AREA PROFILE -- ADAMS                                       
                                                                                                
                                                                                                
        DEMOGRAPHIC DATA                                                                        
                                                                                                
                                U.S. CENSUS ESTIMATES, 2004                                     
                                                                                                
                 ADAMS -    30,913                      NEBRASKA - 1,747,214                    
                                                                                                
                                                                                                
                                 POPULATION BY AGE AND RACE/ETHNICITY                           
                        ADAMS                                      NEBRASKA                     
 AGE         PERCENT        NATIVE                                         NATIVE               
GROUP   TOTAL       BLACK AMERICAN ASIAN HISPANIC  TOTAL  PERCENT  BLACK AMERICAN ASIAN HISPANIC
  0-4   1,903  6.2     19     11      42     223  122,049   7.0     6,566  1,726   2,087  15,560
 5-14   3,969 12.8     51     25      77     352  236,970  13.6    14,021  3,332   3,652  24,538
15-24   4,986 16.1     51     39     143     292  266,314  15.2    13,893  3,368   4,811  21,847
25-44   7,686 24.9     75     57     212     638  473,637  27.1    22,127  4,736  11,084  40,755
45-64   7,598 24.6     34     22     199     164  416,441  23.8    13,444  2,631   5,077  13,752
65-74   2,058  6.7      4      6      22      22  111,352   6.4     2,767    471     821   2,126
75-84   1,834  5.9      1      1       8      10   84,541   4.8     1,454    213     325   1,044
 85+      879  2.8      3      0       2       3   35,910   2.1       549     93      76     359
 <18    7,164 23.2     83     46     156     651  446,083  25.5    24,698  6,261   7,104  47,141
 65+    4,771 15.4      8      7      32      35  231,803  13.3     4,770    777   1,222   3,529
                                                                                                
                                                                                                
                               POPULATION BY GENDER AND RACE/ETHNICITY                          
                        ADAMS                                      NEBRASKA                     
             PERCENT        NATIVE                                         NATIVE               
GENDER  TOTAL       BLACK AMERICAN ASIAN HISPANIC  TOTAL  PERCENT  BLACK AMERICAN ASIAN HISPANIC
Men    15,225 49.3    154     81     363     932  863,628  49.4    37,128   8,068  13,719 65,048
Women  15,688 50.7     84     80     342     772  883,586  50.6    37,693   8,502  14,214 54,933
 15-17    623           5      5      18      32   42,285           1,986    590     663   3,127
                                                                                                
                                                                                                
                                    POPULATION BY RACE/ETHNICITY                                
                                                                                                
                             ADAMS                               NEBRASKA                       
         RACE/ETHNICITY     NUMBER   PERCENT                     NUMBER   PERCENT               
         White              29,603     95.8                   1,609,056     92.1                
         Black                 238      0.8                      74,821      4.3                
         Native American       161      0.5                      16,570      0.9                
         Asian                 705      2.3                      27,933      1.6                
                                                                                                
         Hispanic            1,704      5.5                     119,981      6.9                
                                                                                                
         Minority *          2,930      9.5                     250,577     14.3                
                                                                                                
    * Minority Population = Total Population - White, Not Hispanic Population                   
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                  HOUSEHOLDS BY TYPE, 2000 CENSUS                               
                                                                                                
                                      ADAMS                     NEBRASKA                        
                                                                                                
                                      % OF      % OF              % OF      % OF                
                                      HOUSE-    HOUSE-            HOUSE-    HOUSE-              
                                      HOLDS     HOLDS             HOLDS     HOLDS               
                                     WITH NO   WITH AT           WITH NO   WITH AT              
                                    CHILDREN   LEAST 1          CHILDREN   LEAST 1              
      FAMILY TYPE                      <18    CHILD<18             <18    CHILD<18              
   Married couples                     29.9      24.5              28.6      25.6               
   Male householders                    1.1       1.9               1.3       2.0               
   Female householders                  2.5       5.7               2.6       6.5               
   Male householder nonfamilies        14.5       0.3              15.2       0.3               
   Female householder nonfamilies      19.4       0.1              17.8       0.1               
                                                                                                
                        HOUSEHOLDS BY TYPE AND RACE/ETHNICITY, 2000 CENSUS                      
                                                                                                
                                % OF HOUSEHOLDS               % OF HOUSEHOLDS                   
                                                  Native                     Native             
                                Total White Black American Total White Black American           
     Families                   65.6  65.2  50.0  69.2     66.6  66.2  65.0  74.3               
      Married Couples           54.4  54.4  26.0  50.0     54.2  55.4  28.8  35.4               
        W/Children < 18         24.5  23.9  20.0  26.9     25.6  25.4  16.7  24.0               
      Single Parent Families    11.2   7.3  20.0  19.2     12.4   7.2  28.7  32.6               
        Male householder         3.0   2.8   6.0   3.8      3.3   3.0   5.4   8.8               
          W/Children < 18        1.9   1.8   4.0   3.8      2.0   1.8   3.6   6.7               
        Female Householder       8.2   8.0  18.0  15.4      9.1   7.8  30.8  30.1               
          W/Children < 18        5.7   5.5  16.0  15.4      6.5   5.4  25.1  25.9               
     Nonfamily households       34.3  34.7  50.0  30.8     33.4  33.7  34.9  25.7               
                                                                                                
