Health Status Profile of American Indians in Arizona Health Status and Vital Statistics Section Bureau of Public Health Statistics Arizona Department of Services ~ Leadership for a Healthy Arizona ~ Janice K. Brewer, Governor State of Arizona Will Humble, Director Arizona Department of Health Services HEALTH STATUS AND VITAL STATISTICS SECTION BUREAU OF PUBLIC HEALTH STATISTICS ARIZONA DEPARTMENT OF HEALTH SERVICES 150 North 18th Avenue, Suite 550 Phoenix, Arizona 85007 Phone: 602/542-7333; FAX: 602/542-2940 www.azdhs.gov/plan This publication can be made available in alternative format. Please contact the Bureau of Public Health Statistics at 602/542-7333 (voice) or call 1-800-367-8939 (TDD). The Arizona Department of Health Services is an Equal Employment Opportunity Agency. Permission to quote from or reproduce materials from this publication is granted when due acknowledgment is made. HEALTH STATUS PROFILE OF AMERICAN INDIANS IN ARIZONA: 2009 DATA BOOK by Christopher K. Mrela, Ph.D., Arizona Vital Statistician, Clare Torres, Senior Health Data Analyst November 2010 Acknowledgment Grateful acknowledgement is made to Wes Kortuem, the GIS Coordinator, for spatially joining the American Indian birth and death data. Our appreciation to Richard S. Porter, Chief of the Bureau of Public Health Statistics, for reviewing the typescript. HEALTH STATUS PROFILE OF AMERICAN INDIANS IN ARIZONA 2009 DATA BOOK TABLE OF CONTENTS Introduction .............................................................................................................................................................................................. 1 I. RISK PROFILE OF AMERICAN INDIANS IN ARIZONA: AN OVERVIEW OF SELECTED HEALTH PROBLEMS AND HEALTH RISKS AMONG AMERICAN INDIANS AND ALL RESIDENTS OF THE STATE IN 2009 ........................................................................................................ 3 2009 Risk Profile of American Indians ............................................................................................................................................... 7 American Indians’ Standing in Arizona in 2009 on 70 Indicators of Health Status ................................................................................... 8 II 2.1 2.2 2.3 2.4 2.5 2.6 2.7 2.8 2.9 2.10 COMPARISON OF AMERICAN INDIANS’ STANDING IN ARIZONA WITH RESPECT TO SELECTED HEALTH OBJECTIVES FOR THE YEAR 2010. ............. 13 Early Prenatal Care ....................................................................................................................................................................... Infant Mortality ............................................................................................................................................................................ Postneonatal Mortality................................................................................................................................................................... Unintentional Injury Deaths ........................................................................................................................................................... Motor Vehicle Crash Deaths ........................................................................................................................................................... Intentional Self-Harm (Suicide) ...................................................................................................................................................... Assault (Homicide) ....................................................................................................................................................................... Diabetes-related Deaths ................................................................................................................................................................ Cirrhosis Deaths ........................................................................................................................................................................... Cervical Cancer Deaths ................................................................................................................................................................. 15 16 17 18 19 20 21 22 23 24 III. TRENDS IN SELECTED HEALTH PROBLEMS AND HEALTH RISKS AMONG AMERICAN INDIANS AND ALL RESIDENTS OF ARIZONA, 1999-2009 ........ 25 3.1 3.2 3.3 3.4 3.5 3.6 3.7 3.8 3.9 3.10 Median Age At Death From All Causes, 1999-2009 ........................................................................................................................... Births to Unmarried Mothers, 1999-2009 ......................................................................................................................................... The Incidence of Gonorrhea, 1999-2009.......................................................................................................................................... The Incidence of Low-Birthweight Births, 1999-2009 ........................................................................................................................ The Incidence of Fetal Alcohol Syndrome, 1999-2009 ....................................................................................................................... Births to Teenage Mothers, 1999-2009 ........................................................................................................................................... The Incidence of Birth Defects (Congenital Anomalies), 1999-2009..................................................................................................... The Incidence of Pregnancy Associated Hypertension, 1999-2009....................................................................................................... The Incidence of Anemia During Pregnancy, 1999-2009 .................................................................................................................... The Incidence of Diabetes During Pregnancy, 1999-2009 .................................................................................................................. Health Status Profile of American Indians in Arizona, 2009 Data Book 27 28 29 30 31 32 33 34 35 36 IV. CHARACTERISTICS OF AMERICAN INDIAN NEWBORNS AND MOTHERS GIVING BIRTH BY PLACE OF RESIDENCE IN ARIZONA IN 2009 .................. 37 SOCIODEMOGRAPHIC CHARACTERISTICS 4.1 4.2 4.3 4.4 4.5 4.6 Maternal Age ............................................................................................................................................................................... Educational Attainment of Mother ................................................................................................................................................... Marital Status of Mother ................................................................................................................................................................ Race/Ethnicity of Father ................................................................................................................................................................ Age of Father ............................................................................................................................................................................... Source of Payment for Labor and Delivery ....................................................................................................................................... 41 42 43 44 45 46 MATERNAL LIFESTYLE AND HEALTH CHARACTERISTICS 4.7 4.8 4.9 Maternal Weight Gain during Pregnancy .......................................................................................................................................... 49 Medical Risk Factors of Pregnancy .................................................................................................................................................. 50 Substance Use during Pregnancy .................................................................................................................................................... 51 UTILIZATION OF MEDICAL SERVICES ii 4.10 4.11 4.12 4.13 4.14 4.15 Trimester of Pregnancy Prenatal Care Began .................................................................................................................................... Number of Prenatal Visits .............................................................................................................................................................. Obstetric Procedures ..................................................................................................................................................................... Complications of Labor and Delivery ............................................................................................................................................... Method of Delivery ....................................................................................................................................................................... Attendant at Birth......................................................................................................................................................................... 4.16 4.17 4.18 4.19 4.20 4.21 NEWBORN’S HEALTH Gestational Age ............................................................................................................................................................................ Weight at Birth............................................................................................................................................................................. Abnormal Conditions of the Newborn .............................................................................................................................................. Congenital Anomalies (Birth Defects) .............................................................................................................................................. Causes of Infant Death among American Indian Residents, Arizona, 2009 ........................................................................................... Comparison of Selected Characteristics of American Indian Newborns and Women Giving Birth By County of Residence, Arizona, 2009 ........................................................................................................................................... 55 56 57 58 59 60 63 64 65 66 67 68 Health Status Profile of American Indians in Arizona, 2009 Data Book V. PATTERNS OF MORTALITY AMONG AMERICAN INDIANS BY PLACE OF RESIDENCE IN ARIZONA IN 2009 ....................................................... 73 AGE-SPECIFIC MORTALITY 5.1 5.2 5.3 Age-Specific Mortality among American Indians in 2009 ............................................................................................................................. 77 Age-Specific Mortality among American Indian Males in 2009 ...................................................................................................................... 78 Age-Specific Mortality among American Indian Females in 2009................................................................................................................... 79 CAUSE-SPECIFIC MORTALITY 5.4 5.5 5.6 5.7 5.8 5.9 5.10 5.11 5.12 Deaths by Gender for Selected 113 Causes among American Indians in 2009 ............................................................................................... 83 Deaths by Age Group for Selected 113 Causes among American Indians in 2009 .......................................................................................... 87 Deaths by Residence for Selected 113 Causes among American Indians in 2009 ........................................................................................... 91 Deaths by County of Residence for Selected 113 Causes among American Indians in 2009............................................................................. 95 Deaths from Motor Vehicle-Related Injuries among American Indians by Place of Residence, Gender and Age Group, Arizona, 2009 ..................................................................................................................................................... 99 Intentional Self-Harm (Suicide) among American Indians by Place of Residence, Gender and Age Group, Arizona, 2009 ................................................................................................................................................... 100 Assault (Homicide) among American Indians by Place of Residence, Gender and Age Group. Arizona, 2009..................................................................................................................................................................................... 101 Diabetes-Related Deaths among American Indians by Place of Residence, Gender and Age Group, Arizona, 2009..................................................................................................................................................................................... 102 Alcohol-Induced Deaths among American Indians by Place of Residence, Gender and Age Group, Arizona, 2009..................................................................................................................................................................................... 103 COMPARATIVE CAUSE-SPECIFIC MORTALITY 5.13 5.14 5.15 5.16 5.17 5.18 5.19 Temporal Changes in the Selected Leading Causes of Death among American Indian Residents Of Arizona, 1990-2009 ........................................................................................................................................................................ Five Leading Causes of Death by Gender among American Indian Residents of Arizona in 2009 ...................................................................... Five Leading Causes of Death among American Indians by Gender and Residence On or Off Reservation, Arizona, 2009 .................................... Proportional Mortality by Type of Cancer and Gender among American Indians and All Residents of Arizona, 1999-2009 .................................... Proportional Mortality by Mechanism of Unintentional Injury and Gender among American Indians and All Residents of Arizona, 1999-2009 ...................................................................................................................................................... Comparison of Mortality by Specific Type of Cancer by Gender among American Indians and All residents of Arizona, 1999-2009 ........................ Unintentional Injury Deaths by mechanism and Gender among American Indians and All Residents of Arizona, 1999-2009................................. 107 108 109 110 111 112 113 TECHNICAL NOTES ............................................................................................................................................................................................................. 115 Sources of Data ................................................................................................................................................................................................... 117 Definitions ....................................................................................................................................................................................................... 117 Rates ....................................................................................................................................................................................................... 117 Terms Related to Reproductive Health........................................................................................................................................................... 117 Medical Terms Used on the Birth Certificate .......................................................................................................................................... 117 Medical risk factors for pregnancy ................................................................................................................................................. 117 Complications of labor and delivery ............................................................................................................................................... 118 Abnormal conditions of the newborn .............................................................................................................................................. 118 Congenital anomalies of child ....................................................................................................................................................... 118 Terms Related to Mortality ........................................................................................................................................................................... 119 Cause-of-Death Categories and Comparability Ratios for Selected 113 Causes of Death ................................................................................................ 120 Appendix A. Tribal Communities of American Indians in Arizona................................................................................................................................... 125 Health Status Profile of American Indians in Arizona, 2009 Data Book iii INTRODUCTION The report Health Status Profile of American Indians in Arizona: 2009 Data Book is the annual update of population-level data on trends and patterns in n atality a nd m ortality a mong A merican In dians who w ere r esidents of s pecified tr ibal c ommunities on r eservations, a nd th ose w ho r esided of f reservation in Arizona in 2009. American Indian births are determined by mother's race as indicated on a birth certificate, that is, these are the births to American Indian mothers. American Indian deaths are determined by decedent's race as stated on the death certificate. The charts and tables comprising the 2009 Health Status Profile of American Indians in Arizona are grouped into five major sections: 1) a summary risk profile of American Indian residents of Arizona in 2009 on 70 indicators or measures of health status, 2) a comparison of American Indians’ standing in Arizona with respect to selected health objectives for the year 2010, 3) a section presenting trend data for 1999-2009 for selected health problems and health risks among American Indian and all residents of Arizona, 4) a four-part section concerned with the characteristics of American Indian newborns and mothers giving birth, 5) a three-part section focused on patterns of cause-specific mortality among American Indians by age group, gender and place of residence in Arizona in 2009. Beginning with the 2006 report, it also includes additional statistics on “Comparative Cause-Specific Mortality” focused on leading causes of death by gender and residence status on or off reservation, as well as patterns in cancer mortality and proportional mortality from specific unintentional injuries. These sections are followed by the Technical Notes, which provide information about the sources of data and definitions of terms used in the report. The causes of death for 1999 are classified by the Ninth Revision of the International Classification of Diseases (ICD-9). The causes of death for 2000-2009 are classified by the Tenth Revision (ICD-10). Health Status Profile of American Indians in Arizona, 2009 Data Book 1 Beginning w ith th e f irst e dition of th is report published in 1 996, s pecific I ndian r eservations h ave been id entified b y tribal c ommunities comprising them. However, this approach does not work very well for the tribes residing within the limits of an incorporated city (such as Yavapai Prescott Indian Tribe) or inside a metropolitan area (such as Salt River Pima-Maricopa Community, Fort McDowell Yavapai Nation, Gila River Indian Community or Fort Yuma Quechan Tribe). Since 2002 , tribal a ffiliation c ombined w ith a s pecific pl ace o f r esidence was u sed i n o rder t o di stinguish bet ween American In dian r esidents of specified tribal communities and/or on reservations, and those who resided off reservation in Arizona in 2009. For example, Pascua Yaquis are defined here as the American Indian residents of Guadalupe, South Tucson, Marana or Tucson whose tribal affiliation was Pascua Yaqui. Vital events to Pascua Yaqui Indians who resided in Glendale or Scottsdale are included among events occurring outside their tribal communities or “off reservation”. Similarly, the only American Indian residents of Prescott who are included in the counts of events for Yavapai-Prescott Indian Tribe are those affiliated with the Yavapai-Prescott Indian Tribe. T ribal affiliation is being used in this report only in its supplementary role and the tabulations of births and deaths in this publication are not by tribal membership but by place of residence in Arizona, as originally intended. The 2009 birth and death data for American Indian residents of Arizona also were spatially joined using ArcGIS in order to refine the geographic allocation of these vital events. A detailed classification of tribal communities in Arizona is available in the Appendix A. Generally, the information about the usual place (or tribal community) of r esidence is q uite p oorly r ecorded in th e e lectronic d atabases of b irths a nd d eaths. Certain c ommunities a re a ltogether a bsent a nd many are underrepresented. Therefore, the tribe-or-reservation-specific counts of vital events in this report are not exact enumerations. Health Status Profile of American Indians in Arizona was intended as a data book: a basic reference for some of the most frequently requested vital event statistics. The five sections of the report were computer-generated and contain information with little or no accompanying narrative. The online versions of the report for 1995–2009 are available at http://www.azdhs.gov/plan/report/hspam/index.htm 2 Health Status Profile of American Indians in Arizona, 2009 Data Book I. RISK PROFILE OF AMERICAN INDIANS IN ARIZONA: AN OVERVIEW OF SELECTED HEALTH PROBLEMS AND HEALTH RISKS AMONG AMERICAN INDIANS AND ALL RESIDENTS OF THE STATE IN 2009 Health Status Profile of American Indians in Arizona, 2009 Data Book 3 The risk profile presented on the following page summarizes how American Indians as a group compared in 2009 to the state average on 70 measures o f h ealth st atus. The 7 0 in dicators u sed i n th e p rofile a re in dividual m easures of th e v arious d imensions or f acets of health s tatus. The profile uses the percentages a race/ethnic group is above or below the statewide average on each of the specific measures. In order to represent the level of each indicator for American Indians in comparison to the overall state level, the following formula was used:* THE VALUE OF A RATE OR RATIO IN A SPECIFIED GROUP - 1.0 X 100 THE AVERAGE VALUE OF A RATE OR RATIO FOR ALL GROUPS The above formula produces a score of 0.0 for a group with the same value as the statewide average. A negative value indicates better than average standing o n a n i ndicator. A p ositive v alue in dicates w orse th an a verage s tanding on a n in dicator.