Maricopa County Health Status Report 2012 REFERENCE TABLES Prepared by the Maricopa County Department of Public Health Office of Epidemiology June. 2014 Maricopa County Acknowledgements This report was prepared by the Maricopa County Department of Public Health, Disease Control Division, Office of Epidemiology, Epidemiology and Data Services Unit. Keely Clary, Return on Investment Epidemiologist Hovi Nguyen, Epidemiologist Tom Hulse, Epidemiologist Bianca Salas, Communicable Disease Investigator Jackie Ward, Epidemiology Supervisor Kate Goodin, Epidemiology and Data Services Program Manager 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, Ron Klein, Vjollca Berisha Office of Epidemiology Tom Mickey, Siru Prasai, Angelito Bravo, Matthew Parker Maricopa County Department of Public Health, Division of Clinical Services Julia Skinner, Nicholas Bishop, Donna Courtney, Teresa Jue, Jonathan Gonzales, Judy Bass, and James Blackwell, Arizona Department of Health Services For additional copies of this report, please call the Maricopa County Department of Public Health, Office of Epidemiology at 602.372.2605. 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 2012, Reference Tables. Phoenix (AZ): 2014. Maricopa County Health Status Report 2012 Reference Tables Table of Contents Introduction 1 I. Maricopa County 2012 Population Statistics 2 Table 1.01 Table 1.02 Figures Population Estimates for Age by Sex, Race/Ethnicity by Sex, and Age by Race/Ethnicity, 2012 Population Estimates by Race/Ethnicity, Age, and Sex, 2012 Population Pyramids by Race/Ethnicity, 2012 3 4 5 II. Maricopa County 2012 Mortality (Death) Statistics 7 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 Leading Causes of Death by Age Years of Potential Life Lost for Selected Underlying Causes of Death 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 2.17a Table 2.17b Table 2.18 8 8 9 9 10 11 12 14 16 17 18 19 20 21 22 23 24 25 26 26 27 27 28 28 29 30 31 32 33 34 Maricopa County Health Status Report 2012 Reference Tables Table of Contents III. Maricopa County 2012 Natality (Birth) Statistics 35 Table 3.01 Table 3.02 Table 3.03 Table 3.04 Table 3.05 Table 3.06 Table 3.07 Table 3.08 Table 3.09 Table 3.10 Table 3.11 Table 3.12 Table 3.13 Table 3.14 Table 3.15 Table 3.16 Table 3.17 Table 3.18 Table 3.19 Table 3.20 Table 3.21 Table 3.22 Table 3.23 Table 3.24 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 36 37 38 39 39 40 41 42 43 43 44 45 46 46 47 47 48 49 49 50 50 51 51 52 IV. Maricopa County 2012 Communicable Disease Statistics 53 Table 4.01a Table 4.01b Table 4.02a Table 4.02b Table 4.03a Table 4.03b Table 4.04 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 54 55 56 57 58 59 60 V. Maricopa County 2012 Hospital Discharge Statistics 61 Table 5.01 Table 5.02 Table 5.03 Table 5.04a Table 5.04b 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 Selected Primary Diagnosis Groups by Age Group, Number of Discharges Selected Primary Diagnosis Groups by Age Group, Crude Hospitalization Rates per 100,000 Residents 62 62 63 64 Table 5.05a Table 5.05b 67 70 73 Maricopa County Health Status Report 2012 Reference Tables Table of Contents Table 5.06a 76 Table 5.16b Table 5.17 Table 5.18 Table 5.19 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 VI. Technical Notes 95 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 79 80 81 82 83 84 84 85 86 87 88 89 90 91 92 93 94 Introduction This report provides health status information for the year 2012 for residents of Maricopa County, Arizona. It includes data for mortality (death), communicable diseases, natality (birth), and hospital discharge data, 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: 5,868 residents of Maricopa County died due to cancer in 2012.* Communicable Disease Example: 867 residents of Maricopa County were diagnosed with a confirmed or probable case of Pertussis in 2012. Natality (Birth) Example: There were 637 infants born with a very low birthweight (less than 1500 grams) in 2012. Rate or percentage of cases in the county • • • Mortality Disease Example: For every 100,000 residents of Maricopa County, 148.8 died due to cancer in 2012.* Communicable Disease Example: For every 100,000 residents of Maricopa County, 22.0 were diagnosed with Pertussis in 2012. Natality (Birth) Example: Among all live births in 2012, 1.2% were born with a very low birthweight. Information on data sources and methodology are in Section VI. – 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. 1 I. Maricopa County 2012 Population Statistics 2 Maricopa County 2012 Population Statistics Table 1.01 Population By Race/Ethnicity, Age, and Sex, 2012 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. 139,924 146,630 144,728 139,768 145,910 282,391 266,104 253,621 202,252 135,459 69,976 23,425 % 7.2% 7.5% 7.4% 7.2% 7.5% 14.5% 13.6% 13.0% 10.4% 6.9% 3.6% 1.2% 1,950,188 Females No. 134,235 140,381 138,735 131,531 139,243 274,841 265,855 259,903 224,342 154,693 86,834 41,388 % 6.7% 7.0% 7.0% 6.6% 7.0% 13.8% 13.3% 13.0% 11.3% 7.8% 4.4% 2.1% 1,991,981 Total No. 274,159 287,011 283,463 271,299 285,153 557,232 531,959 513,524 426,594 290,152 156,810 64,813 Race/Ethnicity Males % No. 7.0% 7.3% 7.2% 6.9% 7.2% 14.1% 13.5% 13.0% 10.8% 7.4% 4.0% 1.6% White Hispanic African American Amer. Ind., Non-Hisp Asian Multiple Races 1,121,040 595,305 96,631 29,434 71,216 36,562 Total 1,950,188 % 57.5% 30.5% 5.0% 1.5% 3.7% 1.9% Females No. % 1,161,501 586,689 93,659 33,428 79,095 37,609 58.3% 29.5% 4.7% 1.7% 4.0% 1.9% 1,991,981 3,942,169 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 No. 108,518 119,355 124,575 122,382 138,129 289,625 292,855 336,873 320,473 237,754 134,139 57,863 2,282,541 % 4.8% 5.2% 5.5% 5.4% 6.1% 12.7% 12.8% 14.8% 14.0% 10.4% 5.9% 2.5% Hispanic No. 124,913 126,666 119,883 111,759 106,013 187,978 167,974 119,416 67,018 32,072 13,991 4,311 1,181,994 % 10.6% 10.7% 10.1% 9.5% 9.0% 15.9% 14.2% 10.1% 5.7% 2.7% 1.2% 0.4% African American No. % 14,269 14,765 15,114 15,627 17,240 29,737 27,018 25,123 17,722 8,635 3,780 1,260 190,290 7.5% 7.8% 7.9% 8.2% 9.1% 15.6% 14.2% 13.2% 9.3% 4.5% 2.0% 0.7% American Indian No. % 5,195 5,322 4,858 5,066 6,926 11,867 8,856 7,355 4,373 2,108 712 224 62,862 8.3% 8.5% 7.7% 8.1% 11.0% 18.9% 14.1% 11.7% 7.0% 3.4% 1.1% 0.4% Asian No. 9,550 10,295 9,549 8,680 10,230 27,994 28,178 19,768 13,764 7,905 3,475 923 150,311 % 6.4% 6.8% 6.4% 5.8% 6.8% 18.6% 18.7% 13.2% 9.2% 5.3% 2.3% 0.6% Multiple Races No. % Total No. 11,714 10,608 9,484 7,785 6,615 10,031 7,078 4,989 3,244 1,678 713 232 274,159 287,011 283,463 271,299 285,153 557,232 531,959 513,524 426,594 290,152 156,810 64,813 15.8% 14.3% 12.8% 10.5% 8.9% 13.5% 9.5% 6.7% 4.4% 2.3% 1.0% 0.3% 74,171 3,942,169 Source: United States Census, Population Estimates Division. Data on this page were used for calculating all rates (denominators) in this report for 2012. 3 Maricopa County 2012 Population Statistics Table 1.02 Population By Race/Ethnicity, Age, and Gender, 2012 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 No. % No. 53,063 58,142 60,730 58,943 67,942 71,829 70,932 67,208 77,358 81,321 89,221 85,782 82,548 72,121 53,801 110,560 4.6% 5.0% 5.2% 5.1% 5.8% 6.2% 6.1% 5.8% 6.7% 7.0% 7.7% 7.4% 7.1% 6.2% 4.6% 9.5% 58,728 59,834 56,757 52,426 49,294 44,158 44,173 43,210 38,737 31,631 25,851 19,522 14,262 10,210 6,760 10,686 1,161,501 % 10.4% 10.6% 10.0% 9.3% 8.7% 7.8% 7.8% 7.6% 6.8% 5.6% 4.6% 3.4% 2.5% 1.8% 1.2% 1.9% 566,239 African American No. 6,897 7,161 7,270 7,591 8,117 7,222 7,128 6,552 6,574 6,249 6,289 4,899 4,030 2,656 1,978 3,046 % 7.4% 7.6% 7.8% 8.1% 8.7% 7.7% 7.6% 7.0% 7.0% 6.7% 6.7% 5.2% 4.3% 2.8% 2.1% 3.3% 93,659 American Indian Non-Hispanic Hispanic No. % No. % 2,591 2,679 2,358 2,522 3,572 3,372 3,033 2,537 2,251 2,238 1,940 1,431 1,087 751 493 573 7.8% 8.0% 7.1% 7.5% 10.7% 10.1% 9.1% 7.6% 6.7% 6.7% 5.8% 4.3% 3.3% 2.2% 1.5% 1.7% 33,428 2,429 2,324 2,122 1,982 2,133 1,731 1,593 1,376 1,214 1,033 894 614 379 255 156 215 11.9% 11.4% 10.4% 9.7% 10.4% 8.5% 7.8% 6.7% 5.9% 5.1% 4.4% 3.0% 1.9% 1.2% 0.8% 1.1% 20,450 Asian No. 4,740 5,116 4,810 4,245 4,816 6,624 7,757 7,682 7,453 5,643 4,995 4,304 3,715 2,719 1,870 2,606 Multiple Races % 6.0% 6.5% 6.1% 5.4% 6.1% 8.4% 9.8% 9.7% 9.4% 7.1% 6.3% 5.4% 4.7% 3.4% 2.4% 3.3% 79,095 No. 5,787 5,125 4,688 3,822 3,369 2,815 2,474 2,005 1,698 1,406 1,192 987 782 563 360 536 Total % No. 15.4% 13.6% 12.5% 10.2% 9.0% 7.5% 6.6% 5.3% 4.5% 3.7% 3.2% 2.6% 2.1% 1.5% 1.0% 1.4% 134,235 140,381 138,735 131,531 139,243 137,751 137,090 130,570 135,285 129,521 130,382 117,539 106,803 89,275 65,418 128,222 37,609 1,991,981 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 55,455 61,213 63,845 63,439 70,187 74,263 72,601 68,336 79,953 80,195 86,136 78,706 73,437 64,372 47,460 81,442 1,121,040 4.9% 5.5% 5.7% 5.7% 6.3% 6.6% 6.5% 6.1% 7.1% 7.2% 7.7% 7.0% 6.6% 5.7% 4.2% 7.3% 61,232 62,061 58,901 55,283 52,427 46,661 45,935 42,533 38,101 32,477 25,485 18,002 13,162 8,731 5,565 7,245 573,801 10.7% 10.8% 10.3% 9.6% 9.1% 8.1% 8.0% 7.4% 6.6% 5.7% 4.4% 3.1% 2.3% 1.5% 1.0% 1.3% 7,372 7,604 7,844 8,036 9,123 7,877 7,510 6,870 7,022 6,457 6,128 5,063 3,730 2,449 1,552 1,994 96,631 7.6% 7.9% 8.1% 8.3% 9.4% 8.2% 7.8% 7.1% 7.3% 6.7% 6.3% 5.2% 3.9% 2.5% 1.6% 2.1% 2,604 2,643 2,500 2,544 3,354 2,919 2,543 2,153 1,915 1,655 1,522 1,098 757 551 313 363 29,434 8.8% 9.0% 8.5% 8.6% 11.4% 9.9% 8.6% 7.3% 6.5% 5.6% 5.2% 3.7% 2.6% 1.9% 1.1% 1.2% 2,524 2,447 2,103 2,068 2,159 1,917 1,810 1,515 1,288 1,140 905 678 399 254 141 156 21,504 11.7% 11.4% 9.8% 9.6% 10.0% 8.9% 8.4% 7.0% 6.0% 5.3% 4.2% 3.2% 1.9% 1.2% 0.7% 0.7% 4,810 5,179 4,739 4,435 5,414 6,751 6,862 6,685 6,358 4,985 4,145 3,225 2,520 1,888 1,428 1,792 6.8% 7.3% 6.7% 6.2% 7.6% 9.5% 9.6% 9.4% 8.9% 7.0% 5.8% 4.5% 3.5% 2.7% 2.0% 2.5% 71,216 5,927 5,483 4,796 3,963 3,246 2,543 2,199 1,800 1,575 1,252 1,139 884 591 448 307 409 16.2% 15.0% 13.1% 10.8% 8.9% 7.0% 6.0% 4.9% 4.3% 3.4% 3.1% 2.4% 1.6% 1.2% 0.8% 1.1% 139,924 146,630 144,728 139,768 145,910 142,931 139,460 129,892 136,212 128,161 125,460 107,656 94,596 78,693 56,766 93,401 36,562 1,950,188 Source: United States Census, Population Estimates Division. Data on this page were used for calculating all rates (denominators) in this report for 2012. 4 Maricopa County 2012 Population Statistics 5 Maricopa County 2012 Population Statistics 6 II. Maricopa County 2012 Mortality (Death) Statistics 7 Maricopa County 2012 Mortality (Death) Statistics Table 2.01a Number of Deaths by Age Group and Race/Ethnicity Number of Deaths by Race/Ethnicity Age Group African American Other/ White Hispanic American Indian Asian Multiple Unknown Total 0-4 114 186 48 12 11 17 10 393 5-9 9 17 3 2 1 1 0 33 10-14 14 12 4 4 4 0 0 38 15-19 50 39 10 5 4 5 1 114 20-24 107 81 21 10 4 7 0 230 25-34 307 162 43 23 8 10 1 554 35-44 452 184 65 28 9 12 1 751 45-54 1,208 337 125 60 35 20 13 1,798 55-64 2,395 453 209 58 50 18 27 3,210 65-74 3,509 444 199 43 72 27 17 4,311 75-84 5,409 536 204 35 91 28 21 6,324 85+ Total 7,263 487 145 21 76 20 18 8,030 20,841 2,938 1,076 301 365 165 100 25,786 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 Hispanic African American American Indian 108.7 148.9 336.4 231.0 115.2 145.1 - 143.3 7.5 13.4 20.3 37.6 9.7 9.4 - 11.5 10-14 11.2 10.0 26.5 82.3 41.9 0 - 13.4 15-19 40.9 34.9 64.0 98.7 46.1 64.2 - 42.0 20-24 77.5 76.4 121.8 144.4 39.1 105.8 - 80.7 25-34 106.0 86.2 144.6 193.8 28.6 99.7 - 99.4 35-44 154.3 109.5 240.6 316.2 31.9 169.5 - 141.2 45-54 358.6 282.2 497.6 815.8 177.1 400.9 - 350.1 55-64 747.3 675.9 1,179.3 1,326.3 363.3 554.9 - 752.5 65-74 1,475.9 1,384.4 2,304.6 2,039.8 910.8 1,609.1 - 1,485.8 75-84 4,032.4 3,831.0 5,396.8 4,915.7 2,618.7 3,927.1 - 4,032.9 12,552.1 11,296.7 11,507.9 9,375.0 8,234.0 8,620.7 - 12,389.5 913.1 248.6 565.5 478.8 242.8 222.5 - 654.1 White 5-9 85+ Total 1 Asian Multiple Other/ Unknown1 Total Rates for the Unknown/Other group were not calculated as population estimates for this group were not available from the US Census 8 Maricopa County 2012 Mortality (Death) Statistics Table 2.02a Number of Deaths by Age Group and Sex Age Group Number of Death by Gender Male Female Total 0-4 221 172 393 5-9 18 15 33 10-14 22 16 38 15-19 78 36 114 20-24 178 52 230 25-34 370 184 554 35-44 466 285 751 45-54 1,125 673 1,798 55-64 1,929 1,281 3,210 65-74 2,424 1,887 4,311 75-84 3,238 3,086 6,324 85+ 3,098 4,931 8,030 13,167 12,618 25,786 Total Table 2.02b Death Rates by Age Group and Sex Crude Death Rate per 100,000 Residents Death Rate by Gender Age Group Male Female Total <4 157.9 128.1 143.3 5-9 12.3 10.7 11.5 10-14 15.2 11.5 13.4 15-19 55.8 27.4 42.0 20-24 122.0 37.3 80.7 25-34 131.0 66.9 99.4 35-44 175.1 107.2 141.2 45-54 443.6 258.9 350.1 55-64 953.8 571.0 752.5 65-74 1,789.5 1,219.8 4,627.3 3,553.9 4,032.9 13,225.2 11,914.1 12,391.0 75-84 85+ Total 675.2 633.4 1,485.8 654.1 9 Maricopa County 2012 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 GI & Urinary Pregnancy & Early Life Other Diseases External Causes Unknown Total 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 White 0 1 38 68 432 379 1,301 354 222 237 253 175 219 1,212 4,852 608 1,348 350 3,292 757 4,399 379 875 89 148 1,491 180 1,519 20 297 97 1 45 62 1 963 3,115 207 864 431 73 77 1,842 152 20,841 African Hispanic American 1 1 16 27 65 44 83 42 43 29 32 27 33 165 590 205 108 37 360 78 475 57 126 7 19 209 23 69 5 102 15 2 80 59 4 117 425 93 151 67 88 14 457 19 2,938 0 0 10 6 17 23 56 23 7 14 8 3 9 66 232 63 32 19 160 35 214 33 51 0 6 90 6 38 1 17 14 2 24 13 2 49 149 17 45 20 27 4 115 7 1,076 American Indian. 0 0 1 1 1 2 4 3 4 4 3 0 2 17 41 31 5 1 21 8 30 4 9 0 0 13 2 6 0 38 3 1 2 5 0 14 41 12 26 11 10 5 61 4 301 Asian Multiple Other/ Unknown 0 0 1 3 11 10 23 9 9 2 0 4 1 30 102 24 17 2 64 5 71 6 23 1 2 32 3 10 0 3 1 0 3 4 1 13 47 6 13 9 1 1 36 3 365 0 0 1 2 4 1 10 1 3 2 1 1 2 7 34 4 7 2 20 2 24 1 3 0 0 4 3 5 0 1 1 0 4 3 1 11 25 4 15 11 4 2 22 1 0 0 0 1 2 2 4 0 0 1 0 1 0 6 17 4 1 0 23 0 23 1 3 0 1 5 1 0 0 1 0 0 0 0 0 11 19 1 7 4 1 0 7 5 165 100 10 Total 1 2 67 108 532 461 1,481 432 288 289 297 211 266 1,503 5,868 939 1,518 411 3,940 885 5,236 481 1,090 97 176 1,844 218 1,647 26 459 131 6 158 146 9 1,178 3,821 340 1,121 553 204 103 2,540 191 25,786 Maricopa County 2012 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 GI & Urinary Pregnancy & Early Life Other Diseases External Causes Total 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 African American White Hispanic American Indian Asian Multiple Other/ Unknown Total 0 0.0 1.7 3 18.9 16.6 57 15.5 9.7 10.4 11.1 7.7 9.6 53.1 212.6 0.1 0.1 1.4 2.3 5.5 3.7 7 3.6 3.6 2.5 2.7 2.3 2.8 14 50 0 0 5.3 3.2 8.9 12.1 29.4 12.1 3.7 7.4 4.2 1.6 4.7 34.7 122 0 0 1.6 1.6 1.6 3.2 6.4 4.8 6.4 6.4 4.8 0 3.2 27 65.4 0 0 0.7 2 7.3 6.7 15.3 6 6 1.3 0 2.7 0.7 20 68 0 0 1.3 2.7 5.4 1.3 13.5 1.3 4 2.7 1.3 1.3 2.7 9.4 45.6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.0 0.1 1.7 2.7 13.5 11.7 37.6 11 7.3 7.3 7.5 5.4 6.7 38.1 148.8 26.6 59.1 15.3 144.2 33.2 278.4 17.3 9.1 3.1 30.5 6.6 66.6 33.1 16.8 10.0 84.1 18.4 162.4 49.3 8.0 1.6 33.4 12.7 105 16.0 11.3 1.3 42.6 3.3 74.5 5.4 9.4 2.7 27.0 2.7 47.2 0 0 0 0 0 0 23.8 38.5 10.4 99.9 22.4 132.7 16.6 38.3 3.9 6.5 65.3 4.8 10.7 0.6 1.6 17.7 17.3 26.8 0 3.2 47.3 6.4 14.3 0 0 20.7 4.0 15.3 0.7 1.3 21.3 1.3 4.0 0 0 5.3 0 0 0 0 0 12.2 27.6 2.5 4.5 46.8 7.9 66.5 0.9 13.0 4.2 0.0 2.0 2.7 0.0 42.2 136.5 9.1 37.9 18.9 3.2 3.4 72.5 1.9 5.8 0.4 8.6 1.3 0.2 6.8 5.0 0.3 9.9 36.0 7.9 12.8 5.7 7.4 1.2 35 3.2 20.0 0.5 8.9 7.4 1.1 12.6 6.8 1.1 25.8 78.3 8.9 23.6 10.5 14.2 2.1 59.3 3.2 9.5 0 60.4 4.8 1.6 3.2 8.0 0 22.3 65.2 19.1 41.4 17.5 15.9 8.0 101.9 2.0 6.7 0 2.0 0.7 0 2.0 2.7 0.7 8.6 31.3 4.0 8.6 6.0 0.7 0.7 20 4.0 6.7 0 1.3 1.3 0 5.4 4.0 1.3 14.8 33.7 5.4 20.2 14.8 5.4 2.7 48.5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5.5 41.8 0.7 11.6 3.3 0.2 4.0 3.7 0.2 29.9 96.9 8.6 28.4 14.0 5.2 2.6 58.8 906.4 247.1 562 472.8 241.2 220.4 0 647.2 1 Uterine & ovarian cancer and pregnancy rates are per 100,000 females; prostate cancer rates are per 100,000 males. Sudden Infant Death Syndrome (SIDS) rates are per 1,000 live births. No rate is calculated for Multiple race infants, see Technical Notes for explanation. 