                                                                                                
                                  % OF HOUSEHOLDS             % OF HOUSEHOLDS                   
                                  Asian  Hispanic Minority *  Asian  Hispanic Minority *        
     Families                      86.4     77.6     75.9      66.9     77.3     70.2           
      Married Couples              62.7     59.3     57.0      53.7     54.0     42.1           
        W/Children < 18            39.8     45.7     40.1      33.0     40.7     28.3           
      Single Parent Families       16.1     14.4     14.4       8.3     17.9     21.8           
        Male householder            9.3      8.1      7.6       4.5      9.6      7.1           
          W/Children < 18           5.1      5.0      4.7       2.2      6.3      4.6           
        Female Householder         14.4     10.2     11.3       8.7     13.7     21.0           
          W/Children < 18          11.0      9.4      9.7       6.1     11.6     17.2           
     Nonfamily households          13.6     22.5     24.1      33.1     22.6     29.9           
                                                                                                
    * Minority Population = Total Population - White, Not Hispanic Population                   
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                        EDUCATIONAL ATTAINMENT BY RACE/ETHNICITY, 2000 CENSUS                   
                                Percent of persons 25 years and older                           
                                                                                                
                                     ADAMS                      NEBRASKA                        
                                                  Native                     Native             
                                Total White Black American Total White Black American           
                                                                                                
     Less than 9th grade         4.9   4.1   0.0  36.1      5.4   4.5   5.3   9.0               
     9th to 11th grade           8.8   8.1  25.8   9.8      8.0   7.3  16.0  15.1               
     High school diploma        33.2  33.4  37.1  19.7     31.3  31.8  31.2  33.7               
     Some college, no degree    25.9  26.7  14.4  13.1     24.3  24.5  27.4  26.1               
     Associate degree            7.4   7.6   1.0   6.6      7.3   7.5   5.9   7.4               
     Baccalaureate degree       13.3  13.5  21.6  14.8     16.5  17.0  10.5   6.2               
     Graduate or professional    6.6   6.6   0.0   0.0      7.3   7.4   3.6   2.6               
     degree                                                                                     
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                Percent of persons 25 years and older                           
                                                                                                
                                     ADAMS                      NEBRASKA                        
                                                                                                
                                                                                                
                                  Asian  Hispanic Minority *  Asian  Hispanic Minority *        
                                                                                                
     Less than 9th grade           27.6     17.0     18.4      10.8     34.2     17.9           
     9th to 11th grade             16.8     32.6     23.5      11.9     19.2     16.3           
     High school diploma           29.0     31.2     30.6      17.1     21.3     25.5           
     Some college, no degree        2.2     11.5     10.5      13.3     13.9     20.1           
     Associate degree               6.2      2.2      3.6       5.4      2.9      4.8           
     Baccalaureate degree           8.1      3.6      8.5      21.8      5.9     10.0           
     Graduate or professional      10.0      2.0      4.8      19.8      2.7      5.5           
     degree                                                                                     
                                                                                                
    * Minority Population = Total Population - White, Not Hispanic Population                   
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
        SOCIAL INDICATORS                                                                       
                                  PER CAPITA INCOME, 2000 CENSUS                                
                                                                                                
                                 ADAMS                 NEBRASKA                                 
                                $18,308                $19,613                                  
                                                                                                
                         MEDIAN HOUSEHOLD INCOME, 2002 CENSUS ESTIMATES                         
                                                                                                
                                 ADAMS                 NEBRASKA                                 
                                $37,645                $41,978                                  
                                                                                                
                        PERCENT BELOW 100% POVERTY, 2002 CENSUS ESTIMATES                       
                                                                                                
                                 ADAMS                 NEBRASKA                                 
     5-17 Years of Age                9.5                    10.8                               
     Total Population                 9.9                    10.0                               
                                                                                                
                 PERCENT BELOW 100% POVERTY BY RACE/ETHNICITY, 2000 CENSUS *                    
                                                                                                
                                 ADAMS                 NEBRASKA                                 
     White                            9.0                     8.2                               
     Black                           21.7                    27.4                               
     Native American                 45.9                    33.0                               
     Asian                            2.3                    12.8                               
     Hispanic                        24.5                    20.4                               
 * A '.' indicates the population estimate of the racial/ethnic group is zero.                  
                                                                                                
                     PERCENT OF WORKERS UNEMPLOYED, DEPT. OF LABOR, MAY, 2004                   
                                                                                                
                            ADAMS                      NEBRASKA                                 
                    # UNEMPLOYED   % OF WORKERS   # UNEMPLOYED % OF WORKERS                     
                           607         4.0          39,368       4.0                            
                                                                                                
                                  HIGH SCHOOL DROPOUT RATE, 2003-2004                           
                                                                                                
                                 ADAMS                    NEBRASKA                              
     % of 7-12th Grade Member-                                                                  
     ship Who Drop Out of School      1.8                       1.9                             
                                                                                                
                             NEW FAMILIES AT RISK BY RACE/ETHNICITY, 2000-2004                  
        First Births to Unmarried Women Under Age 20 with Less Than H.S. Education              
                                                                                                
