DHD#10 Chartbooks provide a brief overview of the health status of
the District Health Department #10 jurisdiction. Information is
presented by county and when available, comparisons are made to
the jurisdiction, to Michigan, and to Healthy People 2020 Objectives.
Information is collected about poverty, access to preventive care,
promotion of healthy lifestyle and behavior, and creation and
maintenance of healthy communities.
MANISTEE
Community Data
2022
https://www.dhd10.org
Health status indicators, such as perception of general
health, satisfaction with life, weight (BMI), and levels of
high blood pressure.
Health risk behaviors, such as smoking, drinking, diet,
and physical activity
Clinical preventative measures, such as routine
physical checkups, cancer screenings, oral health, and
immunizations
Chronic conditions, such as diabetes, asthma, and
cancer
Access to Health Care
Tobacco Use
Substance Abuse
Healthy Lifestyles
Health Disparities
Maternal, Infant & Child Health
Mental Health
Chronic Disease
The 2022 Chartbooks provide a health profile for Manistee
County. In certain sections, this information is compared
to the overall health status of counties within District
Health Department #10. The data includes population,
education, race, births and deaths, incidence of disease,
injuries, and immunizations.
Last year, a Behavioral Risk Factor Survey was conducted
in the entire 10 county jurisdiction. A wide range of health
behaviors were included:
In addition, DHD#10 has completed the Community
Health Improvement Plan in 2017. The identified strategic
issues included the following:
2022 Community Data
Manistee
1
Demographics
Birth Trends
Poverty Indicators
Economic Wellbeing
Leading Causes of Death
& Years of Potential Life
Lost
Cardiovascular Disease
Cancer Incidence
Sexual Health
Pregnancy &
Birth Related Trends
Immunizations
Behavioral Risk Factor
Survey
County Health Rankings
Conclusions
Table of Contents
2
3
4
6
7
8
9
10
11
12
13
18
19
If you have any questions or data requests, please e-mail [email protected]
After the data are presented in this Chartbook, the last section will summarize some of the
conclusions from the Behavioral Risk Factor Survey and examples of progress completed
toward the CHIP goals.
Demographics serve as an important indicator which can be used to disaggregate data
to gain more detailed information on specific sub-populations (i.e. ethnicity, sex,
education level, etc.) and better tailor public health interventions.
Manistee
Michigan
Total Population
25,032
10,077,331
Population per
square mile
45.6
174.8
Persons under 5 years
4.3%
5.7%
Persons under 18 years
17.2%
21.5%
Persons 65 years and over
26.3%
17.7%
Disability, under age 65
12.3%
10.2%
Gender: Females
48.4%
50.7%
Demographics
Manistee
Michigan
White
91.6%
79.2%
Black
3.4%
14.1%
American Indian/Alaska
Native
2.3%
0.7%
Asian
0.4%
3.4%
More than one race
2.3%
2.5%
Hispanic
3.5%
5.3%
Language other than
English spoken at home
4.1%
9.7%
Persons per household
2.38
2.45
High school graduates
90.5%
91.3%
Bachelor's degree or
higher
22.3%
30.0%
Manistee
Michigan
Persons in poverty
12.4%
12.6%
Median household
income
$51,658
$59,234
Per capita income
$28,365
$32,854
Unemployment
10.8%
9.9%
Population, April 2020
Age & race, April, 2020
Language other than English, 2016-2020
Disability, under 65, 2020
Education based on persons age 25 and over, 2016-2020
Female persons, April, 2020
Persons per household, 2016-2020
Median household income, 2016-2020
Persons in poverty, April 2020
Per capita income in past 12 months, 2016-2020
Population per square mile, 2010
Average unemployment percentage, 2020
Sources
US Census Bureau:
Bureau of Labor Statistics:
Population
Race, Ethnicity, & Household Characteristics
Income & Economy
https://www.dhd10.org
2
Births
Birth numbers and rates represent growth within a community and offer insight into
the future population trends. In this section, births are provided from 2007 to 2020.
