Maricopa County Health Status Report 2011 Reference Tables Prepared by the Maricopa County Department of Public Health Office of Epidemiology May 2013 Maricopa County Acknowledgements This report was prepared by the Maricopa County Department of Public Health, Office of Epidemiology, Epidemiology and Data Services Unit. Amy Prestanski, Epidemiologist Kara Stanley, Epidemiologist Liva Nohre, Epidemiology Supervisor Rebecca Sunenshine, Medical Director and Administrator of Disease Control Division 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 appreciated. Tammy Sylvester, Vjollca Berisha Office of Epidemiology and Data Services Tom Mickey, Renuka Khurana, Siru Prasai, Angelito Bravo Maricopa County Department of Public Health, Division of Clinical Services Julia Skinner, Christopher Mrela, Kahleel Hussein, Erika Weiss, Sanhita Gupta, Wenjing Weng, Donna Courtney 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/publichealth/Services/EPI/Reports/ 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 2011, Reference Tables. Phoenix (AZ): 2013. Maricopa County Health Status Report 2011 Reference Tables Table of Contents Introduction i I. Maricopa County 2011 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, 2011 Population Estimates by Race/Ethnicity, Age, and Sex, 2011 Population Pyramids by Race/Ethnicity, 2011 2 3 4 II. Maricopa County 2011 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 Other Selected Underlying Causes of Death by Race/Ethnicity, Number of Cases Other Selected Underlying Causes of Death by Race/Ethnicity, Crude Death Rate per 100,000 Residents Other Selected Underlying Causes of Death by Age Group, Number of Cases Other Selected Underlying Causes of Death by Age Group, Crude Death Rate per 100,000 Residents Other Selected Underlying Causes of Death by Sex, Number of Cases Other Selected Underlying Causes of Death by Sex, Crude Death Rate per 100,000 Residents Firearm, Drug and Alcohol Induced and Related Deaths by Age Group, Number of Cases Firearm, Drug and Alcohol Induced and Related Deaths by Age Group, Crude Death Rate per 100,000 Residents Firearm, Drug and Alcohol Induced and Related Deaths by Race/Ethnicity, Number of Cases Firearm, Drug and Alcohol Induced and Related Deaths by Race/Ethnicity, Crude Death Rate per 100,000 Residents Firearm, Drug and Alcohol Induced and Related Deaths by Sex, Number of Cases Firearm, Drug and Alcohol Induced and Related Deaths by Sex, Crude Death Rate per 100,000 Residents Number of Deaths by Race/Ethnicity and Sex Number of Deaths by Race/Ethnicity and Marital Status Number of Deaths by Race/Ethnicity and Education Level Crude and Age-Adjusted Rates for Selected Underlying Causes of Death by Race/Ethnicity Death Rate Comparisons to Arizona, U.S., and Healthy People 2020 Goals for Selected Underlying Causes of Death Leading Causes of Death by Race/Ethnicity Years of Potential Life Lost 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 2.09a Table 2.09b Table 2.10a Table 2.10b Table 2.11a Table 2.11b Table 2.12 Table 2.13 Table 2.14 Table 2.15 Table 2.16 Table 2.17 Table 2.18 10 11 13 15 16 17 18 19 20 21 22 23 23 24 24 24 24 25 25 26 27 28 29 30 Maricopa County Health Status Report 2011 Reference Tables Table of Contents III. Maricopa County 2011 Communicable Disease Statistics 31 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 2020 Goals for Selected Diseases 32 33 34 35 36 37 IV. Maricopa County 2011 Natality (Birth) Statistics 39 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 Table 4.17 Table 4.18 Table 4.19 Table 4.20 Table 4.21 Table 4.22 Table 4.23 Table 4.24 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 Number and Percent of Births by Method of Payment 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 Births (Less than 37 Weeks Gestation) by Race/Ethnicity of Mother Number and Percent of Births by Medical Risk Factor and Race/Ethnicity of Mother Number and Percent of Births by Type of Delivery and Race/Ethnicity of Mother Number and Percent of Births by Birth Attendee and 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 Number and Percent of Births by Method of Payment 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 Number and Percent of Births by Medical Risk Factor and Age Group of Mother Number and Percent of Births by Birth Attendee and Age Group of Mother Number and Percent of Births by Type of Delivery and Age Group of Mother Comparisons to Arizona, U.S., and Healthy People 2020 Goals for Selected Natality Measures 40 40 40 41 41 41 42 42 42 43 43 43 44 44 44 45 45 46 46 46 47 47 47 48 V. Maricopa County 2011 Hospital Discharge Statistics 49 Table 5.01 Table 5.02 Table 5.03 Table 5.04a Number of Hospital Discharges by Age Group and Race/Ethnicity Number of Hospital Discharges by Age Group and Sex Number and Percent of Hospital Discharges by Sex and Payer Type Selected Primary Diagnosis Hospital Discharges by Race/Ethnicity, Number of Discharges Selected Primary Diagnosis Groups by Race/Ethnicity, Crude Hospitalization Rates per 100,000 Residents 50 50 51 52 Table 3.04 Table 5.04b 38 54 Maricopa County Health Status Report 2011 Reference Tables Table of Contents Table 5.05a 56 Table 5.16b Table 5.17 Table 5.18 Table 5.19 Selected Primary Diagnosis Groups by Age Group, Number of Discharges Selected Primary Diagnosis Groups by Age Group, Crude Hospitalization Rates per 100,000 Residents Selected Primary Diagnosis Groups by Sex, Number of Discharges Selected Primary Diagnosis Groups by Sex, Crude Hospitalization Rates per 100,000 Residents Total Charges for Hospitalizations by Primary Diagnosis Groups Average Charges for Hospitalization Related to Pregnancy and Birth Length of Hospital Stay (Days) by Primary Diagnosis Group Length of Hospital Stay for Pregnancy and Birth Related Hospitalizations Number of Emergency Department (ED) Visits by Age Group and Race/Ethnicity Number of Emergency Department (ED) Visits by Age Group and Sex Number of Emergency Department (ED) Visits by Sex and Payer Type Selected Primary Diagnosis Groups by Race/Ethnicity, Number of ED Visits Selected Primary Diagnosis Groups by Race/Ethnicity, Crude Rate of Emergency Department (ED) Visits per 100,000 Residents Selected Primary Diagnosis Groups by Age Group, Number of ED Visits Selected Primary Diagnosis Groups by Age Group, Crude Rate of Emergency Department (ED) Visits per 100,000 Residents Selected Primary Diagnosis Groups by Sex, Number of ED Visits Selected Primary Diagnosis Groups by Sex, Crude Rate of Emergency Department (ED) Visits per 100,000 Residents Number of Injury Related Emergency Department (ED) Visits by Race/Ethnicity Number of Injury Related Emergency Department (ED) Visits by Age Group Number of Injury Related Emergency Department (ED) Visits by Sex VII. Technical Notes 80 Table 5.05b Table 5.06a Table 5.06b Table 5.07 Table 5.08 Table 5.09 Table 5.10 Table 5.11 Table 5.12 Table 5.13 Table 5.14a Table 5.14b Table 5.15a Table 5.15b Table 5.16a 58 61 63 65 66 67 68 69 69 70 71 72 73 74 75 76 77 78 79 Introduction This report provides health status information for the year 2011 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     Mortality Disease Example: 5,648 residents of Maricopa County died due to cancer in 2011.* Communicable Disease Example: 698 residents of Maricopa County were diagnosed with a confirmed or probable case of Pertussis in 2011. Natality (Birth) Example: There were 658 infants born with a very low birthweight (less than 1500 grams) in 2011. Rate or percentage of cases in the county    Mortality Disease Example: For every 100,000 residents of Maricopa County, 145.6 died due to cancer in 2011.* Communicable Disease Example: For every 100,000 residents of Maricopa County, 18.0 were diagnosed with Pertussis in 2011. Natality (Birth) Example: Among all live births in 2011, 1.2% were born with a very low birthweight. Information on data sources and methodology are in Section III – Technical Notes. *Except where noted, the cause of death is the underlying cause of death, which is the condition that began the sequence of death. See Technical Notes for more information on the underlying cause of death. Maricopa County Health Status Report 2011 Page i I. Maricopa County 2011 Population Statistics Maricopa County Health Status Report 2011 Page 1 Maricopa County 2011 Population Statistics Table 1.01 Population By Race/Ethnicity, Age, and Sex, 2011 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 Race/Ethnicity by Sex Males No. 142,451 143,852 143,262 140,056 143,255 279,501 263,992 251,053 197,641 125,418 67,775 22,519 % 7.4% 7.5% 7.5% 7.3% 7.5% 14.6% 13.7% 13.1% 10.3% 6.5% 3.5% 1.2% 1,920,775 Females No. 136,523 138,011 137,444 131,119 135,231 272,190 262,571 257,937 220,140 143,259 84,888 40,156 % 7.0% 7.0% 7.0% 6.7% 6.9% 13.9% 13.4% 13.2% 11.2% 7.3% 4.3% 2.0% 1,959,469 Total No. 278,974 281,863 280,706 271,175 278,486 551,691 526,563 508,990 417,781 268,677 152,663 62,675 Race/Ethnicity Males No. % 7.2% 7.3% 7.2% 7.0% 7.2% 14.2% 13.6% 13.1% 10.8% 6.9% 3.9% 1.6% White Hispanic African American American Indian Asian Multiple Races 1,110,778 586,430 92,624 29,085 67,035 34,823 Total 1,920,775 % 57.8% 30.5% 4.8% 1.5% 3.5% 1.8% Females No. 1,149,908 576,166 89,947 33,061 74,588 35,799 % 58.7% 29.4% 4.6% 1.7% 3.8% 1.8% 1,959,469 3,880,244 Age by Race/Ethnicity 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 White Hispanic African American American Indian Asian Multiple Races Total No. % No. % No. % No. % No. % No. % No. 111,113 118,491 124,660 123,068 137,437 287,341 293,572 339,296 317,568 220,374 131,383 56,383 4.9% 5.2% 5.5% 5.4% 6.1% 12.7% 13.0% 15.0% 14.0% 9.7% 5.8% 2.5% 127,594 124,219 118,461 111,539 102,888 188,642 164,554 114,454 63,234 29,777 13,307 3,927 11.0% 10.7% 10.2% 9.6% 8.8% 16.2% 14.2% 9.8% 5.4% 2.6% 1.1% 0.3% 14,020 14,102 14,584 15,642 16,190 28,149 26,241 24,444 16,537 7,960 3,594 1,108 7.7% 7.7% 8.0% 8.6% 8.9% 15.4% 14.4% 13.4% 9.1% 4.4% 2.0% 0.6% 5,306 5,177 5,039 5,192 6,916 11,533 8,640 7,330 4,302 1,852 639 220 8.5% 8.3% 8.1% 8.4% 11.1% 18.6% 13.9% 11.8% 6.9% 3.0% 1.0% 0.4% 9,500 9,740 8,955 8,241 9,155 26,403 26,826 18,624 13,092 7,185 3,070 832 6.7% 6.9% 6.3% 5.8% 6.5% 18.6% 18.9% 13.2% 9.2% 5.1% 2.2% 0.6% 11,441 10,134 9,007 7,493 5,900 9,623 6,730 4,842 3,048 1,529 670 205 16.2% 14.3% 12.8% 10.6% 8.4% 13.6% 9.5% 6.9% 4.3% 2.2% 0.9% 0.3% 278,974 281,863 280,706 271,175 278,486 551,691 526,563 508,990 417,781 268,677 152,663 62,675 2,260,686 1,162,596 182,571 62,146 141,623 70,622 3,880,244 Source: United States Census, Population Estimates Division. Data on this page were used for calculating all rates (denominators) in this report for 2011. Maricopa County Health Status Report 2011 Page 2 Maricopa County 2011 Population Statistics Table 1.02 Population Estimates by Sex, Age, and Race/Ethnicity, 2011 Females Age 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 White Hispanic African American American Indian Asian Multiple Total No. % No. % No. % No. % No. % No. % No. 54,302 57,737 60,813 59,149 67,165 72,307 69,449 67,668 77,029 83,327 88,567 83,257 83,830 65,997 50,722 108,589 4.7% 5.0% 5.3% 5.1% 5.8% 6.3% 6.0% 5.9% 6.7% 7.2% 7.7% 7.2% 7.3% 5.7% 4.4% 9.4% 62,414 61,058 58,081 54,126 49,578 45,954 45,971 44,174 38,398 31,673 25,469 18,824 14,008 9,636 6,554 10,248 10.8% 10.6% 10.1% 9.4% 8.6% 8.0% 8.0% 7.7% 6.7% 5.5% 4.4% 3.3% 2.4% 1.7% 1.1% 1.8% 6,785 6,827 7,114 7,517 7,573 6,958 6,667 6,449 6,331 6,157 5,998 4,621 3,752 2,483 1,863 2,852 7.5% 7.6% 7.9% 8.4% 8.4% 7.7% 7.4% 7.2% 7.0% 6.8% 6.7% 5.1% 4.2% 2.8% 2.1% 3.2% 2,703 2,550 2,527 2,573 3,587 3,217 2,972 2,485 2,227 2,276 1,873 1,360 1,096 627 457 531 8.2% 7.7% 7.6% 7.8% 10.8% 9.7% 9.0% 7.5% 6.7% 6.9% 5.7% 4.1% 3.3% 1.9% 1.4% 1.6% 4,687 4,888 4,516 4,023 4,293 6,424 7,240 7,559 6,743 5,398 4,687 4,167 3,560 2,438 1,639 2,326 6.3% 6.6% 6.1% 5.4% 5.8% 8.6% 9.7% 10.1% 9.0% 7.2% 6.3% 5.6% 4.8% 3.3% 2.2% 3.1% 5,632 4,951 4,393 3,731 3,035 2,691 2,340 1,894 1,614 1,352 1,160 926 739 504 339 498 15.7% 13.8% 12.3% 10.4% 8.5% 7.5% 6.5% 5.3% 4.5% 3.8% 3.2% 2.6% 2.1% 1.4% 0.9% 1.4% 136,523 138,011 137,444 131,119 135,231 137,551 134,639 130,229 132,342 130,183 127,754 113,155 106,985 81,685 61,574 125,044 1,149,908 576,166 89,947 33,061 74,588 1,959,469 35,799 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 56,811 60,754 63,847 63,919 70,272 74,450 71,135 69,423 79,452 82,339 85,063 75,994 74,487 58,780 44,875 79,177 1,110,778 5.1% 5.5% 5.7% 5.8% 6.3% 6.7% 6.4% 6.2% 7.2% 7.4% 7.7% 6.8% 6.7% 5.3% 4.0% 7.1% 65,180 63,161 60,380 57,413 53,310 49,081 47,636 43,271 38,711 32,529 24,783 17,497 12,905 8,273 5,314 6,986 586,430 11.1% 10.8% 10.3% 9.8% 9.1% 8.4% 8.1% 7.4% 6.6% 5.5% 4.2% 3.0% 2.2% 1.4% 0.9% 1.2% 7,235 7,275 7,470 8,125 8,617 7,403 7,121 6,761 6,700 6,407 5,882 4,616 3,548 2,142 1,472 1,850 92,624 7.8% 7.9% 8.1% 8.8% 9.3% 8.0% 7.7% 7.3% 7.2% 6.9% 6.4% 5.0% 3.8% 2.3% 1.6% 2.0% 2,603 2,627 2,512 2,619 3,329 2,881 2,463 2,088 1,840 1,664 1,517 1,041 805 453 315 328 29,085 8.9% 9.0% 8.6% 9.0% 11.4% 9.9% 8.5% 7.2% 6.3% 5.7% 5.2% 3.6% 2.8% 1.6% 1.1% 1.1% 4,813 4,852 4,439 4,218 4,862 6,363 6,376 6,628 5,896 4,671 3,868 3,003 2,362 1,761 1,347 1,576 7.2% 7.2% 6.6% 6.3% 7.3% 9.5% 9.5% 9.9% 8.8% 7.0% 5.8% 4.5% 3.5% 2.6% 2.0% 2.4% 67,035 5,809 5,183 4,614 3,762 2,865 2,427 2,165 1,734 1,488 1,227 1,103 801 582 403 283 377 34,823 16.7% 14.9% 13.2% 10.8% 8.2% 7.0% 6.2% 5.0% 4.3% 3.5% 3.2% 2.3% 1.7% 1.2% 0.8% 1.1% 142,451 143,852 143,262 140,056 143,255 142,605 136,896 129,905 134,087 128,837 122,216 102,952 94,689 71,812 53,606 90,294 1,920,775 Source: United States Census, Population Estimates Division. Data on this page were used for calculating all rates (denominators) in this report for 2011. Maricopa County Health Status Report 2011 Page 3 Maricopa County 2011 Population Statistics Maricopa County Health Status Report 2011 Page 4 Maricopa County 2011 Population Statistics Maricopa County Health Status Report 2011 Page 5 II. Maricopa County 2011 Mortality (Death) Statistics Maricopa County Health Status Report 2011 Page 6 Maricopa County 2011 Mortality (Death) Statistics Table 2.01a Number of Deaths by Age Group and Race/Ethnicity Number of Deaths by Race/Ethnicity Age Group White Hispanic Black American Other/ Indian Asian Multiple Unknown Total <1 104 149 27 7 10 10 1 308 1-4 21 26 11 1 1 2 0 62 5-9 9 9 2 1 0 2 0 23 10-14 20 16 3 1 1 1 0 42 15-19 61 46 8 3 2 0 0 120 20-24 137 75 19 5 3 4 0 243 25-34 38 22 6 10 2 496 274 144 35-44 474 190 54 37 17 13 4 789 45-54 1,239 324 120 39 33 14 5 1,774 55-64 2,348 384 195 54 57 17 7 3,062 65-74 3,379 413 191 52 59 27 14 4,135 75-84 5,485 525 168 13 102 39 14 6,346 85+ 7,328 436 162 20 81 29 8 8,064 20,879 2,737 998 255 372 168 Total 55 25,464 Table 2.01b Death Rates by Age Group and Race/Ethnicity Crude Death Rate per 100,000 Residents Death Rate by Race/Ethnicity Age Group 0-4 White Hispanic Black American Indian Asian Multiple Other/ Unknown Total 112.5 137.2 271.0 150.8 115.8 104.9 - 132.6 7.6 7.2 14.2 19.3 0 19.7 - 8.2 10-14 16.0 13.5 20.6 19.8 11.2 11.1 - 15.0 15-19 49.6 41.2 51.1 57.8 24.3 0 - 44.3 20-24 99.7 72.9 117.4 72.3 32.8 67.8 - 87.3 25-34 95.4 76.3 135.0 190.8 22.7 103.9 - 89.9 35-44 161.5 115.5 205.8 428.2 63.4 193.2 - 149.8 45-54 365.2 283.1 490.9 532.1 177.2 289.1 - 348.5 55-64 739.4 607.3 1,179.2 1,255.2 435.4 557.7 - 732.9 65-74 1,533.3 1,387.0 2,399.5 2,807.8 821.2 1,765.9 - 1,539.0 75-84 4,174.8 3,945.3 4,674.5 2,034.4 3,322.5 5,820.9 - 4,156.9 12,996.8 11,102.6 14,620.9 9,090.9 9,735.6 14,146.3 - 12,866.4 923.6 235.4 546.6 410.3 262.7 237.9 - 656.2 5-9 85+ Total Maricopa County Health Status Report 2011 Page 7 Maricopa County 2011 Mortality (Death) Statistics Table 2.02a Number of Deaths by Age Group and Sex Age Group Number of Death by Gender Male Female Unknown Total <1 174 134 0 308 1-4 43 19 0 62 5-9 13 10 0 23 10-14 25 17 0 42 15-19 85 35 0 120 20-24 191 52 0 243 25-34 350 146 0 496 35-44 480 309 0 789 45-54 1,084 690 0 1,774 55-64 1,817 1,245 0 3,062 65-74 2,371 1,764 0 4,135 75-84 3,211 3,135 0 6,346 85+ 3,045 5,018 1 8,064 12,889 12,574 1 25,464 Total Table 2.02b Death Rates by Age Group and Sex Crude Death Rate per 100,000 Residents Death Rate by Gender Age Group <1 5-9 Male Female Unknown Total 152.3 112.1 - 133.3 9.0 7.2 - 8.2 15.0 10-14 17.5 12.4 - 15-19 60.7 26.7 - 44.3 38.5 - 87.3 53.6 - 89.9 149.8 20-24 25-34 133.3 125.2 35-44 181.8 117.7 - 45-54 431.8 267.5 - 348.5 55-64 919.3 565.5 - 732.9 1,231.3 - 1,539.0 3,693.1 - 4,156.9 13,521.9 12,496.3 - 12,866.4 - 656.3 65-74 75-84 85+ Total 1,890.5 4,737.7 671.0 641.7 Maricopa County Health Status Report 2011 Page 8 Maricopa County 2011 Mortality (Death) Statistics Table 2.03a Selected Underlying Causes of Death by Race/Ethnicity Number of Cases Number of Deaths by Race/Ethnicity Cause Infectious Diseases Cancer Diabetes and Alzheimer's Major Heart Cardiovascular Disease Diseases Other Cardiovascular Other Respiratory Diseases GI & Urinary Pregnancy & Early Life Other Diseases External Causes Total White Hispanic Black Tuberculosis Syphilis HIV Stomach Colon Pancreas Lung Breast Uterine Prostate Urinary Lymphoma Leukemia Other Cancer All Diabetes Alzheimer's Hypertensive Heart Disease Ischemic Heart Disease Other Heart Disease All Primary Hypertension Cerebrovascular Atherosclerosis Other Circulatory All Influenza & Pneumonia Chronic Lower Respiratory Peptic Ulcer Liver Disease Nephritis Pregnancy Perinatal Conditions Congenital Malformations SIDS Symptoms, Signs Other Diseases Motor Vehicle Collisions All Other Accidents Suicide Homicide Other External Causes All 2 0 29 70 393 331 1,246 355 235 259 263 176 183 1,190 4,701 684 1,540 360 3,544 671 4,575 405 877 57 141 1,480 191 1,581 30 296 71 1 52 58 5 690 3,051 212 1,009 488 67 66 1,842 20,879 1 1 16 28 56 36 78 33 38 23 28 24 25 185 554 173 111 29 358 64 451 46 117 3 22 188 30 59 3 95 12 2 69 48 9 68 390 88 199 69 85 16 457 2,737 American Other/ Indian. Asian Multiple Unknown 1 0 10 7 23 15 49 19 12 6 9 7 5 60 212 75 47 25 143 33 201 40 56 1 8 105 7 36 1 9 4 0 14 9 2 26 124 23 45 11 34 2 115 998 Maricopa County Health Status Report 2011 2 0 4 1 8 2 4 1 5 1 4 0 1 8 35 37 7 0 16 4 20 4 4 1 0 9 2 7 1 22 2 0 2 1 0 7 36 22 27 5 7 0 61 255 Page 9 1 0 1 9 11 9 18 7 7 2 2 3 5 26 99 23 17 5 48 14 67 7 25 0 5 37 3 12 0 4 5 0 8 3 0 9 47 9 13 8 5 1 36 372 0 0 0 1 3 1 13 6 1 1 0 3 2 9 40 6 10 3 17 4 24 2 5 0 2 9 0 10 0 1 0 0 5 1 1 5 34 3 8 6 3 2 22 168 Total 0 7 0 1 0 60 0 116 0 494 0 394 1 1,409 1 422 0 298 2 294 1 307 1 214 0 221 1 1,479 7 5,648 2 1,000 0 1,732 1 423 19 4,145 0 790 20 5,358 1 505 2 1,086 0 62 0 178 3 1,831 1 234 5 1,710 0 35 1 428 0 94 0 3 0 150 0 120 0 17 4 809 5 3,687 1 358 3 1,304 2 589 1 202 0 87 7 2,540 55 25,464 Maricopa County 2011 Mortality (Death) Statistics Table 2.03b Selected Underlying Causes of Death by Race/Ethnicity Crude Death Rate per 100,000 Residents Death Rate by Race/Ethnicity Cause Infectious Diseases Cancer Diabetes and Alzheimer's Major Heart Cardiovascular Disease Diseases Other Cardiovascular Other Respiratory Diseases GI & Urinary Pregnancy & Early Life Other Diseases External Causes Total White Hispanic Black Tuberculosis Syphilis HIV Stomach Colon Pancreas Lung Breast Uterine & Ovarian1 Prostate1 Urinary Lymphoma Leukemia Other Cancer 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 Peptic Ulcer Liver Disease Nephritis Pregnancy1 Perinatal Conditions Congenital Malformations SIDS2 Symptoms, Signs Other Diseases Motor Vehicle Collisions All Other Accidents Suicide Homicide Other External Causes All External causes 0.1 0 1.3 3.1 17.4 14.6 55.1 15.7 20.4 23.3 11.6 7.8 8.1 52.6 207.9 30.3 68.1 15.9 156.8 29.7 202.4 17.9 38.8 2.5 6.2 65.5 8.4 69.9 1.3 13.1 3.1 0.1 2.3 2.6 0.2 30.5 135.0 9.4 44.6 21.6 3.0 2.9 81.5 923.6 American Other/ Indian Asian Multiple Unknown Total 0.1 0.5 0.1 0 1.4 5.5 2.4 3.8 4.8 12.6 3.1 8.2 6.7 26.8 2.8 10.4 6.6 13.3 3.9 6.5 2.4 4.9 2.1 3.8 2.2 2.7 15.9 32.9 47.7 116.1 14.9 41.1 9.5 25.7 2.5 13.7 30.8 78.3 5.5 18.1 38.8 110.1 4.0 21.9 10.1 30.7 0.3 0.5 1.9 4.4 16.2 57.5 2.6 3.8 5.1 19.7 0.3 0.5 8.2 4.9 1.0 2.2 0.3 0 5.9 7.7 4.1 4.9 0.4 0.6 5.8 14.2 33.5 67.9 7.6 12.6 17.1 24.6 5.9 6.0 7.3 18.6 1.4 1.1 39.3 63.0 235.4 546.6 3.2 0 6.4 1.6 12.9 3.2 6.4 1.6 15.1 3.4 6.4 0 1.6 12.9 56.3 59.5 11.3 0 25.7 6.4 32.2 6.4 6.4 1.6 0 14.5 3.2 11.3 1.6 35.4 3.2 0 3.2 1.6 0 11.3 57.9 35.4 43.4 8.0 11.3 0 98.2 410.3 0.7 0 0.7 6.4 7.8 6.4 12.7 4.9 9.4 3.0 1.4 2.1 3.5 18.4 69.9 16.2 12.0 3.5 33.9 9.9 47.3 4.9 17.7 0 3.5 26.1 2.1 8.5 0 2.8 3.5 0 5.6 2.1 0 6.4 33.2 6.4 9.2 5.6 3.5 0.7 25.4 262.7 1 0 0 0 1.4 4.2 1.4 18.4 8.5 2.8 2.9 0 4.2 2.8 12.7 56.6 8.5 14.2 4.2 24.1 5.7 34.0 2.8 7.1 0 2.8 12.7 0 14.2 0 1.4 0 0 7.1 1.4 7.1 48.1 4.2 11.3 8.5 4.2 2.8 31.2 237.9 - 0.2 0.0 1.5 3.0 12.7 10.2 36.3 10.9 15.2 15.3 7.9 5.5 5.7 38.1 145.6 25.8 44.6 10.9 106.8 20.4 138.1 13.0 28.0 1.6 4.6 47.2 6.0 44.1 0.9 11.0 2.4 0.2 3.9 3.1 0.3 20.8 95.0 9.2 33.6 15.2 5.2 2.2 65.5 656.2 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. No rate is calculated for Multiple race infants, see Technical Notes for explanation. 