* The pr ofile v isually des cribes t he bet ter-thanaverage and worse-than-average clusters of health status characteristics for American Indian residents of Arizona. Following the graphic profile is a detailed description of the 70 indicators. These indicators are organized around 9 major subject areas: (1) Teen Pregnancies, (2) Maternal Lifestyle and Health Characteristics, (3) Utilization of Prenatal Care Services, (4) Newborn's Health, (5) Mortality from Natural Causes (chronic or infectious diseases), (6) Mortality from Injuries, (7) Age-Specific Mortality, (8) Premature Mortality and (9) Reportable Diseases. IN 2009, AMERICAN INDIAN RESIDENTS OF ARIZONA: • ranked worse than the statewide average on 46 of 70 health indicators; • ranked poorly on measures of maternal lifestyle and health, as well as in utilization of prenatal care; • on average were 19.5 years younger at time of death compared to White non-Hispanics; • had high mortality from alcohol-induced causes, diabetes, influenza and pneumonia, motor vehicle accidents and mortality from other unintentional injuries: all contributing to the premature death rate of 76.4 percent; • ranked better than average on (1) mortality rates for several chronic diseases (Alzheimer’s disease, lung cancer, breast cancer, prostate cancer, colorectal cancer, chronic lower respiratory diseases and coronary heart disease), (2) tobacco use and (3) incidence of genital herpes among women giving birth; • experienced a 58.9 percent decline in the age-adjusted mortality rate for motor vehicle-related injuries from a recent peak of 62.6 deaths per100,000 American Indian population in 2005 to 36.9/100,000 in 2009. * The comparative risk profiles for American Indian, White non-Hispanic, Hispanic or Latino, Black or African American and Asian or Pacific Islander residents of Arizona were developed for a report “Differences in the Health Status Among Ethnic Groups”. This publication is available online at http://www.azdhs.gov/plan/report/dhsag/index.htm. For consistency, the signs + and – for scores indicating the median age at death as higher or lower than the statewide average were reversed (indicators 8-1, 8-2, 8-3). Otherwise, a lowerthan-average median age at death would signify a better than average standing on this indicators. A lower-than-average median age at death obviously reflects a worse off life expectancy. Health Status Profile of American Indians in Arizona, 2009 Data Book 5 2009 RISK PROFILE OF AMERICAN INDIANS (Percent above or below the average rate or ratio of all Arizona residents in 2009) BETTER THAN AVERAGE -74.4 -63.1 -60.0 -55.8 -52.6 -45.8 -40.0 -39.6 -35.2 -34.1 -25.0 -24.2 -23.0 -21.4 -18.4 -14.5 -13.8 -13.0 -10.9 -9.9 -4.0 -1.2 5-7. Lung cancer 5-17. Alzheimer's disease 4-1. Incidence of hyaline membrane disease 4-9. Mortality of infants from low birthweight 5-5. Chronic lower respiratory diseases 2-2. Tobacco use during pregnancy 2-9. Genital herpes during pregnancy 5-8. Breast cancer 6-5. Injury by firearms 5-10. Colorectal cancer 4-5. Born too small: <1,500 grams 4-2. Incidence of newborn intensive care 5-6. Malignant neoplasm (cancer) 6-6. Drug-induced deaths 5-3. Coronary heart disease 5-4. Cerebrovascular disease 5-2. Diseases of the heart 5-1. Cardiovascular disease 5-11. Prostate cancer 4-4. Born too small: <2,500 grams 4-3. Born too early (preterm or < 37 weeks) 6-8. Intentional self-harm (suicide) 9-2. Incidence of gonorrhea 5-19. Essential (primary) hypertension 4-10. Neonatal mortality 9-5. Incidence of HIV/AIDS 1-4. Pregnancies among females 18-19 years 3-3. No prenatal care 8-3. Median age at death among females 8-1. Median age at death from all causes 1-1. Pregnancies among females 19 and younger 8-2. Median age at death among males 5-20. Total mortality from all causes 2-10. Weight gain of less than 21 pounds 1-3. Pregnancies among females 15-17 years 4-6. Incidence of congenital anomalies 4-7. Infant mortality 1-2. Pregnancies among females 14 and younger 7-4. Mortality of middle-aged adults 45-64 years 8-4. Deaths before expected years of life reached 6-3. Fall-related injuries 2-8. Pregnancy-associated hypertension 2-5. Dysfunctional labor 4-8. Sudden Infant Death Syndrome (SIDS) 2-1. Unmarried mothers 9-3. Incidence of chlamydia 3-1. No care in the 1st trimester 7-1. Mortality of children 1-14 years 9-1. Incidence of early syphilis 7-2. Mortality of adolescents 15-19 years 2-4. Chronic hypertension 2-6. Anemia during pregnancy 3-2. Fewer than five prenatal visits 4-11. Postneonatal mortality 2-7. Diabetes during pregnancy 6-1. Unintentional injuries 5-9. Cervical cancer 5-15. HIV disease 6-9. Assault (homicide) 6-4. Drowning mortality 5-18. Nephritis, nephrotic syndrome and nephrosis 7-3. Mortality of young adults 20-44 years 9-4. Incidence of genital herpes 2-3. Alcohol use during pregnancy 5-12. Influenza and pneumonia 6-2. Motor vehicle-related injuries 5-13. Diabetes 5-16. Septicemia 5-14. Chronic liver disease and cirrhosis 6-7. Alcohol-induced deaths 1.4 2.9 7.7 7.8 11.2 16.7 17.5 23.0 23.9 26.0 26.1 29.1 29.5 33.3 42.4 42.9 43.5 45.5 47.1 52.8 56.3 62.1 70.1 72.3 72.4 77.2 78.5 83.5 100.0 100.0 101.9 110.0 110.3 114.8 127.8 131.3 140.0 146.7 154.5 165.3 169.2 180.0 192.5 218.1 245.2 307.8 342.6 417.5 -500.0 0.0 -250.0 Health Status Profile of American Indians in Arizona, 2009 Data Book WORSE THAN AVERAGE AVERAGE FOR ALL RESIDENTS 500.0 250.0 7 AMERICAN INDIANS’ STANDING IN ARIZONA IN 2009 ON 70 INDICATORS OF HEALTH STATUS Figure number 1. TEEN PREGNANCIES (Number of pregnancies per 1,000 females in specified age group) Indicator 2009 rate for American Indians Percent above or below the average rate for all groups Average rate for all groups in 2009 1-1 Pregnancies among females 19 and younger 34.7 23.9 28.0 1-2 Pregnancies among females 14 and younger 1.0 42.9 0.7 1-3 Pregnancies among females 15-17 years old 36.9 29.5 28.5 1-4 Pregnancies among females 18-19 years old 114.0 11.2 102.5 Definitions The sum of live or younger The sum of live or younger The sum of live 15-17 years The sum of live 18-19 years births, fetal deaths, and abortions per 1,000 females aged 19 births, fetal deaths, and abortions per 1,000 females aged 14 births, fetal deaths, and abortions per 1,000 females aged births, fetal deaths, and abortions per 1,000 females aged Figure number 2. MATERNAL LIFESTYLE AND HEALTH CHARACTERISTICS (All ratios are per 100 live births) 8 Indicator 2-1 Unmarried mothers 2-2 2009 ratio for American Indians Percent above or below the average ratio for all groups Average ratio for all groups in 2009 76.9 70.1 45.2 Tobacco use during pregnancy 2.6 -45.8 4.8 2-3 Alcohol use during pregnancy 1.4 180.0 0.5 2-4 Chronic hypertension 1.6 100.0 0.8 2-5 Dysfunctional labor 2.5 56.3 1.6 2-6 Anemia during pregnancy 7.2 100.0 3.6 2-7 Diabetes during pregnancy 8.2 110.3 3.9 2-8 Pregnancy-associated hypertension 5.5 52.8 3.6 2-9 Genital herpes during pregnancy 0.6 -40.0 1.0 2-10 Weight gain of less than 21 pounds 34.6 29.1 26.8 Definitions The number of births to unmarried mothers per 100 births The number of mothers giving birth who self-reported tobacco use during pregnancy per 100 births The number of mothers giving birth who self-reported alcohol use during pregnancy per 100 births Blood pressure persistently greater than 140/90, diagnosed prior to onset of pregnancy or before the 20th week of gestation (the number of cases per 100 births). Failure to progress in a normal pattern of labor (the number of cases per 100 births). Hemoglobin level of less than 10.0 g/dL during pregnancy, or hematocrit of less than 30 percent during pregnancy (the number of cases per 100 births). Metabolic disorder characterized by excessive discharge of urine and persistent thirst; includes juvenile onset, adult onset and gestational diabetes during pregnancy (the number of cases per 100 births). An increase in blood pressure of at least 30 mm hg systolic or 15 mm hg diastolic on two measurements taken 6 hours apart after the 20th week of gestation (the number of cases per 100 births). Infection of the skin of the genital area by herpes simplex virus (the number of cases per 100 births). The number of women giving birth who gained less than 21 pounds per 100 births. Health Status Profile of American Indians in Arizona, 2009 Data Book Figure number 3. UTILIZATION OF PRENATAL CARE SERVICES (Per 100 live births) Indicator 2009 ratio for American Indians Percent above or below the average ratio for all groups Average ratio for all groups in 2009 3-1 No care in the 1st trimester 33.8 72.4 19.6 3-2 Fewer than five prenatal visits 10.7 101.9 5.3 3-3 No prenatal care 2.1 16.7 1.8 Definition The number of mothers giving birth who received no prenatal care in the 1st trimester of pregnancy per 100 births. The number of mothers giving birth who had fewer than five prenatal visits during pregnancy per 100 births. The number of mothers giving birth who received no prenatal care during pregnancy per 100 births. Figure number 4. NEWBORN'S HEALTH (Infant, neonatal and postneonatal rates are per 1,000 live births. All other indicators are expressed per 100 live births). Indicator 2009 rate or ratio for American Indians Percent above or below the average rate or ratio for all groups Average rate or ratio for all groups in 2009 4-1 Incidence of hyaline membrane disease 0.2 -60.0 0.5 4-2 Incidence of newborn intensive care 4.7 -24.2 6.2 4-3 Born too early (preterm or < 37 weeks) 9.6 -4.0 10.0 4-4 Born too small: low-birthweight (<2,500 grams) 6.4 -9.9 7.1 4-5 Born too small: very low-birthweight (<1,500 grams) 0.9 -25.0 1.2 4-6 Incidence of congenital anomalies (birth defects) 0.8 33.3 0.6 4-7 Infant mortality 8.4 42.4 5.9 4-8 Sudden Infant Death Syndrome (SIDS) 0.8 62.1 0.5 4-9 Mortality of infants from low birthweight/short gestation 0.5 -55.8 1.1 4-10 Neonatal mortality 4.2 7.7 3.9 4-11 Postneonatal mortality 4.2 110.0 2.0 Health Status Profile of American Indians in Arizona, 2009 Data Book Definition The number of cases of hyaline membrane disease per 100 births. Hyaline membrane disease = a disorder primarily of prematurity, manifested clinically by respiratory distress and pathologically by pulmonary hyaline membranes and incomplete expansion of the lungs at birth. The number of babies admitted to Newborn Intensive Care units per 100 births The number of births before 37 weeks of gestation per 100 births. Preterm = any neonate whose birth occurs through the end of the last day of the 37th week (259th day), following onset of the last menstrual period. The number of newborns weighing less than 2,500 grams per 100 births. Low-birthweight = any neonate weighing less than 2,500 grams at birth (less than 5 pounds 8 ounces). The number of newborns weighing less than 1,500 grams per 100 births. Very low-birthweight = any neonate whose weight at birth is 1,500 grams or less (less than 3 pounds 5 ounces). The numbers of babies born with birth defects per 100 births. The number of infant deaths per 1,000 live births. Infant death = any death at any time from birth up to, but not including, the first year of age (364 days, 23 hours, 59 minutes from the moment of birth). The number of infant deaths from Sudden Infant Death Syndrome (ICD-10 code R95) per 1,000 live births The number of infant deaths from low- birthweight/short gestation (ICD-10 code P07) per 1,000 live births The number of neonatal deaths per 1,000 live births. Neonatal death = death of a liveborn neonate before the neonate becomes 28 days old (up to and including 27 days, 23 hours, 59 minutes from the moment of birth). The number of postneonatal deaths per 1,000 live births. Postneonatal death = any death of a liveborn infant at least 28 days of age but less than one year of age. 9 Figure number 5. MORTALITY FROM NATURAL CAUSES (chronic or infectious diseases) (Number of deaths per 100,000 population age-adjusted to 2000 standard. The causes of death are classified by the Tenth Revision of the International Classification of Diseases or ICD-10). Indicator 2009 rate for American Indians Percent above or below the average rate for all groups Average rate for all groups in 2009 5-1 Cardiovascular disease 164.2 -13.0 188.8 5-2 Diseases of the heart 125.8 -13.8 145.9 5-3 Coronary heart disease 94.6 -18.4 115.9 5-4 Cerebrovascular disease 24.7 -14.5 28.9 5-5 Chronic lower respiratory diseases 19.2 -52.6 40.5 5-6 Malignant neoplasm (cancer) 113.3 -23.0 147.2 5-7 Lung cancer 10.0 -74.4 39.0 5-8 Breast cancer 11.6 -39.6 19.2 5-9 Cervical cancer 4.1 127.8 1.8 5-10 Colorectal cancer 8.5 -34.1 12.9 5-11 Prostate cancer 16.4 -10.9 18.4 5-12 Influenza and pneumonia 42.7 192.5 14.6 5-13 Diabetes 54.2 245.2 15.7 5-14 Chronic liver disease and cirrhosis 54.0 342.6 12.2 5-15 HIV disease 3.7 131.3 1.6 5-16 Septicemia 31.4 307.8 7.7 5-17 Alzheimer's disease 10.9 -63.1 29.5 5-18 Nephritis, nephrotic syndrome and nephrosis (kidney disease) 19.6 154.5 7.7 5-19 Essential (primary) hypertension 7.0 2.9 6.8 5-20 Total mortality from all causes 823.5 26.1 653.2 10 Definition The number of deaths from cardiovascular diseases (ICD-10 codes I00-I78) per 100,000 age-adjusted population. The number of deaths from disease of the heart (ICD-10 codes I00–I09, I11, I13, I20–I51) per 100,000 age-adjusted population. The number of deaths from coronary heart disease (ICD-10 codes I200-I259) per 100,000 age-adjusted population. The number of deaths from cerebrovascular disease (ICD-10 codes I60–I69) per 100,000 age-adjusted population. The number of deaths from chronic lower respiratory diseases (ICD-10 codes J40–J47) per 100,000 age-adjusted population. The number of deaths from cancer (ICD-10 codes C00–C97) per 100,000 age-adjusted population. The number of deaths from lung cancer (ICD-10 codes C33–C34) per 100,000 age-adjusted population. The number of deaths from breast cancer (ICD-10 code C50) per 100,000 age-adjusted female population. The number of deaths from cervical cancer (ICD-10 code C53) per 100,000 age-adjusted female population. The number of deaths from colorectal cancer (ICD-10 codes C18–C21) per 100,000 age-adjusted population. The number of deaths from prostate cancer (ICD-10 code C61) per 100,000 age-adjusted male population. The number of deaths from influenza and pneumonia (ICD-10 codes J10–J18) per 100,000 age-adjusted population. The number of deaths from diabetes (ICD-10 codes E10–E14) per 100,000 age-adjusted population. The number of deaths from chronic liver disease and cirrhosis (ICD-10 codes K70, K73–K74) per 100,000 age-adjusted population. The number of deaths from HIV disease (ICD-10 codes B20-B24) per 100,000 age-adjusted population. The number of deaths from septicemia (ICD-10 codes A40-A41) per 100,000 age-adjusted population. The number of deaths from Alzheimer’s disease (ICD-10 code G30) per 100,000 age-adjusted population. The number of deaths from nephritis, nephritic syndrome and nephrosis (ICD-10 codes N00–N07, N17–N19,N25–N27) per 100,000 age-adjusted population. The number of deaths from essential (primary) hypertension (ICD-10 codes I10, I12) per 100,000 age-adjusted population. Total number of deaths from all causes per 100,000 age-adjusted population. Health Status Profile of American Indians in Arizona, 2009 Data Book Figure number 6. MORTALITY FROM INJURIES (Number of deaths per 100,000 population age-adjusted to 2000 standard. The causes of death are classified by the Tenth Revision of the International Classification of Diseases or ICD-10. Drug-induced deaths include accidental, suicidal and homicidal poisoning by drugs, but also disorders due to use of psychoactive substances. Alcohol-induced deaths include accidental, suicidal and homicidal poisoning by drugs, but also disorders due to use of alcohol.) Indicator 2009 rate for American Indians Percent above or below the average rate for all groups Average rate for all groups in 2009 6-1 Unintentional injuries 92.6 114.8 43.1 6-2 Motor vehicle-related injuries 36.9 218.1 92.6 6-3 Fall-related injuries 15.3 47.1 36.9 6-4 Drowning mortality 3.7 146.7 15.3 6-5 Injury by firearms 8.3 -35.2 3.7 6-6 Drug-induced deaths 8.3 -21.4 12.8 6-7 Alcohol-induced deaths 62.1 417.5 12.0 6.8 Intentional self-harm (suicide) 15.9 -1.2 16.1 6-9 Assault (homicide) 13.2 140.0 5.5 Health Status Profile of American Indians in Arizona, 2009 Data Book Definition The number of deaths from unintentional injuries in accidents (ICD-10 codes V01– X59, Y85–Y86) per 100,000 age-adjusted population. The number of deaths from motor vehicle-related injuries (ICD-10 codes V02– V04, V09.0, V09.2, V12–V14, V19.0–V19.2, V19.4–V19.6,V20–V79, 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) per 100,000 age-adjusted population. The number of deaths from fall-related injuries (ICD-10 codes W00-W19) per 100,000 age-adjusted population. The number of deaths due to accidental drowning and submersion (ICD-10 codes W65-W74) per 100,000 age-adjusted population. The number of deaths by firearms (ICD-10 codes W32–W34, X72–X74, X93–X95, Y22–Y24, Y 35.0) p er 100, 000 ag e-adjusted p opulation. C auses o f d eath attributable t o f irearm m ortality include a ccidental d ischarge o f f irearms, intentional s elf-harm ( suicide) b y d ischarge o f firearms, a ssault ( homicide) by discharge o f f irearms, discharge of f irearms, undetermined i ntent; and l egal intervention involving f irearm d ischarge. De aths f rom injury b y f irearms e xclude deaths due to explosives and other causes indirectly related to firearms. The number of drug-induced deaths (ICD-10 cod es F11.0–F11.5, F11.7–F11.9, F12.0–F12.5, F 12.7–F12.9, F 13.0–F13.5, F 13.7–F13.9, F 14.0–F14.5, F 14.7– F14.9, F15.0–F15.5, F15.7–F15.9, F16.0–F16.5, F16.7–F16.9, F17.0, F17.3– F17.5, F17.7–F17.9, F18.0–F18.5, F18.7–F18.9, F19.0–F19.5, F19.7–F19.9, X40– X44, X 60–X64, X 85, Y 10–Y14) p er 100,000 ag e-adjusted po pulation. C auses o f death attributable to drug-induced mortality include selected codes from the ICD10 title Mental and behavioral disorders due to psychoactive substance use, accidental p oisoning b y a nd e xposure t o dr ugs, medicaments and b iological substances; intentional self-poisoning (suicide) by and exposure to drugs; assault (homicide) by drugs, m edicaments a nd b iological s ubstances; a nd po isoning b y and e xposure t o d rugs, m edicaments a nd b iological s ubstances, und etermined intent. Dr ug-induced ca uses e xclude a ccidents, h omicides, a nd other ca uses indirectly r elated to drug use. A lso excluded are newborn d eaths associated with mother’s drug use. The number of alcohol-induced deaths (ICD-10 codes F10, G31.2, G62.1, I42.6, K29.2, K70, R78.0, X45, X65, Y15) p er 100, 000 ag e-adjusted p opulation. C auses o f d eath attributable to a lcohol-induced mortality include mental a nd b ehavioral d isorders due to alcohol use, degeneration of nervous system due to alcohol, alcoholic polyneuropathy, alcoholic cardiomyopathy, alcoholic gastritis, alcoholic liver disease, finding of alcohol in blood, accidental poisoning by and exposure to alcohol, intentional self-poisoning by and exposure to alcohol; and poisoning by and e xposure t o a lcohol, und etermined intent. A lcohol-induced c auses e xclude accidents, homicides, and other causes indirectly related to alcohol use. The number of deaths due to intentional self-harm (ICD-10 codes X60-X84, Y87.0) per 100,000 age-adjusted population. The number of homicides (ICD-10 codes X85-X09, Y87.1) per 100,000 ageadjusted population. 11 Figure number 7. AGE-SPECIFIC MORTALITY (Number of deaths per 100,000 persons in specified group) Indicators 2009 rate for American Indians Percent above or below the average rate for all groups 35.8 77.2 20.2 The number of deaths per 100,000 children 1-14 years old in 2009 The number of deaths per 100,000 adolescents 15-19 years old in 2009 Average value for all groups in 2009 Definition 7-1 Mortality of children 1-14 years old 7-2 Mortality of adolescents 15-19 years old 102.6 83.5 55.9 7-3 Mortality of young adults 20-44 years old 332.1 165.3 125.2 The number of deaths per 100,000 young adults 20-44 years old in 2009 7-4 Mortality of middle-aged adults 45-64 years old 846.9 43.5 590.0 The number of deaths per 100,000 middle-aged adults 45-64 years old in 2009 Figure number 8. PREMATURE MORTALITY 8-1 Indicators Median age at death from all causes Median age at death from all causes among males Median age at death from all causes among females Percent of total deaths before expected years of life reached 8-2 8-3 8-4 2009 value for American Indians Percent above or below the average value for all groups Average value for all groups in 2009 Definitions 58.5 23.0 76.0 The median age (the age in the middle) of Arizonans who died in 2009 54.0 26.0 73.0 The median age (the age in the middle) of Arizona males who died in 2009 66.0 17.5 80.0 The median age (the age in the middle) of Arizona females who died in 2009 76.4 45.5 52.5 The number of deaths before reaching 77.7 years (the life expectancy of all U.S. residents in 2006) per 100 deaths 2009 rate for American Indians Percent above or below the average rate for all groups Average rate for all groups in 2009 Figure number 9. REPORTABLE DISEASES (Number of cases per 100,000 persons in specified group) Indicators Definitions Number of reported cases of early syphilis per 100,000 population 9-1 Incidence of early syphilis 11.6 78.5 6.5 9-2 Incidence of gonorrhea 50.0 1.4 49.3 Number of reported cases of gonorrhea per 100,000 population 9-3 Incidence of chlamydia 679.3 72.3 394.2 Number of reported cases of chlamydia per 100,000 population 9-4 Incidence of genital herpes 31.5 169.2 11.7 Number of reported cases of genital herpes per 100,000 population 9-5 Incidence of HIV/AIDS 11.0 7.8 10.2 Number of reported cases of HIV/AIDS per 100,000 population 12 Health Status Profile of American Indians in Arizona, 2009 Data Book II. COMPARISON OF AMERICAN INDIANS’ STANDING IN ARIZONA WITH RESPECT TO SELECTED HEALTH OBJECTIVES FOR THE YEAR 2010 Health Status Profile of American Indians in Arizona, 2009 Data Book 13 2.1 Early Prenatal Care NATIONAL YEAR 2010 OBJECTIVE (HP16-10a*): INCREASE TO 90 PERCENT THE PROPORTION OF WOMEN GIVING BIRTH WHO RECEIVE PRENATAL CARE IN THE FIRST TRIMESTER OF PREGNANCY Percent of American Indian women giving birth who received early prenatal care. 100.0 OBJECTIVE 90.0 75.0 64.1 65.8 64.6 64.4 2000 2001 2002 68.8 69.0 67.9 2003 2004 2005 65.9 65.9 65.1 66.0 2006 2007 2008 2009 50.0 25.0 0.0 1999 Source: Table 1B-2 and Table 1B-12 in Arizona Health Status and Vital Statistics 2009. Health Status Profile of American Indians in Arizona, 2009 Data Book 15 2.2 Infant Mortality NATIONAL YEAR 2010 OBJECTIVE (HP16-1C): REDUCE THE RATE OF INFANT DEATHS TO NO MORE THAN 6 PER 1,000 LIVE BIRTHS Number of infant deaths per 1,000 American Indian live births. 15.0 12.0 10.7 9.3 9.6 9.0 8.3 7.0 7.5 8.1 8.2 8.4 7.2 6.4 6.0 O B J E C T I V E 3.0 OBJECTIVE 0.0 1999 Source: 16 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 Table 2C-2 in Arizona Health Status and Vital Statistics 2009. Infant deaths are by the race/ethnicity of the decedent. For consistency with the national data, the denominators used to calculate infant mortality rates are by race/ethnicity of mother. Health Status Profile of American Indians in Arizona, 2009 Data Book 2.3 Postneonatal Mortality NATIONAL YEAR 2010 OBJECTIVE (HP16-1e): REDUCE POSTNEONATAL MORTALITY TO NO MORE THAN 1.2 PER 1,000 LIVE BIRTHS Number of postneonatal (i.e., at least 28 days of age but less than one year of age) deaths per 1,000 American Indian live births. 8.0 6.6 6.0 4.4 3.8 4.0 3.8 4.0 3.9 3.4 3.2 4.2 3.6 2.4 2.0 OBJECTIVE 0.0 1999 Source: 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 Table 2C-3 or Table 2C-4 in Arizona Health Status and Vital Statistics 2009. Postneonatal deaths are by the race/ethnicity of the decedent. For consistency with the national data, the denominators used to calculate postneonatal mortality rates are by race/ethnicity of mother. Health Status Profile of American Indians in Arizona, 2009 Data Book 17 2.4 Unintentional Injury Deaths NATIONAL YEAR 2010 OBJECTIVE (HP15-13): REDUCE DEATHS CAUSED BY UNINTENTIONAL INJURIES TO NO MORE THAN 17.5 PER 100,000 AGE-ADJUSTED POPULATION Number of unintentional injury deaths per 100,000 American Indian population (age-adjusted to the year 2000 standard). 140.0 113.1 112.7 117.8 111.0 108.6 105.0 103.9 97.2 95.0 92.6 86.0 70.0 35.0 17.5 OBJECTIVE 0.0 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 Source: Table 2B-3 in Arizona Health Status and Vital Statistics 2009. 18 Health Status Profile of American Indians in Arizona, 2009 Data Book 2.5 Motor Vehicle Crash Deaths NATIONAL YEAR 2010 OBJECTIVE (HP15-15): REDUCE DEATHS CAUSED BY MOTOR VEHICLE CRASHES TO NO MORE THAN 16 PER 100,000 AGE-ADJUSTED POPULATION Number of deaths caused by motor vehicle crashes per 100,000 American Indian population (age-adjusted to the year 2000 standard). 96.0 74.2 68.4 63.2 64.0 65.9 62.6 59.0 56.9 54.1 49.0 40.6 36.9 32.0 16.0 OBJECTIVE 0.0 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 Source: Table 2B-3 in Arizona Health Status and Vital Statistics 2009. Health Status Profile of American Indians in Arizona, 2009 Data Book 19 2.6 Intentional Self-Harm (Suicide) NATIONAL YEAR 2010 OBJECTIVE (HP18-1): REDUCE THE SUICIDE RATE TO NO MORE THAN 10 PER 100,000 AGE-ADJUSTED POPULATION 25.0 Number of suicides per 100,000 American Indian population (age-adjusted to the year 2000 standard). 20.0 17.9 16.6 16.2 15.4 17.0 17.5 15.9 15.2 15.0 13.7 13.5 10.0 9.8 10.0 OBJECTIVE 5.0 0.0 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 Source: Table 2B-3 in Arizona Health Status and Vital Statistics 2009. 