Maricopa County Health Status Report 2004 Reference Tables Prepared by the Maricopa County Department of Public Health Office of Epidemiology and Data Services April 2007 Maricopa County Acknowledgements This report was prepared by the Maricopa County Department of Public Health, Office of Epidemiology and Data Services. Alana Shacter, Epidemiologist Liva Nohre, Sr. Epidemiologist Sarah Santana, Director The authors wish to thank the following individuals and organizations for contributing numeric data, consultation, and other information used in this report. Their assistance is much appreciated. Mare Schumacher, Alisa Diggs, Vjollca Berisha, Natalie Fuller – Office of Epidemiology and Data Services Tom Mickey, Deborah Ramon – Maricopa County Department of Public Health, Division of Clinical Services Kristina Schaller – Arizona Department of Health Services S. Robert Bailey – Arizona Department of Health Services Christopher Mrela – Arizona Department of Health Services For additional copies of this report, please call the Maricopa County Department of Public Health, Office of Epidemiology and Data Services at 602.372.2604. This report may also be found at http://www.maricopa.gov/public_health/epi/ under “Health Statistics and Reports.” Maricopa County Health Status Report 2004 Reference Tables Table of Contents Introduction i I. Maricopa County 2004 Population Statistics 1 Table 1.01 Table 1.02 Population Estimates by Age, Gender, and Race/Ethnicity, 2004 Population by Race/Ethnicity, Age, and Gender, 2004 2 3 II. Maricopa County 2004 Mortality (Death) Statistics 4 Table 2.01a 5 Table 2.09 Table 2.10 Table 2.11 Number of Deaths by Age Group and Race/Ethnicity Death Rates by Age group and Race/Ethnicity, Crude Death Rate per 100,000 Residents Number of Deaths by Age Group and Gender Death Rates by Age Group and Gender, Crude Death Rate per 100,000 Residents Selected Underlying Causes of Death by Race/Ethnicity, Number of Cases Selected Underlying Causes of Death by Race/Ethnicity, Crude Death Rate per 100,000 Residents Selected Underlying Causes of Death by Age Group, Number of Cases Selected Underlying Causes of Death by Age Group, Crude Death Rate per 100,000 Residents Selected Underlying Causes of Death by Gender, Number of Cases Selected Underlying Causes of Death by Gender, Crude Death Rate per 100,000 Residents Firearm Related and Drug and Alcohol Induced and Related Deaths by Age Group, Number of Cases Firearm Related and Drug and Alcohol Induced and Related Deaths by Age Group, Crude Death Rate per 100,000 Residents Firearm Related and Drug and Alcohol Induced and Related Deaths by Race/Ethnicity, Number of Cases Firearm Related and Drug and Alcohol Induced and Related Deaths by Race/Ethnicity, Crude Death Rate per 100,000 Residents Firearm Related and Drug and Alcohol Induced and Related Deaths by Gender, Number of Cases Firearm Related and Drug and Alcohol Induced and Related Deaths by Gender, Crude Death Rate per 100,000 Residents Number of Deaths by Race/Ethnicity and Marital Status Number of Deaths by Race/Ethnicity and Education Level Number of Deaths by Race/Ethnicity and Gender III. Maricopa County 2004 Communicable Disease Statistics 18 Table 3.01a Table 3.01b Table 3.02a Table 3.02b Table 3.03a Table 3.03b Number of Cases of Selected Reportable Disease by Race/Ethnicity Case Rates per 100,000 Residents for Selected Reportable Diseases by Race/Ethnicity Number of Cases of Selected Reportable Diseases by Age Group Case Rates per 100,000 Residents for Selected Reportable Diseases by Age Group Number of Cases of Selected Reportable Diseases by Gender Case Rates per 100,000 Residents for Selected Reportable Diseases by Gender 19 20 21 22 23 24 Table 2.01b Table 2.02a Table 2.02b Table 2.03a Table 2.03b Table 2.04a Table 2.04b Table 2.05a Table 2.05b Table 2.06a Table 2.06b Table 2.07a Table 2.07b Table 2.08a Table 2.08b 5 6 6 7 8 9 11 13 14 15 15 16 16 16 16 17 17 17 Maricopa County Health Status Report 2004 Reference Tables Table of Contents IV. Maricopa County 2004 Natality (Birth) Statistics 25 Table 4.01 Table 4.02 Table 4.03 Table 4.04 Table 4.05 Table 4.06 Table 4.07 Table 4.08 Table 4.09 Table 4.10 Table 4.11 Table 4.12 Table 4.13 Table 4.14 Table 4.15 Number and Percent of Births by Age and Race/Ethnicity of Mother Number and Percent of Births by Marital Status and Race/Ethnicity of Mother Number and Percent of Births by Educational Level and Race/Ethnicity of Mother Trimester of First Prenatal Care by Race Ethnicity of Mother Number and Percent of Prenatal Care Visits by Race/Ethnicity of Mother Adequacy of Prenatal Care by Race/Ethnicity of Mother, Singleton Births Only Birthweight of Infant by Race/Ethnicity of Mother Preterm (Less than 37 Weeks Gestation) by Race/Ethnicity of Mother Number and Percent of Births by Marital Status and Age Group of Mother Number and Percent of Births by Educational Level and Age Group of Mother Trimester of First Prenatal Care by Age Group of Mother Number and Percent of Prenatal Care Visits by Age Group of Mother Adequacy of Prenatal Care by Age Group of Mother, Singleton Births Only Birthweight of Infant by Age Group of Mother Preterm Births (Less Than 37 Weeks Gestation) by Age Group of Mother 26 26 26 27 27 27 28 28 29 29 29 30 30 31 31 V. Technical Notes 32 Introduction This report provides health status information for the year 2004 for residents of Maricopa County, Arizona. It includes data for morbidity (death), communicable diseases, and natality (birth), as well as information on the size and demographic distribution of the population. For each disease or health indicator, the following information is provided: • Number of cases in the county • • • Communicable Disease Example: 109 residents of Maricopa County were diagnosed with confirmed cases of Pertussis (whooping cough) in 2004. Natality (Birth) Example: There were 735 infants born with a very low birthweight (less then 1500 grams) in 2004. Rate or percentage of cases in the county • • Communicable Disease Example: For every 100,000 residents of Maricopa County, 3.1 were diagnosed with Pertussis in 2004. Natality (Birth) Example: Among all live births in 2004, 1.2% were born with a very low birthweight. All data in this report are for calendar year 2004. Information on data sources and methodology are in Section V – Technical Notes. Maricopa County Health Status Report 2004 Page i I. Maricopa County 2004 Population Statistics Maricopa County Health Status Report 2004 Page 1 Maricopa County 2004 Population Statistics Table 1.01 Population Estimates by Age, Gender, and Race/Ethnicity, 2004 Race/Ethnicity by Gender Age by Gender Age 0-4 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ Total Males No. % 148,638 137,396 135,303 121,051 129,145 290,456 264,749 212,591 148,691 97,756 56,695 16,142 8.5% 7.8% 7.7% 6.9% 7.3% 16.5% 15.1% 12.1% 8.5% 5.6% 3.2% 0.9% 1,758,613 Females No. % 141,778 131,281 129,060 113,819 117,046 260,016 247,462 215,849 162,320 110,184 78,679 32,480 8.1% 7.5% 7.4% 6.5% 6.7% 14.9% 14.2% 12.4% 9.3% 6.3% 4.5% 1.9% 1,739,974 Race/Ethnicity Total No. 290,416 268,677 264,363 234,870 246,191 550,472 512,211 428,440 311,011 207,940 135,374 48,622 % 8.3% 7.7% 7.6% 6.7% 7.0% 15.7% 14.6% 12.2% 8.9% 5.9% 3.9% 1.4% Males No. % White Hispanic African American Amer. Ind., Non-Hisp. Amer. Ind., Hisp. Asian Other/2+ Races 1,074,999 514,801 66,805 27,722 8,920 43,012 22,354 Total 1,758,613 58.8% 28.1% 3.7% 1.5% 0.5% 2.4% 1.2% Females No. % 1,108,363 459,836 64,247 30,034 8,456 46,507 22,531 61.4% 25.5% 3.6% 1.7% 0.5% 2.6% 1.2% 1,739,974 3,498,587 Age by Race/Ethnicity Age White No. 0-4 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ Total 130,939 129,361 136,991 129,573 128,208 289,402 327,318 316,094 252,100 176,783 121,995 44,598 2,183,362 Hispanic % 6.0% 5.9% 6.3% 5.9% 5.9% 13.3% 15.0% 14.5% 11.5% 8.1% 5.6% 2.0% No. 127,022 107,679 95,961 78,142 91,569 199,924 132,241 74,654 37,771 18,959 8,275 2,440 974,637 African American % 13.0% 11.0% 9.8% 8.0% 9.4% 20.5% 13.6% 7.7% 3.9% 1.9% 0.8% 0.3% No. 10,263 11,078 12,465 11,107 10,289 21,289 21,230 16,203 8,901 5,180 2,280 767 131,052 % 7.8% 8.5% 9.5% 8.5% 7.9% 16.2% 16.2% 12.4% 6.8% 4.0% 1.7% 0.6% American Indian Non-Hispanic Hispanic No. % No. % 7,010 5,125 5,452 5,036 5,107 10,896 8,411 5,452 2,965 1,439 642 221 57,756 12.1% 8.9% 9.4% 8.7% 8.8% 18.9% 14.6% 9.4% 5.1% 2.5% 1.1% 0.4% 1,326 2,282 2,209 1,844 1,643 3,055 2,486 1,399 675 337 115 5 7.6% 13.1% 12.7% 10.6% 9.5% 17.6% 14.3% 8.1% 3.9% 1.9% 0.7% 0.0% 17,376 Asian No. 6,335 5,970 5,596 4,839 5,838 20,102 16,335 11,530 6,754 4,212 1,579 429 89,519 Other/2+ Races % 7.1% 6.7% 6.3% 5.4% 6.5% 22.5% 18.2% 12.9% 7.5% 4.7% 1.8% 0.5% No. 7,521 7,182 5,689 4,329 3,537 5,804 4,190 3,108 1,845 1,030 488 162 % 16.8% 16.0% 12.7% 9.6% 7.9% 12.9% 9.3% 6.9% 4.1% 2.3% 1.1% 0.4% 44,885 Source: United States Census, Population Estimates Division. Data on this page were used for calculating all rates (denominators) in this report for 2004. Maricopa County Health Status Report 2004 Page 2 Total No. 290,416 268,677 264,363 234,870 246,191 550,472 512,211 428,440 311,011 207,940 135,374 48,622 3,498,587 Maricopa County 2004 Population Statistics Table 1.02 Population by Race/Ethnicity, Age, and Gender, 2004 Females Age White No. 0-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75+ Total 63,791 62,981 66,694 62,949 63,610 66,425 74,995 74,815 85,999 83,536 76,875 71,712 60,120 49,186 44,093 100,582 Hispanic % No. 5.8% 5.7% 6.0% 5.7% 5.7% 6.0% 6.8% 6.8% 7.8% 7.5% 6.9% 6.5% 5.4% 4.4% 4.0% 9.1% 61,991 52,677 46,975 37,541 40,275 46,539 41,814 33,211 27,165 20,623 15,194 11,346 7,822 5,915 4,297 6,451 1,108,363 African American % 13.5% 11.5% 10.2% 8.2% 8.8% 10.1% 9.1% 7.2% 5.9% 4.5% 3.3% 2.5% 1.7% 1.3% 0.9% 1.4% 459,836 No. 4,973 5,467 6,092 5,330 5,059 4,840 5,172 5,004 5,175 4,374 3,574 2,495 2,002 1,594 1,179 1,917 % 7.7% 8.5% 9.5% 8.3% 7.9% 7.5% 8.1% 7.8% 8.1% 6.8% 5.6% 3.9% 3.1% 2.5% 1.8% 3.0% 64,247 American Indian Non-Hispanic Hispanic No. % No. % 3,563 2,500 2,737 2,496 2,650 2,984 2,716 2,162 2,202 1,674 1,349 990 664 514 305 528 11.9% 8.3% 9.1% 8.3% 8.8% 9.9% 9.0% 7.2% 