Commission District Health Profiles | Shelby County Health Dept., TN

Shelby County Commission Districts

Board of Commissioners

District 1 – Amber Mills

District 2 – David C. Bradford

District 3 – Mick Wright

District 4 – Brandon Morrison

District 5 – Shante Avant

District 6 – Charlie Caswell, Jr. 

District 7 – Henri E. Brooks

District 8 – Mickell M. Lowery, Chairman 

District 9 – Edmund Ford, Jr.  

District 10 – Britney Thornton

District 11 – Miska Clay-Bibbs, Chair Pro-Tempore 

District 12 – Erika Sugarmon

District 13 – Michael Whaley

Shelby County, Tennessee

Overview

Shelby County is situated on the Mississippi River in the southeast corner of Tennessee, bordering five other counties and two other states. It is the largest county in the state in terms of population and geographic area and is home to seven cities: Arlington, Bartlett, Collierville, Germantown, Lakeland, Memphis, and Millington. Memphis is the second largest city in the state and among the 30 largest cities in the nation. The County is divided into 13 commission districts whose commissioners serve as the local legislative body. This report provides a profile for each district and the County overall, including key demographics, social determinants, and health related issues and opportunities.

Demographics:   Based on the United States Census Population Estimates⁴¹ Shelby County’s population grew steadily from 2010 until 2012 but has gradually declined.  In 2020 a new decennial census count estimated that Shelby County has a population of 929,744¹. Based on the Census American Community Survey (ACS)¹, the median age in Shelby County in 2016 – 2020 was 35.7, with about 25% of the population under the age of 18, 61% between 18 and 64, and 14% ages 65 and older. The residents of Shelby County are 53.9% Black or African American, 38% White, and 8% other races or multiracial.  There are an estimated 6.4% of Hispanic or Latino residents.¹  

Social Determinants:  The social determinants of health are the conditions in which people are born, grow, live, work, worship and age that affect a wide range of health, functioning, and quality-of-life outcomes and risks. These circumstances are shaped by the distribution of money, power, and resources, and influenced by policy choices. The social determinants of health are mostly responsible for health inequities – the unfair and avoidable differences in health status seen within and between populations.²

In 2016-2020, the median household income was estimated to be $52,092 within Shelby County.¹ The percent of the population living below the poverty level is 19%, which is 1.7 times the poverty level of the nation overall. Thirty percent of children under 18 are living below the poverty level. In Shelby County, 11.5% of the population did not have health insurance compared to 9.7% of the US population.¹ Education levels are similar to national averages, with 66.6% receiving a high school degree or higher and 22.4% receiving a bachelor’s degree or higher.¹   Residents of Shelby County report traveling a mean time of 22.9 minutes to work. Only 1% of residents use public transportation to get to work, compared to about 5% nationally.⁴²

LEADING CAUSES OF DEATH

The five leading causes of death in Shelby County are Heart Disease, Cancer, Cerebrovascular Disease, Unintentional Injuries, and Chronic Lower Respiratory Tract Disease (LRD).4  

The leading causes of death in this report are for the combined years of 2018 to 2020 and were determined based on the rankable causes of death for 2019 defined by the National Center for Health Statistics43. Covid-19 is not included as a rankable cause on this list as it was added during 2020; however, deaths due to COVID-19 are noted separately.

From 2018-2020 the number of people in Shelby County that died from heart disease was 6,065. During that same period, 4,997 people died from cancer, 1,440 from cerebrovascular disease, 1,950 from unintentional injuries, and 1,023 from Chronic Lower Respiratory Tract Disease (LRD).4    In 2020, there were 952 deaths due to COVID-19 based on the underlying cause of death, making it the 3rd leading cause of death for 2020.4

Heart Disease

Heart disease, the leading cause of death in Shelby County, accounts for 21.8% of deaths. It is the leading cause of death for both men (22.8%) and women (20.7%) in Shelby County.4 Conditions, including high blood pressure, unhealthy cholesterol levels, diabetes, and obesity, increase the risk of heart disease. Lifestyle behaviors that increase the risk of heart disease include:

1.    Eating a diet high in unhealthy fats,

2.    Cholesterol, and salt; 

3.    Not getting enough physical activity; 

4.    Drinking too much alcohol and, 

5.    Smoking or exposure to tobacco.

Advanced age and heredity can also play a role.5   About half of all Americans (47%) have at least 1 of 3 key risk factors for heart disease: high blood pressure, high cholesterol, and smoking.5 

Cancer

Cancer, the second leading cause of death, accounts for 18.0% of deaths in Shelby County. It is the second leading cause of death for men (17.4%) and women (18.6%).4 Limiting exposures to avoidable risk factors may lower a person’s chances of developing cancer. Exposures that increase risk include cancer-causing substances, such as arsenic and asbestos; radiation (including sunlight); alcohol; tobacco; certain hormones; and certain infections, such as HIV, Hepatitis B and C, and HPV.6,7 Health conditions that may increase cancer risk include obesity, chronic inflammation, and immunosuppression. Advanced age and heredity also play a role.6   

Cerebrovascular Disease

Cerebrovascular disease, the third leading cause of death, accounts for 5.2% of deaths in Shelby County.4 It is the third leading cause of death for women (5.9%) and the fifth leading cause for men (4.5%). 4 Major risk factors for cerebrovascular disease include high blood pressure, diabetes, heart disease, advanced age, a personal or family history of stroke or TIA (transient ischemic attack), and brain aneurysms or arteriovenous malformations (AVM). Women are more likely to die from strokes, although, at a younger age, men experience more strokes than women. African Americans, Alaska Natives, and American Indians experience more strokes than other races. Additional risk factors include unhealthy cholesterol levels, obesity, lack of physical activity, stress and depression, smoking or exposure to tobacco, alcohol and illegal drug use, use of nonsteroidal anti-inflammatory drugs (NSAIDS) (but not aspirin), and certain medical conditions such as sickle cell disease and bleeding disorders.5

Unintentional Injuries

Unintentional injuries, the fourth leading cause of death, accounts for 7% of deaths in Shelby County.4 It is the third leading cause of death for men (9%) and the fifth leading cause for women (4.8%).  Accidental poisoning is the leading type of unintentional injury, accounting for 43%, followed by motor vehicle accidents (30%) and falls (13%). Accidental poisoning was almost three times higher in 2020 (433) compared to 2018 (151), likely impacted by the opioid use disorder epidemic.  In 2018-2020, 98% of accidental poisonings were drug overdose-related. Motor vehicle accidents were 1.5 times higher in 2020 (252) compared to 2018 (164).4 Fall-related injuries are the number one reason a person 65 years or older visits the emergency room. Fall risk factors include advanced age, medication use, cognitive impairment, and sensory deficits.8   

Chronic Lower Respiratory Tract Disease (LRD).

Lower Respiratory Tract Disease (LRD), the fifth leading cause of death in Shelby County, accounts for 3.7% of the deaths from 2018-2020. It is the sixth leading cause of death for men (3.2%) and women (4.2%).4 Prevention tips for Chronic LRD include managing risk factors (smoking, chemical exposures, radon, and outdoor air pollution), learning new things, staying active, and having regular checkups with your doctor to identify Chronic LRD early.26

LIFE EXPECTANCY

Life expectancy is an estimate of the average age that a person is expected to live. It is a key indicator of population health. High life expectancy rates can be attributed to improved living conditions, better health care, and decreased childhood/early/mid to late life mortality. Increased life expectancy can lead residents to focus more on planning for retirement and healthcare. The U.S. Centers for Medicare and Medicaid Services states that in the U.S., healthcare spending doubles after a person reaches their 65th birthday, and by the time they reach 85 the cost has more than doubled again.10

The life expectancy in Shelby County was 76.3 [1] in 2020, almost three years less than in the United States overall, where the life expectancy was 78.8[2] [3] . In Shelby County, life expectancy was declining slowly from 75.9 in 2012 to 75.2 in 2019 but fell sharply in 2020 to 72.3.