                                 ADAMS                    NEBRASKA                              
                      # BIRTHS    % OF 1ST BIRTHS*  # BIRTHS  % OF 1ST BIRTHS*                  
     Total                78           10.3          4,398          9.0                         
     White                74           10.4          3,351          7.7                         
     Black                 3           50.0            653         24.4                         
     Native American       1           16.7            232         36.9                         
     Asian                 0            0.0             39          2.9                         
     Hispanic             17           23.6          1,034         19.3                         
          * Percentage based on at least 6 first births.                                        
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
         REPORTS AND/OR ARRESTS FOR VIOLENT CRIME, DUI AND OTHER DRUG CHARGES, 2004             
                                                                                                
                                       ADAMS                      NEBRASKA                      
                                        NUMBER RATE/1,000      NUMBER RATE/1,000                
     Total Arrests                       1,437   46.5          94,648   54.2                    
     Arrests for violent crimes *           20    0.6           1,596    0.9                    
     Reported forcible rape offenses         3    0.1             195    0.1                    
     Arrests for DUI                       166    5.4          14,163    8.1                    
     Drug law violation arrests            101    3.3          10,898    6.2                    
    *Violent crimes include: murder, forcible rape, robbery and aggravated assault.             
                                                                                                
        JUVENILE ARRESTS(<18) FOR VIOLENT CRIMES, DUI AND DRUG LAW VIOLATIONS, 2004             
                                                                                                
                                       ADAMS                      NEBRASKA                      
                                        NUMBER RATE/1,000      NUMBER RATE/1,000                
     Total Arrests                        250    34.9         14,867    33.3                    
     Arrests for violent crimes *           2     0.3            224     0.5                    
     Arrests for DUI                        6     0.8            348     0.8                    
     Drug law violation arrests             3     0.4          1,150     2.6                    
    *Violent crimes include: murder, forcible rape, robbery and aggravated assault.             
                                                                                                
                           CHILD PROTECTION AND SAFETY, CY 2004                                 
                                                                                                
                                       ADAMS                      NEBRASKA                      
                                        NUMBER RATE/1,000      NUMBER RATE/1,000                
                                                                                                
     Average number of children                                                                 
     in out-of-home care *               149    20.3          7,160    15.9                     
    *Children in temporary or permanent out-of home care (foster care, group homes or           
     other residential care facilities).                                                        
                                                                                                
           CHILDREN INVOLVED IN SUBSTANTIATED CASES OF ABUSE/NEGLECT, CY 2003                   
                                                                                                
                                            ADAMS                NEBRASKA                       
     Rate per 1,000 Children < Age 19            9.0                 8.6                        
                                                                                                
                   DOMESTIC VIOLENCE, JULY 1, 1999 - JUNE 30, 2000                              
                                       ADAMS                      NEBRASKA                      
                                        NUMBER RATE/1,000      NUMBER RATE/1,000                
     Number of Crisis Calls                                                                     
     Received by Multi-County Agency    1,633     34.5       108,312     63.3                   
     Total New Contacts for                                                                     
     Multi-County Agency                  906     19.2        24,249     14.2                   
     ADAMS MULTI-COUNTY AREA ALSO INCLUDES:                                                     
               Clay, Nuckolls, Webster                                                          
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
        HEALTH STATUS                                                                           
                                                                                                
                                                                                                
                                LEADING CAUSES OF DEATH, 2000-2004                              
                             Age-Adjusted Death Rates per 100,000 Population                    
                                                                                                
                                                                            NEBRASKA            
                                                        NEBRASKA           NATIVE               
                        ADAMS             NEBRASKA      YEAR 2010   BLACK AMERICAN HISPANIC     
CAUSE OF DEATH             DEATHS  RATE  DEATHS  RATE   OBJECTIVE   RATE    RATE    RATE        
Heart Disease (#1)            461 210.7  20,262 205.1      --       245.6   276.0  110.6        
Cancer -- All Sites (#2)      329 175.5  16,798 182.0    147.0      255.2   201.9  117.8        
  Lung/Bronchus/Trachea        83  45.1   4,444  49.1     39.0       81.5    60.1   24.6        
  Breast (Female)              22  21.6   1,224  23.8     20.7       41.3    32.8    9.7        
  Prostate                     21  28.2     943  25.7     25.9       48.8    18.5    9.3        
Cerebrovascular (#3)          106  47.9   5,385  54.0     47.4       87.0    55.2   28.8        
Unintentional Injuries (#4)    57  31.2   3,457  37.6     19.4       25.2    92.6   34.9        
  Motor Vehicle                20  12.5   1,469  16.6     12.0        9.7    43.8   17.4        
Chronic Lung Disease (#5)      46  22.1   3,746  39.4      --        39.2    54.7   12.4        
                                                                                                
Suicide                         8   5.3     922  10.7      8.2        4.6     9.1    4.2        
Homicide                        5   3.4     259   3.0      2.0       20.3    11.9    6.6        
                                                                                                
Diabetes Related              106  51.1   6,933  72.6     25.0      162.8   260.9  109.3        
Tobacco Related               239 120.7  12,886 137.2      --       184.1   192.6   75.5        
Alcohol Related                55  30.0   3,255  35.5      --        41.9   137.3   41.2        
Work Related Accidents          3   1.9     209   2.4      --         0.4     0.9    2.5        
                                                                                                
