1993 Need Assessment Update & Fiscal Year 1994-95 Interim Priorities
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VI. HEALTH

SAN MATEO COUNTY
FIELDS OF SERVICE CATEGORIES

A. HIV INFECTED
POSSIBLE INDICATORS 1990 NEEDS ASSESSMENT UPDATE OTHER NEEDS STATEMENTS-DATA
NATIONALLY:
    Cumulative AIDS Cases
    Estimates of Persons
     Infected with HIV

STATE:
    COUNTY:
    Cumulative AIDS Cases
    Deaths
    Mortality Rates
    Infected  per 100000

COUNTY:
    Cumulative AIDS Cases
    Deaths
    Mortality Rates
    Infected  per 100000
    Estimates of Persons
     Infected with HIV
    Trends in AIDS/HIV
    Trends in Persons of Risk





June 30 1989
   99,936
   1.5 million Americans


1989
   20,529
   12,711
   61.9%


January 31, 1990
         366
         210
   57.4%
   57.8%








March 31, 1993
  289,320 - 190% increase



March 31, 1993
    55,704 - 171.4% increase
    36,064
    64.7%
  186.56

March 31, 1993
        953 - 160% increase
        602
     63.2%
     146.7








  • 4,249 cases of AIDS in infants and children under the age of 13 have been reported as of December 31, 1992. It is conservatively estimated that as many as 10,000 - 20,000 children in the US may be infected with HIV.
  • The percentage of women, children and adolescents currently infected with HIV/AIDS may be as high as 20% of all HIV cases in the US; together this the fastest growing segment in the population of have HIV.
  • Over 6,000 HIV infected women give birth  each year in the United States. Approximately 20-30% of there children are HIV infected. This accounts for over 1,800 new HIV-infected infants each year.
  • Over 60% of children with AIDS have died already. AIDS is the ninth-leading cause of death among children aged one to four.
  • By the year 2,000, AIDS will be one of the five leading causes of death among American children and among children world wide.
  • Nearly 100% of new cases of HIV infection in children result from the virus being passed from an infected mother to her newborn.
  • AIDS is new ranked as the fifth leading cause of death among women aged 26 to 46
  • As of 1991, the number of teen AIDS cases is doubling within the US every 14 months. From 1990 to 1991, the number of teens and young adults (aged 13 to 24) who was diagnosed with AIDS increased by 77%.
Source: Office of AIDS, State of California
             National Institutes of Health and the Centers for Disease Control
B. PERSONS WITH DISABILITIES
(SEE PHYSICAL HEALTH TREATMENT, MENTAL HEALTH, ADULT DAY CARE & HEALTH SUPPORT FIELDS OF SERVICES)
POSSIBLE INDICATORS 1990 NEEDS ASSESSMENT UPDATE OTHER NEEDS STATEMENTS-DATA

Estimated Number of Bay
Area Persons with Disabilities
Estimated Number of Persons
with Disabilities in County

Persons with Disabilities by
Type of Condition
Non-Institutional Persons with
Public Transportation Disability
Unemployment Among
Disabled Population
Underemployment Also
As A Problem
Over 65 Years Population
with Disabilities
Types of Disabilities
    Physical Disability
    Mental & Emotional
     Mentally: Mental Illness/
       Learning Disabilities
     Emotionally: Mental Illness/
       Psychiatric Disorders
    Alcohol & Drug Abusers
    Developmental Disabilities
    Elderly Disabled
    Severally Disabled
    Children with Disabilities
1988
   254,960

   47,080 - 18.1% of
    BA's 47,080
1986
   Muscular/Skeletal: 40%
   Cardiovascular: 16%
1980
   16-64: 5,268 65+: 7,886














  • There is a significantly high proportion of people with disabilities in the Bay Area than nation as a whole. Two of the reasons for this high concentration are: 1) those with disabilities are more conformable in a mild climate; and 2) people tend to move to areas where services are available to them, and in the Bay Area there is a strong system of social services geared towards those with disabilities.
  • Many people with disabilities who would like to live at home cannot afford the proper in-home care and are forced into homes.
  • Persons with disabilities face a multitude of barriers in everyday life: a lack of affordable and appropriate housing; discrimination (especially in regards to employment); and an abundance of buildings not designed properly to meat the needs of disabled persons.
  • There is a growing population of persons with disabilities, including persons who are HIV-positive, children with birth defects, individuals with environmental illnesses, children born addicted to crack cocaine, and individuals surviving traumatic injuries, all of whom need long term health support.







Source: United Way Subcommittee on Disabled Persons, 1988
             United Way 1990 Needs Assessment Report
             Department of Rehabilitation, State of California
             San Mateo County for the Independence on the Disabled

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