Agenda
1)Introduction and History
2)Health Data – Orange County
• Health Ranking
• Life Expectancy
• Children and Older Adults
• Leading Cause of Death
3)Ongoing Challenges
1)Behavioral Health related topics
2)Infectious Disease Trends
4)Readiness and Response
5)Emerging Challenges
6)Opportunities and Local Health Initiatives
7)Where to get more information, How to get involved
Veronica Kelley, DSW, LCSW
Agency Director
Lorraine Daniel, MPA
Assistant Agency Director
County Health Officer & Deputy Health Officers
Duty of protecting & promoting
public health across Orange County and cities, guardian of Public Health
Has authority to control communicable diseases and respond to emergencies
Deputy Director of Government Affairs &
Communications
Staff: 9
Communications
Custodian of Records
Grants & Funding
Legislation & Policy
Director of
Public Health and Nursing Services
Staff: 712
Clinical Services (Tb/HIV/STD)
Community Nursing Services
Health Promotions & Community Planning
Communicable Disease Control Division
Environmental Health
Public Health Lab
Compliance Officer
Office of Compliance
Staff: 6
State & Federal Compliance
Code of Conduct
Training & Education
Director of
Behavioral Health Services
Staff: 1,373
Adult and Older Adult Services
Behavioral Health Services Act
Children and Youth Services
Crisis and Acute Care Services
Data Analytics
Forensics
Substance Use Disorder Services
Director of Specialized Medical Services
Staff: 350
Emergency Medical Services
California Children Services
Office of the Public Guardian
Medical Safety Net
Employee Health Services
Director Of Correctional Health Services
Staff: 513
Adult Correctional Health Services
Juvenile Health Services
OC Cares
Orangewood Children and Family
Center Medical Services
Health Officer and Deputy Health Officers of Orange County
Regina Chinsio-Kwong, DO
“Dr. CK”
County Health Officer
Matthew Zahn, MD
Deputy Health Officer
Almaas Shaikh, MD MPH
FACS Deputy Health Officer
Orange County Health Officer State of Health Address May 28, 2025
Our History...
Orange County Health Officer State of Health Address May 28, 2025
La Habra Star 23 December 1938 — California Digital Newspaper Collection
Image from: figure-1-2-public-health-achievements-of-the-twentieth-c-entury-l.jpg (1024×768)
Orange County Health Officer State of Health Address May 28, 2025
Orange County (OC) Health Care Agency Today
County Health Rankings & Roadmaps State of Public Health Report
Statewide mortality data trends can be found at: https://www.cdph.ca.gov/Programs/CHSI/Pages/County-Health-Sta tus-Profiles---Statewide-Mortality-Trends-Visualizations.aspx
Orange County Health Officer State of Health Address May 28, 2025
Orange County Health Officer State of Health Address May 28, 2025
Health Data- Life Expectancy
Orange County Health Officer State of Health Address May 28, 2025
Orange County - Pediatric Population
Conditions of Children Report released December 2024
Orange County - Pediatric Population
Total Number of Death for Infants under 1 in Orange County (2017-2023)
Total Number of Death for Ages 1 to 17 in Orange County (2017-2023)
Total Certain conditions originating in the perinatal period Congenital malformations, deformations and chromosomal abnormalities
Accidents (unintentional injuries) Cancer (Malignant neoplasms
*Note that missing data represent suppressed counts of fewer than 11 deaths
Source: California Comprehensive Death File (AKA CCDF)
Orange County - Pediatric Population
EveryParentOC.org
Every Parent OC is a resource for anyone who is thinking of becoming pregnant, is pregnant, or has a new baby. Our goal is to provide you with information and resources necessary to experience pregnancy and parenting in a safe and healthy way.
Aging Population
Report on Aging in Orange County 2024
https://www.ocagingservicescollaborative.org/wp-content/uploads/2024/06/Report-on-Aging-in-Orange-County-202 4.pdf 2024-2025 Orange County Community Indicators- 25th Anniversary Report 2024-2025 Community Indicators Report - Orange County Business Council (OCBC)
Orange County Health Officer State of Health Address May 28, 2025
Health Data - Death Rates in Orange
County
Orange County Health Officer State of Health Address May 28, 2025
Orange County Health Officer State of Health Address May 28, 2025
Orange County Health Officer State of Health Address May 28, 2025
Behavioral Health- Suicide Rates
(Source: HCA Suicide Data Dashboard, https://www.ochealthinfo.com/services-programs/mental-health-crisis-recovery/wellnesspromotion-prevention/suicide-prevention-3; CA Department of Finance Population Projections, P-3, July 2022 Vintage. https://dof.ca.gov/forecasting/demographics/projections/)
Behavioral Health- Number of Drug and Alcohol Deaths Involving Specified Substance, Orange County
Orange County Health Officer State of Health Address May 28, 2025
Opioid related Overdose Trends
Orange County Health Officer State of Health Address May 28, 2025
Orange County Fentanyl-Related Overdose Deaths
Youth & Young Adults 2018- 2023
Emerging Issues - Nitrous Oxide Recreational Use
Recreational Use of Nitrous Oxide (N2O) is on the Rise!
