Maricopa County Health Status Report 2001 – 2005 Five Year Trends Reference Tables Prepared by the Maricopa County Department of Public Health Office of Epidemiology and Data Services April 2007 Maricopa County Acknowledgements This report was prepared by the Maricopa County Department of Public Health, Office of Epidemiology and Data Services. Alana Shacter, Epidemiologist Liva Nohre, Sr. Epidemiologist Sarah Santana, Director The authors wish to thank the following individuals and organizations for contributing numeric data, consultation, and other information used in this report. Their assistance is much appreciated. Mare Schumacher, Alisa Diggs, Vjollca Berisha, Natalie Fuller – Office of Epidemiology and Data Services Tom Mickey, Deborah Ramon – Maricopa County Department of Public Health, Division of Clinical Services Kristina Schaller – Arizona Department of Health Services S. Robert Bailey – Arizona Department of Health Services Christopher Mrela – Arizona Department of Health Services For additional copies of this report, please call the Maricopa County Department of Public Health, Office of Epidemiology and Data Services at 602.372.2604. This report may also be found at http://www.maricopa.gov/public_health/epi/ under “Health Statistics and Reports.” Maricopa County Health Status Report 2001-2005 Five Year Trends: Reference Tables Table of Contents Introduction i I. Maricopa County Population Statistics – 2001-2005 Tables 1 Table 1.01 Table 1.02 Table 1.03 Table 1.04 Table 1.05 Table 1.06 Table 1.07 Table 1.08 Table 1.09 Table 1.10 Table 1.11 Population Estimates by Age, Gender, and Race/Ethnicity, 2005 Population by Race/Ethnicity, Age, and Gender, 2005 Population Estimates by Age, Gender, and Race/Ethnicity 2004 Population by Race/Ethnicity, Age, and Gender, 2004 Population Estimates by Age, Gender, and Race/Ethnicity 2003 Population by Race/Ethnicity, Age, and Gender, 2003 Population Estimates by Age, Gender, and Race/Ethnicity 2002 Population by Race/Ethnicity, Age, and Gender, 2002 Population Estimates by Age, Gender, and Race/Ethnicity 2001 Population by Race/Ethnicity, Age, and Gender, 2001 Maricopa County, Phoenix, and Arizona Population 1980-2005 2 3 4 5 6 7 8 9 10 11 12 II. Maricopa County Five-Year Health Trends 13 Table 2.01a Table 2.01b Selected Underlying Causes of Death 2001-2005, Number of Deaths Selected Underlying Causes of Death 2001-2005, Crude Death Rate per 100,000 Residents Other Selected Underlying Causes of Death 2001-2005, Number of Deaths Other Selected Underlying Causes of Death 2001-2005, Crude Death Rate per 100,000 Residents Firearm, Drug, and Alcohol Induced and Related Deaths 2001-2005, Number of Deaths Firearm, Drug, and Alcohol Induced and Related Deaths 2001-2005, Crude Death Rate per 100,000 Residents Number of Confirmed Cases to Residents of Selected Reportable Diseases, 2001-2005 Case Rates per 100,000 Residents for Selected Reportable Diseases, 2001-2005 Congenital Syphilis by Race/Ethnicity and Year, Number of Cases, 2001-2005 Congenital Syphilis by Race/Ethnicity and Year, Case Rates per 100,000 Live Births, 2001-2005 Hansen’s Disease Prevalence Selected Maternal & Child Health Indicators, 2001-2005 Selected Maternal & Child Health Indicator Percentages, 2001-2005 Infant Mortality by Race/Ethnicity of Mother, 2001-2005 (Linked) Infant Mortality Rates by Race/Ethnicity of Mother, 2001-2005 (Linked), Infant Mortality per 1,000 Live Births Infant Mortality by Age of Mother, 2001-2005 (Linked) Infant Mortality Rates by Age of Mother, 2001-2005 (Linked), Infant Mortality per 1,000 Live Births Infant Mortality by Educational Level of Mother, 2001-2005 (Linked) Infant Mortality Rates by Educational Level of Mother, 2001-2005 (Linked), Infant Mortality per 1,000 Live Births Infant Mortality by Birthweight, 2001-2005 (Linked) 14 15 Table 2.02a Table 2.02b Table 2.03a Table 2.03b Table 2.04a Table 2.04b Table 2.05a Table 2.05b Table 2.06 Table 2.07a Table 2.08b Table 2.08a Table 2.08b Table 2.09a Table 2.09b Table 2.10a Table 2.10b Table 2.11a 16 17 18 18 19 20 21 21 21 22 23 24 24 24 24 25 25 25 Maricopa County Health Status Report 2001-2005 Five Year Trends: Reference Tables Table of Contents Table 2.11b Table 2.12 Table 2.13a Table 2.13b III. Infant Mortality Rates by Birthweight, 2001-2005 (Linked), Infant Mortality per 1,000 Live Births Infant Mortality and Rates by Age of Infant, 2001-2005 (Linked & Unlinked) Infant Mortality by Race/Ethnicity of Infant, 2001-2005 (Unlinked) Infant Mortality Rates by Race/Ethnicity of Infant, 2001-2005 (Unlinked), Infant Mortality per 1,000 Live Births Technical Notes 25 26 26 26 27 Introduction This report provides health status information for the years 2001 to 2005 for residents of Maricopa County, Arizona. It includes data for morbidity (death), communicable diseases, and natality (birth), as well as information on the size and demographic distribution of the population. For each disease or health indicator, the following information is provided: • Number of cases in the county • • • Communicable Disease Example: 248 residents of Maricopa County were diagnosed with confirmed cases of Pertussis (whooping cough) in 2005. Natality (Birth) Example: There were 735 infants born with a very low birthweight (less then 1500 grams) in 2005. Rate or percentage of cases in the county • • Communicable Disease Example: For every 100,000 residents of Maricopa County, 6.8 were diagnosed with Pertussis in 2005. Natality (Birth) Example: Among all live births in 2005, 1.2% were born with a very low birthweight. All data in this report are for calendar years 2001 through 2005. Information on data sources and methodology are in Section III – Technical Notes. Maricopa County Health Status Report 2001-2005 Page i I. Maricopa County Population Statistics 2001-2005 Tables Maricopa County Health Status Report 2001-2005 Page 1 Maricopa County Population Statistics Table 1.01 Population Estimates by Age, Gender, and Race/Ethnicity, 2005 Race/Ethnicity by Gender Age by Gender Age 0-4 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ Total Males No. % 152,710 140,989 137,993 126,840 131,497 300,213 275,712 226,478 160,921 101,918 56,915 17,194 8.3% 7.7% 7.5% 6.9% 7.2% 16.4% 15.1% 12.4% 8.8% 5.6% 3.1% 0.9% 1,829,380 Females No. % 145,799 134,593 131,618 119,571 119,884 268,547 256,567 227,304 175,239 113,700 78,929 34,397 8.1% 7.5% 7.3% 6.6% 6.6% 14.9% 14.2% 12.6% 9.7% 6.3% 4.4% 1.9% 1,806,148 Race/Ethnicity Total No. 298,509 275,582 269,611 246,411 251,381 568,760 532,279 453,782 336,160 215,618 135,844 51,591 % 8.2% 7.6% 7.4% 6.8% 6.9% 15.6% 14.6% 12.5% 9.2% 5.9% 3.7% 1.4% Males No. % White Hispanic African American Amer. Ind., Non-Hisp. Amer. Ind., Hisp. Asian Other/2+ Races 1,101,359 548,435 70,884 28,969 9,297 46,640 23,796 Total 1,829,380 60.2% 30.0% 3.9% 1.6% 0.5% 2.5% 1.3% Females No. % 1,134,143 489,079 68,420 31,364 8,762 50,445 23,935 62.8% 27.1% 3.8% 1.7% 0.5% 2.8% 1.3% 1,806,148 3,635,528 Age by Race/Ethnicity Age White No. 0-4 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ Total 131,778 130,089 136,508 133,341 131,247 290,373 331,764 329,962 270,160 181,728 121,413 47,139 2,235,502 Hispanic % 5.9% 5.8% 6.1% 6.0% 5.9% 13.0% 14.8% 14.8% 12.1% 8.1% 5.4% 2.1% No. 132,852 112,754 100,756 83,900 92,298 213,958 143,866 82,665 42,270 20,562 8,918 2,715 1,037,514 African American % 12.8% 10.9% 9.7% 8.1% 8.9% 20.6% 13.9% 8.0% 4.1% 2.0% 0.9% 0.3% No. 10,321 11,433 12,704 11,975 11,012 22,668 22,511 17,780 9,987 5,681 2,407 825 139,304 % 7.4% 8.2% 9.1% 8.6% 7.9% 16.3% 16.2% 12.8% 7.2% 4.1% 1.7% 0.6% American Indian Non-Hispanic Hispanic No. % No. % 7,702 5,227 5,462 5,309 5,086 11,247 8,746 5,820 3,283 1,542 684 225 60,333 12.8% 8.7% 9.1% 8.8% 8.4% 18.6% 14.5% 9.6% 5.4% 2.6% 1.1% 0.4% 1,235 2,285 2,200 1,981 1,753 3,188 2,606 1,566 746 364 129 6 6.8% 12.7% 12.2% 11.0% 9.7% 17.7% 14.4% 8.7% 4.1% 2.0% 0.7% 0.0% 18,059 Asian No. 6,910 6,199 5,923 5,195 6,167 21,101 18,298 12,633 7,698 4,667 1,784 510 97,085 Other/2+ Races % 7.1% 6.4% 6.1% 5.4% 6.4% 21.7% 18.8% 13.0% 7.9% 4.8% 1.8% 0.5% No. 7,711 7,595 6,058 4,710 3,818 6,225 4,488 3,356 2,016 1,074 509 171 % 16.2% 15.9% 12.7% 9.9% 8.0% 13.0% 9.4% 7.0% 4.2% 2.3% 1.1% 0.4% 47,731 Source: United States Census, Population Estimates Division. Data on this page were used for calculating all rates (denominators) in this report for 2005. Maricopa County Health Status Report 2001-2005 Page 2 Total No. 298,509 275,582 269,611 246,411 251,381 568,760 532,279 453,782 336,160 215,618 135,844 51,591 3,635,528 Maricopa County Population Statistics Table 1.02 Population by Race/Ethnicity, Age, and Gender, 2005 Females Age White No. 0-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75+ Total 64,220 63,394 66,469 64,780 64,784 68,897 73,703 76,194 86,682 86,562 79,911 77,155 64,003 51,178 44,314 101,897 Hispanic % No. 5.7% 5.6% 5.9% 5.7% 5.7% 6.1% 6.5% 6.7% 7.6% 7.6% 7.0% 6.8% 5.6% 4.5% 3.9% 9.0% 64,818 55,087 49,255 40,456 41,109 49,001 45,175 36,145 29,283 22,832 16,665 12,608 8,708 6,275 4,679 6,983 1,134,143 African American % 13.3% 11.3% 10.1% 8.3% 8.4% 10.0% 9.2% 7.4% 6.0% 4.7% 3.4% 2.6% 1.8% 1.3% 1.0% 1.4% 489,079 No. 4,995 5,586 6,234 5,797 5,446 5,227 5,434 5,374 5,479 4,795 3,915 2,851 2,219 1,780 1,252 2,036 % 7.3% 8.2% 9.1% 8.5% 8.0% 7.6% 7.9% 7.9% 8.0% 7.0% 5.7% 4.2% 3.2% 2.6% 1.8% 3.0% 68,420 American Indian Non-Hispanic Hispanic No. % No. % 3,935 2,549 2,734 2,643 2,667 3,049 2,764 2,222 2,289 1,805 1,453 1,103 729 541 340 541 12.5% 8.1% 8.7% 8.4% 8.5% 9.7% 8.8% 7.1% 7.3% 5.8% 4.6% 3.5% 2.3% 1.7% 1.1% 1.7% 31,364 648 1,134 1,093 1,038 869 730 723 604 559 459 271 198 159 119 73 85 7.4% 12.9% 12.5% 11.8% 9.9% 8.3% 8.3% 6.9% 6.4% 5.2% 3.1% 2.3% 1.8% 1.4% 0.8% 1.0% 8,762 Asian No. 3,459 3,100 2,882 2,493 3,060 4,654 6,001 5,059 4,403 3,698 3,233 2,607 1,828 1,499 1,097 1,372 Other/2+ Races % 6.9% 6.1% 5.7% 4.9% 6.1% 9.2% 11.9% 10.0% 8.7% 7.3% 6.4% 5.2% 3.6% 3.0% 2.2% 2.7% 50,445 No. 3,724 3,743 2,951 2,364 1,949 1,695 1,494 1,193 1,081 942 763 636 435 304 249 412 % 15.6% 15.6% 12.3% 9.9% 8.1% 7.1% 6.2% 5.0% 4.5% 3.9% 3.2% 2.7% 1.8% 1.3% 1.0% 1.7% 23,935 Total No. 145,799 134,593 131,618 119,571 119,884 133,253 135,294 126,791 129,776 121,093 106,211 97,158 78,081 61,696 52,004 113,326 1,806,148 Males 0-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75+ Total 67,558 66,695 70,039 68,561 66,463 70,574 77,199 81,006 87,882 86,966 76,523 71,697 57,305 46,265 39,971 66,655 1,101,359 6.1% 6.1% 6.4% 6.2% 6.0% 6.4% 7.0% 7.4% 8.0% 7.9% 6.9% 6.5% 5.2% 4.2% 3.6% 6.1% 68,034 