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2023 SOTCH Report

Significant/Notable Changes In Morbitity and Mortality

No significant changes in morbitity and mortality in our community.

Emerging Changes Impacting Health

These are the new or emerging issues in our community in 2023 that were not identified as priorities in our CHA.

  • Cost of healthy food continues to increase with inflation.

  • Increase in property tax assessments at the beginning of 2023, has made it even more difficult for new buyers to purchase homes and current owners to keep their homes. Home prices have skyrocketed and new building has not kept up with demand.

  • Pandemic and Post Pandemic urban to rural migration has caused housing costs to increase for home purchase and rentals. Many homes have been converted to short-term rentals, decreasing housing availablity for local residents. 

  • Increased housing costs have decreased available family income for food, utilites and medical care.

  • Increase in food insecutity amoung seniors on fixed income due to inflation. 

New/Paused/Discontinued Initiatives or Activities

The following are new initiatives or changes in our community in 2023:

  • The first installment of Opiod Settlement Funds was received, but no clear direction has been established on what will be done with the money.

  • Grant received from the Duke Endowment was used to establish a produce perscription program for food insecure familie in Macon and Swain Counties. 

  • A new farmers market that will accept SNAP and EBT benefits is set to begin in May 2024. This project is a collaborative effort between MountainWise, Macon County Public Health and The Town of Franklin. 

  • NC Medicaid Expansion has increased the number of people with health insurance, but many providers are not currently seeing new patients or accepting Medicaid. 

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Scorecard Container Measure Action Actual Value Target Value Tag S A m/d/yy m/d/yyyy