AREA PROFILE -- WASHINGTON                                  
                                                                                                
                                                                                                
        DEMOGRAPHIC DATA                                                                        
                                                                                                
                                U.S. CENSUS ESTIMATES, 2004                                     
                                                                                                
                 WASHINGTON -    19,605                 NEBRASKA - 1,747,214                    
                                                                                                
                                                                                                
                                 POPULATION BY AGE AND RACE/ETHNICITY                           
                        WASHINGTON                                 NEBRASKA                     
 AGE         PERCENT        NATIVE                                         NATIVE               
GROUP   TOTAL       BLACK AMERICAN ASIAN HISPANIC  TOTAL  PERCENT  BLACK AMERICAN ASIAN HISPANIC
  0-4   1,145  5.8      5      3       9      36  122,049   7.0     6,566  1,726   2,087  15,560
 5-14   2,666 13.6     19      8      10      50  236,970  13.6    14,021  3,332   3,652  24,538
15-24   3,206 16.4     28     10      44      51  266,314  15.2    13,893  3,368   4,811  21,847
25-44   4,923 25.1     31     13      24      64  473,637  27.1    22,127  4,736  11,084  40,755
45-64   5,100 26.0     10      7      12      20  416,441  23.8    13,444  2,631   5,077  13,752
65-74   1,311  6.7      5      0       2       1  111,352   6.4     2,767    471     821   2,126
75-84     912  4.7      4      0       1       4   84,541   4.8     1,454    213     325   1,044
 85+      342  1.7      0      1       2       4   35,910   2.1       549     93      76     359
 <18    4,963 25.3     34     15      35     104  446,083  25.5    24,698  6,261   7,104  47,141
 65+    2,565 13.1      9      1       5       9  231,803  13.3     4,770    777   1,222   3,529
                                                                                                
                                                                                                
                               POPULATION BY GENDER AND RACE/ETHNICITY                          
                        WASHINGTON                                 NEBRASKA                     
             PERCENT        NATIVE                                         NATIVE               
GENDER  TOTAL       BLACK AMERICAN ASIAN HISPANIC  TOTAL  PERCENT  BLACK AMERICAN ASIAN HISPANIC
Men     9,805 50.0     58     28      57     127  863,628  49.4    37,128   8,068  13,719 65,048
Women   9,800 50.0     44     14      47     103  883,586  50.6    37,693   8,502  14,214 54,933
 15-17    583           4      1       6       5   42,285           1,986    590     663   3,127
                                                                                                
                                                                                                
                                    POPULATION BY RACE/ETHNICITY                                
                                                                                                
                             WASHINGTON                          NEBRASKA                       
         RACE/ETHNICITY     NUMBER   PERCENT                     NUMBER   PERCENT               
         White              19,273     98.3                   1,609,056     92.1                
         Black                 102      0.5                      74,821      4.3                
         Native American        42      0.2                      16,570      0.9                
         Asian                 104      0.5                      27,933      1.6                
                                                                                                
         Hispanic              230      1.2                     119,981      6.9                
                                                                                                
         Minority *            552      2.8                     250,577     14.3                
                                                                                                
    * Minority Population = Total Population - White, Not Hispanic Population                   
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                  HOUSEHOLDS BY TYPE, 2000 CENSUS                               
                                                                                                
                                      WASHINGTON                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                     33.1      30.9              28.6      25.6               
   Male householders                    1.3       1.9               1.3       2.0               
   Female householders                  2.0       5.0               2.6       6.5               
   Male householder nonfamilies        11.8       0.2              15.2       0.3               
   Female householder nonfamilies      13.8       0.0              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                   74.2  74.3  71.4  83.4     66.6  66.2  65.0  74.3               
      Married Couples           64.0  64.2  47.6  72.2     54.2  55.4  28.8  35.4               
        W/Children < 18         30.9  30.9  14.3  33.3     25.6  25.4  16.7  24.0               
      Single Parent Families    10.2   6.8  14.3  11.2     12.4   7.2  28.7  32.6               
        Male householder         3.2   3.1   4.8   5.6      3.3   3.0   5.4   8.8               
          W/Children < 18        1.9   1.8   4.8   5.6      2.0   1.8   3.6   6.7               
        Female Householder       7.0   7.0  19.0   5.6      9.1   7.8  30.8  30.1               
          W/Children < 18        5.0   5.0   9.5   5.6      6.5   5.4  25.1  25.9               
     Nonfamily households       25.8  25.8  28.6  16.7     33.4  33.7  34.9  25.7               
                                                                                                
