Maricopa County Health Status Report 2009-2013 Five Year Trends Reference Tables Prepared by the Maricopa County Department of Public Health Office of Epidemiology July. 2015 Maricopa County Acknowledgements This report was prepared by the Maricopa County Department of Public Health, Disease Control Division, Office of Epidemiology: Hovi Nguyen, MPH, Epidemiologist Keely Muertos, MPH, Return on Investment Epidemiologist Kyle Gardner, MSPH, CHES, Epidemiologist Lia Koski, MPH, Epidemiologist Jackie Ward, MS, Epidemiology Supervisor Kate Goodin, MPH, Epidemiology and Data Services Program Manager Rebecca Sunenshine, MD, Medical Director & Administrator of Disease Control Division The authors wish to thank the following individuals and organizations for contributing numeric data, consultation, and other information used in this report. Their assistance is appreciated. Maricopa County Department of Public Health, Disease Control Division, Office of Epidemiology: Carrie Walker, MPH Denise Lopez, BS, BA Jigna Narang, MPH Melissa Kretschmer, MPH Ron Klein, RN Maricopa County Department of Public Health, Division of Clinical Services: Tom Mickey, STD/HIV Program Manager Angelito Bravo, Refugee Program Manager Matthew Parker, Epidemiologist Arizona Department of Health Services: Julia Skinner, Capacity Building Epidemiologist, Bureau of Epidemiology and Disease Control Donna Courtney, Program Administrator, Bureau of Public Health Statistics Teresa Jue, Electronic Disease Surveillance Epidemiologist, Bureau of Epidemiology and Disease Control Jonathan Gonzales, HIV Epidemiologist, Bureau of Epidemiology and Disease Control Judy Bass, AZ BRFSS Coordinator, Bureau of Public Health Statistics James Blackwell, Public Health Statistics Epidemiologist, Bureau of Public Health Statistics S. Robert Bailey, Acting Bureau Chief, Bureau of Public Health Statistics For additional copies of this report, please call the Maricopa County Department of Public Health, Office of Epidemiology at 602.372.2605. This report may also be found at http://www.maricopa.gov/publichealth/Services/EPI/Reports/ under “Health Status Reports.” Permission to quote or reproduce materials from this report is granted when due acknowledgement is made. Suggested citation: Maricopa County Department of Public Health, Office of Epidemiology. Maricopa County Health Status Report 2009-2013, Five Year Trends: Reference Tables. Phoenix (AZ): 2015. Maricopa County Health Status Report 2009-2013 Five Year Trends: Reference Tables Table of Contents Introduction 1 I. Maricopa County Population Statistics – 2009-2013 Tables 2 Table 1.01 Table 1.10 Table 1.11 Population Estimates – Age by Gender, Race/Ethnicity by Gender, and Age by Race/Ethnicity 2013 Population Estimates by Gender, Age, and Race/Ethnicity, 2013 Population Estimates – Age by Gender, Race/Ethnicity by Gender, and Age by Race/Ethnicity 2012 Population Estimates by Gender, Age, and Race/Ethnicity, 2012 Population Estimates – Age by Gender, Race/Ethnicity by Gender, and Age by Race/Ethnicity 2011 Population Estimates by Gender, Age, and Race/Ethnicity, 2011 Population Estimates - Age by Gender, Race/Ethnicity by Gender, and Age by Race/Ethnicity 2010 Population Estimates by Gender, Age, and Race/Ethnicity, 2010 Population Estimates- Age by Gender, Race/Ethnicity by Gender, and Age by Race/Ethnicity 2009 Population Estimates by Gender, Age, and Race/Ethnicity, 2009 Maricopa County, Phoenix, and Arizona Population 1980-2013 II. Maricopa County Five-Year Health Trends 14 Table 2.01a Table 2.01b Table 2.02a Table 2.02b Selected Underlying Causes of Death 2009-2013, Number of Deaths Selected Underlying Causes of Death 2009-2013, Crude Death Rate per 100,000 Residents Other Selected Underlying Causes of Death 2009-2013, Number of Deaths Other Selected Underlying Causes of Death 2009-2013, Crude Death Rate per 100,000 Residents Firearm, Drug, and Alcohol Induced and Related Deaths 2009-2013, Number of Deaths Firearm, Drug, and Alcohol Induced and Related Deaths 2009-2013, Crude Death Rate per 100,000 Residents Selected Maternal & Child Health Indicators, 2009-2013 Selected Maternal & Child Health Indicator Percentages, 2009-2013 Number of Births by Maternal Indicators for Infant Mortality Rate 2009-2013 Infant Mortality by Race/Ethnicity of Mother, 2009-2013 (Linked) Infant Mortality Rates by Race/Ethnicity of Mother, 2009-2013 (Linked), Infant Mortality per 1,000 Live Births Infant Mortality by Age of Mother 2009-2013 (Linked) Infant Mortality Rates by Age of Mother 2009-2013 (Linked), Infant Mortality per 1,000 Live Births Infant Mortality by Educational Level of Mother 2009-2013 (Linked) Infant Mortality Rates by Educational Level of Mother 2009-2013 (Linked), Infant Mortality per 1,000 Live Births Infant Mortality by Birth weight 2009-2013 (Linked) Infant Mortality Rates by Birth weight 2009-2013 (Linked), Infant Mortality per 1,000 Live Births Infant Mortality and Rates by Age of Infant 2009-2013 (Linked & Unlinked) 15 16 17 18 Table 1.02 Table 1.03 Table 1.04 Table 1.05 Table 1.06 Table 1.07 Table 1.08 Table 1.09 Table 2.03a Table 2.03b Table 2.04a Table 2.04b Table 2.05 Table 2.06a Table 2.06b Table 2.07a Table 2.07b Table 2.08a Table 2.08b Table 2.09a Table 2.09b Table 2.10 3 4 5 6 7 8 9 10 11 12 13 19 19 20 21 22 22 22 23 23 23 23 24 24 25 Maricopa County Health Status Report 2009-2013 Five Year Trends: Reference Tables Table of Contents Table 2.11a Table 2.11b Table 2.12a Table 2.12b Table 2.13a Table 2.13b Table 2.14a Table 2.14b Table 2.15 Table 2.16a Table 2.16b Table 2.17a Table 2.17b III. Infant Mortality by Age of Infant and Race/Ethnicity of Mother 2009-2013 (Linked) Infant Mortality Rates by Age of Infant and Race/Ethnicity of Mother 2009-2013 (Linked), Infant Mortality per 1,000 Live Births Infant Mortality by Race/Ethnicity of Infant 2009-2013 (Unlinked) 25 26 Infant Mortality Rates by Race/Ethnicity of Infant 2009-2013 (Unlinked), Infant Mortality per 1,000 Live Births Number of Confirmed and Probable Cases of Selected Reported Diseases 2009-2013 Case Rates per 100,000 Residents for Selected Reportable Diseases 2009-2013 Congenital Syphilis by Race/Ethnicity and Year, Number of Cases, 2009-2013 Congenital Syphilis by Race/Ethnicity and Year, Case Rates per 100,000 Live Births, 20092013 Hansen’s Disease Prevalence Primary Diagnosis Groups, Inpatient Hospitalizations, 2009-2013, Number of Discharges Primary Diagnosis Groups, Inpatient Hospitalizations, 2009-2013, Crude Hospitalization Rate per 100,000 Residents Primary Diagnosis Groups, Emergency Department, 2009-2013, Number of Discharges Primary Diagnosis Groups, Emergency Department, 2009-2013, Crude Hospitalization Rate per 100,000 Residents 26 Technical Notes 42 26 27 28 29 29 29 30 33 36 39 Introduction This report provides health status information for the years 2009 to 2013 for residents of Maricopa County, Arizona. It includes data for mortality (death), communicable diseases, and natality (birth), as well as information on the size and demographic distribution of the population. For each disease or health indicator, the following information is provided:  Number of cases in the county     Mortality Disease Example: 6,008 residents of Maricopa County died due to cancer in 2013.* Communicable Disease Example: 443 residents of Maricopa County were diagnosed with a confirmed or probable case of Pertussis in 2013. Natality (Birth) Example: There were 597 infants born with a very low birth weight (less than 1500 grams) in 2013. Rate or percentage of cases in the county    Mortality Disease Example: For every 100,000 residents of Maricopa County, 149.8 died due to cancer in 2013.* Communicable Disease Example: For every 100,000 residents of Maricopa County, 11.0 were diagnosed with Pertussis in 2013. Natality (Birth) Example: Among all live births in 2013, 1.1% were born with a very low birth weight. All data in this report are for calendar years 2009 through 2013. Information on data sources and methodology are in Section III – Technical Notes. *Except where noted, the cause of death is the underlying cause of death, which is the condition that began the sequence of death. See Technical Notes for more information on the underlying cause of death. 1 I. Maricopa County Population Statistics 2009-2013 Tables 2 Maricopa County Five-Year Trends Population Statistics Table 1.01 Population Estimates – Age by Gender, Race/Ethnicity by Gender, and Age by Race/Ethnicity 2013 Age by Gender Age 0-4 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ Total Race/Ethnicity by Gender Males No. % 138,798 147,434 146,393 140,650 145,812 288,833 268,916 257,322 208,470 143,933 72,811 24,801 7.0% 7.4% 7.4% 7.1% 7.3% 14.6% 13.6% 13.0% 10.5% 7.3% 3.7% 1.2% 1,984,173 Females No. % 133,026 141,785 140,257 132,809 139,623 278,922 269,129 262,621 230,539 165,136 88,886 42,506 6.6% 7.0% 6.9% 6.6% 6.9% 13.8% 13.3% 13.0% 11.4% 8.2% 4.4% 2.1% 2,025,239 Total No. 271,824 289,219 286,650 273,459 285,435 567,755 538,045 519,943 439,009 309,069 161,697 67,307 Race/Ethnicity Males % No. 6.8% 7.2% 7.1% 6.8% 7.1% 14.2% 13.4% 13.0% 10.9% 7.7% 4.0% 1.7% Females No. % % White Hispanic African American Amer. Ind., Non-Hisp Asian Other/2+ Races 1,133,947 605,809 100,329 30,940 74,489 38,659 Total 1,984,173 57.1% 30.5% 5.1% 1.6% 3.8% 1.9% 1,173,715 597,412 97,061 34,878 82,336 39,837 58.0% 29.5% 4.8% 1.7% 4.1% 2.0% 2,025,239 4,009,412 Age by Race/Ethnicity Age 0-4 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ Total White Hispanic No. % 110,301 118,889 124,798 122,464 134,005 294,015 292,216 334,881 326,349 252,187 137,800 59,757 4.8% 5.2% 5.4% 5.3% 5.8% 12.7% 12.7% 14.5% 14.1% 10.9% 6.0% 2.6% 2,307,662 No. 118,816 127,890 121,809 112,770 109,234 190,599 171,319 125,493 71,244 34,685 14,589 4,773 1,203,221 African American % No. % 9.9% 10.6% 10.1% 9.4% 9.1% 15.8% 14.2% 10.4% 5.9% 2.9% 1.2% 0.4% 14,819 15,208 15,180 15,897 17,715 31,292 27,973 25,907 18,673 9,494 3,969 1,263 7.5% 7.7% 7.7% 8.1% 9.0% 15.9% 14.2% 13.1% 9.5% 4.8% 2.0% 0.6% 197,390 American Indian No. % 5,681 5,537 5,128 5,012 6,972 12,553 9,288 7,554 4,734 2,291 804 264 8.6% 8.4% 7.8% 7.6% 10.6% 19.1% 14.1% 11.5% 7.2% 3.5% 1.2% 0.4% 65,818 Asian No. 9,855 10,670 9,859 9,033 10,375 28,611 29,737 20,767 14,610 8,529 3,768 1,011 156,825 Other/2+ Races % 6.3% 6.8% 6.3% 5.8% 6.6% 18.2% 19.0% 13.2% 9.3% 5.4% 2.4% 0.6% No. 12,352 11,025 9,876 8,283 7,134 10,685 7,512 5,341 3,399 1,883 767 239 % 15.7% 14.0% 12.6% 10.6% 9.1% 13.6% 9.6% 6.8% 4.3% 2.4% 1.0% 0.3% 78,496 Total No. 271,824 289,219 286,650 273,459 285,435 567,755 538,045 519,943 439,009 309,069 161,697 67,307 4,009,412 Source: United States Census, Population Estimates Division. Data on this page were used for calculating all rates (denominators) in this report for 2013. 3 Maricopa County Five-Year Trends Population Statistics Table 1.02 Population Estimates by Gender, Age, and Race/Ethnicity 2013 Females Age White No. 0-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75+ Total 53,738 58,229 60,849 59,100 65,975 72,028 72,386 67,675 76,882 79,290 89,761 88,145 83,024 75,637 58,201 112,795 % Hispanic No. % 4.6% 5.0% 5.2% 5.0% 5.6% 6.1% 6.2% 5.8% 6.6% 6.8% 7.6% 7.5% 7.1% 6.4% 5.0% 9.6% 58,216 62,758 59,795 55,095 53,024 46,587 46,166 45,129 41,021 34,206 28,256 21,345 15,605 11,328 7,430 11,451 1,173,715 9.7% 10.5% 10.0% 9.2% 8.9% 7.8% 7.7% 7.6% 6.9% 5.7% 4.7% 3.6% 2.6% 1.9% 1.2% 1.9% 597,412 African American No. % 7,230 7,357 7,237 7,607 8,457 7,645 7,444 6,742 6,887 6,399 6,445 5,240 4,167 2,946 2,155 3,103 7.4% 7.6% 7.5% 7.8% 8.7% 7.9% 7.7% 6.9% 7.1% 6.6% 6.6% 5.4% 4.3% 3.0% 2.2% 3.2% 97,061 American Indian No. % 2,762 2,782 2,544 2,486 3,586 3,499 3,149 2,690 2,367 2,289 1,996 1,570 1,142 809 539 668 7.9% 8.0% 7.3% 7.1% 10.3% 10.0% 9.0% 7.7% 6.8% 6.6% 5.7% 4.5% 3.3% 2.3% 1.5% 1.9% 34,878 Asian No. % 4,973 5,329 4,958 4,473 4,912 6,580 7,839 7,900 7,868 6,011 5,181 4,503 3,966 3,003 2,037 2,803 6.0% 6.5% 6.0% 5.4% 6.0% 8.0% 9.5% 9.6% 9.6% 7.3% 6.3% 5.5% 4.8% 3.6% 2.5% 3.4% 82,336 Other/2+ Races No. % 6,107 5,330 4,874 4,048 3,669 2,889 2,710 2,094 1,874 1,446 1,341 1,006 826 633 418 572 15.3% 13.4% 12.2% 10.2% 9.2% 7.3% 6.8% 5.3% 4.7% 3.6% 3.4% 2.5% 2.1% 1.6% 1.0% 1.4% 39,837 Total No. 133,026 141,785 140,257 132,809 139,623 139,228 139,694 132,230 136,899 129,641 132,980 121,809 108,730 94,356 70,780 131,392 2,025,239 Males 0-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75+ Total 56,563 60,660 63,949 63,364 68,030 75,518 74,083 68,465 79,194 79,048 86,782 81,418 73,762 67,464 50,885 84,762 1,133,947 5.0% 5.3% 5.6% 5.6% 6.0% 6.7% 6.5% 6.0% 7.0% 7.0% 7.7% 7.2% 6.5% 5.9% 4.5% 7.5% 60,600 65,132 62,014 57,675 56,210 49,672 48,174 45,038 40,131 34,858 28,173 20,090 14,204 9,854 6,073 7,911 605,809 10.0% 10.8% 10.2% 9.5% 9.3% 8.2% 8.0% 7.4% 6.6% 5.8% 4.7% 3.3% 2.3% 1.6% 1.0% 1.3% 7,589 7,851 7,943 8,290 9,258 8,330 7,873 7,111 7,233 6,548 6,515 5,376 3,890 2,705 1,688 2,129 100,329 7.6% 7.8% 7.9% 8.3% 9.2% 8.3% 7.8% 7.1% 7.2% 6.5% 6.5% 5.4% 3.9% 2.7% 1.7% 2.1% 2,919 2,755 2,584 2,526 3,386 3,208 2,697 2,234 1,997 1,703 1,566 1,220 802 602 341 400 30,940 9.4% 8.9% 8.4% 8.2% 10.9% 10.4% 8.7% 7.2% 6.5% 5.5% 5.1% 3.9% 2.6% 1.9% 1.1% 1.3% 4,882 5,341 4,901 4,560 5,463 7,071 7,121 7,187 6,782 5,147 4,428 3,421 2,720 1,990 1,499 1,976 74,489 6.6% 7.2% 6.6% 6.1% 7.3% 9.5% 9.6% 9.6% 9.1% 6.9% 5.9% 4.6% 3.7% 2.7% 2.0% 2.7% 6,245 5,695 5,002 4,235 3,465 2,684 2,402 1,939 1,605 1,325 1,229 941 626 488 344 434 16.2% 14.7% 12.9% 11.0% 9.0% 6.9% 6.2% 5.0% 4.2% 3.4% 3.2% 2.4% 1.6% 1.3% 0.9% 1.1% 38,659 138,798 147,434 146,393 140,650 145,812 146,483 142,350 131,974 136,942 128,629 128,693 112,466 96,004 83,103 60,830 97,612 1,984,173 Source: United States Census, Population Estimates Division. Data on this page were used for calculating all rates (denominators) in this report for 2013. 4 Maricopa County Five-Year Trends Population Statistics Table 1.03 Population Estimates – Age by Gender, Race/Ethnicity by Gender, and Age by Race/Ethnicity 2012 Age by Gender Age 0-4 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ Total Race/Ethnicity by Gender Males No. 139,924 146,630 144,728 139,768 145,910 282,391 266,104 253,621 202,252 135,459 69,976 23,425 % 7.2% 7.5% 7.4% 7.2% 7.5% 14.5% 13.6% 13.0% 10.4% 6.9% 3.6% 1.2% 1,950,188 Females No. 134,235 140,381 138,735 131,531 139,243 274,841 265,855 259,903 224,342 154,693 86,834 41,388 % 6.7% 7.0% 7.0% 6.6% 7.0% 13.8% 13.3% 13.0% 11.3% 7.8% 4.4% 2.1% 1,991,981 Total No. 274,159 287,011 283,463 271,299 285,153 557,232 531,959 513,524 426,594 290,152 156,810 64,813 Race/Ethnicity Males % No. 7.0% 7.3% 7.2% 6.9% 7.2% 14.1% 13.5% 13.0% 10.8% 7.4% 4.0% 1.6% White Hispanic African American Amer. Ind., Non-Hisp Asian Multiple Races 1,121,040 595,305 96,631 29,434 71,216 36,562 Total 1,950,188 % 57.5% 30.5% 5.0% 1.5% 3.7% 1.9% Females No. % 1,161,501 586,689 93,659 33,428 79,095 37,609 58.3% 29.5% 4.7% 1.7% 4.0% 1.9% 1,991,981 3,942,169 Age by Race/Ethnicity Age 0-4 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ Total White No. 108,518 119,355 124,575 122,382 138,129 289,625 292,855 336,873 320,473 237,754 134,139 57,863 2,282,541 % 4.8% 5.2% 5.5% 5.4% 6.1% 12.7% 12.8% 14.8% 14.0% 10.4% 5.9% 2.5% Hispanic No. 124,913 126,666 119,883 111,759 106,013 187,978 167,974 119,416 67,018 32,072 13,991 4,311 1,181,994 % 10.6% 10.7% 10.1% 9.5% 9.0% 15.9% 14.2% 10.1% 5.7% 2.7% 1.2% 0.4% African American No. % 14,269 14,765 15,114 15,627 17,240 29,737 27,018 25,123 17,722 8,635 3,780 1,260 190,290 7.5% 7.8% 7.9% 8.2% 9.1% 15.6% 14.2% 13.2% 9.3% 4.5% 2.0% 0.7% American Indian No. % 5,195 5,322 4,858 5,066 6,926 11,867 8,856 7,355 4,373 2,108 712 224 62,862 8.3% 8.5% 7.7% 8.1% 11.0% 18.9% 14.1% 11.7% 7.0% 3.4% 1.1% 0.4% Asian No. 9,550 10,295 9,549 8,680 10,230 27,994 28,178 19,768 13,764 7,905 3,475 923 150,311 % 6.4% 6.8% 6.4% 5.8% 6.8% 18.6% 18.7% 13.2% 9.2% 5.3% 2.3% 0.6% Multiple Races No. % Total No. 11,714 10,608 9,484 7,785 6,615 10,031 7,078 4,989 3,244 1,678 713 232 274,159 287,011 283,463 271,299 285,153 557,232 531,959 513,524 426,594 290,152 156,810 64,813 15.8% 14.3% 12.8% 10.5% 8.9% 13.5% 9.5% 6.7% 4.4% 2.3% 1.0% 0.3% 74,171 3,942,169 Source: United States Census, Population Estimates Division. Data on this page were used for calculating all rates (denominators) in this report for 2012. 