AREA PROFILE -- CUSTER
DEMOGRAPHIC DATA
U.S. CENSUS ESTIMATES, 2004
CUSTER - 11,515 NEBRASKA - 1,747,214
POPULATION BY AGE AND RACE/ETHNICITY
CUSTER NEBRASKA
AGE PERCENT NATIVE NATIVE
GROUP TOTAL BLACK AMERICAN ASIAN HISPANIC TOTAL PERCENT BLACK AMERICAN ASIAN HISPANIC
0-4 651 5.7 0 6 1 7 122,049 7.0 6,566 1,726 2,087 15,560
5-14 1,548 13.4 1 7 9 30 236,970 13.6 14,021 3,332 3,652 24,538
15-24 1,555 13.5 3 8 3 31 266,314 15.2 13,893 3,368 4,811 21,847
25-44 2,386 20.7 6 19 3 35 473,637 27.1 22,127 4,736 11,084 40,755
45-64 3,015 26.2 0 6 3 18 416,441 23.8 13,444 2,631 5,077 13,752
65-74 1,052 9.1 0 4 0 3 111,352 6.4 2,767 471 821 2,126
75-84 917 8.0 0 4 1 0 84,541 4.8 1,454 213 325 1,044
85+ 391 3.4 0 1 0 1 35,910 2.1 549 93 76 359
<18 2,930 25.4 2 16 11 52 446,083 25.5 24,698 6,261 7,104 47,141
65+ 2,360 20.5 0 9 1 4 231,803 13.3 4,770 777 1,222 3,529
POPULATION BY GENDER AND RACE/ETHNICITY
CUSTER NEBRASKA
PERCENT NATIVE NATIVE
GENDER TOTAL BLACK AMERICAN ASIAN HISPANIC TOTAL PERCENT BLACK AMERICAN ASIAN HISPANIC
Men 5,692 49.4 7 29 5 60 863,628 49.4 37,128 8,068 13,719 65,048
Women 5,823 50.6 3 26 15 65 883,586 50.6 37,693 8,502 14,214 54,933
15-17 349 0 1 1 7 42,285 1,986 590 663 3,127
POPULATION BY RACE/ETHNICITY
CUSTER NEBRASKA
RACE/ETHNICITY NUMBER PERCENT NUMBER PERCENT
White 11,396 99.0 1,609,056 92.1
Black 10 0.1 74,821 4.3
Native American 55 0.5 16,570 0.9
Asian 20 0.2 27,933 1.6
Hispanic 125 1.1 119,981 6.9
Minority * 240 2.1 250,577 14.3
* Minority Population = Total Population - White, Not Hispanic Population
HOUSEHOLDS BY TYPE, 2000 CENSUS
CUSTER 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 34.8 26.1 28.6 25.6
Male householders 0.7 1.7 1.3 2.0
Female householders 1.8 3.6 2.6 6.5
Male householder nonfamilies 13.0 0.4 15.2 0.3
Female householder nonfamilies 17.7 0.1 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 68.7 68.9 100.0 61.8 66.6 66.2 65.0 74.3
Married Couples 60.9 61.1 100.0 33.3 54.2 55.4 28.8 35.4
W/Children < 18 26.1 26.0 100.0 9.5 25.6 25.4 16.7 24.0
Single Parent Families 7.8 5.2 0.0 19.0 12.4 7.2 28.7 32.6
Male householder 2.4 2.4 0.0 9.5 3.3 3.0 5.4 8.8
W/Children < 18 1.7 1.7 0.0 0.0 2.0 1.8 3.6 6.7
Female Householder 5.4 5.4 0.0 19.0 9.1 7.8 30.8 30.1
W/Children < 18 3.6 3.5 0.0 19.0 6.5 5.4 25.1 25.9
Nonfamily households 31.2 31.1 0.0 38.1 33.4 33.7 34.9 25.7
% OF HOUSEHOLDS % OF HOUSEHOLDS
Asian Hispanic Minority * Asian Hispanic Minority *
Families 50.0 56.0 59.4 66.9 77.3 70.2
Married Couples 50.0 40.0 43.5 53.7 54.0 42.1
W/Children < 18 0.0 36.0 29.0 33.0 40.7 28.3
Single Parent Families 0.0 16.0 13.0 8.3 17.9 21.8
Male householder 0.0 4.0 4.3 4.5 9.6 7.1
W/Children < 18 0.0 4.0 1.4 2.2 6.3 4.6
Female Householder 0.0 12.0 11.6 8.7 13.7 21.0
W/Children < 18 0.0 12.0 11.6 6.1 11.6 17.2
