question archive Sentinel City Operating Instructions Getting Started 1
Sentinel City Operating Instructions Getting Started 1
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Sentinel City Operating Instructions Getting Started 1. PC users select Chrome and Mac users select Safari as your browser. 2. Turn up your volume and toggle to full-screen mode 3. Choose an avatar (male or female). Instructions Audible and visual instructions will appear once you’ve selected your avatar. Click on the “INFO” icon anytime you want to access these instructions again. Operating the Bus Choose a bus speed, (“Slow” is recommended for your first trip) and choose “Start”. Observing Your Environment Stop the bus and observe your environment by clicking “Pause Bus” in the top left corner. By clicking and dragging your mouse you can view side to side and up and down. Moving Your Avatar 1. When you get off the bus, you can move your avatar through Sentinel City. 2. Use the arrow keys on your keyboard to operate your avatar 3. To return to the bus, choose “Get On” in the top right corner. You will automatically be transported back to the current location of the bus. Discovering Organizational Information Several organizations have a spinning informational icons marked with an “i”. Click on the icon to learn more about the organization. Find Neighborhood Specific Demographics Click on the orange globe icon upper left of the screen to read demographics for the four diverse neighborhoods as you drive by. Your Interactive Map An interactive map is available for easy access to 15 locations and 13 community citizens. Click on either and be instantly teleport to that location. The bright yellow icon tells you, “You Are Here.” Completing the Simulation When you have completed the but tour, you can start again or exit the simulation by closing the browser window. Demographics, Neighborhood/Safety, and Scavenger Hunt Assessment Tools Demographics Assessment 1. Population of Sentinel City _______________ 2. Age Percentage breakdown of population of Sentinel City _______________ 3. Race Percentage breakdown of population of Sentinel City ________________ 4. Median Household Income of Sentinel City _______________ 5. Percentage of Sentinel City residents living below the poverty level ___________________ 6. Population of each of the four neighborhoods: Nightingale Square: _______________ Acer Tech Center: ________________ Casper Park District: ______________ Industrial Heights: ________________ 7. Median Household Income of the four neighborhoods: Nightingale Square: _______________ Acer Tech Center: ________________ Casper Park District: ______________ Industrial Heights: ________________ 8. Percentage of non-insured residents in each of the four neighborhoods: Nightingale Square: _______________ Acer Tech Center: ________________ Casper Park District: ______________ Industrial Heights: ________________ Neighborhood/Safety Assessment 1. Describe any safety hazards seen (i.e. pollution, stray animals, buildings in disrepair, etc.) 2. Summarize data related to drug use in the city. 3. What are the EMS response times? 4. What types of crime are occurring in the area? 5. Is there gang violence? Describe. Scavenger Hunt Describe the services offered by each of the following community resources. Summarize any other pertinent data found at the site: 1. 2. 3. 4. 5. 6. Parks and Recreation Healthcare System-Elderly Services City Hall-Social Services Better Health Clinic (formerly Community Health Center) Soup Kitchen Affordable Housing Project Primary Prevention Topic List pg. 1 Primary Prevention Topic List Assess the community and identify which Healthy People Topic Area impacts it. This community assessment will provide evidence that this topic is a problem in the community. Develop a Community Health Diagnosis for this topic. Healthy People 2020 Leading Health Indicators/Primary Prevention Topic Areas to Choose for Field Experience. Access to Health Services The goal of this leading health indicator is to improve access to comprehensive, quality health care services. Access to: ? Mental health services ? Dental health services ? Health services ? Promotion of health literacy Potential barriers to assess for: ? High cost of care ? Inadequate or no insurance coverage ? Lack of availability of services ? Lack of culturally competent care Older Adults Promotion of: ? vaccinations ? injury prevention ? prevention of social isolation Environmental Quality and Physical Environment Promotion of healthy physical environment, including: ? air quality ? land quality ? water quality Injury and Violence Unintentional Injuries Prevention of: ? workplace injuries ? pedestrian injury and death Prevention of motor/recreational vehicle related death/injuries: ? Bicycle ? ATV Rev072020 Primary Prevention Topic List pg. 2 ? Boating Violence Prevention of: ? domestic violence/intimate partner violence ? prevention of dating violence ? prevention of gang violence ? prevention of community violence ? bullying/cyber-bullying ? suicide/depression ? human/sex