Opportunities

• Promote healthy eating and active living. Healthy nutrition and moderate physical activity promote heart health and healthy aging.
• Support and promote smoking prevention and cessation activities. Smoking is the number one risk factor for heart disease and many cancer types.
• Promote public transit and rideshare programs that can help limit the number of drivers and traffic congestion on the roads. Support street designs that can improve safety for pedestrians, cyclists and motorists.   Improvements could include increased lighting, more sidewalk coverage, connecting pedestrian walkways, street crossing safety features and traffic calming measures.
• Promote physical and social programs for older adults. Provide assistance to caregivers of older adults by providing education and supporting adult day care centers. Support Habitat for Humanity of Greater Memphis’ Aging in Place (AIP) Program, which serves homeowners aged 60 and older in Fayette and Shelby Counties to help older homeowners live in their own homes longer.
• Increase access to testing and treatment for sexually transmitted infections and HIV.  Provide assistance to parents and guardians on how to talk to their children about sex. Increase birth control access for teens.
• Encourage participation in WIC (Women, Infants, and Children) and Family Planning programs.   It is estimated that less than half of those who qualify participate in WIC. ²⁰ Additionally, support breastfeeding initiatives and educate residents about infant safe sleep practices.  
• Help reduce overdose fatalities by making Naloxone more accessible to the public and include Naloxone in emergency response kits in all public spaces. Provide Naloxone training and educate the public about Opioid and Substance Use Disorders in order to decrease stigma. Share the Tennessee Redline (1-800-889-9789) with those in need of treatment and resources.
• Implement evidence-based public health approaches to reduce injuries, shootings, and deaths.  Shelby County was recently awarded a grant to implement ‘Cure Violence’, a program shown to reduce violent crime by as much as 63%.²¹  
• Maximizing participation in TennCare and improving access to quality health care is important to improving outcomes.
• Continue efforts through the Health Disparities team to increase COVID-19 outreach and vaccination for under-vaccinated zip codes and districts throughout Shelby County. Maintain and monitor COVID-19 surveillance systems to track any potential spike in cases and respond as appropriate.
• To reduce Monkeypox transmission residents should get vaccinated if at high risk for contracting monkeypox. If they know someone who is sick with monkeypox they should minimize skin to skin contact if the person has any rash. If the resident is sick, they should stay home till they have fully recovered. 

Commissioner: Amber Mills

 

COMMISSION DISTRICT 1

Overview

District 1 is situated on the river with Tipton County bordering on the north side of Shelby County and includes Cordova-Appling, Eads-Fisherville, Raleigh, Shelby Forest-Frayser, and Wolf Forest Farms, among other neighborhoods.

Demographics¹: Based on 2020 data, District 1 has a population of 66,796. Compared to Shelby County overall, the population of District 1 is slightly younger, with a median age of 35.7. In this district, about 26% of the population is less than 18 years old, 61% are 18-64, and 12% are 65 and older. This district has the third highest proportion of youth compared to other districts. The residents of District 1 are 51% White, 42% Black or African American and 7% other races or multiracial.  There are an estimated 5.1% of residents who are Hispanic or Latino.

Social Determinants¹: In District 1, the median household income is $64,780, which is 24% higher than Shelby County overall. The percent of population living below the poverty level is 12%. In District 1, 17% of children under 18 are living below the poverty level, one of the lowest in Shelby County overall. Education levels are on the low end when compared to the county overall, with 67% of the district receiving a high school diploma or higher, putting the district 6^th in high school educational attainment or higher for the County. Residents of District 1 report a mean traveling time of 27.7 minutes to work.

LEADING CAUSES OF DEATH AND LIFE EXPECTANCY

Health data in this profile are reported based on zip codes.   Please note data may overlap districts as some zip codes are included in multiple districts.

ZIP CODES INCLUDED:  38002,  38016,     38053,  38127,  38128,     38133

 

LEADING CAUSES OF DEATH

 

The five leading causes of death in District 1 are Heart Disease, Cancer, Unintentional Injuries, Cerebrovascular Disease, and Chronic Lower Respiratory Disease (LRD).²  

From 2018-2020, the number of people in District 1 that died from heart disease was 1,272.   

1,084 people died from cancer, 400 died from unintentional injuries, 270 died from cerebrovascular disease, and 257 died from chronic LRD during that same time period.⁴ 

The life expectancy in District 1 is 75 years old, placing it 6^th of all the districts.¹

COVID-19 

As of July 31^st, 2022, District 1 had a total of 63,332 COVID-19 cases and 721 deaths. This places the district 3^rd in the total number of confirmed cases and 5th in the total number of deaths.²⁷ The cumulative case rate for this district is 28,418 per 100,000 population, the 4th highest rate among districts and the cumulative death rate is 1,079 per 100,000 population, the 5^th highest.²⁷ Through July 31^st, 2022, only 58.1% of the district population has received a 1^st dose vaccine compared to 61.8% for Shelby County overall and only 12.1% are up to date on their recommended vaccinations compared to 14.0% for the county overall.³⁶ Much of District 1 sits in more rural parts of Shelby County and this may be a contributing factor in lower vaccination percentages.

 

OPIOID OVERDOSE

Deaths related to opioids in District 1 are the 8^th highest among districts in the county and the rate is less than the rate of the county overall. In District 1 there were 358 fatal provisional opioid-related overdoses from 2014-2021 with a rate of 20.1 per 100,000 population, compared to 25.3 for the county overall.³⁵

OVERWEIGHT AND OBESITY 

In a 2019 Shelby County community survey, 70% of those who responded from District 1 self-identified as overweight, the 4^th highest percent among districts.  Further, among live births in District 1 for 2020, 34.6% of mothers reported a pre-pregnancy BMI in the overweight/obese range. This is the 7^th highest percentage in comparison to the other districts.

INFANT MORTALITY

District 1 has relatively high counts for infant mortality. From 2015-2020, there were 171 infant deaths and a rate of. 9.0 per 1000 live births. In relation to other Districts, District 1 ranks 4th out of 13 for number of infant deaths and 7^th for infant mortality rate .⁴

 

 

 

 

 

• Obtain and increase funding for resources and staff to combat the comorbidities that impact health outcomes for those living in Shelby County. Educate the community through public health outreach. Partner with other health providers and community-based organizations to do health risk assessment screening and testing.
• Continue efforts through the Health Disparities team to increase COVID-19 outreach and vaccination for under-vaccinated zip codes and districts throughout Shelby County. Maintain and monitor COVID-19 surveillance systems to track any potential spike in cases and respond as appropriate.
• Implement evidence-based public health approaches to reduce injuries, shootings, and deaths. Shelby County was awarded a grant to implement ‘Cure Violence.’ The program is actively underway and has been shown to reduce violent crime in communities that already have the program implemented.²¹
• Make Naloxone more accessible to the public and include Naloxone in emergency response kits in all public spaces. Provide Naloxone training and educate the public about Opioid and Substance Use Disorders in order to decrease stigma. Share the Tennessee Redline (1-800-889-9789) with those in need of treatment and resources.
• Create more safe and friendly built environments that promote physical activities in a green and inviting space. Increasing accessible green spaces particularly in areas of high health risks can contribute to health benefits such as physical and mental health, cardiovascular disease, and respiratory disease.³⁷
• Promote the Shelby County Health Department WIC (Women, Infants, and Children) and Family Planning Programs. Advertise the available resources and education the programs provide. Maintain a consistent presence in communities of need to increase awareness on breastfeeding, nutrition, and infant safety to caregivers.

Commissioner: David C. Bradford 

Photo Source: https://www.shelbycountytn.gov/3780/CURRENT-DISTRICT-MAPS-through-August-31-

COMMISSION DISTRICT 2

Overview

District 2 is situated on the far east side of Shelby County and includes Cordova, Appling, Eads, Collierville, Fisherville, among other neighborhoods.

Demographics¹:  Based on 2020 data, District 2 has a population of 78,493. Compared to Shelby County overall, the population of District 2 is older, with a median age of 40.5.   In this district, 25% of the population is less than 18 years old, 61% are 18-64, and 13% are 65 and older. This district has one of the higher proportions of elderly residents of all the districts. The residents of District 2 are 66% White, 23% Black or African American and 11% other races or multiracial.  There are an estimated 3.1% of residents who are Hispanic or Latino.

Social Determinants¹:  In District 2 the median household income is $105,284, which is 51% higher than Shelby County overall.¹ The percent of the population living below the poverty level is 4%, which is 63% lower than the poverty level of Shelby County and is the lowest of all 13 districts. Only 5% percent of children under 18 are living below the poverty level. Education levels are among the highest when compared to the county overall, with 95% receiving a high school diploma, the second highest high school educational attainment in the County. Residents of District 2 report traveling a mean time of 24.9 minutes to work. This district utilization of public transportation is the lowest which ranked the 8^th in terms of public transportation to work across the county, at 0.2%.  

LEADING CAUSES OF DEATH AND LIFE EXPECTANCY

Health data in this profile are based on zip codes. District data may overlap as some zip codes are included in multiple districts.

ZIP CODES INCLUDED:  38016,  38017,     38018,  38028,  38139

 

LEADING CAUSES OF DEATH 

 

The five top leading causes of death in District 2 are Cancer, Heart Disease, Unintentional Injuries, Cerebrovascular Disease, and Alzheimer’s Disease.