2 11 Maricopa County 2012 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 0 0 0 0 1 0 Syphilis 0 0 0 0 0 0 0 0 1 1 0 0 0 1 2 HIV 0 0 0 0 0 1 11 9 29 12 4 0 1 67 Stomach 0 0 0 0 0 0 1 4 12 28 25 23 15 108 Colon 0 0 0 0 0 1 6 17 49 99 133 126 101 532 Pancreas 0 0 0 0 0 0 1 2 33 87 140 120 78 461 Lung 0 0 1 0 0 0 2 9 78 267 476 461 187 1,481 Breast 0 0 0 0 0 0 4 22 54 89 95 90 78 432 Uterine & Ovarian 0 0 0 0 1 0 5 14 40 59 66 69 34 288 Prostate 0 0 0 0 0 0 0 0 5 25 55 104 100 289 Urinary 0 0 1 1 0 0 1 3 16 47 75 81 72 297 Lymphoma 0 0 0 0 1 2 1 7 9 25 54 67 45 211 Leukemia 0 0 1 3 2 3 5 8 20 28 59 86 51 266 Other 1 3 8 4 6 5 27 42 147 312 347 367 234 1,503 All Cancer 1 3 11 8 10 11 53 128 463 1,066 1,525 1,594 995 5,868 Diabetes 0 0 0 0 1 3 9 21 73 202 243 221 166 939 Alzheimer's 0 0 0 0 0 0 0 0 3 14 88 439 974 1,518 Hypertensive Heart Dis. 0 0 0 0 0 0 7 9 25 38 52 84 196 411 Ischemic Heart Disease 0 0 0 0 0 1 12 44 176 467 671 1,032 1,537 3,940 Other Heart Disease 1 2 1 1 0 2 11 22 42 67 109 207 420 885 All Heart Disease 1 2 1 1 0 3 30 75 243 572 832 1,323 2,153 5,236 Primary Hypertension 0 0 0 0 0 0 3 2 23 53 58 136 206 481 Cerebrovascular 1 1 2 2 2 1 8 16 52 95 137 301 472 1,090 Atherosclerosis 0 0 0 0 0 0 0 0 2 8 15 27 45 97 Other Circulatory 0 0 0 0 0 0 3 4 8 18 29 44 70 176 All Other Cardiovascular 1 1 2 2 2 1 14 22 85 174 239 508 793 1,844 (Continued) 12 Maricopa County 2012 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 0 0 0 0 1 1 1 6 7 12 25 66 99 218 Chronic Lower Respiratory 0 0 0 0 0 0 3 12 37 160 415 590 430 1,647 GI & Urinary Peptic Ulcer 0 0 0 0 0 0 1 1 5 0 5 11 3 26 Liver Disease 0 0 0 0 0 0 12 33 106 150 91 52 15 459 Nephritis 0 0 0 0 0 0 3 1 8 11 14 32 62 131 Pregnancy 0 0 0 0 0 0 3 3 0 0 0 0 0 6 156 0 1 0 0 0 0 1 0 0 0 0 0 158 79 11 3 2 2 4 2 8 7 9 7 6 6 146 Pregnancy & Early Life Perinatal Conditions Congenital Malformations SIDS Other Diseases External Causes 9 0 0 0 0 0 0 0 0 0 0 0 0 9 Symptoms, Signs 30 8 0 1 4 16 36 44 69 47 66 200 657 1,178 Other Diseases 3,821 27 16 4 10 4 23 48 84 249 432 558 1,012 1,354 Motor Vehicle Collisions 2 6 5 5 29 46 59 47 44 48 21 17 11 340 All Other Accidents 7 18 4 3 16 40 107 110 167 141 88 171 249 1,121 Suicide 1 0 0 3 28 37 97 83 125 95 38 30 16 553 Homicide 3 3 2 2 15 34 47 38 33 12 8 7 0 204 Other External Causes 4 2 0 0 0 6 13 18 21 26 11 1 1 103 17 29 11 13 88 163 323 296 390 322 166 226 277 2,321 All External Causes Unknown Total 2 0 0 1 2 4 5 7 23 26 33 43 45 191 323 70 33 38 114 230 554 751 1,798 3,210 4,311 6,324 8,030 25,786 13 Maricopa County 2012 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 Diabetes and Alzheimer's Major Cardiovascular Diseases Heart Disease 5-9 10-14 15-19 Tuberculosis 0 0 0 0 0 0 0 Syphilis 0 0 0 0 0 0 0 HIV 0 0 0 0 0.4 2 1.7 5.6 Stomach 0 0 0 0 0 0.2 0.8 2.3 Colon 0 0 0 0 0.4 1.1 3.2 9.5 Pancreas 0 0 0 0 0 0.2 0.4 6.4 Lung 0 0.3 0 0 0 0.4 1.7 15.2 Breast 0 0 0 0 0 0.7 4.1 Uterine & Ovarian 0 0 0 0.4 0 0.9 Prostate 0 0 0 0 0 0 Urinary 0 0.3 0.4 0 0 Lymphoma 0 0 0 0.4 0.7 Leukemia 0 0.3 1.1 0.7 Other Cancer 1.5 2.8 1.4 All Cancer 1.5 3.7 2.9 Diabetes 0 0 Alzheimer's 0 0 Hypertensive Heart Disease 0 0 Ischemic Heart Disease Other Cardiovascular Death Rate by Age Group 20-24 25-34 35-44 45-54 0-4 55-64 65-74 75-84 85+ Total 0 0 0 0.6 0 0 0.2 0.2 0 0 0 0.1 2.8 1.4 0 1.5 1.7 6.6 8.6 14.7 23.1 2.7 23.2 45.8 80.4 155.8 13.5 20.4 48.3 76.5 120.3 11.7 62.6 164.1 294 288.5 37.6 10.5 20.9 32.7 57.4 120.3 11 2.6 7.8 13.8 22.7 44 52.5 7.3 0 1 5.9 19 66.3 154.3 7.3 0.2 0.6 3.1 11 25.8 51.7 111.1 7.5 0.2 1.3 1.8 5.9 18.6 42.7 69.4 5.4 1.1 0.9 1.5 3.9 6.6 20.3 54.8 78.7 6.7 2.2 1.8 4.8 7.9 28.6 73.1 119.6 234 361 38.1 3.7 4 9.6 24.1 90.1 250 525.5 1016.5 1535 148.8 0 0.4 1.1 1.6 3.9 14.2 47.4 83.7 140.9 256.1 23.8 0 0 0 0 0 0.6 3.3 30.3 280 1,502.80 38.5 0 0 0 1.3 1.7 4.9 8.9 17.9 53.6 302.4 10.4 0 0 0 0 0.4 2.2 8.3 34.3 109.5 231.3 658.1 2,371.40 99.9 Other Heart Disease 1.1 0.3 0.4 0 0.7 2 4.1 8.2 15.7 37.6 132 648 22.4 All Heart Disease 1.1 0.3 0.4 0 1.1 5.5 14.1 47.4 134.1 286.8 843.7 3321.8 132.7 0 0 0 0 0 0.5 0.4 4.5 12.4 20 86.7 317.8 12.2 Cerebrovascular 0.7 0.7 0.7 0.7 0.4 1.4 3 10.1 22.3 47.2 192 728.2 27.6 Atherosclerosis 0 0 0 0 0 0 0 0.4 1.9 5.2 17.2 69.4 2.5 Other Circulatory 0 0 0 0 0 0.5 0.8 1.6 4.2 10 28.1 108 4.5 1.5 1.4 1.4 1.5 0.7 5.0 8.3 33.1 81.6 164.7 647.9 2,447.0 93.6 Primary Hypertension All Other Cardiovascular (Continued) 14 Maricopa County 2012 Mortality (Death) Statistics (Table 2.04b Continued) Death Rate by Age Group Cause Other Respiratory Diseases GI & Urinary Pregnancy & Early Life Other Diseases External Causes Total 1 2 0-4 5-9 10-14 15-19 20-24 25-34 35-44 45-54 Influenza & Pneumonia 0 0 0 0.4 0.4 0.2 1.1 1.4 2.8 Chronic Lower Respiratory 0 0 0 0 0 0.5 2.3 7.2 37.5 Peptic Ulcer 0 0 0 0 0 0.2 0.2 1 0 1.7 7 4.6 0.7 Liver Disease 0 0 0 0 0 2.2 6.2 20.6 35.2 31.4 33.2 23.1 11.6 Nephritis 0 0 0 0 0 0.5 0.2 1.6 2.6 4.8 20.4 95.7 3.3 Pregnancy 55-64 65-74 75-84 85+ Total 8.6 42.1 152.7 5.5 143 376.3 663.4 41.8 0 0 0 0 0 0.5 0.6 0 0 0 0 0 0.2 Perinatal Conditions 56.9 0.3 0 0 0 0 0.2 0 0 0 0 0 4 Congenital Malformations 32.8 1 0.7 0.7 1.4 0.4 1.5 1.4 2.1 2.4 3.8 9.3 3.7 SIDS 3.3 0 0 0 0 0 0 0 0 0 0 0 0.2 Symptoms, Signs 13.9 0 0.4 1.5 5.6 6.5 8.3 13.4 11 22.7 127.5 1,013.70 29.9 Other Diseases 15.7 1.4 3.5 1.5 8.1 8.6 15.8 48.5 101.3 192.3 645.4 2,089.10 96.9 Motor Vehicle Collisions 2.9 1.7 1.8 10.7 16.1 10.6 8.8 8.6 11.3 7.2 10.8 17 8.6 All Other Accidents 9.1 1.4 1.1 5.9 14 19.2 20.7 32.5 33.1 30.3 109 384.2 28.4 Suicide 0.4 0 1.1 10.3 13 17.4 15.6 24.3 22.3 13.1 19.1 24.7 14 Homicide 2.2 0.7 0.7 5.5 11.9 8.4 7.1 6.4 2.8 2.8 4.5 0 5.2 Other External Causes 2.2 0 0 0 2.1 2.3 3.4 4.1 6.1 3.8 0.6 1.5 2.6 All External Causes 16.8 3.8 4.7 32.4 57.1 57.9 55.6 75.9 75.6 57.2 144 427.4 58.8 142.7 11.2 13.3 41.3 79.6 98.6 140 345.7 746.7 1474.2 4005.4 12319.6 649 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. 15 Maricopa County 2012 Mortality (Death) Statistics Table 2.05a Selected Underlying Causes of Death by Sex Number of Cases Gender 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 Unknown1 Total Tuberculosis Syphilis HIV All Stomach Colon Pancreas Lung Breast Uterine Prostate Urinary Lymphoma Leukemia Other Cancer All Diabetes Alzheimer's All Hypertensive Heart Disease Ischemic Heart Disease Other Heart Disease All Primary Hypertension Cerebrovascular Atherosclerosis Other Circulatory All Influenza & Pneumonia Chronic Lower Respiratory All Peptic Ulcer Liver Disease Nephritis All Pregnancy Perinatal Conditions Congenital Malformations SIDS All Symptoms, Signs Other Diseases All Motor Vehicle Collisions All Other Accidents Suicide Homicide Other External Causes All Male 1 2 56 59 62 271 255 762 2 0 289 217 125 150 924 3,057 519 523 1,042 188 2,270 401 2,859 207 457 48 97 809 90 791 881 14 308 56 378 0 88 65 7 160 486 1,817 2,303 246 624 432 153 60 1,515 104 13,167 Female Total 0 1 0 2 11 67 11 70 46 108 261 532 206 461 719 1,481 430 432 288 288 0 289 80 297 86 211 116 266 579 1,503 2,811 5,868 420 939 995 1,518 1,415 2,457 223 411 1,670 3,940 484 885 2,377 5,236 274 481 633 1,090 49 97 79 176 1,035 1,844 128 218 856 1,647 984 1,865 12 26 151 459 75 131 238 616 6 6 70 158 81 146 2 9 159 319 692 1,178 2,004 3,821 2,696 4,999 94 340 497 1,121 121 553 51 204 43 103 806 2,321 86 191 12,618 25,786 1 One case for the Unknown category was recorded as an unknown gender 16 Maricopa County 2012 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 Infectious Diseases Cancer Male Female Tuberculosis 0.1 0 0 Syphilis 0.1 0 0.1 HIV 2.9 0.6 1.7 Stomach 3.2 2.3 2.7 Colon 13.9 13.1 13.5 Pancreas 13.1 10.3 11.7 Lung 39.1 36.1 37.6 Breast 0.1 21.6 11 Uterine & Ovarian 0 14.5 7.3 Prostate1 14.8 0 7.3 Urinary 11.1 4 7.5 Lymphoma 6.4 4.3 5.4 1 Diabetes and Alzheimer's Major Cardiovascular Diseases Heart Disease Total Leukemia 7.7 5.8 6.7 Other Cancer 47.4 29.1 38.1 All Cancer 156.8 141.1 148.8 Diabetes 26.6 21.1 23.8 Alzheimer's 26.8 50 38.5 Hypertensive Heart Disease 9.6 11.2 10.4 Ischemic Heart Disease 116.4 83.8 99.9 Other Heart Disease 20.6 24.3 22.4 Other Cardiovascular All Heart Disease 146.6 119.3 132.7 Primary Hypertension 10.6 13.8 12.2 Cerebrovascular 23.4 31.8 27.6 Atherosclerosis 2.5 2.5 2.5 Other Circulatory 5 4 4.5 All Other Cardiovascular 41.5 52.1 46.8 Influenza & Pneumonia 4.6 6.4 5.5 Chronic Lower Respiratory 40.6 43 41.8 Other Respiratory Diseases GI & Urinary Peptic Ulcer 0.7 0.6 0.7 Liver Disease 15.8 7.6 11.6 Nephritis 2.9 3.8 3.3 Pregnancy1 0 0.3 0.2 Perinatal Conditions 4.5 3.5 4 Congenital Malformations 3.3 4.1 3.7 Pregnancy & Early Life SIDS2 0.4 0.1 0.2 Other Diseases Symptoms, Signs 24.9 34.7 29.9 Other Diseases 93.2 100.6 96.9 External Causes Motor Vehicle Collisions 12.6 4.7 8.6 All Other Accidents 32 25 28.4 Suicide 22.2 6.1 14 5.2 Total3 Homicide 7.8 2.6 Other External Causes 3.1 2.2 2.8 All External causes 77.7 40.5 58.9 670.0 629.40 649.1 1 Uterine & ovarian cancer and pregnancy rates are per 100,000 females; prostate cancer rates are per 100,000 males. 2 Sudden Infant Death Syndrome (SIDS) rates are per 1,000 live births. 3 Unknown category rate was not calculated 17 Maricopa County 2012 Mortality (Death) Statistics Table 2.06a Other Selected Underlying Causes of Death by Race/Ethnicity Number of Cases Race/Ethnicity Cause Infectious Diseases Cancer Other Diseases Cardiovascular Chronic Lower Respiratory Liver Disease Musculoskeletal Perinatal Conditions & Congenital Malformations External Causes White Hispanic African American American Indian. Asian Other/ Multiple Unknown Total Clostridium difficile Other Intestinal Infections Septicaemia Viral Hepatitis Coccidioidomycosis Other Mycoses Brain Lip & Oral Skin Ovarian Testicular Anemias Nutritional Deficiencies Obesity Mental & Behavioral Disorders Due to the Use of Alcohol 72 18 89 109 5 3 185 62 108 137 3 13 14 84 9 6 7 39 3 0 19 4 6 22 1 3 0 17 4 1 8 7 3 0 7 3 1 3 0 6 0 9 1 1 1 4 0 0 2 0 0 2 0 0 1 3 0 1 2 4 2 0 3 0 1 7 0 1 1 1 0 1 0 0 0 0 1 0 2 3 0 0 1 1 0 0 0 2 0 0 0 0 0 0 0 0 0 0 86 28 107 165 13 3 217 69 118 174 4 23 17 115 85 11 0 6 1 3 2 108 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 Congenital Malformations of the Circulatory Chromosomal Abnormalities 289 33 14 680 142 55 30 219 21 9 10 10 20 11 2 3 83 16 2 4 75 6 8 1 22 14 4 2 0 39 4 1 2 13 0 0 0 7 4 0 0 0 4 1 0 1 33 0 0 0 0 2 3 0 1 16 0 0 1 3 0 0 0 0 0 1 1 1 5 1 0 0 1 0 0 0 1 0 2 0 1 6 0 0 0 1 0 0 0 0 0 310 38 20 833 164 58 38 345 27 17 11 40 40 6 13 4 0 2 1 0 26 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 407 24 294 23 5 0 3 18 35 11 66 9 1 1 0 2 9 4 25 0 0 0 0 5 4 2 13 4 0 0 2 1 3 5 3 1 0 0 0 0 2 4 8 0 0 0 0 1 1 1 4 1 0 0 0 0 461 51 413 38 6 1 5 27 18 Maricopa County 2012 Mortality (Death) Statistics Table 2.06b Other Selected Underlying Causes of Death by Race/Ethnicity Crude Death Rate per 100,000 Residents Race/Ethnicity Cause Infectious Diseases Cancer Other Diseases Cardiovascular Chronic Lower Respiratory Liver Disease Musculoskeletal Perinatal Conditions & Congenital Malformations External Causes Clostridium difficile Other Intestinal Infections Septicaemia Viral Hepatitis Coccidioidomycosis Other Mycoses Brain Lip & Oral Skin Ovarian1 Testicular Anemias Nutritional Deficiencies Obesity Mental & Behavioral Disorders Due to the Use of 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 White African Hispanic American American Indian. Asian Other/ Multiple Unknown Total 3.2 0.8 3.9 4.8 0.2 0.1 8.1 2.7 4.7 6.0 0.1 0.6 0.6 3.7 3.7 12.7 1.4 0.6 29.8 6.2 2.4 1.3 9.6 0.9 0.4 0.4 0.4 0.8 0.5 0.6 3.3 0.3 0 1.6 0.3 0.5 1.9 0.1 0.3 0 1.4 0.9 0.9 0.2 0.3 7.0 1.4 0.2 0.3 6.3 0.5 0.7 0.1 1.9 2.1 0.5 4.2 3.7 1.6 0 3.7 1.6 0.5 1.6 0 3.2 0 4.7 0 2.1 1.1 0 20.5 2.1 0.5 1.1 6.8 0 0 0 3.7 1.6 1.6 1.6 6.4 0 0 3.2 0 0 3.2 0 0 1.6 4.8 9.5 0 0 0 6.4 1.6 0 1.6 52.5 0 0 0 0 0 0.7 1.3 2.7 1.3 0 2.0 0 0.7 4.7 0 0.7 0.7 0.7 0.7 2.0 0 0.7 10.6 0 0 0.7 2.0 0 0 0 0 0 1.3 0 0 0 0 1.3 0 2.7 4.0 0 0 1.3 1.3 4.0 1.3 1.3 1.3 6.7 1.3 0 0 1.3 0 0 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 0 2.2 0.7 2.7 4.2 0.3 0.1 5.5 1.8 3.0 4.4 0.1 0.6 0.4 2.9 2.7 7.9 1.0 0.5 21.1 4.2 1.5 1.0 8.8 0.7 0.4 0.3 1.0 Congenital Malformations of the Circulatory System 0.9 1.2 2.1 3.2 0 0 0 1.0 Chromosomal Abnormalities 0.3 1.1 2.1 0 1.3 1.3 0 0.7 17.8 1.1 12.9 1.0 0.2 0 0.1 0.8 3.0 0.9 5.6 0.8 0.1 0.1 0 0.2 4.7 2.1 13.1 0 0 0 0 2.6 6.4 3.2 20.7 6.4 0 0 3.2 1.6 2.0 3.3 2.0 0.7 0 0 0 0 2.7 5.4 10.8 0 0 0 0 1.3 0 0 0 0 0 0 0 0 11.7 1.3 10.5 1.0 0.2 0.0 0.1 0.7 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 1 Ovarian cancer rates are per 100,000 females; testicular cancer rates are per 100,000 males. 19 Maricopa County 2012 Mortality (Death) Statistics Table 2.07a Other Selected Underlying Causes of Death by Age Group - Number of Cases Age Group Cause Infectious Diseases Cancer Other Diseases Cardiovascular Chronic Lower Respiratory Liver Disease Musculoskeletal Perinatal Conditions & Congenital Malformations <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 Clostridium difficile Other Intestinal Infections Septicaemia Viral Hepatitis Coccidioidomycosis Other Mycoses Brain Lip & Oral Skin Ovarian Testicular Anemias Nutritional Deficiencies Obesity Mental & Behavioral Disorders Due to Parkinson's Disease Multiple Sclerosis Epilepsy Acute Myocardial Infarction (Heart Congestive Heart Failure Emphysema Asthma Alcoholic Liver Disease Rheumatoid Arthritis Lupus Osteoporosis Disorders Related to Short Gestation & Congenital Malformations of the Circulatory System 0 5 1 0 0 0 1 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 40 0 3 0 0 0 0 1 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 4 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 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 2 0 0 0 1 1 0 2 0 0 0 1 0 0 0 0 0 0 2 0 0 0 0 0 0 1 0 11 0 5 2 1 1 0 7 2 0 0 0 2 0 0 3 12 0 3 0 0 0 0 2 6 1 0 12 1 6 8 0 1 0 10 11 0 1 2 8 0 0 3 31 0 3 0 0 0 0 8 43 1 0 37 7 16 24 0 2 1 33 27 1 5 4 45 2 2 5 94 2 3 0 0 10 2 15 81 5 0 51 16 24 35 1 3 1 37 45 6 5 3 94 1 7 5 121 3 2 0 0 23 4 21 26 0 2 35 16 25 39 0 2 2 15 18 40 12 3 155 13 19 6 60 4 2 1 0 27 6 35 7 3 0 35 19 31 44 0 3 5 8 2 125 8 4 234 24 17 8 22 11 2 2 0 26 8 24 2 2 1 24 10 11 21 0 10 7 2 3 138 7 1 295 124 13 8 5 7 0 8 0 86 28 107 165 13 3 217 69 118 174 4 23 17 115 108 310 38 20 833 164 58 38 345 27 17 11 40 18 4 1 0 0 0 0 4 3 3 1 5 1 40 Chromosomal Abnormalities 17 2 0 0 0 0 0 1 0 4 2 0 0 26 0 1 0 1 0 0 0 11 0 0 0 0 0 2 0 0 0 0 0 1 0 0 0 0 2 2 11 0 0 0 2 4 30 0 1 1 5 7 85 0 1 0 2 3 90 4 2 0 16 10 111 9 2 0 32 4 68 10 0 0 52 1 14 3 0 0 136 4 1 7 0 0 214 1 3 4 0 0 461 51 413 38 6 1 0 0 0 0 0 1 2 0 0 1 1 0 0 5 0 1 1 0 0 1 1 3 2 4 6 1 7 27 External Causes 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 20 Maricopa County 2012 Mortality (Death) Statistics Table 2.07b Other Selected Underlying Causes of Death by Age Group Crude Death Rate per 100,000 Residents Age Group Cause Infectious Diseases 0-4 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 Clostridium difficile 0 0 0 0 0 Other Intestinal Infections 1.8 0 0 0 0 Septicaemia 0.4 0 0 0 0.4 Viral Hepatitis 0 0 0 0 0 Coccidioidomycosis 0 0 0 0 0 Other Mycoses 0 0 0 0 0 Cancer Brain 0.4 1.4 0.4 1.1 0.7 Lip & Oral 0 0 0 0 0 Skin 0 0 0 0 0 Ovarian1 0 0 0 0.4 0 Testicular 0 0 0 0.4 0.4 Other Diseases Anemias 0 0 0 0 0.4 Nutritional Deficiencies 0.4 0 0 0 0 Obesity 0 0 0 0.4 0.7 Mental & Behavioral Disorders Due to the 0 0 0 0 0 Parkinson's Disease 0 0 0 0 0 Multiple Sclerosis 0 0 0 0 0 Epilepsy 0.4 0 0.4 0 0.4 Cardiovascular Acute Myocardial Infarction (Heart Attack) 0 0 0 0 0 Congestive Heart Failure 0 0 0 0 0 Chronic Lower Emphysema 0 0 0 0 0 Respiratory Asthma 0 0 0 0 0 Liver Disease Alcoholic Liver Disease 0 0 0 0 0 Musculoskeletal Rheumatoid Arthritis 0 0 0 0 0 Lupus 0 0 0 0 0.7 Osteoporosis 0 0 0 0 0 Perinatal Disorders Related to Short Gestation & Low 14.6 0 0 0 0 Conditions & Congenital Malformations of the Circulatory 6.6 0.3 0 0 0 Congenital Chromosomal Abnormalities 6.2 0 0 0 0 Malformations External Causes Falls 0 0 0 0.7 0.7 Unintentional Drowning 0.4 0.7 0.4 0.7 1.4 Unintentional Poisoning 0 0 0 4.1 10.5 Exposure to Excessive Natural Heat 0.4 0 0 0 0 Legal Intervention 0 0 0 0 0.4 Accidental Discharge of Firearms 0 0 0 0 0.4 Discharge of Firearms, Undetermined Intent 0 0 0 0 0.4 Complications of Medical and Surgical Care 0 0.3 0 0 0.4 1 Ovarian cancer rates are per 100,000 females; testicular cancer rates are per 100,000 males. 0 0 0 0 0.2 0 2.0 0 0.9 0.4 0.2 0.2 0 1.3 0.4 0 0 0 0.4 0 0 0.5 2.2 0 0.5 0 0 0 0 0.9 1.3 15.3 0 0.2 0 0.4 0.2 0 0 0.4 1.1 0.2 0 2.3 0.2 1.1 1.5 0 0.2 0 1.9 2.1 0 0.2 0.4 1.5 0 0 0.6 5.8 0 0.6 0 0 0.8 0.2 0.4 0.6 16.9 0.8 0.4 0 0 0.6 0 0 1.6 8.4 0.2 0 7.2 1.4 3.1 4.7 0 0.4 0.2 6.4 5.3 0.2 1.0 0.8 8.8 0.4 0.4 1.0 18.3 0.4 0.6 0 0 0.6 0 3.1 1.9 21.6 1.8 0.4 0 0 0.4 2.3 0.5 3.5 19.0 1.2 0 12.0 3.8 5.6 8.2 0.2 0.7 0.2 8.7 10.5 1.4 1.2 0.7 22.0 0.2 1.6 1.2 28.4 0.7 0.5 0 0 0.7 0.9 7.5 0.9 15.9 2.3 0 0 0.2 0.9 7.9 17.2 1.4 3.8 7.2 22.3 9.0 4.5 0 1.9 0.7 0 12.1 22.3 5.5 12.1 8.6 19.8 13.4 28.1 0 0 0.7 1.9 0.7 3.2 5.2 5.1 6.2 1.3 13.8 79.7 4.1 5.1 1.0 2.6 53.4 149.2 4.5 15.3 6.5 10.8 2.1 5.1 20.7 14.0 1.4 7.0 0.7 1.3 0.3 1.3 0 0 0.3 3.2 0.7 0 17.9 86.7 0.3 2.6 4.8 0.6 1.0 4.5 0 0 0 0 0.3 0 2.1 0.6 85+ 40.1 12.3 37.0 3.1 3.1 1.5 37.0 15.4 17.0 32.4 0 15.4 10.8 3.1 4.6 212.9 10.8 1.5 455.2 191.3 20.1 12.3 7.7 10.8 0 12.3 0 1.5 0 330.2 1.5 4.6 6.2 0 0 0 10.8 Total 2.2 0.7 2.7 4.2 0.3 0.1 5.5 1.8 3.0 4.4 0.1 0.6 0.4 2.9 2.7 7.9 1.0 0.5 21.1 4.2 1.5 1.0 8.8 0.7 0.4 0.3 1.0 1.0 0.7 11.7 1.3 10.5 1.0 0.2 0.0 0.1 0.7 21 Maricopa County 2012 Mortality (Death) Statistics Table 2.08a Other Selected Underlying Causes of Death by Sex Number of Cases Cause Infectious Diseases Cancer Other Diseases Cardiovascular Chronic Lower Respiratory Liver Disease Musculoskeletal Perinatal Conditions & Congenital Malformations External Causes Male Gender Female Total Clostridium difficile Other Intestinal Infections Septicaemia Viral Hepatitis Coccidioidomycosis Other Mycoses Brain Lip & Oral Skin Ovarian Testicular Anemias Nutritional Deficiencies Obesity Mental & Behavioral Disorders Due to the Use of Alcohol 33 14 54 118 7 1 121 50 82 0 4 9 6 49 53 14 53 47 6 2 96 19 36 174 0 14 11 66 86 28 107 165 13 3 217 69 118 174 4 23 17 115 81 27 108 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 Congenital Malformations of the Circulatory System 196 13 12 448 68 35 13 249 7 5 0 114 25 8 385 96 23 25 96 20 12 11 310 38 20 833 164 58 38 345 27 17 11 22 18 40 19 21 40 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 8 18 26 211 38 258 25 6 1 3 10 250 13 155 13 0 0 2 17 461 51 413 38 6 1 5 27 22 Maricopa County 2012 Mortality (Death) Statistics Table 2.08b Other Selected Underlying Causes of Death by Sex Crude Death Rate per 100,000 Residents Gender Cause Infectious Diseases 1.7 0.7 2.8 6.1 0.4 0.1 6.2 2.6 4.2 0 0.2 0.5 0.3 2.5 4.2 10.1 0.7 0.6 23.0 3.5 1.8 0.7 12.8 0.4 0.3 0 2.7 0.7 2.7 2.4 0.3 0.1 4.8 1.0 1.8 8.7 0 0.7 0.6 3.3 1.4 5.7 1.3 0.4 19.3 4.8 1.2 1.3 4.8 1.0 0.6 0.6 2.2 0.7 2.7 4.2 0.3 0.1 5.5 1.8 3.0 4.4 0.1 0.6 0.4 2.9 2.7 7.9 1.0 0.5 21.1 4.2 1.5 1.0 8.8 0.7 0.4 0.3 1.1 0.9 1.0 1.0 0.4 1.1 0.9 1.0 0.7 Falls 10.8 12.6 Unintentional Drowning 1.9 0.7 Unintentional Poisoning 13.2 7.8 Exposure to Excessive Natural Heat 1.3 0.7 Legal Intervention 0.3 0 Accidental Discharge of Firearms 0.1 0 Discharge of Firearms, Undetermined Intent 0.2 0.1 Complications of Medical and Surgical Care 0.5 0.9 1 Ovarian cancer rates are per 100,000 females; testicular cancer rates are per 100,000 males. 11.7 1.3 10.5 1.0 0.2 0.0 0.1 0.7 Cancer Other Diseases Cardiovascular Chronic Lower Respiratory Liver Disease Musculoskeletal Perinatal Conditions & Congenital Malformations External Causes Clostridium difficile Other Intestinal Infections Septicaemia 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 Male Female Total Congenital Malformations of the Circulatory System Chromosomal Abnormalities 23 Maricopa County 2012 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 Firearm Related 4 Drug Induced Drug Related, Exc. Tobacco Drug Related, Inc. 1 Tobacco Alcohol Induced 1 1 1 0 0 Alcohol Related 10-14 2 0 0 0 0 0 15-19 29 13 13 13 0 1 20-24 58 38 40 40 1 3 25-34 96 106 122 130 18 36 35-44 74 116 142 180 46 75 45-54 84 145 202 372 132 201 55-64 73 112 141 702 171 251 65-74 37 26 39 894 80 119 75-84 27 9 6 971 24 41 85+ 10 8 7 567 8 14 Total 494 574 713 3,870 480 741 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. 