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									                                                                              FRESNO COUNTY'S HEALTH STATUS PROFILE FOR 2011

                                                                                                                  MORTALITY
                                                                                   2007-2009
   RANK                                                                             DEATHS               CRUDE               AGE-ADJUSTED             95% CONFIDENCE LIMITS                NATIONAL            AGE-ADJUSTED DEATH RATE
  ORDER                        HEALTH STATUS INDICATOR                            (AVERAGE)            DEATH RATE             DEATH RATE               LOWER       UPPER                   OBJECTIVE             NATIONAL   STATEWIDE

     49             ALL CAUSES                                                        6,019.3               636.1                   781.4                  761.4             801.3                   a               758.6           647.2
     34             ALL CANCERS                                                       1,224.3               129.4                   161.6                  152.4             170.7               158.6               175.5           154.0
     25             COLORECTAL CANCER                                                   105.7                11.2                    13.9                   11.2              16.5                13.7                16.5            14.4
     28             LUNG CANCER                                                         291.7                30.8                    39.6                   35.0              44.2                43.3                49.6            37.2
     29             FEMALE BREAST CANCER                                                 88.7                18.9                    20.8                   16.7              25.5                21.3                22.9            21.2
     29             PROSTATE CANCER                                                      64.0                13.4                    21.8                   16.8              27.8                28.2                23.5            21.7
     54             DIABETES                                                            221.7                23.4                    29.5                   25.6              33.4                   b                21.8            20.3
     45             ALZHEIMER'S DISEASE                                                 227.3                24.0                    30.9                   26.8              34.9                   a                24.4            26.7
     48             CORONARY HEART DISEASE                                            1,067.7               112.8                   142.5                  133.9             151.1               162.0               132.3           128.0
     57             CEREBROVASCULAR DISEASE (STROKE)                                    380.3                40.2                    51.3                   46.1              56.5                50.0                40.6            38.4
     56             INFLUENZA/PNEUMONIA                                                 185.7                19.6                    24.5                   20.9              28.0                   a                17.0            18.2
     29             CHRONIC LOWER RESPIRATORY DISEASE                                   303.7                32.1                    41.3                   36.6              46.0                   a                44.0            37.1
     38             CHRONIC LIVER DISEASE AND CIRRHOSIS                                 104.7                11.1                    12.9                   10.4              15.4                 3.2                 9.2            10.8
     33             ACCIDENTS (UNINTENTIONAL INJURIES)                                  351.3                37.1                    40.3                   36.0              44.6                17.1                38.6            28.7
     40             MOTOR VEHICLE TRAFFIC CRASHES                                       142.7                15.1                    15.3                   12.8              17.9                 8.0                12.9             9.2
     8              SUICIDE                                                              74.7                 7.9                     8.5                    6.7              10.6                 4.8                11.6             9.6
     48             HOMICIDE                                                             72.3                 7.6                     7.2                    5.7               9.1                 2.8                 5.9             5.8
     30             FIREARM-RELATED DEATHS                                               87.0                 9.2                     9.1                    7.3              11.2                 3.6                10.3             8.2
     28             DRUG-INDUCED DEATHS                                                 105.3                11.1                    12.1                    9.7              14.4                 1.2                12.3            10.7

                                                                                                                  MORBIDITY
                                                                                   2007-2009
   RANK                                                                             CASES                CRUDE                                        95% CONFIDENCE LIMITS                NATIONAL                 CRUDE CASE RATE
  ORDER                        HEALTH STATUS INDICATOR                            (AVERAGE)             CASE RATE                                      LOWER       UPPER                   OBJECTIVE              NATIONAL   STATEWIDE

     54             AIDS INCIDENCE (AGE 13 AND OVER)                                     84.7                11.3                                            9.0              13.9                 1.0                12.2            10.7
     57             CHLAMYDIA INCIDENCE                                               5,459.0               576.8                                          561.5             592.1                   d                   c           382.4
     52             GONORRHEA INCIDENCE                                                 821.0                86.8                                           80.8              92.7                19.0               110.7            70.2
     46             TUBERCULOSIS INCIDENCE                                               60.7                 6.4                                            4.9               8.2                 1.0                 4.2             6.9

                                                                                                           INFANT MORTALITY
                                                                                   2006-2008         BIRTH COHORT                                                                                                     BIRTH COHORT
   RANK                                                                             DEATHS               INFANT                                       95% CONFIDENCE LIMITS                NATIONAL                INFANT DEATH RATE
  ORDER                        HEALTH STATUS INDICATOR                            (AVERAGE)           DEATH RATE                                       LOWER       UPPER                   OBJECTIVE              NATIONAL    STATEWIDE

     43             INFANT MORTALITY:         ALL RACES                                 106.3                  6.3                                           5.1               7.5                  4.5                 6.7            5.3
     46             INFANT MORTALITY:         ASIAN/PI                                   11.0                  6.6 *                                         3.3              11.8                  4.5                 4.6            4.5
     51             INFANT MORTALITY:         BLACK                                      13.3                 15.3 *                                         8.2              26.0                  4.5                13.4           12.3
     47             INFANT MORTALITY:         HISPANIC                                   63.3                  6.1                                           4.7               7.8                  4.5                 5.4            5.2
     28             INFANT MORTALITY:         WHITE                                      16.7                  4.6 *                                         2.7               7.4                  4.5                 5.6            4.6