From 2018-2020, the number of people in District 2 that died from cancer was 660.⁴  

621 people died from heart disease, 187 died from unintentional injuries, 186 died from cerebrovascular disease, and 153 died from Alzheimer’s Disease during that same time period.⁴ 

The life expectancy in District 2 is 81.08 years old, the highest of all the districts.¹

AGING POPULATION

The median age is 40 which is higher than the Shelby County median age of 35.4 and the third highest among the 13 districts in Shelby County.¹ This could be attributed to the high life expectancy and higher than average median age of residents in this district. Average life expectancy for District 2 is 78 years.

 

 

CANCER, HEART DISEASE & ALZHEIMER’S DISEASE

Cancer, Heart Disease and Alzheimer’s Disease were the three top leading causes of death in District 2.⁴ Additional risk factors that may increase a person’s chances of developing cancer include advanced age, higher exposure to radiation (including sunlight), high alcohol consumption and tobacco use.¹⁰ Other risk factors for heart disease include unhealthy cholesterol levels as well as high alcohol use. It is scientifically well documented that modifiable risk factors, such as sedentary lifestyle, obesity, unhealthy diet and smoking are major causes of heart disease and stroke. Modifiable risk factors can be mitigated by managing cardiovascular risk factors (smoking, diabetes, hypertension, and obesity).⁹  

UNINTENTIONAL INJURIES

As people age, their risk of falling increases. It is estimated that there are about 9,500 deaths in older Americans related to falls and about 1,800 falls directly result in death each year. Fall related injuries are the number one reason a person 65 years of age or older visits the emergency room. Fall mortality rates increase across all genders and races as a person ages. Risk factors associated with falls include advanced age, “medication use, cognitive impairment and sensory deficits.”⁸ Habitat for Humanity of Memphis’ Aging in Place (AIP) Program serves residents 60 years and older by providing home repairs and modifications that improve accessibility and mobility within the home. This can reduce falls and help residents live in their own home longer.¹⁷

The health status of residents in District 2 is higher than most districts in the county. This is likely due to higher socioeconomic status and increased access to health insurance and health care. There are many older residents living in this district. As the baby boomers continue to age, health conditions associated with an older population will become more important and should be the focus of this district.

• Promote physical and social programs for older adults, including healthy eating and active living.
• Provide assistance to caregivers that regularly care for an older adult by providing education and supporting Adult Day Care Centers.
• Support Habitat for Humanity of Greater Memphis’ Aging in Place (AIP) Program, which serves homeowners age 60 and older in Fayette and Shelby Counties to help older homeowners live in their own homes longer.¹⁷
• Promote the National Family Caregiver Support Program (NFCSP) that provides help to families who care for a relative in their home who is ill or disabled.
• Support smoking prevention and smoking cessation initiatives.
• Maximizing participation in TennCare for those who are eligible and improving access to quality health care is important to improving outcomes in this district.

Commissioner: Mick Wright

 

Photo Source: https://www.shelbycountytn.gov/3780/CURRENT-DISTRICT-MAPS-through-August-31-

COMMISSION DISTRICT 3
Overview

District 3 is situated on the northwest side of Shelby County and includes: Bartlett Country, Bartlett Estates, Bartlett Ridge, Bartlett Woodlands East, Bartlett Woods, Bluffs of Winding Oaks, Cherry Valley, Cordova-Appling, Country Meadows, Davies Plantation, Daybreak, Eads-Fisherville, East Hampton, Easthill, Ellendale, Elmore Park, Ferncrest, Four Way, Gailyn Manor Estates, Garden Meadows, Historic Bartlett, Hunter’s Walk, Luther Road Acres, Oak Road Estates, Oak Road Meadows, Poet/Old Bartlett Park, Raleigh, Ravencrest, Rivercrest, Rocky Road, South Ellendale, Wellsgate, Windsor Valley, Wolf Forest Farms among other neighborhoods.

Demographics¹:  Based on 2020 data, District 3 has a population of 77,688. Compared to Shelby County overall, the population of District 3 is older, with a median age of 41.1.  In this district, 24% of the population is less than 18 years old, 60% are 18-64, and 16% are 65 and older. This is one of the higher proportions of elderly residents of all the districts.  The residents of District 3 are 73% White, 21% Black or African American and 6% other races or multiracial.  There are an estimated 4.7% of residents who are Hispanic or Latino.

Social Determinants¹:  In District 3, the median household income is $84,672, which is 62% higher than Shelby County overall.¹ The percent of the population living below the poverty level is 5% which is almost three times lower than the poverty level of Shelby County and 3^rd lowest of all 13 districts. Only 2% of children under 18 are living below the poverty level. Education levels are high when compared to the county overall, with 95% receiving a high school diploma or higher, the 3^nd highest high school educational attainment in the county. Residents of District 3 report traveling a mean time of 25.5 minutes to work. This district has the 2^nd longest commute of the 13 districts. No residents of District 3 report using public transportation.

LEADING CAUSES OF DEATH AND LIFE EXPECTANCY

Health data in this profile are based on zip codes. District data may overlap as some zip codes are included in multiple districts.

ZIP CODES INCLUDED:  38002,  38128,     38133,  38134,  38135

LEADING CAUSES OF DEATH

The five leading causes of death in District 3 are Heart Disease, Cancer, Unintentional Injuries, Cerebrovascular Disease, and Chronic Lower Respiratory Disease (LRD).⁴

From 2018-2020, the number of people in District 3 that died from heart disease was 1,016.   

873 people died from cancer, 324 died from unintentional injuries, 227 died from cerebrovascular disease, and 208 died from chronic LRD during that same time period.⁴ 

The life expectancy in District 3 is 76 years old, the 5^th highest of all the districts.⁴

UNINTENTIONAL INJURIES

District 3 had 324 deaths related to unintentional injuries between 2018 and 2020. Unintentional injuries could include overdoses, motor vehicle accidents , falls, and other fatal injuries. Use of public transit could reduce number of motor vehicle accidents by reducing congestion on the roads.

District 3 has the 8^th highest rate of fatal overdoses in the county with 20.9 fatal opioid-related drug overdoses per 100,000 between 2014 and 2021. ³⁵  It is just  higher than the county average of 20.1 per 100,000.³⁵  

OBESITY

The leading cause of death in District 3 is heart disease. In 2020, 33.1% of moms giving birth and living in District 3 were reported as being overweight or obese. District 3 ranked 9^th in this category among the 13 districts. This is slightly higher than the overall Shelby County number of 30.6%. According to a survey administered by the Shelby County Health Department, District 3 had the 4^th highest number of individuals who self-report being overweight of all 13 districts.⁴

• Promote carpool and rideshare programs that can help limit the number of drivers and traffic congestion on the roads. 
• Implement a street design in that can improve streets for pedestrians, cyclists and motorists.   Improvements could include increased lighting, more sidewalk coverage, connectivity to pedestrian walkways, street crossing safety features and traffic calming measures. 
• Promote healthy eating and active living, as well as smoking prevention and cessation activities.
• Encourage participation in WIC (Women, Infants, and Children) and Family Planning programs. It is estimated that less than half of those who qualify participate in WIC.²⁰ 
• Help reduce overdose fatalities by making Naloxone more accessible to the public and provide training on proper use. Stock public spaces with Naloxone and keep with emergency response kits. Promote education about Opioid and Substance Use Disorders and eliminate stigma around these issues by promoting the Tennessee Redline (1-800-889-9789) to those who need treatment and therapy.  
• Maximizing participation in TennCare for those who are eligible and improving access to quality health care is important to improving outcomes in this district.

Commissioner: Brandon Morrison

 

Photo Source: https://www.shelbycountytn.gov/3780/CURRENT-DISTRICT-MAPS-through-August-31-

COMMISSION DISTRICT 4

Overview

District 4 is situated on the East side of Shelby County and includes parts of Cordova, Germantown and Collierville. The neighborhoods of Cordova-Appling, River Oaks-Kirby-Balmoral and Windyke-Southwind are within this district.

Demographics¹:   Based on 2020 data, District 4 has a population of 76,628. Within District 4 the median age is 41.4 with 59% of the residents being 18-64 years old. Women represent a majority at 51% of the population compared to men. The residents of District 4 are 65% White, 24% Black or African American and 12% other races or multiracial.  There are an estimated 3.0% of residents who are Hispanic or Latino.

