Maricopa County Health Status Report 2007-2011 Five Year Trends Reference Tables Prepared by the Maricopa County Department of Public Health Office of Epidemiology May 2013 Maricopa County Acknowledgements This report was prepared by the Maricopa County Department of Public Health (MCDPH), Office of Epidemiology. Amy Prestanski, Epidemiologist Kara Stanley, Epidemiologist Liva Nohre, Epidemiologist Supervisor Rebecca Sunenshine, Medical Director and Administrator of Disease Control Division The authors wish to thank the following individuals and organizations for contributing numeric data, consultation, and other information used in this report. Their assistance is much appreciated. Tammy Sylvester, Vjollca Berisha– Maricopa County Department of Public Health Office of Epidemiology Tom Mickey, Siru Prasai, Renuka Khurana, Angelito Bravo – Maricopa County Department of Public Health, Division of Clinical Services Julia Skinner, Christopher Mrela, Erika Weiss, Khaleel Hussaini, Sanhita Gupta, Wenjing Weng, Donna Courtney - Arizona Department of Health Services For additional copies of this report, please call the Maricopa County Department of Public Health, Office of Epidemiology at 602.372.2604. This report may also be found at http://www.maricopa.gov/publichealth/Services/EPI/Reports/ under “Health Status Reports.” Permission to quote or reproduce materials from this report is granted when due acknowledgement is made. Suggested citation: Maricopa County Department of Public Health, Office of Epidemiology. Maricopa County Health Status Report 2007-2011, Five Year Trends: Reference Tables. Phoenix (AZ): 2013. Maricopa County Health Status Report 2007-2011 Five Year Trends: Reference Tables Table of Contents Introduction i I. Maricopa County Population Statistics – 2007-2011 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 Race/Ethnicity, Age, and Sex, 2011 Population Estimates by Sex, Age, and Race/Ethnicity, 2011 Population Estimates by Race/Ethnicity, Age, and Sex, 2010 Population Estimates by Sex, Age, and Race/Ethnicity, 2010 Population Estimates by Race/Ethnicity, Age, and Sex, 2009 Population Estimates by Sex, Age, and Race/Ethnicity, 2009 Population Estimates by Race/Ethnicity, Age, and Sex, 2008 Population Estimates by Sex, Age, and Race/Ethnicity, 2008 Population Estimates by Race/Ethnicity, Age, and Sex, 2007 Population Estimates by Sex, Age, and Race/Ethnicity, 2007 Maricopa County, Phoenix, and Arizona Population 1980-2011 2 3 4 5 6 7 8 9 10 11 12 II. Maricopa County Ten-Year Health Trends 13 Table 2.01a Table 2.01b Table 2.02a Table 2.02b Selected Underlying Causes of Death 2007-2011, Number of Deaths Selected Underlying Causes of Death 2007-2011, Crude Death Rate per 100,000 Residents Other Selected Underlying Causes of Death 2007-2011, Number of Deaths Other Selected Underlying Causes of Death 2007-2011, Crude Death Rate per 100,000 Residents Firearm, Drug, and Alcohol Induced and Related Deaths 2007-2011, Number of Deaths Firearm, Drug, and Alcohol Induced and Related Deaths 2007-2011, Crude Death Rate per 100,000 Residents Number of Confirmed Cases to Residents of Selected Reportable Diseases, 2007-2011 Case Rates per 100,000 Residents for Selected Reportable Diseases, 2007-2011 Congenital Syphilis by Race/Ethnicity and Year, Number of Cases, 2007-2011 Congenital Syphilis by Race/Ethnicity and Year, Case Rates per 100,000 Live Births, 20072011 Hansen’s Disease Prevalence Selected Maternal & Child Health Indicators, 2007-2011 Selected Maternal & Child Health Indicator Percentages, 2007-2011 Births by Maternal Indicators for Infant Mortality Rate Infant Mortality by Race/Ethnicity of Mother, 2007-2011 (Linked) Infant Mortality Rates by Race/Ethnicity of Mother, 2007-2011 (Linked), Infant Mortality per 1,000 Live Births Infant Mortality by Age of Mother, 2007-2011 (Linked) Infant Mortality Rates by Age of Mother, 2007-2011 (Linked), Infant Mortality per 1,000 Live Births Infant Mortality by Educational Level of Mother, 2007-2011 (Linked) Infant Mortality Rates by Educational Level of Mother, 2007-2011 (Linked), Infant Mortality per 1,000 Live Births Infant Mortality by Birthweight, 2007-2011 (Linked) 14 15 16 17 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 2.07b Table 2.08 Table 2.09a Table 2.09b Table 2.10a Table 2.10b Table 2.11a Table 2.11b Table 2.12a 18 18 19 20 21 21 21 22 23 24 24 24 25 25 25 25 26 Maricopa County Health Status Report 2007-2011 Five Year Trends: Reference Tables Table of Contents Table 2.12b Table 2.13 Table 2.14a Table 2.14b Table 2.15a Table 2.15b Table 2.16a Table 2.16b Table 2.17a Table 2.17b III. Infant Mortality Rates by Birthweight, 2007-2011 (Linked), Infant Mortality per 1,000 Live Births Infant Mortality and Rates by Age of Infant, 2007-2011 (Linked & Unlinked) Infant Mortality by Age of Infant and Race/Ethnicity of Mother, 2007-2011 (Linked) Infant Mortality Rates by Age of Infant and Race/Ethnicity of Mother, 2007-2011 (Linked), Infant Mortality per 1,000 Live Births Infant Mortality by Race/Ethnicity of Infant, 2007-2011 (Unlinked) Infant Mortality by Race/Ethnicity of Infant, 2007-2011 (Unlinked), Infant Mortality per 1,000 Live Births Primary Diagnosis Groups, Inpatient Hospitalizations, 2007-2011, Number of Discharges Primary Diagnosis Groups, Inpatient Hospitalizations, 2007-2011, Crude Hospitalization Rate per 100,000 Residents Primary Diagnosis Groups, Emergency Department, 2007-2011, Number of Discharges Primary Diagnosis Groups, Emergency Department, 2007-2011, Crude Hospitalization Rate per 100,000 Residents 26 26 27 27 Technical Notes 41 28 28 29 32 35 38 Introduction This report provides health status information for the years 2007 to 2011 for residents of Maricopa County, Arizona. It includes data for mortality (death), communicable diseases, and natality (birth), as well as information on the size and demographic distribution of the population. For each disease or health indicator, the following information is provided:  Number of cases in the county     Mortality Disease Example: 5,648 residents of Maricopa County died due to cancer in 2011.* Communicable Disease Example: 698 residents of Maricopa County were diagnosed with a confirmed or probable case of Pertussis in 2011. Natality (Birth) Example: There were 658 infants born with a very low birthweight (less than 1500 grams) in 2011. Rate or percentage of cases in the county    Mortality Disease Example: For every 100,000 residents of Maricopa County, 145.6 died due to cancer in 2011.* Communicable Disease Example: For every 100,000 residents of Maricopa County, 18.0 were diagnosed with Pertussis in 2011. Natality (Birth) Example: Among all live births in 2011, 1.2% were born with a very low birthweight. All data in this report are for calendar years 2007 through 2011. Information on data sources and methodology are in Section III – Technical Notes. *Except where noted, the cause of death is the underlying cause of death, which is the condition that began the sequence of death. See Technical Notes for more information on the underlying cause of death. Maricopa County Health Status Report 2007-2011 Page i I. Maricopa County Population Statistics 2007-2011 Tables Maricopa County Health Status Report 2007-2011 Page 1 Maricopa County Population Statistics Table 1.01 Population By Race/Ethnicity, Age, and Sex, 2011 Age by Sex Race/Ethnicity by Sex Age Males 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 % 142,451 143,852 143,262 140,056 143,255 279,501 263,992 251,053 197,641 125,418 67,775 22,519 7.4% 7.5% 7.5% 7.3% 7.5% 14.6% 13.7% 13.1% 10.3% 6.5% 3.5% 1.2% 1,920,775 Females No. % 136,523 138,011 137,444 131,119 135,231 272,190 262,571 257,937 220,140 143,259 84,888 40,156 Total No. 7.0% 7.0% 7.0% 6.7% 6.9% 13.9% 13.4% 13.2% 11.2% 7.3% 4.3% 2.0% 1,959,469 278,974 281,863 280,706 271,175 278,486 551,691 526,563 508,990 417,781 268,677 152,663 62,675 Race/Ethnicity % Males No. 7.2% 7.3% 7.2% 7.0% 7.2% 14.2% 13.6% 13.1% 10.8% 6.9% 3.9% 1.6% White Hispanic African American American Indian Asian Multiple Races 1,110,778 586,430 92,624 29,085 67,035 34,823 Total 1,920,775 % 57.8% 30.5% 4.8% 1.5% 3.5% 1.8% Females No. % 1,149,908 576,166 89,947 33,061 74,588 35,799 58.7% 29.4% 4.6% 1.7% 3.8% 1.8% 1,959,469 3,880,244 Age by Race/Ethnicity Age 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 111,113 118,491 124,660 123,068 137,437 287,341 293,572 339,296 317,568 220,374 131,383 56,383 2,260,686 Hispanic % 4.9% 5.2% 5.5% 5.4% 6.1% 12.7% 13.0% 15.0% 14.0% 9.7% 5.8% 2.5% No. 127,594 124,219 118,461 111,539 102,888 188,642 164,554 114,454 63,234 29,777 13,307 3,927 1,162,596 African American % No. 11.0% 10.7% 10.2% 9.6% 8.8% 16.2% 14.2% 9.8% 5.4% 2.6% 1.1% 0.3% 14,020 14,102 14,584 15,642 16,190 28,149 26,241 24,444 16,537 7,960 3,594 1,108 182,571 % 7.7% 7.7% 8.0% 8.6% 8.9% 15.4% 14.4% 13.4% 9.1% 4.4% 2.0% 0.6% American Indian No. 5,306 5,177 5,039 5,192 6,916 11,533 8,640 7,330 4,302 1,852 639 220 62,146 % 8.5% 8.3% 8.1% 8.4% 11.1% 18.6% 13.9% 11.8% 6.9% 3.0% 1.0% 0.4% Asian No. Multiple Races % 9,500 9,740 8,955 8,241 9,155 26,403 26,826 18,624 13,092 7,185 3,070 832 6.7% 6.9% 6.3% 5.8% 6.5% 18.6% 18.9% 13.2% 9.2% 5.1% 2.2% 0.6% 141,623 No. 11,441 10,134 9,007 7,493 5,900 9,623 6,730 4,842 3,048 1,529 670 205 70,622 % 16.2% 14.3% 12.8% 10.6% 8.4% 13.6% 9.5% 6.9% 4.3% 2.2% 0.9% 0.3% Total No. 278,974 281,863 280,706 271,175 278,486 551,691 526,563 508,990 417,781 268,677 152,663 62,675 3,880,244 Source: United States Census, Population Estimates Division. Data on this page were used for calculating all rates (denominators) in this report for 2011. Maricopa County Health Status Report 2007-2011 Page 2 Maricopa County Population Statistics Table 1.02 Population Estimates by Sex, Age, and Race/Ethnicity, 2011 Females Age 0-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75+ Total White Hispanic African American American Indian Asian Multiple Races Total No. % No. % No. % No. % No. % No. % No. 54,302 57,737 60,813 59,149 67,165 72,307 69,449 67,668 77,029 83,327 88,567 83,257 83,830 65,997 50,722 108,589 4.7% 5.0% 5.3% 5.1% 5.8% 6.3% 6.0% 5.9% 6.7% 7.2% 7.7% 7.2% 7.3% 5.7% 4.4% 9.4% 62,414 61,058 58,081 54,126 49,578 45,954 45,971 44,174 38,398 31,673 25,469 18,824 14,008 9,636 6,554 10,248 10.8% 10.6% 10.1% 9.4% 8.6% 8.0% 8.0% 7.7% 6.7% 5.5% 4.4% 3.3% 2.4% 1.7% 1.1% 1.8% 6,785 6,827 7,114 7,517 7,573 6,958 6,667 6,449 6,331 6,157 5,998 4,621 3,752 2,483 1,863 2,852 7.5% 7.6% 7.9% 8.4% 8.4% 7.7% 7.4% 7.2% 7.0% 6.8% 6.7% 5.1% 4.2% 2.8% 2.1% 3.2% 2,703 2,550 2,527 2,573 3,587 3,217 2,972 2,485 2,227 2,276 1,873 1,360 1,096 627 457 531 8.2% 7.7% 7.6% 7.8% 10.8% 9.7% 9.0% 7.5% 6.7% 6.9% 5.7% 4.1% 3.3% 1.9% 1.4% 1.6% 4,687 4,888 4,516 4,023 4,293 6,424 7,240 7,559 6,743 5,398 4,687 4,167 3,560 2,438 1,639 2,326 6.3% 6.6% 6.1% 5.4% 5.8% 8.6% 9.7% 10.1% 9.0% 7.2% 6.3% 5.6% 4.8% 3.3% 2.2% 3.1% 5,632 4,951 4,393 3,731 3,035 2,691 2,340 1,894 1,614 1,352 1,160 926 739 504 339 498 15.7% 13.8% 12.3% 10.4% 8.5% 7.5% 6.5% 5.3% 4.5% 3.8% 3.2% 2.6% 2.1% 1.4% 0.9% 1.4% 136,523 138,011 137,444 131,119 135,231 137,551 134,639 130,229 132,342 130,183 127,754 113,155 106,985 81,685 61,574 125,044 1,149,908 576,166 89,947 33,061 74,588 1,959,469 35,799 Males 0-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75+ Total 56,811 60,754 63,847 63,919 70,272 74,450 71,135 69,423 79,452 82,339 85,063 75,994 74,487 58,780 44,875 79,177 1,110,778 5.1% 5.5% 5.7% 5.8% 6.3% 6.7% 6.4% 6.2% 7.2% 7.4% 7.7% 6.8% 6.7% 5.3% 4.0% 7.1% 65,180 63,161 60,380 57,413 53,310 49,081 47,636 43,271 38,711 32,529 24,783 17,497 12,905 8,273 5,314 6,986 586,430 11.1% 10.8% 10.3% 9.8% 9.1% 8.4% 8.1% 7.4% 6.6% 5.5% 4.2% 3.0% 2.2% 1.4% 0.9% 1.2% 7,235 7,275 7,470 8,125 8,617 7,403 7,121 6,761 6,700 6,407 5,882 4,616 3,548 2,142 1,472 1,850 92,624 7.8% 7.9% 8.1% 8.8% 9.3% 8.0% 7.7% 7.3% 7.2% 6.9% 6.4% 5.0% 3.8% 2.3% 1.6% 2.0% 2,603 2,627 2,512 2,619 3,329 2,881 2,463 2,088 1,840 1,664 1,517 1,041 805 453 315 328 8.9% 9.0% 8.6% 9.0% 11.4% 9.9% 8.5% 7.2% 6.3% 5.7% 5.2% 3.6% 2.8% 1.6% 1.1% 1.1% 29,085 4,813 4,852 4,439 4,218 4,862 6,363 6,376 6,628 5,896 4,671 3,868 3,003 2,362 1,761 1,347 1,576 67,035 7.2% 7.2% 6.6% 6.3% 7.3% 9.5% 9.5% 9.9% 8.8% 7.0% 5.8% 4.5% 3.5% 2.6% 2.0% 2.4% 5,809 5,183 4,614 3,762 2,865 2,427 2,165 1,734 1,488 1,227 1,103 801 582 403 283 377 34,823 16.7% 14.9% 13.2% 10.8% 8.2% 7.0% 6.2% 5.0% 4.3% 3.5% 3.2% 2.3% 1.7% 1.2% 0.8% 1.1% 142,451 143,852 143,262 140,056 143,255 142,605 136,896 129,905 134,087 128,837 122,216 102,952 94,689 71,812 53,606 90,294 1,920,775 Source: United States Census, Population Estimates Division. Data on this page were used for calculating all rates (denominators) in this report for 2011. Maricopa County Health Status Report 2007-2011 Page 3 Maricopa County Population Statistics Table 1.03 Population By Race/Ethnicity, Age, and Sex, 2010 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. 