                                                                                                
                                  % OF HOUSEHOLDS             % OF HOUSEHOLDS                   
                                  Asian  Hispanic Minority *  Asian  Hispanic Minority *        
     Families                      55.5     65.8     72.5      66.9     77.3     70.2           
      Married Couples              55.5     39.0     50.5      53.7     54.0     42.1           
        W/Children < 18            22.2     34.1     29.5      33.0     40.7     28.3           
      Single Parent Families        0.0     19.5     16.2       8.3     17.9     21.8           
        Male householder            0.0      9.8      9.6       4.5      9.6      7.1           
          W/Children < 18           0.0      4.9      6.7       2.2      6.3      4.6           
        Female Householder          0.0     17.0     12.4       8.7     13.7     21.0           
          W/Children < 18           0.0     14.6      9.5       6.1     11.6     17.2           
     Nonfamily households          44.4     34.1     27.6      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                           
                                                                                                
                                     WASHINGTON                 NEBRASKA                        
                                                  Native                     Native             
                                Total White Black American Total White Black American           
                                                                                                
     Less than 9th grade         4.4   4.3   0.0   0.0      5.4   4.5   5.3   9.0               
     9th to 11th grade           5.9   5.9   0.0   5.3      8.0   7.3  16.0  15.1               
     High school diploma        35.7  35.7  26.2  44.7     31.3  31.8  31.2  33.7               
     Some college, no degree    24.3  24.3  16.7  15.8     24.3  24.5  27.4  26.1               
     Associate degree            7.1   7.1  11.9   0.0      7.3   7.5   5.9   7.4               
     Baccalaureate degree       16.2  16.3  23.8   0.0     16.5  17.0  10.5   6.2               
     Graduate or professional    6.5   6.4  21.4  34.2      7.3   7.4   3.6   2.6               
     degree                                                                                     
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                Percent of persons 25 years and older                           
                                                                                                
                                     WASHINGTON                 NEBRASKA                        
                                                                                                
                                                                                                
                                  Asian  Hispanic Minority *  Asian  Hispanic Minority *        
                                                                                                
     Less than 9th grade           15.2     16.0      9.2      10.8     34.2     17.9           
     9th to 11th grade             18.2      7.0      6.6      11.9     19.2     16.3           
     High school diploma            0.0     46.0     35.4      17.1     21.3     25.5           
     Some college, no degree       42.4     10.0     20.1      13.3     13.9     20.1           
     Associate degree               0.0     11.0      7.0       5.4      2.9      4.8           
     Baccalaureate degree          15.2     10.0     10.9      21.8      5.9     10.0           
     Graduate or professional       9.1      0.0     10.9      19.8      2.7      5.5           
     degree                                                                                     
                                                                                                
    * Minority Population = Total Population - White, Not Hispanic Population                   
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
        SOCIAL INDICATORS                                                                       
                                  PER CAPITA INCOME, 2000 CENSUS                                
                                                                                                
                                 WASHINGTON            NEBRASKA                                 
                                $21,055                $19,613                                  
                                                                                                
                         MEDIAN HOUSEHOLD INCOME, 2002 CENSUS ESTIMATES                         
                                                                                                
                                 WASHINGTON            NEBRASKA                                 
                                $50,048                $41,978                                  
                                                                                                
                        PERCENT BELOW 100% POVERTY, 2002 CENSUS ESTIMATES                       
                                                                                                
                                 WASHINGTON            NEBRASKA                                 
     5-17 Years of Age                5.8                    10.8                               
     Total Population                 6.4                    10.0                               
                                                                                                
