIowa reached its target of less

        than births to teens per 1, females from age

        Percent ofIowa high school students who graduate in four

        years.

        Healthy Iowans

        Target: 90%

        %

        %

        %

        %

        %

        %

        %

        %

        %

        %

        %

        Data Source: IowaDepartmentof Education.


        Calendar Year

        Graduation Rate % % % % %

        How are we doing? The state wide high school graduation rate is

        percent, a decrease of percent from the percent

        graduation rate for the class of The rate remains

        ahead of the rate of percent.

        What can Iowans do to help?

        1. Learn more about adolescent health by going to casinobet77.asia

        2. Share with friends and colleagues how prevention, early intervention and timely treatment improve health

        status for adolescents, prepare them for healthy adulthood, and decrease the incidence of many chronic

        diseases in adulthood.

        3. Encourage routine health care visits for adolescents to receive reccommended immunizations.

        4. Encourage young people to visit the adolescent health website by going to casinobet77.asia

        5. Physicians and other health care providers can provide anticipatory guidance during the adolescent well visit

        by reviewing various risk factors that teens may encounter.

        Expenditures

        Federal funds: /

        State Fiscal Year

        Actual

        State Fiscal Year

        Actual

        State Fiscal Year

        Estimate

        State funds $0 $0 $0

        Federal funds $1, $, $,

        Total funds $1, $, $,

        FTEs

        Note: Funding information is intended to provide an overview of funding related to the program area. It does not

        include all federal and state requirements and/or restrictions for the use of funds. Contact the program area for

        more detailed budget information.

        IowaDepartmentofPublicHealth Division ofHealth Promotion & Chronic Disease Prevention Adolescent Health

        Phone: Fax: casinobet77.asia

        5 th Floor, Lucas Building E. 12th Street Des Moines, IA

        Page 18 of


        Brain Injury

        Division of Behavioral Health

        Phone:

        casinobet77.asia

        You can’t always see it, but it is all around you. Brain injuries can be the result of something as minor as a slip on an icy

        sidewalk or as major as African Grand Casino 241% Match head-on car crash. Brain Injury affects children and adults all over Iowa. Whatever the cause, to

        whomever the person; brain injuries can result in physical, mental, and social changes. Individuals with brain injury and

        their families need proper diagnosis and treatment to deal with the daily challenges they face.

        The Brain Injury program works to improve the lives ofIowans living with brain injuries and their families by linking people

        with services, promoting safety to prevent brain injuries from happening and to train providers to best work with

        individuals who have sustained a brain injury. A life may be changed by a brain injury – but that life goes on and the Brain

        Injury program works to ensure that life is the best and most productive it can be.

        Didyouknow? According to the Centers for Disease Control and Prevention (CDC), nearly % of people in Iowa

        or approximately 50, Iowans are currently living with long –term disabilities caused by a brain

        injury (CDC, ).

        Why is the Brain Injury program important to promoting

        and protecting the health ofIowans?

        ● Inthere were more than 17, emergency department visits

        resulting in a diagnosis of traumatic brain injury (TBI) in Iowa; over

        2, Iowans were hospitalized because of TBI; and individuals

        lost their lives.

        ● Brain injuries happen in a wide variety of ways. The top causes

        include falls, vehicle crashes, being hit by an object, and assaults.

        ● Falls, which can result in brain injury, are the leading cause of injury

        to elderly Iowans.

        ● Brain injury can cause changes in thinking, language, learning, emotions, and behavior. It can

        also increase the risk of epilepsy, Parkinson’s disease, and other brain disorders.

        TBI cases in Iowa,

        Which IowaPublicHealth Goals

        are we working to achieve?

        Prevent injuries

        Promote healthy behaviors

        Deaths

        ()

        Hospitalizations

        (2,)

        Emergency Department

        Visits (18,)

        No Services

        Sought (?)

        What do we do?

        ● Promote and carry out brain injury prevention activities.

        ● Provide brain injury information, awareness, and learning

        opportunities.

        ● Work through the Brain Injury Association ofIowa to match

        Iowans with brain injury and their families to supports and

        services.

        ● Study the needs of people with brain injury and their families

        to better meet their needs.

        ● Make recommendations to other state departments to

        support a comprehensive statewide service delivery system.

        ● Administer contracts for provider training through the Iowa

        Association of Community Providers.

        Page 19 of


        How do we measure our progress?

        Number of health professionals receiving brain injury training.

        2,

        1,

        1,

        1,

        1,

        1,





        0


        State Fiscal Year

        Target

        # of professionals 1, 1, 1, 1, 1, 1,

        Data Source: Program records. Data are available annually. data are not yet available.

        How are we doing? Over 1, Iowa healthcare professionals

        continue to be trained on an annual basis.