5 Maricopa County Five-Year Trends Population Statistics Table 1.04 Population Estimates by Gender, Age, and Race/Ethnicity, 2012 Females Age 0-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75+ Total White Hispanic No. % No. 53,063 58,142 60,730 58,943 67,942 71,829 70,932 67,208 77,358 81,321 89,221 85,782 82,548 72,121 53,801 110,560 4.6% 5.0% 5.2% 5.1% 5.8% 6.2% 6.1% 5.8% 6.7% 7.0% 7.7% 7.4% 7.1% 6.2% 4.6% 9.5% 58,728 59,834 56,757 52,426 49,294 44,158 44,173 43,210 38,737 31,631 25,851 19,522 14,262 10,210 6,760 10,686 1,161,501 % 10.4% 10.6% 10.0% 9.3% 8.7% 7.8% 7.8% 7.6% 6.8% 5.6% 4.6% 3.4% 2.5% 1.8% 1.2% 1.9% 566,239 African American No. 6,897 7,161 7,270 7,591 8,117 7,222 7,128 6,552 6,574 6,249 6,289 4,899 4,030 2,656 1,978 3,046 % 7.4% 7.6% 7.8% 8.1% 8.7% 7.7% 7.6% 7.0% 7.0% 6.7% 6.7% 5.2% 4.3% 2.8% 2.1% 3.3% 93,659 American Indian Non-Hispanic Hispanic No. % No. % 2,591 2,679 2,358 2,522 3,572 3,372 3,033 2,537 2,251 2,238 1,940 1,431 1,087 751 493 573 7.8% 8.0% 7.1% 7.5% 10.7% 10.1% 9.1% 7.6% 6.7% 6.7% 5.8% 4.3% 3.3% 2.2% 1.5% 1.7% 33,428 2,429 2,324 2,122 1,982 2,133 1,731 1,593 1,376 1,214 1,033 894 614 379 255 156 215 11.9% 11.4% 10.4% 9.7% 10.4% 8.5% 7.8% 6.7% 5.9% 5.1% 4.4% 3.0% 1.9% 1.2% 0.8% 1.1% 20,450 Asian No. 4,740 5,116 4,810 4,245 4,816 6,624 7,757 7,682 7,453 5,643 4,995 4,304 3,715 2,719 1,870 2,606 Multiple Races % 6.0% 6.5% 6.1% 5.4% 6.1% 8.4% 9.8% 9.7% 9.4% 7.1% 6.3% 5.4% 4.7% 3.4% 2.4% 3.3% 79,095 No. 5,787 5,125 4,688 3,822 3,369 2,815 2,474 2,005 1,698 1,406 1,192 987 782 563 360 536 % 15.4% 13.6% 12.5% 10.2% 9.0% 7.5% 6.6% 5.3% 4.5% 3.7% 3.2% 2.6% 2.1% 1.5% 1.0% 1.4% 37,609 Total No. 134,235 140,381 138,735 131,531 139,243 137,751 137,090 130,570 135,285 129,521 130,382 117,539 106,803 89,275 65,418 128,222 1,991,981 Males 0-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75+ Total 55,455 61,213 63,845 63,439 70,187 74,263 72,601 68,336 79,953 80,195 86,136 78,706 73,437 64,372 47,460 81,442 1,121,040 4.9% 5.5% 5.7% 5.7% 6.3% 6.6% 6.5% 6.1% 7.1% 7.2% 7.7% 7.0% 6.6% 5.7% 4.2% 7.3% 61,232 62,061 58,901 55,283 52,427 46,661 45,935 42,533 38,101 32,477 25,485 18,002 13,162 8,731 5,565 7,245 573,801 10.7% 10.8% 10.3% 9.6% 9.1% 8.1% 8.0% 7.4% 6.6% 5.7% 4.4% 3.1% 2.3% 1.5% 1.0% 1.3% 7,372 7,604 7,844 8,036 9,123 7,877 7,510 6,870 7,022 6,457 6,128 5,063 3,730 2,449 1,552 1,994 96,631 7.6% 7.9% 8.1% 8.3% 9.4% 8.2% 7.8% 7.1% 7.3% 6.7% 6.3% 5.2% 3.9% 2.5% 1.6% 2.1% 2,604 2,643 2,500 2,544 3,354 2,919 2,543 2,153 1,915 1,655 1,522 1,098 757 551 313 363 29,434 8.8% 9.0% 8.5% 8.6% 11.4% 9.9% 8.6% 7.3% 6.5% 5.6% 5.2% 3.7% 2.6% 1.9% 1.1% 1.2% 2,524 2,447 2,103 2,068 2,159 1,917 1,810 1,515 1,288 1,140 905 678 399 254 141 156 21,504 11.7% 11.4% 9.8% 9.6% 10.0% 8.9% 8.4% 7.0% 6.0% 5.3% 4.2% 3.2% 1.9% 1.2% 0.7% 0.7% 4,810 5,179 4,739 4,435 5,414 6,751 6,862 6,685 6,358 4,985 4,145 3,225 2,520 1,888 1,428 1,792 6.8% 7.3% 6.7% 6.2% 7.6% 9.5% 9.6% 9.4% 8.9% 7.0% 5.8% 4.5% 3.5% 2.7% 2.0% 2.5% 71,216 5,927 5,483 4,796 3,963 3,246 2,543 2,199 1,800 1,575 1,252 1,139 884 591 448 307 409 36,562 16.2% 15.0% 13.1% 10.8% 8.9% 7.0% 6.0% 4.9% 4.3% 3.4% 3.1% 2.4% 1.6% 1.2% 0.8% 1.1% 139,924 146,630 144,728 139,768 145,910 142,931 139,460 129,892 136,212 128,161 125,460 107,656 94,596 78,693 56,766 93,401 1,950,188 Source: United States Census, Population Estimates Division. Data on this page were used for calculating all rates (denominators) in this report for 2012. 6 Maricopa County Five-Year Trends Population Statistics Table 1.05 Population Estimates – Age by Gender, Race/Ethnicity by Gender, and Age by Race/Ethnicity 2011 Age by Sex Race/Ethnicity by Sex Age Males No. 0-4 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ Total % 142,451 143,852 143,262 140,056 143,255 279,501 263,992 251,053 197,641 125,418 67,775 22,519 7.4% 7.5% 7.5% 7.3% 7.5% 14.6% 13.7% 13.1% 10.3% 6.5% 3.5% 1.2% 1,920,775 Females No. % 136,523 138,011 137,444 131,119 135,231 272,190 262,571 257,937 220,140 143,259 84,888 40,156 7.0% 7.0% 7.0% 6.7% 6.9% 13.9% 13.4% 13.2% 11.2% 7.3% 4.3% 2.0% 1,959,469 Total No. 278,974 281,863 280,706 271,175 278,486 551,691 526,563 508,990 417,781 268,677 152,663 62,675 Race/Ethnicity % Males No. 7.2% 7.3% 7.2% 7.0% 7.2% 14.2% 13.6% 13.1% 10.8% 6.9% 3.9% 1.6% White Hispanic African American American Indian Asian Multiple Races 1,110,778 586,430 92,624 29,085 67,035 34,823 Total 1,920,775 Females No. % % 57.8% 30.5% 4.8% 1.5% 3.5% 1.8% 1,149,908 576,166 89,947 33,061 74,588 35,799 58.7% 29.4% 4.6% 1.7% 3.8% 1.8% 1,959,469 3,880,244 Age by Race/Ethnicity Age White No. 0-4 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ Total 111,113 118,491 124,660 123,068 137,437 287,341 293,572 339,296 317,568 220,374 131,383 56,383 2,260,686 Hispanic % 4.9% 5.2% 5.5% 5.4% 6.1% 12.7% 13.0% 15.0% 14.0% 9.7% 5.8% 2.5% No. 127,594 124,219 118,461 111,539 102,888 188,642 164,554 114,454 63,234 29,777 13,307 3,927 1,162,596 African American % 11.0% 10.7% 10.2% 9.6% 8.8% 16.2% 14.2% 9.8% 5.4% 2.6% 1.1% 0.3% No. 14,020 14,102 14,584 15,642 16,190 28,149 26,241 24,444 16,537 7,960 3,594 1,108 182,571 % 7.7% 7.7% 8.0% 8.6% 8.9% 15.4% 14.4% 13.4% 9.1% 4.4% 2.0% 0.6% American Indian No. 5,306 5,177 5,039 5,192 6,916 11,533 8,640 7,330 4,302 1,852 639 220 62,146 % 8.5% 8.3% 8.1% 8.4% 11.1% 18.6% 13.9% 11.8% 6.9% 3.0% 1.0% 0.4% Asian No. 9,500 9,740 8,955 8,241 9,155 26,403 26,826 18,624 13,092 7,185 3,070 832 141,623 Multiple Races % 6.7% 6.9% 6.3% 5.8% 6.5% 18.6% 18.9% 13.2% 9.2% 5.1% 2.2% 0.6% No. 11,441 10,134 9,007 7,493 5,900 9,623 6,730 4,842 3,048 1,529 670 205 % 16.2% 14.3% 12.8% 10.6% 8.4% 13.6% 9.5% 6.9% 4.3% 2.2% 0.9% 0.3% 70,622 Total No. 278,974 281,863 280,706 271,175 278,486 551,691 526,563 508,990 417,781 268,677 152,663 62,675 3,880,244 Source: United States Census, Population Estimates Division. Data on this page were used for calculating all rates (denominators) in this report for 2011. 7 Maricopa County Five-Year Trends Population Statistics Table 1.06 Population Estimates by Gender, Age, and Race/Ethnicity, 2011 Females Age 0-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75+ Total White Hispanic African American American Indian Asian Multiple Races Total No. % No. % No. % No. % No. % No. % No. 54,302 57,737 60,813 59,149 67,165 72,307 69,449 67,668 77,029 83,327 88,567 83,257 83,830 65,997 50,722 108,589 4.7% 5.0% 5.3% 5.1% 5.8% 6.3% 6.0% 5.9% 6.7% 7.2% 7.7% 7.2% 7.3% 5.7% 4.4% 9.4% 62,414 61,058 58,081 54,126 49,578 45,954 45,971 44,174 38,398 31,673 25,469 18,824 14,008 9,636 6,554 10,248 10.8% 10.6% 10.1% 9.4% 8.6% 8.0% 8.0% 7.7% 6.7% 5.5% 4.4% 3.3% 2.4% 1.7% 1.1% 1.8% 6,785 6,827 7,114 7,517 7,573 6,958 6,667 6,449 6,331 6,157 5,998 4,621 3,752 2,483 1,863 2,852 7.5% 7.6% 7.9% 8.4% 8.4% 7.7% 7.4% 7.2% 7.0% 6.8% 6.7% 5.1% 4.2% 2.8% 2.1% 3.2% 2,703 2,550 2,527 2,573 3,587 3,217 2,972 2,485 2,227 2,276 1,873 1,360 1,096 627 457 531 8.2% 7.7% 7.6% 7.8% 10.8% 9.7% 9.0% 7.5% 6.7% 6.9% 5.7% 4.1% 3.3% 1.9% 1.4% 1.6% 4,687 4,888 4,516 4,023 4,293 6,424 7,240 7,559 6,743 5,398 4,687 4,167 3,560 2,438 1,639 2,326 6.3% 6.6% 6.1% 5.4% 5.8% 8.6% 9.7% 10.1% 9.0% 7.2% 6.3% 5.6% 4.8% 3.3% 2.2% 3.1% 5,632 4,951 4,393 3,731 3,035 2,691 2,340 1,894 1,614 1,352 1,160 926 739 504 339 498 15.7% 13.8% 12.3% 10.4% 8.5% 7.5% 6.5% 5.3% 4.5% 3.8% 3.2% 2.6% 2.1% 1.4% 0.9% 1.4% 136,523 138,011 137,444 131,119 135,231 137,551 134,639 130,229 132,342 130,183 127,754 113,155 106,985 81,685 61,574 125,044 1,149,908 576,166 89,947 33,061 74,588 1,959,469 35,799 Males 0-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75+ Total 56,811 60,754 63,847 63,919 70,272 74,450 71,135 69,423 79,452 82,339 85,063 75,994 74,487 58,780 44,875 79,177 1,110,778 5.1% 5.5% 5.7% 5.8% 6.3% 6.7% 6.4% 6.2% 7.2% 7.4% 7.7% 6.8% 6.7% 5.3% 4.0% 7.1% 65,180 63,161 60,380 57,413 53,310 49,081 47,636 43,271 38,711 32,529 24,783 17,497 12,905 8,273 5,314 6,986 586,430 11.1% 10.8% 10.3% 9.8% 9.1% 8.4% 8.1% 7.4% 6.6% 5.5% 4.2% 3.0% 2.2% 1.4% 0.9% 1.2% 7,235 7,275 7,470 8,125 8,617 7,403 7,121 6,761 6,700 6,407 5,882 4,616 3,548 2,142 1,472 1,850 92,624 7.8% 7.9% 8.1% 8.8% 9.3% 8.0% 7.7% 7.3% 7.2% 6.9% 6.4% 5.0% 3.8% 2.3% 1.6% 2.0% 2,603 2,627 2,512 2,619 3,329 2,881 2,463 2,088 1,840 1,664 1,517 1,041 805 453 315 328 29,085 8.9% 9.0% 8.6% 9.0% 11.4% 9.9% 8.5% 7.2% 6.3% 5.7% 5.2% 3.6% 2.8% 1.6% 1.1% 1.1% 4,813 4,852 4,439 4,218 4,862 6,363 6,376 6,628 5,896 4,671 3,868 3,003 2,362 1,761 1,347 1,576 67,035 7.2% 7.2% 6.6% 6.3% 7.3% 9.5% 9.5% 9.9% 8.8% 7.0% 5.8% 4.5% 3.5% 2.6% 2.0% 2.4% 5,809 5,183 4,614 3,762 2,865 2,427 2,165 1,734 1,488 1,227 1,103 801 582 403 283 377 16.7% 14.9% 13.2% 10.8% 8.2% 7.0% 6.2% 5.0% 4.3% 3.5% 3.2% 2.3% 1.7% 1.2% 0.8% 1.1% 34,823 142,451 143,852 143,262 140,056 143,255 142,605 136,896 129,905 134,087 128,837 122,216 102,952 94,689 71,812 53,606 90,294 1,920,775 Source: United States Census, Population Estimates Division. Data on this page were used for calculating all rates (denominators) in this report for 2011. 8 Maricopa County Five-Year Trends Population Statistics Table 1.07 Population Estimates – Age by Gender, Race/Ethnicity by Gender, and Age by Race/Ethnicity 2010 Age by Sex Age 0-4 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ Total Race/Ethnicity by Sex Males No. 144,268 144,340 141,354 142,552 137,531 273,147 263,493 248,168 188,576 118,994 65,158 20,884 % 7.6% 7.6% 7.5% 7.5% 7.3% 14.5% 14.0% 13.1% 10.0% 6.3% 3.5% 1.1% 1,888,465 Females No. 138,502 138,369 135,874 134,347 129,341 267,979 261,105 255,797 209,733 136,394 83,041 38,170 % 7.2% 7.2% 7.0% 7.0% 6.7% 13.9% 13.5% 13.3% 10.9% 7.1% 4.3% 2.0% 1,928,652 Total No. 282,770 282,709 277,228 276,899 266,872 541,126 524,598 503,965 398,309 255,388 148,199 59,054 Race/Ethnicity Males No. % 7.4% 7.4% 7.3% 7.3% 7.0% 14.2% 13.7% 13.2% 10.4% 6.7% 3.9% 1.5% White Hispanic African American American Indian Asian Multiple Races Other 1,100,779 568,138 90,346 27,632 63,813 34,999 2,758 Total 1,888,465 Females No. % 58.3% 30.1% 4.8% 1.5% 3.4% 1.9% 0.1% 1,139,276 560,603 87,144 31,620 71,211 36,048 2,750 % 59.1% 29.1% 4.5% 1.6% 3.7% 1.9% 0.1% 1,928,652 3,817,117 Age by Race/Ethnicity Age 0-4 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ Total White Hispanic African American American Indian Asian Multiple Races Other Total No. % No. % No. % No. % No. % No. % No. % No. 113,519 119,850 124,435 129,055 134,058 281,757 297,869 341,517 305,537 210,666 128,420 53,372 5.1% 5.4% 5.6% 5.8% 6.0% 12.6% 13.3% 15.2% 13.6% 9.4% 5.7% 2.4% 128,894 123,906 115,414 110,053 96,394 185,230 159,349 108,003 58,292 27,316 12,408 3,482 11.4% 11.0% 10.2% 9.8% 8.5% 16.4% 14.1% 9.6% 5.2% 2.4% 1.1% 0.3% 13,966 13,806 14,510 16,103 14,877 27,278 25,922 24,023 15,195 7,478 3,277 1,055 7.9% 7.8% 8.2% 9.1% 8.4% 15.4% 14.6% 13.5% 8.6% 4.2% 1.8% 0.6% 5,126 4,906 4,764 5,460 6,414 10,926 8,376 6,929 3,872 1,705 587 187 8.7% 8.3% 8.0% 9.2% 10.8% 18.4% 14.1% 11.7% 6.5% 2.9% 1.0% 0.3% 9,358 9,519 8,643 8,137 8,950 25,372 25,489 17,733 11,970 6,437 2,714 702 6.9% 7.0% 6.4% 6.0% 6.6% 18.8% 18.9% 13.1% 8.9% 4.8% 2.0% 0.5% 11,301 10,164 8,915 7,561 5,754 9,708 6,876 5,112 3,073 1,613 741 229 15.9% 14.3% 12.5% 10.6% 8.1% 13.7% 9.7% 7.2% 4.3% 2.3% 1.0% 0.3% 606 558 547 530 425 855 717 648 370 173 52 27 11.0% 10.1% 9.9% 9.6% 7.7% 15.5% 13.0% 11.8% 6.7% 3.1% 0.9% 0.5% 282,770 282,709 277,228 276,899 266,872 541,126 524,598 503,965 398,309 255,388 148,199 59,054 2,240,055 1,128,741 177,490 59,252 135,024 71,047 5,508 3,817,117 Source: United States Census, 2010 Census. Data on this page were used for calculating all rates (denominators) in this report for 2010. 9 Maricopa County Five-Year Trends Population Statistics Table 1.08 Population Estimates by Gender, Age, and Race/Ethnicity, 2010 Females Age 0-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75+ Total White Hispanic African American American Indian Asian Multiple Races Other Total No. % No. % No. % No. % No. % No. % No. % No. 55,588 58,331 60,748 62,294 65,022 71,723 67,359 71,229 75,411 86,148 87,071 81,486 79,176 63,514 48,261 105,915 4.9% 5.1% 5.3% 5.5% 5.7% 6.3% 5.9% 6.3% 6.6% 7.6% 7.6% 7.2% 6.9% 5.6% 4.2% 9.3% 63,141 60,829 56,647 53,754 46,734 45,602 45,371 43,222 36,556 30,452 23,684 17,429 12,769 8,809 6,134 9,470 11.3% 10.9% 10.1% 9.6% 8.3% 8.1% 8.1% 7.7% 6.5% 5.4% 4.2% 3.1% 2.3% 1.6% 1.1% 1.7% 6,773 6,653 7,074 7,665 6,868 6,924 6,285 6,403 6,182 6,236 5,670 4,358 3,316 2,377 1,700 2,660 7.8% 7.6% 8.1% 8.8% 7.9% 7.9% 7.2% 7.3% 7.1% 7.2% 6.5% 5.0% 3.8% 2.7% 2.0% 3.1% 2,600 2,425 2,399 2,709 3,360 3,144 2,782 2,430 2,164 2,140 1,777 1,250 950 593 409 488 8.2% 7.7% 7.6% 8.6% 10.6% 9.9% 8.8% 7.7% 6.8% 6.8% 5.6% 4.0% 3.0% 1.9% 1.3% 1.5% 4,580 4,825 4,371 3,884 4,199 6,429 6,898 7,377 6,172 5,152 4,500 3,868 3,263 2,101 1,516 2,076 6.4% 6.8% 6.1% 5.5% 5.9% 9.0% 9.7% 10.4% 8.7% 7.2% 6.3% 5.4% 4.6% 3.0% 2.1% 2.9% 5,524 5,011 4,380 3,782 2,947 2,720 2,345 2,005 1,590 1,467 1,175 913 754 524 356 555 15.3% 13.9% 12.2% 10.5% 8.2% 7.5% 6.5% 5.6% 4.4% 4.1% 3.3% 2.5% 2.1% 1.5% 1.0% 1.5% 296 295 255 259 211 213 184 204 160 185 140 117 84 60 40 47 10.8% 10.7% 9.3% 9.4% 7.7% 7.7% 6.7% 7.4% 5.8% 6.7% 5.1% 4.3% 3.1% 2.2% 1.5% 1.7% 138,502 138,369 135,874 134,347 129,341 136,755 131,224 132,870 128,235 131,780 124,017 109,421 100,312 77,978 58,416 121,211 1,139,276 560,603 87,144 31,620 71,211 36,048 2,750 1,928,652 Males 0-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75+ Total 57,931 61,519 63,687 66,761 69,036 73,634 69,041 73,438 77,791 84,886 83,412 73,897 70,978 56,188 42,703 75,877 1,100,779 5.3% 5.6% 5.8% 6.1% 6.3% 6.7% 6.3% 6.7% 7.1% 7.7% 7.6% 6.7% 6.4% 5.1% 3.9% 6.9% 65,753 63,077 58,767 56,299 49,660 47,680 46,577 42,225 37,346 30,840 23,027 16,296 11,798 7,512 4,861 6,420 568,138 11.6% 11.1% 10.3% 9.9% 8.7% 8.4% 8.2% 7.4% 6.6% 5.4% 4.1% 2.9% 2.1% 1.3% 0.9% 1.1% 7,193 7,153 7,436 8,438 8,009 7,217 6,852 6,806 6,531 6,401 5,716 4,303 3,218 2,019 1,382 1,672 90,346 8.0% 7.9% 8.2% 9.3% 8.9% 8.0% 7.6% 7.5% 7.2% 7.1% 6.3% 4.8% 3.6% 2.2% 1.5% 1.9% 2,526 2,481 2,365 2,751 3,054 2,717 2,283 2,058 1,724 1,615 1,397 931 741 435 268 286 27,632 9.1% 9.0% 8.6% 10.0% 11.1% 9.8% 8.3% 7.4% 6.2% 5.8% 5.1% 3.4% 2.7% 1.6% 1.0% 1.0% 4,778 4,694 4,272 4,253 4,751 5,988 6,057 6,553 5,387 4,455 3,626 2,732 2,107 1,577 1,243 1,340 63,813 7.5% 7.4% 6.7% 6.7% 7.4% 9.4% 9.5% 10.3% 8.4% 7.0% 5.7% 4.3% 3.3% 2.5% 1.9% 2.1% 5,777 5,153 4,535 3,779 2,807 2,482 2,161 1,837 1,444 1,364 1,106 791 615 418 315 415 34,999 16.5% 14.7% 13.0% 10.8% 8.0% 7.1% 6.2% 5.2% 4.1% 3.9% 3.2% 2.3% 1.8% 1.2% 0.9% 1.2% 310 263 292 271 214 231 227 182 171 165 158 90 79 48 25 32 2,758 11.2% 9.5% 10.6% 9.8% 7.8% 8.4% 8.2% 6.6% 6.2% 6.0% 5.7% 3.3% 2.9% 1.7% 0.9% 1.2% 144,268 144,340 141,354 142,552 137,531 139,949 133,198 133,099 130,394 129,726 118,442 99,040 89,536 68,197 50,797 86,042 1,888,465 Source: United States Census, 2010 Census. Data on this page were used for calculating all rates (denominators) in this report for 2010. 