HEALTH STATUS PROFILE OF AMERICAN INDIANS IN ARIZONA 1995 DATA BOOK by Christopher K. Mrela, Ph.D., Assistant Registrar of Vital Statistics Trentham Coe, Senior Research Data Analyst Health Status Profile of American Indians in Arizona: 1995 Data Book This report is the second annual update of population-level data on trends and patterns in natality and mortality among American Indian residents of Arizona. Topics 1)American Indians'standing with respect to selected health objectives for the year 2000 1.1 Early Prenatal Care 1.2 Infant Mortality 1.3 Postneonatal Mortality 1.4 Mortality From Unintentional Injuries 1.5 Mortality From Motor Vehicle-Related Injuries 1.6 Suicide Mortality 1.7 Homicide Mortality 1.8 Mortality of Children 1-14 Years Old 1.9 Mortality of Adolescents and Young Adults 15-24 Years Old 1.10 Mortality of Adults 25-64 Years of Age 2) Selected health problems and health risks among American Indian and all residents of Arizona 2.1 Causes From Which American Indians Are More Likely Or Less Likely to Die Relative to All Arizona Residents 2.2 Average Age At Death From All Causes Among American Indians and All Arizona Residents 2.3 Nonmarital Births 2.4 Low-Birthweight Births 2.5 The Incidence of Fetal Alcohol Syndrome 2.6 Births to Teenage Mothers 2.7 Low-Birthweight Births to Mothers 30 Years or Older 2.8 The Incidence of Pregnancy Associated Hypertension 2.9 The Incidence of Anemia During Pregnancy 2.10 The Incidence of Diabetes During Pregnancy 3) Characteristics of American Indian newborns and mothers giving birth who were residents of specified tribal communities on reservations, and those who resided off reservation 3.1 Maternal Age 3.2 Educational Attainment of Mother 3.3 Marital Status of Mother 3.4 Race/Ethnicity of Father 3.5 Age of Father 3.6 Source of Payment for Labor and Delivery Maternal Lifestyle and Health Characteristics 3.7 Maternal Weight Gain During Pregnancy 3.8 Medical Risk Factors of Pregnancy 3.9 Substance Use During Pregnancy Utilization of Medical Services 3.10 Trimester of Pregnancy Prenatal Care Began 3.11 Number of Prenatal Visits 3.12 Obstetric Procedures 3.13 Complications of Labor and Delivery 3.14 Method of Delivery 3.15 Attendant at Birth Newborn's Health 3.16 Gestational Age 3.17 Weight at Birth 3.18 Abnormal Conditions of the Newborn 3.19 Congenital Anomalies (Birth Defects) 3.20 Causes of Infant Death 4) Patterns of mortality among American Indians 4.1 Age-Specific Mortality 4.2 Age-Specific Mortality Among Males 4.3 Age-Specific Mortality Among Females Cause-Specific Mortality 4.4 Deaths From Causes Selected as Indicators for Monitoring Progress Toward The Year 2000 Objectives 4.5 Leading Causes of Death 4.6 Leading Causes of Death Among Males 4.7 Leading Causes of Death Among Females Leading Causes of Death by Age Group for Selected Indian Nations 4.8 Leading Causes of Death by Age Group Among Residents of NAVAJO Tribal Communities 4.9 Leading Causes of Death by Age Group Among Residents of HOPI Tribal Communities 4.10Leading Causes of Death by Age Group Among Residents of FORT APACHE Tribal Communities 4.11Leading Causes of Death by Age Group Among Residents of GILA RIVER Tribal Communities 4.12 Leading Causes of Death by Age Group Among Residents of SALT RIVER Tribal Communities 4.13 Leading Causes of Death by Age Group Among Residents of SAN CARLOS Tribal Communities 4.14 Leading Causes of Death by Age Group Among Residents of TOHONO O'ODHAM Tribal Communities 4.15 Leading Causes of Death by Age Group Among American Indians Who Resided Off Reservation Gossary of Terms Technical Notes It should be noted that tribal identity is not recorded on birth or death certificates. Tabulations of births and deaths in this publication are by place of residence in Arizona and not by tribe. American Indian births are determined by mother's race as indicated on a birth certificate, that is, these are the births to American Indian mothers. American Indian deaths are determined by decedent's race as stated on the death certificate. Health Status Profile of American Indians in Arizona is intended as a data book: a basic reference for some of the most frequently requested statistics. The four sections of the report were computer-generated and contain information with no accompanying narrative. Sources of Data The charts in Section I and II are based on rates and ratios published in the Arizona Health Status and Vital Statistics annual report (s). Information on live births and deaths in Sections III and IV is compiled from the original documents (i.e., certificates of live births and certificates of death) filed with the Arizona Department of Health Services. Population denominators for American Indian residents of Arizona were not available for 1995. Public Health Services Office of Health Planning, Evaluation and Statistics Arizona Center for Health Statistics Phone: 602/542-7333; FAX: 602/542-1244 Topic 1.1 http://www.azdhs.gov/plan/report/hspam/amerind/amtop1.htm7/30/2009 1:35:40 PM Topic 1.10 http://www.azdhs.gov/plan/report/hspam/amerind/amtop10.htm7/30/2009 1:40:32 PM Topic 1.2 http://www.azdhs.gov/plan/report/hspam/amerind/amtop2.htm7/30/2009 1:35:56 PM Topic 1.3 1.3 Postneonatal Mortality National Year 2000 Objective: Reduce postneonatal mortality among American Indians to no more than 4 per 1,000 live births. Postneonatal mortality rates among American Indians in Arizona by year from 1987 to 1994 Public Health Services Office of Health Planning, Evaluation and Statistics Arizona Center for Health Statistics Phone: 602/542-7333; FAX: 602/542-1244 http://www.azdhs.gov/plan/report/hspam/amerind/amtop3.htm7/30/2009 1:37:47 PM Topic 1.4 http://www.azdhs.gov/plan/report/hspam/amerind/amtop4.htm7/30/2009 1:38:09 PM Topic 1.5 http://www.azdhs.gov/plan/report/hspam/amerind/amtop5.htm7/30/2009 1:38:29 PM Topic 1.6 1.6 Suicide Mortality National Year 2000 Objective: Reduce suicides among American Indians to no more than 12.8 per 100,000 (age-adjusted). Public Health Services Office of Health Planning, Evaluation and Statistics Arizona Center for Health Statistics Phone: 602/542-7333; FAX: 602/542-1244 http://www.azdhs.gov/plan/report/hspam/amerind/amtop6.htm7/30/2009 1:38:47 PM Topic 1.7 http://www.azdhs.gov/plan/report/hspam/amerind/amtop7.htm7/30/2009 1:39:05 PM Topic 1.8 1.8 Mortality of Chlidren 1-14 Years Old National Year 2000 Objective: Reduce death rates for children 1-14 years of age to no more than 28 per 100,000 (age-adjusted). Public Health Services Office of Health Planning, Evaluation and Statistics Arizona Center for Health Statistics Phone: 602/542-7333; FAX: 602/542-1244 http://www.azdhs.gov/plan/report/hspam/amerind/amtop8.htm7/30/2009 1:39:38 PM Topic 1.9 http://www.azdhs.gov/plan/report/hspam/amerind/amtop9.htm7/30/2009 1:39:59 PM Topic 2.1 http://www.azdhs.gov/plan/report/hspam/amerind/amtop21.htm7/30/2009 1:41:09 PM Topic 2.10 http://www.azdhs.gov/plan/report/hspam/amerind/amtop210.htm7/30/2009 1:44:28 PM Topic 2.2 