24 Maricopa County 2012 Mortality (Death) Statistics 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 1.5 0.4 0.4 0.4 0.0 0.0 10-14 0.7 0.0 0.0 0.0 0.0 0.0 15-19 10.7 4.8 4.8 4.8 0.0 0.4 20-24 20.3 13.3 14.0 14.0 0.4 1.1 25-34 17.2 19.0 21.9 23.3 3.2 6.5 35-44 13.9 21.8 26.7 33.8 8.6 14.1 45-54 16.4 28.3 39.3 72.4 25.8 39.1 55-64 17.1 26.2 33.1 164.6 40.1 58.8 65-74 12.8 9.0 13.4 308.1 27.7 41.0 75-84 17.2 5.7 3.8 619.2 15.3 26.1 85+ 15.4 12.3 10.8 874.8 12.3 21.6 Total 12.5 14.5 18.1 98.2 12.1 18.8 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. 25 Maricopa County 2012 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 1 1 Race/Ethnicity Firearm Related Drug Induced Drug Related, Exc. Tobacco Drug Related, Inc. Tobacco1 Alcohol Induced Alcohol Related White 335 423 524 3,301 321 503 Hispanic 101 82 105 306 89 137 African American 30 33 48 163 14 20 American Indian 11 14 15 30 45 63 Asian 7 3 3 28 4 4 Multiple 7 13 12 28 4 4 Other/ Unknown 3 6 6 14 3 10 Total 494 574 713 3,870 480 741 See Technical Notes for explanation for the large difference between Drug Related deaths including and excluding tobacco. Rates for the Unknown/Other group were not calculated as population estimates for this group were not available from the US Census 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 Race/Ethnicity Firearm Related Drug Induced Drug Related, Exc. Tobacco Drug Related, Inc. Tobacco1 Alcohol Induced Alcohol Related White 14.7 18.6 23.0 144.6 14.1 22.0 Hispanic 8.5 6.9 8.9 25.9 7.5 11.6 African American 15.8 17.4 25.2 85.7 7.4 10.5 American Indian 17.5 22.3 23.9 47.7 71.6 100.2 Asian 4.7 2.0 2.0 18.6 2.7 2.7 Multiple 9.4 17.5 16.2 37.8 5.4 5.4 Other/ Unknown - - - - - - Total 12.5 14.5 18.1 98.2 12.1 18.8 1 See Technical Notes for explanation for the large difference between Drug Related deaths including and excluding tobacco. Rates for the Unknown/Other group were not calculated as population estimates for this group were not available from the US Census 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. 1 26 Maricopa County 2012 Mortality (Death) Statistics Table 2.11a Firearm, Drug, and Alcohol Induced and Related Deaths by Sex Number of Cases Number of Deaths by Gender Gender Male Female Total 1 Firearm Related Drug Induced Drug Related, Exc. Tobacco Drug Related, Inc. Tobacco1 Alcohol Induced Alcohol Related 416 78 347 227 449 264 2,292 1,578 351 129 550 191 494 574 713 3,870 480 741 See Technical Notes for explanation for the large difference between Drug Related deaths including and excluding tobacco. 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 Male Female Total Firearm Related 21.3 3.9 12.5 Drug Induced 17.8 11.4 14.5 Drug Related, Exc. Tobacco Drug Related, Inc. Tobacco1 23.0 13.3 18.1 117.5 79.2 98.2 Alcohol Induced 18.0 6.5 12.1 Alcohol Related 28.2 9.6 18.8 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. 27 Maricopa County 2012 Mortality (Death) Statistics Table 2.12 Number and Percent of Deaths by Race/Ethnicity and Marital Status Marital Status at Death No. Single 1,702 Married Number and Percent of Deaths by Race/Ethnicity African American Hispanic Asian Multiple American Indian No. % No. % No. % No. % No. % White % 754 25.7 287 8,241 39.5 1,058 36.0 288 Widowed 7,285 35.0 661 22.5 246 Divorced 3,458 16.6 443 15.1 236 Unknown 155 0.7 22 0.7 19 Total 20,841 8.2 2,938 26. 7 26. 8 22. 9 21. 9 1.8 1,076 Other/ Unknown No. % Total No. % 58 15.9 53 32.1 5 5.0 2,984 11.6 68 22.6 161 44.1 42 25.5 26 26.0 9,884 38.3 53 17.6 110 30.1 36 21.8 15 15.0 8,406 32.6 50 16.6 35 9.6 33 20.0 4 4.0 4,259 16.5 5 1.7 1 0.3 1 0.6 50 50.0 253 1.0 125 41.5 301 365 165 100 25,786 Table 2.13 Number and Percent of Deaths by Race/Ethnicity and Education Level Number and Percent of Deaths Race/Ethnicity White Educational Level th No. % Hispanic African American American Indian No. No. No. % 969 4.6 985 33.5 Some High School 1,480 7.1 418 High School Graduate or GED 7,944 38.1 Some College 4,101 College Graduate Graduate School 8 Grade or Less Unknown Total % % No. % Multiple No. % Other/ Unknown No. % Total No. % 7.6 43 14.3 54 14.8 14 8.5 4 4.0 2,151 8.3 14.2 112 10.4 65 21.6 26 7.1 16 9.7 3 3.0 2,120 8.2 758 25.8 361 33.6 92 30.6 94 25.8 42 25.5 19 19.0 9,310 36.1 19.7 273 9.3 197 18.3 47 15.6 41 11.2 34 20.6 2 2.0 4,695 18.2 4,257 20.4 207 7.0 177 16.4 27 9.0 94 25.8 34 20.6 5 5.0 4,801 18.6 1,620 7.8 47 1.6 69 6.4 9 3.0 30 8.2 7 4.2 7 7.0 1,789 6.9 470 2.3 250 8.5 78 7.2 18 6.0 26 7.1 18 10.9 60 60.0 920 3.6 20,841 2,938 82 Asian 1,076 301 365 165 100 25,786 28 Maricopa County 2012 Mortality (Death) Statistics Table 2.14 Number and Percent of Deaths by Race/Ethnicity and Gender Number and Percent of Deaths by Race/Ethnicity White Gender No. Hispanic % % 0 10,494 50.4 1,615 Unknown 10,346 49.6 1,323 Female Total 20,841 0.0 No. 0 Male 1 2,938 African American American Indian No. No. 0 % 0 0 55.0 566 52.6 45.0 510 47.4 1,076 % Asian No 0 Other/ Unknown Multiple % No. % No. 0 0 0 0 0 159 52.8 175 47.9 86 52.1 142 47.2 190 52.1 79 47.9 301 365 165 % Total No. 0 % 1 0.0 72 72.0 13,167 51.1 28 28.0 12,618 48.9 100 25,786 29 Maricopa County 2012 Mortality (Death) Statistics Table 2.15 Crude and Age Adjusted Rates for Selected Underlying Causes of Death by Race/Ethnicity Crude Death Rates All Causes – Total 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 White 913.1 278.4 155.6 38.3 46.1 7.9 26.6 18.9 3.2 1.7 1.3 18.5 14.5 14.1 Hispanic 248.6 66.6 42.9 10.7 20.5 1.9 17.3 5.7 7.4 1.4 0.3 6.9 8.5 7.5 African American 565.5 162.4 92.5 26.8 30.0 3.2 33.1 10.5 14.2 5.3 1.1 17.3 15.8 7.4 American Indian 478.8 105 58.9 14.3 58.9 3.2 49.3 17.5 15.9 1.6 1.6 22.3 15.9 71.6 Asian 242.8 74.5 52.6 15.3 12.6 2.0 16.0 6.0 0.7 0.7 0.7 2.0 4.7 2.7 Multiple 222.5 47.2 32.4 4.0 24.3 4.0 5.4 14.8 5.4 1.3 0 17.5 9.4 5.4 Total 654.1 132.7 111.3 27.6 36.4 5.5 23.8 14.0 5.2 1.7 1.0 14.6 12.4 12.2 Hispanic 530.1 118.3 97.7 30.2 29.8 5.6 44.0 5.9 7.5 1.7 0.8 7.9 8.3 12.8 African American 810.7 182.6 129.0 44.7 34.8 6.7 51.1 10.4 14.1 5.7 1.0 17.5 15.0 8.6 American Indian 951.7 88.1 117.1 25.2 69.4 3.0 112.3 15.5 15.0 1.1 3.1 23.0 12.9 90.7 Asian 337.8 84.6 71.8 25.9 15.7 4.3 26.2 5.8 0.7 0.6 1.3 2.3 4.6 2.8 Multiple 582.7 116.1 94.7 12.9 30.4 15.3 14.5 22.5 6.5 2.7 0 24.4 19.5 10.4 Total 640.5 129.4 108.0 27.2 36.1 5.5 22.8 13.9 5.2 1.7 1.0 14.5 12.3 11.5 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 White 413.6 130.0 109.2 25.8 38.4 5.4 18.3 17.3 3.1 1.5 1.0 17.5 13.3 11.0 Unintentional injuries listed in this table include deaths from unintentional injuries, but do not include the 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. 30 Maricopa County 2012 Mortality (Death) Statistics Table 2.16 Death Rate Comparisons 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 2012 Maricopa County Crude Rate No. of (Deaths Indiviper duals 100,000 Residents) 25,786 654.1 5,614 142.4 4,318.0 109.5 1,296.0 32.9 4,387.0 111.3 Age Adjusted Rate 5 (Deaths per 100,000 Residents) Maricopa County 2012 640.5 138.9 106.7 32.2 108.0 Arizona 2012 687.2 145.8 112.7 149.8 U.S. 3 2011 740.6 173.7 109 53.1 168.6 Healthy People 2020 Goal 100.8 160.6 1,481 430 289 2,187 37.6 21.6 14.8 55.5 32.6 19.4 17.3 38.7 37.7 10.4 8.1 - 45.9 3 12.0 3 8.3 - 45.5 20.6 21.2 - 1,090 27.6 27.2 29.9 37.9 33.8 1,434 340 461 413 51 169 218 939 553 204 67 68 574 489 480 36.4 8.6 11.7 10.5 1.3 4.3 5.5 23.8 14.0 5.2 1.7 1.7 14.6 12.4 12.2 36.1 8.5 11.6 10.5 1.3 4.4 5.5 22.8 13.9 5.2 1.7 1.4 14.5 12.3 11.5 42.4 11.4 11.2 12.9 1.3 9.1 23.5 16.2 5.9 1.5 16.3 13.8 14.2 38.0 10.9 7.8 10.7 1.1 15.7 21.5 12.0 5.9 2.4 1.0 12.8 10.1 7.6 36.0 12.4 7.2 11.1 1.1 10.2 5.5 3.3 4.9 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 deaths from unintentional injuries, but do not include the 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. 4 Healthy People 2020 Goal for diabetes includes deaths where diabetes is listed as a multiple cause of death. The Healthy People 2020 Goal is 65.8 deaths per 100,000 residents. 5 Data not available for “-”: there are no corresponding category in reports for Arizona and U.S 2011, 2020 Goals. 31 Maricopa County 2012 Mortality (Death) Statistics Table 2.17 Leading Causes of Death by Race/Ethnicity Rank White Hispanic African American American Indian Asian All 1 Cancer (4852) Cancer (590) Cancer (232) Cancer (41) Cancer (102) Cancer (5,868) 2 Heart Disease (4,399) Heart Disease (475) Heart Disease (214) Unintentional Injury (38) Heart Disease (71) Heart Disease (5,236) 3 Chronic Lower Respiratory (1,519) Unintentional Injury (244) Diabetes (63) Liver Disease (38) Diabetes (24) Chronic Lower Respiratory (1,647) 4 Alzheimer’s (1,348) Diabetes (205) Unintentional Injury (62) Diabetes (31) Stroke (23) Alzheimer’s (1,518) 5 Unintentional Injury (1,071) Stroke (126) Stroke (51) Heart Disease (30) 6 Stroke (875) Alzheimer’s (108) Chronic Lower Respiratory (38) Stroke (1,090) 7 Diabetes (608) Liver Disease (102) Alzheimer’s (32) Diabetes (939) 8 Suicide (431) Homicide (88) Homicide (27) 9 Fall (407) Chronic Lower Respiratory (69) Suicide (20) 10 Liver Disease (297) Suicide (67) Unintentional Injury (1,461) Suicide (553) *** Liver Disease (459) Influenza & Pneumonia (218) th th th ***Fewer than 20 deaths occurred for a cause of death for African American (10 ), American Indian (6 -10 ), and th th Asian (5 -10 ). 32 Maricopa County 2012 Mortality (Death) Statistics Table 2.17 Leading Causes of Death by Age Rank Less than 15 years old 15 to 29 20 to 24 25 to 34 35 to 44 45 to 54 55 to 64 1 Unintentional Injury (50) Unintentional Injury (45) Unintentional Injury (86) Unintentional Injury (166) Unintentional Injury (157) Cancer (463) Cancer (1,066) 2 Cancer (23) Suicide (28) Suicide (37) Suicide (97) Cancer (128) Heart Disease (243) Heart Disease (572) Homicide (34) Cancer (53) Suicide (83) Unintentional Injury (211) Diabetes (202) Alzheimer’s (1,501) Chronic Lower Respiratory (1,647) 4 Homicide (47) Heart Disease (75) Suicide (125) Unintentional Injury (189) Chronic Lower Respiratory (1,435) Alzheimer’s (1,518) 5 Heart Disease (30) Homicide (38) Diabetes (73) Chronic Lower Respiratory (160) Stroke (910) Unintentional Injury (1,461) Diabetes (21) Stroke (52) Suicide (95) Diabetes (630) Stroke (1,090) Chronic Lower Respiratory (37) Stroke (95) Unintentional Injury (557) Diabetes (939) 8 Influenza & Pneumonia (190) Suicide (553) 9 Suicide (84) Influenza & Pneumonia (218) 3 6 *** 7 10 65 and above Heart Disease (4,308) Cancer (4,114) Total Cancer (5,868) Heart Disease (5,236) Homicide (204) ***Fewer than 20 deaths occurred for a cause of death 33 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* 263,589 58,792 12,466 5,983 5,617 4,319 3,988 35,880 14,548 12,566 2,255 29,579 17,333 9,521 8,820 8,422 8,393 6,262 3,114 1,081 1,971 74,265 Percent 100 22.3 4.7 2.3 2.1 1.6 1.5 13.6 5.5 4.8 0.9 11.2 6.6 3.6 3.3 3.2 3.2 2.4 1.2 0.4 0.7 28.2 Total Deaths 25,786 5,868 1,481 432 532 288 461 1,561 413 343 51 5,236 562 939 1,647 204 459 1,090 165 218 67 7,770 *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 76.3 years. See Technical Notes for details. 34 III. Maricopa County 2012 Natality (Birth) Statistics 35 Maricopa County 2012 Natality (Birth) Statistics Table 3.01 Number and Percent of Births by Age & Race/Ethnicity of Mother Race/Ethnicity White Age Group of Mother Hispanic African American Total American Indian Asian Other/ Unknown No. % No. % No. % No. % No. % No. % No. % <15 3 0 27 0.1 5 0.1 2 0.1 1 0 0 0 38 0.1 15-19 1,008 4.1 2,952 13.6 395 11.3 252 15.5 49 1.8 4 2.3 4,660 8.6 20-24 4,625 18.7 6,220 28.7 1,052 30 547 33.7 301 11 8 4.6 12,753 23.4 25-29 7,766 31.4 5,725 26.4 955 27.3 387 23.9 790 28.9 27 15.5 15,650 28.7 30-34 7,276 29.4 4,126 19 686 19.6 278 17.1 988 36.1 55 31.6 13,409 24.6 35-39 3,289 13.3 2,147 9.9 320 9.1 127 7.8 476 17.4 26 14.9 6,385 11.7 40-44 739 3 476 2.2 84 2.4 27 1.7 124 4.5 36 20.7 1,486 2.7 45+ 43 0.2 18 0.1 7 0.2 2 0.1 6 0.2 16 9.2 92 0.2 Unknown1 - - - - - 2 1.1 2 0 Total 24,749 21,691 3,504 1,622 2,735 174 1 54,475 “Unknown” code is used for Age Group and Race/Ethnicity category. Total percentage was rounded for Unknown Age Group category Data not available for “-”: 36 Maricopa County 2012 Natality (Birth) Statistics Table 3.02 Number and Percent of Births by Marital Status & Race/Ethnicity of Mother Race/Ethnicity M arital Status of M other White No. Hispanic % No. % African American No. American Indian % No. % Total Asian No. Other/ Unknown % 2,295 83.9 No. % 145 83.3 30,156 55.4 23,784 43.7 M arried 17,504 70.7 8,722 40.2 1,130 32.2 360 22.2 Single 7,056 28.5 12,695 58.5 2,337 66.7 1,238 76.3 429 15.7 29 16.7 No. % Refused 118 0.5 189 0.9 30 0.9 16 1 8 0.3 0 0 361 0.7 Divorced 22 0.1 11 0.1 1 0 2 0.1 0 0 0 0 36 0.1 Unknown 49 0.2 74 0.3 6 0.2 6 0.4 3 0.1 0 0 138 0.3 Total 24,749 21,691 3,504 1,622 2,735 174 54,475 37 Maricopa County 2012 Natality (Birth) Statistics Table 3.03 Number and Percent of Births by Educational Level & Race/Ethnicity of Mother Race/Ethnicity Education Level of M other White Hispanic African American American Indian Total Asian Other/ Unknown No. % No. % No. % No. % No. % No. % No. % < 6th Grade 67 0.3 396 1.8 62 1.8 7 0.4 51 1.9 0 0 583 1.1 6-11th Grade 1,487 6 7,362 33.9 547 15.6 391 24.1 155 5.7 6 3.4 9,948 18.3 HS Diploma 5,688 23 7,833 36.1 1,298 37 581 35.8 473 17.3 15 8.6 15,888 29.2 44.9 630 38.8 2,032 74.3 40 23 27,599 50.7 0.7 13 0.8 113 64.9 College+ 17,294 69.9 6,030 27.8 1,573 Unknown 213 Total 24,749 0.9 70 21,691 0.3 24 3,504 1,622 24 2,735 0.9 174 457 0.8 54,475 38 Maricopa County 2012 Natality (Birth) Statistics Table 3.04 Number and Percent of Births by Method of Payment & Race/Ethnicity of Mother Race/Ethnicity M ethod of Payment White No. Hispanic No. Other/ Unknown % No. % No. % 69.7 1,072 66.1 756 27.6 112 64.4 0 0 171 10.5 2 0.1 0 0 15,808 63.9 4,793 22.1 983 28.1 353 21.8 40 23 23,860 43.8 Self 1,157 4.7 526 2.4 65 1.9 21 1.3 87 3.2 17 9.8 1,873 3.4 Unknown 49 0.2 29 0.1 14 0.4 5 0.3 7 0.3 5 2.9 109 0.2 Total 24,749 Private Insurance % Total Asian No. Indian Health Service No. American Indian % AHCCCS % African American 7,707 31.1 16,300 75.1 2,442 28 0.1 43 0.2 21,691 3,504 1,622 1,883 68.8 2,735 174 No. % 28,389 52.1 244 0.4 54,475 Table 3.05 Trimester of First Prenatal Care (PNC) & Race/Ethnicity of Mother Race/Ethnicity Trimester of First Prenatal Care White Hispanic African American American Indian Total Asian Other/ Unknown No. % No. % No. % No. % No. % No. % No. % 129 0.5 292 1.3 36 1 30 1.8 15 0.5 16 9.2 518 1 22,574 91.2 17,873 82.4 2,843 81.1 1,135 70 2,435 89 102 58.6 46,962 86.2 Second 1,676 6.8 518 14.8 342 21.1 242 8.8 32 18.4 5,665 10.4 Third 310 1.3 628 2.9 96 2.7 110 6.8 40 1.5 18 10.3 1,202 2.2 Unknown 60 0.2 43 0.2 11 0.3 5 0.3 3 0.1 6 3.4 128 0.2 Total 24,749 No PNC First 2,855 13.2 21,691 3,504 1,622 2,735 174 54,475 39 Maricopa County 2012 Natality (Birth) Statistics Table 3.06 Number and Percent of Prenatal Care Visits & Race/Ethnicity of Mother Race/Ethnicity Number of Prenatal Care Visits White Hispanic African American American Indian Total Asian Other/ Unknown No. % No. % No. % No. % No. % No. % No. % None 129 0.5 292 1.3 36 1 30 1.8 15 0.5 16 9.2 518 1 1 to 4 357 1.4 711 3.3 141 4 137 8.4 55 2 16 9.2 1,417 2.6 5 to 8 2,002 8.1 2,951 13.6 484 13.8 378 23.3 249 9.1 32 18.4 6,096 11.2 9 to 12 11,431 46.2 10,858 50.1 1,633 46.6 745 45.9 1,303 47.6 61 35.1 26,031 47.8 13 to 16 8,345 33.7 5,461 25.2 898 25.6 257 15.8 873 31.9 39 22.4 15,873 29.1 17 or M ore 2,417 9.8 1,364 6.3 299 8.5 70 4.3 237 8.7 4 2.3 4,391 8.1 Unknown 68 0.3 54 0.2 13 0.4 5 0.3 3 0.1 6 3.4 149 0.3 Total 24,749 21,691 3,504 1,622 2,735 174 54,475 40 Maricopa County 2012 Natality (Birth) Statistics Table 3.07 Adequacy of Prenatal Care & Race /Ethnicity of Mother Singleton Births Only (Excludes Twins and Other Multiple Births) Race/Ethnicity White Adequacy of Prenatal Care Hispanic No. % Total African American American Indian No. % No. % Asian No. Other/ Unknown No. % % No. % No. % 1,349 5.7 2,696 12.7 457 13.6 354 22.2 198 7.5 50 29.6 5,104 2,478 10.4 2,924 13.8 427 12.7 301 18.9 296 11.2 21 12.4 6,447 12.2 10,875 45.5 8,875 41.8 1,286 38.2 595 37.4 1,179 44.4 48 28.4 22,858 43.2 9,101 38.1 6,684 31.5 1,186 35.2 336 21.1 45 26.6 18,329 34.7 11 0.3 6 0.4 Inadequate 9.6 Intermediate Adequate Adequate Plus Information M issing 72 0.3 58 0.3 977 36.8 3 0.1 5 3 155 0.3 Total 23,875 21,237 3,367 1,592 2,653 169 52,893 Note: Please see Technical Note for definition of Adequacy of Prenatal Care 41 Maricopa County 2012 Natality (Birth) Statistics Table 3.08 Birthweight of Infant & Race/Ethnicity of Mother Race/Ethnicity White Hispanic African American Total American Indian Asian Other/ Unknown No. % No. % No. % No. % No. % No. % No. % <1500 Grams 270 1.1 239 1.1 86 2.5 16 1 24 0.9 2 1.1 637 1.2 1500-2499 Grams 1,271 5.1 1,197 5.5 344 9.8 88 5.4 176 6.4 18 10.3 3,094 5.7 2500-4249 Grams 22,255 89.9 19,607 90.4 2,999 85.6 1,438 88.7 2,484 90.8 150 86.2 48,933 89.8 >4249 Grams 953 3.9 648 3 75 2.1 80 4.9 51 1.9 2 1.1 1,809 3.3 Unknown1 - - - - - 2 1.1 2 0 Total 24,749 21,691 3,504 1,622 2,735 174 Birthweight of Infant 1 54,475 “Unknown” code is used for Birth Weight of Infant and Race/Ethnicity category. Total percentage was rounded for Unknown Birth Weight of Infant category. Data not available for “-”: 42 Maricopa County 2012 Natality (Birth) Statistics Table 3.09 Preterm Births (Less than 37 Weeks Gestation) & Race/ Ethnicity of Mother Race/Ethnicity White Hispanic African American Total American Indian Asian Other/ Unknown No. % No. % No. % No. % No. % No. % No. % Less than 34 Weeks 581 2.3 556 2.6 141 4 46 2.8 58 2.1 5 2.9 1,387 2.5 Late Preterm (34-36 Weeks) 1,564 6.3 1,567 7.2 302 8.6 103 6.4 172 6.3 15 8.6 3,723 6.8 37 Weeks or More 22,604 91.3 19,568 90.2 3,061 87.4 1,473 90.8 2,505 91.6 152 87.4 49,363 90.6 Unknown1 - - - - - 2 1.1 2 0 Total 24,749 21,691 3,504 1,622 2,735 174 Gestational Estimate 1 54,475 “Unknown” code is used for Gestational Estimate and Race/Ethnicity category. Total percentage was rounded for Unknown Gestational Estimate category Data not available for “-”: Table 3.10 Number and Percent of Births by Medical Risk Factor & Race/Ethnicity of Mother Race/Ethnicity M edical Risk Factor White No. Hispanic % No. % African American No. No M edical Risk 16,665 67.3 14,683 67.7 2,091 Present M edical Risk Present Total 8,084 32.7 7,008 32.3 1,413 24,749 21,691 3,504 American Indian % No. % 59.7 758 46.7 40.3 864 53.3 1,622 Total Asian No. Other/ Unknown % 1,793 65.6 942 2,735 34.4 No. % 105 60.3 36,095 