7.3% 5.6% 4.5% 3.3% 2.2% 1.7% 1.0% 1.8% 688 1,130 1,117 963 807 706 688 574 556 382 271 173 145 111 70 75 30,034 8.1% 13.4% 13.2% 11.4% 9.5% 8.3% 8.1% 6.8% 6.6% 4.5% 3.2% 2.0% 1.7% 1.3% 0.8% 0.9% 8,456 Asian No. 3,145 2,983 2,682 2,349 2,836 4,541 5,615 4,493 3,983 3,415 2,995 2,270 1,602 1,396 990 1,212 Other/2+ Races % 6.8% 6.4% 5.8% 5.1% 6.1% 9.8% 12.1% 9.7% 8.6% 7.3% 6.4% 4.9% 3.4% 3.0% 2.1% 2.6% 46,507 No. 3,627 3,543 2,763 2,191 1,809 1,568 1,413 1,101 1,022 876 711 581 398 293 241 394 % 16.1% 15.7% 12.3% 9.7% 8.0% 7.0% 6.3% 4.9% 4.5% 3.9% 3.2% 2.6% 1.8% 1.3% 1.1% 1.7% 22,531 Total No. 141,778 131,281 129,060 113,819 117,046 127,603 132,413 121,360 126,102 114,880 100,969 89,567 72,753 59,009 51,175 111,159 1,739,974 Males 0-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75+ Total 67,148 66,380 70,297 66,624 64,598 69,120 78,862 78,865 87,639 82,889 72,794 66,679 53,589 44,509 38,995 66,011 1,074,999 6.2% 6.2% 6.5% 6.2% 6.0% 6.4% 7.3% 7.3% 8.2% 7.7% 6.8% 6.2% 5.0% 4.1% 3.6% 6.1% 65,031 55,002 48,986 40,601 51,294 60,502 51,069 40,376 31,489 22,726 16,111 11,206 7,397 5,177 3,570 4,264 514,801 12.6% 10.7% 9.5% 7.9% 10.0% 11.8% 9.9% 7.8% 6.1% 4.4% 3.1% 2.2% 1.4% 1.0% 0.7% 0.8% 5,290 5,611 6,373 5,777 5,230 5,434 5,843 5,251 5,800 4,725 3,530 2,660 1,744 1,442 965 1,130 66,805 7.9% 8.4% 9.5% 8.6% 7.8% 8.1% 8.7% 7.9% 8.7% 7.1% 5.3% 4.0% 2.6% 2.2% 1.4% 1.7% 3,447 2,625 2,715 2,540 2,457 2,724 2,472 2,188 1,859 1,381 1,048 813 498 375 245 335 27,722 12.4% 9.5% 9.8% 9.2% 8.9% 9.8% 8.9% 7.9% 6.7% 5.0% 3.8% 2.9% 1.8% 1.4% 0.9% 1.2% 638 1,152 1,092 881 836 950 711 747 609 463 283 226 131 75 81 45 8,920 7.2% 12.9% 12.2% 9.9% 9.4% 10.7% 8.0% 8.4% 6.8% 5.2% 3.2% 2.5% 1.5% 0.8% 0.9% 0.5% 3,190 2,987 2,914 2,490 3,002 4,557 5,389 4,244 3,615 2,879 2,241 1,631 1,251 1,096 730 796 43,012 7.4% 6.9% 6.8% 5.8% 7.0% 10.6% 12.5% 9.9% 8.4% 6.7% 5.2% 3.8% 2.9% 2.5% 1.7% 1.9% 3,894 3,639 2,926 2,138 1,728 1,518 1,305 1,068 999 870 651 486 380 280 216 256 17.4% 16.3% 13.1% 9.6% 7.7% 6.8% 5.8% 4.8% 4.5% 3.9% 2.9% 2.2% 1.7% 1.3% 1.0% 1.1% 22,354 Source: United States Census, Population Estimates Division. Data on this page were used for calculating all rates (denominators) in this report for 2004. Maricopa County Health Status Report 2004 Page 3 148,638 137,396 135,303 121,051 129,145 144,805 145,651 132,739 132,010 115,933 96,658 83,701 64,990 52,954 44,802 72,837 1,758,613 II. Maricopa County 2004 Mortality (Death) Statistics Maricopa County Health Status Report 2004 Page 4 Maricopa County 2004 Mortality (Death) Statistics Table 2.01a Number of Deaths by Age Group and Race/Ethnicity Race/Ethnicity Age Group White Hispanic African American American Indian, Non-Hispanic American Indian, Hispanic Other/ Unknown Asian Total <1 141 203 28 6 7 8 3 396 1-4 26 23 3 3 1 2 0 58 5-9 11 17 4 1 1 0 0 34 10-14 23 20 5 1 0 0 0 49 15-19 81 73 16 9 2 2 0 183 20-24 146 112 13 8 4 1 1 285 25-34 248 182 33 27 2 9 1 502 35-44 576 225 64 43 9 15 3 935 45-54 1,261 266 103 59 2 24 7 1,722 55-64 1,938 293 131 62 11 35 7 2,477 65-74 3,171 383 146 36 3 30 6 3,775 75-84 5,915 463 117 31 1 42 5 6,574 85+ 6,049 287 113 22 0 44 0 6,515 Unknown Total 14 1 1 0 0 0 11 27 19,600 2,548 777 308 43 212 44 23,532 Table 2.01b Death Rates by Age Group and Race/Ethnicity Crude Death Rate per 100,000 Residents Race/Ethnicity Age Group White Hispanic American Indian, Non-Hispanic African American American Indian, Hispanic Other/ Unknown Asian Total 0-4 127.5 177.9 302.1 128.4 603.3 157.9 - 156.3 5-9 8.5 15.8 36.1 19.5 43.8 0 - 12.7 10-14 16.8 20.8 40.1 18.3 0 0 - 18.5 15-19 62.5 93.4 144.1 178.7 108.5 41.3 - 77.9 20-24 113.9 122.3 126.3 156.6 243.5 17.1 - 115.8 25-34 85.7 91.0 155.0 247.8 65.5 44.8 - 91.2 35-44 176.0 170.1 301.5 511.2 362.0 91.8 - 182.5 45-54 398.9 356.3 635.7 1,082.2 143.0 208.2 - 401.9 55-64 768.7 775.7 1,471.7 2,091.1 1,629.6 518.2 - 796.4 65-74 1,793.7 2,020.1 2,818.5 2,501.7 890.2 712.3 - 1,815.4 75-84 4,848.6 5,595.2 5,131.6 4,828.7 869.6 2,659.9 - 4,856.2 13,563.4 11,762.3 14,732.7 9,954.8 0 10,256.4 - 13,399.3 - - - - - - - - 897.7 261.4 592.9 533.3 247.5 236.8 - 672.6 85+ Unknown Total Maricopa County Health Status Report 2004 Page 5 Maricopa County 2004 Mortality (Death) Statistics Table 2.02a Number of Deaths by Age Group and Gender Gender Age Group Male Total Female <1 230 166 396 1-4 36 22 58 5-9 23 11 34 10-14 31 18 49 15-19 134 49 183 20-24 224 61 285 25-34 374 128 502 35-44 611 324 935 45-54 1,107 615 1,722 55-64 1,471 1,006 2,477 65-74 2,116 1,659 3,775 75-84 3,313 3,261 6,574 85+ 2,448 4,067 6,515 24 3 27 12,142 11,390 23,532 Unknown Total Table 2.02b Death Rates by Age Group and Gender Crude Death Rate per 100,000 Residents Gender Age Group Male Total Female 0-4 179.0 132.6 156.3 5-9 16.7 8.4 12.7 10-14 22.9 13.9 18.5 15-19 110.7 43.1 77.9 20-24 173.4 52.1 115.8 25-34 128.8 49.2 91.2 35-44 230.8 130.9 182.5 45-54 520.7 284.9 401.9 55-64 989.3 619.8 796.4 65-74 2,164.6 1,505.7 1,815.4 75-84 5,843.5 4,144.7 4,856.2 15,165.4 12,521.6 13,399.3 - - - 690.4 654.6 672.6 85+ Unknown Total Maricopa County Health Status Report 2004 Page 6 Maricopa County 2004 Mortality (Death) Statistics Table 2.03a Selected Underlying Causes of Death by Race/Ethnicity Number of Cases Race/Ethnicity Cause Infectious Diseases White Tuberculosis Syphilis HIV Stomach Colon Pancreas Lung Cancer Breast Uterine & Ovarian Prostate Urinary Lymphoma Diabetes and Alzheimer's Major Heart Cardiovascular Disease Diseases Other Cardiovascular Other Respiratory Diseases Other/ Asian Unknown Total 4 0 2 0 1 0 0 0 0 0 0 0 0 0 7 0 58 75 438 263 1,245 29 24 36 17 57 19 8 18 9 43 2 4 2 3 7 0 0 0 0 1 0 2 6 6 16 0 0 0 0 2 108 113 500 298 1,371 318 202 243 246 37 38 23 22 14 9 8 3 4 1 2 2 0 1 0 0 6 6 0 2 0 0 0 0 379 257 276 275 171 18 5 0 0 1 0 195 22 124 418 106 50 24 3 37 157 33 22 24 3 10 38 21 7 6 0 3 5 1 0 0 3 13 61 9 6 2 0 0 2 1 0 0 201 1,303 5,168 604 1,113 318 Ischemic Heart Disease Other Heart Disease All Heart Disease Primary Hypertension 4,100 690 5,052 205 345 60 429 31 123 40 187 18 43 4 53 5 3 0 3 1 38 5 45 4 3 3 6 1 4,655 802 5,775 265 Cerebrovascular Atherosclerosis Other Circulatory 1,139 111 195 139 11 16 47 5 4 8 1 0 0 0 0 17 0 4 0 0 1 1,350 128 220 All Other Cardiovascular Influenza & Pneumonia Chronic Lower Respiratory 1,650 511 1,234 197 49 57 74 8 17 14 6 5 1 4 0 25 2 5 2 2 0 1,963 582 1,318 36 216 193 0 65 38 0 5 19 0 26 4 0 2 0 0 4 2 0 2 1 36 320 257 Pregnancy & Early Life Pregnancy Perinatal Conditions Congenital Malformations Unknown Total American Indian, Hispanic 170 1,116 4,487 433 1,028 262 Peptic Ulcer Liver Disease Nephritis External Causes American Indian, Non-Hispanic Leukemia Other All Cancer Diabetes Alzheimer's Hypertensive Heart Disease GI & Urinary Other Diseases African Hispanic American SIDS Symptoms, Signs Other Diseases Motor Vehicle Collisions All Other Accidents Suicide Homicide Other External Causes All External Causes 0 1 1 0 0 0 0 2 68 77 102 54 15 6 1 3 2 1 6 2 2 1 196 144 2 346 4 36 1 19 0 2 0 1 1 4 0 4 8 412 2,645 303 717 361 111 37 1,529 31 19,600 382 178 109 70 157 13 527 2 2,548 100 19 31 14 28 0 92 1 777 60 18 31 7 6 4 66 0 308 7 5 4 2 3 2 16 0 43 21 8 6 4 1 0 19 0 212 Maricopa County Health Status Report 2004 Page 7 3 3,218 6 537 9 907 0 458 1 307 0 56 16 2,265 2 36 44 23,532 Maricopa County 2004 Mortality (Death) Statistics Table 2.03b Selected Underlying Causes of Death by Race/Ethnicity Crude Death Rate per 100,000 Residents Race/Ethnicity Cause Infectious Diseases White Tuberculosis Syphilis HIV Stomach Colon Pancreas Lung Cancer Breast 1 Uterine & Ovarian 1 Prostate Urinary Lymphoma Diabetes and Alzheimer's Major Heart Cardiovascular Disease Diseases Other Cardiovascular Other Respiratory Diseases Leukemia Other All Cancer Diabetes Alzheimer's Hypertensive Heart Disease Ischemic Heart Disease Other Heart Disease All Heart Disease Primary Hypertension Cerebrovascular Atherosclerosis Other Circulatory All Other Cardiovascular Influenza & Pneumonia Chronic Lower Respiratory GI & Urinary Peptic Ulcer Liver Disease Nephritis Pregnancy & Early Life Pregnancy Perinatal Conditions Congenital Malformations Other Diseases External Causes Unknown Total 1 SIDS Symptoms, Signs Other Diseases Motor Vehicle Collisions All Other Accidents Suicide Homicide Other External Causes All External Causes American Indian, Non-Hispanic 0.8 0 African Hispanic American American Other/ Indian, Hispanic Asian Unknown 0 0 - Total 0.2 0.2 0 2.7 3.4 20.1 12.0 0 3.0 2.5 3.7 1.7 0 14.5 6.1 13.7 6.9 0 3.5 6.9 3.5 5.2 0 0 0 0 0 0 0 2.2 6.7 6.7 - 0 3.1 3.2 14.3 8.5 57.0 14.6 18.2 22.6 5.8 3.8 8.3 4.5 32.8 10.7 14.0 12.0 12.1 6.9 3.3 7.2 5.8 0 11.8 0 17.9 6.7 12.9 0 - 39.2 10.8 14.8 15.7 11.3 2.3 2.3 3.5 0 2.2 - 7.9 7.8 7.8 51.1 205.5 19.8 47.1 1.8 2.3 12.7 42.9 10.9 5.1 3.8 2.3 28.2 119.8 25.2 16.8 0 5.2 17.3 65.8 36.4 12.1 0 0 17.3 28.8 5.8 0 1.1 3.4 14.5 68.1 10.1 6.7 - 5.6 5.7 37.2 147.7 17.3 31.8 12.0 187.8 31.6 231.4 2.5 35.4 6.2 44.0 18.3 93.9 30.5 142.7 10.4 74.5 6.9 91.8 0 17.3 0 17.3 2.2 42.4 5.6 50.3 - 9.1 133.1 22.9 165.1 9.4 52.2 5.1 3.2 14.3 1.1 13.7 35.9 3.8 8.7 13.9 1.7 5.8 0 0 4.5 19.0 0 - 7.6 38.6 3.7 8.9 75.6 23.4 1.6 20.2 5.0 3.1 56.5 6.1 0 24.2 10.4 0 5.8 23.0 4.5 27.9 2.2 - 6.3 56.1 16.6 56.5 1.6 9.9 5.8 0 6.7 13.0 0 3.8 8.7 0 45.0 0 0 11.5 5.6 0 4.5 - 37.7 1.0 9.1 8.8 3.9 14.5 6.9 0.0 2.2 - 7.3 0 3.1 0.1 10.5 0.8 11.4 0 1.7 0 11.5 0 6.7 - 0.1 5.6 3.5 0.1 5.5 0.4 4.6 0.8 5.2 0 5.8 0 2.2 1.1 - 4.1 0.2 15.8 121.1 13.9 32.8 16.5 5.1 1.7 70.0 1.4 897.7 3.7 39.2 18.3 11.2 7.2 16.1 1.3 54.1 0.2 261.4 14.5 76.3 14.5 23.7 10.7 21.4 0 70.2 0.8 592.9 3.5 103.9 31.2 53.7 12.1 10.4 6.9 114.3 0 533.3 5.8 40.3 28.8 23.0 11.5 17.3 11.5 92.1 0 247.5 4.5 23.5 8.9 6.7 4.5 1.1 0 21.2 0 236.8 - 11.8 92.0 15.3 25.9 13.1 8.8 1.6 64.7 1.0 672.6 Uterine & ovarian cancer rates are per 100,000 females; prostate cancer rates are per 100,000 males. Maricopa County Health Status Report 2004 Page 8 0.2 Maricopa County 2004 Mortality (Death) Statistics Table 2.04a Selected Underlying Causes of Death by Age Group Number of Cases Age Group Cause Infectious Diseases Cancer Diabetes and Alzheimer's Major Cardiovascular Diseases Heart Disease Other