AREA PROFILE -- DCHD                                        
                                                                                                
                                                                                                
        DEMOGRAPHIC DATA                                                                        
                                                                                                
                                U.S. CENSUS ESTIMATES, 2004                                     
                                                                                                
                 DCHD -   482,112                       NEBRASKA - 1,747,214                    
                                                                                                
                                                                                                
                                 POPULATION BY AGE AND RACE/ETHNICITY                           
                        DCHD                                       NEBRASKA                     
 AGE         PERCENT        NATIVE                                         NATIVE               
GROUP   TOTAL       BLACK AMERICAN ASIAN HISPANIC  TOTAL  PERCENT  BLACK AMERICAN ASIAN HISPANIC
  0-4  37,987  7.9  5,072    254     786   5,554  122,049   7.0     6,566  1,726   2,087  15,560
 5-14  67,351 14.0 10,442    569   1,259   7,756  236,970  13.6    14,021  3,332   3,652  24,538
15-24  69,012 14.3 10,144    627   1,680   7,504  266,314  15.2    13,893  3,368   4,811  21,847
25-44 144,317 29.9 16,046  1,023   4,824  14,523  473,637  27.1    22,127  4,736  11,084  40,755
45-64 112,042 23.2 10,658    548   1,703   4,404  416,441  23.8    13,444  2,631   5,077  13,752
65-74  25,795  5.4  2,381     96     210     653  111,352   6.4     2,767    471     821   2,126
75-84  18,425  3.8  1,305     46      99     307   84,541   4.8     1,454    213     325   1,044
 85+    7,183  1.5    481     24      18     102   35,910   2.1       549     93      76     359
 <18  126,195 26.2 18,577  1,012   2,553  15,584  446,083  25.5    24,698  6,261   7,104  47,141
 65+   51,403 10.7  4,167    166     327   1,062  231,803  13.3     4,770    777   1,222   3,529
                                                                                                
                                                                                                
                               POPULATION BY GENDER AND RACE/ETHNICITY                          
                        DCHD                                       NEBRASKA                     
             PERCENT        NATIVE                                         NATIVE               
GENDER  TOTAL       BLACK AMERICAN ASIAN HISPANIC  TOTAL  PERCENT  BLACK AMERICAN ASIAN HISPANIC
Men   236,855 49.1 26,948  1,531   5,289  22,615  863,628  49.4    37,128   8,068  13,719 65,048
Women 245,257 50.9 29,581  1,656   5,290  18,188  883,586  50.6    37,693   8,502  14,214 54,933
 15-17  9,974       1,518     93     248     931   42,285           1,986    590     663   3,127
                                                                                                
                                                                                                
                                    POPULATION BY RACE/ETHNICITY                                
                                                                                                
                             DCHD                                NEBRASKA                       
         RACE/ETHNICITY     NUMBER   PERCENT                     NUMBER   PERCENT               
         White             404,642     83.9                   1,609,056     92.1                
         Black              56,529     11.7                      74,821      4.3                
         Native American     3,187      0.7                      16,570      0.9                
         Asian              10,579      2.2                      27,933      1.6                
                                                                                                
         Hispanic           40,803      8.5                     119,981      6.9                
                                                                                                
         Minority *        115,573     24.0                     250,577     14.3                
                                                                                                
    * Minority Population = Total Population - White, Not Hispanic Population                   
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                  HOUSEHOLDS BY TYPE, 2000 CENSUS                               
                                                                                                
