Maricopa County Health Status Report 2007 Reference Tables Prepared by the Maricopa County Department of Public Health Office of Epidemiology June 2009 Maricopa County Acknowledgements This report was prepared by the Maricopa County Department of Public Health, Office of Epidemiology. Amy Prestanski, Epidemiologist Liva Nohre, Sr. Epidemiologist Mare Schumacher, Interim 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. Sarah Santana, Tammy Sylvester, Vjollca Berisha, Alana Shacter– 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 2007, Reference Tables. Phoenix (AZ): 2009. Maricopa County Health Status Report 2007 Reference Tables Table of Contents Introduction i I. Maricopa County 2007 Population Statistics 1 Table 1.01 Table 1.02 Figures Population Estimates for Age by Sex, Race/Ethnicity by Sex, and Age by Race/Ethnicity, 2007 Population Estimates by Race/Ethnicity, Age, and Sex, 2007 Population Pyramids by Race/Ethnicity, 2007 2 3 4 II. Maricopa County 2007 Mortality (Death) Statistics 6 Table 2.01a Table 2.01b Table 2.02a Table 2.02b Table 2.03a 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 7 8 8 9 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 10 11 13 15 16 17 17 18 18 18 18 19 20 20 20 21 22 Maricopa County Health Status Report 2007 Reference Tables Table of Contents III. Maricopa County 2007 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 2007 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 Table 4.16 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 38 V. Technical Notes 39 Table 3.04 30 Introduction This report provides health status information for the year 2007 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: 52 residents of Maricopa County were diagnosed with a confirmed case of West Nile Virus in 2007. Natality (Birth) Example: There were 818 infants born with a very low birthweight (less than 1500 grams) in 2007. Rate or percentage of cases in the county • • Communicable Disease Example: For every 100,000 residents of Maricopa County, 1.3 were diagnosed with West Nile Virus in 2007. Natality (Birth) Example: Among all live births in 2007, 1.2% were born with a very low birthweight. All data in this report are for calendar year 2007. Information on data sources and methodology are in Section V – Technical Notes. Maricopa County Health Status Report 2007 Page i I. Maricopa County 2007 Population Statistics Maricopa County Health Status Report 2007 Page 1 Maricopa County 2007 Population Statistics Table 1.01 Population Estimates for Age by Sex, Race/Ethnicity by Sex, and Age by Race/Ethnicity, 2007 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. % 165,376 150,503 143,036 134,994 132,485 314,442 291,635 248,959 181,781 104,257 64,011 22,597 8.5% 7.7% 7.3% 6.9% 6.8% 16.1% 14.9% 12.7% 9.3% 5.3% 3.3% 1.2% 1,954,076 Females No. % 158,485 143,906 136,610 125,473 115,933 281,137 273,123 252,271 197,657 118,221 84,186 39,103 8.2% 7.5% 7.1% 6.5% 6.0% 14.6% 14.2% 13.1% 10.3% 6.1% 4.4% 2.0% 1,926,105 Race/Ethnicity Total No. 323,861 294,409 279,646 260,467 248,418 595,579 564,758 501,230 379,438 222,478 148,197 61,700 % 8.3% 7.6% 7.2% 6.7% 6.4% 15.3% 14.6% 12.9% 9.8% 5.7% 3.8% 1.6% Males No. White Hispanic African American Amer. Ind., Non-Hisp. Amer. Ind., Hisp. Asian Other/2+ Races 1,137,951 614,601 80,825 29,413 9,587 54,766 26,933 Total 1,954,076 % 58.2% 31.5% 4.1% 1.5% 0.5% 2.8% 1.4% Females No. % 1,171,596 549,405 77,863 32,192 9,063 59,480 26,506 60.8% 28.5% 4.0% 1.7% 0.5% 3.1% 1.4% 1,926,105 3,880,181 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 133,134 129,505 131,286 134,089 131,584 291,961 333,690 353,908 299,429 184,554 130,592 55,815 2,309,547 Hispanic % 5.8% 5.6% 5.7% 5.8% 5.7% 12.6% 14.4% 15.3% 13.0% 8.0% 5.7% 2.4% No. 150,154 127,434 112,876 93,954 87,769 234,609 168,353 99,773 51,586 23,196 10,717 3,585 1,164,006 African American % 12.9% 10.9% 9.7% 8.1% 7.5% 20.2% 14.5% 8.6% 4.4% 2.0% 0.9% 0.3% No. 14,712 14,216 13,762 13,338 11,954 24,279 24,158 20,219 11,885 6,178 2,952 1,035 158,688 % 9.3% 9.0% 8.7% 8.4% 7.5% 15.3% 15.2% 12.7% 7.5% 3.9% 1.9% 0.7% American Indian Non-Hispanic Hispanic No. % No. % No. 6,310 5,352 5,225 5,684 5,329 11,987 9,158 6,372 3,604 1,580 724 280 9,352 8,100 7,304 6,044 6,021 22,441 21,588 15,182 9,697 5,283 2,470 764 61,605 10.2% 8.7% 8.5% 9.2% 8.7% 19.5% 14.9% 10.3% 5.9% 2.6% 1.2% 0.5% 1,260 1,853 2,214 2,037 1,596 3,405 2,840 1,957 879 424 154 31 6.8% 9.9% 11.9% 10.9% 8.6% 18.3% 15.2% 10.5% 4.7% 2.3% 0.8% 0.2% 18,650 Asian 114,246 Other/2+ Races % 8.2% 7.1% 6.4% 5.3% 5.3% 19.6% 18.9% 13.3% 8.5% 4.6% 2.2% 0.7% No. 8,939 7,949 6,979 5,321 4,165 6,897 4,971 3,819 2,358 1,263 588 190 % 16.7% 14.9% 13.1% 10.0% 7.8% 12.9% 9.3% 7.1% 4.4% 2.4% 1.1% 0.4% 53,439 Source: United States Census, Population Estimates Division. Data on this page were used for calculating all rates (denominators) in this report for 2007. Maricopa County Health Status Report 2007 Page 2 Total No. 323,861 294,409 279,646 260,467 248,418 595,579 564,758 501,230 379,438 222,478 148,197 61,700 3,880,181 Maricopa County 2007 Population Statistics Table 1.02 Population by Race/Ethnicity, Age, and Sex, 2007 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 65,049 63,279 63,938 65,109 62,691 73,851 69,580 80,048 84,943 92,941 86,826 84,710 71,726 54,512 43,199 109,194 Hispanic % No. 5.6% 5.4% 5.5% 5.6% 5.4% 6.3% 5.9% 6.8% 7.3% 7.9% 7.4% 7.2% 6.1% 4.7% 3.7% 9.3% 73,448 62,195 55,150 44,768 39,453 52,447 50,752 42,684 33,863 27,506 20,415 15,140 10,647 7,163 5,225 8,549 1,155,038 African American % 13.4% 11.3% 10.0% 8.1% 7.2% 9.5% 9.2% 7.8% 6.2% 5.0% 3.7% 2.8% 1.9% 1.3% 1.0% 1.6% 523,919 No. 7,361 7,036 6,807 6,254 5,488 5,925 5,590 6,025 5,737 5,422 4,378 3,573 2,516 1,895 1,435 2,421 % 9.5% 9.0% 8.7% 8.0% 7.0% 7.6% 7.2% 7.7% 7.4% 7.0% 5.6% 4.6% 3.2% 2.4% 1.8% 3.1% 73,063 American Indian Non-Hispanic Hispanic No. % No. % 3,214 2,660 2,543 2,881 2,743 3,420 2,953 2,415 2,271 1,989 1,552 1,213 785 558 384 611 10.0% 8.3% 7.9% 8.9% 8.5% 10.6% 9.2% 7.5% 7.1% 6.2% 4.8% 3.8% 2.4% 1.7% 1.2% 1.9% 643 942 1,069 1,048 810 832 727 693 609 547 372 235 193 140 93 110 30,099 7.1% 10.4% 11.8% 11.6% 8.9% 9.2% 8.0% 7.6% 6.7% 6.0% 4.1% 2.6% 2.1% 1.5% 1.0% 1.2% 9,047 Asian No. 4,554 4,098 3,675 2,856 2,798 4,970 6,439 6,183 5,090 4,417 3,902 3,268 2,369 1,674 1,243 1,944 Other/2+ Races % 7.7% 6.9% 6.2% 4.8% 4.7% 8.4% 10.8% 10.4% 8.6% 7.4% 6.6% 5.5% 4.0% 2.8% 2.1% 3.3% 55,932 No. 4,216 3,696 3,428 2,557 1,950 2,090 1,561 1,365 1,197 1,056 948 697 585 436 264 460 % 15.9% 13.9% 12.9% 9.6% 7.4% 7.9% 5.9% 5.1% 4.5% 4.0% 3.6% 2.6% 2.2% 1.6% 1.0% 1.7% 24,559 Total No. 158,485 143,906 136,610 125,473 115,933 143,535 137,602 139,413 133,710 133,878 118,393 108,836 88,821 66,378 51,843 123,289 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 68,085 66,226 67,348 68,980 68,893 76,895 71,635 83,083 85,616 91,224 82,917 77,077 65,916 49,450 37,393 77,213 1,137,95 6.0% 5.8% 5.9% 6.1% 6.1% 6.8% 6.3% 7.3% 7.5% 8.0% 7.3% 6.8% 5.8% 4.3% 3.3% 6.8% 76,706 65,239 57,726 49,186 48,316 68,286 63,124 51,304 40,502 30,452 21,400 15,476 10,323 6,583 4,225 5,753 614,601 12.5% 10.6% 9.4% 8.0% 7.9% 11.1% 10.3% 8.3% 6.6% 5.0% 3.5% 2.5% 1.7% 1.1% 0.7% 0.9% 7,351 7,180 6,955 7,084 6,466 6,670 6,094 6,223 6,173 5,843 4,576 3,381 2,415 1,644 1,204 1,566 80,825 9.1% 8.9% 8.6% 8.8% 8.0% 8.3% 7.5% 7.7% 7.6% 7.2% 5.7% 4.2% 3.0% 2.0% 1.5% 1.9% 3,096 2,692 2,682 2,803 2,586 2,980 2,634 2,369 2,103 1,670 1,161 980 626 397 241 393 29,413 10.5% 9.2% 9.1% 9.5% 8.8% 10.1% 9.0% 8.1% 7.1% 5.7% 3.9% 3.3% 2.1% 1.3% 0.8% 1.3% 617 911 1,145 989 786 966 880 765 773 582 456 253 198 111 80 75 9,587 6.4% 9.5% 11.9% 10.3% 8.2% 10.1% 9.2% 8.0% 8.1% 6.1% 4.8% 2.6% 2.1% 1.2% 0.8% 0.8% 4,798 4,002 3,629 3,188 3,223 4,923 6,109 5,908 4,407 3,820 3,043 2,369 1,691 1,372 994 1,290 54,766 8.8% 7.3% 6.6% 5.8% 5.9% 9.0% 11.2% 10.8% 8.0% 7.0% 5.6% 4.3% 3.1% 2.5% 1.8% 2.4% 4,723 4,253 3,551 2,764 2,215 1,906 1,340 1,310 1,099 1,046 769 605 471 342 221 318 17.5% 15.8% 13.2% 10.3% 8.2% 7.1% 5.0% 4.9% 4.1% 3.9% 2.9% 2.2% 1.7% 1.3% 0.8% 1.2% 26,933 Source: United States Census, Population Estimates Division. Data on this page were used for calculating all rates (denominators) in this report for 2007. Maricopa County Health Status Report 2007 Page 3 165,376 150,503 143,036 134,994 132,485 162,626 151,816 150,962 140,673 134,637 114,322 100,141 81,640 59,899 44,358 86,608 1,954,076 Maricopa County 2007 Population Statistics P opulation P yramid for M aricopa County by Age and Sex, 2007 White, Non-Hispanic 85+ 80-84 74-79 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 5-9 0-4 % Female % Male Age Group in Years Age Group in Years P opulation P yramid for M aricopa County by Age and Sex, 2007 All Races/ Ethnicities 6% 4% 2% 0% 2% 4% 85+ 80-84 74-79 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 5-9 0-4 % Female % Male 6% 6% Per cent o f T o t al Po p ul at i o n ( 3 ,8 8 0 ,18 1 Peo p le) 8% % Female % Male 6% 4% 2% 0% 2% 4% 2% 0% 2% 4% 6% P opulation P yramid for M aricopa