AREA PROFILE -- PANHANDLE                                   
                                                                                                
                                                                                                
        DEMOGRAPHIC DATA                                                                        
                                                                                                
                                U.S. CENSUS ESTIMATES, 2004                                     
                                                                                                
                 PANHANDLE -    87,917                  NEBRASKA - 1,747,214                    
                                                                                                
                                                                                                
                                 POPULATION BY AGE AND RACE/ETHNICITY                           
                        PANHANDLE                                  NEBRASKA                     
 AGE         PERCENT        NATIVE                                         NATIVE               
GROUP   TOTAL       BLACK AMERICAN ASIAN HISPANIC  TOTAL  PERCENT  BLACK AMERICAN ASIAN HISPANIC
  0-4   5,325  6.1     26    251      31     997  122,049   7.0     6,566  1,726   2,087  15,560
 5-14  11,257 12.8     75    474      72   1,980  236,970  13.6    14,021  3,332   3,652  24,538
15-24  13,500 15.4    106    450      82   1,796  266,314  15.2    13,893  3,368   4,811  21,847
25-44  19,810 22.5     80    599     144   2,509  473,637  27.1    22,127  4,736  11,084  40,755
45-64  22,853 26.0     40    342      90   1,584  416,441  23.8    13,444  2,631   5,077  13,752
65-74   7,144  8.1      6     69      37     363  111,352   6.4     2,767    471     821   2,126
75-84   5,673  6.5      4     31      48     222   84,541   4.8     1,454    213     325   1,044
 85+    2,355  2.7      6     14      15      57   35,910   2.1       549     93      76     359
 <18   21,646 24.6    131    895     133   3,650  446,083  25.5    24,698  6,261   7,104  47,141
 65+   15,172 17.3     16    114     100     642  231,803  13.3     4,770    777   1,222   3,529
                                                                                                
                                                                                                
                               POPULATION BY GENDER AND RACE/ETHNICITY                          
                        PANHANDLE                                  NEBRASKA                     
             PERCENT        NATIVE                                         NATIVE               
GENDER  TOTAL       BLACK AMERICAN ASIAN HISPANIC  TOTAL  PERCENT  BLACK AMERICAN ASIAN HISPANIC
Men    42,754 48.6    202  1,064     251   4,726  863,628  49.4    37,128   8,068  13,719 65,048
Women  45,163 51.4    141  1,166     268   4,782  883,586  50.6    37,693   8,502  14,214 54,933
 15-17  2,469           9     85      14     337   42,285           1,986    590     663   3,127
                                                                                                
                                                                                                
                                    POPULATION BY RACE/ETHNICITY                                
                                                                                                
                             PANHANDLE                           NEBRASKA                       
         RACE/ETHNICITY     NUMBER   PERCENT                     NUMBER   PERCENT               
         White              84,091     95.6                   1,609,056     92.1                
         Black                 343      0.4                      74,821      4.3                
         Native American     2,230      2.5                      16,570      0.9                
         Asian                 519      0.6                      27,933      1.6                
                                                                                                
         Hispanic            9,508     10.8                     119,981      6.9                
                                                                                                
         Minority *         12,801     14.6                     250,577     14.3                
                                                                                                
    * Minority Population = Total Population - White, Not Hispanic Population                   
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                  HOUSEHOLDS BY TYPE, 2000 CENSUS                               
                                                                                                
                                      PANHANDLE                 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                     31.6      23.6              28.6      25.6               
   Male householders                    1.0       2.2               1.3       2.0               
   Female householders                  2.3       6.5               2.6       6.5               
   Male householder nonfamilies        14.2       0.4              15.2       0.3               
   Female householder nonfamilies      18.1       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                   67.2  66.5  60.1  77.3     66.6  66.2  65.0  74.3               
      Married Couples           55.2  55.7  36.7  35.0     54.2  55.4  28.8  35.4               
        W/Children < 18         23.6  23.0  16.7  25.3     25.6  25.4  16.7  24.0               
      Single Parent Families    12.0   7.6  18.4  37.3     12.4   7.2  28.7  32.6               
        Male householder         3.2   2.9   6.7   7.9      3.3   3.0   5.4   8.8               
          W/Children < 18        2.2   1.9   6.7   6.3      2.0   1.8   3.6   6.7               
        Female Householder       8.8   7.9  16.7  34.4      9.1   7.8  30.8  30.1               
          W/Children < 18        6.5   5.7  11.7  31.0      6.5   5.4  25.1  25.9               
     Nonfamily households       32.8  33.4  40.0  22.8     33.4  33.7  34.9  25.7               
                                                                                                