Here are some tips of what to do with Nitrous Oxide canisters:
1. Do not puncture, incinerate or store N2O canisters near flammable materials
2. Do NOT dispose N2O canisters in the regular trash
3. Contact OC Waste & Recycling for further instructions on where you can turn these items in
4. Follow the center’s recommendations
Non-Communicable Diseases
Orange County Health Officer State of Health Address May 28, 2025
Ongoing Challenges - Controlling Infectious Diseases
• 2024-2025 Winter Respiratory Season
• COVID-19
• Respiratory Syncytial Virus (RSV)
• Influenza
Orange County Health Officer State of Health Address May 28, 2025
Tuberculosis (TB) Control
https://ochealthinfo.com/services-programs/hivstd-and-tb-clinics/pulmonary-disease-services
Infectious Disease Trends
Sexually Transmitted Infections
- Chlamydia cases were down by 26% from a peak in 2019 (14,260 to 10,482 cases)
- Gonorrhea cases were down by 27% from a peak in 2021 (5,341 to 3,871 cases)
- Contagious syphilis cases were down by 47% in 2021 (944 to 501 cases)
- Congenital syphilis cases were down by 53% in 2022 (32 to 15 cases)
- Mpox cases were down from 294 in 2022 to 30 in 2024
- Newly diagnosed with HIV: 230
- Persons living with HIV (PLWH) who are aware of their HIV status 6,955
- Estimated # of persons unaware of their HIV status: 1,706
Other Infectious Diseases - Hepatitis C
• 747 new cases (age-adjusted rate 22.4 cases/100,000) of chronic hepatitis C infection were identified in OC in 2024.
• This is a 19% decrease compared to 2023.
• Changing Epidemiology
• < 40 yo - Primary risk factor was injection drug use
• > 65 yo - Variety of risk factors identified
Orange County Health Officer State of Health Address May 28, 2025
Orange County Health Officer State of Health Address May 28, 2025
Orange County Health Officer State of Health Address May 28, 2025
Orange County Health Officer State of Health Address May 28, 2025
Emerging Challenges- Impacts of Climate on Infectious Disease
Coccidiomycosis/ Valley Fever
Orange County Health Officer State of Health Address May 28, 2025
Dengue
Case County By Year
LegionellaCase County by Year
Emerging Challenges – H5N1 - Bird
Flu
Orange County Health Officer State of Health Address May 28, 2025
Vaccination Rates in our Schools
Orange County Health Officer State of Health Address May 28, 2025
Emerging Issues - Silicosis and Fabricated Stone Workers
June- Silicosis Awareness
Month
• Orange County has well over 100 fabricated stone businesses.
• To date, 60 cases of silicosis have been diagnosed in Orange County since 2019!
What is needed?
- Increased Education/Awareness
- Improved surveillance/detection of disease
- Improved Care Pathway navigation for affected individuals
Link: https://www.cdph.ca.gov/Programs/CCDPHP/DEODC/OHB/Pages/essdashboard.aspx
Ongoing/Emerging Issues - Natural Disasters and Potential Man-made Disasters
Orange County Health Officer State of Health Address May 28, 2025
Readiness and Response
Orange County Health Officer State of Health Address May 28, 2025
National Challenges impacting local Public Health
As a result of federal funding reductions (including Epidemiology and Lab Capacity Enhancing Detection and Immunization and Vaccines for Children grants), the HCA Public Health Services has had to evaluate mandated services and community capacity to absorb impacted care.
As a result of thorough discussions, the following Programs are impacted:
• Emergency Dental Services – effective May 6, 2025
• Pediatric Clinic/Family Planning Access, Care and Treatment Program (PACT)- effective June 30, 2025
Where will clients be referred to?
Clients will be connected to alternative providers through a coordinated transition plan- (Medi-Cal Managed Care and Medi-Cal
Dental Providers, Federally Qualified Health Centers, Community Clinics and Family PACT providers in the community)
Will HCA’s 17th Street Clinic continue to offer clinical services?
Yes. The following clinics remain operational: Immunization Clinic, Pulmonary Disease Services Clinic, Testing, Treatment and Care Clinic.
If Clients have questions about services, who can they contact?
The HCA Health Referral Line will remain available to the public for Public Health related questions and clinic services: (800)
Local Initiatives/Community Health Efforts
Orange County Health Officer State of Health Address May 28, 2025
Safeguarding Public Health is Everyone’s Responsibilit
County Health Officer State of Health Address May 28, 2025
Public Health In Transition
Orange County Health Officer State of Health Address May 28, 2025
www.ochealthinfo.com
Follow the OC Health Care Agency on Social Media
Orange County Health Officer State of Health Address May 28, 2025
Cancer Dashboards
1. California Cancer Registry
Cancer cases are collected from physicians, pathologists, hospitals, and treatment facilities are reported to a statewide systemCalifornia Cancer Registry (CCR). The state also participates in the CDC’s National Program of Cancer Registries and in the Surveillance, Epidemiology, and End Results (SEER) program of the National Cancer Institute (NCI).
The public can also access data through the Cal*Explorer Cancer Data by clicking on the tab “Data for Public” ( https://www.ccrcal.org/retrieve-data/data-for-the-public/) then clicking on “Access Cal*Explorer-CA Cancer Data or access Health Maps on the right.
2. UCI Chao Family Comprehensive Cancer Center (CFCCC) Cancer Burden Catchment Area Dashboard
Locally, UCI Chao Family Comprehensive Cancer Center (CFCCC) has created a Cancer Burden Catchment Area Dashboard to help the community understand the cancer burden in Orange County.
Orange County Health Officer State of Health Address May 28, 2025
This can be accessed by visiting https://cancer.uci.edu/about/catchment-area