Social Determinants¹:  In District 4 the median household income is $95,592 compared to $52,092 in Shelby County overall.¹ About 4% of residents are living below the poverty level, which is tied for the lowest of all 13 districts. 1% of children under 18 are living below poverty level, which is the lowest of all the Shelby County Districts. Of those residing in the district, 95% have received a high school diploma or higher. District 4 is the most educated of all the districts with 53% having received a bachelors or higher. Residents of District 4 report having to travel a mean time of 24.1 minutes to work. District 4 is also tied for the 9^th lowest use of public transportation in the county at 0.1.

LEADING CAUSES OF DEATH AND LIFE EXPECTANCY

Health data in this profile are reported based on zip codes.  District data may overlap as some zip codes are included in multiple districts.

ZIP CODES INCLUDED:  38017,     38018,  38125,  38138,     38139

LEADING CAUSES OF DEATH        

 

The top five causes of death in District 4 are Heart Disease, Cancer, Unintentional Injuries, Cerebrovascular Disease, and Alzheimer’s Disease.⁴

From 2018-2020, the number of people in District 4 that died from heart disease was 839.⁴

During the same time period, 775 people died from cancer, 242 died from unintentional injuries, 215 died from cerebrovascular disease, and 211 died from Alzheimer’s disease.⁴

It is well understood that several major causes of cancer and heart disease are high blood pressure, smoking, high alcohol use, sedentary lifestyle, obesity and diabetes.⁵

The life expectancy of District 4 is 79.7 years old, which is the second highest of all the districts.⁴

CANCER, HEART DISEASE and UNINTENTIONAL INJURIES

From 2018-2020, cancer, heart disease and unintentional injuries were the top three leading causes of death in District 4. There were 755 deaths from cancer and 839 deaths from heart disease.⁴ It is well understood that several major causes of cancer and heart disease are high blood pressure, smoking, high alcohol use, sedentary lifestyle, obesity and diabetes. The 3^rd leading cause of death in District 4 was unintentional injuries (242 deaths).⁴

AGING POPULTION

District 4 has the highest life expectancy of all the districts, with people living to an average of 78 years. The median age in this district is 41.2 which is the highest of all the districts.⁴ With an aging population, families will increasingly be caring for elderly loved ones and may be unprepared to handle their new caregiver role.

 

UNINTENTIONAL INJURIES

As a population ages, the risk of fall-related injuries increases. It is estimated that in the U.S. there are about 9,500 deaths in older Americans related to falls, and about 1,800 falls directly result in death each year.⁸ Fall-related injuries are the number one reason a person 65 years of age or older visits the emergency room and fall mortality rates increase across all genders and races as a person ages. Risk factors associated with falls include advanced age, “medication use, cognitive impairment and sensory deficits.”⁸ Habitat for Humanity of Greater Memphis’ Aging in Place program focuses on home modifications to improve safety and reduce falls in the home.¹⁷

• Promote physical and social programs for older adults, including healthy eating and active living.
• Provide assistance to caregivers that regularly care for an older adult by providing education and supporting Adult Day Care Centers.
• Support Habitat for Humanity of Greater Memphis’ Aging in Place (AIP) Program, which serves homeowners age 60 and older in Fayette and Shelby Counties to help older homeowners live in their own homes longer.¹⁷
• Promote the National Family Caregiver Support Program (NFCSP) that provides help to families who care for a relative in their home who is ill or disabled.
• Support smoking prevention and smoking cessation initiatives.
• Improving access to quality healthcare is important for this aging population and maximizing participation in TennCare may help alleviate health disparities in this district.

Commissioner: Shante Avant

 

Photo Source:https://www.shelbycountytn.gov/3780/CURRENT-DISTRICT-MAPS-through-August-31-

COMMISSION DISTRICT 5

Overview

District 5 is situated in central Shelby County and surrounds the junction of the I-240 loop and I-40. This district includes parts of the Berclair-Highland Heights, Cherry Valley, Cordova-Appling, East Memphis-Colonial-Yorkshire, Four Way, Raleigh, and River Oaks-Kirby-Balmoral neighborhoods, and also includes Shelby Farms Park.

Demographics¹:  Based on 2020 data, District 5 has a population of 73,298. Compared to Shelby County overall, the population of District 5 is young, with a median age of 33.3. In this district, 26% of the population is less than 18 years old, 64% are 18-64, and 10% are 65 and older. This is one of the highest proportions of residents aged 18-64 years of all the districts. The residents of District 5 are 57% White, 30% Black or African American and 13% other races or multiracial.  There are an estimated 15.7% of residents who are Hispanic or Latino.

Social Determinants¹:  In District 5 the median household income is $56,303 which is about 8% more than Shelby County overall. The percent of the population living below the poverty level is 15%, which is lower than that of Shelby County. The poverty rate for children under 18 in District 5 (6%) is 1% lower than the rate for Shelby County overall. Education levels are just slightly lower when compared to the county overall, with 87% receiving a high school diploma. Residents of District 5 report traveling a mean time of 22.6 minutes to work. This district is amongst the lowest users of public transportation to work in the county at around 0.4%.

LEADING CAUSES OF DEATH AND LIFE EXPECTANCY

Health data in this profile are based on zip codes. District data may overlap as some zip codes are included in multiple districts.

ZIP CODES INCLUDED:  38016,  38018,     38108,  38111,  38117,     38120,  38122,  38133,     38134

LEADING CAUSES OF DEATH

The five leading causes of death in District 5 are Heart Disease, Cancer, Unintentional Injuries, Cerebrovascular Disease, and Alzheimer’s Disease.⁴  

From 2018-2020, the number of people in District 5 that died from heart disease was 1,637.⁴  

1,350 people died from cancer, 554 died from unintentional injuries, 419 died from cerebrovascular disease, and 345 died from Alzheimer’s Disease during that same time period.⁴ 

It is well understood that several major causes of heart disease are sedentary lifestyle, obesity and diabetes.⁵ 

The life expectancy in District 5 is 76.5 years old.⁴

 

 

OPIOID OVERDOSE

District 5 has the 4^th highest rate of death due to opioid overdose of all 13 districts, with a rate of 27.0 deaths per 100,000 population from 2014-2021.³⁵ This is higher than the overall Shelby County rate of 25.3 per 100,000 population for the same time period.³⁵  District 5 also has the 4^th highest count of fatal opioid overdoses of all 13 districts (596 total overdose deaths from 2014-2021).³⁵

 

 

OBESITY

District 5 has the 3^rd highest number of mothers with live births who are overweight or obese of all the districts with a total of 1,114 in 2020.⁴ A survey conducted in 2019 by the Shelby County Health department found that District 5 had the highest number of responding residents that self-reported being overweight or obese of all 13 districts.²³

 

COVID-19

Through July 2022, District 5 had 75,925 COVID-19 cases, the highest number of all 13 districts. The district is 4^th overall in COVID-19 vaccinations, with 63.2% having obtained just 1 dose and 15.3% being fully vaccinated.^{27,28 ,36}

 

 

 

• Make Naloxone more accessible to the public and include Naloxone in emergency response kits in all public spaces. Provide Naloxone training and educate the public about Opioid and Substance Use Disorders in efforts to decrease stigma. Share the Tennessee Redline (1-800-889-9789) with those in need of treatment and resources.
• Promote healthy eating and active living, as well as smoking prevention and cessation activities.
• Pre-pregnancy BMI is often associated with gestational diabetes mellitus and childhood obesity. Appropriate preconception care and interventions to promote good health among women of childbearing age are necessary.
• Encourage participation in WIC (Women, Infants, and Children) and Family Planning programs.   It is estimated that less than half of those who qualify participate in WIC. ²⁰ 
• Promote physical and social programs for older adults. Provide assistance to caregivers that regularly care for an older adult by providing education and supporting adult day care centers.
• Maximizing participation in TennCare and improving access to quality health care is important to improving outcomes in this district.
• Provide education on the importance of vaccinations, basic health and hygiene practices, as well as appropriate and timely testing.

Commissioner: Charlie Caswell, Jr. 

 

Photo Source: https://www.shelbycountytn.gov/3780/CURRENT-DISTRICT-MAPS-through-August-31- 

COMMISSION DISTRICT 6

Overview 

District 6 is situated on the north side of Shelby County and includes Bartlett Woods, Historic Bartlett, Old Bartlett Park, and parts of Berclair and Frayser among other neighborhoods.

Demographics¹:  Based on 2020 data, District 6 has a population of 69,961. Compared to Shelby County overall, the population of District 6 is young, with a median age of 34. District 6 has the 2^nd highest percentage of less than 18-year-olds compared to all 13 districts at 30%, 59% are 18-64, and 11% are 65 and older. The residents of District 6 are 18% White, 75% Black or African American and 7% other races or multiracial.  There are an estimated 8.7% of residents who are Hispanic or Latino. Women represent a majority at 55% of the population compared to men, the 2^nd highest in Shelby County.  