trafficking Maternal, Infant, and Child Health, Women’s and Maternal Health Prevention of: ? unintended pregnancies ? neonatal mortality Promotion of: ? breastfeeding ? vaccination Early and Middle Childhood Prevention of unintentional childhood injuries, including: ? sudden unexpected infant death (SUID) ? poisoning ? drowning ? motor vehicle related (child safety seat and seat belt use) ? sports related ? pedestrian related Prevention of child abuse Promotion of vaccination Mental Health Access to mental health services Prevention of suicide/self-harm Mental illness screening Nutrition, Physical Activity, and Obesity Promotion of: ? achieving mean daily intake of total vegetables ? physical activity ? prevention of obesity among children, adolescents, and adults Prevention of food deserts Rev072020 Primary Prevention Topic List pg. 3 Oral Health Prevention of: ? dental caries ? periodontal diseases Early diagnosis of oral and pharyngeal cancers Oral and facial pain (e.g. dentures, TMJ) Reproductive and Sexual Health Prevention of: ? sexually transmitted infections. ? prevention of HIV/AIDS, including ? sexual transmission ? prenatal transmission ? IV drug use transmission Social Determinants of Health Disability and Health Promotion of health and well-being, including: ? Access to disability related services and devices ? Limit barriers to participating in home, work, school, or community activities Social Environment Prevention of homelessness: ? safe, affordable, and quality housing Substance Abuse Responsible alcohol consumption Energy drink abuse Prevention of: ? IV drug use ? Prescription drug abuse ? Illegal drug use Tobacco Use Prevention of: ? smoking Preparedness Promotion of: ? community resilience Rev072020 Primary Prevention Topic List pg. 4 Preparation for ? adverse health impacts of chemical, biological, radiological, and nuclear attacks ? Natural or manmade disaster response ? Response to emerging and re-emerging infectious diseases Rev072020 COMMUNITY ASSESSMENT WINDSHIELD SURVEY Directions: As you “drive” through Sentinel City, write about your impressions of the community. Take notes about the community using the following questions as a guide. You may discover other areas that you want to note. Include your findings in the community description section of your paper. 1 ELEMENT DESCRIPTION: Housing and Commercial Buildings: ? How old are the houses and buildings in the community? ? What materials are the homes and buildings constructed from? ? Are all the houses similar in age and architecture? ? How would you characterize their differences? ? Are the houses detached or connected to each other? ? Are there solar panels? Windmills? ? Do the houses have space in front or behind them? ? What is the general condition of the houses and buildings? ? Are there signs of disrepair (e.g., broken doors or windows, leaks, missing locks)? ? Are there signs of neighborhood pride, such as well-tended yards? ? Is there central heating, modern plumbing, air conditioning? Open space: ? Is the county primarily rural, suburban, urban, or a mix? How much open space is there? ? What is the quality of the space (i.e., lush green parks or rubble-filled lots)? ? What is the lot size of the houses, lawns, and flower boxes? ? Do you see trees on the streets or a green island in the center of the streets? ? Is the open space public or private? Who uses this space? Boundaries: ? What signs are there of where neighborhoods begin and end? ? Are the boundaries natural (a river, a different terrain); physical (a highway, a railroad); or economic (differences in real estate or presence of industrial or commercial units along with residential)? ? Do the neighborhoods have an identity or a name? Do you see them displayed? Are there unofficial names? “Commons”: ? What are the neighborhood hangouts (e.g., schoolyard, convenience store, bar, restaurant, park, 24-hour drugstore)? ? What groups of people tend to gather at these hangouts? ? At what time do they typically meet? ? Does the commons area have a sense of territoriality, or is it open to everyone? Transportation: ? How do people get in and out of the neighborhoods (e.g., car, bus, bike, walking)? ? Are the streets and roads conducive to good transportation and bicycle use and also to community life? ? Are there major highways running through the county? Who do these highways 2 ? ? ? serve? How frequently is public transportation available? Are gas stations available? Are there train stations or light rail stations? Service centers: ? Do you see social agencies, clients, recreation centers, signs of activity at the schools? ? Are there offices of doctors, dentists, and other such services? ? Are there parks? Are these parks in use? Stores: ? Where do residents shop (e.g., shopping centers, neighborhood stores, outdoor markets)? ***Note: The Bodega is currently the only building that you can go into in Sentinel City*** ? How do they travel? People out and about: ? If you are traveling during the day, who do you see on the street (e.g., an occasional