                                      DCHD                      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                     24.0      23.4              28.6      25.6               
   Male householders                    1.5       2.1               1.3       2.0               
   Female householders                  3.6       8.5               2.6       6.5               
   Male householder nonfamilies        17.0       0.3              15.2       0.3               
   Female householder nonfamilies      19.5       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                   63.1  62.6  65.0  66.2     66.6  66.2  65.0  74.3               
      Married Couples           47.4  50.3  25.8  31.5     54.2  55.4  28.8  35.4               
        W/Children < 18         23.4  24.0  14.2  18.9     25.6  25.4  16.7  24.0               
      Single Parent Families    15.7   7.6  30.8  26.9     12.4   7.2  28.7  32.6               
        Male householder         3.6   3.1   5.3   7.4      3.3   3.0   5.4   8.8               
          W/Children < 18        2.1   1.7   3.3   4.4      2.0   1.8   3.6   6.7               
        Female Householder      12.1   9.2  33.9  27.3      9.1   7.8  30.8  30.1               
          W/Children < 18        8.5   5.9  27.5  22.5      6.5   5.4  25.1  25.9               
     Nonfamily households       36.9  37.4  35.0  33.8     33.4  33.7  34.9  25.7               
                                                                                                
                                                                                                
                                  % OF HOUSEHOLDS             % OF HOUSEHOLDS                   
                                  Asian  Hispanic Minority *  Asian  Hispanic Minority *        
     Families                      60.8     74.7     66.7      66.9     77.3     70.2           
      Married Couples              50.2     50.9     34.3      53.7     54.0     42.1           
        W/Children < 18            29.8     38.1     21.6      33.0     40.7     28.3           
      Single Parent Families        5.4     17.2     24.7       8.3     17.9     21.8           
        Male householder            3.7     10.8      6.6       4.5      9.6      7.1           
          W/Children < 18           1.4      6.7      4.0       2.2      6.3      4.6           
        Female Householder          6.9     13.0     25.8       8.7     13.7     21.0           
          W/Children < 18           4.0     10.5     20.7       6.1     11.6     17.2           
     Nonfamily households          39.3     25.3     33.4      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                           
                                                                                                
                                     DCHD                       NEBRASKA                        
                                                  Native                     Native             
                                Total White Black American Total White Black American           
                                                                                                
     Less than 9th grade         4.3   2.9   5.6   9.7      5.4   4.5   5.3   9.0               
     9th to 11th grade           8.4   7.1  17.9  14.9      8.0   7.3  16.0  15.1               
     High school diploma        26.2  25.9  33.2  35.2     31.3  31.8  31.2  33.7               
     Some college, no degree    24.5  24.8  26.4  26.4     24.3  24.5  27.4  26.1               
     Associate degree            6.0   6.3   4.9   6.2      7.3   7.5   5.9   7.4               
     Baccalaureate degree       21.2  23.1   9.2   5.6     16.5  17.0  10.5   6.2               
     Graduate or professional    9.4  10.0   2.9   2.0      7.3   7.4   3.6   2.6               
     degree                                                                                     
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                Percent of persons 25 years and older                           
                                                                                                
                                     DCHD                       NEBRASKA                        
                                                                                                
                                                                                                
                                  Asian  Hispanic Minority *  Asian  Hispanic Minority *        
                                                                                                
     Less than 9th grade            5.4     34.4     13.7      10.8     34.2     17.9           
     9th to 11th grade              6.6     17.3     16.1      11.9     19.2     16.3           
     High school diploma           10.3     20.5     27.3      17.1     21.3     25.5           
     Some college, no degree       14.5     14.0     21.8      13.3     13.9     20.1           
     Associate degree               6.2      2.8      4.5       5.4      2.9      4.8           
     Baccalaureate degree          28.9      7.6     10.9      21.8      5.9     10.0           
     Graduate or professional      28.1      3.5      5.7      19.8      2.7      5.5           
     degree                                                                                     
                                                                                                
    * Minority Population = Total Population - White, Not Hispanic Population                   
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
        SOCIAL INDICATORS                                                                       
                                  PER CAPITA INCOME, 2000 CENSUS                                
                                                                                                
                                 DCHD                  NEBRASKA                                 
                                $22,879                $19,613                                  
                                                                                                
                         MEDIAN HOUSEHOLD INCOME, 2002 CENSUS ESTIMATES                         
                                                                                                
                                 DCHD                  NEBRASKA                                 
                                $47,101                $41,978                                  
                                                                                                
                        PERCENT BELOW 100% POVERTY, 2002 CENSUS ESTIMATES                       
                                                                                                
                                 DCHD                  NEBRASKA                                 
     5-17 Years of Age               11.4                    10.8                               
     Total Population                10.1                    10.0                               
                                                                                                