2 Maricopa County Health Status Report 2011 Page 10 Maricopa County 2011 Mortality (Death) Statistics Table 2.04a Selected Underlying Causes of Death by Age Group Number of Cases Number of Deaths by 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+ Total Tuberculosis 0 0 0 0 0 0 0 1 0 1 2 2 1 Syphilis 0 0 0 0 0 0 0 0 0 0 1 0 0 1 HIV 0 0 0 0 0 1 5 14 24 9 6 1 0 60 Stomach 0 0 0 0 0 0 1 6 15 20 26 31 17 116 Colon 0 0 0 0 0 0 1 17 52 84 105 131 104 494 Pancreas 0 0 0 0 0 0 0 8 28 71 109 120 58 394 Lung 0 0 0 0 0 3 0 14 77 246 445 453 171 1,409 Breast 0 0 0 0 0 0 8 13 65 91 84 90 71 422 Uterine & Ovarian 0 0 0 0 0 0 4 16 29 69 63 74 43 298 Prostate 0 0 0 0 0 0 0 3 4 27 67 97 96 294 Urinary 0 0 1 0 0 0 1 3 15 48 80 92 67 307 Lymphoma 0 1 0 0 0 0 3 3 12 26 43 70 56 214 Leukemia 0 0 2 2 1 2 8 9 15 29 44 70 39 221 Other 1 3 3 7 5 7 8 40 151 319 363 356 216 1,479 All Cancer 1 4 6 9 6 12 34 132 463 1,030 1,429 1,584 938 5,648 Diabetes 0 0 0 0 2 1 10 28 83 179 234 250 213 1,000 Alzheimer's 0 0 0 0 0 0 0 0 0 19 81 491 1,141 1,732 Hypertensive Heart Dis. 0 0 0 0 0 1 2 9 31 48 45 79 208 423 Ischemic Heart Disease 0 0 0 0 0 1 15 70 188 491 672 1,094 1,614 4,145 Other Heart Disease 6 1 0 0 1 3 11 19 37 74 84 189 365 790 All Heart Disease 6 1 0 0 1 5 28 98 256 613 801 1,362 2,187 5,358 Primary Hypertension 0 0 0 0 0 0 0 4 21 34 71 152 223 505 Cerebrovascular 5 1 1 1 0 0 5 15 42 77 158 316 465 1,086 Atherosclerosis 0 0 0 0 0 0 0 0 4 1 11 19 27 62 Other Circulatory 0 0 0 0 1 1 0 3 8 21 34 44 66 178 All Other Cardiovascular 5 1 1 1 1 1 5 22 75 133 274 531 781 1,831 (Continued) Maricopa County Health Status Report 2011 Page 11 7 Maricopa County 2011 Mortality (Death) Statistics (Table 2.04a continued) Number of Deaths by 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+ Total Other Respiratory Diseases Influenza & Pneumonia 4 2 1 1 1 0 3 4 14 12 29 63 100 234 Chronic Lower Respiratory 1 1 1 2 0 0 5 6 38 149 401 617 489 1,710 GI & Urinary Peptic Ulcer 0 0 0 0 0 0 0 0 1 4 5 8 17 35 Liver Disease 0 0 0 0 0 0 9 35 100 147 73 49 15 428 Nephritis 0 1 0 0 0 0 0 1 3 7 19 26 37 94 Pregnancy 0 0 0 0 0 1 0 2 0 0 0 0 0 3 148 0 1 1 0 0 0 0 0 0 0 0 0 150 Congenital Malformations 63 5 1 3 2 1 10 6 3 7 8 6 5 120 SIDS 17 0 0 0 0 0 0 0 0 0 0 0 0 17 Symptoms, Signs 21 3 1 1 3 15 12 18 32 25 46 160 472 809 Other Diseases 19 10 3 8 10 14 41 106 272 409 551 935 1,309 3,687 2 5 1 5 23 38 61 58 49 46 27 29 14 358 17 19 5 4 27 70 113 118 171 148 99 192 321 1,304 Suicide 0 0 1 6 26 49 93 95 134 99 37 30 19 589 Homicide 1 9 0 1 14 31 58 32 31 16 2 4 3 202 Other External Causes 3 1 1 0 4 4 9 13 25 9 10 6 2 87 23 34 8 16 94 192 334 316 410 318 175 261 359 2,540 308 62 23 42 120 243 496 789 1,774 3,062 4,135 6,346 8,064 25,467 Pregnancy & Early Life Perinatal Conditions Other Diseases External Causes Motor Vehicle Collisions All Other Accidents All External Causes Total Maricopa County Health Status Report 2011 Page 12 Maricopa County 2011 Mortality (Death) Statistics Table 2.04b Selected Underlying Causes of Death by Age Group Crude Death Rate per 100,000 Residents Cause Infectious Diseases Cancer Other Cardiovascular 15-19 Death Rate by Age Group 20-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ Total 0 0 0 0 0 0 0.2 0 0.2 0.7 1.3 1.6 0.2 0 0 0 0 0 0 0 0 0 0.4 0 0 0.0 HIV 0 0 0 0 0.4 0.9 2.7 4.7 2.2 2.2 0.7 0 1.5 Stomach 0 0 0 0 0 0.2 1.1 2.9 4.8 9.7 20.3 27.1 3.0 Colon 0 0 0 0 0 0.2 3.2 10.2 20.1 39.1 85.8 165.9 12.7 Pancreas 0 0 0 0 0 0 1.5 5.5 17.0 40.6 78.6 92.5 10.2 Lung 0 0 0 0 1.1 0 2.7 15.1 58.9 165.6 296.7 272.8 36.3 Breast 0 0 0 0 0 1.5 2.5 12.8 21.8 31.3 59.0 113.3 10.9 Uterine & Ovarian 0 0 0 0 0 1.5 6.1 11.2 31.3 44.0 87.2 107.1 15.2 Prostate 0 0 0 0 0 0 1.1 1.6 13.7 53.4 143.1 426.3 15.3 0 0.4 0 0 0 0.2 0.6 2.9 11.5 29.8 60.3 106.9 7.9 0.4 0 0 0 0 0.5 0.6 2.4 6.2 16.0 45.9 89.3 5.5 0 0.7 0.7 0.4 0.7 1.5 1.7 2.9 6.9 16.4 45.9 62.2 5.7 Other Cancer 1.4 1.1 2.5 1.8 2.5 1.5 7.6 29.7 76.4 135.1 233.2 344.6 38.1 All Cancer 1.8 2.1 3.2 2.2 4.3 6.2 25.1 91.0 246.5 531.9 1,037.6 1,496.6 145.6 Diabetes 0 0 0 0.7 0.4 1.8 5.3 16.3 42.8 87.1 163.8 339.8 25.8 Alzheimer's 0 0 0 0 0 0 0 0 4.5 30.1 321.6 1,820.5 44.6 Hypertensive Heart Disease 0 0 0 0 0.4 0.4 1.7 6.1 11.5 16.7 51.7 331.9 10.9 Ischemic Heart Disease 0 0 0 0 0.4 2.7 13.3 36.9 117.5 250.1 716.6 2,575.2 106.8 Other Heart Disease 2.5 0 0 0.4 1.1 2.0 3.6 7.3 17.7 31.3 123.8 582.4 20.4 All Heart Disease 2.5 0 0 0.4 1.8 5.1 18.6 50.3 146.7 298.1 892.2 3,489.4 138.1 0 0 0 0 0 0 0.8 4.1 8.1 26.4 99.6 355.8 13.0 2.2 0.4 0.4 0 0 0.9 2.8 8.3 18.4 58.8 207.0 741.9 28.0 Atherosclerosis 0 0 0 0 0 0 0 0.8 0.2 4.1 12.4 43.1 1.6 Other Circulatory 0 0 0 0.4 0.4 0 0.6 1.6 5.0 12.7 28.8 105.3 4.6 2.2 0.4 0.4 0.4 0.4 0.9 4.2 14.7 31.8 102.0 347.8 1,246.1 47.2 Leukemia Heart Disease 10-14 Syphilis Lymphoma Major Cardiovascular Diseases 5-9 Tuberculosis Urinary Diabetes and Alzheimer's 0-4 Primary Hypertension Cerebrovascular All Other Cardiovascular (Continued) (Table 2.04b Continued) Maricopa County Health Status Report 2011 Page 13 Maricopa County 2011 Mortality (Death) Statistics Death Rate by Age Group Cause Other Respiratory Diseases GI & Urinary 15-19 20-24 25-34 35-44 45-54 55-64 Influenza & Pneumonia 2.2 0.4 0.4 0.4 0 0.5 0.8 2.8 2.9 10.8 41.3 159.6 6.0 Chronic Lower Respiratory 0.7 0.4 0.7 0 0 0.9 1.1 7.5 35.7 149.2 404.2 780.2 44.1 0 0 0 0 0 0 0 0.2 1.0 1.9 5.2 27.1 0.9 0 0 0 0 0 1.6 6.6 19.6 35.2 27.2 32.1 23.9 11.0 0.4 0 0 0 0 0 0.2 0.6 1.7 7.1 17.0 59.0 2.4 Peptic Ulcer Liver Disease Nephritis Pregnancy & Early Life Other Diseases 75-84 85+ Total 0 0 0 0.7 0 0.8 0 0 0 0 0 0.2 Perinatal Conditions 0.4 0 0 0 0 0 0 0 0 0 3.9 Congenital Malformations 24.4 0.4 1.1 0.7 0.4 1.8 1.1 0.6 1.7 3.0 3.9 8.0 3.1 SIDS 0.3 0 0 0 0 0 0 0 0 0 0 0 0.3 Symptoms, Signs 8.6 0.4 0.4 1.1 5.4 2.2 3.4 6.3 6.0 17.1 104.8 753.1 20.8 10.4 1.1 2.8 3.7 5.0 7.4 20.1 53.4 97.9 205.1 612.5 2,088.6 95.0 2.5 0.4 1.8 8.5 13.6 11.1 11.0 9.6 11.0 10.0 19.0 22.3 9.2 12.9 1.8 1.4 10.0 25.1 20.5 22.4 33.6 35.4 36.8 125.8 512.2 33.6 Motor Vehicle Collisions Homicide Other External Causes All External Causes 2 65-74 0.4 Suicide 1 10-14 0 All Other Accidents Total 5-9 53.1 Pregnancy Other Diseases External Causes 0-4 0 0.4 2.1 9.6 17.6 16.9 18.0 26.3 23.7 13.8 19.7 30.3 15.2 3.6 0 0.4 5.2 11.1 10.5 6.1 6.1 3.8 0.7 2.6 4.8 5.2 1.4 0.4 0 1.5 1.4 1.6 2.5 4.9 2.2 3.7 3.9 3.2 2.2 20.4 2.8 5.7 34.7 68.9 60.5 60.0 80.6 76.1 65.1 171.0 572.8 65.5 132.6 8.2 15.0 44.3 87.3 89.9 149.8 348.5 732.9 1,539.0 4,156.9 12,866.4 656.2 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 2011 Page 14 Maricopa County 2011 Mortality (Death) Statistics Table 2.05a Selected Underlying Causes of Death by Sex Number of Cases Number of Deaths by Gender Cause Tuberculosis Infectious Diseases Syphilis HIV Cancer Stomach Major Cardiovascular Diseases Heart Disease Unknown 4 7 1 0 0 0 Total 52 8 0 60 1 72 44 0 116 236 258 0 494 Pancreas 191 203 0 394 Lung 759 650 0 1,409 Breast 1 421 0 422 Uterine & Ovarian 0 298 0 298 Prostate 294 0 0 294 Urinary 206 100 1 307 214 Lymphoma 113 101 0 Leukemia 130 91 0 221 Other Cancer 882 597 0 1,479 2,884 2,763 546 454 1 0 5,648 Diabetes Alzheimer's 581 1,151 0 1,732 Hypertensive Heart Disease 179 244 0 423 2,394 1,751 0 4,145 Ischemic Heart Disease Other Heart Disease 1,000 341 449 0 790 2,914 2,444 0 5,358 Primary Hypertension 207 298 0 505 Cerebrovascular 414 672 0 1,086 Atherosclerosis 30 32 0 62 Other Circulatory 87 91 0 178 738 1,093 0 1,831 234 1,710 All Heart Disease Other Cardiovascular Female 3 Colon All Cancer Diabetes and Alzheimer's Male All Other Cardiovascular Other Respiratory Diseases Influenza & Pneumonia 107 127 0 Chronic Lower Respiratory 783 927 0 GI & Urinary Peptic Ulcer 17 18 0 35 277 151 0 428 53 41 0 94 0 3 0 3 Perinatal Conditions 86 64 0 150 Congenital Malformations 61 59 0 120 SIDS 11 6 0 17 317 492 0 809 3,687 Liver Disease Nephritis Pregnancy & Early Life Other Diseases Pregnancy Symptoms, Signs Other Diseases External Causes 1,813 1,874 0 Motor Vehicle Collisions 250 108 0 358 All Other Accidents 734 570 0 1,304 Suicide 456 133 0 589 Homicide 154 48 0 202 51 36 0 87 1,645 895 0 2,540 12,889 12,574 1 25,464 Other External Causes All External causes Total Maricopa County Health Status Report 2011 Page 15 Maricopa County 2011 Mortality (Death) Statistics Table 2.05b Selected Underlying Causes of Death by Sex Crude Death Rate per 100,000 Residents Death Rate by Gender Cause Tuberculosis Infectious Diseases Cancer 0.1 HIV 2.7 Stomach Pancreas Lung Breast Uterine & Ovarian1 2 - 3.0 12.3 13.2 - 12.7 9.9 10.4 - 10.2 39.5 33.2 - 36.3 0.1 21.5 - 10.9 0 15.2 - 15.2 15.3 7.9 5.9 5.2 - 5.5 Leukemia 6.8 4.6 - 5.7 45.9 30.5 - 38.1 150.1 141.0 - 145.6 Diabetes 28.4 23.2 - 25.8 Alzheimer's 30.2 58.7 - 44.6 9.3 12.5 - 10.9 124.6 89.4 - 106.8 17.8 22.9 - 20.4 151.7 124.7 - 138.1 9.3 12.5 - 10.9 106.8 Hypertensive Heart Disease Ischemic Heart Disease Primary Hypertension Cerebrovascular 124.6 89.4 - Atherosclerosis 17.8 22.9 - 20.4 9.3 12.5 - 10.9 38.4 55.8 - 47.2 6.0 44.1 Influenza & Pneumonia Peptic Ulcer Pregnancy1 5.6 6.5 - 40.8 47.3 - 0.9 0.9 - 0.9 14.4 7.7 - 11.0 2.8 2.1 - 2.4 0.2 0 0.2 - Perinatal Conditions 4.5 3.3 - 3.9 Congenital Malformations 3.2 3.0 - 3.1 SIDS2 0.4 0.2 - 0.3 20.8 95.0 Symptoms, Signs 16.5 25.1 - Other Diseases 94.4 95.6 - Motor Vehicle Collisions 13.0 5.5 - 9.2 All Other Accidents 38.2 29.1 - 33.6 Suicide 23.7 6.8 - 15.2 Homicide 8.0 2.4 - 5.2 Other External Causes 2.7 1.8 - 2.2 85.6 45.7 - 65.5 671.0 641.9 - 656.4 All External causes 1 2.2 Lymphoma Nephritis Total 1.5 3.7 - Liver Disease External Causes 0.0 - 0 Chronic Lower Respiratory Other Diseases 0 0.4 5.1 All Other Cardiovascular Pregnancy & Early Life 0.2 - 10.7 Other Circulatory GI & Urinary Total 15.3 All Heart Disease Other Respiratory Diseases Unknown - Urinary Other Heart Disease Other Cardiovascular 0.2 - All Cancer Heart Disease Female Prostate1 Other Cancer Major Cardiovascular Diseases 0.2 Syphilis Colon Diabetes and Alzheimer's Male 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 2011 Page 16 Maricopa County 2011 Mortality (Death) Statistics Table 2.06a Other Selected Underlying Causes of Death by Race/Ethnicity Number of Cases Number of Deaths by Race/Ethnicity Cause Infectious Diseases Cancer Other Diseases Cardiovascular Chronic Lower Respiratory Liver Disease Musculoskeletal Perinatal Conditions & Congenital Malformations External Causes White Hispanic Black American Other/ Indian Asian Multiple Unknown Total Clostridium Difficile Other Intestinal Infections Septicemia Viral Hepatitis Coccidioidomycosis Other Mycoses Brain Lip & Oral Skin Ovarian Testicular Anemias Nutritional Deficiencies Obesity Mental & Behavioral Disorders Due to the Use of Alcohol 81 9 81 80 11 5 132 64 95 138 4 20 24 60 8 3 13 35 1 1 19 7 4 15 2 3 2 15 1 0 7 7 0 0 3 3 0 4 0 4 0 3 2 0 2 2 0 0 1 1 0 4 0 0 0 2 1 0 3 2 1 1 0 1 2 2 0 0 0 1 1 1 1 2 0 0 0 1 1 1 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 94 13 107 128 13 7 155 77 102 164 6 27 26 83 86 16 0 5 0 0 2 109 Parkinson's Disease Multiple Sclerosis Epilepsy Acute Myocardial Infarction 289 33 15 12 3 3 5 3 1 1 0 0 2 0 0 3 2 0 0 0 0 312 41 19 (Heart Attack) 747 67 26 3 13 3 1 860 Congestive Heart Failure Emphysema Asthma Alcoholic Liver Disease Rheumatoid Arthritis Lupus Osteoporosis Disorders Related to Short Gestation & Low Birth Weight Congenital Malformations of the Circulatory System 97 76 40 230 31 6 11 8 1 7 75 5 4 0 1 2 7 7 5 0 0 0 0 1 18 1 1 0 0 0 1 3 0 1 0 2 0 1 1 0 0 0 0 0 0 1 0 0 0 108 79 57 335 42 12 11 11 22 4 1 2 1 0 41 17 17 3 0 1 0 0 38 Chromosomal Abnormalities Falls Unintentional Drowning Unintentional Poisoning Exposure to Excessive Natural Heat Legal Intervention Accidental Discharge of Firearms Discharge of Firearms, Undetermined Intent 7 445 30 351 22 2 2 9 48 14 87 9 4 1 2 9 5 21 4 0 1 0 5 1 16 0 0 0 0 5 3 1 0 0 0 0 3 1 3 1 0 0 0 1 0 1 0 0 0 18 516 54 480 36 6 4 3 1 0 0 0 0 0 4 22 6 0 0 1 0 0 29 Complications of Medical and Surgical Care Maricopa County Health Status Report 2011 Page 17 Maricopa County 2011 Mortality (Death) Statistics Table 2.06b Other Selected Underlying Causes of Death by Race/Ethnicity Crude Death Rate per 100,000 Residents Death Rate by Race/Ethnicity Cause Infectious Diseases Cancer Other Diseases Cardiovascular Chronic Lower Respiratory Liver Disease Musculoskeletal Perinatal Conditions & Congenital Malformations External Causes 1. White Hispanic Black American Other/ Indian Asian Multiple Unknown Total Clostridium Difficile Other Intestinal Infections Septicemia Viral Hepatitis Coccidioidomycosis Other Mycoses Brain Lip & Oral Skin Ovarian1 Testicular1 Anemias Nutritional Deficiencies Obesity Mental & Behavioral Disorders Due to the Use of Alcohol Parkinson's Disease Multiple Sclerosis Epilepsy Acute Myocardial Infarction 3.6 0.4 3.6 3.5 0.5 0.2 5.8 2.8 4.2 12.0 0.4 0.9 1.1 2.7 0.7 0.3 1.1 3.0 0.1 0.1 1.6 0.6 0.3 2.6 0.3 0.3 0.2 1.3 0.5 0 3.8 3.8 0 0 1.6 1.6 0 4.4 0 2.2 0 1.6 3.2 0 3.2 3.2 0 0 1.6 1.6 0 12.1 0 0 0 3.2 0.7 0 2.1 1.4 0.7 0.7 0 0.7 1.4 2.7 0 0 0 0.7 1.4 1.4 1.4 2.8 0 0 0 1.4 1.4 2.8 0 0 0 2.8 3.8 1.4 0 8.0 0 0 12.8 1.5 0.7 1.0 0.3 0.3 2.7 1.6 0.5 1.6 0 0 1.4 0 0 4.2 2.8 0 (Heart Attack) Congestive Heart Failure Emphysema Asthma Alcoholic Liver Disease Rheumatoid Arthritis Lupus Osteoporosis Disorders Related to Short Gestation & Low Birth Weight Congenital Malformations of the Circulatory System 33.0 5.8 14.2 4.8 9.2 4.2 4.3 3.4 1.8 10.2 1.4 0.3 0.5 0.7 0.1 0.6 6.5 0.4 0.3 0 0.5 1.1 3.8 3.8 2.7 0 0 0 0 1.6 29.0 1.6 1.6 0 0 0 0.7 2.1 0 0.7 0 2.8 0 1.4 1.4 0 0 0 0.5 1.9 2.2 1.6 1.4 1.4 - 2.4 0.3 2.8 3.3 0.3 0.2 4.0 2.0 2.6 8.4 0.3 0.7 0.7 2.1 2.8 - 8.0 1.1 0.5 22.2 - 2.8 2.0 1.5 8.6 1.1 0.3 0.3 1.1 0.8 1.5 1.6 0 Chromosomal Abnormalities 0.3 0.8 1.1 0 Falls 19.7 4.1 4.9 8.0 Unintentional Drowning 1.3 1.2 2.7 1.6 Unintentional Poisoning 15.5 7.5 11.5 25.7 Exposure to Excessive Natural Heat 1.0 0.8 2.2 0 Legal Intervention 0.1 0.3 0 0 Accidental Discharge of Firearms 0.1 0.1 0.5 0 Discharge of Firearms, Undetermined Intent 0.1 0.1 0 0 Complications of Medical and Surgical Care 1.0 0.5 0 0 Ovarian cancer rates are per 100,000 females; prostate cancer rates are per 100,000 males. Maricopa County Health Status Report 2011 Page 18 0.7 0 3.5 2.1 0.7 0 0 0 0 0.7 0 0 4.2 1.4 4.2 1.4 0 0 0 0 1.0 - 0.5 13.3 1.4 12.4 0.9 0.2 0.1 0.1 0.7 Maricopa County 2011 Mortality (Death) Statistics Table 2.07a Other Selected Underlying Causes of Death by Age Group Number of Cases Number of Deaths by Age Group <1 1-4 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ Total Cause Infectious Diseases Cancer Other Diseases Cardiovascular Clostridium Difficile Other Intestinal Infections Septicemia Viral Hepatitis Coccidioidomycosis Other Mycoses Brain Lip & Oral Skin Ovarian Testicular Anemias Nutritional Deficiencies Obesity Mental & Behavioral Disorders Due to the Use of Alcohol 0 1 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 2 0 0 0 0 1 0 1 0 3 0 0 0 1 0 0 0 0 0 0 0 0 0 3 0 0 0 1 1 0 0 0 0 0 1 0 0 2 0 1 2 0 0 0 6 1 0 2 5 0 0 11 1 1 4 1 1 0 12 4 0 10 31 2 1 20 8 10 13 1 1 2 19 6 2 14 55 1 1 32 27 24 34 0 3 2 26 15 1 18 23 3 2 39 21 27 38 0 4 4 10 25 6 27 11 4 2 28 13 24 46 1 5 4 8 43 2 31 2 2 1 12 7 15 27 1 10 14 2 94 13 107 128 13 7 155 77 102 164 6 27 26 83 0 0 0 0 0 0 1 18 40 36 11 2 1 109 Parkinson's Disease Multiple Sclerosis Epilepsy Acute Myocardial Infarction 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 1 0 2 2 3 7 7 6 7 3 37 18 2 140 126 5 1 2 0 312 41 19 (Heart Attack) 0 0 0 0 0 1 1 9 34 90 173 243 309 860 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 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 4 9 0 2 0 0 0 3 33 0 3 0 1 2 7 86 0 2 0 7 11 12 126 5 3 0 6 21 6 52 15 1 0 33 25 11 25 10 1 1 61 19 10 4 12 0 10 108 79 57 335 42 12 11 41 0 0 0 0 0 0 0 0 0 0 0 0 41 17 2 1 1 0 0 4 3 2 1 5 1 1 38 13 1 1 0 1 0 11 0 0 0 4 0 0 0 1 0 0 2 3 18 0 2 3 51 0 4 1 94 1 6 7 93 0 16 3 121 2 24 5 81 1 39 8 17 0 0 144 278 5 2 3 2 18 516 54 480 0 0 0 0 0 0 1 4 7 9 3 5 7 36 0 0 0 0 0 0 0 0 1 1 1 0 1 1 2 0 1 1 0 0 0 0 0 1 0 0 6 4 0 0 0 0 0 0 1 2 1 0 0 0 0 4 4 0 0 0 1 1 2 1 1 4 3 9 3 29 Congestive Heart Failure Emphysema Asthma Liver Disease Alcoholic Liver Disease Musculoskeletal Rheumatoid Arthritis Lupus Osteoporosis Perinatal Conditions & Disorders Related to Short Congenital Gestation & Low Birth Weight Malformations Congenital Malformations of the Circulatory System Chronic Lower Respiratory External Causes Chromosomal Abnormalities Falls Unintentional Drowning Unintentional Poisoning Exposure to Excessive Natural Heat Legal Intervention Accidental Discharge of Firearms Discharge of Firearms, Undetermined Intent Complications of Medical and Surgical Care Maricopa County Health Status Report 2011 Page 19 Maricopa County 2011 Mortality (Death) Statistics Table 2.07b Other Selected Underlying Causes of Death by Age Group Crude Death Rate per 100,000 Residents Death Rate by Age Group Cause Infectious Diseases Cancer Other Diseases Cardiovascular Chronic Lower Respiratory Liver Disease Musculoskeletal Perinatal Conditions & Congenital Malformations External Causes 0-4 Clostridium Difficile Other Intestinal Infections Septicemia Viral Hepatitis Coccidioidomycosis Other Mycoses Brain Lip & Oral Skin Ovarian1 Testicular1 Anemias Nutritional Deficiencies Obesity Mental & Behavioral Disorders Due to the Use of Alcohol Parkinson's Disease Multiple Sclerosis Epilepsy Acute Myocardial Infarction (Heart Attack) Congestive Heart Failure Emphysema Asthma Alcoholic Liver Disease Rheumatoid Arthritis Lupus Osteoporosis Disorders Related to Short Gestation & Low Birth Weight 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ Total 0 0.4 1.1 0 0 0 0 0 0 0 0 0 0 0 0 0.4 0.4 0 0 0 0.7 0 0 0 0 0 0 0 0 0 0 0 0 0 1.1 0 0 0 0 0.7 0 0 0 0 0.4 0 0.4 0 1.1 0 0 0 0.7 0 0 0 0 0 0 0 0 0 1.1 0 0 0 0.7 0.4 0 0 0 0 0 0.2 0 0 0.4 0 0.2 0.7 0 0 0 1.1 0.2 0 0.4 0.9 0 0 2.1 0.2 0.2 1.5 0.4 0.2 0 2.3 0.8 0 2.0 6.1 0.4 0.2 3.9 1.6 2.0 5.0 0.4 0.2 0.4 3.7 1.4 0.5 3.4 13.2 0.2 0.2 7.7 6.5 5.7 15.4 0 0.7 0.5 6.2 5.6 0.4 6.7 8.6 1.1 0.7 14.5 7.8 10.0 26.5 0 1.5 1.5 3.7 16.4 3.9 17.7 7.2 2.6 1.3 18.3 8.5 15.7 54.2 1.5 3.3 2.6 5.2 68.6 3.2 49.5 3.2 3.2 1.6 19.1 11.2 23.9 67.2 4.4 16.0 22.3 3.2 2.4 0.3 2.8 3.3 0.3 0.2 4.0 2.0 2.6 8.4 0.3 0.7 0.7 2.1 0 0 0 0 0 0.2 3.4 7.9 8.6 4.1 1.3 1.6 2.8 0 0 0 0 0 0 0 0 0.4 0 0 0 0 0 0.4 0 0.2 0.2 0 0.4 0.4 0.6 1.4 1.4 1.4 1.7 0.7 13.8 6.7 0.7 91.7 201.0 3.3 1.6 1.3 0 8.0 1.1 0.5 0 0 0 0 0.4 0.2 1.7 6.7 21.5 64.4 159.2 493.0 22.2 0 0.4 0 0 0 0 0 0 0 0.4 0 0 0 0 0 0 0.7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.7 1.6 0 0.4 0 0 0 0.6 6.3 0 0.6 0 0.2 0.4 1.4 16.9 0 0.4 0 1.7 2.6 2.9 30.2 1.2 0.7 0 2.2 7.8 2.2 19.4 5.6 0.4 0 21.6 16.4 7.2 16.4 6.6 0.7 0.7 97.3 30.3 16.0 6.4 19.1 0 16.0 2.8 2.0 1.5 8.6 1.1 0.3 0.3 14.7 0 0 0 0 0 0 0 0 0 0 0 1.1 Congenital Malformations of the Circulatory System 6.1 0.4 0.4 0 0 0.7 0.6 0.4 0.2 1.9 0.7 1.6 1.0 Chromosomal Abnormalities 4.7 0 0 0 0 0 0.2 0 0.5 0.4 0 0 0.5 Falls Unintentional Drowning Unintentional Poisoning Exposure to Excessive Natural Heat Legal Intervention Accidental Discharge of Firearms Discharge of Firearms, Undetermined Intent 0.4 0.4 0 0 1.4 0 0 0.4 0 0.7 1.1 6.6 0.7 1.1 18.3 0.7 0.2 17.0 1.1 1.3 17.7 3.1 0.6 23.8 5.7 1.2 19.4 14.5 3.0 6.3 94.3 443.6 3.3 3.2 2.0 3.2 13.3 1.4 12.4 0 0 0 0 0 0.2 0.8 1.4 2.2 1.1 3.3 11.2 0.9 0 0 0 0.4 0.4 0.2 0.4 0.2 0 0 0 0 0.2 0 0 0 0.4 0 0.2 0 0.2 0 0 0.7 0 0.1 0 0 0 0 0 0.2 0.4 0.2 0 0 0 0 0.1 1.4 0 0 0.4 0.4 0.4 0.2 0.2 1.0 1.1 5.9 4.8 0.7 Complications of Medical and Surgical Care 1. 5-9 Ovarian cancer rates are per 100,000 females; prostate cancer rates are per 100,000 males. Maricopa County Health Status Report 2011 Page 20 Maricopa County 2011 Mortality (Death) Statistics Table 2.08a Other Selected Underlying Causes of Death by Sex Number of Cases Number of Deaths by Gender Cause Infectious Diseases 34 4 63 79 9 5 72 62 63 0 6 12 13 41 60 9 44 49 4 2 83 15 39 164 0 15 13 42 94 13 107 128 13 7 155 77 102 164 6 27 26 83 80 29 109 181 16 10 131 25 9 312 41 19 475 385 860 Congestive Heart Failure Emphysema Asthma Liver Disease Alcoholic Liver Disease Musculoskeletal Rheumatoid Arthritis Lupus Osteoporosis Perinatal Conditions & Disorders Related to Short Gestation & Low Congenital Malformations Birth Weight Congenital Malformations of the Circulatory System 47 45 18 237 9 3 1 61 34 39 98 33 9 10 108 79 57 335 42 12 11 15 26 41 23 15 38 Chromosomal Abnormalities Falls Unintentional Drowning Unintentional Poisoning Exposure to Excessive Natural Heat Legal Intervention Accidental Discharge of Firearms Discharge of Firearms, Undetermined Intent Complications of Medical and Surgical Care 5 223 34 316 23 6 4 3 13 13 293 20 164 13 0 0 1 16 18 516 54 480 36 6 4 4 29 Cancer Other Diseases Cardiovascular Clostridium Difficile Other Intestinal Infections Septicemia Viral Hepatitis Coccidioidomycosis Other Mycoses Brain Lip & Oral Skin Ovarian Testicular Anemias Nutritional Deficiencies Obesity Mental & Behavioral Disorders Due to the Use of Alcohol Parkinson's Disease Multiple Sclerosis Epilepsy Acute Myocardial Infarction Male Female Total (Heart Attack) Chronic Lower Respiratory External Causes Maricopa County Health Status Report 2011 Page 21 Maricopa County 2011 Mortality (Death) Statistics Table 2.08b Other Selected Underlying Causes of Death by Sex Crude Death Rate per 100,000 Residents Death Rate by Gender Cause Infectious Diseases Cancer Other Diseases Cardiovascular Chronic Lower Respiratory Liver Disease Musculoskeletal Perinatal Conditions & Congenital Malformations External Causes 1. Male Female Total Clostridium Difficile Other Intestinal Infections Septicemia Viral Hepatitis Coccidioidomycosis Other Mycoses Brain Lip & Oral Skin Ovarian1 Testicular1 Anemias Nutritional Deficiencies Obesity Mental & Behavioral Disorders Due to the Use of Alcohol Parkinson's Disease Multiple Sclerosis Epilepsy Acute Myocardial Infarction 1.8 0.2 3.3 4.1 0.5 0.3 3.7 3.2 3.3 0 0.3 0.6 0.7 2.1 3.1 0.5 2.2 2.5 0.2 0.1 4.2 0.8 2.0 8.4 0 0.8 0.7 2.1 2.4 0.3 2.8 3.3 0.3 0.2 4.0 2.0 2.6 8.4 0.3 0.7 0.7 2.1 4.2 1.5 2.8 9.4 0.8 0.5 6.7 1.3 0.5 8.0 1.1 0.5 (Heart Attack) 24.7 19.6 22.2 Congestive Heart Failure Emphysema Asthma Alcoholic Liver Disease Rheumatoid Arthritis Lupus Osteoporosis Disorders Related to Short Gestation & Low Birth Weight Congenital Malformations of the Circulatory System 2.4 2.3 0.9 12.3 0.5 0.2 0.1 3.1 1.7 2.0 5.0 1.7 0.5 0.5 2.8 2.0 1.5 8.6 1.1 0.3 0.3 0.8 1.3 1.1 1.2 0.8 1.0 Chromosomal Abnormalities Falls Unintentional Drowning Unintentional Poisoning Exposure to Excessive Natural Heat Legal Intervention Accidental Discharge of Firearms Discharge of Firearms, Undetermined Intent 0.3 11.6 1.8 16.5 1.2 0.3 0.2 0.7 15.0 1.0 8.4 0.7 0 0 0.5 13.3 1.4 12.4 0.9 0.2 0.1 0.2 0.1 0.1 0.8 0.7 Complications of Medical and Surgical 0.7 Care Ovarian cancer rates are per 100,000 females; prostate cancer rates are per 100,000 males. Maricopa County Health Status Report 2011 Page 22 Maricopa County 2011 Mortality (Death) Statistics Table 2.09a Firearm, Drug, and Alcohol Induced and Related Deaths by Age Group Number of Cases Number of Deaths by Age Group Age Group 0-9 1. Firearm Related 2 Drug Induced Drug Related, Exc. Tobacco Drug Related, Inc. 1 Tobacco Alcohol Induced 0 1 2 0 0 Alcohol Related 10-14 2 0 0 0 0 0 15-19 27 20 22 22 1 3 20-24 62 57 58 58 0 2 25-34 107 114 122 129 12 32 35-44 72 115 141 174 60 83 45-54 91 158 212 405 133 188 55-64 73 104 138 674 170 253 65-74 31 30 36 906 66 112 75-84 27 10 10 1,034 27 40 85+ 16 3 2 580 5 8 Total 510 611 742 3,984 474 721 See Technical Notes for explanation for the large difference between Drug Related deaths including and excluding tobacco. Table 2.09b Firearm, Drug, and Alcohol Induced and Related Deaths by Age Group Crude Death Rate per 100,000 Residents Death Rate by Age Group Age Group 1. Firearm Related Drug Induced Drug Related, Exc. Tobacco Drug Related, Inc. 1 Tobacco Alcohol Induced Alcohol Related 0-9 0.7 0 0.4 0.7 0 0 10-14 0.7 0 0 0 0 0 15-19 10.0 7.4 8.1 8.1 0.4 1.1 20-24 22.3 20.5 20.8 20.8 0 0.7 25-34 19.4 20.7 22.1 23.4 2.2 5.8 35-44 13.7 21.8 26.8 33.0 11.4 15.8 45-54 17.9 31.0 41.7 79.6 26.1 36.9 55-64 17.5 24.9 33.0 161.3 40.7 60.6 65-74 11.5 11.2 13.4 337.2 24.6 41.7 75-84 17.7 6.6 6.6 677.3 17.7 26.2 85+ 25.5 4.8 3.2 925.4 8.0 12.8 Total 13.1 15.7 19.1 102.7 12.2 18.6 See Technical Notes for explanation for the large difference between Drug Related deaths including and excluding tobacco. 