Maricopa County Health Status Report 2008-2012 Five Year Trends Reference Tables Prepared by the Maricopa County Department of Public Health Office of Epidemiology September. 2014 Maricopa County Acknowledgements This report was prepared by the Maricopa County Department of Public Health (MCDPH), Office of Epidemiology. Keely Clary, Return on Investment Epidemiologist Hovi Nguyen, Epidemiologist Tom Hulse, Epidemiologist Bianca Salas, Communicable Disease Investigator Jackie Ward, Epidemiologist Supervisor Kate Goodin, Epidemiology Manager Rebecca Sunenshine, Medical Director and Administrator of Disease Control Division The authors wish to thank the following individuals and organizations for contributing numeric data, consultation, and other information used in this report. Their assistance is much appreciated. Tammy Sylvester, Ron Klein, Vjollca Berisha– Maricopa County Department of Public Health Office of Epidemiology Tom Mickey, Siru Prasai, Angelito Bravo, Matthew Parker Maricopa County Department of Public Health, Division of Clinical Services Julia Skinner, Nicholas Bishop, Donna Courtney, Teresa Jue, Jonathan Gonzales, Judy Bass, and James Blackwell, Arizona Department of Health Services For additional copies of this report, please call the Maricopa County Department of Public Health, Office of Epidemiology at 602.372.2605. This report may also be found at http://www.maricopa.gov/publichealth/Services/EPI/Reports/ under “Health 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 2008-2012, Five Year Trends: Reference Tables. Phoenix (AZ): 2014. Maricopa County Health Status Report 2008-2012 Five Year Trends: Reference Tables Table of Contents Introduction 1 I. Maricopa County Population Statistics – 2008-2012 Tables 2 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, 2012 Population Estimates by Sex, Age, and Race/Ethnicity, 2012 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 Maricopa County, Phoenix, and Arizona Population 1980-2012 3 4 5 6 7 8 9 10 11 12 13 II. Maricopa County Five-Year Health Trends 14 Table 2.01a Table 2.01b Table 2.02a Table 2.02b Selected Underlying Causes of Death 2008-2012, Number of Deaths Selected Underlying Causes of Death 2008-2012, Crude Death Rate per 100,000 Residents Other Selected Underlying Causes of Death 2008-2012, Number of Deaths Other Selected Underlying Causes of Death 2008-2012, Crude Death Rate per 100,000 Residents Firearm, Drug, and Alcohol Induced and Related Deaths 2008-2012, Number of Deaths Firearm, Drug, and Alcohol Induced and Related Deaths 2008-2012, Crude Death Rate per 100,000 Residents Selected Maternal & Child Health Indicators, 2008-2012 Selected Maternal & Child Health Indicator Percentages, 2008-2012 Number of Births by Maternal Indicators for Infant Mortality Rate 2008-2012 Infant Mortality by Race/Ethnicity of Mother, 2008-2012 (Linked) Infant Mortality Rates by Race/Ethnicity of Mother, 2008-2012 (Linked), Infant Mortality per 1,000 Live Births Infant Mortality by Age of Mother, 2008-2012 (Linked) Infant Mortality Rates by Age of Mother, 2008-2012 (Linked), Infant Mortality per 1,000 Live Births Infant Mortality by Educational Level of Mother, 2008-2012 (Linked) Infant Mortality Rates by Educational Level of Mother, 2008-2012 (Linked), Infant Mortality per 1,000 Live Births Infant Mortality by Birth weight, 2008-2012 (Linked) Infant Mortality Rates by Birth weight, 2008-2012 (Linked), Infant Mortality per 1,000 Live Births Infant Mortality and Rates by Age of Infant, 2008-2012 (Linked & Unlinked) Infant Mortality by Age of Infant and Race/Ethnicity of Mother, 2008-2012 (Linked) Infant Mortality Rates by Age of Infant and Race/Ethnicity of Mother, 2008-2012 (Linked), Infant Mortality per 1,000 Live Births Infant Mortality by Race/Ethnicity of Infant, 2008-2012 (Unlinked) 15 16 17 18 Table 2.03a Table 2.03b Table 2.04a Table 2.04b Table 2.05 Table 2.06a Table 2.06b Table 2.07a Table 2.07b Table 2.08a Table 2.08b Table 2.09a Table 2.09b Table 2.10 Table 2.11a Table 2.11b Table 2.12a 19 19 20 21 22 22 22 23 23 24 24 25 25 25 26 26 27 Maricopa County Health Status Report 2008-2012 Five Year Trends: Reference Tables Table of Contents Table 2.12b Table 2.13a Table 2.13b Table 2.14a Table 2.14b Table 2.15 Table 2.16a Table 2.16b Table 2.17a Table 2.17b III. Infant Mortality Rates by Race/Ethnicity of Infant, 2008-2012 (Unlinked), Infant Mortality per 1,000 Live Births Number of Confirmed and Probable Cases of Selected Reported Diseases, 2008-2012 Case Rates per 100,000 Residents for Selected Reportable Diseases, 2008-2012 Congenital Syphilis by Race/Ethnicity and Year, Number of Cases, 2008-2012 Congenital Syphilis by Race/Ethnicity and Year, Case Rates per 100,000 Live Births, 20082012 Hansen’s Disease Prevalence Primary Diagnosis Groups, Inpatient Hospitalizations, 2008-2012, Number of Discharges Primary Diagnosis Groups, Inpatient Hospitalizations, 2008-2012, Crude Hospitalization Rate per 100,000 Residents Primary Diagnosis Groups, Emergency Department, 2008-2012, Number of Discharges Primary Diagnosis Groups, Emergency Department, 2008-2012, Crude Hospitalization Rate per 100,000 Residents 27 Technical Notes 43 28 29 30 30 30 31 34 37 40 Introduction This report provides health status information for the years 2008 to 2012 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: 5,868 residents of Maricopa County died due to cancer in 2012.* Communicable Disease Example: 867 residents of Maricopa County were diagnosed with a confirmed or probable case of Pertussis in 2012. Natality (Birth) Example: There were 637 infants born with a very low birth weight (less than 1500 grams) in 2012. Rate or percentage of cases in the county • • • Mortality Disease Example: For every 100,000 residents of Maricopa County, 148.8 died due to cancer in 2012.* Communicable Disease Example: For every 100,000 residents of Maricopa County, 22.0 were diagnosed with Pertussis in 2012. Natality (Birth) Example: Among all live births in 2012, 1.2% were born with a very low birth weight. All data in this report are for calendar years 2008 through 2012. 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. 1 I. Maricopa County Population Statistics 2008-2012 Tables 2 Table 1.01 Population Estimates by Sex, Age, and Race/Ethnicity, 2012 Age by Sex Age 0-4 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ Total Race/Ethnicity by Sex Males No. 139,924 146,630 144,728 139,768 145,910 282,391 266,104 253,621 202,252 135,459 69,976 23,425 % 7.2% 7.5% 7.4% 7.2% 7.5% 14.5% 13.6% 13.0% 10.4% 6.9% 3.6% 1.2% 1,950,188 Females No. 134,235 140,381 138,735 131,531 139,243 274,841 265,855 259,903 224,342 154,693 86,834 41,388 % 6.7% 7.0% 7.0% 6.6% 7.0% 13.8% 13.3% 13.0% 11.3% 7.8% 4.4% 2.1% 1,991,981 Total No. 274,159 287,011 283,463 271,299 285,153 557,232 531,959 513,524 426,594 290,152 156,810 64,813 Race/Ethnicity Males % No. 7.0% 7.3% 7.2% 6.9% 7.2% 14.1% 13.5% 13.0% 10.8% 7.4% 4.0% 1.6% White Hispanic African American Amer. Ind., Non-Hisp Asian Multiple Races 1,121,040 595,305 96,631 29,434 71,216 36,562 Total 1,950,188 % 57.5% 30.5% 5.0% 1.5% 3.7% 1.9% Females No. % 1,161,501 586,689 93,659 33,428 79,095 37,609 58.3% 29.5% 4.7% 1.7% 4.0% 1.9% 1,991,981 3,942,169 Age by Race/Ethnicity Age 0-4 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ Total White No. 108,518 119,355 124,575 122,382 138,129 289,625 292,855 336,873 320,473 237,754 134,139 57,863 2,282,541 % 4.8% 5.2% 5.5% 5.4% 6.1% 12.7% 12.8% 14.8% 14.0% 10.4% 5.9% 2.5% Hispanic No. 124,913 126,666 119,883 111,759 106,013 187,978 167,974 119,416 67,018 32,072 13,991 4,311 1,181,994 % 10.6% 10.7% 10.1% 9.5% 9.0% 15.9% 14.2% 10.1% 5.7% 2.7% 1.2% 0.4% African American No. % 14,269 14,765 15,114 15,627 17,240 29,737 27,018 25,123 17,722 8,635 3,780 1,260 190,290 7.5% 7.8% 7.9% 8.2% 9.1% 15.6% 14.2% 13.2% 9.3% 4.5% 2.0% 0.7% American Indian No. % 5,195 5,322 4,858 5,066 6,926 11,867 8,856 7,355 4,373 2,108 712 224 62,862 8.3% 8.5% 7.7% 8.1% 11.0% 18.9% 14.1% 11.7% 7.0% 3.4% 1.1% 0.4% Asian No. 9,550 10,295 9,549 8,680 10,230 27,994 28,178 19,768 13,764 7,905 3,475 923 150,311 % 6.4% 6.8% 6.4% 5.8% 6.8% 18.6% 18.7% 13.2% 9.2% 5.3% 2.3% 0.6% Multiple Races No. % Total No. 11,714 10,608 9,484 7,785 6,615 10,031 7,078 4,989 3,244 1,678 713 232 274,159 287,011 283,463 271,299 285,153 557,232 531,959 513,524 426,594 290,152 156,810 64,813 15.8% 14.3% 12.8% 10.5% 8.9% 13.5% 9.5% 6.7% 4.4% 2.3% 1.0% 0.3% 74,171 3,942,169 Source: United States Census, Population Estimates Division. Data on this page were used for calculating all rates (denominators) in this report for 2012. 