                 PERCENT BELOW 100% POVERTY BY RACE/ETHNICITY, 2000 CENSUS *                    
                                                                                                
                                 WASHINGTON            NEBRASKA                                 
     White                            5.8                     8.2                               
     Black                           32.7                    27.4                               
     Native American                 18.6                    33.0                               
     Asian                           10.9                    12.8                               
     Hispanic                         8.4                    20.4                               
 * A '.' indicates the population estimate of the racial/ethnic group is zero.                  
                                                                                                
                     PERCENT OF WORKERS UNEMPLOYED, DEPT. OF LABOR, MAY, 2004                   
                                                                                                
                            WASHINGTON                 NEBRASKA                                 
                    # UNEMPLOYED   % OF WORKERS   # UNEMPLOYED % OF WORKERS                     
                           334         3.0          39,368       4.0                            
                                                                                                
                                  HIGH SCHOOL DROPOUT RATE, 2003-2004                           
                                                                                                
                                 WASHINGTON               NEBRASKA                              
     % of 7-12th Grade Member-                                                                  
     ship Who Drop Out of School      0.5                       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              
                                                                                                
                                 WASHINGTON               NEBRASKA                              
                      # BIRTHS    % OF 1ST BIRTHS*  # BIRTHS  % OF 1ST BIRTHS*                  
     Total                13            3.4          4,398          9.0                         
     White                13            3.5          3,351          7.7                         
     Black                 0             .             653         24.4                         
     Native American       .             .             232         36.9                         
     Asian                 0            0.0             39          2.9                         
     Hispanic              1           11.1          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             
                                                                                                
                                       WASHINGTON                 NEBRASKA                      
                                        NUMBER RATE/1,000      NUMBER RATE/1,000                
     Total Arrests                         870   44.4          94,648   54.2                    
     Arrests for violent crimes *            5    0.3           1,596    0.9                    
     Reported forcible rape offenses         1    0.1             195    0.1                    
     Arrests for DUI                       154    7.9          14,163    8.1                    
     Drug law violation arrests            173    8.8          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             
                                                                                                
                                       WASHINGTON                 NEBRASKA                      
                                        NUMBER RATE/1,000      NUMBER RATE/1,000                
     Total Arrests                        128    25.8         14,867    33.3                    
     Arrests for violent crimes *           2     0.4            224     0.5                    
     Arrests for DUI                        3     0.6            348     0.8                    
     Drug law violation arrests            27     5.4          1,150     2.6                    
    *Violent crimes include: murder, forcible rape, robbery and aggravated assault.             
                                                                                                
                           CHILD PROTECTION AND SAFETY, CY 2004                                 
                                                                                                
                                       WASHINGTON                 NEBRASKA                      
                                        NUMBER RATE/1,000      NUMBER RATE/1,000                
                                                                                                
     Average number of children                                                                 
     in out-of-home care *                46     8.9          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                   
                                                                                                
                                            WASHINGTON           NEBRASKA                       
     Rate per 1,000 Children < Age 19            3.3                 8.6                        
                                                                                                
                   DOMESTIC VIOLENCE, JULY 1, 1999 - JUNE 30, 2000                              
                                       WASHINGTON                 NEBRASKA                      
                                        NUMBER RATE/1,000      NUMBER RATE/1,000                
     Number of Crisis Calls                                                                     
     Received by Multi-County Agency    2,300     24.8       108,312     63.3                   
     Total New Contacts for                                                                     
     Multi-County Agency                1,299     14.0        24,249     14.2                   
     WASHINGTON MULTI-COUNTY AREA ALSO INCLUDES:                                                
               Burt, Cuming, Dodge, Saunders                                                    
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
        HEALTH STATUS                                                                           
                                                                                                
                                                                                                
                                LEADING CAUSES OF DEATH, 2000-2004                              
                             Age-Adjusted Death Rates per 100,000 Population                    
                                                                                                