http://www.azdhs.gov/plan/report/hspam/amerind/amtop22.htm7/30/2009 1:41:29 PM Topic 2.3 http://www.azdhs.gov/plan/report/hspam/amerind/amtop23.htm7/30/2009 1:41:48 PM Topic 2.4 http://www.azdhs.gov/plan/report/hspam/amerind/amtop24.htm7/30/2009 1:42:09 PM Topic 2.5 http://www.azdhs.gov/plan/report/hspam/amerind/amtop25.htm7/30/2009 1:42:31 PM Topic 2.6 http://www.azdhs.gov/plan/report/hspam/amerind/amtop26.htm7/30/2009 1:42:53 PM Topic 2.7 http://www.azdhs.gov/plan/report/hspam/amerind/amtop27.htm7/30/2009 1:43:24 PM Topic 2.8 http://www.azdhs.gov/plan/report/hspam/amerind/amtop28.htm7/30/2009 1:43:47 PM Topic 2.9 http://www.azdhs.gov/plan/report/hspam/amerind/amtop29.htm7/30/2009 1:44:08 PM http://www.azdhs.gov/plan/report/hspam/amerind/tables/amtop310.htm 3.10 Trimester of Pregnancy Prenatal Care Began Prenatal Care Total No Care Residents of tribal communities 1st trimester 2nd trimester 3rd trimester Unknown 5086 134 2900 1478 506 68 34 2 18 11 1 2 235 9 138 63 22 3 18 0 9 8 1 0 Gila River 150 1 102 34 9 4 Havasupai 5 0 2 2 1 0 107 4 77 21 4 1 26 1 14 6 5 0 Kaibab 5 0 5 0 0 0 Navajo 1936 45 1078 599 202 12 1 0 1 0 0 0 Salt River 32 2 14 10 6 0 San Carlos 185 2 89 64 24 6 San Xavier 17 0 10 5 2 0 148 9 90 37 11 1 Residents of tribal communities, total 2899 75 1647 860 288 29 Residents of non-tribal communities 2187 59 1253 618 218 39 Colorado River Fort Apache Fort McDowell Hopi Hualapai Pascua Yaqui Tohono O Odham 3.11 Number of Prenatal Visits http://www.azdhs.gov/plan/report/hspam/amerind/tables/amtop310.htm (1 of 6)7/30/2009 1:50:54 PM http://www.azdhs.gov/plan/report/hspam/amerind/tables/amtop310.htm Number of Prental Visits Total No visits Residents of tribal communities 1-4 visits 5-8 visits 9-12 visits 13+ visits Unknown 5086 138 572 1390 1888 959 139 34 2 5 10 12 3 2 235 10 32 60 76 42 15 18 0 0 5 8 4 1 Gila River 150 2 5 40 61 39 3 Havasupai 5 0 1 3 1 0 0 107 4 11 32 39 21 0 26 1 6 6 9 1 3 Kaibab 5 0 0 0 4 1 0 Navajo 1936 46 235 568 691 364 32 1 0 0 0 1 0 0 Salt River 32 2 4 10 11 5 0 San Carlos 185 2 43 62 46 18 14 San Xavier 17 0 1 4 4 8 0 148 9 16 24 59 39 1 Residents of tribal communities, total 2899 78 359 824 1022 545 71 Residents of non-tribal communities 2187 60 213 566 866 414 68 Colorado River Fort Apache Fort McDowell Hopi Hualapai Pascua Yaqui Tohono O Odham 3.12 Obstetric Procedures Obstetric Procedures:* Total Amniocentesis http://www.azdhs.gov/plan/report/hspam/amerind/tables/amtop310.htm (2 of 6)7/30/2009 1:50:54 PM Electro. Fetal Monitoring Induction of Labor Stimulation of Labor Tocolysis Ultrasound Other http://www.azdhs.gov/plan/report/hspam/amerind/tables/amtop310.htm Residents of tribal communities 4772 80 4249 937 447 75 3083 492 10 0 8 7 2 1 6 0 224 1 208 37 8 7 158 9 18 0 18 2 2 0 8 2 Gila River 149 8 141 28 2 0 125 79 Havasupai 5 1 5 2 1 0 2 0 Hopi 95 2 84 15 14 0 61 4 Hualapai 26 0 26 5 3 0 22 4 Kaibab 5 0 5 1 2 0 4 0 Navajo 1770 16 1675 299 174 27 1066 48 1 0 0 0 0 0 1 0 Salt River 29 0 25 10 0 0 13 2 San Carlos 182 3 168 26 32 2 159 7 San Xavier 17 0 14 4 3 0 16 9 140 5 131 51 11 0 135 18 Residents of tribal communities, total 2671 36 2508 487 254 37 1776 182 Residents of non-tribal communities 2101 44 1741 450 193 38 1307 310 Colorado River Fort Apache Fort McDowell Pascua Yaqui Tohono O Odham 3.13 Complications of Labor and Delivery Total Febrile Total Colorado River Fort Apache Fort McDowell Gila River Hopi Hualapai Kaibab Navajo Pascui Yaqui Salt River San Carlos San Xavier Tohono O Odham Residents of non-tribal communities 1882 5 105 7 51 49 6 3 722 1 11 46 10 86 780 58 0 0 0 0 0 0 0 31 0 0 0 1 3 23 http://www.azdhs.gov/plan/report/hspam/amerind/tables/amtop310.htm (3 of 6)7/30/2009 1:50:54 PM http://www.azdhs.gov/plan/report/hspam/amerind/tables/amtop310.htm Meconium 267 1 13 1 2 9 1 0 98 0 1 3 2 29 107 Rupture of Membrane 237 1 4 0 2 11 0 0 131 0 2 4 0 2 80 Abruptio Placenta 28 0 1 1 0 3 0 0 10 0 0 1 1 1 10 Placenta Previa 14 0 1 0 0 1 0 0 5 0 0 0 0 0 7 Other Bleeding 106 0 1 0 0 4 0 0 84 0 0 1 0 1 15 3 0 0 0 0 0 0 0 1 0 0 0 0 0 2 Precipitous Labor 111 0 2 0 0 5 0 0 75 0 1 4 0 2 22 Prolonged Labor 102 1 0 0 1 7 2 0 60 0 0 2 2 3 24 Dysfunctional Labor 118 0 1 1 1 4 0 0 79 0 0 0 1 0 31 Breech Malpresentation 163 3 3 3 5 2 0 1 52 0 2 17 0 2 73 Cephalopelvic Disp. 66 0 2 0 4 1 0 2 18 0 0 0 0 4 35 Cord Prolapse 8 0 0 0 0 0 0 0 4 0 0 0 0 0 4 Anesthetic Complications 2 0 0 0 0 0 0 0 0 0 0 1 0 0 1 Fetal Distress 115 0 5 0 2 3 0 0 46 0 0 10 0 2 47 Other 969 1 85 5 38 17 3 0 241 1 5 17 9 68 479 Seizures 3.14 Method of Delivery Method of Delivery:* Total Vaginal http://www.azdhs.gov/plan/report/hspam/amerind/tables/amtop310.htm (4 of 6)7/30/2009 1:50:54 PM Vaginal after C-section Primary C-Section Repeat C-Section Forceps Vacuum http://www.azdhs.gov/plan/report/hspam/amerind/tables/amtop310.htm Residents of tribal communities 5043 4146 201 442 248 63 72 10 7 1 0 2 0 0 234 195 5 16 18 8 4 18 13 1 2 2 0 0 Gila River 150 125 4 12 9 2 4 Havasupai 5 4 1 0 0 0 0 106 95 2 5 4 0 1 26 21 0 2 3 0 1 Kaibab 5 3 0 0 2 1 0 Navajo 1934 1616 116 140 58 14 11 1 1 0 0 0 0 0 Salt River 32 30 0 1 1 0 0 San Carlos 185 138 3 27 17 7 4 San Xavier 17 14 0 2 1 0 1 148 118 3 13 14 1 4 Residents of tribal communities, total 2871 2380 136 220 131 33 30 Residents of non-tribal communities 2172 1766 65 222 117 30 42 Colorado River Fort Apache Fort McDowell Hopi Hualapai Pascua Yaqui Tohono O Odham 3.15 Attendant at Birth Attendant Total M.D. Residents of tribal communities Colorado River Fort Apache http://www.azdhs.gov/plan/report/hspam/amerind/tables/amtop310.htm (5 of 6)7/30/2009 1:50:54 PM C.N.M. Hospital Admission Midwife D.O. Other 5086 2786 2016 8 3 233 40 34 33 1 0 0 0 0 235 205 11 1 1 15 2 http://www.azdhs.gov/plan/report/hspam/amerind/tables/amtop310.htm Fort McDowell 18 12 5 0 0 1 0 Gila River 150 67 24 2 0 56 1 Havasupai 5 1 3 0 0 1 0 107 57 48 0 0 2 0 26 20 0 0 0 6 0 Kaibab 5 5 0 0 0 0 0 Navajo 1936 697 1194 3 1 29 12 1 1 0 0 0 0 0 Salt River 32 11 19 0 0 2 0 San Carlos 185 175 7 1 0 1 1 San Xavier 17 12 5 0 0 0 0 148 88 59 0 0 0 1 Residents of tribal communities, total 2899 1384 1376 7 2 113 17 Residents of non-tribal communities 2187 1402 640 1 1 120 23 Hopi Hualapai Pascua Yaqui Tohono O Odham This page is maintained by: Kurt Batsche, ADHS, OHPES Public Health Services Office of Health Planning, Evaluation and Statistics Arizona Center for Health Statistics Phone: 602/542-7333; FAX: 602/542-1244 http://www.azdhs.gov/plan/report/hspam/amerind/tables/amtop310.htm (6 of 6)7/30/2009 1:50:54 PM Health Status Profile of American Indians: Topic 3.1 3.1 Maternal Age Age Group Of Mother Total <15 1517 1819 2024 2529 3034 3539 4044 45 + Unknown 5086 25 387 579 1540 1147 882 430 93 1 2 34 1 5 6 12 5 5 0 0 0 0 235 0 18 27 74 51 48 14 3 0 0 Fort McDowell 18 0 4 1 6 0 4 2 1 0 0 Gila River 150 2 15 18 40 36 22 17 0 0 0 Havasupai 5 0 1 0 2 1 1 0 0 0 0 107 0 8 18 26 23 20 10 2 0 0 26 1 0 7 6 7 2 3 0 0 0 Kaibab 5 0 0 0 3 1 1 0 0 0 0 Navajo 1936 8 130 210 580 414 348 197 46 1 2 Pascua Yaqui 1 0 0 0 0 1 0 0 0 