                                                                                                                   NATALITY
                                                                                   2007-2009
   RANK                                                                             BIRTHS                                                            95% CONFIDENCE LIMITS                NATIONAL                   PERCENTAGE
  ORDER                        HEALTH STATUS INDICATOR                            (AVERAGE)              PERCENT                                       LOWER       UPPER                   OBJECTIVE              NATIONAL   STATEWIDE

     55             LOW BIRTHWEIGHT INFANTS                                           1,251.7                  7.5                                           7.0               7.9                 5.0                  8.2            6.8
     4              LATE OR NO PRENATAL CARE                                          1,939.3                 12.2                                          11.6              12.7                10.0                   du           17.3
     4              ADEQUATE/ADEQUATE PLUS CARE                                      12,879.0                 84.9                                          83.5              86.4                90.0                  dsu           79.0

                                                                                   2007-2009
   RANK                                                                             BIRTHS            AGE-SPECIFIC                                    95% CONFIDENCE LIMITS                NATIONAL             AGE-SPECIFIC BIRTH RATE
  ORDER                        HEALTH STATUS INDICATOR                            (AVERAGE)            BIRTH RATE                                      LOWER       UPPER                   OBJECTIVE             NATIONAL     STATEWIDE

     52             BIRTHS TO MOTHERS AGED 15-19                                      2,215.7                 54.3                                          52.0              56.6                    a                41.5           34.7

                                                                                                              BREASTFEEDING

   RANK                                                                              2009                                                             95% CONFIDENCE LIMITS                NATIONAL                   PERCENTAGE
  ORDER                        HEALTH STATUS INDICATOR                              BIRTHS               PERCENT                                       LOWER       UPPER                   OBJECTIVE              NATIONAL   STATEWIDE

                    BREASTFEEDING INITIATION                                         Please see:http://www.cdph.ca.gov/programs/BreastFeeding/Pages/default.aspx                                  75.0

                                                                                                                     CENSUS
   RANK                                                                             2008                                                              95% CONFIDENCE LIMITS                NATIONAL                   PERCENTAGE
  ORDER                        HEALTH STATUS INDICATOR                             NUMBER                PERCENT                                       LOWER       UPPER                   OBJECTIVE              NATIONAL   STATEWIDE

     58             PERSONS UNDER 18 IN POVERTY                                        83,435                 30.2                                          30.0              30.4                    a                19.0           17.0

              a    Healthy People 2010 (HP 2010) National Objective has not been established.
              b    National Objective is based on both underlying and contributing cause of death which requires use of multiple cause of death files. California's data exclude multiple/contributing causes of death.
              c    National rate is not comparable to California due to rate calculation methods.
              d    Prevalence data were not available in all California counties to evaluate HP 2010 National Objective of no more than 3 percent testing positive in the population aged 15 to 24 years.
          dsu      Data do not meet the criteria for statistical reliability, data quality, or confidentiality. Centers for Disease Control and Prevention (CDCP) website at http://wonder.cdc.gov/data2010/. Accessed March 2010.
            du     Data unavailable
      Mortality    National Center for Health Statistics. Deaths: Preliminary Data for 2008. National Vital Statistics Reports Vol 59. No 02. December 2010.
                   National Center for Health Statistics. Deaths: Final Data for 2007. National Vital Statistics Reports Vol 58. No 19. May 2010.
                   (2007 Female Breast Cancer, Prostate Cancer, Accidents, Suicide and Homicide).
     Morbidity     U.S. Centers for Disease Control and Prevention (CDC) at http://www.cdc.gov/hiv/surveillance/resources/reports/2008report/table4a.htm (2008 AIDS). Accessed February 2011.
                   CDC at http://www.cdc.gov/std/stats09/tables/13.htm. (2008 Gonorrhea) Accessed February 2011.
                   CDC at http://www.cdc.gov/tb/statistics/reports/2009/pdf/Table1.pdf. (2008 Tuberculosis) Accessed February 2011.
Infant Mortality   National Center for Health Statistics. Infant Mortality Statistics from the 2006 Period Linked Birth/Infant Death Data Set.
                   National Vital Statistics Reports Vol 58. No 17. April 2010.
       Natality    National Center for Health Statistics. Births: Final Data for 2008. National Vital Statistic Reports Vol 59. No 1.
                   December 2010. (Low Birthweight Infants and Births to Mothers Aged 15-19).
       Census      U.S. Census Bureau. Small Area Income and Poverty Estimates at http://www.census.gov//did/www/saipe. Accessed February 2011.
          Note     Crude death rates, crude case rates, and age-adjusted death rates are per 100,000 population. Birth cohort infant death rates are per 1,000 live births. Age-specific birth rates are per 1,000 population.
       Sources     California Department of Public Health, Center for Health Statistics. 2007-2009 Birth and Death Statistical Master Files and 2006-2008 Birth Cohort-Perinatal Outcome Files.
                   Division of Communicable Disease Control, Office of AIDS Surveillance Section.
                   Department of Finance. 2007 Population Estimates with Age, Sex, and Race/Ethnic Detail, July 2007.

								
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