20 Health Status Profile of American Indians in Arizona, 2009 Data Book 2.7 Assault (Homicide) NATIONAL YEAR 2010 OBJECTIVE (HP15-32): REDUCE THE HOMICIDE RATE TO NO MORE THAN 5 PER 100,000 AGE-ADJUSTED POPULATION 25.0 20.0 Number of homicides per 100,000 American Indian population (age-adjusted to the year 2000 standard). 20.3 19.9 18.8 17.2 14.9 15.0 14.7 14.0 13.2 13.1 12.5 13.2 10.0 5.0 5.0 OBJECTIVE 0.0 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 Source: Table 2B-3 in Arizona Health Status and Vital Statistics 2009. Health Status Profile of American Indians in Arizona, 2009 Data Book 21 2.8 Diabetes-related Deaths NATIONAL YEAR 2010 OBJECTIVE (HP5-5): REDUCE THE DIABETES-RELATED DEATH RATE TO NO MORE THAN 45 PER 100,000 AGE-ADJUSTED POPULATION Number of deaths due to diabetes reported as the underlying or multiple cause of death per 100,000 American Indian population (age-adjusted to the year 2000 standard). 180.0 155.7 129.3 138.9 134.4 118.7 120.0 125.4 100.2 107.2 108.1 111.4 60.0 45.0 45.0 OBJECTIVE 0.0 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 Source: T able 2B-4 in Arizona Health Status and Vital Statistics 2009. The age-adjusted rate for diabetes as the underlying cause of death among American Indians was 54.2/100,000 in 2009. Note: The rate of 111.4/100,000 in Figure 2.8 accounts for all mentions of diabetes on the death certificates, whether or not it was the underlying cause of death. 22 Health Status Profile of American Indians in Arizona, 2009 Data Book 2.9 Cirrhosis Deaths NATIONAL YEAR 2010 OBJECTIVE (HP26-2): REDUCE THE CIRRHOSIS* DEATH RATE TO NO MORE THAN 3 PER 100,000 AGE-ADJUSTED POPULATION 75.0 Number of deaths due to chronic liver disease and cirrhosis reported as the underlying cause of death per 100,000 American Indian population (age-adjusted to the year 2000 standard). 61.7 51.0 54.0 51.2 50.0 43.6 39.7 38.5 40.5 40.3 38.8 36.8 25.0 3.0 OBJECTIVE 0.0 1999 Source: 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 Table 2B-3 in Arizona Health Status and Vital Statistics 2009. *Chronic liver disease and cirrhosis (ICD-10 codes K70, K73-K74). Health Status Profile of American Indians in Arizona, 2009 Data Book 23 2.10 Cervical Cancer Deaths NATIONAL YEAR 2010 OBJECTIVE (HP3-4): REDUCE THE CERVICAL CANCER DEATH RATE TO NO MORE THAN 2 PER 100,000 AGE-ADJUSTED FEMALE POPULATION 12.0 Number of deaths due to cancer of the uterine cervix reported as the underlying cause of death per 100,000 American Indian female population (age-adjusted to the year 2000 standard). 10.1 9.0 6.0 5.8 5.4 4.8 4.7 4.2 4.1 3.4 3.0 2.3 2.0 2.0 OBJECTIVE 0.0 2000 Source: 24 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 Table 2B-4 in Arizona Health Status and Vital Statistics 2009. *Note: These rates based on fewer than 10 deaths/year are not statistically reliable. Health Status Profile of American Indians in Arizona, 2009 Data Book III. TRENDS IN SELECTED HEALTH PROBLEMS AND HEALTH RISKS AMONG AMERICAN INDIANS IN ARIZONA Health Status Profile of American Indians in Arizona, 2009 Data Book 25 3.1 Median Age at Death from all Causes, 1999-2009 Median age at death: 100.0 76.0 76.0 58.0 57.5 1999 2000 76.0 76.0 76.0 56.0 57.0 56.0 2001 2002 2003 76.0 77.0 58.0 59.0 2004 2005 76.0 57.0 76.0 77.0 76.0 59.0 59.0 59.0 2007 2008 2009 50.0 0.0 American Indians 2006 All Arizonans Source: Table 2D-1 in Arizona Health Status and Vital Statistics 2009. Health Status Profile of American Indians in Arizona, 2009 Data Book 27 3.2 Births to Unmarried Mothers, 1999-2009 Per 100 births: 100.0 80.0 60.0 40.0 20.0 0.0 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 All Arizonans 38.8 39.3 39.4 40.2 41.2 41.9 42.8 43.9 45.0 45.1 45.2 American Indians 69.2 68.5 70.1 69.7 72.4 73.1 72.9 74.8 75.9 75.8 76.9 Source: Table 1B-2 and Table 1B-13 in Arizona Health Status and Vital Statistics 2009. 28 Health Status Profile of American Indians in Arizona, 2009 Data Book 3.3 The Incidence of Gonorrhea, 1999-2009 200.0 The number of reported cases of gonorrhea per 100,000 population. 160.0 120.0 80.0 40.0 0.0 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 All Arizonans 1999 86.8 80.0 73.9 68.9 63.5 70.1 81.9 95.3 78.7 52.8 49.3 American Indians 81.5 105.1 115.5 107.7 103.1 142.7 142.6 125.7 94.4 73.3 50.0 Source: Table 3B-5 in Arizona Health Status and Vital Statistics 2009. The rates were provided by the STD Program in the Bureau of Epidemiology and Disease Control, ADHS. Beginning in 2005, the rates are based on all positive laboratory results with or without communicable disease report. Health Status Profile of American Indians in Arizona, 2009 Data Book 29 3.4 The Incidence of Low-Birthweight Births, 1999-2009 Per 100 births: 8.0 The number of newborns weighing less than 2,500 grams per 100 births. 7.5 7.0 6.5 6.0 5.5 5.0 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 American Indians 7.4 6.7 7.3 6.5 6.8 7.2 7.3 7.4 6.6 6.7 6.4 All Arizonans 6.9 7.0 7.0 6.8 7.1 7.2 6.9 7.1 7.1 7.1 7.1 Source: 30 Table 1B-2 and Table 1B-12 in Arizona Health Status and Vital Statistics 2009. Health Status Profile of American Indians in Arizona, 2009 Data Book 3.5 The Incidence of Fetal Alcohol Syndrome, 1999-2009 Per 1,000 live births: 0.70 0.60 0.50 0.40 0.30 0.20 0.10 0.00 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 American Indians 0.60 0.36 0.19 0.36 0.00 0.49 0.16 0.60 0.16 0.00 0.50 All Arizonans 0.10 0.05 0.05 0.03 0.00 0.04 0.02 0.04 0.02 0.01 0.03 Source: Note: Table 1B-26 in Arizona Health Status and Vital Statistics 2009. The incidence rates of Fetal Alcohol Syndrome are based on fewer than 10 cases/year and are not statistically reliable. Health Status Profile of American Indians in Arizona, 2009 Data Book 31 3.6 Births to Teenage Mothers,* 1999-2009 Per 100 live births: 25.0 12.5 0.0 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 All Arizonans 14.9 14.3 13.8 13.1 12.9 12.7 12.5 12.7 12.6 12.3 11.8 American Indians 19.8 19.4 19.0 18.7 19.4 18.7 19.1 19.1 20.1 18.6 19.0 * 19 or y ounger. Source: 32 Table 1B-2 and Table 1B-14 in Arizona Health Status and Vital Statistics 2009. Health Status Profile of American Indians in Arizona, 2009 Data Book 3.7 The Incidence of Birth Defects (Congenital Anomalies), 1999-2009 Per 100 births: 3.2 2.8 2.4 2.0 1.6 1.2 0.8 0.4 0.0 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 All Arizonans 1.3 1.3 1.3 1.3 1.0 1.0 1.0 0.9 0.8 0.9 0.6 American Indians 2.9 1.9 1.9 2.2 1.3 1.6 1.5 1.2 1.4 0.9 0.8 Source: Table 1B-35 in Arizona Health Status and Vital Statistics 2009. Health Status Profile of American Indians in Arizona, 2009 Data Book 33 3.8 The Incidence of Pregnancy Associated Hypertension, 1999-2009 Per 1,000 births: 75.0 50.0 25.0 0.0 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 All Arizona mothers 28.5 30.4 26.3 25.2 28.0 28.8 30.9 28.8 31.0 35.3 36.1 American Indian mothers 55.7 56.1 57.1 46.0 57.1 54.4 58.2 58.8 57.9 58.9 55.4 Source: Table 1B-26 in Arizona Health Status and Vital Statistics 2009. 34 Health Status Profile of American Indians in Arizona, 2009 Data Book 3.9 The Incidence of Anemia during Pregnancy, 1999-2009 Per 1,000 births: 80.0 70.0 60.0 50.0 40.0 30.0 20.0 10.0 0.0 All Arizona mothers American Indian mothers 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 20.7 16.8 16.0 18.1 20.2 21.7 20.4 19.5 29.8 39.5 35.7 50.6 48.4 59.7 51.0 54.8 54.6 56.1 66.2 67.6 72.5 71.8 Source: Table 1B-26 in Arizona Health Status and Vital Statistics 2009. Health Status Profile of American Indians in Arizona, 2009 Data Book 35 3.10 The Incidence of Diabetes during Pregnancy, 1999-2009 Per 1,000 births: 100.0 80.0 60.0 40.0 20.0 0.0 All Arizona mothers American Indian mothers 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 21.8 22.8 22.2 23.4 21.4 24.5 29.7 31.6 34.3 38.9 38.7 66.3 63.7 61.8 65.5 60.0 75.7 82.5 72.0 80.4 82.0 82.2 Source: Table 1B-26 in Arizona Health Status and Vital Statistics 2009. 36 Health Status Profile of American Indians in Arizona, 2009 Data Book IV. CHARACTERISTICS OF AMERICAN INDIAN NEWBORNS AND MOTHERS GIVING BIRTH BY PLACE OF RESIDENCE IN ARIZONA IN 2009 Health Status Profile of American Indians in Arizona, 2009 Data Book 37 SOCIODEMOGRAPHIC CHARACTERISTICS Health Status Profile of American Indians in Arizona, 2009 Data Book 39 4.1 MATERNAL AGE (2009 STATUS) ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Unknown 45+ 40-44 35-39 30-34 25-29 20-24 18-19 6,170 17 394 759 2,035 1,494 898 454 113 5 1 16 0 2 2 3 4 4 1 0 0 0 9 0 0 2 6 0 0 1 0 0 0 Colorado River Indian Tribe 21 1 2 3 6 4 4 1 0 0 0 Fort McDowell Yavapai Nation 18 0 0 2 7 5 2 2 0 0 0 Fort Mojave Indian Tribe 14 0 0 1 6 4 3 0 0 0 0 Fort Yuma Quechan Tribe 16 0 0 2 8 4 2 0 0 0 0 232 2 26 35 88 43 23 12 3 0 0 8 0 1 0 3 1 3 0 0 0 0 136 2 8 20 45 27 19 12 3 0 0 23 0 3 3 3 13 1 0 0 0 0 2,187 3 123 279 671 525 322 196 64 3 1 Pascua Yaqui Tribe 117 0 13 17 48 25 10 3 0 1 0 Salt River Pima-Maricopa Community 120 0 14 17 45 26 12 6 0 0 0 San Carlos Apache Tribe 288 1 36 46 102 59 26 15 3 0 0 Tohono O'Odham Tribe 327 1 20 35 106 96 50 14 5 0 0 White Mountain Apache 359 1 32 59 122 71 48 20 5 1 0 Yavapai-Apache Nation 19 0 3 2 5 5 3 1 0 0 0 4 0 0 0 2 1 0 1 0 0 0 TOTAL 3,914 11 283 525 1,276 913 532 285 83 5 1 ---in Maricopa County 1,596 3 83 159 534 412 263 121 21 0 0 204 1 8 26 60 53 41 13 2 0 0 41 0 2 4 17 9 6 1 2 0 0 415 2 18 45 148 107 56 34 5 0 0 2,256 6 111 234 759 581 366 169 30 0 0 Ak-Chin Indian Community Cocopah Tribe Gila River Indian Community Havasupai Tribe Hopi Tribe Hualapai Nation Navajo Nation Yavapai-Prescott Indian Tribe Resided off reservation <15 TOTAL BIRTHS 15-17 Mother's age group ---in Pima County ---in Coconino County ---elsewhere in Arizona TOTAL Health Status Profile of American Indians in Arizona, 2009 Data Book 41 4.2 EDUCATIONAL ATTAINMENT OF MOTHER (2009 STATUS) TOTAL BIRTHS 6,170 32 138 1,628 2,437 1,718 186 Unknown 31 16 1 0 8 5 2 0 0 9 0 0 3 6 0 0 0 Colorado River Indian Tribe 21 0 0 5 9 5 0 2 Fort McDowell Yavapai Nation 18 0 1 2 9 6 0 0 Fort Mojave Indian Tribe 14 0 0 5 5 3 1 0 Fort Yuma Quechan Tribe 16 0 3 3 8 2 0 0 232 1 21 116 60 32 2 0 8 0 0 4 3 0 0 1 136 0 5 25 59 45 1 1 23 0 1 13 9 0 0 0 ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Ak-Chin Indian Community Cocopah Tribe Gila River Indian Community Havasupai Tribe Hopi Tribe Hualapai Nation Navajo Nation 8 9-11 12 13-16 17+ 2,187 8 21 448 1,003 640 55 12 117 0 4 43 54 15 1 0 Salt River Pima-Maricopa Community 120 0 4 50 39 22 1 4 San Carlos Apache Tribe 288 4 12 94 136 40 2 0 Tohono O'Odham Tribe 327 6 11 139 107 57 7 0 White Mountain Apache 359 1 8 133 148 64 5 0 Yavapai-Apache Nation 19 0 0 9 6 4 0 0 4 0 0 0 3 1 0 0 TOTAL 3,914 21 91 1,100 1,669 938 75 20 ---in Maricopa County 1,596 9 31 371 499 601 79 6 204 0 6 47 80 58 13 0 41 0 0 8 17 14 1 1 415 2 10 102 172 107 18 4 2,256 11 47 528 768 780 111 11 ---in Pima County ---in Coconino County ---elsewhere in Arizona TOTAL 42 <8 Pascua Yaqui Tribe Yavapai-Prescott Indian Tribe Resided off reservation Mother's education Health Status Profile of American Indians in Arizona, 2009 Data Book 4.3 MARITAL STATUS OF MOTHER (2009 STATUS) TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Unmarried Other 6,170 1,360 4,746 64 16 6 10 0 9 0 9 0 Colorado River Indian Tribe 21 3 18 0 Fort McDowell Yavapai Nation 18 5 13 0 Fort Mojave Indian Tribe 14 1 13 0 Fort Yuma Quechan Tribe 16 3 13 0 232 14 217 1 Ak-Chin Indian Community Cocopah Tribe Gila River Indian Community Havasupai Tribe 8 0 8 0 136 10 126 0 23 3 20 0 2,187 489 1,680 18 Pascua Yaqui Tribe 117 13 104 0 Salt River Pima-Maricopa Community 120 15 104 1 San Carlos Apache Tribe 288 55 229 4 Tohono O'Odham Tribe 327 32 284 11 White Mountain Apache 359 84 274 1 Yavapai-Apache Nation 19 3 16 0 4 2 2 0 TOTAL 3,914 738 3,140 36 ---in Maricopa County 1,596 412 1,167 17 204 67 133 4 41 11 30 0 415 132 276 7 2,256 622 1,606 28 Hopi Tribe Hualapai Nation Navajo Nation Yavapai-Prescott Indian Tribe Resided off reservation Marital status Married ---in Pima County ---in Coconino County ---elsewhere in Arizona TOTAL Health Status Profile of American Indians in Arizona, 2009 Data Book 43 4.4 RACE/ETHNICITY OF FATHER (2009 STATUS) Father's race/ethnicity TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Ak-Chin Indian Community Cocopah Tribe Asian or Pacific Islander Other race Unknown 6,170 393 772 147 3,532 48 6 1,272 16 1 2 1 8 0 0 4 9 1 1 1 3 0 0 3 21 3 7 0 6 0 0 5 Fort McDowell Yavapai Nation 18 0 2 0 14 0 0 2 Fort Mojave Indian Tribe 14 1 5 0 5 0 0 3 Fort Yuma Quechan Tribe 16 2 5 1 3 0 0 5 232 6 15 7 142 0 1 61 8 0 0 0 5 0 0 3 136 5 5 0 103 1 0 22 Havasupai Tribe Hopi Tribe Hualapai Nation Navajo Nation Pascua Yaqui Tribe 23 1 0 0 18 0 0 4 2,187 70 50 9 1,650 7 1 400 117 2 17 0 62 1 0 35 Salt River Pima-Maricopa Community 120 2 19 1 68 0 0 30 San Carlos Apache Tribe 288 0 8 1 221 0 0 58 Tohono O'Odham Tribe 327 7 37 6 149 1 0 127 White Mountain Apache 359 3 7 2 285 0 0 62 Yavapai-Apache Nation 19 0 3 0 12 0 0 4 Yavapai-Prescott Indian Tribe 4 0 2 0 1 0 0 1 TOTAL 3,914 104 185 29 2,755 10 2 829 ---in Maricopa County 1,596 179 443 88 561 31 2 292 204 26 58 15 56 3 0 46 41 10 4 2 20 0 0 5 415 74 82 13 140 4 2 100 2,256 289 587 118 777 38 4 443 ---in Pima County ---in Coconino County ---elsewhere in Arizona TOTAL 44 American Indian or Alaska Native Colorado River Indian Tribe Gila River Indian Community Resided off reservation White Hispanic Black or nonAfrican or Hispanic Latino American Health Status Profile of American Indians in Arizona, 2009 Data Book 4.5 AGE OF FATHER (2009 STATUS) ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Ak-Chin Indian Community Cocopah Tribe 3 165 16 0 1 0 2 389 1,412 1,288 Unknown 55+ 50-54 45-49 40-44 35-39 30-34 25-29 20-24 18-19 6,170 847 478 233 94 24 15 1,222 3 2 3 1 0 0 0 4 9 0 0 0 5 1 0 0 0 0 0 0 3 Colorado River Indian Tribe 21 0 0 1 7 5 1 1 1 0 0 0 5 Fort McDowell Yavapai Nation 18 0 0 5 6 2 1 1 1 0 0 0 2 Fort Mojave Indian Tribe 14 0 0 0 2 3 3 3 0 0 0 0 3 Fort Yuma Quechan Tribe 16 0 0 0 3 6 1 0 1 0 0 0 5 232 0 15 25 55 35 20 9 9 2 1 0 61 8 0 0 0 2 3 0 0 0 0 0 0 3 136 0 4 12 34 24 19 13 6 1 2 0 21 Gila River Indian Community Havasupai Tribe Hopi Tribe Hualapai Nation Navajo Nation Pascua Yaqui Tribe 23 0 1 2 3 6 2 1 3 0 1 0 4 2,187 0 41 128 487 477 314 193 95 51 12 9 380 117 0 4 10 25 22 10 9 0 2 0 0 35 Salt River Pima-Maricopa Community 120 0 11 17 29 14 11 5 5 0 0 0 28 San Carlos Apache Tribe 288 2 13 27 73 65 29 11 4 4 1 1 58 Tohono O'Odham Tribe 327 0 7 20 46 60 33 18 9 6 1 1 126 White Mountain Apache 359 0 20 31 96 66 46 23 10 4 1 1 61 Yavapai-Apache Nation 19 0 3 1 4 4 4 0 0 0 0 0 3 Yavapai-Prescott Indian Tribe Resided off reservation <15 TOTAL BIRTHS 15-17 Father's age group 4 0 0 0 1 1 0 0 0 1 0 0 1 TOTAL 3,914 2 120 279 880 797 496 290 145 71 19 12 803 ---in Maricopa County 1,596 1 35 79 375 361 260 127 58 18 4 2 276 204 0 2 7 46 46 32 19 6 1 0 0 45 41 0 1 4 15 5 4 5 1 1 0 0 5 415 0 7 20 96 79 55 37 23 3 1 1 93 2,256 1 45 110 532 491 351 188 88 23 5 3 419 ---in Pima County ---in Coconino County ---elsewhere in Arizona TOTAL Health Status Profile of American Indians in Arizona, 2009 Data Book 45 4.6 SOURCE OF PAYMENT FOR LABOR AND DELIVERY (2009 STATUS) Payee for births TOTAL BIRTHS 6,170 3,549 1,599 Private insurance 770 49 203 16 10 1 5 0 0 9 5 2 0 2 0 Colorado River Indian Tribe 21 8 11 2 0 0 Fort McDowell Yavapai Nation 18 8 0 10 0 0 ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Ak-Chin Indian Community Cocopah Tribe IHS Self Unknown Fort Mojave Indian Tribe 14 10 0 3 1 0 Fort Yuma Quechan Tribe 16 13 0 3 0 0 232 186 22 18 2 4 8 6 1 0 1 0 136 66 65 3 1 1 23 19 0 3 1 0 Gila River Indian Community Havasupai Tribe Hopi Tribe Hualapai Nation Navajo Nation 2,187 1,126 826 84 5 146 Pascua Yaqui Tribe 117 86 13 17 1 0 Salt River Pima-Maricopa Community 120 92 11 16 1 0 San Carlos Apache Tribe 288 54 220 13 1 0 Tohono O'Odham Tribe 327 214 70 43 0 0 White Mountain Apache 359 255 95 9 0 0 Yavapai-Apache Nation 19 10 6 3 0 0 4 2 0 2 0 0 TOTAL 3,914 2,170 1,343 234 16 151 ---in Maricopa County 1,596 1,002 162 404 19 9 204 140 17 42 4 1 41 27 2 11 0 1 415 210 75 79 10 41 2,256 1,379 256 536 33 52 Yavapai-Prescott Indian Tribe Resided off reservation AHCCCS ---in Pima County ---in Coconino County ---elsewhere in Arizona TOTAL *The Arizona Health Care Cost Containment System (AHCCCS) is the State's Medicaid program. 46 Health Status Profile of American Indians in Arizona, 2009 Data Book MATERNAL LIFESTYLE AND HEALTH CHARACTERISTICS Health Status Profile of American Indians in Arizona, 2009 Data Book 47 4.7 MATERNAL WEIGHT GAIN DURING PREGNANCY (2009 STATUS) TOTAL BIRTHS 6,170 154 16 1 1 1 0 10 3 0 9 0 2 2 2 0 3 0 Colorado River Indian Tribe 21 0 11 1 1 1 5 2 Fort McDowell Yavapai Nation 18 0 3 5 0 4 6 0 Fort Mojave Indian Tribe 14 0 0 4 1 7 2 0 Fort Yuma Quechan Tribe 16 0 2 2 0 5 7 0 232 10 27 30 13 84 64 4 8 0 1 0 1 4 1 1 136 1 41 19 12 29 31 3 23 0 3 5 3 5 7 0 ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Ak-Chin Indian Community Cocopah Tribe Gila River Indian Community Havasupai Tribe Hopi Tribe Hualapai Nation Navajo Nation None 16-20 pounds 844 21-24 pounds 478 25-30 pounds 1,480 31+ pounds 1,983 Unknown 93 2,187 38 466 293 194 548 594 54 Pascua Yaqui Tribe 117 6 20 15 11 21 44 0 Salt River Pima-Maricopa Community 120 3 23 22 3 33 36 0 San Carlos Apache Tribe 288 6 55 54 12 65 92 4 Tohono O'Odham Tribe 327 20 66 41 29 61 108 2 White Mountain Apache 359 10 72 50 32 71 112 12 Yavapai-Apache Nation 19 0 4 2 0 5 8 0 4 0 0 0 0 1 3 0 TOTAL 3,914 95 797 546 314 954 1,126 82 ---in Maricopa County 1,596 36 247 214 127 372 595 5 204 5 24 24 21 43 87 0 41 2 2 5 2 12 17 1 415 16 68 55 14 99 158 5 2,256 59 341 298 164 526 857 11 Yavapai-Prescott Indian Tribe Resided off reservation Weight gain 1-15 pounds 1,138 ---in Pima County ---in Coconino County ---elsewhere in Arizona TOTAL Health Status Profile of American Indians in Arizona, 2009 Data Book 49 ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Ak-Chin Indian Community Cocopah Tribe Other Incompetent cervix Uterine bleeding RH sensitization Renal disease Previous SGA infant Previous infant 4000+g Eclampsia Pregnancy associated hypertension Chronic hypertension Hemoglobinopathy Hydramnios Genital herpes Diabetes Lung disease Cardiac disease 2,583 443 3 47 507 40 113 1 97 342 81 52 62 12 5 19 3 1,583 16 4 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 3 9 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 21 4 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 3 Fort McDowell Yavapai Nation 18 6 2 0 0 1 1 0 0 0 1 0 0 0 0 0 0 0 3 Fort Mojave Indian Tribe 14 2 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 Fort Yuma Quechan Tribe 16 2 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 232 80 17 0 2 22 3 0 0 0 16 1 2 1 0 0 0 1 44 8 2 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 136 43 6 0 0 14 0 2 0 2 6 1 1 1 1 0 2 0 16 23 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 2,187 792 117 2 11 176 5 38 0 41 140 25 23 34 4 2 10 2 365 Pascua Yaqui Tribe 117 84 19 0 4 15 0 2 0 1 10 4 3 3 0 0 0 0 62 Salt River Pima-Maricopa Community 120 56 22 0 1 9 0 2 0 1 7 1 3 1 1 0 0 0 35 San Carlos Apache Tribe 288 94 16 0 0 20 2 3 0 2 16 5 1 2 0 0 0 0 70 Tohono O'Odham Tribe 327 210 4 0 1 37 5 22 0 6 13 19 1 1 0 0 1 0 172 White Mountain Apache 359 125 10 0 7 20 4 0 0 6 15 4 0 0 6 0 0 0 85 19 7 0 0 0 1 0 1 0 0 0 1 3 0 0 0 0 0 2 4 3 0 0 0 1 1 0 0 2 0 0 0 0 0 0 0 0 1 TOTAL 3,914 1,516 215 2 26 319 22 71 0 62 226 62 37 43 12 2 13 3 863 ---in Maricopa County 1,596 823 204 1 17 153 14 27 1 23 96 9 14 16 0 3 4 0 556 204 114 10 0 1 15 0 11 0 5 6 5 0 1 0 0 0 0 88 41 3 0 0 0 2 0 0 0 0 1 0 0 0 0 0 0 0 0 415 127 14 0 3 18 4 4 0 7 13 5 1 2 0 0 2 0 76 2,256 1,067 228 1 21 188 18 42 1 35 116 19 15 19 0 3 6 0 720 Havasupai Tribe Hopi Tribe Hualapai Nation Navajo Nation Yavapai-Apache Nation Yavapai-Prescott Indian Tribe ---in Pima County ---in Coconino County ---elsewhere in Arizona TOTAL 50 6,170 Colorado River Indian Tribe Gila River Indian Community Resided off reservation Medical risk factors Anemia TOTAL BIRTHS Births with medical risk factors 4.8 MEDICAL RISK FACTORS OF PREGNANCY (2009 STATUS) Health Status Profile of American Indians in Arizona, 2009 Data Book 4.9 SUBSTANCE USE DURING PREGNANCY (2009 STATUS) Substance use TOTAL BIRTHS 6,170 Drinker, nonsmoker 59 Smoker, nondrinker 130 Smoker and drinker 29 Nonsmoker and nondrinker 5,952 16 0 1 0 15 9 0 0 0 9 Colorado River Indian Tribe 21 0 0 0 21 Fort McDowell Yavapai Nation 18 0 0 0 18 Fort Mojave Indian Tribe 14 0 0 0 14 Fort Yuma Quechan Tribe 16 0 0 0 16 232 3 1 1 227 8 1 0 0 7 136 4 1 0 131 23 1 0 0 22 ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Ak-Chin Indian Community Cocopah Tribe Gila River Indian Community Havasupai Tribe Hopi Tribe Hualapai Nation Navajo Nation 2,187 14 24 7 2,142 Pascua Yaqui Tribe 117 1 2 0 114 Salt River Pima-Maricopa Community 120 0 4 1 115 San Carlos Apache Tribe 288 5 4 4 275 Tohono O'Odham Tribe 327 9 11 5 302 White Mountain Apache 359 7 0 4 348 Yavapai-Apache Nation 19 0 1 0 18 4 0 1 0 3 TOTAL 3,914 45 50 22 3,797 ---in Maricopa County 1,596 11 51 5 1,529 204 2 9 2 191 41 0 2 0 39 415 1 18 0 396 2,256 14 80 7 2,155 Yavapai-Prescott Indian Tribe Resided off reservation ---in Pima County ---in Coconino County ---elsewhere in Arizona TOTAL Health Status Profile of American Indians in Arizona, 2009 Data Book 51 Utilization of Medical Services Health Status Profile of American Indians in Arizona, 2009 Data Book 53 4.10 TRIMESTER OF PREGNANCY PRENATAL CARE BEGAN (2009 STATUS) Prenatal care TOTAL BIRTHS 6,170 129 1st trimester 4,073 16 0 15 0 1 0 9 1 4 1 3 0 Colorado River Indian Tribe 21 0 16 4 1 0 Fort McDowell Yavapai Nation 18 0 12 5 1 0 ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Ak-Chin Indian Community Cocopah Tribe 2nd trimester 1,496 3rd trimester 458 Unknown 14 Fort Mojave Indian Tribe 14 1 10 2 1 0 Fort Yuma Quechan Tribe 16 1 7 6 2 0 232 6 178 38 10 0 8 0 4 4 0 0 136 3 101 27 5 0 23 0 21 2 0 0 Gila River Indian Community Havasupai Tribe Hopi Tribe Hualapai Nation Navajo Nation 2,187 28 1,415 553 185 6 Pascua Yaqui Tribe 117 3 71 38 5 0 Salt River Pima-Maricopa Community 120 7 75 22 16 0 San Carlos Apache Tribe 288 6 129 114 39 0 Tohono O'Odham Tribe 327 7 215 81 24 0 White Mountain Apache 359 11 210 102 29 7 Yavapai-Apache Nation 19 0 12 4 3 0 4 0 2 1 1 0 TOTAL 3,914 74 2,497 1,004 326 13 ---in Maricopa County 1,596 37 1,140 331 88 0 204 5 134 56 9 0 41 0 24 14 3 0 415 13 278 91 32 1 2,256 55 1,576 492 132 1 Yavapai-Prescott Indian Tribe Resided off reservation No care ---in Pima County ---in Coconino County ---elsewhere in Arizona TOTAL Health Status Profile of American Indians in Arizona, 2009 Data Book 55 4.11 NUMBER OF PRENATAL VISITS (2009 STATUS) Prenatal visits TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation 5-8 visits 9-12 visits 13+ visits Unknown 129 531 1,689 2,693 1,104 24 16 0 1 1 12 2 0 9 1 1 5 1 1 0 Colorado River Indian Tribe 21 0 1 4 8 7 1 Fort McDowell Yavapai Nation 18 0 1 6 8 3 0 Fort Mojave Indian Tribe 14 1 2 2 8 1 0 Fort Yuma Quechan Tribe 16 1 1 8 3 3 0 232 6 13 32 146 35 0 8 0 3 4 1 0 0 136 3 6 37 54 35 1 23 0 4 2 11 6 0 Cocopah Tribe Havasupai Tribe Hopi Tribe Hualapai Nation Navajo Nation 2,187 28 194 579 956 419 11 Pascua Yaqui Tribe 117 3 10 32 45 27 0 Salt River Pima-Maricopa Community 120 7 16 44 40 13 0 San Carlos Apache Tribe 288 6 56 105 94 26 1 Tohono O'Odham Tribe 327 7 27 116 115 62 0 White Mountain Apache 359 11 51 141 128 21 7 Yavapai-Apache Nation 19 0 0 10 8 1 0 4 0 0 0 2 2 0 TOTAL 3,914 74 387 1,128 1,640 664 21 ---in Maricopa County 1,596 37 96 401 765 296 1 204 5 14 48 81 56 0 41 0 6 9 20 6 0 415 13 28 103 187 82 2 2,256 55 144 561 1,053 440 3 Yavapai-Prescott Indian Tribe ---in Pima County ---in Coconino County ---elsewhere in Arizona TOTAL 56 1-4 visits 6,170 Ak-Chin Indian Community Gila River Indian Community Resided off reservation No visits Health Status Profile of American Indians in Arizona, 2009 Data Book 4.12 OBSTETRIC PROCEDURES (2009 STATUS) ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Ak-Chin Indian Community Cocopah Tribe Colorado River Indian Tribe Other Ultrasound Tocolysis Stimulation of labor Induction of labor 6,170 50 5,507 1,071 940 35 4,253 249 16 0 16 1 2 0 14 0 9 0 9 1 0 0 9 0 21 0 20 2 4 1 12 0 0 Fort McDowell Yavapai Nation 18 0 18 9 4 0 17 Fort Mojave Indian Tribe 14 0 14 2 1 0 14 0 Fort Yuma Quechan Tribe 16 0 16 3 0 0 16 0 232 1 229 14 18 1 211 8 Gila River Indian Community Havasupai Tribe Hopi Tribe Hualapai Nation Navajo Nation Pascua Yaqui Tribe 8 0 7 3 0 0 1 0 136 2 110 26 28 1 40 1 23 0 23 7 2 0 1 0 2,187 17 