3 Table 1.02 Population Estimates by Sex, Age, and Race/Ethnicity, 2012 Females Age 0-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75+ Total White Hispanic No. % No. 53,063 58,142 60,730 58,943 67,942 71,829 70,932 67,208 77,358 81,321 89,221 85,782 82,548 72,121 53,801 110,560 4.6% 5.0% 5.2% 5.1% 5.8% 6.2% 6.1% 5.8% 6.7% 7.0% 7.7% 7.4% 7.1% 6.2% 4.6% 9.5% 58,728 59,834 56,757 52,426 49,294 44,158 44,173 43,210 38,737 31,631 25,851 19,522 14,262 10,210 6,760 10,686 1,161,501 % 10.4% 10.6% 10.0% 9.3% 8.7% 7.8% 7.8% 7.6% 6.8% 5.6% 4.6% 3.4% 2.5% 1.8% 1.2% 1.9% 566,239 African American No. 6,897 7,161 7,270 7,591 8,117 7,222 7,128 6,552 6,574 6,249 6,289 4,899 4,030 2,656 1,978 3,046 % 7.4% 7.6% 7.8% 8.1% 8.7% 7.7% 7.6% 7.0% 7.0% 6.7% 6.7% 5.2% 4.3% 2.8% 2.1% 3.3% 93,659 American Indian Non-Hispanic Hispanic No. % No. % 2,591 2,679 2,358 2,522 3,572 3,372 3,033 2,537 2,251 2,238 1,940 1,431 1,087 751 493 573 7.8% 8.0% 7.1% 7.5% 10.7% 10.1% 9.1% 7.6% 6.7% 6.7% 5.8% 4.3% 3.3% 2.2% 1.5% 1.7% 33,428 2,429 2,324 2,122 1,982 2,133 1,731 1,593 1,376 1,214 1,033 894 614 379 255 156 215 11.9% 11.4% 10.4% 9.7% 10.4% 8.5% 7.8% 6.7% 5.9% 5.1% 4.4% 3.0% 1.9% 1.2% 0.8% 1.1% 20,450 Asian No. 4,740 5,116 4,810 4,245 4,816 6,624 7,757 7,682 7,453 5,643 4,995 4,304 3,715 2,719 1,870 2,606 Multiple Races % 6.0% 6.5% 6.1% 5.4% 6.1% 8.4% 9.8% 9.7% 9.4% 7.1% 6.3% 5.4% 4.7% 3.4% 2.4% 3.3% 79,095 No. 5,787 5,125 4,688 3,822 3,369 2,815 2,474 2,005 1,698 1,406 1,192 987 782 563 360 536 Total % No. 15.4% 13.6% 12.5% 10.2% 9.0% 7.5% 6.6% 5.3% 4.5% 3.7% 3.2% 2.6% 2.1% 1.5% 1.0% 1.4% 134,235 140,381 138,735 131,531 139,243 137,751 137,090 130,570 135,285 129,521 130,382 117,539 106,803 89,275 65,418 128,222 37,609 1,991,981 Males 0-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75+ Total 55,455 61,213 63,845 63,439 70,187 74,263 72,601 68,336 79,953 80,195 86,136 78,706 73,437 64,372 47,460 81,442 1,121,040 4.9% 5.5% 5.7% 5.7% 6.3% 6.6% 6.5% 6.1% 7.1% 7.2% 7.7% 7.0% 6.6% 5.7% 4.2% 7.3% 61,232 62,061 58,901 55,283 52,427 46,661 45,935 42,533 38,101 32,477 25,485 18,002 13,162 8,731 5,565 7,245 573,801 10.7% 10.8% 10.3% 9.6% 9.1% 8.1% 8.0% 7.4% 6.6% 5.7% 4.4% 3.1% 2.3% 1.5% 1.0% 1.3% 7,372 7,604 7,844 8,036 9,123 7,877 7,510 6,870 7,022 6,457 6,128 5,063 3,730 2,449 1,552 1,994 96,631 7.6% 7.9% 8.1% 8.3% 9.4% 8.2% 7.8% 7.1% 7.3% 6.7% 6.3% 5.2% 3.9% 2.5% 1.6% 2.1% 2,604 2,643 2,500 2,544 3,354 2,919 2,543 2,153 1,915 1,655 1,522 1,098 757 551 313 363 29,434 8.8% 9.0% 8.5% 8.6% 11.4% 9.9% 8.6% 7.3% 6.5% 5.6% 5.2% 3.7% 2.6% 1.9% 1.1% 1.2% 2,524 2,447 2,103 2,068 2,159 1,917 1,810 1,515 1,288 1,140 905 678 399 254 141 156 21,504 11.7% 11.4% 9.8% 9.6% 10.0% 8.9% 8.4% 7.0% 6.0% 5.3% 4.2% 3.2% 1.9% 1.2% 0.7% 0.7% 4,810 5,179 4,739 4,435 5,414 6,751 6,862 6,685 6,358 4,985 4,145 3,225 2,520 1,888 1,428 1,792 6.8% 7.3% 6.7% 6.2% 7.6% 9.5% 9.6% 9.4% 8.9% 7.0% 5.8% 4.5% 3.5% 2.7% 2.0% 2.5% 71,216 5,927 5,483 4,796 3,963 3,246 2,543 2,199 1,800 1,575 1,252 1,139 884 591 448 307 409 16.2% 15.0% 13.1% 10.8% 8.9% 7.0% 6.0% 4.9% 4.3% 3.4% 3.1% 2.4% 1.6% 1.2% 0.8% 1.1% 139,924 146,630 144,728 139,768 145,910 142,931 139,460 129,892 136,212 128,161 125,460 107,656 94,596 78,693 56,766 93,401 36,562 1,950,188 Source: United States Census, Population Estimates Division. Data on this page were used for calculating all rates (denominators) in this report for 2012. 4 Table 1.03 Population Estimates by Sex, Age, and Race/Ethnicity , 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 7.0% 7.0% 7.0% 6.7% 6.9% 13.9% 13.4% 13.2% 11.2% 7.3% 4.3% 2.0% 1,959,469 Total No. 278,974 281,863 280,706 271,175 278,486 551,691 526,563 508,990 417,781 268,677 152,663 62,675 Race/Ethnicity % Males No. 7.2% 7.3% 7.2% 7.0% 7.2% 14.2% 13.6% 13.1% 10.8% 6.9% 3.9% 1.6% White Hispanic African American American Indian Asian Multiple Races 1,110,778 586,430 92,624 29,085 67,035 34,823 Total 1,920,775 Females No. % % 57.8% 30.5% 4.8% 1.5% 3.5% 1.8% 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 % 11.0% 10.7% 10.2% 9.6% 8.8% 16.2% 14.2% 9.8% 5.4% 2.6% 1.1% 0.3% No. 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. 9,500 9,740 8,955 8,241 9,155 26,403 26,826 18,624 13,092 7,185 3,070 832 141,623 Multiple Races % 6.7% 6.9% 6.3% 5.8% 6.5% 18.6% 18.9% 13.2% 9.2% 5.1% 2.2% 0.6% No. 11,441 10,134 9,007 7,493 5,900 9,623 6,730 4,842 3,048 1,529 670 205 % 16.2% 14.3% 12.8% 10.6% 8.4% 13.6% 9.5% 6.9% 4.3% 2.2% 0.9% 0.3% 70,622 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. 5 Table 1.04 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 29,085 8.9% 9.0% 8.6% 9.0% 11.4% 9.9% 8.5% 7.2% 6.3% 5.7% 5.2% 3.6% 2.8% 1.6% 1.1% 1.1% 4,813 4,852 4,439 4,218 4,862 6,363 6,376 6,628 5,896 4,671 3,868 3,003 2,362 1,761 1,347 1,576 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 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% 34,823 142,451 143,852 143,262 140,056 143,255 142,605 136,896 129,905 134,087 128,837 122,216 102,952 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. 6 Table 1.05 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 3,817,117 Source: United States Census, 2010 Census. Data on this page were used for calculating all rates (denominators) in this report for 2010. 7 Table 1.06 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+ Total 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 1,100,779 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 6,420 568,138 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 90,346 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 27,632 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 63,813 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 34,999 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% 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 2,758 1,888,465 Source: United States Census, 2010 Census. Data on this page were used for calculating all rates (denominators) in this report for 2010. 8 Table 1.07 Population Estimates by Sex, Age, and Race/Ethnicity, 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 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 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 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 Females No. % % 58.8% 29.9% 4.8% 1.5% 3.4% 1.7% 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 % 11.8% 10.9% 10.2% 9.7% 8.5% 16.8% 14.0% 9.3% 5.0% 2.3% 1.1% 0.3% No. 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. 9,605 9,299 8,574 8,016 8,827 25,968 25,110 17,306 11,534 6,164 2,580 673 133,656 Multiple Races % 7.2% 7.0% 6.4% 6.0% 6.6% 19.4% 18.8% 12.9% 8.6% 4.6% 1.9% 0.5% No. 10,945 9,452 8,319 7,088 5,161 8,916 6,165 4,612 2,652 1,350 604 182 % 16.7% 14.4% 12.7% 10.8% 7.9% 13.6% 9.4% 7.0% 4.1% 2.1% 0.9% 0.3% 65,446 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. 9 Table 1.08 Population Estimates by Sex, Age, and Race/Ethnicity, 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 28,066 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% 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 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 Source: United States Census, Population Estimates Division. Data on this page were used for calculating all rates (denominators) in this report for 2009. 10 Table 1.09 Population Estimates by Sex, Age, and Race/Ethnicity, 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 60.3% 28.5% 4.4% 1.7% 3.6% 1.7% 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. 11 Table 1.10 Population Estimates by Sex, Age, and Race/Ethnicity, 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 28,247 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% 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 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 Source: United States Census, Population Estimates Division. Data on this page were used for calculating all rates (denominators) in this report for 2008. 12 Table 1.11 Maricopa County, Phoenix, and Arizona Population 1980-2012 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 2012 1,488,750 3,942,169 6,553,255 U.S. Census Estimates U.S. Census Estimates 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 Note: Population estimates for Phoenix 2001-2009 are based on U.S. Census Estimates for 2009 and made prior to the 2010 Census. 