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 2011 Page 23 Maricopa County 2011 Mortality (Death) Statistics Table 2.10a Firearm, Drug, and Alcohol Induced and Related Deaths by Race/Ethnicity Number of Cases Number of Deaths by Race/Ethnicity Firearm Related Race/Ethnicity Drug Induced Drug Related, Exc. Tobacco Drug Related, Inc. Tobacco1 Alcohol Induced Alcohol Related White 357 471 577 3,447 332 488 Hispanic 110 99 113 296 98 152 African American 29 24 30 138 8 22 American Indian 5 11 13 30 29 45 Asian 2 1 2 26 3 6 Multiple 6 4 6 36 1 3 Other/ Unknown Total 1 1 1 11 3 5 510 611 742 3,984 474 721 1. 2. See Technical Notes for explanation for the large difference between Drug Related deaths including and excluding tobacco. Table 2.10b Firearm, Drug, and Alcohol Induced and Related Deaths by Race/Ethnicity Crude Death Rate per 100,000 Residents Death Rate by Race/Ethnicity Firearm Related Drug Induced Drug Related, Exc. Tobacco Drug Related, Inc. Tobacco1 Alcohol Induced 15.8 20.8 25.5 152.5 14.7 21.6 9.5 8.5 9.7 25.5 8.4 13.1 African American 15.9 13.1 16.4 75.6 4.4 12.1 American Indian 8.0 17.7 20.9 48.3 46.7 72.4 Asian 1.4 0.7 1.4 18.4 2.1 4.2 Multiple 8.5 5.7 8.5 51.0 1.4 4.2 - - - - - - 13.1 15.7 19.1 102.7 12.2 18.6 Race/Ethnicity White Hispanic Other/ Unknown Total 1. Alcohol Related See Technical Notes for explanation for the large difference between Drug Related deaths including and excluding tobacco. 2. Table 2.11a Firearm, Drug, and Alcohol Induced and Related Deaths by Sex Number of Cases Number of Deaths by Gender Gender Firearm Related Male Female Total 1. Drug Induced Drug Related, Exc. Tobacco Drug Related, Inc. Tobacco1 Alcohol Induced Alcohol Related 440 355 438 2,347 342 528 70 256 304 1,637 132 193 510 611 742 3,984 474 721 See Technical Notes for explanation for the large difference between Drug Related deaths including and excluding tobacco. 2. Table 2.11b Firearm, Drug, and Alcohol Induced and Related Deaths by Sex Crude Death Rate per 100,000 Residents Death Rate by Gender Gender Firearm Related Drug Induced Drug Related, Exc. Tobacco Drug Related, Inc. Tobacco1 Alcohol Induced Alcohol Related Male 22.9 18.5 22.8 122.2 17.8 27.5 Female 3.6 13.1 15.5 83.5 6.7 9.8 Total 13.1 15.7 19.1 102.7 12.2 18.6 1. See Technical Notes for explanation for the large difference between Drug Related deaths including and excluding tobacco. 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 2011 Page 24 Maricopa County 2011 Mortality (Death) Statistics Table 2.12 Number and Percent of Deaths by Race/Ethnicity and Sex Number and Percent of Deaths by Race/Ethnicity White Gender No. Hispanic % No. American Indian Black % No. % No. % Asian No. Other/ Unknown Multiple % No. % No. % Total No. % Male 10,376 49.7 1,543 56.4 521 52.2 140 54.9 184 49.5 86 51.2 39 70.9 12,889 50.6 Female 10,503 50.3 1,194 43.6 477 47.8 115 45.1 188 50.5 82 48.8 15 27.3 12,574 49.4 0 0 0 0 0 1 Unknown Total 0 0 20,879 0 0 2,737 0 998 0 255 0 372 168 1.8 55 1 0.0 25,464 Table 2.13 Number and Percent of Deaths by Race/Ethnicity and Marital Status Marital Status at Death No. Single 1,675 Married White Other/ Unknown No. % Total No. % 677 24.7 247 24.7 93 36.5 40 10.8 41 24.4 4 7.3 2,777 10.9 8,235 39.4 1,018 37.2 297 29.8 69 27.1 181 48.7 56 33.3 12 21.8 9,868 38.8 Widowed 7,443 35.6 622 22.7 210 21.0 41 16.1 109 29.3 41 24.4 5 9.1 8,471 33.3 Divorced 3,350 16.0 396 14.5 233 23.3 48 18.8 40 10.8 29 17.3 5 9.1 4,101 16.1 Unknown 176 0.8 24 1.1 4 1.6 2 0.5 1 0.6 29 52.7 247 1.0 Total 20,879 % Number and Percent of Deaths by Race/Ethnicity American Hispanic Black Asian Multiple Indian No. % No. % No. % No. % No. % 8.0 2,737 0.9 11 998 255 372 Maricopa County Health Status Report 2011 168 Page 25 55 25,464 Maricopa County 2011 Mortality (Death) Statistics Table 2.14 Number and Percent of Deaths by Race/Ethnicity and Education Level Number and Percent of Deaths Race/Ethnicity White Educational Level th No. 8 Grade or Less 1,043 Some High School Hispanic % No. % Black No. % American Indian No. % Asian No. 5.0 884 32.3 97 9.7 33 12.9 43 1,581 7.6 388 14.2 116 11.6 68 26.7 High School Graduate or GED 7,914 37.9 680 24.8 324 32.5 70 Some College 4,065 19.5 272 9.9 197 19.7 40 15.7 College Graduate 4,208 20.2 195 7.1 158 15.8 28 Graduate School 1,538 7.4 51 1.9 50 5.0 530 2.5 267 9.8 56 5.6 Unknown Total 20,879 2,737 998 % Multiple No. 11.6 16 24 6.5 27.5 117 31.5 46 11.0 4 12 % Other/ Unknown No. % Total No. % 9.5 4 7.3 2,120 12 7.1 1 1.8 2,190 8.6 52 31.0 5 9.1 9,162 36.0 12.4 38 22.6 2 3.6 4,660 18.3 71 19.1 29 17.3 4 7.3 4,693 18.4 1.6 37 9.9 9 5.4 4 7.3 1,693 6.6 4.7 34 9.1 12 7.1 35 63.6 946 3.7 255 Maricopa County Health Status Report 2011 372 Page 26 168 55 25,464 8.3 Maricopa County 2011 Mortality (Death) Statistics Table 2.15 Crude and Age Adjusted Rates for Selected Underlying Causes of Death by Race/Ethnicity Note: The methods used for age adjusting may be found in the Technical Notes. Crude Death Rates All Causes – Total White 923.6 Hispanic 235.4 African American 546.6 American Indian 410.3 Asian 262.7 Multiple 237.9 Total 656.3 202.4 207.9 38.8 53.0 8.4 30.3 21.6 3.0 1.3 1.8 38.8 47.7 10.1 24.2 2.6 14.9 5.9 7.3 1.4 0.6 110.1 116.1 30.7 37.2 3.8 41.1 6.0 18.6 5.5 3.8 32.2 56.3 6.4 78.8 3.2 59.5 8.0 11.3 6.4 1.6 47.3 69.9 17.7 14.8 2.1 16.2 5.6 3.5 0.7 0.7 34.0 56.6 7.1 15.6 0 8.5 8.5 4.2 0 1.4 138.1 145.6 28.0 42.1 6.0 25.8 15.2 5.2 1.5 1.5 20.8 15.8 14.7 8.5 9.5 8.4 13.1 15.9 4.4 17.7 8.0 46.7 0.7 1.4 2.1 5.7 8.5 1.4 15.7 13.1 12.2 White 662.6 Hispanic 579.8 African American 848.4 American Indian 716.6 Asian 442.2 Multiple 744.2 Total 655.0 139.3 148.4 26.8 44.5 5.9 21.4 20.0 2.9 1.1 1.4 115.1 116.5 31.3 39.1 7.6 39.0 6.8 7.2 1.7 1.6 176.8 173.7 52.5 47.2 4.3 64.5 5.4 17.6 5.5 4.8 63.8 119.2 10.5 98.2 4.7 125.7 6.6 10.8 6.8 1.3 85.3 111.9 27.8 20.8 4.4 26.1 6.3 4.1 0.7 0.7 126.4 176.9 27.5 33.6 0 28.6 14.5 4.4 0 2.8 137.4 144.5 28.2 42.1 6.1 25.5 15.1 5.2 1.6 1.4 20.0 14.3 11.7 10.6 9.5 14.8 13.6 15.1 5.3 17.6 6.9 58.7 0.7 1.4 2.0 6.1 14.5 2.4 15.7 13.0 11.8 Heart Disease All Cancer Cerebrovascular 1 Unintentional Injuries 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 All Cancer Cerebrovascular 1 Unintentional Injuries Pneumonia & Influenza Diabetes (single cause) Suicide Homicide AIDS and HIV Asthma Drug Induced Firearm Related Alcohol Induced 1 Unintentional injuries listed in this table include 1,549 deaths from unintentional injuries, but do not include the 29 deaths from complications of medical or surgical care. The figure in this table is comparable to the HP 2020 goal for deaths due to unintentional injury. See Technical Notes for details Maricopa County Health Status Report 2011 Page 27 Maricopa County 2011 Mortality (Death) Statistics Table 2.16 Death Rate Comparisons to Arizona, U.S. and Healthy People 2020 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 1 Female Breast Cancer 1 Prostate Cancer All Other Cancers Cerebrovascular Disease (Stroke) Unintentional Injuries 2 (Accidents) Motor Vehicle Falls Accidental Poisoning Drowning All Other Unintentional Injuries Pneumonia & Influenza 4 Diabetes Suicide Homicide AIDS & HIV Asthma Drug Induced Firearm Related Alcohol Induced 2011 Maricopa County Crude Rate (Deaths No. of per Indivi100,000 duals Residents) 25,464 656.2 5,358 138.1 4,541 117.0 817 21.1 5,648 145.6 Age Adjusted Rate (Deaths per 100,000 Residents) Maricopa County 2011 654.9 137.4 116.4 21.0 144.5 Arizona 2010 679.9 143.3 112.9 150.5 U.S. 2011/ 3 2009 740.6 173.7 168.6 Healthy People 2020 Goal 100.8 160.6 1,409 421 294 3,524 36.3 21.5 15.3 90.8 36.2 19.5 18.1 - 38.1 19.2 19.1 - 45.9 3 26.1 3 18.5 - 45.5 20.6 21.2 - 1,086 28.0 28.2 30.7 37.9 33.8 1,633 358 516 480 54 225 234 1,000 589 202 60 57 42.1 9.2 13.3 12.4 1.4 5.8 6.0 25.8 15.2 5.2 1.5 1.5 42.1 9.3 13.4 12.3 1.4 6.1 25.5 15.1 5.2 1.6 1.4 43.8 11.1 11.5 14.0 1.3 10.9 20.1 16.7 6.5 1.6 - 38.0 10.9 7.8 10.7 1.1 15.7 21.5 12.0 5.9 2.4 1.0 36.0 12.4 11.1 1.1 10.2 5.5 3.3 - 611 510 474 15.7 13.1 12.2 15.7 13.0 11.8 17.6 14.2 14.1 12.8 10.1 7.6 11.3 9.2 - 1. The Maricopa County, Arizona, United States and HP 2020 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 1,633 deaths from unintentional injuries, but do not include the 29 deaths from complications of medical or surgical care. The figure in this table is comparable to the HP 2020 goal. See Technical Notes for details. 3. All Figures are from Preliminary 2011 U.S. data except for Breast cancer and Prostate cancer which are Final 2009 U.S. data. 4. Healthy People 2020 Goal for diabetes includes deaths where diabetes is listed as a multiple cause of death. Maricopa County had a death rate of 58.2 deaths per 100,000 residents. The Healthy People 2020 Goal is 65.8 deaths per 100,000 residents. Maricopa County Health Status Report 2011 Page 28 Maricopa County 2011 Mortality (Death) Statistics Table 2.17 Leading Causes of Death by Race/Ethnicity Rank White Hispanic Black 1 Cancer (4,701) Cancer (554) Cancer (212) 2 Heart Disease (4,575) Heart Disease (451) 3 Chronic Lower Respiratory (1,581) Alzheimer’s (1,540) Unintentional Injury (287) Heart Disease (201) Diabetes (75) Unintentional Injury (1,221) Stroke (877) Diabetes (684) Stroke (117) Suicide (488) Liver Disease (296) Parkinson’s Disease (289) Homicide (85) Suicide (69) Chronic Lower Respiratory (59) 4 5 6 7 8 9 10 Diabetes (173) Alzheimer’s (111) Liver Disease (95) Unintentional Injury (68) Stroke (56) Alzheimer’s (47) Chronic Lower Respiratory (36) Homicide (34) American Indian Unintentional Injury (49) Diabetes (37) Cancer (35) Liver Disease (22) Heart Disease (20) ** Asian All Cancer (99) Cancer (5,648) Heart Disease (67) Stroke (25) Heart Disease (5,358) Diabetes (23) Chronic Lower Respiratory (1,710) Alzheimer’s (1,732) Unintentional Unintentional Injury Injury (22) (1,662) Stroke (1,086) Diabetes (1,000) Suicide (589) Liver Disease (428) Parkinson’s Disease (312) **Fewer than 20 deaths occurred for a cause of death for Black (9th and 10th), American Indian (6th-10th), and Asian (6th-10th). Maricopa County Health Status Report 2011 Page 29 Maricopa County 2011 Mortality (Death) Statistics Table 2.18 Years of Potential Life Lost Cause of Death Total Malignant Neoplasms………………………... Trachea, bronchus, and lung………… Breast…………………………………... Colon, rectum, and anus……………... Uterus, cervix, and ovary…………….. Pancreas………………………………. Unintentional Injury…………………………... Poisoning………………………………. Motor Vehicle Collisions……………… Drowning………………………………. Heart Disease………………………………… Suicide…………………………………………. Diabetes……………………………………….. Chronic Lower Respiratory………………….. Homicide………………………………………. Liver Disease…………………………………. Cerebrovascular Disease……………………. Viral Hepatitis…………………………………. Pneumonia and Influenza…………………… HIV…………………………………………….. All Other Causes……………………………… YPLL* 254,930 55,800 11,573 6,117 4,844 4,107 3,481 39,494 17,250 12,007 2,182 31,134 18,608 9,563 8,634 8,591 8,036 5,793 2,348 1,892 1,658 63,379 Percent 100.0 21.9 4.5 2.4 1.9 1.6 1.4 15.5 6.8 4.7 0.9 12.2 7.3 2.3 3.4 3.4 3.2 2.3 0.9 0.7 0.6 24.9 Total Deaths 25,464 5,648 1,409 422 494 298 394 1,662 480 358 54 5,358 589 1,000 1,710 202 428 1,086 128 234 60 7,359 *Years of Potential Life Lost (YPLL) are based on the life expectancy in 2011 from the National Center of Health Statistics. In 2011, females had a life expectancy of 81.1 years while males had a life expectancy of 76.2 years. See Technical Notes for details. Maricopa County Health Status Report 2011 Page 30 III. Maricopa County 2011 Communicable Disease Statistics Maricopa County Health Status Report 2011 Page 31 Maricopa County 2011 Communicable Disease Statistics Table 3.01a Number of Cases of Selected Reportable Diseases by Race/Ethnicity Disease Vaccine Preventable White 34 H. influenzae Measles Mumps Pertussis Central Nervous System Unknown 8 Total 52 1 0 0 0 0 0 1 0 495 0 56 0 22 0 5 0 6 0 114 0 698 Encephalitis Viral Other 4 0 0 0 0 0 4 Meningitis Viral/Aseptic 163 75 23 10 7 43 321 10 1 0 2 0 1 14 Amebiasis 3 0 0 1 0 4 8 Botulism 2 0 0 0 2 1 5 164 88 3 12 2 265 534 Cryptosporidiosis 0 15 0 1 0 4 0 0 0 0 0 12 0 32 E. Coli O157.H7 37 9 1 0 0 32 79 Giardiasis 22 9 4 0 1 37 73 Listeriosis 4 0 0 0 0 2 6 1 1 0 0 0 1 68 70 Meningococcal Meningitis Enterics Number of Cases by Race/Ethnicity African American Hispanic American Indian Asian 7 2 1 0 Campylobacteriosis Cholera Norovirus Salmonella Paratyphi Salmonellosis Shigellosis Typhoid Fever 2 0 0 0 0 1 3 177 56 9 18 4 121 385 57 88 10 2 1 52 210 0 0 0 0 0 1 1 1,817 338 165 76 65 10,943 13,404 Mycosis Coccidioidomycosis Zoonoses/ Vectorborne Brucellosis 0 2 0 0 0 1 3 Dengue 1 0 0 0 1 1 3 Hantavirus Pulmonary Syndrome 0 0 0 1 0 0 1 Lyme Disease 4 0 0 0 0 3 7 Malaria 5 0 6 0 4 2 17 West Nile Virus 33 4 0 0 0 8 45 Hepatitis A 18 8 4 0 3 23 56 Hepatitis B (Acute) 16 3 1 1 1 113 135 Hepatitis D 0 22 0 1 0 2 0 1 0 0 0 2 0 28 Hepatitides Other Legionellosis MRSA RSV 1 Strep Group A 2 1 711 805 79 12 1,784 2,404 43 21 3 9 2 34 112 5 4 0 0 7 24 48 16 8 1 170 434 Toxic Shock Syndrome 2 0 0 0 0 0 2 Vibrio Infection 5 4 0 0 0 7 16 4 0 0 0 0 0 4 Hansen's Disease 1 Genital Herpes1 0 0 0 0 0 0 0 24 44 12 33 4 0 117 887 23 164 62 16 208 1,360 1,545 135 916 155 28 457 3,236 93 65 32 9 1 0 200 149 199 57 22 3 0 430 9,267 867 2,279 812 150 3,348 16,723 127 51 113 12 9 3 315 116 208 44 112 69 13 7 12 12 5 1 196 249 546 16,074 2,638 3,982 1,354 Confirmed cases only Streptococcal Group B Invasive disease is only reportable for cases in infants under 90 days. 343 18,784 43,175 Gonorrhea1 Syphilis-Primary and Secondary1 Syphilis-All Others1 Chlamydia1 HIV1 AIDS All Others 2 4 37 8 Tuberculosis 1 1 11 191 Yersiniosis Total 11 263 Strep Pneumo Invasive Strep Group B Invasive Sexually Transmitted Disease 67 229 1 Maricopa County Health Status Report 2011 Page 32 Maricopa County 2011 Communicable Disease Statistics Table 3.01b Case Rates per 100,000 Residents for Selected Reportable Diseases by Race/Ethnicity Disease Vaccine Preventable White 1.5 0.6 1.1 1.6 0 - 1.3 0.0 0 0 0 0 - 0.0 0 0 0 0 0 - 0 21.9 4.8 12.1 8.0 4.2 - 18.0 Encephalitis Viral Other 0.2 0 0 0 0 - 0.1 Meningitis Viral/Aseptic 7.2 6.5 12.6 16.1 4.9 - 8.3 Meningococcal Meningitis 0.4 0.1 0 3 0 - 0.4 Amebiasis 0.1 0 0 2 0 - 0.2 Botulism 0.1 0 0 0 1.4 - 0.1 Campylobacteriosis 7.3 7.6 1.6 19.3 1.4 - 13.8 Cholera 0 0 0 0 0 - 0 Cryptosporidiosis 0.7 0.1 2.2 0 0 - 0.8 E. Coli O157.H7 1.6 0.8 0.5 0 0 - 2.0 Giardiasis 1.0 0.8 2.2 0 0.7 - 1.9 Listeriosis 0.2 0 0 0 0 - 0.2 1 Norovirus 0.0 0 0 0 1 - 1.8 Salmonella Paratyphi 0.1 0 0 0 0 - 0.1 Salmonellosis 7.8 4.8 4.9 29.0 2.8 - 9.9 Shigellosis 2.5 7.6 5.5 3.2 0.7 - 5.4 0 0 0 0 0 - 0.0 80.4 29.1 90.4 122.3 45.9 - 345.4 Typhoid Fever Mycosis Coccidioidomycosis Zoonoses/ Vectorborne Brucellosis Dengue Hantavirus Pulmonary Syndrome Hepatitides 0 0 - 0.1 0 0 0.7 - 0.1 0 0 1.6 0 - 0.0 0 0 0 0 - 0.2 Malaria 0.2 0 3.3 0 2.8 - 0.4 West Nile Virus 1.5 0.3 0 0 0 - 1.2 Hepatitis A 0.8 0.7 2.2 0.0 2.1 - 1.4 Hepatitis B (Acute) 0.7 0.3 0.5 1.6 0.7 - 3.5 0 0 0 0 0 - 0 1.0 0.1 1.1 1.6 0 - 0.7 MRSA 3.0 0.9 6.0 6.4 0.7 - 20.7 RSV1 10.1 22.6 20.3 127.1 8.5 - 62.0 Strep Group A 1.9 1.8 1.6 14.5 1.4 - 2.9 Strep Group B2 Invasive 0.3 0.2 1.3 0 0 - 0.4 Strep Pneumo Invasive 8.4 4.1 8.8 12.9 0.7 - 11.2 Toxic Shock Syndrome 0.1 0 0 0 0 - 0.1 Vibrio Infection 0.2 0.3 0 0 0 - 0.4 Yersiniosis 0.2 0 0 0 0 - 0.1 Hansen's Disease 1 0 0 0 0 0 - 0 1.1 3.8 6.6 53.1 2.8 - 3.0 Genital Herpes1 39.2 2.0 89.8 99.8 11.3 - 35.0 Gonorrhea1 68.3 11.6 501.7 249.4 19.8 - 83.4 Syphilis-Primary and Secondary1 4.1 5.6 17.5 14.5 0.7 - 5.2 Syphilis-All Others1 6.6 17.1 31.2 35.4 2.1 - 11.1 409.9 74.6 1,248.3 1,306.6 105.9 - 431.0 5.6 4.4 61.9 19.3 6.4 - 8.1 5.1 3.8 37.8 11.3 8.5 - 6.4 9.2 9.7 7.1 19.3 3.5 - 14.1 - 1,112.7 Chlamydia1 HIV1 AIDS Total 0 0 0 Tuberculosis1 All Others 0.2 0.2 Legionellosis Sexually Transmitted Disease 0 0.0 Lyme Disease Hepatitis D Other Total Measles Pertussis Enterics Unknown H. influenzae Mumps Central Nervous System Rate of Cases by Race/Ethnicity African American Hispanic American Indian Asian 1 711.0 226.9 2,181.1 2,178.7 242.2 Confirmed cases only 2 Rates for Streptococcal Group B Invasive in infants <90 days are per 1,000 live births by race of the mother. 1 Maricopa County Health Status Report 2011 Page 33 Maricopa County 2011 Communicable Disease Statistics Table 3.02a Number of Cases of Selected Reportable Diseases by Age Group Number of Cases by Age Group Disease Vaccine Preventable H. influenzae Measles Mumps Pertussis Enceph Viral Other Central Nervous System Meningitis Viral/Aseptic Meningococcal Meningitis Enterics Amebiasis Botulism Campylobacteriosis Cholera Cryptosporidiosis E. Coli O157.H7 Giardiasis Listeriosis Norovirus1 Salmonella Paratyphi Salmonellosis Shigellosis Typhoid Mycosis Coccidioidomycosis Zoonoses/ Vectorborne Brucellosis Dengue Hepatitides Other 2 0 0 0 0 0 0 0 1 0 2 0 3 0 9 1 8 0 0 45 0 28 0 48 0 47 0 41 0 32 0 70 0 115 0 106 0 88 Unk. 19 0 4 0 0 0 52 1 0 75 0 1 0 2 0 698 0 0 0 0 0 0 0 0 2 0 1 1 0 4 28 4 8 14 14 29 55 51 41 33 40 1 3 321 2 0 3 2 0 0 0 0 0 0 0 0 0 0 0 2 0 0 2 0 0 1 1 1 0 3 0 1 1 0 3 3 1 1 0 0 0 0 0 14 8 5 17 0 82 0 41 0 27 0 25 0 26 0 51 0 70 0 60 0 56 0 56 0 7 0 16 0 534 0 0 6 0 0 2 30 15 0 1 6 6 0 3 5 4 0 0 4 2 0 1 4 3 0 5 5 11 1 8 5 16 0 5 2 4 1 3 2 7 3 4 8 4 1 0 2 0 0 0 0 1 0 32 79 73 6 0 7 7 1 1 1 1 7 8 10 14 13 0 70 0 31 0 60 1 40 1 19 0 21 0 21 1 32 0 33 0 38 0 19 0 55 0 11 0 5 3 385 1 67 38 21 8 13 21 13 11 10 5 1 1 210 0 0 0 0 0 0 1 0 0 0 0 0 0 1 13 0 55 0 168 0 329 0 669 0 731 1,841 2,331 2,338 1,994 2,516 0 2 0 1 0 0 336 0 83 0 13,404 3 0 0 0 0 0 2 0 1 0 0 0 0 3 0 0 0 1 0 0 0 0 0 0 0 0 1 Lyme Disease 0 0 0 0 1 0 0 0 0 2 0 0 0 0 0 2 2 0 0 6 1 0 2 6 1 0 11 1 3 10 1 3 16 0 0 1 0 0 0 7 17 45 Malaria West Nile Virus Hepatitis A 0 0 0 0 5 8 4 3 13 14 7 2 0 56 Hepatitis B (Acute) 0 0 0 2 3 4 29 38 31 19 8 0 1 135 Hepatitis D 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Legionellosis 0 0 0 0 0 0 1 0 2 3 20 2 0 28 3 1 1 6 5 15 36 61 117 156 325 70 9 805 1,165 796 62 18 11 9 14 20 29 27 31 11 211 2,404 2 4 3 2 0 2 8 18 21 14 29 8 1 112 Strep Group B2 Invasive 24 0 0 0 0 0 0 0 0 0 0 0 0 24 Strep Pneumo Invasive 6 25 5 9 2 13 23 36 65 78 137 31 4 434 Toxic Shock Syndrome 0 0 0 0 2 0 0 0 0 0 0 0 0 2 Vibrio spp. 0 1 0 0 0 0 0 2 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 11 5 0 0 17 2 1 0 21 4 1 0 14 3 1 0 17 2 0 0 29 0 0 0 4 0 0 0 0 16 4 0 117 1 1 2 0 1 1 1 16 100 271 763 1,076 449 846 267 324 163 159 71 40 34 10 0 0 0 0 1,360 3,236 Yersiniosis Hansen’s Disease1 Genital Herpes1 Gonorrhea1 Syphilis-Primary and Secondary1 0 0 0 0 4 39 72 42 34 5 4 0 0 200 10 0 0 0 7 47 146 108 85 21 6 0 0 430 4 0 0 15 0 1 0 48 1 0 0 140 111 5,007 6,301 3,988 0 13 54 106 0 2 16 69 137 33 11 15 945 84 60 12 294 43 70 23 55 12 25 16 17 2 7 36 0 0 0 44 0 0 0 16 16,723 315 249 546 1,385 1,234 578 776 6,744 8,745 7,938 4,705 3,811 2,826 3,529 Confirmed cases only Streptococcal Group B Invasive disease is only reportable for cases in infants under 90 days. 551 353 43,175 Syphilis – All Others1 1 Chlamydia HIV1 AIDS1 2 4 0 Total 85+ 0 Strep Group A 1 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-84 0 RSV1 All Others Total Total 1-4 Hantavirus Pulm. Syn. MRSA Tuberculosis1 Sexually Transmitted Diseases <1 Maricopa County Health Status Report 2011 Page 34 Maricopa County 2011 Communicable Disease Statistics Table 3.02b Case Rates per 100,000 Residents for Selected Reportable Diseases by Age Group Rate of Cases by Age Group Disease Vaccine Preventable 0-4 H. influenzae Measles Mumps Central Nervous System Pertussis Enceph Viral Other Meningitis Viral/Aseptic Meningococcal Meningitis Enterics Amebiasis Botulism Campylobacteriosis Cholera Cryptosporidiosis E. Coli O157.H7 Giardiasis Listeriosis Norovirus1 Salmonella Paratyphi Salmonellosis Shigellosis Typhoid Mycosis Coccidioidomycosis Zoonoses/ Vectorborne Brucellosis Dengue Hantavirus Pulm. Syn. Lyme Disease Malaria West Nile Virus Hepatitis A Hepatitides Other 25-34 35-44 45-54 55-64 65-84 85+ Unk. Total 2.2 0 0.0 0 0 0 0 0 0.4 0 0.4 0 0.6 0 1.8 0.0 1.9 0 4.5 0 6.4 0 - 1.3 0.0 0 26.2 0 17.0 0 16.7 0 15.1 0 11.5 0 12.7 0 21.8 0 20.8 0 21.1 0 17.8 0 1.6 - 0 18.0 0 0 0 0 0 0 0 0.4 0 0.2 1.6 - 0.1 11.5 2.8 5.0 5.2 10.4 10.0 9.7 8.1 7.9 9.5 1.6 - 8.3 1.4 0 1.1 0 0 0 0 0 0 0 0 0 0.7 0 0 0.4 0 0 0.2 0.2 0.2 0 0.6 0 0.2 0.2 0 0.7 0.7 0.2 1.6 0 0 - 0.4 0.2 0.1 35.5 0 14.5 0 9.6 0 9.2 0 9.3 0 9.2 0 13.3 0 11.8 0 13.4 0 13.3 0 11.2 0 - 13.8 0 0.7 12.9 5.4 0 0.4 2.1 2.1 0 1.1 1.8 1.4 0 0 1.5 0.7 0 0.4 1.4 1.1 0 0.9 0.9 2.0 0.2 1.5 0.9 3.0 0 1.0 0.4 0.8 0.2 0.7 0.5 1.7 0.7 0.9 1.9 0.9 0.2 0 3.2 0 0 - 0.8 2.0 1.9 0.2 2.5 2.5 0.4 0.4 0.4 0.2 1.3 1.6 2.4 3.3 20.7 - 1.8 0 32.6 0.4 14.2 0.4 6.8 0 7.7 0 7.5 0.2 5.8 0 6.3 0 7.5 0 4.5 0 13.1 0 17.6 - 0.1 9.9 24.4 13.5 7.5 3.0 4.7 3.8 2.5 2.2 2.4 1.2 1.6 - 5.4 0 0 0 0 0 0.2 0 0 0 0 0 - 0.0 24.4 0 59.6 0 117.2 0 246.7 0 262.5 0 333.7 442.7 459.3 477.3 597.1 536.1 0.4 0 0.2 0 0 0 - 345.4 0.1 0 0 0 0 0 0.4 0 0.2 0 0 0 - 0.1 0 0 0 0.4 0 0 0 0 0 0 0 0 0.4 0 0 0 0 0.7 0 0 0 0 0 0.7 0.7 0 0 1.1 0.2 0 0.4 1.1 0.2 0.0 2.2 0.2 0.7 2.4 0.2 0.7 3.8 0 0 1.6 - 0.2 0.4 1.2 0.0 0 0 1.8 2.9 0.7 0.6 2.6 3.4 1.7 3.2 - 1.4 0 0.7 1.1 1.4 5.3 7.2 6.1 4.5 1.9 0 - 3.5 Hepatitis D 0 0 0 0 0 0 0 0 0 0 0 - 0 Legionellosis 0 0 0 0 0 0.2 0 0.4 0.7 4.7 3.2 - 0.7 77.1 111.7 1.4 0.4 2.1 1.8 5.4 6.5 11.6 23.0 37.3 - 20.7 702.9 22.0 6.4 4.1 3.2 2.5 3.8 5.7 6.5 7.4 17.6 - 62.0 Strep Group A 2.2 1.1 0.7 0 0.7 1.5 3.4 4.1 3.4 6.9 12.8 - 2.9 Strep Group B2 Invasive 0.4 0 0 0 0 0 0 0 0 0 0 - 0.4 Strep Pneumo Invasive 11.1 1.8 3.2 0.7 4.7 4.2 6.8 12.8 18.7 32.5 49.5 - 11.2 Toxic Shock Syndrome 0 0 0 0.7 0 0 0 0 0 0 0 - 0.1 0 0.4 0 0.7 0 0 0 0 0 0 0 0.4 0 0 0 0.4 0 0 0 3.9 0.9 0 0 3.1 0.4 0.2 0 4.0 0.8 0.2 0 2.8 0.7 0.2 0 4.1 0.5 0 0 6.9 0 0 0 6.4 - 0.4 0.1 0 3.0 1.1 0.4 0.4 0.4 0.4 5.7 36.9 281.4 97.3 386.4 81.4 153.3 50.7 61.5 32.0 31.2 17.0 9.6 8.1 2.4 0.0 0.0 - 35.0 83.4 0 0 0 1.5 14.0 13.1 8.0 6.7 1.2 0.9 0 - 5.2 3.6 0 0 2.6 16.9 26.5 20.5 16.7 5.0 1.4 0 - 11.1 722.9 179.5 57.8 13.2 4.0 0 19.2 16.0 8.4 2.9 0.5 0 12.5 11.4 13.8 6.0 1.7 0 2.7 2.3 4.5 3.8 8.5 70.2 1,438.8 893.5 748.7 676.4 837.6 879.1 - 431.0 8.1 6.4 14.1 1,112.7 Yersiniosis Hansen’s Disease1 Genital Herpes1 Gonorrhea1 Syphilis – Primary and Secondary1 Syphilis – All Others1 Chlamydia1 HIV1 AIDS1 1 20-24 0 Vibrio spp. 2 15-19 0 RSV1 All Others Total 10-14 Hepatitis B (Acute) MRSA Tuberculosis1 Sexually Transmitted Diseases 5-9 1.4 0.4 0.4 0 0 0 10.1 49.7 938.8 205.1 39.5 1,846.4 2,262.6 0 4.8 19.4 0 0.7 5.7 48.8 12.2 3.9 276.4 2,487.0 3,140.2 Confirmed cases only Rates for Streptococcal Group B Invasive in infants <90 days are per 1,000 live births. Maricopa County Health Status Report 2011 Page 35 Maricopa