10 Maricopa County Five-Year Trends Population Statistics Table 1.09 Population Estimates – Age by Gender, Race/Ethnicity by Gender, and Age by Race/Ethnicity 2009 Age by Sex Race/Ethnicity by Sex Age Males No. 0-4 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ Total % 147,638 143,775 141,063 142,479 137,456 277,454 265,931 245,842 182,725 114,980 64,368 20,183 7.8% 7.6% 7.5% 7.6% 7.3% 14.7% 14.1% 13.0% 9.7% 6.1% 3.4% 1.1% 1,883,894 Females No. % 142,214 136,857 135,430 134,174 128,862 271,174 262,730 252,996 203,618 131,980 82,762 37,088 7.4% 7.1% 7.1% 7.0% 6.7% 14.1% 13.7% 13.2% 10.6% 6.9% 4.3% 1.9% 1,919,885 Total No. 289,852 280,632 276,493 276,653 266,318 548,628 528,661 498,838 386,343 246,960 147,130 57,271 Race/Ethnicity % Males No. 7.6% 7.4% 7.3% 7.3% 7.0% 14.4% 13.9% 13.1% 10.2% 6.5% 3.9% 1.5% White Hispanic African American American Indian Asian Multiple Races 1,106,864 563,807 89,612 28,066 63,305 32,240 Total 1,883,894 Females No. % % 58.8% 29.9% 4.8% 1.5% 3.4% 1.7% 1,145,362 552,811 86,280 31,875 70,351 33,206 59.7% 28.8% 4.5% 1.7% 3.7% 1.7% 1,919,885 3,803,779 Age by Race/Ethnicity Age White No. 0-4 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ Total 117,321 121,174 126,586 131,464 135,807 287,389 306,218 342,673 298,436 204,911 128,335 51,912 2,252,226 Hispanic % 5.2% 5.4% 5.6% 5.8% 6.0% 12.8% 13.6% 15.2% 13.3% 9.1% 5.7% 2.3% No. 132,011 122,184 113,674 108,163 95,332 188,082 156,634 104,083 55,381 25,914 11,840 3,320 1,116,618 African American % 11.8% 10.9% 10.2% 9.7% 8.5% 16.8% 14.0% 9.3% 5.0% 2.3% 1.1% 0.3% No. 14,526 13,545 14,628 16,247 14,623 27,162 26,018 23,349 14,581 7,018 3,187 1,008 175,892 % 8.3% 7.7% 8.3% 9.2% 8.3% 15.4% 14.8% 13.3% 8.3% 4.0% 1.8% 0.6% American Indian No. 5,444 4,978 4,712 5,675 6,568 11,111 8,516 6,815 3,759 1,603 584 176 59,941 % 9.1% 8.3% 7.9% 9.5% 11.0% 18.5% 14.2% 11.4% 6.3% 2.7% 1.0% 0.3% Asian No. 9,605 9,299 8,574 8,016 8,827 25,968 25,110 17,306 11,534 6,164 2,580 673 133,656 Multiple Races % 7.2% 7.0% 6.4% 6.0% 6.6% 19.4% 18.8% 12.9% 8.6% 4.6% 1.9% 0.5% No. 10,945 9,452 8,319 7,088 5,161 8,916 6,165 4,612 2,652 1,350 604 182 % 16.7% 14.4% 12.7% 10.8% 7.9% 13.6% 9.4% 7.0% 4.1% 2.1% 0.9% 0.3% 65,446 Total No. 289,852 280,632 276,493 276,653 266,318 548,628 528,661 498,838 386,343 246,960 147,130 57,271 3,803,779 Source: United States Census, Population Estimates Division. Data on this page were used for calculating all rates (denominators) in this report for 2009. 11 Maricopa County Five-Year Trends Population Statistics Table 1.10 Population Estimates by Gender, Age, and Race/Ethnicity, 2009 Females Age 0-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75+ Total White Hispanic No. % No. 57,509 58,945 61,673 63,614 66,009 74,743 66,983 74,309 76,588 87,263 86,464 81,055 76,001 61,505 47,397 105,304 5.0% 5.1% 5.4% 5.6% 5.8% 6.5% 5.8% 6.5% 6.7% 7.6% 7.5% 7.1% 6.6% 5.4% 4.1% 9.2% 64,749 59,707 55,800 52,690 45,886 46,614 45,291 42,445 35,580 29,515 22,563 16,728 12,001 8,332 5,866 9,044 1,145,362 African American % 11.7% 10.8% 10.1% 9.5% 8.3% 8.4% 8.2% 7.7% 6.4% 5.3% 4.1% 3.0% 2.2% 1.5% 1.1% 1.6% 552,811 No. 7,117 6,398 7,195 7,690 6,704 6,941 6,263 6,487 6,194 6,176 5,378 4,238 3,124 2,246 1,543 2,586 % 8.2% 7.4% 8.3% 8.9% 7.8% 8.0% 7.3% 7.5% 7.2% 7.2% 6.2% 4.9% 3.6% 2.6% 1.8% 3.0% 86,280 American Indian No. 2,755 2,468 2,360 2,810 3,421 3,209 2,809 2,415 2,223 2,147 1,705 1,238 907 543 388 477 % 8.6% 7.7% 7.4% 8.8% 10.7% 10.1% 8.8% 7.6% 7.0% 6.7% 5.3% 3.9% 2.8% 1.7% 1.2% 1.5% 31,875 Asian No. 4,704 4,753 4,287 3,813 4,234 6,594 7,007 7,361 5,921 4,996 4,406 3,802 3,069 1,973 1,452 1,979 Multiple Races % 6.7% 6.8% 6.1% 5.4% 6.0% 9.4% 10.0% 10.5% 8.4% 7.1% 6.3% 5.4% 4.4% 2.8% 2.1% 2.8% 70,351 No. 5,380 4,586 4,115 3,557 2,608 2,605 2,115 1,770 1,437 1,329 1,054 815 640 432 303 460 Total % No. 16.2% 13.8% 12.4% 10.7% 7.9% 7.8% 6.4% 5.3% 4.3% 4.0% 3.2% 2.5% 1.9% 1.3% 0.9% 1.4% 142,214 136,857 135,430 134,174 128,862 140,706 130,468 134,787 127,943 131,426 121,570 107,876 95,742 75,031 56,949 119,850 33,206 1,919,885 Males 0-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75+ Total 59,812 62,229 64,913 67,850 69,798 76,212 69,451 76,915 78,406 86,343 82,603 72,942 68,438 54,129 41,880 74,943 1,106,864 5.4% 5.6% 5.9% 6.1% 6.3% 6.9% 6.3% 6.9% 7.1% 7.8% 7.5% 6.6% 6.2% 4.9% 3.8% 6.8% 67,262 62,477 57,874 55,473 49,446 49,137 47,040 41,865 36,744 30,013 21,992 15,587 11,065 7,095 4,621 6,116 563,807 11.9% 11.1% 10.3% 9.8% 8.8% 8.7% 8.3% 7.4% 6.5% 5.3% 3.9% 2.8% 2.0% 1.3% 0.8% 1.1% 7,409 7,147 7,433 8,557 7,919 7,349 6,609 7,033 6,304 6,425 5,370 4,166 3,053 1,877 1,352 1,609 89,612 8.3% 8.0% 8.3% 9.5% 8.8% 8.2% 7.4% 7.8% 7.0% 7.2% 6.0% 4.6% 3.4% 2.1% 1.5% 1.8% 2,689 2,510 2,352 2,865 3,147 2,832 2,261 2,095 1,783 1,589 1,374 953 661 428 244 283 28,066 9.6% 8.9% 8.4% 10.2% 11.2% 10.1% 8.1% 7.5% 6.4% 5.7% 4.9% 3.4% 2.4% 1.5% 0.9% 1.0% 4,901 4,546 4,287 4,203 4,593 6,119 6,248 6,606 5,222 4,350 3,554 2,656 2,007 1,561 1,178 1,274 63,305 7.7% 7.2% 6.8% 6.6% 7.3% 9.7% 9.9% 10.4% 8.2% 6.9% 5.6% 4.2% 3.2% 2.5% 1.9% 2.0% 5,565 4,866 4,204 3,531 2,553 2,297 1,899 1,691 1,267 1,255 974 694 503 348 267 326 32,240 17.3% 15.1% 13.0% 11.0% 7.9% 7.1% 5.9% 5.2% 3.9% 3.9% 3.0% 2.2% 1.6% 1.1% 0.8% 1.0% 147,638 143,775 141,063 142,479 137,456 143,946 133,508 136,205 129,726 129,975 115,867 96,998 85,727 65,438 49,542 84,551 1,883,894 Source: United States Census, Population Estimates Division. Data on this page were used for calculating all rates (denominators) in this report for 2009. 12 Maricopa County Five-Year Trends Population Statistics Table 1.11 Maricopa County, Phoenix, and Arizona Population 1980-2013 Year City of Phoenix Maricopa County State of Arizona Source 1980 789,704 1,509,175 2,726,100 1980 U.S. Census 1985 NA 1,837,912 3,162,900 1985 Special Census 1990 983,403 2,122,101 3,680,800 1990 U.S. Census 1995 1,098,684 2,551,765 4,228,900 1995 Special Census 2000 1,321,045 3,072,149 5,130,632 2000 U.S. Census 2001 1,342,908 3,175,989 5,273,477 2000-2010 U.S. Intercensal Estimate 2002 1,357,196 3,255,388 5,396,255 2000-2010 U.S. Intercensal Estimate 2003 1,368,806 3,328,468 5,510,364 2004 1,386,945 3,417,860 5,652,404 2005 1,417,720 3,538,988 5,839,077 2006 1,441,241 3,642,884 6,029,141 2007 1,450,901 3,711,954 6,167,681 2008 1,456,729 3,771,061 6,280,362 2009 1,452,679 3,803,779 6,343,154 2010 1,445,632 3,817,117 6,392,017 2010 U.S. Census 2011 1,469,471 3,880,244 6,482,505 2012 1,488,750 3,942,169 6,553,255 2013 1,513,367 4,009,412 6,626,624 U.S. Census Estimates U.S. Census Estimates U.S. Census Estimates 2000-2010 U.S. Intercensal Estimate 2000-2010 U.S. Intercensal Estimate 2000-2010 U.S. Intercensal Estimate 2000-2010 U.S. Intercensal Estimate 2000-2010 U.S. Intercensal Estimate 2000-2010 U.S. Intercensal Estimate 2000-2010 U.S. Intercensal Estimate Note: Population estimates for Phoenix 2001-2009 are based on U.S. Census Estimates for 2009 and made prior to the 2010 Census. 13 II. Maricopa County Five-Year Health Trends 14 Maricopa County Five-Year Trends Vital Statistics Table 2.01a Selected Underlying Causes of Death 2009-2013 Number of Deaths Cause of Death Infectious Diseases Cancer Diabetes and Alzheimer's Major Cardiovascular Diseases Heart Disease Other Cardiovascular Other Respiratory Diseases GI & Urinary Pregnancy & Early Life Other Diseases External Causes Unknown Total 1 Tuberculosis Syphilis HIV Stomach Colon Pancreas Lung Breast Uterine & Ovarian Prostate Urinary Lymphoma Leukemia Other Cancer All Cancer Diabetes Alzheimer's Hypertensive Heart Disease Ischemic Heart Disease Other Heart Disease All Heart Disease Primary Hypertension Cerebrovascular Atherosclerosis Other Circulatory All Other Cardiovascular Influenza & Pneumonia Chronic Lower Respiratory Peptic Ulcer Liver Disease Nephritis Pregnancy Perinatal Conditions Congenital Malformations SIDS Symptoms, Signs Other Diseases Motor Vehicle 1 Collisions All Other Accidents Suicide Homicide Other External Causes All External Causes 2009 5 0 62 93 457 342 1,410 388 252 285 288 216 268 1,421 5,420 548 1,481 Number of Deaths 2010 2011 2012 10 7 1 0 1 2 67 60 67 114 116 108 501 494 532 383 394 461 1,445 1,409 1,481 411 422 432 260 298 288 273 294 289 292 307 297 190 214 211 222 221 266 1,417 1,479 1,503 5,508 5,648 5,868 702 1,000 939 1,665 1,732 1,518 2013 12 1 53 118 536 405 1,498 490 301 267 301 211 282 1,599 6,008 934 1,555 370 423 411 423 533 3,957 4,145 3,940 4,145 3,817 816 5,143 790 5,358 885 5,236 790 5,358 1,136 5,486 317 1,084 66 199 505 1,086 62 178 481 1,090 97 176 505 1,086 62 178 444 1,121 75 176 1,666 1,831 1,844 1,831 1,816 519 296 234 218 316 1,444 26 383 197 4 1,463 40 386 180 8 1,710 35 428 94 3 1,647 26 459 131 6 1,749 47 488 135 4 168 144 150 158 147 126 18 565 3,896 114 16 751 3,839 120 17 809 3,687 146 9 1,178 3,821 113 12 1,246 4,196 355 1,241 529 212 336 1,243 548 219 358 1,304 589 202 340 1,121 553 204 372 1,265 591 212 78 93 87 103 130 2,415 5 24,338 2,439 1 24,438 2,540 0 25,464 2,540 191 25,786 2,570 0 26,891 Refer to the Technical Notes for an explanation of the changes in these causes of death over time 15 Maricopa County Five-Year Trends Vital Statistics Table 2.01b Selected Underlying Causes of Death 2009-2013 Crude Death Rate per 100,000 Residents Cause of Death Infectious Diseases Cancer Diabetes and Alzheimer's Major Cardiovascular Diseases Heart Disease Other Cardiovascular Other Respiratory Diseases GI & Urinary Pregnancy & Early Life Other Diseases External Causes Unknown Total 1 Tuberculosis Syphilis HIV Stomach Colon Pancreas Lung Breast 1 Uterine & Ovarian 1 Prostate Urinary Lymphoma Leukemia Other Cancer All Cancer Diabetes Alzheimer's Hypertensive Heart Disease Ischemic Heart Disease Other Heart Disease All Heart Disease Primary Hypertension Cerebrovascular Atherosclerosis Other Circulatory All Other Cardiovascular Influenza & Pneumonia Chronic Lower Respiratory Peptic Ulcer Liver Disease Nephritis 1 Pregnancy Perinatal Conditions Congenital Malformations 2 SIDS Symptoms, Signs Other Diseases Motor Vehicle 3 Collisions All Other Accidents Suicide Homicide Other External Causes All External Causes Death Rate 2011 2012 0.2 0.0 0.0 0.1 1.5 1.7 3.0 2.7 12.7 13.5 10.2 11.7 36.3 37.6 10.9 11.0 15.2 7.3 15.3 7.3 7.9 7.5 5.5 5.4 5.7 6.7 38.1 38.1 145.6 148.8 25.8 23.8 44.6 38.5 2009 0.1 0.0 1.6 2.4 12.0 9.0 37.1 10.2 13.1 15.1 7.6 5.7 7.0 37.4 142.5 14.4 38.9 2010 0.3 0.0 1.8 3.0 13.1 10.0 37.9 10.8 13.5 14.5 7.6 5.0 5.8 37.1 144.3 18.4 43.6 11.1 9.7 10.9 10.4 13.3 108.6 22.7 142.5 103.7 21.4 134.7 106.8 20.4 138.1 99.9 22.4 132.7 95.2 28.3 136.8 8.4 28.1 2.1 4.5 43.0 8.3 28.4 1.7 5.2 43.6 10.9 106.8 20.4 10.9 47.2 12.2 27.6 2.5 4.5 46.8 11.1 28.0 1.9 4.4 45.3 13.6 7.8 6.0 5.5 7.9 38.0 0.7 10.1 5.2 0.1 4.4 38.3 1.0 10.1 4.7 0.2 3.8 44.1 0.9 11.0 2.4 0.2 3.9 41.8 0.7 11.6 3.3 0.2 4.0 43.6 1.2 12.2 3.4 0.1 3.7 3.3 0.3 14.9 102.4 3.0 0.3 19.7 100.6 3.1 0.3 20.8 95.0 3.7 0.2 29.9 96.9 2.8 0.3 31.1 104.7 9.3 32.6 13.9 5.6 8.8 32.6 14.4 5.7 9.2 33.6 15.2 5.2 8.6 28.4 14.0 5.2 9.3 31.6 14.7 5.3 2.1 63.5 0.1 639.8 2.4 63.9 0.0 640.2 2.2 65.5 0.0 656.2 2.6 58.8 4.8 3.2 64.1 647.2 2013 0.3 0.0 1.3 2.9 13.4 10.1 37.4 12.2 7.5 6.7 7.5 5.3 7.0 39.9 149.8 23.3 38.8 0.0 670.0 Uterine & ovarian cancer and pregnancy rates are per 100,000 females; prostate cancer rates are per 100,000 males. Sudden Infant Death Syndrome (SIDS) rates are per 1,000 live births. 3 Refer to the Technical Notes for an explanation of the changes in these causes of death over time. 2 16 Maricopa County Five-Year Trends Vital Statistics Table 2.02a Other Selected Underlying Causes of Death 2009-2013 Number of Deaths Cause of Death Infectious Diseases Cancer Other Diseases Cardiovascular Chronic Lower Respiratory Liver Disease Musculoskeletal Perinatal Conditions & Congenital Malformations External Causes 1 Clostridium difficile Other Intestinal Infections Septicemia Viral Hepatitis Coccidioidomycosis Other Mycoses Brain Lip and Oral Skin (Melanoma) Ovarian Testicular Anemias Nutritional Deficiencies Obesity Mental & Behavioral Disorders Due to the Use of Alcohol Parkinson’s Disease Multiple Sclerosis Epilepsy Acute Myocardial Infarction (Heart Attack) Congestive Heart Failure Emphysema Asthma Alcoholic Liver Disease Rheumatoid Arthritis Lupus Osteoporosis Disorders Related to Short Gestation & Low Birth Weight Congenital Malformations of the Circulatory System Chromosomal Abnormalities Falls Drowning 1 Unintentional Poisoning Exposure to Excessive Natural Heat Legal Intervention Accidental Discharge of Firearms Discharge of Firearms, Undetermined Intent Complications of Medical & Surgical Care 2009 96 22 298 138 22 18 163 59 121 157 6 27 22 50 Number of Deaths 2010 2011 2012 103 94 86 23 13 28 199 107 107 112 128 165 22 13 13 12 7 3 149 155 217 63 77 69 103 102 118 156 164 174 5 6 4 27 27 23 22 26 17 90 83 115 2013 100 26 143 173 15 2 192 72 119 169 7 17 17 93 106 252 38 17 888 143 109 28 262 15 7 6 108 270 47 19 769 130 120 32 299 31 12 6 109 312 41 19 860 108 79 57 335 41 12 11 108 310 38 20 833 164 58 38 345 27 17 11 111 324 48 10 858 185 69 53 387 37 17 10 65 49 42 40 41 47 19 480 54 493 36 21 494 52 462 38 18 516 54 480 40 26 461 51 413 40 18 514 41 494 20 3 28 7 36 6 38 6 30 8 5 9 4 1 5 3 8 4 5 9 20 30 29 27 27 Refer to the Technical Notes for an explanation of the changes in these causes of death over time 17 Maricopa County Five-Year Trends Vital Statistics Table 2.02b Other Selected Underlying Causes of Death 2009-2013 Crude Death Rate per 100,000 Residents Cause of Death Infectious Diseases Cancer Other Diseases Cardiovascular Chronic Lower Respiratory Liver Disease Musculoskeletal Perinatal Conditions & Congenital Malformations External Causes 1 Clostridium difficile Other Intestinal Infections Septicemia Viral Hepatitis Coccidioidomycosis Other Mycoses Brain Lip and Oral Skin (Melanoma) 1 Ovarian 1 Testicular Anemias Nutritional Deficiencies Obesity Mental & Behavioral Disorders Due to the Use of Alcohol Parkinson’s Disease Multiple Sclerosis Epilepsy Acute Myocardial Infarction (Heart Attack) Congestive Heart Failure Emphysema Asthma Alcoholic Liver Disease Rheumatoid Arthritis Lupus Osteoporosis Disorders Related to Short Gestation & Low Birth Weight Congenital Malformations of the Circulatory System Chromosomal Abnormalities Falls Drowning 2 Unintentional Poisoning Exposure to Excessive Natural Heat Legal Intervention Accidental Discharge of Firearms Discharge of Firearms, Undetermined Intent Complications of Medical & Surgical Care 2009 2.5 0.6 7.8 3.6 0.6 0.5 4.3 1.6 3.2 8.2 0.3 0.7 0.6 1.3 Death Rate 2010 2011 2012 2.7 2.4 2.2 0.6 0.3 0.7 5.2 2.8 2.7 2.9 3.3 4.2 0.6 0.3 0.3 0.3 0.2 0.1 3.9 4.0 5.5 1.7 2.0 1.8 2.7 2.6 3.0 8.1 8.4 4.4 0.3 0.3 0.1 0.7 0.7 0.6 0.6 0.7 0.4 2.4 2.1 2.9 2013 2.5 0.6 3.6 4.3 0.4 0.0 4.8 1.8 3.0 4.2 0.2 0.4 0.4 2.3 2.8 6.6 1.0 0.4 23.3 3.8 2.9 0.7 6.9 0.4 0.2 0.2 2.8 7.1 1.2 0.5 20.1 3.4 3.1 0.8 7.8 0.8 0.3 0.2 2.8 8.0 1.1 0.5 22.2 2.8 2.0 1.5 8.6 1.1 0.3 0.3 2.7 7.9 1.0 0.5 21.1 4.2 1.5 1.0 8.8 0.7 0.4 0.3 2.8 8.1 1.2 0.2 21.4 4.6 1.7 1.3 9.7 0.9 0.4 0.2 1.7 1.3 1.1 1.0 1.0 1.2 0.5 12.6 1.4 13.0 0.9 0.6 12.9 1.4 12.1 1.0 0.5 13.3 1.4 12.4 1.0 0.7 11.7 1.3 10.5 1.0 0.4 12.8 1.0 12.3 0.5 0.1 0.7 0.2 0.9 0.2 1.0 0.2 0.7 0.2 0.1 0.2 0.1 0.0 0.1 0.1 0.2 0.1 0.1 0.2 0.5 0.8 0.7 0.7 0.7 Ovarian cancer rates are per 100,000 females; testicular cancer rates are per 100,000 males. 