County by Age and Sex, 2007 African American, Non-Hispanic Age Group in Years Age Group in Years P opulation P yramid for M aricopa County by Age and Sex, 2007 Hispanic, Any Race Except American Indian 85+ 80-84 74-79 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 5-9 0-4 4% Per cent o f W hit e, N o n- Hi sp ani c Po p ul at i o n ( 2 ,3 0 9 ,54 7 Peo p l e) 6% 8% 85+ 80-84 74-79 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 5-9 0-4 % Female % Male 6% 4% Per cent o f Hisp anic, A ny R ace Excep t A mer i can Ind ian ( 1,16 4 , 0 0 6 Peo p le) Maricopa County Health Status Report 2007 2% 0% 2% 4% 6% Per cent o f A f r ican A mer i can, N o n- Hisp ani c Po p ul at io n ( 158 ,6 8 8 Peo p le) Page 4 Maricopa County 2007 Population Statistics 85+ 80-84 74-79 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 5-9 0-4 6% P opulation P yramid for M aricopa County by Age and Sex, 2007 American Indian, Hispanic % Female % Male Age Group in Years Age Group in Years P opulation P yramid for M aricopa County by Age and Sex, 2007 American Indian, Non-Hispanic 4% 2% 0% 2% 4% 85+ 80-84 74-79 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 5-9 0-4 % Female % Male 8% 6% 6% % Male Age Group in Years Age Group in Years % Female 4% 2% 0% 2% 4% 4% 2% 0% 2% 4% 6% 8% P opulation P yramid for M aricopa County by Age and Sex, 2007 Other or 2+ Races Non- Hispanic P opulation P yramid for M aricopa County by Age and Sex, 2007 Asian, Non- Hispanic 85+ 80-84 74-79 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 5-9 0-4 6% Per cent o f A mer ican Ind i an, Hi sp ani c Po p ul at i o n ( 18 ,6 50 Peo p l e) Per cent o f A mer i can I nd ian, N o n- Hisp ani c Po p ul at io n ( 6 1, 6 0 5 Peo p l e) 6% 85+ 80-84 74-79 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 5-9 0-4 % Female % Male 10% Per cent o f A sian, N o n- Hi sp ani c Po p ul at i o n ( 114 ,2 4 6 Peo p le) Maricopa County Health Status Report 2007 8% 6% 4% 2% 0% 2% 4% 6% 8% 10% Per cent o f Ot her o r 2 + R aces, N o n- Hisp anic Po p ulat io n ( 53 ,4 3 9 Peo p l e) Page 5 II. Maricopa County 2007 Mortality (Death) Statistics Maricopa County Health Status Report 2007 Page 6 Maricopa County 2007 Mortality (Death) Statistics Table 2.01a Number of Deaths by Age Group and Race/Ethnicity Race/Ethnicity Age Group White Hispanic African American American Indian, Non-Hispanic American Indian, Hispanic Other/ Unknown Asian Total <1 132 225 40 9 4 7 0 417 1-4 27 34 4 3 2 0 0 70 5-9 8 18 2 3 0 3 0 34 10-14 13 25 3 4 1 2 0 48 15-19 85 79 13 7 2 1 0 187 20-24 123 139 24 9 2 6 0 303 25-34 288 219 40 19 5 10 0 581 35-44 552 190 69 40 12 10 1 874 45-54 1,314 314 134 57 4 25 7 1,855 55-64 2,155 357 134 48 3 43 2 2,742 65-74 3,115 359 136 50 4 50 4 3,718 75-84 5,782 480 146 43 0 59 3 6,513 85+ 6,552 308 128 23 1 47 1 7,060 Unknown Total 3 1 0 0 0 0 3 7 20,149 2,748 873 315 40 263 21 24,409 Table 2.01b Death Rates by Age Group and Race/Ethnicity Crude Death Rate per 100,000 Residents Race/Ethnicity Age Group White Hispanic American Indian, Non-Hispanic African American American Indian, Hispanic Other/ Unknown Asian Total 0-4 119.4 172.5 299.1 190.2 476.2 74.9 - 150.4 5-9 56.1 0.0 37.0 - 11.5 6.2 14.1 14.1 10-14 9.9 22.1 21.8 76.6 45.2 27.4 - 17.2 15-19 63.4 84.1 97.5 123.2 98.2 16.5 - 71.8 20-24 93.5 158.4 200.8 168.9 125.3 99.7 - 122.0 25-34 98.6 93.3 164.8 158.5 146.8 44.6 - 97.6 35-44 165.4 112.9 285.6 436.8 422.5 46.3 - 154.8 45-54 371.3 314.7 662.7 894.5 204.4 164.7 - 370.1 55-64 719.7 692.0 1,127.5 1,331.9 341.3 443.4 - 722.6 65-74 1,687.9 1,547.7 2,201.4 3,164.6 943.4 946.4 - 1,671.2 75-84 4,427.5 4,478.9 4,945.8 5,939.2 0.0 2,388.7 - 4,394.8 11,738.8 8,591.4 12,367.1 8,214.3 3,225.8 6,151.8 - 11,442.5 - - - - - - - - 872.4 236.1 550.1 511.3 214.5 230.2 - 629.1 85+ Unknown Total Maricopa County Health Status Report 2007 Page 7 Maricopa County 2007 Mortality (Death) Statistics Table 2.02a Number of Deaths by Age Group and Sex Sex Age Group Male Total Female <1 234 183 417 1-4 36 34 70 5-9 18 16 34 10-14 25 23 48 15-19 131 56 187 20-24 230 73 303 25-34 431 150 581 35-44 573 301 874 45-54 1,200 655 1,855 55-64 1,672 1,070 2,742 65-74 2,092 1,626 3,718 75-84 3,208 3,305 6,513 85+ 2,586 4,474 7,060 7 0 7 12,443 11,966 24,409 Unknown Total Table 2.02b Death Rates by Age Group and Sex Crude Death Rate per 100,000 Residents Sex Age Group Male Total Female 0-4 163.3 136.9 150.4 5-9 12.0 11.1 11.5 10-14 17.5 16.8 17.2 15-19 97.0 44.6 71.8 20-24 173.6 63.0 122.0 25-34 137.1 53.4 97.6 35-44 196.5 110.2 154.8 45-54 482.0 259.6 370.1 55-64 919.8 541.3 722.6 65-74 2,006.6 1,375.4 1,671.2 75-84 5,011.6 3,925.8 4,394.8 11,444.0 11,441.6 11,442.5 - - - 636.8 621.3 629.1 85+ Unknown Total Maricopa County Health Status Report 2007 Page 8 Maricopa County 2007 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 0 0 2 0 2 0 0 0 0 0 1 0 0 0 5 0 40 62 451 301 1,235 16 29 26 25 63 10 5 21 13 46 5 0 2 1 8 0 0 0 1 2 0 3 6 4 16 0 0 0 0 0 71 99 506 345 1,370 335 203 259 229 37 27 15 27 15 10 13 2 3 4 0 4 0 0 0 1 5 7 1 2 0 0 0 0 395 251 288 265 180 13 6 0 0 2 0 201 34 150 446 116 75 41 5 46 182 36 28 25 2 11 35 28 11 7 0 2 6 1 0 2 4 17 67 4 8 2 0 0 0 1 1 1 234 1,369 5,323 583 1,454 432 Ischemic Heart Disease Other Heart Disease All Heart Disease Primary Hypertension 3,600 821 4,775 186 340 75 456 20 134 32 191 13 31 12 50 4 5 0 7 0 26 6 34 6 2 1 4 0 4,138 947 5,517 229 935 54 172 109 3 20 32 0 12 7 2 4 0 0 0 29 1 0 2 0 0 1,114 60 208 1,347 373 1,311 152 53 60 57 17 25 17 8 3 0 0 1 36 5 5 2 0 2 1,611 456 1,407 29 246 155 3 79 34 0 6 18 0 21 5 0 4 0 1 0 2 0 0 0 33 356 214 Cerebrovascular Atherosclerosis Other Circulatory All Other Cardiovascular Influenza & Pneumonia Chronic Lower Respiratory Pregnancy & Early Life Pregnancy Perinatal Conditions Congenital Malformations Unknown Total American Indian, Hispanic 189 1,143 4,587 397 1,331 354 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 2 3 0 1 0 0 0 6 56 62 108 66 21 7 5 3 1 1 6 2 0 0 197 141 10 491 8 55 3 15 1 3 0 2 0 2 0 4 22 572 3,134 283 926 441 84 53 1,787 16 395 171 161 86 184 19 621 0 120 18 54 8 47 8 135 0 63 18 27 5 6 0 56 0 1 4 6 2 4 0 16 0 56 10 13 8 3 0 34 0 1 1 3 1 1 0 6 0 3,770 505 1,190 551 329 80 2,655 16 20,149 2,748 873 315 40 263 Maricopa County Health Status Report 2007 Page 9 21 24,409 Maricopa County 2007 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 SIDS Symptoms, Signs Other Diseases Motor Vehicle Collisions All Other Accidents Suicide Homicide Other External Causes All External Causes American Indian, Non-Hispanic 1.3 0 African Hispanic American American Other/ Indian, Hispanic Asian Unknown 0 0.9 - Total 0 0.2 0.1 0 1.7 2.7 19.5 13.0 0 1.4 2.5 2.2 2.1 0 6.3 3.2 13.2 8.2 0 8.1 0 3.2 1.6 0 0 0 0 5.4 0 0 2.6 5.3 3.5 - 0 1.8 2.6 13.0 8.9 53.5 14.5 17.3 22.8 5.4 3.2 4.9 2.4 29.0 9.5 12.8 16.1 13.0 4.9 12.4 0 10.7 0 0 0 14.0 4.4 11.8 1.8 - 35.3 10.2 13.0 14.7 9.9 2.3 1.3 6.5 5.4 1.8 - 6.8 7.8 8.2 49.5 198.6 17.2 57.6 1.1 2.9 12.9 38.3 10.0 6.4 3.8 3.2 29.0 114.7 22.7 17.6 0 3.2 17.9 56.8 45.5 17.9 0 0 10.7 32.2 5.4 0 1.8 3.5 14.9 58.6 3.5 7.0 - 5.2 6.0 35.3 137.2 15.0 37.5 15.3 155.9 35.5 206.8 3.5 29.2 6.4 39.2 15.8 84.4 20.2 120.4 11.4 50.3 19.5 81.2 10.7 26.8 0 37.5 1.8 22.8 5.3 29.8 - 11.1 106.6 24.4 142.2 8.1 40.5 2.3 1.7 9.4 0.3 8.2 20.2 0 6.5 11.4 3.2 0 0 0 5.3 25.4 0.9 - 5.9 28.7 1.5 7.4 58.3 16.2 1.7 13.1 4.6 7.6 35.9 10.7 6.5 27.6 13.0 0 0 0 0 31.5 4.4 - 5.4 41.5 11.8 56.8 1.3 10.7 5.2 0.3 6.8 15.8 0 3.8 4.9 0 34.1 5.4 0 21.4 4.4 0.9 0.0 - 36.3 0.9 9.2 6.7 2.9 11.3 8.1 0.0 1.8 - 5.5 0.2 2.4 0.5 9.3 0 13.2 3.1 8.1 0 5.4 0 5.3 - 0.3 5.1 2.7 0.4 5.7 0.3 4.4 1.0 4.9 0.5 5.4 0 1.8 0 - 3.6 0.3 21.3 135.7 12.3 40.1 19.1 3.6 2.3 77.4 0.7 872.4 4.7 33.9 14.7 13.8 7.4 15.8 1.6 53.4 0 236.1 9.5 75.6 11.3 34.0 5.0 29.6 5.0 85.1 0 550.1 4.9 102.3 29.2 43.8 8.1 9.7 0 90.9 0 511.3 10.7 5.4 21.4 32.2 10.7 21.4 0 85.8 0 214.5 1.8 49.0 8.8 11.4 7.0 2.6 0 29.8 0 230.2 - 14.7 97.2 13.0 30.7 14.2 8.5 2.1 68.4 0.4 629.1 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 2 Maricopa County Health Status Report 2007 Page 10 Maricopa County 2007 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 1 0 0 1 1 2 0 0 0 5 Syphilis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 HIV 0 0 0 0 0 1 14 18 27 8 3 0 0 0 71 Stomach 0 0 0 0 0 0 1 3 9 22 19 23 22 0 99 Colon 0 0 0 0 0 0 1 14 44 80 109 161 97 0 506 Pancreas 0 0 0 0 0 0 1 4 22 72 81 110 55 0 345 Lung 0 0 0 0 0 0 1 20 89 262 396 465 137 0 1,370 Breast 0 0 0 0 0 0 1 27 51 89 84 95 48 0 395 Uterine & Ovarian 0 0 0 0 0 1 0 7 24 55 62 70 32 0 251 Prostate 0 0 0 0 0 0 0 0 4 14 62 113 95 0 288 Urinary 0 0 0 1 0 0 2 3 21 35 58 85 60 0 265 Lymphoma 0 0 0 0 1 1 1 2 12 24 48 79 33 0 201 Leukemia 0 1 5 11 2 0 7 7 9 23 50 75 44 0 234 Other 0 7 7 1 6 8 23 35 160 280 308 352 182 0 1,369 All Cancer 0 8 12 13 9 10 38 122 445 956 1,277 1,628 805 0 5,323 Diabetes 0 0 0 1 1 2 6 17 58 104 122 165 107 0 583 Alzheimer's 0 0 0 0 0 0 0 0 2 11 62 421 958 0 1,454 Hypertensive Heart Dis. 0 0 0 0 0 1 4 19 52 58 48 100 150 0 432 Ischemic