All Causes                  1,467 708.9  75,953 789.1      --     1,110.5 1,269.2  559.0        
                                                                                                
    NOTE: Age adjusted rates are based on the 2000 U.S. census standard.                        
                                                                                                
                                                                                                
                                                                                                
                                  CANCER INCIDENCE, 1999-2003                                   
                      Age-Adjusted Incidence Rates per 100,000 Population                       
                                                                                                
                    ADAMS                                    NEBRASKA                           
                                                                      Native                    
                     Total    Total           Total    Total   Black American Hispanic          
Cancer Type         # Cases   Rate           # Cases   Rate    Rate    Rate     Rate            
All Sites               770   434.0           42,194   474.2   474.5   393.6   292.3            
                                                                                                
Lung & Bronchus         119    67.4            5,572    62.7    93.3    62.7    39.3            
Breast (Female)         112   116.2            6,278   131.8   102.2    56.9    57.2            
Prostate                 94   125.9            6,470   165.9   197.9   146.3    57.0            
Colorectal               97    50.3            5,366    59.1    61.9    47.7    44.5            
                                                                                                
    NOTE: Age adjusted rates are based on the 2000 U.S. census standard.                        
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
        LEADING REASONS FOR HOSPITALIZATION (NEBRASKA OCCURRANCE ONLY), 2003-2004               
                     Age-Adjusted Hospital Discharge Rates per 100,000 Population               
                                     ADAMS                  NEBRASKA         PERCENT            
    CONDITION/INJURY              # DISCHARGES  RATE # DISCHARGES  RATE     DIFFERENCE          
                                                                                                
     All Conditions/Injuries           7,743 11,205.00  359,031  9,837.00      13.9             
     Pregnancy/Childbirth              1,573  2,512.00   89,507  2,465.00       1.9             
     All Injuries                      1,254  1,734.00   55,504  1,509.00      14.9             
     Diabetes Related Diseases         1,149  1,555.00   46,921  1,277.00      21.8             
     Heart Disease                     1,135  1,482.00   37,934  1,014.00      46.2             
     Digestive Diseases                  614    876.0    29,464    808.0        8.4             
     Musculoskeletal Diseases            430    621.0    23,783    659.0       -5.8             
     Psychosis/Mental Health             555    930.0    17,125    492.0       89.0             
     Pneumonia                           494    627.0    14,664    386.0       62.4             
     Genitourinary Diseases              295    437.0    14,656    411.0        6.3             
     Cancer                              234    334.0    11,800    322.0        3.7             
     Fractures                           262    321.0     9,998    261.0       23.0             
     Other Respiratory Diseases          155    229.0     9,145    246.0       -6.9             
     Tobacco Related Diseases            252    331.0     9,566    257.0       28.8             
     Surgical/Medical Complications      248    353.0     8,506    236.0       49.6             
     Cerebrovascular Disease             193    239.0     8,131    214.0       11.7             
     COPD                                210    293.0     7,578    208.0       40.9             
     Alcohol Related Diseases             73    109.0     2,405     67.0       62.7             
                                                                                                
    Leading Causes of Injury                                                                    
     Falls                               312    371.0    11,318    291.0       27.5             
     MV Accidents                         38     59.0     2,218     62.0       -4.8             
     Self-Inflicted                       60    101.0     1,754     50.0      102.0             
     Other Unintentional                  26     29.0     1,215     33.0      -12.1             
     Poisoning                             7     11.0       592     16.0      -31.3             
     Struck/Pierced by Object             14     21.0       609     17.0       23.5             
     Overexertion                         10     13.0       480     13.0        0.0             
     Environmental                        13     21.0       513     14.0       50.0             
     Assault                               7     12.0       442     12.0        0.0             
                                                                                                
                                LEADING PAYER TYPE FOR HOSPITALIZATION, 2003-2004               
                                                                                                
                                     ADAMS                  NEBRASKA         PERCENT            
    PAYER TYPE                      DISCHARGES    %   DISCHARGES     %      DIFFERENCE          
     Commercial                        2,623     33.9   168,501     46.9      -27.7             
     Medicare                          3,786     48.9   131,141     36.5       34.0             
     Medicaid                            992     12.8    50,769     14.1       -9.2             
     Self-Pay                             56      0.7     3,460      1.0      -30.0             
     Other State/Federal                 286      3.7     5,160      1.4      164.3             
                                                                                                
    NOTE: Age adjusted rates are based on the 2000 U.S. census standard.                        
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                     INCIDENCE OF AIDS, 2000-2004                               
                                                                                                
                                   ADAMS                             NEBRASKA                   
                                       *Rate                            Rate                    
                                        2.1                              3.8                    
                                                                                                
       * County or HD rates are not available.  The above rates are the rate per                
         100,000 population of the Service Area containing the county or HD.                    
                                                                                                
                 INCIDENCE OF RESOURCE INTENSIVE COMMUNICABLE DISEASES, 2003                    
                                                                                                
                                   ADAMS                             NEBRASKA                   
                                       Rate                             Rate                    
      West Nile Virus (WNV)             397                              112                    
      Chronic Hepatitis C              44.8                             64.2                    
      TB                                0.0                              1.6                    
                                                                                                