57,667 51,501 43,444 51,189 64,137 55,645 43,966 34,472 25,334 17,834 12,681 8,273 5,734 3,874 4,650 548,435 12.4% 10.5% 9.4% 7.9% 9.3% 11.7% 10.1% 8.0% 6.3% 4.6% 3.3% 2.3% 1.5% 1.0% 0.7% 0.8% 5,326 5,847 6,470 6,178 5,566 6,078 5,929 5,634 6,024 5,182 3,888 2,981 1,936 1,562 1,087 1,196 70,884 7.5% 8.2% 9.1% 8.7% 7.9% 8.6% 8.4% 7.9% 8.5% 7.3% 5.5% 4.2% 2.7% 2.2% 1.5% 1.7% 3,767 2,678 2,728 2,666 2,419 2,851 2,583 2,213 2,022 1,450 1,112 928 523 406 255 368 28,969 13.0% 9.2% 9.4% 9.2% 8.4% 9.8% 8.9% 7.6% 7.0% 5.0% 3.8% 3.2% 1.8% 1.4% 0.9% 1.3% 587 1,151 1,107 943 884 969 766 757 686 494 342 232 157 83 89 50 6.3% 12.4% 11.9% 10.1% 9.5% 10.4% 8.2% 8.1% 7.4% 5.3% 3.7% 2.5% 1.7% 0.9% 1.0% 0.5% 9,297 3,451 3,099 3,041 2,702 3,107 4,750 5,696 4,843 3,993 3,200 2,502 1,901 1,362 1,234 837 922 46,640 7.4% 6.6% 6.5% 5.8% 6.7% 10.2% 12.2% 10.4% 8.6% 6.9% 5.4% 4.1% 2.9% 2.6% 1.8% 2.0% 3,987 3,852 3,107 2,346 1,869 1,665 1,371 1,163 1,051 938 713 541 404 298 223 268 16.8% 16.2% 13.1% 9.9% 7.9% 7.0% 5.8% 4.9% 4.4% 3.9% 3.0% 2.3% 1.7% 1.3% 0.9% 1.1% 23,796 Source: United States Census, Population Estimates Division. Data on this page were used for calculating all rates (denominators) in this report for 2005. Maricopa County Health Status Report 2001-2005 Page 3 152,710 140,989 137,993 126,840 131,497 151,024 149,189 139,582 136,130 123,564 102,914 90,961 69,960 55,582 46,336 74,109 1,829,380 Maricopa County Population Statistics Table 1.03 Population Estimates by Age, Gender, and Race/Ethnicity, 2004 Race/Ethnicity by Gender Age by Gender Age 0-4 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ Total Males No. % 148,638 137,396 135,303 121,051 129,145 290,456 264,749 212,591 148,691 97,756 56,695 16,142 8.5% 7.8% 7.7% 6.9% 7.3% 16.5% 15.1% 12.1% 8.5% 5.6% 3.2% 0.9% 1,758,613 Females No. % 141,778 131,281 129,060 113,819 117,046 260,016 247,462 215,849 162,320 110,184 78,679 32,480 8.1% 7.5% 7.4% 6.5% 6.7% 14.9% 14.2% 12.4% 9.3% 6.3% 4.5% 1.9% 1,739,974 Race/Ethnicity Total No. 290,416 268,677 264,363 234,870 246,191 550,472 512,211 428,440 311,011 207,940 135,374 48,622 % 8.3% 7.7% 7.6% 6.7% 7.0% 15.7% 14.6% 12.2% 8.9% 5.9% 3.9% 1.4% Males No. % White Hispanic African American Amer. Ind., Non-Hisp. Amer. Ind., Hisp. Asian Other/2+ Races 1,074,999 514,801 66,805 27,722 8,920 43,012 22,354 Total 1,758,613 58.8% 28.1% 3.7% 1.5% 0.5% 2.4% 1.2% Females No. % 1,108,363 459,836 64,247 30,034 8,456 46,507 22,531 61.4% 25.5% 3.6% 1.7% 0.5% 2.6% 1.2% 1,739,974 3,498,587 Age by Race/Ethnicity Age White No. 0-4 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ Total 130,939 129,361 136,991 129,573 128,208 289,402 327,318 316,094 252,100 176,783 121,995 44,598 2,183,362 Hispanic % 6.0% 5.9% 6.3% 5.9% 5.9% 13.3% 15.0% 14.5% 11.5% 8.1% 5.6% 2.0% No. 127,022 107,679 95,961 78,142 91,569 199,924 132,241 74,654 37,771 18,959 8,275 2,440 974,637 African American % 13.0% 11.0% 9.8% 8.0% 9.4% 20.5% 13.6% 7.7% 3.9% 1.9% 0.8% 0.3% No. 10,263 11,078 12,465 11,107 10,289 21,289 21,230 16,203 8,901 5,180 2,280 767 131,052 % 7.8% 8.5% 9.5% 8.5% 7.9% 16.2% 16.2% 12.4% 6.8% 4.0% 1.7% 0.6% American Indian Non-Hispanic Hispanic No. % No. % 7,010 5,125 5,452 5,036 5,107 10,896 8,411 5,452 2,965 1,439 642 221 57,756 12.1% 8.9% 9.4% 8.7% 8.8% 18.9% 14.6% 9.4% 5.1% 2.5% 1.1% 0.4% 1,326 2,282 2,209 1,844 1,643 3,055 2,486 1,399 675 337 115 5 7.6% 13.1% 12.7% 10.6% 9.5% 17.6% 14.3% 8.1% 3.9% 1.9% 0.7% 0.0% 17,376 Asian No. 6,335 5,970 5,596 4,839 5,838 20,102 16,335 11,530 6,754 4,212 1,579 429 89,519 Other/2+ Races % 7.1% 6.7% 6.3% 5.4% 6.5% 22.5% 18.2% 12.9% 7.5% 4.7% 1.8% 0.5% No. 7,521 7,182 5,689 4,329 3,537 5,804 4,190 3,108 1,845 1,030 488 162 % 16.8% 16.0% 12.7% 9.6% 7.9% 12.9% 9.3% 6.9% 4.1% 2.3% 1.1% 0.4% 44,885 Source: United States Census, Population Estimates Division. Data on this page were used for calculating all rates (denominators) in this report for 2004. Maricopa County Health Status Report 2001-2005 Page 4 Total No. 290,416 268,677 264,363 234,870 246,191 550,472 512,211 428,440 311,011 207,940 135,374 48,622 3,498,587 Maricopa County Population Statistics Table 1.04 Population by Race/Ethnicity, Age, and Gender, 2004 Females Age White No. 0-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75+ Total 63,791 62,981 66,694 62,949 63,610 66,425 74,995 74,815 85,999 83,536 76,875 71,712 60,120 49,186 44,093 100,582 Hispanic % No. 5.8% 5.7% 6.0% 5.7% 5.7% 6.0% 6.8% 6.8% 7.8% 7.5% 6.9% 6.5% 5.4% 4.4% 4.0% 9.1% 61,991 52,677 46,975 37,541 40,275 46,539 41,814 33,211 27,165 20,623 15,194 11,346 7,822 5,915 4,297 6,451 1,108,363 African American % 13.5% 11.5% 10.2% 8.2% 8.8% 10.1% 9.1% 7.2% 5.9% 4.5% 3.3% 2.5% 1.7% 1.3% 0.9% 1.4% 459,836 No. 4,973 5,467 6,092 5,330 5,059 4,840 5,172 5,004 5,175 4,374 3,574 2,495 2,002 1,594 1,179 1,917 % 7.7% 8.5% 9.5% 8.3% 7.9% 7.5% 8.1% 7.8% 8.1% 6.8% 5.6% 3.9% 3.1% 2.5% 1.8% 3.0% 64,247 American Indian Non-Hispanic Hispanic No. % No. % 3,563 2,500 2,737 2,496 2,650 2,984 2,716 2,162 2,202 1,674 1,349 990 664 514 305 528 11.9% 8.3% 9.1% 8.3% 8.8% 9.9% 9.0% 7.2% 7.3% 5.6% 4.5% 3.3% 2.2% 1.7% 1.0% 1.8% 30,034 688 1,130 1,117 963 807 706 688 574 556 382 271 173 145 111 70 75 8.1% 13.4% 13.2% 11.4% 9.5% 8.3% 8.1% 6.8% 6.6% 4.5% 3.2% 2.0% 1.7% 1.3% 0.8% 0.9% 8,456 Asian No. 3,145 2,983 2,682 2,349 2,836 4,541 5,615 4,493 3,983 3,415 2,995 2,270 1,602 1,396 990 1,212 Other/2+ Races % 6.8% 6.4% 5.8% 5.1% 6.1% 9.8% 12.1% 9.7% 8.6% 7.3% 6.4% 4.9% 3.4% 3.0% 2.1% 2.6% 46,507 No. 3,627 3,543 2,763 2,191 1,809 1,568 1,413 1,101 1,022 876 711 581 398 293 241 394 % 16.1% 15.7% 12.3% 9.7% 8.0% 7.0% 6.3% 4.9% 4.5% 3.9% 3.2% 2.6% 1.8% 1.3% 1.1% 1.7% 22,531 Total No. 141,778 131,281 129,060 113,819 117,046 127,603 132,413 121,360 126,102 114,880 100,969 89,567 72,753 59,009 51,175 111,159 1,739,974 Males 0-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75+ Total 67,148 66,380 70,297 66,624 64,598 69,120 78,862 78,865 87,639 82,889 72,794 66,679 53,589 44,509 38,995 66,011 1,074,999 6.2% 6.2% 6.5% 6.2% 6.0% 6.4% 7.3% 7.3% 8.2% 7.7% 6.8% 6.2% 5.0% 4.1% 3.6% 6.1% 65,031 55,002 48,986 40,601 51,294 60,502 51,069 40,376 31,489 22,726 16,111 11,206 7,397 5,177 3,570 4,264 514,801 12.6% 10.7% 9.5% 7.9% 10.0% 11.8% 9.9% 7.8% 6.1% 4.4% 3.1% 2.2% 1.4% 1.0% 0.7% 0.8% 5,290 5,611 6,373 5,777 5,230 5,434 5,843 5,251 5,800 4,725 3,530 2,660 1,744 1,442 965 1,130 66,805 7.9% 8.4% 9.5% 8.6% 7.8% 8.1% 8.7% 7.9% 8.7% 7.1% 5.3% 4.0% 2.6% 2.2% 1.4% 1.7% 3,447 2,625 2,715 2,540 2,457 2,724 2,472 2,188 1,859 1,381 1,048 813 498 375 245 335 27,722 12.4% 9.5% 9.8% 9.2% 8.9% 9.8% 8.9% 7.9% 6.7% 5.0% 3.8% 2.9% 1.8% 1.4% 0.9% 1.2% 638 1,152 1,092 881 836 950 711 747 609 463 283 226 131 75 81 45 7.2% 12.9% 12.2% 9.9% 9.4% 10.7% 8.0% 8.4% 6.8% 5.2% 3.2% 2.5% 1.5% 0.8% 0.9% 0.5% 8,920 3,190 2,987 2,914 2,490 3,002 4,557 5,389 4,244 3,615 2,879 2,241 1,631 1,251 1,096 730 796 43,012 7.4% 6.9% 6.8% 5.8% 7.0% 10.6% 12.5% 9.9% 8.4% 6.7% 5.2% 3.8% 2.9% 2.5% 1.7% 1.9% 3,894 3,639 2,926 2,138 1,728 1,518 1,305 1,068 999 870 651 486 380 280 216 256 17.4% 16.3% 13.1% 9.6% 7.7% 6.8% 5.8% 4.8% 4.5% 3.9% 2.9% 2.2% 1.7% 1.3% 1.0% 1.1% 22,354 Source: United States Census, Population Estimates Division. Data on this page were used for calculating all rates (denominators) in this report for 2004. Maricopa County Health Status Report 2001-2005 Page 5 148,638 137,396 135,303 121,051 129,145 144,805 145,651 132,739 132,010 115,933 96,658 83,701 64,990 52,954 44,802 72,837 1,758,613 Maricopa County Population Statistics Table 1.05 Population Estimates by Age, Gender, and Race/Ethnicity, 2003 Race/Ethnicity by Gender Age by Gender Age 0-4 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ Total Males No. % 143,413 134,090 131,933 116,965 128,033 281,679 257,456 203,173 139,078 94,066 55,756 15,597 8.4% 7.9% 7.8% 6.9% 7.5% 16.6% 15.1% 11.9% 8.2% 5.5% 3.3% 0.9% 1,701,239 Females No. % 137,179 128,012 125,327 109,489 115,141 253,488 242,468 208,337 151,626 106,936 78,108 31,361 8.1% 7.6% 7.4% 6.5% 6.8% 15.0% 14.4% 12.3% 9.0% 6.3% 4.6% 1.9% 1,687,472 Race/Ethnicity Total No. 280,592 262,102 257,260 226,454 243,174 535,167 499,924 411,510 290,704 201,002 133,864 46,958 % 8.3% 7.7% 7.6% 6.7% 7.2% 15.8% 14.8% 12.1% 8.6% 5.9% 4.0% 1.4% Males No. % White Hispanic African American Amer. Ind., Non-Hisp. Amer. Ind., Hisp. Asian Other/2+ Races 1,054,977 485,702 63,821 26,551 8,646 40,368 21,174 Total 1,701,239 57.7% 26.6% 3.5% 1.5% 0.5% 2.2% 1.2% Females No. % 1,089,607 434,523 61,193 28,835 8,211 43,741 21,362 60.3% 24.1% 3.4% 1.6% 0.5% 2.4% 1.2% 1,687,472 3,388,711 Age by Race/Ethnicity Age White No. 0-4 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ Total 129,551 128,446 136,722 126,199 126,563 289,226 326,644 307,375 237,085 172,247 121,298 43,228 2,144,584 Hispanic % 6.0% 6.0% 6.4% 5.9% 5.9% 13.5% 15.2% 14.3% 11.1% 8.0% 5.7% 2.0% No. 119,775 103,015 90,434 74,501 91,169 187,414 123,107 68,968 34,254 17,565 7,773 2,250 920,225 African American % 13.0% 11.2% 9.8% 8.1% 9.9% 20.4% 13.4% 7.5% 3.7% 1.9% 0.8% 0.2% No. 10,022 11,000 12,011 10,556 9,602 20,413 20,514 15,058 8,140 4,789 2,176 733 125,014 % 8.0% 8.8% 9.6% 8.4% 7.7% 16.3% 16.4% 12.0% 6.5% 3.8% 1.7% 0.6% American Indian Non-Hispanic Hispanic No. % No. % 6,427 4,986 5,315 4,813 5,145 10,604 8,137 5,121 2,759 1,275 606 198 55,386 11.6% 9.0% 9.6% 8.7% 9.3% 19.1% 14.7% 9.2% 5.0% 2.3% 1.1% 0.4% 1,498 2,203 2,169 1,749 1,635 2,882 2,383 1,305 613 317 99 4 8.9% 13.1% 12.9% 10.4% 9.7% 17.1% 14.1% 7.7% 3.6% 1.9% 0.6% 0.0% 16,857 Asian No. 5,949 5,722 5,286 4,605 5,726 19,137 15,116 10,757 6,153 3,835 1,436 387 84,109 Other/2+ Races % 7.1% 6.8% 6.3% 5.5% 6.8% 22.8% 18.0% 12.8% 7.3% 4.6% 1.7% 0.5% No. 7,370 6,730 5,323 4,031 3,334 5,491 4,023 2,926 1,700 974 476 158 % 17.3% 15.8% 12.5% 9.5% 7.8% 12.9% 9.5% 6.9% 4.0% 2.3% 1.1% 0.4% 42,536 Source: United States Census, Population Estimates Division. Data on this page were used for calculating all rates (denominators) in this report for 2003. Maricopa County Health Status Report 2001-2005 Page 6 Total No. 280,592 262,102 257,260 226,454 243,174 535,167 499,924 411,510 290,704 201,002 133,864 46,958 3,388,711 Maricopa County Population Statistics Table 1.06 Population by Race/Ethnicity, Age, and Gender, 2003 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. 