66.3 69 39.7 18,380 33.7 174 No. 54,475 43 % Maricopa County 2012 Natality (Birth) Statistics Table 3.11 Number and Percent of Births by Type of Delivery & Race/Ethnicity of Mother Race/Ethnicity Type of Delivery White No. Hispanic No. % No. % 17,389 70.3 16,163 74.5 2,360 67.4 1,164 71.8 1,833 67 126 72.4 39,035 71.7 Primary CSection 4,080 16.5 2,635 12.1 581 16.6 244 15 547 20 18 10.3 8,105 14.9 Repeat CSection 3,280 13.3 2,893 13.3 563 16.1 214 13.2 355 13 30 17.2 7,335 13.5 21,691 No. Other/ Unknown % 24,749 % Total Asian No. Total No. American Indian % Vaginal % African American 3,504 1,622 2,735 174 No. 54,475 44 % Maricopa County 2012 Natality (Birth) Statistics Table 3.12 Number and Percent of Births by Birth Attendee & Race/ Ethnicity of Mother Race/Ethnicity Birth Attendee Other White Hispanic African American American Indian Total Asian Other/ Unknown No. % No. % No. % No. % No. % No. % No. % 75 0.3 24 0.1 6 0.2 1 0.1 3 0.1 5 2.9 114 0.2 86.4 1,100 67.8 145 83.3 45,620 83.7 2.9 378 23.3 68 2.5 8 4.6 2,039 3.7 0.2 0 0 12 0.4 2 1.1 496 0.9 10.3 143 8.8 331 12.1 14 8 M.D. 19,890 80.4 19,136 88.2 3,028 Certified Nurse 824 3.3 659 3 102 Midwife Midwife 419 1.7 55 0.3 8 D.O. 3,541 14.3 1,817 Total 24,749 21,691 8.4 360 3,504 1,622 2,321 84.9 2,735 174 6,206 11.4 54,475 45 Maricopa County 2012 Natality (Birth) Statistics Table 3.13 Number and Percent of Births by Marital Status & Age Group of Mother Age Group of M other Total M arital Status of M other <15 15-19 20-24 25-29 30-34 No. % No. % No. % No. % M arried 0 0 457 9.8 4,283 33.6 9,670 61.8 Single 38 100 4,197 90.1 8,361 65.6 5,812 37.1 Refused 0 0 4 0.1 74 0.6 109 0.7 96 Divorced 0 0 0 0 4 0 16 0.1 Unknown 0 0 2 0 31 0.2 43 0.3 Total 38 4,660 12,753 15,650 No. 35-39 % 40-44 No. % 9,908 73.9 4,714 73.8 3,360 25.1 1,590 24.9 400 0.7 58 0.9 19 1.3 1 9 0.1 4 0.1 2 0.1 36 0.3 19 0.3 7 0.5 13,409 6,385 No. 45+ % No. Unk. % 1,058 71.2 64 69.6 26.9 26 28.3 1,486 No. 2 % No. % 100 30,156 55.4 0 0 1.1 0 0 361 0.7 1 1.1 0 0 36 0.1 0 0 0 0 138 0.3 92 2 23,784 43.7 54,475 Table 3.14 Number and Percent of Births by Educational Level &Age Group of Mother Age Group of M other Total Educational Level of M other <15 15-19 20-24 25-29 30-34 35-39 40-44 45+ Unk. No. % No. % No. % No. % No. % No. % No. % No. % No. % No. % < 6th Grade 1 2.6 25 0.5 85 0.7 166 1.1 164 1.2 106 1.7 34 2.3 2 2.2 0 0 583 1.1 6-11th Grade 36 21 2,122 13.6 1,620 12.1 945 14.8 234 15.7 9 9.8 0 0 9,948 18.3 HS Diploma 0 0 42.7 4,339 27.7 2,676 20 1,171 18.3 298 20.1 12 13 0 0 15,888 29.2 College+ 0 0 375 8 4,460 35 8,901 56.9 8,845 66 4,097 64.2 869 58.5 52 56.5 0 0 27,599 50.7 Unknown 1 2.6 15 0.3 79 0.6 122 0.8 104 0.8 66 1 51 17 18.5 2 100 Total 38 92 2 94.7 2,298 49.3 2,684 1,947 41.8 5,445 4,660 12,753 15,650 13,409 6,385 1,486 3.4 457 0.8 54,475 46 Maricopa County 2012 Natality (Birth) Statistics Table 3.15 Number and Percent of Births by Method of Payment & Age Group of Mother Age Group of M other Total M ethod of Payment <15 No. 15-19 % No. 84.2 4,006 20-24 25-29 30-34 35-39 40-44 % No. % No. % No. % No. % No. 86 9,324 73.1 7,476 47.8 4,687 35 2,241 35.1 581 0.7 75 0.6 72 0.5 40 0.3 21 0.3 2 23.7 7,490 47.9 3,829 60 842 45+ % No. AHCCCS 32 Indian Health Service 0 0 34 Private Insurance 6 15.8 519 Self 0 0 92 2 295 2.3 580 3.7 564 4.2 281 4.4 60 4 1 Unknown 0 0 9 0.2 33 0.3 32 0.2 20 0.1 13 0.2 1 0.1 0 Total 38 11.1 3,026 4,660 12,753 15,650 8,098 60.4 13,409 6,385 Unk. % 39.1 41 44.6 0.1 0 0 1 % No. % 50 28,389 52.1 0 0 0 0 23,860 43.8 1.1 0 0 1,873 3.4 0 1 50 109 0.2 56.7 50 54.3 1,486 No. 92 2 244 0.4 54,475 Table 3.16 Trimester of First Prenatal Care (PNC) & Age Group of Mother Age Group of M other Total Trimester of First Prenatal Care <15 15-19 20-24 25-29 30-34 35-39 40-44 45+ Unk. No. % No. % No. % No. % No. % No. % No. % No. % No. % No. % No PNC 0 0 68 1.5 155 1.2 134 0.9 88 0.7 50 0.8 22 1.5 1 1.1 0 0 518 1 First 20 52.6 3,515 75.4 10,584 83 13,770 88 5,688 89.1 1,286 86.5 77 83.7 1 Second 14 36.8 853 12.7 1,415 9 1,073 8 528 8.3 147 9.9 9 9.8 0 0 5,665 10.4 Third 4 10.5 215 4.6 342 2.7 295 1.9 209 1.6 106 1.7 26 1.7 5 5.4 0 0 1,202 2.2 Unknown 0 0 9 0.2 46 0.4 36 0.2 18 0.1 13 0.2 5 0.3 0 0 1 50 128 0.2 Total 38 4,660 18.3 1,626 12,753 15,650 12,021 89.6 13,409 6,385 1,486 92 2 50 46,962 86.2 54,475 47 Maricopa County 2012 Natality (Birth) Statistics Table 3.17 Number and Percent of Prenatal Care Visits & Age Group of Mother Age Group of M other Total Number of Prenatal Care Visits <15 20-24 15-19 25-29 30-34 40-44 35-39 45+ Unk. No. % No. % No. % No. % No. % No. % No. % No. % No. % No. % None 0 0 68 1.5 155 1.2 134 0.9 88 0.7 50 0.8 22 1.5 1 1.1 0 0 518 1 1 to 4 6 15.8 206 4.4 433 3.4 358 2.3 251 1.9 132 2.1 24 1.6 7 7.6 0 0 1,417 2.6 5 to 8 9 23.7 812 13.6 1,562 10 1,225 9.1 581 9.1 158 10.6 11 12 0 0 6,096 11.2 9 to 12 15 39.5 2,311 49.6 6,125 48 7,357 47 6,480 48.3 3,058 47.9 649 43.7 36 39.1 0 0 26,031 47.8 13 to 16 6 15.8 1,033 22.2 3,392 26.6 4,959 31.7 4,169 31.1 1,863 29.2 431 20 21.7 0 0 15,873 29.1 17 or M ore 2 5.3 220 4.7 854 6.7 1,241 7.9 1,172 8.7 687 10.8 197 13.3 17 18.5 1 50 4,391 8.1 Unknown 0 0 10 0.2 56 0.4 39 0.2 24 0.2 14 0.2 5 1 50 149 0.3 Total 38 4,660 17.4 1,738 12,753 15,650 13,409 6,385 1,486 29 0.3 0 92 0 2 54,475 48 Maricopa County 2012 Natality (Birth) Statistics Table 3.18 Adequacy of Prenatal Care & Age Group of Mother Singleton Births Only (Excludes Twins and Other Multiple Births) Age Group of M other Total Adequacy of Prenatal Care <15 15-19 No. % No. Inadequate 13 34.2 801 Intermediate 7 18.4 698 Adequate 20-24 40-44 Unk. 45+ No. % No. % No. % No. % No. % No. % No. % 17.4 1,535 12.3 1,291 8.5 890 6.9 447 7.3 119 8.5 8 9.5 0 0 5,104 9.6 15.2 1,695 13.5 1,748 11.5 1,492 11.5 675 11.1 123 8.8 9 10.7 0 0 6,447 12.2 10 26.3 1,780 38.8 5,302 42.3 6,670 43.8 5,905 45.7 2,589 42.5 570 40.7 32 38.1 0 0 22,858 43.2 Adequate Plus 8 21.1 1,301 28.3 3,938 31.4 5,473 35.9 4,624 35.7 2,366 38.8 583 41.6 35 41.7 1 50 18,329 34.7 Information M issing 0 0.5 43 0.3 14 0.2 5 1 50 Total 38 11 0.2 4,591 No. 35-39 % 0 % 30-34 25-29 57 12,527 15,225 24 0.2 12,935 6,091 0.4 1,400 0 0 84 2 155 0.3 52,893 Table 3.19 Birthweight of Infant & Age Group of Mother Age Group of M other Total Birthweight of Infant <15 15-19 20-24 25-29 30-34 35-39 40-44 45+ Unk. No. % No. % No. % No. % No. % No. % No. % No. % No. % No. % <1500 Grams 2 5.3 59 1.3 142 1.1 172 1.1 152 1.1 81 1.3 28 1.9 1 1.1 0 0 637 1.2 1500-2499 Grams 2 5.3 302 6.5 721 5.7 765 4.9 750 5.6 423 6.6 117 7.9 14 15.2 0 0 3,094 5.7 2500-4249 Grams 34 5,604 87.8 1,291 86.9 75 81.5 1 >4249 Grams 0 0 70 1.5 325 2.5 533 3.4 552 4.1 277 4.3 50 3.4 2 2.2 0 0 1,809 3.3 Unknown 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 50 2 0 Total 38 89.5 4,229 90.8 11,565 90.7 4,660 12,753 14,180 15,650 90.6 11,954 89.1 13,409 6,385 1,486 92 2 50 48,933 89.8 54,475 49 Maricopa County 2012 Natality (Birth) Statistics Table 3.20 Preterm Births (Less Than 37 Weeks Gestation) & Age Group of Mother Age Group of M other Total Gestational Estimate <15 15-19 20-24 25-29 30-34 35-39 40-44 45+ Unk. No. % No. % No. % No. % No. % No. % No. % No. % No. % No. % Less than 34 Weeks 3 7.9 131 2.8 311 2.4 344 2.2 339 2.5 190 3 63 4.2 6 6.5 0 0 1,387 2.5 Late Preterm (3436 Weeks) 1 2.6 318 6.8 821 6.4 987 6.3 918 6.8 540 8.5 124 8.3 14 15.2 0 0 3,723 6.8 37 Weeks or M ore 34 5,655 88.6 1,299 87.4 72 78.3 1 50 49,363 90.6 Unknown 0 0 0 1 50 Total 38 89.5 4,211 90.4 11,621 91.1 0 0 0 4,660 0 0 12,753 14,319 91.5 12,151 90.6 0 0 15,650 1 0 13,409 6,385 0 0 1,486 0 0 92 2 2 0 54,475 Table 3.21 Number and Percent of Births by Medical Risk Factor & Age Group of Mother Age Group of M other Total M edical Risk Factor <15 No. 20-24 15-19 % No. % No. 30-34 25-29 % No. % No. 40-44 35-39 % No. % No. Unk. 45+ % No. % No. % No. % No M edical Risk Present 20 52.6 3,054 65.5 8,686 68.1 10,631 67.9 9,073 67.7 3,805 59.6 771 51.9 54 58.7 1 50 36,095 66.3 M edical Risk Present 18 47.4 1,606 34.5 4,067 31.9 5,019 32.1 4,336 32.3 2,580 40.4 715 48.1 38 41.3 1 50 18,380 33.7 Total 38 13,409 6,385 1,486 92 2 4,660 12,753 15,650 54,475 50 Maricopa County 2012 Natality (Birth) Statistics Table 3.22 Number and Percent of Births by Birth Attendee & Age Group of Mother Age Group of M other 15-19 <15 No. % No. 20-24 % 25-29 No. % No. Total 35-39 30-34 % No. % No. 40-44 % No. 45+ % No. Unk. % No. % No. % Birth Attendee Other 0 0 4 0.1 12 0.1 30 3,939 84.5 10,658 83.6 12,954 0.2 45 0.3 18 0.3 82.8 11,200 83.5 5,462 85.5 4 0.3 0 0 1 50 114 0.2 83 90.2 1 50 45,620 83.7 M .D. 31 81.6 Certified Nurse M idwife 4 10.5 1,292 86.9 228 4.9 520 4.1 627 4 481 3.6 147 2.3 31 2.1 1 1.1 0 0 2,039 3.7 6 0.1 60 0.5 175 1.1 159 1.2 84 1.3 11 0.7 1 1.1 0 0 496 0.9 483 10.4 1,503 11.8 1,864 11.9 1,524 11.4 674 10.6 148 10 7 7.6 0 0 M idwife 0 0 3 7.9 D.O. 6,206 11.4 Total 38 4,660 12,753 15,650 13,409 6,385 1,486 92 2 54,475 Table 3.23 Number and Percent of Births by Type of Delivery & Age Group of Mother Age Group of M other Total Type of Delivery <15 No. 15-19 % No. Vaginal 35 Primary CSection 3 7.9 667 Repeat CSection 0 0 141 Total 38 20-24 % No. 92.1 3,852 82.7 9,727 4,660 14.3 1,779 3 1,247 12,753 25-29 30-34 % No. % 76.3 11,427 73 13.9 2,240 9.8 1,983 15,650 No. 35-39 % 40-44 45+ No. % No. % 9,150 68.2 3,938 61.7 859 57.8 45 48.9 2 14.3 1,995 14.9 1,091 17.1 304 20.5 26 28.3 0 0 8,105 14.9 12.7 2,264 16.9 1,356 21.2 323 21.7 21 22.8 0 0 7,335 13.5 13,409 6,385 92 2 1,486 No. Unk. % No. % No. % 100 39,035 71.7 54,475 51 Maricopa County 2012 Natality (Birth) Statistics Table 3.24 Comparisons for Selected Natality Measures Maricopa County 2012 Number of Rate or Individuals Percent Healthy People 2020 4 Goal 1 Arizona 2012 U.S. 2011 Neonatal 218 4.0 3.9 4.0 4.1 Postnatal 105 1.9 1.9 2.0 2.0 Total 323 5.9 5.8 6.1 6.0 3,731 6.9% 6.9% 8.0% 7.8% 10-14 Years Old 38 0.07% 0.08% 0.1% - Births to teen mothers 15-17 Years Old 1,445 2.7% 2.8% 2.1% - – 15-19 Years Old 4,660 8.6% 9.4% 7.7% - Total 10-19 Years Old 4,698 8.6% 9.5% 7.8% - 13 23.9 - Not Available 11.4 14 25.7 - - - Unlinked Infant Mortality – Rate per 1,000 live births Low birthweight births (< 2500g) – Percent of live births Percent of live births 2 Maternal Mortality - 3 Rate per 100,000 live births 2 Pregnancy-related Mortality Rate per 100,000 live births 1. 2. 3. 4. Infant Mortality data are from Preliminary 2011 U.S. data. Birth data was from National Vital Statistical Reports Birth: Final Data for 2012. Count was suppressed in State report. See Technical Note for explanation of difference between Maternal Mortality and Pregnancy-related Mortality. This was due to changes in the death certificates nationwide. Data not available for “-“ 52 IV. Maricopa County 2012 Communicable Disease Statistics 53 Maricopa County 2012 Communicable Disease Statistics Table 4.01a Number of Cases of Selected Reportable Diseases1 by Race/Ethnicity Race/Ethnicity Disease 0 3 1 0 African American 0 0 Pertussis 469 227 13 Aseptic Meningitis, Viral White H. influenzae Type B2 Mumps Vaccine Preventable Central Nervous System Total 0 0 0 0 1 3 23 12 123 867 92 20 3 6 23 386 0 0 0 1 0 0 0 0 0 0 1 3 Amebiasis 1 1 1 0 0 2 5 1 0 0 0 0 0 1 150 85 12 11 3 265 526 Cryptosporidiosis 17 0 1 1 2 16 37 E. coli O157:H7 43 10 3 2 2 30 90 Giardiasis 27 4 3 0 0 25 59 Listeriosis Norovirus4 5 3 1 0 0 0 0 0 0 0 1 110 7 113 147 79 14 23 8 159 430 42 103 3 3 2 58 211 Salmonellosis Shigellosis Typhoid Fever 0 1 1 0 2 1 5 1,337 271 138 61 45 8,296 10,148 Brucellosis 0 3 0 0 0 1 4 Dengue 1 2 0 0 1 3 7 Lyme Disease 2 0 0 0 0 1 3 Malaria 0 0 12 0 1 2 15 West Nile Virus 61 9 0 1 2 17 90 Hepatitis A 23 8 1 0 1 10 43 Hepatitis B (Acute) 19 3 0 3 1 49 75 Legionellosis 21 6 1 0 1 0 29 MRSA, Invasive 46 15 6 5 1 653 726 148 47 97 11 13 4 40 5 5 2 1,619 43 1,922 112 Coccidioidomycosis5 Hepatitides Unknown 1 2 Campylobacteriosis Zoonoses/ Vectorborne Asian 242 Botulism, Infant Mycosis American Indian 0 0 Encephalitis Viral Meningococcal Invasive Disease 3 Enterics Hispanic RSV4 Streptococcal Group A, Invasive Streptococcal Group B6, Invasive 14 14 4 1 1 4 38 166 57 25 15 5 119 387 Toxic Shock Syndrome 1 0 0 0 0 0 1 Vibrio Infection 3 2 0 0 0 12 17 Yersiniosis 5 0 0 0 0 3 8 Hansen's Disease4 0 0 0 0 0 0 0 9 51 20 5 23 0 329 215 122 82 9 324 1,354 1,351 1,051 201 53 354 81 53 3 7 6 12 115 215 78 28 6 15 7,166 7,207 2,426 957 205 1,171 147 79 133 10 21 5 101 40 62 5 7 0 All Others 157 73 25 14 9 119 Total 12,534 10,398 4200 1506 442 13,666 1 Unless otherwise indicated, numbers represent confirmed and probable cases. 2 Beginning in 2012, only H. Influenzae Type B cases are shown. 3 Botulism, Infant cases occur among children aged less than 1 year. 4 Confirmed cases only. 5 Race/Ethnicity data is commonly not provided with Coccidioidomycosis reports. 6 Streptococcal Group B Invasive disease is only reportable for cases in infants under 90 days. 7 Symptoms in adults are divided into four stages (primary, secondary, latent, & late syphilis). For more information please visit www.cdc.gov 108 1,081 4,364 162 457 19,132 395 215 397 42,746 Other Streptococcus pneumoniae, Invasive 4 Tuberculosis Sexually Transmitted Diseases Genital Herpes4 Gonorrhea4 Syphilis- Primary & Secondary4,7 Syphilis- All Others4,7 Chlamydia4 HIV4 AIDS4 54 Maricopa County 2012 Communicable Disease Statistics Table 4.01b Case Rates per 100,000 Residents for Selected Reportable Diseases1 by Race/Ethnicity Race/Ethnicity Disease White Vaccine Preventable Central Nervous System African American American Indian Total Asian Unknown H. influenzae Type B2 0.0 0.1 0.0 0.0 0.0 0.0 0.0 Mumps 0.1 0.0 0.0 0.0 0.0 0.0 0.1 Pertussis 20.5 19.2 6.8 36.6 8.0 165.8 22.0 Aseptic Meningitis, Viral 10.6 7.8 10.5 4.8 4.0 31.0 9.8 Encephalitis Viral 0.0 0.0 0.0 0.0 0.0 0.0 0.0 Meningococcal Invasive Disease 0.1 0.0 0.5 0.0 0.0 0.0 0.1 Amebiasis 0.0 0.1 0.5 0.0 0.0 2.7 0.1 Botulism, Infant 0.9 0.0 0.0 0.0 0.0 0.0 0.4 Campylobacteriosis 6.6 7.2 6.3 17.5 2.0 357.3 13.3 Cryptosporidiosis 0.7 0.0 0.5 1.6 1.3 21.6 0.9 E. coli O157:H7 1.9 0.8 1.6 3.2 1.3 40.4 2.3 Giardiasis 1.2 0.3 1.6 0.0 0.0 33.7 1.5 Listeriosis 0.2 0.1 0.0 0.0 0.0 1.3 0.2 4 3 Enterics Hispanic Norovirus 0.1 0.0 0.0 0.0 0.0 148.3 2.9 Salmonellosis 6.4 6.7 7.4 36.6 5.3 214.4 10.9 Shigellosis 1.8 8.7 1.6 4.8 1.3 78.2 5.4 Typhoid Fever 0.0 0.1 0.5 0.0 1.3 1.3 0.1 58.6 22.9 72.5 97.0 29.9 11,185.0 257.4 Brucellosis 0.0 0.3 0.0 0.0 0.0 1.3 0.1 Dengue 0.0 0.2 0.0 0.0 0.7 4.0 0.2 Lyme Disease 0.1 0.0 0.0 0.0 0.0 1.3 0.1 Malaria 0.0 0.0 6.3 0.0 0.7 2.7 0.4 West Nile Virus 2.7 0.8 0.0 1.6 1.3 22.9 2.3 Hepatitis A 1.0 0.7 0.5 0.0 0.7 13.5 1.1 Hepatitis B (Acute) 0.8 0.3 0.0 4.8 0.7 66.1 1.9 Legionellosis 0.9 0.5 0.5 0.0 0.7 0.0 0.7 MRSA, Invasive 2.0 1.3 3.2 8.0 0.7 880.4 18.4 RSV4 6.5 8.2 6.8 63.6 3.3 2,182.8 48.8 Streptococcal Group A Invasive 2.1 0.9 2.1 8.0 1.3 58.0 2.8 Streptococcal Group B Invasive 0.6 0.6 1.1 0.6 0.4 23.0 0.7 Streptococcus pneumoniae, Invasive 7.3 4.8 13.1 23.9 3.3 160.4 9.8 0.0 0.1 0.2 0.0 0.4 14.4 59.3 3.5 5.0 313.9 6.4 4.4 0.0 0.2 0.0 0.0 4.3 18.2 114.3 4.5 18.2 609.7 6.7 3.4 0.0 0.0 0.0 0.0 10.5 64.1 552.3 1.6 41.0 1,274.9 69.9 32.6 0.0 0.0 0.0 0.0 8.0 130.4 319.7 11.1 44.5 1,522.4 15.9 8.0 0.0 0.0 0.0 0.0 15.3 6.0 35.3 4.0 4.0 136.4 14.0 4.7 0.0 16.2 4.0 0.0 0.0 436.8 477.3 16.2 20.2 1,578.8 6.7 0.0 0.0 0.4 0.2 0.0 2.7 27.4 110.7 4.1 11.6 485.3 10.0 5.5 6.9 6.2 13.1 22.3 6.0 160.4 10.1 Total 549.1 879.7 2,207.2 2,395.7 294.1 18,425.0 1 Unless otherwise indicated, numbers represent confirmed and probable cases. 2 Beginning in 2012, only H. Influenzae Type B cases are shown. 3 Rates for Botulism, Infant among children aged less than 1 year are per 100,000 residents in age group ‘0-4’ by race of child. 4 Confirmed cases only 5 Race/Ethnicity data is commonly not provided with Coccidioidomycosis reports. 6 Rates for Streptococcal Group B Invasive in infants <90 days are per 1,000 live births by race of the mother. 7 Symptoms in adults are divided into four stages (primary, secondary, latent, & late syphilis). For more information please visit www.cdc.gov 1,084.3 Mycosis Zoonoses/ Vectorborne Hepatitides Coccidioidomycosis5 6 Other Toxic Shock Syndrome Vibrio Infection Yersiniosis Hansen's Disease4 Tuberculosis4 Sexually Genital Herpes4 Transmitted Gonorrhea4 Diseases Syphilis- Primary & Secondary4,7 Syphilis- All Others4,7 Chlamydia4 HIV4 AIDS4 All Others 55 Maricopa County 2012 Communicable Disease Statistics Table 4.02a Number of Cases of Selected Reportable Diseases1 by Age Group Age Group Total Disease <1 Vaccine Preventable Central Nervous System Enterics Mycosis Zoonoses/ Vectorborne Hepatitides Other H. influenzae Type B2 Mumps Pertussis Aseptic Meningitis, Viral Encephalitis Viral Meningococcal Invasive Disease Amebiasis Botulism, Infant3 Campylobacteriosis Cryptosporidiosis E. coli O157:H7 Giardiasis Listeriosis Norovirus4 Salmonellosis Shigellosis Typhoid Fever Coccidioidomycosis5 Brucellosis Dengue Lyme Disease Malaria West Nile Virus Hepatitis A Hepatitis B (Acute) Legionellosis MRSA, Invasive RSV4 Streptococcal Group A Invasive Streptococcal Group B6 Invasive Streptococcus pneumoniae, Invasive Toxic Shock Syndrome Vibrio Infection Yersiniosis Hansen's Disease4 Tuberculosis4 Sexually Genital Herpes4 Transmitted Gonorrhea4 Diseases Syphilis- Primary & Secondary4,7 Syphilis- All Others4,7 Chlamydia4 HIV4 AIDS4 All Others Total 1-4 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-84 85+ Unk 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 139 0 85 1 114 2 135 0 67 0 29 0 62 0 74 0 78 0 45 0 32 0 2 0 5 3 867 32 8 6 11 21 35 86 47 44 41 48 6 1 386 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 1 0 0 0 0 0 3 0 1 22 0 4 1 2 0 49 3 0 9 0 0 0 0 65 4 26 10 0 4 62 47 2 29 0 0 1 0 44 2 16 7 0 4 27 64 0 128 0 0 0 0 20 0 9 1 0 1 27 15 0 253 0 1 0 0 29 0 4 0 1 4 31 9 0 523 0 1 0 0 36 3 2 3 0 0 19 11 0 558 0 0 0 0 55 5 7 7 2 6 38 10 2 1,511 0 0 3 0 57 2 6 9 0 8 43 18 0 1,803 1 1 0 0 60 8 3 9 0 13 46 12 1 1,763 0 4 1 0 57 6 4 7 0 11 32 12 0 1,469 0 0 0 0 68 6 8 4 1 33 50 8 0 1,819 3 0 0 0 6 0 1 0 0 29 5 1 0 242 0 0 0 0 7 1 0 1 1 0 1 1 0 41 0 0 5 1 526 37 90 59 7 113 430 211 5 10,148 4 7 0 0 0 0 0 0 2 1,179 0 2 0 1 0 0 5 454 1 2 1 0 0 0 2 35 0 0 1 0 0 0 3 9 1 1 2 2 0 0 3 4 0 3 0 10 3 0 16 2 0 1 12 4 6 2 39 6 0 0 15 8 17 1 63 6 0 0 16 4 19 5 102 10 1 5 21 8 17 10 150 10 0 1 21 6 11 10 280 20 0 0 1 0 2 1 57 7 0 0 0 0 0 0 4 180 3 15 90 43 75 29 726 1,922 2 4 4 2 2 5 11 11 15 17 30 4 5 112 38 - - - - - - - - - - - - 38 14 18 11 7 2 10 18 32 62 89 104 19 1 387 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 3 1 0 0 1 0 0 0 2 0 0 0 6 1 0 0 13 2 1 0 22 6 1 0 19 2 3 0 14 3 1 0 8 2 0 0 17 0 1 0 3 0 0 0 0 17 8 0 4 0 1 2 71 168 357 213 155 75 35 0 0 108 1081 0 0 2 17 917 1,422 1,294 461 196 47 8 0 0 4364 0 0 0 0 11 34 48 29 31 8 1 0 0 162 10 0 0 0 14 81 118 111 90 23 10 0 0 457 6 0 0 0 3 0 0 3 0 133 2 0 5,226 13 1 7,317 85 17 4,717 130 52 1,270 84 59 359 56 59 81 16 24 23 3 3 0 0 0 0 0 0 19132 395 215 21 39 134 1,548 877 615 95 750 15 3 17 9 12 10 18 3 21 397 6,984 9,888 8,651 4,493 3,256 2,316 2,697 398 273 42,746 1 Unless otherwise indicated, numbers represent confirmed and probable cases. Beginning in 2012, only H. Influenzae Type B cases are shown. 