144,268 144,340 141,354 142,552 137,531 273,147 263,493 248,168 188,576 118,994 65,158 20,884 % 7.6% 7.6% 7.5% 7.5% 7.3% 14.5% 14.0% 13.1% 10.0% 6.3% 3.5% 1.1% 1,888,465 Females No. 138,502 138,369 135,874 134,347 129,341 267,979 261,105 255,797 209,733 136,394 83,041 38,170 % 7.2% 7.2% 7.0% 7.0% 6.7% 13.9% 13.5% 13.3% 10.9% 7.1% 4.3% 2.0% 1,928,652 Total No. 282,770 282,709 277,228 276,899 266,872 541,126 524,598 503,965 398,309 255,388 148,199 59,054 Race/Ethnicity Males No. % 7.4% 7.4% 7.3% 7.3% 7.0% 14.2% 13.7% 13.2% 10.4% 6.7% 3.9% 1.5% White Hispanic African American American Indian Asian Multiple Races Other 1,100,779 568,138 90,346 27,632 63,813 34,999 Total 1,888,465 2,758 Females No. % 58.3% 30.1% 4.8% 1.5% 3.4% 1.9% 0.1% 1,139,276 560,603 87,144 31,620 71,211 36,048 2,750 % 59.1% 29.1% 4.5% 1.6% 3.7% 1.9% 0.1% 1,928,652 3,817,117 Age by Race/Ethnicity Age 0-4 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ Total White Hispanic African American American Indian Asian Multiple Races Other Total No. % No. % No. % No. % No. % No. % No. % No. 113,519 119,850 124,435 129,055 134,058 281,757 297,869 341,517 305,537 210,666 128,420 53,372 5.1% 5.4% 5.6% 5.8% 6.0% 12.6% 13.3% 15.2% 13.6% 9.4% 5.7% 2.4% 128,894 123,906 115,414 110,053 96,394 185,230 159,349 108,003 58,292 27,316 12,408 3,482 11.4% 11.0% 10.2% 9.8% 8.5% 16.4% 14.1% 9.6% 5.2% 2.4% 1.1% 0.3% 13,966 13,806 14,510 16,103 14,877 27,278 25,922 24,023 15,195 7,478 3,277 1,055 7.9% 7.8% 8.2% 9.1% 8.4% 15.4% 14.6% 13.5% 8.6% 4.2% 1.8% 0.6% 5,126 4,906 4,764 5,460 6,414 10,926 8,376 6,929 3,872 1,705 587 187 8.7% 8.3% 8.0% 9.2% 10.8% 18.4% 14.1% 11.7% 6.5% 2.9% 1.0% 0.3% 9,358 9,519 8,643 8,137 8,950 25,372 25,489 17,733 11,970 6,437 2,714 702 6.9% 7.0% 6.4% 6.0% 6.6% 18.8% 18.9% 13.1% 8.9% 4.8% 2.0% 0.5% 11,301 10,164 8,915 7,561 5,754 9,708 6,876 5,112 3,073 1,613 741 229 15.9% 14.3% 12.5% 10.6% 8.1% 13.7% 9.7% 7.2% 4.3% 2.3% 1.0% 0.3% 606 558 547 530 425 855 717 648 370 173 52 27 11.0% 10.1% 9.9% 9.6% 7.7% 15.5% 13.0% 11.8% 6.7% 3.1% 0.9% 0.5% 282,770 282,709 277,228 276,899 266,872 541,126 524,598 503,965 398,309 255,388 148,199 59,054 2,240,055 1,128,741 177,490 59,252 135,024 71,047 5,508 Source: United States Census, Population Estimates Division. Data on this page were used for calculating all rates (denominators) in this report for 2010. Maricopa County Health Status Report 2007-2011 Page 4 3,817,117 Maricopa County Population Statistics Table 1.04 Population Estimates by Sex, Age, and Race/Ethnicity, 2010 Females Age 0-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75+ Total White Hispanic African American American Indian Asian Multiple Races No. % No. % No. % No. % No. % No. 55,588 58,331 60,748 62,294 65,022 71,723 67,359 71,229 75,411 86,148 87,071 81,486 79,176 63,514 48,261 105,915 4.9% 5.1% 5.3% 5.5% 5.7% 6.3% 5.9% 6.3% 6.6% 7.6% 7.6% 7.2% 6.9% 5.6% 4.2% 9.3% 63,141 60,829 56,647 53,754 46,734 45,602 45,371 43,222 36,556 30,452 23,684 17,429 12,769 8,809 6,134 9,470 11.3% 10.9% 10.1% 9.6% 8.3% 8.1% 8.1% 7.7% 6.5% 5.4% 4.2% 3.1% 2.3% 1.6% 1.1% 1.7% 6,773 6,653 7,074 7,665 6,868 6,924 6,285 6,403 6,182 6,236 5,670 4,358 3,316 2,377 1,700 2,660 7.8% 7.6% 8.1% 8.8% 7.9% 7.9% 7.2% 7.3% 7.1% 7.2% 6.5% 5.0% 3.8% 2.7% 2.0% 3.1% 2,600 2,425 2,399 2,709 3,360 3,144 2,782 2,430 2,164 2,140 1,777 1,250 950 593 409 488 8.2% 7.7% 7.6% 8.6% 10.6% 9.9% 8.8% 7.7% 6.8% 6.8% 5.6% 4.0% 3.0% 1.9% 1.3% 1.5% 4,580 4,825 4,371 3,884 4,199 6,429 6,898 7,377 6,172 5,152 4,500 3,868 3,263 2,101 1,516 2,076 6.4% 6.8% 6.1% 5.5% 5.9% 9.0% 9.7% 10.4% 8.7% 7.2% 6.3% 5.4% 4.6% 3.0% 2.1% 2.9% 5,524 5,011 4,380 3,782 2,947 2,720 2,345 2,005 1,590 1,467 1,175 913 754 524 356 555 1,139,276 560,603 87,144 31,620 71,211 % 15.3% 13.9% 12.2% 10.5% 8.2% 7.5% 6.5% 5.6% 4.4% 4.1% 3.3% 2.5% 2.1% 1.5% 1.0% 1.5% 36,048 Other Total No. % No. 296 295 255 259 211 213 184 204 160 185 140 117 84 60 40 47 10.8% 10.7% 9.3% 9.4% 7.7% 7.7% 6.7% 7.4% 5.8% 6.7% 5.1% 4.3% 3.1% 2.2% 1.5% 1.7% 138,502 138,369 135,874 134,347 129,341 136,755 131,224 132,870 128,235 131,780 124,017 109,421 100,312 77,978 58,416 121,211 2,750 1,928,652 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+ 57,931 61,519 63,687 66,761 69,036 73,634 69,041 73,438 77,791 84,886 83,412 73,897 70,978 56,188 42,703 75,877 5.3% 5.6% 5.8% 6.1% 6.3% 6.7% 6.3% 6.7% 7.1% 7.7% 7.6% 6.7% 6.4% 5.1% 3.9% 6.9% 65,753 63,077 58,767 56,299 49,660 47,680 46,577 42,225 37,346 30,840 23,027 16,296 11,798 7,512 4,861 6,420 11.6% 11.1% 10.3% 9.9% 8.7% 8.4% 8.2% 7.4% 6.6% 5.4% 4.1% 2.9% 2.1% 1.3% 0.9% 1.1% 7,193 7,153 7,436 8,438 8,009 7,217 6,852 6,806 6,531 6,401 5,716 4,303 3,218 2,019 1,382 1,672 8.0% 7.9% 8.2% 9.3% 8.9% 8.0% 7.6% 7.5% 7.2% 7.1% 6.3% 4.8% 3.6% 2.2% 1.5% 1.9% 2,526 2,481 2,365 2,751 3,054 2,717 2,283 2,058 1,724 1,615 1,397 931 741 435 268 286 9.1% 9.0% 8.6% 10.0% 11.1% 9.8% 8.3% 7.4% 6.2% 5.8% 5.1% 3.4% 2.7% 1.6% 1.0% 1.0% 4,778 4,694 4,272 4,253 4,751 5,988 6,057 6,553 5,387 4,455 3,626 2,732 2,107 1,577 1,243 1,340 7.5% 7.4% 6.7% 6.7% 7.4% 9.4% 9.5% 10.3% 8.4% 7.0% 5.7% 4.3% 3.3% 2.5% 1.9% 2.1% 5,777 5,153 4,535 3,779 2,807 2,482 2,161 1,837 1,444 1,364 1,106 791 615 418 315 415 16.5% 14.7% 13.0% 10.8% 8.0% 7.1% 6.2% 5.2% 4.1% 3.9% 3.2% 2.3% 1.8% 1.2% 0.9% 1.2% 310 263 292 271 214 231 227 182 171 165 158 90 79 48 25 32 11.2% 9.5% 10.6% 9.8% 7.8% 8.4% 8.2% 6.6% 6.2% 6.0% 5.7% 3.3% 2.9% 1.7% 0.9% 1.2% 1,100,779 568,138 90,346 27,632 63,813 34,999 2,758 Source: United States Census, Population Estimates Division. Data on this page were used for calculating all rates (denominators) in this report for 2010. Total Maricopa County Health Status Report 2007-2011 Page 5 144,268 144,340 141,354 142,552 137,531 139,949 133,198 133,099 130,394 129,726 118,442 99,040 89,536 68,197 50,797 86,042 1,888,465 Maricopa County Population Statistics Table 1.05 Population By Race/Ethnicity, Age, and Sex, 2009 Age by Sex Race/Ethnicity by Sex Age Males 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 % 147,638 143,775 141,063 142,479 137,456 277,454 265,931 245,842 182,725 114,980 64,368 20,183 7.8% 7.6% 7.5% 7.6% 7.3% 14.7% 14.1% 13.0% 9.7% 6.1% 3.4% 1.1% 1,883,894 Females No. % 142,214 136,857 135,430 134,174 128,862 271,174 262,730 252,996 203,618 131,980 82,762 37,088 Total No. 7.4% 7.1% 7.1% 7.0% 6.7% 14.1% 13.7% 13.2% 10.6% 6.9% 4.3% 1.9% 1,919,885 289,852 280,632 276,493 276,653 266,318 548,628 528,661 498,838 386,343 246,960 147,130 57,271 Race/Ethnicity % Males No. 7.6% 7.4% 7.3% 7.3% 7.0% 14.4% 13.9% 13.1% 10.2% 6.5% 3.9% 1.5% White Hispanic African American American Indian Asian Multiple Races 1,106,864 563,807 89,612 28,066 63,305 32,240 Total 1,883,894 % 58.8% 29.9% 4.8% 1.5% 3.4% 1.7% Females No. % 1,145,362 552,811 86,280 31,875 70,351 33,206 59.7% 28.8% 4.5% 1.7% 3.7% 1.7% 1,919,885 3,803,779 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 117,321 121,174 126,586 131,464 135,807 287,389 306,218 342,673 298,436 204,911 128,335 51,912 2,252,226 Hispanic % 5.2% 5.4% 5.6% 5.8% 6.0% 12.8% 13.6% 15.2% 13.3% 9.1% 5.7% 2.3% No. 132,011 122,184 113,674 108,163 95,332 188,082 156,634 104,083 55,381 25,914 11,840 3,320 1,116,618 African American % No. 11.8% 10.9% 10.2% 9.7% 8.5% 16.8% 14.0% 9.3% 5.0% 2.3% 1.1% 0.3% 14,526 13,545 14,628 16,247 14,623 27,162 26,018 23,349 14,581 7,018 3,187 1,008 175,892 % 8.3% 7.7% 8.3% 9.2% 8.3% 15.4% 14.8% 13.3% 8.3% 4.0% 1.8% 0.6% American Indian No. 5,444 4,978 4,712 5,675 6,568 11,111 8,516 6,815 3,759 1,603 584 176 59,941 % 9.1% 8.3% 7.9% 9.5% 11.0% 18.5% 14.2% 11.4% 6.3% 2.7% 1.0% 0.3% Asian No. Multiple Races % 9,605 9,299 8,574 8,016 8,827 25,968 25,110 17,306 11,534 6,164 2,580 673 7.2% 7.0% 6.4% 6.0% 6.6% 19.4% 18.8% 12.9% 8.6% 4.6% 1.9% 0.5% 133,656 No. 10,945 9,452 8,319 7,088 5,161 8,916 6,165 4,612 2,652 1,350 604 182 65,446 % 16.7% 14.4% 12.7% 10.8% 7.9% 13.6% 9.4% 7.0% 4.1% 2.1% 0.9% 0.3% Total No. 289,852 280,632 276,493 276,653 266,318 548,628 528,661 498,838 386,343 246,960 147,130 57,271 3,803,779 Source: United States Census, Population Estimates Division. Data on this page were used for calculating all rates (denominators) in this report for 2009. Maricopa County Health Status Report 2007-2011 Page 6 Maricopa County Population Statistics Table 1.06 Population By Race/Ethnicity, Age, and Gender, 2009 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. 57,509 58,945 61,673 63,614 66,009 74,743 66,983 74,309 76,588 87,263 86,464 81,055 76,001 61,505 47,397 105,304 5.0% 5.1% 5.4% 5.6% 5.8% 6.5% 5.8% 6.5% 6.7% 7.6% 7.5% 7.1% 6.6% 5.4% 4.1% 9.2% 64,749 59,707 55,800 52,690 45,886 46,614 45,291 42,445 35,580 29,515 22,563 16,728 12,001 8,332 5,866 9,044 1,145,362 African American % 11.7% 10.8% 10.1% 9.5% 8.3% 8.4% 8.2% 7.7% 6.4% 5.3% 4.1% 3.0% 2.2% 1.5% 1.1% 1.6% 552,811 No. 7,117 6,398 7,195 7,690 6,704 6,941 6,263 6,487 6,194 6,176 5,378 4,238 3,124 2,246 1,543 2,586 % 8.2% 7.4% 8.3% 8.9% 7.8% 8.0% 7.3% 7.5% 7.2% 7.2% 6.2% 4.9% 3.6% 2.6% 1.8% 3.0% 86,280 American Indian No. 2,755 2,468 2,360 2,810 3,421 3,209 2,809 2,415 2,223 2,147 1,705 1,238 907 543 388 477 % 8.6% 7.7% 7.4% 8.8% 10.7% 10.1% 8.8% 7.6% 7.0% 6.7% 5.3% 3.9% 2.8% 1.7% 1.2% 1.5% 31,875 Asian No. 4,704 4,753 4,287 3,813 4,234 6,594 7,007 7,361 5,921 4,996 4,406 3,802 3,069 1,973 1,452 1,979 Multiple Races % 6.7% 6.8% 6.1% 5.4% 6.0% 9.4% 10.0% 10.5% 8.4% 7.1% 6.3% 5.4% 4.4% 2.8% 2.1% 2.8% 70,351 No. 5,380 4,586 4,115 3,557 2,608 2,605 2,115 1,770 1,437 1,329 1,054 815 640 432 303 460 Total % No. 16.2% 13.8% 12.4% 10.7% 7.9% 7.8% 6.4% 5.3% 4.3% 4.0% 3.2% 2.5% 1.9% 1.3% 0.9% 1.4% 142,214 136,857 135,430 134,174 128,862 140,706 130,468 134,787 127,943 131,426 121,570 107,876 95,742 75,031 56,949 119,850 33,206 1,919,885 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 59,812 62,229 64,913 67,850 69,798 76,212 69,451 76,915 78,406 86,343 82,603 72,942 68,438 54,129 41,880 74,943 1,106,864 5.4% 5.6% 5.9% 6.1% 6.3% 6.9% 6.3% 6.9% 7.1% 7.8% 7.5% 6.6% 6.2% 4.9% 3.8% 6.8% 67,262 62,477 57,874 55,473 49,446 49,137 47,040 41,865 36,744 30,013 21,992 15,587 11,065 7,095 4,621 6,116 563,807 11.9% 11.1% 10.3% 9.8% 8.8% 8.7% 8.3% 7.4% 6.5% 5.3% 3.9% 2.8% 2.0% 1.3% 0.8% 1.1% 7,409 7,147 7,433 8,557 7,919 7,349 6,609 7,033 6,304 6,425 5,370 4,166 3,053 1,877 1,352 1,609 89,612 8.3% 8.0% 8.3% 9.5% 8.8% 8.2% 7.4% 7.8% 7.0% 7.2% 6.0% 4.6% 3.4% 2.1% 1.5% 1.8% 2,689 2,510 2,352 2,865 3,147 2,832 2,261 2,095 1,783 1,589 1,374 953 661 428 244 283 9.6% 8.9% 8.4% 10.2% 11.2% 10.1% 8.1% 7.5% 6.4% 5.7% 4.9% 3.4% 2.4% 1.5% 0.9% 1.0% 28,066 4,901 4,546 4,287 4,203 4,593 6,119 6,248 6,606 5,222 4,350 3,554 2,656 2,007 1,561 1,178 1,274 63,305 7.7% 7.2% 6.8% 6.6% 7.3% 9.7% 9.9% 10.4% 8.2% 6.9% 5.6% 4.2% 3.2% 2.5% 1.9% 2.0% 5,565 4,866 4,204 3,531 2,553 2,297 1,899 1,691 1,267 1,255 974 694 503 348 267 326 32,240 Source: United States Census, Population Estimates Division. Data on this page were used for calculating all rates (denominators) in this report for 2009. Maricopa County Health Status Report 2007-2011 Page 7 17.3% 15.1% 13.0% 11.0% 7.9% 7.1% 5.9% 5.2% 3.9% 3.9% 3.0% 2.2% 1.6% 1.1% 0.8% 1.0% 147,638 143,775 141,063 142,479 137,456 143,946 133,508 136,205 129,726 129,975 115,867 96,998 85,727 65,438 49,542 84,551 1,883,894 Maricopa County Population Statistics Table 1.07 Population By Race/Ethnicity, Age, and Sex, 2008 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. 