                                                                            NEBRASKA            
                                                        NEBRASKA           NATIVE               
                        WASHINGTON        NEBRASKA      YEAR 2010   BLACK AMERICAN HISPANIC     
CAUSE OF DEATH             DEATHS  RATE  DEATHS  RATE   OBJECTIVE   RATE    RATE    RATE        
Heart Disease (#1)            170 160.2  20,262 205.1      --       245.6   276.0  110.6        
Cancer -- All Sites (#2)      197 193.2  16,798 182.0    147.0      255.2   201.9  117.8        
  Lung/Bronchus/Trachea        43  42.0   4,444  49.1     39.0       81.5    60.1   24.6        
  Breast (Female)              16  28.0   1,224  23.8     20.7       41.3    32.8    9.7        
  Prostate                     10  26.4     943  25.7     25.9       48.8    18.5    9.3        
Cerebrovascular (#3)           54  51.2   5,385  54.0     47.4       87.0    55.2   28.8        
Unintentional Injuries (#4)    30  30.0   3,457  37.6     19.4       25.2    92.6   34.9        
  Motor Vehicle                12  11.5   1,469  16.6     12.0        9.7    43.8   17.4        
Chronic Lung Disease (#5)      35  35.2   3,746  39.4      --        39.2    54.7   12.4        
                                                                                                
Suicide                         6   5.6     922  10.7      8.2        4.6     9.1    4.2        
Homicide                        .   0.0     259   3.0      2.0       20.3    11.9    6.6        
                                                                                                
Diabetes Related               82  80.9   6,933  72.6     25.0      162.8   260.9  109.3        
Tobacco Related               122 118.8  12,886 137.2      --       184.1   192.6   75.5        
Alcohol Related                33  31.7   3,255  35.5      --        41.9   137.3   41.2        
Work Related Accidents          3   3.2     209   2.4      --         0.4     0.9    2.5        
                                                                                                
All Causes                    818 788.9  75,953 789.1      --     1,110.5 1,269.2  559.0        
                                                                                                
    NOTE: Age adjusted rates are based on the 2000 U.S. census standard.                        
                                                                                                
                                                                                                
                                                                                                
                                  CANCER INCIDENCE, 1999-2003                                   
                      Age-Adjusted Incidence Rates per 100,000 Population                       
                                                                                                
                    WASHINGTON                               NEBRASKA                           
                                                                      Native                    
                     Total    Total           Total    Total   Black American Hispanic          
Cancer Type         # Cases   Rate           # Cases   Rate    Rate    Rate     Rate            
All Sites               470   476.2           42,194   474.2   474.5   393.6   292.3            
                                                                                                
Lung & Bronchus          57    57.3            5,572    62.7    93.3    62.7    39.3            
Breast (Female)          70   132.4            6,278   131.8   102.2    56.9    57.2            
Prostate                 66   146.8            6,470   165.9   197.9   146.3    57.0            
Colorectal               66    67.1            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               
                                     WASHINGTON             NEBRASKA         PERCENT            
    CONDITION/INJURY              # DISCHARGES  RATE # DISCHARGES  RATE     DIFFERENCE          
                                                                                                
     All Conditions/Injuries           3,390  8,632.00  359,031  9,837.00     -12.2             
     Pregnancy/Childbirth                708  2,056.00   89,507  2,465.00     -16.6             
     All Injuries                        494  1,211.00   55,504  1,509.00     -19.7             
     Diabetes Related Diseases           485  1,173.00   46,921  1,277.00      -8.1             
     Heart Disease                       421  1,012.00   37,934  1,014.00      -0.2             
     Digestive Diseases                  299    727.0    29,464    808.0      -10.0             
     Musculoskeletal Diseases            264    644.0    23,783    659.0       -2.3             
     Psychosis/Mental Health             146    366.0    17,125    492.0      -25.6             
     Pneumonia                           152    368.0    14,664    386.0       -4.7             
     Genitourinary Diseases              143    360.0    14,656    411.0      -12.4             
     Cancer                              151    362.0    11,800    322.0       12.4             
     Fractures                           109    263.0     9,998    261.0        0.8             
     Other Respiratory Diseases           96    242.0     9,145    246.0       -1.6             
     Tobacco Related Diseases             96    229.0     9,566    257.0      -10.9             
     Surgical/Medical Complications       68    167.0     8,506    236.0      -29.2             
     Cerebrovascular Disease              76    181.0     8,131    214.0      -15.4             
     COPD                                 76    183.0     7,578    208.0      -12.0             
     Alcohol Related Diseases             18     44.0     2,405     67.0      -34.3             
                                                                                                