3 Botulism, Infant cases occur among children aged less than 1 year. 4 Confirmed cases only 5 Race/Ethnicity data is commonly not provided with Coccidioidomycosis reports. 6 Streptococcal Group B Invasive disease is only reportable for cases in infants under 90 days. 7 Symptoms in adults are divided into four stages (primary, secondary, latent, & late syphilis). For more information please visit www.cdc.gov 2 56 Maricopa County 2012 Communicable Disease Statistics Table 4.02b Case Rates per 100,000 Residents for Selected Reportable Diseases1 by Age Group Age Group Disease Total 0-4 Vaccine Preventable Central Nervous System Enterics Mycosis Zoonoses/ Vectorborne Hepatitides Other H. Influenzae Type B2 Mumps Pertussis Aseptic Meningitis, Viral Encephalitis Viral Meningococcal Invasive Disease Amebiasis Botulism, Infant3 Campylobacteriosis Cryptosporidiosis E. coli O157:H7 Giardiasis Listeriosis Norovirus4 Salmonellosis 15-19 20-24 25-34 35-44 45-54 55-64 65-84 85+ Unk. 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.3 39.7 0.0 24.7 0.0 10.2 0.0 11.1 0.0 13.9 0.0 15.2 0.0 10.5 0.0 11.0 0.0 1.3 0.0 7.7 0.1 22.0 14.6 2.1 3.9 7.7 12.3 15.4 8.8 8.6 9.6 16.5 3.8 1.5 9.8 0.0 0.0 0.0 0.4 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.4 0.4 0.0 0.2 0.0 0.0 0.0 0.0 0.0 0.1 0.0 0.4 31.7 1.5 10.9 4.0 0.7 1.5 40.5 0.3 15.3 0.7 5.6 2.4 0.0 1.4 9.4 0.0 7.1 0.0 3.2 0.4 0.0 0.4 9.5 0.0 10.7 0.0 1.5 0.0 0.4 1.5 11.4 0.0 12.6 1.1 0.7 1.1 0.0 0.0 6.7 0.0 9.9 0.9 1.3 1.3 0.4 1.1 6.8 0.6 10.7 0.4 1.1 1.7 0.0 1.5 8.1 0.0 11.7 1.6 0.6 1.8 0.0 2.5 9.0 0.2 13.4 1.4 0.9 1.6 0.0 2.6 7.5 0.0 23.4 2.1 2.8 1.4 0.3 11.4 17.2 0.0 3.8 0.0 0.6 0.0 0.0 18.5 3.2 0.0 10.8 1.5 0.0 1.5 1.5 0.0 1.5 0.1 0.4 13.3 0.9 2.3 1.5 0.2 2.9 10.9 18.2 0.7 13.9 22.3 0.0 44.6 5.3 0.0 89.3 3.3 0.0 192.8 3.9 0.0 195.7 1.8 0.4 271.2 3.4 0.0 338.9 2.3 0.2 343.3 2.8 0.0 344.4 2.8 0.0 626.9 0.6 0.0 154.3 1.5 0.0 63.3 5.4 0.1 257.4 Brucellosis 0.0 0.0 0.0 0.0 0.0 0.0 0.2 0.0 0.0 1.0 0.0 0.0 0.1 Dengue Lyme Disease Malaria 0.0 0.0 0.7 0.0 0.3 0.7 0.4 0.0 0.0 0.4 0.4 0.4 0.0 0.0 1.1 0.0 0.0 0.2 0.2 0.0 0.0 0.8 0.0 0.0 0.0 0.2 1.2 0.0 0.0 0.3 0.0 0.0 0.0 0.0 0.0 0.0 0.2 0.1 0.4 West Nile Virus Hepatitis A Hepatitis B (Acute) 0.0 0.4 0.0 0.3 0.0 0.0 0.4 0.0 0.0 0.7 0.7 0.0 0.0 3.5 1.1 2.2 0.7 1.1 2.8 1.5 3.2 3.1 0.8 3.7 4.9 1.9 4.0 7.2 2.1 3.8 0.6 0.0 1.3 0.0 0.0 0.0 2.3 1.1 1.9 0.0 2.6 595.6 0.0 0.7 12.2 0.0 1.1 3.2 0.0 1.1 1.5 0.0 5.6 0.7 0.4 7.0 1.1 0.2 11.8 1.1 1.0 19.9 1.9 2.3 35.2 2.3 3.4 96.5 6.9 0.6 36.3 4.5 0.0 6.2 277.7 0.7 18.4 48.8 2.2 1.4 0.7 0.7 1.8 2.0 2.1 2.9 4.0 10.3 2.6 7.7 2.8 0.7 - - - - - - - - - - - 0.7 11.7 3.8 2.5 0.7 3.5 3.2 6.0 12.1 20.9 35.8 12.1 1.5 9.8 0.0 0.0 0.4 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 Vibrio Infection 0.0 0.3 0.0 0.0 0.4 0.4 1.1 0.4 0.7 0.7 0.0 0.0 0.4 Yersiniosis Hansen's Disease4 0.4 0.0 1.1 1.5 0.0 0.0 0.0 0.3 0.3 0.7 0.0 0.0 0.7 0.7 6.0 0.0 0.0 2.2 26.2 338.0 0.0 0.0 4.6 58.9 498.7 0.2 0.0 3.9 64.1 232.2 0.2 0.0 3.6 40.0 86.7 0.6 0.0 2.7 30.2 38.2 0.2 0.0 1.9 17.6 11.0 0.0 0.0 5.9 12.1 2.8 0.6 0.0 1.9 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.2 0.0 2.7 27.4 110.7 0.0 0.0 0.0 4.1 11.9 8.6 5.5 6.0 1.9 0.3 0.0 0.0 4.1 3.6 2.2 1.1 0.0 0.0 0.0 1.0 0.0 0.0 46.9 0.7 0.0 5.2 1926.3 4.8 0.4 28.4 2566.0 29.8 6.0 21.2 846.5 23.3 9.3 20.9 238.7 15.8 11.1 17.5 69.9 10.9 11.5 5.4 19.0 3.8 5.6 3.4 7.9 1.0 1.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 11.6 485.3 10.0 5.5 21.9 46.7 33.5 5.5 1.1 3.1 1.7 2.3 2.3 6.2 1.9 32.4 10.1 884.5 214.3 264.6 2574.3 3467.6 1552.5 844.6 634.1 542.9 929.5 253.8 421.2 1,084.3 Shigellosis Typhoid Fever Coccidioidomycosis5 Legionellosis MRSA, Invasive RSV4 Streptococcal Group A Invasive Streptococcal Group B6 Invasive Streptococcus pneumoniae, Invasive Toxic Shock Syndrome 4,7 Syphilis-All Others Chlamydia4 HIV4 AIDS4 Total 10-14 0 0 0.7 47.6 Tuberculosis4 Sexually Genital Herpes4 Transmitted Gonorrhea4 Diseases Syphilis- Primary & Secondary4,7 All Others 5-9 0.4 0.0 0.0 81.7 1 Unless otherwise indicated, numbers represent confirmed and probable cases. 2 Beginning in 2012, only H. Influenzae Type B cases are shown. 3 Rates for Botulism, Infant among children aged less than 1 year are per 100,000 residents in age group ‘0-4.’ 4 Confirmed cases only 5 Race/Ethnicity data is commonly not provided with Coccidioidomycosis reports. 6 Rates for Streptococcal Group B Invasive in infants <90 days are per 1,000 live births. 7 Symptoms in adults are divided into four stages (primary, secondary, latent, & late syphilis). For more information please visit www.cdc.gov 57 Maricopa County 2012 Communicable Disease Statistics Table 4.03a Number of Cases of Selected Reportable Diseases1 by Sex Gender Disease MALE Vaccine Preventable Central Nervous System 0 1 394 1 2 471 0 0 2 1 3 867 Aseptic Meningitis, Viral 171 215 0 386 1 1 0 2 0 0 1 3 3 0 275 2 1 250 0 0 1 5 1 526 Cryptosporidiosis 23 14 0 37 E. coli O157:H7 42 46 2 90 Giardiasis 34 25 0 59 Encephalitis Viral Meningococcal Invasive Disease Listeriosis 3 4 0 7 Norovirus4 45 68 0 113 Salmonellosis 197 232 1 430 Shigellosis 105 106 0 211 5 0 0 5 Typhoid Fever Mycosis Zoonoses/ Vectorborne Hepatitides Other 5 Coccidioidomycosis 4,135 5,951 62 10,148 Brucellosis 1 3 0 4 Dengue 4 3 0 7 Lyme Disease 1 2 0 3 Malaria 6 9 0 15 West Nile Virus 56 34 0 90 Hepatitis A 20 22 1 43 Hepatitis B (Acute) 49 26 0 75 Legionellosis MRSA, Invasive 21 416 8 295 0 15 29 726 RSV4 776 636 510 1,922 Streptococcal Group A Invasive 58 53 1 112 Streptococcal Group B6 Invasive 20 18 0 38 204 176 7 387 Streptococcus pneumoniae, Invasive Toxic Shock Syndrome Vibrio Infection Yersiniosis 4 Hansen's Disease Tuberculosis4 Sexually Transmitted Diseases Genital Herpes4 Gonorrhea4 Syphilis- Primary & Secondary4,7 4,7 Syphilis- All Others Chlamydia4 HIV4 4 AIDS All Others Total Total UNKNOWN H. Influenzae Type B2 Mumps Pertussis Amebiasis Botulism, Infant3 Campylobacteriosis Enterics FEMALE 0 1 0 1 13 4 0 17 3 5 0 8 0 0 0 0 64 44 0 108 339 742 0 1081 2332 2032 0 4364 150 12 0 162 370 87 0 457 5627 13505 0 19132 335 60 0 395 192 23 0 215 191 184 22 397 16,716 25,406 624 42,746 1 Unless otherwise indicated, numbers represent confirmed and probable cases. 2 Beginning in 2012, only H. Influenzae Type B cases are shown. 3 Botulism, Infant cases occur among children aged less than 1 year. 4 Confirmed cases only 5 Race/Ethnicity data is commonly not provided with Coccidioidomycosis reports 6 Streptococcal Group B Invasive disease is only reportable for cases in infants under 90 days. 7 Symptoms in adults are divided into four stages (primary, secondary, latent, & late syphilis). For more information please visit www.cdc.gov 58 Maricopa County 2012 Communicable Disease Statistics Table 4.03b Case Rates per 100,000 Residents for Selected Reportable Diseases1 by Sex Gender Total Disease MALE H. Influenzae Type B2 Vaccine Preventable Central Nervous System 0.1 - 0.0 0.1 20.2 0.1 23.6 - 0.1 22.0 Aseptic Meningitis, Viral 8.8 10.8 - 9.8 Encephalitis Viral 0.1 0.0 - 0.0 Meningococcal Invasive Disease 0.1 0.1 - 0.1 0.2 0.0 14.1 0.1 0.7 12.6 - 0.1 0.4 13.3 Cryptosporidiosis 1.2 0.7 - 0.9 E. coli O157:H7 2.2 2.3 - 2.3 Giardiasis 1.7 1.3 - 1.5 Listeriosis 0.2 0.2 - 0.2 Norovirus4 2.3 3.4 - 2.9 Salmonellosis Mycosis Zoonoses/ Vectorborne Hepatitides 10.1 11.6 - 10.9 Shigellosis 5.4 5.3 - 5.4 Typhoid Fever 0.3 0.0 - 0.1 5 Coccidioidomycosis 212.0 298.7 - 257.4 Brucellosis 0.1 0.2 - 0.1 Dengue 0.2 0.2 - 0.2 Lyme Disease 0.1 0.1 - 0.1 Malaria 0.3 0.5 - 0.4 West Nile Virus 2.9 1.7 - 2.3 Hepatitis A 1.0 1.1 - 1.1 Hepatitis B (Acute) 2.5 1.3 - 1.9 Legionellosis Other 1.1 0.4 - 0.7 MRSA, Invasive 21.3 14.8 - 18.4 RSV4 48.8 39.8 31.9 - Streptococcal Group A Invasive 3.0 2.7 - 2.8 Streptococcal Group B6 Invasive 0.7 0.7 - 0.7 Streptococcus pneumoniae, Invasive 10.5 8.8 - 9.8 Toxic Shock Syndrome 0.0 0.1 - 0.0 Vibrio Infection 0.7 0.2 - 0.4 Yersiniosis 0.2 0.3 - 0.2 0.0 3.3 17.4 119.6 7.7 0.0 2.2 37.2 102.0 0.6 - 0.0 2.7 27.4 110.7 4.1 19.0 4.4 - 11.6 288.5 678.0 - 485.3 17.2 3.0 - 10.0 9.8 1.2 - 5.5 9.8 9.2 - 10.1 Hansen's Disease4 Tuberculosis4 Sexually Transmitted Diseases Genital Herpes4 Gonorrhea4 Syphilis- Primary & Secondary4,7 Syphilis- All Others4,7 4 Chlamydia HIV4 AIDS4 All Others UNKNOWN 0.0 Mumps Pertussis Amebiasis Botulism, Infant3 Campylobacteriosis Enterics FEMALE Total 857.1 1,275.4 1,084.3 Unless otherwise indicated, numbers represent confirmed and probable cases. 2 Beginning in 2012, only H. Influenzae Type B cases are shown. 3 Rates for Botulism, Infant among children aged less than 1 year are per 100,000 residents in age group ‘0-4.’ 4 Confirmed cases only 5 Race/Ethnicity data is commonly not provided with Coccidioidomycosis reports 6 Rates for Streptococcal Group B Invasive in infants <90 days are per 1,000 live births. 7 Symptoms in adults are divided into four stages (primary, secondary, latent, & late syphilis). For more information please visit www.cdc.gov 1 59 Maricopa County 2012 Communicable Disease Statistics Table 4.04 Case Rate Comparisons to Arizona, U.S. and Healthy People 2020 Goals for Selected Diseases1 2012 Maricopa County Crude Case Rate (Cases per 100,000 Residents) Disease Crude Case Rate (Cases per 100,000 Residents) Number of cases Arizona 2012 Healthy People 2020 Goal U.S. 2011 Salmonellosis 430 10.9 13.2 16.79 AIDS2 215 5.5 2.68 - - 395 10.0 6.22 11.32 - 108 2.7 2.9 3.41 1 75 1.9 1.6 0.94 - 43 1.1 1.4 0.45 - HIV 2 Tuberculosis 2 Hepatitis B (Acute) Hepatitis A 2,3 11.4 Syphilis- Primary and Secondary 162 4.1 3.1 4.52 - Pertussis 867 22.0 17.4 6.06 - Rubella 0 0 0 0 0 Mumps 3 0.1 0 0.13 0 Measles 0 0 0 0.06 0 1 Unless otherwise indicated, numbers represent confirmed and probable cases. 2 Confirmed cases only 3 Symptoms in adults are divided into four stages (primary, secondary, latent, & late syphilis). For more information please visit www.cdc.gov 60 V. Maricopa County 2012 Hospital Discharge Statistics 61 Maricopa County 2012 Hospital Discharge Statistics Table 5.01 Number of Hospital Discharges by Age Group and Race/Ethnicity Race/Ethnicity Age Group 0-4 White Hispanic Black American Indian Asian, Native Hawaiian, or Pac. Islander Other/ Unknown Total 5,640 5,921 1,144 583 273 315 13,876 5-9 1,939 1,895 421 156 72 109 4,592 10-14 2,234 1,598 373 103 46 83 4,437 15-19 3,550 2,182 567 144 101 97 6,641 20-24 5,119 2,713 963 290 153 173 9,411 25-34 12,703 5,778 2,295 791 371 284 22,222 35-44 18,511 7,360 2,829 951 555 352 30,558 45-54 30,985 8,554 3,868 1,134 668 467 45,676 55-64 40,677 8,034 3,648 893 801 558 54,611 65-74 46,745 6,290 2,227 430 809 501 57,002 75-84 40,967 4,231 1,538 246 656 400 48,038 85+ 24,624 1,597 500 75 265 167 27,228 233,694 56,154* 20,373 5,796 4,770 3,506 324,293 Total Note: Pregnant women, newborns, and Long Term Acute Care Hospitals and Rehabilitation Hospital Admissions excluded *Includes one discharge with unknown age 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 7,742 6,132 2 13,876 5-9 2,651 1,941 0 4,592 10-14 2,303 2,134 0 4,437 15-19 3,326 3,315 0 6,641 20-24 4,828 4,583 0 9,411 25-34 10,756 11,466 0 22,222 35-44 14,358 16,199 1 30,558 45-54 22,462 23,214 0 45,676 55-64 27,438 27,173 0 54,611 65-74 28,150 28,852 0 57,002 75-84 21,889 26,149 0 48,038 85+ 10,266 16,962 0 27,228 156,169 168,121* 3 324,293 Total Note: Pregnant women, newborns, and Long Term Acute Care Hospitals and Rehabilitation Hospital Admissions excluded *Includes one discharge with unknown age 62 Maricopa County 2012 Hospital Discharge Statistics Table 5.03 Number and Percent of Hospital Discharges by Sex and Payer Type Gender Male Payer Group No. Female % No. Unknown % No. Total % No. % Medicare Private Insurance 69,766 44.7 82,763 49.2 - 0 152,529 47.0 41,120 26.3 43,657 26 - 0 84,777 26.1 AHCCCS 24,707 15.8 28,305 16.8 2 66.7 53,014 16.3 Self Pay 14,893 9.5 9,655 5.7 1 33.3 24,549 7.6 Other 5,683 3.6 3,741 2.2 - 0 9,424 2.9 Total 156,169 100 168,121 100 3 100 324,293 100.0 Note: Pregnant women, newborns, and Long Term Acute Care Hospitals and Rehabilitation Hospital Admissions excluded 63 Maricopa County 2012 Hospital Discharge Statistics Table 5.04a Selected Primary Diagnosis Groups by Race/Ethnicity Number of Discharges Race/Ethnicity Primary Diagnosis Infectious and parasitic diseases Neoplasms Asian, Native Hawaiian, or Pac. Islander 137 Other/ Unknown 88 Total 7,355 White 4,780 Hispanic 1,641 Black 528 American Indian 181 Septicemia 10,888 3,143 825 334 247 174 15,611 All 15,668 4,784 1,353 515 384 262 22,966 513 90 17 6 12 4 642 6,286 1,102 352 79 189 133 8,141 1,106 171 41 7 22 12 1,359 1,108 92 71 5 34 16 1,326 500 74 38 3 14 8 637 Other Infectious and parasitic diseases Neoplasms - Other Neoplasms - Other Malignant Malignant Neoplasm of large intestine & rectum Malignant neoplasm of trachea, bronchus & lung Malignant neoplasm of breast Neoplasms - Benign 1,748 539 300 18 79 45 2,729 11,261 2,068 819 118 350 218 14,834 5,201 1,453 637 188 131 64 7,674 3,751 1,786 684 234 65 42 6,562 Volume depletion (dehydration) 174 39 3 1 0 5 222 All Diseases of the blood and blood-forming organs 9,126 3,278 1,324 423 196 111 14,458 2,678 851 853 59 94 69 4,604 Mental disorders Other Mental disorders 1,520 316 139 59 21 32 2,087 Psychoses 6,952 1,323 734 187 118 175 9,489 Endocrine, nutritional and metabolic diseases, and immunity disorders All Other Endocrine, nutritional and metabolic diseases, and immunity disorders Diabetes mellitus Alcohol dependence syndrome 514 72 18 15 1 11 631 All Diseases of the nervous system and sense organs 8,986 1,711 891 261 140 218 12,207 6,827 1,964 682 189 125 99 9,886 Diseases of the circulatory system Other Diseases of the circulatory system 6,968 1,411 921 142 120 70 9,632 Heart disease 9,153 1,433 921 135 152 107 11,901 Acute myocardial infarction 4,211 696 254 47 89 64 5,361 Coronary atherosclerosis 3,882 516 168 43 76 55 4,740 225 31 19 1 4 2 282 Other ischemic heart disease (Continued) 64 Maricopa County 2012 Hospital Discharge Statistics Table 5.04a continued Race/Ethnicity Primary Diagnosis Cardiac dysrhythmias Congestive heart failure Diseases of the musculoskeletal system and connective tissue Total 9,428 157 70 10 20 13 1,034 574 98 216 123 10,118 41,147 6,216 3,275 561 801 496 52,496 Other Diseases of the respiratory system 7,735 1,894 607 235 182 111 10,764 Acute bronchitis and bronchiolitis 1,115 933 202 109 46 43 2,448 Pneumonia 6,465 1,689 573 182 158 78 9,145 Chronic bronchitis 4,359 384 256 16 38 12 5,065 2,292 1,265 712 115 65 68 4,517 All 21,966 6,165 2,350 657 489 312 31,939 Other Diseases of the digestive system 23,594 6,905 1,793 625 495 296 33,708 Appendicitis 2,109 1,341 156 52 77 44 3,779 Noninfectious enteritis and colitis 2,952 607 220 39 56 36 3,910 528 267 32 96 18 4 945 All 29,183 9,120 2,201 812 646 380 42,342 Other Diseases of the genitourinary system 12,307 3,679 1,109 292 264 164 17,815 2,004 494 79 23 37 39 2,676 14,311 4,173 1,188 315 301 203 20,491 814 224 78 33 20 14 1,183 6,444 1,692 395 217 85 76 8,909 7,258 1,916 473 250 105 90 10,092 7,312 1,269 550 129 124 83 9,467 9,892 731 352 75 84 95 11,229 Cholelithiasis Diseases of the skin and subcutaneous tissue Other/ Unknown 62 1,210 Asthma Diseases of the genitourinary system Black 348 764 All Diseases of the digestive system Hispanic 762 Asian, Native Hawaiian, or Pac. Islander 124 7,897 Cerebrovascular disease Diseases of the respiratory system White 8,047 American Indian 85 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 Congenital anomalies Certain conditions originating in the perinatal period 2,278 301 117 18 42 32 2,788 19,482 2,301 1,019 222 250 210 23,484 945 514 90 46 16 46 1,657 857 787 173 65 53 61 1,996 (Continued) 65 Maricopa County 2012 Hospital Discharge Statistics Table 5.04a continued Race/Ethnicity Primary Diagnosis Symptoms, signs, and ill-defined conditions Injury and poisoning Injury and poisoning Black 1,317 Other/ Unknown 172 Total 16,092 15,034 3,774 1,370 536 295 284 21,293 6,985 1,719 364 229 127 137 9,561 Fracture of neck of femur 3,051 219 41 19 32 20 3,382 3,489 724 274 117 47 58 4,709 28,559 6,436 2,049 901 501 499 38,945 Other healthcare encounters 1,958 609 172 57 53 35 2,884 Rehab Services 2,400 270 144 41 40 25 2,920 All All Total Hispanic 2,991 Asian, Native Hawaiian, or Pac. Islander 226 Fractures, all sites Poisonings Other healthcare encounters White 11,082 American Indian 304 4,358 879 316 98 93 60 5,804 233,694 56,154 20,373 5,796 4,770 3,506 324,293 Note: Pregnant women, newborns, Long Term Acute Care Hospitals and Rehabilitation Hospital Admissions excluded 66 Maricopa County 2012 Hospital Discharge Statistics Table 5.04b Selected Primary Diagnosis Groups by Race/Ethnicity Crude Hospitalization Rates per 100,000 Residents Primary Diagnosis White Infectious and parasitic diseases 209.4 138.8 277.5 287.9 91.1 Septicemia 477.0 265.9 433.5 531.3 Neoplasms - Other Neoplasms - Other Malignant Total 186.6 164.3 - 582.6 16.3 396.0 686.4 404.7 711.0 819.3 255.5 - 22.5 7.6 8.9 9.5 8.0 275.4 93.2 185.0 125.7 125.7 - 206.5 34.5 48.5 14.5 21.5 11.1 14.6 - Malignant neoplasm of trachea, bronchus & lung 48.5 7.8 37.3 8.0 22.6 21.9 6.3 20.0 4.8 9.3 - 33.6 Malignant neoplasm of breast 69.2 376.3 76.6 45.6 157.7 28.6 52.6 - All 493.4 175.0 430.4 187.7 232.9 Other Endocrine, nutritional and metabolic diseases, and immunity disorders Diabetes mellitus - 227.9 122.9 334.8 299.1 87.2 Volume depletion (dehydration) All Diseases of the blood and blood-forming organs Mental disorders Other/ Unknown* Malignant Neoplasm of large intestine & rectum Neoplasms - Benign Endocrine, nutritional and metabolic diseases, and