63,163 62,554 66,471 61,269 62,647 65,497 75,819 75,715 85,158 81,515 75,151 67,475 56,355 47,167 44,094 99,557 5.8% 5.7% 6.1% 5.6% 5.7% 6.0% 7.0% 6.9% 7.8% 7.5% 6.9% 6.2% 5.2% 4.3% 4.0% 9.1% 58,603 50,283 44,107 35,536 39,832 44,459 38,916 31,451 25,098 19,056 14,172 10,260 7,208 5,464 4,027 6,051 1,089,607 African American % 13.5% 11.6% 10.2% 8.2% 9.2% 10.2% 9.0% 7.2% 5.8% 4.4% 3.3% 2.4% 1.7% 1.3% 0.9% 1.4% 434,523 No. 4,873 5,466 5,841 5,078 4,713 4,547 4,984 4,858 4,936 4,082 3,307 2,227 1,871 1,486 1,089 1,835 % 8.0% 8.9% 9.5% 8.3% 7.7% 7.4% 8.1% 7.9% 8.1% 6.7% 5.4% 3.6% 3.1% 2.4% 1.8% 3.0% 61,193 American Indian Non-Hispanic Hispanic No. % No. % 3,220 2,452 2,661 2,403 2,716 2,902 2,627 2,171 2,060 1,636 1,240 879 647 462 269 490 11.2% 8.5% 9.2% 8.3% 9.4% 10.1% 9.1% 7.5% 7.1% 5.7% 4.3% 3.0% 2.2% 1.6% 0.9% 1.7% 28,835 779 1,080 1,112 897 800 664 650 563 516 358 254 169 132 109 63 65 9.5% 13.2% 13.5% 10.9% 9.7% 8.1% 7.9% 6.9% 6.3% 4.4% 3.1% 2.1% 1.6% 1.3% 0.8% 0.8% 8,211 Asian No. 2,979 2,848 2,550 2,257 2,733 4,415 5,202 4,187 3,712 3,259 2,805 2,027 1,479 1,279 920 1,089 Other/2+ Races % 6.8% 6.5% 5.8% 5.2% 6.2% 10.1% 11.9% 9.6% 8.5% 7.5% 6.4% 4.6% 3.4% 2.9% 2.1% 2.5% 43,741 No. 3,562 3,329 2,585 2,049 1,700 1,467 1,339 1,067 976 835 667 528 369 278 229 382 % 16.7% 15.6% 12.1% 9.6% 8.0% 6.9% 6.3% 5.0% 4.6% 3.9% 3.1% 2.5% 1.7% 1.3% 1.1% 1.8% 21,362 Total No. 137,179 128,012 125,327 109,489 115,141 123,951 129,537 120,012 122,456 110,741 97,596 83,565 68,061 56,245 50,691 109,469 1,687,472 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 66,388 65,892 70,251 64,930 63,916 67,695 80,215 79,027 86,744 80,156 70,553 62,987 50,268 42,209 38,777 64,969 1,054,977 6.3% 6.2% 6.7% 6.2% 6.1% 6.4% 7.6% 7.5% 8.2% 7.6% 6.7% 6.0% 4.8% 4.0% 3.7% 6.2% 61,172 52,732 46,327 38,965 51,337 56,676 47,363 37,662 28,896 20,852 14,888 10,083 6,703 4,751 3,323 3,972 485,702 12.6% 10.9% 9.5% 8.0% 10.6% 11.7% 9.8% 7.8% 5.9% 4.3% 3.1% 2.1% 1.4% 1.0% 0.7% 0.8% 5,149 5,534 6,170 5,478 4,889 5,193 5,689 5,158 5,562 4,356 3,313 2,399 1,643 1,336 878 1,074 63,821 8.1% 8.7% 9.7% 8.6% 7.7% 8.1% 8.9% 8.1% 8.7% 6.8% 5.2% 3.8% 2.6% 2.1% 1.4% 1.7% 3,207 2,534 2,654 2,410 2,429 2,671 2,404 2,136 1,770 1,241 1,004 762 471 327 217 314 26,551 12.1% 9.5% 10.0% 9.1% 9.1% 10.1% 9.1% 8.0% 6.7% 4.7% 3.8% 2.9% 1.8% 1.2% 0.8% 1.2% 719 1,123 1,057 852 835 867 701 753 551 422 271 197 115 83 62 38 8.3% 13.0% 12.2% 9.9% 9.7% 10.0% 8.1% 8.7% 6.4% 4.9% 3.1% 2.3% 1.3% 1.0% 0.7% 0.4% 8,646 2,970 2,874 2,736 2,348 2,993 4,518 5,002 3,923 3,294 2,665 2,028 1,484 1,163 996 640 734 40,368 7.4% 7.1% 6.8% 5.8% 7.4% 11.2% 12.4% 9.7% 8.2% 6.6% 5.0% 3.7% 2.9% 2.5% 1.6% 1.8% 3,808 3,401 2,738 1,982 1,634 1,437 1,248 1,027 953 809 615 448 355 264 203 252 18.0% 16.1% 12.9% 9.4% 7.7% 6.8% 5.9% 4.9% 4.5% 3.8% 2.9% 2.1% 1.7% 1.2% 1.0% 1.2% 21,174 Source: United States Census, Population Estimates Division. Data on this page were used for calculating all rates (denominators) in this report for 2003. Maricopa County Health Status Report 2001-2005 Page 7 143,413 134,090 131,933 116,965 128,033 139,057 142,622 129,686 127,770 110,501 92,672 78,360 60,718 49,966 44,100 71,353 1,701,239 Maricopa County Population Statistics Table 1.07 Population Estimates by Age, Gender, and Race/Ethnicity, 2002 Race/Ethnicity by Gender Age by Gender Age 0-4 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ Total Males No. % 138,593 131,610 127,849 114,382 126,529 273,618 252,231 195,191 130,281 91,240 55,329 14,807 8.4% 8.0% 7.7% 6.9% 7.7% 16.6% 15.3% 11.8% 7.9% 5.5% 3.3% 0.9% 1,651,660 Females No. % 132,084 125,856 121,414 106,671 113,167 247,162 239,751 201,501 142,041 104,501 77,810 29,823 8.0% 7.7% 7.4% 6.5% 6.9% 15.1% 14.6% 12.3% 8.7% 6.4% 4.7% 1.8% 1,641,781 Race/Ethnicity Total No. 270,677 257,466 249,263 221,053 239,696 520,780 491,982 396,692 272,322 195,741 133,139 44,630 % 8.2% 7.8% 7.6% 6.7% 7.3% 15.8% 14.9% 12.0% 8.3% 5.9% 4.0% 1.4% Males No. % White Hispanic African American Amer. Ind., Non-Hisp. Amer. Ind., Hisp. Asian Other/2+ Races 1,039,197 458,308 61,515 25,748 8,457 38,260 20,175 Total 1,651,660 56.8% 25.1% 3.4% 1.4% 0.5% 2.1% 1.1% Females No. % 1,074,381 410,603 58,898 27,924 8,002 41,531 20,442 59.5% 22.7% 3.3% 1.5% 0.4% 2.3% 1.1% 1,641,781 3,293,441 Age by Race/Ethnicity Age White No. 0-4 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ Total 127,738 128,389 135,709 123,848 125,013 289,575 328,960 299,803 223,155 168,953 121,214 41,221 2,113,578 Hispanic % 6.0% 6.1% 6.4% 5.9% 5.9% 13.7% 15.6% 14.2% 10.6% 8.0% 5.7% 2.0% No. 112,516 99,243 84,482 72,359 89,938 174,944 114,570 63,842 31,220 16,421 7,361 2,015 868,911 African American % 12.9% 11.4% 9.7% 8.3% 10.4% 20.1% 13.2% 7.3% 3.6% 1.9% 0.8% 0.2% No. 9,951 10,900 11,663 10,158 9,095 19,698 20,028 14,187 7,469 4,481 2,087 696 120,413 % 8.3% 9.1% 9.7% 8.4% 7.6% 16.4% 16.6% 11.8% 6.2% 3.7% 1.7% 0.6% American Indian Non-Hispanic Hispanic No. % No. % 5,895 4,972 5,220 4,634 5,296 10,261 7,961 4,891 2,571 1,197 575 199 53,672 11.0% 9.3% 9.7% 8.6% 9.9% 19.1% 14.8% 9.1% 4.8% 2.2% 1.1% 0.4% 1,695 2,141 2,077 1,740 1,561 2,800 2,268 1,193 593 294 93 4 10.3% 13.0% 12.6% 10.6% 9.5% 17.0% 13.8% 7.2% 3.6% 1.8% 0.6% 0.0% 16,459 Asian No. 5,671 5,484 5,067 4,506 5,643 18,286 14,273 10,007 5,708 3,464 1,341 341 79,791 Other/2+ Races % 7.1% 6.9% 6.4% 5.6% 7.1% 22.9% 17.9% 12.5% 7.2% 4.3% 1.7% 0.4% No. 7,211 6,337 5,045 3,808 3,150 5,216 3,922 2,769 1,606 931 468 154 % 17.8% 15.6% 12.4% 9.4% 7.8% 12.8% 9.7% 6.8% 4.0% 2.3% 1.2% 0.4% 40,617 Source: United States Census, Population Estimates Division. Data on this page were used for calculating all rates (denominators) in this report for 2002. Maricopa County Health Status Report 2001-2005 Page 8 Total No. 270,677 257,466 249,263 221,053 239,696 520,780 491,982 396,692 272,322 195,741 133,139 44,630 3,293,441 Maricopa County Population Statistics Table 1.08 Population by Race/Ethnicity, Age, and Gender, 2002 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. 62,228 62,547 65,960 60,267 61,844 65,367 75,784 77,886 84,732 78,834 74,361 64,289 52,193 45,571 44,212 98,306 5.8% 5.8% 6.1% 5.6% 5.8% 6.1% 7.1% 7.2% 7.9% 7.3% 6.9% 6.0% 4.9% 4.2% 4.1% 9.2% 54,879 48,523 41,240 34,178 39,086 42,026 36,235 29,387 23,542 17,744 13,187 9,402 6,545 5,156 3,824 5,649 1,074,381 African American % 13.4% 11.8% 10.0% 8.3% 9.5% 10.2% 8.8% 7.2% 5.7% 4.3% 3.2% 2.3% 1.6% 1.3% 0.9% 1.4% 410,603 No. 4,851 5,424 5,650 4,865 4,442 4,461 4,800 4,809 4,712 3,833 3,069 2,063 1,713 1,411 1,020 1,775 % 8.2% 9.2% 9.6% 8.3% 7.5% 7.6% 8.1% 8.2% 8.0% 6.5% 5.2% 3.5% 2.9% 2.4% 1.7% 3.0% 58,898 American Indian Non-Hispanic Hispanic No. % No. % 2,922 2,437 2,607 2,316 2,811 2,837 2,480 2,170 2,002 1,569 1,188 834 603 408 274 466 10.5% 8.7% 9.3% 8.3% 10.1% 10.2% 8.9% 7.8% 7.2% 5.6% 4.3% 3.0% 2.2% 1.5% 1.0% 1.7% 27,924 874 1,043 1,076 883 738 642 639 537 492 331 231 170 130 99 51 66 10.9% 13.0% 13.4% 11.0% 9.2% 8.0% 8.0% 6.7% 6.1% 4.1% 2.9% 2.1% 1.6% 1.2% 0.6% 0.8% 8,002 Asian No. 2,842 2,739 2,433 2,220 2,639 4,388 4,826 3,974 3,511 3,066 2,658 1,865 1,384 1,134 856 996 Other/2+ Races % 6.8% 6.6% 5.9% 5.3% 6.4% 10.6% 11.6% 9.6% 8.5% 7.4% 6.4% 4.5% 3.3% 2.7% 2.1% 2.4% 41,531 No. 3,488 3,143 2,448 1,942 1,607 1,408 1,269 1,056 941 790 640 508 342 259 226 375 % 17.1% 15.4% 12.0% 9.5% 7.9% 6.9% 6.2% 5.2% 4.6% 3.9% 3.1% 2.5% 1.7% 1.3% 1.1% 1.8% 20,442 Total No. 132,084 125,856 121,414 106,671 113,167 121,129 126,033 119,819 119,932 106,167 95,334 79,131 62,910 54,038 50,463 107,633 1,641,781 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 65,510 65,842 69,749 63,581 63,169 67,935 80,489 80,334 86,008 77,155 69,453 59,850 46,823 40,708 38,462 64,129 1,039,197 6.3% 6.3% 6.7% 6.1% 6.1% 6.5% 7.7% 7.7% 8.3% 7.4% 6.7% 5.8% 4.5% 3.9% 3.7% 6.2% 57,637 50,720 43,242 38,181 50,852 52,501 44,182 35,068 26,573 19,028 13,883 9,179 6,094 4,326 3,115 3,727 458,308 12.6% 11.1% 9.4% 8.3% 11.1% 11.5% 9.6% 7.7% 5.8% 4.2% 3.0% 2.0% 1.3% 0.9% 0.7% 0.8% 5,100 5,476 6,013 5,293 4,653 5,048 5,389 5,214 5,293 4,109 3,176 2,160 1,533 1,246 804 1,008 61,515 8.3% 8.9% 9.8% 8.6% 7.6% 8.2% 8.8% 8.5% 8.6% 6.7% 5.2% 3.5% 2.5% 2.0% 1.3% 1.6% 2,973 2,535 2,613 2,318 2,485 2,597 2,347 2,033 1,756 1,149 985 687 447 300 215 308 25,748 11.5% 9.8% 10.1% 9.0% 9.7% 10.1% 9.1% 7.9% 6.8% 4.5% 3.8% 2.7% 1.7% 1.2% 0.8% 1.2% 821 1,098 1,001 857 823 821 698 700 539 397 234 182 111 91 53 31 9.7% 13.0% 11.8% 10.1% 9.7% 9.7% 8.3% 8.3% 6.4% 4.7% 2.8% 2.2% 1.3% 1.1% 0.6% 0.4% 8,457 2,829 2,745 2,634 2,286 3,004 4,430 4,642 3,644 3,144 2,473 1,810 1,364 1,095 890 584 686 38,260 7.4% 7.2% 6.9% 6.0% 7.9% 11.6% 12.1% 9.5% 8.2% 6.5% 4.7% 3.6% 2.9% 2.3% 1.5% 1.8% 3,723 3,194 2,597 1,866 1,543 1,362 1,177 995 930 759 580 417 339 249 197 247 18.5% 15.8% 12.9% 9.2% 7.6% 6.8% 5.8% 4.9% 4.6% 3.8% 2.9% 2.1% 1.7% 1.2% 1.0% 1.2% 20,175 Source: United States Census, Population Estimates Division. Data on this page were used for calculating all rates (denominators) in this report for 2002. Maricopa County Health Status Report 2001-2005 Page 9 138,593 131,610 127,849 114,382 126,529 134,694 138,924 127,988 124,243 105,070 90,121 73,839 56,442 47,810 43,430 70,136 1,651,660 Maricopa County Population Statistics Table 1.09 Population Estimates by Age, Gender, and Race/Ethnicity, 2001 Race/Ethnicity by Gender Age by Gender Age 0-4 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ Total Males No. % 133,252 127,961 122,738 112,736 123,769 264,863 247,385 189,224 120,483 88,955 55,201 14,146 8.3% 8.0% 7.7% 7.0% 7.7% 16.5% 15.5% 11.8% 7.5% 5.6% 3.4% 0.9% 1,600,713 Females No. % 126,956 122,319 116,324 104,628 110,711 239,760 237,119 196,502 131,855 102,836 77,179 28,991 8.0% 7.7% 7.3% 6.6% 6.9% 15.0% 14.9% 12.3% 8.3% 6.4% 4.8% 1.8% 1,595,180 Race/Ethnicity Total No. 260,208 250,280 239,062 217,364 234,480 504,623 484,504 385,726 252,338 191,791 132,380 43,137 % 8.1% 7.8% 7.5% 6.8% 7.3% 15.8% 15.2% 12.1% 7.9% 6.0% 4.1% 1.3% Males No. % White Hispanic African American Amer. Ind., Non-Hisp. Amer. Ind., Hisp. Asian Other/2+ Races 1,023,699 429,299 59,108 25,003 8,292 36,100 19,212 Total 1,600,713 56.0% 23.5% 3.2% 1.4% 0.5% 2.0% 1.1% Females No. % 1,059,549 385,699 56,304 27,138 7,785 39,260 19,445 58.7% 21.4% 3.1% 1.5% 0.4% 2.2% 1.1% 1,595,180 3,195,893 Age by Race/Ethnicity Age White No. 0-4 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ Total 125,227 127,927 133,156 122,775 123,410 288,786 331,158 295,404 207,256 166,969 121,280 39,900 2,083,248 Hispanic % 6.0% 6.1% 6.4% 5.9% 5.9% 13.9% 15.9% 14.2% 9.9% 8.0% 5.8% 1.9% No. 105,268 93,455 78,212 70,671 86,751 162,114 106,780 59,119 28,579 15,327 6,816 1,906 814,998 African American % 12.9% 11.5% 9.6% 8.7% 10.6% 19.9% 13.1% 7.3% 3.5% 1.9% 0.8% 0.2% No. 9,899 10,769 11,101 9,623 8,750 18,929 19,416 13,271 6,877 4,126 1,987 664 115,412 % 8.6% 9.3% 9.6% 8.3% 7.6% 16.4% 16.8% 11.5% 6.0% 3.6% 1.7% 0.6% American Indian Non-Hispanic Hispanic No. % No. % 5,421 4,988 5,090 4,536 5,496 9,959 7,736 4,724 2,379 1,098 537 177 52,141 10.4% 9.6% 9.8% 8.7% 10.5% 19.1% 14.8% 9.1% 4.6% 2.1% 1.0% 0.3% 1,899 2,083 1,996 1,717 1,503 2,677 2,157 1,110 551 282 87 15 11.8% 13.0% 12.4% 10.7% 9.3% 16.7% 13.4% 6.9% 3.4% 1.8% 0.5% 0.1% 16,077 Asian No. 5,447 5,107 4,797 4,440 5,587 17,227 13,438 9,458 5,207 3,107 1,218 327 75,360 Other/2+ Races % 7.2% 6.8% 6.4% 5.9% 7.4% 22.9% 17.8% 12.6% 6.9% 4.1% 1.6% 0.4% No. 7,047 5,951 4,710 3,602 2,983 4,931 3,819 2,640 1,489 882 455 148 % 18.2% 15.4% 12.2% 9.3% 7.7% 12.8% 9.9% 6.8% 3.9% 2.3% 1.2% 0.4% 38,657 Source: United States Census, Population Estimates Division. Data on this page were used for calculating all rates (denominators) in this report for 2001. Maricopa County Health Status Report 2001-2005 Page 10 Total No. 260,208 250,280 239,062 217,364 234,480 504,623 484,504 385,726 252,338 191,791 132,380 43,137 3,195,893 Maricopa County Population Statistics Table 1.10 Population by Race/Ethnicity, Age, and Gender, 2001 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. 