                 PERCENT BELOW 100% POVERTY BY RACE/ETHNICITY, 2000 CENSUS *                    
                                                                                                
                                 DCHD                  NEBRASKA                                 
     White                            6.2                     8.2                               
     Black                           29.6                    27.4                               
     Native American                 30.6                    33.0                               
     Asian                           15.6                    12.8                               
     Hispanic                        19.0                    20.4                               
 * A '.' indicates the population estimate of the racial/ethnic group is zero.                  
                                                                                                
                     PERCENT OF WORKERS UNEMPLOYED, DEPT. OF LABOR, MAY, 2004                   
                                                                                                
                            DCHD                       NEBRASKA                                 
                    # UNEMPLOYED   % OF WORKERS   # UNEMPLOYED % OF WORKERS                     
                        12,832         4.7          39,368       4.0                            
                                                                                                
                                  HIGH SCHOOL DROPOUT RATE, 2003-2004                           
                                                                                                
                                 DCHD                     NEBRASKA                              
     % of 7-12th Grade Member-                                                                  
     ship Who Drop Out of School      2.9                       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              
                                                                                                
                                 DCHD                     NEBRASKA                              
                      # BIRTHS    % OF 1ST BIRTHS*  # BIRTHS  % OF 1ST BIRTHS*                  
     Total             1,646           10.5          4,398          9.0                         
     White             1,013            7.9          3,351          7.7                         
     Black               557           26.5            653         24.4                         
     Native American      35           30.2            232         36.9                         
     Asian                 8            1.5             39          2.9                         
     Hispanic            391           19.0          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             
                                                                                                
                                       DCHD                       NEBRASKA                      
                                        NUMBER RATE/1,000      NUMBER RATE/1,000                
     Total Arrests                       30905   64.1          94,648   54.2                    
     Arrests for violent crimes *          635    1.3           1,596    0.9                    
     Reported forcible rape offenses        50    0.1             195    0.1                    
     Arrests for DUI                     4,829   10.0          14,163    8.1                    
     Drug law violation arrests          3,693    7.7          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             
                                                                                                
                                       DCHD                       NEBRASKA                      
                                        NUMBER RATE/1,000      NUMBER RATE/1,000                
     Total Arrests                      3,801    30.1         14,867    33.3                    
     Arrests for violent crimes *         117     0.9            224     0.5                    
     Arrests for DUI                       70     0.6            348     0.8                    
     Drug law violation arrests           408     3.2          1,150     2.6                    
    *Violent crimes include: murder, forcible rape, robbery and aggravated assault.             
                                                                                                
                           CHILD PROTECTION AND SAFETY, CY 2004                                 
                                                                                                
                                       DCHD                       NEBRASKA                      
                                        NUMBER RATE/1,000      NUMBER RATE/1,000                
                                                                                                
     Average number of children                                                                 
     in out-of-home care *              2509    19.9          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                   
                                                                                                
                                            DCHD                 NEBRASKA                       
     Rate per 1,000 Children < Age 19            8.1                 8.6                        
                                                                                                
                   DOMESTIC VIOLENCE, JULY 1, 1999 - JUNE 30, 2000                              
                                       DCHD                       NEBRASKA                      
                                        NUMBER RATE/1,000      NUMBER RATE/1,000                
     Number of Crisis Calls                                                                     
     Received by Multi-County Agency   17,765     38.3       108,312     63.3                   
     Total New Contacts for                                                                     
     Multi-County Agency                6,882     14.8        24,249     14.2                   
     DCHD MULTI-COUNTY AREA ALSO INCLUDES:                                                      
               DCHD                                                                             
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
        HEALTH STATUS                                                                           
                                                                                                
                                                                                                
                                LEADING CAUSES OF DEATH, 2000-2004                              
                             Age-Adjusted Death Rates per 100,000 Population                    
                                                                                                
