HEALTH DATA SUMMARIES FOR CALIFORNIA COUNTIES Prepared by Sally

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HEALTH DATA SUMMARIES FOR CALIFORNIA COUNTIES 2006 Prepared by: Sally Jew-Lochman Department of Health Services Planning and Data Analysis Section M.S. 5103, P.O. Box 997410 Sacramento, CA 95899-7410 Karen Flannigan, Chief Planning and Data Analysis Section Michael Quinn, Chief Office of Health Information and Research Teresita Trinidad, M.S., Chief Center for Health Statistics Gregory Franklin, M.H.A., Deputy Director Health Information and Strategic Planning Mark B. Horton, M.D., M.S.P.H. State Public Health Officer Sandra Shewry, Director Department of Health Services Kimberly Belshé, Secretary Health and Human Services Agency Arnold Schwarzenegger, Governor State of California ACKNOWLEDGEMENTS The willing cooperation and assistance of a large number of people made this report possible. Data for this report were provided by various Federal and State agencies including the U.S. Census Bureau; Centers for Medicare and Medicaid Services; the California Department of Health Services; Department of Finance; Department of Social Services; Department of Developmental Services; Department of Rehabilitation; Department of Mental Health; Department of Education; Department of Justice, Employment Development Department; California Highway Patrol; Department of Alcohol and Drug Programs; Department of Consumer Affairs: Board of Dental Examiners and Medical Board of California; and the Office of Statewide Health Planning and Development. Those persons who provided assistance on this report include: Kamal Bindra Stan Bissell Graydon Bezanson Tim Croisdale Krista Christian Jim Klein Brian Lueck Marjorie MarLiu Bob Mone Linda Nance Lucille Pacheco Maggie Petersen Malinda Petersen Jan Rains Susann Steinberg Laurie Vazquez Charlene Wolfe Helen Zheng Additionally, since the majority of indicators in this report are derived from California’s vital statistics data system, appreciation is expressed to all Office of Vital Records staff who collect, verify, code and process California’s birth, death, and fetal death certificates. Cover photography of “White Mountains in Owens Valley, California” by Ronald Williams at http://www.isber.ucsb.edu/~avssnt/gallery/williams TABLE OF CONTENTS Introduction ......................................................................................................................................... i Map of California Counties.................................................................................................................. ii Section I: County and State Health Data Summaries ........................................................................ 1 Section II: Cross-County Comparisons .............................................................................................. 239 City Health Department Data ............................................................................................ 264 Section III: Data Definitions, Sources, Formulas, and Footnotes........................................................ 265 INTRODUCTION The purpose of this report is to present, in a single volume, a county specific baseline of data that describe: Population Socioeconomic Status Birth Data Infant, Neonatal and Perinatal Deaths Age-Adjusted and Age-Specific Death Rates Mortality by Cause of Death Communicable Disease Data County Health Indicators Medi-Cal and Medicare Data Health Services Utilization Health Resources This report is divided into three sections. Section I presents over 180 health and socio-economic indicators for each County. Section II presents these same indicators in a manner that facilitates cross-county comparisons. Section III presents the definitions and data sources for each indicator as well as the footnotes. Each section includes a detailed table of contents. Data presented in this report are not intended to be exhaustive but will strive to present a balance of frequently requested data from various sources at the State and Federal levels. For each indicator, the specific source used in acquiring the data is identified in Section III so that the user can obtain more detailed information if desired. This report contains the most recent point-in-time data for each indicator. IMPORTANT NOTE: When making cross-county comparisons, it is important to remember that many of the rates presented in this report for small populations in geographic areas, as well as those rates based on a small number of events for larger populations, e.g., infant death rates by race, can fluctuate significantly from year-to-year. Consequently, rates that are based on too few events have an asterisk (*) next to them that indicates that the rate is unreliable (relative standard error or coefficient of variance is greater than or equal to 23 percent). A standard error is indeterminate if the number of events is equal to zero, which is indicated with a plus sign (+). The symbol “a” denotes that a rate was not calculated if the number was greater than zero and less than 5 events. The symbol “b” denotes that a rate was not calculated due to fewer than 1,000 births in a county/city of residence or occurrence, or in a specific age group in accordance with standard statistical procedure. The underreporting of certain events, e.g., communicable diseases, can also contribute to county differences in some of these indicators. Therefore, caution should be used when making cross-county comparisons only on the indicators in this report. A more thorough analysis of county differences should include an examination of trend data over several years and the effects of sampling variability (see Joel C. Kleinman, Statistical Notes for Health Planners, “Mortality”, Number 3, National Center for Health Statistics, February 1977). Questions concerning the County Health Data Summaries and suggestions for inclusion of additional data items in future reports should be directed to: Sally Jew-Lochman, Research Program Specialist Planning and Data Analysis Section M.S. 5103, P.O. Box 997410 Sacramento, California 95899-7410 (916) 552-8095 i Del Norte Siskiyou Modoc Humboldt Trinity Lassen Shasta Tehama Plumas Mendocino Glenn Sierra Colusa tte Su r Butte a ba Neva d Yu Placer Lake El Dorado Yolo Sonoma SacraAlpine Napa mentoAmador as Solano v er al a Marin San C Tuolumne Contra Joaquin Costa Alameda Mariposa Stanislaus Mono Santa Clara Merced Madera Fresno San Benito Monterey Kings Tulare Inyo Map of California Counties San Francisco San Mateo Santa Cruz San Luis Obispo Kern San Bernardino Santa Barbara Ventura Los Angeles Orange Riverside San Diego Imperial ii SECTION l COUNTY AND STATE HEALTH DATA SUMMARIES Section I: County and State Health Data Summaries Table Page 2 6 10 14 18 22 26 30 34 38 42 46 50 54 58 62 66 70 74 78 82 Mono............................................ 106 Monterey...................................... 110 Napa ............................................ 114 Nevada ........................................ 118 Orange......................................... 122 Placer........................................... 126 Plumas......................................... 130 Riverside...................................... 134 Sacramento ................................. 138 San Benito ................................... 142 San Bernardino............................ 146 San Diego .................................... 150 San Francisco.............................. 154 San Joaquin................................. 158 San Luis Obispo .......................... 162 San Mateo ................................... 166 Santa Barbara.............................. 170 Santa Clara.................................. 174 Santa Cruz................................... 178 Shasta.......................................... 182 Sierra ........................................... 186 Siskiyou ....................................... 190 Solano.......................................... 194 Sonoma ....................................... 198 Stanislaus .................................... 202 1 Table Page Table Page California ..................................... Alameda ....................................... Alpine ........................................... Amador......................................... Butte............................................. Calaveras ..................................... Colusa .......................................... Contra Costa ................................ Del Norte ...................................... El Dorado ..................................... Fresno .......................................... Glenn............................................ Humboldt...................................... Imperial ........................................ Inyo .............................................. Kern.............................................. Kings ............................................ Lake ............................................. Lassen.......................................... Los Angeles ................................. Madera ......................................... Sutter........................................... 206 Tehama ....................................... 210 Trinity........................................... 214 Tulare .......................................... 218 Tuolumne .................................... 222 Ventura........................................ 226 Yolo ............................................. 230 Yuba ............................................ 234 Notes ........................................... 238 Marin ............................................ 86 Mariposa ...................................... 90 Mendocino.................................... 94 Merced ......................................... 98 Modoc ..........................................102 COUNTY: 2000 Census Population Projection Year 2004 Projection Year 2010 Projection Year 2020 CALIFORNIA TOTAL POPULATION 33,871,648 36,376,411 39,246,767 43,851,741 PERCENT BELOW POVERTY LEVEL (1999) Total Population 14.2 % Children under 6 Persons Aged 65+ White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups HOUSING VALUE (2000) Median Housing-Unit Value CALWORKS (1/05) CalWORKs Recipients as a Percent of County Population SSI/SSP (2004) SSI/SSP Recipients as a Percent of County Population 43.9 6.7 35.2 11.4 0.8 2.0 % % % % % % UNEMPLOYMENT (2005) Percent of Civilian Labor Force Unemployed EDUCATION Percent of Persons Aged 25+ Not Finishing High School (2000) Enrollment K-12 (2004-2005) URBAN/RURAL (2000) 12.7 % 6.0 % 13.5 22.4 22.1 12.9 21.9 16.8 $211,500 % % % % % % LIVE BIRTHS (2004) Number of Live Births by: County of Residence County of Occurrence Birth Rate (Births per 1,000 Population) Fertility Rate (Births per 1,000 Females Aged 15-44, 2002-2004 Avg.) Low Birthweight (Under 2,500 Grams) Very Low Birthweight (Under 1,500 Grams) Unmarried 3.4 % Cesarean Section Delivery Mothers Who Gave Birth Outside County of Residence Mothers with Less Than 12 Years Education Teenage Mothers (Under 18) 23.2 % 6,913,238 Percent of Births by Mother's Race/Ethnicity: White 30.6 % Black 5.3 % Hispanic 50.5 % Asian/Pacific Islander 11.9 % American Indian/Alaska Native 0.4 % 2 Or More Race Groups 1.3 % See Section III for data definitions, sources, and notes. Mothers with No First Trimester Prenatal Care 29.3 % 544,685 545,758 15.0 AGE (2004) Under Age 5 Age 5-17 Age 18-64 Age 65+ SEX (2004) Females Males RACE/ETHNICITY (2004) White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups 50.1 % 49.9 % 7.1 % 19.2 % 62.7 % 11.0 % 69.1 6.7 % 1.2 % 34.4 % 3.2 % 10.2 % 5.4 % 28.1 % 3.1 % 12.9 % Urban Rural FAMILY INCOME (1999) Median Family Income 94.5 % 5.5 % PRINCIPAL PAYMENT SOURCE FOR BIRTH DELIVERIES (2004) Medi-Cal/Other Government 47.4 % HMO and Prepaid Plans 27.9 % 22.5 % $53,025 Private Insurance Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 2 COUNTY: Number of Deaths by: County of Residence County of Occurrence CALIFORNIA DEATHS (2004) (continued) CAUSES OF DEATH (2002-2004 Avg.) INFANT DEATHS (2004) Number of Infant Deaths (Under 1 Year of Age) Infant Death Rate (Deaths per 1,000 Live Births) 2,811 232,464 Crude Death Rate per 100,000 Population by Cause of Death: 232,958 Heart Disease Cancer (All Types) Stroke Chronic Lower Respiratory Disease Unintentional Injuries Pneumonia and Influenza Diabetes Mellitus Alzheimer's Disease Chronic Liver Disease/Cirrhosis Suicide Homicide Hypertension/Hypertensive Renal Disease Nephritis 187.7 150.2 48.3 35.8 28.7 21.9 19.5 17.6 10.4 9.2 6.9 7.2 6.4 5.2 Crude Death Rate (Deaths per 1,000 Population) AGE-ADJUSTED DEATH RATE (2002-2004 Avg.) Age-Adjusted Deaths per 100,000 Population AGE-SPECIFIC DEATH RATES (2002-2004 Avg.) Deaths per 100,000 Population: 1 to 4 Years Old 5 to 14 Years Old 15 to 24 Years Old 25 to 34 Years Old 35 to 44 Years Old 45 to 54 Years Old 55 to 64 Years Old 65 to 74 Years Old 75 to 84 Years Old 85 and Older 6.4 INFANT DEATH RATES (2003 Birth Cohort) Infant Deaths per 1,000 Live Births by Mother's Race/Ethnicity: All Race/Ethnic Groups White Black Hispanic Asian/Pacific Islander 5.3 5.2 10.7 5.1 4.0 704.5 26.7 14.7 69.8 83.1 162.3 375.6 793.2 1,905.3 4,747.1 12,099.0 Number of Neonatal Deaths (Under 28 Days of Age) Neonatal Death Rate (Deaths per 1,000 Live Births) 1,904 FETAL AND NEONATAL DEATHS (2004) Number of Fetal Deaths 2,873 Fetal Death Ratio (Deaths per 1,000 Live Births) PERINATAL DEATHS (2003 Birth Cohort) Number of Perinatal Deaths (Neonatal Plus Fetal) 4,842 Perinatal Death Rate by Mother's Race/Ethnicity: All Race/Ethnic Groups White 5.3 Black Hispanic Asian/Pacific Islander 3.5 17.7 8.7 7.5 8.9 8.1 Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services See Section III for data definitions, sources, and notes. 3 COUNTY: CALIFORNIA (continued) SELECTED COUNTY HEALTH INDICATORS MEDI-CAL (continued) (2003) Age-Adjusted Death Rate per 100,000 Population (2002-2004 Avg.): Medi-Cal Deliveries by: Work-Related Injury Deaths 363.7 County of Beneficiary 244,327 Mortality Rate 1.0 Fee-for-Service (FFS) 175,356 Drug-Induced Deaths 3553.7 Managed Care 68,971 Mortality Rate 10.0 Total Medi-Cal FFS Abortions 50,240 Homicide by Weapons (2004) 2,394 Homicide by Handguns 1,462 Medi-Cal Physicians/Dentists Paid: Physicians 21,103 Kindergarten Students Needing One Dentists 7,572 or More Immunizations (2005) 29,250 Percent of All Kindergarten Students 5.7 % MEDI-CAL DATA MEDI-CAL MANAGED CARE ENROLLEES (7/03) (Avg. Monthly, 2003) Medi-Cal Users (FFS): 2,156,878 Total Managed Care Enrollees 3,302,057 Percent of County Population 6.0 % Percent of Eligibles (FFS) 33.5 % DENTI-CAL SERVICES (2003) Average Monthly Users (FFS) 322,032 Total Medi-Cal Eligibles: 6,438,701 Percent of County Population 17.9 % MEDI-CAL/MEDICARE (2003) Percent of Medi-Cal Eligibles Medi-Cal Payments (FFS) : Who Are Also Eligible Amount $1,316,158,625 for Medicare 14.5 % Average Amount per User $610 MEDICARE ENROLLEES (2003) Total Medicare Enrollees: Number 4,077,694 MEDI-CAL ELIGIBLES BY RACE/ETHNICITY Percent of County Population 11.3 % (2003) White 22.9 % Black 11.0 % Enrollees Aged 65+: Hispanic 51.0 % Number 3,555,427 American Indian/Alaska Native 0.4 % Percent of County Population 9.9 % Asian/Pacific Islander 10.1 % Not Reported 4.6 % Disability Beneficiaries: Number 522,267 Percent of County Population 1.5 % See Section III for data definitions, sources, and notes. REPORTED COMMUNICABLE DISEASE CASES (2002-2004 Avg.) Number and Crude Case Rate per 100,000 Population: DISEASE Hepatitis Measles Shigellosis Tuberculosis Syphilis Chlamydia Gonorrhea CASES 1,839.7 5.3 2,255.7 3,128.3 1,232.0 116,539.7 26,880.3 RATE 5.1 0.01 * 6.3 8.7 3.4 324.3 74.8 CUMULATIVE AIDS CASES AND DEATHS 1981 through December 2005 AIDS Cases 139,449 Number of Deaths Percent of Total AIDS Cases Resulting in Death 81,214 58.2 % SELECTED COUNTY HEALTH INDICATORS Persons Injured in Traffic Accidents County of Occurrence (2003) 307,166 Substance Abuse Treatment Admissions (2004): Methamphetamine 74,755 Cocaine 25,324 Marijuana 28,949 Alcohol 47,722 Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 4 COUNTY: CALIFORNIA (continued) HOSPITALS (2004) Number of General Acute Care (GAC) Hospitals 83.7 % Number of Licensed GAC Beds 69,871 HOSPITAL UTILIZATION (2004) Number of GAC Discharges from GAC Hospitals 3,107,576 Average GAC Occupancy Rate in GAC Hospitals 1,164 111,732 LTC (2004) Number of LTC Discharges from LTC Facilities Average Occupancy Rate of LTC Facilities and Hospitals with LTC Beds Average GAC Length of Stay in GAC Hospitals (Days) 438 HOSPICE CARE (12/04) Number of Freestanding Hospice Care Facilities 159 PROGRAM CLIENTS/SERVICES Percent Infants Breastfed During Early Postpartum (2002-2004 Average) Family Planning Clients by All Funding Sources (FY 2004-2005) Women and Children under Age 5 Receiving WIC Services (2/06) Child Health & Disability Prevention Clients Served (FY 2003-2004) Number of Providers (3/06) California Children's Services Cases (FY 2004-2005 Annualized Quarter) Developmental Disability Clients (7/05) Rehabilitation Clients (FY 2004-2005) Mental Health Services (FY 2004-2005) State Hospital Admissions Clients Receiving County Services Persons Receiving Preventive Health Care for the Aging Services (FY 2004-2005) Assessment Clients Other Client Services 1,582,658 Number of Licensed GAC Beds per 1,000 Population LTC (2004) Number of Long Term Care Facilities and Hospitals with LTC Beds Number of Licensed LTC Beds 1.9 56.5 1,304,427 4.6 2,065,237 3,668 Number of Licensed Beds per 1,000 Population PHYSICIANS (FY 2004-2005) Number of Licensed Physicians Average Number of Persons per Physician DENTISTS (3/06) Number of Licensed Dentists Average Number of Persons per Dentist 3.1 257,774 164,401 92,852 392 74.4 203,269 114,834 28,751 1,287 2,951 617,531 ** CLINICS (12/04) Number of Licensed Community and Free Clinics Number of Specialty Clinics 834 871 6,048 30,500 HOME HEALTH AGENCIES (12/04) Number of Licensed Home Health Agencies 941 See Section III for data definitions, sources, and notes. Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 5 COUNTY: 2000 Census Population Projection Year 2004 Projection Year 2010 Projection Year 2020 ALAMEDA TOTAL POPULATION 1,443,741 1,516,075 1,651,164 1,864,145 PERCENT BELOW POVERTY LEVEL (1999) Total Population 11.0 % Children under 6 Persons Aged 65+ White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups HOUSING VALUE (2000) Median Housing-Unit Value CALWORKS (1/05) CalWORKs Recipients as a Percent of County Population SSI/SSP (2004) SSI/SSP Recipients as a Percent of County Population 36.5 13.6 21.4 24.9 0.6 3.1 % % % % % % UNEMPLOYMENT (2005) Percent of Civilian Labor Force Unemployed EDUCATION Percent of Persons Aged 25+ Not Finishing High School (2000) Enrollment K-12 (2004-2005) URBAN/RURAL (2000) 9.3 % 7.4 % 8.3 21.2 13.7 11.2 13.5 12.5 $303,100 % % % % % % LIVE BIRTHS (2004) Number of Live Births by: County of Residence County of Occurrence Birth Rate (Births per 1,000 Population) Fertility Rate (Births per 1,000 Females Aged 15-44, 2002-2004 Avg.) Low Birthweight (Under 2,500 Grams) Very Low Birthweight (Under 1,500 Grams) Unmarried 3.0 % Cesarean Section Delivery Mothers Who Gave Birth Outside County of Residence Mothers with Less Than 12 Years Education Teenage Mothers (Under 18) 17.6 % 243,170 Percent of Births by Mother's Race/Ethnicity: White 28.3 % Black 11.8 % Hispanic 30.5 % Asian/Pacific Islander 27.3 % American Indian/Alaska Native 0.2 % 2 Or More Race Groups 1.9 % See Section III for data definitions, sources, and notes. Mothers with No First Trimester Prenatal Care 26.7 % 20,919 21,612 13.8 AGE (2004) Under Age 5 Age 5-17 Age 18-64 Age 65+ SEX (2004) Females Males RACE/ETHNICITY (2004) White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups 51.0 % 49.0 % 6.8 % 16.9 % 66.4 % 9.9 % 62.2 6.8 % 1.1 % 27.5 % 3.3 % 15.8 % 5.2 % 19.4 % 2.0 % 9.6 % Urban Rural FAMILY INCOME (1999) Median Family Income 99.4 % 0.6 % PRINCIPAL PAYMENT SOURCE FOR BIRTH DELIVERIES (2004) Medi-Cal/Other Government 32.4 % HMO and Prepaid Plans 43.1 % 22.9 % $65,857 Private Insurance Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 6 COUNTY: Number of Deaths by: County of Residence County of Occurrence ALAMEDA DEATHS (2004) (continued) CAUSES OF DEATH (2002-2004 Avg.) INFANT DEATHS (2004) Number of Infant Deaths (Under 1 Year of Age) Infant Death Rate (Deaths per 1,000 Live Births) 111 9,269 Crude Death Rate per 100,000 Population by Cause of Death: 9,244 Heart Disease Cancer (All Types) Stroke Chronic Lower Respiratory Disease Unintentional Injuries Pneumonia and Influenza Diabetes Mellitus Alzheimer's Disease Chronic Liver Disease/Cirrhosis Suicide Homicide Hypertension/Hypertensive Renal Disease Nephritis 169.2 150.6 50.0 29.0 25.3 19.1 19.3 13.6 9.0 8.6 9.0 8.1 6.5 5.3 Crude Death Rate (Deaths per 1,000 Population) AGE-ADJUSTED DEATH RATE (2002-2004 Avg.) Age-Adjusted Deaths per 100,000 Population AGE-SPECIFIC DEATH RATES (2002-2004 Avg.) Deaths per 100,000 Population: 1 to 4 Years Old 5 to 14 Years Old 15 to 24 Years Old 25 to 34 Years Old 35 to 44 Years Old 45 to 54 Years Old 55 to 64 Years Old 65 to 74 Years Old 75 to 84 Years Old 85 and Older 6.1 INFANT DEATH RATES (2003 Birth Cohort) Infant Deaths per 1,000 Live Births by Mother's Race/Ethnicity: All Race/Ethnic Groups White Black Hispanic Asian/Pacific Islander 4.6 4.5 8.1 3.8 4.3 723.7 17.1 * 13.6 68.3 78.9 151.6 386.3 798.0 1,941.0 4,854.4 13,014.9 Number of Neonatal Deaths (Under 28 Days of Age) Neonatal Death Rate (Deaths per 1,000 Live Births) 75 FETAL AND NEONATAL DEATHS (2004) Number of Fetal Deaths Fetal Death Ratio (Deaths per 1,000 Live Births) 120 PERINATAL DEATHS (2003 Birth Cohort) Number of Perinatal Deaths (Neonatal Plus Fetal) 189 Perinatal Death Rate by Mother's Race/Ethnicity: All Race/Ethnic Groups White 5.7 Black Hispanic Asian/Pacific Islander 3.6 16.3 8.1 7.7 8.7 7.0 Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services See Section III for data definitions, sources, and notes. 7 COUNTY: ALAMEDA (continued) SELECTED COUNTY HEALTH INDICATORS MEDI-CAL (continued) (2003) Age-Adjusted Death Rate per 100,000 Population (2002-2004 Avg.): Medi-Cal Deliveries by: Work-Related Injury Deaths 10.0 County of Beneficiary 6,588 Mortality Rate 0.7 * Fee-for-Service (FFS) 4,405 Drug-Induced Deaths 144.7 Managed Care 2,183 Mortality Rate 9.2 Total Medi-Cal FFS Abortions 2,597 Homicide by Weapons (2004) 117 Homicide by Handguns 71 Medi-Cal Physicians/Dentists Paid: Physicians 791 Kindergarten Students Needing One Dentists 285 or More Immunizations (2005) 1,130 Percent of All Kindergarten Students 6.3 % MEDI-CAL DATA MEDI-CAL MANAGED CARE ENROLLEES (7/03) (Avg. Monthly, 2003) Medi-Cal Users (FFS): 71,702 Total Managed Care Enrollees 102,199 Percent of County Population 4.8 % Percent of Eligibles (FFS) 35.7 % DENTI-CAL SERVICES (2003) Average Monthly Users (FFS) 10,466 Total Medi-Cal Eligibles: 200,681 Percent of County Population 13.4 % MEDI-CAL/MEDICARE (2003) Percent of Medi-Cal Eligibles Medi-Cal Payments (FFS) : Who Are Also Eligible Amount $49,698,995 for Medicare 18.9 % Average Amount per User $693 MEDICARE ENROLLEES (2003) Total Medicare Enrollees: Number 158,703 MEDI-CAL ELIGIBLES BY RACE/ETHNICITY Percent of County Population 10.6 % (2003) White 16.5 % Black 31.0 % Enrollees Aged 65+: Hispanic 24.2 % Number 137,472 American Indian/Alaska Native 0.3 % Percent of County Population 9.2 % Asian/Pacific Islander 22.0 % Not Reported 5.9 % Disability Beneficiaries: Number 21,231 Percent of County Population 1.4 % See Section III for data definitions, sources, and notes. REPORTED COMMUNICABLE DISEASE CASES (2002-2004 Avg.) Number and Crude Case Rate per 100,000 Population: DISEASE Hepatitis Measles Shigellosis Tuberculosis Syphilis Chlamydia Gonorrhea CASES 52.7 0.7 83.3 179.3 47.3 5,074.7 1,846.0 RATE 3.5 0.04 * 5.6 12.0 3.2 339.4 123.4 CUMULATIVE AIDS CASES AND DEATHS 1981 through December 2005 AIDS Cases 6,793 Number of Deaths Percent of Total AIDS Cases Resulting in Death 3,943 58.0 % SELECTED COUNTY HEALTH INDICATORS Persons Injured in Traffic Accidents County of Occurrence (2003) 11,671 Substance Abuse Treatment Admissions (2004): Methamphetamine 1,507 Cocaine 1,393 Marijuana 941 Alcohol 1,342 Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 8 COUNTY: ALAMEDA (continued) HOSPITALS (2004) Number of General Acute Care (GAC) Hospitals 87.6 % Number of Licensed GAC Beds 3,167 HOSPITAL UTILIZATION (2004) Number of GAC Discharges from GAC Hospitals 143,915 Average GAC Occupancy Rate in GAC Hospitals 66 5,103 LTC (2004) Number of LTC Discharges from LTC Facilities Average Occupancy Rate of LTC Facilities and Hospitals with LTC Beds Average GAC Length of Stay in GAC Hospitals (Days) 19 HOSPICE CARE (12/04) Number of Freestanding Hospice Care Facilities 5 PROGRAM CLIENTS/SERVICES Percent Infants Breastfed During Early Postpartum (2002-2004 Average) Family Planning Clients by All Funding Sources (FY 2004-2005) Women and Children under Age 5 Receiving WIC Services (2/06) Child Health & Disability Prevention Clients Served (FY 2003-2004) Number of Providers (3/06) California Children's Services Cases (FY 2004-2005 Annualized Quarter) Developmental Disability Clients (7/05) Rehabilitation Clients (FY 2004-2005) Mental Health Services (FY 2004-2005) State Hospital Admissions Clients Receiving County Services Persons Receiving Preventive Health Care for the Aging Services (FY 2004-2005) Assessment Clients Other Client Services 43,509 Number of Licensed GAC Beds per 1,000 Population LTC (2004) Number of Long Term Care Facilities and Hospitals with LTC Beds Number of Licensed LTC Beds 2.1 54.8 34,594 4.4 58,082 115 Number of Licensed Beds per 1,000 Population PHYSICIANS (FY 2004-2005) Number of Licensed Physicians Average Number of Persons per Physician DENTISTS (3/06) Number of Licensed Dentists Average Number of Persons per Dentist 3.4 10,180 5,002 4,061 373 66.3 7,511 5,327 1,306 1,151 57 28,621 CLINICS (12/04) Number of Licensed Community and Free Clinics Number of Specialty Clinics 57 42 0 0 HOME HEALTH AGENCIES (12/04) Number of Licensed Home Health Agencies 28 See Section III for data definitions, sources, and notes. Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 9 COUNTY: 2000 Census Population Projection Year 2004 Projection Year 2010 Projection Year 2020 ALPINE TOTAL POPULATION 1,208 1,324 1,377 1,441 PERCENT BELOW POVERTY LEVEL (1999) Total Population 19.5 % Children under 6 Persons Aged 65+ White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups HOUSING VALUE (2000) Median Housing-Unit Value CALWORKS (1/05) CalWORKs Recipients as a Percent of County Population SSI/SSP (2004) SSI/SSP Recipients as a Percent of County Population 68.4 0.5 8.3 0.4 19.0 3.4 % % % % % % UNEMPLOYMENT (2005) Percent of Civilian Labor Force Unemployed EDUCATION Percent of Persons Aged 25+ Not Finishing High School (2000) Enrollment K-12 (2004-2005) URBAN/RURAL (2000) 12.9 % 5.2 % 15.0 0.0 36.5 0.0 37.6 20.7 $184,200 % % % % % % LIVE BIRTHS (2004) Number of Live Births by: County of Residence County of Occurrence Birth Rate (Births per 1,000 Population) Fertility Rate (Births per 1,000 Females Aged 15-44, 2002-2004 Avg.) Low Birthweight (Under 2,500 Grams) Very Low Birthweight (Under 1,500 Grams) Unmarried 2.7 % Cesarean Section Delivery Mothers Who Gave Birth Outside County of Residence Mothers with Less Than 12 Years Education Teenage Mothers (Under 18) 11.7 % 141 Percent of Births by Mother's Race/Ethnicity: White a Black 0.0 % Hispanic 0.0 % Asian/Pacific Islander 0.0 % American Indian/Alaska Native 62.5 % 2 Or More Race Groups 0.0 % See Section III for data definitions, sources, and notes. Mothers with No First Trimester Prenatal Care a 8 1 6.0 AGE (2004) Under Age 5 Age 5-17 Age 18-64 Age 65+ SEX (2004) Females Males RACE/ETHNICITY (2004) White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups 48.5 % 51.5 % 3.9 % 15.2 % 66.9 % 14.0 % b 0.0 % 0.0 % a 2.2 % 87.5 % 7.9 % a 0.0 % a Urban Rural FAMILY INCOME (1999) Median Family Income 0.0 % 100.0 % PRINCIPAL PAYMENT SOURCE FOR BIRTH DELIVERIES (2004) Medi-Cal/Other Government a HMO and Prepaid Plans 0.0 % a $50,250 Private Insurance Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 10 COUNTY: Number of Deaths by: County of Residence County of Occurrence ALPINE DEATHS (2004) (continued) CAUSES OF DEATH (2002-2004 Avg.) INFANT DEATHS (2004) Number of Infant Deaths (Under 1 Year of Age) Infant Death Rate (Deaths per 1,000 Live Births) * * * * + + * + * * + + * 0 9 Crude Death Rate per 100,000 Population by Cause of Death: 7 Heart Disease Cancer (All Types) Stroke Chronic Lower Respiratory Disease Unintentional Injuries Pneumonia and Influenza Diabetes Mellitus Alzheimer's Disease Chronic Liver Disease/Cirrhosis Suicide Homicide Hypertension/Hypertensive Renal Disease Nephritis 184.0 131.4 131.4 26.3 0.0 0.0 26.3 0.0 26.3 26.3 0.0 0.0 26.3 0.0 + Crude Death Rate (Deaths per 1,000 Population) AGE-ADJUSTED DEATH RATE (2002-2004 Avg.) Age-Adjusted Deaths per 100,000 Population AGE-SPECIFIC DEATH RATES (2002-2004 Avg.) Deaths per 100,000 Population: 1 to 4 Years Old 5 to 14 Years Old 15 to 24 Years Old 25 to 34 Years Old 35 to 44 Years Old 45 to 54 Years Old 55 to 64 Years Old 65 to 74 Years Old 75 to 84 Years Old 85 and Older 6.8 INFANT DEATH RATES (2003 Birth Cohort) Infant Deaths per 1,000 Live Births by Mother's Race/Ethnicity: All Race/Ethnic Groups White Black Hispanic Asian/Pacific Islander 0.0 + 0.0 + 0.0 + 0.0 + 0.0 + 834.4 666.7 * 0.0 + 0.0 + 0.0 + 374.5 * 436.7 * 233.1 * 952.4 * 8,510.6 * 13,725.5 * Number of Neonatal Deaths (Under 28 Days of Age) Neonatal Death Rate (Deaths per 1,000 Live Births) 0 FETAL AND NEONATAL DEATHS (2004) Number of Fetal Deaths Fetal Death Ratio (Deaths per 1,000 Live Births) 0 PERINATAL DEATHS (2003 Birth Cohort) Number of Perinatal Deaths (Neonatal Plus Fetal) 0 Perinatal Death Rate by Mother's Race/Ethnicity: All Race/Ethnic Groups White 0.0 + Black Hispanic Asian/Pacific Islander 0.0 + 0.0 + 0.0 + 0.0 + 0.0 + 0.0 + Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services See Section III for data definitions, sources, and notes. 11 COUNTY: ALPINE (continued) SELECTED COUNTY HEALTH INDICATORS MEDI-CAL (continued) (2003) Age-Adjusted Death Rate per 100,000 Population (2002-2004 Avg.): Medi-Cal Deliveries by: Work-Related Injury Deaths 0.0 County of Beneficiary 5 Mortality Rate 0.0 + Fee-for-Service (FFS) 5 Drug-Induced Deaths 0.0 Managed Care 0 Mortality Rate 0.0 + Total Medi-Cal FFS Abortions 1 Homicide by Weapons (2004) 0 Homicide by Handguns 0 Medi-Cal Physicians/Dentists Paid: Physicians 3 Kindergarten Students Needing One Dentists 0 or More Immunizations (2005) 2 Percent of All Kindergarten Students 11.8 % MEDI-CAL DATA MEDI-CAL MANAGED CARE ENROLLEES (7/03) (Avg. Monthly, 2003) Medi-Cal Users (FFS): 102 Total Managed Care Enrollees 0 Percent of County Population 8.0 % Percent of Eligibles (FFS) 42.9 % DENTI-CAL SERVICES (2003) Average Monthly Users (FFS) 7 Total Medi-Cal Eligibles: 238 Percent of County Population 18.8 % MEDI-CAL/MEDICARE (2003) Percent of Medi-Cal Eligibles Medi-Cal Payments (FFS) : Who Are Also Eligible Amount $52,234 for Medicare 11.8 % Average Amount per User $512 MEDICARE ENROLLEES (2003) Total Medicare Enrollees: Number 148 MEDI-CAL ELIGIBLES BY RACE/ETHNICITY Percent of County Population 11.7 % (2003) White 26.4 % Black 1.8 % Enrollees Aged 65+: Hispanic 3.1 % Number 123 American Indian/Alaska Native 65.2 % Percent of County Population 9.7 % Asian/Pacific Islander 0.4 % Not Reported 3.1 % Disability Beneficiaries: Number 25 Percent of County Population 2.0 % See Section III for data definitions, sources, and notes. REPORTED COMMUNICABLE DISEASE CASES (2002-2004 Avg.) Number and Crude Case Rate per 100,000 Population: DISEASE Hepatitis Measles Shigellosis Tuberculosis Syphilis Chlamydia Gonorrhea CASES 0.0 0.0 0.0 0.0 0.0 1.3 0.0 RATE 0.0 + 0.00 + 0.0 + 0.0 + 0.0 + 105.2 * 0.0 + CUMULATIVE AIDS CASES AND DEATHS 1981 through December 2005 AIDS Cases 0 Number of Deaths Percent of Total AIDS Cases Resulting in Death 0 0.0 % SELECTED COUNTY HEALTH INDICATORS Persons Injured in Traffic Accidents County of Occurrence (2003) 56 Substance Abuse Treatment Admissions (2004): Methamphetamine Cocaine Marijuana Alcohol ^ 0 0 ^ Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 12 COUNTY: ALPINE (continued) HOSPITALS (2004) Number of General Acute Care (GAC) Hospitals 95.1 % Number of Licensed GAC Beds 0 HOSPITAL UTILIZATION (2004) Number of GAC Discharges from GAC Hospitals Average GAC Occupancy Rate in GAC Hospitals 0 0 LTC (2004) Number of LTC Discharges from LTC Facilities Average Occupancy Rate of LTC Facilities and Hospitals with LTC Beds Average GAC Length of Stay in GAC Hospitals (Days) 0 HOSPICE CARE (12/04) Number of Freestanding Hospice Care Facilities 0 PROGRAM CLIENTS/SERVICES Percent Infants Breastfed During Early Postpartum (2002-2004 Average) Family Planning Clients by All Funding Sources (FY 2004-2005) Women and Children under Age 5 Receiving WIC Services (2/06) Child Health & Disability Prevention Clients Served (FY 2003-2004) Number of Providers (3/06) California Children's Services Cases (FY 2004-2005 Annualized Quarter) Developmental Disability Clients (7/05) Rehabilitation Clients (FY 2004-2005) Mental Health Services (FY 2004-2005) State Hospital Admissions Clients Receiving County Services Persons Receiving Preventive Health Care for the Aging Services (FY 2004-2005) Assessment Clients Other Client Services 314 Number of Licensed GAC Beds per 1,000 Population LTC (2004) Number of Long Term Care Facilities and Hospitals with LTC Beds Number of Licensed LTC Beds 0 0.0 0.0 7 0.0 336 2 Number of Licensed Beds per 1,000 Population PHYSICIANS (FY 2004-2005) Number of Licensed Physicians Average Number of Persons per Physician DENTISTS (3/06) Number of Licensed Dentists Average Number of Persons per Dentist 0.0 0 2 0 0 0.0 9 4 0 0 1 48 CLINICS (12/04) Number of Licensed Community and Free Clinics Number of Specialty Clinics 0 0 0 0 HOME HEALTH AGENCIES (12/04) Number of Licensed Home Health Agencies 0 See Section III for data definitions, sources, and notes. Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 13 COUNTY: 2000 Census Population Projection Year 2004 Projection Year 2010 Projection Year 2020 AMADOR TOTAL POPULATION 35,100 37,489 39,287 42,257 PERCENT BELOW POVERTY LEVEL (1999) Total Population 9.2 % Children under 6 Persons Aged 65+ White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups HOUSING VALUE (2000) Median Housing-Unit Value CALWORKS (1/05) CalWORKs Recipients as a Percent of County Population SSI/SSP (2004) SSI/SSP Recipients as a Percent of County Population 82.0 3.8 9.2 1.2 1.9 1.8 % % % % % % UNEMPLOYMENT (2005) Percent of Civilian Labor Force Unemployed EDUCATION Percent of Persons Aged 25+ Not Finishing High School (2000) Enrollment K-12 (2004-2005) URBAN/RURAL (2000) 9.3 % 11.9 % 9.3 0.0 14.3 2.9 10.1 8.6 $153,600 % % % % % % LIVE BIRTHS (2004) Number of Live Births by: County of Residence County of Occurrence Birth Rate (Births per 1,000 Population) Fertility Rate (Births per 1,000 Females Aged 15-44, 2002-2004 Avg.) Low Birthweight (Under 2,500 Grams) Very Low Birthweight (Under 1,500 Grams) Unmarried 1.6 % Cesarean Section Delivery Mothers Who Gave Birth Outside County of Residence Mothers with Less Than 12 Years Education Teenage Mothers (Under 18) 16.0 % 5,520 Percent of Births by Mother's Race/Ethnicity: White 80.9 % Black 0.0 % Hispanic 13.7 % Asian/Pacific Islander 1.9 % American Indian/Alaska Native a 2 Or More Race Groups 2.3 % See Section III for data definitions, sources, and notes. Mothers with No First Trimester Prenatal Care 35.1 % 262 147 7.0 AGE (2004) Under Age 5 Age 5-17 Age 18-64 Age 65+ SEX (2004) Females Males RACE/ETHNICITY (2004) White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups 45.1 % 54.9 % 3.6 % 15.5 % 62.5 % 18.4 % 52.9 5.0 % a 28.2 % 1.4 % 59.9 % 5.3 % 18.4 % 2.3 % 11.9 % Urban Rural FAMILY INCOME (1999) Median Family Income 39.4 % 60.6 % PRINCIPAL PAYMENT SOURCE FOR BIRTH DELIVERIES (2004) Medi-Cal/Other Government 38.2 % HMO and Prepaid Plans 28.2 % 32.4 % $51,226 Private Insurance Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 14 COUNTY: Number of Deaths by: County of Residence County of Occurrence AMADOR DEATHS (2004) (continued) CAUSES OF DEATH (2002-2004 Avg.) INFANT DEATHS (2004) Number of Infant Deaths (Under 1 Year of Age) Infant Death Rate (Deaths per 1,000 Live Births) 3 359 Crude Death Rate per 100,000 Population by Cause of Death: 303 Heart Disease Cancer (All Types) Stroke Chronic Lower Respiratory Disease Unintentional Injuries Pneumonia and Influenza Diabetes Mellitus Alzheimer's Disease Chronic Liver Disease/Cirrhosis Suicide Homicide Hypertension/Hypertensive Renal Disease Nephritis 267.9 274.2 77.3 45.9 53.9 29.7 17.1 25.2 17.1 17.1 1.8 2.7 12.6 a,b Crude Death Rate (Deaths per 1,000 Population) AGE-ADJUSTED DEATH RATE (2002-2004 Avg.) Age-Adjusted Deaths per 100,000 Population AGE-SPECIFIC DEATH RATES (2002-2004 Avg.) Deaths per 100,000 Population: 1 to 4 Years Old 5 to 14 Years Old 15 to 24 Years Old 25 to 34 Years Old 35 to 44 Years Old 45 to 54 Years Old 55 to 64 Years Old 65 to 74 Years Old 75 to 84 Years Old 85 and Older 9.6 * * * * * * * * * INFANT DEATH RATES (2003 Birth Cohort) Infant Deaths per 1,000 Live Births by Mother's Race/Ethnicity: All Race/Ethnic Groups White Black Hispanic Asian/Pacific Islander a,b a,b 0.0 + 0.0 + 0.0 + 769.7 30.1 * 25.0 * 94.8 * 70.0 * 222.0 * 428.3 833.5 1,805.8 4,686.0 15,275.7 Number of Neonatal Deaths (Under 28 Days of Age) Neonatal Death Rate (Deaths per 1,000 Live Births) 1 FETAL AND NEONATAL DEATHS (2004) Number of Fetal Deaths Fetal Death Ratio (Deaths per 1,000 Live Births) 3 PERINATAL DEATHS (2003 Birth Cohort) Number of Perinatal Deaths (Neonatal Plus Fetal) 2 Perinatal Death Rate by Mother's Race/Ethnicity: All Race/Ethnic Groups White a,b Black Hispanic Asian/Pacific Islander a,b 0.0 + 0.0 + 0.0 + a,b a,b Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services See Section III for data definitions, sources, and notes. 15 COUNTY: AMADOR (continued) SELECTED COUNTY HEALTH INDICATORS MEDI-CAL (continued) (2003) Age-Adjusted Death Rate per 100,000 Population (2002-2004 Avg.): Medi-Cal Deliveries by: Work-Related Injury Deaths 0.0 County of Beneficiary 106 Mortality Rate 0.0 + Fee-for-Service (FFS) 106 Drug-Induced Deaths 6.7 Managed Care 0 Mortality Rate 17.0 * Total Medi-Cal FFS Abortions 42 Homicide by Weapons (2004) 2 Homicide by Handguns 1 Medi-Cal Physicians/Dentists Paid: Physicians 33 Kindergarten Students Needing One Dentists 4 or More Immunizations (2005) 3 Percent of All Kindergarten Students 0.9 % MEDI-CAL DATA MEDI-CAL MANAGED CARE ENROLLEES (7/03) (Avg. Monthly, 2003) Medi-Cal Users (FFS): 1,871 Total Managed Care Enrollees 0 Percent of County Population 5.0 % Percent of Eligibles (FFS) 59.9 % DENTI-CAL SERVICES (2003) Average Monthly Users (FFS) 103 Total Medi-Cal Eligibles: 3,122 Percent of County Population 8.4 % MEDI-CAL/MEDICARE (2003) Percent of Medi-Cal Eligibles Medi-Cal Payments (FFS) : Who Are Also Eligible Amount $1,150,310 for Medicare 21.4 % Average Amount per User $615 MEDICARE ENROLLEES (2003) Total Medicare Enrollees: Number 7,268 MEDI-CAL ELIGIBLES BY RACE/ETHNICITY Percent of County Population 19.6 % (2003) White 84.3 % Black 0.3 % Enrollees Aged 65+: Hispanic 8.5 % Number 6,433 American Indian/Alaska Native 2.6 % Percent of County Population 17.4 % Asian/Pacific Islander 1.0 % Not Reported 3.3 % Disability Beneficiaries: Number 835 Percent of County Population 2.3 % See Section III for data definitions, sources, and notes. REPORTED COMMUNICABLE DISEASE CASES (2002-2004 Avg.) Number and Crude Case Rate per 100,000 Population: DISEASE Hepatitis Measles Shigellosis Tuberculosis Syphilis Chlamydia Gonorrhea CASES 4.0 0.0 0.0 0.0 0.0 28.3 4.0 RATE 10.8 * 0.00 + 0.0 + 0.0 + 0.0 + 76.4 10.8 * CUMULATIVE AIDS CASES AND DEATHS 1981 through December 2005 AIDS Cases 46 Number of Deaths Percent of Total AIDS Cases Resulting in Death 22 47.8 % SELECTED COUNTY HEALTH INDICATORS Persons Injured in Traffic Accidents County of Occurrence (2003) 405 Substance Abuse Treatment Admissions (2004): Methamphetamine Cocaine Marijuana Alcohol 68 ^ 60 36 Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 16 COUNTY: AMADOR (continued) HOSPITALS (2004) Number of General Acute Care (GAC) Hospitals 85.7 % Number of Licensed GAC Beds 42 HOSPITAL UTILIZATION (2004) Number of GAC Discharges from GAC Hospitals 2,419 Average GAC Occupancy Rate in GAC Hospitals 1 199 LTC (2004) Number of LTC Discharges from LTC Facilities Average Occupancy Rate of LTC Facilities and Hospitals with LTC Beds Average GAC Length of Stay in GAC Hospitals (Days) 1 HOSPICE CARE (12/04) Number of Freestanding Hospice Care Facilities 0 PROGRAM CLIENTS/SERVICES Percent Infants Breastfed During Early Postpartum (2002-2004 Average) Family Planning Clients by All Funding Sources (FY 2004-2005) Women and Children under Age 5 Receiving WIC Services (2/06) Child Health & Disability Prevention Clients Served (FY 2003-2004) Number of Providers (3/06) California Children's Services Cases (FY 2004-2005 Annualized Quarter) Developmental Disability Clients (7/05) Rehabilitation Clients (FY 2004-2005) Mental Health Services (FY 2004-2005) State Hospital Admissions Clients Receiving County Services Persons Receiving Preventive Health Care for the Aging Services (FY 2004-2005) Assessment Clients Other Client Services 910 Number of Licensed GAC Beds per 1,000 Population LTC (2004) Number of Long Term Care Facilities and Hospitals with LTC Beds Number of Licensed LTC Beds 1.1 55.0 342 3.5 1,491 14 Number of Licensed Beds per 1,000 Population PHYSICIANS (FY 2004-2005) Number of Licensed Physicians Average Number of Persons per Physician DENTISTS (3/06) Number of Licensed Dentists Average Number of Persons per Dentist 5.3 159 68 62 605 57.2 169 103 26 1,470 5 577 CLINICS (12/04) Number of Licensed Community and Free Clinics Number of Specialty Clinics 0 1 0 0 HOME HEALTH AGENCIES (12/04) Number of Licensed Home Health Agencies 2 See Section III for data definitions, sources, and notes. Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 17 COUNTY: 2000 Census Population Projection Year 2004 Projection Year 2010 Projection Year 2020 BUTTE TOTAL POPULATION 203,171 214,972 228,020 260,730 PERCENT BELOW POVERTY LEVEL (1999) Total Population 19.8 % Children under 6 Persons Aged 65+ White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups HOUSING VALUE (2000) Median Housing-Unit Value CALWORKS (1/05) CalWORKs Recipients as a Percent of County Population SSI/SSP (2004) SSI/SSP Recipients as a Percent of County Population 76.8 1.7 12.3 4.2 2.5 2.5 % % % % % % UNEMPLOYMENT (2005) Percent of Civilian Labor Force Unemployed EDUCATION Percent of Persons Aged 25+ Not Finishing High School (2000) Enrollment K-12 (2004-2005) URBAN/RURAL (2000) 9.8 % 5.8 % 17.9 39.4 30.0 48.8 31.7 26.5 $129,800 % % % % % % LIVE BIRTHS (2004) Number of Live Births by: County of Residence County of Occurrence Birth Rate (Births per 1,000 Population) Fertility Rate (Births per 1,000 Females Aged 15-44, 2002-2004 Avg.) Low Birthweight (Under 2,500 Grams) Very Low Birthweight (Under 1,500 Grams) Unmarried 4.9 % Cesarean Section Delivery Mothers Who Gave Birth Outside County of Residence Mothers with Less Than 12 Years Education Teenage Mothers (Under 18) 17.7 % 35,267 Percent of Births by Mother's Race/Ethnicity: White 68.9 % Black 1.2 % Hispanic 19.3 % Asian/Pacific Islander 5.6 % American Indian/Alaska Native 1.8 % 2 Or More Race Groups 3.2 % See Section III for data definitions, sources, and notes. Mothers with No First Trimester Prenatal Care 28.8 % 2,354 2,827 11.0 AGE (2004) Under Age 5 Age 5-17 Age 18-64 Age 65+ SEX (2004) Females Males RACE/ETHNICITY (2004) White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups 51.0 % 49.0 % 5.1 % 16.8 % 62.3 % 15.8 % 52.8 5.1 % 0.6 % 37.0 % 4.8 % 5.3 % 6.5 % 19.6 % 3.2 % 23.6 % Urban Rural FAMILY INCOME (1999) Median Family Income 82.1 % 17.9 % PRINCIPAL PAYMENT SOURCE FOR BIRTH DELIVERIES (2004) Medi-Cal/Other Government 55.4 % HMO and Prepaid Plans 1.1 % 42.6 % $41,010 Private Insurance Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 18 COUNTY: Number of Deaths by: County of Residence County of Occurrence BUTTE DEATHS (2004) (continued) CAUSES OF DEATH (2002-2004 Avg.) INFANT DEATHS (2004) Number of Infant Deaths (Under 1 Year of Age) Infant Death Rate (Deaths per 1,000 Live Births) 14 2,178 Crude Death Rate per 100,000 Population by Cause of Death: 2,294 Heart Disease Cancer (All Types) Stroke Chronic Lower Respiratory Disease Unintentional Injuries Pneumonia and Influenza Diabetes Mellitus Alzheimer's Disease Chronic Liver Disease/Cirrhosis Suicide Homicide Hypertension/Hypertensive Renal Disease Nephritis 281.1 221.5 80.8 68.7 55.4 29.8 24.5 33.1 18.4 17.1 2.8 * 20.2 12.4 5.9 * Crude Death Rate (Deaths per 1,000 Population) AGE-ADJUSTED DEATH RATE (2002-2004 Avg.) Age-Adjusted Deaths per 100,000 Population AGE-SPECIFIC DEATH RATES (2002-2004 Avg.) Deaths per 100,000 Population: 1 to 4 Years Old 5 to 14 Years Old 15 to 24 Years Old 25 to 34 Years Old 35 to 44 Years Old 45 to 54 Years Old 55 to 64 Years Old 65 to 74 Years Old 75 to 84 Years Old 85 and Older 10.1 INFANT DEATH RATES (2003 Birth Cohort) Infant Deaths per 1,000 Live Births by Mother's Race/Ethnicity: All Race/Ethnic Groups White Black Hispanic Asian/Pacific Islander 7.1 * 7.4 * 0.0 + a,b a,b 832.9 34.5 * 17.3 * 70.5 96.9 256.6 557.1 990.1 2,116.5 5,490.4 13,334.7 Number of Neonatal Deaths (Under 28 Days of Age) Neonatal Death Rate (Deaths per 1,000 Live Births) 8 FETAL AND NEONATAL DEATHS (2004) Number of Fetal Deaths Fetal Death Ratio (Deaths per 1,000 Live Births) 16 PERINATAL DEATHS (2003 Birth Cohort) Number of Perinatal Deaths (Neonatal Plus Fetal) 24 Perinatal Death Rate by Mother's Race/Ethnicity: All Race/Ethnic Groups White 6.8 * Black Hispanic Asian/Pacific Islander 3.4 * 0.0 + a,b a,b 10.0 9.7 * Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services See Section III for data definitions, sources, and notes. 19 COUNTY: BUTTE (continued) SELECTED COUNTY HEALTH INDICATORS MEDI-CAL (continued) (2003) Age-Adjusted Death Rate per 100,000 Population (2002-2004 Avg.): Medi-Cal Deliveries by: Work-Related Injury Deaths 1.3 County of Beneficiary 1,301 Mortality Rate 0.6 * Fee-for-Service (FFS) 1,299 Drug-Induced Deaths 43.3 Managed Care 2 Mortality Rate 21.0 Total Medi-Cal FFS Abortions 644 Homicide by Weapons (2004) 6 Homicide by Handguns 3 Medi-Cal Physicians/Dentists Paid: Physicians 210 Kindergarten Students Needing One Dentists 52 or More Immunizations (2005) 88 Percent of All Kindergarten Students 3.6 % MEDI-CAL DATA MEDI-CAL MANAGED CARE ENROLLEES (7/03) (Avg. Monthly, 2003) Medi-Cal Users (FFS): 26,826 Total Managed Care Enrollees 0 Percent of County Population 12.6 % Percent of Eligibles (FFS) 57.3 % DENTI-CAL SERVICES (2003) Average Monthly Users (FFS) 1,697 Total Medi-Cal Eligibles: 46,777 Percent of County Population 22.0 % MEDI-CAL/MEDICARE (2003) Percent of Medi-Cal Eligibles Medi-Cal Payments (FFS) : Who Are Also Eligible Amount $15,715,211 for Medicare 16.8 % Average Amount per User $586 MEDICARE ENROLLEES (2003) Total Medicare Enrollees: Number 37,160 MEDI-CAL ELIGIBLES BY RACE/ETHNICITY Percent of County Population 17.5 % (2003) White 66.5 % Black 3.1 % Enrollees Aged 65+: Hispanic 14.9 % Number 31,037 American Indian/Alaska Native 2.1 % Percent of County Population 14.6 % Asian/Pacific Islander 9.2 % Not Reported 4.3 % Disability Beneficiaries: Number 6,123 Percent of County Population 2.9 % See Section III for data definitions, sources, and notes. REPORTED COMMUNICABLE DISEASE CASES (2002-2004 Avg.) Number and Crude Case Rate per 100,000 Population: DISEASE Hepatitis Measles Shigellosis Tuberculosis Syphilis Chlamydia Gonorrhea CASES 7.0 0.0 4.3 3.7 0.0 563.7 104.3 RATE 3.3 * 0.00 + 2.0 * 1.7 * 0.0 + 265.3 49.1 CUMULATIVE AIDS CASES AND DEATHS 1981 through December 2005 AIDS Cases 248 Number of Deaths Percent of Total AIDS Cases Resulting in Death 132 53.2 % SELECTED COUNTY HEALTH INDICATORS Persons Injured in Traffic Accidents County of Occurrence (2003) 1,609 Substance Abuse Treatment Admissions (2004): Methamphetamine 1,266 Cocaine 78 Marijuana 256 Alcohol 483 Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 20 COUNTY: BUTTE (continued) HOSPITALS (2004) Number of General Acute Care (GAC) Hospitals 84.5 % Number of Licensed GAC Beds 610 HOSPITAL UTILIZATION (2004) Number of GAC Discharges from GAC Hospitals 26,043 Average GAC Occupancy Rate in GAC Hospitals 13 1,195 LTC (2004) Number of LTC Discharges from LTC Facilities Average Occupancy Rate of LTC Facilities and Hospitals with LTC Beds Average GAC Length of Stay in GAC Hospitals (Days) 6 HOSPICE CARE (12/04) Number of Freestanding Hospice Care Facilities 1 PROGRAM CLIENTS/SERVICES Percent Infants Breastfed During Early Postpartum (2002-2004 Average) Family Planning Clients by All Funding Sources (FY 2004-2005) Women and Children under Age 5 Receiving WIC Services (2/06) Child Health & Disability Prevention Clients Served (FY 2003-2004) Number of Providers (3/06) California Children's Services Cases (FY 2004-2005 Annualized Quarter) Developmental Disability Clients (7/05) Rehabilitation Clients (FY 2004-2005) Mental Health Services (FY 2004-2005) State Hospital Admissions Clients Receiving County Services Persons Receiving Preventive Health Care for the Aging Services (FY 2004-2005) Assessment Clients Other Client Services 14,655 Number of Licensed GAC Beds per 1,000 Population LTC (2004) Number of Long Term Care Facilities and Hospitals with LTC Beds Number of Licensed LTC Beds 2.8 51.1 6,391 4.4 13,657 23 Number of Licensed Beds per 1,000 Population PHYSICIANS (FY 2004-2005) Number of Licensed Physicians Average Number of Persons per Physician DENTISTS (3/06) Number of Licensed Dentists Average Number of Persons per Dentist 5.6 2,227 789 465 462 76.1 2,293 1,116 148 1,462 29 6,419 CLINICS (12/04) Number of Licensed Community and Free Clinics Number of Specialty Clinics 11 8 0 0 HOME HEALTH AGENCIES (12/04) Number of Licensed Home Health Agencies 11 See Section III for data definitions, sources, and notes. Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 21 COUNTY: 2000 Census Population Projection Year 2004 Projection Year 2010 Projection Year 2020 CALAVERAS TOTAL POPULATION 40,554 44,478 49,599 59,691 PERCENT BELOW POVERTY LEVEL (1999) Total Population 11.8 % Children under 6 Persons Aged 65+ White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups HOUSING VALUE (2000) Median Housing-Unit Value CALWORKS (1/05) CalWORKs Recipients as a Percent of County Population SSI/SSP (2004) SSI/SSP Recipients as a Percent of County Population 86.3 1.0 7.6 1.0 2.0 2.2 % % % % % % UNEMPLOYMENT (2005) Percent of Civilian Labor Force Unemployed EDUCATION Percent of Persons Aged 25+ Not Finishing High School (2000) Enrollment K-12 (2004-2005) URBAN/RURAL (2000) 8.0 % 9.6 % 11.3 28.6 17.9 14.1 32.9 10.6 $156,900 % % % % % % LIVE BIRTHS (2004) Number of Live Births by: County of Residence County of Occurrence Birth Rate (Births per 1,000 Population) Fertility Rate (Births per 1,000 Females Aged 15-44, 2002-2004 Avg.) Low Birthweight (Under 2,500 Grams) Very Low Birthweight (Under 1,500 Grams) Unmarried 2.0 % Cesarean Section Delivery Mothers Who Gave Birth Outside County of Residence Mothers with Less Than 12 Years Education Teenage Mothers (Under 18) 14.3 % 7,021 Percent of Births by Mother's Race/Ethnicity: White 78.6 % Black a Hispanic 13.4 % Asian/Pacific Islander a American Indian/Alaska Native a 2 Or More Race Groups 5.0 % See Section III for data definitions, sources, and notes. Mothers with No First Trimester Prenatal Care 31.4 % 322 147 7.2 AGE (2004) Under Age 5 Age 5-17 Age 18-64 Age 65+ SEX (2004) Females Males RACE/ETHNICITY (2004) White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups 50.3 % 49.7 % 3.9 % 16.5 % 60.2 % 19.4 % 47.7 7.1 % 2.2 % 23.3 % 2.2 % 69.6 % 5.9 % 15.0 % 2.8 % 17.8 % Urban Rural FAMILY INCOME (1999) Median Family Income 18.1 % 81.9 % PRINCIPAL PAYMENT SOURCE FOR BIRTH DELIVERIES (2004) Medi-Cal/Other Government 45.7 % HMO and Prepaid Plans 14.0 % 37.9 % $47,379 Private Insurance Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 22 COUNTY: Number of Deaths by: County of Residence County of Occurrence CALAVERAS DEATHS (2004) (continued) CAUSES OF DEATH (2002-2004 Avg.) INFANT DEATHS (2004) Number of Infant Deaths (Under 1 Year of Age) Infant Death Rate (Deaths per 1,000 Live Births) 2 420 Crude Death Rate per 100,000 Population by Cause of Death: 315 Heart Disease Cancer (All Types) Stroke Chronic Lower Respiratory Disease Unintentional Injuries Pneumonia and Influenza Diabetes Mellitus Alzheimer's Disease Chronic Liver Disease/Cirrhosis Suicide Homicide Hypertension/Hypertensive Renal Disease Nephritis 266.3 219.6 74.2 68.1 57.4 34.4 15.3 23.0 10.7 19.1 4.6 6.9 9.9 a,b Crude Death Rate (Deaths per 1,000 Population) AGE-ADJUSTED DEATH RATE (2002-2004 Avg.) Age-Adjusted Deaths per 100,000 Population AGE-SPECIFIC DEATH RATES (2002-2004 Avg.) Deaths per 100,000 Population: 1 to 4 Years Old 5 to 14 Years Old 15 to 24 Years Old 25 to 34 Years Old 35 to 44 Years Old 45 to 54 Years Old 55 to 64 Years Old 65 to 74 Years Old 75 to 84 Years Old 85 and Older 9.4 INFANT DEATH RATES (2003 Birth Cohort) Infant Deaths per 1,000 Live Births by Mother's Race/Ethnicity: * * * * * * * * All Race/Ethnic Groups White Black Hispanic Asian/Pacific Islander a,b a,b 0.0 + 0.0 + 0.0 + 741.5 73.3 * 25.0 * 80.7 * 89.7 * 267.7 * 465.1 737.4 1,492.6 4,639.1 14,699.2 Number of Neonatal Deaths (Under 28 Days of Age) Neonatal Death Rate (Deaths per 1,000 Live Births) 2 FETAL AND NEONATAL DEATHS (2004) Number of Fetal Deaths Fetal Death Ratio (Deaths per 1,000 Live Births) 1 PERINATAL DEATHS (2003 Birth Cohort) Number of Perinatal Deaths (Neonatal Plus Fetal) 6 Perinatal Death Rate by Mother's Race/Ethnicity: All Race/Ethnic Groups White a,b Black Hispanic Asian/Pacific Islander a,b 0.0 + 0.0 + 0.0 + b b Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services See Section III for data definitions, sources, and notes. 23 COUNTY: CALAVERAS (continued) SELECTED COUNTY HEALTH INDICATORS MEDI-CAL (continued) (2003) Age-Adjusted Death Rate per 100,000 Population (2002-2004 Avg.): Medi-Cal Deliveries by: Work-Related Injury Deaths 1.7 County of Beneficiary 145 Mortality Rate 3.5 * Fee-for-Service (FFS) 145 Drug-Induced Deaths 6.3 Managed Care 0 Mortality Rate 14.5 * Total Medi-Cal FFS Abortions 49 Homicide by Weapons (2004) 3 Homicide by Handguns 2 Medi-Cal Physicians/Dentists Paid: Physicians 25 Kindergarten Students Needing One Dentists 3 or More Immunizations (2005) 31 Percent of All Kindergarten Students 6.8 % MEDI-CAL DATA MEDI-CAL MANAGED CARE ENROLLEES (7/03) (Avg. Monthly, 2003) Medi-Cal Users (FFS): 3,083 Total Managed Care Enrollees 0 Percent of County Population 7.1 % Percent of Eligibles (FFS) 59.6 % DENTI-CAL SERVICES (2003) Average Monthly Users (FFS) 245 Total Medi-Cal Eligibles: 5,173 Percent of County Population 11.9 % MEDI-CAL/MEDICARE (2003) Percent of Medi-Cal Eligibles Medi-Cal Payments (FFS) : Who Are Also Eligible Amount $1,561,041 for Medicare 18.1 % Average Amount per User $506 MEDICARE ENROLLEES (2003) Total Medicare Enrollees: Number 8,554 MEDI-CAL ELIGIBLES BY RACE/ETHNICITY Percent of County Population 19.6 % (2003) White 84.1 % Black 1.3 % Enrollees Aged 65+: Hispanic 8.0 % Number 7,423 American Indian/Alaska Native 1.6 % Percent of County Population 17.0 % Asian/Pacific Islander 1.0 % Not Reported 4.0 % Disability Beneficiaries: Number 1,131 Percent of County Population 2.6 % See Section III for data definitions, sources, and notes. REPORTED COMMUNICABLE DISEASE CASES (2002-2004 Avg.) Number and Crude Case Rate per 100,000 Population: DISEASE Hepatitis Measles Shigellosis Tuberculosis Syphilis Chlamydia Gonorrhea CASES 3.7 0.0 0.0 0.0 0.0 31.7 6.7 RATE 8.4 * 0.00 + 0.0 + 0.0 + 0.0 + 72.7 15.3 * CUMULATIVE AIDS CASES AND DEATHS 1981 through December 2005 AIDS Cases 20 Number of Deaths Percent of Total AIDS Cases Resulting in Death 9 45.0 % SELECTED COUNTY HEALTH INDICATORS Persons Injured in Traffic Accidents County of Occurrence (2003) 457 Substance Abuse Treatment Admissions (2004): Methamphetamine Cocaine Marijuana Alcohol 181 37 93 211 Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 24 COUNTY: CALAVERAS (continued) HOSPITALS (2004) Number of General Acute Care (GAC) Hospitals 85.0 % Number of Licensed GAC Beds 48 HOSPITAL UTILIZATION (2004) Number of GAC Discharges from GAC Hospitals 1,881 Average GAC Occupancy Rate in GAC Hospitals 1 99 LTC (2004) Number of LTC Discharges from LTC Facilities Average Occupancy Rate of LTC Facilities and Hospitals with LTC Beds Average GAC Length of Stay in GAC Hospitals (Days) 1 HOSPICE CARE (12/04) Number of Freestanding Hospice Care Facilities 0 PROGRAM CLIENTS/SERVICES Percent Infants Breastfed During Early Postpartum (2002-2004 Average) Family Planning Clients by All Funding Sources (FY 2004-2005) Women and Children under Age 5 Receiving WIC Services (2/06) Child Health & Disability Prevention Clients Served (FY 2003-2004) Number of Providers (3/06) California Children's Services Cases (FY 2004-2005 Annualized Quarter) Developmental Disability Clients (7/05) Rehabilitation Clients (FY 2004-2005) Mental Health Services (FY 2004-2005) State Hospital Admissions Clients Receiving County Services Persons Receiving Preventive Health Care for the Aging Services (FY 2004-2005) Assessment Clients Other Client Services 1,624 Number of Licensed GAC Beds per 1,000 Population LTC (2004) Number of Long Term Care Facilities and Hospitals with LTC Beds Number of Licensed LTC Beds 1.1 36.0 708 3.4 2,007 15 Number of Licensed Beds per 1,000 Population PHYSICIANS (FY 2004-2005) Number of Licensed Physicians Average Number of Persons per Physician DENTISTS (3/06) Number of Licensed Dentists Average Number of Persons per Dentist 2.2 138 119 51 872 90.1 208 52 22 2,078 5 504 CLINICS (12/04) Number of Licensed Community and Free Clinics Number of Specialty Clinics 2 0 0 0 HOME HEALTH AGENCIES (12/04) Number of Licensed Home Health Agencies 1 See Section III for data definitions, sources, and notes. Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 25 COUNTY: 2000 Census Population Projection Year 2004 Projection Year 2010 Projection Year 2020 COLUSA TOTAL POPULATION 18,804 20,646 22,697 26,337 PERCENT BELOW POVERTY LEVEL (1999) Total Population 16.1 % Children under 6 Persons Aged 65+ White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups HOUSING VALUE (2000) Median Housing-Unit Value CALWORKS (1/05) CalWORKs Recipients as a Percent of County Population SSI/SSP (2004) SSI/SSP Recipients as a Percent of County Population 43.9 0.5 50.3 1.9 2.1 1.4 % % % % % % UNEMPLOYMENT (2005) Percent of Civilian Labor Force Unemployed EDUCATION Percent of Persons Aged 25+ Not Finishing High School (2000) Enrollment K-12 (2004-2005) URBAN/RURAL (2000) 12.6 % 5.5 % 15.1 10.9 22.2 18.1 35.1 27.7 $107,500 % % % % % % LIVE BIRTHS (2004) Number of Live Births by: County of Residence County of Occurrence Birth Rate (Births per 1,000 Population) Fertility Rate (Births per 1,000 Females Aged 15-44, 2002-2004 Avg.) Low Birthweight (Under 2,500 Grams) Very Low Birthweight (Under 1,500 Grams) Unmarried 2.5 % Cesarean Section Delivery Mothers Who Gave Birth Outside County of Residence Mothers with Less Than 12 Years Education Teenage Mothers (Under 18) 36.0 % 4,572 Percent of Births by Mother's Race/Ethnicity: White 27.2 % Black a Hispanic 68.4 % Asian/Pacific Islander a American Indian/Alaska Native 1.4 % 2 Or More Race Groups a See Section III for data definitions, sources, and notes. Mothers with No First Trimester Prenatal Care 27.5 % 345 206 16.7 AGE (2004) Under Age 5 Age 5-17 Age 18-64 Age 65+ SEX (2004) Females Males RACE/ETHNICITY (2004) White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups 49.3 % 50.7 % 7.8 % 21.3 % 60.0 % 10.9 % 79.5 5.2 % a 30.4 % 2.9 % 47.2 % 12.4 % 38.0 % 2.6 % 20.3 % Urban Rural FAMILY INCOME (1999) Median Family Income 51.0 % 49.0 % PRINCIPAL PAYMENT SOURCE FOR BIRTH DELIVERIES (2004) Medi-Cal/Other Government 67.6 % HMO and Prepaid Plans 8.5 % 23.8 % $40,138 Private Insurance Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 26 COUNTY: Number of Deaths by: County of Residence County of Occurrence COLUSA DEATHS (2004) (continued) CAUSES OF DEATH (2002-2004 Avg.) INFANT DEATHS (2004) Number of Infant Deaths (Under 1 Year of Age) Infant Death Rate (Deaths per 1,000 Live Births) 1 141 Crude Death Rate per 100,000 Population by Cause of Death: 119 Heart Disease Cancer (All Types) Stroke Chronic Lower Respiratory Disease Unintentional Injuries Pneumonia and Influenza Diabetes Mellitus Alzheimer's Disease Chronic Liver Disease/Cirrhosis Suicide Homicide Hypertension/Hypertensive Renal Disease Nephritis 174.8 138.2 43.3 51.6 39.9 30.0 21.6 35.0 10.0 6.7 0.0 13.3 6.7 a,b Crude Death Rate (Deaths per 1,000 Population) AGE-ADJUSTED DEATH RATE (2002-2004 Avg.) Age-Adjusted Deaths per 100,000 Population AGE-SPECIFIC DEATH RATES (2002-2004 Avg.) Deaths per 100,000 Population: 1 to 4 Years Old 5 to 14 Years Old 15 to 24 Years Old 25 to 34 Years Old 35 to 44 Years Old 45 to 54 Years Old 55 to 64 Years Old 65 to 74 Years Old 75 to 84 Years Old 85 and Older 6.8 768.8 * * * * * * * * + * * INFANT DEATH RATES (2003 Birth Cohort) Infant Deaths per 1,000 Live Births by Mother's Race/Ethnicity: All Race/Ethnic Groups White Black Hispanic Asian/Pacific Islander a,b a,b 0.0 + 0.0 + 0.0 + 53.7 * 10.2 * 65.2 * 105.7 * 150.8 * 308.5 * 984.5 * 2,431.8 4,870.8 13,155.0 Number of Neonatal Deaths (Under 28 Days of Age) Neonatal Death Rate (Deaths per 1,000 Live Births) 1 FETAL AND NEONATAL DEATHS (2004) Number of Fetal Deaths Fetal Death Ratio (Deaths per 1,000 Live Births) 2 PERINATAL DEATHS (2003 Birth Cohort) Number of Perinatal Deaths (Neonatal Plus Fetal) 6 Perinatal Death Rate by Mother's Race/Ethnicity: All Race/Ethnic Groups White a,b Black Hispanic Asian/Pacific Islander a,b 0.0 + a,b 0.0 + b a,b Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services See Section III for data definitions, sources, and notes. 27 COUNTY: COLUSA (continued) SELECTED COUNTY HEALTH INDICATORS MEDI-CAL (continued) (2003) Age-Adjusted Death Rate per 100,000 Population (2002-2004 Avg.): Medi-Cal Deliveries by: Work-Related Injury Deaths 1.0 County of Beneficiary 215 Mortality Rate 4.3 * Fee-for-Service (FFS) 215 Drug-Induced Deaths 0.7 Managed Care 0 Mortality Rate 3.5 * Total Medi-Cal FFS Abortions 28 Homicide by Weapons (2004) 0 Homicide by Handguns 0 Medi-Cal Physicians/Dentists Paid: Physicians 6 Kindergarten Students Needing One Dentists 2 or More Immunizations (2005) 8 Percent of All Kindergarten Students 2.2 % MEDI-CAL DATA MEDI-CAL MANAGED CARE ENROLLEES (7/03) (Avg. Monthly, 2003) Medi-Cal Users (FFS): 2,276 Total Managed Care Enrollees 0 Percent of County Population 11.4 % Percent of Eligibles (FFS) 52.7 % DENTI-CAL SERVICES (2003) Average Monthly Users (FFS) 111 Total Medi-Cal Eligibles: 4,317 Percent of County Population 21.6 % MEDI-CAL/MEDICARE (2003) Percent of Medi-Cal Eligibles Medi-Cal Payments (FFS) : Who Are Also Eligible Amount $1,022,443 for Medicare 14.7 % Average Amount per User $449 MEDICARE ENROLLEES (2003) Total Medicare Enrollees: Number 2,705 MEDI-CAL ELIGIBLES BY RACE/ETHNICITY Percent of County Population 13.5 % (2003) White 27.1 % Black 0.7 % Enrollees Aged 65+: Hispanic 66.4 % Number 2,295 American Indian/Alaska Native 1.3 % Percent of County Population 11.5 % Asian/Pacific Islander 1.7 % Not Reported 2.9 % Disability Beneficiaries: Number 410 Percent of County Population 2.0 % See Section III for data definitions, sources, and notes. REPORTED COMMUNICABLE DISEASE CASES (2002-2004 Avg.) Number and Crude Case Rate per 100,000 Population: DISEASE Hepatitis Measles Shigellosis Tuberculosis Syphilis Chlamydia Gonorrhea CASES 1.0 0.0 0.3 0.3 0.0 26.0 4.0 RATE 5.0 * 0.00 + 1.7 * 1.7 * 0.0 + 129.8 20.0 * CUMULATIVE AIDS CASES AND DEATHS 1981 through December 2005 AIDS Cases 13 Number of Deaths Percent of Total AIDS Cases Resulting in Death 12 92.3 % SELECTED COUNTY HEALTH INDICATORS Persons Injured in Traffic Accidents County of Occurrence (2003) 253 Substance Abuse Treatment Admissions (2004): Methamphetamine Cocaine Marijuana Alcohol 22 ^ 28 68 Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 28 COUNTY: COLUSA (continued) HOSPITALS (2004) Number of General Acute Care (GAC) Hospitals 80.4 % Number of Licensed GAC Beds 42 HOSPITAL UTILIZATION (2004) Number of GAC Discharges from GAC Hospitals Average GAC Occupancy Rate in GAC Hospitals 1 99 LTC (2004) Number of LTC Discharges from LTC Facilities Average Occupancy Rate of LTC Facilities and Hospitals with LTC Beds Average GAC Length of Stay in GAC Hospitals (Days) 1 HOSPICE CARE (12/04) Number of Freestanding Hospice Care Facilities 0 PROGRAM CLIENTS/SERVICES Percent Infants Breastfed During Early Postpartum (2002-2004 Average) Family Planning Clients by All Funding Sources (FY 2004-2005) Women and Children under Age 5 Receiving WIC Services (2/06) Child Health & Disability Prevention Clients Served (FY 2003-2004) Number of Providers (3/06) California Children's Services Cases (FY 2004-2005 Annualized Quarter) Developmental Disability Clients (7/05) Rehabilitation Clients (FY 2004-2005) Mental Health Services (FY 2004-2005) State Hospital Admissions Clients Receiving County Services Persons Receiving Preventive Health Care for the Aging Services (FY 2004-2005) Assessment Clients Other Client Services 1,258 Number of Licensed GAC Beds per 1,000 Population LTC (2004) Number of Long Term Care Facilities and Hospitals with LTC Beds Number of Licensed LTC Beds 881 2.0 18.0 1,223 3.1 2,375 11 Number of Licensed Beds per 1,000 Population PHYSICIANS (FY 2004-2005) Number of Licensed Physicians Average Number of Persons per Physician DENTISTS (3/06) Number of Licensed Dentists Average Number of Persons per Dentist 4.8 44 157 10 2,065 100.0 82 52 4 5,329 3 542 CLINICS (12/04) Number of Licensed Community and Free Clinics Number of Specialty Clinics 2 0 0 0 HOME HEALTH AGENCIES (12/04) Number of Licensed Home Health Agencies 1 See Section III for data definitions, sources, and notes. Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 29 COUNTY: 2000 Census Population Projection Year 2004 Projection Year 2010 Projection Year 2020 CONTRA COSTA TOTAL POPULATION 948,816 1,018,666 1,116,298 1,327,081 PERCENT BELOW POVERTY LEVEL (1999) Total Population 7.6 % Children under 6 Persons Aged 65+ White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups HOUSING VALUE (2000) Median Housing-Unit Value CALWORKS (1/05) CalWORKs Recipients as a Percent of County Population SSI/SSP (2004) SSI/SSP Recipients as a Percent of County Population 53.3 9.4 20.9 12.9 0.7 2.7 % % % % % % UNEMPLOYMENT (2005) Percent of Civilian Labor Force Unemployed EDUCATION Percent of Persons Aged 25+ Not Finishing High School (2000) Enrollment K-12 (2004-2005) URBAN/RURAL (2000) 11.5 % 8.7 % 6.4 17.2 13.1 6.7 12.6 9.3 $267,800 % % % % % % LIVE BIRTHS (2004) Number of Live Births by: County of Residence County of Occurrence Birth Rate (Births per 1,000 Population) Fertility Rate (Births per 1,000 Females Aged 15-44, 2002-2004 Avg.) Low Birthweight (Under 2,500 Grams) Very Low Birthweight (Under 1,500 Grams) Unmarried 2.0 % Cesarean Section Delivery Mothers Who Gave Birth Outside County of Residence Mothers with Less Than 12 Years Education Teenage Mothers (Under 18) 13.1 % 184,563 Percent of Births by Mother's Race/Ethnicity: White 43.3 % Black 8.6 % Hispanic 32.4 % Asian/Pacific Islander 13.7 % American Indian/Alaska Native 0.2 % 2 Or More Race Groups 1.7 % See Section III for data definitions, sources, and notes. Mothers with No First Trimester Prenatal Care 26.9 % 13,279 11,735 13.0 AGE (2004) Under Age 5 Age 5-17 Age 18-64 Age 65+ SEX (2004) Females Males RACE/ETHNICITY (2004) White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups 51.2 % 48.8 % 6.5 % 19.3 % 63.1 % 11.2 % 62.9 7.0 % 1.2 % 27.1 % 2.2 % 28.3 % 4.8 % 18.9 % 1.9 % 11.4 % Urban Rural FAMILY INCOME (1999) Median Family Income 97.9 % 2.1 % PRINCIPAL PAYMENT SOURCE FOR BIRTH DELIVERIES (2004) Medi-Cal/Other Government 27.3 % HMO and Prepaid Plans 56.0 % 15.4 % $73,039 Private Insurance Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 30 COUNTY: Number of Deaths by: County of Residence County of Occurrence CONTRA COSTA DEATHS (2004) (continued) CAUSES OF DEATH (2002-2004 Avg.) INFANT DEATHS (2004) Number of Infant Deaths (Under 1 Year of Age) Infant Death Rate (Deaths per 1,000 Live Births) 51 6,787 Crude Death Rate per 100,000 Population by Cause of Death: 6,612 Heart Disease Cancer (All Types) Stroke Chronic Lower Respiratory Disease Unintentional Injuries Pneumonia and Influenza Diabetes Mellitus Alzheimer's Disease Chronic Liver Disease/Cirrhosis Suicide Homicide Hypertension/Hypertensive Renal Disease Nephritis 175.4 168.0 55.9 36.0 26.9 23.1 19.4 20.2 9.0 10.0 7.8 7.0 4.3 3.8 Crude Death Rate (Deaths per 1,000 Population) AGE-ADJUSTED DEATH RATE (2002-2004 Avg.) Age-Adjusted Deaths per 100,000 Population AGE-SPECIFIC DEATH RATES (2002-2004 Avg.) Deaths per 100,000 Population: 1 to 4 Years Old 5 to 14 Years Old 15 to 24 Years Old 25 to 34 Years Old 35 to 44 Years Old 45 to 54 Years Old 55 to 64 Years Old 65 to 74 Years Old 75 to 84 Years Old 85 and Older 6.7 INFANT DEATH RATES (2003 Birth Cohort) Infant Deaths per 1,000 Live Births by Mother's Race/Ethnicity: All Race/Ethnic Groups White Black Hispanic Asian/Pacific Islander 3.5 2.7 * 8.7 * 2.9 * 4.0 * 709.8 19.8 * 14.4 72.7 98.3 137.1 329.3 728.2 1,854.3 4,946.5 13,114.8 Number of Neonatal Deaths (Under 28 Days of Age) Neonatal Death Rate (Deaths per 1,000 Live Births) 36 FETAL AND NEONATAL DEATHS (2004) Number of Fetal Deaths Fetal Death Ratio (Deaths per 1,000 Live Births) 76 PERINATAL DEATHS (2003 Birth Cohort) Number of Perinatal Deaths (Neonatal Plus Fetal) 93 Perinatal Death Rate by Mother's Race/Ethnicity: All Race/Ethnic Groups White 5.7 Black Hispanic Asian/Pacific Islander 2.7 13.7 * 6.8 6.9 * 7.0 5.9 Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services See Section III for data definitions, sources, and notes. 31 COUNTY: CONTRA COSTA (continued) SELECTED COUNTY HEALTH INDICATORS MEDI-CAL (continued) (2003) Age-Adjusted Death Rate per 100,000 Population (2002-2004 Avg.): Medi-Cal Deliveries by: Work-Related Injury Deaths 8.7 County of Beneficiary 3,604 Mortality Rate 0.8 * Fee-for-Service (FFS) 2,532 Drug-Induced Deaths 90.3 Managed Care 1,072 Mortality Rate 8.6 Total Medi-Cal FFS Abortions 1,514 Homicide by Weapons (2004) 76 Homicide by Handguns 45 Medi-Cal Physicians/Dentists Paid: Physicians 349 Kindergarten Students Needing One Dentists 109 or More Immunizations (2005) 392 Percent of All Kindergarten Students 2.7 % MEDI-CAL DATA MEDI-CAL MANAGED CARE ENROLLEES (7/03) (Avg. Monthly, 2003) Medi-Cal Users (FFS): 34,750 Total Managed Care Enrollees 49,022 Percent of County Population 3.5 % Percent of Eligibles (FFS) 35.3 % DENTI-CAL SERVICES (2003) Average Monthly Users (FFS) 4,554 Total Medi-Cal Eligibles: 98,441 Percent of County Population 9.8 % MEDI-CAL/MEDICARE (2003) Percent of Medi-Cal Eligibles Medi-Cal Payments (FFS) : Who Are Also Eligible Amount $25,032,540 for Medicare 17.8 % Average Amount per User $720 MEDICARE ENROLLEES (2003) Total Medicare Enrollees: Number 122,174 MEDI-CAL ELIGIBLES BY RACE/ETHNICITY Percent of County Population 12.2 % (2003) White 27.7 % Black 24.2 % Enrollees Aged 65+: Hispanic 31.4 % Number 107,242 American Indian/Alaska Native 0.3 % Percent of County Population 10.7 % Asian/Pacific Islander 11.1 % Not Reported 5.2 % Disability Beneficiaries: Number 14,932 Percent of County Population 1.5 % See Section III for data definitions, sources, and notes. REPORTED COMMUNICABLE DISEASE CASES (2002-2004 Avg.) Number and Crude Case Rate per 100,000 Population: DISEASE Hepatitis Measles Shigellosis Tuberculosis Syphilis Chlamydia Gonorrhea CASES 46.0 0.0 43.3 71.3 13.7 2,569.0 655.0 RATE 4.6 0.00 + 4.3 7.1 1.4 * 256.0 65.3 CUMULATIVE AIDS CASES AND DEATHS 1981 through December 2005 AIDS Cases 2,602 Number of Deaths Percent of Total AIDS Cases Resulting in Death 1,615 62.1 % SELECTED COUNTY HEALTH INDICATORS Persons Injured in Traffic Accidents County of Occurrence (2003) 5,742 Substance Abuse Treatment Admissions (2004): Methamphetamine 2,186 Cocaine 1,115 Marijuana 551 Alcohol 1,668 Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 32 COUNTY: CONTRA COSTA (continued) HOSPITALS (2004) Number of General Acute Care (GAC) Hospitals 10 1,547 HOSPICE CARE (12/04) Number of Freestanding Hospice Care Facilities 4 PROGRAM CLIENTS/SERVICES Percent Infants Breastfed During Early Postpartum (2002-2004 Average) Family Planning Clients by All Funding Sources (FY 2004-2005) Women and Children under Age 5 Receiving WIC Services (2/06) Child Health & Disability Prevention Clients Served (FY 2003-2004) Number of Providers (3/06) California Children's Services Cases (FY 2004-2005 Annualized Quarter) Developmental Disability Clients (7/05) Rehabilitation Clients (FY 2004-2005) Mental Health Services (FY 2004-2005) State Hospital Admissions Clients Receiving County Services Persons Receiving Preventive Health Care for the Aging Services (FY 2004-2005) Assessment Clients Other Client Services 88.2 % Number of Licensed GAC Beds 32,086 Number of Licensed GAC Beds per 1,000 Population LTC (2004) Number of Long Term Care Facilities and Hospitals with LTC Beds Number of Licensed LTC Beds 24,646 47 Number of Licensed Beds per 1,000 Population PHYSICIANS (FY 2004-2005) Number of Licensed Physicians Average Number of Persons per Physician DENTISTS (3/06) Number of Licensed Dentists Average Number of Persons per Dentist 37 15,012 CLINICS (12/04) Number of Licensed Community and Free Clinics Number of Specialty Clinics 0 0 HOME HEALTH AGENCIES (12/04) Number of Licensed Home Health Agencies HOSPITAL UTILIZATION (2004) Number of GAC Discharges from GAC Hospitals 72,309 Average GAC Occupancy Rate in GAC Hospitals 32 3,000 LTC (2004) Number of LTC Discharges from LTC Facilities Average Occupancy Rate of LTC Facilities and Hospitals with LTC Beds Average GAC Length of Stay in GAC Hospitals (Days) 1.5 57.9 17,956 4.4 2.9 7,609 2,998 2,696 378 72.8 4,724 3,728 927 1,107 15 20 17 See Section III for data definitions, sources, and notes. Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 33 COUNTY: 2000 Census Population Projection Year 2004 Projection Year 2010 Projection Year 2020 DEL NORTE TOTAL POPULATION 27,507 28,551 29,126 30,765 PERCENT BELOW POVERTY LEVEL (1999) Total Population 20.2 % Children under 6 Persons Aged 65+ White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups HOUSING VALUE (2000) Median Housing-Unit Value CALWORKS (1/05) CalWORKs Recipients as a Percent of County Population SSI/SSP (2004) SSI/SSP Recipients as a Percent of County Population 68.8 4.1 14.6 2.5 6.3 3.6 % % % % % % UNEMPLOYMENT (2005) Percent of Civilian Labor Force Unemployed EDUCATION Percent of Persons Aged 25+ Not Finishing High School (2000) Enrollment K-12 (2004-2005) URBAN/RURAL (2000) 12.1 % 5.8 % 18.3 11.9 26.6 49.9 25.8 28.8 $121,100 % % % % % % LIVE BIRTHS (2004) Number of Live Births by: County of Residence County of Occurrence Birth Rate (Births per 1,000 Population) Fertility Rate (Births per 1,000 Females Aged 15-44, 2002-2004 Avg.) Low Birthweight (Under 2,500 Grams) Very Low Birthweight (Under 1,500 Grams) Unmarried 8.4 % Cesarean Section Delivery Mothers Who Gave Birth Outside County of Residence Mothers with Less Than 12 Years Education Teenage Mothers (Under 18) 28.4 % 5,374 Percent of Births by Mother's Race/Ethnicity: White 65.3 % Black 0.0 % Hispanic 19.6 % Asian/Pacific Islander 3.5 % American Indian/Alaska Native 6.7 % 2 Or More Race Groups 4.9 % See Section III for data definitions, sources, and notes. Mothers with No First Trimester Prenatal Care 25.6 % 285 313 10.0 AGE (2004) Under Age 5 Age 5-17 Age 18-64 Age 65+ SEX (2004) Females Males RACE/ETHNICITY (2004) White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups 45.2 % 54.8 % 4.9 % 17.2 % 65.0 % 12.8 % 60.0 4.9 % 1.8 % 43.2 % 7.1 % 8.8 % 7.4 % 21.4 % 2.8 % 17.2 % Urban Rural FAMILY INCOME (1999) Median Family Income 67.9 % 32.1 % PRINCIPAL PAYMENT SOURCE FOR BIRTH DELIVERIES (2004) Medi-Cal/Other Government 68.9 % HMO and Prepaid Plans 6.6 % 21.2 % $36,056 Private Insurance Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 34 COUNTY: Number of Deaths by: County of Residence County of Occurrence DEL NORTE DEATHS (2004) (continued) CAUSES OF DEATH (2002-2004 Avg.) INFANT DEATHS (2004) Number of Infant Deaths (Under 1 Year of Age) Infant Death Rate (Deaths per 1,000 Live Births) 0 261 Crude Death Rate per 100,000 Population by Cause of Death: 293 Heart Disease Cancer (All Types) Stroke Chronic Lower Respiratory Disease Unintentional Injuries Pneumonia and Influenza Diabetes Mellitus Alzheimer's Disease Chronic Liver Disease/Cirrhosis Suicide Homicide Hypertension/Hypertensive Renal Disease Nephritis 238.8 225.8 41.4 65.0 63.8 31.9 20.1 17.7 14.2 21.3 2.4 8.3 9.5 0.0 + Crude Death Rate (Deaths per 1,000 Population) AGE-ADJUSTED DEATH RATE (2002-2004 Avg.) Age-Adjusted Deaths per 100,000 Population AGE-SPECIFIC DEATH RATES (2002-2004 Avg.) Deaths per 100,000 Population: 1 to 4 Years Old 5 to 14 Years Old 15 to 24 Years Old 25 to 34 Years Old 35 to 44 Years Old 45 to 54 Years Old 55 to 64 Years Old 65 to 74 Years Old 75 to 84 Years Old 85 and Older 9.1 908.7 * * * * * * * * * * * INFANT DEATH RATES (2003 Birth Cohort) Infant Deaths per 1,000 Live Births by Mother's Race/Ethnicity: All Race/Ethnic Groups White Black Hispanic Asian/Pacific Islander a,b a,b 0.0 + 0.0 + 0.0 + 0.0 + 27.1 * 146.2 * 168.1 * 209.0 * 629.2 1,134.6 2,542.2 6,101.3 12,381.0 Number of Neonatal Deaths (Under 28 Days of Age) Neonatal Death Rate (Deaths per 1,000 Live Births) 0 FETAL AND NEONATAL DEATHS (2004) Number of Fetal Deaths Fetal Death Ratio (Deaths per 1,000 Live Births) 3 PERINATAL DEATHS (2003 Birth Cohort) Number of Perinatal Deaths (Neonatal Plus Fetal) 1 Perinatal Death Rate by Mother's Race/Ethnicity: All Race/Ethnic Groups White a,b Black Hispanic Asian/Pacific Islander 0.0 + 0.0 + 0.0 + 0.0 + a,b a,b Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services See Section III for data definitions, sources, and notes. 