0 0 Salt River 32 0 6 6 4 9 4 2 1 0 0 San Carlos 185 0 13 19 54 47 28 21 3 0 0 San Xavier 17 0 1 4 5 3 3 1 0 0 0 Tohono O Odham 148 3 16 15 41 32 27 12 2 0 0 Residents of tribal communities Colorado River Fort Apache Hopi Hualapai http://www.azdhs.gov/plan/report/hspam/amerind/tables/amtop31.htm (1 of 8)7/30/2009 1:45:09 PM Health Status Profile of American Indians: Topic 3.1 Residents of tribal communities, total 2899 15 217 331 853 630 513 279 58 1 2 Residents of non-tribal communities 2187 10 170 248 687 517 369 151 35 0 0 3.2 Educational Attainment Of Mother Mother's Education Total <8 Residents of tribal communities 8 9-11 12 13-16 17+ Unknown 5086 74 179 1536 2001 1113 46 137 34 1 2 12 16 3 0 0 235 4 14 86 87 39 2 3 Fort McDowell 18 0 0 7 9 2 0 0 Gila River 150 4 8 58 50 20 0 10 Havasupai 5 0 0 2 2 1 0 0 107 0 1 30 50 25 0 1 26 0 1 8 16 1 0 0 Kaibab 5 0 0 1 3 1 0 0 Navajo 1936 34 54 550 809 406 11 72 Colorado River Fort Apache Hopi Hualapai http://www.azdhs.gov/plan/report/hspam/amerind/tables/amtop31.htm (2 of 8)7/30/2009 1:45:09 PM Health Status Profile of American Indians: Topic 3.1 Pascua Yaqui 1 1 0 0 0 0 0 0 Salt River 32 0 1 17 8 4 0 2 San Carlos 185 0 3 78 55 46 1 2 San Xavier 17 0 0 8 5 4 0 0 Tohono O Odham 148 0 5 64 57 19 1 2 Residents of tribal communities, total 2899 44 89 921 1167 571 15 92 Residents of non-tribal communities 2187 30 90 615 834 542 31 45 3.3 Marital Status of Mother Marital Status Total Unmarried Residents of tribal communities Married Unknown 5086 3433 1617 36 34 8 2 24 235 133 102 0 18 16 2 0 Gila River 150 126 24 0 Havasupai 5 4 1 0 107 83 24 0 Colorado River Fort Apache Fort McDowell Hopi http://www.azdhs.gov/plan/report/hspam/amerind/tables/amtop31.htm (3 of 8)7/30/2009 1:45:09 PM Health Status Profile of American Indians: Topic 3.1 Hualapai 26 17 9 0 Kaibab 5 2 3 0 Navajo 1936 1309 626 1 1 1 0 0 Salt River 32 22 10 0 San Carlos 185 95 90 0 San Xavier 17 12 5 0 148 125 23 0 Residents of tribal communities, total 2899 1953 921 25 Residents of non-tribal communities 2187 1480 696 11 Pascua Yaqui Tohono O Odham 3.4 Race/Ethnicity of Father Ethnicity of Father Total Residents of tribal communities Colorado River Fort Apache Fort McDowell Gila River NonHispanic White Hispanic Black Native American Asian Unknown 5086 215 189 57 2160 14 2451 34 2 4 0 16 0 12 235 0 0 0 147 1 87 18 1 0 1 5 0 11 150 1 2 0 28 0 119 http://www.azdhs.gov/plan/report/hspam/amerind/tables/amtop31.htm (4 of 8)7/30/2009 1:45:09 PM Health Status Profile of American Indians: Topic 3.1 Havasupai 5 0 0 0 1 0 4 107 0 1 0 53 0 53 26 1 0 1 7 0 17 Kaibab 5 1 1 0 2 0 1 Navajo 1936 13 8 8 1088 2 817 1 0 0 0 0 0 1 Salt River 32 0 3 0 10 1 18 San Carlos 185 3 2 0 109 1 70 San Xavier 17 1 0 0 6 0 10 Tohono O Odham 148 2 2 1 43 0 100 Residents of tribal communities, total 2899 25 23 11 1515 5 1320 Residents of nontribal communities 2187 190 166 46 645 9 1131 45 + Unknown Hopi Hualapai Pascua Yaqui 3.5 Age of Father Age Group of Father Total <15 1517 1819 2024 2529 3034 http://www.azdhs.gov/plan/report/hspam/amerind/tables/amtop31.htm (5 of 8)7/30/2009 1:45:09 PM 3539 4044 Health Status Profile of American Indians: Topic 3.1 Residents of tribal communities 5086 2 53 173 715 721 570 377 154 60 2261 34 0 1 4 5 6 4 2 0 0 12 235 0 8 14 41 36 38 17 4 2 75 18 0 0 1 3 1 2 0 1 0 10 Gila River 150 0 2 5 5 13 10 8 1 0 106 Havasupai 5 0 0 0 1 0 0 1 0 0 3 107 0 5 5 13 12 15 8 4 0 45 26 0 0 1 0 2 2 3 1 0 17 Kaibab 5 0 0 0 2 2 0 0 0 0 1 Navajo 1936 0 21 73 282 293 241 176 72 31 747 1 0 0 0 0 0 0 0 0 0 1 Salt River 32 0 1 3 2 5 5 2 0 0 14 San Carlos 185 0 0 7 38 35 22 12 8 5 58 San Xavier 17 0 0 0 1 3 2 0 1 0 10 Tohono O Odham 148 0 1 4 13 15 11 8 4 0 92 Residents of tribal communities, total 2899 0 39 117 406 423 352 237 96 38 1191 Residents of non-tribal communities 2187 2 14 56 309 298 218 140 58 22 1070 Colorado River Fort Apache Fort McDowell Hopi Hualapai Pascua Yaqui http://www.azdhs.gov/plan/report/hspam/amerind/tables/amtop31.htm (6 of 8)7/30/2009 1:45:09 PM Health Status Profile of American Indians: Topic 3.1 3.6 Source of Payment for Labor and Delivery Payee for Birth Total AHCCCS IHS Private Insurance Self Pay Unknown 5086 1854 2330 457 53 392 34 9 1 0 0 24 235 168 55 9 1 2 18 10 3 3 0 2 Gila River 150 28 97 17 4 4 Havasupai 5 3 1 0 1 0 107 12 88 2 2 3 26 12 3 7 4 0 Kaibab 5 0 0 0 0 5 Navajo 1936 278 1373 48 6 231 1 1 0 0 0 0 Salt River 32 14 13 3 1 1 San Carlos 185 112 62 8 2 1 San Xavier 17 2 11 4 0 0 Tohono O Odham 148 31 102 11 2 2 Residents of tribal communities, total 2899 680 1809 112 23 275 Residents of non-tribal communities 2187 1174 521 345 30 117 Residents of tribal communities Colorado River Fort Apache Fort McDowell Hopi Hualapai Pascua Yaqui http://www.azdhs.gov/plan/report/hspam/amerind/tables/amtop31.htm (7 of 8)7/30/2009 1:45:09 PM Health Status Profile of American Indians: Topic 3.1 Public Health Services Office of Health Planning, Evaluation and Statistics Arizona Center for Health Statistics Phone: 602/542-7333; FAX: 602/542-1244 http://www.azdhs.gov/plan/report/hspam/amerind/tables/amtop31.htm (8 of 8)7/30/2009 1:45:09 PM http://www.azdhs.gov/plan/report/hspam/amerind/tables/amtop316.htm 3.16 Gestational Age Length of Gestation Total <37 weeks Residents of tribal communities 37 weeks 38-41 weeks 42+ weeks Unknown 5086 440 319 4196 85 46 34 2 2 5 1 24 235 28 14 191 2 0 18 0 6 11 1 0 Gila River 150 8 10 131 1 0 Havasupai 5 0 0 5 0 0 107 10 8 87 2 0 26 2 3 21 0 0 Kaibab 5 0 1 4 0 0 Navajo 1936 149 107 1643 35 2 1 0 0 1 0 0 Salt River 32 3 0 28 0 1 San Carlos 185 27 6 146 5 1 San Xavier 17 4 2 11 0 0 148 19 22 104 1 2 Residents of tribal communities, total 2899 252 181 2388 48 30 Residents of non-tribal communities 2187 188 138 1808 37 16 Colorado River Fort Apache Fort McDowell Hopi Hualapai Pascua Yaqui Tohono O Odham http://www.azdhs.gov/plan/report/hspam/amerind/tables/amtop316.htm (1 of 6)7/30/2009 1:51:47 PM http://www.azdhs.gov/plan/report/hspam/amerind/tables/amtop316.htm Total 2187 188 138 1808 37 16 3.17 Weight at Birth Weight at birth Total Residents of tribal communities LBW Non-LBW <2,500 g 2,500g+ 5086 317 4769 34 2 32 235 21 214 18 2 16 Gila River 150 5 145 Havasupai 5 0 5 107 7 100 26 0 26 Kaibab 5 0 5 Navajo 1936 110 1826 1 0 1 Salt River 32 3 29 San Carlos 185 16 169 San Xavier 17 1 16 Colorado River Fort Apache Fort McDowell Hopi Hualapai Pascuas Yaqui http://www.azdhs.gov/plan/report/hspam/amerind/tables/amtop316.htm (2 of 6)7/30/2009 1:51:47 PM http://www.azdhs.gov/plan/report/hspam/amerind/tables/amtop316.htm Tohono O Odham 148 11 137 Residents of tribal communities, total 2899 178 2721 Residents of non-tribal communities 2187 139 2048 3.18 Abnormal Conditions of the Newborn Navajo Salt River San Carlos San Xavier Tohono O Odham Residents of non-tribal communities 2 86 2 15 3 25 174 0 0 2 0 0 0 0 5 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 1 0 0 1 0 0 1 0 0 3 0 0 0 0 2 0 1 0 1 0 0 5 0 0 0 0 3 29 0 0 0 0 1 0 13 0 2 0 0 13 21 0 0 1 1 1 1 11 0 1 0 0 5 Total Colorado River Fort Apache Fort McDowell Gila River Hopi Hualapai 361 4 32 2 11 5 Anemia 8 0 0 0 1 Birth Injury 1 0 0 0 Fetal Alcohol Syndrome 3 0 0 Membrane Disease 6 0 Meconium Aspiration 10 Assissted Vent.