Lyme Disease Malaria Meningitis Viral Meningitis Bacterial Meningococcal Infections

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Lyme Disease Malaria Meningitis Viral Meningitis Bacterial Meningococcal Infections Powered By Docstoc
					   Selected Preventable Diseases
     60
    N
      50

      40

      30

      20

      10

       0
           1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004

                                Measles    Mumps       Pertussis     Rubella
            800
            700
            600
            500
            400
            300
            200
            100
               0
                   '93    '94     '95     '96   '97     '98    '99    '00    '01     '02    '03    '04

                         Salmonella       Shigella      Camphylobacter          Hepatitis-A

     A total of 718 cases of shigella were reported in Bexar County in 2004, an increase of 500 cases from
     2003. The last time we had such an increase was in 1993 with over 600 cases reported. The shigella
     bacterium can cause disease with as few as 10 organisms. Symptoms usually appear 12 to 50 hours
     after infection. Symptoms can include diarrhea, abdominal cramps, fever nausea, and vomiting.
     Prevention of shigellosis is through sanitary practices such as through hand washing after bathroom use
     and after diapering. The majority of cases (80%) occurred under the age of 10, and of these cases 54%
     were ages 2-6. This demonstrates the fact that children of that age group usually lack the concept for
     hygiene i.e. hand washing, and are more likely to spread disease. Important to this disease is the
     number of cases that occur in daycare centers where children of this age are grouped in classroom
     settings and intermingle. It is not unusual to find this disease starting in young diapered children in this
     setting and spreading to older playmates or siblings. This increase was not unique to Bexar County
     other counties of Texas has similar problems. The Selected Enteric Disease graph, shows that the
     cases of Salmonella and Campylobacter have remained relatively constant over the past 10-11 years
     and have not fluctuated as much as Shigella and Hepatitis-A have.
      On a very positive note, the impact of the Hepatitis-A vaccine is very noticeable on this graph. While the
     vaccine was approved and licensed in 1995, voluntary vaccination was offered to selected high-risk
     population the following year. By 1999-2000 the vaccination of children in high-risk areas of town began
     to show countywide decrease HAV vaccine became a requirement for school entry in Bexar County in
     August 2003. Since then 95% of our hepatitis-A cases have been in adults, averaging about 10-20
     cases per year, a tremendous decline from previous years of 150-350 cases per year; truly a public
     health success story.
     Roger Sanchez, Epidemiologist
     San Antonio Metropolitan Health District




Health Profiles 2004                                  Page 1
  Selected Reportable CommunicableBexar Co. Bexar Co.
              Bexar Co. Bexar Co. Bexar Co. Bexar Co.
                                                      Diseases                                                   Bexar Co. Bexar Co.
                                  1998          1999             2000        2001        2002           2003       2004       2004     Texas 2002
  Vaccine Preventable           Confirmed     Confirmed       Confirmed Confirmed      Confirmed      Confirmed Confirmed   rate/100 K  rate/100 K
  Diseases                       Cases         Cases            Cases       Cases       Cases          Cases      Cases     Population  Population
  Measles                                   0             0            0           0              0            0         0     0.0         0.0
  Mumps                                     2             0            3           1              1            0         1     0.1         0.1
  Rubella                                   0             0            0           0              1            0         2     0.1         0.0
  Tetanus                                   0             0            0           0              0            0         1     0.1         0.0
  Pertussis                                22             5           29          33             56           38        57     3.9         5.7
  Chicken Pox*                            100           117          125         429            450          420       433    29.7        27.6
  *Figures may not reflect actual cases due to passive reporting methodologies.
                                  Bexar Co.     Bexar Co. Bexar Co. Bexar Co.          Bexar Co.   Bexar Co. Bexar Co. Bexar Co.
                                     1998         1999           2000        2001        2002        2003      2004       2004     Texas 2002
  Sexually Transmitted            Confirmed     Confirmed     Confirmed Confirmed      Confirmed   Confirmed Confirmed  rate/100 K  rate/100 K
  Diseases                          Cases        Cases          Cases       Cases       Cases       Cases     Cases     Population  Population
  Chlamydia                             6012           5776         5910        5835          5912       6742      6971   477.6       320.8
  Gonorrhea                             1887           2096         2314        2185          1992       2244      2054   140.7       124.5
  Syphilis (All Stages)                   250           227          292         383           310        217       329    22.5       19.0
  AIDS                                    237           211          167         200           175        164       207    14.2       13.6
  HIV                                                   193          319         245           321        226       287    19.7       21.7

