Maricopa County Health Status Report 2006 Reference Tables Prepared by the Maricopa County Department of Public Health Office of Epidemiology April 2008 Maricopa County Acknowledgements This report was prepared by the Maricopa County Department of Public Health, Office of Epidemiology. 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, Tammy Sylvester, 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 at 602.372.2604. This report may also be found at http://www.maricopa.gov/public_health/epi/ under “Health Statistics and Reports.” Permission to quote or reproduce materials from this report is granted when due acknowledgement is made. Suggested citation: Maricopa County Department of Public Health, Office of Epidemiology. Maricopa County Health Status Report 2006, Reference Tables. Phoenix (AZ): 2008. Maricopa County Health Status Report 2006 Reference Tables Table of Contents Introduction i I. Maricopa County 2006 Population Statistics 1 Table 1.01 Table 1.02 Figures Population Estimates by Age, Sex, and Race/Ethnicity, 2006 Population by Race/Ethnicity, Age, and Sex, 2006 Population Pyramids by Race/Ethnicity, 2006 2 3 4 II. Maricopa County 2006 Mortality (Death) Statistics 6 Table 2.01a 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 Sex Death Rates by Age Group and Sex, 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 Sex, Number of Cases Selected Underlying Causes of Death by Sex, 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 Sex, Number of Cases Firearm Related and Drug and Alcohol Induced and Related Deaths by Sex, Crude Death Rate per 100,000 Residents Heat Induced Deaths by Age, Race/Ethnicity, and Sex 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 Sex Crude and Age-Adjusted Rates for Selected Underlying Causes of Death by Race/Ethnicity Death Rate Comparisons to Arizona, U.S., and Healthy People 2010 Goals for Selected Underlying Causes of Death 7 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 Table 2.09 Table 2.10 Table 2.11 Table 2.12 Table 2.13 Table 2.14 7 8 8 9 10 11 13 15 16 17 17 18 18 18 18 19 20 20 20 21 22 Maricopa County Health Status Report 2006 Reference Tables Table of Contents III. Maricopa County 2006 Communicable Disease Statistics 23 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 Sex Case Rates per 100,000 Residents for Selected Reportable Diseases by Sex Case Rate Comparisons to Arizona, U.S., and Healthy People 2010 Goals for Selected Diseases 24 25 26 27 28 29 IV. Maricopa County 2006 Natality (Birth) Statistics 31 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 Comparisons to Arizona, U.S., and Healthy People 2010 Goals for Selected Natality Measures 32 32 32 33 33 33 34 34 35 35 35 36 36 37 37 Technical Notes 39 Table 3.04 Table 4.16 V. 30 38 Introduction This report provides health status information for the year 2006 for residents of Maricopa County, Arizona. It includes data for mortality (death), communicable diseases, and natality (birth), as well as information on the size and demographic distribution of the population. For each disease or health indicator, the following information is provided: • Number of cases in the county • • • Communicable Disease Example: 75 residents of Maricopa County were diagnosed with a confirmed case of West Nile Virus in 2006. Natality (Birth) Example: There were 790 infants born with a very low birthweight (less than 1500 grams) in 2006. Rate or percentage of cases in the county • • Communicable Disease Example: For every 100,000 residents of Maricopa County, 2.0 were diagnosed with West Nile Virus in 2006. Natality (Birth) Example: Among all live births in 2006, 1.2% were born with a very low birthweight. All data in this report are for calendar year 2006. Information on data sources and methodology are in Section V – Technical Notes. Maricopa County Health Status Report 2006 Page i I. Maricopa County 2006 Population Statistics Maricopa County Health Status Report 2006 Page 1 Maricopa County 2006 Population Statistics Table 1.01 Population Estimates by Age, Sex, and Race/Ethnicity, 2006 Race/Ethnicity by Sex Age by Sex Age 0-4 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ Total Males No. % 159,221 145,272 139,821 130,843 132,919 310,398 286,596 237,176 172,158 98,661 62,497 20,904 8.4% 7.7% 7.4% 6.9% 7.0% 16.4% 15.1% 12.5% 9.1% 5.2% 3.3% 1.1% 1,896,466 Females No. % 152,462 138,217 133,441 122,198 117,892 278,352 269,162 239,106 185,203 113,399 84,808 37,417 8.1% 7.4% 7.1% 6.5% 6.3% 14.9% 14.4% 12.8% 9.9% 6.1% 4.5% 2.0% 1,871,657 Race/Ethnicity Total No. 311,683 283,489 273,262 253,041 250,811 588,750 555,758 476,282 357,361 212,060 147,305 58,321 % 8.3% 7.5% 7.3% 6.7% 6.7% 15.6% 14.8% 12.6% 9.5% 5.6% 3.9% 1.6% Males No. White Hispanic African American Amer. Ind., Non-Hisp. Amer. Ind., Hisp. Asian Other/2+ Races 1,120,051 587,041 75,483 27,436 9,549 52,214 24,692 Total 1,896,466 % 59.1% 31.0% 4.0% 1.4% 0.5% 2.8% 1.3% Females No. % 1,155,038 523,919 73,063 30,099 9,047 55,932 24,559 61.7% 28.0% 3.9% 1.6% 0.5% 3.0% 1.3% 1,871,657 3,768,123 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 132,163 129,201 133,120 133,866 132,133 292,875 336,979 340,410 284,215 176,730 130,486 52,911 2,275,089 Hispanic % 5.8% 5.7% 5.9% 5.9% 5.8% 12.9% 14.8% 15.0% 12.5% 7.8% 5.7% 2.3% No. 143,549 120,886 107,246 88,536 90,020 228,850 158,048 91,625 47,170 21,425 10,272 3,333 1,110,960 African American % 12.9% 10.9% 9.7% 8.0% 8.1% 20.6% 14.2% 8.2% 4.2% 1.9% 0.9% 0.3% No. 12,123 11,835 12,817 12,658 11,601 23,685 23,970 19,050 11,045 5,896 2,897 969 148,546 % 8.2% 8.0% 8.6% 8.5% 7.85% 15.9% 16.1% 12.8% 7.4% 4.0% 2.0% 0.7% American Indian Non-Hispanic Hispanic No. % No. % No. 5,965 4,995 4,923 5,202 4,828 11,193 8,829 5,827 3,269 1,534 714 256 8,532 7,205 6,719 5,931 6,544 22,506 20,351 13,938 8,576 4,917 2,266 661 57,535 10.4% 8.7% 8.6% 9.0% 8.4% 19.5% 15.4% 10.1% 5.7% 2.7% 1.2% 0.4% 1,648 2,082 2,179 1,988 1,665 3,240 2,752 1,766 770 369 128 9 8.9% 11.2% 11.7% 10.7% 9.0% 17.4% 14.8% 9.5% 4.1% 2.0% 0.7% 0.1% 18,596 Asian 108,146 Other/2+ Races % 7.9% 6.7% 6.2% 5.5% 6.1% 20.8% 18.8% 12.9% 7.9% 4.6% 2.1% 0.6% No. 7,703 7,285 6,258 4,860 4,020 6,401 4,829 3,666 2,316 1,189 542 182 % 15.6% 14.8% 12.7% 9.9% 8.2% 13.0% 9.8% 7.4% 4.7% 2.4% 1.1% 0.4% 49,251 Source: United States Census, Population Estimates Division. Data on this page were used for calculating all rates (denominators) in this report for 2006. Maricopa County Health Status Report 2006 Page 2 Total No. 311,683 283,489 273,262 253,041 250,811 588,750 555,758 476,282 357,361 212,060 147,305 58,321 3,768,123 Maricopa County 2006 Population Statistics Table 1.02 Population by Race/Ethnicity, Age, and Sex, 2006 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 64,765 62,839 64,816 64,972 64,025 73,233 70,892 79,637 86,843 90,145 82,119 82,226 65,517 51,378 42,831 108,800 Hispanic % No. 5.6% 5.4% 5.6% 5.6% 5.5% 6.3% 6.1% 6.9% 7.5% 7.8% 7.1% 7.1% 5.7% 4.4% 3.7% 9.4% 70,091 58,950 52,406 42,424 40,136 51,810 48,879 39,696 32,354 25,353 18,660 13,929 9,534 6,658 4,908 8,131 1,155,038 African American % 13.4% 11.3% 10.0% 8.1% 7.7% 9.9% 9.3% 7.6% 6.2% 4.8% 3.6% 2.7% 1.8% 1.3% 0.9% 1.6% 523,919 No. 6,018 5,794 6,346 6,007 5,408 5,686 5,688 5,800 5,845 5,207 4,023 3,312 2,376 1,804 1,346 2,403 % 8.2% 7.9% 8.7% 8.2% 7.4% 7.8% 7.8% 7.9% 8.0% 7.1% 5.5% 4.5% 3.3% 2.5% 1.8% 3.3% 73,063 American Indian Non-Hispanic Hispanic No. % No. % 3,025 2,480 2,453 2,609 2,507 3,227 2,679 2,307 2,256 1,811 1,453 1,124 671 543 360 594 10.1% 8.2% 8.1% 8.7% 8.3% 10.7% 8.9% 7.7% 7.5% 6.0% 4.8% 3.7% 2.2% 1.8% 1.2% 2.0% 828 1,067 1,047 1,024 842 782 685 687 592 506 340 205 153 115 86 88 30,099 9.2% 11.8% 11.6% 11.3% 9.3% 8.6% 7.6% 7.6% 6.5% 5.6% 3.8% 2.3% 1.7% 1.3% 1.0% 1.0% 9,047 Asian No. 4,187 3,643 3,302 2,806 2,972 5,198 6,249 5,761 4,845 4,057 3,518 2,888 2,008 1,575 1,153 1,770 Other/2+ Races % 7.5% 6.5% 5.9% 5.0% 5.3% 9.3% 11.2% 10.3% 8.7% 7.3% 6.3% 5.2% 3.6% 2.8% 2.1% 3.2% 55,932 No. 3,548 3,444 3,071 2,356 2,002 1,894 1,450 1,297 1,242 1,030 884 694 566 387 255 439 % 14.4% 14.0% 12.5% 9.6% 8.2% 7.7% 5.9% 5.3% 5.1% 4.2% 3.6% 2.8% 2.3% 1.6% 1.0% 1.8% 24,559 Total No. 152,462 138,217 133,441 122,198 117,892 141,830 136,522 135,185 133,977 128,109 110,997 104,378 80,825 62,460 50,939 122,225 1,871,657 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 67,398 66,362 68,304 68,894 68,108 75,407 73,343 82,560 87,939 88,825 79,321 76,223 60,249 45,867 36,654 74,597 1,120,051 6.0% 5.9% 6.1% 6.2% 6.1% 6.7% 6.5% 7.4% 7.9% 7.9% 7.1% 6.8% 5.4% 4.1% 3.3% 6.7% 73,458 61,936 54,840 46,112 49,884 68,109 60,052 48,144 37,854 28,107 19,505 14,377 9,330 5,964 3,895 5,474 587,041 12.5% 10.6% 9.3% 7.9% 8.5% 11.6% 10.2% 8.2% 6.4% 4.8% 3.3% 2.4% 1.6% 1.0% 0.7% 0.9% 6,105 6,041 6,471 6,651 6,193 6,291 6,020 6,069 6,256 5,537 4,283 3,206 2,151 1,627 1,119 1,463 75,483 8.1% 8.0% 8.6% 8.8% 8.2% 8.3% 8.0% 8.0% 8.3% 7.3% 5.7% 4.2% 2.8% 2.2% 1.5% 1.9% 2,940 2,515 2,470 2,593 2,321 2,840 2,447 2,248 2,018 1,493 1,070 934 540 396 235 376 27,436 10.7% 9.2% 9.0% 9.5% 8.5% 10.4% 8.9% 8.2% 7.4% 5.4% 3.9% 3.4% 2.0% 1.4% 0.9% 1.4% 820 1,015 1,132 964 823 941 832 743 730 519 401 242 170 89 79 49 9,549 8.6% 10.6% 11.9% 10.1% 8.6% 9.9% 8.7% 7.8% 7.6% 5.4% 4.2% 2.5% 1.8% 0.9% 