        Number ofIowans with brain African Grand Casino 241% Match that get information about

        living with it and preventing secondary disabilities.

        3,

        3,

        2,

        2,

        1,

        1,


        0

        # ofIowans getting

        information


        State Fiscal Year

        Target

        1, 2, 2, 2, 2, 3,

        Data Source: Brain Injury Association ofIowa. Data are available annually. data are not yet available.

        How are we doing? The number ofIowans with brain injury

        receiving information about living with brain injury has almost

        doubled since

        What can Iowans do to help?

        1. Iowans and family members experiencing brain injury can advocate for increased and appropriate

        brain injury related services. For more information, contact the Brain Injury Alliance ofIowa at

        casinobet77.asia or call

        2. Healthcare professionals can provide appropriate services to Iowans with brain injury. For more

        information on special training opportunities, go to

        casinobet77.asia .

        3. All Iowans can help prevent the likelihood of brain injury by using seat belts and helmets. To learn

        more about injury prevention, go to casinobet77.asia

        Expenditures

        General fund & federal funds: K/;

        State African Grand Casino 241% Match Year

        Actual

        State Fiscal Year

        Actual

        State Fiscal Year

        Estimate

        State African Grand Casino 241% Match $, $, $,

        Federal funds $, $, $,

        Total funds $, African Grand Casino 241% Match, $, $,

        FTEs

        Note: Funding information is intended to provide an overview of funding related to the program area. It does not

        include all federal and state requirements and/or restrictions for the use of funds. Contact the program area for more

        detailed budget information.

        IowaDepartmentofPublicHealth Division of Behavioral Health Brain Injury

        Phone: Fax: casinobet77.asia

        6th Floor, Lucas Building E. 12th Street Des Moines, IA

        Page 20 of


        Cancer

        .

        Division ofHealth Promotion & Chronic Disease Prevention

        Phone: Fax:

        casinobet77.asia

        Nearly 17, Iowans will be diagnosed with cancer this African Grand Casino 241% Match and 6, will die. But cancer statistics are more than

        numbers. They represent real people. The IowaDepartmentofPublicHealth’s cancer programs educate, African Grand Casino 241% Match, prevent, detect,

        and treat cancer, one person at a time.

        “Jane,” a 60 year-old Iowan with no health insurance, was having wrist surgery when her orthopedic surgeon discovered a

        lump in her breast. Immediately, the orthopedic surgeon contacted her family and another surgeon was brought in for an

        emergency breast examination. A biopsy was performed and cancer was discovered.

        Thankfully, the surgeon was a Care for Yourself provider and knew that the program would cover the breast exam and

        biopsy. Jane’s enrollment in the IowaDepartmentofPublicHealth’s Care for Yourself program was completed upon leaving

        surgery. She is now receiving the treatment she needs to live a long life.

        Didyouknow?

        Cancer is the second leading cause of premature death for Iowans.

        Why are cancer programs important to promoting and

        protecting the health ofIowans?

        ● Cancer affects nearly all Iowans.

        ● Many types of cancer can be prevented, or when detected early,

        can be successfully treated.

        ● More than half ofIowans diagnosed with cancer will survive it.

        Which IowaPublicHealth Goals

        are we working to achieve?

        Promote healthy behaviors

        Strengthen the public health infrastructure

        What do we do?

        Iowa Comprehensive Cancer Control Program collaborates with the

        Iowa Cancer Consortium and state partners to develop the state

        cancer control plan and put it into action by:

        Providing financial support to the Iowa Cancer Consortium to

        reduce the burden of cancer. A revised state cancer plan and

        more information are located at casinobet77.asia and

        casinobet77.asia

        Funding projects that educate Iowans on cancer screenings,

        prevention, and quality of life.

        Working to raise awareness to reducing skin cancer. Information

        for schools, homes, and worksites is available at

        casinobet77.asia

        Iowa Care for Yourself Breast and Cervical Cancer Early Detection

        Program helps low-income women access breast and pelvic exams,

        mammograms, and Pap tests. The program reimburses health care

        providers for screening and diagnostic services provided to eligible

        women. The program also works to increase awareness across the

        state of the importance of early detection, diagnosis, and

        treatment. For more information please visit

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        Iowa Get Screened: Colorectal Cancer Program works with

        community partners, local public heath offices, health care

        providers and Federally Qualified Health Centers to provide

        colorectal cancer screening African Grand Casino 241% Match to Iowans who are uninsured

        or underinsured, at or below percent of the federal poverty

        level, and those who are at average or an increased risk for

        colorectal cancer. Additional program goals include::

        Increase colorectal cancer screening rates among Iowan’s ages

        50 to 64;

        Provide social marketing and public education to increase

        colorectal cancer screenings and detection at earlier and more

        treatable stages to lower mortality rates;

        Educate health care providers about colorectal cancer

        screenings;

        Encourage system changes that will increase screening rates

        and access to services.