County 2011 Communicable Disease Statistics Table 3.03a Number of Cases of Selected Reportable Diseases by Sex Number of Cases by Sex Male Female Unk. 20 32 0 1 0 0 Disease Vaccine Preventable Central Nervous System Enterics H. influenzae Measles Mumps Pertussis Enceph Viral Other Meningitis Viral/Aseptic Meningococcal Meningitis Amebiasis Botulism Campylobacteriosis Cholera Cryptosporidiosis E. Coli O157.H7 Giardiasis Listeriosis Norovirus1 Salmonella Paratyphi Salmonellosis Shigellosis Typhoid 0 1 0 698 1 3 0 4 140 180 1 321 10 3 1 14 8 5 0 0 0 0 8 5 276 257 1 534 0 0 0 0 17 15 0 32 27 44 2 27 52 29 4 42 0 0 0 1 79 73 6 70 1 2 0 3 175 210 0 385 96 114 0 210 0 1 0 1 5,574 7,697 133 13,404 Coccidioidomycosis Zoonoses/ Vectorborne Brucellosis Dengue 0 3 0 3 2 1 0 3 Hantavirus Pulm. Syn. 0 1 0 1 Lyme Disease 7 0 0 7 Malaria West Nile Virus Hepatitis A 12 26 5 19 0 0 17 45 30 26 0 56 Hepatitis B (Acute) 86 49 0 135 Hepatitis D 0 20 0 8 0 0 0 28 Other Legionellosis 456 313 36 805 1,121 890 393 2,404 71 40 1 112 Strep Group B Invasive 10 14 0 24 Strep Pneumo Invasive 227 195 12 434 Toxic Shock Syndrome 0 2 0 2 10 6 0 16 MRSA RSV1 Strep Group A 2 Vibrio spp. Yersiniosis Hansen’s Disease1 Tuberculosis1 Sexually Transmitted Diseases Genital Herpes1 1 Gonorrhea Syphilis – Primary and Secondary1 Syphilis – All Others1 Chlamydia1 HIV1 AIDS1 2 0 473 52 1 Mycosis Hepatitides 1 0 224 Total 2 2 0 4 0 69 0 48 0 0 0 117 504 1,719 856 1,517 0 0 1,360 3,236 192 8 0 200 342 88 0 430 4,784 267 216 236 11,939 48 33 298 0 0 0 12 16,723 315 249 546 All Others Total 17,060 25,523 592 43,175 Confirmed cases only Streptococcal Group B Invasive disease is only reportable for cases in infants under 90 days. Maricopa County Health Status Report 2011 Page 36 Maricopa County 2011 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 - 0 18.0 - 0.1 9.2 - 8.3 Meningococcal Meningitis 0.5 0.4 0.3 0.2 0 0 - 0.4 0.2 0.1 14.4 0 13.1 0 - 13.8 0 0.9 1.4 2.3 0.1 0.8 2.7 1.5 0.2 - 0.8 2.0 1.9 0.2 1.4 2.1 - 1.8 0.1 9.1 0.1 10.7 - 0.1 9.9 5.0 5.8 - 5.4 0.0 0.1 - 0.0 290.2 0 392.8 0 - 345.4 0.1 0.1 0.1 - 0.1 0 0.1 - 0.0 0.4 0.6 1.4 0.0 0.3 1.0 - 0.2 0.4 1.2 1.6 1.3 - 1.4 4.5 2.5 - 3.5 0 0 1.0 0.4 - 0.7 MRSA 23.7 16.0 - 20.7 RSV1 58.4 45.4 - 62.0 Strep Group A 3.7 2.0 - 2.9 Strep Group B2 Invasive 0.4 0.5 - 0.4 Strep Pneumo Invasive 11.8 10.0 - 11.2 Toxic Shock Syndrome 0 0.1 - 0.1 0.5 0.1 0 3.6 0.3 0.1 0 2.4 - 0.4 0.1 0 3.0 26.2 89.5 43.7 77.4 - 35.0 83.4 10.0 0.4 - 5.2 17.8 4.5 - 11.1 249.1 13.9 11.2 12.3 888.2 609.3 2.4 1.7 15.2 1,302.5 - 431.0 8.1 6.4 14.1 1,112.7 Salmonellosis Shigellosis Typhoid Mycosis Coccidioidomycosis Zoonoses/ Vectorborne Brucellosis Dengue Hantavirus Pulm. Syn. Lyme Disease Malaria West Nile Virus Hepatitis A Hepatitis B (Acute) Hepatitis D Legionellosis Vibrio spp. Yersiniosis Hansen’s Disease1 Genital Herpes1 Gonorrhea1 Syphilis – Primary and Secondary1 Syphilis – All Others1 Chlamydia1 HIV1 AIDS1 1 0 24.1 0.2 Salmonella Paratyphi 2 0 11.7 7.3 E. Coli O157.H7 Giardiasis Listeriosis Norovirus1 Tuberculosis1 Sexually Transmitted Diseases 1.3 0.0 0.1 Cholera Cryptosporidiosis Other Total Meningitis Viral/Aseptic Amebiasis Botulism Campylobacteriosis Hepatitides Rate of Cases by Sex Male Female Unk. 1.0 1.6 0.1 0 - All Others Total Confirmed cases only Rates for Streptococcal Group B Invasive in infants <90 days are per 1,000 live births. Maricopa County Health Status Report 2011 0 Page 37 Maricopa County 2011 Communicable Disease Statistics Table 3.04 Case Rate Comparisons to Arizona, U.S. and Healthy People 2020 Goals for Selected Diseases Disease Salmonellosis AIDS HIV Tuberculosis Hepatitis B (Acute Cases Only) Hepatitis A Syphilis (Primary and Secondary) Pertussis Rubella Mumps Measles 2011 Maricopa County Crude Case Rate Number (Cases per of cases 100,000 Residents) 385 9.9 249 6.4 315 8.1 117 3.0 135 3.5 56 1.4 200 5.2 698 18.0 0 0 0 0 1 0.0 Maricopa County Health Status Report 2011 Crude Case Rate (Cases per 100,000 Residents) Healthy People Arizona 2020 2010 U.S. 2010 Goal 14.3 5.6 6.3 3.6 2.3 1.1 3.6 1.2 0.0 0.1 0.0 Page 38 17.7 3.6 1.1 0.5 4.5 9.0 0 0.9 0.02 11.4 1.0 0 0 0 IV. Maricopa County 2011 Natality (Birth) Statistics Maricopa County Health Status Report 2011 Page 39 Maricopa County 2011 Natality (Birth) Statistics Table 4.01 Number and Percent of Births by Age & Race/Ethnicity of Mother Number and Percent of Live Births by Race/Ethnicity Age Group of Mother White No. <15 % Hispanic African American American Indian No. No. No. % % % Total Asian No. Other/ Unknown % No. % % No. 8 0.0 41 0.2 7 0.2 5 0.3 1 0.0 0 0.0 62 0.1 15-19 1,135 4.6 2,880 13.6 409 12.9 229 14.4 61 2.4 4 2.4 4,718 8.8 20-24 4,814 19.4 6,120 29 944 29.7 509 32.1 264 10.5 19 11.4 12,670 23.7 25-29 7,737 31.2 5,443 25.8 847 26.6 419 26.4 708 28.1 29 17.4 15,183 28.5 30-34 6,978 28.2 4,040 19.1 596 18.7 276 17.4 899 35.7 38 22.8 12,827 24 35-39 3,310 13.4 2,115 10.0 306 9.6 127 8.0 480 19.1 37 22.2 6,375 11.9 40-44 753 3.0 469 2.2 65 2.0 20 1.3 97 3.9 27 16.2 1,431 2.7 51 0.2 16 0.1 6 0.2 1 0.1 8 0.3 13 7.8 95 0.2 45+ Total 24,786 21,124 3,180 1,586 2,518 167 53,361 Table 4.02 Number and Percent of Births by Marital Status & Race/Ethnicity of Mother Number and Percent of Live Births by Race/Ethnicity Marital Status of Mother White Hispanic African American American Indian % No. % No. No. % No. 17,625 71.1 8,769 41.5 1,049 33.0 363 6,978 28.2 12,105 57.3 2,091 65.8 Refused 110 0.4 180 0.9 31 Divorced 14 0.1 6 0.0 Unknown 59 0.2 64 0.3 Married Single Total 24,786 21,124 Total Asian No. % 22.9 2,105 83.6 1,188 74.9 401 1.0 19 1.2 0 0.0 1 9 0.3 15 3,180 % Other/ Unknown % No. % 132 79.0 30,043 56.3 15.9 34 20.4 22,797 42.7 4 0.2 1 0.6 345 0.6 0.1 1 0.0 0 0.0 22 0.00 0.9 7 0.3 0 0.0 154 0.3 1,586 No. 2,518 167 53,361 Table 4.03 Number and Percent of Births by Educational Level & Race/Ethnicity of Mother Number and Percent of Live Births by Race/Ethnicity Education Level of Mother < 6th Grade White No. Hispanic % No. % African American American Indian No. No. % % Asian No. Total Other/ Unknown % No. % No. % 70 0.3 440 2.1 76 2.4 2 0.1 48 1.9 2 1.2 638 1.2 6-11th Grade 1,621 6.5 7,433 35.2 481 15.1 414 26.1 114 4.5 3 1.8 10,066 18.9 HS Diploma 5,587 22.5 7,332 34.7 1,190 37.4 525 33.1 447 17.8 7 4.2 15,088 28.3 17,093 69 5,756 27.2 1,390 43.7 629 39.7 1,870 74.3 31 18.6 26,769 50.2 415 1.7 163 0.8 43 1.4 16 1.0 39 1.5 124 74.3 800 1.5 College+ Unknown Total 24,786 21,124 3,180 1,586 Maricopa County Health Status Report 2011 2,518 Page 40 167 53,361 Maricopa County 2011 Natality (Birth) Statistics Table 4.04 Number and Percent of Births by Method of Payment & Race/Ethnicity of Mother Number and Percent of Live Births by Race/Ethnicity White Hispanic African American American Indian % No. % No. % No. % 8,040 32.4 15,860 75.1 2,221 69.8 1,029 64.9 25 0.1 11 0.1 4 0.1 170 15,707 63.4 4,710 22.3 885 27.8 Self 901 3.6 472 2.2 54 Unknown 113 0.5 71 0.3 16 Method of Payment No. AHCCCS Indian Health Service Private Insurance Total 24,786 21,124 Total Asian % No. % No. 720 28.6 111 66.5 27,981 52.4 10.7 4 0.2 0 0.0 214 0.4 362 22.8 1,715 68.1 39 23.4 23,418 43.9 1.7 20 1.3 68 2.7 10 6 1,525 2.9 0.5 5 0.3 11 0.4 7 4.2 223 0.4 3,180 No. Other/ Unknown 1,586 2,518 167 % 53,361 Table 4.05 Trimester of First Prenatal Care & Race/Ethnicity of Mother Number and Percent of Live Births by Race/Ethnicity Trimester of First Prenatal Care White Hispanic African American American Indian No. % No. % No. % No. 22,464 90.6 16,975 80.4 2,593 81.5 1,142 1,684 6.8 3,042 14.4 414 13 Third 323 1.3 634 3.0 89 No PNC 146 0.6 399 1.9 Unknown 169 0.7 74 0.4 First Second Total 24,786 21,124 Asian Other/ Unknown No. % 72 2,218 88.1 309 19.5 210 2.8 86 5.4 55 1.7 35 29 0.9 14 3,180 % Total % No. % 94 56.3 45,486 85.2 8.3 38 22.8 5,697 10.7 52 2.1 6 3.6 1,190 2.2 2.2 26 1.0 25 15.0 686 1.3 0.9 12 0.5 4 2.4 302 0.6 1,586 No. 2,518 167 53,361 Table 4.06 Number and Percent of Prenatal Care Visits & Race/Ethnicity of Mother Number and Percent of Live Births by Race/Ethnicity Number of Prenatal Care Visits White No. Hispanic % No. % African American American Indian No. No. % % Total Asian No. Other/ Unknown % No. % No. % None 146 0.6 399 1.9 55 1.7 35 2.2 26 1.0 25 15.0 686 1.3 1 to 4 317 1.3 750 3.6 123 3.9 126 7.9 45 1.8 17 10.2 1,378 2.6 5 to 8 2,143 8.6 2,953 14.0 401 12.6 347 21.9 276 11.0 24 14.4 6,144 11.5 11,538 46.6 10,270 48.6 1,448 45.5 733 46.2 1,145 45.5 64 38.3 25,198 47.2 13 to 16 8,348 33.7 5,696 27 900 28.3 266 16.8 856 34.0 29 17.4 16,095 30.2 17 or More 2,101 8.5 969 4.6 219 6.9 64 4.0 154 6.1 4 2.4 3,511 6.6 193 0.8 87 0.4 34 1.1 15 0.9 16 0.6 4 2.4 349 0.7 9 to 12 Unknown Total 24,786 21,124 3,180 1,586 Maricopa County Health Status Report 2011 2,518 Page 41 167 53,361 Maricopa County 2011 Natality (Birth) Statistics Table 4.07 Adequacy of Prenatal Care & Race /Ethnicity of Mother Singleton Births Only (Excludes Twins and Other Multiple Births) Number and Percent of Live Births by Race/Ethnicity White Hispanic African American American Indian No. No. Asian Total Other/ Unknown Adequacy of Prenatal Care No. % No. Inadequate 1,375 5.7 2,855 13.8 400 13.0 343 22.0 200 8.2 62 38.8 5,235 10.1 Intermediate 2,759 11.5 2,929 14.2 396 12.9 286 18.3 284 11.7 18 11.3 6,672 12.9 10,933 45.7 8,558 41.4 1,172 38.2 564 36.2 1,064 43.7 49 30.6 22,340 43.1 8,659 36.2 6,260 30.3 1,068 34.8 353 22.6 870 35.7 28 17.5 17,238 33.3 190 0.8 90 0.4 33 1.1 13 0.8 18 0.7 3 1.9 347 0.7 Adequate Adequate Plus Information Missing Total 23,916 % 20,692 % 3,069 % 1,559 No. % No. 2,436 % 160 No. % 51,832 Table 4.08 Birthweight of Infant & Race/Ethnicity of Mother Number and Percent of Live Births by Race/Ethnicity White Birthweight of Infant No. <1500 Grams % Hispanic African American American Indian No. No. No. % % % Asian No. Total Other/ Unknown % No. % No. % 278 1.1 242 1.1 88 2.8 19 1.2 29 1.2 2 1.2 658 1.2 1500-2499 Grams 1,336 5.4 1,130 5.3 326 10.3 81 5.1 172 6.8 17 10.2 3,062 5.7 2500-4249 Grams 22,302 90.0 19,136 90.6 2,704 85.0 1,400 88.3 2,279 90.5 141 84.4 47,962 89.9 869 3.5 615 2.9 62 1.9 86 5.4 38 1.5 4 2.4 1,674 3.1 1 0.0 1 0.0 0 0.0 0 0.0 0 0.0 3 1.8 5 0.0 >4249 Grams Unknown Total 24,786 21,124 3,180 1,586 2,518 167 53,361 Table 4.09 Preterm Births (Less than 37 Weeks Gestation) & Race/ Ethnicity of Mother White Total Other/ Unknown No. % Gestational Estimate Less than 34 Weeks No. No. % 608 2.5 529 2.5 137 4.3 42 2.6 66 2.6 14 8.4 1,396 2.6 Late Preterm (34-36 Weeks) 1,667 6.7 1,501 7.1 271 8.5 111 7.0 160 6.4 10 6.0 3,720 7.0 22,511 90.8 19,094 90.4 2,772 87.2 1,433 90.4 2,292 91.0 142 85.0 48,244 90.4 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 1 0.6 1 0.0 37 Weeks or More Unknown Total % Number and Percent of Live Births by Race/Ethnicity Hispanic African American Asian American Indian No. % No. % No. % No. % 24,786 21,124 3,180 1,586 Maricopa County Health Status Report 2011 2,518 Page 42 167 53,361 Maricopa County 2011 Natality (Birth) Statistics Table 4.10 Number and Percent of Births by Medical Risk Factor & Race/Ethnicity of Mother Number and Percent of Live Births by Race/Ethnicity White Medical Risk Factor Hispanic African American American Indian Total Asian Other/ Unknown No. % No. % No. % No. % No. % No. % No. % No Medical Risk Present 15,955 64.4 14,480 68.5 1,903 59.8 710 44.8 1,672 66.4 83 49.7 34,803 65.2 Medical Risk Present 8,831 35.6 6,644 31.5 1,277 40.2 876 55.2 846 33.6 84 50.3 18,558 34.8 Total 24,786 21,124 3,180 1,586 2,518 167 53,361 Table 4.11 Number and Percent of Births by Type of Delivery & Race/Ethnicity of Mother Number and Percent of Live Births by Race/Ethnicity White Type of Delivery Hispanic African American American Indian Total Asian Other/ Unknown No. % No. % No. % No. % No. % No. % No. % Vaginal 17,308 69.8 15,762 74.6 2,159 67.9 1,172 73.9 1,662 66.0 119 71.3 38,182 71.6 Primary C-Section 4,166 16.8 2,607 12.3 549 17.3 214 13.5 511 20.3 28 16.8 8,075 15.1 Repeat C-Section 3,312 13.4 2,755 13.0 472 14.8 200 12.6 345 13.7 20 12.0 7,104 13.3 Total 24,786 21,124 3,180 1,586 2,518 167 53,361 Table 4.12 Number and Percent of Births by Birth Attendee & Race/ Ethnicity of Mother Number and Percent of Live Births by Race/Ethnicity White Birth Attendee Hispanic African American American Indian Total Asian Other/ Unknown No. % No. % No. % No. % No. % No. % No. % Medical Doctor 20,582 83 18,967 89.8 2,762 86.9 1,127 71.1 2,225 88.4 135 80.8 45,798 85.8 Doctor of Osteopathy 3,240 13.1 1,645 7.8 337 10.6 92 5.8 233 9.3 22 13.2 5,569 10.4 Certified Nurse Midwife 535 2.2 422 2 59 1.9 362 22.8 45 1.8 5 3 1,428 2.7 Midwife 355 1.4 68 0.3 12 0.4 3 0.2 12 0.5 1 0.6 451 0.8 Other 74 0.3 22 0.1 10 0.3 2 0.1 3 0.1 4 2.4 115 0.2 Total 24,786 21,124 3,180 1,586 Maricopa County Health Status Report 2011 2,518 Page 43 167 53,361 Maricopa County 2011 Natality (Birth) Statistics Table 4.13 Number and Percent of Births by Marital Status & Age Group of Mother Marital Status of Mother Number and Percent of Live Births by Age Group of Mother <15 15-19 20-24 25-29 30-34 Total 35-39 40-44 45+ No. % No. % No. % No. % No. % No. % No. % No. % No. % Married 0 0.0 482 10.2 4,491 35.4 9,607 63.3 9,564 74.6 4,796 75.2 1,027 71.8 76 80 30,043 56.3 Single 62 100 4,226 89.6 8,070 63.7 5,420 35.7 3,123 24.3 1,500 23.5 379 26.5 17 17.9 22,797 42.7 Refused 0 0.0 6 0.1 72 0.6 105 0.7 92 0.7 55 0.9 15 1 0 0.0 345 0.6 Divorced 0 0.0 0 0.0 5 0.0 9 0.1 5 0.0 3 0.0 0 0.0 0 0.0 22 0.0 Unknown 0 0.0 4 0.1 32 0.3 42 0.3 43 0.3 21 0.3 10 0.7 2 2.1 154 0.3 Total 62 4,718 12,670 15,183 12,827 6,375 1,431 95 53,361 Table 4.14 Number and Percent of Births by Educational Level &Age Group of Mother Educational Level of Mother Number and Percent of Live Births by Age Group of Mother <15 No. 15-19 % 20-24 No. % No. 25-29 % 30-34 No. % Total 35-39 No. % No. 40-44 % 45+ No. % No. % No. % < 6th Grade 1 1.6 22 0.5 99 0.8 154 1.0 183 1.4 140 2.2 35 2.4 4 4.2 638 1.2 6-11th Grade 60 96.8 2,367 50.2 2,707 21.4 2,178 14.3 1,607 12.5 941 14.8 200 14.0 6 6.3 10,066 18.9 HS Diploma 0 0.0 1,871 39.7 5,367 42.4 4,040 26.6 2,483 19.4 1,061 16.6 248 17.3 18 18.9 15,088 28.3 College+ 0 0.0 416 8.8 4,348 34.3 8,602 56.7 8,344 65.1 4,107 64.4 902 63.0 50 52.6 26,769 50.2 Unknown 1 1.6 42 0.9 149 1.2 209 1.4 210 1.6 126 2.0 46 3.2 17 17.9 800 1.5 Total 62 4,718 12,670 15,183 12,827 6,375 1,431 95 53,361 Table 4.15 Number and Percent of Births by Method of Payment & Age Group of Mother Number and Percent of Live Births by Age Group of Mother <15 Method of Payment 20-24 15-19 25-29 30-34 Total 35-39 40-44 45+ No. % No. % No. % No. % No. % No. % No. % No. % No. % AHCCCS 56 90.3 4,107 87.0 9,148 72.2 7,164 47.2 4,665 36.4 2,298 36.0 513 35.8 30 31.6 27,981 52.4 Indian Health Service 2 3.2 28 0.6 61 0.5 59 0.4 39 0.3 22 0.3 3 0.2 0 0.0 214 0.4 Private Insurance 3 4.8 488 10.3 3,142 24.8 7,428 48.9 7,644 59.6 3,786 59.4 870 60.8 57 60.0 23,418 43.9 Self 1 1.6 70 1.5 262 2.1 463 3.0 438 3.4 246 3.9 39 2.7 6 6.3 1,525 2.9 Unknown 0 0.0 25 0.5 57 0.4 69 0.5 41 0.3 23 0.4 6 0.4 2 2.1 223 0.4 Total 62 4,718 12,670 15,183 12,827 Maricopa County Health Status Report 2011 6,375 Page 44 1,431 95 53,361 Maricopa County 2011 Natality (Birth) Statistics Table 4.16 Trimester of First Prenatal Care & Age Group of Mother Number and Percent of Live Births by Age Group of Mother Total Trimester of First Prenatal Care No. % No. % No. % No. % No. % No. % No. % No. % No. % First 41 66.1 3,457 73.3 10,276 81.1 13,338 87.8 11,469 89.4 5,607 88.0 1,226 85.7 72 75.8 45,486 85.2 Second 14 22.6 939 19.9 1,707 13.5 1,359 9.0 976 7.6 543 8.5 145 10.1 14 14.7 5,697 10.7 Third 5 8.1 209 4.4 380 3.0 254 1.7 195 1.5 117 1.8 28 2.0 2 2.1 1,190 2.2 None 2 3.2 88 1.9 232 1.8 141 0.9 122 1 73 1.1 22 1.5 6 6.3 686 1.3 Unknown 0 0.0 25 0.5 75 0.6 91 0.6 65 0.5 35 0.5 10 0.7 1 1.1 302 0.6 Total 62 <15 15-19 20-24 4,718 25-29 12,670 30-34 15,183 35-39 12,827 40-44 6,375 45+ 1,431 95 53,361 Table 4.17 Number and Percent of Prenatal Care Visits & Age Group of Mother Number and Percent of Live Births by Age Group of Mother Number of Prenatal Care Visits <15 No. 15-19 % No. 20-24 % No. 25-29 % No. 30-34 % No. 35-39 % No. Total 40-44 % No. 45+ % No. % No. % None 2 3.2 88 1.9 232 1.8 141 0.9 122 1.0 73 1.1 22 1.5 6 6.3 686 1.3 1 to 4 5 8.1 222 4.7 460 3.6 321 2.1 215 1.7 121 1.9 32 2.2 2 2.1 1,378 2.6 5 to 8 16 25.8 859 18.2 1,755 13.9 1,530 10.1 1,182 9.2 655 10.3 138 9.6 9 9.5 6,144 11.5 9 to 12 26 41.9 2,306 48.9 6,045 47.7 7,138 47.0 6,116 47.7 2,909 45.6 624 43.6 34 35.8 25,198 47.2 13 to 16 10 16.1 1,026 21.7 3,430 27.1 4,948 32.6 4,192 32.7 2,013 31.6 451 31.5 25 26.3 16,095 30.2 17 or More 3 4.8 187 4.0 661 5.2 998 6.6 930 7.3 561 8.8 153 10.7 18 18.9 3,511 6.6 Unknown 0 0.0 30 0.6 87 0.7 107 0.7 70 0.5 43 0.7 11 0.8 1 1.1 349 0.7 Total 62 4,718 12,670 15,183 12,827 Maricopa County Health Status Report 2011 6,375 Page 45 1,431 95 53,361 Maricopa County 2011 Natality (Birth) Statistics Table 4.18 Adequacy of Prenatal Care & Age Group of Mother Singleton Births Only (Excludes Twins and Other Multiple Births) Number and Percent of Live Births by Age Group of Mother Adequacy of Prenatal Care <15 15-19 20-24 25-29 30-34 No. % No. % No. % No. Inadequate 19 31.7 858 18.4 1,638 13.2 1,203 8.1 Intermediate 8 13.3 707 15.2 1,658 13.4 1,821 12.3 Adequate 22 36.7 1,810 38.9 5,240 42.3 6,631 44.9 Adequate Plus 11 18.3 1,248 26.8 3,766 30.4 4,999 33.9 Information Missing 0 0.0 30 0.6 88 0.7 109 0.7 Total 60 4,653 12,390 % No. 14,763 Total 35-39 % No. 881 7.1 1,560 12.5 5,591 4,330 69 0.6 40-44 % No. 496 8.1 759 12.4 45 2,519 34.8 2,292 41 12,431 45+ % No. % No. % 128 9.5 12 16.2 5,235 10.1 151 11.2 8 10.8 6,672 12.9 41.2 506 37.4 21 28.4 22,340 43.1 37.5 560 41.4 32 43.2 17,238 33.3 0.7 9 0.7 1 1.4 347 0.7 6,107 1,354 74 51,832 Table 4.19 Birthweight of Infant & Age Group of Mother Number and Percent of Live Births by Age Group of Mother Birthweight of Infant <1500 Grams <15 No. % 1 1.6 15-19 No. % 62 1.3 20-24 No. % 160 1.3 25-29 No. % 172 1.1 30-34 No. % 166 1.3 35-39 No. % 78 1.2 Total 40-44 No. % 17 1.2 45+ No. % 2 2.1 No. 658 % 1.2 1500-2499 Grams 1 1.6 347 7.4 762 6.0 743 4.9 654 5.1 421 6.6 113 7.9 21 22.1 3,062 5.7 2500-4249 Grams 60 96.8 4,236 89.8 11,448 90.4 13,783 90.8 11,498 89.6 5,617 88.1 1,250 87.4 70 73.7 47,962 89.9 0 0.0 72 1.5 299 2.4 483 3.2 508 4.0 259 4.1 51 3.6 2 2.1 1,674 3.1 0 0.0 1 0.0 1 0.0 2 0.0 1 0.0 0 0.0 0 0.0 0 0.0 5 0.0 >4249 Grams Unknown Total 62 4,718 12,670 15,183 12,827 6,375 1,431 95 53,361 Table 4.20 Preterm Births (Less Than 37 Weeks Gestation) & Age Group of Mother Number and Percent of Live Births by Age Group of Mother Gestational Estimate Less than 34 Weeks <15 No. % 1 1.6 Total 15-19 No. % 20-24 No. % 25-29 No. % 30-34 No. % 35-39 No. % 40-44 No. % 132 328 369 313 200 44 2.8 2.6 2.4 2.4 3.1 45+ No. % 3.1 9 9.5 No. % 1,396 2.6 Late Preterm (34-36 Weeks) 2 3.2 320 6.8 886 7 956 6.3 893 7 511 8 134 9.4 18 18.9 3,720 7 37 Weeks or More 59 95.2 4,266 90.4 11,456 90.4 13,858 91.3 11,620 90.6 5,664 88.8 1,253 87.6 68 71.6 48,244 90.4 Unknown 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 Total 62 4,718 12,670 15,183 12,827 Maricopa County Health Status Report 2011 6,375 Page 46 1,431 95 53,361 Maricopa County 2011 Natality (Birth) Statistics Table 4.21 Number and Percent of Births by Medical Risk Factor & Age Group of Mother Number and Percent of Live Births by Age Group of Mother <15 Medical Risk Factor 15-19 20-24 No. % No. % No. No Medical Risk Present 28 45.2 2,900 61.5 Medical Risk Present 34 54.8 1,818 38.5 Total 62 4,718 25-29 30-34 % No. % 8,524 67.3 10,380 68.4 4,146 32.7 4,803 31.6 12,670 No. 15,183 Total 35-39 40-44 % No. % 8,687 67.7 3,542 55.6 4,140 32.3 2,833 44.4 12,827 No. 6,375 45+ % No. % No. % 710 49.6 32 33.7 34,803 65.2 721 50.4 63 66.3 18,558 34.8 1,431 95 53,361 Table 4.22 Number and Percent of Births by Birth Attendee & Age Group of Mother Number and Percent of Live Births by Age Group of Mother <15 Birth Attendee No. Medical Doctor 15-19 20-24 % No. % No. 57 91.9 4,147 87.9 10,769 Doctor of Osteopathy 2 3.2 416 8.8 Certified Nurse Midwife 3 4.8 147 Midwife 0 0 Other 0 Total 62 25-29 % 30-34 Total 35-39 40-44 45+ No. % No. % No. % No. % No. % No. % 85 12,930 85.2 11,001 85.8 5,524 86.7 1,289 90.1 81 85.3 45,798 85.8 1,429 11.3 1,636 10.8 1,338 10.4 628 9.9 111 7.8 9 9.5 5,569 10.4 3.1 391 3.1 430 2.8 306 2.4 127 2 22 1.5 2 2.1 1,428 2.7 2 0 68 0.5 149 1 142 1.1 81 1.3 8 0.6 1 1.1 451 0.8 0 6 0.1 13 0.1 38 0.3 40 0.3 15 0.2 1 0.1 2 2.1 115 0.2 100 4,718 100 12,670 100 15,183 100 12,827 100 6,375 100 1,431 100 95 100 53,361 100 Table 4.23 Number and Percent of Births by Type of Delivery & Age Group of Mother Number and Percent of Live Births by Age Group of Mother <15 Type of Delivery 15-19 20-24 25-29 30-34 35-39 Total 40-44 45+ No. % No. % No. % No. % No. % No. % No. % No. % No. % Vaginal 52 83.9 3,875 82.1 9,658 76.2 11,085 73 8,728 68 3,946 61.9 799 55.8 39 41.1 38,182 71.6 Primary C-Section 10 16.1 725 15.4 1,837 14.5 2,119 14 1,904 14.8 1,109 17.4 329 23 42 44.2 8,075 15.1 Repeat C-Section 0 0 118 2.5 1,175 9.3 1,979 13 2,195 17.1 1,320 20.7 303 21.2 14 14.7 7,104 13.3 Total 62 100 4,718 100 12,670 100 15,183 100 12,827 100 6,375 100 1,431 100 95 100 53,361 100 Maricopa County Health Status Report 2011 Page 47 Maricopa County 2011 Natality (Birth) Statistics Table 4.24 Comparisons to Arizona, U.S. and Healthy People 2020 Goals for Selected Natality Measures Maricopa County 2011 Number of Rate or Individuals Percent Unlinked Infant Mortality – 1 Arizona 2010 U.S. 2011 Healthy People 2020 Goal Neonatal 203 3.8 3.8 4.0 4.1 Postnatal 105 1.9 2.2 2.0 2.0 Total 308 5.8 6.0 6.1 6.0 3,720 7.0% 7.1% 8.1% 7.8% 10-14 Years Old 62 0.12% 0.12% 0.1% - 15-17 Years Old 1,377 2.6% 3.3% 2.4% - 15-19 Years Old 4,718 8.8% 10.7% 8.3% - Total 10-19 Years Old 4,780 9.0% 10.8% 8.4% - 7 13.1 - Not Available 11.4 12 22.5 - - - Rate per 1,000 live births Low birthweight births (< 2500g) – Percent of live births Births to teen mothers – Percent of live births 2 Maternal Mortality - Rate per 100,000 live births Pregnancy-related Mortality Rate per 100,000 live births 1. 2. 