0.8% 0.5% 4,345 3,562 3,417 3,125 3,572 4,844 6,215 5,429 4,316 3,575 2,788 2,148 1,532 1,320 869 1,157 52,214 8.3% 6.8% 6.5% 6.0% 6.8% 9.3% 11.9% 10.4% 8.3% 6.8% 5.3% 4.1% 2.9% 2.5% 1.7% 2.2% 4,155 3,841 3,187 2,504 2,018 1,718 1,339 1,207 1,083 981 771 627 429 320 227 285 16.8% 15.6% 12.9% 10.1% 8.2% 7.0% 5.4% 4.9% 4.4% 4.0% 3.1% 2.5% 1.7% 1.3% 0.9% 1.2% 24,692 Source: United States Census, Population Estimates Division. Data on this page were used for calculating all rates (denominators) in this report for 2006. Maricopa County Health Status Report 2006 Page 3 159,221 145,272 139,821 130,843 132,919 160,150 150,248 146,400 140,196 129,037 108,139 97,757 74,401 55,583 43,078 83,401 1,896,466 Maricopa County 2006 Population Statistics Population Pyramid for Maricopa County by Age and Sex, 2006 White, Non-Hispanic 85+ 80-84 74-79 70-74 65-69 60-64 55-59 50-54 85+ % Female % Female 80-84 % Male % Male 74-79 70-74 65-69 60-64 Age Group in Years Age Group in Years Population Pyramid for Maricopa County by Age and Sex, 2006 All Race/Ethnicities 45-49 40-44 35-39 30-34 25-29 20-24 15-19 10-14 5-9 0-4 55-59 50-54 45-49 40-44 35-39 30-34 25-29 20-24 15-19 10-14 5-9 0-4 6% 4% 2% 0% 2% 4% Percent of Total Population (3,768,123 People) 6% 6% Population Pyramid for Maricopa County by Age and Sex, 2006 Hispanic, Any Race Except Native American 85+ 85+ 80-84 % Male 74-79 % Female % Male 74-79 70-74 65-69 Age Group in Years 60-64 Age Group in Years 6% Population Pyramid for Maricopa County by Age and Sex, 2006 African-American, Non-Hispanic % Female 80-84 4% 2% 0% 2% 4% Percent of White, Non-Hispanic Population (2,275,089 People) 55-59 50-54 45-49 40-44 35-39 30-34 25-29 70-74 65-69 60-64 55-59 50-54 45-49 40-44 35-39 30-34 25-29 20-24 15-19 10-14 20-24 15-19 10-14 5-9 0-4 5-9 0-4 8% 6% 4% 2% 0% 2% 4% 6% Percent of Hispanic, Any Race Except Native American Pop. (1,110,960 People) 8% 6% 4% 2% 0% 2% 4% 6% Percent of African American, Non-Hispanic Population (148,546 People) Maricopa County Health Status Report 2006 Page 4 Maricopa County 2006 Population Statistics Population Pyramid for Maricopa County by Age and Sex, 2006 American Indian, Non-Hispanic 85+ 80-84 85+ 80-84 % Female % Male 74-79 70-74 % Female % Male 74-79 70-74 65-69 65-69 60-64 60-64 Age Group in Years Age Group in Years Population Pyramid for Maricopa County by Age and Sex, 2006 American Indian, Hispanic 55-59 50-54 45-49 40-44 35-39 30-34 25-29 55-59 50-54 45-49 40-44 35-39 30-34 25-29 20-24 20-24 15-19 10-14 15-19 5-9 10-14 5-9 0-4 0-4 6% 4% 2% 0% 2% 4% 6% Percent of American Indian, Non-Hispanic Population (57,535 People) 8% Population Pyramid for Maricopa County by Age and Sex, 2006 Asian, Non-Hispanic 85+ 85+ 74-79 70-74 70-74 65-69 65-69 60-64 Age Group in Years Age Group in Years 60-64 55-59 50-54 45-49 40-44 35-39 30-34 55-59 50-54 45-49 40-44 35-39 30-34 25-29 25-29 20-24 20-24 15-19 15-19 10-14 5-9 10-14 5-9 0-4 0-4 6% 4% 2% 0% 2% 4% Percent of Asian, Non-Hispanic Population (108,146 People) % Female % Male 80-84 % Male 74-79 8% Population Pyramid for Maricopa County by Age and Sex, 2006 Other or 2+ Races, Non-Hispanic % Female 80-84 6% 4% 2% 0% 2% 4% 6% Percent of American Indian, Hispanic Population (18,596 People) 6% 10% 8% 6% 4% 2% 0% 2% 4% 6% 8% 10% Percent of Other or 2+ Races, Non-Hispanic Population (49,251 People) Maricopa County Health Status Report 2006 Page 5 II. Maricopa County 2006 Mortality (Death) Statistics Maricopa County Health Status Report 2006 Page 6 Maricopa County 2006 Mortality (Death) Statistics Table 2.01a Number of Deaths by Age Group and Race/Ethnicity Race/Ethnicity Age Group White Hispanic American Indian, Non-Hispanic African American American Indian, Hispanic Asian Other/ Unknown Total <1 142 203 43 12 2 4 0 406 1-4 29 44 6 7 2 2 0 90 5-9 12 13 1 2 1 2 0 31 10-14 21 19 2 0 2 1 0 45 15-19 95 106 18 9 2 3 0 233 20-24 153 131 17 10 3 2 0 316 25-34 286 201 49 27 5 11 0 579 35-44 592 248 56 38 7 27 0 968 45-54 1,365 293 128 51 5 15 1 1,858 55-64 2,260 326 161 53 3 28 4 2,835 65-74 3,189 413 144 49 3 39 0 3,837 75-84 6,186 463 146 38 3 62 1 6,899 85+ 6,544 307 134 26 5 50 1 7,067 Unknown Total 6 2 1 0 0 1 2 12 20,880 2,769 906 322 43 247 9 25,176 Table 2.01b Death Rates by Age Group and Race/Ethnicity Crude Death Rate per 100,000 Residents Race/Ethnicity Age Group White Hispanic African American American Indian, Non-Hispanic American Indian, Hispanic Other/ Unknown Asian Total 0-4 129.4 172.1 404.2 318.5 242.7 70.3 - 159.1 5-9 9.3 10.8 8.4 40.0 48.0 27.8 - 10.9 10-14 15.8 17.7 15.6 0 91.8 14.9 - 16.5 15-19 71.0 119.7 142.2 173.0 100.6 50.6 - 92.1 20-24 115.8 145.5 146.5 207.1 180.2 30.6 - 126.0 25-34 97.7 87.8 206.9 241.2 154.3 48.9 - 98.3 35-44 175.7 156.9 233.6 430.4 254.4 132.7 - 174.2 45-54 401.0 319.8 671.9 875.2 283.1 107.6 - 390.1 55-64 795.2 691.1 1,457.7 1,621.3 389.6 326.5 - 793.3 65-74 1,804.4 1,927.7 2,442.3 3,194.3 813.0 793.2 - 1,809.4 75-84 4,740.7 4,507.4 5,039.7 5,322.1 2,343.8 2,736.1 - 4,683.5 12,367.9 9,210.9 13,828.7 10,156.3 55,555.6 7,564.3 - 12,117.4 - - - - - - - - 917.8 249.2 609.9 559.7 231.2 228.4 - 668.1 85+ Unknown Total Maricopa County Health Status Report 2006 Page 7 Maricopa County 2006 Mortality (Death) Statistics Table 2.02a Number of Deaths by Age Group and Sex Sex Age Group Male Female Total <1 224 182 406 1-4 48 42 90 5-9 16 15 31 10-14 23 22 45 15-19 175 58 233 20-24 243 73 316 25-34 430 149 579 35-44 648 320 968 45-54 1,198 660 1,858 55-64 1,710 1,125 2,835 65-74 2,166 1,671 3,837 75-84 3,344 3,555 6,899 85+ 2,598 4,469 7,067 9 3 12 12,832 12,344 25,176 Unknown Total Table 2.02b Death Rates by Age Group and Sex Crude Death Rate per 100,000 Residents Sex Age Group Male Female Total 0-4 170.8 146.9 159.1 5-9 11.0 10.9 10.9 10-14 16.4 16.5 16.5 15-19 133.7 47.5 92.1 20-24 182.8 61.9 126.0 25-34 138.5 53.5 98.3 35-44 226.1 118.9 174.2 45-54 505.1 276.0 390.1 55-64 993.3 607.4 793.3 65-74 2,195.4 1,473.6 1,809.4 75-84 5,350.7 4,191.8 4,683.5 12,428.2 11,943.8 12,117.4 - - - 676.6 659.5 668.1 85+ Unknown Total Maricopa County Health Status Report 2006 Page 8 Maricopa County 2006 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 6 0 3 0 0 0 1 0 0 0 0 0 0 0 10 0 55 63 418 263 1,304 20 18 45 15 69 11 8 12 6 45 2 1 0 5 1 0 0 1 0 0 1 2 4 6 13 0 0 0 0 0 89 92 480 295 1,432 377 190 224 247 30 20 30 22 17 4 11 5 0 2 1 2 0 0 0 0 3 4 4 2 0 0 0 0 427 220 270 278 181 19 9 2 0 1 0 212 19 136 423 130 75 32 7 33 157 41 22 23 0 14 28 19 4 8 0 1 2 2 1 1 3 19 61 6 5 4 0 1 1 1 0 0 230 1,302 5,238 624 1,445 368 Ischemic Heart Disease Other Heart Disease All Heart Disease Primary Hypertension 3,931 723 4,954 227 343 65 440 29 154 29 206 15 47 9 64 3 2 0 3 0 45 2 51 9 1 0 1 0 4,523 828 5,719 283 Cerebrovascular Atherosclerosis Other Circulatory 1,031 69 156 116 4 7 54 2 7 6 1 0 3 0 0 7 0 5 0 0 0 1,217 76 175 All Other Cardiovascular Influenza & Pneumonia Chronic Lower Respiratory 1,483 526 1,394 156 59 52 78 21 24 10 6 9 3 1 1 21 10 4 0 0 0 1,751 623 1,484 36 253 168 4 66 29 1 8 10 1 27 5 0 2 1 0 1 4 1 0 0 43 357 217 Pregnancy & Early Life Pregnancy Perinatal Conditions Congenital Malformations Unknown Total American Indian, Hispanic 201 1,098 4,566 425 1,338 300 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 3 2 0 0 0 0 0 5 81 65 95 67 21 11 6 4 2 2 1 4 0 0 206 153 9 506 9 48 2 18 1 4 0 1 0 6 0 1 21 584 3,201 358 902 392 95 63 1,810 1 20,880 418 219 173 75 193 13 673 0 2,769 142 29 50 12 40 2 133 0 906 54 30 17 5 21 4 77 0 322 9 0 7 3 1 2 13 0 43 40 7 10 11 4 0 32 0 247 Maricopa County Health Status Report 2006 Page 9 0 3,864 0 643 3 1,162 0 498 1 355 0 84 4 2,742 0 1 9 25,176 Maricopa County 2006 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 1 Perinatal Conditions Congenital Malformations 2 Other Diseases External Causes Unknown Total 1 2 SIDS Symptoms, Signs Other Diseases Motor Vehicle Collisions All Other Accidents Suicide Homicide Other External Causes All External Causes American Indian, Non-Hispanic 0 1.7 African Hispanic American American Other/ Indian, Hispanic Asian Unknown 0 0 - Total 0.3 0.3 0.3 0 2.4 2.8 18.4 11.6 0 1.8 1.6 4.1 1.4 0 7.4 5.4 8.1 4.0 0 3.5 1.7 0 8.7 0 0 0 5.4 0 0 0.9 1.8 3.7 5.5 - 0 2.4 2.4 12.7 7.8 57.3 16.6 16.4 20.0 6.2 2.7 3.8 5.1 30.3 11.4 5.5 14.6 1.7 0 6.6 3.6 0 0 0 0 12.0 2.8 7.2 7.7 - 38.0 11.3 11.8 14.2 10.9 2.0 3.4 3.5 0 1.8 - 7.4 8.0 8.8 48.3 200.7 18.7 58.8 1.7 1.7 12.2 38.1 11.7 6.8 6.1 4.7 22.2 105.7 27.6 14.8 3.5 0 24.3 48.7 33.0 7.0 0 0 5.4 10.8 10.8 5.4 0.9 2.8 17.6 56.4 5.5 4.6 - 5.6 6.1 34.6 139.0 16.6 38.3 13.2 172.8 31.8 217.7 2.9 30.9 5.9 39.6 15.5 103.7 19.5 138.7 13.9 81.7 15.6 111.2 5.4 10.8 0 16.1 3.7 41.6 1.8 47.2 - 9.8 120.0 22.0 151.8 10.0 45.3 3.0 2.6 10.4 0.4 10.1 36.4 1.3 5.2 10.4 1.7 0 16.1 0 8.3 6.5 0 - 7.5 32.3 2.0 6.9 65.2 23.1 0.6 14.0 5.3 4.7 52.5 14.1 0 17.4 10.4 0 16.1 5.4 4.6 19.4 9.2 - 4.6 46.5 16.5 61.3 1.6 11.1 4.7 0.4 5.9 16.2 0.7 5.4 15.6 1.7 46.9 5.4 0 10.8 3.7 0 0.9 - 39.4 1.1 9.5 7.4 2.6 6.7 8.7 5.4 3.7 - 5.8 0.3 3.6 0.4 8.6 0 14.1 0 10.4 0 10.8 0 0.9 - 0.3 5.5 2.9 0.3 6.0 0.3 7.4 0.7 7.0 0.5 10.8 0 3.7 0 - 4.1 0.3 22.2 140.7 15.7 39.6 17.2 4.2 2.8 79.6 0.0 917.8 4.3 37.6 19.7 15.6 6.8 17.4 1.2 60.6 0 249.2 12.1 95.6 19.5 33.7 8.1 26.9 1.3 89.5 0 609.9 7.0 93.9 52.1 29.5 8.7 36.5 7.0 