passerby, a father with a baby)? ? Do you see anyone you would not expect? ? Can you spot the purpose of those that you see, such as a door-to-door salesperson or a postal worker? ? Is the dress of those you see representative or unexpected? ? What animals do you see (e.g., stray cats, pedigreed pets, watchdogs, birds, wildlife)? Signs of community vibrancy: ? Is the community alive? ? How would you decide? ? Are there signs of arts and cultural expression? ? Do you see any of the following: street vendors, trash, abandoned cars, political posters, neighborhood-meeting posters, real estate signs, abandoned houses, mixed zoning usage, people tending their yards, sidewalks in good repair, historical places? Race: ? Are the residents primarily Caucasian, African-American, Asian, of another group, or is the area integrated? Ethnicity: ? Are there indications of ethnicity—food stores, churches, private schools, information or signs in a language other than English? 3 Religion: ? Of what religion are the residents? ? Do you see evidence of heterogeneity or homogeneity? ? What denominations are the churches, temples, and mosques? ? Do you see evidence of these religious facilities being used other than on days of worship? Health: ? Do you see evidence of acute or of chronic diseases or conditions? ? Do you see evidence of accidents, communicable morbidity diseases, alcoholism, ? drug addiction, mental illness, etc.? ? How far it is to the nearest hospital? To the nearest clinic? Politics: ? Do you see any political campaign posters? ? Is there a headquarters present? ? Do you see evidence of a predominant party affiliation? Media: ? Do you see indications of television use such as satellite dishes? ? What magazines and newspapers do residents read? ? What media do you see being sold in the stores? ? What form of media seems most important to the residents (e.g., radio, television, ? print, online)? ? What languages are represented in the various forms of media? Physical environment: ? Are there indications of an excess of certain types of activities, such as stores that ? sell alcohol or fast food restaurants? ? What sorts of billboards are displayed and what do they indicate? ? Are there many cell phone towers or is cell phone access limited? Adapted from Anderson ET, McFarlane J: Community as client: Application of the nursing process. Philadelphia, J.B. Lippincott. 4
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OUTLINE; Task 1 C228
- This task is a health assessment on the community level (macro-level) of the virtual Sentinel City.
- Photo Journal (Separate PDF File)
- Needs Assessment: Holistic, Comprehensive Assessment of the Sentinel City
- Demographics
- The Sentinel City is a virtual city available in a computer simulation for nursing and healthcare students. 663.862 people are living in this city (Sentinel U, 2020).
- Scavenger Hunt
- In Sentinel City, the department of parks and recreation offers different services to enable residents to access recreation resources.
- Regarding elderly services offered by the city’s healthcare system, there are extensive services offered.
- The better health clinic in Sentinel City offers many services, including contraceptive service, pregnancy counseling and testing services, basic infertility services, preconception health services, scanning and monitoring sexually transmitted diseases, breast and cervical cancer screening, and other health services (Sentinel U, 2020).
- Windshield Survey
- The housing and buildings in the community are relatively not old; they are either not old or new.
- There are many options for hangouts; an Italian restaurant, grocery store, donut store, and nightclub were seen.
- B1. Data Analysis: Interpretation of Data
- Health Concern #1: environmental pollution in the city
- Environmental pollution is s serious health concern in Sentinel City. It was observed that the city has some issues regarding the environment.
- Health Concern #2: health of the homeless as a vulnerable population
- The percentage of homeless in the city is concerning. Notably, homeless populations have no homes and struggle with poverty and inadequate nutrition, and they are at risk of becoming criminals due to extreme poverty.
- Health Concern #3: consuming tobacco
- The high use of tobacco in the Sentinel city is a big concern since about one quarter (24%) of people in the city use tobacco (Sentinel U, 2020).
- Health Concern #4: drug abuse
- Drug abuse is also a huge concern in Sentinel City. There is drug abuse regarding prescribed drugs or illicit drugs.
- Sentinel City Health Concerns
- C1. Three Problem Areas
- Environmental health
- In healthy people 2020 goals, environmental health is one of the presented topics.
- Tobacco use
- Tobacco use is listed in healthy people 2020 topics.
- Substance abuse
- Substance abuse includes alcohol consumption, illicit drug addiction, and abuse of prescribed drugs
- C2. Discussion of Community Resources
- Tobacco use
- Increased tobacco use is the health concern to be addressed (hypothetically) in Sentinel City.