2 Refer to the Technical Notes for an explanation of the changes in these rates over time. 18 Maricopa County Five-Year Trends Vital Statistics Table 2.03a Firearm, Drug, and Alcohol Induced and Related Deaths 2009-2013 Number of Deaths Number of Deaths Cause of Death 2009 2010 2011 2012 2013 Firearm Related 447 486 510 494 526 Drug Induced 618 604 611 574 685 Drug Related, Including Tobacco 824 3,903 3,984 3,870 4,058 Drug Related, Excluding Tobacco 684 715 742 713 808 Alcohol Induced 407 447 474 480 530 Alcohol Related 631 680 721 741 808 Table 2.03b Firearm, Drug, and Alcohol Induced and Related Deaths 2009-2013 Crude Death Rate per 100,000 Residents Cause of Death Death Rate 2009 2010 2011 2012 2013 Firearm Related 11.8 12.7 13.1 12.5 13.1 Drug Induced 16.2 15.8 15.7 14.5 17.1 Drug Related, Including Tobacco 21.7 102.2 102.7 98.2 101.2 Drug Related, Excluding Tobacco 18.0 18.7 19.1 18.1 20.2 Alcohol Induced 10.7 11.7 12.2 12.1 13.2 Alcohol Related 16.6 17.8 18.6 18.8 20.2 *Note: Firearm, drug, and alcohol induced and related deaths are also included in other categories, e.g. suicide, homicide or unintentional injuries. Refer to the Technical Notes for a complete explanation of induced versus related deaths involving firearms, drugs, or alcohol. 19 Maricopa County Five-Year Trends Vital Statistics Table 2.04a Selected Maternal & Child Health Indicators 2009-2013 Number of Live Births Maternal and Child Health Indicator 2009 2010 2011 2012 2013 Countywide Indicators Number of Live Births Number of Male Infants of Total Live Births 57,655 54,235 53,361 54,475 53,848 29,499 27,649 27,284 27,876 27,677 Number of Live Births to Mothers With Selected Risk Factors Mothers With <12 Years Education 14,430 12,073 10,704 10,531 9,419 Births to Women 10-19 Years Old 6,246 5,342 4,780 4,698 4,231 Births to Women 15-17 Years Old 2,044 1,652 1,377 1,445 1,169 Births to Women Over 35 Years Old 7,832 7,664 7,901 7,965 8,089 Births to Never Married Women 25,535 23,557 22,797 23,784 23,374 Tobacco Use During Pregnancy 2,332 2,245 1,997 1,957 2,146 247 237 267 228 211 Alcohol Use During Pregnancy Mother with Pre-Existing Cardiac Disease Mother with Pre-Existing Diabetes Mothers with No Medical Risk Factors for Pregnancy Number of Live Births With Selected Risk Factors Associated with Pregnancy Induced Labor Delivery Primary Cesarean Section via CSection Repeat Cesarean Section 130 222 2,782 3,213 39,202 35,811 34,803 36,095 35,725 13,194 12,598 11,217 10,221 10,118 8,822 8,463 8,075 8,105 8,091 6,895 7,104 7,335 7,261 6,032 5,366 5,116 5,110 4,977 Hospital Births Method of AHCCCS Medicaid Payment Indian Health Services 57,238 53,800 52,779 53,819 53,217 30,613 28,906 27,981 28,389 28,346 Self Pay None st 1 Trimester Plurality 182 214 244 237 23,408 23,418 23,860 23,440 1,372 1,485 1,525 1,873 1,738 864 686 686 518 482 48,689 46,571 45,486 46,962 45,624 6,698 5,638 5,697 5,665 6,191 3 Trimester 1,296 1,231 1,190 1,202 1,469 864 687 686 518 482 1-4 1,493 1,369 1,378 1,417 1,490 5-8 7,933 6,625 6,144 6,096 6,082 9-12 28,396 26,926 25,198 26,031 25,795 13+ 18,849 18,510 19,606 20,264 19,905 Singletons 55,944 52,594 51,832 52,893 52,129 1,633 1,592 1,471 1,582 1,651 41,988 40,007 39,578 41,187 40,164 3,841 3,429 2,950 2,626 3,036 267 217 178 192 149 690 575 658 637 597 Low (<2500g) 3,428 3,278 3,062 3,094 3,111 High (>4250g) 1,668 1,606 1,674 1,809 1,759 10 11 13 12 19 0 3 1 4 0 nd rd Number of Prenatal Care Visits 221 25,084 Trimester 2 0 Twins Singleton Births Receiving Early & 1 Adequate Prenatal Care Neonatal Intensive Care Infants Transferred to Another Facility Birthweight Very Low (<1500g) Infants With a Neural Tube Defect 2 Infants With Fetal Alcohol Syndrome 2 143 2,444 7,567 Prenatal Care 1 154 2,326 Preterm Births (Less than 37 Weeks) Private Insurance Number of Live Births with Selected Risk Factors Associated with the Neonate 128 2,296 2 1 See the technical notes for an explanation of early and adequate prenatal care and infants transferred to another facility. Due to the collection method for these data, information is underestimated. 20 Maricopa County Five-Year Trends Vital Statistics Table 2.04b Selected Maternal & Child Health Indicator Percentages 2009-2013 Percent of Live Births Maternal and Child Health Indicator Countywide Indicators 2009 2010 2011 2012 2013 57,655 54,235 54,235 54,475 53,848 51.2% 51.0% 51.1% 51.2% 51.4% 72.3 68.4 67.7 66.9 65.4 % Mothers With <12 Years Education 25.0% 22.3% 20.1% 19.3% 17.5% % Births to Women 10-19 Years Old 10.8% 9.8% 9.0% 8.6% 7.9% Number of Live Births % Male Infants of Total Live Births 1 Fertility Rate per 1,000 Women Age 15-44 Percentage of Live Births to Mothers With Selected Risk Factors Percentage of Live Births With Selected Risk Factors Associated with Pregnancy % Births to Women 15-17 Years Old 3.5% 3.0% 2.6% 2.7% 2.2% % Births to Women Over 35 Years Old 13.6% 14.1% 14.8% 14.6% 15.0% % Births to Never Married Women 44.3% 43.4% 42.7% 43.7% 43.4% % Tobacco Use During Pregnancy 4.0% 4.1% 3.7% 3.6% 4.0% % Alcohol Use During Pregnancy 0.4% 0.4% 0.5% 0.4% 0.4% % Mother with Pre-Existing Cardiac Disease 0.2% 0.3% 0.3% 0.2% 0.4% % Mother with Pre-Existing Diabetes % Mothers with No Medical Risk Factors for Pregnancy 4.0% 4.3% 4.6% 5.1% 6.0% 68.0% 66.0% 65.2% 66.3% 60.8% % Induced Labor Delivery via Primary Cesarean Section C-Section Repeat Cesarean Section 22.9% 23.2% 21.0% 18.8% 18.8% 15.6% 15.9% 15.1% 14.9% 15.0% 12.7% 12.9% 13.3% 13.5% 13.5% % Preterm Births (Less than 37 Weeks) 10.5% 9.9% 9.6% 9.4% 9.3% % Hospital Births Method of AHCCCS Medicaid Payment Indian Health Services 99.3% 99.2% 98.9% 98.8% 98.8% 53.1% 53.3% 52.4% 52.1% 52.6% 0.4% 0.3% 0.4% 0.4% 0.4% 43.5% 43.2% 43.9% 43.8% 43.5% 2.4% 2.7% 2.9% 3.4% 3.2% Private Insurance Self Pay Prenatal Care None st 1 Trimester 2 nd Plurality 1.0% 0.9% 86.2% 84.7% 11.6% 10.4% 10.7% 10.4% 11.5% 2.2% 2.3% 2.2% 2.2% 2.7% 0 1.5% 1.3% 1.3% 1.0% 0.9% 1-4 2.6% 2.5% 2.6% 2.6% 2.8% 5-8 13.8% 12.2% 11.5% 11.2% 11.3% 9-12 49.3% 49.6% 47.2% 47.8% 47.9% 13+ 32.7% 34.1% 36.7% 37.2% 36.9% Singletons 97.0% 97.0% 97.1% 97.1% 96.8% 2.8% 2.9% 2.8% 2.9% 3.1% 72.8% 73.8% 74.2% 75.6% 74.6% 6.7% 6.3% 5.5% 4.8% 5.6% 0.5% 0.4% 0.3% 0.4% 0.3% Neonatal Intensive Care 2 % Infants Transferred to Another Facility Birthweight Very Low (<1500g) 1.2% 1.1% 1.2% 1.2% 1.1% Low (<2500g) 5.9% 6.0% 5.7% 5.7% 5.8% High (>4250g) 2.9% 3.0% 3.1% 3.3% 3.3% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% % Infants With a Neural Tube Defect 1 1.3% 85.2% Trimester Twins % Singleton Births Receiving Early & Adequate 2 Prenatal Care Percentage of Live Births with Selected Risk Factors Associated with the Neonate 1.3% 85.9% 3 Trimester rd Number of Prenatal Care Visits 1.5% 84.4% 3 % Infants with Fetal Alcohol Syndrome 3 The annual number of women age 15 to 44 years old was used to compute this rate. 2 See the technical notes for an explanation of early and adequate prenatal care and infants transferred to another facility. 3 Due to the collection method for these data, information is underestimated. 21 Maricopa County Five-Year Trends Vital Statistics Table 2.05 Number of Births by Maternal Indicators for Infant Mortality Rate 2009-2013 Number of Live Births Maternal Indicators Mother’s Race Mother’s Age Mother’s Education Level Birthweight White Hispanic African American American Indian Asian Other/Unknown <20 20-29 30-39 40 and Older Less than 6th Grade 6th-11th Grade High School Diploma College or Higher Unknown <1,500 Grams 1,500-2,499 Grams 2,500-4,249 Grams >4,249 Grams Unknown 2009 2010 2011 2012 2013 24,721 25,449 3,203 1,731 2,349 202 6,246 30,476 19,493 1,439 780 13,650 16,280 26,637 308 690 3,428 51,864 1,668 5 24,485 22,413 3,215 1,585 2,335 202 5,342 28,487 18,972 1,434 732 11,341 15,543 26,280 339 575 3,278 48,772 1,606 4 24,786 21,124 3,180 1,586 2,518 167 4,780 27,853 19,202 1,526 638 10,066 15,088 26,769 800 658 3,062 47,962 1,674 5 24,749 21,691 3,504 1,622 2,735 174 4,698 28,403 19,794 1,578 583 9,948 15,888 27,599 457 637 3,094 48,933 1,809 2 24,353 21,642 3,492 1,590 2,566 205 4,231 28,249 19,792 1,574 464 8,955 15,264 28,774 391 597 3,111 48,374 1,759 7 Table 2.06a Infant Mortality by Race/Ethnicity of Mother 2009-2013 (Linked) Race/Ethnicity of Mother Number of Infant Deaths 2009 2010 2011 2012 2013 Total White 129 113 126 108 113 589 Hispanic 118 127 120 121 103 589 African American 45 36 30 41 47 199 American Indian 13 10 11 10 10 54 Asian 17 1 1 1 1 21 1 18 17 23 7 66 323 305 305 304 281 1,518 Other/Unknown Total Table 2.06b Infant Mortality Rates by Race/Ethnicity of Mother, 2009-2013 (Linked) Infant Mortality per 1,000 Live Births Race/Ethnicity of Mother White Hispanic African American American Indian Asian 1 Other/Unknown Total 1 Infant Mortality Rate per 1,000 Live Births 2009 5.2 4.6 14.0 7.5 7.2 5.6 2010 4.6 5.7 11.2 6.3 0.4 5.6 2011 5.1 5.7 9.4 6.9 0.4 5.7 2012 4.4 5.6 11.7 6.2 0.4 5.6 2013 4.6 4.8 13.5 6.3 0.4 5.2 Total 4.8 5.2 12.0 6.7 1.7 5.5 Rates are not calculated as population (denominator) data is not available for Other/Unknown race and ethnicity. *Note: See Technical Notes at the end of this report for an explanation of linked and unlinked data. 22 Maricopa County Five-Year Trends Vital Statistics Table 2.07a Infant Mortality by Age of Mother 2009-2013 (Linked) Age of Mother Number of Infant Deaths 2009 2010 2011 2012 2013 Total 44 37 45 34 30 190 20-29 176 176 164 155 163 834 30-39 92 84 86 104 76 442 <20 11 8 11 11 12 53 323 305 305 304 281 1,518 40 and Older Total Table 2.07b Infant Mortality Rates by Age of Mother 2009-2013 (Linked) Infant Mortality per 1,000 Live Births Infant Mortality Rate per 1,000 Live Births Age of Mother 2009 2010 2011 2012 Total 2013 <20 7.0 6.9 9.4 7.2 7.1 7.5 20-29 5.8 6.2 5.9 5.5 5.8 5.8 30-39 4.7 4.4 4.5 5.3 3.8 4.5 40 and Older 7.6 5.6 7.2 7.0 7.6 7.0 Total 5.6 5.6 5.7 5.6 5.2 5.5 Table 2.08a Infant Mortality by Educational Level of Mother 2009-2013 (Linked) Education Level of Mother th Less Than 6 Grade th th 6 – 11 Grade Number of Infant Deaths 2009 2010 2011 2012 2013 Total 5 3 5 4 7 24 83 79 70 62 61 355 High School Diploma 114 94 106 101 101 516 College or Higher 119 124 118 135 105 601 Unknown Total 2 5 6 2 7 22 323 305 305 304 281 1,518 Table 2.08b Infant Mortality Rates by Educational Level of Mother 2009-2013 (Linked) Infant Mortality per 1,000 Live Births Education Level of Mother th Less Than 6 Grade 2009 2010 2011 2012 Total 2013 6.4 4.1 7.8 6.9 15.1 7.5 6 – 11 Grade 6.1 7.0 7.0 6.2 6.8 6.6 High School Diploma 7.0 6.0 7.0 6.4 6.6 6.6 College or Higher 4.5 4.7 4.4 4.9 3.6 4.4 - - - - - - 5.6 5.6 5.7 5.6 5.2 5.5 th th Unknown Total 1 Infant Mortality Rate per 1,000 Live Births 1 Rates for the Other/Unknown group were excluded to better understand other Education levels’ trend *Note: See Technical Notes at the end of this report for an explanation of linked and unlinked data. 23 Maricopa County Five-Year Trends Vital Statistics Table 2.09a Infant Mortality by Birthweight 2009-2013 (Linked) Birthweight Number of Infant Deaths 2009 2010 2011 2012 2013 Total 174 152 162 152 145 785 1500-2499 Grams 44 40 50 56 37 227 2500-4249 Grams 100 109 86 94 95 484 4 3 6 2 2 17 <1500 Grams >4249 Grams Unknown Total 1 1 1 0 2 5 323 305 305 304 281 1,518 Table 2.09b Infant Mortality Rates by Birthweight 2009-2013 (Linked) Infant Mortality per 1,000 Live Births Infant Mortality Rate per 1,000 Live Births Birthweight 2009 <1500 Grams 2011 2012 2013 Total 264.3 246.2 238.6 242.9 248.7 1500-2499 Grams 12.8 12.2 16.3 18.1 11.9 14.2 2500-4249 Grams 1.9 2.2 1.8 1.9 2.0 2.0 >4249 Grams 2.4 1.9 3.6 1.1 1.1 2.0 Unknown Total 1 2010 252.2 1 - - - - - - 5.6 5.6 5.7 5.6 5.2 5.5 Rates are not calculated for Other/Unknown race and ethnicity due to unreliable/unstable counts. *Note: See Technical Notes at the end of this report for an explanation of linked and unlinked data. 24 Maricopa County Five-Year Trends Vital Statistics Table 2.10 Infant Mortality and Rates by Age of Infant 2009-2013 (Linked & Unlinked) Number of Infant Deaths Linked Data Unlinked Data Unlinked Data 2010 2011 2012 2013 Total Neonatal (≤ 28 Days) 220 198 203 210 196 1,027 Postnatal (> 28 Days) 103 107 102 94 85 491 Total 323 305 305 304 281 1,518 Neonatal (≤ 28 Days) 222 200 203 218 195 843 Postnatal (> 28 Days) 107 111 105 105 90 428 Total 329 311 308 323 285 1,271 Infant Mortality Rates per 1,000 Live Births Linked Data 2009 2009 2010 2011 2012 2013 Total Neonatal (≤ 28 Days) 3.8 3.7 3.8 3.9 3.6 3.8 Postnatal (> 28 Days) 1.8 2.0 1.9 1.7 1.6 1.8 Total 6.1 6.0 5.3 5.6 5.2 5.5 Neonatal (≤ 28 Days) 3.9 3.7 3.8 4.0 3.6 3.1 Postnatal (> 28 Days) 1.9 2.0 2.0 1.9 1.7 1.6 Total 6.3 6.1 5.3 5.9 5.2 4.6 Table 2.11a Infant Mortality by Age of Infant and Race/Ethnicity of Mother 2009-2013 (Linked) Linked Infant Mortality-Number of Infant Deaths Neonatal (≤ 28 Days) 2010 2011 2012 2013 Total White 82 75 86 75 57 375 Hispanic 84 83 79 88 94 428 African American 28 23 22 29 34 136 American Indian 11 5 3 3 2 24 Asian 14 0 0 1 2 17 1 12 13 14 7 47 Total 220 198 203 210 196 1,027 White 47 38 40 33 30 188 Hispanic 34 44 41 33 33 185 African American 17 13 8 12 10 60 American Indian 2 5 8 7 3 25 Asian 3 1 1 0 2 7 Other/Unknown 0 6 4 9 7 26 103 107 102 94 85 491 Other/Unknown Postnatal (> 28 Days) 2009 Total *Note: See Technical Notes at the end of this report for an explanation of linked and unlinked data. 25 Maricopa County Five-Year Trends Vital Statistics Table 2.11b Infant Mortality Rates by Age of Infant and Race/Ethnicity of Mother 2009-2013 (Linked) Infant Mortality per 1,000 Live Births Linked Infant Mortality-Infant Mortality Rate per 1,000 Live Births Neonatal (≤ 28 Days) 2011 2012 2013 Total 3.3 3.1 3.5 3.0 2.3 3.0 Hispanic 3.3 3.7 3.7 4.1 4.3 3.8 African American 8.7 7.2 6.9 8.3 9.7 8.2 American Indian 6.4 3.2 1.9 1.8 1.3 3.0 Asian 6.0 0.0 0.0 0.4 0.8 1.4 1 - - - - - - Total 3.8 3.7 3.8 3.9 3.6 3.8 White 1.9 1.6 1.6 1.3 1.2 1.5 Hispanic 1.3 2.0 1.9 1.5 1.5 1.6 African American 5.3 4.0 2.5 3.4 2.9 3.6 American Indian 1.2 3.2 5.0 4.3 1.9 3.1 Asian 1.3 0.4 0.4 0.0 0.8 0.6 Other/Unknown 1 Total 1 2010 White Other/Unknown Postnatal (> 28 Days) 2009 - - - - - - 1.8 2.0 1.9 1.7 1.6 1.8 Rates are not calculated for Other/Unknown race and ethnicity due to unreliable/unstable counts. Table 2.12a Infant Mortality by Race/Ethnicity of Infant 2009-2013 (Unlinked) Race/Ethnicity of Infant Number of Infant Deaths 2009 2010 2011 2012 2013 Total White 122 90 104 104 92 512 Hispanic 131 150 146 155 126 708 African American 53 35 27 42 44 201 American Indian 11 6 7 8 5 37 Asian 12 3 3 2 4 24 Other/Unknown Total 0 27 11 12 14 64 329 311 308 323 285 1,556 Table 2.12b Infant Mortality Rates by Race/Ethnicity of Infant 2009-2013 (Unlinked) Infant Mortality per 1,000 Live Births Race/Ethnicity of Infant White 2009 2010 4.9 Hispanic 2011 2012 3.7 4.2 2013 4.2 3.8 5.1 6.7 