1 MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTH DIVISION OF DISEASE CONTROL OFFICE OF EPIDEMIOLOGY HEAT-ASSOCIATED DEATHS IN MARICOPA COUNTY, AZ ADDENDUM TO THE 2012 FINAL REPORT WITH RESOLUTION TO TWO PENDING CASES 10/3/2014 2 Table of Contents Background ............................................................................................................................................... 3 Results of the Pending Cases .................................................................................................................... 3 Table 1: Identifying Characteristics of the Two Pending Cases ........................................................... 3 Preliminary and Final Results ................................................................................................................... 4 Table 2: Heat Associated Deaths by Classification .............................................................................. 4 Table 3: Heat Associated Deaths by Place of Residence ...................................................................... 4 Table 4: Heat Associated Deaths by Gender ........................................................................................ 4 Table 5: Heat Associated Deaths by Age Group .................................................................................. 5 Table 6: Heat Associated Deaths by Number of Years Spent in Arizona ............................................ 5 Table 7: Heat Associated Deaths by Race/Ethnicity .......................... Error! Bookmark not defined. Table 8: Heat Associated Deaths by Place of Injury ............................................................................ 6 Table 9: Heat Associated Deaths by Place of Outdoor Injury .............................................................. 7 Table 10: Heat Associated Deaths by Residency Status ....................................................................... 7 Table 11: Heat Associated Deaths by Drug & Alcohol Use (Death Certificate).................................. 8 Table 12: Heat Associated Deaths by Drug & Alcohol Use (Medical Examiner) ............................... 8 3 Background This addendum is a continuation of the 2012 Final Heat-Associated Death Report and includes a summarization of the two heat-associated deaths that were previously pending. After extensive investigation into the two pending cases, it was found that both cases were legitimate heatassociated deaths. In this report you will find a table depicting the history and demographics of the two previously pending heat-associated deaths, followed by a series of tables depicting the preliminary 2012 results compared to the final 2012 results Final Results of the Two Pending Cases Table 1 Identifying Characteristics of the Two Pending Cases Case #1 Case #2 Heat Caused Heat Caused Female Female 68 54 65-74 50-64 65 16 White African American Outdoor Outdoor Place of Outdoor Injury Urban Area Car Air Conditioning Status N/A N/A Non-Homeless Non-Homeless No No Out of Jurisdiction (Pinal County) Maricopa County Date of Injury 8/30/2012 10/20/2012 Date of Death 10/23/2012 10/20/2012 Heat Caused or Heat Related Gender Age Age Group # of Years Spent in Arizona Race Place of Injury Homeless Status Drug/Alcohol Related based on records from the Death Certificate Place of Residency 4 Comparison of the Preliminary and Final Results for the 2012 Heat Mortality Report Table 2 Heat Associated Deaths by Classification Preliminary Results Final Results Heat Related 47 (43.5%) 47 (42.7%) Heat Caused 61 (56.5%) 63 (57.3%) Total 108 (100%) 110 (100%) Table 3 Heat Associated Deaths by Place of Residence Preliminary Results Final Results Maricopa County 86 (82.7%) 87 (82.1%) Non-Maricopa County 11 (10.6%) 12 (11.3%) Non-Arizona 7 (6.7%) 7 (6.6%) Total 104 (100%) 106 (100%) *Excludes 4 cases where residency could not be established **Non-Maricopa County residents include Apache (1), Cochise (1) La Paz (1), Mohave (1), Pinal (2), and other unidentified AZ counties (6). ***Non-Arizona residents include seven U.S. residents (AR, CA (3), IA, MN) and one non-US resident (Mexico) Table 4 Heat Associated Crude Deaths by Gender Preliminary Results Final Results Total # Males 71 (65.7%) 71 (64.5%) Total # Females 37 (34.3%) 39 (35.5%) Total 108 (100%) 110 (100%) 5 Table 5 Heat Associated Deaths by Age Group Preliminary Results Final Results 0-4 2 (1.9%) 2 (1.8%) 5-19 1 (0.9%) 1 (0.9%) 20-34 4 (3.7%) 4 (3.6%) 35-49 21 (19.4%) 21 (19.1%) 50-64 36 (33.3%) 37 (33.6%) 65-74 15 (13.9%) 16 (14.6%) 75+ 29 (26.9%) 29 (26.4%) Total 108 (100%) 110 (100%) Table 6 Heat Associated Deaths by Number of Years Spent in Arizona Preliminary Results Final Results <3 8 (8.5%) 8 (8.3%) 3-9 9 (9.6%) 9 (9.4%) 10-19 17 (18.1%) 18 (18.8%) 20+ 60 (63.8%) 61 (63.5%) Total 94 (100%) 96 (100%) *Excludes fourteen cases for which time spent in Arizona was unknown at time of analysis 6 Table 7 Heat Associated Deaths by Race/Ethnicity Preliminary Results Final Results White 59 (2.6) 59 (2.6) Hispanic 16 (1.4) 16 (2.2) African American 3 (1.6) 4 (1.6) Asian/Pacific Islander 3 (2.0) 3 (2.0) Native American 4 (6.4) 4 (6.4) Total Rates: 85 (2.2) 86 (2.3) *Preliminary results exclude twenty-three cases that were not Maricopa County **Final results exclude twenty-four cases that were not Maricopa County Table 8 Heat Associated Deaths by Place of Injury Preliminary Results Final Results Indoor 45 (41.7%) 45 (41.0%) Outdoor 62 (57.4%) 64 (58.2%) Unknown 1 (0.9%) 1 (0.9%) Total 108 (100%) 110 (100%) 7 Table 9 Heat Associated Deaths by Place of Outdoor Injury Preliminary Results Final Results Urban Area 22 (35.5%) 23 (35.9%) Desert Area/Trail 10 (16.1%) 10 (15.6%) Private Residence 17 (27.4%) 17 (26.6%) Car 13 (21%) 14 (21.9%) Total 62 (100%) 64 (100%) Table 10 Heat Associated Deaths by Residency Status Preliminary Results Final Results Homeless 9 (8.3%) 9 (8.2%) Non-Homeless 99 (91.7%) 101 (91.8%) Total 108 (100%) 110 (100%) 8 Table 11 Drug and Alcohol Use, as Mentioned on the Death Certificate, for HeatAssociated Deaths by Homelessness Preliminary Results Drug and/or Alcohol Use Preliminary Results ‘No’ Drug and/or Alcohol Use Final Results Drug and/or Alcohol Use Final Results ‘No’ Drug and/or Alcohol Use Homeless 4 (12.5%) 5 (6.6%) 4 (12.5%) 5 (6.4%) NonHomeless 28 (87.5%) 71 (93.4%) 28 (87.5%) 73 (93.6%) Total 32 (100%) 76 (100%) 32 (100%) 78 (100%) Table 12 Drug and Alcohol Use, as Mentioned by the Medical Examiner, for HeatAssociated Deaths by Homelessness Preliminary Results Drug and/or Alcohol Use Preliminary Results ‘No’ Drug and/or Alcohol Use Final Results Drug and/or Alcohol Use Final Results ‘No’ Drug and/or Alcohol Use Homeless 4 (10%) 5 (7.4%) 4 (10%) 5 (7.1%) NonHomeless 36 (90%) 63 (92.6%) 36 (90%) 65 (92.9%) Total 40 (100%) 68 (100%) 40 (100%) 70 (100%)