immunity disorders Black Other Infectious and parasitic diseases All Neoplasms Hispanic Race/Ethnicity Asian, Native American Hawaiian, or Indian Pac. Islander Other Mental disorders Psychoses Alcohol dependence syndrome All 16.2 194.7 164.3 151.1 359.5 372.2 43.2 - 7.6 3.3 1.6 1.6 0.0 - 5.6 399.8 277.3 695.8 672.9 130.4 - 366.8 117.3 72.0 448.3 93.9 62.5 - 116.8 166.5 66.6 26.7 73.0 93.9 14.0 - 52.9 304.6 111.9 385.7 297.5 78.5 - 240.7 22.5 6.1 9.5 23.9 0.7 - 16.0 393.7 144.8 468.2 415.2 93.1 - 309.7 Diseases of the nervous system and sense organs 299.1 166.2 358.4 300.7 83.2 - 250.8 Diseases of the circulatory system Other Diseases of the circulatory system 305.3 119.4 484.0 225.9 79.8 - 244.3 Heart disease 401.0 121.2 484.0 214.8 101.1 - 301.9 Acute myocardial infarction 184.5 58.9 133.5 74.8 59.2 - 136.0 Coronary atherosclerosis 170.1 43.7 88.3 68.4 50.6 - 120.2 9.9 2.6 10.0 1.6 2.7 - 7.2 352.5 64.5 182.9 135.2 82.5 - 239.2 Other ischemic heart disease Cardiac dysrhythmias (Continued) 67 Maricopa County 2012 Hospital Discharge Statistics (Table 5.04b continued) Primary Diagnosis White Diseases of the digestive system Other/ Unknown* Total 33.5 13.3 36.8 15.9 13.3 - 26.2 Cerebrovascular disease 346.0 102.4 301.6 155.9 143.7 - 256.7 1,802.7 525.9 1,721.1 892.4 532.9 - 1,331.7 338.9 160.2 319.0 373.8 121.1 - 273.0 Other Diseases of the respiratory system Acute bronchitis and bronchiolitis 48.8 78.9 106.2 173.4 30.6 - 62.1 Pneumonia 283.2 142.9 301.1 289.5 105.1 - 232.0 Chronic bronchitis 191.0 32.5 134.5 25.5 25.3 - 128.5 Asthma 100.4 107.0 374.2 182.9 43.2 - 114.6 All 962.3 521.6 1,235.0 1,045.1 325.3 - 810.2 1,033.7 584.2 942.2 994.2 329.3 - 855.1 Other Diseases of the digestive system Appendicitis Noninfectious enteritis and colitis Cholelithiasis All Diseases of the genitourinary system Black Congestive heart failure All Diseases of the respiratory system Hispanic Race/Ethnicity Asian, Native American Hawaiian, or Indian Pac. Islander Other Diseases of the genitourinary system Calculus of kidney and ureter All Diseases of the skin and subcutaneous tissue Other Diseases of the skin and subcutaneous tissue Diseases of the musculoskeletal system and connective tissue 92.4 113.5 82.0 82.7 51.2 - 95.9 129.3 51.4 115.6 62.0 37.3 - 99.2 23.1 22.6 16.8 152.7 12.0 - 24.0 1,278.5 771.6 1,156.7 1,291.7 429.8 - 1,074.1 539.2 311.3 582.8 464.5 175.6 - 451.9 87.8 41.8 41.5 36.6 24.6 - 67.9 627.0 353.0 624.3 501.1 200.3 - 519.8 35.7 19.0 41.0 52.5 13.3 - 30.0 Cellulitis and abscess 282.3 143.1 207.6 345.2 56.5 - 226.0 All 318.0 162.1 248.6 397.7 69.9 - 256.0 Other - Diseases of the musculoskeletal system and connective tissue Osteoarthrosis and allied disorders 320.3 107.4 289.0 205.2 82.5 - 240.1 433.4 61.8 185.0 119.3 55.9 - 284.8 Intervertebral disc disorders 99.8 25.5 61.5 28.6 27.9 - 70.7 All 853.5 194.7 535.5 353.2 166.3 - 595.7 Congenital anomalies 41.4 43.5 47.3 73.2 10.6 - 42.0 Certain conditions originating in the perinatal period 37.5 66.6 90.9 103.4 35.3 - 50.6 485.5 253.0 692.1 483.6 150.4 - 408.2 Symptoms, signs, and ill-defined conditions (Continued) 68 Maricopa County 2012 Hospital Discharge Statistics (Table 5.04b continued) Primary Diagnosis White Injury and poisoning Total Black Other/ Unknown* Total Injury and poisoning 658.7 319.3 720.0 852.7 196.3 - 540.1 Fractures, all sites 306.0 145.4 191.3 364.3 84.5 - 242.5 Fracture of neck of femur 133.7 18.5 21.5 30.2 21.3 - 85.8 Poisonings 152.9 61.3 144.0 186.1 31.3 - 119.5 1,251.2 544.5 1,076.8 1,433.3 333.3 - 987.9 90.4 90.7 35.3 - 73.2 All Other healthcare encounters Hispanic Race/Ethnicity Asian, Native American Hawaiian, or Indian Pac. Islander Other healthcare encounters 85.8 51.5 Rehab Services 105.1 22.8 75.7 65.2 26.6 - 74.1 All 190.9 74.4 166.1 155.9 61.9 - 147.2 10,238.3 4,750.8 10,706.3 9,220.2 3,173.4 - 8,226.3 Note: Pregnant women, newborns, Long Term Acute Care Hospitals and Rehabilitation Hospital Admissions excluded *Rate not calculated because population denominator unavailable for this group 69 Maricopa County 2012 Hospital Discharge Statistics Table 5.05a Selected Primary Diagnosis Groups by Age Group Number of Discharges Age Group Primary Diagnosis 0-4 Infectious and parasitic diseases Other Infectious and parasitic diseases Septicemia 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 Unknown 85+ Total 614 149 142 221 302 680 759 1,133 1,165 910 818 462 - 7,355 62 17 21 170 485 1,025 1,292 2,139 2,732 3,048 2,816 1,804 - 15,611 676 166 163 391 787 1,705 2,051 3,272 3,897 3,958 3,634 2,266 - 22,966 3 6 10 15 8 27 50 99 98 148 127 51 - 642 85 46 62 85 108 289 534 1,172 2,073 2,145 1,135 407 - 8,141 - - - - 5 18 70 206 247 377 292 144 - 1,359 - 4 5 4 1 10 23 132 290 452 316 89 - 1,326 - - - - 2 18 88 147 143 141 71 27 - 637 10 6 19 31 44 215 652 770 394 347 193 48 - 2,729 98 62 96 135 168 577 1,417 2,526 3,245 3,610 2,134 766 - 14,834 479 136 55 94 151 548 857 1,189 1,364 1,224 927 650 - 7,674 44 71 156 241 466 694 915 1,358 1,203 787 456 171 - 6,562 26 7 15 19 39 35 21 11 20 12 13 4 - 222 549 214 226 354 656 1,277 1,793 2,558 2,587 2,023 1,396 825 - 14,458 191 164 135 139 189 406 428 561 615 726 656 394 - 4,604 8 13 29 164 295 372 337 334 256 138 101 40 - 2,087 17 125 134 295 797 1,739 1,753 1,875 1,371 761 409 213 - 9,489 - - - - 17 72 140 199 122 69 11 1 - 631 25 138 163 459 1,109 2,183 2,230 2,408 1,749 968 521 254 - 12,207 510 306 366 432 338 994 1,153 1,449 1,426 1,215 1,111 586 - 9,886 50 22 25 36 94 369 785 1,347 1,874 2,083 1,955 992 - 9,632 All Neoplasms Neoplasms - Other Neoplasms - Other Malignant Malignant Neoplasm of large intestine & rectum Malignant neoplasm of trachea, bronchus & lung Malignant neoplasm of breast Neoplasms - Benign All Endocrine, nutritional and metabolic diseases, and immunity disorders Other Endocrine, nutritional and metabolic diseases, and immunity disorders Diabetes mellitus Volume depletion (dehydration) All Diseases of the blood and blood-forming organs Mental disorders Other Mental disorders Psychoses Alcohol dependence syndrome All Diseases of the nervous system and sense organs Diseases of the circulatory system Other Diseases of the circulatory system (Continued) 70 Maricopa County 2012 Hospital Discharge Statistics (Table 5.05a continued) 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 Heart disease 18 7 14 43 83 297 664 1,255 1,855 2,651 2,973 2,041 - 11,901 1 - - 1 2 42 264 761 1,294 1,311 1,033 652 - 5,361 1 - - - 1 9 147 606 1,198 1,545 1,009 224 - 4,740 - - - - - 5 23 48 77 51 49 29 - 282 21 4 15 26 38 177 370 877 1,608 2,438 2,456 1,398 - 9,428 21 - 1 - 4 34 42 100 161 183 248 240 - 1,034 18 4 7 22 23 142 380 1,026 1,734 2,428 2,691 1,643 - 10,118 130 37 62 128 245 1,075 2,675 6,020 9,801 12,690 12,414 7,219 - 52,496 1,043 233 121 259 290 457 628 1,165 1,649 1,985 1,766 1,168 - 10,764 1,704 18 4 7 17 31 95 109 103 122 120 118 - 2,448 782 382 186 111 118 344 524 929 1,316 1,579 1,697 1,177 - 9,145 - 1 1 - - 12 77 690 1,128 1,476 1,206 474 - 5,065 683 718 368 133 115 298 437 554 506 351 229 125 - 4,517 4,212 1,352 680 510 540 1,142 1,761 3,447 4,702 5,513 5,018 3,062 - 31,939 601 308 354 634 1,019 3,147 4,296 5,579 5,768 5,216 4,402 2,384 - 33,708 109 338 495 432 347 583 466 415 290 184 89 31 - 3,779 170 48 81 109 194 430 460 503 538 611 505 261 - 3,910 1 1 - - 6 20 105 251 282 199 68 12 - 945 881 695 930 1,175 1,566 4,180 5,327 6,748 6,878 6,210 5,064 2,688 - 42,342 809 199 150 327 508 1,307 2,025 2,253 2,432 2,763 2,956 2,085 1 17,815 2 3 20 58 104 353 520 543 483 348 176 66 - 2,676 811 202 170 385 612 1,660 2,545 2,796 2,915 3,111 3,132 2,151 1 20,491 Acute myocardial infarction Coronary atherosclerosis Other ischemic heart disease Cardiac dysrhythmias Congestive heart failure Cerebrovascular disease All Diseases of the respiratory system Other Diseases of the respiratory system Acute bronchitis and bronchiolitis Pneumonia Chronic bronchitis Asthma All Diseases of the digestive system Other Diseases of the digestive system Appendicitis Noninfectious enteritis and colitis Cholelithiasis All Diseases of the genitourinary system Other Diseases of the genitourinary system Calculus of kidney and ureter All (Continued) 71 Maricopa County 2012 Hospital Discharge Statistics (Table 5.05a continued) Age Group Primary Diagnosis 0-4 Diseases of the skin and subcutaneous tissue Other Diseases of the skin and subcutaneous tissue Cellulitis and abscess 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 Unknown 85+ Total 74 35 31 43 67 93 125 181 196 144 114 80 - 1,183 510 185 129 188 354 1,041 1,208 1,567 1,400 968 807 552 - 8,909 584 220 160 231 421 1,134 1,333 1,748 1,596 1,112 921 632 - 10,092 66 104 189 240 181 535 910 1,564 1,850 1,952 1,309 567 - 9,467 - - 1 1 3 33 240 1,179 3,126 4,115 2,206 325 - 11,229 - - - 11 37 244 510 656 548 516 208 58 - 2,788 66 104 190 252 221 812 1,660 3,399 5,524 6,583 3,723 950 - 23,484 821 106 90 100 47 80 89 109 98 75 36 6 - 1,657 1,994 - - - - - 1 - - 1 - - - 1,996 975 208 225 362 377 1,085 1,730 2,668 2,640 2,437 2,116 1,269 - 16,092 626 281 327 615 886 1,852 2,211 3,166 3,792 3,590 2,717 1,230 - 21,293 265 164 198 455 618 959 928 1,127 1,304 1,190 1,295 1,058 - 9,561 - 7 6 3 9 23 36 86 300 565 1,023 1,324 - 3,382 153 31 88 339 440 799 817 919 613 291 159 60 - 4,709 1,044 483 619 1,412 1,953 3,633 3,992 5,298 6,009 5,636 5,194 3,672 - 38,945 306 133 161 143 142 200 251 418 490 400 204 36 - 2,884 3 2 1 33 40 79 122 251 439 734 764 452 - 2,920 309 135 162 176 182 279 373 669 929 1,134 968 488 - 5,804 13,876 4,592 4,437 6,641 9,411 22,222 30,558 45,676 54,611 57,002 48,038 27,228 1 324,293 All Diseases of the musculoskeletal system and connective tissue Other - Diseases of the musculoskeletal system and connective tissue Osteoarthrosis and allied disorders Intervertebral disc disorders All Congenital anomalies Certain conditions Certain conditions originating in the originating in the perinatal perinatal period period Symptoms, signs, and ill-defined conditions Injury and poisoning Injury and poisoning Fractures, all sites Fracture of neck of femur Poisonings All Other healthcare encounters Other healthcare encounters Rehab Services All Total Note: Pregnant women, newborns, Long Term Acute Care Hospitals and Rehabilitation Hospital Admissions excluded 72 Maricopa County 2012 Hospital Discharge Statistics Table 5.05b Selected Primary Diagnosis Groups by Age Group Crude Hospitalization Rates per 100,000 Residents Age Group Primary Diagnosis Infectious and parasitic diseases Other Infectious and parasitic diseases Septicemia 0-4 5-9 224.0 35-44 45-54 55-64 65-74 75-84 85+ Unknown* 10-14 15-19 20-24 25-34 Total 51.9 50.1 81.5 105.9 242.3 142.7 220.6 273.1 313.6 521.7 712.8 - 186.6 22.6 5.9 7.4 62.7 170.1 365.2 242.9 416.5 640.4 1,050.5 1,795.8 2,783.4 - 396.0 246.6 57.8 57.5 144.1 276.0 607.4 385.6 637.2 913.5 1,364.1 2,317.5 3,496.2 - 582.6 1.1 2.1 3.5 5.5 2.8 9.6 9.4 19.3 23.0 51.0 81.0 78.7 - 16.3 31.0 16.0 21.9 31.3 37.9 103.0 100.4 228.2 485.9 739.3 723.8 628.0 - 206.5 - - - - 1.8 6.4 13.2 40.1 57.9 129.9 186.2 222.2 - 34.5 - 1.4 1.8 1.5 0.4 3.6 4.3 25.7 68.0 155.8 201.5 137.3 - 33.6 - - - - 0.7 6.4 16.5 28.6 33.5 48.6 45.3 41.7 - 16.2 3.6 2.1 6.7 11.4 15.4 76.6 122.6 149.9 92.4 119.6 123.1 74.1 - 69.2 35.7 21.6 33.9 49.8 58.9 205.6 266.4 491.9 760.7 1,244.2 1,360.9 1,181.9 - 376.3 174.7 47.4 19.4 34.6 53.0 195.2 161.1 231.5 319.7 421.8 591.2 1,002.9 - 194.7 16.0 24.7 55.0 88.8 163.4 247.3 172.0 264.4 282.0 271.2 290.8 263.8 - 166.5 9.5 2.4 5.3 7.0 13.7 12.5 3.9 2.1 4.7 4.1 8.3 6.2 - 5.6 200.2 74.6 79.7 130.5 230.1 455.0 337.1 498.1 606.4 697.2 890.2 1,272.9 - 366.8 69.7 57.1 47.6 51.2 66.3 144.6 80.5 109.2 144.2 250.2 418.3 607.9 - 116.8 2.9 4.5 10.2 60.4 103.5 132.5 63.4 65.0 60.0 47.6 64.4 61.7 - 52.9 6.2 43.6 47.3 108.7 279.5 619.6 329.5 365.1 321.4 262.3 260.8 328.6 - 240.7 - - - - 6.0 25.7 26.3 38.8 28.6 23.8 7.0 1.5 - 16.0 9.1 48.1 57.5 169.2 388.9 777.7 419.2 468.9 410.0 333.6 332.2 391.9 - 309.7 186.0 106.6 129.1 159.2 118.5 354.1 216.7 282.2 334.3 418.7 708.5 904.1 - 250.8 All Neoplasms Neoplasms - Other Neoplasms - Other Malignant Malignant Neoplasm of large intestine & rectum Malignant neoplasm of trachea, bronchus & lung Malignant neoplasm of breast Neoplasms - Benign All Endocrine, nutritional and metabolic diseases, and immunity disorders Other Endocrine, nutritional and metabolic diseases, and immunity disorders Diabetes mellitus Volume depletion (dehydration) All Diseases of the blood and blood-forming organs Mental disorders Other Mental disorders Psychoses Alcohol dependence syndrome All Diseases of the nervous system and sense organs (Continued) 73 Maricopa County 2012 Hospital Discharge Statistics (Table 5.05b continued) Age Group Primary Diagnosis 0-4 Diseases of the circulatory system Other Diseases of the circulatory system Heart disease Acute myocardial infarction Coronary atherosclerosis Other ischemic heart disease Cardiac dysrhythmias 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ Unknown* Total 18.2 7.7 8.8 13.3 33.0 131.5 147.6 262.3 439.3 717.9 1,246.7 1,530.6 - 244.3 6.6 2.4 4.9 15.8 29.1 105.8 124.8 244.4 434.8 913.7 1,895.9 3,149.1 - 301.9 0.4 - - 0.4 0.7 15.0 49.6 148.2 303.3 451.8 658.8 1,006.0 - 136.0 0.4 - - - 0.4 3.2 27.6 118.0 280.8 532.5 643.5 345.6 - 120.2 - - - - - 1.8 4.3 9.3 18.0 17.6 31.2 44.7 - 7.2 7.7 1.4 5.3 9.6 13.3 63.1 69.6 170.8 376.9 840.2 1,566.2 2,157.0 - 239.2 7.7 - 0.4 - 1.4 12.1 7.9 19.5 37.7 63.1 158.2 370.3 - 26.2 6.6 1.4 2.5 8.1 8.1 50.6 71.4 199.8 406.5 836.8 1,716.1 2,535.0 - 256.7 47.4 12.9 21.9 47.2 85.9 383.0 502.9 1,172.3 2,297.5 4,373.6 7,916.6 11,138.2 - 1,331.7 380.4 81.2 42.7 95.5 101.7 162.8 118.1 226.9 386.6 684.1 1,126.2 1,802.1 - 273.0 621.5 6.3 1.4 2.6 6.0 11.0 17.9 21.2 24.1 42.0 76.5 182.1 - 62.1 285.2 133.1 65.6 40.9 41.4 122.6 98.5 180.9 308.5 544.2 1,082.2 1,816.0 - 232.0 - 0.3 0.4 - - 4.3 14.5 134.4 264.4 508.7 769.1 731.3 - 128.5 249.1 250.2 129.8 49.0 40.3 106.2 82.1 107.9 118.6 121.0 146.0 192.9 - 114.6 1,536.3 471.1 239.9 188.0 189.4 406.9 331.0 671.2 1,102.2 1,900.0 3,200.1 4,724.4 - 810.2 219.2 107.3 124.9 233.7 357.4 1,121.2 807.6 1,086.4 1,352.1 1,797.7 2,807.2 3,678.3 - 855.1 39.8 117.8 174.6 159.2 121.7 207.7 87.6 80.8 68.0 63.4 56.8 47.8 - 95.9 62.0 16.7 28.6 40.2 68.0 153.2 86.5 98.0 126.1 210.6 322.0 402.7 - 99.2 0.4 0.3 - - 2.1 7.1 19.7 48.9 66.1 68.6 43.4 18.5 - 24.0 321.3 242.2 328.1 433.1 549.2 1,489.2 1,001.4 1,314.1 1,612.3 2,140.3 3,229.4 4,147.3 - 1,074.1 295.1 69.3 52.9 120.5 178.1 465.7 380.7 438.7 570.1 952.3 1,885.1 3,216.9 - 451.9 0.7 1.0 7.1 21.4 36.5 125.8 97.8 105.7 113.2 119.9 112.2 101.8 - 67.9 295.8 70.4 60.0 141.9 214.6 591.4 478.4 544.5 683.3 1,072.2 1,997.3 3,318.8 - 519.8 Congestive heart failure Cerebrovascular disease All Diseases of the respiratory system Other Diseases of the respiratory system Acute bronchitis and bronchiolitis Pneumonia Chronic bronchitis Asthma All Diseases of the digestive system Other Diseases of the digestive system Appendicitis Noninfectious enteritis and colitis Cholelithiasis All Diseases of the genitourinary system Other Diseases of the genitourinary system Calculus of kidney and ureter All (Continued) 74 Maricopa County 2012 Hospital Discharge Statistics (Table 5.05b continued) Age Group Primary Diagnosis 0-4 Diseases of the skin and subcutaneous tissue Other Diseases of the skin and subcutaneous tissue Cellulitis and abscess 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 Unknown* 85+ Total 27.0 12.2 10.9 15.8 23.5 33.1 23.5 35.2 45.9 49.6 72.7 123.4 - 30.0 186.0 64.5 45.5 69.3 124.1 370.9 227.1 305.1 328.2 333.6 514.6 851.7 - 226.0 213.0 76.7 56.4 85.1 147.6 404.0 250.6 340.4 374.1 383.2 587.3 975.1 - 256.0 24.1 36.2 66.7 88.5 63.5 190.6 171.1 304.6 433.7 672.8 834.8 874.8 - 240.1 - - 0.4 0.4 1.1 11.8 45.1 229.6 732.8 1,418.2 1,406.8 501.4 - 284.8 - - - 4.1 13.0 86.9 95.9 127.7 128.5 177.8 132.6 89.5 - 70.7 24.1 36.2 67.0 92.9 77.5 289.3 312.1 661.9 1,294.9 2,268.8 2,374.2 1,465.8 - 595.7 299.5 36.9 31.8 36.9 16.5 28.5 16.7 21.2 23.0 25.8 23.0 9.3 - 42.0 727.3 - - - - - 0.2 - - 0.3 - - - 50.6 355.6 72.5 79.4 133.4 132.2 386.6 325.2 519.5 618.9 839.9 1,349.4 1,957.9 - 408.2 228.3 97.9 115.4 226.7 310.7 659.8 415.6 616.5 888.9 1,237.3 1,732.7 1,897.8 - 540.1 96.7 57.1 69.9 167.7 216.7 341.7 174.4 219.5 305.7 410.1 825.8 1,632.4 - 242.5 - 2.4 2.1 1.1 3.2 8.2 6.8 16.7 70.3 194.7 652.4 2,042.8 - 85.8 55.8 10.8 31.0 125.0 154.3 284.7 153.6 179.0 143.7 100.3 101.4 92.6 - 119.5 380.8 168.3 218.4 520.5 684.9 1,294.3 750.4 1,031.7 1,408.6 1,942.4 3,312.3 5,665.5 - 987.9 111.6 46.3 56.8 52.7 49.8 71.3 47.2 81.4 114.9 137.9 130.1 55.5 - 73.2 1.1 0.7 0.4 12.2 14.0 28.1 22.9 48.9 102.9 253.0 487.2 697.4 - 74.1 112.7 47.0 57.2 64.9 63.8 99.4 70.1 130.3 217.8 390.8 617.3 752.9 - 147.2 5,061.3 1,599.9 1,565.3 2,447.9 3,300.3 7,917.1 5,744.4 8,894.6 12,801.6 19,645.6 30,634.5 42,010.1 - 8,226.3 All Diseases of the musculoskeletal system and connective tissue Other - Diseases of the musculoskeletal system and connective tissue Osteoarthrosis and allied disorders Intervertebral disc disorders All Congenital anomalies Certain conditions originating in the perinatal period Symptoms, signs, and ill-defined conditions Injury and poisoning Injury and poisoning Fractures, all sites Fracture of neck of femur Poisonings All Other healthcare encounters Other healthcare encounters Rehab Services All Total Note: Pregnant women, newborns, Long Term Acute Care Hospitals and Rehabilitation Hospital Admissions excluded *Rate not calculated because population denominator unavailable for this group 75 Maricopa County 2012 Hospital Discharge Statistics Table 5.06a Selected Primary Diagnosis Groups by Sex Number of Discharges Primary Diagnosis Number of Discharges by Gender Male Infectious and parasitic diseases - 7,355 Septicemia 7,506 8,105 - 15,611 10,965 12,001 - 22,966 Neoplasms - Other Neoplasms - Benign All Other Endocrine, nutritional and metabolic diseases, and immunity disorders Diabetes mellitus Volume depletion (dehydration) All Diseases of the blood and blood-forming organs Mental disorders 642 - 8,141 724 635 - 1,359 601 725 - 1,326 5 632 - 637 541 2,188 - 2,729 6,643 8,191 - 14,834 2,991 4,683 - 7,674 3,603 2,959 - 6,562 97 125 - 222 6,691 7,767 - 14,458 - 4,604 1,058 1,029 - 2,087 Psychoses 4,977 4,512 - 9,489 418 213 - 631 6,453 5,754 - 12,207 4,287 5,599 - 9,886 Other Diseases of the circulatory system 4,970 