35 COUNTY: DEL NORTE (continued) SELECTED COUNTY HEALTH INDICATORS MEDI-CAL (continued) (2003) Age-Adjusted Death Rate per 100,000 Population (2002-2004 Avg.): Medi-Cal Deliveries by: Work-Related Injury Deaths 0.3 County of Beneficiary 209 Mortality Rate 1.2 * Fee-for-Service (FFS) 209 Drug-Induced Deaths 6.0 Managed Care 0 Mortality Rate 20.2 * Total Medi-Cal FFS Abortions 52 Homicide by Weapons (2004) 1 Homicide by Handguns 0 Medi-Cal Physicians/Dentists Paid: Physicians 28 Kindergarten Students Needing One Dentists 5 or More Immunizations (2005) 5 Percent of All Kindergarten Students 1.4 % MEDI-CAL DATA MEDI-CAL MANAGED CARE ENROLLEES (7/03) (Avg. Monthly, 2003) Medi-Cal Users (FFS): 4,280 Total Managed Care Enrollees 0 Percent of County Population 15.2 % Percent of Eligibles (FFS) 56.1 % DENTI-CAL SERVICES (2003) Average Monthly Users (FFS) 99 Total Medi-Cal Eligibles: 7,624 Percent of County Population 27.0 % MEDI-CAL/MEDICARE (2003) Percent of Medi-Cal Eligibles Medi-Cal Payments (FFS) : Who Are Also Eligible Amount $2,171,596 for Medicare 16.9 % Average Amount per User $507 MEDICARE ENROLLEES (2003) Total Medicare Enrollees: Number 4,500 MEDI-CAL ELIGIBLES BY RACE/ETHNICITY Percent of County Population 16.0 % (2003) White 68.7 % Black 0.8 % Enrollees Aged 65+: Hispanic 10.8 % Number 3,471 American Indian/Alaska Native 9.3 % Percent of County Population 12.3 % Asian/Pacific Islander 6.3 % Not Reported 4.2 % Disability Beneficiaries: Number 1,029 Percent of County Population 3.6 % See Section III for data definitions, sources, and notes. REPORTED COMMUNICABLE DISEASE CASES (2002-2004 Avg.) Number and Crude Case Rate per 100,000 Population: DISEASE Hepatitis Measles Shigellosis Tuberculosis Syphilis Chlamydia Gonorrhea CASES 2.0 0.0 0.0 0.3 0.0 26.7 1.7 RATE 7.1 * 0.00 + 0.0 + 1.2 * 0.0 + 94.6 5.9 * CUMULATIVE AIDS CASES AND DEATHS 1981 through December 2005 AIDS Cases 34 Number of Deaths Percent of Total AIDS Cases Resulting in Death 13 38.2 % SELECTED COUNTY HEALTH INDICATORS Persons Injured in Traffic Accidents County of Occurrence (2003) 280 Substance Abuse Treatment Admissions (2004): Methamphetamine Cocaine Marijuana Alcohol 119 0 47 60 Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 36 COUNTY: DEL NORTE (continued) HOSPITALS (2004) Number of General Acute Care (GAC) Hospitals 91.6 % Number of Licensed GAC Beds 0 HOSPITAL UTILIZATION (2004) Number of GAC Discharges from GAC Hospitals Average GAC Occupancy Rate in GAC Hospitals 1 99 LTC (2004) Number of LTC Discharges from LTC Facilities Average Occupancy Rate of LTC Facilities and Hospitals with LTC Beds Average GAC Length of Stay in GAC Hospitals (Days) 0 HOSPICE CARE (12/04) Number of Freestanding Hospice Care Facilities 0 PROGRAM CLIENTS/SERVICES Percent Infants Breastfed During Early Postpartum (2002-2004 Average) Family Planning Clients by All Funding Sources (FY 2004-2005) Women and Children under Age 5 Receiving WIC Services (2/06) Child Health & Disability Prevention Clients Served (FY 2003-2004) Number of Providers (3/06) California Children's Services Cases (FY 2004-2005 Annualized Quarter) Developmental Disability Clients (7/05) Rehabilitation Clients (FY 2004-2005) Mental Health Services (FY 2004-2005) State Hospital Admissions Clients Receiving County Services Persons Receiving Preventive Health Care for the Aging Services (FY 2004-2005) Assessment Clients Other Client Services 878 Number of Licensed GAC Beds per 1,000 Population LTC (2004) Number of Long Term Care Facilities and Hospitals with LTC Beds Number of Licensed LTC Beds 0 0.0 0.0 1,065 0.0 1,677 4 Number of Licensed Beds per 1,000 Population PHYSICIANS (FY 2004-2005) Number of Licensed Physicians Average Number of Persons per Physician DENTISTS (3/06) Number of Licensed Dentists Average Number of Persons per Dentist 3.5 192 98 58 492 76.9 236 205 16 1,835 8 1,796 CLINICS (12/04) Number of Licensed Community and Free Clinics Number of Specialty Clinics 2 0 0 0 HOME HEALTH AGENCIES (12/04) Number of Licensed Home Health Agencies 1 See Section III for data definitions, sources, and notes. Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 37 COUNTY: 2000 Census Population Projection Year 2004 Projection Year 2010 Projection Year 2020 EL DORADO TOTAL POPULATION 156,299 171,207 188,471 221,289 PERCENT BELOW POVERTY LEVEL (1999) Total Population 7.1 % Children under 6 Persons Aged 65+ White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups HOUSING VALUE (2000) Median Housing-Unit Value CALWORKS (1/05) CalWORKs Recipients as a Percent of County Population SSI/SSP (2004) SSI/SSP Recipients as a Percent of County Population 83.2 0.6 10.3 2.7 1.3 1.9 % % % % % % UNEMPLOYMENT (2005) Percent of Civilian Labor Force Unemployed EDUCATION Percent of Persons Aged 25+ Not Finishing High School (2000) Enrollment K-12 (2004-2005) URBAN/RURAL (2000) 9.5 % 8.7 % 7.0 4.0 15.6 4.1 17.2 10.9 $194,400 % % % % % % LIVE BIRTHS (2004) Number of Live Births by: County of Residence County of Occurrence Birth Rate (Births per 1,000 Population) Fertility Rate (Births per 1,000 Females Aged 15-44, 2002-2004 Avg.) Low Birthweight (Under 2,500 Grams) Very Low Birthweight (Under 1,500 Grams) Unmarried 1.4 % Cesarean Section Delivery Mothers Who Gave Birth Outside County of Residence Mothers with Less Than 12 Years Education Teenage Mothers (Under 18) 10.9 % 30,969 Percent of Births by Mother's Race/Ethnicity: White 73.3 % Black 0.6 % Hispanic 20.2 % Asian/Pacific Islander 3.8 % American Indian/Alaska Native 0.3 % 2 Or More Race Groups 1.8 % See Section III for data definitions, sources, and notes. Mothers with No First Trimester Prenatal Care 28.6 % 1,897 1,187 11.1 AGE (2004) Under Age 5 Age 5-17 Age 18-64 Age 65+ SEX (2004) Females Males RACE/ETHNICITY (2004) White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups 50.2 % 49.8 % 5.1 % 19.1 % 63.1 % 12.7 % 56.4 6.3 % 1.1 % 25.8 % 1.6 % 48.4 % 4.6 % 13.0 % 1.7 % 13.8 % Urban Rural FAMILY INCOME (1999) Median Family Income 63.0 % 37.0 % PRINCIPAL PAYMENT SOURCE FOR BIRTH DELIVERIES (2004) Medi-Cal/Other Government 33.3 % HMO and Prepaid Plans 28.3 % 37.3 % $60,250 Private Insurance Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 38 COUNTY: Number of Deaths by: County of Residence County of Occurrence EL DORADO DEATHS (2004) (continued) CAUSES OF DEATH (2002-2004 Avg.) INFANT DEATHS (2004) Number of Infant Deaths (Under 1 Year of Age) Infant Death Rate (Deaths per 1,000 Live Births) 10 1,235 Crude Death Rate per 100,000 Population by Cause of Death: 1,011 Heart Disease Cancer (All Types) Stroke Chronic Lower Respiratory Disease Unintentional Injuries Pneumonia and Influenza Diabetes Mellitus Alzheimer's Disease Chronic Liver Disease/Cirrhosis Suicide Homicide Hypertension/Hypertensive Renal Disease Nephritis 190.6 186.9 44.0 46.0 31.9 18.2 12.5 20.0 13.7 12.9 2.2 * 4.6 * 3.0 * 5.3 * Crude Death Rate (Deaths per 1,000 Population) AGE-ADJUSTED DEATH RATE (2002-2004 Avg.) Age-Adjusted Deaths per 100,000 Population AGE-SPECIFIC DEATH RATES (2002-2004 Avg.) Deaths per 100,000 Population: 1 to 4 Years Old 5 to 14 Years Old 15 to 24 Years Old 25 to 34 Years Old 35 to 44 Years Old 45 to 54 Years Old 55 to 64 Years Old 65 to 74 Years Old 75 to 84 Years Old 85 and Older 7.2 INFANT DEATH RATES (2003 Birth Cohort) Infant Deaths per 1,000 Live Births by Mother's Race/Ethnicity: All Race/Ethnic Groups White Black Hispanic Asian/Pacific Islander a a 0.0 + 0.0 + 0.0 + 728.6 33.9 * 15.1 * 60.3 * 121.6 * 139.8 346.4 734.0 1,703.5 5,034.6 14,262.3 Number of Neonatal Deaths (Under 28 Days of Age) Neonatal Death Rate (Deaths per 1,000 Live Births) 6 FETAL AND NEONATAL DEATHS (2004) Number of Fetal Deaths Fetal Death Ratio (Deaths per 1,000 Live Births) 14 PERINATAL DEATHS (2003 Birth Cohort) Number of Perinatal Deaths (Neonatal Plus Fetal) 11 Perinatal Death Rate by Mother's Race/Ethnicity: All Race/Ethnic Groups White 7.4 * Black Hispanic Asian/Pacific Islander 3.2 * 0.0 + a,b a,b 6.3 * 6.8 * Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services See Section III for data definitions, sources, and notes. 39 COUNTY: EL DORADO (continued) SELECTED COUNTY HEALTH INDICATORS MEDI-CAL (continued) (2003) Age-Adjusted Death Rate per 100,000 Population (2002-2004 Avg.): Medi-Cal Deliveries by: Work-Related Injury Deaths 1.0 County of Beneficiary 535 Mortality Rate 0.6 * Fee-for-Service (FFS) 533 Drug-Induced Deaths 23.0 Managed Care 2 Mortality Rate 12.6 Total Medi-Cal FFS Abortions 212 Homicide by Weapons (2004) 2 Homicide by Handguns 1 Medi-Cal Physicians/Dentists Paid: Physicians 86 Kindergarten Students Needing One Dentists 20 or More Immunizations (2005) 179 Percent of All Kindergarten Students 8.6 % MEDI-CAL DATA MEDI-CAL MANAGED CARE ENROLLEES (7/03) (Avg. Monthly, 2003) Medi-Cal Users (FFS): 7,282 Total Managed Care Enrollees 0 Percent of County Population 4.3 % Percent of Eligibles (FFS) 53.6 % DENTI-CAL SERVICES (2003) Average Monthly Users (FFS) 782 Total Medi-Cal Eligibles: 13,585 Percent of County Population 8.1 % MEDI-CAL/MEDICARE (2003) Percent of Medi-Cal Eligibles Medi-Cal Payments (FFS) : Who Are Also Eligible Amount $3,994,351 for Medicare 19.2 % Average Amount per User $549 MEDICARE ENROLLEES (2003) Total Medicare Enrollees: Number 26,190 MEDI-CAL ELIGIBLES BY RACE/ETHNICITY Percent of County Population 15.6 % (2003) White 71.4 % Black 0.8 % Enrollees Aged 65+: Hispanic 20.5 % Number 22,572 American Indian/Alaska Native 1.1 % Percent of County Population 13.4 % Asian/Pacific Islander 1.7 % Not Reported 4.4 % Disability Beneficiaries: Number 3,618 Percent of County Population 2.2 % See Section III for data definitions, sources, and notes. REPORTED COMMUNICABLE DISEASE CASES (2002-2004 Avg.) Number and Crude Case Rate per 100,000 Population: DISEASE Hepatitis Measles Shigellosis Tuberculosis Syphilis Chlamydia Gonorrhea CASES 17.0 0.0 1.3 2.0 0.3 210.3 16.0 RATE 10.1 * 0.00 + 0.8 * 1.2 * 0.2 * 125.0 9.5 * CUMULATIVE AIDS CASES AND DEATHS 1981 through December 2005 AIDS Cases 166 Number of Deaths Percent of Total AIDS Cases Resulting in Death 106 63.9 % SELECTED COUNTY HEALTH INDICATORS Persons Injured in Traffic Accidents County of Occurrence (2003) 1,581 Substance Abuse Treatment Admissions (2004): Methamphetamine Cocaine Marijuana Alcohol 205 12 206 207 Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 40 COUNTY: EL DORADO (continued) HOSPITALS (2004) Number of General Acute Care (GAC) Hospitals 90.0 % Number of Licensed GAC Beds 164 HOSPITAL UTILIZATION (2004) Number of GAC Discharges from GAC Hospitals 9,176 Average GAC Occupancy Rate in GAC Hospitals 3 266 LTC (2004) Number of LTC Discharges from LTC Facilities Average Occupancy Rate of LTC Facilities and Hospitals with LTC Beds Average GAC Length of Stay in GAC Hospitals (Days) 2 HOSPICE CARE (12/04) Number of Freestanding Hospice Care Facilities 1 PROGRAM CLIENTS/SERVICES Percent Infants Breastfed During Early Postpartum (2002-2004 Average) Family Planning Clients by All Funding Sources (FY 2004-2005) Women and Children under Age 5 Receiving WIC Services (2/06) Child Health & Disability Prevention Clients Served (FY 2003-2004) Number of Providers (3/06) California Children's Services Cases (FY 2004-2005 Annualized Quarter) Developmental Disability Clients (7/05) Rehabilitation Clients (FY 2004-2005) Mental Health Services (FY 2004-2005) State Hospital Admissions Clients Receiving County Services Persons Receiving Preventive Health Care for the Aging Services (FY 2004-2005) Assessment Clients Other Client Services 4,623 Number of Licensed GAC Beds per 1,000 Population LTC (2004) Number of Long Term Care Facilities and Hospitals with LTC Beds Number of Licensed LTC Beds 1.0 56.4 2,343 3.7 4,233 20 Number of Licensed Beds per 1,000 Population PHYSICIANS (FY 2004-2005) Number of Licensed Physicians Average Number of Persons per Physician DENTISTS (3/06) Number of Licensed Dentists Average Number of Persons per Dentist 1.6 396 413 282 607 78.6 696 548 165 1,064 4 2,555 CLINICS (12/04) Number of Licensed Community and Free Clinics Number of Specialty Clinics 5 3 457 4,139 HOME HEALTH AGENCIES (12/04) Number of Licensed Home Health Agencies 3 See Section III for data definitions, sources, and notes. Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 41 COUNTY: 2000 Census Population Projection Year 2004 Projection Year 2010 Projection Year 2020 FRESNO TOTAL POPULATION 799,407 868,283 949,961 1,114,654 PERCENT BELOW POVERTY LEVEL (1999) Total Population 22.9 % Children under 6 Persons Aged 65+ White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups HOUSING VALUE (2000) Median Housing-Unit Value CALWORKS (1/05) CalWORKs Recipients as a Percent of County Population SSI/SSP (2004) SSI/SSP Recipients as a Percent of County Population 34.3 5.5 49.3 8.1 1.4 1.5 % % % % % % UNEMPLOYMENT (2005) Percent of Civilian Labor Force Unemployed EDUCATION Percent of Persons Aged 25+ Not Finishing High School (2000) Enrollment K-12 (2004-2005) URBAN/RURAL (2000) 15.1 % 4.2 % 20.3 34.0 30.6 38.5 34.3 25.1 $104,900 % % % % % % LIVE BIRTHS (2004) Number of Live Births by: County of Residence County of Occurrence Birth Rate (Births per 1,000 Population) Fertility Rate (Births per 1,000 Females Aged 15-44, 2002-2004 Avg.) Low Birthweight (Under 2,500 Grams) Very Low Birthweight (Under 1,500 Grams) Unmarried 7.8 % Cesarean Section Delivery Mothers Who Gave Birth Outside County of Residence Mothers with Less Than 12 Years Education Teenage Mothers (Under 18) 32.5 % 197,480 Percent of Births by Mother's Race/Ethnicity: White 23.4 % Black 4.8 % Hispanic 61.6 % Asian/Pacific Islander 8.9 % American Indian/Alaska Native 0.6 % 2 Or More Race Groups 0.7 % See Section III for data definitions, sources, and notes. Mothers with No First Trimester Prenatal Care 29.3 % 15,896 17,392 18.3 AGE (2004) Under Age 5 Age 5-17 Age 18-64 Age 65+ SEX (2004) Females Males RACE/ETHNICITY (2004) White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups 49.5 % 50.5 % 8.0 % 21.8 % 60.6 % 9.7 % 81.6 7.0 % 1.3 % 44.3 % 4.5 % 3.7 % 9.0 % 37.0 % 5.1 % 13.2 % Urban Rural FAMILY INCOME (1999) Median Family Income 87.4 % 12.6 % PRINCIPAL PAYMENT SOURCE FOR BIRTH DELIVERIES (2004) Medi-Cal/Other Government 63.4 % HMO and Prepaid Plans 12.2 % 21.7 % $38,455 Private Insurance Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 42 COUNTY: Number of Deaths by: County of Residence County of Occurrence FRESNO DEATHS (2004) (continued) CAUSES OF DEATH (2002-2004 Avg.) INFANT DEATHS (2004) Number of Infant Deaths (Under 1 Year of Age) Infant Death Rate (Deaths per 1,000 Live Births) 128 5,811 Crude Death Rate per 100,000 Population by Cause of Death: 6,081 Heart Disease Cancer (All Types) Stroke Chronic Lower Respiratory Disease Unintentional Injuries Pneumonia and Influenza Diabetes Mellitus Alzheimer's Disease Chronic Liver Disease/Cirrhosis Suicide Homicide Hypertension/Hypertensive Renal Disease Nephritis 186.5 135.4 53.9 34.8 42.0 22.0 23.7 14.4 13.1 8.2 7.8 8.3 6.2 8.1 Crude Death Rate (Deaths per 1,000 Population) AGE-ADJUSTED DEATH RATE (2002-2004 Avg.) Age-Adjusted Deaths per 100,000 Population AGE-SPECIFIC DEATH RATES (2002-2004 Avg.) Deaths per 100,000 Population: 1 to 4 Years Old 5 to 14 Years Old 15 to 24 Years Old 25 to 34 Years Old 35 to 44 Years Old 45 to 54 Years Old 55 to 64 Years Old 65 to 74 Years Old 75 to 84 Years Old 85 and Older 6.7 INFANT DEATH RATES (2003 Birth Cohort) Infant Deaths per 1,000 Live Births by Mother's Race/Ethnicity: All Race/Ethnic Groups White Black Hispanic Asian/Pacific Islander 7.2 7.5 b 7.0 7.9 * 823.8 38.1 20.5 76.8 105.9 213.6 463.6 947.2 2,268.5 5,218.3 14,156.3 Number of Neonatal Deaths (Under 28 Days of Age) Neonatal Death Rate (Deaths per 1,000 Live Births) 91 FETAL AND NEONATAL DEATHS (2004) Number of Fetal Deaths Fetal Death Ratio (Deaths per 1,000 Live Births) 91 PERINATAL DEATHS (2003 Birth Cohort) Number of Perinatal Deaths (Neonatal Plus Fetal) 139 Perinatal Death Rate by Mother's Race/Ethnicity: All Race/Ethnic Groups White 5.7 Black Hispanic Asian/Pacific Islander 5.7 b 9.0 9.3 * 9.0 8.3 Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services See Section III for data definitions, sources, and notes. 43 COUNTY: FRESNO (continued) SELECTED COUNTY HEALTH INDICATORS MEDI-CAL (continued) (2003) Age-Adjusted Death Rate per 100,000 Population (2002-2004 Avg.): Medi-Cal Deliveries by: Work-Related Injury Deaths 15.7 County of Beneficiary 9,799 Mortality Rate 2.0 * Fee-for-Service (FFS) 5,298 Drug-Induced Deaths 92.0 Managed Care 4,501 Mortality Rate 12.1 Total Medi-Cal FFS Abortions 1,623 Homicide by Weapons (2004) 69 Homicide by Handguns 21 Medi-Cal Physicians/Dentists Paid: Physicians 439 Kindergarten Students Needing One Dentists 187 or More Immunizations (2005) 515 Percent of All Kindergarten Students 3.4 % MEDI-CAL DATA MEDI-CAL MANAGED CARE ENROLLEES (7/03) (Avg. Monthly, 2003) Medi-Cal Users (FFS): 82,311 Total Managed Care Enrollees 157,719 Percent of County Population 9.6 % Percent of Eligibles (FFS) 32.8 % DENTI-CAL SERVICES (2003) Average Monthly Users (FFS) 13,701 Total Medi-Cal Eligibles: 251,021 Percent of County Population 29.3 % MEDI-CAL/MEDICARE (2003) Percent of Medi-Cal Eligibles Medi-Cal Payments (FFS) : Who Are Also Eligible Amount $39,925,686 for Medicare 10.9 % Average Amount per User $485 MEDICARE ENROLLEES (2003) Total Medicare Enrollees: Number 94,572 MEDI-CAL ELIGIBLES BY RACE/ETHNICITY Percent of County Population 11.1 % (2003) White 16.6 % Black 8.1 % Enrollees Aged 65+: Hispanic 58.8 % Number 79,906 American Indian/Alaska Native 0.3 % Percent of County Population 9.3 % Asian/Pacific Islander 12.5 % Not Reported 3.7 % Disability Beneficiaries: Number 14,666 Percent of County Population 1.7 % See Section III for data definitions, sources, and notes. REPORTED COMMUNICABLE DISEASE CASES (2002-2004 Avg.) Number and Crude Case Rate per 100,000 Population: DISEASE Hepatitis Measles Shigellosis Tuberculosis Syphilis Chlamydia Gonorrhea CASES 33.7 0.0 41.7 105.0 5.0 4,807.7 1,131.3 RATE 3.9 0.00 + 4.9 12.3 0.6 * 562.0 132.2 CUMULATIVE AIDS CASES AND DEATHS 1981 through December 2005 AIDS Cases 1,379 Number of Deaths Percent of Total AIDS Cases Resulting in Death 764 55.4 % SELECTED COUNTY HEALTH INDICATORS Persons Injured in Traffic Accidents County of Occurrence (2003) 7,085 Substance Abuse Treatment Admissions (2004): Methamphetamine Cocaine Marijuana Alcohol 2,519 1,035 1,066 1,360 Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 44 COUNTY: FRESNO (continued) HOSPITALS (2004) Number of General Acute Care (GAC) Hospitals 81.9 % Number of Licensed GAC Beds 1,499 HOSPITAL UTILIZATION (2004) Number of GAC Discharges from GAC Hospitals 82,162 Average GAC Occupancy Rate in GAC Hospitals 36 3,220 LTC (2004) Number of LTC Discharges from LTC Facilities Average Occupancy Rate of LTC Facilities and Hospitals with LTC Beds Average GAC Length of Stay in GAC Hospitals (Days) 12 HOSPICE CARE (12/04) Number of Freestanding Hospice Care Facilities 2 PROGRAM CLIENTS/SERVICES Percent Infants Breastfed During Early Postpartum (2002-2004 Average) Family Planning Clients by All Funding Sources (FY 2004-2005) Women and Children under Age 5 Receiving WIC Services (2/06) Child Health & Disability Prevention Clients Served (FY 2003-2004) Number of Providers (3/06) California Children's Services Cases (FY 2004-2005 Annualized Quarter) Developmental Disability Clients (7/05) Rehabilitation Clients (FY 2004-2005) Mental Health Services (FY 2004-2005) State Hospital Admissions Clients Receiving County Services Persons Receiving Preventive Health Care for the Aging Services (FY 2004-2005) Assessment Clients Other Client Services 42,875 Number of Licensed GAC Beds per 1,000 Population LTC (2004) Number of Long Term Care Facilities and Hospitals with LTC Beds Number of Licensed LTC Beds 1.7 62.9 46,971 4.1 107,252 120 Number of Licensed Beds per 1,000 Population PHYSICIANS (FY 2004-2005) Number of Licensed Physicians Average Number of Persons per Physician DENTISTS (3/06) Number of Licensed Dentists Average Number of Persons per Dentist 3.7 5,253 7,678 1,703 510 84.3 6,058 2,667 503 1,774 90 22,411 CLINICS (12/04) Number of Licensed Community and Free Clinics Number of Specialty Clinics 27 25 601 1,072 HOME HEALTH AGENCIES (12/04) Number of Licensed Home Health Agencies 11 See Section III for data definitions, sources, and notes. Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 45 COUNTY: 2000 Census Population Projection Year 2004 Projection Year 2010 Projection Year 2020 GLENN TOTAL POPULATION 26,453 28,084 29,348 31,950 PERCENT BELOW POVERTY LEVEL (1999) Total Population 18.1 % Children under 6 Persons Aged 65+ White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups HOUSING VALUE (2000) Median Housing-Unit Value CALWORKS (1/05) CalWORKs Recipients as a Percent of County Population SSI/SSP (2004) SSI/SSP Recipients as a Percent of County Population 62.1 0.6 29.7 4.1 1.7 1.8 % % % % % % UNEMPLOYMENT (2005) Percent of Civilian Labor Force Unemployed EDUCATION Percent of Persons Aged 25+ Not Finishing High School (2000) Enrollment K-12 (2004-2005) URBAN/RURAL (2000) 14.9 % 5.2 % 15.9 32.9 23.8 50.3 40.8 25.0 $94,900 % % % % % % LIVE BIRTHS (2004) Number of Live Births by: County of Residence County of Occurrence Birth Rate (Births per 1,000 Population) Fertility Rate (Births per 1,000 Females Aged 15-44, 2002-2004 Avg.) Low Birthweight (Under 2,500 Grams) Very Low Birthweight (Under 1,500 Grams) Unmarried 4.5 % Cesarean Section Delivery Mothers Who Gave Birth Outside County of Residence Mothers with Less Than 12 Years Education Teenage Mothers (Under 18) 31.5 % 6,131 Percent of Births by Mother's Race/Ethnicity: White 47.7 % Black a Hispanic 46.5 % Asian/Pacific Islander 2.0 % American Indian/Alaska Native 2.0 % 2 Or More Race Groups 1.3 % See Section III for data definitions, sources, and notes. Mothers with No First Trimester Prenatal Care 24.4 % 398 1 14.2 AGE (2004) Under Age 5 Age 5-17 Age 18-64 Age 65+ SEX (2004) Females Males RACE/ETHNICITY (2004) White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups 49.4 % 50.6 % 7.2 % 20.8 % 58.5 % 13.4 % 75.4 3.5 % a 36.7 % 3.6 % 99.7 % 8.5 % 39.3 % 3.8 % 28.8 % Urban Rural FAMILY INCOME (1999) Median Family Income 56.6 % 43.4 % PRINCIPAL PAYMENT SOURCE FOR BIRTH DELIVERIES (2004) Medi-Cal/Other Government 71.0 % HMO and Prepaid Plans a 28.3 % $37,023 Private Insurance Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 46 COUNTY: Number of Deaths by: County of Residence County of Occurrence GLENN DEATHS (2004) (continued) CAUSES OF DEATH (2002-2004 Avg.) INFANT DEATHS (2004) Number of Infant Deaths (Under 1 Year of Age) Infant Death Rate (Deaths per 1,000 Live Births) 0 246 Crude Death Rate per 100,000 Population by Cause of Death: 153 Heart Disease Cancer (All Types) Stroke Chronic Lower Respiratory Disease Unintentional Injuries Pneumonia and Influenza Diabetes Mellitus Alzheimer's Disease Chronic Liver Disease/Cirrhosis Suicide Homicide Hypertension/Hypertensive Renal Disease Nephritis 231.7 177.4 39.8 78.4 45.9 27.8 32.6 21.7 14.5 18.1 1.2 16.9 15.7 0.0 + Crude Death Rate (Deaths per 1,000 Population) AGE-ADJUSTED DEATH RATE (2002-2004 Avg.) Age-Adjusted Deaths per 100,000 Population AGE-SPECIFIC DEATH RATES (2002-2004 Avg.) Deaths per 100,000 Population: 1 to 4 Years Old 5 to 14 Years Old 15 to 24 Years Old 25 to 34 Years Old 35 to 44 Years Old 45 to 54 Years Old 55 to 64 Years Old 65 to 74 Years Old 75 to 84 Years Old 85 and Older 8.8 * * * * * * * * * * INFANT DEATH RATES (2003 Birth Cohort) Infant Deaths per 1,000 Live Births by Mother's Race/Ethnicity: All Race/Ethnic Groups White Black Hispanic Asian/Pacific Islander a,b a,b 0.0 + 0.0 + 0.0 + 812.3 21.5 * 29.8 * 85.0 * 157.5 * 233.8 * 502.9 * 868.5 2,320.4 4,654.9 14,408.6 Number of Neonatal Deaths (Under 28 Days of Age) Neonatal Death Rate (Deaths per 1,000 Live Births) 0 FETAL AND NEONATAL DEATHS (2004) Number of Fetal Deaths Fetal Death Ratio (Deaths per 1,000 Live Births) 1 PERINATAL DEATHS (2003 Birth Cohort) Number of Perinatal Deaths (Neonatal Plus Fetal) 5 Perinatal Death Rate by Mother's Race/Ethnicity: All Race/Ethnic Groups White a,b Black Hispanic Asian/Pacific Islander 0.0 + 0.0 + a,b 0.0 + b a,b Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services See Section III for data definitions, sources, and notes. 47 COUNTY: GLENN (continued) SELECTED COUNTY HEALTH INDICATORS MEDI-CAL (continued) (2003) Age-Adjusted Death Rate per 100,000 Population (2002-2004 Avg.): Medi-Cal Deliveries by: Work-Related Injury Deaths 0.7 County of Beneficiary 255 Mortality Rate 2.9 * Fee-for-Service (FFS) 255 Drug-Induced Deaths 3.3 Managed Care 0 Mortality Rate 12.7 * Total Medi-Cal FFS Abortions 47 Homicide by Weapons (2004) 0 Homicide by Handguns 0 Medi-Cal Physicians/Dentists Paid: Physicians 4 Kindergarten Students Needing One Dentists 1 or More Immunizations (2005) 7 Percent of All Kindergarten Students 1.6 % MEDI-CAL DATA MEDI-CAL MANAGED CARE ENROLLEES (7/03) (Avg. Monthly, 2003) Medi-Cal Users (FFS): 3,352 Total Managed Care Enrollees 0 Percent of County Population 12.1 % Percent of Eligibles (FFS) 53.8 % DENTI-CAL SERVICES (2003) Average Monthly Users (FFS) 127 Total Medi-Cal Eligibles: 6,234 Percent of County Population 22.6 % MEDI-CAL/MEDICARE (2003) Percent of Medi-Cal Eligibles Medi-Cal Payments (FFS) : Who Are Also Eligible Amount $1,803,482 for Medicare 14.3 % Average Amount per User $538 MEDICARE ENROLLEES (2003) Total Medicare Enrollees: Number 4,111 MEDI-CAL ELIGIBLES BY RACE/ETHNICITY Percent of County Population 14.9 % (2003) White 43.7 % Black 1.3 % Enrollees Aged 65+: Hispanic 41.2 % Number 3,496 American Indian/Alaska Native 2.9 % Percent of County Population 12.7 % Asian/Pacific Islander 6.8 % Not Reported 4.1 % Disability Beneficiaries: Number 615 Percent of County Population 2.2 % See Section III for data definitions, sources, and notes. REPORTED COMMUNICABLE DISEASE CASES (2002-2004 Avg.) Number and Crude Case Rate per 100,000 Population: DISEASE Hepatitis Measles Shigellosis Tuberculosis Syphilis Chlamydia Gonorrhea CASES 1.0 0.0 1.0 1.0 0.0 49.7 1.7 RATE 3.6 * 0.00 + 3.6 * 3.6 * 0.0 + 179.8 6.0 * CUMULATIVE AIDS CASES AND DEATHS 1981 through December 2005 AIDS Cases 17 Number of Deaths Percent of Total AIDS Cases Resulting in Death 6 35.3 % SELECTED COUNTY HEALTH INDICATORS Persons Injured in Traffic Accidents County of Occurrence (2003) 218 Substance Abuse Treatment Admissions (2004): Methamphetamine Cocaine Marijuana Alcohol 112 ^ 37 53 Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 48 COUNTY: GLENN (continued) HOSPITALS (2004) Number of General Acute Care (GAC) Hospitals 87.0 % Number of Licensed GAC Beds 49 HOSPITAL UTILIZATION (2004) Number of GAC Discharges from GAC Hospitals Average GAC Occupancy Rate in GAC Hospitals 1 76 LTC (2004) Number of LTC Discharges from LTC Facilities Average Occupancy Rate of LTC Facilities and Hospitals with LTC Beds Average GAC Length of Stay in GAC Hospitals (Days) 1 HOSPICE CARE (12/04) Number of Freestanding Hospice Care Facilities 0 PROGRAM CLIENTS/SERVICES Percent Infants Breastfed During Early Postpartum (2002-2004 Average) Family Planning Clients by All Funding Sources (FY 2004-2005) Women and Children under Age 5 Receiving WIC Services (2/06) Child Health & Disability Prevention Clients Served (FY 2003-2004) Number of Providers (3/06) California Children's Services Cases (FY 2004-2005 Annualized Quarter) Developmental Disability Clients (7/05) Rehabilitation Clients (FY 2004-2005) Mental Health Services (FY 2004-2005) State Hospital Admissions Clients Receiving County Services Persons Receiving Preventive Health Care for the Aging Services (FY 2004-2005) Assessment Clients Other Client Services 1,451 Number of Licensed GAC Beds per 1,000 Population LTC (2004) Number of Long Term Care Facilities and Hospitals with LTC Beds Number of Licensed LTC Beds 176 1.7 2.3 1,425 2.3 2,001 8 Number of Licensed Beds per 1,000 Population PHYSICIANS (FY 2004-2005) Number of Licensed Physicians Average Number of Persons per Physician DENTISTS (3/06) Number of Licensed Dentists Average Number of Persons per Dentist 2.7 130 165 11 2,553 94.3 211 220 6 4,754 6 802 CLINICS (12/04) Number of Licensed Community and Free Clinics Number of Specialty Clinics 3 0 0 0 HOME HEALTH AGENCIES (12/04) Number of Licensed Home Health Agencies 0 See Section III for data definitions, sources, and notes. Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 49 COUNTY: 2000 Census Population Projection Year 2004 Projection Year 2010 Projection Year 2020 HUMBOLDT TOTAL POPULATION 126,518 130,472 133,136 139,518 PERCENT BELOW POVERTY LEVEL (1999) Total Population 19.5 % Children under 6 Persons Aged 65+ White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups HOUSING VALUE (2000) Median Housing-Unit Value CALWORKS (1/05) CalWORKs Recipients as a Percent of County Population SSI/SSP (2004) SSI/SSP Recipients as a Percent of County Population 80.1 0.9 7.7 1.9 5.9 3.6 % % % % % % UNEMPLOYMENT (2005) Percent of Civilian Labor Force Unemployed EDUCATION Percent of Persons Aged 25+ Not Finishing High School (2000) Enrollment K-12 (2004-2005) URBAN/RURAL (2000) 9.8 % 4.6 % 17.6 49.2 31.0 39.1 31.0 29.8 $133,500 % % % % % % LIVE BIRTHS (2004) Number of Live Births by: County of Residence County of Occurrence Birth Rate (Births per 1,000 Population) Fertility Rate (Births per 1,000 Females Aged 15-44, 2002-2004 Avg.) Low Birthweight (Under 2,500 Grams) Very Low Birthweight (Under 1,500 Grams) Unmarried 3.6 % Cesarean Section Delivery Mothers Who Gave Birth Outside County of Residence Mothers with Less Than 12 Years Education Teenage Mothers (Under 18) 15.1 % 20,484 Percent of Births by Mother's Race/Ethnicity: White 72.1 % Black 0.6 % Hispanic 13.2 % Asian/Pacific Islander 3.4 % American Indian/Alaska Native 7.3 % 2 Or More Race Groups 3.4 % See Section III for data definitions, sources, and notes. Mothers with No First Trimester Prenatal Care 25.2 % 1,509 1,520 11.6 AGE (2004) Under Age 5 Age 5-17 Age 18-64 Age 65+ SEX (2004) Females Males RACE/ETHNICITY (2004) White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups 50.4 % 49.6 % 5.6 % 16.4 % 65.8 % 12.3 % 52.5 7.0 % 1.1 % 43.1 % 5.2 % 2.5 % 6.1 % 18.2 % 3.0 % 16.3 % Urban Rural FAMILY INCOME (1999) Median Family Income 69.5 % 30.5 % PRINCIPAL PAYMENT SOURCE FOR BIRTH DELIVERIES (2004) Medi-Cal/Other Government 56.2 % HMO and Prepaid Plans a 39.9 % $39,370 Private Insurance Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 50 COUNTY: Number of Deaths by: County of Residence County of Occurrence HUMBOLDT DEATHS (2004) (continued) CAUSES OF DEATH (2002-2004 Avg.) INFANT DEATHS (2004) Number of Infant Deaths (Under 1 Year of Age) Infant Death Rate (Deaths per 1,000 Live Births) 7 1,253 Crude Death Rate per 100,000 Population by Cause of Death: 1,235 Heart Disease Cancer (All Types) Stroke Chronic Lower Respiratory Disease Unintentional Injuries Pneumonia and Influenza Diabetes Mellitus Alzheimer's Disease Chronic Liver Disease/Cirrhosis Suicide Homicide Hypertension/Hypertensive Renal Disease Nephritis 227.5 214.4 57.7 65.9 73.1 25.7 31.4 38.6 18.0 19.8 8.0 * 4.9 * 6.2 * 4.6 * Crude Death Rate (Deaths per 1,000 Population) AGE-ADJUSTED DEATH RATE (2002-2004 Avg.) Age-Adjusted Deaths per 100,000 Population AGE-SPECIFIC DEATH RATES (2002-2004 Avg.) Deaths per 100,000 Population: 1 to 4 Years Old 5 to 14 Years Old 15 to 24 Years Old 25 to 34 Years Old 35 to 44 Years Old 45 to 54 Years Old 55 to 64 Years Old 65 to 74 Years Old 75 to 84 Years Old 85 and Older 9.6 INFANT DEATH RATES (2003 Birth Cohort) Infant Deaths per 1,000 Live Births by Mother's Race/Ethnicity: All Race/Ethnic Groups White Black Hispanic Asian/Pacific Islander 9.0 * 10.0 * 0.0 + a,b a,b 944.6 22.8 * 22.6 * 74.7 * 133.9 292.7 554.2 1,082.7 2,557.7 5,877.3 16,251.0 Number of Neonatal Deaths (Under 28 Days of Age) Neonatal Death Rate (Deaths per 1,000 Live Births) 3 FETAL AND NEONATAL DEATHS (2004) Number of Fetal Deaths Fetal Death Ratio (Deaths per 1,000 Live Births) 3 PERINATAL DEATHS (2003 Birth Cohort) Number of Perinatal Deaths (Neonatal Plus Fetal) 16 Perinatal Death Rate by Mother's Race/Ethnicity: All Race/Ethnic Groups White a Black Hispanic Asian/Pacific Islander a 0.0 + a,b a,b 11.0 * 10.8 * Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services See Section III for data definitions, sources, and notes. 51 COUNTY: HUMBOLDT (continued) SELECTED COUNTY HEALTH INDICATORS MEDI-CAL (continued) (2003) Age-Adjusted Death Rate per 100,000 Population (2002-2004 Avg.): Medi-Cal Deliveries by: Work-Related Injury Deaths 2.0 County of Beneficiary 783 Mortality Rate 1.4 * Fee-for-Service (FFS) 783 Drug-Induced Deaths 38.7 Managed Care 0 Mortality Rate 29.8 Total Medi-Cal FFS Abortions 424 Homicide by Weapons (2004) 5 Homicide by Handguns 1 Medi-Cal Physicians/Dentists Paid: Physicians 109 Kindergarten Students Needing One Dentists 35 or More Immunizations (2005) 144 Percent of All Kindergarten Students 10.5 % MEDI-CAL DATA MEDI-CAL MANAGED CARE ENROLLEES (7/03) (Avg. Monthly, 2003) Medi-Cal Users (FFS): 14,994 Total Managed Care Enrollees 0 Percent of County Population 11.6 % Percent of Eligibles (FFS) 60.4 % DENTI-CAL SERVICES (2003) Average Monthly Users (FFS) 723 Total Medi-Cal Eligibles: 24,844 Percent of County Population 19.2 % MEDI-CAL/MEDICARE (2003) Percent of Medi-Cal Eligibles Medi-Cal Payments (FFS) : Who Are Also Eligible Amount $8,362,489 for Medicare 18.4 % Average Amount per User $558 MEDICARE ENROLLEES (2003) Total Medicare Enrollees: Number 20,081 MEDI-CAL ELIGIBLES BY RACE/ETHNICITY Percent of County Population 15.5 % (2003) White 73.7 % Black 1.8 % Enrollees Aged 65+: Hispanic 6.9 % Number 15,737 American Indian/Alaska Native 9.1 % Percent of County Population 12.2 % Asian/Pacific Islander 3.3 % Not Reported 5.1 % Disability Beneficiaries: Number 4,344 Percent of County Population 3.4 % See Section III for data definitions, sources, and notes. REPORTED COMMUNICABLE DISEASE CASES (2002-2004 Avg.) Number and Crude Case Rate per 100,000 Population: DISEASE Hepatitis Measles Shigellosis Tuberculosis Syphilis Chlamydia Gonorrhea CASES 18.0 0.0 1.7 4.0 0.3 332.0 37.3 RATE 13.9 * 0.00 + 1.3 * 3.1 * 0.3 * 256.3 28.8 CUMULATIVE AIDS CASES AND DEATHS 1981 through December 2005 AIDS Cases 226 Number of Deaths Percent of Total AIDS Cases Resulting in Death 132 58.4 % SELECTED COUNTY HEALTH INDICATORS Persons Injured in Traffic Accidents County of Occurrence (2003) 1,299 Substance Abuse Treatment Admissions (2004): Methamphetamine Cocaine Marijuana Alcohol 504 25 154 532 Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 52 COUNTY: HUMBOLDT (continued) HOSPITALS (2004) Number of General Acute Care (GAC) Hospitals 89.4 % Number of Licensed GAC Beds 351 HOSPITAL UTILIZATION (2004) Number of GAC Discharges from GAC Hospitals 10,837 Average GAC Occupancy Rate in GAC Hospitals 5 449 LTC (2004) Number of LTC Discharges from LTC Facilities Average Occupancy Rate of LTC Facilities and Hospitals with LTC Beds Average GAC Length of Stay in GAC Hospitals (Days) 5 HOSPICE CARE (12/04) Number of Freestanding Hospice Care Facilities 2 PROGRAM CLIENTS/SERVICES Percent Infants Breastfed During Early Postpartum (2002-2004 Average) Family Planning Clients by All Funding Sources (FY 2004-2005) Women and Children under Age 5 Receiving WIC Services (2/06) Child Health & Disability Prevention Clients Served (FY 2003-2004) Number of Providers (3/06) California Children's Services Cases (FY 2004-2005 Annualized Quarter) Developmental Disability Clients (7/05) Rehabilitation Clients (FY 2004-2005) Mental Health Services (FY 2004-2005) State Hospital Admissions Clients Receiving County Services Persons Receiving Preventive Health Care for the Aging Services (FY 2004-2005) Assessment Clients Other Client Services 10,794 Number of Licensed GAC Beds per 1,000 Population LTC (2004) Number of Long Term Care Facilities and Hospitals with LTC Beds Number of Licensed LTC Beds 2.7 34.5 3,834 4.1 6,245 55 Number of Licensed Beds per 1,000 Population PHYSICIANS (FY 2004-2005) Number of Licensed Physicians Average Number of Persons per Physician DENTISTS (3/06) Number of Licensed Dentists Average Number of Persons per Dentist 3.4 691 650 297 439 89.5 1,231 907 88 1,505 12 3,515 CLINICS (12/04) Number of Licensed Community and Free Clinics Number of Specialty Clinics 11 1 479 254 HOME HEALTH AGENCIES (12/04) Number of Licensed Home Health Agencies 4 See Section III for data definitions, sources, and notes. Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 53 COUNTY: 2000 Census Population Projection Year 2004 Projection Year 2010 Projection Year 2020 IMPERIAL TOTAL POPULATION 142,361 157,199 178,201 214,386 PERCENT BELOW POVERTY LEVEL (1999) Total Population 22.6 % Children under 6 Persons Aged 65+ White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups HOUSING VALUE (2000) Median Housing-Unit Value CALWORKS (1/05) CalWORKs Recipients as a Percent of County Population SSI/SSP (2004) SSI/SSP Recipients as a Percent of County Population 17.4 4.3 74.3 2.1 1.3 0.5 % % % % % % UNEMPLOYMENT (2005) Percent of Civilian Labor Force Unemployed EDUCATION Percent of Persons Aged 25+ Not Finishing High School (2000) Enrollment K-12 (2004-2005) URBAN/RURAL (2000) 13.0 % 6.4 % 22.7 25.5 25.9 14.5 29.7 19.8 $100,000 % % % % % % LIVE BIRTHS (2004) Number of Live Births by: County of Residence County of Occurrence Birth Rate (Births per 1,000 Population) Fertility Rate (Births per 1,000 Females Aged 15-44, 2002-2004 Avg.) Low Birthweight (Under 2,500 Grams) Very Low Birthweight (Under 1,500 Grams) Unmarried 6.4 % Cesarean Section Delivery Mothers Who Gave Birth Outside County of Residence Mothers with Less Than 12 Years Education Teenage Mothers (Under 18) 41.0 % 37,487 Percent of Births by Mother's Race/Ethnicity: White 8.8 % Black 0.5 % Hispanic 88.8 % Asian/Pacific Islander 1.3 % American Indian/Alaska Native 0.2 % 2 Or More Race Groups 0.4 % See Section III for data definitions, sources, and notes. Mothers with No First Trimester Prenatal Care 36.6 % 2,861 2,757 18.2 AGE (2004) Under Age 5 Age 5-17 Age 18-64 Age 65+ SEX (2004) Females Males RACE/ETHNICITY (2004) White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups 47.7 % 52.3 % 8.0 % 21.3 % 60.5 % 10.1 % 89.4 5.9 % 1.2 % 42.3 % 6.1 % 8.9 % 15.8 % 29.4 % 5.8 % 24.0 % Urban Rural FAMILY INCOME (1999) Median Family Income 85.2 % 14.8 % PRINCIPAL PAYMENT SOURCE FOR BIRTH DELIVERIES (2004) Medi-Cal/Other Government 55.5 % HMO and Prepaid Plans 1.1 % 32.0 % $35,226 Private Insurance Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 54 COUNTY: Number of Deaths by: County of Residence County of Occurrence IMPERIAL DEATHS (2004) (continued) CAUSES OF DEATH (2002-2004 Avg.) INFANT DEATHS (2004) Number of Infant Deaths (Under 1 Year of Age) Infant Death Rate (Deaths per 1,000 Live Births) 16 869 Crude Death Rate per 100,000 Population by Cause of Death: 759 Heart Disease Cancer (All Types) Stroke Chronic Lower Respiratory Disease Unintentional Injuries Pneumonia and Influenza Diabetes Mellitus Alzheimer's Disease Chronic Liver Disease/Cirrhosis Suicide Homicide Hypertension/Hypertensive Renal Disease Nephritis 151.2 134.3 43.4 29.3 40.1 11.9 24.5 6.9 13.7 5.9 4.1 4.8 4.8 5.6 * Crude Death Rate (Deaths per 1,000 Population) AGE-ADJUSTED DEATH RATE (2002-2004 Avg.) Age-Adjusted Deaths per 100,000 Population AGE-SPECIFIC DEATH RATES (2002-2004 Avg.) Deaths per 100,000 Population: 1 to 4 Years Old 5 to 14 Years Old 15 to 24 Years Old 25 to 34 Years Old 35 to 44 Years Old 45 to 54 Years Old 55 to 64 Years Old 65 to 74 Years Old 75 to 84 Years Old 85 and Older 5.5 INFANT DEATH RATES (2003 Birth Cohort) Infant Deaths per 1,000 Live Births by Mother's Race/Ethnicity: * * * * * * All Race/Ethnic Groups White Black Hispanic Asian/Pacific Islander 4.5 * 0.0 + a,b 4.7 * 0.0 + 740.9 36.1 * 14.5 * 60.8 * 99.3 172.7 396.8 908.8 2,043.0 4,828.8 12,641.2 Number of Neonatal Deaths (Under 28 Days of Age) Neonatal Death Rate (Deaths per 1,000 Live Births) 10 FETAL AND NEONATAL DEATHS (2004) Number of Fetal Deaths Fetal Death Ratio (Deaths per 1,000 Live Births) 8 PERINATAL DEATHS (2003 Birth Cohort) Number of Perinatal Deaths (Neonatal Plus Fetal) 26 Perinatal Death Rate by Mother's Race/Ethnicity: All Race/Ethnic Groups White 2.8 * Black Hispanic Asian/Pacific Islander 3.5 * a,b 9.6 0.0 + 8.9 0.0 + Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services See Section III for data definitions, sources, and notes. 55 COUNTY: IMPERIAL (continued) SELECTED COUNTY HEALTH INDICATORS MEDI-CAL (continued) (2003) Age-Adjusted Death Rate per 100,000 Population (2002-2004 Avg.): Medi-Cal Deliveries by: Work-Related Injury Deaths 3.0 County of Beneficiary 1,492 Mortality Rate 2.2 * Fee-for-Service (FFS) 1,492 Drug-Induced Deaths 9.0 Managed Care 0 Mortality Rate 6.3 * Total Medi-Cal FFS Abortions 153 Homicide by Weapons (2004) 4 Homicide by Handguns 1 Medi-Cal Physicians/Dentists Paid: Physicians 77 Kindergarten Students Needing One Dentists 18 or More Immunizations (2005) 89 Percent of All Kindergarten Students 3.4 % MEDI-CAL DATA MEDI-CAL MANAGED CARE ENROLLEES (7/03) (Avg. Monthly, 2003) Medi-Cal Users (FFS): 25,375 Total Managed Care Enrollees 0 Percent of County Population 16.5 % Percent of Eligibles (FFS) 56.7 % DENTI-CAL SERVICES (2003) Average Monthly Users (FFS) 1,939 Total Medi-Cal Eligibles: 44,750 Percent of County Population 29.1 % MEDI-CAL/MEDICARE (2003) Percent of Medi-Cal Eligibles Medi-Cal Payments (FFS) : Who Are Also Eligible Amount $11,455,736 for Medicare 19.5 % Average Amount per User $451 MEDICARE ENROLLEES (2003) Total Medicare Enrollees: Number 18,825 MEDI-CAL ELIGIBLES BY RACE/ETHNICITY Percent of County Population 12.3 % (2003) White 12.4 % Black 1.8 % Enrollees Aged 65+: Hispanic 79.2 % Number 16,132 American Indian/Alaska Native 0.9 % Percent of County Population 10.5 % Asian/Pacific Islander 0.6 % Not Reported 5.1 % Disability Beneficiaries: Number 2,693 Percent of County Population 1.8 % See Section III for data definitions, sources, and notes. REPORTED COMMUNICABLE DISEASE CASES (2002-2004 Avg.) Number and Crude Case Rate per 100,000 Population: DISEASE Hepatitis Measles Shigellosis Tuberculosis Syphilis Chlamydia Gonorrhea CASES 15.0 0.0 34.0 28.3 0.7 414.7 48.7 RATE 9.8 * 0.00 + 22.1 18.4 0.4 * 269.8 31.7 CUMULATIVE AIDS CASES AND DEATHS 1981 through December 2005 AIDS Cases 168 Number of Deaths Percent of Total AIDS Cases Resulting in Death 69 41.1 % SELECTED COUNTY HEALTH INDICATORS Persons Injured in Traffic Accidents County of Occurrence (2003) 1,231 Substance Abuse Treatment Admissions (2004): Methamphetamine Cocaine Marijuana Alcohol 595 18 392 283 Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 56 COUNTY: IMPERIAL (continued) HOSPITALS (2004) Number of General Acute Care (GAC) Hospitals 78.2 % Number of Licensed GAC Beds 270 HOSPITAL UTILIZATION (2004) Number of GAC Discharges from GAC Hospitals 12,694 Average GAC Occupancy Rate in GAC Hospitals 3 253 LTC (2004) Number of LTC Discharges from LTC Facilities Average Occupancy Rate of LTC Facilities and Hospitals with LTC Beds Average GAC Length of Stay in GAC Hospitals (Days) 2 HOSPICE CARE (12/04) Number of Freestanding Hospice Care Facilities 1 PROGRAM CLIENTS/SERVICES Percent Infants Breastfed During Early Postpartum (2002-2004 Average) Family Planning Clients by All Funding Sources (FY 2004-2005) Women and Children under Age 5 Receiving WIC Services (2/06) Child Health & Disability Prevention Clients Served (FY 2003-2004) Number of Providers (3/06) California Children's Services Cases (FY 2004-2005 Annualized Quarter) Developmental Disability Clients (7/05) Rehabilitation Clients (FY 2004-2005) Mental Health Services (FY 2004-2005) State Hospital Admissions Clients Receiving County Services Persons Receiving Preventive Health Care for the Aging Services (FY 2004-2005) Assessment Clients Other Client Services 5,678 Number of Licensed GAC Beds per 1,000 Population LTC (2004) Number of Long Term Care Facilities and Hospitals with LTC Beds Number of Licensed LTC Beds 1.7 55.9 6,227 3.8 13,487 21 Number of Licensed Beds per 1,000 Population PHYSICIANS (FY 2004-2005) Number of Licensed Physicians Average Number of Persons per Physician DENTISTS (3/06) Number of Licensed Dentists Average Number of Persons per Dentist 1.6 463 1,674 123 1,278 51.6 903 670 42 3,910 10 3,052 CLINICS (12/04) Number of Licensed Community and Free Clinics Number of Specialty Clinics 6 4 0 0 HOME HEALTH AGENCIES (12/04) Number of Licensed Home Health Agencies 3 See Section III for data definitions, sources, and notes. Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 57 COUNTY: 2000 Census Population Projection Year 2004 Projection Year 2010 Projection Year 2020 INYO TOTAL POPULATION 17,945 18,573 18,396 18,404 PERCENT BELOW POVERTY LEVEL (1999) Total Population 12.6 % Children under 6 Persons Aged 65+ White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups HOUSING VALUE (2000) Median Housing-Unit Value CALWORKS (1/05) CalWORKs Recipients as a Percent of County Population SSI/SSP (2004) SSI/SSP Recipients as a Percent of County Population 72.7 0.1 13.7 1.2 9.6 2.7 % % % % % % UNEMPLOYMENT (2005) Percent of Civilian Labor Force Unemployed EDUCATION Percent of Persons Aged 25+ Not Finishing High School (2000) Enrollment K-12 (2004-2005) URBAN/RURAL (2000) 10.4 % 12.4 % 11.0 70.0 23.6 7.5 22.7 21.5 $161,300 % % % % % % LIVE BIRTHS (2004) Number of Live Births by: County of Residence County of Occurrence Birth Rate (Births per 1,000 Population) Fertility Rate (Births per 1,000 Females Aged 15-44, 2002-2004 Avg.) Low Birthweight (Under 2,500 Grams) Very Low Birthweight (Under 1,500 Grams) Unmarried 1.8 % Cesarean Section Delivery Mothers Who Gave Birth Outside County of Residence Mothers with Less Than 12 Years Education Teenage Mothers (Under 18) 17.7 % 3,285 Percent of Births by Mother's Race/Ethnicity: White 49.1 % Black 0.0 % Hispanic 32.2 % Asian/Pacific Islander a American Indian/Alaska Native 13.6 % 2 Or More Race Groups 3.7 % See Section III for data definitions, sources, and notes. Mothers with No First Trimester Prenatal Care 31.3 % 214 202 11.5 AGE (2004) Under Age 5 Age 5-17 Age 18-64 Age 65+ SEX (2004) Females Males RACE/ETHNICITY (2004) White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups 51.1 % 48.9 % 4.9 % 16.3 % 58.7 % 20.2 % 61.0 5.6 % 0.0 % 37.4 % 2.5 % 19.6 % 4.8 % 20.9 % a 23.8 % Urban Rural FAMILY INCOME (1999) Median Family Income 58.0 % 42.0 % PRINCIPAL PAYMENT SOURCE FOR BIRTH DELIVERIES (2004) Medi-Cal/Other Government 60.7 % HMO and Prepaid Plans a 36.0 % $44,970 Private Insurance Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 58 COUNTY: Number of Deaths by: County of Residence County of Occurrence INYO DEATHS (2004) (continued) CAUSES OF DEATH (2002-2004 Avg.) INFANT DEATHS (2004) Number of Infant Deaths (Under 1 Year of Age) Infant Death Rate (Deaths per 1,000 Live Births) 1 219 Crude Death Rate per 100,000 Population by Cause of Death: 187 Heart Disease Cancer (All Types) Stroke Chronic Lower Respiratory Disease Unintentional Injuries Pneumonia and Influenza Diabetes Mellitus Alzheimer's Disease Chronic Liver Disease/Cirrhosis Suicide Homicide Hypertension/Hypertensive Renal Disease Nephritis 385.0 257.8 75.2 71.6 71.6 26.9 25.1 9.0 37.6 26.9 3.6 7.2 17.9 a,b Crude Death Rate (Deaths per 1,000 Population) AGE-ADJUSTED DEATH RATE (2002-2004 Avg.) Age-Adjusted Deaths per 100,000 Population AGE-SPECIFIC DEATH RATES (2002-2004 Avg.) Deaths per 100,000 Population: 1 to 4 Years Old 5 to 14 Years Old 15 to 24 Years Old 25 to 34 Years Old 35 to 44 Years Old 45 to 54 Years Old 55 to 64 Years Old 65 to 74 Years Old 75 to 84 Years Old 85 and Older 11.8 783.5 * * * * * * * * * * * INFANT DEATH RATES (2003 Birth Cohort) Infant Deaths per 1,000 Live Births by Mother's Race/Ethnicity: All Race/Ethnic Groups White Black Hispanic Asian/Pacific Islander a,b a,b 0.0 + a,b 0.0 + 45.9 * 14.4 * 50.4 * 174.6 * 316.3 * 504.1 * 1,036.9 1,971.9 4,719.2 11,986.3 Number of Neonatal Deaths (Under 28 Days of Age) Neonatal Death Rate (Deaths per 1,000 Live Births) 0 FETAL AND NEONATAL DEATHS (2004) Number of Fetal Deaths Fetal Death Ratio (Deaths per 1,000 Live Births) 1 PERINATAL DEATHS (2003 Birth Cohort) Number of Perinatal Deaths (Neonatal Plus Fetal) 2 Perinatal Death Rate by Mother's Race/Ethnicity: All Race/Ethnic Groups White a,b Black Hispanic Asian/Pacific Islander 0.0 + 0.0 + 0.0 + 0.0 + a,b a,b Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services See Section III for data definitions, sources, and notes. 59 COUNTY: INYO (continued) SELECTED COUNTY HEALTH INDICATORS MEDI-CAL (continued) (2003) Age-Adjusted Death Rate per 100,000 Population (2002-2004 Avg.): Medi-Cal Deliveries by: Work-Related Injury Deaths 1.0 County of Beneficiary 109 Mortality Rate 4.3 * Fee-for-Service (FFS) 109 Drug-Induced Deaths 1.0 Managed Care 0 Mortality Rate 8.4 * Total Medi-Cal FFS Abortions 27 Homicide by Weapons (2004) 0 Homicide by Handguns 0 Medi-Cal Physicians/Dentists Paid: Physicians 20 Kindergarten Students Needing One Dentists 1 or More Immunizations (2005) 4 Percent of All Kindergarten Students 2.1 % MEDI-CAL DATA MEDI-CAL MANAGED CARE ENROLLEES (7/03) (Avg. Monthly, 2003) Medi-Cal Users (FFS): 1,522 Total Managed Care Enrollees 0 Percent of County Population 8.2 % Percent of Eligibles (FFS) 57.2 % DENTI-CAL SERVICES (2003) Average Monthly Users (FFS) 46 Total Medi-Cal Eligibles: 2,663 Percent of County Population 14.3 % MEDI-CAL/MEDICARE (2003) Percent of Medi-Cal Eligibles Medi-Cal Payments (FFS) : Who Are Also Eligible Amount $963,351 for Medicare 20.8 % Average Amount per User $633 MEDICARE ENROLLEES (2003) Total Medicare Enrollees: Number 3,780 MEDI-CAL ELIGIBLES BY RACE/ETHNICITY Percent of County Population 20.3 % (2003) White 53.2 % Black 0.5 % Enrollees Aged 65+: Hispanic 22.8 % Number 3,361 American Indian/Alaska Native 18.4 % Percent of County Population 18.1 % Asian/Pacific Islander 1.2 % Not Reported 3.9 % Disability Beneficiaries: Number 419 Percent of County Population 2.3 % See Section III for data definitions, sources, and notes. REPORTED COMMUNICABLE DISEASE CASES (2002-2004 Avg.) Number and Crude Case Rate per 100,000 Population: DISEASE Hepatitis Measles Shigellosis Tuberculosis Syphilis Chlamydia Gonorrhea CASES 0.0 0.0 0.3 0.7 0.0 23.7 2.0 RATE 0.0 + 0.00 + 1.8 * 3.6 * 0.0 + 127.1 10.7 * CUMULATIVE AIDS CASES AND DEATHS 1981 through December 2005 AIDS Cases 13 Number of Deaths Percent of Total AIDS Cases Resulting in Death 7 53.8 % SELECTED COUNTY HEALTH INDICATORS Persons Injured in Traffic Accidents County of Occurrence (2003) 206 Substance Abuse Treatment Admissions (2004): Methamphetamine Cocaine Marijuana Alcohol 31 ^ 29 24 Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 60 COUNTY: INYO (continued) HOSPITALS (2004) Number of General Acute Care (GAC) Hospitals 89.7 % Number of Licensed GAC Beds 36 HOSPITAL UTILIZATION (2004) Number of GAC Discharges from GAC Hospitals 1,095 Average GAC Occupancy Rate in GAC Hospitals 0 0 LTC (2004) Number of LTC Discharges from LTC Facilities Average Occupancy Rate of LTC Facilities and Hospitals with LTC Beds Average GAC Length of Stay in GAC Hospitals (Days) 2 HOSPICE CARE (12/04) Number of Freestanding Hospice Care Facilities 0 PROGRAM CLIENTS/SERVICES Percent Infants Breastfed During Early Postpartum (2002-2004 Average) Family Planning Clients by All Funding Sources (FY 2004-2005) Women and Children under Age 5 Receiving WIC Services (2/06) Child Health & Disability Prevention Clients Served (FY 2003-2004) Number of Providers (3/06) California Children's Services Cases (FY 2004-2005 Annualized Quarter) Developmental Disability Clients (7/05) Rehabilitation Clients (FY 2004-2005) Mental Health Services (FY 2004-2005) State Hospital Admissions Clients Receiving County Services Persons Receiving Preventive Health Care for the Aging Services (FY 2004-2005) Assessment Clients Other Client Services 733 Number of Licensed GAC Beds per 1,000 Population LTC (2004) Number of Long Term Care Facilities and Hospitals with LTC Beds Number of Licensed LTC Beds 1.9 26.4 755 3.2 900 8 Number of Licensed Beds per 1,000 Population PHYSICIANS (FY 2004-2005) Number of Licensed Physicians Average Number of Persons per Physician DENTISTS (3/06) Number of Licensed Dentists Average Number of Persons per Dentist 0.0 0 116 45 413 0.0 118 43 14 1,329 0 528 CLINICS (12/04) Number of Licensed Community and Free Clinics Number of Specialty Clinics 1 0 0 0 HOME HEALTH AGENCIES (12/04) Number of Licensed Home Health Agencies 1 See Section III for data definitions, sources, and notes. Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 61 COUNTY: 2000 Census Population Projection Year 2004 Projection Year 2010 Projection Year 2020 KERN TOTAL POPULATION 661,645 729,538 808,808 950,112 PERCENT BELOW POVERTY LEVEL (1999) Total Population 20.8 % Children under 6 Persons Aged 65+ White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups HOUSING VALUE (2000) Median Housing-Unit Value CALWORKS (1/05) CalWORKs Recipients as a Percent of County Population SSI/SSP (2004) SSI/SSP Recipients as a Percent of County Population 43.7 6.2 42.8 4.2 1.5 1.6 % % % % % % UNEMPLOYMENT (2005) Percent of Civilian Labor Force Unemployed EDUCATION Percent of Persons Aged 25+ Not Finishing High School (2000) Enrollment K-12 (2004-2005) URBAN/RURAL (2000) 15.8 % 4.8 % 19.9 36.0 31.0 14.8 24.6 23.6 $93,300 % % % % % % LIVE BIRTHS (2004) Number of Live Births by: County of Residence County of Occurrence Birth Rate (Births per 1,000 Population) Fertility Rate (Births per 1,000 Females Aged 15-44, 2002-2004 Avg.) Low Birthweight (Under 2,500 Grams) Very Low Birthweight (Under 1,500 Grams) Unmarried 6.1 % Cesarean Section Delivery Mothers Who Gave Birth Outside County of Residence Mothers with Less Than 12 Years Education Teenage Mothers (Under 18) 31.5 % 171,810 Percent of Births by Mother's Race/Ethnicity: White 31.4 % Black 5.1 % Hispanic 58.6 % Asian/Pacific Islander 3.4 % American Indian/Alaska Native 0.5 % 2 Or More Race Groups 1.0 % See Section III for data definitions, sources, and notes. Mothers with No First Trimester Prenatal Care 25.7 % 13,455 12,886 18.4 AGE (2004) Under Age 5 Age 5-17 Age 18-64 Age 65+ SEX (2004) Females Males RACE/ETHNICITY (2004) White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups 48.9 % 51.1 % 8.2 % 22.1 % 58.9 % 10.8 % 87.1 7.0 % 1.3 % 43.1 % 4.2 % 7.3 % 8.3 % 31.2 % 5.1 % 16.6 % Urban Rural FAMILY INCOME (1999) Median Family Income 88.3 % 11.7 % PRINCIPAL PAYMENT SOURCE FOR BIRTH DELIVERIES (2004) Medi-Cal/Other Government 62.9 % HMO and Prepaid Plans 14.4 % 21.7 % $39,403 Private Insurance Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 62 COUNTY: Number of Deaths by: County of Residence County of Occurrence KERN DEATHS (2004) (continued) CAUSES OF DEATH (2002-2004 Avg.) INFANT DEATHS (2004) Number of Infant Deaths (Under 1 Year of Age) Infant Death Rate (Deaths per 1,000 Live Births) 95 5,251 Crude Death Rate per 100,000 Population by Cause of Death: 5,042 Heart Disease Cancer (All Types) Stroke Chronic Lower Respiratory Disease Unintentional Injuries Pneumonia and Influenza Diabetes Mellitus Alzheimer's Disease Chronic Liver Disease/Cirrhosis Suicide Homicide Hypertension/Hypertensive Renal Disease Nephritis 230.1 148.7 44.1 49.6 41.9 24.1 24.4 16.7 16.2 10.2 7.1 7.7 4.4 7.1 Crude Death Rate (Deaths per 1,000 Population) AGE-ADJUSTED DEATH RATE (2002-2004 Avg.) Age-Adjusted Deaths per 100,000 Population AGE-SPECIFIC DEATH RATES (2002-2004 Avg.) Deaths per 100,000 Population: 1 to 4 Years Old 5 to 14 Years Old 15 to 24 Years Old 25 to 34 Years Old 35 to 44 Years Old 45 to 54 Years Old 55 to 64 Years Old 65 to 74 Years Old 75 to 84 Years Old 85 and Older 7.2 INFANT DEATH RATES (2003 Birth Cohort) Infant Deaths per 1,000 Live Births by Mother's Race/Ethnicity: All Race/Ethnic Groups White Black Hispanic Asian/Pacific Islander 5.6 6.7 b 4.5 a,b 811.2 41.1 * 22.0 83.9 121.7 243.4 514.5 1,138.1 2,558.9 5,515.7 9,295.3 Number of Neonatal Deaths (Under 28 Days of Age) Neonatal Death Rate (Deaths per 1,000 Live Births) 67 FETAL AND NEONATAL DEATHS (2004) Number of Fetal Deaths Fetal Death Ratio (Deaths per 1,000 Live Births) 91 PERINATAL DEATHS (2003 Birth Cohort) Number of Perinatal Deaths (Neonatal Plus Fetal) 132 Perinatal Death Rate by Mother's Race/Ethnicity: All Race/Ethnic Groups White 6.8 Black Hispanic Asian/Pacific Islander 5.0 b 9.8 a,b 10.2 10.0 Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services See Section III for data definitions, sources, and notes. 63 COUNTY: KERN (continued) SELECTED COUNTY HEALTH INDICATORS MEDI-CAL (continued) (2003) Age-Adjusted Death Rate per 100,000 Population (2002-2004 Avg.): Medi-Cal Deliveries by: Work-Related Injury Deaths 13.3 County of Beneficiary 7,397 Mortality Rate 2.0 * Fee-for-Service (FFS) 4,069 Drug-Induced Deaths 103.7 Managed Care 3,328 Mortality Rate 15.7 Total Medi-Cal FFS Abortions 580 Homicide by Weapons (2004) 51 Homicide by Handguns 29 Medi-Cal Physicians/Dentists Paid: Physicians 385 Kindergarten Students Needing One Dentists 79 or More Immunizations (2005) 720 Percent of All Kindergarten Students 5.3 % MEDI-CAL DATA MEDI-CAL MANAGED CARE ENROLLEES (7/03) (Avg. Monthly, 2003) Medi-Cal Users (FFS): 56,738 Total Managed Care Enrollees 105,098 Percent of County Population 7.9 % Percent of Eligibles (FFS) 31.7 % DENTI-CAL SERVICES (2003) Average Monthly Users (FFS) 9,795 Total Medi-Cal Eligibles: 179,164 Percent of County Population 25.0 % MEDI-CAL/MEDICARE (2003) Percent of Medi-Cal Eligibles Medi-Cal Payments (FFS) : Who Are Also Eligible Amount $28,964,028 for Medicare 11.4 % Average Amount per User $510 MEDICARE ENROLLEES (2003) Total Medicare Enrollees: Number 78,689 MEDI-CAL ELIGIBLES BY RACE/ETHNICITY Percent of County Population 11.0 % (2003) White 28.7 % Black 9.4 % Enrollees Aged 65+: Hispanic 55.6 % Number 63,074 American Indian/Alaska Native 0.4 % Percent of County Population 8.8 % Asian/Pacific Islander 2.7 % Not Reported 3.2 % Disability Beneficiaries: Number 15,615 Percent of County Population 2.2 % See Section III for data definitions, sources, and notes. REPORTED COMMUNICABLE DISEASE CASES (2002-2004 Avg.) Number and Crude Case Rate per 100,000 Population: DISEASE Hepatitis Measles Shigellosis Tuberculosis Syphilis Chlamydia Gonorrhea CASES 58.3 0.3 28.3 46.7 4.3 3,334.0 846.3 RATE 8.1 0.05 * 3.9 6.5 0.6 * 464.8 118.0 CUMULATIVE AIDS CASES AND DEATHS 1981 through December 2005 AIDS Cases 1,455 Number of Deaths Percent of Total AIDS Cases Resulting in Death 529 36.4 % SELECTED COUNTY HEALTH INDICATORS Persons Injured in Traffic Accidents County of Occurrence (2003) 5,741 Substance Abuse Treatment Admissions (2004): Methamphetamine 3,138 Cocaine 278 Marijuana 932 Alcohol 436 Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 64 COUNTY: KERN (continued) HOSPITALS (2004) Number of General Acute Care (GAC) Hospitals 79.0 % Number of Licensed GAC Beds 1,265 HOSPITAL UTILIZATION (2004) Number of GAC Discharges from GAC Hospitals 63,571 Average GAC Occupancy Rate in GAC Hospitals 15 1,787 LTC (2004) Number of LTC Discharges from LTC Facilities Average Occupancy Rate of LTC Facilities and Hospitals with LTC Beds Average GAC Length of Stay in GAC Hospitals (Days) 13 HOSPICE CARE (12/04) Number of Freestanding Hospice Care Facilities 4 PROGRAM CLIENTS/SERVICES Percent Infants Breastfed During Early Postpartum (2002-2004 Average) Family Planning Clients by All Funding Sources (FY 2004-2005) Women and Children under Age 5 Receiving WIC Services (2/06) Child Health & Disability Prevention Clients Served (FY 2003-2004) Number of Providers (3/06) California Children's Services Cases (FY 2004-2005 Annualized Quarter) Developmental Disability Clients (7/05) Rehabilitation Clients (FY 2004-2005) Mental Health Services (FY 2004-2005) State Hospital Admissions Clients Receiving County Services Persons Receiving Preventive Health Care for the Aging Services (FY 2004-2005) Assessment Clients Other Client Services 30,300 Number of Licensed GAC Beds per 1,000 Population LTC (2004) Number of Long Term Care Facilities and Hospitals with LTC Beds Number of Licensed LTC Beds 1.7 60.5 46,365 4.4 71,764 88 Number of Licensed Beds per 1,000 Population PHYSICIANS (FY 2004-2005) Number of Licensed Physicians Average Number of Persons per Physician DENTISTS (3/06) Number of Licensed Dentists Average Number of Persons per Dentist 2.4 3,791 4,936 1,008 724 86.3 5,272 2,455 311 2,477 97 16,343 CLINICS (12/04) Number of Licensed Community and Free Clinics Number of Specialty Clinics 29 23 37 1,175 HOME HEALTH AGENCIES (12/04) Number of Licensed Home Health Agencies 12 See Section III for data definitions, sources, and notes. Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 65 COUNTY: 2000 Census Population Projection Year 2004 Projection Year 2010 Projection Year 2020 KINGS TOTAL POPULATION 129,461 141,225 156,334 184,751 PERCENT BELOW POVERTY LEVEL (1999) Total Population 19.5 % Children under 6 Persons Aged 65+ White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups HOUSING VALUE (2000) Median Housing-Unit Value CALWORKS (1/05) CalWORKs Recipients as a Percent of County Population SSI/SSP (2004) SSI/SSP Recipients as a Percent of County Population 39.7 8.3 46.0 3.1 1.3 1.6 % % % % % % UNEMPLOYMENT (2005) Percent of Civilian Labor Force Unemployed EDUCATION Percent of Persons Aged 25+ Not Finishing High School (2000) Enrollment K-12 (2004-2005) URBAN/RURAL (2000) 16.8 % 3.8 % 19.3 21.8 30.7 11.3 29.2 23.0 $97,600 % % % % % % LIVE BIRTHS (2004) Number of Live Births by: County of Residence County of Occurrence Birth Rate (Births per 1,000 Population) Fertility Rate (Births per 1,000 Females Aged 15-44, 2002-2004 Avg.) Low Birthweight (Under 2,500 Grams) Very Low Birthweight (Under 1,500 Grams) Unmarried 4.8 % Cesarean Section Delivery Mothers Who Gave Birth Outside County of Residence Mothers with Less Than 12 Years Education Teenage Mothers (Under 18) 31.2 % 28,235 Percent of Births by Mother's Race/Ethnicity: White 33.9 % Black 5.0 % Hispanic 55.5 % Asian/Pacific Islander 3.6 % American Indian/Alaska Native 0.6 % 2 Or More Race Groups 1.3 % See Section III for data definitions, sources, and notes. Mothers with No First Trimester Prenatal Care 34.4 % 2,549 2,395 18.0 AGE (2004) Under Age 5 Age 5-17 Age 18-64 Age 65+ SEX (2004) Females Males RACE/ETHNICITY (2004) White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups 43.0 % 57.0 % 7.9 % 20.1 % 64.3 % 7.6 % 91.6 6.6 % 1.5 % 39.7 % 3.1 % 24.0 % 9.4 % 29.3 % 4.5 % 24.3 % Urban Rural FAMILY INCOME (1999) Median Family Income 86.9 % 13.1 % PRINCIPAL PAYMENT SOURCE FOR BIRTH DELIVERIES (2004) Medi-Cal/Other Government 51.1 % HMO and Prepaid Plans 9.7 % 16.7 % $38,111 Private Insurance Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 66 COUNTY: Number of Deaths by: County of Residence County of Occurrence KINGS DEATHS (2004) (continued) CAUSES OF DEATH (2002-2004 Avg.) INFANT DEATHS (2004) Number of Infant Deaths (Under 1 Year of Age) Infant Death Rate (Deaths per 1,000 Live Births) 19 760 Crude Death Rate per 100,000 Population by Cause of Death: 676 Heart Disease Cancer (All Types) Stroke Chronic Lower Respiratory Disease Unintentional Injuries Pneumonia and Influenza Diabetes Mellitus Alzheimer's Disease Chronic Liver Disease/Cirrhosis Suicide Homicide Hypertension/Hypertensive Renal Disease Nephritis 144.1 116.0 31.5 37.5 34.4 7.4 37.5 8.2 12.3 9.8 4.3 4.8 12.7 7.5 Crude Death Rate (Deaths per 1,000 Population) AGE-ADJUSTED DEATH RATE (2002-2004 Avg.) Age-Adjusted Deaths per 100,000 Population AGE-SPECIFIC DEATH RATES (2002-2004 Avg.) Deaths per 100,000 Population: 1 to 4 Years Old 5 to 14 Years Old 15 to 24 Years Old 25 to 34 Years Old 35 to 44 Years Old 45 to 54 Years Old 55 to 64 Years Old 65 to 74 Years Old 75 to 84 Years Old 85 and Older 5.4 INFANT DEATH RATES (2003 Birth Cohort) Infant Deaths per 1,000 Live Births by Mother's Race/Ethnicity: * * * * * * * All Race/Ethnic Groups White Black Hispanic Asian/Pacific Islander 6.8 * b a,b 4.6 * 0.0 + 835.5 23.2 * 21.2 * 90.6 85.4 146.9 474.5 1,009.7 2,417.7 5,542.7 13,664.6 Number of Neonatal Deaths (Under 28 Days of Age) Neonatal Death Rate (Deaths per 1,000 Live Births) 14 FETAL AND NEONATAL DEATHS (2004) Number of Fetal Deaths Fetal Death Ratio (Deaths per 1,000 Live Births) 14 PERINATAL DEATHS (2003 Birth Cohort) Number of Perinatal Deaths (Neonatal Plus Fetal) 31 Perinatal Death Rate by Mother's Race/Ethnicity: All Race/Ethnic Groups White 5.5 * Black Hispanic Asian/Pacific Islander 5.5 * a,b 11.3 * a,b 13.0 b Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services See Section III for data definitions, sources, and notes. 67 COUNTY: KINGS (continued) SELECTED COUNTY HEALTH INDICATORS MEDI-CAL (continued) (2003) Age-Adjusted Death Rate per 100,000 Population (2002-2004 Avg.): Medi-Cal Deliveries by: Work-Related Injury Deaths 2.0 County of Beneficiary 1,232 Mortality Rate 1.4 * Fee-for-Service (FFS) 1,232 Drug-Induced Deaths 11.3 Managed Care 0 Mortality Rate 9.0 * Total Medi-Cal FFS Abortions 248 Homicide by Weapons (2004) 6 Homicide by Handguns 2 Medi-Cal Physicians/Dentists Paid: Physicians 56 Kindergarten Students Needing One Dentists 11 or More Immunizations (2005) 80 Percent of All Kindergarten Students 3.4 % MEDI-CAL DATA MEDI-CAL MANAGED CARE ENROLLEES (7/03) (Avg. Monthly, 2003) Medi-Cal Users (FFS): 15,991 Total Managed Care Enrollees 0 Percent of County Population 11.5 % Percent of Eligibles (FFS) 55.8 % DENTI-CAL SERVICES (2003) Average Monthly Users (FFS) 1,121 Total Medi-Cal Eligibles: 28,665 Percent of County Population 20.7 % MEDI-CAL/MEDICARE (2003) Percent of Medi-Cal Eligibles Medi-Cal Payments (FFS) : Who Are Also Eligible Amount $7,938,286 for Medicare 11.8 % Average Amount per User $496 MEDICARE ENROLLEES (2003) Total Medicare Enrollees: Number 11,430 MEDI-CAL ELIGIBLES BY RACE/ETHNICITY Percent of County Population 8.2 % (2003) White 22.7 % Black 7.3 % Enrollees Aged 65+: Hispanic 63.8 % Number 9,422 American Indian/Alaska Native 0.4 % Percent of County Population 6.8 % Asian/Pacific Islander 2.3 % Not Reported 3.5 % Disability Beneficiaries: Number 2,008 Percent of County Population 1.4 % See Section III for data definitions, sources, and notes. REPORTED COMMUNICABLE DISEASE CASES (2002-2004 Avg.) Number and Crude Case Rate per 100,000 Population: DISEASE Hepatitis Measles Shigellosis Tuberculosis Syphilis Chlamydia Gonorrhea CASES 12.0 0.0 2.7 4.0 0.7 563.7 82.7 RATE 8.6 * 0.00 + 1.9 * 2.9 * 0.5 * 406.2 59.6 CUMULATIVE AIDS CASES AND DEATHS 1981 through December 2005 AIDS Cases 206 Number of Deaths Percent of Total AIDS Cases Resulting in Death 82 39.8 % SELECTED COUNTY HEALTH INDICATORS Persons Injured in Traffic Accidents County of Occurrence (2003) 1,158 Substance Abuse Treatment Admissions (2004): Methamphetamine Cocaine Marijuana Alcohol 374 40 99 83 Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 68 COUNTY: KINGS (continued) HOSPITALS (2004) Number of General Acute Care (GAC) Hospitals 69.8 % Number of Licensed GAC Beds 143 HOSPITAL UTILIZATION (2004) Number of GAC Discharges from GAC Hospitals Average GAC Occupancy Rate in GAC Hospitals 3 322 LTC (2004) Number of LTC Discharges from LTC Facilities Average Occupancy Rate of LTC Facilities and Hospitals with LTC Beds Average GAC Length of Stay in GAC Hospitals (Days) 3 HOSPICE CARE (12/04) Number of Freestanding Hospice Care Facilities 0 PROGRAM CLIENTS/SERVICES Percent Infants Breastfed During Early Postpartum (2002-2004 Average) Family Planning Clients by All Funding Sources (FY 2004-2005) Women and Children under Age 5 Receiving WIC Services (2/06) Child Health & Disability Prevention Clients Served (FY 2003-2004) Number of Providers (3/06) California Children's Services Cases (FY 2004-2005 Annualized Quarter) Developmental Disability Clients (7/05) Rehabilitation Clients (FY 2004-2005) Mental Health Services (FY 2004-2005) State Hospital Admissions Clients Receiving County Services Persons Receiving Preventive Health Care for the Aging Services (FY 2004-2005) Assessment Clients Other Client Services 6,286 Number of Licensed GAC Beds per 1,000 Population LTC (2004) Number of Long Term Care Facilities and Hospitals with LTC Beds Number of Licensed LTC Beds 553 1.0 3.3 7,456 2.8 7,556 56 Number of Licensed Beds per 1,000 Population PHYSICIANS (FY 2004-2005) Number of Licensed Physicians Average Number of Persons per Physician DENTISTS (3/06) Number of Licensed Dentists Average Number of Persons per Dentist 2.3 532 629 129 1,095 81.7 860 251 55 2,663 21 3,772 CLINICS (12/04) Number of Licensed Community and Free Clinics Number of Specialty Clinics 2 4 440 1,092 HOME HEALTH AGENCIES (12/04) Number of Licensed Home Health Agencies 2 See Section III for data definitions, sources, and notes. Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 69 COUNTY: 2000 Census Population Projection Year 2004 Projection Year 2010 Projection Year 2020 LAKE TOTAL POPULATION 58,309 63,465 69,259 79,676 PERCENT BELOW POVERTY LEVEL (1999) Total Population 17.6 % Children under 6 Persons Aged 65+ White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups HOUSING VALUE (2000) Median Housing-Unit Value CALWORKS (1/05) CalWORKs Recipients as a Percent of County Population SSI/SSP (2004) SSI/SSP Recipients as a Percent of County Population 77.0 2.5 13.6 1.0 3.4 2.4 % % % % % % UNEMPLOYMENT (2005) Percent of Civilian Labor Force Unemployed EDUCATION Percent of Persons Aged 25+ Not Finishing High School (2000) Enrollment K-12 (2004-2005) URBAN/RURAL (2000) 9.7 % 8.1 % 16.3 39.0 21.6 19.5 31.2 25.6 $122,600 % % % % % % LIVE BIRTHS (2004) Number of Live Births by: County of Residence County of Occurrence Birth Rate (Births per 1,000 Population) Fertility Rate (Births per 1,000 Females Aged 15-44, 2002-2004 Avg.) Low Birthweight (Under 2,500 Grams) Very Low Birthweight (Under 1,500 Grams) Unmarried 5.0 % Cesarean Section Delivery Mothers Who Gave Birth Outside County of Residence Mothers with Less Than 12 Years Education Teenage Mothers (Under 18) 22.7 % 10,709 Percent of Births by Mother's Race/Ethnicity: White 68.8 % Black 1.5 % Hispanic 22.3 % Asian/Pacific Islander 1.3 % American Indian/Alaska Native 4.4 % 2 Or More Race Groups 1.7 % See Section III for data definitions, sources, and notes. Mothers with No First Trimester Prenatal Care 23.2 % 686 498 10.8 AGE (2004) Under Age 5 Age 5-17 Age 18-64 Age 65+ SEX (2004) Females Males RACE/ETHNICITY (2004) White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups 50.7 % 49.3 % 5.0 % 18.4 % 58.1 % 18.6 % 62.7 6.3 % 0.9 % 45.6 % 5.9 % 28.6 % 7.6 % 24.9 % 4.2 % 26.3 % Urban Rural FAMILY INCOME (1999) Median Family Income 55.6 % 44.4 % PRINCIPAL PAYMENT SOURCE FOR BIRTH DELIVERIES (2004) Medi-Cal/Other Government 58.9 % HMO and Prepaid Plans 6.4 % 29.4 % $35,818 Private Insurance Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 70 COUNTY: Number of Deaths by: County of Residence County of Occurrence LAKE DEATHS (2004) (continued) CAUSES OF DEATH (2002-2004 Avg.) INFANT DEATHS (2004) Number of Infant Deaths (Under 1 Year of Age) Infant Death Rate (Deaths per 1,000 Live Births) 3 780 Crude Death Rate per 100,000 Population by Cause of Death: 620 Heart Disease Cancer (All Types) Stroke Chronic Lower Respiratory Disease Unintentional Injuries Pneumonia and Influenza Diabetes Mellitus Alzheimer's Disease Chronic Liver Disease/Cirrhosis Suicide Homicide Hypertension/Hypertensive Renal Disease Nephritis 340.5 309.0 83.4 103.2 69.5 40.6 19.2 19.8 24.1 19.2 4.8 8.0 8.6 a,b Crude Death Rate (Deaths per 1,000 Population) AGE-ADJUSTED DEATH RATE (2002-2004 Avg.) Age-Adjusted Deaths per 100,000 Population AGE-SPECIFIC DEATH RATES (2002-2004 Avg.) Deaths per 100,000 Population: 1 to 4 Years Old 5 to 14 Years Old 15 to 24 Years Old 25 to 34 Years Old 35 to 44 Years Old 45 to 54 Years Old 55 to 64 Years Old 65 to 74 Years Old 75 to 84 Years Old 85 and Older 12.3 INFANT DEATH RATES (2003 Birth Cohort) Infant Deaths per 1,000 Live Births by Mother's Race/Ethnicity: All Race/Ethnic Groups * * * * * * * White Black Hispanic Asian/Pacific Islander b a,b 0.0 + a,b 0.0 + 937.6 67.2 * 26.7 * 71.9 * 177.0 * 333.3 738.9 1,320.3 2,492.0 5,397.3 13,532.3 Number of Neonatal Deaths (Under 28 Days of Age) Neonatal Death Rate (Deaths per 1,000 Live Births) 1 FETAL AND NEONATAL DEATHS (2004) Number of Fetal Deaths Fetal Death Ratio (Deaths per 1,000 Live Births) 0 PERINATAL DEATHS (2003 Birth Cohort) Number of Perinatal Deaths (Neonatal Plus Fetal) 4 Perinatal Death Rate by Mother's Race/Ethnicity: All Race/Ethnic Groups White 0.0 + Black Hispanic Asian/Pacific Islander a,b 0.0 + a,b 0.0 + a,b a,b Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services See Section III for data definitions, sources, and notes. 71 COUNTY: LAKE (continued) SELECTED COUNTY HEALTH INDICATORS MEDI-CAL (continued) (2003) Age-Adjusted Death Rate per 100,000 Population (2002-2004 Avg.): Medi-Cal Deliveries by: Work-Related Injury Deaths 1.0 County of Beneficiary 392 Mortality Rate 2.0 * Fee-for-Service (FFS) 392 Drug-Induced Deaths 13.3 Managed Care 0 Mortality Rate 20.4 * Total Medi-Cal FFS Abortions 138 Homicide by Weapons (2004) 1 Homicide by Handguns 1 Medi-Cal Physicians/Dentists Paid: Physicians 40 Kindergarten Students Needing One Dentists 5 or More Immunizations (2005) 71 Percent of All Kindergarten Students 9.5 % MEDI-CAL DATA MEDI-CAL MANAGED CARE ENROLLEES (7/03) (Avg. Monthly, 2003) Medi-Cal Users (FFS): 9,151 Total Managed Care Enrollees 0 Percent of County Population 14.7 % Percent of Eligibles (FFS) 62.8 % DENTI-CAL SERVICES (2003) Average Monthly Users (FFS) 293 Total Medi-Cal Eligibles: 14,574 Percent of County Population 23.4 % MEDI-CAL/MEDICARE (2003) Percent of Medi-Cal Eligibles Medi-Cal Payments (FFS) : Who Are Also Eligible Amount $5,914,681 for Medicare 22.1 % Average Amount per User $646 MEDICARE ENROLLEES (2003) Total Medicare Enrollees: Number 12,838 MEDI-CAL ELIGIBLES BY RACE/ETHNICITY Percent of County Population 20.6 % (2003) White 73.6 % Black 4.5 % Enrollees Aged 65+: Hispanic 12.7 % Number 10,272 American Indian/Alaska Native 3.8 % Percent of County Population 16.5 % Asian/Pacific Islander 1.0 % Not Reported 4.3 % Disability Beneficiaries: Number 2,566 Percent of County Population 4.1 % See Section III for data definitions, sources, and notes. REPORTED COMMUNICABLE DISEASE CASES (2002-2004 Avg.) Number and Crude Case Rate per 100,000 Population: DISEASE Hepatitis Measles Shigellosis Tuberculosis Syphilis Chlamydia Gonorrhea CASES 6.7 0.0 0.7 1.3 0.3 108.0 1.3 RATE 10.7 * 0.00 + 1.1 * 2.1 * 0.5 * 173.2 2.1 * CUMULATIVE AIDS CASES AND DEATHS 1981 through December 2005 AIDS Cases 145 Number of Deaths Percent of Total AIDS Cases Resulting in Death 83 57.2 % SELECTED COUNTY HEALTH INDICATORS Persons Injured in Traffic Accidents County of Occurrence (2003) 484 Substance Abuse Treatment Admissions (2004): Methamphetamine Cocaine Marijuana Alcohol 286 17 247 176 Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 72 COUNTY: LAKE (continued) HOSPITALS (2004) Number of General Acute Care (GAC) Hospitals 84.4 % Number of Licensed GAC Beds 101 HOSPITAL UTILIZATION (2004) Number of GAC Discharges from GAC Hospitals 4,318 Average GAC Occupancy Rate in GAC Hospitals 3 288 LTC (2004) Number of LTC Discharges from LTC Facilities Average Occupancy Rate of LTC Facilities and Hospitals with LTC Beds Average GAC Length of Stay in GAC Hospitals (Days) 2 HOSPICE CARE (12/04) Number of Freestanding Hospice Care Facilities 1 PROGRAM CLIENTS/SERVICES Percent Infants Breastfed During Early Postpartum (2002-2004 Average) Family Planning Clients by All Funding Sources (FY 2004-2005) Women and Children under Age 5 Receiving WIC Services (2/06) Child Health & Disability Prevention Clients Served (FY 2003-2004) Number of Providers (3/06) California Children's Services Cases (FY 2004-2005 Annualized Quarter) Developmental Disability Clients (7/05) Rehabilitation Clients (FY 2004-2005) Mental Health Services (FY 2004-2005) State Hospital Admissions Clients Receiving County Services Persons Receiving Preventive Health Care for the Aging Services (FY 2004-2005) Assessment Clients Other Client Services 1,366 Number of Licensed GAC Beds per 1,000 Population LTC (2004) Number of Long Term Care Facilities and Hospitals with LTC Beds Number of Licensed LTC Beds 1.6 41.6 2,011 3.6 2,167 15 Number of Licensed Beds per 1,000 Population PHYSICIANS (FY 2004-2005) Number of Licensed Physicians Average Number of Persons per Physician DENTISTS (3/06) Number of Licensed Dentists Average Number of Persons per Dentist 4.5 377 350 85 747 69.9 520 324 26 2,468 14 1,950 CLINICS (12/04) Number of Licensed Community and Free Clinics Number of Specialty Clinics 2 1 444 2,516 HOME HEALTH AGENCIES (12/04) Number of Licensed Home Health Agencies 2 See Section III for data definitions, sources, and notes. Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 73 COUNTY: 2000 Census Population Projection Year 2004 Projection Year 2010 Projection Year 2020 LASSEN TOTAL POPULATION 33,828 36,209 36,954 38,232 PERCENT BELOW POVERTY LEVEL (1999) Total Population 14.0 % Children under 6 Persons Aged 65+ White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups HOUSING VALUE (2000) Median Housing-Unit Value CALWORKS (1/05) CalWORKs Recipients as a Percent of County Population SSI/SSP (2004) SSI/SSP Recipients as a Percent of County Population 69.5 9.5 14.7 1.4 3.0 1.9 % % % % % % UNEMPLOYMENT (2005) Percent of Civilian Labor Force Unemployed EDUCATION Percent of Persons Aged 25+ Not Finishing High School (2000) Enrollment K-12 (2004-2005) URBAN/RURAL (2000) 11.9 % 6.5 % 13.1 10.9 22.1 11.9 36.2 13.1 $106,700 % % % % % % LIVE BIRTHS (2004) Number of Live Births by: County of Residence County of Occurrence Birth Rate (Births per 1,000 Population) Fertility Rate (Births per 1,000 Females Aged 15-44, 2002-2004 Avg.) Low Birthweight (Under 2,500 Grams) Very Low Birthweight (Under 1,500 Grams) Unmarried 3.8 % Cesarean Section Delivery Mothers Who Gave Birth Outside County of Residence Mothers with Less Than 12 Years Education Teenage Mothers (Under 18) 20.4 % 6,041 Percent of Births by Mother's Race/Ethnicity: White 78.1 % Black a Hispanic 13.3 % Asian/Pacific Islander 3.3 % American Indian/Alaska Native 3.7 % 2 Or More Race Groups a See Section III for data definitions, sources, and notes. Mothers with No First Trimester Prenatal Care 26.6 % 301 268 8.3 AGE (2004) Under Age 5 Age 5-17 Age 18-64 Age 65+ SEX (2004) Females Males RACE/ETHNICITY (2004) White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups 36.1 % 63.9 % 4.0 % 14.7 % 71.6 % 9.8 % 58.2 5.3 % a 14.0 % 2.9 % 19.3 % 8.0 % 10.7 % a 16.3 % Urban Rural FAMILY INCOME (1999) Median Family Income 41.2 % 58.8 % PRINCIPAL PAYMENT SOURCE FOR BIRTH DELIVERIES (2004) Medi-Cal/Other Government 56.1 % HMO and Prepaid Plans 5.2 % 37.5 % $43,398 Private Insurance Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 74 COUNTY: Number of Deaths by: County of Residence County of Occurrence LASSEN DEATHS (2004) (continued) CAUSES OF DEATH (2002-2004 Avg.) INFANT DEATHS (2004) Number of Infant Deaths (Under 1 Year of Age) Infant Death Rate (Deaths per 1,000 Live Births) 0 227 Crude Death Rate per 100,000 Population by Cause of Death: 158 Heart Disease Cancer (All Types) Stroke Chronic Lower Respiratory Disease Unintentional Injuries Pneumonia and Influenza Diabetes Mellitus Alzheimer's Disease Chronic Liver Disease/Cirrhosis Suicide Homicide Hypertension/Hypertensive Renal Disease Nephritis 158.8 143.4 29.8 42.3 48.1 17.3 14.4 8.7 11.5 14.4 2.9 1.9 8.7 0.0 + Crude Death Rate (Deaths per 1,000 Population) AGE-ADJUSTED DEATH RATE (2002-2004 Avg.) Age-Adjusted Deaths per 100,000 Population AGE-SPECIFIC DEATH RATES (2002-2004 Avg.) Deaths per 100,000 Population: 1 to 4 Years Old 5 to 14 Years Old 15 to 24 Years Old 25 to 34 Years Old 35 to 44 Years Old 45 to 54 Years Old 55 to 64 Years Old 65 to 74 Years Old 75 to 84 Years Old 85 and Older 6.3 685.8 * * * * * * * * * * * INFANT DEATH RATES (2003 Birth Cohort) Infant Deaths per 1,000 Live Births by Mother's Race/Ethnicity: All Race/Ethnic Groups White Black Hispanic Asian/Pacific Islander a,b a,b 0.0 + 0.0 + 0.0 + 59.4 * 24.7 * 45.7 * 61.6 * 168.5 * 406.0 818.9 2,337.5 4,249.7 10,105.3 Number of Neonatal Deaths (Under 28 Days of Age) Neonatal Death Rate (Deaths per 1,000 Live Births) 0 FETAL AND NEONATAL DEATHS (2004) Number of Fetal Deaths Fetal Death Ratio (Deaths per 1,000 Live Births) 3 PERINATAL DEATHS (2003 Birth Cohort) Number of Perinatal Deaths (Neonatal Plus Fetal) 3 Perinatal Death Rate by Mother's Race/Ethnicity: All Race/Ethnic Groups White a,b Black Hispanic Asian/Pacific Islander 0.0 + 0.0 + 0.0 + 0.0 + a,b a,b Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services See Section III for data definitions, sources, and notes. 75 COUNTY: LASSEN (continued) SELECTED COUNTY HEALTH INDICATORS MEDI-CAL (continued) (2003) Age-Adjusted Death Rate per 100,000 Population (2002-2004 Avg.): Medi-Cal Deliveries by: Work-Related Injury Deaths 1.3 County of Beneficiary 133 Mortality Rate 3.5 * Fee-for-Service (FFS) 133 Drug-Induced Deaths 4.7 Managed Care 0 Mortality Rate 12.3 * Total Medi-Cal FFS Abortions 34 Homicide by Weapons (2004) 0 Homicide by Handguns 0 Medi-Cal Physicians/Dentists Paid: Physicians 13 Kindergarten Students Needing One Dentists 6 or More Immunizations (2005) 47 Percent of All Kindergarten Students 11.9 % MEDI-CAL DATA MEDI-CAL MANAGED CARE ENROLLEES (7/03) (Avg. Monthly, 2003) Medi-Cal Users (FFS): 2,852 Total Managed Care Enrollees 0 Percent of County Population 8.2 % Percent of Eligibles (FFS) 59.7 % DENTI-CAL SERVICES (2003) Average Monthly Users (FFS) 120 Total Medi-Cal Eligibles: 4,780 Percent of County Population 13.8 % MEDI-CAL/MEDICARE (2003) Percent of Medi-Cal Eligibles Medi-Cal Payments (FFS) : Who Are Also Eligible Amount $1,511,700 for Medicare 18.5 % Average Amount per User $530 MEDICARE ENROLLEES (2003) Total Medicare Enrollees: Number 3,972 MEDI-CAL ELIGIBLES BY RACE/ETHNICITY Percent of County Population 11.5 % (2003) White 75.2 % Black 1.8 % Enrollees Aged 65+: Hispanic 11.0 % Number 3,171 American Indian/Alaska Native 6.4 % Percent of County Population 9.2 % Asian/Pacific Islander 1.3 % Not Reported 4.4 % Disability Beneficiaries: Number 801 Percent of County Population 2.3 % See Section III for data definitions, sources, and notes. REPORTED COMMUNICABLE DISEASE CASES (2002-2004 Avg.) Number and Crude Case Rate per 100,000 Population: DISEASE Hepatitis Measles Shigellosis Tuberculosis Syphilis Chlamydia Gonorrhea CASES 3.0 0.0 0.0 0.0 0.0 44.7 5.0 RATE 8.7 * 0.00 + 0.0 + 0.0 + 0.0 + 129.0 14.4 * CUMULATIVE AIDS CASES AND DEATHS 1981 through December 2005 AIDS Cases 53 Number of Deaths Percent of Total AIDS Cases Resulting in Death 20 37.7 % SELECTED COUNTY HEALTH INDICATORS Persons Injured in Traffic Accidents County of Occurrence (2003) 296 Substance Abuse Treatment Admissions (2004): Methamphetamine Cocaine Marijuana Alcohol 134 4 112 107 Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 76 COUNTY: LASSEN (continued) HOSPITALS (2004) Number of General Acute Care (GAC) Hospitals 88.4 % Number of Licensed GAC Beds 38 HOSPITAL UTILIZATION (2004) Number of GAC Discharges from GAC Hospitals 1,213 Average GAC Occupancy Rate in GAC Hospitals 1 96 LTC (2004) Number of LTC Discharges from LTC Facilities Average Occupancy Rate of LTC Facilities and Hospitals with LTC Beds Average GAC Length of Stay in GAC Hospitals (Days) 1 HOSPICE CARE (12/04) Number of Freestanding Hospice Care Facilities 0 PROGRAM CLIENTS/SERVICES Percent Infants Breastfed During Early Postpartum (2002-2004 Average) Family Planning Clients by All Funding Sources (FY 2004-2005) Women and Children under Age 5 Receiving WIC Services (2/06) Child Health & Disability Prevention Clients Served (FY 2003-2004) Number of Providers (3/06) California Children's Services Cases (FY 2004-2005 Annualized Quarter) Developmental Disability Clients (7/05) Rehabilitation Clients (FY 2004-2005) Mental Health Services (FY 2004-2005) State Hospital Admissions Clients Receiving County Services Persons Receiving Preventive Health Care for the Aging Services (FY 2004-2005) Assessment Clients Other Client Services 1,397 Number of Licensed GAC Beds per 1,000 Population LTC (2004) Number of Long Term Care Facilities and Hospitals with LTC Beds Number of Licensed LTC Beds 1.0 32.4 740 3.7 1,355 12 Number of Licensed Beds per 1,000 Population PHYSICIANS (FY 2004-2005) Number of Licensed Physicians Average Number of Persons per Physician DENTISTS (3/06) Number of Licensed Dentists Average Number of Persons per Dentist 2.7 92 123 41 883 0.0 212 151 28 1,275 2 991 ** CLINICS (12/04) Number of Licensed Community and Free Clinics Number of Specialty Clinics 7 1 0 0 HOME HEALTH AGENCIES (12/04) Number of Licensed Home Health Agencies 1 See Section III for data definitions, sources, and notes. Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 77 COUNTY: 2000 Census Population Projection Year 2004 Projection Year 2010 Projection Year 2020 LOS ANGELES TOTAL POPULATION 9,519,338 10,083,225 10,461,007 10,885,092 PERCENT BELOW POVERTY LEVEL (1999) Total Population 17.9 % Children under 6 Persons Aged 65+ White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups HOUSING VALUE (2000) Median Housing-Unit Value CALWORKS (1/05) CalWORKs Recipients as a Percent of County Population SSI/SSP (2004) SSI/SSP Recipients as a Percent of County Population 32.2 9.5 45.5 11.0 0.3 1.5 % % % % % % UNEMPLOYMENT (2005) Percent of Civilian Labor Force Unemployed EDUCATION Percent of Persons Aged 25+ Not Finishing High School (2000) Enrollment K-12 (2004-2005) URBAN/RURAL (2000) 13.2 % 5.6 % 17.5 24.4 24.2 13.9 22.5 20.1 $209,300 % % % % % % LIVE BIRTHS (2004) Number of Live Births by: County of Residence County of Occurrence Birth Rate (Births per 1,000 Population) Fertility Rate (Births per 1,000 Females Aged 15-44, 2002-2004 Avg.) Low Birthweight (Under 2,500 Grams) Very Low Birthweight (Under 1,500 Grams) Unmarried 4.1 % Cesarean Section Delivery Mothers Who Gave Birth Outside County of Residence Mothers with Less Than 12 Years Education Teenage Mothers (Under 18) 30.1 % 1,934,176 Percent of Births by Mother's Race/Ethnicity: White 18.2 % Black 7.3 % Hispanic 62.6 % Asian/Pacific Islander 10.7 % American Indian/Alaska Native 0.1 % 2 Or More Race Groups 1.0 % See Section III for data definitions, sources, and notes. Mothers with No First Trimester Prenatal Care 31.9 % 151,504 157,168 15.0 AGE (2004) Under Age 5 Age 5-17 Age 18-64 Age 65+ SEX (2004) Females Males RACE/ETHNICITY (2004) White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups 50.3 % 49.7 % 7.5 % 20.0 % 61.8 % 10.7 % 69.4 7.1 % 1.3 % 39.8 % 3.9 % 3.0 % 5.3 % 33.2 % 3.3 % 9.2 % Urban Rural FAMILY INCOME (1999) Median Family Income 99.3 % 0.7 % PRINCIPAL PAYMENT SOURCE FOR BIRTH DELIVERIES (2004) Medi-Cal/Other Government 53.5 % HMO and Prepaid Plans 24.4 % 19.9 % $46,452 Private Insurance Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 78 COUNTY: Number of Deaths by: County of Residence County of Occurrence LOS ANGELES DEATHS (2004) (continued) CAUSES OF DEATH (2002-2004 Avg.) INFANT DEATHS (2004) Number of Infant Deaths (Under 1 Year of Age) Infant Death Rate (Deaths per 1,000 Live Births) 757 59,159 Crude Death Rate per 100,000 Population by Cause of Death: 59,809 Heart Disease Cancer (All Types) Stroke Chronic Lower Respiratory Disease Unintentional Injuries Pneumonia and Influenza Diabetes Mellitus Alzheimer's Disease Chronic Liver Disease/Cirrhosis Suicide Homicide Hypertension/Hypertensive Renal Disease Nephritis 186.9 134.5 41.6 28.2 22.6 23.8 21.6 11.9 10.5 7.1 10.9 7.4 7.6 5.0 Crude Death Rate (Deaths per 1,000 Population) AGE-ADJUSTED DEATH RATE (2002-2004 Avg.) Age-Adjusted Deaths per 100,000 Population AGE-SPECIFIC DEATH RATES (2002-2004 Avg.) Deaths per 100,000 Population: 1 to 4 Years Old 5 to 14 Years Old 15 to 24 Years Old 25 to 34 Years Old 35 to 44 Years Old 45 to 54 Years Old 55 to 64 Years Old 65 to 74 Years Old 75 to 84 Years Old 85 and Older 5.9 INFANT DEATH RATES (2003 Birth Cohort) Infant Deaths per 1,000 Live Births by Mother's Race/Ethnicity: All Race/Ethnic Groups White Black Hispanic Asian/Pacific Islander 5.4 5.5 10.5 5.0 3.9 640.9 25.5 13.8 79.0 86.3 158.2 368.6 784.3 1,812.7 4,280.8 9,803.6 Number of Neonatal Deaths (Under 28 Days of Age) Neonatal Death Rate (Deaths per 1,000 Live Births) 504 FETAL AND NEONATAL DEATHS (2004) Number of Fetal Deaths Fetal Death Ratio (Deaths per 1,000 Live Births) 775 PERINATAL DEATHS (2003 Birth Cohort) Number of Perinatal Deaths (Neonatal Plus Fetal) 1,415 Perinatal Death Rate by Mother's Race/Ethnicity: All Race/Ethnic Groups White 5.1 Black Hispanic Asian/Pacific Islander 3.3 18.0 8.6 7.1 9.2 8.8 Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services See Section III for data definitions, sources, and notes. 79 COUNTY: LOS ANGELES (continued) SELECTED COUNTY HEALTH INDICATORS MEDI-CAL (continued) (2003) Age-Adjusted Death Rate per 100,000 Population (2002-2004 Avg.): Medi-Cal Deliveries by: Work-Related Injury Deaths 81.7 County of Beneficiary 83,164 Mortality Rate 0.8 Fee-for-Service (FFS) 60,536 Drug-Induced Deaths 838.3 Managed Care 22,628 Mortality Rate 8.5 Total Medi-Cal FFS Abortions 14,472 Homicide by Weapons (2004) 1,038 Homicide by Handguns 779 Medi-Cal Physicians/Dentists Paid: Physicians 6,654 Kindergarten Students Needing One Dentists 2,786 or More Immunizations (2005) 10,706 Percent of All Kindergarten Students 7.7 % MEDI-CAL DATA MEDI-CAL MANAGED CARE ENROLLEES (7/03) (Avg. Monthly, 2003) Medi-Cal Users (FFS): 745,634 Total Managed Care Enrollees 1,350,787 Percent of County Population 7.4 % Percent of Eligibles (FFS) 30.0 % DENTI-CAL SERVICES (2003) Average Monthly Users (FFS) 120,730 Total Medi-Cal Eligibles: 2,487,906 Percent of County Population 24.8 % MEDI-CAL/MEDICARE (2003) Percent of Medi-Cal Eligibles Medi-Cal Payments (FFS) : Who Are Also Eligible Amount $470,796,775 for Medicare 12.6 % Average Amount per User $631 MEDICARE ENROLLEES (2003) Total Medicare Enrollees: Number 1,029,780 MEDI-CAL ELIGIBLES BY RACE/ETHNICITY Percent of County Population 10.2 % (2003) White 14.0 % Black 12.6 % Enrollees Aged 65+: Hispanic 61.0 % Number 911,590 American Indian/Alaska Native 0.2 % Percent of County Population 9.1 % Asian/Pacific Islander 8.0 % Not Reported 4.3 % Disability Beneficiaries: Number 118,190 Percent of County Population 1.2 % See Section III for data definitions, sources, and notes. REPORTED COMMUNICABLE DISEASE CASES (2002-2004 Avg.) Number and Crude Case Rate per 100,000 Population: DISEASE Hepatitis Measles Shigellosis Tuberculosis Syphilis Chlamydia Gonorrhea CASES 537.0 0.7 809.3 1,039.7 478.0 39,571.3 9,179.0 RATE 5.3 0.01 * 8.1 10.3 4.8 393.9 91.4 CUMULATIVE AIDS CASES AND DEATHS 1981 through December 2005 AIDS Cases 50,259 Number of Deaths Percent of Total AIDS Cases Resulting in Death 29,384 58.5 % SELECTED COUNTY HEALTH INDICATORS Persons Injured in Traffic Accidents County of Occurrence (2003) 92,557 Substance Abuse Treatment Admissions (2004): Methamphetamine 12,016 Cocaine 9,791 Marijuana 7,749 Alcohol 10,070 Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 80 COUNTY: LOS ANGELES (continued) HOSPITALS (2004) Number of General Acute Care (GAC) Hospitals 80.6 % Number of Licensed GAC Beds 22,751 HOSPITAL UTILIZATION (2004) Number of GAC Discharges from GAC Hospitals 931,247 Average GAC Occupancy Rate in GAC Hospitals 368 36,544 LTC (2004) Number of LTC Discharges from LTC Facilities Average Occupancy Rate of LTC Facilities and Hospitals with LTC Beds Average GAC Length of Stay in GAC Hospitals (Days) 107 HOSPICE CARE (12/04) Number of Freestanding Hospice Care Facilities 53 PROGRAM CLIENTS/SERVICES Percent Infants Breastfed During Early Postpartum (2002-2004 Average) Family Planning Clients by All Funding Sources (FY 2004-2005) Women and Children under Age 5 Receiving WIC Services (2/06) Child Health & Disability Prevention Clients Served (FY 2003-2004) Number of Providers (3/06) California Children's Services Cases (FY 2004-2005 Annualized Quarter) Developmental Disability Clients (7/05) Rehabilitation Clients (FY 2004-2005) Mental Health Services (FY 2004-2005) State Hospital Admissions Clients Receiving County Services Persons Receiving Preventive Health Care for the Aging Services (FY 2004-2005) Assessment Clients Other Client Services 572,018 Number of Licensed GAC Beds per 1,000 Population LTC (2004) Number of Long Term Care Facilities and Hospitals with LTC Beds Number of Licensed LTC Beds 2.3 58.0 475,124 5.2 746,598 1,070 Number of Licensed Beds per 1,000 Population PHYSICIANS (FY 2004-2005) Number of Licensed Physicians Average Number of Persons per Physician DENTISTS (3/06) Number of Licensed Dentists Average Number of Persons per Dentist 3.6 81,730 49,939 26,251 384 76.0 59,992 34,616 7,797 1,311 911 192,601 ** CLINICS (12/04) Number of Licensed Community and Free Clinics Number of Specialty Clinics 200 240 0 0 HOME HEALTH AGENCIES (12/04) Number of Licensed Home Health Agencies 427 See Section III for data definitions, sources, and notes. Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 81 COUNTY: 2000 Census Population Projection Year 2004 Projection Year 2010 Projection Year 2020 MADERA TOTAL POPULATION 123,109 136,543 150,278 183,966 PERCENT BELOW POVERTY LEVEL (1999) Total Population 21.4 % Children under 6 Persons Aged 65+ White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups HOUSING VALUE (2000) Median Housing-Unit Value CALWORKS (1/05) CalWORKs Recipients as a Percent of County Population SSI/SSP (2004) SSI/SSP Recipients as a Percent of County Population 43.8 4.1 47.3 1.6 1.6 1.6 % % % % % % UNEMPLOYMENT (2005) Percent of Civilian Labor Force Unemployed EDUCATION Percent of Persons Aged 25+ Not Finishing High School (2000) Enrollment K-12 (2004-2005) URBAN/RURAL (2000) 16.6 % 4.7 % 20.5 23.5 33.4 17.8 38.9 27.6 $118,800 % % % % % % LIVE BIRTHS (2004) Number of Live Births by: County of Residence County of Occurrence Birth Rate (Births per 1,000 Population) Fertility Rate (Births per 1,000 Females Aged 15-44, 2002-2004 Avg.) Low Birthweight (Under 2,500 Grams) Very Low Birthweight (Under 1,500 Grams) Unmarried 5.8 % Cesarean Section Delivery Mothers Who Gave Birth Outside County of Residence Mothers with Less Than 12 Years Education Teenage Mothers (Under 18) 34.6 % 28,316 Percent of Births by Mother's Race/Ethnicity: White 25.2 % Black 2.0 % Hispanic 70.2 % Asian/Pacific Islander 1.2 % American Indian/Alaska Native 1.0 % 2 Or More Race Groups 0.5 % See Section III for data definitions, sources, and notes. Mothers with No First Trimester Prenatal Care 26.4 % 2,346 1,618 17.2 AGE (2004) Under Age 5 Age 5-17 Age 18-64 Age 65+ SEX (2004) Females Males RACE/ETHNICITY (2004) White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups 51.9 % 48.1 % 8.2 % 20.1 % 59.7 % 12.0 % 73.6 5.9 % 0.6 % 45.9 % 3.3 % 40.2 % 7.7 % 43.6 % 5.2 % 15.4 % Urban Rural FAMILY INCOME (1999) Median Family Income 66.0 % 34.0 % PRINCIPAL PAYMENT SOURCE FOR BIRTH DELIVERIES (2004) Medi-Cal/Other Government 71.0 % HMO and Prepaid Plans 8.7 % 19.5 % $39,226 Private Insurance Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 82 COUNTY: Number of Deaths by: County of Residence County of Occurrence MADERA DEATHS (2004) (continued) CAUSES OF DEATH (2002-2004 Avg.) INFANT DEATHS (2004) Number of Infant Deaths (Under 1 Year of Age) Infant Death Rate (Deaths per 1,000 Live Births) 6 914 Crude Death Rate per 100,000 Population by Cause of Death: 767 Heart Disease Cancer (All Types) Stroke Chronic Lower Respiratory Disease Unintentional Injuries Pneumonia and Influenza Diabetes Mellitus Alzheimer's Disease Chronic Liver Disease/Cirrhosis Suicide Homicide Hypertension/Hypertensive Renal Disease Nephritis 189.4 145.6 42.1 37.1 46.8 16.9 24.9 27.9 13.7 7.2 6.0 9.7 2.5 2.6 * Crude Death Rate (Deaths per 1,000 Population) AGE-ADJUSTED DEATH RATE (2002-2004 Avg.) Age-Adjusted Deaths per 100,000 Population AGE-SPECIFIC DEATH RATES (2002-2004 Avg.) Deaths per 100,000 Population: 1 to 4 Years Old 5 to 14 Years Old 15 to 24 Years Old 25 to 34 Years Old 35 to 44 Years Old 45 to 54 Years Old 55 to 64 Years Old 65 to 74 Years Old 75 to 84 Years Old 85 and Older 6.7 INFANT DEATH RATES (2003 Birth Cohort) Infant Deaths per 1,000 Live Births by Mother's Race/Ethnicity: All Race/Ethnic Groups White * * * * * Black Hispanic Asian/Pacific Islander 4.8 * b a,b 3.2 * 0.0 + 689.8 39.9 * 17.3 * 86.8 * 119.2 233.1 450.1 896.2 2,047.9 4,347.8 9,247.4 Number of Neonatal Deaths (Under 28 Days of Age) Neonatal Death Rate (Deaths per 1,000 Live Births) 6 FETAL AND NEONATAL DEATHS (2004) Number of Fetal Deaths Fetal Death Ratio (Deaths per 1,000 Live Births) 12 PERINATAL DEATHS (2003 Birth Cohort) Number of Perinatal Deaths (Neonatal Plus Fetal) 26 Perinatal Death Rate by Mother's Race/Ethnicity: All Race/Ethnic Groups White 5.1 * Black Hispanic Asian/Pacific Islander 2.6 * a,b 10.2 * a,b 11.3 b Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services See Section III for data definitions, sources, and notes. 83 COUNTY: MADERA (continued) SELECTED COUNTY HEALTH INDICATORS MEDI-CAL (continued) (2003) Age-Adjusted Death Rate per 100,000 Population (2002-2004 Avg.): Medi-Cal Deliveries by: Work-Related Injury Deaths 2.0 County of Beneficiary 1,531 Mortality Rate 1.6 * Fee-for-Service (FFS) 1,531 Drug-Induced Deaths 14.0 Managed Care 0 Mortality Rate 11.4 * Total Medi-Cal FFS Abortions 309 Homicide by Weapons (2004) 7 Homicide by Handguns 1 Medi-Cal Physicians/Dentists Paid: Physicians 53 Kindergarten Students Needing One Dentists 22 or More Immunizations (2005) 137 Percent of All Kindergarten Students 6.0 % MEDI-CAL DATA MEDI-CAL MANAGED CARE ENROLLEES (7/03) (Avg. Monthly, 2003) Medi-Cal Users (FFS): 17,794 Total Managed Care Enrollees 0 Percent of County Population 13.3 % Percent of Eligibles (FFS) 51.6 % DENTI-CAL SERVICES (2003) Average Monthly Users (FFS) 1,845 Total Medi-Cal Eligibles: 34,503 Percent of County Population 25.8 % MEDI-CAL/MEDICARE (2003) Percent of Medi-Cal Eligibles Medi-Cal Payments (FFS) : Who Are Also Eligible Amount $7,863,133 for Medicare 11.0 % Average Amount per User $442 MEDICARE ENROLLEES (2003) Total Medicare Enrollees: Number 19,091 MEDI-CAL ELIGIBLES BY RACE/ETHNICITY Percent of County Population 14.3 % (2003) White 23.8 % Black 3.4 % Enrollees Aged 65+: Hispanic 67.9 % Number 16,057 American Indian/Alaska Native 0.7 % Percent of County Population 12.0 % Asian/Pacific Islander 1.0 % Not Reported 3.2 % Disability Beneficiaries: Number 3,034 Percent of County Population 2.3 % See Section III for data definitions, sources, and notes. REPORTED COMMUNICABLE DISEASE CASES (2002-2004 Avg.) Number and Crude Case Rate per 100,000 Population: DISEASE Hepatitis Measles Shigellosis Tuberculosis Syphilis Chlamydia Gonorrhea CASES 36.0 0.0 11.3 10.3 0.3 561.3 104.7 RATE 26.9 0.00 + 8.5 * 7.7 * 0.2 * 419.0 78.1 CUMULATIVE AIDS CASES AND DEATHS 1981 through December 2005 AIDS Cases 145 Number of Deaths Percent of Total AIDS Cases Resulting in Death 63 43.4 % SELECTED COUNTY HEALTH INDICATORS Persons Injured in Traffic Accidents County of Occurrence (2003) 1,360 Substance Abuse Treatment Admissions (2004): Methamphetamine Cocaine Marijuana Alcohol 327 40 220 231 Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 84 COUNTY: MADERA (continued) HOSPITALS (2004) Number of General Acute Care (GAC) Hospitals 82.3 % Number of Licensed GAC Beds 364 HOSPITAL UTILIZATION (2004) Number of GAC Discharges from GAC Hospitals 19,255 Average GAC Occupancy Rate in GAC Hospitals 4 369 LTC (2004) Number of LTC Discharges from LTC Facilities Average Occupancy Rate of LTC Facilities and Hospitals with LTC Beds Average GAC Length of Stay in GAC Hospitals (Days) 3 HOSPICE CARE (12/04) Number of Freestanding Hospice Care Facilities 1 PROGRAM CLIENTS/SERVICES Percent Infants Breastfed During Early Postpartum (2002-2004 Average) Family Planning Clients by All Funding Sources (FY 2004-2005) Women and Children under Age 5 Receiving WIC Services (2/06) Child Health & Disability Prevention Clients Served (FY 2003-2004) Number of Providers (3/06) California Children's Services Cases (FY 2004-2005 Annualized Quarter) Developmental Disability Clients (7/05) Rehabilitation Clients (FY 2004-2005) Mental Health Services (FY 2004-2005) State Hospital Admissions Clients Receiving County Services Persons Receiving Preventive Health Care for the Aging Services (FY 2004-2005) Assessment Clients Other Client Services 7,051 Number of Licensed GAC Beds per 1,000 Population LTC (2004) Number of Long Term Care Facilities and Hospitals with LTC Beds Number of Licensed LTC Beds 2.7 78.6 7,656 5.4 12,812 18 Number of Licensed Beds per 1,000 Population PHYSICIANS (FY 2004-2005) Number of Licensed Physicians Average Number of Persons per Physician DENTISTS (3/06) Number of Licensed Dentists Average Number of Persons per Dentist 2.7 553 1,091 165 828 83.0 800 153 57 2,506 9 2,733 CLINICS (12/04) Number of Licensed Community and Free Clinics Number of Specialty Clinics 3 2 224 2,435 HOME HEALTH AGENCIES (12/04) Number of Licensed Home Health Agencies 1 See Section III for data definitions, sources, and notes. Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 85 COUNTY: 2000 Census Population Projection Year 2004 Projection Year 2010 Projection Year 2020 MARIN TOTAL POPULATION 247,289 250,717 252,440 251,260 PERCENT BELOW POVERTY LEVEL (1999) Total Population 6.6 % Children under 6 Persons Aged 65+ White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups HOUSING VALUE (2000) Median Housing-Unit Value CALWORKS (1/05) CalWORKs Recipients as a Percent of County Population SSI/SSP (2004) SSI/SSP Recipients as a Percent of County Population 77.9 2.9 12.2 4.6 0.3 2.1 % % % % % % UNEMPLOYMENT (2005) Percent of Civilian Labor Force Unemployed EDUCATION Percent of Persons Aged 25+ Not Finishing High School (2000) Enrollment K-12 (2004-2005) URBAN/RURAL (2000) 7.7 % 9.1 % 6.0 19.9 15.4 9.0 10.4 10.8 $514,600 % % % % % % LIVE BIRTHS (2004) Number of Live Births by: County of Residence County of Occurrence Birth Rate (Births per 1,000 Population) Fertility Rate (Births per 1,000 Females Aged 15-44, 2002-2004 Avg.) Low Birthweight (Under 2,500 Grams) Very Low Birthweight (Under 1,500 Grams) Unmarried 0.8 % Cesarean Section Delivery Mothers Who Gave Birth Outside County of Residence Mothers with Less Than 12 Years Education Teenage Mothers (Under 18) 8.8 % 34,889 Percent of Births by Mother's Race/Ethnicity: White 64.4 % Black 1.7 % Hispanic 25.7 % Asian/Pacific Islander 7.2 % American Indian/Alaska Native a 2 Or More Race Groups 1.0 % See Section III for data definitions, sources, and notes. Mothers with No First Trimester Prenatal Care 27.0 % 2,792 1,837 11.1 AGE (2004) Under Age 5 Age 5-17 Age 18-64 Age 65+ SEX (2004) Females Males RACE/ETHNICITY (2004) White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups 50.3 % 49.7 % 5.5 % 14.7 % 65.7 % 14.1 % 63.8 6.2 % 0.6 % 14.4 % 1.5 % 42.4 % 3.9 % 16.5 % 0.8 % 3.6 % Urban Rural FAMILY INCOME (1999) Median Family Income 94.2 % 5.8 % PRINCIPAL PAYMENT SOURCE FOR BIRTH DELIVERIES (2004) Medi-Cal/Other Government 23.4 % HMO and Prepaid Plans 67.8 % 7.6 % $88,934 Private Insurance Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 86 COUNTY: Number of Deaths by: County of Residence County of Occurrence MARIN DEATHS (2004) (continued) CAUSES OF DEATH (2002-2004 Avg.) INFANT DEATHS (2004) Number of Infant Deaths (Under 1 Year of Age) Infant Death Rate (Deaths per 1,000 Live Births) INFANT DEATH RATES (2003 Birth Cohort) Infant Deaths per 1,000 Live Births by Mother's Race/Ethnicity: All Race/Ethnic Groups White Black Hispanic Asian/Pacific Islander 4.9 * 5.9 * 0.0 + a,b 0.0 + 4 1,722 Crude Death Rate per 100,000 Population by Cause of Death: 1,734 Heart Disease Cancer (All Types) Stroke Chronic Lower Respiratory Disease Unintentional Injuries Pneumonia and Influenza Diabetes Mellitus Alzheimer's Disease Chronic Liver Disease/Cirrhosis Suicide Homicide Hypertension/Hypertensive Renal Disease Nephritis 182.2 194.7 57.9 33.3 22.4 25.4 12.9 17.4 10.5 13.5 1.7 * 5.7 * 2.1 * a Crude Death Rate (Deaths per 1,000 Population) AGE-ADJUSTED DEATH RATE (2002-2004 Avg.) Age-Adjusted Deaths per 100,000 Population AGE-SPECIFIC DEATH RATES (2002-2004 Avg.) Deaths per 100,000 Population: 1 to 4 Years Old 5 to 14 Years Old 15 to 24 Years Old 25 to 34 Years Old 35 to 44 Years Old 45 to 54 Years Old 55 to 64 Years Old 65 to 74 Years Old 75 to 84 Years Old 85 and Older 6.9 599.1 24.3 * 11.8 * 33.2 * 72.9 125.4 241.8 528.7 1,465.9 4,288.1 12,178.9 Number of Neonatal Deaths (Under 28 Days of Age) Neonatal Death Rate (Deaths per 1,000 Live Births) 2 FETAL AND NEONATAL DEATHS (2004) Number of Fetal Deaths Fetal Death Ratio (Deaths per 1,000 Live Births) 14 PERINATAL DEATHS (2003 Birth Cohort) Number of Perinatal Deaths (Neonatal Plus Fetal) 23 Perinatal Death Rate by Mother's Race/Ethnicity: All Race/Ethnic Groups White 5.0 * Black Hispanic Asian/Pacific Islander a 0.0 + a,b 0.0 + 8.1 10.1 Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services See Section III for data definitions, sources, and notes. 87 COUNTY: MARIN (continued) SELECTED COUNTY HEALTH INDICATORS MEDI-CAL (continued) (2003) Age-Adjusted Death Rate per 100,000 Population (2002-2004 Avg.): Medi-Cal Deliveries by: Work-Related Injury Deaths 1.7 County of Beneficiary 657 Mortality Rate 0.6 * Fee-for-Service (FFS) 652 Drug-Induced Deaths 28.0 Managed Care 5 Mortality Rate 10.0 Total Medi-Cal FFS Abortions 416 Homicide by Weapons (2004) 3 Homicide by Handguns 1 Medi-Cal Physicians/Dentists Paid: Physicians 203 Kindergarten Students Needing One Dentists 35 or More Immunizations (2005) 339 Percent of All Kindergarten Students 11.8 % MEDI-CAL DATA MEDI-CAL MANAGED CARE ENROLLEES (7/03) (Avg. Monthly, 2003) Medi-Cal Users (FFS): 7,762 Total Managed Care Enrollees 0 Percent of County Population 3.1 % Percent of Eligibles (FFS) 51.2 % DENTI-CAL SERVICES (2003) Average Monthly Users (FFS) 709 Total Medi-Cal Eligibles: 15,167 Percent of County Population 6.1 % MEDI-CAL/MEDICARE (2003) Percent of Medi-Cal Eligibles Medi-Cal Payments (FFS) : Who Are Also Eligible Amount $5,660,222 for Medicare 22.9 % Average Amount per User $729 MEDICARE ENROLLEES (2003) Total Medicare Enrollees: Number 35,952 MEDI-CAL ELIGIBLES BY RACE/ETHNICITY Percent of County Population 14.4 % (2003) White 40.5 % Black 9.0 % Enrollees Aged 65+: Hispanic 38.3 % Number 32,943 American Indian/Alaska Native 0.3 % Percent of County Population 13.2 % Asian/Pacific Islander 7.0 % Not Reported 4.8 % Disability Beneficiaries: Number 3,009 Percent of County Population 1.2 % See Section III for data definitions, sources, and notes. REPORTED COMMUNICABLE DISEASE CASES (2002-2004 Avg.) Number and Crude Case Rate per 100,000 Population: DISEASE Hepatitis Measles Shigellosis Tuberculosis Syphilis Chlamydia Gonorrhea CASES 4.7 0.0 9.3 14.0 2.7 332.7 52.7 RATE 1.9 * 0.00 + 3.7 * 5.6 * 1.1 * 132.9 21.0 CUMULATIVE AIDS CASES AND DEATHS 1981 through December 2005 AIDS Cases 1,556 Number of Deaths Percent of Total AIDS Cases Resulting in Death 913 58.7 % SELECTED COUNTY HEALTH INDICATORS Persons Injured in Traffic Accidents County of Occurrence (2003) 1,734 Substance Abuse Treatment Admissions (2004): Methamphetamine 462 Cocaine 288 Marijuana 97 Alcohol 1,167 Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 88 COUNTY: MARIN (continued) HOSPITALS (2004) Number of General Acute Care (GAC) Hospitals 94.4 % Number of Licensed GAC Beds 445 HOSPITAL UTILIZATION (2004) Number of GAC Discharges from GAC Hospitals 18,915 Average GAC Occupancy Rate in GAC Hospitals 14 1,027 LTC (2004) Number of LTC Discharges from LTC Facilities Average Occupancy Rate of LTC Facilities and Hospitals with LTC Beds Average GAC Length of Stay in GAC Hospitals (Days) 4 HOSPICE CARE (12/04) Number of Freestanding Hospice Care Facilities 0 PROGRAM CLIENTS/SERVICES Percent Infants Breastfed During Early Postpartum (2002-2004 Average) Family Planning Clients by All Funding Sources (FY 2004-2005) Women and Children under Age 5 Receiving WIC Services (2/06) Child Health & Disability Prevention Clients Served (FY 2003-2004) Number of Providers (3/06) California Children's Services Cases (FY 2004-2005 Annualized Quarter) Developmental Disability Clients (7/05) Rehabilitation Clients (FY 2004-2005) Mental Health Services (FY 2004-2005) State Hospital Admissions Clients Receiving County Services Persons Receiving Preventive Health Care for the Aging Services (FY 2004-2005) Assessment Clients Other Client Services 8,939 Number of Licensed GAC Beds per 1,000 Population LTC (2004) Number of Long Term Care Facilities and Hospitals with LTC Beds Number of Licensed LTC Beds 1.8 52.9 2,541 4.6 4,435 22 Number of Licensed Beds per 1,000 Population PHYSICIANS (FY 2004-2005) Number of Licensed Physicians Average Number of Persons per Physician DENTISTS (3/06) Number of Licensed Dentists Average Number of Persons per Dentist 4.1 1,911 470 1,512 166 73.9 1,085 806 340 742 16 3,661 CLINICS (12/04) Number of Licensed Community and Free Clinics Number of Specialty Clinics 10 6 0 0 HOME HEALTH AGENCIES (12/04) Number of Licensed Home Health Agencies 6 See Section III for data definitions, sources, and notes. Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 89 COUNTY: 2000 Census Population Projection Year 2004 Projection Year 2010 Projection Year 2020 MARIPOSA TOTAL POPULATION 17,130 18,138 18,608 20,607 PERCENT BELOW POVERTY LEVEL (1999) Total Population 14.8 % Children under 6 Persons Aged 65+ White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups HOUSING VALUE (2000) Median Housing-Unit Value CALWORKS (1/05) CalWORKs Recipients as a Percent of County Population SSI/SSP (2004) SSI/SSP Recipients as a Percent of County Population 83.0 0.7 9.0 1.0 3.6 2.8 % % % % % % UNEMPLOYMENT (2005) Percent of Civilian Labor Force Unemployed EDUCATION Percent of Persons Aged 25+ Not Finishing High School (2000) Enrollment K-12 (2004-2005) URBAN/RURAL (2000) 5.4 % 10.5 % 13.6 20.6 19.7 16.1 24.7 31.9 $141,900 % % % % % % LIVE BIRTHS (2004) Number of Live Births by: County of Residence County of Occurrence Birth Rate (Births per 1,000 Population) Fertility Rate (Births per 1,000 Females Aged 15-44, 2002-2004 Avg.) Low Birthweight (Under 2,500 Grams) Very Low Birthweight (Under 1,500 Grams) Unmarried 2.5 % Cesarean Section Delivery Mothers Who Gave Birth Outside County of Residence Mothers with Less Than 12 Years Education Teenage Mothers (Under 18) 14.9 % 2,545 Percent of Births by Mother's Race/Ethnicity: White 85.3 % Black 0.0 % Hispanic 8.0 % Asian/Pacific Islander a American Indian/Alaska Native a 2 Or More Race Groups a See Section III for data definitions, sources, and notes. Mothers with No First Trimester Prenatal Care 29.3 % 150 9 8.3 AGE (2004) Under Age 5 Age 5-17 Age 18-64 Age 65+ SEX (2004) Females Males RACE/ETHNICITY (2004) White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups 49.2 % 50.8 % 3.8 % 15.5 % 62.2 % 18.4 % 45.8 4.0 % a 25.3 % 2.2 % 94.0 % 6.2 % 12.8 % a 21.9 % Urban Rural FAMILY INCOME (1999) Median Family Income 0.0 % 100.0 % PRINCIPAL PAYMENT SOURCE FOR BIRTH DELIVERIES (2004) Medi-Cal/Other Government 44.3 % HMO and Prepaid Plans 6.0 % 47.0 % $42,655 Private Insurance Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 90 COUNTY: Number of Deaths by: County of Residence County of Occurrence MARIPOSA DEATHS (2004) (continued) CAUSES OF DEATH (2002-2004 Avg.) INFANT DEATHS (2004) Number of Infant Deaths (Under 1 Year of Age) Infant Death Rate (Deaths per 1,000 Live Births) 1 156 Crude Death Rate per 100,000 Population by Cause of Death: 101 Heart Disease Cancer (All Types) Stroke Chronic Lower Respiratory Disease Unintentional Injuries Pneumonia and Influenza Diabetes Mellitus Alzheimer's Disease Chronic Liver Disease/Cirrhosis Suicide Homicide Hypertension/Hypertensive Renal Disease Nephritis 275.8 223.6 61.5 57.8 80.1 14.9 18.6 7.5 16.8 20.5 0.0 0.0 5.6 a,b Crude Death Rate (Deaths per 1,000 Population) AGE-ADJUSTED DEATH RATE (2002-2004 Avg.) Age-Adjusted Deaths per 100,000 Population AGE-SPECIFIC DEATH RATES (2002-2004 Avg.) Deaths per 100,000 Population: 1 to 4 Years Old 5 to 14 Years Old 15 to 24 Years Old 25 to 34 Years Old 35 to 44 Years Old 45 to 54 Years Old 55 to 64 Years Old 65 to 74 Years Old 75 to 84 Years Old 85 and Older 8.6 730.0 * * * * * * * * + + * INFANT DEATH RATES (2003 Birth Cohort) Infant Deaths per 1,000 Live Births by Mother's Race/Ethnicity: All Race/Ethnic Groups White Black Hispanic Asian/Pacific Islander 0.0 + 0.0 + 0.0 + 0.0 + 0.0 + 62.0 * 15.7 * 72.6 * 212.9 * 286.0 * 364.5 * 917.8 1,519.4 4,313.7 13,487.5 Number of Neonatal Deaths (Under 28 Days of Age) Neonatal Death Rate (Deaths per 1,000 Live Births) 1 FETAL AND NEONATAL DEATHS (2004) Number of Fetal Deaths Fetal Death Ratio (Deaths per 1,000 Live Births) 1 PERINATAL DEATHS (2003 Birth Cohort) Number of Perinatal Deaths (Neonatal Plus Fetal) 0 Perinatal Death Rate by Mother's Race/Ethnicity: All Race/Ethnic Groups White a,b Black Hispanic Asian/Pacific Islander a,b 0.0 + 0.0 + 0.0 + 0.0 + 0.0 + Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services See Section III for data definitions, sources, and notes. 91 COUNTY: MARIPOSA (continued) SELECTED COUNTY HEALTH INDICATORS MEDI-CAL (continued) (2003) Age-Adjusted Death Rate per 100,000 Population (2002-2004 Avg.): Medi-Cal Deliveries by: Work-Related Injury Deaths 0.3 County of Beneficiary 64 Mortality Rate 1.5 * Fee-for-Service (FFS) 64 Drug-Induced Deaths 3.0 Managed Care 0 Mortality Rate 15.8 * Total Medi-Cal FFS Abortions 20 Homicide by Weapons (2004) 1 Homicide by Handguns 0 Medi-Cal Physicians/Dentists Paid: Physicians 5 Kindergarten Students Needing One Dentists 1 or More Immunizations (2005) 22 Percent of All Kindergarten Students 15.4 % MEDI-CAL DATA MEDI-CAL MANAGED CARE ENROLLEES (7/03) (Avg. Monthly, 2003) Medi-Cal Users (FFS): 1,369 Total Managed Care Enrollees 0 Percent of County Population 7.7 % Percent of Eligibles (FFS) 58.9 % DENTI-CAL SERVICES (2003) Average Monthly Users (FFS) 97 Total Medi-Cal Eligibles: 2,323 Percent of County Population 13.0 % MEDI-CAL/MEDICARE (2003) Percent of Medi-Cal Eligibles Medi-Cal Payments (FFS) : Who Are Also Eligible Amount $751,602 for Medicare 19.0 % Average Amount per User $549 MEDICARE ENROLLEES (2003) Total Medicare Enrollees: Number 3,269 MEDI-CAL ELIGIBLES BY RACE/ETHNICITY Percent of County Population 18.3 % (2003) White 86.5 % Black 0.4 % Enrollees Aged 65+: Hispanic 5.7 % Number 2,793 American Indian/Alaska Native 3.7 % Percent of County Population 15.6 % Asian/Pacific Islander 0.7 % Not Reported 3.1 % Disability Beneficiaries: Number 476 Percent of County Population 2.7 % See Section III for data definitions, sources, and notes. REPORTED COMMUNICABLE DISEASE CASES (2002-2004 Avg.) Number and Crude Case Rate per 100,000 Population: DISEASE Hepatitis Measles Shigellosis Tuberculosis Syphilis Chlamydia Gonorrhea CASES 0.0 0.0 0.0 0.0 0.0 15.7 3.0 RATE 0.0 + 0.00 + 0.0 + 0.0 + 0.0 + 87.6 * 16.8 * CUMULATIVE AIDS CASES AND DEATHS 1981 through December 2005 AIDS Cases 12 Number of Deaths Percent of Total AIDS Cases Resulting in Death 6 50.0 % SELECTED COUNTY HEALTH INDICATORS Persons Injured in Traffic Accidents County of Occurrence (2003) 158 Substance Abuse Treatment Admissions (2004): Methamphetamine Cocaine Marijuana Alcohol 58 7 44 145 Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 92 COUNTY: MARIPOSA (continued) HOSPITALS (2004) Number of General Acute Care (GAC) Hospitals 90.5 % Number of Licensed GAC Beds 18 HOSPITAL UTILIZATION (2004) Number of GAC Discharges from GAC Hospitals Average GAC Occupancy Rate in GAC Hospitals 0 0 LTC (2004) Number of LTC Discharges from LTC Facilities Average Occupancy Rate of LTC Facilities and Hospitals with LTC Beds Average GAC Length of Stay in GAC Hospitals (Days) 1 HOSPICE CARE (12/04) Number of Freestanding Hospice Care Facilities 1 PROGRAM CLIENTS/SERVICES Percent Infants Breastfed During Early Postpartum (2002-2004 Average) Family Planning Clients by All Funding Sources (FY 2004-2005) Women and Children under Age 5 Receiving WIC Services (2/06) Child Health & Disability Prevention Clients Served (FY 2003-2004) Number of Providers (3/06) California Children's Services Cases (FY 2004-2005 Annualized Quarter) Developmental Disability Clients (7/05) Rehabilitation Clients (FY 2004-2005) Mental Health Services (FY 2004-2005) State Hospital Admissions Clients Receiving County Services Persons Receiving Preventive Health Care for the Aging Services (FY 2004-2005) Assessment Clients Other Client Services 261 Number of Licensed GAC Beds per 1,000 Population LTC (2004) Number of Long Term Care Facilities and Hospitals with LTC Beds Number of Licensed LTC Beds 287 1.0 66.3 198 15.2 316 3 Number of Licensed Beds per 1,000 Population PHYSICIANS (FY 2004-2005) Number of Licensed Physicians Average Number of Persons per Physician DENTISTS (3/06) Number of Licensed Dentists Average Number of Persons per Dentist 0.0 0 75 14 1,296 0.0 74 20 6 3,047 3 613 CLINICS (12/04) Number of Licensed Community and Free Clinics Number of Specialty Clinics 1 0 0 0 HOME HEALTH AGENCIES (12/04) Number of Licensed Home Health Agencies 1 See Section III for data definitions, sources, and notes. Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 93 COUNTY: 2000 Census Population Projection Year 2004 Projection Year 2010 Projection Year 2020 MENDOCINO TOTAL POPULATION 86,265 90,145 94,300 100,664 PERCENT BELOW POVERTY LEVEL (1999) Total Population 15.9 % Children under 6 Persons Aged 65+ White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups HOUSING VALUE (2000) Median Housing-Unit Value CALWORKS (1/05) CalWORKs Recipients as a Percent of County Population SSI/SSP (2004) SSI/SSP Recipients as a Percent of County Population 72.1 0.8 18.7 1.6 4.3 2.4 % % % % % % UNEMPLOYMENT (2005) Percent of Civilian Labor Force Unemployed EDUCATION Percent of Persons Aged 25+ Not Finishing High School (2000) Enrollment K-12 (2004-2005) URBAN/RURAL (2000) 11.8 % 6.5 % 14.7 24.7 26.6 21.7 26.6 27.3 $170,200 % % % % % % LIVE BIRTHS (2004) Number of Live Births by: County of Residence County of Occurrence Birth Rate (Births per 1,000 Population) Fertility Rate (Births per 1,000 Females Aged 15-44, 2002-2004 Avg.) Low Birthweight (Under 2,500 Grams) Very Low Birthweight (Under 1,500 Grams) Unmarried 4.2 % Cesarean Section Delivery Mothers Who Gave Birth Outside County of Residence Mothers with Less Than 12 Years Education Teenage Mothers (Under 18) 19.2 % 15,235 Percent of Births by Mother's Race/Ethnicity: White 53.4 % Black a Hispanic 36.2 % Asian/Pacific Islander 1.0 % American Indian/Alaska Native 7.1 % 2 Or More Race Groups 2.0 % See Section III for data definitions, sources, and notes. Mothers with No First Trimester Prenatal Care 22.8 % 1,125 1,045 12.5 AGE (2004) Under Age 5 Age 5-17 Age 18-64 Age 65+ SEX (2004) Females Males RACE/ETHNICITY (2004) White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups 50.2 % 49.8 % 6.0 % 17.7 % 62.6 % 13.7 % 66.3 6.2 % 1.4 % 43.7 % 4.3 % 10.1 % 5.7 % 27.5 % 3.6 % 34.4 % Urban Rural FAMILY INCOME (1999) Median Family Income 54.0 % 46.0 % PRINCIPAL PAYMENT SOURCE FOR BIRTH DELIVERIES (2004) Medi-Cal/Other Government 68.2 % HMO and Prepaid Plans 2.3 % 25.6 % $42,168 Private Insurance Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 94 COUNTY: Number of Deaths by: County of Residence County of Occurrence MENDOCINO DEATHS (2004) (continued) CAUSES OF DEATH (2002-2004 Avg.) INFANT DEATHS (2004) Number of Infant Deaths (Under 1 Year of Age) Infant Death Rate (Deaths per 1,000 Live Births) 10 853 Crude Death Rate per 100,000 Population by Cause of Death: 757 Heart Disease Cancer (All Types) Stroke Chronic Lower Respiratory Disease Unintentional Injuries Pneumonia and Influenza Diabetes Mellitus Alzheimer's Disease Chronic Liver Disease/Cirrhosis Suicide Homicide Hypertension/Hypertensive Renal Disease Nephritis 249.7 222.8 68.8 66.9 61.3 23.2 19.4 12.3 11.6 19.1 6.4 9.0 8.6 8.9 * Crude Death Rate (Deaths per 1,000 Population) AGE-ADJUSTED DEATH RATE (2002-2004 Avg.) Age-Adjusted Deaths per 100,000 Population AGE-SPECIFIC DEATH RATES (2002-2004 Avg.) Deaths per 100,000 Population: 1 to 4 Years Old 5 to 14 Years Old 15 to 24 Years Old 25 to 34 Years Old 35 to 44 Years Old 45 to 54 Years Old 55 to 64 Years Old 65 to 74 Years Old 75 to 84 Years Old 85 and Older 9.5 INFANT DEATH RATES (2003 Birth Cohort) Infant Deaths per 1,000 Live Births by Mother's Race/Ethnicity: All Race/Ethnic Groups * * * * * * * White Black Hispanic Asian/Pacific Islander 7.3 * b 0.0 + a,b 0.0 + 863.3 31.9 * 27.8 * 100.8 * 104.8 * 266.8 455.5 995.3 2,348.7 4,942.4 16,168.6 Number of Neonatal Deaths (Under 28 Days of Age) Neonatal Death Rate (Deaths per 1,000 Live Births) 4 FETAL AND NEONATAL DEATHS (2004) Number of Fetal Deaths Fetal Death Ratio (Deaths per 1,000 Live Births) 4 PERINATAL DEATHS (2003 Birth Cohort) Number of Perinatal Deaths (Neonatal Plus Fetal) 11 Perinatal Death Rate by Mother's Race/Ethnicity: All Race/Ethnic Groups White a Black Hispanic Asian/Pacific Islander a 0.0 + a,b 0.0 + 9.9 * b Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services See Section III for data definitions, sources, and notes. 95 COUNTY: MENDOCINO (continued) SELECTED COUNTY HEALTH INDICATORS MEDI-CAL (continued) (2003) Age-Adjusted Death Rate per 100,000 Population (2002-2004 Avg.): Medi-Cal Deliveries by: Work-Related Injury Deaths 0.3 County of Beneficiary 699 Mortality Rate 0.3 * Fee-for-Service (FFS) 699 Drug-Induced Deaths 17.0 Managed Care 0 Mortality Rate 19.2 * Total Medi-Cal FFS Abortions 258 Homicide by Weapons (2004) 6 Homicide by Handguns 1 Medi-Cal Physicians/Dentists Paid: Physicians 83 Kindergarten Students Needing One Dentists 17 or More Immunizations (2005) 99 Percent of All Kindergarten Students 9.5 % MEDI-CAL DATA MEDI-CAL MANAGED CARE ENROLLEES (7/03) (Avg. Monthly, 2003) Medi-Cal Users (FFS): 11,810 Total Managed Care Enrollees 0 Percent of County Population 13.2 % Percent of Eligibles (FFS) 58.9 % DENTI-CAL SERVICES (2003) Average Monthly Users (FFS) 363 Total Medi-Cal Eligibles: 20,038 Percent of County Population 22.5 % MEDI-CAL/MEDICARE (2003) Percent of Medi-Cal Eligibles Medi-Cal Payments (FFS) : Who Are Also Eligible Amount $6,699,810 for Medicare 16.1 % Average Amount per User $567 MEDICARE ENROLLEES (2003) Total Medicare Enrollees: Number 14,461 MEDI-CAL ELIGIBLES BY RACE/ETHNICITY Percent of County Population 16.2 % (2003) White 59.5 % Black 1.1 % Enrollees Aged 65+: Hispanic 26.3 % Number 11,718 American Indian/Alaska Native 7.5 % Percent of County Population 13.1 % Asian/Pacific Islander 1.3 % Not Reported 4.4 % Disability Beneficiaries: Number 2,743 Percent of County Population 3.1 % See Section III for data definitions, sources, and notes. REPORTED COMMUNICABLE DISEASE CASES (2002-2004 Avg.) Number and Crude Case Rate per 100,000 Population: DISEASE Hepatitis Measles Shigellosis Tuberculosis Syphilis Chlamydia Gonorrhea CASES 8.3 0.0 1.7 4.7 1.0 185.3 16.7 RATE 9.3 * 0.00 + 1.9 * 5.2 * 1.1 * 207.9 18.7 * CUMULATIVE AIDS CASES AND DEATHS 1981 through December 2005 AIDS Cases 196 Number of Deaths Percent of Total AIDS Cases Resulting in Death 123 62.8 % SELECTED COUNTY HEALTH INDICATORS Persons Injured in Traffic Accidents County of Occurrence (2003) 824 Substance Abuse Treatment Admissions (2004): Methamphetamine Cocaine Marijuana Alcohol 379 11 134 230 Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 96 COUNTY: MENDOCINO (continued) HOSPITALS (2004) Number of General Acute Care (GAC) Hospitals 89.8 % Number of Licensed GAC Beds 165 HOSPITAL UTILIZATION (2004) Number of GAC Discharges from GAC Hospitals 6,509 Average GAC Occupancy Rate in GAC Hospitals 5 387 LTC (2004) Number of LTC Discharges from LTC Facilities Average Occupancy Rate of LTC Facilities and Hospitals with LTC Beds Average GAC Length of Stay in GAC Hospitals (Days) 3 HOSPICE CARE (12/04) Number of Freestanding Hospice Care Facilities 0 PROGRAM CLIENTS/SERVICES Percent Infants Breastfed During Early Postpartum (2002-2004 Average) Family Planning Clients by All Funding Sources (FY 2004-2005) Women and Children under Age 5 Receiving WIC Services (2/06) Child Health & Disability Prevention Clients Served (FY 2003-2004) Number of Providers (3/06) California Children's Services Cases (FY 2004-2005 Annualized Quarter) Developmental Disability Clients (7/05) Rehabilitation Clients (FY 2004-2005) Mental Health Services (FY 2004-2005) State Hospital Admissions Clients Receiving County Services Persons Receiving Preventive Health Care for the Aging Services (FY 2004-2005) Assessment Clients Other Client Services 4,251 Number of Licensed GAC Beds per 1,000 Population LTC (2004) Number of Long Term Care Facilities and Hospitals with LTC Beds Number of Licensed LTC Beds 1.8 36.0 3,089 3.4 4,948 32 Number of Licensed Beds per 1,000 Population PHYSICIANS (FY 2004-2005) Number of Licensed Physicians Average Number of Persons per Physician DENTISTS (3/06) Number of Licensed Dentists Average Number of Persons per Dentist 4.3 456 605 227 397 66.4 677 694 65 1,392 16 2,536 CLINICS (12/04) Number of Licensed Community and Free Clinics Number of Specialty Clinics 10 5 0 0 HOME HEALTH AGENCIES (12/04) Number of Licensed Home Health Agencies 3 See Section III for data definitions, sources, and notes. Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 97 COUNTY: 2000 Census Population Projection Year 2004 Projection Year 2010 Projection Year 2020 MERCED TOTAL POPULATION 210,554 237,190 277,715 360,831 PERCENT BELOW POVERTY LEVEL (1999) Total Population 21.7 % Children under 6 Persons Aged 65+ White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups HOUSING VALUE (2000) Median Housing-Unit Value CALWORKS (1/05) CalWORKs Recipients as a Percent of County Population SSI/SSP (2004) SSI/SSP Recipients as a Percent of County Population 39.0 3.3 49.0 6.3 0.7 1.7 % % % % % % UNEMPLOYMENT (2005) Percent of Civilian Labor Force Unemployed EDUCATION Percent of Persons Aged 25+ Not Finishing High School (2000) Enrollment K-12 (2004-2005) URBAN/RURAL (2000) 14.4 % 4.6 % 19.7 31.3 27.5 37.9 22.6 23.7 $111,100 % % % % % % LIVE BIRTHS (2004) Number of Live Births by: County of Residence County of Occurrence Birth Rate (Births per 1,000 Population) Fertility Rate (Births per 1,000 Females Aged 15-44, 2002-2004 Avg.) Low Birthweight (Under 2,500 Grams) Very Low Birthweight (Under 1,500 Grams) Unmarried 7.5 % Cesarean Section Delivery Mothers Who Gave Birth Outside County of Residence Mothers with Less Than 12 Years Education Teenage Mothers (Under 18) 36.2 % 57,478 Percent of Births by Mother's Race/Ethnicity: White 25.9 % Black 2.7 % Hispanic 62.7 % Asian/Pacific Islander 7.3 % American Indian/Alaska Native 0.3 % 2 Or More Race Groups 1.0 % See Section III for data definitions, sources, and notes. Mothers with No First Trimester Prenatal Care 28.0 % 4,296 3,326 18.1 AGE (2004) Under Age 5 Age 5-17 Age 18-64 Age 65+ SEX (2004) Females Males RACE/ETHNICITY (2004) White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups 50.1 % 49.9 % 8.4 % 23.9 % 58.6 % 9.1 % 82.3 6.2 % 1.0 % 40.7 % 4.4 % 28.8 % 9.8 % 34.3 % 4.1 % 32.4 % Urban Rural FAMILY INCOME (1999) Median Family Income 83.1 % 16.9 % PRINCIPAL PAYMENT SOURCE FOR BIRTH DELIVERIES (2004) Medi-Cal/Other Government 62.3 % HMO and Prepaid Plans 6.5 % 29.4 % $38,009 Private Insurance Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 98 COUNTY: Number of Deaths by: County of Residence County of Occurrence MERCED DEATHS (2004) (continued) CAUSES OF DEATH (2002-2004 Avg.) INFANT DEATHS (2004) Number of Infant Deaths (Under 1 Year of Age) Infant Death Rate (Deaths per 1,000 Live Births) 19 1,383 Crude Death Rate per 100,000 Population by Cause of Death: 1,109 Heart Disease Cancer (All Types) Stroke Chronic Lower Respiratory Disease Unintentional Injuries Pneumonia and Influenza Diabetes Mellitus Alzheimer's Disease Chronic Liver Disease/Cirrhosis Suicide Homicide Hypertension/Hypertensive Renal Disease Nephritis 167.5 133.1 50.4 39.3 42.8 14.6 28.2 11.7 10.8 8.1 7.8 5.3 1.9 4.4 Crude Death Rate (Deaths per 1,000 Population) AGE-ADJUSTED DEATH RATE (2002-2004 Avg.) Age-Adjusted Deaths per 100,000 Population AGE-SPECIFIC DEATH RATES (2002-2004 Avg.) Deaths per 100,000 Population: 1 to 4 Years Old 5 to 14 Years Old 15 to 24 Years Old 25 to 34 Years Old 35 to 44 Years Old 45 to 54 Years Old 55 to 64 Years Old 65 to 74 Years Old 75 to 84 Years Old 85 and Older 5.8 INFANT DEATH RATES (2003 Birth Cohort) Infant Deaths per 1,000 Live Births by Mother's Race/Ethnicity: All Race/Ethnic Groups White * * * * Black Hispanic Asian/Pacific Islander 7.0 7.0 * 0.0 + 7.3 a,b 859.4 39.1 * 17.0 * 86.0 117.5 190.0 456.6 1,018.7 2,158.7 5,507.0 15,913.9 Number of Neonatal Deaths (Under 28 Days of Age) Neonatal Death Rate (Deaths per 1,000 Live Births) 14 FETAL AND NEONATAL DEATHS (2004) Number of Fetal Deaths Fetal Death Ratio (Deaths per 1,000 Live Births) 16 PERINATAL DEATHS (2003 Birth Cohort) Number of Perinatal Deaths (Neonatal Plus Fetal) 60 Perinatal Death Rate by Mother's Race/Ethnicity: All Race/Ethnic Groups White 3.7 * Black Hispanic Asian/Pacific Islander 3.3 * a,b 11.9 b 13.9 16.5 Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services See Section III for data definitions, sources, and notes. 99 COUNTY: MERCED (continued) SELECTED COUNTY HEALTH INDICATORS MEDI-CAL (continued) (2003) Age-Adjusted Death Rate per 100,000 Population (2002-2004 Avg.): Medi-Cal Deliveries by: Work-Related Injury Deaths 5.3 County of Beneficiary 2,606 Mortality Rate 2.7 * Fee-for-Service (FFS) 2,604 Drug-Induced Deaths 16.0 Managed Care 2 Mortality Rate 8.1 * Total Medi-Cal FFS Abortions 619 Homicide by Weapons (2004) 16 Homicide by Handguns 8 Medi-Cal Physicians/Dentists Paid: Physicians 123 Kindergarten Students Needing One Dentists 27 or More Immunizations (2005) 220 Percent of All Kindergarten Students 4.9 % MEDI-CAL DATA MEDI-CAL MANAGED CARE ENROLLEES (7/03) (Avg. Monthly, 2003) Medi-Cal Users (FFS): 33,299 Total Managed Care Enrollees 0 Percent of County Population 14.4 % Percent of Eligibles (FFS) 48.4 % DENTI-CAL SERVICES (2003) Average Monthly Users (FFS) 3,162 Total Medi-Cal Eligibles: 68,789 Percent of County Population 29.8 % MEDI-CAL/MEDICARE (2003) Percent of Medi-Cal Eligibles Medi-Cal Payments (FFS) : Who Are Also Eligible Amount $13,382,381 for Medicare 10.7 % Average Amount per User $402 MEDICARE ENROLLEES (2003) Total Medicare Enrollees: Number 21,018 MEDI-CAL ELIGIBLES BY RACE/ETHNICITY Percent of County Population 9.1 % (2003) White 22.6 % Black 5.8 % Enrollees Aged 65+: Hispanic 57.4 % Number 17,668 American Indian/Alaska Native 0.4 % Percent of County Population 7.7 % Asian/Pacific Islander 8.4 % Not Reported 5.5 % Disability Beneficiaries: Number 3,350 Percent of County Population 1.5 % See Section III for data definitions, sources, and notes. REPORTED COMMUNICABLE DISEASE CASES (2002-2004 Avg.) Number and Crude Case Rate per 100,000 Population: DISEASE Hepatitis Measles Shigellosis Tuberculosis Syphilis Chlamydia Gonorrhea CASES 5.0 0.0 9.0 13.3 0.0 803.3 141.3 RATE 2.2 * 0.00 + 3.9 * 5.8 * 0.0 + 348.2 61.3 CUMULATIVE AIDS CASES AND DEATHS 1981 through December 2005 AIDS Cases 181 Number of Deaths Percent of Total AIDS Cases Resulting in Death 112 61.9 % SELECTED COUNTY HEALTH INDICATORS Persons Injured in Traffic Accidents County of Occurrence (2003) 2,282 Substance Abuse Treatment Admissions (2004): Methamphetamine Cocaine Marijuana Alcohol 826 178 503 279 Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 100 COUNTY: MERCED (continued) HOSPITALS (2004) Number of General Acute Care (GAC) Hospitals 82.7 % Number of Licensed GAC Beds 337 HOSPITAL UTILIZATION (2004) Number of GAC Discharges from GAC Hospitals 12,197 Average GAC Occupancy Rate in GAC Hospitals 9 657 LTC (2004) Number of LTC Discharges from LTC Facilities Average Occupancy Rate of LTC Facilities and Hospitals with LTC Beds Average GAC Length of Stay in GAC Hospitals (Days) 4 HOSPICE CARE (12/04) Number of Freestanding Hospice Care Facilities 1 PROGRAM CLIENTS/SERVICES Percent Infants Breastfed During Early Postpartum (2002-2004 Average) Family Planning Clients by All Funding Sources (FY 2004-2005) Women and Children under Age 5 Receiving WIC Services (2/06) Child Health & Disability Prevention Clients Served (FY 2003-2004) Number of Providers (3/06) California Children's Services Cases (FY 2004-2005 Annualized Quarter) Developmental Disability Clients (7/05) Rehabilitation Clients (FY 2004-2005) Mental Health Services (FY 2004-2005) State Hospital Admissions Clients Receiving County Services Persons Receiving Preventive Health Care for the Aging Services (FY 2004-2005) Assessment Clients Other Client Services 11,549 Number of Licensed GAC Beds per 1,000 Population LTC (2004) Number of Long Term Care Facilities and Hospitals with LTC Beds Number of Licensed LTC Beds 1.4 40.1 14,279 4.1 22,206 55 Number of Licensed Beds per 1,000 Population PHYSICIANS (FY 2004-2005) Number of Licensed Physicians Average Number of Persons per Physician DENTISTS (3/06) Number of Licensed Dentists Average Number of Persons per Dentist 2.8 836 2,431 225 1,054 64.8 1,433 535 86 2,841 22 5,523 CLINICS (12/04) Number of Licensed Community and Free Clinics Number of Specialty Clinics 12 8 0 0 HOME HEALTH AGENCIES (12/04) Number of Licensed Home Health Agencies 2 See Section III for data definitions, sources, and notes. Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 101 COUNTY: 2000 Census Population Projection Year 2004 Projection Year 2010 Projection Year 2020 MODOC TOTAL POPULATION 9,449 9,675 9,547 9,285 PERCENT BELOW POVERTY LEVEL (1999) Total Population 21.5 % Children under 6 Persons Aged 65+ White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups HOUSING VALUE (2000) Median Housing-Unit Value CALWORKS (1/05) CalWORKs Recipients as a Percent of County Population SSI/SSP (2004) SSI/SSP Recipients as a Percent of County Population 79.1 0.7 12.5 0.8 4.3 2.7 % % % % % % UNEMPLOYMENT (2005) Percent of Civilian Labor Force Unemployed EDUCATION Percent of Persons Aged 25+ Not Finishing High School (2000) Enrollment K-12 (2004-2005) URBAN/RURAL (2000) 10.2 % 6.8 % 20.5 41.7 46.1 21.2 41.8 17.8 $69,100 % % % % % % LIVE BIRTHS (2004) Number of Live Births by: County of Residence County of Occurrence Birth Rate (Births per 1,000 Population) Fertility Rate (Births per 1,000 Females Aged 15-44, 2002-2004 Avg.) Low Birthweight (Under 2,500 Grams) Very Low Birthweight (Under 1,500 Grams) Unmarried 5.2 % Cesarean Section Delivery Mothers Who Gave Birth Outside County of Residence Mothers with Less Than 12 Years Education Teenage Mothers (Under 18) 22.9 % 2,276 Percent of Births by Mother's Race/Ethnicity: White 83.5 % Black 0.0 % Hispanic 10.6 % Asian/Pacific Islander a American Indian/Alaska Native a 2 Or More Race Groups 0.0 % See Section III for data definitions, sources, and notes. Mothers with No First Trimester Prenatal Care 24.7 % 85 44 8.8 AGE (2004) Under Age 5 Age 5-17 Age 18-64 Age 65+ SEX (2004) Females Males RACE/ETHNICITY (2004) White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups 49.6 % 50.4 % 4.1 % 17.5 % 59.5 % 18.8 % 49.7 5.9 % 0.0 % 11.8 % 3.7 % 49.4 % 7.9 % 23.2 % 0.0 % 17.3 % Urban Rural FAMILY INCOME (1999) Median Family Income 30.6 % 69.4 % PRINCIPAL PAYMENT SOURCE FOR BIRTH DELIVERIES (2004) Medi-Cal/Other Government 62.5 % HMO and Prepaid Plans 0.0 % 30.6 % $35,978 Private Insurance Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 102 COUNTY: Number of Deaths by: County of Residence County of Occurrence MODOC DEATHS (2004) (continued) CAUSES OF DEATH (2002-2004 Avg.) INFANT DEATHS (2004) Number of Infant Deaths (Under 1 Year of Age) Infant Death Rate (Deaths per 1,000 Live Births) 0 102 Crude Death Rate per 100,000 Population by Cause of Death: 72 Heart Disease Cancer (All Types) Stroke Chronic Lower Respiratory Disease Unintentional Injuries Pneumonia and Influenza Diabetes Mellitus Alzheimer's Disease Chronic Liver Disease/Cirrhosis Suicide Homicide Hypertension/Hypertensive Renal Disease Nephritis 370.3 209.6 83.8 101.3 94.3 17.5 27.9 24.5 7.0 21.0 0.0 3.5 10.5 0.0 + Crude Death Rate (Deaths per 1,000 Population) AGE-ADJUSTED DEATH RATE (2002-2004 Avg.) Age-Adjusted Deaths per 100,000 Population AGE-SPECIFIC DEATH RATES (2002-2004 Avg.) Deaths per 100,000 Population: 1 to 4 Years Old 5 to 14 Years Old 15 to 24 Years Old 25 to 34 Years Old 35 to 44 Years Old 45 to 54 Years Old 55 to 64 Years Old 65 to 74 Years Old 75 to 84 Years Old 85 and Older 10.5 815.8 * * * * * * * * + * * INFANT DEATH RATES (2003 Birth Cohort) Infant Deaths per 1,000 Live Births by Mother's Race/Ethnicity: All Race/Ethnic Groups White Black Hispanic Asian/Pacific Islander 0.0 + 0.0 + 0.0 + 0.0 + 0.0 + 98.9 * 0.0 + 50.0 * 158.9 * 251.9 * 434.4 * 926.7 * 2,065.2 5,727.6 13,430.4 Number of Neonatal Deaths (Under 28 Days of Age) Neonatal Death Rate (Deaths per 1,000 Live Births) 0 FETAL AND NEONATAL DEATHS (2004) Number of Fetal Deaths Fetal Death Ratio (Deaths per 1,000 Live Births) 0 PERINATAL DEATHS (2003 Birth Cohort) Number of Perinatal Deaths (Neonatal Plus Fetal) 0 Perinatal Death Rate by Mother's Race/Ethnicity: All Race/Ethnic Groups White 0.0 + Black Hispanic Asian/Pacific Islander 0.0 + 0.0 + 0.0 + 0.0 + 0.0 + 0.0 + Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services See Section III for data definitions, sources, and notes. 103 COUNTY: MODOC (continued) SELECTED COUNTY HEALTH INDICATORS MEDI-CAL (continued) (2003) Age-Adjusted Death Rate per 100,000 Population (2002-2004 Avg.): Medi-Cal Deliveries by: Work-Related Injury Deaths 0.7 County of Beneficiary 62 Mortality Rate 5.8 * Fee-for-Service (FFS) 62 Drug-Induced Deaths 1.3 Managed Care 0 Mortality Rate 13.8 * Total Medi-Cal FFS Abortions 9 Homicide by Weapons (2004) 0 Homicide by Handguns 0 Medi-Cal Physicians/Dentists Paid: Physicians 6 Kindergarten Students Needing One Dentists 2 or More Immunizations (2005) 6 Percent of All Kindergarten Students 5.4 % MEDI-CAL DATA MEDI-CAL MANAGED CARE ENROLLEES (7/03) (Avg. Monthly, 2003) Medi-Cal Users (FFS): 1,248 Total Managed Care Enrollees 0 Percent of County Population 13.1 % Percent of Eligibles (FFS) 58.2 % DENTI-CAL SERVICES (2003) Average Monthly Users (FFS) 56 Total Medi-Cal Eligibles: 2,146 Percent of County Population 22.5 % MEDI-CAL/MEDICARE (2003) Percent of Medi-Cal Eligibles Medi-Cal Payments (FFS) : Who Are Also Eligible Amount $793,731 for Medicare 17.3 % Average Amount per User $636 MEDICARE ENROLLEES (2003) Total Medicare Enrollees: Number 1,826 MEDI-CAL ELIGIBLES BY RACE/ETHNICITY Percent of County Population 19.1 % (2003) White 70.6 % Black 0.3 % Enrollees Aged 65+: Hispanic 17.4 % Number 1,520 American Indian/Alaska Native 7.4 % Percent of County Population 15.9 % Asian/Pacific Islander 0.6 % Not Reported 3.7 % Disability Beneficiaries: Number 306 Percent of County Population 3.2 % See Section III for data definitions, sources, and notes. REPORTED COMMUNICABLE DISEASE CASES (2002-2004 Avg.) Number and Crude Case Rate per 100,000 Population: DISEASE Hepatitis Measles Shigellosis Tuberculosis Syphilis Chlamydia Gonorrhea CASES 0.3 0.0 0.0 0.0 0.0 8.0 0.0 RATE 3.5 * 0.00 + 0.0 + 0.0 + 0.0 + 83.8 * 0.0 + CUMULATIVE AIDS CASES AND DEATHS 1981 through December 2005 AIDS Cases 2 Number of Deaths Percent of Total AIDS Cases Resulting in Death 1 50.0 % SELECTED COUNTY HEALTH INDICATORS Persons Injured in Traffic Accidents County of Occurrence (2003) 65 Substance Abuse Treatment Admissions (2004): Methamphetamine Cocaine Marijuana Alcohol 17 0 24 49 Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 104 COUNTY: MODOC (continued) HOSPITALS (2004) Number of General Acute Care (GAC) Hospitals 92.3 % Number of Licensed GAC Beds 20 HOSPITAL UTILIZATION (2004) Number of GAC Discharges from GAC Hospitals Average GAC Occupancy Rate in GAC Hospitals 0 0 LTC (2004) Number of LTC Discharges from LTC Facilities Average Occupancy Rate of LTC Facilities and Hospitals with LTC Beds Average GAC Length of Stay in GAC Hospitals (Days) 2 HOSPICE CARE (12/04) Number of Freestanding Hospice Care Facilities 0 PROGRAM CLIENTS/SERVICES Percent Infants Breastfed During Early Postpartum (2002-2004 Average) Family Planning Clients by All Funding Sources (FY 2004-2005) Women and Children under Age 5 Receiving WIC Services (2/06) Child Health & Disability Prevention Clients Served (FY 2003-2004) Number of Providers (3/06) California Children's Services Cases (FY 2004-2005 Annualized Quarter) Developmental Disability Clients (7/05) Rehabilitation Clients (FY 2004-2005) Mental Health Services (FY 2004-2005) State Hospital Admissions Clients Receiving County Services Persons Receiving Preventive Health Care for the Aging Services (FY 2004-2005) Assessment Clients Other Client Services 292 Number of Licensed GAC Beds per 1,000 Population LTC (2004) Number of Long Term Care Facilities and Hospitals with LTC Beds Number of Licensed LTC Beds 299 2.1 7.6 259 1.9 317 9 Number of Licensed Beds per 1,000 Population PHYSICIANS (FY 2004-2005) Number of Licensed Physicians Average Number of Persons per Physician DENTISTS (3/06) Number of Licensed Dentists Average Number of Persons per Dentist 0.0 0 44 6 1,613 0.0 60 99 5 1,963 1 352 CLINICS (12/04) Number of Licensed Community and Free Clinics Number of Specialty Clinics 1 0 0 0 HOME HEALTH AGENCIES (12/04) Number of Licensed Home Health Agencies 0 See Section III for data definitions, sources, and notes. Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 105 COUNTY: 2000 Census Population Projection Year 2004 Projection Year 2010 Projection Year 2020 MONO TOTAL POPULATION 12,853 13,773 14,705 16,248 PERCENT BELOW POVERTY LEVEL (1999) Total Population 11.5 % Children under 6 Persons Aged 65+ White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups HOUSING VALUE (2000) Median Housing-Unit Value CALWORKS (1/05) CalWORKs Recipients as a Percent of County Population SSI/SSP (2004) SSI/SSP Recipients as a Percent of County Population 75.0 0.5 19.2 1.4 2.2 1.7 % % % % % % UNEMPLOYMENT (2005) Percent of Civilian Labor Force Unemployed EDUCATION Percent of Persons Aged 25+ Not Finishing High School (2000) Enrollment K-12 (2004-2005) URBAN/RURAL (2000) 7.2 % 1.2 % 11.0 0.0 21.2 0.0 46.7 9.2 $236,300 % % % % % % LIVE BIRTHS (2004) Number of Live Births by: County of Residence County of Occurrence Birth Rate (Births per 1,000 Population) Fertility Rate (Births per 1,000 Females Aged 15-44, 2002-2004 Avg.) Low Birthweight (Under 2,500 Grams) Very Low Birthweight (Under 1,500 Grams) Unmarried 0.9 % Cesarean Section Delivery Mothers Who Gave Birth Outside County of Residence Mothers with Less Than 12 Years Education Teenage Mothers (Under 18) 12.1 % 2,286 Percent of Births by Mother's Race/Ethnicity: White 45.3 % Black 0.0 % Hispanic 52.4 % Asian/Pacific Islander a American Indian/Alaska Native a 2 Or More Race Groups 0.0 % See Section III for data definitions, sources, and notes. Mothers with No First Trimester Prenatal Care 28.2 % 170 159 12.3 AGE (2004) Under Age 5 Age 5-17 Age 18-64 Age 65+ SEX (2004) Females Males RACE/ETHNICITY (2004) White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups 45.3 % 54.7 % 5.5 % 15.8 % 69.4 % 9.3 % 58.0 8.8 % a 10.0 % 0.8 % 29.4 % 5.0 % 32.9 % a 24.7 % Urban Rural FAMILY INCOME (1999) Median Family Income 45.4 % 54.6 % PRINCIPAL PAYMENT SOURCE FOR BIRTH DELIVERIES (2004) Medi-Cal/Other Government 61.3 % HMO and Prepaid Plans 0.0 % 37.5 % $50,487 Private Insurance Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 106 COUNTY: Number of Deaths by: County of Residence County of Occurrence MONO DEATHS (2004) (continued) CAUSES OF DEATH (2002-2004 Avg.) INFANT DEATHS (2004) Number of Infant Deaths (Under 1 Year of Age) Infant Death Rate (Deaths per 1,000 Live Births) * * * * * * * * * * + + * 1 45 Crude Death Rate per 100,000 Population by Cause of Death: 39 Heart Disease Cancer (All Types) Stroke Chronic Lower Respiratory Disease Unintentional Injuries Pneumonia and Influenza Diabetes Mellitus Alzheimer's Disease Chronic Liver Disease/Cirrhosis Suicide Homicide Hypertension/Hypertensive Renal Disease Nephritis 99.2 76.9 22.3 12.4 52.1 9.9 5.0 2.5 7.4 12.4 0.0 0.0 2.5 a,b Crude Death Rate (Deaths per 1,000 Population) AGE-ADJUSTED DEATH RATE (2002-2004 Avg.) Age-Adjusted Deaths per 100,000 Population AGE-SPECIFIC DEATH RATES (2002-2004 Avg.) Deaths per 100,000 Population: 1 to 4 Years Old 5 to 14 Years Old 15 to 24 Years Old 25 to 34 Years Old 35 to 44 Years Old 45 to 54 Years Old 55 to 64 Years Old 65 to 74 Years Old 75 to 84 Years Old 85 and Older 3.3 INFANT DEATH RATES (2003 Birth Cohort) Infant Deaths per 1,000 Live Births by Mother's Race/Ethnicity: All Race/Ethnic Groups White Black Hispanic Asian/Pacific Islander 0.0 + 0.0 + 0.0 + 0.0 + 0.0 + 513.5 56.3 * 0.0 + 151.5 * 77.2 * 138.8 * 173.2 * 669.0 * 1,242.2 * 2,526.7 * 10,952.4 * Number of Neonatal Deaths (Under 28 Days of Age) Neonatal Death Rate (Deaths per 1,000 Live Births) 1 FETAL AND NEONATAL DEATHS (2004) Number of Fetal Deaths Fetal Death Ratio (Deaths per 1,000 Live Births) 0 PERINATAL DEATHS (2003 Birth Cohort) Number of Perinatal Deaths (Neonatal Plus Fetal) 1 Perinatal Death Rate by Mother's Race/Ethnicity: All Race/Ethnic Groups White 0.0 + Black Hispanic Asian/Pacific Islander a,b 0.0 + a,b 0.0 + a,b 0.0 + Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services See Section III for data definitions, sources, and notes. 107 COUNTY: MONO (continued) SELECTED COUNTY HEALTH INDICATORS MEDI-CAL (continued) (2003) Age-Adjusted Death Rate per 100,000 Population (2002-2004 Avg.): Medi-Cal Deliveries by: Work-Related Injury Deaths 0.3 County of Beneficiary 65 Mortality Rate 2.5 * Fee-for-Service (FFS) 65 Drug-Induced Deaths 0.3 Managed Care 0 Mortality Rate 2.6 * Total Medi-Cal FFS Abortions 14 Homicide by Weapons (2004) 0 Homicide by Handguns 0 Medi-Cal Physicians/Dentists Paid: Physicians 9 Kindergarten Students Needing One Dentists 5 or More Immunizations (2005) 10 Percent of All Kindergarten Students 7.1 % MEDI-CAL DATA MEDI-CAL MANAGED CARE ENROLLEES (7/03) (Avg. Monthly, 2003) Medi-Cal Users (FFS): 499 Total Managed Care Enrollees 0 Percent of County Population 3.7 % Percent of Eligibles (FFS) 50.1 % DENTI-CAL SERVICES (2003) Average Monthly Users (FFS) 6 Total Medi-Cal Eligibles: 996 Percent of County Population 7.4 % MEDI-CAL/MEDICARE (2003) Percent of Medi-Cal Eligibles Medi-Cal Payments (FFS) : Who Are Also Eligible Amount $316,809 for Medicare 9.7 % Average Amount per User $635 MEDICARE ENROLLEES (2003) Total Medicare Enrollees: Number 903 MEDI-CAL ELIGIBLES BY RACE/ETHNICITY Percent of County Population 6.7 % (2003) White 47.6 % Black 0.9 % Enrollees Aged 65+: Hispanic 39.0 % Number 808 American Indian/Alaska Native 8.6 % Percent of County Population 6.0 % Asian/Pacific Islander 0.7 % Not Reported 3.1 % Disability Beneficiaries: Number 95 Percent of County Population 0.7 % See Section III for data definitions, sources, and notes. REPORTED COMMUNICABLE DISEASE CASES (2002-2004 Avg.) Number and Crude Case Rate per 100,000 Population: DISEASE Hepatitis Measles Shigellosis Tuberculosis Syphilis Chlamydia Gonorrhea CASES 0.7 0.0 0.7 0.0 0.0 8.3 0.3 RATE 5.0 * 0.00 + 5.0 * 0.0 + 0.0 + 62.0 * 2.5 * CUMULATIVE AIDS CASES AND DEATHS 1981 through December 2005 AIDS Cases 4 Number of Deaths Percent of Total AIDS Cases Resulting in Death 3 75.0 % SELECTED COUNTY HEALTH INDICATORS Persons Injured in Traffic Accidents County of Occurrence (2003) 190 Substance Abuse Treatment Admissions (2004): Methamphetamine Cocaine Marijuana Alcohol 64 9 27 171 Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 108 COUNTY: MONO (continued) HOSPITALS (2004) Number of General Acute Care (GAC) Hospitals 92.3 % Number of Licensed GAC Beds 15 HOSPITAL UTILIZATION (2004) Number of GAC Discharges from GAC Hospitals Average GAC Occupancy Rate in GAC Hospitals 0 0 LTC (2004) Number of LTC Discharges from LTC Facilities Average Occupancy Rate of LTC Facilities and Hospitals with LTC Beds Average GAC Length of Stay in GAC Hospitals (Days) 1 HOSPICE CARE (12/04) Number of Freestanding Hospice Care Facilities 0 PROGRAM CLIENTS/SERVICES Percent Infants Breastfed During Early Postpartum (2002-2004 Average) Family Planning Clients by All Funding Sources (FY 2004-2005) Women and Children under Age 5 Receiving WIC Services (2/06) Child Health & Disability Prevention Clients Served (FY 2003-2004) Number of Providers (3/06) California Children's Services Cases (FY 2004-2005 Annualized Quarter) Developmental Disability Clients (7/05) Rehabilitation Clients (FY 2004-2005) Mental Health Services (FY 2004-2005) State Hospital Admissions Clients Receiving County Services Persons Receiving Preventive Health Care for the Aging Services (FY 2004-2005) Assessment Clients Other Client Services 853 Number of Licensed GAC Beds per 1,000 Population LTC (2004) Number of Long Term Care Facilities and Hospitals with LTC Beds Number of Licensed LTC Beds 708 1.1 34.7 218 2.7 565 1 Number of Licensed Beds per 1,000 Population PHYSICIANS (FY 2004-2005) Number of Licensed Physicians Average Number of Persons per Physician DENTISTS (3/06) Number of Licensed Dentists Average Number of Persons per Dentist 0.0 0 85 30 459 0.0 63 9 6 2,252 1 144 CLINICS (12/04) Number of Licensed Community and Free Clinics Number of Specialty Clinics 0 0 0 0 HOME HEALTH AGENCIES (12/04) Number of Licensed Home Health Agencies 0 See Section III for data definitions, sources, and notes. Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 109 COUNTY: 2000 Census Population Projection Year 2004 Projection Year 2010 Projection Year 2020 MONTEREY TOTAL POPULATION 401,762 424,053 453,292 505,359 PERCENT BELOW POVERTY LEVEL (1999) Total Population 13.5 % Children under 6 Persons Aged 65+ White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups HOUSING VALUE (2000) Median Housing-Unit Value CALWORKS (1/05) CalWORKs Recipients as a Percent of County Population SSI/SSP (2004) SSI/SSP Recipients as a Percent of County Population 36.2 4.2 50.7 6.2 0.5 2.2 % % % % % % UNEMPLOYMENT (2005) Percent of Civilian Labor Force Unemployed EDUCATION Percent of Persons Aged 25+ Not Finishing High School (2000) Enrollment K-12 (2004-2005) URBAN/RURAL (2000) 12.8 % 5.1 % 13.5 16.2 20.3 10.4 22.4 13.7 $265,800 % % % % % % LIVE BIRTHS (2004) Number of Live Births by: County of Residence County of Occurrence Birth Rate (Births per 1,000 Population) Fertility Rate (Births per 1,000 Females Aged 15-44, 2002-2004 Avg.) Low Birthweight (Under 2,500 Grams) Very Low Birthweight (Under 1,500 Grams) Unmarried 2.8 % Cesarean Section Delivery Mothers Who Gave Birth Outside County of Residence Mothers with Less Than 12 Years Education Teenage Mothers (Under 18) 31.6 % 76,495 Percent of Births by Mother's Race/Ethnicity: White 19.9 % Black 1.3 % Hispanic 72.9 % Asian/Pacific Islander 4.8 % American Indian/Alaska Native 0.2 % 2 Or More Race Groups 1.0 % See Section III for data definitions, sources, and notes. Mothers with No First Trimester Prenatal Care 26.6 % 7,396 6,852 17.4 AGE (2004) Under Age 5 Age 5-17 Age 18-64 Age 65+ SEX (2004) Females Males RACE/ETHNICITY (2004) White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups 48.3 % 51.7 % 8.0 % 19.3 % 62.8 % 9.9 % 83.2 6.4 % 1.0 % 39.2 % 2.1 % 8.9 % 7.3 % 45.5 % 4.0 % 17.0 % Urban Rural FAMILY INCOME (1999) Median Family Income 89.2 % 10.8 % PRINCIPAL PAYMENT SOURCE FOR BIRTH DELIVERIES (2004) Medi-Cal/Other Government 59.9 % HMO and Prepaid Plans 1.0 % 38.1 % $51,169 Private Insurance Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 110 COUNTY: Number of Deaths by: County of Residence County of Occurrence MONTEREY DEATHS (2004) (continued) CAUSES OF DEATH (2002-2004 Avg.) INFANT DEATHS (2004) Number of Infant Deaths (Under 1 Year of Age) Infant Death Rate (Deaths per 1,000 Live Births) 32 2,371 Crude Death Rate per 100,000 Population by Cause of Death: 2,293 Heart Disease Cancer (All Types) Stroke Chronic Lower Respiratory Disease Unintentional Injuries Pneumonia and Influenza Diabetes Mellitus Alzheimer's Disease Chronic Liver Disease/Cirrhosis Suicide Homicide Hypertension/Hypertensive Renal Disease Nephritis 147.2 129.8 43.8 29.3 32.1 12.6 17.4 11.5 8.4 9.2 6.9 6.4 6.5 4.3 Crude Death Rate (Deaths per 1,000 Population) AGE-ADJUSTED DEATH RATE (2002-2004 Avg.) Age-Adjusted Deaths per 100,000 Population AGE-SPECIFIC DEATH RATES (2002-2004 Avg.) Deaths per 100,000 Population: 1 to 4 Years Old 5 to 14 Years Old 15 to 24 Years Old 25 to 34 Years Old 35 to 44 Years Old 45 to 54 Years Old 55 to 64 Years Old 65 to 74 Years Old 75 to 84 Years Old 85 and Older 5.6 INFANT DEATH RATES (2003 Birth Cohort) Infant Deaths per 1,000 Live Births by Mother's Race/Ethnicity: All Race/Ethnic Groups White Black Hispanic Asian/Pacific Islander 5.9 9.0 * 0.0 + 5.4 a,b 676.9 31.4 * 17.4 * 72.3 79.7 133.4 349.1 656.9 1,744.9 4,437.4 13,149.1 Number of Neonatal Deaths (Under 28 Days of Age) Neonatal Death Rate (Deaths per 1,000 Live Births) 18 FETAL AND NEONATAL DEATHS (2004) Number of Fetal Deaths Fetal Death Ratio (Deaths per 1,000 Live Births) 37 PERINATAL DEATHS (2003 Birth Cohort) Number of Perinatal Deaths (Neonatal Plus Fetal) 73 Perinatal Death Rate by Mother's Race/Ethnicity: All Race/Ethnic Groups White 5.0 Black Hispanic Asian/Pacific Islander 2.4 * a,b 10.4 a,b 9.8 8.3 * Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services See Section III for data definitions, sources, and notes. 