<30 min Assisted Vent>30 min. Total http://www.azdhs.gov/plan/report/hspam/amerind/tables/amtop316.htm (3 of 6)7/30/2009 1:51:47 PM http://www.azdhs.gov/plan/report/hspam/amerind/tables/amtop316.htm Seizures Other 2 0 0 0 0 0 0 1 0 0 0 0 1 314 4 31 1 9 4 2 65 2 13 3 25 155 3.19 Congenital Anomalies (Birth Defects) Colorado River Total Total Fort Apache Gila River Hualapai Navajo San Carlos Tohono O Odham Residents of nontribal communities 142 25 11 2 2 37 9 2 54 Anencephalus 2 0 1 0 0 1 0 0 0 Spina Bifida 1 0 0 0 0 1 0 0 0 Hydrocephalus 3 0 0 0 0 2 0 0 1 Heart Malformations 4 0 0 0 0 1 1 0 2 Other Resp./ Circulatory 9 0 0 1 0 1 0 0 7 Rectal Atresia 1 0 0 0 0 1 0 0 0 Omphalocele 1 0 0 0 0 0 0 0 1 Malformed Genitalia 1 0 0 0 0 0 0 0 1 Other Urogenital 1 0 0 0 0 1 0 0 0 Cleft Lip/Palate 8 0 0 0 0 5 1 0 2 Polydactyly 4 0 0 0 0 3 0 0 1 Club Foot 1 0 0 0 1 0 0 0 0 Other Muscosceletal 4 0 0 0 0 3 0 0 1 http://www.azdhs.gov/plan/report/hspam/amerind/tables/amtop316.htm (4 of 6)7/30/2009 1:51:47 PM http://www.azdhs.gov/plan/report/hspam/amerind/tables/amtop316.htm Down's Syndrome 2 0 0 0 0 2 0 0 0 Other Chromosomal 3 0 1 0 0 1 0 0 1 Other 67 1 10 1 1 14 7 2 31 Unknown 36 24 0 0 0 2 0 0 10 3-20 Causes of Infant Death Total Fort Apache Hualapai Navajo Salt River Tohono O Odham Resided off reservation 49 3 1 20 1 3 21 Conditions Originating in the Perinatal Period 8 0 0 3 0 0 5 -Low birthweight/short gestation 3 0 0 0 0 0 3 -Intrauterine hypoxia or birth asphyxia 1 0 0 1 0 0 0 -Other perinatal conditions 4 0 0 2 0 0 2 15 1 0 6 0 0 8 -Heart and/or circulatory system 3 0 0 1 0 0 2 -Respiratory system 1 0 0 1 0 0 0 -Brain, spinal cord or nervous system 2 0 0 0 0 0 2 Other anomalies 9 1 0 4 0 0 4 10 1 0 2 0 3 4 5 0 0 3 0 0 2 11 1 1 6 1 0 2 Total, All Causes -Congenital Anomalies Sudden Infant Death Syndrome(SIDS) Pneumonia/Influenza All Other Causes http://www.azdhs.gov/plan/report/hspam/amerind/tables/amtop316.htm (5 of 6)7/30/2009 1:51:47 PM http://www.azdhs.gov/plan/report/hspam/amerind/tables/amtop316.htm This page is maintained by: Kurt Batsche, ADHS, OHPES Public Health Services Office of Health Planning, Evaluation and Statistics Arizona Center for Health Statistics Phone: 602/542-7333; FAX: 602/542-1244 http://www.azdhs.gov/plan/report/hspam/amerind/tables/amtop316.htm (6 of 6)7/30/2009 1:51:47 PM http://www.azdhs.gov/plan/report/hspam/amerind/tables/amtop37.htm 3.7 Maternal Weight Gain During Pregnancy Weight Gain Total None Residents of tribal communities 1-10 Pounds 11-20 Pounds 21 or more Unknown 5086 41 322 1017 2924 782 34 0 0 1 8 25 235 1 15 44 121 54 18 0 0 2 16 0 Gila River 150 3 11 33 76 27 Havasupai 5 0 1 1 3 0 107 0 6 28 50 23 26 0 1 7 17 1 Kaibab 5 0 1 1 3 0 Navajo 1936 13 162 446 970 345 1 0 0 0 1 0 Salt River 32 0 1 7 21 3 San Carlos 185 2 7 42 107 27 San Xavier 17 0 2 2 12 1 148 2 12 33 75 26 Residents of tribal communities, total 2899 21 219 647 1480 532 Residents of non-tribal communities 2187 20 103 370 1444 250 Colorado River Fort Apache Fort McDowell Hopi Hualapai Pascua Yaqui Tohono O Odham 3.8 Medical Risk Factors of Pregnancy http://www.azdhs.gov/plan/report/hspam/amerind/tables/amtop37.htm (1 of 3)7/30/2009 1:49:47 PM http://www.azdhs.gov/plan/report/hspam/amerind/tables/amtop37.htm Total Total Colorado Fort Fort Gila Salt San San Havasupai Hopi Hualapai Kaibab Navajo River Apache McDowell River River Carlos Xavier Tohono Residents of O non-tribal Odham communities 1929 4 130 5 78 3 37 7 1 756 8 75 12 105 708 206 0 14 2 10 0 2 0 0 102 1 16 0 3 56 Cardiac Disease 15 0 0 0 1 0 2 0 0 4 0 1 0 0 7 Lung Disease 10 0 0 0 1 0 0 0 0 2 0 0 0 0 7 332 0 19 1 34 0 10 2 0 80 1 21 2 20 142 Genital Herpes 15 1 0 0 1 0 0 1 0 7 0 2 0 0 3 Hydramnios 93 0 0 0 0 0 0 0 0 56 1 1 0 6 29 3 0 1 0 0 0 0 0 0 1 0 0 0 0 1 Chronic Hypertension 66 0 3 0 2 0 6 0 0 39 0 3 0 0 13 Pregnancy Associated Hypertension 242 0 20 0 10 1 10 0 0 105 0 12 1 8 75 Eclampsia 84 1 2 1 1 1 0 0 0 11 0 2 3 20 42 Previous Infant 4000+g 83 0 3 0 0 0 0 0 0 56 0 7 0 0 17 Previous SGA Infant 53 0 0 0 1 0 1 0 0 36 0 3 0 2 10 Renal Disease 12 0 0 0 1 0 2 0 1 6 0 0 0 0 2 RH Sensitization 3 0 1 0 0 0 0 0 0 1 0 0 0 0 1 Uterine Bleeding 10 0 2 0 0 0 0 0 0 6 0 0 0 0 2 1118 3 86 2 51 1 14 4 0 387 6 24 10 78 452 Anemia Diabetes Hemoglobinopathy Other 3.9 Substance Use During Pregnancy Substance Use Total http://www.azdhs.gov/plan/report/hspam/amerind/tables/amtop37.htm (2 of 3)7/30/2009 1:49:47 PM http://www.azdhs.gov/plan/report/hspam/amerind/tables/amtop37.htm Alcohol Use Residents of tribal communities Tobacco Use Both None 5086 139 195 56 4696 34 1 1 0 32 235 17 11 7 200 18 1 0 0 17 Gila River 150 4 7 2 137 Havasupai 5 0 0 0 5 107 3 5 1 98 26 6 0 0 20 Kaibab 5 0 1 0 4 Navajo 1936 38 21 9 1868 1 0 0 0 1 Salt River 32 2 1 1 28 San Carlos 185 12 7 5 161 San Xavier 17 1 1 0 15 148 10 6 2 130 Residents of tribal communities, total 2899 95 61 27 2716 Residents of non-tribal communities 2187 44 134 29 1980 Colorado River Fort Apache Fort McDowell Hopi Hualapai Pascua Yaqui Tohono O Odham Public Health Services Office of Health Planning, Evaluation and Statistics Arizona Center for Health Statistics Phone: 602/542-7333; FAX: 602/542-1244 http://www.azdhs.gov/plan/report/hspam/amerind/tables/amtop37.htm (3 of 3)7/30/2009 1:49:47 PM http://www.azdhs.gov/plan/report/hspam/amerind/tables/amtop410.htm 4.10 Leading Causes of Death by Age Group Among Residents of Fort Apache Tribal Communities Age Group: Total <1 1-4 5-14 15-24 25-34 35-44 45-54 55-64 65+ 71 3 1 1 7 7 11 10 9 22 Unintentional injury 9 0 1 1 3 1 2 0 0 1 Motor Vehicle-Related 8 0 1 1 3 0 2 0 0 1 Drowning 0 0 0 0 0 0 0 0 0 0 Other Injury 1 0 0 0 0 1 0 0 0 0 12 0 0 0 1 1 2 2 0 6 Malignant Neoplasms 5 0 0 0 0 0 1 0 0 4 Diabetes 4 0 0 0 0 0 0 0 3 1 Alcoholism 9 0 0 0 0 1 3 4 1 0 Pneumonia/Influenza 3 0 0 0 0 0 0 2 0 1 Homicide/Legalintervention 3 0 0 0 1 1 0 1 0 0 Suicide 2 0 0 0 1 1 0 0 0 0 Cerebrovascular Disease 3 0 0 0 0 0 0 0 1 2 Infectious & Parasitic Diseases 4 0 0 0 1 0 0 0 2 1 HIV Infection 1 0 0 0 0 0 0 0 1 0 Total Diseases of Heart http://www.azdhs.gov/plan/report/hspam/amerind/tables/amtop410.htm (1 of 2)7/30/2009 1:54:57 PM http://www.azdhs.gov/plan/report/hspam/amerind/tables/amtop410.htm Other Infectious Disease 3 0 0 0 1 0 0 0 1 1 Ill Defined Conditions 2 1 0 0 0 0 0 0 1 0 Congenital Anomalies 2 1 0 0 0 0 1 0 0 0 Chronic Obstructive Pulmonary Disease 2 0 0 0 0 0 0 0 0 2 11 1 0 0 0 2 2 1 1 4 All Other Causes This page is maintained by: Kurt Batsche, ADHS, OHPES Public Health Services Office of Health Planning, Evaluation and Statistics Arizona Center for Health Statistics Phone: 602/542-7333; FAX: 602/542-1244 http://www.azdhs.gov/plan/report/hspam/amerind/tables/amtop410.htm (2 of 2)7/30/2009 1:54:57 PM http://www.azdhs.gov/plan/report/hspam/amerind/tables/amtop411.htm 