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8K.0002, PG-.04g1 r- <br />Division of Public Health <br />Agreement Addendum <br />FY 12 -13 <br />Page I of 5 <br />Chronic Disease and Injury / <br />Lee County Health Department _ Physical Activity and Nutrition <br />Local Health Department Legal Name DPH Section/Branch Name <br />886 Healthy Communities <br />Activity Number and Description <br />04/01/2013 — 05/31/2013 <br />Service Period <br />05/01/2 — 06/30/2013 <br />Payment Period <br />Mary Bea Kolbe, 919 -707 -5229 <br />marybea.kolbe@dhhs.nc.gov <br />DPH Program Contact Name, Telephone <br />Number (with area code) and Email <br />DPH Program Signature Date <br />(only required for neeotiabte agreement <br />addendum) <br />❑ Original Agreement Addendum <br />® Agreement Addendum Revision # 1 (Please do not put the Aid to County BE revision # here.) <br />Back ground <br />The Background section is replaced in its entirety as ofApril 1, 2013, with the following: <br />Every day in North Carolina, approximately 144 residents die as a result of a chronic disease and 16 <br />residents expire as a result of injury or violence. Altogether, chronic diseases, injury and violence were <br />responsible for three- quarters of North Carolina resident deaths and resulted in over 58,000 resident <br />deaths in 2010. Of these deaths, estimates reveal that over half may be due to preventable causes. The <br />leading preventable causes of death in the state are tobacco use, unhealthy diet and/or inadequate <br />physical activity, poor chronic disease management and unintentional injury. Many North Carolinians <br />die prematurely or suffer from diseases that could be prevented or more effectively managed. <br />Racial disparities in chronic disease and injury mortality persist in North Carolina. Non - Hispanic <br />African Americans have higher rates than non - Hispanic whites for the majority of chronic diseases. <br />During 2006 -2010, non - hispanic African Americans had age adjusted mortality rates that were more <br />than two times higher than non - Hispanic whites for diabetes and homicide. <br />Health Direct igaature (use blue ink) Date <br />Local Health Department to complete: LHD program contact name: <br />(If follow up information is needed by DPH) Phone number with area code: X 1 1 Si — 9) fs - c, n C( <br />Email address: . • -- _ . <br />S192212re OR this 2292 1192 ities you have read and accent Ll Ail pages of this document <br />Revised 9/26/11 <br />