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2020 SOTCH

Progress on CHIPs

Like many local health departments, the Onslow County Health Department (OCHD) was forced to think out of the box to fulfill Community Health Improvement Plans (CHIPs) and reach the community throughout the COVID-19 Pandemic. OCHD focused on virtual and social platforms to conduct meetings and presentations, while also sharing important and informative educational materials.

Chronic Diseases

  • Since OCHD was not able to conduct events such as “What’s Your Next 10?” or Second Saturday Step Up, they used online platforms to reach the community. OCHD hosted a Facebook Live Nutrition Panel and received great feedback. The video reached over 9,000 people, 1,572 post engagement, 56 reactions, 36 comments and 16 shares.   

  • OCHD hosted a Group Lifestyle Balance that began as in-person classes, but due to COVID-19 morphed into virtual classes taught over Zoom. Out of the initial 12 participants, 4 dropped the class due to the change. However, despite the change those that finished the class completed their goal and met the goal of 5% weight loss. The group on average lost 16.3% of their starting weight.

Substance Abuse 

  • OCHD began an Overdose Fatality Review (OFR) board, in partnership with Jacksonville Public Safety. This initiative uses a multi-disciplinary team to conduct in-depth reviews of overdose fatalites to identify trends, improve the system of care, and identify opportunities for intervention. This program is one of the first in the State of North Carolina.

  • The Strategic Opioid Advanced Response (SOAR) team implemented a Public Service Announcement (PSA) campaign to raise awareness of substance misuse, share local resources, and provide education to residents. This campaign also promoted the virtual recovery resources available during the COVID-19 pandemic.

  • In conjunction with the Onslow County Extension Office, OCHD assisted with the Empowering Youth and Families Program (EYFP). This program provides education to youth and their caregivers to reduce substance use, improve parenting skills to assist youth in making healthy choices, strengthen family relationships, and to empower families to lead community change.

Morbidity and Mortality Changes Since Last CHNA

  • In 2020 there were 68 COVID-19 fatalities, most of which were 65+ with underlying conditions. 
  • In 2020, the number of overdose deaths in Onslow County was the highest ever recorded.
  • We have seen a decrease in routine vaccinations within the last year. 
  • Suicide deaths in Onslow County continue to increase throughout the pandemic. 

Emerging Issues Since Last CHNA

  • COVID-19 vaccinations, variants and spread will continue to be issues for local health departments. 
  • Mental Health Concerns are also ongoing issues in the community that have spiked an increase in suicide and overdose deaths. 
  • Social determinates of health and health equity along with topics of social justice are also emerging issues and topics of conversations for local health departments and communities. 

New/Paused/Discontinued Initiatives Since Last CHNA

The Onslow County Health Departments Diabetes Self Managment (DSME) classes have been paused due to classes traditionally being held in person and due to COVID-19 were paused. This class will continue once social distancing limitations and requirements are lifted. 


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