                                Bexar Co.     Bexar Co.    Bexar Co.     Bexar Co.     Bexar Co.      Bexar Co.   Bexar Co.   Bexar Co.
                                  1998          1999         2000          2001          2002           2003        2004         2004      Texas 2002
                                Confirmed     Confirmed    Confirmed     Confirmed     Confirmed      Confirmed   Confirmed   rate/100 K   rate/100 K
  Other Notifiable Diseases      Cases         Cases        Cases         Cases         Cases          Cases       Cases      Population   Population
  Brucellosis                       1             1            3             1             5              0           2           0.1          0.2
  Campylobacter                    121           128          107           26            102            150         153          10.5         3.8
  Cholera                           0             2            0             0             0              0           0           0.0          0.0
  Dengue                            0             1            0             0             2              0           0           0.0          0.1
  Encephalitis Arthropod
  Borne (WNV)                        0             1                            0          0              2           0          0.0          1.0
  Escherichia coli 0157:H7           1             5             6              1          0              1           3          0.2          0.3
  Hantavirus Infections              0             0             0              0          0              0           0          0.0          0.0

  Hemolytic Uremic Syndrome          1            0                         0              0              0           0          0.0          0.0
  Hepatitis A                       334          307             96         49            26             20          19          1.3          3.9
  Hepatitis B                       89            76             78        142            127            322         135         9.2          5.1
  Hepatitis C                       45            51            1343       2890          2869           4178        3428        234.9         n/a*
  Legionellosis                      2            3              1          0              2              3           6          0.4          0.1
  Listerosis                         4            4              3          3              1              0           1          0.1          0.1
  Lyme Disease                       0            0              0          0              0              0           0          0.0          0.6
  Malaria                            4            3              3          1              1              2           3          0.2          0.3
  Meningitis (Viral)                246          143            101        264            76             89          168         11.5         6.2
  Meningitis (Bacterial)            43            14             38         19            24             36          17          1.2          1.3
  Meningococcal Infections          15            10             8          12             9             12           6          0.4          0.6
  Rocky Mountain Spotted
  Fever                              0            0                             0          0              0           1          0.1           0.1
  Salmonellosis                     231          136            136            127        143            166         159         10.9         10.7
  Shigellosis                       330          354            321            218        126            214         718         49.2          9.5
  Strep (Grp A) Invasive            43            47             57             29        47             56          38          2.6           1.2
  Tuberculosis                      92            93             87             76        71             55          114         7.8           7.1
  Typhoid Fever                      0            0              0              0          3              1           0          0.0           0.1
  Vibrio Infections                  2            3              6              1          2              0           1          0.1           0.2
  Note: All rates are per 100,000 Population-Not Age Adjusted
  Source: TDH Numbers
  *Texas Department of Health reports only acute hepatitis C cases




Health Profiles 2004                                                  Page 2
Health Profiles 2004   Page 3
Bexar County 2004 Selected Reportable Communicable Diseases by Age
                             Under 1                  Age 5 to        Age 15 to       Age 25 to       Age 45 to       Age 65 to        Age 75
Eventname                     year         Age 1 to 4 14              24              44              64              74                plus          Total
Amebiasis                              0             1            0               0               2               0                0              0            3
Aseptic meningitis                     8            53           66            14              20                 5                1              1         168
Bact/other mening                      2             5            2               1               3               4                0              0           17
Brucellosis                            0             0            1               0               1               0                0              0            2
Campylobacteriosis                     3            35           30            23              30              22                  8              2         153
Cryptosporidiosis                      0             0            1               0               2               0                0              0            3
Ecoli O157:H7                          0             0            1               0               0               2                0              0            3
Hansen's disease                       0             0            0               0               1               0                0              0            1
Hepatitis A, acute                     0             0            3               0            11                 4                0              1           19
Hepatitis B, acute                     1             0            0            23              67              37                  2              5         135
Hepatitis C                          11              5           18           206          1383            1591               132                82     3428
Legionellosis                          0             0            0               0               1               1                1              3            6
Listeriosis                            0             0            0               0               0               0                1              0            1
Malaria (Imported)                     0             0            0               0               1               2                0              0            3
Meningococcal disease                  0             2            1               1               1               0                0              1            6
Mumps                                  0             1            0               0               0               0                0              0            1
Pertussis                            2              29           6             9               7               4              -              -              57
Rabies, animal                       29              0            0               0               0               0                0              0           29
Rocky Mountain SF                      0             0            0               0               1               0                0              0            1
Salmonellosis                          1            44           29            11              29              26                 11              8         159
Shigellosis                            9           270        316              40              59              13                  3              8         718
Strep grp A, invasive                  1             1            2               3               8            13                  2              8           38
Strep grp B, invasive                  2             2            0               0               3            10                  3              6           26
Strep pneumo, invasiv                  0             4            3               1               5               1                3              6           23
Tetanus                                0             0            0               0               1               0                0              0            1
Varicella                              5            79        331              10                 4               3                1              0         433
Vibrio Infections                      0             0            0               0               0               1                0              0            1
Yersiniosis                            0             0            1               0               0               0                0              0            1
Total                                74            531        811             342          1640            1739               168            131        5436