       Note: Rates are per 100,000 Population.                                                  
                                                                                                
               INCIDENCE RATES OF SEXUALLY TRANSMITTED DISEASES BY RACE/ETHNICITY               
                                                                                                
                          ADAMS                                      NEBRASKA                   
                                   2000-2004                                2000-2004           
          2004   2004          Native        His-    2004   2004          Native        His-    
AGE GROUP Total  White  Black American Asian panic   Total  White  Black American Asian panic   
 All Ages  330.2  215.7  909.1  152.7   65.4  591.0   424.4  193.7 2847.6  903.3  166.6  518.3  
 < 18       95.4   71.8  229.9    0.0    0.0  425.5   226.2   83.9 1616.4  383.6   67.7  125.0  
 > 17      271.8  149.8 1025.6  224.7   80.2  609.2   455.9  207.6 3181.6 1086.7  163.3  667.2  
STD TYPE                                                                                        
Gonorrhea   22.7   16.9  363.6    0.0    0.0   40.3    65.8   19.1 1025.7  127.1   19.6   62.9  
Chlamydia  259.0  198.9  545.5    0.0   65.4  523.8   301.3  146.5 1695.1  722.6  131.0  413.7  
  Female   392.4  328.3  963.9    0.0  131.6  899.6   433.6  223.1 2278.7 1163.2  198.0  666.3  
Herpes      45.3    0.0    0.0    0.0    0.0    0.0    42.0   18.6   82.7   18.7    7.3   23.5  
                                                                                                
       Note: Rates are per 100,000 Population.                                                  
                                                                                                
                             ESTIMATED PREVALENCE OF DEMENTIA, 2004                             
                                                                                                
                              ADAMS                             NEBRASKA                        
                Rate *        # of Persons **                   # of Persons **                 
    Age 65-74    10%                206                            11,135                       
    Age 75-84    20%                367                            16,908                       
    Age 85+      47%                413                            16,878                       
                                                                                                
 * Source: Prevalence estimates - Alzheimer's Association.                                      
** Number of persons is the Alzheimer prevalence times the 2004 U.S. Census estimate.           
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
        MATERNAL AND CHILD HEALTH AND WELL-BEING                                                
                                                                                                
                           INFANT MORTALITY BY RACE/ETHNICITY, 2000-2004                        
                                                                                                
                          ADAMS                 NEBRASKA                                        
                           INFANT             INFANT          NEBRASKA YEAR 2010                
    RACE/ETHNICITY         DEATHS  RATE       DEATHS  RATE         OBJECTIVE                    
    White                     11   5.6          670   5.9             4.5                       
    Black                      1  55.6          121  16.9             4.5                       
    Native American            0   0.0           31  14.4             4.5                       
    Asian                      0   0.0           10   3.5             4.5                       
    Total                     12   5.8          838   6.6             4.5                       
    Hispanic                   0   0.0          109   6.9             4.5                       
                                                                                                
       Note: Rates are per 1,000 live births.                                                   
                                                                                                
    VERY LOW (<1500 GR) AND LOW (<2500 GR) BIRTH WEIGHT BY RACE/ETHNICITY, 2000-2004            
                                                                                                
                                                              NEBRASKA YEAR 2010                
                          ADAMS                 NEBRASKA           OBJECTIVE                    
    WEIGHT                 NUMBER  RATE       NUMBER  RATE          RATE                        
    Very Low - All Births     28  13.6        1,611  12.7             9.0                       
    Low - All Births         123  59.5        8,821  69.4            50.0                       
          White              119  61.0        7,431  65.8            50.0                       
          Black                0   0.0          897 125.1            50.0                       
          Native American      0   0.0          145  67.2            50.0                       
          Asian                2  33.9          221  77.7            50.0                       
          Hispanic            10  42.4          976  62.0            50.0                       
                                                                                                
       Note: Rates are per 1,000 live births.                                                   
                                                                                                
                     NUMBER OF INFANTS BORN WITH BIRTH DEFECTS, 1999-2003                       
                                                                                                
                               ADAMS                 NEBRASKA                                   
                           # of      % of          # of      % of                               
                          Infants Total Births    Infants Total Births                          
    Infants with birth                                                                          
     defects                   44      2.2         4,534        3.6                             
                                                                                                
                          TEEN AGE BIRTHS BY AGE AND RACE/ETHNICITY, 2000-2004                  
                   ADAMS                             NEBRASKA                                   
    Age of Mother  10-17        15-17            10-17        15-17                             
                NUMBER   %   NUMBER   %       NUMBER   %   NUMBER   %                           
    All Births     60   2.9     57   2.8      3,715   2.9  3,583   2.8                          
    White          55   2.8     52   2.7      2,792   2.5  2,718   2.4                          
    Black           4  22.2      4  22.2        631   8.8    586   8.2                          
    Native Amer     1   5.9      1   5.9        184   8.5    179   8.3                          
    Asian           0   0.0      0   0.0         36   1.3     35   1.2                          
    Hispanic       14   5.9     13   5.5        881   5.6    846   5.4                          
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
               PERCENTAGE OF PREGNANT WOMEN WHO SMOKE DURING PREGNANCY, 2000-2004               
                                                                                                