2009
2013
201
173
Number of Live Births in Manistee County, 2007-2020
Live Birth Rates per 1,000 Female in Manistee County, DHD#10, Michigan, 2008-2020
Live births by county, 2007-2020
Live birth rates by county, 2008-2020
Live births rates by health jurisdiction, 2008-2020
Live births rates by state, 2008-2020
Sources:
Michigan Department of Health and Human Services (MDHHS)
2016
2020
245
175
https://www.dhd10.org
3
Manistee County DHD#10 Michigan
2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
80
60
40
20
0
% of Students Eligible for Free or Reduced Lunch, 2020
MANISTEE COUNTY
69.7%
Poverty & Poverty Indicators
Poverty is strongly linked to negative health outcomes, keeping track of poverty levels
and identifying significant change can suggest a positive or negative change within
the community.
Poverty, 0-17 years, by county & state 2010-2020
Poverty, all ages, by county & state, 2010-2020
Percentage of student eligible for free/reduced lunch, 2020
Sources:
Michigan League for Public Policy
Percentage of Population (0-17 years and all ages) Living in Poverty in Manistee County and
Michigan, 2010-2020
MICHIGAN
50.5%
https://www.dhd10.org
4
Manistee, all ages Michigan, all ages Manistee, ages 0-17 Michigan, ages 0-17
2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
30%
20%
10%
0%
Percentage of Children (0-4) Who Receive Women, Infant, and Children (WIC) Benefits in
Manistee County and Michigan, 2010-2020
Children (0-4) who Receive WIC Benefits by County & State, 2010-2020
Percentage of Live Births Paid by Medicaid by County & State, 2020
Sources:
Michigan League for Public Policy
% of Live Births Paid by Medicaid, 2020
Poverty & Poverty Indicators
MANISTEE COUNTY
37.7%
MICHIGAN
39.9%
https://www.dhd10.org
5
Manistee County Michigan
2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
75%
50%
25%
0%
Economic Wellbeing
Economic wellbeing is a quick hint into the health of a community by providing indicators
that focus on economic hardships. Studies have shown that those who live in poverty are
at a higher risk for both acute and chronic diseases.
Median Household Income by County & State, 2008-2020
Percentage of Adults who are Unemployed, 2018 & 2020
Percentage of Children (0-5) with All Parents in the Labor Force, 2018 & 2020
Sources:
Michigan League for Public Policy
Manistee County
Michigan
5.7% 4.1%
Percentage of Adults who
are Unemployed
10.8% 9.9%
Percentage of Children (0-5) with
All Parents in the Labor Force
Manistee County
Michigan
64.0% 66.4%
69.1% 67.1%
20182020
Median Household Income in Manistee County and Michigan, 2008-2020
https://www.dhd10.org
6
Manistee County Michigan
2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
$75,000
$50,000
$25,000
$0
Leading Causes of Death
Manistee
DHD#10
Michigan
Heart Disease
210.4
192.4
206.0
Cancer
176.1
180.9
158.8
COVID-19
46.0
43.0
86.5
Unintentional Injury
102.1
69.7
56.2
Stroke
45.3
54.0
44.8
Chronic Lower
Respiratory
73.1
63.5
42.4
Alzheimer's Disease
55.0
46.9
37.0
Diabetes
*
23.9
26.3
Kidney Disease
*
9.5
14.8
Pneumonia/Influenza
*
9.9
14.4
Manistee
DHD#10
Michigan
Cancer
1,964.5
1,855.9
1,495.9
Heart Disease
1,621.8
1,447.2
1,443.0
Unintentional Injury
3,175.1
1,715.7
1,438.3
COVID-19
456.9
310.2
567.9
Suicide
*
530.3
430.0
Homicide
*
*
352.5
Birth-related Conditions
0
*
291.3
Chronic Liver Disease
*
279.2
281.8
Drug-induced Death
*
848.3
977.0
Injury by Firearms
*
359.8
509.0
Alcohol-induced Death
*
469.5
322.0
Age-adjusted Mortality Rates per 100,000, 2020; *Too small to calculate
Years of Potential Life Lost
Rates per 100,000 under 75 years of age, 2020; *Too small to calculate . The number of years of
potential life lost are rates calculated as the number of years between the age at death and
75 years of age for persons dying before their 75th year.