4.11 Leading Causes of Death by Age Group Among Residents of Gila River Tribal Communities Age Group: Total 1-4 5-14 15-24 25-34 35-44 45-54 55-64 65+ Total 98 4 1 7 11 10 16 15 34 Unintentional injury 17 1 0 4 5 2 2 2 1 Motor Vehicle-Related 12 0 0 3 4 1 2 1 1 Drowning 1 0 0 0 0 1 0 0 0 Other Injury 4 1 0 1 1 0 0 1 0 Diseases of Heart 11 0 0 0 0 1 4 1 5 Malignant Neoplasms 12 0 1 0 1 0 1 2 7 Diabetes 15 0 0 0 0 1 5 6 3 Alcoholism 6 0 0 0 0 3 2 1 0 Pneumonia/Influenza 5 0 0 0 0 0 1 0 4 Homicide/Legalintervention 7 1 0 3 1 2 0 0 0 Suicide 1 0 0 0 1 0 0 0 0 Cerebrovascular Disease 5 0 0 0 0 0 0 1 4 Infectious & Parasitic Diseases 4 0 0 0 1 0 0 0 3 HIV Infection 1 0 0 0 1 0 0 0 0 Other Infectious Disease 3 0 0 0 0 0 0 0 3 http://www.azdhs.gov/plan/report/hspam/amerind/tables/amtop411.htm (1 of 2)7/30/2009 1:55:18 PM http://www.azdhs.gov/plan/report/hspam/amerind/tables/amtop411.htm Ill Defined Conditions 2 1 0 0 1 0 0 0 0 Congenital Anomalies 1 1 0 0 0 0 0 0 0 Chronic Obstructive Pulmonary Disease 1 0 0 0 0 0 0 0 1 11 0 0 0 1 1 1 2 6 All Other Causes This page is maintained by: Kurt Batsche, ADHS, OHPES Public Health Services Office of Health Planning, Evaluation and Statistics Arizona Center for Health Statistics Phone: 602/542-7333; FAX: 602/542-1244 http://www.azdhs.gov/plan/report/hspam/amerind/tables/amtop411.htm (2 of 2)7/30/2009 1:55:18 PM http://www.azdhs.gov/plan/report/hspam/amerind/tables/amtop412.htm 4.12 Leading Causes of Death by Age Group Among Residents of Salt River Tribal Communities Age Group: Total <1 1-4 15-24 25-34 35-44 45-54 55-64 65+ 23 1 1 2 2 4 3 4 6 Unintentional injury 2 0 1 1 0 0 0 0 0 Motor Vehicle -Related 1 0 0 1 0 0 0 0 0 Drowning 1 0 1 0 0 0 0 0 0 Diseases of Heart 6 0 0 0 0 1 1 1 3 Malignant Neoplasms 1 0 0 0 0 1 0 0 0 Diabetes 1 0 0 0 0 0 0 1 0 Alcoholism 1 0 0 0 0 0 0 1 0 Pneumonia/Influenza 1 0 0 0 0 0 1 0 0 Homicide/Legal-intervention 2 1 0 1 0 0 0 0 0 Suicide 1 0 0 0 1 0 0 0 0 Infectious & Parasitic Diseases 1 0 0 0 1 0 0 0 0 HIV Infection 1 0 0 0 1 0 0 0 0 Chronic Obstructive Pulmonary Disease 1 0 0 0 0 0 0 0 1 All Other Causes 6 0 0 0 0 2 1 1 2 Total http://www.azdhs.gov/plan/report/hspam/amerind/tables/amtop412.htm (1 of 2)7/30/2009 1:55:46 PM http://www.azdhs.gov/plan/report/hspam/amerind/tables/amtop412.htm This page is maintained by: Kurt Batsche, ADHS, OHPES Public Health Services Office of Health Planning, Evaluation and Statistics Arizona Center for Health Statistics Phone: 602/542-7333; FAX: 602/542-1244 http://www.azdhs.gov/plan/report/hspam/amerind/tables/amtop412.htm (2 of 2)7/30/2009 1:55:46 PM http://www.azdhs.gov/plan/report/hspam/amerind/tables/amtop413.htm 4.13 Leading Cause of Death by Age Group Among Residents of San Carlos Tribal Communities Age Group: Total 5-14 15-24 25-34 35-44 45-54 55-64 65+ 43 1 2 3 4 5 10 18 Unintentional injury 8 1 2 2 1 1 1 0 Motor Vehicle -Related 6 1 1 1 1 1 1 0 Drowning 0 0 0 0 0 0 0 0 Other Injury 2 0 1 1 0 0 0 0 Diseases of Heart 5 0 0 0 0 0 0 5 Malignant Neoplasms 5 0 0 0 0 2 2 1 Diabetes 9 0 0 0 1 0 1 7 Alcoholism 3 0 0 0 1 1 0 1 Pneumonia/Influenza 2 0 0 0 0 0 0 2 Suicide 1 0 0 1 0 0 0 0 Infectious & Parasitic Diseases 1 0 0 0 1 0 0 0 HIV Infection 1 0 0 0 1 0 0 0 Other Infectious Disease 0 0 0 0 0 0 0 0 All Other Causes 8 0 0 0 0 1 6 1 Total This page is maintained by: Kurt Batsche, ADHS, OHPES http://www.azdhs.gov/plan/report/hspam/amerind/tables/amtop413.htm (1 of 2)7/30/2009 1:56:14 PM http://www.azdhs.gov/plan/report/hspam/amerind/tables/amtop413.htm Public Health Services Office of Health Planning, Evaluation and Statistics Arizona Center for Health Statistics Phone: 602/542-7333; FAX: 602/542-1244 http://www.azdhs.gov/plan/report/hspam/amerind/tables/amtop413.htm (2 of 2)7/30/2009 1:56:14 PM http://www.azdhs.gov/plan/report/hspam/amerind/tables/amtop41.htm 4.1 Age-Specific Mortality Age Group: Total <1 1-4 5-14 15-24 25-34 35-44 45-54 55-64 65+ 1406 49 31 22 116 133 196 141 171 547 1 0 0 0 0 0 0 1 0 0 Colorado River 19 0 0 0 3 0 2 1 6 7 Fort Apache 71 3 1 1 7 7 11 10 9 22 Fort McDowell 3 0 1 0 1 0 1 0 0 0 Gila Bend 1 0 0 0 0 0 0 0 1 0 Gila River 98 0 4 1 7 11 10 16 15 34 Havasupai 2 0 0 0 0 0 2 0 0 0 Hopi 45 0 0 1 3 3 9 1 5 23 Hualapai 14 1 0 0 2 2 1 1 1 6 Kaibab 1 0 0 0 0 0 0 0 0 1 Navajo 474 20 5 12 33 39 63 30 46 226 Salt River 23 1 1 0 2 2 4 3 4 6 San Carlos 43 0 0 1 2 3 4 5 10 18 San Xavier 13 0 0 0 1 1 2 3 1 5 Tohono O Odham 92 3 2 0 4 12 8 8 21 34 Resided on reservation, total 900 28 14 16 65 80 117 79 119 382 Total Ak Chin http://www.azdhs.gov/plan/report/hspam/amerind/tables/amtop41.htm (1 of 4)7/30/2009 1:52:21 PM http://www.azdhs.gov/plan/report/hspam/amerind/tables/amtop41.htm Resided off reservation 506 21 17 6 51 53 79 62 52 165 4.2 Age-Specific Mortality Among Males Age Group: Total <1 1-4 5-14 15-24 25-34 35-44 45-54 55-64 65+ 823 22 15 12 99 103 141 82 103 246 1 0 0 0 0 0 0 1 0 0 Colorado River 12 0 0 0 2 0 2 1 3 4 Fort Apache 48 1 0 1 7 6 7 9 5 12 2 0 1 0 0 0 1 0 0 0 Gila River 54 0 2 0 6 7 8 9 10 12 Havasupai 1 0 0 0 0 0 1 0 0 0 25 0 0 1 3 3 7 1 4 6 7 1 0 0 2 2 0 0 0 2 271 8 0 7 28 32 48 16 28 104 Salt River 13 1 1 0 2 2 3 1 1 2 San Carlos 21 0 0 0 2 3 3 3 5 5 San Xavier 7 0 0 0 1 0 2 1 1 2 Tohono O Odham 50 0 1 0 4 8 8 4 11 14 Resided on reservation, total 512 11 5 9 57 63 90 46 68 163 Total Ak Chin Fort McDowell Hopi Hualapai Navajo http://www.azdhs.gov/plan/report/hspam/amerind/tables/amtop41.htm (2 of 4)7/30/2009 1:52:21 PM http://www.azdhs.gov/plan/report/hspam/amerind/tables/amtop41.htm Resided off reservation 311 11 10 3 42 40 51 36 35 83 4.3 Age-Specific Mortality Among Females Age Group Total <1 1-4 5-14 15-24 25-34 35-44 45-54 55-64 65+ 583 27 16 10 17 30 55 59 68 301 7 0 0 0 1 0 0 0 3 3 23 2 1 0 0 1 4 1 4 10 Fort McDowell 1 0 0 0 1 0 0 0 0 0 Gila River 1 0 0 0 0 0 0 0 1 0 Gila River 44 0 2 1 1 4 2 7 5 22 Havasupai 1 0 0 0 0 0 1 0 0 0 20 0 0 0 0 0 2 0 1 17 Hualapai 7 0 0 0 0 0 1 1 1 4 Kaibab 1 0 0 0 0 0 0 0 0 1 Navajo 203 12 5 5 5 7 15 14 18 122 Salt River 10 0 0 0 0 0 1 2 3 4 San Carlos 22 0 0 1 0 0 1 2 5 13 San Xavier 6 0 0 0 0 1 0 2 0 3 42 3 1 0 0 4 0 4 10 20 Total Colorado River Fort Apache Hopi Tohono O Odham http://www.azdhs.gov/plan/report/hspam/amerind/tables/amtop41.htm (3 of 4)7/30/2009 1:52:21 PM http://www.azdhs.gov/plan/report/hspam/amerind/tables/amtop41.htm Resided on reservation, total 388 17 9 7 8 17 27 33 51 219 Resided off reservation 195 10 7 3 9 13 28 26 17 82 This page is maintained by: Kurt Batsche, ADHS, OHPES Public Health Services Office of Health Planning, Evaluation and Statistics Arizona Center for Health Statistics Phone: 602/542-7333; FAX: 602/542-1244 http://www.azdhs.gov/plan/report/hspam/amerind/tables/amtop41.htm (4 of 4)7/30/2009 1:52:21 PM http://www.azdhs.gov/plan/report/hspam/amerind/tables/amtop414.htm 4.14 Leading Causes of Death by Age Group Among Residents of Tohono O Odham Tribal Communities Age Group: Total <1 1-4 15-24 25-34 35-44 45-54 55-64 65+ Total 92 3 2 4 12 8 8 21 34 Unintentional injury 14 0 1 1 5 0 1 5 1 Motor Vehicle -Related 10 0 0 1 5 0 1 3 0 Drowning 1 0 1 0 0 0 0 0 0 Other Injury 3 0 0 0 0 0 0 2 1 Diseases of Heart 8 0 0 0 0 0 0 0 8 11 0 0 0 1 0 1 1 8 5 0 0 0 0 0 0 3 2 13 0 0 0 2 4 1 5 1 Pneumonia/Influenza 3 0 0 0 0 0 0 1 2 Homicide/Legal-intervention 4 0 1 1 2 0 0 0 0 Suicide 2 0 0 0 2 0 0 0 0 Cerebrovascular Disease 4 0 0 0 0 0 1 0 3 Infectious & Parasitic Diseases 2 0 0 0 0 0 0 1 1 . 