Public health staff presented a disaggregated analysis of Asian and Pacific Islander (API) health indicators to the Health and Hospital Committee, showing that treating Asian residents as a single group masks substantial differences across subgroups.

Dr. Wayne Enenoria, chief science officer, said Asians make up nearly 40% of county residents and that Chinese and Asian Indian residents are the largest subgroups. He pointed to disparities in median household income (Asian Indian median cited at about $231,208 versus Vietnamese at about $101,000), educational attainment (Asian Indian bachelor’s degree rate ~90.6% versus Vietnamese ~32.8%), and life expectancy (Chinese residents shown with roughly seven years longer life expectancy than Filipino and Vietnamese residents in the 2020–2024 window).

Cause‑specific data also showed variation: higher all‑cause mortality among Vietnamese and Filipino residents, and elevated COVID‑19 death rates for Filipino (47.3 deaths per 100,000) and Vietnamese (37.2 per 100,000) residents over the 2020–2024 period. The presenter cautioned that some subgroup rates were not shown when numerators were too small to produce stable estimates.

Public health staff said data gaps stem in part from state and federal reporting systems that do not consistently collect detailed subgroup fields; they are working with the county executive’s office to standardize what locally controlled datasets can include. Committee members asked about sustaining programs such as a community health worker (CHW) initiative that had supported API outreach; staff said CHW funding had been time‑limited and that continuation would require budgeted resources or alternative funding.

Supervisors expressed support for continuing disaggregated analysis, using these findings to target services and pursue partnerships to sustain outreach programs.