1,866 370 306 19 1,109 24 117 2 117 11 7 0 106 16 Salt River Pima-Maricopa Community 120 3 118 28 29 0 103 1 San Carlos Apache Tribe 288 2 215 65 33 2 198 50 48 Tohono O'Odham Tribe 327 1 311 57 9 0 313 White Mountain Apache 359 0 254 50 47 3 294 7 Yavapai-Apache Nation 19 0 19 4 3 0 19 0 4 0 4 2 0 0 4 0 TOTAL 3,914 28 3,366 655 493 27 2,481 155 ---in Maricopa County 1,596 21 1,564 317 341 6 1,226 52 204 0 199 44 23 1 195 27 41 0 35 9 4 0 27 0 Yavapai-Prescott Indian Tribe Resided off reservation Amniocentesis TOTAL BIRTHS Electronic Fetal Monitor Obstetric procedures ---in Pima County ---in Coconino County ---elsewhere in Arizona TOTAL Health Status Profile of American Indians in Arizona, 2009 Data Book 415 1 343 46 79 1 324 15 2,256 22 2,141 416 447 8 1,772 94 57 ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Ak-Chin Indian Community Cocopah Tribe 3 114 74 153 126 Other Fetal distress Anesthetic complic. Cord prolapse Cephalopelvic disp. Breech malpresentation Dysfunctional labor Prolonged labor Precipitous labor Seizures Other bleeding Placenta previa Abruptio placenta Rupture of membrane Meconium 1,641 140 233 169 15 76 25 6 1 246 706 2 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 9 3 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 2 21 3 0 0 1 1 0 0 0 0 0 0 0 0 0 0 2 1 Fort McDowell Yavapai Nation 18 3 0 1 0 0 0 0 0 0 0 1 1 0 0 0 0 0 Fort Mojave Indian Tribe 14 5 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 2 Fort Yuma Quechan Tribe 16 3 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 232 42 5 3 3 1 1 0 0 2 2 3 4 0 0 0 11 21 8 2 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 136 33 3 7 4 0 0 5 1 4 1 1 1 2 0 0 4 10 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2,187 552 55 67 83 15 7 45 2 53 35 74 43 4 4 1 117 38 4 8 4 0 0 0 0 1 1 2 3 0 0 0 6 Havasupai Tribe Hopi Tribe Hualapai Nation Navajo Nation Pascua Yaqui Tribe 81 157 19 Salt River Pima-Maricopa Community 120 46 5 11 7 2 0 3 0 3 2 3 5 2 0 0 10 7 San Carlos Apache Tribe 288 84 2 3 6 1 0 4 0 10 1 1 11 3 0 0 8 49 Tohono O'Odham Tribe 327 100 2 17 6 4 1 0 0 2 4 1 3 0 0 0 5 70 White Mountain Apache 359 87 1 5 7 1 2 0 0 6 7 13 10 2 0 0 13 59 Yavapai-Apache Nation 19 5 0 0 1 0 0 1 0 0 0 0 1 0 0 0 0 2 0 0 0 0 0 0 0 0 0 1 0 1 0 0 2 2 77 125 122 25 11 58 3 83 53 101 84 14 4 1 143 403 Yavapai-Prescott Indian Tribe 4 3 TOTAL 3,914 1,011 ---in Maricopa County 1,596 473 58 83 41 6 1 17 0 28 17 48 30 9 2 0 204 75 2 16 2 0 1 1 0 2 3 0 3 0 0 0 ---in Pima County ---in Coconino County ---elsewhere in Arizona TOTAL 58 31 16 Colorado River Indian Tribe Gila River Indian Community Resided off reservation 6,170 Complications of labor and/or delivery Febrile TOTAL BIRTHS Births with complications of labor and or delivery 4.13 COMPLICATIONS OF LABOR AND DELIVERY (2009 STATUS) 82 202 8 50 41 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 415 81 3 9 4 0 1 0 0 1 1 4 9 2 0 0 13 50 2,256 630 63 108 47 6 4 18 0 31 21 52 42 11 2 0 103 303 Health Status Profile of American Indians in Arizona, 2009 Data Book 4.14 METHOD OF DELIVERY (2009 STATUS) Method of delivery TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Vaginal Primary C- Repeat CSection Section Forceps Vacuum 6,170 4,635 103 754 678 31 111 16 12 0 2 2 0 0 9 7 0 1 1 0 0 Colorado River Indian Tribe 21 14 1 4 2 0 1 Fort McDowell Yavapai Nation 18 14 0 3 1 0 0 Fort Mojave Indian Tribe 14 10 0 3 1 0 0 Fort Yuma Quechan Tribe 16 10 0 3 3 0 0 232 158 1 37 36 0 4 Ak-Chin Indian Community Cocopah Tribe Gila River Indian Community Havasupai Tribe Hopi Tribe Hualapai Nation Navajo Nation 8 6 0 1 1 0 0 136 114 2 9 11 0 2 23 18 0 2 3 0 1 2,187 1,721 58 234 174 10 30 Pascua Yaqui Tribe 117 83 4 8 22 1 2 Salt River Pima-Maricopa Community 120 85 4 17 14 1 1 San Carlos Apache Tribe 288 203 2 43 40 2 14 Tohono O'Odham Tribe 327 259 3 38 27 0 4 White Mountain Apache 359 278 1 39 41 9 18 Yavapai-Apache Nation 19 14 0 1 4 0 0 4 1 0 3 0 0 0 Yavapai-Prescott Indian Tribe Resided off reservation Vaginal after C-Section TOTAL 3,914 3,007 76 448 383 23 77 ---in Maricopa County 1,596 1,148 22 214 212 7 23 204 151 3 28 22 1 3 ---in Pima County ---in Coconino County ---elsewhere in Arizona TOTAL Health Status Profile of American Indians in Arizona, 2009 Data Book 41 33 0 4 4 0 0 415 296 2 60 57 0 8 2,256 1,628 27 306 295 8 34 59 4.15 ATTENDANT AT BIRTH (2009 STATUS) TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Midwife D.O. Unknown Other 3,990 1,614 87 459 13 7 16 10 0 0 6 0 0 9 8 1 0 0 0 0 Colorado River Indian Tribe 21 6 0 0 15 0 0 Fort McDowell Yavapai Nation 18 16 1 0 1 0 0 Fort Mojave Indian Tribe 14 12 0 0 1 1 0 Fort Yuma Quechan Tribe 16 14 2 0 0 0 0 232 168 9 0 54 1 0 8 6 0 0 1 1 0 136 91 43 0 2 0 0 23 15 0 0 8 0 0 2,187 1,024 1,026 62 64 5 6 Pascua Yaqui Tribe 117 81 34 0 2 0 0 Salt River Pima-Maricopa Community 120 87 30 0 3 0 0 San Carlos Apache Tribe 288 281 2 0 2 3 0 Tohono O'Odham Tribe 327 321 3 1 1 1 0 White Mountain Apache 359 250 2 0 106 1 0 Yavapai-Apache Nation 19 18 1 0 0 0 0 4 4 0 0 0 0 0 TOTAL 3,914 2,412 1,154 63 266 13 6 ---in Maricopa County 1,596 1,056 411 7 122 0 0 204 173 26 1 4 0 0 41 34 7 0 0 0 0 415 315 16 16 67 0 1 2,256 1,578 460 24 193 0 1 Ak-Chin Indian Community Cocopah Tribe Havasupai Tribe Hopi Tribe Hualapai Nation Navajo Nation Yavapai-Prescott Indian Tribe ---in Pima County ---in Coconino County ---elsewhere in Arizona TOTAL 60 C.N.M 6,170 Gila River Indian Community Resided off reservation M.D. Health Status Profile of American Indians in Arizona, 2009 Data Book Newborn’s Health Health Status Profile of American Indians in Arizona, 2009 Data Book 61 4.16 GESTATIONAL AGE (2009 STATUS) Length of gestation TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation 37-41 weeks 42+ weeks Unknown 6,170 593 5,518 54 5 16 4 12 0 0 9 0 9 0 0 Colorado River Indian Tribe 21 1 20 0 0 Fort McDowell Yavapai Nation 18 3 15 0 0 Fort Mojave Indian Tribe 14 1 13 0 0 Fort Yuma Quechan Tribe 16 1 15 0 0 232 30 201 1 0 8 0 8 0 0 136 8 126 2 0 23 4 19 0 0 2,187 194 1,965 24 4 Pascua Yaqui Tribe 117 19 98 0 0 Salt River Pima-Maricopa Community 120 12 104 4 0 San Carlos Apache Tribe 288 36 252 0 0 Tohono O'Odham Tribe 327 29 298 0 0 White Mountain Apache 359 44 309 5 1 Yavapai-Apache Nation 19 3 16 0 0 4 0 3 1 0 TOTAL 3,914 389 3,483 37 5 ---in Maricopa County 1,596 155 1,429 12 0 204 14 190 0 0 Ak-Chin Indian Community Cocopah Tribe Gila River Indian Community Havasupai Tribe Hopi Tribe Hualapai Nation Navajo Nation Yavapai-Prescott Indian Tribe Resided off reservation <37 weeks ---in Pima County ---in Coconino County ---elsewhere in Arizona TOTAL Health Status Profile of American Indians in Arizona, 2009 Data Book 41 3 37 1 0 415 32 379 4 0 2,256 204 2,035 17 0 63 4.17 WEIGHT AT BIRTH (2009 STATUS) Weight at birth TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation 1,5002,499 2,5003,999 4000+ 32 25 339 5,220 554 16 0 1 1 11 3 9 0 0 0 9 0 Colorado River Indian Tribe 21 0 0 3 15 3 Fort McDowell Yavapai Nation 18 0 0 2 15 1 Fort Mojave Indian Tribe 14 0 0 0 14 0 Fort Yuma Quechan Tribe 16 0 0 0 12 4 232 2 2 10 196 22 8 0 0 0 8 0 136 0 1 9 125 1 23 0 0 1 21 1 2,187 5 14 122 1,883 163 Pascua Yaqui Tribe 117 1 1 9 99 7 Salt River Pima-Maricopa Community 120 3 0 5 95 17 San Carlos Apache Tribe 288 3 1 16 248 20 Tohono O'Odham Tribe 327 2 1 20 274 30 White Mountain Apache 359 4 0 34 294 27 Yavapai-Apache Nation 19 0 0 0 17 2 4 0 0 0 4 0 TOTAL 3,914 20 21 232 3,340 301 ---in Maricopa County 1,596 7 2 72 1,323 192 204 2 1 9 170 22 41 1 0 2 35 3 415 2 1 24 352 36 2,256 12 4 107 1,880 253 Ak-Chin Indian Community Cocopah Tribe Havasupai Tribe Hopi Tribe Hualapai Nation Navajo Nation Yavapai-Prescott Indian Tribe ---in Pima County ---in Coconino County ---elsewhere in Arizona TOTAL 64 1,0001,499 6,170 Gila River Indian Community Resided off reservation <1,000 grams Health Status Profile of American Indians in Arizona, 2009 Data Book ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Ak-Chin Indian Community Cocopah Tribe 424 9 3 15 9 33 38 Other Newborn seizures Assisted vent. >30 min. Assissted vent.<30 min Meconium aspiration Membrane disease Fetal Alcohol Syndrome Birth injury 3 7 350 16 3 0 0 0 0 0 0 0 0 3 9 0 0 0 0 0 0 0 0 0 0 Colorado River Indian Tribe 21 7 0 0 0 0 0 4 0 0 4 Fort McDowell Yavapai Nation 18 1 0 0 0 1 0 0 0 0 0 Fort Mojave Indian Tribe 14 0 0 0 0 0 0 0 0 0 0 Fort Yuma Quechan Tribe 16 1 0 0 0 0 0 0 0 0 1 232 12 0 0 0 1 0 0 0 1 10 8 0 0 0 0 0 0 0 0 0 0 4 Gila River Indian Community Havasupai Tribe Hopi Tribe Hualapai Nation Navajo Nation 136 6 0 0 0 0 1 0 1 0 23 0 0 0 0 0 0 0 0 0 0 2,187 124 2 4 1 3 7 13 24 1 87 Pascua Yaqui Tribe 117 4 0 0 0 0 0 1 0 0 4 Salt River Pima-Maricopa Community 120 4 0 0 0 1 0 0 0 0 4 San Carlos Apache Tribe 288 26 0 0 1 0 0 3 3 0 22 Tohono O'Odham Tribe 327 11 0 0 0 0 0 2 0 1 10 White Mountain Apache 359 102 1 4 1 0 0 2 3 2 97 Yavapai-Apache Nation 19 2 0 0 0 0 0 0 0 0 2 4 0 0 0 0 0 0 0 0 0 0 TOTAL 3,914 303 3 8 3 6 8 25 31 5 248 ---in Maricopa County 1,596 64 0 0 0 6 1 0 2 1 56 204 18 0 1 0 2 0 6 0 0 14 41 1 0 0 0 0 0 0 0 1 0 Yavapai-Prescott Indian Tribe Resided off reservation 6,170 Abnormal conditions Anemia TOTAL BIRTHS Births with abnornal conditions of the newborn 4.18 ABNORMAL CONDITIONS OF THE NEWBORN (2009 STATUS) ---in Pima County ---in Coconino County ---elsewhere in Arizona TOTAL Health Status Profile of American Indians in Arizona, 2009 Data Book 415 38 0 0 0 1 0 2 5 0 32 2,256 121 0 1 0 9 1 8 7 2 102 65 4.19 CONGENITAL ANOMALIES / BIRTH DEFECTS (2009 STATUS) ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on Ak-Chin Indian Community reservation Cocopah Tribe Other Other chromosomal Down's syndrome Other muscosceletal Diaphragmatic hernia Club foot Polydactyly/ syndactyly/ adactyly Cleft lip/palate Other urogenital Renal agenesis Malformed genitalia Other gastrointestinal Tracheo-esophageal fistula / esophageal atresia Omphalocele/ gastroschisis Rectal atresia/ stenosis Other respiratory/ circulatory Heart malformations Other CNS anomaly Microcephalus Hydrocephalus Spina bifida/ meningocele Anencephalus TOTAL BIRTHS Births with congenital anomalies Congenital anomalies 6,170 52 1 0 0 0 1 2 10 0 0 3 1 1 1 3 10 6 6 0 5 4 2 8 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Colorado River Indian Tribe 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Fort McDowell Yavapai Nation 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Fort Mojave Indian Tribe 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Fort Yuma Quechan Tribe 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Gila River Indian Community Havasupai Tribe Hopi Tribe Hualapai Nation Navajo Nation 232 2 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 136 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2,187 18 0 0 0 0 1 1 0 0 0 2 0 0 0 1 3 4 2 0 1 1 1 3 Pascua Yaqui Tribe 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Salt River Pima-Maricopa Community 120 1 0 0 0 0 0 1 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 San Carlos Apache Tribe 288 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 Tohono O'Odham Tribe 327 4 0 0 0 0 0 0 2 0 0 0 1 0 0 2 1 0 1 0 1 0 1 0 White Mountain Apache 359 10 0 0 0 0 0 0 4 0 0 0 0 0 0 0 2 0 0 0 2 1 0 2 Yavapai-Apache Nation 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Yavapai-Prescott Indian Tribe TOTAL 3,914 37 0 0 0 0 1 2 8 0 0 2 1 1 0 3 7 5 3 0 4 3 2 5 Resided off ---in Maricopa County reservation ---in Pima County 1,596 9 1 0 0 0 0 0 1 0 0 1 0 0 0 0 2 1 2 0 0 0 0 1 204 4 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 1 0 0 0 0 2 ---in Coconino County 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 415 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 2,256 15 1 0 0 0 0 0 2 0 0 1 0 0 1 0 3 1 3 0 1 1 0 3 ---elsewhere in Arizona TOTAL 66 Health Status Profile of American Indians in Arizona, 2009 Data Book 4.20 CAUSES OF INFANT DEATHS AMONG AMERICAN INDIAN RESIDENTS, ARIZONA, 2009 2 12 4 3 5 28 9 3 2 10 24 Certain conditions originating in the perinatal period 19 1 0 0 2 4 2 1 10 6 2 0 1 9 Maternal complications 3 0 0 0 0 1 1 0 2 0 1 0 0 1 Complications of placenta, cord and membrane 1 0 0 0 0 1 0 0 1 0 0 0 0 0 Short gestation and low birth weight 3 0 0 0 0 1 0 0 1 2 0 0 0 2 Bacterial sepsis of newborn 2 0 0 0 1 0 0 1 2 0 0 0 0 0 13 0 1 0 5 0 0 0 6 2 1 0 4 7 of circulatory system 2 0 1 0 1 0 0 0 2 0 0 0 0 0 of brain, spinal cord or nervous system 3 0 0 0 1 0 0 0 1 1 0 0 1 2 other malformation 8 0 0 0 3 0 0 0 3 1 1 0 3 5 Sudden infant death syndrome 5 0 0 0 1 0 0 1 2 0 0 1 2 3 Accidents (unintentional injury) 2 0 0 0 1 0 0 1 2 0 0 0 0 0 Influenza and pneumonia 2 0 0 0 1 0 0 0 1 0 0 0 1 1 Diseases of the digestive system 2 0 0 0 1 0 0 1 2 0 0 0 0 0 Infectious and parasitic diseases 2 0 0 1 0 0 0 1 2 0 0 0 0 0 Diseases of the nervous system 1 0 0 0 0 0 1 0 1 0 0 0 0 0 Choked on food 1 0 0 0 0 0 0 1 1 0 0 0 0 0 Mechanical suffocation 1 0 0 0 1 0 0 0 1 0 0 0 0 0 Drug poinsoning, undetermined intent 1 0 0 0 0 0 0 0 0 1 0 0 0 1 Congenital malformations Health Status Profile of American Indians in Arizona, 2009 Data Book ---elsewhere in Arizona ---in Pima County Total Total White Mountain Apache Tribe 1 ---in Coconino County San Carlos Apache Tribe 1 ---in Maricopa County Salt River PimaMaricopa Community 52 Navajo Nation Gila River Indian Community Total, all causes TOTAL STATE Colorado River Indian Tribes Resided off reservation Ak-chin Indian Community Resided on reservation 67 Total births Mother's age group <15 15-17 Payee for births 3 1,837 70 1,073 La Paz Yuma Yavapai Santa Cruz Pinal Pima Navajo Mohave Maricopa Greenlee Graham Gila Coconino Cochise 229 98 594 386 4 59 44 0 0 1 0 3 0 5 2 3 0 0 0 30 1 394 52 0 42 27 11 0 109 3 75 34 32 1 6 0 2 123 1 87 38 14 1 191 13 155 71 46 0 8 5 6 281 7 253 88 29 1 630 19 347 192 137 1 17 24 9 25-29 1,494 244 2 167 43 27 1 461 25 240 165 90 1 15 8 5 30-34 898 155 4 103 19 10 0 288 8 151 95 48 0 8 3 6 35-39 454 101 1 56 11 5 0 133 2 80 28 26 1 5 4 1 40-44 113 33 1 26 3 1 0 21 0 17 7 4 0 0 0 0 45+ 5 0 0 1 0 0 0 1 0 3 0 0 0 0 0 0 Unknown 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 AHCCCS 3,549 435 10 373 47 18 1 1,170 53 699 408 258 4 37 27 9 IHS 1,599 379 0 304 168 74 0 188 0 308 92 55 0 10 4 17 770 16 6 50 14 5 1 446 13 44 89 62 0 12 9 3 49 1 0 3 0 1 0 23 4 3 4 6 0 0 4 0 203 161 0 5 0 0 1 10 0 19 1 5 0 0 0 1 32 5 0 3 2 3 0 9 0 1 6 3 0 0 0 0 <8 8 138 9 1 5 10 2 0 44 1 22 19 19 0 2 3 1 1,628 170 4 173 73 30 0 469 32 282 212 152 2 12 9 8 14 12 2,437 456 5 321 107 48 3 577 22 492 219 127 2 22 22 13-16 1,718 311 6 213 35 15 0 646 10 254 118 79 0 20 6 5 186 30 0 15 2 0 0 82 4 20 20 6 0 3 4 0 17+ Unknown 31 11 0 5 0 0 0 10 1 2 0 0 0 0 0 2 Married 1,360 227 8 162 47 20 2 444 12 232 104 65 1 20 12 4 Unmarried 4,746 753 8 568 179 77 1 1,375 57 837 475 316 3 39 32 26 64 12 0 5 3 1 0 18 1 4 15 5 0 0 0 0 154 10 0 14 5 1 0 43 0 29 30 18 0 1 3 0 Other* None 1-15 pounds 1,138 249 1 120 48 17 0 287 10 230 103 45 0 5 6 17 16-20 pounds 844 128 0 98 46 12 0 259 12 145 70 61 1 6 4 2 21-24 pounds 478 105 1 53 11 2 1 135 4 88 57 16 0 1 3 1 25-30 pounds 1,480 187 4 237 49 26 1 439 13 250 111 136 1 17 8 1 31+ pounds 1,983 279 10 199 66 40 1 668 31 304 221 107 2 29 20 6 3 Unknown 93 34 0 14 4 0 0 6 0 27 2 3 0 0 0 Drinker, nonsmoker 59 9 0 4 4 2 0 12 1 13 11 3 0 0 0 0 Smoker, nondrinker 130 11 2 6 2 2 0 55 6 11 22 9 0 3 0 1 0 7 0 4 7 0 0 0 0 0 63 1,045 554 374 4 56 44 29 Smoker and drinker Nonsmoker and nondrinker 68 735 0 759 9-11 Substance use 16 2 2,035 Unknown Weight gain 992 17 18-19 Self Marital status 6,170 20-24 Private insurance Mother's education Apache Total State 4.21 COMPARISON OF SELECTED CHARACTERISTICS OF AMERICAN INDIAN NEWBORNS AND WOMEN GIVING BIRTH BY COUNTY OF RESIDENCE, ARIZONA, 2009 29 4 0 3 2 2 5,952 968 14 722 221 92 3 1,763 Health Status Profile of American Indians in Arizona, 2009 Data Book Length of gestation <37 weeks La Paz Yuma Yavapai Santa Cruz Pinal Pima Navajo Mohave Maricopa 12 0 186 7 92 52 45 0 5 4 2 86 3 1,634 63 963 542 341 4 52 39 27 54 10 0 8 0 0 0 17 0 15 0 0 0 2 1 1 5 2 0 0 0 0 0 0 0 3 0 0 0 0 0 0 <1,000 grams 32 1 0 2 1 2 0 12 0 6 5 3 0 0 0 0 1,000-1,499 25 5 0 4 0 1 0 3 0 6 3 3 0 0 0 0 1,500-2,499 339 63 0 35 14 4 0 84 2 76 34 18 0 2 3 4 2,500-3,999 3 1,520 23 5,220 851 16 637 202 82 62 912 494 326 4 52 36 4000+ 554 72 0 57 12 9 0 218 6 73 58 36 0 5 5 3 No care 129 11 1 8 3 3 0 47 2 23 12 12 0 0 4 3 19 1st trimester 4,073 565 11 568 93 58 3 1,291 54 656 390 301 3 38 23 2nd trimester 1,496 284 3 135 101 26 0 386 12 300 157 60 1 13 11 7 3rd trimester 458 130 1 22 32 11 0 113 2 85 35 13 0 7 6 1 No visits 14 2 0 2 0 0 0 0 0 9 0 0 0 1 0 0 129 11 1 8 3 3 0 47 2 23 12 12 0 0 4 3 1-4 visits 531 99 1 60 27 34 1 126 7 112 45 13 0 1 3 2 5-8 visits 1,689 287 1 158 81 39 1 468 9 343 184 74 1 19 17 7 9-12 visits 2,693 413 2 359 89 18 1 866 32 415 214 232 3 29 12 8 13+ visits 1,104 174 11 148 28 4 0 329 20 170 139 55 0 9 8 9 Yes No 24 8 0 2 1 0 0 1 0 10 0 0 0 1 0 1 293 41 0 12 11 7 0 110 3 53 30 16 0 2 5 3 67 1,018 5,867 946 16 720 218 91 564 370 4 57 39 27 Unknown 10 5 0 3 0 0 0 0 0 2 0 0 0 0 0 0 Amniocentesis 50 3 0 10 2 0 0 26 0 6 1 2 0 0 0 0 Electronic Fetal Monitoring 5,507 785 4 648 194 57 1 1,802 69 862 573 380 2 58 44 28 Induction of labor 1,071 154 3 162 66 10 0 364 15 148 107 20 1 14 5 2 940 101 1 136 28 9 0 391 8 157 32 60 1 11 0 5 0 6 1 7 1 1 0 0 0 1 2 1,427 29 568 571 359 4 58 44 18 Stimulation of labor Tocolysis Ultrasound Other Method of delivery Greenlee 28 201 Unknown Obstetric procedures Graham 72 655 Unknown Newborn intensive care Gila 0 16 Unknown Prenatal visits Coconino 88 892 42+ weeks Prenatal care Cochise 593 5,518 37-41 weeks Weight at birth Apache Total State 4.21 COMPARISON OF SELECTED CHARACTERISTICS OF AMERICAN INDIAN NEWBORNS AND WOMEN GIVING BIRTH BY COUNTY OF RESIDENCE, ARIZONA, 2009 Vaginal 35 8 0 8 2 0 4,253 512 16 412 145 88 3 1,727 249 12 0 7 3 54 2 59 0 13 86 10 0 3 0 0 4,635 786 12 575 167 64 2 1,315 51 841 458 273 2 40 26 23 Vaginal after C-Section 103 31 0 15 3 0 0 30 0 15 7 1 0 0 0 1 Primary C-Section 754 109 1 74 31 18 1 245 10 114 71 55 1 12 8 4 Repeat C-Section 678 66 3 71 28 16 0 247 9 103 58 57 1 7 10 2 Forceps 31 5 0 7 3 0 0 9 0 6 1 0 0 0 0 0 Vacuum 111 11 0 13 12 3 0 24 3 25 9 8 0 1 1 1 Health Status Profile of American Indians in Arizona, 2009 Data Book 69 Births with medical risk factors Total Anemia Cardiac disease Lung disease Diabetes Genital herpes Hydramnios Hemoglobinopathy Chronic hypertension Pregnancy associated hypertension La Paz Yuma Yavapai Santa Cruz Pinal Pima Navajo Mohave Maricopa Greenlee Graham Gila Coconino Cochise 373 8 229 76 33 1 944 9 385 365 125 2 23 4 6 443 65 0 23 14 2 1 250 1 46 14 26 0 1 0 0 0 3 1 0 1 0 0 0 1 0 0 0 0 0 0 0 47 6 0 3 0 0 0 22 0 11 2 3 0 0 0 0 507 75 0 58 12 9 0 171 1 85 61 31 0 3 0 1 40 2 1 5 2 0 0 15 0 4 5 5 0 1 0 0 113 17 1 14 2 1 0 30 0 9 34 4 0 1 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 97 17 1 16 2 4 0 25 1 16 11 1 0 2 1 0 342 69 0 35 16 3 0 113 0 62 25 15 0 2 1 1 Eclampsia 81 11 0 8 3 2 0 10 1 14 28 2 0 2 0 0 52 11 0 6 2 0 0 21 0 7 1 1 0 3 0 0 Previous SGA infant 62 13 0 11 2 0 0 20 0 13 2 1 0 0 0 0 Renal disease 12 2 0 0 0 0 0 1 0 9 0 0 0 0 0 0 0 RH sensitization 5 1 0 0 0 0 0 3 0 1 0 0 0 0 0 Uterine bleeding 19 4 0 5 0 0 0 5 0 4 0 1 0 0 0 0 3 0 0 2 0 0 0 0 0 0 0 1 0 0 0 0 1,583 170 7 108 49 28 0 628 6 193 297 74 2 14 2 5 424 76 0 24 12 15 1 75 3 136 31 28 1 9 5 8 Other Total Anemia 3 0 0 1 0 0 0 0 0 2 0 0 0 0 0 0 Birth injury 9 1 0 1 0 0 0 0 0 6 1 0 0 0 0 0 Fetal Alcohol Syndrome Membrane disease Meconium aspiration 3 1 0 0 1 0 0 0 0 1 0 0 0 0 0 0 15 1 0 1 0 0 0 8 0 1 2 2 0 0 0 0 0 9 4 0 1 0 0 0 1 0 3 0 0 0 0 0 Assissted vent.<30 min 33 7 0 4 1 2 0 0 2 4 9 0 0 0 0 4 Assisted vent.>30 min. 38 19 0 2 3 0 0 2 0 8 0 0 0 0 4 0 Newborn seizures Other Births with Total congenital anomalies Anencephalus 7 0 0 1 0 0 0 1 0 3 1 1 0 0 0 0 350 52 0 17 9 14 1 66 1 121 26 25 1 9 3 5 0 52 8 0 6 1 0 0 11 1 15 8 2 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 Spina bifida/meningocele 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Hydrocephalus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Microcephalus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Other CNS anomaly 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 Heart malformations 2 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 10 1 0 0 0 0 0 3 0 3 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Other respiratory/circulatory Rectal atresia/stenosis 70 2,583 Previous infant 4000+g Incompetent cervix Abnormal conditions of the newborn Apache Total State 4.21 COMPARISON OF SELECTED CHARACTERISTICS OF AMERICAN INDIAN NEWBORNS AND WOMEN GIVING BIRTH BY COUNTY OF RESIDENCE, ARIZONA, 2009 Health Status Profile of American Indians in Arizona, 2009 Data Book 0 0 2 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 La Paz Yuma Yavapai Santa Cruz Pinal Pima Navajo Mohave Maricopa Greenlee Graham Gila Coconino 3 Other gastrointestinal 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 Malformed genitalia 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 Renal agenesis 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 Other urogenital 3 0 0 0 0 0 0 0 0 1 2 0 0 0 0 0 10 3 0 1 0 0 0 2 0 1 2 1 0 0 0 0 Polydactyly/syndactyly/adactyly 6 2 0 1 1 0 0 1 0 1 0 0 0 0 0 0 Club foot 6 0 0 2 0 0 0 2 0 0 2 0 0 0 0 0 Diaphragmatic hernia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Other muscosceletal 5 1 0 0 0 0 0 0 1 2 1 0 0 0 0 0 0 Down's syndrome 4 1 0 0 0 0 0 0 0 2 0 1 0 0 0 Other chromosomal 2 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 Other 8 0 0 0 0 0 0 1 0 5 2 0 0 0 0 0 5 Total 1,641 297 5 146 56 36 1 553 10 237 194 62 4 22 13 Febrile 140 22 0 17 2 0 0 67 0 20 5 6 0 1 0 0 Meconium 233 35 0 20 2 1 0 100 3 25 38 4 2 1 2 0 Rupture of membrane 169 42 0 20 5 1 0 51 0 33 9 5 0 2 0 1 31 7 0 4 1 0 0 8 0 5 4 1 0 0 0 1 0 Abruptio placenta Placenta previa 15 3 0 2 0 0 0 1 0 5 2 2 0 0 0 Other bleeding 76 18 0 21 4 0 0 20 0 11 1 0 0 1 0 0 3 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 114 24 0 19 7 3 0 33 1 21 4 1 0 0 1 0 74 20 1 11 1 0 0 22 0 12 7 0 0 0 0 0 Dysfunctional labor 153 28 0 27 1 0 0 55 1 34 1 2 0 4 0 0 Breech malpresentation 126 26 0 10 8 3 0 37 1 20 8 9 0 3 1 0 25 0 0 3 1 2 0 11 2 5 0 0 0 1 0 0 Cord prolapse 6 4 0 0 0 0 0 2 0 0 0 0 0 0 0 0 Anesthetic complications 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Fetal distress 246 36 0 28 4 6 1 103 0 32 14 15 0 2 2 3 Other Seizures Precipitous labor Prolonged labor Cephalopelvic disproportion. Infant mortality** Cochise Tracheo-esophageal fistula/esophageal atresia Omphalocele/gastroschisis Cleft lip/palate Births with complications Apache Total State 4.21 COMPARISON OF SELECTED CHARACTERISTICS OF AMERICAN INDIAN NEWBORNS AND WOMEN GIVING BIRTH BY COUNTY OF RESIDENCE, ARIZONA, 2009 706 95 4 45 30 25 0 220 3 91 133 33 3 15 7 2 Total 52 9 0 3 2 1 0 13 1 7 3 8 0 0 2 1 Neonatal 26 3 0 1 1 1 0 11 1 2 3 2 0 0 0 0 Postneonatal 26 6 0 2 1 0 0 2 0 5 0 6 0 0 2 1 *'Refused', 'Yes, divorced', 'Unknown' **Total infant mortality includes unknown county of residence. Health Status Profile of American Indians in Arizona, 2009 Data Book 71 V. PATTERNS OF MORTALITY AMONG AMERICAN INDIANS BY PLACE OF RESIDENCE IN ARIZONA IN 2009 Health Status Profile of American Indians in Arizona, 2009 Data Book 73 AGE-SPECIFIC MORTALITY Health Status Profile of American Indians in Arizona, 2009 Data Book 75 5.1 AGE-SPECIFIC MORTALITY AMONG AMERICAN INDIANS IN 2009 Resided on reservation 55-64 65-74 75-84 85+ Unknown 45-54 15 35-44 17 25-34 1-4 52 108 144 215 270 253 281 272 243 1 Ak-Chin Indian Community 3 1 0 0 0 0 0 2 0 0 0 0 0 Cocopah Tribe 6 0 0 0 0 0 2 0 2 2 0 0 0 18 1 0 0 1 1 1 4 2 4 3 1 0 Colorado River Indian Tribe Fort McDowell Yavapai Nation 6 0 0 0 0 1 1 1 1 2 0 0 0 Fort Mojave Indian Tribe 2 0 0 0 0 0 0 0 1 1 0 0 0 Gila River Indian Community Havasupai Tribe Hopi Tribe Hualapai Nation Navajo Nation Pascua Yaqui Tribe 64 2 0 0 6 6 13 12 7 6 6 6 0 3 0 0 0 0 1 0 1 0 1 0 0 0 87 0 0 1 5 4 12 15 10 12 16 12 0 19 0 0 0 1 1 3 5 3 4 2 0 0 601 12 5 3 35 45 49 66 76 90 99 121 0 24 0 0 0 1 2 3 4 2 7 4 1 0 Salt River Pima-Maricopa Community 52 4 0 1 3 5 10 7 5 9 7 1 0 San Carlos Apache Tribe 87 3 2 2 4 9 6 9 15 16 14 7 0 Tohono O'Odham Tribe 125 0 2 0 7 7 20 11 26 21 14 17 0 White Mountain Apache Tribe 100 5 0 3 13 10 16 15 8 10 12 8 0 6 0 0 0 0 0 1 1 1 1 0 2 0 Yavapai-Apache Nation TOTAL Resided off reservation 1,871 15-24 ALL AMERICAN INDIAN RESIDENTS OF ARIZONA <1 TOTAL 5-14 Age group 1,203 28 9 10 76 92 137 153 159 186 177 176 0 ---in Maricopa County 248 9 1 4 10 16 33 49 35 36 33 22 0 ---in