3. All figures are Preliminary 2011 U.S. data. See Technical Notes for an explanation on the increase in maternal deaths . See Technical Notes for an explanation on why the Maternal Mortality rate is unavailable at the national level. Maricopa County Health Status Report 2011 Page 48 V. Maricopa County 2011 Hospital Discharge Statistics Maricopa County Health Status Report 2011 Page 49 Maricopa County 2011 Hospital Discharge Statistics Table 5.01 Number of Hospital Discharges by Age Group and Race/Ethnicity Number of Discharges by Race/Ethnicity Age Group White Hispanic African American American Indian Asian Other/ Unknown Total 0-4 6,803 6,978 1,194 606 349 357 16,287 5-9 2,180 2,063 422 184 69 95 5,013 10-14 2,371 1,861 444 126 53 88 4,943 15-19 3,695 2,408 605 167 113 123 7,111 20-24 5,375 2,768 941 310 142 121 9,657 25-34 13,472 6,002 2,222 792 440 279 23,207 35-44 19,927 7,782 3,073 1,047 598 366 32,793 45-54 33,769 9,167 4,150 1,127 791 495 49,499 55-64 41,692 8,240 3,760 780 851 531 55,854 65-74 45,723 6,364 2,324 483 927 574 56,395 75-84 44,240 4,263 1,541 213 728 376 51,361 85+ 26,669 1,534 577 68 279 164 29,291 0 0 0 0 0 1 1 245,916 59,430 21,253 5,903 5,340 3,570 341,412 Unknown Total Note: Pregnant women, newborns, and Long Term Acute Care Hospitals and Rehabilitation Hospital Admissions excluded Table 5.02 Number of Hospital Discharges by Age Group and Sex Age Group Number of Discharges by Gender Male Female Unknown Total 0-4 9,093 7,192 2 16,287 5-9 2,832 2,181 0 5,013 10-14 2,602 2,341 0 4,943 15-19 3,534 3,576 1 7,111 20-24 4,816 4,841 0 9,657 25-34 10,935 12,272 0 23,207 35-44 15,202 17,590 1 32,793 45-54 24,638 24,860 1 49,499 55-64 27,602 28,252 0 55,854 65-74 27,377 29,018 0 56,395 75-84 23,302 28,059 0 51,361 85+ 10,761 18,530 0 29,291 1 0 0 1 162,695 178,712 5 341,412 Unknown Total Note: Pregnant women, newborns, and Long Term Acute Care Hospitals and Rehabilitation Hospital Admissions excluded Maricopa County Health Status Report 2011 Page 50 Maricopa County 2011 Hospital Discharge Statistics Table 5.03 Number and Percent of Hospital Discharges by Sex and Payer Type Number and Percent of Discharges by Sex Male Age Group Other Self Pay Private Insurance Medicare Female Payer Unknown No. % No. % No. % No. % 6,942 9,938 41,995 4.3 6.1 25.8 5,694 6,813 45,444 3.2 3.8 25.4 1 1 2 20 20 40 12,637 16,752 87,441 3.7 4.9 25.6 71,065 32,755 43.7 20.1 86,284 34,477 48.3 19.3 0 1 0 20 157,349 46.1 67,233 19.7 AHCCCS Medicaid Total 162,695 100 178,712 100 5 100 341,412 100 Discharges Note: Pregnant women, newborns, and Long Term Acute Care Hospitals and Rehabilitation Hospital Admissions excluded Maricopa County Health Status Report 2011 Page 51 Maricopa County 2011 Hospital Discharge Statistics Table 5.04a Selected Primary Diagnosis Groups by Race/Ethnicity Number of Discharges Number of Discharges by Race/Ethnicity Primary Diagnosis Infectious and parasitic diseases White Other/ Unknown Asian Total 9,168 2,356 683 303 232 107 Other Infectious and parasitic diseases 4,985 1,563 541 134 188 81 7,492 14,153 3,919 1,224 437 420 188 20,341 Neoplasms - Other Malignant 1,021 157 51 12 32 11 1,284 Malignant Neoplasm of large intestine & rectum 1,141 102 77 6 38 5 1,369 559 72 33 2 20 6 692 Malignant neoplasm of breast 2,076 667 319 28 82 43 3,215 Neoplasms - Benign 6,338 1,134 358 79 190 128 8,227 Malignant neoplasm of trachea, bronchus & lung Neoplasms - Other 12,849 518 86 42 3 12 7 668 11,653 2,218 880 130 374 200 15,455 3,868 1,864 669 287 60 45 6,793 189 27 9 1 2 1 229 Other Endocrine, nutritional and metabolic diseases, and immunity disorders 5,826 1,582 600 158 191 80 8,437 All 15,459 All Endocrine, nutritional and metabolic diseases, and immunity disorders American Indian Black Septicemia All Neoplasms Hispanic Diabetes mellitus Volume depletion (dehydration) 9,883 3,473 1,278 446 253 126 Diseases of the blood and blood-forming organs 2,724 2,651 914 920 69 77 51 Mental disorders 6,868 1,157 677 146 154 115 9,117 Psychoses Alcohol dependence syndrome 470 60 26 33 3 6 598 Other Mental disorders 1,527 315 111 53 25 35 2,066 All 8,865 1,532 814 232 182 156 11,781 7,052 7,190 1,884 772 207 173 120 Heart disease 9,249 1,431 951 113 163 103 12,010 Acute myocardial infarction 4,181 648 242 44 96 60 5,271 Coronary atherosclerosis 4,940 741 269 43 111 68 6,172 260 44 20 2 5 2 333 Cardiac dysrhythmias 7,981 753 390 60 121 81 9,386 Congestive heart failure 1,182 187 106 11 17 11 1,514 Cerebrovascular disease 7,916 1,233 525 69 216 133 10,092 Other Diseases of the circulatory system 7,943 1,634 954 139 175 71 10,916 43,652 6,671 3,457 481 904 529 55,694 Diseases of the nervous system and sense organs Diseases of the circulatory system Other ischemic heart disease All (Continued) Maricopa County Health Status Report 2011 Page 52 Maricopa County 2011 Hospital Discharge Statistics Table 5.04a continued Number of Discharges by Race/Ethnicity Diseases of the respiratory system Primary Diagnosis Acute bronchitis and bronchiolitis White Hispanic Black American Indian Asian Other/ Unknown Total 1,412 1,340 189 104 76 41 3,162 Pneumonia 7,206 1,870 558 193 179 90 10,096 Chronic bronchitis 4,794 417 244 18 51 26 5,550 Asthma 2,596 1,266 720 129 61 59 4,831 Other Diseases of the respiratory system 8,183 2,041 717 236 210 145 11,532 24,191 6,934 2,428 680 577 361 35,171 Appendicitis 2,524 1,736 162 72 85 61 4,640 Noninfectious enteritis and colitis 2,992 615 210 34 55 32 3,938 All Cholelithiasis 514 218 30 102 14 8 886 Other Diseases of the digestive system 24,968 7,201 1,890 691 536 301 35,587 All 30,998 9,770 2,292 899 690 402 45,051 1,990 539 80 27 43 28 2,707 Other Diseases of the genitourinary system 13,527 3,906 1,214 319 277 180 19,423 All 15,517 4,445 1,294 346 320 208 22,130 6,533 1,877 437 287 76 67 9,277 871 233 114 39 21 16 1,294 All 7,404 2,110 551 326 97 83 10,571 Osteoarthrosis and allied disorders 9,395 794 357 49 88 132 10,815 Intervertebral disc disorders 2,482 279 139 17 34 30 2,981 Other - Diseases of the musculoskeletal system and connective tissue 7,616 1,359 552 145 119 81 9,872 19,493 2,432 1,048 211 241 243 23,668 Congenital anomalies 835 1,005 558 96 50 26 41 Certain conditions originating in the perinatal period 948 834 757 140 71 56 65 16,143 14,500 3,824 1,593 331 255 196 Fractures, all sites 7,271 1,854 379 229 137 137 10,007 Fracture of neck of femur 3,085 240 39 21 32 24 3,441 Poisonings 3,519 735 302 115 47 56 4,774 Other Injury and poisoning 15,599 4,099 1,395 534 344 308 22,279 All Diseases of the digestive system Calculus of kidney and ureter Diseases of the genitourinary system Cellulitis and abscess Diseases of the skin and subcutaneous tissue Diseases of the musculoskeletal system and connective tissue Other Diseases of the skin and subcutaneous tissue All Symptoms, signs, and ill-defined conditions Injury and poisoning Other healthcare encounters Total 29,474 6,928 2,115 899 560 525 40,501 Rehab Services 2,586 339 175 43 60 39 3,242 Other healthcare encounters All 1,867 722 176 45 75 37 2,922 4,453 245,916 1,061 59,430 351 21,253 88 5,903 135 5,340 76 3,570 6,164 341,412 Note: Pregnant women, newborns, and Long Term Acute Care Hospitals and Rehabilitation Hospital Admissions excluded Maricopa County Health Status Report 2011 Page 53 Maricopa County 2011 Hospital Discharge Statistics Table 5.04b Selected Primary Diagnosis Groups by Race/Ethnicity Crude Hospitalization Rates per 100,000 Residents Hospitalization Rate by Race/Ethnicity Primary Diagnosis White Hispanic Black American Indian. Asian Other/ Unknown Septicemia Other Infectious and parasitic diseases All Neoplasms Malignant Neoplasm of large intestine & rectum Malignant neoplasm of trachea, bronchus & lung Malignant neoplasm of breast Neoplasms - Other Malignant Neoplasms - Benign Neoplasms - Other All Endocrine, nutritional and metabolic Diabetes mellitus diseases, and immunity disorders Volume depletion (dehydration) Other Endocrine, nutritional and metabolic diseases, and immunity disorders All Diseases of the blood and blood-forming organs 307.2 228.9 536.1 47.8 58.2 27.7 101.1 293.4 21.8 550.0 160.5 7.6 266.8 434.9 146.9 166.0 312.9 13.8 8.2 8.2 64.2 104.4 6.5 205.2 160.4 2.3 135.8 298.6 235.5 281.3 516.8 38.6 31.3 17.3 228.7 208.6 10.1 534.7 326.6 18.5 337.8 682.9 419.2 275.0 694.1 8.4 6.7 1.7 43.6 117.4 8.4 186.1 432.6 3.4 291.7 727.7 117.1 140.5 257.6 18.3 20.5 14.6 77.6 123.7 12.4 267.2 48.3 1.5 117.1 166.9 - 121.3 72.3 484.9 109.0 57.1 - Mental disorders 250.3 14.0 58.5 322.8 87.1 5.0 30.7 122.9 307.0 7.3 74.4 388.7 228.0 63.7 82.2 373.9 90.0 0.0 23.4 113.5 - 314.8 403.6 190.9 267.9 11.0 359.2 77.0 359.1 371.4 2,040.0 314.0 116.9 59.2 85.5 4.4 71.6 25.5 108.0 149.6 620.7 155.6 481.0 110.7 172.8 17.3 187.9 97.3 290.8 521.8 1,879.7 372.5 181.1 102.3 88.9 5.0 95.6 50.3 134.1 233.0 890.3 269.9 98.1 63.7 105.4 2.2 85.6 26.3 128.8 113.5 623.6 - Infectious and parasitic diseases Psychoses Alcohol dependence syndrome Other Mental disorders All Diseases of the nervous system and sense organs Diseases of the circulatory system Heart disease Acute myocardial infarction Coronary atherosclerosis Other ischemic heart disease Cardiac dysrhythmias Congestive heart failure Cerebrovascular disease Other Diseases of the circulatory system All (Continued) Maricopa County Health Status Report 2011 Page 54 Total 331.1 193.1 524.2 33.1 35.3 17.8 82.9 212.0 17.2 398.3 175.1 5.9 217.4 398.4 120.7 235.0 15.4 53.2 303.6 101.0 309.5 135.8 159.1 8.6 241.9 39.0 260.1 281.3 1,435.3 Maricopa County 2011 Hospital Discharge Statistics Table 5.04b continued Hospitalization Rate by Race/Ethnicity Primary Diagnosis White Hispanic Black American Indian. Asian Other/ Unknown 56.9 311.6 203.2 123.7 338.5 1,033.9 122.8 133.6 21.4 1,115.1 1,392.9 90.3 623.4 713.6 284.3 38.4 322.7 419.5 116.9 347.2 883.6 125.2 172.8 31.0 132.5 168.5 630.0 167.9 60.4 22.4 664.5 915.3 42.0 379.0 421.0 171.0 24.3 195.3 70.4 28.9 128.9 228.2 125.3 330.5 132.0 453.6 403.2 1,444.6 96.2 115.2 15.7 1,071.6 1,298.6 40.3 660.5 700.8 236.6 56.5 293.1 184.6 73.3 323.3 581.1 197.8 372.2 50.3 159.3 350.4 1,130.0 114.0 70.4 196.2 1,197.1 1,577.7 28.5 538.2 566.7 476.2 58.7 534.8 75.4 40.2 263.2 378.9 38.1 140.5 21.2 52.0 132.5 384.3 68.8 39.5 8.1 361.6 478.0 32.9 232.8 265.7 77.6 14.6 92.2 44.6 27.1 114.2 185.9 - Congenital anomalies 37.2 46.8 41.9 83.8 19.8 - 610.0 45.8 Certain conditions originating in the perinatal period 42.2 75.6 73.8 112.3 43.2 - 49.6 Symptoms, signs, and ill-defined conditions 718.8 393.9 984.3 588.5 259.1 - 717.6 320.3 133.0 717.6 1,321.3 151.3 88.1 239.3 11,024.7 382.1 169.5 19.7 382.1 634.8 35.6 65.3 100.9 5,429.8 758.9 228.7 27.4 758.9 1,166.1 111.3 65.4 176.7 11,621.1 969.1 375.6 36.9 969.1 1,550.9 80.5 80.5 161.0 9,935.6 223.2 96.6 22.0 223.2 386.5 35.9 36.6 72.5 3,773.9 - 533.4 574.2 257.9 88.7 574.2 Diseases of the respiratory system Diseases of the digestive system Diseases of the genitourinary system Diseases of the skin and subcutaneous tissue Diseases of the musculoskeletal system and connective tissue Injury and poisoning Other healthcare encounters Total Other Diseases of the respiratory system Acute bronchitis and bronchiolitis Pneumonia Chronic bronchitis Asthma All Other Diseases of the digestive system Appendicitis Noninfectious enteritis and colitis Cholelithiasis All Other Diseases of the genitourinary system Calculus of kidney and ureter All Other Diseases of the skin and subcutaneous tissue Cellulitis and abscess All Other - Diseases of the musculoskeletal system and connective tissue Osteoarthrosis and allied disorders Intervertebral disc disorders All Injury and poisoning Fractures, all sites Fracture of neck of femur Poisonings All Other healthcare encounters Rehab Services All Note: Pregnant women, newborns, and Long Term Acute Care Hospitals and Rehabilitation Hospital Admissions excluded Maricopa County Health Status Report 2011 Page 55 Total 81.5 260.2 143.0 124.5 297.2 906.4 119.6 101.5 22.8 917.1 1,161.0 69.8 500.6 570.3 239.1 33.3 272.4 278.7 76.8 254.4 1,043.8 83.6 75.3 158.9 8,798.7 Maricopa County 2011 Hospital Discharge Statistics Table 5.05a Selected Primary Diagnosis Groups by Age Group Number of Discharges Number of Discharges by Age Group Primary Diagnosis 0-4 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ Unknown Total Infectious and parasitic Septicemia diseases Other Infectious and parasitic diseases All Neoplasms Malignant Neoplasm of large intestine & rectum Malignant neoplasm of trachea, bronchus & lung Malignant neoplasm of breast Neoplasms - Other Malignant Neoplasms - Benign Neoplasms - Other All Endocrine, nutritional Diabetes mellitus and metabolic Volume depletion (dehydration) diseases, and immunity Other Endocrine, nutritional and metabolic disorders diseases, and immunity disorders 62 683 745 0 3 0 30 111 13 157 46 19 170 189 0 0 0 12 65 5 82 68 18 132 150 0 1 0 21 64 11 97 167 151 203 354 0 4 0 39 69 17 129 287 349 282 631 1 12 0 49 67 10 139 446 717 665 1,382 24 9 16 259 258 28 594 747 1,020 803 1,823 57 37 91 761 529 61 1,536 979 1,718 1,083 2,801 163 129 183 939 1,280 103 2,797 1,266 2,185 1,132 3,317 265 288 157 453 2,039 106 3,308 1,272 2,442 899 3,341 339 469 136 366 1,980 126 3,416 796 2,477 878 3,355 296 339 72 242 1,357 120 2,426 524 1,691 562 2,253 139 78 37 44 408 68 774 195 0 0 0 0 0 0 0 0 0 0 0 12,849 7,492 20,341 1,284 1,369 692 3,215 8,227 668 15,455 6,793 8 12 8 21 55 55 20 11 16 13 9 1 0 229 604 148 66 96 140 539 924 1,282 1,466 1,273 1,147 752 0 8,437 All Diseases of the blood and blood-forming organs 658 190 228 150 241 159 404 157 641 188 1,341 412 1,923 511 2,559 583 2,754 615 2,082 661 1,680 687 948 369 0 0 15,459 4,682 Mental disorders Psychoses Alcohol dependence syndrome Other Mental disorders All Diseases of the nervous system and sense organs 14 0 8 22 559 144 0 19 163 313 127 0 43 170 359 248 6 126 380 419 756 21 235 1,012 366 1,566 63 341 1,970 1,084 1,699 138 348 2,185 1,258 1,955 192 386 2,533 1,575 1,227 105 242 1,574 1,368 699 54 164 917 1,250 436 17 97 550 1,198 246 2 57 305 597 0 0 0 0 0 9,117 598 2,066 11,781 10,346 Diseases of the circulatory system 19 0 1 0 29 13 14 68 144 10 0 0 0 11 1 9 17 48 23 0 0 0 13 3 7 18 64 34 0 0 0 27 0 8 57 126 83 1 1 1 75 1 29 105 296 324 34 19 12 186 17 151 407 1,150 663 231 171 31 395 61 414 884 2,850 1,298 808 776 71 889 126 1,052 1,539 6,559 1,895 1,188 1,662 70 1,572 216 1,745 2,040 10,388 2,459 1,271 1,896 62 2,324 315 2,366 2,319 13,012 3,143 1,058 1,321 44 2,429 434 2,609 2,288 13,326 2,059 680 325 42 1,436 327 1,688 1,174 7,731 0 0 0 0 0 0 0 0 0 12,010 5,271 6,172 333 9,386 1,514 10,092 10,916 55,694 Heart disease Acute myocardial infarction Coronary atherosclerosis Other ischemic heart disease Cardiac dysrhythmias Congestive heart failure Cerebrovascular disease Other Diseases of the circulatory system All (Continued) Maricopa County Health Status Report 2011 Page 56 Maricopa County 2011 Hospital Discharge Statistics Table 5.05a continued Number of Discharges by Age Group Primary Diagnosis 0-4 Diseases of the respiratory system 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ Unknown Total 2,357 1,098 0 785 1,283 5,523 113 179 4 708 1,004 1 870 871 695 89 784 0 20 404 0 608 273 1,305 452 56 1 316 825 8 195 203 197 36 233 0 2 190 0 337 157 686 680 81 0 366 1,127 24 201 225 146 29 175 1 5 126 0 102 259 492 604 117 1 709 1,431 76 384 460 235 59 294 1 18 159 2 134 256 569 426 194 3 1,175 1,798 104 528 632 380 51 431 6 45 351 4 307 484 1,191 718 406 24 3,338 4,486 386 1,485 1,871 1,006 111 1,117 32 81 591 91 519 690 1,972 573 451 82 4,514 5,620 510 2,354 2,864 1,288 171 1,459 236 117 1,043 661 670 1,211 3,702 451 578 238 6,141 7,408 550 2,609 3,159 1,755 219 1,974 1,318 123 1,370 1,284 554 1,709 5,040 305 572 293 5,954 7,124 441 2,478 2,919 1,344 215 1,559 3,025 108 1,589 1,599 408 2,001 5,705 196 552 171 5,141 6,060 349 2,838 3,187 883 134 1,017 3,726 145 1,806 1,362 268 1,896 5,477 89 512 65 4,714 5,380 194 3,235 3,429 782 126 908 2,139 141 1,369 547 139 1,313 3,509 33 240 4 2,511 2,788 64 2,246 2,310 566 54 620 331 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3,162 10,096 5,550 4,831 11,532 35,171 4,640 3,938 886 35,587 45,051 2,707 19,423 22,130 9,277 1,294 10,571 10,815 1 1 0 10 38 283 589 752 563 465 233 46 0 2,981 105 134 214 222 223 565 973 1,724 1,801 1,899 1,372 640 0 9,872 All Congenital anomalies Certain conditions originating in the perinatal period 106 885 1,923 135 113 0 215 101 0 233 101 0 267 51 0 880 94 0 1,798 97 0 3,794 111 0 5,389 105 0 6,090 78 0 3,744 31 0 1,017 9 0 0 0 0 23,668 1,776 1,923 Symptoms, signs, and ill-defined conditions 1,157 261 317 408 439 1,257 2,195 3,582 3,564 3,031 2,827 1,661 0 20,699 353 4 156 689 1,202 6 351 357 16,287 244 2 21 365 632 9 124 133 5,013 219 7 81 379 686 9 162 171 4,943 474 7 324 729 1,534 49 140 189 7,111 609 14 457 939 2,019 68 110 178 9,657 1,097 18 888 2,034 4,037 120 221 341 23,207 987 36 851 2,404 4,278 164 260 424 32,793 1,218 110 909 3,357 5,594 345 423 768 49,499 1,294 288 607 3,653 5,842 516 472 988 55,854 1,040 493 269 3,644 5,446 690 412 1,102 56,395 1,266 1,170 146 2,781 5,363 785 195 980 51,361 1,206 1,292 65 1,304 3,867 481 52 533 29,291 0 0 0 1 1 0 0 0 1 10,007 3,441 4,774 22,279 40,501 3,242 2,922 6,164 341,412 Diseases of the digestive system Diseases of the genitourinary system Diseases of the skin and subcutaneous tissue Diseases of the musculoskeletal system and connective tissue Injury and poisoning Other healthcare encounters Total Acute bronchitis and bronchiolitis Pneumonia Chronic bronchitis Asthma Other Diseases of the respiratory system All Appendicitis Noninfectious enteritis and colitis Cholelithiasis Other Diseases of the digestive system All Calculus of kidney and ureter Other Diseases of the genitourinary system All Cellulitis and abscess Other Diseases of the skin and subcutaneous tissue All Osteoarthrosis and allied disorders 5-9 Intervertebral disc disorders Other - Diseases of the musculoskeletal system and connective tissue Fractures, all sites Fracture of neck of femur Poisonings Other Injury and poisoning All Rehab Services Other healthcare encounters All Note: Pregnant women, newborns, and Long Term Acute Care Hospitals and Rehabilitation Hospital Admissions excluded Maricopa County Health Status Report 2011 Page 57 Maricopa County 2011 Hospital Discharge Statistics Table 5.05b Selected Primary Diagnosis Groups by Age Group Crude Hospitalization Rates per 100,000 Residents Hospitalization Rate by Age Group Primary Diagnosis 0-4 Infectious and parasitic diseases Neoplasms Endocrine, nutritional and metabolic diseases, and immunity disorders 75-84 85+ 22.2 6.7 6.4 55.7 125.3 130.0 193.7 337.5 523.0 908.9 1,622.50 2,698.00 - 331.1 Other Infectious and parasitic diseases 244.8 60.3 47.0 74.9 101.3 120.5 152.5 212.8 271.0 334.6 575.1 896.7 - 193.1 All Malignant Neoplasm of large intestine & rectum 267.0 67.1 53.4 130.5 226.6 250.5 346.2 550.3 794.0 1,243.5 2,197.7 3,594.7 - 524.2 0.0 0.0 0.0 0.0 0.4 4.4 10.8 32.0 63.4 126.2 193.9 221.8 - 33.1 Malignant neoplasm of trachea, bronchus & lung 1.1 0.0 0.4 1.5 4.3 1.6 7.0 25.3 68.9 174.6 222.1 124.5 - 35.3 Malignant neoplasm of breast 0.0 0.0 0.0 0.0 0.0 2.9 17.3 36.0 37.6 50.6 47.2 59.0 - 17.8 Neoplasms - Other Malignant 10.8 4.3 7.5 14.4 17.6 46.9 144.5 184.5 108.4 136.2 158.5 70.2 - 82.9 Neoplasms - Benign Neoplasms - Other All Diabetes mellitus Volume depletion (dehydration) Other Endocrine, nutritional and metabolic diseases, and immunity disorders 39.8 4.7 56.3 16.5 2.9 23.1 1.8 29.1 24.1 4.3 22.8 3.9 34.6 59.5 2.8 25.4 6.3 47.6 105.8 7.7 24.1 3.6 49.9 160.2 19.7 46.8 5.1 107.7 135.4 10.0 100.5 11.6 291.7 185.9 3.8 251.5 20.2 549.5 248.7 2.2 488.1 25.4 791.8 304.5 3.8 736.9 46.9 1,271.4 296.3 4.8 888.9 78.6 1,589.1 343.2 5.9 651.0 108.5 1,234.9 311.1 1.6 - 212.0 17.2 398.3 175.1 5.9 216.5 52.5 23.5 35.4 50.3 97.7 175.5 251.9 350.9 473.8 751.3 1,199.8 - 217.4 235.9 80.9 85.9 149.0 230.2 243.1 365.2 502.8 659.2 774.9 1,100.5 1,512.6 68.1 53.2 56.6 57.9 67.5 74.7 97.0 114.5 147.2 246.0 450.0 588.8 - 398.4 120.7 5.0 0.0 2.9 7.9 51.1 0.0 6.7 57.8 45.2 0.0 15.3 60.6 91.5 2.2 46.5 140.1 271.5 7.5 84.4 363.4 283.9 11.4 61.8 357.1 322.7 26.2 66.1 415.0 384.1 37.7 75.8 497.7 293.7 25.1 57.9 376.8 260.2 20.1 61.0 341.3 285.6 11.1 63.5 360.3 392.5 3.2 90.9 486.6 - 235.0 15.4 Septicemia All Diseases of the blood and blood-forming organs Mental disorders Other Mental disorders Psychoses Alcohol dependence syndrome All 5-9 10-14 15-19 20-24 25-34 35-44 45-54 (Continued) Maricopa County Health Status Report 2011 Page 58 55-64 65-74 Unknown Total 53.2 303.6 Maricopa County 2011 Hospital Discharge Statistics Table 5.05b continued Hospitalization Rate by Age Group Primary Diagnosis Diseases of the nervous system and sense organs Diseases of the circulatory system Diseases of the respiratory system Diseases of the digestive system Diseases of the genitourinary system Heart disease Acute myocardial infarction Coronary atherosclerosis Other ischemic heart disease Cardiac dysrhythmias Congestive heart failure Cerebrovascular disease Other Diseases of the circulatory system All Acute bronchitis and bronchiolitis Pneumonia Chronic bronchitis Asthma Other Diseases of the respiratory system All Appendicitis Noninfectious enteritis and colitis Cholelithiasis Other Diseases of the digestive system All Calculus of kidney and ureter Other Diseases of the genitourinary system All Diseases of the skin Cellulitis and abscess and subcutaneous Other Diseases of the skin and tissue subcutaneous tissue All 0-4 5-9 200.4 111.0 10-14 127.9 15-19 154.5 20-24 131.4 25-34 196.5 35-44 238.9 45-54 309.4 55-64 327.4 65-74 465.2 75-84 784.7 85+ 952.5 Unknown Total - 6.8 3.5 8.2 12.5 29.8 58.7 125.9 255.0 453.6 915.2 2,058.8 3,285.2 - 266.6 309.5 0.0 0.4 0.0 10.4 4.7 5.0 0.0 0.0 0.0 3.9 0.4 3.2 0.0 0.0 0.0 4.6 1.1 2.5 0.0 0.0 0.0 10.0 0.0 3.0 0.4 0.4 0.4 26.9 0.4 10.4 6.2 3.4 2.2 33.7 3.1 27.4 43.9 32.5 5.9 75.0 11.6 78.6 158.7 152.5 13.9 174.7 24.8 206.7 284.4 397.8 16.8 376.3 51.7 417.7 473.1 705.7 23.1 865.0 117.2 880.6 693.0 865.3 28.8 1,591.1 284.3 1,709.0 1,085.0 518.5 67.0 2,291.2 521.7 2,693.3 - 135.8 159.1 8.6 241.9 39.0 260.1 24.4 6.0 6.4 21.0 37.7 73.8 167.9 302.4 488.3 863.1 1,498.7 1,873.2 - 281.3 51.6 17.0 22.8 46.5 106.3 208.5 541.2 1,288.6 2,486.5 4,843.0 8,729.0 12,335.1 844.9 7.1 0.7 1.8 6.5 8.2 15.4 23.0 29.4 40.2 95.0 225.0 - 1,435.3 81.5 393.6 0.0 281.4 143.3 0.0 215.7 67.7 0.0 120.1 46.5 0.0 37.6 57.1 0.7 48.1 63.6 0.7 55.6 112.2 17.3 98.6 204.9 129.9 131.6 327.9 307.3 132.6 591.4 595.1 151.9 1,183.0 892.2 175.6 2,184.3 872.8 221.8 - 260.2 143.0 124.5 459.9 96.9 55.9 95.5 91.9 87.7 131.0 237.9 409.1 744.8 1,242.0 2,094.9 - 297.2 1,979.8 463.0 244.4 181.4 204.3 215.9 374.5 727.3 1,206.4 2,123.4 3,587.6 5,598.7 40.5 160.4 242.2 222.7 153.0 130.1 108.8 88.6 73.0 73.0 58.3 52.7 - 906.4 119.6 64.2 19.9 28.9 43.1 69.7 73.6 85.6 113.6 136.9 205.5 335.4 382.9 - 101.5 1.4 0.4 0.0 0.4 1.1 4.4 15.6 46.8 70.1 63.6 42.6 6.4 - 22.8 253.8 112.1 130.4 261.5 421.9 605.0 857.3 1,206.5 1,425.1 1,913.4 3,087.8 4,006.4 - 917.1 359.9 292.7 401.5 527.7 645.6 813.1 1,067.3 1,455.4 1,705.2 2,255.5 3,524.1 4,448.3 0.4 2.8 8.5 28.0 37.3 70.0 96.9 108.1 105.6 129.9 127.1 102.1 - 1,161.0 69.8 311.9 69.2 71.6 141.6 189.6 269.2 447.1 512.6 593.1 1,056.3 2,119.0 3,583.6 - 500.6 312.2 249.1 31.9 281.0 72.0 69.9 12.8 82.7 80.2 52.0 10.3 62.3 169.6 86.7 21.8 108.4 226.9 136.5 18.3 154.8 