60,929 62,346 64,552 59,834 60,994 65,613 74,773 80,322 83,928 76,539 74,747 59,104 49,272 44,571 44,552 97,473 5.8% 5.9% 6.1% 5.6% 5.8% 6.2% 7.1% 7.6% 7.9% 7.2% 7.1% 5.6% 4.7% 4.2% 4.2% 9.2% 51,425 45,654 38,266 32,990 37,787 39,466 33,420 27,813 21,775 16,402 12,422 8,510 6,097 4,762 3,659 5,251 1,059,549 African American % 13.3% 11.8% 9.9% 8.6% 9.8% 10.2% 8.7% 7.2% 5.6% 4.3% 3.2% 2.2% 1.6% 1.2% 0.9% 1.4% 385,699 No. 4,821 5,326 5,349 4,643 4,179 4,374 4,536 4,724 4,472 3,611 2,826 1,923 1,586 1,259 987 1,688 % 8.6% 9.5% 9.5% 8.2% 7.4% 7.8% 8.1% 8.4% 7.9% 6.4% 5.0% 3.4% 2.8% 2.2% 1.8% 3.0% 56,304 American Indian Non-Hispanic Hispanic No. % No. % 2,668 2,488 2,517 2,281 2,889 2,709 2,464 2,198 1,894 1,467 1,155 753 594 386 239 436 9.8% 9.2% 9.3% 8.4% 10.6% 10.0% 9.1% 8.1% 7.0% 5.4% 4.3% 2.8% 2.2% 1.4% 0.9% 1.6% 27,138 971 1,019 1,029 866 698 599 619 530 459 298 219 159 111 99 50 59 12.5% 13.1% 13.2% 11.1% 9.0% 7.7% 8.0% 6.8% 5.9% 3.8% 2.8% 2.0% 1.4% 1.3% 0.6% 0.8% 7,785 Asian No. 2,738 2,528 2,330 2,173 2,647 4,292 4,374 3,768 3,291 2,948 2,506 1,687 1,269 1,016 792 901 Other/2+ Races % 7.0% 6.4% 5.9% 5.5% 6.7% 10.9% 11.1% 9.6% 8.4% 7.5% 6.4% 4.3% 3.2% 2.6% 2.0% 2.3% 39,260 No. 3,404 2,958 2,281 1,841 1,517 1,339 1,182 1,044 901 746 616 464 326 245 219 362 % 17.5% 15.2% 11.7% 9.5% 7.8% 6.9% 6.1% 5.4% 4.6% 3.8% 3.2% 2.4% 1.7% 1.3% 1.1% 1.9% 19,445 Total No. 126,956 122,319 116,324 104,628 110,711 118,392 121,368 120,399 116,720 102,011 94,491 72,600 59,255 52,338 50,498 106,170 1,595,180 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 64,298 65,581 68,604 62,941 62,416 68,902 79,498 82,285 84,623 74,414 69,704 54,582 44,298 40,119 37,727 63,707 1,023,699 6.3% 6.4% 6.7% 6.1% 6.1% 6.7% 7.8% 8.0% 8.3% 7.3% 6.8% 5.3% 4.3% 3.9% 3.7% 6.2% 53,843 47,801 39,946 37,681 48,964 48,590 40,638 32,698 24,494 17,351 12,944 8,342 5,630 3,965 2,941 3,471 429,299 12.5% 11.1% 9.3% 8.8% 11.4% 11.3% 9.5% 7.6% 5.7% 4.0% 3.0% 1.9% 1.3% 0.9% 0.7% 0.8% 5,078 5,443 5,752 4,980 4,571 4,857 5,162 5,183 5,037 3,812 3,022 1,905 1,463 1,141 739 963 59,108 8.6% 9.2% 9.7% 8.4% 7.7% 8.2% 8.7% 8.8% 8.5% 6.4% 5.1% 3.2% 2.5% 1.9% 1.3% 1.6% 2,753 2,500 2,573 2,255 2,607 2,511 2,275 2,008 1,636 1,114 988 591 441 275 198 278 25,003 11.0% 10.0% 10.3% 9.0% 10.4% 10.0% 9.1% 8.0% 6.5% 4.5% 4.0% 2.4% 1.8% 1.1% 0.8% 1.1% 928 1,064 967 851 805 770 689 675 493 360 233 173 108 92 41 43 11.2% 12.8% 11.7% 10.3% 9.7% 9.3% 8.3% 8.1% 5.9% 4.3% 2.8% 2.1% 1.3% 1.1% 0.5% 0.5% 8,292 2,709 2,579 2,467 2,267 2,940 4,366 4,195 3,482 2,897 2,286 1,718 1,227 1,024 781 518 644 36,100 7.5% 7.1% 6.8% 6.3% 8.1% 12.1% 11.6% 9.6% 8.0% 6.3% 4.8% 3.4% 2.8% 2.2% 1.4% 1.8% 3,643 2,993 2,429 1,761 1,466 1,304 1,106 988 886 712 566 376 323 238 180 241 19.0% 15.6% 12.6% 9.2% 7.6% 6.8% 5.8% 5.1% 4.6% 3.7% 2.9% 2.0% 1.7% 1.2% 0.9% 1.3% 19,212 Source: United States Census, Population Estimates Division. Data on this page were used for calculating all rates (denominators) in this report for 2001. Maricopa County Health Status Report 2001-2005 Page 11 133,252 127,961 122,738 112,736 123,769 131,300 133,563 127,319 120,066 100,049 89,175 67,196 53,287 46,611 42,344 69,347 1,600,713 Maricopa County Population Statistics Table 1.11 Maricopa County, Phoenix, and Arizona Population 1980-2005 Year City of Phoenix Maricopa County State of Arizona Source 1980 789,704 1,509,175 2,726,100 1980 U.S. Census 1983 NA 1,642,300 2,898,400 DES Estimate 1984 NA 1,726,398 3,032,400 DES Estimate 1985 NA 1,837,912 3,162,900 1985 Special Census 1986 NA 1,909,998 3,291,600 DES Estimate 1987 NA 1,976,600 3,459,900 DES Estimate 1988 940,662 2,032,000 3,538,400 DES Estimate 1989 968,258 2,089,900 3,617,300 DES Estimate 1990 983,403 2,122,101 3,680,800 1990 U.S. Census 1991 1,005,600 2,181,950 3,767,000 DES Estimate 1992 1,020,285 2,233,700 3,858,850 DES Estimate 1993 1,035,560 2,285,200 3,958,875 DES Estimate 1994 1,059,585 2,338,263 4,071,650 DES Estimate 1995 1,098,684 2,551,765 4,228,900 1995 Special Census 1996 1,149,717 2,634,625 4,462,300 DES Estimate 1997 1,205,285 2,720,576 4,600,275 DES Estimate 1998 1,238,120 2,803,320 4,764,025 DES Estimate 1999 1,263,895 2,879,492 4,924,350 DES Estimate 2000 1,321,045 3,072,149 5,130,632 2000 U.S. Census 2001 1,345,208 3,195,893 5,295,929 2002 1,367,798 3,293,441 5,438,159 2003 1,388,225 3,388,711 5,577,784 2004 1,417,119 3,498,587 5,739,879 2005 1,461,575 3,635,528 5,939,292 Maricopa County Health Status Report 2001-2005 U.S. Census Estimate U.S. Census Estimate U.S. Census Estimate U.S. Census Estimate U.S. Census Estimate Page 12 II. Maricopa County Five-Year Health Trends Maricopa County Health Status Report 2001-2005 Page 13 Maricopa County Five-Year Health Trends Table 2.01a Selected Underlying Causes of Death 2001-2005, Number of Deaths Cause Infectious Diseases Cancer Tuberculosis Syphilis HIV Stomach Colon Pancreas Lung Breast Uterine & Ovarian Prostate Urinary Lymphoma Heart Disease Other Cardiovascular GI & Urinary Other Diseases External Causes Unknown Total 2004 2005 8 1 99 98 500 289 1,303 11 1 110 94 502 278 1,417 5 0 119 87 570 267 1,448 7 0 108 113 500 298 1,371 6 0 93 110 514 319 1,352 415 213 278 232 394 226 300 232 364 225 283 244 379 257 276 275 356 247 293 276 202 233 216 195 220 201 1,188 220 1,236 201 1,303 207 1,283 All Cancer 4,975 5,066 5,160 5,168 5,177 569 721 691 936 611 1,103 604 1,113 597 1,246 Hypertensive Heart 243 307 297 318 345 Ischemic Heart Disease 4,548 4,752 4,801 4,655 4,849 Other Heart Disease 1,127 883 868 802 817 All Heart Disease 5,918 5,942 5,966 5,775 6,011 180 209 224 265 264 Cerebrovascular 1,380 1,385 1,313 1,350 1,270 Atherosclerosis Other Circulatory 90 218 122 234 116 193 128 220 171 200 1,868 1,950 1,846 1,963 1,905 581 708 628 582 715 1,386 1,389 1,357 1,318 1,506 Primary Hypertension Influenza & Pneumonia Chronic Lower Respiratory Peptic Ulcer 32 35 29 36 43 338 286 350 269 323 263 320 257 377 212 6 4 2 2 6 Perinatal Conditions Congenital Malformations 172 134 193 113 172 124 196 144 181 123 SIDS Symptoms, Signs 20 103 20 159 14 315 8 412 14 511 Other Diseases 3,212 3,152 3,175 3,218 3,574 Motor Vehicle Collisions All Other Accidents Suicide Homicide Other External Causes All External Causes 487 876 311 335 54 2,063 504 810 457 298 59 2,128 493 806 447 319 70 2,135 537 907 458 307 56 2,265 587 1,098 486 331 92 2,594 298 264 202 36 22,790 23,491 23,549 23,532 6 24,897 Liver Disease Nephritis Pregnancy & Early Life 2003 230 1,215 All Other Cardiovascular Other Respiratory Diseases 2002 Leukemia Other Cancer Diabetes and Alzheimer's Diabetes Alzheimer's Major Cardiovascular Diseases 2001 Pregnancy Maricopa County Health Status Report 2001-2005 Page 14 Maricopa County Five-Year Health Trends Table 2.01b Selected Underlying Causes of Death, 2001-2005 Crude Death Rate per 100,000 Residents Cause Infectious Diseases 2002 2003 2004 2005 0.3 0.0 0.3 0.0 0.1 0 0.2 0 0.2 0 HIV Stomach Colon Pancreas Lung 3.1 3.1 15.6 9.0 40.8 3.3 2.9 15.2 8.4 43.0 3.5 2.6 16.8 7.9 42.7 3.1 3.2 14.3 8.5 39.2 2.6 3.0 14.1 8.8 37.2 Breast Uterine & Ovarian1 Prostate1 Urinary 13.0 13.4 17.4 7.3 12.0 13.8 18.2 7.0 10.7 13.3 16.6 7.2 10.8 14.8 15.7 7.9 9.8 13.7 16.0 7.6 6.3 7.1 6.4 5.6 6.1 Leukemia Other Cancer All Cancer Diabetes and Alzheimer's Diabetes Alzheimer's Major Heart Hypertensive Heart CardioDisease Ischemic Heart Disease vascular Other Heart Disease Diseases All Heart Disease Other Primary Hypertension CardioCerebrovascular vascular Atherosclerosis Other Circulatory 7.2 38.0 155.7 17.8 22.6 7.6 6.1 36.1 153.8 21.0 28.4 9.3 6.5 36.5 152.3 18.0 32.5 8.8 5.7 37.2 147.7 17.3 31.8 9.1 5.7 35.3 142.4 16.4 34.3 9.5 142.3 35.3 185.2 5.6 144.3 26.8 180.4 6.3 141.7 25.6 176.1 6.6 133.1 22.9 165.1 7.6 133.4 22.5 165.3 7.3 43.2 2.8 6.8 42.1 3.7 7.1 38.7 3.4 5.7 38.6 3.7 6.3 34.9 4.7 5.5 All Other Cardiovascular Influenza & Pneumonia Chronic Lower Respiratory Peptic Ulcer 58.5 18.2 59.2 21.5 54.5 18.5 56.1 16.6 52.4 19.7 43.4 42.2 40.0 37.7 41.4 1.0 1.1 0.9 1.0 1.2 Liver Disease Nephritis 10.6 8.9 10.6 8.2 9.5 7.8 9.1 7.3 10.4 5.8 Cancer Tuberculosis Syphilis 2001 Lymphoma Other Respiratory Diseases GI & Urinary Pregnancy & Early Life Other Diseases External Causes Unknown Total 1 Pregnancy 0.2 0.1 0.1 0.1 0.2 Perinatal Conditions Congenital Malformations 5.4 4.2 5.9 3.4 5.1 3.7 5.6 4.1 5.0 3.4 SIDS Symptoms, Signs 0.6 3.2 0.6 4.8 0.4 9.3 0.2 11.8 0.4 14.1 100.5 15.2 27.4 9.7 10.5 1.7 64.6 9.3 713.1 95.7 15.3 24.6 13.9 9.0 1.8 64.6 8.0 713.3 93.7 14.5 23.8 13.2 9.4 2.1 63.0 6.0 694.9 92.0 15.3 25.9 13.1 8.8 1.6 64.7 1.0 672.6 98.3 16.1 30.2 13.4 9.1 2.5 71.4 0.2 684.8 Other Diseases Motor Vehicle Collisions All Other Accidents Suicide Homicide Other External Causes All External Causes Uterine & ovarian cancer rates are per 100,000 females; prostate cancer rates are per 100,000 males. Maricopa County Health Status Report 2001-2005 Page 15 Maricopa County Five-Year Health Trends Table 2.02a Other Selected Underlying Causes of Death 2001-2005, Number of Deaths Cause Infectious Diseases 2001 Salmonella & Other Intestinal Infections 2005 11 31 45 44 210 235 219 258 Viral Hepatitis 57 59 85 79 83 Coccidioidomycosis 16 24 16 20 19 Other Mycoses 13 12 18 15 18 134 123 128 141 162 69 57 55 67 72 Lip Skin (Melanoma) Ovarian Testicular 68 78 90 90 94 133 143 151 167 149 2 5 3 5 5 Anemias 34 31 27 28 26 Nutritional Deficiencies 32 20 18 13 14 Obesity 23 29 34 39 46 Mental & Behavioral Disorders Due to the Use of Alcohol 84 