New York City: Bronx

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by norabarrett26
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Social Studies

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New York City: Bronx

Bronx Demographics and Statistics

New York City:Bronx

Public Health Issue: - In the month of July 2015, there has been an increase in Legionellalaboratory reports in residents of the South Bronx. -Thirty one Legionella reports have been receivedfrom laboratories since July 10, compared with 5confirmed cases in the same period in 2013 and 2014combined. - In the first seven months of 2015, the rate of Legionella in the Bronx overall has been 3.9 per 100,000 population compared to the NYC rate of 1.9 per 100,000 population- Ten Bronx residents have died as a result of contractng Legionnaires disease. There have been 100 confirmed cases of Legionnaires disease in the Bronx. (New York City Department of Health and Mental Hygeine, 2015).

- Bronx county is located at the most northern point of the five boroughs of New York City.- With 1,438,159 people, Bronx County is the 5th most populated county in the state of New York out of 62 counties.- The largest Bronx County racial/ethnic groups are Hispanic (54.6%) followed by Black (29.5%) and White (10.3%).- In 2013, the median household income of Bronx County residents was $33,009. However, 30.9% of Bronx County residents live in poverty. (Cubit Planning, Inc., 2015).

- Legionnella exists naturally in water and moist soil and is found in creeks and ponds, hot water tanks, water in air conditioning cooling towers and evaporative condensers. - Growth of this bacteria is controlled by regular and frequent disinfection and maintenance.- High concentrations of the bacteria can be dangerous, especially for older people, people with chronic lung diseasesor who are immunecompromised or immunesuppressed and current and former smokers.- Legionnaires’ Disease is not spread person to person. Its symptoms include cough, shortness of breath, high fever, muscle aches and headache. (New York Ciry Department of Health and Mental Hygiene, 2015).

Educate Self- The public health nurse should be educated on the signs and symptoms of Legionella disease.- The public health nurse should be suspicious of clients who present with or are diagnosed with community acquired pneumonia.- Collaborate with local hospitals to be notified of community diagnosis of LegionellaCommunity Outreach- Provide flyers (bilingual) which provide information on signs and symptoms of disease.- Outreach to vulnerable populations including senior centers and homeless shelters.- Conduct interviews of those infected to aid in determination of source identification.- Host booth for community health fair

LegionnairesDisease Outbreak in the Bronx

The Role of the PublicHealth Nurse

Vulnerable Population:Elderly

- The elderly are at particularly high risk when having the potential to exposure to legionella due to risk for respiratory failure.- The elderly should be sought out to be provided information due to being unlikely to attend local health fairs and informational meetings.- The elderly who reside in communities where legionella bacteria has been confirmed should be closely monitored by public health nurses and social workers.

Organizations and Special Interest Groups - The State Mobile Command Center is leading the effort, and has expanded outreach and testing efforts to take place throughout the borough. -Teams led by the State Department of Health are focusing on high impact areas and providing information on Legionnaires’ disease to members of the public- Teams led by the New York State Office of Emergency Management and the Office of Fire Prevention and Controla are taking samples from cooling tower sites. - Community health centers and networks are soliciting information to senior centers, long term care facilities, and individual housing locations where bacteria may be present.


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