health department quality vital statistics

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COUNTY HEALTH PROFILES 2018 Vital Statistics health department frequency equation state reporting EDRS date age age age age total trend chart population vital vital Special service quality quality chart chart rate marriage county county statistical reporting EDRS date date trend analysis EBRS county data provider total zip table table certificate certificate equation divorce formula formula profile total registration state marriage date city city rate profile divorce percent percent data mortality special services total data natality registrar data health department provider reporting registrar quality trend trend population number equation rate analysis analysis trend state frequency total registrar

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Page 1: health department quality Vital Statistics

COUNTY HEALTH PROFILES

2018

Vital Statistics

health departmentfrequency

equation stat

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reporting

EDRSdate

age

age

age

age

tota

ltr

end chart

populationvital

vital

Special servicequality

quality chart

char

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agecounty

county

statisticalreportingEDRSdate

date

trendanalysisEB

RS

countydataprovider

totalziptable

table

cert

ifica

te

certificateequationdivorce

form

ula

form

ula

profile

tota

l

registration

state

marriage

date

city

cityrate

prof

ile

divo

rce

percent

percent

data

mortality

special servicesto

tal

data

natalityregistrardata

health department

prov

ider

reporting

registrar

quality

trend

trend

populationnumber

equation

rate

analysis

analysis

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state

frequency

totalre

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rar

Page 2: health department quality Vital Statistics
Page 3: health department quality Vital Statistics

This publication was produced by: DIVISION OF STATISTICAL ANALYSIS

CENTER FOR HEALTH STATISTICS

Xuejun Shen, Ph.D. Director, Division of Statistical Analysis

Division Members: Michael Koko, M.D., M.P.H.

Jimmy T. Messick, M.S. Carolyn Smith, M.A.

Qun Zheng, M.S.

Scott Harris, M.D., M.P.H., State Health Officer Nicole H. Rushing, M.P.H., Director, Center for Health Statistics

Alabama Department of Public Health Center for Health Statistics

Division of Statistical Analysis Post Office Box 5625

Montgomery, Alabama 36103-5625 (334) 206-5429

For additional copies or more information on mortality, natality and other vital events, please visit http://www.alabamapublichealth.gov/healthstats/.

Informational materials in alternative formats will be made available upon request.

Page 4: health department quality Vital Statistics

iii

TABLE OF CONTENTS

Page

Introduction ......................................................................................................................................... 12018 Profile of Alabama .................................................................................................................... 3 2018 Profile of:

Autauga County ............................................................................................................................................. 5 Baldwin County .............................................................................................................................................. 7 Barbour County ............................................................................................................................................. 9 Bibb County ................................................................................................................................................. 11 Blount County .............................................................................................................................................. 13 Bullock County ............................................................................................................................................. 15 Butler County ............................................................................................................................................... 17

Calhoun County ........................................................................................................................................... 19 Chambers County ........................................................................................................................................ 21 Cherokee County ......................................................................................................................................... 23 Chilton County ............................................................................................................................................. 25 Choctaw County .......................................................................................................................................... 27 Clarke County .............................................................................................................................................. 29 Clay County ................................................................................................................................................. 31 Cleburne County .......................................................................................................................................... 33 Coffee County .............................................................................................................................................. 35 Colbert County ............................................................................................................................................. 37 Conecuh County .......................................................................................................................................... 39 Coosa County .............................................................................................................................................. 41 Covington County ........................................................................................................................................ 43 Crenshaw County ........................................................................................................................................ 45 Cullman County ........................................................................................................................................... 47 Dale County ................................................................................................................................................. 49 Dallas County .............................................................................................................................................. 51 DeKalb County ............................................................................................................................................ 53 Elmore County ............................................................................................................................................. 55 Escambia County ........................................................................................................................................ 57 Etowah County ............................................................................................................................................ 59 Fayette County ............................................................................................................................................ 61 Franklin County ........................................................................................................................................... 63 Geneva County ............................................................................................................................................ 65 Greene County ............................................................................................................................................ 67 Hale County ................................................................................................................................................. 69 Henry County ............................................................................................................................................... 71 Houston County ........................................................................................................................................... 73 Jackson County ........................................................................................................................................... 75 Jefferson County ......................................................................................................................................... 77 Lamar County .............................................................................................................................................. 79 Lauderdale County ...................................................................................................................................... 81 Lawrence County ......................................................................................................................................... 83 Lee County .................................................................................................................................................. 85 Limestone County ........................................................................................................................................ 87 Lowndes County .......................................................................................................................................... 89 Macon County.............................................................................................................................................. 91 Madison County ........................................................................................................................................... 93 Marengo County .......................................................................................................................................... 95

Page 5: health department quality Vital Statistics

iv

2018 Profile of: (Continued) Marion County ............................................................................................................................................. 97 Marshall County ........................................................................................................................................... 99 Mobile County ............................................................................................................................................ 101 Monroe County .......................................................................................................................................... 103 Montgomery County .................................................................................................................................. 105 Morgan County .......................................................................................................................................... 107 Perry County .............................................................................................................................................. 109 Pickens County .......................................................................................................................................... 111 Pike County ............................................................................................................................................... 113 Randolph County ....................................................................................................................................... 115 Russell County........................................................................................................................................... 117 St. Clair County ......................................................................................................................................... 119 Shelby County ........................................................................................................................................... 121 Sumter County ........................................................................................................................................... 123 Talladega County ...................................................................................................................................... 125 Tallapoosa County ..................................................................................................................................... 127 Tuscaloosa County .................................................................................................................................... 129 Walker County ........................................................................................................................................... 131 Washington County ................................................................................................................................... 133 Wilcox County ............................................................................................................................................ 135 Winston County ......................................................................................................................................... 137

Appendix A - Estimated Populations ..................................................................................................... 140 Estimated Population by County, Race and Sex, Alabama, 2018 ............................................................ 141 Estimated Population by Age Group, Race and Sex, Alabama, 2018 ...................................................... 142

Appendix B ........................................................................................................................................................ 144 Technical Notes ......................................................................................................................................... 146 Definitions .................................................................................................................................................. 153 Formulas .................................................................................................................................................... 156 ICD-10 Codes Used in the County Health Profiles.................................................................................... 159

Page 6: health department quality Vital Statistics

INTRODUCTION

County Health Profiles and all other publications produced by the Center

for Health Statistics are available at www.alabamapublichealth.gov/healthstats.

This website also includes access to our statistical query system, which enables

the analysis of Alabama resident birth and death data to produce frequency

tables based upon a limited selection of variables.

Data for each county is displayed on two pages. Various footnotes

throughout the publication, technical notes, definitions and formula sections

(Appendix B) provide explanatory details regarding the methods utilized to

calculate various rates and ratios.

1 ADPH|CHS County Profile (2018)

Page 7: health department quality Vital Statistics

This Page Intentionally Left Blank. 

2 ADPH|CHS County Profile (2018)

Page 8: health department quality Vital Statistics

Number Rate Number RateEstimated Pregnancies 77,424 81.6 5,549 18.0Births 57,754 11.8 3,961 12.9Induced Terminations of Pregnancy 7,381 7.8 723 2.3Estimated Total Fetal Losses 12,289 --- 865 ---Birth rates are per 1,000 population.

Total 10-14 15-17 18-19 20+All Births 57,754 38 2,944 53,793 Rate 11.8 0.2 47.3 56.4White 38,149 17 1,769 35,861 Rate 11.3 0.2 44.4 57.5

Total Population 4,887,871 Black and Other 19,605 21 1,175 17,932Births 57,754 Rate 13.0 0.4 52.3 54.3Deaths 54,357

39.2Life Expectancy at BirthTotal Fertility Rate per 1,000 Females

Number Percent Number PercentNumber 33,057 Births to Unmarried Women 26,991 46.8 3,512 88.7Rate* 6.8 Low Weight Births 6,192 10.7 488 12.3Number 18,200 Multiple Births 2,106 3.6 78 2.0Rate* 3.7 Medicaid Births 28,431 49.3 3,187 80.5

*Rates are per 1,000 population.

All Races White All Races WhiteInfant Deaths 402 195 29 10 Rate per 1,000 Births 7.0 5.1 7.3 4.4Postneonatal Deaths 151 70 8 3 Rate per 1,000 Births 2.6 1.8 2.0 1.3Neonatal Deaths 251 125 21 7 Rate per 1,000 Births 4.3 3.3 5.3 3.1

Total Male Female Total Male Female Total Male FemaleTotal 4,887,871 2,364,115 2,523,756 3,379,955 1,658,530 1,721,425 1,507,916 705,585 802,331

0-4 293,203 149,264 143,939 185,662 94,898 90,764 107,541 54,366 53,1755-9 297,900 152,067 145,833 191,458 98,084 93,374 106,442 53,983 52,45910-14 310,495 158,277 152,218 201,478 103,236 98,242 109,017 55,041 53,97615-44 1,876,742 927,974 948,768 1,234,473 622,035 612,438 642,269 305,939 336,33045-64 1,282,637 615,910 666,727 919,632 452,949 466,683 363,005 162,961 200,04465-84 737,029 330,490 406,539 575,192 262,359 312,833 161,837 68,131 93,70685+ 89,865 30,133 59,732 72,060 24,969 47,091 17,805 5,164 12,641

97910.55028.4477

14.2

*Infant deaths are by race of child; births are by race of mother.

2018 ESTIMATED POPULATIONS BY AGE GROUP, RACE AND SEX

Age Group All Races White Black and Other

126 146.4 8.4

81 54.1 3.0

207 1910.6 11.4

All Ages Ages 10-19Black and Other Black and Other

Marriages IssuedDivorces Granted

Percentages are of all births with known status for females in specified age group.

INFANT RELATED MORTALITY BY RACE* AND AGE GROUP OF MOTHER

Median Age

75.5

1,786.5 Females Aged 15-44 Females Aged 10-19

LIVE BIRTHS

Births with unknown age of mother are included in the age group "20+".

Aged 10-49

SUMMARY

Rates are per 1,000 females in specified age group.

Estimated pregnancy and induced termination of pregnancy rates are per 1,000 females in specified age group.

BIRTHS BY AGE GROUP OF MOTHER

Females Aged 15-44 Females Aged 10-19

PREGNANCY/NATALITY

ALABAMA 2018 HEALTH PROFILE

3 ADPH|CHS County Profile (2018)

Page 9: health department quality Vital Statistics

Total Male Female Total Male Female Total Male Female54,357 28,078 26,279 41,485 21,280 20,205 12,872 6,798 6,074

11.1 11.9 10.4 12.3 12.8 11.7 8.5 9.6 7.6

Number Rate Number Rate Number Rate Number Rate Number RateHeart Disease 13,473 275.6 7,290 308.4 6,183 245.0 10,251 303.8 3,222 213.7Cancer 10,630 217.5 5,759 243.6 4,871 193.0 8,173 242.2 2,457 162.9Stroke 3,088 63.2 1,365 57.7 1,723 68.3 2,215 65.6 873 57.9Accidents 2,682 54.9 1,740 73.6 942 37.3 2,026 60.0 656 43.5CLRD* 3,595 73.5 1,774 75.0 1,821 72.2 3,171 94.0 424 28.1Diabetes 1,176 24.1 644 27.2 532 21.1 741 22.0 435 28.8Influenza and Pneumonia 1,269 26.0 621 26.3 648 25.7 1,014 30.1 255 16.9Alzheimer's Disease 2,616 53.5 735 31.1 1,881 74.5 2,187 64.8 429 28.4Suicide 823 16.8 642 27.2 181 7.2 721 21.4 102 6.8Homicide 567 11.6 458 19.4 109 4.3 185 5.5 382 25.3

93 1.9 69 2.9 24 1.0 35 1.0 58 3.8Rates are per 100,000 population in specified categories. *CLRD is known as Chronic Lower Respiratory Disease.

Number Rate Number RateAll Accidents 2,682 54.9 174 Age Group Number Rate

Motor Vehicle 1,062 21.7 109 Total 54,357 11.1Suffocation 105 2.1 15 0 - 14 601 0.7Poisoning 741 15.2 8 15 - 44 3,641 1.9Smoke, Fire and Flames 82 1.7 8 45 - 64 11,693 9.1Falls 264 5.4 0 65 - 84 25,151 34.1Drowning 67 1.4 22 85 + 13,271 147.7Firearms 25 0.5 9 Rates are per 1,000 population in specified age group.Other Accidents 336 --- 3 ---

Rates are per 100,000 population in specified categories.

Number Rate Number Rate Number Rate10,630 217.5 5,759 243.6 4,871 193.02,939 60.1 1,702 72.0 1,237 49.0

953 19.5 520 22.0 433 17.2739 15.1 8 0.3 731 29.0525 10.7 525 22.2 … …774 15.8 405 17.1 369 14.6391 8.0 218 9.2 173 6.9291 6.0 175 7.4 116 4.6237 4.8 … … 237 9.4298 6.1 158 6.7 140 5.5176 3.6 100 4.2 76 3.0228 4.7 … … 228 9.0235 4.8 182 7.7 53 2.1126 2.6 81 3.4 45 1.8

2,718 --- 1,685 --- 1,033 ---OtherRates are per 100,000 population in specified categories. * Due to extreme low number of male breast cancer deaths, they are only included in State health profile and are excluded from county health profiles.

Measurements based on small denominators should be used with caution. Rates and ratios based on a denominator of less than 50 births or 1,000 population are shaded. Estimated pregnancies are the sum of births, induced terminations of pregnancy (abortions) and estimated total fetal losses. Estimated total fetal losses are equal to the sum of 20 percent of births and 10 percent of induced terminations of pregnancy. The total fertility rate is the sum of age-specific birth rates multiplied by the width of the intervals, i.e. five years. A total fertility rate of 2,100 births per 1,000 females aged 10-49 years would maintain the current population. Estimated populations are from the U.S. Census Bureau. See Appendix B for other definitions and formulas.

Ovary (female)Brain and Other Nervous SystemStomachUterus and Cervix (female)EsophagusMelanoma of Skin

LeukemiasNon-Hodgkin's Lymphomas

Prostate (male)Pancreas

ColorectalBreast*

Male Female

All CancersTrachea, Bronchus, Lung, Pleura

TotalSELECTED CANCER SITE DEATHS

DEATHS BY AGE GROUPAges 19 and Under

HIV Disease

ACCIDENTAL DEATHS All Ages

Male Female White Black and Other

Deaths Rate per 1,000 Population

SELECTED CAUSES OF DEATH

Total

ALABAMA 2018 HEALTH PROFILE (Continued)

MORTALITY All Races White Black and Other

4 ADPH|CHS County Profile (2018)

14.39.01.20.70.70.01.80.7

Page 10: health department quality Vital Statistics

Number Rate Number RateEstimated Pregnancies 807 51 13.5Births 607 34 9.1Induced Terminations of Pregnancy 71 9 2.4Estimated Total Fetal Losses 129 8 ---Birth rates are per 1,000 population.

Total 10-14 15-17 18-19 20+All Births 607 0 29 573 Rate 10.9 0.0 39.4 51.9White 446 0 19 423 Rate 10.5 0.0 34.3 51.9

Total Population 55,601 Black and Other 161 0 10 150607 Rate 12.4 0.0 54.7 52.0534

39.2 Births with unknown age of mother are included in the age group "20+".

Life Expectancy at BirthTotal Fertility Rate per 1,000 Females

Number Percent Number Percent0 226 37.2 28 82.4

203 52 8.6 7 20.624 4.0 0 0.0

242 39.9 26 76.5

All Races White All Races WhiteInfant Deaths 4 2 0 0 Rate per 1,000 Births 6.6 4.5 0.0 0.0Postneonatal Deaths 2 1 0 0 Rate per 1,000 Births 3.3 2.2 0.0 0.0Neonatal Deaths 2 1 0 0 Rate per 1,000 Births 3.3 2.2 0.0 0.0*Infant deaths are by race of child; births are by race of mother.

Total Male Female Total Male Female Total Male FemaleTotal 55,601 26,995 28,606 42,660 20,859 21,801 12,941 6,136 6,805

0-4 3,364 1,728 1,636 2,407 1,240 1,167 957 488 4695-9 3,423 1,779 1,644 2,490 1,296 1,194 933 483 45010-14 3,882 1,977 1,905 2,878 1,467 1,411 1,004 510 49415-44 21,338 10,515 10,823 15,814 7,830 7,984 5,524 2,685 2,83945-64 14,941 7,209 7,732 11,802 5,787 6,015 3,139 1,422 1,71765-84 7,782 3,458 4,324 6,516 2,942 3,574 1,266 516 75085+ 871 329 542 753 297 456 118 32 86

All Ages

2018 ESTIMATED POPULATIONS BY AGE GROUP, RACE AND SEX

Age Group White Black and Other

2

01

BirthsDeaths

Aged 10-49

1 06.2 0.0

6.2 0.0

4.5

13.6

Rates are per 1,000 females in specified age group.

INFANT RELATED MORTALITY BY RACE* AND AGE GROUP OF MOTHER

Multiple BirthsMedicaid Births Percentages are of all births with known status for females in specified age group.

Median Age

Marriages IssuedDivorces Granted

6.6---

74.510.9

Females Aged 10-19Females Aged 15-44

Estimated pregnancy and induced termination of pregnancy rates are per 1,000 females in specified age group.

SUMMARY 44.8

BIRTHS BY AGE GROUP OF MOTHER

5

PREGNANCY/NATALITY

All Races

77.7LIVE BIRTHS

1,715.5 Females Aged 15-44 Females Aged 10-19

Births to Unmarried Women Low Weight Births

Black and Other Black and Other

0.0

Ages 10-19

12.40

AUTAUGA 2018 HEALTH PROFILE

5 ADPH|CHS County Profile (2018)

Page 11: health department quality Vital Statistics

Total Male Female Total Male Female Total Male Female534 280 254 443 230 213 91 50 419.6 10.4 8.9 10.4 11.0 9.8 7.0 8.1 6.0

Number Rate Number Rate Number Rate Number Rate Number RateHeart Disease 125 224.8 70 259.3 55 192.3 104 244.2 21 162.3Cancer 89 160.1 43 159.3 46 160.8 76 178.5 13 100.5Stroke 31 55.8 18 66.7 13 45.4 25 58.7 6 46.4Accidents 16 28.8 9 33.3 7 24.5 13 30.5 3 23.2CLRD* 46 82.7 27 100.0 19 66.4 43 101.0 3 23.2Diabetes 29 52.2 18 66.7 11 38.5 18 42.3 11 85.0Influenza and Pneumonia 12 21.6 5 18.5 7 24.5 11 25.8 1 7.7Alzheimer's Disease 35 62.9 11 40.7 24 83.9 33 77.5 2 15.5Suicide 11 19.8 9 33.3 2 7.0 11 25.8 0 0.0Homicide 2 3.6 1 3.7 1 3.5 1 2.3 1 7.7

1 1.8 1 3.7 0 0.0 1 2.3 0 0.0Rates are per 100,000 population in specified categories. *CLRD is known as Chronic Lower Respiratory Disease.

Number Rate Number RateAll Accidents 16 28.8 3 Age Group Number Rate

Motor Vehicle 7 12.6 0 Total 534 9.6Suffocation 0 0.0 0 0 - 14 7 0.7Poisoning 5 9.0 1 15 - 44 19 0.9Smoke, Fire and Flames 0 0.0 0 45 - 64 114 7.6Falls 0 0.0 0 65 - 84 265 34.1Drowning 1 1.8 1 85 + 129 148.1Firearms 1 1.8 1 Rates are per 1,000 population in specified age group.Other Accidents 2 --- 0 ---

Rates are per 100,000 population in specified categories.

Number Rate Number Rate Number Rate89 160.1 43 159.3 46 160.825 45.0 12 44.5 13 45.412 21.6 5 18.5 7 24.55 9.0 ... … 5 17.51 1.8 1 3.7 … …4 7.2 1 3.7 3 10.51 1.8 1 3.7 0 0.03 5.4 1 3.7 2 7.01 1.8 … … 1 3.54 7.2 0 0.0 4 14.02 3.6 1 3.7 1 3.54 7.2 … … 4 14.01 1.8 1 3.7 0 0.00 0.0 0 0.0 0 0.0

26 --- 20 --- 6 ---

Measurements based on small denominators should be used with caution. Rates and ratios based on a denominator of less than 50 births or 1,000 population are shaded. Estimated pregnancies are the sum of births, induced terminations of pregnancy (abortions) and estimated total fetal losses. Estimated total fetal losses are equal to the sum of 20 percent of births and 10 percent of induced terminations of pregnancy. The total fertility rate is the sum of age-specific birth rates multiplied by the width of the intervals, i.e. five years. A total fertility rate of 2,100 births per 1,000 females aged 10-49 years would maintain the current population. Estimated populations are from the U.S. Census Bureau. See Appendix B for other definitions and formulas.

Ovary (female)Brain and Other Nervous SystemStomachUterus and Cervix (female)EsophagusMelanoma of Skin

Leukemias

Prostate (male)Pancreas

Rates are per 100,000 population in specified categories. Other

Non-Hodgkin's Lymphomas

HIV Disease

SELECTED CANCER SITE DEATHS

ACCIDENTAL DEATHS

Male Female

Deaths Rate per 1,000 Population

SELECTED CAUSESOF DEATH

Total White Black and OtherMale

AUTAUGA 2018 HEALTH PROFILE (Continued)

MORTALITY All Races White Black and Other

Female

DEATHS BY AGE GROUPAll Ages Ages 19 and Under

Total

Trachea, Bronchus, Lung, PleuraAll Cancers

Breast (female)Colorectal

6 ADPH|CHS County Profile (2018)

20.80.00.06.90.00.06.96.9

Page 12: health department quality Vital Statistics

Number Rate Number RateEstimated Pregnancies 2,862 75.5 197 14.7Births 2,290 10.5 147 10.9Induced Terminations of Pregnancy 104 2.7 19 1.4Estimated Total Fetal Losses 468 --- 31 ---Birth rates are per 1,000 population.

Total 10-14 15-17 18-19 20+All Births 2,290 4 33 110 2,143 Rate 10.5 0.6 8.4 42.1 55.2White 1,950 3 23 82 1,842 Rate 10.2 2.1 7.3 39.2 55.4

218,022 Black and Other 340 1 10 28 3012,290 Rate 12.3 0.8 12.8 53.9 54.02,35843.3 Births with unknown age of mother are included in the age group "20+".

Life Expectancy at BirthTotal Fertility Rate per 1,000 Females Aged 10-49 Number Percent Number Percent

2,135 Births to Unmarried Women 868 37.9 138 93.9817 Low Weight Births 198 8.6 5 3.4

Multiple Births 85 3.7 2 1.4Medicaid Births 949 41.5 114 77.6

White WhiteInfant Deaths 10 10 0 0 Rate per 1,000 Births 4.4 5.1 0.0 0.0Postneonatal Deaths 3 3 0 0 Rate per 1,000 Births 1.3 1.5 0.0 0.0Neonatal Deaths 7 7 0 0 Rate per 1,000 Births 3.1 3.6 0.0 0.0

Total Male Female Total Male Female Total Male FemaleTotal 218,022 105,657 112,365 190,301 92,471 97,830 27,721 13,186 14,535

0-4 11,955 6,135 5,820 9,844 5,051 4,793 2,111 1,084 1,0275-9 12,802 6,519 6,283 10,669 5,441 5,228 2,133 1,078 1,05510-14 13,981 7,049 6,932 11,674 5,958 5,716 2,307 1,091 1,21615-44 74,601 36,695 37,906 62,937 31,053 31,884 11,664 5,642 6,02245-64 60,112 28,578 31,534 53,637 25,621 28,016 6,475 2,957 3,51865-84 40,267 18,926 21,341 37,488 17,668 19,820 2,779 1,258 1,52185+ 4,304 1,755 2,549 4,052 1,679 2,373 252 76 176

0

Marriages IssuedDivorces Granted

All Races

2018 ESTIMATED POPULATIONS BY AGE GROUP, RACE AND SEX

00.0

Age Group

*Infant deaths are by race of child; births are by race of mother.

Black and Other

00.0

White

Ages 10-19All Ages

0.00

0.00

0.0

00.0

Females Aged 15-44 Females Aged 10-19

Black and Other

1,869.5

Percentages are of all births with known status for females in specified age group.

Black and Other

LIVE BIRTHS

All RacesAll Races

INFANT RELATED MORTALITY BY RACE* AND AGE GROUP OF MOTHER

Median Age

77.7

PREGNANCY/NATALITY

Females Aged 10-19Females Aged 15-44

BirthsDeaths

Total Population

Rates are per 1,000 females in specified age group.

SUMMARY

BIRTHS BY AGE GROUP OF MOTHER

Estimated pregnancy and induced termination of pregnancy rates are per 1,000 females in specified age group.

BALDWIN 2018 HEALTH PROFILE

7 ADPH|CHS County Profile (2018)

Page 13: health department quality Vital Statistics

Total Male Female Total Male Female Total Male Female2,358 1,240 1,118 2,196 1,169 1,027 162 71 9110.8 11.7 9.9 11.9 12.6 10.5 5.8 5.4 6.3

Number Rate Number Rate Number Rate Number Rate Number RateHeart Disease 575 263.7 323 305.7 252 224.3 540 291.4 35 126.3Cancer 546 250.4 303 286.8 243 216.3 513 276.9 33 119.0Stroke 143 65.6 61 57.7 82 73.0 130 70.2 13 46.9Accidents 112 51.4 73 69.1 39 34.7 103 55.6 9 32.5CLRD* 127 58.3 57 53.9 70 62.3 123 66.4 4 14.4Diabetes 26 11.9 12 11.4 14 12.5 21 11.3 5 18.0Influenza and Pneumonia 34 15.6 15 14.2 19 16.9 33 17.8 1 3.6Alzheimer's Disease 84 38.5 32 30.3 52 46.3 82 44.3 2 7.2Suicide 44 20.2 35 33.1 9 8.0 43 23.2 1 3.6Homicide 10 4.6 6 5.7 4 3.6 9 4.9 1 3.6

4 1.8 2 1.9 2 1.8 3 1.6 1 3.6Rates are per 100,000 population in specified categories. *CLRD is known as Chronic Lower Respiratory Disease.

Number Rate Number RateAll Accidents 112 51.4 7 Age Group Number Rate

Motor Vehicle 42 19.3 3 Total 2,358 10.8Suffocation 2 0.9 0 0 - 14 18 0.5Poisoning 29 13.3 0 15 - 44 115 1.5Smoke, Fire and Flames 4 1.8 1 45 - 64 427 7.1Falls 9 4.1 0 65 - 84 1,157 28.7Drowning 6 2.8 3 85 + 641 148.9Firearms 1 0.5 0 Rates are per 1,000 population in specified age group.Other Accidents 19 --- 0 ---

Rates are per 100,000 population in specified categories.

Number Rate Number Rate Number Rate546 250.4 303 286.8 243 216.3159 72.9 91 86.1 68 60.543 19.7 28 26.5 15 13.338 17.4 ... … 38 33.819 8.7 19 18.0 … …50 22.9 29 27.4 21 18.723 10.5 13 12.3 10 8.915 6.9 9 8.5 6 5.312 5.5 … … 12 10.714 6.4 8 7.6 6 5.32 0.9 1 0.9 1 0.99 4.1 … … 9 8.0

18 8.3 15 14.2 3 2.75 2.3 3 2.8 2 1.8

139 --- 87 --- 52 ---

White Black and OtherFemaleMaleTotal

HIV Disease

Deaths Rate per 1,000 Population

BALDWIN 2018 HEALTH PROFILE (Continued)

MORTALITY All Races White Black and Other

DEATHS BY AGE GROUPAll Ages Ages 19 and UnderACCIDENTAL DEATHS

Melanoma of Skin

Measurements based on small denominators should be used with caution. Rates and ratios based on a denominator of less than 50 births or 1,000 population are shaded. Estimated pregnancies are the sum of births, induced terminations of pregnancy (abortions) and estimated total fetal losses. Estimated total fetal losses are equal to the sum of 20 percent of births and 10 percent of induced terminations of pregnancy. The total fertility rate is the sum of age-specific birth rates multiplied by the width of the intervals, i.e. five years. A total fertility rate of 2,100 births per 1,000 females aged 10-49 years would maintain the current population. Estimated populations are from the U.S. Census Bureau. See Appendix B for other definitions and formulas.

Female

StomachUterus and Cervix (female)Esophagus

Leukemias

Brain and Other Nervous System

Non-Hodgkin's Lymphomas

Rates are per 100,000 population in specified categories. Other

Pancreas

ColorectalBreast (female)

SELECTED CANCER SITE DEATHS

All CancersTrachea, Bronchus, Lung, Pleura

Ovary (female)

Total Male

Prostate (male)

8 ADPH|CHS County Profile (2018)

13.55.80.00.01.90.05.80.0

SELECTED CAUSESOF DEATH

Page 14: health department quality Vital Statistics

Number Rate Number Rate360 94.2 31 21.5259 10.4 20 14.0

Induced Terminations of Pregnancy 45 11.8 6 4.2Estimated Total Fetal Losses 56 --- 5 ---Birth rates are per 1,000 population.

Total 10-14 15-17 18-19 20+All Births 259 0 4 16 239 Rate 10.4 0.0 9.6 57.8 62.4White 104 0 0 5 99 Rate 0.9 0.0 0.0 41.9 60.6

24,881 Black and Other 155 0 4 11 140259 Rate 12.2 0.0 16.9 69.8 63.8312

41.0 Births with unknown age of mother are included in the age group "20+".

Life Expectancy at BirthTotal Fertility Rate per 1,000 Females Aged 10-49 Number Percent Number Percent

108 177 68.3 18 90.0 59 35 13.5 4 20.0

4 1.5 2 10.0153 59.1 13 65.0

White WhiteInfant Deaths 3 0 0 Rate per 1,000 Births 11.6 0.0 0.0Postneonatal Deaths 1 0 0 Rate per 1,000 Births 3.9 0.0 0.0Neonatal Deaths 2 0 0 Rate per 1,000 Births 7.7 0.0 0.0

Total Male Female Total Male Female Total Male FemaleTotal 24,881 13,133 11,748 12,209 6,410 5,799 12,672 6,723 5,949

0-4 1,284 656 628 509 257 252 775 399 3765-9 1,448 717 731 607 288 319 841 429 41210-14 1,509 775 734 664 327 337 845 448 39715-44 9,370 5,545 3,825 3,963 2,366 1,597 5,407 3,179 2,22845-64 6,438 3,351 3,087 3,441 1,811 1,630 2,997 1,540 1,45765-84 4,360 1,941 2,419 2,726 1,259 1,467 1,634 682 95285+ 472 148 324 299 102 197 173 46 127

Low Weight BirthsMultiple Births

Estimated pregnancy and induced termination of pregnancy rates are per 1,000 females in specified age group.

Percentages are of all births with known status for females in specified age group.

Females Aged 10-19

Rates are per 1,000 females in specified age group.

Medicaid Births

Births to Unmarried Women

Females Aged 10-19Females Aged 15-44

PREGNANCY/NATALITY

Estimated PregnanciesBirths

All Races

6.5

LIVE BIRTHS

BIRTHS BY AGE GROUP OF MOTHER

SUMMARY

Median Age

74.4

2,020.0 Females Aged 15-44

00.0

00.0

00.0

0

INFANT RELATED MORTALITY BY RACE* AND AGE GROUP OF MOTHER

All Ages Ages 10-19

Marriages IssuedDivorces Granted

BirthsDeaths

Total Population

All Races White Black and Other

2018 ESTIMATED POPULATIONS BY AGE GROUP, RACE AND SEX

Age Group

00.0

*Infant deaths are by race of child; births are by race of mother.0.0

212.9

00.0

1

Black and Other Black and OtherAll Races3

19.4

BARBOUR 2018 HEALTH PROFILE

9 ADPH|CHS County Profile (2018)

Page 15: health department quality Vital Statistics

Total Male Female Total Male Female Total Male FemaleDeaths 312 159 153 191 97 94 121 62 59

12.5 12.1 13.0 15.3 15.1 16.2 9.5 9.2 9.9

Number Rate Number Rate Number Rate Number Rate Number RateHeart Disease 93 373.8 45 342.6 48 408.6 59 473.9 34 268.3Cancer 67 269.3 42 319.8 25 212.8 47 377.5 20 157.8Stroke 18 72.3 12 91.4 6 51.1 8 64.3 10 78.9Accidents 6 24.1 6 45.7 0 0.0 2 16.1 4 31.6CLRD* 12 48.2 6 45.7 6 51.1 7 56.2 5 39.5Diabetes 2 8.0 0 0.0 2 17.0 1 8.0 1 7.9Influenza and Pneumonia 2 8.0 1 7.6 1 8.5 2 16.1 0 0.0Alzheimer's Disease 12 48.2 3 22.8 9 76.6 8 64.3 4 31.6Suicide 5 20.1 4 30.5 1 8.5 4 32.1 1 7.9Homicide 2 8.0 2 15.2 0 0.0 1 8.0 1 7.9

1 4.0 1 7.6 0 0.0 0 0.0 1 7.9Rates are per 100,000 population in specified categories. *CLRD is known as Chronic Lower Respiratory Disease.

Number Rate Number RateAll Accidents 6 24.1 1 Age Group Number Rate

Motor Vehicle 6 24.1 1 Total 312 1.4Suffocation 0 0.0 0 0 - 14 4 0.1Poisoning 0 0.0 0 15 - 44 20 0.3Smoke, Fire and Flames 0 0.0 0 45 - 64 65 1.1Falls 0 0.0 0 65 - 84 154 3.8Drowning 0 0.0 0 85 + 69 16.0Firearms 0 0.0 0 Rates are per 1,000 population in specified age group.Other Accidents 0 --- 0 ---

Rates are per 100,000 population in specified categories.

Number Rate Number Rate Number Rate67 269.3 42 319.8 25 212.828 112.5 18 137.1 10 85.16 24.1 2 15.2 4 34.01 4.0 ... … 1 8.55 20.1 5 38.1 … …4 16.1 3 22.8 1 8.51 4.0 1 7.6 0 0.01 4.0 1 7.6 0 0.00 0.0 … … 0 0.0

Brain and Other Nervous System 0 0.0 0 0.0 0 0.01 4.0 0 0.0 1 8.51 4.0 … … 1 8.51 4.0 1 7.6 0 0.01 4.0 0 0.0 1 8.5

17 --- 11 --- 6 ---

ACCIDENTAL DEATHS

HIV Disease

Male

BARBOUR 2018 HEALTH PROFILE (Continued)

Black and Other

Rate per 1,000 Population

MORTALITY All Races White

Total Black and OtherSELECTED CAUSESOF DEATH

WhiteFemale

Measurements based on small denominators should be used with caution. Rates and ratios based on a denominator of less than 50 births or 1,000 population are shaded. Estimated pregnancies are the sum of births, induced terminations of pregnancy (abortions) and estimated total fetal losses. Estimated total fetal losses are equal to the sum of 20 percent of births and 10 percent of induced terminations of pregnancy. The total fertility rate is the sum of age-specific birth rates multiplied by the width of the intervals, i.e. five years. A total fertility rate of 2,100 births per 1,000 females aged 10-49 years would maintain the current population. Estimated populations are from the U.S. Census Bureau. See Appendix B for other definitions and formulas.

OtherRates are per 100,000 population in specified categories.

Pancreas

Uterus and Cervix (female)EsophagusMelanoma of Skin

LeukemiasNon-Hodgkin's Lymphomas

Stomach

Ovary (female)

Breast (female)

SELECTED CANCER SITE DEATHS

All CancersTrachea, Bronchus, Lung, PleuraColorectal

Prostate (male)

All Ages

Total FemaleMale

DEATHS BY AGE GROUPAges 19 and Under

10 ADPH|CHS County Profile (2018)

17.617.60.00.00.00.00.00.0

Page 16: health department quality Vital Statistics

Number Rate Number RateEstimated Pregnancies 325 87.0 20 16.7Births 250 11.2 14 11.6Induced Terminations of Pregnancy 23 6.1 3 2.5Estimated Total Fetal Losses 52 --- 3 ---Birth rates are per 1,000 population.

Total 10-14 15-17 18-19 20+All Births 250 0 2 12 236 Rate 11.2 0.0 5.7 51.1 61.1White 205 0 1 12 192 Rate 11.9 0.0 3.5 63.8 62.1

22,400 Black and Other 45 0 1 0 44250 Rate 8.7 0.0 14.2 0.0 56.8279

40.0 Births with unknown age of mother are included in the age group "20+".

Life Expectancy at BirthTotal Fertility Rate per 1,000 Females Aged 10-49 Number Percent Number Percent

117 114 45.6 12 85.7 0 16 6.4 0 0.0

4 1.6 0 0.0126 50.4 13 92.9

White WhiteInfant Deaths 0 0 0 Rate per 1,000 Births 0.0 0.0 0.0Postneonatal Deaths 0 0 0 Rate per 1,000 Births 0.0 0.0 0.0Neonatal Deaths 0 0 0 Rate per 1,000 Births 0.0 0.0 0.0

Total Male Female Total Male Female Total Male FemaleTotal 22,400 11,921 10,479 17,211 8,762 8,449 5,189 3,159 2,030

0-4 1,285 656 629 986 504 482 299 152 1475-9 1,171 610 561 917 477 440 254 133 12110-14 1,326 711 615 1,021 562 459 305 149 15615-44 8,852 5,112 3,740 6,317 3,328 2,989 2,535 1,784 75145-64 6,076 3,205 2,871 4,814 2,496 2,318 1,262 709 55365-84 3,327 1,519 1,808 2,862 1,305 1,557 465 214 25185+ 363 108 255 294 90 204 69 18 51

Estimated pregnancy and induced termination of pregnancy rates are per 1,000 females in specified age group.

Black and Other

INFANT RELATED MORTALITY BY RACE* AND AGE GROUP OF MOTHER

All Ages Ages 10-19Black and Other Black and OtherAll Races

0.00

2018 ESTIMATED POPULATIONS BY AGE GROUP, RACE AND SEX

Age Group All Races White

0.0

Rates are per 1,000 females in specified age group.

0.0*Infant deaths are by race of child; births are by race of mother.

BirthsDeaths

Total Population

All Races

00.0

0

LIVE BIRTHS

Females Aged 15-44

BIRTHS BY AGE GROUP OF MOTHER

0

0

00.0

Females Aged 10-19

PREGNANCY/NATALITY

Females Aged 15-44

Multiple BirthsMedicaid Births

Marriages IssuedDivorces Granted

0.00

0.00

0.0

Percentages are of all births with known status for females in specified age group.

Females Aged 10-19

SUMMARY

Median Age

73.5

2,028.5

Births to Unmarried Women Low Weight Births

0.0

0

BIBB 2018 HEALTH PROFILE

11 ADPH|CHS County Profile (2018)

Page 17: health department quality Vital Statistics

Total Male Female Total Male Female Total Male FemaleDeaths 279 143 136 235 116 119 44 27 17

12.5 12.0 13.0 13.5 13.2 14.1 8.5 8.5 8.4

Number Rate Number Rate Number Rate Number Rate Number RateHeart Disease 85 379.5 45 377.5 40 381.7 69 397.7 16 308.3Cancer 58 258.9 38 318.8 20 190.9 50 288.2 8 154.2Stroke 16 71.4 3 25.2 13 124.1 14 80.7 2 38.5Accidents 15 67.0 10 83.9 5 47.7 14 80.7 1 19.3CLRD* 15 67.0 7 58.7 8 76.3 13 74.9 2 38.5Diabetes 6 26.8 2 16.8 4 38.2 3 17.3 3 57.8Influenza and Pneumonia 12 53.6 6 50.3 6 57.3 11 63.4 1 19.3Alzheimer's Disease 6 26.8 1 8.4 5 47.7 5 28.8 1 19.3Suicide 5 22.3 3 25.2 2 19.1 5 28.8 0 0.0Homicide 2 8.9 1 8.4 1 9.5 2 11.5 0 0.0

1 4.5 1 8.4 0 0.0 0 0.0 1 19.3Rates are per 100,000 population in specified categories. *CLRD is known as Chronic Lower Respiratory Disease.

Number Rate Number RateAll Accidents 15 67.0 0 0.0 Number Rate

Motor Vehicle 5 22.3 0 0.0 279 12.5Suffocation 1 4.5 0 0.0 2 0.5Poisoning 5 22.3 0 0.0 22 2.5Smoke, Fire and Flames 1 4.5 0 0.0 65 10.7Falls 2 8.9 0 0.0 134 40.3Drowning 0 0.0 0 0.0 56 154.3Firearms 0 0.0 0 0.0 Rates are per 1,000 population in specified age group.Other Accidents 1 --- 0 ---

Rates are per 100,000 population in specified categories.

Number Rate Number Rate Number Rate58 258.9 38 318.8 20 190.918 80.4 14 117.4 4 38.27 31.3 6 50.3 1 9.54 17.9 ... … 4 38.24 17.9 4 33.6 … …2 8.9 0 0.0 2 19.13 13.4 2 16.8 1 9.52 8.9 1 8.4 1 9.51 4.5 … … 1 9.52 8.9 1 8.4 1 9.51 4.5 0 0.0 1 9.51 4.5 … … 1 9.50 0.0 0 0.0 0 0.00 0.0 0 0.0 0 0.0

13 --- 10 --- 3 ---Rates are per 100,000 population in specified categories.

BIBB 2018 HEALTH PROFILE (Continued)

MORTALITY All Races White

ACCIDENTAL DEATHS

SELECTED CANCER SITE DEATHS

Black and Other

SELECTED CAUSESOF DEATH

Total White Black and OtherMale Female

Ages 19 and Under DEATHS BY AGE GROUP

Measurements based on small denominators should be used with caution. Rates and ratios based on a denominator of less than 50 births or 1,000 population are shaded. Estimated pregnancies are the sum of births, induced terminations of pregnancy (abortions) and estimated total fetal losses. Estimated total fetal losses are equal to the sum of 20 percent of births and 10 percent of induced terminations of pregnancy. The total fertility rate is the sum of age-specific birth rates multiplied by the width of the intervals, i.e. five years. A total fertility rate of 2,100 births per 1,000 females aged 10-49 years would maintain the current population. Estimated populations are from the U.S. Census Bureau. See Appendix B for other definitions and formulas.

85 +

Age GroupTotal

Ovary (female)

Uterus and Cervix (female)Esophagus

ColorectalBreast (female)

HIV Disease

All CancersTrachea, Bronchus, Lung, Pleura

All Ages

Rate per 1,000 Population

Prostate (male)PancreasLeukemiasNon-Hodgkin's Lymphomas

Female

0 - 14 15 - 44 45 - 64 65 - 84

Total Male

Melanoma of SkinOther

Brain and Other Nervous SystemStomach

12 ADPH|CHS County Profile (2018)

Page 18: health department quality Vital Statistics

Number Rate Number Rate846 82.2 61 16.2674 11.7 49 13.0

Induced Terminations of Pregnancy 34 3.3 2 0.5Estimated Total Fetal Losses 138 --- 10 ---Birth rates are per 1,000 population.

Total 10-14 15-17 18-19 20+All Births 674 0 39 625 Rate 11.7 0.0 54.6 59.8White 658 0 38 610 Rate 11.9 0.0 56.7 60.5

57,840 Black and Other 16 0 1 15674 Rate 6.7 0.0 22.7 39.3689

40.9 Births with unknown age of mother are included in the age group "20+".

Life Expectancy at BirthTotal Fertility Rate per 1,000 Females Aged 10-49 Number Percent Number Percent

405 210 31.2 30 61.2229 41 6.1 5 10.2

18 2.7 0 0.0281 41.7 36 73.5

White WhiteInfant Deaths 6 6 0 Rate per 1,000 Births 8.9 9.1 0.0Postneonatal Deaths 3 3 0 Rate per 1,000 Births 4.5 4.6 0.0Neonatal Deaths 3 3 0 Rate per 1,000 Births 4.5 4.6 0.0

Total Male Female Total Male Female Total Male FemaleTotal 57,840 28,500 29,340 55,456 27,307 28,149 2,384 1,193 1,191

0-4 3,460 1,723 1,737 3,229 1,608 1,621 231 115 1165-9 3,635 1,838 1,797 3,417 1,733 1,684 218 105 11310-14 3,902 1,923 1,979 3,686 1,820 1,866 216 103 11315-44 20,847 10,554 10,293 19,971 10,105 9,866 876 449 42745-64 15,448 7,711 7,737 14,924 7,459 7,465 524 252 27265-84 9,516 4,380 5,136 9,232 4,230 5,002 284 150 13485+ 1,032 371 661 997 352 645 35 19 16

10

PREGNANCY/NATALITY

0.0

00.0

00.0

Females Aged 10-19

Rates are per 1,000 females in specified age group.

Estimated PregnanciesBirths

Females Aged 15-44

Multiple BirthsMedicaid Births

Marriages IssuedDivorces Granted

BirthsDeaths

Total Population

Age Group

0.0

00.0

SUMMARY

Median Age

75.1

2,030.0

All RacesAll Races

BIRTHS BY AGE GROUP OF MOTHER

*Infant deaths are by race of child; births are by race of mother.

2018 ESTIMATED POPULATIONS BY AGE GROUP, RACE AND SEX

All Races White Black and Other

INFANT RELATED MORTALITY BY RACE* AND AGE GROUP OF MOTHER

All Ages Ages 10-19Black and Other Black and Other

0

9.310

9.90

0.0

Estimated pregnancy and induced termination of pregnancy rates are per 1,000 females in specified age group.

LIVE BIRTHS

Births to Unmarried Women Low Weight Births

Females Aged 15-44

00

Females Aged 10-19

Percentages are of all births with known status for females in specified age group.

0.0

0.0

0.0

0.0

0

0

0

BLOUNT 2018 HEALTH PROFILE

13 ADPH|CHS County Profile (2018)

Page 19: health department quality Vital Statistics

Total Male Female Total Male Female Total Male FemaleDeaths 689 334 355 679 330 349 10 4 6

11.9 11.7 12.1 12.2 12.1 12.4 4.2 3.4 5.0

Number Rate Number Rate Number Rate Number Rate Number RateHeart Disease 179 309.5 93 326.3 86 293.1 179 321.8 0 0.0Cancer 137 236.9 67 235.1 70 238.6 134 240.9 3 125.8Stroke 19 32.8 8 28.1 11 37.5 19 34.2 0 0.0Accidents 43 74.3 26 91.2 17 57.9 43 77.3 0 0.0CLRD* 64 110.7 27 94.7 37 126.1 62 111.5 2 83.9Diabetes 9 15.6 4 14.0 5 17.0 8 14.4 1 41.9Influenza and Pneumonia 27 46.7 14 49.1 13 44.3 27 48.5 0 0.0Alzheimer's Disease 30 51.9 8 28.1 22 75.0 29 52.1 1 41.9Suicide 10 17.3 8 28.1 2 6.8 10 18.0 0 0.0Homicide 3 5.2 3 10.5 0 0.0 2 3.6 1 41.9

0 0.0 0 0.0 0 0.0 0 0.0 0 0.0Rates are per 100,000 population in specified categories. *CLRD is known as Chronic Lower Respiratory Disease.

Number Rate Number RateAll Accidents 43 74.3 3 Number Rate

Motor Vehicle 24 41.5 3 689 11.9Suffocation 1 1.7 0 9 0.8Poisoning 11 19.0 0 41 2.0Smoke, Fire and Flames 1 1.7 0 139 9.0Falls 2 3.5 0 340 35.7Drowning 0 0.0 0 160 155.0Firearms 0 0.0 0 Rates are per 1,000 population in specified age group.Other Accidents 4 --- 0 ---

Rates are per 100,000 population in specified categories.

Number Rate Number Rate Number Rate137 236.9 67 235.1 70 238.639 67.4 20 70.2 19 64.88 13.8 4 14.0 4 13.6

10 17.3 ... … 10 34.18 13.8 8 28.1 … …

12 20.7 7 24.6 5 17.03 5.2 2 7.0 1 3.44 6.9 3 10.5 1 3.43 5.2 … … 3 10.25 8.6 1 3.5 4 13.61 1.7 0 0.0 1 3.43 5.2 … … 3 10.28 13.8 7 24.6 1 3.43 5.2 1 3.5 2 6.8

30 --- 14 --- 16 ---

BLOUNT 2018 HEALTH PROFILE (Continued)

MORTALITY All Races White Black and Other

ACCIDENTAL DEATHS All Ages Ages 19 and Under

Age Group

DEATHS BY AGE GROUP

85 +

Total 0 - 14 15 - 44 45 - 64 65 - 84

Rate per 1,000 Population

Total FemaleMale

Measurements based on small denominators should be used with caution. Rates and ratios based on a denominator of less than 50 births or 1,000 population are shaded. Estimated pregnancies are the sum of births, induced terminations of pregnancy (abortions) and estimated total fetal losses. Estimated total fetal losses are equal to the sum of 20 percent of births and 10 percent of induced terminations of pregnancy. The total fertility rate is the sum of age-specific birth rates multiplied by the width of the intervals, i.e. five years. A total fertility rate of 2,100 births per 1,000 females aged 10-49 years would maintain the current population. Estimated populations are from the U.S. Census Bureau. See Appendix B for other definitions and formulas.

SELECTED CANCER SITE DEATHS

All CancersTrachea, Bronchus, Lung, PleuraColorectalBreast (female)Prostate (male)

Black and OtherMale Female

PancreasLeukemias

SELECTED CAUSESOF DEATH

Total White

HIV Disease

Non-Hodgkin's LymphomasOvary (female)

Melanoma of SkinOther

Brain and Other Nervous SystemStomachUterus and Cervix (female)Esophagus

Rates are per 100,000 population in specified categories.

14 ADPH|CHS County Profile (2018)

20.520.50.00.00.00.00.00.0

Page 20: health department quality Vital Statistics

Number Rate Number RateEstimated Pregnancies 165 103.1 13 24.7Births 121 11.9 8 15.3Induced Terminations of Pregnancy 18 11.3 3 5.7Estimated Total Fetal Losses 26 --- 2 ---Birth rates are per 1,000 population.

Total 10-14 15-17 18-19 20+All Births 121 0 6 113 Rate 11.9 0.0 57.5 71.2White 29 0 0 28 Rate 10.9 0.0 0.0 93.0

10,138 Black and Other 92 0 6 85121 Rate 12.3 0.0 72.8 66.1112

39.3 Births with unknown age of mother are included in the age group "20+".

Life Expectancy at BirthTotal Fertility Rate per 1,000 Females Aged 10-49 Number Percent Number Percent

64 Births to Unmarried Women 90 74.4 8 100.0 1 Low Weight Births 24 19.8 1 12.5

Multiple Births 6 5.0 0 0.0Medicaid Births 86 71.1 7 87.5

White WhiteInfant Deaths 2 0 0 Rate per 1,000 Births 16.5 0.0 0.0Postneonatal Deaths 0 0 0 Rate per 1,000 Births 0.0 0.0 0.0Neonatal Deaths 2 0 0 Rate per 1,000 Births 16.5 0.0 0.0

Total Male Female Total Male Female Total Male FemaleTotal 10,138 5,527 4,611 2,661 1,615 1,046 7,477 3,912 3,565

0-4 600 287 313 130 58 72 470 229 2415-9 598 303 295 137 65 72 461 238 22310-14 601 340 261 110 68 42 491 272 21915-44 3,990 2,390 1,600 947 655 292 3,043 1,735 1,30845-64 2,688 1,491 1,197 762 494 268 1,926 997 92965-84 1,477 663 814 509 253 256 968 410 55885+ 184 53 131 66 22 44 118 31 87

2018 ESTIMATED POPULATIONS BY AGE GROUP, RACE AND SEX

All Races White Black and Other

0.02 0

00.0

221.7

0

21.7

Age Group

INFANT RELATED MORTALITY BY RACE* AND AGE GROUP OF MOTHER

All Ages Ages 10-19Black and Other Black and Other

*Infant deaths are by race of child; births are by race of mother.

All Races

0.0

00.0

00.0

00.0

00.0

2

Females Aged 10-19Females Aged 15-44

SUMMARY

Median Age

74.6

2,213.5

8.1

Females Aged 15-44

Marriages Issued

All Races

PREGNANCY/NATALITY

130.3

1

Percentages are of all births with known status for females in specified age group.

Rates are per 1,000 females in specified age group.

Divorces Granted

BirthsDeaths

Total Population

Females Aged 10-19

BIRTHS BY AGE GROUP OF MOTHER

Estimated pregnancy and induced termination of pregnancy rates are per 1,000 females in specified age group.

12.8

LIVE BIRTHS

BULLOCK 2018 HEALTH PROFILE

15 ADPH|CHS County Profile (2018)

Page 21: health department quality Vital Statistics

Total Male Female Total Male Female Total Male FemaleDeaths 112 64 48 29 20 9 83 44 39

11.0 11.6 10.4 10.6 12.4 8.6 11.1 11.2 10.9

Number Rate Number Rate Number Rate Number Rate Number RateHeart Disease 35 345.2 21 380.0 14 303.6 12 438.3 23 307.6Cancer 19 187.4 10 180.9 9 195.2 3 109.6 16 214.0Stroke 9 88.8 3 54.3 6 130.1 3 109.6 6 80.2Accidents 6 59.2 5 90.5 1 21.7 1 36.5 5 66.9CLRD* 3 29.6 0 0.0 3 65.1 0 0.0 3 40.1Diabetes 2 19.7 1 18.1 1 21.7 0 0.0 2 26.7Influenza and Pneumonia 1 9.9 1 18.1 0 0.0 0 0.0 1 13.4Alzheimer's Disease 8 78.9 2 36.2 6 130.1 3 109.6 5 66.9Suicide 3 29.6 2 36.2 1 21.7 2 73.0 1 13.4Homicide 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 0 0.0Rates are per 100,000 population in specified categories. *CLRD is known as Chronic Lower Respiratory Disease.

Number Rate Number RateAll Accidents 6 59.2 1 Number Rate

Motor Vehicle 4 39.5 0 112 11.0Suffocation 0 0.0 0 3 1.7Poisoning 0 0.0 0 10 2.5Smoke, Fire and Flames 1 9.9 1 25 9.3Falls 1 9.9 0 49 33.2Drowning 0 0.0 0 25 135.9Firearms 0 0.0 0 Rates are per 1,000 population in specified age group.Other Accidents 0 --- 0 ---

Rates are per 100,000 population in specified categories.

Number Rate Number Rate Number Rate19 187.4 10 180.9 9 195.23 29.6 1 18.1 2 43.42 19.7 1 18.1 1 21.71 9.9 ... … 1 21.72 19.7 2 36.2 … …1 9.9 1 18.1 0 0.00 0.0 0 0.0 0 0.02 19.7 1 18.1 1 21.71 9.9 … … 1 21.70 0.0 0 0.0 0 0.00 0.0 0 0.0 0 0.02 19.7 … … 2 43.42 19.7 1 18.1 1 21.70 0.0 0 0.0 0 0.03 --- 3 --- 0 ---

Measurements based on small denominators should be used with caution. Rates and ratios based on a denominator of less than 50 births or 1,000 population are shaded. Estimated pregnancies are the sum of births, induced terminations of pregnancy (abortions) and estimated total fetal losses. Estimated total fetal losses are equal to the sum of 20 percent of births and 10 percent of induced terminations of pregnancy. The total fertility rate is the sum of age-specific birth rates multiplied by the width of the intervals, i.e. five years. A total fertility rate of 2,100 births per 1,000 females aged 10-49 years would maintain the current population. Estimated populations are from the U.S. Census Bureau. See Appendix B for other definitions and formulas.

Brain and Other Nervous System

Non-Hodgkin's Lymphomas

SELECTED CANCER SITE DEATHS Total

All CancersTrachea, Bronchus, Lung, PleuraColorectalBreast (female)Prostate (male)PancreasLeukemias

Rates are per 100,000 population in specified categories.

MORTALITY All Races White

BULLOCK 2018 HEALTH PROFILE (Continued)

Black and Other

Rate per 1,000 Population

SELECTED CAUSESOF DEATH

Total White Black and OtherMale

Ages 19 and Under

Female

Age Group

DEATHS BY AGE GROUPACCIDENTAL DEATHS All Ages

HIV Disease

85 +

Total 0 - 14 15 - 44 45 - 64 65 - 84

FemaleMale

Ovary (female)

Melanoma of SkinOther

StomachUterus and Cervix (female)Esophagus

16 ADPH|CHS County Profile (2018)

43.00.00.00.0

43.00.00.00.0

Page 22: health department quality Vital Statistics

Number Rate Number RateEstimated Pregnancies 272 74.8 23 19.7Births 209 10.6 16 14.0Induced Terminations of Pregnancy 19 5.2 3 2.6Estimated Total Fetal Losses 44 --- 4 ---Birth rates are per 1,000 population.

Total 10-14 15-17 18-19 20+All Births 209 0 9 193 Rate 10.6 0.0 41.1 51.8White 96 0 4 90 Rate 9.3 0.0 44.6 53.5

19,680 Black and Other 113 0 5 103209 Rate 12.0 0.0 38.7 50.4296

41.8 Births with unknown age of mother are included in the age group "20+".

Life Expectancy at BirthTotal Fertility Rate per 1,000 Females Aged 10-49 Number Percent Number Percent

207 Births to Unmarried Women 143 68.4 15 93.880 Low Weight Births 27 12.9 1 6.3

Multiple Births 9 4.3 0 0.0Medicaid Births 139 66.5 15 93.8

White WhiteInfant Deaths 3 1 0 Rate per 1,000 Births 14.4 10.4 0.0Postneonatal Deaths 1 0 0 Rate per 1,000 Births 4.8 0.0 0.0Neonatal Deaths 2 1 0 Rate per 1,000 Births 9.6 10.4 0.0

Total Male Female Total Male Female Total Male FemaleTotal 19,680 9,165 10,515 10,283 4,899 5,384 9,397 4,266 5,131

0-4 1,119 564 555 488 237 251 631 327 3045-9 1,232 658 574 574 323 251 658 335 32310-14 1,288 695 593 590 326 264 698 369 32915-44 6,932 3,301 3,631 3,105 1,535 1,570 3,827 1,766 2,06145-64 5,114 2,313 2,801 2,950 1,416 1,534 2,164 897 1,26765-84 3,410 1,497 1,913 2,181 973 1,208 1,229 524 70585+ 585 137 448 395 89 306 190 48 142

Females Aged 15-44

PREGNANCY/NATALITY

Females Aged 10-19

214.9

5

Rates are per 1,000 females in specified age group.

17.7

721.3

All Races

Estimated pregnancy and induced termination of pregnancy rates are per 1,000 females in specified age group.

SUMMARY

Median Age

72.0

1,788.0

Marriages IssuedDivorces Granted

BirthsDeaths

Total Population

Females Aged 15-44

25.8

LIVE BIRTHS

All Races

0.0

White Black and Other

0.0

8.81

0.00

0.00

0

*Infant deaths are by race of child; births are by race of mother.

0.00

Age Group

1

All Ages Ages 10-19Black and Other Black and Other

Percentages are of all births with known status for females in specified age group.

00

2018 ESTIMATED POPULATIONS BY AGE GROUP, RACE AND SEX

All Races

BIRTHS BY AGE GROUP OF MOTHER

2

Females Aged 10-19

INFANT RELATED MORTALITY BY RACE* AND AGE GROUP OF MOTHER

8.8

0.0

BUTLER 2018 HEALTH PROFILE

17 ADPH|CHS County Profile (2018)

Page 23: health department quality Vital Statistics

Total Male Female Total Male Female Total Male FemaleDeaths 296 152 144 185 98 87 111 54 57

15.0 16.6 13.7 17.8 20.0 16.2 11.8 12.7 11.1

Number Rate Number Rate Number Rate Number Rate Number RateHeart Disease 78 396.3 38 414.6 40 380.4 46 441.5 32 340.5Cancer 53 269.3 27 294.6 26 247.3 34 326.4 19 202.2Stroke 16 81.3 9 98.2 7 66.6 9 86.4 7 74.5Accidents 11 55.9 4 43.6 7 66.6 7 67.2 4 42.6CLRD* 29 147.4 19 207.3 10 95.1 23 220.8 6 63.9Diabetes 12 61.0 6 65.5 6 57.1 7 67.2 5 53.2Influenza and Pneumonia 4 20.3 3 32.7 1 9.5 2 19.2 2 21.3Alzheimer's Disease 20 101.6 7 76.4 13 123.6 16 153.6 4 42.6Suicide 1 5.1 1 10.9 0 0.0 1 9.6 0 0.0Homicide 4 20.3 4 43.6 0 0.0 2 19.2 2 21.3

0 0.0 0 0.0 0 0.0 0 0.0 0 0.0Rates are per 100,000 population in specified categories. *CLRD is known as Chronic Lower Respiratory Disease.

Number Rate Number RateAll Accidents 11 55.9 0 0.0 Number Rate

Motor Vehicle 8 40.7 0 0.0 296 15.0Suffocation 0 0.0 0 0.0 3 0.8Poisoning 0 0.0 0 0.0 26 3.8Smoke, Fire and Flames 0 0.0 0 0.0 53 10.4Falls 1 5.1 0 0.0 149 43.7Drowning 0 0.0 0 0.0 65 111.1Firearms 0 0.0 0 0.0 Rates are per 1,000 population in specified age group.Other Accidents 2 --- 0 ---

Rates are per 100,000 population in specified categories.

Number Rate Number Rate Number Rate53 269.3 27 294.6 26 247.318 91.5 7 76.4 11 104.66 30.5 4 43.6 2 19.04 20.3 ... … 4 38.03 15.2 3 32.7 … …2 10.2 1 10.9 1 9.52 10.2 1 10.9 1 9.51 5.1 0 0.0 1 9.51 5.1 … … 1 9.51 5.1 1 10.9 0 0.01 5.1 0 0.0 1 9.50 0.0 … … 0 0.01 5.1 1 10.9 0 0.00 0.0 0 0.0 0 0.0

13 --- 9 --- 4 ---

MORTALITY All Races White

Female

BUTLER 2018 HEALTH PROFILE (Continued)

Black and Other

Rate per 1,000 Population

SELECTED CAUSESOF DEATH

Total White Black and OtherMale

FemaleMale

Total 0 - 14 15 - 44 45 - 64 65 - 84

HIV Disease

All Cancers

Leukemias

Ovary (female)

All Ages

Melanoma of Skin

Trachea, Bronchus, Lung, Pleura

85 +

Breast (female)Prostate (male)

Total

Age Group

DEATHS BY AGE GROUPACCIDENTAL DEATHS

Non-Hodgkin's Lymphomas

Measurements based on small denominators should be used with caution. Rates and ratios based on a denominator of less than 50 births or 1,000 population are shaded. Estimated pregnancies are the sum of births, induced terminations of pregnancy (abortions) and estimated total fetal losses. Estimated total fetal losses are equal to the sum of 20 percent of births and 10 percent of induced terminations of pregnancy. The total fertility rate is the sum of age-specific birth rates multiplied by the width of the intervals, i.e. five years. A total fertility rate of 2,100 births per 1,000 females aged 10-49 years would maintain the current population. Estimated populations are from the U.S. Census Bureau. See Appendix B for other definitions and formulas.