86 111 104 115 220 230 239 222 290 Multiple Sclerosis 25 33 25 35 37 Epilepsy 13 22 15 19 14 1,409 1,382 1,286 1,130 1,168 174 127 148 135 149 333 253 262 232 215 36 43 38 28 38 Parkinson’s Disease Cardiovascular 2004 11 Brain Other Diseases 2003 172 Septicemia Cancer 2002 Acute Myocardial Infarction (Heart Attack) Congestive Heart Failure Chronic Lower Respiratory Emphysema Liver Disease Alcoholic Liver Disease 123 168 161 181 223 Musculoskeletal Rheumatoid Arthritis 29 32 23 17 25 Lupus 13 16 11 12 20 13 11 11 10 7 54 67 57 61 46 Congenital Malformations of the Circulatory System 49 37 42 37 38 Chromosomal Abnormalities 20 12 25 29 21 266 282 289 323 434 Asthma Osteoporosis Perinatal Conditions & Disorders Related to Short Gestation & Congenital Malformations Low Birth Weight External Causes Falls 1 Drowning Unintentional Poisoning Exposure to Excessive Natural Heat1 Legal Intervention 1 Accidental Discharge of Firearms Discharge of Firearms, Undetermined Intent Complications of Medical & Surgical Care 1 59 41 55 66 55 255 258 235 299 327 10 15 18 20 46 9 10 9 12 4 64 11 11 5 6 7 8 12 5 15 29 31 31 23 22 Refer to the Technical Notes for an explanation of the sharp changes in these causes of death over time. Maricopa County Health Status Report 2001-2005 Page 16 Maricopa County Five-Year Health Trends Table 2.02b Other Selected Underlying Causes of Death 2001-2005, Crude Death Rate per 100,000 Residents Cause Infectious Diseases Cancer Other Diseases 2001 2002 2003 2004 2005 Salmonella & Other Intestinal Infections 0.3 0.3 0.9 1.3 1.2 Septicemia 5.4 6.4 6.9 6.3 7.1 Viral Hepatitis 1.8 1.8 2.5 2.3 2.3 Coccidioidomycosis 0.5 0.7 0.5 0.6 0.5 Other Mycoses 0.4 0.4 0.5 0.4 0.5 Brain 4.2 3.7 3.8 4.0 4.5 Lip 2.2 1.7 1.6 1.9 2.0 Skin (Melanoma) 2.1 2.4 2.7 2.6 2.6 Ovarian1 8.3 8.7 8.9 9.6 8.2 Testicular1 0.1 0.3 0.2 0.3 0.3 Anemias 1.1 0.9 0.8 0.8 0.7 Nutritional Deficiencies 1.0 0.6 0.5 0.4 0.4 Obesity 0.7 0.9 1.0 1.1 1.3 Mental & Behavioral Disorders Due to the Use of Alcohol 2.6 2.6 3.3 3.0 3.2 Parkinson’s Disease 6.9 7.0 7.1 6.3 8.0 Multiple Sclerosis 0.8 1.0 0.7 1.0 1.0 Epilepsy 0.4 0.7 0.4 0.5 0.4 Acute Myocardial Infarction (Heart Attack) Congestive Heart Failure 44.1 42.0 37.9 32.3 32.1 5.4 3.9 4.4 3.9 4.1 Chronic Lower Respiratory Emphysema 10.4 7.7 7.7 6.6 5.9 Asthma 1.1 1.3 1.1 0.8 1.0 Liver Disease Alcoholic Liver Disease 3.8 5.1 4.8 5.2 6.1 Musculoskeletal Rheumatoid Arthritis 0.9 1.0 0.7 0.5 0.7 Lupus 0.4 0.5 0.3 0.3 0.6 0.4 0.3 0.3 0.3 0.2 1.7 2.0 1.7 1.7 1.3 1.5 1.1 1.2 1.1 1.0 Cardiovascular Osteoporosis Perinatal Conditions & Disorders Related to Short Gestation & Congenital Malformations Low Birth Weight Congenital Malformations of the Circulatory System External Causes Chromosomal Abnormalities 0.6 0.4 0.7 0.8 0.6 Falls2 8.3 8.6 8.5 9.2 11.9 Drowning 1.8 1.2 1.6 1.9 1.5 Unintentional Poisoning 8.0 7.8 6.9 8.5 9.0 0.3 0.5 0.5 0.6 1.3 Exposure to Excessive Natural Heat 2 Legal Intervention 0.3 0.3 0.3 0.3 0.1 Accidental Discharge of Firearms2 2.0 0.3 0.3 0.1 0.2 0.2 0.2 0.4 0.1 0.4 0.9 0.9 0.9 0.7 0.6 Discharge of Firearms, Undetermined Intent Complications of Medical & Surgical Care 1 2 Ovarian cancer rates are per 100,000 females; testicular cancer rates are per 100,000 males. Refer to the Technical Notes for an explanation of the sharp changes in these rates over time. Maricopa County Health Status Report 2001-2005 Page 17 Maricopa County Five-Year Health Trends Table 2.03a Firearm, Drug, and Alcohol Induced and Related Deaths 2001-2005 Number of Deaths Year Cause 2001 2002 2003 2004 2005 Firearm Induced 524 558 513 506 546 Drug Induced, Including Tobacco 332 354 357 406 470 Drug Related, Excluding Tobacco - - - 443 539 Drug Related, Including Tobacco - - - 601 739 Alcohol Induced 212 263 285 289 353 Alcohol Related - - - 469 530 Table 2.03b Firearm, Drug, and Alcohol Induced and Related Deaths 2001-2005 Crude Death Rate per 100,000 Residents Year Cause 2001 2002 2003 2004 2005 Firearm Induced 16.4 16.9 15.1 14.5 15.0 Drug Induced, Including Tobacco 10.4 10.7 10.5 11.6 12.9 Drug Related, Excluding Tobacco - - - 12.7 14.8 Drug Related, Including Tobacco - - - 17.2 20.3 Alcohol Induced 6.6 8.0 8.4 8.3 9.7 Alcohol Related - - - 13.4 14.6 Note: Firearm, drug, and alcohol induced and related deaths are also included in other categories, e.g. suicide, homicide or unintentional injuries. Refer to the Technical Notes for a complete explanation of induced versus related deaths involving firearms, drugs, or alcohol. Maricopa County Health Status Report 2001-2005 Page 18 Maricopa County Five-Year Health Trends Table 2.04a Number of Confirmed Cases to Residents of Selected Reportable Diseases, 2001-2005 Disease Vaccine Preventable 2001 44 0 1 60 1 0 Pertussis Enceph Viral Other 145 10 58 12 75 21 109 31 248 23 Meningitis Viral/Aseptic 193 232 1,140 562 722 15 21 26 9 20 16 2 318 17 2 367 28 0 464 10 1 427 11 0 501 0 7 0 15 1 5 0 7 0 9 E. Coli O157.H7 Giardiasis Listeriosis Salmonella Paratyphi 20 208 8 1 25 162 10 6 28 168 8 6 20 105 6 5 30 120 8 0 Salmonellosis Shigellosis 374 252 395 354 380 338 356 229 379 249 Cholera Cryptosporidiosis Typhoid Mycosis Coccidioidomycosis Zoonoses/ Vectorborne Brucellosis Dengue 4 1 5 0 1 0 0 0 2 0 3 0 0 1 1 10 7 14 197 15 182 10 6 151 13 355 120 15 79 68 Hepatitis B 114 148 183 180 239 Hepatitis C 1,421 1,492 1,906 1,725 1,366 Legionellosis 2 0 0 0 0 2 11 8 12 13 15 - - - 218 1,109 Strep Group A 135 191 149 152 168 Strep Group B 44 19 29 34 31 Strep Pneumo Invasive 473 495 423 437 474 Toxic Shock Syndrome 0 0 5 2 1 5 7 8 5 13 VRE 610 733 622 991 1,362 Yersiniosis Hansen's Disease 2 2 163 815 6 0 172 777 7 1 195 584 5 3 186 817 1 1 169 799 2,824 2,974 2,674 2,967 2,915 150 155 141 112 123 Genital Herpes Gonorrhea 3 3 Syphilis – Primary and Secondary Chlamydia HIV AIDS 3 4 2,461 3 Syphilis – All Others 2 2 2,702 0 Vibrio spp. 1 1 2,019 2 MRSA All Others Total 0 2,337 Lyme Disease Hepatitis D Tuberculosis Sexually Transmitted Diseases 1 1,714 Hantavirus Pulm. Syndrome Malaria 1 West Nile Virus Hepatitis A Other 2005 44 1 1 Amebiasis Botulism Campylobacteriosis Hepatitides 2004 56 0 0 Meningococcal Meningitis Enterics 2003 40 1 2 H. influenzae Measles Mumps Central Nervous System 2002 3 858 708 540 540 421 8,964 9,663 7,755 10,677 11,330 335 348 326 319 358 298 327 319 335 306 9 8 1 17 22 20,778 22,509 20,803 24,862 26,247 In 2003, two WNV cases were Maricopa County residents who acquired WNV locally but tests were not confirmed until 2004. The remaining four cases in 2003 were Maricopa County residents who acquired WNV outside of the county. WNV was not reported to health departments until 2003. Methicillin-resistant Staphylococcus Aureus (MRSA) was not reported to health departments until October 2004. Therefore, the number of cases of MRSA prior to this time is unknown. 2003 data for genital herpes, chlamydia, and gonorrhea are disproportionately lower than other years due to a backlog in data entry during 2003. Maricopa County Health Status Report 2001-2005 Page 19 Maricopa County Five-Year Health Trends Table 2.04b Case Rates per 100,000 Residents for Selected Reportable Diseases, 2001-2005 Disease Vaccine Preventable Central Nervous System 2001 1.3 0 0.0 1.7 0.0 0 Pertussis Enceph Viral Other 4.5 0.3 1.8 0.4 2.2 0.6 3.1 0.9 6.8 0.6 Meningitis Viral/Aseptic 6.0 7.0 33.6 16.1 19.9 Meningococcal Meningitis 0.5 0.6 0.8 0.3 0.6 0.5 0.1 10.0 0.5 0.1 11.1 0.8 0 13.7 0.3 0.0 12.2 0.3 0 13.8 Cholera Cryptosporidiosis 0 0.2 0 0.5 0.0 0.1 0 0.2 0 0.2 E. Coli O157.H7 Giardiasis Listeriosis Salmonella Paratyphi 0.6 6.5 0.3 0.0 0.8 4.9 0.3 0.2 0.8 5.0 0.2 0.2 0.6 3.0 0.2 0.1 0.8 3.3 0.2 0 11.7 7.9 12.0 10.7 11.2 10.0 10.2 6.5 10.4 6.8 Typhoid Coccidioidomycosis Zoonoses/ Vectorborne Brucellosis Dengue Hantavirus Pulm. Syndrome 0.1 0.0 0.2 0 0.0 0 0 0 0.1 0 0 0 0.0 0.0 0.3 0.2 Malaria 1 West Nile Virus Hepatitis A 0.4 6.2 0.5 5.5 0.3 0.2 4.5 0.4 10.1 3.4 0.4 2.2 1.9 Hepatitis B 3.6 4.5 5.4 5.1 6.6 Hepatitis C 44.5 45.3 56.2 49.3 37.6 0.1 0 0 0 0 Legionellosis 0.3 0.2 0.4 0.4 0.4 2 4.2 5.8 4.4 6.2 4.3 30.5 4.6 3 Vibrio spp. VRE Yersiniosis Hansen's Disease 4 Genital Herpes 4 Gonorrhea Syphilis – Primary and Secondary Syphilis – All Others Chlamydia HIV AIDS 4 0.1 67.7 0.1 Toxic Shock Syndrome 3 0.1 77.2 0.1 Strep Pneumo Invasive 2 0.0 59.6 0 Strep Group B 1 0 71.0 0.1 MRSA Strep Group A All Others Total 0.0 53.6 Lyme Disease Hepatitis D Tuberculosis Sexually Transmitted Diseases 2005 1.3 0.0 0.0 Mycosis Other 2004 1.7 0 0 Salmonellosis Shigellosis Hepatitides 2003 1.3 0.0 0.1 Amebiasis Botulism Campylobacteriosis Enterics 2002 H. influenzae Measles Mumps 4 0.8 0.3 0.5 0.6 0.5 14.8 15.0 12.5 12.5 13.0 0 0 0.1 0.1 0.0 0.2 0.2 0.2 0.1 0.4 19.1 0.1 0.1 5.1 25.5 88.4 22.3 0.2 0 5.2 23.6 90.3 18.4 0.2 0.0 5.8 17.2 78.9 28.3 0.1 0.1 5.3 23.4 84.8 37.5 0.0 0.0 4.6 22.0 80.2 4.7 4.7 4.2 3.2 3.4 26.8 21.5 15.9 15.4 11.6 280.5 293.4 228.8 305.2 311.6 10.5 9.3 0.3 650.1 10.6 9.9 0.2 683.4 9.6 9.4 0.0 613.9 9.1 9.6 0.5 710.6 9.8 8.4 0.6 722.0 In 2003, two WNV cases were Maricopa County residents who acquired WNV locally but tests were not confirmed until 2004. The remaining four cases in 2003 were Maricopa County residents who acquired WNV outside of the county. WNV was not reported to health departments until 2003. Methicillin-resistant Staphylococcus Aureus (MRSA) was not reported to health departments until October 2004. Therefore, the number of cases of MRSA prior to this time is unknown. Rates for Streptococcus Group B Invasive disease in infants <90 days are per 1,000 live births. 