Heart Disease 0 0 0 0 0 3 2 43 209 442 636 1,227 1,575 1 4,138 Other Heart Disease 4 2 0 1 5 5 20 27 62 82 116 261 362 0 947 5,517 All Heart Disease 4 2 0 1 5 9 26 89 323 582 800 1,588 2,087 1 Primary Hypertension 0 0 0 0 0 0 0 2 11 12 34 57 113 0 229 Cerebrovascular 0 0 1 1 0 2 3 21 55 85 168 346 432 0 1,114 Atherosclerosis 0 0 0 0 0 0 0 0 2 3 5 14 36 0 60 Other Circulatory 0 1 0 1 2 1 7 8 10 34 34 59 51 0 208 All Other Cardiovascular 0 1 1 2 2 3 10 31 78 134 241 476 632 0 1,611 (Continued) Maricopa County Health Status Report 2007 Page 11 Maricopa County 2007 Mortality (Death) Statistics Age Group Cause <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 Other Respiratory Diseases Influenza & Pneumonia 1 2 0 0 2 1 3 14 32 32 56 143 170 0 456 Chronic Lower Respiratory 0 1 1 3 2 0 3 6 30 127 312 549 373 0 1,407 GI & Urinary Peptic Ulcer 0 0 0 0 0 0 0 2 5 1 8 9 8 0 33 Liver Disease 0 0 0 0 0 0 8 48 99 76 72 40 12 1 356 Nephritis 1 1 0 0 0 0 3 5 19 18 32 74 61 0 214 Pregnancy 0 0 0 0 2 0 2 2 0 0 0 0 0 0 6 Perinatal Conditions 197 0 0 0 0 0 0 0 0 0 0 0 0 0 197 Congenital Malformations 101 8 1 0 1 1 7 3 7 3 4 1 4 0 141 SIDS 22 0 0 0 0 0 0 0 0 0 0 0 0 0 22 Symptoms, Signs 23 5 0 0 4 3 14 18 22 23 43 107 308 2 572 Other Diseases 34 15 5 7 18 25 42 119 287 434 518 1,051 1,215 0 3,770 2 7 7 8 48 74 91 80 69 46 32 31 10 0 505 17 15 3 4 16 44 102 133 198 88 87 180 302 1 1,190 0 0 0 3 25 46 113 100 109 76 37 36 6 0 551 11 3 3 3 45 75 91 50 25 12 2 7 0 2 329 3 2 1 3 7 7 7 16 18 8 5 3 0 0 80 33 27 14 21 141 246 404 379 419 230 163 257 318 3 2,655 1 0 0 0 0 1 1 1 1 2 3 4 2 0 16 417 70 34 48 187 303 581 874 1,855 2,742 3,718 6,513 7,060 7 24,409 Pregnancy & Early Life Other Diseases External Causes Motor Vehicle Collisions All Other Accidents Suicide Homicide Other External Causes All External Causes Unknown Total Maricopa County Health Status Report 2007 Page 12 Maricopa County 2007 Mortality (Death) Statistics Table 2.04b Selected Underlying Causes of Death by Age Group Crude Death Rate per 100,000 Residents Age Group Cause Infectious Diseases Cancer 0-4 25-34 35-44 45-54 55-64 65-74 75-84 85+ Total Unk. 0 0 0 0.4 0 0 0.2 0.3 0.9 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 - 0 HIV 0 0 0 0 0.4 2.4 3.2 5.4 2.1 1.3 0 0 - 1.8 Stomach 0 0 0 0 0 0.2 0.5 1.8 5.8 8.5 15.5 35.7 - 2.6 Colon 0 0 0 0 0 0.2 2.5 8.8 21.1 49.0 108.6 157.2 - 13.0 Pancreas 0 0 0 0 0 0.2 0.7 4.4 19.0 36.4 74.2 89.1 - 8.9 Lung 0 0 0 0 0 0.2 3.5 17.8 69.0 178.0 313.8 222.0 - 35.3 10.2 0.1 0 0 0 0 0 0.2 4.8 10.2 23.5 37.8 64.1 77.8 - Uterine & Ovarian 0 0 0 0 0.9 0 2.6 9.5 27.8 52.4 83.1 81.8 - 13.0 1 0 0 0 0 0 0 0 1.6 7.7 59.5 176.5 420.4 - 14.7 0 0 0.4 0 0 0.3 0.5 4.2 9.2 26.1 57.4 97.2 - 6.8 Urinary Lymphoma 0 0 0 0.4 0.4 0.2 0.4 2.4 6.3 21.6 53.3 53.5 - 5.2 0.3 1.7 3.9 0.8 0.0 1.2 1.2 1.8 6.1 22.5 50.6 71.3 - 6.0 Other 2.2 2.4 0.4 2.3 3.2 3.9 6.2 31.9 73.8 138.4 237.5 294.9 - 35.3 All Cancer 2.5 4.1 4.6 3.5 4.0 6.4 21.6 88.8 252.0 574.0 1,098.5 1,304.6 - 137.2 Diabetes 0 0 0.4 0.4 0.8 1.0 3.0 11.6 27.4 54.8 111.3 173.4 - 15.0 Alzheimer's 0 0 0 0 0 0 0 0.4 2.9 27.9 284.1 1,552.5 - 37.5 Hypertensive Heart Dis. 0 0 0 0 0.4 0.7 3.4 10.4 15.3 21.6 67.5 243.1 - 11.1 Leukemia Other Cardiovascular 20-24 0 Prostate Heart Disease 15-19 Syphilis 1 Major Cardiovascular Diseases 10-14 Tuberculosis Breast Diabetes and Alzheimer's 5-9 Ischemic Heart Disease 0 0 0 0 1.2 0.3 7.6 41.7 116.5 285.9 828.0 2,552.4 - 106.6 Other Heart Disease 1.9 0 0.4 1.9 2.0 3.4 4.8 12.4 21.6 52.1 176.1 586.7 - 24.4 All Heart Disease 142.2 1.9 0 0.4 1.9 3.6 4.4 15.8 64.4 153.4 359.6 1,071.5 3,382.2 - Primary Hypertension 0 0 0 0 0 0 0.4 2.2 3.2 15.3 38.5 183.1 - 5.9 Cerebrovascular 0 0.3 0.4 0 0.8 0.5 3.7 11.0 22.4 75.5 233.5 700.1 - 28.7 Atherosclerosis 0 0 0 0 0 0 0 0.4 0.8 2.2 9.4 58.3 - 1.5 Other Circulatory 0.3 0 0.4 0.8 0.4 1.2 1.4 2.0 9.0 15.3 39.8 82.6 - 5.4 All Other Cardiovascular 0.3 0.3 0.7 0.8 1.2 1.7 5.5 15.6 35.3 108.3 321.2 1024.2 - 41.5 (Continued) Maricopa County Health Status Report 2007 Page 13 Maricopa County 2007 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+ Total Unk. Influenza & Pneumonia 0.9 0 0 0.8 0.4 0.5 2.5 6.4 8.4 25.2 96.5 275.5 - 11.8 Chronic Lower Respiratory 0.3 0.3 1.1 0.8 0 0.5 1.1 6.0 33.5 140.2 370.5 604.5 - 36.3 GI & Urinary Peptic Ulcer 0 0 0 0 0 0.0 0.4 1.0 0.3 3.6 6.1 13.0 - 0.9 Liver Disease 0 0 0 0 0 1.3 8.5 19.8 20.0 32.4 27.0 19.4 - 9.2 Nephritis 0.6 0 0 0 0 0.5 0.9 3.8 4.7 14.4 49.9 98.9 - 5.5 0 0 0 1.6 0 0.7 0.7 0 0 0 0 0 - 0.3 Perinatal Conditions 60.8 0 0 0 0 0 0 0 0 0 0 0 - 5.1 Congenital Malformations 33.7 0.3 0 0.4 0.4 1.2 0.5 1.4 0.8 1.8 0.7 6.5 - 3.6 1 Pregnancy SIDS Other Diseases 2 Symptoms, Signs Other Diseases External Causes Total 0 0 0 0 0 0 0 0 0 0 0 - 0.3 0 0 1.5 1.2 2.4 3.2 4.4 6.1 19.3 72.2 499.1 - 14.7 15.1 1.7 2.5 6.9 10.1 7.1 21.1 57.3 114.4 232.8 709.2 1,969.0 - 97.2 2.8 2.4 2.9 18.4 29.8 15.3 14.2 13.8 12.1 14.4 20.9 16.2 - 13.0 All Other Accidents 9.9 1.0 1.4 6.1 17.7 17.1 23.5 39.5 23.2 39.1 121.5 489.4 - 30.7 0 0 1.1 9.6 18.5 19.0 17.7 21.7 20.0 16.6 24.3 9.7 - 14.2 Homicide 4.3 1.0 1.1 17.3 30.2 15.3 8.9 5.0 3.2 0.9 4.7 0 - 8.5 Other External Causes 1.5 0.3 1.1 2.7 2.8 1.2 2.8 3.6 2.1 2.2 2.0 0 - 2.1 18.5 4.8 7.5 54.1 99.0 67.8 67.1 83.6 60.6 73.3 173.4 515.3 - 68.4 0.3 150.4 0 11.5 0 17.2 0 71.8 0.4 122.0 0.2 97.6 0.2 154.8 0.2 370.1 0.5 722.6 1.3 1,671.2 2.7 4,394.8 3.2 11,441.4 - 0.4 629.1 All External Causes Unknown 0.3 8.6 Motor Vehicle Collisions Suicide 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 2007 Page 14 Maricopa County 2007 Mortality (Death) Statistics Table 2.05a Selected Underlying Causes of Death by Sex Number of Cases Sex Cause Infectious Diseases Male Total 3 0 2 0 5 0 HIV Stomach Colon Pancreas Lung 59 59 271 189 748 12 40 235 156 622 71 99 506 345 1,370 Breast Uterine & Ovarian Prostate Urinary 4 0 288 185 391 251 0 80 395 251 288 265 Lymphoma 110 91 201 Leukemia Other All Cancer Diabetes Alzheimer's Hypertensive Heart Disease 140 835 2,829 322 443 222 94 534 2,494 261 1,011 210 234 1,369 5,323 583 1,454 432 Ischemic Heart Disease Other Heart Disease All Heart Disease Primary Hypertension 2,238 436 2,896 91 1,900 511 2,621 138 4,138 947 5,517 229 Cerebrovascular Atherosclerosis Other Circulatory 424 29 118 690 31 90 1,114 60 208 All Other Cardiovascular Influenza & Pneumonia Chronic Lower Respiratory 662 213 635 949 243 772 1,611 456 1,407 GI & Urinary Peptic Ulcer Liver Disease Nephritis 23 225 121 10 131 93 33 356 214 Pregnancy & Early Life Pregnancy 0 6 6 Perinatal Conditions Congenital Malformations 107 75 90 66 197 141 SIDS Symptoms, Signs 14 202 8 370 22 572 1,816 351 690 428 263 55 1,787 11 12,443 1,954 154 500 123 66 25 868 5 11,966 3,770 505 1,190 551 329 80 2,655 16 24,409 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 2007 Page 15 Maricopa County 2007 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 Total 0.2 0.1 0.1 0 3.0 3.0 13.9 9.7 0 0.6 2.1 12.2 8.1 0 1.8 2.6 13.0 8.9 38.3 0.2 14.7 32.3 20.3 13.0 - 35.3 10.2 13.0 14.7 9.5 4.2 6.8 5.6 7.2 42.7 144.8 16.5 22.7 4.7 4.9 27.7 129.5 13.6 52.5 5.2 6.0 35.3 137.2 15.0 37.5 11.4 114.5 22.3 148.2 10.9 98.6 26.5 136.1 11.1 106.6 24.4 142.2 4.7 21.7 1.5 7.2 35.8 1.6 5.9 28.7 1.5 6.0 33.9 10.9 4.7 49.3 12.6 5.4 41.5 11.8 32.5 1.2 11.5 40.1 0.5 6.8 36.3 0.9 9.2 6.2 4.8 5.5 5.5 0.3 4.7 0.3 5.1 3.8 0.7 3.4 0.4 3.6 0.6 10.3 92.9 18.0 35.3 21.9 13.5 2.8 91.4 0.6 636.8 19.2 101.4 8.0 26.0 6.4 3.4 1.3 45.1 0.3 621.3 14.7 97.2 13.0 30.7 14.2 8.5 2.1 68.4 0.4 629.1 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 2007 Page 16 Maricopa County 2007 Mortality (Death) Statistics Table 2.06a Firearm, Drug, and Alcohol Induced and Related Deaths by Age Group Number of Cases Age Group Firearm Induced Drug Drug Related, Exc. Related, Inc. Tobacco Tobacco Drug Induced Alcohol Induced Alcohol Related 0-9 3 3 3 3 0 0 10-14 4 0 0 0 1 1 15-19 56 18 20 20 0 2 20-24 96 35 37 37 0 2 25-34 138 81 89 89 16 31 35-44 95 131 150 155 67 100 45-54 58 191 237 246 116 185 55-64 45 69 84 113 78 121 65-74 24 27 29 58 47 75 75-84 26 13 12 52 23 31 85+ 5 1 1 20 5 8 Unknown 0 0 0 1 1 1 550 569 662 794 354 557 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 0.5 0.5 0.5 0.5 0 0 10-14 1.4 0 0 0 0.4 0.4 15-19 21.5 6.9 7.7 7.7 0 0.8 20-24 38.6 14.1 14.9 14.9 0 0.8 25-34 23.2 13.6 14.9 14.9 2.7 5.2 35-44 16.8 23.2 26.6 27.4 11.9 17.7 45-54 11.6 38.1 47.3 49.1 23.1 36.9 55-64 11.9 18.2 22.1 29.8 20.6 31.9 65-74 10.8 12.1 13.0 26.1 21.1 33.7 75-84 17.5 8.8 8.1 35.1 15.5 20.9 8.1 1.6 1.6 32.4 8.1 13.0 - - - - - - 14.2 14.7 17.1 20.5 9.1 14.4 85+ 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 2007 Page 17 Maricopa County 2007 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 283 445 500 626 241 381 Hispanic 204 68 87 91 70 106 48 38 48 48 10 20 American Indian, Non-Hispanic 8 8 15 17 27 40 American Indian, Hispanic 3 5 5 5 3 3 Asian 4 4 6 6 2 5 Other/Unknown 0 1 1 1 1 2 550 569 662 794 354 557 African American 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 21.6 27.1 Drug Induced