133.8 0 559.7 5.4 48.4 0 37.6 16.1 5.4 10.8 69.9 0 231.2 5.5 37.0 6.5 9.2 10.2 3.7 0 29.6 0 228.4 - 15.5 102.5 17.1 30.8 13.2 9.4 2.2 72.8 0.0 668.1 Uterine & ovarian cancer and pregnancy rates are per 100,000 females; prostate cancer rates are per 100,000 males. Sudden Infant Death Syndrome (SIDS) rates are per 1,000 live births. Maricopa County Health Status Report 2006 Page 10 Maricopa County 2006 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 1 0 0 4 3 2 0 Syphilis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 HIV 0 0 0 0 0 1 9 30 36 13 0 0 0 0 89 Stomach 0 0 0 0 0 0 2 4 10 11 22 27 16 0 92 Colon 0 0 0 0 0 0 5 12 44 69 99 147 104 0 480 Pancreas 0 0 0 0 0 0 1 6 20 59 81 84 44 0 295 Lung 0 0 0 0 1 0 0 9 102 277 459 443 141 0 1,432 Breast 0 0 0 0 0 0 2 24 52 97 72 104 75 1 427 Uterine & Ovarian 0 0 0 0 0 0 4 13 23 45 55 51 29 0 220 Prostate 0 0 0 0 0 0 0 0 2 28 50 103 87 0 270 Urinary 0 0 0 0 0 0 1 2 17 43 64 90 61 0 278 Lymphoma 0 0 1 0 0 1 2 8 17 27 44 72 40 0 212 Leukemia 1 3 1 3 2 3 7 5 16 28 53 68 40 0 230 Other 1 2 1 2 4 3 14 45 141 260 302 363 164 0 1,302 All Cancer 2 5 3 5 7 7 38 128 444 944 1,301 1,552 801 1 5,238 Diabetes 0 0 0 0 0 1 8 19 57 117 146 174 102 0 624 1,445 Alzheimer's 0 0 0 0 0 0 0 1 2 6 66 452 918 0 Hypertensive Heart Dis. 0 0 0 0 1 0 3 12 44 53 48 78 129 0 368 Ischemic Heart Disease 0 0 1 0 0 1 12 52 217 491 663 1,381 1,704 1 4,523 Other Heart Disease 4 3 2 1 4 2 15 25 57 75 103 233 304 0 828 5,719 All Heart Disease 4 3 3 1 5 3 30 89 318 619 814 1,692 2,137 1 Primary Hypertension 0 0 0 0 1 0 2 3 6 24 42 95 110 0 283 Cerebrovascular 1 0 1 0 1 3 8 26 47 94 153 385 498 0 1,217 Atherosclerosis 0 0 0 0 0 0 0 0 4 2 12 18 40 0 76 Other Circulatory 0 0 0 0 0 1 3 1 14 15 40 48 53 0 175 All Other Cardiovascular 1 0 1 0 2 4 13 30 71 135 247 546 701 0 1,751 (Continued) Maricopa County Health Status Report 2006 Page 11 Maricopa County 2006 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 1 1 6 Liver Disease 0 0 0 0 0 2 6 38 100 Nephritis 4 0 0 0 0 0 1 6 10 Pregnancy 0 0 0 0 0 2 1 2 0 203 2 0 0 0 0 0 0 89 13 3 7 3 6 4 3 Pregnancy & Early Life Chronic Lower Respiratory Perinatal Conditions Congenital Malformations Other Diseases External Causes 75-84 85+ Unk. Total 11 3 1 0 2 3 7 16 27 61 88 166 238 0 623 0 0 0 3 0 0 3 4 37 141 336 620 340 0 1,484 6 4 11 14 0 43 81 67 43 20 0 357 25 37 73 61 0 217 0 0 0 0 0 5 0 0 0 0 0 1 206 2 8 5 8 2 0 153 21 0 0 0 0 0 0 0 0 0 0 0 0 0 21 Symptoms, Signs 19 7 0 0 3 4 13 12 20 22 26 130 326 2 584 Other Diseases 35 21 8 5 17 24 54 157 323 399 547 1,138 1,135 1 3,864 2 16 7 8 83 78 110 87 99 59 31 46 16 1 643 10 14 3 5 20 52 93 177 163 114 74 205 229 3 1,162 Suicide 0 0 1 4 29 50 75 93 88 66 36 33 22 1 498 Homicide 4 5 0 6 56 71 100 54 39 12 4 2 1 1 355 Other External Causes 1 1 1 1 6 8 13 20 16 7 4 5 1 0 84 17 36 12 24 194 259 391 431 405 258 149 291 269 6 2,742 Motor Vehicle Collisions All External Causes Total 65-74 SIDS All Other Accidents Unknown 55-64 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 406 90 31 45 233 316 579 968 1,858 2,835 3,837 6,899 7,067 12 25,176 Maricopa County Health Status Report 2006 Page 12 Maricopa County 2006 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+ Unk. Total 0 0 0 0 0 0.2 0 0 1.9 2.0 3.4 - 0 0 0 0 0 0 0 0 0 0 0 0 - 0 HIV 0 0 0 0 0.4 1.5 5.4 7.6 3.6 0 0 0 - 2.4 Stomach 0 0 0 0 0 0.3 0.7 2.1 3.1 10.4 18.3 27.4 - 2.4 Colon 0 0 0 0 0 0.8 2.2 9.2 19.3 46.7 99.8 178.3 - 12.7 Pancreas 0 0 0 0 0 0.2 1.1 4.2 16.5 38.2 57.0 75.4 - 7.8 Lung 0 0 0 0.4 0 0 1.6 21.4 77.5 216.4 300.7 241.8 - 38.0 11.3 0.3 0 0 0 0 0 0.3 4.3 10.9 27.1 34.0 70.6 128.6 - Uterine & Ovarian 0 0 0 0 0 1.4 4.8 9.6 24.3 48.5 60.1 77.5 - 11.8 1 0 0 0 0 0 0 0 0.8 16.3 50.7 164.8 416.2 - 14.2 0 0 0 0 0 0.2 0.4 3.6 12.0 30.2 61.1 104.6 - 7.4 5.6 Urinary Lymphoma 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 0 0.4 0 0 0.4 0.3 1.4 3.6 7.6 20.7 48.9 68.6 - Leukemia 1.3 0.4 1.1 0.8 1.2 1.2 0.9 3.4 7.8 25.0 46.2 68.6 - 6.1 Other 1.0 0.4 0.7 1.6 1.2 2.4 8.1 29.6 72.8 142.4 246.4 281.2 - 34.6 All Cancer 2.2 1.1 1.8 2.8 2.8 6.5 23.0 93.2 264.2 613.5 1,053.6 1,373.4 - 139.0 Diabetes 0 0 0 0 0.4 1.4 3.4 12.0 32.7 68.8 118.1 174.9 - 16.6 Alzheimer's 0 0 0 0 0 0 0.2 0.4 1.7 31.1 306.8 1,574.0 - 38.3 Hypertensive Heart Dis. 0 0 0 0.4 0 0.5 2.2 9.2 14.8 22.6 53.0 221.2 - 9.8 Ischemic Heart Disease 0 0.4 0 0 0.4 2.0 9.4 45.6 137.4 312.6 937.5 2,921.8 - 120.0 Other Heart Disease 2.2 0.7 0.4 1.6 0.8 2.5 4.5 12.0 21.0 48.6 158.2 521.3 - 22.0 All Heart Disease 2.2 1.1 0.4 2.0 1.2 5.1 16.0 66.8 173.2 383.9 1,148.6 3,664.2 - 151.8 0 0 0 0.4 0 0.3 0.5 1.3 6.7 19.8 64.5 188.6 - 7.5 0.3 0.4 0 0.4 1.2 1.4 4.7 9.9 26.3 72.1 261.4 853.9 - 32.3 0 0 0 0 0 0 0 0.8 0.6 5.7 12.2 68.6 - 2.0 Primary Hypertension Cerebrovascular Atherosclerosis Other Circulatory All Other Cardiovascular 0 0 0 0 0.4 0.5 0.2 2.9 4.2 18.9 32.6 90.9 - 4.6 0.3 0.4 0.0 0.8 1.6 2.2 5.4 14.9 37.8 116.5 370.7 1,202.0 - 46.5 (Continued) Maricopa County Health Status Report 2006 Page 13 Maricopa County 2006 Mortality (Death) Statistics Age Group Cause 0-4 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ Unk. Total Influenza & Pneumonia 4.5 0.4 0 0.8 1.2 1.2 2.9 5.7 17.1 41.5 112.7 408.1 - 16.5 Chronic Lower Respiratory 0 0 1.1 0 0 0.5 0.7 7.8 39.5 158.4 420.9 583.0 - 39.4 GI & Urinary Peptic Ulcer 0 0 0 0 0 0.2 0.2 1.3 1.7 1.9 7.5 24.0 - 1.1 Liver Disease 0 0 0 0 0.8 1.0 6.8 21.0 22.7 31.6 29.2 34.3 - 9.5 Nephritis 1 Pregnancy Other Diseases 0 0 0.2 1.1 2.1 7.0 17.4 49.6 104.6 - 5.8 0 0 1.7 0.4 0.7 0 0 0 0 0 - 0.3 0 0 0 0 0 0 0 0 0 0 0 - 5.5 32.7 1.1 2.6 1.2 2.4 0.7 0.5 0.4 2.2 2.4 5.4 3.4 - 4.1 0.3 0 0 0 0 0 0 0 0 0 0 0 - 0.3 8.3 0 0 1.2 1.6 2.2 2.2 4.2 6.2 12.3 88.3 559.0 - 15.5 2 Symptoms, Signs 18.0 2.8 1.8 6.7 9.6 9.2 28.2 67.8 111.7 257.9 772.5 1,946.1 - 102.5 Motor Vehicle Collisions 5.8 2.5 2.9 32.8 31.1 18.7 15.7 20.8 16.5 14.6 31.2 27.4 - 17.1 All Other Accidents 7.7 1.1 1.8 7.9 20.7 15.8 31.8 34.2 31.9 34.9 139.2 392.7 - 30.8 0 0.4 1.5 11.5 19.9 12.7 16.7 18.5 18.5 17.0 22.4 37.7 - 13.2 Homicide 2.9 0 2.2 22.1 28.3 17.0 9.7 8.2 3.4 1.9 1.4 1.7 - 9.4 Other External Causes 0.6 0.4 0.4 2.4 3.2 2.2 3.6 3.4 2.0 1.9 3.4 1.7 - 2.2 17.0 4.2 8.8 76.7 103.3 66.4 77.6 85.0 72.2 70.3 197.5 461.2 - 72.8 0 159.1 0 10.9 0 16.5 0 92.1 0 126.0 0 98.3 0 174.2 0 390.1 0 793.3 0 1,809.4 0 4,683.5 1.7 12,117.4 - 0.0 668.1 All External Causes Total 0 0 65.8 Suicide Unknown 0 0 Congenital Malformations Other Diseases External Causes 1.3 Perinatal Conditions SIDS 2 10-14 Other Respiratory Diseases Pregnancy & Early Life 1 5-9 Uterine & ovarian cancer and pregnancy rates are per 100,000 females; prostate cancer rates are per 100,000 males. Sudden Infant Death Syndrome (SIDS) rates are per 1,000 live births. Maricopa County Health Status Report 2006 Page 14 Maricopa County 2006 Mortality (Death) Statistics Table 2.05a Selected Underlying Causes of Death by Sex Number of Cases Sex Cause Infectious Diseases Male Total 4 0 6 0 10 0 HIV Stomach Colon Pancreas Lung 74 56 251 151 783 15 36 229 144 649 89 92 480 295 1,432 Breast Uterine & Ovarian Prostate Urinary 5 270 187 422 220 91 427 220 270 278 Lymphoma 122 90 212 Leukemia Other All Cancer Diabetes Alzheimer's Hypertensive Heart Disease 143 786 2,754 327 444 180 87 516 2,484 297 1,001 188 230 1,302 5,238 624 1,445 368 Ischemic Heart Disease Other Heart Disease All Heart Disease Primary Hypertension 2,413 383 2,976 111 2,110 445 2,743 172 4,523 828 5,719 283 Cerebrovascular Atherosclerosis Other Circulatory 471 45 101 746 31 74 1,217 76 175 All Other Cardiovascular Influenza & Pneumonia Chronic Lower Respiratory 728 308 681 1,023 315 803 1,751 623 1,484 GI & Urinary Peptic Ulcer Liver Disease Nephritis 27 225 112 16 132 105 43 357 217 Pregnancy & Early Life Pregnancy - 5 5 Perinatal Conditions Congenital Malformations 104 87 102 66 206 153 SIDS Symptoms, Signs 12 239 9 345 21 584 1,862 446 698 379 295 49 1,867 1 12,832 2,002 197 464 119 60 35 875 0 12,344 3,864 643 1,162 498 355 84 2,742 1 25,176 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 2006 Page 15 Maricopa County 2006 Mortality (Death) Statistics Table 2.05b Selected Underlying Causes of Death by Sex Crude Death Rate per 100,000 Residents Sex 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 1 Perinatal Conditions Congenital Malformations 2 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 2 Female 0.2 0.3 0 3.9 3.0 13.2 8.0 0 0.8 1.9 12.2 7.7 41.3 0.3 14.2 34.7 22.5 11.8 - 9.9 4.9 6.4 7.5 41.4 145.2 17.2 23.4 4.8 4.6 27.6 132.7 15.9 53.5 9.5 127.2 20.2 156.9 10.0 112.7 23.8 146.6 5.9 24.8 2.4 9.2 39.9 1.7 5.3 38.4 16.2 4.0 54.7 16.8 35.9 1.4 11.9 42.9 0.9 7.1 5.9 5.6 5.5 0.3 5.4 4.6 0.4 3.5 0.3 12.6 98.2 23.5 36.8 20.0 15.6 2.6 98.4 0.1 676.6 18.4 107.0 10.5 24.8 6.4 3.2 1.9 46.8 0 659.5 Total 0.3 0 2.4 2.4 12.7 7.8 38.0 11.3 11.8 14.2 7.4 5.6 6.1 34.6 139.0 16.6 38.3 9.8 120.0 22.0 151.8 7.5 32.3 2.0 4.6 46.5 16.5 39.4 1.1 9.5 5.8 0.3 5.5 4.1 0.3 15.5 102.5 17.1 30.8 13.2 9.4 2.2 72.8 0.0 668.1 Uterine & ovarian cancer and pregnancy rates are per 100,000 females; prostate cancer rates are per 100,000 males. Sudden Infant Death Syndrome (SIDS) rates are per 1,000 live births. Maricopa County Health Status Report 2006 Page 16 Maricopa County 2006 Mortality (Death) Statistics Table 2.06a Firearm, Drug, and Alcohol Induced and Related Deaths by Age Group Number of Cases Age Group Firearm Induced 0-9 Drug Drug Related, Exc. Related, Inc. Tobacco Tobacco Drug Induced Alcohol Induced Alcohol Related 1 2 2 2 0 0 10-14 10 1 2 2 0 0 15-19 70 12 13 13 0 1 20-24 107 29 33 33 3 12 25-34 127 78 85 85 11 23 35-44 91 173 193 194 47 84 45-54 65 160 184 207 115 179 55-64 50 72 81 119 79 130 65-74 25 20 18 65 58 84 75-84 24 12 12 72 20 28 85+ 12 9 5 32 5 8 1 1 1 1 0 1 583 569 629 825 338 550 Unknown 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 0.2 0.3 0.3 0.3 0 0 10-14 3.7 0.4 0.7 0.7 0 0 15-19 27.7 4.7 5.1 5.1 0 0.4 20-24 42.7 11.6 13.2 13.2 1.2 4.8 25-34 21.6 13.2 14.4 14.4 1.9 3.9 35-44 16.4 31.1 34.7 34.9 8.5 15.1 45-54 13.6 33.6 38.6 43.5 24.1 37.6 55-64 14.0 20.1 22.7 33.3 22.1 36.4 65-74 11.8 9.4 8.5 30.7 27.4 39.6 75-84 16.3 8.1 8.1 48.9 13.6 19.0 85+ 20.6 15.4 8.6 54.9 8.6 13.7 - - - - - - 15.5 15.1 16.7 21.9 9.0 14.6 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 2006 Page 17 Maricopa County 2006 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 301 438 471 650 230 384 Hispanic 213 77 87 95 66 101 African American 42 32 45 50 6 10 American Indian, Non-Hispanic 16 10 14 16 32 50 5 6 6 7 3 4 American Indian, Hispanic Asian 5 5 5 6 1 1 Other/Unknown 1 1 1 1 0 0 583 569 629 825 338 550 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 19.3 20.7 28.6 Drug Induced Alcohol Induced Alcohol Related White 13.2 Hispanic 19.2 6.9 7.8 8.6 5.9 9.1 African American 28.3 21.5 30.3 33.7 4.0 6.7 American Indian, Non-Hispanic 27.8 17.4 24.3 27.8 55.6 86.9 American Indian, Hispanic 26.9 32.3 32.3 37.6 16.1 21.5 4.6 4.6 4.6 5.5 0.9 0.9 Asian Other/Unknown Total 10.1 - - - - - - 15.5 15.1 16.7 21.9 9.0 14.6 Table 2.08a Firearm, Drug, and Alcohol Induced and Related Deaths by Sex Number of Cases Sex Male Female Total Firearm Induced Drug Induced Drug Drug Related, Related, Inc. Alcohol Exc. Tobacco Tobacco Induced Alcohol Related 495 357 399 504 247 412 88 212 230 321 91 138 583 569 629 825 338 550 Table 2.08b Firearm, Drug, and Alcohol Induced and Related Deaths by Sex Crude Death Rate per 100,000 Residents Sex Male Female Total Firearm Induced 26.1 16.9 Drug Drug Related, Alcohol Alcohol Related, Inc. Exc. Tobacco Induced Related Tobacco 18.8 21.0 26.6 13.0 21.7 Drug Induced 4.7 11.3 12.3 17.2 4.9 7.4 15.5 15.1 16.7 21.9 9.0 14.6 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 2006 Page 18 Maricopa County 2006 Mortality (Death) Statistics Table 2.09 Heat Induced Deaths by Age, Race/Ethnicity, and Sex 2006 Deaths to Maricopa County Residents Number Of Cases Rate per 100,000 Residents Race/Ethnicity White Hispanic African-American American Indian, Non-Hispanic American Indian, Hispanic Asian Other/Unknown Total 29 7 3 1 0 0 0 40 1.3 0.6 2.0 1.7 0 0 1.1 Age at Death 0-4 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 85 and Older Total 0 0 0 0 0 1 6 13 8 4 4 4 40 0 0 0 0 0 0.2 1.1 2.7 2.2 1.9 2.7 6.9 1.1 Sex Male Female Total 28 12 40 1.5 0.6 1.1 This table includes all known 2006 deaths with exposure to excessive natural heat as the underlying cause of death. Maricopa County Health Status Report 2006 Page 19 Maricopa County 2006 Mortality (Death) Statistics Table 2.10 Number and Percent of Deaths by Race/Ethnicity and Marital Status Race/Ethnicity Marital Status White No. African American Hispanic % No. American Indian, Non-Hispanic No. American Indian, Hispanic % No. Other/ Unknown Asian % No. % No. Total % No. % No. % Never Married 1,712 8.2 860 31.1 236 26.0 111 34.5 24 55.8 34 13.8 0 % 0 2,977 11.8 Married 8,265 39.6 1,017 36.7 231 25.5 80 24.8 9 20.9 125 50.6 1 11.1 9,728 38.6 Widowed 7,623 36.5 530 19.1 224 24.7 62 19.3 4 9.3 66 26.7 0 0 8,509 33.8 Divorced 3,137 15.0 338 12.2 199 22.0 68 21.1 6 14.0 20 8.1 1 11.1 3,769 15.0 143 0.7 24 0.9 16 1.8 1 0.3 0 0 2 0.8 7 77.8 193 0.8 Unknown Total 20,880 2,769 906 322 43 247 9 25,176 Table 2.11 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 184 0.9 303 10.9 43 4.7 18 5.6 4 9.3 9 3.6 0 0 561 2.2 Grade 1-6 356 1.7 633 22.9 58 6.4 26 8.1 4 9.3 20 8.1 0 0 1,097 4.4 Some High School 2,717 13.0 722 26.1 182 20.1 78 24.2 17 39.5 39 15.8 0 0 3,755 14.9 HS Graduate 8,787 42.1 621 22.4 306 33.8 105 32.6 9 20.9 78 31.6 1 11.1 9,907 39.4 Some College 4,330 20.7 268 9.7 178 19.6 63 19.6 4 9.3 40 16.2 0 0 4,883 19.4 College Graduate 2,463 11.8 63 2.3 62 6.8 12 3.7 0 0 27 10.9 0 0 2,627 10.4 Graduate School 1,683 8.1 55 2.0 46 5.1 9 2.8 2 4.7 27 10.9 1 11.1 1,823 7.2 360 1.7 104 3.8 31 3.4 11 3.4 3 7.0 7 2.8 7 77.8 523 2.1 Unknown Total 20,880 2,769 906 322 43 247 9 25,176 Table 2.12 Number and Percent of Deaths by Race/Ethnicity and Sex Race/Ethnicity Sex White No. Hispanic % No. % African American No. % American Indian, Non-Hispanic No. % American Indian, Hispanic No. % Asian No. % Other/ Unknown No. % Total No. % Male 10,263 49.2 1,699 61.4 532 58.7 176 54.7 29 67.4 126 51.0 8 88.9 12,833 51.0 Female 10,617 50.8 1,070 38.6 374 41.3 146 45.3 14 32.6 121 49.0 1 11.1 12,343 49.0 Total 20,880 9 25,176 2,769 906 322 43 Maricopa County Health Status Report 2006 247 Page 20 Maricopa County 2006 Mortality (Death) Statistics Table 2.13 Crude and Age Adjusted Rates for Selected Underlying Causes of Death by Race/Ethnicity Crude Death Rates All Causes - Total White 917.8 Hispanic 249.2 African American 609.9 Amer. Ind. Non-Hisp. 559.7 Amer. Ind. Hispanic 231.2 Asian 228.4 Total 668.1 217.7 200.7 45.3 54.1 23.1 18.7 17.2 4.2 2.4 1.3 39.6 38.1 10.4 34.9 5.3 11.7 6.8 17.4 1.8 0.3 138.7 105.7 36.4 52.5 14.1 27.6 8.1 26.9 7.4 2.0 111.2 48.7 10.4 80.0 10.4 33.0 8.7 36.5 3.5 0 16.1 10.8 16.1 37.6 5.4 10.8 16.1 5.4 0 5.4 47.2 56.4 6.5 15.7 9.2 5.5 10.2 3.7 0.9 0 151.8 139.0 32.3 47.0 16.5 16.6 13.2 9.4 2.4 1.0 19.3 13.2 10.1 6.9 19.2 5.9 21.5 28.3 4.0 17.4 27.8 55.6 32.3 26.9 16.1 0.9 4.6 0.9 15.1 15.5 9.0 White 712.4 Hispanic 645.4 African American 935.2 Amer. Ind. Non-Hisp. 1,020.4 Amer. Ind. Hispanic 1,201.0 Asian 377.2 Total 708.9 162.8 157.0 33.6 47.8 17.4 14.6 16.0 4.2 2.3 1.1 140.2 116.7 35.0 49.1 17.7 38.6 8.0 15.3 2.4 0.5 234.2 160.9 65.3 59.4 19.5 47.4 7.6 24.3 7.5 2.0 274.8 107.1 29.5 95.5 20.4 70.4 6.2 30.1 4.2 0 45.1 46.4 350.5 36.7 172.3 22.1 11.8 3.6 0 3.4 90.1 85.3 12.1 21.9 19.5 10.8 10.0 3.8 0.8 0 161.6 150.0 34.5 48.4 17.5 17.8 13.5 9.3 2.4 1.0 18.5 12.6 8.7 9.5 17.4 10.9 23.6 25.3 5.5 19.0 21.3 78.9 29.2 18.8 33.4 4.5 4.4 1.0 15.6 15.6 9.4 Heart Disease All Cancer Cerebrovascular Unintentional Injuries1 Pneumonia & Influenza Diabetes (single cause) Suicide Homicide AIDS and HIV Asthma Drug Induced Firearm Related Alcohol Induced Age Adjusted Death Rates All Causes Heart Disease Cancer Cerebrovascular Unintentional Injuries1 Pneumonia & Influenza Diabetes (single cause) Suicide Homicide AIDS and HIV Asthma Drug Induced Firearm Related Alcohol Induced Note: The methods used for age adjusting may be found in the Technical Notes. 1 Unintentional injuries listed in this table include 1,770 deaths from unintentional injuries, but do not include the 35 deaths from complications of medical or surgical care. The figure in this table is comparable to the HP 2010 goal for deaths due to unintentional injury. See Technical Notes for details Maricopa County Health Status Report 2006 Page 21 Maricopa County 2006 Mortality (Death) Statistics Table 2.14 Death Rate Comparisons to Arizona, U.S. and Healthy People 2010 Goals for Selected Underlying Causes of Death Causes of Death All Causes Heart Disease Coronary Heart Disease All Other Heart Disease All Cancers Lung, Trachea, Bronchus Cancer Female Breast Cancer1 Prostate Cancer1 All Other Cancers Cerebrovascular Disease (Stroke) Unintentional Injuries (Accidents)2 Motor Vehicle Falls Accidental Poisoning Drowning All Other Unintentional Injuries Pneumonia & Influenza Diabetes Suicide Homicide AIDS & HIV Asthma Drug Induced Firearm Related Alcohol Induced 2006 Maricopa County Crude Rate (Deaths No. of per Indivi100,000 duals Residents) 25,176 668.1 5,719 151.8 4,875 129.4 844 22.4 5,238 139.0 Age Adjusted Rate (Deaths per 100,000 Residents) Maricopa County 2006 708.9 161.6 137.8 150.0 Arizona 2006 727.3 166.1 130.2 154.7 U.S. 2004/ 20054 798.8 210.3 183.8 Healthy People 2010 Goal 166.0 159.9 1,432 422 270 3,113 38.0 22.5 14.2 82.6 41.5 21.6 18.7 - 42.7 21.6 20.1 - 52.6 24.4 25.4 - 44.9 22.3 28.8 - 1,217 32.3 34.5 34.8 46.6 48.0 1,770 643 441 384 56 246 623 624 498 355 89 37 47.0 17.1 11.7 10.2 1.5 6.5 16.5 16.6 13.2 9.4 2.4 1.0 48.4 17.3 12.4 10.4 1.5 17.5 17.8 13.5 9.3 2.4 1.0 51.2 19.6 11.3 10.8 1.5 18.4 18.9 15.4 8.5 2.3 - 38.1 15.1 6.3 7.2 1.2 20.3 24.5 10.6 5.9 4.2 1.3 17.5 45.0 5.0 3.0 0.73 - 569 583 338 15.1 15.5 9.0 15.6 15.6 9.4 15.1 15.4 10.3 10.2 10.1 6.9 1.0 4.1 - 1. The Maricopa County, Arizona, United States and HP 2010 Goal rates for female breast cancer are calculated as a rate per 100,000 women. The rates for prostate cancer are calculated as rates per 100,000 men. 2. Unintentional injuries listed in this table include 1,770 deaths from unintentional injuries, but do not include the 35 deaths from complications of medical or surgical care. The figure in this table is comparable to the HP 2010 goal. See Technical Notes for details. 