Bexar County 2004 Selected Reportable Communicable Diseases by San Antonio Council District
Council District                1              2          3               4               5               6               7              8              9          10         Total
Amebiasis                              0             0            0               0               0               0                0              1            0          1             2
Aseptic meningitis                   16             18           16            13              26                 8                7              4           11          7           126
Bact/other mening                      2             0            0               0               2               1                2              0            2          1            10
Brucellosis                            0             0            0               0               0               1                0              0            0          0             1
Campylobacteriosis                   15              8            6            15              15              12                 13              7            3          6           100
Cryptosporidiosis                      0             1            0               0               0               0                1              0            0          0             2
Ecoli O157:H7                          0             0            0               1               0               0                0              0            0          0             1
Hansen's disease                       0             0            0               0               0               0                0              0            0          0             0
Hepatitis A, acute                     0             1            1               1               1               0                0              2            1          0             7
Hepatitis B, acute                     6             7            6               2               5               3                7              5            3         10            54
Hepatitis C                         132            166        122              79             152              73             105                55           58         55           997
Legionellosis                          0             0            0               0               0               0                0              1            0          0             1
Malaria (Imported)                     0             0            0               0               0               0                1              0            1          1             3
Meningococcal disease                  0             1            0               0               0               0                0              0            0          2             3
Mumps                                  0             0            0               0               0               1                0              0            0          0             1
Pertussis                              0             8            2               9               7               3                4              2            3          6            44
Rocky Mountain SF                      0             0            0               0               0               0                0              1            0          0             1
Salmonellosis                          9             6           10               7               7               7                9              8           13         13            89
Shigellosis                          67             50           47            57              64              58                 73             19           32         31           498
Strep grp A, invasive                  6             3            3               2               2               4                2              1            1          0            24
Strep grp B, invasive                  2             3            2               0               5               2                0              2            0          1            17
Strep pneumo, invasiv                  3             3            1               0               4               1                7              2            1          0            22
Tetanus                                0             1            0               0               0               0                0              0            0          0             1
Varicella                            20             18           37            51              33              46                 30             33           29         30           327
Vibrio Infections                      1             0            0               0               0               0                0              0            0          0             1
Yersiniosis                            0             0            0               0               0               0                0              0            0          1             1
Total                          279            294        253             237             323             220             261            143           158          165          2333
Note: Only 30% of HCV had an address listed




Health Profiles 2004                                                               Page 4
Bexar County 2004 Selected Reportable Communicable Diseases
          Total     Cases Age     Cases Age 5
zipcode   Cases     under 5       to 14         Chickenpox Hep C    Shigellosis Aseptic Meningitis Pertussis Salmonellosis Campylobacteriosis
    78002        16             5             2           1       7             2                  0        1             4                   0
    78006         0             0             0           0       0             0                  0        0             0                   0
    78015         0             0             0           0       0             0                  0        0             0                   0
    78023         9             2             2           0       3             3                  0        0             2                   0
    78052         0             0             0           0       0             0                  0        0             0                   0
    78054         2             1             0           0       1             0                  1        0             0                   0
    78069         8             0             1           0       4             2                  0        0             0                   0
    78073        13             4             4           1       4             6                  0        0             1                   0
    78101         8             0             2           1       4             0                  0        0             1                   0
    78108         0             0             0           0       0             0                  0        0             0                   0
    78109        28             4             7           2       9             9                  2        3             2                   0
    78112        12             7             1           0       3             3                  2        3             0                   0
    78148        17             1             6           2       7             1                  0        0             5                   0
    78152         1             0             1           1       0             0                  0        0             0                   0
    78154         1             0             0           0       0             0                  0        0             0                   0
    78201       156            24            29           3      78            42                  8        0             6                   0
    78202        59            10             5           2      34             6                  6        1             1                   0
    78203        31             7             4           3      16             6                  2        2             0                   0
    78204        41             9            10           4      15            14                  3        0             0                   0
    78205        20             3             1           1      15             1                  0        0             0                   0
    78207       225            48            46          33      96            46                 16        6             4                   0
    78208        25             4             1           1      15             4                  1        0             0                   0
    78209        66             6            14           9      35             8                  3        0             2                   0
    78210       114            11            30          16      56            19                  5        1             4                   0
    78211        68            18            20           5      20            21                 10        1             1                   0
    78212        74            18             5           3      41            14                  4        0             3                   0
    78213        77            12            15           5      32            22                  2        0             5                   0
    78214        53             7             5           1      29             7                  6        3             4                   0
    78215         6             0             0           0       6             0                  0        0             0                   0
    78216        72            16            11           5      31            21                  7        1             4                   0
    78217        66            15            15          13      27            13                  1        2             2                   0
    78218        57            10            11           1      29            10                  5        0             6                   0
    78219        27             5             6           1       9             8                  3        0             0                   0
    78220        53             9             4           3      35             7                  1        3             1                   0
    78221        70            10            16           8      37            12                  4        0             3                   0
    78222        31             2            10           7      18             2                  0        0             1                   0
    78223       120            15            30          15      61            25                  5        0             3                   0
    78224        45            11            12           8      14            13                  3        1             0                   0
    78225        36             7            12           5      12             4                  7        1             0                   0
    78226        22             1             5           3      15             1                  1        0             1                   0
    78227        83            14            22          18      34            14                  3        4             0                   0
    78228       147            27            28           3      74            44                  6        3             3                   0
    78229        59             3             8           5      38             6                  0        0             2                   0
    78230        29             4             3           3       8             3                  1        0             2                   0
    78231        13             1             4           3       8             1                  1        0             0                   0
    78232        31             3            12           6      13             7                  3        1             1                   0
    78233        53             5            14           8      21             5                  3        0             6                   0
    78234         2             1             1           0       0             1                  0        0             1                   0
    78235         0             0             0           0       0             0                  0        0             0                   0
    78236         0             0             0           0       0             0                  0        0             0                   0
    78237       119            24            25          12      56            30                  4        3             3                   0
    78238        38             4            11           5      16             7                  0        2             2                   0
    78239        33             7             8           2      13             7                  1        0             2                   0
    78240        74            10            27          14      24            21                  0        0             5                   0
    78241         1             1             0           0       0             1                  0        0             0                   0
    78242        62            14            22          15      17            18                  3        4             2                   0
    78244        31             4             7           2      16             5                  3        1             1                   0
    78245        56             6            21           8      20            15                  3        0             2                   0
    78247        57            11            19           7      15            18                  2        3             3                   0
    78248        12             2             4           1       2             0                  4        2             2                   0
    78249        44             6            13           9      15             6                  3        2             5                   0
    78250       101            12            46          27      25            28                  3        1             5                   0
    78251        43             6            27          18       5            13                  0        0             3                   0
    78252         4             0             0           0       4             0                  0        0             0                   0
    78253        12             2             4           3       3             3                  0        0             3                   0
    78254        21             4             6           4       8             5                  0        1             1                   0
    78255         3             0             0           0       1             0                  0        0             0                   0
    78256         3             0             1           0       2             1                  0        0             0                   0
    78257         5             2             1           1       2             1                  0        0             1                   0
    78258        37             7            22          19       3             9                  4        0             1                   0
    78259        12             3             1           2       3             1                  2        0             1                   0
    78260         8             3             2           0       3             3                  1        0             1                   0
    78261         1             0             0           0       1             0                  0        0             0                   0
    78263         5             1             1           1       2             0                  0        1             0                   0
    78264        25             3             3           3      13             2                  1        0             1                   0
    78266         1             0             0           0       0             0                  0        0             1                   0
Total         2954            492          706          362    1283          627                159        57          126                    0