Alcohol Induced Alcohol Related White 12.3 Hispanic 17.5 5.8 7.5 7.8 6.0 9.1 African American 30.2 23.9 30.2 30.2 6.3 12.6 American Indian, Non-Hispanic 13.0 13.0 24.3 27.6 43.8 64.9 American Indian, Hispanic 16.1 26.8 26.8 26.8 16.1 16.1 3.5 3.5 5.3 5.3 1.8 4.4 Asian Other/Unknown Total 10.4 - - - - - - 14.2 14.7 17.1 20.5 9.1 14.4 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 487 372 445 523 254 401 63 197 217 271 100 156 550 569 662 794 354 557 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 24.9 16.5 Drug Drug Related, Alcohol Alcohol Related, Inc. Exc. Tobacco Induced Related Tobacco 19.0 22.8 26.8 13.0 20.5 Drug Induced 3.3 10.2 11.3 14.1 5.2 8.1 14.2 14.7 17.1 20.5 9.1 14.4 Note: Firearm, drug, and alcohol induced and related deaths are also included in other categories, e.g., suicide, homicide or unintentional injuries. Refer to the Technical Notes for a complete explanation of induced versus related deaths involving firearms, drugs, or alcohol. Maricopa County Health Status Report 2007 Page 18 Maricopa County 2007 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 14 3 1 1 0 0 1 20 0.6 0.3 0.6 1.6 0 0 0.5 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 2 0 0 0 0 1 4 3 0 3 4 3 20 0.6 0 0 0 0 0.2 0.7 0.6 0 1.3 2.7 4.9 0.5 Sex Male Female Total 12 8 20 0.6 0.4 0.5 This table includes all known 2007 deaths with exposure to excessive natural heat as the underlying cause of death. Maricopa County Health Status Report 2007 Page 19 Maricopa County 2007 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. % No. American Indian, Non-Hispanic % No. American Indian, Hispanic % No. Other/ Unknown Asian % No. % No. Total % No. % Never Married 1,674 8.3 880 32.0 245 28.1 107 34.0 23 57.5 34 12.9 2 9.5 2,965 12.1 Married 7,972 39.6 965 35.1 247 28.3 82 26.0 10 25.0 136 51.7 4 19.0 9,416 38.6 Widowed 7,407 36.8 535 19.5 186 21.3 68 21.6 0 0 73 27.8 0 0 8,269 33.9 Divorced 2,925 14.5 343 12.5 185 21.2 58 18.4 7 17.5 20 7.6 1 4.8 3,539 14.5 171 0.8 25 0.9 10 1.1 0 0 0 0 0 0 14 66.7 220 0.9 Unknown Total 20,149 2,748 873 315 40 263 21 24,409 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 170 0.8 337 12.3 40 4.6 17 5.4 6 15.0 12 4.6 0 0 582 2.4 Grade 1-6 292 1.4 600 21.8 34 3.9 25 7.9 1 2.5 25 9.5 0 0 977 4.0 Some High School 2,461 12.2 697 25.4 167 19.1 100 31.7 11 27.5 24 9.1 1 4.8 3,461 14.2 HS Graduate 8,466 42.0 659 24.0 296 33.9 89 28.3 15 37.5 83 31.6 4 19.0 9,612 39.4 Some College 4,306 21.4 251 9.1 197 22.6 54 17.1 2 5.0 32 12.2 0 0 4,842 19.8 College Graduate 2,393 11.9 87 3.2 60 6.9 15 4.8 2 5.0 51 19.4 2 9.5 2,610 10.7 Graduate School 1,656 8.2 31 1.1 52 6.0 10 3.2 1 2.5 30 11.4 0 0 1,780 7.3 405 2.0 86 3.1 27 3.1 5 1.6 2 5.0 6 2.3 14 66.7 545 2.2 Unknown Total 20,149 2,748 873 315 40 263 21 24,409 Table 2.12 Number and Percent of Deaths by Race/Ethnicity and Sex Race/Ethnicity Sex White Hispanic No. No. No. % Other/ Unknown Asian No. % No. 49.6 1,629 59.3 471 54.0 166 52.7 29 72.5 131 49.8 Female 10,146 50.4 1,119 40.7 402 46.0 149 47.3 11 27.5 132 50.2 Total 20,149 315 % American Indian, Hispanic 10,003 873 % American Indian, Non-Hispanic Male 2,748 % African American 40 Maricopa County Health Status Report 2007 No. 263 Page 20 % No. % Total No. % 14 66.7 12,443 51.0 7 33.3 11,966 49.0 21 24,409 Maricopa County 2007 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 872.4 Hispanic 236.1 African American 550.1 Amer. Ind. Non-Hisp. 511.3 Amer. Ind. Hispanic 214.5 Asian 230.2 Total 629.1 206.8 198.6 40.5 51.4 16.2 17.2 19.1 3.6 1.7 0.8 39.2 38.3 9.4 28.4 4.6 10.0 7.4 15.8 1.4 0.3 120.4 114.7 20.2 45.4 10.7 22.7 5.0 29.6 6.3 5.7 81.2 56.8 11.4 71.4 13.0 45.5 8.1 9.7 8.1 0 37.5 32.2 0 53.6 0 5.4 10.7 21.4 0 5.4 29.8 56.8 25.4 18.4 4.4 3.5 7.0 2.6 0 0 142.2 137.2 28.7 43.0 158.8 11.8 15.0 14.2 8.5 0.9 19.3 12.3 10.4 5.8 17.5 6.0 23.9 30.2 6.3 13.0 13.0 43.8 26.8 16.1 16.1 3.5 3.5 1.8 14.7 14.2 9.1 White 665.4 Hispanic 601.3 African American 859.1 Amer. Ind. Non-Hisp. 974.9 Amer. Ind. Hispanic 629.4 Asian 357.2 Total 662.0 151.8 153.1 29.7 44.3 12.1 13.2 17.9 3.9 1.6 0.7 133.9 109.4 30.9 41.5 17.2 33.0 8.5 15.3 1.5 0.6 215.8 183.3 38.8 55.6 18.2 35.8 5.0 27.6 6.4 9.4 185.5 129.0 28.4 88.6 34.0 101.4 7.0 9.3 9.3 0 119.1 147.0 0 72.7 0 172.3 8.1 15.9 0 4.8 50.1 83.0 43.4 21.5 8.2 5.4 7.1 2.0 0 0 150.0 147.1 30.5 44.2 12.5 16.0 14.5 8.4 1.9 0.9 18.4 11.9 9.0 7.3 17.6 12.5 26.1 28.5 8.5 15.9 11.6 54.7 41.5 12.2 28.4 3.5 3.1 1.9 15.1 14.4 9.5 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 1,670 deaths from unintentional injuries, but do not include the 25 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 2007 Page 21 Maricopa County 2007 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 2007 Maricopa County Crude Rate (Deaths No. of per Indivi100,000 duals Residents) 24,409 629.1 5,517 142.2 4,552 117.3 965 24.9 5,323 137.2 Age Adjusted Rate (Deaths per 100,000 Residents) Maricopa County 2007 662.0 150.0 123.9 26.1 147.1 Arizona 2007 663.2 194.4 115.0 148.0 U.S. 2005/ 20064 776.4 199.4 180.8 Healthy People 2010 Goal 166.0 159.9 1,370 391 288 3,274 35.3 20.3 14.7 84.4 38.3 19.8 19.3 - 38.2 20.1 18.9 - 51.5 24.1 24.5 - 44.9 22.3 28.8 - 1,114 28.7 30.5 30.6 43.6 48.0 1,670 505 497 418 53 222 456 583 551 329 71 33 43.0 13.0 12.8 10.8 1.4 5.7 11.8 15.0 14.2 8.5 1.8 0.9 44.2 13.3 13.4 11.1 1.3 12.5 16.0 14.5 8.4 1.9 0.9 46.6 16.2 10.6 11.6 1.3 12.9 17.0 15.4 7.7 1.7 - 38.5 14.7 6.5 8.2 1.2 17.7 23.3 10.6 6.0 4.0 1.1 17.5 45.0 5.0 3.0 0.73 - 569 550 354 14.7 14.2 9.1 15.1 14.4 9.5 15.1 14.4 11.1 11.5 10.1 6.8 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 1,670 deaths from unintentional injuries, but do not include the 25 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 2005 U.S. data. All other figures are preliminary 2006 U.S. data. Maricopa County Health Status Report 2007 Page 22 III. Maricopa County 2007 Communicable Disease Statistics Maricopa County Health Status Report 2007 Page 23 Maricopa County 2007 Communicable Disease Statistics Table 3.01a Number of Cases of Selected Reportable Diseases by Race/Ethnicity Race/Ethnicity 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 18 15 7 46 0 0 0 0 0 0 0 0 2 6 2 5 0 0 0 0 0 0 0 0 0 1 4 12 6 2 0 0 0 1 1 10 309 160 35 7 0 6 34 551 3 2 1 2 1 0 0 0 0 0 1 0 0 3 6 7 Total 0 0 0 0 0 0 0 0 220 0 156 1 11 0 25 0 0 0 4 0 170 0 586 1 11 20 48 6 4 4 9 2 2 1 5 0 2 0 5 0 0 0 1 0 0 1 2 0 8 18 26 0 27 44 96 8 1 205 0 99 0 13 0 23 0 0 0 13 0 140 1 493 71 127 20 12 0 2 57 289 0 1 0 0 0 0 4 5 1,022 0 202 4 105 0 52 0 2 0 36 0 2,031 0 3,450 4 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 44 2 12 0 1 0 0 0 0 2 0 2 11 7 68 Malaria 1 West Nile Virus Hepatitis A 30 27 0 3 0 0 19 79 34 20 0 2 1 2 51 110 Hepatitis C 868 231 97 54 0 6 224 1,480 Hepatitis D 0 0 0 0 0 0 0 0 25 85 4 16 1 5 0 14 0 1 0 2 3 723 33 846 49 19 0 3 0 0 35 106 9 16 3 1 0 1 12 42 Strep Pneumo Invasive 207 83 30 18 0 3 173 514 Toxic Shock Syndrome 3 0 0 0 0 0 0 3 Vibrio spp. 3 2 0 0 0 0 2 7 839 1 0 22 149 0 0 91 63 1 0 12 50 0 0 5 0 0 0 0 11 0 0 40 580 2 1 1 1,692 4 1 171 609 1,143 146 351 114 713 46 114 - 15 15 549 837 1,479 3,173 109 47 27 7 - 2 0 192 Legionellosis Strep Group B VRE Yersiniosis Hansen’s Disease Genital Herpes 2 2 Gonorrhea Syphilis – Primary and 2 Secondary Syphilis – All Others Chlamydia HIV AIDS 2 Unk. 0 MRSA Strep Group A 1 Black Lyme Disease 1 Tuberculosis Sexually Transmitted Disease Hisp. Hantavirus Pulm. Syn. Hepatitis B (Acute) Other Amer Ind. Amer Ind. Asian Non-Hisp. Hisp. 5 1 0 0 White 2 2 201 288 79 42 - 10 0 620 4,518 206 178 21 1,983 125 101 13 1,447 46 56 6 604 12 9 0 0 0 0 111 7 3 3 5,881 8 1 5 14,544 404 348 48 All Others Total 11,148 4,521 2,899 1,111 5 299 11,612 Figures for West Nile Virus and 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. Maricopa County Health Status Report 2007 Page 24 31,596 Maricopa County 2007 Communicable Disease Statistics Table 3.01b Case Rates per 100,000 Residents for Selected Reportable Diseases by Race/Ethnicity Race/Ethnicity Disease Vaccine Preventable Central Nervous System White H. influenzae Measles Mumps Pertussis Enceph Viral Other Meningitis Viral/Aseptic Meningococcal Meningitis Enterics Amebiasis Botulism Campylobacteriosis Cholera Cryptosporidiosis E. Coli O157.H7 Giardiasis Listeriosis Salmonella Paratyphi Salmonellosis Shigellosis Typhoid Mycosis Coccidioidomycosis Zoonoses/ Vectorborne Brucellosis Dengue Hantavirus Pulm. Syn. Lyme Disease Hepatitides Malaria West Nile Virus Hepatitis A Hepatitis B (Acute) Hepatitis C Hepatitis D Other Amer Ind. Asian Hisp. 0 0 0 0 0.8 0 1.3 0 0.1 0.3 0.2 0.4 0 0 0 0 0 0 0.3 0.2 0 0 13.4 13.7 22.1 0.1 0.1 0 0.1 0.2 0 0.6 0 0 9.5 0 13.4 0.1 0.5 0.9 2.1 0.3 Total Unk. - 1.2 0 0 0 - 0.1 0.3 0 0.9 - 0.3 11.4 0.0 5.3 - 14.2 0 0 0 0 0 0 0.9 0 0 - 0.2 0.2 0 6.9 0 40.6 0 0 0 3.5 0 - 15.1 0.0 0.3 0.3 0.8 0.2 1.3 0.6 3.2 0 3.2 0 8.1 0 0 0 5.4 0 0 0.9 1.8 0 - 0.7 1.1 2.5 0.2 0.0 8.9 0 8.5 0 8.2 0 37.3 0 0 0 11.4 - 0.0 12.7 3.1 10.9 12.6 19.5 0 1.8 - 7.4 0 0.1 0 0 0 0 - 0.1 44.3 0 17.4 0.3 66.2 0 84.4 0 