339.1 182.3 20.1 202.5 543.9 244.6 32.5 277.1 620.6 344.8 43.0 387.8 698.7 321.7 51.5 373.2 1,186.2 328.6 49.9 378.5 2,246.1 512.2 82.5 594.8 3,685.7 903.1 86.2 989.2 - 570.3 239.1 33.3 272.4 (Continued) Maricopa County Health Status Report 2011 Page 59 Maricopa County 2011 Hospital Discharge Statistics Table 5.05b continued Hospitalization Rate by Age Group Primary Diagnosis 0-4 Diseases of the musculoskeletal system and connective tissue 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ Unknown Total Osteoarthrosis and allied disorders 0.0 0.0 0.4 0.4 2.2 5.8 44.8 258.9 724.1 1,386.8 1,401.1 528.1 - 278.7 Intervertebral disc disorders 0.4 0.4 0.0 3.7 13.6 51.3 111.9 147.7 134.8 173.1 152.6 73.4 - 76.8 Other - Diseases of the musculoskeletal system and connective tissue 37.6 47.5 76.2 81.9 80.1 102.4 184.8 338.7 431.1 706.8 898.7 1,021.1 - 254.4 38.0 47.9 76.6 85.9 95.9 159.5 341.5 745.4 1,289.9 2,266.7 2,452.5 1,622.7 - Congenital anomalies 317.2 40.1 36.0 37.2 18.3 17.0 18.4 21.8 25.1 29.0 20.3 14.4 - 610.0 45.8 Certain conditions originating in the perinatal period 689.3 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 - 49.6 Symptoms, signs, and ill-defined conditions 414.7 92.6 112.9 150.5 157.6 227.8 416.9 703.7 853.1 1,128.1 1,851.8 2,650.2 - 533.4 126.5 1.4 55.9 247.0 430.9 2.2 125.8 128.0 5,838.2 86.6 0.7 7.5 129.5 224.2 3.2 44.0 47.2 1,778.5 78.0 2.5 28.9 135.0 244.4 3.2 57.7 60.9 1,760.9 174.8 2.6 119.5 268.8 565.7 18.1 51.6 69.7 2,622.3 218.7 5.0 164.1 337.2 725.0 24.4 39.5 63.9 3,467.7 198.8 3.3 161.0 368.7 731.8 21.8 40.1 61.8 4,206.5 187.4 6.8 161.6 456.5 812.4 31.1 49.4 80.5 6,227.7 239.3 21.6 178.6 659.5 1,099.0 67.8 83.1 150.9 9,724.9 309.7 68.9 145.3 874.4 1,398.3 123.5 113.0 236.5 13,369.2 387.1 183.5 100.1 1,356.3 2,027.0 256.8 153.3 410.2 20,989.9 829.3 766.4 95.6 1,821.7 3,513.0 514.2 127.7 641.9 33,643.4 1,924.2 2,061.4 103.7 2,080.6 6,169.9 767.5 83.0 850.4 46,734.7 - 257.9 88.7 123.0 574.2 All Injury and poisoning Other healthcare encounters Total Fractures, all sites Fracture of neck of femur Poisonings Other Injury and poisoning All Rehab Services Other healthcare encounters All Note: Pregnant women, newborns, Long Term Acute Care Hospitals and Rehabilitation Hospital Admissions excluded Maricopa County Health Status Report 2011 Page 60 1,043.8 83.6 75.3 158.9 8,798.7 Maricopa County 2011 Hospital Discharge Statistics Table 5.06a Selected Primary Diagnosis Groups by Sex Number of Discharges Number of Discharges by Gender Primary Diagnosis Male Infectious and parasitic diseases Septicemia Other Infectious and parasitic diseases All Malignant Neoplasm of large intestine & rectum Neoplasms Malignant neoplasm of trachea, bronchus & lung Diseases of the digestive system Diseases of the genitourinary system Diseases of the skin and subcutaneous tissue 6,192 3,525 9,717 6,657 3,967 10,624 0 0 0 12,849 7,492 20,341 681 603 0 1,284 712 657 0 1,369 8 684 0 692 583 2,632 0 3,215 4,392 321 6,697 3,718 3,835 347 8,758 3,075 0 0 0 0 8,227 668 15,455 6,793 98 131 0 229 3,343 5,094 0 8,437 7,159 1,978 4,912 351 994 6,257 4,536 8,300 2,704 4,205 247 1,072 5,524 5,810 0 0 0 0 0 0 0 15,459 4,682 9,117 598 2,066 11,781 10,346 6,403 3,398 4,213 156 4,877 841 4,778 5,492 30,158 1,644 4,869 2,472 1,986 5,714 16,685 2,528 1,450 465 15,762 20,205 1,478 6,755 8,233 4,917 681 5,598 5,607 1,873 1,959 177 4,509 673 5,314 5,424 25,536 1,518 5,227 3,078 2,845 5,818 18,486 2,112 2,488 421 19,825 24,846 1,229 12,668 13,897 4,360 613 4,973 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12,010 5,271 6,172 333 9,386 1,514 10,092 10,916 55,694 3,162 10,096 5,550 4,831 11,532 35,171 4,640 3,938 886 35,587 45,051 2,707 19,423 22,130 9,277 1,294 10,571 All Diseases of the blood and blood-forming organs Mental disorders Psychoses Alcohol dependence syndrome Other Mental disorders All Diseases of the nervous system and sense organs Diseases of the respiratory system Total Neoplasms - Other Malignant Volume depletion (dehydration) Other Endocrine, nutritional and metabolic diseases, and immunity disorders Diseases of the circulatory system Unknown Malignant neoplasm of breast Neoplasms - Benign Neoplasms - Other All Diabetes mellitus Endocrine, nutritional and metabolic diseases, and immunity disorders Female Heart disease Acute myocardial infarction Coronary atherosclerosis Other ischemic heart disease Cardiac dysrhythmias Congestive heart failure Cerebrovascular disease Other Diseases of the circulatory system All Acute bronchitis and bronchiolitis Pneumonia Chronic bronchitis Asthma Other Diseases of the respiratory system All Appendicitis Noninfectious enteritis and colitis Cholelithiasis Other Diseases of the digestive system All Calculus of kidney and ureter Other Diseases of the genitourinary system All Cellulitis and abscess Other Diseases of the skin and subcutaneous tissue All (Continued) Maricopa County Health Status Report 2011 Page 61 Maricopa County 2011 Hospital Discharge Statistics Table 5.06a continued Number of Discharges by Gender Primary Diagnosis Male Diseases of the musculoskeletal system and connective tissue Osteoarthrosis and allied disorders Intervertebral disc disorders Other - Diseases of the musculoskeletal system and connective tissue All Congenital anomalies Certain conditions originating in the perinatal period Other healthcare encounters Total Fractures, all sites Fracture of neck of femur Poisonings Other Injury and poisoning All Rehab Services Other healthcare encounters All Unknown Total 6,381 1,448 5,222 13,051 790 814 0 0 0 0 0 2 10,815 2,981 9,872 23,668 1,776 1,923 9,105 11,593 1 20,699 5,085 1,096 2,239 12,125 20,545 1,650 1,462 3,112 162,695 4,921 2,345 2,535 10,153 19,954 1,592 1,460 3,052 178,712 1 0 0 1 2 0 0 0 5 10,007 3,441 4,774 22,279 40,501 3,242 2,922 6,164 341,412 Symptoms, signs, and ill-defined conditions Injury and poisoning Female 4,434 1,533 4,650 10,617 986 1,107 Note: Pregnant women, newborns, and Long Term Acute Care Hospitals and Rehabilitation Hospital Admissions excluded Maricopa County Health Status Report 2011 Page 62 Maricopa County 2011 Hospital Discharge Statistics Table 5.06b Selected Primary Diagnosis Groups by Gender Crude Hospitalization Rates per 100,000 Residents Hospitalization Rate by Gender Primary Diagnosis Male Infectious and parasitic diseases Unknown Total 322.4 183.5 505.9 339.7 202.5 542.2 - 331.1 193.1 35.5 30.8 - 33.1 37.1 33.5 - 35.3 Malignant neoplasm of breast Neoplasms - Benign Neoplasms - Other Malignant Neoplasms - Other All Endocrine, nutritional and Diabetes mellitus metabolic diseases, and immunity Volume depletion (dehydration) disorders Other Endocrine, nutritional and metabolic diseases, and immunity disorders All Diseases of the blood and blood-forming organs 0.4 30.4 228.7 16.7 348.7 193.6 5.1 34.9 134.3 195.7 17.7 447.0 156.9 6.7 - 17.8 82.9 212.0 17.2 398.3 175.1 5.9 174.0 260.0 - 217.4 372.7 103.0 423.6 138.0 - 398.4 120.7 Mental disorders 255.7 18.3 51.7 325.8 236.2 214.6 12.6 54.7 281.9 296.5 - 235.0 15.4 333.4 176.9 219.3 8.1 253.9 43.8 248.8 285.9 1,570.1 85.6 253.5 128.7 103.4 297.5 868.7 131.6 75.5 24.2 820.6 1,051.9 76.9 351.7 428.6 256.0 286.1 95.6 100.0 9.0 230.1 34.3 271.2 276.8 1,303.2 77.5 266.8 157.1 145.2 296.9 943.4 107.8 127.0 21.5 1,011.8 1,268.0 62.7 646.5 709.2 222.5 - 35.5 31.3 - 33.3 291.4 253.8 - 272.4 Neoplasms Septicemia Other Infectious and parasitic diseases All Malignant Neoplasm of large intestine & rectum Malignant neoplasm of trachea, bronchus & lung Female Psychoses Alcohol dependence syndrome Other Mental disorders All Diseases of the nervous system and sense organs Diseases of the circulatory system Diseases of the respiratory system Diseases of the digestive system Diseases of the genitourinary system Diseases of the skin and subcutaneous tissue Heart disease Acute myocardial infarction Coronary atherosclerosis Other ischemic heart disease Cardiac dysrhythmias Congestive heart failure Cerebrovascular disease Other Diseases of the circulatory system All Acute bronchitis and bronchiolitis Pneumonia Chronic bronchitis Asthma Other Diseases of the respiratory system All Appendicitis Noninfectious enteritis and colitis Cholelithiasis Other Diseases of the digestive system All Calculus of kidney and ureter Other Diseases of the genitourinary system All Cellulitis and abscess Other Diseases of the skin and subcutaneous tissue All (Continued) Maricopa County Health Status Report 2011 Page 63 524.2 53.2 303.6 266.6 309.5 135.8 159.1 8.6 241.9 39.0 260.1 281.3 1,435.3 81.5 260.2 143.0 124.5 297.2 906.4 119.6 101.5 22.8 917.1 1,161.0 69.8 500.6 570.3 239.1 Maricopa County 2011 Hospital Discharge Statistics Table 5.06b continued Hospitalization Rate by Gender Primary Diagnosis Male Female Unknown Total 325.6 73.9 266.5 666.0 40.3 41.5 - 278.7 76.8 254.4 Congenital anomalies Certain conditions originating in the perinatal period 230.8 79.8 242.1 552.7 51.3 57.6 Symptoms, signs, and ill-defined conditions 474.0 591.6 - 264.7 57.1 116.6 631.3 1,069.6 85.9 76.1 162.0 8,470.3 251.1 119.7 129.4 518.2 1,018.3 81.2 74.5 155.8 9,120.4 - 533.4 257.9 88.7 123.0 574.2 Diseases of the musculoskeletal system and connective tissue Injury and poisoning Other healthcare encounters Osteoarthrosis and allied disorders Intervertebral disc disorders Other - Diseases of the musculoskeletal system and connective tissue All Fractures, all sites Fracture of neck of femur Poisonings Other Injury and poisoning All Rehab Services Other healthcare encounters All Total 610.0 45.8 49.6 1,043.8 83.6 75.3 158.9 8,798.7 Note: Pregnant women, newborns, and Long Term Acute Care Hospitals and Rehabilitation Hospital Admissions excluded Maricopa County Health Status Report 2011 Page 64 Maricopa County 2011 Hospital Discharge Statistics Table 5.07 Total Charges for Hospitalizations by Primary Diagnosis Groups Number Discharges Primary Diagnosis Category Median Charges Mean Charges Total Charges Infectious and parasitic diseases Septicemia 20,341 $34,804 $58,392 $1,187,750,000 7,492 $23,958 $37,200 $278,701,025 Neoplasms 15,455 $48,664 $69,172 $1,069,060,000 1,369 $59,198 $72,929 $99,840,135 692 $41,894 $49,112 $33,985,728 3,215 $38,373 $54,533 $175,324,840 8,227 $50,483 $75,341 $619,831,975 668 $46,025 $63,889 $42,677,695 15,458 $22,832 $32,544 $503,070,332 229 $59,164 $85,555 $19,592,183 8,436 $22,265 $29,396 $247,985,887 4682 $23,044 $34,758 $162,736,304 11,754 $21,161 $29,067 $341,652,682 597 $14,316 $19,604 $11,703,759 2,055 $16,168 $20,685 $42,508,429 10,346 $24,523 $37,599 $388,995,642 55,694 $35,793 $57,643 $3,210,350,000 Heart disease 5,271 $69,126 $87,899 $463,313,793 Acute myocardial infarction 6,172 $66,365 $83,535 $515,580,381 Malignant neoplasms Malignant neoplasm - large intestine & rectum Malignant neoplasm - trachea, bronchus, & lung Malignant neoplasm - breast Benign neoplasms Endocrine, nutritional and metabolic diseases, and immunity disorders Diabetes mellitus Volume depletion (dehydration) Diseases of the blood and blood-forming organs Mental disorders Psychoses Alcohol dependence syndrome Diseases of the nervous system and sense organs Diseases of the circulatory system Coronary atherosclerosis 333 $22,913 $27,871 $9,281,193 Other ischemic heart disease 9,386 $26,108 $45,292 $425,114,052 Cardiac dysrhythmias 1,514 $27,476 $46,884 $70,982,190 Congestive heart failure 10,092 $31,322 $47,765 $482,042,956 Cerebrovascular disease 10,916 $29,272 $46,725 $510,046,078 Diseases of the respiratory system 35,171 $23,365 $35,576 $1,251,250,000 Acute bronchitis and bronchiolitis 10,096 $24,277 $34,374 $347,044,096 Pneumonia 5,550 $24,460 $30,864 $171,297,970 Chronic bronchitis 4,831 $16,248 $20,998 $101,442,496 11,532 $31,495 $50,355 $580,688,098 45,051 $28,317 $38,998 $1,756,910,000 3,938 $23,257 $33,130 $130,466,689 Asthma Diseases of the digestive system Appendicitis Noninfectious enteritis and colitis Cholelithiasis Diseases of the genitourinary system Calculus of kidney and ureter Diseases of the skin and subcutaneous tissue (Continued) 886 $27,743 $45,485 $40,299,346 35,587 $28,422 $40,000 $1,423,470,000 22,130 $24,205 $30,645 $678,184,818 19,423 $23,856 $30,806 $598,352,889 10,571 $19,160 $25,863 $273,401,629 Maricopa County Health Status Report 2011 Page 65 Table 5.07 continued Maricopa County 2011 Hospital Discharge Statistics Number Discharges Primary Diagnosis Category Cellulitis and abscess Diseases of the musculoskeletal system and connective tissue Osteoarthrosis and allied disorders Intervertebral disc disorders Median Charges Mean Charges Total Charges 1,294 $22,169 $39,383 $50,961,417 23,668 $48,858 $58,258 $1,378,840,000 2,981 $51,614 $70,420 $209,922,350 9,872 $39,207 $58,983 $582,283,373 1,776 $61,540 $114,595 $203,519,877 Congenital anomalies Certain conditions originating in the perinatal period Symptoms, signs, and ill-defined conditions 1,923 $12,741 $71,044 $136,617,909 20,699 $20,471 $24,444 $505,966,278 Injury and poisoning 40,501 $35,578 $55,089 $2,231,170,000 Fractures, all sites 3,441 $55,003 $62,439 $214,854,117 4,774 $19,223 $28,872 $137,833,802 22,279 $34,319 $57,923 $1,290,460,000 Other healthcare encounters 6,164 $39,040 $51,430 $317,013,951 Rehab Services 2,922 $32,874 $49,594 $144,913,831 Fracture of neck of femur Poisonings Total 341,384 $29,512 $45,686 $15,596,000,000 Note: Pregnant women, newborns, and Long Term Acute Care Hospitals and Rehabilitation Hospital Admissions excluded Table 5.08 Average Charges for Hospitalization Related to Pregnancy and Birth Number Discharges Median Charges Mean Charges Total Charges Infant 52,633 $2,480 $7,494 $394,434,535 Mother 59,031 $11,950 $14,908 $880,062,154 Total 111,664 $7,521 $11,414 $1,274,500,000 Note: Mothers include all women hospitalized for pregnancy related conditions Maricopa County Health Status Report 2011 Page 66 Maricopa County 2011 Hospital Discharge Statistics Table 5.09 Length of Hospital Stay (Days) by Primary Diagnosis Group Primary Diagnosis Code Categories Infectious and parasitic diseases Septicemia Neoplasms Malignant neoplasms Malignant neoplasm - large intestine & rectum Malignant neoplasm - trachea, bronchus, & lung Malignant neoplasm - breast Benign neoplasms Endocrine, nutritional and metabolic diseases, and immunity disorders Diabetes mellitus Volume depletion (dehydration) Diseases of the blood and bloodforming organs Mental disorders Psychoses Number Discharges Median Days Mean Days Total Days 20,341 4.0 6.0 121,400.0 7,492 3.0 4.6 34,684.0 15,455 4.0 5.5 85,495.0 1,369 5.0 6.9 9,380.0 692 1.0 2.1 1,419.0 3,215 2.0 3.4 11,063.0 8,227 4.0 6.1 50,453.0 668 4.0 5.4 3,619.0 15,459 2.0 3.5 53,472.0 229 8.0 9.4 2,143.0 8,437 2.0 3.0 24,912.0 4,682 3.0 3.9 18,384.0 11,781 6.0 9.6 113,131.0 598 3.0 4.8 2,871.0 2,066 3.0 4.7 9,645.0 10,346 3.0 3.8 38,810.0 55,694 3.0 3.9 214,540.0 Heart disease 5,271 3.0 4.3 22,572.0 Acute myocardial infarction 6,172 2.0 3.5 21,648.0 333 2.0 1.9 625.0 9,386 2.0 2.9 27,682.0 Alcohol dependence syndrome Diseases of the nervous system and sense organs Diseases of the circulatory system Coronary atherosclerosis Other ischemic heart disease Cardiac dysrhythmias 1,514 3.0 3.9 5,838.0 Congestive heart failure 10,092 2.0 3.6 36,678.0 Cerebrovascular disease 10,916 3.0 3.6 39,169.0 Diseases of the respiratory system 35,171 3.0 4.3 149,715.0 Acute bronchitis and bronchiolitis 10,096 3.0 4.3 43,687.0 Pneumonia 5,550 3.0 4.0 22,162.0 Chronic bronchitis 4,831 2.0 3.0 14,495.0 11,532 4.0 5.2 59,672.0 45,051 3.0 3.9 174,810.0 3,938 3.0 4.0 15,562.0 886 3.0 5.0 4,414.0 35,587 3.0 4.0 143,782.0 Diseases of the genitourinary system 22,130 2.0 3.2 70,288.0 Calculus of kidney and ureter Diseases of the skin and subcutaneous tissue 19,423 3.0 3.3 64,451.0 10,571 3.0 3.8 40,314.0 Asthma Diseases of the digestive system Appendicitis Noninfectious enteritis and colitis Cholelithiasis (Continued) Maricopa County Health Status Report 2011 Page 67 Maricopa County 2011 Hospital Discharge Statistics Table 5.09 continued Primary Diagnosis Code Categories Cellulitis and abscess Diseases of the musculoskeletal system and connective tissue Osteoarthrosis and allied disorders Intervertebral disc disorders Congenital anomalies Certain conditions originating in the perinatal period Symptoms, signs, and ill-defined conditions Injury and poisoning Fractures, all sites Fracture of neck of femur Poisonings Number Discharges Median Days Mean Days Total Days 1,294 3.0 5.1 6,588.0 23,668 3.0 3.2 74,966.0 2,981 2.0 2.7 8,176.0 9,872 3.0 3.6 35,543.0 1,776 3.0 6.6 11,713.0 1,923 3.0 10.4 19,954.0 20,699 2.0 2.4 48,969.0 40,501 3.0 4.3 174,084.0 3,441 4.0 5.2 17,787.0 4,774 2.0 2.9 13,750.0 22,279 3.0 4.6 103,051.0 Other healthcare encounters 6,164 7.0 9.9 60,911.0 Rehab Services 2,922 3.0 5.1 14,852.0 Total 341,412 3.0 4.3 1,470,956.0 Note: Pregnant women, newborns, and Long Term Acute Care Hospitals and Rehabilitation Hospital Admissions excluded Table 5.10 Length of Hospital Stay for Pregnancy and Birth Related Hospitalizations Number Discharges Infant 52,633 Median Days 2.0 Mean Days 3.0 Total Days 160,024.0 Mother 59,031 2.0 2.6 153,931.0 Total 111,664 2.0 2.8 313,955.0 Note: Mothers include all women hospitalized for pregnancy-related conditions Maricopa County Health Status Report 2011 Page 68 Maricopa County 2011 Hospital Discharge Statistics Table 5.11 Number of ED Visits by Age Group and Race/Ethnicity Age Group Number of ED Visits by Race/Ethnicity American Hispanic Black Indian Asian/NHPI White Unknown Total 0-4 49,571 71,429 12,822 3,809 2,682 2,222 142,535 5-9 23,303 29,020 5,554 1,446 1,112 1,055 61,490 10-14 16,897 15,998 3,596 818 551 568 38,428 15-19 42,699 33,722 9,217 1,653 1,170 1,073 89,534 20-24 59,866 35,085 13,239 2,666 1,491 1,107 113,454 25-34 110,793 55,351 21,324 5,500 3,315 1,822 198,105 35-44 90,534 40,648 16,171 3,779 2,785 1,459 155,376 45-54 87,230 28,363 14,370 2,549 1,950 1,162 135,624 55-64 60,231 15,201 7,406 1,183 1,478 783 86,282 65-74 45,240 7,951 3,005 466 1,039 567 58,268 75-84 39,644 4,472 1,476 167 701 305 46,765 85+ 24,337 1,432 528 41 214 132 26,684 2 0 1 0 0 2 5 650,347 338,672 108,709 24,077 18,488 12,257 1,152,550 Unknown Total Table 5.12 Number of ED Visits by Age Group and Sex Number of ED Visits by Gender Age Group Female Male Unknown Total 0-4 64,754 77,777 4 142,535 5-9 28,466 33,024 0 61,490 10-14 17,811 20,617 0 38,428 15-19 52,339 37,195 0 89,534 20-24 71,771 41,683 0 113,454 25-34 122,102 76,003 0 198,105 35-44 92,186 63,189 1 155,376 45-54 75,364 60,260 0 135,624 55-64 48,785 37,497 0 86,282 65-74 33,207 25,061 0 58,268 75-84 27,557 19,208 0 46,765 85+ 17,460 9,224 0 26,684 2 2 1 5 651,804 500,740 6 1,152,550 Unknown Total Maricopa County Health Status Report 2011 Page 69 Maricopa County 2011 Hospital Discharge Statistics Table 5.13 Number of ED Visits by Sex and Payer Type Primary Diagnosis Number of ED Visits by Age Group Female Male Unknown Total Other 26,936 23,678 0 50,614 Self Pay 76,036 82,756 3 158,795 Private Insurance 174,277 132,694 1 306,972 Medicare 104,494 72,074 0 176,568 AHCCCS Medicaid 270,061 189,538 2 459,601 Total 651,804 500,740 6 1,152,550 Maricopa County Health Status Report 2011 Page 70 Maricopa County 2011 Hospital Discharge Statistics Table 5.14a Selected Primary Diagnosis Groups by Race/Ethnicity Number of ED Visits Number of ED Visits by Race/Ethnicity Primary Diagnosis White Infectious and parasitic diseases Neoplasms Endocrine, nutritional and metabolic diseases, and immunity disorders Diseases of the blood and blood-forming organs Mental disorders Diseases of the nervous system and sense organs Hispanic American Indian Black Asian/NHPI Unknown Total 9,565 9,892 2,535 560 362 341 23,255 733 366 169 19 36 12 1,335 9,440 4,345 1,525 357 238 161 16,066 1,654 927 788 51 64 33 3,517 23,336 6,830 2,387 1,407 364 310 34,634 34,708 22,228 6,575 1,711 897 753 66,872 Diseases of the circulatory system 18,051 3,828 2,302 258 474 250 25,163 Diseases of the respiratory system 54,530 43,431 13,871 2,802 2,057 1,444 118,135 Diseases of the digestive system 36,055 20,620 6,390 1,278 989 714 66,046 Diseases of the genitourinary system 39,161 21,782 6,579 1,217 1,028 616 70,383 Complications of pregnancy, childbirth, & the puerperium 13,693 13,290 3,760 716 728 271 32,458 Diseases of the skin and subcutaneous tissue 22,894 13,230 4,232 1,061 581 414 42,412 Diseases of the musculoskeletal system and connective tissue 50,001 18,657 8,833 1,751 1,064 730 81,036 Congenital anomalies 189 102 26 3 1 4 325 Certain conditions originating in the perinatal period 603 858 154 38 35 29 1,717 169,456 84,057 26,608 5,186 5,206 3,103 293,616 150,800 67,020 18,910 4,969 3,960 2,787 248,446 1 3 0 1 1 0 6 15,477 7,206 3,065 692 403 285 27,128 650,347 338,672 108,709 24,077 18,488 12,257 1,152,550 Symptoms, signs, and ill-defined conditions Injury and poisoning Newborn Infant Other healthcare encounters Total Maricopa County Health Status Report 2011 Page 71 Maricopa County 2011 Hospital Discharge Statistics Table 5.14b Selected Primary Diagnosis Groups by Race/Ethnicity Crude Rate of ED Visits per 100,000 Residents ED Visits Rate by Race/Ethnicity Primary Diagnosis White Infectious and parasitic diseases Hispanic American Indian Black Asian/NHPI Unknown Total 423.1 850.9 1,388.5 901.1 255.6 - 599.3 32.4 31.5 92.6 30.6 25.4 - 34.4 417.6 373.7 835.3 574.5 168.1 - 414.1 73.2 79.7 431.6 82.1 45.2 - 90.6 1,032.3 587.5 1,307.4 2,264.0 257 - 892.6 1,535.3 1,911.9 3,601.3 2,753.2 633.4 - 1,723.4 Diseases of the circulatory system 798.5 329.3 1,260.9 415.2 334.7 - 648.5 Diseases of the respiratory system 2,412.1 3,735.7 7,597.6 4,508.7 1,452.4 - 3,044.5 Diseases of the digestive system 1,594.9 1,773.6 3,500.0 2,056.4 698.3 - 1,702.1 Diseases of the genitourinary system 1,732.3 1,873.6 3,603.5 1,958.3 725.9 - 1,813.9 Neoplasms Endocrine, nutritional and metabolic diseases, and immunity disorders Diseases of the blood and blood-forming organs Mental disorders Diseases of the nervous system and sense organs Complications of pregnancy, childbirth, & the puerperium 605.7 1,143.1 2,059.5 1,152.1 514.0 - 836.5 Diseases of the skin and subcutaneous tissue 1,012.7 1,138.0 2,318.0 1,707.3 410.2 - 1,093.0 Diseases of the musculoskeletal system and connective tissue 2,211.8 1,604.8 4,838.1 2,817.6 751.3 - 2,088.4 8.4 8.8 14.2 4.8 0.7 - 8.4 Congenital anomalies Certain conditions originating in the perinatal period 26.7 73.8 84.4 61.1 24.7 - 44.3 Symptoms, signs, and ill-defined conditions 7,495.8 7,230.1 14,574.1 8,344.9 3,676.0 - 7,567.0 Injury and poisoning 6,670.5 5,764.7 10,357.6 7,995.7 2,796.2 - 6,402.8 0 0.3 0 1.6 0.7 - 0.2 Newborn Infant Other healthcare encounters Total 684.6 619.8 1,678.8 1,113.5 284.6 - 699.1 28,767.7 29,130.7 59,543.4 38,742.6 13,054.4 - 29,703.0 Maricopa