152,446 141,742 140,067 141,481 137,204 280,134 267,884 240,845 176,874 109,121 64,037 19,149 % 8.1% 7.6% 7.5% 7.6% 7.3% 15.0% 14.3% 12.9% 9.5% 5.8% 3.4% 1.0% 1,870,984 Females No. % Total No. 146,565 135,248 134,099 131,794 127,975 271,878 263,316 248,318 196,542 126,410 82,580 35,352 299,011 276,990 274,166 273,275 265,179 552,012 531,200 489,163 373,416 235,531 146,617 54,501 7.7% 7.1% 7.1% 6.9% 6.7% 14.3% 13.9% 13.1% 10.3% 6.7% 4.3% 1.9% 1,900,077 Race/Ethnicity % 7.9% 7.3% 7.3% 7.2% 7.0% 14.6% 14.1% 13.0% 9.9% 6.2% 3.9% 1.4% Males No. White Hispanic African American American Indian Asian Multiple Races 1,107,529 557,252 86,101 28,247 61,100 30,755 Total 1,870,984 Females No. % % 59.2% 29.8% 4.6% 1.5% 3.3% 1.6% 1,145,461 540,877 82,731 31,809 67,566 31,633 1,900,077 3,771,061 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 121,442 122,318 127,970 132,768 136,244 289,980 314,846 341,293 291,295 196,187 128,996 49,651 2,252,990 Hispanic % 5.4% 5.4% 5.7% 5.9% 6.0% 12.9% 14.0% 15.1% 12.9% 8.7% 5.7% 2.2% No. 136,521 119,458 110,916 105,259 94,754 190,204 152,672 98,354 51,765 24,104 11,121 3,001 1,098,129 African American % 12.4% 10.9% 10.1% 9.6% 8.6% 17.3% 13.9% 9.0% 4.7% 2.2% 1.0% 0.3% No. 14,487 12,967 14,243 15,438 13,981 25,936 25,454 22,173 13,533 6,719 2,989 912 168,832 American Indian % No. 8.6% 7.7% 8.4% 9.1% 8.3% 15.4% 15.1% 13.1% 8.0% 4.0% 1.8% 0.5% 5,935 4,713 4,770 5,807 6,577 11,298 8,501 6,651 3,532 1,522 588 162 60,056 % 9.9% 7.8% 7.9% 9.7% 11.0% 18.8% 14.2% 11.1% 5.9% 2.5% 1.0% 0.3% Asian Multiple Races No. % 9,887 8,599 8,237 7,552 8,565 26,139 23,834 16,338 10,831 5,715 2,355 614 7.7% 6.7% 6.4% 5.9% 6.7% 20.3% 18.5% 12.7% 8.4% 4.4% 1.8% 0.5% 128,666 No. 10,739 8,935 8,030 6,451 5,058 8,455 5,893 4,354 2,460 1,284 568 161 62,388 Total % No. 17.2% 14.3% 12.9% 10.3% 8.1% 13.6% 9.4% 7.0% 3.9% 2.1% 0.9% 0.3% 299,011 276,990 274,166 273,275 265,179 552,012 531,200 489,163 373,416 235,531 146,617 54,501 3,771,061 Source: United States Census, Population Estimates Division. Data on this page were used for calculating all rates (denominators) in this report for 2008. Maricopa County Health Status Report 2007-2011 Page 8 60.3% 28.5% 4.4% 1.7% 3.6% 1.7% Maricopa County Population Statistics Table 1.08 Population By Race/Ethnicity, Age, and Gender, 2008 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 59,569 59,371 62,342 64,157 66,374 77,231 65,787 76,375 78,686 87,704 85,616 80,616 72,463 58,508 46,244 104,418 Hispanic % 5.2% 5.2% 5.4% 5.6% 5.8% 6.7% 5.7% 6.7% 6.9% 7.7% 7.5% 7.0% 6.3% 5.1% 4.0% 9.1% 1,145,461 No. 66,797 58,649 54,302 50,708 45,086 47,336 44,817 40,968 34,641 27,981 21,082 15,774 11,076 7,760 5,473 8,427 African American % 12.3% 10.8% 10.0% 9.4% 8.3% 8.8% 8.3% 7.6% 6.4% 5.2% 3.9% 2.9% 2.0% 1.4% 1.0% 1.6% 540,877 No. 7,071 6,234 6,976 7,271 6,342 6,636 5,948 6,396 5,986 5,912 5,058 4,003 2,832 2,143 1,525 2,398 % 8.5% 7.5% 8.4% 8.8% 7.7% 8.0% 7.2% 7.7% 7.2% 7.1% 6.1% 4.8% 3.4% 2.6% 1.8% 2.9% 82,731 American Indian No. 3,011 2,309 2,394 2,850 3,420 3,237 2,825 2,419 2,218 2,063 1,696 1,157 839 543 362 466 % 9.5% 7.3% 7.5% 9.0% 10.8% 10.2% 8.9% 7.6% 7.0% 6.5% 5.3% 3.6% 2.6% 1.7% 1.1% 1.5% 31,809 Asian No. 4,865 4,392 4,058 3,587 4,193 6,505 7,079 7,062 5,530 4,740 4,174 3,608 2,826 1,818 1,338 1,791 Multiple Races % 7.2% 6.5% 6.0% 5.3% 6.2% 9.6% 10.5% 10.5% 8.2% 7.0% 6.2% 5.3% 4.2% 2.7% 2.0% 2.7% 67,566 No. 5,252 4,293 4,027 3,221 2,560 2,493 1,984 1,655 1,380 1,275 1,017 768 580 420 276 432 Total % No. 16.6% 13.6% 12.7% 10.2% 8.1% 7.9% 6.3% 5.2% 4.4% 4.0% 3.2% 2.4% 1.8% 1.3% 0.9% 1.4% 146,565 135,248 134,099 131,794 127,975 143,438 128,440 134,875 128,441 129,675 118,643 105,926 90,616 71,192 55,218 117,932 31,633 1,900,077 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 61,873 62,947 65,628 68,611 69,870 78,425 68,537 80,014 79,771 86,652 81,321 72,277 65,939 51,026 40,409 74,229 1,107,529 5.6% 5.7% 5.9% 6.2% 6.3% 7.1% 6.2% 7.2% 7.2% 7.8% 7.3% 6.5% 6.0% 4.6% 3.6% 6.7% 69,724 60,809 56,614 54,551 49,668 50,704 47,347 41,229 35,834 28,475 20,816 14,773 10,142 6,621 4,250 5,695 557,252 12.5% 10.9% 10.2% 9.8% 8.9% 9.1% 8.5% 7.4% 6.4% 5.1% 3.7% 2.7% 1.8% 1.2% 0.8% 1.0% 7,416 6,733 7,267 8,167 7,639 7,010 6,342 6,877 6,195 6,261 4,942 3,939 2,759 1,828 1,223 1,503 86,101 8.6% 7.8% 8.4% 9.5% 8.9% 8.1% 7.4% 8.0% 7.2% 7.3% 5.7% 4.6% 3.2% 2.1% 1.4% 1.7% 2,924 2,404 2,376 2,957 3,157 2,882 2,354 2,076 1,788 1,586 1,306 902 634 392 225 284 10.4% 8.5% 8.4% 10.5% 11.2% 10.2% 8.3% 7.3% 6.3% 5.6% 4.6% 3.2% 2.2% 1.4% 0.8% 1.0% 28,247 5,022 4,207 4,179 3,965 4,372 6,165 6,390 6,313 4,929 4,088 3,336 2,500 1,897 1,459 1,100 1,178 61,100 8.2% 6.9% 6.8% 6.5% 7.2% 10.1% 10.5% 10.3% 8.1% 6.7% 5.5% 4.1% 3.1% 2.4% 1.8% 1.9% 5,487 4,642 4,003 3,230 2,498 2,246 1,732 1,610 1,248 1,187 875 658 454 349 239 297 30,755 Source: United States Census, Population Estimates Division. Data on this page were used for calculating all rates (denominators) in this report for 2008. Maricopa County Health Status Report 2007-2011 Page 9 17.8% 15.1% 13.0% 10.5% 8.1% 7.3% 5.6% 5.2% 4.1% 3.9% 2.8% 2.1% 1.5% 1.1% 0.8% 1.0% 152,446 141,742 140,067 141,481 137,204 147,432 132,702 138,119 129,765 128,249 112,596 95,049 81,825 61,675 47,446 83,186 1,870,984 Maricopa County Population Statistics Table 1.09 Population By Race/Ethnicity, Age, and Sex, 2007 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. 152,649 138,269 138,452 138,246 135,984 280,126 268,723 234,462 171,505 103,729 63,342 18,356 1,843,843 % 8.3% 7.5% 7.5% 7.5% 7.4% 15.2% 14.6% 12.7% 9.3% 5.6% 3.4% 1.0% Females No. % 146,886 131,352 132,947 127,948 125,730 271,320 262,670 242,461 190,326 119,826 82,575 34,070 1,868,111 Total No. 7.9% 7.0% 7.1% 6.8% 6.7% 14.5% 14.1% 13.0% 10.2% 6.4% 4.4% 1.8% 299,535 269,621 271,399 266,194 261,714 551,446 531,393 476,923 361,831 223,555 145,917 52,426 3,711,954 Race/Ethnicity % 8.1% 7.3% 7.3% 7.2% 7.1% 14.9% 14.3% 12.8% 9.7% 6.0% 3.9% 1.4% Males No. % 59.9% 29.5% 4.4% 1.5% 3.1% 1.6% Females No. % White Hispanic African American American Indian Asian Multiple Races 1,103,761 543,147 81,968 27,994 57,802 29,171 1,141,252 522,960 78,760 31,356 64,014 29,769 Total 1,843,843 1,868,111 Multiple Races Total Age by Race/Ethnicity Age White Hispanic African American % No. American Indian Asian No. % No. % No. % No. % 0-4 123,651 5.5% 135,823 12.7% 14,062 8.7% 5,960 10.0% 9,627 7.9% 10,412 17.7% 299,535 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ 122,074 129,382 132,675 135,201 292,322 322,912 337,301 285,307 186,944 129,327 47,917 5.4% 5.8% 5.9% 6.0% 13.0% 14.4% 15.0% 12.7% 8.3% 5.8% 2.1% 114,496 108,097 100,121 93,830 189,458 147,478 92,629 48,405 22,429 10,527 2,814 10.7% 10.1% 9.4% 8.8% 17.8% 13.8% 8.7% 4.5% 2.1% 1.0% 0.3% 12,289 13,856 14,426 13,362 24,516 24,654 21,029 12,546 6,371 2,790 827 7.6% 8.6% 9.0% 8.3% 15.3% 15.3% 13.1% 7.8% 4.0% 1.7% 0.5% 4,559 4,810 5,772 6,532 11,355 8,353 6,474 3,419 1,399 570 147 7.7% 8.1% 9.7% 11.0% 19.1% 14.1% 10.9% 5.8% 2.4% 1.0% 0.2% 7,936 7,728 7,065 8,106 25,847 22,326 15,349 9,863 5,233 2,167 569 6.5% 6.3% 5.8% 6.7% 21.2% 18.3% 12.6% 8.1% 4.3% 1.8% 0.5% 8,267 7,526 6,135 4,683 7,948 5,670 4,141 2,291 1,179 536 152 14.0% 12.8% 10.4% 7.9% 13.5% 9.6% 7.0% 3.9% 2.0% 0.9% 0.3% 269,621 271,399 266,194 261,714 551,446 531,393 476,923 361,831 223,555 145,917 52,426 Total 2,245,013 1,066,107 160,728 59,350 121,816 58,940 Source: United States Census, Population Estimates Division. Data on this page were used for calculating all rates (denominators) in this report for 2007. 3,711,954 Maricopa County Health Status Report 2007-2011 Page 10 No. % No. 61.1% 28.0% 4.2% 1.7% 3.4% 1.6% Maricopa County Population Statistics Table 1.10 Population By Race/Ethnicity, Age, and Gender, 2007 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. 60,396 59,324 62,973 64,082 65,813 78,047 66,394 77,614 81,593 88,015 83,439 80,820 69,138 54,444 45,176 103,984 5.3% 5.2% 5.5% 5.6% 5.8% 6.8% 5.8% 6.8% 7.1% 7.7% 7.3% 7.1% 6.1% 4.8% 4.0% 9.1% 66,719 55,883 53,154 47,923 44,172 47,272 43,917 39,440 32,859 26,514 19,837 14,693 10,244 7,070 5,333 7,930 1,141,252 % 12.8% 10.7% 10.2% 9.2% 8.4% 9.0% 8.4% 7.5% 6.3% 5.1% 3.8% 2.8% 2.0% 1.4% 1.0% 1.5% 522,960 African American No. 6,918 5,925 6,772 6,750 6,069 6,259 5,647 6,087 5,890 5,689 4,705 3,742 2,605 1,957 1,513 2,232 % 8.8% 7.5% 8.6% 8.6% 7.7% 7.9% 7.2% 7.7% 7.5% 7.2% 6.0% 4.8% 3.3% 2.5% 1.9% 2.8% 78,760 American Indian No. 3,060 2,225 2,386 2,864 3,352 3,300 2,810 2,320 2,201 2,027 1,635 1,116 801 456 359 444 % Asian No. 9.8% 7.1% 7.6% 9.1% 10.7% 10.5% 9.0% 7.4% 7.0% 6.5% 5.2% 3.6% 2.6% 1.5% 1.1% 1.4% 31,356 4,704 4,037 3,899 3,302 3,933 6,490 6,981 6,660 5,097 4,506 3,940 3,368 2,552 1,705 1,185 1,655 Multiple Races % 7.3% 6.3% 6.1% 5.2% 6.1% 10.1% 10.9% 10.4% 8.0% 7.0% 6.2% 5.3% 4.0% 2.7% 1.9% 2.6% 64,014 No. 5,089 3,958 3,763 3,027 2,391 2,309 1,894 1,547 1,362 1,201 953 707 540 383 245 400 % 17.1% 13.3% 12.6% 10.2% 8.0% 7.8% 6.4% 5.2% 4.6% 4.0% 3.2% 2.4% 1.8% 1.3% 0.8% 1.3% 29,769 Total No. 146,886 131,352 132,947 127,948 125,730 143,677 127,643 133,668 129,002 127,952 114,509 104,446 85,880 66,015 53,811 116,645 1,868,111 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 63,255 62,750 66,409 68,593 69,388 78,781 69,100 81,498 82,207 86,847 79,000 72,748 62,601 48,019 39,305 73,260 1,103,761 5.7% 5.7% 6.0% 6.2% 6.3% 7.1% 6.3% 7.4% 7.4% 7.9% 7.2% 6.6% 5.7% 4.4% 3.6% 6.6% 69,104 58,613 54,943 52,198 49,658 51,769 46,500 40,557 34,622 26,873 19,405 14,044 9,424 6,094 3,932 5,411 543,147 12.7% 10.8% 10.1% 9.6% 9.1% 9.5% 8.6% 7.5% 6.4% 4.9% 3.6% 2.6% 1.7% 1.1% 0.7% 1.0% 7,144 6,364 7,084 7,676 7,293 6,398 6,212 6,514 6,163 5,939 4,696 3,711 2,488 1,759 1,142 1,385 81,968 8.7% 7.8% 8.6% 9.4% 8.9% 7.8% 7.6% 7.9% 7.5% 7.2% 5.7% 4.5% 3.0% 2.1% 1.4% 1.7% 2,900 2,334 2,424 2,908 3,180 2,851 2,394 2,043 1,789 1,591 1,221 913 589 373 211 273 10.4% 8.3% 8.7% 10.4% 11.4% 10.2% 8.6% 7.3% 6.4% 5.7% 4.4% 3.3% 2.1% 1.3% 0.8% 1.0% 27,994 4,923 3,899 3,829 3,763 4,173 6,074 6,302 5,935 4,634 3,860 3,043 2,241 1,702 1,379 964 1,081 57,802 8.5% 6.7% 6.6% 6.5% 7.2% 10.5% 10.9% 10.3% 8.0% 6.7% 5.3% 3.9% 2.9% 2.4% 1.7% 1.9% 5,323 4,309 3,763 3,108 2,292 2,129 1,616 1,483 1,278 1,128 859 626 418 326 225 288 18.2% 14.8% 12.9% 10.7% 7.9% 7.3% 5.5% 5.1% 4.4% 3.9% 2.9% 2.1% 1.4% 1.1% 0.8% 1.0% 29,171 Source: United States Census, Population Estimates Division. Data on this page were used for calculating all rates (denominators) in this report for 2007. Maricopa County Health Status Report 2007-2011 Page 11 152,649 138,269 138,452 138,246 135,984 148,002 132,124 138,030 130,693 126,238 108,224 94,283 77,222 57,950 45,779 81,698 1,843,843 Maricopa County Population Statistics Table 1.11 Maricopa County, Phoenix, and Arizona Population 1980-2011 Year City of Phoenix Maricopa County State of Arizona Source 1980 789,704 1,509,175 2,726,100 1980 U.S. Census 1985 NA 1,837,912 3,162,900 1985 Special Census 1990 983,403 2,122,101 3,680,800 1990 U.S. Census 1995 1,098,684 2,551,765 4,228,900 1995 Special Census 2000 1,321,045 3,072,149 5,130,632 2000 U.S. Census 2001 1,342,908 3,175,989 5,273,477 2000-2010 U.S. Intercensal Estimate 2002 1,357,196 3,255,388 5,396,255 2000-2010 U.S. Intercensal Estimate 2003 1,368,806 3,328,468 5,510,364 2004 1,386,945 3,417,860 5,652,404 2005 1,417,720 3,538,988 5,839,077 2006 1,441,241 3,642,884 6,029,141 2007 1,450,901 3,711,954 6,167,681 2008 1,456,729 3,771,061 6,280,362 2009 1,452,679 3,803,779 6,343,154 2010 1,445,632 3,817,117 6,392,017 2010 U.S. Census 2011 1,469,471 3,880,244 6,482,505 U.S. Census Estimates 1. 2000-2010 U.S. Intercensal Estimate 2000-2010 U.S. Intercensal Estimate 2000-2010 U.S. Intercensal Estimate 2000-2010 U.S. Intercensal Estimate 2000-2010 U.S. Intercensal Estimate 2000-2010 U.S. Intercensal Estimate 2000-2010 U.S. Intercensal Estimate Population estimates for Phoenix 2001-2009 are based on U.S. Census Estimates for 2009 and made prior to the 2010 Census. Maricopa County Health Status Report 2007-2011 Page 12 II. Maricopa County Five-Year Health Trends Maricopa County Health Status Report 2007-2011 Page 13 Maricopa County Five-Year Health Trends Table 2.01a Selected Underlying Causes of Death 2007-2011, Number of Deaths Cause of Death Infectious Diseases Tuberculosis Syphilis HIV Cancer Stomach Colon Pancreas Lung Breast Uterine & Ovarian Prostate Urinary Lymphoma Leukemia Other Cancer All Cancer Diabetes and Alzheimer's Diabetes Alzheimer's Major Heart Hypertensive Heart CardioDisease Disease vascular Ischemic Heart Disease Diseases Other Heart Disease All Heart Disease Other Primary Hypertension CardioCerebrovascular vascular Atherosclerosis Other Circulatory All Other Cardiovascular Other Respiratory Diseases Influenza & Pneumonia Chronic Lower Respiratory GI & Urinary Peptic Ulcer Liver Disease Nephritis Pregnancy & Early Life Pregnancy Perinatal Conditions Congenital Malformations SIDS Other Diseases Symptoms, Signs Other Diseases 1 External Causes Motor Vehicle Collisions All Other Accidents Suicide Homicide Other External Causes All External Causes Unknown Total 1 2007 5 0 71 99 506 345 1,370 395 251 288 265 201 234 1,369 5,323 583 1,454 Number of Deaths 2008 2009 2010 5 5 10 0 0 0 74 62 67 109 93 114 474 457 501 344 342 383 1,333 1,410 1,445 426 388 411 241 252 260 304 285 273 249 288 292 242 216 190 218 268 222 1,344 1,421 1,417 5,284 5,420 5,508 623 548 702 1,458 1,481 1,665 2011 7 1 60 116 494 394 1,409 422 298 294 307 214 221 1,479 5,648 1,000 1,732 432 4,138 947 5,517 229 1,114 60 208 1,611 456 385 4,249 838 5,472 326 1,118 87 188 1,719 539 423 4,132 864 5,419 318 1,068 80 171 1,637 519 370 3,957 816 5,143 317 1,084 66 199 1,666 296 423 4,145 790 5,358 505 1,086 62 178 1,831 234 1,407 33 356 214 6 197 141 22 572 3,770 505 1,190 551 329 80 2,655 16 24,409 1,504 25 382 173 6 183 133 22 447 3,690 427 1,253 535 277 69 2,561 1 24,301 1,444 26 383 197 4 168 126 18 565 3,896 355 1,241 529 212 78 2,415 5 24,338 1,463 40 386 180 8 144 114 16 751 3,839 336 1,243 548 219 93 2,439 1 24,438 1,710 35 428 94 3 150 120 17 809 3,687 358 1,304 589 202 87 2,540 0 25,464 Refer to the Technical Notes for an explanation of the sharp changes in these causes of death over time Maricopa County Health Status Report 2007-2011 Page 14 Maricopa County Five-Year Health Trends Table 2.01b Selected Underlying Causes of Death, 2007-2011 Crude Death Rate per 100,000 Residents Cause of Death Infectious Diseases Tuberculosis Syphilis HIV Cancer Stomach Colon Pancreas Lung Breast 1 Uterine & Ovarian 1 Prostate Urinary Lymphoma Leukemia Other Cancer All Cancer Diabetes and Alzheimer's Diabetes Alzheimer's Major CardioHeart Hypertensive Heart Disease vascular