Pima County 120 3 1 1 7 13 10 30 17 15 17 6 0 ---in Coconino County 55 2 2 0 2 6 8 7 9 9 4 6 0 ---elsewhere in Arizona 245 10 4 0 13 17 27 31 33 35 41 33 1 TOTAL 668 24 8 5 32 52 78 117 94 95 95 67 1 Health Status Profile of American Indians in Arizona, 2009 Data Book 77 5.2 AGE-SPECIFIC MORTALITY AMONG AMERICAN INDIAN MALES IN 2009 45-54 55-64 65-74 75-84 Resided on reservation 7 80 102 142 152 147 134 138 87 1 Ak-Chin Indian Community 1 1 0 0 0 0 0 0 0 0 0 0 0 Cocopah Tribe 5 0 0 0 0 0 2 0 2 1 0 0 0 11 0 0 0 1 0 1 1 2 3 2 1 0 Fort McDowell Yavapai Nation 4 0 0 0 0 1 0 1 1 1 0 0 0 Fort Mojave Indian Tribe 1 0 0 0 0 0 0 0 0 1 0 0 0 25 1 0 0 3 1 7 8 1 1 3 0 0 2 0 0 0 0 1 0 0 0 1 0 0 0 Hopi Tribe 38 0 0 0 3 4 7 8 5 4 4 3 0 Hualapai Nation 11 0 0 0 1 1 2 3 1 2 1 0 0 344 5 4 2 31 32 32 40 50 48 56 44 0 Pascua Yaqui Tribe 14 0 0 0 1 1 2 3 2 3 1 1 0 Salt River Pima-Maricopa Community 28 3 0 0 2 4 8 2 2 3 3 1 0 San Carlos Apache Tribe 45 1 1 0 3 6 4 5 7 7 8 3 0 Tohono O'Odham Tribe 63 0 0 0 5 4 18 4 15 7 6 4 0 White Mountain Apache Tribe 55 2 0 2 8 7 11 8 5 4 5 3 0 4 0 0 0 0 0 0 1 1 1 0 1 0 TOTAL 651 13 5 4 58 62 94 84 94 87 89 61 0 ---in Maricopa County 137 5 1 3 6 12 19 32 20 15 17 7 0 ---in Pima County 69 2 0 0 7 8 6 20 8 5 11 2 0 ---in Coconino County 30 2 1 0 2 4 5 2 6 7 0 1 0 ---elsewhere in Arizona 141 6 3 0 7 16 18 14 19 20 21 16 1 TOTAL 377 15 5 3 22 40 48 68 53 47 49 26 1 Colorado River Indian Tribe Gila River Indian Community Havasupai Tribe Navajo Nation Yavapai-Apache Nation Resided off reservation 78 Unknown 35-44 10 1-4 <1 85+ 25-34 28 ALL AMERICAN INDIAN RESIDENTS OF ARIZONA 5-14 1,028 TOTAL 15-24 Age group Health Status Profile of American Indians in Arizona, 2009 Data Book 5.3 AGE-SPECIFIC MORTALITY AMONG AMERICAN INDIAN FEMALES IN 2009 ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation 7 8 28 42 73 118 106 147 85+ 75-84 65-74 55-64 45-54 35-44 25-34 5-14 1-4 24 134 156 Ak-Chin Indian Community 2 0 0 0 0 0 0 2 0 0 0 0 Cocopah Tribe 1 0 0 0 0 0 0 0 0 1 0 0 Colorado River Indian Tribe 7 1 0 0 0 1 0 3 0 1 1 0 Fort McDowell Yavapai Nation 2 0 0 0 0 0 1 0 0 1 0 0 Fort Mojave Indian Tribe 1 0 0 0 0 0 0 0 1 0 0 0 Gila River Indian Community Havasupai Tribe Hopi Tribe Hualapai Nation Navajo Nation Pascua Yaqui Tribe 39 1 0 0 3 5 6 4 6 5 3 6 1 0 0 0 0 0 0 1 0 0 0 0 49 0 0 1 2 0 5 7 5 8 12 9 8 0 0 0 0 0 1 2 2 2 1 0 257 7 1 1 4 13 17 26 26 42 43 77 10 0 0 0 0 1 1 1 0 4 3 0 Salt River Pima-Maricopa Community 24 1 0 1 1 1 2 5 3 6 4 0 San Carlos Apache Tribe 42 2 1 2 1 3 2 4 8 9 6 4 Tohono O'Odham Tribe 62 0 2 0 2 3 2 7 11 14 8 13 White Mountain Apache Tribe 45 3 0 1 5 3 5 7 3 6 7 5 2 0 0 0 0 0 1 0 0 0 0 1 TOTAL 552 15 4 6 18 30 43 69 65 99 88 115 ---in Maricopa County 111 4 0 1 4 4 14 17 15 21 16 15 51 1 1 1 0 5 4 10 9 10 6 4 Yavapai-Apache Nation Resided off reservation 843 <1 TOTAL 15-24 Age group ---in Pima County ---in Coconino County 25 0 1 0 0 2 3 5 3 2 4 5 ---elsewhere in Arizona 104 4 1 0 6 1 9 17 14 15 20 17 TOTAL 291 9 3 2 10 12 30 49 41 48 46 41 Health Status Profile of American Indians in Arizona, 2009 Data Book 79 CAUSE-SPECIFIC MORTALITY Health Status Profile of American Indians in Arizona, 2009 Data Book 81 5.4 DEATHS BY GENDER FOR SELECTED 113 CAUSES AMONG AMERICAN INDIANS, ARIZONA, 2009 Cause of death (Tenth Revision, International Statistical Classification of Diseases) Total, all causes TOTAL MALE FEMALE 1,871 1,028 843 Salmonella infections 0 0 0 Shigellosis and amebiasis 0 0 0 12 7 5 2 2 0 Respiratory tuberculosis 2 2 0 Other tuberculosis 0 0 0 Whooping cough 0 0 0 Scarlet fever and erysipelas 0 0 0 Meningococcal infection 0 0 0 63 27 36 Syphilis 0 0 0 Acute poliomyelitis 0 0 0 Arthropod-borne encephalitis 0 0 0 Measles 0 0 0 Viral hepatitis 10 6 4 Human immunodeficiency virus (HIV) disease 10 8 2 0 0 0 13 5 8 241 117 124 1 1 0 Malignant neoplasm of esophagus 10 7 3 Malignant neoplasm of stomach 14 10 4 Malignant neoplasm of colon, rectum and anus 20 8 12 Malignant neoplasm of liver and intrahepatic bile ducts 19 11 8 Malignant neoplasm of pancreas 13 6 7 1 1 0 21 6 15 Certain other intestinal infections Tuberculosis Septicemia Malaria Other and unspecified infectious and parasitic diseases Malignant neoplasms Malignant neoplasm of lip, oral cavity and pharynx Malignant neoplasm of larynx Malignant neoplasm of trachea, bronchus and lung Malignant melanoma of skin 0 0 0 15 0 15 Malignant neoplasm of cervix uteri 6 0 6 Malignant neoplasm of corpus uteri and uterus, part unspecified 5 0 5 Malignant neoplasm of ovary 12 0 12 Malignant neoplasm of prostate 12 12 0 Malignant neoplasm of kidney and renal pelvis 15 12 3 1 1 0 Malignant neoplasm of breast Malignant neoplasm of bladder Health Status Profile of American Indians in Arizona, 2009 Data Book 83 5.4 (continued) DEATHS BY GENDER FOR SELECTED 113 CAUSES AMONG AMERICAN INDIANS, ARIZONA, 2009 Cause of death (Tenth Revision, International Statistical Classification of Diseases) Malignant neoplasm of meninges, brain and other parts of CNS MALE FEMALE 5 5 0 18 8 10 Hodgkin's disease 0 0 0 Non-Hodgkin's lymphoma 6 3 3 Leukemia 4 1 3 Multiple myeloma and immunoproliferative neoplasms 8 4 4 Other and unspecified malignant neoplasms of lymphoid tissue 0 0 0 53 29 24 In situ neoplasms 6 2 4 Anemias 2 0 2 Diabetes 107 43 64 3 2 1 3 2 1 0 0 0 1 0 1 Parkinson's disease 11 4 7 Alzheimer's disease 18 5 13 320 177 143 249 138 111 Malignant neoplasm of lymphoid, hematopoietic and related tissue All other and unspecified malignant neoplasm Nutritional deficiencies Malnutrition Other nutritional deficiencies Meningitis Major cardiovascular diseases Diseases of heart Acute rheumatic fever and chronic rheumatic heart disease 1 0 1 16 9 7 0 0 0 170 95 75 52 28 24 1 1 0 117 66 51 Atherosclerotic cardiovascular disease 43 29 14 All other forms of chronic ischemic heart disease 74 37 37 62 34 28 0 0 0 1 Hypertensive heart disease Hypertensive heart and renal disease Ischemic heart disease Acute myocardial infarction Other acute ischemic heart disease Other forms of chronic ischemic heart disease Other heart diseases Acute and subacute endocarditis Diseases of pericardium and acute myocarditis 84 TOTAL 1 0 Heart failure 10 6 4 All other forms of heart disease 51 28 23 Essential (primary) hypertension and hypertensive renal disease 15 11 4 Cerebrovascular diseases 44 23 21 Health Status Profile of American Indians in Arizona, 2009 Data Book 5.4 (continued) DEATHS BY GENDER FOR SELECTED 113 CAUSES AMONG AMERICAN INDIANS, ARIZONA, 2009 Cause of death (Tenth Revision, International Statistical Classification of Diseases) TOTAL MALE FEMALE Atherosclerosis 6 3 3 Other diseases of circulatory system 6 2 4 Aortic aneurysm and dissection 0 0 0 Other disease of arteries, arterioles and capillaries 6 2 4 3 2 1 89 38 51 Other disorders of circulatory system Influenza and pneumonia Influenza 7 3 4 82 35 47 Other acute lower respiratory infections 1 0 1 Acute bronchiolitis 0 0 0 Unspecified acute lower respiratory infection 1 0 1 33 21 12 Bronchitis, chronic and unspecified 0 0 0 Emphysema 4 4 0 Asthma 2 0 2 27 17 10 0 Pneumonia Chronic lower respiratory diseases Other chronic lower respiratory diseases Pneumoconioses and chemical effects 3 3 Pneumonitis due to solids and liquids 21 13 8 Other disease of respiratory system 37 18 19 Peptic ulcer 0 0 0 Diseases of appendix 1 1 0 Hernia 2 1 1 147 76 71 115 57 58 32 19 13 3 1 2 39 14 25 Acute and rapidly progressive nephritic and nephrotic syndrome 0 0 0 Chronic glomerulonephritis 2 1 1 37 13 24 0 Chronic liver disease and cirrhosis Alcoholic liver disease Other chronic liver disease and cirrhosis Cholelithiasis and other disorders of gallbladder Nephritis, nephrotic syndrome and nephrosis Renal failure 0 0 Infections of kidney Others disorders of kidney 0 0 0 Hyperplasia of prostate 0 0 0 Inflammatory diseases of female pelvic organs 0 0 0 Pregnancy, childbirth and the puerperium 1 0 1 Health Status Profile of American Indians in Arizona, 2009 Data Book 85 5.4 (continued) DEATHS BY GENDER FOR SELECTED 113 CAUSES AMONG AMERICAN INDIANS, ARIZONA, 2009 Cause of death (Tenth Revision, International Statistical Classification of Diseases) MALE FEMALE Pregnancy with abortive outcome 0 0 0 Other complications of pregnancy, childbirth and the puerperium 1 0 1 Perinatal conditions 19 13 6 Congenital anomalies, deformations and chromosomal abnormalities 21 9 12 Symptoms, signs, abnormal findings 29 23 6 276 205 71 138 97 41 125 86 39 Other land transport accidents 9 7 2 Water, air, space 4 4 0 138 108 30 29 19 10 1 1 0 12 10 2 4 3 1 Accidental poisoning 59 49 10 Other and unspecified nontransport accidents 33 26 7 56 38 18 8 7 1 48 31 17 47 33 14 By discharge of firearms 19 14 5 By other means 28 19 9 Legal intervention 2 2 0 17 15 2 1 1 0 16 14 2 Operations of war 0 0 0 Complications of medical and surgical care 4 1 3 INJURY BY FIREARMS 31 25 6 DRUG-INDUCED DEATHS 42 29 13 176 111 65 Total accidents Transport accidents Motor vehicle accidents Nontransport accidents Falls Accidental discharge of firearms Accidental drowning and submersion Accidental exposure to smoke, fire and flames Intentional self-harm (suicide) By discharge of firearms By other means Assault (homicide) Events of undetermined intent Discharge of firearms Other and unspecified events of undetermined intent ALCOHOL-INDUCED DEATHS 86 TOTAL Health Status Profile of American Indians in Arizona, 2009 Data Book Total, all causes Unknown 85+ 75-84 65-74 55-64 45-54 35-44 25-34 15-24 5-14 1-4 <1 Cause of death (Tenth Revision, International Statistical Classification of Diseases) TOTAL 5.5 DEATHS BY AGE GROUP FOR SELECTED 113 CAUSES AMONG AMERICAN INDIANS, ARIZONA, 2009 1,871 52 17 15 108 144 215 270 253 281 272 243 1 Salmonella infections 0 0 0 0 0 0 0 0 0 0 0 0 0 Shigellosis and amebiasis 0 0 0 0 0 0 0 0 0 0 0 0 0 12 1 0 0 0 0 1 2 1 4 2 1 0 2 0 0 0 0 0 0 0 1 1 0 0 0 Respiratory tuberculosis 2 0 0 0 0 0 0 0 1 1 0 0 0 Other tuberculosis 0 0 0 0 0 0 0 0 0 0 0 0 0 Whooping cough 0 0 0 0 0 0 0 0 0 0 0 0 0 Scarlet fever and erysipelas 0 0 0 0 0 0 0 0 0 0 0 0 0 Meningococcal infection 0 0 0 0 0 0 0 0 0 0 0 0 0 Certain other intestinal infections Tuberculosis Septicemia 63 1 0 2 1 3 5 4 7 16 17 7 0 Syphilis 0 0 0 0 0 0 0 0 0 0 0 0 0 Acute poliomyelitis 0 0 0 0 0 0 0 0 0 0 0 0 0 Arthropod-borne encephalitis 0 0 0 0 0 0 0 0 0 0 0 0 0 Measles 0 0 0 0 0 0 0 0 0 0 0 0 0 Viral hepatitis 10 0 0 0 0 0 2 7 0 1 0 0 0 Human immunodeficiency virus (HIV) disease 10 0 0 0 0 2 3 3 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 1 1 0 1 3 3 2 1 1 0 241 0 0 1 3 7 17 37 48 67 36 25 0 1 0 0 0 0 0 0 0 0 0 0 1 0 Malignant neoplasm of esophagus 10 0 0 0 0 0 0 4 3 2 1 0 0 Malignant neoplasm of stomach 14 0 0 0 0 0 2 0 4 3 5 0 0 Malignant neoplasm of colon, rectum and anus 20 0 0 0 0 3 2 4 3 5 1 2 0 Malignant neoplasm of liver and intrahepatic bile ducts 19 0 0 0 0 0 0 3 3 9 3 1 0 Malignant neoplasm of pancreas 13 0 0 0 0 0 0 0 3 7 3 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 21 0 0 0 0 0 0 3 7 6 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Malaria Other and unspecified infectious and parasitic diseases Malignant neoplasms Malignant neoplasm of lip, oral cavity and pharynx Malignant neoplasm of larynx Malignant neoplasm of trachea, bronchus and lung Malignant melanoma of skin Malignant neoplasm of breast 15 0 0 0 0 0 3 1 5 5 0 1 0 Malignant neoplasm of cervix uteri 6 0 0 0 1 0 2 2 0 0 0 1 0 Malignant neoplasm of corpus uteri and uterus, part unspecified 5 0 0 0 0 0 1 2 1 0 1 0 0 Malignant neoplasm of ovary 12 0 0 0 0 0 0 2 2 3 3 2 0 Malignant neoplasm of prostate 12 0 0 0 0 0 0 0 2 4 3 3 0 Health Status Profile of American Indians in Arizona, 2009 Data Book 87 Malignant neoplasm of kidney and renal pelvis Unknown 85+ 75-84 65-74 55-64 45-54 35-44 25-34 15-24 5-14 1-4 15 0 0 0 1 0 0 4 4 3 1 2 0 Malignant neoplasm of bladder 1 0 0 0 0 0 0 0 0 0 0 1 0 Malignant neoplasm of meninges, brain and other parts of CNS 5 0 0 0 1 0 1 1 1 1 0 0 0 18 0 0 0 0 1 0 3 4 7 1 2 0 Hodgkin's disease 0 0 0 0 0 0 0 0 0 0 0 0 0 Non-Hodgkin's lymphoma 6 0 0 0 0 1 0 0 1 2 1 1 0 Leukemia 4 0 0 0 0 0 0 1 1 2 0 0 0 Multiple myeloma and immunoproliferative neoplasms 8 0 0 0 0 0 0 2 2 3 0 1 0 Other and unspecified malignant neoplasms of lymphoid tissue 0 0 0 0 0 0 0 0 0 0 0 0 0 53 0 0 1 0 3 6 8 6 11 9 9 0 In situ neoplasms 6 1 0 1 0 0 0 0 1 2 0 1 0 Anemias 2 0 0 0 0 0 0 0 0 0 0 2 0 Diabetes 107 0 0 0 0 4 8 16 13 26 33 7 0 3 0 0 0 0 0 0 0 0 2 0 1 0 3 0 0 0 0 0 0 0 0 2 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 Parkinson's disease 11 0 0 0 0 0 0 0 1 1 4 5 0 Alzheimer's disease 18 0 0 0 0 0 0 0 2 2 5 9 0 320 2 0 0 4 4 22 33 54 63 72 66 0 249 2 0 0 3 3 19 29 46 44 56 47 0 Malignant neoplasm of lymphoid, hematopoietic and related tissue All other and unspecified malignant neoplasm Nutritional deficiencies Malnutrition Other nutritional deficiencies Meningitis Major cardiovascular diseases Diseases of heart Acute rheumatic fever and chronic rheumatic heart disease 1 0 0 0 0 0 0 1 0 0 0 0 0 16 0 0 0 1 0 2 4 3 1 2 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 170 0 0 0 0 0 10 20 35 35 41 29 0 52 0 0 0 0 0 2 7 10 11 12 10 0 1 0 0 0 0 0 0 1 0 0 0 0 0 117 0 0 0 0 0 8 12 25 24 29 19 0 Atherosclerotic cardiovascular disease 43 0 0 0 0 0 3 8 10 11 10 1 0 All other forms of chronic ischemic heart disease 74 0 0 0 0 0 5 4 15 13 19 18 0 62 2 0 0 2 3 7 4 8 8 13 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Hypertensive heart disease Hypertensive heart and renal disease Ischemic heart disease Acute myocardial infarction Other acute ischemic heart disease Other forms of chronic ischemic heart disease Other heart diseases Acute and subacute endocarditis Diseases of pericardium and acute myocarditis 88 <1 Cause of death (Tenth Revision, International Statistical Classification of Diseases) TOTAL 5.5 (continued) DEATHS BY AGE GROUP FOR SELECTED 113 CAUSES AMONG AMERICAN INDIANS, ARIZONA, 2009 1 0 0 0 1 0 0 0 0 0 0 0 0 Heart failure 10 0 0 0 0 1 0 0 0 0 6 3 0 All other forms of heart disease 51 2 0 0 1 2 7 4 8 8 7 12 0 Health Status Profile of American Indians in Arizona, 2009 Data Book Unknown 85+ 75-84 65-74 55-64 45-54 35-44 25-34 15-24 5-14 1-4 <1 Cause of death (Tenth Revision, International Statistical Classification of Diseases) TOTAL 5.5 (continued) DEATHS BY AGE GROUP FOR SELECTED 113 CAUSES AMONG AMERICAN INDIANS, ARIZONA, 2009 Essential (primary) hypertension and hypertensive renal disease 15 0 0 0 0 1 1 0 4 6 1 2 0 Cerebrovascular diseases 44 0 0 0 0 0 2 4 3 10 12 13 0 Atherosclerosis 6 0 0 0 0 0 0 0 1 2 2 1 0 Other diseases of circulatory system 6 0 0 0 1 0 0 0 0 1 1 3 0 Aortic aneurysm and dissection 0 0 0 0 0 0 0 0 0 0 0 0 0 Other disease of arteries, arterioles and capillaries 6 0 0 0 1 0 0 0 0 1 1 3 0 3 0 0 0 1 0 0 0 1 1 0 0 0 89 2 1 0 5 3 9 11 11 11 15 21 0 7 0 1 0 1 1 2 1 0 1 0 0 0 82 2 0 0 4 2 7 10 11 10 15 21 0 Other acute lower respiratory infections 1 0 0 0 0 0 0 0 1 0 0 0 0 Acute bronchiolitis 0 0 0 0 0 0 0 0 0 0 0 0 0 Unspecified acute lower respiratory infection 1 0 0 0 0 0 0 0 1 0 0 0 0 33 0 0 1 0 0 0 0 3 8 11 10 0 Bronchitis, chronic and unspecified 0 0 0 0 0 0 0 0 0 0 0 0 0 Emphysema 4 0 0 0 0 0 0 0 1 2 1 0 0 Asthma 2 0 0 0 0 0 0 0 1 0 1 0 0 27 0 0 1 0 0 0 0 1 6 9 10 0 3 0 0 0 0 0 0 0 0 0 2 1 0 Pneumonitis due to solids and liquids 21 0 0 0 1 1 0 0 3 3 6 7 0 Other disease of respiratory system 37 0 0 1 1 1 1 3 5 7 10 8 0 Peptic ulcer 0 0 0 0 0 0 0 0 0 0 0 0 0 Diseases of appendix 1 0 0 0 0 0 0 0 0 1 0 0 0 Hernia 2 0 0 0 0 0 0 0 0 1 1 0 0 147 0 0 0 1 12 42 52 29 5 5 1 0 115 0 0 0 1 11 33 43 25 1 1 0 0 32 0 0 0 0 1 9 9 4 4 4 1 0 3 0 0 0 0 0 0 0 0 1 1 1 0 39 0 0 0 0 1 3 4 5 13 7 6 0 Acute and rapidly progressive nephritic and nephrotic syndrome 0 0 0 0 0 0 0 0 0 0 0 0 0 Chronic glomerulonephritis 2 0 0 0 0 0 0 0 0 1 0 1 0 37 0 0 0 0 1 3 4 5 12 7 5 0 Other disorders of circulatory system Influenza and pneumonia Influenza Pneumonia Chronic lower respiratory diseases Other chronic lower respiratory diseases Pneumoconioses and chemical effects Chronic liver disease and cirrhosis Alcoholic liver disease Other chronic liver disease and cirrhosis Cholelithiasis and other disorders of gallbladder Nephritis, nephrotic syndrome and nephrosis Renal failure 0 0 0 0 0 0 0 0 0 0 0 0 0 Infections of kidney Others disorders of kidney 0 0 0 0 0 0 0 0 0 0 0 0 0 Hyperplasia of prostate 0 0 0 0 0 0 0 0 0 0 0 0 0 Health Status Profile of American Indians in Arizona, 2009 Data Book 89 Unknown 85+ 75-84 65-74 55-64 45-54 35-44 25-34 15-24 5-14 1-4 Inflammatory diseases of female pelvic organs 0 0 0 0 0 0 0 0 0 0 0 0 0 Pregnancy, childbirth and the puerperium 1 0 0 0 0 1 0 0 0 0 0 0 0 Pregnancy with abortive outcome 0 0 0 0 0 0 0 0 0 0 0 0 0 Other complications of pregnancy, childbirth and the puerperium 1 0 0 0 0 1 0 0 0 0 0 0 0 Perinatal conditions 19 19 0 0 0 0 0 0 0 0 0 0 0 Congenital anomalies, deformations and chromosomal abnormalities 21 13 3 1 1 1 0 1 0 0 0 0 1 Symptoms, signs, abnormal findings 29 6 0 0 1 4 4 1 1 1 2 9 0 276 2 9 4 52 55 48 44 25 12 12 13 0 138 0 6 2 33 35 22 20 12 5 1 2 0 125 0 6 2 32 32 20 16 11 3 1 2 0 Other land transport accidents 9 0 0 0 0 3 2 2 1 1 0 0 0 Water, air, space 4 0 0 0 1 0 0 2 0 1 0 0 0 138 2 3 2 19 20 26 24 13 7 11 11 0 29 0 0 1 0 0 2 3 5 2 7 9 0 1 0 0 0 0 1 0 0 0 0 0 0 0 12 0 2 0 2 3 3 1 0 0 1 0 0 4 0 0 0 2 1 0 1 0 0 0 0 0 Accidental poisoning 59 0 1 0 9 10 17 16 4 2 0 0 0 Other and unspecified nontransport accidents 33 2 0 1 6 5 4 3 4 3 3 2 0 56 0 0 1 18 14 12 8 2 1 0 0 0 8 0 0 0 3 2 1 2 0 0 0 0 0 48 0 0 1 15 12 11 6 2 1 0 0 0 47 0 1 1 14 13 8 8 1 1 0 0 0 By discharge of firearms 19 0 0 0 7 6 2 4 0 0 0 0 0 By other means 28 0 1 1 7 7 6 4 1 1 0 0 0 Legal intervention 2 0 0 0 0 2 0 0 0 0 0 0 0 17 1 0 0 2 3 10 0 0 1 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 16 1 0 0 1 3 10 0 0 1 0 0 0 Operations of war 0 0 0 0 0 0 0 0 0 0 0 0 0 Complications of medical and surgical care 4 0 0 0 0 1 0 0 1 1 1 0 0 INJURY BY FIREARMS 31 0 0 0 11 11 3 6 0 0 0 0 0 DRUG-INDUCED DEATHS 42 1 0 0 4 11 15 10 1 0 0 0 0 176 0 0 0 6 19 42 61 38 8 1 1 0 Total accidents Transport accidents Motor vehicle accidents Nontransport accidents Falls Accidental discharge of firearms Accidental drowning and submersion Accidental exposure to smoke, fire and flames Intentional self-harm (suicide) By discharge of firearms By other means Assault (homicide) Events of undetermined intent Discharge of firearms Other and unspecified events of undetermined intent ALCOHOL-INDUCED DEATHS 90 <1 Cause of death (Tenth Revision, International Statistical Classification of Diseases) TOTAL 5.5 (continued) DEATHS BY AGE GROUP FOR SELECTED 113 CAUSES AMONG AMERICAN INDIANS, ARIZONA, 2009 Health Status Profile of American Indians in Arizona, 2009 Data Book Total, all causes 6 1,203 248 120 55 245 Total elsewhere in Arizona in Coconino County in Maricopa County 3 6 18 6 2 64 3 87 24 52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Shigellosis and amebiasis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 1 0 0 0 6 0 1 0 2 0 0 10 0 1 0 1 2 Tuberculosis 87 125 100 Total Salt River Pima Maricopa San Carlos Apache Tribe Tohono O'OdhamTribe White Mountain Apache Tribe Yavapai-Apache Nation Pascua Yaqui Tribe Navajo Nation Hualapai Nation Hopi Tribe Havasupai Tribe Cocopah Tribe Colorado River Indian Tribes Fort McDowell Yavapai Nation Fort Mohave Indian Tribe Gila River Indian Community 1,871 Salmonella infections Certain other intestinal infections 19 601 in Pima County Resided off reservation Resided on reservation Ak-Chin Indian Community Cause of death (Tenth Revision, International Statistical Classification of Diseases) ALL AMERICAN INDIAN RESIDENTS OF ARIZONA 5.6 DEATHS BY RESIDENCE FOR SELECTED 113 CAUSES AMONG AMERICAN INDIANS, ARIZONA, 2009 668 0 2 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 0 0 0 1 Respiratory tuberculosis 2 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 0 0 0 1 Other tuberculosis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Whooping cough 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Scarlet fever and erysipelas 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Meningococcal infection 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 63 0 1 1 0 0 2 0 5 1 25 0 2 3 6 2 0 48 11 0 1 3 15 Syphilis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Acute poliomyelitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Arthropod-borne encephalitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Measles 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Viral hepatitis 10 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 2 2 3 0 3 8 Human immunodeficiency virus (HIV) disease 10 0 0 0 1 0 0 0 0 0 5 0 0 0 0 0 0 6 1 0 1 2 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 1 0 0 0 3 0 0 0 4 1 0 9 2 0 0 2 4 241 1 0 3 0 0 6 1 13 2 72 2 6 7 17 5 0 135 43 26 5 32 106 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 Malignant neoplasm of esophagus 10 0 0 0 0 0 0 0 0 0 2 0 1 0 4 1 0 8 1 0 0 1 2 Malignant neoplasm of stomach 14 0 0 0 0 0 1 0 0 0 5 0 0 1 1 0 0 8 3 2 0 1 6 Malignant neoplasm of colon, rectum and anus 20 0 0 1 0 0 1 0 0 0 5 0 0 0 0 0 0 7 3 4 1 5 13 Malignant neoplasm of liver and intrahepatic bile ducts 19 0 0 0 0 0 0 0 3 2 5 0 0 2 2 0 0 14 4 1 0 0 5 Malignant neoplasm of pancreas 13 0 0 0 0 0 0 0 1 0 7 0 1 0 1 0 0 10 1 0 0 2 3 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 3 0 0 3 1 0 0 7 10 2 0 2 14 Septicemia Malaria Other and unspecified infectious and parasitic diseases Malignant neoplasms Malignant neoplasm of lip, oral cavity and pharynx Malignant neoplasm of larynx Malignant neoplasm of trachea, bronchus and lung Malignant melanoma of skin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 1 0 0 0 6 0 1 0 0 1 0 9 3 0 1 2 6 Malignant neoplasm of cervix uteri 6 0 0 0 0 0 1 0 0 0 3 0 0 0 0 0 0 4 1 1 0 0 2 Malignant neoplasm of corpus uteri and uterus, part unspecified 5 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 2 1 0 1 1 3 Malignant neoplasm of ovary 12 0 0 0 0 0 0 0 2 0 4 0 0 0 3 0 0 9 0 2 0 1 3 Malignant neoplasm of prostate 12 0 0 0 0 0 0 0 0 0 2 0 1 0 0 1 0 4 1 2 0 5 8 Malignant neoplasm of kidney and renal pelvis 15 0 0 0 0 0 1 0 1 0 3 0 1 0 2 1 0 9 0 3 0 3 6 Malignant neoplasm of breast Health Status Profile of American Indians in Arizona, 2009 Data Book 91 Total elsewhere in Arizona in Coconino County in Pima County in Maricopa County Total Salt River Pima Maricopa San Carlos Apache Tribe Tohono O'OdhamTribe White Mountain Apache Tribe Yavapai-Apache Nation Pascua Yaqui Tribe Navajo Nation Hualapai Nation Hopi Tribe Havasupai Tribe Cocopah Tribe Colorado River Indian Tribes Fort McDowell Yavapai Nation Fort Mohave Indian Tribe Gila River Indian Community Malignant neoplasm of bladder 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 Malignant neoplasm of meninges, brain and other parts of CNS 5 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 3 2 0 0 0 2 18 1 0 0 0 0 1 0 0 0 5 0 0 0 0 1 0 8 2 5 1 2 10 Hodgkin's disease 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Non-Hodgkin's lymphoma 6 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 3 0 1 1 1 3 Leukemia 4 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 2 1 1 0 0 2 Multiple myeloma and immunoproliferative neoplasms 8 1 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 3 1 3 0 1 5 Other and unspecified malignant neoplasms of lymphoid tissue 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 53 0 0 2 0 0 0 1 5 0 18 1 0 1 3 0 0 31 10 4 1 7 22 In situ neoplasms 6 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 3 2 0 0 1 3 Anemias 2 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 2 0 0 0 0 0 Diabetes 107 0 0 2 2 0 8 0 2 4 18 6 7 6 10 5 1 71 11 7 0 18 36 3 0 0 0 0 0 0 0 1 0 1 0 0 0 0 1 0 3 0 0 0 0 0 3 0 0 0 0 0 0 0 1 0 1 0 0 0 0 1 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 11 0 1 0 0 0 0 0 2 0 6 0 0 0 0 0 0 9 0 0 0 2 2 0 Malignant neoplasm of lymphoid, hematopoietic and related tissue All other and unspecified malignant neoplasm Nutritional deficiencies Malnutrition Other nutritional deficiencies Meningitis Parkinson's disease Alzheimer's disease Major cardiovascular diseases Diseases of heart Acute rheumatic fever and chronic rheumatic heart disease Hypertensive heart disease Hypertensive heart and renal disease Ischemic heart disease Acute myocardial infarction Other acute ischemic heart disease Other forms of chronic ischemic heart disease 1 18 0 0 0 0 0 2 0 0 4 0 1 1 0 1 1 10 4 1 0 3 8 320 1 0 4 1 0 8 0 14 5 102 3 7 15 17 18 2 197 44 14 14 51 123 249 1 0 4 1 0 8 0 11 4 77 2 5 13 10 12 2 150 36 11 11 41 99 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 