County Health Status Report 2011 Page 72 Maricopa County 2011 Hospital Discharge Statistics Table 5.15a Selected Primary Diagnosis Groups by Age Groups Number of ED Visits Number of ED Visits by Age Group Primary Diagnosis Infectious and parasitic diseases Neoplasms Endocrine, nutritional and metabolic diseases, and immunity disorders Diseases of the blood and blood-forming organs Mental disorders Diseases of the nervous system and sense organs Diseases of the circulatory system Diseases of the respiratory system Diseases of the digestive system Diseases of the genitourinary system Complications of pregnancy, childbirth, & the puerperium Diseases of the skin and subcutaneous tissue Diseases of the musculoskeletal system and connective tissue Congenital anomalies Certain conditions originating in the perinatal period Symptoms, signs, and ill-defined conditions Injury and poisoning Newborn Infant Other healthcare encounters Total 0-4 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 7,013 3,302 1,259 1,989 2,025 2,807 1,704 47 12 14 25 58 163 941 405 287 759 927 2,153 272 238 200 261 277 521 425 379 55 233 614 3,621 4,620 7,993 6,528 5,965 15,065 5,383 2,146 3,548 4,827 10,781 9,210 7,558 117 69 91 353 627 1,823 2,788 36,691 12,074 5,194 8,242 9,591 14,549 7,214 3,302 1,928 4,067 7,089 3,215 1,943 990 6,842 1 0 10 5,431 2,226 1,233 1,318 805 499 397 137 0 23,255 240 265 198 150 116 47 0 1,335 2,423 2,764 2,123 1,464 1,213 607 0 16,066 270 240 285 149 0 3,517 2,848 1,113 692 352 0 34,634 4,305 2,102 1,330 617 0 66,872 3,958 4,391 4,360 4,138 2,447 1 25,163 10,807 8,745 5,332 3,421 2,340 1,149 0 118,135 13,757 9,789 7,859 4,593 2,875 2,340 1,233 0 66,046 10,958 16,178 10,638 7,537 4,566 3,223 2,721 1,572 0 70,383 5,026 10,863 13,227 3,277 52 2 0 0 0 0 32,458 1,447 3,813 4,729 7,899 6,114 5,083 2,593 1,517 1,013 547 0 42,412 1,209 1,562 4,031 6,333 15,389 15,024 14,956 8,866 5,773 4,305 2,355 0 81,036 101 18 22 24 18 47 29 30 14 12 9 1 0 325 1,701 0 0 3 4 5 1 2 0 0 1 0 0 1,717 31,128 12,040 7,586 19,371 24,810 48,488 43,082 39,941 26,187 18,451 14,785 7,744 3 293,616 28,684 17,983 14,495 25,497 22,873 37,690 29,704 25,589 17,071 11,791 10,015 7,054 0 248,446 6 0 0 0 0 0 0 0 0 0 0 0 0 6 3,620 1,053 583 2,062 2,825 4,635 3,593 3,623 2,118 1,277 1,065 673 1 27,128 142,535 61,490 38,428 89,534 113,454 198,105 155,376 135,624 86,282 58,268 46,765 26,684 5 1,152,550 Maricopa County Health Status Report 2011 Page 73 85+ Unknown Total Maricopa County 2011 Hospital Discharge Statistics Table 5.15b Selected Primary Diagnosis Groups by Age Group, Number of ED Visits Crude Rate of ED Visits per 100,000 Residents ED Visits Rate by Age Group Primary Diagnosis Infectious and parasitic diseases Neoplasms Endocrine, nutritional and metabolic diseases, and immunity disorders Diseases of the blood and blood-forming organs Mental disorders Diseases of the nervous system and sense organs Diseases of the circulatory system Diseases of the respiratory system Diseases of the digestive system Diseases of the genitourinary system Complications of pregnancy, childbirth, & the puerperium Diseases of the skin and subcutaneous tissue Diseases of the musculoskeletal system and connective tissue Congenital anomalies Certain conditions originating in the perinatal period Symptoms, signs, and illdefined conditions Injury and poisoning Newborn Infant Other healthcare encounters Total 0-4 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ Unk Total 1,610.6 7.7 1,226.4 4.3 464.1 5.1 746.0 9.1 773.5 21.9 509.3 29.5 320.6 45.2 276.1 54.1 222.4 53.0 223.2 63.7 271.8 79.1 261.1 86.2 - 599.3 34.4 243.4 144.4 103.9 274.2 348.1 392.6 458.3 553.8 549.4 592.4 824.1 1,059.3 - 414.1 80.6 17.9 84.2 82.7 72.1 218.7 94.3 1,335.3 103.8 1,659.0 96.3 1,448.8 81.0 1,239.7 75.2 1,171.9 67.8 681.7 94.0 414.3 192.3 453.3 252.3 561.6 - 90.6 892.6 4,005.4 1,909.8 764.5 1,308.4 1,733.3 1,954.2 1,749.1 1,484.9 1,030.4 782.4 871.2 984.4 - 1,723.4 19.4 24.5 32.4 130.2 225.1 330.4 529.5 777.6 1,051.0 1,622.8 2,710.5 3,904.3 - 648.5 8,539.5 4,283.6 1,850.3 3,039.4 3,444.0 2,637.2 2,052.4 1,718.1 1,276.3 1,273.3 1,532.8 1,833.3 - 3,044.5 1,731.0 1,171.5 686.8 1,499.8 2,545.5 2,493.6 1,859.0 1,544.0 1,099.4 1,070.1 1,532.8 1,967.3 - 1,702.1 870.0 689.3 352.7 2,523.1 3,934.8 2,932.4 2,020.3 1,480.8 1,092.9 1,199.6 1,782.4 2,508.2 - 1,813.9 0.4 0.0 3.6 1,853.4 3,900.7 2,397.5 622.3 10.2 0.5 0.0 0.0 0.0 - 836.5 1,509.5 789.7 515.5 1,406.1 1,698.1 1,431.8 1,161.1 998.6 620.7 564.6 663.6 872.8 - 1,093.0 410.4 13.6 428.9 6.4 556.5 7.8 1,486.5 8.9 2,274.1 6.5 2,789.4 8.5 2,853.2 5.5 2,938.4 5.9 2,122.2 3.4 2,148.7 4.5 2,819.9 5.9 3,757.5 1.6 - 2,088.4 8.4 0.7 0.0 0.0 1.1 1.4 0.9 0.2 0.4 0.0 0.0 0.7 0.0 - 44.3 7,431.5 8,996.5 0.0 4,271.6 6,380.0 0.0 2,702.5 5,163.8 0.0 7,143.4 9,402.4 0.0 8,908.9 8,213.3 0.0 8,789.0 6,831.7 0.0 8,181.7 5,641.1 0.0 7,847.1 5,027.4 0.0 6,268.1 4,086.1 0.0 6,867.4 4,388.5 0.0 9,684.7 6,560.2 0.0 12,355.8 11,254.9 0.0 - 7,567.0 6,402.8 0.2 743.8 36,231.8 373.6 21,871.0 207.7 13,708.0 760.4 33,021.8 1,014.4 40,806.5 840.1 35,913.3 682.3 29,502.6 711.8 26,676.5 507.0 20,732.2 475.3 21,784.5 697.6 30,682.9 1,073.8 42,734.3 - 699.1 29,703.0 Maricopa County Health Status Report 2011 Page 74 Maricopa County 2011 Hospital Discharge Statistics Table 5.16a Selected Primary Diagnosis Groups by Sex Number of ED Visits Number of ED Visits by Gender Primary Diagnosis Infectious and parasitic diseases Neoplasms Endocrine, nutritional and metabolic diseases, and immunity disorders Diseases of the blood and blood-forming organs Mental disorders Diseases of the nervous system and sense organs Diseases of the circulatory system Diseases of the respiratory system Diseases of the digestive system Diseases of the genitourinary system Complications of pregnancy, childbirth, & the puerperium Diseases of the skin and subcutaneous tissue Diseases of the musculoskeletal system and connective tissue Congenital anomalies Certain conditions originating in the perinatal period Symptoms, signs, and ill-defined conditions Injury and poisoning Newborn Infant Other healthcare encounters Total Female Male Unknown Total 12,551 871 10,704 464 0 0 23,255 1,335 8,224 2,044 16,354 38,310 13,112 62,741 35,881 52,064 7,842 1,473 18,280 28,562 12,051 55,393 30,165 18,319 0 0 0 0 0 1 0 0 16,066 3,517 34,634 66,872 25,163 118,135 66,046 70,383 32,458 21,919 0 20,493 0 0 32,458 42,412 46,280 143 786 176,290 119,242 3 12,531 651,804 34,756 182 931 117,323 129,203 3 14,596 500,740 0 0 0 3 1 0 1 6 81,036 325 1,717 293,616 248,446 6 27,128 1,152,550 Maricopa County Health Status Report 2011 Page 75 Maricopa County 2011 Hospital Discharge Statistics Table 5.16b Selected Primary Diagnosis Groups by Sex Crude Hospitalization Rates per 100,000 Residents ED Visits Rate by Gender Primary Diagnosis Infectious and parasitic diseases Neoplasms Endocrine, nutritional and metabolic diseases, and immunity disorders Diseases of the blood and blood-forming organs Mental disorders Diseases of the nervous system and sense organs Diseases of the circulatory system Diseases of the respiratory system Diseases of the digestive system Diseases of the genitourinary system Complications of pregnancy, childbirth, & the puerperium Diseases of the skin and subcutaneous tissue Diseases of the musculoskeletal system and connective tissue Congenital anomalies Certain conditions originating in the perinatal period Symptoms, signs, and ill-defined conditions Injury and poisoning Newborn Infant Other healthcare encounters Total Female Male Unknown Total 640.5 44.5 557.3 24.2 - 599.3 34.4 419.7 408.3 - 414.0 104.3 834.6 76.7 951.7 - 90.6 892.6 1,955.1 1487 - 1,723.4 669.2 3,201.9 1,831.2 2657 627.4 2,883.9 1,570.5 953.7 - 648.5 3,044.5 1,702.1 1,813.9 1,656.5 - - 836.5 1,118.6 1,066.9 - 1,093.0 2,361.9 1,809.5 - 2,088.4 7.3 9.5 - 8.4 40.1 48.5 - 44.2 8,996.8 6,085.4 0.2 639.5 33,264.3 6,108.1 6,726.6 0.2 759.9 26,069.7 - 7,566.9 6,402.8 0.2 699.1 29,703.0 Maricopa County Health Status Report 2011 Page 76 Maricopa County 2011 Hospital Discharge Statistics Table 5.17 Number of Injury Related Emergency Department (ED) Visits by Race/Ethnicity Number of Injury Related ED Visits by Race/Ethnicity Total White 16,569 Hispanic 7,938 Black 3,245 American Indian 524 197 206 79 6 4 22 514 5,588 1,956 608 160 116 85 8,513 52,973 20,066 4,603 1,474 1,049 837 81,002 231 123 37 21 6 4 422 2,471 1,549 408 93 117 53 4,691 CUT/PIERCE 11,719 5,360 1,251 378 276 223 19,207 STRUCK BY/AGAINST 23,266 11,730 3,585 982 595 456 40,614 OTHER CAUSES 16,286 8,984 2,145 693 532 300 28,940 5,507 1,765 322 138 77 76 7,885 OVEREXERTION 14,297 5,900 2,135 503 335 200 23,370 CAUSE UNKNOWN 12,938 6,078 2,298 612 292 210 22,428 162,042 71,655 20,716 5,584 4,196 2,975 267,168 Primary Diagnosis MVT FIREARM POISONING FALLS SUFFOCATION/DROWNING FIRE/BURN OTHER TRANS Total Maricopa County Health Status Report 2011 Page 77 Asian/NHPI 797 Unknown 509 29,582 Maricopa County 2011 Hospital Discharge Statistics Table 5.18 Number of Injury Related Emergency Department (ED) Visits by Age Group Number of Injury Related ED Visits by Age Group Primary Cause of Injury MVT FIREARM POISONING FALLS SUFFOCATION/DROWNING FIRE/BURN CUT/PIERCE STRUCK BY/AGAINST OTHER CAUSES OTHER TRANS OVEREXERTION CAUSE UNKNOWN Total Total 0-4 799 3 1,011 13,504 154 1,002 1,139 4,199 5,241 320 883 1,473 29,728 5-9 906 2 131 7,268 22 299 1,093 3,775 2,874 819 602 762 18,553 10-14 777 6 197 4,607 16 178 942 3,959 1,461 873 1,272 715 15,003 15-19 3,738 102 1,294 4,748 37 374 2,079 6,705 2,246 1,117 2,978 2,050 27,468 20-24 4,471 129 1,018 3,941 43 514 2,548 4,430 2,492 724 2,550 2,496 25,356 25-34 6,388 127 1,604 7,193 48 807 4,026 6,455 4,191 1,098 5,279 4,606 41,822 35-44 4,668 58 1,248 6,656 35 584 2,748 4,497 3,451 1,050 3,935 3,627 32,557 Maricopa County Health Status Report 2011 45-54 3,772 44 1,049 7,568 39 464 2,119 3,152 3,099 946 2,917 2,948 28,117 Page 78 55-64 2,315 25 540 6,740 9 274 1,218 1,624 1,797 503 1,477 1,615 18,137 65-74 1,037 9 212 6,083 9 113 770 847 1,109 257 793 966 12,205 75-84 559 4 150 6,787 2 58 385 581 659 123 500 728 10,536 85+ 154 5 60 5,911 8 24 140 390 321 55 185 442 7,695 29,584 514 8,514 81,006 422 4,691 19,207 40,614 28,941 7,885 23,371 22,428 267,177 Table 5.19 Number of Injury Related Emergency Department (ED) Visits by Sex Primary Diagnosis MVT FIREARM Number of Injury Related ED Visits by Age Group Female Male Unknown 16,524 13,060 0 Total 29,584 64 450 0 514 4,693 3,821 0 8,514 44,208 36,798 0 81,006 197 225 0 422 2,307 2,384 0 4,691 CUT/PIERCE STRUCK BY/AGAINST OTHER CAUSES OTHER TRANS 7,323 15,271 14,003 2,523 11,884 25,343 14,938 5,362 0 0 0 0 19,207 40,614 28,941 7,885 OVEREXERTION 11,366 12,005 0 23,371 CAUSE UNKNOWN 11,341 11,086 1 22,428 129,820 137,356 1 267,177 POISONING FALLS SUFFOCATION/DROWNING FIRE/BURN Total Maricopa County Health Status Report 2011 Page 79 VII. Technical Notes Population Statistics Population statistics are shown in Tables 1.01 and 1.02. This report used the 2011 Census data. • The Maricopa County population is from the U.S. Census Bureau, County Population Estimates by Age, Sex, Race and Hispanic Origin for July 1, 2011, released May 2012. The estimates for 2011 are based on the 2010 Census Decennial counts. It takes into consideration births, deaths, and migration in and out of Maricopa County since April 1, 2010. For more information on the methodology used to estimate the population please see Methodology for the State and County Resident Population Estimates by Age, Sex, Race, and Hispanic Origin (Vintage 2011): April 1, 2010 to July 1, 2011. This located http://www.census.gov/popest/methodology/2011-stco-char-meth.pdf. This report defines “Hispanic” as all respondents listing Hispanic as origin, either alone or in combination with any race. The table below shows how the U.S. Census variables of “origin” and “race” are used for categorization in this report. Table 7.1 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 Asian Race=3 (American Indian or Alaska Native Alone) Race=4 (Asian Alone) or 5 (Native Hawaiian or Other Pacific Islander Alone) Origin=1 (Non-Hispanic) Origin=1 (Non-Hispanic) Multiple Race=6 (Two or More Races) Origin=1 (Non-Hispanic) Other Race=7 (Some Other Race) Origin=1 (Non-Hispanic) Hispanic Race=1,2,3,4,5,6,7 Origin=2 (Hispanic) The race category Multiple is only used for data from mortality (death) records. For all other data sources (communicable, birth, hospital discharge) the Multiple race population is included with “Other” because these data sources do not allow the selection of more than one race. Census data is used to calculate rates for mortality, morbidity, and hospital discharge data. Any crude rate can be calculated by taking the number of events from any table in this report (for mortality, morbidity and hospital discharge) 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 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 a couple conditions, Sudden Infant Death Syndrome (SIDS) in the mortality tables and Strep Group B in the morbidity tables are calculated differently. By definition, SIDS deaths and Strep Group B cases 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. 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), Maricopa County Health Status Report 2011 Page 80 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 from year to year. Therefore, it is advisable to examine the raw number of cases or deaths, in addition to the rates. There are no rates provided for the categories labeled “Unknown Age” “Unknown Gender” 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,” “unknown gender,” or “unknown race/ethnicity.” Mortality (Death) Statistics Mortality (death) statistics are shown in Tables 2.01a through 2.18. 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. In 2011, three infant death certificates were determined to be fetal death certificates, and therefore were removed from the analyses. The removal of the three records may cause the numbers reported in this report to differ from the numbers reported elsewhere. 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 most tables 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 2.15 and 2.16, where unintentional injury deaths do not include complications of medical/surgical care to make them comparable to the Healthy People 2020 goals. Tables 2.06a through 2.09b do not report total deaths by Race/Ethnicity, Age Group, or Sex because the causes of death reported in these tables are a subset of the causes of death reported in tables 2.03a through 2.05b. Unless otherwise noted, all deaths are attributed to one underlying condition, based on death th certificate information, using the rules of the International Classification of Diseases, 10 Revision (ICD-10). Causes of death are classified by ICD-10 codes. The codes used for each category are listed in Table 7.2 below. Table 7.2 ICD-10 Codes Used for This Report Cause Clostridium difficile Salmonella & Other Intestinal Infections Tuberculosis Septicemia Syphilis HIV Disease Viral Hepatitis Coccidioidomycosis Other Mycoses Malignant Neoplasms (Cancer) Malignant Neoplasm of the Stomach ICD-10 Codes Used A04.7 A01-A04.6, A04.8-A04.9, A06-A09 A16-A19 A40-A41 A50-A53 B20-B24 B15-B19 B38 B35-B37, B39-B49 C00-C97 C16 (Continued) Maricopa County Health Status Report 2011 Page 81 (Table 5.2, Continued) Malignant Neoplasm of the Colon Malignant Neoplasm of the Pancreas Malignant Neoplasm of Bronchus, Lung, or Trachea Malignant Neoplasm of Skin Malignant Neoplasm of the Breast Malignant Neoplasm of the Uterus, Cervix, Ovary Malignant Neoplasm of the Ovary Malignant Neoplasm of the Prostate Malignant Neoplasm of the Testes Malignant Neoplasm of Urinary Organs Malignant Neoplasm of the Meninges, Brain, and Central Nervous System Non-Hodgkins Lymphoma Leukemia Other Malignant Neoplasms Anemias Diabetes Nutritional Deficiences Obesity Mental & Behavioral Disorders Due to the Use of Alcohol Parkinson’s Disease Alzheimer’s Multiple Sclerosis Epilepsy Major Cardiovascular Disease Disease of Heart Hypertensive Heart Disease Ischemic Heart Disease Acute Myocardial Infarction Other Heart Disease Congestive Heart Failure Coronary Heart Disease Primary Hypertension Cerebrovascular Diseases Atherosclerosis Other Circulatory Influenza & Pneumonia Chronic Lower Respiratory Emphysema Asthma Peptic Ulcer Liver Disease, including chronic liver disease, cirrhosis, alcoholic liver disease, and other chronic liver disease Alcoholic Liver Disease Rheumatoid Arthritis Lupus Osteoporosis Nephritis, nephritic syndrome and nephrosis C18-C21 C25 C33-C34 C43 C50 C53-C56 C56 C61 C62 C64-C68 C70-C72 C82-C85 C91-C95 C00-C15, C17, C22-C24, C26-C32, C37-C49, C51-C52, C57-C60, C62C63, C69-C81, C88, C90, C96-97 D56-D64 E10-E14 E40-E64 E66 F10 G20-G21 G30 G30 G35 I00-I78 I00-I09, I11, I13, I20-I51 I11, I13 I20-I25 I21-I22 I00-I09, I26-I51 I50 I11, I20-I25 I10, I12 I60-I69 I70 I71-I78 J09-J18 J40-J47 J43 J45-J46 K25-K28 K70, K73-K74 K70 M05-M08 M32 M80-M81 N00-N07, N17-N19, N25-N27 (Continued) Maricopa County Health Status Report 2011 Page 82 (Table 5.2, Continued) Pregnancy, childbirth, and the puerperium Perinatal Conditions Disorders Related to Short Gestation and Low Birth Weight (LBW) Congenital Malformations Congenital Malformations of the Circulatory System Chromosomal Abnormalities SIDS (Sudden Infant Death Syndrome) Ill Defined Disease Conditions (Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified, excluding SIDS) All Other Diseases Motor Vehicle Collisions All Other Accidents & Adverse Effects Falls Excessive Exposure to Natural Heat Accidental Poisoning Accidental Drowning (Excludes drowning involving water transportation) Legal Intervention Accidental Discharge of Firearms Discharge of Firearms, Undetermined Intent Complications of Medical and Surgical Care (Excludes accidental overdose of a drug or drugs administered in error) Suicide Homicide All Other External Causes Unknown Causes Firearm Related Drug Induced or Related Alcohol Induced or Related A34, O00-O99 P00-P96 P07 Q00-Q99 Q20-Q28 Q90-Q99 R95 R00-R94, R96-R99 A00-A09, A20-A33, A35-A49, A54-B19, B25-B99, D00-E07, E15-G25, G31H93, I80-J06, J20-J39, J60-K22, K29K66, K71-K72, K75-M99, N10-N15N20N23, N28-N98 V02-V04, V09.0, V09.2, V12-V14, V19.0 - V19.2, V19.4-V19.6, V20-V79, V80.3-V80.5, V81.0-V81.1, V82.0V82.1, V83-V86, V87.0-V87.8, V88.0V88.8, V89.0 V89.2 V01, V05-V06, V09.1, V09.3-V09.9, V10-V11, V15-V18, V19.3, V19.8V19.9, V80.0-V80.2, V80.6-V80.9, V81.2-V81.9, V82.2-V82.9, V87.9, V88.9, V89.1, V89.3, V89.9 V90-X29, X31-X59, Y40-Y86, Y88 W00-W19 X30 X40-X49 W65-W74 Y35, Y890 W32-W34 Y22-Y24 Y40-Y84, Y88 U03, X60-X84, Y87.0 U01-U02, X85-Y09, Y87.1 Y10-Y36, Y87.2, Y89 No ICD code listed W32-W34, X72-X74, X93-X95, Y22Y24, 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, F18.0-F18.5, F18.7-F18.9, F19.0-F19.5, F19.7-F19.9, X40-X44, X60-X64, X85, Y10-Y14 F10, G31.2, G62.1, I42.6, K29.2, K70, R78.0, X45, X65, Y15 Maricopa County Health Status Report 2011 Page 83 Only the underlying cause of death is used for classification in this report. Although other causes may have contributed to death, the underlying cause of death is the cause that began the disease process that resulted in death. The underlying causes of death shown in this report are based on the 113 selected causes of death reported by NCHS in their annual report. A few additional causes of death, like coccidioidomycosis, have been selected due to their importance in Arizona. Tables 2.09a through 2.11b 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). Drug-related deaths are listed both with and without tobacco-related deaths, because tobacco is not often considered to be a drug in the colloquial sense. Induced deaths refer to cases in which the use of a firearm, drug, or alcohol contributed directly to the cause of death, i.e., death due to an overdose of drugs, or a fatal gunshot injury. Related deaths refer to cases in which the use of a drug or alcohol was listed on the death certificate, but the substance was not necessarily involved in the final cause of death, i.e., death due to dehydration resulting from environmental exposure, with chronic drug use noted elsewhere on the certificate. Related causes of deaths are counted using multiple causes of death (MCD) data supplied by ADHS with the final annual mortality files. This is the only place multiple cause of death data are used in this report. Firearm, drug, and alcohol induced deaths overlap with 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 short or long term effect of alcohol, such as acute alcohol intoxication or alcoholic cardiomyopathy. This report only reports heat deaths where heat is the underlying COD. In other reports produced by Maricopa County regarding heat deaths, the number of deaths may be greater. In the other reports the following criteria is used in classifying heat deaths. Heat caused deaths are death where heat directly caused the decedent to die. The death certificate has heat mentioned in the Part I of the death certificate. Part I is a progression of disease that leads to the immediate cause of death. Heat related deaths are deaths where the heat played a part by exacerbating preexisting conditions, resulting in death. The death certificate has heat mentioned in the Part II of the death certificate. Part II is other significant conditions contributing to death but not resulting in the underlying cause given in Part I. In this report, the criterion used for classifying a death as heat is the underlying cause of death code. These deaths may have been classified as heat caused or heat related in the other reports. Tables 2.15 and 2.16 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 “adjusted” death rate. 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 senior citizens, who are more likely to die than younger residents. Age-adjusted rates allow comparisons between towns, ethnic 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 non-Hispanics. Age adjustment shows that White nonHispanics 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. Maricopa County Health Status Report 2011 Page 84 For Table 2.16, the mortality rate for breast cancer is calculated among women only (using only female residents in the denominator). The few male residents with breast cancer are not included in the numerator of the rate for breast cancer. See Table 2.05 for the incidence of male breast cancer. For Tables 2.03b, 2.04b, 2.05b, 2.06b, 2.07b, 2.08b and 2.16, prostate and testicular 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. For Table 2.17, the leading causes of death by race/ethnicity are shown. The leading causes of death those causes that had the most deaths. It does not take into consideration the death rate or the age-adjusted death rate. For Black, American Indian, and Asian residents, only a few of the leading causes of death are shown due to the small number of deaths. Table 2.18 shows the Years of Potential Life Lost (YPLL). YPLL is an estimate of the additional years people might have lived had they not died prematurely from a given cause of death. The following method is used to calculate YPLL.  