                                                                            NEBRASKA            
                                                        NEBRASKA           NATIVE               
                        DCHD              NEBRASKA      YEAR 2010   BLACK AMERICAN HISPANIC     
CAUSE OF DEATH             DEATHS  RATE  DEATHS  RATE   OBJECTIVE   RATE    RATE    RATE        
Heart Disease (#1)          4,314 204.3  20,262 205.1      --       245.6   276.0  110.6        
Cancer -- All Sites (#2)    4,251 201.9  16,798 182.0    147.0      255.2   201.9  117.8        
  Lung/Bronchus/Trachea     1,271  60.9   4,444  49.1     39.0       81.5    60.1   24.6        
  Breast (Female)             332  27.0   1,224  23.8     20.7       41.3    32.8    9.7        
  Prostate                    211  27.7     943  25.7     25.9       48.8    18.5    9.3        
Cerebrovascular (#3)        1,178  56.1   5,385  54.0     47.4       87.0    55.2   28.8        
Unintentional Injuries (#4)   660  29.6   3,457  37.6     19.4       25.2    92.6   34.9        
  Motor Vehicle               230   9.9   1,469  16.6     12.0        9.7    43.8   17.4        
Chronic Lung Disease (#5)     964  46.8   3,746  39.4      --        39.2    54.7   12.4        
                                                                                                
Suicide                       243  10.4     922  10.7      8.2        4.6     9.1    4.2        
Homicide                      143   5.9     259   3.0      2.0       20.3    11.9    6.6        
                                                                                                
Diabetes Related            1,615  77.6   6,933  72.6     25.0      162.8   260.9  109.3        
Tobacco Related             3,238 154.0  12,886 137.2      --       184.1   192.6   75.5        
Alcohol Related               804  36.5   3,255  35.5      --        41.9   137.3   41.2        
Work Related Accidents         21   0.9     209   2.4      --         0.4     0.9    2.5        
                                                                                                
All Causes                 17,999 845.8  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                       
                                                                                                
                    DCHD                                     NEBRASKA                           
                                                                      Native                    
                     Total    Total           Total    Total   Black American Hispanic          
Cancer Type         # Cases   Rate           # Cases   Rate    Rate    Rate     Rate            
All Sites            10,499   496.9           42,194   474.2   474.5   393.6   292.3            
                                                                                                
Lung & Bronchus       1,650    79.8            5,572    62.7    93.3    62.7    39.3            
Breast (Female)       1,588   135.3            6,278   131.8   102.2    56.9    57.2            
Prostate              1,363   153.5            6,470   165.9   197.9   146.3    57.0            
Colorectal            1,268    60.9            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               
                                     DCHD                   NEBRASKA         PERCENT            
    CONDITION/INJURY              # DISCHARGES  RATE # DISCHARGES  RATE     DIFFERENCE          
                                                                                                
     All Conditions/Injuries          96,873 10,050.00  359,031  9,837.00       2.2             
     Pregnancy/Childbirth             28,992  2,634.00   89,507  2,465.00       6.9             
     All Injuries                     15,715  1,729.00   55,504  1,509.00      14.6             
     Diabetes Related Diseases        11,831  1,330.00   46,921  1,277.00       4.2             
     Heart Disease                     8,495    965.00   37,934  1,014.00      -4.8             
     Digestive Diseases                7,296    795.0    29,464    808.0       -1.6             
     Musculoskeletal Diseases          5,756    640.0    23,783    659.0       -2.9             
     Psychosis/Mental Health           5,565    582.0    17,125    492.0       18.3             
     Pneumonia                         2,956    329.0    14,664    386.0      -14.8             
     Genitourinary Diseases            3,445    373.0    14,656    411.0       -9.2             
     Cancer                            3,140    352.0    11,800    322.0        9.3             
     Fractures                         2,284    251.0     9,998    261.0       -3.8             
     Other Respiratory Diseases        2,195    229.0     9,145    246.0       -6.9             
     Tobacco Related Diseases          2,292    256.0     9,566    257.0       -0.4             
     Surgical/Medical Complications    2,228    242.0     8,506    236.0        2.5             
     Cerebrovascular Disease           1,911    219.0     8,131    214.0        2.3             
     COPD                              2,023    222.0     7,578    208.0        6.7             
     Alcohol Related Diseases            580     64.0     2,405     67.0       -4.5             
                                                                                                