2003 data for genital herpes, chlamydia, and gonorrhea are disproportionately lower than other years due to a backlog in data entry during 2003. Maricopa County Health Status Report 2001-2005 Page 20 Maricopa County Five-Year Health Trends Table 2.05a Congenital Syphilis by Race/Ethnicity and Year Number of Cases, 2001-2005 Year Race/Ethnicity White Hispanic (Including Amer. Ind.) African American American Indian, Non-Hispanic Asian Other/Unknown Total 2001 2002 2003 2004 2005 3 21 3 1 0 0 28 2 12 3 3 0 0 20 2 19 3 1 0 0 25 1 11 0 0 0 0 12 1 16 3 2 0 0 22 Table 2.05b Congenital Syphilis by Race/Ethnicity and Year Case Rates per 100,000 Live Births, 2001-2005 Year Race/Ethnicity White Hispanic (Including Amer. Ind.) African American American Indian, Non-Hispanic Asian Other/Unknown Total 2001 11.4 2002 7.6 2003 7.6 2004 3.7 87.5 148.6 66.2 0 50.3 48.0 151.7 191.6 0 35.3 71.0 137.6 62.0 0 42.4 40.1 0 0 0 19.8 Table 2.06 Hansen’s Disease Prevalence Total number of cases reported in Maricopa County as of December 31, 2005 Gender Male Female Total 35 30 65 Age at Diagnosis 0-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65 and Older Unknown Total 1 1 6 6 17 10 3 8 1 12 65 This table includes all known cases of Hansen’s Disease diagnosed in Maricopa County, including some non-Maricopa County residents. It includes suspect and confirmed cases diagnosed between 1955 and 2005. Maricopa County Health Status Report 2001-2005 Page 21 2005 3.7 55.8 116.4 114.4 0 35.4 Maricopa County Five-Year Health Trends Table 2.07a Selected Maternal & Child Health Indicators, 2001-2005 Indicator 2001 2002 2003 2004 2005 Countywide Indicators Number of Live Births 55,623 56,611 59,000 60,535 62,223 Male Infants of Total Live Births 28,265 29,059 30,119 30,971 31,771 Percentage of Live Births to Mothers With Selected Risk Factors Mothers With <12 Years Education 17,233 17,139 18,420 18,662 18,816 Births to Women 10-19 Years Old 7,222 6,832 6,968 7,082 7,212 Births to Women 15-17 Years Old 2,522 2,351 2,484 2,540 2,582 Births to Women Over 35 Years Old 6,375 6,544 6,753 7,339 7,478 Births to Never Married Women 21,000 21,720 23,191 24,204 25,574 Tobacco Use During Pregnancy 3,409 3,263 3,226 3,145 2,833 416 400 475 411 397 Alcohol Use During Pregnancy Mother with Pre-Existing Cardiac Disease Mother with Pre-Existing Diabetes Percentage of Live Births With Selected Risk Factors Associated with Pregnancy Mothers with No Medical Risk Factors for Pregnancy Induced Labor Delivery via C-Section 43,753 45,689 47,616 10,726 12,060 7,856 8,260 9,030 Repeat Cesarean Section 4,127 4,933 5,404 6,153 6,826 5,630 5,877 6,339 6,816 6,804 55,197 56,186 58,523 60,098 61,837 24,426 26,569 28,719 30,044 32,242 187 263 281 219 212 29,171 28,091 28,202 28,264 27,904 1,270 1,188 1,153 1,421 1,602 864 1,000 1,619 1,460 1,193 1st Trimester 43,429 44,784 46,429 48,202 50,090 2nd Trimester 8,642 8,566 8,457 8,605 9,107 1,897 1,905 2,157 2,129 1,797 864 1,000 1,619 1,460 1,193 1,899 1,885 1,883 2,198 2,147 AHCCCS IHS None 0 1-4 5-8 6,498 7,239 7,687 8,791 9,859 9-12 23,719 25,250 26,899 30,114 33,038 13+ 20,772 20,204 19,260 17,426 15,932 Singletons 53,990 54,962 57,281 58,691 60,450 1,514 1,524 1,589 1,713 1,684 39,657 40,885 40,663 41,925 42,992 3,173 3,233 2,974 3,312 3,525 249 216 262 289 346 602 673 673 735 735 3,849 3,800 4,113 4,275 4,253 1,927 14 1,953 7 1,910 17 1,878 11 1,866 7 3 0 0 0 1 Twins Singleton Births Receiving Early & Adequate Prenatal Care1 Neonatal Intensive Care Percentage of Live Births Infants Transferred to Another Facility2 with Selected Very Low (<1500g) Risk Factors Birthweight Associated Low (<2500g) with the High (>4250g) Neonate Infants With a Neural Tube Defect3 Infants With Fetal Alcohol Syndrome3 3 42,285 10,122 3 Trimester 1 41,703 9,424 rd 2 99 1,713 7,372 Self Plurality 53 1,303 7,158 Private Insurance Number of Prenatal Care Visits 73 1,180 8,752 Hospital Births Prenatal Care 103 1,343 Primary Cesarean Section Preterm Births (Less than 37 Weeks) Method of Payment 151 1,256 See the technical notes for an explanation of early and adequate prenatal care. Infants transferred from Banner Good Samaritan Hospital to Phoenix Children’s Hospital have not been counted as transfers since the two hospitals share facilities, with Phoenix Children’s Hospital providing Neonatal Intensive Care services to infants born at Banner Good Samaritan. Due to the collection method for this data, information is underestimated. Maricopa County Health Status Report 2001-2005 Page 22 Maricopa County Five-Year Health Trends Table 2.07b Selected Maternal & Child Health Indicator Percentages, 2001-2005 Indicator Countywide Indicators 2001 2002 2003 2004 2005 55,623 50.8% 56,611 51.3% 59,000 51.0% 60,535 51.2% 62,223 51.1% 80.4 80.1 81.9 82.0 81.4 31.0% 13.0% 4.5% 11.5% 37.8% 30.3% 12.1% 4.2% 11.6% 38.4% 31.2% 11.8% 4.2% 11.4% 39.3% 30.8% 11.7% 4.2% 12.1% 40.0% 30.2% 11.6% 4.1% 12.0% 41.1% 6.1% 5.8% 5.5% 5.2% 4.6% % Alcohol Use During Pregnancy 0.7% 0.7% 0.8% 0.7% 0.6% % Mother with Pre-Existing Cardiac Disease 0.3% 0.2% 0.1% 0.1% 0.2% % Mother with Pre-Existing Diabetes 2.3% 2.4% 2.0% 2.2% 2.8% 75.0% 74.7% 74.2% 75.5% 76.5% 15.7% 16.6% 17.2% 17.7% 19.4% Primary Cesarean Section 12.9% 13.0% 13.3% 13.6% 14.5% Repeat Cesarean Section 7.4% 8.7% 9.2% 10.2% 11.0% % Preterm Births (Less than 37 Weeks) 10.1% 10.4% 10.7% 11.3% 10.9% % Hospital Births 99.2% 99.2% 99.2% 99.3% 99.4% 43.9% 46.9% 48.7% 49.6% 51.8% Number of Live Births % Male Infants of Total Live Births Fertility Rate per 1,000 Women Age 15-441 Percentage of Live Births to Mothers With Selected Risk Factors Percentage of Live Births With Selected Risk Factors Associated with Pregnancy % Mothers With <12 Years Education % Births to Women 10-19 Years Old % Births to Women 15-17 Years Old % Births to Women Over 35 Years Old % Births to Never Married Women % Tobacco Use During Pregnancy % Mothers with No Medical Risk Factors for Pregnancy % Induced Labor Delivery via C-Section Method of Payment AHCCCS IHS 0.3% 0.5% 0.5% 0.4% 0.3% 52.4% 49.6% 47.8% 46.7% 44.8% Self 2.3% 2.1% 2.0% 2.3% 2.6% None 1.6% 1.8% 2.7% 2.4% 1.9% Private Insurance Prenatal Care st Number of Prenatal Care Visits Plurality 1 Trimester 78.1% 79.1% 78.7% 79.6% 80.5% 2nd Trimester 15.5% 15.1% 14.3% 14.2% 14.6% 3rd Trimester 3.4% 3.4% 3.7% 3.5% 2.9% 0 1.6% 1.8% 2.7% 2.4% 1.9% 1-4 3.4% 3.3% 3.2% 3.6% 3.5% 5-8 11.7% 12.8% 13.0% 14.5% 15.8% 9-12 42.6% 44.6% 45.6% 49.7% 53.1% 13+ 37.3% 35.7% 32.6% 28.8% 25.6% Singletons 97.1% 97.1% 97.1% 97.0% 97.2% 2.7% 2.7% 2.7% 2.8% 2.7% 73.5% 74.4% 71.0% 71.4% 71.1% 5.7% 5.7% 5.0% 5.5% 5.7% 0.4% 0.4% 0.4% 0.5% 0.6% 1.1% 1.2% 1.1% 1.2% 1.2% 6.9% 6.7% 7.0% 7.1% 6.8% 3.5% 0.0% 3.4% 0.0% 3.2% 0.0% 3.1% 0.0% 3.0% 0.0% 0.0% 0% 0% 0% 0.0% Twins % Singleton Births Receiving Early & Adequate Prenatal Care2 Neonatal Intensive Care Percentage of Live Births % Infants Transferred to Another Facility3 with Selected Very Low (<1500g) Risk Factors Birthweight Associated Low (<2500g) with the High (>4250g) Neonate % Infants With a Neural Tube Defect4 % Infants With Fetal Alcohol Syndrome4 1 2 3 4 The annual number of women age 15 to 44 years old was used to compute this rate. See the technical notes for an explanation of early and adequate prenatal care. Infants transferred from Banner Good Samaritan Hospital to Phoenix Children’s Hospital have not been counted as transfers since the two hospitals share facilities, with Phoenix Children’s Hospital providing Neonatal Intensive Care services to infants born at Banner Good Samaritan. Due to the collection method for this data, information is underestimated. Maricopa County Health Status Report 2001-2005 Page 23 Maricopa County Five-Year Health Trends Table 2.08a Infant Mortality by Race/Ethnicity of Mother, 2001-2005 (Linked) Race/Ethnicity of Mother Year 2001 164 130 34 20 0 7 4 359 White Hispanic African American Amer Ind., Non-Hisp. Amer Ind., Hispanic Asian Other/Unknown Total 2002 168 148 20 10 0 9 0 355 2003 138 171 26 18 1 12 1 367 2004 151 185 21 11 1 13 4 386 Total 776 806 122 70 2 54 10 1840 2005 155 172 21 11 0 13 1 373 Table 2.08b Infant Mortality Rates by Race/Ethnicity of Mother, 2001-2005 (Linked) Infant Mortality per 1,000 Live Births Race/Ethnicity of Mother Year 2001 6.2 5.4 16.8 13.2 0 4.6 6.5 White Hispanic African American Amer Ind., Non-Hisp. Amer Ind., Hispanic Asian Other/Unknown Total 2002 6.4 6.0 10.1 6.4 0 5.4 6.3 2003 5.2 6.4 11.9 11.2 9.9 6.5 6.2 2004 5.6 6.8 8.7 6.4 11.6 6.6 6.4 2005 5.7 6.0 8.1 6.3 0 6.4 6.0 Table 2.09a Infant Mortality by Age of Mother, 2001-2005 (Linked) Year Age of Mother <20 20-29 30-39 40 and Older Total 2001 57 182 113 7 359 2002 65 172 109 9 355 2003 57 201 96 13 367 2004 67 205 102 12 386 2005 63 208 89 13 373 Total 309 968 509 54 1840 Table 2.09b Infant Mortality Rates by Age of Mother, 2001-2005 (Linked) Infant Mortality per 1,000 Live Births Year Age of Mother <20 20-29 30-39 40 and Older Total 2001 7.9 6.0 6.7 6.1 6.5 2002 9.5 5.6 6.2 8.0 6.3 2003 8.2 6.2 5.2 10.6 6.2 2004 9.5 6.3 5.2 9.0 6.4 2005 8.7 6.1 4.5 10.0 6.0 Note: See Technical Notes at the end of this report for an explanation of linked and unlinked data. Maricopa County Health Status Report 2001-2005 Page 24 Maricopa County Five-Year Health Trends Table 2.10a Infant Mortality by Educational Level of Mother, 2001-2005 (Linked) Educational Level of Mother Year 2001 4 114 111 2002 6 115 102 2003 13 109 118 2004 7 142 108 2005 9 125 113 Total 39 605 552 College or Higher 110 122 117 121 120 590 Unknown Total 20 359 10 355 10 367 8 386 6 373 54 1840 th Less Than 6 Grade 6th – 11th Grade High School Diploma Table 2.10b Infant Mortality Rates by Educational Level of Mother, 2001-2005 (Linked) Infant Mortality per 1,000 Live Births Educational Level of Mother Year 2001 2002 2003 2004 2005 Less Than 6 Grade 6th – 11th Grade 3.7 7.1 5.7 7.1 10.6 6.3 6.2 8.1 8.3 7.0 High School Diploma 7.7 6.7 7.7 6.9 6.8 College or Higher 4.9 5.3 4.8 4.8 4.6 15.6 6.5 8.3 6.3 9.6 6.2 9.0 6.4 10.4 6.0 th Unknown Total Table 2.11a Infant Mortality by Birthweight, 2001-2005 (Linked) Birthweight Year <1500 Grams 1500-2499 Grams 2500-4249 Grams >4249 Grams Unknown Total 2001 181 58 113 2002 196 38 117 2003 180 57 126 2004 212 70 103 2005 197 52 121 Total 966 275 580 3 3 2 0 2 10 4 359 1 355 2 367 1 386 1 373 9 1840 Table 2.11b Infant Mortality Rates by Birthweight, 2001-2005 (Linked) Infant Mortality per 1,000 Live Births Birthweight Year 2001 2002 2003 2004 2005 <1500 Grams 1500-2499 Grams 300.7 17.9 291.2 12.2 267.5 16.6 288.4 19.8 268.0 14.8 2500-4249 Grams 2.3 2.3 2.4 1.9 2.2 >4249 Grams 1.6 1.5 1.0 0 1.1 181.8 6.5 58.8 6.3 95.2 6.2 66.7 6.4 200.0 6.0 Unknown Total Note: See Technical Notes at the end of this report for an explanation of linked and unlinked data. Maricopa County Health Status Report 2001-2005 Page 25 Maricopa County Five-Year Health Trends Table 2.12 Infant Mortality and Rates by Age of Infant, 2001-2005 (Linked & Unlinked) Year Infant Mortality Linked Data Neonatal (≤ 28 Days) Postnatal (> 28 Days) Total 2001 253 106 359 2002 241 114 355 2003 251 116 367 2004 271 115 386 2005 249 124 373 Unlinked Data Neonatal (≤ 28 Days) Postnatal (> 28 Days) Total 259 112 371 244 117 361 274 122 396 253 129 382 Infant Mortality Rates per 1,000 Live Births 2001 2002 253 116 369 Year 2003 2004 2005 Linked Data Neonatal (≤ 28 Days) Postnatal (> 28 Days) Total 4.5 1.9 6.5 4.3 2.0 6.3 4.3 2.0 6.2 4.5 1.9 6.4 4.0 2.0 6.0 Unlinked Data Neonatal (≤ 28 Days) Postnatal (> 28 Days) Total 4.7 2.0 6.7 4.3 2.1 6.4 4.3 2.0 6.3 4.5 2.0 6.5 4.1 2.1 