Nonfamily households 50.0 44.0 40.6 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
CUSTER NEBRASKA
Native Native
Total White Black American Total White Black American
Less than 9th grade 4.7 4.6 . 5.0 5.4 4.5 5.3 9.0
9th to 11th grade 7.9 7.8 . 12.5 8.0 7.3 16.0 15.1
High school diploma 38.8 38.7 . 42.5 31.3 31.8 31.2 33.7
Some college, no degree 25.3 25.3 . 37.5 24.3 24.5 27.4 26.1
Associate degree 7.3 7.3 . 2.5 7.3 7.5 5.9 7.4
Baccalaureate degree 11.6 11.8 . 0.0 16.5 17.0 10.5 6.2
Graduate or professional 4.4 4.5 . 0.0 7.3 7.4 3.6 2.6
degree
Percent of persons 25 years and older
CUSTER NEBRASKA
Asian Hispanic Minority * Asian Hispanic Minority *
Less than 9th grade 0.0 13.8 9.8 10.8 34.2 17.9
9th to 11th grade 0.0 22.4 16.3 11.9 19.2 16.3
High school diploma 100.0 32.8 39.0 17.1 21.3 25.5
Some college, no degree 0.0 22.4 24.4 13.3 13.9 20.1
Associate degree 0.0 0.0 4.1 5.4 2.9 4.8
Baccalaureate degree 0.0 8.6 6.5 21.8 5.9 10.0
Graduate or professional 0.0 0.0 0.0 19.8 2.7 5.5
degree
* Minority Population = Total Population - White, Not Hispanic Population
SOCIAL INDICATORS
PER CAPITA INCOME, 2000 CENSUS
CUSTER NEBRASKA
$16,171 $19,613
MEDIAN HOUSEHOLD INCOME, 2002 CENSUS ESTIMATES
CUSTER NEBRASKA
$31,554 $41,978
PERCENT BELOW 100% POVERTY, 2002 CENSUS ESTIMATES
CUSTER NEBRASKA
5-17 Years of Age 16.9 10.8
Total Population 14.3 10.0
PERCENT BELOW 100% POVERTY BY RACE/ETHNICITY, 2000 CENSUS *
CUSTER NEBRASKA
White 12.1 8.2
Black 0.0 27.4
Native American 38.0 33.0
Asian 33.3 12.8
Hispanic 14.2 20.4
* A '.' indicates the population estimate of the racial/ethnic group is zero.
PERCENT OF WORKERS UNEMPLOYED, DEPT. OF LABOR, MAY, 2004
CUSTER NEBRASKA
# UNEMPLOYED % OF WORKERS # UNEMPLOYED % OF WORKERS
143 2.5 39,368 4.0
HIGH SCHOOL DROPOUT RATE, 2003-2004
CUSTER NEBRASKA
% of 7-12th Grade Member-
ship Who Drop Out of School 1.1 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
CUSTER NEBRASKA
# BIRTHS % OF 1ST BIRTHS* # BIRTHS % OF 1ST BIRTHS*
Total 21 8.3 4,398 9.0
White 20 8.1 3,351 7.7
Black . . 653 24.4
Native American 1 . 232 36.9
Asian 0 . 39 2.9
Hispanic 0 . 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
CUSTER NEBRASKA
NUMBER RATE/1,000 NUMBER RATE/1,000
Total Arrests 485 42.1 94,648 54.2
Arrests for violent crimes * 6 0.5 1,596 0.9
Reported forcible rape offenses 2 0.2 195 0.1
Arrests for DUI 47 4.1 14,163 8.1
Drug law violation arrests 37 3.2 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
CUSTER NEBRASKA
NUMBER RATE/1,000 NUMBER RATE/1,000
Total Arrests 73 24.9 14,867 33.3
Arrests for violent crimes * 0 0.0 224 0.5
Arrests for DUI 4 1.4 348 0.8
Drug law violation arrests 3 1.0 1,150 2.6
*Violent crimes include: murder, forcible rape, robbery and aggravated assault.