    Leading Causes of Injury                                                                    
     Falls                               103    246.0    11,318    291.0      -15.5             
     MV Accidents                         26     64.0     2,218     62.0        3.2             
     Self-Inflicted                       16     41.0     1,754     50.0      -18.0             
     Other Unintentional                   7     17.0     1,215     33.0      -48.5             
     Poisoning                             3      6.0       592     16.0      -62.5             
     Struck/Pierced by Object              8     20.0       609     17.0       17.6             
     Overexertion                          2      5.0       480     13.0      -61.5             
     Environmental                         3      8.0       513     14.0      -42.9             
     Assault                               1      3.0       442     12.0      -75.0             
                                                                                                
                                LEADING PAYER TYPE FOR HOSPITALIZATION, 2003-2004               
                                                                                                
                                     WASHINGTON             NEBRASKA         PERCENT            
    PAYER TYPE                      DISCHARGES    %   DISCHARGES     %      DIFFERENCE          
     Commercial                        2,000     59.0   168,501     46.9       25.8             
     Medicare                          1,048     30.9   131,141     36.5      -15.3             
     Medicaid                            314      9.3    50,769     14.1      -34.0             
     Self-Pay                             14      0.4     3,460      1.0      -60.0             
     Other State/Federal                  14      0.4     5,160      1.4      -71.4             
                                                                                                
    NOTE: Age adjusted rates are based on the 2000 U.S. census standard.                        
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                     INCIDENCE OF AIDS, 2000-2004                               
                                                                                                
                                   WASHINGTON                        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                    
                                                                                                
                                   WASHINGTON                        NEBRASKA                   
                                       Rate                             Rate                    
      West Nile Virus (WNV)            57.3                              112                    
      Chronic Hepatitis C              31.2                             64.2                    
      TB                                0.0                              1.6                    
                                                                                                
       Note: Rates are per 100,000 Population.                                                  
                                                                                                
               INCIDENCE RATES OF SEXUALLY TRANSMITTED DISEASES BY RACE/ETHNICITY               
                                                                                                
                          WASHINGTON                                 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  172.7  144.6 2368.4  465.1    0.0   85.8   424.4  193.7 2847.6  903.3  166.6  518.3  
 < 18        0.0    0.0    0.0    0.0    0.0    0.0   226.2   83.9 1616.4  383.6   67.7  125.0  
 > 17      227.3  188.8 2950.8  800.0    0.0  156.3   455.9  207.6 3181.6 1086.7  163.3  667.2  
STD TYPE                                                                                        
Gonorrhea   10.2   10.3    0.0    0.0    0.0    0.0    65.8   19.1 1025.7  127.1   19.6   62.9  
Chlamydia  132.0  103.3 2105.3    0.0    0.0   85.8   301.3  146.5 1695.1  722.6  131.0  413.7  
  Female   193.2  154.7 3030.3    0.0    0.0    0.0   433.6  223.1 2278.7 1163.2  198.0  666.3  
Herpes      30.5   31.0  263.2  465.1    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                             
                                                                                                
                              WASHINGTON                        NEBRASKA                        
                Rate *        # of Persons **                   # of Persons **                 
    Age 65-74    10%                131                            11,135                       
    Age 75-84    20%                182                            16,908                       
    Age 85+      47%                161                            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                        
                                                                                                
                          WASHINGTON            NEBRASKA                                        
                           INFANT             INFANT          NEBRASKA YEAR 2010                
    RACE/ETHNICITY         DEATHS  RATE       DEATHS  RATE         OBJECTIVE                    
    White                      8   7.4          670   5.9             4.5                       
    Black                      0   0.0          121  16.9             4.5                       
    Native American            0   0.0           31  14.4             4.5                       
    Asian                      0   0.0           10   3.5             4.5                       
    Total                      8   7.2          838   6.6             4.5                       
    Hispanic                   0   0.0          109   6.9             4.5                       
                                                                                                