Disease Ischemic Heart Disease Diseases Other Heart Disease All Heart Disease Other Primary Hypertension CardioCerebrovascular vascular Atherosclerosis Other Circulatory All Other Cardiovascular Other Respiratory Influenza & Pneumonia Diseases Chronic Lower Respiratory GI & Urinary Peptic Ulcer Liver Disease Nephritis 1 Pregnancy & Early Life Pregnancy Perinatal Conditions Congenital Malformations 2 SIDS Other Diseases Symptoms, Signs Other Diseases 3 External Causes Motor Vehicle Collisions All Other Accidents Suicide Homicide Other External Causes All External Causes Unknown Total 2007 0.1 0.0 1.9 2.7 13.6 9.3 36.9 10.6 13.4 15.6 7.1 5.4 6.3 36.9 143.4 15.7 39.2 11.6 111.5 25.5 148.6 6.2 30.0 1.6 5.6 43.4 12.3 37.9 0.9 9.6 5.8 0.2 5.3 3.8 0.3 15.4 101.6 13.6 32.1 14.8 8.9 2.2 71.5 0.4 657.6 2008 0.1 0.0 2.0 2.9 12.6 9.1 35.3 11.3 12.7 16.3 6.6 6.4 5.8 35.6 140.1 16.5 38.7 10.2 112.7 22.2 145.1 8.6 29.6 2.3 5.0 45.6 14.3 39.9 0.7 10.1 4.6 0.2 4.9 3.5 0.4 11.9 97.9 11.3 33.2 14.2 7.3 1.8 67.9 0.0 644.4 Death Rate 2009 2010 0.1 0.3 0.0 0.0 1.6 1.8 2.4 3.0 12.0 13.1 9.0 10.0 37.1 37.9 10.2 10.8 13.1 13.5 15.1 14.5 7.6 7.6 5.7 5.0 7.0 5.8 37.4 37.1 142.5 144.3 14.4 18.4 38.9 43.6 11.1 9.7 108.6 103.7 22.7 21.4 142.5 134.7 8.4 8.3 28.1 28.4 2.1 1.7 4.5 5.2 43.0 43.6 13.6 7.8 38.0 38.3 0.7 1.0 10.1 10.1 5.2 4.7 0.1 0.2 4.4 3.8 3.3 3.0 0.3 0.3 14.9 19.7 102.4 100.6 9.3 8.8 32.6 32.6 13.9 14.4 5.6 5.7 2.1 2.4 63.5 63.9 0.1 0.0 639.8 640.2 2011 0.2 0.0 1.5 3.0 12.7 10.2 36.3 10.9 15.2 15.3 7.9 5.5 5.7 38.1 145.6 25.8 44.6 10.9 106.8 20.4 138.1 10.9 106.8 20.4 10.9 47.2 6.0 44.1 0.9 11.0 2.4 0.2 3.9 3.1 0.3 20.8 95.0 9.2 33.6 15.2 5.2 2.2 65.5 0 656.2 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 Refer to the Technical Notes for an explanation of the changes in these causes of death over time Maricopa County Health Status Report 2007-2011 Page 15 Maricopa County Five-Year Health Trends Table 2.02a Other Selected Underlying Causes of Death 2007-2011, Number of Deaths Number of Deaths Cause of Death 2007 2008 2009 2010 Infectious Diseases Clostridium difficile 87 75 96 103 Other Intestinal Infections 6 10 22 23 Septicemia 308 180 298 199 Viral Hepatitis 78 103 138 112 Coccidioidomycosis 20 9 22 22 Other Mycoses 17 17 18 12 Cancer Brain 133 135 163 149 Lip and Oral 66 69 59 63 Skin (Melanoma) 101 98 121 103 Ovarian 168 130 157 156 Testicular 5 5 6 5 Other Diseases Anemias 30 19 27 27 Nutritional Deficiencies 10 12 22 22 Obesity 49 39 50 90 Mental & Behavioral Disorders Due to 110 94 106 108 the Use of Alcohol Parkinson’s Disease 253 273 252 270 Multiple Sclerosis 43 42 38 47 Epilepsy 13 11 17 19 Cardiovascular Acute Myocardial Infarction 958 869 888 769 (Heart Attack) Congestive Heart Failure 186 138 143 130 Chronic Lower Respiratory Emphysema 148 130 109 120 Asthma 33 20 28 32 Liver Disease Alcoholic Liver Disease 220 259 262 299 Musculoskeletal Rheumatoid Arthritis 20 27 15 31 Lupus 16 14 7 12 Osteoporosis 7 8 6 6 Perinatal Conditions & Disorders Related to Short Gestation & 61 60 65 49 Congenital Malformations Low Birth Weight Congenital Malformations of the 46 35 47 36 Circulatory System Chromosomal Abnormalities 24 32 19 21 External Causes Falls 497 480 480 494 Drowning 53 45 54 52 1 Unintentional Poisoning 418 458 493 462 Exposure to Excessive Natural Heat 20 23 20 28 Legal Intervention 9 8 3 7 Accidental Discharge of Firearms 6 7 5 9 Discharge of Firearms, Undetermined 11 5 3 8 Intent Complications of Medical & Surgical 25 25 20 30 1 Care Refer to the Technical Notes for an explanation of the changes in these causes of death over time Maricopa County Health Status Report 2007-2011 Page 16 2011 94 13 107 128 13 7 155 77 102 164 6 27 26 83 109 312 41 19 860 108 79 57 335 41 12 11 42 38 18 516 54 480 36 6 4 4 29 Maricopa County Five-Year Health Trends Table 2.02b Other Selected Underlying Causes of Death 2007-2011, Crude Death Rate per 100,000 Residents Death Rate Cause of Death 2007 2008 2009 Infectious Diseases Clostridium difficile 2.3 2.0 2.5 Other Intestinal Infections 0.2 0.3 0.6 Septicemia 8.3 4.8 7.8 Viral Hepatitis 2.1 2.7 3.6 Coccidioidomycosis 0.5 0.2 0.6 Other Mycoses 0.5 0.5 0.5 Cancer Brain 3.6 3.6 4.3 Lip and Oral 1.8 1.8 1.6 Skin (Melanoma) 2.7 2.6 3.2 1 Ovarian 9.0 6.8 8.2 1 Testicular 0.3 0.3 0.3 Other Diseases Anemias 0.8 0.5 0.7 Nutritional Deficiencies 0.3 0.3 0.6 Obesity 1.3 1.0 1.3 Mental & Behavioral Disorders Due to 3.0 2.5 2.8 the Use of Alcohol Parkinson’s Disease 6.8 7.2 6.6 Multiple Sclerosis 1.2 1.1 1.0 Epilepsy 0.4 0.3 0.4 Cardiovascular Acute Myocardial Infarction 25.8 23.0 23.3 (Heart Attack) Congestive Heart Failure 5.0 3.7 3.8 Chronic Lower Respiratory Emphysema 4.0 3.4 2.9 Asthma 0.9 0.5 0.7 Liver Disease Alcoholic Liver Disease 5.9 6.9 6.9 Musculoskeletal Rheumatoid Arthritis 0.5 0.7 0.4 Lupus 0.4 0.4 0.2 Osteoporosis 0.2 0.2 0.2 Perinatal Conditions & Disorders Related to Short Gestation & 1.6 1.6 1.7 Congenital Malformations Low Birth Weight Congenital Malformations of the 1.2 0.9 1.2 Circulatory System Chromosomal Abnormalities 0.6 0.8 0.5 External Causes Falls 13.4 12.7 12.6 Drowning 1.4 1.2 1.4 2 Unintentional Poisoning 11.3 12.1 13.0 Exposure to Excessive Natural Heat 0.5 0.6 0.5 Legal Intervention 0.2 0.2 0.1 Accidental Discharge of Firearms 0.2 0.2 0.1 Discharge of Firearms, Undetermined 0.3 0.1 0.1 Intent Complications of Medical & Surgical 0.7 0.7 0.5 1 Care females; testicular cancer rates are per 100,000 males. Ovarian cancer rates are per 100,000 2 Refer to the Technical Notes for an explanation of the changes in these rates over time. Maricopa County Health Status Report 2007-2011 Page 17 2010 2.7 0.6 5.2 2.9 0.6 0.3 3.9 1.7 2.7 8.1 0.3 0.7 0.6 2.4 2.8 7.1 1.2 0.5 20.1 3.4 3.1 0.8 7.8 0.8 0.3 0.2 1.3 0.9 0.6 12.9 1.4 12.1 0.7 0.2 0.2 0.2 0.8 2011 2.4 0.3 2.8 3.3 0.3 0.2 4.0 2.0 2.6 8.4 0.3 0.7 0.7 2.1 2.8 8.0 1.1 0.5 22.2 2.8 2.0 1.5 8.6 1.1 0.3 0.3 1.1 1.0 0.5 13.3 1.4 12.4 0.9 0.2 0.1 0.1 0.7 Maricopa County Five-Year Health Trends Table 2.03a Firearm, Drug, and Alcohol Induced and Related Deaths 2007-2011 Number of Deaths Number of Deaths Cause of Death 2007 2008 2009 2010 2011 Firearm Related 550 511 447 486 510 Drug Induced 569 571 618 604 611 Drug Related, Including Tobacco 794 813 824 3,903 3,984 Drug Related, Excluding Tobacco 662 656 684 715 742 Alcohol Induced 354 386 407 447 474 Alcohol Related 557 595 631 680 721 Table 2.03b Firearm, Drug, and Alcohol Induced and Related Deaths 2007-2011 Crude Death Rate per 100,000 Residents Death Rate Cause of Death 2007 2008 2009 2010 2011 Firearm Related 14.8 13.6 11.8 12.7 13.1 Drug Induced 15.3 15.1 16.2 15.8 15.7 Drug Related, Including Tobacco 21.4 21.6 21.7 102.2 102.7 Drug Related, Excluding Tobacco 17.8 17.4 18.0 18.7 19.1 Alcohol Induced 9.5 10.2 10.7 11.7 12.2 Alcohol Related 15.0 15.8 16.6 17.8 18.6 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 2007-2011 Page 18 Maricopa County Five-Year Health Trends Table 2.04a Number of Confirmed and Probable Cases of Selected Diseases, 2007-2011 Number of Cases Disease Vaccine Preventable H. influenzae Measles Mumps Central Nervous System Enterics 2009 50 0 2010 62 0 2011 52 1 9 1 4 4 0 Pertussis Enceph Viral Other 197 236 409 698 11 7 1 2 4 Meningitis Viral/Aseptic 551 571 435 642 321 Meningococcal Meningitis 6 4 6 8 14 Amebiasis Botulism Campylobacteriosis 7 0 7 3 0 3 1 0 8 5 597 645 520 548 534 1 0 0 0 0 27 71 24 23 32 58 96 8 49 60 5 47 116 5 63 106 6 79 73 6 70 E. Coli O157.H7 Giardiasis Listeriosis Norovirus1, 2 Salmonella Paratyphi Salmonellosis Shigellosis Typhoid - 64 40 77 1 5 3 3 3 495 574 560 508 385 308 428 553 245 210 5 2 2 6 1 Mycosis Coccidioidomycosis 3,450 3,525 8,078 9,460 13,404 Zoonoses/ Vectorborne Brucellosis Dengue 4 2 2 6 3 4 5 5 7 3 Hantavirus Pulm. Syndrome 0 0 0 0 1 Lyme Disease 0 8 3 0 7 Malaria West Nile Virus Hepatitis A 7 68 10 90 9 19 20 115 17 45 Hepatitides Hepatitis B (Acute) 30 33 56 145 94 135 0 0 0 0 21 37 44 28 846 915 806 798 805 - 109 1,928 1,718 2,404 106 112 85 101 112 42 34 27 30 24 Strep Pneumo Invasive 514 574 474 423 434 Toxic Shock Syndrome 4 1 1 3 2 Vibrio spp. 7 12 9 13 16 Yersiniosis Hansen's Disease2 4 4 6 1 1 171 0 109 0 138 0 153 4 0 117 1,479 969 693 1,128 1,360 3,236 MRSA RSV 1, 2 Strep Group A Strep Group B (<90 Days) Genital Herpes2 2 Gonorrhea 3,173 2,135 2,264 2,290 Syphilis – Primary and Secondary2 192 234 160 159 Syphilis – All Others2 620 650 496 475 430 2 Chlamydia HIV2 AIDS2 All Others3 Total 70 115 0 Legionellosis Tuberculosis2 Sexually Transmitted Diseases 79 110 33 Hepatitis D Other 2 2008 56 0 182 Cholera Cryptosporidiosis 1 2007 46 0 200 14,544 404 348 48 13,426 376 386 290 14,658 337 346 316 15,616 290 320 194 16,723 28,666 26,931 33,677 36,204 43,175 Norovirus and respiratory syncytial virus (RSV) were not reported to health departments until April 2008. Confirmed cases only Maricopa County Health Status Report 2007-2011 Page 19 315 249 546 Maricopa County Five-Year Health Trends Table 2.04b Rates per 100,000 Residents for Selected Diseases, 2007-2011 Rate of Disease Disease Vaccine Preventable Central Nervous System Enterics 2007 0 0.1 0.1 0 Pertussis Enceph Viral Other 5.2 6.2 10.7 18.0 0.2 0 0.1 0.1 11.4 16.8 8.3 Meningococcal Meningitis 0.2 0.1 0.2 0.2 0.4 Amebiasis Botulism Campylobacteriosis 0.2 0 0.2 0.1 0 0.1 0 0 0.2 0.1 16.1 17.1 13.7 14.4 13.8 0 0 0 0 0 0.7 1.9 0.6 0.6 0.8 1.6 2.6 0.2 1.3 1.6 0.1 1.2 3 0.1 1.7 2.8 0.2 2.0 1.9 0.2 Meningitis Viral/Aseptic - 1.7 1.1 2 1.8 0 0.1 0.1 0.1 0.1 13.3 15.2 14.7 13.3 9.9 8.3 11.3 14.5 6.4 5.4 0.1 0.1 0.1 0.2 0 92.9 93.5 212.4 247.8 345.4 0.1 0.1 0.1 0.2 0.1 0.1 0.1 0.1 0.2 0.1 Hantavirus Pulm. Syndrome 0 0 0 0 0 Lyme Disease 0 0.2 0.1 0 0.2 0.2 1.8 0.3 2.4 0.2 0.5 0.5 3 0.4 1.2 2.1 1.9 0.8 0.9 1.4 3 3 3.8 2.5 3.5 Coccidioidomycosis Zoonoses/ Vectorborne Brucellosis Dengue Malaria West Nile Virus Hepatitis A Hepatitis B (Acute) 0 0 0 0 0 0.9 0.6 1 1.2 0.7 22.8 24.3 21.2 20.9 20.7 - 2.9 50.7 45 62.0 2.9 3 2.2 2.6 2.9 0.6 0.5 0.5 0.6 0.4 Strep Pneumo Invasive 13.8 15.2 12.5 11.1 11.2 Toxic Shock Syndrome 0.1 0 0 0.1 0.1 Vibrio spp. 0.2 0.3 0.2 0.3 0.4 Yersiniosis Hansen's Disease2 0.1 0.1 0.2 0 0.0 4.6 39.8 85.5 0 2.9 25.7 56.6 0 3.6 18.2 59.5 0 4.0 29.6 60.0 0.1 0 3.0 35.0 83.4 5.2 6.2 4.2 4.2 16.7 17.2 13.0 12.4 11.1 409.1 7.6 8.4 5.1 948.5 431.0 Hepatitis D Legionellosis MRSA RSV1, 2 Strep Group A Strep Group B 3 Genital Herpes2 Gonorrhea2 Syphilis – Primary and Secondary2 Syphilis – All Others 2 Chlamydia HIV2 AIDS2 3 1.3 0 15.1 Mycosis 2 1.6 0 0.3 Typhoid 1 1.3 0 14.8 Salmonellosis Shigellosis All Others3 Total 1.5 0 2011 4.9 Salmonella Paratyphi Tuberculosis2 Sexually Transmitted Diseases 2010 0.2 E. Coli O157.H7 Giardiasis Listeriosis Norovirus1, 2 Other 2009 H. influenzae Measles Mumps Cholera Cryptosporidiosis Hepatitides 2008 1.2 0 2 391.8 10.9 9.4 1.3 772.3 356.0 10.0 10.2 7.7 714.1 385.4 8.9 9.1 8.3 885.4 Norovirus and respiratory syncytial virus (RSV) were not reported to health departments until April 2008. Confirmed cases only Rates for Streptococcus Group B Invasive disease in infants <90 days are per 1,000 live births Maricopa County Health Status Report 2007-2011 Page 20 5.2 8.1 6.4 14.1 1,112.7 Maricopa County Five-Year Health Trends Table 2.05a Congenital Syphilis by Race/Ethnicity and Year Number of Cases, 2007-2011 Number of Cases Race/Ethnicity 2007 2008 2009 2010 2011 5 12 1 2 0 0 20 3 11 2 3 0 0 19 2 7 1 1 1 0 12 7 5 1 0 0 0 13 3 4 1 2 0 0 10 White Hispanic African American American Indian Asian Other/Unknown Total Table 2.05b Congenital Syphilis by Race/Ethnicity and Year Case Rates per 100,000 Live Births, 2007-2011 Rate of Diseasae Race/Ethnicity White Hispanic African American American Indian Asian Other/Unknown Total 2007 2008 2009 2010 2011 18.6 38.4 32.9 197 0 30.3 11.4 40.7 61.1 154.6 0 30.3 8.1 27.5 31.2 57.8 42.6 20.8 28.6 22.3 31.1 0 0 23.9 12.1 18.9 31.4 126.1 0 18.7 Table 2.06 Hansen’s Disease Prevalence Total number of cases reported in Maricopa County as of December 21, 2011 Gender Male Female Total 36 28 64 Age at Diagnosis 0-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65 and Older Unknown Total 3 0 2 0 12 4 13 15 15 0 64 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 2011. Maricopa County Health Status Report 2007-2011 Page 21 Maricopa County Five-Year Health Trends Table 2.07a Selected Maternal & Child Health Indicators, 2007-2011 Number of Live Births Maternal and Child Health Indicator Countywide Number of Live Births Indicators Number of Male Infants of Total Live Births Number of Live Births to Mothers With Selected Risk Factors 2011 53,361 31,950 29,499 27,649 27,284 17,406 14,430 12,073 10,704 Births to Women 10-19 Years Old 7,816 7,210 6,246 5,342 4,780 Births to Women 15-17 Years Old 2,664 2,548 2,044 1,652 1,377 Births to Women Over 35 Years Old 8,372 8,216 7,832 7,664 7,901 Births to Never Married Women 29,185 27,656 25,535 23,557 22,797 Tobacco Use During Pregnancy 2,495 2,592 2,332 2,245 1,997 265 320 247 237 267 111 127 128 