1 Heat-Associated Deaths in Maricopa County, AZ Addendum Report for 2014 Photograph by Dan Sorensen: http://www.dansorensenphotography.com/ Maricopa County Department of Public Health http://www.maricopa.gov/publichealth/ 1|Page 2 MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTH DIVISION OF DISEASE CONTROL OFFICE OF EPIDEMIOLOGY HEAT-ASSOCIATED DEATHS IN MARICOPA COUNTY, AZ ADDENDUM TO THE 2014 FINAL REPORT WITH RESOLUTION TO THREE PENDING CASES 10/23/15 2|Page 3 Table of Contents Background ............................................................................................................................................... 4 Graph 1: Confirmed Heat-Associated Deaths by Year, Maricopa County, 2001-2014 ...................... 4 Results of the Pending Cases .................................................................................................................... 5 Table 1: Identifying Characteristics of the Two Pending Cases ........................................................... 5 Preliminary and Final Results ................................................................................................................... 6 Table 2: Heat Associated Deaths by Classification .............................................................................. 6 Table 3: Heat Associated Deaths by Place of Residence ...................................................................... 6 Table 4: Heat Associated Deaths by Gender ........................................................................................ 6 Table 5: Heat Associated Deaths by Age Group .................................................................................. 7 Table 6: Heat Associated Deaths by Number of Years Spent in Arizona ............................................ 7 Table 7: Heat Associated Deaths by Race/Ethnicity ............................................................................ 8 Table 8: Heat Associated Deaths by Place of Injury ............................................................................ 8 Table 9: Heat Associated Deaths by Place of Outdoor Injury .............................................................. 9 Table 10: Heat Associated Deaths by Residency Status ....................................................................... 9 Table 11: Heat Associated Deaths by Drug & Alcohol Use (Death Certificate)................................ 10 3|Page 4 Background After extensive investigation into the three pending cases, it was found that two of the three cases were legitimate heat-associated deaths, while one case was ruled out. This addendum is a continuation of the 2014 Final Heat-Associated Death Report and includes a summarization of the two heat-associated deaths that have been confirmed. In this report you will find a table depicting the history and demographics of the two previously pending heat-associated deaths, followed by a series of tables depicting the preliminary 2014 results compared to the final 2014 results. Graph 1. Confirmed Heat-Associated Deaths by Year, Maricopa County, 2001-2014 120 106 110 100 Number of Deaths 85 80 82 75 74 76 61† 60 51 49 38 40 50 42 21 20 0 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 Year of Reported Death Data Sources: Maricopa County, Office of Vital Registration and Office of Medical Examiner; Arizona Department of Health Services, Office of Vital Registration * These numbers are for heat-associated deaths reported to MCDPH as of 10/05/2015. † One case had heat injury outside of Maricopa County, and therefore is not included in analysis 4|Page 5 Final Results of the Two Pending Cases Table 1 Identifying Characteristics of the Two Pending Cases Case #1 Case #2 Heat Caused Heat Caused Male Male 3 55 0-4 50-64 Unknown Unknown African American African American Outdoor Indoor Place of Outdoor Injury Car N/A Air Conditioning Status N/A No Air Conditioning Non-Homeless Non-Homeless No No Maricopa County Maricopa County Date of Injury 10/04/2014 7/11/2014 Date of Death 10/05/2014 7/11/2014 Heat Caused or Heat Related Gender Age Age Group # of Years Spent in Arizona Race Place of Injury Homeless Status Drug/Alcohol Related based on records from the Death Certificate Place of Residency 5|Page 6 Comparison of the Preliminary and Final Results for the 2014 Heat Mortality Report Table 2 Heat Associated Deaths by Classification Preliminary Results Final Results Heat Related 28 (48.3%) 28 (46.7%) Heat Caused 30 (51.7%) 32 (53.3%) Total 58 (100%) 60 (100%) Table 3 Heat Associated Deaths by Place of Residence Preliminary Results Final Results Maricopa County 50 (86.2%) 52 (86.6%) Non-Maricopa County 4 (6.9%) 4 (6.7%) Non-Arizona 4 (6.9%) 4 (6.7%) Total 58 (100%) 60 (100%) *Non-Maricopa County residents include 4 cases from unidentified AZ counties **Non-Arizona residents include three U.S. residents (CA, ID and WA) and one non-US resident (Brazil) Table 4 Heat Associated Deaths by Gender Preliminary Results Final Results Total # Males 47 (81.0%) 49 (81.7%) Total # Females 11 (19.0%) 11 (18.3%) Total 58 (100%) 60 (100%) 6|Page 7 Table 5 Heat Associated Deaths by Age Group Preliminary Results Final Results 0-4 0 (0.0%) 1 (1.7%) 5-19 0 (0.0%) 0 (0.0%) 20-34 6 (10.4%) 6 (10.0%) 35-49 9 (15.5%) 9 (15.0%) 50-64 18 (31.0%) 19 (31.7%) 65-74 13 (22.4%) 13 (21.6%) 75+ 12 (20.7%) 12 (20.0%) Total 58 (100%) 60 (100%) Table 6 Heat Associated Deaths by Number of Years Spent in Arizona Preliminary Results Final Results <3 6 (10.3%) 6 (10.3%) 3-9 6 (10.3%) 6 (10.3%) 10-19 9 (15.6%) 9 (15.6%) 20+ 37 (63.8%) 37 (63.8%) Total 58 (100%) 58 (100%) *Excludes two cases for which time spent in Arizona was unknown at the time of analysis 7|Page 8 Table 7 Heat Associated Deaths by Race/Ethnicity Preliminary Results Final Results White 39 (67.3%) 39 (65%) Hispanic 7 (12.1%) 7 (11.7%) African American 5 (8.6%) 7 (11.7%) Native American 5 (8.6%) 5 (8.2%) Asian/Pacific Islander 1 (1.7%) 1 (1.7%) Other 1 (1.7%) 1 (1.7%) Total: 58 (100%) 60 (100%) Table 8 Heat Associated Deaths by Place of Injury Preliminary Results Final Results Indoor 16 (27.6%) 17 (28.3 %) Outdoor 42 (72.4%) 43 (71.7%) Total 58 (100%) 60 (100%) 8|Page 9 Table 9 Heat Associated Deaths by Place of Outdoor Injury Preliminary Results Final Results Urban Area 15 (35.7%) 15 (34.9%) Desert Area/Trail 8 (19.0%) 8 (18.6%) Private Residence 12 (28.6%) 12 (27.9%) Car 5 (11.9%) 6 (14.0%) Shed 2 (4.8%) 2 (4.6%) Total 42 (100%) 43 (100%) Table 10 Heat Associated Deaths by Residency Status Preliminary Results Final Results Homeless 7 (12.1%) 7 (11.7%) Non-Homeless 51 (87.9%) 53 (88.3%) Total 58 (100%) 60 (100%) 9|Page 10 Table 11 Drug and Alcohol Use, as Mentioned on the Death Certificate, for HeatAssociated Deaths Total 10 | P a g e Preliminary Results Drug and/or Alcohol Use Preliminary Results ‘No’ Drug and/or Alcohol Use Final Results Drug and/or Alcohol Use Final Results ‘No’ Drug and/or Alcohol Use 22 (38%) 36 (62%) 22 (36.7%) 38 (63.3%)