3. When compared directly to the Healthy People 2010 Goals, Maricopa County data for HIV/AIDS and drug induced deaths are inflated by approximately 15-20% because a different method of classifying deaths was used to determine the Healthy People Goals. 4. Figures for female breast cancer and prostate cancer are final 2004 U.S. data. All other figures are preliminary 2005 U.S. data. Maricopa County Health Status Report 2006 Page 22 III. Maricopa County 2006 Communicable Disease Statistics Maricopa County Health Status Report 2006 Page 23 Maricopa County 2006 Communicable Disease Statistics Table 3.01a Number of Cases of Selected Reportable Diseases by Race/Ethnicity Race/Ethnicity Vaccine Preventable Central Nervous System Hisp. H. influenzae Measles Mumps 20 0 1 11 0 1 Pertussis Enceph Viral Other 12 11 4 2 0 0 3 0 0 0 379 169 24 6 2 2 1 3 3 138 2 0 114 0 1 4 Cholera Cryptosporidiosis 0 13 0 4 E. Coli O157.H7 Giardiasis Listeriosis Salmonella Paratyphi 25 33 7 2 176 62 Meningitis Viral/Aseptic Meningococcal Meningitis Enterics Amebiasis Botulism Campylobacteriosis Salmonellosis Shigellosis Typhoid 18 0 1 54 0 3 0 0 2 2 21 15 0 8 38 624 0 0 0 1 6 0 0 22 0 0 1 0 0 4 5 0 149 10 4 432 0 1 0 0 0 0 0 0 0 1 0 19 9 11 0 2 1 3 0 0 1 1 0 0 0 0 0 0 1 1 0 0 5 17 0 2 42 66 7 6 97 210 12 17 22 9 0 4 2 0 123 79 432 381 1 3 0 0 3 0 7 119 39 0 38 2,911 4,209 Brucellosis Dengue 1 5 1 0 0 1 0 0 0 0 0 1 1 1 3 8 Hantavirus Pulm. Syn. 1 1 1 0 0 0 0 3 Lyme Disease 2 0 0 0 0 0 4 6 Malaria West Nile Virus Hepatitis A 4 63 44 1 5 30 9 2 0 0 0 0 0 0 0 1 0 2 3 5 15 18 75 91 1 Hepatitis B (Acute) 33 6 0 2 0 8 216 265 Hepatitis C 909 277 115 73 1 7 203 1,585 Hepatitis D 0 0 0 0 0 0 0 0 Legionellosis 20 2 1 0 0 0 2 25 MRSA Strep Group A 89 93 16 27 12 5 11 6 1 0 3 3 865 82 997 216 Strep Group B 13 13 0 0 0 0 13 39 Strep Pneumo Invasive 228 85 33 21 1 6 195 569 Toxic Shock Syndrome 0 0 0 0 0 0 0 0 Vibrio spp. 6 4 0 0 0 0 0 10 VRE 824 127 47 42 0 10 755 1,805 Yersiniosis Hansen’s Disease 6 0 33 530 0 1 96 271 1 0 19 81 0 0 1 38 0 0 0 - 0 0 22 5 4 1 0 288 11 2 171 1,213 1,219 987 803 159 - 15 817 4,000 Genital Herpes 2 2 Gonorrhea Syphilis – Primary and 2 Secondary 75 58 24 5 - 1 0 163 175 268 59 34 - 6 0 542 3,672 4,724 1,242 641 - 123 4,194 14,596 193 108 68 9 2 5 4 163 114 45 5 0 2 3 All Others 19 10 3 1 0 0 7 Total 10,176 8,068 2,759 1,153 10 271 10,820 Figures for Hepatitis B (Acute) include confirmed and probable cases. 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. 389 332 40 33,257 Syphilis – All Others Chlamydia 2 2 HIV AIDS 1 2 Total 203 Zoonoses/ Vectorborne Tuberculosis Sexually Transmitted Disease Unk. 0 Coccidioidomycosis Other Black 899 Mycosis Hepatitides Amer Ind. Amer Ind. Asian Non-Hisp. Hisp. 2 3 0 0 0 0 0 0 0 0 0 0 White Disease Maricopa County Health Status Report 2006 Page 24 Maricopa County 2006 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 - 0.1 0.6 0 0 - 0.4 10.4 0.0 7.4 - 16.6 0 0 0 0 0 0 0 0 0 - 0.2 0.3 0.1 2.7 0 38.2 0 5.4 0 3.7 0 - 11.5 0 0.4 0.8 1.0 0 0.7 0.7 2.0 0 0 1.7 1.7 0 0 0 0 0 0 0.9 0.9 0 - 0.5 1.1 1.8 0.2 0.1 7.7 0.2 8.7 0 8.1 0 38.2 0 0 0 1.8 - 0.2 11.5 2.7 18.9 11.4 15.6 21.5 0 - 10.1 0.0 0.1 2.0 0.0 0 2.8 - 0.2 39.5 0.0 18.3 0.1 80.1 0 67.8 0 0 0 35.1 0 - 111.7 0.1 0.2 0 0.7 0 0 0.9 - 0.2 Hantavirus Pulm. Syn. 0.0 0.1 0.7 0.0 0 0.0 - 0.1 Lyme Disease 0.1 0.2 2.8 0.0 0.1 0.5 0.0 6.1 1.3 0.0 0.0 0.0 0 0 0 0.0 0.9 0.0 - 0.2 0.5 2.0 1.9 2.7 0.0 0.0 0 1.8 - 2.4 0.1 0.0 0.0 1.7 0 1.8 - 7.0 40.0 24.9 77.4 126.9 5.4 6.5 - 42.1 Meningitis Viral/Aseptic Amebiasis Botulism Campylobacteriosis E. Coli O157.H7 Giardiasis Listeriosis Salmonella Paratyphi Salmonellosis Shigellosis Typhoid Mycosis Coccidioidomycosis Zoonoses/ Vectorborne Brucellosis Dengue Malaria West Nile Virus Hepatitis A Hepatitis B (Acute) Hepatitis C Hepatitis D Other Legionellosis MRSA Strep Group A Strep Group B 1 Strep Pneumo Invasive Toxic Shock Syndrome Vibrio spp. VRE Yersiniosis Hansen’s Disease Tuberculosis Sexually Transmitted Disease Genital Herpes 2 2 Gonorrhea Syphilis – Primary and 2 Secondary Syphilis – All Others Chlamydia HIV AIDS 2 2 1.0 0 0.0 0.5 0.1 0.4 0 0 0 5.2 0 0 0.5 0.2 0 0 16.7 15.2 16.2 0.1 0.1 0.1 0.2 0.2 0 0.7 0 0.7 6.1 0 10.3 0 0.6 1.1 1.5 0.3 Total 0 0 Pertussis Enceph Viral Other 0.9 0 Unk. 1.4 0 Cholera Cryptosporidiosis Hepatitides Amer Ind. Asian Hisp. 0 0 0 0 - H. influenzae Measles Mumps Meningococcal Meningitis Enterics Hisp. Amer Ind. Black Non-Hisp. 1.3 5.2 0 0 0 0 0 0 0 0 - 0 0.9 3.9 0.2 1.4 0.7 8.1 0 19.1 0 5.4 0 2.8 - 0.7 26.5 4.1 2.4 3.4 10.4 0 2.8 - 5.7 0.5 0.4 0 0 0 0 - 0.6 10.0 7.7 22.2 36.5 5.4 5.5 - 15.1 0 0 0 0 0 0 - 0 0.3 36.2 0.3 0 1.5 0.4 11.4 0 0.1 8.6 0 31.6 0.7 0 12.8 0 73.0 0 0 1.7 0 0.0 0 0 0 0 9.2 0 0 20.3 - 0.3 47.9 0.3 0.1 4.5 23.3 53.6 24.4 88.8 54.5 540.6 66.0 276.4 - 4.6 13.9 - 32.2 106.2 3.3 5.2 16.2 8.7 - 0.9 - 4.3 7.7 24.1 39.7 59.1 - 5.5 - 14.4 161.4 8.5 7.2 0.8 425.2 9.7 10.3 0.9 836.1 45.8 30.3 2.0 1,114.1 15.6 8.7 1.7 10.8 0 0 113.7 4.6 1.8 0 - 387.4 10.3 8.8 1.1 All Others Total 447.3 726.2 1,857.3 2,004.0 53.8 250.6 882.6 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 2006 Page 25 Maricopa County 2006 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 11 0 0 6 0 0 4 0 0 0 0 0 1 0 0 2 0 1 0 0 0 2 0 0 6 0 1 6 0 1 12 0 0 4 0 0 0 0 0 54 0 3 7 0 2 1 2 1 3 0 2 0 0 0 2 2 0 1 2 0 1 4 0 5 0 1 0 0 21 15 128 17 23 20 38 67 101 80 61 34 46 7 2 624 0 2 0 0 1 1 0 1 0 0 1 0 0 6 0 4 27 2 0 64 1 0 26 2 0 21 0 0 25 0 0 29 0 0 48 2 0 52 2 0 36 1 0 53 0 0 44 0 0 2 0 0 5 10 4 432 Cholera Cryptosporidiosis 0 0 0 1 0 1 0 1 0 1 0 0 0 3 0 4 0 3 0 0 0 5 0 0 0 0 0 19 E. Coli O157.H7 Giardiasis Listeriosis Salmonella Paratyphi 0 1 0 0 11 17 0 4 10 3 0 0 3 3 0 0 2 2 0 0 4 1 0 0 2 10 0 0 2 7 0 1 0 7 0 1 4 3 1 0 4 11 3 0 0 0 3 0 0 1 0 0 42 66 7 6 50 66 6 139 45 83 26 25 17 16 37 16 39 22 37 27 39 22 30 6 36 13 3 1 7 5 432 381 0 0 0 0 7 721 1,059 125 20 4,209 H. influenzae Measles Mumps Pertussis Enceph Viral Other Meningitis Viral/Aseptic Meningococcal Meningitis Enterics Amebiasis Botulism Campylobacteriosis Salmonellosis Shigellosis Typhoid 0 2 2 0 0 1 1 1 0 19 37 85 138 160 485 700 650 Brucellosis Dengue 0 0 0 0 0 0 0 0 0 0 0 0 0 3 2 0 0 2 1 0 0 3 0 0 0 0 3 8 Hantavirus Pulm. Syn. 0 0 0 0 0 1 0 1 0 1 0 0 0 3 Coccidioidomycosis Zoonoses/ Vectorborne Lyme Disease 0 0 1 0 0 1 0 0 1 3 0 0 0 6 Malaria West Nile Virus Hepatitis A 0 0 1 0 0 0 0 0 6 0 0 8 2 2 8 1 2 10 3 6 16 1 4 15 6 24 11 4 12 12 1 25 2 0 0 2 0 0 0 18 75 91 1 Other Hepatitis B (Acute) 0 1 0 1 2 16 43 71 74 39 13 1 4 265 Hepatitis C 2 0 0 0 12 30 164 321 610 293 130 14 9 1,585 Hepatitis D 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Legionellosis 0 0 1 0 1 0 1 5 2 3 11 1 0 25 MRSA 10 6 4 3 7 22 52 98 163 183 353 82 14 997 Strep Group A 11 6 3 5 2 5 18 27 39 37 55 7 1 216 39 - - - - - - - - - - - - 39 Strep Pneumo Invasive 28 57 9 8 13 14 27 65 83 88 141 31 5 569 Toxic Shock Syndrome 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Vibrio spp. 0 0 0 1 1 0 3 2 2 1 0 0 0 10 11 0 0 0 7 8 0 0 13 5 3 1 0 2 1 7 0 0 7 4 17 0 0 4 121 23 0 1 14 270 67 1 1 37 401 117 1 0 25 217 212 2 0 18 127 307 0 0 22 41 794 220 4 2 0 0 27 2 19 0 19 0 0 0 0 1,805 11 2 171 1,213 1 0 4 31 837 1,167 1,243 491 181 40 5 0 0 4,000 0 0 0 0 2 16 54 53 35 1 2 0 0 163 Syphilis – All Others 10 0 0 0 10 79 177 157 71 28 10 0 0 542 Chlamydia 12 3 7 143 4,431 5,312 3,761 739 146 38 4 0 0 14,596 0 0 0 0 15 48 122 143 53 6 2 0 0 0 0 0 2 8 81 135 70 34 2 0 7 13 7 1 1 0 1 1 1 1 7 0 383 464 287 407 5,731 7,343 6,957 3,540 2,692 2,022 2,836 507 Figures for Hepatitis B (Acute) include confirmed and probable cases. Streptococcal Group B Invasive disease is only reportable for cases in infants under 90 days. 0 0 0 88 389 332 40 33,257 Strep Group B 2 VRE Yersiniosis Hansen’s Disease Tuberculosis Sexually Transmitted Diseases Genital Herpes Gonorrhea Syphilis – Primary and Secondary HIV AIDS All Others Total 1 2 Unk. 10 Mycosis Hepatitides 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-84 85+ Total <1 Maricopa County Health Status Report 2006 Page 26 Maricopa County 2006 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 Meningitis Viral/Aseptic Meningococcal Meningitis Enterics Amebiasis Botulism Campylobacteriosis Cholera Cryptosporidiosis E. Coli O157.H7 Giardiasis Listeriosis Salmonella Paratyphi Salmonellosis Shigellosis 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-84 85+ Unk. Total 5.5 0 1.4 0 0 0 0.4 0 0.8 0 0 0 0.4 0 1.3 0 1.7 0 3.3 0 6.9 0 - 1.4 0 0 2.9 0 0.7 0 1.1 0 0.8 0.4 0 0 0.3 0 0 0.2 0.4 0.3 0.3 0 0 0 0 - 0.1 0.6 0.3 0.4 0 0 0 0.3 0.2 0 1.1 1.4 1.7 - 0.4 46.5 8.1 7.3 15.0 26.7 17.2 14.4 12.8 9.5 12.8 12.0 - 16.6 0.6 0.6 1.3 0 0.4 0 0 0.7 0 0.4 0 0 0.4 0 0 0 0 0 0.2 0.4 0 0 0.4 0 0 0.3 0 0.3 0 0 0 0 0 - 0.2 0.3 0.1 29.2 0 9.2 0 7.7 0 9.9 0 11.6 0 8.2 0 9.4 0 7.6 0 14.8 0 12.2 0 3.4 0 - 11.5 0 0.3 3.5 5.8 0 0.4 3.5 1.1 0 0.4 1.1 1.1 0 0.4 0.8 0.8 0 0.0 1.6 0.4 0 0.5 0.3 1.7 0 0.7 0.4 1.3 0 0.6 0 1.5 0 0 1.1 0.8 0.3 1.4 1.1 3.1 0.8 0 0 0 5.1 - 0.5 1.1 1.8 0.2 1.3 37.2 0 15.9 0 9.5 0 6.7 0 14.8 0 6.6 0.2 6.7 0.2 8.2 0 8.4 0 10.0 0 5.1 - 0.2 11.5 10.1 46.5 29.3 9.1 6.3 6.4 3.7 4.9 4.6 1.7 3.6 1.7 - Typhoid 0.6 0.7 0 0 0.4 0.2 0.2 0 0 0 0 - 0.2 Mycosis Coccidioidomycosis Zoonoses/ Vectorborne Brucellosis Dengue 