10.7 0 31.5 0 - 88.9 0.1 0.0 0 0 0 0 0 - 0.0 0 0 0 0 0 0 - 0 0 0.0 1.9 0 0.2 1.0 0 0 0.6 0 0 0 0 0 0 0 1.8 0 - 0 0.2 1.8 1.3 2.3 0.0 4.9 0 0 - 2.0 1.5 1.7 0 3.2 5.0 1.8 - 37.6 19.8 61.1 87.7 0 5.3 2.8 38.1 0 0 0 0 0 0 - 0 1.1 3.7 0.3 1.4 0.6 3.2 0 22.7 0 5.4 0 1.8 - 0.9 21.8 2.1 1.6 0 4.9 0 0 - 2.7 0.3 0.5 1.0 0.5 0 0.4 - 0.6 Strep Pneumo Invasive 9.0 7.1 18.9 29.2 0 2.6 - 13.2 Toxic Shock Syndrome 0.1 0 0 0 0 0 - 0.1 0.1 36.3 0.0 0 1.0 0.2 12.8 0 0 7.8 0 39.7 0.6 0 7.6 0 81.2 0.0 0 8.1 0 0 0 0 0.0 0 9.6 0 0 35.0 - 0.2 43.6 0.1 0.0 4.4 26.4 49.5 12.5 30.2 71.8 449.3 74.7 185.0 - 13.1 13.1 - 38.1 81.8 4.7 4.0 17.0 11.4 - 1.8 - 4.9 8.7 24.7 49.8 68.2 - 8.8 - 16.0 195.6 8.9 7.7 0.9 170.4 10.7 8.7 1.1 911.9 29.0 35.3 3.8 980.4 19.5 14.6 0 0 0 0 97 6.1 2.6 2.6 - 374.8 10.4 9.0 1.2 Legionellosis MRSA Strep Group A Strep Group B 1 Vibrio spp. VRE Yersiniosis Hansen’s Disease Tuberculosis Sexually Transmitted Disease Hisp. Amer Ind. Black Non-Hisp. 3.2 1.6 0 0 Genital Herpes 2 2 Gonorrhea Syphilis – Primary and 2 Secondary Syphilis – All Others Chlamydia HIV AIDS 2 2 All Others Total 482.7 388.4 1,826.9 1,803.4 26.8 261.7 814.3 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 2007 Page 25 Maricopa County 2007 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 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 7 3 0 0 1 1 4 3 7 11 4 0 46 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 2 1 0 1 1 0 0 0 1 1 0 0 1 0 0 1 1 0 1 0 0 0 0 4 12 0 2 0 1 0 0 0 1 0 1 4 1 0 10 107 10 17 23 25 55 99 71 57 43 32 10 2 551 2 1 0 0 0 1 0 0 0 0 1 0 1 0 1 2 0 2 1 0 0 0 0 1 0 0 6 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 36 0 82 0 51 0 28 0 28 0 24 0 67 0 74 1 74 0 59 0 47 0 4 0 12 0 586 1 1 5 2 1 4 9 26 0 4 8 10 0 2 2 8 0 0 2 2 0 3 1 5 1 3 1 7 0 4 4 23 0 3 6 5 1 1 2 5 0 2 3 2 5 0 0 1 0 0 1 0 0 27 44 96 8 0 47 0 85 0 39 0 23 0 25 1 27 0 43 0 62 0 51 0 24 0 58 0 9 0 0 1 493 6 121 289 57 21 9 11 22 11 19 8 4 0 0 0 1 1 2 0 0 0 0 0 0 1 0 0 5 26 0 13 0 44 0 60 0 118 1 163 0 419 3 533 0 557 0 557 0 846 105 0 0 9 0 3,450 4 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 Lyme Disease 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Malaria 1 West Nile Virus Hepatitis A 1 0 0 2 0 1 0 1 1 1 2 0 1 3 1 13 1 16 0 11 0 19 0 1 0 0 7 68 2 0 1 6 11 10 21 12 7 6 2 1 0 79 1 0 0 2 0 5 29 30 28 12 3 0 0 110 Hepatitis C 4 2 0 0 13 42 131 302 584 281 102 6 13 1,480 Hepatitis D 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Legionellosis 1 0 0 0 0 1 1 3 6 4 17 0 0 33 MRSA 6 5 3 4 5 8 44 80 131 140 323 82 15 846 5 4 4 1 2 2 9 11 25 10 28 4 1 106 42 0 0 0 0 0 0 0 0 0 0 0 0 42 Strep Pneumo Invasive 33 55 17 1 2 10 28 56 92 84 105 30 1 514 Toxic Shock Syndrome 0 0 0 0 0 0 1 1 1 0 0 0 0 3 0 14 2 0 0 0 20 0 0 12 1 10 0 0 1 0 2 0 0 3 1 13 0 0 5 0 25 0 0 18 2 48 1 1 26 0 103 0 0 31 3 176 0 0 26 0 322 0 0 16 0 0 725 228 1 0 0 0 29 4 0 6 0 0 0 7 1,692 4 1 171 0 0 7 3 5 3 8 23 126 764 290 920 520 910 294 359 135 154 66 31 2 Vibrio spp. VRE Yersiniosis Hansen’s Disease Genital Herpes Gonorrhea Syphilis – Primary and Secondary 28 6 0 0 0 0 1,479 3,173 0 0 0 0 3 14 67 66 30 11 1 0 0 192 20 0 0 0 7 55 215 166 108 38 11 0 0 620 0 0 0 1 10 0 0 11 2 1 0 11 153 4,656 5,030 3,704 0 13 71 131 1 2 18 84 4 2 3 6 740 115 132 3 201 53 80 3 39 17 29 2 9 3 2 1 0 0 0 1 0 0 0 0 14,544 404 348 48 376 492 296 380 5,837 6,818 6,651 3,304 2,635 1,828 2,427 492 Figures for West Nile Virus and Hepatitis B (Acute) include confirmed and probable cases. Streptococcal Group B Invasive disease is only reportable for cases in infants under 90 days. 60 31,596 Syphilis – All Others Chlamydia HIV AIDS 2 5 0 0 Strep Group B 1 Total 0 Strep Group A All Others Total Unk. 0 1 Tuberculosis Sexually Transmitted Diseases 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-84 85+ Hantavirus Pulm. Syn. Hepatitis B (Acute) Other 1-4 Maricopa County Health Status Report 2007 Page 26 Maricopa County 2007 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 Typhoid Mycosis Coccidioidomycosis Zoonoses/ Vectorborne Brucellosis Dengue Hantavirus Pulm. Syn. Lyme Disease Hepatitides Other Malaria West Nile Virus Hepatitis A 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-84 Total 3.7 0 1.0 0 0 0 0 0 0.4 0 0.2 0 0.7 0 0.6 0 1.8 0 3.0 0 6.5 0 - 1.2 0 0 2.2 0.3 0.0 0.4 0.4 0 0 0 0.4 0.2 0 0 0.2 0 0 0.3 0.3 0 0.3 0 0 - 0.1 0.3 0.6 0 0.4 0 0 0 0.2 0 0.3 1.1 1.6 - 0.3 36.1 5.8 8.2 9.6 22.1 16.6 12.6 11.4 11.3 8.6 16.2 - 14.2 0.6 0.3 0 0 0.3 0 0 0 0 0 0 0 0.4 0 0 0.2 0 0 0.2 0.4 0 0.0 0.4 0 0.3 0 0 0 0 0 0 1.6 0 - 0.2 0.2 0 36.4 0.0 17.3 0.0 10.0 0 10.7 0 9.7 0 11.2 0 13.1 0.2 14.8 0 15.5 0 12.7 0 6.5 0 - 15.1 0.0 1.5 4.3 8.6 0.3 1.4 2.7 3.4 0 0.7 0.7 2.9 0 0 0.8 0.8 0 1.2 0.4 2.0 0.4 0.5 0.2 1.2 0 0.7 0.7 4.1 0 0.6 1.2 1.0 0.2 0.3 0.5 1.3 0 0.5 0.8 0.5 1.3 0 0 1.6 0 - 0.7 1.1 2.5 0.2 0 40.8 0 13.2 0.0 8.2 0 9.6 0.4 10.9 0 7.2 0 11.0 0 10.2 0 6.3 0 15.6 0 14.6 - 0.0 12.7 39.2 19.4 7.5 3.5 4.4 3.7 1.9 3.8 2.1 1.1 0 - 7.4 0.3 0.3 0.7 0 0 0 0 0 0 0.3 0 - 0.1 12.0 0 14.9 0 21.5 0 45.3 0.4 65.6 0 70.4 0.5 94.4 111.1 146.8 228.2 170.2 0 0 0 0 0 - 88.9 0.1 0 0 0 0 0 0.2 0 0 0 0 0 - 0.0 0 0 0 0 0 0 0 0 0 0 0 - 0 0 0.3 0.6 0 0 0.3 0 0 0 0 0.4 0.4 0 0.8 0 0 0.2 0.5 0 0.2 2.3 0 0.2 3.2 0 0 2.9 0 0 5.1 0 0 1.6 - 0 0.2 1.8 2.0 0.3 2.1 4.2 4.0 3.5 2.1 1.4 1.6 0.5 1.6 - 0.3 0 0.7 0 2.0 4.9 5.3 5.6 3.2 0.8 0 - 2.8 Hepatitis C 1.9 0 0 5.0 16.9 22.0 53.5 116.5 74.1 27.5 10 - 38.1 Hepatitis D 0 0 0 0 0 0 0 0 0 - 0 4.6 0 - 0.9 87.1 132.9 - 21.8 0 0 Legionellosis 0.3 0 0 0 0.4 0.2 0.5 1.2 1.1 MRSA 3.4 1.0 1.4 1.9 3.2 7.4 14.2 26.1 36.9 2.8 1.4 0.4 0.8 0.8 1.5 1.9 5.0 2.6 7.6 6.5 - 2.7, 0.6 0 0 0 0 0 0 0 0 0 0 - 0.6 Strep Pneumo Invasive 27.2 5.8 0.4 0.8 4.0 4.7 9.9 18.4 22.1 28.3 48.6 - 13.2 Toxic Shock Syndrome 0 0 0 0 0 0.2 0.2 0.2 0 0 0 - 0.1 0 10.5 0.6 0 3.7 0.3 3.4 0 0 0.3 0 0.7 0 0 1.1 0.4 5.0 0 0 1.9 0 10.1 0 0 7.2 0.3 8.1 0.2 0.2 4.4 0 18.2 0 0 5.5 0.6 35.1 0 0 5.2 0 0 0 84.9 195.6 369.5 0 0.3 0 0 0 0 4.2 13.0 2.7 - 0.2 43.6 0.1 0.0 4.4 2.2 0.9 1.7 1.0 2.9 8.2 48.4 293.3 116.7 370.3 87.3 152.8 52.1 63.6 26.9 30.7 17.4 8.2 12.6 2.7 0 0 - 38.1 81.8 0 0 0 1.2 5.6 11.2 11.7 6.0 2.9 0.4 0 - 4.9 6.2 0 0 2.7 22.1 36.1 29.4 21.5 10.0 4.9 0 - 16.0 3.1 0.7 54.7 1787.6 2024.8 621.9 131.0 40.1 10.3 4.0 0 0 0 0 5.0 28.6 22.0 20.4 10.6 4.5 1.3 0 0 0 0 0.8 7.2 14.1 23.4 16.0 7.6 0.9 0 3.7 3.7 1.4 0.8 1.2 1.0 0.5 0.6 0.5 0.3 1.6 268.0 100.5 135.9 2,241.0 2,744.6 1,116.7 585.0 525.7 481.8 654.8 797.4 Rates for Streptococcal Group B Invasive in infants <90 days are per 1,000 live births. - 374.8 10 9 1.2 814.3 1 Vibrio spp. VRE Yersiniosis Hansen’s Disease Genital Herpes Gonorrhea Syphilis – Primary and Secondary Syphilis – All Others Chlamydia HIV AIDS 1 Unk. 0.6 Strep Group B All Others Total 85+ Hepatitis B (Acute) Strep Group A Tuberculosis Sexually Transmitted Diseases 5-9 Maricopa County Health Status Report 2007 Page 27 Maricopa County 2007 Communicable Disease Statistics Table 3.03a Number of Cases of Selected Reportable Diseases by Sex Disease Vaccine Preventable Central Nervous System H. influenzae Measles Mumps Pertussis Enceph Viral Other 0 0 7 12 0 10 0 551 2 6 0 4 1 0 0 0 0 6 7 0 306 1 277 0 3 0 586 1 18 27 64 5 9 17 32 3 0 0 0 0 27 44 96 8 0 197 1 296 0 0 1 493 138 151 0 289 2 3 0 5 1,860 2 1,547 2 43 0 3,450 4 0 1 0 1 0 0 0 0 0 6 31 0 1 37 0 0 0 0 7 68 47 32 0 79 65 45 0 110 Hepatitis C 1,003 450 27 1,480 Hepatitis D 0 0 0 0 Amebiasis Botulism Campylobacteriosis Typhoid Mycosis Coccidioidomycosis Zoonoses/ Vectorborne Brucellosis Dengue Hantavirus Pulm. Syn. Lyme Disease Malaria 1 West Nile Virus Hepatitis A 1 Hepatitis B (Acute) Legionellosis 15 18 0 33 494 336 16 846 Strep Group A 55 50 1 106 Strep Group B 21 21 0 42 Strep Pneumo Invasive 294 219 1 514 Toxic Shock Syndrome 0 3 0 3 3 679 2 0 96 4 1,002 2 1 75 0 11 0 0 0 7 1,692 4 1 171 605 1,768 874 1,405 0 0 1,479 3,173 MRSA Vibrio spp. VRE Yersiniosis Hansen’s Disease Genital Herpes Gonorrhea Syphilis – Primary and Secondary Syphilis – All Others Chlamydia HIV AIDS 1 46 0 7 Salmonellosis Shigellosis Tuberculosis Sexually Transmitted Diseases 4 8 0 0 263 E. Coli O157.H7 Giardiasis Listeriosis Salmonella Paratyphi Other 3 4 Total Unk. 3 Cholera Cryptosporidiosis Hepatitides Sex Female 20 0 288 Meningitis Viral/Aseptic Meningococcal Enterics Male 26 0 172 20 0 192 451 169 0 620 3,407 358 288 25 11,137 46 60 23 0 0 0 0 14,544 404 348 48 All Others Total 12,834 18,660 102 31,596 Figures for West Nile Virus and Hepatitis B (Acute) include confirmed and probable cases. Maricopa County Health Status Report 2007 Page 28 Maricopa County 2007 Communicable Disease Statistics Table 3.03b Case Rates per 100,000 Residents for Selected Reportable Diseases by Sex Disease Vaccine Preventable Central Nervous System Enterics H. influenzae Measles Mumps Pertussis Enceph Viral Other - 1.2 0.1 0.4 - 0.1 0.3 13.7 - 14.2 0.2 0.4 - 0.3 Meningococcal Meningitis 0.1 0.3 0 0.2 0.1 0 - 0.2 0.2 0 15.7 0.1 14.4 0 - 15.1 0.0 0.9 1.4 3.3 0.3 0.5 0.9 1.7 0.2 - 0.7 1.1 2.5 0.2 0 10.1 0.1 15.4 - 0.0 12.7 7.1 7.8 - 7.4 0.1 0.2 - 0.1 