Health Profiles 2004                                                     Page 5
    Bexar County Reported 2004 Sexually Transmitted Diseases/ AIDS/ HIV by Age
    Age                 Syphilis            Gonorrhea    Chlamydia       AIDS        HIV        Total
                    0                  1                             8                     2                  11
                    1                                                                                     -
                    2                                                1          1                             2
                    3                                                                                     -
                    4                                                                                     -
                    5                                                                                     -
                    6                                                1                                        1
                    7                                                                                     -
                    8                                                                                     -
                    9                                                                                     -
                   10                                                                                     -
                   11                                             3                                         3
                   12                                2            9                                        11
                   13                                8           35                                        43
                   14                               26          124                        1              151
                   15                   1           50          274                                       325
                   16                   1           78          422                                       501
                   17                   9          107          510                                       626
                   18                   3          147          622                         7             779
                   19                   5          168          682             3           4             862
                   20                  14          150          630                         6             800
                   21                  10          134          539              2          9             694
                   22                  14          152          516              5          7             694
    Total                              58        1,022        4,376             11         36           5,503

    Bexar County Reported 2004 Sexually Transmitted Diseases/ AIDS/ HIV by Age
                        Syphilis            Gonorrhea Chlamydia AIDS     HIV      Total
    Age <1                             1          -            8    -           2        11
    Age 1 to 4                     -              -            1       1     -            2
    Age 5 to 14                    -                36      172     -           1       209
    Age 15 to 24                     85         1,189     5,018       16       54     6,362
    Age 25 to 44                   157            738     1,698    140       180      2,913
    Age 45 to 64                     62             83        64      48       45       302
    Age 65 to 74                     12              1         4       2        5        24
    Age 75 plus                      12              3      -       -        -           15
    Missing*                       -                 4         6    -        -           10
    Total                          329          2,054     6,971    207       287      9,848

     An Introduction to Sexually Transmitted Infections
     Sexually transmitted infections (STIs), once called venereal diseases, are among the most common
     infectious diseases in the United States today. More than 20 STIs have now been identified, and they
     affect more than 13 million men and women in this country each year. The annual comprehensive cost
     of STIs in the United States is estimated to be well in excess of $10 billion.
     Understanding the basic facts about STIs – the ways in which they are spread, their common
     symptoms, and how they can be treated– is the first step toward prevention.
     STIs affect men and women of all backgrounds and economic levels. They are most prevalent among
     teenagers and young adults. Nearly two-thirds of all STIs occur in people younger than 25 years of age.
     The incidence of STIs is rising, in part because in the last few decades, young people have become
     sexually active earlier yet are marrying later. In addition, divorce is more common. The net result is that
     sexually active people today are more likely to have multiple sex partners during their lives and are
     potentially at risk for developing STIs. Most of the time, STIs cause no symptoms, particularly in
     women. When and if symptoms develop, they may be confused with those of other diseases. Even
     when an STI causes no symptoms, a person who is infected may be able to pass the disease on to a
     sex partner. This is why many doctors recommend periodic testing or screening for people who have
     more than one sex partner. http://www.niaid.nih.gov/factsheets/stdinfo.htm