6.9 7.1 5.8 African American 16.5 10.9 8.5 12.0 12.6 American Indian 6.4 3.8 4.4 4.9 3.1 Asian 5.1 1.3 1.2 0.7 - - - - 1.6 - 5.7 5.7 5.8 5.9 5.3 Other/Unknown Total 1 Infant Mortality Rate per 1,000 Live Births 1 Rates are not calculated for Other/Unknown race and ethnicity due to unreliable/unstable counts. *Note: See Technical Notes at the end of this report for an explanation of linked and unlinked data. 26 Maricopa County Five-Year Trends Communicable Disease Statistics Table 2.13a Number of Confirmed and Probable Cases of Selected Diseases1 2009-2013 Number of Cases Disease 2009 2 Vaccine Preventable Central Nervous System Enterics Mycosis Zoonoses/ Vectorborne Hepatitides Other Tuberculosis Sexually Transmitted Diseases All Others Total 4 H. influenzae Type B Measles Mumps Pertussis Encephalitis Viral Other Aseptic Meningitis, Viral Meningococcal Invasive Disease Amebiasis Botulism 3 Botulism, Infant Campylobacteriosis Cholera Cryptosporidiosis E. coli O157.H7 Giardiasis Listeriosis 4,5 Norovirus Salmonella Paratyphi Salmonellosis Shigellosis Typhoid Coccidioidomycosis Brucellosis Dengue Hantavirus Pulm. Syndrome Lyme Disease Malaria West Nile Virus Hepatitis A Hepatitis B (Acute) Hepatitis D Legionellosis MRSA, Invasive 4,5 RSV Streptococcal Group A Invasive 6 Streptococcal Group B Invasive Streptococcus pneumoniae Invasive Toxic Shock Syndrome Vibrio Infection Yersiniosis 4 Hansen's Disease 4 Genital Herpes 4 Gonorrhea 4,7 Syphilis – Primary and Secondary 4,7 Syphilis – All Others 4 Chlamydia 4 HIV 4 AIDS 1 0 4 236 1 435 6 0 3 0 520 0 24 47 116 5 40 3 560 553 2 8,078 2 5 0 3 9 19 30 145 0 37 806 1,928 85 27 474 1 9 6 0 138 693 2,264 160 496 14,658 337 346 316 33,677 2010 2 0 4 409 2 642 8 1 0 0 548 0 23 63 106 6 77 3 508 245 6 9,460 6 7 0 0 20 115 33 94 0 44 798 1,718 101 30 423 3 13 1 0 153 1,128 2,290 159 475 15,616 290 320 194 36,204 2011 1 1 0 698 4 321 14 8 5 0 534 0 32 79 73 6 70 3 385 210 1 13,404 3 3 1 7 17 45 56 135 0 28 805 2,404 112 24 434 2 16 4 0 117 1,360 3,236 200 430 16,723 315 249 546 43,175 2012 1 0 3 867 1 386 3 5 0 1 526 0 37 90 59 7 113 0 430 211 5 10,148 4 7 0 3 15 90 43 75 0 29 726 1,922 112 38 387 1 17 8 0 108 1,081 4,364 162 457 19,132 395 215 397 43,429 2013 1 0 0 443 1 292 6 7 0 0 510 0 24 187 58 2 78 2 488 256 9 4,118 1 4 0 16 22 52 46 36 0 35 699 2,565 123 25 450 1 12 8 0 89 362 4,719 209 669 19,140 367 124 275 36,562 1 Unless otherwise indicated, numbers represent confirmed and probable cases. Beginning with the 2008-2012 report, only H. influenzae Type B cases are shown. Botulism, Infant cases occur among children aged less than 1 year. 4 Confirmed cases only 5 Norovirus and respiratory syncytial virus (RSV) were not reported to health departments until April 2008. 6 Streptococcal Group B Invasive disease is only reportable for cases in infants under 90 days. 7 Symptoms in adults are divided into four stages (primary, secondary, latent, & late syphilis). For more information please visit www.cdc.gov 2 3 27 Maricopa County Five-Year Trends Communicable Disease Statistics Table 2.13b Case Rates per 100,000 Residents for Selected Diseases1 2009-2013 Rate of Disease Disease 2009 2 H. influenzae Type B Measles Mumps Pertussis Encephalitis Viral Other Meningitis Viral/Aseptic Meningococcal Invasive Disease Amebiasis Botulism 3 Botulism, Infant Campylobacteriosis Cholera Cryptosporidiosis E. coli O157.H7 Giardiasis Listeriosis 4,5 Norovirus Salmonella Paratyphi Salmonellosis Shigellosis Typhoid Coccidioidomycosis Brucellosis Dengue Hantavirus Pulm. Syndrome Lyme Disease Malaria West Nile Virus Hepatitis A Hepatitis B (Acute) Hepatitis D Legionellosis MRSA, Invasive 4,5 RSV Streptococcal Group A Invasive 6 Streptococcal Group B Invasive Streptococcus pneumoniae Invasive Toxic Shock Syndrome Vibrio Infection Yersiniosis Vaccine Preventable Central Nervous System Enterics Mycosis Zoonoses/ Vectorborne Hepatitides Other Tuberculosis 4 Hansen's Disease 4 Sexually Transmitted Diseases All Others Total 1 4 Genital Herpes 4 Gonorrhea Syphilis – Primary and 4,7 Secondary 4,7 Syphilis – All Others 4 Chlamydia 4 HIV 4 AIDS 2010 2012 2013 0.1 0.0 0.1 10.7 0.1 16.8 0.2 0.0 0.0 0.0 14.4 0.0 0.6 1.7 2.8 0.2 2.0 0.1 13.3 6.4 0.2 247.8 0.2 0.2 0.0 0.0 0.5 3.0 0.9 2.5 0.0 1.2 20.9 45 2.6 0.0 0.0 0.0 18.0 0.1 8.3 0.4 0.2 0.1 0.0 13.8 0.0 0.8 2.0 1.9 0.2 1.8 0.1 9.9 5.4 0.0 345.4 0.1 0.1 0.0 0.2 0.4 1.2 1.4 3.5 0.0 0.7 20.7 62 2.9 0.0 0.0 0.1 22.0 0.0 9.8 0.1 0.1 0.0 0.4 13.3 0.0 0.9 2.3 1.5 0.2 2.9 0.0 10.9 5.4 0.1 257.4 0.1 0.2 0.0 0.1 0.4 2.3 1.1 1.9 0.0 0.7 18.4 48.8 2.8 0.0 0.0 0.0 11.0 0.0 7.3 0.1 0.2 0.0 0.0 12.7 0.0 0.6 4.7 1.4 0.0 1.9 0.0 12.2 6.4 0.2 102.7 0.0 0.1 0.0 0.4 0.5 1.3 1.1 0.9 0.0 0.9 17.4 64.0 3.1 0.5 0.6 0.4 0.7 0.6 12.5 0.0 0.2 11.1 0.1 0.3 11.2 0.1 0.4 9.8 0.0 0.4 11.2 0.0 0.3 0.2 0.0 3.6 0.0 0.0 4.0 0.1 0.0 3.0 0.2 0.0 2.7 0.2 0.0 2.2 18.2 59.5 29.6 60 35.0 83.4 27.4 110.7 9.0 117.7 4.2 13 385.4 8.9 9.1 8.3 885.4 4.2 12.4 409.1 7.6 8.4 5.1 948.5 5.2 11.1 431 8.1 6.4 14.1 1,112.70 4.1 11.6 485.3 10.0 5.5 10.1 1,101.7 5.2 16.7 477.4 9.2 3.1 6.9 911.9 Unless otherwise indicated, numbers represent confirmed and probable cases. Beginning with the 2008-2012 report, only H. influenzae Type B cases are shown. 3 Rates for Botulism, Infant among children aged <1 year are per 100,000 residents in age group ‘0-4’ 4 Confirmed cases only 5 Norovirus and respiratory syncytial virus (RSV) were not reported to health departments until April 2008. 2 2011 0.0 0.0 0.1 6.2 0.0 11.4 0.2 0.0 0.1 0.0 13.7 0.0 0.6 1.2 3.0 0.1 1.1 0.1 14.7 14.5 0.1 212.4 0.1 0.1 0.0 0.1 0.2 0.5 0.8 3.8 0.0 1.0 21.2 50.7 2.2 6 Rates for Streptococcus Group B Invasive disease infants <90 days are per 1,000 live births 7 Symptoms in adults are divided into four stages (primary, secondary, latent, & late syphilis). For more information please visit www.cdc.gov 28 Maricopa County Five-Year Trends Communicable Disease Statistics Table 2.14a Congenital Syphilis by Race/Ethnicity and Year Number of Cases, 2009-2013 Number of Cases Race/Ethnicity 2009 2010 2 7 1 1 1 0 12 White Hispanic African American American Indian Asian Other/Unknown Total 2011 7 5 1 0 0 0 13 2012 2013 3 4 1 2 0 0 10 3 4 2 1 0 0 10 1 5 4 0 0 0 10 Table 2.14b Congenital Syphilis by Race/Ethnicity and Year Case Rates per 100,000 Live Births, 2009-2013 Rate of Disease Race/Ethnicity 2009 8.1 27.5 31.2 57.8 42.6 20.8 White Hispanic African American American Indian Asian Other/Unknown Total 2010 28.6 22.3 31.1 0.0 0.0 23.9 2011 2012 12.1 18.9 31.4 126.1 0.0 18.7 5.5 7.3 3.7 1.8 0.0 18.4 2013 4.1 23.1 57.3 62.9 0.0 18.6 Table 2.15 Hansen’s Disease Prevalence1 Total number of cases reported in Maricopa County as of June 10, 2015 Gender Male Female Total 19 12 31 Age at Diagnosis 0-9 0 10-14 0 15-19 0 20-24 1 25-34 7 35-44 4 45-54 4 55-64 5 65 and Older 9 Unknown 1 Total 31 1 This table includes all known “active” cases of Hansen’s disease in Maricopa County, diagnosed between 1955 and 2013. Please note: to be considered “active,” the prevalent cases being treated, managed, and followed-up at MCDPH and the Hansen’s disease clinic have to be seen by a Hansen’s disease physician, physical therapist, or occupational therapist within the past 5 years. Validation of past data revealed cases that were no longer “active,” causing a drop in the number of “active” cases between the 2007-2011 five-year trend report and the current 2008-2012 five-year trend report. 29 Maricopa County Five-Year Trends Hospital Discharge Statistics Table 2.16a Primary Diagnosis Groups, Inpatient Hospitalizations, 2009-2013 Number of Discharges Primary Diagnosis Infectious and parasitic diseases Inpatient Discharges 2009 2010 2011 2012 2013 Total Septicemia 7,713 9,482 12,849 15,611 17,873 63,528 Other infectious and parasitic diseases 7,511 7,962 7,492 7,355 6,669 36,989 15,224 17,444 20,341 22,966 24,542 100,517 Neoplasms - other malignant 8,625 8,501 8,227 8,141 7,616 41,110 Malignant neoplasm of large intestine & rectum 1,380 1,341 1,284 1,359 1,308 6,672 Malignant neoplasm of trachea, bronchus & lung 1,548 1,499 1,369 1,326 1,305 7,047 768 770 692 637 576 3,443 3,850 3,595 3,215 2,729 2,602 15,991 611 612 668 642 694 3,227 16,782 16,318 15,455 14,834 14,101 77,490 6,258 6,378 6,793 6,562 6,246 32,237 195 235 229 222 182 1,063 9,077 8,558 8,437 7,674 7,273 41,019 15,530 15,171 15,459 14,458 13,701 74,319 4,255 4,618 4,682 4,604 4,171 22,330 7,254 7,506 9,117 9,489 10,281 43,647 426 424 598 631 429 2,508 Other mental disorders 1,721 1,906 2,066 2,087 1,880 9,660 All Diseases of the nervous system and sense organs 9,401 9,836 11,781 12,207 12,590 55,815 9,150 9,916 10,346 9,886 9,334 48,632 10,584 11,590 12,010 11,901 11,769 57,854 Acute myocardial infarction 5,107 5,360 5,271 5,361 5,360 26,459 Coronary atherosclerosis 9,395 7,593 6,172 4,740 3,545 31,445 All Neoplasms Malignant neoplasm of breast Neoplasms - benign Neoplasms - other All Endocrine, nutritional and metabolic diseases, and immunity disorders Diabetes mellitus Volume depletion (dehydration) Other endocrine, nutritional and metabolic diseases, and immunity disorders All Diseases of the blood and blood-forming organs Mental disorders Psychoses Alcohol dependence syndrome Diseases of the circulatory system Heart disease (Continued on next page) 30 Maricopa County Five-Year Trends Hospital Discharge Statistics (Table 2.16a continued) Primary Diagnosis Diseases of the digestive system Diseases of the skin and subcutaneous tissue Diseases of the musculoskeletal system and connective tissue 2010 2011 2012 2013 Total 335 333 282 209 1,503 Cardiac dysrhythmias 9,031 9,466 9,386 9,428 8,126 45,437 Congestive heart failure 2,746 2,280 1,514 1,034 875 8,449 Cerebrovascular disease 9,935 10,179 10,092 10,118 9,156 49,480 Other diseases of the circulatory system 11,067 11,373 10,916 9,632 8,757 51,745 All 58,209 58,176 55,694 52,496 47,797 272,372 2,774 3,148 3,162 2,448 2,538 14,070 Acute bronchitis and bronchiolitis Pneumonia 10,527 10,077 10,096 9,145 8,802 48,647 Chronic bronchitis 5,020 5,230 5,550 5,065 4,718 25,583 Asthma 5,528 5,327 4,831 4,517 3,689 23,892 Other diseases of the respiratory system 12,035 10,738 11,532 10,764 11,127 56,196 All 35,884 34,520 35,171 31,939 30,874 168,388 Appendicitis 5,202 5,061 4,640 3,779 3,032 21,714 Noninfectious enteritis and colitis 3,675 4,031 3,938 3,910 3,530 19,084 665 896 886 945 874 4,266 Other diseases of the digestive system 33,629 36,017 35,587 33,708 31,680 170,621 All 43,171 46,005 45,051 42,342 39,116 215,685 2,338 2,663 2,707 2,676 2,633 13,017 Other diseases of the genitourinary system 20,755 20,304 19,423 17,815 16,025 94,322 All 23,093 22,967 22,130 20,491 18,658 107,339 Cellulitis and abscess 8,587 9,198 9,277 8,909 8,399 44,370 Other diseases of the skin and subcutaneous tissue 1,272 1,311 1,294 1,183 1,116 6,176 All 9,859 10,509 10,571 10,092 9,515 50,546 10,146 10,796 10,815 11,229 12,575 55,561 2,998 3,176 2,981 2,788 2,826 14,769 9,375 10,266 9,872 9,467 9,259 48,239 22,519 24,238 23,668 23,484 24,660 118,569 Cholelithiasis Diseases of the genitourinary system 2009 344 Other ischemic heart disease Diseases of the respiratory system Inpatient Discharges Calculus of kidney and ureter Osteoarthrosis and allied disorders Intervertebral disc disorders Other - diseases of the musculoskeletal system and connective tissue All (Continued on next page) 31 Maricopa County Five-Year Trends Hospital Discharge Statistics (Table 2.16a continued) Primary Diagnosis Inpatient Discharges 2009 2010 2011 2012 Total 2013 Congenital anomalies 1,812 1,578 1,776 1,657 1,525 8,348 Certain conditions originating in the perinatal period 2,462 2,130 1,923 1,996 1,627 10,138 Symptoms, signs, and ill-defined conditions Injury and poisoning Fracture of neck of femur 21,354 23,295 20,699 16,092 12,707 94,147 3,319 3,326 3,441 3,382 3,626 17,094 Fractures, all other sites 9,749 10,020 10,007 9,561 9,193 48,530 Poisonings 4,304 4,601 4,774 4,709 4,233 22,621 Other injury and poisoning 21,714 22,952 22,279 21,293 20,597 108,835 All 39,086 40,899 40,501 38,945 37,649 197,080 Rehab services 5,293 4,142 3,242 2,920 2,523 18,120 Other healthcare encounters 3,242 2,978 2,922 2,884 2,726 14,752 All 8,535 7,120 6,164 5,804 5,249 32,872 1 Total 323,563 Note: Pregnant women, newborns, Long Term Acute Care Hospitals, and Rehabilitation Hospitals excluded 1 0 3 0 5 336,327 341,412 324,293 307,816 1,633,411 Other healthcare encounters Unknown 32 Maricopa County Five-Year Trends Hospital Discharge Statistics Table 2.16b Primary Diagnosis Groups, Inpatient Hospitalizations, 2009-2013 Crude Hospitalization Rate per 100,000 Residents Primary Diagnosis Infectious and parasitic diseases Neoplasms 2009 2010 2011 2012 2013 Septicemia 202.8 248.4 331.1 396.0 445.8 Other infectious and parasitic diseases 197.5 208.6 193.1 186.6 166.3 All 400.2 457.0 524.2 582.6 612.1 Neoplasms - other malignant 226.7 222.7 212.0 206.5 190.0 Malignant neoplasm of large intestine & rectum 36.3 35.1 33.1 34.5 32.6 Malignant neoplasm of trachea, bronchus & lung 40.7 39.3 35.3 33.6 32.5 Malignant neoplasm of breast 20.2 20.2 17.8 16.2 14.4 101.2 94.2 82.9 69.2 64.9 16.1 16.0 17.2 16.3 17.3 All 441.2 427.5 398.3 376.3 351.7 Diabetes mellitus 164.5 167.1 175.1 166.5 155.8 Neoplasms - benign Neoplasms - other Endocrine, nutritional and metabolic diseases, and immunity disorders Inpatient Discharges Volume depletion (dehydration) Other endocrine, nutritional and metabolic diseases, and immunity disorders 5.1 6.2 5.9 5.6 4.5 238.6 224.2 217.4 194.7 181.4 All 408.3 397.4 398.4 366.8 341.7 111.9 121.0 120.7 116.8 104.0 190.7 196.6 235.0 240.7 256.4 11.2 11.1 15.4 16.0 10.7 Diseases of the blood and blood-forming organs Mental disorders Psychoses Alcohol dependence syndrome Other mental disorders All Diseases of the nervous system and sense organs Diseases of the circulatory Heart disease system Acute myocardial infarction Coronary atherosclerosis Other ischemic heart disease Cardiac dysrhythmias 45.2 49.9 53.2 52.9 46.9 247.1 257.7 303.6 309.7 314.0 240.6 259.8 266.6 250.8 232.8 278.2 303.6 309.5 301.9 293.5 134.3 140.4 135.8 136.0 133.7 247.0 198.9 159.1 120.2 88.4 9.0 8.8 8.6 7.2 5.2 237.4 248.0 241.9 239.2 202.7 (Continued on next page) 33 Maricopa County Five-Year Trends Hospital Discharge Statistics (Table 2.16b continued) Primary Diagnosis Diseases of the digestive system Diseases of the musculoskeletal system and connective tissue 2011 2012 2013 72.2 59.7 39.0 26.2 21.8 261.2 266.7 260.1 256.7 228.4 Other diseases of the circulatory system 290.9 297.9 281.3 244.3 218.4 1,530.3 1,524.1 1,435.3 1,331.7 1192.1 72.9 82.5 81.5 62.1 63.3 Pneumonia 276.8 264.0 260.2 232.0 219.5 Chronic bronchitis 132.0 137.0 143.0 128.5 117.7 Asthma 145.3 139.6 124.5 114.6 92.0 Other diseases of the respiratory system 316.4 281.3 297.2 273.0 277.5 All 943.4 904.3 906.4 810.2 770.0 Appendicitis 136.8 132.6 119.6 95.9 75.6 Noninfectious enteritis and colitis 96.6 105.6 101.5 99.2 88.0 Cholelithiasis 17.5 23.5 22.8 24.0 21.8 Acute bronchitis and bronchiolitis 884.1 943.6 917.1 855.1 790.1 1,135.0 1,205.2 1,161.0 1,074.1 975.6 61.5 69.8 69.8 67.9 65.7 Other diseases of the genitourinary system 545.6 531.9 500.6 451.9 399.7 All 607.1 601.7 570.3 519.8 465.4 Cellulitis and abscess 225.7 241.0 239.1 226.0 209.5 33.4 34.3 33.3 30.0 27.8 All 259.2 275.3 272.4 256.0 237.3 Osteoarthrosis and allied