Ages 19 and Under

Colorectal

SELECTED CANCER SITE DEATHS

Other

Brain and Other Nervous SystemStomachUterus and Cervix (female)Esophagus

Pancreas

Rates are per 100,000 population in specified categories.

18 ADPH|CHS County Profile (2018)

Page 24: health department quality Vital Statistics

Number Rate Number RateEstimated Pregnancies 1,694 76.7 136 19.1Births 1,265 11.1 95 13.3Induced Terminations of Pregnancy 160 7.2 20 2.8Estimated Total Fetal Losses 269 --- 21 ---Birth rates are per 1,000 population.

Total 10-14 15-17 18-19 20+All Births 1,265 0 78 1,170 Rate 11.1 0.0 52.4 53.2White 903 0 64 830 Rate 10.5 0.0 64.1 51.7

114,277 Black and Other 362 0 14 3401,265 Rate 12.8 0.0 28.5 57.01,59040.0 Births with unknown age of mother are included in the age group "20+".

Life Expectancy at BirthTotal Fertility Rate per 1,000 Females Aged 10-49 Number Percent Number Percent

792 Births to Unmarried Women 662 52.3 81 85.3484 Low Weight Births 124 9.8 7 7.4

Multiple Births 42 3.3 0 0.0Medicaid Births 716 56.6 79 83.2

White WhiteInfant Deaths 8 2 2 1 Rate per 1,000 Births 6.3 2.2 21.1 13.7Postneonatal Deaths 1 0 0 0 Rate per 1,000 Births 0.8 0.0 0.0 0.0Neonatal Deaths 7 2 2 1 Rate per 1,000 Births 5.5 2.2 21.1 13.7

Total Male Female Total Male Female Total Male FemaleTotal 114,277 54,914 59,363 86,026 41,758 44,268 28,251 13,156 15,095

0-4 6,580 3,339 3,241 4,475 2,260 2,215 2,105 1,079 1,0265-9 6,561 3,330 3,231 4,501 2,336 2,165 2,060 994 1,06610-14 7,146 3,730 3,416 5,088 2,645 2,443 2,058 1,085 97315-44 43,482 21,398 22,084 31,409 15,682 15,727 12,073 5,716 6,35745-64 30,261 14,532 15,729 23,637 11,592 12,045 6,624 2,940 3,68465-84 18,136 7,954 10,182 15,118 6,682 8,436 3,018 1,272 1,74685+ 2,111 631 1,480 1,798 561 1,237 313 70 243

17

BIRTHS BY AGE GROUP OF MOTHER

Females Aged 10-19

PREGNANCY/NATALITY

Estimated pregnancy and induced termination of pregnancy rates are per 1,000 females in specified age group.

Females Aged 15-44

Marriages IssuedDivorces Granted

*Infant deaths are by race of child; births are by race of mother.

2018 ESTIMATED POPULATIONS BY AGE GROUP, RACE AND SEX

7.69

6.08

10.9

Females Aged 15-44

SUMMARY

1,682.0

LIVE BIRTHS

BirthsDeaths

Total Population

Females Aged 10-19

Median Age

72.9

White Black and Other

0.01

45.5

Age Group All Races

13.8

2.85

All Ages Ages 10-19Black and Other

Rates are per 1,000 females in specified age group.

Black and Other6 1

16.61

45.50

Percentages are of all births with known status for females in specified age group.

INFANT RELATED MORTALITY BY RACE* AND AGE GROUP OF MOTHER

All RacesAll Races

CALHOUN 2018 HEALTH PROFILE

19 ADPH|CHS County Profile (2018)

Page 25: health department quality Vital Statistics

Total Male Female Total Male Female Total Male FemaleDeaths 1,590 781 809 1,337 664 673 253 117 136

13.9 14.2 13.6 15.5 15.9 15.2 9.0 8.9 9.0

Number Rate Number Rate Number Rate Number Rate Number RateHeart Disease 477 417.4 248 451.6 229 385.8 396 457.8 81 286.7Cancer 302 264.3 155 282.3 147 247.6 244 282.0 58 205.3Stroke 104 91.0 42 76.5 62 104.4 85 98.3 19 67.3Accidents 72 63.0 42 76.5 30 50.5 62 71.7 10 35.4CLRD* 139 121.6 66 120.2 73 123.0 132 152.6 7 24.8Diabetes 14 12.3 8 14.6 6 10.1 12 13.9 2 7.1Influenza and Pneumonia 26 22.8 10 18.2 16 27.0 23 26.6 3 10.6Alzheimer's Disease 77 67.4 19 34.6 58 97.7 67 77.4 10 35.4Suicide 25 21.9 24 43.7 1 1.7 22 25.4 3 10.6Homicide 15 13.1 9 16.4 6 10.1 10 11.6 5 17.7

1 0.9 1 1.8 0 0.0 1 1.2 0 0.0Rates are per 100,000 population in specified categories. *CLRD is known as Chronic Lower Respiratory Disease.

Number Rate Number RateAll Accidents 72 63.0 2 Number Rate

Motor Vehicle 31 27.1 2 1,590 13.9Suffocation 4 3.5 0 13 0.6Poisoning 16 14.0 0 93 2.1Smoke, Fire and Flames 1 0.9 0 374 12.4Falls 11 9.6 0 772 42.6Drowning 0 0.0 0 338 160.1Firearms 0 0.0 0 Rates are per 1,000 population in specified age group.Other Accidents 9 --- 0 ---

Rates are per 100,000 population in specified categories.

Number Rate Number Rate Number Rate302 264.3 155 282.3 147 247.679 69.1 42 76.5 37 62.329 25.4 16 29.1 13 21.915 13.1 ... … 15 25.317 14.9 17 31.0 … …23 20.1 9 16.4 14 23.612 10.5 6 10.9 6 10.17 6.1 1 1.8 6 10.16 5.3 … … 6 10.1

Brain and Other Nervous System 7 6.1 3 5.5 4 6.75 4.4 1 1.8 4 6.78 7.0 … … 8 13.5

11 9.6 9 16.4 2 3.44 3.5 3 5.5 1 1.7

79 --- 48 --- 31 ---

CALHOUN 2018 HEALTH PROFILE (Continued)

All Races White Black and OtherMORTALITY

Rate per 1,000 Population

SELECTED CAUSESOF DEATH

Total Male Female White Black and Other

Measurements based on small denominators should be used with caution. Rates and ratios based on a denominator of less than 50 births or 1,000 population are shaded. Estimated pregnancies are the sum of births, induced terminations of pregnancy (abortions) and estimated total fetal losses. Estimated total fetal losses are equal to the sum of 20 percent of births and 10 percent of induced terminations of pregnancy. The total fertility rate is the sum of age-specific birth rates multiplied by the width of the intervals, i.e. five years. A total fertility rate of 2,100 births per 1,000 females aged 10-49 years would maintain the current population. Estimated populations are from the U.S. Census Bureau. See Appendix B for other definitions and formulas.

Total Male FemaleSELECTED CANCER SITE DEATHS

Rates are per 100,000 population in specified categories.

Colorectal

Ovary (female)

Prostate (male)

LeukemiasPancreas

All CancersTrachea, Bronchus, Lung, Pleura

Esophagus

Breast (female)

StomachUterus and Cervix (female)

Melanoma of SkinOther

0 - 14 15 - 44 45 - 64

Total

ACCIDENTAL DEATHS All Ages

65 - 84

HIV Disease

Non-Hodgkin's Lymphomas

Ages 19 and Under DEATHS BY AGE GROUP

Age Group

85 +

20 ADPH|CHS County Profile (2018)

7.27.20.00.00.00.00.00.0

Page 26: health department quality Vital Statistics

Number Rate Number RateEstimated Pregnancies 488 81.2 31 16.7Births 359 10.7 20 10.9Induced Terminations of Pregnancy 52 8.7 6 3.3Estimated Total Fetal Losses 77 --- 5 ---Birth rates are per 1,000 population.

Total 10-14 15-17 18-19 20+All Births 359 2 13 339 Rate 10.7 2.1 37.6 54.1White 201 1 8 190 Rate 10.5 2.1 44.0 58.0

33,615 Black and Other 158 1 5 149359 Rate 10.9 2.0 30.6 49.8420

42.7 Births with unknown age of mother are included in the age group "20+".

Life Expectancy at BirthTotal Fertility Rate per 1,000 Females Aged 10-49 Number Percent Number Percent

90 Births to Unmarried Women 233 64.9 18 90.0127 Low Weight Births 38 10.6 2 10.0

Multiple Births 8 2.2 0 0.0Medicaid Births 242 67.4 19 95.0

White WhiteInfant Deaths 4 3 0 Rate per 1,000 Births 11.1 14.9 0.0Postneonatal Deaths 2 2 0 Rate per 1,000 Births 5.6 10.0 0.0Neonatal Deaths 2 1 0 Rate per 1,000 Births 5.6 5.0 0.0

Total Male Female Total Male Female Total Male FemaleTotal 33,615 16,093 17,522 19,182 9,291 9,891 14,433 6,802 7,631

0-4 1,929 1,011 918 975 509 466 954 502 4525-9 1,940 948 992 1,011 499 512 929 449 48010-14 1,926 957 969 968 487 481 958 470 48815-44 11,899 5,891 6,008 6,242 3,149 3,093 5,657 2,742 2,91545-64 9,359 4,498 4,861 5,507 2,684 2,823 3,852 1,814 2,03865-84 5,813 2,590 3,223 3,950 1,810 2,140 1,863 780 1,08385+ 749 198 551 529 153 376 220 45 175

2

0.0

0.00

0.0

Percentages are of all births with known status for females in specified age group.

59.6

PREGNANCY/NATALITY

Females Aged 10-19Females Aged 15-44

BIRTHS BY AGE GROUP OF MOTHER

Estimated pregnancy and induced termination of pregnancy rates are per 1,000 females in specified age group.

7.33

1 0

12.2Rates are per 1,000 females in specified age group.

00.0

0

6.3

LIVE BIRTHS

00.0

SUMMARY

Median Age

75.4

1,714.0

00.0

1

Marriages IssuedDivorces Granted

BirthsDeaths

Total Population

0

Females Aged 10-19

Age Group

Females Aged 15-44

INFANT RELATED MORTALITY BY RACE* AND AGE GROUP OF MOTHER

All Ages Ages 10-19Black and Other Black and OtherAll Races

0.0

All Races White Black and Other

2018 ESTIMATED POPULATIONS BY AGE GROUP, RACE AND SEX

All Races

*Infant deaths are by race of child; births are by race of mother.6.3

CHAMBERS 2018 HEALTH PROFILE

21 ADPH|CHS County Profile (2018)

Page 27: health department quality Vital Statistics

Total Male Female Total Male Female Total Male FemaleDeaths 420 215 205 305 158 147 115 57 58

12.5 13.4 11.7 15.8 17.0 14.9 8.0 8.4 7.6

Number Rate Number Rate Number Rate Number Rate Number RateHeart Disease 84 249.9 45 279.6 39 222.6 63 326.5 21 145.5Cancer 90 267.7 53 329.3 37 211.2 64 331.6 26 180.1Stroke 16 47.6 6 37.3 10 57.1 10 51.8 6 41.6Accidents 18 53.5 11 68.4 7 39.9 15 77.7 3 20.8CLRD* 45 133.9 21 130.5 24 137.0 33 171.0 12 83.1Diabetes 21 62.5 13 80.8 8 45.7 10 51.8 11 76.2Influenza and Pneumonia 3 8.9 1 6.2 2 11.4 3 15.5 0 0.0Alzheimer's Disease 30 89.2 10 62.1 20 114.1 24 124.4 6 41.6Suicide 4 11.9 4 24.9 0 0.0 3 15.5 1 6.9Homicide 4 11.9 3 18.6 1 5.7 3 15.5 1 6.9

2 5.9 2 12.4 0 0.0 0 0.0 2 13.9Rates are per 100,000 population in specified categories. *CLRD is known as Chronic Lower Respiratory Disease.

Number Rate Number RateAll Accidents 18 53.5 1 Number Rate

Motor Vehicle 5 14.9 1 420 12.5Suffocation 0 0.0 0 4 0.7Poisoning 4 11.9 0 23 1.9Smoke, Fire and Flames 1 3.0 0 89 9.5Falls 3 8.9 0 201 34.6Drowning 0 0.0 0 103 137.5Firearms 1 3.0 0 Rates are per 1,000 population in specified age group.Other Accidents 4 --- 0 ---

Rates are per 100,000 population in specified categories.

Number Rate Number Rate Number Rate90 267.7 53 329.3 37 211.223 68.4 18 111.8 5 28.54 11.9 3 18.6 1 5.78 23.8 ... … 8 45.73 8.9 3 18.6 … …2 5.9 1 6.2 1 5.74 11.9 1 6.2 3 17.14 11.9 3 18.6 1 5.72 5.9 … … 2 11.42 5.9 2 12.4 0 0.01 3.0 1 6.2 0 0.03 8.9 … … 3 17.11 3.0 0 0.0 1 5.70 0.0 0 0.0 0 0.0

33 --- 21 --- 12 ---

HIV Disease

CHAMBERS 2018 HEALTH PROFILE (Continued)

Black and OtherMORTALITY All Races White

Male FemaleSELECTED CAUSESOF DEATH

Total Black and OtherWhite

Rate per 1,000 Population

Measurements based on small denominators should be used with caution. Rates and ratios based on a denominator of less than 50 births or 1,000 population are shaded. Estimated pregnancies are the sum of births, induced terminations of pregnancy (abortions) and estimated total fetal losses. Estimated total fetal losses are equal to the sum of 20 percent of births and 10 percent of induced terminations of pregnancy. The total fertility rate is the sum of age-specific birth rates multiplied by the width of the intervals, i.e. five years. A total fertility rate of 2,100 births per 1,000 females aged 10-49 years would maintain the current population. Estimated populations are from the U.S. Census Bureau. See Appendix B for other definitions and formulas.

All Ages Ages 19 and Under

Male

Age Group

Female

Total 0 - 14 15 - 44 45 - 64

Ovary (female)Brain and Other Nervous System

Other

PancreasLeukemiasNon-Hodgkin's Lymphomas

Stomach

ACCIDENTAL DEATHS

Uterus and Cervix (female)

Breast (female)Prostate (male)

Total

All CancersTrachea, Bronchus, Lung, PleuraColorectal

SELECTED CANCER SITE DEATHS

DEATHS BY AGE GROUP

65 - 84 85 +

Rates are per 100,000 population in specified categories.

EsophagusMelanoma of Skin

22 ADPH|CHS County Profile (2018)

13.013.00.00.00.00.00.00.0

Page 28: health department quality Vital Statistics

Number Rate Number RateEstimated Pregnancies 293 70.8 27 18.3Births 233 9.0 19 12.8Induced Terminations of Pregnancy 12 2.9 4 2.7Estimated Total Fetal Losses 48 --- 4 ---Birth rates are per 1,000 population.

Total 10-14 15-17 18-19 20+All Births 233 1 15 214 Rate 9.0 1.4 49.8 50.4White 216 1 14 198 Rate 8.9 1.5 51.9 49.4

26,032 Black and Other 17 0 1 16233 Rate 9.4 0.0 31.6 65.6345

46.9 Births with unknown age of mother are included in the age group "20+".

Life Expectancy at BirthTotal Fertility Rate per 1,000 Females Aged 10-49 Number Percent Number Percent

183 Births to Unmarried Women 105 45.1 17 89.5118 Low Weight Births 14 6.0 1 5.3

Multiple Births 4 1.7 0 0.0Medicaid Births 130 56.0 15 78.9

White WhiteInfant Deaths 5 5 0 Rate per 1,000 Births 21.5 23.1 0.0Postneonatal Deaths 2 2 0 Rate per 1,000 Births 8.6 9.3 0.0Neonatal Deaths 3 3 0 Rate per 1,000 Births 12.9 13.9 0.0

Total Male Female Total Male Female Total Male FemaleTotal 26,032 12,896 13,136 24,217 11,983 12,234 1,815 913 902

0-4 1,206 608 598 1,077 552 525 129 56 735-9 1,348 712 636 1,238 658 580 110 54 5610-14 1,482 750 732 1,363 696 667 119 54 6515-44 8,326 4,193 4,133 7,689 3,834 3,855 637 359 27845-64 7,690 3,844 3,846 7,213 3,624 3,589 477 220 25765-84 5,444 2,605 2,839 5,132 2,451 2,681 312 154 15885+ 536 184 352 505 168 337 31 16 15

Females Aged 10-19

Females Aged 15-44

LIVE BIRTHS

SUMMARY

Median Age

74.2

Marriages IssuedDivorces Granted

BirthsDeaths

Total Population

36.6

37.4

0

0.00

Ages 10-19

1,747.5

All RacesAll Races

0.0

BIRTHS BY AGE GROUP OF MOTHER

Percentages are of all births with known status for females in specified age group.

PREGNANCY/NATALITY

0.0

Females Aged 10-19

Estimated pregnancy and induced termination of pregnancy rates are per 1,000 females in specified age group.

2018 ESTIMATED POPULATIONS BY AGE GROUP, RACE AND SEX

Age Group Black and Other

Black and Other Black and Other

*Infant deaths are by race of child; births are by race of mother.

All Races White

INFANT RELATED MORTALITY BY RACE* AND AGE GROUP OF MOTHER

0

00.0

0

All Ages

Females Aged 15-44

Rates are per 1,000 females in specified age group.

0.0

00.0

00.0

00.0

00.0

00.0

CHEROKEE 2018 HEALTH PROFILE

23 ADPH|CHS County Profile (2018)

Page 29: health department quality Vital Statistics

Total Male Female Total Male Female Total Male FemaleDeaths 345 184 161 330 177 153 15 7 8

13.3 14.3 12.3 13.7 14.8 12.5 8.3 7.7 8.9

Number Rate Number Rate Number Rate Number Rate Number RateHeart Disease 62 238.2 37 286.9 25 190.3 60 249.1 2 110.2Cancer 67 257.4 38 294.7 29 220.8 66 274.0 1 55.1Stroke 15 57.6 10 77.5 5 38.1 15 62.3 0 0.0Accidents 20 76.8 12 93.1 8 60.9 20 83.0 0 0.0CLRD* 22 84.5 8 62.0 14 106.6 21 87.2 1 55.1Diabetes 13 49.9 6 46.5 7 53.3 13 54.0 0 0.0Influenza and Pneumonia 11 42.3 6 46.5 5 38.1 10 41.5 1 55.1Alzheimer's Disease 26 99.9 4 31.0 22 167.5 24 99.7 2 110.2Suicide 7 26.9 4 31.0 3 22.8 7 29.1 0 0.0Homicide 2 7.7 2 15.5 0 0.0 2 8.3 0 0.0

1 3.8 0 0.0 1 7.6 0 0.0 1 55.1Rates are per 100,000 population in specified categories. *CLRD is known as Chronic Lower Respiratory Disease.

Number Rate Number RateAll Accidents 20 76.8 0 0.0 Number Rate

Motor Vehicle 13 49.9 0 0.0 345 13.3Suffocation 1 3.8 0 0.0 6 1.5Poisoning 3 11.5 0 0.0 23 2.8Smoke, Fire and Flames 1 3.8 0 0.0 70 9.1Falls 1 3.8 0 0.0 172 31.6Drowning 0 0.0 0 0.0 74 138.1Firearms 0 0.0 0 0.0 Rates are per 1,000 population in specified age group.Other Accidents 1 --- 0 ---

Rates are per 100,000 population in specified categories.

Number Rate Number Rate Number Rate67 257.4 38 294.7 29 220.816 61.5 12 93.1 4 30.56 23.0 2 15.5 4 30.51 3.8 ... … 1 7.66 23.0 6 46.5 … …4 15.4 1 7.8 3 22.83 11.5 1 7.8 2 15.22 7.7 2 15.5 0 0.04 15.4 … … 4 30.53 11.5 0 0.0 3 22.81 3.8 1 7.8 0 0.03 11.5 … … 3 22.82 7.7 2 15.5 0 0.01 3.8 1 7.8 0 0.0

15 --- 10 --- 5 ---

Total

White

15 - 44

Female

CHEROKEE 2018 HEALTH PROFILE (Continued)

Black and Other

Age Group

Measurements based on small denominators should be used with caution. Rates and ratios based on a denominator of less than 50 births or 1,000 population are shaded. Estimated pregnancies are the sum of births, induced terminations of pregnancy (abortions) and estimated total fetal losses. Estimated total fetal losses are equal to the sum of 20 percent of births and 10 percent of induced terminations of pregnancy. The total fertility rate is the sum of age-specific birth rates multiplied by the width of the intervals, i.e. five years. A total fertility rate of 2,100 births per 1,000 females aged 10-49 years would maintain the current population. Estimated populations are from the U.S. Census Bureau. See Appendix B for other definitions and formulas.

Melanoma of SkinOther

Breast (female)Prostate (male)PancreasLeukemiasNon-Hodgkin's LymphomasOvary (female)Brain and Other Nervous SystemStomachUterus and Cervix (female)Esophagus

All Races

All Ages Ages 19 and Under DEATHS BY AGE GROUP

0 - 14

Rates are per 100,000 population in specified categories.

MORTALITY

Trachea, Bronchus, Lung, PleuraColorectal

Female

SELECTED CAUSESOF DEATH

Black and Other

SELECTED CANCER SITE DEATHS

65 - 84 85 +

45 - 64

Total Male

Male

ACCIDENTAL DEATHS

Rate per 1,000 Population

Total

White

HIV Disease

All Cancers

24 ADPH|CHS County Profile (2018)

Page 30: health department quality Vital Statistics

Number Rate Number RateEstimated Pregnancies 695 84.7 70 24.3Births 545 12.3 55 19.0Induced Terminations of Pregnancy 37 4.5 4 1.4Estimated Total Fetal Losses 113 --- 11 ---Birth rates are per 1,000 population.

Total 10-14 15-17 18-19 20+All Births 545 0 42 490 Rate 12.3 0.0 75.7 59.8White 470 0 41 417 Rate 12.2 0.0 86.7 59.0

44,153 Black and Other 75 0 1 73545 Rate 13.2 0.0 12.2 64.5510

39.6 Births with unknown age of mother are included in the age group "20+".

Life Expectancy at BirthTotal Fertility Rate per 1,000 Females Aged 10-49 Number Percent Number Percent

347 Births to Unmarried Women 261 48.0 47 85.5285 Low Weight Births 62 11.4 5 9.1

Multiple Births 26 4.8 2 3.6Medicaid Births 285 52.3 39 70.9

White WhiteInfant Deaths 3 2 0 0 Rate per 1,000 Births 5.5 4.3 0.0 0.0Postneonatal Deaths 1 1 0 0 Rate per 1,000 Births 1.8 2.1 0.0 0.0Neonatal Deaths 2 1 0 0 Rate per 1,000 Births 3.7 2.1 0.0 0.0

Total Male Female Total Male Female Total Male FemaleTotal 44,153 21,668 22,485 38,459 18,888 19,571 5,694 2,780 2,914

0-4 2,730 1,373 1,357 2,280 1,153 1,127 450 220 2305-9 2,922 1,455 1,467 2,436 1,206 1,230 486 249 23710-14 2,971 1,463 1,508 2,535 1,239 1,296 436 224 21215-44 16,422 8,217 8,205 14,102 7,044 7,058 2,320 1,173 1,14745-64 11,697 5,790 5,907 10,344 5,163 5,181 1,353 627 72665-84 6,642 3,073 3,569 6,052 2,808 3,244 590 265 32585+ 769 297 472 710 275 435 59 22 37

PREGNANCY/NATALITY

SUMMARY

15.612

16.9

13

Females Aged 15-44 Females Aged 10-19

Females Aged 15-44

LIVE BIRTHS

Rates are per 1,000 females in specified age group.

Females Aged 10-19

Estimated pregnancy and induced termination of pregnancy rates are per 1,000 females in specified age group.

18.1

BIRTHS BY AGE GROUP OF MOTHER

Median Age

2,034.0

74.6

BirthsDeaths

Total Population

Ages 10-19

Percentages are of all births with known status for females in specified age group.

All AgesBlack and OtherAll Races Black and Other

Marriages IssuedDivorces Granted

1

*Infant deaths are by race of child; births are by race of mother.

2018 ESTIMATED POPULATIONS BY AGE GROUP, RACE AND SEX

Black and OtherAge Group All Races White

INFANT RELATED MORTALITY BY RACE* AND AGE GROUP OF MOTHER

13.3

00.0

00.0

00.0

113.3

00.0

All Races

CHILTON 2018 HEALTH PROFILE

25 ADPH|CHS County Profile (2018)

Page 31: health department quality Vital Statistics

Total Male Female Total Male Female Total Male FemaleDeaths 510 267 243 474 245 229 36 22 14

11.6 12.3 10.8 12.4 13.0 11.7 6.3 7.9 4.8

Number Rate Number Rate Number Rate Number Rate Number RateHeart Disease 122 276.3 64 295.4 58 257.9 113 294.8 9 158.1Cancer 79 178.9 42 193.8 37 164.6 75 195.6 4 70.2Stroke 30 67.9 19 87.7 11 48.9 26 67.8 4 70.2Accidents 37 83.8 22 101.5 15 66.7 35 91.3 2 35.1CLRD* 32 72.5 18 83.1 14 62.3 32 83.5 0 0.0Diabetes 9 20.4 5 23.1 4 17.8 7 18.3 2 35.1Influenza and Pneumonia 15 34.0 8 36.9 7 31.1 14 36.5 1 17.6Alzheimer's Disease 19 43.0 7 32.3 12 53.4 18 47.0 1 17.6Suicide 8 18.1 4 18.5 4 17.8 8 20.9 0 0.0Homicide 3 6.8 3 13.8 0 0.0 2 5.2 1 17.6

2 4.5 2 9.2 0 0.0 2 5.2 0 0.0Rates are per 100,000 population in specified categories. *CLRD is known as Chronic Lower Respiratory Disease.

Number Rate Number RateAll Accidents 37 83.8 2 Number Rate

Motor Vehicle 15 34.0 1 510 11.6Suffocation 3 6.8 0 4 0.5Poisoning 9 20.4 0 42 2.6Smoke, Fire and Flames 1 2.3 0 109 9.3Falls 5 11.3 0 241 36.3Drowning 1 2.3 1 114 148.2Firearms 0 0.0 0 0.0 Rates are per 1,000 population in specified age group.Other Accidents 3 --- 0 ---

Rates are per 100,000 population in specified categories.

Number Rate Number Rate Number Rate79 178.9 42 193.8 37 164.625 56.6 11 50.8 14 62.310 22.6 6 27.7 4 17.85 11.3 ... … 5 22.21 2.3 1 4.6 … …4 9.1 3 13.8 1 4.42 4.5 2 9.2 0 0.00 0.0 0 0.0 0 0.02 4.5 … … 2 8.92 4.5 1 4.6 1 4.43 6.8 2 9.2 1 4.41 2.3 … … 1 4.41 2.3 0 0.0 1 4.41 2.3 0 0.0 1 4.4

22 --- 16 --- 6 ---

CHILTON 2018 HEALTH PROFILE (Continued)

Black and OtherMORTALITY All Races White

HIV Disease

Female White

Rate per 1,000 Population

Total

15 - 44 45 - 64 65 - 84

SELECTED CAUSESOF DEATH

Ages 19 and Under DEATHS BY AGE GROUP

Male

ACCIDENTAL DEATHS All Ages

SELECTED CANCER SITE DEATHS

Breast (female)

Age GroupTotal 0 - 14

Measurements based on small denominators should be used with caution. Rates and ratios based on a denominator of less than 50 births or 1,000 population are shaded. Estimated pregnancies are the sum of births, induced terminations of pregnancy (abortions) and estimated total fetal losses. Estimated total fetal losses are equal to the sum of 20 percent of births and 10 percent of induced terminations of pregnancy. The total fertility rate is the sum of age-specific birth rates multiplied by the width of the intervals, i.e. five years. A total fertility rate of 2,100 births per 1,000 females aged 10-49 years would maintain the current population. Estimated populations are from the U.S. Census Bureau. See Appendix B for other definitions and formulas.

Brain and Other Nervous System

OtherRates are per 100,000 population in specified categories.

EsophagusMelanoma of Skin

StomachUterus and Cervix (female)

Female

Trachea, Bronchus, Lung, Pleura

Male

Black and Other

Prostate (male)

All Cancers

Colorectal

85 +

Total

PancreasLeukemiasNon-Hodgkin's LymphomasOvary (female)

26 ADPH|CHS County Profile (2018)

17.48.70.00.00.00.08.7

Page 32: health department quality Vital Statistics

Number Rate Number RateEstimated Pregnancies 190 88.6 17 23.9Births 143 11.1 13 18.6Induced Terminations of Pregnancy 17 7.9 1 1.4Estimated Total Fetal Losses 30 --- 3 ---Birth rates are per 1,000 population.

Total 10-14 15-17 18-19 20+All Births 143 0 10 130 Rate 11.1 0.0 68.5 58.9White 88 0 8 78 Rate 12.0 0.0 103.1 63.4

12,841 Black and Other 55 0 2 52143 Rate 10.0 0.0 29.2 53.3193

46.4 Births with unknown age of mother are included in the age group "20+".

Life Expectancy at BirthTotal Fertility Rate per 1,000 Females Aged 10-49 Number Percent Number Percent

90 Births to Unmarried Women 68 47.6 11 84.6 9 Low Weight Births 17 11.9 1 7.7

Multiple Births 4 2.8 0 0.0Medicaid Births 89 62.2 11 84.6

White WhiteInfant Deaths 3 1 0 Rate per 1,000 Births 21.0 11.4 0.0Postneonatal Deaths 1 0 0 Rate per 1,000 Births 7.0 0.0 0.0Neonatal Deaths 2 1 0 Rate per 1,000 Births 14.0 11.4 0.0

Total Male Female Total Male Female Total Male FemaleTotal 12,841 6,070 6,771 7,343 3,587 3,756 5,498 2,483 3,015

0-4 673 338 335 354 183 171 319 155 1645-9 651 325 326 344 164 180 307 161 14610-14 740 406 334 421 240 181 319 166 15315-44 4,129 1,982 2,147 2,344 1,167 1,177 1,785 815 97045-64 3,695 1,732 1,963 2,037 1,000 1,037 1,658 732 92665-84 2,600 1,155 1,445 1,613 741 872 987 414 57385+ 353 132 221 230 92 138 123 40 83

All Races

313.7

PREGNANCY/NATALITY

Females Aged 10-19

Marriages IssuedDivorces Granted

BirthsDeaths

Total Population17.2

Percentages are of all births with known status for females in specified age group.

BIRTHS BY AGE GROUP OF MOTHER

All Races

Females Aged 10-19

Age Group

*Infant deaths are by race of child; births are by race of mother.

Black and Other0

18.2

Ages 10-19

0.0

36.4

118.2

00.0

0

1

All Ages

0.00

INFANT RELATED MORTALITY BY RACE* AND AGE GROUP OF MOTHER

0.0

2

2018 ESTIMATED POPULATIONS BY AGE GROUP, RACE AND SEX

All Races

0

Black and Other

0.00

0.0

White Black and Other

19.7

Rates are per 1,000 females in specified age group.

Females Aged 15-44

LIVE BIRTHS

Females Aged 15-44

73.3

SUMMARY

Median Age

2,044.5

Estimated pregnancy and induced termination of pregnancy rates are per 1,000 females in specified age group.

2

CHOCTAW 2018 HEALTH PROFILE

27 ADPH|CHS County Profile (2018)

Page 33: health department quality Vital Statistics

Total Male Female Total Male Female Total Male FemaleDeaths 193 103 90 119 64 55 74 39 35

15.0 17.0 13.3 16.1 17.8 14.6 13.5 15.7 11.6

Number Rate Number Rate Number Rate Number Rate Number RateHeart Disease 70 545.1 40 659.0 30 443.1 44 594.0 26 472.9Cancer 27 210.3 17 280.1 10 147.7 18 243.0 9 163.7Stroke 8 62.3 3 49.4 5 73.8 2 27.0 6 109.1Accidents 14 109.0 12 197.7 2 29.5 7 94.5 7 127.3CLRD* 9 70.1 1 16.5 8 118.2 8 108.0 1 18.2Diabetes 1 7.8 0 0.0 1 14.8 1 13.5 0 0.0Influenza and Pneumonia 7 54.5 4 65.9 3 44.3 6 81.0 1 18.2Alzheimer's Disease 12 93.5 5 82.4 7 103.4 6 81.0 6 109.1Suicide 2 15.6 1 16.5 1 14.8 1 13.5 1 18.2Homicide 1 7.8 1 16.5 0 0.0 0 0.0 1 18.2

0 0.0 0 0.0 0 0.0 0 0.0 0 0.0Rates are per 100,000 population in specified categories. *CLRD is known as Chronic Lower Respiratory Disease.

Number Rate Number RateAll Accidents 14 109.0 1 35.5 Number Rate

Motor Vehicle 6 46.7 0 0.0 193 15.0Suffocation 1 7.8 0 0.0 4 1.9Poisoning 0 0.0 0 0.0 11 2.7Smoke, Fire and Flames 0 0.0 0 0.0 23 6.2Falls 4 31.2 0 0.0 115 44.2Drowning 0 0.0 0 0.0 40 113.3Firearms 0 0.0 0 0.0 Rates are per 1,000 population in specified age group.Other Accidents 3 --- 1 ---

Rates are per 100,000 population in specified categories.

Number Rate Number Rate Number Rate27 210.3 17 280.1 10 147.75 38.9 3 49.4 2 29.54 31.2 3 49.4 1 14.80 0.0 ... … 0 0.00 0.0 0 0.0 … …1 7.8 1 16.5 0 0.01 7.8 0 0.0 1 14.82 15.6 0 0.0 2 29.50 0.0 … … 0 0.00 0.0 0 0.0 0 0.00 0.0 0 0.0 0 0.02 15.6 … … 2 29.50 0.0 0 0.0 0 0.00 0.0 0 0.0 0 0.0

12 --- 10 --- 2 ---

CHOCTAW 2018 HEALTH PROFILE (Continued)

Black and OtherMORTALITY All Races

Black and Other

White

All CancersTrachea, Bronchus, Lung, PleuraColorectalBreast (female)

Male

ACCIDENTAL DEATHS All Ages

Female

Ages 19 and Under

SELECTED CAUSESOF DEATH

Total Male

Rates are per 100,000 population in specified categories. Other

Non-Hodgkin's LymphomasOvary (female)Brain and Other Nervous System

PancreasLeukemias

Measurements based on small denominators should be used with caution. Rates and ratios based on a denominator of less than 50 births or 1,000 population are shaded. Estimated pregnancies are the sum of births, induced terminations of pregnancy (abortions) and estimated total fetal losses. Estimated total fetal losses are equal to the sum of 20 percent of births and 10 percent of induced terminations of pregnancy. The total fertility rate is the sum of age-specific birth rates multiplied by the width of the intervals, i.e. five years. A total fertility rate of 2,100 births per 1,000 females aged 10-49 years would maintain the current population. Estimated populations are from the U.S. Census Bureau. See Appendix B for other definitions and formulas.

StomachUterus and Cervix (female)EsophagusMelanoma of Skin

Prostate (male)

SELECTED CANCER SITE DEATHS Total

65 - 84 85 +

Age Group

15 - 44 45 - 64

Total 0 - 14

DEATHS BY AGE GROUP

Female

Rate per 1,000 Population

White

HIV Disease

28 ADPH|CHS County Profile (2018)

Page 34: health department quality Vital Statistics

Number Rate Number Rate337 77.0 31 20.5270 11.3 25 16.5

Induced Terminations of Pregnancy 12 2.7 1 0.7Estimated Total Fetal Losses 55 --- 5 ---Birth rates are per 1,000 population.

Total 10-14 15-17 18-19 20+All Births 270 0 5 20 245 Rate 11.3 0.0 10.5 63.1 56.0White 121 0 2 7 112 Rate 9.5 0.0 8.4 43.9 53.8

23,920 Black and Other 149 0 3 13 133270 Rate 13.4 0.0 12.7 82.5 58.1317

42.7 Births with unknown age of mother are included in the age group "20+".

Life Expectancy at BirthTotal Fertility Rate per 1,000 Females Aged 10-49 Number Percent Number Percent

0 Births to Unmarried Women 166 61.5 22 88.091 Low Weight Births 33 12.2 2 8.0

Multiple Births 4 1.5 0 0.0Medicaid Births 176 65.2 21 84.0

White WhiteInfant Deaths 2 0 0 Rate per 1,000 Births 7.4 0.0 0.0Postneonatal Deaths 1 0 0 Rate per 1,000 Births 3.7 0.0 0.0Neonatal Deaths 1 0 0 Rate per 1,000 Births 3.7 0.0 0.0

Total Male Female Total Male Female Total Male FemaleTotal 23,920 11,328 12,592 12,781 6,191 6,590 11,139 5,137 6,002

0-4 1,386 689 697 651 317 334 735 372 3635-9 1,318 675 643 626 317 309 692 358 33410-14 1,471 749 722 721 358 363 750 391 35915-44 8,423 4,046 4,377 4,105 2,005 2,100 4,318 2,041 2,27745-64 6,569 3,082 3,487 3,539 1,765 1,774 3,030 1,317 1,71365-84 4,161 1,898 2,263 2,749 1,294 1,455 1,412 604 80885+ 592 189 403 390 135 255 202 54 148

Percentages are of all births with known status for females in specified age group.

INFANT RELATED MORTALITY BY RACE* AND AGE GROUP OF MOTHER

All Races

16.7

13.42

BirthsDeaths

Total Population

73.3

1,877.0

Marriages IssuedDivorces Granted

BIRTHS BY AGE GROUP OF MOTHER

All Ages Ages 10-19

Estimated pregnancy and induced termination of pregnancy rates are per 1,000 females in specified age group.

PREGNANCY/NATALITY

Estimated PregnanciesBirths

Females Aged 15-44

LIVE BIRTHS

16.7

All Races White Black and OtherAge Group

0.0

2018 ESTIMATED POPULATIONS BY AGE GROUP, RACE AND SEX

Females Aged 10-19

All RacesBlack and Other Black and Other

Rates are per 1,000 females in specified age group.

Females Aged 10-19

SUMMARY

Median Age

0

00.0

00.0

0

Females Aged 15-44

00.0

00.0

*Infant deaths are by race of child; births are by race of mother.0.0

CLARKE 2018 HEALTH PROFILE

29 ADPH|CHS County Profile (2018)

Page 35: health department quality Vital Statistics

Total Male Female Total Male Female Total Male FemaleDeaths 317 153 164 175 86 89 142 67 75

13.3 13.5 13.0 13.5 13.9 13.5 12.7 13.0 12.5

Number Rate Number Rate Number Rate Number Rate Number RateHeart Disease 77 321.9 36 317.8 41 325.6 40 309.5 37 332.2Cancer 73 305.2 39 344.3 34 270.0 37 286.3 36 323.2Stroke 17 71.1 7 61.8 10 79.4 4 31.0 13 116.7Accidents 17 71.1 13 114.8 4 31.8 9 69.6 8 71.8CLRD* 11 46.0 7 61.8 4 31.8 6 46.4 5 44.9Diabetes 14 58.5 8 70.6 6 47.6 8 61.9 6 53.9Influenza and Pneumonia 9 37.6 7 61.8 2 15.9 5 38.7 4 35.9Alzheimer's Disease 23 96.2 6 53.0 17 135.0 16 123.8 7 62.8Suicide 1 4.2 1 8.8 0 0.0 1 7.7 0 0.0Homicide 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0

1 4.2 0 0.0 1 7.9 0 0.0 1 9.0Rates are per 100,000 population in specified categories. *CLRD is known as Chronic Lower Respiratory Disease.

Number Rate Number RateAll Accidents 17 71.1 3 52.2 Number Rate

Motor Vehicle 11 46.0 2 34.8 317 13.3Suffocation 0 0.0 0 0.0 6 1.4Poisoning 2 8.4 0 0.0 28 3.3Smoke, Fire and Flames 2 8.4 1 17.4 55 8.4Falls 2 8.4 0 0.0 146 35.1Drowning 0 0.0 0 0.0 82 138.5Firearms 0 0.0 0 0.0 Rates are per 1,000 population in specified age group.Other Accidents 0 --- 0 ---

Rates are per 100,000 population in specified categories.

Number Rate Number Rate Number Rate73 305.2 39 344.3 34 270.010 41.8 3 26.5 7 55.611 46.0 7 61.8 4 31.83 12.5 ... … 3 23.85 20.9 5 44.1 … …8 33.4 2 17.7 6 47.67 29.3 3 26.5 4 31.83 12.5 3 26.5 0 0.00 0.0 … … 0 0.02 8.4 2 17.7 0 0.00 0.0 0 0.0 0 0.04 16.7 … … 4 31.80 0.0 0 0.0 0 0.01 4.2 0 0.0 1 7.9

19 --- 14 --- 5 ---

Non-Hodgkin's LymphomasOvary (female)

Male

Colorectal

SELECTED CANCER SITE DEATHS Total

Breast (female)Prostate (male)

All CancersTrachea, Bronchus, Lung, Pleura

Pancreas

Female

Female

ACCIDENTAL DEATHS

65 - 84 85 +

Ages 19 and Under

Rates are per 100,000 population in specified categories.

Measurements based on small denominators should be used with caution. Rates and ratios based on a denominator of less than 50 births or 1,000 population are shaded. Estimated pregnancies are the sum of births, induced terminations of pregnancy (abortions) and estimated total fetal losses. Estimated total fetal losses are equal to the sum of 20 percent of births and 10 percent of induced terminations of pregnancy. The total fertility rate is the sum of age-specific birth rates multiplied by the width of the intervals, i.e. five years. A total fertility rate of 2,100 births per 1,000 females aged 10-49 years would maintain the current population. Estimated populations are from the U.S. Census Bureau. See Appendix B for other definitions and formulas.

Other

CLARKE 2018 HEALTH PROFILE (Continued)

Black and OtherMORTALITY All Races

Age GroupTotal

Black and OtherSELECTED CAUSESOF DEATH

Total Male White

White

StomachUterus and Cervix (female)EsophagusMelanoma of Skin

Leukemias

Rate per 1,000 Population

HIV Disease

0 - 14 15 - 44 45 - 64

DEATHS BY AGE GROUPAll Ages

Brain and Other Nervous System

30 ADPH|CHS County Profile (2018)

Page 36: health department quality Vital Statistics

Number Rate Number Rate200 87.5 17 22.8162 12.2 14 19.0

Induced Terminations of Pregnancy 5 2.2 0 0.0Estimated Total Fetal Losses 33 --- 3 ---Birth rates are per 1,000 population.

Total 10-14 15-17 18-19 20+All Births 162 0 13 148 Rate 12.2 0.0 87.8 63.0White 134 0 13 121 Rate 12.1 0.0 108.0 62.2

13,275 Black and Other 28 0 0 27162 Rate 12.6 0.0 0.0 66.7185

44.5 Births with unknown age of mother are included in the age group "20+".

Life Expectancy at BirthTotal Fertility Rate per 1,000 Females Aged 10-49 Number Percent Number Percent

68 Births to Unmarried Women 68 42.0 10 71.435 Low Weight Births 18 11.1 1 7.1

Multiple Births 9 5.6 0 0.0Medicaid Births 90 55.6 11 78.6

White WhiteInfant Deaths 0 0 0 Rate per 1,000 Births 0.0 0.0 0.0Postneonatal Deaths 0 0 0 Rate per 1,000 Births 0.0 0.0 0.0Neonatal Deaths 0 0 0 Rate per 1,000 Births 0.0 0.0 0.0

Total Male Female Total Male Female Total Male FemaleTotal 13,275 6,492 6,783 11,046 5,431 5,615 2,229 1,061 1,168

0-4 687 362 325 526 277 249 161 85 765-9 733 376 357 568 295 273 165 81 8410-14 769 403 366 615 327 288 154 76 7815-44 4,527 2,242 2,285 3,726 1,834 1,892 801 408 39345-64 3,808 1,878 1,930 3,223 1,631 1,592 585 247 33865-84 2,439 1,111 1,328 2,105 961 1,144 334 150 18485+ 312 120 192 283 106 177 29 14 15

Females Aged 15-44

LIVE BIRTHS

24.2Rates are per 1,000 females in specified age group.

0.0

Median Age

74.6

2,119.0

Divorces Granted

BirthsDeaths

Total Population

SUMMARY

BIRTHS BY AGE GROUP OF MOTHER

00.0

1

Females Aged 10-19

Marriages Issued

14.5

PREGNANCY/NATALITY

Females Aged 10-19Females Aged 15-44

Estimated PregnanciesBirths

Estimated pregnancy and induced termination of pregnancy rates are per 1,000 females in specified age group.

0.00

0.0

0.00

0.0

INFANT RELATED MORTALITY BY RACE* AND AGE GROUP OF MOTHER

Black and Other0 0

Percentages are of all births with known status for females in specified age group.

00.0

0.00

0.00

All Ages Ages 10-19Black and Other

00.0

All Races0

All Races White Black and Other

2018 ESTIMATED POPULATIONS BY AGE GROUP, RACE AND SEX

All Races

*Infant deaths are by race of child; births are by race of mother.

Age Group

CLAY 2018 HEALTH PROFILE

31 ADPH|CHS County Profile (2018)

Page 37: health department quality Vital Statistics

Total Male Female Total Male Female Total Male FemaleDeaths 185 96 89 156 77 79 29 19 10

13.9 14.8 13.1 14.0 14.2 14.1 13.0 17.9 8.6

Number Rate Number Rate Number Rate Number Rate Number RateHeart Disease 47 354.0 25 385.1 22 324.3 38 341.2 9 403.8Cancer 40 301.3 18 277.3 22 324.3 33 296.3 7 314.0Stroke 9 67.8 3 46.2 6 88.5 8 71.8 1 44.9Accidents 8 60.3 6 92.4 2 29.5 6 53.9 2 89.7CLRD* 15 113.0 8 123.2 7 103.2 14 125.7 1 44.9Diabetes 1 7.5 1 15.4 0 0.0 1 9.0 0 0.0Influenza and Pneumonia 4 30.1 2 30.8 2 29.5 4 35.9 0 0.0Alzheimer's Disease 5 37.7 1 15.4 4 59.0 4 35.9 1 44.9Suicide 4 30.1 2 30.8 2 29.5 4 35.9 0 0.0Homicide 1 7.5 1 15.4 0 0.0 0 0.0 1 44.9

0 0.0 0 0.0 0 0.0 0 0.0 0 0.0Rates are per 100,000 population in specified categories. *CLRD is known as Chronic Lower Respiratory Disease.

Number Rate Number RateAll Accidents 8 60.3 0 0.0 Number Rate

Motor Vehicle 6 45.2 0 0.0 185 13.9Suffocation 0 0.0 0 0.0 0 0.0Poisoning 0 0.0 0 0.0 12 2.7Smoke, Fire and Flames 0 0.0 0 0.0 41 10.8Falls 1 7.5 0 0.0 88 36.1Drowning 0 0.0 0 0.0 44 141.0Firearms 0 0.0 0 0.0 Rates are per 1,000 population in specified age group.Other Accidents 1 --- 0 ---

Rates are per 100,000 population in specified categories.

Number Rate Number Rate Number Rate40 301.3 18 277.3 22 324.314 105.5 5 77.0 9 132.72 15.1 0 0.0 2 29.53 22.6 ... … 3 44.21 7.5 1 15.4 … …4 30.1 3 46.2 1 14.73 22.6 3 46.2 0 0.03 22.6 3 46.2 0 0.01 7.5 … … 1 14.71 7.5 0 0.0 1 14.70 0.0 0 0.0 0 0.02 15.1 … … 2 29.51 7.5 1 15.4 0 0.00 0.0 0 0.0 0 0.05 --- 2 --- 3 ---

HIV Disease

ACCIDENTAL DEATHS All Ages Ages 19 and Under

SELECTED CANCER SITE DEATHS

CLAY 2018 HEALTH PROFILE (Continued)

Black and OtherMORTALITY All Races

Rate per 1,000 Population

White

Black and OtherMaleSELECTED CAUSESOF DEATH

Total Female White

LeukemiasNon-Hodgkin's Lymphomas

Measurements based on small denominators should be used with caution. Rates and ratios based on a denominator of less than 50 births or 1,000 population are shaded. Estimated pregnancies are the sum of births, induced terminations of pregnancy (abortions) and estimated total fetal losses. Estimated total fetal losses are equal to the sum of 20 percent of births and 10 percent of induced terminations of pregnancy. The total fertility rate is the sum of age-specific birth rates multiplied by the width of the intervals, i.e. five years. A total fertility rate of 2,100 births per 1,000 females aged 10-49 years would maintain the current population. Estimated populations are from the U.S. Census Bureau. See Appendix B for other definitions and formulas.

Pancreas

Trachea, Bronchus, Lung, PleuraColorectal

StomachUterus and Cervix (female)

Brain and Other Nervous System

EsophagusMelanoma of SkinOther

Rates are per 100,000 population in specified categories.

All Cancers

Male

Breast (female)

65 - 84 85 +

Age GroupTotal 0 - 14 15 - 44 45 - 64

Prostate (male)

FemaleTotal

DEATHS BY AGE GROUP

Ovary (female)

32 ADPH|CHS County Profile (2018)

Page 38: health department quality Vital Statistics

Number Rate Number RateEstimated Pregnancies 225 89.9 17 19.1Births 181 12.1 13 14.9Induced Terminations of Pregnancy 7 2.8 1 1.1Estimated Total Fetal Losses 37 --- 3 ---Birth rates are per 1,000 population.

Total 10-14 15-17 18-19 20+All Births 181 0 12 168 Rate 12.1 0.0 78.1 63.8White 174 0 12 161 Rate 12.2 0.0 82.6 64.2

14,987 Black and Other 7 0 0 7181 Rate 9.3 0.0 0.0 54.7174

42.3 Births with unknown age of mother are included in the age group "20+".

Life Expectancy at BirthTotal Fertility Rate per 1,000 Females Aged 10-49 Number Percent Number Percent

0 Births to Unmarried Women 64 35.6 13 100.075 Low Weight Births 16 8.7 2 15.4

Multiple Births 16 8.8 0 0.0Medicaid Births 89 49.4 13 100.0

White WhiteInfant Deaths 0 0 0 Rate per 1,000 Births 0.0 0.0 0.0Postneonatal Deaths 0 0 0 Rate per 1,000 Births 0.0 0.0 0.0Neonatal Deaths 0 0 0 Rate per 1,000 Births 0.0 0.0 0.0

Total Male Female Total Male Female Total Male FemaleTotal 14,987 7,421 7,566 14,234 7,070 7,164 753 351 402

0-4 894 453 441 850 435 415 44 18 265-9 935 483 452 871 450 421 64 33 3110-14 987 496 491 913 462 451 74 34 4015-44 5,164 2,662 2,502 4,908 2,534 2,374 256 128 12845-64 4,092 2,010 2,082 3,919 1,927 1,992 173 83 9065-84 2,576 1,210 1,366 2,447 1,158 1,289 129 52 7785+ 339 107 232 326 104 222 13 3 10

2018 ESTIMATED POPULATIONS BY AGE GROUP, RACE AND SEX

All Races White Black and OtherAge Group

PREGNANCY/NATALITY

Females Aged 10-19

Black and Other Black and Other

Percentages are of all births with known status for females in specified age group.

BIRTHS BY AGE GROUP OF MOTHER

4.31

4.60

0.0

Ages 10-19

1

Females Aged 10-19Females Aged 15-44

All Ages

Estimated pregnancy and induced termination of pregnancy rates are per 1,000 females in specified age group.

All RacesAll Races

2,214.0

SUMMARY

Median Age

77.4

0.0

---

0---0

---

INFANT RELATED MORTALITY BY RACE* AND AGE GROUP OF MOTHER

*Infant deaths are by race of child; births are by race of mother.

0 000.0 0.0

Rates are per 1,000 females in specified age group.

00.0

00.0

0.00

Marriages IssuedDivorces Granted

BirthsDeaths

Total Population

0

LIVE BIRTHS

Females Aged 15-44

CLEBURNE 2018 HEALTH PROFILE

33 ADPH|CHS County Profile (2018)

Page 39: health department quality Vital Statistics

Total Male Female Total Male Female Total Male FemaleDeaths 174 97 77 169 93 76 5 4 1

11.6 13.1 10.2 12.0 13.2 10.6 6.6 11.4 2.5

Number Rate Number Rate Number Rate Number Rate Number RateHeart Disease 59 393.7 35 471.6 24 317.2 58 410.3 1 132.8Cancer 29 193.5 16 215.6 13 171.8 29 205.1 0 0.0Stroke 12 80.1 3 40.4 9 119.0 12 84.9 0 0.0Accidents 8 53.4 4 53.9 4 52.9 7 49.5 1 132.8CLRD* 16 106.8 11 148.2 5 66.1 16 113.2 0 0.0Diabetes 3 20.0 3 40.4 0 0.0 3 21.2 0 0.0Influenza and Pneumonia 7 46.7 4 53.9 3 39.7 5 35.4 2 265.6Alzheimer's Disease 10 66.7 4 53.9 6 79.3 10 70.7 0 0.0Suicide 2 13.3 2 27.0 0 0.0 2 14.1 0 0.0Homicide 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 0 0.0Rates are per 100,000 population in specified categories. *CLRD is known as Chronic Lower Respiratory Disease.

Number Rate Number RateAll Accidents 8 53.4 0 0.0 Number Rate

Motor Vehicle 4 26.7 0 0.0 174 11.6Suffocation 1 6.7 0 0.0 1 0.4Poisoning 0 0.0 0 0.0 8 1.5Smoke, Fire and Flames 0 0.0 0 0.0 35 8.6Falls 1 6.7 0 0.0 95 36.9Drowning 1 6.7 0 0.0 35 103.2Firearms 0 0.0 0 0.0 Rates are per 1,000 population in specified age group.Other Accidents 1 --- 0 ---

Rates are per 100,000 population in specified categories.

Number Rate Number Rate Number Rate29 193.5 16 215.6 13 171.812 80.1 8 107.8 4 52.97 46.7 5 67.4 2 26.41 6.7 ... … 1 13.20 0.0 0 0.0 … …0 0.0 0 0.0 0 0.00 0.0 0 0.0 0 0.00 0.0 0 0.0 0 0.00 0.0 … … 0 0.02 13.3 1 13.5 1 13.21 6.7 0 0.0 1 13.21 6.7 … … 1 13.21 6.7 1 13.5 0 0.00 0.0 0 0.0 0 0.04 --- 1 --- 3 ---

CLEBURNE 2018 HEALTH PROFILE (Continued)

Rate per 1,000 Population

SELECTED CANCER SITE DEATHS Total Male Female

85 +

15 - 44 45 - 64

MORTALITY All Races White Black and Other

Age Group

Black and Other

ACCIDENTAL DEATHS All Ages Ages 19 and Under

65 - 84

Total 0 - 14

Measurements based on small denominators should be used with caution. Rates and ratios based on a denominator of less than 50 births or 1,000 population are shaded. Estimated pregnancies are the sum of births, induced terminations of pregnancy (abortions) and estimated total fetal losses. Estimated total fetal losses are equal to the sum of 20 percent of births and 10 percent of induced terminations of pregnancy. The total fertility rate is the sum of age-specific birth rates multiplied by the width of the intervals, i.e. five years. A total fertility rate of 2,100 births per 1,000 females aged 10-49 years would maintain the current population. Estimated populations are from the U.S. Census Bureau. See Appendix B for other definitions and formulas.

Melanoma of SkinOther

Esophagus

StomachUterus and Cervix (female)

Rates are per 100,000 population in specified categories.

Brain and Other Nervous System

ColorectalTrachea, Bronchus, Lung, Pleura

Leukemias

Ovary (female)

Breast (female)Prostate (male)Pancreas

SELECTED CAUSESOF DEATH

Total Male Female White

DEATHS BY AGE GROUP

HIV Disease

Non-Hodgkin's Lymphomas

All Cancers

34 ADPH|CHS County Profile (2018)

Page 40: health department quality Vital Statistics

Number Rate Number RateEstimated Pregnancies 738 76.2 47 14.5Births 578 11.1 34 10.4Induced Terminations of Pregnancy 40 4.1 6 1.8Estimated Total Fetal Losses 120 --- 7 ---Birth rates are per 1,000 population.

Total 10-14 15-17 18-19 20+All Births 578 0 20 544 Rate 11.1 0.0 31.3 55.0White 431 0 13 411 Rate 10.9 0.0 27.5 56.6

51,909 Black and Other 147 0 7 133578 Rate 11.7 0.0 42.1 50.8593

39.4 Births with unknown age of mother are included in the age group "20+".

Life Expectancy at BirthTotal Fertility Rate per 1,000 Females Aged 10-49 Number Percent Number Percent

725 Births to Unmarried Women 224 38.8 30 88.2191 Low Weight Births 47 8.1 7 20.6

Multiple Births 26 4.5 2 5.9Medicaid Births 258 44.6 33 97.1

White WhiteInfant Deaths 0 0 0 Rate per 1,000 Births 0.0 0.0 0.0Postneonatal Deaths 0 0 0 Rate per 1,000 Births 0.0 0.0 0.0Neonatal Deaths 0 0 0 Rate per 1,000 Births 0.0 0.0 0.0

Total Male Female Total Male Female Total Male FemaleTotal 51,909 25,521 26,388 39,368 19,529 19,839 12,541 5,992 6,549

0-4 3,211 1,657 1,554 2,203 1,129 1,074 1,008 528 4805-9 3,394 1,719 1,675 2,477 1,247 1,230 917 472 44510-14 3,498 1,820 1,678 2,571 1,352 1,219 927 468 45915-44 19,572 9,894 9,678 14,495 7,436 7,059 5,077 2,458 2,61945-64 13,433 6,585 6,848 10,434 5,173 5,261 2,999 1,412 1,58765-84 7,831 3,530 4,301 6,363 2,921 3,442 1,468 609 85985+ 970 316 654 825 271 554 145 45 100

Total Population

Age Group

Estimated pregnancy and induced termination of pregnancy rates are per 1,000 females in specified age group.

14.6

9.97

28.0

0.0

Percentages are of all births with known status for females in specified age group.

*Infant deaths are by race of child; births are by race of mother.

0.00

0.0 0.0

14

PREGNANCY/NATALITY

Females Aged 10-19Females Aged 15-44

00.0

0

BirthsDeaths Rates are per 1,000 females in specified age group.

BIRTHS BY AGE GROUP OF MOTHER

00.0

00.0

0

7

0

LIVE BIRTHS

All Races White Black and Other

Black and Other0

0.0

Females Aged 10-19

2018 ESTIMATED POPULATIONS BY AGE GROUP, RACE AND SEX

SUMMARY

All RacesAll Ages Ages 10-19

INFANT RELATED MORTALITY BY RACE* AND AGE GROUP OF MOTHER

00.0

Median Age

76.2

1,827.0 Females Aged 15-44

Black and OtherAll Races

Marriages IssuedDivorces Granted

COFFEE 2018 HEALTH PROFILE

35 ADPH|CHS County Profile (2018)

Page 41: health department quality Vital Statistics

Total Male Female Total Male Female Total Male FemaleDeaths 593 295 298 492 240 252 101 55 46

11.4 11.6 11.3 12.5 12.3 12.7 8.1 9.2 7.0

Number Rate Number Rate Number Rate Number Rate Number RateHeart Disease 182 350.6 102 399.7 80 303.2 137 348.2 45 358.8Cancer 120 231.2 60 235.1 60 227.4 106 269.4 14 111.6Stroke 19 36.6 7 27.4 12 45.5 13 33.0 6 47.8Accidents 26 50.1 19 74.4 7 26.5 23 58.5 3 23.9CLRD* 32 61.6 16 62.7 16 60.6 29 73.7 3 23.9Diabetes 14 27.0 8 31.3 6 22.7 12 30.5 2 15.9Influenza and Pneumonia 11 21.2 4 15.7 7 26.5 10 25.4 1 8.0Alzheimer's Disease 47 90.5 13 50.9 34 128.8 44 111.8 3 23.9Suicide 9 17.3 6 23.5 3 11.4 7 17.8 2 15.9Homicide 3 5.8 1 3.9 2 7.6 1 2.5 2 15.9

1 1.9 1 3.9 0 0.0 0 0.0 1 8.0Rates are per 100,000 population in specified categories. *CLRD is known as Chronic Lower Respiratory Disease.

Number Rate Number RateAll Accidents 26 50.1 4 29.8 Number Rate

Motor Vehicle 12 23.1 3 22.3 593 11.4Suffocation 1 1.9 0 0.0 1 0.1Poisoning 2 3.9 0 0.0 24 1.2Smoke, Fire and Flames 1 1.9 0 0.0 135 10.0Falls 4 7.7 0 0.0 284 36.3Drowning 1 1.9 1 7.4 149 153.6Firearms 1 1.9 0 0.0 Rates are per 1,000 population in specified age group.Other Accidents 4 --- 0 ---

Rates are per 100,000 population in specified categories.

Number Rate Number Rate Number Rate120 231.2 60 235.1 60 227.438 73.2 21 82.3 17 64.47 13.5 4 15.7 3 11.49 17.3 ... … 9 34.15 9.6 5 19.6 … …8 15.4 4 15.7 4 15.20 0.0 0 0.0 0 0.06 11.6 3 11.8 3 11.43 5.8 … … 3 11.43 5.8 1 3.9 2 7.60 0.0 0 0.0 0 0.01 1.9 … … 1 3.82 3.9 1 3.9 1 3.82 3.9 0 0.0 2 7.6

36 --- 21 --- 15 ---Rates are per 100,000 population in specified categories.