111 COUNTY: MONTEREY (continued) SELECTED COUNTY HEALTH INDICATORS MEDI-CAL (continued) (2003) Age-Adjusted Death Rate per 100,000 Population (2002-2004 Avg.): Medi-Cal Deliveries by: Work-Related Injury Deaths 7.3 County of Beneficiary 4,086 Mortality Rate 1.8 * Fee-for-Service (FFS) 2,713 Drug-Induced Deaths 43.3 Managed Care 1,373 Mortality Rate 10.9 Total Medi-Cal FFS Abortions 568 Homicide by Weapons (2004) 33 Homicide by Handguns 22 Medi-Cal Physicians/Dentists Paid: Physicians 156 Kindergarten Students Needing One Dentists 72 or More Immunizations (2005) 257 Percent of All Kindergarten Students 4.5 % MEDI-CAL DATA MEDI-CAL MANAGED CARE ENROLLEES (7/03) (Avg. Monthly, 2003) Medi-Cal Users (FFS): 16,338 Total Managed Care Enrollees 55,477 Percent of County Population 3.9 % Percent of Eligibles (FFS) 22.6 % DENTI-CAL SERVICES (2003) Average Monthly Users (FFS) 3,243 Total Medi-Cal Eligibles: 72,440 Percent of County Population 17.3 % MEDI-CAL/MEDICARE (2003) Percent of Medi-Cal Eligibles Medi-Cal Payments (FFS) : Who Are Also Eligible Amount $5,630,158 for Medicare 11.8 % Average Amount per User $345 MEDICARE ENROLLEES (2003) Total Medicare Enrollees: Number 43,750 MEDI-CAL ELIGIBLES BY RACE/ETHNICITY Percent of County Population 10.4 % (2003) White 13.9 % Black 3.0 % Enrollees Aged 65+: Hispanic 75.3 % Number 38,413 American Indian/Alaska Native 0.1 % Percent of County Population 9.2 % Asian/Pacific Islander 3.9 % Not Reported 3.8 % Disability Beneficiaries: Number 5,337 Percent of County Population 1.3 % See Section III for data definitions, sources, and notes. REPORTED COMMUNICABLE DISEASE CASES (2002-2004 Avg.) Number and Crude Case Rate per 100,000 Population: DISEASE Hepatitis Measles Shigellosis Tuberculosis Syphilis Chlamydia Gonorrhea CASES 13.7 0.0 36.7 35.7 3.3 1,210.0 171.7 RATE 3.3 * 0.00 + 8.8 8.5 0.8 * 288.9 41.0 CUMULATIVE AIDS CASES AND DEATHS 1981 through December 2005 AIDS Cases 871 Number of Deaths Percent of Total AIDS Cases Resulting in Death 485 55.7 % SELECTED COUNTY HEALTH INDICATORS Persons Injured in Traffic Accidents County of Occurrence (2003) 3,038 Substance Abuse Treatment Admissions (2004): Methamphetamine Cocaine Marijuana Alcohol 686 316 122 556 Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 112 COUNTY: MONTEREY (continued) HOSPITALS (2004) Number of General Acute Care (GAC) Hospitals 90.3 % Number of Licensed GAC Beds 624 HOSPITAL UTILIZATION (2004) Number of GAC Discharges from GAC Hospitals 33,419 Average GAC Occupancy Rate in GAC Hospitals 14 986 LTC (2004) Number of LTC Discharges from LTC Facilities Average Occupancy Rate of LTC Facilities and Hospitals with LTC Beds Average GAC Length of Stay in GAC Hospitals (Days) 4 HOSPICE CARE (12/04) Number of Freestanding Hospice Care Facilities 3 PROGRAM CLIENTS/SERVICES Percent Infants Breastfed During Early Postpartum (2002-2004 Average) Family Planning Clients by All Funding Sources (FY 2004-2005) Women and Children under Age 5 Receiving WIC Services (2/06) Child Health & Disability Prevention Clients Served (FY 2003-2004) Number of Providers (3/06) California Children's Services Cases (FY 2004-2005 Annualized Quarter) Developmental Disability Clients (7/05) Rehabilitation Clients (FY 2004-2005) Mental Health Services (FY 2004-2005) State Hospital Admissions Clients Receiving County Services Persons Receiving Preventive Health Care for the Aging Services (FY 2004-2005) Assessment Clients Other Client Services 19,838 Number of Licensed GAC Beds per 1,000 Population LTC (2004) Number of Long Term Care Facilities and Hospitals with LTC Beds Number of Licensed LTC Beds 1.5 60.3 20,244 4.1 15,564 36 Number of Licensed Beds per 1,000 Population PHYSICIANS (FY 2004-2005) Number of Licensed Physicians Average Number of Persons per Physician DENTISTS (3/06) Number of Licensed Dentists Average Number of Persons per Dentist 2.3 2,451 2,183 870 487 62.4 1,434 1,771 296 1,436 24 5,008 CLINICS (12/04) Number of Licensed Community and Free Clinics Number of Specialty Clinics 17 10 0 0 HOME HEALTH AGENCIES (12/04) Number of Licensed Home Health Agencies 7 See Section III for data definitions, sources, and notes. Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 113 COUNTY: 2000 Census Population Projection Year 2004 Projection Year 2010 Projection Year 2020 NAPA TOTAL POPULATION 124,279 132,796 142,121 165,946 PERCENT BELOW POVERTY LEVEL (1999) Total Population 8.3 % Children under 6 Persons Aged 65+ White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups HOUSING VALUE (2000) Median Housing-Unit Value CALWORKS (1/05) CalWORKs Recipients as a Percent of County Population SSI/SSP (2004) SSI/SSP Recipients as a Percent of County Population 65.0 1.6 26.9 3.7 1.0 1.8 % % % % % % UNEMPLOYMENT (2005) Percent of Civilian Labor Force Unemployed EDUCATION Percent of Persons Aged 25+ Not Finishing High School (2000) Enrollment K-12 (2004-2005) URBAN/RURAL (2000) 10.9 % 9.7 % 8.4 13.8 14.6 4.4 5.2 9.0 $251,300 % % % % % % LIVE BIRTHS (2004) Number of Live Births by: County of Residence County of Occurrence Birth Rate (Births per 1,000 Population) Fertility Rate (Births per 1,000 Females Aged 15-44, 2002-2004 Avg.) Low Birthweight (Under 2,500 Grams) Very Low Birthweight (Under 1,500 Grams) Unmarried 0.9 % Cesarean Section Delivery Mothers Who Gave Birth Outside County of Residence Mothers with Less Than 12 Years Education Teenage Mothers (Under 18) 19.6 % 22,702 Percent of Births by Mother's Race/Ethnicity: White 41.6 % Black 0.9 % Hispanic 50.6 % Asian/Pacific Islander 5.4 % American Indian/Alaska Native 0.3 % 2 Or More Race Groups 1.2 % See Section III for data definitions, sources, and notes. Mothers with No First Trimester Prenatal Care 25.9 % 1,604 1,247 12.1 AGE (2004) Under Age 5 Age 5-17 Age 18-64 Age 65+ SEX (2004) Females Males RACE/ETHNICITY (2004) White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups 49.9 % 50.1 % 6.0 % 17.3 % 61.5 % 15.2 % 65.1 5.7 % 1.1 % 26.4 % 1.7 % 34.5 % 4.2 % 32.1 % 2.3 % 15.6 % Urban Rural FAMILY INCOME (1999) Median Family Income 84.1 % 15.9 % PRINCIPAL PAYMENT SOURCE FOR BIRTH DELIVERIES (2004) Medi-Cal/Other Government 39.0 % HMO and Prepaid Plans 36.0 % 24.3 % $61,410 Private Insurance Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 114 COUNTY: Number of Deaths by: County of Residence County of Occurrence NAPA DEATHS (2004) (continued) CAUSES OF DEATH (2002-2004 Avg.) INFANT DEATHS (2004) Number of Infant Deaths (Under 1 Year of Age) Infant Death Rate (Deaths per 1,000 Live Births) 5 1,264 Crude Death Rate per 100,000 Population by Cause of Death: 1,250 Heart Disease Cancer (All Types) Stroke Chronic Lower Respiratory Disease Unintentional Injuries Pneumonia and Influenza Diabetes Mellitus Alzheimer's Disease Chronic Liver Disease/Cirrhosis Suicide Homicide Hypertension/Hypertensive Renal Disease Nephritis 247.5 240.9 92.2 54.5 36.9 38.4 26.7 54.0 17.3 8.4 2.5 4.6 6.1 3.1 * Crude Death Rate (Deaths per 1,000 Population) AGE-ADJUSTED DEATH RATE (2002-2004 Avg.) Age-Adjusted Deaths per 100,000 Population AGE-SPECIFIC DEATH RATES (2002-2004 Avg.) Deaths per 100,000 Population: 1 to 4 Years Old 5 to 14 Years Old 15 to 24 Years Old 25 to 34 Years Old 35 to 44 Years Old 45 to 54 Years Old 55 to 64 Years Old 65 to 74 Years Old 75 to 84 Years Old 85 and Older 9.5 INFANT DEATH RATES (2003 Birth Cohort) Infant Deaths per 1,000 Live Births by Mother's Race/Ethnicity: All Race/Ethnic Groups White * * * * Black Hispanic Asian/Pacific Islander a 0.0 + 0.0 + a,b 0.0 + 733.6 5.3 * 15.3 * 72.3 * 94.9 * 154.5 337.1 698.1 1,917.4 5,436.2 12,999.1 Number of Neonatal Deaths (Under 28 Days of Age) Neonatal Death Rate (Deaths per 1,000 Live Births) 3 FETAL AND NEONATAL DEATHS (2004) Number of Fetal Deaths Fetal Death Ratio (Deaths per 1,000 Live Births) 6 PERINATAL DEATHS (2003 Birth Cohort) Number of Perinatal Deaths (Neonatal Plus Fetal) 12 Perinatal Death Rate by Mother's Race/Ethnicity: All Race/Ethnic Groups White 3.7 * Black Hispanic Asian/Pacific Islander a 0.0 + b a,b 7.1 * b Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services See Section III for data definitions, sources, and notes. 115 COUNTY: NAPA (continued) SELECTED COUNTY HEALTH INDICATORS MEDI-CAL (continued) (2003) Age-Adjusted Death Rate per 100,000 Population (2002-2004 Avg.): Medi-Cal Deliveries by: Work-Related Injury Deaths 3.3 County of Beneficiary 588 Mortality Rate 2.6 * Fee-for-Service (FFS) 362 Drug-Induced Deaths 12.0 Managed Care 226 Mortality Rate 9.1 * Total Medi-Cal FFS Abortions 46 Homicide by Weapons (2004) 3 Homicide by Handguns 1 Medi-Cal Physicians/Dentists Paid: Physicians 121 Kindergarten Students Needing One Dentists 14 or More Immunizations (2005) 61 Percent of All Kindergarten Students 3.7 % MEDI-CAL DATA MEDI-CAL MANAGED CARE ENROLLEES (7/03) (Avg. Monthly, 2003) Medi-Cal Users (FFS): 1,881 Total Managed Care Enrollees 9,887 Percent of County Population 1.4 % Percent of Eligibles (FFS) 15.9 % DENTI-CAL SERVICES (2003) Average Monthly Users (FFS) 473 Total Medi-Cal Eligibles: 11,810 Percent of County Population 9.0 % MEDI-CAL/MEDICARE (2003) Percent of Medi-Cal Eligibles Medi-Cal Payments (FFS) : Who Are Also Eligible Amount $938,894 for Medicare 19.5 % Average Amount per User $499 MEDICARE ENROLLEES (2003) Total Medicare Enrollees: Number 22,036 MEDI-CAL ELIGIBLES BY RACE/ETHNICITY Percent of County Population 16.8 % (2003) White 41.1 % Black 1.9 % Enrollees Aged 65+: Hispanic 49.4 % Number 18,945 American Indian/Alaska Native 0.4 % Percent of County Population 14.5 % Asian/Pacific Islander 2.9 % Not Reported 4.4 % Disability Beneficiaries: Number 3,091 Percent of County Population 2.4 % See Section III for data definitions, sources, and notes. REPORTED COMMUNICABLE DISEASE CASES (2002-2004 Avg.) Number and Crude Case Rate per 100,000 Population: DISEASE Hepatitis Measles Shigellosis Tuberculosis Syphilis Chlamydia Gonorrhea CASES 8.3 0.0 12.0 6.7 0.7 128.7 12.7 RATE 6.4 * 0.00 + 9.2 * 5.1 * 0.5 * 98.3 9.7 * CUMULATIVE AIDS CASES AND DEATHS 1981 through December 2005 AIDS Cases 215 Number of Deaths Percent of Total AIDS Cases Resulting in Death 135 62.8 % SELECTED COUNTY HEALTH INDICATORS Persons Injured in Traffic Accidents County of Occurrence (2003) 1,305 Substance Abuse Treatment Admissions (2004): Methamphetamine Cocaine Marijuana Alcohol 247 20 128 132 Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 116 COUNTY: NAPA (continued) HOSPITALS (2004) Number of General Acute Care (GAC) Hospitals 90.6 % Number of Licensed GAC Beds 306 HOSPITAL UTILIZATION (2004) Number of GAC Discharges from GAC Hospitals 10,720 Average GAC Occupancy Rate in GAC Hospitals 6 502 LTC (2004) Number of LTC Discharges from LTC Facilities Average Occupancy Rate of LTC Facilities and Hospitals with LTC Beds Average GAC Length of Stay in GAC Hospitals (Days) 3 HOSPICE CARE (12/04) Number of Freestanding Hospice Care Facilities 1 PROGRAM CLIENTS/SERVICES Percent Infants Breastfed During Early Postpartum (2002-2004 Average) Family Planning Clients by All Funding Sources (FY 2004-2005) Women and Children under Age 5 Receiving WIC Services (2/06) Child Health & Disability Prevention Clients Served (FY 2003-2004) Number of Providers (3/06) California Children's Services Cases (FY 2004-2005 Annualized Quarter) Developmental Disability Clients (7/05) Rehabilitation Clients (FY 2004-2005) Mental Health Services (FY 2004-2005) State Hospital Admissions Clients Receiving County Services Persons Receiving Preventive Health Care for the Aging Services (FY 2004-2005) Assessment Clients Other Client Services 8,202 Number of Licensed GAC Beds per 1,000 Population LTC (2004) Number of Long Term Care Facilities and Hospitals with LTC Beds Number of Licensed LTC Beds 2.3 46.7 3,618 4.9 5,037 18 Number of Licensed Beds per 1,000 Population PHYSICIANS (FY 2004-2005) Number of Licensed Physicians Average Number of Persons per Physician DENTISTS (3/06) Number of Licensed Dentists Average Number of Persons per Dentist 3.8 879 332 465 286 59.9 736 860 113 1,182 65 1,290 CLINICS (12/04) Number of Licensed Community and Free Clinics Number of Specialty Clinics 2 3 0 0 HOME HEALTH AGENCIES (12/04) Number of Licensed Home Health Agencies 4 See Section III for data definitions, sources, and notes. Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 117 COUNTY: 2000 Census Population Projection Year 2004 Projection Year 2010 Projection Year 2020 NEVADA TOTAL POPULATION 92,033 98,308 106,910 126,912 PERCENT BELOW POVERTY LEVEL (1999) Total Population 8.1 % Children under 6 Persons Aged 65+ White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups HOUSING VALUE (2000) Median Housing-Unit Value CALWORKS (1/05) CalWORKs Recipients as a Percent of County Population SSI/SSP (2004) SSI/SSP Recipients as a Percent of County Population 89.3 0.4 6.3 1.1 1.2 1.8 % % % % % % UNEMPLOYMENT (2005) Percent of Civilian Labor Force Unemployed EDUCATION Percent of Persons Aged 25+ Not Finishing High School (2000) Enrollment K-12 (2004-2005) URBAN/RURAL (2000) 6.8 % 10.5 % 7.6 12.3 10.9 12.9 12.0 18.1 $205,700 % % % % % % LIVE BIRTHS (2004) Number of Live Births by: County of Residence County of Occurrence Birth Rate (Births per 1,000 Population) Fertility Rate (Births per 1,000 Females Aged 15-44, 2002-2004 Avg.) Low Birthweight (Under 2,500 Grams) Very Low Birthweight (Under 1,500 Grams) Unmarried 1.3 % Cesarean Section Delivery Mothers Who Gave Birth Outside County of Residence Mothers with Less Than 12 Years Education Teenage Mothers (Under 18) 9.7 % 16,062 Percent of Births by Mother's Race/Ethnicity: White 82.3 % Black a Hispanic 14.8 % Asian/Pacific Islander 1.1 % American Indian/Alaska Native a 2 Or More Race Groups 1.3 % See Section III for data definitions, sources, and notes. Mothers with No First Trimester Prenatal Care 25.8 % 818 962 8.3 AGE (2004) Under Age 5 Age 5-17 Age 18-64 Age 65+ SEX (2004) Females Males RACE/ETHNICITY (2004) White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups 50.9 % 49.1 % 4.3 % 16.4 % 62.5 % 16.8 % 47.0 6.5 % 1.1 % 27.9 % 1.8 % 18.8 % 4.6 % 12.4 % 1.6 % 11.1 % Urban Rural FAMILY INCOME (1999) Median Family Income 56.7 % 43.3 % PRINCIPAL PAYMENT SOURCE FOR BIRTH DELIVERIES (2004) Medi-Cal/Other Government 37.6 % HMO and Prepaid Plans 6.0 % 51.9 % $52,697 Private Insurance Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 118 COUNTY: Number of Deaths by: County of Residence County of Occurrence NEVADA DEATHS (2004) (continued) CAUSES OF DEATH (2002-2004 Avg.) INFANT DEATHS (2004) Number of Infant Deaths (Under 1 Year of Age) Infant Death Rate (Deaths per 1,000 Live Births) INFANT DEATH RATES (2003 Birth Cohort) Infant Deaths per 1,000 Live Births by Mother's Race/Ethnicity: All Race/Ethnic Groups * White * * * * * Black Hispanic Asian/Pacific Islander a,b 0.0 + 0.0 + 0.0 + a,b 6 916 Crude Death Rate per 100,000 Population by Cause of Death: 874 Heart Disease Cancer (All Types) Stroke Chronic Lower Respiratory Disease Unintentional Injuries Pneumonia and Influenza Diabetes Mellitus Alzheimer's Disease Chronic Liver Disease/Cirrhosis Suicide Homicide Hypertension/Hypertensive Renal Disease Nephritis 247.3 243.1 95.6 65.0 52.3 27.2 17.5 23.4 14.8 15.8 2.1 7.9 8.6 b Crude Death Rate (Deaths per 1,000 Population) AGE-ADJUSTED DEATH RATE (2002-2004 Avg.) Age-Adjusted Deaths per 100,000 Population AGE-SPECIFIC DEATH RATES (2002-2004 Avg.) Deaths per 100,000 Population: 1 to 4 Years Old 5 to 14 Years Old 15 to 24 Years Old 25 to 34 Years Old 35 to 44 Years Old 45 to 54 Years Old 55 to 64 Years Old 65 to 74 Years Old 75 to 84 Years Old 85 and Older 9.3 756.0 10.3 * 11.3 * 44.0 * 201.4 * 180.2 358.3 737.1 1,661.0 4,751.1 16,121.5 Number of Neonatal Deaths (Under 28 Days of Age) Neonatal Death Rate (Deaths per 1,000 Live Births) 5 FETAL AND NEONATAL DEATHS (2004) Number of Fetal Deaths Fetal Death Ratio (Deaths per 1,000 Live Births) 7 PERINATAL DEATHS (2003 Birth Cohort) Number of Perinatal Deaths (Neonatal Plus Fetal) 6 Perinatal Death Rate by Mother's Race/Ethnicity: All Race/Ethnic Groups White b Black Hispanic Asian/Pacific Islander b 0.0 + 0.0 + 0.0 + b b Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services See Section III for data definitions, sources, and notes. 119 COUNTY: NEVADA (continued) SELECTED COUNTY HEALTH INDICATORS MEDI-CAL (continued) (2003) Age-Adjusted Death Rate per 100,000 Population (2002-2004 Avg.): Medi-Cal Deliveries by: Work-Related Injury Deaths 1.0 County of Beneficiary 267 Mortality Rate 0.9 * Fee-for-Service (FFS) 265 Drug-Induced Deaths 17.0 Managed Care 2 Mortality Rate 15.9 * Total Medi-Cal FFS Abortions 128 Homicide by Weapons (2004) 1 Homicide by Handguns 0 Medi-Cal Physicians/Dentists Paid: Physicians 75 Kindergarten Students Needing One Dentists 21 or More Immunizations (2005) 109 Percent of All Kindergarten Students 10.6 % MEDI-CAL DATA MEDI-CAL MANAGED CARE ENROLLEES (7/03) (Avg. Monthly, 2003) Medi-Cal Users (FFS): 4,596 Total Managed Care Enrollees 0 Percent of County Population 4.7 % Percent of Eligibles (FFS) 58.5 % DENTI-CAL SERVICES (2003) Average Monthly Users (FFS) 324 Total Medi-Cal Eligibles: 7,856 Percent of County Population 8.1 % MEDI-CAL/MEDICARE (2003) Percent of Medi-Cal Eligibles Medi-Cal Payments (FFS) : Who Are Also Eligible Amount $3,007,529 for Medicare 23.0 % Average Amount per User $654 MEDICARE ENROLLEES (2003) Total Medicare Enrollees: Number 16,991 MEDI-CAL ELIGIBLES BY RACE/ETHNICITY Percent of County Population 17.5 % (2003) White 84.8 % Black 0.4 % Enrollees Aged 65+: Hispanic 8.4 % Number 14,956 American Indian/Alaska Native 0.9 % Percent of County Population 15.4 % Asian/Pacific Islander 0.9 % Not Reported 4.6 % Disability Beneficiaries: Number 2,035 Percent of County Population 2.1 % See Section III for data definitions, sources, and notes. REPORTED COMMUNICABLE DISEASE CASES (2002-2004 Avg.) Number and Crude Case Rate per 100,000 Population: DISEASE Hepatitis Measles Shigellosis Tuberculosis Syphilis Chlamydia Gonorrhea CASES 5.0 0.0 2.0 0.7 0.0 111.0 6.3 RATE 5.2 * 0.00 + 2.1 * 0.7 * 0.0 + 114.5 6.5 * CUMULATIVE AIDS CASES AND DEATHS 1981 through December 2005 AIDS Cases 121 Number of Deaths Percent of Total AIDS Cases Resulting in Death 64 52.9 % SELECTED COUNTY HEALTH INDICATORS Persons Injured in Traffic Accidents County of Occurrence (2003) 846 Substance Abuse Treatment Admissions (2004): Methamphetamine Cocaine Marijuana Alcohol 265 12 41 86 Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 120 COUNTY: NEVADA (continued) HOSPITALS (2004) Number of General Acute Care (GAC) Hospitals 94.4 % Number of Licensed GAC Beds 139 HOSPITAL UTILIZATION (2004) Number of GAC Discharges from GAC Hospitals 8,275 Average GAC Occupancy Rate in GAC Hospitals 4 392 LTC (2004) Number of LTC Discharges from LTC Facilities Average Occupancy Rate of LTC Facilities and Hospitals with LTC Beds Average GAC Length of Stay in GAC Hospitals (Days) 2 HOSPICE CARE (12/04) Number of Freestanding Hospice Care Facilities 2 PROGRAM CLIENTS/SERVICES Percent Infants Breastfed During Early Postpartum (2002-2004 Average) Family Planning Clients by All Funding Sources (FY 2004-2005) Women and Children under Age 5 Receiving WIC Services (2/06) Child Health & Disability Prevention Clients Served (FY 2003-2004) Number of Providers (3/06) California Children's Services Cases (FY 2004-2005 Annualized Quarter) Developmental Disability Clients (7/05) Rehabilitation Clients (FY 2004-2005) Mental Health Services (FY 2004-2005) State Hospital Admissions Clients Receiving County Services Persons Receiving Preventive Health Care for the Aging Services (FY 2004-2005) Assessment Clients Other Client Services 2,312 Number of Licensed GAC Beds per 1,000 Population LTC (2004) Number of Long Term Care Facilities and Hospitals with LTC Beds Number of Licensed LTC Beds 1.4 52.0 1,413 3.2 2,325 15 Number of Licensed Beds per 1,000 Population PHYSICIANS (FY 2004-2005) Number of Licensed Physicians Average Number of Persons per Physician DENTISTS (3/06) Number of Licensed Dentists Average Number of Persons per Dentist 4.0 598 328 265 371 46.5 411 255 87 1,152 11 1,345 CLINICS (12/04) Number of Licensed Community and Free Clinics Number of Specialty Clinics 4 5 0 0 HOME HEALTH AGENCIES (12/04) Number of Licensed Home Health Agencies 2 See Section III for data definitions, sources, and notes. Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 121 COUNTY: 2000 Census Population Projection Year 2004 Projection Year 2010 Projection Year 2020 ORANGE TOTAL POPULATION 2,846,289 3,036,712 3,260,162 3,526,144 PERCENT BELOW POVERTY LEVEL (1999) Total Population 10.3 % Children under 6 Persons Aged 65+ White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups HOUSING VALUE (2000) Median Housing-Unit Value CALWORKS (1/05) CalWORKs Recipients as a Percent of County Population SSI/SSP (2004) SSI/SSP Recipients as a Percent of County Population 48.3 1.6 32.9 15.0 0.6 1.7 % % % % % % UNEMPLOYMENT (2005) Percent of Civilian Labor Force Unemployed EDUCATION Percent of Persons Aged 25+ Not Finishing High School (2000) Enrollment K-12 (2004-2005) URBAN/RURAL (2000) 12.2 % 5.8 % 10.0 11.5 19.1 11.5 17.3 12.0 $270,000 % % % % % % LIVE BIRTHS (2004) Number of Live Births by: County of Residence County of Occurrence Birth Rate (Births per 1,000 Population) Fertility Rate (Births per 1,000 Females Aged 15-44, 2002-2004 Avg.) Low Birthweight (Under 2,500 Grams) Very Low Birthweight (Under 1,500 Grams) Unmarried 1.4 % Cesarean Section Delivery Mothers Who Gave Birth Outside County of Residence Mothers with Less Than 12 Years Education Teenage Mothers (Under 18) 20.5 % 570,029 Percent of Births by Mother's Race/Ethnicity: White 32.7 % Black 1.0 % Hispanic 49.7 % Asian/Pacific Islander 15.6 % American Indian/Alaska Native 0.2 % 2 Or More Race Groups 0.9 % See Section III for data definitions, sources, and notes. Mothers with No First Trimester Prenatal Care 31.1 % 45,060 48,391 14.8 AGE (2004) Under Age 5 Age 5-17 Age 18-64 Age 65+ SEX (2004) Females Males RACE/ETHNICITY (2004) White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups 50.2 % 49.8 % 7.2 % 19.0 % 63.7 % 10.1 % 67.9 6.2 % 1.1 % 27.7 % 2.1 % 4.9 % 3.8 % 28.4 % 2.4 % 8.1 % Urban Rural FAMILY INCOME (1999) Median Family Income 99.8 % 0.2 % PRINCIPAL PAYMENT SOURCE FOR BIRTH DELIVERIES (2004) Medi-Cal/Other Government 41.9 % HMO and Prepaid Plans 28.7 % 27.4 % $64,611 Private Insurance Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 122 COUNTY: Number of Deaths by: County of Residence County of Occurrence ORANGE DEATHS (2004) (continued) CAUSES OF DEATH (2002-2004 Avg.) INFANT DEATHS (2004) Number of Infant Deaths (Under 1 Year of Age) Infant Death Rate (Deaths per 1,000 Live Births) 179 16,748 Crude Death Rate per 100,000 Population by Cause of Death: 17,284 Heart Disease Cancer (All Types) Stroke Chronic Lower Respiratory Disease Unintentional Injuries Pneumonia and Influenza Diabetes Mellitus Alzheimer's Disease Chronic Liver Disease/Cirrhosis Suicide Homicide Hypertension/Hypertensive Renal Disease Nephritis 171.2 133.9 45.8 29.0 21.9 20.3 14.6 16.9 8.1 8.2 2.9 6.1 4.7 4.0 Crude Death Rate (Deaths per 1,000 Population) AGE-ADJUSTED DEATH RATE (2002-2004 Avg.) Age-Adjusted Deaths per 100,000 Population AGE-SPECIFIC DEATH RATES (2002-2004 Avg.) Deaths per 100,000 Population: 1 to 4 Years Old 5 to 14 Years Old 15 to 24 Years Old 25 to 34 Years Old 35 to 44 Years Old 45 to 54 Years Old 55 to 64 Years Old 65 to 74 Years Old 75 to 84 Years Old 85 and Older 5.5 INFANT DEATH RATES (2003 Birth Cohort) Infant Deaths per 1,000 Live Births by Mother's Race/Ethnicity: All Race/Ethnic Groups White Black Hispanic Asian/Pacific Islander 4.3 3.5 b 4.9 3.4 673.7 22.5 11.3 44.8 57.8 118.3 255.0 612.6 1,694.5 4,806.2 13,932.1 Number of Neonatal Deaths (Under 28 Days of Age) Neonatal Death Rate (Deaths per 1,000 Live Births) 129 FETAL AND NEONATAL DEATHS (2004) Number of Fetal Deaths Fetal Death Ratio (Deaths per 1,000 Live Births) 244 PERINATAL DEATHS (2003 Birth Cohort) Number of Perinatal Deaths (Neonatal Plus Fetal) 337 Perinatal Death Rate by Mother's Race/Ethnicity: All Race/Ethnic Groups White 5.4 Black Hispanic Asian/Pacific Islander 2.9 b 8.1 6.8 7.4 6.1 Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services See Section III for data definitions, sources, and notes. 123 COUNTY: ORANGE (continued) SELECTED COUNTY HEALTH INDICATORS MEDI-CAL (continued) (2003) Age-Adjusted Death Rate per 100,000 Population (2002-2004 Avg.): Medi-Cal Deliveries by: Work-Related Injury Deaths 20.0 County of Beneficiary 18,129 Mortality Rate 0.7 Fee-for-Service (FFS) 13,713 Drug-Induced Deaths 237.3 Managed Care 4,416 Mortality Rate 7.9 Total Medi-Cal FFS Abortions 1,863 Homicide by Weapons (2004) 81 Homicide by Handguns 34 Medi-Cal Physicians/Dentists Paid: Physicians 1,881 Kindergarten Students Needing One Dentists 769 or More Immunizations (2005) 2,410 Percent of All Kindergarten Students 5.7 % MEDI-CAL DATA MEDI-CAL MANAGED CARE ENROLLEES (7/03) (Avg. Monthly, 2003) Medi-Cal Users (FFS): 73,321 Total Managed Care Enrollees 287,983 Percent of County Population 2.4 % Percent of Eligibles (FFS) 21.0 % DENTI-CAL SERVICES (2003) Average Monthly Users (FFS) 20,922 Total Medi-Cal Eligibles: 349,305 Percent of County Population 11.6 % MEDI-CAL/MEDICARE (2003) Percent of Medi-Cal Eligibles Medi-Cal Payments (FFS) : Who Are Also Eligible Amount $37,583,679 for Medicare 15.8 % Average Amount per User $513 MEDICARE ENROLLEES (2003) Total Medicare Enrollees: Number 309,081 MEDI-CAL ELIGIBLES BY RACE/ETHNICITY Percent of County Population 10.3 % (2003) White 20.1 % Black 2.0 % Enrollees Aged 65+: Hispanic 54.2 % Number 281,334 American Indian/Alaska Native 0.1 % Percent of County Population 9.4 % Asian/Pacific Islander 18.9 % Not Reported 4.7 % Disability Beneficiaries: Number 27,747 Percent of County Population 0.9 % See Section III for data definitions, sources, and notes. REPORTED COMMUNICABLE DISEASE CASES (2002-2004 Avg.) Number and Crude Case Rate per 100,000 Population: DISEASE Hepatitis Measles Shigellosis Tuberculosis Syphilis Chlamydia Gonorrhea CASES 117.3 0.7 140.7 234.0 37.7 5,746.3 789.0 RATE 3.9 0.02 * 4.7 7.8 1.3 191.5 26.3 CUMULATIVE AIDS CASES AND DEATHS 1981 through December 2005 AIDS Cases 6,717 Number of Deaths Percent of Total AIDS Cases Resulting in Death 3,378 50.3 % SELECTED COUNTY HEALTH INDICATORS Persons Injured in Traffic Accidents County of Occurrence (2003) 24,173 Substance Abuse Treatment Admissions (2004): Methamphetamine 5,047 Cocaine 655 Marijuana 928 Alcohol 2,216 Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 124 COUNTY: ORANGE (continued) HOSPITALS (2004) Number of General Acute Care (GAC) Hospitals 84.0 % Number of Licensed GAC Beds 5,617 HOSPITAL UTILIZATION (2004) Number of GAC Discharges from GAC Hospitals 263,995 Average GAC Occupancy Rate in GAC Hospitals 72 7,916 LTC (2004) Number of LTC Discharges from LTC Facilities Average Occupancy Rate of LTC Facilities and Hospitals with LTC Beds Average GAC Length of Stay in GAC Hospitals (Days) 36 HOSPICE CARE (12/04) Number of Freestanding Hospice Care Facilities 11 PROGRAM CLIENTS/SERVICES Percent Infants Breastfed During Early Postpartum (2002-2004 Average) Family Planning Clients by All Funding Sources (FY 2004-2005) Women and Children under Age 5 Receiving WIC Services (2/06) Child Health & Disability Prevention Clients Served (FY 2003-2004) Number of Providers (3/06) California Children's Services Cases (FY 2004-2005 Annualized Quarter) Developmental Disability Clients (7/05) Rehabilitation Clients (FY 2004-2005) Mental Health Services (FY 2004-2005) State Hospital Admissions Clients Receiving County Services Persons Receiving Preventive Health Care for the Aging Services (FY 2004-2005) Assessment Clients Other Client Services 118,297 Number of Licensed GAC Beds per 1,000 Population LTC (2004) Number of Long Term Care Facilities and Hospitals with LTC Beds Number of Licensed LTC Beds 1.8 55.6 98,790 4.3 118,326 277 Number of Licensed Beds per 1,000 Population PHYSICIANS (FY 2004-2005) Number of Licensed Physicians Average Number of Persons per Physician DENTISTS (3/06) Number of Licensed Dentists Average Number of Persons per Dentist 2.6 26,063 11,983 8,533 356 67.1 14,560 7,364 3,221 950 100 31,442 ** CLINICS (12/04) Number of Licensed Community and Free Clinics Number of Specialty Clinics 31 70 1,013 7,489 HOME HEALTH AGENCIES (12/04) Number of Licensed Home Health Agencies 43 See Section III for data definitions, sources, and notes. Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 125 COUNTY: 2000 Census Population Projection Year 2004 Projection Year 2010 Projection Year 2020 PLACER TOTAL POPULATION 248,399 294,379 349,113 456,040 PERCENT BELOW POVERTY LEVEL (1999) Total Population 5.8 % Children under 6 Persons Aged 65+ White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups HOUSING VALUE (2000) Median Housing-Unit Value CALWORKS (1/05) CalWORKs Recipients as a Percent of County Population SSI/SSP (2004) SSI/SSP Recipients as a Percent of County Population 82.1 1.5 10.3 3.4 0.8 1.9 % % % % % % UNEMPLOYMENT (2005) Percent of Civilian Labor Force Unemployed EDUCATION Percent of Persons Aged 25+ Not Finishing High School (2000) Enrollment K-12 (2004-2005) URBAN/RURAL (2000) 9.2 % 8.4 % 5.7 11.5 12.7 4.9 6.8 7.4 $213,900 % % % % % % LIVE BIRTHS (2004) Number of Live Births by: County of Residence County of Occurrence Birth Rate (Births per 1,000 Population) Fertility rate (Births per 1,000 Females Aged 15-44, 2002-2004 Avg.) Low Birthweight (Under 2,500 Grams) Very Low Birthweight (Under 1,500 Grams) Unmarried 1.0 % Cesarean Section Delivery Mothers Who Gave Birth Outside County of Residence Mothers with Less Than 12 Years Education Teenage Mothers (Under 18) 9.5 % 65,104 Percent of Births by Mother's Race/Ethnicity: White 70.4 % Black 0.7 % Hispanic 19.0 % Asian/Pacific Islander 6.8 % American Indian/Alaska Native 0.5 % 2 Or More Race Groups 2.6 % See Section III for data definitions, sources, and notes. Mothers with No First Trimester Prenatal Care 28.7 % 3,797 3,191 12.9 AGE (2004) Under Age 5 Age 5-17 Age 18-64 Age 65+ SEX (2004) Females Males RACE/ETHNICITY (2004) White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups 51.0 % 49.0 % 5.9 % 19.3 % 61.0 % 13.9 % 64.4 5.8 % 0.8 % 18.8 % 1.6 % 49.4 % 4.0 % 10.2 % 1.1 % 10.3 % Urban Rural FAMILY INCOME (1999) Median Family Income 78.8 % 21.2 % PRINCIPAL PAYMENT SOURCE FOR BIRTH DELIVERIES (2004) Medi-Cal/Other Government 23.6 % HMO and Prepaid Plans 46.3 % 29.1 % $65,858 Private Insurance Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 126 COUNTY: Number of Deaths by: County of Residence County of Occurrence PLACER DEATHS (2004) (continued) CAUSES OF DEATH (2002-2004 Avg.) INFANT DEATHS (2004) Number of Infant Deaths (Under 1 Year of Age) Infant Death Rate (Deaths per 1,000 Live Births) 18 2,284 Crude Death Rate per 100,000 Population by Cause of Death: 2,741 Heart Disease Cancer (All Types) Stroke Chronic Lower Respiratory Disease Unintentional Injuries Pneumonia and Influenza Diabetes Mellitus Alzheimer's Disease Chronic Liver Disease/Cirrhosis Suicide Homicide Hypertension/Hypertensive Renal Disease Nephritis 206.5 201.6 71.0 48.9 35.4 21.6 15.9 25.6 10.2 13.4 1.5 * 6.1 * 4.2 * 4.7 * Crude Death Rate (Deaths per 1,000 Population) AGE-ADJUSTED DEATH RATE (2002-2004 Avg.) Age-Adjusted Deaths per 100,000 Population AGE-SPECIFIC DEATH RATES (2002-2004 Avg.) Deaths per 100,000 Population: 1 to 4 Years Old 5 to 14 Years Old 15 to 24 Years Old 25 to 34 Years Old 35 to 44 Years Old 45 to 54 Years Old 55 to 64 Years Old 65 to 74 Years Old 75 to 84 Years Old 85 and Older 7.8 INFANT DEATH RATES (2003 Birth Cohort) Infant Deaths per 1,000 Live Births by Mother's Race/Ethnicity: All Race/Ethnic Groups White Black Hispanic Asian/Pacific Islander 3.3 * 2.9 * 0.0 + a,b a,b 702.8 28.6 * 16.5 * 80.3 93.3 120.5 324.6 697.6 1,702.9 5,125.1 13,070.0 Number of Neonatal Deaths (Under 28 Days of Age) Neonatal Death Rate (Deaths per 1,000 Live Births) 10 FETAL AND NEONATAL DEATHS (2004) Number of Fetal Deaths Fetal Death Ratio (Deaths per 1,000 Live Births) 21 PERINATAL DEATHS (2003 Birth Cohort) Number of Perinatal Deaths (Neonatal Plus Fetal) 19 Perinatal Death Rate by Mother's Race/Ethnicity: All Race/Ethnic Groups White 5.5 Black Hispanic Asian/Pacific Islander 2.6 * 0.0 + a,b a,b 5.2 4.8 * Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services See Section III for data definitions, sources, and notes. 127 COUNTY: PLACER (continued) SELECTED COUNTY HEALTH INDICATORS MEDI-CAL (continued) (2003) Age-Adjusted Death Rate Per 100,000 Population (2002-2004 Avg.): Medi-Cal Deliveries by: Work-Related Injury Deaths 4.3 County of Beneficiary 754 Mortality Rate 1.5 * Fee-for-Service (FFS) 753 Drug-Induced Deaths 27.3 Managed Care 1 Mortality Rate 9.2 Total Medi-Cal FFS Abortions 373 Homicide by Weapons (2003) 3 Homicide by Handguns 0 Medi-Cal Physicians/Dentists Paid: Physicians 110 Kindergarten Students Needing One Dentists 52 or More Immunizations (2005) 261 Percent of All Kindergarten Students 5.3 % MEDI-CAL DATA MEDI-CAL MANAGED CARE ENROLLEES (7/03) (Avg. Monthly, 2003) Medi-Cal Users (FFS): 10,731 Total Managed Care Enrollees 0 Percent of County Population 3.8 % Percent of Eligibles (FFS) 54.7 % DENTI-CAL SERVICES (2003) Average Monthly Users (FFS) 1,124 Total Medi-Cal Eligibles: 19,625 Percent of County Population 6.9 % MEDI-CAL/MEDICARE (2003) Percent of Medi-Cal Eligibles Medi-Cal Payments (FFS) : Who Are Also Eligible Amount $6,885,896 for Medicare 22.2 % Average Amount per User $642 MEDICARE ENROLLEES (2003) Total Medicare Enrollees Number 39,944 MEDI-CAL ELIGIBLES BY RACE/ETHNICITY Percent of County Population 14.0 % (2003) White 70.1 % Black 1.9 % Enrollees Aged 65+: Hispanic 18.2 % Number 35,693 American Indian/Alaska Native 1.1 % Percent of County Population 12.5 % Asian/Pacific Islander 3.3 % Not Reported 5.4 % Disability Beneficiaries: Number 4,251 Percent of County Population 1.5 % See Section III for data definitions, sources, and notes. REPORTED COMMUNICABLE DISEASES (2002-2004 Avg.) Number and Crude Case Rate per 100,000 Population DISEASE Hepatitis Measles Shigellosis Tuberculosis Syphilis Chlamydia Gonorrhea CASES 7.0 0.0 12.7 5.7 0.7 332.7 46.3 RATE 2.5 * 0.00 + 4.4 * 2.0 * 0.2 * 116.6 16.2 CUMULATIVE AIDS CASES AND DEATHS 1981 through December 2005 AIDS Cases 162 Number of Deaths Percent of Total AIDS Cases Resulting in Death 89 54.9 % SELECTED COUNTY HEALTH INDICATORS Persons Injured in Traffic Accidents County of Occurrence (2003) 2,534 Substance Abuse Treatment Admissions (2004): Methamphetamine Cocaine Marijuana Alcohol 653 46 187 577 Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 128 COUNTY: PLACER (continued) HOSPITALS (2004) Number of General Acute Care (GAC) Hospitals 89.7 % Number of Licensed GAC Beds 443 HOSPITAL UTILIZATION (2004) Number of GAC Discharges from GAC Hospitals 33,427 Average GAC Occupancy Rate in GAC Hospitals 10 1,151 LTC (2004) Number of LTC Discharges from LTC Facilities Average Occupancy Rate of LTC Facilities and Hospitals with LTC Beds Average GAC Length of Stay in GAC Hospitals (Days) 3 HOSPICE CARE (12/04) Number of Freestanding Hospice Care Facilities 0 PROGRAM CLIENTS/SERVICES Percent Infants Breastfed During Early Postpartum (2002-2004 Average) Family Planning Clients by All Funding Sources (FY 2004-2005) Women and Children under Age 5 Receiving WIC Services (2/06) Child Health & Disability Prevention Clients Served (FY 2003-2004) Number of Providers (3/06) California Children's Services Cases (FY 2004-2005 Annualized Quarter) Developmental Disability Clients (7/05) Rehabilitation Clients (FY 2004-2005) Mental Health Serivces (2004-2005) State Hospital Admissions Clients Receiving County Serivces Persons Receiving Preventive Health Care for the Aging Services (FY 2004-2005) Assessment Clients Other Client Services 5,983 Number of Licensed GAC Beds per 1,000 Population LTC (2004) Number of Long Term Care Facilities and Hospitals with LTC Beds Number of Licensed LTC Beds 1.5 72.1 3,156 3.5 6,731 21 Number of Licensed Beds per 1,000 Population PHYSICIANS (FY 2004-2005) Number of Licensed Physicians Average Number of Persons per Physician DENTISTS (3/06) Number of Licensed Dentists Average Number of Persons per Dentist 3.9 1,905 730 851 346 64.8 1,488 1,249 356 882 16 0 ** CLINICS (12/04) Number of Licensed Community and Free Clinics Number of Specialty Clinics 5 6 0 0 HOME HEALTH AGENCIES (12/04) Number of Licensed Home Health Agencies 4 See Section III for data definitions, sources, and notes. Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 129 COUNTY: 2000 Census Population Projection Year 2004 Projection Year 2010 Projection Year 2020 PLUMAS TOTAL POPULATION 20,824 21,200 21,067 20,983 PERCENT BELOW POVERTY LEVEL (1999) Total Population 13.1 % Children under 6 Persons Aged 65+ White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups HOUSING VALUE (2000) Median Housing-Unit Value CALWORKS (1/05) CalWORKs Recipients as a Percent of County Population SSI/SSP (2004) SSI/SSP Recipients as a Percent of County Population 87.6 0.9 6.2 0.8 2.4 2.3 % % % % % % UNEMPLOYMENT (2005) Percent of Civilian Labor Force Unemployed EDUCATION Percent of Persons Aged 25+ Not Finishing High School (2000) Enrollment K-12 (2004-2005) URBAN/RURAL (2000) 8.8 % 8.5 % 12.0 70.8 31.8 11.3 32.8 16.0 $137,900 % % % % % % LIVE BIRTHS (2004) Number of Live Births by: County of Residence County of Occurrence Birth Rate (Births per 1,000 Population) Fertility rate (Births per 1,000 Females Aged 15-44, 2002-2004 Avg.) Low Birthweight (Under 2,500 Grams) Very Low Birthweight (Under 1,500 Grams) Unmarried 1.7 % Cesarean Section Delivery Mothers Who Gave Birth Outside County of Residence Mothers with Less Than 12 Years Education Teenage Mothers (Under 18) 12.0 % 3,269 Percent of Births by Mother's Race/Ethnicity: White 78.6 % Black a Hispanic 12.1 % Asian/Pacific Islander a American Indian/Alaska Native 4.0 % 2 Or More Race Groups a See Section III for data definitions, sources, and notes. Mothers with No First Trimester Prenatal Care 26.6 % 173 103 8.2 AGE (2004) Under Age 5 Age 5-17 Age 18-64 Age 65+ SEX (2004) Females Males RACE/ETHNICITY (2004) White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups 50.1 % 49.9 % 4.2 % 15.4 % 60.1 % 20.2 % 52.3 3.5 % a 17.3 % 3.5 % 42.2 % 8.2 % 13.6 % a 15.0 % Urban Rural FAMILY INCOME (1999) Median Family Income 12.8 % 87.2 % PRINCIPAL PAYMENT SOURCE FOR BIRTH DELIVERIES (2004) Medi-Cal/Other Government 48.1 % HMO and Prepaid Plans a 46.1 % $46,119 Private Insurance Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 130 COUNTY: Number of Deaths by: County of Residence County of Occurrence PLUMAS DEATHS (2004) (continued) CAUSES OF DEATH (2002-2004 Avg.) INFANT DEATHS (2004) Number of Infant Deaths (Under 1 Year of Age) Infant Death Rate (Deaths per 1,000 Live Births) 0 224 Crude Death Rate per 100,000 Population by Cause of Death: 185 Heart Disease Cancer (All Types) Stroke Chronic Lower Respiratory Disease Unintentional Injuries Pneumonia and Influenza Diabetes Mellitus Alzheimer's Disease Chronic Liver Disease/Cirrhosis Suicide Homicide Hypertension/Hypertensive Renal Disease Nephritis 217.2 310.0 67.7 66.1 51.9 40.9 23.6 17.3 14.2 26.8 4.7 12.6 20.5 0.0 + Crude Death Rate (Deaths per 1,000 Population) AGE-ADJUSTED DEATH RATE (2002-2004 Avg.) Age-Adjusted Deaths per 100,000 Population AGE-SPECIFIC DEATH RATES (2002-2004 Avg.) Deaths per 100,000 Population: 1 to 4 Years Old 5 to 14 Years Old 15 to 24 Years Old 25 to 34 Years Old 35 to 44 Years Old 45 to 54 Years Old 55 to 64 Years Old 65 to 74 Years Old 75 to 84 Years Old 85 and Older 10.6 702.0 * * * * * * * * * * * INFANT DEATH RATES (2003 Birth Cohort) Infant Deaths per 1,000 Live Births by Mother's Race/Ethnicity: All Race/Ethnic Groups White Black Hispanic Asian/Pacific Islander 0.0 + 0.0 + 0.0 + 0.0 + 0.0 + 0.0 + 13.5 * 104.3 * 106.6 * 202.9 * 410.7 * 956.8 1,850.2 4,743.0 10,287.2 Number of Neonatal Deaths (Under 28 Days of Age) Neonatal Death Rate (Deaths per 1,000 Live Births) 0 FETAL AND NEONATAL DEATHS (2004) Number of Fetal Deaths Fetal Death Ratio (Deaths per 1,000 Live Births) 1 PERINATAL DEATHS (2003 Birth Cohort) Number of Perinatal Deaths (Neonatal Plus Fetal) 1 Perinatal Death Rate by Mother's Race/Ethnicity: All Race/Ethnic Groups White a,b Black Hispanic Asian/Pacific Islander 0.0 + 0.0 + 0.0 + 0.0 + a,b a,b Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services See Section III for data definitions, sources, and notes. 131 COUNTY: PLUMAS (continued) SELECTED COUNTY HEALTH INDICATORS MEDI-CAL (continued) (2003) Age-Adjusted Death Rate Per 100,000 Population (2002-2004 Avg.): Medi-Cal Deliveries by: Work-Related Injury Deaths 0.7 County of Beneficiary 80 Mortality Rate 3.4 * Fee-for-Service (FFS) 80 Drug-Induced Deaths 2.7 Managed Care 0 Mortality Rate 14.6 * Total Medi-Cal FFS Abortions 19 Homicide by Weapons (2003) 2 Homicide by Handguns 0 Medi-Cal Physicians/Dentists Paid: Physicians 20 Kindergarten Students Needing One Dentists 2 or More Immunizations (2005) 1 Percent of All Kindergarten Students 0.5 % MEDI-CAL DATA MEDI-CAL MANAGED CARE ENROLLEES (7/03) (Avg. Monthly, 2003) Medi-Cal Users (FFS): 1,688 Total Managed Care Enrollees 0 Percent of County Population 8.0 % Percent of Eligibles (FFS) 64.0 % DENTI-CAL SERVICES (2003) Average Monthly Users (FFS) 20 Total Medi-Cal Eligibles: 2,638 Percent of County Population 12.5 % MEDI-CAL/MEDICARE (2003) Percent of Medi-Cal Eligibles Medi-Cal Payments (FFS) : Who Are Also Eligible Amount $1,337,416 for Medicare 24.2 % Average Amount per User $792 MEDICARE ENROLLEES (2003) Total Medicare Enrollees Number 4,138 MEDI-CAL ELIGIBLES BY RACE/ETHNICITY Percent of County Population 19.5 % (2003) White 81.1 % Black 2.3 % Enrollees Aged 65+: Hispanic 7.0 % Number 3,482 American Indian/Alaska Native 4.1 % Percent of County Population 16.4 % Asian/Pacific Islander 0.4 % Not Reported 5.0 % Disability Beneficiaries: Number 656 Percent of County Population 3.1 % See Section III for data definitions, sources, and notes. REPORTED COMMUNICABLE DISEASES (2002-2004 Avg.) Number and Crude Case Rate per 100,000 Population DISEASE Hepatitis Measles Shigellosis Tuberculosis Syphilis Chlamydia Gonorrhea CASES 1.3 0.0 0.3 0.0 0.0 14.7 2.3 RATE 6.3 * 0.00 + 1.6 * 0.0 + 0.0 + 69.2 * 11.0 * CUMULATIVE AIDS CASES AND DEATHS 1981 through December 2005 AIDS Cases 10 Number of Deaths Percent of Total AIDS Cases Resulting in Death 5 50.0 % SELECTED COUNTY HEALTH INDICATORS Persons Injured in Traffic Accidents County of Occurrence (2003) 184 Substance Abuse Treatment Admissions (2004): Methamphetamine Cocaine Marijuana Alcohol 64 ^ 37 143 Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 132 COUNTY: PLUMAS (continued) HOSPITALS (2004) Number of General Acute Care (GAC) Hospitals 91.0 % Number of Licensed GAC Beds 54 HOSPITAL UTILIZATION (2004) Number of GAC Discharges from GAC Hospitals 1,569 Average GAC Occupancy Rate in GAC Hospitals 0 0 LTC (2004) Number of LTC Discharges from LTC Facilities Average Occupancy Rate of LTC Facilities and Hospitals with LTC Beds Average GAC Length of Stay in GAC Hospitals (Days) 4 HOSPICE CARE (12/04) Number of Freestanding Hospice Care Facilities 0 PROGRAM CLIENTS/SERVICES Percent Infants Breastfed During Early Postpartum (2002-2004 Average) Family Planning Clients by All Funding Sources (FY 2004-2005) Women and Children under Age 5 Receiving WIC Services (2/06) Child Health & Disability Prevention Clients Served (FY 2003-2004) Number of Providers (3/06) California Children's Services Cases (FY 2004-2005 Annualized Quarter) Developmental Disability Clients (7/05) Rehabilitation Clients (FY 2004-2005) Mental Health Serivces (2004-2005) State Hospital Admissions Clients Receiving County Serivces Persons Receiving Preventive Health Care for the Aging Services (FY 2004-2005) Assessment Clients Other Client Services 973 Number of Licensed GAC Beds per 1,000 Population LTC (2004) Number of Long Term Care Facilities and Hospitals with LTC Beds Number of Licensed LTC Beds 2.5 22.8 499 2.9 704 18 Number of Licensed Beds per 1,000 Population PHYSICIANS (FY 2004-2005) Number of Licensed Physicians Average Number of Persons per Physician DENTISTS (3/06) Number of Licensed Dentists Average Number of Persons per Dentist 0.0 0 41 35 606 0.0 109 115 19 1,135 0 709 CLINICS (12/04) Number of Licensed Community and Free Clinics Number of Specialty Clinics 1 0 0 0 HOME HEALTH AGENCIES (12/04) Number of Licensed Home Health Agencies 2 See Section III for data definitions, sources, and notes. Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 133 COUNTY: 2000 Census Population Projection Year 2004 Projection Year 2010 Projection Year 2020 RIVERSIDE TOTAL POPULATION 1,545,387 1,815,394 2,165,148 2,675,648 PERCENT BELOW POVERTY LEVEL (1999) Total Population 14.2 % Children under 6 Persons Aged 65+ White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups HOUSING VALUE (2000) Median Housing-Unit Value CALWORKS (1/05) CalWORKs Recipients as a Percent of County Population SSI/SSP (2004) SSI/SSP Recipients as a Percent of County Population 44.9 6.8 41.2 4.7 0.8 1.6 % % % % % % UNEMPLOYMENT (2005) Percent of Civilian Labor Force Unemployed EDUCATION Percent of Persons Aged 25+ Not Finishing High School (2000) Enrollment K-12 (2004-2005) URBAN/RURAL (2000) 13.7 % 6.7 % 13.5 20.6 21.0 14.4 21.4 16.8 $146,500 % % % % % % LIVE BIRTHS (2004) Number of Live Births by: County of Residence County of Occurrence Birth Rate (Births per 1,000 Population) Fertility rate (Births per 1,000 Females Aged 15-44, 2002-2004 Avg.) Low Birthweight (Under 2,500 Grams) Very Low Birthweight (Under 1,500 Grams) Unmarried 2.9 % Cesarean Section Delivery Mothers Who Gave Birth Outside County of Residence Mothers with Less Than 12 Years Education Teenage Mothers (Under 18) 25.0 % 402,342 Percent of Births by Mother's Race/Ethnicity: White 31.2 % Black 4.6 % Hispanic 57.7 % Asian/Pacific Islander 4.8 % American Indian/Alaska Native 0.5 % 2 Or More Race Groups 1.2 % See Section III for data definitions, sources, and notes. Mothers with No First Trimester Prenatal Care 28.9 % 29,545 25,677 16.3 AGE (2004) Under Age 5 Age 5-17 Age 18-64 Age 65+ SEX (2004) Females Males RACE/ETHNICITY (2004) White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups 50.2 % 49.8 % 7.4 % 21.1 % 58.3 % 13.1 % 76.1 6.4 % 1.2 % 36.1 % 2.6 % 17.8 % 5.1 % 28.6 % 3.6 % 14.5 % Urban Rural FAMILY INCOME (1999) Median Family Income 93.2 % 6.8 % PRINCIPAL PAYMENT SOURCE FOR BIRTH DELIVERIES (2004) Medi-Cal/Other Government 49.8 % HMO and Prepaid Plans 30.8 % 17.3 % $48,409 Private Insurance Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 134 COUNTY: Number of Deaths by: County of Residence County of Occurrence RIVERSIDE DEATHS (2004) (continued) CAUSES OF DEATH (2002-2004 Avg.) INFANT DEATHS (2004) Number of Infant Deaths (Under 1 Year of Age) Infant Death Rate (Deaths per 1,000 Live Births) 160 13,638 Crude Death Rate per 100,000 Population by Cause of Death: 12,931 Heart Disease Cancer (All Types) Stroke Chronic Lower Respiratory Disease Unintentional Injuries Pneumonia and Influenza Diabetes Mellitus Alzheimer's Disease Chronic Liver Disease/Cirrhosis Suicide Homicide Hypertension/Hypertensive Renal Disease Nephritis 235.3 170.4 55.2 53.2 35.2 19.7 16.2 22.6 10.6 9.5 6.0 7.0 8.6 5.4 Crude Death Rate (Deaths per 1,000 Population) AGE-ADJUSTED DEATH RATE (2002-2004 Avg.) Age-Adjusted Deaths per 100,000 Population AGE-SPECIFIC DEATH RATES (2002-2004 Avg.) Deaths per 100,000 Population: 1 to 4 Years Old 5 to 14 Years Old 15 to 24 Years Old 25 to 34 Years Old 35 to 44 Years Old 45 to 54 Years Old 55 to 64 Years Old 65 to 74 Years Old 75 to 84 Years Old 85 and Older 7.5 INFANT DEATH RATES (2003 Birth Cohort) Infant Deaths per 1,000 Live Births by Mother's Race/Ethnicity: All Race/Ethnic Groups White Black Hispanic Asian/Pacific Islander 6.7 6.3 12.7 6.6 a 757.8 33.3 16.1 72.4 102.1 189.0 428.5 936.7 1,985.1 4,832.5 13,150.8 Number of Neonatal Deaths (Under 28 Days of Age) Neonatal Death Rate (Deaths per 1,000 Live Births) 93 FETAL AND NEONATAL DEATHS (2004) Number of Fetal Deaths Fetal Death Ratio (Deaths per 1,000 Live Births) 161 PERINATAL DEATHS (2003 Birth Cohort) Number of Perinatal Deaths (Neonatal Plus Fetal) 291 Perinatal Death Rate by Mother's Race/Ethnicity: All Race/Ethnic Groups White 5.4 Black Hispanic Asian/Pacific Islander 3.1 17.9 10.0 7.3 * 10.3 10.0 Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services See Section III for data definitions, sources, and notes. 135 COUNTY: RIVERSIDE (continued) SELECTED COUNTY HEALTH INDICATORS MEDI-CAL (continued) (2003) Age-Adjusted Death Rate Per 100,000 Population (2002-2004 Avg.): Medi-Cal Deliveries by: Work-Related Injury Deaths 22.0 County of Beneficiary 13,133 Mortality Rate 1.3 Fee-for-Service (FFS) 9,548 Drug-Induced Deaths 169.7 Managed Care 3,585 Mortality Rate 10.4 Total Medi-Cal FFS Abortions 1,312 Homicide by Weapons (2003) 93 Homicide by Handguns 41 Medi-Cal Physicians/Dentists Paid: Physicians 779 Kindergarten Students Needing One Dentists 273 or More Immunizations (2005) 1,063 Percent of All Kindergarten Students 3.5 % MEDI-CAL DATA MEDI-CAL MANAGED CARE ENROLLEES (7/03) (Avg. Monthly, 2003) Medi-Cal Users (FFS): 84,412 Total Managed Care Enrollees 141,432 Percent of County Population 4.8 % Percent of Eligibles (FFS) 32.1 % DENTI-CAL SERVICES (2003) Average Monthly Users (FFS) 14,357 Total Medi-Cal Eligibles: 262,774 Percent of County Population 14.9 % MEDI-CAL/MEDICARE (2003) Percent of Medi-Cal Eligibles Medi-Cal Payments (FFS) : Who Are Also Eligible Amount $53,427,827 for Medicare 14.1 % Average Amount per User $633 MEDICARE ENROLLEES (2003) Total Medicare Enrollees Number 219,960 MEDI-CAL ELIGIBLES BY RACE/ETHNICITY Percent of County Population 12.5 % (2003) White 29.4 % Black 9.5 % Enrollees Aged 65+: Hispanic 52.7 % Number 192,964 American Indian/Alaska Native 0.5 % Percent of County Population 11.0 % Asian/Pacific Islander 3.3 % Not Reported 4.6 % Disability Beneficiaries: Number 26,996 Percent of County Population 1.5 % See Section III for data definitions, sources, and notes. REPORTED COMMUNICABLE DISEASES (2002-2004 Avg.) Number and Crude Case Rate per 100,000 Population DISEASE Hepatitis Measles Shigellosis Tuberculosis Syphilis Chlamydia Gonorrhea CASES 91.7 0.0 65.3 72.7 71.0 3,750.3 715.0 RATE 5.2 0.00 + 3.7 4.1 4.0 213.2 40.7 CUMULATIVE AIDS CASES AND DEATHS 1981 through December 2005 AIDS Cases 5,057 Number of Deaths Percent of Total AIDS Cases Resulting in Death 2,268 44.8 % SELECTED COUNTY HEALTH INDICATORS Persons Injured in Traffic Accidents County of Occurrence (2003) 15,105 Substance Abuse Treatment Admissions (2004): Methamphetamine 4,437 Cocaine 346 Marijuana 701 Alcohol 1,193 Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 136 COUNTY: RIVERSIDE (continued) HOSPITALS (2004) Number of General Acute Care (GAC) Hospitals 79.3 % Number of Licensed GAC Beds 2,737 HOSPITAL UTILIZATION (2004) Number of GAC Discharges from GAC Hospitals 149,531 Average GAC Occupancy Rate in GAC Hospitals 48 4,466 LTC (2004) Number of LTC Discharges from LTC Facilities Average Occupancy Rate of LTC Facilities and Hospitals with LTC Beds Average GAC Length of Stay in GAC Hospitals (Days) 16 HOSPICE CARE (12/04) Number of Freestanding Hospice Care Facilities 4 PROGRAM CLIENTS/SERVICES Percent Infants Breastfed During Early Postpartum (2002-2004 Average) Family Planning Clients by All Funding Sources (FY 2004-2005) Women and Children under Age 5 Receiving WIC Services (2/06) Child Health & Disability Prevention Clients Served (FY 2003-2004) Number of Providers (3/06) California Children's Services Cases (FY 2004-2005 Annualized Quarter) Developmental Disability Clients (7/05) Rehabilitation Clients (FY 2004-2005) Mental Health Serivces (2004-2005) State Hospital Admissions Clients Receiving County Serivces Persons Receiving Preventive Health Care for the Aging Services (FY 2004-2005) Assessment Clients Other Client Services 67,439 Number of Licensed GAC Beds per 1,000 Population LTC (2004) Number of Long Term Care Facilities and Hospitals with LTC Beds Number of Licensed LTC Beds 1.5 60.4 61,380 4.1 78,869 130 Number of Licensed Beds per 1,000 Population PHYSICIANS (FY 2004-2005) Number of Licensed Physicians Average Number of Persons per Physician DENTISTS (3/06) Number of Licensed Dentists Average Number of Persons per Dentist 2.5 17,688 7,578 2,577 704 79.4 8,883 4,072 919 2,102 185 29,601 CLINICS (12/04) Number of Licensed Community and Free Clinics Number of Specialty Clinics 23 58 0 0 HOME HEALTH AGENCIES (12/04) Number of Licensed Home Health Agencies 39 See Section III for data definitions, sources, and notes. Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 137 COUNTY: 2000 Census Population Projection Year 2004 Projection Year 2010 Projection Year 2020 SACRAMENTO TOTAL POPULATION 1,223,499 1,363,248 1,555,848 1,946,679 PERCENT BELOW POVERTY LEVEL (1999) Total Population 14.1 % Children under 6 Persons Aged 65+ White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups HOUSING VALUE (2000) Median Housing-Unit Value CALWORKS (1/05) CalWORKs Recipients as a Percent of County Population SSI/SSP (2004) SSI/SSP Recipients as a Percent of County Population 49.9 10.8 19.8 14.5 1.6 3.3 % % % % % % UNEMPLOYMENT (2005) Percent of Civilian Labor Force Unemployed EDUCATION Percent of Persons Aged 25+ Not Finishing High School (2000) Enrollment K-12 (2004-2005) URBAN/RURAL (2000) 13.2 % 5.1 % 11.4 23.7 19.5 20.6 20.9 17.7 $144,200 % % % % % % LIVE BIRTHS (2004) Number of Live Births by: County of Residence County of Occurrence Birth Rate (Births per 1,000 Population) Fertility rate (Births per 1,000 Females Aged 15-44, 2002-2004 Avg.) Low Birthweight (Under 2,500 Grams) Very Low Birthweight (Under 1,500 Grams) Unmarried 5.6 % Cesarean Section Delivery Mothers Who Gave Birth Outside County of Residence Mothers with Less Than 12 Years Education Teenage Mothers (Under 18) 16.7 % 258,173 Percent of Births by Mother's Race/Ethnicity: White 42.8 % Black 9.7 % Hispanic 28.1 % Asian/Pacific Islander 15.9 % American Indian/Alaska Native 0.5 % 2 Or More Race Groups 3.0 % See Section III for data definitions, sources, and notes. Mothers with No First Trimester Prenatal Care 25.9 % 20,836 23,440 15.3 AGE (2004) Under Age 5 Age 5-17 Age 18-64 Age 65+ SEX (2004) Females Males RACE/ETHNICITY (2004) White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups 51.0 % 49.0 % 7.1 % 19.3 % 62.7 % 10.9 % 67.3 6.9 % 1.3 % 33.4 % 4.1 % 7.7 % 4.8 % 20.1 % 2.8 % 18.2 % Urban Rural FAMILY INCOME (1999) Median Family Income 97.6 % 2.4 % PRINCIPAL PAYMENT SOURCE FOR BIRTH DELIVERIES (2004) Medi-Cal/Other Government 42.4 % HMO and Prepaid Plans 35.2 % 21.7 % $50,717 Private Insurance Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 138 COUNTY: Number of Deaths by: County of Residence County of Occurrence SACRAMENTO DEATHS (2004) (continued) CAUSES OF DEATH (2002-2004 Avg.) INFANT DEATHS (2004) Number of Infant Deaths (Under 1 Year of Age) Infant Death Rate (Deaths per 1,000 Live Births) 114 9,634 Crude Death Rate per 100,000 Population by Cause of Death: 10,121 Heart Disease Cancer (All Types) Stroke Chronic Lower Respiratory Disease Unintentional Injuries Pneumonia and Influenza Diabetes Mellitus Alzheimer's Disease Chronic Liver Disease/Cirrhosis Suicide Homicide Hypertension/Hypertensive Renal Disease Nephritis 199.5 167.2 59.7 42.9 32.8 24.7 18.6 18.7 10.5 11.9 6.6 6.8 4.4 5.5 Crude Death Rate (Deaths per 1,000 Population) AGE-ADJUSTED DEATH RATE (2002-2004 Avg.) Age-Adjusted Deaths per 100,000 Population AGE-SPECIFIC DEATH RATES (2002-2004 Avg.) Deaths per 100,000 Population: 1 to 4 Years Old 5 to 14 Years Old 15 to 24 Years Old 25 to 34 Years Old 35 to 44 Years Old 45 to 54 Years Old 55 to 64 Years Old 65 to 74 Years Old 75 to 84 Years Old 85 and Older 7.1 INFANT DEATH RATES (2003 Birth Cohort) Infant Deaths per 1,000 Live Births by Mother's Race/Ethnicity: All Race/Ethnic Groups White Black Hispanic Asian/Pacific Islander 5.1 3.8 11.0 5.3 4.4 * 786.3 29.0 15.5 79.7 80.2 210.1 454.2 974.5 2,192.9 5,205.4 12,537.2 Number of Neonatal Deaths (Under 28 Days of Age) Neonatal Death Rate (Deaths per 1,000 Live Births) 73 FETAL AND NEONATAL DEATHS (2004) Number of Fetal Deaths Fetal Death Ratio (Deaths per 1,000 Live Births) 129 PERINATAL DEATHS (2003 Birth Cohort) Number of Perinatal Deaths (Neonatal Plus Fetal) 199 Perinatal Death Rate by Mother's Race/Ethnicity: All Race/Ethnic Groups White 6.2 Black Hispanic Asian/Pacific Islander 3.5 18.6 8.9 8.2 9.7 8.2 Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services See Section III for data definitions, sources, and notes. 139 COUNTY: SACRAMENTO (continued) SELECTED COUNTY HEALTH INDICATORS MEDI-CAL (continued) (2003) Age-Adjusted Death Rate Per 100,000 Population (2002-2004 Avg.): Medi-Cal Deliveries by: Work-Related Injury Deaths 11.0 County of Beneficiary 8,185 Mortality Rate 0.8 * Fee-for-Service (FFS) 4,010 Drug-Induced Deaths 181.7 Managed Care 4,175 Mortality Rate 14.0 Total Medi-Cal FFS Abortions 2,011 Homicide by Weapons (2003) 92 Homicide by Handguns 38 Medi-Cal Physicians/Dentists Paid: Physicians 483 Kindergarten Students Needing One Dentists 159 or More Immunizations (2005) 1,685 Percent of All Kindergarten Students 9.0 % MEDI-CAL DATA MEDI-CAL MANAGED CARE ENROLLEES (7/03) (Avg. Monthly, 2003) Medi-Cal Users (FFS): 66,926 Total Managed Care Enrollees 162,373 Percent of County Population 5.0 % Percent of Eligibles (FFS) 25.8 % DENTI-CAL SERVICES (2003) Average Monthly Users (FFS) 4,560 Total Medi-Cal Eligibles: 259,378 Percent of County Population 19.5 % MEDI-CAL/MEDICARE (2003) Percent of Medi-Cal Eligibles Medi-Cal Payments (FFS) : Who Are Also Eligible Amount $40,508,366 for Medicare 13.1 % Average Amount per User $605 MEDICARE ENROLLEES (2003) Total Medicare Enrollees Number 160,696 MEDI-CAL ELIGIBLES BY RACE/ETHNICITY Percent of County Population 12.1 % (2003) White 38.3 % Black 19.2 % Enrollees Aged 65+: Hispanic 19.1 % Number 133,617 American Indian/Alaska Native 0.5 % Percent of County Population 10.0 % Asian/Pacific Islander 18.1 % Not Reported 4.7 % Disability Beneficiaries: Number 27,079 Percent of County Population 2.0 % See Section III for data definitions, sources, and notes. REPORTED COMMUNICABLE DISEASES (2002-2004 Avg.) Number and Crude Case Rate per 100,000 Population DISEASE Hepatitis Measles Shigellosis Tuberculosis Syphilis Chlamydia Gonorrhea CASES 39.0 0.0 41.3 139.3 15.3 5,417.3 1,713.3 RATE 2.9 0.00 + 3.1 10.5 1.2 * 406.8 128.7 CUMULATIVE AIDS CASES AND DEATHS 1981 through December 2005 AIDS Cases 3,337 Number of Deaths Percent of Total AIDS Cases Resulting in Death 1,957 58.6 % SELECTED COUNTY HEALTH INDICATORS Persons Injured in Traffic Accidents County of Occurrence (2003) 14,591 Substance Abuse Treatment Admissions (2004): Methamphetamine 2,448 Cocaine 746 Marijuana 1,036 Alcohol 1,232 Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 140 COUNTY: SACRAMENTO (continued) HOSPITALS (2004) Number of General Acute Care (GAC) Hospitals 81.6 % Number of Licensed GAC Beds 2,572 HOSPITAL UTILIZATION (2004) Number of GAC Discharges from GAC Hospitals 142,974 Average GAC Occupancy Rate in GAC Hospitals 34 3,448 LTC (2004) Number of LTC Discharges from LTC Facilities Average Occupancy Rate of LTC Facilities and Hospitals with LTC Beds Average GAC Length of Stay in GAC Hospitals (Days) 11 HOSPICE CARE (12/04) Number of Freestanding Hospice Care Facilities 4 PROGRAM CLIENTS/SERVICES Percent Infants Breastfed During Early Postpartum (2002-2004 Average) Family Planning Clients by All Funding Sources (FY 2004-2005) Women and Children under Age 5 Receiving WIC Services (2/06) Child Health & Disability Prevention Clients Served (FY 2003-2004) Number of Providers (3/06) California Children's Services Cases (FY 2004-2005 Annualized Quarter) Developmental Disability Clients (7/05) Rehabilitation Clients (FY 2004-2005) Mental Health Serivces (2004-2005) State Hospital Admissions Clients Receiving County Serivces Persons Receiving Preventive Health Care for the Aging Services (FY 2004-2005) Assessment Clients Other Client Services 44,534 Number of Licensed GAC Beds per 1,000 Population LTC (2004) Number of Long Term Care Facilities and Hospitals with LTC Beds Number of Licensed LTC Beds 1.9 68.8 37,713 4.5 80,615 118 Number of Licensed Beds per 1,000 Population PHYSICIANS (FY 2004-2005) Number of Licensed Physicians Average Number of Persons per Physician DENTISTS (3/06) Number of Licensed Dentists Average Number of Persons per Dentist 2.5 8,075 5,510 3,803 358 82.3 8,832 3,597 1,015 1,359 93 30,987 CLINICS (12/04) Number of Licensed Community and Free Clinics Number of Specialty Clinics 16 32 0 0 HOME HEALTH AGENCIES (12/04) Number of Licensed Home Health Agencies 25 See Section III for data definitions, sources, and notes. Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 141 COUNTY: 2000 Census Population Projection Year 2004 Projection Year 2010 Projection Year 2020 SAN BENITO TOTAL POPULATION 53,234 57,637 62,530 73,547 PERCENT BELOW POVERTY LEVEL (1999) Total Population 10.0 % Children under 6 Persons Aged 65+ White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups HOUSING VALUE (2000) Median Housing-Unit Value CALWORKS (1/05) CalWORKs Recipients as a Percent of County Population SSI/SSP (2004) SSI/SSP Recipients as a Percent of County Population 45.2 1.0 49.2 2.5 0.5 1.5 % % % % % % UNEMPLOYMENT (2005) Percent of Civilian Labor Force Unemployed EDUCATION Percent of Persons Aged 25+ Not Finishing High School (2000) Enrollment K-12 (2004-2005) URBAN/RURAL (2000) 10.5 % 6.7 % 9.8 28.1 15.1 4.2 18.5 9.0 $284,000 % % % % % % LIVE BIRTHS (2004) Number of Live Births by: County of Residence County of Occurrence Birth Rate (Births per 1,000 Population) Fertility rate (Births per 1,000 Females Aged 15-44, 2002-2004 Avg.) Low Birthweight (Under 2,500 Grams) Very Low Birthweight (Under 1,500 Grams) Unmarried 3.1 % Cesarean Section Delivery Mothers Who Gave Birth Outside County of Residence Mothers with Less Than 12 Years Education Teenage Mothers (Under 18) 25.1 % 12,453 Percent of Births by Mother's Race/Ethnicity: White 26.9 % Black a Hispanic 69.0 % Asian/Pacific Islander 2.9 % American Indian/Alaska Native a 2 Or More Race Groups 0.6 % See Section III for data definitions, sources, and notes. Mothers with No First Trimester Prenatal Care 29.5 % 887 590 15.4 AGE (2004) Under Age 5 Age 5-17 Age 18-64 Age 65+ SEX (2004) Females Males RACE/ETHNICITY (2004) White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups 49.4 % 50.6 % 8.0 % 22.6 % 61.2 % 8.2 % 72.5 5.1 % a 33.6 % 1.5 % 37.3 % 7.9 % 29.7 % 2.9 % 18.0 % Urban Rural FAMILY INCOME (1999) Median Family Income 77.6 % 22.4 % PRINCIPAL PAYMENT SOURCE FOR BIRTH DELIVERIES (2004) Medi-Cal/Other Government 48.6 % HMO and Prepaid Plans 10.9 % 39.7 % $60,665 Private Insurance Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 142 COUNTY: SAN BENITO DEATHS (2004) (continued) CAUSES OF DEATH (2002-2004 Avg.) INFANT DEATHS (2004) Number of Infant Deaths (Under 1 Year of Age) Infant Death Rate (Deaths per 1,000 Live Births) 2 Number of Deaths by: County of Residence County of Occurrence Crude Death Rate (Deaths per 1,000 Population) AGE-ADJUSTED DEATH RATE (2002-2004 Avg.) Age-Adjusted Deaths per 100,000 Population AGE-SPECIFIC DEATH RATES (2002-2004 Avg.) Deaths per 100,000 Population: 1 to 4 Years Old 5 to 14 Years Old 15 to 24 Years Old 25 to 34 Years Old 35 to 44 Years Old 45 to 54 Years Old 55 to 64 Years Old 65 to 74 Years Old 75 to 84 Years Old 85 and Older 27.1 * 9.9 * 85.8 * 78.0 * 124.2 * 329.9 583.0 1,506.1 4,337.9 12,773.7 Number of Neonatal Deaths (Under 28 Days of Age) Neonatal Death Rate (Deaths per 1,000 Live Births) 1 FETAL AND NEONATAL DEATHS (2004) Number of Fetal Deaths Fetal Death Ratio (Deaths per 1,000 Live Births) 5 251 Crude Death Rate per 100,000 Population by Cause of Death: 200 Heart Disease Cancer (All Types) Stroke Chronic Lower Respiratory Disease Unintentional Injuries Pneumonia and Influenza Diabetes Mellitus Alzheimer's Disease Chronic Liver Disease/Cirrhosis Suicide Homicide Hypertension/Hypertensive Renal Disease Nephritis 117.8 98.9 33.0 27.1 30.0 16.5 9.4 5.3 8.8 8.2 2.4 4.7 5.3 a,b 4.4 637.0 * * * * * * * * * * * INFANT DEATH RATES (2003 Birth Cohort) Infant Deaths per 1,000 Live Births by Mother's Race/Ethnicity: All Race/Ethnic Groups White Black Hispanic Asian/Pacific Islander a,b a,b 0.0 + a,b 0.0 + PERINATAL DEATHS (2003 Birth Cohort) Number of Perinatal Deaths (Neonatal Plus Fetal) 7 Perinatal Death Rate by Mother's Race/Ethnicity: All Race/Ethnic Groups White b Black Hispanic Asian/Pacific Islander a,b 0.0 + a,b 0.0 + b a,b Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services See Section III for data definitions, sources, and notes. 143 COUNTY: SAN BENITO (continued) SELECTED COUNTY HEALTH INDICATORS MEDI-CAL (continued) (2003) Age-Adjusted Death Rate Per 100,000 Population (2002-2004 Avg.): Medi-Cal Deliveries by: Work-Related Injury Deaths 0.7 County of Beneficiary 350 Mortality Rate 1.2 * Fee-for-Service (FFS) 350 Drug-Induced Deaths 4.7 Managed Care 0 Mortality Rate 8.3 * Total Medi-Cal FFS Abortions 132 Homicide by Weapons (2003) 0 Homicide by Handguns 0 Medi-Cal Physicians/Dentists Paid: Physicians 28 Kindergarten Students Needing One Dentists 10 or More Immunizations (2005) 22 Percent of All Kindergarten Students 2.3 % MEDI-CAL DATA MEDI-CAL MANAGED CARE ENROLLEES (7/03) (Avg. Monthly, 2003) Medi-Cal Users (FFS): 3,502 Total Managed Care Enrollees 0 Percent of County Population 6.2 % Percent of Eligibles (FFS) 50.6 % DENTI-CAL SERVICES (2003) Average Monthly Users (FFS) 271 Total Medi-Cal Eligibles: 6,918 Percent of County Population 12.2 % MEDI-CAL/MEDICARE (2003) Percent of Medi-Cal Eligibles Medi-Cal Payments (FFS) : Who Are Also Eligible Amount $1,812,205 for Medicare 13.4 % Average Amount per User $517 MEDICARE ENROLLEES (2003) Total Medicare Enrollees Number 4,844 MEDI-CAL ELIGIBLES BY RACE/ETHNICITY Percent of County Population 8.6 % (2003) White 18.8 % Black 0.9 % Enrollees Aged 65+: Hispanic 75.2 % Number 4,224 American Indian/Alaska Native 0.3 % Percent of County Population 7.5 % Asian/Pacific Islander 1.4 % Not Reported 3.3 % Disability Beneficiaries: Number 620 Percent of County Population 1.1 % See Section III for data definitions, sources, and notes. REPORTED COMMUNICABLE DISEASES (2002-2004 Avg.) Number and Crude Case Rate per 100,000 Population DISEASE Hepatitis Measles Shigellosis Tuberculosis Syphilis Chlamydia Gonorrhea CASES 0.7 0.0 4.3 2.3 0.0 124.0 24.7 RATE 1.2 * 0.00 + 7.7 * 4.1 * 0.0 + 219.1 43.6 CUMULATIVE AIDS CASES AND DEATHS 1981 through December 2005 AIDS Cases 40 Number of Deaths Percent of Total AIDS Cases Resulting in Death 19 47.5 % SELECTED COUNTY HEALTH INDICATORS Persons Injured in Traffic Accidents County of Occurrence (2003) 334 Substance Abuse Treatment Admissions (2004): Methamphetamine Cocaine Marijuana Alcohol 140 9 63 47 Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 144 COUNTY: SAN BENITO (continued) HOSPITALS (2004) Number of General Acute Care (GAC) Hospitals 86.8 % Number of Licensed GAC Beds 49 HOSPITAL UTILIZATION (2004) Number of GAC Discharges from GAC Hospitals 2,558 Average GAC Occupancy Rate in GAC Hospitals 0 0 LTC (2004) Number of LTC Discharges from LTC Facilities Average Occupancy Rate of LTC Facilities and Hospitals with LTC Beds Average GAC Length of Stay in GAC Hospitals (Days) 2 HOSPICE CARE (12/04) Number of Freestanding Hospice Care Facilities 0 PROGRAM CLIENTS/SERVICES Percent Infants Breastfed During Early Postpartum (2002-2004 Average) Family Planning Clients by All Funding Sources (FY 2004-2005) Women and Children under Age 5 Receiving WIC Services (2/06) Child Health & Disability Prevention Clients Served (FY 2003-2004) Number of Providers (3/06) California Children's Services Cases (FY 2004-2005 Annualized Quarter) Developmental Disability Clients (7/05) Rehabilitation Clients (FY 2004-2005) Mental Health Serivces (2004-2005) State Hospital Admissions Clients Receiving County Serivces Persons Receiving Preventive Health Care for the Aging Services (FY 2004-2005) Assessment Clients Other Client Services 2,342 Number of Licensed GAC Beds per 1,000 Population LTC (2004) Number of Long Term Care Facilities and Hospitals with LTC Beds Number of Licensed LTC Beds 0.9 42.3 2,045 3.0 3,413 10 Number of Licensed Beds per 1,000 Population PHYSICIANS (FY 2004-2005) Number of Licensed Physicians Average Number of Persons per Physician DENTISTS (3/06) Number of Licensed Dentists Average Number of Persons per Dentist 0.0 0 270 37 1,558 0.0 216 133 21 2,748 4 1,294 CLINICS (12/04) Number of Licensed Community and Free Clinics Number of Specialty Clinics 1 0 0 0 HOME HEALTH AGENCIES (12/04) Number of Licensed Home Health Agencies 2 See Section III for data definitions, sources, and notes. Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 145 COUNTY: 2000 Census Population Projection Year 2004 Projection Year 2010 Projection Year 2020 SAN BERNARDINO TOTAL POPULATION 1,709,434 1,905,477 2,133,377 2,456,089 PERCENT BELOW POVERTY LEVEL (1999) Total Population 15.8 % Children under 6 Persons Aged 65+ White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups HOUSING VALUE (2000) Median Housing-Unit Value CALWORKS (1/05) CalWORKs Recipients as a Percent of County Population SSI/SSP (2004) SSI/SSP Recipients as a Percent of County Population 31.5 10.2 49.1 6.7 0.7 1.8 % % % % % % UNEMPLOYMENT (2005) Percent of Civilian Labor Force Unemployed EDUCATION Percent of Persons Aged 25+ Not Finishing High School (2000) Enrollment K-12 (2004-2005) URBAN/RURAL (2000) 15.0 % 4.5 % 14.9 23.0 20.7 14.1 24.1 18.3 $131,500 % % % % % % LIVE BIRTHS (2004) Number of Live Births by: County of Residence County of Occurrence Birth Rate (Births per 1,000 Population) Fertility rate (Births per 1,000 Females Aged 15-44, 2002-2004 Avg.) Low Birthweight (Under 2,500 Grams) Very Low Birthweight (Under 1,500 Grams) Unmarried 4.6 % Cesarean Section Delivery Mothers Who Gave Birth Outside County of Residence Mothers with Less Than 12 Years Education Teenage Mothers (Under 18) 25.8 % 444,224 Percent of Births by Mother's Race/Ethnicity: White 27.3 % Black 8.2 % Hispanic 57.5 % Asian/Pacific Islander 5.4 % American Indian/Alaska Native 0.3 % 2 Or More Race Groups 1.3 % See Section III for data definitions, sources, and notes. Mothers with No First Trimester Prenatal Care 29.6 % 31,914 27,259 16.7 AGE (2004) Under Age 5 Age 5-17 Age 18-64 Age 65+ SEX (2004) Females Males RACE/ETHNICITY (2004) White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups 50.0 % 50.0 % 7.4 % 22.6 % 61.4 % 8.6 % 72.1 7.2 % 1.4 % 40.8 % 3.3 % 23.0 % 5.0 % 30.0 % 4.1 % 17.2 % Urban Rural FAMILY INCOME (1999) Median Family Income 94.4 % 5.6 % PRINCIPAL PAYMENT SOURCE FOR BIRTH DELIVERIES (2004) Medi-Cal/Other Government 52.4 % HMO and Prepaid Plans 31.8 % 14.3 % $46,574 Private Insurance Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 146 COUNTY: Number of Deaths by: County of Residence County of Occurrence SAN BERNARDINO DEATHS (2004) (continued) CAUSES OF DEATH (2002-2004 Avg.) INFANT DEATHS (2004) Number of Infant Deaths (Under 1 Year of Age) Infant Death Rate (Deaths per 1,000 Live Births) 219 11,912 Crude Death Rate per 100,000 Population by Cause of Death: 12,319 Heart Disease Cancer (All Types) Stroke Chronic Lower Respiratory Disease Unintentional Injuries Pneumonia and Influenza Diabetes Mellitus Alzheimer's Disease Chronic Liver Disease/Cirrhosis Suicide Homicide Hypertension/Hypertensive Renal Disease Nephritis 184.9 134.8 37.9 43.5 27.3 17.8 21.6 13.7 11.5 9.7 8.8 7.8 8.1 6.9 Crude Death Rate (Deaths per 1,000 Population) AGE-ADJUSTED DEATH RATE (2002-2004 Avg.) Age-Adjusted Deaths per 100,000 Population AGE-SPECIFIC DEATH RATES (2002-2004 Avg.) Deaths per 100,000 Population: 1 to 4 Years Old 5 to 14 Years Old 15 to 24 Years Old 25 to 34 Years Old 35 to 44 Years Old 45 to 54 Years Old 55 to 64 Years Old 65 to 74 Years Old 75 to 84 Years Old 85 and Older 6.3 INFANT DEATH RATES (2003 Birth Cohort) Infant Deaths per 1,000 Live Births by Mother's Race/Ethnicity: All Race/Ethnic Groups White Black Hispanic Asian/Pacific Islander 7.2 7.1 13.5 6.5 5.5 * 889.3 41.1 18.0 76.5 100.8 204.1 475.1 1,019.5 2,404.8 6,097.2 14,906.1 Number of Neonatal Deaths (Under 28 Days of Age) Neonatal Death Rate (Deaths per 1,000 Live Births) 163 FETAL AND NEONATAL DEATHS (2004) Number of Fetal Deaths Fetal Death Ratio (Deaths per 1,000 Live Births) 166 PERINATAL DEATHS (2003 Birth Cohort) Number of Perinatal Deaths (Neonatal Plus Fetal) 304 Perinatal Death Rate by Mother's Race/Ethnicity: All Race/Ethnic Groups White 5.2 Black Hispanic Asian/Pacific Islander 5.1 18.1 9.5 7.9 * 9.8 8.5 Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services See Section III for data definitions, sources, and notes. 147 COUNTY: SAN BERNARDINO (continued) SELECTED COUNTY HEALTH INDICATORS MEDI-CAL (continued) (2003) Age-Adjusted Death Rate Per 100,000 Population (2002-2004 Avg.): Medi-Cal Deliveries by: Work-Related Injury Deaths 26.0 County of Beneficiary 14,970 Mortality Rate 1.5 Fee-for-Service (FFS) 10,036 Drug-Induced Deaths 175.0 Managed Care 4,934 Mortality Rate 10.1 Total Medi-Cal FFS Abortions 1,855 Homicide by Weapons (2003) 165 Homicide by Handguns 105 Medi-Cal Physicians/Dentists Paid: Physicians 683 Kindergarten Students Needing One Dentists 370 or More Immunizations (2005) 1,180 Percent of All Kindergarten Students 3.7 % MEDI-CAL DATA MEDI-CAL MANAGED CARE ENROLLEES (7/03) (Avg. Monthly, 2003) Medi-Cal Users (FFS): 113,611 Total Managed Care Enrollees 182,290 Percent of County Population 6.1 % Percent of Eligibles (FFS) 32.8 % DENTI-CAL SERVICES (2003) Average Monthly Users (FFS) 20,546 Total Medi-Cal Eligibles: 346,140 Percent of County Population 18.5 % MEDI-CAL/MEDICARE (2003) Percent of Medi-Cal Eligibles Medi-Cal Payments (FFS) : Who Are Also Eligible Amount $70,405,342 for Medicare 12.2 % Average Amount per User $620 MEDICARE ENROLLEES (2003) Total Medicare Enrollees Number 179,248 MEDI-CAL ELIGIBLES BY RACE/ETHNICITY Percent of County Population 9.6 % (2003) White 28.8 % Black 15.0 % Enrollees Aged 65+: Hispanic 47.2 % Number 148,115 American Indian/Alaska Native 0.5 % Percent of County Population 7.9 % Asian/Pacific Islander 4.2 % Not Reported 4.4 % Disability Beneficiaries: Number 31,133 Percent of County Population 1.7 % See Section III for data definitions, sources, and notes. REPORTED COMMUNICABLE DISEASES (2002-2004 Avg.) Number and Crude Case Rate per 100,000 Population DISEASE Hepatitis Measles Shigellosis Tuberculosis Syphilis Chlamydia Gonorrhea CASES 53.3 0.0 84.7 65.7 15.0 6,809.0 1,747.7 RATE 2.9 0.00 + 4.5 3.5 0.8 * 364.3 93.5 CUMULATIVE AIDS CASES AND DEATHS 1981 through December 2005 AIDS Cases 3,310 Number of Deaths Percent of Total AIDS Cases Resulting in Death 1,840 55.6 % SELECTED COUNTY HEALTH INDICATORS Persons Injured in Traffic Accidents County of Occurrence (2003) 17,022 Substance Abuse Treatment Admissions (2004): Methamphetamine 6,378 Cocaine 756 Marijuana 1,495 Alcohol 1,927 Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 148 COUNTY: SAN BERNARDINO (continued) HOSPITALS (2004) Number of General Acute Care (GAC) Hospitals 20 3,457 HOSPICE CARE (12/04) Number of Freestanding Hospice Care Facilities 9 PROGRAM CLIENTS/SERVICES Percent Infants Breastfed During Early Postpartum (2002-2004 Average) Family Planning Clients by All Funding Sources (FY 2004-2005) Women and Children under Age 5 Receiving WIC Services (2/06) Child Health & Disability Prevention Clients Served (FY 2003-2004) Number of Providers (3/06) California Children's Services Cases (FY 2004-2005 Annualized Quarter) Developmental Disability Clients (7/05) Rehabilitation Clients (FY 2004-2005) Mental Health Serivces (2004-2005) State Hospital Admissions Clients Receiving County Serivces Persons Receiving Preventive Health Care for the Aging Services (FY 2004-2005) Assessment Clients Other Client Services 76.5 % Number of Licensed GAC Beds 71,786 Number of Licensed GAC Beds per 1,000 Population LTC (2004) Number of Long Term Care Facilities and Hospitals with LTC Beds Number of Licensed LTC Beds HOSPITAL UTILIZATION (2004) Number of GAC Discharges from GAC Hospitals 166,633 Average GAC Occupancy Rate in GAC Hospitals 49 4,869 LTC (2004) Number of LTC Discharges from LTC Facilities Average Occupancy Rate of LTC Facilities and Hospitals with LTC Beds Average GAC Length of Stay in GAC Hospitals (Days) 1.8 62.3 74,471 4.7 102,492 190 Number of Licensed Beds per 1,000 Population PHYSICIANS (FY 2004-2005) Number of Licensed Physicians Average Number of Persons per Physician DENTISTS (3/06) Number of Licensed Dentists Average Number of Persons per Dentist 2.6 13,771 10,125 3,173 601 70.4 10,846 4,863 1,080 1,831 237 34,478 CLINICS (12/04) Number of Licensed Community and Free Clinics Number of Specialty Clinics 16 39 527 804 HOME HEALTH AGENCIES (12/04) Number of Licensed Home Health Agencies 57 See Section III for data definitions, sources, and notes. Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 149 COUNTY: 2000 Census Population Projection Year 2004 Projection Year 2010 Projection Year 2020 SAN DIEGO TOTAL POPULATION 2,813,833 3,024,720 3,258,951 3,633,572 PERCENT BELOW POVERTY LEVEL (1999) Total Population 12.4 % Children under 6 Persons Aged 65+ White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups HOUSING VALUE (2000) Median Housing-Unit Value CALWORKS (1/05) CalWORKs Recipients as a Percent of County Population SSI/SSP (2004) SSI/SSP Recipients as a Percent of County Population 50.8 5.5 30.5 10.1 0.7 2.4 % % % % % % UNEMPLOYMENT (2005) Percent of Civilian Labor Force Unemployed EDUCATION Percent of Persons Aged 25+ Not Finishing High School (2000) Enrollment K-12 (2004-2005) URBAN/RURAL (2000) 12.1 % 6.1 % 11.8 18.4 22.0 11.4 19.4 16.5 $227,200 % % % % % % LIVE BIRTHS (2004) Number of Live Births by: County of Residence County of Occurrence Birth Rate (Births per 1,000 Population) Fertility rate (Births per 1,000 Females Aged 15-44, 2002-2004 Avg.) Low Birthweight (Under 2,500 Grams) Very Low Birthweight (Under 1,500 Grams) Unmarried 2.0 % Cesarean Section Delivery Mothers Who Gave Birth Outside County of Residence Mothers with Less Than 12 Years Education Teenage Mothers (Under 18) 17.4 % 539,399 Percent of Births by Mother's Race/Ethnicity: White 40.3 % Black 4.5 % Hispanic 43.2 % Asian/Pacific Islander 9.9 % American Indian/Alaska Native 0.5 % 2 Or More Race Groups 1.6 % See Section III for data definitions, sources, and notes. Mothers with No First Trimester Prenatal Care 28.8 % 45,758 47,949 15.1 AGE (2004) Under Age 5 Age 5-17 Age 18-64 Age 65+ SEX (2004) Females Males RACE/ETHNICITY (2004) White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups 49.8 % 50.2 % 6.6 % 17.1 % 65.5 % 10.8 % 65.9 6.5 % 1.2 % 28.9 % 2.6 % 0.9 % 4.3 % 20.7 % 2.6 % 12.3 % Urban Rural FAMILY INCOME (1999) Median Family Income 96.1 % 3.9 % PRINCIPAL PAYMENT SOURCE FOR BIRTH DELIVERIES (2004) Medi-Cal/Other Government 43.9 % HMO and Prepaid Plans 30.0 % 19.5 % $53,438 Private Insurance Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 150 COUNTY: Number of Deaths by: County of Residence County of Occurrence SAN DIEGO DEATHS (2004) (continued) CAUSES OF DEATH (2002-2004 Avg.) INFANT DEATHS (2004) Number of Infant Deaths (Under 1 Year of Age) Infant Death Rate (Deaths per 1,000 Live Births) 246 19,701 Crude Death Rate per 100,000 Population by Cause of Death: 20,250 Heart Disease Cancer (All Types) Stroke Chronic Lower Respiratory Disease Unintentional Injuries Pneumonia and Influenza Diabetes Mellitus Alzheimer's Disease Chronic Liver Disease/Cirrhosis Suicide Homicide Hypertension/Hypertensive Renal Disease Nephritis 177.8 155.3 49.1 35.0 27.4 18.3 16.8 33.7 9.4 10.5 4.1 7.9 5.1 5.4 Crude Death Rate (Deaths per 1,000 Population) AGE-ADJUSTED DEATH RATE (2002-2004 Avg.) Age-Adjusted Deaths per 100,000 Population AGE-SPECIFIC DEATH RATES (2002-2004 Avg.) Deaths per 100,000 Population: 1 to 4 Years Old 5 to 14 Years Old 15 to 24 Years Old 25 to 34 Years Old 35 to 44 Years Old 45 to 54 Years Old 55 to 64 Years Old 65 to 74 Years Old 75 to 84 Years Old 85 and Older 6.5 INFANT DEATH RATES (2003 Birth Cohort) Infant Deaths per 1,000 Live Births by Mother's Race/Ethnicity: All Race/Ethnic Groups White Black Hispanic Asian/Pacific Islander 4.9 4.9 11.0 4.1 4.9 725.9 23.9 13.2 56.1 66.5 148.4 362.8 751.9 1,899.4 4,863.6 13,962.6 Number of Neonatal Deaths (Under 28 Days of Age) Neonatal Death Rate (Deaths per 1,000 Live Births) 181 FETAL AND NEONATAL DEATHS (2004) Number of Fetal Deaths Fetal Death Ratio (Deaths per 1,000 Live Births) 224 PERINATAL DEATHS (2003 Birth Cohort) Number of Perinatal Deaths (Neonatal Plus Fetal) 361 Perinatal Death Rate by Mother's Race/Ethnicity: All Race/Ethnic Groups White 4.9 Black Hispanic Asian/Pacific Islander 4.0 16.8 7.7 7.8 7.9 7.1 Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services See Section III for data definitions, sources, and notes. 151 COUNTY: SAN DIEGO (continued) SELECTED COUNTY HEALTH INDICATORS MEDI-CAL (continued) (2003) Age-Adjusted Death Rate Per 100,000 Population (2002-2004 Avg.): Medi-Cal Deliveries by: Work-Related Injury Deaths 32.7 County of Beneficiary 14,362 Mortality Rate 1.1 Fee-for-Service (FFS) 10,259 Drug-Induced Deaths 308.0 Managed Care 4,103 Mortality Rate 10.3 Total Medi-Cal FFS Abortions 3,056 Homicide by Weapons (2003) 127 Homicide by Handguns 57 Medi-Cal Physicians/Dentists Paid: Physicians 1,490 Kindergarten Students Needing One Dentists 509 or More Immunizations (2005) 1,583 Percent of All Kindergarten Students 3.9 % MEDI-CAL DATA MEDI-CAL MANAGED CARE ENROLLEES (7/03) (Avg. Monthly, 2003) Medi-Cal Users (FFS): 134,301 Total Managed Care Enrollees 175,288 Percent of County Population 4.5 % Percent of Eligibles (FFS) 39.4 % DENTI-CAL SERVICES (2003) Average Monthly Users (FFS) 19,380 Total Medi-Cal Eligibles: 341,159 Percent of County Population 11.4 % MEDI-CAL/MEDICARE (2003) Percent of Medi-Cal Eligibles Medi-Cal Payments (FFS) : Who Are Also Eligible Amount $88,838,434 for Medicare 18.8 % Average Amount per User $661 MEDICARE ENROLLEES (2003) Total Medicare Enrollees Number 350,167 MEDI-CAL ELIGIBLES BY RACE/ETHNICITY Percent of County Population 11.7 % (2003) White 27.8 % Black 11.1 % Enrollees Aged 65+: Hispanic 44.6 % Number 310,855 American Indian/Alaska Native 0.4 % Percent of County Population 10.4 % Asian/Pacific Islander 10.3 % Not Reported 5.8 % Disability Beneficiaries: Number 39,312 Percent of County Population 1.3 % See Section III for data definitions, sources, and notes. REPORTED COMMUNICABLE DISEASES (2002-2004 Avg.) Number and Crude Case Rate per 100,000 Population DISEASE Hepatitis Measles Shigellosis Tuberculosis Syphilis Chlamydia Gonorrhea CASES 149.0 0.3 250.7 320.7 95.0 10,520.7 2,172.0 RATE 5.0 0.01 * 8.4 10.7 3.2 352.0 72.7 CUMULATIVE AIDS CASES AND DEATHS 1981 through December 2005 AIDS Cases 12,603 Number of Deaths Percent of Total AIDS Cases Resulting in Death 6,741 53.5 % SELECTED COUNTY HEALTH INDICATORS Persons Injured in Traffic Accidents County of Occurrence (2003) 24,280 Substance Abuse Treatment Admissions (2004): Methamphetamine Cocaine Marijuana Alcohol 5,304 1,024 2,050 3,068 Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 152 COUNTY: SAN DIEGO (continued) HOSPITALS (2004) Number of General Acute Care (GAC) Hospitals 89.1 % Number of Licensed GAC Beds 4,361 HOSPITAL UTILIZATION (2004) Number of GAC Discharges from GAC Hospitals 183,047 Average GAC Occupancy Rate in GAC Hospitals 87 8,731 LTC (2004) Number of LTC Discharges from LTC Facilities Average Occupancy Rate of LTC Facilities and Hospitals with LTC Beds Average GAC Length of Stay in GAC Hospitals (Days) 21 HOSPICE CARE (12/04) Number of Freestanding Hospice Care Facilities 9 PROGRAM CLIENTS/SERVICES Percent Infants Breastfed During Early Postpartum (2002-2004 Average) Family Planning Clients by All Funding Sources (FY 2004-2005) Women and Children under Age 5 Receiving WIC Services (2/06) Child Health & Disability Prevention Clients Served (FY 2003-2004) Number of Providers (3/06) California Children's Services Cases (FY 2004-2005 Annualized Quarter) Developmental Disability Clients (7/05) Rehabilitation Clients (FY 2004-2005) Mental Health Serivces (2004-2005) State Hospital Admissions Clients Receiving County Serivces Persons Receiving Preventive Health Care for the Aging Services (FY 2004-2005) Assessment Clients Other Client Services 127,823 Number of Licensed GAC Beds per 1,000 Population LTC (2004) Number of Long Term Care Facilities and Hospitals with LTC Beds Number of Licensed LTC Beds 1.4 52.9 102,566 4.6 118,223 198 Number of Licensed Beds per 1,000 Population PHYSICIANS (FY 2004-2005) Number of Licensed Physicians Average Number of Persons per Physician DENTISTS (3/06) Number of Licensed Dentists Average Number of Persons per Dentist 2.9 23,720 10,700 8,684 348 74.1 14,361 8,102 2,430 1,258 191 46,018 CLINICS (12/04) Number of Licensed Community and Free Clinics Number of Specialty Clinics 73 62 0 0 HOME HEALTH AGENCIES (12/04) Number of Licensed Home Health Agencies 54 See Section III for data definitions, sources, and notes. Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 153 COUNTY: 2000 Census Population Projection Year 2004 Projection Year 2010 Projection Year 2020 SAN FRANCISCO TOTAL POPULATION 776,733 791,293 816,230 820,545 PERCENT BELOW POVERTY LEVEL (1999) Total Population 11.3 % Children under 6 Persons Aged 65+ White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups HOUSING VALUE (2000) Median Housing-Unit Value CALWORKS (1/05) CalWORKs Recipients as a Percent of County Population SSI/SSP (2004) SSI/SSP Recipients as a Percent of County Population 44.3 6.9 14.5 31.5 0.4 2.4 % % % % % % UNEMPLOYMENT (2005) Percent of Civilian Labor Force Unemployed EDUCATION Percent of Persons Aged 25+ Not Finishing High School (2000) Enrollment K-12 (2004-2005) URBAN/RURAL (2000) 5.4 % 12.7 % 9.4 25.1 15.6 10.9 17.6 14.3 $396,400 % % % % % % LIVE BIRTHS (2004) Number of Live Births by: County of Residence County of Occurrence Birth Rate (Births per 1,000 Population) Fertility rate (Births per 1,000 Females Aged 15-44, 2002-2004 Avg.) Low Birthweight (Under 2,500 Grams) Very Low Birthweight (Under 1,500 Grams) Unmarried 1.6 % Cesarean Section Delivery Mothers Who Gave Birth Outside County of Residence Mothers with Less Than 12 Years Education Teenage Mothers (Under 18) 18.8 % 83,133 Percent of Births by Mother's Race/Ethnicity: White 37.7 % Black 6.7 % Hispanic 20.5 % Asian/Pacific Islander 33.4 % American Indian/Alaska Native 0.2 % 2 Or More Race Groups 1.6 % See Section III for data definitions, sources, and notes. Mothers with No First Trimester Prenatal Care 24.1 % 8,579 12,832 10.8 AGE (2004) Under Age 5 Age 5-17 Age 18-64 Age 65+ SEX (2004) Females Males RACE/ETHNICITY (2004) White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups 49.1 % 50.9 % 5.1 % 10.0 % 71.1 % 13.8 % 46.2 6.6 % 1.1 % 24.4 % 5.8 % 3.4 % 5.1 % 15.8 % 1.1 % 11.7 % Urban Rural FAMILY INCOME (1999) Median Family Income 100.0 % 0.0 % PRINCIPAL PAYMENT SOURCE FOR BIRTH DELIVERIES (2004) Medi-Cal/Other Government 31.7 % HMO and Prepaid Plans 56.9 % 10.4 % $63,545 Private Insurance Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 154 COUNTY: Number of Deaths by: County of Residence County of Occurrence SAN FRANCISCO DEATHS (2004) (continued) CAUSES OF DEATH (2002-2004 Avg.) INFANT DEATHS (2004) Number of Infant Deaths (Under 1 Year of Age) Infant Death Rate (Deaths per 1,000 Live Births) 31 5,903 Crude Death Rate per 100,000 Population by Cause of Death: 6,190 Heart Disease Cancer (All Types) Stroke Chronic Lower Respiratory Disease Unintentional Injuries Pneumonia and Influenza Diabetes Mellitus Alzheimer's Disease Chronic Liver Disease/Cirrhosis Suicide Homicide Hypertension/Hypertensive Renal Disease Nephritis 204.8 185.4 67.7 33.9 28.8 34.3 17.5 16.4 9.4 11.9 7.5 6.1 6.7 3.6 Crude Death Rate (Deaths per 1,000 Population) AGE-ADJUSTED DEATH RATE (2002-2004 Avg.) Age-Adjusted Deaths per 100,000 Population AGE-SPECIFIC DEATH RATES (2002-2004 Avg.) Deaths per 100,000 Population: 1 to 4 Years Old 5 to 14 Years Old 15 to 24 Years Old 25 to 34 Years Old 35 to 44 Years Old 45 to 54 Years Old 55 to 64 Years Old 65 to 74 Years Old 75 to 84 Years Old 85 and Older 7.5 INFANT DEATH RATES (2003 Birth Cohort) Infant Deaths per 1,000 Live Births by Mother's Race/Ethnicity: All Race/Ethnic Groups White Black Hispanic Asian/Pacific Islander 3.1 2.7 * b 2.8 * 2.4 * 683.8 22.9 * 14.7 * 70.5 67.4 186.9 478.5 851.0 1,645.0 4,120.0 12,479.5 Number of Neonatal Deaths (Under 28 Days of Age) Neonatal Death Rate (Deaths per 1,000 Live Births) 23 FETAL AND NEONATAL DEATHS (2004) Number of Fetal Deaths Fetal Death Ratio (Deaths per 1,000 Live Births) 35 PERINATAL DEATHS (2003 Birth Cohort) Number of Perinatal Deaths (Neonatal Plus Fetal) 55 Perinatal Death Rate by Mother's Race/Ethnicity: All Race/Ethnic Groups White 4.1 Black Hispanic Asian/Pacific Islander 2.7 b 7.1 * 4.9 * 6.3 6.3 Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services See Section III for data definitions, sources, and notes. 155 COUNTY: SAN FRANCISCO (continued) SELECTED COUNTY HEALTH INDICATORS MEDI-CAL (continued) (2003) Age-Adjusted Death Rate Per 100,000 Population (2002-2004 Avg.): Medi-Cal Deliveries by: Work-Related Injury Deaths 4.7 County of Beneficiary 2,738 Mortality Rate 0.6 * Fee-for-Service (FFS) 1,900 Drug-Induced Deaths 138.0 Managed Care 838 Mortality Rate 15.5 Total Medi-Cal FFS Abortions 2,314 Homicide by Weapons (2003) 88 Homicide by Handguns 46 Medi-Cal Physicians/Dentists Paid: Physicians 684 Kindergarten Students Needing One Dentists 222 or More Immunizations (2005) 502 Percent of All Kindergarten Students 8.1 % MEDI-CAL DATA MEDI-CAL MANAGED CARE ENROLLEES (7/03) (Avg. Monthly, 2003) Medi-Cal Users (FFS): 59,528 Total Managed Care Enrollees 43,069 Percent of County Population 7.6 % Percent of Eligibles (FFS) 49.9 % DENTI-CAL SERVICES (2003) Average Monthly Users (FFS) 6,711 Total Medi-Cal Eligibles: 119,214 Percent of County Population 15.1 % MEDI-CAL/MEDICARE (2003) Percent of Medi-Cal Eligibles Medi-Cal Payments (FFS) : Who Are Also Eligible Amount $46,086,165 for Medicare 34.0 % Average Amount per User $774 MEDICARE ENROLLEES (2003) Total Medicare Enrollees Number 117,837 MEDI-CAL ELIGIBLES BY RACE/ETHNICITY Percent of County Population 15.0 % (2003) White 18.8 % Black 18.8 % Enrollees Aged 65+: Hispanic 18.8 % Number 103,470 American Indian/Alaska Native 0.3 % Percent of County Population 13.1 % Asian/Pacific Islander 33.9 % Not Reported 9.4 % Disability Beneficiaries: Number 14,367 Percent of County Population 1.8 % See Section III for data definitions, sources, and notes. REPORTED COMMUNICABLE DISEASES (2002-2004 Avg.) Number and Crude Case Rate per 100,000 Population DISEASE Hepatitis Measles Shigellosis Tuberculosis Syphilis Chlamydia Gonorrhea CASES 57.0 1.7 151.3 147.7 333.0 3,432.0 2,029.0 RATE 7.2 0.21 * 19.2 18.8 42.3 436.1 257.8 CUMULATIVE AIDS CASES AND DEATHS 1981 through December 2005 AIDS Cases 26,522 Number of Deaths Percent of Total AIDS Cases Resulting in Death 17,912 67.5 % SELECTED COUNTY HEALTH INDICATORS Persons Injured in Traffic Accidents County of Occurrence (2003) 5,725 Substance Abuse Treatment Admissions (2004): Methamphetamine 1,198 Cocaine 3,313 Marijuana 813 Alcohol 3,292 Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 156 COUNTY: SAN FRANCISCO (continued) HOSPITALS (2004) Number of General Acute Care (GAC) Hospitals 13 3,458 HOSPICE CARE (12/04) Number of Freestanding Hospice Care Facilities 4 PROGRAM CLIENTS/SERVICES Percent Infants Breastfed During Early Postpartum (2002-2004 Average) Family Planning Clients by All Funding Sources (FY 2004-2005) Women and Children under Age 5 Receiving WIC Services (2/06) Child Health & Disability Prevention Clients Served (FY 2003-2004) Number of Providers (3/06) California Children's Services Cases (FY 2004-2005 Annualized Quarter) Developmental Disability Clients (7/05) Rehabilitation Clients (FY 2004-2005) Mental Health Serivces (2004-2005) State Hospital Admissions Clients Receiving County Serivces Persons Receiving Preventive Health Care for the Aging Services (FY 2004-2005) Assessment Clients Other Client Services 89.1 % Number of Licensed GAC Beds 27,861 Number of Licensed GAC Beds per 1,000 Population LTC (2004) Number of Long Term Care Facilities and Hospitals with LTC Beds Number of Licensed LTC Beds 19,060 66 Number of Licensed Beds per 1,000 Population PHYSICIANS (FY 2004-2005) Number of Licensed Physicians Average Number of Persons per Physician DENTISTS (3/06) Number of Licensed Dentists Average Number of Persons per Dentist 69 24,414 CLINICS (12/04) Number of Licensed Community and Free Clinics Number of Specialty Clinics 0 0 HOME HEALTH AGENCIES (12/04) Number of Licensed Home Health Agencies HOSPITAL UTILIZATION (2004) Number of GAC Discharges from GAC Hospitals 100,626 Average GAC Occupancy Rate in GAC Hospitals 18 1,396 LTC (2004) Number of LTC Discharges from LTC Facilities Average Occupancy Rate of LTC Facilities and Hospitals with LTC Beds Average GAC Length of Stay in GAC Hospitals (Days) 4.4 42.0 15,390 5.3 1.8 3,271 2,239 5,239 151 89.8 2,358 3,461 1,156 688 34 11 16 See Section III for data definitions, sources, and notes. Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 157 COUNTY: 2000 Census Population Projection Year 2004 Projection Year 2010 Projection Year 2020 SAN JOAQUIN TOTAL POPULATION 563,598 643,101 747,149 989,462 PERCENT BELOW POVERTY LEVEL (1999) Total Population 17.7 % Children under 6 Persons Aged 65+ White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups HOUSING VALUE (2000) Median Housing-Unit Value CALWORKS (1/05) CalWORKs Recipients as a Percent of County Population SSI/SSP (2004) SSI/SSP Recipients as a Percent of County Population 43.8 7.5 33.5 11.6 1.2 2.4 % % % % % % UNEMPLOYMENT (2005) Percent of Civilian Labor Force Unemployed EDUCATION Percent of Persons Aged 25+ Not Finishing High School (2000) Enrollment K-12 (2004-2005) URBAN/RURAL (2000) 14.0 % 5.9 % 14.9 28.0 25.4 28.1 26.0 20.3 $142,400 % % % % % % LIVE BIRTHS (2004) Number of Live Births by: County of Residence County of Occurrence Birth Rate (Births per 1,000 Population) Fertility rate (Births per 1,000 Females Aged 15-44, 2002-2004 Avg.) Low Birthweight (Under 2,500 Grams) Very Low Birthweight (Under 1,500 Grams) Unmarried 5.5 % Cesarean Section Delivery Mothers Who Gave Birth Outside County of Residence Mothers with Less Than 12 Years Education Teenage Mothers (Under 18) 28.8 % 143,629 Percent of Births by Mother's Race/Ethnicity: White 28.0 % Black 7.1 % Hispanic 48.0 % Asian/Pacific Islander 14.7 % American Indian/Alaska Native 0.3 % 2 Or More Race Groups 2.0 % See Section III for data definitions, sources, and notes. Mothers with No First Trimester Prenatal Care 27.8 % 11,010 10,211 17.1 AGE (2004) Under Age 5 Age 5-17 Age 18-64 Age 65+ SEX (2004) Females Males RACE/ETHNICITY (2004) White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups 49.8 % 50.2 % 7.7 % 22.1 % 60.5 % 9.6 % 78.2 6.7 % 1.4 % 39.5 % 4.2 % 12.6 % 7.6 % 31.1 % 4.5 % 30.0 % Urban Rural FAMILY INCOME (1999) Median Family Income 90.1 % 9.9 % PRINCIPAL PAYMENT SOURCE FOR BIRTH DELIVERIES (2004) Medi-Cal/Other Government 45.4 % HMO and Prepaid Plans 30.1 % 21.2 % $46,919 Private Insurance Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 158 COUNTY: Number of Deaths by: County of Residence County of Occurrence SAN JOAQUIN DEATHS (2004) (continued) CAUSES OF DEATH (2002-2004 Avg.) INFANT DEATHS (2004) Number of Infant Deaths (Under 1 Year of Age) Infant Death Rate (Deaths per 1,000 Live Births) 74 4,433 Crude Death Rate per 100,000 Population by Cause of Death: 4,308 Heart Disease Cancer (All Types) Stroke Chronic Lower Respiratory Disease Unintentional Injuries Pneumonia and Influenza Diabetes Mellitus Alzheimer's Disease Chronic Liver Disease/Cirrhosis Suicide Homicide Hypertension/Hypertensive Renal Disease Nephritis 218.1 157.4 55.9 42.8 36.8 17.7 25.8 18.5 11.6 9.9 9.1 6.8 4.0 6.7 Crude Death Rate (Deaths per 1,000 Population) AGE-ADJUSTED DEATH RATE (2002-2004 Avg.) Age-Adjusted Deaths per 100,000 Population AGE-SPECIFIC DEATH RATES (2002-2004 Avg.) Deaths per 100,000 Population: 1 to 4 Years Old 5 to 14 Years Old 15 to 24 Years Old 25 to 34 Years Old 35 to 44 Years Old 45 to 54 Years Old 55 to 64 Years Old 65 to 74 Years Old 75 to 84 Years Old 85 and Older 6.9 INFANT DEATH RATES (2003 Birth Cohort) Infant Deaths per 1,000 Live Births by Mother's Race/Ethnicity: All Race/Ethnic Groups White Black Hispanic Asian/Pacific Islander 6.4 5.5 * b 4.7 4.7 * 897.1 24.2 * 15.6 * 85.9 119.3 220.0 462.9 1,014.4 2,445.9 5,623.9 16,432.0 Number of Neonatal Deaths (Under 28 Days of Age) Neonatal Death Rate (Deaths per 1,000 Live Births) 48 FETAL AND NEONATAL DEATHS (2004) Number of Fetal Deaths Fetal Death Ratio (Deaths per 1,000 Live Births) 89 PERINATAL DEATHS (2003 Birth Cohort) Number of Perinatal Deaths (Neonatal Plus Fetal) 127 Perinatal Death Rate by Mother's Race/Ethnicity: All Race/Ethnic Groups White 8.1 Black Hispanic Asian/Pacific Islander 4.4 b 9.3 11.9 * 12.1 10.7 Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services See Section III for data definitions, sources, and notes. 159 COUNTY: SAN JOAQUIN (continued) SELECTED COUNTY HEALTH INDICATORS MEDI-CAL (continued) (2003) Age-Adjusted Death Rate Per 100,000 Population (2002-2004 Avg.): Medi-Cal Deliveries by: Work-Related Injury Deaths 11.0 County of Beneficiary 5,160 Mortality Rate 1.8 * Fee-for-Service (FFS) 2,739 Drug-Induced Deaths 85.0 Managed Care 2,421 Mortality Rate 14.6 Total Medi-Cal FFS Abortions 1,027 Homicide by Weapons (2003) 55 Homicide by Handguns 24 Medi-Cal Physicians/Dentists Paid: Physicians 336 Kindergarten Students Needing One Dentists 126 or More Immunizations (2005) 379 Percent of All Kindergarten Students 3.4 % MEDI-CAL DATA MEDI-CAL MANAGED CARE ENROLLEES (7/03) (Avg. Monthly, 2003) Medi-Cal Users (FFS): 41,796 Total Managed Care Enrollees 76,436 Percent of County Population 6.7 % Percent of Eligibles (FFS) 31.8 % DENTI-CAL SERVICES (2003) Average Monthly Users (FFS) 6,279 Total Medi-Cal Eligibles: 131,283 Percent of County Population 21.0 % MEDI-CAL/MEDICARE (2003) Percent of Medi-Cal Eligibles Medi-Cal Payments (FFS) : Who Are Also Eligible Amount $23,942,612 for Medicare 13.3 % Average Amount per User $573 MEDICARE ENROLLEES (2003) Total Medicare Enrollees Number 71,307 MEDI-CAL ELIGIBLES BY RACE/ETHNICITY Percent of County Population 11.4 % (2003) White 25.2 % Black 12.3 % Enrollees Aged 65+: Hispanic 39.4 % Number 59,105 American Indian/Alaska Native 0.5 % Percent of County Population 9.4 % Asian/Pacific Islander 17.9 % Not Reported 4.7 % Disability Beneficiaries: Number 12,202 Percent of County Population 2.0 % See Section III for data definitions, sources, and notes. REPORTED COMMUNICABLE DISEASES (2002-2004 Avg.) Number and Crude Case Rate per 100,000 Population DISEASE Hepatitis Measles Shigellosis Tuberculosis Syphilis Chlamydia Gonorrhea CASES 61.0 0.0 30.3 62.0 6.3 2,464.7 702.0 RATE 9.7 0.00 + 4.8 9.9 1.0 * 393.9 112.2 CUMULATIVE AIDS CASES AND DEATHS 1981 through December 2005 AIDS Cases 1,047 Number of Deaths Percent of Total AIDS Cases Resulting in Death 547 52.2 % SELECTED COUNTY HEALTH INDICATORS Persons Injured in Traffic Accidents County of Occurrence (2003) 6,886 Substance Abuse Treatment Admissions (2004): Methamphetamine 1,487 Cocaine 420 Marijuana 519 Alcohol 1,569 Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 160 COUNTY: SAN JOAQUIN (continued) HOSPITALS (2004) Number of General Acute Care (GAC) Hospitals 80.7 % Number of Licensed GAC Beds 998 HOSPITAL UTILIZATION (2004) Number of GAC Discharges from GAC Hospitals 55,207 Average GAC Occupancy Rate in GAC Hospitals 26 2,629 LTC (2004) Number of LTC Discharges from LTC Facilities Average Occupancy Rate of LTC Facilities and Hospitals with LTC Beds Average GAC Length of Stay in GAC Hospitals (Days) 8 HOSPICE CARE (12/04) Number of Freestanding Hospice Care Facilities 1 PROGRAM CLIENTS/SERVICES Percent Infants Breastfed During Early Postpartum (2002-2004 Average) Family Planning Clients by All Funding Sources (FY 2004-2005) Women and Children under Age 5 Receiving WIC Services (2/06) Child Health & Disability Prevention Clients Served (FY 2003-2004) Number of Providers (3/06) California Children's Services Cases (FY 2004-2005 Annualized Quarter) Developmental Disability Clients (7/05) Rehabilitation Clients (FY 2004-2005) Mental Health Serivces (2004-2005) State Hospital Admissions Clients Receiving County Serivces Persons Receiving Preventive Health Care for the Aging Services (FY 2004-2005) Assessment Clients Other Client Services 27,227 Number of Licensed GAC Beds per 1,000 Population LTC (2004) Number of Long Term Care Facilities and Hospitals with LTC Beds Number of Licensed LTC Beds 1.6 65.1 27,038 4.2 47,763 72 Number of Licensed Beds per 1,000 Population PHYSICIANS (FY 2004-2005) Number of Licensed Physicians Average Number of Persons per Physician DENTISTS (3/06) Number of Licensed Dentists Average Number of Persons per Dentist 4.1 4,850 4,922 942 683 89.0 4,888 1,032 342 1,943 69 13,887 CLINICS (12/04) Number of Licensed Community and Free Clinics Number of Specialty Clinics 12 14 0 0 HOME HEALTH AGENCIES (12/04) Number of Licensed Home Health Agencies 13 See Section III for data definitions, sources, and notes. Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 161 COUNTY: 2000 Census Population Projection Year 2004 Projection Year 2010 Projection Year 2020 SAN LUIS OBISPO TOTAL POPULATION 246,681 260,024 277,437 305,274 PERCENT BELOW POVERTY LEVEL (1999) Total Population 12.8 % Children under 6 Persons Aged 65+ White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups HOUSING VALUE (2000) Median Housing-Unit Value CALWORKS (1/05) CalWORKs Recipients as a Percent of County Population SSI/SSP (2004) SSI/SSP Recipients as a Percent of County Population 74.2 2.0 18.0 3.2 0.8 1.9 % % % % % % UNEMPLOYMENT (2005) Percent of Civilian Labor Force Unemployed EDUCATION Percent of Persons Aged 25+ Not Finishing High School (2000) Enrollment K-12 (2004-2005) URBAN/RURAL (2000) 6.8 % 6.8 % 12.2 27.3 20.0 22.3 14.6 17.5 $230,000 % % % % % % LIVE BIRTHS (2004) Number of Live Births by: County of Residence County of Occurrence Birth Rate (Births per 1,000 Population) Fertility rate (Births per 1,000 Females Aged 15-44, 2002-2004 Avg.) Low Birthweight (Under 2,500 Grams) Very Low Birthweight (Under 1,500 Grams) Unmarried 1.6 % Cesarean Section Delivery Mothers Who Gave Birth Outside County of Residence Mothers with Less Than 12 Years Education Teenage Mothers (Under 18) 14.4 % 39,090 Percent of Births by Mother's Race/Ethnicity: White 60.5 % Black 0.4 % Hispanic 33.9 % Asian/Pacific Islander 3.3 % American Indian/Alaska Native 0.5 % 2 Or More Race Groups 1.4 % See Section III for data definitions, sources, and notes. Mothers with No First Trimester Prenatal Care 29.1 % 2,694 2,718 10.4 AGE (2004) Under Age 5 Age 5-17 Age 18-64 Age 65+ SEX (2004) Females Males RACE/ETHNICITY (2004) White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups 48.8 % 51.2 % 4.4 % 15.5 % 65.1 % 15.0 % 51.3 6.5 % 0.8 % 30.0 % 2.0 % 7.8 % 4.1 % 18.8 % 2.0 % 16.5 % Urban Rural FAMILY INCOME (1999) Median Family Income 81.2 % 18.8 % PRINCIPAL PAYMENT SOURCE FOR BIRTH DELIVERIES (2004) Medi-Cal/Other Government 44.2 % HMO and Prepaid Plans 4.0 % 50.1 % $52,447 Private Insurance Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 162 COUNTY: Number of Deaths by: County of Residence County of Occurrence SAN LUIS OBISPO DEATHS (2004) (continued) CAUSES OF DEATH (2002-2004 Avg.) INFANT DEATHS (2004) Number of Infant Deaths (Under 1 Year of Age) Infant Death Rate (Deaths per 1,000 Live Births) 17 1,995 Crude Death Rate per 100,000 Population by Cause of Death: 1,895 Heart Disease Cancer (All Types) Stroke Chronic Lower Respiratory Disease Unintentional Injuries Pneumonia and Influenza Diabetes Mellitus Alzheimer's Disease Chronic Liver Disease/Cirrhosis Suicide Homicide Hypertension/Hypertensive Renal Disease Nephritis 210.5 194.0 59.7 53.2 35.5 18.0 17.5 32.1 11.7 12.0 2.2 * 7.3 * 4.7 * 6.3 * Crude Death Rate (Deaths per 1,000 Population) AGE-ADJUSTED DEATH RATE (2002-2004 Avg.) Age-Adjusted Deaths per 100,000 Population AGE-SPECIFIC DEATH RATES (2002-2004 Avg.) Deaths per 100,000 Population: 1 to 4 Years Old 5 to 14 Years Old 15 to 24 Years Old 25 to 34 Years Old 35 to 44 Years Old 45 to 54 Years Old 55 to 64 Years Old 65 to 74 Years Old 75 to 84 Years Old 85 and Older 7.7 INFANT DEATH RATES (2003 Birth Cohort) Infant Deaths per 1,000 Live Births by Mother's Race/Ethnicity: All Race/Ethnic Groups White Black Hispanic Asian/Pacific Islander 4.2 * 3.7 * 0.0 + b 0.0 + 673.2 24.8 * 12.1 * 48.1 63.1 * 173.3 343.3 627.0 1,590.5 4,441.0 13,829.9 Number of Neonatal Deaths (Under 28 Days of Age) Neonatal Death Rate (Deaths per 1,000 Live Births) 9 FETAL AND NEONATAL DEATHS (2004) Number of Fetal Deaths Fetal Death Ratio (Deaths per 1,000 Live Births) 18 PERINATAL DEATHS (2003 Birth Cohort) Number of Perinatal Deaths (Neonatal Plus Fetal) 23 Perinatal Death Rate by Mother's Race/Ethnicity: All Race/Ethnic Groups White 6.7 * Black Hispanic Asian/Pacific Islander 3.3 * 0.0 + b 0.0 + 8.7 9.2 * Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services See Section III for data definitions, sources, and notes. 163 COUNTY: SAN LUIS OBISPO (continued) SELECTED COUNTY HEALTH INDICATORS MEDI-CAL (continued) (2003) Age-Adjusted Death Rate Per 100,000 Population (2002-2004 Avg.): Medi-Cal Deliveries by: Work-Related Injury Deaths 1.7 County of Beneficiary 1,019 Mortality Rate 0.6 * Fee-for-Service (FFS) 1,018 Drug-Induced Deaths 25.7 Managed Care 1 Mortality Rate 9.6 Total Medi-Cal FFS Abortions 455 Homicide by Weapons (2003) 2 Homicide by Handguns 2 Medi-Cal Physicians/Dentists Paid: Physicians 154 Kindergarten Students Needing One Dentists 47 or More Immunizations (2005) 100 Percent of All Kindergarten Students 4.1 % MEDI-CAL DATA MEDI-CAL MANAGED CARE ENROLLEES (7/03) (Avg. Monthly, 2003) Medi-Cal Users (FFS): 14,738 Total Managed Care Enrollees 0 Percent of County Population 5.7 % Percent of Eligibles (FFS) 54.1 % DENTI-CAL SERVICES (2003) Average Monthly Users (FFS) 1,074 Total Medi-Cal Eligibles: 27,240 Percent of County Population 10.6 % MEDI-CAL/MEDICARE (2003) Percent of Medi-Cal Eligibles Medi-Cal Payments (FFS) : Who Are Also Eligible Amount $7,787,708 for Medicare 19.3 % Average Amount per User $528 MEDICARE ENROLLEES (2003) Total Medicare Enrollees Number 40,110 MEDI-CAL ELIGIBLES BY RACE/ETHNICITY Percent of County Population 15.6 % (2003) White 55.0 % Black 2.1 % Enrollees Aged 65+: Hispanic 36.1 % Number 34,939 American Indian/Alaska Native 0.5 % Percent of County Population 13.6 % Asian/Pacific Islander 2.2 % Not Reported 4.0 % Disability Beneficiaries: Number 5,171 Percent of County Population 2.0 % See Section III for data definitions, sources, and notes. REPORTED COMMUNICABLE DISEASES (2002-2004 Avg.) Number and Crude Case Rate per 100,000 Population DISEASE Hepatitis Measles Shigellosis Tuberculosis Syphilis Chlamydia Gonorrhea CASES 8.0 0.0 3.0 5.3 1.7 481.0 41.0 RATE 3.1 * 0.00 + 1.2 * 2.1 * 0.6 * 186.8 15.9 CUMULATIVE AIDS CASES AND DEATHS 1981 through December 2005 AIDS Cases 546 Number of Deaths Percent of Total AIDS Cases Resulting in Death 260 47.6 % SELECTED COUNTY HEALTH INDICATORS Persons Injured in Traffic Accidents County of Occurrence (2003) 1,946 Substance Abuse Treatment Admissions (2004): Methamphetamine Cocaine Marijuana Alcohol 408 35 205 207 Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 164 COUNTY: SAN LUIS OBISPO (continued) HOSPITALS (2004) Number of General Acute Care (GAC) Hospitals 4 434 HOSPICE CARE (12/04) Number of Freestanding Hospice Care Facilities 1 PROGRAM CLIENTS/SERVICES Percent Infants Breastfed During Early Postpartum (2002-2004 Average) Family Planning Clients by All Funding Sources (FY 2004-2005) Women and Children under Age 5 Receiving WIC Services (2/06) Child Health & Disability Prevention Clients Served (FY 2003-2004) Number of Providers (3/06) California Children's Services Cases (FY 2004-2005 Annualized Quarter) Developmental Disability Clients (7/05) Rehabilitation Clients (FY 2004-2005) Mental Health Serivces (2004-2005) State Hospital Admissions Clients Receiving County Serivces Persons Receiving Preventive Health Care for the Aging Services (FY 2004-2005) Assessment Clients Other Client Services 91.6 % Number of Licensed GAC Beds 12,984 Number of Licensed GAC Beds per 1,000 Population LTC (2004) Number of Long Term Care Facilities and Hospitals with LTC Beds Number of Licensed LTC Beds 8,448 33 Number of Licensed Beds per 1,000 Population PHYSICIANS (FY 2004-2005) Number of Licensed Physicians Average Number of Persons per Physician DENTISTS (3/06) Number of Licensed Dentists Average Number of Persons per Dentist 29 4,261 CLINICS (12/04) Number of Licensed Community and Free Clinics Number of Specialty Clinics 0 0 HOME HEALTH AGENCIES (12/04) Number of Licensed Home Health Agencies HOSPITAL UTILIZATION (2004) Number of GAC Discharges from GAC Hospitals 17,891 Average GAC Occupancy Rate in GAC Hospitals 9 874 LTC (2004) Number of LTC Discharges from LTC Facilities Average Occupancy Rate of LTC Facilities and Hospitals with LTC Beds Average GAC Length of Stay in GAC Hospitals (Days) 1.7 40.3 4,291 4.2 3.4 1,707 949 742 350 88.1 1,620 1,024 199 1,320 14 10 7 See Section III for data definitions, sources, and notes. Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 165 COUNTY: 2000 Census Population Projection Year 2004 Projection Year 2010 Projection Year 2020 SAN MATEO TOTAL POPULATION 707,161 718,154 747,134 786,740 PERCENT BELOW POVERTY LEVEL (1999) Total Population 5.8 % Children under 6 Persons Aged 65+ White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups HOUSING VALUE (2000) Median Housing-Unit Value CALWORKS (1/05) CalWORKs Recipients as a Percent of County Population SSI/SSP (2004) SSI/SSP Recipients as a Percent of County Population 48.9 2.3 23.8 22.0 0.4 2.6 % % % % % % UNEMPLOYMENT (2005) Percent of Civilian Labor Force Unemployed EDUCATION Percent of Persons Aged 25+ Not Finishing High School (2000) Enrollment K-12 (2004-2005) URBAN/RURAL (2000) 8.3 % 10.7 % 5.8 11.2 10.7 5.1 12.7 6.1 $469,200 % % % % % % LIVE BIRTHS (2004) Number of Live Births by: County of Residence County of Occurrence Birth Rate (Births per 1,000 Population) Fertility rate (Births per 1,000 Females Aged 15-44, 2002-2004 Avg.) Low Birthweight (Under 2,500 Grams) Very Low Birthweight (Under 1,500 Grams) Unmarried 0.8 % Cesarean Section Delivery Mothers Who Gave Birth Outside County of Residence Mothers with Less Than 12 Years Education Teenage Mothers (Under 18) 14.7 % 105,001 Percent of Births by Mother's Race/Ethnicity: White 36.6 % Black 2.3 % Hispanic 32.8 % Asian/Pacific Islander 26.6 % American Indian/Alaska Native 0.2 % 2 Or More Race Groups 1.6 % See Section III for data definitions, sources, and notes. Mothers with No First Trimester Prenatal Care 25.2 % 10,089 5,648 14.0 AGE (2004) Under Age 5 Age 5-17 Age 18-64 Age 65+ SEX (2004) Females Males RACE/ETHNICITY (2004) White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups 50.3 % 49.7 % 6.9 % 16.2 % 64.4 % 12.5 % 68.7 6.6 % 1.1 % 18.9 % 1.8 % 52.1 % 4.3 % 18.5 % 1.5 % 9.9 % Urban Rural FAMILY INCOME (1999) Median Family Income 98.6 % 1.4 % PRINCIPAL PAYMENT SOURCE FOR BIRTH DELIVERIES (2004) Medi-Cal/Other Government 26.9 % HMO and Prepaid Plans 50.9 % 21.6 % $80,737 Private Insurance Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 166 COUNTY: Number of Deaths by: County of Residence County of Occurrence SAN MATEO DEATHS (2004) (continued) CAUSES OF DEATH (2002-2004 Avg.) INFANT DEATHS (2004) Number of Infant Deaths (Under 1 Year of Age) Infant Death Rate (Deaths per 1,000 Live Births) 36 4,573 Crude Death Rate per 100,000 Population by Cause of Death: 4,566 Heart Disease Cancer (All Types) Stroke Chronic Lower Respiratory Disease Unintentional Injuries Pneumonia and Influenza Diabetes Mellitus Alzheimer's Disease Chronic Liver Disease/Cirrhosis Suicide Homicide Hypertension/Hypertensive Renal Disease Nephritis 172.0 172.3 57.0 34.0 22.9 30.4 13.7 21.5 9.8 8.2 3.7 5.9 3.9 3.6 Crude Death Rate (Deaths per 1,000 Population) AGE-ADJUSTED DEATH RATE (2002-2004 Avg.) Age-Adjusted Deaths per 100,000 Population AGE-SPECIFIC DEATH RATES (2002-2004 Avg.) Deaths per 100,000 Population: 1 to 4 Years Old 5 to 14 Years Old 15 to 24 Years Old 25 to 34 Years Old 35 to 44 Years Old 45 to 54 Years Old 55 to 64 Years Old 65 to 74 Years Old 75 to 84 Years Old 85 and Older 6.4 INFANT DEATH RATES (2003 Birth Cohort) Infant Deaths per 1,000 Live Births by Mother's Race/Ethnicity: All Race/Ethnic Groups White Black Hispanic Asian/Pacific Islander 3.5 3.8 * a,b 3.0 * 3.7 * 617.1 17.2 * 10.4 * 55.1 52.0 105.0 270.0 596.8 1,639.3 4,257.5 12,252.2 Number of Neonatal Deaths (Under 28 Days of Age) Neonatal Death Rate (Deaths per 1,000 Live Births) 30 FETAL AND NEONATAL DEATHS (2004) Number of Fetal Deaths Fetal Death Ratio (Deaths per 1,000 Live Births) 40 PERINATAL DEATHS (2003 Birth Cohort) Number of Perinatal Deaths (Neonatal Plus Fetal) 62 Perinatal Death Rate by Mother's Race/Ethnicity: All Race/Ethnic Groups White 4.0 Black Hispanic Asian/Pacific Islander 3.0 b 6.3 6.3 * 6.1 4.9 Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services See Section III for data definitions, sources, and notes. 167 COUNTY: SAN MATEO (continued) SELECTED COUNTY HEALTH INDICATORS MEDI-CAL (continued) (2003) Age-Adjusted Death Rate Per 100,000 Population (2002-2004 Avg.): Medi-Cal Deliveries by: Work-Related Injury Deaths 4.0 County of Beneficiary 2,678 Mortality Rate 0.5 * Fee-for-Service (FFS) 1,996 Drug-Induced Deaths 52.0 Managed Care 682 Mortality Rate 6.8 Total Medi-Cal FFS Abortions 947 Homicide by Weapons (2003) 26 Homicide by Handguns 16 Medi-Cal Physicians/Dentists Paid: Physicians 239 Kindergarten Students Needing One Dentists 124 or More Immunizations (2005) 501 Percent of All Kindergarten Students 5.8 % MEDI-CAL DATA MEDI-CAL MANAGED CARE ENROLLEES (7/03) (Avg. Monthly, 2003) Medi-Cal Users (FFS): 10,633 Total Managed Care Enrollees 46,408 Percent of County Population 1.5 % Percent of Eligibles (FFS) 17.8 % DENTI-CAL SERVICES (2003) Average Monthly Users (FFS) 2,567 Total Medi-Cal Eligibles: 59,587 Percent of County Population 8.4 % MEDI-CAL/MEDICARE (2003) Percent of Medi-Cal Eligibles Medi-Cal Payments (FFS) : Who Are Also Eligible Amount $9,915,018 for Medicare 23.0 % Average Amount per User $932 MEDICARE ENROLLEES (2003) Total Medicare Enrollees Number 92,191 MEDI-CAL ELIGIBLES BY RACE/ETHNICITY Percent of County Population 12.9 % (2003) White 19.9 % Black 8.1 % Enrollees Aged 65+: Hispanic 48.0 % Number 84,402 American Indian/Alaska Native 0.1 % Percent of County Population 11.8 % Asian/Pacific Islander 17.8 % Not Reported 6.1 % Disability Beneficiaries: Number 7,789 Percent of County Population 1.1 % See Section III for data definitions, sources, and notes. REPORTED COMMUNICABLE DISEASES (2002-2004 Avg.) Number and Crude Case Rate per 100,000 Population DISEASE Hepatitis Measles Shigellosis Tuberculosis Syphilis Chlamydia Gonorrhea CASES 33.3 0.3 60.0 58.3 16.3 1,440.3 216.0 RATE 4.7 0.05 * 8.4 8.2 2.3 * 202.1 30.3 CUMULATIVE AIDS CASES AND DEATHS 1981 through December 2005 AIDS Cases 2,118 Number of Deaths Percent of Total AIDS Cases Resulting in Death 1,294 61.1 % SELECTED COUNTY HEALTH INDICATORS Persons Injured in Traffic Accidents County of Occurrence (2003) 4,462 Substance Abuse Treatment Admissions (2004): Methamphetamine 1,234 Cocaine 725 Marijuana 535 Alcohol 1,536 Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 168 COUNTY: SAN MATEO (continued) HOSPITALS (2004) Number of General Acute Care (GAC) Hospitals 92.9 % Number of Licensed GAC Beds 1,306 HOSPITAL UTILIZATION (2004) Number of GAC Discharges from GAC Hospitals 47,361 Average GAC Occupancy Rate in GAC Hospitals 14 1,340 LTC (2004) Number of LTC Discharges from LTC Facilities Average Occupancy Rate of LTC Facilities and Hospitals with LTC Beds Average GAC Length of Stay in GAC Hospitals (Days) 9 HOSPICE CARE (12/04) Number of Freestanding Hospice Care Facilities 2 PROGRAM CLIENTS/SERVICES Percent Infants Breastfed During Early Postpartum (2002-2004 Average) Family Planning Clients by All Funding Sources (FY 2004-2005) Women and Children under Age 5 Receiving WIC Services (2/06) Child Health & Disability Prevention Clients Served (FY 2003-2004) Number of Providers (3/06) California Children's Services Cases (FY 2004-2005 Annualized Quarter) Developmental Disability Clients (7/05) Rehabilitation Clients (FY 2004-2005) Mental Health Serivces (2004-2005) State Hospital Admissions Clients Receiving County Serivces Persons Receiving Preventive Health Care for the Aging Services (FY 2004-2005) Assessment Clients Other Client Services 22,753 Number of Licensed GAC Beds per 1,000 Population LTC (2004) Number of Long Term Care Facilities and Hospitals with LTC Beds Number of Licensed LTC Beds 1.8 45.3 12,352 4.6 24,109 41 Number of Licensed Beds per 1,000 Population PHYSICIANS (FY 2004-2005) Number of Licensed Physicians Average Number of Persons per Physician DENTISTS (3/06) Number of Licensed Dentists Average Number of Persons per Dentist 1.9 3,044 1,957 2,467 291 45.0 3,143 2,690 789 914 34 9,678 CLINICS (12/04) Number of Licensed Community and Free Clinics Number of Specialty Clinics 8 12 0 0 HOME HEALTH AGENCIES (12/04) Number of Licensed Home Health Agencies 17 See Section III for data definitions, sources, and notes. Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 169 COUNTY: 2000 Census Population Projection Year 2004 Projection Year 2010 Projection Year 2020 SANTA BARBARA TOTAL POPULATION 399,347 415,718 440,337 464,019 PERCENT BELOW POVERTY LEVEL (1999) Total Population 14.3 % Children under 6 Persons Aged 65+ White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups HOUSING VALUE (2000) Median Housing-Unit Value CALWORKS (1/05) CalWORKs Recipients as a Percent of County Population SSI/SSP (2004) SSI/SSP Recipients as a Percent of County Population 54.0 2.0 37.0 4.4 0.8 1.8 % % % % % % UNEMPLOYMENT (2005) Percent of Civilian Labor Force Unemployed EDUCATION Percent of Persons Aged 25+ Not Finishing High School (2000) Enrollment K-12 (2004-2005) URBAN/RURAL (2000) 10.2 % 5.6 % 13.9 15.3 21.3 19.1 19.1 17.6 $293,000 % % % % % % LIVE BIRTHS (2004) Number of Live Births by: County of Residence County of Occurrence Birth Rate (Births per 1,000 Population) Fertility rate (Births per 1,000 Females Aged 15-44, 2002-2004 Avg.) Low Birthweight (Under 2,500 Grams) Very Low Birthweight (Under 1,500 Grams) Unmarried 2.5 % Cesarean Section Delivery Mothers Who Gave Birth Outside County of Residence Mothers with Less Than 12 Years Education Teenage Mothers (Under 18) 20.8 % 73,551 Percent of Births by Mother's Race/Ethnicity: White 29.8 % Black 1.4 % Hispanic 63.6 % Asian/Pacific Islander 3.8 % American Indian/Alaska Native 0.2 % 2 Or More Race Groups 1.2 % See Section III for data definitions, sources, and notes. Mothers with No First Trimester Prenatal Care 29.2 % 6,209 6,304 14.9 AGE (2004) Under Age 5 Age 5-17 Age 18-64 Age 65+ SEX (2004) Females Males RACE/ETHNICITY (2004) White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups 49.8 % 50.2 % 6.6 % 17.5 % 63.5 % 12.3 % 65.3 6.7 % 1.2 % 32.1 % 2.3 % 4.3 % 4.3 % 39.0 % 3.8 % 17.5 % Urban Rural FAMILY INCOME (1999) Median Family Income 95.2 % 4.8 % PRINCIPAL PAYMENT SOURCE FOR BIRTH DELIVERIES (2004) Medi-Cal/Other Government 59.1 % HMO and Prepaid Plans 5.0 % 34.6 % $54,042 Private Insurance Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 170 COUNTY: Number of Deaths by: County of Residence County of Occurrence SANTA BARBARA DEATHS (2004) (continued) CAUSES OF DEATH (2002-2004 Avg.) INFANT DEATHS (2004) Number of Infant Deaths (Under 1 Year of Age) Infant Death Rate (Deaths per 1,000 Live Births) 28 2,899 Crude Death Rate per 100,000 Population by Cause of Death: 2,924 Heart Disease Cancer (All Types) Stroke Chronic Lower Respiratory Disease Unintentional Injuries Pneumonia and Influenza Diabetes Mellitus Alzheimer's Disease Chronic Liver Disease/Cirrhosis Suicide Homicide Hypertension/Hypertensive Renal Disease Nephritis 199.8 159.4 55.7 39.2 29.6 22.6 18.5 25.2 8.9 9.3 1.5 * 7.4 7.2 4.5 Crude Death Rate (Deaths per 1,000 Population) AGE-ADJUSTED DEATH RATE (2002-2004 Avg.) Age-Adjusted Deaths per 100,000 Population AGE-SPECIFIC DEATH RATES (2002-2004 Avg.) Deaths per 100,000 Population: 1 to 4 Years Old 5 to 14 Years Old 15 to 24 Years Old 25 to 34 Years Old 35 to 44 Years Old 45 to 54 Years Old 55 to 64 Years Old 65 to 74 Years Old 75 to 84 Years Old 85 and Older 7.0 INFANT DEATH RATES (2003 Birth Cohort) Infant Deaths per 1,000 Live Births by Mother's Race/Ethnicity: All Race/Ethnic Groups White Black Hispanic Asian/Pacific Islander 4.1 3.6 * 0.0 + 4.8 * 0.0 + 675.2 15.7 * 10.0 * 44.2 66.9 141.1 327.3 680.9 1,715.4 4,605.0 13,246.9 Number of Neonatal Deaths (Under 28 Days of Age) Neonatal Death Rate (Deaths per 1,000 Live Births) 15 FETAL AND NEONATAL DEATHS (2004) Number of Fetal Deaths Fetal Death Ratio (Deaths per 1,000 Live Births) 35 PERINATAL DEATHS (2003 Birth Cohort) Number of Perinatal Deaths (Neonatal Plus Fetal) 41 Perinatal Death Rate by Mother's Race/Ethnicity: All Race/Ethnic Groups White 5.6 Black Hispanic Asian/Pacific Islander 2.4 * 0.0 + 6.2 0.0 + 7.0 9.8 Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services See Section III for data definitions, sources, and notes. 171 COUNTY: SANTA BARBARA (continued) SELECTED COUNTY HEALTH INDICATORS MEDI-CAL (continued) (2003) Age-Adjusted Death Rate Per 100,000 Population (2002-2004 Avg.): Medi-Cal Deliveries by: Work-Related Injury Deaths 4.0 County of Beneficiary 3,089 Mortality Rate 1.0 * Fee-for-Service (FFS) 1,972 Drug-Induced Deaths 46.3 Managed Care 1,117 Mortality Rate 11.5 Total Medi-Cal FFS Abortions 469 Homicide by Weapons (2003) 7 Homicide by Handguns 1 Medi-Cal Physicians/Dentists Paid: Physicians 209 Kindergarten Students Needing One Dentists 59 or More Immunizations (2005) 217 Percent of All Kindergarten Students 3.9 % MEDI-CAL DATA MEDI-CAL MANAGED CARE ENROLLEES (7/03) (Avg. Monthly, 2003) Medi-Cal Users (FFS): 9,602 Total Managed Care Enrollees 51,306 Percent of County Population 2.3 % Percent of Eligibles (FFS) 15.7 % DENTI-CAL SERVICES (2003) Average Monthly Users (FFS) 2,993 Total Medi-Cal Eligibles: 61,332 Percent of County Population 14.9 % MEDI-CAL/MEDICARE (2003) Percent of Medi-Cal Eligibles Medi-Cal Payments (FFS) : Who Are Also Eligible Amount $3,391,923 for Medicare 14.3 % Average Amount per User $353 MEDICARE ENROLLEES (2003) Total Medicare Enrollees Number 56,246 MEDI-CAL ELIGIBLES BY RACE/ETHNICITY Percent of County Population 13.6 % (2003) White 23.5 % Black 3.0 % Enrollees Aged 65+: Hispanic 66.7 % Number 49,254 American Indian/Alaska Native 0.4 % Percent of County Population 12.0 % Asian/Pacific Islander 2.5 % Not Reported 3.9 % Disability Beneficiaries: Number 6,992 Percent of County Population 1.7 % See Section III for data definitions, sources, and notes. REPORTED COMMUNICABLE DISEASES (2002-2004 Avg.) Number and Crude Case Rate per 100,000 Population DISEASE Hepatitis Measles Shigellosis Tuberculosis Syphilis Chlamydia Gonorrhea CASES 22.3 0.0 27.0 24.3 1.7 1,034.0 74.3 RATE 5.4 0.00 + 6.6 5.9 0.4 * 250.9 18.0 CUMULATIVE AIDS CASES AND DEATHS 1981 through December 2005 AIDS Cases 784 Number of Deaths Percent of Total AIDS Cases Resulting in Death 481 61.4 % SELECTED COUNTY HEALTH INDICATORS Persons Injured in Traffic Accidents County of Occurrence (2003) 3,147 Substance Abuse Treatment Admissions (2004): Methamphetamine 1,427 Cocaine 315 Marijuana 906 Alcohol 843 Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 172 COUNTY: SANTA BARBARA (continued) HOSPITALS (2004) Number of General Acute Care (GAC) Hospitals 6 661 HOSPICE CARE (12/04) Number of Freestanding Hospice Care Facilities 1 PROGRAM CLIENTS/SERVICES Percent Infants Breastfed During Early Postpartum (2002-2004 Average) Family Planning Clients by All Funding Sources (FY 2004-2005) Women and Children under Age 5 Receiving WIC Services (2/06) Child Health & Disability Prevention Clients Served (FY 2003-2004) Number of Providers (3/06) California Children's Services Cases (FY 2004-2005 Annualized Quarter) Developmental Disability Clients (7/05) Rehabilitation Clients (FY 2004-2005) Mental Health Serivces (2004-2005) State Hospital Admissions Clients Receiving County Serivces Persons Receiving Preventive Health Care for the Aging Services (FY 2004-2005) Assessment Clients Other Client Services 91.7 % Number of Licensed GAC Beds 20,121 Number of Licensed GAC Beds per 1,000 Population LTC (2004) Number of Long Term Care Facilities and Hospitals with LTC Beds Number of Licensed LTC Beds 29,718 57 Number of Licensed Beds per 1,000 Population PHYSICIANS (FY 2004-2005) Number of Licensed Physicians Average Number of Persons per Physician DENTISTS (3/06) Number of Licensed Dentists Average Number of Persons per Dentist 38 7,253 CLINICS (12/04) Number of Licensed Community and Free Clinics Number of Specialty Clinics 478 180 HOME HEALTH AGENCIES (12/04) Number of Licensed Home Health Agencies HOSPITAL UTILIZATION (2004) Number of GAC Discharges from GAC Hospitals 23,590 Average GAC Occupancy Rate in GAC Hospitals 17 1,056 LTC (2004) Number of LTC Discharges from LTC Facilities Average Occupancy Rate of LTC Facilities and Hospitals with LTC Beds Average GAC Length of Stay in GAC Hospitals (Days) 1.6 40.8 15,704 4.2 2.5 2,733 1,635 1,176 354 60.9 2,777 2,508 328 1,280 13 18 9 See Section III for data definitions, sources, and notes. Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 173 COUNTY: 2000 Census Population Projection Year 2004 Projection Year 2010 Projection Year 2020 SANTA CLARA TOTAL POPULATION 1,682,585 1,739,380 1,844,146 2,006,992 PERCENT BELOW POVERTY LEVEL (1999) Total Population 7.5 % Children under 6 Persons Aged 65+ White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups HOUSING VALUE (2000) Median Housing-Unit Value CALWORKS (1/05) CalWORKs Recipients as a Percent of County Population SSI/SSP (2004) SSI/SSP Recipients as a Percent of County Population 45.3 2.8 24.9 24.4 0.3 2.3 % % % % % % UNEMPLOYMENT (2005) Percent of Civilian Labor Force Unemployed EDUCATION Percent of Persons Aged 25+ Not Finishing High School (2000) Enrollment K-12 (2004-2005) URBAN/RURAL (2000) 9.3 % 7.9 % 7.3 9.7 13.2 7.5 12.7 8.5 $446,400 % % % % % % LIVE BIRTHS (2004) Number of Live Births by: County of Residence County of Occurrence Birth Rate (Births per 1,000 Population) Fertility rate (Births per 1,000 Females Aged 15-44, 2002-2004 Avg.) Low Birthweight (Under 2,500 Grams) Very Low Birthweight (Under 1,500 Grams) Unmarried 2.0 % Cesarean Section Delivery Mothers Who Gave Birth Outside County of Residence Mothers with Less Than 12 Years Education Teenage Mothers (Under 18) 16.6 % 291,038 Percent of Births by Mother's Race/Ethnicity: White 29.3 % Black 1.9 % Hispanic 35.0 % Asian/Pacific Islander 32.4 % American Indian/Alaska Native 0.2 % 2 Or More Race Groups 1.2 % See Section III for data definitions, sources, and notes. Mothers with No First Trimester Prenatal Care 26.4 % 26,537 30,720 15.3 AGE (2004) Under Age 5 Age 5-17 Age 18-64 Age 65+ SEX (2004) Females Males RACE/ETHNICITY (2004) White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups 49.2 % 50.8 % 7.6 % 17.8 % 64.4 % 10.2 % 73.7 6.6 % 0.9 % 22.9 % 2.5 % 2.8 % 5.5 % 19.7 % 1.7 % 12.1 % Urban Rural FAMILY INCOME (1999) Median Family Income 98.8 % 1.2 % PRINCIPAL PAYMENT SOURCE FOR BIRTH DELIVERIES (2004) Medi-Cal/Other Government 29.2 % HMO and Prepaid Plans 43.7 % 26.4 % $81,717 Private Insurance Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 174 COUNTY: Number of Deaths by: County of Residence County of Occurrence SANTA CLARA DEATHS (2004) (continued) CAUSES OF DEATH (2002-2004 Avg.) INFANT DEATHS (2004) Number of Infant Deaths (Under 1 Year of Age) Infant Death Rate (Deaths per 1,000 Live Births) 119 8,470 Crude Death Rate per 100,000 Population by Cause of Death: 9,148 Heart Disease Cancer (All Types) Stroke Chronic Lower Respiratory Disease Unintentional Injuries Pneumonia and Influenza Diabetes Mellitus Alzheimer's Disease Chronic Liver Disease/Cirrhosis Suicide Homicide Hypertension/Hypertensive Renal Disease Nephritis 130.8 123.8 38.1 24.8 19.1 18.3 14.8 14.1 7.4 8.0 2.6 6.1 3.5 4.5 Crude Death Rate (Deaths per 1,000 Population) AGE-ADJUSTED DEATH RATE (2002-2004 Avg.) Age-Adjusted Deaths per 100,000 Population AGE-SPECIFIC DEATH RATES (2002-2004 Avg.) Deaths per 100,000 Population: 1 to 4 Years Old 5 to 14 Years Old 15 to 24 Years Old 25 to 34 Years Old 35 to 44 Years Old 45 to 54 Years Old 55 to 64 Years Old 65 to 74 Years Old 75 to 84 Years Old 85 and Older 4.9 INFANT DEATH RATES (2003 Birth Cohort) Infant Deaths per 1,000 Live Births by Mother's Race/Ethnicity: All Race/Ethnic Groups White Black Hispanic Asian/Pacific Islander 4.3 4.9 b 4.8 3.0 590.9 21.8 13.1 42.3 52.7 101.9 262.2 543.2 1,465.1 4,033.2 12,398.9 Number of Neonatal Deaths (Under 28 Days of Age) Neonatal Death Rate (Deaths per 1,000 Live Births) 80 FETAL AND NEONATAL DEATHS (2004) Number of Fetal Deaths Fetal Death Ratio (Deaths per 1,000 Live Births) 109 PERINATAL DEATHS (2003 Birth Cohort) Number of Perinatal Deaths (Neonatal Plus Fetal) 219 Perinatal Death Rate by Mother's Race/Ethnicity: All Race/Ethnic Groups White 4.1 Black Hispanic Asian/Pacific Islander 3.0 b 9.3 6.6 8.1 8.2 Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services See Section III for data definitions, sources, and notes. 175 COUNTY: SANTA CLARA (continued) SELECTED COUNTY HEALTH INDICATORS MEDI-CAL (continued) (2003) Age-Adjusted Death Rate Per 100,000 Population (2002-2004 Avg.): Medi-Cal Deliveries by: Work-Related Injury Deaths 7.7 County of Beneficiary 7,604 Mortality Rate 0.4 * Fee-for-Service (FFS) 5,518 Drug-Induced Deaths 98.3 Managed Care 2,086 Mortality Rate 5.5 Total Medi-Cal FFS Abortions 3,127 Homicide by Weapons (2003) 37 Homicide by Handguns 18 Medi-Cal Physicians/Dentists Paid: Physicians 751 Kindergarten Students Needing One Dentists 408 or More Immunizations (2005) 958 Percent of All Kindergarten Students 4.0 % MEDI-CAL DATA MEDI-CAL MANAGED CARE ENROLLEES (7/03) (Avg. Monthly, 2003) Medi-Cal Users (FFS): 70,677 Total Managed Care Enrollees 93,412 Percent of County Population 4.1 % Percent of Eligibles (FFS) 35.0 % DENTI-CAL SERVICES (2003) Average Monthly Users (FFS) 11,342 Total Medi-Cal Eligibles: 201,885 Percent of County Population 11.7 % MEDI-CAL/MEDICARE (2003) Percent of Medi-Cal Eligibles Medi-Cal Payments (FFS) : Who Are Also Eligible Amount $53,050,060 for Medicare 19.4 % Average Amount per User $751 MEDICARE ENROLLEES (2003) Total Medicare Enrollees Number 173,115 MEDI-CAL ELIGIBLES BY RACE/ETHNICITY Percent of County Population 10.0 % (2003) White 15.7 % Black 4.1 % Enrollees Aged 65+: Hispanic 46.0 % Number 156,358 American Indian/Alaska Native 0.3 % Percent of County Population 9.1 % Asian/Pacific Islander 28.7 % Not Reported 5.3 % Disability Beneficiaries: Number 16,757 Percent of County Population 1.0 % See Section III for data definitions, sources, and notes. REPORTED COMMUNICABLE DISEASES (2002-2004 Avg.) Number and Crude Case Rate per 100,000 Population DISEASE Hepatitis Measles Shigellosis Tuberculosis Syphilis Chlamydia Gonorrhea CASES 44.7 0.0 100.0 227.7 46.7 4,862.0 755.3 RATE 2.6 0.00 + 5.8 13.2 2.7 282.0 43.8 CUMULATIVE AIDS CASES AND DEATHS 1981 through December 2005 AIDS Cases 3,590 Number of Deaths Percent of Total AIDS Cases Resulting in Death 1,989 55.4 % SELECTED COUNTY HEALTH INDICATORS Persons Injured in Traffic Accidents County of Occurrence (2003) 11,202 Substance Abuse Treatment Admissions (2004): Methamphetamine 4,237 Cocaine 724 Marijuana 1,032 Alcohol 1,979 Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 176 COUNTY: SANTA CLARA (continued) HOSPITALS (2004) Number of General Acute Care (GAC) Hospitals 89.1 % Number of Licensed GAC Beds 3,576 HOSPITAL UTILIZATION (2004) Number of GAC Discharges from GAC Hospitals 158,255 Average GAC Occupancy Rate in GAC Hospitals 56 5,573 LTC (2004) Number of LTC Discharges from LTC Facilities Average Occupancy Rate of LTC Facilities and Hospitals with LTC Beds Average GAC Length of Stay in GAC Hospitals (Days) 15 HOSPICE CARE (12/04) Number of Freestanding Hospice Care Facilities 8 PROGRAM CLIENTS/SERVICES Percent Infants Breastfed During Early Postpartum (2002-2004 Average) Family Planning Clients by All Funding Sources (FY 2004-2005) Women and Children under Age 5 Receiving WIC Services (2/06) Child Health & Disability Prevention Clients Served (FY 2003-2004) Number of Providers (3/06) California Children's Services Cases (FY 2004-2005 Annualized Quarter) Developmental Disability Clients (7/05) Rehabilitation Clients (FY 2004-2005) Mental Health Serivces (2004-2005) State Hospital Admissions Clients Receiving County Serivces Persons Receiving Preventive Health Care for the Aging Services (FY 2004-2005) Assessment Clients Other Client Services 50,006 Number of Licensed GAC Beds per 1,000 Population LTC (2004) Number of Long Term Care Facilities and Hospitals with LTC Beds Number of Licensed LTC Beds 2.1 56.3 31,169 4.6 60,311 115 Number of Licensed Beds per 1,000 Population PHYSICIANS (FY 2004-2005) Number of Licensed Physicians Average Number of Persons per Physician DENTISTS (3/06) Number of Licensed Dentists Average Number of Persons per Dentist 3.2 9,632 6,652 6,100 285 66.8 7,480 4,405 2,005 878 81 0 ** CLINICS (12/04) Number of Licensed Community and Free Clinics Number of Specialty Clinics 32 27 0 0 HOME HEALTH AGENCIES (12/04) Number of Licensed Home Health Agencies 22 See Section III for data definitions, sources, and notes. Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 177 COUNTY: 2000 Census Population Projection Year 2004 Projection Year 2010 Projection Year 2020 SANTA CRUZ TOTAL POPULATION 255,602 260,715 271,222 286,044 PERCENT BELOW POVERTY LEVEL (1999) Total Population 11.9 % Children under 6 Persons Aged 65+ White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups HOUSING VALUE (2000) Median Housing-Unit Value CALWORKS (1/05) CalWORKs Recipients as a Percent of County Population SSI/SSP (2004) SSI/SSP Recipients as a Percent of County Population 64.0 0.9 28.9 3.5 0.6 2.2 % % % % % % UNEMPLOYMENT (2005) Percent of Civilian Labor Force Unemployed EDUCATION Percent of Persons Aged 25+ Not Finishing High School (2000) Enrollment K-12 (2004-2005) URBAN/RURAL (2000) 8.7 % 5.1 % 11.7 19.3 19.3 11.3 13.8 14.2 $377,500 % % % % % % LIVE BIRTHS (2004) Number of Live Births by: County of Residence County of Occurrence Birth Rate (Births per 1,000 Population) Fertility rate (Births per 1,000 Females Aged 15-44, 2002-2004 Avg.) Low Birthweight (Under 2,500 Grams) Very Low Birthweight (Under 1,500 Grams) Unmarried 1.9 % Cesarean Section Delivery Mothers Who Gave Birth Outside County of Residence Mothers with Less Than 12 Years Education Teenage Mothers (Under 18) 16.8 % 43,460 Percent of Births by Mother's Race/Ethnicity: White 39.9 % Black 0.3 % Hispanic 56.1 % Asian/Pacific Islander 2.8 % American Indian/Alaska Native 0.2 % 2 Or More Race Groups 0.7 % See Section III for data definitions, sources, and notes. Mothers with No First Trimester Prenatal Care 26.3 % 3,399 3,732 13.0 AGE (2004) Under Age 5 Age 5-17 Age 18-64 Age 65+ SEX (2004) Females Males RACE/ETHNICITY (2004) White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups 50.0 % 50.0 % 6.3 % 16.6 % 67.0 % 10.1 % 60.4 5.2 % 1.2 % 32.2 % 2.2 % 5.4 % 6.3 % 34.4 % 3.1 % 9.8 % Urban Rural FAMILY INCOME (1999) Median Family Income 85.3 % 14.7 % PRINCIPAL PAYMENT SOURCE FOR BIRTH DELIVERIES (2004) Medi-Cal/Other Government 47.8 % HMO and Prepaid Plans 12.7 % 36.8 % $61,941 Private Insurance Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 178 COUNTY: Number of Deaths by: County of Residence County of Occurrence SANTA CRUZ DEATHS (2004) (continued) CAUSES OF DEATH (2002-2004 Avg.) INFANT DEATHS (2004) Number of Infant Deaths (Under 1 Year of Age) Infant Death Rate (Deaths per 1,000 Live Births) 17 1,579 Crude Death Rate per 100,000 Population by Cause of Death: 1,535 Heart Disease Cancer (All Types) Stroke Chronic Lower Respiratory Disease Unintentional Injuries Pneumonia and Influenza Diabetes Mellitus Alzheimer's Disease Chronic Liver Disease/Cirrhosis Suicide Homicide Hypertension/Hypertensive Renal Disease Nephritis 185.4 148.1 45.3 31.4 27.1 17.9 12.5 14.1 10.8 13.1 2.8 * 8.5 6.7 * 5.0 * Crude Death Rate (Deaths per 1,000 Population) AGE-ADJUSTED DEATH RATE (2002-2004 Avg.) Age-Adjusted Deaths per 100,000 Population AGE-SPECIFIC DEATH RATES (2002-2004 Avg.) Deaths per 100,000 Population: 1 to 4 Years Old 5 to 14 Years Old 15 to 24 Years Old 25 to 34 Years Old 35 to 44 Years Old 45 to 54 Years Old 55 to 64 Years Old 65 to 74 Years Old 75 to 84 Years Old 85 and Older 6.1 INFANT DEATH RATES (2003 Birth Cohort) Infant Deaths per 1,000 Live Births by Mother's Race/Ethnicity: All Race/Ethnic Groups White Black Hispanic Asian/Pacific Islander 5.2 * 6.2 * a,b 4.3 * 0.0 + 687.0 17.9 * 10.0 * 52.6 82.7 153.1 337.7 634.0 1,664.3 4,751.8 13,599.8 Number of Neonatal Deaths (Under 28 Days of Age) Neonatal Death Rate (Deaths per 1,000 Live Births) 11 FETAL AND NEONATAL DEATHS (2004) Number of Fetal Deaths Fetal Death Ratio (Deaths per 1,000 Live Births) 23 PERINATAL DEATHS (2003 Birth Cohort) Number of Perinatal Deaths (Neonatal Plus Fetal) 29 Perinatal Death Rate by Mother's Race/Ethnicity: All Race/Ethnic Groups White 6.8 Black Hispanic Asian/Pacific Islander 3.2 * a,b 7.5 * a,b 8.4 8.2 * Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services See Section III for data definitions, sources, and notes. 179 COUNTY: SANTA CRUZ (continued) SELECTED COUNTY HEALTH INDICATORS MEDI-CAL (continued) (2003) Age-Adjusted Death Rate Per 100,000 Population (2002-2004 Avg.): Medi-Cal Deliveries by: Work-Related Injury Deaths 2.0 County of Beneficiary 1,603 Mortality Rate 0.8 * Fee-for-Service (FFS) 1,097 Drug-Induced Deaths 29.3 Managed Care 506 Mortality Rate 10.9 Total Medi-Cal FFS Abortions 498 Homicide by Weapons (2003) 5 Homicide by Handguns 2 Medi-Cal Physicians/Dentists Paid: Physicians 135 Kindergarten Students Needing One Dentists 53 or More Immunizations (2005) 243 Percent of All Kindergarten Students 7.4 % MEDI-CAL DATA MEDI-CAL MANAGED CARE ENROLLEES (7/03) (Avg. Monthly, 2003) Medi-Cal Users (FFS): 6,910 Total Managed Care Enrollees 26,621 Percent of County Population 2.7 % Percent of Eligibles (FFS) 21.8 % DENTI-CAL SERVICES (2003) Average Monthly Users (FFS) 1,597 Total Medi-Cal Eligibles: 31,633 Percent of County Population 12.2 % MEDI-CAL/MEDICARE (2003) Percent of Medi-Cal Eligibles Medi-Cal Payments (FFS) : Who Are Also Eligible Amount $3,657,569 for Medicare 16.5 % Average Amount per User $529 MEDICARE ENROLLEES (2003) Total Medicare Enrollees Number 28,062 MEDI-CAL ELIGIBLES BY RACE/ETHNICITY Percent of County Population 10.8 % (2003) White 31.7 % Black 1.4 % Enrollees Aged 65+: Hispanic 58.9 % Number 24,187 American Indian/Alaska Native 0.3 % Percent of County Population 9.3 % Asian/Pacific Islander 1.9 % Not Reported 5.8 % Disability Beneficiaries: Number 3,875 Percent of County Population 1.5 % See Section III for data definitions, sources, and notes. REPORTED COMMUNICABLE DISEASES (2002-2004 Avg.) Number and Crude Case Rate per 100,000 Population DISEASE Hepatitis Measles Shigellosis Tuberculosis Syphilis Chlamydia Gonorrhea CASES 14.0 0.3 21.3 8.0 5.0 560.0 56.7 RATE 5.4 * 0.13 * 8.2 3.1 * 1.9 * 216.0 21.9 CUMULATIVE AIDS CASES AND DEATHS 1981 through December 2005 AIDS Cases 568 Number of Deaths Percent of Total AIDS Cases Resulting in Death 337 59.3 % SELECTED COUNTY HEALTH INDICATORS Persons Injured in Traffic Accidents County of Occurrence (2003) 1,824 Substance Abuse Treatment Admissions (2004): Methamphetamine Cocaine Marijuana Alcohol 527 163 420 584 Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 180 COUNTY: SANTA CRUZ (continued) HOSPITALS (2004) Number of General Acute Care (GAC) Hospitals 92.3 % Number of Licensed GAC Beds 450 HOSPITAL UTILIZATION (2004) Number of GAC Discharges from GAC Hospitals 19,996 Average GAC Occupancy Rate in GAC Hospitals 10 952 LTC (2004) Number of LTC Discharges from LTC Facilities Average Occupancy Rate of LTC Facilities and Hospitals with LTC Beds Average GAC Length of Stay in GAC Hospitals (Days) 4 HOSPICE CARE (12/04) Number of Freestanding Hospice Care Facilities 0 PROGRAM CLIENTS/SERVICES Percent Infants Breastfed During Early Postpartum (2002-2004 Average) Family Planning Clients by All Funding Sources (FY 2004-2005) Women and Children under Age 5 Receiving WIC Services (2/06) Child Health & Disability Prevention Clients Served (FY 2003-2004) Number of Providers (3/06) California Children's Services Cases (FY 2004-2005 Annualized Quarter) Developmental Disability Clients (7/05) Rehabilitation Clients (FY 2004-2005) Mental Health Serivces (2004-2005) State Hospital Admissions Clients Receiving County Serivces Persons Receiving Preventive Health Care for the Aging Services (FY 2004-2005) Assessment Clients Other Client Services 16,157 Number of Licensed GAC Beds per 1,000 Population LTC (2004) Number of Long Term Care Facilities and Hospitals with LTC Beds Number of Licensed LTC Beds 1.7 46.5 7,910 3.8 7,870 38 Number of Licensed Beds per 1,000 Population PHYSICIANS (FY 2004-2005) Number of Licensed Physicians Average Number of Persons per Physician DENTISTS (3/06) Number of Licensed Dentists Average Number of Persons per Dentist 3.7 1,355 1,207 645 404 74.7 1,120 991 194 1,343 8 3,950 CLINICS (12/04) Number of Licensed Community and Free Clinics Number of Specialty Clinics 9 6 0 0 HOME HEALTH AGENCIES (12/04) Number of Licensed Home Health Agencies 5 See Section III for data definitions, sources, and notes. Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 181 COUNTY: 2000 Census Population Projection Year 2004 Projection Year 2010 Projection Year 2020 SHASTA TOTAL POPULATION 163,256 178,282 196,464 227,922 PERCENT BELOW POVERTY LEVEL (1999) Total Population 15.4 % Children under 6 Persons Aged 65+ White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups HOUSING VALUE (2000) Median Housing-Unit Value CALWORKS (1/05) CalWORKs Recipients as a Percent of County Population SSI/SSP (2004) SSI/SSP Recipients as a Percent of County Population 82.0 1.2 7.2 2.6 4.4 2.6 % % % % % % UNEMPLOYMENT (2005) Percent of Civilian Labor Force Unemployed EDUCATION Percent of Persons Aged 25+ Not Finishing High School (2000) Enrollment K-12 (2004-2005) URBAN/RURAL (2000) 11.5 % 7.1 % 14.2 27.3 24.0 32.4 29.2 23.3 $120,800 % % % % % % LIVE BIRTHS (2004) Number of Live Births by: County of Residence County of Occurrence Birth Rate (Births per 1,000 Population) Fertility rate (Births per 1,000 Females Aged 15-44, 2002-2004 Avg.) Low Birthweight (Under 2,500 Grams) Very Low Birthweight (Under 1,500 Grams) Unmarried 4.4 % Cesarean Section Delivery Mothers Who Gave Birth Outside County of Residence Mothers with Less Than 12 Years Education Teenage Mothers (Under 18) 16.7 % 31,902 Percent of Births by Mother's Race/Ethnicity: White 80.1 % Black 1.3 % Hispanic 9.6 % Asian/Pacific Islander 4.8 % American Indian/Alaska Native 2.9 % 2 Or More Race Groups 1.4 % See Section III for data definitions, sources, and notes. Mothers with No First Trimester Prenatal Care 27.5 % 2,046 2,104 11.5 AGE (2004) Under Age 5 Age 5-17 Age 18-64 Age 65+ SEX (2004) Females Males RACE/ETHNICITY (2004) White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups 50.7 % 49.3 % 5.6 % 17.8 % 59.4 % 17.2 % 60.1 6.0 % 0.9 % 38.4 % 5.1 % 6.0 % 7.1 % 15.4 % 3.7 % 10.3 % Urban Rural FAMILY INCOME (1999) Median Family Income 68.9 % 31.1 % PRINCIPAL PAYMENT SOURCE FOR BIRTH DELIVERIES (2004) Medi-Cal/Other Government 52.9 % HMO and Prepaid Plans 0.3 % 44.7 % $40,491 Private Insurance Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 182 COUNTY: Number of Deaths by: County of Residence County of Occurrence SHASTA DEATHS (2004) (continued) CAUSES OF DEATH (2002-2004 Avg.) INFANT DEATHS (2004) Number of Infant Deaths (Under 1 Year of Age) Infant Death Rate (Deaths per 1,000 Live Births) 10 1,887 Crude Death Rate per 100,000 Population by Cause of Death: 1,996 Heart Disease Cancer (All Types) Stroke Chronic Lower Respiratory Disease Unintentional Injuries Pneumonia and Influenza Diabetes Mellitus Alzheimer's Disease Chronic Liver Disease/Cirrhosis Suicide Homicide Hypertension/Hypertensive Renal Disease Nephritis 277.8 245.3 68.6 78.1 58.7 25.3 20.3 23.8 17.7 18.1 4.2 * 8.0 * 11.2 4.9 * Crude Death Rate (Deaths per 1,000 Population) AGE-ADJUSTED DEATH RATE (2002-2004 Avg.) Age-Adjusted Deaths per 100,000 Population AGE-SPECIFIC DEATH RATES (2002-2004 Avg.) Deaths per 100,000 Population: 1 to 4 Years Old 5 to 14 Years Old 15 to 24 Years Old 25 to 34 Years Old 35 to 44 Years Old 45 to 54 Years Old 55 to 64 Years Old 65 to 74 Years Old 75 to 84 Years Old 85 and Older 10.6 INFANT DEATH RATES (2003 Birth Cohort) Infant Deaths per 1,000 Live Births by Mother's Race/Ethnicity: All Race/Ethnic Groups White Black Hispanic Asian/Pacific Islander 7.3 * 7.3 * 0.0 + a,b 0.0 + 794.0 21.0 * 16.7 * 77.7 115.1 307.6 572.4 1,084.9 2,431.3 5,030.1 9,483.9 Number of Neonatal Deaths (Under 28 Days of Age) Neonatal Death Rate (Deaths per 1,000 Live Births) 5 FETAL AND NEONATAL DEATHS (2004) Number of Fetal Deaths Fetal Death Ratio (Deaths per 1,000 Live Births) 12 PERINATAL DEATHS (2003 Birth Cohort) Number of Perinatal Deaths (Neonatal Plus Fetal) 27 Perinatal Death Rate by Mother's Race/Ethnicity: All Race/Ethnic Groups White 5.9 * Black Hispanic Asian/Pacific Islander 2.4 * 0.0 + a,b 0.0 + 13.0 13.2 Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services See Section III for data definitions, sources, and notes. 183 COUNTY: SHASTA (continued) SELECTED COUNTY HEALTH INDICATORS MEDI-CAL (continued) (2003) Age-Adjusted Death Rate Per 100,000 Population (2002-2004 Avg.): Medi-Cal Deliveries by: Work-Related Injury Deaths 4.0 County of Beneficiary 1,089 Mortality Rate 2.4 * Fee-for-Service (FFS) 1,088 Drug-Induced Deaths 41.0 Managed Care 1 Mortality Rate 24.4 Total Medi-Cal FFS Abortions 490 Homicide by Weapons (2003) 4 Homicide by Handguns 1 Medi-Cal Physicians/Dentists Paid: Physicians 182 Kindergarten Students Needing One Dentists 38 or More Immunizations (2005) 116 Percent of All Kindergarten Students 5.5 % MEDI-CAL DATA MEDI-CAL MANAGED CARE ENROLLEES (7/03) (Avg. Monthly, 2003) Medi-Cal Users (FFS): 21,900 Total Managed Care Enrollees 0 Percent of County Population 12.5 % Percent of Eligibles (FFS) 62.5 % DENTI-CAL SERVICES (2003) Average Monthly Users (FFS) 1,709 Total Medi-Cal Eligibles: 35,020 Percent of County Population 20.0 % MEDI-CAL/MEDICARE (2003) Percent of Medi-Cal Eligibles Medi-Cal Payments (FFS) : Who Are Also Eligible Amount $13,325,151 for Medicare 19.4 % Average Amount per User $608 MEDICARE ENROLLEES (2003) Total Medicare Enrollees Number 33,800 MEDI-CAL ELIGIBLES BY RACE/ETHNICITY Percent of County Population 19.3 % (2003) White 79.9 % Black 1.8 % Enrollees Aged 65+: Hispanic 5.5 % Number 26,869 American Indian/Alaska Native 3.3 % Percent of County Population 15.3 % Asian/Pacific Islander 4.7 % Not Reported 4.8 % Disability Beneficiaries: Number 6,931 Percent of County Population 4.0 % See Section III for data definitions, sources, and notes. REPORTED COMMUNICABLE DISEASES (2002-2004 Avg.) Number and Crude Case Rate per 100,000 Population DISEASE Hepatitis Measles Shigellosis Tuberculosis Syphilis Chlamydia Gonorrhea CASES 28.7 0.0 2.3 5.3 0.0 576.7 51.0 RATE 16.3 0.00 + 1.3 * 3.0 * 0.0 + 328.7 29.1 CUMULATIVE AIDS CASES AND DEATHS 1981 through December 2005 AIDS Cases 142 Number of Deaths Percent of Total AIDS Cases Resulting in Death 96 67.6 % SELECTED COUNTY HEALTH INDICATORS Persons Injured in Traffic Accidents County of Occurrence (2003) 1,990 Substance Abuse Treatment Admissions (2004): Methamphetamine 1,080 Cocaine 39 Marijuana 324 Alcohol 607 Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 184 COUNTY: SHASTA (continued) HOSPITALS (2004) Number of General Acute Care (GAC) Hospitals 90.1 % Number of Licensed GAC Beds 589 HOSPITAL UTILIZATION (2004) Number of GAC Discharges from GAC Hospitals 17,323 Average GAC Occupancy Rate in GAC Hospitals 7 864 LTC (2004) Number of LTC Discharges from LTC Facilities Average Occupancy Rate of LTC Facilities and Hospitals with LTC Beds Average GAC Length of Stay in GAC Hospitals (Days) 5 HOSPICE CARE (12/04) Number of Freestanding Hospice Care Facilities 1 PROGRAM CLIENTS/SERVICES Percent Infants Breastfed During Early Postpartum (2002-2004 Average) Family Planning Clients by All Funding Sources (FY 2004-2005) Women and Children under Age 5 Receiving WIC Services (2/06) Child Health & Disability Prevention Clients Served (FY 2003-2004) Number of Providers (3/06) California Children's Services Cases (FY 2004-2005 Annualized Quarter) Developmental Disability Clients (7/05) Rehabilitation Clients (FY 2004-2005) Mental Health Serivces (2004-2005) State Hospital Admissions Clients Receiving County Serivces Persons Receiving Preventive Health Care for the Aging Services (FY 2004-2005) Assessment Clients Other Client Services 8,121 Number of Licensed GAC Beds per 1,000 Population LTC (2004) Number of Long Term Care Facilities and Hospitals with LTC Beds Number of Licensed LTC Beds 3.3 38.2 3,880 4.8 6,517 34 Number of Licensed Beds per 1,000 Population PHYSICIANS (FY 2004-2005) Number of Licensed Physicians Average Number of Persons per Physician DENTISTS (3/06) Number of Licensed Dentists Average Number of Persons per Dentist 4.8 1,710 791 478 373 76.1 1,745 812 114 1,588 13 5,100 CLINICS (12/04) Number of Licensed Community and Free Clinics Number of Specialty Clinics 14 10 66 34 HOME HEALTH AGENCIES (12/04) Number of Licensed Home Health Agencies 6 See Section III for data definitions, sources, and notes. Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 185 COUNTY: 2000 Census Population Projection Year 2004 Projection Year 2010 Projection Year 2020 SIERRA TOTAL POPULATION 3,555 3,578 3,530 3,654 PERCENT BELOW POVERTY LEVEL (1999) Total Population 11.3 % Children under 6 Persons Aged 65+ White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups HOUSING VALUE (2000) Median Housing-Unit Value CALWORKS (1/05) CalWORKs Recipients as a Percent of County Population SSI/SSP (2004) SSI/SSP Recipients as a Percent of County Population 89.2 0.2 6.7 0.3 1.8 1.8 % % % % % % UNEMPLOYMENT (2005) Percent of Civilian Labor Force Unemployed EDUCATION Percent of Persons Aged 25+ Not Finishing High School (2000) Enrollment K-12 (2004-2005) URBAN/RURAL (2000) 6.5 % 3.3 % 10.8 100.0 7.1 0.0 6.7 31.8 $128,600 % % % % % % LIVE BIRTHS (2004) Number of Live Births by: County of Residence County of Occurrence Birth Rate (Births per 1,000 Population) Fertility rate (Births per 1,000 Females Aged 15-44, 2002-2004 Avg.) Low Birthweight (Under 2,500 Grams) Very Low Birthweight (Under 1,500 Grams) Unmarried 2.9 % Cesarean Section Delivery Mothers Who Gave Birth Outside County of Residence Mothers with Less Than 12 Years Education Teenage Mothers (Under 18) 14.8 % 609 Percent of Births by Mother's Race/Ethnicity: White 83.3 % Black 0.0 % Hispanic a Asian/Pacific Islander a American Indian/Alaska Native 0.0 % 2 Or More Race Groups 0.0 % See Section III for data definitions, sources, and notes. Mothers with No First Trimester Prenatal Care 38.9 % 18 0 5.0 AGE (2004) Under Age 5 Age 5-17 Age 18-64 Age 65+ SEX (2004) Females Males RACE/ETHNICITY (2004) White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups 49.6 % 50.4 % 3.5 % 15.5 % 61.0 % 20.0 % b a a 38.9 % 2.4 % 100.0 % 8.4 % 0.0 % 0.0 % a Urban Rural FAMILY INCOME (1999) Median Family Income 0.0 % 100.0 % PRINCIPAL PAYMENT SOURCE FOR BIRTH DELIVERIES (2004) Medi-Cal/Other Government 50.0 % HMO and Prepaid Plans 0.0 % 50.0 % $42,756 Private Insurance Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 186 COUNTY: Number of Deaths by: County of Residence County of Occurrence SIERRA DEATHS (2004) (continued) CAUSES OF DEATH (2002-2004 Avg.) INFANT DEATHS (2004) Number of Infant Deaths (Under 1 Year of Age) Infant Death Rate (Deaths per 1,000 Live Births) * * * * * * * * * * + + * 0 37 Crude Death Rate per 100,000 Population by Cause of Death: 29 Heart Disease Cancer (All Types) Stroke Chronic Lower Respiratory Disease Unintentional Injuries Pneumonia and Influenza Diabetes Mellitus Alzheimer's Disease Chronic Liver Disease/Cirrhosis Suicide Homicide Hypertension/Hypertensive Renal Disease Nephritis 252.6 318.1 46.8 56.1 112.3 28.1 46.8 18.7 28.1 9.4 0.0 0.0 9.4 0.0 + Crude Death Rate (Deaths per 1,000 Population) AGE-ADJUSTED DEATH RATE (2002-2004 Avg.) Age-Adjusted Deaths per 100,000 Population AGE-SPECIFIC DEATH RATES (2002-2004 Avg.) Deaths per 100,000 Population: 1 to 4 Years Old 5 to 14 Years Old 15 to 24 Years Old 25 to 34 Years Old 35 to 44 Years Old 45 to 54 Years Old 55 to 64 Years Old 65 to 74 Years Old 75 to 84 Years Old 85 and Older 10.3 INFANT DEATH RATES (2003 Birth Cohort) Infant Deaths per 1,000 Live Births by Mother's Race/Ethnicity: All Race/Ethnic Groups White Black Hispanic Asian/Pacific Islander a,b a,b 0.0 + 0.0 + 0.0 + 769.3 0.0 + 0.0 + 0.0 + 124.8 * 502.9 * 499.2 * 969.0 * 2,462.6 * 3,669.7 * 11,326.9 * Number of Neonatal Deaths (Under 28 Days of Age) Neonatal Death Rate (Deaths per 1,000 Live Births) 0 FETAL AND NEONATAL DEATHS (2004) Number of Fetal Deaths Fetal Death Ratio (Deaths per 1,000 Live Births) 0 PERINATAL DEATHS (2003 Birth Cohort) Number of Perinatal Deaths (Neonatal Plus Fetal) 1 Perinatal Death Rate by Mother's Race/Ethnicity: All Race/Ethnic Groups White 0.0 + Black Hispanic Asian/Pacific Islander 0.0 + 0.0 + 0.0 + 0.0 + a,b a,b Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services See Section III for data definitions, sources, and notes. 187 COUNTY: SIERRA (continued) SELECTED COUNTY HEALTH INDICATORS MEDI-CAL (continued) (2003) Age-Adjusted Death Rate Per 100,000 Population (2002-2004 Avg.): Medi-Cal Deliveries by: Work-Related Injury Deaths 0.0 County of Beneficiary 14 Mortality Rate 0.0 + Fee-for-Service (FFS) 14 Drug-Induced Deaths 0.3 Managed Care 0 Mortality Rate 7.5 * Total Medi-Cal FFS Abortions 3 Homicide by Weapons (2003) 0 Homicide by Handguns 0 Medi-Cal Physicians/Dentists Paid: Physicians 0 Kindergarten Students Needing One Dentists 0 or More Immunizations (2005) 3 Percent of All Kindergarten Students 7.3 % MEDI-CAL DATA MEDI-CAL MANAGED CARE ENROLLEES (7/03) (Avg. Monthly, 2003) Medi-Cal Users (FFS): 264 Total Managed Care Enrollees 0 Percent of County Population 7.4 % Percent of Eligibles (FFS) 59.9 % DENTI-CAL SERVICES (2003) Average Monthly Users (FFS) 6 Total Medi-Cal Eligibles: 441 Percent of County Population 12.4 % MEDI-CAL/MEDICARE (2003) Percent of Medi-Cal Eligibles Medi-Cal Payments (FFS) : Who Are Also Eligible Amount $224,700 for Medicare 24.4 % Average Amount per User $851 MEDICARE ENROLLEES (2003) Total Medicare Enrollees Number 677 MEDI-CAL ELIGIBLES BY RACE/ETHNICITY Percent of County Population 19.0 % (2003) White 83.7 % Black 1.6 % Enrollees Aged 65+: Hispanic 6.9 % Number 587 American Indian/Alaska Native 1.3 % Percent of County Population 16.5 % Asian/Pacific Islander 1.6 % Not Reported 4.9 % Disability Beneficiaries: Number 90 Percent of County Population 2.5 % See Section III for data definitions, sources, and notes. REPORTED COMMUNICABLE DISEASES (2002-2004 Avg.) Number and Crude Case Rate per 100,000 Population DISEASE Hepatitis Measles Shigellosis Tuberculosis Syphilis Chlamydia Gonorrhea CASES 2.7 0.0 0.3 0.0 0.0 0.7 0.0 RATE 74.8 * 0.00 + 9.4 * 0.0 + 0.0 + 18.7 * 0.0 + CUMULATIVE AIDS CASES AND DEATHS 1981 through December 2005 AIDS Cases 4 Number of Deaths Percent of Total AIDS Cases Resulting in Death 4 100.0 % SELECTED COUNTY HEALTH INDICATORS Persons Injured in Traffic Accidents County of Occurrence (2003) 58 Substance Abuse Treatment Admissions (2004): Methamphetamine Cocaine Marijuana Alcohol 5 0 4 7 Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 188 COUNTY: SIERRA (continued) HOSPITALS (2004) Number of General Acute Care (GAC) Hospitals 93.3 % Number of Licensed GAC Beds 1 HOSPITAL UTILIZATION (2004) Number of GAC Discharges from GAC Hospitals Average GAC Occupancy Rate in GAC Hospitals 0 0 LTC (2004) Number of LTC Discharges from LTC Facilities Average Occupancy Rate of LTC Facilities and Hospitals with LTC Beds Average GAC Length of Stay in GAC Hospitals (Days) 1 HOSPICE CARE (12/04) Number of Freestanding Hospice Care Facilities 0 PROGRAM CLIENTS/SERVICES Percent Infants Breastfed During Early Postpartum (2002-2004 Average) Family Planning Clients by All Funding Sources (FY 2004-2005) Women and Children under Age 5 Receiving WIC Services (2/06) Child Health & Disability Prevention Clients Served (FY 2003-2004) Number of Providers (3/06) California Children's Services Cases (FY 2004-2005 Annualized Quarter) Developmental Disability Clients (7/05) Rehabilitation Clients (FY 2004-2005) Mental Health Serivces (2004-2005) State Hospital Admissions Clients Receiving County Serivces Persons Receiving Preventive Health Care for the Aging Services (FY 2004-2005) Assessment Clients Other Client Services 160 Number of Licensed GAC Beds per 1,000 Population LTC (2004) Number of Long Term Care Facilities and Hospitals with LTC Beds Number of Licensed LTC Beds 0 0.3 0.0 39 0.0 104 2 Number of Licensed Beds per 1,000 Population PHYSICIANS (FY 2004-2005) Number of Licensed Physicians Average Number of Persons per Physician DENTISTS (3/06) Number of Licensed Dentists Average Number of Persons per Dentist 0.0 0 5 1 3,578 0.0 19 31 2 1,757 0 114 CLINICS (12/04) Number of Licensed Community and Free Clinics Number of Specialty Clinics 1 0 0 0 HOME HEALTH AGENCIES (12/04) Number of Licensed Home Health Agencies 0 See Section III for data definitions, sources, and notes. Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 189 COUNTY: 2000 Census Population Projection Year 2004 Projection Year 2010 Projection Year 2020 SISKIYOU TOTAL POPULATION 44,301 45,198 45,611 45,862 PERCENT BELOW POVERTY LEVEL (1999) Total Population 18.6 % Children under 6 Persons Aged 65+ White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups HOUSING VALUE (2000) Median Housing-Unit Value CALWORKS (1/05) CalWORKs Recipients as a Percent of County Population SSI/SSP (2004) SSI/SSP Recipients as a Percent of County Population 82.2 1.4 8.4 1.4 3.8 2.9 % % % % % % UNEMPLOYMENT (2005) Percent of Civilian Labor Force Unemployed EDUCATION Percent of Persons Aged 25+ Not Finishing High School (2000) Enrollment K-12 (2004-2005) URBAN/RURAL (2000) 11.0 % 7.2 % 16.9 25.7 27.8 54.5 31.7 28.3 $100,300 % % % % % % LIVE BIRTHS (2004) Number of Live Births by: County of Residence County of Occurrence Birth Rate (Births per 1,000 Population) Fertility rate (Births per 1,000 Females Aged 15-44, 2002-2004 Avg.) Low Birthweight (Under 2,500 Grams) Very Low Birthweight (Under 1,500 Grams) Unmarried 5.0 % Cesarean Section Delivery Mothers Who Gave Birth Outside County of Residence Mothers with Less Than 12 Years Education Teenage Mothers (Under 18) 16.2 % 7,098 Percent of Births by Mother's Race/Ethnicity: White 70.0 % Black a Hispanic 17.8 % Asian/Pacific Islander 3.0 % American Indian/Alaska Native 6.2 % 2 Or More Race Groups 2.1 % See Section III for data definitions, sources, and notes. Mothers with No First Trimester Prenatal Care 30.6 % 467 349 10.3 AGE (2004) Under Age 5 Age 5-17 Age 18-64 Age 65+ SEX (2004) Females Males RACE/ETHNICITY (2004) White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups 51.1 % 48.9 % 4.5 % 16.4 % 60.0 % 19.1 % 60.4 9.0 % 1.5 % 40.4 % 5.6 % 26.3 % 8.9 % 21.3 % 3.9 % 24.8 % Urban Rural FAMILY INCOME (1999) Median Family Income 35.4 % 64.6 % PRINCIPAL PAYMENT SOURCE FOR BIRTH DELIVERIES (2004) Medi-Cal/Other Government 61.3 % HMO and Prepaid Plans a 34.0 % $36,890 Private Insurance Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 190 COUNTY: Number of Deaths by: County of Residence County of Occurrence SISKIYOU DEATHS (2004) (continued) CAUSES OF DEATH (2002-2004 Avg.) INFANT DEATHS (2004) Number of Infant Deaths (Under 1 Year of Age) Infant Death Rate (Deaths per 1,000 Live Births) 3 500 Crude Death Rate per 100,000 Population by Cause of Death: 441 Heart Disease Cancer (All Types) Stroke Chronic Lower Respiratory Disease Unintentional Injuries Pneumonia and Influenza Diabetes Mellitus Alzheimer's Disease Chronic Liver Disease/Cirrhosis Suicide Homicide Hypertension/Hypertensive Renal Disease Nephritis 283.2 267.7 74.7 74.7 60.6 38.4 30.3 24.4 17.0 22.2 4.4 10.4 14.0 a,b Crude Death Rate (Deaths per 1,000 Population) AGE-ADJUSTED DEATH RATE (2002-2004 Avg.) Age-Adjusted Deaths per 100,000 Population AGE-SPECIFIC DEATH RATES (2002-2004 Avg.) Deaths per 100,000 Population: 1 to 4 Years Old 5 to 14 Years Old 15 to 24 Years Old 25 to 34 Years Old 35 to 44 Years Old 45 to 54 Years Old 55 to 64 Years Old 65 to 74 Years Old 75 to 84 Years Old 85 and Older 11.1 INFANT DEATH RATES (2003 Birth Cohort) Infant Deaths per 1,000 Live Births by Mother's Race/Ethnicity: * * * * * * * * All Race/Ethnic Groups White Black Hispanic Asian/Pacific Islander a,b a,b 0.0 + 0.0 + 0.0 + 813.9 0.0 + 18.1 * 61.6 * 142.1 * 369.5 421.4 927.9 1,828.7 5,377.4 13,966.7 Number of Neonatal Deaths (Under 28 Days of Age) Neonatal Death Rate (Deaths per 1,000 Live Births) 0 FETAL AND NEONATAL DEATHS (2004) Number of Fetal Deaths Fetal Death Ratio (Deaths per 1,000 Live Births) 1 PERINATAL DEATHS (2003 Birth Cohort) Number of Perinatal Deaths (Neonatal Plus Fetal) 8 Perinatal Death Rate by Mother's Race/Ethnicity: All Race/Ethnic Groups White a,b Black Hispanic Asian/Pacific Islander 0.0 + 0.0 + a,b a,b b a,b Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services See Section III for data definitions, sources, and notes. 191 COUNTY: SISKIYOU (continued) SELECTED COUNTY HEALTH INDICATORS MEDI-CAL (continued) (2003) Age-Adjusted Death Rate Per 100,000 Population (2002-2004 Avg.): Medi-Cal Deliveries by: Work-Related Injury Deaths 0.7 County of Beneficiary 281 Mortality Rate 1.2 * Fee-for-Service (FFS) 281 Drug-Induced Deaths 8.3 Managed Care 0 Mortality Rate 18.4 * Total Medi-Cal FFS Abortions 70 Homicide by Weapons (2003) 1 Homicide by Handguns 1 Medi-Cal Physicians/Dentists Paid: Physicians 48 Kindergarten Students Needing One Dentists 11 or More Immunizations (2005) 23 Percent of All Kindergarten Students 5.1 % MEDI-CAL DATA MEDI-CAL MANAGED CARE ENROLLEES (7/03) (Avg. Monthly, 2003) Medi-Cal Users (FFS): 5,663 Total Managed Care Enrollees 0 Percent of County Population 12.6 % Percent of Eligibles (FFS) 58.5 % DENTI-CAL SERVICES (2003) Average Monthly Users (FFS) 452 Total Medi-Cal Eligibles: 9,687 Percent of County Population 21.5 % MEDI-CAL/MEDICARE (2003) Percent of Medi-Cal Eligibles Medi-Cal Payments (FFS) : Who Are Also Eligible Amount $2,853,096 for Medicare 19.4 % Average Amount per User $504 MEDICARE ENROLLEES (2003) Total Medicare Enrollees Number 9,796 MEDI-CAL ELIGIBLES BY RACE/ETHNICITY Percent of County Population 21.7 % (2003) White 73.6 % Black 2.3 % Enrollees Aged 65+: Hispanic 9.7 % Number 8,300 American Indian/Alaska Native 5.1 % Percent of County Population 18.4 % Asian/Pacific Islander 3.1 % Not Reported 6.3 % Disability Beneficiaries: Number 1,496 Percent of County Population 3.3 % See Section III for data definitions, sources, and notes. REPORTED COMMUNICABLE DISEASES (2002-2004 Avg.) Number and Crude Case Rate per 100,000 Population DISEASE Hepatitis Measles Shigellosis Tuberculosis Syphilis Chlamydia Gonorrhea CASES 6.7 0.0 0.7 0.0 0.0 92.0 5.0 RATE 14.8 * 0.00 + 1.5 * 0.0 + 0.0 + 204.1 11.1 * CUMULATIVE AIDS CASES AND DEATHS 1981 through December 2005 AIDS Cases 43 Number of Deaths Percent of Total AIDS Cases Resulting in Death 24 55.8 % SELECTED COUNTY HEALTH INDICATORS Persons Injured in Traffic Accidents County of Occurrence (2003) 371 Substance Abuse Treatment Admissions (2004): Methamphetamine Cocaine Marijuana Alcohol 88 ^ 46 52 Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 192 COUNTY: SISKIYOU (continued) HOSPITALS (2004) Number of General Acute Care (GAC) Hospitals 89.7 % Number of Licensed GAC Beds 61 HOSPITAL UTILIZATION (2004) Number of GAC Discharges from GAC Hospitals 3,398 Average GAC Occupancy Rate in GAC Hospitals 3 164 LTC (2004) Number of LTC Discharges from LTC Facilities Average Occupancy Rate of LTC Facilities and Hospitals with LTC Beds Average GAC Length of Stay in GAC Hospitals (Days) 2 HOSPICE CARE (12/04) Number of Freestanding Hospice Care Facilities 3 PROGRAM CLIENTS/SERVICES Percent Infants Breastfed During Early Postpartum (2002-2004 Average) Family Planning Clients by All Funding Sources (FY 2004-2005) Women and Children under Age 5 Receiving WIC Services (2/06) Child Health & Disability Prevention Clients Served (FY 2003-2004) Number of Providers (3/06) California Children's Services Cases (FY 2004-2005 Annualized Quarter) Developmental Disability Clients (7/05) Rehabilitation Clients (FY 2004-2005) Mental Health Serivces (2004-2005) State Hospital Admissions Clients Receiving County Serivces Persons Receiving Preventive Health Care for the Aging Services (FY 2004-2005) Assessment Clients Other Client Services 1,321 Number of Licensed GAC Beds per 1,000 Population LTC (2004) Number of Long Term Care Facilities and Hospitals with LTC Beds Number of Licensed LTC Beds 1.3 42.6 1,123 2.9 2,585 23 Number of Licensed Beds per 1,000 Population PHYSICIANS (FY 2004-2005) Number of Licensed Physicians Average Number of Persons per Physician DENTISTS (3/06) Number of Licensed Dentists Average Number of Persons per Dentist 3.6 209 254 85 532 50.9 280 287 32 1,450 5 1,582 CLINICS (12/04) Number of Licensed Community and Free Clinics Number of Specialty Clinics 6 0 0 0 HOME HEALTH AGENCIES (12/04) Number of Licensed Home Health Agencies 3 See Section III for data definitions, sources, and notes. Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 193 COUNTY: 2000 Census Population Projection Year 2004 Projection Year 2010 Projection Year 2020 SOLANO TOTAL POPULATION 394,542 421,533 455,647 555,264 PERCENT BELOW POVERTY LEVEL (1999) Total Population 8.3 % Children under 6 Persons Aged 65+ White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups HOUSING VALUE (2000) Median Housing-Unit Value CALWORKS (1/05) CalWORKs Recipients as a Percent of County Population SSI/SSP (2004) SSI/SSP Recipients as a Percent of County Population 42.6 16.1 20.7 15.4 1.2 4.1 % % % % % % UNEMPLOYMENT (2005) Percent of Civilian Labor Force Unemployed EDUCATION Percent of Persons Aged 25+ Not Finishing High School (2000) Enrollment K-12 (2004-2005) URBAN/RURAL (2000) 12.8 % 7.1 % 7.3 13.9 11.1 6.6 14.3 9.1 $178,300 % % % % % % LIVE BIRTHS (2004) Number of Live Births by: County of Residence County of Occurrence Birth Rate (Births per 1,000 Population) Fertility rate (Births per 1,000 Females Aged 15-44, 2002-2004 Avg.) Low Birthweight (Under 2,500 Grams) Very Low Birthweight (Under 1,500 Grams) Unmarried 2.6 % Cesarean Section Delivery Mothers Who Gave Birth Outside County of Residence Mothers with Less Than 12 Years Education Teenage Mothers (Under 18) 16.2 % 77,070 Percent of Births by Mother's Race/Ethnicity: White 37.5 % Black 12.5 % Hispanic 32.3 % Asian/Pacific Islander 14.4 % American Indian/Alaska Native 0.4 % 2 Or More Race Groups 3.0 % See Section III for data definitions, sources, and notes. Mothers with No First Trimester Prenatal Care 25.1 % 5,688 5,397 13.5 AGE (2004) Under Age 5 Age 5-17 Age 18-64 Age 65+ SEX (2004) Females Males RACE/ETHNICITY (2004) White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups 49.3 % 50.7 % 6.9 % 19.6 % 62.3 % 11.3 % 67.5 7.2 % 1.3 % 33.2 % 2.4 % 18.5 % 5.4 % 19.5 % 2.7 % 25.6 % Urban Rural FAMILY INCOME (1999) Median Family Income 95.9 % 4.1 % PRINCIPAL PAYMENT SOURCE FOR BIRTH DELIVERIES (2004) Medi-Cal/Other Government 41.3 % HMO and Prepaid Plans 47.7 % 10.3 % $60,597 Private Insurance Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 194 COUNTY: Number of Deaths by: County of Residence County of Occurrence SOLANO DEATHS (2004) (continued) CAUSES OF DEATH (2002-2004 Avg.) INFANT DEATHS (2004) Number of Infant Deaths (Under 1 Year of Age) Infant Death Rate (Deaths per 1,000 Live Births) 19 2,589 Crude Death Rate per 100,000 Population by Cause of Death: 2,439 Heart Disease Cancer (All Types) Stroke Chronic Lower Respiratory Disease Unintentional Injuries Pneumonia and Influenza Diabetes Mellitus Alzheimer's Disease Chronic Liver Disease/Cirrhosis Suicide Homicide Hypertension/Hypertensive Renal Disease Nephritis 159.5 152.2 51.2 38.7 27.9 19.9 19.9 24.7 12.2 8.4 6.2 8.4 4.4 * 3.3 Crude Death Rate (Deaths per 1,000 Population) AGE-ADJUSTED DEATH RATE (2002-2004 Avg.) Age-Adjusted Deaths per 100,000 Population AGE-SPECIFIC DEATH RATES (2002-2004 Avg.) Deaths per 100,000 Population: 1 to 4 Years Old 5 to 14 Years Old 15 to 24 Years Old 25 to 34 Years Old 35 to 44 Years Old 45 to 54 Years Old 55 to 64 Years Old 65 to 74 Years Old 75 to 84 Years Old 85 and Older 6.1 INFANT DEATH RATES (2003 Birth Cohort) Infant Deaths per 1,000 Live Births by Mother's Race/Ethnicity: All Race/Ethnic Groups White Black Hispanic Asian/Pacific Islander 4.6 4.5 * a,b 3.8 * b 671.4 17.4 * 18.7 * 69.4 82.9 173.0 418.1 860.2 2,126.8 4,821.2 7,963.6 Number of Neonatal Deaths (Under 28 Days of Age) Neonatal Death Rate (Deaths per 1,000 Live Births) 11 FETAL AND NEONATAL DEATHS (2004) Number of Fetal Deaths Fetal Death Ratio (Deaths per 1,000 Live Births) 35 PERINATAL DEATHS (2003 Birth Cohort) Number of Perinatal Deaths (Neonatal Plus Fetal) 53 Perinatal Death Rate by Mother's Race/Ethnicity: All Race/Ethnic Groups White 6.2 Black Hispanic Asian/Pacific Islander 1.9 * b 8.7 * b 9.1 8.0 * Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services See Section III for data definitions, sources, and notes. 195 COUNTY: SOLANO (continued) SELECTED COUNTY HEALTH INDICATORS MEDI-CAL (continued) (2003) Age-Adjusted Death Rate Per 100,000 Population (2002-2004 Avg.): Medi-Cal Deliveries by: Work-Related Injury Deaths 5.3 County of Beneficiary 1,818 Mortality Rate 1.3 * Fee-for-Service (FFS) 700 Drug-Induced Deaths 32.0 Managed Care 1,118 Mortality Rate 7.7 Total Medi-Cal FFS Abortions 362 Homicide by Weapons (2003) 19 Homicide by Handguns 12 Medi-Cal Physicians/Dentists Paid: Physicians 82 Kindergarten Students Needing One Dentists 51 or More Immunizations (2005) 328 Percent of All Kindergarten Students 6.1 % MEDI-CAL DATA MEDI-CAL MANAGED CARE ENROLLEES (7/03) (Avg. Monthly, 2003) Medi-Cal Users (FFS): 6,351 Total Managed Care Enrollees 46,093 Percent of County Population 1.5 % Percent of Eligibles (FFS) 12.5 % DENTI-CAL SERVICES (2003) Average Monthly Users (FFS) 2,484 Total Medi-Cal Eligibles: 50,649 Percent of County Population 12.2 % MEDI-CAL/MEDICARE (2003) Percent of Medi-Cal Eligibles Medi-Cal Payments (FFS) : Who Are Also Eligible Amount $1,820,379 for Medicare 16.6 % Average Amount per User $287 MEDICARE ENROLLEES (2003) Total Medicare Enrollees Number 42,954 MEDI-CAL ELIGIBLES BY RACE/ETHNICITY Percent of County Population 10.3 % (2003) White 27.3 % Black 27.5 % Enrollees Aged 65+: Hispanic 27.1 % Number 36,481 American Indian/Alaska Native 0.4 % Percent of County Population 8.8 % Asian/Pacific Islander 12.9 % Not Reported 4.9 % Disability Beneficiaries: Number 6,473 Percent of County Population 1.6 % See Section III for data definitions, sources, and notes. REPORTED COMMUNICABLE DISEASES (2002-2004 Avg.) Number and Crude Case Rate per 100,000 Population DISEASE Hepatitis Measles Shigellosis Tuberculosis Syphilis Chlamydia Gonorrhea CASES 13.3 0.0 18.0 32.7 2.7 1,350.0 274.7 RATE 3.2 * 0.00 + 4.3 * 7.8 0.6 * 324.2 66.0 CUMULATIVE AIDS CASES AND DEATHS 1981 through December 2005 AIDS Cases 1,424 Number of Deaths Percent of Total AIDS Cases Resulting in Death 709 49.8 % SELECTED COUNTY HEALTH INDICATORS Persons Injured in Traffic Accidents County of Occurrence (2003) 3,251 Substance Abuse Treatment Admissions (2004): Methamphetamine 1,381 Cocaine 481 Marijuana 371 Alcohol 637 Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 196 COUNTY: SOLANO (continued) HOSPITALS (2004) Number of General Acute Care (GAC) Hospitals 84.3 % Number of Licensed GAC Beds 560 HOSPITAL UTILIZATION (2004) Number of GAC Discharges from GAC Hospitals 29,377 Average GAC Occupancy Rate in GAC Hospitals 8 967 LTC (2004) Number of LTC Discharges from LTC Facilities Average Occupancy Rate of LTC Facilities and Hospitals with LTC Beds Average GAC Length of Stay in GAC Hospitals (Days) 4 HOSPICE CARE (12/04) Number of Freestanding Hospice Care Facilities 2 PROGRAM CLIENTS/SERVICES Percent Infants Breastfed During Early Postpartum (2002-2004 Average) Family Planning Clients by All Funding Sources (FY 2004-2005) Women and Children under Age 5 Receiving WIC Services (2/06) Child Health & Disability Prevention Clients Served (FY 2003-2004) Number of Providers (3/06) California Children's Services Cases (FY 2004-2005 Annualized Quarter) Developmental Disability Clients (7/05) Rehabilitation Clients (FY 2004-2005) Mental Health Serivces (2004-2005) State Hospital Admissions Clients Receiving County Serivces Persons Receiving Preventive Health Care for the Aging Services (FY 2004-2005) Assessment Clients Other Client Services 11,507 Number of Licensed GAC Beds per 1,000 Population LTC (2004) Number of Long Term Care Facilities and Hospitals with LTC Beds Number of Licensed LTC Beds 1.3 68.7 9,994 4.8 13,582 36 Number of Licensed Beds per 1,000 Population PHYSICIANS (FY 2004-2005) Number of Licensed Physicians Average Number of Persons per Physician DENTISTS (3/06) Number of Licensed Dentists Average Number of Persons per Dentist 2.3 2,177 724 764 552 48.3 2,453 1,860 265 1,593 95 5,224 CLINICS (12/04) Number of Licensed Community and Free Clinics Number of Specialty Clinics 5 8 0 0 HOME HEALTH AGENCIES (12/04) Number of Licensed Home Health Agencies 6 See Section III for data definitions, sources, and notes. Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 197 COUNTY: 2000 Census Population Projection Year 2004 Projection Year 2010 Projection Year 2020 SONOMA TOTAL POPULATION 458,614 479,824 515,968 602,783 PERCENT BELOW POVERTY LEVEL (1999) Total Population 8.1 % Children under 6 Persons Aged 65+ White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups HOUSING VALUE (2000) Median Housing-Unit Value CALWORKS (1/05) CalWORKs Recipients as a Percent of County Population SSI/SSP (2004) SSI/SSP Recipients as a Percent of County Population 72.7 1.5 18.8 3.8 1.0 2.3 % % % % % % UNEMPLOYMENT (2005) Percent of Civilian Labor Force Unemployed EDUCATION Percent of Persons Aged 25+ Not Finishing High School (2000) Enrollment K-12 (2004-2005) URBAN/RURAL (2000) 9.0 % 8.8 % 7.7 19.9 14.2 9.3 13.3 10.5 $273,200 % % % % % % LIVE BIRTHS (2004) Number of Live Births by: County of Residence County of Occurrence Birth Rate (Births per 1,000 Population) Fertility rate (Births per 1,000 Females Aged 15-44, 2002-2004 Avg.) Low Birthweight (Under 2,500 Grams) Very Low Birthweight (Under 1,500 Grams) Unmarried 1.3 % Cesarean Section Delivery Mothers Who Gave Birth Outside County of Residence Mothers with Less Than 12 Years Education Teenage Mothers (Under 18) 15.1 % 79,264 Percent of Births by Mother's Race/Ethnicity: White 50.1 % Black 1.4 % Hispanic 40.9 % Asian/Pacific Islander 4.8 % American Indian/Alaska Native 1.1 % 2 Or More Race Groups 1.7 % See Section III for data definitions, sources, and notes. Mothers with No First Trimester Prenatal Care 23.8 % 5,964 6,083 12.4 AGE (2004) Under Age 5 Age 5-17 Age 18-64 Age 65+ SEX (2004) Females Males RACE/ETHNICITY (2004) White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups 50.5 % 49.5 % 5.8 % 17.2 % 64.0 % 13.0 % 61.8 5.4 % 0.9 % 31.5 % 2.0 % 4.5 % 4.4 % 28.7 % 2.3 % 13.9 % Urban Rural FAMILY INCOME (1999) Median Family Income 85.7 % 14.3 % PRINCIPAL PAYMENT SOURCE FOR BIRTH DELIVERIES (2004) Medi-Cal/Other Government 40.2 % HMO and Prepaid Plans 32.9 % 25.8 % $61,921 Private Insurance Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 198 COUNTY: Number of Deaths by: County of Residence County of Occurrence SONOMA DEATHS (2004) (continued) CAUSES OF DEATH (2002-2004 Avg.) INFANT DEATHS (2004) Number of Infant Deaths (Under 1 Year of Age) Infant Death Rate (Deaths per 1,000 Live Births) 15 3,620 Crude Death Rate per 100,000 Population by Cause of Death: 3,633 Heart Disease Cancer (All Types) Stroke Chronic Lower Respiratory Disease Unintentional Injuries Pneumonia and Influenza Diabetes Mellitus Alzheimer's Disease Chronic Liver Disease/Cirrhosis Suicide Homicide Hypertension/Hypertensive Renal Disease Nephritis 209.1 193.1 72.9 45.3 34.8 23.2 19.9 29.0 11.0 13.5 3.9 * 7.0 4.4 2.5 * Crude Death Rate (Deaths per 1,000 Population) AGE-ADJUSTED DEATH RATE (2002-2004 Avg.) Age-Adjusted Deaths per 100,000 Population AGE-SPECIFIC DEATH RATES (2002-2004 Avg.) Deaths per 100,000 Population: 1 to 4 Years Old 5 to 14 Years Old 15 to 24 Years Old 25 to 34 Years Old 35 to 44 Years Old 45 to 54 Years Old 55 to 64 Years Old 65 to 74 Years Old 75 to 84 Years Old 85 and Older 7.5 INFANT DEATH RATES (2003 Birth Cohort) Infant Deaths per 1,000 Live Births by Mother's Race/Ethnicity: All Race/Ethnic Groups White Black Hispanic Asian/Pacific Islander 3.9 2.6 * a,b 4.9 * 0.0 + 708.8 25.6 * 13.8 * 67.5 91.2 157.4 335.0 687.9 1,937.9 4,889.8 12,887.2 Number of Neonatal Deaths (Under 28 Days of Age) Neonatal Death Rate (Deaths per 1,000 Live Births) 10 FETAL AND NEONATAL DEATHS (2004) Number of Fetal Deaths Fetal Death Ratio (Deaths per 1,000 Live Births) 36 PERINATAL DEATHS (2003 Birth Cohort) Number of Perinatal Deaths (Neonatal Plus Fetal) 39 Perinatal Death Rate by Mother's Race/Ethnicity: All Race/Ethnic Groups White 6.0 Black Hispanic Asian/Pacific Islander 1.7 * a,b 7.2 * a,b 6.6 5.4 * Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services See Section III for data definitions, sources, and notes. 199 COUNTY: SONOMA (continued) SELECTED COUNTY HEALTH INDICATORS MEDI-CAL (continued) (2003) Age-Adjusted Death Rate Per 100,000 Population (2002-2004 Avg.): Medi-Cal Deliveries by: Work-Related Injury Deaths 3.7 County of Beneficiary 1,999 Mortality Rate 0.8 * Fee-for-Service (FFS) 1,984 Drug-Induced Deaths 60.0 Managed Care 15 Mortality Rate 12.0 Total Medi-Cal FFS Abortions 1,347 Homicide by Weapons (2003) 17 Homicide by Handguns 9 Medi-Cal Physicians/Dentists Paid: Physicians 361 Kindergarten Students Needing One Dentists 64 or More Immunizations (2005) 393 Percent of All Kindergarten Students 6.8 % MEDI-CAL DATA MEDI-CAL MANAGED CARE ENROLLEES (7/03) (Avg. Monthly, 2003) Medi-Cal Users (FFS): 23,487 Total Managed Care Enrollees 0 Percent of County Population 5.0 % Percent of Eligibles (FFS) 51.6 % DENTI-CAL SERVICES (2003) Average Monthly Users (FFS) 1,821 Total Medi-Cal Eligibles: 45,505 Percent of County Population 9.6 % MEDI-CAL/MEDICARE (2003) Percent of Medi-Cal Eligibles Medi-Cal Payments (FFS) : Who Are Also Eligible Amount $25,452,501 for Medicare 20.7 % Average Amount per User $1,084 MEDICARE ENROLLEES (2003) Total Medicare Enrollees Number 64,105 MEDI-CAL ELIGIBLES BY RACE/ETHNICITY Percent of County Population 13.5 % (2003) White 47.9 % Black 3.0 % Enrollees Aged 65+: Hispanic 38.3 % Number 55,690 American Indian/Alaska Native 1.6 % Percent of County Population 11.8 % Asian/Pacific Islander 4.4 % Not Reported 4.8 % Disability Beneficiaries: Number 8,415 Percent of County Population 1.8 % See Section III for data definitions, sources, and notes. REPORTED COMMUNICABLE DISEASES (2002-2004 Avg.) Number and Crude Case Rate per 100,000 Population DISEASE Hepatitis Measles Shigellosis Tuberculosis Syphilis Chlamydia Gonorrhea CASES 27.7 0.0 16.7 17.0 12.0 664.3 116.0 RATE 5.8 0.00 + 3.5 * 3.6 * 2.5 * 140.4 24.5 CUMULATIVE AIDS CASES AND DEATHS 1981 through December 2005 AIDS Cases 1,874 Number of Deaths Percent of Total AIDS Cases Resulting in Death 1,093 58.3 % SELECTED COUNTY HEALTH INDICATORS Persons Injured in Traffic Accidents County of Occurrence (2003) 4,006 Substance Abuse Treatment Admissions (2004): Methamphetamine 2,222 Cocaine 197 Marijuana 989 Alcohol 3,299 Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 200 COUNTY: SONOMA (continued) HOSPITALS (2004) Number of General Acute Care (GAC) Hospitals 92.9 % Number of Licensed GAC Beds 570 HOSPITAL UTILIZATION (2004) Number of GAC Discharges from GAC Hospitals 28,641 Average GAC Occupancy Rate in GAC Hospitals 20 1,593 LTC (2004) Number of LTC Discharges from LTC Facilities Average Occupancy Rate of LTC Facilities and Hospitals with LTC Beds Average GAC Length of Stay in GAC Hospitals (Days) 9 HOSPICE CARE (12/04) Number of Freestanding Hospice Care Facilities 6 PROGRAM CLIENTS/SERVICES Percent Infants Breastfed During Early Postpartum (2002-2004 Average) Family Planning Clients by All Funding Sources (FY 2004-2005) Women and Children under Age 5 Receiving WIC Services (2/06) Child Health & Disability Prevention Clients Served (FY 2003-2004) Number of Providers (3/06) California Children's Services Cases (FY 2004-2005 Annualized Quarter) Developmental Disability Clients (7/05) Rehabilitation Clients (FY 2004-2005) Mental Health Serivces (2004-2005) State Hospital Admissions Clients Receiving County Serivces Persons Receiving Preventive Health Care for the Aging Services (FY 2004-2005) Assessment Clients Other Client Services 21,645 Number of Licensed GAC Beds per 1,000 Population LTC (2004) Number of Long Term Care Facilities and Hospitals with LTC Beds Number of Licensed LTC Beds 1.2 57.5 10,123 4.2 13,776 55 Number of Licensed Beds per 1,000 Population PHYSICIANS (FY 2004-2005) Number of Licensed Physicians Average Number of Persons per Physician DENTISTS (3/06) Number of Licensed Dentists Average Number of Persons per Dentist 3.3 2,590 1,567 1,362 352 84.5 3,395 2,386 390 1,227 37 5,313 CLINICS (12/04) Number of Licensed Community and Free Clinics Number of Specialty Clinics 17 16 0 0 HOME HEALTH AGENCIES (12/04) Number of Licensed Home Health Agencies 12 See Section III for data definitions, sources, and notes. Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 208 COUNTY: 2000 Census Population Projection Year 2004 Projection Year 2010 Projection Year 2020 STANISLAUS TOTAL POPULATION 446,997 498,987 559,051 653,841 PERCENT BELOW POVERTY LEVEL (1999) Total Population 16.0 % Children under 6 Persons Aged 65+ White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups HOUSING VALUE (2000) Median Housing-Unit Value CALWORKS (1/05) CalWORKs Recipients as a Percent of County Population SSI/SSP (2004) SSI/SSP Recipients as a Percent of County Population 52.5 3.1 36.1 4.9 1.2 2.1 % % % % % % UNEMPLOYMENT (2005) Percent of Civilian Labor Force Unemployed EDUCATION Percent of Persons Aged 25+ Not Finishing High School (2000) Enrollment K-12 (2004-2005) URBAN/RURAL (2000) 13.2 % 5.6 % 14.8 26.5 23.2 25.4 19.3 20.8 $125,300 % % % % % % LIVE BIRTHS (2004) Number of Live Births by: County of Residence County of Occurrence Birth Rate (Births per 1,000 Population) Fertility rate (Births per 1,000 Females Aged 15-44, 2002-2004 Avg.) Low Birthweight (Under 2,500 Grams) Very Low Birthweight (Under 1,500 Grams) Unmarried 4.3 % Cesarean Section Delivery Mothers Who Gave Birth Outside County of Residence Mothers with Less Than 12 Years Education Teenage Mothers (Under 18) 29.6 % 111,486 Percent of Births by Mother's Race/Ethnicity: White 37.6 % Black 1.9 % Hispanic 53.4 % Asian/Pacific Islander 5.1 % American Indian/Alaska Native 0.2 % 2 Or More Race Groups 1.7 % See Section III for data definitions, sources, and notes. Mothers with No First Trimester Prenatal Care 29.7 % 8,061 9,228 16.2 AGE (2004) Under Age 5 Age 5-17 Age 18-64 Age 65+ SEX (2004) Females Males RACE/ETHNICITY (2004) White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups 50.5 % 49.5 % 7.7 % 21.8 % 60.3 % 10.2 % 74.1 6.6 % 1.2 % 38.0 % 4.0 % 4.0 % 8.3 % 29.5 % 4.1 % 13.7 % Urban Rural FAMILY INCOME (1999) Median Family Income 91.0 % 9.0 % PRINCIPAL PAYMENT SOURCE FOR BIRTH DELIVERIES (2004) Medi-Cal/Other Government 53.9 % HMO and Prepaid Plans 21.8 % 23.4 % $44,703 Private Insurance Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 201 COUNTY: Number of Deaths by: County of Residence County of Occurrence STANISLAUS DEATHS (2004) (continued) CAUSES OF DEATH (2002-2004 Avg.) INFANT DEATHS (2004) Number of Infant Deaths (Under 1 Year of Age) Infant Death Rate (Deaths per 1,000 Live Births) 52 3,473 Crude Death Rate per 100,000 Population by Cause of Death: 3,744 Heart Disease Cancer (All Types) Stroke Chronic Lower Respiratory Disease Unintentional Injuries Pneumonia and Influenza Diabetes Mellitus Alzheimer's Disease Chronic Liver Disease/Cirrhosis Suicide Homicide Hypertension/Hypertensive Renal Disease Nephritis 236.6 156.9 45.6 41.3 45.6 26.6 23.4 17.7 11.9 11.1 6.1 6.3 4.0 6.5 Crude Death Rate (Deaths per 1,000 Population) AGE-ADJUSTED DEATH RATE (2002-2004 Avg.) Age-Adjusted Deaths per 100,000 Population AGE-SPECIFIC DEATH RATES (2002-2004 Avg.) Deaths per 100,000 Population: 1 to 4 Years Old 5 to 14 Years Old 15 to 24 Years Old 25 to 34 Years Old 35 to 44 Years Old 45 to 54 Years Old 55 to 64 Years Old 65 to 74 Years Old 75 to 84 Years Old 85 and Older 7.0 INFANT DEATH RATES (2003 Birth Cohort) Infant Deaths per 1,000 Live Births by Mother's Race/Ethnicity: All Race/Ethnic Groups White Black Hispanic Asian/Pacific Islander 6.6 7.7 a,b 6.2 a,b 850.2 34.4 * 18.0 * 84.4 104.0 232.1 473.6 1,046.3 2,506.7 5,586.8 12,976.3 Number of Neonatal Deaths (Under 28 Days of Age) Neonatal Death Rate (Deaths per 1,000 Live Births) 41 FETAL AND NEONATAL DEATHS (2004) Number of Fetal Deaths Fetal Death Ratio (Deaths per 1,000 Live Births) 45 PERINATAL DEATHS (2003 Birth Cohort) Number of Perinatal Deaths (Neonatal Plus Fetal) 77 Perinatal Death Rate by Mother's Race/Ethnicity: All Race/Ethnic Groups White 5.6 Black Hispanic Asian/Pacific Islander 5.1 a,b 8.3 b 9.5 10.7 Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services See Section III for data definitions, sources, and notes. 203 COUNTY: STANISLAUS (continued) SELECTED COUNTY HEALTH INDICATORS MEDI-CAL (continued) (2003) Age-Adjusted Death Rate Per 100,000 Population (2002-2004 Avg.): Medi-Cal Deliveries by: Work-Related Injury Deaths 5.7 County of Beneficiary 4,124 Mortality Rate 1.2 * Fee-for-Service (FFS) 3,171 Drug-Induced Deaths 86.7 Managed Care 953 Mortality Rate 19.1 Total Medi-Cal FFS Abortions 867 Homicide by Weapons (2003) 42 Homicide by Handguns 19 Medi-Cal Physicians/Dentists Paid: Physicians 307 Kindergarten Students Needing One Dentists 95 or More Immunizations (2005) 255 Percent of All Kindergarten Students 3.1 % MEDI-CAL DATA MEDI-CAL MANAGED CARE ENROLLEES (7/03) (Avg. Monthly, 2003) Medi-Cal Users (FFS): 44,620 Total Managed Care Enrollees 39,320 Percent of County Population 9.1 % Percent of Eligibles (FFS) 40.8 % DENTI-CAL SERVICES (2003) Average Monthly Users (FFS) 5,642 Total Medi-Cal Eligibles: 109,291 Percent of County Population 22.3 % MEDI-CAL/MEDICARE (2003) Percent of Medi-Cal Eligibles Medi-Cal Payments (FFS) : Who Are Also Eligible Amount $21,866,781 for Medicare 13.7 % Average Amount per User $490 MEDICARE ENROLLEES (2003) Total Medicare Enrollees Number 58,154 MEDI-CAL ELIGIBLES BY RACE/ETHNICITY Percent of County Population 11.9 % (2003) White 38.5 % Black 3.6 % Enrollees Aged 65+: Hispanic 46.9 % Number 47,608 American Indian/Alaska Native 0.3 % Percent of County Population 9.7 % Asian/Pacific Islander 6.3 % Not Reported 4.4 % Disability Beneficiaries: Number 10,546 Percent of County Population 2.2 % See Section III for data definitions, sources, and notes. REPORTED COMMUNICABLE DISEASES (2002-2004 Avg.) Number and Crude Case Rate per 100,000 Population DISEASE Hepatitis Measles Shigellosis Tuberculosis Syphilis Chlamydia Gonorrhea CASES 31.0 0.0 23.3 19.3 6.7 1,560.0 327.0 RATE 6.3 0.00 + 4.8 3.9 1.4 * 318.7 66.8 CUMULATIVE AIDS CASES AND DEATHS 1981 through December 2005 AIDS Cases 657 Number of Deaths Percent of Total AIDS Cases Resulting in Death 350 53.3 % SELECTED COUNTY HEALTH INDICATORS Persons Injured in Traffic Accidents County of Occurrence (2003) 5,220 Substance Abuse Treatment Admissions (2004): Methamphetamine 1,879 Cocaine 140 Marijuana 262 Alcohol 441 Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 204 COUNTY: STANISLAUS (continued) HOSPITALS (2004) Number of General Acute Care (GAC) Hospitals 81.0 % Number of Licensed GAC Beds 956 HOSPITAL UTILIZATION (2004) Number of GAC Discharges from GAC Hospitals 52,134 Average GAC Occupancy Rate in GAC Hospitals 17 1,739 LTC (2004) Number of LTC Discharges from LTC Facilities Average Occupancy Rate of LTC Facilities and Hospitals with LTC Beds Average GAC Length of Stay in GAC Hospitals (Days) 7 HOSPICE CARE (12/04) Number of Freestanding Hospice Care Facilities 1 PROGRAM CLIENTS/SERVICES Percent Infants Breastfed During Early Postpartum (2002-2004 Average) Family Planning Clients by All Funding Sources (FY 2004-2005) Women and Children under Age 5 Receiving WIC Services (2/06) Child Health & Disability Prevention Clients Served (FY 2003-2004) Number of Providers (3/06) California Children's Services Cases (FY 2004-2005 Annualized Quarter) Developmental Disability Clients (7/05) Rehabilitation Clients (FY 2004-2005) Mental Health Serivces (2004-2005) State Hospital Admissions Clients Receiving County Serivces Persons Receiving Preventive Health Care for the Aging Services (FY 2004-2005) Assessment Clients Other Client Services 19,814 Number of Licensed GAC Beds per 1,000 Population LTC (2004) Number of Long Term Care Facilities and Hospitals with LTC Beds Number of Licensed LTC Beds 1.9 70.5 17,369 4.7 39,008 53 Number of Licensed Beds per 1,000 Population PHYSICIANS (FY 2004-2005) Number of Licensed Physicians Average Number of Persons per Physician DENTISTS (3/06) Number of Licensed Dentists Average Number of Persons per Dentist 3.5 3,718 3,069 830 601 89.6 3,014 976 272 1,878 38 12,271 CLINICS (12/04) Number of Licensed Community and Free Clinics Number of Specialty Clinics 12 11 474 1,650 HOME HEALTH AGENCIES (12/04) Number of Licensed Home Health Agencies 6 See Section III for data definitions, sources, and notes. Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 205 COUNTY: 2000 Census Population Projection Year 2004 Projection Year 2010 Projection Year 2020 SUTTER TOTAL POPULATION 78,930 86,866 95,757 111,856 PERCENT BELOW POVERTY LEVEL (1999) Total Population 15.5 % Children under 6 Persons Aged 65+ White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups HOUSING VALUE (2000) Median Housing-Unit Value CALWORKS (1/05) CalWORKs Recipients as a Percent of County Population SSI/SSP (2004) SSI/SSP Recipients as a Percent of County Population 55.3 2.1 25.1 13.4 1.8 2.3 % % % % % % UNEMPLOYMENT (2005) Percent of Civilian Labor Force Unemployed EDUCATION Percent of Persons Aged 25+ Not Finishing High School (2000) Enrollment K-12 (2004-2005) URBAN/RURAL (2000) 13.2 % 5.8 % 15.4 17.6 30.7 12.7 19.4 22.4 $120,700 % % % % % % LIVE BIRTHS (2004) Number of Live Births by: County of Residence County of Occurrence Birth Rate (Births per 1,000 Population) Fertility rate (Births per 1,000 Females Aged 15-44, 2002-2004 Avg.) Low Birthweight (Under 2,500 Grams) Very Low Birthweight (Under 1,500 Grams) Unmarried 3.3 % Cesarean Section Delivery Mothers Who Gave Birth Outside County of Residence Mothers with Less Than 12 Years Education Teenage Mothers (Under 18) 27.0 % 18,116 Percent of Births by Mother's Race/Ethnicity: White 41.9 % Black 0.8 % Hispanic 40.6 % Asian/Pacific Islander 14.5 % American Indian/Alaska Native 0.7 % 2 Or More Race Groups 1.5 % See Section III for data definitions, sources, and notes. Mothers with No First Trimester Prenatal Care 31.9 % 1,342 2,101 15.4 AGE (2004) Under Age 5 Age 5-17 Age 18-64 Age 65+ SEX (2004) Females Males RACE/ETHNICITY (2004) White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups 50.3 % 49.7 % 7.1 % 20.4 % 60.3 % 12.1 % 73.6 6.0 % 0.9 % 31.0 % 3.9 % 14.5 % 9.4 % 28.7 % 2.3 % 31.7 % Urban Rural FAMILY INCOME (1999) Median Family Income 85.5 % 14.5 % PRINCIPAL PAYMENT SOURCE FOR BIRTH DELIVERIES (2004) Medi-Cal/Other Government 56.6 % HMO and Prepaid Plans 5.2 % 37.3 % $44,330 Private Insurance Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 206 COUNTY: Number of Deaths by: County of Residence County of Occurrence SUTTER DEATHS (2004) (continued) CAUSES OF DEATH (2002-2004 Avg.) INFANT DEATHS (2004) Number of Infant Deaths (Under 1 Year of Age) Infant Death Rate (Deaths per 1,000 Live Births) 7 687 Crude Death Rate per 100,000 Population by Cause of Death: 495 Heart Disease Cancer (All Types) Stroke Chronic Lower Respiratory Disease Unintentional Injuries Pneumonia and Influenza Diabetes Mellitus Alzheimer's Disease Chronic Liver Disease/Cirrhosis Suicide Homicide Hypertension/Hypertensive Renal Disease Nephritis 243.6 178.9 58.1 61.2 47.1 29.8 24.7 11.0 9.8 12.9 6.7 7.1 7.1 5.2 * Crude Death Rate (Deaths per 1,000 Population) AGE-ADJUSTED DEATH RATE (2002-2004 Avg.) Age-Adjusted Deaths per 100,000 Population AGE-SPECIFIC DEATH RATES (2002-2004 Avg.) Deaths per 100,000 Population: 1 to 4 Years Old 5 to 14 Years Old 15 to 24 Years Old 25 to 34 Years Old 35 to 44 Years Old 45 to 54 Years Old 55 to 64 Years Old 65 to 74 Years Old 75 to 84 Years Old 85 and Older 7.9 INFANT DEATH RATES (2003 Birth Cohort) Infant Deaths per 1,000 Live Births by Mother's Race/Ethnicity: All Race/Ethnic Groups * * * * * * White Black Hispanic Asian/Pacific Islander a a,b 0.0 + a,b a,b 864.2 21.5 * 17.4 * 105.9 * 126.6 * 221.0 439.2 1,062.5 2,240.5 5,894.8 14,318.9 Number of Neonatal Deaths (Under 28 Days of Age) Neonatal Death Rate (Deaths per 1,000 Live Births) 6 FETAL AND NEONATAL DEATHS (2004) Number of Fetal Deaths Fetal Death Ratio (Deaths per 1,000 Live Births) 11 PERINATAL DEATHS (2003 Birth Cohort) Number of Perinatal Deaths (Neonatal Plus Fetal) 14 Perinatal Death Rate by Mother's Race/Ethnicity: All Race/Ethnic Groups White 8.2 * Black Hispanic Asian/Pacific Islander 4.5 * a,b a,b a,b 10.3 * b Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services See Section III for data definitions, sources, and notes. 207 COUNTY: SUTTER (continued) SELECTED COUNTY HEALTH INDICATORS MEDI-CAL (continued) (2003) Age-Adjusted Death Rate Per 100,000 Population (2002-2004 Avg.): Medi-Cal Deliveries by: Work-Related Injury Deaths 2.0 County of Beneficiary 685 Mortality Rate 2.5 * Fee-for-Service (FFS) 685 Drug-Induced Deaths 5.3 Managed Care 0 Mortality Rate 6.4 * Total Medi-Cal FFS Abortions 144 Homicide by Weapons (2003) 3 Homicide by Handguns 0 Medi-Cal Physicians/Dentists Paid: Physicians 63 Kindergarten Students Needing One Dentists 27 or More Immunizations (2005) 68 Percent of All Kindergarten Students 4.7 % MEDI-CAL DATA MEDI-CAL MANAGED CARE ENROLLEES (7/03) (Avg. Monthly, 2003) Medi-Cal Users (FFS): 9,573 Total Managed Care Enrollees 0 Percent of County Population 11.3 % Percent of Eligibles (FFS) 56.8 % DENTI-CAL SERVICES (2003) Average Monthly Users (FFS) 945 Total Medi-Cal Eligibles: 16,858 Percent of County Population 19.8 % MEDI-CAL/MEDICARE (2003) Percent of Medi-Cal Eligibles Medi-Cal Payments (FFS) : Who Are Also Eligible Amount $5,483,740 for Medicare 17.1 % Average Amount per User $573 MEDICARE ENROLLEES (2003) Total Medicare Enrollees Number 11,678 MEDI-CAL ELIGIBLES BY RACE/ETHNICITY Percent of County Population 13.7 % (2003) White 41.2 % Black 2.5 % Enrollees Aged 65+: Hispanic 37.0 % Number 9,708 American Indian/Alaska Native 1.1 % Percent of County Population 11.4 % Asian/Pacific Islander 14.1 % Not Reported 4.1 % Disability Beneficiaries: Number 1,970 Percent of County Population 2.3 % See Section III for data definitions, sources, and notes. REPORTED COMMUNICABLE DISEASES (2002-2004 Avg.) Number and Crude Case Rate per 100,000 Population DISEASE Hepatitis Measles Shigellosis Tuberculosis Syphilis Chlamydia Gonorrhea CASES 2.0 0.0 3.0 4.0 0.0 167.7 46.3 RATE 2.4 * 0.00 + 3.5 * 4.7 * 0.0 + 197.3 54.5 CUMULATIVE AIDS CASES AND DEATHS 1981 through December 2005 AIDS Cases 61 Number of Deaths Percent of Total AIDS Cases Resulting in Death 44 72.1 % SELECTED COUNTY HEALTH INDICATORS Persons Injured in Traffic Accidents County of Occurrence (2003) 929 Substance Abuse Treatment Admissions (2004): Methamphetamine Cocaine Marijuana Alcohol ++ ++ ++ ++ Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 208 COUNTY: SUTTER (continued) HOSPITALS (2004) Number of General Acute Care (GAC) Hospitals 81.4 % Number of Licensed GAC Beds 132 HOSPITAL UTILIZATION (2004) Number of GAC Discharges from GAC Hospitals 6,369 Average GAC Occupancy Rate in GAC Hospitals 5 466 LTC (2004) Number of LTC Discharges from LTC Facilities Average Occupancy Rate of LTC Facilities and Hospitals with LTC Beds Average GAC Length of Stay in GAC Hospitals (Days) 1 HOSPICE CARE (12/04) Number of Freestanding Hospice Care Facilities 0 PROGRAM CLIENTS/SERVICES Percent Infants Breastfed During Early Postpartum (2002-2004 Average) Family Planning Clients by All Funding Sources (FY 2004-2005) Women and Children under Age 5 Receiving WIC Services (2/06) Child Health & Disability Prevention Clients Served (FY 2003-2004) Number of Providers (3/06) California Children's Services Cases (FY 2004-2005 Annualized Quarter) Developmental Disability Clients (7/05) Rehabilitation Clients (FY 2004-2005) Mental Health Serivces (2004-2005) State Hospital Admissions Clients Receiving County Serivces Persons Receiving Preventive Health Care for the Aging Services (FY 2004-2005) Assessment Clients Other Client Services 4,121 Number of Licensed GAC Beds per 1,000 Population LTC (2004) Number of Long Term Care Facilities and Hospitals with LTC Beds Number of Licensed LTC Beds 1.5 46.9 3,513 3.6 4,345 15 Number of Licensed Beds per 1,000 Population PHYSICIANS (FY 2004-2005) Number of Licensed Physicians Average Number of Persons per Physician DENTISTS (3/06) Number of Licensed Dentists Average Number of Persons per Dentist 5.4 915 501 201 432 84.5 455 189 69 1,313 12 ++ CLINICS (12/04) Number of Licensed Community and Free Clinics Number of Specialty Clinics 5 5 0 0 HOME HEALTH AGENCIES (12/04) Number of Licensed Home Health Agencies 2 See Section III for data definitions, sources, and notes. Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 209 COUNTY: 2000 Census Population Projection Year 2004 Projection Year 2010 Projection Year 2020 TEHAMA TOTAL POPULATION 56,039 59,316 62,442 68,323 PERCENT BELOW POVERTY LEVEL (1999) Total Population 17.3 % Children under 6 Persons Aged 65+ White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups HOUSING VALUE (2000) Median Housing-Unit Value CALWORKS (1/05) CalWORKs Recipients as a Percent of County Population SSI/SSP (2004) SSI/SSP Recipients as a Percent of County Population 76.1 0.7 17.7 1.1 2.2 2.2 % % % % % % UNEMPLOYMENT (2005) Percent of Civilian Labor Force Unemployed EDUCATION Percent of Persons Aged 25+ Not Finishing High School (2000) Enrollment K-12 (2004-2005) URBAN/RURAL (2000) 14.0 % 8.5 % 16.7 15.4 33.9 22.6 29.5 24.3 $103,000 % % % % % % LIVE BIRTHS (2004) Number of Live Births by: County of Residence County of Occurrence Birth Rate (Births per 1,000 Population) Fertility rate (Births per 1,000 Females Aged 15-44, 2002-2004 Avg.) Low Birthweight (Under 2,500 Grams) Very Low Birthweight (Under 1,500 Grams) Unmarried 5.2 % Cesarean Section Delivery Mothers Who Gave Birth Outside County of Residence Mothers with Less Than 12 Years Education Teenage Mothers (Under 18) 24.3 % 11,455 Percent of Births by Mother's Race/Ethnicity: White 63.6 % Black a Hispanic 31.9 % Asian/Pacific Islander a American Indian/Alaska Native 1.9 % 2 Or More Race Groups 1.9 % See Section III for data definitions, sources, and notes. Mothers with No First Trimester Prenatal Care 22.9 % 700 633 11.8 AGE (2004) Under Age 5 Age 5-17 Age 18-64 Age 65+ SEX (2004) Females Males RACE/ETHNICITY (2004) White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups 50.5 % 49.5 % 5.8 % 18.5 % 57.5 % 18.2 % 65.1 6.1 % a 39.0 % 4.6 % 24.6 % 6.7 % 25.9 % 5.1 % 18.9 % Urban Rural FAMILY INCOME (1999) Median Family Income 50.9 % 49.1 % PRINCIPAL PAYMENT SOURCE FOR BIRTH DELIVERIES (2004) Medi-Cal/Other Government 60.9 % HMO and Prepaid Plans a 37.0 % $37,277 Private Insurance Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 210 COUNTY: Number of Deaths by: County of Residence County of Occurrence TEHAMA DEATHS (2004) (continued) CAUSES OF DEATH (2002-2004 Avg.) INFANT DEATHS (2004) Number of Infant Deaths (Under 1 Year of Age) Infant Death Rate (Deaths per 1,000 Live Births) INFANT DEATH RATES (2003 Birth Cohort) Infant Deaths per 1,000 Live Births by Mother's Race/Ethnicity: * * * * * * * * All Race/Ethnic Groups White Black Hispanic Asian/Pacific Islander b b 0.0 + 0.0 + 0.0 + 7 593 Crude Death Rate per 100,000 Population by Cause of Death: 457 Heart Disease Cancer (All Types) Stroke Chronic Lower Respiratory Disease Unintentional Injuries Pneumonia and Influenza Diabetes Mellitus Alzheimer's Disease Chronic Liver Disease/Cirrhosis Suicide Homicide Hypertension/Hypertensive Renal Disease Nephritis 264.2 235.2 85.2 63.1 59.1 30.1 27.8 29.0 14.2 14.2 2.3 8.0 11.4 b Crude Death Rate (Deaths per 1,000 Population) AGE-ADJUSTED DEATH RATE (2002-2004 Avg.) Age-Adjusted Deaths per 100,000 Population AGE-SPECIFIC DEATH RATES (2002-2004 Avg.) Deaths per 100,000 Population: 1 to 4 Years Old 5 to 14 Years Old 15 to 24 Years Old 25 to 34 Years Old 35 to 44 Years Old 45 to 54 Years Old 55 to 64 Years Old 65 to 74 Years Old 75 to 84 Years Old 85 and Older 10.0 740.2 37.2 * 8.0 * 76.5 * 122.0 * 198.2 * 490.3 1,163.8 2,201.7 4,580.5 9,585.4 Number of Neonatal Deaths (Under 28 Days of Age) Neonatal Death Rate (Deaths per 1,000 Live Births) 0 FETAL AND NEONATAL DEATHS (2004) Number of Fetal Deaths Fetal Death Ratio (Deaths per 1,000 Live Births) 6 PERINATAL DEATHS (2003 Birth Cohort) Number of Perinatal Deaths (Neonatal Plus Fetal) 9 Perinatal Death Rate by Mother's Race/Ethnicity: All Race/Ethnic Groups White b Black Hispanic Asian/Pacific Islander 0.0 + 0.0 + a,b a,b b b Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services See Section III for data definitions, sources, and notes. 211 COUNTY: TEHAMA (continued) SELECTED COUNTY HEALTH INDICATORS MEDI-CAL (continued) (2003) Age-Adjusted Death Rate Per 100,000 Population (2002-2004 Avg.): Medi-Cal Deliveries by: Work-Related Injury Deaths 1.3 County of Beneficiary 486 Mortality Rate 2.4 * Fee-for-Service (FFS) 486 Drug-Induced Deaths 6.0 Managed Care 0 Mortality Rate 11.2 * Total Medi-Cal FFS Abortions 124 Homicide by Weapons (2003) 3 Homicide by Handguns 1 Medi-Cal Physicians/Dentists Paid: Physicians 41 Kindergarten Students Needing One Dentists 11 or More Immunizations (2005) 43 Percent of All Kindergarten Students 4.9 % MEDI-CAL DATA MEDI-CAL MANAGED CARE ENROLLEES (7/03) (Avg. Monthly, 2003) Medi-Cal Users (FFS): 7,905 Total Managed Care Enrollees 0 Percent of County Population 13.5 % Percent of Eligibles (FFS) 58.7 % DENTI-CAL SERVICES (2003) Average Monthly Users (FFS) 600 Total Medi-Cal Eligibles: 13,465 Percent of County Population 23.0 % MEDI-CAL/MEDICARE (2003) Percent of Medi-Cal Eligibles Medi-Cal Payments (FFS) : Who Are Also Eligible Amount $4,012,685 for Medicare 17.7 % Average Amount per User $508 MEDICARE ENROLLEES (2003) Total Medicare Enrollees Number 9,729 MEDI-CAL ELIGIBLES BY RACE/ETHNICITY Percent of County Population 16.6 % (2003) White 67.5 % Black 0.8 % Enrollees Aged 65+: Hispanic 25.2 % Number 7,981 American Indian/Alaska Native 1.9 % Percent of County Population 13.6 % Asian/Pacific Islander 0.8 % Not Reported 3.8 % Disability Beneficiaries: Number 1,748 Percent of County Population 3.0 % See Section III for data definitions, sources, and notes. REPORTED COMMUNICABLE DISEASES (2002-2004 Avg.) Number and Crude Case Rate per 100,000 Population DISEASE Hepatitis Measles Shigellosis Tuberculosis Syphilis Chlamydia Gonorrhea CASES 6.0 0.0 2.0 1.3 0.0 127.7 5.7 RATE 10.2 * 0.00 + 3.4 * 2.3 * 0.0 + 217.6 9.7 * CUMULATIVE AIDS CASES AND DEATHS 1981 through December 2005 AIDS Cases 30 Number of Deaths Percent of Total AIDS Cases Resulting in Death 13 43.3 % SELECTED COUNTY HEALTH INDICATORS Persons Injured in Traffic Accidents County of Occurrence (2003) 578 Substance Abuse Treatment Admissions (2004): Methamphetamine Cocaine Marijuana Alcohol 315 ^ 81 137 Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 212 COUNTY: TEHAMA (continued) HOSPITALS (2004) Number of General Acute Care (GAC) Hospitals 86.4 % Number of Licensed GAC Beds 76 HOSPITAL UTILIZATION (2004) Number of GAC Discharges from GAC Hospitals 5,377 Average GAC Occupancy Rate in GAC Hospitals 3 180 LTC (2004) Number of LTC Discharges from LTC Facilities Average Occupancy Rate of LTC Facilities and Hospitals with LTC Beds Average GAC Length of Stay in GAC Hospitals (Days) 1 HOSPICE CARE (12/04) Number of Freestanding Hospice Care Facilities 0 PROGRAM CLIENTS/SERVICES Percent Infants Breastfed During Early Postpartum (2002-2004 Average) Family Planning Clients by All Funding Sources (FY 2004-2005) Women and Children under Age 5 Receiving WIC Services (2/06) Child Health & Disability Prevention Clients Served (FY 2003-2004) Number of Providers (3/06) California Children's Services Cases (FY 2004-2005 Annualized Quarter) Developmental Disability Clients (7/05) Rehabilitation Clients (FY 2004-2005) Mental Health Serivces (2004-2005) State Hospital Admissions Clients Receiving County Serivces Persons Receiving Preventive Health Care for the Aging Services (FY 2004-2005) Assessment Clients Other Client Services 2,261 Number of Licensed GAC Beds per 1,000 Population LTC (2004) Number of Long Term Care Facilities and Hospitals with LTC Beds Number of Licensed LTC Beds 1.3 55.2 2,398 2.9 3,926 8 Number of Licensed Beds per 1,000 Population PHYSICIANS (FY 2004-2005) Number of Licensed Physicians Average Number of Persons per Physician DENTISTS (3/06) Number of Licensed Dentists Average Number of Persons per Dentist 3.0 201 302 62 957 83.1 557 280 21 2,923 10 1,785 CLINICS (12/04) Number of Licensed Community and Free Clinics Number of Specialty Clinics 2 1 0 0 HOME HEALTH AGENCIES (12/04) Number of Licensed Home Health Agencies 5 See Section III for data definitions, sources, and notes. Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 213 COUNTY: 2000 Census Population Projection Year 2004 Projection Year 2010 Projection Year 2020 TRINITY TOTAL POPULATION 13,022 13,545 13,442 13,402 PERCENT BELOW POVERTY LEVEL (1999) Total Population 18.7 % Children under 6 Persons Aged 65+ White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups HOUSING VALUE (2000) Median Housing-Unit Value CALWORKS (1/05) CalWORKs Recipients as a Percent of County Population SSI/SSP (2004) SSI/SSP Recipients as a Percent of County Population 84.1 0.5 5.0 1.0 5.3 4.1 % % % % % % UNEMPLOYMENT (2005) Percent of Civilian Labor Force Unemployed EDUCATION Percent of Persons Aged 25+ Not Finishing High School (2000) Enrollment K-12 (2004-2005) URBAN/RURAL (2000) 8.9 % 6.6 % 17.4 0.0 19.9 7.6 38.3 23.4 $112,000 % % % % % % LIVE BIRTHS (2004) Number of Live Births by: County of Residence County of Occurrence Birth Rate (Births per 1,000 Population) Fertility rate (Births per 1,000 Females Aged 15-44, 2002-2004 Avg.) Low Birthweight (Under 2,500 Grams) Very Low Birthweight (Under 1,500 Grams) Unmarried 3.5 % Cesarean Section Delivery Mothers Who Gave Birth Outside County of Residence Mothers with Less Than 12 Years Education Teenage Mothers (Under 18) 19.0 % 2,015 Percent of Births by Mother's Race/Ethnicity: White 80.0 % Black 0.0 % Hispanic 11.8 % Asian/Pacific Islander 0.0 % American Indian/Alaska Native 8.2 % 2 Or More Race Groups 0.0 % See Section III for data definitions, sources, and notes. Mothers with No First Trimester Prenatal Care 31.8 % 110 3 8.1 AGE (2004) Under Age 5 Age 5-17 Age 18-64 Age 65+ SEX (2004) Females Males RACE/ETHNICITY (2004) White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups 49.3 % 50.7 % 4.0 % 15.6 % 60.9 % 19.5 % 49.2 5.5 % a 41.8 % 4.7 % 97.3 % 10.0 % 10.0 % a 16.5 % Urban Rural FAMILY INCOME (1999) Median Family Income 0.0 % 100.0 % PRINCIPAL PAYMENT SOURCE FOR BIRTH DELIVERIES (2004) Medi-Cal/Other Government 58.3 % HMO and Prepaid Plans a 33.3 % $34,343 Private Insurance Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 214 COUNTY: Number of Deaths by: County of Residence County of Occurrence TRINITY DEATHS (2004) (continued) CAUSES OF DEATH (2002-2004 Avg.) INFANT DEATHS (2004) Number of Infant Deaths (Under 1 Year of Age) Infant Death Rate (Deaths per 1,000 Live Births) 1 157 Crude Death Rate per 100,000 Population by Cause of Death: 107 Heart Disease Cancer (All Types) Stroke Chronic Lower Respiratory Disease Unintentional Injuries Pneumonia and Influenza Diabetes Mellitus Alzheimer's Disease Chronic Liver Disease/Cirrhosis Suicide Homicide Hypertension/Hypertensive Renal Disease Nephritis 208.7 282.3 46.6 90.8 81.0 27.0 31.9 22.1 31.9 17.2 2.5 2.5 19.6 a,b Crude Death Rate (Deaths per 1,000 Population) AGE-ADJUSTED DEATH RATE (2002-2004 Avg.) Age-Adjusted Deaths per 100,000 Population AGE-SPECIFIC DEATH RATES (2002-2004 Avg.) Deaths per 100,000 Population: 1 to 4 Years Old 5 to 14 Years Old 15 to 24 Years Old 25 to 34 Years Old 35 to 44 Years Old 45 to 54 Years Old 55 to 64 Years Old 65 to 74 Years Old 75 to 84 Years Old 85 and Older 11.6 776.4 * * * * * * * * * * * INFANT DEATH RATES (2003 Birth Cohort) Infant Deaths per 1,000 Live Births by Mother's Race/Ethnicity: All Race/Ethnic Groups White Black Hispanic Asian/Pacific Islander a,b a,b 0.0 + 0.0 + 0.0 + 0.0 + 20.6 * 109.5 * 32.7 * 408.5 * 680.6 * 946.5 * 2,134.1 4,783.1 9,903.4 Number of Neonatal Deaths (Under 28 Days of Age) Neonatal Death Rate (Deaths per 1,000 Live Births) 1 FETAL AND NEONATAL DEATHS (2004) Number of Fetal Deaths Fetal Death Ratio (Deaths per 1,000 Live Births) 2 PERINATAL DEATHS (2003 Birth Cohort) Number of Perinatal Deaths (Neonatal Plus Fetal) 2 Perinatal Death Rate by Mother's Race/Ethnicity: All Race/Ethnic Groups White a,b Black Hispanic Asian/Pacific Islander a,b 0.0 + 0.0 + 0.0 + a,b a,b Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services See Section III for data definitions, sources, and notes. 215 COUNTY: TRINITY (continued) SELECTED COUNTY HEALTH INDICATORS MEDI-CAL (continued) (2003) Age-Adjusted Death Rate Per 100,000 Population (2002-2004 Avg.): Medi-Cal Deliveries by: Work-Related Injury Deaths 1.0 County of Beneficiary 66 Mortality Rate 9.3 * Fee-for-Service (FFS) 66 Drug-Induced Deaths 2.0 Managed Care 0 Mortality Rate 14.8 * Total Medi-Cal FFS Abortions 25 Homicide by Weapons (2003) 1 Homicide by Handguns 0 Medi-Cal Physicians/Dentists Paid: Physicians 5 Kindergarten Students Needing One Dentists 4 or More Immunizations (2005) 7 Percent of All Kindergarten Students 5.8 % MEDI-CAL DATA MEDI-CAL MANAGED CARE ENROLLEES (7/03) (Avg. Monthly, 2003) Medi-Cal Users (FFS): 1,464 Total Managed Care Enrollees 0 Percent of County Population 10.8 % Percent of Eligibles (FFS) 60.3 % DENTI-CAL SERVICES (2003) Average Monthly Users (FFS) 117 Total Medi-Cal Eligibles: 2,428 Percent of County Population 17.9 % MEDI-CAL/MEDICARE (2003) Percent of Medi-Cal Eligibles Medi-Cal Payments (FFS) : Who Are Also Eligible Amount $902,841 for Medicare 21.6 % Average Amount per User $617 MEDICARE ENROLLEES (2003) Total Medicare Enrollees Number 2,739 MEDI-CAL ELIGIBLES BY RACE/ETHNICITY Percent of County Population 20.2 % (2003) White 89.9 % Black 0.4 % Enrollees Aged 65+: Hispanic 2.0 % Number 2,191 American Indian/Alaska Native 3.0 % Percent of County Population 16.1 % Asian/Pacific Islander 0.7 % Not Reported 4.1 % Disability Beneficiaries: Number 548 Percent of County Population 4.0 % See Section III for data definitions, sources, and notes. REPORTED COMMUNICABLE DISEASES (2002-2004 Avg.) Number and Crude Case Rate per 100,000 Population DISEASE Hepatitis Measles Shigellosis Tuberculosis Syphilis Chlamydia Gonorrhea CASES 1.0 0.0 0.3 0.0 0.0 13.7 1.3 RATE 7.4 * 0.00 + 2.5 * 0.0 + 0.0 + 100.6 * 9.8 * CUMULATIVE AIDS CASES AND DEATHS 1981 through December 2005 AIDS Cases 12 Number of Deaths Percent of Total AIDS Cases Resulting in Death 9 75.0 % SELECTED COUNTY HEALTH INDICATORS Persons Injured in Traffic Accidents County of Occurrence (2003) 164 Substance Abuse Treatment Admissions (2004): Methamphetamine Cocaine Marijuana Alcohol 61 ^ 8 44 Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 216 COUNTY: TRINITY (continued) HOSPITALS (2004) Number of General Acute Care (GAC) Hospitals 92.0 % Number of Licensed GAC Beds 25 HOSPITAL UTILIZATION (2004) Number of GAC Discharges from GAC Hospitals Average GAC Occupancy Rate in GAC Hospitals 0 0 LTC (2004) Number of LTC Discharges from LTC Facilities Average Occupancy Rate of LTC Facilities and Hospitals with LTC Beds Average GAC Length of Stay in GAC Hospitals (Days) 1 HOSPICE CARE (12/04) Number of Freestanding Hospice Care Facilities 0 PROGRAM CLIENTS/SERVICES Percent Infants Breastfed During Early Postpartum (2002-2004 Average) Family Planning Clients by All Funding Sources (FY 2004-2005) Women and Children under Age 5 Receiving WIC Services (2/06) Child Health & Disability Prevention Clients Served (FY 2003-2004) Number of Providers (3/06) California Children's Services Cases (FY 2004-2005 Annualized Quarter) Developmental Disability Clients (7/05) Rehabilitation Clients (FY 2004-2005) Mental Health Serivces (2004-2005) State Hospital Admissions Clients Receiving County Serivces Persons Receiving Preventive Health Care for the Aging Services (FY 2004-2005) Assessment Clients Other Client Services 475 Number of Licensed GAC Beds per 1,000 Population LTC (2004) Number of Long Term Care Facilities and Hospitals with LTC Beds Number of Licensed LTC Beds 350 1.8 10.5 313 3.8 344 7 Number of Licensed Beds per 1,000 Population PHYSICIANS (FY 2004-2005) Number of Licensed Physicians Average Number of Persons per Physician DENTISTS (3/06) Number of Licensed Dentists Average Number of Persons per Dentist 0.0 0 63 9 1,505 0.0 64 30 6 2,338 2 403 CLINICS (12/04) Number of Licensed Community and Free Clinics Number of Specialty Clinics 1 0 0 0 HOME HEALTH AGENCIES (12/04) Number of Licensed Home Health Agencies 1 See Section III for data definitions, sources, and notes. Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 217 COUNTY: 2000 Census Population Projection Year 2004 Projection Year 2010 Projection Year 2020 TULARE TOTAL POPULATION 368,021 400,999 447,315 543,749 PERCENT BELOW POVERTY LEVEL (1999) Total Population 23.9 % Children under 6 Persons Aged 65+ White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups HOUSING VALUE (2000) Median Housing-Unit Value CALWORKS (1/05) CalWORKs Recipients as a Percent of County Population SSI/SSP (2004) SSI/SSP Recipients as a Percent of County Population 37.5 1.6 55.8 2.8 1.1 1.2 % % % % % % UNEMPLOYMENT (2005) Percent of Civilian Labor Force Unemployed EDUCATION Percent of Persons Aged 25+ Not Finishing High School (2000) Enrollment K-12 (2004-2005) URBAN/RURAL (2000) 16.1 % 4.1 % 23.4 37.1 33.6 24.7 32.0 27.2 $97,800 % % % % % % LIVE BIRTHS (2004) Number of Live Births by: County of Residence County of Occurrence Birth Rate (Births per 1,000 Population) Fertility rate (Births per 1,000 Females Aged 15-44, 2002-2004 Avg.) Low Birthweight (Under 2,500 Grams) Very Low Birthweight (Under 1,500 Grams) Unmarried 8.7 % Cesarean Section Delivery Mothers Who Gave Birth Outside County of Residence Mothers with Less Than 12 Years Education Teenage Mothers (Under 18) 38.3 % 94,996 Percent of Births by Mother's Race/Ethnicity: White 24.6 % Black 1.0 % Hispanic 70.6 % Asian/Pacific Islander 2.7 % American Indian/Alaska Native 0.7 % 2 Or More Race Groups 0.5 % See Section III for data definitions, sources, and notes. Mothers with No First Trimester Prenatal Care 30.1 % 7,957 7,174 19.8 AGE (2004) Under Age 5 Age 5-17 Age 18-64 Age 65+ SEX (2004) Females Males RACE/ETHNICITY (2004) White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups 49.9 % 50.1 % 9.0 % 23.5 % 58.5 % 9.0 % 90.1 6.0 % 1.1 % 44.4 % 4.4 % 12.9 % 9.4 % 40.7 % 5.6 % 17.6 % Urban Rural FAMILY INCOME (1999) Median Family Income 81.1 % 18.9 % PRINCIPAL PAYMENT SOURCE FOR BIRTH DELIVERIES (2004) Medi-Cal/Other Government 59.8 % HMO and Prepaid Plans 3.4 % 34.6 % $36,297 Private Insurance Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 218 COUNTY: Number of Deaths by: County of Residence County of Occurrence TULARE DEATHS (2004) (continued) CAUSES OF DEATH (2002-2004 Avg.) INFANT DEATHS (2004) Number of Infant Deaths (Under 1 Year of Age) Infant Death Rate (Deaths per 1,000 Live Births) 32 2,638 Crude Death Rate per 100,000 Population by Cause of Death: 2,486 Heart Disease Cancer (All Types) Stroke Chronic Lower Respiratory Disease Unintentional Injuries Pneumonia and Influenza Diabetes Mellitus Alzheimer's Disease Chronic Liver Disease/Cirrhosis Suicide Homicide Hypertension/Hypertensive Renal Disease Nephritis 187.5 141.1 46.1 37.7 47.7 17.9 25.7 6.5 12.4 8.4 6.5 8.3 13.8 4.0 Crude Death Rate (Deaths per 1,000 Population) AGE-ADJUSTED DEATH RATE (2002-2004 Avg.) Age-Adjusted Deaths per 100,000 Population AGE-SPECIFIC DEATH RATES (2002-2004 Avg.) Deaths per 100,000 Population: 1 to 4 Years Old 5 to 14 Years Old 15 to 24 Years Old 25 to 34 Years Old 35 to 44 Years Old 45 to 54 Years Old 55 to 64 Years Old 65 to 74 Years Old 75 to 84 Years Old 85 and Older 6.6 INFANT DEATH RATES (2003 Birth Cohort) Infant Deaths per 1,000 Live Births by Mother's Race/Ethnicity: All Race/Ethnic Groups White Black Hispanic Asian/Pacific Islander 6.4 4.6 * a,b 5.9 b 899.0 38.5 * 16.5 * 101.0 101.8 237.2 521.5 1,047.2 2,360.6 5,754.3 15,817.1 Number of Neonatal Deaths (Under 28 Days of Age) Neonatal Death Rate (Deaths per 1,000 Live Births) 19 FETAL AND NEONATAL DEATHS (2004) Number of Fetal Deaths Fetal Death Ratio (Deaths per 1,000 Live Births) 36 PERINATAL DEATHS (2003 Birth Cohort) Number of Perinatal Deaths (Neonatal Plus Fetal) 77 Perinatal Death Rate by Mother's Race/Ethnicity: All Race/Ethnic Groups White 4.5 Black Hispanic Asian/Pacific Islander 2.4 a,b 10.1 b 10.1 6.7 * Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services See Section III for data definitions, sources, and notes. 219 COUNTY: TULARE (continued) SELECTED COUNTY HEALTH INDICATORS MEDI-CAL (continued) (2003) Age-Adjusted Death Rate Per 100,000 Population (2002-2004 Avg.): Medi-Cal Deliveries by: Work-Related Injury Deaths 7.3 County of Beneficiary 5,216 Mortality Rate 2.0 * Fee-for-Service (FFS) 3,043 Drug-Induced Deaths 39.3 Managed Care 2,173 Mortality Rate 11.5 Total Medi-Cal FFS Abortions 405 Homicide by Weapons (2003) 25 Homicide by Handguns 17 Medi-Cal Physicians/Dentists Paid: Physicians 230 Kindergarten Students Needing One Dentists 74 or More Immunizations (2005) 196 Percent of All Kindergarten Students 2.4 % MEDI-CAL DATA MEDI-CAL MANAGED CARE ENROLLEES (7/03) (Avg. Monthly, 2003) Medi-Cal Users (FFS): 51,012 Total Managed Care Enrollees 76,714 Percent of County Population 13.0 % Percent of Eligibles (FFS) 40.1 % DENTI-CAL SERVICES (2003) Average Monthly Users (FFS) 5,490 Total Medi-Cal Eligibles: 127,242 Percent of County Population 32.4 % MEDI-CAL/MEDICARE (2003) Percent of Medi-Cal Eligibles Medi-Cal Payments (FFS) : Who Are Also Eligible Amount $29,398,633 for Medicare 11.0 % Average Amount per User $576 MEDICARE ENROLLEES (2003) Total Medicare Enrollees Number 42,622 MEDI-CAL ELIGIBLES BY RACE/ETHNICITY Percent of County Population 10.8 % (2003) White 22.4 % Black 2.2 % Enrollees Aged 65+: Hispanic 67.7 % Number 35,233 American Indian/Alaska Native 0.4 % Percent of County Population 9.0 % Asian/Pacific Islander 3.8 % Not Reported 3.5 % Disability Beneficiaries: Number 7,389 Percent of County Population 1.9 % See Section III for data definitions, sources, and notes. REPORTED COMMUNICABLE DISEASES (2002-2004 Avg.) Number and Crude Case Rate per 100,000 Population DISEASE Hepatitis Measles Shigellosis Tuberculosis Syphilis Chlamydia Gonorrhea CASES 21.7 0.0 19.0 18.7 1.7 1,674.7 246.0 RATE 5.5 0.00 + 4.8 4.7 * 0.4 * 426.1 62.6 CUMULATIVE AIDS CASES AND DEATHS 1981 through December 2005 AIDS Cases 302 Number of Deaths Percent of Total AIDS Cases Resulting in Death 179 59.3 % SELECTED COUNTY HEALTH INDICATORS Persons Injured in Traffic Accidents County of Occurrence (2003) 3,568 Substance Abuse Treatment Admissions (2004): Methamphetamine 1,602 Cocaine 112 Marijuana 736 Alcohol 621 Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 220 COUNTY: TULARE (continued) HOSPITALS (2004) Number of General Acute Care (GAC) Hospitals 79.2 % Number of Licensed GAC Beds 641 HOSPITAL UTILIZATION (2004) Number of GAC Discharges from GAC Hospitals 32,436 Average GAC Occupancy Rate in GAC Hospitals 13 1,345 LTC (2004) Number of LTC Discharges from LTC Facilities Average Occupancy Rate of LTC Facilities and Hospitals with LTC Beds Average GAC Length of Stay in GAC Hospitals (Days) 5 HOSPICE CARE (12/04) Number of Freestanding Hospice Care Facilities 2 PROGRAM CLIENTS/SERVICES Percent Infants Breastfed During Early Postpartum (2002-2004 Average) Family Planning Clients by All Funding Sources (FY 2004-2005) Women and Children under Age 5 Receiving WIC Services (2/06) Child Health & Disability Prevention Clients Served (FY 2003-2004) Number of Providers (3/06) California Children's Services Cases (FY 2004-2005 Annualized Quarter) Developmental Disability Clients (7/05) Rehabilitation Clients (FY 2004-2005) Mental Health Serivces (2004-2005) State Hospital Admissions Clients Receiving County Serivces Persons Receiving Preventive Health Care for the Aging Services (FY 2004-2005) Assessment Clients Other Client Services 17,995 Number of Licensed GAC Beds per 1,000 Population LTC (2004) Number of Long Term Care Facilities and Hospitals with LTC Beds Number of Licensed LTC Beds 1.6 65.0 25,884 4.6 43,437 56 Number of Licensed Beds per 1,000 Population PHYSICIANS (FY 2004-2005) Number of Licensed Physicians Average Number of Persons per Physician DENTISTS (3/06) Number of Licensed Dentists Average Number of Persons per Dentist 3.4 2,135 3,234 474 846 81.0 4,551 901 180 2,318 27 8,077 CLINICS (12/04) Number of Licensed Community and Free Clinics Number of Specialty Clinics 15 13 607 7,115 HOME HEALTH AGENCIES (12/04) Number of Licensed Home Health Agencies 3 See Section III for data definitions, sources, and notes. Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 221 COUNTY: 2000 Census Population Projection Year 2004 Projection Year 2010 Projection Year 2020 TUOLUMNE TOTAL POPULATION 54,501 57,636 59,883 65,452 PERCENT BELOW POVERTY LEVEL (1999) Total Population 11.4 % Children under 6 Persons Aged 65+ White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups HOUSING VALUE (2000) Median Housing-Unit Value CALWORKS (1/05) CalWORKs Recipients as a Percent of County Population SSI/SSP (2004) SSI/SSP Recipients as a Percent of County Population 84.1 2.0 8.4 1.0 2.3 2.1 % % % % % % UNEMPLOYMENT (2005) Percent of Civilian Labor Force Unemployed EDUCATION Percent of Persons Aged 25+ Not Finishing High School (2000) Enrollment K-12 (2004-2005) URBAN/RURAL (2000) 11.3 % 6.9 % 11.0 9.5 17.0 11.0 17.7 21.2 $149,800 % % % % % % LIVE BIRTHS (2004) Number of Live Births by: County of Residence County of Occurrence Birth Rate (Births per 1,000 Population) Fertility rate (Births per 1,000 Females Aged 15-44, 2002-2004 Avg.) Low Birthweight (Under 2,500 Grams) Very Low Birthweight (Under 1,500 Grams) Unmarried 2.4 % Cesarean Section Delivery Mothers Who Gave Birth Outside County of Residence Mothers with Less Than 12 Years Education Teenage Mothers (Under 18) 15.7 % 8,141 Percent of Births by Mother's Race/Ethnicity: White 80.9 % Black a Hispanic 13.0 % Asian/Pacific Islander 1.0 % American Indian/Alaska Native 2.5 % 2 Or More Race Groups 2.3 % See Section III for data definitions, sources, and notes. Mothers with No First Trimester Prenatal Care 31.4 % 477 534 8.3 AGE (2004) Under Age 5 Age 5-17 Age 18-64 Age 65+ SEX (2004) Females Males RACE/ETHNICITY (2004) White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups 47.3 % 52.7 % 3.8 % 15.5 % 62.1 % 18.6 % 52.4 4.2 % 1.3 % 35.6 % 3.0 % 9.4 % 6.1 % 11.5 % 2.5 % 12.2 % Urban Rural FAMILY INCOME (1999) Median Family Income 53.4 % 46.6 % PRINCIPAL PAYMENT SOURCE FOR BIRTH DELIVERIES (2004) Medi-Cal/Other Government 45.3 % HMO and Prepaid Plans 4.6 % 48.0 % $44,327 Private Insurance Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 222 COUNTY: Number of Deaths by: County of Residence County of Occurrence TUOLUMNE DEATHS (2004) (continued) CAUSES OF DEATH (2002-2004 Avg.) INFANT DEATHS (2004) Number of Infant Deaths (Under 1 Year of Age) Infant Death Rate (Deaths per 1,000 Live Births) 0 607 Crude Death Rate per 100,000 Population by Cause of Death: 582 Heart Disease Cancer (All Types) Stroke Chronic Lower Respiratory Disease Unintentional Injuries Pneumonia and Influenza Diabetes Mellitus Alzheimer's Disease Chronic Liver Disease/Cirrhosis Suicide Homicide Hypertension/Hypertensive Renal Disease Nephritis 289.4 264.4 72.4 62.4 71.2 27.4 21.0 25.1 15.2 24.5 4.7 9.3 8.8 0.0 + Crude Death Rate (Deaths per 1,000 Population) AGE-ADJUSTED DEATH RATE (2002-2004 Avg.) Age-Adjusted Deaths per 100,000 Population AGE-SPECIFIC DEATH RATES (2002-2004 Avg.) Deaths per 100,000 Population: 1 to 4 Years Old 5 to 14 Years Old 15 to 24 Years Old 25 to 34 Years Old 35 to 44 Years Old 45 to 54 Years Old 55 to 64 Years Old 65 to 74 Years Old 75 to 84 Years Old 85 and Older 10.5 INFANT DEATH RATES (2003 Birth Cohort) Infant Deaths per 1,000 Live Births by Mother's Race/Ethnicity: * * * * * * * * All Race/Ethnic Groups White Black Hispanic Asian/Pacific Islander a,b a,b 0.0 + a,b 0.0 + 800.7 36.9 * 20.0 * 105.5 * 142.4 * 251.9 551.7 993.9 1,766.2 4,837.7 14,451.0 Number of Neonatal Deaths (Under 28 Days of Age) Neonatal Death Rate (Deaths per 1,000 Live Births) 0 FETAL AND NEONATAL DEATHS (2004) Number of Fetal Deaths Fetal Death Ratio (Deaths per 1,000 Live Births) 0 PERINATAL DEATHS (2003 Birth Cohort) Number of Perinatal Deaths (Neonatal Plus Fetal) 4 Perinatal Death Rate by Mother's Race/Ethnicity: All Race/Ethnic Groups White 0.0 + Black Hispanic Asian/Pacific Islander 0.0 + 0.0 + a,b 0.0 + a,b a,b Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services See Section III for data definitions, sources, and notes. 223 COUNTY: TUOLUMNE (continued) SELECTED COUNTY HEALTH INDICATORS MEDI-CAL (continued) (2003) Age-Adjusted Death Rate Per 100,000 Population (2002-2004 Avg.): Medi-Cal Deliveries by: Work-Related Injury Deaths 1.3 County of Beneficiary 205 Mortality Rate 2.4 * Fee-for-Service (FFS) 204 Drug-Induced Deaths 13.0 Managed Care 1 Mortality Rate 22.1 * Total Medi-Cal FFS Abortions 94 Homicide by Weapons (2003) 2 Homicide by Handguns 0 Medi-Cal Physicians/Dentists Paid: Physicians 37 Kindergarten Students Needing One Dentists 11 or More Immunizations (2005) 46 Percent of All Kindergarten Students 9.3 % MEDI-CAL DATA MEDI-CAL MANAGED CARE ENROLLEES (7/03) (Avg. Monthly, 2003) Medi-Cal Users (FFS): 4,567 Total Managed Care Enrollees 0 Percent of County Population 8.0 % Percent of Eligibles (FFS) 65.0 % DENTI-CAL SERVICES (2003) Average Monthly Users (FFS) 284 Total Medi-Cal Eligibles: 7,022 Percent of County Population 12.3 % MEDI-CAL/MEDICARE (2003) Percent of Medi-Cal Eligibles Medi-Cal Payments (FFS) : Who Are Also Eligible Amount $2,753,205 for Medicare 21.8 % Average Amount per User $603 MEDICARE ENROLLEES (2003) Total Medicare Enrollees Number 11,336 MEDI-CAL ELIGIBLES BY RACE/ETHNICITY Percent of County Population 19.8 % (2003) White 86.0 % Black 0.8 % Enrollees Aged 65+: Hispanic 5.9 % Number 9,865 American Indian/Alaska Native 2.1 % Percent of County Population 17.3 % Asian/Pacific Islander 0.9 % Not Reported 4.4 % Disability Beneficiaries: Number 1,471 Percent of County Population 2.6 % See Section III for data definitions, sources, and notes. REPORTED COMMUNICABLE DISEASES (2002-2004 Avg.) Number and Crude Case Rate per 100,000 Population DISEASE Hepatitis Measles Shigellosis Tuberculosis Syphilis Chlamydia Gonorrhea CASES 11.7 0.0 0.3 0.3 0.0 72.0 6.3 RATE 20.4 * 0.00 + 0.6 * 0.6 * 0.0 + 126.1 11.1 * CUMULATIVE AIDS CASES AND DEATHS 1981 through December 2005 AIDS Cases 62 Number of Deaths Percent of Total AIDS Cases Resulting in Death 36 58.1 % SELECTED COUNTY HEALTH INDICATORS Persons Injured in Traffic Accidents County of Occurrence (2003) 555 Substance Abuse Treatment Admissions (2004): Methamphetamine Cocaine Marijuana Alcohol 124 6 60 82 Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 224 COUNTY: TUOLUMNE (continued) HOSPITALS (2004) Number of General Acute Care (GAC) Hospitals 89.5 % Number of Licensed GAC Beds 149 HOSPITAL UTILIZATION (2004) Number of GAC Discharges from GAC Hospitals 4,791 Average GAC Occupancy Rate in GAC Hospitals 1 120 LTC (2004) Number of LTC Discharges from LTC Facilities Average Occupancy Rate of LTC Facilities and Hospitals with LTC Beds Average GAC Length of Stay in GAC Hospitals (Days) 4 HOSPICE CARE (12/04) Number of Freestanding Hospice Care Facilities 1 PROGRAM CLIENTS/SERVICES Percent Infants Breastfed During Early Postpartum (2002-2004 Average) Family Planning Clients by All Funding Sources (FY 2004-2005) Women and Children under Age 5 Receiving WIC Services (2/06) Child Health & Disability Prevention Clients Served (FY 2003-2004) Number of Providers (3/06) California Children's Services Cases (FY 2004-2005 Annualized Quarter) Developmental Disability Clients (7/05) Rehabilitation Clients (FY 2004-2005) Mental Health Serivces (2004-2005) State Hospital Admissions Clients Receiving County Serivces Persons Receiving Preventive Health Care for the Aging Services (FY 2004-2005) Assessment Clients Other Client Services 1,420 Number of Licensed GAC Beds per 1,000 Population LTC (2004) Number of Long Term Care Facilities and Hospitals with LTC Beds Number of Licensed LTC Beds 2.6 28.4 969 3.9 1,709 8 Number of Licensed Beds per 1,000 Population PHYSICIANS (FY 2004-2005) Number of Licensed Physicians Average Number of Persons per Physician DENTISTS (3/06) Number of Licensed Dentists Average Number of Persons per Dentist 2.1 138 223 127 454 88.2 317 45 42 1,386 4 1,304 CLINICS (12/04) Number of Licensed Community and Free Clinics Number of Specialty Clinics 3 2 0 0 HOME HEALTH AGENCIES (12/04) Number of Licensed Home Health Agencies 3 See Section III for data definitions, sources, and notes. Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 225 COUNTY: 2000 Census Population Projection Year 2004 Projection Year 2010 Projection Year 2020 VENTURA TOTAL POPULATION 753,197 808,102 860,664 924,410 PERCENT BELOW POVERTY LEVEL (1999) Total Population 9.2 % Children under 6 Persons Aged 65+ White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups HOUSING VALUE (2000) Median Housing-Unit Value CALWORKS (1/05) CalWORKs Recipients as a Percent of County Population SSI/SSP (2004) SSI/SSP Recipients as a Percent of County Population 45.5 1.6 41.5 8.5 1.1 1.8 % % % % % % UNEMPLOYMENT (2005) Percent of Civilian Labor Force Unemployed EDUCATION Percent of Persons Aged 25+ Not Finishing High School (2000) Enrollment K-12 (2004-2005) URBAN/RURAL (2000) 12.7 % 6.8 % 9.2 12.3 16.5 7.2 15.6 10.1 $248,700 % % % % % % LIVE BIRTHS (2004) Number of Live Births by: County of Residence County of Occurrence Birth Rate (Births per 1,000 Population) Fertility rate (Births per 1,000 Females Aged 15-44, 2002-2004 Avg.) Low Birthweight (Under 2,500 Grams) Very Low Birthweight (Under 1,500 Grams) Unmarried 1.6 % Cesarean Section Delivery Mothers Who Gave Birth Outside County of Residence Mothers with Less Than 12 Years Education Teenage Mothers (Under 18) 19.9 % 159,716 Percent of Births by Mother's Race/Ethnicity: White 38.4 % Black 1.1 % Hispanic 53.1 % Asian/Pacific Islander 6.4 % American Indian/Alaska Native 0.2 % 2 Or More Race Groups 0.8 % See Section III for data definitions, sources, and notes. Mothers with No First Trimester Prenatal Care 31.0 % 11,954 11,119 14.8 AGE (2004) Under Age 5 Age 5-17 Age 18-64 Age 65+ SEX (2004) Females Males RACE/ETHNICITY (2004) White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups 50.1 % 49.9 % 6.7 % 20.1 % 62.1 % 11.1 % 71.4 7.0 % 1.3 % 28.8 % 1.9 % 10.4 % 4.7 % 28.7 % 2.7 % 10.8 % Urban Rural FAMILY INCOME (1999) Median Family Income 96.8 % 3.2 % PRINCIPAL PAYMENT SOURCE FOR BIRTH DELIVERIES (2004) Medi-Cal/Other Government 46.3 % HMO and Prepaid Plans 12.4 % 40.2 % $65,285 Private Insurance Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 226 COUNTY: Number of Deaths by: County of Residence County of Occurrence VENTURA DEATHS (2004) (continued) CAUSES OF DEATH (2002-2004 Avg.) INFANT DEATHS (2004) Number of Infant Deaths (Under 1 Year of Age) Infant Death Rate (Deaths per 1,000 Live Births) 90 4,849 Crude Death Rate per 100,000 Population by Cause of Death: 4,518 Heart Disease Cancer (All Types) Stroke Chronic Lower Respiratory Disease Unintentional Injuries Pneumonia and Influenza Diabetes Mellitus Alzheimer's Disease Chronic Liver Disease/Cirrhosis Suicide Homicide Hypertension/Hypertensive Renal Disease Nephritis 168.1 143.5 40.1 32.2 28.2 18.8 18.7 15.0 8.4 8.3 4.1 6.9 8.3 7.5 Crude Death Rate (Deaths per 1,000 Population) AGE-ADJUSTED DEATH RATE (2002-2004 Avg.) Age-Adjusted Deaths per 100,000 Population AGE-SPECIFIC DEATH RATES (2002-2004 Avg.) Deaths per 100,000 Population: 1 to 4 Years Old 5 to 14 Years Old 15 to 24 Years Old 25 to 34 Years Old 35 to 44 Years Old 45 to 54 Years Old 55 to 64 Years Old 65 to 74 Years Old 75 to 84 Years Old 85 and Older 6.0 INFANT DEATH RATES (2003 Birth Cohort) Infant Deaths per 1,000 Live Births by Mother's Race/Ethnicity: All Race/Ethnic Groups White Black Hispanic Asian/Pacific Islander 5.6 5.9 0.0 + 5.0 b 667.7 23.7 * 10.6 * 72.5 88.3 125.8 287.5 589.5 1,628.2 4,901.2 12,644.8 Number of Neonatal Deaths (Under 28 Days of Age) Neonatal Death Rate (Deaths per 1,000 Live Births) 63 FETAL AND NEONATAL DEATHS (2004) Number of Fetal Deaths Fetal Death Ratio (Deaths per 1,000 Live Births) 50 PERINATAL DEATHS (2003 Birth Cohort) Number of Perinatal Deaths (Neonatal Plus Fetal) 105 Perinatal Death Rate by Mother's Race/Ethnicity: All Race/Ethnic Groups White 4.2 Black Hispanic Asian/Pacific Islander 5.3 a,b 8.9 b 8.7 7.6 Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services See Section III for data definitions, sources, and notes. 