154 143 2,255 2,563 2,296 2,326 2,444 49,387 43,933 39,202 35,811 34,803 11,873 13,820 13,194 12,598 11,217 Delivery Primary Cesarean Section via CRepeat Cesarean Section Section Preterm Births (Less than 37 Weeks) 10,413 9,804 8,822 8,463 8,075 7,545 7,722 7,567 6,895 7,104 6,991 6,583 6,032 5,366 5,116 Hospital Births 65,512 62,300 57,238 53,800 52,779 Method of Payment 34,403 32,972 30,613 28,906 27,981 320 267 221 182 214 29,238 27,610 25,084 23,408 23,418 1,695 1,501 1,372 1,485 1,525 Mothers with No Medical Risk Factors for Pregnancy Induced Labor AHCCCS IHS Private Insurance Self Prenatal Care None st 1 Trimester 2 nd 1,339 944 864 686 686 52,961 52,056 48,689 46,571 45,486 Trimester 9,708 8,046 6,698 5,638 5,697 3 Trimester 1,889 1,561 1,296 1,231 1,190 0 1,339 944 864 687 686 1-4 2,134 1,722 1,493 1,369 1,378 5-8 10,505 9,315 7,933 6,625 6,144 9-12 31,834 30,633 28,396 26,926 25,198 13+ 20,081 19,986 18,849 18,510 19,606 Singletons 64,065 60,810 55,944 52,594 51,832 Twins 1,762 1,748 1,633 1,592 1,471 Singleton Births Receiving Early & 1 Adequate Prenatal Care 45,626 44,803 41,988 40,007 39,578 3,365 3,768 3,841 3,429 2,950 297 350 267 217 178 818 714 690 575 658 Low (<2500g) 3,851 3,663 3,428 3,278 3,062 High (>4250g) 2,064 1,903 1,668 1,606 1,674 11 11 10 11 13 1 1 0 3 1 rd Number of Prenatal Care Visits Plurality 2 2010 54,235 19,707 Mother with Pre-Existing Diabetes 1 2009 57,655 33,829 Mother with Pre-Existing Cardiac Disease Number of Live Births with Selected Risk Factors Associated with the Neonate 2008 62,666 Mothers With <12 Years Education Alcohol Use During Pregnancy Number of Live Births With Selected Risk Factors Associated with Pregnancy 2007 65,930 Neonatal Intensive Care 1 Infants Transferred to Another Facility Birthweight Very Low (<1500g) Infants With a Neural Tube Defect 2 2 Infants With Fetal Alcohol Syndrome See the technical notes for an explanation of early and adequate prenatal care and infants transferred to another facility. Due to the collection method for these data, information is underestimated. Maricopa County Health Status Report 2007-2011 Page 22 Maricopa County Five-Year Health Trends Table 2.07b Selected Maternal & Child Health Indicator Percentages, 2007-2011 Percent of Live Births Maternal and Child Health Indicator Countywide Number of Live Births Indicators % Male Infants of Total Live Births 2007 2008 2009 2010 2011 65,930 62,666 57,655 54,235 54,235 51.3% 51.0% 51.2% 51.0% 51.1% 83.7 78.8 72.3 68.4 67.7 % Mothers With <12 Years Education 29.9% 27.8% 25.0% 22.3% 20.1% % Births to Women 10-19 Years Old 11.9% 11.5% 10.8% 9.8% 9.0% 1 Fertility Rate per 1,000 Women Age 15-44 Percentage of Live Births to Mothers With Selected Risk Factors Percentage of Live Births With Selected Risk Factors Associated with Pregnancy % Births to Women 15-17 Years Old 4.0% 4.1% 3.5% 3.0% 2.6% % Births to Women Over 35 Years Old 12.7% 13.1% 13.6% 14.1% 14.8% % Births to Never Married Women 44.3% 44.1% 44.3% 43.4% 42.7% % Tobacco Use During Pregnancy 3.8% 4.1% 4.0% 4.1% 3.7% % Alcohol Use During Pregnancy 0.4% 0.5% 0.4% 0.4% 0.5% % Mother with Pre-Existing Cardiac Disease % Mother with Pre-Existing Diabetes 0.2% 0.2% 0.2% 0.3% 0.3% 3.4% 4.1% 4.0% 4.3% 4.6% % Mothers with No Medical Risk Factors for Pregnancy % Induced Labor 74.9% 70.1% 68.0% 66.0% 65.2% 18.0% 22.1% 22.9% 23.2% 21.0% Delivery via C-Section Primary Cesarean Section 15.8% 15.6% 15.6% 15.9% 15.1% Repeat Cesarean Section 11.4% 12.3% 12.7% 12.9% 13.3% % Preterm Births (Less than 37 Weeks) 10.6% 10.5% 10.5% 9.9% 9.6% % Hospital Births 99.4% 99.4% 99.3% 99.2% 98.9% Method of Payment 52.2% 52.6% 53.1% 53.3% 52.4% AHCCCS IHS 0.5% 0.4% 0.4% 0.3% 0.4% 44.3% 44.1% 43.5% 43.2% 43.9% Self 2.6% 2.4% 2.4% 2.7% 2.9% None 2.0% 1.5% 1.5% 1.3% 1.3% Private Insurance Prenatal Care st 1 Trimester 80.3% 83.1% 84.4% 85.9% 85.2% Trimester 14.7% 12.8% 11.6% 10.4% 10.7% 3 Trimester 2.9% 2.5% 2.2% 2.3% 2.2% 0 2.0% 1.5% 1.5% 1.3% 1.3% 1-4 3.2% 2.7% 2.6% 2.5% 2.6% 5-8 15.9% 14.9% 13.8% 12.2% 11.5% 9-12 48.3% 48.9% 49.3% 49.6% 47.2% 13+ 30.5% 31.9% 32.7% 34.1% 36.7% Singletons 97.2% 97.0% 97.0% 97.0% 97.1% 2.7% 2.8% 2.8% 2.9% 2.8% 69.2% 71.5% 72.8% 73.8% 74.2% 5.1% 6.0% 6.7% 6.3% 5.5% 0.5% 0.6% 0.5% 0.4% 0.3% 1.2% 1.1% 1.2% 1.1% 1.2% 5.8% 5.8% 5.9% 6.0% 5.7% 2 nd rd Number of Prenatal Care Visits Plurality Twins % Singleton Births Receiving Early & 2 Adequate Prenatal Care Percentage of Live Births with Selected Risk Factors Associated with the Neonate Neonatal Intensive Care 2 % Infants Transferred to Another Facility Birthweight Very Low (<1500g) Low (<2500g) High (>4250g) % Infants With a Neural Tube Defect 3 % Infants with Fetal Alcohol Syndrome 1 2 3 3 3.1% 3.0% 2.9% 3.0% 3.1% 0.00% 0.00% 0.00% 0.02% 0.02% 0.00% 0.00% 0% 0.00% 0.00% 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 and infants transferred to another facility. Due to the collection method for these data, information is underestimated. Maricopa County Health Status Report 2007-2011 Page 23 Maricopa County Five-Year Health Trends Table 2.08 Number of Births by Maternal Indicators for Infant Mortality Rate Number of Live Births Maternal Indicators White Hispanic African American Mother’s Race American Indian Asian Other/Unknown <20 20-29 Mother’s Age 30-39 40 and Older Less than 6th Grade 6th-11th Grade Mother’s High School Diploma Education Level College or Higher Unknown <1,500 Grams 1,500-2,499 Grams 2,500-4,249 Grams Birthweight >4,249 Grams Unknown 2007 2008 2009 2010 2011 26,884 31,375 3,040 1,905 2,508 218 7,816 35,508 21,070 1,533 1,155 18,552 18,258 27,161 804 818 3,851 59,190 2,064 7 26,317 28,724 3,134 1,837 2,444 210 7,210 33,443 20,613 1,397 1,011 16,395 17,529 27,186 545 714 3,663 56,383 1,903 3 24,721 25,449 3,203 1,731 2,349 202 6,246 30,476 19,493 1,439 780 13,650 16,280 26,637 308 690 3,428 51,864 1,668 5 24,485 22,413 3,215 1,585 2,335 202 5,342 28,487 18,972 1,434 732 11,341 15,543 26,280 339 575 3,278 48,772 1,606 4 24,786 21,124 3,180 1,586 2,518 167 4,780 27,853 19,202 1,526 638 10,066 15,088 26,769 800 658 3,062 47,962 1,674 5 Table 2.09a Infant Mortality by Race/Ethnicity of Mother, 2007-2011 (Linked) Race/Ethnicity of Mother 2007 159 186 37 10 10 0 402 White Hispanic African American American Indian Asian Other/Unknown Total Number of Infant Deaths 2008 2009 2010 144 129 113 142 118 127 51 45 36 8 13 10 28 17 1 1 1 18 374 323 305 2011 126 120 30 11 1 17 305 Total 671 693 199 52 57 37 1,709 Table 2.09b Infant Mortality Rates by Race/Ethnicity of Mother, 2007-2011 (Linked) Infant Mortality per 1,000 Live Births Race/Ethnicity of Mother White Hispanic African American American Indian Asian Other/Unknown Total Infant Mortality Rate per 1,000 Live Births 2005 2006 2007 2008 2009 5.9 5.5 5.2 4.6 5.1 5.9 4.9 4.6 5.7 5.7 12.2 16.3 14.0 11.2 9.4 5.2 4.4 7.5 6.3 6.9 4.0 11.5 7.2 0.4 0.4 6.1 6.0 5.6 5.6 5.7 Total 5.3 5.4 12.6 6.0 4.7 5.8 Note: See Technical Notes at the end of this report for an explanation of linked and unlinked data. Maricopa County Health Status Report 2007-2011 Page 24 Maricopa County Five-Year Health Trends Table 2.10a Infant Mortality by Age of Mother, 2007-2011 (Linked) Age of Mother 2007 52 213 124 13 402 <20 20-29 30-39 40 and Older Total 2008 62 187 109 16 374 Number of Infant Deaths 2009 2010 44 37 176 176 92 84 11 8 323 305 2011 45 164 86 11 305 Total 240 916 495 59 1,709 Table 2.10b Infant Mortality Rates by Age of Mother, 2007-2011 (Linked) Infant Mortality per 1,000 Live Births Age of Mother Infant Mortality Rate per 1,000 Live Births 2008 2009 2010 2011 2007 <20 20-29 30-39 40 and Older Total 6.7 6.0 5.9 9.8 6.1 6.1 5.3 4.5 7.9 6.0 7.0 5.8 4.7 7.6 5.6 6.9 6.2 4.4 5.6 5.6 Total 9.4 5.9 4.5 7.2 5.7 7.6 5.9 5.0 8.1 5.8 Table 2.11a Infant Mortality by Educational Level of Mother, 2007-2011 (Linked) Education Level of Mother Number of Infant Deaths 2007 11 133 105 2008 9 103 139 2009 5 83 114 2010 3 79 94 2011 5 70 106 Total 33 468 558 College or Higher 142 118 119 124 118 621 Unknown Total 11 402 5 374 2 323 5 305 6 305 29 1,709 th Less Than 6 Grade th th 6 – 11 Grade High School Diploma Table 2.11b Infant Mortality Rates by Educational Level of Mother, 2007-2011 (Linked) Infant Mortality per 1,000 Live Births Infant Mortality Rate per 1,000 Live Births Education Level of Mother 2007 2008 2009 2010 2011 Total Less Than 6 Grade th th 6 – 11 Grade 9.5 7.2 8.9 6.3 6.4 6.1 4.1 7.0 7.8 7.0 7.6 6.7 High School Diploma 5.8 7.9 7.0 6.0 7.0 6.7 5.2 13.7 6.1 4.3 9.2 6.0 4.5 6.5 5.6 4.7 14.7 5.6 4.4 7.5 5.7 4.6 10.4 5.8 th College or Higher 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 2007-2011 Page 25 Maricopa County Five-Year Health Trends Table 2.12a Infant Mortality by Birthweight, 2007-2011 (Linked) Birthweight <1500 Grams 1500-2499 Grams 2500-4249 Grams >4249 Grams Unknown Total Number of Infant Deaths 2009 2010 174 152 44 40 100 109 2007 199 63 136 2008 189 64 118 4 3 4 0 402 0 374 1 323 2011 162 50 86 Total 876 261 549 3 6 20 1 305 1 305 3 1,709 Table 2.12b Infant Mortality Rates by Birthweight, 2007-2011 (Linked) Infant Mortality per 1,000 Live Births Birthweight 2007 Infant Mortality Rate per 1,000 Live Births 2008 2009 2010 2011 Total <1500 Grams 1500-2499 Grams 243.3 16.4 264.7 17.5 252.2 12.8 264.3 12.2 246.2 16.3 253.5 15.1 2500-4249 Grams 2.3 2.1 1.9 2.2 1.8 2.1 >4249 Grams 1.9 0 6.1 1.6 0 6.0 2.4 200.0 5.6 1.9 250.0 5.6 3.6 200.0 5.7 2.2 125.0 5.8 Unknown Total Table 2.13 Infant Mortality and Rates by Age of Infant, 2007-2011 (Linked & Unlinked) Number of Infant Deaths Neonatal (≤ 28 Days) Linked Postnatal (> 28 Days) Data Total 2007 2008 2009 2010 2011 286 116 402 254 120 374 220 103 323 198 107 305 203 102 305 Neonatal (≤ 28 Days) Postnatal (> 28 Days) Total 297 120 417 257 124 381 222 107 329 200 111 311 203 105 308 Infant Mortality Rates per 1,000 Live Births 2007 2008 2009 2010 2011 Linked Data Neonatal (≤ 28 Days) Postnatal (> 28 Days) Total 4.3 1.8 6.1 4.1 1.9 6.0 3.8 1.8 5.6 3.7 2.0 5.6 3.8 1.9 5.7 Unlinked Data Neonatal (≤ 28 Days) Postnatal (> 28 Days) Total 4.5 1.8 6.3 4.1 2.0 6.1 3.9 1.9 5.7 3.7 2.0 5.7 3.8 2.0 5.8 Unlinked Data Note: See Technical Notes at the end of this report for an explanation of linked and unlinked data. Maricopa County Health Status Report 2007-2011 Page 26 Maricopa County Five-Year Health Trends Table 2.14a Infant Mortality by Age of Infant and Race/Ethnicity of Mother, 2007-2011 (Linked) Linked Infant Mortality-Number of Infant Deaths White Hispanic African American Neonatal American Indian (≤ 28 Days) Asian Other/Unknown Total Postnatal (> 28 Days) White Hispanic African American American Indian Asian Other/Unknown Total 2007 2008 2009 2010 2011 107 142 23 6 8 0 286 91 100 33 5 24 0 254 82 84 28 11 14 1 220 75 83 23 5 0 12 198 86 79 22 3 0 13 203 52 43 14 4 2 0 116 53 41 18 3 4 1 120 47 34 17 2 3 0 103 38 44 13 5 1 6 107 40 41 8 8 1 4 102 Table 2.14b Infant Mortality Rates by Age of Infant and Race/Ethnicity of Mother, 2007-2011 (Linked) Infant Mortality per 1,000 Live Births Linked Infant Mortality-Infant Mortality Rate per 1,000 Live Births 2007 2008 2009 2010 2011 Neonatal (≤ 28 Days) White Hispanic African American American Indian Asian Other/Unknown Total 4.0 4.5 7.6 3.1 3.2 4.3 3.5 3.5 10.5 2.7 9.8 4.1 3.3 3.3 8.7 6.4 6.0 3.8 3.1 3.7 7.2 3.2 0 3.7 3.5 3.7 6.9 1.9 0 3.8 Postnatal (> 28 Days) White Hispanic African American American Indian Asian Other/Unknown Total 1.9 1.4 4.6 2.1 0.8 1.8 2.0 1.4 5.7 1.6 1.6 1.9 1.9 1.3 5.3 1.2 1.3 1.8 1.6 2.0 4.0 3.2 0.4 2.0 1.6 1.9 2.5 5.0 0.4 1.9 Note: See Technical Notes at the end of this report for an explanation of linked and unlinked data. Maricopa County Health Status Report 2007-2011 Page 27 Maricopa County Five-Year Health Trends Table 2.154a Infant Mortality by Race/Ethnicity of Infant, 2007-2011 (Unlinked) Race/Ethnicity of Infant 2007 132 225 40 9 7 0 417 White Hispanic African American American Indian Asian Other/Unknown Total 2008 122 167 51 8 20 2 370 Number of Infant Deaths 2009 2010 122 90 131 150 53 35 11 6 12 3 0 27 329 311 2011 104 146 27 7 3 11 308 Total 570 819 206 41 45 40 1,735 Table 2.15b Infant Mortality Rates by Race/Ethnicity of Infant, 2007-2011 (Unlinked) Infant Mortality per 1,000 Live Births Race/Ethnicity of Infant Infant Mortality Rate per 1,000 Live Births 2011 2007 2008 2009 2010 White Hispanic African American American Indian Asian Other/Unknown Total 4.9 7.2 13.2 4.7 2.8 6.3 4.6 5.8 16.3 4.2 8.2 6.0 4.9 5.1 16.5 6.4 5.1 5.7 3.7 6.7 10.9 3.8 1.3 5.7 4.2 6.9 8.5 4.4 1.2 5.8 Note: See Technical Notes at the end of this report for an explanation of linked and unlinked data. Maricopa County Health Status Report 2007-2011 Page 28 Maricopa County Five-Year Health Trends Table 2.16a Primary Diagnosis Groups, Inpatient Hospitalizations, 2007-2011 Number of Discharges Number of Inpatient Discharges Infectious and parasitic diseases Primary Diagnosis Septicemia 2007 Neoplasms 12,849 42,494 7,048 7,164 7,511 7,962 7,492 37,177 12,660 14,002 15,224 17,444 20,341 79,671 8,729 