    NUMBER OF CIGARETTES                                      NEBRASKA YEAR 2010                
    SMOKED PER DAY           ADAMS                NEBRASKA         OBJECTIVE                    
    1-10                         12.2              10.4                 --                      
    11-20                         4.1               2.8                 --                      
    21+                           0.8               0.6                 --                      
    Unknown                       0.1               0.3                 --                      
                                                                                                
    TOTAL                        17.1              14.1                 2.0                     
                                                                                                
    Note: These figures are based on pregnant women who have a live birth.                      
                                                                                                
                PERCENT BEGINNING PRENATAL CARE IN THE FIRST TRIMESTER, 2000-2004               
                                                                                                
                                                              NEBRASKA YEAR 2010                
    RACE                     ADAMS                NEBRASKA         OBJECTIVE                    
    White                        88.1              84.7                90.0                     
    Black                        72.2              70.5                90.0                     
    Native American              58.8              68.3                90.0                     
    Asian                        87.9              82.2                90.0                     
                                                                                                
    Total                        87.5              83.2                90.0                     
                                                                                                
    Hispanic                     75.5              69.3                90.0                     
                                                                                                
    Note: These figures are based on pregnant women who have a live birth.                      
                                                                                                
                                                                                                
                                                                                                
                                                                                                
       CHILDREN AGED 19-35 MONTHS UP-TO-DATE ON IMMUNIZATIONS, July 2003 - June 2004            
                                                                                                
                                                                          NEBRASKA              
                                   ADAMS              NEBRASKA             CURRENT              
                                                                          OBJECTIVE             
    % of children receiving      County-level data                                              
    4 DTP/3 Polio/1 Measles-       not avaliable        82.4%                90%                
    Containing Vaccine/3 Hib/                                                                   
    3 Hepatitis B                                                                               
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
        RISK FACTOR PREVALENCE                                                                  
                                                                                                
       BRFSS RISK FACTOR PREVALENCE ESTIMATES (ADULTS AGE 18 OR OLDER), 2000-2004               
                                                                                                
                                    ADAMS               NEBRASKA         NEBRASKA               
                                          * % WITH          % WITH      YEAR 2010               
    RISK FACTOR                     (N)   BEHAVIOR   (N)   BEHAVIOR     OBJECTIVE               
    Obese (body mass                                                                            
       index 30 or higher)          798     22.3   23,583    22.4          15%                  
    No leisure-time                                                                             
     physical activity              836     24.7   24,965    25.0          15%                  
    Currently smoke                                                                             
     cigarettes                     833     19.9   24,932    21.1          12%                  
    Chronic drinking                                                                            
     60+/Mo Men - 30+/Mo Women      730      3.7   21,579     4.8          --                   
    No health insurance             834     12.6   24,932    11.9           0%                  
    Could not see physician in                                                                  
     past 12 months due to cost     594      6.7   16,873     8.4           4%                  
                                                                                                
    Mammogram                                                                                   
     in past two                                                                                
     years (Ages 40+)               275     82.1    6,913    75.5          75%                  
    Immunization rates (65+)                                                                    
     Flu shot past 12 months        255     75.6    6,210    71.5          90%                  
     Pneumonia immunization         253     64.8    6,123    63.2          90%                  
                                                                                                
    General health good to                                                                      
     excellent (self-reported)      834     86.2   24,924    87.4          --                   
    Ten or more days in past 30                                                                 
     days health not good                                                                       
      Physical health               684      8.8   20,236     9.7          --                   
      Mental health                 688      8.9   20,276     9.5          --                   
                                                                                                
    * Note: With the exception of Sarpy, county percentages are the                             
      Health District percentage containing the county.  Douglas and                            
      Lancaster counties are their own Health District                                          
                                                                                                
                           YOUTH RISK BEHAVIORS, GRADES 9-12, 2003                              
                                                                 NEBRASKA YEAR 2010             
                                          NEBRASKA       U.S.           OBJECTIVE               
    Smoking at least once in                                                                    
     past 30 days                           24%          35%               15%                  
                                                                                                
    Drank alcohol on at least                                                                   
     1 of past 30 days                      47%          50%               --                   
                                                                                                
    Binge drinking (5+ drinks                                                                   
     on an occasion) in past                                                                    
     30 days                                32%          32%               25%                  
                                                                                                
    Drinking and driving                                                                        
     in past 30 days                        21%          13%               10%                  
                                                                                                
    Riding in a motor vehicle with                                                              
     someone who has been drinking                                                              
     alcohol (past 30 days)                 39%          33%               30%                  
                                                                                                
    Ever used marijuana in lifetime         35%          49%               --                   
                                                                                                
    Used marijuana in past 30 days          18%          27%               5%                   
                                                                                                
    Ever used cocaine (any form) in                                                             
        lifetime                             7%          10%               --                   
                                                                                                
    Ever used inhalants (sniffed glue,                                                          
     breathed contents of aerosol spray                                                         
     cans, inhaled paints/sprays to get                                                         
     high) in lifetime                      12%          15%               --                   
                                                                                                