Leading Causes of Death, 2020
Years of Potential Life Lost, 2020
Sources: MDHHS
https://www.dhd10.org
7
Cardiovascular Disease
Age-adjusted Mortality Rates for Cardiovascular Disease by Category, 2018-2020
Cardiovascular Disease Hospitalization
2016-2019, rates per 10,000
Mortality Trends by Type, County, Health District, State, 2018-2020
Cardiovascular Hospitalization Rates, 2016-2019
Sources: MDHHS
MANISTEE COUNTY
158.5
MICHIGAN
181.8
https://www.dhd10.org
8
Manistee County DHD#10 Michigan
Heart Disease Stroke
200
150
100
50
0
Cancer Incidence
Five-year Average Age-adjusted Rates for Invasive Cancer Incidence by Location per
100,000, Manistee County, 2015-2019
Five-year Average Age-adjusted Invasive Cancer Incidence per 100,000, 2015-19
Five-year Average Age-adjusted Invasive Cancer Incidence by Location per 100,000, Manistee County,
2015-2019
Sources: MDHHS
Five-year Average Age-adjusted Rates for Invasive Cancer Incidence per 100,000, 2015-2019
https://www.dhd10.org
9
Manistee County DHD#10 Michigan
2015 2016 2017 2018 2019
500
400
300
200
100
0
Breast Prostate Lung Colorectal
2015 2016 2017 2018 2019
150
100
50
0
Sexual Health
Rate of Chlamydia Cases for all age and sex, per 100,000, 2015-2020
Five-year Average Rate of Chlamydia Cases per 100,000, 2015-2020
Number of Gonorrhea Cases, 2020
Number of HIV Cases, 2020
Number of Women in Need of Publicly Funded Contraceptive Services & Supplies, 2016
Sources: MDHHS
Guttmacher Data Center
https://www.dhd10.org
10
Manistee County DHD#10 Michigan
2015 2016 2017 2018 2019 2020
600
400
200
0
# of Gonorrhea Cases, 2020
MANISTEE COUNTY
5
DHD#10
151
# of Women younger than 20
in Need of Publicly Funded
Contraceptive Services &
Supplies, 2016
MANISTEE COUNTY
290
# of new HIV Cases, 2020
MICHIGAN
522
MICHIGAN
17,348
# of individuals living with
HIV, 2020
Pregnancy & Birth-Related Trends
Teen (15-19 years of age) Pregnancy Rate per 1,000, 2015-2020
Percentage of Mothers Who Smoked During Pregnancy, 2015-2020
Teen (15-19 years of age) Pregnancy Rate per 1,000, 2015-2020
Percentage of Mothers Who Smoked During Pregnancy, 2015-2020
Sources: MDHHS
Michigan League of Public Policy
https://www.dhd10.org
11
Manistee County DHD#10 Michigan
2015 2016 2017 2018 2019 2020
60
40
20
0
Manistee County Michigan
2015 2016 2017 2018 2019 2020
40%
30%
20%
10%
0%
Immunization
Immunization compliance is one of public health’s greatest defenses against many
communicable diseases. Our Immunization nurses work tirelessly providing education
and vaccines from infants to the senior population.
4:3:1:3:3:1:4 includes 4 doses of DTaP, 3 polio, 1 MMR, 3Hib, 3 Hepatitis B, 1 varicella, and 4 PCV7/13. This is the percent of
19-35-month-old children who have received these immunizations.