- C3. Primary Prevention Topic
- Prevention of smoking
- Prevention of smoking is a primary prevention topic that can lead to better health outcomes.
- Application of Assessment Strategies/Tools between Simulation and My Community
- This simulation experience was very beneficial for me as a nursing student. Data collection tools benefited me in knowing what issues to monitor in a community to assess health.
- References
Task 1 C228
- This task is a health assessment on the community level (macro-level) of the virtual Sentinel City.
A. Photo Journal (Separate PDF File)
B. Needs Assessment: Holistic, Comprehensive Assessment of the Sentinel City
Demographics
The Sentinel City is a virtual city available in a computer simulation for nursing and healthcare students. 663.862 people are living in this city (Sentinel U, 2020). The age percentage breakdown is as follows: 7.4% are aged under five years, 21.7% of people are aged under 18 years, 60.4% of people are in adulthood (aged between 18 and 64), and 10.5% of people are aged 65 years or more (Sentinel U, 2020). The city is multi-racial. The race percentage breakdown is as follows: 80.6% of people in the Sentinel city are white, 10.4% are black or African Americans, 2% are American Indians, 3.7% are Asian-Americans, 0.2% are native Hawaiian or pacific islanders, 31.5% are Hispanic, and 52.7& are white alone (meaning that they are white and not Hispanic/Latino) (Sentinel U, 2020). Notably, 3.1% of the population has two or more races (Sentinel U, 2020).
The median household income for a typical household in Sentinel City is $49,091. Also, poverty is a noted issue since 18.9% of people are below the poverty level (Sentinel U, 2020). It is worth mentioning that there are four neighborhoods in Sentinel City, and they range a lot in the economic group of residents, which is reflected in the health insurance status of people (Sentinel U, 2020). For example, in the Nightingale Square neighborhood, the population is 103.974, the median household income is $269,550, and the percentage of uninsured individuals is 0.7% (Sentinel U, 2020). While in Acer Tech Center neighborhood, the population is 168,390, the median household income is $166,300, and the percentage of uninsured individuals is 1.5% (Sentinel U, 2020). In comparison, in the Casper Park District neighborhood, the population is 352,643, the median household income is $80,134, and the percentage of uninsured individuals is 22.7% (Sentinel U, 2020). Meanwhile, in the Industrial Heights neighborhood, the population is 38,855, the median household income is $24.672, and the percentage of uninsured is the highest (37.5%) (Sentinel U, 2020).
Neighborhood Safety Assessment
During the virtual tour, there were noted safety hazards seen. There is the risk of pollution since there are pollutants (trash) seen in the Casper Park District neighborhood streets and besides the Bodega shop. There are also seen stray animals (dogs, for example) that are walking alone in the streets. Regarding drug use data, they are concerning (especially regarding tobacco and alcohol) people of the Sentinel city recorded the following drug use incidents: tobacco use percentage is (24%), alcohol consumption percentage is (36%), marijuana use percentage is (12%) (Sentinel U, 2020). Moreover, illicit drug use is as following: 5% cocaine, 7% heroin, and 10% methamphetamine (Sentinel U, 2020). In comparison, 18% is the percentage of prescribed drugs abuse, which can be found in a community-opened drug store (Sentinel U, 2020).
The EMS response time in Sentinel City is 7.46 minutes, and the city is ranked second in response speed among a group including three other comparison cities (Sentinel U, 2020). At the same time, the fire team response time is 6.33 minutes, and the time to shock is 6.37 minutes, where 7.54 minutes is the advanced life support to response (Sentinel U, 2020). The crime rate in Sentinel City is 3,605 per 100,000 (Sentinel U, 2020). From statistics shown in the simulation, victims from crimes are divided into males and females, where the number of males as victims is slightly higher (Sentinel U, 2020). The most common crimes in Sentinel City are murder, rape, robbery, and aggregated assault (Sentinel U, 2020). Unfortunately, in regards to gang violence, it is present where homicide, robbery, simple assault, and aggregated assault are the most common gang violence crimes (Sentinel U, 2020).