Social Determinants¹:  In District 6 the median household income is $34,346, which is 34% lower than Shelby County overall. The percent of the population living below the poverty level is 27%, which is almost 0.5 times the poverty level of Shelby County. Children are particularly affected, with 39% percent of children under 18 living below the poverty level. Education levels are low when compared to the county overall, with 84% receiving a high school diploma, the 10^thlowest high school educational attainment in the County. Residents of District 6 report traveling a mean time of 22.4 minutes to work. District 6’s public transportation use to commute to work is 0.6%.

LEADING CAUSES OF DEATH AND LIFE EXPECTANCY

Health data in this profile are based on zip codes. District data may overlap as some zip codes are included in multiple districts.

ZIP CODES INCLUDED:  38108,  38127,     38128,  38134,  38135

LEADING CAUSES OF DEATH 

The five leading causes of death in District 6 are Heart Disease, Cancer, Unintentional Injuries, Cerebrovascular Disease, and Chronic Lower Respiratory Disease (LRD).⁴  

From 2018-2020, the number of people in District 6 that died from heart disease was 1,229.⁴  

938 people died from cancer, 378 died from unintentional injuries, 262 died from cerebrovascular disease, and 234 died from chronic LRD during that same time period. ⁴ 

It is well understood that several major causes of heart disease and cerebrovascular disease are sedentary lifestyle, obesity and diabetes.⁵ 

The life expectancy in District 6 is 72.8 years old, 8^th of all the districts.⁴

COMMISSION DISTRICT 6

Overview

District 6 is situated on the north side of Shelby County and includes Bartlett Woods, Historic Bartlett, Old Bartlett Park, and parts of Berclair and Frayser among other neighborhoods.

Demographics¹:  Based on 2020 data, District 6 has a population of 69,961. Compared to Shelby County overall, the population of District 6 is young, with a median age of 34. District 6 has the 2^nd highest percentage of less than 18-year-olds compared to all 13 districts at 30%, 59% are 18-64, and 11% are 65 and older. The residents of District 6 are 18% White, 75% Black or African American and 7% other races or multiracial.  There are an estimated 8.7% of residents who are Hispanic or Latino. Women represent a majority at 55% of the population compared to men, the 2^nd highest in Shelby County.  

Social Determinants¹:  In District 6 the median household income is $34,346, which is 34% lower than Shelby County overall. The percent of the population living below the poverty level is 27%, which is almost 0.5 times the poverty level of Shelby County. Children are particularly affected, with 39% percent of children under 18 living below the poverty level. Education levels are low when compared to the county overall, with 84% receiving a high school diploma, the 10^thlowest high school educational attainment in the County. Residents of District 6 report traveling a mean time of 22.4 minutes to work. District 6’s public transportation use to commute to work is 0.6%.

LEADING CAUSES OF DEATH AND LIFE EXPECTANCY

Health data in this profile are based on zip codes. District data may overlap as some zip codes are included in multiple districts.

ZIP CODES INCLUDED:  38108,  38127,     38128,  38134,  38135

LEADING CAUSES OF DEATH 

The five leading causes of death in District 6 are Heart Disease, Cancer, Unintentional Injuries, Cerebrovascular Disease, and Chronic Lower Respiratory Disease (LRD).⁴  

From 2018-2020, the number of people in District 6 that died from heart disease was 1,229.⁴  

938 people died from cancer, 378 died from unintentional injuries, 262 died from cerebrovascular disease, and 234 died from chronic LRD during that same time period. ⁴ 

It is well understood that several major causes of heart disease and cerebrovascular disease are sedentary lifestyle, obesity and diabetes.⁵ 

The life expectancy in District 6 is 72.8 years old, 8^th of all the districts.⁴

• Appropriate preconception care and interventions to promote good health among women of childbearing age are necessary, as Pre-pregnancy BMI is often associated with gestational diabetes mellitus and childhood obesity.²⁴ 
• Maximizing participation in TennCare and improving access to quality healthcare is important to improving outcomes in this district.
• Encourage participation in WIC (Women, Infants, and Children) and Family Planning programs. It is estimated that less than half of those who qualify participate in WIC. ²⁰ 
• Implement evidence-based public health approaches to reduce injuries, shootings, and deaths.  Shelby County was recently awarded a grant to implement ‘Cure Violence’, a program is shown to reduce violent crime by as much as 63%.²¹ District 6 could be a candidate in the future to participate in grant activities, which include detecting and interrupting conflicts, identifying and treating high-risk individuals, and changing social norms.
• Make Naloxone more accessible to the public and include Naloxone in emergency response kits in all public spaces. Provide Naloxone training and educate the public about Opioid and Substance Use Disorders in order to decrease stigma. Share the Tennessee Redline (1-800-889-9789) with those in need of treatment and resources.
• Promote healthy eating and active living, as well as smoking prevention and cessation activities.

Commissioner: Henri E. Brooks

Photo Source: https://www.shelbycountytn.gov/3780/CURRENT-DISTRICT-MAPS-through-August-31-

COMMISSION DISTRICT 7

Overview

District 7 is situated in central Shelby County,and includes the Northern portion of the I-240 loop. This district includes parts of the Berclair-Highland Heights, Downtown Memphis, East Memphis-Colonial-Yorkshire, Midtown, Raleigh, and Shelby Forest-Frayser neighborhoods.

Demographics¹:  Based on 2020 data, District 7 has a population of 67,832. Compared to Shelby County overall, the population of District 7 is about the same, with a median age of 36.4. In this district, 23% of the population is less than 18 years old, 62% are 18-64, and 15% are 65 and older. The residents of District 7 are 27% White, 63% Black or African American and 10% other races or multiracial.  There are an estimated 10.2% of residents who are Hispanic or Latino.

Social Determinants¹:  In District 7 the median household income is $33,136, which is 36% lower than Shelby County overall. The percent of the population living below the poverty level is 31%, which is the 2^nd highest of all 13 districts. Children are particularly affected, with 51% of children under 18 living below the poverty level. Education levels are the lowest when compared to the county overall, with 79% receiving a high school diploma. Residents of District 7 report traveling a mean time of 21.1 minutes to work. This district has the 2^nd highest use of public transportation to work in the county at 2.7%.

LEADING CAUSES OF DEATH AND LIFE EXPECTANCY

Health data in this profile are based on zip codes. District data may overlap as some zip codes are included in multiple districts.

ZIP CODES INCLUDED:  38104,  38105,     38107,  38108,  38111,     38112,  38122,  38127,     38128

LEADING CAUSES OF DEATH

The five leading causes of death in District 7 are Heart Disease, Cancer, Unintentional Injuries, Cerebrovascular Disease, and Chronic Lower Respiratory Disease (LRD).⁴ 

From 2018-2020 the number of people in District 7 that died from heart disease was 1,708.⁴ 

1,326 people died from cancer, 636 died from unintentional injuries, 370 died from cerebrovascular disease, and 313 died from chronic LRD during that same time period.⁴ 

It is well understood that several major causes of                                                                                                                   heart disease and cerebrovascular disease are sedentary lifestyle, obesity and diabetes.⁵ 

The life expectancy in District 7 is 71.7 years old.⁴ 

VIOLENCE

District 7 has the 5^th highest rate of death by assault of all districts, with a rate of 47.5 deaths per 100,000 population in 2020. ⁴ This is more than 1.4 times higher than the overall Shelby County rate of 34.7 per 100,000 population.

 

 

 

OPIOID OVERDOSE

District 7 has the second highest rate of death due to opioid overdose of all 13 districts, with a rate of 40.7 deaths per 100,000 population from 2014-2021.³⁵ This is about 1.6 times higher than the overall Shelby County rate of 25.3 per 100,000 population. As well as having the highest death rate, it also has the highest count of fatal opioid overdoses of all 13 districts (761 total overdose deaths from 2014-2021).³⁵ 

 

 

HIV AND SEXUALLY TRANSMITTED INFECTIONS 

District 7 has the 4^th highest rate of people living with HIV of all the districts, with a rate of 1011.9 per 100,000 population in 2020.⁷ This is 1.4 times higher than the overall Shelby County rate. District 7 has rates of chlamydia and gonorrhea that exceed the Shelby County overall, with rates of 1160.7 and 622.5 respectively per 100,000 populations. ¹⁸

 

• Implement evidence-based public health approaches to reduce injuries, shootings, and deaths.  Shelby County was recently awarded a grant to implement ‘Cure Violence’, a program shown to reduce violent crime by as much as 63%.²¹ District 7 could be a candidate to participate in future grant activities, which include detecting and interrupting conflicts, identifying and treating high risk individuals, and changing social norms.
• Make Naloxone more accessible to the public and include Naloxone in emergency response kits in all public spaces. Provide Naloxone training and educate the public about Opioid and Substance Use Disorders in order to decrease stigma. Share the Tennessee Redline (1-800-889-9789) with those in need of treatment and resources.
• Increase testing and treatment for sexually transmitted infections and HIV.  Provide assistance to parents and guardians on how to talk to their children about sex. Increase birth control access for teens.
• Promote healthy eating and active living, as well as smoking prevention and cessation activities.
• Maximizing participation in TennCare and improving access to quality health care is important to improving outcomes in this district.