13 II. Maricopa County Five-Year Health Trends 14 Table 2.01a Selected Underlying Causes of Death 2008-2012 Number of Deaths Cause of Death Infectious Diseases Cancer Diabetes and Alzheimer's Major Cardiovascular Diseases Heart Disease Other Cardiovascular Other Respiratory Diseases GI & Urinary Pregnancy & Early Life Other Diseases External Causes Unknown Total 1 Tuberculosis Syphilis HIV Stomach Colon Pancreas Lung Breast Uterine & Ovarian Prostate Urinary Lymphoma Leukemia Other Cancer All Cancer Diabetes Alzheimer's Hypertensive Heart Disease Ischemic Heart Disease Other Heart Disease All Heart Disease Primary Hypertension Cerebrovascular Atherosclerosis Other Circulatory All Other Cardiovascular Influenza & Pneumonia Chronic Lower Respiratory Peptic Ulcer Liver Disease Nephritis Pregnancy Perinatal Conditions Congenital Malformations SIDS Symptoms, Signs Other Diseases Motor Vehicle 1 Collisions All Other Accidents Suicide Homicide Other External Causes All External Causes 2008 5 0 74 109 474 344 1,333 426 241 304 249 242 218 1,344 5,284 623 1,458 Number of Deaths 2009 2010 2011 5 10 7 0 0 1 62 67 60 93 114 116 457 501 494 342 383 394 1,410 1,445 1,409 388 411 422 252 260 298 285 273 294 288 292 307 216 190 214 268 222 221 1,421 1,417 1,479 5,420 5,508 5,648 548 702 1,000 1,481 1,665 1,732 2012 1 2 67 108 532 461 1,481 432 288 289 297 211 266 1,503 5,868 939 1,518 385 423 370 423 411 4,249 838 5,472 4,132 864 5,419 3,957 816 5,143 4,145 790 5,358 3,940 885 5,236 326 1,118 87 188 318 1,068 80 171 317 1,084 66 199 505 1,086 62 178 481 1,090 97 176 1,719 1,637 1,666 1,831 1,844 539 519 296 234 218 1,504 25 382 173 6 183 1,444 26 383 197 4 168 1,463 40 386 180 8 144 1,710 35 428 94 3 150 1,647 26 459 131 6 158 133 22 447 3,690 126 18 565 3,896 114 16 751 3,839 120 17 809 3,687 146 9 1,178 3,821 427 1,253 535 277 355 1,241 529 212 336 1,243 548 219 358 1,304 589 202 340 1,121 553 204 69 2,561 1 24,301 78 2,415 5 24,338 93 2,439 1 24,438 87 2,540 0 25,464 103 2,540 191 25,786 Refer to the Technical Notes for an explanation of the changes in these causes of death over time 15 Table 2.01b Selected Underlying Causes of Death 2008-2012 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 2008 2009 Death Rate 2010 2011 2012 0.1 0.1 0.3 0.2 0 0.0 0.0 0.0 0.0 0.1 2.0 1.6 1.8 1.5 1.7 2.9 2.4 3.0 3.0 2.7 12.6 12.0 13.1 12.7 13.5 9.1 9.0 10.0 10.2 11.7 35.3 37.1 37.9 36.3 37.6 11.3 10.2 10.8 10.9 11 12.7 13.1 13.5 15.2 7.3 16.3 15.1 14.5 15.3 7.3 6.6 7.6 7.6 7.9 7.5 6.4 5.7 5.0 5.5 5.4 5.8 7.0 5.8 5.7 6.7 35.6 37.4 37.1 38.1 38.1 140.1 142.5 144.3 145.6 148.8 16.5 14.4 18.4 25.8 23.8 38.7 38.9 43.6 44.6 38.5 10.2 11.1 9.7 10.9 10.4 112.7 108.6 103.7 106.8 99.9 22.2 22.7 21.4 20.4 145.1 142.5 134.7 138.1 22.4 132.7 8.6 8.4 8.3 10.9 12.2 29.6 28.1 28.4 106.8 27.6 2.3 2.1 1.7 20.4 2.5 5.0 4.5 5.2 10.9 45.6 43.0 43.6 47.2 4.5 46.8 14.3 13.6 7.8 6.0 5.5 39.9 38.0 38.3 44.1 41.8 0.7 0.7 1.0 0.9 0.7 10.1 10.1 10.1 11.0 11.6 4.6 5.2 4.7 2.4 3.3 0.2 0.1 0.2 0.2 0.2 4.9 4.4 3.8 3.9 4.0 3.5 3.3 3.0 3.1 3.7 0.4 0.3 0.3 0.3 0.2 11.9 14.9 19.7 20.8 29.9 97.9 102.4 100.6 95.0 96.9 11.3 9.3 8.8 9.2 8.6 33.2 32.6 32.6 33.6 28.4 14.2 13.9 14.4 15.2 14.0 7.3 5.6 5.7 5.2 5.2 1.8 2.1 2.4 2.2 2.6 67.9 63.5 63.9 65.5 0 58.8 0.0 0.1 0.0 4.8 644.4 639.8 640.2 656.2 647.2 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. 16 Table 2.02a Other Selected Underlying Causes of Death 2008-2012 Number of Deaths Cause of Death Infectious Diseases Clostridium difficile Other Intestinal Infections Septicemia Viral Hepatitis Coccidioidomycosis Other Mycoses Cancer Brain Lip and Oral Skin (Melanoma) Ovarian Testicular Other Diseases Anemias Nutritional Deficiencies Obesity Mental & Behavioral Disorders Due to the Use of Alcohol Parkinson’s Disease Multiple Sclerosis Epilepsy Cardiovascular Acute Myocardial Infarction Congestive Heart Failure Chronic Lower Respiratory Emphysema Asthma Liver Disease Alcoholic Liver Disease Musculoskeletal Rheumatoid Arthritis Lupus Osteoporosis Perinatal Conditions & Disorders Related to Short Gestation & Congenital Malformations Low Birth Weight Congenital Malformations of the Circulatory System Chromosomal Abnormalities External Causes Falls Drowning 1 Unintentional Poisoning Exposure to Excessive Natural Heat Legal Intervention Accidental Discharge of Firearms Discharge of Firearms, Undetermined Complications of Medical & Surgical 1 2008 75 10 180 103 9 17 135 69 98 130 5 19 12 39 Number of Deaths 2009 2010 2011 96 103 94 22 23 13 298 199 107 138 112 128 22 22 13 18 12 7 163 149 155 59 63 77 121 103 102 157 156 164 6 5 6 27 27 27 22 22 26 50 90 83 2012 86 28 107 165 13 3 217 69 118 174 4 23 17 115 94 273 42 11 869 138 130 20 259 27 14 8 106 252 38 17 888 143 109 28 262 15 7 6 108 270 47 19 769 130 120 32 299 31 12 6 109 312 41 19 860 108 79 57 335 41 12 11 108 310 38 20 833 164 58 38 345 27 17 11 60 65 49 42 40 35 32 480 45 458 23 8 7 5 25 47 19 480 54 493 20 3 5 3 20 36 21 494 52 462 28 7 9 8 30 38 18 516 54 480 36 6 4 4 29 40 26 461 51 413 38 6 1 5 27 Refer to the Technical Notes for an explanation of the changes in these causes of death over time 17 Table 2.02b Other Selected Underlying Causes of Death 2008-2012 Crude Death Rate per 100,000 Residents Cause of Death Infectious Diseases Clostridium difficile Other Intestinal Infections Septicemia Viral Hepatitis Coccidioidomycosis Other Mycoses Cancer Brain Lip and Oral Skin (Melanoma) 1 Ovarian 1 Testicular Other Diseases Anemias Nutritional Deficiencies Obesity Mental & Behavioral Disorders Due to the Use of Alcohol Parkinson’s Disease Multiple Sclerosis Epilepsy Cardiovascular Acute Myocardial Infarction Congestive Heart Failure Chronic Lower Respiratory Emphysema Asthma Liver Disease Alcoholic Liver Disease Musculoskeletal Rheumatoid Arthritis Lupus Osteoporosis Perinatal Conditions & Disorders Related to Short Gestation & Congenital Malformations Low Birth Weight Congenital Malformations of the Circulatory System Chromosomal Abnormalities External Causes Falls Drowning 2 Unintentional Poisoning Exposure to Excessive Natural Heat Legal Intervention Accidental Discharge of Firearms Discharge of Firearms, Undetermined Complications of Medical & Surgical 1 2 2008 2.0 0.3 4.8 2.7 0.2 0.5 3.6 1.8 2.6 6.8 0.3 0.5 0.3 1.0 Death Rate 2009 2010 2.5 2.7 0.6 0.6 7.8 5.2 3.6 2.9 0.6 0.6 0.5 0.3 4.3 3.9 1.6 1.7 3.2 2.7 8.2 8.1 0.3 0.3 0.7 0.7 0.6 0.6 1.3 2.4 2011 2.4 0.3 2.8 3.3 0.3 0.2 4 2 2.6 8.4 0.3 0.7 0.7 2.1 2012 2.2 0.7 2.7 4.2 0.3 0.1 5.5 1.8 3 4.4 0.1 0.6 0.4 2.9 2.5 2.8 2.8 2.8 2.7 7.2 1.1 0.3 23.0 3.7 3.4 0.5 6.9 0.7 0.4 0.2 6.6 1.0 0.4 23.3 3.8 2.9 0.7 6.9 0.4 0.2 0.2 7.1 1.2 0.5 20.1 3.4 3.1 0.8 7.8 0.8 0.3 0.2 8 1.1 0.5 22.2 2.8 2 1.5 8.6 1.1 0.3 0.3 7.9 1 0.5 21.1 4.2 1.5 1 8.8 0.7 0.4 0.3 1.6 1.7 1.3 1.1 1 0.9 1.2 0.9 1 1 0.8 12.7 1.2 12.1 0.6 0.2 0.2 0.1 0.7 0.5 12.6 1.4 13.0 0.5 0.1 0.1 0.1 0.5 0.6 12.9 1.4 12.1 0.7 0.2 0.2 0.2 0.8 0.5 13.3 1.4 12.4 0.9 0.2 0.1 0.1 0.7 0.7 11.7 1.3 10.5 1 0.2 0 0.1 0.7 Ovarian cancer rates are per 100,000 females; testicular cancer rates are per 100,000 males. Refer to the Technical Notes for an explanation of the changes in these rates over time. 18 Table 2.03a Firearm, Drug, and Alcohol Induced and Related Deaths 2008-2012 Number of Deaths Number of Deaths Cause of Death 2008 2009 2010 2011 2012 Firearm Related 511 447 486 510 494 Drug Induced 571 618 604 611 574 Drug Related, Including Tobacco 813 824 3,903 3,984 Drug Related, Excluding Tobacco 656 684 715 742 713 Alcohol Induced 386 407 447 474 480 Alcohol Related 595 631 680 721 741 3,870 Table 2.03b Firearm, Drug, and Alcohol Induced and Related Deaths 2008-2012 Crude Death Rate per 100,000 Residents Death Rate Cause of Death 2008 2009 2010 2011 2012 Firearm Related 13.6 11.8 12.7 13.1 12.5 Drug Induced 15.1 16.2 15.8 15.7 14.5 Drug Related, Including Tobacco 21.6 21.7 102.2 102.7 98.2 Drug Related, Excluding Tobacco 17.4 18.0 18.7 19.1 18.1 Alcohol Induced 10.2 10.7 11.7 12.2 12.1 Alcohol Related 15.8 16.6 17.8 18.6 18.8 *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. 19 Table 2.04a Selected Maternal & Child Health Indicators 2008-2012 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 2012 62,666 57,655 54,235 53,361 54,475 29,499 27,649 27,284 27,876 14,430 12,073 10,704 10,531 Births to Women 10-19 Years Old 7,210 6,246 5,342 4,780 4,698 Births to Women 15-17 Years Old 2,548 2,044 1,652 1,377 1,445 Births to Women Over 35 Years Old 8,216 7,832 7,664 7,901 7,965 Births to Never Married Women 27,656 25,535 23,557 22,797 23,784 Tobacco Use During Pregnancy 2,592 2,332 2,245 1,997 1,957 320 247 237 267 Mothers with No Medical Risk Factors for Pregnancy Induced Labor Delivery Primary Cesarean Section via CRepeat Cesarean Section Section Preterm Births (Less than 37 Weeks) 228 127 128 154 143 2,563 2,296 2,326 2,444 2,782 130 43,933 39,202 35,811 34,803 36,095 13,820 13,194 12,598 11,217 10,221 9,804 8,822 8,463 8,075 8,105 7,722 7,567 6,895 7,104 7,335 6,583 6,032 5,366 5,116 5,110 Hospital Births 62,300 57,238 53,800 52,779 53,819 Method of Payment 32,972 30,613 28,906 27,981 28,389 267 221 182 214 27,610 25,084 23,408 23,418 23,860 1,501 1,372 1,485 1,525 1,873 AHCCCS IHS Private Insurance Self Prenatal Care None 944 864 686 686 48,689 46,571 45,486 46,962 Trimester 8,046 6,698 5,638 5,697 5,665 3 Trimester 1,561 1,296 1,231 1,190 1,202 944 864 687 686 1-4 1,722 1,493 1,369 1,378 1,417 5-8 9,315 7,933 6,625 6,144 6,096 9-12 30,633 28,396 26,926 25,198 26,031 13+ 19,986 18,849 18,510 19,606 20,264 Singletons nd rd Number of Prenatal Care Visits Plurality 244 52,056 st 1 Trimester 2 2 2011 17,406 Mother with Pre-Existing Diabetes 1 2010 31,950 Mother with Pre-Existing Cardiac Disease Number of Live Births with Selected Risk Factors Associated with the Neonate 2009 Mothers With <12 Years Education Alcohol Use During Pregnancy Number of Live Births With Selected Risk Factors Associated with Pregnancy 2008 0 518 518 60,810 55,944 52,594 51,832 52,893 Twins 1,748 1,633 1,592 1,471 1,582 Singleton Births Receiving Early & 1 Adequate Prenatal Care 44,803 41,988 40,007 39,578 41,187 3,768 3,841 3,429 2,950 2,626 350 267 217 178 192 714 690 575 658 637 Low (<2500g) 3,663 3,428 3,278 3,062 3,094 High (>4250g) 1,903 1,668 1,606 1,674 1,809 11 10 11 13 12 1 0 3 1 4 Neonatal Intensive Care 1 Infants Transferred to Another Facility Birthweight Very Low (<1500g) 2 Infants With a Neural Tube Defect 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. 