CHILD PROTECTION AND SAFETY, CY 2004
CUSTER NEBRASKA
NUMBER RATE/1,000 NUMBER RATE/1,000
Average number of children
in out-of-home care * 47 15.7 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
CUSTER NEBRASKA
Rate per 1,000 Children < Age 19 10.3 8.6
DOMESTIC VIOLENCE, JULY 1, 1999 - JUNE 30, 2000
CUSTER NEBRASKA
NUMBER RATE/1,000 NUMBER RATE/1,000
Number of Crisis Calls
Received by Multi-County Agency 1,676 63.1 108,312 63.3
Total New Contacts for
Multi-County Agency 102 3.8 24,249 14.2
CUSTER MULTI-COUNTY AREA ALSO INCLUDES:
Blaine, Garfield, Greeley, Loup, Sherman, Valley, Wheeler
HEALTH STATUS
LEADING CAUSES OF DEATH, 2000-2004
Age-Adjusted Death Rates per 100,000 Population
NEBRASKA
NEBRASKA NATIVE
CUSTER NEBRASKA YEAR 2010 BLACK AMERICAN HISPANIC
CAUSE OF DEATH DEATHS RATE DEATHS RATE OBJECTIVE RATE RATE RATE
Heart Disease (#1) 249 241.6 20,262 205.1 -- 245.6 276.0 110.6
Cancer -- All Sites (#2) 152 164.2 16,798 182.0 147.0 255.2 201.9 117.8
Lung/Bronchus/Trachea 37 40.9 4,444 49.1 39.0 81.5 60.1 24.6
Breast (Female) 9 17.9 1,224 23.8 20.7 41.3 32.8 9.7
Prostate 12 30.8 943 25.7 25.9 48.8 18.5 9.3
Cerebrovascular (#3) 63 56.6 5,385 54.0 47.4 87.0 55.2 28.8
Unintentional Injuries (#4) 36 50.2 3,457 37.6 19.4 25.2 92.6 34.9
Motor Vehicle 16 27.1 1,469 16.6 12.0 9.7 43.8 17.4
Chronic Lung Disease (#5) 31 30.7 3,746 39.4 -- 39.2 54.7 12.4
Suicide 4 7.0 922 10.7 8.2 4.6 9.1 4.2
Homicide 1 2.1 259 3.0 2.0 20.3 11.9 6.6
Diabetes Related 92 92.1 6,933 72.6 25.0 162.8 260.9 109.3
Tobacco Related 117 121.9 12,886 137.2 -- 184.1 192.6 75.5
Alcohol Related 27 34.2 3,255 35.5 -- 41.9 137.3 41.2
Work Related Accidents 2 2.6 209 2.4 -- 0.4 0.9 2.5
All Causes 779 793.5 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
CUSTER NEBRASKA
Native
Total Total Total Total Black American Hispanic
Cancer Type # Cases Rate # Cases Rate Rate Rate Rate
All Sites 393 465.6 42,194 474.2 474.5 393.6 292.3
Lung & Bronchus 49 56.2 5,572 62.7 93.3 62.7 39.3
Breast (Female) 47 114.7 6,278 131.8 102.2 56.9 57.2
Prostate 74 193.7 6,470 165.9 197.9 146.3 57.0
Colorectal 58 67.4 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
CUSTER NEBRASKA PERCENT
CONDITION/INJURY # DISCHARGES RATE # DISCHARGES RATE DIFFERENCE
All Conditions/Injuries 4,088 14,785.00 359,031 9,837.00 50.3
Pregnancy/Childbirth 495 2,998.00 89,507 2,465.00 21.6
All Injuries 628 1,984.00 55,504 1,509.00 31.5
Diabetes Related Diseases 608 1,816.00 46,921 1,277.00 42.2
Heart Disease 579 1,627.00 37,934 1,014.00 60.5
Digestive Diseases 445 1509 29,464 808.0 86.8
Musculoskeletal Diseases 229 730.0 23,783 659.0 10.8
Psychosis/Mental Health 89 379.0 17,125 492.0 -23.0
Pneumonia 308 981.0 14,664 386.0 154.1
Genitourinary Diseases 212 794.0 14,656 411.0 93.2