    Leading Causes of Injury                                                                    
     Falls                             2,493    280.0    11,318    291.0       -3.8             
     MV Accidents                        494     52.0     2,218     62.0      -16.1             
     Self-Inflicted                      538     55.0     1,754     50.0       10.0             
     Other Unintentional                 504     56.0     1,215     33.0       69.7             
     Poisoning                           204     21.0       592     16.0       31.3             
     Struck/Pierced by Object            139     14.0       609     17.0      -17.6             
     Overexertion                         95     10.0       480     13.0      -23.1             
     Environmental                       125     13.0       513     14.0       -7.1             
     Assault                             224     22.0       442     12.0       83.3             
                                                                                                
                                LEADING PAYER TYPE FOR HOSPITALIZATION, 2003-2004               
                                                                                                
                                     DCHD                   NEBRASKA         PERCENT            
    PAYER TYPE                      DISCHARGES    %   DISCHARGES     %      DIFFERENCE          
     Commercial                       60,035     62.0   168,501     46.9       32.2             
     Medicare                         20,307     21.0   131,141     36.5      -42.5             
     Medicaid                         14,677     15.2    50,769     14.1        7.8             
     Self-Pay                            858      0.9     3,460      1.0      -10.0             
     Other State/Federal                 996      1.0     5,160      1.4      -28.6             
                                                                                                
    NOTE: Age adjusted rates are based on the 2000 U.S. census standard.                        
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                     INCIDENCE OF AIDS, 2000-2004                               
                                                                                                
                                   DCHD                              NEBRASKA                   
                                       *Rate                            Rate                    
                                        6.9                              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                    
                                                                                                
                                   DCHD                              NEBRASKA                   
                                       Rate                             Rate                    
      West Nile Virus (WNV)            11.4                              112                    
      Chronic Hepatitis C               135                             64.2                    
      TB                                2.5                              1.6                    
                                                                                                
       Note: Rates are per 100,000 Population.                                                  
                                                                                                
               INCIDENCE RATES OF SEXUALLY TRANSMITTED DISEASES BY RACE/ETHNICITY               
                                                                                                
                          DCHD                                       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  834.9  350.1 3220.4 1253.7  165.9  732.3   424.4  193.7 2847.6  903.3  166.6  518.3  
 < 18      563.6  204.9 1981.1  388.0   44.6  170.5   226.2   83.9 1616.4  383.6   67.7  125.0  
 > 17      910.8  389.8 3523.5 1445.4  155.1  916.4   455.9  207.6 3181.6 1086.7  163.3  667.2  
STD TYPE                                                                                        
Gonorrhea  166.8   42.0 1199.2  362.9   24.8  122.4    65.8   19.1 1025.7  127.1   19.6   62.9  
Chlamydia  595.1  265.5 1908.5  851.2  124.0  563.6   301.3  146.5 1695.1  722.6  131.0  413.7  
  Female   867.2  413.1 2586.3 1395.9  181.4  946.6   433.6  223.1 2278.7 1163.2  198.0  666.3  
Herpes      68.2   41.5  100.2   33.0   15.3   43.4    42.0   18.6   82.7   18.7    7.3   23.5  
                                                                                                
       Note: Rates are per 100,000 Population.                                                  
                                                                                                
                             ESTIMATED PREVALENCE OF DEMENTIA, 2004                             
                                                                                                
                              DCHD                              NEBRASKA                        
                Rate *        # of Persons **                   # of Persons **                 
    Age 65-74    10%              2,580                            11,135                       
    Age 75-84    20%              3,685                            16,908                       
    Age 85+      47%              3,376                            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                        
                                                                                                