20 Table 2.04b Selected Maternal & Child Health Indicator Percentages 2008-2012 Percent of Live Births Countywide Indicators Maternal and Child Health Indicator Number of Live Births 2008 2009 2010 2011 62,666 57,655 54,235 54,235 54,475 51.0% 51.2% 51.0% 51.1% 51.2% 78.8 72.3 68.4 67.7 % Mothers With <12 Years Education 27.8% 25.0% 22.3% 20.1% 19.3% % Births to Women 10-19 Years Old 11.5% 10.8% 9.8% 9.0% 8.6% % Male Infants of Total Live Births 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 66.9 4.1% 3.5% 3.0% 2.6% 2.7% % Births to Women Over 35 Years Old 13.1% 13.6% 14.1% 14.8% 14.6% % Births to Never Married Women 44.1% 44.3% 43.4% 42.7% 43.7% % Tobacco Use During Pregnancy 4.1% 4.0% 4.1% 3.7% 3.6% % Alcohol Use During Pregnancy 0.5% 0.4% 0.4% 0.5% 0.4% % Mother with Pre-Existing Cardiac Disease 0.2% 0.2% 0.3% 0.3% 0.2% % Mother with Pre-Existing Diabetes 4.1% 4.0% 4.3% 4.6% 5.1% % Mothers with No Medical Risk Factors for Pregnancy % Induced Labor 70.1% 68.0% 66.0% 65.2% 66.3% 22.1% 22.9% 23.2% 21.0% 18.8% Delivery via C-Section Primary Cesarean Section 15.6% 15.6% 15.9% 15.1% 14.9% Repeat Cesarean Section 12.3% 12.7% 12.9% 13.3% 13.5% % Preterm Births (Less than 37 Weeks) 10.5% 10.5% 9.9% 9.6% 9.4% % Hospital Births 99.4% 99.3% 99.2% 98.9% 98.8% 52.6% 53.1% 53.3% 52.4% 52.1% Method of Payment AHCCCS IHS 0.4% 0.4% 0.3% 0.4% 0.4% 44.1% 43.5% 43.2% 43.9% 43.8% Self 2.4% 2.4% 2.7% 2.9% 3.4% None 1.5% 1.5% 1.3% 1.3% 1.0% Private Insurance Prenatal Care st 1 Trimester 83.1% 84.4% 85.9% 85.2% 86.2% Trimester 12.8% 11.6% 10.4% 10.7% 10.4% 3 Trimester 2.5% 2.2% 2.3% 2.2% 2.2% 0 1.5% 1.5% 1.3% 1.3% 1.0% 2 nd rd Number of Prenatal Care Visits Plurality 1-4 2.7% 2.6% 2.5% 2.6% 2.6% 5-8 14.9% 13.8% 12.2% 11.5% 11.2% 9-12 48.9% 49.3% 49.6% 47.2% 47.8% 13+ 31.9% 32.7% 34.1% 36.7% 37.2% Singletons 97.0% 97.0% 97.0% 97.1% 97.1% 2.8% 2.8% 2.9% 2.8% 2.9% 71.5% 72.8% 73.8% 74.2% 75.6% 6.0% 6.7% 6.3% 5.5% 4.8% 0.6% 0.5% 0.4% 0.3% 0.4% 1.1% 1.2% 1.1% 1.2% 1.2% 5.8% 5.9% 6.0% 5.7% 5.7% Twins % Singleton Births Receiving Early & Adequate 2 Prenatal Care Percentage of Live Births with Selected Risk Factors Associated with the Neonate 2012 Neonatal Intensive Care 2 % Infants Transferred to Another Facility Birthweight Very Low (<1500g) Low (<2500g) High (>4250g) 3 % Infants With a Neural Tube Defect 3 % Infants with Fetal Alcohol Syndrome 3.0% 2.9% 3.0% 3.1% 3.3% 0.00% 0.00% 0.02% 0.02% 0.0% 0.00% 0% 0.00% 0.00% 0.0% 1 The annual number of women age 15 to 44 years old was used to compute this rate. 2 See the technical notes for an explanation of early and adequate prenatal care and infants transferred to another facility. 3 Due to the collection method for these data, information is underestimated. 21 Table 2.05 Number of Births by Maternal Indicators for Infant Mortality Rate 2008-2012 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 Education High School Diploma Level College or Higher Unknown <1,500 Grams 1,500-2,499 Grams Birthweight 2,500-4,249 Grams >4,249 Grams Unknown 2008 2009 2010 2011 2012 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 24,749 21,691 3,504 1,622 2,735 174 4,698 28,403 19794 1578 583 9,948 15,888 27,599 457 637 3,094 48,933 1,809 2 Table 2.06a Infant Mortality by Race/Ethnicity of Mother 2008-2012 (Linked) Race/Ethnicity of Mother White Hispanic African American American Indian Asian Other/Unknown Total 2008 144 142 51 8 28 1 374 2009 129 118 45 13 17 1 323 Number of Infant Deaths 2010 2011 113 126 127 120 36 30 10 11 1 1 18 17 305 305 2012 126 141 43 27 1 22 383 Total 638 648 205 69 48 59 1,690 Table 2.06b Infant Mortality Rates by Race/Ethnicity of Mother, 2008-2012 (Linked) Infant Mortality per 1,000 Live Births Race/Ethnicity of Mother White Hispanic African American American Indian Asian 1 Other/Unknown Total 1 2008 5.5 4.9 16.3 4.4 11.5 6.0 Infant Mortality Rate per 1,000 Live Births Total 2009 2010 2011 2012 5.2 4.6 5.1 5.1 5.1 4.6 5.7 5.7 6.5 5.4 14.0 11.2 9.4 12.3 12.6 7.5 6.3 6.9 16.6 8.3 7.2 0.4 0.4 0.4 3.9 5.6 5.6 5.7 7.0 6.0 Rates are not calculated as population (denominator) data is not available for Other/Unknown race and ethnicity. *Note: See Technical Notes at the end of this report for an explanation of linked and unlinked data. 22 Table 2.07a Infant Mortality by Age of Mother 2008-2012 (Linked) Age of Mother <20 20-29 30-39 40 and Older Total 2008 62 187 109 16 374 2009 44 176 92 11 323 Number of Infant Deaths 2010 2011 37 45 176 164 84 86 8 11 305 305 2012 54 189 125 15 383 Total 242 892 496 61 1,690 Table 2.07b Infant Mortality Rates by Age of Mother 2008-2012 (Linked) Infant Mortality per 1,000 Live Births Age of Mother <20 20-29 30-39 40 and Older Total 2008 6.1 5.3 4.5 7.9 6.0 Infant Mortality Rate per 1,000 Live Births Total 2009 2010 2011 2012 7.0 5.8 4.7 7.6 5.6 6.9 6.2 4.4 5.6 5.6 9.4 5.9 4.5 7.2 5.7 11.5 6.7 6.3 8.3 5.7 8.6 6.0 5.1 6.0 5.7 *Note: See Technical Notes at the end of this report for an explanation of linked and unlinked data. 23 Table 2.08a Infant Mortality by Educational Level of Mother 2008-2012 (Linked) Education Level of Mother Number of Infant Deaths 2008 9 103 139 2009 5 83 114 2010 3 79 94 2011 5 70 106 2012 Total 25 79 47 414 121 574 College or Higher 118 119 124 118 Unknown Total 5 374 2 323 5 305 6 305 153 5 383 632 23 1,690 th Less Than 6 Grade th th 6 – 11 Grade High School Diploma Table 2.08b Infant Mortality Rates by Educational Level of Mother 2008-2012 (Linked) Infant Mortality per 1,000 Live Births Education Level of Mother 2009 6.4 6.1 2010 4.1 7.0 2011 7.8 7.0 2012 42 7.9 Total Less Than 6 Grade th th 6 – 11 Grade 2008 8.9 6.3 High School Diploma 7.9 7.0 6.0 7.0 7.6 7.1 College or Higher 4.3 6.0 4.5 5.6 4.7 5.6 4.4 5.7 5.5 7.0 4.7 6.0 th Unknown Total 1 Infant Mortality Rate per 1,000 Live Births 1 12.6 6.7 Rates for the Other/Unknown group were excluded to better understand other Education levels’ trend *Note: See Technical Notes at the end of this report for an explanation of linked and unlinked data. 24 Table 2.09a Infant Mortality by Birthweight 2008-2012 (Linked) Birthweight <1500 Grams 1500-2499 Grams 2500-4249 Grams Number of Infant Deaths 2009 2010 2011 2012 174 152 162 171 44 40 50 68 100 109 86 121 2008 189 64 118 >4249 Grams 3 4 3 6 Unknown Total 0 1 1 1 374 323 305 305 3 20 383 Total 848 266 534 19 23 1,690 Table 2.09b Infant Mortality Rates by Birthweight 2008-2012 (Linked) Infant Mortality per 1,000 Live Births Infant Mortality Rate per 1,000 Live Births Total 2009 2010 2011 2012 Birthweight <1500 Grams 1500-2499 Grams 2008 264.7 17.5 252.2 12.8 264.3 12.2 246.2 16.3 268.4 22.0 259.0 16.1 2500-4249 Grams 2.1 1.9 2.2 1.8 2.5 2.1 >4249 Grams 1.6 6.0 2.4 5.6 1.9 5.6 3.6 5.7 1.7 7.0 2.2 6.0 Unknown1 Total 1 Rates for the Other/Unknown group were excluded to better understand other Birth weights’ trend Table 2.10 Infant Mortality and Rates by Age of Infant 2008-2012 (Linked & Unlinked) Number of Infant Deaths Neonatal (≤ 28 Days) Linked Postnatal (> 28 Days) Data Total 2008 2009 2010 2011 2012 Total 254 120 374 220 103 323 198 107 305 203 102 305 254 129 383 1,129 561 1,690 Neonatal (≤ 28 Days) Postnatal (> 28 Days) Total 257 124 381 222 107 329 200 111 311 203 105 308 218 105 323 1,100 552 1,652 Unlinked Data Infant Mortality Rates per 1,000 Live Births Neonatal (≤ 28 Days) Postnatal (> 28 Days) Total 2008 3.7 2.0 6.0 2011 3.8 1.9 5.3 2012 Total 4.0 2.0 6.0 Neonatal (≤ 28 Days) 4.1 3.9 3.7 3.8 4.0 Postnatal (> 28 Days) 2.0 1.9 2.0 2.0 1.9 Total 6.1 6.3 6.1 5.3 5.9 *Note: See Technical Notes at the end of this report for an explanation of linked and unlinked