Cancer 127 381.0 11,800 322.0 18.3
Fractures 110 333.0 9,998 261.0 27.6
Other Respiratory Diseases 113 445.0 9,145 246.0 80.9
Tobacco Related Diseases 151 440.0 9,566 257.0 71.2
Surgical/Medical Complications 90 322.0 8,506 236.0 36.4
Cerebrovascular Disease 115 308.0 8,131 214.0 43.9
COPD 106 324.0 7,578 208.0 55.8
Alcohol Related Diseases 25 79.0 2,405 67.0 17.9
Leading Causes of Injury
Falls 127 337.0 11,318 291.0 15.8
MV Accidents 30 120.0 2,218 62.0 93.5
Self-Inflicted 5 18.0 1,754 50.0 -64.0
Other Unintentional 4 18.0 1,215 33.0 -45.5
Poisoning 5 15.0 592 16.0 -6.3
Struck/Pierced by Object 13 44.0 609 17.0 158.8
Overexertion 7 23.0 480 13.0 76.9
Environmental 14 58.0 513 14.0 314.3
Assault 1 5.0 442 12.0 -58.3
LEADING PAYER TYPE FOR HOSPITALIZATION, 2003-2004
CUSTER NEBRASKA PERCENT
PAYER TYPE DISCHARGES % DISCHARGES % DIFFERENCE
Commercial 1,196 29.3 168,501 46.9 -37.5
Medicare 2,407 58.9 131,141 36.5 61.4
Medicaid 392 9.6 50,769 14.1 -31.9
Self-Pay 32 0.8 3,460 1.0 -20.0
Other State/Federal 61 1.5 5,160 1.4 7.1
NOTE: Age adjusted rates are based on the 2000 U.S. census standard.
INCIDENCE OF AIDS, 2000-2004
CUSTER NEBRASKA
*Rate Rate
2.1 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
CUSTER NEBRASKA
Rate Rate
West Nile Virus (WNV) 548 112
Chronic Hepatitis C 0.0 64.2
TB 0.0 1.6
Note: Rates are per 100,000 Population.
INCIDENCE RATES OF SEXUALLY TRANSMITTED DISEASES BY RACE/ETHNICITY
CUSTER 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 43.3 35.0 0.0 377.4 0.0 363.6 424.4 193.7 2847.6 903.3 166.6 518.3
< 18 33.4 34.0 0.0 0.0 0.0 0.0 226.2 83.9 1616.4 383.6 67.7 125.0
> 17 35.1 23.6 0.0 555.6 0.0 678.0 455.9 207.6 3181.6 1086.7 163.3 667.2
STD TYPE
Gonorrhea 8.7 0.0 0.0 377.4 0.0 0.0 65.8 19.1 1025.7 127.1 19.6 62.9
Chlamydia 34.7 35.0 0.0 0.0 0.0 181.8 301.3 146.5 1695.1 722.6 131.0 413.7
Female 68.0 68.7 0.0 0.0 0.0 357.1 433.6 223.1 2278.7 1163.2 198.0 666.3
Herpes 0.0 0.0 0.0 0.0 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
CUSTER NEBRASKA
Rate * # of Persons ** # of Persons **
Age 65-74 10% 105 11,135
Age 75-84 20% 183 16,908
Age 85+ 47% 184 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
CUSTER NEBRASKA
INFANT INFANT NEBRASKA YEAR 2010
RACE/ETHNICITY DEATHS RATE DEATHS RATE OBJECTIVE
White 5 7.7 670 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 5 7.7 838 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
CUSTER NEBRASKA OBJECTIVE
WEIGHT NUMBER RATE NUMBER RATE RATE
Very Low - All Births 7 10.7 1,611 12.7 9.0
Low - All Births 42 64.2 8,821 69.4 50.0
White 42 65.0 7,431 65.8 50.0
Black 0 0.0 897 125.1 50.0
Native American 0 0.0 145 67.2 50.0
Asian 0 0.0 221 77.7 50.0
Hispanic 2 222.2 976 62.0 50.0
Note: Rates are per 1,000 live births.