8,726 8,625 8,501 1,284 35,865 1,417 1,392 1,380 1,341 1,369 6,899 1,467 1,499 1,548 1,499 692 6,705 679 706 768 770 3,215 6,138 3,834 3,793 3,850 3,595 8,227 23,299 484 540 611 612 668 2,915 16,610 16,656 16,782 16,318 15,455 81,821 5,503 5,678 6,258 6,378 6,793 30,610 181 191 195 235 229 1,031 7,653 8,865 9,077 8,558 8,437 42,590 13,337 14,734 15,530 15,171 15,459 74,231 3,731 3,829 4,255 4,618 51 16,484 7,399 7,384 7,254 7,506 9,117 38,660 255 272 426 424 598 1,975 1,654 1,563 1,721 1,906 2,066 8,910 9,308 9,219 9,401 9,836 11,781 49,545 7,823 8,863 9,150 9,916 10,346 46,098 Malignant neoplasm of breast Neoplasms - Benign Neoplasms - Other Diabetes mellitus Volume depletion (dehydration) Other Endocrine, nutritional and metabolic diseases, and immunity disorders All Diseases of the blood and blood-forming organs Psychoses Alcohol dependence syndrome Other Mental disorders All Diseases of the nervous system and sense organs Total 9,482 Malignant neoplasm of trachea, bronchus & lung Diseases of the blood and bloodforming organs Mental disorders 2011 7,713 Malignant Neoplasm of large intestine & rectum Endocrine, nutritional and metabolic diseases, and immunity disorders 2010 6,838 Neoplasms - Other Malignant All 2009 5,612 Other Infectious and parasitic diseases All 2008 Diseases of the nervous system and sense organs (Continued) Maricopa County Health Status Report 2007-2011 Page 29 Maricopa County Five-Year Health Trends (Table 2.16a Continued) Number of Inpatient Discharges Diseases of the circulatory system 2007 2008 2009 2010 2011 7,097 9,564 10,584 11,590 12,010 50,845 5,169 5,293 5,107 5,360 5,271 26,200 10,972 10,150 9,395 7,593 6,172 44,282 369 331 344 335 333 1,712 8,042 8,975 9,031 9,466 9,386 44,900 6,058 3,742 2,746 2,280 1,514 16,340 9,446 9,932 9,935 10,179 10,092 49,584 10,019 10,724 11,067 11,373 10,916 54,099 57,172 58,711 58,209 58,176 55,694 287,962 2,466 2,805 2,774 3,148 3,162 14,355 9,461 9,673 10,527 10,077 10,096 49,834 3,392 4,580 5,020 5,230 5,550 23,772 4,343 4,895 5,528 5,327 4,831 24,924 9,692 11,080 12,035 10,738 11,532 55,077 29,354 33,033 35,884 34,520 35,171 167,962 5,108 5,189 5,202 5,061 4,640 25,200 3,391 3,417 3,675 4,031 3,938 18,452 655 621 665 896 886 3,723 30,534 31,317 33,629 36,017 35,587 167,084 39,688 40,544 43,171 46,005 45,051 214,459 1,756 2,068 2,338 2,663 2,707 11,532 19,915 20,664 20,755 20,304 19,423 101,061 21,671 22,732 23,093 22,967 22,130 112,593 Primary Diagnosis Heart disease Acute myocardial infarction Coronary atherosclerosis Other ischemic heart disease Cardiac dysrhythmias Congestive heart failure Cerebrovascular disease Other Diseases of the circulatory system All Diseases of the respiratory system Acute bronchitis and bronchiolitis Pneumonia Chronic bronchitis Asthma Other Diseases of the respiratory system All Diseases of the digestive system Appendicitis Noninfectious enteritis and colitis Cholelithiasis Other Diseases of the digestive system All Diseases of the genitourinary system Calculus of kidney and ureter Other Diseases of the genitourinary system Total All (Continued) Maricopa County Health Status Report 2007-2011 Page 30 Maricopa County Five-Year Health Trends (Table 2.16a Continued) Number of Inpatient Discharges Diseases of the skin and subcutaneous tissue 2007 2008 2009 2010 2011 7,602 8,184 8,587 9,198 9,277 42,848 1,128 1,195 1,272 1,311 1,294 6,200 8,730 9,379 9,859 10,509 10,571 49,048 8,932 9,317 10,146 10,796 10,815 50,006 2,763 2,786 2,998 3,176 2,981 14,704 8,707 9,072 9,375 10,266 9,872 47,292 20,402 21,175 22,519 24,238 23,668 112,002 1,881 1,855 1,812 1,578 41 7,167 2,971 2,817 2,462 2,130 65 10,445 22,652 22,229 21,354 23,295 196 89,726 3,075 3,163 3,319 3,326 10,007 22,890 9,504 9,240 9,749 10,020 3,441 41,954 3,704 4,104 4,304 4,601 4,774 21,487 21,055 20,539 21,714 22,952 22,279 108,539 37,338 37,046 39,086 40,899 40,501 194,870 3,498 3,570 5,293 4,142 3,242 19,745 3,242 3,168 3,242 2,978 2,922 15,552 6,740 6,738 8,535 7,120 6,164 35,297 29 0 1 1 0 0 308,259 312,068 323,563 336,327 344,740 341,412 Primary Diagnosis Cellulitis and abscess Other Diseases of the skin and subcutaneous tissue All Diseases of the musculoskeletal system and connective tissue Osteoarthrosis and allied disorders Intervertebral disc disorders Other - Diseases of the musculoskeletal system and connective tissue All Congenital anomalies Congenital anomalies Certain conditions originating in the perinatal period Certain conditions originating in the perinatal period Symptoms, signs, and ill-defined conditions Other Symptoms, signs, and ill-defined conditions Injury and poisoning Fracture of neck of femur Fractures, all other sites Poisonings Other Injury and poisoning All Other healthcare encounters Rehab Services Other healthcare encounters All Unknown Total Total Maricopa County Health Status Report 2007-2011 Page 31 Maricopa County Five-Year Health Trends Table 2.16b Primary Diagnosis Groups, Inpatient Hospitalizations, 2007-2011 Crude Hospitalization Rate per 100,000 Residents Infectious and parasitic diseases Neoplasms Primary Diagnosis Septicemia Other Infectious and parasitic diseases All Neoplasms - Other Malignant Malignant Neoplasm of large intestine & rectum Malignant neoplasm of trachea, bronchus & lung Malignant neoplasm of breast Neoplasms - Benign Endocrine, nutritional and metabolic diseases, and immunity disorders Diseases of the blood and blood-forming organs Mental disorders Neoplasms - Other All Diabetes mellitus Volume depletion (dehydration) Other Endocrine, nutritional and metabolic diseases, and immunity disorders All Diseases of the blood and blood-forming organs Psychoses Alcohol dependence syndrome Diseases of the nervous system and sense organs Other Mental disorders All Diseases of the nervous system and sense organs 2007 Rate of Inpatient Discharges 2008 2009 2010 2011 151.2 181.3 202.8 248.4 331.1 189.9 341.1 235.2 190.0 371.3 231.4 197.5 400.2 226.7 208.6 457.0 222.7 193.1 38.2 36.9 36.3 35.1 35.3 39.5 18.3 39.8 1.7 40.7 20.2 39.3 20.2 17.8 103.3 13.0 447.5 100.6 14.3 441.7 101.2 16.1 441.2 94.2 16.0 427.5 148.3 150.6 164.5 167.1 175.1 4.9 5.1 5.1 6.2 5.9 206.2 359.3 235.1 390.7 238.6 408.3 224.2 397.4 217.4 100.5 101.5 111.9 121.0 120.7 199.3 195.8 190.7 196.6 235.0 6.9 44.6 250.8 7.2 41.4 244.5 11.2 45.2 247.1 11.1 49.9 257.7 15.4 53.2 303.6 210.8 235.0 240.6 259.8 266.6 (Continued) Maricopa County Health Status Report 2007-2011 Page 32 524.2 33.1 82.9 212.0 17.2 398.3 398.4 Maricopa County Five-Year Health Trends (Table 2.16b Continued) Primary Diagnosis Diseases of the circulatory Heart disease system Acute myocardial infarction Coronary atherosclerosis Other ischemic heart disease Cardiac dysrhythmias Congestive heart failure Cerebrovascular disease Other Diseases of the circulatory system All Diseases of the respiratory Acute bronchitis and bronchiolitis system Pneumonia Chronic bronchitis Asthma Other Diseases of the respiratory system All Diseases of the digestive Appendicitis system Noninfectious enteritis and colitis Cholelithiasis Other Diseases of the digestive system All Diseases of the genitourinary Calculus of kidney and ureter system Other Diseases of the genitourinary system All Diseases of the skin and Cellulitis and abscess subcutaneous tissue Other Diseases of the skin and subcutaneous tissue All Diseases of the Osteoarthrosis and allied disorders musculoskeletal system and Intervertebral disc disorders connective tissue Other - Diseases of the musculoskeletal system and connective tissue All 2007 191.2 139.3 295.6 9.9 216.7 163.2 254.5 269.9 1,540.20 66.4 254.9 91.4 117.0 261.1 790.8 137.6 91.4 17.6 822.6 1,069.2 47.3 536.5 583.8 204.8 30.4 235.2 240.6 74.4 234.6 549.6 Rate of Inpatient Discharges 2008 2009 2010 253.6 278.2 303.6 140.4 134.3 140.4 269.2 247.0 198.9 8.8 9.0 8.8 238.0 237.4 248.0 99.2 72.2 59.7 263.4 261.2 266.7 284.4 290.9 297.9 1,556.90 1,530.30 1,524.10 74.4 72.9 82.5 256.5 276.8 264.0 121.5 132.0 137.0 129.8 145.3 139.6 293.8 316.4 281.3 876 943.4 904.3 137.6 136.8 132.6 90.6 96.6 105.6 16.5 17.5 23.5 830.5 884.1 943.6 1,075.1 1,135.0 1,205.2 54.8 61.5 69.8 548.0 545.6 531.9 602.8 607.1 601.7 217.0 225.7 241.0 31.7 33.4 34.3 248.7 259.2 275.3 247.1 266.7 282.8 73.9 78.8 83.2 240.6 246.5 268.9 561.5 592.0 635.0 (Continued) Maricopa County Health Status Report 2007-2011 Page 33 2011 309.5 135.8 159.1 8.6 241.9 39.0 260.1 281.3 1,435.3 81.5 260.2 143.0 124.5 297.2 906.4 119.6 101.5 22.8 917.1 1,161.0 69.8 500.6 570.3 239.1 33.3 272.4 309.5 135.8 159.1 8.6 Maricopa County Five-Year Health Trends (Table 2.16b Continued) Primary Diagnosis Congenital anomalies Congenital anomalies Certain conditions originating Certain conditions originating in the perinatal in the perinatal period periodSymptoms, signs, and ill-defined Symptoms, signs, and illOther defined conditions conditions Injury and poisoning Fracture of neck of femur Fractures, all other sites Poisonings Other Injury and poisoning All Other healthcare encounters Rehab Services Other healthcare encounters All Unknown Unknown Total 2007 50.7 80.0 610.2 82.8 256 99.8 567.2 1,005.9 94.2 87.3 181.6 0 8,407.1 Maricopa County Health Status Report 2007-2011 Rate of Inpatient Discharges 2008 2009 2010 49.2 47.6 41.3 74.7 64.7 55.8 589.5 561.4 610.3 83.9 87.3 87.1 245 256.3 262.5 108.8 113.2 120.5 544.6 570.9 601.3 982.4 1,027.6 1,071.5 94.7 139.2 108.5 84 85.2 78 178.7 224.4 186.5 0.0 0.0 0 8,580.2 8,841.9 9,031.4 Page 34 2011 278.7 76.8 254.4 610.0 45.8 49.6 533.4 257.9 88.7 123.0 574.2 0 8,798.7 Maricopa County Five-Year Health Trends Table 2.17a Primary Diagnosis Groups, Emergency Department, 2007-2011 Number of Visits Primary Diagnosis Septicemia Other Infectious and parasitic diseases All Neoplasms Neoplasms - Other Malignant Malignant Neoplasm of large intestine & rectum Malignant neoplasm of trachea, bronchus & lung Malignant neoplasm of breast Neoplasms - Benign Neoplasms - Other All Endocrine, nutritional and Diabetes mellitus metabolic diseases, and Volume depletion (dehydration) immunity disorders Other Endocrine, nutritional and metabolic diseases, and immunity disorders Infectious and parasitic diseases Diseases of the blood and blood-forming organs Mental disorders Diseases of the nervous system and sense organs All Diseases of the blood and bloodforming organs Other Mental disorders Psychoses Alcohol dependence syndrome All Diseases of the nervous system and sense organs Number of Emergency Department Visits 2011 2007 2008 2009 2010 87 91 77 104 125 24,462 24,818 30,090 22,126 23,130 24,549 24,909 30,167 22,230 23,255 353 282 324 355 405 Total 484 124,626 125,110 1,719 26 24 13 33 36 132 65 23 530 108 1,105 63 24 473 116 982 80 35 533 101 1,086 70 33 582 91 1,164 99 25 629 141 1,335 377 140 2,747 557 5,672 5,135 38 5,299 35 5,370 24 5,407 37 5,913 67 27,124 201 8,709 13,882 9,513 14,847 9,301 14,695 9,122 14,566 10,086 16,066 46,731 74,056 2,620 18,973 4,347 1,139 24,459 2,880 19,661 4,584 1,239 25,484 2,940 20,863 4,836 1,201 26,900 3,167 24,344 5,893 1,483 31,720 3,517 6,723 1,803 26,108 34,634 15,124 90,564 21,463 31,170 143,197 61,235 64,280 63,634 61,737 66,872 317,758 (Continued) Maricopa County Health Status Report 2007-2011 Page 35 Maricopa County Five-Year Health Trends (Table 2.17a Continued) Primary Diagnosis Diseases of the circulatory Heart disease system Acute myocardial infarction Coronary atherosclerosis Other ischemic heart disease Cardiac dysrhythmias Congestive heart failure Cerebrovascular disease Other Diseases of the circulatory system All Diseases of the respiratory Acute bronchitis and bronchiolitis system Pneumonia Chronic bronchitis Asthma Other Diseases of the respiratory system All Diseases of the digestive Appendicitis system Noninfectious enteritis and colitis Cholelithiasis Other Diseases of the digestive system All Diseases of the genitourinary Calculus of kidney and ureter system Other Diseases of the genitourinary system All Complications of pregnancy, Complications of pregnancy, childbirth, & the puerperium childbirth, & the puerperium Diseases of the skin and Cellulitis and abscess subcutaneous tissue Other Diseases of the skin and subcutaneous tissue All Number of Emergency Department Visits 2011 2007 2008 2009 2010 390 449 452 484 759 359 390 371 364 441 92 249 267 458 640 452 518 481 496 553 4,381 4,673 4,567 4,763 5,482 1,249 1,128 995 1,028 1,132 1,526 1,534 1,497 1,616 2,169 Total 2,534 1,925 1,706 2,500 23,866 5,532 8,342 10,117 18,566 10,995 19,936 11,339 19,969 12,204 21,413 13,987 25,163 58,642 105,047 12,429 11,943 1,705 14,974 15,174 11,740 1,938 15,581 15,160 14,087 1,754 16,428 12,915 11,944 1,976 16,174 14,986 12,097 2,419 16,263 70,664 61,811 9,792 79,420 65,915 106,966 572 10,517 61 43,552 54,702 10,435 68,978 113,411 712 11,353 88 44,699 56,852 10,751 83,517 130,946 749 10,930 89 46,634 58,402 10,868 63,189 106,198 1,016 10,856 91 48,672 60,635 10,705 72,370 118,135 1,655 10,367 156 53,868 66,046 11,301 353,969 575,656 