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Kittitas County is in the center of Washington State on the east side of the Cascade Mountains. The <br />county is surrounded by several mountain passes (Btewett, Snoqualmie, Manastash) and is nearty 2 <br />hours away from the largest urban area in the state (Seattte. ) Other larger cities nearby inctude <br />Yakima (45 minutes away) and Wenatchee (1.5 hours away.) ln other words, there are muttipte <br />geographic barriers to accessing a comprehensive range of services. <br />With a population of about 47,300 people and about 45%Iivingin unincorporated areasl, there is one <br />primary care physician per 1,700 residents (compared to one per 1,180 Washington State), one mental <br />heatth provider per 500 residents (one per 22OWA), and one dentist per 1,820 residents (one per 1,170 <br />WA). These ratios would be even worse taking into account only those providers who accept Medicaid <br />as insurance. Access to medicat, dentat, and mental heatth care is made more difficutt by the shortage <br />of providers in addition to the fact that 8% of adutts in Kittitas County tack heatth insurance.2 <br />Compared to Washington state, residents of Kittitas County experience higher rates of poor physicat <br />and mental heatth days, frequent physicat and mental distress, adult smoking, excessive drinking, chitd <br />mortatity, food insecurity, suicide, and sexuatty transmitted infections. Residents have less access to <br />heatthy food sources and exercise opportunities. However, Kittitas County has better [ife expectancy <br />and lower HIV prevalence, drug overdose deaths, atcohot-impaired driving deaths, teen births, deaths <br />due to injury, and preventabte hospital stays. 3 <br />Unemployment rates are 6.3o/o (compared to 5.2% in WA), 13% of chitdren live in poverty (compared to <br />12%in WA), income inequatity is higher than the state, and the median household income is <br />significantly [ower than Washington State as a whole (562,700 compared to 984,200 in WA). Severe <br />housing probtems are more prevalent as welt: only 60% own homes, and 19% of households spend 50% or <br />more of their income on housing. The chitdcare cost burden is high and voter turnout is low. However, <br />viotent crime is significantty lower than Washington State, and high school graduation rates are higher. <br />4 <br />l-t't!r irr,ill <br />1.,;:;li[]:,"r: <br />rdi,lirF ','irrfithi:c <br />@ rie::,r;r <br />\ <br />l-llcr:rlrrrl <br />I <br />F'' <br />Y;:kr:nlr <br />r.lir i,_I <br />J <br />I <br />w <br />I <br />),,,i <br />)r <br />lrk <br />1 (Poputation of Cities, Towns, and Counties Aprit 1, ZOZ3) <br />2 (University of Wisconsin Population Heatth lnstitute 2023) <br />3 (University of Wisconsin Poputation Heatth lnstitute 2023) <br />4 (University of Wisconsin Poputation Heatth lnstitute 2023j <br />t_tl <br />\. -'_.) <br />8