9.3 0 13.1 0 31.1 0 54.5 0 63.8 0 82.4 126.0 136.5 201.8 294.7 214.3 0 0.4 0 0.3 0 0 - 111.7 0.1 Hepatitides Other 0 0 0 0 0 0.5 0 0.4 0 0.8 0 - 0.2 Hantavirus Pulm. Syn. 0 0 0 0 0.4 0 0.2 0 0.3 0 0 - 0.1 Lyme Disease 0 0 0 0 0.8 0.8 0.4 0.4 0.8 0 0.5 1.0 0 0.2 0.7 0.2 1.3 5.0 0.8 1.1 3.4 0 0.3 7.0 0 0 0 - 0.2 0.5 2.0 Malaria West Nile Virus Hepatitis A 0 0 0 0.4 0 0 0.3 2.1 2.9 3.2 4.0 2.7 2.7 2.3 3.4 0.6 3.4 - 2.4 Hepatitis B (Acute) 0.3 0 0.4 0.8 6.4 7.3 12.8 15.5 10.9 3.6 1.7 - 7.0 Hepatitis C 0.6 0 0 4.7 12.0 27.9 57.8 128.1 82.0 36.2 24.0 - 42.1 Hepatitis D 0 0 0 0 0 0 0 0 0 - 0 3.1 Legionellosis MRSA Strep Group A 0 0 0.4 0 0.4 0 0.2 0.9 0.4 0.8 1.7 - 0.7 5.1 1.4 1.1 2.8 8.8 8.8 17.6 34.2 51.2 98.2 140.6 - 26.5 5.5 1.1 1.8 0.8 2.0 3.1 4.9 8.2 10.4 15.3 12.0 - 5.7 0.6 - - - - - - - - - - - 0.6 Strep Pneumo Invasive 27.3 3.2 2.9 5.1 5.6 4.6 11.7 17.4 24.6 39.2 53.2 - 15.1 Toxic Shock Syndrome 0 0 0 0 0 0 0 0 0 0 0 - 0 0 6.1 0 0 4.2 0 1.1 0.4 0 0.7 0.4 2.6 0 0 2.6 0.4 6.7 0 0 1.6 0 9.2 0 0.4 5.6 0.5 11.4 0.2 0.2 6.3 0.4 21.1 0.2 0 4.5 0.4 44.5 0.4 0 3.8 0.3 0 0 85.9 220.9 377.2 0 1.1 3.4 0 0 0 6.2 7.5 3.4 - 0.3 47.9 0.3 0.1 4.5 3.9 0.3 0.4 1.4 1.5 11.3 47.8 330.8 107.7 465.3 68.1 211.1 39.0 88.3 26.7 38.0 11.5 11.2 5.3 1.4 0 0 - 32.2 106.2 0 0 0 0.8 6.4 9.2 9.5 7.3 0.3 0.6 0 - 4.3 3.2 0 0 4.0 31.5 30.1 28.2 14.9 7.8 2.8 0 - 14.4 4.8 2.5 52.3 1,751.1 2,117.9 638.8 133.0 30.7 10.6 1.1 0 0 0 0 5.9 19.1 20.7 25.7 11.1 1.7 0.6 0 0 0 0 0.8 3.2 13.8 24.3 14.7 9.5 0.6 0 6.4 2.5 0.4 0.4 0 0.2 0.2 0.2 0.3 1.9 0 271.8 101.2 148.9 2,264.9 2,927.7 1,181.7 637.0 565.2 565.8 789.2 869.3 Rates for Streptococcal Group B Invasive in infants <90 days are per 1,000 live births. - 387.4 10.3 8.8 1.1 882.6 Strep Group B 1 Vibrio spp. VRE Yersiniosis Hansen’s Disease Tuberculosis Sexually Transmitted Diseases 0 Genital Herpes Gonorrhea Syphilis – Primary and Secondary Syphilis – All Others Chlamydia HIV AIDS All Others Total 1 Maricopa County Health Status Report 2006 Page 27 Maricopa County 2006 Communicable Disease Statistics Table 3.03a Number of Cases of Selected Reportable Diseases by Sex Disease Vaccine Preventable Central Nervous System 14 6 0 0 21 15 301 322 1 624 2 4 0 6 5 1 232 5 3 198 0 0 2 10 4 432 Cholera Cryptosporidiosis 0 12 0 7 0 0 0 19 E. Coli O157.H7 Giardiasis Listeriosis Salmonella Paratyphi 25 42 1 4 17 24 6 2 0 0 0 0 42 66 7 6 204 176 225 204 3 1 432 381 Pertussis Enceph Viral Other Meningitis Viral/Aseptic Amebiasis Botulism Campylobacteriosis Typhoid 2 5 0 7 2,361 1,815 33 4,209 Brucellosis Dengue 1 2 2 5 0 1 3 8 Hantavirus Pulm. Syn. 3 0 0 3 Lyme Disease 5 1 0 6 Malaria West Nile Virus Hepatitis A 13 48 37 5 27 54 0 0 0 18 75 91 Mycosis Coccidioidomycosis Zoonoses/ Vectorborne 1 Hepatitis B (Acute) Hepatitis C Hepatitis D Other 139 125 1 265 1,102 470 13 1,585 0 0 0 0 13 12 0 25 MRSA 569 410 18 997 Strep Group A 117 95 4 216 Strep Group B 17 22 0 39 317 248 4 569 Legionellosis Strep Pneumo Invasive Toxic Shock Syndrome 0 0 0 0 Vibrio spp. 5 5 0 10 770 7 2 111 401 1,018 4 0 60 812 17 0 0 0 0 1,805 11 2 171 1,213 2,140 1,860 0 4,000 142 21 0 163 372 170 0 542 3,261 11,335 0 14,596 0 0 0 98 389 332 40 33,257 VRE Yersiniosis Hansen’s Disease Tuberculosis Sexually Transmitted Diseases 7 9 Genital Herpes Gonorrhea Syphilis – Primary and Secondary Syphilis – All Others Chlamydia HIV AIDS 1 Total Unk. 54 0 3 Salmonellosis Shigellosis Hepatitides Sex Female 28 0 1 1 0 0 H. influenzae Measles Mumps Meningococcal Enterics Male 25 0 2 329 60 300 32 All Others 25 15 Total 13,524 19,635 Figures for Hepatitis B (Acute) include confirmed and probable cases. Maricopa County Health Status Report 2006 Page 28 Maricopa County 2006 Communicable Disease Statistics Table 3.03b Case Rates per 100,000 Residents for Selected Reportable Diseases by Sex 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 0.1 0.4 0.1 0.7 Total Unk. - 1.4 0 - 0.1 0.6 0.5 0.3 - 0.4 15.9 17.2 - 16.6 0.1 0.3 0.1 0.2 0.3 0.2 - 0.2 0.3 0.1 12.2 0 10.6 0 - 11.5 0 0.6 1.3 2.2 0.1 0.4 0.9 1.3 0.3 - 0.5 1.1 1.8 0.2 0.2 10.8 0.1 12.0 - 0.2 11.5 9.3 10.9 - 10.1 0.1 0.3 - 0.2 124.5 0.1 97.0 0.1 - 111.7 0.1 0.1 0.3 - 0.2 0.2 0 - 0.1 Lyme Disease 0.3 0.7 2.5 0.1 0.3 1.4 - 0.2 0.5 2.0 2.0 2.9 - 2.4 7.3 6.7 - 7.0 Hepatitis C 58.1 25.1 - 42.1 Hepatitis D 0 0 - 0 Malaria West Nile Virus Hepatitis A Legionellosis MRSA Strep Group A Strep Group B 1 Strep Pneumo Invasive Toxic Shock Syndrome Vibrio spp. VRE Yersiniosis Hansen’s Disease Tuberculosis Sexually Transmitted Diseases Sex Female 1.5 0 Hantavirus Pulm. Syn. Hepatitis B (Acute) Other Male 1.3 0 Genital Herpes Gonorrhea Syphilis – Primary and Secondary Syphilis – All Others 0.7 0.6 - 0.7 30.0 21.9 - 26.5 6.2 5.1 - 5.7 0.5 0.7 - 0.6 16.7 13.3 - 15.1 0 0 - 0 0.3 40.6 0.4 0.1 5.9 0.3 54.4 0.2 0 3.2 - 0.3 47.9 0.3 0.1 4.5 21.1 112.8 43.4 99.4 - 32.2 106.2 7.5 1.1 - 4.3 19.6 9.1 - 14.4 Chlamydia 172.0 605.6 387.4 17.3 3.2 10.3 HIV 15.8 1.7 8.8 AIDS 1.3 0.8 1.1 All Others 713.1 1,049.1 882.6 Total 1 Rates for Streptococcal Group B Invasive in infants <90 days are per 1,000 live births. Maricopa County Health Status Report 2006 Page 29 Maricopa County 2006 Communicable Disease Statistics Table 3.04 Case Rate Comparisons to Arizona, U.S. and Healthy People 2010 Goals for Selected Diseases Disease Hepatitis C Salmonellosis AIDS HIV Tuberculosis Hepatitis B (Acute Cases Only) Hepatitis A Syphilis (Primary and Secondary) Pertussis Rubella Mumps Measles 1 2006 Maricopa County Crude Case Rate Number (Cases per of cases 100,000 Residents) 1,585 42.1 432 11.5 332 8.8 389 10.3 171 4.5 265 7.0 91 2.4 163 4.3 21 0.6 0 0 3 0.1 0 0 Crude Case Rate (Cases per 100,000 Residents) Healthy People Arizona 2010 2006 U.S. 2005 Goal 15.2 9.1 5.0 6.0 2.9 3.3 0.6 0 0.6 0 15.43 14.00 4.80 1.78 1.53 2.97 8.72 0 0.11 0.02 The Healthy People 2010 goal for primary and secondary syphilis includes only transmission of syphilis that occurred in the United States. It is likely that Maricopa County includes some cases acquired outside of the country. Maricopa County Health Status Report 2006 Page 30 1.0 6.8 1.0 1.0 4.5 0.2 0.7 0 0 0 1 IV. Maricopa County 2006 Natality (Birth) Statistics Maricopa County Health Status Report 2006 Page 31 Maricopa County 2006 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 89 0.3 5 0.2 6 0.3 0 0 1 0.0 0 0 112 0.2 15-19 1,811 6.4 5,132 16.9 421 14.8 325 16.8 31 29.2 61 2.6 11 5.6 7,792 11.8 20-24 6,123 21.6 9,337 30.7 902 31.8 629 32.5 30 28.3 269 11.7 24 12.1 17,314 26.2 25-29 8,733 30.8 8,000 26.3 732 25.8 553 28.6 19 17.9 689 29.9 50 25.3 18,776 28.4 30-34 7,035 24.8 5,251 17.3 498 17.5 281 14.5 16 15.1 824 35.8 44 22.2 13,949 21.1 35-39 3,863 13.6 2,165 7.1 232 8.2 110 5.7 9 8.5 390 16.9 34 17.2 6,803 10.3 40-44 740 2.6 420 1.4 47 1.7 28 1.4 1 0.9 65 2.8 24 12.1 1,325 2.0 23 0.1 3 0.1 1 0.1 0 0 5 0.2 11 5.6 90 0.1 0 0 0 0 0 0 0 0 0 0 0 0 1 0.0 45+ 47 0.2 Unk. 1 0.0 Total 28,364 30,417 2,840 1,933 106 2,304 198 66,162 Table 4.02 Number and Percent of Births by Marital Status and Race/Ethnicity of Mother Race/Ethnicity Marital Status of Mother Married White Hispanic African American No. % Amer. Ind., Non-Hisp. No. % Amer. Ind., Hisp. No. % No. % No. % 20,763 73.2 12,872 42.3 1,009 35.5 534 27.6 33 Single Asian Total Other No. % No. % No. % 31.1 1,949 84.6 158 79.8 37,318 56.4 7,379 26.0 17,225 56.6 1,800 63.4 1,372 71.0 72 67.9 342 14.8 34 17.2 28,224 42.7 Refused 153 0.5 264 0.9 24 0.8 20 1.0 0 0 11 0.5 1 0.5 473 0.7 Divorced 13 0.0 5 0.0 0 0 0 0 0 0 0 0 1 0.5 19 0.0 Unknown 56 0.2 51 0.2 7 0.2 7 0.4 1 0.9 2 0.1 4 2.0 128 0.2 Total 28,364 30,417 2,840 1,933 106 2,304 198 66,162 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. % No. % 0.2 1,092 3.6 51 1.8 4 0.2 0 0 19 0.8 72 36.4 1,292 2.0 6th- 11th Grade 2,402 8.5 14,785 48.6 540 19.0 550 28.5 47 44.3 129 5.6 20 10.1 18,473 27.9 HS Diploma 7,329 25.8 8,680 28.5 1,005 35.4 641 33.2 24 22.6 509 22.1 28 14.1 18,216 27.5 18,412 64.9 5,554 18.3 1,187 41.8 703 36.4 33 31.1 1,635 71.0 54 27.3 27,578 41.7 167 0.6 306 1.0 57 2.0 35 1.8 2 1.9 12 0.5 24 12.1 603 0.9 College+ Unknown Total 28,364 30,417 2,840 1,933 106 Maricopa County Health Status Report 2006 2,304 Page 32 % No. 198 % Total % <6 Grade No. Other 54 th No. Hispanic 66,162 Maricopa County 2006 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. % 25,453 89.7 21,832 71.8 2,243 79.0 1,380 71.4 79 2,240 7.9 6,296 20.7 475 16.7 369 19.1 Third 422 1.5 1,305 4.3 60 2.1 110 None 234 0.8 969 3.2 61 2.1 15 0.1 15 0.0 1 0.0 First Second Unknown Total 28,364 30,417 2,840 Asian Total Other No. % No. % No. % 74.5 2,046 88.8 127 64.1 53,160 80.3 20 18.9 188 8.2 40 20.2 9,628 14.6 5.7 3 2.8 39 1.7 10 5.1 1,949 2.9 72 3.7 4 3.8 25 1.1 17 8.6 1,382 2.1 2 0.1 0 0 6 0.3 4 2.0 43 0.1 1,933 106 2,304 198 66,162 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 234 0.8 969 3.2 61 2.1 72 3.7 4 3.8 25 1.1 17 8.6 1,382 2.1 1 to 4 494 1.7 1,462 4.8 121 4.3 153 7.9 7 6.6 35 1.5 15 7.6 2,287 3.5 5 to 8 3,093 10.9 6,062 19.9 510 18.0 437 22.6 21 19.8 295 12.8 37 18.7 10,455 15.8 9 to 12 15,270 53.8 14,393 47.3 1,407 49.5 918 47.5 53 50.0 1,216 52.8 71 35.9 33,328 50.4 13 to 16 7,695 27.1 6,774 22.3 589 20.7 285 14.7 18 17.0 627 27.2 45 22.7 16,033 24.2 17 or More 1,544 5.4 684 2.2 144 5.1 62 3.2 