NUMBER OF INFANTS BORN WITH BIRTH DEFECTS, 1999-2003
CUSTER NEBRASKA
# of % of # of % of
Infants Total Births Infants Total Births
Infants with birth
defects 24 3.6 4,534 3.6
TEEN AGE BIRTHS BY AGE AND RACE/ETHNICITY, 2000-2004
CUSTER NEBRASKA
Age of Mother 10-17 15-17 10-17 15-17
NUMBER % NUMBER % NUMBER % NUMBER %
All Births 20 3.1 20 3.1 3,715 2.9 3,583 2.8
White 19 2.9 19 2.9 2,792 2.5 2,718 2.4
Black 0 0.0 0 0.0 631 8.8 586 8.2
Native Amer 1 16.7 1 16.7 184 8.5 179 8.3
Asian 0 0.0 0 0.0 36 1.3 35 1.2
Hispanic 1 11.1 1 11.1 881 5.6 846 5.4
PERCENTAGE OF PREGNANT WOMEN WHO SMOKE DURING PREGNANCY, 2000-2004
NUMBER OF CIGARETTES NEBRASKA YEAR 2010
SMOKED PER DAY CUSTER NEBRASKA OBJECTIVE
1-10 9.9 10.4 --
11-20 3.1 2.8 --
21+ 0.6 0.6 --
Unknown 0.2 0.3 --
TOTAL 13.8 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 CUSTER NEBRASKA OBJECTIVE
White 83.7 84.7 90.0
Black 0.0 70.5 90.0
Native American 66.7 68.3 90.0
Asian 0.0 82.2 90.0
Total 83.3 83.2 90.0
Hispanic 77.8 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
CUSTER 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
CUSTER NEBRASKA NEBRASKA
* % WITH % WITH YEAR 2010
RISK FACTOR (N) BEHAVIOR (N) BEHAVIOR OBJECTIVE
Obese (body mass
index 30 or higher) 621 24.2 23,583 22.4 15%
No leisure-time
physical activity 654 27.6 24,965 25.0 15%
Currently smoke
cigarettes 653 16.9 24,932 21.1 12%
Chronic drinking
60+/Mo Men - 30+/Mo Women 566 2.7 21,579 4.8 --
No health insurance 653 12.9 24,932 11.9 0%
Could not see physician in
past 12 months due to cost 430 9.5 16,873 8.4 4%
Mammogram
in past two
years (Ages 40+) 209 58.1 6,913 75.5 75%
Immunization rates (65+)
Flu shot past 12 months 224 71.9 6,210 71.5 90%
Pneumonia immunization 215 63.2 6,123 63.2 90%
General health good to
excellent (self-reported) 652 84.1 24,924 87.4 --
Ten or more days in past 30
days health not good
Physical health 551 12.7 20,236 9.7 --
Mental health 550 8.4 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
CUSTER 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
19 0.0 2.7 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
CUSTER 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 0 59.9 0.0 607 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
CUSTER NEBRASKA
# w/High % # w/High % NEBRASKA YEAR 2010
LEAD LEVEL Blood Lead Tested Blood Lead Tested OBJECTIVE
>9ug/dL 6 2.2 1846 3.3 0% (>9ug/dL)
AVAILABILITY OF SERVICES
HEALTH PROFESSIONALS IN PRACTICE, 2003
CUSTER NEBRASKA
# Persons # Persons
# of Served per # of Served per
PROFESSION Practitioners Practitioner Practitioners Practitioner
General/Family Practice 7 1649 677 2569
Internal Medicine 0 . 227 7662
Pediatrics 0 . 162 10736
OB/Gynecology 0 . 143 12163
Psychiatry 0 . 140 12424
Physician Assistant 4 2886 445 3909
Nurse Practitioner 0 . 329 5287
Licensed Practical Nurse 74 156 6337 274
Dentist 4 2886 1084 1605
Registered Nurse 80 144 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 59 5 15729 1023
Black 1 0 166 15
Native American . 0 54 5
Asian . 0 117 43
Hispanic . 0 183 25
Other Race/Ethnicity/Unknown . 0 85 4
FEDERAL SHORTAGE AREA DESIGNATIONS, 2003
CUSTER NEBRASKA
HPSA Part Part
MUA/MUP Part Part
EMERGENCY SERVICES, 2003
SERVICE CUSTER NEBRASKA
Ambulance services 9 394
AVAILABILITY OF TRANSPORATION, 1998
PUBLIC TRANSPORTATION AVAILABLE IN CUSTER ? YES .