data. 3.9 2.0 5.9 Unlinked Data 3.8 1.8 6.1 2010 4.7 2.4 7.0 Linked Data 4.1 1.9 6.1 2009 25 Table 2.11a Infant Mortality by Age of Infant and Race/Ethnicity of Mother 2008-2012 (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 2008 91 100 33 5 24 0 254 2009 82 84 28 11 14 1 220 2010 75 83 23 5 0 12 198 2011 86 79 22 3 0 13 203 2012 82 99 30 17 1 12 254 Total 416 445 136 41 39 38 1,129 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 44 42 13 10 0 10 129 222 202 69 28 9 21 561 Table 2.11b Infant Mortality Rates by Age of Infant and Race/Ethnicity of Mother 2008-2012 (Linked) Infant Mortality per 1,000 Live Births Linked Infant Mortality-Infant Mortality Rate per 1,000 Live Births 1 2008 2009 2010 2011 2012 Total Neonatal (≤ 28 Days) White Hispanic African American American Indian Asian 1 Other/Unknown Total 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 3.3 4.6 8.6 10.5 0.4 4.7 1.5 1.6 0.5 0.1 0.1 4.0 Postnatal (> 28 Days) White Hispanic African American American Indian Asian Other/Unknown1 Total 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 1.8 1.9 3.7 6.2 0.0 2.4 0.8 0.7 0.2 0.1 0.0 2.0 Rates are not calculated for Other/Unknown race and ethnicity due to unreliable/unstable counts. *Note: See Technical Notes at the end of this report for an explanation of linked and unlinked data. 26 Table 2.12a Infant Mortality by Race/Ethnicity of Infant 2008-2012 (Unlinked) Race/Ethnicity of Infant White Hispanic African American American Indian Asian Other/Unknown Total 2008 122 167 51 8 20 2 370 2009 122 131 53 11 12 0 329 Number of Infant Deaths 2010 2011 90 104 150 146 35 27 6 7 3 3 11 27 311 308 2012 115 163 45 10 4 2 339 Total 553 757 211 42 42 42 1,657 Table 2.12b Infant Mortality Rates by Race/Ethnicity of Infant 2008-2012 (Unlinked) Infant Mortality per 1,000 Live Births 1 Race/Ethnicity of Infant Infant Mortality Rate per 1,000 Live Births 2011 2008 2009 2010 2012 White Hispanic African American American Indian Asian Other/Unknown1 Total 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 4.6 7.5 12.8 6.2 1.5 6.4 Rates are not calculated for Other/Unknown race and ethnicity due to unreliable/unstable counts. *Note: See Technical Notes at the end of this report for an explanation of linked and unlinked data. 27 Table 2.13a Number of Confirmed and Probable Cases of Selected Diseases1, 2008-2012 Number of Cases Disease 2008 2 Vaccine Preventable Central Nervous System Enterics Mycosis Zoonoses/ Vectorborne Hepatitides Other H. influenzae Type B Measles Mumps Pertussis Encephalitis Viral Other Aseptic Meningitis, Viral Meningococcal Invasive Disease Amebiasis Botulism Botulism, Infant3 Campylobacteriosis Cholera Cryptosporidiosis E. coli O157.H7 Giardiasis Listeriosis Norovirus4,5 Salmonella Paratyphi Salmonellosis Shigellosis Typhoid Coccidioidomycosis Brucellosis Dengue Hantavirus Pulm. Syndrome Lyme Disease Malaria West Nile Virus Hepatitis A Hepatitis B (Acute) Hepatitis D Legionellosis MRSA, Invasive RSV4,5 Streptococcal Group A Invasive Streptococcal Group B6 Invasive Streptococcus pneumoniae Invasive 2009 2010 2011 2012 3 0 1 197 7 571 4 7 3 0 645 0 71 49 60 5 64 5 574 1 0 4 236 1 435 6 0 3 0 520 0 24 47 116 5 40 3 560 2 0 4 409 2 642 8 1 0 0 548 0 23 63 106 6 77 3 508 1 1 0 698 4 321 14 8 5 0 534 0 32 79 73 6 70 3 385 1 0 3 867 1 386 3 5 0 1 526 0 37 90 59 7 113 0 430 428 2 3,525 2 5 0 8 10 90 70 115 0 21 553 2 8,078 2 5 0 3 9 19 30 145 0 37 245 6 9,460 6 7 0 0 20 115 33 94 0 44 210 1 13,404 3 3 1 7 17 45 56 135 0 28 211 5 10,148 4 7 0 3 15 90 43 75 0 29 915 109 112 34 574 806 1,928 85 27 474 798 1,718 101 30 423 805 2,404 112 24 434 726 1,922 112 38 387 Toxic Shock Syndrome Vibrio Infection Yersiniosis Hansen's Disease4 1 1 3 2 1 12 9 13 16 17 4 6 1 4 8 0 0 0 0 0 Tuberculosis4 109 138 153 117 108 Genital Herpes4 969 693 1,128 1,360 1,081 Gonorrhea4 2,135 2,264 2,290 3,236 4,364 Syphilis – Primary and Secondary4,7 234 160 159 200 162 Sexually Transmitted Syphilis – All Others4,7 650 496 475 430 457 Diseases Chlamydia4 13,426 14,658 15,616 16,723 19,132 HIV4 376 337 290 315 395 AIDS4 386 346 320 249 215 All Others 290 316 194 546 397 Total 26,931 33,677 36,204 43,175 43,429 1 Unless otherwise indicated, numbers represent confirmed and probable cases. 2 Beginning with the 2008-2012 report, only H. influenzae Type B cases are shown. 3 Botulism, Infant cases occur among children aged less than 1 year. 4 Confirmed cases only 5 Norovirus and respiratory syncytial virus (RSV) were not reported to health departments until April 2008. 6 Streptococcal Group B Invasive disease is only reportable for cases in infants under 90 days. 7 Symptoms in adults are divided into four stages (primary, secondary, latent, & late syphilis). For more information please visit www.cdc.gov 28 Table 2.13b Case Rates per 100,000 Residents for Selected Diseases1, 2008-2012 Rate of Disease Disease 2008 2 Vaccine Preventable Central Nervous System Enterics Mycosis H. influenzae Type B Measles Mumps Pertussis Encephalitis Viral Other Meningitis Viral/Aseptic Meningococcal Invasive Disease Amebiasis Botulism Botulism, Infant3 Campylobacteriosis Cholera Cryptosporidiosis E. coli O157.H7 Giardiasis Listeriosis Norovirus4,5 Salmonella Paratyphi Salmonellosis Shigellosis Typhoid Coccidioidomycosis Brucellosis Dengue 2009 0.1 0.0 0.0 5.2 0.2 15.1 0.1 0.2 0.1 0.0 17.1 0.0 1.9 1.3 1.6 0.1 1.7 0.1 15.2 11.3 0.1 93.5 0.1 0.1 2010 0.0 0.0 0.1 6.2 0.0 11.4 0.2 0.0 0.1 0.0 13.7 0.0 0.6 1.2 3.0 0.1 1.1 0.1 14.7 14.5 0.1 212.4 0.1 0.1 2011 0.1 0.0 0.1 10.7 0.1 16.8 0.2 0.0 0.0 0.0 14.4 0.0 0.6 1.7 2.8 0.2 2.0 0.1 13.3 6.4 0.2 247.8 0.2 0.2 2012 0.0 0.0 0.0 18.0 0.1 8.3 0.4 0.2 0.1 0.0 13.8 0.0 0.8 2.0 1.9 0.2 1.8 0.1 9.9 5.4 0.0 345.4 0.1 0.1 0.0 0.0 0.1 22.0 0.0 9.8 0.1 0.1 0.0 0.4 13.3 0.0 0.9 2.3 1.5 0.2 2.9 0.0 10.9 5.4 0.1 257.4 0.1 0.2 Zoonoses/ Vectorborne Hantavirus Pulm. Syndrome 0.0 0.0 0.0 0.0 0.0 Lyme Disease Malaria West Nile Virus Hepatitis A 0.2 0.3 2.4 1.9 0.1 0.2 0.5 0.8 0.0 0.5 3.0 0.9 0.2 0.4 1.2 1.4 0.1 0.4 2.3 1.1 Hepatitides Hepatitis B (Acute) Hepatitis D Legionellosis MRSA, Invasive RSV4,5 Streptococcal Group A Invasive 3.0 0.0 0.6 24.3 2.9 3.0 3.8 0.0 1.0 21.2 50.7 2.2 2.5 0.0 1.2 20.9 45 2.6 3.5 0.0 0.7 20.7 62 2.9 1.9 0.0 0.7 18.4 48.8 2.8 Streptococcal Group B6 Invasive Streptococcus pneumoniae Invasive Toxic Shock Syndrome Vibrio Infection 0.5 15.2 0.0 0.3 0.5 12.5 0.0 0.2 0.6 11.1 0.1 0.3 0.4 11.2 0.1 0.4 0.7 9.8 0.0 0.4 Yersiniosis 0.1 0.2 0.0 0.1 0.2 Hansen's Disease4 0.0 0.0 0.0 0.0 0.0 Other Tuberculosis4 Genital Herpes4 2.9 3.6 4.0 3.0 2.7 25.7 18.2 29.6 35 27.4 Gonorrhea4 Syphilis – Primary and Secondary4,7 Syphilis – All Others4,7 Chlamydia4 HIV4 AIDS4 56.6 59.5 60 83.4 110.7 6.2 4.2 4.2 5.2 4.1 17.2 13 12.4 11.1 11.6 356 385.4 409.1 431 485.3 10 8.9 7.6 8.1 10.0 10.2 9.1 8.4 6.4 5.5 All Others 7.7 8.3 5.1 14.1 10.1 Total 714.1 885.4 948.5 1,112.70 1101.7 1 Unless otherwise indicated, numbers represent confirmed and probable cases. 2 Beginning with the 2008-2012 report, only H. influenzae Type B cases are shown. 3 Rates for Botulism, Infant among children aged <1 year are per 100,000 residents in age group ‘0-4’ 4 Confirmed cases only 5 Norovirus and respiratory syncytial virus (RSV) were not reported to health departments until April 2008. 6 Rates for Streptococcus Group B Invasive disease infants <90 days are per 1,000 live births 7 Symptoms in adults are divided into four stages (primary, secondary, latent, & late syphilis). For more information please visit www.cdc.gov Sexually Transmitted Diseases 29 Table 2.14a Congenital Syphilis by Race/Ethnicity and Year Number of Cases, 2008-2012 Number of Cases Race/Ethnicity White Hispanic African American American Indian Asian Other/Unknown Total 2008 2009 2010 2011 2012 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 3 4 2 1 0 0 10 Table 2.14b Congenital Syphilis by Race/Ethnicity and Year Case Rates per 100,000 Live Births, 2008-2012 Rate of Disease Race/Ethnicity White Hispanic African American American Indian Asian Other/Unknown Total 2008 2009 2010 2011 2012 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 5.5 7.3 3.7 1.8 0 18.4 Table 2.15 Hansen’s Disease Prevalence1 Total number of cases reported in Maricopa County as of August 15, 2013 Gender Male Female Total 17 13 30 Age at Diagnosis 0-9 0 10-14 0 15-19 0 20-24 1 25-34 8 35-44 4 45-54 4 55-64 5 65 and Older 8 Unknown 0 Total 30 1 This table includes all known “active” cases of Hansen’s disease in Maricopa County, diagnosed between 1955 and 2012. Please note: to be considered “active,” the prevalent cases being treated, managed, and followed-up at MCDPH and the Hansen’s disease clinic have to be seen by a Hansen’s disease physician, physical therapist, or occupational therapist within the past 5 years. Validation of past data revealed cases that were no longer “active,” causing a drop in the number of “active” cases between the 2007-2011 five-year trend report and the current 2008-2012 five-year trend report. 