The Jackson County Department of Public Health worked with local community agencies and members to complete the 2018 Community Health Assessment (CHA). The CHA is the foundation for improving and promoting the health of community members. The role of the CHA is to identify factors that affect the health of a population and determine the availability of resources within the community to adequately address these factors. The CHA is a year-long process that leads to a full report of the community’s health. The CHA compares the most recent health trends of Jackson County to the region and the state. Jackson County’s top three leading causes of death (cancer, heart disease, and chronic lower respiratory disease) are right in line with our region and the state. For the first time, during the 2012-2016 time period, Jackson County’s unintentional poisoning rate rose above the regional and state averages. During 2017, there were 8 unintentional opioid related deaths in Jackson County, with 50% of them including heroin, fentanyl, of fentanyl analogues. In Jackson County, 47% of the population reported that their lives have been negatively affected by substance abuse (either their own or someone else’s). Other issues to watch in our community include access to affordable housing, homelessness, mental health, and poverty. It is important to keep an eye on each of these issues as programs and projects are being planned in the community.