disorders 266.7 282.8 278.7 284.8 313.6 All Diseases of the skin and subcutaneous tissue 2010 Cerebrovascular disease Other diseases of the digestive system Diseases of the genitourinary system 2009 Congestive heart failure All Diseases of the respiratory system Inpatient Discharges Calculus of kidney and ureter Other diseases of the skin and subcutaneous tissue Intervertebral disc disorders Other - diseases of the musculoskeletal system and connective tissue 78.8 83.2 76.8 70.7 70.5 246.5 268.9 254.4 240.1 230.9 All 592.0 635.0 610.0 595.7 615.1 Congenital anomalies 47.6 41.3 45.8 42.0 38.0 Certain conditions originating in the perinatal period 64.7 55.8 49.6 50.6 40.6 (Continued on next page) 34 Maricopa County Five-Year Trends Hospital Discharge Statistics (Table 2.16b continued) Primary Diagnosis 2009 2010 2011 2012 2013 561.4 610.3 533.4 408.2 316.9 87.3 87.1 88.7 85.8 90.4 Fractures, all other sites 256.3 262.5 257.9 242.5 229.3 Poisonings 113.2 120.5 123.0 119.5 105.6 Other injury and poisoning 570.9 601.3 574.2 540.1 513.7 1,027.6 1,071.5 1,043.8 987.9 939.0 139.2 108.5 83.6 74.1 62.9 Symptoms, signs, and ill-defined conditions Injury and poisoning Fracture of neck of femur All Other healthcare encounters Inpatient Discharges Rehab services Other healthcare encounters 85.2 78.0 75.3 73.2 68.0 224.4 186.5 158.9 147.2 130.9 0.0 0.0 0.0 0.1 0.0 Total 8,506.4 Note: Pregnant women, newborns, Long Term Acute Care Hospitals, and Rehabilitation Hospitals excluded 8,811.0 8,798.7 8,226.3 7,677.3 All Unknown 35 Maricopa County Five-Year Trends Hospital Discharge Statistics Table 2.17a Primary Diagnosis Groups, Emergency Department, 2009-2013 Number of Discharges Primary Diagnosis Infectious and parasitic diseases Neoplasms Septicemia 2009 2010 2011 2012 2013 Total 77 104 125 188 340 834 Other infectious and parasitic diseases 30,090 22,126 23,130 24,651 24,503 124,500 All 30,167 22,230 23,255 24,839 24,843 125,334 324 355 405 599 649 2,332 13 33 36 57 61 200 80 70 99 103 124 476 35 33 25 56 49 198 Neoplasms - benign 533 582 629 697 734 3,175 Neoplasms - other 101 91 141 146 169 648 All 1,086 1,164 1,335 1,658 1,786 7,029 Diabetes mellitus 5,370 5,407 5,913 6,570 6,911 30,171 24 37 67 40 49 217 9,301 9,122 10,086 10,803 11,298 50,610 14,695 14,566 16,066 17,413 18,258 80,998 2,940 3,167 3,517 3,775 3,990 17,389 Neoplasms - other malignant Malignant neoplasm of large intestine & rectum Malignant neoplasm of trachea, bronchus & lung Malignant neoplasm of breast Endocrine, nutritional and metabolic diseases, and immunity disorders Emergency Department Visits Volume depletion (dehydration) Other endocrine, nutritional and metabolic diseases, and immunity disorders All Diseases of the blood and blood-forming organs Mental disorders Other mental disorders 20,863 24,344 26,108 27,458 26,660 125,433 Psychoses 4,836 5,893 6,723 7,124 6,962 31,538 Alcohol dependence syndrome 1,201 1,483 1,803 1,773 2,306 8,566 26,900 31,720 34,634 36,355 35,928 165,537 63,634 61,737 66,872 70,497 69,166 331,906 452 484 759 959 1,271 3,925 Acute myocardial infarction 371 364 441 461 532 2,169 Coronary atherosclerosis 267 458 640 779 912 3,056 Other ischemic heart disease 481 496 553 637 590 2,757 All Diseases of the nervous system and sense organs Diseases of the circulatory system Heart disease (Continued on next page) 36 Maricopa County Five-Year Trends Hospital Discharge Statistics (Table 2.17a continued) Primary Diagnosis Cardiac dysrhythmias 2012 2013 Total 5,482 5,868 6,392 27,072 1,028 1,132 1,141 1,327 5,623 1,497 1,616 2,169 2,316 2,869 10,467 Other diseases of the circulatory system 11,339 12,204 13,987 15,837 16,333 69,700 All 19,969 21,413 25,163 27,998 30,266 124,809 Acute bronchitis and bronchiolitis 15,160 12,915 14,986 16,583 17,431 77,075 Pneumonia 14,087 11,944 12,097 12,019 10,946 61,093 1,754 1,976 2,419 2,627 2,958 11,734 Asthma 16,428 16,174 16,236 19,021 17,138 84,997 Other diseases of the respiratory system 83,517 63,189 72,370 73,215 72,088 364,379 130,946 106,198 118,135 123,456 126,561 605,296 749 1,016 1,655 2,394 2,946 8,760 10,930 10,856 10,367 12,468 13,489 58,110 All Appendicitis Noninfectious enteritis and colitis Cholelithiasis 89 91 156 160 164 660 Other diseases of the digestive system 46,634 48,672 53,868 58,108 56,911 264,193 All 58,402 60,635 66,046 73,130 73,510 331,723 Calculus of kidney and ureter Other diseases of the genitourinary system 10,868 10,705 11,301 11,231 11,260 55,365 53,002 55,414 59,082 61,510 61,791 290,799 All 63,870 66,119 70,383 72,741 73,051 346,164 30,830 29,694 32,458 35,717 36,214 164,913 23,835 24,405 24,616 24,923 24,905 122,684 16,783 17,081 17,796 18,183 17,588 87,431 40,618 41,486 42,412 43,106 42,493 210,115 507 559 583 653 715 3,017 Complications of pregnancy, childbirth, & the puerperium Diseases of the skin and subcutaneous Cellulitis and abscess tissue Other diseases of the skin and subcutaneous tissue All Diseases of the musculoskeletal system and connective tissue 2011 4,763 Chronic bronchitis Diseases of the genitourinary system 2010 995 Cerebrovascular disease Diseases of the digestive system 2009 4,567 Congestive heart failure Diseases of the respiratory system Emergency Department Visits Osteoarthrosis and allied disorders Intervertebral disc disorders Other - diseases of the musculoskeletal system and connective tissue 1,085 1,089 1,267 1,306 1,388 6,135 68,997 73,763 79,186 79,784 78,182 379,912 All 70,589 75,411 81,036 81,743 80,285 389,064 (Continued on next page) 37 Maricopa County Five-Year Trends Hospital Discharge Statistics (Table 2.17a continued) Primary Diagnosis 2013 Total 325 352 414 1,666 1,717 1,915 2,035 9,022 23,120 25,007 25,695 25,522 24,361 123,705 61,377 69,326 75,638 78,437 77,105 361,883 Chest pain 39,610 45,259 55,610 62,043 60,843 263,365 Fever 25,805 17,805 18,238 20,264 18,004 100,116 Nausea/vomiting Other symptoms, signs, and ill-defined conditions 20,888 22,293 22,689 25,076 25,000 115,946 82,578 84,673 95,746 101,930 102,990 467,917 253,378 264,363 293,616 313,272 308,303 1,432,932 209 207 200 290 262 1,168 30,333 30,882 30,503 31,405 30,333 30,609 Fracture of neck of femur Poisonings Total 2012 274 Fractures, all sites Unknown 2011 1,658 All Other healthcare encounters 2010 301 Certain conditions originating in the perinatal period Symptoms, signs, and ill-defined Headache conditions Abdominal pain Newborn infant 2009 1,697 Congenital anomalies Injury and poisoning Emergency Department Visits 10,320 10,797 11,530 11,056 11,096 54,799 Injury and poisoning 196,842 201,705 206,213 208,183 196,031 1,008,974 All 237,704 243,591 248,446 250,934 237,998 1,218,673 5 13 6 5 14 43 23,137 23,947 27,128 26,820 24,514 125,546 1 2 0 0 0 3 1,070,869 1,069,388 1,152,550 1,205,735 1,183,589 5,682,131 38 Maricopa County Five-Year Trends Hospital Discharge Statistics Table 2.17b Primary Diagnosis Groups, Emergency Department, 2009-2013 Crude Rates per 100,000 Residents Primary Diagnosis Infectious and parasitic diseases Neoplasms Septicemia 2009 2010 2011 2012 2013 2.0 2.7 3.2 4.8 8.5 Other infectious and parasitic diseases 791.1 579.7 596.1 625.3 611.1 All 793.1 582.4 599.3 630.1 619.6 Neoplasms - other malignant 8.5 9.3 10.4 15.2 16.2 Malignant neoplasm of large intestine & rectum 0.3 0.9 0.9 1.4 1.5 Malignant neoplasm of trachea, bronchus & lung 2.1 1.8 2.6 2.6 3.1 Malignant neoplasm of breast Neoplasms - benign Neoplasms - other All Endocrine, nutritional and metabolic diseases, and immunity disorders Rate of Emergency Department Visits Diabetes mellitus 0.9 0.9 0.6 1.4 1.2 14.0 15.2 16.2 17.7 18.3 2.7 2.4 3.6 3.7 4.2 28.6 30.5 34.4 42.1 44.5 141.2 141.7 152.4 166.7 172.4 Volume depletion (dehydration) Other endocrine, nutritional and metabolic diseases, and immunity disorders 0.6 1.0 1.7 1.0 1.2 244.5 239.0 259.9 274.0 281.8 All 386.3 381.6 414.0 441.7 455.4 77.3 83.0 90.6 95.8 99.5 127.1 154.4 173.3 180.7 173.6 31.6 38.9 46.5 45.0 57.5 Other mental disorders 548.5 637.8 672.8 696.5 664.9 All 707.2 831.0 892.6 922.2 896.1 1,672.9 1,617.4 1,723.4 1,788.3 1,725.1 11.9 12.7 19.6 24.3 31.7 Acute myocardial infarction 9.8 9.5 11.4 11.7 13.3 Coronary atherosclerosis 7.0 12.0 16.5 19.8 22.7 Diseases of the blood and blood-forming organs Mental disorders Psychoses Alcohol dependence syndrome Diseases of the nervous system and sense organs Diseases of the circulatory system Heart disease Other ischemic heart disease Cardiac dysrhythmias Congestive heart failure 12.6 13.0 14.3 16.2 14.7 120.1 124.8 141.3 148.9 159.4 26.2 26.9 29.2 28.9 33.1 (Continued on next page) 39 Maricopa County Five-Year Trends Hospital Discharge Statistics (Table 2.17b continued) Primary Diagnosis Cerebrovascular disease Diseases of the respiratory system 2011 2012 2013 39.4 42.3 55.9 58.7 71.6 319.7 360.5 401.7 407.4 All 525.0 561.0 648.5 710.2 753.9 Acute bronchitis and bronchiolitis 398.6 338.3 386.2 420.7 434.8 Pneumonia 370.3 312.9 311.8 304.9 273.0 46.1 51.8 62.3 66.6 73.8 431.9 423.7 418.4 482.5 427.4 Other diseases of the respiratory system 2,195.6 1,655.4 1,865.1 1,857.2 1798.0 All 3,442.5 2,782.2 3,044.5 3,131.7 3,006.9 19.7 26.6 42.7 60.7 73.5 287.3 284.4 267.2 316.3 336.4 2.3 2.4 4.0 4.1 4.1 Other diseases of the digestive system 1,226.0 1,275.1 1,388.3 1,474.0 1419.4 All 1,535.4 1,588.5 1,702.1 1,855.1 1,833.4 285.7 280.4 291.2 284.9 280.8 Other diseases of the genitourinary system 1,393.4 1,451.7 1,522.6 1,560.3 1541.1 All 1,679.1 1,732.2 1,813.9 1,845.2 1,822.0 810.5 777.9 836.5 906.0 903.2 626.6 639.4 634.4 632.2 621.2 441.2 447.5 458.6 461.2 438.7 Appendicitis Noninfectious enteritis and colitis Cholelithiasis Calculus of kidney and ureter Complications of pregnancy, childbirth, & the puerperium Diseases of the skin and subcutaneous Cellulitis and abscess tissue Other diseases of the skin and subcutaneous tissue All Diseases of the musculoskeletal system and connective tissue 2010 298.1 Asthma Diseases of the genitourinary system 2009 Other diseases of the circulatory system Chronic bronchitis Diseases of the digestive system Rate of Emergency Department Visits 1,067.8 1,086.8 1,093.0 1,093.5 1,059.8 Osteoarthrosis and allied disorders 13.3 14.6 15.0 16.6 17.8 Intervertebral disc disorders Other - diseases of the musculoskeletal system and connective tissue 28.5 28.5 32.7 33.1 34.6 1,813.9 1,932.4 2,040.7 2,023.9 1,950.0 All 1,855.8 1,975.6 2,088.4 2,073.6 2,002.4 7.9 7.2 8.4 8.9 10.3 44.6 43.4 44.2 48.6 50.8 Congenital anomalies Certain conditions originating in the perinatal period (Continued on next page) 40 Maricopa County Five-Year Trends Hospital Discharge Statistics (Table 2.17b continued) Primary Diagnosis Symptoms, signs, and ill-defined conditions Injury and poisoning Newborn infant Other healthcare encounters Unknown Total Headache Rate of Emergency Department Visits 2009 2010 2011 2012 2013 607.8 655.1 662.2 647.4 607.6 Abdominal pain 1,613.6 1,816.2 1,949.3 1,989.7 1,923.1 Chest pain 1,041.3 1,185.7 1,433.2 1,573.8 1,517.5 Fever 678.4 466.5 470.0 514.0 449.0 Nausea/vomiting 549.1 584.0 584.7 636.1 623.5 Other symptoms, signs, and ill-defined conditions 2,170.9 2,218.2 2,467.5 2,585.6 2,568.7 All 6,661.2 6,925.7 7,566.9 7,946.7 7,689.5 Fracture of neck of femur 5.5 5.4 5.2 7.4 6.5 Fractures, all other sites 797.4 809.0 786.1 796.6 763.4 Poisonings 271.3 282.9 297.1 280.5 276.7 Other injury and poisoning 5,174.9 5,284.2 5,314.4 5,280.9 4,889.3 All 6,249.2 6,381.5 6,402.8 6,365.4 5,936.0 0.1 0.3 0.2 0.1 0.3 608.3 627.4 699.1 680.3 611.4 0.0 0.1 0.0 0.0 0.0 28,152.8 28,015.6 29,703.0 30,585.6 29,520.3 41 III. Technical Notes Population Statistics Population statistics are shown in Tables 1.01 through 1.11. This report used the most recent U.S. Census data and estimates for population figures at the time of analysis.    The Maricopa County population data for tables 1.01 through 1.10 were obtained from the following sources:  For 2013 is from the U.S. Census Bureau, County Characteristics Datasets: Annual County Resident Population Estimates by Age, Sex, Race, and Hispanic Origin: April 1, 2010 to July 1, 2013. This can be found at http://www.census.gov/popest/data/counties/asrh/2013/CC-EST2013ALLDATA.html.  For 2012 is from the U.S. Census Bureau, County Characteristics Datasets: Annual County Resident Population Estimates by Age, Sex, Race, and Hispanic Origin: April 1, 2010 to July 1, 2012. This can be found at http://www.census.gov/popest/data/counties/asrh/2012/CC-EST2012ALLDATA.html.  For 2011 is from the U.S. Census Bureau, County Population Estimates by Age, Sex, Race, and Hispanic Origin for July 1, 2011 released May 2012. This can be found at http://www.census.gov/popest/data/counties/asrh/2011/files/CC-EST2011-6RACE-04.csv.  For 2010 is from the U.S. Census Bureau, 2010 Census by Age, Sex, Race and Hispanic Origin released July 21, 2011. This is at http://www2.census.gov/census_2010/03-Demographic_Profile/Arizona/az2010.dp.zip.  For 2001 through 2009 is from the U.S. Census Bureau, 2000-2010 Intercensal Population Estimates by Age, Sex, Race and Hispanic Origin released October 2012. This can be found at: Population Estimates: County Intercensal Estimates (2000-2010): Annual Population Estimates U.S Census Bureau. The Arizona population data for table 1.11 were obtained from the following sources:  The population for 2013 is from the U.S. Census Bureau, Population Estimates for States by Age, Sex, Race, and Hispanic Origin: April 1 2010 to July 1, 2013. This can be found at: http://www.census.gov/popest/data/historical/2010s/vintage_2013/state.html.  The population for 2012 is from the U.S. Census Bureau, Annual Estimates of the Resident Population for the United States, Regions, States, and Puerto Rico: April 1, 2010 to July 1, 2012. This can be found at: http://www.census.gov/popest/data/state/totals/2012/tables/NSTEST2012-01.xls .  The population for 2011 is from the U.S. Census Bureau, State Population Estimates by Age, Sex, Race, and Hispanic Origin for July 1, 2011 released December 2011. This can be found at: http://www.census.gov/popest/data/state/totals/2011/index.html.  The population for 2010 is from the U.S. Census Bureau 2010 Census and can be found http://www2.census.gov/census_2010/03-Demographic_Profile/Arizona/az2010.dp.zip.  for 2001 through 2009 is from the U.S. Census Bureau, 2000-2010 Intercensal Population Estimates. This can be found http://www.census.gov/popest/data/intercensal/state/STEST00INT-02.html. The Phoenix population for table 1.11 were obtained from the following sources:  The population for 2013 is from the U.S. Census Bureau, State & County QuickFacts. This can be found at: http://quickfacts.census.gov/qfd/states/04/0455000.html  The population for 2012 is from the U.S. Census Bureau, Annual Estimates of the Resident Population for Incorporated Places Over 50,000, Ranked by July 1, 2012 Population: April 1, 2010 to July 1, 2012. This can be found at: http://factfinder.census.gov/faces/tableservices/jsf/pages/productview.xhtml?src=bkmk.  The population for 2011 is from the U.S. Census Bureau, City and Town Population Estimates by Age, Sex, Race, and Hispanic Origin for July 1, 2011 released June 2012. This can be found at: http://www.census.gov/popest/data/cities/totals/2011/files/SUB-EST2011_4.csv.  The population for 2010 is from the U.S. Census Bureau, State & County Quickfacts. This can be found at: http://quickfacts.census.gov/qfd/states/04/0455000.html.  