Posted: May 24th, 2022

Windshield Survey and Community Assessment

Windshield Survey and Community Assessment
Survey of Windshields and Assessment of the Community

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Survey of Windshields and Assessment of the Community
Greetings and Welcome to the Community
The neighborhood of Chinatown in San Francisco has been chosen. The year 1848 saw the establishment of the first Chinatown in North America (US. Census Bureau, 2016). The enclave is the most populous Chinese community outside of Asia. Even though Chinatown has lost most of its culture, it has maintained its religious institutions, social groups, and language. Known for attracting more people than the Golden Gate Bridge, San Francisco’s Chinatown is a popular tourist destination (US. Census Bureau, 2016). Elderly immigrants decided to live in Chinatown because it is familiar to them and because it is a more cheap place to live. According to the United States Census Bureau, Chinatown has a population of 34,891 people as of the most recent census (US. Census Bureau, 2016). According to a report by the San Francisco Planning Department, Asians constitute 81 percent of the city’s population. The typical household income in Los Angeles is $25,909, whereas the median household income in San Francisco is $91,938. (US. Census Bureau, 2016). Almost a third of the population lives below the federal poverty line. In San Francisco, it is one of the most densely populated areas, with a population of over 200,000 people (US. Census Bureau, 2016). Chinatown has gone through a number of transformations, both culturally and commercially.
Tuberculosis is one of the health issues that the inhabitants are dealing with right now. Coughing or sneezing can spread the infectious disease, which damages the lungs and is spread from one person to another through tiny droplets of secretions (U.S. Department of Health and Human Services, 2020). Some of the signs and symptoms of the disease include: coughing for three weeks or longer, coughing up blood; accidental weight loss; exhaustion; fever; night sweats; and chest discomfort.
Photographs of the Community’s Selected Geographical Area

Results of the Windshield Survey
The results of the study in the town suggest that the streets and markets are packed. The Chinese are one of the most prominent ethnic groups in the area. The presence of temples and other places of worship in the area indicates that the Chinese are the majority ethnic group. Despite the widespread cautions regarding close contact owing to the epidemic, the marketplaces are nonetheless bustling with customers. One of the issues that exposes the public to the rising cases of tuberculosis in close contact is the issue of tuberculosis in close contact. Residents of Chinatown are at risk, according to the statistics, because they are among the minority who have not been fully immunized against the virus (Gao et al., 2021).
A visit to the hospital facilities reveals a snarl of persons seeking medical attention in the waiting rooms. The majority of those seeking medical attention are suffering from tuberculosis. The vast majority of those standing in line are coughing up dry mucus, which is a common indication of tuberculosis. People who come to seek medical attention are exposed to the risk of infection if social distance is not maintained between them and the person seeking medical attention (Louie et al., 2020). According to the findings, if the community does not adopt healthy living practices, the risk of illness may continue to increase indefinitely.
Description of the Vulnerable Population and the Resources That Are Available
The elderly, pregnant women, and children are among the most vulnerable members of society. People living with HIV/AIDS are at risk of infection from another group due to their weakened immune. Coronavirus infection increases the likelihood of acquiring complicated respiratory infections in those who have it (Gao et al., 2021). Because of congestion and close contact, the vulnerable population is at danger of contracting an infection at a rapid rate.
Healthcare staff as well as pediatric healthcare services are among the resources available to Help the most vulnerable members of society. Online resources such as the National Foundation for Infectious Diseases website and the Centers for Disease Control website are examples of others (Goosby et al., 2018). The resources are essential in informing the public and stopping the disease from spreading further.
The Vulnerable Population’s Demographic Characteristics
Children account for 4% of those suffering from the condition, making them the most vulnerable segment of the population. The dominating community accounts for more than 70% of all those who are affected by the condition (Goosby et al., 2018). Whites, for example, are in the minority and account for less than 5 percent of those who are infected with tuberculosis. According to statistics, men are more likely than women to get the condition, which may be linked to dangerous activities such as smoking. Sixty percent of the occurrences occur in adults between the ages of 25 and 64. (Goosby et al., 2018).
Social Determinants of Health and Well-Being
Working conditions, education, employment, education, and the social environment are all social determinants of health that must be considered. Communities in the area have low incomes, which results in limited access to healthcare services for residents (Daftary et al., 2018). Another factor is low literacy levels make the individuals ignorant of the predisposing factors such as smoking and close contact (Daftary et al., 2018). Unhealthy working places expose individuals to infections.
Strengths of the Community
The strengths include the availability of healthcare workers who have a high level of cultural competency. The area has sufficient healthcare facilities both private and public. The community offers social support to people with tuberculosis. For instance, the issue of stigma is not prevalent in the community.
Conclusion
The nursing assessment of Chinatown, San Francisco shows that the community is at risk of high infections of tuberculosis. Despite the community strengths, the close contact and congestion in the markets and streets expose the community members to infections. The vulnerable groups include children, pregnant mothers, the elderly, and people with HIV/AIDs. The healthcare departments and pediatric care are essential to support systems to mitigate the negative outcomes of the disease. The community requires rigorous public education on how the disease spreads. A change of lifestyle and social interaction can mitigate the problem. Additional measures are necessary to prevent tuberculosis outbreaks in Chinatown due to the negative lifestyles.
References
Daftary, A., Mitchell, E. M., Reid, M. J., Fekadu, E., & Goosby, E. (2018). To end TB, first-ever high-level meeting on tuberculosis must address stigma. The American journal of tropical medicine and hygiene, 99(5), 1114-1116.
Goosby, E., Jamison, D., Swaminathan, S., Reid, M., & Zuccala, E. (2018). The Lancet Commission on tuberculosis: building a tuberculosis-free world. The Lancet, 391(10126), 1132-1133.
Louie, J. K., Reid, M., Stella, J., Agraz-Lara, R., Graves, S., Chen, L., & Hopewell, P. (2020). A decrease in tuberculosis Assessments and diagnoses during the COVID-19 pandemic. Int J Tuberc Lung Dis, 24(8), 860-2.
Gao, Y., Liu, M., Chen, Y., Shi, S., Geng, J., & Tian, J. (2021). Association between tuberculosis and COVID‐19 severity and mortality: A rapid systematic review and meta‐analysis. Journal of medical virology, 93(1), 194-196.
U.S. Department of Health and Human Services. (2020). Global health. https://www.healthypeople.gov/2020/topics-objectives/topic/tuberculosis-and-infectious-diseases
US. Census Bureau (2016). Quick facts, San Francisco, Chinatown. Accessed from https://www.census.gov/quickfacts/chinatown

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