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Many Issues Identified in Prior CHNAs Persist, Including Those Related to Asthma, Obesity, Mental Health, and Sexual Health

• Asthma is the cause of many avoidable hospitalizations and emergency department visits.
• Rates of obesity and overweight remain high in the District, but these rates cannot be explained solely by a lack of physical activity.
• Mental health issues continue to concern District stakeholders, particularly heavy drinking among young adults and poor access to behavioral health services.
• In general, sexual health issues (beyond high HIV testing rates and reductions in teen pregnancy) have remained a significant challenge in the District.

Despite a High Insurance Rate in the District, There Were Several Access-to-Care Issues Noted

• Health care services are not evenly distributed by ward. In particular, specialty services such as oncology and pain management are lacking in Wards 7 and 8.
• Case management issues impede access to health and related social services.
• Hospitals and clinics do not offer many colocated services, and there is limited linkage across hospital sites.