                                                                                                
            RACIAL/ETHNIC RISK FACTOR PREVALENCE ESTIMATES, AGES 18 & OLDER, 2000-2004          
                                                                                                
                                              State-Level Data Only                             
                                                                                                
                                                                                                
                                      African   Native   Asian   Hispanic                       
     Risk Factor                      American American American American  White                
                                                                                                
     Obese (BMI 30 or higher)           34       39       11       24       23                  
                                                                                                
     No leisure-time physical activity  34       29       25       44       25                  
                                                                                                
     Currently smoke cigarettes         27       44       20       18       23                  
                                                                                                
     General health good to excellent   77       76       89       73       86                  
                                                                                                
     No health insurance                20       27       14       45       11                  
                                                                                                
     Could not afford to see physician  17       21       13       17        9                  
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
        ENVIRONMENTAL DATA                                                                      
                                                                                                
       NITRATE LEVELS IN COMMUNITY WATER SYSTEMS, 2000-2004                                     
                                                                                                
               ADAMS                    NEBRASKA                                                
                                                                                                
               % OF                       % OF                                                  
      # OF   COMM POP AVERAGE    # OF   COMM POP AVERAGE                                        
     COMMNTY DRINKING NITRATE   COMMNTY DRINKING NITRATE    NEBRASKA YEAR 2010                  
     SYSTEMS  >10 PPM  LEVEL*   SYSTEMS  >10 PPM  LEVEL*        OBJECTIVE                       
                                                               < 1% who drink                   
       14       0.1     5.5       1351     1.0     3.0         water >10 ppm                    
                                                                                                
                                                                                                
     * Weighted average.  Weight is the number served by the water system.                      
                                                                                                
                                                                                                
                                                                                                
                                                                                                
           FLUORIDE LEVELS IN COMMUNITY WATER SYSTEMS, 2004                                     
                                                                                                
                ADAMS                                  NEBRASKA                                 
                                                                                                
                                 % OF                                    % OF                   
              SYSTEMS          COMM POP               SYSTEMS          COMM POP                 
      # OF     WITH   COMMTY % DRINKING       # OF     WITH   COMMTY % DRINKING                 
     COMMNTY FLUORIDE OF 2000  FLUORIDE      COMMNTY FLUORIDE OF 2000  FLUORIDE                 
     SYSTEMS .75-1 PPM CENSUS .75-1 PPM      SYSTEMS .75-1 PPM CENSUS .75-1 PPM                 
                                                                                                
        7        0     86.7       0.0          607       97    81.1       67.5                  
                                                                                                
                                                                                                
    Nebraska Year 2010 Objective: at least 80% of people served by community                    
                                  water systems receive optimal levels of                       
                                  fluoride (.75-1 ppm).                                         
                                                                                                
                                                                                                
                                                                                                
               HIGH BLOOD LEAD LEVELS IN CHILDREN UNDER AGE 6, 2002-2004                        
                                                                                                
              ADAMS                     NEBRASKA                                                
                                                                                                
                 # w/High     %          # w/High      %    NEBRASKA YEAR 2010                  
     LEAD LEVEL Blood Lead Tested       Blood Lead  Tested      OBJECTIVE                       
                                                                                                
     >9ug/dL        25        3.4          1846       3.3      0% (>9ug/dL)                     
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
        AVAILABILITY OF SERVICES                                                                
                                                                                                
                           HEALTH PROFESSIONALS IN PRACTICE, 2003                               
                                                                                                
                                     ADAMS                       NEBRASKA                       
                                            # Persons                  # Persons                
                                  # of      Served per       # of      Served per               
    PROFESSION              Practitioners Practitioner Practitioners Practitioner               
                                                                                                
General/Family Practice           15           2059          677          2569                  
Internal Medicine                  5           6178          227          7662                  
Pediatrics                         5           6178          162         10736                  
OB/Gynecology                      3          10297          143         12163                  
Psychiatry                         1          30890          140         12424                  
Physician Assistant                6           5148          445          3909                  
Nurse Practitioner                 9           3432          329          5287                  
Licensed Practical Nurse         106            291         6337           274                  
Dentist                           21           1471         1084          1605                  
Registered Nurse                 389             79        18257            95                  
Note: Persons served was calculated using 2003 census estimates.                                
                                                                                                
 RN's (2002) & Primary Care Physicians (2004) by Race/Ethnicity                                 
                             # RN's # Primary Care Physicians # RN's # Primary Care Physicians  
 White                          478             28            15729           1023              
 Black                            .              0              166             15              
 Native American                  1              0               54              5              
 Asian                            1              0              117             43              
 Hispanic                         1              0              183             25              
 Other Race/Ethnicity/Unknown     .              0               85              4              
                                                                                                
                       FEDERAL SHORTAGE AREA DESIGNATIONS, 2003                                 
                                                                                                
                                     ADAMS                       NEBRASKA                       
        HPSA                           Part                        Part                         
        MUA/MUP                        Part                        Part                         
                                                                                                
                            EMERGENCY SERVICES, 2003                                            
                                                                                                
        SERVICE                           ADAMS                  NEBRASKA                       
    Ambulance services                           5                 394                          
                                                                                                
                          AVAILABILITY OF TRANSPORATION, 1998                                   
                                                                                                
                 PUBLIC TRANSPORTATION AVAILABLE IN ADAMS ?  YES .                              
                                                                                                