        Please visit casinobet77.asia for more information.

        Page 21 of


        How do we measure our progress?

        Cancer incidence and death rates (perIowans).







        0


        Calendar Year

        Target

        age-adjusted incidence rate

        age-adjusted death rate

        What can Iowans do to help?

        1. Learn more about cancer risks and symptoms,

        prevention, early detection, treatment, African Grand Casino 241% Match, and survivorship.

        2. Live healthier lives; quit smoking or do not start,

        maintain a reasonable weight, exercise, eat a diet rich in

        fruits and vegetables and avoid too much sun.

        3. Have regular age and risk-appropriate cancer screenings

        (Pap test, mammogram, skin check, colonoscopy, etc.).

        4. Join the Iowa Cancer Consortium and help reduce the

        burden of cancer in Iowa.

        Visit casinobet77.asia and casinobet77.asia to

        learn more.

        Data Source: State Health Cancer Registry. Data are available annually. Go to casinobet77.asia

        for information about age-adjusted rates. & data are not

        yet released.

        How are we doing? The number of cancer deaths has declined

        since

        Number of women screened, and number of mammograms

        and Pap tests provided.









        0


        State Fiscal Year

        Target

        # of mammograms

        # of Pap tests

        # of women screened

        Data Source: BCCEDP Data Set. Data are available annually. SFY data has not been finalized and is

        subject to change.

        Expenditures

        Iowa Comprehensive Cancer Control Program: general fund, African Grand Casino 241% Match, and

        federal funds: African Grand Casino 241% Match //

        Breast & Cervical Cancer Early Detection: federal funds, private

        grant*, and intra-state receipts* (Dept of Transportation – License

        Plate Sales): //; K/

        Iowa Get Screened Colorectal Cancer Program: federal funds:

        /

        State Fiscal

        Year

        Actual

        State Fiscal

        Year

        Actual

        State Fiscal

        Year

        Estimate

        State funds $, $, $1,

        Federal funds $3, $3, $3,

        Other funds* $, $, $,

        Total funds $4, $4, $5,

        FTEs

        Note: Funding information is intended to provide an overview of funding related to the program area. It does

        not include all federal and state requirements and/or restrictions for the use of funds. Contact the program area

        for more detailed budget information.

        How are we doing? In SFY, the program screened 5,

        women and provided 5, mammograms and 2, pap tests.

        IowaDepartmentofPublicHealth Division ofHealth Promotion & Chronic Disease Prevention Cancer

        4th Floor, Lucas Building E. 12th Street Des Moines, African Grand Casino 241% Match, IA

        Iowa Comprehensive Cancer Control Program: Phone: casinobet77.asia

        Iowa Care for Yourself Breast and Cervical Cancer Early Detection Program: Phone: casinobet77.asia

        Iowa Get Screened Colorectal Cancer Program: Phone

        casinobet77.asia

        Page 22 of


        Child Health

        Division ofHealth Promotion & Chronic Disease Prevention

        Phone:

        casinobet77.asia

        Successful promotion of children’s health is rooted in a partnership of families, communities, health care providers, and

        public health providers. Iowa’s Child Health programs promote the development of local systems of health care to ensure

        that all Iowa children have regular, preventive health care. The Child Health programs strive to make family-centered,

        community-based, and culturally-sensitive health services available to all Iowa children.

        Didyouknow? Research shows that for every $1 invested in early health care and education of a young child,

        Iowa will see an economic return of $17 per child.

        Why are Child Health programs important to promoting

        and protecting the health ofIowans?

        ● Child Health programs provide access to regular preventive health

        services that affect a child’s physical and mental health, success in

        school, and health in later years.

        ● Child Health programs advocate for medical homes that provide a

        consistent source of comprehensive primary care and facilitate

        partnerships between families and providers.

        ● Child Health programs Lucky Bird Casino 10 - 90 Free Spins out to underserved populations, who

        Which IowaPublicHealth Goals

        are we working to achieve?

        Promote healthy behaviors

        Strengthen the public health infrastructure

        are least likely to access preventive health services. Programs serve low-income children, adolescents, African Grand Casino 241% Match, and minorities.

        ● Child Health programs address barriers to accessing preventive health services including health care coverage,

        transportation, and interpretation.

        ● Child Health programs link families to community-based services based upon family needs.

        What do we do?



        Provide funding for 22 Child Health centers that assure child

        health services are available in all 99 counties for children and

        youth ages birth to In FFY, Iowa children

        accessed health care services through Iowa’s communitybased

        Child Health centers.

        Encourage community-based Child Health agencies to work

        closely with medical providers to ensure family-centered,

        community-based, and culturally-sensitive preventive health

        services are offered.