Commissioner: Mickell M. Lowery

Photo Source:  https://www.shelbycountytn.gov/3780/CURRENT-DISTRICT-MAPS-through-August-31-

COMMISSION DISTRICT 8

Overview

District 8 is situated on the river on the west side of Shelby County and includes areas of Downtown, Midtown, Shelby Forest, and Frayser.   

Demographics¹:  Based on 2020 data, District 8 has a population of 65,730. The median age of district residents is 32.9 which is comparably younger to Shelby County’s overall median age of 35.7.  The population breakdown by age category is 23% under age 18, 65% between ages 18-64, and 12% are 65 and older. The residents of District 8 are 24% White, 71% Black or African American and 6% other races or multiracial.  There are an estimated 3.4% of residents who are Hispanic or Latino.

Social Determinants¹:  The median household income of District 8 is $32,350, and compared to Shelby County’s overall average of $52,092, it is the lowest of all districts. In this population 41% live below the poverty level, the highest of all districts. There are 9,978 children under 18 in poverty, the second highest of all districts. Education levels are low when compared to the county overall, with 82% receiving a high school diploma. Residents of district 8 travel on average 21 minutes to work,and have the highest use of public transportation in the county at 3%.

LEADING CAUSES OF DEATH AND LIFE EXPECTANCY

Health data in this profile are based on zip codes. District data may overlap as some zip codes are included in multiple districts.

ZIP CODES INCLUDED:  38103,  38104,     38105,  38106,  38107,     38108,  38113,  38114,     38126,  38127

 

LEADING CAUSES OF DEATH

The five leading causes of death in District 8 are

Heart Disease, Cancer, Unintentional Injuries, Cerebrovascular Disease, and Homicide.⁴   

From 2018-2020, the number of people in District 8 that died from heart disease was 1,499.⁴  

During the same period, 1079 died from cancer, 484 died from unintentional injuries, 333 died from cerebrovascular disease, and 291 died from homicide. ⁴

Untreated heart disease can lead to heart failure, heart attack, and stroke. ⁵ Unintentional injuries include motor vehicle accidents and fatal overdoses.

The life expectancy in District 8 is 70.5 years old, the 2^nd lowest of all the districts.⁴

OPIOID OVERDOSE

District 8 led the County in deaths by fatal overdose with a rate of 43.4 per 100,000 population between 2014-2021. This number is 1.7 times higher than the overall Shelby County rate of 25.3 deaths per 100,000 population. At the same time, the district had the 3^rd highest actual number of fatal overdoses with a total count of 605 deaths. ³⁵

 

INFANT MORTALITY

 

District 8 led the county in infant mortality during 2015-2020, with 12.2 infant deaths per 1,000 live births. In comparison, Shelby County’s overall rate was 8.9.³⁵

 

HIV AND SEXUALLY TRANSMITTED INFECTIONS

District 8 ranks in the top 3 districts for multiple STIs. It was 1^st in number of people living with HIV/AIDS, with a rate of 1314.2 per 100,000 population in 2020. This is nearly 1.4 times higher than the overall Shelby County rate.  District 8 also ranks 1^st for Syphilis with a rate of 222.2, and 2^nd and 3^rd for gonorrhea and chlamydia with rates of 798.6 and 1396.3 respectively per 100,000 population. ^7,18

 

VIOLENCE 

District 8 had the 2^nd highest rate of deaths by assault, with 71.8 deaths per 100,000 population in 2020.  It had the highest actual count with 125 assault deaths in 2020. By comparison, the lowest district had a count of 17 deaths by assault. ¹

 

• Partner with healthcare groups, hospitals, and community organizations to address the disparity in access to primary care and cardiovascular healthcare, by holding pop-up informational sessions and mobile screening booths in targeted zip codes. African Americans have an earlier age of onset and greater prevalence of major risk factors for heart disease, such as hypertension, diabetes, and obesity. ⁵
• Implement strategies to reduce violence based on best practice models that have demonstrated success in other cities as outlined in Memphis-Shelby County Crime Commission’s Safe Community Plan. One outlined intervention is the coordination of Violence Interrupters (VI) who live in an around the community. ⁴⁰ 
• Increase community awareness on, and provider referrals to available resources that support pregnant women and families with children less than 1-years old, such as FIMR, which promotes infant sleep safety and provides free cribs/bassinets to Shelby County residents. ³⁸ 
• Introduce avenues to offer formal instruction on HIV/AIDS prevention and sexually transmitted diseases to adolescents before they are 18 years old through community partners, in alignment with Healthy People 2030 goals. ³⁹  
• Collaborate with local pharmacies and providers in the district to ensure awareness of the new Tennessee Naloxone prescribing law which allows for increased access to Narcan and awareness for individuals at risk for opioid overdose.

Commissioner: Edmund Ford, Jr. 

 

Photo Source: https://www.shelbycountytn.gov/3780/CURRENT-DISTRICT-MAPS-through-August-31-

COMMISSION DISTRICT 9

Overview

District 9 is located in the southwest corner of Shelby County.  It includes TO Fuller State Park, a portion of Downtown Memphis, part of South Memphis, and part of the White Haven-Coro Lake neighborhood.

Demographics¹:  Based on 2020 data, District 9 has a population of 68,297. The median age in District 9 is 38 years, which is slightly higher than the county median age of 35.7 years. In this district, 19.7% of the population is less than 18 years old, 64.2% are 18-64, and 16.1% are 65 and older. This is higher than the proportion of residents 65 and over for the entire county, 13.6%. The residents of District 9 are 25% White, 72% Black or African American and 3% other races or multiracial.  There are an estimated 2.8% of residents who are Hispanic or Latino.

Social Determinants¹:  The median household income in District 9 is $35,255, which is 32% lower than Shelby County overall. In District 9 27% of residents are living below the poverty level. Children are particularly affected, with 40% of children under 18 living below the poverty level. Education levels in District 9 are slightly lower than that of the county overall, with 86% holding a high school diploma or higher and 25% holding a bachelor’s degree or higher, compared to 89% and 30% for the overall county, respectively. Residents of District 9 report traveling an average of 21.1 minutes to work. This district is tied for 2^nd highest use of public transportation to work across the county, at 3%.

LEADING CAUSES OF DEATH AND LIFE EXPECTANCY

Health data in this profile are based on zip codes. District data may overlap as some zip codes are included in multiple districts.

ZIP CODES INCLUDED:  38106,  38109,     38113,  38116

LEADING CAUSES OF DEATH

The five leading causes of death in District 9 are Heart Disease, Cancer, Unintentional Injuries, Cerebrovascular Disease, and Diabetes.⁴  

From 2018-2020, the number of people in District 9 that died from heart disease was 1,079.⁴  

During that same time period, 818 people died from cancer, 302 died from unintentional injuries, 258 died from cerebrovascular disease, and 178 died from diabetes.⁴ 

It is well understood that major causes of heart disease, the leading cause of death in District 9, are sedentary lifestyle, obesity and diabetes.⁵ 

The life expectancy in District 9 is 69.8 years old, the lowest of all the districts.⁴

VIOLENCE

District 9 has the highest rate of death by assault, with a rate of 73.8 deaths per 100,000 population in 2020. This is more than double the overall Shelby County rate of 34.9 per 100,000 population.⁴

 

 

INFANT MORTALITY

District 9 has the second highest rate of infant deaths of all the districts with 12 infant deaths per 1,000 live births from 2015-2020.⁴ This is 1.3 times the overall Shelby County rate of 8.9 infant deaths per 1,000 live births for this same time period. District 9 has the highest proportion of mothers giving birth who are overweight or obese, at 38%.⁴  

 

 

HIV AND SEXUALLY TRANSMITTED INFECTIONS

District 9 has some of the highest rates of HIV and STIs in all of the county. In 2020, it had the highest rate of gonorrhea with 892.4 infections per 100,000 population. This is 1.9 times higher than the overall Shelby County rate. The rate of people living with HIV in this district is 1,173.1 per 100,000 population, the second highest rate compared to the other districts.⁷ The chlamydia rate in District 9 is 1,601.3 per 100,000 population, the highest rate in the county.¹⁸

 

 

• Implement evidence-based public health approaches to reduce injuries, shootings, and deaths. Shelby County was recently awarded a grant to implement ‘Cure Violence’, a program shown to reduce violent crime by as much as 63%.²¹ District 9 would be a great candidate to participate in grant activities, which include detecting and interrupting conflicts, identifying and treating high risk individuals, and changing social norms.
• Encourage participation in WIC (Women, Infants, and Children) and Family Planning programs. It is estimated that less than half of those who qualify participate in WIC. ²⁰ Additionally, initiatives supporting and educating residents about the benefits of breastfeeding could be beneficial.
• Increase testing and treatment for sexually transmitted infections and HIV.  Provide assistance to parents and guardians on how to talk to their children about sex. Increase birth control access for teens
• Promote healthy eating and active living, as well as smoking prevention and cessation activities.
• Maximizing participation in TennCare and improving access to quality health care is important to improving outcomes in this district.