227 COUNTY: VENTURA (continued) SELECTED COUNTY HEALTH INDICATORS MEDI-CAL (continued) (2003) Age-Adjusted Death Rate Per 100,000 Population (2002-2004 Avg.): Medi-Cal Deliveries by: Work-Related Injury Deaths 8.0 County of Beneficiary 4,866 Mortality Rate 1.0 * Fee-for-Service (FFS) 4,864 Drug-Induced Deaths 73.3 Managed Care 2 Mortality Rate 9.0 Total Medi-Cal FFS Abortions 1,302 Homicide by Weapons (2003) 33 Homicide by Handguns 21 Medi-Cal Physicians/Dentists Paid: Physicians 490 Kindergarten Students Needing One Dentists 146 or More Immunizations (2005) 1,015 Percent of All Kindergarten Students 8.6 % MEDI-CAL DATA MEDI-CAL MANAGED CARE ENROLLEES (7/03) (Avg. Monthly, 2003) Medi-Cal Users (FFS): 49,053 Total Managed Care Enrollees 0 Percent of County Population 6.1 % Percent of Eligibles (FFS) 50.8 % DENTI-CAL SERVICES (2003) Average Monthly Users (FFS) 4,711 Total Medi-Cal Eligibles: 96,542 Percent of County Population 12.1 % MEDI-CAL/MEDICARE (2003) Percent of Medi-Cal Eligibles Medi-Cal Payments (FFS) : Who Are Also Eligible Amount $23,434,176 for Medicare 15.9 % Average Amount per User $478 MEDICARE ENROLLEES (2003) Total Medicare Enrollees Number 91,182 MEDI-CAL ELIGIBLES BY RACE/ETHNICITY Percent of County Population 11.4 % (2003) White 24.2 % Black 2.0 % Enrollees Aged 65+: Hispanic 65.2 % Number 80,262 American Indian/Alaska Native 0.3 % Percent of County Population 10.0 % Asian/Pacific Islander 3.7 % Not Reported 4.5 % Disability Beneficiaries: Number 10,920 Percent of County Population 1.4 % See Section III for data definitions, sources, and notes. REPORTED COMMUNICABLE DISEASES (2002-2004 Avg.) Number and Crude Case Rate per 100,000 Population DISEASE Hepatitis Measles Shigellosis Tuberculosis Syphilis Chlamydia Gonorrhea CASES 58.0 0.3 31.3 70.7 4.0 1,521.3 151.0 RATE 7.3 0.04 * 3.9 8.8 0.5 * 190.4 18.9 CUMULATIVE AIDS CASES AND DEATHS 1981 through December 2005 AIDS Cases 999 Number of Deaths Percent of Total AIDS Cases Resulting in Death 556 55.7 % SELECTED COUNTY HEALTH INDICATORS Persons Injured in Traffic Accidents County of Occurrence (2003) 7,085 Substance Abuse Treatment Admissions (2004): Methamphetamine 1,318 Cocaine 288 Marijuana 492 Alcohol 609 Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 228 COUNTY: VENTURA (continued) HOSPITALS (2004) Number of General Acute Care (GAC) Hospitals 88.0 % Number of Licensed GAC Beds 1,097 HOSPITAL UTILIZATION (2004) Number of GAC Discharges from GAC Hospitals 69,493 Average GAC Occupancy Rate in GAC Hospitals 20 1,714 LTC (2004) Number of LTC Discharges from LTC Facilities Average Occupancy Rate of LTC Facilities and Hospitals with LTC Beds Average GAC Length of Stay in GAC Hospitals (Days) 8 HOSPICE CARE (12/04) Number of Freestanding Hospice Care Facilities 5 PROGRAM CLIENTS/SERVICES Percent Infants Breastfed During Early Postpartum (2002-2004 Average) Family Planning Clients by All Funding Sources (FY 2004-2005) Women and Children under Age 5 Receiving WIC Services (2/06) Child Health & Disability Prevention Clients Served (FY 2003-2004) Number of Providers (3/06) California Children's Services Cases (FY 2004-2005 Annualized Quarter) Developmental Disability Clients (7/05) Rehabilitation Clients (FY 2004-2005) Mental Health Serivces (2004-2005) State Hospital Admissions Clients Receiving County Serivces Persons Receiving Preventive Health Care for the Aging Services (FY 2004-2005) Assessment Clients Other Client Services 31,781 Number of Licensed GAC Beds per 1,000 Population LTC (2004) Number of Long Term Care Facilities and Hospitals with LTC Beds Number of Licensed LTC Beds 1.4 69.3 17,209 4.0 35,089 44 Number of Licensed Beds per 1,000 Population PHYSICIANS (FY 2004-2005) Number of Licensed Physicians Average Number of Persons per Physician DENTISTS (3/06) Number of Licensed Dentists Average Number of Persons per Dentist 2.1 3,444 2,746 1,720 470 88.3 4,428 2,241 627 1,301 45 9,094 CLINICS (12/04) Number of Licensed Community and Free Clinics Number of Specialty Clinics 13 24 79 493 HOME HEALTH AGENCIES (12/04) Number of Licensed Home Health Agencies 24 See Section III for data definitions, sources, and notes. Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 229 COUNTY: 2000 Census Population Projection Year 2004 Projection Year 2010 Projection Year 2020 YOLO TOTAL POPULATION 168,660 188,860 222,277 271,040 PERCENT BELOW POVERTY LEVEL (1999) Total Population 18.4 % Children under 6 Persons Aged 65+ White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups HOUSING VALUE (2000) Median Housing-Unit Value CALWORKS (1/05) CalWORKs Recipients as a Percent of County Population SSI/SSP (2004) SSI/SSP Recipients as a Percent of County Population 54.1 2.1 29.6 10.8 1.1 2.3 % % % % % % UNEMPLOYMENT (2005) Percent of Civilian Labor Force Unemployed EDUCATION Percent of Persons Aged 25+ Not Finishing High School (2000) Enrollment K-12 (2004-2005) URBAN/RURAL (2000) 8.0 % 3.7 % 15.1 34.2 19.1 40.7 14.1 25.8 $169,800 % % % % % % LIVE BIRTHS (2004) Number of Live Births by: County of Residence County of Occurrence Birth Rate (Births per 1,000 Population) Fertility rate (Births per 1,000 Females Aged 15-44, 2002-2004 Avg.) Low Birthweight (Under 2,500 Grams) Very Low Birthweight (Under 1,500 Grams) Unmarried 2.9 % Cesarean Section Delivery Mothers Who Gave Birth Outside County of Residence Mothers with Less Than 12 Years Education Teenage Mothers (Under 18) 20.2 % 31,326 Percent of Births by Mother's Race/Ethnicity: White 42.1 % Black 2.2 % Hispanic 43.1 % Asian/Pacific Islander 10.3 % American Indian/Alaska Native 0.5 % 2 Or More Race Groups 1.7 % See Section III for data definitions, sources, and notes. Mothers with No First Trimester Prenatal Care 22.0 % 2,404 1,900 12.7 AGE (2004) Under Age 5 Age 5-17 Age 18-64 Age 65+ SEX (2004) Females Males RACE/ETHNICITY (2004) White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups 51.1 % 48.9 % 6.2 % 18.6 % 66.2 % 9.0 % 51.3 5.7 % 0.7 % 27.0 % 2.7 % 40.5 % 5.4 % 24.5 % 2.8 % 24.0 % Urban Rural FAMILY INCOME (1999) Median Family Income 90.7 % 9.3 % PRINCIPAL PAYMENT SOURCE FOR BIRTH DELIVERIES (2004) Medi-Cal/Other Government 40.7 % HMO and Prepaid Plans 39.6 % 18.7 % $51,623 Private Insurance Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 230 COUNTY: Number of Deaths by: County of Residence County of Occurrence YOLO DEATHS (2004) (continued) CAUSES OF DEATH (2002-2004 Avg.) INFANT DEATHS (2004) Number of Infant Deaths (Under 1 Year of Age) Infant Death Rate (Deaths per 1,000 Live Births) 7 1,105 Crude Death Rate per 100,000 Population by Cause of Death: 915 Heart Disease Cancer (All Types) Stroke Chronic Lower Respiratory Disease Unintentional Injuries Pneumonia and Influenza Diabetes Mellitus Alzheimer's Disease Chronic Liver Disease/Cirrhosis Suicide Homicide Hypertension/Hypertensive Renal Disease Nephritis 142.0 138.3 47.9 42.7 31.2 31.4 18.7 20.0 8.0 8.7 2.0 5.6 5.1 2.9 * Crude Death Rate (Deaths per 1,000 Population) AGE-ADJUSTED DEATH RATE (2002-2004 Avg.) Age-Adjusted Deaths per 100,000 Population AGE-SPECIFIC DEATH RATES (2002-2004 Avg.) Deaths per 100,000 Population: 1 to 4 Years Old 5 to 14 Years Old 15 to 24 Years Old 25 to 34 Years Old 35 to 44 Years Old 45 to 54 Years Old 55 to 64 Years Old 65 to 74 Years Old 75 to 84 Years Old 85 and Older 5.9 INFANT DEATH RATES (2003 Birth Cohort) Infant Deaths per 1,000 Live Births by Mother's Race/Ethnicity: All Race/Ethnic Groups White * * * * * Black Hispanic Asian/Pacific Islander 5.3 * 6.5 * 0.0 + 4.7 * a,b 806.8 18.4 * 22.9 * 27.8 * 66.9 * 153.5 406.6 886.7 2,030.5 5,548.8 15,720.9 Number of Neonatal Deaths (Under 28 Days of Age) Neonatal Death Rate (Deaths per 1,000 Live Births) 4 FETAL AND NEONATAL DEATHS (2004) Number of Fetal Deaths Fetal Death Ratio (Deaths per 1,000 Live Births) 11 PERINATAL DEATHS (2003 Birth Cohort) Number of Perinatal Deaths (Neonatal Plus Fetal) 21 Perinatal Death Rate by Mother's Race/Ethnicity: All Race/Ethnic Groups White 4.6 * Black Hispanic Asian/Pacific Islander a a,b 8.4 * a,b 8.6 7.4 * Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services See Section III for data definitions, sources, and notes. 231 COUNTY: YOLO (continued) SELECTED COUNTY HEALTH INDICATORS MEDI-CAL (continued) (2003) Age-Adjusted Death Rate Per 100,000 Population (2002-2004 Avg.): Medi-Cal Deliveries by: Work-Related Injury Deaths 2.7 County of Beneficiary 890 Mortality Rate 1.8 * Fee-for-Service (FFS) 372 Drug-Induced Deaths 13.0 Managed Care 518 Mortality Rate 7.9 * Total Medi-Cal FFS Abortions 109 Homicide by Weapons (2003) 5 Homicide by Handguns 2 Medi-Cal Physicians/Dentists Paid: Physicians 22 Kindergarten Students Needing One Dentists 28 or More Immunizations (2005) 56 Percent of All Kindergarten Students 2.4 % MEDI-CAL DATA MEDI-CAL MANAGED CARE ENROLLEES (7/03) (Avg. Monthly, 2003) Medi-Cal Users (FFS): 4,339 Total Managed Care Enrollees 23,123 Percent of County Population 2.4 % Percent of Eligibles (FFS) 16.4 % DENTI-CAL SERVICES (2003) Average Monthly Users (FFS) 1,604 Total Medi-Cal Eligibles: 26,493 Percent of County Population 14.4 % MEDI-CAL/MEDICARE (2003) Percent of Medi-Cal Eligibles Medi-Cal Payments (FFS) : Who Are Also Eligible Amount $1,158,914 for Medicare 14.6 % Average Amount per User $267 MEDICARE ENROLLEES (2003) Total Medicare Enrollees Number 18,839 MEDI-CAL ELIGIBLES BY RACE/ETHNICITY Percent of County Population 10.3 % (2003) White 39.2 % Black 4.3 % Enrollees Aged 65+: Hispanic 42.8 % Number 16,079 American Indian/Alaska Native 0.7 % Percent of County Population 8.8 % Asian/Pacific Islander 8.3 % Not Reported 4.8 % Disability Beneficiaries: Number 2,760 Percent of County Population 1.5 % See Section III for data definitions, sources, and notes. REPORTED COMMUNICABLE DISEASES (2002-2004 Avg.) Number and Crude Case Rate per 100,000 Population DISEASE Hepatitis Measles Shigellosis Tuberculosis Syphilis Chlamydia Gonorrhea CASES 8.0 0.0 8.0 7.0 1.0 379.3 37.0 RATE 4.4 * 0.00 + 4.4 * 3.8 * 0.5 * 206.6 20.2 CUMULATIVE AIDS CASES AND DEATHS 1981 through December 2005 AIDS Cases 210 Number of Deaths Percent of Total AIDS Cases Resulting in Death 112 53.3 % SELECTED COUNTY HEALTH INDICATORS Persons Injured in Traffic Accidents County of Occurrence (2003) 1,250 Substance Abuse Treatment Admissions (2004): Methamphetamine Cocaine Marijuana Alcohol 584 40 227 350 Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 232 COUNTY: YOLO (continued) HOSPITALS (2004) Number of General Acute Care (GAC) Hospitals 87.5 % Number of Licensed GAC Beds 136 HOSPITAL UTILIZATION (2004) Number of GAC Discharges from GAC Hospitals 9,173 Average GAC Occupancy Rate in GAC Hospitals 7 678 LTC (2004) Number of LTC Discharges from LTC Facilities Average Occupancy Rate of LTC Facilities and Hospitals with LTC Beds Average GAC Length of Stay in GAC Hospitals (Days) 2 HOSPICE CARE (12/04) Number of Freestanding Hospice Care Facilities 1 PROGRAM CLIENTS/SERVICES Percent Infants Breastfed During Early Postpartum (2002-2004 Average) Family Planning Clients by All Funding Sources (FY 2004-2005) Women and Children under Age 5 Receiving WIC Services (2/06) Child Health & Disability Prevention Clients Served (FY 2003-2004) Number of Providers (3/06) California Children's Services Cases (FY 2004-2005 Annualized Quarter) Developmental Disability Clients (7/05) Rehabilitation Clients (FY 2004-2005) Mental Health Serivces (2004-2005) State Hospital Admissions Clients Receiving County Serivces Persons Receiving Preventive Health Care for the Aging Services (FY 2004-2005) Assessment Clients Other Client Services 6,777 Number of Licensed GAC Beds per 1,000 Population LTC (2004) Number of Long Term Care Facilities and Hospitals with LTC Beds Number of Licensed LTC Beds 0.7 33.4 4,624 2.2 9,922 17 Number of Licensed Beds per 1,000 Population PHYSICIANS (FY 2004-2005) Number of Licensed Physicians Average Number of Persons per Physician DENTISTS (3/06) Number of Licensed Dentists Average Number of Persons per Dentist 3.6 893 559 529 357 54.0 842 386 100 1,889 20 0 ** CLINICS (12/04) Number of Licensed Community and Free Clinics Number of Specialty Clinics 6 2 122 52 HOME HEALTH AGENCIES (12/04) Number of Licensed Home Health Agencies 1 See Section III for data definitions, sources, and notes. Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 233 COUNTY: 2000 Census Population Projection Year 2004 Projection Year 2010 Projection Year 2020 YUBA TOTAL POPULATION 60,219 65,514 71,506 84,816 PERCENT BELOW POVERTY LEVEL (1999) Total Population 20.8 % Children under 6 Persons Aged 65+ White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups HOUSING VALUE (2000) Median Housing-Unit Value CALWORKS (1/05) CalWORKs Recipients as a Percent of County Population SSI/SSP (2004) SSI/SSP Recipients as a Percent of County Population 65.7 3.2 16.6 8.4 2.2 3.9 % % % % % % UNEMPLOYMENT (2005) Percent of Civilian Labor Force Unemployed EDUCATION Percent of Persons Aged 25+ Not Finishing High School (2000) Enrollment K-12 (2004-2005) URBAN/RURAL (2000) 13.7 % 3.9 % 18.5 23.6 28.2 35.9 29.5 26.8 $89,700 % % % % % % LIVE BIRTHS (2004) Number of Live Births by: County of Residence County of Occurrence Birth Rate (Births per 1,000 Population) Fertility rate (Births per 1,000 Females Aged 15-44, 2002-2004 Avg.) Low Birthweight (Under 2,500 Grams) Very Low Birthweight (Under 1,500 Grams) Unmarried 8.2 % Cesarean Section Delivery Mothers Who Gave Birth Outside County of Residence Mothers with Less Than 12 Years Education Teenage Mothers (Under 18) 28.2 % 15,430 Percent of Births by Mother's Race/Ethnicity: White 55.2 % Black 2.2 % Hispanic 30.8 % Asian/Pacific Islander 8.0 % American Indian/Alaska Native 1.3 % 2 Or More Race Groups 2.5 % See Section III for data definitions, sources, and notes. Mothers with No First Trimester Prenatal Care 31.9 % 1,184 7 18.1 AGE (2004) Under Age 5 Age 5-17 Age 18-64 Age 65+ SEX (2004) Females Males RACE/ETHNICITY (2004) White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native 2 or More Race Groups 49.8 % 50.2 % 8.4 % 22.2 % 58.4 % 11.0 % 87.8 7.0 % 1.0 % 35.4 % 5.8 % 99.5 % 8.9 % 30.2 % 4.6 % 33.7 % Urban Rural FAMILY INCOME (1999) Median Family Income 69.9 % 30.1 % PRINCIPAL PAYMENT SOURCE FOR BIRTH DELIVERIES (2004) Medi-Cal/Other Government 66.5 % HMO and Prepaid Plans 9.7 % 23.4 % $34,103 Private Insurance Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 234 COUNTY: Number of Deaths by: County of Residence County of Occurrence YUBA DEATHS (2004) (continued) CAUSES OF DEATH (2002-2004 Avg.) INFANT DEATHS (2004) Number of Infant Deaths (Under 1 Year of Age) Infant Death Rate (Deaths per 1,000 Live Births) 6 518 Crude Death Rate per 100,000 Population by Cause of Death: 605 Heart Disease Cancer (All Types) Stroke Chronic Lower Respiratory Disease Unintentional Injuries Pneumonia and Influenza Diabetes Mellitus Alzheimer's Disease Chronic Liver Disease/Cirrhosis Suicide Homicide Hypertension/Hypertensive Renal Disease Nephritis 232.4 198.5 51.1 68.3 55.7 19.3 19.3 7.3 15.1 17.2 4.7 8.9 5.2 5.1 * Crude Death Rate (Deaths per 1,000 Population) AGE-ADJUSTED DEATH RATE (2002-2004 Avg.) Age-Adjusted Deaths per 100,000 Population AGE-SPECIFIC DEATH RATES (2002-2004 Avg.) Deaths per 100,000 Population: 1 to 4 Years Old 5 to 14 Years Old 15 to 24 Years Old 25 to 34 Years Old 35 to 44 Years Old 45 to 54 Years Old 55 to 64 Years Old 65 to 74 Years Old 75 to 84 Years Old 85 and Older 7.9 INFANT DEATH RATES (2003 Birth Cohort) Infant Deaths per 1,000 Live Births by Mother's Race/Ethnicity: * * * * * * * * All Race/Ethnic Groups White Black Hispanic Asian/Pacific Islander 5.9 * b 0.0 + a,b 0.0 + 969.4 57.3 * 21.0 * 137.4 * 101.2 * 241.7 673.8 1,499.4 2,697.4 5,840.3 14,232.2 Number of Neonatal Deaths (Under 28 Days of Age) Neonatal Death Rate (Deaths per 1,000 Live Births) 5 FETAL AND NEONATAL DEATHS (2004) Number of Fetal Deaths Fetal Death Ratio (Deaths per 1,000 Live Births) 9 PERINATAL DEATHS (2003 Birth Cohort) Number of Perinatal Deaths (Neonatal Plus Fetal) 13 Perinatal Death Rate by Mother's Race/Ethnicity: All Race/Ethnic Groups White 7.6 * Black Hispanic Asian/Pacific Islander 4.2 * 0.0 + b a,b 10.8 * b Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services See Section III for data definitions, sources, and notes. 235 COUNTY: YUBA (continued) SELECTED COUNTY HEALTH INDICATORS MEDI-CAL (continued) (2003) Age-Adjusted Death Rate Per 100,000 Population (2002-2004 Avg.): Medi-Cal Deliveries by: Work-Related Injury Deaths 0.3 County of Beneficiary 636 Mortality Rate 0.6 * Fee-for-Service (FFS) 635 Drug-Induced Deaths 4.0 Managed Care 1 Mortality Rate 6.7 * Total Medi-Cal FFS Abortions 165 Homicide by Weapons (2003) 5 Homicide by Handguns 4 Medi-Cal Physicians/Dentists Paid: Physicians 20 Kindergarten Students Needing One Dentists 2 or More Immunizations (2005) 115 Percent of All Kindergarten Students 9.7 % MEDI-CAL DATA MEDI-CAL MANAGED CARE ENROLLEES (7/03) (Avg. Monthly, 2003) Medi-Cal Users (FFS): 9,951 Total Managed Care Enrollees 0 Percent of County Population 15.6 % Percent of Eligibles (FFS) 57.5 % DENTI-CAL SERVICES (2003) Average Monthly Users (FFS) 820 Total Medi-Cal Eligibles: 17,321 Percent of County Population 27.1 % MEDI-CAL/MEDICARE (2003) Percent of Medi-Cal Eligibles Medi-Cal Payments (FFS) : Who Are Also Eligible Amount $4,904,602 for Medicare 14.0 % Average Amount per User $493 MEDICARE ENROLLEES (2003) Total Medicare Enrollees Number 8,360 MEDI-CAL ELIGIBLES BY RACE/ETHNICITY Percent of County Population 13.1 % (2003) White 57.0 % Black 3.5 % Enrollees Aged 65+: Hispanic 19.4 % Number 6,524 American Indian/Alaska Native 1.4 % Percent of County Population 10.2 % Asian/Pacific Islander 14.6 % Not Reported 4.0 % Disability Beneficiaries: Number 1,836 Percent of County Population 2.9 % See Section III for data definitions, sources, and notes. REPORTED COMMUNICABLE DISEASES (2002-2004 Avg.) Number and Crude Case Rate per 100,000 Population DISEASE Hepatitis Measles Shigellosis Tuberculosis Syphilis Chlamydia Gonorrhea CASES 21.7 0.0 2.3 5.3 0.0 205.3 46.0 RATE 33.9 0.00 + 3.6 * 8.3 * 0.0 + 320.9 71.9 CUMULATIVE AIDS CASES AND DEATHS 1981 through December 2005 AIDS Cases 63 Number of Deaths Percent of Total AIDS Cases Resulting in Death 37 58.7 % SELECTED COUNTY HEALTH INDICATORS Persons Injured in Traffic Accidents County of Occurrence (2003) 595 Substance Abuse Treatment Admissions (2004): Methamphetamine Cocaine Marijuana Alcohol 513 20 83 178 Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 236 COUNTY: YUBA (continued) HOSPITALS (2004) Number of General Acute Care (GAC) Hospitals 75.8 % Number of Licensed GAC Beds 149 HOSPITAL UTILIZATION (2004) Number of GAC Discharges from GAC Hospitals 6,980 Average GAC Occupancy Rate in GAC Hospitals 1 86 LTC (2004) Number of LTC Discharges from LTC Facilities Average Occupancy Rate of LTC Facilities and Hospitals with LTC Beds Average GAC Length of Stay in GAC Hospitals (Days) 1 HOSPICE CARE (12/04) Number of Freestanding Hospice Care Facilities 0 PROGRAM CLIENTS/SERVICES Percent Infants Breastfed During Early Postpartum (2002-2004 Average) Family Planning Clients by All Funding Sources (FY 2004-2005) Women and Children under Age 5 Receiving WIC Services (2/06) Child Health & Disability Prevention Clients Served (FY 2003-2004) Number of Providers (3/06) California Children's Services Cases (FY 2004-2005 Annualized Quarter) Developmental Disability Clients (7/05) Rehabilitation Clients (FY 2004-2005) Mental Health Serivces (2004-2005) State Hospital Admissions Clients Receiving County Serivces Persons Receiving Preventive Health Care for the Aging Services (FY 2004-2005) Assessment Clients Other Client Services 2,671 Number of Licensed GAC Beds per 1,000 Population LTC (2004) Number of Long Term Care Facilities and Hospitals with LTC Beds Number of Licensed LTC Beds 2.3 64.1 3,463 5.0 3,627 13 Number of Licensed Beds per 1,000 Population PHYSICIANS (FY 2004-2005) Number of Licensed Physicians Average Number of Persons per Physician DENTISTS (3/06) Number of Licensed Dentists Average Number of Persons per Dentist 1.3 142 320 49 1,337 94.3 390 163 12 5,718 9 4,048 CLINICS (12/04) Number of Licensed Community and Free Clinics Number of Specialty Clinics 4 2 0 0 HOME HEALTH AGENCIES (12/04) Number of Licensed Home Health Agencies 1 See Section III for data definitions, sources, and notes. Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 237 NOTES 238 SECTION Il HEALTH DATA CROSS – COUNTY COMPARISIONS Section II: Health Data Cross-County Comparisons Table 1 2 3 4 5 6 7 8 9 Page Population Data by County.................................................................................................................................... 240 Socioeconomic Data by County ............................................................................................................................ 242 2004 Birth Data by County .................................................................................................................................... 244 2004 Death Data by County, Age-Adjusted and Age-Specific Death Rates (2002-2004 Average) ....................... 246 Infant, Neonatal, and Perinatal Deaths.................................................................................................................. 248 Mortality by Cause of Death .................................................................................................................................. 250 Communicable Disease Data by County............................................................................................................... 252 County Health Indicators ....................................................................................................................................... 254 Persons Certified Eligible for Medi-Cal and Medicare, 2003 ................................................................................. 256 10 Selected Medi-Cal Data, 2003 .............................................................................................................................. 258 11 Program Clients/Services ...................................................................................................................................... 260 12 Health Resource Data by County .......................................................................................................................... 262 13 City Health Departments ....................................................................................................................................... 264 239 TABLE 1 POPULATION DATA BY COUNTY CALIFORNIA 2000 Census COUNTY Number of Persons 33,871,648 1,443,741 1,208 35,100 203,171 40,554 18,804 948,816 27,507 156,299 799,407 26,453 126,518 142,361 17,945 661,645 129,461 58,309 33,828 9,519,338 123,109 247,289 17,130 86,265 210,554 9,449 12,853 401,762 124,279 92,033 2,846,289 % Urban Number of Persons Age 0-4 7.1 6.8 3.9 3.6 5.1 3.9 7.8 6.5 4.9 5.1 8.0 7.2 5.6 8.0 4.9 8.2 7.9 5.0 4.0 7.5 8.2 5.5 3.8 6.0 8.4 4.1 5.5 8.0 6.0 4.3 7.2 5-17 19.2 16.9 15.2 15.5 16.8 16.5 21.3 19.3 17.2 19.1 21.8 20.8 16.4 21.3 16.3 22.1 20.1 18.4 14.7 20.0 20.1 14.7 15.5 17.7 23.9 17.5 15.8 19.3 17.3 16.4 19.0 18-64 62.7 66.4 66.9 62.5 62.3 60.2 60.0 63.1 65.0 63.1 60.6 58.5 65.8 60.5 58.7 58.9 64.3 58.1 71.6 61.8 59.7 65.7 62.2 62.6 58.6 59.5 69.4 62.8 61.5 62.5 63.7 65+ 11.0 9.9 14.0 18.4 15.8 19.4 10.9 11.2 12.8 12.7 9.7 13.4 12.3 10.1 20.2 10.8 7.6 18.6 9.8 10.7 12.0 14.1 18.4 13.7 9.1 18.8 9.3 9.9 15.2 16.8 10.1 2004 Projected Population Sex Female 50.1 51.0 48.5 45.1 51.0 50.3 49.3 51.2 45.2 50.2 49.5 49.4 50.4 47.7 51.1 48.9 43.0 50.7 36.1 50.3 51.9 50.3 49.2 50.2 50.1 49.6 45.3 48.3 49.9 50.9 50.2 Male 49.9 49.0 51.5 54.9 49.0 49.7 50.7 48.8 54.8 49.8 50.5 50.6 49.6 52.3 48.9 51.1 57.0 49.3 63.9 49.7 48.1 49.7 50.8 49.8 49.9 50.4 54.7 51.7 50.1 49.1 49.8 White 43.9 36.5 68.4 82.0 76.8 86.3 43.9 53.3 68.8 83.2 34.3 62.1 80.1 17.4 72.7 43.7 39.7 77.0 69.5 32.2 43.8 77.9 83.0 72.1 39.0 79.1 75.0 36.2 65.0 89.3 48.3 Black 6.7 13.6 0.5 3.8 1.7 1.0 0.5 9.4 4.1 0.6 5.5 0.6 0.9 4.3 0.1 6.2 8.3 2.5 9.5 9.5 4.1 2.9 0.7 0.8 3.3 0.7 0.5 4.2 1.6 0.4 1.6 Projected Projected Population Population Hispanic Asian/PI AI/AN 2+ Races 2010 2020 Race/Ethnicity 35.2 21.4 8.3 9.2 12.3 7.6 50.3 20.9 14.6 10.3 49.3 29.7 7.7 74.3 13.7 42.8 46.0 13.6 14.7 45.5 47.3 12.2 9.0 18.7 49.0 12.5 19.2 50.7 26.9 6.3 32.9 11.4 24.9 0.4 1.2 4.2 1.0 1.9 12.9 2.5 2.7 8.1 4.1 1.9 2.1 1.2 4.2 3.1 1.0 1.4 11.0 1.6 4.6 1.0 1.6 6.3 0.8 1.4 6.2 3.7 1.1 15.0 0.8 0.6 19.0 1.9 2.5 2.0 2.1 0.7 6.3 1.3 1.4 1.7 5.9 1.3 9.6 1.5 1.3 3.4 3.0 0.3 1.6 0.3 3.6 4.3 0.7 4.3 2.2 0.5 1.0 1.2 0.6 2.0 3.1 3.4 1.8 2.5 2.2 1.4 2.7 3.6 1.9 1.5 1.8 3.6 0.5 2.7 1.6 1.6 2.4 1.9 1.5 1.6 2.1 2.8 2.4 1.7 2.7 1.7 2.2 1.8 1.8 1.7 39,246,767 1,651,164 1,377 39,287 228,020 49,599 22,697 1,116,298 29,126 188,471 949,961 29,348 133,136 178,201 18,396 808,808 156,334 69,259 36,954 10,461,007 150,278 252,440 18,608 94,300 277,715 9,547 14,705 453,292 142,121 106,910 3,260,162 43,851,741 1,864,145 1,441 42,257 260,730 59,691 26,337 1,327,081 30,765 221,289 1,114,654 31,950 139,518 214,386 18,404 950,112 184,751 79,676 38,232 10,885,092 183,966 251,260 20,607 100,664 360,831 9,285 16,248 505,359 165,946 126,912 3,526,144 CALIFORNIA ALAMEDA ALPINE AMADOR BUTTE CALAVERAS COLUSA CONTRA COSTA DEL NORTE EL DORADO FRESNO GLENN HUMBOLDT IMPERIAL INYO KERN KINGS LAKE LASSEN LOS ANGELES MADERA MARIN MARIPOSA MENDOCINO MERCED MODOC MONO MONTEREY NAPA NEVADA ORANGE 94.5 36,376,411 99.4 0.0 39.4 82.1 18.1 51.0 97.9 67.9 63.0 87.4 56.6 69.5 85.2 58.0 88.3 1,516,075 1,324 37,489 214,972 44,478 20,646 1,018,666 28,551 171,207 868,283 28,084 130,472 157,199 18,573 729,538 86.9 141,225 55.6 63,465 41.2 36,209 99.3 10,083,225 66.0 136,543 94.2 0.0 54.0 83.1 30.6 45.4 89.2 84.1 56.7 99.8 250,717 18,138 90,145 237,190 9,675 13,773 424,053 132,796 98,308 3,036,712 Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services See Section III for data definitions, sources, and notes. 240 TABLE 1 POPULATION DATA BY COUNTY CALIFORNIA 2000 Census COUNTY Number of % Persons Urban 248,399 20,824 1,545,387 1,223,499 53,234 1,709,434 2,813,833 776,733 563,598 246,681 707,161 399,347 1,682,585 255,602 163,256 3,555 44,301 394,542 458,614 446,997 78,930 56,039 13,022 368,021 54,501 753,197 168,660 60,219 78.8 12.8 93.2 97.6 77.6 94.4 96.1 100.0 90.1 81.2 98.6 95.2 98.8 85.3 68.9 0.0 35.4 95.9 85.7 91.0 85.5 50.9 0.0 81.1 53.4 96.8 90.7 69.9 Number of Persons 294,379 21,200 1,815,394 1,363,248 57,637 1,905,477 3,024,720 791,293 643,101 260,024 718,154 415,718 1,739,380 260,715 178,282 3,578 45,198 421,533 479,824 498,987 86,866 59,316 13,545 400,999 57,636 808,102 188,860 65,514 Age 0-4 5.9 4.2 7.4 7.1 8.0 7.4 6.6 5.1 7.7 4.4 6.9 6.6 7.6 6.3 5.6 3.5 4.5 6.9 5.8 7.7 7.1 5.8 4.0 9.0 3.8 6.7 6.2 8.4 5-17 19.3 15.4 21.1 19.3 22.6 22.6 17.1 10.0 22.1 15.5 16.2 17.5 17.8 16.6 17.8 15.5 16.4 19.6 17.2 21.8 20.4 18.5 15.6 23.5 15.5 20.1 18.6 22.2 18-64 61.0 60.1 58.3 62.7 61.2 61.4 65.5 71.1 60.5 65.1 64.4 63.5 64.4 67.0 59.4 61.0 60.0 62.3 64.0 60.3 60.3 57.5 60.9 58.5 62.1 62.1 66.2 58.4 65+ 13.9 20.2 13.1 10.9 8.2 8.6 10.8 13.8 9.6 15.0 12.5 12.3 10.2 10.1 17.2 20.0 19.1 11.3 13.0 10.2 12.1 18.2 19.5 9.0 18.6 11.1 9.0 11.0 2004 Projected Population Sex Female 51.0 50.1 50.2 51.0 49.4 50.0 49.8 49.1 49.8 48.8 50.3 49.8 49.2 50.0 50.7 49.6 51.1 49.3 50.5 50.5 50.3 50.5 49.3 49.9 47.3 50.1 51.1 49.8 Male 49.0 49.9 49.8 49.0 50.6 50.0 50.2 50.9 50.2 51.2 49.7 50.2 50.8 50.0 49.3 50.4 48.9 50.7 49.5 49.5 49.7 49.5 50.7 50.1 52.7 49.9 48.9 50.2 White 82.1 87.6 44.9 49.9 45.2 31.5 50.8 44.3 43.8 74.2 48.9 54.0 45.3 64.0 82.0 89.2 82.2 42.6 72.7 52.5 55.3 76.1 84.1 37.5 84.1 45.5 54.1 65.7 Black 1.5 0.9 6.8 10.8 1.0 10.2 5.5 6.9 7.5 2.0 2.3 2.0 2.8 0.9 1.2 0.2 1.4 16.1 1.5 3.1 2.1 0.7 0.5 1.6 2.0 1.6 2.1 3.2 Race/Ethnicity Hispanic 10.3 6.2 41.2 19.8 49.2 49.1 30.5 14.5 33.5 18.0 23.8 37.0 24.9 28.9 7.2 6.7 8.4 20.7 18.8 36.1 25.1 17.7 5.0 55.8 8.4 41.5 29.6 16.6 Asian/PI 3.4 0.8 4.7 14.5 2.5 6.7 10.1 31.5 11.6 3.2 22.0 4.4 24.4 3.5 2.6 0.3 1.4 15.4 3.8 4.9 13.4 1.1 1.0 2.8 1.0 8.5 10.8 8.4 Projected Projected Population Population AI/AN 2+ Races 2010 2020 0.8 2.4 0.8 1.6 0.5 0.7 0.7 0.4 1.2 0.8 0.4 0.8 0.3 0.6 4.4 1.8 3.8 1.2 1.0 1.2 1.8 2.2 5.3 1.1 2.3 1.1 1.1 2.2 1.9 2.3 1.6 3.3 1.5 1.8 2.4 2.4 2.4 1.9 2.6 1.8 2.3 2.2 2.6 1.8 2.9 4.1 2.3 2.1 2.3 2.2 4.1 1.2 2.1 1.8 2.3 3.9 349,113 21,067 2,165,148 1,555,848 62,530 2,133,377 3,258,951 816,230 747,149 277,437 747,134 440,337 1,844,146 271,222 196,464 3,530 45,611 455,647 515,968 559,051 95,757 62,442 13,442 447,315 59,883 860,664 222,277 71,506 456,040 20,983 2,675,648 1,946,679 73,547 2,456,089 3,633,572 820,545 989,462 305,274 786,740 464,019 2,006,992 286,044 227,922 3,654 45,862 555,264 602,783 653,841 111,856 68,323 13,402 543,749 65,452 924,410 271,040 84,816 PLACER PLUMAS RIVERSIDE SACRAMENTO SAN BENITO SAN BERNARDINO SAN DIEGO SAN FRANCISCO SAN JOAQUIN SAN LUIS OBISPO SAN MATEO SANTA BARBARA SANTA CLARA SANTA CRUZ SHASTA SIERRA SISKIYOU SOLANO SONOMA STANISLAUS SUTTER TEHAMA TRINITY TULARE TUOLUMNE VENTURA YOLO YUBA Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services See Section III for data definitions, sources, and notes. 241 TABLE 2 SOCIOECONOMIC DATA BY COUNTY CALIFORNIA Median Percent Below Poverty Level (1999) Family Total Children Persons 2+ Income Population Under 6 Age 65+ White Black Hispanic Asian/PI AI/AN Races (1999) 14.2 11.0 19.5 9.2 19.8 11.8 16.1 7.6 20.2 7.1 22.9 18.1 19.5 22.6 12.6 20.8 19.5 17.6 14.0 17.9 21.4 6.6 14.8 15.9 21.7 21.5 11.5 13.5 8.3 8.1 10.3 12.7 9.3 12.9 9.3 9.8 8.0 12.6 11.5 12.1 9.5 15.1 14.9 9.8 13.0 10.4 15.8 16.8 9.7 11.9 13.2 16.6 7.7 5.4 11.8 14.4 10.2 7.2 12.8 10.9 6.8 12.2 6.0 7.4 5.2 11.9 5.8 9.6 5.5 8.7 5.8 8.7 4.2 5.2 4.6 6.4 12.4 4.8 3.8 8.1 6.5 5.6 4.7 9.1 10.5 6.5 4.6 6.8 1.2 5.1 9.7 10.5 5.8 13.5 8.3 15.0 9.3 17.9 11.3 15.1 6.4 18.3 7.0 20.3 15.9 17.6 22.7 11.0 19.9 19.3 16.3 13.1 17.5 20.5 6.0 13.6 14.7 19.7 20.5 11.0 13.5 8.4 7.6 10.0 22.4 21.2 0.0 0.0 39.4 28.6 10.9 17.2 11.9 4.0 34.0 32.9 49.2 25.5 70.0 36.0 21.8 39.0 10.9 24.4 23.5 19.9 20.6 24.7 31.3 41.7 0.0 16.2 13.8 12.3 11.5 22.1 13.7 36.5 14.3 30.0 17.9 22.2 13.1 26.6 15.6 30.6 23.8 31.0 25.9 23.6 31.0 30.7 21.6 22.1 24.2 33.4 15.4 19.7 26.6 27.5 46.1 21.2 20.3 14.6 10.9 19.1 12.9 11.2 0.0 2.9 48.8 14.1 18.1 6.7 49.9 4.1 38.5 50.3 39.1 14.5 7.5 14.8 11.3 19.5 11.9 13.9 17.8 9.0 16.1 21.7 37.9 21.2 0.0 10.4 4.4 12.9 11.5 21.9 13.5 37.6 10.1 31.7 32.9 35.1 12.6 25.8 17.2 34.3 40.8 31.0 29.7 22.7 24.6 29.2 31.2 36.2 22.5 38.9 10.4 24.7 26.6 22.6 41.8 46.7 22.4 5.2 12.0 17.3 16.8 $53,025 12.5 20.7 8.6 26.5 10.6 27.7 9.3 28.8 10.9 25.1 25.0 29.8 19.8 21.5 23.6 23.0 25.6 13.1 20.1 27.6 10.8 31.9 27.3 23.7 17.8 9.2 13.7 9.0 18.1 12.0 65,857 50,250 51,226 41,010 47,379 40,138 73,039 36,056 60,250 38,455 37,023 39,370 35,226 44,970 39,403 38,111 35,818 43,398 46,452 39,226 88,934 42,655 42,168 38,009 35,978 50,487 51,169 61,410 52,697 64,611 Median CalWORKS SSI/SSP Unemployment Education Housing % of % of % of Civilian % Age 25+ Enrollment Value Population Population Labor Force Not Finishing K-12 (2000) (Jan.2005) (2004) ( 2005) High School (2004-05) $211,500 303,100 184,200 153,600 129,800 156,900 107,500 267,800 121,100 194,400 104,900 94,900 133,500 100,000 161,300 93,300 97,600 122,600 106,700 209,300 118,800 514,600 141,900 170,200 111,100 69,100 236,300 265,800 251,300 205,700 270,000 3.4 3.0 2.7 1.6 4.9 2.0 2.5 2.0 8.4 1.4 7.8 4.5 3.6 6.4 1.8 6.1 4.8 5.0 3.8 4.1 5.8 0.8 2.5 4.2 7.5 5.2 0.9 2.8 0.9 1.3 1.4 3.2 3.3 2.2 1.4 4.8 2.2 2.9 2.2 7.1 1.6 4.5 3.6 5.2 6.1 2.5 4.2 3.1 5.9 2.9 3.9 3.3 1.5 2.2 4.3 4.4 3.7 0.8 2.1 1.7 1.8 2.1 5.4 5.2 7.9 5.3 6.5 5.9 12.4 4.8 7.4 4.6 9.0 8.5 6.1 15.8 4.8 8.3 9.4 7.6 8.0 5.3 7.7 3.9 6.2 5.7 9.8 7.9 5.0 7.3 4.2 4.6 3.8 23.2 17.6 11.7 16.0 17.7 14.3 36.0 13.1 28.4 10.9 32.5 31.5 15.1 41.0 17.7 31.5 31.2 22.7 20.4 30.1 34.6 8.8 14.9 19.2 36.2 22.9 12.1 31.6 19.6 9.7 20.5 6,913,238 243,170 141 5,520 35,267 7,021 4,572 184,563 5,374 30,969 197,480 6,131 20,484 37,487 3,285 171,810 28,235 10,709 6,041 1,934,176 28,316 34,889 2,545 15,235 57,478 2,276 2,286 76,495 22,702 16,062 570,029 COUNTY CALIFORNIA ALAMEDA ALPINE AMADOR BUTTE CALAVERAS COLUSA CONTRA COSTA DEL NORTE EL DORADO FRESNO GLENN HUMBOLDT IMPERIAL INYO KERN KINGS LAKE LASSEN LOS ANGELES MADERA MARIN MARIPOSA MENDOCINO MERCED MODOC MONO MONTEREY NAPA NEVADA ORANGE Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services See Section III for data definitions, sources, and notes. 242 TABLE 2 SOCIOECONOMIC DATA BY COUNTY CALIFORNIA Median Percent Below Poverty Level (1999) Family Total Children Persons 2+ Income Population Under 6 Age 65+ White Black Hispanic Asian/PI AI/AN Races (1999) 5.8 13.1 14.2 14.1 10.0 15.8 12.4 11.3 17.7 12.8 5.8 14.3 7.5 11.9 15.4 11.3 18.6 8.3 8.1 16.0 15.5 17.3 18.7 23.9 11.4 9.2 18.4 20.8 9.2 8.8 13.7 13.2 10.5 15.0 12.1 5.4 14.0 6.8 8.3 10.2 9.3 8.7 11.5 6.5 11.0 12.8 9.0 13.2 13.2 14.0 8.9 16.1 11.3 12.7 8.0 13.7 8.4 8.5 6.7 5.1 6.7 4.5 6.1 12.7 5.9 6.8 10.7 5.6 7.9 5.1 7.1 3.3 7.2 7.1 8.8 5.6 5.8 8.5 6.6 4.1 6.9 6.8 3.7 3.9 5.7 12.0 13.5 11.4 9.8 14.9 11.8 9.4 14.9 12.2 5.8 13.9 7.3 11.7 14.2 10.8 16.9 7.3 7.7 14.8 15.4 16.7 17.4 23.4 11.0 9.2 15.1 18.5 11.5 70.8 20.6 23.7 28.1 23.0 18.4 25.1 28.0 27.3 11.2 15.3 9.7 19.3 27.3 100.0 25.7 13.9 19.9 26.5 17.6 15.4 0.0 37.1 9.5 12.3 34.2 23.6 12.7 31.8 21.0 19.5 15.1 20.7 22.0 15.6 25.4 20.0 10.7 21.3 13.2 19.3 24.0 7.1 27.8 11.1 14.2 23.2 30.7 33.9 19.9 33.6 17.0 16.5 19.1 28.2 4.9 11.3 14.4 20.6 4.2 14.1 11.4 10.9 28.1 22.3 5.1 19.1 7.5 11.3 32.4 0.0 54.5 6.6 9.3 25.4 12.7 22.6 7.6 24.7 11.0 7.2 40.7 35.9 6.8 32.8 21.4 20.9 18.5 24.1 19.4 17.6 26.0 14.6 12.7 19.1 12.7 13.8 29.2 6.7 31.7 14.3 13.3 19.3 19.4 29.5 38.3 32.0 17.7 15.6 14.1 29.5 7.4 16.0 16.8 17.7 9.0 18.3 16.5 14.3 20.3 17.5 6.1 17.6 8.5 14.2 23.3 31.8 28.3 9.1 10.5 20.8 22.4 24.3 23.4 27.2 21.2 10.1 25.8 26.8 65,858 46,119 48,409 50,717 60,665 46,574 53,438 63,545 46,919 52,447 80,737 54,042 81,717 61,941 40,491 42,756 36,890 60,597 61,921 44,703 44,330 37,277 34,343 36,297 44,327 65,285 51,623 34,103 Median CalWORKS SSI/SSP Unemployment Education Housing % of % of % of Civilian % Age 25+ Enrollment Value Population Population Labor Force Not Finishing K-12 (2000) (Jan. 2005) (2004) (2005) High School (2004-05) 213,900 137,900 146,500 144,200 284,000 131,500 227,200 396,400 142,400 230,000 469,200 293,000 446,400 377,500 120,800 128,600 100,300 178,300 273,200 125,300 120,700 103,000 112,000 97,800 149,800 248,700 169,800 89,700 1.0 1.7 2.9 5.6 3.1 4.6 2.0 1.6 5.5 1.6 0.8 2.5 2.0 1.9 4.4 2.9 5.0 2.6 1.3 4.3 3.3 5.2 3.5 8.7 2.4 1.6 2.9 8.2 1.6 3.5 2.6 4.1 1.5 3.3 2.6 5.8 4.2 2.0 1.8 2.3 2.5 2.2 5.1 2.4 5.6 2.4 2.0 4.0 3.9 4.6 4.7 4.4 3.0 1.9 2.7 5.8 4.0 8.2 5.1 4.8 7.9 5.0 4.3 5.1 7.6 4.1 4.3 4.3 5.5 6.3 7.1 8.4 8.9 5.4 4.4 8.3 9.4 6.7 10.0 9.4 6.1 4.7 5.4 8.9 9.5 12.0 25.0 16.7 25.1 25.8 17.4 18.8 28.8 14.4 14.7 20.8 16.6 16.8 16.7 14.8 16.2 16.2 15.1 29.6 27.0 24.3 19.0 38.3 15.7 19.9 20.2 28.2 65,104 3,269 402,342 258,173 12,453 444,224 539,399 83,133 143,629 39,090 105,001 73,551 291,038 43,460 31,902 609 7,098 77,070 79,264 111,486 18,116 11,455 2,015 94,996 8,141 159,716 31,326 15,430 COUNTY PLACER PLUMAS RIVERSIDE SACRAMENTO SAN BENITO SAN BERNARDINO SAN DIEGO SAN FRANCISCO SAN JOAQUIN SAN LUIS OBISPO SAN MATEO SANTA BARBARA SANTA CLARA SANTA CRUZ SHASTA SIERRA SISKIYOU SOLANO SONOMA STANISLAUS SUTTER TEHAMA TRINITY TULARE TUOLUMNE VENTURA YOLO YUBA Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services See Section III for data definitions, sources, and notes. 243 TABLE 3 2004 BIRTH DATA BY COUNTY CALIFORNIA COUNTY Number Number Percent of Births % % of Live Birth of Live by Mother's Very Births by Rate Per Births by Race/Ethnicity Low Low County of 1,000 County of Asian/ 2+ BirthBirthResidence Population Occurrence White Black Hispanic PI AI/AN Races Weight Weight 544,685 20,919 8 262 2,354 322 345 13,279 285 1,897 15,896 398 1,509 2,861 214 13,455 2,549 686 301 151,504 2,346 2,792 150 1,125 4,296 85 170 7,396 1,604 818 45,060 15.0 13.8 6.0 7.0 11.0 7.2 16.7 13.0 10.0 11.1 18.3 14.2 11.6 18.2 11.5 18.4 18.0 10.8 8.3 15.0 17.2 11.1 8.3 12.5 18.1 8.8 12.3 17.4 12.1 8.3 14.8 545,758 21,612 1 147 2,827 147 206 11,735 313 1,187 17,392 1 1,520 2,757 202 12,886 2,395 498 268 157,168 1,618 1,837 9 1,045 3,326 44 159 6,852 1,247 962 48,391 30.6 28.3 a 80.9 68.9 78.6 27.2 43.3 65.3 73.3 23.4 47.7 72.1 8.8 49.1 31.4 33.9 68.8 78.1 18.2 25.2 64.4 85.3 53.4 25.9 83.5 45.3 19.9 41.6 82.3 32.7 5.3 11.8 0.0 0.0 1.2 a a 8.6 0.0 0.6 4.8 a 0.6 0.5 0.0 5.1 5.0 1.5 a 7.3 2.0 1.7 0.0 a 2.7 0.0 0.0 1.3 0.9 a 1.0 50.5 30.5 0.0 13.7 19.3 13.4 68.4 32.4 19.6 20.2 61.6 46.5 13.2 88.8 32.2 58.6 55.5 22.3 13.3 62.6 70.2 25.7 8.0 36.2 62.7 10.6 52.4 72.9 50.6 14.8 49.7 11.9 27.3 0.0 1.9 5.6 a a 13.7 3.5 3.8 8.9 2.0 3.4 1.3 a 3.4 3.6 1.3 3.3 10.7 1.2 7.2 a 1.0 7.3 a a 4.8 5.4 1.1 15.6 0.4 0.2 62.5 a 1.8 a 1.4 0.2 6.7 0.3 0.6 2.0 7.3 0.2 13.6 0.5 0.6 4.4 3.7 0.1 1.0 a a 7.1 0.3 a a 0.2 0.3 a 0.2 1.3 1.9 0.0 2.3 3.2 5.0 a 1.7 4.9 1.8 0.7 1.3 3.4 0.4 3.7 1.0 1.3 1.7 a 1.0 0.5 1.0 a 2.0 1.0 0.0 0.0 1.0 1.2 1.3 0.9 6.7 6.8 0.0 5.0 5.1 7.1 5.2 7.0 4.9 6.3 7.0 3.5 7.0 5.9 5.6 7.0 6.6 6.3 5.3 7.1 5.9 6.2 4.0 6.2 6.2 5.9 8.8 6.4 5.7 6.5 6.2 1.2 1.1 0.0 a 0.6 2.2 a 1.2 1.8 1.1 1.3 a 1.1 1.2 0.0 1.3 1.5 0.9 a 1.3 0.6 0.6 a 1.4 1.0 0.0 a 1.0 1.1 1.1 1.1 % % % % % % Percent of Resident Births Age of Mothers No First Funded By Mothers Under Trimester By Born MediCal/ HMO/ Under Not 12 Years Prenatal Cesarean Out-of- Other Prepaid Private 18 Married Education Care Section County Gov't Plans Insurance 3.1 2.0 0.0 2.3 3.2 2.8 2.6 1.9 2.8 1.7 5.1 3.8 3.0 5.8 a 5.1 4.5 4.2 a 3.3 5.2 0.8 a 3.6 4.1 0.0 a 4.0 2.3 1.6 2.4 34.4 27.5 a 28.2 37.0 23.3 30.4 27.1 43.2 25.8 44.3 36.7 43.1 42.3 37.4 43.1 39.7 45.6 14.0 39.8 45.9 14.4 25.3 43.7 40.7 11.8 10.0 39.2 26.4 27.9 27.7 28.1 19.4 a 18.4 19.6 15.0 38.0 18.9 21.4 13.0 37.0 39.3 18.2 29.4 20.9 31.2 29.3 24.9 10.7 33.2 43.6 16.5 12.8 27.5 34.3 23.2 32.9 45.5 32.1 12.4 28.4 12.9 9.6 a 11.9 23.6 17.8 20.3 11.4 17.2 13.8 13.2 28.8 16.3 24.0 23.8 16.6 24.3 26.3 16.3 9.2 15.4 3.6 21.9 34.4 32.4 17.3 24.7 17.0 15.6 11.1 8.1 29.3 26.7 a 35.1 28.8 31.4 27.5 26.9 25.6 28.6 29.3 24.4 25.2 36.6 31.3 25.7 34.4 23.2 26.6 31.9 26.4 27.0 29.3 22.8 28.0 24.7 28.2 26.6 25.9 25.8 31.1 10.2 15.8 87.5 59.9 5.3 69.6 47.2 28.3 8.8 48.4 3.7 99.7 2.5 8.9 19.6 7.3 24.0 28.6 19.3 3.0 40.2 42.4 94.0 10.1 28.8 49.4 29.4 8.9 34.5 18.8 4.9 47.4 32.4 a 38.2 55.4 45.7 67.6 27.3 68.9 33.3 63.4 71.0 56.2 55.5 60.7 62.9 51.1 58.9 56.1 53.5 71.0 23.4 44.3 68.2 62.3 62.5 61.3 59.9 39.0 37.6 41.9 27.9 43.1 0.0 28.2 1.1 14.0 8.5 56.0 6.6 28.3 12.2 a a 1.1 a 14.4 9.7 6.4 5.2 24.4 8.7 67.8 6.0 2.3 6.5 0.0 0.0 1.0 36.0 6.0 28.7 22.5 22.9 a 32.4 42.6 37.9 23.8 15.4 21.2 37.3 21.7 28.3 39.9 32.0 36.0 21.7 16.7 29.4 37.5 19.9 19.5 7.6 47.0 25.6 29.4 30.6 37.5 38.1 24.3 51.9 27.4 Fertility Rate Females Ages 15-44 69.1 62.2 b 52.9 52.8 47.7 79.5 62.9 60.0 56.4 81.6 75.4 52.5 89.4 61.0 87.1 91.6 62.7 58.2 69.4 73.6 63.8 45.8 66.3 82.3 49.7 58.0 83.2 65.1 47.0 67.9 CALIFORNIA ALAMEDA ALPINE AMADOR BUTTE CALAVERAS COLUSA CONTRA COSTA DEL NORTE EL DORADO FRESNO GLENN HUMBOLDT IMPERIAL INYO KERN KINGS LAKE LASSEN LOS ANGELES MADERA MARIN MARIPOSA MENDOCINO MERCED MODOC MONO MONTEREY NAPA NEVADA ORANGE Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services a Rates and ratios are not calculated if greater than zero, but fewer than five events. b Rates and ratios are not calculated for fewer than 1,000 population in a county of a specific age group. See Section III for data definitions, sources, and notes. 244 TABLE 3 2004 BIRTH DATA BY COUNTY CALIFORNIA COUNTY Number Number Percent of Births % % of Live Birth of Live by Mother's Very Births by Rate Per Births by Race/Ethnicity Low Low County of 1,000 County of Asian/ 2+ BirthBirthResidence Population Occurrence White Black Hispanic PI AI/AN Races Weight Weight 3,797 173 29,545 20,836 887 31,914 45,758 8,579 11,010 2,694 10,089 6,209 26,537 3,399 2,046 18 467 5,688 5,964 8,061 1,342 700 110 7,957 477 11,954 2,404 1,184 12.9 8.2 16.3 15.3 15.4 16.7 15.1 10.8 17.1 10.4 14.0 14.9 15.3 13.0 11.5 5.0 10.3 13.5 12.4 16.2 15.4 11.8 8.1 19.8 8.3 14.8 12.7 18.1 3,191 103 25,677 23,440 590 27,259 47,949 12,832 10,211 2,718 5,648 6,304 30,720 3,732 2,104 0 349 5,397 6,083 9,228 2,101 633 3 7,174 534 11,119 1,900 7 70.4 78.6 31.2 42.8 26.9 27.3 40.3 37.7 28.0 60.5 36.6 29.8 29.3 39.9 80.1 83.3 70.0 37.5 50.1 37.6 41.9 63.6 80.0 24.6 80.9 38.4 42.1 55.2 0.7 a 4.6 9.7 a 8.2 4.5 6.7 7.1 0.4 2.3 1.4 1.9 0.3 1.3 0.0 a 12.5 1.4 1.9 0.8 a 0.0 1.0 a 1.1 2.2 2.2 19.0 12.1 57.7 28.1 69.0 57.5 43.2 20.5 48.0 33.9 32.8 63.6 35.0 56.1 9.6 a 17.8 32.3 40.9 53.4 40.6 31.9 11.8 70.6 13.0 53.1 43.1 30.8 6.8 a 4.8 15.9 2.9 5.4 9.9 33.4 14.7 3.3 26.6 3.8 32.4 2.8 4.8 a 3.0 14.4 4.8 5.1 14.5 a 0.0 2.7 1.0 6.4 10.3 8.0 0.5 4.0 0.5 0.5 a 0.3 0.5 0.2 0.3 0.5 0.2 0.2 0.2 0.2 2.9 0.0 6.2 0.4 1.1 0.2 0.7 1.9 8.2 0.7 2.5 0.2 0.5 1.3 2.6 a 1.2 3.0 0.6 1.3 1.6 1.6 2.0 1.4 1.6 1.2 1.2 0.7 1.4 0.0 2.1 3.0 1.7 1.7 1.5 1.9 0.0 0.5 2.3 0.8 1.7 2.5 5.8 3.5 6.4 6.9 5.1 7.2 6.5 6.6 6.7 6.5 6.6 6.7 6.6 5.2 6.0 a 9.0 7.2 5.4 6.6 6.0 6.1 5.5 6.0 4.2 7.0 5.7 7.0 0.8 a 1.2 1.3 a 1.4 1.2 1.1 1.4 0.8 1.1 1.2 0.9 1.2 0.9 a 1.5 1.3 0.9 1.2 0.9 a a 1.1 1.3 1.3 0.7 1.0 % % % % % % Percent of Resident Births Age of Mothers No First Funded By Mothers Under Trimester By Born MediCal/ HMO/ Under Not 12 Years Prenatal Cesarean Out-of- Other Prepaid Private 18 Married Education Care Section County Gov't Plans Insurance 1.1 a 3.6 2.8 2.9 4.1 2.6 1.1 4.5 2.0 1.5 3.8 1.7 3.1 3.7 0.0 3.9 2.7 2.3 4.1 2.3 5.1 a 5.6 2.5 2.7 2.8 4.6 18.8 17.3 36.1 33.4 33.6 40.8 28.9 24.4 39.5 30.0 18.9 32.1 22.9 32.2 38.4 38.9 40.4 33.2 31.5 38.0 31.0 39.0 41.8 44.4 35.6 28.8 27.0 35.4 10.2 13.6 28.6 20.1 29.7 30.0 20.7 15.8 31.1 18.8 18.5 39.0 19.7 34.4 15.4 0.0 21.3 19.5 28.7 29.5 28.7 25.9 10.0 40.7 11.5 28.7 24.5 30.2 10.3 15.0 14.5 18.2 18.0 17.2 12.3 11.7 30.0 16.5 9.9 17.5 12.1 9.8 10.3 a 24.8 25.6 13.9 13.7 31.7 18.9 16.5 17.6 12.2 10.8 24.0 33.7 28.7 26.6 28.9 25.9 29.5 29.6 28.8 24.1 27.8 29.1 25.2 29.2 26.4 26.3 27.5 38.9 30.6 25.1 23.8 29.7 31.9 22.9 31.8 30.1 31.4 31.0 22.0 31.9 49.4 42.2 17.8 7.7 37.3 23.0 0.9 3.4 12.6 7.8 52.1 4.3 2.8 5.4 6.0 100.0 26.3 18.5 4.5 4.0 14.5 24.6 97.3 12.9 9.4 10.4 40.5 99.5 23.6 48.1 49.8 42.4 48.6 52.4 43.9 31.7 45.4 44.2 26.9 59.1 29.2 47.8 52.9 50.0 61.3 41.3 40.2 53.9 56.6 60.9 58.3 59.8 45.3 46.3 40.7 66.5 46.3 a 30.8 35.2 10.9 31.8 30.0 56.9 30.1 4.0 50.9 5.0 43.7 12.7 0.3 0.0 a 47.7 32.9 21.8 5.2 a a 3.4 4.6 12.4 39.6 9.7 29.1 46.1 17.3 21.7 39.7 14.3 19.5 10.4 21.2 50.1 21.6 34.6 26.4 36.8 44.7 50.0 34.0 10.3 25.8 23.4 37.3 37.0 33.3 34.6 48.0 40.2 18.7 23.4 Fertility Rate Females Ages 15-44 64.4 52.3 76.1 67.3 72.5 72.1 65.9 46.2 78.2 51.3 68.7 65.3 73.7 60.4 60.1 b 60.4 67.5 61.8 74.1 73.6 65.1 49.2 90.1 52.4 71.4 51.3 87.8 PLACER PLUMAS RIVERSIDE SACRAMENTO SAN BENITO SAN BERNARDINO SAN DIEGO SAN FRANCISCO SAN JOAQUIN SAN LUIS OBISPO SAN MATEO SANTA BARBARA SANTA CLARA SANTA CRUZ SHASTA SIERRA SISKIYOU SOLANO SONOMA STANISLAUS SUTTER TEHAMA TRINITY TULARE TUOLUMNE VENTURA YOLO YUBA Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services a Rates and ratios are not calculated if greater than zero, but fewer than five events. b Rates and ratios are not calculated for fewer than 1,000 population in a county of a specific age group. See Section III for data definitions, sources, and notes. 245 TABLE 4 2004 DEATH DATA BY COUNTY AGE-ADJUSTED AND AGE-SPECIFIC DEATH RATES (2002-2004 AVERAGE) COUNTY 2004 Death Data County of County of Residence Occurrence 232,464 9,269 9 359 2,178 420 141 6,787 261 1,235 5,811 246 1,253 869 219 5,251 760 780 227 59159 914 Crude Rate 6.4 6.1 6.8 * 9.6 10.1 9.4 6.8 6.7 9.1 7.2 6.7 8.8 9.6 5.5 11.8 7.2 5.4 12.3 6.3 5.9 6.7 6.9 8.6 9.5 5.8 10.5 3.3 5.6 9.5 9.3 5.5 AgeAdjusted Rate 704.5 723.7 834.4 * 769.7 832.9 741.5 768.8 709.8 908.7 728.6 823.8 812.3 944.6 740.9 783.5 811.2 835.5 937.6 685.8 640.9 689.8 599.1 730.0 863.3 859.4 815.8 513.5 676.9 733.6 756.0 673.7 1-4 26.7 17.1 666.7 30.1 34.5 73.3 53.7 19.8 0.0 33.9 38.1 21.5 22.8 36.1 45.9 41.1 23.2 67.2 59.4 25.5 39.9 24.3 62.0 31.9 39.1 98.9 56.3 31.4 5.3 10.3 22.5 * * 5-14 14.7 13.6 0.0 25.0 17.3 25.0 15-24 69.8 68.3 0.0 + 94.8 * 70.5 80.7 * 65.2 * 72.7 146.2 * 60.3 * 76.8 85.0 74.7 60.8 50.4 83.9 * * * * 25-34 83.1 78.9 0.0 + 70.0 * 96.9 89.7 * 105.7 * 98.3 168.1 * 121.6 * 105.9 157.5 * 133.9 99.3 174.6 * 121.7 85.4 177.0 * 61.6 * 86.3 119.2 72.9 212.9 * 104.8 * 117.5 158.9 * 77.2 * 79.7 94.9 * 201.4 * 57.8 Age-Specific Death Rates Deaths per 100,000 population 35-44 45-54 55-64 162.3 151.6 374.5 * 222.0 * 256.6 267.7 * 150.8 * 137.1 209.0 * 139.8 213.6 233.8 * 292.7 172.7 316.3 * 243.4 146.9 333.3 168.5 * 158.2 233.1 125.4 286.0 * 266.8 190.0 251.9 * 138.8 * 133.4 154.5 180.2 118.3 375.6 386.3 436.7 * 428.3 557.1 465.1 308.5 * 329.3 629.2 346.4 463.6 502.9 * 554.2 396.8 504.1 * 514.5 474.5 738.9 406.0 368.6 450.1 241.8 364.5 * 455.5 456.6 434.4 * 173.2 * 349.1 337.1 358.3 255.0 793.2 798.0 233.1 * 833.5 990.1 737.4 984.5 * 728.2 1,134.6 734.0 947.2 868.5 1,082.7 908.8 1,036.9 1,138.1 1,009.7 1,320.3 818.9 784.3 896.2 528.7 917.8 995.3 1,018.7 926.7 * 669.0 * 656.9 698.1 737.1 612.6 65-74 1,905.3 1,941.0 952.4 * 1,805.8 2,116.5 1,492.6 2,431.8 1,854.3 2,542.2 1,703.5 2,268.5 2,320.4 2,557.7 2,043.0 1,971.9 2,558.9 2,417.7 2,492.0 2,337.5 1,812.7 2,047.9 1,465.9 1,519.4 2,348.7 2,158.7 2,065.2 1,242.2 * 1,744.9 1,917.4 1,661.0 1,694.5 75-84 4,747.1 4,854.4 8,510.6 * 4,686.0 5,490.4 4,639.1 4,870.8 4,946.5 6,101.3 5,034.6 5,218.3 4,654.9 5,877.3 4,828.8 4,719.2 5,515.7 5,542.7 5,397.3 4,249.7 4,280.8 4,347.8 4,288.1 4,313.7 4,942.4 5,507.0 5,727.6 2,526.7 * 4,437.4 5,436.2 4,751.1 4,806.2 85+ 12,099.0 13,014.9 13,725.5 * 15,275.7 13,334.7 14,699.2 13,155.0 13,114.8 12,381.0 14,262.3 14,156.3 14,408.6 16,251.0 12,641.2 11,986.3 9,295.3 13,664.6 13,532.3 10,105.3 9,803.6 9,247.4 12,178.9 13,487.5 16,168.6 15,913.9 13,430.4 10,952.4 * 13,149.1 12,999.1 16,121.5 13,932.1 CALIFORNIA ALAMEDA ALPINE AMADOR BUTTE CALAVERAS COLUSA CONTRA COSTA DEL NORTE EL DORADO FRESNO GLENN HUMBOLDT IMPERIAL INYO KERN KINGS LAKE LASSEN LOS ANGELES MADERA MARIN MARIPOSA MENDOCINO MERCED MODOC MONO MONTEREY NAPA NEVADA ORANGE 232,958 9,244 7 303 2,294 315 119 6,612 293 1011 6,081 153 1,235 759 187 5,042 676 620 158 59,809 767 1,734 101 757 1,109 72 39 2,293 1,250 874 17,284 * * * * * + * + * * * 10.2 * 14.4 27.1 * 15.1 * 20.5 29.8 22.6 14.5 14.4 22.0 21.2 26.7 24.7 13.8 17.3 11.8 15.7 27.8 17.0 0.0 0.0 17.4 15.3 11.3 11.3 * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * + + * * * 90.6 71.9 * 45.7 * 79.0 86.8 * 33.2 72.6 100.8 86.0 50.0 * * * * 1,722 156 853 1,383 102 45 2,371 1,264 916 16,748 151.5 * 72.3 72.3 * 44.0 * 44.8 Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services * Death rate unreliable because the relative standard error is greater than or equal to 23 percent. + Standard error is indeterminate because the rate is based on zero events. See Section III for data definitions, sources, and notes. 246 TABLE 4 2004 DEATH DATA BY COUNTY AGE-ADJUSTED AND AGE-SPECIFIC DEATH RATES (2002-2004 AVERAGE) COUNTY 2004 Death Data County of County of Residence Occurrence 2,284 224 13,638 9,634 251 11,912 19,701 5,903 4,433 1,995 4,573 2,899 8,470 1,579 1,887 37 500 2,589 3,620 3,473 687 593 157 2,638 607 4,849 1,105 518 2,741 185 12,931 10,121 200 12,319 20,250 6,190 4,308 1,895 4,566 2,924 9,148 1,535 1,996 29 441 2,439 3,633 3,744 495 457 107 2,486 582 4,518 915 605 Crude Rate 7.8 10.6 7.5 7.1 4.4 6.3 6.5 7.5 6.9 7.7 6.4 7.0 4.9 6.1 10.6 10.3 11.1 6.1 7.5 7.0 7.9 10.0 11.6 6.6 10.5 6.0 5.9 7.9 AgeAdjusted Rate 702.8 702.0 757.8 786.3 637.0 889.3 725.9 683.8 897.1 673.2 617.1 675.2 590.9 687.0 794.0 769.3 813.9 671.4 708.8 850.2 864.2 740.2 776.4 899.0 800.7 667.7 806.8 969.4 Age-Specific Death Rates Deaths per 100,000 population 35-44 45-54 55-64 120.5 202.9 * 189.0 210.1 124.2 * 204.1 148.4 186.9 220.0 173.3 105.0 141.1 101.9 153.1 307.6 502.9 * 369.5 173.0 157.4 232.1 221.0 198.2 * 408.5 * 237.2 251.9 125.8 153.5 241.7 324.6 410.7 * 428.5 454.2 329.9 475.1 362.8 478.5 462.9 343.3 270.0 327.3 262.2 337.7 572.4 499.2 * 421.4 418.1 335.0 473.6 439.2 490.3 680.6 * 521.5 551.7 287.5 406.6 673.8 697.6 956.8 936.7 974.5 583.0 1,019.5 751.9 851.0 1,014.4 627.0 596.8 680.9 543.2 634.0 1,084.9 969.0 * 927.9 860.2 687.9 1,046.3 1,062.5 1,163.8 946.5 * 1,047.2 993.9 589.5 886.7 1,499.4 1-4 28.6 * 0.0 + 33.3 29.0 27.1 * 41.1 23.9 22.9 * 24.2 * 24.8 * 17.2 15.7 21.8 17.9 21.0 0.0 0.0 17.4 25.6 34.4 21.5 37.2 0.0 38.5 36.9 * * * * + + * * * * * + * * 5-14 16.5 * 13.5 * 16.1 15.5 9.9 * 18.0 13.2 14.7 * 15.6 * 12.1 * 10.4 10.0 13.1 10.0 16.7 0.0 18.1 18.7 13.8 18.0 17.4 8.0 20.6 16.5 20.0 * * * * + * * * * * * * * * 15-24 80.3 104.3 * 72.4 79.7 85.8 * 76.5 56.1 70.5 85.9 48.1 55.1 44.2 42.3 52.6 77.7 0.0 + 61.6 * 69.4 67.5 84.4 105.9 76.5 109.5 101.0 105.5 * * * * 25-34 93.3 106.6 * 102.1 80.2 78.0 * 100.8 66.5 67.4 119.3 63.1 * 52.0 66.9 52.7 82.7 115.1 124.8 * 142.1 * 82.9 91.2 104.0 126.6 122.0 32.7 101.8 142.4 * * * * 65-74 1,702.9 1,850.2 1,985.1 2,192.9 1,506.1 2,404.8 1,899.4 1,645.0 2,445.9 1,590.5 1,639.3 1,715.4 1,465.1 1,664.3 2,431.3 2,462.6 * 1,828.7 2,126.8 1,937.9 2,506.7 2,240.5 2,201.7 2,134.1 2,360.6 1,766.2 1,628.2 2,030.5 2,697.4 75-84 5,125.1 4,743.0 4,832.5 5,205.4 4,337.9 6,097.2 4,863.6 4,120.0 5,623.9 4,441.0 4,257.5 4,605.0 4,033.2 4,751.8 5,030.1 3,669.7 * 5,377.4 4,821.2 4,889.8 5,586.8 5,894.8 4,580.5 4,783.1 5,754.3 4,837.7 4,901.2 5,548.8 5,840.3 85+ 13,070.0 10,287.2 13,150.8 12,537.2 12,773.7 14,906.1 13,962.6 12,479.5 16,432.0 13,829.9 12,252.2 13,246.9 12,398.9 13,599.8 9,483.9 11,326.9 * 13,966.7 7,963.6 12,887.2 12,976.3 14,318.9 9,585.4 9,903.4 15,817.1 14,451.0 12,644.8 15,720.9 14,232.2 PLACER PLUMAS RIVERSIDE SACRAMENTO SAN BENITO SAN BERNARDINO SAN DIEGO SAN FRANCISCO SAN JOAQUIN SAN LUIS OBISPO SAN MATEO SANTA BARBARA SANTA CLARA SANTA CRUZ SHASTA SIERRA SISKIYOU SOLANO SONOMA STANISLAUS SUTTER TEHAMA TRINITY TULARE TUOLUMNE VENTURA YOLO YUBA 23.7 * 18.4 * 57.3 * 10.6 * 22.9 * 21.0 * 72.5 27.8 * 137.4 * 88.3 66.9 * 101.2 * Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services * Death rate unreliable because the relative standard error is greater than or equal to 23 percent. + Standard error is indeterminate because the rate is based on zero events. See Section III for data definitions, sources, and notes. 247 TABLE 5 INFANT, NEONATAL AND PERINATAL DEATHS CALIFORNIA COUNTY 2004 Total Fetal Deaths 2,873 120 0 3 16 1 2 76 3 14 91 1 3 8 1 91 14 0 3 775 12 14 1 4 16 0 0 37 6 7 244 Fetal Death Ratio Per 1,000 Live Births 5.3 5.7 0.0 + a,b 6.8 * a,b a,b 5.7 a,b 7.4 * 5.7 a,b a 2.8 * a,b 6.8 5.5 * 0.0 + a,b 5.1 5.1 * 5.0 * a,b a 3.7 * 0.0 + 0.0 + 5.0 3.7 * b 5.4 2004 Total Neonatal Deaths <28 Days 1,904 75 0 1 8 2 1 36 0 6 91 0 3 10 0 67 14 1 0 504 6 2 1 4 14 0 1 18 3 5 129 Neonatal Death Rate Per 1,000 Live Births 3.5 3.6 0.0 + a,b 3.4 * a,b a,b 2.7 0.0 + 3.2 * 5.7 0.0 + a 3.5 * 0.0 + 5.0 5.5 * a,b 0.0 + 3.3 2.6 * a a,b a 3.3 * 0.0 + a,b 2.4 * a b 2.9 2004 Total Infant Deaths 2,811 111 0 3 14 2 1 51 0 10 128 0 7 16 1 95 19 3 0 757 6 4 1 10 19 0 1 32 5 6 179 Infant Death Rate by Mother's Race/Ethnicity Infant Birth Cohort File (2003) Death Rate All Per 1,000 Race/Eth Black Hispanic Asian/PI White Live Births Groups 5.2 5.3 0.0 + a,b 5.9 * a,b a,b 3.8 0.0 + 5.3 * 8.1 0.0 + 4.6 * 5.6 * a,b 7.1 7.5 a,b 0.0 + 5.0 2.6 * a a,b 8.9 * 4.4 0.0 + a,b 4.3 3.1 * b 4.0 5.3 4.6 0.0 + a,b 7.1 * a,b a,b 3.5 a,b a 7.2 a,b 9.0 * 4.5 * a,b 5.6 6.8 * b a,b 5.4 4.8 * 4.9 0.0 7.3 7.0 0.0 * + * + 5.2 4.5 0.0 + a,b 7.4 * a,b a,b 2.7 * a,b a 7.5 a,b 10.0 * 0.0 + a,b 6.7 b a,b a,b 5.5 b 5.9 0.0 b 7.0 0.0 * + * + 10.7 8.1 0.0 0.0 0.0 0.0 0.0 8.7 0.0 0.0 b 5.1 3.8 0.0 + 0.0 + a,b 0.0 + 0.0 2.9 0.0 0.0 7.0 + * + + 4.0 4.3 0.0 + 0.0 + a,b 0.0 + 0.0 4.0 0.0 0.0 7.9 + * + + * Total Perinatal Deaths 4,842 189 0 2 24 6 6 93 1 11 139 5 16 26 2 132 31 4 3 1,415 26 23 0 11 60 0 1 73 12 6 337 Perinatal Death Rate by Mother's Race/Ethnicity Birth Cohort File (2003) All Race/Eth Hispanic Asian/PI Groups White Black 8.9 8.7 0.0 + a,b 10.0 b b 7.0 a,b 6.3 * 9.0 b 11.0 * 8.9 a,b 10.2 13.0 a,b a,b 9.2 11.3 8.1 0.0 + 9.9 * 13.9 0.0 + a,b 9.8 7.1 * b 7.4 8.1 7.0 0.0 + a,b 9.7 * b a,b 5.9 a,b 6.8 * 8.3 a,b 10.8 * 0.0 + a,b 10.0 b a,b a,b 8.8 b 10.1 0.0 + b 16.5 0.0 + 0.0 + 8.3 * b b 6.1 17.7 16.3 0.0 0.0 0.0 0.0 0.0 13.7 0.0 0.0 b 8.7 8.1 0.0 + 0.0 + a,b 0.0 + a,b 6.8 0.0 + a,b 9.0 a,b a,b 9.6 0.0 + 9.8 11.3 * a,b 0.0 + 8.6 10.2 * a,b 0.0 + a,b 11.9 0.0 + a,b 10.4 b 0.0 + 8.1 7.5 7.7 0.0 + 0.0 + a,b 0.0 + 0.0 6.9 0.0 a,b 9.3 + * + * CALIFORNIA ALAMEDA ALPINE AMADOR BUTTE CALAVERAS COLUSA CONTRA COSTA DEL NORTE EL DORADO FRESNO GLENN HUMBOLDT IMPERIAL INYO KERN KINGS LAKE LASSEN LOS ANGELES MADERA MARIN MARIPOSA MENDOCINO MERCED MODOC MONO MONTEREY NAPA NEVADA ORANGE + + + + + * + + + + + + + * + + 0.0 + 0.0 + a,b 0.0 + b a,b 0.0 + 0.0 + 10.5 a,b 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 b + + + + + + + + + 0.0 + a,b 4.7 * a,b 4.5 4.6 * a,b 0.0 + 5.0 3.2 * a,b 0.0 + a,b 7.3 0.0 + 0.0 + 5.4 a,b 0.0 + 4.9 0.0 + a,b 0.0 + 0.0 + a,b 0.0 0.0 0.0 3.9 0.0 0.0 0.0 0.0 a,b 0.0 + + + + + + + + 0.0 + 0.0 + a,b 0.0 + b a,b 0.0 + 0.0 + 18.0 a,b 0.0 0.0 0.0 a,b 0.0 + + + + 0.0 + a,b 0.0 + 0.0 + a,b a,b 0.0 + 0.0 + 7.1 a,b 0.0 0.0 0.0 b 0.0 + + + + 0.0 + 5.9 a a,b 4.3 0.0 + 9.0 * 0.0 + a,b 3.5 0.0 + a,b 0.0 + 0.0 + 3.4 0.0 + a,b 0.0 + 0.0 + b 0.0 + a,b a,b 0.0 + 6.8 Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services a Rates and ratios are not calculated for > 0 and < 5 events. b Rates and ratios are not calculated for fewer than 1,000 births in a county or specified age group. See Section III for data definitions, sources, and notes. * Death rate unreliable because the relative standard error is greater than or equal to 23 percent. + Standard error is indeterminate because the rate is based on zero events. 248 TABLE 5 INFANT, NEONATAL AND PERINATAL DEATHS CALIFORNIA COUNTY 2004 Total Fetal Deaths 21 1 161 129 5 166 224 35 89 18 40 35 109 23 12 0 1 35 36 45 11 6 2 36 0 50 11 9 Fetal Death Ratio Per 1,000 Live Births 5.5 a,b 5.4 6.2 b 5.2 4.9 4.1 8.1 6.7 * 4.0 5.6 4.1 6.8 5.9 * 0.0 + a,b 6.2 6.0 5.6 8.2 * b a,b 4.5 0.0 + 4.2 4.6 * 7.6 * 2004 Total Neonatal Deaths <28 Days 10 0 93 73 1 163 181 23 48 9 30 15 80 11 5 0 0 11 10 41 6 0 1 19 0 63 4 5 Neonatal Death Rate Per 1,000 Live Births 2.6 * 0.0 + 3.1 3.5 a,b 5.1 4.0 2.7 4.4 3.3 * 3.0 2.4 * 3.0 3.2 * 2.4 * 0.0 0.0 1.9 1.7 5.1 + + * * 2004 Total Infant Deaths 18 0 160 114 2 219 246 31 74 17 36 28 119 17 10 0 3 19 15 52 7 7 1 32 0 90 7 6 Infant Infant Death Rate by Mother's Race/Ethnicity Death Birth Cohort File (2003) Rate All Per 1,000 Race/Eth Live Births Groups White Black Hispanic Asian/PI 4.7 * 0.0 + 5.4 5.5 a,b 6.9 5.4 3.6 6.7 6.3 * 3.6 4.5 4.5 5.0 * 4.9 * 0.0 + a,b 3.3 2.5 * 6.5 5.2 * b a,b 4.0 0.0 + 7.5 2.9 * 5.1 * 3.3 * 0.0 + 6.7 5.1 a,b 7.2 4.9 3.1 6.4 4.2 * 3.5 4.1 4.3 5.2 * 7.3 * a,b a,b 4.6 3.9 6.6 a b a,b 6.4 a,b 5.6 5.3 * 5.9 * 2.9 * 0.0 + 6.3 3.8 a,b 7.1 4.9 2.7 * 5.5 * 3.7 * 3.8 3.6 4.9 6.2 7.3 * * * * 0.0 + 0.0 + 12.7 11.0 0.0 + 13.5 11.0 b b 0.0 + a,b 0.0 + b a,b 0.0 + 0.0 + 0.0 + a,b a,b a,b 0.0 0.0 0.0 a,b 0.0 + + + + a,b 0.0 + 6.6 5.3 a,b 6.5 4.1 2.8 * 4.7 b 3.0 * 4.8 * 4.8 4.3 * a,b 0.0 0.0 3.8 4.9 6.2 + + * * a,b 0.0 + a 4.4 * 0.0 + 5.5 4.9 2.4 4.7 0.0 3.7 0.0 3.0 0.0 0.0 * * * + * + + + Total Perinatal Deaths 19 1 291 199 7 304 361 55 127 23 62 41 219 29 27 1 8 53 39 77 14 9 2 77 4 105 21 13 Perinatal Death Rate by Mother's Race/Ethnicity Birth Cohort File (2003) All Race/Eth Groups White Black Hispanic Asian/PI 5.2 a,b 10.3 9.7 b 9.8 7.9 6.3 12.1 8.7 6.1 7.0 8.1 8.4 13.0 a,b b 9.1 6.6 9.5 10.3 * b a,b 10.1 a,b 8.7 8.6 10.8 * 4.8 * a,b 10.0 8.2 a,b 8.5 7.1 6.3 10.7 9.2 * 4.9 9.8 8.2 8.2 * 13.2 a,b a,b 8.0 * 5.4 * 10.7 b b a,b 6.7 * a,b 7.6 7.4 * b 0.0 + 0.0 + 17.9 18.6 0.0 + 18.1 16.8 b b 0.0 + b 0.0 + b a,b 0.0 + 0.0 + 0.0 + b a,b a,b a,b 0.0 + 0.0 + a,b 0.0 + a,b a,b 0.0 + a,b 0.0 + 10.0 8.9 a,b 9.5 7.7 7.1 * 9.3 b 6.3 6.2 9.3 7.5 * a,b 0.0 + a,b 8.7 * 7.2 * 8.3 a,b a,b 0.0 + 10.1 a,b 8.9 8.4 * b a,b 0.0 + 7.3 * 8.2 0.0 + 7.9 7.8 4.9 11.9 0.0 * * * + PLACER PLUMAS RIVERSIDE SACRAMENTO SAN BENITO SAN BERNARDINO SAN DIEGO SAN FRANCISCO SAN JOAQUIN SAN LUIS OBISPO SAN MATEO SANTA BARBARA SANTA CLARA SANTA CRUZ SHASTA SIERRA SISKIYOU SOLANO SONOMA STANISLAUS SUTTER TEHAMA TRINITY TULARE TUOLUMNE VENTURA YOLO YUBA 6.3 * 0.0 + 6.6 a,b 0.0 + 0.0 + a,b b a,b b a,b a,b 0.0 + b 0.0 + b a,b a,b a,b a,b 4.5 * 2.6 * 7.7 a,b b a,b 4.6 * a,b 5.9 6.5 * b 0.0 + 0.0 + b 0.0 + a,b a,b 0.0 + 0.0 + b 0.0 + b a,b 0.0 + 4.5 * 0.0 + a,b 2.4 0.0 + 5.3 a 4.2 * a,b 0.0 + 0.0 + 5.9 a,b 5.0 4.7 * a,b 0.0 + 0.0 + 0.0 + Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services a Rates and ratios are not calculated for > 0 and < 5 events. b Rates and ratios are not calculated for fewer than 1,000 births in a county or specified age group. See Section III for data definitions, sources, and notes. * Death rate unreliable because the relative standard error is greater than or equal to 23 percent. + Standard error is indeterminate because the rate is based on zero events. 249 TABLE 6 MORTALITY BY CAUSE OF DEATH CALIFORNIA Crude Death Rates by Cause (2002-2004) Rates per 100,000 Population COUNTY Heart Disease CALIFORNIA ALAMEDA ALPINE AMADOR BUTTE CALAVERAS COLUSA CONTRA COSTA DEL NORTE EL DORADO FRESNO GLENN HUMBOLDT IMPERIAL INYO KERN KINGS LAKE LASSEN LOS ANGELES MADERA MARIN MARIPOSA MENDOCINO MERCED MODOC MONO MONTEREY NAPA NEVADA ORANGE 187.7 169.2 184.0 * 267.9 281.1 266.3 174.8 175.4 238.8 190.6 186.5 231.7 227.5 151.2 385.0 230.1 144.1 340.5 158.8 186.9 189.4 182.2 275.8 249.7 167.5 370.3 99.2 * 147.2 247.5 247.3 171.2 All Cancer 150.2 150.6 131.4 * 274.2 221.5 219.6 138.2 168.0 225.8 186.9 135.4 177.4 214.4 134.3 257.8 148.7 116.0 309.0 143.4 134.5 145.6 194.7 223.6 222.8 133.1 209.6 76.9 * 129.8 240.9 243.1 133.9 Stroke 48.3 50.0 131.4 * 77.3 80.8 74.2 43.3 * 55.9 41.4 * 44.0 53.9 39.8 * 57.7 43.4 75.2 * 44.1 31.5 83.4 29.8 * 41.6 42.1 57.9 61.5 * 68.8 50.4 83.8 * 22.3 * 43.8 92.2 95.6 45.8 Chronic Lower Pneumonia Respiratory Unintentional and Disease Injuries Influenza 35.8 29.0 26.3 * 45.9 * 68.7 68.1 51.6 * 36.0 65.0 * 46.0 34.8 78.4 65.9 29.3 71.6 * 49.6 37.5 103.2 42.3 * 28.2 37.1 33.3 57.8 * 66.9 39.3 101.3 * 12.4 * 29.3 54.5 65.0 29.0 28.7 25.3 0.0 + 53.9 55.4 57.4 39.9 * 26.9 63.8 * 31.9 42.0 45.9 * 73.1 40.1 71.6 * 41.9 34.4 69.5 48.1 * 22.6 46.8 22.4 80.1 * 61.3 42.8 94.3 * 52.1 * 32.1 36.9 52.3 21.9 21.9 19.1 0.0 + 29.7 * 29.8 34.4 * 30.0 * 23.1 31.9 * 18.2 22.0 27.8 * 25.7 11.9 * 26.9 * 24.1 7.4 * 40.6 17.3 * 23.8 16.9 25.4 14.9 * 23.2 14.6 17.5 * 9.9 * 12.6 38.4 27.2 20.3 Chronic Liver Disease/ Cirrhosis 10.4 9.0 26.3 * 17.1 * 18.4 10.7 * 10.0 * 9.0 14.2 * 13.7 13.1 14.5 * 18.0 13.7 37.6 * 16.2 12.3 24.1 11.5 10.5 13.7 * * * * Hypertension/ Hypertensive Renal Disease 7.2 8.1 0.0 + 2.7 * 20.2 6.9 * 13.3 * 7.0 8.3 * 4.6 * 8.3 16.9 4.9 4.8 7.2 7.7 4.8 8.0 1.9 7.4 9.7 5.7 0.0 9.0 5.3 3.5 * * * * Diabetes Mellitus 19.5 19.3 26.3 * 17.1 * 24.5 15.3 * 21.6 * 19.4 20.1 * 12.5 23.7 32.6 * 31.4 24.5 25.1 * 24.4 37.5 19.2 * 14.4 * 21.6 24.9 12.9 18.6 * 19.4 * 28.2 27.9 * 5.0 * 17.4 26.7 17.5 * 14.6 Alzheimer's Disease 17.6 13.6 0.0 + 25.2 * 33.1 23.0 * 35.0 * 20.2 17.7 * 20.0 14.4 21.7 * 38.6 6.9 * 9.0 * 16.7 8.2 * 19.8 * 8.7 * 11.9 27.9 17.4 7.5 * 12.3 * 11.7 24.5 * 2.5 * 11.5 54.0 23.4 16.9 Suicide 9.2 8.6 26.3 * 17.1 * 17.1 19.1 * 6.7 * 10.0 21.3 * 12.9 8.2 18.1 * 19.8 5.9 * 26.9 * 10.2 9.8 19.2 14.4 7.1 7.2 13.5 20.5 19.1 8.1 21.0 * * * * Homicide 6.9 9.0 0.0 1.8 2.8 4.6 Nephritis 6.4 6.5 26.3 * 12.6 * 12.4 9.9 * 6.7 * 4.3 9.5 * 3.0 * 6.2 15.7 6.2 4.8 17.9 4.4 12.7 8.6 8.7 7.6 2.5 2.1 5.6 8.6 1.9 10.5 * * * * + * * * 0.0 + 7.8 2.4 * 2.2 * 7.8 1.2 8.0 4.1 3.6 7.1 4.3 4.8 2.9 10.9 6.0 1.7 0.0 6.4 7.8 0.0 * * * * * * * * * + * * + * * * * * + * * * * * * * * * * * * 10.5 16.8 * 11.6 * 10.8 7.0 * 7.4 * 8.4 17.3 14.8 * 8.1 * * * * 12.4 * 9.2 8.4 * 15.8 * 8.2 0.0 + 6.9 2.5 * 2.1 * 2.9 0.0 + 6.4 4.6 * 7.9 * 6.1 2.5 * 6.5 6.1 * 8.6 * 4.7 Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services * Death rate is unreliable because the relative standard error is greater than or equal to 23 percent. See Section III for data definitions, sources, and notes. + Standard error is indeterminate because the rate is based on zero events. 250 TABLE 6 MORTALITY BY CAUSE OF DEATH CALIFORNIA Crude Death Rates by Cause (2002-2004) Rates per 100,000 Population COUNTY Heart Disease PLACER PLUMAS RIVERSIDE SACRAMENTO SAN BENITO SAN BERNARDINO SAN DIEGO SAN FRANCISCO SAN JOAQUIN SAN LUIS OBISPO SAN MATEO SANTA BARBARA SANTA CLARA SANTA CRUZ SHASTA SIERRA SISKIYOU SOLANO SONOMA STANISLAUS SUTTER TEHAMA TRINITY TULARE TUOLUMNE VENTURA YOLO YUBA 206.5 217.2 235.3 199.5 117.8 184.9 177.8 204.8 218.1 210.5 172.0 199.8 130.8 185.4 277.8 252.6 * 283.2 159.5 209.1 236.6 243.6 264.2 208.7 187.5 289.4 168.1 142.0 232.4 All Cancer 201.6 310.0 170.4 167.2 98.9 134.8 155.3 185.4 157.4 194.0 172.3 159.4 123.8 148.1 245.3 318.1 * 267.7 152.2 193.1 156.9 178.9 235.2 282.3 141.1 264.4 143.5 138.3 198.5 Stroke 71.0 67.7 * 55.2 59.7 33.0 * 37.9 49.1 67.7 55.9 59.7 57.0 55.7 38.1 45.3 68.6 46.8 * 74.7 51.2 72.9 45.6 58.1 85.2 46.6 * 46.1 72.4 40.1 47.9 51.1 Chronic Pneumonia Lower and Respiratory Unintentional Influenza Disease Injuries 48.9 66.1 * 53.2 42.9 27.1 * 43.5 35.0 33.9 42.8 53.2 34.0 39.2 24.8 31.4 78.1 56.1 * 74.7 38.7 45.3 41.3 61.2 63.1 90.8 * 37.7 62.4 32.2 42.7 68.3 35.4 51.9 * 35.2 32.8 30.0 * 27.3 27.4 28.8 36.8 35.5 22.9 29.6 19.1 27.1 58.7 112.3 * 60.6 27.9 34.8 45.6 47.1 59.1 81.0 * 47.7 71.2 28.2 31.2 55.7 21.6 40.9 * 19.7 24.7 16.5 * 17.8 18.3 34.3 17.7 18.0 30.4 22.6 18.3 17.9 25.3 28.1 * 38.4 * 19.9 23.2 26.6 29.8 30.1 * 27.0 * 17.9 27.4 * 18.8 31.4 19.3 * Chronic Liver Disease/ Cirrhosis 10.2 14.2 * 10.6 10.5 8.8 * 11.5 9.4 9.4 11.6 11.7 9.8 8.9 7.4 10.8 17.7 28.1 * 17.0 * 12.2 11.0 11.9 9.8 14.2 31.9 12.4 15.2 * * * * Hypertension/ Hypertensive Renal Disease 6.1 * 12.6 * 7.0 6.8 4.7 * 7.8 7.9 6.1 6.8 7.3 * 5.9 7.4 6.1 8.5 8.0 * 0.0 + 10.4 * 8.4 7.0 6.3 7.1 8.0 2.5 8.3 9.3 * * * * Diabetes Mellitus 15.9 23.6 * 16.2 18.6 9.4 * 21.6 16.8 17.5 25.8 17.5 13.7 18.5 14.8 12.5 20.3 46.8 * 30.3 * 19.9 19.9 23.4 24.7 27.8 * 31.9 * 25.7 21.0 * 18.7 18.7 19.3 * Alzheimer's Disease 25.6 17.3 * 22.6 18.7 5.3 * 13.7 33.7 16.4 18.5 32.1 21.5 25.2 14.1 14.1 23.8 18.7 * 24.4 * 24.7 29.0 17.7 11.0 29.0 22.1 6.5 25.1 * * * * Suicide 13.4 26.8 * 9.5 11.9 8.2 * 9.7 10.5 11.9 9.9 12.0 8.2 9.3 8.0 13.1 18.1 9.4 * 22.2 * 8.4 13.5 11.1 12.9 14.2 17.2 8.4 24.5 * * * * Homicide 1.5 * 4.7 * 6.0 6.6 2.4 * 8.8 4.1 7.5 9.1 2.2 * 3.7 1.5 * 2.6 2.8 * 4.2 * 0.0 + 4.4 * 6.2 3.9 * 6.1 6.7 2.3 2.5 6.5 4.7 * * * * Nephritis 4.2 * 20.5 * 8.6 4.4 5.3 * 8.1 5.1 6.7 4.0 4.7 * 3.9 7.2 3.5 6.7 * 11.2 9.4 * 14.0 * 4.4 * 4.4 4.0 7.1 11.4 19.6 13.8 8.8 * * * * 15.0 20.0 7.3 * 8.4 8.0 * 15.1 * 8.3 8.7 * 17.2 * 4.1 2.0 * 4.7 * 6.9 5.6 * 8.9 * 8.3 5.1 * 5.2 * Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services * Death rate is unreliable because the relative standard error is greater than or equal to 23 percent. See Section III for data definitions, sources, and notes. + Standard error is indeterminate because the rate is based on zero events. 251 TABLE 7 COMMUNICABLE DISEASE DATA BY COUNTY CALIFORNIA Hepatitis Reported Cases Rate 1,839.7 52.7 0.0 4.0 7.0 3.7 1.0 46.0 2.0 17.0 33.7 1.0 18.0 15.0 0.0 58.3 12.0 6.7 3.0 537.0 36.0 4.7 0.0 8.3 5.0 0.3 0.7 13.7 8.3 5.0 117.3 5.1 3.5 0.0 10.8 3.3 8.4 Reported Communicable Disease Cases and Crude Case Rates Per 100,000 Population (2002-2004 Average) Gonorrhea Tuberculosis Syphilis Measles Shigellosis Reported Reported Reported Reported Reported Cases Rate Cases Rate Cases Rate Cases Rate Cases Rate 5.3 0.7 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.3 0.0 0.0 0.0 0.7 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.7 0.01 * 0.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.05 0.00 0.00 0.00 0.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.02 * + + + + + + + + + + + + + * + + + * + + + + + + + + + + * 2,255.7 83.3 0.0 0.0 4.3 0.0 0.3 43.3 0.0 1.3 41.7 1.0 1.7 34.0 0.3 28.3 2.7 0.7 0.0 809.3 11.3 9.3 0.0 1.7 9.0 0.0 0.7 36.7 12.0 2.0 140.7 6.3 5.6 0.0 0.0 2.0 0.0 3,128.3 179.3 0.0 0.0 3.7 0.0 0.3 71.3 0.3 2.0 105.0 1.0 4.0 28.3 0.7 46.7 4.0 1.3 0.0 1,039.7 10.3 14.0 0.0 4.7 13.3 0.0 0.0 35.7 6.7 0.7 234.0 8.7 12.0 0.0 0.0 1.7 0.0 1,232.0 47.3 0.0 0.0 0.0 0.0 0.0 13.7 0.0 0.3 5.0 0.0 0.3 0.7 0.0 4.3 0.7 0.3 0.0 478.0 0.3 2.7 0.0 1.0 0.0 0.0 0.0 3.3 0.7 0.0 37.7 3.4 3.2 0.0 0.0 0.0 0.0 0.0 1.4 0.0 0.2 0.6 0.0 0.3 0.4 0.0 0.6 0.5 0.5 0.0 4.8 0.2 1.1 0.0 1.1 0.0 0.0 0.0 0.8 0.5 0.0 1.3 26,880.3 1,846.0 0.0 4.0 104.3 6.7 4.0 655.0 1.7 16.0 1,131.3 1.7 37.3 48.7 2.0 846.3 82.7 1.3 5.0 9,179.0 104.7 52.7 3.0 16.7 141.3 0.0 0.3 171.7 12.7 6.3 789.0 74.8 123.4 0.0 + 10.8 * 49.1 15.3 * 20.0 * 65.3 5.9 * 9.5 * 132.2 6.0 * 28.8 31.7 10.7 * 118.0 59.6 2.1 * 14.4 * 91.4 78.1 21.0 16.8 * 18.7 * 61.3 0.0 + 2.5 * 41.0 9.7 * 6.5 * 26.3 Chlamydia Reported Cases Rate 116,539.7 5,074.7 1.3 28.3 563.7 31.7 26.0 2,569.0 26.7 210.3 4,807.7 49.7 332.0 414.7 23.7 3,334.0 563.7 108.0 44.7 39,571.3 561.3 332.7 15.7 185.3 803.3 8.0 8.3 1,210.0 128.7 111.0 5,746.3 324.3 339.4 105.2 * 76.4 265.3 72.7 129.8 256.0 94.6 125.0 562.0 179.8 256.3 269.8 127.1 464.8 406.2 173.2 129.0 393.9 419.0 132.9 87.6 * 207.9 348.2 83.8 * 62.0 * 288.9 98.3 114.5 191.5 COUNTY CALIFORNIA ALAMEDA ALPINE AMADOR BUTTE CALAVERAS COLUSA CONTRA COSTA DEL NORTE EL DORADO FRESNO GLENN HUMBOLDT IMPERIAL INYO KERN KINGS LAKE LASSEN LOS ANGELES MADERA MARIN MARIPOSA MENDOCINO MERCED MODOC MONO MONTEREY NAPA NEVADA ORANGE + * * * + + * + + + * + + + + + + * + * * + * * + * * * + * * + * + + + * * + 5.0 * 4.6 7.1 * 10.1 * 3.9 3.6 13.9 9.8 0.0 8.1 * * * + 1.7 * 4.3 0.0 + 0.8 * 4.9 3.6 * 1.3 * 22.1 1.8 * 3.9 1.9 1.1 0.0 8.1 8.5 3.7 0.0 1.9 3.9 0.0 * * + * * + * * + 1.7 * 7.1 1.2 * 1.2 * 12.3 3.6 * 3.1 * 18.4 3.6 * 6.5 2.9 2.1 0.0 10.3 7.7 5.6 0.0 5.2 5.8 0.0 * * 8.6 * 10.7 * 8.7 * 5.3 26.9 1.9 0.0 9.3 2.2 3.5 5.0 3.3 6.4 5.2 3.9 * + * * * * * * * + * * + * * + 5.0 * 8.8 9.2 * 2.1 * 4.7 0.0 + 8.5 5.1 * 0.7 * 7.8 Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services * Case rate is unreliable because the relative standard error is greater than or equal to 23 percent. + Standard error is indeterminate because the rate is based on zero events. See Section III for data definitions, sources, and notes. 252 TABLE 7 COMMUNICABLE DISEASE DATA BY COUNTY CALIFORNIA Hepatitis Reported Cases Rate 7.0 1.3 91.7 39.0 0.7 53.3 149.0 57.0 61.0 8.0 33.3 22.3 44.7 14.0 28.7 2.7 6.7 13.3 27.7 31.0 2.0 6.0 1.0 21.7 11.7 58.0 8.0 21.7 2.5 * 6.3 * 5.2 2.9 1.2 * 2.9 5.0 7.2 9.7 3.1 * 4.7 5.4 2.6 5.4 * 16.3 74.8 * 14.8 * 3.2 * 5.8 6.3 2.4 10.2 7.4 5.5 20.4 * * * * Reported Communicable Disease Cases and Crude Case Rates Per 100,000 Population (2002-2004 Average) Measles Shigellosis Tuberculosis Syphilis Gonorrhea Reported Reported Reported Reported Reported Cases Rate Cases Rate Cases Rate Cases Rate Cases Rate 0.0 0.0 0.0 0.0 0.0 0.0 0.3 1.7 0.0 0.0 0.3 0.0 0.0 0.3 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.3 0.0 0.0 0.00 0.00 0.00 0.00 0.00 0.00 0.01 0.21 0.00 0.00 0.05 0.00 0.00 0.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 + + + + + + * * + + * + + * + + + + + + + + + + + 12.7 0.3 65.3 41.3 4.3 84.7 250.7 151.3 30.3 3.0 60.0 27.0 100.0 21.3 2.3 0.3 0.7 18.0 16.7 23.3 3.0 2.0 0.3 19.0 0.3 31.3 8.0 2.3 4.4 * 1.6 * 3.7 3.1 7.7 * 4.5 8.4 19.2 4.8 1.2 * 8.4 6.6 5.8 8.2 1.3 * 9.4 1.5 4.3 3.5 4.8 3.5 3.4 2.5 4.8 0.6 * * * * 5.7 0.0 72.7 139.3 2.3 65.7 320.7 147.7 62.0 5.3 58.3 24.3 227.7 8.0 5.3 0.0 0.0 32.7 17.0 19.3 4.0 1.3 0.0 18.7 0.3 70.7 7.0 5.3 2.0 * 0.0 + 4.1 10.5 4.1 * 3.5 10.7 18.8 9.9 2.1 * 8.2 5.9 13.2 3.1 * 3.0 * 0.0 + 0.0 + 7.8 3.6 * 3.9 4.7 2.3 0.0 4.7 0.6 * * COUNTY Chlamydia Reported Cases Rate 332.7 14.7 3,750.3 5,417.3 124.0 6,809.0 10,520.7 3,432.0 2,464.7 481.0 1,440.3 1,034.0 4,862.0 560.0 576.7 0.7 92.0 1,350.0 664.3 1,560.0 167.7 127.7 13.7 1,674.7 72.0 1,521.3 379.3 205.3 116.6 69.2 * 213.2 406.8 219.1 364.3 352.0 436.1 393.9 186.8 202.1 250.9 282.0 216.0 328.7 18.7 * 204.1 324.2 140.4 318.7 197.3 217.6 100.6 * 426.1 126.1 190.4 206.6 320.9 PLACER PLUMAS RIVERSIDE SACRAMENTO SAN BENITO SAN BERNARDINO SAN DIEGO SAN FRANCISCO SAN JOAQUIN SAN LUIS OBISPO SAN MATEO SANTA BARBARA SANTA CLARA SANTA CRUZ SHASTA SIERRA SISKIYOU SOLANO SONOMA STANISLAUS SUTTER TEHAMA TRINITY TULARE TUOLUMNE VENTURA YOLO YUBA 0.7 0.0 71.0 15.3 0.0 15.0 95.0 333.0 6.3 1.7 16.3 1.7 46.7 5.0 0.0 0.0 0.0 2.7 12.0 6.7 0.0 0.0 0.0 1.7 0.0 4.0 1.0 0.0 0.2 0.0 4.0 1.2 0.0 * + * + 46.3 2.3 715.0 1,713.3 24.7 1,747.7 2,172.0 2,029.0 702.0 41.0 216.0 74.3 755.3 56.7 51.0 0.0 5.0 274.7 116.0 327.0 46.3 5.7 1.3 246.0 6.3 151.0 37.0 46.0 16.2 11.0 * 40.7 128.7 43.6 93.5 72.7 257.8 112.2 15.9 30.3 18.0 43.8 21.9 29.1 0.0 + 11.1 * 66.0 24.5 66.8 54.5 9.7 * 9.8 * 62.6 11.1 * 18.9 20.2 71.9 0.8 * 3.2 42.3 1.0 * 0.6 * 2.3 0.4 2.7 1.9 0.0 0.0 0.0 0.6 2.5 1.4 0.0 0.0 0.0 0.4 0.0 * * * + + + * * * + + + * + * * * * + * * 7.3 4.4 * 33.9 0.04 * 0.00 + 0.00 + 3.9 4.4 * 3.6 * 8.8 3.8 * 8.3 * 0.5 * 0.5 * 0.0 + Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services * Case rate is unreliable because the relative standard error is greater than or equal to 23 percent. + Standard error is indeterminate because the rate is based on zero events. See Section III for data definitions, sources, and notes. 253 TABLE 8 COUNTY HEALTH INDICATORS CALIFORNIA COUNTY AIDS Cases and Deaths (Cumulative 1981 through 2005) AIDS Number of Mortality Cases Deaths Rate 139,449 6,793 0 46 248 20 13 2,602 34 166 1,379 17 226 168 13 1,455 206 145 53 50,259 145 1,556 12 196 181 2 4 871 215 121 6,717 81,214 3,943 0 22 132 9 12 1,615 13 106 764 6 132 69 7 529 82 83 20 29,384 63 913 6 123 112 1 3 485 135 64 3,378 58.2 58.0 0.0 47.8 53.2 45.0 92.3 62.1 38.2 63.9 55.4 35.3 58.4 41.1 53.8 36.4 39.8 57.2 37.7 58.5 43.4 58.7 50.0 62.8 61.9 50.0 75.0 55.7 62.8 52.9 50.3 Traffic Injuries 2003 307,166 11,671 56 405 1,609 457 253 5,742 280 1,581 7,085 218 1,299 1,231 206 5,741 1,158 484 296 92,557 1,360 1,734 158 824 2,282 65 190 3,038 1,305 846 24,173 Selected County Health Indicators Drug-Induced Substance Abuse Treatment Admissions (2004) Metham(2002-2004 three yr avg, age-adjusted) Alcohol Deaths Rate Deaths Rate phetamine Cocaine Marijuana Work-Related 363.7 10.0 0.0 0.0 1.3 1.7 1.0 8.7 0.3 1.0 15.7 0.7 2.0 3.0 1.0 13.3 2.0 1.0 1.3 81.7 2.0 1.7 0.3 0.3 5.3 0.7 0.3 7.3 3.3 1.0 20.0 1.0 0.7 0.0 0.0 0.6 3.5 4.3 0.8 1.2 0.6 2.0 2.9 1.4 2.2 4.3 2.0 1.4 2.0 3.5 0.8 1.6 0.6 1.5 0.3 2.7 5.8 2.5 1.8 2.6 0.9 0.7 * + + * * * * * * * * * * * * * * * * * * * * * * * * * 3,553.7 144.7 0.0 6.7 43.3 6.3 0.7 90.3 6.0 23.0 92.0 3.3 38.7 9.0 1.0 103.7 11.3 13.3 4.7 838.3 14.0 28.0 3.0 17.0 16.0 1.3 0.3 43.3 12.0 17.0 237.3 10.0 9.2 0.0 + 17.0 * 21.0 14.5 * 3.5 * 8.6 20.2 * 12.6 12.1 12.7 * 29.8 6.3 * 8.4 * 15.7 9.0 20.4 12.3 8.5 11.4 10.0 15.8 19.2 8.1 13.8 * * * * 74,755 1,507 ^ 68 1,266 181 22 2,186 119 205 2,519 112 504 595 31 3,138 374 286 134 12,016 327 462 58 379 826 17 64 686 247 265 5,047 25,324 1,393 0 ^ 78 37 ^ 1,115 0 12 1,035 ^ 25 18 ^ 278 40 17 4 9,791 40 288 7 11 178 0 9 316 20 12 655 28,949 941 0 60 256 93 28 551 47 206 1066 37 154 392 29 932 99 247 112 7,749 220 97 44 134 503 24 27 122 128 41 928 47,722 1,342 ^ 36 483 211 68 1,668 60 207 1,360 53 532 283 24 436 83 176 107 10,070 231 1,167 145 230 279 49 171 556 132 86 2,216 Kindergarteners Homicides by Needing One or More Weapons (2004) Immunizations (2005) Total Handgun Number % 2,394 117 0 2 6 3 0 76 1 2 69 0 5 4 0 51 6 1 0 1,038 7 3 1 6 16 0 0 33 3 1 81 1,462 71 0 1 3 2 0 45 0 1 21 0 1 1 0 29 2 1 0 779 1 1 0 1 8 0 0 22 1 0 34 29,250 1,130 2 3 88 31 8 392 5 179 515 7 144 89 4 720 80 71 47 10,706 137 339 22 99 220 6 10 257 61 109 2,410 5.7 6.3 11.8 0.9 3.6 6.8 2.2 2.7 1.4 8.6 3.4 1.6 10.5 3.4 2.1 5.3 3.4 9.5 11.9 7.7 6.0 11.8 15.4 9.5 4.9 5.4 7.1 4.5 3.7 10.6 5.7 CALIFORNIA ALAMEDA ALPINE AMADOR BUTTE CALAVERAS COLUSA CONTRA COSTA DEL NORTE EL DORADO FRESNO GLENN HUMBOLDT IMPERIAL INYO KERN KINGS LAKE LASSEN LOS ANGELES MADERA MARIN MARIPOSA MENDOCINO MERCED MODOC MONO MONTEREY NAPA NEVADA ORANGE * * * * 2.6 * 10.9 9.1 * 15.9 * 7.9 Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services ++ Sutter and Yuba counties combine treatment services. Admission numbers are shown under Yuba county. ^ Greater than zero and less than four observations. See Section III for data definitions, sources, and notes. * Death rate is unreliable because the relative standard error is greater than or equal to 23 percent. + Standard error is indeterminate because the rate is based on zero events. 254 TABLE 8 COUNTY HEALTH INDICATORS CALIFORNIA COUNTY AIDS Cases and Deaths (Cumulative 1981 through 2005) AIDS Number of Mortality Cases Deaths Rate 162 10 5,057 3,337 40 3,310 12,603 26,522 1,047 546 2,118 784 3,590 568 142 4 43 1,424 1,874 657 61 30 12 302 62 999 210 63 89 5 2,268 1,957 19 1,840 6,741 17,912 547 260 1,294 481 1,989 337 96 4 24 709 1,093 350 44 13 9 179 36 556 112 37 54.9 50.0 44.8 58.6 47.5 55.6 53.5 67.5 52.2 47.6 61.1 61.4 55.4 59.3 67.6 100.0 55.8 49.8 58.3 53.3 72.1 43.3 75.0 59.3 58.1 55.7 53.3 58.7 Traffic Injuries 2003 2,534 184 15,105 14,591 334 17,022 24,280 5,725 6,886 1,946 4,462 3,147 11,202 1,824 1,990 58 371 3,251 4,006 5,220 929 578 164 3,568 555 7,085 1,250 595 Selected County Health Indicators Drug-Induced Substance Abuse Treatment Admissions (2004) Metham(2002-2004 three yr avg, age-adjusted) Deaths Rate Deaths Rate phetamine Cocaine Marijuana Alcohol Work-Related 4.3 0.7 22.0 11.0 0.7 26.0 32.7 4.7 11.0 1.7 4.0 4.0 7.7 2.0 4.0 0.0 0.7 5.3 3.7 5.7 2.0 1.3 1.0 7.3 1.3 8.0 2.7 0.3 1.5 3.4 1.3 0.8 1.2 * * * * 27.3 2.7 169.7 181.7 4.7 175.0 308.0 138.0 85.0 25.7 52.0 46.3 98.3 29.3 41.0 0.3 8.3 32.0 60.0 86.7 5.3 6.0 2.0 39.3 13.0 73.3 13.0 4.0 9.2 14.6 * 10.4 14.0 8.3 * 10.1 10.3 15.5 14.6 9.6 6.8 11.5 5.5 10.9 24.4 7.5 * 18.4 * 7.7 12.0 19.1 6.4 11.2 14.8 11.5 22.1 * * * * 653 64 4,437 2,448 140 6,378 5,304 1,198 1,487 408 1,234 1,427 4,237 527 1,080 5 88 1,381 2,222 1,879 ++ Kindergarteners Homicides by Needing One or More Weapons (2004) Immunizations (2005) Total Handgun Number % 3 2 93 92 0 165 127 88 55 2 26 7 37 5 4 0 1 19 17 42 3 3 1 25 2 33 5 5 0 0 41 38 0 105 57 46 24 2 16 1 18 2 1 0 1 12 9 19 0 1 0 17 0 21 2 4 261 1 1,063 1,685 22 1,180 1,583 502 379 100 501 217 958 243 116 3 23 328 393 255 68 43 7 196 46 1,015 56 115 5.3 0.5 3.5 9.0 2.3 3.7 3.9 8.1 3.4 4.1 5.8 3.9 4.0 7.4 5.5 7.3 5.1 6.1 6.8 3.1 4.7 4.9 5.8 2.4 9.3 8.6 2.4 9.7 PLACER PLUMAS RIVERSIDE SACRAMENTO SAN BENITO SAN BERNARDINO SAN DIEGO SAN FRANCISCO SAN JOAQUIN SAN LUIS OBISPO SAN MATEO SANTA BARBARA SANTA CLARA SANTA CRUZ SHASTA SIERRA SISKIYOU SOLANO SONOMA STANISLAUS SUTTER TEHAMA TRINITY TULARE TUOLUMNE VENTURA YOLO YUBA 46 ^ 346 746 9 756 1,024 3,313 420 35 725 315 724 163 39 0 ^ 481 197 140 ++ 187 37 701 1,036 63 1495 2,050 813 519 205 535 906 1,032 420 324 4 46 371 989 262 ++ 577 143 1,193 1,232 47 1,927 3,068 3,292 1,569 207 1,536 843 1,979 584 607 7 52 637 3,299 441 ++ 1.5 1.1 0.6 * 1.8 * 0.6 * 0.5 1.0 0.4 0.8 2.4 0.0 1.2 1.3 0.8 1.2 2.5 2.4 9.3 2.0 2.4 * * * * * + * * * * * * * * * 315 61 1,602 124 1,318 584 513 ^ ^ 112 6 288 40 20 81 8 736 60 492 227 83 137 44 621 82 609 350 178 1.0 * 1.8 * 0.6 * 9.0 7.9 * 6.7 * Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services ++ Sutter and Yuba counties combine treatment services. Admission numbers are shown under Yuba county. ^ Greater than zero and less than four observations. See Section III for data definitions, sources, and notes. * Death rate is unreliable because the relative standard error is greater than or equal to 23 percent. + Standard error is indeterminate because the rate is based on zero events. 