                                                                                                
                                  % OF HOUSEHOLDS             % OF HOUSEHOLDS                   
                                  Asian  Hispanic Minority *  Asian  Hispanic Minority *        
     Families                      65.9     79.6     77.0      66.9     77.3     70.2           
      Married Couples              49.7     55.1     50.6      53.7     54.0     42.1           
        W/Children < 18            16.8     35.4     31.6      33.0     40.7     28.3           
      Single Parent Families        7.2     19.6     21.4       8.3     17.9     21.8           
        Male householder            6.0      7.5      7.3       4.5      9.6      7.1           
          W/Children < 18           1.2      5.4      5.3       2.2      6.3      4.6           
        Female Householder         10.2     17.0     19.1       8.7     13.7     21.0           
          W/Children < 18           6.0     14.2     16.1       6.1     11.6     17.2           
     Nonfamily households          34.1     20.5     23.1      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                           
                                                                                                
                                     PANHANDLE                  NEBRASKA                        
                                                  Native                     Native             
                                Total White Black American Total White Black American           
                                                                                                
     Less than 9th grade         6.9   5.8  17.4  11.5      5.4   4.5   5.3   9.0               
     9th to 11th grade           9.7   9.1  14.0  18.9      8.0   7.3  16.0  15.1               
     High school diploma        32.7  33.2  26.7  40.7     31.3  31.8  31.2  33.7               
     Some college, no degree    26.0  26.4  26.7  19.8     24.3  24.5  27.4  26.1               
     Associate degree            7.2   7.4  15.1   3.3      7.3   7.5   5.9   7.4               
     Baccalaureate degree       12.7  13.2   0.0   4.2     16.5  17.0  10.5   6.2               
     Graduate or professional    4.9   5.0   0.0   1.6      7.3   7.4   3.6   2.6               
     degree                                                                                     
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                Percent of persons 25 years and older                           
                                                                                                
                                     PANHANDLE                  NEBRASKA                        
                                                                                                
                                                                                                
                                  Asian  Hispanic Minority *  Asian  Hispanic Minority *        
                                                                                                
     Less than 9th grade            0.8     30.9     25.2      10.8     34.2     17.9           
     9th to 11th grade              7.7     21.0     19.0      11.9     19.2     16.3           
     High school diploma           28.5     23.6     26.0      17.1     21.3     25.5           
     Some college, no degree       19.9     16.2     18.2      13.3     13.9     20.1           
     Associate degree               7.3      3.4      4.2       5.4      2.9      4.8           
     Baccalaureate degree          26.0      3.8      5.4      21.8      5.9     10.0           
     Graduate or professional       9.8      1.1      1.9      19.8      2.7      5.5           
     degree                                                                                     
                                                                                                
    * Minority Population = Total Population - White, Not Hispanic Population                   
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
        SOCIAL INDICATORS                                                                       
                                  PER CAPITA INCOME, 2000 CENSUS                                
                                                                                                
                                 PANHANDLE             NEBRASKA                                 
                                $17,022                $19,613                                  
                                                                                                
                         MEDIAN HOUSEHOLD INCOME, 2002 CENSUS ESTIMATES                         
                                                                                                
                                 PANHANDLE             NEBRASKA                                 
                                $33,007                $41,978                                  
                                                                                                