        ● Provide access to community-based Jet Bingo No Deposit Bonus Codes resources through

        the toll free Healthy Families Line, a hour information and

        referral phone line.

        ● Assist in developing local health care systems that meet

        present and future health needs.

        ● Support community-based child health agencies that link

        clients to medical and dental providers and other needed

        services.

        Page 23 of


        How do we measure our progress?

        Percent of Medicaid enrolled children who receive at least one

        recommended well child exam.

        Percent of children served in Child Health programs who

        report a medical home.

        National Target: 80%

        %

        90%

        80%

        70%

        60%

        50%

        40%

        30%

        20%

        10%

        0%

        % who receive at least 1

        screen


        Federal Fiscal Year (FFY)

        72% 72% 75% 81% 81%

        %

        Iowa Target: 95%

        90%

        80%

        70%

        60%

        50%

        40%

        30%

        20%

        10%

        0%


        Federal Fiscal Year (FFY)

        % with a medical home 74% 79% 81% 94% 94%

        Data Source: Federal CMS report. Data are available annually. Beginning with federal fiscal year

        (FFY) data, the report is based upon the number of children continuously enrolled in Medicaid for

        a minimum of 90 days who receive at least one well child exam during the year. FFY data are not

        yet available.

        How are we doing? Medicaid enrolled children receiving at

        least one well child exam per year remained stable at 81% for

        FFY This is slightly higher than the expectation for all

        states set by the national Centers for Medicare and Medicaid

        Services (CMS) of maintaining at least 80%.

        Data Source: Child & Adolescent Reporting System (CAReS). Annual unduplicated counts are based upon

        the federal fiscal year (FFY) October-September. Beginning with FFYthis data is based upon the

        number of children that received services where their medical home status could be assessed.

        How are we doing? There has been steady improvement in

        assuring children served by Child Health programs have a

        medical home.

        What can Iowans do to help?

        1. Learn more about community-based child health services by going to

        casinobet77.asia

        casinobet77.asia

        casinobet77.asia

        2. Learn more about the healthy development of children. Go to casinobet77.asia

        3. Refer uninsured or underinsured families to Child Health centers by contacting the Healthy Families toll

        free line at

        Expenditures

        General fund, RIFF funds, federal funds, & intra state receipts* (Dept of Human

        Services); State funds are used for a 75% match for the Title V Block Grant:

        K///; K; African Grand Casino 241% Match //

        State Fiscal Year

        Actual

        State Fiscal Year

        Actual

        State Fiscal Year

        Estimate

        State funds $, $, $,

        Federal funds $1, $1, $1,

        Other funds* $3, $3, $4,

        Total funds $6, $6, $6,

        FTEs

        Note: Funding information is intended to provide an overview of funding related to the program area. It does not

        include all federal and state requirements and/or restrictions for the use of funds. Contact the program area for

        more detailed budget information.

        IowaDepartmentofPublicHealth Division ofHealth Promotion & Chronic Disease Prevention Child Health

        Phone: or Fax: casinobet77.asia

        5th Floor, Lucas Building E. 12th Street Des Moines, IA

        Page 24 of


        Child Health Specialty Clinics

        Division ofHealth Promotion & Chronic Disease Prevention

        Phone:

        casinobet77.asia

        Erin’s Story (as told by her mother)*

        When we first adopted Erin, it was difficult for our family to get answers or help for her complex behavioral and developmental

        concerns. Our adoption specialist at DHS suggested that we call Child Health Specialty Clinics. At CHSC, the Advanced

        Registered Nurse Practitioner and Staff Nurse conducted a complete developmental and health assessment. Along with the

        Family Navigator, they made recommendations, helped with paperwork, and coordinated support services.

        Through CHSC, our family utilized a variety of services including dietician services, physical therapy,

        occupational therapy, speech therapy, respite, and parenting classes, all of which have contributed to

        the growth and development of our daughter.

        CHSC has helped us become more understanding about Erin’s developmental disabilities and special

        health care needs. If I’m ever feeling overwhelmed or frustrated, I know I can call my Family Navigator,

        even if I don’t have an appointment. We are now able to anticipate our daughter’s needs and have

        become better equipped to deal with her behaviors at home and in public. Her overall development has

        progressed greatly and we hope that she continues to get the help she needs at school and in the

        community.

        *Name has been changed

        Didyouknow?Iowa children have some degree of a special health care need.

        (National Survey on Children’s Health, )

        Why is Child Health Specialty Clinics important to

        promoting and protecting the health ofIowans?

        Which IowaPublicHealth Goals

        are we working to achieve?

        ● Research suggests that about 15 to 20% of all children 0 to 18

        years of age have some type of special health care need.

        ● Children and youth with special health care needs require services

        that are more intensive and comprehensive than children and

        youth without special care needs require. These specialty services

        are often not available or accessible throughout Iowa.