4:3:1:3:3:1:4:2 includes the above vaccines with the addition of 2 doses of Hepatitis A. This is the percent of 19-35-month-
old children who have received these immunizations.
1:3:2:3:2:1 includes 1 Tdap, 3 IPV, 2 MMR, 3 HepB, 2 Varicella, and 1 Meningococcal. This is the percent of 13-17-year olds
who have received these immunizations.
Immunization Key
Percent of Children that received CDC Recommended Childhood Immunizations, 2020-2022
Sources:
Michigan Care Improvement Registry
Percentage of HPV Vaccination Completion by Sex
(13-17 Years of Age), Manistee County vs. Michigan, 2020-22
Manistee County
50.1%
49.9%
Michigan
43.1%
45.1%
Male
Female
https://www.dhd10.org
12
Manistee County DHD#10 Michigan
4:3:1:3:3:1:4 (19-35 months) 4:3:1:3:3:1:4:2 (19-35 months) 1:3:2:3:2:1 (13-17 years)
75%
50%
25%
0%
Behavioral Risk Factors
In previous years, DHD#10 hired an independent research and evaluation firm to
conduct a regional Behavioral Risk Factor Survey (BRFSS) to bolster our survey
response rates to increase validity and to obtain comprehensive and inclusive
survey results. The following geographic areas will be presented: DHD#10 Region,
County Level, & Michigan. There will be some data sets with no Michigan
comparison – this is due to DHD#10 adding customized questions to the BRFS.
The Michigan Behavior Risk Factor Survey is completed annually through
randomized telephone surveys for Michigan residents 18+. The most recent
Michigan Behavioral Risk Factor Survey Annual Table (2020) can be accessed here.
Manistee County DHD#10 Michigan
40%
30%
20%
10%
0%
Michigan Behavioral Risk Factor Surveillance System, 2020
Sources:
Michigan Department of Health & Human Services
Self-Reported Health Status Indicators
https://www.dhd10.org
13
Fair/Poor General
Health Status
Disability
Poor Physical
Health
(14+ Days)
Poor Mental
Health (14+Days)
Activity Limitation
(14+ Days)
Manistee
17.8%
30.8%
9.1%
14.3%
8.8%
DHD#10
20.8%
35.5%
15.6%
13.4%
11.1%
Michigan
15.5%
27.5%
11.3%
15.8%
9.1%
BRFSS: Access to Healthcare
Manistee County DHD#10 Michigan
20%
15%
10%
5%
0%
Health Care Provider
Number of Residents
per Health
Care Provider (2020)
Manistee County
Michigan
Primary Care Physician
1,880:1
1,280:1
Denstist
1,360:1
1,340:1
Mental Health Provider*
790:1
370:1
*Mental health providers include psychiatrists, clinical psychologists, clinical social workers, psychiatric
nurse specialists, and marriage and family therapists who meet certain qualifications and certifications.