All Cancers

PancreasLeukemiasNon-Hodgkin's LymphomasOvary (female)

Age GroupTotal 0 - 14 15 - 44 45 - 64

White

COFFEE 2018 HEALTH PROFILE (Continued)

Black and OtherMORTALITY All Races

Rate per 1,000 Population

SELECTED CAUSESOF DEATH

Total Male Female White Black and Other

Male

65 - 84 85 +

DEATHS BY AGE GROUP

HIV Disease

Breast (female)Prostate (male)

ACCIDENTAL DEATHS All Ages Ages 19 and Under

Brain and Other Nervous System

SELECTED CANCER SITE DEATHS Total

Measurements based on small denominators should be used with caution. Rates and ratios based on a denominator of less than 50 births or 1,000 population are shaded. Estimated pregnancies are the sum of births, induced terminations of pregnancy (abortions) and estimated total fetal losses. Estimated total fetal losses are equal to the sum of 20 percent of births and 10 percent of induced terminations of pregnancy. The total fertility rate is the sum of age-specific birth rates multiplied by the width of the intervals, i.e. five years. A total fertility rate of 2,100 births per 1,000 females aged 10-49 years would maintain the current population. Estimated populations are from the U.S. Census Bureau. See Appendix B for other definitions and formulas.

StomachUterus and Cervix (female)EsophagusMelanoma of SkinOther

Female

Trachea, Bronchus, Lung, PleuraColorectal

36 ADPH|CHS County Profile (2018)

Page 42: health department quality Vital Statistics

Number Rate Number RateEstimated Pregnancies 818 82.7 64 20.7Births 632 11.5 50 16.1Induced Terminations of Pregnancy 54 5.5 4 1.3Estimated Total Fetal Losses 132 --- 10 ---Birth rates are per 1,000 population.

Total 10-14 15-17 18-19 20+All Births 632 0 41 582 Rate 11.5 0.0 66.0 57.2White 523 0 34 481 Rate 11.8 0.0 70.0 59.7

54,762 Black and Other 109 0 7 101632 Rate 10.3 0.0 51.9 47.4784

42.5 Births with unknown age of mother are included in the age group "20+".

Life Expectancy at BirthTotal Fertility Rate per 1,000 Females Aged 10-49 Number Percent Number Percent

315 Births to Unmarried Women 303 47.9 39 78.0235 Low Weight Births 64 10.1 5 10.0

Multiple Births 30 4.7 0 0.0Medicaid Births 339 53.7 40 80.0

White WhiteInfant Deaths 3 3 0 Rate per 1,000 Births 4.7 5.7 0.0Postneonatal Deaths 0 0 0 Rate per 1,000 Births 0.0 0.0 0.0Neonatal Deaths 3 3 0 Rate per 1,000 Births 4.7 5.7 0.0

Total Male Female Total Male Female Total Male FemaleTotal 54,762 26,259 28,503 44,138 21,326 22,812 10,624 4,933 5,691

0-4 3,108 1,549 1,559 2,394 1,178 1,216 714 371 3435-9 3,140 1,579 1,561 2,401 1,226 1,175 739 353 38610-14 3,199 1,642 1,557 2,490 1,284 1,206 709 358 35115-44 19,490 9,606 9,884 15,432 7,670 7,762 4,058 1,936 2,12245-64 14,911 7,136 7,775 12,261 5,957 6,304 2,650 1,179 1,47165-84 9,628 4,255 5,373 8,074 3,592 4,482 1,554 663 89185+ 1,286 492 794 1,086 419 667 200 73 127

0

Ages 10-19

0.0

0.00

0.00

0.00

00.0

00.0

Females Aged 15-44

PREGNANCY/NATALITY

Females Aged 10-19

Estimated pregnancy and induced termination of pregnancy rates are per 1,000 females in specified age group.

Females Aged 10-19

99.7

8

0.0

0

SUMMARY11.0

Median Age

73.5

1

BIRTHS BY AGE GROUP OF MOTHER

4.9

Black and Other Black and Other

1,880.0

All RacesAll Races

LIVE BIRTHS

Marriages IssuedDivorces Granted

BirthsDeaths

Total Population

Rates are per 1,000 females in specified age group.

2018 ESTIMATED POPULATIONS BY AGE GROUP, RACE AND SEX

All Races White Black and OtherAge Group

Females Aged 15-44

*Infant deaths are by race of child; births are by race of mother.

All Ages

INFANT RELATED MORTALITY BY RACE* AND AGE GROUP OF MOTHER

Percentages are of all births with known status for females in specified age group.

00.0

00.0

COLBERT 2018 HEALTH PROFILE

37 ADPH|CHS County Profile (2018)

Page 43: health department quality Vital Statistics

Total Male Female Total Male Female Total Male FemaleDeaths 784 396 388 673 345 328 111 51 60

14.3 15.1 13.6 15.3 16.2 14.4 10.4 10.3 10.5

Number Rate Number Rate Number Rate Number Rate Number RateHeart Disease 212 387.1 115 437.9 97 340.3 174 396.3 38 357.7Cancer 154 281.2 86 327.5 68 238.6 131 298.4 23 216.5Stroke 32 58.4 14 53.3 18 63.2 29 66.1 3 28.2Accidents 41 74.9 28 106.6 13 45.6 36 82.0 5 47.1CLRD* 61 111.4 29 110.4 32 112.3 57 129.8 4 37.7Diabetes 5 9.1 1 3.8 4 14.0 4 9.1 1 9.4Influenza and Pneumonia 16 29.2 6 22.8 10 35.1 16 36.4 0 0.0Alzheimer's Disease 40 73.0 8 30.5 32 112.3 33 75.2 7 65.9Suicide 17 31.0 15 57.1 2 7.0 16 36.4 1 9.4Homicide 2 3.7 1 3.8 1 3.5 1 2.3 1 9.4

2 3.7 1 3.8 1 3.5 1 2.3 1 9.4Rates are per 100,000 population in specified categories. *CLRD is known as Chronic Lower Respiratory Disease.

Number Rate Number RateAll Accidents 41 74.9 3 23.9 Number Rate

Motor Vehicle 24 43.8 3 23.9 784 14.3Suffocation 0 0.0 0 0.0 5 0.5Poisoning 5 9.1 0 0.0 55 2.8Smoke, Fire and Flames 3 5.5 0 0.0 158 10.6Falls 3 5.5 0 0.0 360 37.4Drowning 0 0.0 0 0.0 206 160.2Firearms 0 0.0 0 0.0 Rates are per 1,000 population in specified age group.Other Accidents 6 --- 0 ---

Rates are per 100,000 population in specified categories.

Number Rate Number Rate Number Rate154 281.2 86 327.5 68 238.650 91.3 33 125.7 17 59.613 23.7 6 22.8 7 24.613 23.7 ... … 13 45.64 7.3 4 15.2 … …9 16.4 6 22.8 3 10.5

11 20.1 8 30.5 3 10.52 3.7 1 3.8 1 3.53 5.5 … … 3 10.59 16.4 4 15.2 5 17.50 0.0 0 0.0 0 0.01 1.8 … … 1 3.51 1.8 1 3.8 0 0.02 3.7 1 3.8 1 3.5

36 --- 22 --- 14 ---

Black and OtherSELECTED CAUSESOF DEATH

Rate per 1,000 Population

Male Female White

HIV Disease

DEATHS BY AGE GROUP

SELECTED CANCER SITE DEATHS Total Male Female

ACCIDENTAL DEATHS Ages 19 and Under

Total

Total

Age Group

0 - 14 15 - 44 45 - 64 65 - 84

COLBERT 2018 HEALTH PROFILE (Continued)

Black and OtherMORTALITY All Races White

Measurements based on small denominators should be used with caution. Rates and ratios based on a denominator of less than 50 births or 1,000 population are shaded. Estimated pregnancies are the sum of births, induced terminations of pregnancy (abortions) and estimated total fetal losses. Estimated total fetal losses are equal to the sum of 20 percent of births and 10 percent of induced terminations of pregnancy. The total fertility rate is the sum of age-specific birth rates multiplied by the width of the intervals, i.e. five years. A total fertility rate of 2,100 births per 1,000 females aged 10-49 years would maintain the current population. Estimated populations are from the U.S. Census Bureau. See Appendix B for other definitions and formulas.

Other

Prostate (male)

Trachea, Bronchus, Lung, PleuraColorectal

Brain and Other Nervous System

Rates are per 100,000 population in specified categories.

StomachUterus and Cervix (female)EsophagusMelanoma of Skin

PancreasLeukemiasNon-Hodgkin's LymphomasOvary (female)

85 +

All Ages

Breast (female)

All Cancers

38 ADPH|CHS County Profile (2018)

Page 44: health department quality Vital Statistics

Number Rate Number RateEstimated Pregnancies 166 80.2 7 10.2Births 131 10.7 5 7.2Induced Terminations of Pregnancy 8 3.9 1 1.4Estimated Total Fetal Losses 27 --- 1 ---Birth rates are per 1,000 population.

Total 10-14 15-17 18-19 20+All Births 131 0 4 126 Rate 10.7 0.0 28.2 60.5White 73 0 4 68 Rate 11.5 0.0 75.8 71.0

12,277 Black and Other 58 0 0 58131 Rate 9.8 0.0 0.0 51.6180

45.2 Births with unknown age of mother are included in the age group "20+".

Life Expectancy at BirthTotal Fertility Rate per 1,000 Females Aged 10-49 Number Percent Number Percent

89 Births to Unmarried Women 79 60.3 5 100.0 26 Low Weight Births 14 10.7 0 0.0

Multiple Births 6 4.6 0 0.0Medicaid Births 95 72.5 5 100.0

White WhiteInfant Deaths 2 0 0 Rate per 1,000 Births 15.3 0.0 0.0Postneonatal Deaths 1 0 0 Rate per 1,000 Births 7.6 0.0 0.0Neonatal Deaths 1 0 0 Rate per 1,000 Births 7.6 0.0 0.0

Total Male Female Total Male Female Total Male FemaleTotal 12,277 5,881 6,396 6,339 3,152 3,187 5,938 2,729 3,209

0-4 652 312 340 316 150 166 336 162 1745-9 715 343 372 318 152 166 397 191 20610-14 726 382 344 319 167 152 407 215 19215-44 4,017 1,948 2,069 1,834 914 920 2,183 1,034 1,14945-64 3,405 1,634 1,771 1,840 964 876 1,565 670 89565-84 2,437 1,125 1,312 1,502 710 792 935 415 52085+ 325 137 188 210 95 115 115 42 73

BirthsDeaths

Total Population

Estimated pregnancy and induced termination of pregnancy rates are per 1,000 females in specified age group.

Females Aged 10-19

4.71

12.60

0.0

1,892.5

Percentages are of all births with known status for females in specified age group.

All Races

All Races WhiteAge Group

17.2 0.0

Marriages IssuedDivorces Granted

0

---0

---

0 0

00.0

Black and OtherAll Races

PREGNANCY/NATALITY

LIVE BIRTHS

Females Aged 15-44

Females Aged 15-44

BIRTHS BY AGE GROUP OF MOTHER

SUMMARY

1

Median Age

Females Aged 10-19

Rates are per 1,000 females in specified age group.

*Infant deaths are by race of child; births are by race of mother.

73.3

INFANT RELATED MORTALITY BY RACE* AND AGE GROUP OF MOTHER

All Ages Ages 10-19

1---

0

Black and Other

0.0

234.5

117.2

Black and Other

2018 ESTIMATED POPULATIONS BY AGE GROUP, RACE AND SEX

CONECUH 2018 HEALTH PROFILE

39 ADPH|CHS County Profile (2018)

Page 45: health department quality Vital Statistics

Total Male Female Total Male Female Total Male FemaleDeaths 180 98 82 104 57 47 76 41 35

14.7 16.7 12.8 16.3 18.1 14.7 12.8 15.0 10.9

Number Rate Number Rate Number Rate Number Rate Number RateHeart Disease 41 334.0 18 306.1 23 359.6 24 376.4 17 286.3Cancer 38 309.5 21 357.1 17 265.8 21 329.4 17 286.3Stroke 9 73.3 3 51.0 6 93.8 5 78.4 4 67.4Accidents 10 81.5 8 136.0 2 31.3 7 109.8 3 50.5CLRD* 17 138.5 12 204.0 5 78.2 13 203.9 4 67.4Diabetes 5 40.7 2 34.0 3 46.9 2 31.4 3 50.5Influenza and Pneumonia 3 24.4 1 17.0 2 31.3 2 31.4 1 16.8Alzheimer's Disease 11 89.6 3 51.0 8 125.1 6 94.1 5 84.2Suicide 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0Homicide 3 24.4 3 51.0 0 0.0 0 0.0 3 50.5

2 16.3 1 17.0 1 15.6 0 0.0 2 33.7Rates are per 100,000 population in specified categories. *CLRD is known as Chronic Lower Respiratory Disease.

Number Rate Number RateAll Accidents 10 81.5 0 0.0 Number Rate

Motor Vehicle 2 16.3 0 0.0 Total 180 14.7Suffocation 0 0.0 0 0.0 0 - 14 2 1.0Poisoning 4 32.6 0 0.0 15 - 44 11 2.7Smoke, Fire and Flames 0 0.0 0 0.0 45 - 64 45 13.2Falls 1 8.1 0 0.0 65 - 84 82 33.6Drowning 2 16.3 0 0.0 85 + 40 123.1Firearms 0 0.0 0 0.0 Rates are per 1,000 population in specified age group.Other Accidents 1 --- 0 ---

Rates are per 100,000 population in specified categories.

Number Rate Number Rate Number Rate38 309.5 21 357.1 17 265.812 97.7 10 170.0 2 31.35 40.7 1 17.0 4 62.51 8.1 ... … 1 15.62 16.3 2 34.0 … …3 24.4 2 34.0 1 15.62 16.3 1 17.0 1 15.61 8.1 1 17.0 0 0.02 16.3 … … 2 31.30 0.0 0 0.0 0 0.00 0.0 0 0.0 0 0.00 0.0 … … 0 0.00 0.0 0 0.0 0 0.00 0.0 0 0.0 0 0.0

10 --- 4 --- 6 ---

ACCIDENTAL DEATHS All Ages

White

CONECUH 2018 HEALTH PROFILE (Continued)

Black and OtherMORTALITY All Races

Male Female White Black and Other

Rate per 1,000 Population

SELECTED CAUSESOF DEATH

Total

Age Group

Ages 19 and Under DEATHS BY AGE GROUP

Breast (female)Prostate (male)

Measurements based on small denominators should be used with caution. Rates and ratios based on a denominator of less than 50 births or 1,000 population are shaded. Estimated pregnancies are the sum of births, induced terminations of pregnancy (abortions) and estimated total fetal losses. Estimated total fetal losses are equal to the sum of 20 percent of births and 10 percent of induced terminations of pregnancy. The total fertility rate is the sum of age-specific birth rates multiplied by the width of the intervals, i.e. five years. A total fertility rate of 2,100 births per 1,000 females aged 10-49 years would maintain the current population. Estimated populations are from the U.S. Census Bureau. See Appendix B for other definitions and formulas.

StomachUterus and Cervix (female)EsophagusMelanoma of SkinOther

PancreasLeukemiasNon-Hodgkin's LymphomasOvary (female)Brain and Other Nervous System

Rates are per 100,000 population in specified categories.

Colorectal

All CancersTrachea, Bronchus, Lung, Pleura

HIV Disease

FemaleTotal MaleSELECTED CANCER SITE DEATHS

40 ADPH|CHS County Profile (2018)

Page 46: health department quality Vital Statistics

Number Rate Number RateEstimated Pregnancies 110 69.3 6 11.7Births 85 7.9 5 9.7Induced Terminations of Pregnancy 7 4.4 0 0.0Estimated Total Fetal Losses 18 --- 1 ---Birth rates are per 1,000 population.

Total 10-14 15-17 18-19 20+All Births 85 0 5 80 Rate 7.9 0.0 51.9 45.4White 59 0 2 57 Rate 8.2 0.0 34.2 51.2

10,715 Black and Other 26 0 3 2385 Rate 7.3 0.0 78.9 35.4

14948.9 Births with unknown age of mother are included in the age group "20+".

Life Expectancy at BirthTotal Fertility Rate per 1,000 Females Aged 10-49 Number Percent Number Percent

43 Births to Unmarried Women 43 51.8 4 80.027 Low Weight Births 14 16.5 2 40.0

Multiple Births 4 4.7 0 0.0Medicaid Births 53 62.4 5 100.0

White WhiteInfant Deaths 2 2 0 Rate per 1,000 Births 23.5 33.9 0.0Postneonatal Deaths 0 0 0 Rate per 1,000 Births 0.0 0.0 0.0Neonatal Deaths 2 2 0 Rate per 1,000 Births 23.5 33.9 0.0

Total Male Female Total Male Female Total Male FemaleTotal 10,715 5,399 5,316 7,167 3,671 3,496 3,548 1,728 1,820

0-4 488 264 224 307 172 135 181 92 895-9 440 249 191 263 146 117 177 103 7410-14 519 247 272 325 150 175 194 97 9715-44 3,295 1,713 1,582 2,113 1,092 1,021 1,182 621 56145-64 3,492 1,759 1,733 2,296 1,233 1,063 1,196 526 67065-84 2,211 1,066 1,145 1,670 804 866 541 262 27985+ 270 101 169 193 74 119 77 27 50

All Races

BIRTHS BY AGE GROUP OF MOTHER

Estimated pregnancy and induced termination of pregnancy rates are per 1,000 females in specified age group.

INFANT RELATED MORTALITY BY RACE* AND AGE GROUP OF MOTHER

0

PREGNANCY/NATALITY

All Ages Ages 10-19Black and Other Black and OtherAll Races

Rates are per 1,000 females in specified age group.

Females Aged 15-44 Females Aged 10-19

0.0

0.0

00.0

00.0

*Infant deaths are by race of child; births are by race of mother.

0

0

LIVE BIRTHS

Median Age

74.7

1,616.5

0.00

0.00

SUMMARY

Percentages are of all births with known status for females in specified age group.

Marriages IssuedDivorces Granted

BirthsDeaths

Total Population

0

Females Aged 10-19Females Aged 15-44

0.0

0.00

0.00

0.00

0.00

0.0

2018 ESTIMATED POPULATIONS BY AGE GROUP, RACE AND SEX

All Races White Black and OtherAge Group

COOSA 2018 HEALTH PROFILE

41 ADPH|CHS County Profile (2018)

Page 47: health department quality Vital Statistics

Total Male Female Total Male Female Total Male FemaleDeaths 149 81 68 110 53 57 39 28 11

13.9 15.0 12.8 15.2 14.4 16.3 11.0 16.2 6.0

Number Rate Number Rate Number Rate Number Rate Number RateHeart Disease 47 438.6 28 518.6 19 357.4 36 498.1 11 310.0Cancer 25 233.3 15 277.8 10 188.1 16 221.4 9 253.7Stroke 10 93.3 4 74.1 6 112.9 6 83.0 4 112.7Accidents 7 65.3 3 55.6 4 75.2 7 96.9 0 0.0CLRD* 17 158.7 3 55.6 14 263.4 15 207.6 2 56.4Diabetes 5 46.7 3 55.6 2 37.6 4 55.3 1 28.2Influenza and Pneumonia 3 28.0 1 18.5 2 37.6 3 41.5 0 0.0Alzheimer's Disease 5 46.7 3 55.6 2 37.6 4 55.3 1 28.2Suicide 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0Homicide 1 9.3 1 18.5 0 0.0 0 0.0 1 28.2

0 0.0 0 0.0 0 0.0 0 0.0 0 0.0Rates are per 100,000 population in specified categories. *CLRD is known as Chronic Lower Respiratory Disease.

Number Rate Number RateAll Accidents 7 65.3 0 0.0 Number Rate

Motor Vehicle 3 28.0 0 0.0 Total 149 13.9Suffocation 0 0.0 0 0.0 0 - 14 3 2.1Poisoning 2 18.7 0 0.0 15 - 44 5 1.5Smoke, Fire and Flames 0 0.0 0 0.0 45 - 64 39 11.2Falls 0 0.0 0 0.0 65 - 84 70 31.7Drowning 1 9.3 0 0.0 85 + 32 118.5Firearms 0 0.0 0 0.0 Rates are per 1,000 population in specified age group.Other Accidents 1 --- 0 ---

Rates are per 100,000 population in specified categories.

Number Rate Number Rate Number Rate25 233.3 15 277.8 10 188.18 74.7 5 92.6 3 56.43 28.0 2 37.0 1 18.81 9.3 ... … 1 18.80 0.0 0 0.0 … …3 28.0 2 37.0 1 18.82 18.7 1 18.5 1 18.82 18.7 2 37.0 0 0.00 0.0 … … 0 0.00 0.0 0 0.0 0 0.00 0.0 0 0.0 0 0.00 0.0 … … 0 0.01 9.3 1 18.5 0 0.00 0.0 0 0.0 0 0.05 --- 2 --- 3 ---

PancreasLeukemias

SELECTED CANCER SITE DEATHS

Rate per 1,000 Population

ColorectalBreast (female)

White

Age Group

ACCIDENTAL DEATHS All Ages Ages 19 and Under

Total Male

DEATHS BY AGE GROUP

Female

All Cancers

HIV Disease

SELECTED CAUSESOF DEATH

Female

MORTALITY All Races

Total Male

White

COOSA 2018 HEALTH PROFILE (Continued)

Black and Other

Black and Other

Trachea, Bronchus, Lung, Pleura

Brain and Other Nervous System

Prostate (male)

Rates are per 100,000 population in specified categories.

Ovary (female)Non-Hodgkin's Lymphomas

Measurements based on small denominators should be used with caution. Rates and ratios based on a denominator of less than 50 births or 1,000 population are shaded. Estimated pregnancies are the sum of births, induced terminations of pregnancy (abortions) and estimated total fetal losses. Estimated total fetal losses are equal to the sum of 20 percent of births and 10 percent of induced terminations of pregnancy. The total fertility rate is the sum of age-specific birth rates multiplied by the width of the intervals, i.e. five years. A total fertility rate of 2,100 births per 1,000 females aged 10-49 years would maintain the current population. Estimated populations are from the U.S. Census Bureau. See Appendix B for other definitions and formulas.

StomachUterus and Cervix (female)EsophagusMelanoma of SkinOther

42 ADPH|CHS County Profile (2018)

Page 48: health department quality Vital Statistics

Number Rate Number RateEstimated Pregnancies 502 80.5 52 24.2Births 401 10.8 40 18.5Induced Terminations of Pregnancy 19 3.0 4 1.8Estimated Total Fetal Losses 82 --- 8 ---Birth rates are per 1,000 population.

Total 10-14 15-17 18-19 20+All Births 401 0 31 361 Rate 10.8 0.0 74.9 57.2White 333 0 28 300 Rate 10.6 0.0 83.7 57.9

36,986 Black and Other 68 0 3 61401 Rate 11.9 0.0 37.7 54.2574

43.5 Births with unknown age of mother are included in the age group "20+".

Life Expectancy at BirthTotal Fertility Rate per 1,000 Females Aged 10-49 Number Percent Number Percent

0 Births to Unmarried Women 182 45.6 29 72.5144 Low Weight Births 56 14.0 3 7.5

Multiple Births 23 5.7 0 0.0Medicaid Births 220 54.9 33 82.5

White WhiteInfant Deaths 1 1 0 Rate per 1,000 Births 2.5 3.0 0.0Postneonatal Deaths 0 0 0 Rate per 1,000 Births 0.0 0.0 0.0Neonatal Deaths 1 1 0 Rate per 1,000 Births 2.5 3.0 0.0

Total Male Female Total Male Female Total Male FemaleTotal 36,986 17,896 19,090 31,269 15,220 16,049 5,717 2,676 3,041

0-4 2,203 1,111 1,092 1,755 910 845 448 201 2475-9 2,235 1,180 1,055 1,778 945 833 457 235 22210-14 2,293 1,161 1,132 1,839 912 927 454 249 20515-44 12,337 6,100 6,237 10,154 5,050 5,104 2,183 1,050 1,13345-64 10,128 4,952 5,176 8,722 4,315 4,407 1,406 637 76965-84 6,811 3,076 3,735 6,125 2,795 3,330 686 281 40585+ 979 316 663 896 293 603 83 23 60

BirthsDeaths

Total Population

Estimated pregnancy and induced termination of pregnancy rates are per 1,000 females in specified age group.

14.5

10.05SUMMARY

433.5

9

BIRTHS BY AGE GROUP OF MOTHER

PREGNANCY/NATALITY

Females Aged 15-44 Females Aged 10-19

2018 ESTIMATED POPULATIONS BY AGE GROUP, RACE AND SEX

All RacesAge Group

0.0

*Infant deaths are by race of child; births are by race of mother.

White Black and Other

Divorces Granted

00.0

00.0

00.0

00.0

00.0

0.0

LIVE BIRTHS

0

0

74.4

1,939.0

Black and Other Black and Other

Females Aged 15-44

Rates are per 1,000 females in specified age group.

All Races

Median Age

INFANT RELATED MORTALITY BY RACE* AND AGE GROUP OF MOTHER

Females Aged 10-19

Marriages Issued

0.0

00.0

0

All Ages Ages 10-19

Percentages are of all births with known status for females in specified age group.

All Races

COVINGTON 2018 HEALTH PROFILE

43 ADPH|CHS County Profile (2018)

Page 49: health department quality Vital Statistics

Total Male Female Total Male Female Total Male FemaleDeaths 574 293 281 520 265 255 54 28 26

15.5 16.4 14.7 16.6 17.4 15.9 9.4 10.5 8.5

Number Rate Number Rate Number Rate Number Rate Number RateHeart Disease 172 465.0 92 514.1 80 419.1 157 499.8 15 262.4Cancer 107 289.3 65 363.2 42 220.0 96 305.6 11 192.4Stroke 36 97.3 17 95.0 19 99.5 32 101.9 4 70.0Accidents 22 59.5 14 78.2 8 41.9 21 66.9 1 17.5CLRD* 33 89.2 15 83.8 18 94.3 32 101.9 1 17.5Diabetes 14 37.9 6 33.5 8 41.9 9 28.7 5 87.5Influenza and Pneumonia 7 18.9 1 5.6 6 31.4 6 19.1 1 17.5Alzheimer's Disease 34 91.9 13 72.6 21 110.0 31 98.7 3 52.5Suicide 5 13.5 4 22.4 1 5.2 5 15.9 0 0.0Homicide 4 10.8 3 16.8 1 5.2 3 9.6 1 17.5

1 2.7 0 0.0 1 5.2 1 3.2 0 0.0Rates are per 100,000 population in specified categories. *CLRD is known as Chronic Lower Respiratory Disease.

Number Rate Number RateAll Accidents 22 59.5 4 45.3 Number Rate

Motor Vehicle 8 21.6 3 34.0 Total 574 15.5Suffocation 0 0.0 0 0.0 0 - 14 3 0.4Poisoning 4 10.8 0 0.0 15 - 44 22 1.8Smoke, Fire and Flames 0 0.0 0 0.0 45 - 64 113 11.2Falls 6 16.2 0 0.0 65 - 84 287 42.1Drowning 0 0.0 0 0.0 85 + 149 152.2Firearms 0 0.0 0 0.0 Rates are per 1,000 population in specified age group.Other Accidents 4 --- 1 ---

Rates are per 100,000 population in specified categories.

Number Rate Number Rate Number Rate107 289.3 65 363.2 42 220.037 100.0 26 145.3 11 57.612 32.4 6 33.5 6 31.46 16.2 ... … 6 31.43 8.1 3 16.8 … …8 21.6 7 39.1 1 5.23 8.1 1 5.6 2 10.54 10.8 2 11.2 2 10.52 5.4 … … 2 10.51 2.7 1 5.6 0 0.00 0.0 0 0.0 0 0.02 5.4 … … 2 10.50 0.0 0 0.0 0 0.01 2.7 1 5.6 0 0.0

28 --- 18 --- 10 ---

HIV Disease

Rate per 1,000 Population

MORTALITY All Races

Ages 19 and Under

White

COVINGTON 2018 HEALTH PROFILE (Continued)

Black and Other

SELECTED CAUSESOF DEATH

Total Male Female White Black and Other

Measurements based on small denominators should be used with caution. Rates and ratios based on a denominator of less than 50 births or 1,000 population are shaded. Estimated pregnancies are the sum of births, induced terminations of pregnancy (abortions) and estimated total fetal losses. Estimated total fetal losses are equal to the sum of 20 percent of births and 10 percent of induced terminations of pregnancy. The total fertility rate is the sum of age-specific birth rates multiplied by the width of the intervals, i.e. five years. A total fertility rate of 2,100 births per 1,000 females aged 10-49 years would maintain the current population. Estimated populations are from the U.S. Census Bureau. See Appendix B for other definitions and formulas.

Age Group

DEATHS BY AGE GROUPAll Ages

Brain and Other Nervous SystemStomachUterus and Cervix (female)Esophagus

Breast (female)Prostate (male)PancreasLeukemiasNon-Hodgkin's LymphomasOvary (female)

Rates are per 100,000 population in specified categories.

Melanoma of SkinOther

ACCIDENTAL DEATHS

Male FemaleTotalSELECTED CANCER SITE DEATHS

All CancersTrachea, Bronchus, Lung, PleuraColorectal

44 ADPH|CHS County Profile (2018)

Page 50: health department quality Vital Statistics

Number Rate Number RateEstimated Pregnancies 182 73.8 15 17.6Births 138 10.0 10 11.5Induced Terminations of Pregnancy 15 6.1 3 3.5Estimated Total Fetal Losses 29 --- 2 ---Birth rates are per 1,000 population.

Total 10-14 15-17 18-19 20+All Births 138 0 7 128 Rate 10.0 0.0 42.7 51.2White 94 0 5 86 Rate 9.3 0.0 43.9 49.3

13,824 Black and Other 44 0 2 42138 Rate 11.7 0.0 40.0 55.6178

41.7 Births with unknown age of mother are included in the age group "20+".

Life Expectancy at BirthTotal Fertility Rate per 1,000 Females Aged 10-49 Number Percent Number Percent

126 Births to Unmarried Women 62 44.9 8 80.0 51 Low Weight Births 15 10.9 1 10.0

Multiple Births 2 1.4 0 0.0Medicaid Births 80 58.0 6 60.0

White WhiteInfant Deaths 0 0 0 Rate per 1,000 Births 0.0 0.0 0.0Postneonatal Deaths 0 0 0 Rate per 1,000 Births 0.0 0.0 0.0Neonatal Deaths 0 0 0 Rate per 1,000 Births 0.0 0.0 0.0

Total Male Female Total Male Female Total Male FemaleTotal 13,824 6,674 7,150 10,062 4,908 5,154 3,762 1,766 1,996

0-4 798 410 388 571 298 273 227 112 1155-9 884 468 416 620 319 301 264 149 11510-14 914 457 457 642 328 314 272 129 14315-44 4,833 2,366 2,467 3,411 1,693 1,718 1,422 673 74945-64 3,766 1,830 1,936 2,771 1,385 1,386 995 445 55065-84 2,326 1,059 1,267 1,808 822 986 518 237 28185+ 303 84 219 239 63 176 64 21 43

12.2

BirthsDeaths

Total Population

Females Aged 10-19

Females Aged 15-44

Estimated pregnancy and induced termination of pregnancy rates are per 1,000 females in specified age group.

Rates are per 1,000 females in specified age group.

3

BIRTHS BY AGE GROUP OF MOTHER

Females Aged 15-44

17.50

0.0

00.0

00.0

00.0

Females Aged 10-19

00.0

2018 ESTIMATED POPULATIONS BY AGE GROUP, RACE AND SEX

All Races White Black and OtherAge Group

00.0

1,675.5

All Races

Divorces Granted

*Infant deaths are by race of child; births are by race of mother.

Marriages Issued

0.00

PREGNANCY/NATALITY

LIVE BIRTHS

SUMMARY

75.3

0

3

INFANT RELATED MORTALITY BY RACE* AND AGE GROUP OF MOTHER

Black and OtherAll Ages Ages 10-19

Percentages are of all births with known status for females in specified age group.

Black and Other All Races

0.0 0.00

0

0.0

Median Age

CRENSHAW 2018 HEALTH PROFILE

45 ADPH|CHS County Profile (2018)

Page 51: health department quality Vital Statistics

Total Male Female Total Male Female Total Male FemaleDeaths 178 89 89 146 73 73 32 16 16

12.9 13.3 12.4 14.4 14.9 14.2 8.5 9.1 8.0

Number Rate Number Rate Number Rate Number Rate Number RateHeart Disease 57 412.3 36 539.4 21 293.7 44 435.4 13 345.6Cancer 29 209.8 14 209.8 15 209.8 26 257.3 3 79.7Stroke 12 86.8 4 59.9 8 111.9 11 108.9 1 26.6Accidents 10 72.3 6 89.9 4 55.9 9 89.1 1 26.6CLRD* 14 101.3 7 104.9 7 97.9 12 118.8 2 53.2Diabetes 5 36.2 0 0.0 5 69.9 2 19.8 3 79.7Influenza and Pneumonia 5 36.2 1 15.0 4 55.9 5 49.5 0 0.0Alzheimer's Disease 11 79.6 2 30.0 9 125.9 9 89.1 2 53.2Suicide 1 7.2 1 15.0 0 0.0 1 9.9 0 0.0Homicide 1 7.2 1 15.0 0 0.0 1 9.9 0 0.0

0 0.0 0 0.0 0 0.0 0 0.0 0 0.0Rates are per 100,000 population in specified categories. *CLRD is known as Chronic Lower Respiratory Disease.

Number Rate Number RateAll Accidents 10 72.3 0 0.0 Number Rate

Motor Vehicle 5 36.2 0 0.0 Total 178 12.9Suffocation 0 0.0 0 0.0 0 - 14 1 0.4Poisoning 1 7.2 0 0.0 15 - 44 10 2.1Smoke, Fire and Flames 0 0.0 0 0.0 45 - 64 31 8.2Falls 2 14.5 0 0.0 65 - 84 90 38.7Drowning 0 0.0 0 0.0 85 + 46 151.8Firearms 0 0.0 0 0.0 Rates are per 1,000 population in specified age group.Other Accidents 2 --- 0 ---

Rates are per 100,000 population in specified categories.

Number Rate Number Rate Number Rate29 209.8 14 209.8 15 209.89 65.1 7 104.9 2 28.03 21.7 2 30.0 1 14.03 21.7 ... … 3 42.00 0.0 0 0.0 … …1 7.2 0 0.0 1 14.01 7.2 0 0.0 1 14.01 7.2 0 0.0 1 14.01 7.2 … … 1 14.00 0.0 0 0.0 0 0.00 0.0 0 0.0 0 0.01 7.2 … … 1 14.00 0.0 0 0.0 0 0.00 0.0 0 0.0 0 0.09 --- 5 --- 4 ---

All Cancers

ColorectalBreast (female)Prostate (male)PancreasLeukemias

Rate per 1,000 Population

Rates are per 100,000 population in specified categories.

Trachea, Bronchus, Lung, Pleura

Non-Hodgkin's Lymphomas

Measurements based on small denominators should be used with caution. Rates and ratios based on a denominator of less than 50 births or 1,000 population are shaded. Estimated pregnancies are the sum of births, induced terminations of pregnancy (abortions) and estimated total fetal losses. Estimated total fetal losses are equal to the sum of 20 percent of births and 10 percent of induced terminations of pregnancy. The total fertility rate is the sum of age-specific birth rates multiplied by the width of the intervals, i.e. five years. A total fertility rate of 2,100 births per 1,000 females aged 10-49 years would maintain the current population. Estimated populations are from the U.S. Census Bureau. See Appendix B for other definitions and formulas.

Esophagus

Age Group

Melanoma of SkinOther

Brain and Other Nervous SystemStomach

CRENSHAW 2018 HEALTH PROFILE (Continued)

Black and OtherWhite

Ovary (female)

MORTALITY All Races

SELECTED CAUSESOF DEATH

Total Male

HIV Disease

Ages 19 and UnderACCIDENTAL DEATHS All Ages DEATHS BY AGE GROUP

Female White Black and Other

FemaleTotal MaleSELECTED CANCER SITE DEATHS

Uterus and Cervix (female)

46 ADPH|CHS County Profile (2018)

Page 52: health department quality Vital Statistics

Number Rate Number RateEstimated Pregnancies 1,232 82.3 86 17.4Births 971 11.6 67 13.5Induced Terminations of Pregnancy 61 4.1 5 1.0Estimated Total Fetal Losses 200 --- 14 ---Birth rates are per 1,000 population.

Total 10-14 15-17 18-19 20+All Births 971 0 57 904 Rate 11.6 0.0 58.0 59.6White 954 0 55 890 Rate 11.9 0.0 59.4 61.1

83,442 Black and Other 17 0 2 14971 Rate 4.9 0.0 34.7 23.6

1,08740.9 Births with unknown age of mother are included in the age group "20+".

Life Expectancy at BirthTotal Fertility Rate per 1,000 Females Aged 10-49 Number Percent Number Percent

717 Births to Unmarried Women 352 36.3 55 82.1456 Low Weight Births 89 9.2 7 10.4

Multiple Births 39 4.0 1 1.5Medicaid Births 382 39.3 46 68.7

White WhiteInfant Deaths 3 2 1 Rate per 1,000 Births 3.1 2.1 15.6Postneonatal Deaths 2 1 0 Rate per 1,000 Births 2.1 1.0 0.0Neonatal Deaths 1 1 1 Rate per 1,000 Births 1.0 1.0 15.6

Total Male Female Total Male Female Total Male FemaleTotal 83,442 41,245 42,197 79,985 39,513 40,472 3,457 1,732 1,725

0-4 5,162 2,588 2,574 4,773 2,425 2,348 389 163 2265-9 5,114 2,584 2,530 4,785 2,436 2,349 329 148 18110-14 5,220 2,729 2,491 4,991 2,596 2,395 229 133 9615-44 30,428 15,447 14,981 29,038 14,720 14,318 1,390 727 66345-64 22,072 10,987 11,085 21,368 10,614 10,754 704 373 33165-84 13,996 6,380 7,616 13,613 6,201 7,412 383 179 20485+ 1,450 530 920 1,417 521 896 33 9 24

2018 ESTIMATED POPULATIONS BY AGE GROUP, RACE AND SEX

Age Group

*Infant deaths are by race of child; births are by race of mother.

Black and Other

1Black and Other

58.81

58.80

0.0

All Ages Ages 10-19All Races Black and Other

0

All Races

All Races

10

Females Aged 15-44

LIVE BIRTHS

Rates are per 1,000 females in specified age group.11.6

PREGNANCY/NATALITY

Females Aged 10-19

BIRTHS BY AGE GROUP OF MOTHER

Estimated pregnancy and induced termination of pregnancy rates are per 1,000 females in specified age group.

BirthsDeaths

Total Population

114.9

00.0

114.9

00.0

00.0

0.0

Females Aged 10-19

White

Percentages are of all births with known status for females in specified age group.

6.89

6.51

INFANT RELATED MORTALITY BY RACE* AND AGE GROUP OF MOTHER

SUMMARY

Median Age

74.5

1,941.0 Females Aged 15-44

Marriages IssuedDivorces Granted

CULLMAN 2018 HEALTH PROFILE

47 ADPH|CHS County Profile (2018)

Page 53: health department quality Vital Statistics

Total Male Female Total Male Female Total Male FemaleDeaths 1,087 576 511 1,073 567 506 14 9 5

13.0 14.0 12.1 13.5 14.3 12.5 4.0 5.2 2.9

Number Rate Number Rate Number Rate Number Rate Number RateHeart Disease 294 352.3 159 385.5 135 319.9 293 368.6 1 28.9Cancer 185 221.7 107 259.4 78 184.8 185 232.7 0 0.0Stroke 53 63.5 22 53.3 31 73.5 52 65.4 1 28.9Accidents 66 79.1 38 92.1 28 66.4 64 80.5 2 57.9CLRD* 98 117.4 57 138.2 41 97.2 97 122.0 1 28.9Diabetes 22 26.4 18 43.6 4 9.5 21 26.4 1 28.9Influenza and Pneumonia 20 24.0 7 17.0 13 30.8 20 25.2 0 0.0Alzheimer's Disease 62 74.3 17 41.2 45 106.6 61 76.7 1 28.9Suicide 14 16.8 10 24.2 4 9.5 14 17.6 0 0.0Homicide 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0

1 1.2 1 2.4 0 0.0 1 1.3 0 0.0Rates are per 100,000 population in specified categories. *CLRD is known as Chronic Lower Respiratory Disease.

Number Rate Number RateAll Accidents 66 79.1 2 9.7 Number Rate

Motor Vehicle 26 31.2 2 9.7 Total 1,087 13.0Suffocation 1 1.2 0 0.0 0 - 14 5 0.3Poisoning 20 24.0 0 0.0 15 - 44 73 2.4Smoke, Fire and Flames 0 0.0 0 0.0 45 - 64 210 9.5Falls 4 4.8 0 0.0 65 - 84 522 37.3Drowning 3 3.6 0 0.0 85 + 277 191.0Firearms 0 0.0 0 0.0 Rates are per 1,000 population in specified age group.Other Accidents 12 --- 0 ---

Rates are per 100,000 population in specified categories.

Number Rate Number Rate Number Rate185 221.7 107 259.4 78 184.859 70.7 33 80.0 26 61.617 20.4 8 19.4 9 21.37 8.4 ... … 7 16.65 6.0 5 12.1 … …9 10.8 3 7.3 6 14.25 6.0 2 4.8 3 7.11 1.2 1 2.4 0 0.02 2.4 … … 2 4.73 3.6 0 0.0 3 7.13 3.6 3 7.3 0 0.03 3.6 … … 3 7.12 2.4 2 4.8 0 0.04 4.8 3 7.3 1 2.4

65 --- 47 --- 18 ---

Measurements based on small denominators should be used with caution. Rates and ratios based on a denominator of less than 50 births or 1,000 population are shaded. Estimated pregnancies are the sum of births, induced terminations of pregnancy (abortions) and estimated total fetal losses. Estimated total fetal losses are equal to the sum of 20 percent of births and 10 percent of induced terminations of pregnancy. The total fertility rate is the sum of age-specific birth rates multiplied by the width of the intervals, i.e. five years. A total fertility rate of 2,100 births per 1,000 females aged 10-49 years would maintain the current population. Estimated populations are from the U.S. Census Bureau. See Appendix B for other definitions and formulas.

Other

EsophagusMelanoma of Skin

White Black and Other

Brain and Other Nervous SystemStomachUterus and Cervix (female)

All CancersTrachea, Bronchus, Lung, PleuraColorectalBreast (female)

SELECTED CANCER SITE DEATHS

SELECTED CAUSESOF DEATH

Total Male Female

DEATHS BY AGE GROUP

Age Group

Total Male

Rates are per 100,000 population in specified categories.

Prostate (male)

White

CULLMAN 2018 HEALTH PROFILE (Continued)

Black and Other

Rate per 1,000 Population

HIV Disease

Ages 19 and UnderAll Ages

MORTALITY All Races

Female

ACCIDENTAL DEATHS

PancreasLeukemiasNon-Hodgkin's LymphomasOvary (female)

48 ADPH|CHS County Profile (2018)

Page 54: health department quality Vital Statistics

q Number Rate Number RateEstimated Pregnancies 834 89.1 54 18.6Births 660 13.5 43 14.9Induced Terminations of Pregnancy 38 4.1 2 0.7Estimated Total Fetal Losses 136 --- 9 ---Birth rates are per 1,000 population.

Total 10-14 15-17 18-19 20+All Births 660 0 33 617 Rate 13.5 0.0 57.7 65.2White 485 0 22 458 Rate 13.4 0.0 58.2 68.9

48,956 Black and Other 175 0 11 159660 Rate 13.6 0.0 56.8 56.2538

38.0 Births with unknown age of mother are included in the age group "20+".

Life Expectancy at BirthTotal Fertility Rate per 1,000 Females Aged 10-49 Number Percent Number Percent

405 Births to Unmarried Women 266 40.3 36 83.7227 Low Weight Births 52 7.9 4 9.3

Multiple Births 16 2.4 0 0.0Medicaid Births 324 49.1 36 83.7

White WhiteInfant Deaths 5 5 0 Rate per 1,000 Births 7.6 10.3 0.0Postneonatal Deaths 0 0 0 Rate per 1,000 Births 0.0 0.0 0.0Neonatal Deaths 5 5 0 Rate per 1,000 Births 7.6 10.3 0.0

Total Male Female Total Male Female Total Male FemaleTotal 48,956 24,023 24,933 36,119 18,102 18,017 12,837 5,921 6,916

0-4 3,268 1,651 1,617 2,226 1,121 1,105 1,042 530 5125-9 3,118 1,628 1,490 2,127 1,122 1,005 991 506 48510-14 2,984 1,521 1,463 2,055 1,058 997 929 463 46615-44 18,993 9,630 9,363 13,489 7,019 6,470 5,504 2,611 2,89345-64 12,323 5,912 6,411 9,415 4,650 4,765 2,908 1,262 1,64665-84 7,372 3,343 4,029 6,042 2,834 3,208 1,330 509 82185+ 898 338 560 765 298 467 133 40 93

Divorces Granted

BirthsDeaths

Total Population

PREGNANCY/NATALITY

Black and OtherAll Ages

17.2

Females Aged 15-44

LIVE BIRTHS

Females Aged 15-44

SUMMARY

Median Age

75.2

2,021.0

Females Aged 10-19

Rates are per 1,000 females in specified age group.

Females Aged 10-19

1011.7

58.8

5

Marriages Issued

2018 ESTIMATED POPULATIONS BY AGE GROUP, RACE AND SEX

All Races White Black and OtherAge Group

Ages 10-19

INFANT RELATED MORTALITY BY RACE* AND AGE GROUP OF MOTHER

0

0All Races

00.0

00.0

0

Estimated pregnancy and induced termination of pregnancy rates are per 1,000 females in specified age group.

BIRTHS BY AGE GROUP OF MOTHER

*Infant deaths are by race of child; births are by race of mother.

0All Races

00.0

00.0

0.00

0.0

0.0

0.0

Black and Other

Percentages are of all births with known status for females in specified age group.

0.0

DALE 2018 HEALTH PROFILE

49 ADPH|CHS County Profile (2018)

Page 55: health department quality Vital Statistics

Total Male Female Total Male Female Total Male FemaleDeaths 538 283 255 428 223 205 110 60 50

11.0 11.8 10.2 11.8 12.3 11.4 8.6 10.1 7.2

Number Rate Number Rate Number Rate Number Rate Number RateHeart Disease 118 241.0 64 266.4 54 216.6 92 252.8 26 202.5Cancer 110 224.7 58 241.4 52 208.6 90 247.3 20 155.8Stroke 22 44.9 12 50.0 10 40.1 17 46.7 5 38.9Accidents 21 42.9 16 66.6 5 20.1 14 38.5 7 54.5CLRD* 37 75.6 19 79.1 18 72.2 32 87.9 5 38.9Diabetes 17 34.7 10 41.6 7 28.1 10 27.5 7 54.5Influenza and Pneumonia 11 22.5 5 20.8 6 24.1 9 24.7 2 15.6Alzheimer's Disease 33 67.4 10 41.6 23 92.2 28 76.9 5 38.9Suicide 14 28.6 12 50.0 2 8.0 12 33.0 2 15.6Homicide 3 6.1 3 12.5 0 0.0 1 2.7 2 15.6

1 2.0 1 4.2 0 0.0 1 2.7 0 0.0Rates are per 100,000 population in specified categories. *CLRD is known as Chronic Lower Respiratory Disease.

Number Rate Number RateAll Accidents 21 42.9 4 32.5 Number Rate

Motor Vehicle 5 10.2 1 8.1 538 11.0Suffocation 2 4.1 1 8.1 8 0.9Poisoning 4 8.2 0 0.0 40 2.1Smoke, Fire and Flames 2 4.1 0 0.0 124 10.1Falls 0 0.0 0 0.0 248 33.6Drowning 5 10.2 2 16.3 118 131.4Firearms 1 2.0 0 0.0 Rates are per 1,000 population in specified age group.Other Accidents 2 --- 0 ---

Rates are per 100,000 population in specified categories.

Number Rate Number Rate Number Rate110 224.7 58 241.4 52 208.633 67.4 15 62.4 18 72.25 10.2 4 16.7 1 4.0

10 20.4 ... … 10 40.17 14.3 7 29.1 … …7 14.3 2 8.3 5 20.14 8.2 2 8.3 2 8.02 4.1 2 8.3 0 0.02 4.1 … … 2 8.04 8.2 3 12.5 1 4.01 2.0 1 4.2 0 0.01 2.0 … … 1 4.03 6.1 3 12.5 0 0.01 2.0 1 4.2 0 0.0

30 --- 18 --- 12 ---

HIV Disease

PancreasLeukemias

All Ages

DALE 2018 HEALTH PROFILE (Continued)

MORTALITY All Races White Black and Other

Total

85 +

Rate per 1,000 Population

ACCIDENTAL DEATHS

White Black and OtherSELECTED CAUSESOF DEATH

Total Male Female

SELECTED CANCER SITE DEATHS

Measurements based on small denominators should be used with caution. Rates and ratios based on a denominator of less than 50 births or 1,000 population are shaded. Estimated pregnancies are the sum of births, induced terminations of pregnancy (abortions) and estimated total fetal losses. Estimated total fetal losses are equal to the sum of 20 percent of births and 10 percent of induced terminations of pregnancy. The total fertility rate is the sum of age-specific birth rates multiplied by the width of the intervals, i.e. five years. A total fertility rate of 2,100 births per 1,000 females aged 10-49 years would maintain the current population. Estimated populations are from the U.S. Census Bureau. See Appendix B for other definitions and formulas.

15 - 44

65 - 84

All CancersTrachea, Bronchus, Lung, Pleura

Male

Rates are per 100,000 population in specified categories.

Age Group

Other

Brain and Other Nervous SystemStomach

Ovary (female)

Breast (female)Prostate (male)

Female

Non-Hodgkin's Lymphomas

Colorectal

EsophagusMelanoma of Skin

Uterus and Cervix (female)

DEATHS BY AGE GROUP

Total

45 - 64

0 - 14

Ages 19 and Under

50 ADPH|CHS County Profile (2018)

Page 56: health department quality Vital Statistics

Number Rate Number RateEstimated Pregnancies 606 82.3 52 19.9Births 436 11.4 37 14.1Induced Terminations of Pregnancy 75 10.2 7 2.7Estimated Total Fetal Losses 95 --- 8 ---Birth rates are per 1,000 population.

Total 10-14 15-17 18-19 20+All Births 436 0 22 399 Rate 11.4 0.0 42.2 55.3White 87 0 2 82 Rate 8.2 0.0 19.2 50.9

38,310 Black and Other 349 0 20 317436 Rate 12.6 0.0 47.9 56.5566

40.0 Births with unknown age of mother are included in the age group "20+".

Life Expectancy at BirthTotal Fertility Rate per 1,000 Females Aged 10-49 Number Percent Number Percent

133 Births to Unmarried Women 334 76.6 37 100.0 77 Low Weight Births 62 14.2 6 16.2

Multiple Births 8 1.8 0 0.0Medicaid Births 324 74.3 32 86.5

White WhiteInfant Deaths 0 0 0 Rate per 1,000 Births 0.0 0.0 0.0Postneonatal Deaths 0 0 0 Rate per 1,000 Births 0.0 0.0 0.0Neonatal Deaths 0 0 0 Rate per 1,000 Births 0.0 0.0 0.0

Total Male Female Total Male Female Total Male FemaleTotal 38,310 17,685 20,625 10,630 5,100 5,530 27,680 12,585 15,095

0-4 2,335 1,149 1,186 449 218 231 1,886 931 9555-9 2,432 1,230 1,202 520 276 244 1,912 954 95810-14 2,703 1,385 1,318 542 280 262 2,161 1,105 1,05615-44 13,740 6,381 7,359 3,064 1,498 1,566 10,676 4,883 5,79345-64 10,179 4,608 5,571 3,118 1,541 1,577 7,061 3,067 3,99465-84 6,220 2,739 3,481 2,607 1,198 1,409 3,613 1,541 2,07285+ 701 193 508 330 89 241 371 104 267

BirthsDeaths

Total Population

Females Aged 10-19

LIVE BIRTHS

Estimated pregnancy and induced termination of pregnancy rates are per 1,000 females in specified age group.

15

Rates are per 1,000 females in specified age group.

1219.2

Females Aged 15-44

PREGNANCY/NATALITY

SUMMARY

Females Aged 10-19Females Aged 15-44

BIRTHS BY AGE GROUP OF MOTHER

19.23

19.2

0.00.0

0.00

0.0

0.00

0.00 0

0.0

0.00

*Infant deaths are by race of child; births are by race of mother.

0.00

2018 ESTIMATED POPULATIONS BY AGE GROUP, RACE AND SEX

White Black and OtherAge Group All Races

0Black and Other

INFANT RELATED MORTALITY BY RACE* AND AGE GROUP OF MOTHER

All Ages Ages 10-19All Races Black and Other

0All Races

0

Percentages are of all births with known status for females in specified age group.

Marriages IssuedDivorces Granted

Median Age

74.6

1,758.5

DALLAS 2018 HEALTH PROFILE

51 ADPH|CHS County Profile (2018)

Page 57: health department quality Vital Statistics

Total Male Female Total Male Female Total Male FemaleDeaths 566 297 269 209 102 107 357 195 162

14.8 16.8 13.0 19.1 20.0 19.3 12.9 15.5 10.7

Number Rate Number Rate Number Rate Number Rate Number RateHeart Disease 167 435.9 87 491.9 80 387.9 56 512.1 111 401.0Cancer 104 271.5 59 333.6 45 218.2 44 402.3 60 216.8Stroke 32 83.5 17 96.1 15 72.7 15 137.2 17 61.4Accidents 30 78.3 21 118.7 9 43.6 7 64.0 23 83.1CLRD* 22 57.4 13 73.5 9 43.6 12 109.7 10 36.1Diabetes 7 18.3 2 11.3 5 24.2 0 0.0 7 25.3Influenza and Pneumonia 15 39.2 8 45.2 7 33.9 9 82.3 6 21.7Alzheimer's Disease 24 62.6 8 45.2 16 77.6 13 118.9 11 39.7Suicide 4 10.4 2 11.3 2 9.7 3 27.4 1 3.6Homicide 18 47.0 16 90.5 2 9.7 0 0.0 18 65.0

1 2.6 1 5.7 0 0.0 0 0.0 1 3.6Rates are per 100,000 population in specified categories. *CLRD is known as Chronic Lower Respiratory Disease.

Number Rate Number RateAll Accidents 30 78.3 2 19.8 Number Rate

Motor Vehicle 18 47.0 2 19.8 566 14.8Suffocation 2 5.2 0 0.0 1 0.1Poisoning 1 2.6 0 0.0 47 3.4Smoke, Fire and Flames 1 2.6 0 0.0 148 14.5Falls 2 5.2 0 0.0 244 39.2Drowning 1 2.6 0 0.0 126 179.7Firearms 0 0.0 0 0.0 Rates are per 1,000 population in specified age group.Other Accidents 5 --- 0 ---

Rates are per 100,000 population in specified categories.

Number Rate Number Rate Number Rate104 271.5 59 333.6 45 218.233 86.1 19 107.4 14 67.910 26.1 3 17.0 7 33.98 20.9 ... … 8 38.87 18.3 7 39.6 … …5 13.1 1 5.7 4 19.42 5.2 1 5.7 1 4.85 13.1 5 28.3 0 0.01 2.6 … … 1 4.84 10.4 3 17.0 1 4.83 7.8 2 11.3 1 4.80 0.0 … … 0 0.01 2.6 1 5.7 0 0.00 0.0 0 0.0 0 0.0

25 --- 17 --- 8 ---

Ages 19 and Under

Age GroupTotal 0 - 14 15 - 44

Female

DEATHS BY AGE GROUP

45 - 64

DALLAS 2018 HEALTH PROFILE (Continued)

MORTALITY All Races White Black and Other

Black and Other

Rate per 1,000 Population

MaleSELECTED CAUSESOF DEATH

Total

HIV Disease

White

Brain and Other Nervous System

SELECTED CANCER SITE DEATHS

Colorectal

All CancersTrachea, Bronchus, Lung, Pleura

Total

Prostate (male)PancreasLeukemiasNon-Hodgkin's Lymphomas

Breast (female)

Ovary (female)

Measurements based on small denominators should be used with caution. Rates and ratios based on a denominator of less than 50 births or 1,000 population are shaded. Estimated pregnancies are the sum of births, induced terminations of pregnancy (abortions) and estimated total fetal losses. Estimated total fetal losses are equal to the sum of 20 percent of births and 10 percent of induced terminations of pregnancy. The total fertility rate is the sum of age-specific birth rates multiplied by the width of the intervals, i.e. five years. A total fertility rate of 2,100 births per 1,000 females aged 10-49 years would maintain the current population. Estimated populations are from the U.S. Census Bureau. See Appendix B for other definitions and formulas.

EsophagusMelanoma of SkinOther

Rates are per 100,000 population in specified categories.

StomachUterus and Cervix (female)

Male

85 + 65 - 84

ACCIDENTAL DEATHS All Ages

Female

52 ADPH|CHS County Profile (2018)

Page 58: health department quality Vital Statistics

Number Rate Number RateEstimated Pregnancies 1,037 81.0 109 22.6Births 823 11.5 87 18.0Induced Terminations of Pregnancy 45 3.5 4 0.8Estimated Total Fetal Losses 169 --- 18 ---Birth rates are per 1,000 population.

Total 10-14 15-17 18-19 20+All Births 823 2 67 736 Rate 11.5 0.8 73.4 57.0White 789 2 62 707 Rate 11.9 0.9 74.4 59.4

71,385 Black and Other 34 0 5 29823 Rate 6.5 0.0 62.5 28.8845

39.9 Births with unknown age of mother are included in the age group "20+".

Life Expectancy at BirthTotal Fertility Rate per 1,000 Females Aged 10-49 Number Percent Number Percent

511 Births to Unmarried Women 319 38.8 69 79.317 Low Weight Births 71 8.6 17 19.5

Multiple Births 23 2.8 6 6.9Medicaid Births 497 60.5 72 82.8

White WhiteInfant Deaths 7 7 1 1 Rate per 1,000 Births 8.5 8.9 11.5 12.2Postneonatal Deaths 4 4 1 1 Rate per 1,000 Births 4.9 5.1 11.5 12.2Neonatal Deaths 3 3 0 0 Rate per 1,000 Births 3.6 3.8 0.0 0.0

Total Male Female Total Male Female Total Male FemaleTotal 71,385 35,428 35,957 66,184 32,745 33,439 5,201 2,683 2,518

0-4 4,237 2,210 2,027 3,810 1,973 1,837 427 237 1905-9 4,692 2,377 2,315 4,327 2,190 2,137 365 187 17810-14 5,213 2,674 2,539 4,737 2,442 2,295 476 232 24415-44 26,120 13,316 12,804 23,908 12,140 11,768 2,212 1,176 1,03645-64 18,801 9,322 9,479 17,587 8,706 8,881 1,214 616 59865-84 11,115 5,131 5,984 10,661 4,916 5,745 454 215 23985+ 1,207 398 809 1,154 378 776 53 20 33

Total Population

SUMMARY

Median Age

*Infant deaths are by race of child; births are by race of mother.

Black and OtherBlack and Other

Rates are per 1,000 females in specified age group.

00.0

Females Aged 10-19

LIVE BIRTHS

Females Aged 15-441,979.0

Marriages IssuedDivorces Granted

BirthsDeaths

2018 ESTIMATED POPULATIONS BY AGE GROUP, RACE AND SEX

All Races White Black and Other

0.0

0.00

0.0

0

0All Races

Age Group

PREGNANCY/NATALITY

Females Aged 10-19Females Aged 15-44

1813.1

1814.4

BIRTHS BY AGE GROUP OF MOTHER

Estimated pregnancy and induced termination of pregnancy rates are per 1,000 females in specified age group.

All Races

Percentages are of all births with known status for females in specified age group.

0.00

0.0

00.0

0

All Ages Ages 10-19

INFANT RELATED MORTALITY BY RACE* AND AGE GROUP OF MOTHER

74.9

DEKALB 2018 HEALTH PROFILE

53 ADPH|CHS County Profile (2018)

Page 59: health department quality Vital Statistics

Total Male Female Total Male Female Total Male FemaleDeaths 845 424 421 831 417 414 14 7 7

11.8 12.0 11.7 12.5 12.7 12.4 2.7 2.6 2.8

Number Rate Number Rate Number Rate Number Rate Number RateHeart Disease 218 305.4 111 313.3 107 297.6 214 322.0 4 76.9Cancer 160 224.1 85 239.9 75 208.6 159 239.3 1 19.2Stroke 43 60.2 20 56.5 23 64.0 42 63.2 1 19.2Accidents 44 61.6 25 70.6 19 52.8 43 64.7 1 19.2CLRD* 75 105.1 38 107.3 37 102.9 75 112.9 0 0.0Diabetes 36 50.4 18 50.8 18 50.1 36 54.2 0 0.0Influenza and Pneumonia 20 28.0 10 28.2 10 27.8 19 28.6 1 19.2Alzheimer's Disease 49 68.6 18 50.8 31 86.2 49 73.7 0 0.0Suicide 13 18.2 8 22.6 5 13.9 13 19.6 0 0.0Homicide 2 2.8 2 5.6 0 0.0 2 3.0 0 0.0

0 0.0 0 0.0 0 0.0 0 0.0 0 0.0Rates are per 100,000 population in specified categories. *CLRD is known as Chronic Lower Respiratory Disease.

Number Rate Number RateAll Accidents 44 61.6 2 10.6 Number Rate

Motor Vehicle 18 25.2 1 5.3 845 11.8Suffocation 0 0.0 0 0.0 10 0.7Poisoning 16 22.4 1 5.3 51 2.0Smoke, Fire and Flames 4 5.6 0 0.0 163 8.7Falls 2 2.8 0 0.0 423 38.1Drowning 0 0.0 0 0.0 198 164.0Firearms 0 0.0 0 0.0 Rates are per 1,000 population in specified age group.Other Accidents 4 --- 0 ---

Rates are per 100,000 population in specified categories.