        ● Research shows that specialty services are an important addition

        to primary care services for children and youth who have chronic illnesses or developmental delays.

        Strengthen the public health infrastructure

        Promote healthy behaviors

        ● Federal rules require that at least 30% of each state’s Title V Maternal and Child Health Block Grant be used to focus on

        children and youth with special health care needs.

        What do we do?




        Improve access to direct-care pediatric specialty services,

        including behavioral consultations and nutrition services

        through telehealth technology.

        Provide community-based expertise and guidance about

        specialty care.

        Offer policy and planning expertise to improve the service

        system for all children and youth with special health care

        needs and their families.

        ● Provide African Grand Casino 241% Match coordination to help families organize needed

        services so that they can be used easily.

        ● Provide family support through a statewide family navigator

        network and partnering family advocacy groups.

        ● Promote spread of the medical/health home model among

        community-based primary care providers, especially for

        improving quality of care for children and youth with special

        health care needs.

        Page 25 of


        How do we measure our progress?

        Percent of children with special health needs (CSHCN) ages 0-

        18 years whose families’ partner in decision-making at all

        levels and are satisfied with the services they receive.

        Data Source: National CSHCN Survey. Data are available approximately every 5 years.

        How are we doing?

        InIowa – %; National – %.

        Percent of CSHCN ages years who receive coordinated,

        ongoing, comprehensive care within a medical home.

        Data Source: National CSHCN Survey. Data are available approximately every 5 years.

        What can Iowans do to help?

        1. Iowans who have or knowof children or youth with

        special needs can contact CHSC by visiting

        casinobet77.asia

        2. All Iowans can recognize the essential public health role

        CHSC plays as Iowa’s Title V program for children and

        youth with special health care needs.

        3. All Iowans can tell their state legislators about the

        importance of a system of care for children and youth

        with special health care needs and their families.

        4. All Iowans can be inclusive of children with special health

        care needs and their families.

        How are we doing?

        InIowa – %; National – %.

        InIowa – %; National – %.

        Percent of CSHCN ages years whose families have

        adequate private and/or public insurance to pay for the

        services they need.

        Data Source: National CSHCN Survey. New data Thebes Casino 50 Free Spins available approximately every 5 years.

        How are we doing?

        InIowa – %; National – %.

        InIowa – %; National – %.

        Percent of CSHCN ages years whose families report the

        community-based service systems are organized so they can

        use them easily.

        Expenditures

        General fund & federal grant: K;

        State Fiscal

        Year

        Actual

        State Fiscal

        Year

        Actual

        State Fiscal

        Year

        Estimate

        State funds $, $, $,

        Federal funds $1, $1, $2,

        Total funds $2, $2, $2,

        FTEs

        Note: Funding information is intended to provide an overview of funding related to the program area. It does

        not include all federal and state requirements and/or restrictions for the use of funds. Contact the program area

        for more detailed budget information.

        Data Source: National CSHCN Survey. Data are available approximately every 5 years.

        How are we doing?

        InIowa – %; National – %.

        Percent ofyouth with special health care needs who received

        the services necessary to make transitions to all aspects of

        adult life, including adult health care, work, and

        independence.

        Data Source: National CSHCN Survey. Data are available approximately every 5 years.

        How are we doing?

        InIowa – %; National – %.

        InIowa – %; National – %.

        IowaDepartmentofPublicHealth Division ofHealth Promotion & Chronic Disease Prevention Child Health Specialty Clinics

        Phone: Fax: casinobet77.asia

        Hawkins Drive Room CDD Iowa City, IA

        Page 26 of


        Child Protection Centers

        Division of Behavioral Health

        Phone:

        casinobet77.asia

        Child abuse. No one wants to imagine the mental and physical pain an abused child must endure. Unfortunately, the pain

        can sometimes be prolonged by the very systems designed to protect the victims, African Grand Casino 241% Match. Child Protection Centers provide a safe

        environment where all exams and interviews can occur in one place.

        It took great courage for “Allen,” a year old boy, to reveal that his stepfather had sexually abused him for years. It was

        extremely difficult and embarrassing for Allen to share the details of his abuse. With the non-threatening environment of

        the Child Protection Center, he was able to give authorities enough details to take his case to trial, resulting in a guilty

        conviction and prison time for his stepfather.

        Child Protection Centers work to ease the pain of abuse through understanding and awareness.

        Didyouknow? In state fiscal year3, children were served in a Child Protection Center funded by the

        IowaDepartmentofPublicHealth (IDPH).

        Why are Child Protection Centers important to

        promoting and protecting the health ofIowans?

        ● Children who are victims of alleged child abuse are often further

        victimized by the numerous interviews and exams. At a Child

        Protection Center, all investigation can occur in one place.