95.2 0.1 80.3 0.1 - 88.9 0.1 0 0.1 - 0.0 0 0 - 0 0 0.3 1.6 0 0.1 1.9 - 0 0.2 1.8 2.4 1.7 - 2.0 3.3 2.3 - 2.8 Hepatitis C 51.3 23.4 - 38.1 Hepatitis D 0 0 - 0 E. Coli O157.H7 Giardiasis Listeriosis Salmonella Paratyphi Salmonellosis Shigellosis Typhoid Mycosis Coccidioidomycosis Zoonoses/ Vectorborne Brucellosis Dengue Hantavirus Pulm. Syn. Lyme Disease Malaria West Nile Virus Hepatitis A Hepatitis B (Acute) 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 0.2 0.2 Total Unk. 14.7 Cholera Cryptosporidiosis Other Sex Female 1.0 Meningitis Viral/Aseptic Amebiasis Botulism Campylobacteriosis Hepatitides Male 1.3 Genital Herpes Gonorrhea Syphilis – Primary and Secondary Syphilis – All Others 0.8 0.9 - 0.9 25.3 17.4 - 21.8 2.8 2.6 - 2.7 0.6 0.7 - 0.6 15.0 11.4 - 13.2 0 0.2 - 0.1 0.2 34.7 0.1 0.0 4.9 0.2 52.0 0.1 0.1 3.9 - 0.2 43.6 0.1 0.0 4.4 31.0 90.5 45.4 72.9 - 38.1 81.8 8.8 1.0 - 4.9 23.1 8.8 - 16.0 Chlamydia 174.4 578.2 374.8 18.3 2.4 10.4 HIV 14.7 3.1 9.0 AIDS 1.3 1.2 1.2 All Others 656.8 968.8 814.3 Total 1 Rates for Streptococcal Group B Invasive in infants <90 days are per 1,000 live births. Maricopa County Health Status Report 2007 Page 29 Maricopa County 2007 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) 1,480 38.1 493 12.7 348 9.0 404 10.4 171 4.4 110 2.8 79 2.0 192 4.9 12 0.3 0 0 4 0.1 0 0 Crude Case Rate (Cases per 100,000 Residents) Healthy People Arizona 2010 2007 U.S. 2006 Goal 15.5 9.1 4.7 2.8 2.4 4.6 3.3 0 0.2 0 15.45 4.65 1.62 1.21 3.29 5.27 0 2.22 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 2007 Page 30 1.0 6.8 1.0 1.0 4.5 0.2 0.7 0 0 0 1 IV. Maricopa County 2007 Natality (Birth) Statistics Maricopa County Health Status Report 2007 Page 31 Maricopa County 2007 Natality (Birth) Statistics Table 4.01 Number and Percent of Births by Age and Race/Ethnicity of Mother Age Group of Mother Race/Ethnicity White Hispanic No. <15 % No. African American No. % % Amer. Ind., Non-Hisp. No. % Amer. Ind., Hisp. No. % Asian No. Total Other % No. % No. % 18 0.1 85 0.3 10 0.3 4 0.2 1 0.9 0 0 1 0.5 119 0.2 15-19 1,631 6.1 5,211 16.7 430 14.1 319 16.7 27 24.5 66 2.6 13 6.0 7,697 11.7 20-24 5,727 21.3 9,315 29.8 967 31.8 650 34.1 30 27.3 284 11.3 24 11.0 16,997 25.8 25-29 8,125 30.2 8,273 26.5 783 25.8 495 26.0 27 24.5 752 30.0 56 25.7 18,511 28.1 30-34 6,962 25.9 5,478 17.5 553 18.2 289 15.2 16 14.5 882 35.2 51 23.4 14,231 21.6 35-39 3,602 13.4 2,377 7.6 248 8.2 126 6.6 7 6.4 435 17.3 44 20.2 6,839 10.4 40-44 761 2.8 502 1.6 43 1.4 21 1.1 2 1.8 83 3.3 19 8.7 1,431 2.2 45+ 58 0.2 21 0.1 6 0.2 1 0.1 0 0 6 0.2 10 4.6 102 0.2 Unk. 0 0 3 0.0 0 0 0 0 0 0 0 0 0 0 3 0.0 Total 26,884 31,265 3,040 1,905 110 2,508 218 65,930 Table 4.02 Number and Percent of Births by Marital Status and Race/Ethnicity of Mother Race/Ethnicity Marital Status of Mother White Hispanic African American No. % Amer. Ind., Non-Hisp. No. % Amer. Ind., Hisp. No. % Asian Total Other No. % No. % No. % No. % No. % 19,487 72.5 12,810 41.0 1,075 35.4 495 26.0 39 35.5 2,095 83.5 167 76.6 36,168 54.9 7,167 26.7 18,178 58.1 1,935 63.7 1,389 72.9 68 61.8 398 15.9 50 22.9 29,185 44.3 173 0.6 227 0.7 26 0.9 17 0.9 2 1.8 8 0.3 0 0 453 0.7 Divorced 5 0.0 2 0.0 0 0 0 0 0 0 2 0.1 1 0.5 10 0.0 Unknown 52 0.2 48 0.2 4 0.1 4 0.2 1 0.9 5 0.2 0 0 114 0.2 Married Single Refused Total 26,884 31,265 3,040 1,905 110 2,508 218 65,930 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. % 0.1 1,061 3.4 51 1.7 2 0.1 0 0 15 0.6 3 1.4 1,155 1.8 6th- 11th Grade 2,279 8.5 14,958 47.8 579 19.0 550 28.9 45 40.9 118 4.7 23 10.6 18,552 28.1 HS Diploma 6,781 25.2 9,177 29.4 1,100 36.2 643 33.8 30 27.3 495 19.7 32 14.7 18,258 27.7 17,630 65.6 5,672 18.1 1,245 41.0 687 36.1 34 30.9 1,844 73.5 49 22.5 27,161 41.2 171 0.6 397 1.3 65 2.1 23 1.2 1 0.9 36 1.4 111 50.9 804 1.2 College+ Unknown Total 26,884 31,265 3,040 1,905 110 Maricopa County Health Status Report 2006 2,508 Page 32 % No. Total % <6 Grade No. Other 23 th No. Hispanic 218 65,930 Maricopa County 2007 Natality (Birth) Statistics Table 4.04 Trimester of First Prenatal Care by Race/Ethnicity of Mother Trimester of First Prenatal Care Race/Ethnicity White No. Hispanic % No. African American No. % % Amer. Ind., Non-Hisp. No. % Amer. Ind., Hisp. No. % Asian No. Total Other % No. % No. % 221 0.8 903 2.9 88 2.9 62 3.3 7 6.4 34 1.4 24 11.0 1,339 2.0 24,117 89.7 22,737 72.7 2,370 78.0 1,289 67.7 82 74.5 2,235 89.1 131 60.1 52,961 80.3 Third 2,139 8.0 6,385 20.4 483 15.9 444 23.3 17 15.5 197 7.9 43 19.7 9,708 14.7 None 403 1.5 1,217 3.9 97 3.2 110 5.8 4 3.6 41 1.6 17 7.8 1,889 2.9 4 0.0 23 0.1 2 0.1 0 0 0 0 1 0.0 3 1.4 33 0.1 First Second Unknown Total 26,884 31,265 3,040 1,905 110 2,508 218 65,930 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 221 0.8 903 2.9 88 2.9 62 3.3 7 6.4 34 1.4 24 11.0 1,339 2.0 1 to 4 442 1.6 1,380 4.4 129 4.2 126 6.6 7 6.4 36 1.4 14 6.4 2,134 3.2 5 to 8 2,940 10.9 6,186 19.8 540 17.8 491 25.8 14 12.7 288 11.5 46 21.1 10,505 15.9 9 to 12 13,660 50.8 14,510 46.4 1,429 47.0 863 45.3 51 46.4 1,237 49.3 84 38.5 31,834 48.3 13 to 16 8,047 29.9 7,460 23.9 712 23.4 307 16.1 29 26.4 826 32.9 39 17.9 17,420 26.4 17 or More 1,568 5.8 802 2.6 140 4.6 55 2.9 2 1.8 86 3.4 8 3.7 2,661 4.0 6 0.0 24 0.1 2 0.1 1 0.1 0 0 1 0.0 3 1.4 37 0.1 Unknown Total 26,884 31,265 3,040 1,905 110 2,508 218 65,930 Table 4.06 Adequacy of Prenatal Care by Race/Ethnicity of Mother Singleton Births Only (Excludes Twins and Other Multiple Births) Adequacy of Prenatal Care Race/Ethnicity White No. Hispanic % No. % African American No. % Amer. Ind., Non-Hisp. No. % Amer. Ind., Hisp. No. % Asian No. Total Other % No. % No. % 9 0.0 29 0.1 2 0.1 1 0.1 0 0 1 0.0 3 1.4 45 0.1 Intermediate 1,797 6.9 5,847 19.1 455 15.6 431 23.0 23 20.9 162 6.6 70 32.7 8,785 13.7 Adequate 3,321 12.8 5,183 16.9 418 14.3 332 17.7 12 10.9 314 12.8 29 13.6 9,609 15.0 Adequate Plus 13,150 50.8 12,141 39.6 1,199 41.0 758 40.4 47 42.7 1,247 50.9 70 32.7 28,612 44.7 7,589 29.3 7,426 24.2 852 29.1 353 18.8 28 25.5 724 29.6 42 19.6 17,014 26.6 Inadequate Information Missing Total 25,866 30,626 2,926 1,875 110 Maricopa County Health Status Report 2006 2,448 Page 33 214 64,065 Maricopa County 2007 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. % 284 1.1 392 1.3 84 2.8 23 1.2 2 1.8 29 1.2 4 1.8 818 1.2 1,621 6.0 1,639 5.2 310 10.2 98 5.1 7 6.4 167 6.7 9 4.1 3,851 5.8 24,099 89.6 28,247 90.3 2,586 85.1 1,699 89.2 99 90.0 2,266 90.4 194 89.0 59,190 89.8 876 3.3 984 3.1 60 2.0 85 4.5 2 1.8 46 1.8 11 5.0 2,064 3.1 4 0.0 3 0.0 0 0 0 0 0 0 0 0 0 0 7 0.0 26,884 31,265 3,040 1,905 110 2,508 218 65,930 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 2,877 10.7 3,144 10.1 468 15.4 223 11.7 14 12.7 246 9.8 19 8.7 6,991 10.6 ≥37 Weeks Gestation 24,006 89.3 28,117 89.9 2,572 84.6 1,682 88.3 96 87.3 2,262 90.2 198 90.8 58,933 89.4 1 0.0 4 0.0 0 0 0 0 0 0 0 0 1 0.5 6 0.0 Unknown Total 26,884 31,265 3,040 1,905 110 Maricopa County Health Status Report 2006 2,508 Page 34 218 65,930 Maricopa County 2007 Natality (Birth) Statistics Table 4.09 Number and Percent of Births by Marital Status and Age Group of Mother Marital Status of Mother Married Age Group of Mother <15 15-19 No. % No. 20-24 % 25-29 No. % No. 30-34 % No. 35-39 % 40-44 No. % No. 45+ % No. Total Unknown % No. % No. % 0 0 984 12.8 6,432 37.8 11,673 63.1 10,671 75.0 5,276 77.1 1,051 73.4 81 79.4 0 0 36,168 54.9 119 100.0 6,700 87.0 10,443 61.4 6,639 35.9 3,425 24.1 1,479 21.6 358 25.0 19 18.6 3 100.0 29,185 44.3 Refused 0 0 10 0.1 98 0.6 155 0.8 109 0.8 59 0.9 21 1.5 1 1.0 0 0 453 0.7 Divorced 0 0 0 0 2 0.0 4 0.0 2 0.0 2 0.0 0 0 0 0 0 0 10 0.0 Unknown 0 0 3 0.0 22 0.1 40 0.2 24 0.2 23 0.3 1 0.1 1 1.0 0 0 114 0.2 Single Total 119 7,697 16,997 18,511 14,231 6,839 1,431 102 3 65,930 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. % 2 1.7 75 1.0 282 1.7 342 1.8 245 1.7 158 2.3 46 3.2 4 3.9 1 33.3 1,155 1.8 116 97.5 4,677 60.8 5,330 31.4 4,271 23.1 2,746 19.3 1,164 17.0 237 16.6 10 9.8 1 33.3 18,552 28.1 HS Diploma 0 0 2,412 31.3 6,498 38.2 4,997 27.0 2,800 19.7 1,248 18.2 289 20.2 13 12.7 1 33.3 18,258 27.7 College+ 0 0 438 5.7 4,685 27.6 8,710 47.1 8,265 58.1 4,174 61.0 825 57.7 64 62.7 0 0 27,161 41.2 Unknown 1 0.8 95 1.2 202 1.2 191 1.0 175 1.2 95 1.4 34 2.4 11 10.8 0 0 804 1.2 6th-11th Grade Total 119 7,697 16,997 18,511 14,231 6,839 1,431 102 3 65,930 Table 4.11 Trimester of First Prenatal Care by Age Group of Mother Trimester of First Prenatal Care Age Group of Mother <15 No. % % % % % No. 1.8 198 1.4 115 1.7 34 2.4 1 1.0 1 33.3 1,339 2.0 Second 60 50.4 5,146 66.9 12,897 75.9 15,338 82.9 12,326 86.6 5,904 86.3 1,204 84.1 85 83.3 1 33.3 52,961 80.3 Third 45 37.8 1,951 25.3 3,034 17.9 2,393 12.9 1,442 10.1 679 9.9 152 10.6 11 10.8 1 33.3 9,708 14.7 None 9 7.6 370 4.8 631 3.7 438 2.4 256 1.8 139 2.0 41 2.9 5 4.9 0 0 1,889 2.9 Unknown 0 0 4 0.1 9 0.1 9 0.0 9 0.1 2 0.0 0 0 0 0 0 0 33 0.1 6,839 Maricopa County Health Status Report 2007 No. % 1,431 Page 35 No. Total Unknown 333 14,231 No. 45+ 2.5 18,511 No. 40-44 426 16,997 No. 35-39 2.9 7,697 % 30-34 226 