Number Rate Number Rate Number Rate160 224.1 85 239.9 75 208.647 65.8 30 84.7 17 47.318 25.2 10 28.2 8 22.216 22.4 ... … 16 44.59 12.6 9 25.4 … …

11 15.4 6 16.9 5 13.96 8.4 4 11.3 2 5.65 7.0 2 5.6 3 8.35 7.0 … … 5 13.95 7.0 3 8.5 2 5.60 0.0 0 0.0 0 0.01 1.4 … … 1 2.84 5.6 3 8.5 1 2.82 2.8 1 2.8 1 2.8

31 --- 17 --- 14 ---

Total 0 - 14 15 - 44 45 - 64

Melanoma of SkinOther

StomachUterus and Cervix (female)

Colorectal

Ovary (female)Brain and Other Nervous System

Breast (female)

DEATHS BY AGE GROUPACCIDENTAL DEATHS All Ages Ages 19 and Under

Age Group

65 - 84 85 +

Measurements based on small denominators should be used with caution. Rates and ratios based on a denominator of less than 50 births or 1,000 population are shaded. Estimated pregnancies are the sum of births, induced terminations of pregnancy (abortions) and estimated total fetal losses. Estimated total fetal losses are equal to the sum of 20 percent of births and 10 percent of induced terminations of pregnancy. The total fertility rate is the sum of age-specific birth rates multiplied by the width of the intervals, i.e. five years. A total fertility rate of 2,100 births per 1,000 females aged 10-49 years would maintain the current population. Estimated populations are from the U.S. Census Bureau. See Appendix B for other definitions and formulas.

PancreasLeukemiasNon-Hodgkin's Lymphomas

Rates are per 100,000 population in specified categories.

Esophagus

DEKALB 2018 HEALTH PROFILE (Continued)

MORTALITY All Races White Black and Other

HIV Disease

Rate per 1,000 Population

SELECTED CAUSESOF DEATH

Total Male Female White Black and Other

Female

All CancersTrachea, Bronchus, Lung, Pleura

SELECTED CANCER SITE DEATHS Total Male

Prostate (male)

54 ADPH|CHS County Profile (2018)

Page 60: health department quality Vital Statistics

Number Rate Number RateEstimated Pregnancies 1,242 74.8 80 15.7Births 929 11.3 52 10.2Induced Terminations of Pregnancy 116 7.0 16 3.1Estimated Total Fetal Losses 197 --- 12 ---Birth rates are per 1,000 population.

Total 10-14 15-17 18-19 20+All Births 929 2 36 877 Rate 11.3 0.8 36.5 51.0White 712 1 26 677 Rate 11.5 0.5 37.8 54.1

81,887 Black and Other 217 1 10 200929 Rate 10.8 1.4 33.6 42.7810

38.9 Births with unknown age of mother are included in the age group "20+".

Life Expectancy at BirthTotal Fertility Rate per 1,000 Females Aged 10-49 Number Percent Number Percent

0 Births to Unmarried Women 383 41.3 48 92.3306 Low Weight Births 74 8.0 8 15.4

Multiple Births 31 3.3 1 1.9Medicaid Births 381 41.0 41 10.8

White WhiteInfant Deaths 8 4 0 0 Rate per 1,000 Births 8.6 5.6 0.0 0.0Postneonatal Deaths 3 1 0 0 Rate per 1,000 Births 3.2 1.4 0.0 0.0Neonatal Deaths 5 3 0 0 Rate per 1,000 Births 5.4 4.2 0.0 0.0

Total Male Female Total Male Female Total Male FemaleTotal 81,887 39,585 42,302 61,800 29,753 32,047 20,087 9,832 10,255

0-4 4,713 2,387 2,326 3,288 1,689 1,599 1,425 698 7275-9 4,922 2,604 2,318 3,581 1,892 1,689 1,341 712 62910-14 5,264 2,625 2,639 3,842 1,905 1,937 1,422 720 70215-44 32,547 15,933 16,614 22,973 11,023 11,950 9,574 4,910 4,66445-64 22,041 10,444 11,597 17,371 8,331 9,040 4,670 2,113 2,55765-84 11,236 5,231 6,005 9,722 4,588 5,134 1,514 643 87185+ 1,164 361 803 1,023 325 698 141 36 105

Median Age

76.1

1,659.5

All Races

Rates are per 1,000 females in specified age group.

LIVE BIRTHS

Marriages IssuedDivorces Granted

Deaths

Females Aged 10-19Females Aged 15-44

0.00

Percentages are of all births with known status for females in specified age group.

04All Races

9.2

29.2

20.0

0

Black and Other

PREGNANCY/NATALITY

613.4

Females Aged 10-19

SUMMARY

Females Aged 15-44

Estimated pregnancy and induced termination of pregnancy rates are per 1,000 females in specified age group.

BIRTHS BY AGE GROUP OF MOTHER

149.5

87.8

BirthsTotal Population

2018 ESTIMATED POPULATIONS BY AGE GROUP, RACE AND SEX

All Races White Black and OtherAge Group

*Infant deaths are by race of child; births are by race of mother.

Black and Other

INFANT RELATED MORTALITY BY RACE* AND AGE GROUP OF MOTHER

All Ages Ages 10-19

0.0

18.4

ELMORE 2018 HEALTH PROFILE

55 ADPH|CHS County Profile (2018)

Page 61: health department quality Vital Statistics

Total Male Female Total Male Female Total Male FemaleDeaths 810 418 392 665 351 314 145 67 78

9.9 10.6 9.3 10.8 11.8 9.8 7.2 6.8 7.6

Number Rate Number Rate Number Rate Number Rate Number RateHeart Disease 205 250.3 116 293.0 89 210.4 176 284.5 29 144.4Cancer 166 202.7 87 219.8 79 186.8 137 221.5 29 144.4Stroke 47 57.4 15 37.9 32 75.6 37 59.8 10 49.8Accidents 33 40.3 24 60.6 9 21.3 29 46.9 4 19.9CLRD* 65 79.4 39 98.5 26 61.5 57 92.2 8 39.8Diabetes 24 29.3 9 22.7 15 35.5 12 19.4 12 59.7Influenza and Pneumonia 11 13.4 3 7.6 8 18.9 7 11.3 4 19.9Alzheimer's Disease 45 55.0 14 35.4 31 73.3 36 58.2 9 44.8Suicide 20 24.4 15 37.9 5 11.8 15 24.3 5 24.9Homicide 10 12.2 5 12.6 5 11.8 6 9.7 4 19.9

1 1.2 1 2.5 0 0.0 1 1.6 0 0.0Rates are per 100,000 population in specified categories. *CLRD is known as Chronic Lower Respiratory Disease.

Number Rate Number RateAll Accidents 33 40.3 3 15.0 Number Rate

Motor Vehicle 12 14.7 2 10.0 810 9.9Suffocation 2 2.4 0 0.0 12 0.8Poisoning 6 7.3 0 0.0 51 1.6Smoke, Fire and Flames 2 2.4 0 0.0 178 8.1Falls 3 3.7 0 0.0 387 34.4Drowning 2 2.4 1 5.0 182 156.4Firearms 0 0.0 0 0.0 Rates are per 1,000 population in specified age group.Other Accidents 6 --- 0 ---

Rates are per 100,000 population in specified categories.

Number Rate Number Rate Number Rate166 202.7 87 219.8 79 186.844 53.7 26 65.7 18 42.618 22.0 9 22.7 9 21.312 14.7 ... … 12 28.43 3.7 3 7.6 … …

17 20.8 8 20.2 9 21.33 3.7 2 5.1 1 2.43 3.7 3 7.6 0 0.02 2.4 … … 2 4.74 4.9 3 7.6 1 2.45 6.1 3 7.6 2 4.76 7.3 … … 6 14.22 2.4 1 2.5 1 2.42 2.4 1 2.5 1 2.4

45 --- 28 --- 17 ---

ELMORE 2018 HEALTH PROFILE (Continued)

MORTALITY All Races White Black and Other

Rate per 1,000 Population

SELECTED CAUSESOF DEATH

Measurements based on small denominators should be used with caution. Rates and ratios based on a denominator of less than 50 births or 1,000 population are shaded. Estimated pregnancies are the sum of births, induced terminations of pregnancy (abortions) and estimated total fetal losses. Estimated total fetal losses are equal to the sum of 20 percent of births and 10 percent of induced terminations of pregnancy. The total fertility rate is the sum of age-specific birth rates multiplied by the width of the intervals, i.e. five years. A total fertility rate of 2,100 births per 1,000 females aged 10-49 years would maintain the current population. Estimated populations are from the U.S. Census Bureau. See Appendix B for other definitions and formulas.

EsophagusMelanoma of SkinOther

StomachUterus and Cervix (female)

Rates are per 100,000 population in specified categories.

ACCIDENTAL DEATHS All Ages Ages 19 and Under

Age Group

Female

DEATHS BY AGE GROUP

White Black and OtherFemale

Total 0 - 14 15 - 44 45 - 64

HIV Disease

Total Male

Ovary (female)Brain and Other Nervous System

65 - 84 85 +

Total MaleSELECTED CANCER SITE DEATHS

Non-Hodgkin's Lymphomas

Pancreas

Trachea, Bronchus, Lung, PleuraAll Cancers

Leukemias

Breast (female)Colorectal

Prostate (male)

56 ADPH|CHS County Profile (2018)

Page 62: health department quality Vital Statistics

Number Rate Number RateEstimated Pregnancies 555 89.2 63 27.9Births 435 11.8 47 20.8Induced Terminations of Pregnancy 30 4.8 6 2.7Estimated Total Fetal Losses 90 --- 10 ---Birth rates are per 1,000 population.

Total 10-14 15-17 18-19 20+All Births 435 0 35 388 Rate 11.8 0.0 79.4 62.0White 275 0 21 248 Rate 12.1 0.0 85.1 65.4

36,748 Black and Other 160 0 14 140435 Rate 11.5 0.0 72.2 56.8473

40.1 Births with unknown age of mother are included in the age group "20+".

Life Expectancy at BirthTotal Fertility Rate per 1,000 Females Aged 10-49 Number Percent Number Percent

160 Births to Unmarried Women 268 61.6 46 97.9100 Low Weight Births 43 9.9 6 12.8

Multiple Births 12 2.8 0 0.0Medicaid Births 266 61.1 35 74.5

White WhiteInfant Deaths 3 0 0 Rate per 1,000 Births 6.9 0.0 0.0Postneonatal Deaths 2 0 0 Rate per 1,000 Births 4.6 0.0 0.0Neonatal Deaths 1 0 0 Rate per 1,000 Births 2.3 0.0 0.0

Total Male Female Total Male Female Total Male FemaleTotal 36,748 18,628 18,120 22,792 11,336 11,456 13,956 7,292 6,664

0-4 2,187 1,111 1,076 1,241 636 605 946 475 4715-9 2,339 1,192 1,147 1,375 697 678 964 495 46910-14 2,284 1,126 1,158 1,326 670 656 958 456 50215-44 13,765 7,546 6,219 7,763 4,082 3,681 6,002 3,464 2,53845-64 9,577 4,870 4,707 6,237 3,178 3,059 3,340 1,692 1,64865-84 5,913 2,565 3,348 4,330 1,901 2,429 1,583 664 91985+ 683 218 465 520 172 348 163 46 117

SUMMARY

Median Age

73.3

2,111.5

620.6

Rates are per 1,000 females in specified age group.

Females Aged 15-44

Percentages are of all births with known status for females in specified age group.

16.2

Marriages IssuedDivorces Granted

BirthsDeaths

Total Population

Females Aged 10-19

1218.1

6

PREGNANCY/NATALITY

Females Aged 10-19

BIRTHS BY AGE GROUP OF MOTHER

Females Aged 15-44

Estimated pregnancy and induced termination of pregnancy rates are per 1,000 females in specified age group.

00.0

2018 ESTIMATED POPULATIONS BY AGE GROUP, RACE AND SEX

All Races White Black and OtherAge Group

All Ages Ages 10-19All RacesAll Races

3 00.0

LIVE BIRTHS

INFANT RELATED MORTALITY BY RACE* AND AGE GROUP OF MOTHER

0.0*Infant deaths are by race of child; births are by race of mother.

Black and OtherBlack and Other

0.06.31

00.0

00.0

0

18.82

012.5

ESCAMBIA 2018HEALTH PROFILE

57 ADPH|CHS County Profile (2018)

Page 63: health department quality Vital Statistics

Total Male Female Total Male Female Total Male FemaleDeaths 473 254 219 344 187 157 129 67 62

12.9 13.6 12.1 14.9 16.5 13.7 9.2 9.2 9.3

Number Rate Number Rate Number Rate Number Rate Number RateHeart Disease 101 274.8 47 252.3 54 298.0 78 336.9 23 164.8Cancer 93 253.1 61 327.5 32 176.6 73 315.3 20 143.3Stroke 30 81.6 13 69.8 17 93.8 23 99.3 7 50.2Accidents 21 57.1 13 69.8 8 44.2 15 64.8 6 43.0CLRD* 23 62.6 13 69.8 10 55.2 18 77.7 5 35.8Diabetes 24 65.3 11 59.1 13 71.7 18 77.7 6 43.0Influenza and Pneumonia 10 27.2 3 16.1 7 38.6 8 34.5 2 14.3Alzheimer's Disease 15 40.8 3 16.1 12 66.2 13 56.1 2 14.3Suicide 7 19.0 3 16.1 4 22.1 7 30.2 0 0.0Homicide 1 2.7 1 5.4 0 0.0 1 4.3 0 0.0

1 2.7 1 5.4 0 0.0 0 0.0 1 7.2Rates are per 100,000 population in specified categories. *CLRD is known as Chronic Lower Respiratory Disease.

Number Rate Number RateAll Accidents 21 57.1 0 0.0 Number Rate

Motor Vehicle 8 21.8 0 0.0 473 12.9Suffocation 2 5.4 0 0.0 4 0.6Poisoning 5 13.6 0 0.0 29 2.1Smoke, Fire and Flames 0 0.0 0 0.0 137 14.3Falls 1 2.7 0 0.0 216 36.5Drowning 1 2.7 0 0.0 87 127.4Firearms 0 0.0 0 0.0 Rates are per 1,000 population in specified age group.Other Accidents 4 --- 0 ---

Rates are per 100,000 population in specified categories.

Number Rate Number Rate Number Rate93 253.1 61 327.5 32 176.632 87.1 24 128.8 8 44.26 16.3 3 16.1 3 16.68 21.8 ... … 8 44.24 10.9 4 21.5 … …5 13.6 3 16.1 2 11.05 13.6 3 16.1 2 11.00 0.0 0 0.0 0 0.01 2.7 … … 1 5.54 10.9 2 10.7 2 11.00 0.0 0 0.0 0 0.01 2.7 … … 1 5.53 8.2 3 16.1 0 0.01 2.7 0 0.0 1 5.5

23 --- 19 --- 4 ---

HIV Disease

ESCAMBIA 2018 HEALTH PROFILE (Continued)

Black and Other

White

MORTALITY All Races White

Female

Rate per 1,000 Population

SELECTED CAUSESOF DEATH

Total Black and OtherMale

DEATHS BY AGE GROUP

Total 0 - 14 15 - 44

Measurements based on small denominators should be used with caution. Rates and ratios based on a denominator of less than 50 births or 1,000 population are shaded. Estimated pregnancies are the sum of births, induced terminations of pregnancy (abortions) and estimated total fetal losses. Estimated total fetal losses are equal to the sum of 20 percent of births and 10 percent of induced terminations of pregnancy. The total fertility rate is the sum of age-specific birth rates multiplied by the width of the intervals, i.e. five years. A total fertility rate of 2,100 births per 1,000 females aged 10-49 years would maintain the current population. Estimated populations are from the U.S. Census Bureau. See Appendix B for other definitions and formulas.

EsophagusMelanoma of SkinOther

StomachUterus and Cervix (female)

Rates are per 100,000 population in specified categories.

All Cancers

Total Male

Trachea, Bronchus, Lung, Pleura

ACCIDENTAL DEATHS All Ages Ages 19 and Under

Age Group

Female

45 - 64 65 - 84 85 +

SELECTED CANCER SITE DEATHS

Ovary (female)Brain and Other Nervous System

ColorectalBreast (female)Prostate (male)Pancreas

Non-Hodgkin's LymphomasLeukemias

58 ADPH|CHS County Profile (2018)

Page 64: health department quality Vital Statistics

Number Rate Number RateEstimated Pregnancies 1,550 82.8 142 23.3Births 1,191 11.6 104 17.0Induced Terminations of Pregnancy 110 5.9 16 2.6Estimated Total Fetal Losses 249 --- 22 ---Birth rates are per 1,000 population.

Total 10-14 15-17 18-19 20+All Births 1,191 1 81 1,087 Rate 11.6 0.3 66.0 56.3White 925 0 53 860 Rate 11.2 0.0 56.5 56.9

102,501 Black and Other 266 1 28 2271,191 Rate 13.5 1.4 97.4 54.41,46041.9 Births with unknown age of mother are included in the age group "20+".

Life Expectancy at BirthTotal Fertility Rate per 1,000 Females Aged 10-49 Number Percent Number Percent

831 Births to Unmarried Women 582 48.9 91 87.5488 Low Weight Births 127 10.7 14 13.5

Multiple Births 48 4.0 2 1.9Medicaid Births 669 56.2 86 82.7

White WhiteInfant Deaths 6 2 0 0 Rate per 1,000 Births 5.0 2.2 0.0 0.0Postneonatal Deaths 2 1 0 0 Rate per 1,000 Births 1.7 1.1 0.0 0.0Neonatal Deaths 4 1 0 0 Rate per 1,000 Births 3.4 1.1 0.0 0.0

Total Male Female Total Male Female Total Male FemaleTotal 102,501 49,653 52,848 82,796 40,319 42,477 19,705 9,334 10,371

0-4 5,902 3,058 2,844 4,340 2,284 2,056 1,562 774 7885-9 5,934 3,107 2,827 4,570 2,393 2,177 1,364 714 65010-14 6,122 3,077 3,045 4,810 2,455 2,355 1,312 622 69015-44 37,147 18,421 18,726 28,880 14,349 14,531 8,267 4,072 4,19545-64 27,909 13,503 14,406 23,088 11,319 11,769 4,821 2,184 2,63765-84 17,504 7,851 9,653 15,352 6,941 8,411 2,152 910 1,24285+ 1,983 636 1,347 1,756 578 1,178 227 58 169

2212.0

12

PREGNANCY/NATALITY

Females Aged 10-19Females Aged 15-44

All Ages Ages 10-19

4

BIRTHS BY AGE GROUP OF MOTHER

SUMMARY

Median Age

All Races

73.3

1,922.0

Percentages are of all births with known status for females in specified age group.

8.510

All Races

Females Aged 10-19

LIVE BIRTHS

Black and OtherBlack and Other0

2018 ESTIMATED POPULATIONS BY AGE GROUP, RACE AND SEX

13.8

3

All Races White Black and OtherAge Group

*Infant deaths are by race of child; births are by race of mother.11.3

0.00

0.00

0.0

15.0

Females Aged 15-44

23.2Rates are per 1,000 females in specified age group.

Estimated pregnancy and induced termination of pregnancy rates are per 1,000 females in specified age group.

INFANT RELATED MORTALITY BY RACE* AND AGE GROUP OF MOTHER

Marriages IssuedDivorces Granted

BirthsDeaths

Total Population

ETOWAH 2018 HEALTH PROFILE

59 ADPH|CHS County Profile (2018)

Page 65: health department quality Vital Statistics

Total Male Female Total Male Female Total Male FemaleDeaths 1,460 748 712 1,284 655 629 176 93 83

14.2 15.1 13.5 15.4 16.2 14.8 8.9 10.0 8.0

Number Rate Number Rate Number Rate Number Rate Number RateHeart Disease 373 363.9 193 388.7 180 340.6 333 400.6 40 203.0Cancer 265 258.5 141 284.0 124 234.6 234 281.5 31 157.3Stroke 61 59.5 32 64.4 29 54.9 52 62.6 9 45.7Accidents 63 61.5 38 76.5 25 47.3 53 63.8 10 50.7CLRD* 177 172.7 82 165.1 95 179.8 169 203.3 8 40.6Diabetes 48 46.8 28 56.4 20 37.8 42 50.5 6 30.4Influenza and Pneumonia 41 40.0 21 42.3 20 37.8 38 45.7 3 15.2Alzheimer's Disease 60 58.5 24 48.3 36 68.1 55 66.2 5 25.4Suicide 21 20.5 18 36.3 3 5.7 20 24.1 1 5.1Homicide 7 6.8 6 12.1 1 1.9 7 8.4 0 0.0

1 1.0 1 2.0 0 0.0 1 1.2 0 0.0Rates are per 100,000 population in specified categories. *CLRD is known as Chronic Lower Respiratory Disease.

Number Rate Number RateAll Accidents 63 61.5 2 8.2 Number Rate

Motor Vehicle 16 15.6 1 4.1 1,460 14.2Suffocation 1 1.0 0 0.0 10 0.6Poisoning 26 25.4 0 0.0 87 2.3Smoke, Fire and Flames 2 2.0 0 0.0 298 10.7Falls 6 5.9 0 0.0 733 41.9Drowning 2 2.0 1 4.1 332 167.4Firearms 1 1.0 0 0.0 Rates are per 1,000 population in specified age group.Other Accidents 9 --- 0 ---

Rates are per 100,000 population in specified categories.

Number Rate Number Rate Number Rate265 258.5 141 284.0 124 234.675 73.2 40 80.6 35 66.219 18.5 11 22.2 8 15.110 9.8 ... … 10 18.912 11.7 12 24.2 … …14 13.7 8 16.1 6 11.410 9.8 7 14.1 3 5.75 4.9 2 4.0 3 5.79 8.8 … … 9 17.0

16 15.6 7 14.1 9 17.05 4.9 3 6.0 2 3.8

12 11.7 … … 12 22.73 2.9 3 6.0 0 0.00 0.0 0 0.0 0 0.0

75 --- 48 --- 27 ---

ETOWAH 2018 HEALTH PROFILE (Continued)

MORTALITY All Races White

Female White Black and Other

Black and Other

Total Male

All Cancers

HIV Disease

Measurements based on small denominators should be used with caution. Rates and ratios based on a denominator of less than 50 births or 1,000 population are shaded. Estimated pregnancies are the sum of births, induced terminations of pregnancy (abortions) and estimated total fetal losses. Estimated total fetal losses are equal to the sum of 20 percent of births and 10 percent of induced terminations of pregnancy. The total fertility rate is the sum of age-specific birth rates multiplied by the width of the intervals, i.e. five years. A total fertility rate of 2,100 births per 1,000 females aged 10-49 years would maintain the current population. Estimated populations are from the U.S. Census Bureau. See Appendix B for other definitions and formulas.

Melanoma of SkinOther

StomachUterus and Cervix (female)

Rates are per 100,000 population in specified categories.

Esophagus

ACCIDENTAL DEATHS All Ages Ages 19 and Under

Age GroupTotal 0 - 14 15 - 44 45 - 64

Brain and Other Nervous System

Trachea, Bronchus, Lung, Pleura

SELECTED CANCER SITE DEATHS

DEATHS BY AGE GROUP

Ovary (female)

ColorectalBreast (female)Prostate (male)PancreasLeukemiasNon-Hodgkin's Lymphomas

Rate per 1,000 Population

65 - 84 85 +

Total Male Female

SELECTED CAUSESOF DEATH

60 ADPH|CHS County Profile (2018)

Page 66: health department quality Vital Statistics

Number Rate Number RateEstimated Pregnancies 218 79.3 19 20.4Births 169 10.3 15 16.0Induced Terminations of Pregnancy 14 5.1 1 1.1Estimated Total Fetal Losses 35 --- 3 ---Birth rates are per 1,000 population.

Total 10-14 15-17 18-19 20+All Births 169 0 9 154 Rate 10.3 0.0 50.6 53.7White 137 0 9 124 Rate 9.7 0.0 56.7 50.1

16,433 Black and Other 32 0 0 30169 Rate 13.6 0.0 0.0 75.9235

43.6 Births with unknown age of mother are included in the age group "20+".

Life Expectancy at BirthTotal Fertility Rate per 1,000 Females Aged 10-49 Number Percent Number Percent

121 Births to Unmarried Women 82 48.5 10 66.7 17 Low Weight Births 17 10.1 1 6.7

Multiple Births 8 4.7 0 0.0Medicaid Births 93 55.0 12 80.0

White WhiteInfant Deaths 0 0 0 Rate per 1,000 Births 0.0 0.0 0.0Postneonatal Deaths 0 0 0 Rate per 1,000 Births 0.0 0.0 0.0Neonatal Deaths 0 0 0 Rate per 1,000 Births 0.0 0.0 0.0

Total Male Female Total Male Female Total Male FemaleTotal 16,433 8,023 8,410 14,076 6,877 7,199 2,357 1,146 1,211

0-4 921 465 456 708 383 325 213 82 1315-9 957 500 457 771 397 374 186 103 8310-14 1,002 512 490 844 425 419 158 87 7115-44 5,590 2,837 2,753 4,806 2,425 2,381 784 412 37245-64 4,491 2,189 2,302 3,892 1,894 1,998 599 295 30465-84 3,132 1,404 1,728 2,770 1,254 1,516 362 150 21285+ 340 116 224 285 99 186 55 17 38

Divorces Granted

BirthsDeaths

Total Population

Estimated pregnancy and induced termination of pregnancy rates are per 1,000 females in specified age group.

2018 ESTIMATED POPULATIONS BY AGE GROUP, RACE AND SEX

All Races White Black and OtherAge Group

0.0

All RacesAges 10-19

0

0.0

00.0

*Infant deaths are by race of child; births are by race of mother.0.00.0

74.5

Rates are per 1,000 females in specified age group.

PREGNANCY/NATALITY

Black and OtherBlack and Other0

0.00

0.0

Percentages are of all births with known status for females in specified age group.

Females Aged 15-44

INFANT RELATED MORTALITY BY RACE* AND AGE GROUP OF MOTHER

69.4

0

0

BIRTHS BY AGE GROUP OF MOTHER

Females Aged 15-44 Females Aged 10-19

0.0

Females Aged 10-19

All Ages

00.0

0

SUMMARY

1,820.5

2

Median Age

622.5

416.8

LIVE BIRTHS

All Races

0

Marriages Issued

FAYETTE 2018 HEALTH PROFILE

61 ADPH|CHS County Profile (2018)

Page 67: health department quality Vital Statistics

Total Male Female Total Male Female Total Male FemaleDeaths 235 109 126 202 91 111 33 18 15

14.3 13.6 15.0 14.2 13.2 15.4 14.0 15.7 12.4

Number Rate Number Rate Number Rate Number Rate Number RateHeart Disease 56 340.8 30 373.9 26 309.2 46 324.1 10 424.3Cancer 52 316.4 20 249.3 32 380.5 42 296.0 10 424.3Stroke 17 103.5 8 99.7 9 107.0 14 98.7 3 127.3Accidents 8 48.7 4 49.9 4 47.6 7 49.3 1 42.4CLRD* 15 91.3 7 87.2 8 95.1 15 105.7 0 0.0Diabetes 7 42.6 3 37.4 4 47.6 7 49.3 0 0.0Influenza and Pneumonia 8 48.7 2 24.9 6 71.3 8 56.4 0 0.0Alzheimer's Disease 16 97.4 4 49.9 12 142.7 14 98.7 2 84.9Suicide 3 18.3 3 37.4 0 0.0 2 14.1 1 42.4Homicide 1 6.1 1 12.5 0 0.0 1 7.0 0 0.0

0 0.0 0 0.0 0 0.0 0 0.0 0 0.0Rates are per 100,000 population in specified categories. *CLRD is known as Chronic Lower Respiratory Disease.

Number Rate Number RateAll Accidents 8 48.7 1 26.2 Number Rate

Motor Vehicle 5 30.4 1 26.2 235 14.3Suffocation 0 0.0 0 0.0 1 0.3Poisoning 1 6.1 0 0.0 10 1.8Smoke, Fire and Flames 0 0.0 0 0.0 55 12.2Falls 0 0.0 0 0.0 111 35.4Drowning 0 0.0 0 0.0 58 170.6Firearms 0 0.0 0 0.0 Rates are per 1,000 population in specified age group.Other Accidents 2 --- 0 ---

Rates are per 100,000 population in specified categories.

Number Rate Number Rate Number Rate52 316.4 20 249.3 32 380.517 103.5 9 112.2 8 95.110 60.9 7 87.2 3 35.74 24.3 ... … 4 47.60 0.0 0 0.0 … …1 6.1 0 0.0 1 11.92 12.2 1 12.5 1 11.91 6.1 1 12.5 0 0.01 6.1 … … 1 11.92 12.2 0 0.0 2 23.80 0.0 0 0.0 0 0.02 12.2 … … 2 23.80 0.0 0 0.0 0 0.01 6.1 0 0.0 1 11.9

11 --- 2 --- 9 ---

Total Male

FAYETTE 2018 HEALTH PROFILE (Continued)

MORTALITY Black and Other

White Black and Other

Rate per 1,000 Population

All Races White

Measurements based on small denominators should be used with caution. Rates and ratios based on a denominator of less than 50 births or 1,000 population are shaded. Estimated pregnancies are the sum of births, induced terminations of pregnancy (abortions) and estimated total fetal losses. Estimated total fetal losses are equal to the sum of 20 percent of births and 10 percent of induced terminations of pregnancy. The total fertility rate is the sum of age-specific birth rates multiplied by the width of the intervals, i.e. five years. A total fertility rate of 2,100 births per 1,000 females aged 10-49 years would maintain the current population. Estimated populations are from the U.S. Census Bureau. See Appendix B for other definitions and formulas.

EsophagusMelanoma of Skin

Female

ColorectalBreast (female)

Rates are per 100,000 population in specified categories.

Trachea, Bronchus, Lung, Pleura

ACCIDENTAL DEATHS All Ages Ages 19 and Under

Age GroupTotal

15 - 44 45 - 64

SELECTED CANCER SITE DEATHS

All Cancers

LeukemiasNon-Hodgkin's LymphomasOvary (female)Brain and Other Nervous System

Other

StomachUterus and Cervix (female)

Prostate (male)Pancreas

0 - 14

65 - 84 85 +

Total Male

DEATHS BY AGE GROUP

Female

HIV Disease

SELECTED CAUSESOF DEATH

62 ADPH|CHS County Profile (2018)

Page 68: health department quality Vital Statistics

Number Rate Number RateEstimated Pregnancies 545 99.8 45 22.4Births 433 13.8 36 17.8Induced Terminations of Pregnancy 23 4.2 2 1.0Estimated Total Fetal Losses 89 --- 7 ---Birth rates are per 1,000 population.

Total 10-14 15-17 18-19 20+All Births 433 0 27 397 Rate 13.8 0.0 71.4 71.9White 408 0 26 374 Rate 14.2 0.0 75.0 73.7

31,363 Black and Other 25 0 1 23433 Rate 9.5 0.0 31.6 51.3371

39.2 Births with unknown age of mother are included in the age group "20+".

Life Expectancy at BirthTotal Fertility Rate per 1,000 Females Aged 10-49 Number Percent Number Percent

165 Births to Unmarried Women 197 45.5 27 75.0129 Low Weight Births 55 12.7 2 5.6

Multiple Births 29 6.7 0 0.0Medicaid Births 272 62.8 32 88.9

White WhiteInfant Deaths 1 1 0 Rate per 1,000 Births 2.3 2.5 0.0Postneonatal Deaths 0 0 0 Rate per 1,000 Births 0.0 0.0 0.0Neonatal Deaths 1 1 0 Rate per 1,000 Births 2.3 2.5 0.0

Total Male Female Total Male Female Total Male FemaleTotal 31,363 15,823 15,540 28,738 14,370 14,368 2,625 1,453 1,172

0-4 2,084 1,078 1,006 1,863 967 896 221 111 1105-9 2,098 1,077 1,021 1,918 982 936 180 95 8510-14 2,187 1,105 1,082 1,989 997 992 198 108 9015-44 11,620 6,162 5,458 10,515 5,495 5,020 1,105 667 43845-64 8,078 4,050 4,028 7,486 3,742 3,744 592 308 28465-84 4,731 2,142 2,589 4,442 1,992 2,450 289 150 13985+ 565 209 356 525 195 330 40 14 26

Marriages IssuedDivorces Granted

BirthsDeaths

Total Population

Females Aged 15-44 Females Aged 10-19

BIRTHS BY AGE GROUP OF MOTHER

LIVE BIRTHS

Females Aged 15-44

SUMMARY

Median Age

75.3

2,427.5

915.9

815.4

121.1

Black and Other Black and Other

PREGNANCY/NATALITY

INFANT RELATED MORTALITY BY RACE* AND AGE GROUP OF MOTHER

All AgesAll Races

0.0

00.0

2018 ESTIMATED POPULATIONS BY AGE GROUP, RACE AND SEX

All Races White Black and OtherAge Group

00.0

00.0

Rates are per 1,000 females in specified age group.

All Races

Percentages are of all births with known status for females in specified age group.

Females Aged 10-19

Estimated pregnancy and induced termination of pregnancy rates are per 1,000 females in specified age group.

00.0

00.0

00.0

00.0

0

00.0

Ages 10-19

*Infant deaths are by race of child; births are by race of mother.

FRANKLIN 2018 HEALTH PROFILE

63 ADPH|CHS County Profile (2018)

Page 69: health department quality Vital Statistics

Total Male Female Total Male Female Total Male FemaleDeaths 371 198 173 356 187 169 15 11 4

11.8 12.5 11.1 12.3 13.0 11.8 5.7 7.6 3.4

Number Rate Number Rate Number Rate Number Rate Number RateHeart Disease 99 315.7 49 309.7 50 321.8 94 325.8 5 190.5Cancer 72 229.6 39 246.5 33 212.4 68 235.7 4 152.4Stroke 15 47.8 6 37.9 9 57.9 15 52.0 0 0.0Accidents 21 67.0 18 113.8 3 19.3 21 72.8 0 0.0CLRD* 25 79.7 14 88.5 11 70.8 25 86.7 0 0.0Diabetes 8 25.5 5 31.6 3 19.3 8 27.7 0 0.0Influenza and Pneumonia 10 31.9 5 31.6 5 32.2 8 27.7 2 76.2Alzheimer's Disease 20 63.8 4 25.3 16 103.0 20 69.3 0 0.0Suicide 3 9.6 3 19.0 0 0.0 3 10.4 0 0.0Homicide 3 9.6 3 19.0 0 0.0 3 10.4 0 0.0

0 0.0 0 0.0 0 0.0 0 0.0 0 0.0Rates are per 100,000 population in specified categories. *CLRD is known as Chronic Lower Respiratory Disease.

Number Rate Number RateAll Accidents 21 67.0 2 23.8 Number Rate

Motor Vehicle 9 28.7 2 23.8 371 11.8Suffocation 0 0.0 0 0.0 4 0.6Poisoning 3 9.6 0 0.0 23 2.0Smoke, Fire and Flames 2 6.4 0 0.0 67 8.3Falls 4 12.8 0 0.0 193 40.8Drowning 0 0.0 0 0.0 84 148.7Firearms 0 0.0 0 0.0 Rates are per 1,000 population in specified age group.Other Accidents 3 --- 0 ---

Rates are per 100,000 population in specified categories.

Number Rate Number Rate Number Rate72 229.6 39 246.5 33 212.423 73.3 14 88.5 9 57.95 15.9 4 25.3 1 6.42 6.4 ... … 2 12.92 6.4 2 12.6 … …6 19.1 2 12.6 4 25.72 6.4 2 12.6 0 0.01 3.2 1 6.3 0 0.03 9.6 … … 3 19.32 6.4 0 0.0 2 12.93 9.6 2 12.6 1 6.44 12.8 … … 4 25.72 6.4 2 12.6 0 0.00 0.0 0 0.0 0 0.0

17 --- 10 --- 7 ---

White Black and Other

65 - 84 85 +

Age GroupTotal 0 - 14 15 - 44 45 - 64

FRANKLIN 2018 HEALTH PROFILE (Continued)

MORTALITY All Races White

ColorectalBreast (female)Prostate (male)

SELECTED CANCER SITE DEATHS Total Male

HIV Disease

Black and Other

DEATHS BY AGE GROUP

Total Male Female

Measurements based on small denominators should be used with caution. Rates and ratios based on a denominator of less than 50 births or 1,000 population are shaded. Estimated pregnancies are the sum of births, induced terminations of pregnancy (abortions) and estimated total fetal losses. Estimated total fetal losses are equal to the sum of 20 percent of births and 10 percent of induced terminations of pregnancy. The total fertility rate is the sum of age-specific birth rates multiplied by the width of the intervals, i.e. five years. A total fertility rate of 2,100 births per 1,000 females aged 10-49 years would maintain the current population. Estimated populations are from the U.S. Census Bureau. See Appendix B for other definitions and formulas.

EsophagusMelanoma of SkinOther

StomachUterus and Cervix (female)

Rates are per 100,000 population in specified categories.

All CancersTrachea, Bronchus, Lung, Pleura

Rate per 1,000 Population

SELECTED CAUSESOF DEATH

ACCIDENTAL DEATHS

Pancreas

Brain and Other Nervous System

Female

All Ages Ages 19 and Under

LeukemiasNon-Hodgkin's LymphomasOvary (female)

64 ADPH|CHS County Profile (2018)

Page 70: health department quality Vital Statistics

Number Rate Number RateEstimated Pregnancies 345 76.9 30 18.4Births 280 10.6 23 14.2Induced Terminations of Pregnancy 8 1.8 2 1.2Estimated Total Fetal Losses 57 --- 5 ---Birth rates are per 1,000 population.

Total 10-14 15-17 18-19 20+All Births 280 0 20 257 Rate 10.6 0.0 63.9 55.7White 254 0 15 236 Rate 11.1 0.0 57.3 59.0

26,314 Black and Other 26 0 5 21280 Rate 7.7 0.0 97.7 34.2395

43.4 Births with unknown age of mother are included in the age group "20+".

Life Expectancy at BirthTotal Fertility Rate per 1,000 Females Aged 10-49 Number Percent Number Percent

0 Births to Unmarried Women 135 48.2 20 87.0124 Low Weight Births 22 7.9 4 17.4

Multiple Births 4 1.4 0 0.0Medicaid Births 176 62.9 21 91.3

White WhiteInfant Deaths 0 0 0 Rate per 1,000 Births 0.0 0.0 0.0Postneonatal Deaths 0 0 0 Rate per 1,000 Births 0.0 0.0 0.0Neonatal Deaths 0 0 0 Rate per 1,000 Births 0.0 0.0 0.0

Total Male Female Total Male Female Total Male FemaleTotal 26,314 12,846 13,468 22,951 11,214 11,737 3,363 1,632 1,731

0-4 1,422 707 715 1,192 587 605 230 120 1105-9 1,559 800 759 1,344 685 659 215 115 10010-14 1,701 868 833 1,440 740 700 261 128 13315-44 8,958 4,477 4,481 7,695 3,847 3,848 1,263 630 63345-64 7,333 3,611 3,722 6,463 3,207 3,256 870 404 46665-84 4,763 2,183 2,580 4,280 1,963 2,317 483 220 26385+ 578 200 378 537 185 352 41 15 26

BirthsDeaths

Total Population

3

PREGNANCY/NATALITY

Females Aged 15-44 Females Aged 10-19

Estimated pregnancy and induced termination of pregnancy rates are per 1,000 females in specified age group.

2018 ESTIMATED POPULATIONS BY AGE GROUP, RACE AND SEX

All Races White Black and OtherAge Group

Ages 10-19

0

Rates are per 1,000 females in specified age group.

0.0

00.0

*Infant deaths are by race of child; births are by race of mother.

00.0

0

All Races Black and Other Black and Other

INFANT RELATED MORTALITY BY RACE* AND AGE GROUP OF MOTHER

All Ages

0.00

Females Aged 10-19

Percentages are of all births with known status for females in specified age group.

All Races

0

Marriages IssuedDivorces Granted

BIRTHS BY AGE GROUP OF MOTHER

SUMMARY

Median Age

73.0

1,948.5

6.43

7.60

0.0

0.0

00.0

0.0

00.0

00.0

LIVE BIRTHS

Females Aged 15-44

GENEVA 2018 HEALTH PROFILE

65 ADPH|CHS County Profile (2018)

Page 71: health department quality Vital Statistics

Total Male Female Total Male Female Total Male FemaleDeaths 395 207 188 366 188 178 29 19 10

15.0 16.1 14.0 15.9 16.8 15.2 8.6 11.6 5.8

Number Rate Number Rate Number Rate Number Rate Number RateHeart Disease 88 334.4 49 381.4 39 289.6 82 355.5 6 178.4Cancer 84 319.2 47 365.9 37 274.7 79 342.5 5 148.7Stroke 14 53.2 5 38.9 9 66.8 13 56.4 1 29.7Accidents 24 91.2 14 109.0 10 74.3 21 91.1 3 89.2CLRD* 27 102.6 16 124.6 11 81.7 25 108.4 2 59.5Diabetes 16 60.8 10 77.8 6 44.6 13 56.4 3 89.2Influenza and Pneumonia 7 26.6 3 23.4 4 29.7 7 30.4 0 0.0Alzheimer's Disease 25 95.0 6 46.7 19 141.1 24 104.1 1 29.7Suicide 5 19.0 4 31.1 1 7.4 5 21.7 0 0.0Homicide 2 7.6 2 15.6 0 0.0 2 8.7 0 0.0

1 3.8 0 0.0 1 7.4 0 0.0 1 29.7Rates are per 100,000 population in specified categories. *CLRD is known as Chronic Lower Respiratory Disease.

Number Rate Number RateAll Accidents 24 91.2 2 31.7 Number Rate

Motor Vehicle 9 34.2 2 31.7 395 15.0Suffocation 0 0.0 0 0.0 2 0.4Poisoning 7 26.6 0 0.0 25 2.8Smoke, Fire and Flames 0 0.0 0 0.0 82 11.2Falls 3 11.4 0 0.0 190 39.9Drowning 0 0.0 0 0.0 96 166.1Firearms 0 0.0 0 0.0 Rates are per 1,000 population in specified age group.Other Accidents 5 --- 0 ---

Rates are per 100,000 population in specified categories.

Number Rate Number Rate Number Rate84 319.2 47 365.9 37 274.732 121.6 18 140.1 14 104.05 19.0 2 15.6 3 22.36 22.8 ... … 6 44.64 15.2 4 31.1 … …3 11.4 2 15.6 1 7.41 3.8 0 0.0 1 7.44 15.2 3 23.4 1 7.41 3.8 … … 1 7.42 7.6 2 15.6 0 0.02 7.6 1 7.8 1 7.43 11.4 … … 3 22.32 7.6 2 15.6 0 0.00 0.0 0 0.0 0 0.0

19 --- 13 --- 6 ---

GENEVA 2018 HEALTH PROFILE (Continued)

MORTALITY All Races White Black and Other

Rate per 1,000 Population

White Black and Other

Measurements based on small denominators should be used with caution. Rates and ratios based on a denominator of less than 50 births or 1,000 population are shaded. Estimated pregnancies are the sum of births, induced terminations of pregnancy (abortions) and estimated total fetal losses. Estimated total fetal losses are equal to the sum of 20 percent of births and 10 percent of induced terminations of pregnancy. The total fertility rate is the sum of age-specific birth rates multiplied by the width of the intervals, i.e. five years. A total fertility rate of 2,100 births per 1,000 females aged 10-49 years would maintain the current population. Estimated populations are from the U.S. Census Bureau. See Appendix B for other definitions and formulas.

EsophagusMelanoma of SkinOther

StomachUterus and Cervix (female)

Rates are per 100,000 population in specified categories.

65 - 84 85 +

Age GroupTotal

15 - 44

Ages 19 and Under

Male Female

Breast (female)Prostate (male)

All Ages

Trachea, Bronchus, Lung, Pleura

SELECTED CANCER SITE DEATHS Total

SELECTED CAUSESOF DEATH

Total

HIV Disease

0 - 14

DEATHS BY AGE GROUP

45 - 64

ACCIDENTAL DEATHS

Brain and Other Nervous System

FemaleMale

Colorectal

Ovary (female)

PancreasLeukemiasNon-Hodgkin's Lymphomas

All Cancers

66 ADPH|CHS County Profile (2018)

Page 72: health department quality Vital Statistics

Number Rate Number RateEstimated Pregnancies 138 100.0 21 41.1Births 89 10.8 10 19.8Induced Terminations of Pregnancy 28 20.3 8 15.8Estimated Total Fetal Losses 21 --- 3 ---Birth rates are per 1,000 population.

Total 10-14 15-17 18-19 20+All Births 89 0 5 79 Rate 10.8 0.0 50.6 58.6White 16 0 0 13 Rate 10.5 0.0 0.0 68.4

8,233 Black and Other 73 0 5 6689 Rate 10.9 0.0 55.3 56.9

11143.4 Births with unknown age of mother are included in the age group "20+".

Life Expectancy at BirthTotal Fertility Rate per 1,000 Females Aged 10-49 Number Percent Number Percent

53 Births to Unmarried Women 68 77.3 7 70.0 11 Low Weight Births 14 15.7 1 10.0

Multiple Births 2 2.2 0 0.0Medicaid Births 66 74.2 10 100.0

White WhiteInfant Deaths 0 0 0 Rate per 1,000 Births 0.0 0.0 0.0Postneonatal Deaths 0 0 0 Rate per 1,000 Births 0.0 0.0 0.0Neonatal Deaths 0 0 0 Rate per 1,000 Births 0.0 0.0 0.0

Total Male Female Total Male Female Total Male FemaleTotal 8,233 3,887 4,346 1,519 736 783 6,714 3,151 3,563

0-4 475 241 234 60 24 36 415 217 1985-9 518 277 241 67 32 35 451 245 20610-14 515 256 259 67 38 29 448 218 23015-44 2,729 1,353 1,376 344 176 168 2,385 1,177 1,20845-64 2,159 976 1,183 498 253 245 1,661 723 93865-84 1,596 709 887 421 192 229 1,175 517 65885+ 241 75 166 62 21 41 179 54 125

Marriages IssuedDivorces Granted

BirthsDeaths

Total Population

1,884.0

Black and Other Black and Other

INFANT RELATED MORTALITY BY RACE* AND AGE GROUP OF MOTHER

All Ages Ages 10-19All Races

*Infant deaths are by race of child; births are by race of mother.

LIVE BIRTHS

0.0

00.0

SUMMARY

Females Aged 15-44

5

PREGNANCY/NATALITY

Estimated pregnancy and induced termination of pregnancy rates are per 1,000 females in specified age group.

Females Aged 10-19

BIRTHS BY AGE GROUP OF MOTHER

Females Aged 15-44

Median Age

75.5

33.73

238.12

14.7

Females Aged 10-19

Rates are per 1,000 females in specified age group.

Percentages are of all births with known status for females in specified age group.

2018 ESTIMATED POPULATIONS BY AGE GROUP, RACE AND SEX

All Races White Black and OtherAge Group

All Races

00.0

00.0

00.0

00.0

00.0

00.0

00.0

0

GREENE 2018 HEALTH PROFILE

67 ADPH|CHS County Profile (2018)

Page 73: health department quality Vital Statistics

Total Male Female Total Male Female Total Male FemaleDeaths 111 54 57 37 20 17 74 34 40

13.5 13.9 13.1 23.8 27.2 21.7 11.0 10.8 11.2

Number Rate Number Rate Number Rate Number Rate Number RateHeart Disease 34 413.0 16 411.6 18 414.2 8 515.5 26 387.3Cancer 24 291.5 11 283.0 13 299.1 9 579.9 15 223.4Stroke 3 36.4 2 51.5 1 23.0 2 128.9 1 14.9Accidents 7 85.0 4 102.9 3 69.0 3 193.3 4 59.6CLRD* 4 48.6 2 51.5 2 46.0 2 128.9 2 29.8Diabetes 7 85.0 4 102.9 3 69.0 2 128.9 5 74.5Influenza and Pneumonia 2 24.3 1 25.7 1 23.0 0 0.0 2 29.8Alzheimer's Disease 2 24.3 1 25.7 1 23.0 0 0.0 2 29.8Suicide 1 12.1 0 0.0 1 23.0 1 64.4 0 0.0Homicide 1 12.1 0 0.0 1 23.0 0 0.0 1 14.9

0 0.0 0 0.0 0 0.0 0 0.0 0 0.0Rates are per 100,000 population in specified categories. *CLRD is known as Chronic Lower Respiratory Disease.

Number Rate Number RateAll Accidents 7 85.0 1 50.2 Number Rate

Motor Vehicle 5 60.7 1 50.2 111 13.5Suffocation 0 0.0 0 0.0 0 0.0Poisoning 0 0.0 0 0.0 7 2.6Smoke, Fire and Flames 0 0.0 0 0.0 27 12.5Falls 0 0.0 0 0.0 51 32.0Drowning 1 12.1 0 0.0 26 107.9Firearms 0 0.0 0 0.0 Rates are per 1,000 population in specified age group.Other Accidents 1 --- 0 ---

Rates are per 100,000 population in specified categories.

Number Rate Number Rate Number Rate24 291.5 11 283.0 13 299.18 97.2 4 102.9 4 92.02 24.3 0 0.0 2 46.02 24.3 ... … 2 46.02 24.3 2 51.5 … …2 24.3 2 51.5 0 0.00 0.0 0 0.0 0 0.00 0.0 0 0.0 0 0.00 0.0 … … 0 0.01 12.1 0 0.0 1 23.00 0.0 0 0.0 0 0.01 12.1 … … 1 23.00 0.0 0 0.0 0 0.00 0.0 0 0.0 0 0.06 --- 3 --- 3 ---

Ovary (female)

Breast (female)Prostate (male)PancreasLeukemiasNon-Hodgkin's Lymphomas

Trachea, Bronchus, Lung, Pleura

SELECTED CANCER SITE DEATHS

GREENE 2018 HEALTH PROFILE (Continued)

MORTALITY All Races White Black and Other

Total

Ages 19 and Under

All Cancers

Male

Colorectal

65 - 84 85 +

FemaleSELECTED CAUSESOF DEATH

HIV Disease

White

Age GroupTotal 0 - 14

DEATHS BY AGE GROUP

45 - 64

ACCIDENTAL DEATHS All Ages

FemaleMaleTotal

Rate per 1,000 Population

Measurements based on small denominators should be used with caution. Rates and ratios based on a denominator of less than 50 births or 1,000 population are shaded. Estimated pregnancies are the sum of births, induced terminations of pregnancy (abortions) and estimated total fetal losses. Estimated total fetal losses are equal to the sum of 20 percent of births and 10 percent of induced terminations of pregnancy. The total fertility rate is the sum of age-specific birth rates multiplied by the width of the intervals, i.e. five years. A total fertility rate of 2,100 births per 1,000 females aged 10-49 years would maintain the current population. Estimated populations are from the U.S. Census Bureau. See Appendix B for other definitions and formulas.

EsophagusMelanoma of Skin

Rates are per 100,000 population in specified categories. Other

Brain and Other Nervous SystemStomachUterus and Cervix (female)

Black and Other

15 - 44

68 ADPH|CHS County Profile (2018)

Page 74: health department quality Vital Statistics

Number Rate Number RateEstimated Pregnancies 266 96.9 29 32.3Births 188 12.8 18 19.8Induced Terminations of Pregnancy 37 13.5 7 7.7Estimated Total Fetal Losses 41 --- 4 ---Birth rates are per 1,000 population.

Total 10-14 15-17 18-19 20+All Births 188 1 15 170 Rate 12.8 2.2 83.5 62.6White 69 0 6 63 Rate 11.5 0.0 104.9 65.5

14,726 Black and Other 119 1 9 107188 Rate 13.6 3.7 73.5 61.0170

40.6 Births with unknown age of mother are included in the age group "20+".

Life Expectancy at BirthTotal Fertility Rate per 1,000 Females Aged 10-49 Number Percent Number Percent

50 Births to Unmarried Women 123 65.4 17 94.435 Low Weight Births 25 13.3 1 5.6

Multiple Births 0 0.0 0 0.0Medicaid Births 105 55.9 12 66.7

White WhiteInfant Deaths 0 0 0 Rate per 1,000 Births 0.0 0.0 0.0Postneonatal Deaths 0 0 0 Rate per 1,000 Births 0.0 0.0 0.0Neonatal Deaths 0 0 0 Rate per 1,000 Births 0.0 0.0 0.0*Infant deaths are by race of child; births are by race of mother.

Total Male Female Total Male Female Total Male FemaleTotal 14,726 7,008 7,718 5,988 2,986 3,002 8,738 4,022 4,716

0-4 979 539 440 340 193 147 639 346 2935-9 909 467 442 358 183 175 551 284 26710-14 956 498 458 354 169 185 602 329 27315-44 5,212 2,463 2,749 1,894 958 936 3,318 1,505 1,81345-64 3,841 1,793 2,048 1,622 833 789 2,219 960 1,25965-84 2,479 1,142 1,337 1,250 589 661 1,229 553 67685+ 350 106 244 170 61 109 180 45 135

Estimated pregnancy and induced termination of pregnancy rates are per 1,000 females in specified age group.

2

Females Aged 15-44

BIRTHS BY AGE GROUP OF MOTHER

PREGNANCY/NATALITY

Females Aged 10-19

All RacesBlack and Other

0.0

Percentages are of all births with known status for females in specified age group.

INFANT RELATED MORTALITY BY RACE* AND AGE GROUP OF MOTHER

All Ages Ages 10-19

00.0

Females Aged 10-19

Marriages IssuedDivorces Granted

2,013.0

0

2018 ESTIMATED POPULATIONS BY AGE GROUP, RACE AND SEX

0.00

0.0

00.0

00.0

White Black and OtherAge Group

0

7.40

0.02

10.9

Black and OtherAll Races

Rates are per 1,000 females in specified age group.

Females Aged 15-44

LIVE BIRTHS

BirthsDeaths

Total Population

SUMMARY

Median Age

75.9

All Races

0.0

00.0

0

0.00

HALE 2018 HEALTH PROFILE

69 ADPH|CHS County Profile (2018)

Page 75: health department quality Vital Statistics

Total Male Female Total Male Female Total Male FemaleDeaths 170 92 78 88 48 40 82 44 38

11.5 13.1 10.1 14.6 16.1 13.3 9.4 10.9 8.1

Number Rate Number Rate Number Rate Number Rate Number RateHeart Disease 46 312.4 26 371.0 20 259.1 27 448.8 19 217.4Cancer 32 217.3 16 228.3 16 207.3 12 199.5 20 228.9Stroke 12 81.5 5 71.3 7 90.7 7 116.4 5 57.2Accidents 14 95.1 9 128.4 5 64.8 6 99.7 8 91.6CLRD* 9 61.1 7 99.9 2 25.9 5 83.1 4 45.8Diabetes 5 34.0 3 42.8 2 25.9 0 0.0 5 57.2Influenza and Pneumonia 5 34.0 3 42.8 2 25.9 3 49.9 2 22.9Alzheimer's Disease 7 47.5 3 42.8 4 51.8 6 99.7 1 11.4Suicide 2 13.6 2 28.5 0 0.0 2 33.2 0 0.0Homicide 1 6.8 1 14.3 0 0.0 0 0.0 1 11.4

0 0.0 0 0.0 0 0.0 0 0.0 0 0.0Rates are per 100,000 population in specified categories. *CLRD is known as Chronic Lower Respiratory Disease.

Number Rate Number RateAll Accidents 14 95.1 1 26.6 Number Rate

Motor Vehicle 5 34.0 1 26.6 170 11.5Suffocation 3 20.4 0 0.0 1 0.4Poisoning 2 13.6 0 0.0 12 2.3Smoke, Fire and Flames 0 0.0 0 0.0 39 10.2Falls 1 6.8 0 0.0 74 29.9Drowning 0 0.0 0 0.0 44 125.7Firearms 0 0.0 0 0.0 Rates are per 1,000 population in specified age group.Other Accidents 3 --- 0 ---

Rates are per 100,000 population in specified categories.

Number Rate Number Rate Number Rate32 217.3 16 228.3 16 207.33 20.4 1 14.3 2 25.94 27.2 3 42.8 1 13.05 34.0 ... … 5 64.81 6.8 1 14.3 … …4 27.2 2 28.5 2 25.92 13.6 2 28.5 0 0.01 6.8 1 14.3 0 0.01 6.8 … … 1 13.00 0.0 0 0.0 0 0.01 6.8 1 14.3 0 0.01 6.8 … … 1 13.01 6.8 0 0.0 1 13.00 0.0 0 0.0 0 0.08 --- 5 --- 3 ---

HALE 2018 HEALTH PROFILE (Continued)

MORTALITY All Races White Black and Other

White Black and OtherMale FemaleTotal

Rate per 1,000 Population

SELECTED CAUSESOF DEATH

Female

Breast (female)Prostate (male)

DEATHS BY AGE GROUP

65 - 84 85 +

Age GroupTotal 0 - 14 15 - 44

Ages 19 and Under

All Cancers

SELECTED CANCER SITE DEATHS

HIV Disease

ACCIDENTAL DEATHS All Ages

Rates are per 100,000 population in specified categories.

EsophagusMelanoma of Skin

Brain and Other Nervous System

Colorectal

Measurements based on small denominators should be used with caution. Rates and ratios based on a denominator of less than 50 births or 1,000 population are shaded. Estimated pregnancies are the sum of births, induced terminations of pregnancy (abortions) and estimated total fetal losses. Estimated total fetal losses are equal to the sum of 20 percent of births and 10 percent of induced terminations of pregnancy. The total fertility rate is the sum of age-specific birth rates multiplied by the width of the intervals, i.e. five years. A total fertility rate of 2,100 births per 1,000 females aged 10-49 years would maintain the current population. Estimated populations are from the U.S. Census Bureau. See Appendix B for other definitions and formulas.

Other

StomachUterus and Cervix (female)

PancreasLeukemiasNon-Hodgkin's LymphomasOvary (female)

Trachea, Bronchus, Lung, Pleura

Total Male

45 - 64

70 ADPH|CHS County Profile (2018)

Page 76: health department quality Vital Statistics

Number Rate Number RateEstimated Pregnancies 196 68.0 10 9.8Births 153 8.9 8 8.2Induced Terminations of Pregnancy 11 3.8 0 0.0Estimated Total Fetal Losses 32 --- 2 ---Birth rates are per 1,000 population.

Total 10-14 15-17 18-19 20+All Births 153 0 2 145 Rate 8.9 0.0 10.3 48.7White 111 0 0 107 Rate 9.0 0.0 0.0 51.3

17,209 Black and Other 42 0 2 38153 Rate 8.5 0.0 29.6 42.6220

44.8 Births with unknown age of mother are included in the age group "20+".

Life Expectancy at BirthTotal Fertility Rate per 1,000 Females Aged 10-49 Number Percent Number Percent

113 Births to Unmarried Women 70 45.8 8 100.062 Low Weight Births 21 13.7 2 25.0

Multiple Births 0 0.0 0 0.0Medicaid Births 89 58.2 8 100.0

White WhiteInfant Deaths 1 1 0 Rate per 1,000 Births 6.5 9.0 0.0Postneonatal Deaths 0 0 0 Rate per 1,000 Births 0.0 0.0 0.0Neonatal Deaths 1 1 0 Rate per 1,000 Births 6.5 9.0 0.0

Total Male Female Total Male Female Total Male FemaleTotal 17,209 8,300 8,909 12,280 5,983 6,297 4,929 2,317 2,612

0-4 915 485 430 634 343 291 281 142 1395-9 926 456 470 645 327 318 281 129 15210-14 1,060 566 494 757 399 358 303 167 13615-44 5,744 2,867 2,877 3,940 1,957 1,983 1,804 910 89445-64 4,654 2,215 2,439 3,326 1,617 1,709 1,328 598 73065-84 3,487 1,598 1,889 2,655 1,252 1,403 832 346 48685+ 423 113 310 323 88 235 100 25 75

Marriages IssuedDivorces Granted

BirthsDeaths

Total Population

All Races

Estimated pregnancy and induced termination of pregnancy rates are per 1,000 females in specified age group.

BIRTHS BY AGE GROUP OF MOTHER

LIVE BIRTHS

SUMMARY

Median Age

0.00

6

420.6

21.1

Females Aged 15-44 Females Aged 10-19

PREGNANCY/NATALITY

INFANT RELATED MORTALITY BY RACE* AND AGE GROUP OF MOTHER

Rates are per 1,000 females in specified age group.

All Ages

Percentages are of all births with known status for females in specified age group.

All Races

Females Aged 10-19

Ages 10-19

00.0

Black and Other Black and Other

0.0

Females Aged 15-44

Age Group

00.0

00.0

00.0

00.0

00.0

00.0

2018 ESTIMATED POPULATIONS BY AGE GROUP, RACE AND SEX

*Infant deaths are by race of child; births are by race of mother.

0

All Races White

77.4

1,715.0

219.7

Black and Other

HENRY 2018 HEALTH PROFILE

71 ADPH|CHS County Profile (2018)

Page 77: health department quality Vital Statistics

Total Male Female Total Male Female Total Male FemaleDeaths 220 110 110 158 81 77 62 29 33

12.8 13.3 12.3 13.0 13.5 12.2 12.6 12.5 12.6

Number Rate Number Rate Number Rate Number Rate Number RateHeart Disease 51 296.4 28 337.3 23 258.2 38 312.1 13 263.7Cancer 50 290.5 23 277.1 27 303.1 39 320.3 11 223.2Stroke 8 46.5 5 60.2 3 33.7 7 57.5 1 20.3Accidents 11 63.9 8 96.4 3 33.7 9 73.9 2 40.6CLRD* 19 110.4 10 120.5 9 101.0 14 115.0 5 101.4Diabetes 9 52.3 5 60.2 4 44.9 8 65.7 1 20.3Influenza and Pneumonia 2 11.6 1 12.0 1 11.2 0 0.0 2 40.6Alzheimer's Disease 11 63.9 4 48.2 7 78.6 8 65.7 3 60.9Suicide 1 5.8 1 12.0 0 0.0 1 8.2 0 0.0Homicide 2 11.6 2 24.1 0 0.0 0 0.0 2 40.6

0 0.0 0 0.0 0 0.0 0 0.0 0 0.0Rates are per 100,000 population in specified categories. *CLRD is known as Chronic Lower Respiratory Disease.

Number Rate Number RateAll Accidents 11 63.9 0 0.0 Number Rate

Motor Vehicle 5 29.1 0 0.0 Total 220 12.8Suffocation 0 0.0 0 0.0 0 - 14 1 0.3Poisoning 0 0.0 0 0.0 15 - 44 6 1.0Smoke, Fire and Flames 0 0.0 0 0.0 45 - 64 46 9.9Falls 2 11.6 0 0.0 65 - 84 114 32.7Drowning 1 5.8 0 0.0 85 + 53 125.3Firearms 0 0.0 0 0.0 Rates are per 1,000 population in specified age group.Other Accidents 3 --- 0 ---

Rates are per 100,000 population in specified categories.