255 TABLE 9 PERSONS CERTIFIED ELIGIBLE FOR MEDI-CAL AND MEDICARE, 2003 CALIFORNIA Average Monthly Medi-Cal Eligibles (FFS+HCPs+COHS) Percent of Number Population 6,438,701 200,681 238 3,122 46,777 5,173 4,317 98,441 7,624 13,585 251,021 6,234 24,844 44,750 2,663 179,164 28,665 14,574 4,780 2,487,906 34,503 15,167 2,323 20,038 68,789 2,146 996 72,440 11,810 7,856 349,305 17.9 13.4 18.8 8.4 22.0 11.9 21.6 9.8 27.0 8.1 29.3 22.6 19.2 29.1 14.3 25.0 20.7 23.4 13.8 24.8 25.8 6.1 13.0 22.5 29.8 22.5 7.4 17.3 9.0 8.1 11.6 Percent Medi-Cal Eligible by Race/Ethnicity Age 65 and Older Percent of Number Population 3,555,427 137,472 123 6,433 31,037 7,423 2,295 107,242 3,471 22,572 79,906 3,496 15,737 16,132 3,361 63,074 9,422 10,272 3,171 911,590 16,057 32,943 2,793 11,718 17,668 1,520 808 38,413 18,945 14,956 281,334 9.9 9.2 9.7 17.4 14.6 17.0 11.5 10.7 12.3 13.4 9.3 12.7 12.2 10.5 18.1 8.8 6.8 16.5 9.2 9.1 12.0 13.2 15.6 13.1 7.7 15.9 6.0 9.2 14.5 15.4 9.4 Medicare Enrollees Disability Beneficiaries Percent of Number Population 522,267 21,231 25 835 6,123 1,131 410 14,932 1,029 3,618 14,666 615 4,344 2,693 419 15,615 2,008 2,566 801 118,190 3,034 3,009 476 2,743 3,350 306 95 5,337 3,091 2,035 27,747 1.5 1.4 2.0 2.3 2.9 2.6 2.0 1.5 3.6 2.2 1.7 2.2 3.4 1.8 2.3 2.2 1.4 4.1 2.3 1.2 2.3 1.2 2.7 3.1 1.5 3.2 0.7 1.3 2.4 2.1 0.9 Total Enrollees Percent of Number Population 4,077,694 158,703 148 7,268 37,160 8,554 2,705 122,174 4,500 26,190 94,572 4,111 20,081 18,825 3,780 78,689 11,430 12,838 3,972 1,029,780 19,091 35,952 3,269 14,461 21,018 1,826 903 43,750 22,036 16,991 309,081 11.3 10.6 11.7 19.6 17.5 19.6 13.5 12.2 16.0 15.6 11.1 14.9 15.5 12.3 20.3 11.0 8.2 20.6 11.5 10.2 14.3 14.4 18.3 16.2 9.1 19.1 6.7 10.4 16.8 17.5 10.3 Percent of Dual Eligibles Medicare/ Medi-Cal 14.5 18.9 11.8 21.4 16.8 18.1 14.7 17.8 16.9 19.2 10.9 14.3 18.4 19.5 20.8 11.4 11.8 22.1 18.5 12.6 11.0 22.9 19.0 16.1 10.7 17.3 9.7 11.8 19.5 23.0 15.8 COUNTY White 22.9 16.5 26.4 84.3 66.5 84.1 27.1 27.7 68.7 71.4 16.6 43.7 73.7 12.4 53.2 28.7 22.7 73.6 75.2 14.0 23.8 40.5 86.5 59.5 22.6 70.6 47.6 13.9 41.1 84.8 20.1 Black 11.0 31.0 1.8 0.3 3.1 1.3 0.7 24.2 0.8 0.8 8.1 1.3 1.8 1.8 0.5 9.4 7.3 4.5 1.8 12.6 3.4 9.0 0.4 1.1 5.8 0.3 0.9 3.0 1.9 0.4 2.0 Hispanic 51.0 24.2 3.1 8.5 14.9 8.0 66.4 31.4 10.8 20.5 58.8 41.2 6.9 79.2 22.8 55.6 63.8 12.7 11.0 61.0 67.9 38.3 5.7 26.3 57.4 17.4 39.0 75.3 49.4 8.4 54.2 AI/AN 0.4 0.3 65.2 2.6 2.1 1.6 1.3 0.3 9.3 1.1 0.3 2.9 9.1 0.9 18.4 0.4 0.4 3.8 6.4 0.2 0.7 0.3 3.7 7.5 0.4 7.4 8.6 0.1 0.4 0.9 0.1 Not Asian/PI Reported 10.1 22.0 0.4 1.0 9.2 1.0 1.7 11.1 6.3 1.7 12.5 6.8 3.3 0.6 1.2 2.7 2.3 1.0 1.3 8.0 1.0 7.0 0.7 1.3 8.4 0.6 0.7 3.9 2.9 0.9 18.9 4.6 5.9 3.1 3.3 4.3 4.0 2.9 5.2 4.2 4.4 3.7 4.1 5.1 5.1 3.9 3.2 3.5 4.3 4.4 4.3 3.2 4.8 3.1 4.4 5.5 3.7 3.1 3.8 4.4 4.6 4.7 CALIFORNIA ALAMEDA ALPINE AMADOR BUTTE CALAVERAS COLUSA CONTRA COSTA DEL NORTE EL DORADO FRESNO GLENN HUMBOLDT IMPERIAL INYO KERN KINGS LAKE LASSEN LOS ANGELES MADERA MARIN MARIPOSA MENDOCINO MERCED MODOC MONO MONTEREY NAPA NEVADA ORANGE Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services See Section III for data definitions, sources, and notes. 256 TABLE 9 PERSONS CERTIFIED ELIGIBLE FOR MEDI-CAL AND MEDICARE, 2003 CALIFORNIA Average Monthly Medi-Cal Eligibles (FFS+HCPs+COHS) Percent of Number Population 19,625 2,638 262,774 259,378 6,918 346,140 341,159 119,214 131,283 27,240 59,587 61,332 201,885 31,633 35,020 441 9,687 50,649 45,505 109,291 16,858 13,465 2,428 127,242 7,022 96,542 26,493 17,321 6.9 12.5 14.9 19.5 12.2 18.5 11.4 15.1 21.0 10.6 8.4 14.9 11.7 12.2 20.0 12.4 21.5 12.2 9.6 22.3 19.8 23.0 17.9 32.4 12.3 12.1 14.4 27.1 Percent Medi-Cal Eligible by Race/Ethnicity Age 65 and Older Percent of Number Population 35,693 3,482 192,964 133,617 4,224 148,115 310,855 103,470 59,105 34,939 84,402 49,254 156,358 24,187 26,869 587 8,300 36,481 55,690 47,608 9,708 7,981 2,191 35,233 9,865 80,262 16,079 6,524 12.5 16.4 11.0 10.0 7.5 7.9 10.4 13.1 9.4 13.6 11.8 12.0 9.1 9.3 15.3 16.5 18.4 8.8 11.8 9.7 11.4 13.6 16.1 9.0 17.3 10.0 8.8 10.2 Medicare Enrollees Disability Beneficiaries Percent of Number Population 4,251 656 26,996 27,079 620 31,133 39,312 14,367 12,202 5,171 7,789 6,992 16,757 3,875 6,931 90 1,496 6,473 8,415 10,546 1,970 1,748 548 7,389 1,471 10,920 2,760 1,836 1.5 3.1 1.5 2.0 1.1 1.7 1.3 1.8 2.0 2.0 1.1 1.7 1.0 1.5 4.0 2.5 3.3 1.6 1.8 2.2 2.3 3.0 4.0 1.9 2.6 1.4 1.5 2.9 Total Enrollees Percent of Number Population 39,944 4,138 219,960 160,696 4,844 179,248 350,167 117,837 71,307 40,110 92,191 56,246 173,115 28,062 33,800 677 9,796 42,954 64,105 58,154 11,678 9,729 2,739 42,622 11,336 91,182 18,839 8,360 14.0 19.5 12.5 12.1 8.6 9.6 11.7 15.0 11.4 15.6 12.9 13.6 10.0 10.8 19.3 19.0 21.7 10.3 13.5 11.9 13.7 16.6 20.2 10.8 19.8 11.4 10.3 13.1 Percent of Dual Eligibles Medicare/ Medi-Cal 22.2 24.2 14.1 13.1 13.4 12.2 18.8 34.0 13.3 19.3 23.0 14.3 19.4 16.5 19.4 24.4 19.4 16.6 20.7 13.7 17.1 17.7 21.6 11.0 21.8 15.9 14.6 14.0 COUNTY White 70.1 81.1 29.4 38.3 18.8 28.8 27.8 18.8 25.2 55.0 19.9 23.5 15.7 31.7 79.9 83.7 73.6 27.3 47.9 38.5 41.2 67.5 89.9 22.4 86.0 24.2 39.2 57.0 Black 1.9 2.3 9.5 19.2 0.9 15.0 11.1 18.8 12.3 2.1 8.1 3.0 4.1 1.4 1.8 1.6 2.3 27.5 3.0 3.6 2.5 0.8 0.4 2.2 0.8 2.0 4.3 3.5 Hispanic 18.2 7.0 52.7 19.1 75.2 47.2 44.6 18.8 39.4 36.1 48.0 66.7 46.0 58.9 5.5 6.9 9.7 27.1 38.3 46.9 37.0 25.2 2.0 67.7 5.9 65.2 42.8 19.4 AI/AN 1.1 4.1 0.5 0.5 0.3 0.5 0.4 0.3 0.5 0.5 0.1 0.4 0.3 0.3 3.3 1.3 5.1 0.4 1.6 0.3 1.1 1.9 3.0 0.4 2.1 0.3 0.7 1.4 Not Asian/PI Reported 3.3 0.4 3.3 18.1 1.4 4.2 10.3 33.9 17.9 2.2 17.8 2.5 28.7 1.9 4.7 1.6 3.1 12.9 4.4 6.3 14.1 0.8 0.7 3.8 0.9 3.7 8.3 14.6 5.4 5.0 4.6 4.7 3.3 4.4 5.8 9.4 4.7 4.0 6.1 3.9 5.3 5.8 4.8 4.9 6.3 4.9 4.8 4.4 4.1 3.8 4.1 3.5 4.4 4.5 4.8 4.0 PLACER PLUMAS RIVERSIDE SACRAMENTO SAN BENITO SAN BERNARDINO SAN DIEGO SAN FRANCISCO SAN JOAQUIN SAN LUIS OBISPO SAN MATEO SANTA BARBARA SANTA CLARA SANTA CRUZ SHASTA SIERRA SISKIYOU SOLANO SONOMA STANISLAUS SUTTER TEHAMA TRINITY TULARE TUOLUMNE VENTURA YOLO YUBA Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services See Section III for data definitions, sources, and notes. 257 TABLE 10 SELECTED MEDI-CAL DATA, 2003 CALIFORNIA Average Monthly Medi-Cal Fee-For-Service (FFS) Users Denti-Cal Medi-Cal Deliveries (2003) Number Percent Percent Average Total by Managed of of of Monthly County of FFS Care Users Population Eligibles Users Beneficiary Deliveries Deliveries 2,156,878 71,702 102 1,871 26,826 3,083 2,276 34,750 4,280 7,282 82,311 3,352 14,994 25,375 1,522 56,738 15,991 9,151 2,852 745,634 17,794 7,762 1,369 11,810 33,299 1,248 499 16,338 1,881 4,596 73,321 6.0 4.8 8.0 5.0 12.6 7.1 11.4 3.5 15.2 4.3 9.6 12.1 11.6 16.5 8.2 7.9 11.5 14.7 8.2 7.4 13.3 3.1 7.7 13.2 14.4 13.1 3.7 3.9 1.4 4.7 2.4 33.5 35.7 42.9 59.9 57.3 59.6 52.7 35.3 56.1 53.6 32.8 53.8 60.4 56.7 57.2 31.7 55.8 62.8 59.7 30.0 51.6 51.2 58.9 58.9 48.4 58.2 50.1 22.6 15.9 58.5 21.0 322,032 10,466 7 103 1,697 245 111 4,554 99 782 13,701 127 723 1,939 46 9,795 1,121 293 120 120,730 1,845 709 97 363 3,162 56 6 3,243 473 324 20,922 244,327 6,588 5 106 1,301 145 215 3,604 209 535 9,799 255 783 1,492 109 7,397 1,232 392 133 83,164 1,531 657 64 699 2,606 62 65 4,086 588 267 18,129 175,356 4,405 5 106 1,299 145 215 2,532 209 533 5,298 255 783 1,492 109 4,069 1,232 392 133 60,536 1,531 652 64 699 2,604 62 65 2,713 362 265 13,713 68,971 2,183 0 0 2 0 0 1,072 0 2 4,501 0 0 0 0 3,328 0 0 0 22,628 0 5 0 0 2 0 0 1,373 226 2 4,416 Total Medi-Cal FFS Induced Abortions by County of Eligibility (2003) 50,240 2,597 ** 1 42 644 49 28 1,514 ** 52 212 1,623 ** 47 424 153 27 580 ** 248 138 34 14,472 ** 309 416 20 258 619 9 14 568 ** 46 ** 128 1,863 ** Medi-Cal Medi-Cal Payments Managed Fee-For-Service Care Number of Average Enrollees Providers Paid Monthly Dollar (7/2003) Physicians Dentists Amount 3,302,057 102,199 0 0 0 0 0 49,022 0 0 157,719 0 0 0 0 105,098 0 0 0 1,350,787 0 0 0 0 0 0 0 55,477 9,887 0 287,983 21,103 791 3 33 210 25 6 349 28 86 439 4 109 77 20 385 56 40 13 6,654 53 203 5 83 123 6 9 156 121 75 1,881 7,572 285 0 4 52 3 2 109 5 20 187 1 35 18 1 79 11 5 6 2,786 22 35 1 17 27 2 5 72 14 21 769 $1,316,158,625 49,698,995 52,234 1,150,310 15,715,211 1,561,041 1,022,443 25,032,540 2,171,596 3,994,351 39,925,686 1,803,482 8,362,489 11,455,736 963,351 28,964,028 7,938,286 5,914,681 1,511,700 470,796,775 7,863,133 5,660,222 751,602 6,699,810 13,382,381 793,731 316,809 5,630,158 938,894 3,007,529 37,583,679 COUNTY Average Amount per User $610 693 512 615 586 506 449 720 507 549 485 538 558 451 633 510 496 646 530 631 442 729 549 567 402 636 635 345 499 654 513 CALIFORNIA ALAMEDA ALPINE AMADOR BUTTE CALAVERAS COLUSA CONTRA COSTA DEL NORTE EL DORADO FRESNO GLENN HUMBOLDT IMPERIAL INYO KERN KINGS LAKE LASSEN LOS ANGELES MADERA MARIN MARIPOSA MENDOCINO MERCED MODOC MONO MONTEREY NAPA NEVADA ORANGE Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services See Section III for data definitions, sources, and notes. ** Limited data are available for this county. 258 TABLE 10 SELECTED MEDI-CAL DATA, 2003 CALIFORNIA Average Monthly Medi-Cal Fee-For-Service (FFS) Users Denti-Cal Medi-Cal Deliveries (2003) Number Percent Percent Average Total by Managed of of of Monthly County of FFS Care Users Population Eligibles Users Beneficiary Deliveries Deliveries 10,731 1,688 84,412 66,926 3,502 113,611 134,301 59,528 41,796 14,738 10,633 9,602 70,677 6,910 21,900 264 5,663 6,351 23,487 44,620 9,573 7,905 1,464 51,012 4,567 49,053 4,339 9,951 7,668 3.8 8.0 4.8 5.0 6.2 6.1 4.5 7.6 6.7 5.7 1.5 2.3 4.1 2.7 12.5 7.4 12.6 1.5 5.0 9.1 11.3 13.5 10.8 13.0 8.0 6.1 2.4 15.6 na 54.7 64.0 32.1 25.8 50.6 32.8 39.4 49.9 31.8 54.1 17.8 15.7 35.0 21.8 62.5 59.9 58.5 12.5 51.6 40.8 56.8 58.7 60.3 40.1 65.0 50.8 16.4 57.5 na 1,124 20 14,357 4,560 271 20,546 19,380 6,711 6,279 1,074 2,567 2,993 11,342 1,597 1,709 6 452 2,484 1,821 5,642 945 600 117 5,490 284 4,711 1,604 820 4,666 754 80 13,133 8,185 350 14,970 14,362 2,738 5,160 1,019 2,678 3,089 7,604 1,603 1,089 14 281 1,818 1,999 4,124 685 486 66 5,216 205 4,866 890 636 0 753 80 9,548 4,010 350 10,036 10,259 1,900 2,739 1,018 1,996 1,972 5,518 1,097 1,088 14 281 700 1,984 3,171 685 486 66 3,043 204 4,864 372 635 0 1 0 3,585 4,175 0 4,934 4,103 838 2,421 1 682 1,117 2,086 506 1 0 0 1,118 15 953 0 0 0 2,173 1 2 518 1 0 Total Medi-Cal FFS Induced Abortions by County of Eligibility (2003) 373 19 1,312 ** 2,011 ** 132 1,855 3,056 2,314 1,027 455 ** ** ** ** Medi-Cal Medi-Cal Payments Managed Fee-For-Service Care Number of Average Enrollees Providers Paid Monthly Dollar (7/2003) Physicians Dentists Amount 0 0 141,432 162,373 0 182,290 175,288 43,069 76,436 0 46,408 51,306 93,412 26,621 0 0 0 46,093 0 39,320 0 0 0 76,714 0 0 23,123 0 0 110 20 779 483 28 683 1,490 684 336 154 239 209 751 135 182 0 48 82 361 307 63 41 5 230 37 490 22 20 1,071 52 2 273 159 10 370 509 222 126 47 124 59 408 53 38 0 11 51 64 95 27 11 4 74 11 146 28 2 2 $6,885,896 1,337,416 53,427,827 40,508,366 1,812,205 70,405,342 88,838,434 46,086,165 23,942,612 7,787,708 9,915,018 3,391,923 53,050,060 3,657,569 13,325,151 224,700 2,853,096 1,820,379 25,452,501 21,866,781 5,483,740 4,012,685 902,841 29,398,633 2,753,205 23,434,176 1,158,914 4,904,602 6,857,798 COUNTY Average Amount per User $642 792 633 605 517 620 661 774 573 528 932 353 751 529 608 851 504 287 1,084 490 573 508 617 576 603 478 267 493 894 PLACER PLUMAS RIVERSIDE SACRAMENTO SAN BENITO SAN BERNARDINO SAN DIEGO SAN FRANCISCO SAN JOAQUIN SAN LUIS OBISPO SAN MATEO SANTA BARBARA SANTA CLARA SANTA CRUZ SHASTA SIERRA SISKIYOU SOLANO SONOMA STANISLAUS SUTTER TEHAMA TRINITY TULARE TUOLUMNE VENTURA YOLO YUBA NOT REPORTED 947 469 3,127 ** 498 ** 490 3 70 362 ** 1,347 867 ** 144 124 25 405 ** 94 1,302 109 ** 165 3 Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 259 See Section III for data definitions, sources, and notes. ** Limited data are available for this county. TABLE 11 PROGRAM CLIENTS/SERVICES CALIFORNIA Percent Family Women and Child Health Infants Breastfed Planning by Children <5 & Disability Prevention During Early All Funding Receiving Sources WIC Services Postpartum Clients (2002-2004 Avg.) (FY 04-05) (Feb. 2006) (FY 03-04) 83.7 87.6 95.1 * 85.7 84.5 85.0 80.4 88.2 91.6 90.0 81.9 87.0 89.4 78.2 89.7 79.0 69.8 84.4 88.4 80.6 82.3 94.4 90.5 89.8 82.7 92.3 92.3 90.3 90.6 94.4 84.0 1,582,658 43,509 314 910 14,655 1,624 1,258 32,086 878 4,623 42,875 1,451 10,794 5,678 733 30,300 6,286 1,366 1,397 572,018 7,051 8,939 261 4,251 11,549 292 853 19,838 8,202 2,312 118,297 1,304,427 34,594 7 342 6,391 708 1,223 17,956 1,065 2,343 46,971 1,425 3,834 6,227 755 46,365 7,456 2,011 740 475,124 7,656 2,541 198 3,089 14,279 259 218 20,244 3,618 1,413 98,790 2,065,237 58,082 336 1,491 13,657 2,007 2,375 24,646 1,677 4,233 107,252 2,001 6,245 13,487 900 71,764 7,556 2,167 1,355 746,598 12,812 4,435 316 4,948 22,206 317 565 15,564 5,037 2,325 118,326 Child Health California Preventive Health Care & Disability Children Developmental for the Aging (FY 04-05) Disability Comprehensive Other Prevention Services Clients Providers Cases Assessment Client (Mar. 2006) (FY 04-05) (July 2005) Clients Services 3,668 115 2 14 23 15 11 47 4 20 120 8 55 21 8 88 56 15 12 1,070 18 22 3 32 55 9 1 36 18 15 277 164,401 5,002 2 68 789 119 157 2,998 98 413 7,678 165 650 1,674 116 4,936 629 350 123 49,939 1,091 470 75 605 2,431 44 85 2,183 332 328 11,983 203,269 7,511 9 169 2,293 208 82 4,724 236 696 6,058 211 1,231 903 118 5,272 860 520 212 59,992 800 1,085 74 677 1,433 60 63 1,434 736 411 14,560 6,048 0 0 0 0 0 0 0 0 457 601 0 479 0 0 37 440 444 0 0 224 0 0 0 0 0 0 0 0 0 1,013 30,500 0 0 0 0 0 0 0 0 4,139 1,072 0 254 0 0 1,175 1,092 2,516 0 0 2,435 0 0 0 0 0 0 0 0 0 7,489 Mental Health Services (FY 04-05) Rehabilitation County State Program Clients Hospital Clients (FY 04-05) Admissions 114,834 5,327 4 103 1,116 52 52 3,728 205 548 2,667 220 907 670 43 2,455 251 324 151 34,616 153 806 20 694 535 99 9 1,771 860 255 7364 2,951 57 1 5 29 5 3 37 8 4 90 6 12 10 0 97 21 14 2 911 9 16 3 16 22 1 1 24 65 11 100 617,531 ** 28,621 48 577 6,419 504 542 15,012 1,796 2,555 22,411 802 3,515 3,052 528 16,343 3,772 1,950 991 ** 192,601 ** 2,733 3,661 613 2,536 5,523 352 144 5,008 1,290 1,345 31,442 ** COUNTY Hospice Facilities (Dec. 2004) 159 5 0 0 1 0 0 4 0 1 2 0 2 1 0 4 0 1 0 53 1 0 1 0 1 0 0 3 1 2 11 CALIFORNIA ALAMEDA ALPINE AMADOR BUTTE CALAVERAS COLUSA CONTRA COSTA DEL NORTE EL DORADO FRESNO GLENN HUMBOLDT IMPERIAL INYO KERN KINGS LAKE LASSEN LOS ANGELES MADERA MARIN MARIPOSA MENDOCINO MERCED MODOC MONO MONTEREY NAPA NEVADA ORANGE Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services ** Limited data available for this county. ++ Sutter and Yuba counties combine treatment services. Client counts are shown under Yuba county. See Section III for data definitions, sources, and notes. * Percentage is unreliable because the relative standard error is greater than or equal to 23 percent. 260 TABLE 11 PROGRAM CLIENTS/SERVICES CALIFORNIA Women and Child Health Percent Family Infants Breastfed Planning by Children <5 & Disability Prevention All Funding During Early Receiving Clients Postpartum Sources WIC Services (2002-2004 Avg.) (FY 04-05) (Feb. 2006) (FY 03-04) 89.7 91.0 79.3 81.6 86.8 76.5 89.1 89.1 80.7 91.6 92.9 91.7 89.1 92.3 90.1 93.3 * 89.7 84.3 92.9 81.0 81.4 86.4 92.0 79.2 89.5 88.0 87.5 75.8 5,983 973 67,439 44,534 2,342 71,786 127,823 27,861 27,227 12,984 22,753 20,121 50,006 16,157 8,121 160 1,321 11,507 21,645 19,814 4,121 2,261 475 17,995 1,420 31,781 6,777 2,671 3,156 499 61,380 37,713 2,045 74,471 102,566 15,390 27,038 4,291 12,352 15,704 31,169 7,910 3,880 39 1,123 9,994 10,123 17,369 3,513 2,398 313 25,884 969 17,209 4,624 3,463 6,731 704 78,869 80,615 3,413 102,492 118,223 19,060 47,763 8,448 24,109 29,718 60,311 7,870 6,517 104 2,585 13,582 13,776 39,008 4,345 3,926 344 43,437 1,709 35,089 9,922 3,627 Preventive Health Care Child Health California & Disability Children Developmental for the Aging (FY 04-05) Prevention Services Disability Comprehensive Other Providers Cases Clients Client Assessment Clients Services (Mar. 2006) (FY 04-05) (July 2005) 21 18 130 118 10 190 198 66 72 33 41 57 115 38 34 2 23 36 55 53 15 8 7 56 8 44 17 13 730 41 7,578 5,510 270 10,125 10,700 2,239 4,922 949 1,957 1,635 6,652 1,207 791 5 254 724 1,567 3,069 501 302 63 3,234 223 2,746 559 320 1,488 109 8,883 8,832 216 10,846 14,361 2,358 4,888 1,620 3,143 2,777 7,480 1,120 1,745 19 280 2,453 3,395 3,014 455 557 64 4,551 317 4,428 842 390 0 0 0 0 0 527 0 0 0 0 0 478 0 0 66 0 0 0 0 474 0 0 0 607 0 79 122 0 0 0 0 0 0 804 0 0 0 0 0 180 0 0 34 0 0 0 0 1,650 0 0 0 7,115 0 493 52 0 Mental Health Services (FY 04-05) Rehabilitation State County Hospice Clients Hospital Program Facilities (FY 04-05) Admissions Admissions (Dec. 2004) 1,249 115 4,072 3,597 133 4,863 8,102 3,461 1,032 1,024 2,690 2,508 4,405 991 812 31 287 1,860 2,386 976 189 280 30 901 45 2,241 386 163 16 0 185 93 4 237 191 69 69 29 34 38 81 8 13 0 5 95 37 38 12 10 2 27 4 45 20 9 0 ** 709 29,601 30,987 1,294 34,478 46,018 24,414 13,887 4,261 9,678 7,253 0 ** 3,950 5,100 114 1,582 5,224 5,313 12,271 ++ 1,785 403 8,077 1,304 9,094 0 ** 4,048 0 0 4 4 0 9 9 4 1 1 2 1 8 0 1 0 3 2 6 1 0 0 0 2 1 5 1 0 COUNTY PLACER PLUMAS RIVERSIDE SACRAMENTO SAN BENITO SAN BERNARDINO SAN DIEGO SAN FRANCISCO SAN JOAQUIN SAN LUIS OBISPO SAN MATEO SANTA BARBARA SANTA CLARA SANTA CRUZ SHASTA SIERRA SISKIYOU SOLANO SONOMA STANISLAUS SUTTER TEHAMA TRINITY TULARE TUOLUMNE VENTURA YOLO YUBA Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services ** Limited data available for this county. ++ Sutter and Yuba counties combine treatment services. Client counts are shown under Yuba county. See Section III for data definitions, sources, and notes. * Percentage is unreliable because the relative standard error is greater than or equal to 23 percent. 261 TABLE 12 HEALTH RESOURCE DATA BY COUNTY CALIFORNIA COUNTY General Acute Care (GAC) Hospitals 2004 Licensed Avg. Beds/ GAC Occu- Length GAC 1,000 Dispancy of Total Beds Pop. charges Rate Stay 438 19 0 1 6 1 1 10 0 2 12 1 5 2 2 13 3 2 1 107 3 4 1 3 4 2 69,871 3,167 0 42 610 48 42 1,547 0 164 1,499 49 351 270 36 1,265 143 101 38 22,751 364 445.0 18.0 165.0 337.0 20.0 1.9 2.1 0.0 1.1 2.8 1.1 2.0 1.5 0.0 1.0 1.7 1.7 2.7 1.7 1.9 1.7 1.0 1.6 1.0 2.3 2.7 1.8 1.0 1.8 1.4 2.1 1.1 1.5 2.3 1.4 1.8 3,107,576 143,915 0 2,419 26,043 1,881 881 72,309 0 9,176 82,162 176 10,837 12,694 1,095 63,571 553 4,318 1,213 931,247 19,255 18,915 287 6,509 12,197 299 708 33,419 10,720 8,275 263,995 56.5 54.8 0.0 55.0 51.1 36.0 18.0 57.9 0.0 56.4 62.9 2.3 34.5 55.9 26.4 60.5 3.3 41.6 32.4 58.0 78.6 52.9 66.3 36.0 40.1 7.6 34.7 60.3 46.7 52.0 55.6 4.6 4.4 0.0 3.5 4.4 3.4 3.1 4.4 0.0 3.7 4.1 2.3 4.1 3.8 3.2 4.4 2.8 3.6 3.7 5.2 5.4 4.6 15.2 3.4 4.1 1.9 2.7 4.1 4.9 3.2 4.3 Long Term Care (LTC) Facilities 2004 Other Facilities (Dec. 2004) Doctors FY04-05/Dentists March 2006 Licensed CommuAvg. Avg. Beds/ LTC Occu- nity and Home Persons Persons LTC 1,000 Dispancy Free Special Health Licensed per Licensed per Total Beds Pop. charges Rate Clinics Clinics Agencies Doctors Doctor Dentists Dentist 1,164 111,732 66 0 1 13 1 1 32 1 3 36 1 5 3 0 15 3 3 1 368 4 14 0 5 9 0 0 14 6 4 72 5,103 0 199 1,195 99 99 3,000 99 266 3,220 76 449 253 0 1,787 322 288 96 36,544 369 1,027 0 387 657 0 0 986 502 392 7,916 3.1 3.4 0.0 5.3 5.6 2.2 4.8 2.9 3.5 1.6 3.7 2.7 3.4 1.6 0.0 2.4 2.3 4.5 2.7 3.6 2.7 4.1 0.0 4.3 2.8 0.0 0.0 2.3 3.8 4.0 2.6 257,774 10,180 0 159 2,227 138 44 7,609 192 396 5,253 130 691 463 0 3,791 532 377 92 81,730 553 1,911 0 456 836 0 0 2,451 879 598 26,063 74.4 66.3 0.0 57.2 76.1 90.1 100.0 72.8 76.9 78.6 84.3 94.3 89.5 51.6 0.0 86.3 81.7 69.9 0.0 76.0 83.0 73.9 0.0 66.4 64.8 0.0 0.0 62.4 59.9 46.5 67.1 834 57 0 0 11 2 2 15 2 5 27 3 11 6 1 29 2 2 7 200 3 10 1 10 12 1 0 17 2 4 31 871 42 0 1 8 0 0 20 0 3 25 0 1 4 0 23 4 1 1 240 2 6 0 5 8 0 0 10 3 5 70 941 28 0 2 11 1 1 17 1 3 11 0 4 3 1 12 2 2 1 427 1 6 1 3 2 0 0 7 4 2 43 92,852 4,061 0 62 465 51 10 2,696 58 282 1,703 11 297 123 45 1,008 129 85 41 26,251 165 1,512 14 227 225 6 30 870 465 265 8,533 392 373 0 605 462 872 2,065 378 492 607 510 2,553 439 1,278 413 724 1,095 747 883 384 828 166 1,296 397 1,054 1,613 459 487 286 371 356 28,751 1,306 0 26 148 22 4 927 16 165 503 6 88 42 14 311 55 26 28 7,797 57 340 6 65 86 5 6 296 113 87 3,221 1,287 1,151 0 1,470 1,462 2,078 5,329 1,107 1,835 1,064 1,774 4,754 1,505 3,910 1,329 2,477 2,663 2,468 1,275 1,311 2,506 742 3,047 1,392 2,841 1,963 2,252 1,436 1,182 1,152 950 CALIFORNIA ALAMEDA ALPINE AMADOR BUTTE CALAVERAS COLUSA CONTRA COSTA DEL NORTE EL DORADO FRESNO GLENN HUMBOLDT IMPERIAL INYO KERN KINGS LAKE LASSEN LOS ANGELES MADERA MARIN MARIPOSA MENDOCINO MERCED MODOC MONO MONTEREY NAPA NEVADA ORANGE 1 15.0 4 624.0 3 306.0 2 139.0 36 5,617.0 Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services See Section III for data definitions, sources, and notes. 262 TABLE 12 HEALTH RESOURCE DATA BY COUNTY CALIFORNIA COUNTY General Acute Care (GAC) Hospitals 2004 Licensed Avg. Beds/ GAC Occu- Length GAC 1,000 Dispancy of Total Beds Pop. charges Rate Stay 3 4 16 11 2 20 21 13 8 4 9 6 15 4 5 1 2 4 9 7 1 1 1 5 4 8 2 1 443 54 2,737 2,572 49 3,457 4,361 3,458 998 434 1,306 661 3,576 450 589 1 61 560 570 956 132 76 25 641 149 1,097 136 149 33,427 1,569 149,531 142,974 2,558 166,633 183,047 100,626 55,207 17,891 47,361 23,590 158,255 19,996 17,323 0 3,398 29,377 28,641 52,134 6,369 5,377 350 32,436 4,791 69,493 9,173 6,980 72.1 22.8 60.4 68.8 42.3 62.3 52.9 42.0 65.1 40.3 45.3 40.8 56.3 46.5 38.2 0.0 42.6 68.7 57.5 70.5 46.9 55.2 10.5 65.0 28.4 69.3 33.4 64.1 3.5 2.9 4.1 4.5 3.0 4.7 4.6 5.3 4.2 4.2 4.6 4.2 4.6 3.8 4.8 0.0 2.9 4.8 4.2 4.7 3.6 2.9 3.8 4.6 3.9 4.0 2.2 5.0 Long Term Care (LTC) Facilities 2004 Other Facilities (Dec. 2004) Doctors FY04-05/Dentists March 2006 Licensed CommuAvg. Avg. Beds/ LTC Occu- nity and Home Persons Persons LTC 1,000 Dispancy Free Special Health Licensed per Licensed per Total Beds Pop. charges Rate Clinics Clinics Agencies Doctors Doctor Dentists Dentist 10 0 48 34 0 49 87 18 26 9 14 17 56 10 7 0 3 8 20 17 5 3 0 13 1 20 7 1 1,151 0 4,466 3,448 0 4,869 8,731 1,396 2,629 874 1,340 1,056 5,573 952 864 0 164 967 1,593 1,739 466 180 0 1,345 120 1,714 678 86 3.9 0.0 2.5 2.5 0.0 2.6 2.9 1.8 4.1 3.4 1.9 2.5 3.2 3.7 4.8 0.0 3.6 2.3 3.3 3.5 5.4 3.0 0.0 3.4 2.1 2.1 3.6 1.3 1,905 0 17,688 8,075 0 13,771 23,720 3,271 4,850 1,707 3,044 2,733 9,632 1,355 1,710 0 209 2,177 2,590 3,718 915 201 0 2,135 138 3,444 893 142 64.8 0.0 79.4 82.3 0.0 70.4 74.1 89.8 89.0 88.1 45.0 60.9 66.8 74.7 76.1 0.0 50.9 48.3 84.5 89.6 84.5 83.1 0.0 81.0 88.2 88.3 54.0 94.3 5 1 23 16 1 16 73 34 12 14 8 13 32 9 14 1 6 5 17 12 5 2 1 15 3 13 6 4 6 0 58 32 0 39 62 11 14 10 12 18 27 6 10 0 0 8 16 11 5 1 0 13 2 24 2 2 4 2 39 25 2 57 54 16 13 7 17 9 22 5 6 0 3 6 12 6 2 5 1 3 3 24 1 1 851 35 2,577 3,803 37 3,173 8,684 5,239 942 742 2,467 1,176 6,100 645 478 1 85 764 1,362 830 201 62 9 474 127 1,720 529 49 346 606 704 358 1,558 601 348 151 683 350 291 354 285 404 373 3,578 532 552 352 601 432 957 1,505 846 454 470 357 1,337 356 19 919 1,015 21 1,080 2,430 1,156 342 199 789 328 2,005 194 114 2 32 265 390 272 69 21 6 180 42 627 100 12 882 1,135 2,102 1,359 2,748 1,831 1,258 688 1,943 1,320 914 1,280 878 1,343 1,588 1,757 1,450 1,593 1,227 1,878 1,313 2,923 2,338 2,318 1,386 1,301 1,889 5,718 PLACER PLUMAS RIVERSIDE SACRAMENTO SAN BENITO SAN BERNARDINO SAN DIEGO SAN FRANCISCO SAN JOAQUIN SAN LUIS OBISPO SAN MATEO SANTA BARBARA SANTA CLARA SANTA CRUZ SHASTA SIERRA SISKIYOU SOLANO SONOMA STANISLAUS SUTTER TEHAMA TRINITY TULARE TUOLUMNE VENTURA YOLO YUBA Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services See Section III for data definitions, sources, and notes. 263 CITY HEALTH DEPARTMENTS TABLE 13 CITY HEALTH DEPARTMENTS CALIFORNIA POPULATION (2004) LIVE BIRTHS (2004) Residence Occurrence LOW BIRTHWEIGHT (2004, residence) NO FIRST TRIMESTER PRENATAL CARE (2004, residence) TOTAL DEATHS (2004) Residence Occurrence FETAL DEATHS (2004) INFANT DEATHS (2004) LEADING CAUSES OF DEATH (2002-2004 average, residence) Heart Disease (ICD-10: I00-I09, I11, I13, I20-I51)………………………… Cancer (ICD-10: C00-C97)…………………………………………………… Stroke (ICD-10: I60-I69)……………………………………………………… Chronic Lower Respiratory Disease (ICD-10: J40-J47)………………….. Unintentional Injuries (ICD-10: V01-X59, Y85-Y86)………………………… Pneumonia and Influenza (ICD-10: J10-J18)……………………………… Diabetes Mellitus (ICD-10: E10-E14)………………………………………. Alzheimer's Disease (ICD-10: G30)………………………………………… Chronic Liver Disease/Cirrhosis (ICD-10: K70, K73-K74)………………… Suicide (ICD-10: U03, X60-X84, Y87.0)……………………………………. Homicide (ICD 10: U01-U02, X85-Y09, Y87.1)…………………………… Hypertension/Hypertensive Renal Disease (ICD 10: I10, I12)…………… Nephritis (ICD 10: N00-N07, N17-N19, N25-N27)………………………… Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services Berkeley 104,130 Number 946 7,621 70 46 572 757 4 3 Number 165.7 150.3 59.3 20.7 29.3 13.3 19.7 21.0 7.7 9.3 3.7 9.7 4.7 Rate 9.1 7.4 4.9 5.5 Ratio Long Beach 486,411 Number 7,884 9,811 563 650 3,069 3,511 52 34 Number 1,087.3 661.7 233.0 197.7 111.0 94.3 99.3 48.0 50.0 43.7 59.3 31.0 27.7 Rate 16.2 7.1 8.3 6.3 Ratio Pasadena 143,797 Number 2,275 3,514 170 168 1,129 1,428 10 12 Number 365.3 258.3 102.7 49.0 31.3 54.0 31.3 30.0 15.3 12.0 7.3 8.7 10.7 Rate 15.8 7.5 7.8 7.9 Ratio a,b Rate 6.6 Rate 4.4 Rate a,b Crude Rate 159.0 144.3 56.9 19.8 28.2 12.8 18.9 20.2 7.4 9.0 3.5 9.3 4.5 4.3 Crude Rate 226.0 137.6 48.4 41.1 23.1 19.6 20.7 10.0 10.4 9.1 12.3 6.4 5.8 5.3 Crude Rate 256.9 181.7 72.2 34.5 22.0 38.0 22.0 21.1 10.8 8.4 5.2 6.1 7.5 * * * * * * * * * * * a Rates and ratios are not calculated if greater than zero, but fewer than five events. b Rates and ratios are not calculated for fewer than 1,000 births in a city or specific age group. See Section III for data definitions, sources, and notes. * Death rate is unreliable because the relative standard error is greater than or equal to 23 percent. 264 SECTION lll DATA DEFINITIONS, SOURCES, FORMULAS, AND FOOTNOTES Section III: Health Data Definitions, Sources, Formulas, and Footnotes Page Population Characteristics............................................................................................................................................ 266 Socioeconomic Characteristics .................................................................................................................................... 267 Live Births .................................................................................................................................................................... 268 Deaths.......................................................................................................................................................................... 270 Communicable Diseases.............................................................................................................................................. 272 County Health Indicators .............................................................................................................................................. 273 Medi-Cal and Medicare Eligibles .................................................................................................................................. 274 Medi-Cal Data .............................................................................................................................................................. 275 Program Clients/Services............................................................................................................................................. 276 Health Resources Data ................................................................................................................................................ 278 Additional Information on Birth, Death, Communicable Disease, and Breastfeeding Statistics.................................... 280 Formulas Used in this Report....................................................................................................................................... 287 Procedure for Calculating Age-Adjusted Rates by the Direct Method .......................................................................... 288 Footnotes ..................................................................................................................................................................... 290 265 POPULATION CHARACTERISTICS (Table 1) DATA ITEM Population Number 2000 Census Population DEFINITION/DESCRIPTION Actual California and county populations based on 2000 Census. Estimated state, county, and city health jurisdiction populations. DATA SOURCES U.S. Census Bureau. Census 2000, Summary File 1. State of California, Department of Finance, Demographic Research Unit. Race/Ethnic Population with Age and Sex Detail, 2000-2050, May 2004. State of California, Department of Finance. E-4 Population Estimates for Cities, Counties and the State, 2001-2006, with 2000 Benchmark, May 2006. Projection for Year: 2004 Projection for Year: 2010 Projection for Year: 2020 By Age Group Under Age 5 Age 5-17 Age 18-64 Age 65+ Percent of total 2004 population in specified age groups. State of California, Department of Finance, Demographic Research Unit. Race/Ethnic Population with Age and Sex Detail, 2000-2050, May 2004. By Sex Females Males Percent of total 2004 population by gender. State of California, Department of Finance, Demographic Research Unit. Race/Ethnic Population with Age and Sex Detail, 2000-2050, May 2004. State of California, Department of Finance, Demographic Research Unit. Race/Ethnic Population with Age and Sex Detail, 2000-2050, May 2004. By Race/Ethnicity White Black Hispanic Asian/Pacific Islander American Indian/ Alaska Native 2 or More Race Groups Percent of total 2004 population by specified race/ethnic group. White includes Other and Unknown races. Race groups for White, Black, Asian/Pacific Islander, American Indian/Alaska Native, and persons identifying Two or More Races exclude persons of Hispanic ethnicity. Hispanic ethnicity includes any race group. Urban/Rural Urban Rural Percent of total 2000 population living in urban or rural areas. Urban includes places of 2,500 or more persons incorporated as cities, villages, boroughs, and towns. U.S. Census Bureau. Census 2000 of Population and Housing, Summary File 3. Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 266 SOCIOECONOMIC CHARACTERISTICS (Table 2) DATA ITEM Below Poverty Level Total Population Children under 6 Persons Age 65 + White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native Two or More Races DEFINITION/DESCRIPTION 1999 data. Federally established “poverty” thresholds include family income for two persons at $10,869, four persons at $17,029, and six persons at $22,727. Persons in the Two or More Races group are not included in the single race groups. White includes a “Some Other Race” category. Single race groups for White, Black, Asian/Pacific Islander, American Indian/Alaska Native, and persons identifying Two or More Races may also include persons of Hispanic ethnicity. Hispanic ethnicity includes any race group. DATA SOURCES U.S. Census Bureau, Census 2000 of Population and Housing, Summary File 3. Income/Housing Value Median Family Income Median Housing-Unit Value Census 1999 data. Census 2000 data. U.S. Census Bureau, Census 2000 of Population and Housing, Summary File 3. CalWORKS CalWORKS Recipients as a Percent of County/State Population CalWORKS January 2005 data. Percent of total 2005 population receiving CalWORKS assistance. State of California, Department of Social Services, Research and Development Division. Annual Trends. State of California, Department of Finance, Demographic Unit, 2005 Population: Report E-1 City/County Population Estimates, May 2005. Social Security Administration, Office of Policy. SSI Recipients by State and County, 2004. March 2005. State of California, Department of Finance, E-2 California County Population Estimates and Components of Change by Year, July 1, 2000-2004. February 2005. State of California, Employment Development Department, Labor Market Information Division, Monthly Labor Force Data for Counties, Annual Average 2005, Not Seasonally Adjusted, March 3, 2006. U.S. Census Bureau, Census 2000 of Population and Housing, Summary File 3. State of California, Department of Education, Enrollment Data FY 2004-2005. SSI/SSP SSI/SSP Recipients as a Percent of County/State Population SSI/SSP December 2004 data. Percent of total 2004 population receiving SSI/SSP assistance. Unemployment % Of Civilian Labor Force Unemployed Annual average percentage of the 2005 monthly civilian labor force that was employed. Education % Age 25+ Not Finishing High School Enrollment K-12 Percent of 2000 population not finishing high school. Grades K-12 enrollment for public and private schools for FY 2004-2005. Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 267 LIVE BIRTHS (Table 3) DATA ITEM Live Birth Numbers/Rates Number of Live Births by: County of Residence County of Occurrence Birth Rate DEFINITION/DESCRIPTION Number of 2004 live births by place of residence. Number of 2004 live births in the county regardless of the place of residence. Crude birth rate for 2004 county residents per 1,000 estimated population. DATA SOURCES State of California, Department of Health Services, Birth Records. State of California, Department of Finance, Demographic Research Unit, Race/Ethnic Population with age and Sex Detail, 2000-2050, May 2004. By Race/Ethnicity White Black Hispanic Asian/Pacific Islander American Indian/Alaska Native Two or More Races Percent of total 2004 births by mother’s specified race/ethnic group. White includes Other and Unknown races. Race groups for White, Black, Asian/Pacific Islander, American Indian/Alaska Native, and mothers identifying Two or More Races exclude mothers of Hispanic ethnicity. Hispanic ethnicity includes any race group. State of California, Department of Health Services, Birth Records. Birthweights % Low Birthweight % Very Low Birthweight Percent of 2004 live births with infants weighing less than 2,500 grams. Percent of 2004 live births with infants weighing less than 1,500 grams. State of California, Department of Health Services, Birth Records. State of California, Department of Health Services, Birth Records. Teen Births/Marital Status % Of Mothers under Age 18 Years % Not Married Percent of 2004 live births to mothers under age 18. Percent of 2004 live births to mothers who were not married. Starting in 1997 marital status is determined through verbal response by the mother when the birth certificate is completed. Prior to 1997, the marital status was estimated. Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 268 LIVE BIRTHS (Continued) DATA ITEM Education % Mothers under 12 Years of Education Percent of 2004 live births to mothers with less than 12 years of reported education. State of California, Department of Health Services, Birth Records. DEFINITION/DESCRIPTION DATA SOURCES Prenatal Care % No First Trimester Prenatal Care Percent of 2004 live births for which there were “zero” prenatal care visits reported or care began in the second or third trimester of pregnancy. State of California, Department of Health Services, Birth Records. Delivery Method % By Cesarean Section Percent of 2004 live births with method of delivery reported as cesarean section. State of California, Department of Health Services, Birth Records. Out-of-County Births % Born Out-of-County Percent of 2004 live births occurring outside the county of residence of the mother. State of California, Department of Health Services, Birth Records. Method of Payment % Funded by Medi-Cal/Other Government Percent of 2004 live births with Medi-Cal or other government program reported as the expected principal source of payment for delivery. Percent of 2004 live births with HMO or prepaid health plan reported as the expected principal source of payment for delivery. Percent of 2004 live births with private insurance reported as the expected principal source of payment for delivery. State of California, Department of Health Services, Birth Records. % Funded by HMO/Prepaid % Funded by Private Insurance Fertility Rate General Fertility Rate Three-year average number of 2002-2004 live births by mother’s residence per 1,000 estimated 2003 female population of childbearing age (15-44). State of California, Department of Health Services, Birth Records. Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 269 DEATHS (Tables 4, 5, and 6) DATA ITEM Number of Deaths Deaths by County of Residence Deaths by County of Occurrence DEFINITION/DESCRIPTION Number of county resident deaths for calendar year 2004. Number of deaths occurring in county for calendar year 2004, regardless of residence. See Section III, page 287 for rate formulas. Rates are calculated using the number of 2004 deaths and the 2004 estimated population. Rates are calculated using three-year average deaths for 2002-2004, estimated mid-year 2003 population, and 2000 population weights. DATA SOURCES State of California, Department of Health Services, Death Records. Crude/Age-Adjusted Rates Crude Death Rate (Per 1,000 population) Age-Adjusted Death Rate (Per 100,000 population) State of California, Department of Health Services, Death Records. State of California, Department of Finance, Demographic Research Unit, Race/Ethnic Population with Age and Sex Detail, 2000-2050, May 2004. Age-Specific Death Rates (Per 100,000 population) Age Age Age Age Age Age Age Age Age Age 1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ See Section III, page 287 for rate formulas. Rates are calculated using a three-year average number of deaths for 2002-2004 and the estimated mid-year population for 2003 for the specified age groups. State of California, Department of Health Services, Death Records. State of California, Department of Finance, Demographic Research Unit, Race/Ethnic Population with Age and Sex Detail, 2000-2050, May 2004. Fetal and Neonatal Deaths Fetal Deaths Fetal Death Ratio Neonatal Deaths Neonatal Death Rate See Section III, page 287 for ratio/rate formulas. Birth and death data are for calendar year 2004. Number of fetal deaths reported of 20 or more weeks of gestation. (Fetal deaths under 20 weeks gestation are not reported.) Ratio of fetal deaths (20 or more weeks of gestation) per 1,000 live births. Number of deaths to newborns under 28 days old. Rate of neonatal deaths per 1,000 live births. 270 State of California, Department of Health Services, Fetal Death Records. State of California, Department of Health Services, Birth Records. State of California, Department of Health Services, Death Records. Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services DEATHS (Continued) DATA ITEM Infant Deaths/Rate (Death Master File) Infant Deaths Infant Death Rate DEFINITION/DESCRIPTION See Section III, page 287 for rate formulas. Number of 2004 deaths to resident infants under one year of age. Rate of 2004 infant deaths per 1,000 live births. See Section III, page 287 for rate formulas. Rate of infant deaths by mother’s race/ethnic group in the 2003 birth cohort file per 1,000 live births in that race/ethnic group. First listed race was used to designate race group. White, Black, and Asian/Pacific Islander exclude Hispanic. White includes Other and Unknown races. The American/Alaska Native group is included in the “All Race/Ethnic Groups” category. Hispanic ethnicity includes any race group. See Section III, page 287 for rate formulas. Total number of 2003 birth cohort file neonatal deaths plus fetal deaths. Rate of 2003 birth cohort perinatal deaths by mother’s race/ethnicity per 1,000 total births in the birth cohort file (live births plus fetal deaths). Definition of race/ethnicity is the same as for infant death rates (birth cohort file) shown above. DATA SOURCES State of California, Department of Health Services, Death Records. State of California, Department of Health Services, Birth Records. State of California, Department of Health Services, Birth Cohort Records. Infant Death Rates (Birth Cohort File) Infant Death Rates by Mother’s Race/Ethnic Group: All Race/Ethnic Groups White Black Hispanic Asian/Pacific Islander Perinatal Deaths (Birth Cohort File) Total Perinatal Deaths Perinatal Death Rates by Mother’s Race/Ethnic Group: All Race/Ethnic Groups White Black Hispanic Asian/Pacific Islander State of California, Department of Health Services, Birth Cohort Records. Crude Death Rates By Cause (Per 100,000 population) Heart Disease……………………………………... Cancer……………………………………………… Stroke………………………………………………. Chronic Lower Respiratory Disease…………….. Unintentional Injuries……………………………... Pneumonia/Influenza……………………………… Diabetes/Mellitus………………………………….. Alzheimer’s Disease………………………………. Chronic Liver Disease/Cirrhosis…………………. Suicide……………………………………………… Homicide…………………………………………… Hypertension/Hypertensive Renal Disease…….. Nephritis……………………………………………. Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services See Section III, page 287 for rate formulas. Rates are calculated using 2002-2004 three-year average deaths and estimated 2003 population. ICD 10th Revision: ICD Codes I00-I09, I11, I13, I20-I51 ICD Codes C00-C97 ICD Codes I60-I69 ICD Codes J40-J47 ICD Codes V01-X59, Y85-Y86 ICD Codes J10-J18 ICD Codes E10-E14 ICD Codes G30 ICD Codes K70, K73-K74 ICD Codes U03, X60-X84, Y87.0 ICD Codes U01-U02, X85-Y09, Y87.1 ICD Codes I10, I12 ICD Codes N00-N07, N17-N19, N25-N27 State of California, Department of Health Services, Death Records. State of California, Department of Finance, Demographic Research Unit, Race/Ethnic Population with Age and Sex Detail, 2000-2050, May 2004. State of California, Department of Finance, Demographic Unit, E-4 Population Estimates for Cities, Counties, and the State, 2001-2005, May 2005. 271 COMMUNICABLE DISEASES (Table 7) DATA ITEM Disease Cases/Crude Rates Number of Reported Cases DEFINITION/DESCRIPTION See Section III, page 287 for rate formulas. Three-year average numbers of cases for 2002-2004. Rounding may cause small counties to have zero reported cases, but still have a case rate, or to have a different case rate for two diseases that show the same number of cases. Rates are calculated using three-year average numbers of 2002-2004 communicable disease cases and the estimated 2003 population. All hepatitis types—new cases only. Reports issued before the 2004 report included data on total cases (new and continuing cases); thus these data are not comparable with reports issued before 2004. Rubeola. All shigellosis types. DATA SOURCES State of California, Department of Finance, Demographic Research Unit, Race/Ethnic Population with Age and Sex Detail, 2000-2050, May 2004. Crude Case Rates Hepatitis State of California, Department of Health Services, Division of Communicable Disease Control. Measles Shigellosis Tuberculosis Syphilis Gonorrhea Chlamydia Primary and secondary syphilis cases. State of California, Department of Health Services, Tuberculosis Control Unit. State of California, Department of Health Services, Sexually Transmitted Disease Control Program. AIDS Cases and Deaths AIDS Cases Number of AIDS Deaths Number of cumulative Acquired Immunodeficiency Syndrome (AIDS) cases reported at onset of illness from 1981 through 2005. Number of cumulative AIDS deaths from 1981 through 2005. Percent of AIDS cases resulting in death from 1981 through 2005. State of California, Department of Health Services, Office of AIDS. Percent of Total AIDS Cases Resulting in Death Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 272 SELECTED COUNTY HEALTH INDICATORS (Table 8) DATA ITEM Traffic Accident Injuries in County Traffic Accident Injuries DEFINITION/DESCRIPTION Number of 2003 accident victims in motor vehicles, including motorcyclists, bicyclists, and pedestrians by county of occurrence; excludes fatalities. See Section III, page 287 for rate formulas. Three-year average number of work-related deaths 2002-2004 determined by underlying cause of death with ICD-10 codes U01-U03, V01-Y89, and injured at work coded as “yes.” Rates are calculated using three-year average deaths for 2002-2004, estimated 2003 population for specific age groups, and 2000 standard population proportions. Three-year average number of drug-induced deaths for 2002-2004 determined by underlying cause of death with ICD-10 codes: F11.0-F11.5, F11.7-F11.9, F12.0-F12.5, F12.7-F12.9, F13.0-F13.5, F13.7-F13.9, F14.0-F14.5, F14.7-F14.9, F15.0-F15.5, F15.7-Fl5.9, F16.0-F16.5, F16.7-F16.9, F17.0, F17.3-F17.5, F17.7-F17.9, F18.0-F18.5, F18.7-F18.9, F19.0-F19.5, F19.7-F19.9, X40-X44, X60-X64, X85, Y10-Y14. Rates are calculated using three-year average deaths for 2002-2004, estimated 2003 population, and 2000 standard population proportions. Number of persons listed by primary drug used that were admitted, regardless of their place of residence, to licensed or publicly-funded facilities for substance abuse treatment in the county during calendar year 2004. The counties of Sutter and Yuba combine their treatment services and are reported under Yuba County. DATA SOURCES State of California, Department of California Highway Patrol, 2003 Annual Report of Fatal and Injury Motor Vehicle Traffic Collisions. State of California, Department of Health Services, Death Records. State of California, Department of Finance, Demographic Research Unit, Race/Ethnic Population with Age and Sex Detail, 2000-2050, May 2004. Work-Related and Drug-Induced Deaths and Rates Work-Related Deaths Work-Related Age-Adjusted Death Rates (per 100,000 population) Drug-Induced Deaths Drug-Induced Age-Adjusted Death Rates (per 100,000 population) Substance Abuse Treatment Admissions by Primary Drug Used Methamphetamine Cocaine Marijuana Alcohol State of California, Department of Alcohol and Drug Programs, Office of Applied Research and Analysis. Homicide Total Homicide by Weapons Homicide by Handguns Number of 2004 homicide deaths by weapons in county of occurrence. Number of homicide deaths by handguns in county of occurrence. Number of Fall 2005 conditional entrants to kindergarten who needed one or more immunizations including polio, DPT, MMR, Hep B, and/or Varicella. Percent of all kindergarten students needing immunizations (conditional entrants). State of California, Department of Justice, Criminal Justice Statistics Center. Willful Homicides Crimes 2004 by Type of Weapon. Kindergarteners Needing One or More Immunizations Number % Of All Kindergarten Students State of California, Department of Health Services, Immunization Branch. Kindergarten Assessment-California, 2005. Table 2: Total Enrollment and Admission Status by County. Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 273 MEDI-CAL AND MEDICARE ELIGIBLES (Table 9) DATA ITEM Medi-Cal Eligibles (2003) Number of Eligibles DEFINITION/DESCRIPTION Number of 2003 average monthly county Medi-Cal eligibles including fee-for-service, Health Care Plan (formally Prepaid Health Plan), and County Organized Health Systems. Percent of estimated 2003 county population who are Medi-Cal eligibles. Percent of total county Medi-Cal eligibles by race/ethnicity. DATA SOURCES State of California, Department of Health Services, Medical Care Statistics Section, California’s Medical Assistance Program, Annual Statistical Report, Calendar Year 2003. March 2005. State of California, Department of Finance, Demographic Research Unit, Race/Ethnic Population with Age and Sex Detail, 2000-2050, May 2004. % of County Population Eligibles by Race/Ethnicity: White, Black, Hispanic, American Indian/Alaska Native, Asian/Pacific Islander, Not Reported Medicare Enrollees Enrollees Aged 65+ Enrollees include 2003 county residents aged 65 and older enrolled in Medicare hospital and/or supplemental medical insurance. Percent of 2003 estimated county population who were aged 65+ Medicare enrollees. Beneficiaries include 2003 county residents under age 65 entitled to cash disability benefits for at least 24 consecutive months and those eligible solely on the basis of end-stage renal disease enrolled in hospital and/or supplemental medical insurance. Percent of 2003 estimated county population who were Medicare disability beneficiaries. Total number of county Medicare enrollees including aged 65+ and disability beneficiaries. Percent of 2003 estimated county population who were Medicare enrollees. Percent of county Medi-Cal eligibles in an average month during 2003 who are eligible for both the Federal “Medicare” and State “Medi-Cal” programs. State of California, Department of Health Services, Medical Care Statistics Section. U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services. State of California, Department of Finance, Demographic Research Unit, Race/Ethnic Population with Age and Sex Detail, 2000-2050, May 2004. % of County Population Disability Beneficiaries % of County Population Total Enrollees: Number Enrolled % of County Population Dual Eligibles % of Dual Eligibles for Medicare and Medi-Cal Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 274 MEDI-CAL DATA (Table 10) DATA ITEM Medi-Cal FFS Users (2003) Number DEFINITION/DESCRIPTION Number of average monthly 2003 Medi-Cal fee-for-service (FFS) users includes Monterey, Napa, Orange, San Mateo, Santa Barbara, Santa Cruz, Solano, and Yolo county organized health system users with FFS exceptions for certain procedures. Percent of estimated 2003 county population who utilized Medi-Cal FFS health care services. Percent of 2003 estimated county Medi-Cal eligibles who utilized Medi-Cal FFS health care services. Number of average monthly 2003 county Medi-Cal beneficiaries using dental services paid by fee-for-service method. Total number of Medi-Cal deliveries for county residents. Number of Medi-Cal deliveries for county residents paid by FFS. Number of Medi-Cal deliveries for county residents paid by capitation rate. Numbers exclude managed care plan services. Number of 2003 induced abortions funded by Medi-Cal FFS for county resident beneficiaries. NOTE: Data on abortions by provider type is no longer available. Number of county residents enrolled in Medi-Cal managed care plan as of July 2003. DATA SOURCES State of California, Department of Health Services, Medical Care Statistics Section. California’s Medical Assistance Program, Annual Statistical Report, Calendar Year 2003. March 2005. % of Population % of Eligibles Denti-Cal (2003) Average Monthly Users State of California, Department of Health Services, Medical Care Statistics Section. California’s Medical Assistance Program, Annual Statistical Report, Calendar Year 2003. March 2005. State of California, Department of Health Services. Medical Care Statistics Section. Medi-Cal Funded Deliveries, Calendar Year 2003. August 2005. Medi-Cal Deliveries (2003) Total by County of Beneficiary Fee-For-Service Total Managed Care Total Medi-Cal Funded Abortions (2003) Total by County of Beneficiary State of California, Department of Health Services, Medical Care Statistics Section. Medi-Cal Funded Induced Abortions, Calendar Year 2003. March 2006. Managed Care Plan Enrollees Total Managed Care Plan Enrollees State of California, Department of Health Services, Medical Care Statistics Section. California’s Medical Assistance Program, Managed Care Annual Statistical Report, 2003. August 2004. State of California, Department of Health Services, Medical Care Statistics Section. California’s Medical Assistance Program, Annual Statistical Report, Calendar Year 2003. March 2005. Medi-Cal Payments (2003) Number of Providers Paid: Physicians Dentists Average Monthly Dollar Amount Average Amount Per User Number of selected providers that received Medi-Cal FFS payments in 2003. Total average monthly 2003 FFS payments made to providers for Medi-Cal services rendered to the county’s Medi-Cal beneficiaries. Average FFS payment per Medi-Cal user. Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 275 PROGRAM CLIENTS/SERVICES (Table 11) DATA ITEM Breastfeeding Initiation Percent of Infants Breastfed During Early Postpartum DEFINITION/DESCRIPTION Percent of breastfed infants based on three-year average number of births for 2002-2004 with known feeding method at time of hospital discharge. Infants include both those breastfed only and those supplementing breastfeeding with formula. DATA SOURCES State of California, Department of Health Services, Maternal, Child, and Adolescent Health Branch, using data collected by the Genetic Disease Branch, Newborn Screening Survey. Family Planning (FY 2004-05) Family Planning Clients Number of clients served in Family Planning, Access, Care, and Treatment Program (Family PACT) during fiscal year 2004-05. State of California, Department of Health Services, Office of Family Planning (OFP). All Visits Reported to OFP. WIC (February 2006) Women and Children < 5 Receiving WIC Services Number of low-income pregnant, breastfeeding, and postpartum women and children under age 5 receiving services under the Women, Infants and Children (WIC) Supplemental Nutrition Program as of February 1, 2006. State of California, Department of Health Services, Women, Infant s, and Children Supplemental Nutrition Branch. CHDP Child Health and Disability Prevention Program Clients Number of children that received health assessments from Child Health and Disability Prevention (CHDP) in fiscal year 2003-04 reimbursed by Medi-Cal funds or the 100 percent State-funded program. Number of providers conducting CHDP assessments in March 2006. State of California, Department of Health Services, Children’s Medical Services Branch. Child Health and Disability Prevention Program Providers CCS (FY 2004-05) California Children Services Cases Number of cases in an average quarter for fiscal year 2004-05 for persons under age 21 receiving diagnostic, treatment, and therapy services from California Children Services (CCS) funded by Medi-Cal, Healthy Families, and CCS. State of California, Department of Health Services, Children’s Medical Services Branch. Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 276 PROGRAM CLIENTS/SERVICES (Continued) DATA ITEM Developmentally Disabled (July 2005) Developmental Disability Consumers DEFINITION/DESCRIPTION Number of persons served by residence county that received services (includes those with status codes High Risk Infant, Active, or in a Developmental Center) as of July 2005. DATA SOURCES State of California, Department of Developmental Services, Planning and Research Branch. Aging Preventive Health (FY 2004-05) Preventive Health Care for the Aging (PHCA) Comprehensive Health Assessment Clients Unduplicated number of adults aged 55 and older who received clinical preventive health services in fiscal year 2004-05 as part of the PHCA Program. Number of client encounters with other PHCA program services during fiscal year 2004-05 including non-comprehensive visits, health clinics, health fairs, and group education. State of California, Department of Health Services, Preventive Health Care for the Aging. Other Client Encounters Rehabilitation Services (FY 2004-05) Rehabilitation Services Clients Number of clients who received vocational rehabilitation services in fiscal year 2004-05. State of California, Department of Rehabilitation, Program Evaluation and Statistics Section. Mental Heath Services (FY 2004-05) State Mental Hospital Admissions Number of mental hospital admissions, both LPS and non-LPS admissions, in fiscal year 2004-05. (LPS refers to Lanterman, Petris, and Short; State legislation governing admissions to State mental hospitals.) Number of clients who received services from county mental health programs during fiscal year 2004-05. State of California, Department of Mental Health, Hospital Operations. Clients Receiving County Mental Health Services State of California, Department of Mental Health, Statistics and Data Analysis. Hospice (December 2004) Hospice Facilities Number of freestanding hospice facilities licensed as of the end of the 2004 calendar year. State of California. Office of Statewide Health Planning and Development. Facility Listings, December 31, 2004. Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 277 HEALTH RESOURCES DATA (Table 12) DATA ITEM General Acute Care Hospitals (2004) Total Number GAC Hospitals DEFINITION/DESCRIPTION Number of licensed community General Acute Care Hospitals (GAC) during calendar year 2004. Number of licensed general acute care hospital beds for 2004. Number of licensed hospital beds per 1,000 total estimated 2004 county population. Number of licensed hospital patient discharges for 2004. Number of average daily hospital patient days divided by available licensed bed days. Number of hospital patient days divided by number of discharges. DATA SOURCES State of California, Office of Statewide Health Planning and Development. Annual Utilization Report of Hospitals Database, Calendar Year 2004. State of California, Department of Finance, Demographic Research Unit, Race/Ethnic Population with Age and Sex Detail, 2000-2050, May 2004. Licensed GAC Beds Licensed GAC Beds Per 1,000 Population Total GAC Discharges Total GAC Occupancy Rate Average GAC Length of Stay Long Term Care Facilities (2004) Total Number LTC Facilities Number of licensed Long Term Care (LTC) facilities during calendar year 2004. Includes skilled nursing facilities, intermediate care, intermediate care/disabled disabled, and congregate living health facilities. Number of licensed LTC beds for 2004. Number of licensed LTC beds per 1,000 total estimated 2004 county population. Number of LTC discharges. Number of LTC patient days divided by available LTC bed days. State of California, Office of Statewide Health Planning and Development. Annual Utilization Report of Long Term Care Facilities Data, Calendar Year 2004. State of California, Department of Finance, Demographic Research Unit, Race/Ethnic Population with Age and Sex Detail, 2000-2050, May 2004. Licensed LTC Beds Licensed LTC Beds Per 1,000 Population LTC Discharges LTC Occupancy Rate Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 278 HEALTH RESOURCES DATA (Continued) DATA ITEM Other Facilities (2004) Community and Free Clinics DEFINITION/DESCRIPTION Number of community and free clinics licensed as of the end of the 2004 calendar year. Number of specialty clinics licensed as of the end of the 2004 calendar year. Number of home health agencies licensed as of the end of the 2004 calendar year. DATA SOURCES State of California, Office of Statewide Health Planning and Development. Facility Listings, December 31, 2004. Specialty Clinics Home Health Agencies Physicians and Dentists Licensed Physicians (FY 2004-05) Licensed Dentists (March 2006) Number of licensed physicians and surgeons for fiscal year 2004-05. Number of active licensed dentists as of March 20, 2006. Medical Board of California, Physicians and Surgeons valid licenses. State of California, Department of Consumer Affairs. Office of Information Services. Health Data Summaries for California Counties 2006 Center for Health Statistics, Department of Health Services 279 ADDITIONAL INFORMATION ON BIRTH, DEATH, COMMUNICABLE DISEASE, AND BREASTFEEDING STATISTICS Mortality: A consistent use of the consensus set of health status indicators has been facilitated by reference to the causes of mortality coded according to the International Classification of Diseases, Tenth Revision (ICD-10). Cause of death coding using ICD-10 began with reporting mortality data for the 1999 calendar year. International Classification of Diseases, Ninth Revision (ICD-9) for coding cause of death was used in reporting mortality data for calendar years 1979 through 1998. The change to ICD-10 follows a worldwide standard created by the World Health Organization. In the United States, the National Center for Health Statistics (NCHS) sets the standards for implementation of the ICD-10. Due to these changes, readers and users of these data are cautioned that mortality rates including data prior to 1999 are not necessarily comparable to those including 1999 forward, and should not be used to create trend data. Morbidity: In general, the case definition of a disease is in terms of laboratory test results, or in the absence of a laboratory test, a constellation of clearly specified signs and symptoms that meet a series of clinical criteria. Case definitions for acquired immunodeficiency syndrome (AIDS), chlamydia, gonorrhea, hepatitis, measles, shigellosis, syphilis, and tuberculosis are contained in the "MMWR, Recommendations and Reports," Volume 46, Number RR-10, May 2, 1997. Due to incomplete reporting of infectious and communicable diseases by many health care providers, caution is advised in interpreting morbidity data. Many factors contribute to the underreporting of these diseases. These factors include: lack of awareness regarding disease surveillance; lack of follow-up on support staff assigned to report; failure to perform diagnostic lab tests to confirm or rule out infectious etiology; concern for anonymity of the client; and expedited treatment in lieu of waiting for laboratory results because of time or cost constraints. All vital events are subject to the vagaries of reporting. This fact forms the basis for the argument supporting the concept of sampling error in vital statistics. The problem of the uncertainty of reporting all events can be especially true for morbidity data. Therefore, AIDS, chlamydia, gonorrhea, hepatitis, measles, shigellosis, syphilis, and tuberculosis emphasize that the data show only reported number of cases. For more complete and technical definitions of types of morbidity, contact the Division of Communicable Disease Control or the Office of AIDS. 280 Birth Cohort Infant Mortality: The infant mortality rate is the number of deaths among infants under one year of age per 1,000 live births. It is a universally accepted and easily understood indicator, which represents the overall health status of a community. Studies of infant mortality that are based on information from death certificates alone have been found to underestimate infant death rates for infants of all race/ethnic groups and especially for certain race/ethnic groups. This report displays both infant mortality rates from the 2004 Death Statistical Master File and the 2003 Birth Cohort-Perinatal Outcome File for comparison. However, infant mortality rates based on linked birth and infant death records in the Birth CohortPerinatal Outcome File generate more accurate estimates of the total number of infant deaths as well as more accurate race-specific infant mortality rates. The race used on the race-specific infant mortality tables is the race of the mother, thus both the numerator and the denominator used for rate calculations reflect the mother’s race only. Since delayed birth and death certificate data are included in the Birth Cohort-Perinatal Outcome Files after the Birth and Death Statistical Master Files have been closed to further processing, cohort files cannot be as timely as the Statistical Master Files. However, the Birth Cohort-Perinatal Outcome Files are more likely complete. Race/Ethnicity: Race/ethnicity for population closely aligns with the 1997 Office of Management and Budget (OMB) revised minimum standards for collecting, maintaining, and presenting data on race and ethnicity. Descriptions of the minimum standards are in the 1997 OMB Directive 15, which may be reviewed at the following website: http://www.whitehouse.gov/omb/fedreg/ombdir15.html Effective with the 2000 calendar year, this state began collecting up to three races on birth and death certificates to facilitate reporting of data on persons identifying with two or more races (multi-race). Our statistical master files also include a first listed race code. This report uses the multi-race code in determining the major race/ethnic group reported for births and deaths (non birth cohort). Mother’s race is used in reporting all births and fetal deaths. Using the multi-race code, race/ethnicity was grouped for births and deaths by determining Hispanic origin first, irrespective of race, and then second, determining the remaining non-Hispanic race categories. The Hispanic ethnic group includes any race, but is made up primarily of the White race. Of the non-Hispanic race categories, the next group that is selected for births and deaths (non birth cohort) is the “Two or More Races” group. The remaining mother’s race data were sorted in single race groups as follows: American Indian/Alaska Native includes Aleut, American Indian, and Eskimo; Pacific Islander includes Guamanian, Hawaiian, Samoan, and Other Pacific Islander; Asian includes Asian Indian, Asian (specified/unspecified), Cambodian, Chinese, Filipino, Hmong, Japanese, Korean, Laotian, Thai, and 281 Vietnamese; Black includes Black or African American; White includes White, Other (Specified), Not Stated and Unknown. Not Stated and Unknown include data for mothers who declined to state their race or for whom the data was not obtainable for other reasons. Race/ethnicity groups reported for birth cohort file births/infant deaths were selected based on the mother’s first listed race unless Hawaiian appeared as the second or third listed race, in which case Hawaiian would be selected as the first race. Using the first listed race code is basically comparable with data reported for prior periods with the following caveats; the Asian/Pacific Islander group now excludes Aleut, American Indian, and Eskimo, previously reported as Asian/Other, which could have an impact on these small numbers; the White group includes the Not Stated and Unknown race/ethnic group data included in previous reports, but the relatively small number of these events in this large group may not substantially impact a county’s rate. While data for the excluded groups are not reported individually, they are included in the All Race/Ethnic Groups category. Natality: The natality data were obtained from the Birth Statistical Master Files. Records with unknown birthweight were excluded from the total number of live births in calculating the percentage of births that were low birthweight and very low birthweight. This calculation methodology was also applied if records contained an “unknown” for any other specified birth risk factor such as mother’s under aged 18 years, unmarried, under 12 years education, no first trimester prenatal care, and cesarean section. Low birthweight has been associated with negative birth outcomes, and as an indicator of access problems and/or need for prenatal care services. Prevalence of low birthweight is defined as the percentage of live births weighing less than 2,500 grams (approximately 5.5 pounds). Birth rates of adolescents are also an indicator for other high-risk pregnancy factors. The adolescent birth rate for this report is defined as the number of births to mothers under aged 18 years per 1,000 female population under aged 18 years. The prenatal care indicator, Month Prenatal Care Began, has been associated with access to care. Late prenatal care is defined as the percentage of mothers who did not begin prenatal care in the first trimester. However, it cannot be assumed that the remaining percentage of births were to mother's who received adequate prenatal care for their pregnancy even though prenatal care began in the first trimester. According to some researchers, this indicator fails to document whether or not prenatal care actually continues for the course of the pregnancy. Therefore, in addition to No First Trimester Prenatal Care, interested parties should review the County Health Status Profiles report, which includes a table on adequacy of prenatal care based on the Adequacy of Prenatal Care Utilization Index. 282 Infants Breastfed During Early Postpartum: The breastfeeding initiation data presented in this report were obtained from the Genetic Disease Branch, Newborn Screening Program with analyses by the Epidemiology and Evaluation Section, Maternal, Child and Adolescent Health Branch. The Newborn Screening Program collects feeding data from all mothers who gave birth in a California hospital, usually within 24 hours of birth. Data on births that occurred outside of California, at home, or in-transit were not collected through this Program and are not represented in these statistics. These births, however, accounted for less than 1.0 percent of the total resident live births in California. The feeding data captured by the Newborn Screening Program were compiled as follows: 1) Breast only, 2) Formula only, 3) Breast and Formula, 4) Other, 5) Total Parenteral Nutrition/Hyperal, and 6) Unknown feeding method at the time of hospital discharge. The breastfeeding initiation data presented are a composite of both “breast only” and “breast and formula” fed infants. Records that were of “unknown” feeding type were excluded from the analyses. The infant feeding data collected on the Newborn Screening form reflect the intentions of the mother at that time, and no follow-up survey is conducted to validate the accuracy of the information after the mother is discharged from the hospital. Caution should also be taken when analyzing breastfeeding initiation data alone because breastfeeding duration is not taken into consideration. Examination of breastfeeding initiation data along with duration data is recommended to thoroughly measure the effects of breastfeeding. Since appropriate data are not currently available, breastfeeding duration data are not presented in this report. Crude Rates And Age-Adjusted Rates: The numerator data used to compute rates were generally three-year averages (unless otherwise indicated) compiled by county of residence of the decedent for the mortality statistics; county of residence of the mother for birth data (including linked birth-death data for infant mortality); and county of occurrence for morbidity data, except for AIDS, which was compiled by county of residence. Three-year averages tend to reduce the year-to-year fluctuations and increase the stability rates for vital events compared with rates calculated for single years. A non-standardized rate (or "crude rate") is calculated by dividing a total number of vital events (e.g., deaths) by the total population at risk then multiplying by some convenient base (e.g., 100,000). Subpopulations (such as counties) with varying age compositions can have highly disparate death rates, since the risk of dying is primarily a function of age. Therefore, counties with a large component of elderly tend to have high death rates. Any unwanted effect of different age compositions among counties can be removed from the county death rates by the process of "age-adjustment." By removing the effect of different age compositions, a county’s age-adjusted rate is directly comparable with rates of other counties, California, other states, and the Healthy People 2010 National Objectives. 283 Age-adjusted death rates are hypothetical rates obtained by calculating age-specific rates for each county and multiplying these rates by proportions of the same age categories in a "standard population," then summing the apportioned specific rates to a county total. The "standard population" used in the age-adjusted rates in this report is the 2000 United States (U.S.) Standard Population. The age-adjusted rates put all counties on the same footing with respect to the effect of age and permit direct comparisons among counties. It is important to understand that age-adjusted death rates should be viewed as constructs or index numbers rather than as actual measures of the risk of mortality. Crude death rates, which include the effect of age, are the rates that should be applied when measuring the actual risk of dying in a specific population. For further information on age-adjusted rates, see the NCHS report by Curtin and Klein on "Direct Standardization." Data for the morbidity tables were not age-adjusted due to the unavailability of the morbidity data by age. Hence, only crude rates were calculated. Although age and aging do affect morbidity, the effect is not as prominent as its effect on mortality. Birth cohort infant death rates are not age-adjusted. Since the deaths are linked to the births on a record-by-record basis, these rates are based on a numerator (deaths) and a denominator (births) from the same record. Age adjusting is not applicable to these data. Comparisons among counties reflect the actual risk of dying within the one year of birth in the cohort of births, and at the same time, are unaffected by confounding of different age compositions because the cohorts are all of the same age (under one year). Reliability Of Rates: All vital statistics rates, including morbidity rates, are subject to random variation. This variation is inversely related to the number of events (e.g., death) used to calculate the rate. Small frequency in the occurrence of an event results in the greater the likelihood that random fluctuations will be found within a specified time period. Rare events are relatively less stable in their occurrence from observation to observation. Even present day statewide crude death rates may be interpreted as "rare" events occurring on the average of less than one death in 150 persons in the course of a year. As a consequence, counties with only a few deaths, or a few cases of morbidity, can have highly unstable rates from yearto-year. The observation and enumeration of rare events is beset with uncertainty. The observation of no vital events is especially hazardous, regardless of the size of the population. This report reduces some year-to-year fluctuation in the occurrence of rare events by basing some rates on three-year average number of vital events (e.g., 2002-2004), divided by the population in the middle year (e.g., 2003). The "standard error" of a death rate and "coefficient of variation" (or relative standard error) provide a rational basis for determining which rates may be considered “unreliable.” 284 Although reliability of a rate is not either-or/on-off in this report, counties with a relative standard error greater than or equal to 23 percent of the rate or percent are marked with an asterisk (*). This criterion conforms to the standard used by the NCHS in determining the reliability cut-off for rates and percents. In addition, rates of zero cannot be calculated and are considered indeterminate. Furthermore, whenever the standard error is indeterminate, the confidence limits are not calculated. The 95 percent confidence limits depict the region within which (if data similar to the present set were independently acquired on 100 separate occasions) the rate would probably occur in 95 of those sets of data. In 5 of those 100 data sets, the rate or percent would fall outside the limits. Finally, for appropriate statistical methodologies in comparing independent rates or percentages, please see the NCHS reports listed in the bibliography by Curtin and Klein on “Direct Standardization” and by Kleinman on “Infant Mortality.” 285 NOTES 286 FORMULAS USED IN THIS REPORT SEx CDR SEy ADR Dn LB n CDR D Npop n n 1,000or100,000 RSEx 100 NDR n 1,000 ADR Wa Da Npopa 100,000 RSEy 100 PDR n Df LB Dn nDf 1,000 ASDR Da Npopa n Lower 95% CL = ADR – (1.96 x SEy) 100,000 IDR n D1 LB 1,000 Upper 95% CL = ADR + (1.96 x SEy) FDR 2 n SEx CDR nD Df LB 1,000 GFR LB Npopb 1,000 SEy W a ASDR nDa BF LB1 LB2 100 Where: CDR = Crude death rate ADR = Age-adjusted death rate ASDR = Age-specific death rate FDR = Fetal death ratio NDR = Neonatal death rate PDR = Perinatal death rate IDR = Infant death rate GFR = General fertility rate BF = Breastfed infants = Number of deaths nD Npop = Population size Npopa = Population size in same age group Npopb = Female population aged 15-44 SEx RSEx SEy RSEy CL nDa nDf nDn nD1 LB Wa LB1 LB2 287 = Standard error of a crude death rate = Relative standard error of a crude death rate = Standard error of an age-adjusted death rate = Relative standard error of an age-adjusted death rate = Confidence limit = Number of deaths in an age group = Number of fetal deaths 20 or more weeks gestation = Number of neonatal deaths under 28 days of age = Number of infant deaths under one year of age = Live births = Age-specific weight (standard population proportion) = Live births with breastfeeding initiated = Total live births with known feeding method PROCEDURE FOR CALCULATING AGE-ADJUSTED RATES BY THE DIRECT METHOD Age-adjusted rates calculated in this report follow the procedure that was used to set the Year 2010 National Objectives. The standard population was the year 2000 United States population. The data below were taken from Table 4 for 2002-2004 average deaths for Alameda County. AL AMEDA COU NTY 2000 U .S. ST AND ARD W EIGHTED 2003 AGE-SPECIF IC MILLION R ATE POPUL ATION RATE/100,000 PR OPOR TION S FAC TORS (B) (C) (D) (E) AGE GROU PS 2002-2004 DEATH S (AVERAGE) (A) TOT AL Unknow n <1 1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-74 75-84 >84 9,530.7 3.7 99.7 14.0 27.3 131.7 193.3 385.0 825.7 1,084.3 1,469.3 2,648.0 2,648.7 1,495,367 20,978 81,656 200,699 192,900 244,908 253,994 213,759 135,873 75,701 54,548 20,351 637.3 475.1 17.1 13.6 68.3 78.9 151.6 386.3 798.0 1,941.0 4,854.4 13,014.9 0.013818 0.055317 0.145565 0.138646 0.135573 0.162613 0.134834 0.087247 0.066037 0.044842 0.015508 6.6 0.9 2.0 9.5 10.7 24.6 52.1 69.6 128.2 217.7 201.8 723.7 AGE-AD JUSTED R ATE----------------------------------------------------- 288 STEP 1: Array the data of three-year average number of deaths and population for 11 age groups in columns A and B. STEP 2: Calculate age-specific rates by dividing the number of deaths in column A (numerator) by the population in column B (denominator). Multiply the result (quotient) by the base of 100,000 to obtain the rates in column C. STEP 3: Multiply each age-specific rate in column C by the corresponding 2000 U.S. Standard Population proportion in column D and enter the result in column E. STEP 4: The values for each age group in column E are summed to obtain the Age-Adjusted Death Rate for Alameda County of 723.7 per 100,000 population. STEP 5: Repeat Steps 1 through 4 for each county and the statewide total. Note that the 2000 U.S. Standard Million proportions remain the same for each county and the state. STEP 6: Direct comparisons can now be made among the counties, with the removal of the effect that varying county age compositions may have on death rates. 289 FOOTNOTES * denotes a rate, ratio, or percentage with a relative standard error that is greater than or equal to 23 percent and is considered unreliable. Caution should be used in interpreting unreliable rates. ** denotes that limited data are available for this county. + denotes that the standard error is indeterminate because the rate is based on zero events. ++ denotes that Sutter and Yuba counties combine treatment services. Admission numbers or client counts are shown under Yuba county. ^ denotes greater than zero and less than four observations. “a” denotes that rates and ratios are not calculated if greater than zero, but fewer than five events. “b” denotes that ratios and rates are not calculated for fewer than 1,000 births or population in a city, county, or specific age group. 290