       Note: Rates are per 1,000 live births.                                                   
                                                                                                
    VERY LOW (<1500 GR) AND LOW (<2500 GR) BIRTH WEIGHT BY RACE/ETHNICITY, 2000-2004            
                                                                                                
                                                              NEBRASKA YEAR 2010                
                          WASHINGTON            NEBRASKA           OBJECTIVE                    
    WEIGHT                 NUMBER  RATE       NUMBER  RATE          RATE                        
    Very Low - All Births     15  13.6        1,611  12.7             9.0                       
    Low - All Births          70  63.4        8,821  69.4            50.0                       
          White               65  60.0        7,431  65.8            50.0                       
          Black                2 333.3          897 125.1            50.0                       
          Native American      0   0.0          145  67.2            50.0                       
          Asian                3 230.8          221  77.7            50.0                       
          Hispanic             0   0.0          976  62.0            50.0                       
                                                                                                
       Note: Rates are per 1,000 live births.                                                   
                                                                                                
                     NUMBER OF INFANTS BORN WITH BIRTH DEFECTS, 1999-2003                       
                                                                                                
                               WASHINGTON            NEBRASKA                                   
                           # of      % of          # of      % of                               
                          Infants Total Births    Infants Total Births                          
    Infants with birth                                                                          
     defects                   57      5.2         4,534        3.6                             
                                                                                                
                          TEEN AGE BIRTHS BY AGE AND RACE/ETHNICITY, 2000-2004                  
                   WASHINGTON                        NEBRASKA                                   
    Age of Mother  10-17        15-17            10-17        15-17                             
                NUMBER   %   NUMBER   %       NUMBER   %   NUMBER   %                           
    All Births     12   1.1     11   1.0      3,715   2.9  3,583   2.8                          
    White          11   1.0     10   0.9      2,792   2.5  2,718   2.4                          
    Black           1  16.7      1  16.7        631   8.8    586   8.2                          
    Native Amer     0   0.0      0   0.0        184   8.5    179   8.3                          
    Asian           0   0.0      0   0.0         36   1.3     35   1.2                          
    Hispanic        0   0.0      0   0.0        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           WASHINGTON           NEBRASKA         OBJECTIVE                    
    1-10                         11.4              10.4                 --                      
    11-20                         2.3               2.8                 --                      
    21+                           1.4               0.6                 --                      
    Unknown                       0.1               0.3                 --                      
                                                                                                
    TOTAL                        15.1              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                     WASHINGTON           NEBRASKA         OBJECTIVE                    
    White                        88.1              84.7                90.0                     
    Black                         0.0              70.5                90.0                     
    Native American              50.0              68.3                90.0                     
    Asian                        76.9              82.2                90.0                     
                                                                                                
    Total                        88.0              83.2                90.0                     
                                                                                                
    Hispanic                     73.1              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              
                                   WASHINGTON         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               
                                                                                                
                                    WASHINGTON          NEBRASKA         NEBRASKA               
                                          * % WITH          % WITH      YEAR 2010               
    RISK FACTOR                     (N)   BEHAVIOR   (N)   BEHAVIOR     OBJECTIVE               
    Obese (body mass                                                                            
       index 30 or higher)        1,060     26.0   23,583    22.4          15%                  
    No leisure-time                                                                             
     physical activity            1,117     25.5   24,965    25.0          15%                  
    Currently smoke                                                                             
     cigarettes                   1,115     21.2   24,932    21.1          12%                  
    Chronic drinking                                                                            
     60+/Mo Men - 30+/Mo Women      967      5.1   21,579     4.8          --                   
    No health insurance           1,118     11.4   24,932    11.9           0%                  
    Could not see physician in                                                                  
     past 12 months due to cost     752      9.2   16,873     8.4           4%                  
                                                                                                