                        PERCENT BELOW 100% POVERTY, 2002 CENSUS ESTIMATES                       
                                                                                                
                                 PANHANDLE             NEBRASKA                                 
     5-17 Years of Age               16.6                    10.8                               
     Total Population                13.8                    10.0                               
                                                                                                
                 PERCENT BELOW 100% POVERTY BY RACE/ETHNICITY, 2000 CENSUS *                    
                                                                                                
                                 PANHANDLE             NEBRASKA                                 
     White                           11.6                     8.2                               
     Black                           46.6                    27.4                               
     Native American                 50.3                    33.0                               
     Asian                           16.3                    12.8                               
     Hispanic                        29.0                    20.4                               
 * A '.' indicates the population estimate of the racial/ethnic group is zero.                  
                                                                                                
                     PERCENT OF WORKERS UNEMPLOYED, DEPT. OF LABOR, MAY, 2004                   
                                                                                                
                            PANHANDLE                  NEBRASKA                                 
                    # UNEMPLOYED   % OF WORKERS   # UNEMPLOYED % OF WORKERS                     
                         1,895         4.0          39,368       4.0                            
                                                                                                
                                  HIGH SCHOOL DROPOUT RATE, 2003-2004                           
                                                                                                
                                 PANHANDLE                NEBRASKA                              
     % of 7-12th Grade Member-                                                                  
     ship Who Drop Out of School      1.5                       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              
                                                                                                
                                 PANHANDLE                NEBRASKA                              
                      # BIRTHS    % OF 1ST BIRTHS*  # BIRTHS  % OF 1ST BIRTHS*                  
     Total               257           11.9          4,398          9.0                         
     White               214           10.6          3,351          7.7                         
     Black                 0            0.0            653         24.4                         
     Native American      42           42.9            232         36.9                         
     Asian                 1            3.8             39          2.9                         
     Hispanic             75           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             
                                                                                                
                                       PANHANDLE                  NEBRASKA                      
                                        NUMBER RATE/1,000      NUMBER RATE/1,000                
     Total Arrests                       4,959   56.4          94,648   54.2                    
     Arrests for violent crimes *           76    0.9           1,596    0.9                    
     Reported forcible rape offenses         5    0.1             195    0.1                    
     Arrests for DUI                       743    8.5          14,163    8.1                    
     Drug law violation arrests            545    6.2          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             
                                                                                                
                                       PANHANDLE                  NEBRASKA                      
                                        NUMBER RATE/1,000      NUMBER RATE/1,000                
     Total Arrests                      1,011    46.7         14,867    33.3                    
     Arrests for violent crimes *          13     0.6            224     0.5                    
     Arrests for DUI                       34     1.6            348     0.8                    
     Drug law violation arrests            71     3.3          1,150     2.6                    
    *Violent crimes include: murder, forcible rape, robbery and aggravated assault.             
                                                                                                
                           CHILD PROTECTION AND SAFETY, CY 2004                                 
                                                                                                
                                       PANHANDLE                  NEBRASKA                      
                                        NUMBER RATE/1,000      NUMBER RATE/1,000                
                                                                                                
     Average number of children                                                                 
     in out-of-home care *               360    16.2          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                   
                                                                                                
                                            PANHANDLE            NEBRASKA                       
     Rate per 1,000 Children < Age 19            8.7                 8.6                        
                                                                                                
                   DOMESTIC VIOLENCE, JULY 1, 1999 - JUNE 30, 2000                              
                                       PANHANDLE                  NEBRASKA                      
                                        NUMBER RATE/1,000      NUMBER RATE/1,000                
     Number of Crisis Calls                                                                     
     Received by Multi-County Agency    2,790     32.4       108,312     63.3                   
     Total New Contacts for                                                                     
     Multi-County Agency                  586      6.8        24,249     14.2                   
     PANHANDLE MULTI-COUNTY AREA ALSO INCLUDES:                                                 
               Panhandle minus Garden & Deuel Counties                                          
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
        HEALTH STATUS                                                                           
                                                                                                
                                                                                                
                                LEADING CAUSES OF DEATH, 2000-2004                              
                             Age-Adjusted Death Rates per 100,000 Population                    
                                                                                                