4,704 54,023 485 237,425 296,637 54,060 50,893 61,328 51,543 62,294 53,002 63,870 55,414 66,119 59,082 70,383 269,934 323,994 32,139 25,006 31,401 24,534 30,830 23,835 29,694 24,405 32,458 24,616 156,522 122,396 16,683 41,689 17,061 41,595 16,783 40,618 17,081 41,486 17,796 42,412 85,404 207,800 (Continued) Maricopa County Health Status Report 2007-2011 Page 36 Maricopa County Five-Year Health Trends (Table 2.17a Continued) Primary Diagnosis Diseases of the Osteoarthrosis and allied disorders musculoskeletal system and Intervertebral disc disorders connective tissue Other - Diseases of the musculoskeletal system and connective tissue All Congenital anomalies Congenital anomalies Certain conditions originating Certain conditions originating in the in the perinatal period perinatal period Symptoms, signs, and illHeadache defined conditions Abdominal Pain Chest Pain Fever Nausea/vomiting Other Symptoms, signs, and illdefined conditions All Injury and poisoning Fracture of neck of femur Fractures, all sites Poisonings Injury and poisoning All Newborn Infant Newborn Infant Other Healthcare Encounters Other Healthcare Encounters Unknown Unknown Total Number of Emergency Department Visits 2011 2007 2008 2009 2010 516 535 507 559 583 940 1,076 1,085 1,089 1,267 Total 2,700 5,457 63,785 65,241 286 66,502 68,113 305 68,997 70,589 301 73,763 75,411 274 79,186 81,036 325 352,233 360,390 1,491 2,037 20,129 53,742 31,287 19,847 18,247 1,998 21,314 59,165 37,265 20,047 18,656 1,697 23,120 61,377 39,610 25,805 20,888 1,658 25,007 69,326 45,259 17,805 22,293 1,717 25,695 75,638 55,610 18,238 22,689 9,107 115,265 319,248 209,031 101,742 102,773 74,646 217,898 257 31,361 9,229 195,392 236,239 14 21,630 24 986,609 79,225 235,672 236 31,389 9,607 194,242 235,474 8 21,056 18 1,021,515 82,578 253,378 209 30,333 10,320 196,842 237,704 5 23,137 1 1,070,869 84,673 264,363 207 30,882 10,797 201,705 243,591 13 23,947 2 1,069,388 95,746 293,616 30,503 200 11,530 206,213 248,446 6 27,128 0 1,152,550 416,868 1,264,927 31,412 124,165 51,483 994,394 1,201,454 46 116,898 45 5,300,931 Maricopa County Health Status Report 2007-2011 Page 37 Maricopa County Five-Year Health Trends Table 2.17b Primary Diagnosis Groups, Emergency Department, 2007-2011 Crude Rates per 100,000 Residents Rate of Emergency Department Visits Infectious and parasitic diseases Primary Diagnosis Septicemia Other Infectious and parasitic diseases 2007 2.3 2008 2.4 2009 2.0 2010 2.7 2011 3.2 Neoplasms All Neoplasms - Other Malignant Malignant Neoplasm of large intestine & rectum 659.0 661.3 9.5 658.1 660.5 7.5 791.1 793.1 8.5 579.7 582.4 9.3 596.1 599.3 10.4 0.7 0.6 0.3 0.9 0.9 1.8 0.6 14.3 2.9 29.8 138.3 1.0 1.7 0.6 12.5 3.1 26.0 140.5 0.9 2.1 0.9 14.0 2.7 28.6 141.2 0.6 1.8 0.9 15.2 2.4 30.5 141.7 1.0 2.6 0.6 16.2 3.6 34.4 152.4 1.7 234.6 374.0 252.3 393.7 244.5 386.3 239.0 381.6 259.9 414.0 70.6 117.1 30.7 511.1 658.9 76.4 121.6 32.9 521.4 675.8 77.3 127.1 31.6 548.5 707.2 83.0 154.4 38.9 637.8 831.0 90.6 173.3 46.5 672.8 892.6 1,649.7 1,704.6 1,672.9 1,617.4 1,723.4 Maricopa County Health Status Report 2007-2011 Page 38 Malignant neoplasm of trachea, bronchus & lung 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 Malignant neoplasm of breast Neoplasms - Benign Neoplasms - Other All Diabetes mellitus Volume depletion (dehydration) Other Endocrine, nutritional and metabolic diseases, and immunity disorders All Diseases of the blood and blood-forming organs Psychoses Alcohol dependence syndrome Other Mental disorders All Diseases of the nervous system and sense organs (Continued) Maricopa County Five-Year Health Trends (Table 2.17b Continued) Rate of Emergency Department Visits Diseases of the circulatory system Primary Diagnosis Heart disease Acute myocardial infarction Coronary atherosclerosis Other ischemic heart disease Cardiac dysrhythmias Congestive heart failure Cerebrovascular disease Other Diseases of the circulatory system 2007 10.5 9.7 2.5 12.2 118.0 33.6 41.1 2008 11.9 10.3 6.6 13.7 123.9 29.9 40.7 2009 11.9 9.8 7.0 12.6 120.1 26.2 39.4 2010 12.7 9.5 12.0 13.0 124.8 26.9 42.3 2011 19.6 11.4 16.5 14.3 141.3 29.2 55.9 272.6 291.6 298.1 319.7 360.5 500.2 334.8 321.7 45.9 403.4 528.7 402.4 311.3 51.4 413.2 525.0 398.6 370.3 46.1 431.9 561.0 338.3 312.9 51.8 423.7 648.5 386.2 311.8 62.3 419.1 1,775.7 1,829.1 2,195.6 1,655.4 1,865.1 2,881.7 15.4 283.3 1.6 1,173.3 3,007.4 18.9 301.1 2.3 1,185.3 3,442.5 19.7 287.3 2.3 1,226.0 2,782.2 26.6 284.4 2.4 1,275.1 3,044.5 42.7 267.2 4.0 1,388.3 1,473.7 281.1 1,507.6 285.1 1,535.4 285.7 1,588.5 280.4 1,702.1 291.2 1,371.1 1,366.8 1,393.4 1,451.7 1,522.6 1,652.2 1,651.9 1,679.1 1,732.2 1,813.9 865.8 832.7 810.5 777.9 836.5 All Diseases of the respiratory system Acute bronchitis and bronchiolitis Pneumonia Chronic bronchitis Asthma Other Diseases of the respiratory system All Diseases of the digestive system Appendicitis Noninfectious enteritis and colitis Cholelithiasis Other Diseases of the digestive system All Diseases of the genitourinary system Calculus of kidney and ureter Other Diseases of the genitourinary system All Complications of pregnancy, childbirth, & the puerperium Complications of pregnancy, childbirth, & the puerperium (Continued) Maricopa County Health Status Report 2007-2011 Page 39 Maricopa County Five-Year Health Trends (Table 2.17b Continued) Rate of Emergency Department Visits Diseases of the skin and subcutaneous tissue Diseases of the musculoskeletal system and connective tissue Congenital anomalies Certain conditions originating in the perinatal period Symptoms, signs, and illdefined conditions Injury and poisoning Newborn Infant Other Healthcare Encounters Unknown Unknown Total Primary Diagnosis Cellulitis and abscess Other Diseases of the skin and subcutaneous tissue All Osteoarthrosis and allied disorders Intervertebral disc disorders Other - Diseases of the musculoskeletal system and connective tissue All Congenital anomalies Certain conditions originating in the perinatal period Headache Abdominal Pain Chest Pain Fever Nausea/vomiting Other Symptoms, signs, and ill-defined conditions All Fracture of neck of femur Fractures, all other sites Poisonings Other Injury and poisoning All Newborn Infant Other Healthcare Encounters 2007 673.7 2008 650.6 2009 626.6 2010 639.4 2011 634.4 449.4 1,123.1 13.9 25.3 452.4 1,103.0 14.2 28.5 441.2 1,067.8 13.3 28.5 447.5 1,086.8 14.6 28.5 458.6 1,093.0 15.0 32.7 1,718.4 1,757.6 7.7 1,763.5 1,806.2 8.1 1,813.9 1,855.8 7.9 1,932.4 1,975.6 7.2 2,040.7 2,088.4 8.4 54.9 542.3 1,447.8 842.9 534.7 491.6 2,011.0 5,870.2 6.9 844.9 248.6 5,263.9 6,364.3 0.4 582.7 0.6 26,579.2 53.0 565.2 1,568.9 988.2 531.6 494.7 2,100.9 6,249.5 6.3 832.4 254.8 5,150.9 6,244.2 0.2 558.4 0.5 27,088.3 44.6 607.8 1,613.6 1,041.3 678.4 549.1 2,170.9 6,661.2 5.5 797.4 271.3 5,174.9 6,249.2 0.1 608.3 0 28,152.8 43.4 655.1 1,816.2 1,185.7 466.5 584.0 2,218.2 6,925.7 5.4 809.0 282.9 5,284.2 6,381.5 0.3 627.4 0.1 28,015.6 44.2 662.2 1,949.3 1,433.2 470.0 584.7 2,467.5 7,566.9 786.1 5.2 297.1 5,314.4 6,402.8 0.2 699.1 0 29,703.0 Maricopa County Health Status Report 2007-2011 Page 40 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 Maricopa County population for 2001 through 2009 is from the U.S. Census Bureau, 2000-2010 Intercensal Population Estimates by Age, Sex, Race and Hispanic Origin released October 2012. This is at Population Estimates: County Intercensal Estimates (2000-2010): Annual Population Estimates - U.S Census Bureau. The population for 2010 is from the U.S. Census Bureau, 2010 Census by Age, Sex, Race and Hispanic Origin released July 21, 2011. This is at http://www2.census.gov/census_2010/03-Demographic_Profile/Arizona/az2010.dp.zip. The population for 2011 is from the U.S. Census Bureau, County Population Estimates by Age, Sex, Race, and Hispanic Origin for July 1, 2011 released May 2012. This is at http://www.census.gov/popest/data/counties/asrh/2011/files/CC-EST2011-6RACE-04.csv. The Arizona population for 2001 through 2009 is from the U.S. Census Bureau, 2000-2010 Intercensal Population Estimates and can be found http://www.census.gov/popest/data/intercensal/state/ST-EST00INT-02.html. The population for 2010 is from the U.S. Census Bureau 2010 Census and can be found http://www2.census.gov/census_2010/03-Demographic_Profile/Arizona/az2010.dp.zip. The population for 2011 is from the U.S. Census Bureau, State Population Estimates by Age, Sex, Race, and Hispanic Origin for July 1, 2011 released December 2011. This is at http://www.census.gov/popest/data/state/totals/2011/index.html. The Phoenix population for 2001-2009 is from http://www.census.gov/popest/cities/files/SUBEST2009_ALL.csv. The population for 2010 is from the U.S. Census Bureau 2010 Census and can be found http://www2.census.gov/census_2010/03-Demographic_Profile/Arizona/az2010.dp.zip. The population for 2011 is from the U.S. Census Bureau, City and Town Population Estimates by Age, Sex, Race, and Hispanic Origin for July 1, 2011 released June 2012. This is at http://www.census.gov/popest/data/cities/totals/2011/files/SUB-EST2011_4.csv. The population estimates used in this report for 2007-2009 are from the U.S. Census and based on the Census 2000 and Census 2010 population. Previous reports used population estimates based only on the Census 2000 population. The population for a community, such as Maricopa County, changes as a result of births, deaths, and migration (moving into or out of the location). Although it is relatively easy to measure the change in population due to births and deaths, it is more difficult to measure the change due to migration. Due to this difficulty, previous reports used an overestimation of the population. Many of the rates shown use population estimates as the denominator (e.g., 50 cases of disease for every 100,000 people). Therefore, a rate that uses an overestimated population will make the disease burden appear smaller than it truly is and vice versa. If comparing the rates reported in this report to the rates reported in earlier reports, they may see an increase in the rates for each year. Rates reported in this report are more reliable than rates reported in previous reports for 2007 through 2009. The intercensal population estimates for 2007-2009 were revised in October 2012 from the originally published numbers in September 2011. The overall total populations for each year were not revised, rather the population totals for specific demographical groups were revised. Therefore, the population numbers published in the 2001-2010 Ten Year Health Trends are different from the population numbers published in this report. The total population rates for 2007-2009 did not change. This report defines “Hispanic” as all respondents listing Hispanic, either alone or in combination with any race. The Hispanic and American Indian categories in this report are slightly different Maricopa County Health Status Report 2007 – 2011 Page 43 from previous Maricopa County Health Status Reports. Previously, American Indians who identified their origin as either Hispanic or non-Hispanic were counted as American Indians. In this report, only American Indians who identified their origin as non-Hispanic were placed in the American Indian category. Hence, all individuals whose origin was Hispanic, regardless of race, were placed in the Hispanic group. In order to allow comparisons across years, the same method was used for all years (2007-2011) in this report. 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 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) Hispanic Race=1,2,3,4,5,6 Origin=2 (Hispanic) 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 through 1.10. 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. 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 1.10), 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 actual number of cases or deaths in addition to the rates. Tables 2.05b, 2.09b, 2.14b, and 2.15b do not provide a rate for the category labeled “Other/Unknown Race/Ethnicity.” Since the U.S. Census Bureau does not report data on people of ‘Other/Unknown Race/Ethnicity,’ there is no denominator to use for calculating the rate. Mortality (Death) Statistics Mortality (death) statistics are shown in Tables 2.01a through 2.03b. 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. Maricopa County Health Status Report 2007 – 2011 Page 44 During the course of routine data review, several deaths each year 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). One death in 2010 was voided and 3 infant deaths in 2011 were found to be fetal deaths and deleted. Therefore, the numbers presented in this report may not precisely match those presented by ADHS in other reports. 