    Mammogram                                                                                   
     in past two                                                                                
     years (Ages 40+)               293     74.0    6,913    75.5          75%                  
    Immunization rates (65+)                                                                    
     Flu shot past 12 months        293     72.6    6,210    71.5          90%                  
     Pneumonia immunization         282     56.2    6,123    63.2          90%                  
                                                                                                
    General health good to                                                                      
     excellent (self-reported)    1,114     85.8   24,924    87.4          --                   
    Ten or more days in past 30                                                                 
     days health not good                                                                       
      Physical health               908     13.6   20,236     9.7          --                   
      Mental health                 902      9.6   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                                     
                                                                                                
               WASHINGTON               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                   
       12       0.0     0.4       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                                     
                                                                                                
                WASHINGTON                             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                 
                                                                                                
       10        2     65.8      68.2          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                        
                                                                                                
              WASHINGTON                NEBRASKA                                                
                                                                                                
                 # w/High     %          # w/High      %    NEBRASKA YEAR 2010                  
     LEAD LEVEL Blood Lead Tested       Blood Lead  Tested      OBJECTIVE                       
                                                                                                
     >9ug/dL        12        2.5          1846       3.3      0% (>9ug/dL)                     
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
        AVAILABILITY OF SERVICES                                                                
                                                                                                
                           HEALTH PROFESSIONALS IN PRACTICE, 2003                               
                                                                                                
                                     WASHINGTON                  NEBRASKA                       
                                            # Persons                  # Persons                
                                  # of      Served per       # of      Served per               
    PROFESSION              Practitioners Practitioner Practitioners Practitioner               
                                                                                                
General/Family Practice            8           2461          677          2569                  
Internal Medicine                  1          19690          227          7662                  
Pediatrics                         0              .          162         10736                  
OB/Gynecology                      0              .          143         12163                  
Psychiatry                         0              .          140         12424                  
Physician Assistant                8           2461          445          3909                  
Nurse Practitioner                 0              .          329          5287                  
Licensed Practical Nurse          44            448         6337           274                  
Dentist                            6           3282         1084          1605                  
Registered Nurse                 259             76        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                           57              6            15729           1023              
 Black                            .              0              166             15              
 Native American                  .              0               54              5              
 Asian                            .              1              117             43              
 Hispanic                         1              0              183             25              
 Other Race/Ethnicity/Unknown     .              0               85              4              
                                                                                                
                       FEDERAL SHORTAGE AREA DESIGNATIONS, 2003                                 
                                                                                                
                                     WASHINGTON                  NEBRASKA                       
        HPSA                           Part                        Part                         
        MUA/MUP                        No                          Part                         
                                                                                                
                            EMERGENCY SERVICES, 2003                                            
                                                                                                
        SERVICE                           WASHINGTON             NEBRASKA                       
    Ambulance services                           6                 394                          
                                                                                                
                          AVAILABILITY OF TRANSPORATION, 1998                                   
                                                                                                
                 PUBLIC TRANSPORTATION AVAILABLE IN WASHINGTON ?  YES .                         
                                                                                                
            COMMUNITIES SERVED BY PUBLIC TRANSPORTATION IN WASHINGTON :                         
                                                                                                
                    Arlington, Blair, Fort Calhoun, Herman, Kennard, Washington                 
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
        SERVICE UTILIZATION DATA                                                                
                                                                                                
                                                                                                
                     MEDICAID ELIGIBILITY AND EXPENDITURES, FY 2003                             
                                                                                                
                           WASHINGTON                     NEBRASKA                              
                        TOTAL PERSONS    % OF        TOTAL PERSONS    % OF                      
                        ELIGIBLE(#)   ELIGIBLES      ELIGIBLE(#)   ELIGIBLES                    
                                                                                                
    Medicaid                1,201        100.0         205,498        100.0                     
       Aged                   182         15.2          18,449          9.0                     
       Blind & Disabled       157         13.1          26,534         12.9                     
       ADC Children           731         60.9         134,743         65.6                     
       ADC Adults             131         10.9          25,772         12.5                     
                                                                                                
                                                                                                
                                                                                                