                                                                            NEBRASKA            
                                                        NEBRASKA           NATIVE               
                        PANHANDLE         NEBRASKA      YEAR 2010   BLACK AMERICAN HISPANIC     
CAUSE OF DEATH             DEATHS  RATE  DEATHS  RATE   OBJECTIVE   RATE    RATE    RATE        
Heart Disease (#1)          1,377 213.4  20,262 205.1      --       245.6   276.0  110.6        
Cancer -- All Sites (#2)    1,045 177.7  16,798 182.0    147.0      255.2   201.9  117.8        
  Lung/Bronchus/Trachea       269  46.3   4,444  49.1     39.0       81.5    60.1   24.6        
  Breast (Female)              65  20.9   1,224  23.8     20.7       41.3    32.8    9.7        
  Prostate                     62  25.0     943  25.7     25.9       48.8    18.5    9.3        
Cerebrovascular (#3)          356  53.9   5,385  54.0     47.4       87.0    55.2   28.8        
Unintentional Injuries (#4)   259  51.6   3,457  37.6     19.4       25.2    92.6   34.9        
  Motor Vehicle               128  27.8   1,469  16.6     12.0        9.7    43.8   17.4        
Chronic Lung Disease (#5)     319  51.0   3,746  39.4      --        39.2    54.7   12.4        
                                                                                                
Suicide                        68  15.4     922  10.7      8.2        4.6     9.1    4.2        
Homicide                        9   2.2     259   3.0      2.0       20.3    11.9    6.6        
                                                                                                
Diabetes Related              492  79.5   6,933  72.6     25.0      162.8   260.9  109.3        
Tobacco Related               898 148.0  12,886 137.2      --       184.1   192.6   75.5        
Alcohol Related               240  45.8   3,255  35.5      --        41.9   137.3   41.2        
Work Related Accidents         21   4.4     209   2.4      --         0.4     0.9    2.5        
                                                                                                
All Causes                  5,235 857.8  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                       
                                                                                                
                    PANHANDLE                                NEBRASKA                           
                                                                      Native                    
                     Total    Total           Total    Total   Black American Hispanic          
Cancer Type         # Cases   Rate           # Cases   Rate    Rate    Rate     Rate            
All Sites             2,579   463.4           42,194   474.2   474.5   393.6   292.3            
                                                                                                
Lung & Bronchus         315    55.0            5,572    62.7    93.3    62.7    39.3            
Breast (Female)         341   119.3            6,278   131.8   102.2    56.9    57.2            
Prostate                496   194.6            6,470   165.9   197.9   146.3    57.0            
Colorectal              312    53.2            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               
                                     PANHANDLE              NEBRASKA         PERCENT            
    CONDITION/INJURY              # DISCHARGES  RATE # DISCHARGES  RATE     DIFFERENCE          
                                                                                                
     All Conditions/Injuries          13,818  6,963.00  359,031  9,837.00     -29.2             
     Pregnancy/Childbirth              2,754  1,715.00   89,507  2,465.00     -30.4             
     All Injuries                      1,677    776.00   55,504  1,509.00     -48.6             
     Diabetes Related Diseases         2,022    907.00   46,921  1,277.00     -29.0             
     Heart Disease                     1,297    543.00   37,934  1,014.00     -46.4             
     Digestive Diseases                1,609    776.0    29,464    808.0       -4.0             
     Musculoskeletal Diseases            554    246.0    23,783    659.0      -62.7             
     Psychosis/Mental Health             316    177.0    17,125    492.0      -64.0             
     Pneumonia                           820    383.0    14,664    386.0       -0.8             
     Genitourinary Diseases              656    342.0    14,656    411.0      -16.8             
     Cancer                              397    176.0    11,800    322.0      -45.3             
     Fractures                           389    162.0     9,998    261.0      -37.9             
     Other Respiratory Diseases          433    230.0     9,145    246.0       -6.5             
     Tobacco Related Diseases            454    196.0     9,566    257.0      -23.7             
     Surgical/Medical Complications      230    115.0     8,506    236.0      -51.3             
     Cerebrovascular Disease             314    127.0     8,131    214.0      -40.7             
     COPD                                445    210.0     7,578    208.0        1.0             
     Alcohol Related Diseases            130     63.0     2,405     67.0       -6.0             
                                                                                                