30 Table 2.16a Primary Diagnosis Groups, Inpatient Hospitalizations, 2008-2012 Number of Discharges Primary Diagnosis Infectious and parasitic diseases Inpatient Discharges 2008 2009 2010 2011 2012 Total Septicemia 6,838 7,713 9,482 12,849 15,611 52,493 Other Infectious and parasitic diseases 7,164 7,511 7,962 7,492 7,355 37,484 14,002 15,224 17,444 20,341 22,966 89,977 Neoplasms - Other Malignant 8,726 8,625 8,501 8,227 8,141 42,220 Malignant Neoplasm of large intestine & rectum 1,392 1,380 1,341 1,284 1,359 6,756 Malignant neoplasm of trachea, bronchus & lung 1,499 1,548 1,499 1,369 1,326 7,241 706 768 770 692 637 3,573 3,793 3,850 3,595 3,215 2,729 17,182 540 611 612 668 642 3,073 16,656 16,782 16,318 15,455 14,834 80,045 5,678 6,258 6,378 6,793 6,562 31,669 191 195 235 229 222 1,072 8,865 9,077 8,558 8,437 7,674 42,611 14,734 15,530 15,171 15,459 14,458 75,352 3,829 4,255 4,618 4,682 4,604 21,988 7,384 7,254 7,506 9,117 9,489 40,750 272 426 424 598 631 2,351 1,563 1,721 1,906 2,066 2,087 9,343 All Diseases of the nervous system and sense organs 9,219 9,401 9,836 11,781 12,207 52,444 8,863 9,150 9,916 10,346 9,886 48,161 Diseases of the circulatory system Heart disease 9,564 10,584 11,590 12,010 11,901 55,649 Acute myocardial infarction 5,293 5,107 5,360 5,271 5,361 26,392 10,150 9,395 7,593 6,172 4,740 38,050 331 344 335 333 282 1,625 8,975 9,031 9,466 9,386 9,428 46,286 All Neoplasms Malignant neoplasm of breast Neoplasms - Benign Neoplasms - Other All Endocrine, nutritional and metabolic diseases, and immunity disorders Diabetes mellitus Volume depletion (dehydration) Other Endocrine, nutritional and metabolic diseases, and immunity disorders All Diseases of the blood and blood-forming organs Mental disorders Psychoses Alcohol dependence syndrome Other Mental disorders Coronary atherosclerosis Other ischemic heart disease Cardiac dysrhythmias (Continued) 31 (Table 2.16a Continued) Primary Diagnosis Diseases of the respiratory system Diseases of the digestive system Diseases of the skin and subcutaneous tissue Diseases of the musculoskeletal system and connective tissue 2008 2009 2010 2011 2012 Total Congestive heart failure 3,742 2,746 2,280 1,514 1,034 11,316 Cerebrovascular disease 9,932 9,935 10,179 10,092 10,118 50,256 Other Diseases of the circulatory system 10,724 11,067 11,373 10,916 9,632 53,712 All 58,711 58,209 58,176 55,694 52,496 283,286 Acute bronchitis and bronchiolitis 2,805 2,774 3,148 3,162 2,448 14,337 Pneumonia 9,673 10,527 10,077 10,096 9,145 49,518 Chronic bronchitis 4,580 5,020 5,230 5,550 5,065 25,445 Asthma 4,895 5,528 5,327 4,831 4,517 25,098 Other Diseases of the respiratory system 11,080 12,035 10,738 11,532 10,764 56,149 All 33,033 35,884 34,520 35,171 31,939 170,547 Appendicitis 5,189 5,202 5,061 4,640 3,779 23,871 Noninfectious enteritis and colitis 3,417 3,675 4,031 3,938 3,910 18,971 621 665 896 886 945 4,013 Other Diseases of the digestive system 31,317 33,629 36,017 35,587 33,708 170,258 All 40,544 43,171 46,005 45,051 42,342 217,113 2,068 2,338 2,663 2,707 2,676 12,452 Other Diseases of the genitourinary system 20,664 20,755 20,304 19,423 17,815 98,961 All Cholelithiasis Diseases of the genitourinary system Inpatient Discharges Calculus of kidney and ureter 22,732 23,093 22,967 22,130 20,491 111,413 Cellulitis and abscess 8,184 8,587 9,198 9,277 8,909 44,155 Other Diseases of the skin and subcutaneous tissue 1,195 1,272 1,311 1,294 1,183 6,255 All 9,379 9,859 10,509 10,571 10,092 50,410 Osteoarthrosis and allied disorders 9,317 10,146 10,796 10,815 11,229 52,303 Intervertebral disc disorders Other - Diseases of the musculoskeletal system and connective tissue All 2,786 2,998 3,176 2,981 2,788 14,729 9,072 9,375 10,266 9,872 9,467 48,052 115,084 21,175 22,519 24,238 23,668 23,484 Congenital anomalies 1,855 1,812 1,578 1,776 1,657 8,678 Certain conditions originating in the perinatal period 2,817 2,462 2,130 1,923 1,996 11,328 (Continued) 32 (Table 2.16a Continued) Primary Diagnosis Other healthcare encounters Unknown Total Total 2008 2009 2010 2011 2012 22,229 21,354 23,295 20,699 16,092 103,669 Fracture of neck of femur 3,163 3,319 3,326 3,441 3,382 16,631 Fractures, all other sites 9,240 9,749 10,020 10,007 9,561 48,577 Poisonings 4,104 4,304 4,601 4,774 4,709 22,492 Other Injury and poisoning 20,539 21,714 22,952 22,279 21,293 108,777 All 37,046 39,086 40,899 40,501 38,945 196,477 Rehab Services 3,570 5,293 4,142 3,242 2,920 19,167 Other healthcare encounters 3,168 3,242 2,978 2,922 2,884 15,194 All 6,738 8,535 7,120 6,164 5,804 34,361 0 1 1 0 3 5 312,068 323,563 336,327 341,412 Note: Pregnant women, newborns, Long Term Acute Care Hospitals, and Rehabilitation Hospitals excluded 324,293 1,637,663 Symptoms, signs, and ill-defined conditions Injury and poisoning Inpatient Discharges 33 Table 2.16b Primary Diagnosis Groups, Inpatient Hospitalizations, 2008-2012 Crude Hospitalization Rate per 100,000 Residents Primary Diagnosis Infectious and parasitic diseases Neoplasms Inpatient Discharges 2008 2009 2010 2011 2012 Septicemia 181.3 202.8 248.4 331.1 396.0 Other Infectious and parasitic diseases 190.0 197.5 208.6 193.1 186.6 All 371.3 400.2 457.0 524.2 582.6 Neoplasms - Other Malignant 231.4 226.7 222.7 212.0 206.5 Malignant Neoplasm of large intestine & rectum 36.9 36.3 35.1 33.1 34.5 Malignant neoplasm of trachea, bronchus & lung 39.8 40.7 39.3 35.3 33.6 Malignant neoplasm of breast 18.7 20.2 20.2 17.8 16.2 Neoplasms - Benign 100.6 101.2 94.2 82.9 69.2 Neoplasms - Other 14.3 16.1 16.0 17.2 16.3 All 441.7 441.2 427.5 398.3 376.3 Diabetes mellitus 150.6 164.5 167.1 175.1 166.5 5.1 5.1 6.2 5.9 5.6 235.1 238.6 224.2 217.4 194.7 390.7 408.3 397.4 398.4 366.8 101.5 111.9 121.0 120.7 116.8 195.8 190.7 196.6 235.0 240.7 7.2 11.2 11.1 15.4 16.0 41.4 45.2 49.9 53.2 52.9 All Diseases of the nervous system and sense organs 244.5 247.1 257.7 303.6 309.7 235.0 240.6 259.8 266.6 250.8 Diseases of the circulatory system Heart disease 253.6 278.2 303.6 309.5 301.9 Acute myocardial infarction 140.4 134.3 140.4 135.8 136.0 Coronary atherosclerosis 269.2 247.0 198.9 159.1 120.2 8.8 9.0 8.8 8.6 7.2 238.0 237.4 248.0 241.9 239.2 Endocrine, nutritional and metabolic diseases, and immunity disorders Volume depletion (dehydration) Other Endocrine, nutritional and metabolic diseases, and immunity disorders All Diseases of the blood and blood-forming organs Mental disorders Psychoses Alcohol dependence syndrome Other Mental disorders Other ischemic heart disease Cardiac dysrhythmias (Continued) 34 (Table 2.16b Continued) Primary Diagnosis Diseases of the digestive system Diseases of the musculoskeletal system and connective tissue 2010 2011 2012 72.2 59.7 39.0 26.2 Cerebrovascular disease 263.4 261.2 266.7 260.1 256.7 Other Diseases of the circulatory system 284.4 290.9 297.9 281.3 244.3 1,556.9 1,530.3 1,524.1 1,435.3 1,331.7 Acute bronchitis and bronchiolitis 74.4 72.9 82.5 81.5 62.1 Pneumonia 256.5 276.8 264.0 260.2 232.0 Chronic bronchitis 121.5 132.0 137.0 143.0 128.5 Asthma 129.8 145.3 139.6 124.5 114.6 Other Diseases of the respiratory system 293.8 316.4 281.3 297.2 273.0 All 876.0 943.4 904.3 906.4 810.2 Appendicitis 137.6 136.8 132.6 119.6 95.9 Noninfectious enteritis and colitis 90.6 96.6 105.6 101.5 99.2 Cholelithiasis 16.5 17.5 23.5 22.8 24.0 830.5 884.1 943.6 917.1 855.1 1,075.1 1,135.0 1,205.2 1,161.0 1,074.1 54.8 61.5 69.8 69.8 67.9 Other Diseases of the genitourinary system 548.0 545.6 531.9 500.6 451.9 All 602.8 607.1 601.7 570.3 519.8 Cellulitis and abscess 217.0 225.7 241.0 239.1 226.0 31.7 33.4 34.3 33.3 30.0 All 248.7 259.2 275.3 272.4 256.0 Osteoarthrosis and allied disorders 247.1 266.7 282.8 278.7 284.8 73.9 78.8 83.2 76.8 70.7 240.6 246.5 268.9 254.4 240.1 All Diseases of the skin and subcutaneous tissue 2009 99.2 Other Diseases of the digestive system Diseases of the genitourinary system 2008 Congestive heart failure All Diseases of the respiratory system Inpatient Discharges Calculus of kidney and ureter Other Diseases of the skin and subcutaneous tissue Intervertebral disc disorders Other - Diseases of the musculoskeletal system and connective tissue All 561.5 592.0 635.0 610.0 595.7 Congenital anomalies 49.2 47.6 41.3 45.8 42.0 Certain conditions originating in the perinatal period 74.7 64.7 55.8 49.6 50.6 (Continued) 35 (Table 2.16b Continued) Primary Diagnosis Symptoms, signs, and ill-defined conditions Injury and poisoning Other healthcare encounters Total 2008 2009 2010 2011 2012 589.5 561.4 610.3 