3 2.8 99 4.3 8 4.0 2,544 3.8 34 0.1 73 0.2 8 0.3 6 0.3 0 0 7 0.3 5 2.5 133 0.2 Unknown Total 28,364 30,417 2,840 1,933 106 2,304 198 66,162 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. % No. % No. % Inadequate 6.9 5,920 19.9 412 15.0 412 21.7 17 16.3 165 7.3 59 32.1 8,867 13.8 Intermediate 3,592 13.1 5,028 16.9 407 14.9 341 18.0 20 19.2 283 12.6 23 12.5 9,694 15.1 Adequate 14,236 52.0 11,830 39.8 1,161 42.4 784 41.4 42 40.4 1,141 50.8 63 34.2 29,257 45.5 Adequate Plus 7,611 27.8 6,881 23.1 749 27.4 349 18.4 25 24.0 648 28.9 34 18.5 16,297 25.4 41 0.1 86 0.3 9 0.3 10 0.5 0 0 9 0.4 5 2.7 160 0.2 Total 27,362 29,745 2,738 1,896 104 Maricopa County Health Status Report 2006 2,246 Page 33 % Total 1,882 Information Missing No. Other 184 64,275 Maricopa County 2006 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. % 317 1.1 365 1.2 61 2.1 21 1.1 4 3.8 19 0.8 3 1.5 790 1.2 1,597 5.6 1,645 5.4 286 10.1 127 6.6 7 6.6 167 7.2 19 9.6 3,848 5.8 25,467 89.8 27,496 90.4 2,444 86.1 1,671 86.4 91 85.8 2,073 90.0 171 86.4 59,413 89.8 980 3.5 910 3.0 49 1.7 114 5.9 4 3.8 44 1.9 3 1.5 2,104 3.2 3 0.0 1 0.0 0 0 0 0 0 0 1 0.0 2 1.0 7 0.0 28,364 30,417 2,840 1,933 106 2,304 198 66,162 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 3,148 11.1 3,163 10.4 411 14.5 244 12.6 13 12.3 231 10.0 40 20.2 7,250 11.0 ≥37 Weeks Gestation 25,214 88.9 27,250 89.6 2,429 85.5 1,689 87.4 93 87.7 2,073 90.0 155 78.3 58,903 89.0 2 0.0 4 0.0 0 0 0 0 0 0 0 0 3 1.5 9 0.0 Unknown Total 28,364 30,417 2,840 1,933 106 Maricopa County Health Status Report 2006 2,304 Page 34 198 66,162 Maricopa County 2006 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. % 25-29 No. 30-34 35-39 40-44 % No. % No. % No. % No. 45+ Total Unknown % No. % No. % No. % 2 1.8 1,082 13.9 6,942 40.1 12,183 64.9 10,634 76.2 5,426 79.8 979 73.9 70 77.8 0 0 37,318 56.4 110 98.2 6,694 85.9 10,238 59.1 6,365 33.9 3,182 22.8 1,300 19.1 315 23.8 19 21.1 1 100.0 28,224 42.7 Refused 0 0 13 0.2 104 0.6 172 0.9 103 0.7 61 0.9 19 1.4 1 1.1 0 0 473 0.7 Divorced 0 0 0 0 5 0.0 9 0.0 3 0.0 2 0.0 0 0 0 0 0 0 19 0.0 Unknown 0 0 3 0.0 25 0.1 47 0.3 27 0.2 14 0.2 12 0.9 0 0 0 0 128 0.2 Total 112 7,792 17,314 18,776 13,949 6,803 1,325 90 1 66,162 Table 4.10 Number and Percent of Births by Educational Level and Age Group of Mother Educational Level of Mother th <6 Grade Age Group of Mother <15 No. 15-19 % No. 20-24 % No. 25-29 % No. 30-34 % No. 35-39 % No. 40-44 % No. 45+ % No. Total Unknown % No. % No. % 3 2.7 112 1.4 291 1.7 344 1.8 288 2.1 183 2.7 61 4.6 10 11.1 0 0 1,292 2.0 108 96.4 4,682 60.1 5,522 31.9 4,319 23.0 2,598 18.6 1,037 15.2 195 14.7 12 13.3 0 0 18,473 27.9 HS Diploma 0 0 2,460 31.6 6,552 37.8 4,931 26.3 2,744 19.7 1,247 18.3 266 20.1 16 17.8 0 0 18,216 27.5 College+ 0 0 447 5.7 4,785 27.6 9,029 48.1 8,199 58.8 4,285 63.0 786 59.3 47 52.2 0 0 27,578 41.7 Unknown 1 0.9 91 1.2 164 0.9 153 0.8 120 0.9 51 0.7 17 1.3 5 5.6 1 100.0 603 0.9 6th-11th Grade Total 112 7,792 17,314 18,776 13,949 6,803 1,325 90 1 66,162 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+ Unknown % No. % No. % No. % No. % No. % No. % No. % No. % 51 45.5 5,126 65.8 13,162 76.0 15,627 83.2 12,033 86.3 5,963 87.7 1,124 84.8 74 82.2 0 0 53,160 80.3 Second 41 36.6 2,031 26.1 3,062 17.7 2,313 12.3 1,432 10.3 601 8.8 138 10.4 10 11.1 0 0 9,628 14.6 Third 12 10.7 370 4.7 625 3.6 480 2.6 297 2.1 130 1.9 34 2.6 1 1.1 0 0 1,949 2.9 None 8 7.1 260 3.3 449 2.6 347 1.8 179 1.3 107 1.6 28 2.1 3 3.3 1 100.0 1,382 2.1 0 0 5 0.1 16 0.1 9 0.0 8 0.1 2 0.0 1 0.1 2 2.2 0 0 43 0.1 Total 112 7,792 17,314 18,776 13,949 6,803 Maricopa County Health Status Report 2006 1,325 Page 35 90 No. 1 % Total First Unknown No. 15-19 66,162 Maricopa County 2006 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 % No. 20-24 % % % % No. % 2.6 347 1.8 179 1.3 107 1.6 28 2.1 3 3.3 1 100.0 1,382 2.1 1 to 4 12 10.7 452 5.8 732 4.2 556 3.0 332 2.4 158 2.3 41 3.1 4 4.4 0 0 2,287 3.5 5 to 8 31 27.7 1,830 23.5 3,139 18.1 2,641 14.1 1,786 12.8 817 12.0 198 14.9 13 14.4 0 0 10,455 15.8 9 to 12 38 33.9 3,612 46.4 8,618 49.8 9,546 50.8 7,293 52.3 3,533 51.9 650 49.1 38 42.2 0 0 33,328 50.4 13 to 16 22 19.6 1,441 18.5 3,811 22.0 4,954 26.4 3,696 26.5 1,763 25.9 330 24.9 16 17.8 0 0 16,033 24.2 17 or More 1 0.9 174 2.2 511 3.0 707 3.8 644 4.6 417 6.1 77 5.8 13 14.4 0 0 2,544 3.8 Unknown 0 0 23 0.3 54 0.3 25 0.1 19 0.1 8 0.1 1 0.1 3 3.3 0 0 133 0.2 6,803 No. % 1,325 No. Total Unknown 449 13,949 No. 45+ 3.3 18,776 No. 40-44 260 17,314 No. 35-39 7.1 7,792 No. 30-34 8 112 % 25-29 None Total No. 15-19 % 90 No. % 1 66,162 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 No. % No. % % No. % 23.8 2,887 17.0 2,139 11.7 1,236 9.2 562 8.7 153 12.2 11 15.1 1 100.0 8,867 13.8 Intermediate 12 10.7 1,303 17.0 2,661 15.6 2,652 14.5 1,945 14.5 939 14.5 178 14.2 4 5.5 0 0 9,694 15.1 Adequate 24 21.4 2,922 38.1 7,428 43.7 8,619 47.3 6,569 48.8 3,080 47.6 578 46.0 37 50.7 0 0 29,257 45.5 Adequate Plus 23 20.5 1,579 20.6 3,972 23.4 4,794 26.3 3,685 27.4 1,881 29.1 345 27.4 18 24.7 0 0 16,297 25.4 1 0.9 31 0.4 57 0.3 34 0.2 18 0.1 13 0.2 3 0.2 3 4.1 0 0 160 0.2 18,238 13,453 % 6,475 Maricopa County Health Status Report 2006 No. Total Unknown 1,826 17,005 No. 45+ % 7,661 % 40-44 46.4 112 No. 35-39 52 Total % 30-34 Inadequate Information Missing No. 25-29 1,257 Page 36 73 No. 1 % No. 64,275 % Maricopa County 2006 Natality (Birth) Statistics Table 4.14 Birthweight of Infant by Age Group of Mother Age Group of Mother Birthweight of Infant <15 No. 15-19 % No. 20-24 % No. 25-29 % No. 30-34 % No. 35-39 % No. 40-44 % No. 45+ % No. Total Unknown % No. % No. % <1500 Grams 5 4.5 117 1.5 190 1.1 186 1.0 170 1.2 101 1.5 16 1.2 5 5.6 0 0 790 1.2 1500-2499 Grams 8 7.1 518 6.6 948 5.5 1,006 5.4 799 5.7 443 6.5 107 8.1 19 21.1 0 0 3,848 5.8 2500-4249 Grams 99 88.4 7,036 90.3 15,743 90.9 16,920 90.1 12,443 89.2 5,956 87.5 1,152 86.9 63 70.0 1 100.0 59,413 89.8 >4249 Grams 0 0 119 1.5 433 2.5 663 3.5 537 3.8 300 4.4 50 3.8 2 2.2 0 0 2,104 3.2 Unknown 0 0 2 0.0 0 0 1 0.0 0 0 3 0.0 0 0 1 1.1 0 0 7 0.0 Total 112 7,792 17,314 18,776 13,949 6,803 1,325 90 1 66,162 Table 4.15 Preterm Births (Less than 37 Weeks Gestation) by Age Group of Mother Gestational Estimate Age Group of Mother <15 No. 15-19 % No. 20-24 % No. 25-29 % 30-34 No. % No. 35-39 % No. 40-44 % No. 45+ Unknown % No. % No. % Total No. % <37 Weeks Gestation 14 12.5 903 11.6 1,776 10.3 1,860 9.9 1,554 11.1 918 13.5 202 15.2 23 25.6 0 0 7,250 11.0 ≥37 Weeks Gestation 98 87.5 6,886 88.4 15,537 89.7 16,915 90.1 12,392 88.8 5,885 86.5 1,123 84.8 66 73.3 1 100.0 58,903 89.0 0 0 3 0.0 1 0.0 1 0.0 3 0.0 0 0 0 0 1 1.1 0 0 9 0.0 Unknown Total 112 7,792 17,314 18,776 13,949 6,803 Maricopa County Health Status Report 2006 1,325 Page 37 90 1 66,162 Maricopa County 2006 Natality (Birth) Statistics Table 4.16 Comparisons to Arizona, U.S. and Health People 2010 Goals for Selected Natality Measures Maricopa County 2006 Number of Rate or Individuals Percent Arizona 2006 U.S. 2005 Healthy People 2010 Goal Neonatal 278 4.2 4.3 4.6 2.9 Postnatal 128 1.9 2.0 2.3 1.2 Total 406 6.1 6.3 6.9 4.5 4,638 7.01% 7.12% 8.2% 5.0% 10-14 Years Old 112 0.17% 0.17% 0.16% - Births to teen mothers 15-17 Years Old 2,774 4.19% 4.36% 3.22% - – 15-19 Years Old 7,792 11.78% 12.49% 10.01% - Total 10-19 Years Old 7,904 11.95% 12.66% 10.17% - Unlinked Infant Mortality – Rate per 1,000 live births Low birthweight births (< 2500g) – Percent of live births Percent of live births Maricopa County Health Status Report 2006 Page 38 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, 2006, released August 9, 2007. This is at http://www.census.gov/popest/counties/files/CO-EST2006-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 2006. 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 2006 Page 39 Mortality (Death) Statistics Mortality (death) statistics are shown in Tables 2.01a through 2.14. 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. By definition, SIDS deaths only occur in infants; as a result, these numbers are divided by the number of live births, to produce a rate per 1,000 live births. 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, miscoded causes of death were identified. Two erroneous records have been altered in 2006. As a result of these changes, 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). The only exceptions to this method are in Tables 2.13 and 2.14, where unintentional injury deaths do not include complications of medical/surgical care. This change makes the numbers comparable to Healthy People 2010 goals. 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 th certificate information, using the rules of the International Classification of Diseases, 10 Revision (ICD-10). 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, Maricopa County Health Status Report 2006 Page 40 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 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. 