    Leading Causes of Injury                                                                    
     Falls                               455    182.0    11,318    291.0      -37.5             
     MV Accidents                         46     24.0     2,218     62.0      -61.3             
     Self-Inflicted                       42     25.0     1,754     50.0      -50.0             
     Other Unintentional                  32     14.0     1,215     33.0      -57.6             
     Poisoning                            31     17.0       592     16.0        6.3             
     Struck/Pierced by Object             19     11.0       609     17.0      -35.3             
     Overexertion                         20     11.0       480     13.0      -15.4             
     Environmental                        20     10.0       513     14.0      -28.6             
     Assault                              13      7.0       442     12.0      -41.7             
                                                                                                
                                LEADING PAYER TYPE FOR HOSPITALIZATION, 2003-2004               
                                                                                                
                                     PANHANDLE              NEBRASKA         PERCENT            
    PAYER TYPE                      DISCHARGES    %   DISCHARGES     %      DIFFERENCE          
     Commercial                        3,131     22.7   168,501     46.9      -51.6             
     Medicare                          7,262     52.6   131,141     36.5       44.1             
     Medicaid                          3,086     22.3    50,769     14.1       58.2             
     Self-Pay                             69      0.5     3,460      1.0      -50.0             
     Other State/Federal                 270      2.0     5,160      1.4       42.9             
                                                                                                
    NOTE: Age adjusted rates are based on the 2000 U.S. census standard.                        
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                     INCIDENCE OF AIDS, 2000-2004                               
                                                                                                
                                   PANHANDLE                         NEBRASKA                   
                                       *Rate                            Rate                    
                                        1.3                              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                    
                                                                                                
                                   PANHANDLE                         NEBRASKA                   
                                       Rate                             Rate                    
      West Nile Virus (WNV)             134                              112                    
      Chronic Hepatitis C              34.7                             64.2                    
      TB                                2.2                              1.6                    
                                                                                                
       Note: Rates are per 100,000 Population.                                                  
                                                                                                
               INCIDENCE RATES OF SEXUALLY TRANSMITTED DISEASES BY RACE/ETHNICITY               
                                                                                                
                          PANHANDLE                                  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  267.4   94.0 1491.7  568.3   39.2  384.4   424.4  193.7 2847.6  903.3  166.6  518.3  
 < 18       80.9   24.1 1280.0  148.0    0.0  198.3   226.2   83.9 1616.4  383.6   67.7  125.0  
 > 17      217.3   73.1 1538.5  778.0   47.4  408.4   455.9  207.6 3181.6 1086.7  163.3  667.2  
STD TYPE                                                                                        
Gonorrhea    9.0    2.4  165.7   63.1    0.0   11.6    65.8   19.1 1025.7  127.1   19.6   62.9  
Chlamydia  204.5   91.7 1270.7  496.2   39.2  363.6   301.3  146.5 1695.1  722.6  131.0  413.7  
  Female   306.5  146.4  794.7  797.2   76.6  573.9   433.6  223.1 2278.7 1163.2  198.0  666.3  
Herpes      48.3    0.0   55.2    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                             
                                                                                                
                              PANHANDLE                         NEBRASKA                        
                Rate *        # of Persons **                   # of Persons **                 
    Age 65-74    10%                714                            11,135                       
    Age 75-84    20%              1,135                            16,908                       
    Age 85+      47%              1,107                            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                        
                                                                                                