119 No. 25-29 4.2 Total % 20-24 5 First No. 15-19 102 % No. 3 65,930 % Maricopa County 2007 Natality (Birth) Statistics Table 4.12 Number and Percent of Prenatal Care Visits by Age Group of Mother Number of Prenatal Care Visits Age Group of Mother <15 15-19 % No. % % % % % No. 2.5 333 1.8 198 1.4 115 1.7 34 2.4 1 1.0 1 33.3 1,339 2.0 1 to 4 11 9.2 403 5.2 700 4.1 530 2.9 302 2.1 139 2.0 45 3.1 4 3.9 0 0 2,134 3.2 5 to 8 37 31.1 1,735 22.5 3,140 18.5 2,666 14.4 1,807 12.7 892 13.0 217 15.2 11 10.8 0 0 10,505 15.9 9 to 12 39 32.8 3,611 46.9 8,164 48.0 9,017 48.7 7,042 49.5 3,256 47.6 665 46.5 40 39.2 0 0 31,834 48.3 13 to 16 23 19.3 1,538 20.0 4,048 23.8 5,252 28.4 4,161 29.2 2,009 29.4 366 25.6 21 20.6 2 66.7 17,420 26.4 17 or More 4 3.4 180 2.3 508 3.0 702 3.8 713 5.0 425 6.2 104 7.3 25 24.5 0 0 2,661 4.0 Unknown 0 0 4 0.1 11 0.1 11 0.1 8 0.1 3 0.0 0 0 0 0 0 0 37 0.1 6,839 No. % No. Total Unknown 426 14,231 No. 45+ 2.9 18,511 No. 40-44 226 16,997 No. 35-39 4.2 7,697 No. 30-34 5 119 % 25-29 None Total No. 20-24 1,431 % No. 102 3 % 65,930 Table 4.13 Adequacy of Prenatal Care by Age Group of Mother Singleton Births Only (Excludes Twins and Other Multiple Births) Age Group of Mother Adequacy of Prenatal Care <15 No. Inadequate 15-19 % No. 20-24 % No. 25-29 % No. 30-34 % No. 35-39 % No. 40-44 % No. 45+ % No. Total Unknown % No. % No. % 0 0 5 0.1 13 0.1 13 0.1 10 0.1 4 0.1 0 0 0 0 0 0 45 0.1 Intermediate 45 38.5 1,746 23.0 2,831 17.0 2,139 11.9 1,238 9.0 610 9.3 164 12.0 10 12.5 2 66.7 8,785 13.7 Adequate 22 18.8 1,282 16.9 2,684 16.1 2,606 14.5 1,889 13.8 914 14.0 206 15.1 6 7.5 0 0 9,609 15.0 Adequate Plus 27 23.1 2,923 38.4 7,166 43.1 8,421 46.8 6,517 47.5 2,969 45.4 561 41.0 27 33.8 1 33.3 28,612 44.7 Information Missing 23 19.7 1,650 21.7 3,943 23.7 4,816 26.8 4,071 29.7 2,038 31.2 436 31.9 37 46.3 0 0 17,014 26.6 Total 117 7,606 16,637 17,995 13,725 6,535 Maricopa County Health Status Report 2007 1,367 Page 36 80 3 64,065 Maricopa County 2007 Natality (Birth) Statistics Table 4.14 Birthweight of Infant by Age Group of Mother Age Group of Mother Birthweight of Infant <15 No. <1500 Grams 15-19 % 1 No. 0.8 20-24 % 100 25-29 No. 1.3 % 218 No. 1.3 30-34 % 207 1.1 No. 35-39 % 178 No. 1.3 40-44 % 82 No. 1.2 45+ % 31 No. 2.2 % 1 Total Unknown No. 1.0 % 0 No. 0 % 818 1.2 1500-2499 Grams 7 5.9 495 6.4 976 5.7 959 5.2 795 5.6 471 6.9 120 8.4 27 26.5 1 33.3 3,851 5.8 2500-4249 Grams 110 92.4 6,991 90.8 15,349 90.3 16,749 90.5 12,690 89.2 6,012 87.9 1,217 85.0 70 68.6 2 66.7 59,190 89.8 >4249 Grams 1 0.8 111 1.4 451 2.7 595 3.2 568 4.0 271 4.0 63 4.4 4 3.9 0 0 2,064 3.1 Unknown 0 0 0 0 3 0.0 1 0.0 0 0 3 0.0 0 0 0 0 0 0 7 0.0 Total 119 7,697 16,997 18,511 14,231 6,839 1,431 102 3 65,930 Table 4.15 Preterm Births (Less than 37 Weeks Gestation) by Age Group of Mother Age Group of Mother Gestational Estimate <15 No. 15-19 % No. 20-24 % No. 25-29 % 30-34 No. % No. 35-39 % No. 40-44 % No. 45+ % No. Total Unknown % No. % No. % <37 Weeks Gestation 17 14.3 824 10.7 1,702 10.0 1,814 9.8 1,550 10.9 821 12.0 232 16.2 30 29.4 1 33.3 6,991 10.6 ≥37 Weeks Gestation 102 85.7 6,872 89.3 15,293 90.0 16,696 90.2 12,681 89.1 6,017 88.0 1,198 83.7 72 70.6 2 66.7 58,933 89.4 0 0 1 0.0 2 0.0 1 0.0 0 0 1 0.0 1 0.1 0 0 0 0 6 0.0 Unknown Total 119 7,697 16,997 18,511 14,231 6,839 Maricopa County Health Status Report 2007 1,431 Page 37 102 3 65,930 Maricopa County 2007 Natality (Birth) Statistics Table 4.16 Comparisons to Arizona, U.S. and Health People 2010 Goals for Selected Natality Measures Maricopa County 2007 Number of Rate or Individuals Percent Arizona 2007 U.S. 2007/20061 Healthy People 2010 Goal Neonatal 297 4.5 4.7 4.5 2.9 Postnatal 120 1.8 2.2 2.3 1.2 Total 417 6.3 6.8 6.7 4.5 4,669 7.00% 7.09% 8.2% 5.0% 10-14 Years Old 119 0.18% 0.17% 0.14% - Births to teen mothers 15-17 Years Old 2,664 4.04% 4.25% 3.26% - – 15-19 Years Old 7,697 11.67% 12.46% 10.31% - Total 10-19 Years Old 7,816 11.85% 12.63% 10.45% - Unlinked Infant Mortality – Rate per 1,000 live births Low birthweight births (< 2500g) – Percent of live births Percent of live births 1. Figures for infant mortality are final 2006 U.S. data. All other figures are preliminary 2007 U.S. data. Maricopa County Health Status Report 2007 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, 2007, released August 7, 2008. This is at http://www.census.gov/popest/counties/asrh/files/cc-est2007-alldata-04.csv. 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 2007 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. Only one condition, Sudden Infant Death Syndrome (SIDS) is calculated differently. By definition, SIDS deaths only occur in infants; as a result, these numbers are divided by the number of live births (rather than the standard 100,000 residents), to produce a rate per 1,000 live births. All data on mortality statistics are from death certificates included in the Arizona Department of Health Services (ADHS) final annual files. The data presented in this report include Maricopa County residents only. This includes Maricopa County residents who died in Maricopa County and residents who died elsewhere. Non-Maricopa County residents who died in Maricopa County are not included. During the course of routine data review, several deaths were identified as being in one county even though their city and ZIP codes indicated that they lived in a different county. For these discrepant cases, final classification in this report was based on the address of the resident. (The address is determined by reviewing the street address, city, county, and ZIP code). Therefore, the numbers presented in this report may not precisely match those presented by ADHS in other reports. For both mortality and morbidity (communicable disease), rates for some racial/ethnic populations such as American Indians, Asians, and African Americans may be 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. 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.” 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. Unless otherwise noted, all deaths are attributed to one underlying condition, based on death certificate information, using the rules of the International Classification of Diseases, 10th 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. Maricopa County Health Status Report 2007 Page 40 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 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 ICD-10 Codes Used 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, C37C49, C51-C52, C57-C60, C62-C63, C69C81, 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 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 (Table Continues) Maricopa County Health Status Report 2007 Page 41 (Table 5.2, Continued) Cause SIDS) All Other Diseases ICD-10 Codes Used 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 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, V10V11, V15-V18, V19.3, V19.8-V19.9, V80.0V80.2, V80.6-V80.9, V81.2-V81.9, V82.2V82.9, V87.9, V88.9, V89.1, V89.3, V89.9 V90-X29, X31-X59, Y40-Y86, 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, Y10-Y14 F10, G31.2, G62.1, I42.6, K29.2, K70, R78.0, X45, X65, Y15 Firearm, drug, and alcohol induced deaths are also included in a number of other categories, such as suicide, homicide, unintentional injury, etc. For example, a firearm induced death may also be classified as a suicide, homicide, or “other accident or adverse effect.” An alcohol induced death may be attributed to a long or short term effect of alcohol, such as acute alcohol intoxication or alcoholic cardiomyopathy. Tables 2.06a through 2.08b show deaths resulting directly (induced) and indirectly (related) from firearms, drugs, and alcohol. Drugs include prescription medications and illegal substances, regardless of whether use was recreational or medicinal. Tobacco is considered a drug by the National Center for Health Statistics (NCHS). Since tobacco is not often considered to be a drug 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 Maricopa County Health Status Report 2007 Page 42 certificate. Related causes of deaths are counted using multiple causes of death (MCD) data supplied by ADHS with the final annual mortality files. 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. An age adjusted rate allows comparisons between different groups, even if one group has more older members than another. A high (unadjusted) death rate for residents of a certain town may be high only because that town has more elderly members, who are more likely to die than younger members. Ageadjusted rates allow comparisons between towns, ethic groups, etc. by adjusting for how many older and younger members there are in the group. For example, the population pyramids at the beginning of this report show a greater percentage of White Non-Hispanics over the age 65 than Hispanics. This creates a much lower crude death rate for Hispanics compared to White NonHispanics. Age adjustment shows that White non-Hispanics still have a higher death rate, but the difference is not as extreme. 