                             WASHINGTON                    NEBRASKA                             
                              TOTAL    % OF TOTAL      TOTAL    % OF TOTAL                      
                             DOLLARS    MEDICAID      DOLLARS    MEDICAID                       
                              ($000)    DOLLARS        ($000)    DOLLARS                        
                                                                                                
    Medicaid                 $10,060     100.0     $1,280,005     100.0                         
       Aged                    4,768      50.5        353,582      29.4                         
       Blind & Disabled        2,539      26.9        432,011      36.0                         
       ADC Children            1,563      16.6        319,452      26.6                         
       ADC Adults                564       6.0         95,724       8.0                         
                                                                                                
               MEDICAID EXPENDITURES BY TYPE OF SERVICE PROVIDED, FY 2003                       
                                                                                                
                             WASHINGTON                    NEBRASKA                             
                              TOTAL    % OF TOTAL      TOTAL    % OF TOTAL                      
                             DOLLARS    MEDICAID      DOLLARS    MEDICAID                       
                              ($000)    DOLLARS        ($000)    DOLLARS                        
                                                                                                
    All Medicaid             $10,060     100.0     $1,280,005     100.0                         
                                                                                                
    Medicaid Fee-for-Service   7,812      77.7        970,707      75.8                         
       Hospital--Inpatient     1,351      13.4        257,282      20.1                         
       Hospital--Outpatient      471       4.7         75,892       5.9                         
       ICF Mentally Retarded      41       0.4         50,253       3.9                         
       Nursing Facility        3,662      36.4        271,975      21.2                         
       Physician                 825       8.2        100,083       7.8                         
       Dental                    208       2.1         33,337       2.6                         
       Prescribed Drugs        1,254      12.5        181,885      14.2                         
                                                                                                
    Other Medicaid (Includes                                                                    
       Capitated Payments)     2,247      22.3        309,298      24.2                         
                                                                                                
                                                                                                
                   UTILIZATION OF SERVICES BY PROGRAM, FY 2004                                  
                                                                                                
                             WASHINGTON                    NEBRASKA                             
                             AVERAGE    AVERAGE       AVERAGE    AVERAGE                        
                             MONTHLY    PAYMENT       MONTHLY    PAYMENT                        
                          PARTICIPANTS    ($)      PARTICIPANTS    ($)                          
                                                                                                
    Aid to Dependent              50   $311.84*        12,237   $353.16*                        
       Children (ADC)                                                                           
    Food Stamp Program           510    $79.35**      111,435    $79.42**                       
                                                                                                
     *  Average payment per family.                                                             
     ** Average payment per person.                                                             
                                                                                                
                NUMBER OF PERSONS SERVED BY PUBLIC HEALTH PROGRAMS                              
                                                                                                
    SERVICE PROVIDED                 WASHINGTON                    NEBRASKA                     
                                                                                                
    WIC, UNDUPLICATED PERSONS SERVED, 2004                                                      
       Pregnant women seen                          15            4,527                         
       Breastfeeding clients seen                   22            5,609                         
       Postpartum women seen                        77           10,951                         
       Infants seen                                 53            9,521                         
       Children seen                               235           39,835                         
                                        Native                             Native               
       Total WIC clients     Total  Black Am  Asian Hispanic    Total  Black Am  Asian Hispanic 
       seen in 2004           402    13     1     8     19     70,449 7,664 1,316 1,296 20,674  
                                                                                                
    Reproductive health, 2004                       87           42,421                         
                                                                                                
              NURSING HOME AND HOSPITAL LONG-TERM CARE OCCUPANCY, 2004                          
                                                                                                
                                            WASHINGTON            NEBRASKA                      
    Nursing Home and Hospital                                                                   
    Long-Term Care Facilities                                                                   
         Number of licensed beds                   182           17,130                         
         Occupancy rate                           86.1             82.7                         
                                                                                                
    Persons Aged 65 and Older                                                                   
    Living in Nursing Homes or                                                                  
    Hospital Long-Term Care                                                                     
    Facilities                                                                                  
         Number                                    146           12,710                         
         Percent of population                     5.8              5.5                         
           aged 65 and older                                                                    

Statistical Profiles