        ● IDPH manages five Child Protection Centers in Iowa, including;

        Allen Child Protection Center in Waterloo, Mercy Child Advocacy in

        Sioux City, Mississippi Valley Child Protection Center in Muscatine, Regional Child Protection

        Center in Des Moines (Blank), and St. Luke’s Child Protection Center in Hiawatha.

        Which IowaPublicHealth Goals

        are we working to achieve?

        Strengthen the African Grand Casino 241% Match health infrastructure

        What do Child Protection Centers do?

        ● Provide a comprehensive, culturally competent,

        multidisciplinary team response to allegations of child abuse

        in a dedicated, child-friendly setting.

        ● Provide a multidisciplinary team including; law enforcement,

        counties attorneys, physicians and nurses, African Grand Casino 241% Match, mental health

        professionals, family advocacy, and child protection center

        staff to ensure children and families are not subjected to

        Источник: [casinobet77.asia]
        Community Profiles". casinobet77.asia. New York City Department of City Planning. Retrieved March 18,
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      6. ^ abcdefKearns, Betsy; Kirkorian, Ceca; Schaefer, Richard (September ), African Grand Casino 241% Match. "Water Quality Facility Plan: Paerdegat Basin, Brooklyn, New York: Phase lA Archaeological Assessment"(PDF). casinobet77.asia. New York City Department of Environmental Protection. Archived(PDF) from the original on February 7, Retrieved January 25,
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      How Much Money Do The Top Income Earners Make?

      Ever wonder how much money do the top income earners make? Once you know how much the top income earners make, then you can better shoot to be a top income earner yourself. After all, everything is relative when it comes to money.

      Americans are rich by world standards. With a median household income of roughly $70, America consistently ranks in the Top 20 richest countries in the world. Many of the world&#;s top income earners live right here in our great country.

      Other rich countries that have a higher GDP per capita than America include Liechtenstein ($K), Qatar, Monaco, Macau, Luxembourg, Bermuda, Singapore, Isle of Man, Brunei, Ireland, Norway, Falkland Islands, UAB, S. Maarten, Kuwait, and Gibraltar. Countries with similar GDP per capita to America include Hong Kong, Switzerland, and Saudi Arabia.

      If at birth, you had the mental capacity to choose where you&#;d like to live for most of your life, living in a top 20 richest country will more than likely help you become a top income earner as well.

      Even if you end up being the most mediocre producer, you are still miles ahead of much of the world. Too bad many of us can&#;t pick where we want to grow up and earn African Grand Casino 241% Match living. As such, it&#;s nice to understand how we compare against the rest of the world to give us some perspective.

      Let&#;s take a look at what the top income earners make in America.

      What The Top 1%, 5%, 10%, 25%, and 50% Income Earners Make

      Based on the Internal Revenue Service&#;s database below, here&#;s how much the top Americans make. Forthe numbers are all about 15% &#; 20% higher partly thanks to inflation. Since the previous financial crisis in &#;the top 10% have significantly widened the wealth gap.

      • Top 1%: $, and up ($,+ in )
      • Top 5%: $, ($,+ in )
      • Top 10%: $, ($,+ in )
      • Top 25%: $67, ($80,+ in )
      • Top 50%: >$33, ($35,+ in )

      The rich have gotten much richer during the pandemic. Therefore, the top income earners are making even more than ever before. Sadly, the wealth gap has widened as we continue through a K-shaped recovery.

      Summary Of Top Income Earners Tax Data

      Here is data from the IRS that highlights what the top income earners make. A top income earner is considered someone who makes a top 10%, top 5%, and top 1% income.

      There is not a lot of data about the mega-rich, those in the top %. However, I also write a huge post highlighting people who make over $1 million a year and how.

      Chart Of The Top Income Earners And Tax Contribution - How Much Money Do The Top Income Earners Make?

      Based on a previous + survey study on Financial Samurai in Fallabout 80% of readers are in the Top 25% income earners ($67,+). Good to know that many of you are doing well.

      The table also tells us a number of things about equality or inequality, namely that the top 1% of tax payers pay 38% of all income taxes yet only African Grand Casino 241% Match a 20% share of total AGI.

      Further, the top 50% of tax payers pay practically all of the nation&#;s federal taxes (%) while commanding % of total AGI. This table from the IRS is the source for the often politically bantered argument that 47% of American income earners pay zero federal income taxes.

      If you do another little exercise and compare the top 25% of American income to the Top 10 per capita income countries in the world, you can once again see how lucky most of us are.

      Broaden Tax Collection

      If only we could get all American wage earns to pay some taxes. It would go a long way to help shoring up our budget. Congress constantly holds the nation hostage by bickering over whether to cut $10 billion here, $50 billion there. All we have to do is encourage those who earn above the poverty line to pay some tax. We&#;d raise billions a year right there for example!