Commissioner: Britney Thornton

 

Photo Source: https://www.shelbycountytn.gov/3780/CURRENT-DISTRICT-MAPS-through-August-31-

COMMISSION DISTRICT 10

Overview

District 10 is located on the west side of Shelby County and includes parts of Downtown Memphis and White Haven-Coro Lake.

Demographics¹:  Based on 2020 data, District 10 has a population of 71,195. The district median age is 37.2 years, which is slightly higher than the county median age of 35.7 years. In this district, 21% of the population is less than 18 years old, 61% are 18-64, and 18% are 65 and older.  This district has one of the highest proportions of elderly residents of all the districts.  The residents of District 10 are 61% White, 31% Black or African American and 9% other races or multiracial.  There are an estimated 6.8% of residents who are Hispanic or Latino.

Social Determinants¹:  In District 10 the median household income is $ 58,396 which is 11% higher than Shelby County overall. The percent of the population living below the poverty level is 16%, which is the seventh highest of all 13 districts.  Children are particularly affected, with 40% children under 18 living below the poverty level, the highest in the county out of the 13 districts. Education levels are low when compared to the county overall, with 92% receiving a high school degree. Residents of District 10 report traveling a mean time of 19.5 minutes to work. This district utilization of public transportation is the lowest which ranked the 8^th in terms of public transportation to work across the county, at 0.6%.

LEADING CAUSES OF DEATH AND LIFE EXPECTANCY

Health data in this profile are based on zip codes. District data may overlap as some zip codes are included in multiple districts.

ZIP CODES INCLUDED:  38104,  38106,     38109,  38111,  38112,     38114,  38116,  38118,     38131,  38132

LEADING CAUSES OF DEATH 

The top five leading causes of death in District 10 are Heart Disease, Cancer, Unintentional Injuries, Cerebrovascular Disease, and Homicide.⁴

From 2018-2020 the number of people in District 10 who died from heart disease were 2,079.⁴  

During the same period, 1,619 died from cancer, 674 from unintentional injuries, 534 from cerebrovascular disease, and 351 from homicide.⁴  

 The life expectancy in District 10 is 71.1 years old and is the 11^th highest district related to other 13 districts.

VIOLENCE

District 10 has the third highest rate of death by assault of all districts, with a rate of 52.5 deaths per 100,000 population in 2020. This is 1.5 times higher than the overall Shelby County rate of 34.7 per 100,000 population ⁴

INFANT MORTALITY

District 10 has the third highest rate of infant deaths of all the districts with 11.0 infant deaths per 1,000 live births in 2015-2020 combined.⁴ This is 1.2 times the overall Shelby County rate of 8.9 infant deaths per 1,000 live births for this same time period.   The top causes of infant mortalities are congenital malformations, deformations and chromosomal abnormalities, Disorder related to short gestation and low birthweight, unintentional injuries, sudden infant death syndrome, pregnancy complication, and bacterial sepsis of newborn   which immensely contribute to overall infant mortality in district 10.

 

HIV AND SEXUALLY TRANSMITTED INFECTIONS

District 10 has the highest rate of people living with HIV of all the districts, with a rate of 1,096.6 per 100,000 population in 2020. This is 1.56 times higher than the overall Shelby County rate. In addition, the chlamydia rate in District 10 is 1,357.3 per 100,000 population which is the highest rate of all districts.^7,23

 

 

 

• Implement evidence-based public health approaches to reduce injuries, shootings, and deaths. Shelby County was recently awarded a grant to implement ‘Cure Violence’, a program shown to reduce violent crime by as much as 63%.²¹ District 8 would be a great candidate to participate in grant activities, which include detecting and interrupting conflicts, identifying and treating high risk individuals, and changing social norms.
• Encourage participation in WIC (Women, Infants, and Children) and Family Planning programs. It is estimated that less than half of those who qualify participate in WIC.²⁰ Additionally, support breastfeeding initiatives and educate residents about infant safe sleep practices.
• Increase testing and treatment for sexually transmitted infections and HIV. Provide assistance to parents and guardians on how to talk to their children about sex. Increase birth control access for teens.
• Promote healthy eating and active living, as well as smoking prevention and cessation activities.

Commissioner: Miska Clay-Bibbs

 

Photo Source: https://www.shelbycountytn.gov/3780/CURRENT-DISTRICT-MAPS-through-August-31-

COMMISSION DISTRICT 11

Overview

District 11 is situated on the south side of Shelby County and includes White Haven- Coro Lake and Hickory Hill, among other neighborhoods.

Demographics¹:  Based on 2020 data, District 11 has a population of 73,042. The population of District 11 is young compared to all other districts, with a median age of 31. District 11 is 9^th in the county in terms of people less than 18 years old at 24%, 59% are 18-64, and 17% are 65 and older. The residents of District 11 are 3.4% White, 95.2% Black or African American and 1.4% other races or multiracial.  There are an estimated 1.3% of residents who are Hispanic or Latino.

Social Determinants¹:  In District 11, the median household income is $34,566, which is 34% lower than Shelby County overall. The percent of the population living below the poverty level is 28%, which is almost 0.5 times the poverty level of Shelby County and is the 4^th highest of all 13 districts. Children are particularly affected, with 46% of children under 18 living below the poverty level. Education levels are in the middle when compared to the county overall, with 86% receiving a high school diploma. Residents of District 11 report traveling a mean time of 22.7 minutes to work. This district has the 3^rd highest use of public transportation to work in the county at 2%.

LEADING CAUSES OF DEATH AND LIFE EXPECTANCY

Health data in this profile are based on zip codes. District data may overlap as some zip codes are included in multiple districts.

ZIP CODES INCLUDED:  38115,  38116,     38118,  38141

LEADING CAUSES OF DEATH 

The five leading causes of death in District 11 are Heart Disease, Cancer, Unintentional Injuries, Cerebrovascular Disease, and Homicide.⁴  

From 2018-2020, the number of people in District 11 that died from heart disease was 801.⁴  

During that same time period, 653 people died from cancer, 262 died from unintentional injuries, 208 died from cerebrovascular disease, and 173 died from homicide.⁴ 

It is well understood that several major causes of heart disease and cerebrovascular disease are sedentary lifestyle, obesity and diabetes.⁵ 

  The life expectancy in District 11 is 71.7 years old, the 10^th lowest of all the districts.⁴

Pre-Pregnancy BMI 

District 11 has the 2^nd highest percentage of m oms giving birth who are overweight/obese of all the districts with 37.6% percent of live births in 2020.⁴  

 

 

 

INFANT MORTALITY

District 11 has the 6^th highest rate of infant deaths of all the districts with 9.8 infant deaths per 1,000 live births from 2015-2020⁴ This is 1.1 times the overall Shelby County rate of 8.9 infant deaths per 1,000 live births for this same time period. ⁴ 

 

 

 

HIV AND SEXUALLY TRANSMITTED INFECTIONS 

District 11 has the 5^th highest rate of people living with HIV of all the districts, with a rate of 937.2 per 100,000 population in 2020.⁷ District 11 has the 2^nd highest rate of Chlamydia and the 3^rd highest rate of Gonorrhea, with rates of 1482.6 and 794.6 respectively per 100,000 populations. ¹⁸ District 11 has the 5^th highest rate of Syphilis of all the districts, with a rate of 148.8 per 100,000 population.^7,18

 

• Appropriate preconception care and interventions to promote good health among women of childbearing age are necessary as, Pre-pregnancy BMI is often associated with gestational diabetes mellitus and childhood obesity.²⁴
• Encourage participation in WIC (Women, Infants, and Children) and Family Planning programs.    It is estimated that less than half of those who qualify participate in WIC. ²⁰ Additionally, support breastfeeding initiatives and educate residents about infant safe sleep practices.
• Increase testing and treatment for sexually transmitted infections and HIV.  Provide assistance to parents and guardians on how to talk to their children about sex. Increase birth control access for teens.
• Promote healthy eating and active living, as well as smoking prevention and cessation activities.
• Maximizing participation in TennCare and improving access to quality health care is important to improving outcomes in this district.