Health Profiles 2004                                         Page 6
Bexar County Sexually Transmitted Diseases
               8000
                   7000
               6000
                   5000

               4000
               3000
               2000

                   1000
                      0
                          1993   1994         1995      1996      1997       1998        1999      2000     2001      2002           2003   2004

        Gonorrhea         1521   1783         1982      1348      1797       1887        2096      2314     2185      1992           2244   2054
        Syphilis          598     510         432        378      404         250          227     292       383          310        217    329
        Chlam ydia        4576   4675         4425      4338      4953       6012        5776      5910     5835      5912           6742   6971
        AIDS              492     520         406        403      309         237          211     167       200          175        164    207
        HIV*                                                                               193     319       245          321        226    287

Bexar County Sexually Transmitted Diseases for Females
               6000

               5000

               4000

               3000

               2000

               1000

                     0
                                       2002                                      2003                                       2004

        Gonorrhea                      1026                                      1100                                       1035
        Syphilis                       101                                          50                                          85
        Chlamydia                      4764                                      5560                                       5591
        AIDS                            28                                          19                                          31
        HIV                             60                                          35                                          44

                                                                         2004

HIV by Race/Ethnicity by                           Rate per                  Rate per
Gender                           Female            100k        Male          100k          Total         Rate per 100k
African American                              16        29.9            24          47.0            40             38.2
Hispanic                                      21         5.0          134           33.6           155             19.0
Other                                          0         -               3          19.0             3              8.7
NH White                                       6         2.3            78          31.7            84             16.7
Unknown                                        1                         4                           5
Total                                         44         5.9          243           34.1           287             19.7


                                                                         2004
AIDS by Race/Ethnicity by                          Rate per               Rate per
Gender                           Female            100k        Male       100k             Total         Rate per 100k
African American                              12        22.4            10          19.6            22             21.0
Hispanic                                      12         2.9          112           28.1           124             15.2
Other                                          0         -               1           6.3             1              2.9
NH White                                       7         2.7            52          21.1            59             11.7
Unknown                                        0                         1                           1
Total                                         31         4.1          176           24.7           207             14.2




2004 Bexar County
Population Estimate by Age,
Gender and Race /Ethnicity
Age                              ALL
Total                             1,459,574

Health Profiles 2004                                                          Page 56
Total Male                        711,939
Total Female                      747,635
Total NH White                    503,219
NH White Male                     246,438
NH White Female                   256,781
Total Black                       104,656
Black Male                         51,063
Black Female                       53,593
Total Hispanic                    817,073
Hispanic Male                     398,635
Hispanic Female                   418,438
Total Other                        34,626
Other Male                         15,803
Other Female                       18,823
Source:Texas State Data Center (0.5 Scenario)
Texas Health and Human Services Commission and Texas Department of Health
HHSC and TDH has designated the "0.5 Scenario" to be the standard for HHSC agency population projections.