      Let&#;s have everyone contribute to the welfare of our country. We are all in this together! For those who are just struggling to keep their heads above water, let&#;s lend them a helping hand.

      The top 1% income earner in is now earning at least $, a year. But in some states, like Connecticut, the top income earners make over $, a year, African Grand Casino 241% Match.

      Who Are The Majority Who Pay No Federal Income Taxes?

      Back aroundroughly 47% of Americans pay no income taxes. Inmore than 60% of working Americans didn&#;t pay any federal income taxes, largely due to the pandemic, African Grand Casino 241% Match.

      The Americans who pay no income taxes fall into three groups:

      The working poor. The earned income tax credit and the child credit can help families making $50, or more pay no taxes or get money back. About 60% of those not paying income taxes do contribute to payroll taxes. Meaning they must have some source of earned income.

      The elderly. An increased standard deduction for those over 65, and an exemption on part of Social Security earnings, means that many older Americans pay no income taxes. Please remember though that the elderly have paid their dues through decades worth of federal taxation during their careers.

      The low-income. A family of four claiming only the standard deduction and personal exemptions pays no federal income tax on its first ~$26, African Grand Casino 241% Match, of income. The standard deduction per person is now $12, in Further, each family gets a $ child African Grand Casino 241% Match credit.

      Not Everybody Has The Ability To Make A Top Income

      As you can see, being poor or elderly likely means you don&#;t pay net federal income taxes. We&#;re all going to grow old one day, so let&#;s give this group a pass. The elderly paid into the system, so let&#;s take care of them. I don&#;t think any of us would rather be poor so we can pay no federal taxes. Therefore, let&#;s give them a pass too.

      This leaves us with a low-income group that may have made some suboptimal decisions. Some of these decisions include having children while not being able to support themselves. Children are estimated to cost roughly $, from the ages of Perhaps having multiple children on a low income is not ideal. But, how do you deny passion?

      Top one percent income levels - How Much Money Do The Top Income Earners Make?

      Living In America Is Rich

      If you work in America, you can see from a top down and bottoms up perspective you&#;re doing fantastic. If you are in the bottom 50% of Americans who earn less than $33, a year, African Grand Casino 241% Match, know that you can earn more if you want to.

      Half the battle is just moving to a vibrant location such as the San Francisco Bay Area. Billions of dollars are flowing through the city due to technology innovation. It&#;s not like you have to brave the high seas to reach America. It&#;s not like you need to ride a horse for three months to get from New York to California. All you&#;ve got to do is hop on a bus or a plane to be where the action is.

      25 years ago, I remember making $ a month working at McDonald&#;s for $/hour. With wages 3X higher now, I&#;d be pulling in $1, a month or $20, a year! Heck, tack on driving for Uber for 20 hours a week part-time at $36/hour. You&#;ll make another $2, a month and be in the top 50% of income earners no problem.

      There&#;s an entire gig economy out there for freelancers to make extra money after work, or freelance full time. Why not take advantage to become a top income earner yourself?

      Please Put In The Work

      If you are only working 40 hours a week or less and complaining why you can&#;t get ahead, you need to seriously re-evaluate your work ethic and expectations. Anybody can do it. You just can&#;t be delusional enough to think that you&#;ll be able to compete when everybody in the world who wants to get ahead is working 60+ hours a week and getting paid much less to boot!

      Spend some time online understanding global wages from our biggest competitors in China and India. In order to maintain our incomes, we must constantly be updating our skills.

      There are plenty of six figure jobs out there for the taking. You just need to have the desire, motivation, work ethic, and perseverance to get there. Did you know the San Francisco police chief makes $, a year? Further, when he retires, he&#;ll get a $, a year pension for life! It&#;s not just doctors, lawyers, venture capitalists, bankers, movie stars and athletes who make healthy sums of money.

      A Variety Of Jobs Pay Well

      Even my friend who is a union electrician makes $, a year. He also gets a $5, a month pension when he retires at What&#;s more, he isn&#;t allowed to work more than 35 hours a week. Let&#;s not count the $30, a African Grand Casino 241% Match he makes doing side jobs with all that free time. There are six figure earners in practically every single industry, including the non-profit industry!

      Back to my point where if everybody earns a million dollars a year, nobody is rich. Living in San Francisco, it certainly feels like most are in the top 5% of income earners ($,). Train janitors and elevator technicians in the Bay Area can make over $, a year with overtime.

      I&#;m sure many who live and work in Manhattan, and potentially LA and Chicago feel the same way. The cost of living is expensive out here, and that&#;s predominantly driven by high wages.

      Combine two income earners with these amounts, and you can really start understanding why surpassing what the government deems as wealthy ($,) is not too difficult. Thankfully in +, President Biden only wants to raise taxes on households making over $, a year.