6.1 Table 2.13a Infant Mortality by Race/Ethnicity of Infant, 2001-2005 (Unlinked) Race/Ethnicity of Infant Year White Hispanic African American Amer Ind., Non-Hisp. Amer Ind., Hispanic Asian Other/Unknown Total 2001 145 161 34 18 3 7 3 371 2002 157 161 24 6 5 8 0 361 2003 129 185 29 12 7 7 0 369 2004 141 203 28 6 7 8 3 396 2005 142 182 27 10 7 13 1 382 Total 714 892 142 52 29 43 7 1,879 Table 2.13b Infant Mortality Rates by Race/Ethnicity of Infant, 2001-2005 (Unlinked) Infant Mortality per 1,000 Live Births Race/Ethnicity of Infant White Hispanic African American Amer Ind., Non-Hisp. Amer Ind., Hispanic Asian Other/Unknown Total Year 2001 5.5 6.7 16.8 11.9 26.8 4.6 6.7 2002 6.0 6.5 12.1 3.8 44.2 4.8 6.4 2003 4.9 6.9 13.3 7.4 69.3 3.8 6.3 2004 5.3 7.4 11.6 3.5 81.4 4.1 6.5 2005 5.2 6.4 10.5 5.7 67.3 6.4 6.1 Note: See Technical Notes at the end of this report for an explanation of linked and unlinked data. Maricopa County Health Status Report 2001-2005 Page 26 III. Technical Notes Population Statistics Population statistics are shown in Tables 1.01 through 1.11. This report used the most recent U.S. Census data and estimates for population figures at the time of analysis. • • • The population for Maricopa County population is from the U.S. Census Bureau, County Population Estimates by Age, Sex, Race and Hispanic Origin for July 1, 2005, released August 4, 2006. This is at http://www.census.gov/popest/counties/files/CO-EST2005ALLDATA.csv The population for Arizona is from http://www.census.gov/popest/national/files/NST_EST2005_ALLDATA.csv The population for Phoenix is from http://www.census.gov/popest/cities/files/SUB-EST2005almo.csv The population figures in this report may differ from figures in previous Maricopa County Department of Public Health (MCDPH) and other reports in two ways. First, some reports use Arizona Department of Economic Security (ADES) or MCDPH estimates for population data. Second, some reports may use the first published estimates by the 2000 U.S. Census. This report uses the most recent U.S. Census population figures and estimates for 2001-2005. For a complete explanation on how the most recent U.S. Census data differ from the first published U.S. Census data, see the following: “2000 Census of Population and Housing, Notes and Errata” at www.census.gov/prod/cen2000/notes/errata.pdf. This report defines “Hispanic” as: all respondents listing Hispanic, either alone or in combination with any race that do not identify themselves as American Indian or Alaska Native. This report separates the American Indian population by ethnicity (Hispanic, Non-Hispanic). The table below shows how the U.S. Census variables of “origin” and “race” are used for categorization in this report. Table 3.1 Race/Ethnicity Categories Used in This Report Category Used in This Report U.S. Census Code “Race” U.S. Census Code “Origin” White Race=1 (White Alone) Origin=1 (Non-Hispanic) African American Race=2 (Black Alone) Origin=1 (Non-Hispanic) American Indian, Non-Hispanic Race=3 (American Indian or Alaska Native Alone) Origin=1 (Non-Hispanic) American Indian, Hispanic Race=3 (American Indian or Alaska Native Alone) Origin=2 (Hispanic) Asian Race=4 (Asian Alone) or 5 (Native Hawaiian or Other Pacific Islander Alone) Origin=1 (Non-Hispanic) Other Race=6 (Two or More Races) Origin=1 (Non-Hispanic) Hispanic Race=1,2,4,5,6 Origin=2 (Hispanic) Maricopa County Health Status Report 2001 – 2005 Page 27 Mortality (Death) Statistics Mortality (death) statistics are shown in Tables 2.01a through 2.03b. Any crude death rate can be calculated by taking the number of deaths from any mortality table in this report and dividing it by the appropriate age, gender, race/ethnicity, or total population denominator found in Tables 1.01 through 1.10. In tables where rates are shown, “0” means there were no cases/deaths in that category. However, when the number “0.0” is shown, it means that there were fewer than .05 deaths per 100,000 residents. All data on mortality statistics are from the Arizona Department of Health Services (ADHS) final annual files. The Maricopa County mortality data are from death certificates for Maricopa County residents only. This includes Maricopa County residents who died in Maricopa County and residents who died elsewhere. Non-Maricopa County residents who died in Maricopa County are not included. In the course of routine data cleaning, duplicate mortality records were identified. The following number of duplicates have been deleted from the mortality records: 5 records in 2005, 1 record in 2004, and 1 record in 2002. As a result of these deletions, the numbers presented in this report may not match those presented by ADHS for Maricopa County. For both mortality and morbidity (communicable disease), rates for some racial/ethnic populations such as American Indians, Asians, and African Americans are high compared to other groups. Because these groups have relatively small populations in Maricopa County (under 150,000 residents as shown in Tables 1.01 through 1.11), these high rates may represent very few deaths/cases. Among small populations, rates are less stable so one case or death can cause a big increase or decrease in the rates. Therefore, it is advisable to examine the raw number of cases or deaths, in addition to the rates. In Table 2.01a, deaths due to unintentional injury can be found by adding two categories – “motor vehicle collisions” and “all other accidents and adverse effects.” The total for unintentional injuries in this report is higher than the figure reported by ADHS because deaths from “complications of medical and surgical care” are included in this report. This convention follows the national model for classifying unintentional injuries. “Complications of medical and surgical care” include deaths from medical devices, adverse effects related to correct doses of therapeutic medications, and misadventures to patients during surgical or medical care (ICD-10 Y40-Y84, Y88). Table 2.02a presents the number of deaths by year meeting the criteria for ‘complications of medical and surgical care.’ Tables 2.05b, 2.08b, and 2.12b do not provide a rate for the category labeled “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 race/ethnicity.” Tables 2.02a and 2.02b show sharp changes in the numbers and rates of deaths attributed to unintentional falls, exposure to excessive natural heat, and accidental discharge of firearms. These changes may be artifacts of the mortality specification and coding systems and not real changes in the actual incidence of these events. Causes of death due to external events, as opposed to those intrinsically related to disease processes, are subject to many sources of variability: • Causes of deaths may be translated into ICD-10 codes by different methods • The medical examiners’ specification of the sequence of the causes of death may change from year to year in systematic, non-random ways • Changes in NCHS rules regarding the manner, or intentionality, of death may have caused misclassification of intentional injuries, like suicides and homicides, as unintentional, or accidental, injuries. Further investigation into the reasons for these changes is ongoing. Maricopa County Health Status Report 2001 – 2005 Page 28 Unless otherwise noted, all deaths are attributed to one underlying condition, based on death certificate information, using the rules of the International Classification of Diseases. Causes of death are classified by ICD-10 codes. The codes used for each category are listed in Table 3.2 below. Firearm, drug, and alcohol induced deaths are also included in a number of other categories, such as suicide, homicide, unintentional injury, etc. For example, a firearm induced death may also be classified as a suicide, homicide, or “other accident or adverse effect.” An alcohol induced death may be attributed to a long or short term effect of alcohol, such as acute alcohol intoxication or alcoholic cardiomyopathy. Tables 2.03a and 2.03b show deaths resulting directly (induced) and indirectly (related) from firearms, drugs, and alcohol. Drugs include prescription medications and illegal substances, regardless of whether use was recreational or medicinal. Tobacco is considered a drug by the National Center for Health Statistics (NCHS). Since tobacco is not often considered to be a drug in the colloquial sense, drug-related deaths are listed both with and without tobacco-related deaths. Induced deaths refer to cases in which the use of a firearm, drug, or alcohol contributed directly to the cause of death, i.e., death due to an overdose of drugs, or a fatal gunshot injury. Related deaths refer to cases in which the use of a drug or alcohol was listed on the death certificate, but the substance was not necessarily involved in the final cause of death, i.e., death due to dehydration resulting from environmental exposure, with chronic drug use noted elsewhere on the certificate. Related causes of deaths are counted using multiple cause of death (MCD) data supplied by ADHS with the final annual mortality files, beginning in 2004. Table 3.2 ICD-10 Codes Used for This Report Cause Salmonella & Other Intestinal Infections Tuberculosis Septicemia Syphilis HIV Disease Viral Hepatitis Coccidioidomycosis Other Mycoses Malignant Neoplasms (Cancer) Malignant Neoplasm of the Lip, Oral Cavity, and Pharynx Malignant Neoplasm of the Stomach Malignant Neoplasm of the Colon Malignant Neoplasm of the Pancreas Malignant Neoplasm of Bronchus, Lung, or Trachea Malignant Melanoma of Skin Malignant Neoplasm of the Breast Malignant Neoplasm of the Uterus, Cervix, Ovary Malignant Neoplasm of the Ovary Malignant Neoplasm of the Prostate ICD-10 Codes Used (2001-2005) A01-A04, A06-A09 A16-A19 A40-A41 A50-A53 B20-B24 B15-B19 B38 B35-B37, B39-B49 C00-C97 C00-C14 C16 C18-C21 C25 C33-C34 C43 C50 C53-C56 C56 C61 (Table Continues) Maricopa County Health Status Report 2001 – 2005 Page 29 (Table 3.2, Continued) Cause 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 Deficiencies 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) Congenital Malformations ICD-10 Codes Used (2001-2005) C62 C64-C68 C70-C72 C82-C85 C91-C95 C00-C15, C17, C22-C24, C26-C32, C37-C49, C51-C52, C57-C60, C62-C63, C69-C81, C88, C90, C96-97 D56-D64 E10-E14 E40-E64 E66 F10 G20-G21 G30 G35 G40-G41 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 J10-J18 J40-J47 J43 J45-J46 K25-K28 K70, K73-K74 K70 M05-M08 M32 M80-M81 N00-N07, N17-N19, N25-N27 O00-O99 P00-P96 P07 Q00-Q99 (Table Continues) Maricopa