4,662 - 9,632 Heart disease 6,369 5,532 - 11,901 Acute myocardial infarction 3,530 1,831 - 5,361 Coronary atherosclerosis 3,304 1,436 - 4,740 Other ischemic heart disease Cardiac dysrhythmias Congestive heart failure Cerebrovascular disease 140 142 - 282 4,974 4,454 - 9,428 560 474 - 1,034 4,893 5,225 - 10,118 28,740 23,756 - 52,496 Other Diseases of the respiratory system 5,499 5,265 - 10,764 Acute bronchitis and bronchiolitis 1,243 1,205 - 2,448 Pneumonia 4,341 4,804 - 9,145 Chronic bronchitis 2,263 2,802 - 5,065 Asthma 1,977 2,540 - 4,517 All 15,323 16,616 - 31,939 Other Diseases of the digestive system 14,954 18,754 - 33,708 Appendicitis 2,097 1,682 - 3,779 Noninfectious enteritis and colitis 1,437 2,473 - 3,910 518 427 - 945 19,006 23,336 - 42,342 Other Diseases of the genitourinary system 6,600 11,215 - 17,815 Calculus of kidney and ureter 1,419 1,257 - 2,676 All 8,019 12,472 - 20,491 All Cholelithiasis All Diseases of the genitourinary system - 2,642 Diseases of the nervous system and sense organs Diseases of the digestive system 329 3,682 1,962 All Diseases of the respiratory system 313 4,459 Other Mental disorders Alcohol dependence syndrome Diseases of the circulatory system Total 3,896 Neoplasms - Other Malignant Malignant Neoplasm of large intestine & rectum Malignant neoplasm of trachea, bronchus & lung Malignant neoplasm of breast Endocrine, nutritional and metabolic diseases, and immunity disorders Unknown 3,459 All Neoplasms Female Other Infectious and parasitic diseases (Continued) 76 Maricopa County 2012 Hospital Discharge Statistics (Table 5.06a continued) Primary Diagnosis Number of Discharges by Gender Male Diseases of the skin and subcutaneous tissue Diseases of the musculoskeletal system and connective tissue Other Diseases of the skin and subcutaneous tissue Cellulitis and abscess 608 575 - 1,183 4,143 - 8,909 5,374 4,718 - 10,092 4,576 4,891 - 9,467 4,691 6,538 - 11,229 Intervertebral disc disorders 1,417 1,371 - 2,788 10,684 12,800 - 23,484 853 804 - 1,657 1,156 838 2 1,996 Certain conditions originating in the perinatal period Symptoms, signs, and ill-defined conditions 7,252 8,840 - 16,092 11,689 9,604 - 21,293 Fractures, all sites 4,837 4,723 1 9,561 Fracture of neck of femur 1,086 2,296 - 3,382 Poisonings 2,150 2,559 - 4,709 19,762 19,182 1 38,945 Other healthcare encounters 1,519 1,365 - 2,884 Rehab Services 1,480 1,440 - 2,920 All 2,999 2,805 - 5,804 156,169 168,121 3 324,293 Injury and poisoning All Total Total 4,766 Congenital anomalies Other healthcare encounters Unknown All Other - Diseases of the musculoskeletal system and connective tissue Osteoarthrosis and allied disorders All Injury and poisoning Female Note: Pregnant women, newborns, and Long Term Acute Care Hospitals and Rehabilitation Hospital Admissions excluded 77 Maricopa County 2012 Hospital Discharge Statistics Table 5.06b Selected Primary Diagnosis Groups by Gender Crude Hospitalization Rates per 100,000 Residents Hospitalization Rate by Gender Infectious and parasitic diseases Neoplasms Primary Diagnosis Other Infectious and parasitic diseases Male 177.4 Female 195.6 Septicemia 384.9 All 562.3 Neoplasms - Other Neoplasms - Other Malignant Malignant Neoplasm of large intestine & rectum Malignant neoplasm of trachea, bronchus & lung Malignant neoplasm of breast Neoplasms - Benign Unknown* - Total 186.6 406.9 - 396.0 602.5 - 582.6 16.0 16.5 - 16.3 228.6 184.8 - 206.5 37.1 31.9 - 34.5 30.8 36.4 - 33.6 0.3 31.7 - 16.2 27.7 109.8 - 69.2 340.6 411.2 - 376.3 153.4 235.1 - 194.7 184.8 148.5 - 166.5 5.0 6.3 - 5.6 343.1 389.9 - 366.8 100.6 132.6 - 116.8 54.3 51.7 - 52.9 255.2 226.5 - 240.7 21.4 10.7 - 16.0 330.9 288.9 - 309.7 Diseases of the nervous system and sense organs Other Diseases of the circulatory system Diseases of the circulatory 219.8 281.1 - 250.8 254.8 234.0 - 244.3 system Heart disease 326.6 277.7 - 301.9 Acute myocardial infarction 181.0 91.9 - 136.0 Coronary atherosclerosis 169.4 72.1 - 120.2 7.2 7.1 - 7.2 239.2 Endocrine, nutritional and metabolic diseases, and immunity disorders All Other Endocrine, nutritional and metabolic diseases, and immunity disorders Diabetes mellitus Volume depletion (dehydration) All Diseases of the blood and blood-forming organs Other Mental disorders Mental disorders Psychoses Alcohol dependence syndrome All Other ischemic heart disease Cardiac dysrhythmias 255.1 223.6 - Congestive heart failure 28.7 23.8 - 26.2 Cerebrovascular disease 250.9 262.3 - 256.7 1,473.7 1,192.6 - 1,331.7 282.0 264.3 - 273.0 63.7 60.5 - 62.1 222.6 241.2 - 232.0 All Diseases of the respiratory system Other Diseases of the respiratory system Acute bronchitis and bronchiolitis Pneumonia Diseases of the digestive system Chronic bronchitis 116.0 140.7 - 128.5 Asthma 101.4 127.5 - 114.6 All 785.7 834.1 - 810.2 Other Diseases of the digestive system 766.8 941.5 - 855.1 Appendicitis 107.5 84.4 - 95.9 73.7 124.1 - 99.2 Noninfectious enteritis and colitis Cholelithiasis Diseases of the genitourinary system 26.6 21.4 - 24.0 All 974.6 1,171.5 - 1,074.1 Other Diseases of the genitourinary system 338.4 563.0 - 451.9 72.8 63.1 - 67.9 411.2 626.1 - 519.8 Calculus of kidney and ureter All (Continued) 78 Maricopa County 2012 Hospital Discharge Statistics (Table 5.06b continued) Hospitalization Rate by Gender Diseases of the skin and subcutaneous tissue Primary Diagnosis Other Diseases of the skin and subcutaneous tissue Cellulitis and abscess Male Female Unknown* Total 31.2 28.9 - 30.0 244.4 208.0 - 226.0 275.6 236.8 - 256.0 234.6 245.5 - 240.1 240.5 328.2 - 284.8 72.7 68.8 - 70.7 547.8 642.6 - 595.7 Congenital anomalies 43.7 40.4 - 42.0 Certain conditions originating in the perinatal period 59.3 42.1 - 50.6 371.9 443.8 - 408.2 599.4 482.1 - 540.1 242.5 All Diseases of the musculoskeletal system and connective tissue Other - Diseases of the musculoskeletal system and connective tissue Osteoarthrosis and allied disorders Intervertebral disc disorders All Symptoms, signs, and ill-defined conditions Injury and poisoning Injury and poisoning Fractures, all sites Fracture of neck of femur Poisonings All Other healthcare encounters 237.1 - 55.7 115.3 - 85.8 110.2 128.5 - 119.5 1,013.3 963.0 - 987.9 Other healthcare encounters 77.9 68.5 - 73.2 Rehab Services 75.9 72.3 - 74.1 153.8 140.8 - 147.2 8,007.9 8,439.9 - 8,226.3 All Total 248.0 Note: Pregnant women, newborns, and Long Term Acute Care Hospitals and Rehabilitation Hospital Admissions excluded *Rate not calculated because population denominator unavailable for this group 79 Maricopa County 2012 Hospital Discharge Statistics Table 5.07 Total Charges for Hospitalizations by Primary Diagnosis Groups Primary Diagnosis Category Number of Discharges Median Charges Mean Charges Total Charges Total Infectious and Parasitic Diseases Other infectious and parasitic diseases Septicemia Total Neoplasms Neoplasms - Other Neoplasms - Other Malignant Malignant Neoplasm of large intestine & rectum Malignant neoplasm of trachea, bronchus & lung Malignant neoplasm of breast Neoplasms - Benign Total Endocrine, Nutritional and Metabolic Diseases, and Immunity Disorders Other Endocrine, nutritional and metabolic diseases, and immunity disorders Diabetes mellitus Volume depletion (dehydration) Diseases of the Blood and Blood-Forming Organs Total Mental Disorders Other Mental disorders Psychoses Alcohol dependence syndrome Diseases of the Nervous System and Sense Organs Total Diseases of the Circulatory System Other 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 Respiratory System 22,966 7,355 15,611 14,834 642 8,141 1,359 1,326 637 2,729 $36,390.00 $25,550.00 $43,832.00 $52,608.00 $48,212.00 $55,120.00 $62,293.00 $58,077.50 $40,814.00 $43,365.00 $59,623.72 $40,219.44 $68,765.89 $73,946.48 $72,183.56 $80,968.50 $80,156.56 $70,003.61 $49,905.29 $57,848.47 $1,369,320,000.00 $295,813,987.00 $1,073,500,000.00 $1,096,920,000.00 $46,341,843.00 $659,164,541.00 $108,932,763.00 $92,824,787.00 $31,789,671.00 $157,868,483.00 14,458 $25,108.00 $35,313.55 $510,563,243.00 7,674 6,562 222 4,604 12,180 2,081 9,471 628 9,886 52,496 9,632 11,901 5,361 4,740 282 9,428 1,034 10,118 31,939 $24,313.50 $25,435.50 $61,538.50 $23,907.50 $22,776.50 $16,398.00 $24,928.00 $15,471.50 $26,736.50 $37,899.50 $30,664.50 $38,101.00 $72,076.00 $71,814.00 $24,145.00 $27,925.00 $28,628.50 $32,833.50 $24,904.00 $32,063.92 $36,909.47 $100,471.85 $37,363.14 $30,609.55 $21,350.94 $33,280.94 $21,002.07 $40,217.66 $60,584.02 $50,859.94 $63,604.35 $92,724.21 $90,156.26 $28,191.65 $46,870.63 $57,022.15 $49,450.30 $37,541.98 $246,058,531.00 $242,199,962.00 $22,304,750.00 $172,019,900.00 $372,824,350.00 $44,431,304.00 $315,203,749.00 $13,189,297.00 $397,591,737.00 $3,180,420,000.00 $489,882,984.00 $756,955,306.00 $497,094,477.00 $427,340,668.00 $7,950,044.00 $441,896,336.00 $58,960,907.00 $500,338,170.00 $1,199,050,000.00 Other Diseases of the respiratory system Acute bronchitis and bronchiolitis Pneumonia Chronic bronchitis Asthma Total Diseases of the Digestive System Other Diseases of the digestive system Appendicitis Noninfectious enteritis and colitis Cholelithiasis Total Diseases of the Genitourinary System Other Diseases of the genitourinary system Calculus of kidney and ureter Total Diseases of the Skin and Subcutaneous Tissue 10,764 2,448 9,145 5,065 4,517 42,342 33,708 3,779 3,910 945 20,491 17,815 2,676 10,092 $33,259.50 $12,187.50 $26,026.00 $24,765.00 $16,802.00 $29,813.00 $30,144.50 $32,111.00 $24,003.50 $28,720.00 $25,538.00 $25,031.00 $28,502.00 $20,002.50 $52,976.77 $18,586.38 $36,059.48 $31,023.15 $21,345.03 $40,845.59 $41,935.57 $36,495.48 $34,786.00 $44,434.06 $32,609.00 $32,637.86 $32,416.81 $26,907.79 $570,241,963.00 $45,499,450.00 $329,763,959.00 $157,132,269.00 $96,415,512.00 $1,729,480,000.00 $1,413,560,000.00 $137,916,403.00 $136,013,265.00 $41,990,185.00 $668,190,917.00 $581,443,527.00 $86,747,390.00 $271,553,386.00 (Continued) 80 Maricopa County 2012 Hospital Discharge Statistics (Table 5.07 continued) Number of Discharges Primary Diagnosis Category Median Charges Mean Charges 1,183 8,909 $23,896.00 $19,665.00 $43,703.71 $24,677.51 $51,701,488.00 $219,851,898.00 23,484 $50,176.00 $61,338.62 $1,440,480,000.00 9,467 11,229 2,788 1,657 1,996 16,092 38,945 21,293 9,561 3,382 4,709 5,804 $44,459.00 $51,058.00 $58,125.00 $70,377.00 $14,452.00 $22,103.50 $38,393.00 $37,467.00 $41,634.00 $57,004.00 $20,525.00 $42,491.50 $65,071.23 $54,093.72 $77,843.81 $132,273.12 $82,440.64 $26,021.24 $60,033.52 $63,847.83 $65,071.52 $64,067.08 $29,660.17 $55,822.92 $616,029,335.00 $607,418,321.00 $217,028,544.00 $219,176,566.00 $164,551,522.00 $418,733,811.00 $2,338,010,000.00 $1,359,510,000.00 $622,148,817.00 $216,674,856.00 $139,669,724.00 $323,996,251.00 2,884 2,920 324,266 $36,243.00 $46,990.50 $31,806.00 $57,010.65 $54,649.84 $48,950.18 $164,418,722.00 $159,577,529.00 $15,873,000,000.00 Other Diseases of the skin and subcutaneous tissue Cellulitis and abscess Total Diseases of the Musculoskeletal System and Connective Tissue Other - Diseases of the musculoskeletal system and connective tissue Osteoarthrosis and allied disorders Intervertebral disc disorders Congenital Anomalies Certain Conditions Originating in the Perinatal Period Other Symptoms, Signs, and Ill-Defined Conditions Total Injury and Poisoning Injury and poisoning Fractures, all sites Fracture of neck of femur Poisonings Total- Other Healthcare Encounters Other healthcare encounters Rehab Services Total Total Charges 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 of Discharges Median Charge Mean Charge Total Charges Infant 57,349 $2,670.00 $8,177.85 $468,991,785.00 Mother 63,890 $12,658.50 $15,897.86 $1,015,710,000.00 121,239 $7,785.00 $12,246.11 $1,484,710,000.00 Total Note: Mothers include all women hospitalized for pregnancy related conditions 81 Maricopa County 2012 Hospital Discharge Statistics Table 5.09 Length of Hospital Stay (Days) by Primary Diagnosis Group Primary Diagnosis Code Categories Number of Discharges Median Days Mean Days Total Days Total Infectious and Parasitic Diseases Other infectious and parasitic diseases Septicemia Total Neoplasms Neoplasms - Other Neoplasms - Other Malignant Malignant Neoplasm of large intestine & rectum Malignant neoplasm of trachea, bronchus & lung Malignant neoplasm of breast Neoplasms - Benign Total Endocrine, Nutritional and Metabolic Diseases, and Immunity Disorders Other Endocrine, nutritional and metabolic diseases, and immunity disorders Diabetes mellitus Volume depletion (dehydration) Diseases of the Blood and Blood-forming Organs Total Mental Disorders 22,966 7,355 15,611 14,834 642 8,141 1,359 1,326 637 2,729 4.0 3.0 5.0 4.0 4.0 4.0 6.0 5.0 1.0 3.0 5.8 4.7 6.4 5.7 5.7 6.4 7.5 6.5 2.1 3.5 134,235.0 34,625.0 99,610.0 85,021.0 3,686.0 51,731.0 10,187.0 8,651.0 1,331.0 9,435.0 14,458 2.0 3.5 51,069.0 7,674 6,562 222 4,604 12,207 2.0 3.0 7.0 3.0 7.0 3.0 3.9 10.5 3.7 10.3 23,108.0 25,626.0 2,335.0 17,166.0 125,132.0 Other Mental disorders Psychoses Alcohol dependence syndrome Diseases of the Nervous System and Sense Organs Total Diseases of the Circulatory System 2,087 9,489 631 9,886 52,496 4.0 8.0 4.0 3.0 3.0 5.6 11.5 6.1 3.8 3.9 11,788.0 109,472.0 3,872.0 37,184.0 204,177.0 Other 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 Respiratory System 9,632 11,901 5,361 4,740 282 9,428 1,034 10,118 31,939 3.0 4.0 3.0 2.0 1.0 2.0 3.0 2.0 3.0 3.7 5.0 4.2 3.6 1.7 2.9 4.2 3.7 4.2 35,981.0 59,082.0 22,539.0 17,037.0 493.0 27,612.0 4,379.0 37,054.0 133,741.0 Other Diseases of the respiratory system Acute bronchitis and bronchiolitis Pneumonia Chronic bronchitis Asthma Total Diseases of the Digestive System Other Diseases of the digestive system Appendicitis Noninfectious enteritis and colitis Cholelithiasis Total Diseases of the Genitourinary System Other Diseases of the genitourinary system Calculus of kidney and ureter Total Diseases of the Skin and Subcutaneous Tissue 10,764 2,448 9,145 5,065 4,517 42,342 33,708 3,779 3,910 945 20,491 17,815 2,676 10,092 4.0 2.0 3.0 3.0 2.0 3.0 3.0 2.0 3.0 3.0 2.0 3.0 2.0 3.0 5.1 3.1 4.2 3.8 2.8 3.9 4.1 2.5 3.9 4.8 3.3 3.4 2.2 3.6 55,420.0 7,559.0 38,616.0 19,416.0 12,730.0 165,845.0 136,542.0 9,446.0 15,332.0 4,525.0 66,783.0 60,966.0 5,817.0 36,689.0 (Continued) 82 Maricopa County 2012 Hospital Discharge Statistics (Table 5.09 continued) Number of Discharges Primary Diagnosis Code Categories Other Diseases of the skin and subcutaneous tissue Cellulitis and abscess Total Diseases of the Musculoskeletal System and Connective Tissue Other - Diseases of the musculoskeletal system and connective tissue Osteoarthrosis and allied disorders Intervertebral disc disorders Congenital Anomalies Certain Conditions originating in the Perinatal Period Other Symptoms, Signs, and Ill-Defined Conditions Total Injury and poisoning Fractures, all sites Fracture of neck of femur Poisonings Total – Other Healthcare Encounters Other healthcare encounters Rehab Services Total Median Days Mean Days Total Days 1,183 8,909 3.0 3.0 4.9 3.5 5,760.0 30,929.0 23,484 3.0 3.1 72,500.0 9,467 11,229 2,788 1,657 1,996 16,092 21,293 9,561 3,382 4,709 5,804 2,884 2,920 324,293 3.0 3.0 2.0 3.0 3.0 2.0 3.0 3.0 4.0 2.0 7.0 4.0 13.0 3.0 3.7 2.7 2.7 7.1 10.8 2.4 4.8 4.1 4.9 2.9 9.8 5.4 14.2 4.4 34,816.0 30,106.0 7,578.0 11,749.0 21,599.0 38,810.0 102,971.0 39,356.0 16,623.0 13,710.0 57,143.0 15,542.0 41,601.0 1,431,503.0 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 of Discharges Infant Mother Total 57,349 63,890 121,239 Median Days 2 2 2 Mean Days 3 3 3 Total Days 175,916 168,220 344,136 Note: Mothers include all women hospitalized for pregnancy-related conditions 83 Maricopa County 2012 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 Asian, Native American Hawaiian, or Hispanic Black Indian Pac. Islander White Unknown Total 0-4 49,897 75,259 13,977 4,348 2,371 2,487 148,339 5-9 24,784 34,063 6,248 1,627 1,069 1,070 68,861 10-14 17,361 18,518 3,917 891 484 585 41,756 15-19 42,572 35,117 9,182 1,906 1,012 973 90,762 20-24 56,984 36,637 13,862 2,748 1,242 1,077 112,550 25-34 112,131 58,954 22,367 5,599 2,943 2,081 204,075 35-44 92,099 42,881 16,396 3,859 2,670 1,582 159,487 45-54 88,355 30,118 14,807 2,660 1,899 1,325 139,164 55-64 64,542 17,187 8,380 1,259 1,438 861 93,667 65-74 51,543 9,244 3,358 528 1,043 516 66,232 75-84 43,247 5,079 1,732 235 670 338 51,301 85+ 26,680 1,805 595 58 253 137 29,528 5 4 3 0 0 1 13 670,200 364,866 114,824 25,718 17,094 13,033 1,205,735 Unknown Total Table 5.12 Number of ED Visits by Age Group and Sex Number of ED Visits Age Group Female Male Unknown Total 0-4 67,541 80,794 4 148,339 5-9 31,717 37,143 1 68,861 10-14 19,380 22,376 0 41,756 15-19 53,136 37,626 0 90,762 20-24 71,532 41,018 0 112,550 25-34 126,499 77,576 0 204,075 35-44 95,608 63,877 2 159,487 45-54 78,289 60,873 2 139,164 55-64 52,336 41,329 2 93,667 65-74 37,910 28,321 1 66,232 75-84 30,389 20,912 0 51,301 85+ 19,364 10,164 0 29,528 3 10 0 13 683,704 522,019 12 1,205,735 Unknown Total 84 Maricopa County 2012 Hospital Discharge Statistics Table 5.13 Number of ED Visits by Sex and Payer Type Payer Type AHCCCS Private Insurance Self Pay Medicare Other Total Female Number of ED Visits Male 259,545 190,045 95,686 116,391 22,037 683,704 170,826 142,641 106,512 80,656 21,384 522,019 Unknown Total 5 1 4 1 1 12 430,376 332,687 202,202 197,048 43,422 1,205,735 85 Maricopa County 2012 Hospital Discharge Statistics Table 5.14a Selected Primary Diagnosis Groups by Race/Ethnicity Number of ED Visits Number of ED Visits Primary Diagnosis Group Infectious and parasitic diseases White Hispanic Black American Indian Asian, Native Hawaiian, or Pac. Islander Unknown Total 9,877 10,851 2,829 597 364 321 24,839 962 446 194 17 28 11 1,658 10,259 4,641 1,671 410 264 168 17,413 1,711 1,043 834 70 62 55 3,775 Mental disorders 24,104 7,590 2,563 1,468 329 301 36,355 Diseases of the nervous system and sense organs 35,988 24,330 6,817 1,761 883 718 70,497 Diseases of the circulatory system 19,813 4,571 2,585 264 494 271 27,998 Diseases of the respiratory system 55,283 46,672 15,106 3,173 1,777 1,454 123,465 Diseases of the digestive system 38,980 23,921 6,811 1,600 1,025 793 73,130 Diseases of the genitourinary system 39,729 23,111 6,903 1,383 955 660 72,741 Complications of pregnancy, childbirth, & the puerperium 15,114 14,824 4,024 699 707 349 35,717 Diseases of the skin and subcutaneous tissue 23,418 13,534 4,162 1,061 531 