Bisti/De-Na-Zin Wilderness (Bisti Badlands) is a 45,000-acre wilderness area full of rock formations made of sandstone, shale, mudstone, and silt.
The La Plata Mountains, seen from San Juan County, are a small subrange of the San Juan Mountains in sw Colorado, and includes Hesperus Mountain at 13,332 feet.
Angel Peak Scenic Area is located 15 miles south of Bloomfield in San Juan County, with over 10,000 acres of rugged terrain, badlands and deep canyons.
The Aztec Ruins National Monument, on 318 acres, consists of dwellings and sacred structures built by Ancient Pueblo Indians in the 12th and 13th Centuries.
The San Juan River is a 383 mile long major tributary of the Colorado River and a primary drainage for the Four Corners.
Navajo Lake is a 3800 feet long and 400 feet deep reservoir located in northeastern San Juan County, created from a dam completed in 1962.
Shiprock (Tsé Bitʼaʼí, "rock with wings") is a 27 million year old volcanic rock formation, designated as a National Natural Landmark, rising 1,583 feet above the desert.
The eggs and hoodoos in the Bisti Wilderness were formed in sand and silt revealed 73 million years ago when the Western Interior Seaway receded.

Health & Access to Care


Covid-19 Pandemic

San Juan County has experienced a higher than average death rate due to COVID-19. As of March 29th, 2021, there were 13,831 known cases and 463 deaths, giving a rate of 373.5 deaths per 100,000 population.

To put the number of deaths into perspective, in 2019, there were a total of 1,182 deaths across the county. Deaths due to the three leading causes of death included 203 due to heart disease, 203 due to cancer, and 123 due to unintentional injury. Thus, Covid-19 was the "leading cause of death" in 2020.
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Deaths due to Covid-19 (as of March 29, 2021)

Self-Rated Health

Self-reported health is an indicator of quality of life. On the BRFSS, CDC's telephone survey with adults, respondents are asked, "Would you say that in general your health is Excellent, Very Good, Good, Fair or Poor?" In San Juan County in 2019, 39% rated their health as "Very good" or "Excellent," compared to 45% in New Mexico. And, 22% rated their health as "Fair" or "Poor," compared to 20% in New Mexico and 18% across the U.S.

The survey also asks, “Thinking about your physical health, which includes physical illness and injury, for how many days during the past 30 days was your physical health not good?” In San Juan County, on the 2019 BRFSS survey, 16.3% reported that 14 or more days were "not good," compared to 13.7% across New Mexico.

In addition, 14.8% of the population in San Juan County is estimated has having a disability, compared to 15.3% of the population in New Mexico and 12.6% of the U.S. population. 

Self-Rated Health as "Fair" or "Poor"
Frequent Physical Distress
14 or more days "not good"
Physically

Self-Rated Health - Race/Ethnicity and Sex

The graph below shows self-rated "fair" or "poor" health by race/ethnicity and by sex. Native Americans in San Juan County are somewhat more likely than Whites and Hispanics to rate their health as "fair" or "poor." 

Barriers to Accessing Health Care

Lack of health insurance is a significant barrier to obtaining health care. There has been considerable improvement in health insurance coverage. Lack of insurance decreased from 25.6% in 2010-14 estimate, to the current 14% for 2015-19. San Juan County's uninsured rates are consistently higher than New Mexico and U.S. rates.

Other barriers, including rates of not being able to access health care due to cost and not having a PCP or primary care provider are similar in San Juan County and New Mexico, but somewhat below rates for the U.S. overall.

Uninsured
Lack Health Insurance
All ages
No Primary Care Provider
(2017-2019 Ave.)
Unable to get Care
Due to Cost

Availability of Health Professionals

According to a study conducted by the University of New Mexico's Health Care Workforce Committee, San Juan County has a ratio of 1.03 health care provider per 1,000 population. That is below New Mexico's ratio of 1.4 and the "benchmark" of 1.7. San Juan is ranked 19th among New Mexico's counties.

In their definition, primary care provider includes all medical doctors (MDs), doctors of osteopathy (DOs), certified nurse practitioners (CNPs), clinical nurse specialists (CNSs), and physician assistants (PAs) who specialize in family practice, family medicine, general practice, general pediatrics or general internal medicine.

Looking specifically at PCP's, most recent data from County Health Rankings (for 2017) reported the ratio of PCPs (Primary Care Physicians) is 1 to 1790 in San Juan County, compared to 1:1340 across New Mexico, and a U.S. 90th percentile benchmark of 1:1030. 

COVID Data: 
State and National: https://covid.cdc.gov/covid-data-tracker/#cases_deathsper100k
State and County: https://cvprovider.nmhealth.org/public-dashboard.html# 

Self-ratings of Health and Barriers to Care: Behavioral Risk Factor Surveillance System (BRFSS), CDC. Retrieved from New Mexico's Indicator-Based Information System (NM-IBIS). https://ibis.health.state.nm.us/query/selection/brfss/_BRFSSSelection.html

Health Insurance Coverage: U.S. Bureau of the Census, American Community Survey, 5-year estimates, Table S2701. Direct Link to San Juan County.

Availability of Health Care Professions: Retrieved from County Health Rankings https://www.countyhealthrankings.org
Direct Link to Health Care Professions Data
The Behavioral Risk Factor Surveillance System (BRFSS) is the Centers for Disease Control (CDC) volunteer telephone survey with adults across the U.S. These data area most readily available from New Mexico's Indicator-Based Information System (NM-IBIS). Additional information is available from the CDC website: https://www.cdc.gov/brfss/

5-year estimates are provided for Health Care Insurance. Note that most recent 2019 1-year ACS estimates are similar, with an estimated 13.9% uninsured.

© 2021 San Juan County Partnership, Inc. All Rights Reserved.