0 0 0 0 0 0 0 0 0 Other Infectious Disease 2 0 0 0 0 0 0 1 1 Ill Defined Conditions 5 3 0 0 0 1 0 0 1 Malignant Neoplasms Diabetes Alcoholism http://www.azdhs.gov/plan/report/hspam/amerind/tables/amtop414.htm (1 of 2)7/30/2009 1:56:37 PM http://www.azdhs.gov/plan/report/hspam/amerind/tables/amtop414.htm Chronic Obstructive Pulmonary Disease All Other Causes 1 0 0 0 0 0 0 0 1 20 0 0 2 0 3 4 5 6 This page is maintained by: Kurt Batsche, ADHS, OHPES Public Health Services Office of Health Planning, Evaluation and Statistics Arizona Center for Health Statistics Phone: 602/542-7333; FAX: 602/542-1244 http://www.azdhs.gov/plan/report/hspam/amerind/tables/amtop414.htm (2 of 2)7/30/2009 1:56:37 PM http://www.azdhs.gov/plan/report/hspam/amerind/tables/amtop415.htm 4.15 Leading Causes of Death by Age Group Among Native Americans Who Resided Off Reservation Age Group: Total <1 1-4 5-14 15-24 25-34 35-44 45-54 55-64 65+ 506 21 17 6 51 53 79 62 52 165 Unintentional injury 86 0 5 3 34 18 16 5 3 2 Motor Vehicle -Related 55 0 0 2 27 12 8 3 1 2 5 0 4 0 1 0 0 0 0 0 Other Injury 26 0 1 1 6 6 8 2 2 0 Diseases of Heart 82 0 0 0 0 4 2 12 10 54 Malignant Neoplasms 43 0 0 1 1 1 1 9 9 21 Diabetes 18 0 0 0 0 1 1 4 3 9 Alcoholism 48 0 0 0 1 7 22 9 7 2 Pneumonia/Influenza 22 2 0 0 0 1 4 3 2 10 Homicide/Legalintervention 19 0 1 2 7 3 3 2 1 0 9 0 0 0 5 2 2 0 0 0 Cerebrovascular Disease 20 0 1 0 0 0 3 2 0 14 Infectious & Parasitic Diseases 26 0 0 0 0 6 6 5 1 8 HIV Infection 10 0 0 0 0 6 2 2 0 0 Total Drowning Suicide http://www.azdhs.gov/plan/report/hspam/amerind/tables/amtop415.htm (1 of 2)7/30/2009 1:57:00 PM http://www.azdhs.gov/plan/report/hspam/amerind/tables/amtop415.htm Other Infectious Disease 16 0 0 0 0 0 4 3 1 8 Ill Defined Conditions 11 5 0 0 1 1 1 0 1 2 Congenital Anomalies 10 8 1 0 0 0 1 0 0 0 Chronic Obstructive Pulmonary Disease 12 0 2 0 0 1 0 3 2 4 Diseases of Arteries 3 0 0 0 0 0 1 0 0 2 Perinatal Conditions 6 5 1 0 0 0 0 0 0 0 Atherosclerosis 1 0 0 0 0 0 0 0 0 1 90 1 6 0 2 8 16 8 13 36 All Other Causes This page is maintained by: Kurt Batsche, ADHS, OHPES Public Health Services Office of Health Planning, Evaluation and Statistics Arizona Center for Health Statistics Phone: 602/542-7333; FAX: 602/542-1244 http://www.azdhs.gov/plan/report/hspam/amerind/tables/amtop415.htm (2 of 2)7/30/2009 1:57:00 PM http://www.azdhs.gov/plan/report/hspam/amerind/tables/amtop44.htm 4.4 Deaths from Causes Selected as Indicaters for Monitoring Progress Toward the Year 2000 Objectives Total Total Cardiovascular Disease Motor Vehicle Injury Lung Cancer Female Breast Cancer Homicide Suicide All Other Causes 1406 282 162 17 7 52 41 845 1 0 0 0 0 0 0 1 Colorado River 19 7 2 0 0 1 0 9 Fort Apache 71 15 8 0 0 3 2 43 Fort McDowell 3 1 2 0 0 0 0 0 Gila Bend 1 0 0 0 0 0 0 1 Gila River 98 17 12 3 1 7 1 57 Havasupai 2 0 1 0 0 0 1 0 Hopi 45 5 5 0 0 1 3 31 Hualapai 14 2 1 0 0 0 1 10 Kaibab 1 0 0 0 0 0 0 1 Navajo 474 103 59 3 3 14 19 273 Salt River 23 6 1 0 0 2 1 13 San Carlos 43 5 6 1 1 0 1 29 San Xavier 13 2 0 0 0 1 1 9 Tohono O Odham 92 12 10 1 0 4 2 63 506 107 55 9 2 19 9 305 1406 282 162 17 7 52 41 845 Ak Chin Resided off reservation Total 4.5 Leading Causes of Death Total Total Ak Chin Colorado River Fort Apache Fort McDowell Gila Bend Gila River Havasupai Hopi Hualapai Kaibab Navajo Salt River San Carlos San Xavier Tohono O Odham Resided off reservation 1406 1 19 71 3 1 98 2 45 14 1 474 23 43 13 92 506 http://www.azdhs.gov/plan/report/hspam/amerind/tables/amtop44.htm (1 of 5)7/30/2009 1:53:04 PM http://www.azdhs.gov/plan/report/hspam/amerind/tables/amtop44.htm Unintentional injury 251 0 2 9 2 0 17 1 13 2 0 94 2 8 1 14 86 Motor VehicleRelated 162 0 2 8 2 0 12 1 5 1 0 59 1 6 0 10 55 Drowning 10 0 0 0 0 0 1 0 1 0 0 1 1 0 0 1 5 Other Injury 79 0 0 1 0 0 4 0 7 1 0 34 0 2 1 3 26 Diseases of Heart 213 0 6 12 0 0 11 0 4 0 0 79 6 5 0 8 82 Malignant Neoplasms 149 0 6 5 0 0 12 0 5 1 0 59 1 5 1 11 43 77 0 0 4 0 0 15 0 2 0 1 20 1 9 2 5 18 Alcoholism 102 0 2 9 0 0 6 0 3 0 0 15 1 3 2 13 48 Pneumonia/ Influenza 76 0 0 3 0 0 5 0 1 2 0 37 1 2 0 3 22 Homicide/Legalintervention 52 0 1 3 0 0 7 0 1 0 0 14 2 0 1 4 19 Suicide 41 0 0 2 0 0 1 1 3 1 0 19 1 1 1 2 9 Cerebrovascular Disease 56 0 1 3 1 0 5 0 1 2 0 17 0 0 2 4 20 Infectious & Parasitic Diseases 61 0 0 4 0 0 4 0 2 2 0 19 1 1 0 2 26 HIV Infection 17 0 0 1 0 0 1 0 0 1 0 2 1 1 0 0 10 Other Infectious Disease 44 0 0 3 0 0 3 0 2 1 0 17 0 0 0 2 16 Ill Defined Conditions 36 0 0 2 0 0 2 0 3 0 0 13 0 0 0 5 11 Congenital Anomalies 22 0 0 2 0 0 1 0 0 0 0 9 0 0 0 0 10 Chronic Obstructive Pulmonary Disease 26 0 0 2 0 0 1 0 0 0 0 8 1 1 0 1 12 Diseases of Arteries 6 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 3 Diabetes http://www.azdhs.gov/plan/report/hspam/amerind/tables/amtop44.htm (2 of 5)7/30/2009 1:53:04 PM http://www.azdhs.gov/plan/report/hspam/amerind/tables/amtop44.htm Perinatal Conditions 9 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 6 Atherosclerosis 3 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 1 226 1 1 11 0 1 11 0 7 4 0 63 6 8 3 20 90 San Xavier Tohono O Odham All Other Causes 4.6 Leading Causes of Death Among Males Total Ak Chin Colorado River Fort Apache Fort McDowell Gila River Havasupai Hopi Hualapai Navajo Salt River San Carlos Resided off reservation Total 823 1 12 48 2 54 1 25 7 271 13 21 7 50 311 Unintentional injury 197 0 2 7 1 11 1 10 1 74 2 7 1 12 68 Motor VehicleRelated 127 0 2 6 1 8 1 4 1 47 1 5 0 9 42 8 0 0 0 0 0 0 1 0 1 1 0 0 1 4 62 0 0 1 0 3 0 5 0 26 0 2 1 2 22 113 0 4 9 0 6 0 2 0 40 2 1 0 2 47 Malignant Neoplasms 75 0 2 2 0 4 0 2 1 33 1 1 0 7 22 Alcoholism 68 0 2 6 0 4 0 2 0 11 1 2 1 8 31 Pneumonia/ Influenza 38 0 0 2 0 2 0 1 1 16 1 1 0 2 12 Homicide/Legalintervention 42 0 1 3 0 6 0 1 0 11 2 0 0 2 16 Suicide 37 0 0 2 0 1 0 3 1 18 1 1 1 2 7 Diabetes 31 0 0 2 0 8 0 1 0 8 0 2 1 0 9 Infectious & Parasitic Diseases 34 0 0 2 0 0 0 0 1 11 1 1 0 1 17 HIV Infection 11 0 0 0 0 0 0 0 1 2 1 1 0 0 6 Other Infectious Disease 23 0 0 2 0 0 0 0 0 9 0 0 0 1 11 Drowning Other Injury Diseases of Heart http://www.azdhs.gov/plan/report/hspam/amerind/tables/amtop44.htm (3 of 5)7/30/2009 1:53:04 PM http://www.azdhs.gov/plan/report/hspam/amerind/tables/amtop44.htm Ill Defined Conditions 23 0 0 2 0 1 0 1 0 9 0 0 0 2 8 Cerebrovascular Disease 27 0 1 3 1 3 0 1 0 7 0 0 2 1 8 Congenital Anomalies 13 0 0 1 0 1 0 0 0 6 0 0 0 0 5 Chronic Obstructive Pulmonary Disease 10 0 0 2 0 1 0 0 0 2 1 1 0 0 3 Diseases of Arteries 2 0 0 0 0 0 0 0 0 1 0 0 0 0 1 Perinatal Conditions 3 0 0 0 0 0 0 0 0 0 0 0 0 0 3 Atherosclerosis 2 0 0 0 0 0 0 0 0 1 0 0 0 0 1 108 1 0 5 0 6 0 1 2 23 1 4 1 11 53 TohonoO Odham Resided off reservation