Scavenger Hunt
In Sentinel City, the department of parks and recreation offers different services to enable residents to access recreation resources. The department provides swimming lessons, nutrition courses, gardening courses, kids' summer programs, leagues for sports, fitness courses for adults, and after-school programs for children and adolescents. However, the situation of recreation in the city is not perfect. Residents have many complaints regarding park cleanliness, the homeless population, stray animals, and part locations.
Regarding elderly services offered by the city’s healthcare system, there are extensive services offered. Services offered are senior transportation (6.8%), service animals (2.5%), meals on wheels (1.3%), elder abuse prevention advocates (0.9%), community centers (2.9%), government entitlement assistance (7.6%), and medical care advocates (8.3%) (Sentinel U, 2020). At the same time, the city hall social services are versatile, and they focus on many areas to increase social welfare. Examples of social services offered by the city hall include adoption assistance, head start, early head start, youth independent living services, the stay-at-home program, and child care providers accepting subsidy services (Sentinel U, 2020). In addition, the city hall offers aid for vulnerable people regarding healthcare insurance (Sentinel U, 2020).
The better health clinic in Sentinel City offers many services, including contraceptive service, pregnancy counseling and testing services, basic infertility services, preconception health services, scanning and monitoring sexually transmitted diseases, breast and cervical cancer screening, and other health services (Sentinel U, 2020). The Church in the city has a soup kitchen that aims to offer food for people who do not have income or the ability to purchase meals. In December, this soup kitchen offered 42,782 meals (Sentinel U, 2020). Homeless adults are 64% of people receiving soup kitchen meals, followed by veterans (12%) (Sentinel U, 2020). The affordable housing project offers protection for people living in houses. This project receives complaints from tenants. Factory smoke complaints are 21% of total complaints, followed by complaints related to pests or mold (Sentinel U, 2020).
Windshield Survey
The housing and buildings in the community are relatively not old; they are either not old or new. The buildings are built to be multi-floors, and they are similar in architecture. Notably, the building style is western. The buildings are connected to each other. In the open space, the city is urban; there is not much open space other than streets and playing yards. The quality of space is moderate; there is a presence of trees, but the majority of the land is building. The lots sizes are small to moderate. There was noted an open space called "a private property. However, there are publicly owned open spaces as recreation parks. There are no apparent signs where neighborhoods start and end. However, there are signs in each neighborhood showing the neighborhood's name. Also, street names are showed on green signs. Boundaries are not natural, and they are physical are railways and roads. The names of the neighborhoods are displayed on signs on the buildings.
There are many options for hangouts; an Italian restaurant, grocery store, donut store, and nightclub were seen. Also, a pharmacy was seen; people usually hang out during the day. Commons areas are generally open to everyone. In regards to transportation, there are buses, bikes, and cars. Also, people can walk to reach their destination. Public transportation is easily available, and there was a gas station present in the city. However, no train station was noted. There is a variety of social centers as parks. Also, a dentist's clinic was seen during the tour. There are also parks and tennis courts seen to offer a place for activity and recreation.
The city has a variety of shopping options, and there is a big grocery store. Additionally, there are small shops in the streets. In general, the streets of the city are full of shops, restaurants, and places where people can buy their needs. In general, people from different races, age groups, and characteristics are seen in the city's streets; a resident was wearing Hijab; she is a Muslim Indian. Wearing Hijab in the city reflects acceptance and respect for different religions. Also, there was noted graffiti on the walls as a sign of street art.
The residents are primarily white. However, African-Americans and other people of color were seen in the city. The city is integrated regarding races. There was seen a church in the city. Also, an Italian restaurant may reflect the presence of Italian people in the city.
B1. Data Analysis: Interpretation of Data
Health Concern #1: environmental pollution in the city
Environmental pollution is s serious health concern in Sentinel City. It was observed that the city has some issues regarding the environment. Firstly, there are many complaints to the department of recreation regarding parks' cleanliness. Secondly, it was noted that there is trash emitting pollutants in the sidewalks of the city. Thirdly, tenants complain about smoke coming from factories and about the use of pesticides (21% of complaints are regarding smokes). Thus, the quality of the environment requires a lot of hard work to ensure environmental wellness for the recent and future generations. The current situation in Sentinel city is threatening public health since pollutants in the air cause respiratory system diseases as asthma and COPD (Chang et al., 2020).