Number Rate Number Rate Number Rate50 290.5 23 277.1 27 303.114 81.4 9 108.4 5 56.18 46.5 3 36.1 5 56.14 23.2 ... … 4 44.91 5.8 1 12.0 … …3 17.4 0 0.0 3 33.71 5.8 1 12.0 0 0.04 23.2 3 36.1 1 11.21 5.8 … … 1 11.20 0.0 0 0.0 0 0.01 5.8 1 12.0 0 0.00 0.0 … … 0 0.00 0.0 0 0.0 0 0.00 0.0 0 0.0 0 0.0

13 --- 5 --- 8 ---Rates are per 100,000 population in specified categories.

SELECTED CAUSESOF DEATH

Total Black and Other

Prostate (male)

Uterus and Cervix (female)

All Ages

HENRY 2018 HEALTH PROFILE (Continued)

White Black and OtherMORTALITY All Races

White

Rate per 1,000 Population

FemaleMale

PancreasLeukemiasNon-Hodgkin's LymphomasOvary (female)

Colorectal

SELECTED CANCER SITE DEATHS

EsophagusMelanoma of SkinOther

StomachBrain and Other Nervous System

HIV Disease

Measurements based on small denominators should be used with caution. Rates and ratios based on a denominator of less than 50 births or 1,000 population are shaded. Estimated pregnancies are the sum of births, induced terminations of pregnancy (abortions) and estimated total fetal losses. Estimated total fetal losses are equal to the sum of 20 percent of births and 10 percent of induced terminations of pregnancy. The total fertility rate is the sum of age-specific birth rates multiplied by the width of the intervals, i.e. five years. A total fertility rate of 2,100 births per 1,000 females aged 10-49 years would maintain the current population. Estimated populations are from the U.S. Census Bureau. See Appendix B for other definitions and formulas.

All Cancers

ACCIDENTAL DEATHS

Female

Trachea, Bronchus, Lung, Pleura

DEATHS BY AGE GROUP

Age Group

Ages 19 and Under

Total Male

Breast (female)

72 ADPH|CHS County Profile (2018)

Page 78: health department quality Vital Statistics

Number Rate Number RateEstimated Pregnancies 1,734 86.6 131 20.1Births 1,368 13.1 100 15.4Induced Terminations of Pregnancy 84 4.2 10 1.5Estimated Total Fetal Losses 282 --- 21 ---Birth rates are per 1,000 population.

Total 10-14 15-17 18-19 20+All Births 1,368 1 79 1,268 Rate 13.1 0.3 61.1 62.4White 840 0 41 792 Rate 11.6 0.0 50.3 60.1

104,722 Black and Other 528 1 38 4761,368 Rate 16.3 0.8 79.4 66.61,13239.9 Births with unknown age of mother are included in the age group "20+".

Life Expectancy at BirthTotal Fertility Rate per 1,000 Females Aged 10-49 Number Percent Number Percent

639 Births to Unmarried Women 687 50.2 93 93.0438 Low Weight Births 146 10.7 9 9.0

Multiple Births 56 4.1 0 0.0Medicaid Births 830 60.7 88 88.0

White WhiteInfant Deaths 14 8 2 1 Rate per 1,000 Births 10.2 9.5 20.0 20.8Postneonatal Deaths 5 4 0 0 Rate per 1,000 Births 3.7 4.8 0.0 0.0Neonatal Deaths 9 4 2 1 Rate per 1,000 Births 6.6 4.8 20.0 20.8

Total Male Female Total Male Female Total Male FemaleTotal 104,722 50,286 54,436 72,324 35,160 37,164 32,398 15,126 17,272

0-4 6,350 3,315 3,035 3,840 2,001 1,839 2,510 1,314 1,1965-9 6,528 3,363 3,165 3,973 2,055 1,918 2,555 1,308 1,24710-14 6,887 3,616 3,271 4,242 2,262 1,980 2,645 1,354 1,29115-44 38,966 18,936 20,030 25,299 12,571 12,728 13,667 6,365 7,30245-64 27,352 13,000 14,352 19,971 9,737 10,234 7,381 3,263 4,11865-84 16,602 7,371 9,231 13,334 5,961 7,373 3,268 1,410 1,85885+ 2,037 685 1,352 1,665 573 1,092 372 112 260

Marriages IssuedDivorces Granted

BirthsDeaths

*Infant deaths are by race of child; births are by race of mother.9.5 19.2

Black and Other Black and OtherAll Ages Ages 10-19

INFANT RELATED MORTALITY BY RACE* AND AGE GROUP OF MOTHER

All RacesAll Races

2,065.5

119.2

00.0

15

611.4

11.9

Females Aged 15-44 Females Aged 10-19

SUMMARY

Rates are per 1,000 females in specified age group.

Total Population

Median Age

5.77

10.3

BIRTHS BY AGE GROUP OF MOTHER

18.113

Estimated pregnancy and induced termination of pregnancy rates are per 1,000 females in specified age group.

20

PREGNANCY/NATALITY

2018 ESTIMATED POPULATIONS BY AGE GROUP, RACE AND SEX

All Races White Black and OtherAge Group

Females Aged 10-19

Percentages are of all births with known status for females in specified age group.

LIVE BIRTHS

Females Aged 15-44

76.2

HOUSTON 2018 HEALTH PROFILE

73 ADPH|CHS County Profile (2018)

Page 79: health department quality Vital Statistics

Total Male Female Total Male Female Total Male FemaleDeaths 1,132 584 548 857 431 426 275 153 122

10.8 11.6 10.1 11.8 12.3 11.5 8.5 10.1 7.1

Number Rate Number Rate Number Rate Number Rate Number RateHeart Disease 218 208.2 129 256.5 89 163.5 164 226.4 54 166.7Cancer 207 197.7 118 234.7 89 163.5 157 216.8 50 154.3Stroke 40 38.2 19 37.8 21 38.6 26 35.9 14 43.2Accidents 47 44.9 31 61.6 16 29.4 36 49.7 11 34.0CLRD* 61 58.2 31 61.6 30 55.1 51 70.4 10 30.9Diabetes 15 14.3 9 17.9 6 11.0 12 16.6 3 9.3Influenza and Pneumonia 21 20.1 7 13.9 14 25.7 17 23.5 4 12.3Alzheimer's Disease 66 63.0 23 45.7 43 79.0 61 84.2 5 15.4Suicide 20 19.1 17 33.8 3 5.5 19 26.2 1 3.1Homicide 11 10.5 9 17.9 2 3.7 7 9.7 4 12.3

1 1.0 0 0.0 1 1.8 1 1.4 0 0.0Rates are per 100,000 population in specified categories. *CLRD is known as Chronic Lower Respiratory Disease.

Number Rate Number RateAll Accidents 47 44.9 4 15.2 Number Rate

Motor Vehicle 14 13.4 1 3.8 Total 1,132 10.8Suffocation 4 3.8 2 7.6 0 - 14 21 1.1Poisoning 17 16.2 0 0.0 15 - 44 79 2.0Smoke, Fire and Flames 1 1.0 0 0.0 45 - 64 200 7.3Falls 5 4.8 0 0.0 65 - 84 539 32.5Drowning 1 1.0 1 3.8 85 + 293 143.8Firearms 0 0.0 0 0.0 Rates are per 1,000 population in specified age group.Other Accidents 5 --- 0 ---

Rates are per 100,000 population in specified categories.

Number Rate Number Rate Number Rate207 197.7 118 234.7 89 163.551 48.7 32 63.6 19 34.924 22.9 12 23.9 12 22.014 13.4 ... … 14 25.714 13.4 14 27.8 … …20 19.1 9 17.9 11 20.25 4.8 2 4.0 3 5.59 8.6 4 8.0 5 9.26 5.7 … … 6 11.07 6.7 4 8.0 3 5.54 3.8 2 4.0 2 3.76 5.7 … … 6 11.03 2.9 2 4.0 1 1.84 3.8 4 8.0 0 0.0

40 --- 33 --- 7 ---

Brain and Other Nervous System

Trachea, Bronchus, Lung, PleuraAll Cancers

Total

Non-Hodgkin's LymphomasOvary (female)

Prostate (male)PancreasLeukemias

ColorectalBreast (female)

SELECTED CAUSESOF DEATH

Ages 19 and UnderACCIDENTAL DEATHS All Ages

Black and Other

Rate per 1,000 Population

White

HOUSTON 2018 HEALTH PROFILE (Continued)

MORTALITY All Races

Total

White

Male Female

HIV Disease

Black and Other

Measurements based on small denominators should be used with caution. Rates and ratios based on a denominator of less than 50 births or 1,000 population are shaded. Estimated pregnancies are the sum of births, induced terminations of pregnancy (abortions) and estimated total fetal losses. Estimated total fetal losses are equal to the sum of 20 percent of births and 10 percent of induced terminations of pregnancy. The total fertility rate is the sum of age-specific birth rates multiplied by the width of the intervals, i.e. five years. A total fertility rate of 2,100 births per 1,000 females aged 10-49 years would maintain the current population. Estimated populations are from the U.S. Census Bureau. See Appendix B for other definitions and formulas.

EsophagusMelanoma of SkinOther

Stomach

Rates are per 100,000 population in specified categories.

Uterus and Cervix (female)

Male FemaleSELECTED CANCER SITE DEATHS

DEATHS BY AGE GROUP

Age Group

74 ADPH|CHS County Profile (2018)

Page 80: health department quality Vital Statistics

Number Rate Number RateEstimated Pregnancies 715 79.3 44 14.7Births 571 11.0 33 11.0Induced Terminations of Pregnancy 27 3.0 4 1.3Estimated Total Fetal Losses 117 --- 7 ---Birth rates are per 1,000 population.

Total 10-14 15-17 18-19 20+All Births 571 0 25 538 Rate 11.0 0.0 41.3 58.4White 528 0 24 498 Rate 11.2 0.0 43.4 59.4

51,736 Black and Other 43 0 1 40571 Rate 9.5 0.0 18.8 47.6707

43.7 Births with unknown age of mother are included in the age group "20+".

Life Expectancy at BirthTotal Fertility Rate per 1,000 Females Aged 10-49 Number Percent Number Percent

455 Births to Unmarried Women 220 38.5 26 78.8221 Low Weight Births 44 7.7 1 3.0

Multiple Births 10 1.8 0 0.0Medicaid Births 307 53.9 27 81.8

White WhiteInfant Deaths 2 2 0 Rate per 1,000 Births 3.5 3.8 0.0Postneonatal Deaths 1 1 0 Rate per 1,000 Births 1.8 1.9 0.0Neonatal Deaths 1 1 0 Rate per 1,000 Births 1.8 1.9 0.0

Total Male Female Total Male Female Total Male FemaleTotal 51,736 25,390 26,346 47,215 23,188 24,027 4,521 2,202 2,319

0-4 2,776 1,442 1,334 2,397 1,275 1,122 379 167 2125-9 2,856 1,517 1,339 2,546 1,344 1,202 310 173 13710-14 3,151 1,664 1,487 2,840 1,525 1,315 311 139 17215-44 17,915 8,905 9,010 16,222 8,027 8,195 1,693 878 81545-64 14,665 7,247 7,418 13,458 6,675 6,783 1,207 572 63565-84 9,416 4,296 5,120 8,853 4,044 4,809 563 252 31185+ 957 319 638 899 298 601 58 21 37

Marriages IssuedDivorces Granted

BirthsDeaths

Total Population

SUMMARY

BIRTHS BY AGE GROUP OF MOTHER

8.8

Estimated pregnancy and induced termination of pregnancy rates are per 1,000 females in specified age group.

67.2

225.1

Females Aged 15-44

LIVE BIRTHS

Females Aged 10-19

8

Rates are per 1,000 females in specified age group.

PREGNANCY/NATALITY

Females Aged 10-19Females Aged 15-44

0.0

0.0

2018 ESTIMATED POPULATIONS BY AGE GROUP, RACE AND SEX

All Races White Black and OtherAge Group

0.00

0.000

*Infant deaths are by race of child; births are by race of mother.

0

0.0

0

00.0

1,960.5

0

0

0.0

Black and Other

Percentages are of all births with known status for females in specified age group.

All Races

INFANT RELATED MORTALITY BY RACE* AND AGE GROUP OF MOTHER

Median Age

74.8

Black and OtherAll Ages Ages 10-19

All Races

0.00

0.0

JACKSON 2018 HEALTH PROFILE

75 ADPH|CHS County Profile (2018)

Page 81: health department quality Vital Statistics

Total Male Female Total Male Female Total Male FemaleDeaths 707 370 337 679 360 319 28 10 18

13.7 14.6 12.8 14.3 15.5 13.3 6.2 4.5 7.8

Number Rate Number Rate Number Rate Number Rate Number RateHeart Disease 191 369.2 108 425.4 83 315.0 183 385.3 8 177.0Cancer 143 276.4 87 342.7 56 212.6 139 292.7 4 88.5Stroke 45 87.0 16 63.0 29 110.1 43 90.5 2 44.2Accidents 26 50.3 16 63.0 10 38.0 24 50.5 2 44.2CLRD* 60 116.0 25 98.5 35 132.8 56 117.9 4 88.5Diabetes 14 27.1 9 35.4 5 19.0 12 25.3 2 44.2Influenza and Pneumonia 17 32.9 10 39.4 7 26.6 17 35.8 0 0.0Alzheimer's Disease 45 87.0 13 51.2 32 121.5 44 92.6 1 22.1Suicide 15 29.0 14 55.1 1 3.8 15 31.6 0 0.0Homicide 2 3.9 1 3.9 1 3.8 2 4.2 0 0.0

0 0.0 0 0.0 0 0.0 0 0.0 0 0.0Rates are per 100,000 population in specified categories. *CLRD is known as Chronic Lower Respiratory Disease.

Number Rate Number RateAll Accidents 26 50.3 0 0.0 Number Rate

Motor Vehicle 9 17.4 0 0.0 Total 707 13.7Suffocation 3 5.8 0 0.0 0 - 14 3 0.3Poisoning 8 15.5 0 0.0 15 - 44 29 1.6Smoke, Fire and Flames 3 5.8 0 0.0 45 - 64 184 12.5Falls 2 3.9 0 0.0 65 - 84 335 35.6Drowning 0 0.0 0 0.0 85 + 156 163.0Firearms 0 0.0 0 0.0 Rates are per 1,000 population in specified age group.Other Accidents 1 --- 0 ---

Rates are per 100,000 population in specified categories.

Number Rate Number Rate Number Rate143 276.4 87 342.7 56 212.647 90.8 29 114.2 18 68.315 29.0 10 39.4 5 19.08 15.5 ... … 8 30.47 13.5 7 27.6 … …8 15.5 3 11.8 5 19.04 7.7 3 11.8 1 3.83 5.8 3 11.8 0 0.05 9.7 … … 5 19.05 9.7 5 19.7 0 0.03 5.8 3 11.8 0 0.04 7.7 … … 4 15.27 13.5 5 19.7 2 7.63 5.8 3 11.8 0 0.0

24 --- 16 --- 8 ---

Male

HIV Disease

ACCIDENTAL DEATHS

JACKSON 2018 HEALTH PROFILE (Continued)

MORTALITY All Races White Black and Other

Rate per 1,000 Population

DEATHS BY AGE GROUP

Black and Other

All Ages Ages 19 and Under

Measurements based on small denominators should be used with caution. Rates and ratios based on a denominator of less than 50 births or 1,000 population are shaded. Estimated pregnancies are the sum of births, induced terminations of pregnancy (abortions) and estimated total fetal losses. Estimated total fetal losses are equal to the sum of 20 percent of births and 10 percent of induced terminations of pregnancy. The total fertility rate is the sum of age-specific birth rates multiplied by the width of the intervals, i.e. five years. A total fertility rate of 2,100 births per 1,000 females aged 10-49 years would maintain the current population. Estimated populations are from the U.S. Census Bureau. See Appendix B for other definitions and formulas.

Melanoma of SkinOther

Leukemias

Ovary (female)

Rates are per 100,000 population in specified categories.

EsophagusUterus and Cervix (female)Stomach

Breast (female)Prostate (male)Pancreas

Brain and Other Nervous System

WhiteTotalSELECTED CAUSESOF DEATH

Female

Age Group

Male FemaleTotalSELECTED CANCER SITE DEATHS

All CancersTrachea, Bronchus, Lung, Pleura

Non-Hodgkin's Lymphomas

Colorectal

76 ADPH|CHS County Profile (2018)

Page 82: health department quality Vital Statistics

Number Rate Number RateEstimated Pregnancies 11,992 88.3 741 17.9Births 8,436 12.8 498 12.1Induced Terminations of Pregnancy 1,699 12.5 130 3.1Estimated Total Fetal Losses 1,857 --- 113 ---Birth rates are per 1,000 population.

Total 10-14 15-17 18-19 20+All Births 8,436 4 124 370 7,938 Rate 12.8 0.2 10.1 45.0 58.2White 4,373 3 34 113 4,223 Rate 12.5 0.3 5.8 28.7 62.3

659,300 Black and Other 4,063 1 90 257 3,7158,436 Rate 13.2 0.1 14.0 60.0 54.17,44137.9 Births with unknown age of mother are included in the age group "20+".

Life Expectancy at BirthTotal Fertility Rate per 1,000 Females Aged 10-49 Number Percent Number Percent

4,706 Births to Unmarried Women 4,020 47.7 473 95.02,591 Low Weight Births 989 11.7 73 14.7

Multiple Births 369 4.4 19 3.8Medicaid Births 3,590 42.6 388 77.9

White WhiteInfant Deaths 69 22 8 1 Rate per 1,000 Births 8.2 5.0 16.1 6.7Postneonatal Deaths 25 8 3 0 Rate per 1,000 Births 3.0 1.8 6.0 0.0Neonatal Deaths 44 14 5 1 Rate per 1,000 Births 5.2 3.2 10.0 6.7

Total Male Female Total Male Female Total Male FemaleTotal 659,300 311,591 347,709 350,457 170,241 180,216 308,843 141,350 167,493

0-4 41,882 21,278 20,604 20,530 10,517 10,013 21,352 10,761 10,5915-9 41,984 21,557 20,427 19,905 10,275 9,630 22,079 11,282 10,79710-14 41,913 21,167 20,746 19,660 10,017 9,643 22,253 11,150 11,10315-44 261,976 126,124 135,852 133,359 66,520 66,839 128,617 59,604 69,01345-64 166,998 78,048 88,950 90,840 44,658 46,182 76,158 33,390 42,76865-84 91,104 39,259 51,845 56,640 25,187 31,453 34,464 14,072 20,39285+ 13,443 4,158 9,285 9,523 3,067 6,456 3,920 1,091 2,829

PREGNANCY/NATALITY

Females Aged 10-19

White

INFANT RELATED MORTALITY BY RACE* AND AGE GROUP OF MOTHER

720.1

LIVE BIRTHS

Females Aged 15-44

Percentages are of all births with known status for females in specified age group.

Estimated pregnancy and induced termination of pregnancy rates are per 1,000 females in specified age group.

SUMMARY

Divorces Granted

Births

4.2

Ages 10-19All Races

17

47

Females Aged 15-44

2018 ESTIMATED POPULATIONS BY AGE GROUP, RACE AND SEX

307.4

Black and Other

*Infant deaths are by race of child; births are by race of mother.

All RacesAge Group

Median Age

74.7

BIRTHS BY AGE GROUP OF MOTHER

1,795.5

11.63

Black and OtherAll Ages

Total Population

Rates are per 1,000 females in specified age group.Deaths

Marriages Issued

Females Aged 10-19

8.6

11.54

Black and Other All Races

JEFFERSON 2018 HEALTH PROFILE

77 ADPH|CHS County Profile (2018)

Page 83: health department quality Vital Statistics

Total Male Female Total Male Female Total Male FemaleDeaths 7,441 3,809 3,632 4,473 2,230 2,243 2,968 1,579 1,389

11.3 12.2 10.4 12.7 13.1 12.4 9.6 11.2 8.3

Number Rate Number Rate Number Rate Number Rate Number RateHeart Disease 1,607 243.7 808 259.3 799 229.8 981 279.5 626 202.7Cancer 1,353 205.2 720 231.1 633 182.0 798 227.3 555 179.7Stroke 498 75.5 229 73.5 269 77.4 267 76.1 231 74.8Accidents 424 64.3 283 90.8 141 40.6 250 71.2 174 56.3CLRD* 370 56.1 177 56.8 193 55.5 287 81.8 83 26.9Diabetes 141 21.4 73 23.4 68 19.6 66 18.8 75 24.3Influenza and Pneumonia 185 28.1 98 31.5 87 25.0 112 31.9 73 23.6Alzheimer's Disease 325 49.3 89 28.6 236 67.9 229 65.2 96 31.1Suicide 83 12.6 64 20.5 19 5.5 63 17.9 20 6.5Homicide 161 24.4 140 44.9 21 6.0 24 6.8 137 44.4

19 2.9 16 5.1 3 0.9 3 0.9 16 5.2Rates are per 100,000 population in specified categories. *CLRD is known as Chronic Lower Respiratory Disease.

Number Rate Number RateAll Accidents 424 64.3 26 15.6 Number Rate

Motor Vehicle 121 18.4 14 8.4 Total 7,441 11.3Suffocation 18 2.7 7 4.2 0 - 14 91 0.7Poisoning 183 27.8 0 0.0 15 - 44 597 2.3Smoke, Fire and Flames 14 2.1 1 0.6 45 - 64 1,598 9.6Falls 35 5.3 0 0.0 65 - 84 3,103 34.1Drowning 4 0.6 0 0.0 85 + 2,052 152.6Firearms 6 0.9 4 2.4 Rates are per 1,000 population in specified age group.Other Accidents 43 --- 0 ---

Rates are per 100,000 population in specified categories.

Number Rate Number Rate Number Rate1,353 205.2 720 231.1 633 182.0

330 50.1 199 63.9 131 37.7122 18.5 68 21.8 54 15.5102 15.5 ... … 102 29.376 11.5 76 24.4 … …99 15.0 54 17.3 45 12.940 6.1 18 5.8 22 6.329 4.4 21 6.7 8 2.334 5.2 … … 34 9.840 6.1 19 6.1 21 6.033 5.0 18 5.8 15 4.337 5.6 … … 37 10.632 4.9 27 8.7 5 1.410 1.5 7 2.2 3 0.9

369 --- 213 --- 156 ---

JEFFERSON 2018 HEALTH PROFILE (Continued)

FemaleSELECTED CAUSESOF DEATH

Total Male White Black and Other

MORTALITY All Races White Black and Other

Rate per 1,000 Population

HIV Disease

Breast (female)Colorectal

StomachUterus and Cervix (female)

Trachea, Bronchus, Lung, Pleura

Measurements based on small denominators should be used with caution. Rates and ratios based on a denominator of less than 50 births or 1,000 population are shaded. Estimated pregnancies are the sum of births, induced terminations of pregnancy (abortions) and estimated total fetal losses. Estimated total fetal losses are equal to the sum of 20 percent of births and 10 percent of induced terminations of pregnancy. The total fertility rate is the sum of age-specific birth rates multiplied by the width of the intervals, i.e. five years. A total fertility rate of 2,100 births per 1,000 females aged 10-49 years would maintain the current population. Estimated populations are from the U.S. Census Bureau. See Appendix B for other definitions and formulas.

EsophagusMelanoma of SkinOther

Rates are per 100,000 population in specified categories.

Ages 19 and Under DEATHS BY AGE GROUPACCIDENTAL DEATHS All Ages

Age Group

All Cancers

Total MaleSELECTED CANCER SITE DEATHS Female

Prostate (male)PancreasLeukemias

Ovary (female)Brain and Other Nervous System

Non-Hodgkin's Lymphomas

78 ADPH|CHS County Profile (2018)

Page 84: health department quality Vital Statistics

Number Rate Number RateEstimated Pregnancies 220 95.8 20 24.4Births 177 12.8 16 19.2Induced Terminations of Pregnancy 7 3.0 1 1.2Estimated Total Fetal Losses 36 --- 3 ---Birth rates are per 1,000 population.

Total 10-14 15-17 18-19 20+All Births 177 0 14 161 Rate 12.8 0.0 92.6 67.7White 151 0 11 139 Rate 12.5 0.0 84.9 67.6

13,844 Black and Other 26 0 3 22177 Rate 14.8 0.0 138.9 68.3155

44.5 Births with unknown age of mother are included in the age group "20+".

Life Expectancy at BirthTotal Fertility Rate per 1,000 Females Aged 10-49 Number Percent Number Percent

65 Births to Unmarried Women 78 44.1 13 81.3 103 Low Weight Births 11 6.2 2 12.5

Multiple Births 4 2.3 2 12.5Medicaid Births 94 53.1 13 81.3

White WhiteInfant Deaths 0 0 0 Rate per 1,000 Births 0.0 0.0 0.0Postneonatal Deaths 0 0 0 Rate per 1,000 Births 0.0 0.0 0.0Neonatal Deaths 0 0 0 Rate per 1,000 Births 0.0 0.0 0.0

Total Male Female Total Male Female Total Male FemaleTotal 13,844 6,767 7,077 12,084 5,930 6,154 1,760 837 923

0-4 743 383 360 616 317 299 127 66 615-9 755 378 377 633 314 319 122 64 5810-14 916 461 455 805 408 397 111 53 5815-44 4,598 2,300 2,298 3,982 1,993 1,989 616 307 30945-64 3,834 1,906 1,928 3,331 1,680 1,651 503 226 27765-84 2,672 1,238 1,434 2,424 1,124 1,300 248 114 13485+ 326 101 225 293 94 199 33 7 26

BIRTHS BY AGE GROUP OF MOTHER

Estimated pregnancy and induced termination of pregnancy rates are per 1,000 females in specified age group.

8.82

PREGNANCY/NATALITY

Females Aged 10-19Females Aged 15-44

0.0

2018 ESTIMATED POPULATIONS BY AGE GROUP, RACE AND SEX

All Races White Black and Other

0.00.0

INFANT RELATED MORTALITY BY RACE* AND AGE GROUP OF MOTHER

All AgesAll RacesBlack and Other

Age Group

0.00

0.00.0

0.0

00

00Black and Other

Ages 10-19All Races

*Infant deaths are by race of child; births are by race of mother.0.0

0.00

00 0

Females Aged 15-44

LIVE BIRTHS

Percentages are of all births with known status for females in specified age group.

Females Aged 10-19

Marriages IssuedDivorces Granted

SUMMARY

Median Age

78.1

2,390.5

Rates are per 1,000 females in specified age group.

15.1

130.9Births

Deaths

Total Population

LAMAR 2018 HEALTH PROFILE

79 ADPH|CHS County Profile (2018)

Page 85: health department quality Vital Statistics

Total Male Female Total Male Female Total Male FemaleDeaths 155 71 84 141 65 76 14 6 8

11.2 10.5 11.9 11.6 11.0 12.3 8.0 7.2 8.7

Number Rate Number Rate Number Rate Number Rate Number RateHeart Disease 33 238.4 18 266.0 15 212.0 29 238.4 4 227.3Cancer 37 267.3 18 266.0 19 268.5 34 279.5 3 170.5Stroke 5 36.1 3 44.3 2 28.3 3 24.7 2 113.6Accidents 5 36.1 2 29.6 3 42.4 5 41.1 0 0.0CLRD* 17 122.8 8 118.2 9 127.2 17 139.8 0 0.0Diabetes 6 43.3 2 29.6 4 56.5 4 32.9 2 113.6Influenza and Pneumonia 2 14.4 0 0.0 2 28.3 2 16.4 0 0.0Alzheimer's Disease 8 57.8 1 14.8 7 98.9 8 65.8 0 0.0Suicide 1 7.2 1 14.8 0 0.0 1 8.2 0 0.0Homicide 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 0 0.0Rates are per 100,000 population in specified categories. *CLRD is known as Chronic Lower Respiratory Disease.

Number Rate Number RateAll Accidents 5 36.1 0 0.0 Number Rate

Motor Vehicle 2 14.4 0 0.0 Total 155 11.2Suffocation 0 0.0 0 0.0 0 - 14 0 0.0Poisoning 0 0.0 0 0.0 15 - 44 12 2.6Smoke, Fire and Flames 0 0.0 0 0.0 45 - 64 32 8.3Falls 0 0.0 0 0.0 65 - 84 72 26.9Drowning 0 0.0 0 0.0 85 + 39 119.6Firearms 1 7.2 0 0.0 Rates are per 1,000 population in specified age group.Other Accidents 2 --- 0 ---

Rates are per 100,000 population in specified categories.

Number Rate Number Rate Number Rate37 267.3 18 266.0 19 268.58 57.8 4 59.1 4 56.53 21.7 1 14.8 2 28.37 50.6 ... … 7 98.91 7.2 1 14.8 … …2 14.4 2 29.6 0 0.02 14.4 1 14.8 1 14.11 7.2 1 14.8 0 0.00 0.0 … … 0 0.01 7.2 1 14.8 0 0.01 7.2 0 0.0 1 14.10 0.0 … … 0 0.02 14.4 1 14.8 1 14.11 7.2 1 14.8 0 0.08 --- 5 --- 3 ---

Black and Other

Rate per 1,000 Population

SELECTED CAUSESOF DEATH

LAMAR 2018 HEALTH PROFILE (Continued)

MORTALITY All Races White Black and Other

Total Male Female White

Measurements based on small denominators should be used with caution. Rates and ratios based on a denominator of less than 50 births or 1,000 population are shaded. Estimated pregnancies are the sum of births, induced terminations of pregnancy (abortions) and estimated total fetal losses. Estimated total fetal losses are equal to the sum of 20 percent of births and 10 percent of induced terminations of pregnancy. The total fertility rate is the sum of age-specific birth rates multiplied by the width of the intervals, i.e. five years. A total fertility rate of 2,100 births per 1,000 females aged 10-49 years would maintain the current population. Estimated populations are from the U.S. Census Bureau. See Appendix B for other definitions and formulas.

LeukemiasNon-Hodgkin's LymphomasOvary (female)

EsophagusMelanoma of SkinOther

StomachUterus and Cervix (female)

Rates are per 100,000 population in specified categories.

Pancreas

Brain and Other Nervous System

Breast (female)Prostate (male)

SELECTED CANCER SITE DEATHS

HIV Disease

All CancersTrachea, Bronchus, Lung, PleuraColorectal

Age Group

ACCIDENTAL DEATHS All Ages Ages 19 and Under DEATHS BY AGE GROUP

Male FemaleTotal

80 ADPH|CHS County Profile (2018)

Page 86: health department quality Vital Statistics

Number Rate Number RateEstimated Pregnancies 1,230 70.3 97 17.1Births 926 10.0 70 12.3Induced Terminations of Pregnancy 108 6.2 12 2.1Estimated Total Fetal Losses 196 --- 15 ---Birth rates are per 1,000 population.

Total 10-14 15-17 18-19 20+All Births 926 2 54 856 Rate 10.0 0.7 45.0 49.1White 796 1 41 743 Rate 9.9 0.4 42.1 50.0

92,387 Black and Other 130 1 13 113926 Rate 10.8 2.2 57.5 43.9

1,14841.6 Births with unknown age of mother are included in the age group "20+".

Life Expectancy at BirthTotal Fertility Rate per 1,000 Females Aged 10-49 Number Percent Number Percent

640 Births to Unmarried Women 366 39.5 62 88.6313 Low Weight Births 83 9.0 10 14.3

Multiple Births 24 2.6 2 2.9Medicaid Births 450 48.7 62 88.6

White WhiteInfant Deaths 5 3 0 0 Rate per 1,000 Births 5.4 3.8 0.0 0.0Postneonatal Deaths 1 1 0 0 Rate per 1,000 Births 1.1 1.3 0.0 0.0Neonatal Deaths 4 2 0 0 Rate per 1,000 Births 4.3 2.5 0.0 0.0

Total Male Female Total Male Female Total Male FemaleTotal 92,387 44,327 48,060 80,358 38,697 41,661 12,029 5,630 6,399

0-4 4,734 2,456 2,278 3,883 2,012 1,871 851 444 4075-9 4,836 2,481 2,355 3,988 2,068 1,920 848 413 43510-14 5,325 2,627 2,698 4,447 2,195 2,252 878 432 44615-44 34,618 17,132 17,486 29,250 14,541 14,709 5,368 2,591 2,77745-64 24,311 11,609 12,702 21,701 10,451 11,250 2,610 1,158 1,45265-84 16,468 7,328 9,140 15,133 6,769 8,364 1,335 559 77685+ 2,095 694 1,401 1,956 661 1,295 139 33 106

Median AgeRates are per 1,000 females in specified age group.

3

Estimated pregnancy and induced termination of pregnancy rates are per 1,000 females in specified age group.

BirthsDeaths

Total Population

7.8

7.5

14

BIRTHS BY AGE GROUP OF MOTHER

Females Aged 10-19

SUMMARY

8.8

11

Females Aged 15-44

PREGNANCY/NATALITY

White Black and Other

15.4

76.3LIVE BIRTHS

1,560.5

015.4

2018 ESTIMATED POPULATIONS BY AGE GROUP, RACE AND SEX

00.00.0

All AgesBlack and Other

0.0

*Infant deaths are by race of child; births are by race of mother.

2

Age Group All Races

2

Females Aged 10-19Females Aged 15-44

INFANT RELATED MORTALITY BY RACE* AND AGE GROUP OF MOTHER

Black and OtherAges 10-19

0

0

0.0

All Races

Percentages are of all births with known status for females in specified age group.

All Races

Marriages IssuedDivorces Granted

LAUDERDALE 2018 HEALTH PROFILE

81 ADPH|CHS County Profile (2018)

Page 87: health department quality Vital Statistics

Total Male Female Total Male Female Total Male FemaleDeaths 1,148 599 549 1,027 547 480 121 52 69

12.4 13.5 11.4 12.8 14.1 11.5 10.1 9.2 10.8

Number Rate Number Rate Number Rate Number Rate Number RateHeart Disease 241 260.9 140 315.8 101 210.2 214 266.3 27 224.5Cancer 221 239.2 122 275.2 99 206.0 199 247.6 22 182.9Stroke 68 73.6 23 51.9 45 93.6 55 68.4 13 108.1Accidents 68 73.6 45 101.5 23 47.9 61 75.9 7 58.2CLRD* 93 100.7 47 106.0 46 95.7 87 108.3 6 49.9Diabetes 13 14.1 8 18.0 5 10.4 10 12.4 3 24.9Influenza and Pneumonia 27 29.2 12 27.1 15 31.2 27 33.6 0 0.0Alzheimer's Disease 90 97.4 23 51.9 67 139.4 85 105.8 5 41.6Suicide 11 11.9 10 22.6 1 2.1 10 12.4 1 8.3Homicide 7 7.6 7 15.8 0 0.0 6 7.5 1 8.3

0 0.0 0 0.0 0 0.0 0 0.0 0 0.0Rates are per 100,000 population in specified categories. *CLRD is known as Chronic Lower Respiratory Disease.

Number Rate Number RateAll Accidents 68 73.6 4 19.1 Number Rate

Motor Vehicle 39 42.2 4 19.1 Total 1,148 12.4Suffocation 3 3.2 0 0.0 0 - 14 6 0.4Poisoning 14 15.2 0 0.0 15 - 44 64 1.8Smoke, Fire and Flames 0 0.0 0 0.0 45 - 64 209 8.6Falls 6 6.5 0 0.0 65 - 84 543 33.0Drowning 1 1.1 0 0.0 85 + 326 155.6Firearms 0 0.0 0 0.0 Rates are per 1,000 population in specified age group.Other Accidents 5 --- 0 ---

Rates are per 100,000 population in specified categories.

Number Rate Number Rate Number Rate221 239.2 122 275.2 99 206.061 66.0 41 92.5 20 41.621 22.7 11 24.8 10 20.812 13.0 ... … 12 25.013 14.1 13 29.3 … …16 17.3 3 6.8 13 27.05 5.4 3 6.8 2 4.25 5.4 2 4.5 3 6.29 9.7 … … 9 18.78 8.7 4 9.0 4 8.34 4.3 2 4.5 2 4.22 2.2 … … 2 4.23 3.2 3 6.8 0 0.05 5.4 2 4.5 3 6.2

57 --- 38 --- 19 ---

Ages 19 and Under

WhiteFemale

HIV Disease

ACCIDENTAL DEATHS All Ages

Black and OtherTotal Male

Rate per 1,000 Population

SELECTED CAUSESOF DEATH

LAUDERDALE 2018 HEALTH PROFILE (Continued)

MORTALITY All Races White Black and Other

Measurements based on small denominators should be used with caution. Rates and ratios based on a denominator of less than 50 births or 1,000 population are shaded. Estimated pregnancies are the sum of births, induced terminations of pregnancy (abortions) and estimated total fetal losses. Estimated total fetal losses are equal to the sum of 20 percent of births and 10 percent of induced terminations of pregnancy. The total fertility rate is the sum of age-specific birth rates multiplied by the width of the intervals, i.e. five years. A total fertility rate of 2,100 births per 1,000 females aged 10-49 years would maintain the current population. Estimated populations are from the U.S. Census Bureau. See Appendix B for other definitions and formulas.

StomachUterus and Cervix (female)EsophagusMelanoma of SkinOther

Rates are per 100,000 population in specified categories.

PancreasLeukemiasNon-Hodgkin's LymphomasOvary (female)

Age Group

All CancersTrachea, Bronchus, Lung, Pleura

Brain and Other Nervous System

DEATHS BY AGE GROUP

FemaleMaleTotal

ColorectalBreast (female)

SELECTED CANCER SITE DEATHS

Prostate (male)

82 ADPH|CHS County Profile (2018)

Page 88: health department quality Vital Statistics

Number Rate Number RateEstimated Pregnancies 429 75.4 41 20.8Births 341 10.3 32 16.4Induced Terminations of Pregnancy 18 3.2 2 1.0Estimated Total Fetal Losses 70 --- 7 ---Birth rates are per 1,000 population.

Total 10-14 15-17 18-19 20+All Births 341 0 25 309 Rate 10.3 0.0 67.9 52.2White 302 0 24 272 Rate 11.7 0.0 90.4 59.1

32,957 Black and Other 39 0 1 37341 Rate 5.4 0.0 9.7 28.2432

43.0 Births with unknown age of mother are included in the age group "20+".

Life Expectancy at BirthTotal Fertility Rate per 1,000 Females Aged 10-49 Number Percent Number Percent

182 Births to Unmarried Women 155 45.5 27 84.4102 Low Weight Births 32 9.4 5 15.6

Multiple Births 10 2.9 0 0.0Medicaid Births 188 55.1 26 81.3

White WhiteInfant Deaths 3 3 1 Rate per 1,000 Births 8.8 9.9 33.3Postneonatal Deaths 1 1 1 Rate per 1,000 Births 2.9 3.3 33.3Neonatal Deaths 2 2 0 Rate per 1,000 Births 5.9 6.6 0.0

Total Male Female Total Male Female Total Male FemaleTotal 32,957 16,047 16,910 25,772 12,583 13,189 7,185 3,464 3,721

0-4 1,810 940 870 1,378 711 667 432 229 2035-9 1,957 983 974 1,557 787 770 400 196 20410-14 2,106 1,078 1,028 1,590 824 766 516 254 26215-44 11,356 5,669 5,687 8,673 4,316 4,357 2,683 1,353 1,33045-64 9,577 4,631 4,946 7,590 3,704 3,886 1,987 927 1,06065-84 5,593 2,559 3,034 4,534 2,093 2,441 1,059 466 59385+ 558 187 371 450 148 302 108 39 69

PREGNANCY/NATALITY

LIVE BIRTHS

Females Aged 10-19

Rates are per 1,000 females in specified age group.

Females Aged 10-19

7

Females Aged 15-44

615.1

1

Estimated pregnancy and induced termination of pregnancy rates are per 1,000 females in specified age group.

0

All Ages Ages 10-19All RacesAll Races

SUMMARY

Median Age

72.6

1,809.0 Females Aged 15-44

Divorces Granted

BirthsDeaths

Total Population6.5

INFANT RELATED MORTALITY BY RACE* AND AGE GROUP OF MOTHER

12.7

BIRTHS BY AGE GROUP OF MOTHER

All Races

0.0

0

2018 ESTIMATED POPULATIONS BY AGE GROUP, RACE AND SEX

31.31

31.30

0.0

00.0

0.0

Age Group

0.0

0.00

0.0

*Infant deaths are by race of child; births are by race of mother.

0

White Black and Other

Percentages are of all births with known status for females in specified age group.

0Black and Other

Marriages Issued

1Black and Other

LAWRENCE 2018 HEALTH PROFILE

83 ADPH|CHS County Profile (2018)

Page 89: health department quality Vital Statistics

Total Male Female Total Male Female Total Male FemaleDeaths 432 250 182 367 210 157 65 40 25

13.1 15.6 10.8 14.2 16.7 11.9 9.0 11.5 6.7

Number Rate Number Rate Number Rate Number Rate Number RateHeart Disease 113 342.9 66 411.3 47 277.9 94 362.7 19 264.4Cancer 90 273.1 56 349.0 34 201.1 78 300.9 12 167.0Stroke 19 57.7 9 56.1 10 59.1 14 54.0 5 69.6Accidents 23 69.8 16 99.7 7 41.4 18 69.4 5 69.6CLRD* 42 127.4 22 137.1 20 118.3 41 158.2 1 13.9Diabetes 3 9.1 0 0.0 3 17.7 2 7.7 1 13.9Influenza and Pneumonia 14 42.5 9 56.1 5 29.6 12 46.3 2 27.8Alzheimer's Disease 20 60.7 8 49.9 12 71.0 17 65.6 3 41.8Suicide 12 36.4 8 49.9 4 23.7 12 46.3 0 0.0Homicide 1 3.0 1 6.2 0 0.0 1 3.9 0 0.0

0 0.0 0 0.0 0 0.0 0 0.0 0 0.0Rates are per 100,000 population in specified categories. *CLRD is known as Chronic Lower Respiratory Disease.

Number Rate Number RateAll Accidents 23 69.8 4 51.4 Number Rate

Motor Vehicle 14 42.5 3 38.5 Total 432 13.1Suffocation 0 0.0 0 0.0 0 - 14 9 1.5Poisoning 5 15.2 0 0.0 15 - 44 31 2.7Smoke, Fire and Flames 0 0.0 0 0.0 45 - 64 120 12.5Falls 1 3.0 0 0.0 65 - 84 189 33.8Drowning 0 0.0 0 0.0 85 + 83 148.7Firearms 2 6.1 1 12.8 Rates are per 1,000 population in specified age group.Other Accidents 1 --- 0 ---

Rates are per 100,000 population in specified categories.

Number Rate Number Rate Number Rate90 273.1 56 349.0 34 201.133 100.1 23 143.3 10 59.13 9.1 0 0.0 3 17.76 18.2 ... … 6 35.53 9.1 3 18.7 … …3 9.1 2 12.5 1 5.91 3.0 1 6.2 0 0.02 6.1 1 6.2 1 5.93 9.1 … … 3 17.71 3.0 1 6.2 0 0.03 9.1 2 12.5 1 5.92 6.1 … … 2 11.85 15.2 5 31.2 0 0.02 6.1 2 12.5 0 0.0

23 --- 16 --- 7 ---

LAWRENCE 2018 HEALTH PROFILE (Continued)

All Races White Black and OtherMORTALITY

HIV Disease

Rate per 1,000 Population

Black and OtherWhiteSELECTED CAUSESOF DEATH

Total Male Female

Measurements based on small denominators should be used with caution. Rates and ratios based on a denominator of less than 50 births or 1,000 population are shaded. Estimated pregnancies are the sum of births, induced terminations of pregnancy (abortions) and estimated total fetal losses. Estimated total fetal losses are equal to the sum of 20 percent of births and 10 percent of induced terminations of pregnancy. The total fertility rate is the sum of age-specific birth rates multiplied by the width of the intervals, i.e. five years. A total fertility rate of 2,100 births per 1,000 females aged 10-49 years would maintain the current population. Estimated populations are from the U.S. Census Bureau. See Appendix B for other definitions and formulas.

SELECTED CANCER SITE DEATHS

All CancersTrachea, Bronchus, Lung, PleuraColorectalBreast (female)Prostate (male)PancreasLeukemiasNon-Hodgkin's LymphomasOvary (female)Brain and Other Nervous SystemStomach

Total

Rates are per 100,000 population in specified categories.

Male Female

Other

Uterus and Cervix (female)EsophagusMelanoma of Skin

DEATHS BY AGE GROUP

Age Group

Ages 19 and UnderAll AgesACCIDENTAL DEATHS

84 ADPH|CHS County Profile (2018)

Page 90: health department quality Vital Statistics

Number Rate Number RateEstimated Pregnancies 2,476 63.4 128 11.0Births 1,804 11.0 82 7.1Induced Terminations of Pregnancy 283 7.2 27 2.3Estimated Total Fetal Losses 389 --- 19 ---Birth rates are per 1,000 population.

Total 10-14 15-17 18-19 20+All Births 1,804 1 18 63 1,722 Rate 11.0 0.2 4.5 23.5 45.8White 1,225 1 9 37 1,178 Rate 10.6 0.3 3.1 19.2 45.6

163,941 Black and Other 579 0 9 26 5441,804 Rate 12.0 0.0 8.0 34.5 46.31,12032.3 Births with unknown age of mother are included in the age group "20+".

Life Expectancy at BirthTotal Fertility Rate per 1,000 Females Aged 10-49 Number Percent Number Percent

671 Births to Unmarried Women 666 36.9 77 93.9419 Low Weight Births 177 9.8 9 11.0

Multiple Births 76 4.2 0 0.0Medicaid Births 681 37.8 65 79.3

White WhiteInfant Deaths 15 7 1 0 Rate per 1,000 Births 8.3 5.7 12.2 0.0Postneonatal Deaths 5 0 0 0 Rate per 1,000 Births 2.8 0.0 0.0 0.0Neonatal Deaths 10 7 1 0 Rate per 1,000 Births 5.5 5.7 12.2 0.0

Total Male Female Total Male Female Total Male FemaleTotal 163,941 80,639 83,302 115,690 57,749 57,941 48,251 22,890 25,361

0-4 9,629 4,934 4,695 6,345 3,228 3,117 3,284 1,706 1,5785-9 9,551 4,856 4,695 6,268 3,189 3,079 3,283 1,667 1,61610-14 10,043 5,163 4,880 6,417 3,280 3,137 3,626 1,883 1,74315-44 78,226 39,146 39,080 55,651 28,393 27,258 22,575 10,753 11,82245-64 37,011 17,807 19,204 25,741 12,625 13,116 11,270 5,182 6,08865-84 17,680 8,110 9,570 13,766 6,477 7,289 3,914 1,633 2,28185+ 1,801 623 1,178 1,502 557 945 299 66 233

Deaths

Total Population

Rates are per 1,000 females in specified age group.

SUMMARY

Median Age

BIRTHS BY AGE GROUP OF MOTHER

Females Aged 15-44

Births

Females Aged 10-19

Estimated pregnancy and induced termination of pregnancy rates are per 1,000 females in specified age group.

PREGNANCY/NATALITY

2018 ESTIMATED POPULATIONS BY AGE GROUP, RACE AND SEX

All Races White Black and OtherAge Group

Percentages are of all births with known status for females in specified age group.

Females Aged 10-19Females Aged 15-44

LIVE BIRTHS

*Infant deaths are by race of child; births are by race of mother.

INFANT RELATED MORTALITY BY RACE* AND AGE GROUP OF MOTHER

All Races

Marriages IssuedDivorces Granted

78.3

1,404.0

5.2

0.0

28.6

8

1

Ages 10-19Black and Other

All AgesAll Races

8.63

13.85

128.6

Black and Other

0

LEE 2018 HEALTH PROFILE

85 ADPH|CHS County Profile (2018)

Page 91: health department quality Vital Statistics

Total Male Female Total Male Female Total Male FemaleDeaths 1,120 610 510 822 441 381 298 169 129

6.8 7.6 6.1 7.2 7.6 6.6 6.2 7.4 5.1

Number Rate Number Rate Number Rate Number Rate Number RateHeart Disease 205 125.0 122 151.3 83 99.6 155 136.0 50 103.6Cancer 259 158.0 150 186.0 109 130.8 199 174.6 60 124.3Stroke 68 41.5 30 37.2 38 45.6 47 41.2 21 43.5Accidents 57 34.8 38 47.1 19 22.8 41 36.0 16 33.2CLRD* 76 46.4 35 43.4 41 49.2 61 53.5 15 31.1Diabetes 48 29.3 33 40.9 15 18.0 32 28.1 16 33.2Influenza and Pneumonia 25 15.2 15 18.6 10 12.0 21 18.4 4 8.3Alzheimer's Disease 59 36.0 14 17.4 45 54.0 52 45.6 7 14.5Suicide 23 14.0 18 22.3 5 6.0 17 14.9 6 12.4Homicide 12 7.3 12 14.9 0 0.0 0 0.0 12 24.9

7 4.3 5 6.2 2 2.4 2 1.8 5 10.4Rates are per 100,000 population in specified categories. *CLRD is known as Chronic Lower Respiratory Disease.

Number Rate Number RateAll Accidents 57 34.8 5 11.7 Number Rate

Motor Vehicle 25 15.2 2 4.7 Total 1,120 6.8Suffocation 0 0.0 0 0.0 0 - 14 21 0.7Poisoning 10 6.1 0 0.0 15 - 44 70 0.9Smoke, Fire and Flames 0 0.0 0 0.0 45 - 64 241 6.5Falls 10 6.1 0 0.0 65 - 84 515 29.1Drowning 5 3.0 3 7.0 85 + 273 151.6Firearms 1 0.6 0 0.0 Rates are per 1,000 population in specified age group.Other Accidents 6 --- 0 ---

Rates are per 100,000 population in specified categories.

Number Rate Number Rate Number Rate259 158.0 150 186.0 109 130.862 37.8 36 44.6 26 31.223 14.0 10 12.4 13 15.621 12.8 ... … 21 25.225 15.2 25 31.0 … …18 11.0 12 14.9 6 7.29 5.5 8 9.9 1 1.2

10 6.1 6 7.4 4 4.84 2.4 … … 4 4.88 4.9 5 6.2 3 3.62 1.2 0 0.0 2 2.42 1.2 … … 2 2.47 4.3 4 5.0 3 3.62 1.2 1 1.2 1 1.2

66 --- 43 --- 23 ---

SELECTED CAUSESOF DEATH

ACCIDENTAL DEATHS

HIV Disease

Rate per 1,000 Population

Total Male Female White Black and Other

LEE 2018 HEALTH PROFILE (Continued)

MORTALITY All Races White Black and Other

Measurements based on small denominators should be used with caution. Rates and ratios based on a denominator of less than 50 births or 1,000 population are shaded. Estimated pregnancies are the sum of births, induced terminations of pregnancy (abortions) and estimated total fetal losses. Estimated total fetal losses are equal to the sum of 20 percent of births and 10 percent of induced terminations of pregnancy. The total fertility rate is the sum of age-specific birth rates multiplied by the width of the intervals, i.e. five years. A total fertility rate of 2,100 births per 1,000 females aged 10-49 years would maintain the current population. Estimated populations are from the U.S. Census Bureau. See Appendix B for other definitions and formulas.

StomachUterus and Cervix (female)Esophagus

Rates are per 100,000 population in specified categories.

Melanoma of SkinOther

Brain and Other Nervous System

Colorectal

Prostate (male)PancreasLeukemiasNon-Hodgkin's Lymphomas

MaleTotal

Ages 19 and Under

Female

DEATHS BY AGE GROUP

Age Group

All Ages

SELECTED CANCER SITE DEATHS

All CancersTrachea, Bronchus, Lung, Pleura

Breast (female)

Ovary (female)

86 ADPH|CHS County Profile (2018)

Page 92: health department quality Vital Statistics

Number Rate Number RateEstimated Pregnancies 1,334 75.0 83 13.7Births 1,007 10.5 61 10.1Induced Terminations of Pregnancy 114 6.4 9 1.5Estimated Total Fetal Losses 213 --- 13 ---Birth rates are per 1,000 population.

Total 10-14 15-17 18-19 20+All Births 1,007 0 44 946 Rate 10.5 0.0 37.9 51.6White 871 0 37 820 Rate 11.2 0.0 40.4 55.9

96,174 Black and Other 136 0 7 1261,007 Rate 7.5 0.0 28.5 34.6

89140.0 Births with unknown age of mother are included in the age group "20+".

Life Expectancy at BirthTotal Fertility Rate per 1,000 Females Aged 10-49 Number Percent Number Percent

611 Births to Unmarried Women 366 36.3 51 83.6373 Low Weight Births 100 9.9 4 6.6

Multiple Births 37 3.7 4 6.6Medicaid Births 412 41.1 53 86.9

White WhiteInfant Deaths 4 3 0 0 Rate per 1,000 Births 4.0 3.4 0.0 0.0Postneonatal Deaths 2 1 0 0 Rate per 1,000 Births 2.0 1.1 0.0 0.0Neonatal Deaths 2 2 0 0 Rate per 1,000 Births 2.0 2.3 0.0 0.0

Total Male Female Total Male Female Total Male FemaleTotal 96,174 48,156 48,018 78,056 38,936 39,120 18,118 9,220 8,898

0-4 5,393 2,760 2,633 4,260 2,174 2,086 1,133 586 5475-9 5,968 2,949 3,019 4,740 2,360 2,380 1,228 589 63910-14 6,388 3,239 3,149 5,032 2,581 2,451 1,356 658 69815-44 36,809 19,026 17,783 28,997 14,796 14,201 7,812 4,230 3,58245-64 27,008 13,614 13,394 22,148 11,182 10,966 4,860 2,432 2,42865-84 13,217 6,126 7,091 11,657 5,457 6,200 1,560 669 89185+ 1,391 442 949 1,222 386 836 169 56 113

Estimated pregnancy and induced termination of pregnancy rates are per 1,000 females in specified age group.

17

Total Population

9.8

Females Aged 10-19Females Aged 15-44

PREGNANCY/NATALITY

Females Aged 15-44 Females Aged 10-19

BirthsDeaths

BIRTHS BY AGE GROUP OF MOTHER

Rates are per 1,000 females in specified age group.8.1

310.2

14

0.0*Infant deaths are by race of child; births are by race of mother.

0

INFANT RELATED MORTALITY BY RACE* AND AGE GROUP OF MOTHER

All AgesAll Races

1 0

0.07.40

0.00

2018 ESTIMATED POPULATIONS BY AGE GROUP, RACE AND SEX

All Races White Black and OtherAge Group

7.41

0.0

SUMMARY

Median Age

77.1

1,747.0

Marriages IssuedDivorces Granted

All Races Black and Other Black and OtherAges 10-19

LIVE BIRTHS

Percentages are of all births with known status for females in specified age group.

LIMESTONE 2018 HEALTH PROFILE

87 ADPH|CHS County Profile (2018)

Page 93: health department quality Vital Statistics

Total Male Female Total Male Female Total Male FemaleDeaths 891 465 426 784 406 378 107 59 48

9.3 9.7 8.9 10.2 10.4 9.7 5.9 6.4 5.4

Number Rate Number Rate Number Rate Number Rate Number RateHeart Disease 255 265.1 142 294.9 113 235.3 218 283.5 37 204.2Cancer 162 168.4 84 174.4 78 162.4 139 180.7 23 126.9Stroke 55 57.2 26 54.0 29 60.4 50 65.0 5 27.6Accidents 40 41.6 31 64.4 9 18.7 32 41.6 8 44.2CLRD* 59 61.3 27 56.1 32 66.6 58 75.4 1 5.5Diabetes 9 9.4 6 12.5 3 6.2 7 9.1 2 11.0Influenza and Pneumonia 11 11.4 5 10.4 6 12.5 10 13.0 1 5.5Alzheimer's Disease 38 39.5 12 24.9 26 54.1 35 45.5 3 16.6Suicide 21 21.8 16 33.2 5 10.4 21 27.3 0 0.0Homicide 11 11.4 5 10.4 6 12.5 9 11.7 2 11.0

1 1.0 1 2.1 0 0.0 0 0.0 1 5.5Rates are per 100,000 population in specified categories. *CLRD is known as Chronic Lower Respiratory Disease.

Number Rate Number RateAll Accidents 40 41.6 5 21.0 Number Rate

Motor Vehicle 18 18.7 2 8.4 Total 891 9.3Suffocation 1 1.0 0 0.0 0 - 14 7 0.4Poisoning 9 9.4 0 0.0 15 - 44 66 1.8Smoke, Fire and Flames 1 1.0 0 0.0 45 - 64 214 7.9Falls 2 2.1 0 0.0 65 - 84 402 30.4Drowning 2 2.1 2 8.4 85 + 202 145.2Firearms 2 2.1 1 4.2 Rates are per 1,000 population in specified age group.Other Accidents 5 --- 0 ---

Rates are per 100,000 population in specified categories.

Number Rate Number Rate Number Rate162 168.4 84 174.4 78 162.435 36.4 16 33.2 19 39.611 11.4 7 14.5 4 8.312 12.5 ... … 12 25.08 8.3 8 16.6 … …

23 23.9 13 27.0 10 20.89 9.4 7 14.5 2 4.25 5.2 0 0.0 5 10.44 4.2 … … 4 8.35 5.2 3 6.2 2 4.22 2.1 1 2.1 1 2.15 5.2 … … 5 10.42 2.1 2 4.2 0 0.02 2.1 2 4.2 0 0.0

39 --- 25 --- 14 ---

ACCIDENTAL DEATHS All Ages DEATHS BY AGE GROUP

White Black and OtherFemaleMaleSELECTED CAUSESOF DEATH

Total

HIV Disease

LIMESTONE 2018 HEALTH PROFILE (Continued)

Rate per 1,000 Population

MORTALITY All Races White Black and Other

Colorectal

PancreasProstate (male)

Measurements based on small denominators should be used with caution. Rates and ratios based on a denominator of less than 50 births or 1,000 population are shaded. Estimated pregnancies are the sum of births, induced terminations of pregnancy (abortions) and estimated total fetal losses. Estimated total fetal losses are equal to the sum of 20 percent of births and 10 percent of induced terminations of pregnancy. The total fertility rate is the sum of age-specific birth rates multiplied by the width of the intervals, i.e. five years. A total fertility rate of 2,100 births per 1,000 females aged 10-49 years would maintain the current population. Estimated populations are from the U.S. Census Bureau. See Appendix B for other definitions and formulas.

Rates are per 100,000 population in specified categories.

Brain and Other Nervous SystemOvary (female)

StomachUterus and Cervix (female)EsophagusMelanoma of SkinOther

LeukemiasNon-Hodgkin's Lymphomas

Breast (female)

Total Female

Age Group

Trachea, Bronchus, Lung, Pleura

Ages 19 and Under

Male

All Cancers

SELECTED CANCER SITE DEATHS

88 ADPH|CHS County Profile (2018)

Page 94: health department quality Vital Statistics

Number Rate Number RateEstimated Pregnancies 166 93.8 14 24.2Births 122 12.2 9 15.5Induced Terminations of Pregnancy 18 10.2 3 5.2Estimated Total Fetal Losses 26 --- 2 ---Birth rates are per 1,000 population.

Total 10-14 15-17 18-19 20+All Births 122 0 5 113 Rate 12.2 0.0 47.2 62.1White 29 0 0 29 Rate 11.2 0.0 0.0 73.4

9,974 Black and Other 93 0 5 84122 Rate 12.6 0.0 57.9 59.0141

41.7 Births with unknown age of mother are included in the age group "20+".

Life Expectancy at BirthTotal Fertility Rate per 1,000 Females Aged 10-49 Number Percent Number Percent

47 Births to Unmarried Women 86 70.5 9 100.0 48 Low Weight Births 13 10.7 2 22.2

Multiple Births 4 3.3 2 22.2Medicaid Births 88 72.1 9 100.0

White WhiteInfant Deaths 2 1 0 Rate per 1,000 Births 16.4 34.5 0.0Postneonatal Deaths 1 0 0 Rate per 1,000 Births 8.2 0.0 0.0Neonatal Deaths 1 1 0 Rate per 1,000 Births 8.2 34.5 0.0

Total Male Female Total Male Female Total Male FemaleTotal 9,974 4,670 5,304 2,585 1,276 1,309 7,389 3,394 3,995

0-4 614 311 303 145 74 71 469 237 2325-9 662 316 346 130 58 72 532 258 27410-14 606 289 317 132 70 62 474 219 25515-44 3,441 1,669 1,772 700 348 352 2,741 1,321 1,42045-64 2,771 1,295 1,476 781 393 388 1,990 902 1,08865-84 1,665 729 936 629 302 327 1,036 427 60985+ 215 61 154 68 31 37 147 30 117

Females Aged 10-19

PREGNANCY/NATALITY

Females Aged 15-44

Estimated pregnancy and induced termination of pregnancy rates are per 1,000 females in specified age group.

SUMMARY

Median Age

00.0

425.2

4

BIRTHS BY AGE GROUP OF MOTHER

BirthsDeaths

Total Population

0.0

0

30.9

Percentages are of all births with known status for females in specified age group.

Females Aged 10-19

Black and Other Black and Other

10.8 0.0

0.00

0.0 0.0

Rates are per 1,000 females in specified age group.

INFANT RELATED MORTALITY BY RACE* AND AGE GROUP OF MOTHER

0

All Races

10.80

10.0

*Infant deaths are by race of child; births are by race of mother.

2018 ESTIMATED POPULATIONS BY AGE GROUP, RACE AND SEX

All Races White Black and OtherAge Group

00.0

All Ages

71.8

1,958.0

All Races

Marriages IssuedDivorces Granted

Ages 10-19

0

LIVE BIRTHS

Females Aged 15-44

1 0

LOWNDES 2018 HEALTH PROFILE

89 ADPH|CHS County Profile (2018)

Page 95: health department quality Vital Statistics

Total Male Female Total Male Female Total Male FemaleDeaths 141 90 51 39 26 13 102 64 38

14.1 19.3 9.6 15.2 20.4 9.9 13.8 18.9 9.5

Number Rate Number Rate Number Rate Number Rate Number RateHeart Disease 28 280.7 15 321.2 13 245.1 12 467.3 16 216.5Cancer 30 300.8 23 492.5 7 132.0 8 311.5 22 297.7Stroke 13 130.3 6 128.5 7 132.0 3 116.8 10 135.3Accidents 7 70.2 6 128.5 1 18.9 1 38.9 6 81.2CLRD* 10 100.3 7 149.9 3 56.6 4 155.8 6 81.2Diabetes 7 70.2 7 149.9 0 0.0 2 77.9 5 67.7Influenza and Pneumonia 2 20.1 2 42.8 0 0.0 1 38.9 1 13.5Alzheimer's Disease 3 30.1 0 0.0 3 56.6 0 0.0 3 40.6Suicide 2 20.1 2 42.8 0 0.0 2 77.9 0 0.0Homicide 2 20.1 2 42.8 0 0.0 0 0.0 2 27.1

0 0.0 0 0.0 0 0.0 0 0.0 0 0.0Rates are per 100,000 population in specified categories. *CLRD is known as Chronic Lower Respiratory Disease.