                          DCHD                  NEBRASKA                                        
                           INFANT             INFANT          NEBRASKA YEAR 2010                
    RACE/ETHNICITY         DEATHS  RATE       DEATHS  RATE         OBJECTIVE                    
    White                    188   5.9          670   5.9             4.5                       
    Black                     94  16.7          121  16.9             4.5                       
    Native American            9  23.9           31  14.4             4.5                       
    Asian                      3   2.9           10   3.5             4.5                       
    Total                    295   7.5          838   6.6             4.5                       
    Hispanic                  44   7.7          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                
                          DCHD                  NEBRASKA           OBJECTIVE                    
    WEIGHT                 NUMBER  RATE       NUMBER  RATE          RATE                        
    Very Low - All Births    586  14.8        1,611  12.7             9.0                       
    Low - All Births       3,066  77.5        8,821  69.4            50.0                       
          White            2,180  68.1        7,431  65.8            50.0                       
          Black              740 131.6          897 125.1            50.0                       
          Native American     36  95.5          145  67.2            50.0                       
          Asian               84  80.1          221  77.7            50.0                       
          Hispanic           358  63.0          976  62.0            50.0                       
                                                                                                
       Note: Rates are per 1,000 live births.                                                   
                                                                                                
                     NUMBER OF INFANTS BORN WITH BIRTH DEFECTS, 1999-2003                       
                                                                                                
                               DCHD                  NEBRASKA                                   
                           # of      % of          # of      % of                               
                          Infants Total Births    Infants Total Births                          
    Infants with birth                                                                          
     defects                1,560      4.1         4,534        3.6                             
                                                                                                
                          TEEN AGE BIRTHS BY AGE AND RACE/ETHNICITY, 2000-2004                  
                   DCHD                              NEBRASKA                                   
    Age of Mother  10-17        15-17            10-17        15-17                             
                NUMBER   %   NUMBER   %       NUMBER   %   NUMBER   %                           
    All Births  1,375   3.5  1,311   3.3      3,715   2.9  3,583   2.8                          
    White         787   2.5    764   2.4      2,792   2.5  2,718   2.4                          
    Black         528   9.4    491   8.7        631   8.8    586   8.2                          
    Native Amer    35   9.3     33   8.8        184   8.5    179   8.3                          
    Asian           8   0.8      8   0.8         36   1.3     35   1.2                          
    Hispanic      320   5.6    310   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           DCHD                 NEBRASKA         OBJECTIVE                    
    1-10                          9.2              10.4                 --                      
    11-20                         2.4               2.8                 --                      
    21+                           0.8               0.6                 --                      
    Unknown                       0.2               0.3                 --                      
                                                                                                
    TOTAL                        12.7              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                     DCHD                 NEBRASKA         OBJECTIVE                    
    White                        85.1              84.7                90.0                     
    Black                        70.4              70.5                90.0                     
    Native American              62.1              68.3                90.0                     
    Asian                        83.6              82.2                90.0                     
                                                                                                
    Total                        82.5              83.2                90.0                     
                                                                                                
    Hispanic                     67.7              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              
                                   DCHD               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               
                                                                                                
                                    DCHD                NEBRASKA         NEBRASKA               
                                          * % WITH          % WITH      YEAR 2010               
    RISK FACTOR                     (N)   BEHAVIOR   (N)   BEHAVIOR     OBJECTIVE               
    Obese (body mass                                                                            
       index 30 or higher)        4,588     20.9   23,583    22.4          15%                  
    No leisure-time                                                                             
     physical activity            4,849     22.1   24,965    25.0          15%                  
    Currently smoke                                                                             
     cigarettes                   4,838     23.4   24,932    21.1          12%                  
    Chronic drinking                                                                            
     60+/Mo Men - 30+/Mo Women    4,107      5.4   21,579     4.8          --                   
    No health insurance           4,848     11.8   24,932    11.9           0%                  
    Could not see physician in                                                                  
     past 12 months due to cost   3,002      8.6   16,873     8.4           4%                  
                                                                                                
    Mammogram                                                                                   
     in past two                                                                                
     years (Ages 40+)             1,113     81.0    6,913    75.5          75%                  
    Immunization rates (65+)                                                                    
     Flu shot past 12 months        945     75.4    6,210    71.5          90%                  
     Pneumonia immunization         939     65.9    6,123    63.2          90%                  
                                                                                                