Michigan Behavioral Risk Factor Surveillance System, 2020
County vs. State Rankings, 2020
Sources:
Michigan Department of Health & Human Services
County Health Rankings
https://www.dhd10.org
14
Had to Forego Care in Past
Year Due to Cost
Have No Primary Care Provide
(PCP)
No Health Care Coverage (18-
64)
Manistee
10.5%
16.4%
*
DHD#10
13.5%
15.8%
14.4%
Michigan
7.9%
14.5%
8.4%
BRFSS: Chronic Conditions
Manistee County DHD#10 Michigan
40%
30%
20%
10%
0%
20%
15%
10%
5%
0%
Michigan Behavioral Risk Factor Surveillance System, 2020
Sources:
Michigan Department of Health & Human Services
https://www.dhd10.org
15
Arthritis
Lifetime
Asthma
Current
Asthma
Depression
Diabetes
Manistee
35.8%
17.6%
11.4%
24.3%
15.3%
DHD#10
36.7%
15.1%
11.0%
24.7%
13.0%
Michigan
30.1%
15.4%
11.0%
19.5%
12.3%
Any
Cardiovascular
Disease
COPD (Chronic
Obstructive
Pulmonary
Disease)
Cancer,
All types
Angina
Heart Attack
Stroke
Manistee
16.6%
9.0%
14.6%
*
10.5%
*
DHD#10
11.1%
10.7%
17.0%
4.8%
6.5%
3.0%
Michigan
10.0%
8.3%
12.4%
5.0%
5.1%
3.5%
BRFSS: Clinical Preventative Practices
Manistee County DHD#10 Michigan
100%
75%
50%
25%
0%
80%
60%
40%
20%
0%
Michigan Behavioral Risk Factor Surveillance System, 2020
Sources:
Michigan Department of Health & Human Services
Preventative Practices in Michigan, 2020
Ever had sigmoidoscopy or
colonoscopy (50+ only)
79.4%
55.6%
Had sigmoidoscopy or
colonoscopy in past 5 years
(50+ only)
Ever had pap test
89.3%
68.7%
Had appropriately
timed pap test
https://www.dhd10.org
16
Ever had PSA Test
(males, 50+ only)
No routine checkup in
past year
Have had
cholesterol
checked
No dental visit
in past year
Had flu vaccine in
past year
(65+ only)
Had pneumonia
vaccine
(65+ only)
Manistee
*
25.1%
*
33.8%
65.1%
82.1%
DHD#10
56.6%
27.2%
85.4%
37.0%
61.1%
74.1%
Michigan
57.2%
23.4%
*
30.8%
71.7%
71.8%
Had mammogram in
past year (females, 40+
only)
Had mammogram in past
2 years
(females, 40+ only)
*
*
*
75.4%
50.3%
72.7%
BRFS: Risk Behaviors
Manistee County DHD#10 Michigan
40%
30%
20%
10%
0%
40%
30%
20%
10%
0%
Michigan Behavioral Risk Factor Surveillance System, 2020
Sources:
Michigan Department of Health & Human Services
https://www.dhd10.org
17
Currently Smoke
Cigarettes
Formerly Smoke
Cigarettes
Drink Heavily
Currently Binge Drink
Manistee
18.1%
28.6%
5.8%
13.3%
DHD#10
23.8%
30.9%
7.3%
16.6%
Michigan
18.4%
27.1%
6.8%
17.4%
No leisure time physical
activity
Obese
Overweight
Healthy Weight
Manistee
19.9%
31.6%
35.1%
30.4%
DHD#10
28.7%
35.6%
37.9%
25.4%
Michigan
20.8%
35.2%
34.6%
28.4%
County Health Rankings
County Health Rankings is a collaboration between the Robert Wood Johnson Foundation and
the University of Wisconsin Population Health Institute. The County Health Rankings measure
the health of nearly all counties in the nation and rank them within states. Below is an overall
snapshot at the county level vs. all ranked counties (83 in total).
The most recent County Health Rankings (2020) can be accessed here.
County vs. State Rankings, 2020
Sources:
County Health Rankings
https://www.dhd10.org
18
Conclusions:
Community Health Improvement Plan
Community Health Improvement Plan Progress Report, 2019
Sources:
District Health Department #10
https://www.dhd10.org
19
Additional
Information
District Health Department #10:
https://www.dhd10.org
North Michigan CHIR MiThrive:
https://northernmichiganchir.org/mit
hrive/
Michigan Department of Health and
Human Services:
https://www.michigan.gov/mdhhs
Community Health Ranking:
https://www.countyhealthrankings.org
Behavioral Risk Factor Survey:
https://www.cdc.gov/brfss
Michigan League for Public Policy:
https://mlpp.org
Thank You!
We appreciate you taking the time to
read about the health status of
Manistee County within District
Health Department #10's ten-county
jurisdiction. If you have any questions,
please feel free to reach out via email
at [email protected].