The population for 2001-2009 is from U.S. Census Bureau. This can be found at: http://www.census.gov/popest/cities/files/SUB- EST2009_ALL.csv. 42 The population estimates used in this report for 2009 are from the U.S. Census and based on the Census 2000 and Census 2010 population. The 2010 decennial census population was used for 2010, and US Census annual population estimates were used for 2011, 2012 and 2013. Reports published prior to 2010 used population estimates based only on the Census 2000 population. The population for a community, such as Maricopa County, changes as a result of births, deaths, and migration (moving into or out of the location). Although it is relatively easy to measure the change in population due to births and deaths, it is more difficult to measure the change due to migration. Due to this difficulty, previous reports used an overestimation of the population. Many of the rates shown use population estimates as the denominator (e.g., 50 cases of disease for every 100,000 people). Therefore, a rate that uses an overestimated population will make the disease burden appear smaller than it truly is and vice versa. If comparing the rates reported in this report to the rates reported in earlier reports, they may see an increase in the rates for each year. Rates reported in this report are more reliable than rates reported in previous reports for 2001 through 2009. This report defines “Hispanic” as all respondents listing Hispanic, either alone or in combination with any race. The Hispanic and American Indian categories in this report are slightly different from previous Maricopa County Health Status Reports. Previously, American Indians who identified their origin as either Hispanic or non-Hispanic were counted as American Indians. In this report, only American Indians who identified their origin as non-Hispanic were placed in the American Indian category. Hence, all individuals whose origin was Hispanic, regardless of race, were placed in the Hispanic group. In order to allow comparisons across years, the same method was used for all years (2009-2013) in this report. The table below shows how the U.S. Census variables of “origin” and “race” are used for categorization in this report. Table 3.1 Race/Ethnicity Categories Used in This Report Category Used in This Report U.S. Census Code “Race” U.S. Census Code “Origin” White Race=1 (White Alone) Origin=1 (Non-Hispanic) African American Race=2 (Black Alone) Origin=1 (Non-Hispanic) American Indian Asian Race=3 (American Indian or Alaska Native Alone) Race=4 (Asian Alone) or 5 (Native Hawaiian or Other Pacific Islander Alone) Origin=1 (Non-Hispanic) Origin=1 (Non-Hispanic) Multiple Race=6 (Two or More Races) Origin=1 (Non-Hispanic) Hispanic Race=1,2,3,4,5,6 Origin=2 (Hispanic) Census data are used to calculate rates for mortality, morbidity, and hospital discharge data. Any crude rate can be calculated by taking the number of events from any table in this report (for mortality, morbidity and hospital discharge) and dividing it by the appropriate age, gender, race/ethnicity, or total population denominator found in Tables 1.01 through 1.10. In tables where rates are shown, “0” means there were no cases in that category. However, when the number “0.0” is shown, it means that there were fewer than .05 deaths per 100,000 residents. Only a couple conditions, Sudden Infant Death Syndrome (SIDS) in the mortality tables and Strep Group B in the morbidity tables are calculated differently. By definition, SIDS deaths and Strep Group B cases only occur in infants; as a result, these numbers are divided by the number of live births (rather than the standard 100,000 residents) to produce a rate per 1,000 live births. For both mortality and morbidity (communicable disease), rates for some racial/ethnic populations such as American Indians, Asians, and African Americans are high compared to other groups. Because these groups have relatively small populations in Maricopa County (under 200,000 residents as shown in Tables 1.01 through 1.10), these high rates may represent very few deaths/cases. Among small populations, rates are less stable so one case or death can cause a big increase or decrease in the rates. Therefore, it is advisable to examine the actual number of cases or deaths in addition to the rates. 43 Table 2.14b, does not provide a rate for the category labeled “Other/Unknown Race/Ethnicity.” Since the U.S. Census Bureau does not report data on people of ‘Other/Unknown Race/Ethnicity,’ there is no denominator to use for calculating the rate. Mortality (Death) Statistics Mortality (death) statistics are shown in Tables 2.01a through 2.03b. All data on mortality statistics are from death certificates included in the Arizona Department of Health Services (ADHS) final annual files. The data presented in this report include Maricopa County residents only. This includes Maricopa County residents who died in Maricopa County and residents who died elsewhere. Non-Maricopa County residents who died in Maricopa County are not included. During the course of routine data review, several deaths each year were identified as being in one county even though their city and ZIP codes indicated that they lived in a different county. For these discrepant cases, final classification in this report was based on the address of the resident. (The address is determined by reviewing the street address, city, county, and ZIP code). Therefore, the numbers presented in this report may not precisely match those presented by ADHS in other reports. In Table 2.01a, deaths due to unintentional injury can be found by adding two categories – “motor vehicle collisions” and “all other accidents and adverse effects.” The total for unintentional injuries in this report is higher than the figure reported by ADHS because deaths from “complications of medical and surgical care” are included in this report. This convention follows the national model for classifying unintentional injuries. “Complications of medical and surgical care” include deaths from medical devices, adverse effects related to correct doses of therapeutic medications, and misadventures to patients during surgical or medical care (ICD-10 Y40-Y84, Y88). Table 2.02a presents the number of deaths by year meeting the criteria for ‘complications of medical and surgical care.’ Causes of death due to external events, as opposed to those intrinsically related to disease processes, are subject to many sources of variability:    th Causes of deaths may be translated into International Classification of Diseases, 10 Revision (ICD-1) codes by different method, i.e., electronically or manually The medical examiners’ specification of the sequence of the causes of death may change from year to year in systematic, non-random ways Changes in NCHS rules regarding the manner, or intentionality, of death may have caused misclassification of intentional injuries, such as suicides, as unintentional, or accidental injuries Further investigation into the reasons for these changes for the other causes of death is ongoing. Unless otherwise noted, all deaths are attributed to one underlying condition, based on death certificate information, using the rules of the International Classification of Diseases, Tenth Revision (ICD-10). Causes of death are classified by ICD-10 codes. The codes used for each category are listed in Table 3.2 below. Table 3.2 ICD-10 Codes Used for This Report Cause Clostridium difficile Salmonella & Other Intestinal Infections Tuberculosis Septicemia Syphilis HIV Disease Viral Hepatitis Coccidioidomycosis ICD-10 Codes Used A04.7 A01-A04.6, A04.8-A04.9 A06-A09 A16-A19 A40-A41 A50-A53 B20-B24 B15-B19 B38 (Continued on next page) 44 (Table 3.2 Continued) Other Mycoses Malignant Neoplasms (Cancer) Malignant Neoplasm of the Lip, Oral Cavity, and Pharynx Malignant Neoplasm of the Stomach Malignant Neoplasm of the Colon Malignant Neoplasm of the Pancreas Malignant Neoplasm of Bronchus, Lung, or Trachea Malignant Melanoma of Skin Malignant Neoplasm of the Breast Malignant Neoplasm of the Uterus, Cervix, Ovary Malignant Neoplasm of the Ovary Malignant Neoplasm of the Prostate Malignant Neoplasm of the Testes Malignant Neoplasm of Urinary Organs Malignant Neoplasm of the Meninges, Brain, and Central Nervous System Non-Hodgkins Lymphoma Leukemia Other Malignant Neoplasms Anemias Diabetes Nutritional Deficiencies Obesity Mental & Behavioral Disorders Due to the Use of Alcohol Parkinson’s Disease Alzheimer’s Multiple Sclerosis Epilepsy Major Cardiovascular Disease Disease of Heart Hypertensive Heart Disease Ischemic Heart Disease Acute Myocardial Infarction Other Heart Disease Congestive Heart Failure Coronary Heart Disease Primary Hypertension Cerebrovascular Diseases Atherosclerosis Other Circulatory Influenza & Pneumonia Chronic Lower Respiratory Emphysema Asthma Peptic Ulcer Liver Disease, including chronic liver disease, cirrhosis, alcoholic liver disease, and other chronic B35-B37, B39-B49 C00-C97 C00-C14 C16 C18-C21 C25 C33-C34 C43 C50 C53-C56 C56 C61 C62 C64-C68 C70-C72 C82-C85 C91-C95 C00-C15, C17, C22-C24, C26-C32, C37-C49, C51-C52, C57-C60, C62C63, C69-C81, C88, C90, C96-97 D56-D64 E10-E14 E40-E64 E66 F10 G20-G21 G30 G35 G40-G41 I00-I78 I00-I09, I11, I13, I20-I51 I11, I13 I20-I25 I21-I22 I00-I09, I26-I51 I50 I11, I20-I25 I10, I12 I60-I69 I70 I71-I78 J10-J18 J40-J47 J43 J45-J46 K25-K28 K70, K73-K74 (Continued on next page) 45 (Table 3.2 Continued) liver disease Alcoholic Liver Disease Rheumatoid Arthritis Lupus Osteoporosis Nephritis, nephritic syndrome and nephrosis Pregnancy, childbirth, and the puerperium Perinatal Conditions Disorders Related to Short Gestation and Low Birth Weight (LBW) Congenital Malformations Congenital Malformations of the Circulatory System Chromosomal Abnormalities SIDS (Sudden Infant Death Syndrome) Ill Defined Disease Conditions (Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified, excluding SIDS) All Other Diseases Motor Vehicle Collisions All Other Accidents & Adverse Effects Falls Exposure to Excessive Natural Heat Accidental Poisoning Accidental Drowning (Excludes drowning involving water transportation) Legal Intervention Accidental Discharge of Firearms Discharge of Firearms, Undetermined Intent Complications of Medical & Surgical Care (Excludes accidental overdose of a drug or drugs administered in error) Suicide Homicide All Other External Causes Unknown Causes Firearm Related Drug Induced or Related K70 M05-M08 M32 M80-M81 N00-N07, N17-N19, N25-N27 O00-O99 P00-P96 P07 Q00-Q99 Q20-Q28 Q90-Q99 R95 R00-R94, R96-R99 A00-A09, A20-A49, A54-B19, B25B99, D00-E07, E15-G25, G31-H93, I80-J06, J20-J39, J60-K22, K29-K66, K71-K72, K75-M99, N10-N15N20N23, N28-N98 V02-V04, V09.0, V09.2, V12-V14, V19.0 - V19.2, V19.4-V19.6, V20V79, V80.3-V80.5, V81.0-V81.1, V82.0-V82.1, V83-V86, V87.0-V87.8, V88.0-V88.8, V89.0 V89.2 V01, V05-V06, V09.1, V09.3-V09.9, V10-V11, V15-V18, V19.3, V19.8V19.9, V80.0-V80.2, V80.6-V80.9, V81.2-V81.9, V82.2-V82.9, V87.9, V88.9, V89.1, V89.3, V89.9 V90X29, X31-X59, Y40-Y86, Y88 W00-W19 X30 X40-X49 W65-W74 Y35, Y890 W32-W34 Y22-Y24 Y40-Y84, Y88 U03, X60-X84, Y87.0 U01-U02, X85-Y09, Y87.1 Y10-Y36, Y87.2, Y89 No ICD code listed W32-W34, X72-X74, X93-X95, Y22Y24, Y35.0 F11.0-F11.5, F11.7-F11.9, F12.0F12.5, F12.7-F12.9, F13.0-F13.5, F13.7-F13.9, F14.0-F14.5, F14.7F14.9, F15.0-F15.5, F15.7-F15.9, F16.0-F16.5, F16.7-F16.8, F17.0, (Continued on next page) 46 (Table 3.2 Continued) Alcohol Induced or Related F17.3-F17.5, F17.7-F17.9, F18.0F18.5, F18.7-F18.9, F19.0-F19.5, F19.7-F19.9, X40-X44, X60-X64, X85, Y10-Y14 F10, G31.2, G62.1, I42.6, K29.2, K70, R78.0, X45, X65, Y15 Only the underlying cause of death is used for classification in this report. Although other causes may have contributed to death, the underlying cause of death is the cause that began the disease process that resulted in death. The underlying causes of death chosen for this report are based on the 113 selected causes of death reported by NCHS in their annual report. Due to an increase in the number of deaths due to Clostridium difficile, NCHS has also added this cause of death to their 113 selected causes of death. A few additional causes of death, like coccidioidomycosis, have been selected due to their importance in Arizona. Tables 2.03a and 2.03b show deaths resulting directly (induced) and indirectly (related) from firearms, drugs, and alcohol. Drugs include prescription medications and illegal substances, regardless of whether use was recreational or medicinal. Tobacco is considered a drug by NCHS. Drug-related deaths are listed both with and without tobacco-related deaths, because tobacco is not often considered to be a drug in the colloquial sense. Induced deaths refer to cases in which the use of a firearm, drug, or alcohol contributed directly to the cause of death, i.e., death due to an overdose of drugs, or a fatal gunshot injury. Related deaths refer to cases in which the use of a drug or alcohol was listed on the death certificate, but the substance was not necessarily involved in the underlying cause of death, i.e., death due to dehydration resulting from environmental exposure, with chronic drug use noted elsewhere on the certificate. Firearm, drug, and alcohol induced deaths are also included in a number of other categories, such as suicide, homicide, unintentional injury, etc. For example, a firearm induced death may also be classified as a suicide, homicide, or “other accident or adverse effect.” An alcohol induced death may be attributed to a long or short term effect of alcohol, such as acute alcohol intoxication or alcoholic cardiomyopathy. In 2010, the Arizona Department of Health Service Office of Vitals Records modified the death certificate to meet the recommendations of the 2003 Standard developed by the National Center for Health Statistics. Two of the changes directly impacted the data presented in this report, deaths due to pregnancy and deaths involving tobacco. Each of these changes will be discussed further below. The tobacco use question asks if the cause of death is related to tobacco use. The certifier can select “Yes,” “No,” “Probably,” or “Unknown.” If either “Yes” or “Probably” is selected, the death will then have an ICD-10 code for tobacco. This new question caused a sharp increase in the number of deaths that are drug-related including tobacco. This increase is not necessarily due to more deaths being related to tobacco use, but rather by a change in identifying deaths due to tobacco use. The pregnancy status question asks the certifier to select if the female decedent was “Pregnant at time of death,” “Not pregnant but pregnant within 42 days of death,” “Not pregnant but pregnant 43 days to 1 year before death,” or not pregnant. The certifier can also select “Unknown.” In 2010, there was an increase in the number of deaths to women due to pregnancy. The increase is not necessarily due to more pregnancy-related deaths, but rather by a change in identifying deaths of women who were pregnant in the last year prior to death. Natality (Birth) Statistics Natality (birth) statistics are shown in Tables 2.04a through 2.05. All data on natality are from the Arizona Department of Health Services (ADHS) final annual files. The data presented in this report are from birth certificates where the mother’s county of residence is Maricopa County. This includes births that did not occur in Maricopa County. National Center for Health Statistics rules state that if a birth does not occur in the state of residency and the county and city are 47 unknown, the city of residency is assigned to the largest city in the state of residency. For Arizona, the largest city is Phoenix. Therefore, some births that occurred outside of Arizona are included in Maricopa County’s final year end statistics even though the county and city of residence are unknown. For further explanation, please see http://www.cdc.gov/nchs/data/dvs/3amanual.pdf. During the course of routine data review, several births were identified as being in one county even though their city and ZIP codes indicated that they lived in a different county. For these discrepant cases, final classification in this report was based on the address of the resident. (The address is determined by reviewing the street address, city, county, and ZIP code). Therefore, the numbers presented in this report may not precisely match those presented by ADHS in other reports. 