First, life expectancies for males and females in the U.S. are obtained from the National Center for Health Statistics. For 2011, these were 76.2 years for males and 81.1 years for females.  Second, the age of each decedent was subtracted from the life expectancy for males and females depending on the sex of the decedent to determine the YPLL for each decedent. If the decedent lived past the age of life expectancy, they were given a value of 0 for YPLL.  Third, the YPLL was added up for each decedent to calculate the total number of YPLL in Maricopa County and by each reported cause of death. By reporting YPLL, causes of death that have a tendency to occur in an older population, such as heart disease and Alzheimer’s disease, have less weight than deaths that occur in a younger th population, such as homicide and suicide. In 2011, Alzheimer’s was the 4 leading cause of th death, suicide was the 8 , and homicide was not in the top ten. Based on the YPLL, suicide th th resulted in the 4 most YPLL, homicide the 7 , and Alzheimer’s disease was not in the top ten of YPLL. A recent decrease in the number of deaths with an underlying cause of death due to pneumonia and influenza has been noted. A review of all deaths has found that although the percent of death certificates that mention either pneumonia or influenza has not decreased, the percent of death certificates that have pneumonia or influenza as the underlying cause of death has decreased. At this time there is no explanation for this decrease. Decreases may occur due to changes in the coding of disease, improvements in the writing of cause of deaths by medical providers, or some other random cause. This decrease is being investigated further. In 2010, the Arizona Department of Health Service Office of Vitals Records modified the death certificate to meet the recommendations of the 2003 Standard developed by the National Center for Health Statistics. Some of the changes directly impacted the data presented in this report. The changes in death certificates include questions pertaining to tobacco use, pregnancy status, classification of education level, and the introduction of classifying an individual to more than one race group. Each of these changes will be discussed further below. The tobacco use question asks if the cause of death is related to tobacco use. The certifier can select “Yes,” “No,” “Probably,” or “Unknown.” If either “Yes” or “Probably” is selected, the death will then have an ICD-10 code for tobacco. This new question caused a sharp increase in the number of deaths that are drug-related in Tables 2.09, 2.10, and 2.11. This increase is not necessarily due to more deaths being related to tobacco use, but rather by a change in identifying deaths due to tobacco use. Maricopa County Health Status Report 2011 Page 85 The pregnancy status question asks the certifier to select if the female decedent was “Pregnant at time of death,” “Not pregnant but pregnant within 42 days of death,” “Not pregnant but pregnant 43 days to 1 year before death,” or not pregnant. The certifier can also select “Unknown.” In 2010, there was an increase in the number of deaths to women due to pregnancy. The increase is not necessarily due to more pregnancy-related deaths, but rather by a change in identifying deaths of women who were pregnant in the last year prior to death. The education level question on the death certificate asks for the highest level of education attained by the decedent. In previous reports, education was determined by the number of years of education, from 0 years to 17 years. Education classification in those reports had 13-15 years as Some College, 16 years as College Graduate, and 17 years as Graduate School. Starting in 2010, education level changed to a description of the education attainment, i.e., “High School Graduate or GED,” “Some College-No Degree,” and “Associates Degree.” Before the change, decedents who may have earned an Associate Degree would have had 14 years of education, and assigned to have attained “Some College.” With the new descriptive education levels, decedents with an Associate Degree are now classified as being a “College Graduate” along with decedents with a Bachelor’s Degree. The last change in this report due to the new death certificate is the classification of race. Prior to 2010, decedents were recorded as having a single race. Starting in 2010, a decedent could be recorded as having more than one race. In this report, a new race group was added called “Multiple race” to account for this change. This means that decedents in the “Multiple race” group could be any combination of White, Black, American Indian, and Asian. As has been done in the past, race and Hispanic origin were combined to create race/ethnicity groupings (i.e., White nonHispanic) that were non-Hispanic races and a Hispanic group. Therefore, if a decedent had multiple races and was Hispanic, they are classified as Hispanic in this report. Due to the decision to report Multiple race as a separate racial group, our numbers may not be comparable across years. A method was developed by the National Center for Health Statistics that ‘bridges’ the decedents with multiple races to a single race. This Report does not use the bridged race methodology. Please see http://www.cdc.gov/nchs/nvss/bridged_race.htm for more information on the methodology of the bridged race. Comparison death rates for Arizona, shown in Table 2.16, can be found in Arizona Health Status and Vital Statistics 2010, published by the ADHS at http://www.azdhs.gov/plan/report/ahs/ahs2010/chptr2a_2d.pdf . Figures for the U.S., except for breast cancer and prostate cancer are from Deaths: Preliminary Data for 2011. Figures for the U.S. for breast cancer and prostate cancer are from Deaths: Final Data for 2008. The Preliminary 2011 data were published in National Vital Statistics Reports, Vol 61, no 6 October 10, 2012. These data can be found at http://www.cdc.gov/nchs/data/nvsr/nvsr61/nvsr61_06.pdf. The Final 2009 data were published in National Vital Statistics Reports, Vol 60, no 3, December 29, 2011. These data can be found at: http://www.cdc.gov/nchs/data/nvsr/nvsr60/nvsr60_03.pdf. Healthy People 2020 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. 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 seventeen residents with malaria in 2011. All of these cases acquired malaria outside of Maricopa County. Maricopa County Health Status Report 2011 Page 86 All data on communicable diseases are new cases of reportable diseases from 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 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.  Tuberculosis data were acquired on September 18, 2012.  STD data were acquired on September 19, 2012.  Syphilis data were acquired on September 19, 2012.  HIV/AIDS data for Maricopa County residents were acquired on September 21, 2012.  HIV/AIDS data for Arizona residents were acquired on August 3, 2012. Communicable disease data include only confirmed and probable cases, with the exception of: norovirus, RSV, Hansen’s disease, tuberculosis, genital herpes, gonorrhea, syphilis, chlamydia, and HIV/AIDS. Data for norovirus, RSV, tuberculosis, genital herpes, gonorrhea, syphilis, chlamydia, and HIV/AIDS includes only confirmed cases. Data for Hansen’s disease includes all confirmed, suspect, and probable cases diagnosed in Maricopa County, including diagnoses to non-county residents, as mentioned earlier. Data can be classified by date of onset, date of diagnosis or date of report to the health department. All diseases/conditions listed in this report are classified by the date of report to the health department. The only exceptions are HIV, AIDS, and Hansen’s disease which are classified by the 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. Prior to 2008, 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 to years before 2008 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 2009, a major laboratory changed reporting practices for coccidiodomycosis. Due to these changes, a large increase in the total number of cases has been observed. This increase in cases does not mean there is an increase of disease in Maricopa County. Rather, this means that more cases are being reported to public health. 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 2010, http://www.azdhs.gov/plan/report/ahs/ahs2010/chptr3a_3c.pdf. The rates for HIV and AIDS for Arizona were provided directly from ADHS on August 3, 2012. All U.S. rates are for 2010 and may be found in Morbidity and Mortality Weekly Report Vol 59 no. 53 June 1, 2012 at http://www.cdc.gov/mmwr/pdf/wk/mm5953.pdf . Healthy People 2020 Goals are set by the Department of Health and Human Services and may be found at http://www.healthypeople.gov/2020/topicsobjectives2020/pdfs/HP2020objectives.pdf. Maricopa County Health Status Report 2011 Page 87 Natality (Birth) Statistics Natality (birth) statistics are shown in Tables 4.01 through 4.24. The natality percentages for some groups such as 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 ADHS final annual files. The data presented in this report include births to mothers 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 whose 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. Table 4.24 compares natality measures for Maricopa County to Arizona and the U.S. Arizona figures for 2010 can be found in Arizona Health Status and Vital Statistics 2010, published by ADHS at http://www.azdhs.gov/plan/report/ahs/ahs2010/chptr1a_1d.pdf. Infant mortality statistics are from unlinked data or the number of infant deaths in a given year. U.S. data are preliminary for 2011, from the National Center for Health Statistics and can be found in Deaths: Preliminary Data for 2011, National Vital Statistics Reports, Vol 61, no 6, October 10, 2012 at http://www.cdc.gov/nchs/data/nvsr/nvsr61/nvsr61_06.pdf. Maternal mortality data for the U.S. are unavailable for the most recent report. This is due to the changes on the death certificates nationwide. States that have adopted the 2003 standard consistently had higher rates of maternal deaths due to the changes discussed in the mortality section of these technical notes. U.S. Data for low birthweight births and births to teen mothers can be found in Births: Preliminary Data for 2011, National Vital Statistics Reports, Vol 61, no 5, October 3, 2012 at http://www.cdc.gov/nchs/data/nvsr/nvsr61/nvsr61_05.pdf. An explanation of unlinked infant mortality data is presented below. 1 Adequate prenatal care is based on the Adequacy of Prenatal Care Utilization Index (APCUI) . 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 (the birth of one baby rather than twins, triplets, or other multiple births) 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 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 2011 Page 88 d) Adequate plus: Prenatal care began prior to the fourth month of pregnancy and 110% or more of the expected visits were attended Maternal deaths reported in Table 4.24 are based on death certificates where the pregnancy status was either “Pregnant at the time of death” or “Not pregnant, but pregnant within 42 days of death,” and a pregnancy condition is mentioned anywhere on the death certificates. Maternal deaths where the underlying cause of death was not pregnancy were counted using multiple causes of death (MCD) data supplied by ADHS with the final annual mortality files. Pregnancyrelated deaths are based on death certificates where the pregnancy status was marked as either “Pregnant at the time of death” or “Not pregnant, but pregnant within 42 days of death,” regardless on the cause of death. The following definitions related to reproductive health have been established by National Center 2 for Health Statistics :  Birth or Live Birth – The complete expulsion or extraction from the mother of a product of human conception, irrespective of the duration of pregnancy or birthweight which, after such expulsion or extraction, breathes or shows any other evidence of life such as beating of the heart, pulsation of the umbilical cord or definite movement of voluntary muscles, whether or not the umbilical cord has been cut or the placenta is attached.  Fertility Rate – Number of live births during a calendar year per 1,000 women age 15 to 44.  Births to Teenage Mothers − Live births occurring to females under age twenty.  Birth Weight – The weight of a neonate determined immediately after delivery or as soon thereafter as possible.  Low Birthweight – Any neonate weighing less than 2,500 grams at birth (less than 5 pounds 8 ounces).  Very Low Birthweight – Any neonate weighing less than 1,500 grams at births (less than 3 pounds, 4 ounces).  Preterm – Any neonate whose birth occurs through the end of the last day of the 37 th week (259 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.  Maternal Mortality Rate – Number of deaths to “a woman while pregnant or within 42 days of termination of pregnancy, irrespective of the duration and site of the pregnancy, from any cause related to or aggravated by the pregnancy or its management, but not 4 from accidental or incidental causes” per 100,000 births.  Pregnancy-related Mortality Rate-Number of deaths to “a woman while pregnant or within 5 42 days of termination of pregnancy, irrespective of the cause of death.” 3 2 th NCHS guidelines were adopted from those established by the World Health Organization (WHO). The Arizona statute defining a live birth follows this definition. 4 Hoyert DL, Maternal mortality and related concepts. National Center for Health Statistics. Vital Health Stat 3 (33). 2007 . 5 Ibid. 3 Maricopa County Health Status Report 2011 Page 89  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. Hospital Discharge Data Statistics Hospital discharge data are presented in tables 5.01 through 5.19. Hospital Discharge Data (HDD) are submitted by Arizona Hospitals to Arizona Department of Health Services (ADHS). Data are submitted by half years, with the first half (January 1 – June 30) due August 15 of the same year and the second half (July 1 – December 31) due by February th 15 of the following year. ADHS then prepares the data for public release and the data are released between 3 and 6 months after collection. These datasets only contain hospitalizations from facilities within the state of Arizona. Hospitalizations of Maricopa Residents that occur outside of Arizona are not captured. Both inpatient and emergency department (ED) visits are included in this dataset and are analyzed separately. HDD provides an address for each patient but does not include information about the county of residence. In order to select Maricopa County Residents, an algorithm was derived to determine residence based on city, state, and ZIP code. The list of cities and ZIP codes within Maricopa County are based on a national ZIP code database that is updated regularly with new ZIP codes and cities (U.S. ZIP code Database – Business version from: http://www.zip-codes.com/zip-codedatabase.asp). The algorithm is available by contacting the Office of Epidemiology by email at epidemiology@mail.maricopa.gov. Hospitalization Discharges represent the number of discharges from facilities within Arizona during a calendar year and are not unique patients. Therefore, if a person is hospitalized multiple times in a calendar year, that person will be represented multiple times in the dataset. Additionally, there is the probability that one patient may have two or more billing discharges for the same hospital encounter as a result of transfers between facilities and/or transfers between units of the same facility. A person may be included for both an ED visit and an inpatient stay if they are admitted to the hospital as an inpatient from the ED. All federal, state, military, and Department of Veteran Affairs’ hospitals are excluded. No behavioral health hospitals reported data during this time period. Long-term acute care (LTAC) and rehabilitation hospitals are excluded from this report because patients in these settings are usually transferred from another facility to the LTAC or rehabilitation hospital and have an average stay of 25 days or longer. Pregnant woman and newborns were analyzed separately from other hospital discharges for inpatient data. This allows for better comparison of the burden of disease between sex and age groups. Pregnant women were defined as any female, with an ICD-9 code between 630-679 or V30-V39 and an age greater than 5 years in their record. Newborns were defined as a record having age = 0 and a social security number of ‘1111,’ which is used to denote newborns, and an ICD-9 code of V30-V39. ED data included visits relate to pregnancy, childbirth, and newborns since ED visits are not a standard part of the birthing process. Insurance types were grouped into the following categories: Self-pay, Private Insurance (Commercial, HMOs, PPOs, and Health Care Groups), Medicare (including Medicare Risk), AHCCCS/Medicaid, and other (CHAMPUS/TRICARE, Children’s Rehab Services, Worker’s Compensation, Charity, Foreign National, and other). Maricopa County Health Status Report 2011 Page 90 Due to the exclusion of federal hospitals, there is the potential to have an underestimation of total discharges for American Indians in this report, because they may have sought care at a federal facility. In HDD, ICD-9-CM codes are used to identify the reasons for hospitalization. These codes are then grouped into categories for analysis. For this report, only the primary diagnosis codes are analyzed. Records without a primary diagnosis code or with an unknown code are classified as unknown. Table 7.3 Diagnostic Categories and corresponding ICD-9-CM codes Category of Primary Diagnoses Infectious and parasitic diseases Septicemia Neoplasms Malignant neoplasms Malignant neoplasm - large intestine & rectum Malignant neoplasm - trachea, bronchus, & lung Malignant neoplasm - breast Benign neoplasms Endocrine, nutritional & metabolic diseases, & immunity disorders Diabetes mellitus Volume depletion (dehydration) Diseases of the blood and blood-forming organs Mental disorders Psychoses Alcohol dependence syndrome Diseases of the nervous system and sense organs Diseases of the circulatory system Heart disease Acute myocardial infarction Coronary atherosclerosis Other ischemic heart disease Cardiac dysrhythmias Congestive heart failure Cerebrovascular disease Diseases of the respiratory system Acute bronchitis and bronchiolitis Pneumonia Chronic bronchitis Asthma Diseases of the digestive system Appendicitis Noninfectious enteritis and colitis Cholelithiasis Diseases of the genitourinary system Calculus of kidney and ureter Complications of pregnancy, childbirth, and the puerperium Diseases of the skin and subcutaneous tissue (Continued) ICD-9-CM Code 001–139 38 140–239 140–208,230–234 153–154,197.5 162,176.4,197.0,197.3 174–175,198.81 210–229 240–279 250 277 280–289 290–319 290–299 303 320–389 390–459 391–392.0,393– 398,402,404,410–416,420–429 410 414 411–413,414.1–414.9 427 428.0 430–438 460–519 466 480-486 491 493 520-579 540–543 555–558 574 580–629 592 630–677 680–709 Maricopa County Health Status Report 2011 Page 91 (Table 7.3, Continued) Category of Primary Diagnoses ICD-9-CM Code Cellulitis and abscess 681–682 Diseases of the musculoskeletal system and connective tissue 710–739 Osteoarthrosis and allied disorders 715 Intervertebral disc disorders 722 Congenital anomalies 740–759 Certain conditions originating in the perinatal period 760–779 Symptoms, signs, and ill-defined conditions 780–799 Injury and poisoning 800–999 Fractures, all sites 800–829 Fracture of neck of femur 820 Poisonings 960–989 Other healthcare encounters 990–999 *only the bolded categories are used for reporting disease conditions for ED visits. HDD records also provide information about external injuries separate from the primary diagnosis if the hospital encounter was injury related. Tables 5.17-5.19 provide information about the cause of injuries that were reported in the ED data. Not every visit to the ED has an injury code associated, therefore the total number of injury visits will not equal the total number of ED visits. Table 7.4 Injury Mechanism or Cause and Corresponding ICD-9-CM Codes Mechanism or cause ICD-9-CM Codes All injury Motor vehicle traffic (MVT) Firearm E800–E869, E880–E929, E950-E999 Poisoning E850.0–E869.9, E950.0–E952.9, E962, E972, E979.(6,7), E980.0–E982.9 E880.0–E886.9, E888, E911–E913.9, E953, E957, E963, E968.1, E983, E987 Fall Suffocation or Drowning Fire or burn Cut or pierce Struck by or against E810–E819, E989.5, E968.5, E988.5 E922(.0–.3,.8–.9), E955(.0–.4), E965(.0–4), E970, E979.4, E985(.0–.4) E830, E832, E910, E954, E964, E984 E890.0–E899, E924, E958, E961, E968.(0,3), E979.3, E988.(1,2,7) Other Transport E920, E956, E966, E986, E974 E916–E917.9, E960.0, E968.2, E973, E975 E846–E848, E900.0–E909, E914–E915, E918, E919, E921, E922(.4–.5), E923, E925.0–E926.9, E928(.0–.2), E955(.5–.7,.9), E958.(0,3,4), E960.1, E965(.5–.9), E967, E968(.4,.6–.7), E979(.0–.2, .5, .8–.9), E985(.5–.7) E988.(0,3,4), E971, E978, E990–E994, E996, E997(.0–.2) E800–E807, E820–E829, E831, E833.0–E845.9, E958.6, E988.6 Overexertion Cause Unknown/Unspecified E927 E887, E928.(8,9), E929.(8,9), E958.(8,9), E959, E968.8, E969, E999.1, E988.(8,9), E989, E976, E977, E995, E997.(8,9), E998, E999.0 Other Causes Healthy People 2020 Goals The Centers for Disease Control and Prevention provide national health goals for the year 2020 – Healthy People (HP) 2020 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 shown. “0” indicates that the goal is zero. Maricopa County Health Status Report 2011 Page 92 This report provides HP 2020 Goals only when the goals are comparable to Maricopa County data. A goal is considered comparable in this report if, the HP Goal includes 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 2020 goal includes only coronary heart disease, the goal is not listed as a comparison to the heart disease rate. More information on the technical aspects of HP 2020 can be found at www.healthypeople.gov. 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 United States Census Bureau: Census Bureau Homepage Maricopa County Health Status Report 2011 Page 93