Cardiovascular <1 1-4 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ Unk. Total Tuberculosis 0 0 0 0 0 0 0 2 0 1 2 1 1 0 7 Syphilis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 HIV 0 0 0 0 0 3 15 41 30 12 5 1 1 0 108 Stomach 0 0 0 0 0 0 2 5 19 17 26 29 15 0 113 Colon 0 0 0 0 1 1 3 11 36 74 108 151 115 0 500 Pancreas 0 0 0 0 0 0 0 5 21 62 82 87 41 0 298 Lung 0 0 0 0 0 0 1 11 83 252 416 462 146 0 1,371 Breast 0 0 0 0 0 0 1 35 58 78 72 87 48 0 379 Uterine & Ovarian 0 0 0 0 0 1 2 23 29 46 54 70 32 0 257 Prostate 0 0 0 0 0 0 0 1 3 23 48 108 93 0 276 Urinary 1 0 0 0 0 0 1 2 24 49 64 79 55 0 275 Lymphoma 0 0 0 0 0 2 2 10 21 24 44 56 36 0 195 Leukemia 1 2 3 0 2 2 9 5 9 18 39 83 28 0 201 Other 0 2 3 2 7 7 19 56 126 241 340 343 157 0 1,303 All Cancer 2 4 6 2 10 13 40 164 429 884 1,293 1,555 766 0 5,168 Diabetes 0 0 0 0 0 0 10 23 49 110 119 174 119 0 604 1,113 Alzheimer's 0 0 0 0 0 0 0 0 0 4 61 351 697 0 Hypertensive Heart Dis. 0 0 0 0 0 0 1 9 31 51 41 69 116 0 318 Ischemic Heart Disease 0 0 0 0 0 1 11 58 201 433 762 1,455 1,733 1 4,655 Other Heart Disease 7 2 0 2 5 5 10 29 66 64 101 235 276 0 802 5,775 All Heart Disease 7 2 0 2 5 6 22 96 298 548 904 1,759 2,125 1 Primary Hypertension 0 0 0 0 0 1 1 3 13 18 45 85 98 1 265 Cerebrovascular 2 0 0 1 0 1 7 17 43 81 168 458 572 0 1,350 Atherosclerosis 0 0 0 0 0 0 0 1 2 5 14 40 66 0 128 Other Circulatory 0 0 0 0 0 3 0 4 8 14 47 84 60 0 220 All Other Cardiovascular 2 0 0 1 0 5 8 25 66 118 274 667 796 1 1,963 (Continued) Maricopa County Health Status Report 2004 Page 9 Maricopa County 2004 Mortality (Death) Statistics Age Group Cause <1 1-4 5-9 10-14 15-19 20-24 25-34 35-44 45-54 Other Respiratory Diseases Influenza & Pneumonia GI & Urinary Peptic Ulcer 0 0 0 0 0 0 0 0 1 Liver Disease 0 0 0 0 0 0 9 33 90 Nephritis 3 1 1 0 0 1 0 3 15 Pregnancy 0 0 0 0 0 1 1 0 0 190 1 3 0 1 0 0 0 95 4 2 4 6 1 8 4 Pregnancy & Early Life Chronic Lower Respiratory Perinatal Conditions Congenital Malformations SIDS Other Diseases External Causes Total 65-74 75-84 85+ Unk. Total 14 3 1 0 0 2 6 10 29 28 73 189 227 0 582 1 0 0 1 2 0 3 13 43 116 278 530 331 0 1,318 2 6 10 17 0 36 82 53 45 8 0 320 32 40 89 72 0 257 0 0 0 0 0 2 1 0 0 0 0 0 196 10 3 3 3 1 0 144 8 0 0 0 0 0 0 0 0 0 0 0 0 0 8 Symptoms, Signs 20 3 0 0 1 5 28 23 40 24 24 78 160 6 412 Other Diseases 39 20 6 10 16 16 43 118 274 321 503 892 960 0 3,218 Motor Vehicle Collisions 1 4 6 18 63 71 79 85 70 54 32 31 16 7 537 All Other Accidents 9 14 6 4 24 41 54 128 144 71 58 150 196 8 907 Suicide 0 0 0 1 27 49 82 92 85 47 28 36 11 0 458 Homicide 4 2 3 5 23 67 87 57 28 12 9 3 3 4 307 Other External Causes 0 0 0 1 4 3 7 17 15 2 6 1 0 0 56 14 20 15 29 141 231 309 379 342 186 133 221 226 19 2,265 All External Causes Unknown 55-64 1 0 0 0 1 1 0 1 5 6 4 9 8 0 36 396 58 34 49 183 285 502 935 1,722 2,477 3,775 6,574 6,515 27 23,532 Maricopa County Health Status Report 2004 Page 10 Maricopa County 2004 Mortality (Death) Statistics Table 2.04b Selected Underlying Causes of Death by Age Group Crude Death Rate per 100,000 Residents Age Group Cause Infectious Diseases Cancer 0-4 25-34 35-44 45-54 55-64 65-74 75-84 85+ Total Unk. 0 0 0 0 0 0.4 0 0.3 1.0 0.7 2.1 - 0 0 0 0 0 0 0 0 0 0 0 0 - 0 HIV 0 0 0 0 1.2 2.7 8.0 7.0 3.9 2.4 0.7 2.1 - 3.1 Stomach 0 0 0 0 0 0.4 1.0 4.4 5.5 12.5 21.4 30.9 - 3.2 Colon 0 0 0 0.4 0.4 0.5 2.1 8.4 23.8 51.9 111.5 236.5 - 14.3 Pancreas 0 0 0 0 0 0 1.0 4.9 19.9 39.4 64.3 84.3 - 8.5 Lung 0 0 0 0 0 0.2 2.1 19.4 81.0 200.1 341.3 300.3 - 39.2 10.8 0.2 0 0 0 0 0 0.2 6.8 13.5 25.1 34.6 64.3 98.7 - Uterine & Ovarian 0 0 0 0 0.9 0.8 9.3 13.4 28.3 49.0 89.0 98.5 - 14.8 1 0 0 0 0 0 0 0.4 1.4 15.5 49.1 190.5 576.1 - 15.7 0.3 0 0 0 0 0.2 0.4 5.6 15.8 30.8 58.4 113.1 - 7.9 Urinary Lymphoma 0 0 0 0 0.8 0.4 2.0 4.9 7.7 21.2 41.4 74.0 - 5.6 1.0 1.1 0 0.9 0.8 1.6 1.0 2.1 5.8 18.8 61.3 57.6 - 5.7 Other 0.7 1.1 0.8 3.0 2.8 3.5 10.9 29.4 77.5 163.5 253.4 322.9 - 37.2 All Cancer 2.1 2.2 0.8 4.3 5.3 7.3 32.0 100.1 284.2 621.8 1,148.7 1,575.4 - 147.7 Diabetes 0 0 0 0 0 1.8 4.5 11.4 35.4 57.2 128.5 244.7 - 17.3 Alzheimer's 0 0 0 0 0 0 0 0 1.3 29.3 259.3 1,433.5 - 31.8 Hypertensive Heart Dis. 0 0 0 0 0 0.2 1.8 7.2 16.4 19.7 51.0 238.6 - 9.1 Ischemic Heart Disease 0 0 0 0 0.4 2.0 11.3 46.9 139.2 366.5 1,074.8 3,564.2 - 133.1 Other Heart Disease 3.1 0 0.8 2.1 2.0 1.8 5.7 15.4 20.6 48.6 173.6 567.6 - 22.9 All Heart Disease 3.1 0 0.8 2.1 2.4 4.0 18.7 69.6 176.2 434.7 1,299.4 4,370.4 - 165.1 0 0 0 0 0.4 0.2 0.6 3.0 5.8 21.6 62.8 201.6 - 7.6 0.7 0 0.4 0 0.4 1.3 3.3 10.0 26.0 80.8 338.3 1,176.4 - 38.6 0 0 0 0 0 0 0.2 0.5 1.6 6.7 29.5 135.7 - 3.7 Leukemia Other Cardiovascular 20-24 0 Prostate Heart Disease 15-19 Syphilis 1 Major Cardiovascular Diseases 10-14 Tuberculosis Breast Diabetes and Alzheimer's 5-9 Primary Hypertension Cerebrovascular Atherosclerosis Other Circulatory All Other Cardiovascular 0 0 0 0 1.2 0 0.8 1.9 4.5 22.6 62.1 123.4 - 6.3 0.7 0 0.4 0 2.0 1.5 4.9 15.4 37.9 131.8 492.7 1,637.1 - 56.1 (Continued) Maricopa County Health Status Report 2004 Page 11 Maricopa County 2004 Mortality (Death) Statistics Age Group Cause 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ Total Unk. Other Respiratory Diseases Influenza & Pneumonia 5.9 0.4 0 0 0.8 1.1 2.0 6.8 9.0 35.1 139.6 466.9 - 16.6 Chronic Lower Respiratory 0.3 0 0.4 0.9 0 0.5 2.5 10.0 37.3 133.7 391.5 680.8 - 37.7 GI & Urinary Peptic Ulcer 0 0 0 0 0 0 0 0.2 0.6 2.9 7.4 35.0 - 1.0 Liver Disease 0 0 0 0 0 1.6 6.4 21.0 26.4 25.5 33.2 16.5 - 9.1 1.4 0.4 0 0 0.4 0 0.6 3.5 10.3 19.2 65.7 148.1 - 7.3 0 0 0 0 0.4 0.2 0 0 0 0 0 0 - 0.1 Perinatal Conditions 65.8 1.1 0 0.4 0 0 0 0.2 0 0 0 0 - 5.6 Congenital Malformations 34.1 0.7 1.5 2.6 0.4 1.5 0.8 2.3 1.0 1.4 2.2 2.1 - 4.1 SIDS 2.8 0 0 0 0 0 0 0 0 0 0 0 - 0.2 Symptoms, Signs 7.9 0 0 0.4 2.0 5.1 4.5 9.3 7.7 11.5 57.6 329.1 - 11.8 Nephritis Pregnancy & Early Life Other Diseases Pregnancy Other Diseases External Causes 20.3 2.2 3.8 6.8 6.5 7.8 23.0 64.0 103.2 241.9 658.9 1,974.4 - 92.0 Motor Vehicle Collisions 1.7 2.2 6.8 26.8 28.8 14.4 16.6 16.3 17.4 15.4 22.9 32.9 - 15.3 All Other Accidents 7.9 2.2 1.5 10.2 16.7 9.8 25.0 33.6 22.8 27.9 110.8 403.1 - 25.9 0 0 0.4 11.5 19.9 14.9 18.0 19.8 15.1 13.5 26.6 22.6 - 13.1 2.1 1.1 1.9 9.8 27.2 15.8 11.1 6.5 3.9 4.3 2.2 6.2 - 8.8 0 0 0.4 1.7 1.2 1.3 3.3 3.5 0.6 2.9 0.7 0 - 1.6 11.7 5.6 11.0 60.0 93.8 56.1 74.0 79.8 59.8 64.0 163.3 464.8 - 64.7 0.3 156.3 0 12.7 0 18.5 0.4 77.9 0.4 115.8 0 91.2 0.2 182.5 1.2 401.9 1.9 796.4 1.9 1,815.4 6.6 4,856.2 16.5 13,399.3 - 1.0 672.6 Suicide Homicide Other External Causes All External Causes Unknown Total 1 0-4 Uterine & ovarian cancer rates are per 100,000 females; prostate cancer rates are per 100,000 males. Maricopa County Health Status Report 2004 Page 12 Maricopa County 2004 Mortality (Death) Statistics Table 2.05a Selected Underlying Causes of Death by Gender Number of Cases Gender Cause Infectious Diseases Male Total 5 0 2 0 7 0 HIV Stomach Colon Pancreas Lung 97 70 249 162 746 11 43 251 136 625 108 113 500 298 1,371 Breast Uterine & Ovarian Prostate Urinary 1 0 276 179 378 257 0 96 379 257 276 275 Lymphoma 104 91 195 Leukemia Other All Cancer Diabetes Alzheimer's Hypertensive Heart Disease 125 794 2,706 325 356 149 76 509 2,462 279 757 169 201 1,303 5,168 604 1,113 318 Ischemic Heart Disease Other Heart Disease All Heart Disease Primary Hypertension 2,473 383 3,005 110 2,182 419 2,770 155 4,655 802 5,775 265 Cerebrovascular Atherosclerosis Other Circulatory 537 59 123 813 69 97 1,350 128 220 All Other Cardiovascular Influenza & Pneumonia Chronic Lower Respiratory 829 296 617 1,134 286 701 1,963 582 1,318 GI & Urinary Peptic Ulcer Liver Disease Nephritis 13 201 127 23 119 130 36 320 257 Pregnancy & Early Life Pregnancy 0 2 2 Perinatal Conditions Congenital Malformations 120 80 76 64 196 144 SIDS Symptoms, Signs 2 171 6 241 8 412 1,581 374 564 357 259 38 1,592 19 12,142 1,637 163 343 101 48 18 673 17 11,390 3,218 537 907 458 307 56 2,265 36 23,532 Cancer Diabetes and Alzheimer's Major Heart Disease Cardiovascular Diseases Other Cardiovascular Other Respiratory Diseases Other Diseases External Causes Tuberculosis Syphilis Female Other Diseases Motor Vehicle Collisions All Other Accidents Suicide Homicide Other External Causes All External Causes Unknown Total Maricopa County Health Status Report 2004 Page 13 Maricopa County 2004 Mortality (Death) Statistics Table 2.05b Selected Underlying Causes of Death by Gender Crude Death Rate per 100,000 Residents Gender Cause Infectious Diseases Male Tuberculosis Syphilis HIV Stomach Colon Pancreas Lung Cancer Breast 1 Uterine & Ovarian 1 Prostate Urinary Lymphoma Diabetes and Alzheimer's Major Heart Disease Cardiovascular Diseases Other Cardiovascular Leukemia Other All Cancer Diabetes Alzheimer's Hypertensive Heart Disease Ischemic Heart Disease Other Heart Disease All Heart Disease Primary Hypertension Cerebrovascular Atherosclerosis Other Circulatory Other Respiratory Diseases All Other Cardiovascular Influenza & Pneumonia Chronic Lower Respiratory GI & Urinary Peptic Ulcer Liver Disease Nephritis Pregnancy & Early Life Pregnancy Perinatal Conditions Congenital Malformations Other Diseases External Causes SIDS Symptoms, Signs Other Diseases Motor Vehicle Collisions All Other Accidents Suicide Homicide Other External Causes All External Causes Unknown Total 1 Female Total 0.3 0.1 0.2 0 5.5 4.0 14.2 9.2 0 0.6 2.5 14.4 7.8 0 3.1 3.2 14.3 8.5 42.4 0.1 15.7 35.9 21.7 14.8 - 39.2 10.8 14.8 15.7 10.2 5.5 7.9 5.9 7.1 45.1 153.9 18.5 20.2 5.2 4.4 29.3 141.5 16.0 43.5 5.6 5.7 37.2 147.7 17.3 31.8 8.5 140.6 21.8 170.9 9.7 125.4 24.1 159.2 9.1 133.1 22.9 165.1 6.3 30.5 3.4 8.9 46.7 4.0 7.6 38.6 3.7 7.0 47.1 16.8 5.6 65.2 16.4 6.3 56.1 16.6 35.1 0.7 11.4 40.3 1.3 6.8 37.7 1.0 9.1 7.2 7.5 7.3 0 6.8 0.1 4.4 0.1 5.6 4.5 0.1 3.7 0.3 4.1 0.2 9.7 89.9 21.3 32.1 20.3 14.7 2.2 90.5 1.1 690.4 13.9 94.1 9.4 19.7 5.8 2.8 1.0 38.7 1.0 654.6 11.8 92.0 15.3 25.9 13.1 8.8 1.6 64.7 1.0 672.6 Uterine & ovarian cancer rates are per 100,000 females; prostate cancer rates are per 100,000 males. Maricopa County Health Status Report 2004 Page 14 Maricopa County 2004 Mortality (Death) Statistics Table 2.06a Firearm, Drug, and Alcohol Induced and