1 Adequate prenatal care is based on the Adequacy of Prenatal Care Utilization Index (APCUI) . This index considers both the timing of prenatal care initiation and the number of visits after care was initiated, comparing the number of actual visits to the number of visits recommended by the American College of Obstetricians and Gynecologists. This index does not describe the quality of the care or adjust for maternal risk factors. Only singleton births (the birth of one baby rather than twins, triplets or other multiple births) are shown in these tables because twins and higher order births are typically higher risk pregnancies, and the index is not appropriate for summarizing their prenatal care usage. a) Inadequate: Prenatal care began after the fourth month of pregnancy or less than 50% of the expected prenatal care visits were attended b) Intermediate: Prenatal care began before the fourth month and 50 to 70% of the expected visits were attended c) Adequate: Prenatal care began prior to the fourth month and 80-109% of expected visits were attended d) Adequate plus: Prenatal care began prior to the fourth month of pregnancy and 110% or more of the expected visits were attended Infants transferred from Banner Good Samaritan Hospital to Phoenix Children’s Hospital have not been counted as transfers since the two hospitals share facilities, with Phoenix Children’s Hospital providing Neonatal Intensive Care services to infants born at Banner Good Samaritan. Infant Mortality Statistics Infant mortality statistics are shown in Tables 2.06a through 2.12b. Infant mortality statistics shown in this report are from linked and unlinked data as indicated in each table. An explanation of linked and unlinked data is presented below. The infant mortality rates for older and younger maternal age groups (fewer than 15 and over 45) may be high compared to other groups. These groups have relatively small populations in Maricopa County. Although rates may be high, they may represent only one or two cases in a given category. Therefore, it is advisable to check the raw numbers. 2 The following definitions related to reproductive health have been established by NCHS : 3  Birth or Live Birth – The complete expulsion or extraction from the mother of a product of human conception, irrespective of the duration of pregnancy or birthweight which, after such expulsion or extraction, breathes or shows any other evidence of life such as beating of the heart, pulsation of the umbilical cord or definite movement of voluntary muscles, whether or not the umbilical cord has been cut or the placenta is attached.  Fertility Rate – Number of live births during a calendar year per 1,000 women age 15 to 44. 1 Kotelchuck, M. An Evaluation of the Kessner Adequacy of Prenatal Care Index and a Proposed Adequacy of Prenatal Care Utilization Index, American Journal of Public Health, 1994; 84(9):1414-1420. 2 NCHS guidelines were adopted from those established by the World Health Organization (WHO). 3 The Arizona statute defining a live birth follows this definition. 48  Births to Teenage Mothers − Live births occurring to females under age twenty.  Birth Weight – The weight of a neonate determined immediately after delivery or as soon thereafter as possible.  Low Birthweight – Any neonate weighing less than 2,500 grams at birth (less than 5 pounds, 8 ounces).  Very Low Birthweight – Any neonate weighing less than 1,500 grams at births (less than 3 pounds, 4 ounces).  Preterm – Any neonate whose birth occurs through the end of the last day of the 37 week (259 day), following onset of the last menstrual period.  Infant Death – Any death at any time from birth up to, but not including, the first year of age (<365 days).  Infant Mortality Rate – Number of infant deaths per 1,000 live births.  Neonatal Mortality Rate – Number of deaths to infants at or under 28 days of age, per 1,000 live births.  Postnatal (Postneonatal) Mortality Rate – Number of deaths to infants between 29 days and 365 days after birth, per 1,000 live births.  Unlinked Infant Mortality – The number of infant deaths in a given calendar year, as determined from mortality records.  Linked Infant Mortality – Whenever possible, infant death certificate data are linked to birth certificate information to determine parental, demographic and birth data. Not all infant deaths can be linked (up to 3% are lost to follow-up). In this report, MCDPH created a linked death cohort such that one calendar year of infant death data linked back to the birth data from the current or prior calendar year. th th Communicable Disease (Morbidity) Statistics Communicable disease statistics are shown in Tables 2.13a through 2.15. The data presented in this report include communicable diseases to residents of Maricopa County. This includes Maricopa County residents who acquired a disease in Maricopa County and residents who acquired a disease elsewhere. Non-Maricopa County residents are not included, even if they acquired a disease in Maricopa County. Other reports or press releases may show different morbidity rates because they include non-residents who acquired disease in Maricopa County or they exclude residents who were exposed outside of the county. For Hansen’s disease only, tables include residents from various counties in Arizona, regardless of where the disease was acquired. All data on communicable diseases are new cases for each specific year from the ADHS final annual data files. There are several exceptions: data on genital herpes, gonorrhea, Chlamydia, syphilis, and Hansen’s disease are from MCDPH data files. Data on tuberculosis, STDs, HIV, and AIDS may differ from other reports published by MCDPH and ADHS. Data on these diseases are in databases that may have been updated during the time between reports. Communicable disease data include only confirmed and probable cases, with the exception of: norovirus, RSV, Hansen’s disease, tuberculosis, genital herpes, gonorrhea, syphilis, chlamydia, and HIV/AIDS. Data for norovirus, RSV, tuberculosis, genital herpes, gonorrhea, syphilis, chlamydia, and HIV/AIDS includes only confirmed cases. Data for Hansen’s disease includes all known “active” cases of Hansen’s 49 disease in Maricopa County, diagnosed between 1955 and 2013. To be considered “active,” the prevalent cases being treated, managed, and followed-up at MCDPH and the Hansen’s disease clinic have to be seen by a Hansen’s disease physician, physical therapist, or occupational therapist within the past five years. This includes all confirmed, suspect, and probable cases diagnosed in Maricopa County, including diagnoses to non-county residents, as mentioned earlier. Other reports or releases may show different prevalence rates, as validation of past data revealed cases that were no longer “active,” causing a drop in the number of “active” cases between the 2009-2011 reported numbers compared to 2012-2013. Primary and secondary syphilis are shown as “Syphilis-Primary and Secondary.” The “Syphilis - All others” category includes latent and congenital syphilis. These two categories can be added to determine the total number of syphilis cases. Congenital syphilis details may be found in Tables 2.14a and 2.14b. All communicable disease statistics in this report are new cases for each specified year (incidence). The only exception is Hansen’s disease for which the prevalence (all existing “active” cases from all years) is shown. Data can be classified by date of onset, date of diagnosis or date of report to the health department. All diseases/conditions listed in this report are classified by the date of report to the health department. The only exceptions are HIV, AIDS, and Hansen’s disease which are classified by the date of diagnosis. The category “Encephalitis Viral Other” includes St. Louis encephalitis and all other types of viral encephalitis except for West Nile virus. This may differ somewhat from other reports that include only certain types of encephalitides. In 2012, the case definition of Lyme Disease changed, which may explain the sudden increase in numbers in 2013 (n=16). In 2009, a major laboratory changed their reporting practices of Coccidioidomycosis, causing a significant increase in reported cases in subsequent years. Changes in testing practices may account for the significant drop of cocci cases in 2013. Comparison of hepatitis B cases from 2009-2013 to previous years will show a decrease in the total number of cases. This decrease is most likely due to changes in the investigation of the disease and not due to a change in the communicability of the disease in Maricopa County. A sharp decrease in the number of reported cases of genital herpes occurred in 2009. A review of the cases indicated a large decrease in the number of laboratory reported cases. Although no explanation for this decrease has been identified, it is not believed to be due to an actual decrease in the incidence of disease in the community. In 2012, ADHS removed Genital Herpes from the administrative code of reportable diseases, resulting in the significant decrease between 2012 and 2013. In Tables 2.13a and 2.13b, the category labeled “All Others” includes all reportable diseases in the ADHS communicable disease database that are not listed previously on the table. Hospital Discharge Statistics Hospital Discharge statistics are shown in Tables 2.16a through 2.17b. Hospital Discharge Data (HDD) is submitted by Arizona Hospitals to Arizona Department of Health Services (ADHS). Data is submitted by half years, with the first half (January 1 – June 30) is due August th 15 of the same year and the second half (July 1 – December 31) is due by February 15 of the following year. ADHS then prepares the data for public release and the data are released between 3 and 6 months after collection. This dataset only contains hospitalizations from facilities within the state of Arizona. Hospitalizations of Maricopa Residents that occur outside of Arizona are not captured. HDD provides an address for each patient but does not include information about the county of residence. In order to select Maricopa County Residents, an algorithm was derived to determine residence based on 50 city, state, and ZIP code. The list of cities and ZIP codes within Maricopa County are based on a national ZIP code database that is updated regularly with new ZIP codes and cities (U.S. ZIP code Database – Business version from: http://www.zip-codes.com/zip-code-database.asp). The algorithm is available by contacting the Office of Epidemiology by email at epidemiology@mail.maricopa.gov. All federal, state, military, and Department of Veteran Affairs’ hospitals are excluded. No behavioral health hospitals reported data during this time period. Long-term acute care (LTAC) and rehabilitation hospitals are excluded from this report because patients in these settings are usually transferred from another facility to the LTAC or rehabilitation hospital and have an average stay of 25 days or longer. Hospitalization Discharges represent the number of discharges from facilities within Arizona during a calendar year and are not unique patients. Therefore, if a person is hospitalized multiple times in a calendar year, that person will be represented multiple times in the dataset. Additionally, there is the probability that one patient may have two or more billing discharges for the same hospital encounter as a result of transfers between facilities and/or transfers between units of the same facility. In HDD, ICD-9-CM codes are used to identify the reasons for hospitalization. These codes are then grouped into categories for analysis. For this report, only the primary diagnosis codes are analyzed. Records without a primary diagnosis code or with an unknown code are classified as unknown. Table 3.3 ICD-9-CM Codes Used for This Report Category of Principal Diagnoses Infectious and parasitic diseases Septicemia Neoplasms Malignant neoplasms Malignant neoplasm - large intestine & rectum Malignant neoplasm - trachea, bronchus, & lung Malignant neoplasm - breast Benign neoplasms Endocrine, nutritional & metabolic diseases, & immunity disorders Diabetes mellitus Volume depletion (dehydration) Diseases of the blood and blood-forming organs Mental disorders Psychoses Alcohol dependence syndrome Diseases of the nervous system and sense organs Diseases of the circulatory system Heart disease Acute myocardial infarction Coronary atherosclerosis Other ischemic heart disease Cardiac dysrhythmias Congestive heart failure Cerebrovascular disease Diseases of the respiratory system Acute bronchitis and bronchiolitis Pneumonia Chronic bronchitis ICD-9-CM Code 001–139 38 140–239 140–208,230–234 153–154,197.5 162,176.4,197.0,197.3 174–175,198.81 210–229 240–279 250 277 280–289 290–319 290–299 303 320–389 390–459 391–392.0,393–398,402,404,410– 416,420–429 410 414 411–413,414.1–414.9 427 428.0 430–438 460–519 466 480-486 491 (Continued on next page) 51 (Table 3.3 Continued) Category of Principal Diagnoses Asthma Diseases of the digestive system Appendicitis Noninfectious enteritis and colitis Cholelithiasis Diseases of the genitourinary system Calculus of kidney and ureter Complications of pregnancy, childbirth, and the puerperium Diseases of the skin and subcutaneous tissue Cellulitis and abscess Diseases of the musculoskeletal system and connective tissue Osteoarthrosis and allied disorders Intervertebral disc disorders Congenital anomalies Certain conditions originating in the perinatal period Symptoms, signs, and ill-defined conditions Injury and poisoning Fractures, all sites Fracture of neck of femur Poisonings Other healthcare encounters ICD-9-CM Code 493 520-579 540–543 555–558 574 580–629 592 630–677 680–709 681–682 710–739 715 722 740–759 760–779 780–799 800–999 800–829 820 960–989 990–999 More Information For more information on population and health statistics, please visit the following websites:     Maricopa County Department of Public Health: www.WeArePublicHealth.org Arizona Department of Health Services: www.azdhs.gov Centers for Disease Control and Prevention, National Center for Health Statistics: www.cdc.gov/nchs United States Census Bureau: www.census.gov 52