Number Rate Number RateAll Accidents 7 70.2 1 41.0 Number Rate

Motor Vehicle 5 50.1 1 41.0 Total 141 14.1Suffocation 0 0.0 0 0.0 0 - 14 3 1.6Poisoning 0 0.0 0 0.0 15 - 44 9 2.6Smoke, Fire and Flames 0 0.0 0 0.0 45 - 64 32 11.5Falls 0 0.0 0 0.0 65 - 84 65 39.0Drowning 0 0.0 0 0.0 85 + 32 148.8Firearms 0 0.0 0 0.0 Rates are per 1,000 population in specified age group.Other Accidents 2 --- 0 ---

Rates are per 100,000 population in specified categories.

Number Rate Number Rate Number Rate30 300.8 23 492.5 7 132.03 30.1 3 64.2 0 0.03 30.1 2 42.8 1 18.91 10.0 ... … 1 18.93 30.1 3 64.2 … …4 40.1 3 64.2 1 18.92 20.1 2 42.8 0 0.01 10.0 1 21.4 0 0.00 0.0 … … 0 0.03 30.1 2 42.8 1 18.90 0.0 0 0.0 0 0.00 0.0 … … 0 0.00 0.0 0 0.0 0 0.01 10.0 1 21.4 0 0.09 --- 6 --- 3 ---

Total

LOWNDES 2018 HEALTH PROFILE (Continued)

MORTALITY All Races White Black and Other

Male Female White Black and Other

Rate per 1,000 Population

SELECTED CAUSESOF DEATH

HIV Disease

Measurements based on small denominators should be used with caution. Rates and ratios based on a denominator of less than 50 births or 1,000 population are shaded. Estimated pregnancies are the sum of births, induced terminations of pregnancy (abortions) and estimated total fetal losses. Estimated total fetal losses are equal to the sum of 20 percent of births and 10 percent of induced terminations of pregnancy. The total fertility rate is the sum of age-specific birth rates multiplied by the width of the intervals, i.e. five years. A total fertility rate of 2,100 births per 1,000 females aged 10-49 years would maintain the current population. Estimated populations are from the U.S. Census Bureau. See Appendix B for other definitions and formulas.

Rates are per 100,000 population in specified categories.

Total Male Female

Prostate (male)PancreasLeukemiasNon-Hodgkin's LymphomasOvary (female)

SELECTED CANCER SITE DEATHS

All CancersTrachea, Bronchus, Lung, PleuraColorectalBreast (female)

StomachUterus and Cervix (female)EsophagusMelanoma of SkinOther

Brain and Other Nervous System

Age Group

All Ages DEATHS BY AGE GROUPACCIDENTAL DEATHS Ages 19 and Under

90 ADPH|CHS County Profile (2018)

Page 96: health department quality Vital Statistics

Number Rate Number RateEstimated Pregnancies 273 66.7 34 25.5Births 178 9.7 17 12.9Induced Terminations of Pregnancy 54 13.2 12 9.1Estimated Total Fetal Losses 41 --- 5 ---Birth rates are per 1,000 population.

Total 10-14 15-17 18-19 20+All Births 178 0 12 161 Rate 9.7 0.0 33.5 43.2White 36 0 2 34 Rate 11.5 0.0 83.3 63.9

18,439 Black and Other 142 0 10 127178 Rate 9.3 0.0 29.9 39.7268

39.5 Births with unknown age of mother are included in the age group "20+".

Life Expectancy at BirthTotal Fertility Rate per 1,000 Females Aged 10-49 Number Percent Number Percent

97 Births to Unmarried Women 127 71.3 17 100.041 Low Weight Births 17 9.6 2 11.8

Multiple Births 6 3.4 0 0.0Medicaid Births 132 74.2 11 64.7

White WhiteInfant Deaths 1 0 0 Rate per 1,000 Births 5.6 0.0 0.0Postneonatal Deaths 0 0 0 Rate per 1,000 Births 0.0 0.0 0.0Neonatal Deaths 1 0 0 Rate per 1,000 Births 5.6 0.0 0.0

Total Male Female Total Male Female Total Male FemaleTotal 18,439 8,383 10,056 3,128 1,572 1,556 15,311 6,811 8,500

0-4 855 425 430 128 61 67 727 364 3635-9 839 425 414 160 78 82 679 347 33210-14 838 414 424 138 78 60 700 336 36415-44 7,600 3,509 4,091 984 503 481 6,616 3,006 3,61045-64 4,551 2,038 2,513 954 475 479 3,597 1,563 2,03465-84 3,331 1,443 1,888 683 343 340 2,648 1,100 1,54885+ 425 129 296 81 34 47 344 95 249

59.3

Rates are per 1,000 females in specified age group.

BIRTHS BY AGE GROUP OF MOTHER

0

All RacesBlack and Other Black and Other

0

0

PREGNANCY/NATALITY

Estimated pregnancy and induced termination of pregnancy rates are per 1,000 females in specified age group.

Females Aged 10-19Females Aged 15-44

Median Age

71.4

1,316.5

0.0

Percentages are of all births with known status for females in specified age group.

Females Aged 10-19

510.0

SUMMARY

Marriages IssuedDivorces Granted

BirthsDeaths

Total Population

2018 ESTIMATED POPULATIONS BY AGE GROUP, RACE AND SEX

All Races White Black and OtherAge Group

0.00

All Races

*Infant deaths are by race of child; births are by race of mother.7.0

0.01

0.0 0.00

0.00

0.0

00.0

LIVE BIRTHS

Females Aged 15-44

INFANT RELATED MORTALITY BY RACE* AND AGE GROUP OF MOTHER

17.0

Ages 10-19All Ages

0

MACON 2018 HEALTH PROFILE

91 ADPH|CHS County Profile (2018)

Page 97: health department quality Vital Statistics

Total Male Female Total Male Female Total Male FemaleDeaths 268 161 107 52 27 25 216 134 82

14.5 19.2 10.6 16.8 17.2 16.1 14.1 19.7 9.6

Number Rate Number Rate Number Rate Number Rate Number RateHeart Disease 83 450.1 50 596.4 33 328.2 16 516.5 67 437.6Cancer 58 314.6 31 369.8 27 268.5 12 387.3 46 300.4Stroke 18 97.6 11 131.2 7 69.6 1 32.3 17 111.0Accidents 14 75.9 12 143.1 2 19.9 3 96.8 11 71.8CLRD* 9 48.8 6 71.6 3 29.8 2 64.6 7 45.7Diabetes 4 21.7 3 35.8 1 9.9 0 0.0 4 26.1Influenza and Pneumonia 4 21.7 4 47.7 0 0.0 0 0.0 4 26.1Alzheimer's Disease 9 48.8 2 23.9 7 69.6 5 161.4 4 26.1Suicide 1 5.4 1 11.9 0 0.0 1 32.3 0 0.0Homicide 9 48.8 8 95.4 1 9.9 1 32.3 8 52.3

0 0.0 0 0.0 0 0.0 0 0.0 0 0.0Rates are per 100,000 population in specified categories. *CLRD is known as Chronic Lower Respiratory Disease.

Number Rate Number RateAll Accidents 14 75.9 0 0.0 Number Rate

Motor Vehicle 7 38.0 0 0.0 Total 268 14.5Suffocation 1 5.4 0 0.0 0 - 14 1 0.4Poisoning 2 10.8 0 0.0 15 - 44 26 3.4Smoke, Fire and Flames 0 0.0 0 0.0 45 - 64 70 15.4Falls 3 16.3 0 0.0 65 - 84 113 33.9Drowning 0 0.0 0 0.0 85 + 58 136.5Firearms 0 0.0 0 0.0 Rates are per 1,000 population in specified age group.Other Accidents 1 --- 0 ---

Rates are per 100,000 population in specified categories.

Number Rate Number Rate Number Rate58 314.6 31 369.8 27 268.514 75.9 8 95.4 6 59.75 27.1 4 47.7 1 9.96 32.5 ... … 6 59.75 27.1 5 59.6 … …3 16.3 2 23.9 1 9.93 16.3 2 23.9 1 9.92 10.8 1 11.9 1 9.90 0.0 … … 0 0.00 0.0 0 0.0 0 0.00 0.0 0 0.0 0 0.02 10.8 … … 2 19.94 21.7 2 23.9 2 19.90 0.0 0 0.0 0 0.0

14 --- 7 --- 7 ---

SELECTED CANCER SITE DEATHS

HIV Disease

MACON 2018 HEALTH PROFILE (Continued)

MORTALITY All Races White Black and Other

Female White Black and OtherTotal

Rate per 1,000 Population

SELECTED CAUSESOF DEATH

Male

Measurements based on small denominators should be used with caution. Rates and ratios based on a denominator of less than 50 births or 1,000 population are shaded. Estimated pregnancies are the sum of births, induced terminations of pregnancy (abortions) and estimated total fetal losses. Estimated total fetal losses are equal to the sum of 20 percent of births and 10 percent of induced terminations of pregnancy. The total fertility rate is the sum of age-specific birth rates multiplied by the width of the intervals, i.e. five years. A total fertility rate of 2,100 births per 1,000 females aged 10-49 years would maintain the current population. Estimated populations are from the U.S. Census Bureau. See Appendix B for other definitions and formulas.

StomachUterus and Cervix (female)EsophagusMelanoma of Skin

Rates are per 100,000 population in specified categories. Other

LeukemiasNon-Hodgkin's LymphomasOvary (female)

Trachea, Bronchus, Lung, PleuraColorectalBreast (female)Prostate (male)

Brain and Other Nervous System

Pancreas

DEATHS BY AGE GROUP

Age Group

ACCIDENTAL DEATHS All Ages Ages 19 and Under

Total

All Cancers

Male Female

92 ADPH|CHS County Profile (2018)

Page 98: health department quality Vital Statistics

Number Rate Number RateEstimated Pregnancies 5,888 81.4 300 13.0Births 4,263 11.6 192 8.3Induced Terminations of Pregnancy 702 9.7 63 2.7Estimated Total Fetal Losses 923 --- 45 ---Birth rates are per 1,000 population.

Total 10-14 15-17 18-19 20+All Births 4,263 2 142 4,071 Rate 199.2 0.2 30.2 56.0White 2,806 1 84 2,700 Rate 208.9 0.1 29.8 58.5

366,519 Black and Other 1,457 1 58 1,3714,263 Rate 182.7 0.3 30.6 51.63,35438.7 Births with unknown age of mother are included in the age group "20+".

Life Expectancy at BirthTotal Fertility Rate per 1,000 Females Aged 10-49 Number Percent Number Percent

2,638 Births to Unmarried Women 1,632 38.3 175 91.11,375 Low Weight Births 453 10.6 32 16.7

Multiple Births 164 3.8 6 3.1Medicaid Births 1,632 38.3 151 78.6

White WhiteInfant Deaths 28 17 1 0 Rate per 1,000 Births 6.6 6.1 5.2 0.0Postneonatal Deaths 11 7 1 0 Rate per 1,000 Births 2.6 2.5 5.2 0.0Neonatal Deaths 17 10 0 0 Rate per 1,000 Births 4.0 3.6 0.0 0.0

Total Male Female Total Male Female Total Male FemaleTotal 366,519 179,074 187,445 252,338 125,744 126,594 114,181 53,330 60,851

0-4 21,403 10,934 10,469 13,430 6,870 6,560 7,973 4,064 3,9095-9 21,675 11,109 10,566 13,894 7,164 6,730 7,781 3,945 3,83610-14 22,960 11,718 11,242 15,071 7,725 7,346 7,889 3,993 3,89615-44 144,456 72,128 72,328 92,466 47,671 44,795 51,990 24,457 27,53345-64 100,900 49,043 51,857 73,870 36,906 36,964 27,030 12,137 14,89365-84 48,902 21,843 27,059 38,370 17,447 20,923 10,532 4,396 6,13685+ 6,223 2,299 3,924 5,237 1,961 3,276 986 338 648

Total Population

Marriages IssuedDivorces Granted

BirthsDeathsMedian Age

Rates are per 1,000 females in specified age group.

215.0

11.6

Estimated pregnancy and induced termination of pregnancy rates are per 1,000 females in specified age group.

BIRTHS BY AGE GROUP OF MOTHER

486.8

Percentages are of all births with known status for females in specified age group.

Females Aged 10-19

All Ages

SUMMARY

11

279.5

Females Aged 10-19

PREGNANCY/NATALITY

Females Aged 15-44

2018 ESTIMATED POPULATIONS BY AGE GROUP, RACE AND SEX

All Races White Black and Other

1

0

77.5

* Infant deaths are by race of infant; births are by race of mother.

111.6

Females Aged 15-441,716.5

LIVE BIRTHS

0.0

All Races

7.5

Age Group

All RacesBlack and Other Black and OtherAges 10-19

INFANT RELATED MORTALITY BY RACE* AND AGE GROUP OF MOTHER

42.7

74.8

MADISON 2018 HEALTH PROFILE

93 ADPH|CHS County Profile (2018)

Page 99: health department quality Vital Statistics

Total Male Female Total Male Female Total Male FemaleDeaths 3,354 1,706 1,648 2,708 1,378 1,330 646 328 318

9.2 9.5 8.8 10.9 11.0 10.5 5.7 6.2 5.2

Number Rate Number Rate Number Rate Number Rate Number RateHeart Disease 907 247.5 516 288.1 391 208.6 704 283.3 203 177.8Cancer 667 182.0 328 183.2 339 180.9 561 225.8 106 92.8Stroke 201 54.8 85 47.5 116 61.9 157 63.2 44 38.5Accidents 136 37.1 82 45.8 54 28.8 102 41.1 34 29.8CLRD* 205 55.9 101 56.4 104 55.5 182 73.3 23 20.1Diabetes 57 15.6 32 17.9 25 13.3 40 16.1 17 14.9Influenza and Pneumonia 58 15.8 28 15.6 30 16.0 48 19.3 10 8.8Alzheimer's Disease 189 51.6 44 24.6 145 77.4 164 66.0 25 21.9Suicide 61 16.6 41 22.9 20 10.7 54 21.7 7 6.1Homicide 37 10.1 24 13.4 13 6.9 15 6.0 22 19.3

3 0.8 2 1.1 1 0.5 0 0.0 3 2.6Rates are per 100,000 population in specified categories. *CLRD is known as Chronic Lower Respiratory Disease.

Number Rate Number RateAll Accidents 136 37.1 8 8.9 Number Rate

Motor Vehicle 59 16.1 5 5.6 Total 3,354 9.2Suffocation 4 1.1 0 0.0 0 - 14 43 0.7Poisoning 41 11.2 2 2.2 15 - 44 241 1.7Smoke, Fire and Flames 4 1.1 0 0.0 45 - 64 706 7.0Falls 7 1.9 0 0.0 65 - 84 1,476 30.2Drowning 3 0.8 0 0.0 85 + 888 142.7Firearms 0 0.0 0 0.0 Rates are per 1,000 population in specified age group.Other Accidents 18 --- 1 ---

Rates are per 100,000 population in specified categories.

Number Rate Number Rate Number Rate667 182.0 328 183.2 339 180.9177 48.3 87 48.6 90 48.061 16.6 34 19.0 27 14.446 12.6 ... … 46 24.530 8.2 30 16.8 … …52 14.2 24 13.4 28 14.926 7.1 10 5.6 16 8.528 7.6 22 12.3 6 3.218 4.9 … … 18 9.621 5.7 8 4.5 13 6.913 3.5 9 5.0 4 2.18 2.2 … … 8 4.3

13 3.5 6 3.4 7 3.77 1.9 3 1.7 4 2.1

167 --- 95 --- 72 ---

Female White Black and OtherSELECTED CAUSESOF DEATH

Total Male

MADISON 2018 HEALTH PROFILE (Continued)

MORTALITY All Races White Black and Other

Rate per 1,000 Population

Measurements based on small denominators should be used with caution. Rates and ratios based on a denominator of less than 50 births or 1,000 population are shaded. Estimated pregnancies are the sum of births, induced terminations of pregnancy (abortions) and estimated total fetal losses. Estimated total fetal losses are equal to the sum of 20 percent of births and 10 percent of induced terminations of pregnancy. The total fertility rate is the sum of age-specific birth rates multiplied by the width of the intervals, i.e. five years. A total fertility rate of 2,100 births per 1,000 females aged 10-49 years would maintain the current population. Estimated populations are from the U.S. Census Bureau. See Appendix B for other definitions and formulas.

Prostate (male)PancreasLeukemiasNon-Hodgkin's LymphomasOvary (female)

EsophagusMelanoma of SkinOther

Rates are per 100,000 population in specified categories.

HIV Disease

DEATHS BY AGE GROUP

Age Group

Male Female

All Ages Ages 19 and UnderACCIDENTAL DEATHS

Breast (female)

StomachUterus and Cervix (female)

Brain and Other Nervous System

Total

All CancersTrachea, Bronchus, Lung, PleuraColorectal

SELECTED CANCER SITE DEATHS

94 ADPH|CHS County Profile (2018)

Page 100: health department quality Vital Statistics

Number Rate Number RateEstimated Pregnancies 275 80.3 26 22.4Births 200 10.5 19 16.3Induced Terminations of Pregnancy 32 9.3 3 2.6Estimated Total Fetal Losses 43 --- 4 ---Birth rates are per 1,000 population.

Total 10-14 15-17 18-19 20+All Births 200 0 14 181 Rate 10.5 0.0 62.3 51.5White 83 0 4 77 Rate 9.3 0.0 43.5 53.1

19,066 Black and Other 117 0 10 104200 Rate 11.6 0.0 75.3 50.3302

41.8 Births with unknown age of mother are included in the age group "20+".

Life Expectancy at BirthTotal Fertility Rate per 1,000 Females Aged 10-49 Number Percent Number Percent

82 Births to Unmarried Women 131 65.5 17 89.5 47 Low Weight Births 30 15.0 2 10.5

Multiple Births 10 5.0 0 0.0Medicaid Births 104 52.0 11 57.9

White WhiteInfant Deaths 0 0 0 Rate per 1,000 Births 0.0 0.0 0.0Postneonatal Deaths 0 0 0 Rate per 1,000 Births 0.0 0.0 0.0Neonatal Deaths 0 0 0 Rate per 1,000 Births 0.0 0.0 0.0

Total Male Female Total Male Female Total Male FemaleTotal 19,066 8,933 10,133 8,939 4,324 4,615 10,127 4,609 5,518

0-4 1,209 585 624 481 220 261 728 365 3635-9 1,155 553 602 518 239 279 637 314 32310-14 1,228 625 603 511 272 239 717 353 36415-44 6,637 3,208 3,429 2,893 1,455 1,438 3,744 1,753 1,99145-64 5,100 2,347 2,753 2,399 1,212 1,187 2,701 1,135 1,56665-84 3,227 1,454 1,773 1,827 818 1,009 1,400 636 76485+ 510 161 349 310 108 202 200 53 147

0.00

0

Rates are per 1,000 females in specified age group.

Females Aged 10-19

LIVE BIRTHS

SUMMARY

Median Age

71.0

1,744.5

Percentages are of all births with known status for females in specified age group.

Females Aged 15-44

Marriages IssuedDivorces Granted

BirthsDeaths

Total Population15.1

PREGNANCY/NATALITY

Females Aged 10-19

514.8

Females Aged 15-44

BIRTHS BY AGE GROUP OF MOTHER

214.5

Estimated pregnancy and induced termination of pregnancy rates are per 1,000 females in specified age group.

3

All Races White Black and Other

2018 ESTIMATED POPULATIONS BY AGE GROUP, RACE AND SEX

Age Group

0.00

0.0

All Races Black and Other

0.00

*Infant deaths are by race of child; births are by race of mother.

INFANT RELATED MORTALITY BY RACE* AND AGE GROUP OF MOTHER

All Ages Ages 10-19All Races

0.00

0

0.0

00.0

0

Black and Other

0.0

0.0

0

MARENGO 2018 HEALTH PROFILE

95 ADPH|CHS County Profile (2018)

Page 101: health department quality Vital Statistics

Total Male Female Total Male Female Total Male FemaleDeaths 302 149 153 151 74 77 151 75 76

15.8 16.7 15.1 16.6 17.1 16.7 14.9 16.3 13.8

Number Rate Number Rate Number Rate Number Rate Number RateHeart Disease 96 503.5 48 537.3 48 473.7 39 429.4 57 562.9Cancer 60 314.7 33 369.4 27 266.5 28 308.3 32 316.0Stroke 13 68.2 5 56.0 8 78.9 8 88.1 5 49.4Accidents 17 89.2 9 100.8 8 78.9 7 77.1 10 98.7CLRD* 9 47.2 6 67.2 3 29.6 9 99.1 0 0.0Diabetes 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0Influenza and Pneumonia 13 68.2 8 89.6 5 49.3 6 66.1 7 69.1Alzheimer's Disease 11 57.7 3 33.6 8 78.9 10 110.1 1 9.9Suicide 2 10.5 1 11.2 1 9.9 1 11.0 1 9.9Homicide 1 5.2 1 11.2 0 0.0 0 0.0 1 9.9

1 5.2 0 0.0 1 9.9 0 0.0 1 9.9Rates are per 100,000 population in specified categories. *CLRD is known as Chronic Lower Respiratory Disease.

Number Rate Number RateAll Accidents 17 89.2 3 63.2 Number Rate

Motor Vehicle 8 42.0 2 42.2 Total 302 15.8Suffocation 1 5.2 0 0.0 0 - 14 2 0.6Poisoning 2 10.5 0 0.0 15 - 44 26 3.9Smoke, Fire and Flames 2 10.5 1 21.1 45 - 64 68 13.3Falls 2 10.5 0 0.0 65 - 84 135 41.8Drowning 0 0.0 0 0.0 85 + 71 139.2Firearms 0 0.0 0 0.0 Rates are per 1,000 population in specified age group.Other Accidents 2 --- 0 ---

Rates are per 100,000 population in specified categories.

Number Rate Number Rate Number Rate60 314.7 33 369.4 27 266.55 26.2 1 11.2 4 39.59 47.2 5 56.0 4 39.54 21.0 ... … 4 39.51 5.2 1 11.2 … …5 26.2 3 33.6 2 19.74 21.0 3 33.6 1 9.92 10.5 2 22.4 0 0.00 0.0 … … 0 0.03 15.7 2 22.4 1 9.90 0.0 0 0.0 0 0.02 10.5 … … 2 19.71 5.2 1 11.2 0 0.01 5.2 0 0.0 1 9.9

23 --- 15 --- 8 ---

Measurements based on small denominators should be used with caution. Rates and ratios based on a denominator of less than 50 births or 1,000 population are shaded. Estimated pregnancies are the sum of births, induced terminations of pregnancy (abortions) and estimated total fetal losses. Estimated total fetal losses are equal to the sum of 20 percent of births and 10 percent of induced terminations of pregnancy. The total fertility rate is the sum of age-specific birth rates multiplied by the width of the intervals, i.e. five years. A total fertility rate of 2,100 births per 1,000 females aged 10-49 years would maintain the current population. Estimated populations are from the U.S. Census Bureau. See Appendix B for other definitions and formulas.

Uterus and Cervix (female)EsophagusMelanoma of SkinOther

PancreasLeukemiasNon-Hodgkin's LymphomasOvary (female)

Prostate (male)

Brain and Other Nervous System

Rates are per 100,000 population in specified categories.

Stomach

MARENGO 2018 HEALTH PROFILE (Continued)

SELECTED CAUSESOF DEATH

Total

MORTALITY All Races White Black and Other

Rate per 1,000 Population

Black and OtherMale Female White

HIV Disease

ACCIDENTAL DEATHS All Ages

Trachea, Bronchus, Lung, PleuraColorectal

All Cancers

Breast (female)

SELECTED CANCER SITE DEATHS FemaleTotal Male

DEATHS BY AGE GROUP

Age Group

Ages 19 and Under

96 ADPH|CHS County Profile (2018)

Page 102: health department quality Vital Statistics

Number Rate Number RateEstimated Pregnancies 399 79.8 36 21.5Births 319 10.7 29 17.4Induced Terminations of Pregnancy 15 3.0 1 0.6Estimated Total Fetal Losses 65 --- 6 ---Birth rates are per 1,000 population.

Total 10-14 15-17 18-19 20+All Births 319 0 26 290 Rate 10.7 0.0 77.4 56.2White 303 0 24 276 Rate 10.8 0.0 76.8 56.5

29,763 Black and Other 16 0 2 14319 Rate 9.0 0.0 84.7 51.5423

44.3 Births with unknown age of mother are included in the age group "20+".

Life Expectancy at BirthTotal Fertility Rate per 1,000 Females Aged 10-49 Number Percent Number Percent

502 Births to Unmarried Women 120 37.6 19 65.5119 Low Weight Births 37 11.6 5 17.2

Multiple Births 12 3.8 2 6.9Medicaid Births 180 56.4 25 86.2

White WhiteInfant Deaths 5 5 0 Rate per 1,000 Births 15.7 16.5 0.0Postneonatal Deaths 2 2 0 Rate per 1,000 Births 6.3 6.6 0.0Neonatal Deaths 3 3 0 Rate per 1,000 Births 9.4 9.9 0.0

Total Male Female Total Male Female Total Male FemaleTotal 29,763 14,686 15,077 27,986 13,705 14,281 1,777 981 796

0-4 1,597 815 782 1,458 745 713 139 70 695-9 1,635 848 787 1,500 777 723 135 71 6410-14 1,790 959 831 1,693 910 783 97 49 4815-44 10,107 5,102 5,005 9,404 4,685 4,719 703 417 28645-64 8,313 4,181 4,132 7,853 3,917 3,936 460 264 19665-84 5,620 2,551 3,069 5,403 2,453 2,950 217 98 11985+ 701 230 471 675 218 457 26 12 14

0

LIVE BIRTHS

Females Aged 15-44

All Ages Ages 10-19

Females Aged 10-19

All Races0

INFANT RELATED MORTALITY BY RACE* AND AGE GROUP OF MOTHER

PREGNANCY/NATALITY

Females Aged 15-44

Estimated pregnancy and induced termination of pregnancy rates are per 1,000 females in specified age group.

36.0

36.4

00.0

Rates are per 1,000 females in specified age group.BirthsDeaths

Total Population

SUMMARY

Median Age

74.1

Marriages IssuedDivorces Granted

0.00

2018 ESTIMATED POPULATIONS BY AGE GROUP, RACE AND SEX

*Infant deaths are by race of child; births are by race of mother.

00.0

All Races White Black and Other

0.00

0.0

1,953.5

Age Group

0.00

Females Aged 10-19

0.0

Black and Other Black and Other0

0.0

All Races

BIRTHS BY AGE GROUP OF MOTHER

00.0

00.0

MARION 2018 HEALTH PROFILE

97 ADPH|CHS County Profile (2018)

Percentages are of all births with known status for females in specified age group.

Page 103: health department quality Vital Statistics

Total Male Female Total Male Female Total Male FemaleDeaths 423 214 209 410 207 203 13 7 6

14.2 14.6 13.9 14.6 15.1 14.2 7.3 7.1 7.5

Number Rate Number Rate Number Rate Number Rate Number RateHeart Disease 120 403.2 66 449.4 54 358.2 116 413.6 4 225.1Cancer 85 285.6 44 299.6 41 271.9 84 299.5 1 56.3Stroke 20 67.2 6 40.9 14 92.9 19 67.7 1 56.3Accidents 16 53.8 11 74.9 5 33.2 16 57.0 0 0.0CLRD* 35 117.6 19 129.4 16 106.1 34 121.2 1 56.3Diabetes 5 16.8 2 13.6 3 19.9 4 14.3 1 56.3Influenza and Pneumonia 9 30.2 3 20.4 6 39.8 9 32.1 0 0.0Alzheimer's Disease 6 20.2 4 27.2 2 13.3 6 21.4 0 0.0Suicide 9 30.2 6 40.9 3 19.9 9 32.1 0 0.0Homicide 1 3.4 1 6.8 0 0.0 0 0.0 1 56.3

0 0.0 0 0.0 0 0.0 0 0.0 0 0.0Rates are per 100,000 population in specified categories. *CLRD is known as Chronic Lower Respiratory Disease.

Number Rate Number RateAll Accidents 16 53.8 0 0.0 Number Rate

Motor Vehicle 5 16.8 0 0.0 Total 423 14.2Suffocation 1 3.4 0 0.0 0 - 14 6 1.2Poisoning 0 0.0 0 0.0 15 - 44 20 2.0Smoke, Fire and Flames 0 0.0 0 0.0 45 - 64 90 10.8Falls 4 13.4 0 0.0 65 - 84 228 40.6Drowning 0 0.0 0 0.0 85 + 79 112.7Firearms 1 3.4 0 0.0 Rates are per 1,000 population in specified age group.Other Accidents 5 --- 0 ---

Rates are per 100,000 population in specified categories.

Number Rate Number Rate Number Rate85 285.6 44 299.6 41 271.919 63.8 11 74.9 8 53.111 37.0 6 40.9 5 33.29 30.2 ... … 9 59.75 16.8 5 34.0 … …4 13.4 2 13.6 2 13.35 16.8 2 13.6 3 19.95 16.8 1 6.8 4 26.53 10.1 … … 3 19.94 13.4 4 27.2 0 0.01 3.4 1 6.8 0 0.00 0.0 … … 0 0.01 3.4 1 6.8 0 0.01 3.4 0 0.0 1 6.6

17 --- 11 --- 6 ---

SELECTED CANCER SITE DEATHS

All CancersTrachea, Bronchus, Lung, PleuraColorectal

Ages 19 and UnderAll Ages

HIV Disease

ACCIDENTAL DEATHS

Measurements based on small denominators should be used with caution. Rates and ratios based on a denominator of less than 50 births or 1,000 population are shaded. Estimated pregnancies are the sum of births, induced terminations of pregnancy (abortions) and estimated total fetal losses. Estimated total fetal losses are equal to the sum of 20 percent of births and 10 percent of induced terminations of pregnancy. The total fertility rate is the sum of age-specific birth rates multiplied by the width of the intervals, i.e. five years. A total fertility rate of 2,100 births per 1,000 females aged 10-49 years would maintain the current population. Estimated populations are from the U.S. Census Bureau. See Appendix B for other definitions and formulas.

FemaleTotal

MARION 2018 HEALTH PROFILE (Continued)

SELECTED CAUSESOF DEATH

Melanoma of SkinOther

Esophagus

Male Female

MORTALITY All Races White

White

Black and Other

DEATHS BY AGE GROUP

Leukemias

Uterus and Cervix (female)

Non-Hodgkin's LymphomasOvary (female)Brain and Other Nervous SystemStomach

Total

Breast (female)Prostate (male)Pancreas

Rate per 1,000 Population

Rates are per 100,000 population in specified categories.

Black and Other

Age Group

Male

98 ADPH|CHS County Profile (2018)

Page 104: health department quality Vital Statistics

Number Rate Number RateEstimated Pregnancies 1,736 102.1 179 28.8Births 1,383 14.4 140 22.5Induced Terminations of Pregnancy 69 4.1 10 1.6Estimated Total Fetal Losses 284 --- 29 ---Birth rates are per 1,000 population.

Total 10-14 15-17 18-19 20+All Births 1,383 2 96 1,243 Rate 14.4 0.6 82.1 72.2White 1,297 2 90 1,166 Rate 14.5 0.7 84.0 72.6

96,109 Black and Other 86 0 6 771,383 Rate 12.8 0.0 60.5 66.61,19238.9 Births with unknown age of mother are included in the age group "20+".

Life Expectancy at BirthTotal Fertility Rate per 1,000 Females Aged 10-49 Number Percent Number Percent

654 Births to Unmarried Women 588 42.5 113 80.7495 Low Weight Births 124 9.0 17 12.1

Multiple Births 44 3.2 2 1.4Medicaid Births 867 62.7 116 82.9

White WhiteInfant Deaths 3 2 0 0 Rate per 1,000 Births 2.2 1.5 0.0 0.0Postneonatal Deaths 1 1 0 0 Rate per 1,000 Births 0.7 0.8 0.0 0.0Neonatal Deaths 2 1 0 0 Rate per 1,000 Births 1.4 0.8 0.0 0.0

Total Male Female Total Male Female Total Male FemaleTotal 96,109 47,502 48,607 89,384 43,871 45,513 6,725 3,631 3,094

0-4 6,769 3,447 3,322 6,078 3,122 2,956 691 325 3665-9 6,433 3,321 3,112 5,823 2,994 2,829 610 327 28310-14 6,853 3,567 3,286 6,228 3,227 3,001 625 340 28515-44 34,775 17,777 16,998 31,988 16,153 15,835 2,787 1,624 1,16345-64 24,904 12,311 12,593 23,444 11,542 11,902 1,460 769 69165-84 14,696 6,528 8,168 14,200 6,304 7,896 496 224 27285+ 1,679 551 1,128 1,623 529 1,094 56 22 34

Total Population

Marriages IssuedDivorces Granted

BirthsDeathsMedian Age

SUMMARY

4223.9

3924.3

PREGNANCY/NATALITY

Females Aged 15-44

BIRTHS BY AGE GROUP OF MOTHER

Females Aged 10-19

0.0

INFANT RELATED MORTALITY BY RACE* AND AGE GROUP OF MOTHER

All Races0

75.1

2,451.0

LIVE BIRTHS

Females Aged 15-44

Rates are per 1,000 females in specified age group.

00.0

Estimated pregnancy and induced termination of pregnancy rates are per 1,000 females in specified age group.

320.2

00.0

111.6

All RacesAll Ages Ages 10-19

Black and Other Black and Other

Percentages are of all births with known status for females in specified age group.

1

All Races White Black and OtherAge Group

2018 ESTIMATED POPULATIONS BY AGE GROUP, RACE AND SEX

Females Aged 10-19

*Infant deaths are by race of child; births are by race of mother.

00.011.6

MARSHALL 2018 HEALTH PROFILE

99 ADPH|CHS County Profile (2018)

Page 105: health department quality Vital Statistics

Total Male Female Total Male Female Total Male FemaleDeaths 1,192 605 587 1,172 591 581 20 14 6

12.4 12.7 12.1 13.2 13.5 12.8 3.0 3.9 1.9

Number Rate Number Rate Number Rate Number Rate Number RateHeart Disease 267 277.8 156 328.4 111 228.4 261 293.5 6 89.2Cancer 207 215.4 121 254.7 86 176.9 203 228.2 4 59.5Stroke 63 65.6 31 65.3 32 65.8 61 68.6 2 29.7Accidents 62 64.5 30 63.2 32 65.8 60 67.5 2 29.7CLRD* 107 111.3 42 88.4 65 133.7 107 120.3 0 0.0Diabetes 23 23.9 15 31.6 8 16.5 23 25.9 0 0.0Influenza and Pneumonia 40 41.6 22 46.3 18 37.0 39 43.8 1 14.9Alzheimer's Disease 76 79.1 21 44.2 55 113.2 76 85.5 0 0.0Suicide 17 17.7 9 18.9 8 16.5 15 16.9 2 29.7Homicide 4 4.2 2 4.2 2 4.1 4 4.5 0 0.0

0 0.0 0 0.0 0 0.0 0 0.0 0 0.0Rates are per 100,000 population in specified categories. *CLRD is known as Chronic Lower Respiratory Disease.

Number Rate Number RateAll Accidents 62 64.5 4 15.3 Number Rate

Motor Vehicle 21 21.9 2 7.7 Total 1,192 12.4Suffocation 9 9.4 0 0.0 0 - 14 7 0.3Poisoning 16 16.6 1 3.8 15 - 44 50 1.4Smoke, Fire and Flames 3 3.1 1 3.8 45 - 64 255 10.2Falls 7 7.3 0 0.0 65 - 84 603 41.0Drowning 0 0.0 0 0.0 85 + 277 165.0Firearms 1 1.0 0 0.0 Rates are per 1,000 population in specified age group.Other Accidents 5 --- 0 ---

Rates are per 100,000 population in specified categories.

Number Rate Number Rate Number Rate207 215.4 121 254.7 86 176.973 76.0 41 86.3 32 65.818 18.7 9 18.9 9 18.59 9.4 ... … 9 18.5

11 11.4 11 23.2 … …10 10.4 6 12.6 4 8.27 7.3 4 8.4 3 6.24 4.2 4 8.4 0 0.05 5.2 … … 5 10.36 6.2 4 8.4 2 4.13 3.1 1 2.1 2 4.12 2.1 … … 2 4.15 5.2 3 6.3 2 4.12 2.1 1 2.1 1 2.1

52 --- 37 --- 15 ---

MARSHALL 2018 HEALTH PROFILE (Continued)

SELECTED CAUSESOF DEATH

Total Male Female

MORTALITY All Races

FemaleTotalSELECTED CANCER SITE DEATHS Male

Age Group

Ages 19 and UnderAll AgesACCIDENTAL DEATHS

White Black and Other

Rate per 1,000 Population

White Black and Other

HIV Disease

DEATHS BY AGE GROUP

Leukemias

Uterus and Cervix (female)

Breast (female)Prostate (male)Pancreas

Non-Hodgkin's LymphomasOvary (female)

Measurements based on small denominators should be used with caution. Rates and ratios based on a denominator of less than 50 births or 1,000 population are shaded. Estimated pregnancies are the sum of births, induced terminations of pregnancy (abortions) and estimated total fetal losses. Estimated total fetal losses are equal to the sum of 20 percent of births and 10 percent of induced terminations of pregnancy. The total fertility rate is the sum of age-specific birth rates multiplied by the width of the intervals, i.e. five years. A total fertility rate of 2,100 births per 1,000 females aged 10-49 years would maintain the current population. Estimated populations are from the U.S. Census Bureau. See Appendix B for other definitions and formulas.

EsophagusMelanoma of Skin

All Cancers

Stomach

Trachea, Bronchus, Lung, Pleura

Brain and Other Nervous System

OtherRates are per 100,000 population in specified categories.

Colorectal

100 ADPH|CHS County Profile (2018)

Page 106: health department quality Vital Statistics

Number Rate Number RateEstimated Pregnancies 7,134 85.9 508 19.3Births 5,548 13.4 385 14.6Induced Terminations of Pregnancy 433 5.2 42 1.6Estimated Total Fetal Losses 1,153 --- 81 ---Birth rates are per 1,000 population.

Total 10-14 15-17 18-19 20+All Births 5,548 5 104 276 5,163 Rate 13.4 0.4 13.2 52.4 62.2White 2,912 0 36 126 2,750 Rate 11.9 0.0 8.6 45.1 59.5

413,757 Black and Other 2,636 5 68 150 2,4135,548 Rate 15.6 0.8 18.3 60.7 65.64,49438.0 Births with unknown age of mother are included in the age group "20+".

Life Expectancy at BirthTotal Fertility Rate per 1,000 Females Aged 10-49 Number Percent Number Percent

2,921 Births to Unmarried Women 3,156 56.9 369 95.81,502 Low Weight Births 722 13.0 51 13.2

Multiple Births 205 3.7 7 1.8Medicaid Births 3,244 58.5 322 83.6

White WhiteInfant Deaths 50 18 5 2 Rate per 1,000 Births 9.0 6.2 13.0 12.3Postneonatal Deaths 20 10 1 0 Rate per 1,000 Births 3.6 3.4 2.6 0.0Neonatal Deaths 30 8 4 2 Rate per 1,000 Births 5.4 2.7 10.4 12.3

Total Male Female Total Male Female Total Male FemaleTotal 413,757 197,077 216,680 244,947 119,220 125,727 168,810 77,857 90,953

0-4 26,937 13,532 13,405 13,865 7,004 6,861 13,072 6,528 6,5445-9 26,470 13,369 13,101 13,761 6,971 6,790 12,709 6,398 6,31110-14 26,929 13,786 13,143 14,091 7,213 6,878 12,838 6,573 6,26515-44 160,845 77,815 83,030 90,535 45,197 45,338 70,310 32,618 37,69245-64 105,535 49,720 55,815 65,929 32,170 33,759 39,606 17,550 22,05665-84 59,803 26,466 33,337 41,453 18,838 22,615 18,350 7,628 10,72285+ 7,238 2,389 4,849 5,313 1,827 3,486 1,925 562 1,363

All Races

INFANT RELATED MORTALITY BY RACE* AND AGE GROUP OF MOTHER

Percentages are of all births with known status for females in specified age group.

Marriages IssuedDivorces Granted

Deaths

29.0

All Ages Ages 10-19Black and Other Black and OtherAll Races

312.1

Females Aged 10-19

Estimated pregnancy and induced termination of pregnancy rates are per 1,000 females in specified age group.

Females Aged 15-44

Females Aged 15-44

LIVE BIRTHS

SUMMARY

Median Age

75.0

1,930.0

PREGNANCY/NATALITY

BirthsTotal Population

*Infant deaths are by race of child; births are by race of mother.

2018 ESTIMATED POPULATIONS BY AGE GROUP, RACE AND SEX

All Races White Black and Other

103.822

Age Group

8.3

13.51

Rates are per 1,000 females in specified age group.

BIRTHS BY AGE GROUP OF MOTHER

Females Aged 10-19

4.5

32

MOBILE 2018 HEALTH PROFILE

101 ADPH|CHS County Profile (2018)

Page 107: health department quality Vital Statistics

Total Male Female Total Male Female Total Male FemaleDeaths 4,494 2,289 2,205 2,925 1,476 1,449 1,569 813 756

10.9 11.6 10.2 11.9 12.4 11.5 9.3 10.4 8.3

Number Rate Number Rate Number Rate Number Rate Number RateHeart Disease 1,147 277.2 634 321.7 513 236.8 727 295.7 420 248.8Cancer 925 223.6 482 244.6 443 204.4 616 250.6 309 183.0Stroke 263 63.6 104 52.8 159 73.4 159 64.7 104 61.6Accidents 213 51.5 138 70.0 75 34.6 142 57.8 71 42.1CLRD* 258 62.4 118 59.9 140 64.6 211 85.8 47 27.8Diabetes 87 21.0 43 21.8 44 20.3 45 18.3 42 24.9Influenza and Pneumonia 108 26.1 53 26.9 55 25.4 78 31.7 30 17.8Alzheimer's Disease 159 38.4 37 18.8 122 56.3 112 45.6 47 27.8Suicide 62 15.0 52 26.4 10 4.6 52 21.2 10 5.9Homicide 57 13.8 48 24.4 9 4.2 10 4.1 47 27.8

10 2.4 6 3.0 4 1.8 3 1.2 7 4.1Rates are per 100,000 population in specified categories. *CLRD is known as Chronic Lower Respiratory Disease.

Number Rate Number RateAll Accidents 213 51.5 15 14.0 Number Rate

Motor Vehicle 86 20.8 9 8.4 Total 4,494 10.9Suffocation 13 3.1 2 1.9 0 - 14 68 0.8Poisoning 55 13.3 1 0.9 15 - 44 327 2.0Smoke, Fire and Flames 8 1.9 2 1.9 45 - 64 1,033 9.8Falls 25 6.0 0 0.0 65 - 84 2,083 34.8Drowning 7 1.7 1 0.9 85 + 983 135.8Firearms 0 0.0 0 0.0 Rates are per 1,000 population in specified age group.Other Accidents 19 --- 0 ---

Rates are per 100,000 population in specified categories.

Number Rate Number Rate Number Rate925 223.6 482 244.6 443 204.4269 65.0 153 77.6 116 53.574 17.9 39 19.8 35 16.273 17.6 ... … 73 33.729 7.0 29 14.7 … …71 17.2 39 19.8 32 14.842 10.2 21 10.7 21 9.719 4.6 7 3.6 12 5.518 4.4 … … 18 8.326 6.3 16 8.1 10 4.618 4.4 10 5.1 8 3.710 2.4 … … 10 4.622 5.3 16 8.1 6 2.819 4.6 10 5.1 9 4.2

235 --- 142 --- 93 ---

ACCIDENTAL DEATHS All Ages

Age Group

SELECTED CANCER SITE DEATHS

All Cancers

Breast (female)Prostate (male)PancreasLeukemiasNon-Hodgkin's Lymphomas

FemaleTotal Male

Trachea, Bronchus, Lung, PleuraColorectal

MOBILE 2018 HEALTH PROFILE (Continued)

SELECTED CAUSESOF DEATH

Total Male Female White Black and Other

Black and OtherMORTALITY All Races White

Melanoma of SkinOther

Measurements based on small denominators should be used with caution. Rates and ratios based on a denominator of less than 50 births or 1,000 population are shaded. Estimated pregnancies are the sum of births, induced terminations of pregnancy (abortions) and estimated total fetal losses. Estimated total fetal losses are equal to the sum of 20 percent of births and 10 percent of induced terminations of pregnancy. The total fertility rate is the sum of age-specific birth rates multiplied by the width of the intervals, i.e. five years. A total fertility rate of 2,100 births per 1,000 females aged 10-49 years would maintain the current population. Estimated populations are from the U.S. Census Bureau. See Appendix B for other definitions and formulas.

StomachUterus and Cervix (female)

Rates are per 100,000 population in specified categories.

Ovary (female)Brain and Other Nervous System

Esophagus

DEATHS BY AGE GROUP

HIV Disease

Rate per 1,000 Population

Ages 19 and Under

102 ADPH|CHS County Profile (2018)

Page 108: health department quality Vital Statistics

Number Rate Number RateEstimated Pregnancies 250 66.9 22 16.6Births 193 9.2 15 11.1Induced Terminations of Pregnancy 17 4.5 4 3.0Estimated Total Fetal Losses 40 --- 3 ---Birth rates are per 1,000 population.

Total 10-14 15-17 18-19 20+All Births 193 2 7 178 Rate 9.2 3.0 26.0 47.5White 99 0 1 97 Rate 8.5 0.0 7.3 52.7

21,067 Black and Other 94 2 6 81193 Rate 9.9 6.2 45.7 42.5297

43.5 Births with unknown age of mother are included in the age group "20+".

Life Expectancy at BirthTotal Fertility Rate per 1,000 Females Aged 10-49 Number Percent Number Percent

144 Births to Unmarried Women 119 62.0 14 93.3 90 Low Weight Births 27 14.0 0 0.0

Multiple Births 6 3.1 0 0.0Medicaid Births 127 66.1 11 73.3

White WhiteInfant Deaths 2 0 0 Rate per 1,000 Births 10.4 0.0 0.0Postneonatal Deaths 1 0 0 Rate per 1,000 Births 5.2 0.0 0.0Neonatal Deaths 1 0 0 Rate per 1,000 Births 5.2 0.0 0.0

Total Male Female Total Male Female Total Male FemaleTotal 21,067 10,005 11,062 11,612 5,698 5,914 9,455 4,307 5,148

0-4 1,105 549 556 504 276 228 601 273 3285-9 1,193 623 570 601 308 293 592 315 27710-14 1,390 713 677 726 373 353 664 340 32415-44 7,199 3,459 3,740 3,667 1,836 1,831 3,532 1,623 1,90945-64 5,905 2,800 3,105 3,363 1,661 1,702 2,542 1,139 1,40365-84 3,708 1,682 2,026 2,378 1,117 1,261 1,330 565 76585+ 567 179 388 373 127 246 194 52 142

Black and Other

1

BIRTHS BY AGE GROUP OF MOTHER

Females Aged 15-44

LIVE BIRTHS

Females Aged 10-19

2018 ESTIMATED POPULATIONS BY AGE GROUP, RACE AND SEX

*Infant deaths are by race of child; births are by race of mother.

21.3

1

PREGNANCY/NATALITY

14.9

Estimated pregnancy and induced termination of pregnancy rates are per 1,000 females in specified age group.

00

6

Rates are per 1,000 females in specified age group.

INFANT RELATED MORTALITY BY RACE* AND AGE GROUP OF MOTHER

All Ages Ages 10-19Black and Other Black and Other

Age Group

10.6

All Races

10.010.6

White

SUMMARY

Median Age

73.4

1,580.5 Females Aged 10-19Females Aged 15-44

4.85

25.4BirthsDeaths

Total Population

All Races

Percentages are of all births with known status for females in specified age group.

0.0

00.0

0.000

0.0

2 00.0

All Races

Marriages IssuedDivorces Granted

MONROE 2018 HEALTH PROFILE

103 ADPH|CHS County Profile (2018)

Page 109: health department quality Vital Statistics

Total Male Female Total Male Female Total Male FemaleDeaths 297 171 126 172 98 74 125 73 52

14.1 17.1 11.4 14.6 17.2 12.5 13.2 16.9 10.1

Number Rate Number Rate Number Rate Number Rate Number RateHeart Disease 61 289.6 32 319.8 29 262.2 36 305.2 25 264.4Cancer 59 280.1 41 409.8 18 162.7 38 322.1 21 222.1Stroke 19 90.2 12 119.9 7 63.3 11 93.3 8 84.6Accidents 12 57.0 6 60.0 6 54.2 7 59.3 5 52.9CLRD* 11 52.2 9 90.0 2 18.1 9 76.3 2 21.2Diabetes 10 47.5 5 50.0 5 45.2 7 59.3 3 31.7Influenza and Pneumonia 5 23.7 3 30.0 2 18.1 1 8.5 4 42.3Alzheimer's Disease 14 66.5 5 50.0 9 81.4 8 67.8 6 63.5Suicide 2 9.5 1 10.0 1 9.0 0 0.0 2 21.2Homicide 6 28.5 5 50.0 1 9.0 0 0.0 6 63.5

0 0.0 0 0.0 0 0.0 0 0.0 0 0.0Rates are per 100,000 population in specified categories. *CLRD is known as Chronic Lower Respiratory Disease.

Number Rate Number RateAll Accidents 12 57.0 1 19.7 Number Rate

Motor Vehicle 7 33.2 1 19.7 Total 297 14.1Suffocation 1 4.7 0 0.0 0 - 14 2 0.5Poisoning 2 9.5 0 0.0 15 - 44 26 3.6Smoke, Fire and Flames 0 0.0 0 0.0 45 - 64 62 10.5Falls 0 0.0 0 0.0 65 - 84 138 37.2Drowning 1 4.7 0 0.0 85 + 69 121.7Firearms 0 0.0 0 0.0 Rates are per 1,000 population in specified age group.Other Accidents 1 --- 0 ---

Rates are per 100,000 population in specified categories.

Number Rate Number Rate Number Rate59 280.1 41 409.8 18 162.714 66.5 8 80.0 6 54.24 19.0 4 40.0 0 0.06 28.5 ... … 6 54.24 19.0 4 40.0 … …4 19.0 3 30.0 1 9.06 28.5 6 60.0 0 0.01 4.7 1 10.0 0 0.00 0.0 … … 0 0.01 4.7 0 0.0 1 9.00 0.0 0 0.0 0 0.01 4.7 … … 1 9.03 14.2 3 30.0 0 0.00 0.0 0 0.0 0 0.0

15 --- 12 --- 3 ---

Measurements based on small denominators should be used with caution. Rates and ratios based on a denominator of less than 50 births or 1,000 population are shaded. Estimated pregnancies are the sum of births, induced terminations of pregnancy (abortions) and estimated total fetal losses. Estimated total fetal losses are equal to the sum of 20 percent of births and 10 percent of induced terminations of pregnancy. The total fertility rate is the sum of age-specific birth rates multiplied by the width of the intervals, i.e. five years. A total fertility rate of 2,100 births per 1,000 females aged 10-49 years would maintain the current population. Estimated populations are from the U.S. Census Bureau. See Appendix B for other definitions and formulas.

Black and Other

DEATHS BY AGE GROUP

Age Group

ACCIDENTAL DEATHS All Ages Ages 19 and Under

Ovary (female)Brain and Other Nervous SystemStomachUterus and Cervix (female)

Female

MONROE 2018 HEALTH PROFILE (Continued)

SELECTED CAUSESOF DEATH

Total

HIV Disease

Rate per 1,000 Population

Male Female

MORTALITY All Races White

White Black and Other

ColorectalTrachea, Bronchus, Lung, Pleura

Total

All Cancers

SELECTED CANCER SITE DEATHS

Rates are per 100,000 population in specified categories.

Melanoma of SkinOther

Esophagus

Breast (female)Prostate (male)PancreasLeukemiasNon-Hodgkin's Lymphomas

Male

104 ADPH|CHS County Profile (2018)

Page 110: health department quality Vital Statistics

Number Rate Number RateEstimated Pregnancies 4,498 95.1 346 24.1Births 3,139 13.9 233 16.2Induced Terminations of Pregnancy 665 14.1 60 4.2Estimated Total Fetal Losses 694 --- 53 ---Birth rates are per 1,000 population.

Total 10-14 15-17 18-19 20+All Births 3,139 1 76 156 2,906 Rate 13.9 0.1 17.6 54.2 61.2White 940 0 18 25 897 Rate 11.6 0.0 15.4 32.1 66.4

225,763 Black and Other 2,199 1 58 131 2,0093,139 Rate 15.2 0.2 18.4 62.5 59.12,10336.7 Births with unknown age of mother are included in the age group "20+".

Life Expectancy at BirthTotal Fertility Rate per 1,000 Females Aged 10-49 Number Percent Number Percent

2,710 Births to Unmarried Women 1,898 60.5 214 91.8805 Low Weight Births 424 13.5 36 15.5

Multiple Births 142 4.5 4 1.7Medicaid Births 1,928 61.4 209 89.7

White WhiteInfant Deaths 29 7 1 0 Rate per 1,000 Births 9.2 7.4 4.3 0.0Postneonatal Deaths 14 1 0 0 Rate per 1,000 Births 4.5 1.1 0.0 0.0Neonatal Deaths 15 6 1 0 Rate per 1,000 Births 4.8 6.4 4.3 0.0

Total Male Female Total Male Female Total Male FemaleTotal 225,763 106,522 119,241 81,145 39,839 41,306 144,618 66,683 77,935

0-4 15,223 7,761 7,462 4,569 2,383 2,186 10,654 5,378 5,2765-9 14,511 7,322 7,189 4,294 2,231 2,063 10,217 5,091 5,12610-14 14,478 7,302 7,176 4,002 2,030 1,972 10,476 5,272 5,20415-44 91,617 44,337 47,280 27,321 14,299 13,022 64,296 30,038 34,25845-64 55,761 25,539 30,222 22,183 10,859 11,324 33,578 14,680 18,89865-84 30,161 12,902 17,259 16,291 7,160 9,131 13,870 5,742 8,12885+ 4,012 1,359 2,653 2,485 877 1,608 1,527 482 1,045

BirthsDeaths

Total Population

Estimated pregnancy and induced termination of pregnancy rates are per 1,000 females in specified age group.

1

Marriages IssuedDivorces Granted

Black and Other Black and OtherAll Ages Ages 10-19

All Races

PREGNANCY/NATALITY

Females Aged 15-44

Percentages are of all births with known status for females in specified age group.

Females Aged 10-19

LIVE BIRTHS

INFANT RELATED MORTALITY BY RACE* AND AGE GROUP OF MOTHER

SUMMARY

Median Age

76.5

1,910.0

All Races White Black and OtherAge Group

All Races

135.9

9

5.30

0.01

5.34.1

2210.0

Females Aged 10-19

BIRTHS BY AGE GROUP OF MOTHER

Females Aged 15-44

Rates are per 1,000 females in specified age group.

2018 ESTIMATED POPULATIONS BY AGE GROUP, RACE AND SEX

*Infant deaths are by race of child; births are by race of mother.

MONTGOMERY 2018 HEALTH PROFILE

105 ADPH|CHS County Profile (2018)

Page 111: health department quality Vital Statistics

Total Male Female Total Male Female Total Male FemaleDeaths 2,103 1,059 1,044 1,008 484 524 1,095 575 520

9.3 9.9 8.8 12.2 12.1 12.7 7.6 8.6 6.7

Number Rate Number Rate Number Rate Number Rate Number RateHeart Disease 421 186.5 218 204.7 203 170.2 204 246.9 217 150.1Cancer 452 200.2 227 213.1 225 188.7 231 279.5 221 152.8Stroke 153 67.8 71 66.7 82 68.8 74 89.5 79 54.6Accidents 86 38.1 59 55.4 27 22.6 40 48.4 46 31.8CLRD* 102 45.2 46 43.2 56 47.0 72 87.1 30 20.7Diabetes 96 42.5 53 49.8 43 36.1 23 27.8 73 50.5Influenza and Pneumonia 36 15.9 13 12.2 23 19.3 22 26.6 14 9.7Alzheimer's Disease 102 45.2 21 19.7 81 67.9 55 66.6 47 32.5Suicide 24 10.6 23 21.6 1 0.8 13 15.7 11 7.6Homicide 44 19.5 37 34.7 7 5.9 2 2.4 42 29.0

10 4.4 8 7.5 2 1.7 2 2.4 8 5.5Rates are per 100,000 population in specified categories. *CLRD is known as Chronic Lower Respiratory Disease.

Number Rate Number RateAll Accidents 86 38.1 12 20.3 Number Rate

Motor Vehicle 38 16.8 9 15.2 Total 2,103 9.3Suffocation 2 0.9 1 1.7 0 - 14 44 1.0Poisoning 20 8.9 1 1.7 15 - 44 179 2.0Smoke, Fire and Flames 2 0.9 0 0.0 45 - 64 464 8.3Falls 6 2.7 0 0.0 65 - 84 874 29.0Drowning 2 0.9 0 0.0 85 + 542 135.1Firearms 2 0.9 1 1.7 Rates are per 1,000 population in specified age group.Other Accidents 14 --- 0 ---

Rates are per 100,000 population in specified categories.

Number Rate Number Rate Number Rate452 200.2 227 213.1 225 188.788 39.0 50 46.9 38 31.946 20.4 22 20.7 24 20.135 15.5 ... … 35 29.432 14.2 32 30.0 … …38 16.8 20 18.8 18 15.114 6.2 9 8.4 5 4.217 7.5 8 7.5 9 7.515 6.6 … … 15 12.69 4.0 6 5.6 3 2.5

10 4.4 5 4.7 5 4.218 8.0 … … 18 15.18 3.5 4 3.8 4 3.45 2.2 4 3.8 1 0.8

117 --- 67 --- 50 ---

Prostate (male)PancreasLeukemiasNon-Hodgkin's LymphomasOvary (female)

DEATHS BY AGE GROUP

Age Group

StomachUterus and Cervix (female)

Brain and Other Nervous System

Breast (female)

Measurements based on small denominators should be used with caution. Rates and ratios based on a denominator of less than 50 births or 1,000 population are shaded. Estimated pregnancies are the sum of births, induced terminations of pregnancy (abortions) and estimated total fetal losses. Estimated total fetal losses are equal to the sum of 20 percent of births and 10 percent of induced terminations of pregnancy. The total fertility rate is the sum of age-specific birth rates multiplied by the width of the intervals, i.e. five years. A total fertility rate of 2,100 births per 1,000 females aged 10-49 years would maintain the current population. Estimated populations are from the U.S. Census Bureau. See Appendix B for other definitions and formulas.

EsophagusMelanoma of SkinOther

Rates are per 100,000 population in specified categories.

Female

HIV Disease

ACCIDENTAL DEATHS All Ages Ages 19 and Under

Total Male

Rate per 1,000 Population

MONTGOMERY 2018 HEALTH PROFILE (Continued)

SELECTED CAUSESOF DEATH

Total Male Female

MORTALITY All Races White Black and Other

White Black and Other

SELECTED CANCER SITE DEATHS

Colorectal

All CancersTrachea, Bronchus, Lung, Pleura

106 ADPH|CHS County Profile (2018)

Page 112: health department quality Vital Statistics

Number Rate Number RateEstimated Pregnancies 1,881 88.7 168 22.6Births 1,432 12.0 128 17.2Induced Terminations of Pregnancy 148 7.0 13 1.7Estimated Total Fetal Losses 301 --- 27 ---Birth rates are per 1,000 population.

Total 10-14 15-17 18-19 20+All Births 1,432 0 99 1,304 Rate 12.0 0.0 69.2 60.5White 1,170 0 78 1,069 Rate 11.9 0.0 69.5 61.9

119,089 Black and Other 262 0 21 2351,432 Rate 12.8 0.0 68.4 54.91,36240.8 Births with unknown age of mother are included in the age group "20+".

Life Expectancy at BirthTotal Fertility Rate per 1,000 Females Aged 10-49 Number Percent Number Percent

846 Births to Unmarried Women 609 42.5 103 80.5502 Low Weight Births 133 9.3 9 7.0

Multiple Births 37 2.6 2 1.6Medicaid Births 753 52.6 105 82.0

White WhiteInfant Deaths 4 2 0 0 Rate per 1,000 Births 2.8 1.7 0.0 0.0Postneonatal Deaths 2 1 0 0 Rate per 1,000 Births 1.4 0.9 0.0 0.0Neonatal Deaths 2 1 0 0 Rate per 1,000 Births 1.4 0.9 0.0 0.0

Total Male Female Total Male Female Total Male FemaleTotal 119,089 58,682 60,407 98,591 48,684 49,907 20,498 9,998 10,500

0-4 7,124 3,648 3,476 5,479 2,793 2,686 1,645 855 7905-9 7,407 3,818 3,589 5,827 2,976 2,851 1,580 842 73810-14 7,864 4,007 3,857 6,226 3,164 3,062 1,638 843 79515-44 43,204 22,007 21,197 34,650 17,803 16,847 8,554 4,204 4,35045-64 32,687 16,103 16,584 27,599 13,643 13,956 5,088 2,460 2,62865-84 18,613 8,337 10,276 16,818 7,598 9,220 1,795 739 1,05685+ 2,190 762 1,428 1,992 707 1,285 198 55 143

3.8*Infant deaths are by race of child; births are by race of mother.

All Races White Black and OtherAge Group

0.0

2018 ESTIMATED POPULATIONS BY AGE GROUP, RACE AND SEX

PREGNANCY/NATALITY

Females Aged 10-19Females Aged 15-44

Percentages are of all births with known status for females in specified age group.