Health Concern #2: health of the homeless as a vulnerable population
The percentage of homeless in the city is concerning. Notably, homeless populations have no homes and struggle with poverty and inadequate nutrition, and they are at risk of becoming criminals due to extreme poverty. The homeless population is a notable issue in Sentinel City. For instance, there are 5,775 homeless individuals in Sentinel City (Sentinel U, 2020). It is predicted that homeless populations will have no healthcare nor healthcare insurance. Also, they might be undocumented. So, they are at a big risk of having communicable diseases and declining health status. During data collection, it was noted that the Soup Kitchen in the Church helps homeless people to get free food (Sentinel U, 2020). So, these people cannot afford food. Thus, they are predicted to have issues in receiving healthcare, which put pressure on the city's political system to protect the homeless and solve their problems.
Health Concern #3: consuming tobacco
The high use of tobacco in the Sentinel city is a big concern since about one quarter (24%) of people in the city use tobacco (Sentinel U, 2020). It is worth mentioning that tobacco use is not only about smoking cigarettes; there are other forms of tobacco as vaping and shisha. However, in Sentinel city, the age group (25-44 years) and (45 to 64 years) are the two most tobacco users by 16.5% and 16.3%, respectively (Sentinel U, 2020). Tobacco use is a global health concern since it is a risk factor for heart diseases, strokes, and lung cancer (Nowbar et al., 2019).
Health Concern #4: drug abuse
Drug abuse is also a huge concern in Sentinel City. There is drug abuse regarding prescribed drugs or illicit drugs. 18% of residents reported prescribed drug abuse (Sentinel U, 2020). Notably, prescribed drug abuse can lead to severe complications, including death. This is because of the fact that some prescribed drugs have a narrow therapeutic index, and overdose can lead to drug toxicity. Also, if misused, some prescribed drugs cause severe complications and adverse effects (Morentin & Callado, 2019).
C. Sentinel City Health Concerns
C1. Three Problem Areas
Environmental health
In healthy people 2020 goals, environmental health is one of the presented topics. The goal identified in the healthy people 2020 campaign is to "Promote health for all through a healthy environment” (Office of Disease Prevention and Health Promotion, 2020a). As described in section B1, there are unfortunate practices in Sentinel city regarding the environment that must be worked on to promote ecological and environmental sustainability.
Tobacco use
Tobacco use is listed in healthy people 2020 topics. Office of Disease Prevention and Health Promotion (2020b) stated that the objective is to promote public health by reducing illness, mortality, and morbidity linked to tobacco use. In Sentinel City, there is a great chance to prevent many diseases for smokers and people around them (passive smokers).
Substance abuse
Substance abuse includes alcohol consumption, illicit drug addiction, and abuse of prescribed drugs. In health concerns identified in section C1, prescribed drug abuse is a serious health concern. In the healthy people 2020 campaign, substance abuse is a published topic. This topic aims to reduce substance abuse to protect people's health, quality of life, and safety and to focus on children in this regard since they are at high risk for substance abuse (Office of Disease Prevention and Health Promotion 2020c).
C2. Discussion of Community Resources
Tobacco use
Increased tobacco use is the health concern to be addressed (hypothetically) in Sentinel City. Prevention of tobacco and declining the percentage of smokers can be achieved by cooperation between different community resources. Firstly, the healthcare system can offer population-oriented intervention as health teaching to encourage people to quit smoking. Secondly, political power by the City Hall can be used to prevent smoking be many ways as increasing the tobacco products tax and making smoking in public places illegal.
C3. Primary Prevention Topic
Prevention of smoking
Prevention of smoking is a primary prevention topic that can lead to better health outcomes. According to the Office of Disease Prevention and Health Promotion (2020b), prevention of smoking is the primary prevention intervention to address the increased tobacco use phenomena. Applications of this primary prevention topic include smoking cessation by individuals and prohibition of smoking in public places.
D. Application of Assessment Strategies/Tools between Simulation and My Community
This simulation experience was very beneficial for me as a nursing student. Data collection tools benefited me in knowing what issues to monitor in a community to assess health. For instance, demographics can help in pointing socioeconomic determinants for health, as people with low income are at higher risk for not receiving adequate healthcare. As a result, this assignment is helpful for futuristic tasks where population-based interventions are to be studied or developed in a real community. An example is that it was learned to monitor environmental pattern as cleanliness of streets to assess the ecological health condition in a given city. In the end, it is worth mentioning that using Healthy People 2020 topics as a reference is highly critical for promoting population public health.
