24
        
        
          THE HEALTH OF COUNTY RESIDENTS
        
        
          
            MONTGOMERY
          
        
        
          
            COUNTY TOTAL
          
        
        
          Diseases of the heart
        
        
          4,927
        
        
          Cancer
        
        
          5,055
        
        
          Stroke
        
        
          1,319
        
        
          Accidents
        
        
          928
        
        
          Alzheimer’s Disease
        
        
          584
        
        
          Diabetes Mellitus
        
        
          401
        
        
          Influenza
        
        
          404
        
        
          
            MONTGOMERY
          
        
        
          
            COUNTY RATE
          
        
        
          149.7
        
        
          168.3
        
        
          40.3
        
        
          33.9
        
        
          16.6
        
        
          13.1
        
        
          12.2
        
        
          
            PENNSYLVANIA
          
        
        
          
            TOTAL
          
        
        
          94,973
        
        
          86,126
        
        
          20,166
        
        
          17,110
        
        
          10,572
        
        
          9,828
        
        
          7,547
        
        
          
            PENNSYLVANIA
          
        
        
          
            RATE
          
        
        
          186.6
        
        
          180.0
        
        
          39.3
        
        
          40.8
        
        
          19.3
        
        
          20.2
        
        
          14.7
        
        
          
            FIGURE 23:
          
        
        
          
            Selected Major Causes of Death, Number and Average Annual Death Rate: 2009-2011
          
        
        
          
            (per 100,000 residents, based on annual sample surveys)
          
        
        
          Local air quality and water issues also impact our county’s
        
        
          health.  Air pollution consists of six constituent pollutants—
        
        
          carbon monoxide, lead, nitrogen dioxide, ozone, particulate
        
        
          matter, and sulfur dioxide—and these pollutants can cause
        
        
          harm to the environment as well as serious health problems.
        
        
          Chronic ailments like asthma are tied to poor air quality.
        
        
          Nearly 4% of Montgomery County’s students had a
        
        
          diagnosis of asthma in the 2008-2009 school year.  And
        
        
          although these pollutants come from a variety of sources,
        
        
          vehicle exhaust has been tied to many of them.
        
        
          Another concern is mosquitoes and the diseases they harbor,
        
        
          which may be aided by the design of our environment if it
        
        
          inadvertently creates pooling areas of water.
        
        
          Poor access to healthy food and good nutrition remains an
        
        
          issue for some county residents.  This is a topic that is
        
        
          explored in more depth in the Food Distribution and Access
        
        
          section of this chapter.  However, although there are dozens
        
        
          of grocery stores and farmers markets in the county, many
        
        
          local food stores have closed over the last few years and
        
        
          farmers markets may be inconvenient or financially out of
        
        
          reach for some lower-income residents.  Food access
        
        
          strategies that have made inroads in more urban areas like
        
        
          Philadelphia (such as community gardens or urban farms)
        
        
          are not as prevalent in Montgomery County.  It is easier in
        
        
          some parts of the county to purchase food at corner stores,
        
        
          but these are places that primarily sell shelf-stable and low
        
        
          nutrition items.  Without reliable transportation and a
        
        
          convenient store nearby, having good nutrition may be a
        
        
          challenge for our most vulnerable residents.
        
        
          Our health—the decisions made collectively on a county
        
        
          level as well as the individual choices made by the county’s
        
        
          800,000-plus residents every day—is intrinsically tied to the
        
        
          built environment around us.  Although our land use
        
        
          decisions are but one of the things that affect health
        
        
          outcomes, it is something that could and will change over
        
        
          time.  For starters, the design of our built environment—
        
        
          homes, neighborhoods, workplaces, and transportation
        
        
          networks—has a direct affect on people’s ability to
        
        
          incorporate physical activity in their daily lives.  Research
        
        
          in the American Journal of Health Promotion has shown that
        
        
          people in sprawling counties are likely to have higher rates
        
        
          of being overweight or obese, as well as a greater
        
        
          
            A healthy, active lifestyle is important for people of all ages.
          
        
        
          
            Source: Pennsylvania Department of Health