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. 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 cancer, ovarian cancer, and pregnancy death rates are calculated among women only. In all other tables, and for all other diseases, the total population is used for the denominator for these conditions. Comparison death rates for Arizona, shown in Table 2.14, can be found in Arizona Health Status and Vital Statistics 2007, published by the ADHS at http://www.azdhs.gov/plan/report/ahs/ahs2007/toc07.htm. Figures for the U.S. are preliminary 2006 data for the following categories: heart disease, cancers, cerebrovascular disease, unintentional injuries, pneumonia and influenza, diabetes, suicide, and all causes combined. The data were published in National Vital Statistics Reports, Vol 56, no 16, June 11, 2008. These data can be found at: http://www.cdc.gov/nchs/data/nvsr/nvsr56/nvsr56_16.pdf . All other U.S. mortality data are final 2005 data from National Vital Statistics Reports, Vol 56, no. 12, April 24, 2008. These data are at http://www.cdc.gov/nchs/data/nvsr/nvsr56/nvsr56_10.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. 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 data presented in this report include communicable diseases to residents of Maricopa County. This includes Maricopa County residents who acquired a disease in Maricopa County and residents who acquired a disease elsewhere. Non-Maricopa County residents are not included, even if they acquired a disease in Maricopa County. For Hansen’s disease only, tables include residents from various counties in Arizona, regardless of where the disease was acquired. 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 Maricopa County Health Status Report 2007 Page 43 (WNV) in 2003. Two of these cases acquired WNV outside of Maricopa County; the other four cases were acquired locally. All data on communicable diseases are new cases of reportable diseases included in the ADHS final annual files. There are several exceptions: data on hepatitis C, genital herpes, gonorrhea, chlamydia, syphilis, and Hansen’s disease are from MCDPH data files. Data on hepatitis C, 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. The data for this report were acquired on the following dates. • Hepatitis C data were acquired on December 15, 2008. • Tuberculosis data were acquired on May 19, 2008 • STD data were acquired on May 21, 2008 • Syphilis data were acquired on May 20, 2008. • HIV/AIDS data for Maricopa County residents were acquired on May 20, 2008. • HIV/AIDS data for Arizona residents were acquired on March 10, 2009. Morbidity data include only confirmed cases, with the exception of West Nile Virus, hepatitis B (acute), and Hansen’s disease. West Nile Virus and hepatitis B data include confirmed and probable cases. Data for Hansen’s disease includes confirmed, probable, and suspect cases diagnosed in Maricopa County (including diagnoses of non-county residents). All communicable disease statistics in this report are new cases for each specified year (incidence). The exception is Hansen’s disease for which the prevalence (all existing cases from all years) is shown. The figures presented for Hansen’s disease may differ from previous years due to the addition of cases diagnosed in previous years but only recently available. Data are classified by date of report with one exception. Morbidity data for hepatitis C 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. 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 previous Health Status Reports, hepatitis B data were also obtained from the MCDPH. This report uses hepatitis B data for confirmed and probable acute cases from ADHS. Comparison of hepatitis B cases in 2007 to previous years will show a decrease in the total number of cases. This decrease is most likely due to changes in the investigation of the disease and not due to a change in the communicability of the disease in Maricopa County. 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 2007, http://www.azdhs.gov/plan/report/ahs/ahs2007/toc07.htm. The rates for HIV and AIDS for Arizona were provided directly from ADHS on March 10, 2009. All U.S. rates are for 2006 and may be found at http://www.cdc.gov/mmwr/PDF/wk/mm5553.pdf. Rates for HIV and AIDS cases are not available from the CDC for 2006 due to upgrades in the national surveillance data management system for HIV and AIDS. During this upgrading transition, CDC will not be updating HIV or AIDS infection surveillance data. Therefore, no U.S. rates are reported in this report. 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. Maricopa County Health Status Report 2007 Page 44 Natality (Birth) Statistics Natality (birth) statistics are shown in Tables 4.01 through 4.16. The natality percentages for some groups such older and younger maternal age groups (under 15 and over 45) or certain racial/ethnic groups may be high compared to other groups. These groups have relatively small numbers of births in Maricopa County (as shown in Table 4.01). 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 in addition to the rates. All data on birth statistics are from birth certificates included in the Arizona Department of Health Services (ADHS) final annual files. The data presented in this report include births to mother’s whose county of residence is Maricopa County. This may include births that did not occur in Maricopa County. Also included are some births that occurred outside of Arizona to mothers who reside in Arizona but the county and city of residence is unknown. National Center for Health Statistics rules state that if a birth does not occur in the state of residency and the county and city are unknown, the city of residency is assigned to the largest city in the state of residency. For Arizona, the largest city is Phoenix. For further explanation, please see http://www.cdc.gov/nchs/data/dvs/3amanual.pdf. During the course of routine data review, several births were identified as being in one county even though their city and ZIP codes indicated that they lived in a different county. For these discrepant cases, final classification in this report was based on the address of the resident. (The address is determined by reviewing the street address, city, county, and ZIP code). Therefore, the numbers presented in this report may not precisely match those presented by ADHS in other reports. Infant mortality statistics shown in Table 4.16 are from unlinked data or the number of infant deaths in a given year. The table shows comparisons to Arizona and the U.S. U.S. data are preliminary for 2007, from the National Center for Health Statistics. Infant mortality data for the U.S. can be found in Deaths: Preliminary Data for 2006, National Vital Statistic Reports Vol 56, no 16, June 11, 2008 at http://www.cdc.gov/nchs/data/nvsr/nvsr56/nvsr56_16.pdf. U.S. Data for low birthweight births and births to teen mothers can be found in Births: Preliminary Data for 2007, National Vital Statistics Reports, Vol 57, no 12, March 18, 2009 at http://www.cdc.gov/nchs/data/nvsr/nvsr57/nvsr57_12.pdf. Arizona figures for 2007 can be found in Arizona Health Status and Vital Statistics 2007, published by the ADHS at http://www.azdhs.gov/plan/report/ahs/ahs2007/toc07.htm. An explanation of unlinked infant mortality data is presented below. 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 (single infant) 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 1 Kotelchuck, M. An Evaluation of the Kessner Adequacy of Prenatal Care Index and a Proposed Adequacy of Prenatal Care Utilization Index, American Journal of Public Health, 1994; 84(9):1414-1420. Maricopa County Health Status Report 2007 Page 45 The following definitions related to reproductive health have been established by National Center for Health Statistics2: • Birth or Live Birth3 – 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 37th week (259th day), following onset of the last menstrual period. • Infant Death – Any death at any time from birth up to, but not including, the first year of age (<365 days). • Infant Mortality Rate – Number of infant deaths per 1,000 live births. • 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: • 2 3 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 NCHS guidelines were adopted from those established by the World Health Organization (WHO). The Arizona statute defining a live birth follows this definition. Maricopa County Health Status Report 2007 Page 46 listed as a comparison to the heart disease rate. • Second, the HP 2010 goals use ICD-9 codes while the Maricopa County 2007 data use ICD-10 codes. Therefore, they may or may not be comparable. For this reason, only select HP 2010 goals are presented here for comparison. A 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. 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: https://www.azdes.gov/aspnew/default.asp Maricopa County Health Status Report 2007 Page 47