    General health good to                                                                      
     excellent (self-reported)    4,847     88.7   24,924    87.4          --                   
    Ten or more days in past 30                                                                 
     days health not good                                                                       
      Physical health             3,779      9.4   20,236     9.7          --                   
      Mental health               3,786     10.5   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                                     
                                                                                                
               DCHD                     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                   
       34       0.0     2.6       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                                     
                                                                                                
                DCHD                                   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                 
                                                                                                
       20        2      106      99.0          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                        
                                                                                                
              DCHD                      NEBRASKA                                                
                                                                                                
                 # w/High     %          # w/High      %    NEBRASKA YEAR 2010                  
     LEAD LEVEL Blood Lead Tested       Blood Lead  Tested      OBJECTIVE                       
                                                                                                
     >9ug/dL      1036        3.7          1846       3.3      0% (>9ug/dL)                     
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
        AVAILABILITY OF SERVICES                                                                
                                                                                                
                           HEALTH PROFESSIONALS IN PRACTICE, 2003                               
                                                                                                
                                     DCHD                        NEBRASKA                       
                                            # Persons                  # Persons                
                                  # of      Served per       # of      Served per               
    PROFESSION              Practitioners Practitioner Practitioners Practitioner               
                                                                                                
General/Family Practice          173           2756          677          2569                  
Internal Medicine                103           4628          227          7662                  
Pediatrics                        83           5743          162         10736                  
OB/Gynecology                     70           6810          143         12163                  
Psychiatry                        78           6112          140         12424                  
Physician Assistant              126           3783          445          3909                  
Nurse Practitioner               161           2961          329          5287                  
Licensed Practical Nurse         937            509         6337           274                  
Dentist                          382           1248         1084          1605                  
Registered Nurse                5991             80        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                         5438            371            15729           1023              
 Black                          102              9              166             15              
 Native American                 16              2               54              5              
 Asian                           43             15              117             43              
 Hispanic                        75             17              183             25              
 Other Race/Ethnicity/Unknown    31              1               85              4              
                                                                                                
                       FEDERAL SHORTAGE AREA DESIGNATIONS, 2003                                 
                                                                                                
                                     DCHD                        NEBRASKA                       
        HPSA                           No                          Part                         
        MUA/MUP                        Part                        Part                         
                                                                                                
                            EMERGENCY SERVICES, 2003                                            
                                                                                                
        SERVICE                           DCHD                   NEBRASKA                       
    Ambulance services                          15                 394                          
                                                                                                
                          AVAILABILITY OF TRANSPORATION, 1998                                   
                                                                                                
                 PUBLIC TRANSPORTATION AVAILABLE IN DCHD ?  YES .                               
                                                                                                
            COMMUNITIES SERVED BY PUBLIC TRANSPORTATION IN DCHD :                               
                                                                                                
                    Bennington, Elkhorn, Omaha, Ralston, Valley, Waterloo                       
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
        SERVICE UTILIZATION DATA                                                                
                                                                                                
                                                                                                
                     MEDICAID ELIGIBILITY AND EXPENDITURES, FY 2003                             
                                                                                                
                           DCHD                           NEBRASKA                              
                        TOTAL PERSONS    % OF        TOTAL PERSONS    % OF                      
                        ELIGIBLE(#)   ELIGIBLES      ELIGIBLE(#)   ELIGIBLES                    
                                                                                                
    Medicaid               64,103        100.0         205,498        100.0                     
       Aged                 3,953          6.2          18,449          9.0                     
       Blind & Disabled     8,633         13.5          26,534         12.9                     
       ADC Children        41,616         64.9         134,743         65.6                     
       ADC Adults           9,901         15.4          25,772         12.5                     
                                                                                                
                                                                                                
                                                                                                
                             DCHD                          NEBRASKA                             
                              TOTAL    % OF TOTAL      TOTAL    % OF TOTAL                      
                             DOLLARS    MEDICAID      DOLLARS    MEDICAID                       
                              ($000)    DOLLARS        ($000)    DOLLARS                        
                                                                                                