All Other Causes 4.7 Leading Causes of Death Among Females Total Colorado River Fort Apache Fort McDowell Gila Bend Gila River Havasupai Hopi Hualapai Kaibab Navajo Salt River San Carlos San Xavier Total 583 7 23 1 1 44 1 20 7 1 203 10 22 6 42 195 Diseases of Heart 100 2 3 0 0 5 0 2 0 0 39 4 4 0 6 35 Unintentional injury 54 0 2 1 0 6 0 3 1 0 20 0 1 0 2 18 Motor VehicleRelated 35 0 2 1 0 4 0 1 0 0 12 0 1 0 1 13 2 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 Other Injury 17 0 0 0 0 1 0 2 1 0 8 0 0 0 1 4 Malignant Neoplasms 74 4 3 0 0 8 0 3 0 0 26 0 4 1 4 21 Diabetes 46 0 2 0 0 7 0 1 0 1 12 1 7 1 5 9 Pneumonia/ Influenza 38 0 1 0 0 3 0 0 1 0 21 0 1 0 1 10 Drowning http://www.azdhs.gov/plan/report/hspam/amerind/tables/amtop44.htm (4 of 5)7/30/2009 1:53:04 PM http://www.azdhs.gov/plan/report/hspam/amerind/tables/amtop44.htm Alcoholism 34 0 3 0 0 2 0 1 0 0 4 0 1 1 5 17 Cerebrovascular Disease 29 0 0 0 0 2 0 0 2 0 10 0 0 0 3 12 Infectious & Parasitic Diseases 27 0 2 0 0 4 0 2 1 0 8 0 0 0 1 9 6 0 1 0 0 1 0 0 0 0 0 0 0 0 0 4 Other Infectious Disease 21 0 1 0 0 3 0 2 1 0 8 0 0 0 1 5 Ill Defined Conditions 13 0 0 0 0 1 0 2 0 0 4 0 0 0 3 3 Homicide/Legalintervention 10 0 0 0 0 1 0 0 0 0 3 0 0 1 2 3 Congenital Anomalies 9 0 1 0 0 0 0 0 0 0 3 0 0 0 0 5 Suicide 4 0 0 0 0 0 1 0 0 0 1 0 0 0 0 2 Diseases of Arteries 4 0 0 0 0 0 0 0 0 0 2 0 0 0 0 2 Chronic Obstructive Pulmonary Disease 16 0 0 0 0 0 0 0 0 0 6 0 0 0 1 9 Perinatal Conditions 6 0 0 0 0 0 0 0 0 0 3 0 0 0 0 3 Atherosclerosis 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 118 1 6 0 1 5 0 6 2 0 40 5 4 2 9 37 HIV Infection All Other Causes This page is maintained by: Kurt Batsche, ADHS, OHPES Public Health Services Office of Health Planning, Evaluation and Statistics Arizona Center for Health Statistics Phone: 602/542-7333; FAX: 602/542-1244 http://www.azdhs.gov/plan/report/hspam/amerind/tables/amtop44.htm (5 of 5)7/30/2009 1:53:04 PM http://www.azdhs.gov/plan/report/hspam/amerind/tables/amtop48.htm 4.8 Leading Causes of Death by Age Group Among Residents of Navajo Tribal Communities Age Group: Total <1 1-4 5-14 15-24 25-34 35-44 45-54 55-64 65+ 474 20 5 12 33 39 63 30 46 226 Unintentional injury 94 0 2 5 24 16 17 10 11 9 Motor Vehicle-Related 59 0 2 2 21 11 7 7 5 4 1 0 0 0 0 1 0 0 0 0 Other Injury 34 0 0 3 3 4 10 3 6 5 Diseases of Heart 79 0 0 0 1 2 6 1 11 58 Malignant Neoplasms 59 0 0 0 0 1 4 4 6 44 Diabetes 20 0 0 0 0 0 0 1 4 15 Alcoholism 15 0 0 0 0 1 6 2 4 2 Pneumonia/Influenza 37 3 1 0 0 0 2 2 1 28 Homicide/Legalintervention 14 1 0 0 3 5 5 0 0 0 Suicide 19 0 0 1 2 7 7 1 0 1 Cerebrovascular Disease 17 0 0 0 0 0 1 0 2 14 Infectious & Parasitic Diseases 19 2 0 2 0 2 5 2 1 5 2 0 0 0 0 1 1 0 0 0 Total Drowning HIV Infection http://www.azdhs.gov/plan/report/hspam/amerind/tables/amtop48.htm (1 of 2)7/30/2009 1:54:04 PM http://www.azdhs.gov/plan/report/hspam/amerind/tables/amtop48.htm Other Infectious Disease 17 2 0 2 0 1 4 2 1 5 Ill Defined Conditions 13 3 0 1 1 1 3 0 0 4 Congenital Anomalies 9 6 0 0 1 0 1 0 1 0 Chronic Obstructive Pulmonary Disease 8 0 0 0 0 1 0 1 0 6 Diseases of Arteries 3 0 0 0 0 0 0 0 0 3 Perinatal Conditions 3 3 0 0 0 0 0 0 0 0 Atherosclerosis 2 0 0 0 0 0 0 0 1 1 63 2 2 3 1 3 6 6 4 36 All Other Causes This page is maintained by: Kurt Batsche, ADHS, OHPES Public Health Services Office of Health Planning, Evaluation and Statistics Arizona Center for Health Statistics Phone: 602/542-7333; FAX: 602/542-1244 http://www.azdhs.gov/plan/report/hspam/amerind/tables/amtop48.htm (2 of 2)7/30/2009 1:54:04 PM http://www.azdhs.gov/plan/report/hspam/amerind/tables/amtop49.htm 4.9 Leading Causes of Death by Age Group Among Residents of Hopi Tribal Communities Age Group: Total 5-14 15-24 25-34 35-44 45-54 55-64 65+ Total 45 1 3 3 9 1 5 23 Unintentional injury 13 1 2 1 5 1 0 3 Motor Vehicle-Related 5 0 2 0 2 1 0 0 Drowning 1 1 0 0 0 0 0 0 Other Injury 7 0 0 1 3 0 0 3 Diseases of Heart 4 0 0 0 0 0 0 4 Malignant Neoplasms 5 0 0 0 0 0 2 3 Diabetes 2 0 0 0 0 0 1 1 Alcoholism 3 0 0 0 2 0 1 0 Pneumonia/Influenza 1 0 0 0 0 0 0 1 Homicide/Legal-intervention 1 0 1 0 0 0 0 0 Suicide 3 0 0 2 1 0 0 0 Cerebrovascular Disease 1 0 0 0 1 0 0 0 Infectious & Parasitic Diseases 2 0 0 0 0 0 0 2 HIV Infection 0 0 0 0 0 0 0 0 Other Infectious Disease 2 0 0 0 0 0 0 2 Ill Defined Conditions 3 0 0 0 0 0 0 3 All Other Causes 7 0 0 0 0 0 1 6 http://www.azdhs.gov/plan/report/hspam/amerind/tables/amtop49.htm (1 of 2)7/30/2009 1:54:31 PM http://www.azdhs.gov/plan/report/hspam/amerind/tables/amtop49.htm This page is maintained by: Kurt Batsche, ADHS, OHPES Public Health Services Office of Health Planning, Evaluation and Statistics Arizona Center for Health Statistics Phone: 602/542-7333; FAX: 602/542-1244 http://www.azdhs.gov/plan/report/hspam/amerind/tables/amtop49.htm (2 of 2)7/30/2009 1:54:31 PM Glossary of Terms The Health Status Profile of American Indians Definition of Terms Rates Age-adjusted mortality rates - Because mortality from most causes of death occurs predominately among the elderly, a population group with a larger proportion of older persons would have a higher mortality rate. The "age-adjustment" removes the effect of the age differences among subpopulations by placing them all in a population with a standard age distribution. All age-adjusted mortality rates used in this report were computed by the direct method, that is by applying the age-specific death rates to the standard population distributed by age. The total U.S. population as enumerated in 1940 was selected as the standard. Average annual age-adjusted mortality rate - This rate uses the total number of deaths that occurred from 1986 to 1994 as the numerator and the 1990 U.S. Census population count time nine as the denominator. Infant mortality rate - Number of infant (< 1 year old) deaths per 1,000 live births. Postneonatal mortality rate - Number of postneonatal (at least 28 days of age)deaths per 1,000 live births. Terms Related to Reproductive Health Birth or Live Birth - The complete expulsion or extraction from its mother of a product of human conception, irrespective of the duration of pregnancy which, after such expulsion or extraction, breaths 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. Birth weight - The weight of a neonate determined immediately after delivery or as soon thereafter as possible.. Gestational age - The number of completed weeks that have elapsed between then first day of the last menstrual period and the date of delivery, irrespective of whether the gestation results in a live birth or a fetal death. Infant death - Any death at any time from birth up to, but not including, the first year of age(364 days, 23 hours, 59 minutes from the moment of birth). http://www.azdhs.gov/plan/report/hspam/amerind/amgloss.htm (1 of 6)7/30/2009 1:57:38 PM Glossary of Terms Low-birthweight - Prior to 1990: any neonate whose weight at birth is 2,500 grams or less. Beginning in 1990: any neonate weighing less than 2,500 grams at birth (less than 5 pounds 8 