400 43,106 Diseases of the musculoskeletal system and connective tissue 49,953 19,462 8,927 1,706 940 755 81,743 Congenital anomalies 169 121 41 8 5 8 352 Certain conditions originating in the perinatal period 648 935 184 59 44 45 1,915 Symptoms, signs, and ill-defined conditions 178,766 92,036 28,547 5,541 4,812 3,570 313,272 Injury and poisoning 150,460 69,308 19,636 5,185 3,557 2,788 250,934 3 1 1 0 0 0 5 14,963 7,469 2,989 716 317 366 26,820 655,237 357,397 111,835 25,002 16,777 12,667 1,178,915 Neoplasms Endocrine, nutritional and metabolic diseases, and immunity disorders Diseases of the blood and blood-forming organs Newborn Infant Other healthcare encounters Total 86 Maricopa County 2012 Hospital Discharge Statistics Table 5.14b Selected Primary Diagnosis Groups by Race/Ethnicity Crude Rate of ED Visits per 100,000 Residents Race/Ethnicity Primary Diagnosis Group White Infectious and parasitic diseases Hispanic Black American Indian Asian, Native Hawaiian, or Pac. Islander Unknown* Total 432.7 918.0 1,486.7 949.7 242.2 - 640.1 42.1 37.7 101.9 27.0 18.6 - 42.7 449.5 392.6 878.1 652.2 175.6 - 448.8 75.0 88.2 438.3 111.4 41.2 - 97.3 Mental disorders 1,056.0 642.1 1,346.9 2,335.3 218.9 - 936.9 Diseases of the nervous system and sense organs 1,576.7 2,058.4 3,582.4 2,801.4 587.4 - 1,816.8 Diseases of the circulatory system 868.0 386.7 1,358.5 420.0 328.7 - 721.6 Diseases of the respiratory system 2,422.0 3,948.6 7,938.4 5,047.6 1,182.2 - 3,181.9 Diseases of the digestive system 1,707.7 2,023.8 3,579.3 2,545.3 681.9 - 1,884.7 Diseases of the genitourinary system 1,740.6 1,955.3 3,627.6 2,200.1 635.3 - 1,874.7 662.2 1,254.2 2,114.7 1,112.0 470.4 - 920.5 Diseases of the skin and subcutaneous tissue 1,026.0 1,145.0 2,187.2 1,687.8 353.3 - 1,110.9 Diseases of the musculoskeletal system and connective tissue 2,188.5 1,646.5 4,691.3 2,713.9 625.4 - 2,106.6 7.4 10.2 21.5 12.7 3.3 - 9.1 28.4 79.1 96.7 93.9 29.3 - 49.4 Symptoms, signs, and ill-defined conditions 7,831.9 7,786.5 15,001.8 8,814.5 3,201.4 - 8,073.5 Injury and poisoning 6,591.8 5,863.7 10,319.0 8,248.2 2,366.4 - 6,467.0 0.1 0.1 0.5 0.0 0.0 - 0.1 655.5 631.9 1,570.8 1,139.0 210.9 - 691.2 29,362.0 30,868.7 60,341.6 40,911.8 11,372.4 - 31,073.7 Neoplasms Endocrine, nutritional and metabolic diseases, and immunity disorders Diseases of the blood and blood-forming organs Complications of pregnancy, childbirth, & the puerperium Congenital anomalies Certain conditions originating in the perinatal period Newborn Infant Other healthcare encounters Total *Rate not calculated because population denominator unavailable for this group 87 Maricopa County 2012 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 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 7,541 3,569 1,378 2,074 2,062 2,999 1,798 1,468 806 562 381 201 0 24,839 46 28 10 39 61 181 312 339 256 177 135 74 0 1,658 Endocrine, nutritional and metabolic diseases, and immunity disorders 907 436 330 739 1,002 2,224 2,693 2,979 2,376 1,682 1,313 732 0 17,413 Diseases of the blood and bloodforming organs 271 283 170 251 326 552 477 355 315 297 312 166 0 3,775 76 315 760 4,021 4,622 8,364 6,751 5,897 3,094 1,278 759 412 6 36,355 15,320 5,795 2,257 3,676 4,809 11,252 9,693 8,019 4,795 2,623 1,536 721 1 70,497 Diseases of the circulatory system 117 59 110 372 636 1,990 2,939 4,533 4,763 5,072 4,640 2,766 1 27,998 Diseases of the respiratory system 37,065 14,349 6,082 8,565 9,124 15,025 10,829 8,970 5,793 3,902 2,570 1,191 0 123,465 8,248 3,852 2,389 4,444 7,115 15,220 10,650 8,509 5,209 3,357 2,692 1,445 0 73,130 3,306 2,150 1,071 6,740 10,924 16,522 11,277 7,773 4,713 3,761 2,853 1,651 0 72,741 Mental disorders Diseases of the nervous system and sense organs Diseases of the digestive system Diseases of the genitourinary system Complications of pregnancy, childbirth, & the puerperium 0 0 5 5,112 11,829 15,055 3,650 64 1 0 0 1 0 35,717 Diseases of the skin and subcutaneous tissue 5,723 2,411 1,540 3,559 4,696 7,828 6,086 5,110 2,928 1,659 1,023 543 0 43,106 Diseases of the musculoskeletal system and connective tissue 1,239 1,328 1,627 4,039 6,158 15,452 14,883 14,554 9,207 6,061 4,707 2,487 1 81,743 113 25 22 15 29 32 34 34 22 16 5 5 0 352 Congenital anomalies Certain conditions originating in the perinatal period 1,906 1 0 0 3 3 2 0 0 0 0 0 0 1,915 Symptoms, signs, and ill-defined conditions 33,704 14,124 8,556 20,018 24,352 49,358 44,811 41,896 29,525 21,263 16,737 8,927 1 313,272 Injury and poisoning 28,814 18,944 14,815 25,080 22,319 37,430 29,138 25,333 17,672 13,179 10,614 7,594 2 250,934 5 0 0 0 0 0 0 0 0 0 0 0 0 5 3,938 1,192 634 2,018 2,483 4,588 3,464 3,331 2,192 1,343 1,024 612 1 26,820 148,339 68,861 41,756 90,762 112,550 204,075 159,487 139,164 93,667 66,232 51,301 29,528 13 1,205,735 Newborn Infant Other healthcare encounters Total 88 Maricopa County 2012 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 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 2,750.6 1,243.5 486.1 764.5 723.1 1,068.5 338.0 285.9 188.9 193.7 243.0 310.1 - 640.1 16.8 9.8 3.5 14.4 21.4 64.5 58.7 66.0 60.0 61.0 86.1 114.2 - 42.7 330.8 151.9 116.4 272.4 351.4 792.4 506.2 580.1 557.0 579.7 837.3 1,129.4 - 448.8 98.8 98.6 60.0 92.5 114.3 196.7 89.7 69.1 73.8 102.4 199.0 256.1 - 97.3 27.7 109.8 268.1 1,482.1 1,620.9 2,979.9 1,269.1 1,148.3 725.3 440.5 484.0 635.7 - 936.9 5,588.0 2,019.1 796.2 1,355.0 1,686.5 4,008.8 1,822.1 1,561.6 1,124.0 904.0 979.5 1,112.4 - 1,816.8 42.7 20.6 38.8 137.1 223.0 709.0 552.5 882.7 1,116.5 1,748.0 2,959.0 4,267.7 - 721.6 13,519.5 4,999.5 2,145.6 3,157.0 3,199.7 5,353.0 2,035.7 1,746.8 1,358.0 1,344.8 1,638.9 1,837.6 - 3,181.9 3,008.5 1,342.1 842.8 1,638.0 2,495.2 5,422.5 2,002.0 1,657.0 1,221.1 1,157.0 1,716.7 2,229.5 - 1,884.7 1,205.9 749.1 377.8 2,484.3 3,830.9 5,886.4 2,119.9 1,513.7 1,104.8 1,296.2 1,819.4 2,547.3 - 1,874.7 0.0 0.0 1.8 1,884.3 4,148.3 5,363.7 686.1 12.5 0.2 0.0 0.0 1.5 - 920.5 2,087.5 840.0 543.3 1,311.8 1,646.8 2,788.9 1,144.1 995.1 686.4 571.8 652.4 837.8 - 1,110.9 451.9 462.7 574.0 1,488.8 2,159.5 5,505.2 2,797.8 2,834.1 2,158.3 2,088.9 3,001.7 3,837.2 - 2,106.6 41.2 8.7 7.8 5.5 10.2 11.4 6.4 6.6 5.2 5.5 3.2 7.7 - 9.1 Certain conditions originating in the perinatal period Symptoms, signs, and illdefined conditions 695.2 0.3 0.0 0.0 1.1 1.1 0.4 0.0 0.0 0.0 0.0 0.0 - 49.4 12,293.6 4,921.1 3,018.4 7,378.6 8,540.0 17,585.0 8,423.8 8,158.5 6,921.1 7,328.2 10,673.4 13,773.5 - 8,073.5 Injury and poisoning 10,510.0 6,600.4 5,226.4 9,244.4 7,827.0 13,335.4 5,477.5 4,933.2 4,142.6 4,542.1 6,768.7 11,716.8 - 6,467.0 1.8 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 - 0.1 1,436.4 415.3 223.7 743.8 870.8 1,634.6 651.2 648.7 513.8 462.9 653.0 944.3 - 691.2 54,106.9 23,992.5 14,730.7 33,454.6 39,470.0 72,706.8 29,981.1 27,099.8 21,956.9 22,826.7 32,715.4 45,558.8 - 31,073.7 Newborn Infant Other healthcare encounters Total *Rate not calculated because population denominator unavailable for this group 89 Maricopa County 2012 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 Female Male Unknown Total 13,435 11,404 0 24,839 Neoplasms 1,041 617 0 1,658 Endocrine, nutritional and metabolic diseases, and immunity disorders Diseases of the blood and blood-forming organs 8,897 8,516 0 17,413 2,161 1,614 0 3,775 17,305 19,049 1 36,355 40,759 29,738 0 70,497 14,615 13,382 1 27,998 64,947 58,516 2 123,465 40,152 32,978 0 73,130 53,745 18,995 1 72,741 35,717 0 0 35,717 22,041 21,063 2 43,106 47,090 34,653 0 81,743 174 178 0 352 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 929 986 0 1,915 187,175 126,096 1 313,272 Injury and poisoning 121,040 129,892 2 250,934 3 2 0 5 12,478 14,340 2 26,820 683,704 522,019 12 1,205,735 Newborn Infant Other healthcare encounters Total 90 Maricopa County 2012 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 Female Male Unknown* Total 674.5 584.8 - 640.1 52.3 31.6 - 42.7 Endocrine, nutritional and metabolic diseases, and immunity disorders Diseases of the blood and blood-forming organs 446.6 436.7 - 448.8 108.5 82.8 - 97.3 Mental disorders 868.7 976.8 - 936.9 2,046.2 1,524.9 - 1,816.8 733.7 686.2 - 721.6 3,260.4 3,000.5 - 3,181.9 2,015.7 1,691.0 - 1,884.7 2,698.1 974.0 - 1,874.7 1,793.0 0.0 - 920.5 1,106.5 1,080.0 - 1,110.9 2,364.0 1,776.9 - 2,106.6 8.7 9.1 - 9.1 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 46.6 50.6 - 49.4 9,396.4 6,465.8 - 8,073.5 Injury and poisoning 6,076.4 6,660.5 - 6,467.0 0.2 0.1 - 0.1 626.4 735.3 - 691.2 34,322.8 26,767.6 - 31,073.7 Newborn Infant Other healthcare encounters Total *Rate not calculated because population denominator unavailable for this group 91 Maricopa County 2012 Hospital Discharge Statistics Table 5.17 Number of Injury Related Emergency Department (ED) Visits by Race/Ethnicity Primary Cause of Injury Motor Vehicle Traffic Number of Injury Related ED Visits by Race/Ethnicity Asian, Native American Hawaiian, or Hispanic Black Indian Pac. Islander White Unknown Total 16,708 8,193 3,333 535 709 456 29,934 189 191 105 10 2 22 519 5,319 1,875 622 180 77 70 8,143 54,186 20,736 4,671 1,570 970 871 83,004 245 135 32 14 6 5 437 Fire or Burn 2,112 1,335 399 90 69 73 4,078 Cut or Pierce 11,252 5,598 1,331 400 261 170 19,012 Struck By or Against 23,414 12,365 3,790 983 519 441 41,512 Other Causes 16,402 9,729 2,276 691 460 359 29,917 Firearm Poisoning Fall Suffocation or Drowning Other Transport 5,503 1,861 381 161 82 70 8,058 Overexertion 14,190 6,337 2,125 486 303 223 23,664 Cause Unknown/Unspecified 13,254 6,250 2,418 667 285 248 23,122 162,774 74,605 21,483 5,787 3,743 3,008 271,400 Total 92 Maricopa County 2012 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 Motor Vehicle Traffic Firearm Poisoning Fall 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 793 898 820 3,693 4,505 6,462 4,650 3,820 2,329 1,161 604 198 1 29,934 2 5 6 94 121 128 76 45 27 8 4 3 0 519 1,023 146 157 1,231 918 1,498 1,174 980 543 261 145 67 0 8,143 13,353 7,628 4,579 4,627 3,815 7,200 6,643 7,581 7,213 6,820 7,166 6,377 2 83,004 Suffocation or Drowning 153 17 18 56 32 54 31 25 19 8 14 10 0 437 Fire or Burn 781 283 152 309 401 709 560 406 262 134 56 25 0 4,078 Cut or Pierce 1,135 1,166 913 2,090 2,482 3,896 2,616 2,105 1,206 844 406 153 0 19,012 Struck By or Against 4,198 4,006 4,118 6,574 4,414 6,763 4,526 3,215 1,696 953 619 429 1 41,512 Other Causes 5,563 3,160 1,639 2,249 2,471 4,261 3,382 3,051 1,843 1,261 740 297 0 29,917 Other Transport 372 840 926 1,004 710 1,101 1,034 1,015 574 293 133 56 0 8,058 Overexertion 931 661 1,338 3,005 2,536 5,094 3,879 2,873 1,622 960 538 227 0 23,664 1,417 772 757 2,121 2,530 4,687 3,788 2,936 1,731 1,091 809 483 0 23,122 29,721 19,582 15,423 27,053 24,935 41,853 32,359 28,052 19,065 13,794 11,234 8,325 4 271,400 Cause Unknown/Unspecified Total 93 Maricopa County 2012 Hospital Discharge Statistics Table 5.19 Number of Injury Related Emergency Department (ED) Visits by Sex Number of Injury Related ED Visits by Sex Primary Cause of Injury Motor Vehicle Traffic Firearm Poisoning Fall Suffocation or Drowning Female Male Unknown Total 16,567 13,366 1 29,934 91 428 0 519 4,550 3,593 0 8,143 45,518 37,485 1 83,004 195 242 0 437 Fire or Burn 1,967 2,111 0 4,078 Cut or Pierce 7,220 11,792 0 19,012 Struck By or Against 15,834 25,678 0 41,512 Other Causes 14,370 15,547 0 29,917 2,738 5,320 0 8,058 Overexertion 11,655 12,009 0 23,664 Cause Unknown/Unspecified 11,870 11,252 0 23,122 132,575 138,823 2 271,400 Other Transport Total 94 VI. Technical Notes Population Statistics Population statistics are shown in Tables 1.01 and 1.02. This report used the 2012 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, 2012, released June 2013. This is at http://www.census.gov/popest/data/counties/asrh/2012/CC-EST2012ALLDATA.html. The estimates for 2012 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 2012): April 1, 2010 to July 1, 2012. This is located at http://www.census.gov/popest/methodology/2012-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 6.1 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 200,000) residents as shown in Tables 1.01 and 1.02), 95 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 2012, 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 6.2 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 Malignant Neoplasm of the Colon Malignant Neoplasm of the Pancreas 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 C18-C21 C25 (Continued) 96 (Table 6.2, Continued) 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 Pregnancy, childbirth, and the puerperium Perinatal Conditions Disorders Related to Short Gestation and Low Birth Weight (LBW) 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 A34, O00-O99 P00-P96 P07 (Continued) 97 (Table (Table6.2, 6.2,Continued) Continued) 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 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 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. 98 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. 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. 99 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 2012, these were 76.3 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 2012, 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. 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 100 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 2012, published by the ADHS at http://www.azdhs.gov/plan/report/ahs/ahs2012/chptr2a_2d.pdf. Figures for the U.S., are from Deaths: Preliminary Data for 2011. 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. 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. Natality (Birth) Statistics Natality (birth) statistics are shown in Tables 3.01 through 3.24. 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 3.01). 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 3.24 compares natality measures for Maricopa County to Arizona and the U.S. Arizona figures for 2012 can be found in Arizona Health Status and Vital Statistics 2012, published by ADHS at http://www.azdhs.gov/plan/report/ahs/ahs2012/chptr1a_1d.pdf. Infant mortality statistics are from unlinked data or the number of infant deaths in a given year. Latest U.S. data 101 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: Final Data for 2012, National Vital Statistics Reports, Vol. 62, no 9, December 30, 2013 at http://www.cdc.gov/nchs/data/nvsr/nvsr62/nvsr62_09.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 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 3.24 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. 3 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. NCHS guidelines were adopted from those established by the World Health Organization (WHO). 3 The Arizona statute defining a live birth follows this definition. 2 102 • 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.” • 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. th Communicable Disease (Morbidity) Statistics Communicable disease statistics are shown in Tables 4.01a through 4.04. 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 fifteen residents with malaria in 2012. All of these cases acquired malaria outside of Maricopa County. 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 May 22, 2014. • STD data were acquired on August 19, 2013. • Syphilis data were acquired on August 19, 2013. • HIV/AIDS data for Maricopa County residents were acquired on July 11, 2013. 4 5 Hoyert DL, Maternal mortality and related concepts. National Center for Health Statistics. Vital Health Stat 3 (33). 2007. Ibid. 103 • HIV/AIDS data for Arizona residents were acquired on July 11, 2013. 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 4.01a through 4.03b, 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 4.04, comparison morbidity rates for Arizona can be found in Arizona Health Status and Vital Statistics 2012, http://www.azdhs.gov/plan/report/ahs/ahs2012/pdf/5f2.pdf. The rates for HIV and AIDS for Arizona were provided directly from ADHS on July 11, 2013. These rates can also be found in the Arizona Annual Report-HIV Epidemiology Program, ADHS: 2012 Incidence Report, http://www.azdhs.gov/phs/edc/odis/documents/hiv-epidemiology/2012/2011-incidence-bycounty.pdf. All U.S. rates are for 2011 and may be found in Morbidity and Mortality Weekly Report Vol. 60 no. 53 July 5, 2013 at http://www.cdc.gov/mmwr/PDF/wk/mm6053.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. 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 104 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). 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 6.3 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) 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 (Continued) 105 (Table 6.3, Continued) Category of Primary Diagnoses 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 ICD-9-CM Code 280–289 290–319 290–299 303 320–389 390–459 391–392.0,393– 398,402,404,410–416,420–429 Acute myocardial infarction 410 Coronary atherosclerosis 414 Other ischemic heart disease 411–413,414.1–414.9 Cardiac dysrhythmias 427 Congestive heart failure 428.0 Cerebrovascular disease 430–438 Diseases of the respiratory system 460–519 Acute bronchitis and bronchiolitis 466 Pneumonia 480-486 Chronic bronchitis 491 Asthma 493 Diseases of the digestive system 520-579 Appendicitis 540–543 Noninfectious enteritis and colitis 555–558 Cholelithiasis 574 Diseases of the genitourinary system 580–629 Calculus of kidney and ureter 592 Complications of pregnancy, childbirth, and the puerperium 630–677 Diseases of the skin and subcutaneous tissue 680–709 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 6.4 Injury Mechanism or Cause and Corresponding ICD-9-CM Codes Mechanism or cause ICD-9-CM Codes All injury Motor vehicle traffic E800–E869, E880–E929, E950-E999 E810–E819, E989.5, E968.5, E988.5 (Continued) 106 (Table 6.4 Continued) Mechanism or cause (MVT) ICD-9-CM Codes Firearm Poisoning E922(.0–.3,.8–.9), E955(.0–.4), E965(.0–4), E970, E979.4, E985(.0–.4) 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 Other Causes Other Transport Overexertion Cause Unknown/Unspecified E830, E832, E910, E954, E964, E984 E890.0–E899, E924, E958, E961, E968.(0,3), E979.3, E988.(1,2,7) 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 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 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. 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 107