533.4 408.2 Fracture of neck of femur 83.9 87.3 87.1 88.7 85.8 Fractures, all other sites 245.0 256.3 262.5 257.9 242.5 Poisonings 108.8 113.2 120.5 123.0 119.5 Other Injury and poisoning 544.6 570.9 601.3 574.2 540.1 All 982.4 1,027.6 1,071.5 1,043.8 987.9 Rehab Services 94.7 139.2 108.5 83.6 74.1 Other healthcare encounters 84.0 85.2 78.0 75.3 73.2 178.7 224.4 186.5 158.9 147.2 0.0 0.0 0.0 0.0 0.1 8,798.7 8,226.3 All Unknown Inpatient Discharges 8,275.3 8,506.4 8,811.0 Note: Pregnant women, newborns, Long Term Acute Care Hospitals, and Rehabilitation Hospitals excluded 36 Table 2.17a Primary Diagnosis Groups, Emergency Department, 2008-2012 Number of Discharges Primary Diagnosis Infectious and parasitic diseases Neoplasms Endocrine, nutritional and metabolic diseases, and immunity disorders 2009 2010 2011 2012 77 104 125 188 Total 585 24,818 30,090 22,126 23,130 24,651 124,815 24,909 30,167 22,230 23,255 24,839 125,400 Neoplasms - Other Malignant Malignant Neoplasm of large intestine & rectum Malignant neoplasm of trachea, bronchus & lung Malignant neoplasm of breast 282 324 355 405 599 1,965 24 13 33 36 57 163 63 80 70 99 103 415 24 35 33 25 56 173 Neoplasms - Benign 473 533 582 629 697 2,914 Neoplasms - Other 116 101 91 141 146 595 All 982 1,086 1,164 1,335 1,658 6,225 5,299 5,370 5,407 5,913 6,570 28,559 35 24 37 67 40 203 9,513 9,301 9,122 10,086 10,803 48,825 14,847 14,695 14,566 16,066 17,413 77,587 2,880 2,940 3,167 3,517 3,775 16,279 19,661 20,863 24,344 26,108 27,458 118,434 Psychoses 4,584 4,836 5,893 6,723 7,124 29,160 Alcohol dependence syndrome 1,239 1,201 1,483 1,803 1,773 7,499 25,484 26,900 31,720 34,634 36,355 155,093 64,280 63,634 61,737 66,872 70,497 327,020 Heart disease 449 452 484 759 959 3,103 Acute myocardial infarction 390 371 364 441 461 2,027 Coronary atherosclerosis 249 267 458 640 779 2,393 Diabetes mellitus Other Mental disorders All Diseases of the nervous system and sense organs Diseases of the circulatory system 2008 91 Septicemia Other Infectious and parasitic diseases All Volume depletion (dehydration) Other Endocrine, nutritional and metabolic diseases, and immunity disorders All Diseases of the blood and blood-forming organs Mental disorders Emergency Department Visits (Continued) 37 (Table 2.17a Continued) Primary Diagnosis 2009 2010 2011 2012 481 496 553 637 Total 2,685 Cardiac dysrhythmias 4,673 4,567 4,763 5,482 5,868 25,353 Congestive heart failure 1,128 995 1,028 1,132 1,141 5,424 Cerebrovascular disease Other Diseases of the circulatory system All 1,534 1,497 1,616 2,169 2,316 9,132 10,995 11,339 12,204 13,987 15,837 64,362 19,936 19,969 21,413 25,163 27,998 114,479 Acute bronchitis and bronchiolitis 15,174 15,160 12,915 14,986 16,583 74,818 Pneumonia 11,740 14,087 11,944 12,097 12,019 61,887 1,938 1,754 1,976 2,419 2,627 10,714 15,581 16,428 16,174 16,236 19,021 83,440 68,978 83,517 63,189 72,370 73,215 361,269 113,411 130,946 106,198 118,135 123,456 592,146 Chronic bronchitis Asthma Other Diseases of the respiratory system All Diseases of the digestive system 2008 518 Other ischemic heart disease Diseases of the respiratory system Emergency Department Visits Appendicitis 712 749 1,016 1,655 2,394 6,526 11,353 10,930 10,856 10,367 12,468 55,974 88 89 91 156 160 584 44,699 46,634 48,672 53,868 58,108 251,981 56,852 58,402 60,635 66,046 73,130 315,065 Calculus of kidney and ureter Other Diseases of the genitourinary system All Complications of pregnancy, childbirth, & the puerperium 10,751 10,868 10,705 11,301 11,231 54,856 51,543 53,002 55,414 59,082 61,510 280,551 62,294 63,870 66,119 70,383 72,741 335,407 31,401 30,830 29,694 32,458 35,717 160,100 Diseases of the skin and subcutaneous tissue 24,534 23,835 24,405 24,616 24,923 122,313 17,061 16,783 17,081 17,796 18,183 86,904 41,595 40,618 41,486 42,412 43,106 209,217 535 507 559 583 653 2,837 Noninfectious enteritis and colitis Cholelithiasis Other Diseases of the digestive system All Diseases of the genitourinary system Diseases of the musculoskeletal Cellulitis and abscess Other Diseases of the skin and subcutaneous tissue All Osteoarthrosis and allied disorders (Continued) 38 (Table 2.17a Continued) Primary Diagnosis system and connective tissue Intervertebral disc disorders Other - Diseases of the musculoskeletal system and connective tissue All Congenital anomalies Certain conditions originating in the perinatal period Symptoms, signs, and ill-defined conditions Injury and poisoning Unknown Total 2009 2010 2011 2012 1,076 1,085 1,089 1,267 1,306 Total 5,823 66,502 68,997 73,763 79,186 79,784 368,232 68,113 70,589 75,411 81,036 81,743 376,892 305 301 274 325 352 1,557 1,998 1,697 1,658 1,717 1,915 8,985 21,314 23,120 25,007 25,695 25,522 120,658 Abdominal Pain 59,165 61,377 69,326 75,638 78,437 343,943 Chest Pain 37,265 39,610 45,259 55,610 62,043 239,787 Fever 20,047 25,805 17,805 18,238 20,264 102,159 Nausea/vomiting Other Symptoms, signs, and illdefined conditions All 18,656 20,888 22,293 22,689 25,076 109,602 79,225 82,578 84,673 95,746 101,930 444,152 235,672 253,378 264,363 293,616 313,272 1,360,301 236 209 207 200 290 1,142 31,389 30,333 30,882 30,503 31,405 154,512 9,607 10,320 10,797 11,530 11,056 53,310 Injury and poisoning 194,242 196,842 201,705 206,213 208,183 1,007,185 All 235,474 237,704 243,591 248,446 250,934 1,216,149 8 5 13 6 5 37 21,056 23,137 23,947 27,128 26,820 122,088 18 1 2 0 0 21 1,021,515 1,070,869 1,069,388 1,152,550 1,205,735 5,520,057 Fracture of neck of femur Poisonings Other Healthcare Encounters 2008 Headache Fractures, all sites Newborn Infant Emergency Department Visits 39 Table 2.17b Primary Diagnosis Groups, Emergency Department, 2008-2012 Crude Rates per 100,000 Residents Primary Diagnosis Infectious and parasitic diseases Neoplasms Septicemia 2009 2010 2011 2012 2.0 2.7 3.2 4.8 Other Infectious and parasitic diseases 658.1 791.1 579.7 596.1 625.3 All 660.5 793.1 582.4 599.3 630.1 Neoplasms - Other Malignant 7.5 8.5 9.3 10.4 15.2 Malignant Neoplasm of large intestine & rectum 0.6 0.3 0.9 0.9 1.4 Malignant neoplasm of trachea, bronchus & lung 1.7 2.1 1.8 2.6 2.6 Malignant neoplasm of breast 0.6 0.9 0.9 0.6 1.4 Neoplasms - Benign 12.5 14.0 15.2 16.2 17.7 Neoplasms - Other 3.1 2.7 2.4 3.6 3.7 26.0 28.6 30.5 34.4 42.1 140.5 141.2 141.7 152.4 166.7 0.9 0.6 1.0 1.7 1.0 252.3 244.5 239.0 259.9 274.0 393.7 386.3 381.6 414.0 441.7 76.4 77.3 83.0 90.6 95.8 Psychoses 521.4 548.5 637.8 672.8 696.5 Alcohol dependence syndrome 121.6 127.1 154.4 173.3 180.7 Diabetes mellitus Volume depletion (dehydration) Other Endocrine, nutritional and metabolic diseases, and immunity disorders All Diseases of the blood and blood-forming organs Mental disorders 2008 2.4 All Endocrine, nutritional and metabolic diseases, and immunity disorders Rate of Emergency Department Visits Other Mental disorders All Diseases of the nervous system and sense organs Diseases of the circulatory system Heart disease Acute myocardial infarction Coronary atherosclerosis Other ischemic heart disease Cardiac dysrhythmias 32.9 31.6 38.9 46.5 45.0 675.8 707.2 831.0 892.6 922.2 1,704.6 1,672.9 1,617.4 1,723.4 1,788.3 11.9 11.9 12.7 19.6 24.3 10.3 9.8 9.5 11.4 11.7 6.6 7.0 12.0 16.5 19.8 13.7 12.6 13.0 14.3 16.2 123.9 120.1 124.8 141.3 148.9 (Continued) 40 (Table 2.17b Continued) Primary Diagnosis Diseases of the respiratory system 2011 2012 26.9 29.2 28.9 Cerebrovascular disease 40.7 39.4 42.3 55.9 58.7 Other Diseases of the circulatory system 291.6 298.1 319.7 360.5 401.7 All 528.7 525.0 561.0 648.5 710.2 Acute bronchitis and bronchiolitis 402.4 398.6 338.3 386.2 420.7 Pneumonia 311.3 370.3 312.9 311.8 304.9 51.4 46.1 51.8 62.3 66.6 413.2 431.9 423.7 418.4 482.5 Other Diseases of the respiratory system 1,829.1 2,195.6 1,655.4 1,865.1 1,857.2 All 3,007.4 3,442.5 2,782.2 3,044.5 3,131.7 Appendicitis 18.9 19.7 26.6 42.7 60.7 301.1 287.3 284.4 267.2 316.3 2.3 2.3 2.4 4.0 4.1 Other Diseases of the digestive system 1,185.3 1,226.0 1,275.1 1,388.3 1,474.0 All 1,507.6 1,535.4 1,588.5 1,702.1 1,855.1 285.1 285.7 280.4 291.2 284.9 Other Diseases of the genitourinary system 1,366.8 1,393.4 1,451.7 1,522.6 1,560.3 All 1,651.9 1,679.1 1,732.2 1,813.9 1,845.2 832.7 810.5 777.9 836.5 906.0 650.6 626.6 639.4 634.4 632.2 452.4 441.2 447.5 458.6 461.2 1,103.0 1,067.8 1,086.8 1,093.0 1,093.5 Osteoarthrosis and allied disorders 14.2 13.3 14.6 15.0 16.6 Intervertebral disc disorders Other - Diseases of the musculoskeletal system and connective tissue All 28.5 28.5 28.5 32.7 33.1 1,763.5 1,813.9 1,932.4 2,040.7 2,023.9 1,806.2 1,855.8 1,975.6 2,088.4 2,073.6 8.1 7.9 7.2 8.4 8.9 Cholelithiasis Calculus of kidney and ureter Complications of pregnancy, childbirth, & the puerperium Diseases of the skin and Cellulitis and abscess