            COMMUNITIES SERVED BY PUBLIC TRANSPORTATION IN ADAMS :                              
                                                                                                
                    Ayr, Hastings, Holstein, Juniata, Kenesaw, Prosser, Roseland                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
        SERVICE UTILIZATION DATA                                                                
                                                                                                
                                                                                                
                     MEDICAID ELIGIBILITY AND EXPENDITURES, FY 2003                             
                                                                                                
                           ADAMS                          NEBRASKA                              
                        TOTAL PERSONS    % OF        TOTAL PERSONS    % OF                      
                        ELIGIBLE(#)   ELIGIBLES      ELIGIBLE(#)   ELIGIBLES                    
                                                                                                
    Medicaid                3,811        100.0         205,498        100.0                     
       Aged                   414         10.9          18,449          9.0                     
       Blind & Disabled       575         15.1          26,534         12.9                     
       ADC Children         2,385         62.6         134,743         65.6                     
       ADC Adults             437         11.5          25,772         12.5                     
                                                                                                
                                                                                                
                                                                                                
                             ADAMS                         NEBRASKA                             
                              TOTAL    % OF TOTAL      TOTAL    % OF TOTAL                      
                             DOLLARS    MEDICAID      DOLLARS    MEDICAID                       
                              ($000)    DOLLARS        ($000)    DOLLARS                        
                                                                                                
    Medicaid                 $23,714     100.0     $1,280,005     100.0                         
       Aged                    7,619      32.1        353,582      29.4                         
       Blind & Disabled        7,853      33.1        432,011      36.0                         
       ADC Children            6,459      27.2        319,452      26.6                         
       ADC Adults              1,784       7.5         95,724       8.0                         
                                                                                                
               MEDICAID EXPENDITURES BY TYPE OF SERVICE PROVIDED, FY 2003                       
                                                                                                
                             ADAMS                         NEBRASKA                             
                              TOTAL    % OF TOTAL      TOTAL    % OF TOTAL                      
                             DOLLARS    MEDICAID      DOLLARS    MEDICAID                       
                              ($000)    DOLLARS        ($000)    DOLLARS                        
                                                                                                
    All Medicaid             $23,714     100.0     $1,280,005     100.0                         
                                                                                                
    Medicaid Fee-for-Service  17,416      73.4        970,707      75.8                         
       Hospital--Inpatient     3,429      14.5        257,282      20.1                         
       Hospital--Outpatient    1,158       4.9         75,892       5.9                         
       ICF Mentally Retarded     314       1.3         50,253       3.9                         
       Nursing Facility        5,633      23.8        271,975      21.2                         
       Physician               1,732       7.3        100,083       7.8                         
       Dental                    568       2.4         33,337       2.6                         
       Prescribed Drugs        4,583      19.3        181,885      14.2                         
                                                                                                
    Other Medicaid (Includes                                                                    
       Capitated Payments)     6,298      26.6        309,298      24.2                         
                                                                                                
                                                                                                
                   UTILIZATION OF SERVICES BY PROGRAM, FY 2004                                  
                                                                                                
                             ADAMS                         NEBRASKA                             
                             AVERAGE    AVERAGE       AVERAGE    AVERAGE                        
                             MONTHLY    PAYMENT       MONTHLY    PAYMENT                        
                          PARTICIPANTS    ($)      PARTICIPANTS    ($)                          
                                                                                                
    Aid to Dependent             196   $342.09*        12,237   $353.16*                        
       Children (ADC)                                                                           
    Food Stamp Program         1,913    $77.72**      111,435    $79.42**                       
                                                                                                
     *  Average payment per family.                                                             
     ** Average payment per person.                                                             
                                                                                                
                NUMBER OF PERSONS SERVED BY PUBLIC HEALTH PROGRAMS                              
                                                                                                
    SERVICE PROVIDED                 ADAMS                         NEBRASKA                     
                                                                                                
    WIC, UNDUPLICATED PERSONS SERVED, 2004                                                      
       Pregnant women seen                          59            4,527                         
       Breastfeeding clients seen                  116            5,609                         
       Postpartum women seen                       198           10,951                         
       Infants seen                                165            9,521                         
       Children seen                               727           39,835                         
                                        Native                             Native               
       Total WIC clients     Total  Black Am  Asian Hispanic    Total  Black Am  Asian Hispanic 
       seen in 2004         1,266    39     7    33    335     70,449 7,664 1,316 1,296 20,674  
                                                                                                
    Reproductive health, 2004                      514           42,421                         
                                                                                                
              NURSING HOME AND HOSPITAL LONG-TERM CARE OCCUPANCY, 2004                          
                                                                                                
                                            ADAMS                 NEBRASKA                      
    Nursing Home and Hospital                                                                   
    Long-Term Care Facilities                                                                   
         Number of licensed beds                   306           17,130                         
         Occupancy rate                           88.0             82.7                         
                                                                                                
    Persons Aged 65 and Older                                                                   
    Living in Nursing Homes or                                                                  
    Hospital Long-Term Care                                                                     
    Facilities                                                                                  
         Number                                    241           12,710                         
         Percent of population                     5.0              5.5                         
           aged 65 and older                                                                    

Statistical Profiles