                          PANHANDLE             NEBRASKA                                        
                           INFANT             INFANT          NEBRASKA YEAR 2010                
    RACE/ETHNICITY         DEATHS  RATE       DEATHS  RATE         OBJECTIVE                    
    White                     32   6.0          670   5.9             4.5                       
    Black                      0   0.0          121  16.9             4.5                       
    Native American            5  15.3           31  14.4             4.5                       
    Asian                      0   0.0           10   3.5             4.5                       
    Total                     37   6.5          838   6.6             4.5                       
    Hispanic                   6   6.0          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                
                          PANHANDLE             NEBRASKA           OBJECTIVE                    
    WEIGHT                 NUMBER  RATE       NUMBER  RATE          RATE                        
    Very Low - All Births     56   9.8        1,611  12.7             9.0                       
    Low - All Births         423  74.2        8,821  69.4            50.0                       
          White              384  72.5        7,431  65.8            50.0                       
          Black                2 111.1          897 125.1            50.0                       
          Native American     33 101.2          145  67.2            50.0                       
          Asian                4  95.2          221  77.7            50.0                       
          Hispanic            74  74.5          976  62.0            50.0                       
                                                                                                
       Note: Rates are per 1,000 live births.                                                   
                                                                                                
                     NUMBER OF INFANTS BORN WITH BIRTH DEFECTS, 1999-2003                       
                                                                                                
                               PANHANDLE             NEBRASKA                                   
                           # of      % of          # of      % of                               
                          Infants Total Births    Infants Total Births                          
    Infants with birth                                                                          
     defects                  181      3.2         4,534        3.6                             
                                                                                                
                          TEEN AGE BIRTHS BY AGE AND RACE/ETHNICITY, 2000-2004                  
                   PANHANDLE                         NEBRASKA                                   
    Age of Mother  10-17        15-17            10-17        15-17                             
                NUMBER   %   NUMBER   %       NUMBER   %   NUMBER   %                           
    All Births    219   3.8    211   3.7      3,715   2.9  3,583   2.8                          
    White         196   3.7    189   3.6      2,792   2.5  2,718   2.4                          
    Black           0   0.0      0   0.0        631   8.8    586   8.2                          
    Native Amer    23   7.1     22   6.8        184   8.5    179   8.3                          
    Asian           0   0.0      0   0.0         36   1.3     35   1.2                          
    Hispanic       82   8.3     78   7.9        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           PANHANDLE            NEBRASKA         OBJECTIVE                    
    1-10                         13.3              10.4                 --                      
    11-20                         2.8               2.8                 --                      
    21+                           0.2               0.6                 --                      
    Unknown                       0.8               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                     PANHANDLE            NEBRASKA         OBJECTIVE                    
    White                        81.8              84.7                90.0                     
    Black                        55.6              70.5                90.0                     
    Native American              58.3              68.3                90.0                     
    Asian                        82.9              82.2                90.0                     
                                                                                                
    Total                        80.3              83.2                90.0                     
                                                                                                
    Hispanic                     71.6              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              
                                   PANHANDLE          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               
                                                                                                
                                    PANHANDLE           NEBRASKA         NEBRASKA               
                                          * % WITH          % WITH      YEAR 2010               
    RISK FACTOR                     (N)   BEHAVIOR   (N)   BEHAVIOR     OBJECTIVE               
    Obese (body mass                                                                            
       index 30 or higher)        2,253     22.8   23,583    22.4          15%                  
    No leisure-time                                                                             
     physical activity            2,375     26.2   24,965    25.0          15%                  
    Currently smoke                                                                             
     cigarettes                   2,372     22.0   24,932    21.1          12%                  
    Chronic drinking                                                                            
     60+/Mo Men - 30+/Mo Women    2,144      2.4   21,579     4.8          --                   
    No health insurance           2,370     14.9   24,932    11.9           0%                  
    Could not see physician in                                                                  
     past 12 months due to cost   1,884     11.6   16,873     8.4           4%                  
                                                                                                
    Mammogram                                                                                   
     in past two                                                                                
     years (Ages 40+)               839     64.3    6,913    75.5          75%                  
    Immunization rates (65+)                                                                    
     Flu shot past 12 months        710     66.1    6,210    71.5          90%                  
     Pneumonia immunization         703     58.2    6,123    63.2          90%                  
                                                                                                