COMMUNITIES SERVED BY PUBLIC TRANSPORTATION IN CUSTER :
Anselmo, Ansley, Arnold, Berwyn, BrokenBow, Callaway, Comstock,
Gates, Mason City, Merna, Oconto, Sargent, Weissert, Westerville
SERVICE UTILIZATION DATA
MEDICAID ELIGIBILITY AND EXPENDITURES, FY 2003
CUSTER NEBRASKA
TOTAL PERSONS % OF TOTAL PERSONS % OF
ELIGIBLE(#) ELIGIBLES ELIGIBLE(#) ELIGIBLES
Medicaid 1,627 100.0 205,498 100.0
Aged 196 12.0 18,449 9.0
Blind & Disabled 200 12.3 26,534 12.9
ADC Children 1,117 68.7 134,743 65.6
ADC Adults 114 7.0 25,772 12.5
CUSTER NEBRASKA
TOTAL % OF TOTAL TOTAL % OF TOTAL
DOLLARS MEDICAID DOLLARS MEDICAID
($000) DOLLARS ($000) DOLLARS
Medicaid $9,912 100.0 $1,280,005 100.0
Aged 3,406 36.9 353,582 29.4
Blind & Disabled 2,993 32.5 432,011 36.0
ADC Children 2,140 23.2 319,452 26.6
ADC Adults 683 7.4 95,724 8.0
MEDICAID EXPENDITURES BY TYPE OF SERVICE PROVIDED, FY 2003
CUSTER NEBRASKA
TOTAL % OF TOTAL TOTAL % OF TOTAL
DOLLARS MEDICAID DOLLARS MEDICAID
($000) DOLLARS ($000) DOLLARS
All Medicaid $9,912 100.0 $1,280,005 100.0
Medicaid Fee-for-Service 7,896 79.7 970,707 75.8
Hospital--Inpatient 1,680 16.9 257,282 20.1
Hospital--Outpatient 595 6.0 75,892 5.9
ICF Mentally Retarded 54 0.5 50,253 3.9
Nursing Facility 2,487 25.1 271,975 21.2
Physician 904 9.1 100,083 7.8
Dental 351 3.5 33,337 2.6
Prescribed Drugs 1,824 18.4 181,885 14.2
Other Medicaid (Includes
Capitated Payments) 2,016 20.3 309,298 24.2
UTILIZATION OF SERVICES BY PROGRAM, FY 2004
CUSTER NEBRASKA
AVERAGE AVERAGE AVERAGE AVERAGE
MONTHLY PAYMENT MONTHLY PAYMENT
PARTICIPANTS ($) PARTICIPANTS ($)
Aid to Dependent 35 $336.06* 12,237 $353.16*
Children (ADC)
Food Stamp Program 605 $62.97** 111,435 $79.42**
* Average payment per family.
** Average payment per person.
NUMBER OF PERSONS SERVED BY PUBLIC HEALTH PROGRAMS
SERVICE PROVIDED CUSTER NEBRASKA
WIC, UNDUPLICATED PERSONS SERVED, 2004
Pregnant women seen 22 4,527
Breastfeeding clients seen 32 5,609
Postpartum women seen 57 10,951
Infants seen 36 9,521
Children seen 252 39,835
Native Native
Total WIC clients Total Black Am Asian Hispanic Total Black Am Asian Hispanic
seen in 2004 399 3 12 0 9 70,449 7,664 1,316 1,296 20,674
Reproductive health, 2004 77 42,421
NURSING HOME AND HOSPITAL LONG-TERM CARE OCCUPANCY, 2004
CUSTER NEBRASKA
Nursing Home and Hospital
Long-Term Care Facilities
Number of licensed beds 214 17,130
Occupancy rate 78.8 82.7
Persons Aged 65 and Older
Living in Nursing Homes or
Hospital Long-Term Care
Facilities
Number 159 12,710
Percent of population 6.7 5.5
aged 65 and older
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