    Medicaid                $377,268     100.0     $1,280,005     100.0                         
       Aged                   78,967      22.2        353,582      29.4                         
       Blind & Disabled      139,342      39.2        432,011      36.0                         
       ADC Children          103,309      29.1        319,452      26.6                         
       ADC Adults             33,981       9.6         95,724       8.0                         
                                                                                                
               MEDICAID EXPENDITURES BY TYPE OF SERVICE PROVIDED, FY 2003                       
                                                                                                
                             DCHD                          NEBRASKA                             
                              TOTAL    % OF TOTAL      TOTAL    % OF TOTAL                      
                             DOLLARS    MEDICAID      DOLLARS    MEDICAID                       
                              ($000)    DOLLARS        ($000)    DOLLARS                        
                                                                                                
    All Medicaid            $377,268     100.0     $1,280,005     100.0                         
                                                                                                
    Medicaid Fee-for-Service 259,053      68.7        970,707      75.8                         
       Hospital--Inpatient    82,872      22.0        257,282      20.1                         
       Hospital--Outpatient   18,278       4.8         75,892       5.9                         
       ICF Mentally Retarded   1,980       0.5         50,253       3.9                         
       Nursing Facility       68,336      18.1        271,975      21.2                         
       Physician              24,254       6.4        100,083       7.8                         
       Dental                  9,879       2.6         33,337       2.6                         
       Prescribed Drugs       53,455      14.2        181,885      14.2                         
                                                                                                
    Other Medicaid (Includes                                                                    
       Capitated Payments)   118,215      31.3        309,298      24.2                         
                                                                                                
                                                                                                
                   UTILIZATION OF SERVICES BY PROGRAM, FY 2004                                  
                                                                                                
                             DCHD                          NEBRASKA                             
                             AVERAGE    AVERAGE       AVERAGE    AVERAGE                        
                             MONTHLY    PAYMENT       MONTHLY    PAYMENT                        
                          PARTICIPANTS    ($)      PARTICIPANTS    ($)                          
                                                                                                
    Aid to Dependent           6,056   $352.47*        12,237   $353.16*                        
       Children (ADC)                                                                           
    Food Stamp Program        41,639    $85.08**      111,435    $79.42**                       
                                                                                                
     *  Average payment per family.                                                             
     ** Average payment per person.                                                             
                                                                                                
                NUMBER OF PERSONS SERVED BY PUBLIC HEALTH PROGRAMS                              
                                                                                                
    SERVICE PROVIDED                 DCHD                          NEBRASKA                     
                                                                                                
    WIC, UNDUPLICATED PERSONS SERVED, 2004                                                      
       Pregnant women seen                       1,552            4,527                         
       Breastfeeding clients seen                1,941            5,609                         
       Postpartum women seen                     2,612           10,951                         
       Infants seen                              2,971            9,521                         
       Children seen                            11,213           39,835                         
                                        Native                             Native               
       Total WIC clients     Total  Black Am  Asian Hispanic    Total  Black Am  Asian Hispanic 
       seen in 2004        20,289 5,571   296   277  7,240     70,449 7,664 1,316 1,296 20,674  
                                                                                                
    Reproductive health, 2004                   12,959           42,421                         
                                                                                                
              NURSING HOME AND HOSPITAL LONG-TERM CARE OCCUPANCY, 2004                          
                                                                                                
                                            DCHD                  NEBRASKA                      
    Nursing Home and Hospital                                                                   
    Long-Term Care Facilities                                                                   
         Number of licensed beds                 3,175           17,130                         
         Occupancy rate                           81.6             82.7                         
                                                                                                
    Persons Aged 65 and Older                                                                   
    Living in Nursing Homes or                                                                  
    Hospital Long-Term Care                                                                     
    Facilities                                                                                  
         Number                                  2,108           12,710                         
         Percent of population                     4.1              5.5                         
           aged 65 and older                                                                    

Statistical Profiles