    General health good to                                                                      
     excellent (self-reported)    2,369     83.7   24,924    87.4          --                   
    Ten or more days in past 30                                                                 
     days health not good                                                                       
      Physical health             2,073     11.6   20,236     9.7          --                   
      Mental health               2,072     11.1   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                                     
                                                                                                
               PANHANDLE                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                   
      126       0.1     4.6       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                                     
                                                                                                
                PANHANDLE                              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                 
                                                                                                
       43       12     78.5      36.8          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                        
                                                                                                
              PANHANDLE                 NEBRASKA                                                
                                                                                                
                 # w/High     %          # w/High      %    NEBRASKA YEAR 2010                  
     LEAD LEVEL Blood Lead Tested       Blood Lead  Tested      OBJECTIVE                       
                                                                                                
     >9ug/dL        28        1.3          1846       3.3      0% (>9ug/dL)                     
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
        AVAILABILITY OF SERVICES                                                                
                                                                                                
                           HEALTH PROFESSIONALS IN PRACTICE, 2003                               
                                                                                                
                                     PANHANDLE                   NEBRASKA                       
                                            # Persons                  # Persons                
                                  # of      Served per       # of      Served per               
    PROFESSION              Practitioners Practitioner Practitioners Practitioner               
                                                                                                
General/Family Practice           33           2697          677          2569                  
Internal Medicine                 11           8091          227          7662                  
Pediatrics                         4          22251          162         10736                  
OB/Gynecology                      5          17801          143         12163                  
Psychiatry                         4          22251          140         12424                  
Physician Assistant               34           2618          445          3909                  
Nurse Practitioner                12           7417          329          5287                  
Licensed Practical Nurse         509            175         6337           274                  
Dentist                           45           1978         1084          1605                  
Registered Nurse                 791            113        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                          583             40            15729           1023              
 Black                            1              0              166             15              
 Native American                  1              1               54              5              
 Asian                            2              1              117             43              
 Hispanic                        17              1              183             25              
 Other Race/Ethnicity/Unknown     4              0               85              4              
                                                                                                
                       FEDERAL SHORTAGE AREA DESIGNATIONS, 2003                                 
                                                                                                
                                     PANHANDLE                   NEBRASKA                       
        HPSA                           Part                        Part                         
        MUA/MUP                        Part                        Part                         
                                                                                                
                            EMERGENCY SERVICES, 2003                                            
                                                                                                
        SERVICE                           PANHANDLE              NEBRASKA                       
    Ambulance services                          31                 394                          
                                                                                                
                          AVAILABILITY OF TRANSPORATION, 1998                                   
                                                                                                
                 PUBLIC TRANSPORTATION AVAILABLE IN PANHANDLE ?  YES .                          
                                                                                                
            COMMUNITIES SERVED BY PUBLIC TRANSPORTATION IN PANHANDLE :                          
                                                                                                
                    Panhandle HD Cities                                                         
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
        SERVICE UTILIZATION DATA                                                                
                                                                                                
                                                                                                
                     MEDICAID ELIGIBILITY AND EXPENDITURES, FY 2003                             
                                                                                                
                           PANHANDLE                      NEBRASKA                              
                        TOTAL PERSONS    % OF        TOTAL PERSONS    % OF                      
                        ELIGIBLE(#)   ELIGIBLES      ELIGIBLE(#)   ELIGIBLES                    
                                                                                                
    Medicaid               14,216        100.0         205,498        100.0                     
       Aged                 1,404          9.9          18,449          9.0                     
       Blind & Disabled     1,720         12.1          26,534         12.9                     
       ADC Children         9,445         66.4         134,743         65.6                     
       ADC Adults           1,647         11.6          25,772         12.5                     
                                                                                                
                                                                                                
                                                                                                
                             PANHANDLE                     NEBRASKA                             
                              TOTAL    % OF TOTAL      TOTAL    % OF TOTAL                      
                             DOLLARS    MEDICAID      DOLLARS    MEDICAID                       
                              ($000)    DOLLARS        ($000)    DOLLARS                        
                                                                                                
