Nurse Practitioner Evangeline Reyes-Pastorella

Department of Neurosurgery, New York-Presbyterian/Columbia University Medical Center

Rockland County Community Health Assessment in a Nutshell

(Source: All information including data have been copied from the Rockland County Community Health Assessment 2005-2010 by the Rockland County Department of Health, unless otherwise noted). For complete report of the community health assessment, please click on the button above.


Rockland County is located approximately 30 miles north of Manhattan on the west side of the Hudson River. The County is a popular residence for people who commute to jobs in nearby Westchester and Bergen Counties, as well as Manhattan. This county of 115,000 acres contains more than 35,000 acres of preserved open space and parkland.

Race and Ethnicity

The Rockland County population is approximately:

*72% White 

*11% Black

*10% Hispanic 


Median household income—Median household income in the county was $67,971 in 1999, but the median ranged dramatically from a low of $26,875 in zip code 10976 (Sparkill) to a high of $106,416 in zip code 10994 (West Nyack) (NY Medical College, 2002).

Key Findings:

 • The aged population is growing, particularly the 85-and-older population. The 85+ group will likely be in need of greater health services as they age in place, or return from retirement in other states to be nearer to family. 

 • The County has experienced substantial growth in the newly-immigrated, foreign-born population, and in the number of non-English speakers. These persons face special challenges in accessing primary and other health care, due to barriers of language, cultural differences, and cost. 

 • Pockets of poverty exist despite low overall poverty rates for the County. The pockets of poverty in Monsey, Spring Valley, and Haverstraw are persistent and substantial. 

 • Rates of uninsured are lower in Rockland County than nationwide, and the increase in Medicaid eligibles, Child Health Plus, and Family Health Plus enrollments indicates the related efforts in the last several years in Rockland County have had an impact. However, those who still lack insurance are likely to be difficult to reach, and are likely to be new immigrants, both documented and undocumented.

Morbidity and Mortality

Deaths in Rockland County in 2000 totaled 2,083, or 726.4 per 100,000 population, compared with a rate of 829.5 statewide. 

*Heart disease and cancer were the leading causes of death in Rockland County. 

        For those ages 65 and older, the leading causes of death were       cardiovascular disease, cancer, cerebrovascular disease, chronic lower respiratory disease (CLRD), and pneumonia (frequently a complication of hospitalization for another illness). 

        Among persons ages 45 to 64, the leading causes of death were cancer, cardiovascular disease, accidents, chronic obstructive pulmonary disease (COPD), and cerebrovascular disease. 

        For persons ages 25 to 44, leading causes of death were cancer, accidents, heart disease, HIV/AIDS, and suicide.

Cancer Incidence and Mortality for Rockland County, 2005-2009
Source: New York State Cancer Registry 


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