Related Deaths by Age Group Number of Cases Age Group Firearm Induced Drug Drug Related, Exc. Related, Inc. Tobacco Tobacco Drug Induced Alcohol Induced Alcohol Related 0-9 2 2 2 2 0 0 10-14 6 1 1 1 0 0 15-19 33 14 15 15 0 1 20-24 88 28 29 29 1 5 25-34 120 46 52 53 12 17 35-44 98 118 123 129 37 75 45-54 59 129 148 163 101 162 55-64 32 39 41 75 81 117 65-74 26 16 18 65 39 61 75-84 31 8 8 48 16 22 85+ 8 2 3 18 2 9 Unknown 3 3 3 3 0 0 506 406 443 601 289 469 Total Table 2.06b Firearm, Drug, and Alcohol Induced and Related Deaths by Age Group Crude Death Rate per 100,000 Residents Age Group Firearm Induced Drug Drug Related, Exc. Related, Inc. Tobacco Tobacco Drug Induced Alcohol Induced Alcohol Related 0-9 0.4 0.4 0.4 0.4 0 0 10-14 2.3 0.4 0.4 0.4 0 0 15-19 14.1 6.0 6.4 6.4 0 0.4 20-24 35.7 11.4 11.8 11.8 0.4 2.0 25-34 21.8 8.4 9.4 9.6 2.2 3.1 35-44 19.1 23.0 24.0 25.2 7.2 14.6 45-54 13.8 30.1 34.5 38.0 23.6 37.8 55-64 10.3 12.5 13.2 24.1 26.0 37.6 65-74 12.5 7.7 8.7 31.3 18.8 29.3 75-84 22.9 5.9 5.9 35.5 11.8 16.3 85+ 16.5 4.1 12.3 43.2 4.1 18.5 - - - - - - 14.5 11.6 12.7 17.2 8.3 13.4 Unknown Total Note: Firearm, drug, and alcohol induced and related deaths are also included in other categories, e.g., suicide, homicide or unintentional injuries. Refer to the Technical Notes for a complete explanation of induced versus related deaths involving firearms, drugs, or alcohol. Maricopa County Health Status Report 2004 Page 15 Maricopa County 2004 Mortality (Death) Statistics Table 2.07a Firearm, Drug, and Alcohol Induced and Related Deaths by Race/Ethnicity Number of Cases Firearm Induced Race/Ethnicity Drug Induced Drug Drug Related, Exc. Related, Inc. Tobacco Tobacco Alcohol Induced Alcohol Related White 289 312 339 487 198 328 Hispanic 174 47 52 57 45 79 African American 31 18 21 25 6 12 American Indian, Non-Hispanic 6 18 20 21 32 40 American Indian, Hispanic 4 5 5 5 2 4 Asian 1 1 1 1 4 4 Other/Unknown 1 5 5 5 2 2 506 406 443 601 289 469 Total Table 2.07b Firearm, Drug, and Alcohol Induced and Related Deaths by Race/Ethnicity Crude Death Rate per 100,000 Residents Firearm Induced Race/Ethnicity Drug Drug Related, Related, Inc. Exc. Tobacco Tobacco 14.3 15.5 22.3 Drug Induced White 13.2 Hispanic 17.9 4.8 5.3 African American 23.7 13.7 16.0 American Indian, Non-Hispanic 10.4 31.2 34.6 American Indian, Hispanic 23.0 28.8 1.1 1.1 Asian Other/Unknown Total Alcohol Induced Alcohol Related 9.1 15.0 5.8 4.6 8.1 19.1 4.6 9.2 36.4 55.4 69.3 28.8 28.8 11.5 23.0 1.1 1.1 4.5 4.5 - - - - - - 14.5 11.6 12.7 17.2 8.3 13.4 Table 2.08a Firearm, Drug, and Alcohol Induced and Related Deaths by Gender Number of Cases Gender Male Female Total Firearm Induced Drug Induced Drug Drug Related, Related, Inc. Alcohol Exc. Tobacco Tobacco Induced Alcohol Related 449 271 305 399 212 357 57 135 138 202 77 112 506 406 443 601 289 469 Table 2.08b Firearm, Drug, and Alcohol Induced and Related Deaths by Gender Crude Death Rate per 100,000 Residents Gender Male Female Total Firearm Induced 25.5 Drug Drug Related, Alcohol Alcohol Related, Inc. Exc. Tobacco Induced Related Tobacco 15.4 17.3 22.7 12.1 20.3 Drug Induced 3.3 7.8 7.9 11.6 4.4 6.4 14.5 11.6 12.7 17.2 8.3 13.4 Note: Firearm, drug, and alcohol induced and related deaths are also included in other categories, e.g., suicide, homicide or unintentional injuries. Refer to the Technical Notes for a complete explanation of induced versus related deaths involving firearms, drugs, or alcohol. Maricopa County Health Status Report 2004 Page 16 Maricopa County 2004 Mortality (Death) Statistics Table 2.09 Number and Percent of Deaths by Race/Ethnicity and Marital Status Race/Ethnicity Marital Status White No. African American Hispanic % No. % % 29.6 183 23.6 99 32.1 19 37.0 215 27.7 88 28.6 15 20.1 214 27.5 57 18.5 12.4 151 19.4 63 20.5 14 1.8 1 0.3 1,547 7.9 753 Married 8,082 41.2 942 Widowed 7,255 37.0 512 Divorced 2,573 13.1 315 143 0.7 26 1.0 Total 19,600 2,548 No. American Indian, Hispanic No. Never Married Unknown American Indian, Non-Hispanic 777 % No. % No. % No. Total % No. % 13.7 4 9.1 2,634 11.2 53.3 7 15.9 9,462 40.2 0 44.2 29.0 34.9 113. 0 0 53.0 25.0 4 9.1 8,095 34.4 9 20.9 17.0 8.0 2 4.5 3,130 13.3 0 27 61.4 211 0.9 0 308 Other/ Unknown Asian 0 0 43 212 44 23,532 Table 2.10 Number and Percent of Deaths by Race/Ethnicity and Education Level Race/Ethnicity Educational Level White No. African American Hispanic % No. % No. American Indian, Non-Hispanic % No. American Indian, Hispanic % No. Other/ Unknown Asian % No. % No. Total % No. % None 198 1.0 342 13.4 36 4.6 15 4.9 9 20.9 16 7.5 3 6.8 619 2.6 Grade 1-6 347 1.8 631 24.8 39 5.0 21 6.8 1 2.3 20 9.4 0 0 1,059 4.5 Some HS 2,844 14.5 687 27.0 145 18.7 80 26.0 11 25.6 28 13.2 3 6.8 3,798 16.1 HS Grad 8,117 41.4 513 20.1 252 32.4 92 29.9 15 34.9 63 29.7 2 4.5 9,054 38.5 Some College 4,034 20.6 212 8.3 176 22.7 68 22.1 4 9.3 33 15.6 2 4.5 4,529 19.2 College Grad 2,242 11.4 64 2.5 50 6.4 19 6.2 0 0 32 15.1 1 2.3 2,408 10.2 Graduate School 1,503 7.7 23 0.9 44 5.7 8 2.6 0 0 19 9.0 1 2.3 1,598 6.8 315 1.6 76 3.0 35 4.5 5 1.6 3 7.0 1 0.5 32 72.7 467 2.0 Unknown Total 19,600 2,548 777 308 43 212 44 23,532 Table 2.11 Number and Percent of Deaths by Race/Ethnicity and Gender Race/Ethnicity Gender White Hispanic African American American Indian, Non-Hispanic No. % No. % No. % Male 9,864 50.3 1,524 59.8 409 52.6 173 56.2 25 Female 9,736 49.7 1,024 40.2 368 47.4 135 43.8 18 Total 19,600 2,548 777 No. 308 % American Indian, Hispanic No. % 43 Maricopa County Health Status Report 2004 Asian Other/ Unknown No. % 58.1 113 53.3 34 77.3 12,142 51.6 41.9 99 46.7 10 22.7 11,390 48.4 44 23,532 212 Page 17 No. % Total No. % III. Maricopa County 2004 Communicable Disease Statistics Maricopa County Health Status Report 2004 Page 18 Maricopa County 2004 Communicable Disease Statistics Table 3.01a Number of Cases of Selected Reportable Diseases by Race/Ethnicity Race/Ethnicity White Hisp. Black Amer Ind. Amer Ind. Asian Unk. Non-Hisp. Hisp. 22 6 3 5 0 1 7 0 0 0 0 0 0 0 1 0 0 0 0 0 0 Disease Vaccine Preventable Central Nervous System H. influenzae Measles Mumps Pertussis Enceph Viral Other Meningitis Viral/Aseptic Meningococcal Meningitis Enterics Amebiasis Botulism Campylobacteriosis Cholera Cryptosporidiosis E. Coli O157.H7 Giardiasis Listeriosis Salmonella Paratyphi Salmonellosis Shigellosis Typhoid Mycosis Coccidioidomycosis Zoonoses/ Vectorborne Brucellosis Dengue Hepatitides 8 2 0 1 0 0 0 0 7 5 109 31 329 139 21 2 3 8 60 562 6 1 1 0 0 0 1 9 5 1 153 2 0 67 0 0 6 0 0 20 0 0 3 0 0 2 3 0 176 10 1 427 0 2 0 1 0 0 0 0 0 0 0 0 0 4 0 7 10 31 3 2 1 15 0 1 0 8 0 0 0 1 0 0 0 0 0 0 0 0 0 0 9 50 3 2 20 105 6 5 113 35 61 79 8 6 15 6 0 0 4 2 155 101 356 229 0 0 2 17 2,153 2,702 0 2 0 0 0 398 80 38 16 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 5 10 1 262 17 1 30 29 4 1 2 0 5 1 0 0 0 0 4 0 7 53 71 13 355 120 Malaria West Nile Virus Hepatitis A 38 9 7 4 0 0 122 180 Hepatitis C 772 261 97 80 1 2 512 1,725 Hepatitis D 0 0 0 0 0 0 0 0 Legionellosis 7 1 2 0 0 0 3 13 4 55 1 20 0 6 3 9 0 0 0 0 210 62 218 152 Strep Pneumo Invasive 8 11 2 0 0 0 13 34 166 23 13 25 0 1 209 437 Toxic Shock Syndrome 2 0 0 0 0 0 0 2 Vibrio spp. 2 0 0 0 0 0 3 5 VRE 468 47 21 31 0 2 422 991 Yersiniosis Hansen’s Disease 2 2 38 399 1 1 93 174 0 0 27 46 0 0 4 43 0 0 0 - 1 0 23 7 1 0 1 148 5 3 186 817 1,025 945 583 158 - 14 242 2,967 Genital Herpes 1 1 Gonorrhea Syphilis – Primary and 1 Secondary Syphilis – All Others Chlamydia HIV AIDS 1 38 5 5 Strep Group B All Others Total 56 18 Lyme Disease MRSA - Reportable 10/04 Strep Group A Tuberculosis Sexually Transmitted Disease 44 0 1 Hantavirus Pulm. Syn. Hepatitis B (Acute) Other Total 1 1 56 32 14 9 - 1 0 112 127 303 85 20 - 5 0 540 3,262 4,231 1,033 802 - 99 1,250 10,677 165 91 182 94 2 5 8,252 6,901 51 42 0 2,137 7 12 1 1,282 0 3 0 10 4 1 1 1 2 7 200 6,080 319 335 17 24,862 Data collection methods for race/ethnicity data for genital herpes, gonorrhea, syphilis, and chlamydia do not allow the data to utilize an ‘American Indian, Hispanic’ category. Maricopa County Health Status Report 2004 Page 19 Maricopa County 2004 Communicable Disease Statistics Table 3.01b Case Rates per 100,000 Residents for Selected Reportable Diseases by Race/Ethnicity Race/Ethnicity Disease Vaccine Preventable Central Nervous System White H. influenzae Measles Mumps Pertussis Enceph Viral Other Meningitis Viral/Aseptic Meningococcal Meningitis Enterics Amebiasis Botulism Campylobacteriosis Cholera Cryptosporidiosis E. Coli O157.H7 Giardiasis Listeriosis Salmonella Paratyphi Salmonellosis Shigellosis Typhoid Mycosis Coccidioidomycosis Zoonoses/ Vectorborne Brucellosis Dengue Hantavirus Pulm. Syn. Lyme Disease Hepatitides Malaria West Nile Virus Hepatitis A Hepatitis B (Acute) Hepatitis C Hepatitis D Other Amer Ind. Asian Hisp. 0 1.1 0 0 1.0 0 0.6 0 0.0 2.6 0 3.9 0 6.1 0 0 0 0 0.8 0.5 1.5 1.7 15.1 14.3 16.0 0.3 0.2 0.0 0.1 0.2 0 0.8 0 0 7.0 0 6.9 0 0.1 0.5 1.4 0.1 Total Unk. - 1.3 0 0 0 - 0.0 3.1 0 0 - 0.9 3.5 17.3 8.9 - 16.1 0 0 0 0 0 0 0 0 0 - 0.3 0.3 0.0 4.6 0 34.6 0 17.3 0 2.2 0 - 12.2 0 0.1 0.1 1.5 0 0 0 6.1 0 0 0 1.7 0 0 0 0 0 0 0 0 0 - 0.2 0.6 3.0 0.2 0.1 5.2 0.1 6.3 0 6.1 0 26.0 0 0 0 4.5 - 0.1 10.2 1.6 8.1 4.6 10.4 0 2.2 - 6.5 0 0.2 0 0 0 0 - 0.1 18.2 0 8.2 0 29.0 0 27.7 0 0 0 19.0 0 - 77.2 0 0 0 0 0 0 0 - 0 0 0 0 0 0 0 - 0 0.2 0.0 12.0 0 0.1 3.1 0 3.1 0.8 0 0 8.7 0 0 0 0 0 4.5 - 0.3 0.4 10.1 0.8 3.0 1.5 1.7 0 0 - 3.4 1.7 0.9 5.3 6.9 0 0 - 5.1 35.4 26.8 74.0 138.5 5.8 2.2 - 49.3 0 0 0 0 0 0 - 0 0.3 0.2 0.1 0.1 1.5 0 0 5.2 0 0 0 0 - 0.4 6.2 2.5 2.1 4.6 15.6 0 0 - 4.3 0.3 0.4 0.8 0 0 0 - 0.6 Strep Pneumo Invasive 7.6 2.4 9.9 43.3 0 1.1 - 12.5 Toxic Shock Syndrome 0.1 0 0 0 0 0 - 0.1 0.1 21.4 0.1 0.1 1.7 0 4.8 0.1 0.1 9.5 0 16.0 0 0 20.6 0 53.7 0 0 6.9 0 0 0 0 0 0 2.2 1.1 0 25.7 - 0.1 28.3 0.1 0.1 5.3 18.3 46.9 17.9 97.0 35.1 444.9 74.5 273.6 - 7.8 15.6 - 23.4 84.8 2.6 3.3 10.7 15.6 - 1.1 - 3.2 5.8 31.1 64.9 34.6 - 5.6 - 15.4 149.4 7.6 8.3 0.1 434.1 9.3 9.6 0.5 788.2 38.9 32.0 0 1,388.6 12.1 20.8 1.7 0 17.3 0 110.6 4.5 1.1 2.2 - 305.2 9.1 9.6 0.5 Legionellosis MRSA - Reportable 10/04 Strep Group A Strep Group B 1 Vibrio spp. VRE Yersiniosis Hansen’s Disease Tuberculosis Sexually Transmitted Disease Hisp. Amer Ind. Black Non-Hisp. 2.3 8.7 0 0 Genital Herpes 2 2 Gonorrhea Syphilis – Primary and 2 Secondary Syphilis – All Others Chlamydia HIV AIDS 2 2 All Others Total 377.9 708.1 1,630.7 2,219.7 57.6 223.4 710.6 1 Rates for Streptococcal Group B Invasive in infants <90 days are per 1,000 live births by race of the mother. 