    Medicaid                 $69,209     100.0     $1,280,005     100.0                         
       Aged                   20,858      32.0        353,582      29.4                         
       Blind & Disabled       19,834      30.4        432,011      36.0                         
       ADC Children           18,037      27.7        319,452      26.6                         
       ADC Adults              6,425       9.9         95,724       8.0                         
                                                                                                
               MEDICAID EXPENDITURES BY TYPE OF SERVICE PROVIDED, FY 2003                       
                                                                                                
                             PANHANDLE                     NEBRASKA                             
                              TOTAL    % OF TOTAL      TOTAL    % OF TOTAL                      
                             DOLLARS    MEDICAID      DOLLARS    MEDICAID                       
                              ($000)    DOLLARS        ($000)    DOLLARS                        
                                                                                                
    All Medicaid             $69,209     100.0     $1,280,005     100.0                         
                                                                                                
    Medicaid Fee-for-Service  55,190      79.7        970,707      75.8                         
       Hospital--Inpatient    10,968      15.8        257,282      20.1                         
       Hospital--Outpatient    8,608      12.4         75,892       5.9                         
       ICF Mentally Retarded     893       1.3         50,253       3.9                         
       Nursing Facility       13,910      20.1        271,975      21.2                         
       Physician               6,682       9.7        100,083       7.8                         
       Dental                  2,380       3.4         33,337       2.6                         
       Prescribed Drugs       11,748      17.0        181,885      14.2                         
                                                                                                
    Other Medicaid (Includes                                                                    
       Capitated Payments)    14,020      20.3        309,298      24.2                         
                                                                                                
                                                                                                
                   UTILIZATION OF SERVICES BY PROGRAM, FY 2004                                  
                                                                                                
                             PANHANDLE                     NEBRASKA                             
                             AVERAGE    AVERAGE       AVERAGE    AVERAGE                        
                             MONTHLY    PAYMENT       MONTHLY    PAYMENT                        
                          PARTICIPANTS    ($)      PARTICIPANTS    ($)                          
                                                                                                
    Aid to Dependent             667   $369.09*        12,237   $353.16*                        
       Children (ADC)                                                                           
    Food Stamp Program         7,997    $72.86**      111,435    $79.42**                       
                                                                                                
     *  Average payment per family.                                                             
     ** Average payment per person.                                                             
                                                                                                
                NUMBER OF PERSONS SERVED BY PUBLIC HEALTH PROGRAMS                              
                                                                                                
    SERVICE PROVIDED                 PANHANDLE                     NEBRASKA                     
                                                                                                
    WIC, UNDUPLICATED PERSONS SERVED, 2004                                                      
       Pregnant women seen                         284            4,527                         
       Breastfeeding clients seen                  285            5,609                         
       Postpartum women seen                       744           10,951                         
       Infants seen                                532            9,521                         
       Children seen                             2,539           39,835                         
                                        Native                             Native               
       Total WIC clients     Total  Black Am  Asian Hispanic    Total  Black Am  Asian Hispanic 
       seen in 2004         4,386    30   408    27  1,350     70,449 7,664 1,316 1,296 20,674  
                                                                                                
    Reproductive health, 2004                    2,709           42,421                         
                                                                                                
              NURSING HOME AND HOSPITAL LONG-TERM CARE OCCUPANCY, 2004                          
                                                                                                
                                            PANHANDLE             NEBRASKA                      
    Nursing Home and Hospital                                                                   
    Long-Term Care Facilities                                                                   
         Number of licensed beds                 1,115           17,130                         
         Occupancy rate                           82.1             82.7                         
                                                                                                
    Persons Aged 65 and Older                                                                   
    Living in Nursing Homes or                                                                  
    Hospital Long-Term Care                                                                     
    Facilities                                                                                  
         Number                                    875           12,710                         
         Percent of population                     5.7              5.5                         
           aged 65 and older                                                                    

Statistical Profiles