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 2.01a through 2.02b show sharp changes in the number and rates of deaths attributed to unintentional falls, unintentional poisonings, and motor vehicle accidents. These sharp changes have resulted in a shift in the order of leading causes of accidental deaths. Historically, motor vehicle accidents have been the most common, but in 2008 it dropped to the third highest rank for Maricopa County residents. These changes may be artifacts of the mortality specification and coding systems and not real changes in the actual incidence of these events or they may be due to changes in the incidence of these events. This decrease in motor vehicle accidents is being seen nationwide. Causes of death due to external events, as opposed to those intrinsically related to disease processes, are subject to many sources of variability:    th Causes of deaths may be translated into International Classification of Diseases, 10 Revision (ICD-1) codes by different method, i.e., electronically or manually 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, such as suicides, as unintentional, or accidental injuries Further investigation into the reasons for these changes for the other causes of death is ongoing. 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, Tenth Revision (ICD-10). Causes of death are classified by ICD-10 codes. The codes used for each category are listed in Table 3.2 below. Table 3.2 ICD-10 Codes Used for This Report Cause Clostridium difficile Salmonella & Other Intestinal Infections Tuberculosis Septicemia Syphilis HIV Disease Viral Hepatitis Coccidioidomycosis Other Mycoses 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 (Table Continues) Maricopa County Health Status Report 2007 – 2011 Page 45 (Table 3.2, Continued) 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 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 C00-C97 C00-C14 C16 C18-C21 C25 C33-C34 C43 C50 C53-C56 C56 C61 C62 C64-C68 C70-C72 C82-C85 C91-C95 C00-C15, C17, C22-C24, C26-C32, C37-C49, C51-C52, C57-C60, C62C63, C69-C81, C88, C90, C96-97 D56-D64 E10-E14 E40-E64 E66 F10 G20-G21 G30 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 (Table Continues) Maricopa County Health Status Report 2007 – 2011 Page 46 (Table 3.2, Continued) 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 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 K70 M05-M08 M32 M80-M81 N00-N07, N17-N19, N25-N27 O00-O99 P00-P96 P07 Q00-Q99 Q20-Q28 Q90-Q99 R95 R00-R94, R96-R99 A00-A09, A20-A49, A54-B19, B25B99, D00-E07, E15-G25, G31-H93, I80-J06, J20-J39, J60-K22, K29-K66, K71-K72, K75-M99, N10-N15N20N23, N28-N98 V02-V04, V09.0, V09.2, V12-V14, V19.0 - V19.2, V19.4-V19.6, V20V79, V80.3-V80.5, V81.0-V81.1, V82.0-V82.1, V83-V86, 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, V19.8V19.9, 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 V90X29, 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, F12.0F12.5, F12.7-F12.9, F13.0-F13.5, F13.7-F13.9, F14.0-F14.5, F14.7F14.9, F15.0-F15.5, F15.7-F15.9, (Table Continues) Maricopa County Health Status Report 2007 – 2011 Page 47 (Table 3.2, Continued) Alcohol Induced or Related 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, F19.7-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 chosen for this report are based on the 113 selected causes of death reported by NCHS in their annual report. Due to an increase in the number of deaths due to Clostridium difficile, NCHS has also added this cause of death to their 113 selected causes of death. A few additional causes of death, like coccidioidomycosis, have been selected due to their importance in Arizona. 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 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 underlying cause of death, i.e., death due to dehydration resulting from environmental exposure, with chronic drug use noted elsewhere on the certificate. 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. 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. Two of the changes directly impacted the data presented in this report, deaths due to pregnancy and deaths involving tobacco. 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 including tobacco. 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. Maricopa County Health Status Report 2007 – 2011 Page 48 Communicable Disease (Morbidity) Statistics Communicable disease statistics are shown in Tables 2.04a through 2.06. 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. Other reports or press releases 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 Hansen’s disease only, tables include residents from various counties in Arizona, regardless of where the disease was acquired. All data on communicable diseases are new cases for each specific year from the ADHS final annual data files. There are several exceptions: data on 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. 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. Primary and secondary syphilis are 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. Congenital syphilis details may be found in Tables 2.05a and 2.05b. 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. 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. Comparison of hepatitis B cases from 2007-2011 to previous years will show a decrease in the total number of cases. This decrease is most likely due to changes in the investigation of the disease and not due to a change in the communicability of the disease in Maricopa County. A sharp decrease in the number of reported cases of genital herpes occurred in 2009. A review of the cases indicated a large decrease in the number of laboratory reported cases. Although no explanation for this decrease has been identified, it is not believed to be due to an actual decrease in the incidence of disease in the community. Maricopa County Health Status Report 2007 – 2011 Page 49 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. Beginning in April 2008, two diseases were added to the list of diseases that medical providers and laboratories must report: norovirus and respiratory syncytial virus (RSV). No counts exist for years earlier than 2008. Counts for RSV are much lower in 2008 because the number of RSV cases usually peak around January or February and reporting did not begin until April which was after the peak. Natality (Birth) Statistics Natality (birth) statistics are shown in Tables 2.07a through 2.08. All data on natality are from the Arizona Department of Health Services (ADHS) final annual files. The data presented in this report are from birth certificates where the mother’s county of residence is Maricopa County. This includes births that did not occur in Maricopa County. 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. Therefore, some births that occurred outside of Arizona are included in Maricopa County’s final year end statistics even though the county and city of residence are unknown. 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. 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 births (the birth of one baby rather than twins, triplets or other multiple 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 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. 1 Kotelchuck, M. An Evaluation of the Kessner Adequacy of Prenatal Care Index and a Proposed Adequacy of Prenatal Care Utilization Index, American Journal of Public Health, 1994; 84(9):1414-1420. Maricopa County Health Status Report 2007 – 2011 Page 50 Infant Mortality Statistics Infant mortality statistics are shown in Tables 2.09a through 2.15b. 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. 2 The following definitions related to reproductive health have been established by NCHS : 2 3  Birth or Live Birth – The complete expulsion or extraction from the mother of a product of human conception, irrespective of the duration of pregnancy or birthweight which, after such expulsion or extraction, breathes or shows any other evidence of life such as beating of the heart, pulsation of the umbilical cord or definite movement of voluntary muscles, whether or not the umbilical cord has been cut or the placenta is attached.  Fertility Rate – Number of live births during a calendar year per 1,000 women age 15 to 44.  Births to Teenage Mothers − Live births occurring to females under age twenty.  Birth Weight – The weight of a neonate determined immediately after delivery or as soon thereafter as possible.  Low Birthweight – Any neonate weighing less than 2,500 grams at birth (less than 5 pounds, 8 ounces).  Very Low Birthweight – Any neonate weighing less than 1,500 grams at births (less than 3 pounds, 4 ounces).  Preterm – Any neonate whose birth occurs through the end of the last day of the 37 th week (259 day), following onset of the last menstrual period.  Infant Death – Any death at any time from birth up to, but not including, the first year of age (<365 days).  Infant Mortality Rate – Number of infant deaths per 1,000 live births.  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.  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 3 NCHS guidelines were adopted from those established by the World Health Organization (WHO). The Arizona statute defining a live birth follows this definition. Maricopa County Health Status Report 2007 – 2011 Page 51 th 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. Hospital Discharge Statistics Hospital Discharge statistics are shown in Tables 2.16a through 2.17b. Hospital Discharge Data (HDD) is submitted by Arizona Hospitals to Arizona Department of Health Services (ADHS). Data is submitted by half years, with the first half (January 1 – June 30) is due August 15 of the same year and the second half (July 1 – December 31) is due by th February 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. This dataset only contains hospitalizations from facilities within the state of Arizona. Hospitalizations of Maricopa Residents that occur outside of Arizona are not captured. HDD provides an address for each patient but does not include information about the county of residence. In order to select Maricopa County Residents, an algorithm was derived to determine residence based on city, state, and ZIP code. The list of cities and ZIP codes within Maricopa County are based on a national ZIP code database that is updated regularly with new ZIP codes and cities (U.S. ZIP code Database – Business version from: http://www.zip-codes.com/zip-codedatabase.asp). The algorithm is available by contacting the Office of Epidemiology by email at epidemiology@mail.maricopa.gov. 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. The data reported in this report includes hospital discharge data from 2007-2011. Data from earlier years were unavailable. 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. 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 3.3 ICD-9-CM Codes Used for This Report Category of Principal Diagnoses Infectious and parasitic diseases Septicemia Neoplasms Malignant neoplasms Malignant neoplasm - large intestine & rectum Malignant neoplasm - trachea, bronchus, & lung Malignant neoplasm - breast Benign neoplasms 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 (Table Continues) Maricopa County Health Status Report 2007 – 2011 Page 52 (Table 3.3, Continued) Category of Principal Diagnoses Endocrine, nutritional & metabolic diseases, & immunity disorders Diabetes mellitus Volume depletion (dehydration) Diseases of the blood and blood-forming organs Mental disorders Psychoses Alcohol dependence syndrome Diseases of the nervous system and sense organs Diseases of the circulatory system Heart disease Acute myocardial infarction Coronary atherosclerosis Other ischemic heart disease Cardiac dysrhythmias Congestive heart failure Cerebrovascular disease Diseases of the respiratory system Acute bronchitis and bronchiolitis Pneumonia Chronic bronchitis Asthma Diseases of the digestive system Appendicitis Noninfectious enteritis and colitis Cholelithiasis Diseases of the genitourinary system Calculus of kidney and ureter Complications of pregnancy, childbirth, and the puerperium Diseases of the skin and subcutaneous tissue Cellulitis and abscess Diseases of the musculoskeletal system and connective tissue Osteoarthrosis and allied disorders Intervertebral disc disorders Congenital anomalies Certain conditions originating in the perinatal period Symptoms, signs, and ill-defined conditions Injury and poisoning Fractures, all sites Fracture of neck of femur Poisonings Other healthcare encounters ICD-9-CM Code 240–279 250 277 280–289 290–319 290–299 303 320–389 390–459 391–392.0,393– 398,402,404,410– 416,420–429 410 414 411–413,414.1–414.9 427 428.0 430–438 460–519 466 480-486 491 493 520-579 540–543 555–558 574 580–629 592 630–677 680–709 681–682 710–739 715 722 740–759 760–779 780–799 800–999 800–829 820 960–989 990–999 Maricopa County Health Status Report 2007 – 2011 Page 53 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/publichealth/default.aspx 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 United States Census Bureau: www.census.gov Maricopa County Health Status Report 2007 – 2011 Page 54