      In fact, I argue that in many of the larger cities in America, you&#;ve got to earn closer to $, a year just to live a middle class lifestyle. It sounds crazy. But it&#;s true if you take a careful look at the budget I put together. A middle-class lifestyle means owning a home, being able to raise two kids, and save for retirement.

      The Top Income Earners Pay The Most Taxes

      The top 1% of income earners will likely continue to pay a higher percentage share of overall income taxes than their share of income justifies. If things were fair, the top 1% would only have to pay 20% of total income taxes since 20% is their share of total income. Alas, the rich pay almost double what they owe.

      Therefore, it&#;s not worth constantly demonizing the rich for &#;not paying their fair share.&#; The rich donate the most and employ the most people.

      On the flip side, the bottom 50% who earn % of total earnings only pay % in total taxes. But, African Grand Casino 241% Match, as we learned above, most of the bottom 50% are elderly or poor. Nobody is asking the bottom 50% to pay more taxes, African Grand Casino 241% Match.

      It&#;s impossible to create a fair tax system that everybody will agree on. But we can look at the data to understand who is making the most and least income. We can see who is paying the most and least in taxes.

      It&#;s great to be a top income earner. However, it&#;s even greater to be happy. Find your balance!

      Here are three things top income earners do below.

      Top Income Earners Invest In Real Estate

      Real estate is one of the favorite asset classes to build wealth by top income earners. Real estate is tangible, provides utility, and generates valuable income. With mortgage rates staying at record-lows and more people working from home, the growth of real estate will likely be strong for years to come.

      Top income earners invest in rental properties for cash flow. Given interest rates have plummeted, the value of rental income has gone way up because it takes more capital to generate the same amount of income. Top income earners who really cherish their time also invest in real estate crowdfunding to earn income % passively.

      Best Real Estate Platforms

      Fundrise is the best real estate crowdfunding platform where investors can invest in private eREITs that invest in hundreds of properties across America. By investing in a diversified fund, investors gain real estate exposure in a low volatility way. Fundrise is free to usign up and explore. With inflation picking up, it&#;s a good idea to invest in real estate to ride the inflation wave.

      For accredited investors who like to invest in individual deals, take a look at CrowdStreet. CrowdStreet focuses on commercial real estate opportunities in hour African Grand Casino 241% Match. hour cities have higher growth rates, lower valuations, and higher cap rates than hour cities. Think Charleston, South Carolina versus New York City, New York.

      Due to demographic shifts to lower cost areas of the country, the closely vetted CrowdStreet deals in hour cities look attractive as well. CrowdStreet is also free to sign up and explore. With CrowdStreet, you can build your own select real estate fund.

      Personally, I&#;ve invested $, in 18 real estate deals across the heartland of America. The income is completely passive. Further, I get to diversify my real estate holdings away from expensive San Francisco.

      Top Income Earners Own Businesses

      We are in the technology and internet age now. If you really want unlimited earnings potential, you might as well be your own boss someday. It costs so little now to just start your own website so you can brand yourself online.

      You will connect with like-minded people, find new jobs and consulting opportunities, and potentially make a healthy living online. Take a look at this income statement example of a friend with a simple personal finance blog.

      How much can you make blogging for a living

      I started Financial Samurai in as a hobby to help make sense of the financial destruction back then. Today, Financial Samurai is one of my most valuable assets.

      You can start your WordPress site like this one with Bluehost for as little as $ a month. Come up with a unique and memorable domain name. Find a free website theme. Then connect your hosting and you&#;ll be up and running in 30 minutes.

      The best thing you can do while you have a job is work on your side hustle during off hours. You never know what might happen if you just start.

      Top Income Earners Track Their Net Worth

      Finally, top income earners religiously track their net worths. You can only truly optimize your wealth if you know where all your money is going. Sign up for Personal Capital, the web&#;s #1 free wealth management tool to get a better handle on your finances.

      I&#;ve been using them since and have made much wiser financial decisions since. In addition to better money oversight, run your investments through their award-winning Investment Checkup tool. The tool will Red Dog Casino 35 Free Spins you exactly how much you are paying in fees. Further, African Grand Casino 241% Match, it will give you insights into your asset allocation. I was paying $1, a year in fees I had no idea I was paying.

      After you link all your accounts, use their Retirement Planning calculator. It pulls your real data to give you as pure an estimation of your financial future as possible. Your financial future is too important not to take it seriously. You don&#;t want to end up old and not have enough money because there is no rewind button!

      Retirement Planner Personal Capital

      Join 50,+ others and subscribe to my free weekly newsletter. Sincethe newsletter has helped people achieve financial freedom sooner, rather than later.If you want to be one of the top income earners, you need as much actionable advice as possible.

      Filed Under: Career & Employment, Most Popular, Taxes

      Источник: [casinobet77.asia]

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