Health Profiles 2004                                                 Page 56
            Bexar County 2004 Reported Sexually Transmitted Infections and HIV/AIDS
                                                                              Syphilis in            Gonorrhea in                                  HIV in      AIDS in
            ZIPCODE Syphilis Gonorrhea Chlamydia HIV            AIDS TOTAL Females                   females                 Chlamydia in females females      females
            78002                1            1         13    1   -        16                   1                       1                       12        -          -
            78006             -            -          -    -      -      -                  -                       -                         -           -          -
            78015             -            -          -    -      -      -                  -                       -                         -           -          -
            78023                1            5         12 -         1     19               -                           3                        8        -          -
            78052             -            -          -    -      -      -                  -                       -                         -           -          -
            78069                1            4          6    1   -        12                   1                       3                        5        -          -
            78073             -              10         24 -      -        34               -                           4                       23        -          -
            78101                1         -             9 -         1     11                   1                   -                            9        -          -
            78108             -            -          -    -      -      -                  -                       -                         -           -          -
            78109             -              33         70    2      2   107                -                           15                      58           2       -
            78112             -               6         26    1      2     35               -                            2                      24        -          -
            78148                1           10         28    1      1     41               -                            7                      20        -          -
            78152                1         -             5 -      -         6               -                       -                            3        -          -
            78154             -            -          -    -      -      -                  -                       -                         -           -          -
            78201               15           69       230    17      8   339                    4                       38                    198            4       -
            78202                5           49         95    3      1   153                    3                       18                      70           1          1
            78203                5           31         67    1   -      104                    2                       14                      51        -          -
            78204                4           15         47    5      4     75               -                            7                      37           2       -
            78205                3           13         18    3      1     38                    2                       6                      15        -          -
            78207               31         137        436    19     12   635                    11                      68                    366            5          1
            78208             -              13         29   10      1     53               -                            6                      23           2       -
            78209                5           30         92   10      6   143                -                           17                      66        -          -
            78210               14           87       279    12      7   399                    2                       39                    202            3          1
            78211                8           29       166     4      5   212                    2                       13                    150            1          1
            78212               14           47       107    22     15   205                    2                       20                      81           1          1
            78213               15           42       149    10     10   226                    2                       19                    122         -             1
            78214                8           35       109     3      5   160                -                           21                      94           2       -
            78215                2            5          7    2      2     18               -                            3                       6        -          -
            78216                6           41       113     8      6   174                    3                       17                      88           1       -
            78217                5           44       137     7      7   200                -                           21                    115            1          2
            78218                4           60       146     5      4   219                    2                       39                    110            2          1
            78219                3           35         79    5      1   123                    1                       18                      65           1       -
            78220                7         100        136     9      6   258                    3                       41                    103            5          4
            78221                5           33       161     3      7   209                    1                       19                    129            1          2
            78222                8           29         96    2      2   137                -                           15                      78        -          -
            78223                8           69       211     5      3   296                    3                       45                    179         -             1
            78224                3           28         70    2      2   105                    1                       13                      60           1       -
            78225                5           10         51 -         3     69               -                            5                      38        -          -
            78226                4            7         45    1      3     60                   1                        3                      42        -             2
            78227                9           61       243     3      4   320                    4                       27                    201         -             2
            78228               17           73       306    11      8   415                    8                       37                    252         -          -
            78229               16           32       159    14     10   231                    5                       18                    136            1          2
            78230                5           24         96    3      1   129                    1                       11                      79        -          -
            78231                1            2          8    1   -        12               -                            1                       7        -          -
            78232                1           10         44    5      2     62               -                            5                      32        -          -
            78233                5           39         87    5      9   145                    3                       20                      68        -             3
            78234                1           12         53    1   -        67               -                            5                      27        -          -
            78235             -               1          8 -      -         9               -                            1                       6        -          -
            78236             -               4         45    2      1     52               -                            2                      28        -          -
            78237               16           56       265    10      5   352                    7                       25                    225            2          1
            78238                4           20         78    2      2   106                    2                        8                      61        -          -
            78239                6           46       123     5      8   188                -                           23                    100            1          2
            78240                7           48       175     9      2   241                -                           27                    145         -          -
            78241             -            -             1 -      -         1               -                       -                            1        -          -
            78242                7           51       134     5      1   198                    1                       33                    112            3       -
            78244             -              33         98    2      2   135                -                           18                      82        -          -
            78245                5           37       140     3      3   188                    1                       26                    116         -             1
            78247                2           20         88    6      4   120                -                            6                      72           1       -
            78248                2            3         19    2   -        26               -                            3                      16        -          -
            78249                4           15         86    3      2   110                -                            8                      62        -          -
            78250                6           36       134     2      3   181                    1                       17                    105         -          -
            78251                7           28       102     3      2   142                    1                       14                      87           1       -
            78252                4            6          9    6      1     26               -                            3                       7        -             1
            78253             -               4         28 -         1     33               -                            4                      26        -             1
            78254                1            5         40    3      1     50               -                            4                      34        -          -
            78255                1         -             1    1      1      4               -                       -                         -           -          -
            78256                1            2          9 -      -        12                   1                       1                        9        -          -
            78257             -               4          5 -      -         9               -                           1                        4        -          -
            78258             -              11         49    2      2     64               -                           8                       36        -          -
            78259             -               6         21    2      1     30               -                           2                       19        -          -
            78260                2            2          6 -      -        10                   1                       2                        3        -          -
            78261             -            -             1    1   -         2               -                       -                            1        -          -
            78263             -            -             7 -      -         7               -                       -                            7        -          -
            78264             -               7         33 -         1     41               -                      3                            29        -          -
            78266             -            -          -    -      -      -                  -                    -                            -           -          -
            Missing*             6         229      1,001     1      2 1,240                     1               112                          746
            Total            329         2,054      6,971  287    207  9,849                    85             1,035                        5,591           44         31
            * Missing does not have a zip code number