1

Black and Other Black and Other

3.8

27.6

2913.5

Estimated pregnancy and induced termination of pregnancy rates are per 1,000 females in specified age group.

BIRTHS BY AGE GROUP OF MOTHER

Females Aged 15-44

SUMMARY

Median Age

75.8

2,036.0

13.06

13.723

LIVE BIRTHS

Females Aged 10-19

BirthsDeaths

Total Population

00.0

0

00.0

Rates are per 1,000 females in specified age group.

Marriages IssuedDivorces Granted

1

All Races

INFANT RELATED MORTALITY BY RACE* AND AGE GROUP OF MOTHER

All Ages Ages 10-19All Races

MORGAN 2018 HEALTH PROFILE

107 ADPH|CHS County Profile (2018)

Page 113: health department quality Vital Statistics

Total Male Female Total Male Female Total Male FemaleDeaths 1,362 686 676 1,219 617 602 143 69 74

11.4 11.7 11.2 12.4 12.7 12.1 7.0 6.9 7.0

Number Rate Number Rate Number Rate Number Rate Number RateHeart Disease 376 315.7 208 354.5 168 278.1 336 340.6 40 195.1Cancer 258 216.6 137 233.5 121 200.3 229 232.1 29 141.5Stroke 64 53.7 27 46.0 37 61.3 56 56.8 8 39.0Accidents 65 54.6 45 76.7 20 33.1 56 56.8 9 43.9CLRD* 89 74.7 47 80.1 42 69.5 85 86.2 4 19.5Diabetes 13 10.9 8 13.6 5 8.3 10 10.1 3 14.6Influenza and Pneumonia 40 33.6 22 37.5 18 29.8 35 35.5 5 24.4Alzheimer's Disease 70 58.8 16 27.3 54 89.4 65 65.9 5 24.4Suicide 28 23.5 22 37.5 6 9.9 24 24.3 4 19.5Homicide 10 8.4 5 8.5 5 8.3 4 4.1 6 29.3

3 2.5 3 5.1 0 0.0 3 3.0 0 0.0Rates are per 100,000 population in specified categories. *CLRD is known as Chronic Lower Respiratory Disease.

Number Rate Number RateAll Accidents 65 54.6 1 3.4 Number Rate

Motor Vehicle 21 17.6 0 0.0 Total 1,362 11.4Suffocation 1 0.8 0 0.0 0 - 14 6 0.3Poisoning 19 16.0 0 0.0 15 - 44 92 2.1Smoke, Fire and Flames 2 1.7 0 0.0 45 - 64 303 9.3Falls 11 9.2 0 0.0 65 - 84 609 32.7Drowning 2 1.7 1 3.4 85 + 352 160.7Firearms 0 0.0 0 0.0 Rates are per 1,000 population in specified age group.Other Accidents 9 --- 0 ---

Rates are per 100,000 population in specified categories.

Number Rate Number Rate Number Rate258 216.6 137 233.5 121 200.386 72.2 50 85.2 36 59.616 13.4 10 17.0 6 9.918 15.1 ... … 18 29.87 5.9 7 11.9 … …

19 16.0 12 20.4 7 11.615 12.6 9 15.3 6 9.96 5.0 2 3.4 4 6.67 5.9 … … 7 11.66 5.0 5 8.5 1 1.74 3.4 1 1.7 3 5.06 5.0 … … 6 9.97 5.9 5 8.5 2 3.35 4.2 4 6.8 1 1.7

56 --- 32 --- 24 ---

Brain and Other Nervous System

Measurements based on small denominators should be used with caution. Rates and ratios based on a denominator of less than 50 births or 1,000 population are shaded. Estimated pregnancies are the sum of births, induced terminations of pregnancy (abortions) and estimated total fetal losses. Estimated total fetal losses are equal to the sum of 20 percent of births and 10 percent of induced terminations of pregnancy. The total fertility rate is the sum of age-specific birth rates multiplied by the width of the intervals, i.e. five years. A total fertility rate of 2,100 births per 1,000 females aged 10-49 years would maintain the current population. Estimated populations are from the U.S. Census Bureau. See Appendix B for other definitions and formulas.

StomachUterus and Cervix (female)EsophagusMelanoma of SkinOther

Rates are per 100,000 population in specified categories.

MORGAN 2018 HEALTH PROFILE (Continued)

SELECTED CAUSESOF DEATH

Total Male Female

MORTALITY All Races White

White Black and Other

Black and Other

Breast (female)Prostate (male)Pancreas

SELECTED CANCER SITE DEATHS

All CancersTrachea, Bronchus, Lung, PleuraColorectal

Leukemias

HIV Disease

Rate per 1,000 Population

ACCIDENTAL DEATHS All Ages DEATHS BY AGE GROUP

Age Group

FemaleTotal Male

Ages 19 and Under

Non-Hodgkin's LymphomasOvary (female)

108 ADPH|CHS County Profile (2018)

Page 114: health department quality Vital Statistics

Number Rate Number RateEstimated Pregnancies 132 70.9 12 17.3Births 91 10.0 7 10.4Induced Terminations of Pregnancy 21 11.3 3 4.4Estimated Total Fetal Losses 20 --- 2 ---Birth rates are per 1,000 population.

Total 10-14 15-17 18-19 20+All Births 91 1 4 84 Rate 10.0 3.8 24.3 48.6White 26 0 0 26 Rate 9.3 0.0 0.0 56.4

9,140 Black and Other 65 1 4 5891 Rate 10.2 4.4 39.1 45.8

11638.3 Births with unknown age of mother are included in the age group "20+".

Life Expectancy at BirthTotal Fertility Rate per 1,000 Females Aged 10-49 Number Percent Number Percent

55 Births to Unmarried Women 68 74.7 7 100.0 15 Low Weight Births 13 14.3 1 14.3

Multiple Births 4 4.4 0 0.0Medicaid Births 63 69.2 5 71.4

White WhiteInfant Deaths 0 0 0 Rate per 1,000 Births 0.0 0.0 ---Postneonatal Deaths 0 0 0 Rate per 1,000 Births 0.0 0.0 ---Neonatal Deaths 0 0 0 Rate per 1,000 Births 0.0 0.0 ---

Total Male Female Total Male Female Total Male FemaleTotal 9,140 4,281 4,859 2,791 1,370 1,421 6,349 2,911 3,438

0-4 500 281 219 114 70 44 386 211 1755-9 532 265 267 93 45 48 439 220 21910-14 551 287 264 87 50 37 464 237 22715-44 3,600 1,735 1,865 1,088 545 543 2,512 1,190 1,32245-64 2,183 998 1,185 655 334 321 1,528 664 86465-84 1,539 648 891 654 295 359 885 353 53285+ 235 67 168 100 31 69 135 36 99

Rates are per 1,000 females in specified age group.

PREGNANCY/NATALITY

213.0

Females Aged 10-19Females Aged 15-44

8.12

BIRTHS BY AGE GROUP OF MOTHER

Estimated pregnancy and induced termination of pregnancy rates are per 1,000 females in specified age group.

00.0

SUMMARY

1,517.5

Median Age

74.0

BirthsDeaths

Total Population

LIVE BIRTHS

Percentages are of all births with known status for females in specified age group.

Females Aged 10-19

Marriages IssuedDivorces Granted

*Infant deaths are by race of child; births are by race of mother.

Black and Other Black and Other

INFANT RELATED MORTALITY BY RACE* AND AGE GROUP OF MOTHER

All Ages Ages 10-19All Races

0

0

0.00

0.00

All Races

0.0

00.0

00.0

0.0 0.0

00.0

00.0

0

Females Aged 15-44

All Races White Black and Other

2018 ESTIMATED POPULATIONS BY AGE GROUP, RACE AND SEX

Age Group

PERRY 2018HEALTH PROFILE

109 ADPH|CHS County Profile (2018)

Page 115: health department quality Vital Statistics

Total Male Female Total Male Female Total Male FemaleDeaths 116 61 55 39 21 18 77 40 37

12.7 14.2 11.3 13.5 15.3 12.7 12.1 13.7 10.8

Number Rate Number Rate Number Rate Number Rate Number RateHeart Disease 35 382.9 18 420.5 17 349.9 11 380.0 24 378.0Cancer 24 262.6 14 327.0 10 205.8 7 241.8 17 267.8Stroke 3 32.8 1 23.4 2 41.2 1 34.5 2 31.5Accidents 6 65.6 3 70.1 3 61.7 2 69.1 4 63.0CLRD* 3 32.8 1 23.4 2 41.2 2 69.1 1 15.8Diabetes 2 21.9 1 23.4 1 20.6 0 0.0 2 31.5Influenza and Pneumonia 6 65.6 3 70.1 3 61.7 4 138.2 2 31.5Alzheimer's Disease 1 10.9 0 0.0 1 20.6 1 34.5 0 0.0Suicide 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0Homicide 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 0 0.0Rates are per 100,000 population in specified categories. *CLRD is known as Chronic Lower Respiratory Disease.

Number Rate Number RateAll Accidents 6 65.6 1 40.3 Number Rate

Motor Vehicle 4 43.8 1 40.3 Total 116 12.7Suffocation 0 0.0 0 0.0 0 - 14 3 1.9Poisoning 0 0.0 0 0.0 15 - 44 6 1.7Smoke, Fire and Flames 0 0.0 0 0.0 45 - 64 24 11.0Falls 1 10.9 0 0.0 65 - 84 54 35.1Drowning 0 0.0 0 0.0 85 + 29 123.4Firearms 0 0.0 0 0.0 Rates are per 1,000 population in specified age group.Other Accidents 1 --- 0 ---

Rates are per 100,000 population in specified categories.

Number Rate Number Rate Number Rate24 262.6 14 327.0 10 205.82 21.9 1 23.4 1 20.65 54.7 1 23.4 4 82.31 10.9 ... … 1 20.63 32.8 3 70.1 … …2 21.9 2 46.7 0 0.00 0.0 0 0.0 0 0.00 0.0 0 0.0 0 0.00 0.0 … … 0 0.01 10.9 0 0.0 1 20.61 10.9 1 23.4 0 0.00 0.0 … … 0 0.00 0.0 0 0.0 0 0.00 0.0 0 0.0 0 0.09 --- 6 --- 3 ---

Brain and Other Nervous System

All CancersTrachea, Bronchus, Lung, PleuraColorectalBreast (female)

PancreasLeukemiasNon-Hodgkin's LymphomasOvary (female)

Prostate (male)

Black and Other

HIV Disease

Rate per 1,000 Population

PERRY 2018 HEALTH PROFILE (Continued)

SELECTED CAUSESOF DEATH

Total Male

MORTALITY All Races

Black and Other

White

DEATHS BY AGE GROUPACCIDENTAL DEATHS

Female White

SELECTED CANCER SITE DEATHS Total FemaleMale

Age Group

All Ages Ages 19 and Under

Measurements based on small denominators should be used with caution. Rates and ratios based on a denominator of less than 50 births or 1,000 population are shaded. Estimated pregnancies are the sum of births, induced terminations of pregnancy (abortions) and estimated total fetal losses. Estimated total fetal losses are equal to the sum of 20 percent of births and 10 percent of induced terminations of pregnancy. The total fertility rate is the sum of age-specific birth rates multiplied by the width of the intervals, i.e. five years. A total fertility rate of 2,100 births per 1,000 females aged 10-49 years would maintain the current population. Estimated populations are from the U.S. Census Bureau. See Appendix B for other definitions and formulas.

StomachUterus and Cervix (female)EsophagusMelanoma of SkinOther

Rates are per 100,000 population in specified categories.

110 ADPH|CHS County Profile (2018)

Page 116: health department quality Vital Statistics

Number Rate Number RateEstimated Pregnancies 293 83.5 27 26.3Births 221 11.1 20 19.3Induced Terminations of Pregnancy 25 7.1 3 2.9Estimated Total Fetal Losses 47 --- 4 ---Birth rates are per 1,000 population.

Total 10-14 15-17 18-19 20+All Births 221 0 13 201 Rate 11.1 0.0 59.5 55.1White 115 0 5 105 Rate 10.0 0.0 45.3 53.8

19,938 Black and Other 106 0 8 96221 Rate 12.6 0.0 74.1 56.6233

42.2 Births with unknown age of mother are included in the age group "20+".

Life Expectancy at BirthTotal Fertility Rate per 1,000 Females Aged 10-49 Number Percent Number Percent

79 Births to Unmarried Women 120 54.3 17 85.069 Low Weight Births 26 11.8 3 15.0

Multiple Births 6 2.7 0 0.0Medicaid Births 128 57.9 14 70.0

White WhiteInfant Deaths 0 0 0 Rate per 1,000 Births 0.0 0.0 0.0Postneonatal Deaths 0 0 0 Rate per 1,000 Births 0.0 0.0 0.0Neonatal Deaths 0 0 0 Rate per 1,000 Births 0.0 0.0 0.0

Total Male Female Total Male Female Total Male FemaleTotal 19,938 9,948 9,990 11,530 5,935 5,595 8,408 4,013 4,395

0-4 1,056 561 495 520 277 243 536 284 2525-9 1,051 529 522 530 273 257 521 256 26510-14 1,061 570 491 534 287 247 527 283 24415-44 7,384 3,877 3,507 4,035 2,203 1,832 3,349 1,674 1,67545-64 5,593 2,688 2,905 3,415 1,727 1,688 2,178 961 1,21765-84 3,363 1,564 1,799 2,221 1,060 1,161 1,142 504 63885+ 430 159 271 275 108 167 155 51 104

0

Percentages are of all births with known status for females in specified age group.

BIRTHS BY AGE GROUP OF MOTHER

7

212.3

21.45

30.2

0.0

0.00

00.0

00.0

*Infant deaths are by race of child; births are by race of mother.

0

0All Races

LIVE BIRTHS

Females Aged 15-44

Estimated pregnancy and induced termination of pregnancy rates are per 1,000 females in specified age group.

Black and Other Black and Other

SUMMARY

Median Age

76.4

Females Aged 10-191,855.0

Marriages IssuedDivorces Granted

BirthsDeaths

Total Population

PREGNANCY/NATALITY

Females Aged 15-44 Females Aged 10-19

2018 ESTIMATED POPULATIONS BY AGE GROUP, RACE AND SEX

Age Group

0.00

All Ages Ages 10-19

0.0

INFANT RELATED MORTALITY BY RACE* AND AGE GROUP OF MOTHER

0.00

0.0

0.00

All Races White Black and Other

Rates are per 1,000 females in specified age group.

All Races

PICKENS 2018 HEALTH PROFILE

111 ADPH|CHS County Profile (2018)

Page 117: health department quality Vital Statistics

Total Male Female Total Male Female Total Male FemaleDeaths 233 119 114 151 78 73 82 41 41

11.7 12.0 11.4 13.0 13.1 13.0 9.8 10.2 9.3

Number Rate Number Rate Number Rate Number Rate Number RateHeart Disease 65 326.0 36 361.9 29 290.3 43 369.4 22 261.7Cancer 32 160.5 15 150.8 17 170.2 20 171.8 12 142.7Stroke 15 75.2 9 90.5 6 60.1 10 85.9 5 59.5Accidents 20 100.3 11 110.6 9 90.1 14 120.3 6 71.4CLRD* 14 70.2 6 60.3 8 80.1 11 94.5 3 35.7Diabetes 1 5.0 1 10.1 0 0.0 1 8.6 0 0.0Influenza and Pneumonia 8 40.1 5 50.3 3 30.0 5 43.0 3 35.7Alzheimer's Disease 16 80.2 6 60.3 10 100.1 9 77.3 7 83.3Suicide 3 15.0 3 30.2 0 0.0 2 17.2 1 11.9Homicide 2 10.0 2 20.1 0 0.0 1 8.6 1 11.9

0 0.0 0 0.0 0 0.0 0 0.0 0 0.0Rates are per 100,000 population in specified categories. *CLRD is known as Chronic Lower Respiratory Disease.

Number Rate Number RateAll Accidents 20 100.3 2 45.8 Number Rate

Motor Vehicle 8 40.1 2 45.8 Total 233 11.7Suffocation 0 0.0 0 0.0 0 - 14 2 0.6Poisoning 9 45.1 0 0.0 15 - 44 14 1.9Smoke, Fire and Flames 0 0.0 0 0.0 45 - 64 46 8.2Falls 1 5.0 0 0.0 65 - 84 106 31.5Drowning 0 0.0 0 0.0 85 + 65 151.2Firearms 0 0.0 0 0.0 Rates are per 1,000 population in specified age group.Other Accidents 2 --- 0 ---

Rates are per 100,000 population in specified categories.

Number Rate Number Rate Number Rate32 160.5 15 150.8 17 170.210 50.2 5 50.3 5 50.14 20.1 3 30.2 1 10.00 0.0 ... … 0 0.01 5.0 1 10.1 … …6 30.1 2 20.1 4 40.00 0.0 0 0.0 0 0.00 0.0 0 0.0 0 0.01 5.0 … … 1 10.00 0.0 0 0.0 0 0.01 5.0 0 0.0 1 10.01 5.0 … … 1 10.01 5.0 1 10.1 0 0.00 0.0 0 0.0 0 0.07 --- 3 --- 4 ---

Pancreas

Ovary (female)

Ages 19 and UnderAll Ages

PICKENS 2018 HEALTH PROFILE (Continued)

SELECTED CAUSESOF DEATH

Total Male

MORTALITY All Races White Black and Other

Rate per 1,000 Population

Measurements based on small denominators should be used with caution. Rates and ratios based on a denominator of less than 50 births or 1,000 population are shaded. Estimated pregnancies are the sum of births, induced terminations of pregnancy (abortions) and estimated total fetal losses. Estimated total fetal losses are equal to the sum of 20 percent of births and 10 percent of induced terminations of pregnancy. The total fertility rate is the sum of age-specific birth rates multiplied by the width of the intervals, i.e. five years. A total fertility rate of 2,100 births per 1,000 females aged 10-49 years would maintain the current population. Estimated populations are from the U.S. Census Bureau. See Appendix B for other definitions and formulas.

Female White Black and Other

DEATHS BY AGE GROUPACCIDENTAL DEATHS

Brain and Other Nervous System

Trachea, Bronchus, Lung, PleuraColorectalBreast (female)Prostate (male)

SELECTED CANCER SITE DEATHS

HIV Disease

StomachUterus and Cervix (female)EsophagusMelanoma of Skin

Rates are per 100,000 population in specified categories. Other

Age Group

FemaleTotal Male

LeukemiasNon-Hodgkin's Lymphomas

All Cancers

112 ADPH|CHS County Profile (2018)

Page 118: health department quality Vital Statistics

Number Rate Number RateEstimated Pregnancies 505 62.1 46 18.7Births 362 10.9 31 12.6Induced Terminations of Pregnancy 64 7.9 8 3.2Estimated Total Fetal Losses 79 --- 7 ---Birth rates are per 1,000 population.

Total 10-14 15-17 18-19 20+All Births 362 0 25 331 Rate 10.9 0.0 37.9 44.8White 186 0 12 170 Rate 9.7 0.0 32.5 42.8

33,338 Black and Other 176 0 13 161362 Rate 12.4 0.0 44.8 47.1320

31.0 Births with unknown age of mother are included in the age group "20+".

Life Expectancy at BirthTotal Fertility Rate per 1,000 Females Aged 10-49 Number Percent Number Percent

0 Births to Unmarried Women 202 55.8 28 90.397 Low Weight Births 38 10.5 6 19.4

Multiple Births 2 0.6 0 0.0Medicaid Births 212 58.6 29 93.5

White WhiteInfant Deaths 2 1 0 Rate per 1,000 Births 5.5 5.4 0.0Postneonatal Deaths 0 0 0 Rate per 1,000 Births 0.0 0.0 0.0Neonatal Deaths 2 1 0 Rate per 1,000 Births 5.5 5.4 0.0

Total Male Female Total Male Female Total Male FemaleTotal 33,338 16,098 17,240 19,163 9,453 9,710 14,175 6,645 7,530

0-4 1,788 935 853 917 482 435 871 453 4185-9 1,792 921 871 916 473 443 876 448 42810-14 1,725 911 814 844 459 385 881 452 42915-44 15,959 7,830 8,129 8,810 4,400 4,410 7,149 3,430 3,71945-64 7,087 3,290 3,797 4,176 2,048 2,128 2,911 1,242 1,66965-84 4,422 2,038 2,384 3,098 1,470 1,628 1,324 568 75685+ 565 173 392 402 121 281 163 52 111

Females Aged 10-19

PREGNANCY/NATALITY

Females Aged 15-44

66.1

24.6

47.2

BIRTHS BY AGE GROUP OF MOTHER

Marriages IssuedDivorces Granted

BirthsDeaths

Total Population

SUMMARY

Median Age

Estimated pregnancy and induced termination of pregnancy rates are per 1,000 females in specified age group.

Females Aged 10-19

LIVE BIRTHS

0.0

All Ages Ages 10-19All Races

Percentages are of all births with known status for females in specified age group.

INFANT RELATED MORTALITY BY RACE* AND AGE GROUP OF MOTHER

0.01

1 00.0

0

Females Aged 15-44

76.1

Rates are per 1,000 females in specified age group.

All Races White Black and Other

2018 ESTIMATED POPULATIONS BY AGE GROUP, RACE AND SEX

Age Group

1,474.5

0.00

*Infant deaths are by race of child; births are by race of mother.

Black and Other Black and Other

0.0

00.0

00.0

All Races

5.7

5.7

0 0

PIKE 2018HEALTH PROFILE

113 ADPH|CHS County Profile (2018)

Page 119: health department quality Vital Statistics

Total Male Female Total Male Female Total Male FemaleDeaths 320 167 153 209 111 98 111 56 55

9.6 10.4 8.9 10.9 11.7 10.1 7.8 8.4 7.3

Number Rate Number Rate Number Rate Number Rate Number RateHeart Disease 87 261.0 48 298.2 39 226.2 53 277.3 34 239.9Cancer 64 192.0 33 205.0 31 179.8 45 235.5 19 134.0Stroke 17 51.0 10 62.1 7 40.6 11 57.6 6 42.3Accidents 10 30.0 6 37.3 4 23.2 7 36.6 3 21.2CLRD* 21 63.0 11 68.3 10 58.0 18 94.2 3 21.2Diabetes 13 39.0 8 49.7 5 29.0 7 36.6 6 42.3Influenza and Pneumonia 6 18.0 1 6.2 5 29.0 3 15.7 3 21.2Alzheimer's Disease 8 24.0 0 0.0 8 46.4 4 20.9 4 28.2Suicide 3 9.0 2 12.4 1 5.8 3 15.7 0 0.0Homicide 9 27.0 8 49.7 1 5.8 2 10.5 7 49.4

0 0.0 0 0.0 0 0.0 0 0.0 0 0.0Rates are per 100,000 population in specified categories. *CLRD is known as Chronic Lower Respiratory Disease.

Number Rate Number RateAll Accidents 10 30.0 0 0.0 Number Rate

Motor Vehicle 4 12.0 0 0.0 Total 320 9.6Suffocation 1 3.0 0 0.0 0 - 14 2 0.4Poisoning 1 3.0 0 0.0 15 - 44 21 1.3Smoke, Fire and Flames 0 0.0 0 0.0 45 - 64 70 9.9Falls 0 0.0 0 0.0 65 - 84 158 35.7Drowning 1 3.0 0 0.0 85 + 69 122.1Firearms 0 0.0 0 0.0 Rates are per 1,000 population in specified age group.Other Accidents 3 --- 0 ---

Rates are per 100,000 population in specified categories.

Number Rate Number Rate Number Rate64 192.0 33 205.0 31 179.813 39.0 6 37.3 7 40.67 21.0 5 31.1 2 11.66 18.0 ... … 6 34.85 15.0 5 31.1 … …3 9.0 1 6.2 2 11.61 3.0 0 0.0 1 5.82 6.0 1 6.2 1 5.80 0.0 … … 0 0.01 3.0 0 0.0 1 5.84 12.0 3 18.6 1 5.82 6.0 … … 2 11.63 9.0 3 18.6 0 0.00 0.0 0 0.0 0 0.0

17 --- 9 --- 8 ---

PIKE 2018 HEALTH PROFILE (Continued)

SELECTED CAUSESOF DEATH

Total Male

MORTALITY All Races White

Female Black and OtherWhite

Black and Other

Rate per 1,000 Population

HIV Disease

SELECTED CANCER SITE DEATHS

All Ages Ages 19 and Under

Measurements based on small denominators should be used with caution. Rates and ratios based on a denominator of less than 50 births or 1,000 population are shaded. Estimated pregnancies are the sum of births, induced terminations of pregnancy (abortions) and estimated total fetal losses. Estimated total fetal losses are equal to the sum of 20 percent of births and 10 percent of induced terminations of pregnancy. The total fertility rate is the sum of age-specific birth rates multiplied by the width of the intervals, i.e. five years. A total fertility rate of 2,100 births per 1,000 females aged 10-49 years would maintain the current population. Estimated populations are from the U.S. Census Bureau. See Appendix B for other definitions and formulas.

StomachUterus and Cervix (female)Esophagus

Rates are per 100,000 population in specified categories.

Melanoma of SkinOther

DEATHS BY AGE GROUP

PancreasLeukemias

Age Group

FemaleTotal Male

Non-Hodgkin's Lymphomas

Brain and Other Nervous SystemOvary (female)

All CancersTrachea, Bronchus, Lung, PleuraColorectalBreast (female)Prostate (male)

ACCIDENTAL DEATHS

114 ADPH|CHS County Profile (2018)

Page 120: health department quality Vital Statistics

Number Rate Number RateEstimated Pregnancies 322 82.9 32 23.5Births 252 11.1 25 18.3Induced Terminations of Pregnancy 18 4.6 2 1.5Estimated Total Fetal Losses 52 --- 5 ---Birth rates are per 1,000 population.

Total 10-14 15-17 18-19 20+All Births 252 0 20 227 Rate 11.1 0.0 71.9 57.5White 206 0 16 185 Rate 11.6 0.0 79.1 61.8

22,725 Black and Other 46 0 4 42252 Rate 9.1 0.0 52.9 44.1290

43.6 Births with unknown age of mother are included in the age group "20+".

Life Expectancy at BirthTotal Fertility Rate per 1,000 Females Aged 10-49 Number Percent Number Percent

191 Births to Unmarried Women 121 48.0 21 84.0106 Low Weight Births 26 10.3 1 4.0

Multiple Births 10 4.0 0 0.0Medicaid Births 145 57.8 18 72.0

White WhiteInfant Deaths 1 0 0 Rate per 1,000 Births 4.0 0.0 0.0Postneonatal Deaths 0 0 0 Rate per 1,000 Births 0.0 0.0 0.0Neonatal Deaths 1 0 0 Rate per 1,000 Births 4.0 0.0 0.0*Infant deaths are by race of child; births are by race of mother.

Total Male Female Total Male Female Total Male FemaleTotal 22,725 11,056 11,669 17,689 8,689 9,000 5,036 2,367 2,669

0-4 1,314 676 638 918 473 445 396 203 1935-9 1,316 657 659 977 492 485 339 165 17410-14 1,372 699 673 1,016 537 479 356 162 19415-44 7,698 3,813 3,885 5,765 2,865 2,900 1,933 948 98545-64 6,400 3,128 3,272 5,142 2,544 2,598 1,258 584 67465-84 4,134 1,931 2,203 3,458 1,643 1,815 676 288 38885+ 491 152 339 413 135 278 78 17 61

Marriages IssuedDivorces Granted

BirthsDeaths

Total Population

1,938.5

PREGNANCY/NATALITY

Females Aged 10-19Females Aged 15-44

All Races White Black and Other

2018 ESTIMATED POPULATIONS BY AGE GROUP, RACE AND SEX

Age Group

75.3

512.0

516.5

SUMMARY

BIRTHS BY AGE GROUP OF MOTHER

Estimated pregnancy and induced termination of pregnancy rates are per 1,000 females in specified age group.

All Races

21.7

All Ages Ages 10-19Black and Other

Percentages are of all births with known status for females in specified age group.

INFANT RELATED MORTALITY BY RACE* AND AGE GROUP OF MOTHER

Median Age

00.0

Females Aged 10-19Females Aged 15-44

LIVE BIRTHS

Rates are per 1,000 females in specified age group.

40.0

Black and Other1

250.01

All Races1

21.7 250.040.0

00.0

1

00.0

1 1

00.0

RANDOLPH 2018 HEALTH PROFILE

115 ADPH|CHS County Profile (2018)

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Total Male Female Total Male Female Total Male FemaleDeaths 290 153 137 239 127 112 51 26 25

12.8 13.8 11.7 13.6 14.6 12.4 10.1 11.0 9.4

Number Rate Number Rate Number Rate Number Rate Number RateHeart Disease 94 413.6 51 461.3 43 368.5 75 425.5 19 377.3Cancer 44 193.6 29 262.3 15 128.5 40 226.9 4 79.4Stroke 10 44.0 2 18.1 8 68.6 10 56.7 0 0.0Accidents 17 74.8 12 108.5 5 42.8 13 73.8 4 79.4CLRD* 17 74.8 12 108.5 5 42.8 16 90.8 1 19.9Diabetes 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0Influenza and Pneumonia 3 13.2 1 9.0 2 17.1 3 17.0 0 0.0Alzheimer's Disease 17 74.8 6 54.3 11 94.3 17 96.4 0 0.0Suicide 8 35.2 6 54.3 2 17.1 6 34.0 2 39.7Homicide 1 4.4 1 9.0 0 0.0 1 5.7 0 0.0

0 0.0 0 0.0 0 0.0 0 0.0 0 0.0Rates are per 100,000 population in specified categories. *CLRD is known as Chronic Lower Respiratory Disease.

Number Rate Number RateAll Accidents 17 74.8 0 0.0 Number Rate

Motor Vehicle 7 30.8 0 0.0 Total 290 12.8Suffocation 0 0.0 0 0.0 0 - 14 1 0.2Poisoning 4 17.6 0 0.0 15 - 44 18 2.3Smoke, Fire and Flames 0 0.0 0 0.0 45 - 64 59 9.2Falls 4 17.6 0 0.0 65 - 84 132 31.9Drowning 0 0.0 0 0.0 85 + 80 162.9Firearms 0 0.0 0 0.0 Rates are per 1,000 population in specified age group.Other Accidents 2 --- 0 ---

Rates are per 100,000 population in specified categories.

Number Rate Number Rate Number Rate44 193.6 29 262.3 15 128.513 57.2 10 90.4 3 25.75 22.0 3 27.1 2 17.10 0.0 ... … 0 0.03 13.2 3 27.1 … …3 13.2 1 9.0 2 17.13 13.2 1 9.0 2 17.10 0.0 0 0.0 0 0.00 0.0 … … 0 0.02 8.8 1 9.0 1 8.60 0.0 0 0.0 0 0.00 0.0 … … 0 0.02 8.8 2 18.1 0 0.00 0.0 0 0.0 0 0.0

13 --- 8 --- 5 ---

RANDOLPH 2018 HEALTH PROFILE (Continued)

SELECTED CAUSESOF DEATH

Total Male

MORTALITY All Races White

Black and Other

Black and Other

Rate per 1,000 Population

Female

Measurements based on small denominators should be used with caution. Rates and ratios based on a denominator of less than 50 births or 1,000 population are shaded. Estimated pregnancies are the sum of births, induced terminations of pregnancy (abortions) and estimated total fetal losses. Estimated total fetal losses are equal to the sum of 20 percent of births and 10 percent of induced terminations of pregnancy. The total fertility rate is the sum of age-specific birth rates multiplied by the width of the intervals, i.e. five years. A total fertility rate of 2,100 births per 1,000 females aged 10-49 years would maintain the current population. Estimated populations are from the U.S. Census Bureau. See Appendix B for other definitions and formulas.

Brain and Other Nervous SystemStomachUterus and Cervix (female)EsophagusMelanoma of SkinOther

Rates are per 100,000 population in specified categories.

Ovary (female)

White

ACCIDENTAL DEATHS All Ages Ages 19 and Under

HIV Disease

DEATHS BY AGE GROUP

Age Group

PancreasLeukemiasNon-Hodgkin's Lymphomas

ColorectalBreast (female)

FemaleSELECTED CANCER SITE DEATHS Total Male

All CancersTrachea, Bronchus, Lung, Pleura

Prostate (male)

116 ADPH|CHS County Profile (2018)

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Number Rate Number RateEstimated Pregnancies 1,106 94.0 74 20.9Births 785 13.6 54 15.4Induced Terminations of Pregnancy 149 12.7 8 2.3Estimated Total Fetal Losses 172 --- 12 ---Birth rates are per 1,000 population.

Total 10-14 15-17 18-19 20+All Births 785 1 40 731 Rate 13.6 0.5 59.6 61.1White 418 1 22 389 Rate 14.5 1.3 84.2 70.5

57,781 Black and Other 367 0 18 342785 Rate 12.7 0.0 43.9 53.1589

36.8 Births with unknown age of mother are included in the age group "20+".

Life Expectancy at BirthTotal Fertility Rate per 1,000 Females Aged 10-49 Number Percent Number Percent

416 Births to Unmarried Women 405 51.8 50 92.6281 Low Weight Births 85 10.8 6 11.1

Multiple Births 33 4.2 0 0.0Medicaid Births 149 19.1 17 31.5

White WhiteInfant Deaths 4 0 0 0 Rate per 1,000 Births 5.1 0.0 0.0 0.0Postneonatal Deaths 2 0 0 0 Rate per 1,000 Births 2.5 0.0 0.0 0.0Neonatal Deaths 2 0 0 0 Rate per 1,000 Births 2.5 0.0 0.0 0.0

Total Male Female Total Male Female Total Male FemaleTotal 57,781 27,745 30,036 28,865 14,216 14,649 28,916 13,529 15,387

0-4 3,972 2,030 1,942 1,847 935 912 2,125 1,095 1,0305-9 4,017 2,071 1,946 1,833 927 906 2,184 1,144 1,04010-14 3,768 1,931 1,837 1,624 829 795 2,144 1,102 1,04215-44 23,011 11,245 11,766 10,905 5,596 5,309 12,106 5,649 6,45745-64 14,733 7,020 7,713 7,540 3,725 3,815 7,193 3,295 3,89865-84 7,387 3,208 4,179 4,541 2,039 2,502 2,846 1,169 1,67785+ 893 240 653 575 165 410 318 75 243

BirthsDeaths

Total Population

PREGNANCY/NATALITY

12.9

Rates are per 1,000 females in specified age group.

Females Aged 10-19

SUMMARY

Median Age

13

Females Aged 15-44

Estimated pregnancy and induced termination of pregnancy rates are per 1,000 females in specified age group.

BIRTHS BY AGE GROUP OF MOTHER

*Infant deaths are by race of child; births are by race of mother.

Black and Other Black and Other

INFANT RELATED MORTALITY BY RACE* AND AGE GROUP OF MOTHER

All Ages

0

All Races0

0.00

0.0

All RacesAges 10-19

2

Marriages IssuedDivorces Granted

5.4

410.9

25.4

All Races White Black and Other

2018 ESTIMATED POPULATIONS BY AGE GROUP, RACE AND SEX

Age Group

75.2

1,924.0

615.3

711.4

Females Aged 10-19

0.0

Percentages are of all births with known status for females in specified age group.

LIVE BIRTHS

Females Aged 15-44

RUSSELL 2018 HEALTH PROFILE

117 ADPH|CHS County Profile (2018)

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Total Male Female Total Male Female Total Male FemaleDeaths 589 311 278 371 194 177 218 117 101

10.2 11.2 9.3 12.9 13.6 12.1 7.5 8.6 6.6

Number Rate Number Rate Number Rate Number Rate Number RateHeart Disease 114 197.3 60 216.3 54 179.8 67 233.4 47 162.5Cancer 112 193.8 58 209.0 54 179.8 67 233.4 45 155.6Stroke 34 58.8 13 46.9 21 69.9 23 80.1 11 38.0Accidents 32 55.4 22 79.3 10 33.3 24 83.6 8 27.7CLRD* 49 84.8 27 97.3 22 73.2 39 135.9 10 34.6Diabetes 38 65.8 20 72.1 18 59.9 18 62.7 20 69.2Influenza and Pneumonia 9 15.6 5 18.0 4 13.3 7 24.4 2 6.9Alzheimer's Disease 32 55.4 9 32.4 23 76.6 23 80.1 9 31.1Suicide 14 24.2 12 43.3 2 6.7 12 41.8 2 6.9Homicide 10 17.3 9 32.4 1 3.3 3 10.5 7 24.2

3 5.2 2 7.2 1 3.3 2 7.0 1 3.5Rates are per 100,000 population in specified categories. *CLRD is known as Chronic Lower Respiratory Disease.

Number Rate Number RateAll Accidents 32 55.4 0 0.0 Number Rate

Motor Vehicle 15 26.0 0 0.0 Total 589 10.2Suffocation 1 1.7 0 0.0 0 - 14 6 0.5Poisoning 8 13.8 0 0.0 15 - 44 42 1.8Smoke, Fire and Flames 0 0.0 0 0.0 45 - 64 137 9.3Falls 6 10.4 0 0.0 65 - 84 290 39.3Drowning 0 0.0 0 0.0 85 + 114 127.7Firearms 0 0.0 0 0.0 Rates are per 1,000 population in specified age group.Other Accidents 2 --- 0 ---

Rates are per 100,000 population in specified categories.

Number Rate Number Rate Number Rate112 193.8 58 209.0 54 179.838 65.8 21 75.7 17 56.611 19.0 5 18.0 6 20.08 13.8 ... … 8 26.66 10.4 6 21.6 … …2 3.5 2 7.2 0 0.06 10.4 4 14.4 2 6.75 8.7 1 3.6 4 13.30 0.0 … … 0 0.03 5.2 1 3.6 2 6.73 5.2 2 7.2 1 3.33 5.2 … … 3 10.00 0.0 0 0.0 0 0.00 0.0 0 0.0 0 0.0

27 --- 16 --- 11 ---

Female

HIV Disease

DEATHS BY AGE GROUPAges 19 and UnderACCIDENTAL DEATHS All Ages

RUSSELL 2018 HEALTH PROFILE (Continued)

SELECTED CAUSESOF DEATH

Total Male

MORTALITY All Races White Black and Other

White Black and Other

Rate per 1,000 Population

Female

Other

Total Male

Ovary (female)

LeukemiasNon-Hodgkin's Lymphomas

Measurements based on small denominators should be used with caution. Rates and ratios based on a denominator of less than 50 births or 1,000 population are shaded. Estimated pregnancies are the sum of births, induced terminations of pregnancy (abortions) and estimated total fetal losses. Estimated total fetal losses are equal to the sum of 20 percent of births and 10 percent of induced terminations of pregnancy. The total fertility rate is the sum of age-specific birth rates multiplied by the width of the intervals, i.e. five years. A total fertility rate of 2,100 births per 1,000 females aged 10-49 years would maintain the current population. Estimated populations are from the U.S. Census Bureau. See Appendix B for other definitions and formulas.

Melanoma of Skin

StomachUterus and Cervix (female)Esophagus

Rates are per 100,000 population in specified categories.

Brain and Other Nervous System

Prostate (male)Pancreas

SELECTED CANCER SITE DEATHS

Breast

Age Group

ColorectalTrachea, Bronchus, Lung, Pleura

All Cancers

118 ADPH|CHS County Profile (2018)

Page 124: health department quality Vital Statistics

Number Rate Number RateEstimated Pregnancies 1,244 77.4 90 17.2Births 960 10.8 62 11.9Induced Terminations of Pregnancy 84 5.2 14 2.7Estimated Total Fetal Losses 200 --- 14 ---Birth rates are per 1,000 population.

Total 10-14 15-17 18-19 20+All Births 960 0 50 898 Rate 10.8 0.0 52.0 53.4White 860 0 46 803 Rate 11.0 0.0 55.2 55.0

88,690 Black and Other 100 0 4 95960 Rate 9.2 0.0 31.1 42.9983

40.3 Births with unknown age of mother are included in the age group "20+".

Life Expectancy at BirthTotal Fertility Rate per 1,000 Females Aged 10-49 Number Percent Number Percent

700 Births to Unmarried Women 340 35.4 58 93.5410 Low Weight Births 88 9.2 9 14.5

Multiple Births 36 3.8 2 3.2Medicaid Births 358 37.3 39 62.9

White WhiteInfant Deaths 2 2 0 0 Rate per 1,000 Births 2.1 2.3 0.0 0.0Postneonatal Deaths 1 1 0 0 Rate per 1,000 Births 1.0 1.2 0.0 0.0Neonatal Deaths 1 1 0 0 Rate per 1,000 Births 1.0 1.2 0.0 0.0

Total Male Female Total Male Female Total Male FemaleTotal 88,690 44,027 44,663 77,839 38,434 39,405 10,851 5,593 5,258

0-4 5,289 2,684 2,605 4,533 2,318 2,215 756 366 3905-9 5,596 2,949 2,647 4,849 2,575 2,274 747 374 37310-14 5,889 3,076 2,813 5,068 2,661 2,407 821 415 40615-44 32,754 16,683 16,071 28,071 14,105 13,966 4,683 2,578 2,10545-64 24,424 12,049 12,375 21,633 10,645 10,988 2,791 1,404 1,38765-84 13,437 6,122 7,315 12,443 5,682 6,761 994 440 55485+ 1,301 464 837 1,242 448 794 59 16 43

PREGNANCY/NATALITY

Females Aged 15-44 Females Aged 10-19

Estimated pregnancy and induced termination of pregnancy rates are per 1,000 females in specified age group.

BIRTHS BY AGE GROUP OF MOTHER

5.21

8.8

8.312

11

Rates are per 1,000 females in specified age group.

All Ages

0

0.0

00.0

0

Females Aged 15-44

0.00

INFANT RELATED MORTALITY BY RACE* AND AGE GROUP OF MOTHER

Percentages are of all births with known status for females in specified age group.

Females Aged 10-191,808.0

All Races

Marriages IssuedDivorces Granted

Median Age

75.2

SUMMARY

BirthsDeaths

Total Population

Age Group White Black and Other

2018 ESTIMATED POPULATIONS BY AGE GROUP, RACE AND SEX

All Races

0

All Races

0.0 0.0*Infant deaths are by race of child; births are by race of mother.

0.0

Black and Other Black and Other

LIVE BIRTHS

Ages 10-19

0

ST. CLAIR 2018 HEALTH PROFILE

119 ADPH|CHS County Profile (2018)

Page 125: health department quality Vital Statistics

Total Male Female Total Male Female Total Male FemaleDeaths 983 552 431 925 523 402 58 29 29

11.1 12.5 9.7 11.9 13.6 10.2 5.3 5.2 5.5

Number Rate Number Rate Number Rate Number Rate Number RateHeart Disease 232 261.6 142 322.5 90 201.5 219 282.2 13 119.8Cancer 182 205.2 107 243.0 75 167.9 172 221.7 10 92.2Stroke 37 41.7 20 45.4 17 38.1 31 39.9 6 55.3Accidents 61 68.8 35 79.5 26 58.2 59 76.0 2 18.4CLRD* 66 74.4 33 75.0 33 73.9 65 83.8 1 9.2Diabetes 19 21.4 10 22.7 9 20.2 17 21.9 2 18.4Influenza and Pneumonia 38 42.8 24 54.5 14 31.3 34 43.8 4 36.9Alzheimer's Disease 34 38.3 17 38.6 17 38.1 34 43.8 0 0.0Suicide 21 23.7 17 38.6 4 9.0 20 25.8 1 9.2Homicide 7 7.9 3 6.8 4 9.0 7 9.0 0 0.0

2 2.3 1 2.3 1 2.2 2 2.6 0 0.0Rates are per 100,000 population in specified categories. *CLRD is known as Chronic Lower Respiratory Disease.

Number Rate Number RateAll Accidents 61 68.8 3 13.7 Number Rate

Motor Vehicle 20 22.6 1 4.6 Total 983 11.1Suffocation 0 0.0 0 0.0 0 - 14 6 0.4Poisoning 26 29.3 0 0.0 15 - 44 69 2.1Smoke, Fire and Flames 1 1.1 0 0.0 45 - 64 239 9.8Falls 5 5.6 0 0.0 65 - 84 442 32.9Drowning 2 2.3 2 9.1 85 + 227 174.5Firearms 0 0.0 0 0.0 Rates are per 1,000 population in specified age group.Other Accidents 7 --- 0 ---

Rates are per 100,000 population in specified categories.

Number Rate Number Rate Number Rate182 205.2 107 243.0 75 167.957 64.3 35 79.5 22 49.313 14.7 10 22.7 3 6.77 7.9 ... … 7 15.75 5.6 5 11.4 … …

10 11.3 7 15.9 3 6.77 7.9 5 11.4 2 4.52 2.3 0 0.0 2 4.55 5.6 … … 5 11.24 4.5 2 4.5 2 4.52 2.3 0 0.0 2 4.55 5.6 … … 5 11.23 3.4 2 4.5 1 2.24 4.5 4 9.1 0 0.0

58 --- 37 --- 21 ---

ST. CLAIR 2018 HEALTH PROFILE (Continued)

Black and Other

Female White Black and Other

Rate per 1,000 Population

MORTALITY All Races White

Leukemias

SELECTED CAUSESOF DEATH

Total Male

HIV Disease

Melanoma of Skin

Stomach

Measurements based on small denominators should be used with caution. Rates and ratios based on a denominator of less than 50 births or 1,000 population are shaded. Estimated pregnancies are the sum of births, induced terminations of pregnancy (abortions) and estimated total fetal losses. Estimated total fetal losses are equal to the sum of 20 percent of births and 10 percent of induced terminations of pregnancy. The total fertility rate is the sum of age-specific birth rates multiplied by the width of the intervals, i.e. five years. A total fertility rate of 2,100 births per 1,000 females aged 10-49 years would maintain the current population. Estimated populations are from the U.S. Census Bureau. See Appendix B for other definitions and formulas.

Other

Uterus and Cervix (female)

Rates are per 100,000 population in specified categories.

Esophagus

Brain and Other Nervous System

ColorectalBreast (female)Prostate (male)

Ovary (female)

DEATHS BY AGE GROUP

Non-Hodgkin's Lymphomas

Age Group

Trachea, Bronchus, Lung, Pleura

FemaleTotal Male

Pancreas

Ages 19 and UnderACCIDENTAL DEATHS

All Cancers

SELECTED CANCER SITE DEATHS

All Ages

120 ADPH|CHS County Profile (2018)

Page 126: health department quality Vital Statistics

Number Rate Number RateEstimated Pregnancies 2,961 70.1 98 6.7Births 2,250 10.4 63 4.3Induced Terminations of Pregnancy 237 5.6 20 1.4Estimated Total Fetal Losses 474 --- 15 ---Birth rates are per 1,000 population.

Total 10-14 15-17 18-19 20+All Births 2,250 1 15 47 2,187 Rate 10.4 0.1 3.5 16.3 50.6White 1,831 0 15 33 1,783 Rate 10.2 0.0 4.4 14.5 52.2

215,707 Black and Other 419 1 0 14 4042,250 Rate 11.3 0.7 0.0 23.5 44.31,55139.5 Births with unknown age of mother are included in the age group "20+".

Life Expectancy at BirthTotal Fertility Rate per 1,000 Females Aged 10-49 Number Percent Number Percent

1,162 Births to Unmarried Women 589 26.2 58 92.1661 Low Weight Births 198 8.8 6 9.5

Multiple Births 68 3.0 0 0.0Medicaid Births 637 28.3 39 61.9

White WhiteInfant Deaths 15 9 1 0 Rate per 1,000 Births 6.7 4.9 15.9 0.0Postneonatal Deaths 4 1 0 0 Rate per 1,000 Births 1.8 0.5 0.0 0.0Neonatal Deaths 11 8 1 0 Rate per 1,000 Births 4.9 4.4 15.9 0.0

Total Male Female Total Male Female Total Male FemaleTotal 215,707 104,270 111,437 178,681 87,012 91,669 37,026 17,258 19,768

0-4 12,461 6,158 6,303 9,814 4,894 4,920 2,647 1,264 1,3835-9 13,708 6,989 6,719 10,991 5,605 5,386 2,717 1,384 1,33310-14 15,182 7,698 7,484 12,217 6,231 5,986 2,965 1,467 1,49815-44 82,692 40,460 42,232 65,745 32,587 33,158 16,947 7,873 9,07445-64 58,577 28,235 30,342 49,707 24,165 25,542 8,870 4,070 4,80065-84 29,671 13,502 16,169 27,030 12,372 14,658 2,641 1,130 1,51185+ 3,416 1,228 2,188 3,177 1,158 2,019 239 70 169

INFANT RELATED MORTALITY BY RACE* AND AGE GROUP OF MOTHER

All Races All Races16

All Ages

*Infant deaths are by race of child; births are by race of mother.7.2

66.7

66.73 1

SUMMARY

Median Age

Females Aged 15-44

PREGNANCY/NATALITY

BirthsDeaths

Total Population

Rates are per 1,000 females in specified age group.

Estimated pregnancy and induced termination of pregnancy rates are per 1,000 females in specified age group.

BIRTHS BY AGE GROUP OF MOTHER

All Races White Black and Other

2018 ESTIMATED POPULATIONS BY AGE GROUP, RACE AND SEX

Age Group

7.2 0.00

14.33

Black and Other

Females Aged 10-19

Ages 10-19Black and Other

80.9

1,643.0 Females Aged 10-19Females Aged 15-44

Marriages IssuedDivorces Granted

Percentages are of all births with known status for females in specified age group.

LIVE BIRTHS

SHELBY 2018 HEALTH PROFILE

121 ADPH|CHS County Profile (2018)

Page 127: health department quality Vital Statistics

Total Male Female Total Male Female Total Male FemaleDeaths 1,551 798 753 1,403 724 679 148 74 74

7.2 7.7 6.8 7.9 8.3 7.4 4.0 4.3 3.7

Number Rate Number Rate Number Rate Number Rate Number RateHeart Disease 346 160.4 190 182.2 156 140.0 320 179.9 26 70.2Cancer 336 155.8 190 182.2 146 131.0 309 173.7 27 72.9Stroke 126 58.4 55 52.7 71 63.7 110 61.8 16 43.2Accidents 86 39.9 59 56.6 27 24.2 80 45.0 6 16.2CLRD* 83 38.5 40 38.4 43 38.6 78 43.8 5 13.5Diabetes 19 8.8 9 8.6 10 9.0 13 7.3 6 16.2Influenza and Pneumonia 36 16.7 21 20.1 15 13.5 34 19.1 2 5.4Alzheimer's Disease 80 37.1 25 24.0 55 49.4 76 42.7 4 10.8Suicide 32 14.8 24 23.0 8 7.2 31 17.4 1 2.7Homicide 10 4.6 8 7.7 2 1.8 7 3.9 3 8.1

1 0.5 1 1.0 0 0.0 1 0.6 0 0.0Rates are per 100,000 population in specified categories. *CLRD is known as Chronic Lower Respiratory Disease.

Number Rate Number RateAll Accidents 86 39.9 3 5.4 Number Rate

Motor Vehicle 24 11.1 2 3.6 Total 1,551 7.2Suffocation 4 1.9 0 0.0 0 - 14 16 0.4Poisoning 35 16.2 1 1.8 15 - 44 108 1.3Smoke, Fire and Flames 3 1.4 0 0.0 45 - 64 286 4.9Falls 11 5.1 0 0.0 65 - 84 761 25.6Drowning 1 0.5 0 0.0 85 + 380 111.2Firearms 0 0.0 0 0.0 Rates are per 1,000 population in specified age group.Other Accidents 8 --- 0 ---

Rates are per 100,000 population in specified categories.

Number Rate Number Rate Number Rate336 155.8 190 182.2 146 131.093 43.1 48 46.0 45 40.426 12.1 15 14.4 11 9.928 13.0 ... … 28 25.123 10.7 23 22.1 … …23 10.7 15 14.4 8 7.212 5.6 6 5.8 6 5.411 5.1 7 6.7 4 3.611 5.1 … … 11 9.99 4.2 6 5.8 3 2.72 0.9 1 1.0 1 0.91 0.5 … … 1 0.93 1.4 3 2.9 0 0.08 3.7 8 7.7 0 0.0

86 --- 58 --- 28 ---

Male

All CancersTrachea, Bronchus, Lung, PleuraColorectal

StomachBrain and Other Nervous System

Breast (female)Prostate (male)PancreasLeukemiasNon-Hodgkin's LymphomasOvary (female)

DEATHS BY AGE GROUP

Age Group

White

Female White

HIV Disease

MORTALITY All Races

Rate per 1,000 Population

SELECTED CAUSESOF DEATH

ACCIDENTAL DEATHS All Ages Ages 19 and Under

Measurements based on small denominators should be used with caution. Rates and ratios based on a denominator of less than 50 births or 1,000 population are shaded. Estimated pregnancies are the sum of births, induced terminations of pregnancy (abortions) and estimated total fetal losses. Estimated total fetal losses are equal to the sum of 20 percent of births and 10 percent of induced terminations of pregnancy. The total fertility rate is the sum of age-specific birth rates multiplied by the width of the intervals, i.e. five years. A total fertility rate of 2,100 births per 1,000 females aged 10-49 years would maintain the current population. Estimated populations are from the U.S. Census Bureau. See Appendix B for other definitions and formulas.

Rates are per 100,000 population in specified categories.

Melanoma of SkinOther

Uterus and Cervix (female)Esophagus

SHELBY 2018 HEALTH PROFILE (Continued)

Total Black and Other

Black and Other

Male

FemaleSELECTED CANCER SITE DEATHS Total

122 ADPH|CHS County Profile (2018)

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Number Rate Number RateEstimated Pregnancies 202 71.1 14 15.6Births 140 11.0 7 7.9Induced Terminations of Pregnancy 31 10.9 5 5.6Estimated Total Fetal Losses 31 --- 2 ---Birth rates are per 1,000 population.

Total 10-14 15-17 18-19 20+All Births 140 0 3 133 Rate 11.0 0.0 13.7 50.1White 32 0 1 30 Rate 10.0 0.0 14.9 49.0

12,691 Black and Other 108 0 2 103140 Rate 11.4 0.0 13.1 50.4166

35.9 Births with unknown age of mother are included in the age group "20+".

Life Expectancy at BirthTotal Fertility Rate per 1,000 Females Aged 10-49 Number Percent Number Percent

43 Births to Unmarried Women 99 70.7 7 100.0 10 Low Weight Births 16 11.4 0 0.0

Multiple Births 2 1.4 0 0.0Medicaid Births 93 66.4 6 85.7

White WhiteInfant Deaths 2 0 0 Rate per 1,000 Births 14.3 0.0 0.0Postneonatal Deaths 1 0 0 Rate per 1,000 Births 7.1 0.0 0.0Neonatal Deaths 1 0 0 Rate per 1,000 Births 7.1 0.0 0.0

Total Male Female Total Male Female Total Male FemaleTotal 12,691 5,802 6,889 3,205 1,531 1,674 9,486 4,271 5,215

0-4 728 389 339 137 74 63 591 315 2765-9 615 307 308 118 65 53 497 242 25510-14 662 322 340 105 52 53 557 270 28715-44 5,300 2,457 2,843 1,391 680 711 3,909 1,777 2,13245-64 3,100 1,399 1,701 674 345 329 2,426 1,054 1,37265-84 1,926 835 1,091 623 273 350 1,303 562 74185+ 360 93 267 157 42 115 203 51 152

Deaths

Total Population

All Races White Black and Other

2018 ESTIMATED POPULATIONS BY AGE GROUP, RACE AND SEX

Age Group

00.0

0

0.0

Females Aged 10-19

*Infant deaths are by race of child; births are by race of mother.

Black and Other Black and Other

0.0

INFANT RELATED MORTALITY BY RACE* AND AGE GROUP OF MOTHER

02

9.3 0.0

00.0

00.0

0

18.5

All Ages Ages 10-19

9.31

All Races

1

All Races

Females Aged 10-19Females Aged 15-44

PREGNANCY/NATALITY

BIRTHS BY AGE GROUP OF MOTHER

Estimated pregnancy and induced termination of pregnancy rates are per 1,000 females in specified age group.

SUMMARY

12.14

72.6

9.91

1,469.0

313.1

Median Age

Percentages are of all births with known status for females in specified age group.

LIVE BIRTHS

Females Aged 15-44

Rates are per 1,000 females in specified age group.

Marriages IssuedDivorces Granted

Births

SUMTER 2018 HEALTH PROFILE

123 ADPH|CHS County Profile (2018)

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Total Male Female Total Male Female Total Male FemaleDeaths 166 86 80 49 32 17 117 54 63

13.1 14.8 11.6 15.3 20.9 10.2 12.3 12.6 12.1

Number Rate Number Rate Number Rate Number Rate Number RateHeart Disease 38 299.4 20 344.7 18 261.3 10 311.8 28 295.2Cancer 31 244.3 17 293.0 14 203.2 8 249.5 23 242.5Stroke 8 63.0 1 17.2 7 101.6 2 62.4 6 63.3Accidents 9 70.9 7 120.6 2 29.0 2 62.4 7 73.8CLRD* 8 63.0 4 68.9 4 58.1 4 124.7 4 42.2Diabetes 1 7.9 1 17.2 0 0.0 1 31.2 0 0.0Influenza and Pneumonia 6 47.3 5 86.2 1 14.5 2 62.4 4 42.2Alzheimer's Disease 7 55.2 0 0.0 7 101.6 3 93.5 4 42.2Suicide 3 23.6 2 34.5 1 14.5 2 62.4 1 10.5Homicide 3 23.6 3 51.7 0 0.0 1 31.2 2 21.1

0 0.0 0 0.0 0 0.0 0 0.0 0 0.0Rates are per 100,000 population in specified categories. *CLRD is known as Chronic Lower Respiratory Disease.

Number Rate Number RateAll Accidents 9 70.9 0 0.0 Number Rate

Motor Vehicle 5 39.4 0 0.0 Total 166 13.1Suffocation 0 0.0 0 0.0 0 - 14 2 1.0Poisoning 0 0.0 0 0.0 15 - 44 14 2.6Smoke, Fire and Flames 0 0.0 0 0.0 45 - 64 32 10.3Falls 2 15.8 0 0.0 65 - 84 72 37.4Drowning 0 0.0 0 0.0 85 + 46 127.8Firearms 0 0.0 0 0.0 Rates are per 1,000 population in specified age group.Other Accidents 2 --- 0 ---

Rates are per 100,000 population in specified categories.

Number Rate Number Rate Number Rate31 244.3 17 293.0 14 203.211 86.7 10 172.4 1 14.51 7.9 1 17.2 0 0.03 23.6 ... … 3 43.51 7.9 1 17.2 … …1 7.9 1 17.2 0 0.01 7.9 0 0.0 1 14.50 0.0 0 0.0 0 0.01 7.9 … … 1 14.51 7.9 0 0.0 1 14.51 7.9 0 0.0 1 14.52 15.8 … … 2 29.01 7.9 1 17.2 0 0.00 0.0 0 0.0 0 0.07 --- 3 --- 4 ---

SUMTER 2018 HEALTH PROFILE (Continued)

Ovary (female)Brain and Other Nervous System

Measurements based on small denominators should be used with caution. Rates and ratios based on a denominator of less than 50 births or 1,000 population are shaded. Estimated pregnancies are the sum of births, induced terminations of pregnancy (abortions) and estimated total fetal losses. Estimated total fetal losses are equal to the sum of 20 percent of births and 10 percent of induced terminations of pregnancy. The total fertility rate is the sum of age-specific birth rates multiplied by the width of the intervals, i.e. five years. A total fertility rate of 2,100 births per 1,000 females aged 10-49 years would maintain the current population. Estimated populations are from the U.S. Census Bureau. See Appendix B for other definitions and formulas.

StomachUterus and Cervix (female)EsophagusMelanoma of SkinOther

Rates are per 100,000 population in specified categories.

Non-Hodgkin's Lymphomas

MORTALITY All Races White

Female White

HIV Disease

Rate per 1,000 Population

Black and Other

Black and Other

SELECTED CAUSESOF DEATH

Total Male

All CancersTrachea, Bronchus, Lung, PleuraColorectalBreast (female)Prostate (male)PancreasLeukemias

FemaleSELECTED CANCER SITE DEATHS Total Male

Age Group

ACCIDENTAL DEATHS All Ages Ages 19 and Under DEATHS BY AGE GROUP

124 ADPH|CHS County Profile (2018)

Page 130: health department quality Vital Statistics

Number Rate Number RateEstimated Pregnancies 1,154 77.0 82 15.9Births 872 10.9 62 12.0Induced Terminations of Pregnancy 98 6.5 7 1.4Estimated Total Fetal Losses 184 --- 13 ---Birth rates are per 1,000 population.

Total 10-14 15-17 18-19 20+All Births 872 0 16 46 810 Rate 10.9 0.0 10.4 44.7 53.1White 543 0 5 29 509 Rate 10.6 0.0 5.8 50.2 56.0

79,751 Black and Other 329 0 11 17 301872 Rate 11.6 0.0 16.2 37.6 48.9

1,01541.3 Births with unknown age of mother are included in the age group "20+".

Life Expectancy at BirthTotal Fertility Rate per 1,000 Females Aged 10-49 Number Percent Number Percent

482 Births to Unmarried Women 516 59.2 52 83.9344 Low Weight Births 91 10.4 6 9.7

Multiple Births 22 2.5 0 0.0Medicaid Births 514 59.1 51 82.3

White WhiteInfant Deaths 5 1 0 Rate per 1,000 Births 5.7 1.8 0.0Postneonatal Deaths 3 1 0 Rate per 1,000 Births 3.4 1.8 0.0Neonatal Deaths 2 0 0 Rate per 1,000 Births 2.3 0.0 0.0

Total Male Female Total Male Female Total Male FemaleTotal 79,751 38,503 41,248 51,269 25,028 26,241 28,482 13,475 15,007

0-4 4,281 2,229 2,052 2,462 1,267 1,195 1,819 962 8575-9 4,429 2,219 2,210 2,595 1,296 1,299 1,834 923 91110-14 4,972 2,398 2,574 3,028 1,476 1,552 1,944 922 1,02215-44 29,533 14,543 14,990 17,569 8,811 8,758 11,964 5,732 6,23245-64 22,166 10,671 11,495 14,801 7,273 7,528 7,365 3,398 3,96765-84 13,013 5,966 7,047 9,717 4,515 5,202 3,296 1,451 1,84585+ 1,357 477 880 1,097 390 707 260 87 173

2

2

Black and Other Black and Other

INFANT RELATED MORTALITY BY RACE* AND AGE GROUP OF MOTHER

All Ages Ages 10-19

All Races White Black and Other

2018 ESTIMATED POPULATIONS BY AGE GROUP, RACE AND SEX

Age Group

16.1 35.7

116.1

*Infant deaths are by race of child; births are by race of mother.