Commissioner: Erika Sugarmon

Photo Source: https://www.shelbycountytn.gov/3780/CURRENT-DISTRICT-MAPS-through-August-31

COMMISSION DISTRICT 12

Overview

District 12 is in southeast Shelby County and includes areas of East Memphis-Colonial-Yorkshire, Hickory Ridge-South Riverdale, Parkway Village-Oakhaven, River Oaks-Balmoral, and Whitehaven-Coro Lake.

Demographics¹:   Based on 2020 data, District 12 has a total population of 71,898. The median age of district residents is 34, which skews younger compared to Shelby County’s overall median age of 35.7. The age breakdown of District 12 is 32% under age 18, 59% are 18-64, and 9% are 64 and older. District 12 has the highest number of residents under age 18 and the least number of residents over age 64 in all of Shelby County. Women represent 52.4% of the district’s population. The residents of District 2 are 8% White, 81% Black or African American and 11% other races or multiracial.  There are an estimated 3.1% of residents who are Hispanic or Latino.

Social Determinants¹:  In District 12, the median household income is $38,329, considerably lower than Shelby County’s overall income of $52,092. The percentage of residents living below the poverty level is 30%. This district has 49% children under 18 living in poverty, the most of any district. In District 12, 83% of residents have received a high school diploma, the least amount of all the districts. There were 12% who hold a bachelors or higher, also the least of all districts. The education statistics may be attributed to the district’s high number of residents under age 18. District 12 residents travel a mean time of 21 minutes to work. Approximately 0.8% of the residents use public transport.  

LEADING CAUSES OF DEATH AND LIFE EXPECTANCY

Health data in this profile are based on zip codes. District data may overlap as some zip codes are included in multiple districts.

ZIP CODES INCLUDED:  38115,  38116,     38117,  38118,  38119,     38132,  38141

LEADING CAUSES OF DEATH

The five leading causes of death in District 12 are Heart Disease, Cancer, Unintentional Injuries, Cerebrovascular Disease, and Alzheimer’s Disease.⁴

From 2018-2020, a total of 641 people died from heart disease. ⁴

During the same time period, 549 died from cancer, 207 people died from unintentional injuries, 159 died from cerebrovascular disease, and 128 died from Alzheimer’s Disease.⁴ 

The life expectancy in District 12 is 74.9 years old.⁴ 

PRE-PREGNANCY BMI

In 2020, District 12 had the 3^rd highest percentage of moms giving birth who were overweight or obese, with 37.3% of live births.  This is 12% higher than the overall percent live births for this same period in Shelby County.⁴

 

 

COVID-19 CASES

District 12 had the highest rate of Covid infections through July 31, 2022, with 32,114.1 per 100,000 population.  In comparison Shelby County’s overall Covid infection rate was 28,522 per 100,000 population. While District 12 residents are getting infected at a higher rate, the total number of actual cases is still lower in comparison to other districts in the county. District 12 ranked 11^th out of the 13 districts in actual number of cases, with a count of 40,590 up to July 31, 2022. ^27,28,36

 

 

SEXUALLY TRANSMITTED INFECTIONS

District 12 had the 5^th highest number of chlamydia infections in Shelby County, with a rate of 1,178.9 per 100,000 population. In 2020, District 12 ranked 6^th in the number of people living with HIV/AIDS, with a rate of 758 per 100,000 population. District 12 also had the 6^th highest rate of gonorrhea infections with 575.2 per 100,000 population. There are opportunities for health education, while the district’s population is still young. ^7,18

 

 

• Promote physical programs in the area that promote active living.
• Increase education about the benefit of COVID-19 vaccinations by partnering with SCHD Health Disparity team and community organizations to provide easy access through vaccination events in the district. 
• Expand awareness of Women, Infant, and Children (WIC) Clinics across the city, which provides nutrition education for pregnant women in Shelby County.
• Introduce avenues to offer formal instruction on prevention of HIV/AIDS and sexually transmitted diseases to adolescents before they are 18 years old through community partners, in alignment with Healthy People 2030 goals. ³⁹

Commissioner: Michael Whaley

Photo Source: https://www.shelbycountytn.gov/3780/CURRENT-DISTRICT-MAPS-through-August-31-

COMMISSION DISTRICT 13

Overview

District 13 is situated in the central area of Shelby County and includes parts of the communities of East Memphis, and Berclair.

Demographics¹:  Based on 2020 data, District 13 has a population of 75,753. Compared to Shelby County overall, the population of District 13 is a bit older, with a median age of 39. In this district, 26% of the population is less than 18 years old, 65% are 18-64, and 10% are 65 and older. Women represent a majority at 55% of the population compared to men in District 13. The residents of District 13 are 26% White, 65% Black or African American and 10% other races or multiracial.  There are an estimated 6.7% of residents who are Hispanic or Latino.

Social Determinants¹: The median household income in District 13 is $52,204. This number falls in the middle range of incomes for Shelby County overall. ¹ The percent of the population living below the poverty level is 13%. In particular, 22% of children under 18 are living below the poverty level of those residing in District 13, 92% have received a high school diploma or higher, and 24% hold a bachelor’s degree or higher. District 13 residents report traveling on average, 22 minutes to work. The use of public transportation is 0.5%.

LEADING CAUSES OF DEATH AND LIFE EXPECTANCY

Health data in this profile are based on zip codes. District data may overlap as some zip codes are included in multiple districts.

ZIP CODES INCLUDED:  38115,  38119,     38125,  38141

LEADING CAUSES OF DEATH

The five leading causes of death in District 13 are Heart Disease, Cancer, Unintentional Injuries, Alzheimer’s Disease, and Cerebrovascular Disease.⁴

From 2018-2020, there were 755 deaths from heart disease.⁴

 

During the same time period, 621 died from cancer, 235 died from unintentional injuries, 179 died from Alzheimer’s Disease, and 173 died from cerebrovascular disease. ⁴

                                                                                                                                                         

The life expectancy in District 13 is 77 years old, the 3^rd highest of all 13 districts.

HEART DISEASE AND CANCER

From 2018-2020, heart disease was the leading cause of death in District 13.¹ It is the leading cause of death for men, women, and most racial groups in the U.S.¹¹ Risk factors for developing heart disease include high blood pressure, high cholesterol, and smoking. Untreated heart disease can lead to heart failure, heart attack, and stroke.⁵ The second leading cause of death in District 13 is cancer.⁴ Cancer is also the second leading cause of death worldwide. Studies show that reducing certain modifiable risk factors can decrease chances for developing cancer and lower the number of cancer related deaths.

 

AGING POPULATION

The third leading cause of death in District 13 is unintentional injury.⁴ This may be due to the higher life expectancy rate. Furthermore, families will increasingly be caring for elderly loved ones and may be unprepared to handle their new caregiver role.

 

COVID-19 

District 13 ranks in the top three of all districts in COVID-19 vaccination uptake. As of July 31, 2022, at 66.9%, the district had the 3^rd highest percentage of residents who received their first dose of the covid vaccine. First doses for Shelby County overall were 61.8%. District 13 had the 2^nd highest percentage of individuals up to date on all their covid vaccines, with 19% as of July 31, 2022, compared to 14% for the county overall. Consequently, the district had the lowest number of covid cases through July 31^st, with a total count of 29,371. In comparison, the district with the highest covid cases had a count of 75,925. ^27,28,36

 

OPIOID OVERDOSE

District 13 has the 7^th highest rate of death due to opioid overdose of all 13 districts, with a rate of 22.8 deaths per 100,000 population from 2014-2021.³⁵ This is lower than the overall Shelby County rate of 25.3 per 100,000 population for this time period.

 

• Encourage active living by engaging the community in wellness related events and activities.
• Partner with local community and health organizations to promote heart disease prevention and awareness.
• Promote smoking prevention and cessation activities.
• Make Naloxone more accessible to the public and include Naloxone in emergency response kits in all public spaces. Provide Naloxone training and educate the public about Opioid and Substance Use Disorders in order to decrease stigma. Share the Tennessee Redline (1-800-889-9789) with those in need of treatment and resources.

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