16 0 0 0 0 0 3 0 0 1 2 0 0 1 0 1 0 8 2 1 0 5 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 170 1 0 3 1 0 3 0 8 3 52 2 3 5 9 6 1 97 27 8 10 28 73 52 1 0 2 0 0 0 0 3 2 18 1 0 2 4 3 0 36 3 1 3 9 16 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 117 0 0 1 1 0 3 0 4 1 34 1 3 3 5 3 1 60 24 7 7 19 57 Atherosclerotic cardiovascular disease 43 0 0 0 1 0 1 0 2 0 11 1 3 0 1 1 1 22 9 3 2 7 21 All other forms of chronic ischemic heart disease 74 0 0 1 0 0 2 0 2 1 23 0 0 3 4 2 0 38 15 4 5 12 36 Other heart diseases 92 Resided off reservation Resided on reservation Ak-Chin Indian Community Cause of death (Tenth Revision, International Statistical Classification of Diseases) ALL AMERICAN INDIAN RESIDENTS OF ARIZONA 5.6 (continued) DEATHS BY RESIDENCE FOR SELECTED 113 CAUSES AMONG AMERICAN INDIANS, ARIZONA, 2009 62 0 0 1 0 0 2 0 3 0 23 0 2 7 1 5 1 45 7 2 1 7 17 Acute and subacute endocarditis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Diseases of pericardium and acute myocarditis 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 Heart failure 10 0 0 0 0 0 0 0 0 0 5 0 0 1 0 1 1 8 1 0 0 1 2 All other forms of heart disease 51 0 0 1 0 0 2 0 3 0 18 0 2 6 1 4 0 37 5 2 1 6 14 Health Status Profile of American Indians in Arizona, 2009 Data Book Total elsewhere in Arizona in Coconino County in Maricopa County Total Salt River Pima Maricopa San Carlos Apache Tribe Tohono O'OdhamTribe White Mountain Apache Tribe Yavapai-Apache Nation Pascua Yaqui Tribe Navajo Nation Hualapai Nation Hopi Tribe Havasupai Tribe Cocopah Tribe Colorado River Indian Tribes Fort McDowell Yavapai Nation Fort Mohave Indian Tribe Gila River Indian Community in Pima County Resided off reservation Resided on reservation Ak-Chin Indian Community Cause of death (Tenth Revision, International Statistical Classification of Diseases) ALL AMERICAN INDIAN RESIDENTS OF ARIZONA 5.6 (continued) DEATHS BY RESIDENCE FOR SELECTED 113 CAUSES AMONG AMERICAN INDIANS, ARIZONA, 2009 Essential (primary) hypertension and hypertensive renal disease 15 0 0 0 0 0 0 0 0 1 7 0 1 0 0 2 0 11 2 0 0 2 4 Cerebrovascular diseases 44 0 0 0 0 0 0 0 3 0 14 0 1 2 5 2 0 27 5 3 3 6 17 Atherosclerosis 6 0 0 0 0 0 0 0 0 0 2 1 0 0 2 0 0 5 0 0 0 1 1 Other diseases of circulatory system 6 0 0 0 0 0 0 0 0 0 2 0 0 0 0 2 0 4 1 0 0 1 2 Aortic aneurysm and dissection 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Other disease of arteries, arterioles and capillaries 6 0 0 0 0 0 0 0 0 0 2 0 0 0 0 2 0 4 1 0 0 1 2 3 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 0 0 1 2 89 0 1 0 0 0 2 0 5 0 30 0 2 8 5 5 0 58 12 1 4 14 31 Other disorders of circulatory system Influenza and pneumonia Influenza 7 0 0 0 0 0 0 0 1 0 2 0 1 1 0 0 0 5 1 0 0 1 2 82 0 1 0 0 0 2 0 4 0 28 0 1 7 5 5 0 53 11 1 4 13 29 Other acute lower respiratory infections 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 Acute bronchiolitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Unspecified acute lower respiratory infection 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 33 0 0 1 0 0 0 0 1 0 12 0 0 2 1 1 0 18 7 3 1 4 15 Bronchitis, chronic and unspecified 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Emphysema 4 0 0 1 0 0 0 0 0 0 2 0 0 0 0 0 0 3 0 0 1 0 1 Asthma 2 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 2 0 0 0 0 0 27 0 0 0 0 0 0 0 1 0 8 0 0 2 1 1 0 13 7 3 0 4 14 Pneumonia Chronic lower respiratory diseases Other chronic lower respiratory diseases Pneumoconioses and chemical effects 3 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 2 2 Pneumonitis due to solids and liquids 21 0 0 1 0 0 0 0 0 1 12 0 0 0 0 3 0 17 1 1 0 2 4 Other disease of respiratory system 37 0 0 0 0 0 0 0 1 0 21 0 1 3 3 4 0 33 1 2 1 0 4 Peptic ulcer 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Diseases of appendix 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 Hernia 2 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 2 0 0 0 0 0 147 0 0 2 0 0 8 0 10 2 24 1 7 4 15 10 0 83 28 16 6 14 64 115 0 0 2 0 0 7 0 7 0 17 0 6 4 12 10 0 65 25 10 6 9 50 32 0 0 0 0 0 1 0 3 2 7 1 1 0 3 0 0 18 3 6 0 5 14 3 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0 0 3 0 0 0 0 0 39 0 0 1 0 1 4 0 2 1 7 0 1 0 8 2 0 27 2 1 2 7 12 Acute and rapidly progressive nephritic and nephrotic syndrome 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Chronic glomerulonephritis 2 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 2 0 0 0 0 0 37 0 0 1 0 1 4 0 2 1 7 0 1 0 6 2 0 25 2 1 2 7 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Chronic liver disease and cirrhosis Alcoholic liver disease Other chronic liver disease and cirrhosis Cholelithiasis and other disorders of gallbladder Nephritis, nephrotic syndrome and nephrosis Renal failure Others disorders of kidney Infections of kidney Health Status Profile of American Indians in Arizona, 2009 Data Book  Total elsewhere in Arizona in Coconino County in Pima County in Maricopa County Total Salt River Pima Maricopa San Carlos Apache Tribe Tohono O'OdhamTribe White Mountain Apache Tribe Yavapai-Apache Nation Pascua Yaqui Tribe Navajo Nation Hualapai Nation Hopi Tribe Havasupai Tribe Cocopah Tribe Colorado River Indian Tribes Fort McDowell Yavapai Nation Fort Mohave Indian Tribe Gila River Indian Community Hyperplasia of prostate 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Inflammatory diseases of female pelvic organs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Pregnancy, childbirth and the puerperium 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 Pregnancy with abortive outcome 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Other complications of pregnancy, childbirth and the puerperium 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 19 1 0 0 0 0 0 0 0 0 2 0 4 2 0 1 0 10 6 2 0 1 9 Congenital anomalies, deformations and chromosomal abnormalities 21 0 0 1 0 0 0 0 1 0 6 0 0 2 0 0 0 10 2 3 1 5 11 Symptoms, signs, abnormal findings 29 0 0 0 0 0 0 0 2 0 11 0 0 1 1 2 0 17 2 1 2 7 12 276 0 1 1 1 0 11 0 12 2 112 3 6 13 15 16 1 194 25 14 10 33 82 138 0 1 0 0 0 7 0 7 2 56 1 3 6 8 6 1 98 10 5 7 18 40 125 0 1 0 0 0 7 0 6 2 48 1 3 6 8 5 1 88 10 5 6 16 37 Other land transport accidents 9 0 0 0 0 0 0 0 1 0 4 0 0 0 0 1 0 6 0 0 1 2 3 Water, air, space 4 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 4 0 0 0 0 0 138 0 0 1 1 0 4 0 5 0 56 2 3 7 7 10 0 96 15 9 3 15 42 29 0 0 0 0 0 1 0 2 0 17 0 0 1 4 1 0 26 1 0 0 2 3 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 12 0 0 0 0 0 0 0 0 0 5 0 0 0 0 1 0 6 1 3 0 2 6 Perinatal conditions Total accidents Transport accidents Motor vehicle accidents Nontransport accidents Falls Accidental discharge of firearms Accidental drowning and submersion Accidental exposure to smoke, fire and flames Accidental poisoning Other and unspecified nontransport accidents Intentional self-harm (suicide) By discharge of firearms By other means Assault (homicide) 4 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 2 0 0 0 2 2 59 0 0 1 1 0 3 0 2 0 18 2 2 3 2 4 0 38 10 6 2 3 21 33 0 0 0 0 0 0 0 1 0 15 0 1 3 1 3 0 24 2 0 1 6 9 56 0 0 0 0 0 3 0 1 0 14 2 2 1 4 10 0 37 5 2 2 10 19 8 0 0 0 0 0 0 0 0 0 2 1 1 0 1 0 0 5 1 0 1 1 3 48 0 0 0 0 0 3 0 1 0 12 1 1 1 3 10 0 32 4 2 1 9 16 47 0 0 0 1 0 1 0 2 0 10 0 2 2 4 3 0 25 8 8 0 6 22 By discharge of firearms 19 0 0 0 1 0 0 0 0 0 2 0 2 1 1 0 0 7 3 6 0 3 12 By other means 28 0 0 0 0 0 1 0 2 0 8 0 0 1 3 3 0 18 5 2 0 3 10 Legal intervention 2 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 2 0 0 0 0 0 17 0 1 0 0 0 2 0 4 0 2 1 0 1 1 0 0 12 2 0 3 0 5 Events of undetermined intent Discharge of firearms 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 16 0 1 0 0 0 1 0 4 0 2 1 0 1 1 0 0 11 2 0 3 0 5 Operations of war 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Complications of medical and surgical care 4 0 0 0 0 0 0 0 0 0 2 0 0 0 1 0 0 3 0 0 0 1 1 INJURY BY FIREARMS 31 0 0 0 1 0 1 0 0 0 6 1 3 1 2 0 0 15 5 6 1 4 16 DRUG-INDUCED DEATHS 42 0 0 1 1 0 3 0 1 0 3 2 1 1 2 2 0 17 13 5 2 5 25 176 0 0 2 0 0 8 1 9 1 47 1 7 7 12 14 0 109 34 12 9 12 67 Other and unspecified events of undetermined intent ALCOHOL-INDUCED DEATHS  Resided off reservation Resided on reservation Ak-Chin Indian Community Cause of death (Tenth Revision, International Statistical Classification of Diseases) ALL AMERICAN INDIAN RESIDENTS OF ARIZONA 5.6 (continued) DEATHS BY RESIDENCE FOR SELECTED 113 CAUSES AMONG AMERICAN INDIANS, ARIZONA, 2009 Health Status Profile of American Indians in Arizona, 2009 Data Book Total, all causes Unknown La Paz Yuma Yavapai Santa Cruz Pinal Pima Navajo Mohave Maricopa Greenlee Graham Gila Coconino Cochise Cause of death (Tenth Revision, International Statistical Classification of Diseases) Apache ARIZONA 5.7 DEATHS BY COUNTY OF RESIDENCE FOR SELECTED 113 CAUSES AMONG AMERICAN INDIANS, ARIZONA, 2009 1,871 385 6 211 83 21 0 328 37 345 248 113 2 22 20 21 Salmonella infections 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Shigellosis and amebiasis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Certain other intestinal infections Tuberculosis 29 12 4 0 0 0 0 0 1 0 3 3 1 0 0 0 0 0 2 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 Respiratory tuberculosis 2 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 Other tuberculosis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Whooping cough 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Scarlet fever and erysipelas 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Meningococcal infection Septicemia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 63 15 1 9 3 0 0 15 1 9 5 0 0 0 1 1 3 Syphilis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Acute poliomyelitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Arthropod-borne encephalitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Measles 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Viral hepatitis 10 1 0 0 1 0 0 2 1 0 4 0 0 0 1 0 0 Human immunodeficiency virus (HIV) disease 10 4 0 1 0 0 0 2 0 2 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Malaria Other and unspecified infectious and parasitic diseases Malignant neoplasms Malignant neoplasm of lip, oral cavity and pharynx 13 2 0 1 0 0 0 2 1 1 4 2 0 0 0 0 0 241 51 0 23 10 1 0 50 6 37 43 7 0 2 2 5 4 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 Malignant neoplasm of esophagus 10 2 0 0 0 0 0 2 0 1 3 1 0 0 0 0 1 Malignant neoplasm of stomach 14 4 0 2 1 0 0 3 0 0 3 1 0 0 0 0 0 Malignant neoplasm of colon, rectum and anus 20 5 0 3 0 0 0 3 0 2 4 0 0 0 1 1 1 Malignant neoplasm of liver and intrahepatic bile ducts 19 2 0 1 2 0 0 4 2 5 3 0 0 0 0 0 0 Malignant neoplasm of pancreas 13 4 0 2 0 0 0 2 0 3 1 1 0 0 0 0 0 Malignant neoplasm of larynx Malignant neoplasm of trachea, bronchus and lung Malignant melanoma of skin Malignant neoplasm of breast Malignant neoplasm of cervix uteri Malignant neoplasm of corpus uteri and uterus, part unspecified Malignant neoplasm of ovary 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 21 3 0 0 3 0 0 10 0 1 3 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 2 0 4 0 0 0 5 0 3 0 0 0 0 0 1 0 6 3 0 0 0 0 0 1 0 0 1 1 0 0 0 0 0 5 0 0 2 0 0 0 1 0 1 0 0 0 0 0 1 0 12 3 0 0 0 0 0 0 1 3 4 0 0 0 0 0 1 Malignant neoplasm of prostate 12 5 0 0 1 0 0 2 1 1 2 0 0 0 0 0 0 Malignant neoplasm of kidney and renal pelvis 15 2 0 0 1 0 0 1 1 4 5 1 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 Malignant neoplasm of bladder Health Status Profile of American Indians in Arizona, 2009 Data Book 95 Malignant neoplasm of meninges, brain and other parts of CNS Malignant neoplasm of lymphoid, hematopoietic and related Unknown La Paz Yuma Yavapai Santa Cruz Pinal Pima Navajo Mohave Maricopa Greenlee Graham Gila Coconino Cochise Apache Cause of death (Tenth Revision, International Statistical Classification of Diseases) ARIZONA 5.7 (continued) DEATHS BY COUNTY OF RESIDENCE FOR SELECTED 113 CAUSES AMONG AMERICAN INDIANS, ARIZONA, 2009 5 1 0 1 0 0 0 2 0 1 0 0 0 0 0 0 0 18 1 0 2 0 0 0 2 1 4 5 1 0 0 1 0 1 Hodgkin's disease 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Non-Hodgkin's lymphoma 6 1 0 2 0 0 0 0 1 1 1 0 0 0 0 0 0 Leukemia 4 0 0 0 0 0 0 1 0 2 1 0 0 0 0 0 0 Multiple myeloma and immunoproliferative neoplasms 8 0 0 0 0 0 0 1 0 1 3 1 0 0 1 0 1 0 Other and unspecified malignant neoplasms of lymphoid tissue All other and unspecified malignant neoplasm In situ neoplasms 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 53 14 0 6 2 1 0 10 0 8 8 0 0 2 0 2 0 6 2 0 0 0 0 0 2 0 1 0 0 0 0 1 0 0 Anemias 2 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 Diabetes 107 17 1 3 7 1 0 22 5 12 23 9 0 2 1 2 2 Nutritional deficiencies Malnutrition Other nutritional deficiencies Meningitis Parkinson's disease Alzheimer's disease Major cardiovascular diseases Diseases of heart Acute rheumatic fever and chronic rheumatic heart disease Hypertensive heart disease Hypertensive heart and renal disease Ischemic heart disease Acute myocardial infarction Other acute ischemic heart disease Other forms of chronic ischemic heart disease 3 1 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 3 1 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 11 3 0 3 0 0 0 0 0 4 0 0 0 0 1 0 0 18 2 0 0 1 0 0 6 0 5 1 1 0 1 0 0 1 320 66 1 33 14 2 0 53 10 72 30 24 0 5 2 4 4 249 50 0 26 12 2 0 43 9 53 20 20 0 4 2 4 4 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 16 1 0 0 1 0 0 2 2 4 1 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 170 37 0 21 4 2 0 32 7 30 17 9 0 3 2 3 3 52 16 0 7 1 1 0 3 5 9 6 2 0 0 0 2 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 117 21 0 14 3 1 0 29 2 20 11 7 0 3 2 1 3 Atherosclerotic cardiovascular disease 43 11 0 5 0 0 0 13 1 4 5 1 0 2 0 0 1 All other forms of chronic ischemic heart disease 74 10 0 9 3 1 0 16 1 16 6 6 0 1 2 1 2 1 Other heart diseases 62 12 0 5 7 0 0 9 0 18 2 6 0 1 0 1 Acute and subacute endocarditis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Diseases of pericardium and acute myocarditis 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 Heart failure 10 3 0 1 1 0 0 1 0 2 0 1 0 1 0 0 0 All other forms of heart disease 51 9 0 4 6 0 0 7 0 16 2 5 0 0 0 1 1 Essential (primary) hypertension and hypertensive renal disease 15 6 0 0 0 0 0 3 1 4 0 1 0 0 0 0 0 Cerebrovascular diseases 44 9 1 6 2 0 0 6 0 10 7 2 0 1 0 0 0 96 Health Status Profile of American Indians in Arizona, 2009 Data Book Unknown La Paz Yuma Yavapai Santa Cruz Pinal Pima Navajo Mohave Maricopa Greenlee Graham Gila Coconino Cochise Apache Cause of death (Tenth Revision, International Statistical Classification of Diseases) ARIZONA 5.7 (continued) DEATHS BY COUNTY OF RESIDENCE FOR SELECTED 113 CAUSES AMONG AMERICAN INDIANS, ARIZONA, 2009 Atherosclerosis 6 1 0 0 0 0 0 0 0 1 3 1 0 0 0 0 0 Other diseases of circulatory system 6 0 0 1 0 0 0 1 0 4 0 0 0 0 0 0 0 Aortic aneurysm and dissection 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Other disease of arteries, arterioles and capillaries 6 0 0 1 0 0 0 1 0 4 0 0 0 0 0 0 0 Other disorders of circulatory system Influenza and pneumonia Influenza Pneumonia Other acute lower respiratory infections 3 0 0 0 0 0 0 1 0 1 0 0 0 1 0 0 0 89 22 1 12 4 5 0 14 0 18 6 4 1 1 1 0 0 0 7 1 0 2 0 1 0 2 0 1 0 0 0 0 0 0 82 21 1 10 4 4 0 12 0 17 6 4 1 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Acute bronchiolitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Unspecified acute lower respiratory infection 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Chronic lower respiratory diseases Bronchitis, chronic and unspecified 33 6 0 4 2 0 0 8 1 6 4 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Emphysema 4 1 0 2 0 0 0 1 0 0 0 0 0 0 0 0 Asthma 2 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 27 4 0 1 2 0 0 7 1 6 4 0 0 1 1 0 0 Other chronic lower respiratory diseases 3 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Pneumonitis due to solids and liquids Pneumoconioses and chemical effects 21 7 0 3 1 0 0 1 1 5 1 1 0 0 0 1 0 Other disease of respiratory system 37 12 0 4 2 1 0 2 0 11 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Peptic ulcer Diseases of appendix 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 Hernia 2 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 147 11 0 13 3 3 0 38 3 28 27 13 0 0 1 3 4 115 7 0 12 2 3 0 33 1 22 18 10 0 0 1 2 4 Chronic liver disease and cirrhosis Alcoholic liver disease Other chronic liver disease and cirrhosis Cholelithiasis and other disorders of gallbladder Nephritis, nephrotic syndrome and nephrosis Acute and rapidly progressive nephritic and nephrotic syndrome Chronic glomerulonephritis Renal failure Others disorders of kidney 32 4 0 1 1 0 0 5 2 6 9 3 0 0 0 1 0 3 1 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 39 4 0 5 0 0 0 4 2 6 9 6 0 2 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 37 4 0 5 0 0 0 4 2 6 7 6 0 2 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Infections of kidney 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Hyperplasia of prostate 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Inflammatory diseases of female pelvic organs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Pregnancy, childbirth and the puerperium 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Pregnancy with abortive outcome Health Status Profile of American Indians in Arizona, 2009 Data Book 97 Other complications of pregnancy, childbirth and the puerperium Unknown La Paz Yuma Yavapai Santa Cruz Pinal Pima Navajo Mohave Maricopa Greenlee Graham Gila Coconino Cochise Apache Cause of death (Tenth Revision, International Statistical Classification of Diseases) ARIZONA 5.7 (continued) DEATHS BY COUNTY OF RESIDENCE FOR SELECTED 113 CAUSES AMONG AMERICAN INDIANS, ARIZONA, 2009 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 1 0 1 1 1 0 10 0 1 2 2 0 0 0 0 0 Perinatal conditions Congenital anomalies, deformations and chromosomal 21 5 0 1 1 1 0 2 1 3 3 1 0 0 1 1 1 Symptoms, signs, abnormal findings 29 9 0 5 1 1 0 2 0 5 1 5 0 0 0 0 0 Total accidents Transport accidents Motor vehicle accidents 276 65 2 45 12 1 0 36 2 57 29 15 0 3 2 1 6 138 35 1 25 5 1 0 14 2 26 13 8 0 2 2 0 4 4 125 29 1 23 5 1 0 14 2 21 13 8 0 2 2 0 Other land transport accidents 9 4 0 2 0 0 0 0 0 3 0 0 0 0 0 0 0 Water, air, space 4 2 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 138 30 1 20 7 0 0 22 0 31 16 7 0 1 0 1 2 29 6 0 5 1 0 0 2 0 10 2 1 0 1 0 0 1 Nontransport accidents Falls Accidental discharge of firearms Accidental drowning and submersion Accidental exposure to smoke, fire and flames 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 12 5 0 0 0 0 0 1 0 2 3 1 0 0 0 0 0 0 4 0 1 1 0 0 0 0 0 1 0 1 0 0 0 0 Accidental poisoning 59 9 0 8 3 0 0 15 0 11 10 2 0 0 0 1 0 Other and unspecified nontransport accidents 33 10 0 6 3 0 0 3 0 7 1 2 0 0 0 0 1 Intentional self-harm (suicide) By discharge of firearms By other means Assault (homicide) 56 8 0 8 2 0 0 9 1 13 7 5 0 1 0 1 1 8 1 0 1 0 0 0 2 0 1 2 1 0 0 0 0 0 48 7 0 7 2 0 0 7 1 12 5 4 0 1 0 1 1 47 4 0 6 3 0 0 12 0 5 11 4 0 1 0 0 1 By discharge of firearms 19 1 0 1 1 0 0 6 0 0 7 2 0 1 0 0 0 By other means 28 3 0 5 2 0 0 6 0 5 4 2 0 0 0 0 1 2 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 17 0 0 5 1 0 0 3 0 4 2 1 0 0 1 0 0 Legal intervention Events of undetermined intent Discharge of firearms Other and unspecified events of undetermined intent 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 16 0 0 5 1 0 0 3 0 4 2 0 0 0 1 0 0 Operations of war 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Complications of medical and surgical care 4 0 0 1 0 0 0 0 0 1 0 1 0 0 1 0 0 0 INJURY BY FIREARMS 31 3 0 2 1 0 0 9 0 2 9 4 0 1 0 0 DRUG-INDUCED DEATHS 42 1 0 3 1 0 0 17 1 6 9 2 0 0 0 2 0 176 23 0 28 6 3 0 43 2 30 21 12 0 0 2 2 4 ALCOHOL-INDUCED DEATHS 98 Health Status Profile of American Indians in Arizona, 2009 Data Book 5.8 DEATHS FROM MOTOR VEHICLE-RELATED INJURIES AMONG AMERICAN INDIANS BY PLACE OF RESIDENCE, GENDER AND AGE GROUP, ARIZONA, 2009 TOTAL ALL AGES 1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ M ALL AGES 1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-74 F ALL AGES 1-4 5-14 15-24 25-34 35-44 45-54 55-64 75-84 85+ 125 6 2 32 32 20 16 11 3 1 2 86 5 1 24 21 12 12 8 3 39 1 1 8 11 8 4 3 1 2 1 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 2 1 3 1 0 0 0 0 3 0 0 1 0 1 1 0 0 4 0 0 1 1 2 0 0 0 0 6 0 0 2 2 1 0 0 0 0 1 4 0 0 1 2 1 0 0 0 2 0 0 1 0 0 0 0 0 1 2 0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 Health Status Profile of American Indians in Arizona, 2009 Data Book 48 1 1 10 12 6 7 6 3 1 1 34 1 1 8 8 3 6 4 3 14 0 0 2 4 3 1 2 1 1 1 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 1 1 0 1 0 0 0 0 0 2 0 0 1 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 6 1 0 0 2 1 1 1 0 0 0 4 1 0 0 1 0 1 1 0 2 0 0 0 1 1 0 0 0 0 8 0 0 4 3 1 0 0 0 0 0 6 0 0 3 2 1 0 0 0 2 0 0 1 1 0 0 0 0 0 5 0 0 3 0 1 1 0 0 0 0 4 0 0 2 0 1 1 0 0 1 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 88 2 2 23 21 15 11 8 3 1 2 61 2 1 17 14 9 10 5 3 27 0 1 6 7 6 1 3 1 2 10 1 0 3 2 2 1 1 0 0 0 6 1 0 2 0 1 1 1 0 4 0 0 1 2 1 0 0 0 0 5 1 0 0 1 1 2 0 0 0 0 3 0 0 0 1 1 1 0 0 2 1 0 0 0 0 1 0 0 0 6 1 0 1 2 1 1 0 0 0 0 4 1 0 1 1 1 0 0 0 2 0 0 0 1 0 1 0 0 0 16 1 0 5 6 1 1 2 0 0 0 12 1 0 4 5 0 0 2 0 4 0 0 1 1 1 1 0 0 0 TOTAL ---elsewhere in Arizona ---in Coconino County ---in Pima County ---in Maricopa County TOTAL Yavapai-Apache Nation White Mountain Apache Tribe Tohono O'Odham Tribe Resided off reservation San Carlos Apache Tribe Salt River PimaMaricopa Community Pasqua Yaqui Tribe Navajo Nation Hualapai Nation Hopi Tribe Gila River Indian Community Cocopah Tribe TOTAL Resided on reservation 37 4 0 9 11 5 5 3 0 0 0 25 3 0 7 7 3 2 3 0 12 1 0 2 4 2 3 0 0 0 99 5.9 INTENTIONAL SELF-HARM (SUICIDE) AMONG AMERICAN INDIANS BY PLACE OF RESIDENCE, GENDER AND AGE GROUP, ARIZONA, 2009 TOTAL ALL AGES 100 TOTAL ---elsewhere in Arizona ---in Coconino County ---in Pima County ---in Maricopa County TOTAL White Mountain Apache Tribe Tohono O'Odham Tribe San Carlos Apache Tribe Salt River PimaMaricopa Community Pascua Yaqui Tribe Navajo Nation 3 1 14 2 2 1 4 10 37 5 2 2 10 19 1 0 0 0 0 0 0 0 1 1 0 0 0 0 0 15-24 18 1 1 7 1 0 0 0 5 15 0 0 1 2 3 25-34 14 1 0 4 1 1 0 1 1 9 2 1 0 2 5 35-44 12 1 0 1 0 0 1 2 2 7 2 1 0 2 5 45-54 8 0 0 2 0 1 0 0 1 4 1 0 1 2 4 55-64 2 0 0 0 0 0 0 1 0 1 0 0 0 1 1 65-74 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 38 2 0 11 1 1 1 3 7 26 3 1 2 6 12 1 0 0 0 0 0 0 0 1 1 0 0 0 0 0 15-24 12 1 0 6 1 0 0 0 3 11 0 0 1 0 1 25-34 6 0 0 3 0 1 0 0 0 4 0 0 0 2 2 35-44 12 1 0 1 0 0 1 2 2 7 2 1 0 2 5 45-54 4 0 0 1 0 0 0 0 1 2 1 0 1 0 2 55-64 2 0 0 0 0 0 0 1 0 1 0 0 0 1 1 65-74 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 18 1 1 3 1 1 0 1 3 11 2 1 0 4 7 15-24 6 0 1 1 0 0 0 0 2 4 0 0 0 2 2 25-34 8 1 0 1 1 0 0 1 1 5 2 1 0 0 3 45-54 4 0 0 1 0 1 0 0 0 2 0 0 0 2 2 ALL AGES 5-14 F Resided off reservation 56 5-14 M Hopi Tribe TOTAL Gila River Indian Community Resided on reservation ALL AGES Health Status Profile of American Indians in Arizona, 2009 Data Book 5.10 ASSAULT (HOMICIDE) AMONG AMERICAN INDIANS BY PLACE OF RESIDENCE, GENDER AND AGE GROUP, ARIZONA, 2009 TOTAL ALL AGES F TOTAL ---elsewhere in Arizona ---in Pima County ---in Maricopa County TOTAL White Mountain Apache Tribe Tohono O'Odham Tribe San Carlos Apache Tribe Salt River PimaMaricopa Community Navajo Nation Hopi Tribe Resided off reservation 47 1 1 2 10 2 2 4 3 25 8 8 6 22 1-4 1 0 0 0 0 0 0 1 0 1 0 0 0 0 5-14 1 0 0 0 0 0 0 0 0 0 0 1 0 1 15-24 14 0 1 1 2 2 1 1 0 8 2 2 2 6 25-34 13 1 0 1 1 0 0 1 2 6 2 3 2 7 35-44 8 0 0 0 2 0 0 1 1 4 1 2 1 4 45-54 8 0 0 0 3 0 1 0 0 4 3 0 1 4 55-64 1 0 0 0 1 0 0 0 0 1 0 0 0 0 65-74 M Fort McDowell Yavapai Nation TOTAL Gila River Indian Community Resided on reservation 1 0 0 0 1 0 0 0 0 1 0 0 0 0 ALL AGES 33 1 0 2 6 1 1 3 3 17 5 6 5 16 15-24 11 0 0 1 2 1 1 1 0 6 1 2 2 5 25-34 13 1 0 1 1 0 0 1 2 6 2 3 2 7 35-44 3 0 0 0 0 0 0 1 1 2 0 1 0 1 45-54 5 0 0 0 2 0 0 0 0 2 2 0 1 3 55-64 1 0 0 0 1 0 0 0 0 1 0 0 0 0 14 0 1 0 4 1 1 1 0 8 3 2 1 6 ALL AGES 1-4 1 0 0 0 0 0 0 1 0 1 0 0 0 0 5-14 1 0 0 0 0 0 0 0 0 0 0 1 0 1 15-24 3 0 1 0 0 1 0 0 0 2 1 0 0 1 35-44 5 0 0 0 2 0 0 0 0 2 1 1 1 3 45-54 3 0 0 0 1 0 1 0 0 2 1 0 0 1 65-74 1 0 0 0 1 0 0 0 0 1 0 0 0 0 Health Status Profile of American Indians in Arizona, 2009 Data Book 101 5.11 DIABETES-RELATED DEATHS AMONG AMERICAN INDIANS BY PLACE OF RESIDENCE, GENDER AND AGE GROUP, ARIZONA, 2009 TOTAL ALL AGES M TOTAL ---elsewhere in Arizona ---in Coconino County ---in Pima County ---in Maricopa County TOTAL Yavapai-Apache Nation White Mountain Apache Tribe Tohono O'Odham Tribe San Carlos Apache Tribe Salt River PimaMaricopa Community Pascua Yaqui Tribe Navajo Nation Hualapai Nation Hopi Tribe Gila River Indian Community Fort Mojave Indian Tribe Resided off reservation 224 4 2 1 13 6 5 52 6 14 12 20 8 1 144 28 12 2 38 80 25-34 7 0 0 0 2 0 0 1 0 1 0 1 1 0 6 1 0 0 0 1 35-44 21 1 0 0 1 0 1 1 0 4 1 1 2 1 13 4 0 0 4 8 45-54 29 1 0 0 4 1 2 5 1 0 1 3 1 0 19 3 2 0 5 10 55-64 39 0 0 0 2 1 1 10 1 2 4 3 1 0 25 5 1 2 6 14 65-74 48 1 2 1 2 1 1 14 4 2 2 8 0 0 38 4 0 0 6 10 75-84 60 1 0 0 1 3 0 15 0 4 2 4 3 0 33 8 7 0 12 27 85+ 20 0 0 0 1 0 0 6 0 1 2 0 0 0 10 3 2 0 5 10 104 3 1 1 6 2 2 30 2 8 6 6 3 0 70 11 4 1 18 34 5 0 0 0 1 0 0 1 0 1 0 1 0 0 4 1 0 0 0 1 35-44 14 1 0 0 1 0 1 1 0 4 1 0 1 0 10 2 0 0 2 4 45-54 12 0 0 0 3 0 1 3 0 0 0 0 1 0 8 1 1 0 2 4 55-64 24 0 0 0 0 1 0 8 1 1 3 2 1 0 17 1 0 1 5 7 65-74 21 1 1 1 1 0 0 9 1 0 1 2 0 0 17 1 0 0 3 4 75-84 22 1 0 0 0 1 0 6 0 1 0 1 0 0 10 5 2 0 5 12 6 0 0 0 0 0 0 2 0 1 1 0 0 0 4 0 1 0 1 2 46 ALL AGES 25-34 85+ F Fort McDowell Yavapai Nation TOTAL Colorado River Indian Tribes Resided on reservation ALL AGES 120 1 1 0 7 4 3 22 4 6 6 14 5 1 74 17 8 1 20 25-34 2 0 0 0 1 0 0 0 0 0 0 0 1 0 2 0 0 0 0 0 35-44 7 0 0 0 0 0 0 0 0 0 0 1 1 1 3 2 0 0 2 4 45-54 17 1 0 0 1 1 1 2 1 0 1 3 0 0 11 2 1 0 3 6 55-64 15 0 0 0 2 0 1 2 0 1 1 1 0 0 8 4 1 1 1 7 65-74 27 0 1 0 1 1 1 5 3 2 1 6 0 0 21 3 0 0 3 6 75-84 38 0 0 0 1 2 0 9 0 3 2 3 3 0 23 3 5 0 7 15 85+ 14 0 0 0 1 0 0 4 0 0 1 0 0 0 6 3 1 0 4 8 Diabetes-related: Deaths due to diabetes reported as multiple cause of death (any mention of diabetes on the death certificate). The number of deaths due to diabetes as the underlying cause of death (84 in 2009) is shown in Tables 5.4 - 5.7. 