ounces). Postneonatal death - Any death of a liveborn infant at least 28 days of age but under one year of age. Terms Related to Mortality Age-specific mortality - Number of deaths in a specific age group during a calendar year. Cause of death - For the purpose of national mortality statistics, every death is attributed to one underlying condition, based on information reported on the death certificate and utilizing the international rules for selecting the underlying cause of death from the reported conditions. Cause-specific mortality - Number of deaths from a specified cause duirng a calendar year. Classification of cause of death - The cause of death used in this report is the underlying cause classified according to the International Classification of Diseases, Injuries and Causes of Death. Listed below are categories and International Classification of Diseases (ICD) codes for selected causes of mortality discussed in this report. n 001-139: Infectious and parasitic diseases; n 042-044: HIV infection; n 140-208: Malignant neoplasms (cancers); n 250: Diabetes mellitus; n 291, 303, 571.0-571.3: Alcoholism; n 390-398, 402, 404-429: Diseases of the heart n 430-438: Cerebrovascular disease (stroke) n 440: Atherosclerosis n 441-448: Other diseases of the arteries n 480-487: Pneumonia and influenza http://www.azdhs.gov/plan/report/hspam/amerind/amgloss.htm (2 of 6)7/30/2009 1:57:38 PM Glossary of Terms n490-496: Chronic obstructive pulmonary disease n 740-759: Congenital anomalies (birth defects) n 760-779: Certain conditions originating in the peri-natal period n 765: Disorders relating to short gestation and unspecified low birthweight (LBW/prematurity in Table 3.20) n 780-799: Symptoms and ill-defined conditions n798.0: Sudden infant death syndrome n 800-949: Unintentional injuries n810-824: Motor vehicle-related injuries n830, 832, 910: Drowning n 950-959: Suicide n 960-978: Homicide and legal intervention Medical Terms Used on the Birth Certificate Medical risk factors for this pregnancy Anemia - Hemoglobin level of less than 10.0 g/dLduring pregnancy, or a hematocrit of less than 30 percent during pregnancy. Cardiac disease - Disease of the heart. Acute or chronic lung disease - Disease of the lungs during pregnancy. Diabetes - Metabolic disorder characterized by excessive discharge of urine and persistent thirst; includes juvenile onset, adult onset, and gestational diabetes during pregnancy. Genital herpes - Infection of the skin of the genital area by herpes simplex virus. Hydramnios/Oligohydramnio s - Any noticeable excess (hydramnios) or lack (oligohydramnios)of amniotic fluid. http://www.azdhs.gov/plan/report/hspam/amerind/amgloss.htm (3 of 6)7/30/2009 1:57:38 PM Glossary of Terms Hemoglobinopathy - A blood disorder caused by alteration in the genetically determined molecular structure of hemoglobin (for example, sickle cell anemia). Hypertension, chronic - Blood pressure persistently greater than 140/90, diagnosed prior to onset of pregnancy or before the 20th week of gestation. Hypertension, pregnancy-associated - An increase in blood pressure of at least 30 mm hg systolic or 15 mm hg diastolic on two measurements taken 6 hours apart after the 20th week of gestation. Eclampsia - The occurrence of convulsions and/or coma unrelated to other cerebral conditions in women with signs and symptoms of preeclampsia. Incompetent cervix - Characterized by painless dilation of the cervix in the second trimester or early in the third trimester of pregnancy, with premature expulsion of membranes though cervix and ballooning of the membranes into vagina, followed by rupture of the membrane and subsequent expulsion of the fetus. Previous infant 4,000+ grams - The birthweight of a previous live-born child was over 4,000 grams (8lbs.14oz.). Previous preterm or small-for-gestational-age-i nfant - Previous birth of an infant prior to term (before 37 completed weeks of gestation) or of an infant weighing less than the 10th percentile for gestational age using a standard weight for age chart. Renal disease - Kidney disease. Rh Sensitization - The process or state of becoming sensitized to the Rh factor as when an Rh-negative woman is pregnant with an Rh-positive fetus. Uterine bleeding - Any clinically significant bleeding during the pregnancy taking into consideration the stage of pregnancy; any second or third trimester bleeding or third trimester bleeding of the uterus prior to the onset of labor. Obstetric procedures Amniocentesis - Surgical transabdominal perforation of the uterus to obtain amniotic fluid to be used in the detection of genetic disorders, fetal abnormalities, and fetal lung maturity. Electronic fetal monitoring - Monitoring with external devices applied to maternal abdomen or with internal devices with an electrode attached to the fetal scalp and a catheter through the cervix into uterus, to detect and record fetal heart tones and uterine contractions. http://www.azdhs.gov/plan/report/hspam/amerind/amgloss.htm (4 of 6)7/30/2009 1:57:38 PM Glossary of Terms Induction of labor - The initiation of uterine contractions before the spontaneous onset of labor by medical and/or surgical means for the purpose of delivery. Stimulation of labor - Augmentation of previously established labor by use of oxytocin. Tocolysis - Use of medications to inhibit preterm uterine contactions to extend the length of pregnancy and therefore, avoid a preterm birth. Ultrasound - Visualization of the fetus and the placenta by means of sound wave. Complications of labor and/or delivery Febrile - A fever greater than 100 degrees F. or 38 C. occurring during labor and/or delivery. Meconium, moderate/heavy - Meconium consists of undigested debris from swallowed amniotic fluid, various products of secretion and shedding by the gastrointestinal tract, moderate to heavy amounts of meconium in the amniotic fluid noted during labor and /or delivery. Premature rupture of membranes (more than 12 hours) - Rupture of membranes at any time during pregnancy and more than 12 hours before the onset of labor. Abruptio placenta - Premature separation of normally implanted placenta from the uterus. Placenta previa - Implantation of the placenta over or near the internal opening of the cervix. Other excessive bleeding - The loss of significant amount of blood from conditions other than abruptio placenta or placenta previa. Seizures during labor - Maternal seizures occurring during labor from any cause. Precipitous labor (less than 3 hours) - Extremely rapid labor and delivery lasting less than 3 hours. Prolonged labor (more than 20 hours) - Abnormally slow progress of labor lasting more than 20 hours. Public Health Services Office of Health Planning, Evaluation and Statistics Arizona Center for Health Statistics http://www.azdhs.gov/plan/report/hspam/amerind/amgloss.htm (5 of 6)7/30/2009 1:57:38 PM Glossary of Terms Phone: 602/542-7333; FAX: 602/542-1244 http://www.azdhs.gov/plan/report/hspam/amerind/amgloss.htm (6 of 6)7/30/2009 1:57:38 PM