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 Coronary Heart Disease Primary Hypertension Cerebrovascular Diseases Atherosclerosis Other Circulatory Influenza & Pneumonia ICD-10 Codes Used (2006) 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 I11, I20-I25 I10, I12 I60-I69 I70 I71-I78 J10-J18 (Table Continues) Maricopa County Health Status Report 2006 Page 41 (Table 5.2, Continued) Cause Chronic Lower Respiratory Asthma 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 Falls Excessive Exposure to Natural Heat Accidental Poisoning Accidental Drowning (Excludes drowning involving water transportation) Suicide Homicide All Other External Causes Unknown Causes Firearm Related Drug Induced or Related Alcohol Induced or Related ICD-10 Codes Used (2006) J40-J47 J45-J46 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 W00-W19 X30 X40-X49 W65-W74 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 2006 Page 42 Tables 2.13 and 2.14 show age-adjusted rates for Maricopa County. Age-adjusting removes the effect of a disproportionately large young or old population on crude death rates by computing an overall death rate based on a population with a standard age distribution. Maricopa County rates are age-adjusted to the 2000 standard population using the direct method described in Health, United States, 2002 published by the National Center for Health Statistics at www.cdc.gov/nchs/data/hus/hus02.pdf, p.414. Arizona, Healthy People goals, and U.S. rates included in this report are published as age-adjusted to the 2000 standard population by the agencies generating the rates. Comparison death rates for Arizona, shown in Table 2.14, can be found in Arizona Health Status and Vital Statistics 2006, published by the ADHS at http://www.azdhs.gov/plan/report/ahs/ahs2006/toc06.htm. Figures for the U.S. are preliminary 2005 data for the following categories: heart disease, cancers, cerebrovascular disease, unintentional injuries, pneumonia and influenza, diabetes, suicide, and all causes combined. These data can be found at: cdc.gov/nchs/data/hestat/preliminarydeaths05_tables.pdf#2. All other U.S. mortality data are final 2004 data from National Vital Statistics Reports, Vol 55, no. 19, August 21, 2007. These data are at www.cdc.gov/nchs/data/nvsr/nvsr55/nvsr55_19.pdf. Healthy People 2010 Goals are set by the Department of Health and Human Services and may be found at www.healthypeople.gov/Document /tableofcontents.htm. For Table 2.14, the mortality rate for breast cancer is calculated among women only (using only female residents in the denominator). For Tables 2.03b, 2.04b, 2.05b, and 2.14, 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. In all other tables, and for all other diseases, the total population is used for the denominator for both conditions. Communicable Disease (Morbidity) Statistics Communicable disease statistics are shown in Tables 3.01a through 3.04. 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 2006 used in this report were generated on May 29, 2007 for confirmed, acute and chronic, physician-reported cases among Maricopa County residents. West Nile virus data for 2006 used in this report were generated on May 30, 2007 for all confirmed cases among Maricopa County residents. Maricopa County Health Status Report 2006 Page 43 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 confirmed and probable 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 May 9, 2007 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 June 1, 2007. 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. 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. In Table 3.04, comparison morbidity rates for Arizona can be found in Arizona Health Status and Vital Statistics 2006, www.azdhs.gov/plan/report/ahs/ahs2006/toc06.htm. The rates for HIV and AIDS for Arizona were provided directly from ADHS on November 22, 2006. All U.S. rates are for 2005 and may be found at www.cdc.gov/mmwr/preview/mmwrhtml/mm5453a1.htm. Healthy People 2010 Goals are set by the Department of Health and Human Services and may be found at www.healthypeople.gov/Document /tableofcontents.htm. Natality (Birth) Statistics Natality (birth) statistics are shown in Tables 4.01 through 4.16. In the course of routine data cleaning, natality records inappropriately assigned to a residential county were identified. Two such records have been altered in 2006. As a result of these changes, the numbers presented in this report may not match those presented by ADHS for Maricopa County. Infant mortality statistics shown in Table 4.16 are from unlinked data as indicated, and the table shows comparisons to Arizona and the U.S. U.S. data are preliminary for 2005, from the National Center for Health Statistics. Infant mortality data for the U.S. can be found in Deaths: Final Data for 2004, National Vital Statistic Reports at http://www.cdc.gov/nchs/products/pubs/pubd/hestats/finaldeaths04/finaldeaths04.htm. U.S. Data for low birthweight births and births to teen mothers can be found in Births: Preliminary Data for 2005, National Vital Statistics Reports, http://www.cdc.gov/nchs/data/hestat/prelimbirths05_tables.pdf#2. Arizona figures for 2006 can be Maricopa County Health Status Report 2006 Page 44 found in Arizona Health Status and Vital Statistics 2006, published by the ADHS at www.azdhs.gov/plan/report/ahs/ahs2006/toc06.htm. An explanation of unlinked infant mortality data is presented below. 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 2 The following definitions related to reproductive health have been established by NCHS : • Birth or Live Birth 3 – The complete expulsion or extraction from the mother of a product of human conception, irrespective of the duration of pregnancy or birthweight which, after such expulsion or extraction, breathes or shows any other evidence of life such as beating of the heart, pulsation of the umbilical cord or definite movement of voluntary muscles, whether or not the umbilical cord has been cut or the placenta is attached. • Fertility Rate – Number of live births during a calendar year per 1,000 women age 15 to 44. • Births to Teenage Mothers − Live births occurring to females under age twenty. • Birth Weight – The weight of a neonate determined immediately after delivery or as soon thereafter as possible. • Low Birthweight – Any neonate weighing less than 2,500 grams at birth (less than 5 pounds 8 ounces). • Very Low Birthweight – Any neonate weighing less than 1,500 grams at births (less than 3 pounds, 4 ounces). • Preterm – Any neonate whose birth occurs through the end of the last day of the 37 week (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). 1 th Kotelchuck, M. An Evaluation of the Kessner Adequacy of Prenatal Care Index and a Proposed Adequacy of Prenatal Care Utilization Index, American Journal of Public Health, 1994; 84(9):1414-1420. 2 NCHS guidelines were adopted from those established by the World Health Organization (WHO). 3 The Arizona statute defining a live birth follows this definition. Maricopa County Health Status Report 2006 Page 45 • Infant Mortality Rate – Number of infant deaths per 1,000 live births. • Neonatal Mortality Rate – Number of deaths to infants at or under 28 days of age, per 1,000 live births. • Postnatal (Postneonatal) Mortality Rate – Number of deaths to infants between 29 days and 365 days after birth, per 1,000 live births. • Unlinked Infant Mortality – The number of infant deaths in a given calendar year, as determined from mortality records. Healthy People 2010 Goals The Centers for Disease Control and Prevention provide national health goals for the year 2010 – Healthy People (HP) 2010 goals. Some of these goals are shown in Tables 2.14, 3.04, and 4.16. A hyphen indicates that no goal has been set for that indicator or the goal is not comparable to Maricopa County data. “0” indicates that the goal is zero. This report provides HP 2010 Goals only when the goals are comparable to Maricopa County data. A goal is considered comparable in this report if two conditions exist: • First, the HP Goal must include the same conditions as are included in the Maricopa County data. For example, if the Maricopa County figure for heart disease includes all heart disease but the HP 2010 goal includes only coronary heart disease, the goal is not listed as a comparison to the heart disease rate. • Second, the nationally tested “conversion ratio” between ICD-9 and ICD-10 codes for any given condition must fall between certain boundaries. The conversion ratio measures how closely the two classifications resemble each other. A conversion ratio of “1” means that the ICD-9 codes are equivalent to the ICD-10 codes for that category. Because the HP 2010 goals use ICD-9 codes and the Maricopa County 2006 data use ICD-10 codes, they may or may not be comparable. Therefore, if the conversion ratio is between 0.95 and 1.05, a direct comparison is made with no mention of any differences. If the ratio does not meet this requirement, but is between 0.80 and 1.20, the potential bias is mentioned in the report, along with specifying the direction of the bias. A ratio that exceeds the .80 to 1.20 range is not used for comparisons. The conversion ratios are from Deaths: Final Data for 1999, National Vital Statistics Reports, Volume 49:8, National Center for Health Statistics. More information on the technical aspects of HP 2010 can be found at www.healthypeople.gov/ document/tableofcontents.htm#tracking. 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 2006 Page 46