October 2007
 


 
 
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In this issue:


THOMPSON REPORT EXPOSES INCREASING
HEALTH DISPARITIES BASED ON INCOME LEVELS

New York City Comptroller William C. Thompson, Jr. releases a new report examining health disparities in hospitalization and mortality rates based on income in New York City at a news conference in Manhattan on September 27, 2007. Pictured, (l to r) are: Glenn von Nostitz, Director, Policy Management, Office of the Comptroller; Ronda Kotelchuck, Executive Director, Primary Care Development Corporation; and, Thompson. Photo Credit: Marla S. Maritzer
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View Supplementary Tables

Comptroller William C. Thompson, Jr. released a report finding that from1990 to 2005, disparities in hospitalization and mortality rates based on income have widened among New York City neighborhoods for heart disease, cancer and, particularly, diabetes.

Thompson’s report, “Health and Wealth: Assessing and Addressing Health Disparities in New York City,” also noted that in the case of asthma, while hospitalizations have decreased due to better management of the disease, the prevalence of childhood asthma remains disturbingly high in many low income neighborhoods.

The Comptroller’s comprehensive analysis examined rates of various health condition hospitalizations and deaths by neighborhood since 1990, indicating that health disparities arise from a complex interaction of economic, social and environmental factors.

The Comptroller noted that anticipated hospital closures in New York City raise the prospect of more emergency room overcrowding and even fewer primary care facilities available to treat low income families.

Thompson called on City and State officials to increase reimbursement for primary and preventive care, more vigorously attack the known underlying causes of asthma, expand public education campaigns, and encourage the creation of drug and retail store health clinics in or accessible to low and moderate income neighborhoods across the city. These clinics would complement existing medical facilities, especially at night and on weekends, and provide additional cost-effective, convenient primary care for routine illnesses. The addition of such clinics, working in association with existing facilities such as clinics and hospitals, would in part help address the scarcity of primary and preventive health care in the city’s poorest neighborhoods.

“Simply stated, providing primary and preventive care saves lives and money, and is key to reducing disparities,” Thompson said. “Research studies have firmly established a positive correlation between the availability and utilization or primary and preventive health care in a neighborhood and the health of a neighborhood’s residents.”

The Comptroller continued: “However, long waiting times at existing clinics, physicians’ offices, and emergency rooms are often obstacles to working people seeking treatment. In addition, freeing up emergency rooms by offering alternatives for people seeking routine, non-emergency care has long been a goal. While in no way supplanting primary care clinics or private doctors, retail clinics can provide a supplement to those services and help remove some obstacles to care.”

The full report can be viewed at www.comptroller.nyc.gov.

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THOMPSON: DEPT. OF EDUCATION DOES NOT REPORT ALL VIOLENT AND DISRUPTIVE INCIDENTS IN SCHOOLS

New York City Comptroller William C. Thompson, Jr. releases an audit charging that the New York City Department of Education is failing to report all violent and disruptive incidents in its high schools in the five boroughs at a news conference in Manhattan on September 19, 2007. Photo Credit: Marla S. Maritzer

View Audit

The Department of Education is not effectively ensuring that all incidents – many violent and disruptive – in its high schools are being properly recorded and reported to the State, according to an audit issued by Comptroller Thompson.

Auditors determined that many incidents were not properly entered into an on-line data reporting system. For 10 schools that were sampled, 414 – or 21 percent – of 1,996 sampled incidents identified were not reported. Of the 1,996, 1,247 – or 62 percent – were deemed “serious” and 174 – or 14 percent – were not reported.

“The flawed reporting makes it difficult for parents, the public, and government officials to honestly assess whether a school is safe,” Thompson said. “Without more effective controls, the Department of Education cannot ensure that all incidents – many violent in nature – are being properly reported in compliance with the law.”

Under State Education Law, all school districts are required to annually report to the State Education Department (SED) all violent and disruptive incidents occurring on school grounds. SED then posts the data on its Web site annually.

Thompson’s audit analyzed data supplied by 10 sampled high schools across the five boroughs, each with more than 1,000 students - for the 2004-2005 academic year.

Thompson recommended, in part, that the DOE exercise more oversight of data entry in its computer system by schools, take action against any schools that fail to properly enter data, and provide more training to administrators regarding how incidents are to be categorized and recorded.

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THOMPSON HAILS CITY’S DECISION TO TERMINATE WATER PARK CONTRACT

Comptroller Thompson lauded the City’s decision to sever a contract awarded to Randall’s Island Aquatic Leisure, LLC to develop a massive water park on Randall’s Island after the company could not secure financing.

“I look forward to working with the Mayor in a collaborative, inclusive discussion,” Thompson said. “As I have said from the outset, any development of Randall’s Island should be through a transparent process and involve all stakeholders. I am hopeful that today’s announcement will lead to improved recreational opportunities on Randall’s Island to benefit city residents.”

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THOMPSON TO CELEBRATE POLISH & ITALIAN HERITAGE IN OCTOBER

Comptroller Thompson will hold events to celebrate Polish and Italian heritage in October.

He will honor City leaders at his Polish Heritage event on Thursday, October 4th and at an Italian Heritage event on October 18th. Both events will be held in the Council Chambers at City Hall from 5:30 to 7:30 PM, and will feature cultural performances. Receptions will follow.

To attend, you should RSVP at (212) 669-4466 or eventsrsvp@comptroller.nyc.gov

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