102 Health Status Profile of American Indians in Arizona, 2009 Data Book 5.12 ALCOHOL-INDUCED DEATHS AMONG AMERICAN INDIANS BY PLACE OF RESIDENCE, GENDER AND AGE GROUP, ARIZONA, 2009 M ALL AGES TOTAL ---elsewhere in Arizona ---in Pima County ---in Maricopa County TOTAL White Mountain Apache Tribe Tohono O'Odham Tribe San Carlos Apache Tribe Salt River PimaMaricopa Community Pascua Yaqui Tribe Navajo Nation Hualapai Nation Hopi Tribe Havasupai Tribe 176 2 8 1 9 1 47 1 7 7 12 14 109 34 12 9 12 67 15-24 6 1 0 0 0 0 2 0 0 1 0 0 4 2 0 0 0 2 25-34 19 0 1 1 0 0 5 0 2 2 0 3 14 0 2 2 1 5 35-44 42 0 2 0 4 0 9 0 3 2 6 4 30 8 0 0 4 12 45-54 61 1 4 0 4 1 14 1 2 0 2 6 35 14 6 3 3 26 55-64 38 0 1 0 1 0 13 0 0 2 4 0 21 9 3 3 2 17 65-74 8 0 0 0 0 0 4 0 0 0 0 0 4 1 1 1 1 4 75-84 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 85+ 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 ALL AGES 111 1 5 1 3 0 35 1 4 5 9 9 73 23 5 5 5 38 15-24 6 1 0 0 0 0 2 0 0 1 0 0 4 2 0 0 0 2 25-34 14 0 0 1 0 0 3 0 2 2 0 3 11 0 0 2 1 3 35-44 28 0 1 0 1 0 6 0 2 1 6 3 20 5 0 0 3 8 45-54 28 0 3 0 1 0 8 1 0 0 1 3 17 9 2 0 0 11 55-64 27 0 1 0 1 0 12 0 0 1 2 0 17 6 2 2 0 10 65-74 F Gila River Indian Community Colorado River Indian Tribes TOTAL TOTAL ---in Coconino County Resided off reservation Resided on reservation 8 0 0 0 0 0 4 0 0 0 0 0 4 1 1 1 1 4 65 1 3 0 6 1 12 0 3 2 3 5 36 11 7 4 7 29 25-34 5 0 1 0 0 0 2 0 0 0 0 0 3 0 2 0 0 2 35-44 14 0 1 0 3 0 3 0 1 1 0 1 10 3 0 0 1 4 45-54 33 1 1 0 3 1 6 0 2 0 1 3 18 5 4 3 3 15 ALL AGES 55-64 11 0 0 0 0 0 1 0 0 1 2 0 4 3 1 1 2 7 75-84 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 85+ 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 Health Status Profile of American Indians in Arizona, 2009 Data Book 103 COMPARATIVE CAUSE-SPECIFIC MORTALITY Health Status Profile of American Indians in Arizona, 2009 Data Book 105 5.13 Temporal Changes* in the Selected Leading Causes of Death among American Indian Residents of Arizona, 1990-2009 250.0 Heart disease 200.0 Unintentional injury 150.0 Cancer 100.0 Diabetes Chronic liver disease and cirrhosis 50.0 Suicide   Chronic lower respiratory diseases                0.0    1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 * Based on age-adjusted mortality rates: Number of deaths per 100,000 population age-adjusted to the 2000 U.S. standard. See Table 2B-3 in the “Arizona Health Status and Vital Statistics 2009” report. Health Status Profile of American Indians in Arizona, 2009 Data Book 107 5.14 Five Leading Causes of Death* by Gender among American Indian Residents of Arizona in 2009 Rank Female 1 Cancer 103.5 Diseases of heart 125.8 Diseases of heart 156.1 2 Diseases of heart 100.5 Cancer 113.3 Unintentional injury 144.4 3 Diabetes 59.9 4 Chronic liver disease and cirrhosis 49.9 5 Unintentional injury 46.4 Both Male Unintentional injury 92.6 Diabetes 54.2 Cancer 127.5 Chronic liver disease and cirrhosis 57.9 Chronic liver disease and cirrhosis 54.0 Diabetes 46.6 * Based on age-adjusted mortality rates: Number of deaths per 100,000 population age-adjusted to the 2000 U.S. standard. See Table 2B-4 in the “Arizona Health Status and Vital Statistics 2009” report. 108 Health Status Profile of American Indians in Arizona, 2009 Data Book 5.15 Five Leading Causes of Death among American Indians by Gender and Residence On or Off Reservation, Arizona, 2009 Rank Female, resided on reservation Female, resided off reservation Male, resided on reservation Male, resided off reservation 1 Cancer 13.6% Cancer 16.8% Unintentional injury 22.0% Diseases of heart 16.7% 2 Diseases of heart 13.6% Diseases of heart 12.4% Diseases of heart 11.5% Unintentional injury 16.4% 3 Unintentional injury 9.2% Chronic liver disease and cirrhosis 10.7% Cancer 9.2% Cancer 15.1% 4 Diabetes 7.4% Diabetes 7.9% Chronic liver disease and cirrhosis 6.6% Chronic liver disease and cirrhosis 8.8% 5 Chronic liver disease and cirrhosis 7.2% Unintentional injury 6.9% Diabetes 4.6% Assault 4.2% * Percent of total deaths in specified group. Health Status Profile of American Indians in Arizona, 2009 Data Book 109 5.16 Proportional Mortality* by Type of Cancer and Gender among American Indians and all Residents of Arizona, 1999-2009 Ran k A riz ona male** A meric an Indian male A riz ona f emale** A meric an Indian f emale 1 Trac hea, bronc hus , lung 28.8% Pros tate 11.3% Trac hea, bronc hus , lung 25.8% B reas t 13.2% 2 Pros tate 10.7% Lymphoma 10.5% B reas t 15.6% Lymphoma 10.5 3 Lymphoma 9.8% Trac hea, bronc hus , lung 9.1% Colon, rec tum, anus 9.6% Trac hea, bronc hus , lung 8.4% 4 Colon, rec tum, anus 9.4 Liver 9.0% Lymphoma 8.7% Ovary 7.4% 5 Panc reas 5.2% K idney 8.2% Panc reas 5.4% Colon, rec tum, anus 6.1% 6 Liver 3.4% Stomac h 8.0% Ovary 5.4% Liver 5.6% 7 Es ophagus 3.4% Colon, rec tum, anus 7.9% B rain 2.2% Stomac h 5.2% 8 B ladder 3.1% Panc reas 6.0% Liver 2.1% Panc reas 5.1% 9 K idney 2.6% Es ophagus 3.7% Uterus 1.9% Cervix uteri 4.5% 10 B rain 2.4% B rain 2.0% K idney 1.7% K idney 4.1% *Percent of cancer deaths in specified group in 1999-2009. **All race/ethnic groups combined. ***Lymphoma = Malignant neoplasm of lymphoid, hematopoietic and related tissue including: Hodgkin’s disease, Non-Hodgkin’s lymphoma, Leukemia, Multiple myeloma and immunoprolifeerative neoplasms, Other and unspecified malignant neoplasms of lymphoid tissue, All other and unspecified malignant neoplasm. Note: percentages based on frequency counts in table 5-18. 110 Health Status Profile of American Indians in Arizona, 2009 Data Book 5.17 Proportional Mortality* by Mechanism of Unintentional Injury and Gender among American Indians and all Residents of Arizona, 1999-2009 Ran k 1 Arizona male** American Indian male M otor vehic le-related 39.7% M otor vehic le-related 56.2% Arizona female** M otor vehic le-related 32.8% American Indian female M otor vehic le-related 64.9% 2 Pois oning by drugs 21.0% Pois oning by drugs 8.2% Falls 31.4 Falls 9.6% 3 Falls 15.9 Falls 6.7% Pois oning by drugs 17.4% Pois oning by drugs 7.2% 4 Drowning 3.7% Expos ure to c old 4.9% Choked on objec ts other than f ood 2.3% Expos ure to c old 2.3% 5 Expos ure to heat 1.7% Pois oning by gas es 3.7% Drowning 2.3% Pois oning by gas es 2.2% 6 Pois oning by gas es 1.6% Drowning 3.3% Fire, f lames , s moke 1.8% Drowning 1.9% 7 Fire, f lames , s moke 1.5% M ec hanic al s uf f oc ation 1.8% Choked on f ood 1.4% Fire, f lames , s moke 1.7% 8 Choked on objec t other than f ood 1.5% Fire, f lames , s moke 1.7% Expos ure to heat 1.1% Choked on objec ts other than f ood 1.2% 9 M ec hanic al s uf oc ation 1.3% R ailway ac c ident 1.5% Pois oning by gas es 0.9% Choked on f ood 1.1% 10 Firearm dis c harge 1.1% Expos ure to heat 1.4% M ec hanic al s uf f oc ation 0.7% M ec hanic al s uf f oc ation 1.1% *Percent of unintentional injury deaths in specified group in 1999-2009. **All race/ethnic groups combined. Note: Percentages based on frequency counts in table 5-18. Health Status Profile of American Indians in Arizona, 2009 Data Book 111 5.18 COMPARISON OF MORTALITY BY SPECIFIC TYPE OF CANCER BY GENDER AMONG AMERICAN INDIANS AND ALL RESIDENTS* OF ARIZONA, 2000-2009 ALL RESIDENTS OF ARIZONA TOTAL Malignant neoplasms, total MALE 104,356 AMERICAN INDIANS OR ALASKA NATIVES FEMALE TOTAL MALE FEMALE 55,849 48,507 2,026 966 1,060 Malignant neoplasm of lip, oral cavity and pharynx 1,251 864 387 21 16 5 Malignant neoplasm of esophagus 2,375 1,902 473 42 36 6 Malignant neoplasm of stomach 1,881 1,131 750 132 77 55 Malignant neoplasm of colon, rectum and anus 9,909 5,275 4,634 141 76 65 Malignant neoplasm of liver and intrahepatic bile ducts 2,908 1,912 996 146 87 59 Malignant neoplasm of pancreas 5,534 2,904 2,630 112 58 54 550 443 107 4 3 1 28,585 16,074 12,511 177 88 89 Malignant melanoma of skin 1,755 1,218 537 11 8 3 Malignant neoplasm of breast 7,646 75 7,571 142 2 140 700 0 700 48 0 48 Malignant neoplasm of larynx Malignant neoplasm of trachea, bronchus and lung Malignant neoplasm of cervix uteri 932 0 932 27 0 27 Malignant neoplasm of ovary 2,625 0 2,625 78 0 78 Malignant neoplasm of prostate 5,963 5,963 0 109 109 0 Malignant neoplasm of kidney and renal pelvis 2,275 1,454 821 122 79 43 Malignant neoplasm of bladder 2,387 1,747 640 19 10 9 2,396 1,328 1,068 34 19 15 9,680 5,463 4,217 212 101 111 198 122 76 2 2 0 Non-Hodgkin's lymphoma 3,852 2,095 1,757 72 33 39 Leukemia 3,743 2,172 1,571 72 33 39 Multiple myeloma and immunoproliferative neoplasms 1,880 1,069 811 66 33 33 Malignant neoplasm of corpus uteri and uterus, part unspecified Malignant neoplasm of meninges, brain and other parts of central nervous system Malignant neoplasm of lymphoid, hematopoietic and related tissue Hodgkin's disease Other and unspecified malignant neoplasms of lymphoid tissue All other and unspecified malignant neoplasms 7 5 2 0 0 0 10,848 5,860 4,988 334 139 195 * All race/ethnic groups combined. 112 Health Status Profile of American Indians in Arizona, 2009 Data Book 5.19 UNINTENTIONAL INJURY DEATHS BY MECHANISM AND GENDER AMONG AMERICAN INDIANS AND ALL RESIDENTS* OF ARIZONA, 1999-2009 ALL RESIDENTS OF ARIZONA TOTAL Unintentional injury, total Railway accidents Motor vehicle -related Water transport accident Accident involving aircraft Poisoning by drugs/medicaments Poisoning by gases and vapors MALE 29,246 AMERICAN INDIANS OR ALASKA NATIVES FEMALE 18,956 TOTAL 10,290 MALE 2,899 FEMALE 2,069 830 108 94 14 38 31 7 10,906 7,529 3,377 1,701 1,162 539 41 29 12 0 0 0 213 186 27 2 2 0 5,782 3,987 1,795 230 170 60 391 298 93 95 77 18 6,252 3,022 3,230 218 138 80 Fire, flames, smoke 464 283 181 50 36 14 Excessive natural heat 426 315 111 35 28 7 Excessive natural cold 211 171 40 120 101 19 Contact with venomous snakes and lizards 4 4 0 0 0 0 Contact with venomous spiders 4 1 3 0 0 0 Contact with scorpions 3 1 2 0 0 0 Contact with hornets, wasps, bees 0 0 0 0 0 0 Falls Bitten or struck by dog 16 6 10 1 0 1 Lightning 16 13 3 4 3 1 9 8 1 4 4 0 Accidental drowning and submersion 934 700 234 84 68 16 Choked on food 345 198 147 28 19 9 Choked on other objects 522 282 240 32 22 10 Mechanical suffocation 323 246 77 47 38 9 Accidental discharge of firearms 238 200 38 20 19 1 Storms and floods 80 79 1 4 4 0 Overexertion 1 1 0 1 1 0 Adverse effects of drugs in therapetic use 3 2 1 0 0 0 17 10 7 1 1 0 Exposure to electric current Misadventures to patients during medical/surgical care * All race/ethnic groups combined. Health Status Profile of American Indians in Arizona, 2009 Data Book 113 TECHNICAL NOTES Health Status Profile of American Indians in Arizona, 2009 Data Book 115 Sources of Data The charts in Sections I and II are based on rates and ratios published in the Arizona Health Status and Vital Statistics annual report. Information on live births and deaths in Sections III and IV is compiled from the original documents filed with the Arizona Department of Health Services', Office of Vital Records and from transcripts of original certificates filed in other states but affecting Arizona residents. (Copies of certificates for births and deaths occurring to Arizona residents outside the United States are not sent to Arizona). The 2000 Census data for Arizona’s Indian Reservations are available at http://www.workforce.az.gov/admin/uploadedPublications/506_resage00.xls Definitions Rates Rate is a measure of the frequency of some event in relation to a unit of population during a specified time period such as a year; events in the numerator of the year occur to individuals in the denominator. Rates express the likelihood (or risk) of the event in the specified population during a particular time and are generally expressed as units of population in the denominator (per 1,000, per 100,000 and so forth). Terms Related to Reproductive Health Birth or Live Birth - The complete expulsion or extraction from its mother of a product of human conception, irrespective of the duration of pregnancy which, after such expulsion or extraction, breaths 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. Birth weight - The weight of a neonate determined immediately after delivery or as soon thereafter as possible. Infant death - Any death at any time from birth up to, but not including, the first year of age (364 days, 23 hours, 59 minutes from the moment of birth). Infant mortality rate - Number of infant deaths per 1,000 live births. Low-birthweight - Prior to 1990: any neonate whose weight at birth is 2,500 grams or less. Beginning in 1990: any neonate weighing less than 2,500 grams at birth (less than 5 pounds 8 ounces). Neonatal death - Death of a liveborn neonate before the neonate becomes 28 days old (up to and including 27 days, 23 hours, 59 minutes from the moment of birth). Neonatal mortality rate - Number of neonatal deaths per 1,000 live births. Health Status Profile of American Indians in Arizona, 2009 Data Book Postneonatal death - Any death of a liveborn infant at least 28 days of age but less than one year of age. Postneonatal mortality rate - Number of postneonatal deaths per 1,000 live births. Very low-birthweight - Any neonate whose weight at birth is 1,500 grams or less (less than 3 pounds 5 ounces). Medical Terms Used on the Birth Certificate Medical risk factors for this pregnancy Anemia - Hemoglobin level of less than 10.0 g/dL during pregnancy, or hematocrit of less than 30 percent during pregnancy. Cardiac disease - Disease of the heart. Acute or chronic lung disease - Disease of the lungs during pregnancy. Diabetes - Metabolic disorder characterized by excessive discharge of urine and persistent thirst; includes juvenile onset, adult onset and gestational diabetes during pregnancy. Genital herpes - Infection of the skin of the genital area by herpes simplex virus. Hydramnios/Oligohydramnios - Any noticeable excess (hydramnios) or lack (oligohydramnios) of amniotic fluid. Hemoglobinopathy - A blood disorder caused by alteration in the genetically determined molecular structure of hemoglobin (for example, sickle cell anemia). Hypertension, chronic - Blood pressure persistently greater than 140/90, diagnosed prior to onset of pregnancy or before the 20th week of gestation. Hypertension, pregnancy-associated - An increase in blood pressure of at least 30 mm hg systolic or 15 mm hg diastolic on two measurements taken 6 hours apart after the 20th week of gestation. Eclampsia - The occurrence of convulsions and/or coma unrelated to other cerebral conditions in women with signs and symptoms of preeclampsia. Incompetent cervix - Characterized by painless dilation of the cervix in the second trimester or early in the third trimester of pregnancy, with premature expulsion of membranes though cervix and ballooning of the membranes into vagina, followed by rupture of the membrane and subsequent expulsion of the fetus. Previous infant 4,000+ grams - The birthweight of a previous live-born child was over 4,000 grams (8lbs.14oz.). Previous preterm or small-for-gestational-age-infant - Previous birth of an infant prior to term (before 37 completed weeks of gestation) or of an infant weighing less than the 10th percentile for gestational age using a standard weight for age chart. Renal disease - Kidney disease. Rh Sensitization - The process or state of becoming sensitized to the Rh factor as when an Rh-negative woman is pregnant with an Rh-positive fetus. Uterine bleeding - Any clinically significant bleeding during the pregnancy taking into consideration the stage of pregnancy; any second or third trimester bleeding or third trimester bleeding of the uterus prior to the onset of labor. 117 Complications of labor and/or delivery Abnormal conditions of the newborn Febrile - A fever greater than 100 degrees F. or 38 degrees C. occurring during labor and/or delivery. Anemia - Hemoglobin level of less than 13.0 g/dL, or a hematocrit of less than 39 percent. Meconium, moderate/heavy - Meconium consists of undigested debris from swallowed amniotic fluid, various products of secretion and shedding by the gastrointestinal tract, moderate to heavy amounts of meconium in the amniotic fluid noted during labor and/or delivery. Premature rupture of membranes (more than 12 hours) - Rupture of membranes at any time during pregnancy and more than 12 hours before the onset of labor. Abruptio placenta - Premature separation of normally implanted placenta from the uterus. Placenta previa - Implantation of the placenta over or near the internal opening of the cervix. Other excessive bleeding - The loss of significant amount of blood from conditions other than abruptio placenta or placenta previa. Seizures during labor - Maternal seizures occurring during labor from any cause. Precipitous labor (less than 3 hours) Extremely rapid labor and delivery lasting less than3 hours. Birth injury - Impairment of the infant's body function or structure due to adverse influences that occurred at birth. Fetal alcohol syndrome - A syndrome of altered prenatal growth and development occurring in infants born of women who consumed excessive amounts of alcohol during pregnancy. Hyaline membrane disease/RDS - A disorder primarily of prematurity, manifested clinically by respiratory distress and pathologically by pulmonary hyaline membranes and incomplete expansion of the lungs at birth. Meconium aspiration syndrome - Aspiration of meconium by the fetus or newborn, affecting the lower respiratory system. Assisted ventilation (less than 30 minutes) - A mechanical method of assisting respiration for newborns with respiratory failure. Assisted ventilation (30 minutes or more) - Newborn placed on assisted ventilation for 30 minutes or longer. Seizures - A seizure of any etiology. Congenital anomalies of child Prolonged labor (more than 20 hours) Abnormally slow progress of labor lasting more than 20 hours. Dysfunctional labor - Failure to progress in a normal pattern of labor. Breech/Malpresentation - At birth, the presentation of the fetal buttocks, rather than the head or other malpresentation. Anencephalus – Absence of the cerebral hemispheres. Spina bifida/meningocele – Developmental anomaly characterized by defective closure of the bony encasement of the spinal cord, through which the cord and meninges may or may not protrude. Cephalopelvic disproportion - The relationship of the size, presentation and position of the fetal head to the maternal pelvis, which prevents dilation of the cervix and/or descent of the fetal head. Hydrocephalus – Excessive accumulation of cerebrospinal fluid within the ventricles of the brain with consequent enlargement of cranium. Cord prolapse - Premature expulsion of the umbilical cord in labor before the fetus is delivered. Other central nervous system anomalies – Other specified anomalies of the brain, spinal cord, and nervous system. Anesthetic complications - Any complication during labor and/or delivery brought on by an anesthetic agent or agents. Fetal distress - Signs indicating fetal hypoxia (deficiency in amount of oxygen reaching fetal tissues). 118 Microcephalus – A significantly small head. Heart malformations – Congenital anomalies of heart. Other circulatory/respiratory anomalies – Other specified anomalies of the circulatory and respiratory systems. Health Status Profile of American Indians in Arizona, 2009 Data Book Rectal atresia/stenosis – Congenital absence, closure, or narrowing of the rectum. Tracheo-esophageal fistula/Esophageal atresia – An abnormal passage between the trachea and the esophagus; esophageal atresia is the congenital absence or closure of the esophagus. Omphalocele/Gastroschisis – An omphalocele is a protrusion of variable amounts of abdominal viscera from a midline defect at the base of the umbilicus. In gastroschisis, the abdominal viscera protrude through an abdominal wall defect, usually on the right side of the umbilical cord insertion. Other gastrointestinal anomalies – Other specified congenital anomalies of the gastrointestinal system. Malformed genitalia – Congenital anomalies of the reproductive organs. Renal agenesis – One or both kidneys are completely absent. Other urogenital anomalies – Other specified congenital anomalies of the organs concerned in the production and excretion of the urine, together with organs of reproduction. Cleft lip/palate – Cleft lip is a fissure or elongated opening of the lip; cleft palate is a fissure in the roof of the mouth. These are failures of embryonic development. Down’s syndrome – The most common chromosomal defect with most cases resulting from an extra chromosome (trisomy 21). Other chromosomal anomalies – All other chromosomal aberrations. Polydactyly/Syndactyly/Adactyly– Polydactyly is the presence of more than five digits on either hands and/or feet; syndactyly is having fused or webbed fingers and/or toes; adactyly is the absence of fingers and/or toes. Club foot – Deformities of the foot, which is twisted out of shape or position Diaphragmatic hernia – Herniation of the abdominal contents through the diaphragm into the thoracic cavity usually resulting in respiratory distress. Other muscoskeletal/integumental anomalies – Other specified congenital anomalies of the muscles, skeleton, or skin. Terms Related to Mortality Age-adjusted mortality rates - Because mortality from most causes of death occurs predominately among the elderly, a population group with a larger proportion of older persons would have a higher mortality rate. The "ageadjustment" removes the effect of the age differences among sub-populations (or in the same population over time) by placing them all in a population with a standard age distribution. All age-adjusted mortality rates in this report were computed by the direct method, that is by weighting the age-specific rates for a given year by the age distribution of a standard population. The weighted agespecific rates are then added to produce the summary rate for all ages combined. Health Status Profile of American Indians in Arizona, 2009 Data Book Beginning with the 2000 data year, a new population standard for the age adjustment of mortality rates has replaced the standard based on the 1940 population and used since 1943. The new standard uses the age composition of the 2000 U.S. projected population. The standard is expressed in terms of a ”standard million”: the relative distribution of the 2000 population of the United States totaling 1 million in 10-year age groups: Age group A <1 1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ 2009 population of American Indians 2009 deaths among American Indians Age-specific rates for American Indians in 2009 B C D (C/B)*100000 821.1 70.1 23.0 156.7 278.4 471.8 709.5 1067.4 2116.6 4122.5 821.1 6,333 24,248 65,222 68,922 51,722 45,574 38,055 23,703 13,276 6,598 2427 346,080 52 17 15 108 144 215 270 253 281 272 243 1871 Ageadjusted rate for American Indians In 2009 F D*E 11.3 3.9 3.3 21.7 37.7 76.7 95.7 93.1 139.8 184.9 155.3 2000 standard E .013818 .055317 .145565 .138646 .135573 .162613 .134834 .087247 .066037 .044842 .015508 TOTAL ∑ 823.5 Age-specific mortality - Number of deaths in a specific age group during a calendar year. Cause of death - For the purpose of national mortality statistics, every death is attributed to one underlying condition, based on information reported on the death certificate and utilizing the international rules for selecting the underlying cause of death from the reported conditions. Cause-specific mortality - Number of deaths from a specified cause during a calendar year. Classification of causes of death - The cause of death used in this report is the underlying cause classified according to the International Classification of Diseases (ICD). Beginning with the 2000 data year in Arizona (1999 nationally), a new revision of the International Classification of Diseases was implemented. The Tenth Revision (ICD-10) has replaced the Ninth Revision (ICD-9), which was in effect since 1979. Comparability ratios Comparability ratios are measures of comparison between ICD-9 and ICD-10. Any comparison of causes of mortality in Arizona between 2000 and previous years needs to take into account the changes in statistical trends that can be attributed to changes in the classification system alone. Comparability ratio of 1.0 indicates that the same number of deaths would be assigned to a cause-of-death when ICD-9 or ICD-10 was used. The online table provides comparable cause-of-death categories in ICD-9 and ICD10 and shows comparability ratios for approximately 113 causes of death. 