County Health Status Report 2001 – 2005 Page 30 (Table 3.2, Continued) Cause 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 Exposure to Excessive 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 & 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 ICD-10 Codes Used (2001-2005) Q20-Q28 Q90-Q99 R95 R00-R94, R96-R99 A00-A09, A20-A49, A54-B19, B25-B99, D00-E07, E15-G25, G31-H93, I80-J06, J20-J39, J60-K22, K29-K66, K71-K72, K75-M99, N10-N15N20-N23, N28-N98 V02-V04, V09.0, V09.2, V12-V14, V19.0 - V19.2, V19.4-V19.6, V20-V79, V80.3V80.5, V81.0-V81.1, V82.0-V82.1, V83V86, V87.0-V87.8, V88.0-V88.8, V89.0 V89.2 V01, V05-V06, V09.1, V09.3-V09.9, V10-V11, V15-V18, V19.3, V19.8-V19.9, V80.0-V80.2, V80.6-V80.9, V81.2-V81.9, V82.2-V82.9, V87.9, V88.9, V89.1, V89.3, V89.9 V90-X29, X31-X59, Y40Y86, Y88 W00-W19 X30 X40-X49 W65-W74 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, Y22-Y24, Y35.0 F11.0-F11.5, F11.7-F11.9, F12.0-F12.5, F12.7-F12.9, F13.0-F13.5, F13.7-F13.9, F14.0-F14.5, F14.7-F14.9, F15.0-F15.5, F15.7-F15.9, F16.0-F16.5, F16.7-F16.8, F17.0, F17.3-F17.5, F17.7-F17.9, F18.0F18.5, F18.7-F18.9, F19.0-F19.5, F19.7F19.9, X40-X44, X60-X64, X85, Y10Y14 F10, G31.2, G62.1, I42.6, K29.2, K70, R78.0, X45, X65, Y15 Maricopa County Health Status Report 2001 – 2005 Page 31 Communicable Disease (Morbidity) Statistics Communicable disease statistics are shown in Tables 2.04a through 2.06. Any morbidity rate can be calculated by taking the number of cases from any communicable disease table in this report and dividing it by the appropriate age, gender, race/ethnicity, or total population denominator found in Tables 1.01 through 1.10. Because Streptococcal Group B Invasive disease is only reportable in infants under 90 days, these numbers are divided by the number of live births, to produce a rate per 1,000 live births. The Maricopa County morbidity data are for Maricopa County residents only. This includes Maricopa County residents who acquired a disease in Maricopa County and residents who acquired a disease elsewhere. Non-Maricopa County residents are not included, even if they acquired a disease in Maricopa County. Other reports may show different morbidity rates because they include non-residents who acquired disease in Maricopa County or they exclude residents who were exposed outside of the county. For example, this report shows six residents with West Nile virus (WNV) in 2003. Two of these cases acquired WNV outside of Maricopa County, the other four cases were acquired locally. Other reports and press releases may focus on only the locally acquired WNV cases, regardless of the residency status of the cases. For Hansen’s disease only, tables include residents from various counties in Arizona, regardless of where the disease was acquired. Communicable disease data are from the ADHS final annual files with several exceptions: data on West Nile virus, hepatitis C, genital herpes, gonorrhea, chlamydia, syphilis, and Hansen’s disease are from MCDPH. Because the MCDPH communicable disease database is continuously updated, the data for hepatitis C and West Nile virus can change over time. Hepatitis C data for 2001-2005 used in this report were generated on October 31, 2006 for confirmed, acute and chronic, physician-reported cases among Maricopa County residents. West Nile virus data for 2001-2005 used in this report were generated on November 15, 2006 for all confirmed cases among Maricopa County residents. In previous Health Status Reports, hepatitis B data were also obtained from the MCDPH. However, there have been a number of issues contributing to unreliable Hepatitis B data. Therefore, this report uses hepatitis B data for acute cases from ADHS for all years presented. Data on tuberculosis, STDs, HIV, and AIDS may differ from other reports published by MCDPH and ADHS. Data on these diseases are in databases that may have been updated during the time between reports. HIV/AIDS data for Maricopa County are from October 27, 2006 and were provided to MCDPH for this report. Primary and secondary syphilis is shown as “Syphilis-Prim. and Sec”. The “Syphilis - All others” category includes latent and congenital syphilis. These two categories can be added to determine the total number of syphilis cases. Syphilis data were generated on February 23, 2006. Congenital syphilis details may be found in Tables 2.05a and 2.05b. Morbidity data include only confirmed cases, with the exception of Hansen’s disease. Data for Hansen’s disease includes all confirmed, suspect, and probable cases diagnosed in Maricopa County, including diagnoses to non-county residents. All communicable disease statistics in this report are new cases for each specified year (incidence). The only exception is Hansen’s disease for which the prevalence (all existing cases from all years) is shown. The figures presented for Hansen’s disease differ from previous years due to the addition of several cases diagnosed in previous years but only recently available. Morbidity data for hepatitis C and West Nile Virus are classified by the earliest date in the record. The earliest date may be date of onset, date of diagnosis, or date of report. HIV, AIDS, and Hansen’s disease data are classified by date of diagnosis. All other data are classified by date of report. Maricopa County Health Status Report 2001 – 2005 Page 32 The category “Encephalitis Viral” includes St. Louis encephalitis and all other types of viral encephalitis except for West Nile virus. This may differ somewhat from other reports that include only certain types of encephalitides. In Tables 2.04a and 2.04b, the category labeled “All Others” includes all reportable diseases in the ADHS communicable disease database that are not listed previously on the table. Natality (Birth) Statistics Natality (birth) statistics are shown in Tables 2.07a through 2.10b. In the course of routine data cleaning, duplicate natality records were identified. The following number of duplicates have been deleted from the natality records: 1 record in 2005, 2 records in 2002, and 3 records in 2001. As a result of these deletions, the numbers presented in this report may not match those presented by ADHS for Maricopa County. Infant mortality statistics shown in this report are from linked and unlinked data as indicated in each table. An explanation of linked and unlinked data is presented below. The infant mortality rates for older and younger maternal age groups (under 15 and over 45) may be high compared to other groups. These groups have relatively small populations in Maricopa County. Although rates may be high, they may represent only one or two cases in a given category. Therefore, it is advisable to check the raw numbers. Adequate prenatal care is based on the Adequacy of Prenatal Care Utilization Index (APCUI) 1 . This index considers both the timing of prenatal care initiation and the number of visits after care was initiated, comparing the number of actual visits to the number of visits recommended by the American College of Obstetricians and Gynecologists. This index does not describe the quality of the care or adjust for maternal risk factors. Only singleton births are shown in these tables because twins and higher order births are typically higher risk pregnancies, and the index is not appropriate for summarizing their prenatal care usage. a) Inadequate: Prenatal care began after the fourth month of pregnancy or less than 50% of the expected prenatal care visits were attended b) Intermediate: Prenatal care began before the fourth month and 50 to 70% of the expected visits were attended c) Adequate: Prenatal care began prior to the fourth month and 80-109% of expected visits were attended d) Adequate plus: Prenatal care began prior to the fourth month of pregnancy and 110% or more of the expected visits were attended The following definitions related to reproductive health have been established by NCHS 2 : • Birth or Live Birth – The complete expulsion or extraction from the mother of a product of human conception, irrespective of the duration of pregnancy or birthweight which, after such expulsion or extraction, breathes or shows any other evidence of life such as beating of the heart, pulsation of the umbilical cord or definite movement of voluntary muscles, whether or not the umbilical cord has been cut or the placenta is attached. • 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. 1 Kotelchuck, M. An Evaluation of the Kessner Adequacy of Prenatal Care Index and a Proposed Adequacy of Prenatal Care Utilization Index, American Journal of Public Health, 1994; 84(9):1414-1420. 2 NCHS guidelines were adopted from those established by the World Health Organization (WHO). Maricopa County Health Status Report 2001 – 2005 Page 33 • Birth Weight – The weight of a neonate determined immediately after delivery or as soon thereafter as possible. • Low Birthweight – Any neonate weighing less than 2,500 grams at birth (less than 5 pounds, 8 ounces). • Very Low Birthweight – Any neonate weighing less than 1,500 grams at births (less than 3 pounds, 4 ounces). • Preterm – Any neonate whose birth occurs through the end of the last day of the 37th week (259th day), following onset of the last menstrual period. • Infant Death – Any death at any time from birth up to, but not including, the first year of age (<365 days). • Infant Mortality Rate – Number of infant deaths per 1,000 live births. • Neonatal Mortality Rate – Number of deaths to infants under 28 days of age, per 1,000 live births. • Postnatal (Postneonatal) Mortality Rate – Number of deaths to infants between 28 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. • Linked Infant Mortality – Whenever possible, infant death certificate data are linked to birth certificate information to determine parental, demographic and birth data. Not all infant deaths can be linked (up to 3% are lost to follow-up). In this report, MCDPH created a linked death cohort such that one calendar year of infant death data linked back to the birth data from the current or prior calendar year. More Information For more information on population and health statistics, please visit the following websites: • • • • Maricopa County Department of Public Health: http://www.maricopa.gov/Public_Health/ Arizona Department of Health Services: www.hs.state.az.us Centers for Disease Control and Prevention, National Center for Health Statistics: www.cdc.gov/nchs Department of Economic Security: www.de.state.az.us Maricopa County Health Status Report 2001 – 2005 Page 34