– PLEASE ANSWER THE FOLLOWING CASE STUDY QUESTION I HAVE ATTACHED THE QUESTION

– PLEASE ANSWER THE FOLLOWING CASE STUDY QUESTION I HAVE ATTACHED THE QUESTIONS and TABLES See all attached files.
Putnam County
Part 1
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Putnam County is located in a central state of the United States. The total population for Putnam County was 64,528 in 1910 and 74,113 in 2013. The county seat is located 20 miles from the state capitol. There is a large Air Force base located approximately 12 miles from the county seat, with easy access via an interstate. A large number of those stationed at the base live in the largest town in Putnam County due to a lower tax base. Many of those stationed at the Air Force base retire and stay in Putnam County. There is a medium-sized paper mill located in the far western part of the county, which employs approximately 150 employees from Putnam County and from two adjacent counties.
The county was formed in 1823. In 1922, a referendum was passed for the formation of the first full-time health department in the state. The Public Health Department is located in the county seat and is approximately 50 miles from farthest point in the county. The health department provides clinical, environmental, home health, and life care services, including maternal and child health services. Additional bio-monitoring case management is available for persons who are Medicaid eligible and have the following health conditions: diabetes, hypertension, and congestive health failure. Bio-monitoring includes free monitoring equipment such as glucometer, blood pressure, and/or a set of weight monitoring scales.
Because of the location of the county near a large interstate river, many of the smaller communities are subject to intermittent flooding. The most recent significant floods occurred in 1993 and 2008. During both of these events, there were substantial effects on agriculture and infrastructure.
Statistical Data 2013:
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A Windshield View of Western Putnam County
A drive through the western end of the county seat reveals depressed smaller communities, with single-family homes built of clapboard and/or brick and many mobile homes. The homes are in need of repairs. None of the smaller communities have fast food restaurants but many have small family eating restaurants that offer a meat and three vegetables at lunch 5 days a week. There are two high schools and one middle school to the west. Elementary students must travel to the county seat to attend public and/or private schools. There are numerous churches of almost all denominations located throughout the county. There are limited gas stations in the smaller communities. Services stations charge more for gas in the smaller areas of the county. In a few of the smaller areas there are liquor stores, several small pawnshops, and one pay day loan store.
Banks are available only in the largest town in the county. There is one hospital with less than 100 beds providing basic medical and surgical care in the county seat. Limited specialties are available and citizens must travel approximately 70 miles from the farthest point in the county to a larger hospital.
The closest Veterans Hospital is more than 150 miles from the county seat. In one small town to the west of the county seat, groups of young men and women are seen sitting on or standing by cars in an abandoned quick stop store parking lot. Unsupervised children are noted playing in the street close to the store. A sign posted on the abandoned store states, “No Alcohol or Drugs on Premises” and “No Loitering.” There is one small primary care clinic in this area that is privately owned but accepts Medicare, Medicaid, and private insurance. The clinic has one physician and one nurse practitioner who provide basic primary care to approximately 50 patients per day. The major health problems in the county include CVD, diabetes, cancer, substance abuse, smoking, dental caries, under-immunization, and food insecurity.
Reference: Harkness, G. A., & DeMarco, R. F. (2016). Community and public health nursing: Evidence for practice (2nd ed.). Wolters Kluwer.