119 Cause-of-Death Categories and Comparability Ratios for Selected 113 Causes of Death Cause of death (Based on the Tenth Revision, International Classification of Diseases, 1992) Salmonella infections Shigellosis and amebiasis Certain other intestinal infections Tuberculosis Respiratory tuberculosis Other tuberculosis Whooping cough Scarlet fever and erysipelas Meningococcal infection Septicemia Syphilis Acute poliomyelitis Arthropod-borne viral encephalitis Measles Viral hepatitis Human immunodeficiency virus (HIV) disease Malaria Other and unspecified infectious and parasitic diseases and their sequelae Malignant neoplasms Malignant neoplasms of lip, oral cavity and pharynx Malignant neoplasm of esophagus Malignant neoplasm of stomach Malignant neoplasms of colon, rectum and anus Malignant neoplasms of liver and intrahepatic bile ducts Malignant neoplasm of pancreas Malignant neoplasm of larynx Malignant neoplasms of trachea, bronchus and lung Malignant melanoma of skin Malignant neoplasm of breast Malignant neoplasm of cervix uteri Malignant neoplasms of corpus uteri and uterus, part unspecified Malignant neoplasm of ovary Malignant neoplasm of prostate Malignant neoplasms of kidney and renal pelvis Malignant neoplasm of bladder Malignant neoplasms of meninges, brain and other parts of central nervous system Malignant neoplasms of lymphoid, hematopoietic and related tissue Hodgkin’s disease Non-Hodgkin’s lymphoma Leukemia Category codes according to the Tenth Revision (ICD–10) Category codes according to the Ninth Revision (ICD–9) A01–A02 A03,A06 A04,A07–A09 A16–A19 A16 A17–A19 A37 A38,A46 A39 A40–A41 A50–A53 A80 A83–A84,A85.2 B05 B15–B19 B20–B24 B50–B54 A00,A05,A20–A36,A42–A44,A48–A49, A54–A79,A81–A82,A85.0–A85.1,A85.8, A86–B04,B06–B09,B25–B49,B55–B99 C00–C97 C00–C14 C15 C16 C18–C21 C22 C25 C32 C33–C34 C43 C50 C53 002–003 004,006 007–009 010–018 010–012 013–018 033 034.1–035 036 038 090–097 045 062–064 055 070 *042–*044 084 001,005,020–032,037,039–041,046–054, 056–061,065–066,071–083,085–088, 098–134,136–139,771.3 140–208 140–149 150 151 153–154 155 157 161 162 172 174–175 180 C54–C55 C56 C61 C64–C65 C67 Number of deaths allocated according to Tenth Revision Ninth Revision Estimated comparability ratio Standard error Relative standard error 95-percent confidence limits Lower Upper 30 * * 653 518 135 * * 221 21,258 21 * * * 1,123 12,765 * 37 * * 764 572 192 * * 222 17,791 33 * * * 1,346 11,150 * 0.8108 * * 0.8547 0.9056 0.7031 * * 0.9955 1.1949 0.6364 * * * 0.8343 1.1448 * 0.0644 * * 0.0172 0.0201 0.0407 * * 0.0149 0.0042 0.1184 * * * 0.0120 0.0045 * 7.9 * * 2.0 2.2 5.8 * * 1.5 0.3 18.6 * * * 1.4 0.4 * 0.6846 * * 0.8209 0.8662 0.6233 * * 0.9663 1.1867 0.4043 * * * 0.8109 1.1360 * 0.9370 * * 0.8885 0.9450 0.7830 * * 1.0247 1.2030 0.8685 * * * 0.8578 1.1536 * 464,688 5,927 9,596 11,480 48,583 9,732 24,313 3,209 131,750 5,941 38,102 3,753 461,544 6,172 9,630 11,408 48,619 10,102 24,361 3,194 133,936 6,139 37,891 3,802 1.0068 0.9603 0.9965 1.0063 0.9993 0.9634 0.9980 1.0047 0.9837 0.9677 1.0056 0.9871 0.0002 0.0040 0.0020 0.0019 0.0009 0.0023 0.0009 0.0053 0.0005 0.0032 0.0010 0.0034 0.0 0.4 0.2 0.2 0.1 0.2 0.1 0.5 0.1 0.3 0.1 0.3 1.0064 0.9525 0.9926 1.0025 0.9975 0.9588 0.9963 0.9943 0.9827 0.9614 1.0036 0.9805 1.0072 0.9681 1.0003 1.0101 1.0010 0.9679 0.9997 1.0150 0.9846 0.9741 1.0075 0.9938 179,182 183.0 185 189.0,189.1 188 5,318 11,292 30,672 9,521 9,563 5,183 11,344 30,267 9,521 9,594 1.0260 0.9954 1.0134 1.0000 0.9968 0.0040 0.0016 0.0015 0.0022 0.0026 0.4 0.2 0.1 0.2 0.3 1.0182 0.9923 1.0105 0.9957 0.9916 1.0339 0.9985 1.0162 1.0043 1.0019 C70–C72 191–192 10,039 10,359 0.9691 0.0025 0.3 0.9642 0.9740 C81–C96 C81 C82–C85 C91–C95 200–208 201 200,202 204–208 44,715 1,021 17,924 16,600 44,530 1,036 18,326 16,405 1.0042 0.9855 0.9781 1.0119 0.0012 0.0089 0.0018 0.0019 0.1 0.9 0.2 0.2 1.0019 0.9680 0.9745 1.0083 1.0064 1.0030 0.9817 1.0155 See footnotes at end of table. 120 Health Status Profile of American Indians in Arizona, 2009 Data Book Cause-of-Death Categories and Comparability Ratios for Selected 113 Causes of Death Cause of death (Based on the Tenth Revision, International Classification of Diseases, 1992) Multiple myeloma and immunoproliferative neoplasms Other and unspecified malignant neoplasms of lymphoid, hematopoietic and related tissue All other and unspecified malignant neoplasms In situ neoplasms, benign neoplasms and neoplasms of uncertain or unknown behavior Anemias Diabetes mellitus Nutritional deficiencies Malnutrition Other nutritional deficiencies Meningitis Parkinson’s disease Alzheimer’s disease Major cardiovascular diseases Diseases of heart Acute rheumatic fever and chronic rheumatic heart diseases Hypertensive heart disease Hypertensive heart and renal disease Ischemic heart diseases Acute myocardial infarction Other acute ischemic heart diseases Other forms of chronic ischemic heart disease Atherosclerotic cardiovascular disease, so described All other forms of chronic ischemic heart disease Other heart diseases Acute and subacute endocarditis Diseases of pericardium and acute myocarditis Heart failure All other forms of heart disease Essential (primary) hypertension and hypertensive renal disease Cerebrovascular diseases Atherosclerosis Other diseases of circulatory system Aortic aneurysm and dissection Other diseases of arteries, arterioles and capillaries Other disorders of circulatory system Influenza and pneumonia Influenza Pneumonia Other acute lower respiratory infections Acute bronchitis and bronchiolitis Category codes according to the Tenth Revision (ICD–10) Category codes according to the Ninth Revision (ICD–9) C88,C90 203 C96 C17,C23–C24,C26–C31,C37–C41, C44–C49,C51–C52,C57–C60, C66,C68–C69,C73–C80,C97 --152,156,158–160,163–171,173,181, 183.2–184,186–187,189.2–190, 193–199 D00–D48 D50–D64 E10–E14 E40–E64 E40–E46 E50–E64 G00,G03 G20–G21 G30 I00–I78 I00–I09,I11,I13,I20–I51 Number of deaths allocated according to Tenth Revision Estimated comparability ratio Ninth Revision 95-percent confidence limits Relative standard error Standard error Lower Upper 9,099 8,763 1.0383 0.0030 0.3 1.0324 1.0443 * * * * * * * 51,182 45,492 1.1251 0.0021 0.2 1.1210 1.1292 210–239 280–285 250 260–269 260–263 264–269 320–322 332 331.0 390–434,436–448 390–398,402,404,410–429 9,263 3,059 48,636 3,215 2,607 608 592 10,404 29,707 796,919 615,564 5,532 3,200 48,242 2,763 2,665 98 584 10,392 19,121 798,435 624,405 1.6744 0.9559 1.0082 1.1636 0.9782 6.2041 1.0137 1.0012 1.5536 0.9981 0.9858 0.0164 0.0077 0.0011 0.0165 0.0151 0.5961 0.0136 0.0028 0.0071 0.0002 0.0002 1.0 0.8 0.1 1.4 1.5 9.6 1.3 0.3 0.5 0.0 0.0 1.6422 0.9409 1.0060 1.1312 0.9487 5.0358 0.9871 0.9956 1.5398 0.9977 0.9854 1.7067 0.9710 1.0103 1.1960 1.0078 7.3724 1.0403 1.0067 1.5675 0.9985 0.9863 I00–I09 I11 I13 I20–I25 I21–I22 I24 I20,I25 390–398 402 404 410–414,429.2 410 411 412–414,429.2 2,446 17,322 2,170 466,459 178,125 2,667 285,667 2,980 21,577 2,027 466,935 180,169 2,638 284,128 0.8208 0.8028 1.0705 0.9990 0.9887 1.0110 1.0054 0.0089 0.0028 0.0160 0.0002 0.0003 0.0117 0.0004 1.1 0.3 1.5 0.0 0.0 1.2 0.0 0.8034 0.7973 1.0392 0.9985 0.9880 0.9880 1.0046 0.8382 0.8083 1.1019 0.9994 0.9893 1.0340 1.0062 I25.0 I20,I25.1–I25.9 I26–I51 I33 I30–I31,I40 I50 I26–I28,I34–I38,I42–I49,151 429.2 412–414 415–429.1,429.3–429.9 421 420,422–423 428 415–417,424–427,429.0–429.1,429.3–429.9 64,354 221,313 127,167 552 489 44,297 81,829 61,362 222,766 130,886 554 475 42,554 87,303 1.0488 0.9935 0.9716 0.9964 1.0295 1.0410 0.9373 0.0016 0.0004 0.0010 0.0137 0.0160 0.0013 0.0014 0.2 0.0 0.1 1.4 1.6 0.1 0.2 1.0456 0.9927 0.9696 0.9695 0.9981 1.0384 0.9345 1.0519 0.9942 0.9736 1.0233 1.0608 1.0435 0.9401 I10,I12 I60–I69 I70 I71–I78 I71 I72–I78 I80–I99 J10–J18 J10–J11 J12–J18 J20–J22 J20–J21 401,403 430–434,436–438 440 441–448 441 442–448 451–459 480–487 487 480–486 466 466 11,958 137,264 13,894 18,239 12,216 6,023 2,984 50,526 572 49,954 346 265 10,684 129,640 14,417 19,289 12,201 7,088 2,899 72,371 567 71,804 355 355 1.1192 1.0588 0.9637 0.9456 1.0012 0.8497 1.0293 0.6982 1.0088 0.6957 0.9746 0.7465 0.0050 0.0008 0.0025 0.0021 0.0010 0.0053 0.0172 0.0018 0.0073 0.0018 0.0392 0.0264 0.4 0.1 0.3 0.2 0.1 0.6 1.7 0.3 0.7 0.3 4.0 3.5 1.1094 1.0572 0.9588 0.9414 0.9992 0.8394 0.9956 0.6947 0.9945 0.6922 0.8978 0.6947 1.1291 1.0604 0.9686 0.9498 1.0032 0.8601 1.0631 0.7016 1.0231 0.6992 1.0515 0.7983 See footnotes at end of table. Health Status Profile of American Indians in Arizona, 2009 Data Book 121 Cause-of-Death Categories and Comparability Ratios for Selected 113 Causes of Death Cause of death (Based on the Tenth Revision, International Classification of Diseases, 1992) Unspecified acute lower respiratory infection Chronic lower respiratory diseases Bronchitis, chronic and unspecified Emphysema Asthma Other chronic lower respiratory diseases Pneumoconioses and chemical effects Pneumonitis due to solids and liquids Other diseases of respiratory system Peptic ulcer Diseases of appendix Hernia Chronic liver disease and cirrhosis Alcoholic liver disease Other chronic liver disease and cirrhosis Cholelithiasis and other disorders of gallbladder Nephritis, nephrotic syndrome and nephrosis Acute and rapidly progressive nephritic and nephrotic syndrome Chronic glomerulonephritis, nephritis and nephropathy not specified as acute or chronic, and renal sclerosis unspecified Renal failure Other disorders of kidney Infections of kidney Hyperplasia of prostate Inflammatory diseases of female pelvic organs Pregnancy, childbirth and the puerperium Pregnancy with abortive outcome Other complications of pregnancy, childbirth and the puerperium Certain conditions originating in the perinatal period Congenital malformations, deformations and chromosomal abnormalities Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified All other diseases (Residual) Accidents (unintentional injuries) Transport accidents Motor vehicle accidents Category codes according to the Tenth Revision (ICD–10) Category codes according to the Ninth Revision (ICD–9) J22 J40–J47 J40–J42 J43 J45–J46 J44,J47 J60–J66,J68 J69 J00–J06,J30–J39,J67,J70–J98 K25–K28 K35–K38 K40–K46 K70,K73–K74 K70 K73–K74 K80–K82 N00–N07,N17–N19,N25–N27 --490–494,496 490–491 492 493 494,496 500–506 507 034.0,460–465,470–478,495,508–519 531–534 540–543 550–553 571 571.0–571.3 571.4–571.9 574–575 580–589 N00–N01,N04 580–581 N02–N03,N05–N07,N26 N17–N19 N25,N27 N10–N12,N13.6,N15.1 N40 N70–N76 O00–099 O00–O07 Number of deaths allocated according to Tenth Revision Ninth Revision Estimated comparability ratio Standard error Relative standard error 95-percent confidence limits Lower Upper * 94,326 913 14,369 4,217 74,827 860 10,183 16,656 3,574 209 658 21,688 10,147 11,541 1,725 24,939 * 90,022 2,320 14,774 4,718 68,210 845 9,104 14,269 3,686 202 633 20,920 9,965 10,955 1,803 20,242 * 1.0478 0.3935 0.9726 0.8938 1.0970 1.0178 1.1185 1.1673 0.9696 1.0347 1.0395 1.0367 1.0183 1.0535 0.9567 1.2320 * 0.0009 0.0107 0.0031 0.0061 0.0014 0.0099 0.0048 0.0052 0.0045 0.0242 0.0154 0.0027 0.0050 0.0041 0.0060 0.0044 * 0.1 2.7 0.3 0.7 0.1 1.0 0.4 0.4 0.5 2.3 1.5 0.3 0.5 0.4 0.6 0.4 * 1.0460 0.3726 0.9666 0.8819 1.0943 0.9983 1.1092 1.1572 0.9608 0.9873 1.0094 1.0314 1.0085 1.0454 0.9450 1.2234 * 1.0496 0.4145 0.9786 0.9057 1.0998 1.0372 1.1279 1.1774 0.9784 1.0820 1.0696 1.0420 1.0281 1.0615 0.9685 1.2407 161 249 0.6466 0.0342 5.3 0.5796 0.7136 582–583,587 584–586 588–589 590 600 614–616 630–676 630–639 468 24,290 20 731 326 63 * * 1,213 18,758 22 726 327 64 * * 0.3858 1.2949 0.9091 1.0069 0.9969 0.9844 * * 0.0144 0.0050 0.0867 0.0144 0.0159 0.0410 * * 3.7 0.4 9.5 1.4 1.6 4.2 * * 0.3575 1.2852 0.7392 0.9786 0.9658 0.9040 * * 0.4141 1.3047 1.0790 1.0352 1.0280 1.0648 * * O10–O99 P00–P96 640–676 760–771.2,771.4–779 * 10,184 * 9,555 * 1.0658 * 0.0033 * 0.3 * 1.0593 * 1.0724 Q00–Q99 740–759 5,950 7,025 0.8470 0.0055 0.6 0.8362 0.8577 R00–R99 Residual V01–X59,Y85–Y86 V01–V99,Y85 V02–V04,V09.0,V09.2,V12–V14, V19.0–V19.2,V19.4–V19.6,V20–V79, V80.3–V80.5,V81.0–V81.1,V82.0–V82.1, V83–V86,V87.0–V87.8,V88.0–V88.8, V89.0,V89.2 780–799 Residual E800–E869,E880–E929 E800–E848,E929.0,E929.1 E810–E825 16,940 109,853 31,084 17,547 17,732 122,107 30,163 17,586 0.9553 0.8996 1.0305 0.9978 0.0034 0.0015 0.0014 0.0006 0.4 0.2 0.1 0.1 0.9487 0.8968 1.0278 0.9966 0.9620 0.9025 1.0333 0.9990 16,632 17,051 0.9754 0.0006 0.1 0.9742 0.9766 See footnotes at end of table. 122 Health Status Profile of American Indians in Arizona, 2009 Data Book Cause-of-Death Categories and Comparability Ratios for Selected 113 Causes of Death Cause of death (Based on the Tenth Revision, International Classification of Diseases, 1992) Other land transport accidents Water, air and space, and other and unspecified transport accidents and their sequelae Nontransport accidents Falls Accidental discharge of firearms Accidental drowning and submersion Accidental exposure to smoke, fire and flames Accidental poisoning and exposure to noxious substance Other and unspecified nontransport accidents and their sequelae Intentional self-harm (suicide) Intentional self-harm (suicide) by discharge of firearms Intentional self-harm (suicide) by other and unspecified means and their sequelae Assault (homicide) Assault (homicide) by discharge of firearms Assault (homicide) by other and unspecified means and their sequelae Legal intervention Events of undetermined intent Discharge of firearms, undetermined intent Other and unspecified events of undetermined intent and their sequelae Operations of war and their sequelae Complications of medical and surgical care Injury by firearms1 Drug-induced deaths1 Alcohol-induced deaths1 Category codes according to the Tenth Revision (ICD–10) Number of deaths allocated according to Category codes according to the Ninth Revision (ICD–9) V01,V05–V06,V09.1,V09.3–V09.9, V10–V11,V15–V18,V19.3,V19.8–V19.9, V80.0–V80.2,V80.6–V80.9,V81.2–V81.9, V82.2–V82.9,V87.8,V88.9,V89.1,V89.3, V89.9 E800–E807,E826–E829 V90–V99,Y85 W00–X59,Y86 W00–W19 W32–W34 W65–W74 X00–X09 X40–X49 W20–W31,W35–W64,W75–W99, X10–X39,X50–X59,Y86 X60–X84,Y87.0 X72–X74 E830–E848,E929.0,E929.1 E850–E869,E880–E928,E929.2–E929.9 E880–E888 E922 E910 E890–E899 E850–E869,E924.1 E900–E909,E911–E921,E923–E924.0, E924.8–E928,E929.2–E929.9 E950–E959 E955.0–E955.4 X60–X71,X75–X84,Y87.0 X85–Y09,Y87.1 X93–X95 Tenth Revision Estimated comparability ratio Ninth Revision 95-percent confidence limits Relative standard error Standard error Lower Upper * * * * * * * 351 13,537 5,173 493 283 493 * 347 12,577 6,152 466 284 506 * 1.0115 1.0763 0.8409 1.0579 0.9965 0.9743 * 0.0209 0.0035 0.0049 0.0127 0.0127 0.0089 * 2.1 0.3 0.6 1.2 1.3 0.9 * 0.9706 1.0696 0.8313 1.0331 0.9716 0.9568 * 1.0525 1.0831 0.8505 1.0828 1.0213 0.9918 * 6,698 18,352 14,157 4,721 18,422 14,183 1.4188 0.9962 0.9982 0.0123 0.0005 0.0007 0.9 0.0 0.1 1.3947 0.9952 0.9968 1.4428 0.9972 0.9996 E950–E954,E955.5–E959 E960–E969 E965.0–E965.4 4,195 12,287 8,718 4,239 12,308 8,745 0.9896 0.9983 0.9969 0.0023 0.0006 0.0008 0.2 0.1 0.1 0.9850 0.9972 0.9953 0.9942 0.9994 0.9985 X85–X92,X96–Y09,Y87.1 Y35,Y89.0 Y10–Y34,Y87.2,Y89.9 Y22–Y24 E960–E964,E965.5–E969 E970–E978 E980–E989 E985.0–E985.4 3,569 * * * 3,563 * * * 1.0017 * * * 0.0024 * * * 0.2 * * * 0.9969 * * * 1.0064 * * * Y10–Y21,Y25–Y34,Y87.2,Y89.9 Y36,Y89.1 Y40–Y84,Y88 W32–W34,X72–X74,X93–X95, Y22–Y24,Y35.0, *U01.4 D52.1,D59.0,D61.1,D64.2. E06.4, E16.0,E23.1, E24.2, E27.3, E66.1, F11.0–F11.5,F11.7–F11.9,F12.0–F12.5, F12.7–F12.9,F13.0–F13.5,F13.7–F13.9, F14.0–F14.5,F14.7–F14.9,F15.0–F15.5, F15.7–F15.9,F16.0–F16.5,F16.7–F16.9, F17.0,F17.3–F17.5,F17.7–F17.9, F18.0–F18.5,F18.7–F18.9,F19.0–F19.5, F19.7–F19.9,G21.1,G24.0, G25.1, G25.4,G25.6,G44.4,G62.0,G72.0, I95.2, J70.2,J70.3,J70.4,L10.5,L27.1,M10.2, M32.0,M80.4,M81.4, M83.5, M87.1, R78.1,R78.3,R78.4,R78.5,X40–X44, X60–X64,X85,Y10–Y14 E24.4, F10,G31.2,G62.1, G72.1, I42.6, K29.2,K70,R78.0,X45,X65,Y15 E980–E984,E985.5–E989 E990–E999 E870–E879,E930–E949 E922,E955.0–E955.4,E965.0–E965.4, E970,E985.0–E985.4 292,304,305.2–305.9,E850–E858, E950.0–E950.5,E962.0,E980.0–E980.5 * * * * * * * * * * * * * * * * * * * * * 23,355 23,418 0.9973 0.0006 0.1 0.9961 0.9985 Health Status Profile of American Indians in Arizona, 2009 Data Book *Figure does not meet standards of reliability or precision. ---Category not applicable 0.0 Quantity more than zero but less than 0.05 1 Included in selected categories. The list of codes included in drug-andalcohol induced causes was expanded in the 2003 data year. Source National vital statistics reports vol 49 no 8 and vol 54 no 13. 291,303,305.0,357.5,425.5,535.3, 571.0–571.3,790.3,E860 1,158 969 1.1950 0.0225 1.9 1.1509 1.2391 14,783 15,269 0.9682 0.0025 0.3 0.9633 0.9731 123 APPENDIX A TRIBAL COMMUNITIES OF AMERICAN INDIANS IN ARIZONA Health Status Profile of American Indians in Arizona, 2009 Data Book 125 TRIBAL COMMUNITIES OF AMERICAN INDIANS IN ARIZONA Reservation/Tribe AK-CHIN INDIAN COMMUNITY County Pinal Community name Ak Chin Maricopa COCOPAH TRIBE Yuma Cocopah Reservation COLORADO RIVER INDIAN TRIBES La Paz Parker Parker Valley Poston FORT MCDOWELL YAVAPAI NATION Maricopa Fort McDowell FORT MOJAVE INDIAN TRIBE Mohave Fort Mojave Reservation FORT YUMA-QUECHAN TRIBE Yuma Fort Yuma Reservation GILA RIVER INDIAN COMMUNITY Maricopa Chandler Heights Firebird Lake Gila Crossing Komatke Lone Butte Maricopa Village St. Johns Bapchule Blackwater Casa Blanca Coclkleburr Goodyear Lower Santan Maricopa North Blackwater Olberg Progressive Colony Sacate Sacaton Sacaton Flats Santa Cruz Snaketown South Casa Blanca South Goodyear Stotonic Sweetwater Upper Santan West Casa Blanca West Chandler Wetcamp Pinal Health Status Profile of American Indians in Arizona, 2009 Data Book 127 TRIBAL COMMUNITIES OF AMERICAN INDIANS IN ARIZONA (continued) Reservation/Tribe HAVASUPAI NATION County Coconino Community name Supai HOPI TRIBE Coconino Coal Mine Mesa Moenave Moenkopi Sand Springs Bacobi Dennebito Five House Hano Hotevilla Keams Canyon Kykotsmovi Mishongnovi Old Oraibi Polacca Second Mesa Shipaulovi Shungopovi Sichomovi Toreva Wali Polacca Walpi Wepo Village Navajo HUALAPAI NATION Coconino Mohave Fraziers Well Hindu Canyon Peach Springs Valentine KAIBAB-PAIUTE TRIBE Mohave Juniper Estates Kaibab Moccasin Redhills Six Mile Steam Boat NAVAJO NATION Apache Allentown Black Mountain Blue Canyon Blue Gap Chinle Cornfields Cottonwood 128 Health Status Profile of American Indians in Arizona, 2009 Data Book TRIBAL COMMUNITIES OF AMERICAN INDIANS IN ARIZONA (continued) Reservation/Tribe NAVAJO NATION (continued) County Apache Coconino Health Status Profile of American Indians in Arizona, 2009 Data Book Community name Del Muerto Dinnehotso Fort Defiance Ganado Greasewood Houck Hunters Point Kin-li-chee Klagetoh Lukachukai Lupton Many Farms Mexican Water Navajo Navajo Station Nazlini Oak Springs Pine Springs Pinta Road Red Mesa Red Rock Rock Point Rough Rock Round Rock Salina Springs Sawmill St Michaels Steamboat Sunrise Springs Teec Nos Pos Toyei Tsaile Valley Store Wide Ruin Window Rock Bitter Springs Big Mountain Cameron Canyon Diablo Cedar Ridge Copper Mine Cow Springs Gray Mountain 129 TRIBAL COMMUNITIES OF AMERICAN INDIANS IN ARIZONA (continued) Reservation/Tribe NAVAJO NATION (continued) County Coconino Navajo 130 Community name Inscription House Kaibito Lechee Leupp Marble Canyon Navajo Mountain Red Lake Shonto Sunrise The Gap Tolani Lake Tonalea (Red Lake) Tuba City White Mesa Willow Springs Bidahochi Black Mesa Blue Gap Castle Butte Cedar Springs Chilchinbito Dilkon Forest lake Greasewood Springs Hard Rock Indian Wells Jadito Kayenta Low Mountain Naahtee Pinon Rocky Ridge Seba Dalkai Shonto Smoke Signal Tees Toh Tsegi Twin Buttes Whippoorwill White Cone Health Status Profile of American Indians in Arizona, 2009 Data Book TRIBAL COMMUNITIES OF AMERICAN INDIANS IN ARIZONA (continued) Reservation/Tribe PASCUA YAQUI TRIBE County Maricopa Pima Pinal Community name Guadalupe South Tucson Tucson Marana SALT RIVER PIMA-MARICOPA INDIAN COMMUNITY Maricopa Salt River Reservation SAN CARLOS APACHE TRIBE Gila Coolidge Dam Cutter Peridot San Carlos Seneca Bylas Calva Graham TOHONO O’ODHAM Maricopa Pima Health Status Profile of American Indians in Arizona, 2009 Data Book Gila Bend/San Lucy Village Kaka Totopitk Ak Chin Ak Chut Vaya Ak Komelik Ali Ak Chin Ali Molina Anegam Artesa Big Field Cababi Charco 27 Chiuli Shaik Chot Vaya Choulic Coldfield Comobabi Covered Wells Cowlic Coyote Field Fresnal Canyon Gu Chuapo Gu Oidak Gu Vo 131 TRIBAL COMMUNITIES OF AMERICAN INDIANS IN ARIZONA (continued) Reservation/Tribe TOHONO O’ODHAM (continued) 132 County Pima Community name Gunsight Haivana Nakya Hali Murk Hickiwan Hoi Oidak Iron Pipe Itak Kahachi Miliuk Kaihon Kug Kots Kug Kui Tatk Kupk Lincoln Little Tucson Makgum Havoka Narcho Santos Newfield Noipa Kam Nolic Palo Verde Stand Pan Tak Papago Farms Peach Pu Pia Oik Piato Vaya Pipyak Pisinemo Pitoikam Queens Well Quijotoa San Luis San Miguel San Pedro San Xavier Santa Cruz Santa Rosa Santa Rosa Ranch Sells Sikul Himatk Sil Nakya Health Status Profile of American Indians in Arizona, 2009 Data Book TRIBAL COMMUNITIES OF AMERICAN INDIANS IN ARIZONA (continued) Reservation/Tribe TOHONO O’ODHAM (continued) County Pima Pinal WHITE MOUNTAIN APACHE TRIBE Apache Gila Navajo Community name South Komelik Sweetwater Topawa Tracy Vainom Kug Vamori Vaya Chin Ventana Vopolo Havoka Chuichu Cockleburr Jackrabbit Kohatk North Komelik Hawley Lake Maverick McNary Amos Wash Canyon Day Carrizo Cedar Creek Warrior Canyon Chino Springs Castle Butte Cibecue Deer Springs Diamond Creek Fort Apache Grasshopper Hondah Indian Pine North Fork Rainbow City Seven Mile Whiteriver YAVAPAI-APACHE NATION Yavapai Camp Verde Reservation Middle Verde YAVAPAI-PRESCOTT INDIAN TRIBE Yavapai Prescott Health Status Profile of American Indians in Arizona, 2009 Data Book 133 Our Web site at http://www.azdhs.gov/plan provides instantaneous access to a wide range of statistical information about health status of Arizonans. The Arizona Health Status and Vital Statistics annual report examines trends in natality, mortality, and morbidity towards established health objectives. Additional reports and studies include Differences in the Health Status Among Race/Ethnic Groups, Advance Vital Statistics by County of Residence, Mortality from Alzheimer's Disease, Injury Mortality among Arizona Residents (accidents, suicides, homicides, legal intervention, firearm-related fatalities, drug-related deaths, drowning deaths, falls among Arizonans 65 years or older), hospital inpatient and emergency room statistics for mental disorders, asthma, diabetes, influenza and pneumonia and substance abuse, Community Vital Statistics, Teenage Pregnancy, Selected Characteristics of Newborns and Mothers Giving Birth by Census Tract in Maricopa County, Pima County and South Phoenix Area, Health Status Profile of American Indians in Arizona, Deaths from Exposure to Excessive Natural Heat Occurring in Arizona, Obesity in Arizona: Prevalence, Hospital Care Utilization, Mortality, Marital Status and Health, Heart Disease vs. Cancer: An Epidemiologic Transition in Mortality Risks. Health Status and Vital Statistics Section Bureau of Public Health Statistics PUBLIC HEALTH SERVICES ARIZONA DEPARTMENT OF HEALTH SERVICES