2 Data collection methods for race/ethnicity data for genital herpes, gonorrhea, syphilis, and chlamydia do not allow the data to utilize an ‘American Indian, Hispanic’ category. Maricopa County Health Status Report 2004 Page 20 Maricopa County 2004 Communicable Disease Statistics Table 3.02a Number of Cases of Selected Reportable Diseases by Age Group Age Group Disease Vaccine Preventable Central Nervous System 1-4 6 0 0 5 0 0 2 0 0 1 0 0 1 0 0 2 0 0 0 0 0 4 0 0 5 0 0 4 0 0 11 0 1 2 0 0 1 0 0 44 0 1 Pertussis Enceph Viral Other 35 0 10 1 11 1 15 0 2 4 8 2 11 1 10 6 5 4 1 5 1 6 0 1 0 0 109 31 Meningitis Viral/Aseptic 79 19 45 40 42 50 83 78 46 42 32 3 3 562 2 0 0 2 0 0 1 0 1 1 2 0 0 9 0 1 23 1 0 51 0 0 33 0 0 24 0 0 19 0 0 27 4 0 53 1 0 61 3 0 54 1 0 38 0 0 35 0 0 2 0 0 7 10 1 427 Cholera Cryptosporidiosis 0 0 0 1 0 0 0 0 0 1 0 1 0 3 0 0 0 1 0 0 0 0 0 0 0 0 0 7 E. Coli O157.H7 Giardiasis Listeriosis Salmonella Paratyphi 0 2 1 0 3 40 0 1 3 10 0 0 0 3 0 3 1 1 0 0 0 0 0 0 1 8 0 1 1 18 0 0 5 7 1 0 1 7 0 0 1 6 3 0 1 1 1 0 3 2 0 0 20 105 6 5 46 8 56 74 33 66 25 11 21 4 10 10 35 14 34 17 36 9 26 6 22 4 3 1 9 5 356 229 H. influenzae Measles Mumps Meningococcal Meningitis Enterics Amebiasis Botulism Campylobacteriosis Salmonellosis Shigellosis 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-84 85+ Unk. Total <1 Typhoid 0 0 1 0 0 1 0 0 0 0 0 0 0 2 Mycosis Coccidioidomycosis 9 11 26 71 99 95 281 451 482 462 604 69 42 2,702 Zoonoses/ Vectorborne Brucellosis Dengue 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 Hantavirus Pulm. Syn. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Hepatitides Other Lyme Disease 0 0 1 0 0 0 2 2 2 0 3 0 0 10 Malaria West Nile Virus Hepatitis A 0 3 1 2 2 9 1 2 4 0 1 21 0 7 11 2 13 8 1 31 12 3 60 13 4 75 18 0 69 7 0 86 14 0 5 1 0 1 1 13 355 120 Hepatitis B (Acute) 0 0 2 2 2 16 40 42 42 19 14 0 1 180 Hepatitis C 3 0 0 0 13 47 205 434 627 256 119 13 8 1,725 Hepatitis D 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Legionellosis 0 0 0 0 0 0 1 0 3 6 3 0 0 13 MRSA - Reportable 10/04 6 0 2 2 4 2 12 27 37 36 78 9 3 218 Strep Group A 1 8 2 3 2 1 15 18 33 30 32 4 3 152 34 - - - - - - - - - - - - 34 Strep Pneumo Invasive 21 32 15 4 7 11 24 53 77 50 104 21 18 437 Toxic Shock Syndrome 0 0 0 0 2 0 0 0 0 0 0 0 0 2 Vibrio spp. 0 1 0 0 0 0 0 3 1 0 0 0 0 5 VRE Yersiniosis Hansen’s Disease 8 0 0 4 3 2 0 0 11 1 5 1 0 9 3 3 0 0 2 4 7 0 0 7 94 10 1 0 12 223 42 0 1 26 226 69 0 0 39 133 124 1 0 27 76 180 1 2 19 35 421 1 0 25 19 90 0 0 5 0 30 0 0 0 0 991 5 3 186 817 Strep Group B Tuberculosis Sexually Transmitted Diseases Genital Herpes Gonorrhea Syphilis – Primary and Secondary 3 1 1 29 651 885 864 382 117 30 4 0 0 2,967 0 0 0 0 0 11 25 51 17 6 2 0 0 112 Syphilis – All Others 0 0 0 0 3 51 177 191 83 25 10 0 0 540 Chlamydia 7 0 1 139 3,380 3,904 2,583 521 117 17 8 0 0 10,677 2 7 43 115 107 32 12 1 0 0 3 17 94 120 74 20 6 0 1 0 0 1 2 2 1 1 0 408 4,395 5,463 4,993 2,952 2,249 1,415 1,679 232 0 0 3 140 319 335 17 24,862 HIV AIDS All Others Total 1 1 0 0 0 0 1 0 3 3 0 310 346 280 Streptococcal Group B Invasive disease is only reportable for cases in infants under 90 days. Maricopa County Health Status Report 2004 Page 21 Maricopa County 2004 Communicable Disease Statistics Table 3.02b Case Rates per 100,000 Residents for Selected Reportable Diseases by Age Group Age Group Disease Vaccine Preventable Central Nervous System 0-4 H. influenzae Measles Mumps Pertussis Enceph Viral Other 25-34 35-44 45-54 55-64 65-84 85+ Unk. Total 3.8 0 0.7 0 0.4 0 0.4 0 0.8 0 0 0 0.8 0 1.2 0 1.3 0 3.2 0 4.1 0 - 1.3 0 0 15.5 0 4.1 0 5.7 0 0.9 0 3.2 0 2.0 0 2.0 0 1.2 0 0.3 0.3 0.3 0 0 - 0.0 3.1 0.4 0 1.7 0.8 0.2 1.2 0.9 1.6 1.7 2.1 - 0.9 15.1 17.9 20.3 15.1 15.2 10.7 13.5 9.3 6.2 - 16.1 0.7 0.3 0.3 0 0 0 0.8 0 0 0 0 0 0 0 0 0.2 0.7 0 0 0.2 0 0.2 0.7 0 0.3 0.3 0 0.6 0 0 0 0 0 - 0.3 0.3 0.0 25.5 0 12.3 0 9.1 0 8.1 0 11.0 0 9.6 0 11.9 0 12.6 0 12.2 0 10.2 0 4.1 0 - 12.2 0 0.3 1.0 14.5 0.3 0 1.1 3.7 0 0 0 1.1 0 0.4 0.4 0.4 0 0.4 0 0 0 0.5 0.2 1.5 0 0 0.2 3.5 0 0.2 1.2 1.6 0.2 0 0.3 2.3 0 0 0.3 1.7 0.9 0 2.1 2.1 2.1 - 0.2 0.6 3.0 0.2 0.3 35.1 0 12.3 1.1 9.5 0 8.9 0 4.1 0.2 6.4 0 6.6 0 8.4 0 8.4 0 6.4 0 6.2 - 0.1 10.2 28.2 24.6 4.2 1.7 4.1 2.5 3.3 2.1 1.9 1.2 2.1 - 6.5 0 0.4 0 0 0.4 0 0 0 0 0 0 - 0.1 6.9 0 9.7 0 26.9 0 42.2 0 38.6 0 51.0 0 88.0 112.5 148.5 175.9 141.9 0 0 0 0 0 - 77.2 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 0.7 1.7 0.4 0.4 0.7 0 0 0.4 0 0 3.0 0 0.8 5.3 0.4 0.2 5.6 0.4 0.6 11.7 0.5 0.9 17.5 0 0 22.2 0.9 0 25.0 0 0 10.3 - 0.3 0.4 10.1 3.4 1.5 7.9 4.7 3.2 2.2 2.5 4.2 2.3 4.1 2.1 - 3.4 0 0.7 0.8 0.9 6.5 7.3 8.2 9.8 6.1 4.1 0 - 5.1 Hepatitis C 1.0 0 0 5.5 19.1 37.2 84.7 146.3 82.3 34.7 26.7 - 49.3 Hepatitis D 0 0 0 0 0 0 0 0 0 - 0 0.4 Amebiasis Botulism Campylobacteriosis Salmonellosis Shigellosis Typhoid Mycosis Coccidioidomycosis Zoonoses/ Vectorborne Brucellosis Dengue Hantavirus Pulm. Syn. Lyme Disease Malaria West Nile Virus Hepatitis A Hepatitis B (Acute) Legionellosis 0 0 0 0 0 0 0 0.2 0 0.7 1.9 0.9 0 - MRSA - Reportable 10/04 2.1 0.7 0.8 1.7 0.8 2.2 5.3 8.6 11.6 22.7 18.5 - 6.2 Strep Group A 3.1 0.7 1.1 0.9 0.4 2.7 3.5 7.7 9.6 9.3 8.2 - 4.3 - - - - - - - - - 0.6 Strep Group B 1 0.6 - - Strep Pneumo Invasive 18.2 5.6 1.5 3.0 4.5 4.4 10.3 18.0 16.1 30.3 43.2 - 12.5 Toxic Shock Syndrome 0 0 0 0.9 0 0 0 0 0 0 0 - 0.1 0.3 3.4 0 0 5.2 0 1.9 0.4 0 3.3 0 1.1 0 0 0.8 0 3.0 0 0 3.0 0 4.1 0.4 0 4.9 0 7.6 0 0.2 4.7 0.6 13.5 0 0 7.6 0.2 28.9 0.2 0 6.3 0 0 0 57.9 122.6 185.1 0.3 0.3 0 0.6 0 0 6.1 7.3 10.3 - 0.1 28.3 0.1 0.1 5.3 1.4 1.4 1.1 0.4 1.5 11.0 40.0 277.2 90.6 41.1 359.5 157.0 26.0 74.6 17.7 27.3 11.3 9.6 5.5 1.2 0 0 - 23.4 84.8 0 0 0 0 4.5 4.5 10.0 4.0 1.9 0.6 0 - 3.2 0 0 0 1.3 20.7 32.2 37.3 19.4 8.0 2.9 0 - 15.4 52.6 1,439.1 1,585.8 469.2 101.7 27.3 5.5 2.3 0 0.8 3.0 17.5 20.9 20.9 7.5 3.9 0.3 0 0 1.3 6.9 17.1 23.4 17.3 6.4 1.7 0 0.4 0 0 0.2 0.4 0.5 0.3 0.3 0 154.3 1,871.2 2,219.0 907.0 576.3 524.9 455.0 489.1 477.2 - 305.2 9.1 9.6 0.5 710.6 Vibrio spp. VRE Yersiniosis Hansen’s Disease Tuberculosis Sexually Transmitted Diseases 20-24 16.7 E. Coli O157.H7 Giardiasis Listeriosis Salmonella Paratyphi Other 15-19 0.3 Cholera Cryptosporidiosis Hepatitides 10-14 33.7 Meningitis Viral/Aseptic Meningococcal Meningitis Enterics 5-9 Genital Herpes Gonorrhea Syphilis – Primary and Secondary Syphilis – All Others Chlamydia HIV AIDS All Others Total 1 2.4 0.4 0 0 0.3 0 2.1 0 225.9 104.2 Rates for Streptococcal Group B Invasive in infants <90 days are per 1,000 live births. Maricopa County Health Status Report 2004 Page 22 Maricopa County 2004 Communicable Disease Statistics Table 3.03a Number of Cases of Selected Reportable Diseases by Gender Disease Vaccine Preventable Central Nervous System H. influenzae Measles Mumps Pertussis Enceph Viral Other Meningitis Viral/Aseptic Meningococcal Meningitis Enterics Amebiasis Botulism Campylobacteriosis Cholera Cryptosporidiosis E. Coli O157.H7 Giardiasis Listeriosis Salmonella Paratyphi Salmonellosis Shigellosis Typhoid Mycosis Coccidioidomycosis Zoonoses/ Vectorborne Brucellosis Dengue Hepatitides 44 0 1 45 17 64 14 0 0 109 31 245 316 1 562 5 4 0 9 6 1 227 3 0 199 1 0 1 10 1 427 0 4 0 3 0 0 0 7 6 55 3 2 14 50 3 2 0 0 0 1 20 105 6 5 159 100 193 127 4 2 356 229 1 1 0 2 1,540 1,151 11 2,702 0 0 0 0 0 0 0 0 0 0 0 0 7 3 0 10 8 186 60 5 169 60 0 0 0 13 355 120 Malaria West Nile Virus Hepatitis A 111 68 1 180 1,208 507 10 1,725 Hepatitis D 0 0 0 0 Legionellosis 9 4 0 13 MRSA - Reportable 10/04 125 90 3 218 Strep Group A 87 63 2 152 Strep Group B 12 22 0 34 238 199 0 437 Strep Pneumo Invasive Toxic Shock Syndrome 1 1 0 2 Vibrio spp. 3 2 0 5 381 1 1 115 264 605 4 2 71 553 5 0 0 0 0 991 5 3 186 817 1,702 1,265 0 2,967 86 26 0 112 0 540 VRE Yersiniosis Hansen’s Disease Genital Herpes Gonorrhea Syphilis – Primary and Secondary Syphilis – All Others Chlamydia HIV AIDS All Others Total Total Lyme Disease Hepatitis C Tuberculosis Sexually Transmitted Diseases Unk. 0 0 0 Hantavirus Pulm. Syn. Hepatitis B (Acute) Other Gender Male Female 19 25 0 0 0 1 334 206 2,432 8,245 0 10,677 261 286 9 10,365 58 49 5 14,452 0 319 0 335 3 17 45 24,862 Maricopa County Health Status Report 2004 Page 23 Maricopa County 2004 Communicable Disease Statistics Table 3.03b Case Rates per 100,000 Residents for Selected Reportable Diseases by Gender Gender Male Female 1.1 1.4 0 0 Disease Vaccine Preventable Central Nervous System H. influenzae Measles Mumps Pertussis Enceph Viral Other 0.8 - 0.9 - 16.1 0.3 0.3 0.1 0.2 0.2 0 - 0.3 0.3 0.0 12.9 0 11.4 0 - 12.2 0 0.2 0.3 3.1 0.2 0.2 0.8 2.9 0.2 - 0.2 0.6 3.0 0.2 0.1 9.0 0.1 11.1 - 0.1 10.2 5.7 7.3 - 6.5 0.1 0.1 - 0.1 87.6 0 66.2 0 - 77.2 0 0 0 - 0 0 0 - 0 0.4 0.5 10.6 0.2 0.3 9.7 - 0.3 0.4 10.1 3.4 3.4 - 3.4 6.3 3.9 - 5.1 Hepatitis C 68.7 29.1 - 49.3 Hepatitis D 0 0 - 0 Legionellosis 0.5 0.2 - 0.4 MRSA - Reportable 10/04 7.1 5.2 - 6.2 Strep Group A 4.9 3.6 - 4.3 0.4 0.7 - 0.6 Strep Pneumo Invasive 13.5 11.4 - 12.5 Toxic Shock Syndrome 0.1 0.1 - 0.1 0.2 21.7 0.1 0.1 6.5 0.1 34.8 0.2 0.1 4.1 - 0.1 28.3 0.1 0.1 5.3 15.0 96.8 31.8 72.7 - 23.4 84.8 Amebiasis Botulism Campylobacteriosis Salmonellosis Shigellosis Typhoid Mycosis Coccidioidomycosis Zoonoses/ Vectorborne Brucellosis Dengue Hantavirus Pulm. Syn. Lyme Disease Malaria West Nile Virus Hepatitis A Hepatitis B (Acute) Strep Group B 1 Vibrio spp. VRE Yersiniosis Hansen’s Disease Tuberculosis Sexually Transmitted Diseases Genital Herpes Gonorrhea Syphilis – Primary and Secondary Syphilis – All Others Chlamydia HIV AIDS All Others Total 1 0.0 3.1 18.2 E. Coli O157.H7 Giardiasis Listeriosis Salmonella Paratyphi Other - 1.3 0 1.0 Cholera Cryptosporidiosis Hepatitides 0.1 3.7 Total 13.9 Meningitis Viral/Aseptic Meningococcal Meningitis Enterics 0 2.6 Unk. - 4.9 1.5 - 3.2 19.0 11.8 - 15.4 138.3 14.8 16.3 0.5 589.4 473.9 3.3 2.8 0.3 830.6 - 305.2 9.1 9.6 0.5 710.6 Rates for Streptococcal Group B Invasive in infants <90 days are per 1,000 live births. Maricopa County Health Status Report 2004 Page 24 IV. Maricopa County 2004 Natality (Birth) Statistics Maricopa County Health Status Report 2004 Page 25 Maricopa County 2004 Natality (Birth) Statistics Table 4.01 Number and Percent of Births by Age and Race/Ethnicity of Mother Race/Ethnicity Age Group of Mother White No. <15 Hispanic % No. African American No. % % Amer. Ind., Non-Hisp. No. % Amer. Ind., Hisp. No. % Asian No. Total Other % No. % No. % 11 0.0 108 0.4 7 0.3 5 0.3 0 0 1 0.1 0 0 132 0.2 15-19 1,565 5.8 4,622 16.9 389 16.2 291 16.9 17 19.8 50 2.6 16 7.0 6,950 11.5 20-24 5,713 21.3 8,366 30.6 764 31.7 584 34.0 34 39.5 249 12.7 34 15.0 15,744 26.0 25-29 7,859 29.3 7,404 27.1 588 24.4 434 25.2 23 26.7 587 30.0 42 18.5 16,937 28.0 30-34 7,348 27.4 4,608 16.9 425 17.7 267 15.5 8 9.3 728 37.2 48 21.1 13,432 22.2 35-39 3,560 13.3 1,818 6.7 179 7.4 107 6.2 3 3.5 284 14.5 48 21.1 5,999 9.9 40-44 725 2.7 370 1.4 50 2.1 32 1.9 1 1.2 57 2.9 29 12.8 1,264 2.1 43 0.2 16 0.1 5 0.2 0 0 0 0 3 0.2 9 4.0 76 0.1 Unk. 0 0 0 0 0 0 0 0 0 0 0 0 1 0.4 1 0.0 Total 26,824 45+ 27,312 2,407 1,720 86 1,959 227 60,535 Table 4.02 Number and Percent of Births by Marital Status and Race/Ethnicity of Mother Race/Ethnicity Marital Status of Mother Married White No. Hispanic % No. African American No. % % Amer. Ind., Non-Hisp. No. % Amer. Ind., Hisp. No. % Asian No. Total Other % No. % No. % 20,417 76.1 12,044 44.1 867 36.0 459 26.7 31 36.0 1,664 84.9 185 81.5 35,667 58.9 6,135 22.9 14,962 54.8 1,498 62.2 1,229 71.5 55 64.0 286 14.6 39 17.2 24,204 40.0 Refused 176 0.7 244 0.9 32 1.3 17 1.0 0 0 5 0.3 0 0 474 0.8 Divorced 70 0.3 35 0.1 5 0.2 8 0.5 0 0 2 0.1 0 0 120 0.2 Unknown 26 0.1 27 0.1 5 0.2 7 0.4 0 0 2 0.1 3 1.3 70 0.1 Single Total 26,824 27,312 2,407 1,720 86 1,959 227 60,535 Table 4.03 Number and Percent of Births by Educational Level and Race/Ethnicity of Mother Education Level of Mother Race/Ethnicity White African American No. % Amer. Ind., Non-Hisp. No. % Amer. Ind., Hisp. No. % Asian No. % 58 0.2 1,009 3.7 27 1.1 1 0.1 0 0 28 1.4 6 - 11 Grade 2,275 8.5 14,067 51.5 499 20.7 545 31.7 24 27.9 109 HS Diploma 6,678 24.9 7,150 26.2 840 34.9 543 31.6 27 31.4 17,566 65.5 4,664 17.1 1,000 41.5 605 35.2 29 33.7 247 0.9 422 1.5 41 1.7 26 1.5 6 7.0 <6 Grade th th College+ Unknown Total 26,824 27,312 2,407 1,720 86 Maricopa County Health Status Report 2004 No. Other % th No. Hispanic % No. % 2 0.9 1,125 1.9 5.6 18 7.9 17,537 29.0 410 20.9 29 12.8 15,677 25.9 1,386 70.8 58 25.6 25,308 41.8 26 1.3 120 52.9 888 1.5 1,959 Page 26 % No. Total 227 60,535 Maricopa County 2004 Natality (Birth) Statistics Table 4.04 Trimester of First Prenatal Care by Race/Ethnicity of Mother Trimester of First Prenatal Care Race/Ethnicity White Hispanic African American No. % Amer. Ind., Non-Hisp. No. % Amer. Ind., Hisp. No. % No. % No. % 24,087 89.8 18,947 69.4 1,850 76.9 1,402 81.5 65 1,967 7.3 5,844 21.4 370 15.4 198 11.5 Third 461 1.7 1,456 5.3 93 3.9 50 None 262 1.0 1,013 3.7 79 3.3 47 0.2 52 0.2 15 0.6 First Second Unknown Total 26,824 27,312 2,407 Asian Total Other No. % No. % No. % 75.6 1,717 87.6 134 59.0 48,202 79.6 17 19.8 167 8.5 42 18.5 8,605 14.2 2.9 2 2.3 50 2.6 17 7.5 2,129 3.5 62 3.6 1 1.2 21 1.1 22 9.7 1,460 2.4 8 0.5 1 1.2 4 0.2 12 5.3 139 0.2 1,720 86 1,959 227 60,535 Table 4.05 Number and Percent of Prenatal Care Visits by Race/Ethnicity of Mother Number of Prenatal Care Visits Race/Ethnicity White No. Hispanic % No. % African American No. % Amer. Ind., Non-Hisp. No. % Amer. Ind., Hisp. No. % Asian No. Total Other % No. % No. % None 262 1.0 1,013 3.7 79 3.3 62 3.6 1 1.2 21 1.1 22 9.7 1,460 2.4 1 to 4 386 1.4 1,541 5.6 101 4.2 103 6.0 3 3.5 47 2.4 17 7.5 2,198 3.6 5 to 8 2,407 9.0 5,389 19.7 361 15.0 350 20.3 12 14.0 222 11.3 50 22.0 8,791 14.5 9 to 12 15,330 57.2 11,521 42.2 1,155 48.0 798 46.4 42 48.8 1,178 60.1 90 39.6 30,114 49.7 13 to 16 6,265 23.4 6,283 23.0 482 20.0 289 16.8 18 20.9 385 19.7 28 12.3 13,750 22.7 17 or More 1,886 7.0 1,375 5.0 203 8.4 105 6.1 8 9.3 92 4.7 7 3.1 3,676 6.1 288 1.1 190 0.7 26 1.1 13 0.8 2 2.3 14 0.7 13 5.7 546 0.9 Unknown Total 26,824 27,312 2,407 1,720 86 1,959 227 60,535 Table 4.06 Adequacy of Prenatal Care by Race/Ethnicity of Mother Singleton Births Only Adequacy of Prenatal Care Race/Ethnicity White Hispanic African American No. % Amer. Ind., Non-Hisp. No. % Amer. Ind., Hisp. No. % Asian No. % No. % Inadequate 1,797 7.0 6,200 23.2 403 17.4 335 20.0 12 14.0 169 Intermediate 2,723 10.6 3,650 13.6 270 11.7 332 19.8 7 8.1 Adequate 13,862 53.8 9,695 36.2 931 40.3 642 38.3 37 Adequate Plus 7,077 27.5 7,001 26.2 676 29.3 351 20.9 287 1.1 202 0.8 30 1.3 17 1.0 Information Missing Total 25,746 26,748 2,310 1,677 % No. % 8.9 69 31.7 8,985 15.3 200 10.5 36 16.5 7,218 12.3 43.0 1,042 54.7 68 31.2 26,277 44.8 28 32.6 481 25.2 34 15.6 15,648 26.7 2 2.3 14 0.7 11 5.0 563 1.0 Maricopa County Health Status Report 2004 1,906 Page 27 % Total No. 86 No. Other 218 58,691 Maricopa County 2004 Natality (Birth) Statistics Table 4.07 Birthweight of Infant by Race/Ethnicity of Mother Race/Ethnicity Birthweight of Infant White Hispanic No. <1500 Grams 1500-2499 Grams 2500-4249 Grams >4249 Grams Unknown Total % No. % African American No. % Amer. Ind., Non-Hisp. No. % Amer. Ind., Hisp. No. % Asian No. Total Other % No. % No. % 281 1.0 349 1.3 64 2.7 16 0.9 1 1.2 21 1.1 3 1.3 735 1.2 1,595 5.9 1,460 5.3 213 8.8 106 6.2 5 5.8 144 7.4 17 7.5 3,540 5.8 23,998 89.5 24,727 90.5 2,090 86.8 1,510 87.8 80 93.0 1,758 89.7 204 89.9 54,367 89.8 949 3.5 763 2.8 40 1.7 88 5.1 0 0 36 1.8 2 0.9 1,878 3.1 1 0.0 13 0.0 0 0 0 0 0 0 0 0 1 0.4 15 0.0 26,824 27,312 2,407 1,720 86 1,959 227 60,535 Table 4.08 Preterm Births (Less than 37 Weeks Gestation) by Race/Ethnicity of Mother Race/Ethnicity Gestational Estimate White No. Hispanic % No. % African American No. % Amer. Ind., Non-Hisp. No. % Amer. Ind., Hisp. No. % Asian No. Other % No. % Total No. % <37 Weeks Gestation 3,147 11.7 2,848 10.4 355 14.7 205 11.9 10 11.6 224 11.4 27 11.9 6,816 11.3 ≥37 Weeks Gestation 23,670 88.2 24,457 89.5 2,048 85.1 1,514 88.0 76 88.4 1,733 88.5 199 87.7 53,697 88.7 7 0.0 7 0.0 4 0.2 1 0.1 0 0 2 0.1 1 0.4 22 0.0 Unknown Total 26,824 27,312 2,407 1,720 86 Maricopa County Health Status Report 2004 1,959 Page 28 227 60,535 Maricopa County 2004 Natality (Birth) Statistics Table 4.09 Number and Percent of Births by Marital Status and Age Group of Mother Marital Status of Mother Married Single Age Group of Mother <15 No. 15-19 % 20-24 No. % No. 25-29 30-34 35-39 40-44 % No. % No. % No. % No. 45+ Total Unknown % No. % No. % No. % 2 1.5 1,045 15.0 6,827 43.4 11,394 67.3 10,529 78.4 4,830 80.5 984 77.8 55 72.4 1 100.0 35,667 58.9 130 98.5 5,894 84.8 8,740 55.5 5,352 31.6 2,721 20.3 1,091 18.2 256 20.3 20 26.3 0 0 24,204 40.0 Refused 0 0 7 0.1 122 0.8 135 0.8 131 1.0 64 1.1 14 1.1 1 1.3 0 0 474 0.8 Divorced 0 0 0 0 32 0.2 41 0.2 34 0.3 6 0.1 7 0.6 0 0 0 0 120 0.2 0 0 4 0.1 23 0.1 15 0.1 17 0.1 8 0.1 3 0.2 0 0 0 0 70 0.1 Unknown Total 132 6,950 15,744 16,937 13,432 5,999 1,264 76 1 60,535 Table 4.10 Number and Percent of Births by Educational Level and Age Group of Mother Educational Level of Mother <6th Grade 6th-11th Grade Age Group of Mother <15 No. 15-19 % No. 3 2.3 100 20-24 % 1.4 25-29 No. % 259 1.6 30-34 No. % 35-39 No. % 340 2.0 241 1.8 No. 40-44 % No. 45+ % 130 2.2 49 3.9 No. % 3 Total Unknown 3.9 No. 0 % 0 No. % 1,125 1.9 127 96.2 4,468 64.3 5,402 34.3 4,111 24.3 2,363 17.6 877 14.6 182 14.4 7 9.2 0 0 17,537 29.0 HS Diploma 0 0 1,941 27.9 5,492 34.9 4,263 25.2 2,625 19.5 1,110 18.5 234 18.5 12 15.8 0 0 15,677 25.9 College+ 0 0 343 4.9 4,364 27.7 8,021 47.4 8,020 59.7 3,767 62.8 752 59.5 41 53.9 0 0 25,308 41.8 2 1.5 98 1.4 227 1.4 202 1.2 183 1.4 115 1.9 47 3.7 13 17.1 1 100.0 888 1.5 Unknown Total 132 6,950 15,744 16,937 13,432 5,999 1,264 76 1 60,535 Table 4.11 Trimester of First Prenatal Care by Age Group of Mother Trimester of First Prenatal Care Age Group of Mother <15 20-24 25-29 30-34 35-39 40-44 45+ Total Unknown % No. % No. % No. % No. % No. % No. % No. % % No. % First 64 48.5 4,564 65.7 11,815 75.0 13,894 82.0 11,566 86.1 5,180 86.3 1,060 83.9 58 76.3 1 100.0 48,202 79.6 Second 47 35.6 1,714 24.7 2,777 17.6 2,104 12.4 1,286 9.6 539 9.0 129 10.2 9 11.8 0 0 8,605 14.2 Third 16 12.1 402 5.8 657 4.2 529 3.1 324 2.4 160 2.7 39 3.1 2 2.6 0 0 2,129 3.5 None 5 3.8 251 3.6 469 3.0 372 2.2 226 1.7 105 1.8 28 2.2 4 5.3 0 0 1,460 2.4 Unknown 0 0 19 0.3 26 0.2 38 0.2 30 0.2 15 0.3 8 0.6 3 3.9 0 0 139 0.2 Total No. 15-19 132 6,950 15,744 16,937 13,432 5,999 Maricopa County Health Status Report 2004 1,264 Page 29 76 No. 1 60,535 Maricopa County 2004 Natality (Birth) Statistics Table 4.12 Number and Percent of Prenatal Care Visits by Age Group of Mother Number of Prenatal Care Visits Age Group of Mother <15 15-19 20-24 25-29 30-34 35-39 40-44 45+ Total Unknown None No. 5 % 3.8 No. 251 % 3.6 No. 469 % 3.0 No. 372 % 2.2 No. 226 % 1.7 No. 105 % 1.8 No. 28 % 2.2 No. 4 % 5.3 No. 0 1 to 4 13 9.8 420 6.0 710 4.5 538 3.2 323 2.4 152 2.5 40 3.2 2 2.6 5 to 8 36 27.3 1,460 21.0 2,614 16.6 2,273 13.4 1,563 11.6 664 11.1 167 13.2 14 9 to 12 48 36.4 3,074 44.2 7,578 48.1 8,488 50.1 7,060 52.6 3,220 53.7 619 49.0 26 13 to 16 % 0 No. 1,460 % 2.4 0 0 2,198 3.6 18.4 0 0 8,791 14.5 34.2 1 100.0 30,114 49.7 27 20.5 1,347 19.4 3,403 21.6 4,073 24.0 3,260 24.3 1,344 22.4 280 22.2 16 21.1 0 0 13,750 22.7 17 or More 3 2.3 336 4.8 822 5.2 1,037 6.1 889 6.6 462 7.7 117 9.3 10 13.2 0 0 3,676 6.1 Unknown 0 0 62 0.9 148 0.9 156 0.9 111 0.8 52 0.9 13 1.0 4 5.3 0 0 546 0.9 Total 132 6,950 15,744 16,937 13,432 5,999 1,264 76 1 60,535 Table 4.13 Adequacy of Prenatal Care by Age Group of Mother Singleton Births Only Age Group of Mother Adequacy of Prenatal Care <15 No. 15-19 20-24 40.2 1,749 25.5 2,859 18.5 2,233 13.6 1,327 10.3 605 10.6 23 17.4 927 13.5 1,954 12.6 2,032 12.4 1,447 11.2 681 11.9 Adequate 21 15.9 2,443 35.6 6,467 41.8 7,542 46.0 6,464 50.1 2,802 Adequate Plus 35 26.5 1,680 24.5 4,022 26.0 4,426 27.0 3,537 27.4 0 0 69 1.0 153 1.0 150 0.9 120 0.9 Total 132 6,868 