Health Profiles 2004                                                       Page 9
Bexar County Environmental Health Indicators
                                1995            1996        1997            1998             1999         2000              2001      2002      2003      2004
Animal Bites
(reported and
substantiated)              3,825           3,794        3,960              3,433            3,318       3,202              3,078     2,816     2,868     3,052
Animals Impounded          48,384          52,816       54,223          49,940           47,749         44,330         49,566        50,046    52,956    54,990
Homes Tested for
Lead Based Paint                 53              73          47               57               33            56               41        42        24        25
Children with Blood
Lead Levels >=10
µg/dL                           435         1,204           755              880              917            529             452       224       444       350
Rabies Cases in
Animals                          37              17          12               19                9            17               24         5        13        14
Air Quality Health
Alert Days                       34              14          26               24               30            10               12        23        22        18
Heat / Cold Exposure
Related Illness EMS
Calls                           177             188         146              250              190            205             165       172       102       157
Tons of Municipal
Solid Waste
Discarded                 307,000         294,000      336,328         389,301          327,025        327,985        340,620       350,997   348,819   353,033
Birds tested for West
Nile virus                 **              **          **              **               **              **             **               50        25        11
Birds Positive for
West Nile virus            **              **          **              **               **              **             **               13        16         4
Mosquitoes Pools
Tested                     **              **          **              **               **              **             **               28        48        93
Mosquitoes Pools
Positive                   **              **          **              **               **              **             **                0         2         0
West Nile virus first appeared in Texas in June 2002

Bexar County 2004 Elevated Lead in children Ages <6 years of Age

                                       Screened                    Elevated                          Renter
                                       for                         Blood-           %                Occupie
                                       Elevated                    Lead             Screened         d Single      Single
                                       Blood-                      Levels           With             Family        Family
                                       Lead       %                (>=10            Elevated         Housing       Year Built
ZIP CODE                Age <6         Levels     Screened         µg/dL)           levels           <$45,000      <1980
             78201         4,785              604      13%                 17               3%           1,400         10,607
             78207         6,078              462       8%                 36               8%           3,870         10,667
             78210         3,390              597      18%                 30               5%           1,915          9,638
             78211         3,312              462      14%                 11               2%           1,858          6,579
             78223         4,544              599      13%                 13               2%           1,220          8,934
             78227         4,185              818      20%                  9               1%             905          8,571
             78228         5,879              818      14%                 10               1%           1,150         13,262
             78237         3,707              679      18%                 15               2%           2,237          8,078
             78242         3,723              613      16%                  8               1%           1,786          5,284
Sub -Total                39,603            5,652      14%                149               3%          16,341         81,620
Bexar County            131,910           15,178       12%                190               1%         28,339        220,964
Source: STELLAR