subcutaneous tissue Other Diseases of the skin and subcutaneous tissue All Congenital anomalies 2010 26.2 Noninfectious enteritis and colitis Diseases of the musculoskeletal system and connective tissue 2009 29.9 Asthma Diseases of the genitourinary system 2008 Congestive heart failure Chronic bronchitis Diseases of the digestive system Rate of Emergency Department Visits (Continued) 41 (Table 2.17b Continued) Primary Diagnosis Certain conditions originating in the perinatal period Symptoms, signs, and ill-defined Headache conditions Abdominal Pain Injury and poisoning Unknown Total 2009 2010 2011 2012 44.6 43.4 44.2 48.6 565.2 607.8 655.1 662.2 647.4 1,568.9 1,613.6 1,816.2 1,949.3 1,989.7 Chest Pain 988.2 1,041.3 1,185.7 1,433.2 1,573.8 Fever 531.6 678.4 466.5 470.0 514.0 Nausea/vomiting 494.7 549.1 584.0 584.7 636.1 Other Symptoms, signs, and ill-defined conditions 2,100.9 2,170.9 2,218.2 2,467.5 2,585.6 All 6,249.5 6,661.2 6,925.7 7,566.9 7,946.7 6.3 5.5 5.4 5.2 7.4 832.4 797.4 809.0 786.1 796.6 Fracture of neck of femur Poisonings Other Healthcare Encounters 2008 53.0 Fractures, all other sites Newborn Infant Rate of Emergency Department Visits 254.8 271.3 282.9 297.1 280.5 Other Injury and poisoning 5,150.9 5,174.9 5,284.2 5,314.4 5,280.9 All 6,244.2 6,249.2 6,381.5 6,402.8 6,365.4 0.2 0.1 0.3 0.2 0.1 558.4 608.3 627.4 699.1 680.3 0.5 0.0 0.1 0.0 0.0 27,088.3 28,152.8 28,015.6 29,703.0 30,585.6 42 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 population for 2012 is from the U.S. Census Bureau, County Characteristics Datasets: Annual County Resident Population Estimates by Age, Sex, Race, and Hispanic Origin: April 1, 2010 to July 1, 2012. This is at http://www.census.gov/popest/data/counties/asrh/2012/CCEST2012-ALLDATA.html. 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 population for 2012 is from the U.S. Census Bureau, Annual Estimates of the Resident Population for the United States, Regions, States, and Puerto Rico: April 1, 2010 to July 1, 2012. This is at http://www.census.gov/popest/data/state/totals/2012/tables/NST-EST201201.xls . 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 for 2012 is from the U.S. Census Bureau, Annual Estimates of the Resident Population for Incorporated Places Over 50,000, Ranked by July 1, 2012 Population: April 1, 2010 to July 1, 2012. This is at http://factfinder2.census.gov/bkmk/table/1.0/en/PEP/2012/PEPANNRSIP.US12A. The population estimates used in this report for 2008-2009 are from the U.S. Census and based on the Census 2000 and Census 2010 population. The 2010 decennial census population was used for 2010, and US Census annual population estimates were used for 2011 and 2012. Reports published prior to 2010 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 43 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 2001 through 2009. The intercensal population estimates for 2008-2009 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 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 (2008-2012) 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 are 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 200,000 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. 44 Table 2.14b, does 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. 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: • • • Causes of deaths may be translated into International Classification of Diseases, th 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. 45 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 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 ICD-10 Codes Used A04.7 A01-A04.6, A04.8-A04.9 A06-A09 A16-A19 A40-A41 A50-A53 B20-B24 B15-B19 B38 B35-B37, B39-B49 C00-C97 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 (Table Continues) 46 (Table 3.2, Continued) Cerebrovascular Diseases Atherosclerosis Other Circulatory Influenza & Pneumonia Chronic Lower Respiratory Emphysema Asthma Peptic Ulcer Liver Disease, including chronic liver disease, cirrhosis, alcoholic liver disease, and other chronic liver disease Alcoholic Liver Disease Rheumatoid Arthritis Lupus Osteoporosis Nephritis, nephritic syndrome and nephrosis Pregnancy, childbirth, and the puerperium Perinatal Conditions Disorders Related to Short Gestation and Low Birth Weight (LBW) Congenital Malformations 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) I60-I69 I70 I71-I78 J10-J18 J40-J47 J43 J45-J46 K25-K28 K70, K73-K74 K70 M05-M08 M32 M80-M81 N00-N07, N17-N19, N25-N27 O00-O99 P00-P96 P07 Q00-Q99 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 (Table Continues) 47 (Table 3.2, Continued) Suicide Homicide All Other External Causes Unknown Causes Firearm Related Drug Induced or Related Alcohol Induced or Related 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, 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. 48 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. Natality (Birth) Statistics Natality (birth) statistics are shown in Tables 2.04a through 2.05. 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. Infant Mortality Statistics Infant mortality statistics are shown in Tables 2.06a through 2.12b. 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. 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. 49 The infant mortality rates for older and younger maternal age groups (fewer than 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 : • 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 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. 3 th Communicable Disease (Morbidity) Statistics Communicable disease statistics are shown in Tables 2.13a through 2.15. 2 3 NCHS guidelines were adopted from those established by the World Health Organization (WHO). The Arizona statute defining a live birth follows this definition. 50 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 known “active” cases of Hansen’s disease in Maricopa County, diagnosed between 1955 and 2012. To be considered “active,” the prevalent cases being treated, managed, and followed-up at MCDPH and the Hansen’s disease clinic have to be seen by a Hansen’s disease physician, physical therapist, or occupational therapist within the past five years. This includes all confirmed, suspect, and probable cases diagnosed in Maricopa County, including diagnoses to non-county residents, as mentioned earlier. Other reports or releases may show different prevalence rates, as validation of past data revealed cases that were no longer “active,” causing a drop in the number of “active” cases between the 2007-2011 five-year trend report and the current 20082012 five-year trend report. Primary and secondary syphilis are shown as “Syphilis-Primary and Secondary.” 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 2.14a and 2.14b. 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 “active” cases from all years) is shown. 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 Other” 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 2008-2012 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. 51 In Tables 2.13a and 2.13b, 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. 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. 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 ICD-9-CM Code 001–139 38 140–239 140–208,230–234 153–154,197.5 162,176.4,197.0,197.3 (Table Continues) 52 (Table 3.3, Continued) Category of Principal Diagnoses Malignant neoplasm - breast Benign neoplasms Endocrine, nutritional & metabolic diseases, & immunity disorders Diabetes mellitus Volume depletion (dehydration) Diseases of the blood and blood-forming organs Mental disorders Psychoses Alcohol dependence syndrome Diseases of the nervous system and sense organs Diseases of the circulatory system Heart disease Acute myocardial infarction Coronary atherosclerosis Other ischemic heart disease Cardiac dysrhythmias Congestive heart failure Cerebrovascular disease Diseases of the respiratory system Acute bronchitis and bronchiolitis Pneumonia Chronic bronchitis Asthma Diseases of the digestive system Appendicitis Noninfectious enteritis and colitis Cholelithiasis Diseases of the genitourinary system Calculus of kidney and ureter Complications of pregnancy, childbirth, and the puerperium Diseases of the skin and subcutaneous tissue 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 174–175,198.81 210–229 240–279 250 277 280–289 290–319 290–299 303 320–389 390–459 391–392.0,393– 398,402,404,410– 416,420–429 410 414 411–413,414.1–414.9 427 428.0 430–438 460–519 466 480-486 491 493 520-579 540–543 555–558 574 580–629 592 630–677 680–709 681–682 710–739 715 722 740–759 760–779 780–799 800–999 800–829 820 960–989 990–999 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 54