15,455 No. 16,383 % No. 12,895 % No. 40-44 53 Information Missing % 35-39 No. Intermediate No. 30-34 % Inadequate % 25-29 No. % 148 12.4 11 19.3 0 0 8,985 15.3 149 12.5 4 7.0 1 100.0 7,218 12.3 49.1 513 42.9 25 43.9 0 0 26,277 44.8 1,563 27.4 370 31.0 15 26.3 0 0 15,648 26.7 54 0.9 15 1.3 2 3.5 0 0 563 1.0 Maricopa County Health Status Report 2004 No. Total Unknown % 5,705 % 45+ 1,195 Page 30 57 No. 1 % No. 58,691 % Maricopa County 2004 Natality (Birth) Statistics Table 4.14 Birthweight of Infant by Age Group of Mother Age Group of Mother Birthweight of Infant <15 No. <1500 Grams 15-19 % 1 No. 0.8 20-24 % 99 No. 1.4 25-29 % 189 No. 1.2 30-34 % 175 1.0 No. 35-39 % 152 No. 1.1 40-44 % 90 No. 1.5 45+ % 27 No. 2.1 Unknown % 2 No. 2.6 % 0 Total No. 0 735 % 1.2 1500-2499 Grams 16 12.1 438 6.3 822 5.2 965 5.7 776 5.8 392 6.5 114 9.0 17 22.4 0 0 3,540 5.8 2500-4249 Grams 112 84.8 6,310 90.8 14,373 91.3 15,253 90.1 11,939 88.9 5,254 87.6 1,070 84.7 55 72.4 1 100.0 54,367 89.8 3 2.3 101 1.5 359 2.3 541 3.2 560 4.2 261 4.4 51 4.0 2 2.6 0 0 1,878 3.1 0 0 2 0.0 1 0.0 3 0.0 5 0.0 2 0.0 2 0.2 0 0 0 0 15 0.0 >4249 Grams Unknown Total 132 6,950 15,744 16,937 13,432 5,999 1,264 76 1 60,535 Table 4.15 Preterm Births (Less than 37 Weeks Gestation) by Age Group of Mother Age Group of Mother Gestational Estimate <15 No. 15-19 % No. 20-24 % No. 25-29 % No. 30-34 % No. 35-39 % No. 40-44 % No. 45+ Total Unknown % No. % No. % No. % <37 Weeks Gestation 22 16.7 803 11.6 1,599 10.2 1,793 10.6 1,536 11.4 816 13.6 218 17.2 29 38.2 0 0 6,816 11.3 ≥37 Weeks Gestation 110 83.3 6,146 88.4 14,137 89.8 15,139 89.4 11,891 88.5 5,181 86.4 1,045 82.7 47 61.8 1 100.0 53,697 88.7 0 0 1 0.0 8 0.1 5 0.0 5 0.0 2 0.0 1 0.1 0 0 0 0 22 0.0 Unknown Total 132 6,950 15,744 16,937 13,432 5,999 Maricopa County Health Status Report 2004 1,264 Page 31 76 1 60,535 V. Technical Notes Population Statistics Population statistics are shown in Tables 1.01 and 1.02. This report used the most recent U.S. Census data and estimates for population figures at the time of analysis. • The Maricopa County population is from the U.S. Census Bureau, County Population Estimates by Age, Sex, Race and Hispanic Origin for July 1, 2005, released August 4, 2006. This is at http://www.census.gov/popest/counties/files/CO-EST2005-ALLDATA.csv The population figures in this report may differ from figures in previous Maricopa County Department of Public Health (MCDPH) and other reports in two ways. First, some reports use Arizona Department of Economic Security (ADES) or MCDPH estimates for population data. Second, some reports may use the first published estimates by the 2000 U.S. Census. This report uses the most recent U.S. Census population figures and estimates for 2004. For a complete explanation on how the most recent U.S. Census data differ from the first published U.S. Census data, see the following: “2000 Census of Population and Housing, Notes and Errata” at www.census.gov/prod/cen2000/notes/errata.pdf. This report defines “Hispanic” as: all respondents listing Hispanic, either alone or in combination with any race that do not identify themselves as American Indian or Alaska Native. This report separates the American Indian population by ethnicity (Hispanic, Non-Hispanic). The table below shows how the U.S. Census variables of “origin” and “race” are used for categorization in this report. Table 5.1 Race/Ethnicity Categories Used in This Report Category Used in This Report U.S. Census Code “Race” U.S. Census Code “Origin” White Race=1 (White Alone) Origin=1 (Non-Hispanic) African American Race=2 (Black Alone) Origin=1 (Non-Hispanic) American Indian, Non-Hispanic Race=3 (American Indian or Alaska Native Alone) Origin=1 (Non-Hispanic) American Indian, Hispanic Race=3 (American Indian or Alaska Native Alone) Origin=2 (Hispanic) Asian Race=4 (Asian Alone) or 5 (Native Hawaiian or Other Pacific Islander Alone) Origin=1 (Non-Hispanic) Other Race=6 (Two or More Races) Origin=1 (Non-Hispanic) Hispanic Race=1,2,4,5,6 Origin=2 (Hispanic) Maricopa County Health Status Report 2004 Page 32 Mortality (Death) Statistics Mortality (death) statistics are shown in Tables 2.01a through 2.11. Any crude death rate can be calculated by taking the number of deaths from any mortality table in this report and dividing it by the appropriate age, gender, race/ethnicity, or total population denominator found in Tables 1.01 and 1.02. In tables where rates are shown, “0” means there were no cases/deaths in that category. However, when the number “0.0” is shown, it means that there were fewer than .05 deaths per 100,000 residents. All data on mortality statistics are from the Arizona Department of Health Services (ADHS) final annual files. The Maricopa County mortality data are from death certificates for Maricopa County residents only. This includes Maricopa County residents who died in Maricopa County and residents who died elsewhere. Non-Maricopa County residents who died in Maricopa County are not included. In the course of routine data cleaning, duplicate mortality records were identified. One duplicated record has been deleted from the mortality records in 2004. As a result of this deletion, the numbers presented in this report may not match those presented by ADHS for Maricopa County. For both mortality and morbidity (communicable disease), rates for some racial/ethnic populations such as American Indians, Asians, and African Americans are high compared to other groups. Because these groups have relatively small populations in Maricopa County (under 150,000 residents as shown in Tables 1.01 and 1.02), these high rates may represent very few deaths/cases. Among small populations, rates are less stable so one case or death can cause a big increase or decrease in the rates. Therefore, it is advisable to examine the raw number of cases or deaths, in addition to the rates. In Tables 2.03a through 2.05b, unintentional injury deaths can be found by adding two categories – “motor vehicle collisions” and “all other accidents and adverse effects.” The total for unintentional injuries in this report is higher than the figure reported by ADHS because deaths from “complications of medical and surgical care” are included in this report. This convention follows the national model for classifying unintentional injuries. “Complications of medical and surgical care” include deaths from medical devices, adverse effects related to correct doses of therapeutic medications, and misadventures to patients during surgical or medical care (ICD-10 Y40-Y84, Y88). Tables 2.01b, 2.02b, 2.03b, 2.04b, 2.06b, and 2.07b do not provide a rate for the categories labeled “Unknown Age” or “Unknown Race/Ethnicity.” This is because there is no denominator to use for calculating the rate as the U.S. Census does not report any data on “unknown age” or “unknown race/ethnicity.” Unless otherwise noted, all deaths are attributed to one underlying condition, based on death certificate information, using the rules of the International Classification of Diseases. Causes of death are classified by ICD-10 codes. The codes used for each category are listed in Table 5.2 below. Firearm, drug, and alcohol induced deaths are also included in a number of other categories, such as suicide, homicide, unintentional injury, etc. For example, a firearm induced death may also be classified as a suicide, homicide, or “other accident or adverse effect.” An alcohol induced death may be attributed to a long or short term effect of alcohol, such as acute alcohol intoxication or alcoholic cardiomyopathy. Tables 2.06a through 2.08b show deaths resulting directly (induced) and indirectly (related) from firearms, drugs, and alcohol. Drugs include prescription medications and illegal substances, regardless of whether use was recreational or medicinal. Tobacco is considered a drug by the National Center for Health Statistics (NCHS). Since tobacco is not often considered to be a drug Maricopa County Health Status Report 2004 Page 33 in the colloquial sense, drug-related deaths are listed both with and without tobacco-related deaths. Induced deaths refer to cases in which the use of a firearm, drug, or alcohol contributed directly to the cause of death, i.e., death due to an overdose of drugs, or a fatal gunshot injury. Related deaths refer to cases in which the use of a drug or alcohol was listed on the death certificate, but the substance was not necessarily involved in the final cause of death, i.e., death due to dehydration resulting from environmental exposure, with chronic drug use noted elsewhere on the certificate. Related causes of deaths are counted using multiple cause of death (MCD) data supplied by ADHS with the final annual mortality files. For Tables 2.03b, 2.04b, and 2.05b, prostate cancer rates are calculated among men only (using only male residents in the denominator), and uterine & ovarian cancer rates are calculated among women only (using only female residents as the denominator). In all other tables, and for all other diseases, the total population is used for the denominator for both conditions. Table 5.2 ICD-10 Codes Used for This Report Cause Tuberculosis Syphilis HIV Disease Malignant Neoplasms (Cancer) Malignant Neoplasm of the Stomach Malignant Neoplasm of the Colon Malignant Neoplasm of the Pancreas Malignant Neoplasm of Bronchus, Lung, or Trachea Malignant Neoplasm of the Breast Malignant Neoplasm of the Uterus, Cervix, Ovary Malignant Neoplasm of the Prostate Malignant Neoplasm of Urinary Organs Non-Hodgkins Lymphoma Leukemia Other Malignant Neoplasms Diabetes Alzheimer’s Major Cardiovascular Disease Disease of Heart Hypertensive Heart Disease Ischemic Heart Disease Other Heart Disease Primary Hypertension Cerebrovascular Diseases Atherosclerosis Other Circulatory ICD-10 Codes Used (2001-2005) A16-A19 A50-A53 B20-B24 C00-C97 C16 C18-C21 C25 C33-C34 C50 C53-C56 C61 C64-C68 C82-C85 C91-C95 C00-C15, C17, C22-C24, C26-C32, C37-C49, C51-C52, C57-C60, C62-C63, C69-C81, C88, C90, C96-97 E10-E14 G30 I00-I78 I00-I09, I11, I13, I20-I51 I11, I13 I20-I25 I00-I09, I26-I51 I10, I12 I60-I69 I70 I71-I78 (Table Continues) Maricopa County Health