Health Profiles 2004                                                  Page 10
Bexar County 2004 Animal Care Data by zip code               2004 Animal Care data by Animal Districts
                                         2004 Dog 2004 Dog   Animal                                      Rate per        2004 Dog Pick      2004 Dog
ZIPCODE 2002 Calls 2003 Calls 2004 Calls Pick up  Drop off   Districts Population        Calls           1000            up                 Drop off
78002          280       341       314        268      25    805              128,533            7,483              58            2,838          1,210
78006           16        50           34      14       3    806              107,641            6,480              60            1,996            540
78015           12         6            7       1       2    808               81,028            5,851              72            2,559            680
78023           43        78       111         29       8    810               64,681            5,259              81            2,172            741
78052           20        18           16      10       2    813               33,526            4,975         148                1,832            808
78054           24        24           37      17       2    809               63,439            4,807              76            1,940            637
78069            7        38           45      23      65    812               81,690            4,520              55            1,893            466
78073          328       340       404        258      14    816              173,505            4,118              24            1,459            201
78101          122       164       147         99       7    807              100,868            3,973              39            1,531            385
78108           32        17           18       8       2    814              137,878            3,934              29            1,228            283
78109          275       342       462        215      40    830               57,255            3,304              58                994          307
78112          405       457       455        253      44    811               47,738            2,893              61            1,519            429
78148            1         4       -           14      16    815              146,609            2,111              14                584          113
78152           18        30           12       2       1    818               74,785            1,965              26            1,003            192
78154            6         2            4       2       4    819               47,766            1,873              39            1,121            356
78201        2,680      3,660    4,024       1,535    372    817               45,989            1,475              32                829          164
78202          814      1,193    1,462        586      62    Total          1,392,931       65,021                  47          25,498           7,512
78203          520       804       755        296      28
78204          793      1,054    1,262        557      92
78205          106       131       179         56       5
78207        3,105      4,447    5,210       2,439    267
78208          269       400       441        194      54
78209          615       898       825        378     219
78210        2,360      3,400    4,014       1,827    323
78211        1,994      2,669    3,115       1,510    142
78212        1,263      1,804    1,961        775     605
78213        1,246      2,013    1,995        694     214
78214        1,544      2,273    2,498       1,180    128
78215          114       150       164         64      58
78216          709      1,077    1,146        479     180
78217          658      1,202    1,327        551     106
78218        1,244      1,976    2,130        709     203                                                                                   2004 Calls by Animal Districts
78219          334       494       539        193      52
78220        1,148      1,529    1,751        769      63                                                                                                 6,000 to 7,500
78221        1,988      2,969    3,301       1,543    150                                                                                                 4,000 to 5,999
78222          693      1,065    1,091        509      55                                                                                                 2,000 to 3,999
78223        2,598      3,188    3,514       1,545    284                                                                                                 1,470 to 1,999
78224          791      1,144    1,333        607      45
78225          873      1,266    1,311        613      73
78226          365       481       550        199      17
78227        2,358      3,591    3,847       1,875    195
78228        3,167      4,837    5,372       2,216    314
78229          396       480       527        238      73
78230          485       737       753        253     118
78231           54        81       104         35      18
78232          373       573       588        212     115    2004 Animal Care Data by City San Antonio Council Districts
78233          981      1,466    1,676        733     177     District     Population*               2003                                            2004
                                                                                                                                                        2004 Dog        2004 Dog
                                                                                            Calls        Rate per 1k          Calls         Rate per 1k
78234           15        16            7       6      81                                                                                               Pick up         Drop off
78235           16        14           23       3       8             1       120,740            8,217          68.1              8,853            73.3         3,402        1,039
78236           41        65           54       9       1             2       117,590            9,128          77.6            10,075             85.7         3,913          695
78237        2,548      3,843    4,327       1,878    195             3       118,490            9,338          78.8            10,437             88.1         4,523          697
78238          605       889     1,051        470      94             4       120,680            9,473          78.5            10,474             86.8         4,587          399
78239          844      1,111    1,118        558      98             5       113,930            9,989          87.7            11,270             98.9         4,955          583
78240          614      1,005    1,108        396      96             6       135,420            8,234          60.8              8,624            63.7         3,417          451
78241           29        41           39       6       9             7       131,250            7,207          54.9              7,988            60.9         3,206          597
78242        1,785      2,481    2,621       1,389     90             8       140,210            2,689          19.2              2,744            19.6         1,054          353
78244          854      1,396    1,582        561     102             9       143,540            2,734          19.0              3,049            21.2         1,407          625
78245        1,513      2,246    2,225        983     107            10       124,850            4,318          34.6              4,815            38.6         1,972          506
78247          784      1,349    1,525        458     163          Total    1,266,700       71,327              56.3            78,329             61.8        32,436        5,945
78248           83       135       120         35      27
78249          596      1,119      989        249      82    *City of San Antonio Planning Department Estimate
78250        2,036      3,020    3,045       1,082    176
78251          927      1,494    1,501        579     101
78252          147       176       196        139       6    Animals Impounded                                                                54,990
78253          251       357       412        212      29    Dogs Impounded                                                                   43,294
78254          116       210       233        100      14    Cats and others Impounded                                                        11,696
78255           73       119           99      34      12
78256           46        54           54      19       3    Source: 311 data
78257           48       115       117         23       3    Differences in totals are from missing data
78258          229       477       527        204      48
78259          156       245       221         91      42
78260           74        81           69      29       6
78261           25        24           26       9       5
78263          105       130       111         60      20
78264          506       578       661        419      45
78266           14        15           38       4       1
total       53,307     77,768   84,930      36,588   6,706
Health Profiles 2004                                               Page 11
Kelly Plume Health Data Analysis
                                inside loop                  inside loop                 inside loop
                                410 SW                       410 NW                      410 SE
                                Census          % of         Census         % of         Census       % of
2003 Maternal Indicators        Tracts          Total        Tracts         Total        Tracts       Total
Births                                   3,811                       3,554                     2,195
Low birth Weight                            354      9.3%               333      9.4%             224    10.2%
                                                Rate per                    Rate per                  Rate per
                                                1K Births                   1K Births                 1K Births
Infant Death                                 30        7.9               24        6.8             25       11.4

                               inside loop                   inside loop                 inside loop
                               410 SW                        410 NW                      410 SE
                               Census                        Census                      Census
2003 Death Indicators          Tracts         Rate*          Tracts        Rate*         Tracts      Rate*
All Deaths                              1,365     931.9              1,431     842.6           1,168     990.8
Heart & Cardio Deaths                     393     277.9                392     232.7             338     284.9
All Cancer Deaths                         276     185.0                285     168.3             232     195.3
Diabetes Deaths                           110       75.8                98      57.4              59      50.9
Lung Cancer Deaths                         55       35.5                56      33.0              53      44.4
Breast Cancer Deaths                       25       30.3                20      20.9              18      24.8
Liver Cancer Deaths                        22       15.4                26      15.4              14      12.3
Kidney Cancer Deaths                        6        3.9                13       7.8               3       2.3
Leukemia Deaths                            13        7.5                15       8.4              10       8.6
Brain Cancer Deaths                         5        3.4                 6       3.3               9       7.6
*Adjusted to 2000 US Standard Million population
                               inside loop                   inside loop                 inside loop
                               410 SW                        410 NW                      410 SE
                               Census         % of           Census        % of          Census      % of
2000 Census Demographics       Tracts         Total          Tracts        Total         Tracts      Total
Total population                     184,759                      186,630                   118,554
All Females                           94,908        51%            95,426        51%          61,847       52%
White non Hispanic                    15,459         8%            19,732        11%          18,308       15%
Hispanic                             165,640        90%           158,626        85%          77,401       65%
African American                        2,059        1%              6,108        3%          21,154       18%
other                                   1,601        1%              2,164        1%           1,691        1%




Health Profiles 2004                             Page 12

				
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