Status Report 2004 Page 34 (Table 5.2, Continued) Cause Influenza & Pneumonia Chronic Lower Respiratory Peptic Ulcer Liver Disease, including chronic liver disease, cirrhosis, alcoholic liver disease, and other chronic liver disease Nephritis, nephritic syndrome and nephrosis Pregnancy, childbirth, and the puerperium Perinatal Conditions Congenital Malformations SIDS (Sudden Infant Death Syndrome) Ill Defined Disease Conditions (Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified, excluding SIDS) All Other Diseases Motor Vehicle Collisions All Other Accidents & Adverse Effects Suicide Homicide All Other External Causes Unknown Causes Firearm Related Drug Induced or Related Alcohol Induced or Related ICD-10 Codes Used (2001-2005) J10-J18 J40-J47 K25-K28 K70, K73-K74 N00-N07, N17-N19, N25-N27 O00-O99 P00-P96 Q00-Q99 R95 R00-R94, R96-R99 A00-A09, A20-A49, A54-B19, B25-B99, D00-E07, E15-G25, G31-H93, I80-J06, J20-J39, J60-K22, K29-K66, K71-K72, K75-M99, N10-N15N20-N23, N28-N98 V02-V04, V09.0, V09.2, V12-V14, V19.0 - V19.2, V19.4-V19.6, V20-V79, V80.3V80.5, V81.0-V81.1, V82.0-V82.1, V83V86, V87.0-V87.8, V88.0-V88.8, V89.0 V89.2 V01, V05-V06, V09.1, V09.3-V09.9, V10-V11, V15-V18, V19.3, V19.8-V19.9, V80.0-V80.2, V80.6-V80.9, V81.2-V81.9, V82.2-V82.9, V87.9, V88.9, V89.1, V89.3, V89.9 V90-X29, X31-X59, Y40Y86, Y88 U03, X60-X84, Y87.0 U01-U02, X85-Y09, Y87.1 Y10-Y36, Y87.2, Y89 No ICD code listed W32-W34, X72-X74, X93-X95, Y22-Y24, Y35.0 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-F16.8, F17.0, F17.3-F17.5, F17.7-F17.9, F18.0F18.5, F18.7-F18.9, F19.0-F19.5, F19.7F19.9, X40-X44, X60-X64, X85, Y10Y14 F10, G31.2, G62.1, I42.6, K29.2, K70, R78.0, X45, X65, Y15 Maricopa County Health Status Report 2004 Page 35 Communicable Disease (Morbidity) Statistics Communicable disease statistics are shown in Tables 3.01a through 3.03b. Any morbidity rate except for Streptococcal Group B Invasive disease can be calculated by taking the number of cases from any communicable disease table in this report and dividing it by the appropriate age, gender, race/ethnicity, or total population denominator found in Tables 1.01 and 1.02. Because Streptococcal Group B Invasive disease is only reportable in infants under 90 days, these numbers are divided by the number of live births, to produce a rate per 1,000 live births. The Maricopa County morbidity data are for Maricopa County residents only. This includes Maricopa County residents who acquired a disease in Maricopa County and residents who acquired a disease elsewhere. Non-Maricopa County residents are not included, even if they acquired a disease in Maricopa County. Other reports may show different morbidity rates because they include non-residents who acquired disease in Maricopa County or they exclude residents who were exposed outside of the county. For example, MCDPH Health Status Reports show six residents with West Nile virus (WNV) in 2003. Two of these cases acquired WNV outside of Maricopa County, the other four cases were acquired locally. Other reports and press releases may focus on only the locally acquired WNV cases, regardless of the residency status of the cases. For Hansen’s disease only, tables include residents from various counties in Arizona, regardless of where the disease was acquired. Communicable disease data are from the ADHS final annual files with several exceptions: data on West Nile virus, hepatitis C, genital herpes, gonorrhea, chlamydia, syphilis, and Hansen’s disease are from MCDPH. Because the MCDPH communicable disease database is continuously updated, the data for hepatitis C and West Nile virus can change somewhat over time. Hepatitis C data for 2004 used in this report were generated on October 31, 2006 for confirmed, acute and chronic, physician-reported cases among Maricopa County residents. West Nile virus data for 2004 used in this report were generated on November 15, 2006 for all confirmed cases among Maricopa County residents. In previous Health Status Reports, hepatitis B data were also obtained from the MCDPH. However, there have been a number of issues contributing to unreliable hepatitis B data. Therefore, this report uses hepatitis B data for acute cases from ADHS. Data on tuberculosis, STDs, HIV, and AIDS may differ from other reports published by MCDPH and ADHS. Data on these diseases are in databases that may have been updated during the time between reports. HIV/AIDS data for Maricopa County are from October 27, 2006 and were provided to MCDPH for this report. Primary and secondary syphilis is shown as “Syphilis-Prim. and Sec”. The “Syphilis - All others” category includes latent and congenital syphilis. These two categories can be added to determine the total number of syphilis cases. Syphilis data were generated on February 23, 2006. Morbidity data include only confirmed cases, with the exception of Hansen’s disease. Data for Hansen’s disease includes all confirmed, suspect, and probable cases diagnosed in Maricopa County, including diagnoses to non-county residents. All communicable disease statistics in this report are new cases for each specified year (incidence). The only exception is Hansen’s disease for which the prevalence (all existing cases from all years) is shown. The figures presented for Hansen’s disease differ from previous years due to the addition of several cases diagnosed in previous years but only recently available. Morbidity data for hepatitis C and West Nile Virus are classified by the earliest date in the record. The earliest date may be date of onset, date of diagnosis, or date of report. HIV, AIDS, and Hansen’s disease data are classified by date of diagnosis. All other data are classified by date of report. Maricopa County Health Status Report 2004 Page 36 The category “Encephalitis Viral” includes St. Louis encephalitis and all other types of viral encephalitis except for West Nile virus. This may differ somewhat from other reports that include only certain types of encephalitides. In Tables 3.01a through 3.03b, the category labeled “All Others” includes all reportable diseases in the ADHS communicable disease database that are not listed previously on the table. Natality (Birth) Statistics Natality (birth) statistics are shown in Tables 4.01 through 4.15. The natality percentages for older and younger maternal age groups (under 15 and over 45) may be high compared to other groups. These groups have relatively small populations in Maricopa County. Although percentages may be high, they may represent only one or two cases in a given category. Therefore, it is advisable to check the raw numbers. Adequate prenatal care is based on the Adequacy of Prenatal Care Utilization Index (APCUI) 1 . This index considers both the timing of prenatal care initiation and the number of visits after care was initiated, comparing the number of actual visits to the number of visits recommended by the American College of Obstetricians and Gynecologists. This index does not describe the quality of the care or adjust for maternal risk factors. Only singleton births are shown in these tables because twins and higher order births are typically higher risk pregnancies, and the index is not appropriate for summarizing their prenatal care usage. a) Inadequate: Prenatal care began after the fourth month of pregnancy or less than 50% of the expected prenatal care visits were attended b) Intermediate: Prenatal care began before the fourth month and 50 to 70% of the expected visits were attended c) Adequate: Prenatal care began prior to the fourth month and 80-109% of expected visits were attended d) Adequate plus: Prenatal care began prior to the fourth month of pregnancy and 110% or more of the expected visits were attended The following definitions related to reproductive health have been established by NCHS 2 : • Birth or Live Birth – The complete expulsion or extraction from the mother of a product of human conception, irrespective of the duration of pregnancy or birthweight which, after such expulsion or extraction, breathes or shows any other evidence of life such as beating of the heart, pulsation of the umbilical cord or definite movement of voluntary muscles, whether or not the umbilical cord has been cut or the placenta is attached. • Birth Rate – Number of live births during a calendar year per 1,000 population. • Births to Teenage Mothers − Live births occurring to females under age twenty. • Birth Weight – The weight of a neonate determined immediately after delivery or as soon thereafter as possible. • Low Birthweight – Any neonate weighing less than 2,500 grams at birth (less than 5 pounds 8 ounces). • Very Low Birthweight – Any neonate weighing less than 1,500 grams at births (less than 3 pounds, 4 ounces). 1 Kotelchuck, M. An Evaluation of the Kessner Adequacy of Prenatal Care Index and a Proposed Adequacy of Prenatal Care Utilization Index, American Journal of Public Health, 1994; 84(9):1414-1420. 2 NCHS guidelines were adopted from those established by the World Health Organization (WHO). Maricopa County Health Status Report 2004 Page 37 • 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. • Infant Death – Any death at any time from birth up to, but not including, the first year of age (<365 days). • Infant Mortality Rate – Number of infant deaths per 1,000 live births. • Unlinked Infant Mortality – The number of infant deaths in a given calendar year, as determined from mortality records. • Linked Infant Mortality – Whenever possible, infant death certificate data are linked to birth certificate information to determine parental, demographic and birth data. Not all infant deaths can be linked (up to 3% are lost to follow-up). More Information For more information on population and health statistics, please visit the following websites: • • • • Maricopa County Department of Public Health: http://www.maricopa.gov/Public_Health/ Arizona Department of Health Services: www.hs.state.az.us Centers for Disease Control and Prevention, National Center for Health Statistics: www.cdc.gov/nchs Department of Economic Security: www.de.state.az.us Maricopa County Health Status Report 2004 Page 38