PREGNANCY/NATALITY

Females Aged 15-44

Percentages are of all births with known status for females in specified age group.

0.0

All Races

Marriages IssuedDivorces Granted

1412.2 35.7

All Races

16.11

6.10 0

SUMMARY

Females Aged 10-19

Median Age

73.7

1,718.5

Rates are per 1,000 females in specified age group.BirthsDeaths

Total Population

0.0

LIVE BIRTHS

Females Aged 15-44

BIRTHS BY AGE GROUP OF MOTHER

Females Aged 10-19

Estimated pregnancy and induced termination of pregnancy rates are per 1,000 females in specified age group.

TALLADEGA 2018 HEALTH PROFILE

125 ADPH|CHS County Profile (2018)

Page 131: health department quality Vital Statistics

Total Male Female Total Male Female Total Male FemaleDeaths 1,015 528 487 762 385 377 253 143 110

12.7 13.7 11.8 14.7 15.3 14.4 8.9 10.6 7.3

Number Rate Number Rate Number Rate Number Rate Number RateHeart Disease 269 337.0 146 378.4 123 298.2 204 394.7 65 228.2Cancer 197 246.8 109 282.5 88 213.3 147 284.4 50 175.5Stroke 54 67.6 19 49.2 35 84.9 36 69.7 18 63.2Accidents 57 71.4 32 82.9 25 60.6 45 87.1 12 42.1CLRD* 78 97.7 35 90.7 43 104.2 68 131.6 10 35.1Diabetes 15 18.8 11 28.5 4 9.7 7 13.5 8 28.1Influenza and Pneumonia 29 36.3 14 36.3 15 36.4 23 44.5 6 21.1Alzheimer's Disease 25 31.3 10 25.9 15 36.4 22 42.6 3 10.5Suicide 13 16.3 9 23.3 4 9.7 10 19.3 3 10.5Homicide 7 8.8 7 18.1 0 0.0 1 1.9 6 21.1

1 1.3 1 2.6 0 0.0 1 1.9 0 0.0Rates are per 100,000 population in specified categories. *CLRD is known as Chronic Lower Respiratory Disease.

Number Rate Number RateAll Accidents 57 71.4 6 31.9 Number Rate

Motor Vehicle 19 23.8 3 16.0 Total 1,015 12.7Suffocation 5 6.3 1 5.3 0 - 14 11 0.8Poisoning 15 18.8 0 0.0 15 - 44 68 2.3Smoke, Fire and Flames 3 3.8 0 0.0 45 - 64 231 10.4Falls 6 7.5 0 0.0 65 - 84 487 37.4Drowning 1 1.3 1 5.3 85 + 218 160.6Firearms 1 1.3 1 5.3 Rates are per 1,000 population in specified age group.Other Accidents 7 --- 0 ---

Rates are per 100,000 population in specified categories.

Number Rate Number Rate Number Rate197 246.8 109 282.5 88 213.355 68.9 31 80.4 24 58.220 25.1 7 18.1 13 31.512 15.0 ... … 12 29.115 18.8 15 38.9 … …14 17.5 7 18.1 7 17.05 6.3 4 10.4 1 2.43 3.8 2 5.2 1 2.45 6.3 … … 5 12.14 5.0 4 10.4 0 0.05 6.3 3 7.8 2 4.84 5.0 … … 4 9.75 6.3 4 10.4 1 2.42 2.5 1 2.6 1 2.4

48 --- 31 --- 17 ---

Esophagus

Breast (female)

PancreasLeukemiasNon-Hodgkin's LymphomasOvary (female)

Age Group

Brain and Other Nervous SystemStomachUterus and Cervix (female)

Measurements based on small denominators should be used with caution. Rates and ratios based on a denominator of less than 50 births or 1,000 population are shaded. Estimated pregnancies are the sum of births, induced terminations of pregnancy (abortions) and estimated total fetal losses. Estimated total fetal losses are equal to the sum of 20 percent of births and 10 percent of induced terminations of pregnancy. The total fertility rate is the sum of age-specific birth rates multiplied by the width of the intervals, i.e. five years. A total fertility rate of 2,100 births per 1,000 females aged 10-49 years would maintain the current population. Estimated populations are from the U.S. Census Bureau. See Appendix B for other definitions and formulas.

Melanoma of SkinOther

Rates are per 100,000 population in specified categories.

TALLADEGA 2018 HEALTH PROFILE (Continued)

SELECTED CAUSESOF DEATH

Total Male

MORTALITY All Races White Black and Other

Black and OtherFemale

Rate per 1,000 Population

White

ACCIDENTAL DEATHS

ColorectalTrachea, Bronchus, Lung, Pleura

All Cancers

FemaleSELECTED CANCER SITE DEATHS Total Male

All Ages DEATHS BY AGE GROUPAges 19 and Under

Prostate (male)

HIV Disease

126 ADPH|CHS County Profile (2018)

Page 132: health department quality Vital Statistics

Number Rate Number RateEstimated Pregnancies 523 77.4 51 22.7Births 394 9.7 41 18.1Induced Terminations of Pregnancy 46 6.8 2 0.9Estimated Total Fetal Losses 83 --- 8 ---Birth rates are per 1,000 population.

Total 10-14 15-17 18-19 20+All Births 394 0 30 353 Rate 9.7 0.0 68.2 50.2White 264 0 19 240 Rate 9.3 0.0 66.5 52.9

40,497 Black and Other 130 0 11 113394 Rate 10.9 0.0 71.2 45.3535

45.1 Births with unknown age of mother are included in the age group "20+".

Life Expectancy at BirthTotal Fertility Rate per 1,000 Females Aged 10-49 Number Percent Number Percent

234 Births to Unmarried Women 233 59.1 38 92.7114 Low Weight Births 66 16.8 11 26.8

Multiple Births 14 3.6 0 0.0Medicaid Births 245 62.2 38 92.7

White WhiteInfant Deaths 4 0 0 0 Rate per 1,000 Births 10.2 0.0 0.0 0.0Postneonatal Deaths 1 0 0 0 Rate per 1,000 Births 2.5 0.0 0.0 0.0Neonatal Deaths 3 0 0 0 Rate per 1,000 Births 7.6 0.0 0.0 0.0

Total Male Female Total Male Female Total Male FemaleTotal 40,497 19,632 20,865 28,523 14,005 14,518 11,974 5,627 6,347

0-4 2,235 1,139 1,096 1,375 671 704 860 468 3925-9 2,338 1,213 1,125 1,417 715 702 921 498 42310-14 2,395 1,227 1,168 1,540 806 734 855 421 43415-44 13,234 6,474 6,760 8,706 4,399 4,307 4,528 2,075 2,45345-64 11,564 5,577 5,987 8,483 4,156 4,327 3,081 1,421 1,66065-84 7,917 3,672 4,245 6,350 2,989 3,361 1,567 683 88485+ 814 330 484 652 269 383 162 61 101

SUMMARY

11

Median Age

16.75

BirthsDeaths

Total Population

PREGNANCY/NATALITY

25.9

BIRTHS BY AGE GROUP OF MOTHER

11.7

Females Aged 15-44

6

Rates are per 1,000 females in specified age group.

Females Aged 10-19

LIVE BIRTHS

Females Aged 15-44

Females Aged 10-19

Estimated pregnancy and induced termination of pregnancy rates are per 1,000 females in specified age group.

4Black and Other

30.8

All Races

23.1

17.7

3

Age Group

00.0

0

Ages 10-19All Races

00.0

Black and Other

*Infant deaths are by race of child; births are by race of mother.

All Races White Black and Other

2018 ESTIMATED POPULATIONS BY AGE GROUP, RACE AND SEX

0.0

All Ages

75.2

1,706.5

INFANT RELATED MORTALITY BY RACE* AND AGE GROUP OF MOTHER

Percentages are of all births with known status for females in specified age group.

Marriages IssuedDivorces Granted

TALLAPOOSA 2018 HEALTH PROFILE

127 ADPH|CHS County Profile (2018)

Page 133: health department quality Vital Statistics

Total Male Female Total Male Female Total Male FemaleDeaths 535 294 241 395 208 187 140 86 54

13.2 15.0 11.6 13.8 14.9 12.9 11.7 15.3 8.5

Number Rate Number Rate Number Rate Number Rate Number RateHeart Disease 133 328.4 71 361.7 62 297.1 94 327.4 39 325.7Cancer 103 254.3 62 315.8 41 196.5 74 257.7 29 242.2Stroke 26 64.2 14 71.3 12 57.5 16 55.7 10 83.5Accidents 27 66.7 20 101.9 7 33.5 17 59.2 10 83.5CLRD* 35 86.4 17 86.6 18 86.3 31 108.0 4 33.4Diabetes 17 42.0 5 25.5 12 57.5 11 38.3 6 50.1Influenza and Pneumonia 18 44.4 9 45.8 9 43.1 17 59.2 1 8.4Alzheimer's Disease 23 56.8 5 25.5 18 86.3 19 66.2 4 33.4Suicide 10 24.7 7 35.7 3 14.4 9 31.3 1 8.4Homicide 2 4.9 1 5.1 1 4.8 1 3.5 1 8.4

0 0.0 0 0.0 0 0.0 0 0.0 0 0.0Rates are per 100,000 population in specified categories. *CLRD is known as Chronic Lower Respiratory Disease.

Number Rate Number RateAll Accidents 27 66.7 2 21.7 Number Rate

Motor Vehicle 10 24.7 1 10.9 Total 535 13.2Suffocation 0 0.0 0 0.0 0 - 14 6 0.9Poisoning 3 7.4 0 0.0 15 - 44 28 2.1Smoke, Fire and Flames 3 7.4 0 0.0 45 - 64 118 10.2Falls 3 7.4 0 0.0 65 - 84 247 31.2Drowning 1 2.5 1 10.9 85 + 136 167.1Firearms 1 2.5 0 0.0 Rates are per 1,000 population in specified age group.Other Accidents 6 --- 0 ---

Rates are per 100,000 population in specified categories.

Number Rate Number Rate Number Rate103 254.3 62 315.8 41 196.529 71.6 20 101.9 9 43.113 32.1 6 30.6 7 33.56 14.8 ... … 6 28.85 12.3 5 25.5 … …

10 24.7 7 35.7 3 14.46 14.8 3 15.3 3 14.40 0.0 0 0.0 0 0.01 2.5 … … 1 4.80 0.0 0 0.0 0 0.01 2.5 1 5.1 0 0.03 7.4 … … 3 14.40 0.0 0 0.0 0 0.01 2.5 0 0.0 1 4.8

28 --- 20 --- 8 ---

TALLAPOOSA 2018 HEALTH PROFILE (Continued)

SELECTED CAUSESOF DEATH

Total Male

MORTALITY All Races White Black and Other

Rate per 1,000 Population

All Ages Ages 19 and Under

HIV Disease

Female

ACCIDENTAL DEATHS DEATHS BY AGE GROUP

White Black and Other

Measurements based on small denominators should be used with caution. Rates and ratios based on a denominator of less than 50 births or 1,000 population are shaded. Estimated pregnancies are the sum of births, induced terminations of pregnancy (abortions) and estimated total fetal losses. Estimated total fetal losses are equal to the sum of 20 percent of births and 10 percent of induced terminations of pregnancy. The total fertility rate is the sum of age-specific birth rates multiplied by the width of the intervals, i.e. five years. A total fertility rate of 2,100 births per 1,000 females aged 10-49 years would maintain the current population. Estimated populations are from the U.S. Census Bureau. See Appendix B for other definitions and formulas.

All CancersTrachea, Bronchus, Lung, PleuraColorectalBreast (female)Prostate (male)

StomachUterus and Cervix (female)EsophagusMelanoma of SkinOther

PancreasLeukemiasNon-Hodgkin's LymphomasOvary (female)

Rates are per 100,000 population in specified categories.

FemaleTotal Male

Age Group

SELECTED CANCER SITE DEATHS

Brain and Other Nervous System

128 ADPH|CHS County Profile (2018)

Page 134: health department quality Vital Statistics

Number Rate Number RateEstimated Pregnancies 3,567 71.8 257 17.4Births 2,405 11.5 167 11.4Induced Terminations of Pregnancy 619 12.5 51 3.5Estimated Total Fetal Losses 543 --- 39 ---Birth rates are per 1,000 population.

Total 10-14 15-17 18-19 20+All Births 2,405 1 43 123 2,238 Rate 11.5 0.2 8.0 34.4 47.5White 1,258 0 13 35 1,210 Rate 9.3 0.0 3.8 15.4 42.8

208,911 Black and Other 1,147 1 30 88 1,0282,405 Rate 15.5 0.4 15.4 67.8 54.71,84933.4 Births with unknown age of mother are included in the age group "20+".

Life Expectancy at BirthTotal Fertility Rate per 1,000 Females Aged 10-49 Number Percent Number Percent

1,261 Births to Unmarried Women 1,167 48.5 147 88.6627 Low Weight Births 249 10.4 20 12.0

Multiple Births 81 3.4 4 2.4Medicaid Births 1,041 43.3 127 76.0

White WhiteInfant Deaths 19 7 2 1 Rate per 1,000 Births 7.9 5.6 12.0 20.8Postneonatal Deaths 7 3 1 1 Rate per 1,000 Births 2.9 2.4 6.0 20.8Neonatal Deaths 12 4 1 0 Rate per 1,000 Births 5.0 3.2 6.0 0.0

Total Male Female Total Male Female Total Male FemaleTotal 208,911 100,589 108,322 134,982 66,744 68,238 73,929 33,845 40,084

0-4 12,541 6,425 6,116 7,190 3,703 3,487 5,351 2,722 2,6295-9 12,229 6,106 6,123 7,008 3,459 3,549 5,221 2,647 2,57410-14 11,798 6,033 5,765 6,806 3,482 3,324 4,992 2,551 2,44115-44 97,289 47,604 49,685 61,220 31,108 30,112 36,069 16,496 19,57345-64 47,311 22,454 24,857 31,870 15,800 16,070 15,441 6,654 8,78765-84 24,590 10,980 13,610 18,424 8,390 10,034 6,166 2,590 3,57685+ 3,153 987 2,166 2,464 802 1,662 689 185 504

8.4

INFANT RELATED MORTALITY BY RACE* AND AGE GROUP OF MOTHER

All Ages Ages 10-19Black and Other Black and OtherAll Races

12 1All Races

0

76.4

1,414.5

LIVE BIRTHS

Percentages are of all births with known status for females in specified age group.

BIRTHS BY AGE GROUP OF MOTHER

Rates are per 1,000 females in specified age group.

0.01

Females Aged 10-19Females Aged 15-44

Estimated pregnancy and induced termination of pregnancy rates are per 1,000 females in specified age group.

SUMMARY

Median Age

BirthsDeaths

Total Population

PREGNANCY/NATALITY

Females Aged 10-19Females Aged 15-44

Age Group Black and Other

2018 ESTIMATED POPULATIONS BY AGE GROUP, RACE AND SEX

10.5

All Races White

7.0

3.58

*Infant deaths are by race of child; births are by race of mother.

48.4

Marriages IssuedDivorces Granted

TUSCALOOSA 2018 HEALTH PROFILE

129 ADPH|CHS County Profile (2018)

Page 135: health department quality Vital Statistics

Total Male Female Total Male Female Total Male FemaleDeaths 1,849 937 912 1,350 666 684 499 271 228

8.9 9.3 8.4 10.0 10.0 10.0 6.7 8.0 5.7

Number Rate Number Rate Number Rate Number Rate Number RateHeart Disease 482 230.7 251 249.5 231 213.3 324 240.5 158 213.7Cancer 354 169.5 187 185.9 167 154.2 265 196.7 89 120.4Stroke 114 54.6 45 44.7 69 63.7 79 58.6 35 47.3Accidents 85 40.7 63 62.6 22 20.3 60 44.5 25 33.8CLRD* 118 56.5 65 64.6 53 48.9 99 73.5 19 25.7Diabetes 20 9.6 11 10.9 9 8.3 11 8.2 9 12.2Influenza and Pneumonia 64 30.6 28 27.8 36 33.2 47 34.9 17 23.0Alzheimer's Disease 87 41.6 20 19.9 67 61.9 72 53.4 15 20.3Suicide 27 12.9 26 25.8 1 0.9 24 17.8 3 4.1Homicide 13 6.2 11 10.9 2 1.8 3 2.2 10 13.5

2 1.0 2 2.0 0 0.0 0 0.0 2 2.7Rates are per 100,000 population in specified categories. *CLRD is known as Chronic Lower Respiratory Disease.

Number Rate Number RateAll Accidents 85 40.7 3 5.6 Number Rate

Motor Vehicle 33 15.8 3 5.6 Total 1,849 8.9Suffocation 1 0.5 0 0.0 0 - 14 28 0.8Poisoning 26 12.4 0 0.0 15 - 44 125 1.3Smoke, Fire and Flames 1 0.5 0 0.0 45 - 64 383 8.1Falls 4 1.9 0 0.0 65 - 84 818 33.3Drowning 3 1.4 0 0.0 85 + 495 157.0Firearms 1 0.5 0 0.0 Rates are per 1,000 population in specified age group.Other Accidents 16 --- 0 ---

Rates are per 100,000 population in specified categories.

Number Rate Number Rate Number Rate354 169.5 187 185.9 167 154.295 45.5 55 54.7 40 36.927 12.9 19 18.9 8 7.427 12.9 ... … 27 24.921 10.1 21 20.9 … …38 18.2 13 12.9 25 23.112 5.7 3 3.0 9 8.317 8.1 11 10.9 6 5.56 2.9 … … 6 5.56 2.9 1 1.0 5 4.65 2.4 5 5.0 0 0.05 2.4 … … 5 4.6

10 4.8 7 7.0 3 2.83 1.4 2 2.0 1 0.9

82 --- 50 --- 32 ---

All Cancers

Stomach

Rates are per 100,000 population in specified categories.

Prostate (male)

Female

All Ages Ages 19 and Under DEATHS BY AGE GROUPACCIDENTAL DEATHS

HIV Disease

Total Male

TUSCALOOSA 2018 HEALTH PROFILE (Continued)

SELECTED CAUSESOF DEATH

Total Black and OtherMale

MORTALITY All Races White

Female White

Black and Other

Rate per 1,000 Population

Melanoma of Skin

SELECTED CANCER SITE DEATHS

Breast (female)

Measurements based on small denominators should be used with caution. Rates and ratios based on a denominator of less than 50 births or 1,000 population are shaded. Estimated pregnancies are the sum of births, induced terminations of pregnancy (abortions) and estimated total fetal losses. Estimated total fetal losses are equal to the sum of 20 percent of births and 10 percent of induced terminations of pregnancy. The total fertility rate is the sum of age-specific birth rates multiplied by the width of the intervals, i.e. five years. A total fertility rate of 2,100 births per 1,000 females aged 10-49 years would maintain the current population. Estimated populations are from the U.S. Census Bureau. See Appendix B for other definitions and formulas.

Age Group

Brain and Other Nervous SystemOvary (female)

Other

PancreasLeukemiasNon-Hodgkin's Lymphomas

Trachea, Bronchus, Lung, PleuraColorectal

Uterus and Cervix (female)Esophagus

130 ADPH|CHS County Profile (2018)

Page 136: health department quality Vital Statistics

Number Rate Number RateEstimated Pregnancies 963 86.6 86 23.4Births 771 12.1 65 17.8Induced Terminations of Pregnancy 34 3.1 7 1.9Estimated Total Fetal Losses 158 --- 14 ---Birth rates are per 1,000 population.

Total 10-14 15-17 18-19 20+All Births 771 0 51 706 Rate 12.1 0.0 71.3 62.0White 729 0 47 671 Rate 12.6 0.0 74.9 65.0

63,711 Black and Other 42 0 4 35771 Rate 7.3 0.0 45.2 32.9

1,02942.2 Births with unknown age of mother are included in the age group "20+".

Life Expectancy at BirthTotal Fertility Rate per 1,000 Females Aged 10-49 Number Percent Number Percent

408 Births to Unmarried Women 307 39.8 47 72.3339 Low Weight Births 73 9.5 9 13.8

Multiple Births 16 2.1 0 0.0Medicaid Births 432 56.1 58 90.6

White WhiteInfant Deaths 11 11 1 1 Rate per 1,000 Births 14.3 15.1 15.4 17.2Postneonatal Deaths 5 5 0 0 Rate per 1,000 Births 6.5 6.9 0.0 0.0Neonatal Deaths 6 6 1 1 Rate per 1,000 Births 7.8 8.2 15.4 17.2

Total Male Female Total Male Female Total Male FemaleTotal 63,711 31,040 32,671 57,950 28,252 29,698 5,761 2,788 2,973

0-4 3,832 1,931 1,901 3,310 1,680 1,630 522 251 2715-9 3,945 1,975 1,970 3,418 1,731 1,687 527 244 28310-14 3,913 2,044 1,869 3,432 1,778 1,654 481 266 21515-44 22,234 11,116 11,118 19,970 9,984 9,986 2,264 1,132 1,13245-64 17,476 8,571 8,905 16,191 7,984 8,207 1,285 587 69865-84 11,244 5,034 6,210 10,618 4,747 5,871 626 287 33985+ 1,067 369 698 1,011 348 663 56 21 35

PREGNANCY/NATALITY

14

Estimated pregnancy and induced termination of pregnancy rates are per 1,000 females in specified age group.

Divorces Granted

BirthsDeaths

Total Population

BIRTHS BY AGE GROUP OF MOTHER

Marriages Issued

13.0

Females Aged 10-19Females Aged 15-44

SUMMARY

Median Age

70.5

2,078.5

22.63

11.711

LIVE BIRTHS

Rates are per 1,000 females in specified age group.

Females Aged 10-19

Black and Other0

0.00

Percentages are of all births with known status for females in specified age group.

INFANT RELATED MORTALITY BY RACE* AND AGE GROUP OF MOTHER

All AgesBlack and OtherAll Races

*Infant deaths are by race of child; births are by race of mother.

00.0

0

All Races White

0.0

0.00

Black and Other

2018 ESTIMATED POPULATIONS BY AGE GROUP, RACE AND SEX

Age Group

0.00

0.0

Ages 10-19All Races

Females Aged 15-44

WALKER 2018 HEALTH PROFILE

131 ADPH|CHS County Profile (2018)

Page 137: health department quality Vital Statistics

Total Male Female Total Male Female Total Male FemaleDeaths 1,029 532 497 974 506 468 55 26 29

16.2 17.1 15.2 16.7 17.9 15.8 9.5 9.3 9.8

Number Rate Number Rate Number Rate Number Rate Number RateHeart Disease 326 511.7 165 531.6 161 492.8 303 519.7 23 399.2Cancer 187 293.5 109 351.2 78 238.7 172 295.0 15 260.4Stroke 47 73.8 21 67.7 26 79.6 47 80.6 0 0.0Accidents 43 67.5 29 93.4 14 42.9 43 73.7 0 0.0CLRD* 86 135.0 38 122.4 48 146.9 84 144.1 2 34.7Diabetes 15 23.5 8 25.8 7 21.4 15 25.7 0 0.0Influenza and Pneumonia 28 43.9 11 35.4 17 52.0 28 48.0 0 0.0Alzheimer's Disease 50 78.5 19 61.2 31 94.9 49 84.0 1 17.4Suicide 11 17.3 9 29.0 2 6.1 10 17.2 1 17.4Homicide 7 11.0 5 16.1 2 6.1 7 12.0 0 0.0

1 1.6 1 3.2 0 0.0 1 1.7 0 0.0Rates are per 100,000 population in specified categories. *CLRD is known as Chronic Lower Respiratory Disease.

Number Rate Number RateAll Accidents 43 67.5 3 19.4 Number Rate

Motor Vehicle 20 31.4 3 19.4 Total 1,029 16.2Suffocation 2 3.1 0 0.0 0 - 14 14 1.2Poisoning 11 17.3 0 0.0 15 - 44 67 3.0Smoke, Fire and Flames 1 1.6 0 0.0 45 - 64 245 14.0Falls 2 3.1 0 0.0 65 - 84 486 43.2Drowning 1 1.6 0 0.0 85 + 217 203.4Firearms 0 0.0 0 0.0 Rates are per 1,000 population in specified age group.Other Accidents 6 --- 0 ---

Rates are per 100,000 population in specified categories.

Number Rate Number Rate Number Rate187 293.5 109 351.2 78 238.763 98.9 39 125.6 24 73.514 22.0 5 16.1 9 27.510 15.7 ... … 10 30.65 7.8 5 16.1 … …9 14.1 5 16.1 4 12.28 12.6 5 16.1 3 9.23 4.7 3 9.7 0 0.02 3.1 … … 2 6.16 9.4 4 12.9 2 6.15 7.8 4 12.9 1 3.17 11.0 … … 7 21.44 6.3 4 12.9 0 0.05 7.8 4 12.9 1 3.1

46 --- 31 --- 15 ---

WALKER 2018 HEALTH PROFILE (Continued)

SELECTED CAUSESOF DEATH

Total Male

MORTALITY All Races White

WhiteFemale Black and Other

Black and Other

Rate per 1,000 Population

HIV Disease

DEATHS BY AGE GROUPACCIDENTAL DEATHS All Ages

Brain and Other Nervous SystemOvary (female)

FemaleTotal Male

All CancersTrachea, Bronchus, Lung, Pleura

Age Group

Ages 19 and Under

Non-Hodgkin's Lymphomas

Colorectal

Measurements based on small denominators should be used with caution. Rates and ratios based on a denominator of less than 50 births or 1,000 population are shaded. Estimated pregnancies are the sum of births, induced terminations of pregnancy (abortions) and estimated total fetal losses. Estimated total fetal losses are equal to the sum of 20 percent of births and 10 percent of induced terminations of pregnancy. The total fertility rate is the sum of age-specific birth rates multiplied by the width of the intervals, i.e. five years. A total fertility rate of 2,100 births per 1,000 females aged 10-49 years would maintain the current population. Estimated populations are from the U.S. Census Bureau. See Appendix B for other definitions and formulas.

Breast (female)Prostate (male)PancreasLeukemias

SELECTED CANCER SITE DEATHS

StomachUterus and Cervix (female)EsophagusMelanoma of SkinOther

Rates are per 100,000 population in specified categories.

132 ADPH|CHS County Profile (2018)

Page 138: health department quality Vital Statistics

Number Rate Number RateEstimated Pregnancies 226 80.7 24 23.2Births 184 11.2 19 18.4Induced Terminations of Pregnancy 5 1.8 1 1.0Estimated Total Fetal Losses 37 --- 4 ---Birth rates are per 1,000 population.

Total 10-14 15-17 18-19 20+All Births 184 0 14 165 Rate 11.2 0.0 68.6 57.5White 134 0 9 124 Rate 12.4 0.0 70.8 68.1

16,378 Black and Other 50 0 5 41184 Rate 9.0 0.0 65.1 39.1189

42.7 Births with unknown age of mother are included in the age group "20+".

Life Expectancy at BirthTotal Fertility Rate per 1,000 Females Aged 10-49 Number Percent Number Percent

0 Births to Unmarried Women 77 41.8 17 89.5 83 Low Weight Births 26 14.1 1 5.3

Multiple Births 12 6.5 0 0.0Medicaid Births 81 44.0 18 94.7

White WhiteInfant Deaths 1 0 0 Rate per 1,000 Births 5.4 0.0 0.0Postneonatal Deaths 1 0 0 Rate per 1,000 Births 5.4 0.0 0.0Neonatal Deaths 0 0 0 Rate per 1,000 Births 0.0 0.0 0.0

Total Male Female Total Male Female Total Male FemaleTotal 16,378 8,055 8,323 10,838 5,359 5,479 5,540 2,696 2,844

0-4 873 429 444 560 270 290 313 159 1545-9 928 474 454 582 304 278 346 170 17610-14 1,086 564 522 670 344 326 416 220 19615-44 5,708 2,903 2,805 3,552 1,803 1,749 2,156 1,100 1,05645-64 4,653 2,271 2,382 3,176 1,591 1,585 1,477 680 79765-84 2,805 1,294 1,511 2,050 954 1,096 755 340 41585+ 325 120 205 248 93 155 77 27 50

434.7

Percentages are of all births with known status for females in specified age group.

Black and Other Black and OtherAll Ages

020.0

Deaths

Total Population

Ages 10-19

1

Marriages IssuedDivorces Granted

Females Aged 15-44

All Races White Black and Other

2018 ESTIMATED POPULATIONS BY AGE GROUP, RACE AND SEX

Age Group

Females Aged 15-44

INFANT RELATED MORTALITY BY RACE* AND AGE GROUP OF MOTHER

20.00

1

0.0*Infant deaths are by race of child; births are by race of mother.

0.00

0All Races

Median Age

75.8

2,003.0

Births

1SUMMARY

516.3

PREGNANCY/NATALITY

Females Aged 10-19

Estimated pregnancy and induced termination of pregnancy rates are per 1,000 females in specified age group.

5.2

BIRTHS BY AGE GROUP OF MOTHER

Females Aged 10-19

0

LIVE BIRTHS

Rates are per 1,000 females in specified age group.

0.0

0.00

0.0

00.0

All Races

0.0

WASHINGTON 2018 HEALTH PROFILE

133 ADPH|CHS County Profile (2018)

Page 139: health department quality Vital Statistics

Total Male Female Total Male Female Total Male FemaleDeaths 189 109 80 135 73 62 54 36 18

11.5 13.5 9.6 12.4 13.6 11.3 9.7 13.4 6.3

Number Rate Number Rate Number Rate Number Rate Number RateHeart Disease 43 262.5 27 335.2 16 192.2 30 274.6 13 234.7Cancer 40 244.2 23 285.5 17 204.3 27 247.2 13 234.7Stroke 12 73.3 9 111.7 3 36.0 10 91.5 2 36.1Accidents 12 73.3 8 99.3 4 48.1 9 82.4 3 54.2CLRD* 8 48.8 5 62.1 3 36.0 6 54.9 2 36.1Diabetes 14 85.5 11 136.6 3 36.0 9 82.4 5 90.3Influenza and Pneumonia 4 24.4 0 0.0 4 48.1 3 27.5 1 18.1Alzheimer's Disease 7 42.7 1 12.4 6 72.1 6 54.9 1 18.1Suicide 5 30.5 3 37.2 2 24.0 5 45.8 0 0.0Homicide 3 18.3 2 24.8 1 12.0 1 9.2 2 36.1

0 0.0 0 0.0 0 0.0 0 0.0 0 0.0Rates are per 100,000 population in specified categories. *CLRD is known as Chronic Lower Respiratory Disease.

Number Rate Number RateAll Accidents 12 73.3 1 25.0 Number Rate

Motor Vehicle 5 30.5 0 0.0 Total 189 11.5Suffocation 1 6.1 1 25.0 0 - 14 1 0.3Poisoning 3 18.3 0 0.0 15 - 44 15 2.6Smoke, Fire and Flames 0 0.0 0 0.0 45 - 64 41 8.8Falls 2 12.2 0 0.0 65 - 84 81 28.9Drowning 0 0.0 0 0.0 85 + 51 156.9Firearms 0 0.0 0 0.0 Rates are per 1,000 population in specified age group.Other Accidents 1 --- 0 ---

Rates are per 100,000 population in specified categories.

Number Rate Number Rate Number Rate40 244.2 23 285.5 17 204.312 73.3 7 86.9 5 60.14 24.4 2 24.8 2 24.00 0.0 ... … 0 0.02 12.2 2 24.8 … …2 12.2 1 12.4 1 12.02 12.2 1 12.4 1 12.02 12.2 2 24.8 0 0.00 0.0 … … 0 0.00 0.0 0 0.0 0 0.01 6.1 0 0.0 1 12.00 0.0 … … 0 0.00 0.0 0 0.0 0 0.00 0.0 0 0.0 0 0.0

15 --- 8 --- 7 ---

WASHINGTON 2018 HEALTH PROFILE (Continued)

SELECTED CAUSESOF DEATH

Total Male

MORTALITY All Races White

Female

Black and Other

HIV Disease

Rate per 1,000 Population

White Black and Other

Other

All CancersTrachea, Bronchus, Lung, PleuraColorectalBreast (female)Prostate (male)

EsophagusMelanoma of Skin

ACCIDENTAL DEATHS All Ages Ages 19 and Under DEATHS BY AGE GROUP

Age Group

StomachUterus and Cervix (female)

Brain and Other Nervous System

Measurements based on small denominators should be used with caution. Rates and ratios based on a denominator of less than 50 births or 1,000 population are shaded. Estimated pregnancies are the sum of births, induced terminations of pregnancy (abortions) and estimated total fetal losses. Estimated total fetal losses are equal to the sum of 20 percent of births and 10 percent of induced terminations of pregnancy. The total fertility rate is the sum of age-specific birth rates multiplied by the width of the intervals, i.e. five years. A total fertility rate of 2,100 births per 1,000 females aged 10-49 years would maintain the current population. Estimated populations are from the U.S. Census Bureau. See Appendix B for other definitions and formulas.

PancreasLeukemiasNon-Hodgkin's LymphomasOvary (female)

FemaleTotalSELECTED CANCER SITE DEATHS

Rates are per 100,000 population in specified categories.

Male

134 ADPH|CHS County Profile (2018)

Page 140: health department quality Vital Statistics

Number Rate Number RateEstimated Pregnancies 176 90.9 19 25.4Births 130 12.2 14 18.7Induced Terminations of Pregnancy 18 9.3 2 2.7Estimated Total Fetal Losses 28 --- 3 ---Birth rates are per 1,000 population.

Total 10-14 15-17 18-19 20+All Births 130 0 9 116 Rate 12.2 0.0 58.6 60.8White 22 0 2 20 Rate 7.5 0.0 65.8 49.3

10,627 Black and Other 108 0 7 96130 Rate 14.0 0.0 56.8 63.9170

40.4 Births with unknown age of mother are included in the age group "20+".

Life Expectancy at BirthTotal Fertility Rate per 1,000 Females Aged 10-49 Number Percent Number Percent

113 Births to Unmarried Women 98 75.4 14 100.025 Low Weight Births 13 10.0 1 7.1

Multiple Births 10 7.7 2 14.3Medicaid Births 97 74.6 13 92.9

White WhiteInfant Deaths 1 1 0 Rate per 1,000 Births 7.7 45.5 0.0Postneonatal Deaths 1 1 0 Rate per 1,000 Births 7.7 45.5 0.0Neonatal Deaths 0 0 0 Rate per 1,000 Births 0.0 0.0 0.0

Total Male Female Total Male Female Total Male FemaleTotal 10,627 5,056 5,571 2,915 1,449 1,466 7,712 3,607 4,105

0-4 679 340 339 130 69 61 549 271 2785-9 635 313 322 115 43 72 520 270 25010-14 707 343 364 133 75 58 574 268 30615-44 3,800 1,865 1,935 841 446 395 2,959 1,419 1,54045-64 2,740 1,272 1,468 831 409 422 1,909 863 1,04665-84 1,817 856 961 770 379 391 1,047 477 57085+ 249 67 182 95 28 67 154 39 115

0

*Infant deaths are by race of child; births are by race of mother.0.0

00.0

0

00.0

All Races Black and Other

0.00

0.0

BirthsDeaths

Total Population

00.0

SUMMARY

Median Age

70.4

2,067.5

LIVE BIRTHS

Females Aged 15-44

00.0

5

All Ages Ages 10-19Black and Other

00.0

All Races

0

00.0

0.0

White Black and Other

2018 ESTIMATED POPULATIONS BY AGE GROUP, RACE AND SEX

Age Group All Races

Rates are per 1,000 females in specified age group.

PREGNANCY/NATALITY

Estimated pregnancy and induced termination of pregnancy rates are per 1,000 females in specified age group.

Females Aged 15-44

BIRTHS BY AGE GROUP OF MOTHER

521.7

27.1

Females Aged 10-19

INFANT RELATED MORTALITY BY RACE* AND AGE GROUP OF MOTHER

Percentages are of all births with known status for females in specified age group.

Females Aged 10-19

Marriages IssuedDivorces Granted

WILCOX 2018 HEALTH PROFILE

135 ADPH|CHS County Profile (2018)

Page 141: health department quality Vital Statistics

Total Male Female Total Male Female Total Male FemaleDeaths 170 100 70 62 38 24 108 62 46

16.0 19.8 12.6 21.0 26.2 16.4 14.0 17.2 11.2

Number Rate Number Rate Number Rate Number Rate Number RateHeart Disease 44 414.0 27 534.0 17 305.2 12 405.7 32 414.9Cancer 42 395.2 25 494.5 17 305.2 15 507.1 27 350.1Stroke 11 103.5 9 178.0 2 35.9 2 67.6 9 116.7Accidents 8 75.3 4 79.1 4 71.8 2 67.6 6 77.8CLRD* 6 56.5 4 79.1 2 35.9 5 169.0 1 13.0Diabetes 3 28.2 2 39.6 1 18.0 1 33.8 2 25.9Influenza and Pneumonia 5 47.0 2 39.6 3 53.9 2 67.6 3 38.9Alzheimer's Disease 8 75.3 2 39.6 6 107.7 4 135.2 4 51.9Suicide 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0Homicide 2 18.8 2 39.6 0 0.0 1 33.8 1 13.0

0 0.0 0 0.0 0 0.0 0 0.0 0 0.0Rates are per 100,000 population in specified categories. *CLRD is known as Chronic Lower Respiratory Disease.

Number Rate Number RateAll Accidents 8 75.3 0 0.0 Number Rate

Motor Vehicle 3 28.2 0 0.0 Total 170 16.0Suffocation 0 0.0 0 0.0 0 - 14 2 1.0Poisoning 1 9.4 0 0.0 15 - 44 11 2.9Smoke, Fire and Flames 0 0.0 0 0.0 45 - 64 46 16.8Falls 2 18.8 0 0.0 65 - 84 80 44.0Drowning 0 0.0 0 0.0 85 + 31 124.5Firearms 0 0.0 0 0.0 Rates are per 1,000 population in specified age group.Other Accidents 2 --- 0 ---

Rates are per 100,000 population in specified categories.

Number Rate Number Rate Number Rate42 395.2 25 494.5 17 305.27 65.9 3 59.3 4 71.82 18.8 1 19.8 1 18.05 47.0 ... … 5 89.84 37.6 4 79.1 … …4 37.6 3 59.3 1 18.01 9.4 1 19.8 0 0.00 0.0 0 0.0 0 0.00 0.0 … … 0 0.01 9.4 1 19.8 0 0.00 0.0 0 0.0 0 0.01 9.4 … … 1 18.01 9.4 1 19.8 0 0.01 9.4 1 19.8 0 0.0

15 --- 10 --- 5 ---

Prostate (male)

All CancersTrachea, Bronchus, Lung, Pleura

Non-Hodgkin's Lymphomas

ColorectalBreast (female)

Measurements based on small denominators should be used with caution. Rates and ratios based on a denominator of less than 50 births or 1,000 population are shaded. Estimated pregnancies are the sum of births, induced terminations of pregnancy (abortions) and estimated total fetal losses. Estimated total fetal losses are equal to the sum of 20 percent of births and 10 percent of induced terminations of pregnancy. The total fertility rate is the sum of age-specific birth rates multiplied by the width of the intervals, i.e. five years. A total fertility rate of 2,100 births per 1,000 females aged 10-49 years would maintain the current population. Estimated populations are from the U.S. Census Bureau. See Appendix B for other definitions and formulas.

Rates are per 100,000 population in specified categories. Other

Ovary (female)

PancreasLeukemias

Brain and Other Nervous System

EsophagusMelanoma of Skin

Uterus and Cervix (female)Stomach

Black and Other

HIV Disease

Rate per 1,000 Population

Black and OtherWhite

DEATHS BY AGE GROUPACCIDENTAL DEATHS All Ages Ages 19 and Under

FemaleSELECTED CANCER SITE DEATHS Male

WILCOX 2018 HEALTH PROFILE (Continued)

SELECTED CAUSESOF DEATH

Total Male

MORTALITY All Races White

Female

Age Group

Total

136 ADPH|CHS County Profile (2018)

Page 142: health department quality Vital Statistics

Number Rate Number RateEstimated Pregnancies 308 80.1 38 28.1Births 240 10.1 32 23.4Induced Terminations of Pregnancy 18 4.7 0 0.0Estimated Total Fetal Losses 50 --- 6 ---Birth rates are per 1,000 population.

Total 10-14 15-17 18-19 20+All Births 240 1 21 208 Rate 10.1 1.4 79.1 52.4White 234 0 21 203 Rate 10.3 0.0 83.5 52.8

23,660 Black and Other 6 1 0 5240 Rate 6.6 29.4 0.0 39.7307

45.4 Births with unknown age of mother are included in the age group "20+".

Life Expectancy at BirthTotal Fertility Rate per 1,000 Females Aged 10-49 Number Percent Number Percent

140 Births to Unmarried Women 98 40.8 25 78.199 Low Weight Births 25 10.4 4 12.5

Multiple Births 0 0.0 0 0.0Medicaid Births 147 61.3 26 81.3

White WhiteInfant Deaths 2 2 0 Rate per 1,000 Births 8.3 8.5 0.0Postneonatal Deaths 0 0 0 Rate per 1,000 Births 0.0 0.0 0.0Neonatal Deaths 2 2 0 Rate per 1,000 Births 8.3 8.5 0.0

Total Male Female Total Male Female Total Male FemaleTotal 23,660 11,655 12,005 22,757 11,197 11,560 903 458 445

0-4 1,289 648 641 1,198 611 587 91 37 545-9 1,234 649 585 1,170 621 549 64 28 3610-14 1,408 704 704 1,336 666 670 72 38 3415-44 7,762 3,917 3,845 7,437 3,731 3,706 325 186 13945-64 6,866 3,448 3,418 6,639 3,331 3,308 227 117 11065-84 4,548 2,109 2,439 4,435 2,059 2,376 113 50 6385+ 553 180 373 542 178 364 11 2 9

All Races White

*Infant deaths are by race of child; births are by race of mother.

All Races

0.0

Age Group Black and Other

0 00.0

00.0

0.00

0

PREGNANCY/NATALITY

Females Aged 15-44

BIRTHS BY AGE GROUP OF MOTHER

Females Aged 10-19

00.0

0

Black and Other Black and Other

0.00

0.0

LIVE BIRTHS

All Races

Percentages are of all births with known status for females in specified age group.

0.0

Estimated pregnancy and induced termination of pregnancy rates are per 1,000 females in specified age group.

10

1025.1

SUMMARY

Median Age

76.0

00.0

26.50

0.0Rates are per 1,000 females in specified age group.

Females Aged 10-19

INFANT RELATED MORTALITY BY RACE* AND AGE GROUP OF MOTHER

All Ages Ages 10-19

1,884.5 Females Aged 15-44

BirthsDeaths

Total Population

Marriages IssuedDivorces Granted

2018 ESTIMATED POPULATIONS BY AGE GROUP, RACE AND SEX

WINSTON 2018 HEALTH PROFILE

137 ADPH|CHS County Profile (2018)

Page 143: health department quality Vital Statistics

Total Male Female Total Male Female Total Male FemaleDeaths 307 153 154 306 152 154 1 1 0

13.0 13.1 12.8 13.4 13.6 13.3 1.1 2.2 0.0

Number Rate Number Rate Number Rate Number Rate Number RateHeart Disease 67 283.2 31 266.0 36 299.9 67 293.4 0 0.0Cancer 63 266.3 36 308.9 27 224.9 62 271.5 1 110.7Stroke 11 46.5 6 51.5 5 41.6 11 48.2 0 0.0Accidents 9 38.0 4 34.3 5 41.6 9 39.4 0 0.0CLRD* 35 147.9 21 180.2 14 116.6 35 153.2 0 0.0Diabetes 8 33.8 5 42.9 3 25.0 8 35.0 0 0.0Influenza and Pneumonia 11 46.5 5 42.9 6 50.0 11 48.2 0 0.0Alzheimer's Disease 17 71.9 1 8.6 16 133.3 17 74.4 0 0.0Suicide 7 29.6 5 42.9 2 16.7 7 30.6 0 0.0Homicide 1 4.2 0 0.0 1 8.3 1 4.4 0 0.0

1 4.2 1 8.6 0 0.0 1 4.4 0 0.0Rates are per 100,000 population in specified categories. *CLRD is known as Chronic Lower Respiratory Disease.

Number Rate Number RateAll Accidents 9 38.0 0 0.0 Number Rate

Motor Vehicle 4 16.9 0 0.0 Total 307 13.0Suffocation 0 0.0 0 0.0 0 - 14 3 0.8Poisoning 3 12.7 0 0.0 15 - 44 10 1.3Smoke, Fire and Flames 0 0.0 0 0.0 45 - 64 76 11.1Falls 2 8.5 0 0.0 65 - 84 158 34.7Drowning 0 0.0 0 0.0 85 + 60 108.5Firearms 0 0.0 0 0.0 Rates are per 1,000 population in specified age group.Other Accidents 0 --- 0 ---

Rates are per 100,000 population in specified categories.

Number Rate Number Rate Number Rate63 266.3 36 308.9 27 224.918 76.1 10 85.8 8 66.65 21.1 3 25.7 2 16.73 12.7 ... … 3 25.06 25.4 6 51.5 … …8 33.8 4 34.3 4 33.31 4.2 0 0.0 1 8.30 0.0 0 0.0 0 0.00 0.0 … … 0 0.01 4.2 0 0.0 1 8.31 4.2 1 8.6 0 0.03 12.7 … … 3 25.02 8.5 2 17.2 0 0.00 0.0 0 0.0 0 0.0

15 --- 10 --- 5 ---

Trachea, Bronchus, Lung, Pleura

Uterus and Cervix (female)

WINSTON 2018 HEALTH PROFILE (Continued)

Black and OtherMORTALITY All Races White

Black and Other

Rate per 1,000 Population

SELECTED CAUSESOF DEATH

Total Male Female White

HIV Disease

Brain and Other Nervous System

Non-Hodgkin's LymphomasOvary (female)

Colorectal

Prostate (male)

Measurements based on small denominators should be used with caution. Rates and ratios based on a denominator of less than 50 births or 1,000 population are shaded. Estimated pregnancies are the sum of births, induced terminations of pregnancy (abortions) and estimated total fetal losses. Estimated total fetal losses are equal to the sum of 20 percent of births and 10 percent of induced terminations of pregnancy. The total fertility rate is the sum of age-specific birth rates multiplied by the width of the intervals, i.e. five years. A total fertility rate of 2,100 births per 1,000 females aged 10-49 years would maintain the current population. Estimated populations are from the U.S. Census Bureau. See Appendix B for other definitions and formulas.

EsophagusMelanoma of SkinOther

Rates are per 100,000 population in specified categories.

All Cancers

Leukemias

Stomach

Female

Breast (female)

DEATHS BY AGE GROUP

Age Group

ACCIDENTAL DEATHS All Ages Ages 19 and Under

Total Male

Pancreas

SELECTED CANCER SITE DEATHS

138 ADPH|CHS County Profile (2018)

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This Page Intentionally Left Blank.

139 ADPH|CHS County Profile (2018)

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Appendix A

Estimated Populations

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4,887,871 1,658,530 1,721,425 705,585 802,331 2,364,115 2,523,756 3,374,131 1,507,916Autauga 55,601 20,859 21,801 6,136 6,805 26,995 28,606 42,586 12,941Baldwin 218,022 92,471 97,830 13,186 14,535 105,657 112,365 185,288 27,721Barbour 24,881 6,410 5,799 6,723 5,949 13,133 11,748 12,449 12,672Bibb 22,400 8,762 8,449 3,159 2,030 11,921 10,479 17,351 5,189Blount 57,840 27,307 28,149 1,193 1,191 28,500 29,340 55,622 2,384Bullock 10,138 1,615 1,046 3,912 3,565 5,527 4,611 2,738 7,477Butler 19,680 4,899 5,384 4,266 5,131 9,165 10,515 10,418 9,397Calhoun 114,277 41,758 44,268 13,156 15,095 54,914 59,363 86,510 28,251Chambers 33,615 9,291 9,891 6,802 7,631 16,093 17,522 19,298 14,433Cherokee 26,032 11,983 12,234 913 902 12,896 13,136 24,084 1,815Chilton 44,153 18,888 19,571 2,780 2,914 21,668 22,485 38,336 5,694Choctaw 12,841 3,587 3,756 2,483 3,015 6,070 6,771 7,408 5,498Clarke 23,920 6,191 6,590 5,137 6,002 11,328 12,592 12,923 11,139Clay 13,275 5,431 5,615 1,061 1,168 6,492 6,783 11,138 2,229Cleburne 14,987 7,070 7,164 351 402 7,421 7,566 14,137 753Coffee 51,909 19,529 19,839 5,992 6,549 25,521 26,388 39,342 12,541Colbert 54,762 21,326 22,812 4,933 5,691 26,259 28,503 43,905 10,624Conecuh 12,277 3,152 3,187 2,729 3,209 5,881 6,396 6,376 5,938Coosa 10,715 3,671 3,496 1,728 1,820 5,399 5,316 7,227 3,548Covington 36,986 15,220 16,049 2,676 3,041 17,896 19,090 31,411 5,717Crenshaw 13,824 4,908 5,154 1,766 1,996 6,674 7,150 10,105 3,762Cullman 83,442 39,513 40,472 1,732 1,725 41,245 42,197 79,496 3,457Dale 48,956 18,102 18,017 5,921 6,916 24,023 24,933 36,397 12,837Dallas 38,310 5,100 5,530 12,585 15,095 17,685 20,625 10,936 27,680DeKalb 71,385 32,745 33,439 2,683 2,518 35,428 35,957 66,455 5,201Elmore 81,887 29,753 32,047 9,832 10,255 39,585 42,302 61,855 20,087Escambia 36,748 11,336 11,456 7,292 6,664 18,628 18,120 23,155 13,956Etowah 102,501 40,319 42,477 9,334 10,371 49,653 52,848 83,118 19,705Fayette 16,433 6,877 7,199 1,146 1,211 8,023 8,410 14,191 2,357Franklin 31,363 14,370 14,368 1,453 1,172 15,823 15,540 28,849 2,625Geneva 26,314 11,214 11,737 1,632 1,731 12,846 13,468 23,064 3,363Greene 8,233 736 783 3,151 3,563 3,887 4,346 1,552 6,714Hale 14,726 2,986 3,002 4,022 4,716 7,008 7,718 6,016 8,738Henry 17,209 5,983 6,297 2,317 2,612 8,300 8,909 12,175 4,929Houston 104,722 35,160 37,164 15,126 17,272 50,286 54,436 72,423 32,398Jackson 51,736 23,188 24,027 2,202 2,319 25,390 26,346 47,491 4,521Jefferson 659,300 170,241 180,216 141,350 167,493 311,591 347,709 351,002 308,843Lamar 13,844 5,930 6,154 837 923 6,767 7,077 12,164 1,760Lauderdale 92,387 38,697 41,661 5,630 6,399 44,327 48,060 80,368 12,029Lawrence 32,957 12,583 13,189 3,464 3,721 16,047 16,910 25,918 7,185Lee 163,941 57,749 57,941 22,890 25,361 80,639 83,302 113,990 48,251Limestone 96,174 38,936 39,120 9,220 8,898 48,156 48,018 76,904 18,118Lowndes 9,974 1,276 1,309 3,394 3,995 4,670 5,304 2,568 7,389Macon 18,439 1,572 1,556 6,811 8,500 8,383 10,056 3,098 15,311Madison 366,519 125,744 126,594 53,330 60,851 179,074 187,445 248,464 114,181Marengo 19,066 4,324 4,615 4,609 5,518 8,933 10,133 9,083 10,127Marion 29,763 13,705 14,281 981 796 14,686 15,077 28,048 1,777Marshall 96,109 43,871 45,513 3,631 3,094 47,502 48,607 88,940 6,725Mobile 413,757 119,220 125,727 77,857 90,953 197,077 216,680 245,841 168,810Monroe 21,067 5,698 5,914 4,307 5,148 10,005 11,062 11,796 9,455Montgomery 225,763 39,839 41,306 66,683 77,935 106,522 119,241 82,636 144,618Morgan 119,089 48,684 49,907 9,998 10,500 58,682 60,407 98,660 20,498Perry 9,140 1,370 1,421 2,911 3,438 4,281 4,859 2,895 6,349Pickens 19,938 5,935 5,595 4,013 4,395 9,948 9,990 11,640 8,408Pike 33,338 9,453 9,710 6,645 7,530 16,098 17,240 19,111 14,175Randolph 22,725 8,689 9,000 2,367 2,669 11,056 11,669 17,627 5,036Russell 57,781 14,216 14,649 13,529 15,387 27,745 30,036 28,704 28,916St. Clair 88,690 38,434 39,405 5,593 5,258 44,027 44,663 77,598 10,851Shelby 215,707 87,012 91,669 17,258 19,768 104,270 111,437 177,887 37,026Sumter 12,691 1,531 1,674 4,271 5,215 5,802 6,889 3,207 9,486Talladega 79,828 25,105 26,241 13,475 15,007 38,580 41,248 51,680 28,482Tallapoosa 40,497 14,005 14,518 5,627 6,347 19,632 20,865 28,711 11,974Tuscaloosa 208,911 66,744 68,238 33,845 40,084 100,589 108,322 134,738 73,929Walker 63,711 28,252 29,698 2,788 2,973 31,040 32,671 58,307 5,761Washington 16,378 5,359 5,479 2,696 2,844 8,055 8,323 10,924 5,540Wilcox 10,627 1,449 1,466 3,607 4,105 5,056 5,571 2,958 7,712Winston 23,660 11,197 11,560 458 445 11,655 12,005 22,839 903

FEMALETOTAL

ESTIMATED POPULATION BY COUNTY, RACE AND SEX 1ALABAMA, 2018

1 Population estimates provided by the U.S. Census Bureau.

WHITE BLACK & OTHER

WHITE BLACK & OTHER TOTAL TOTALFEMALEMALE MALE FEMALEMALE

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TOTAL MALE FEMALE TOTAL MALE FEMALETOTAL 4,887,871 3,379,955 1,658,530 1,721,425 1,507,916 705,585 802,331

0-4 293,203 185,662 94,898 90,764 107,541 54,366 53,1755-9 297,900 191,458 98,084 93,374 106,442 53,983 52,45910-14 310,495 201,478 103,236 98,242 109,017 55,041 53,97615-19 315,680 203,462 103,947 99,515 112,218 56,036 56,18220-24 325,220 207,161 105,836 101,325 118,059 57,820 60,23925-29 340,014 219,268 110,628 108,640 120,746 58,724 62,02230-34 303,526 202,500 101,035 101,465 101,026 47,010 54,01635-39 303,994 204,041 101,935 102,106 99,953 45,732 54,22140-44 288,308 198,041 98,654 99,387 90,267 40,617 49,65045-49 312,966 221,609 110,709 110,900 91,357 41,052 50,30550-54 314,492 224,599 111,640 112,959 89,893 40,954 48,93955-59 336,811 242,311 119,172 123,139 94,500 42,388 52,11260-64 318,368 231,113 111,428 119,685 87,255 38,567 48,68865-69 270,799 201,882 95,398 106,484 68,917 30,078 38,83970-74 216,922 171,621 79,536 92,085 45,301 19,486 25,81575-79 150,858 121,924 54,209 67,715 28,934 11,706 17,22880-84 98,450 79,765 33,216 46,549 18,685 6,861 11,82485+ 89,865 72,060 24,969 47,091 17,805 5,164 12,641

1 Population estimates provided by the U.S. Census Bureau.

ESTIMATED POPULATION1 BY AGE GROUP, RACE AND SEX ALABAMA, 2018

BLACK AND OTHERWHITETOTAL POPULATIONAGE GROUP

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Appendix B

Technical Notes

Definitions

Formulas

ICD-10 Codes Used in the County Health Profiles

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TECHNICAL NOTES SOURCES OF DATA

Data in this publication are from certificates and reports filed with the Center for Health

Statistics (CHS) in the Alabama Department of Public Health according to Alabama Vital Statistics Laws. The State Registrar of Vital Records enforces the laws and administers the system of vital statistics. Certificates (birth, death, marriage and divorce) and reports (fetal death and induced termination of pregnancy) provide most of the information included in this publication. The statewide data for Alabama are also sent to the National Center for Health Statistics (NCHS) for inclusion in national reports and tabulations.

BIRTHS. If a birth occurs in a birthing hospital, the birth certificate is filed by that

hospital with CHS. Information on a birth certificate is obtained from a parent and from medical files for the mother and infant. All birthing hospitals in Alabama use an internet- based Electronic Birth Registration System to complete and transmit birth certificates to CHS. If a birth occurs outside of a birthing hospital, the birth information is submitted by the parent or staff in non-birthing facility who is aware of the facts of birth. Because the legal requirements for certified copies of births have increased, 100 percent of all births are filed with CHS.

In 2014, CHS implemented the revised certificate of birth. Capturing data from the

revised certificate now makes Alabama data more comparable with other states. DEATHS. Mortality data are obtained from death certificates filed with CHS. In

Alabama, the funeral director who first takes custody of the body is responsible for obtaining the demographic data from the next of kin and filing the death certificate. The medical certification is completed by the medical professional in charge of the care of the decedent for the illness or condition that resulted in death or by the county medical examiner or coroner. Registration of deaths is thought to be nearly 100 percent complete since the death certificate is needed by the next of kin for legal purposes. In addition, listings of deaths, which are independently prepared by funeral directors, coroners, hospitals, nursing homes and other institutions where deaths occur, are compared to certificates received to ensure that all deaths are filed.

In 2016, CHS implemented the revised certificate of death. Capturing data from the

revised certificate now makes Alabama data more comparable with other states. MARRIAGES. The judge of probate in each county in Alabama issues a marriage

license containing information obtained from the parties who intend to be married. After the marriage ceremony takes place, the person who performs the ceremony certifies the fact of marriage and returns the record to the judge of probate who forwards it to CHS. Marriage data are believed to be nearly 100 percent complete since a license is needed prior to the ceremony being performed.

DIVORCES. Divorce certificates are prepared by the petitioner or his or her legal

representative and presented to the clerk of a court where divorces are granted. The court clerk completes the information certifying the divorce and forwards the certificate to CHS. While the law does require the divorce certificate to be filed before a divorce is granted, the

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filing of these records may not be as complete as other vital records since court procedures vary.

FETAL DEATHS. Reports of fetal death are required to be filed with CHS if the fetus

has advanced to or beyond the twentieth week of utero-gestation. If the fetal death occurs in an institution, the person in charge of the institution or his or her representative is responsible for filing the report. If the fetal death occurs outside of an institution, the medical professional/coroner who is aware of the fact of the event is responsible for filing the report. Since not all fetal deaths are medically attended, it is likely that there is some under- reporting of these events. Evidence indicates that reporting may be better in metropolitan counties.

In 2014, CHS implemented the revised report of fetal death. Capturing data from the

revised report now makes Alabama data more comparable with other states. INDUCED TERMINATIONS OF PREGNANCY. Since 1993, reports of induced

termination of pregnancy have been required for all events occurring in Alabama. If the induced termination of pregnancy occurs in an institution, the person in charge of the institution is required to file the report. If the induced termination of pregnancy occurs outside of an institution, the physician in attendance is required to file the report. From September 1987 to December 1992, the only reporting requirement for induced terminations of pregnancy was for events to women under 18 years of age as part of the Parental Consent Act. The degree of completeness for these reports is not known. However, if CHS learns of institutions that are not aware of the reporting requirements, they are contacted and reporting is immediately initiated.

OUT OF STATE EVENTS. To have complete data for state residents, offices of vital

statistics in all states have entered into an agreement to share data for statistical purposes. When a report or certificate is filed for a vital event that occurred in Alabama to a resident of another state or Canada, Alabama notifies that government. Likewise, Alabama receives information and reports about events happening to Alabama residents in other states or in Canada. Data from these out of state events are included in the tabulations of resident data presented in this publication.

Most states send reports of out of state events to CHS on an ongoing basis, and these

reports are believed to be complete since laws and procedures in other states are similar to Alabama's. The exceptions are reports of induced termination of pregnancy which have different reporting requirements in other states. Florida, a neighboring state, does not have a procedure for reporting induced terminations of pregnancy for Alabama residents to CHS. Since it is unknown how many Alabama residents might have these events in neighboring states, the number of reported induced terminations of pregnancy for Alabama residents might be somewhat low.

QUALITY AND COMPLETENESS OF DATA

Certificates and reports received at CHS are reviewed to ensure all information has

been entered correctly. If records are found to be incomplete or completed improperly, queries are submitted to obtain the information. Once the information is accurate and consistent, the record is accepted into the official vital records files for Alabama.

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Data for 100 percent of the births and fetal deaths are submitted by hospitals through the Electronic Birth Registration System. This electronic system contains edits and consistency checks to verify data prior to being submitted.

Data for approximately 92 percent of the deaths were submitted through the Electronic Death Registration System in 2018. This electronic system contains edits and consistency checks to verify data prior to being submitted. The remainder of the deaths are filed using paper certificates. These certificates are manually checked for accuracy and completeness. If data are incomplete or missing, the provider is queried and asked to verify the information provided or to furnish the correct data. Once these certificates are complete, they are keyed into a computer database by CHS staff.

Data for approximately 92 percent of the divorces are received electronically from the Administrative Office of Courts. The remainder of the divorces are filed using the paper certificate. These certificates are manually checked for accuracy and completeness. If data are incomplete or missing, the provider is queried and asked to verify the information provided or to furnish the correct data. Once these certificates are complete, they are keyed into a computer database by CHS staff.

Data for induced terminations of pregnancy and marriages are manually checked for accuracy and completeness. If data are incomplete or missing, the provider is queried and asked to verify the information provided or to furnish the correct data. Once these certificates or reports are complete, they are keyed into a computer database by CHS staff.

Numerous edits and consistency checks are performed on all computer files to ensure the data are as accurate as possible. Additional procedures cross check that all births and deaths are reported, particularly infant deaths.

RESIDENCE DATA

Unless specifically noted otherwise, data from vital events in this publication are reported according to the county or place of residence where the person, patient or decedent actually lived. Birth, fetal death and induced termination of pregnancy statistics are reported according to the mother’s residence. Deaths are reported by the residence of the decedent. The exceptions are marriage and divorce data that are reported according to the county where the marriage certificate was issued or the divorce was finalized.

Vital events for Alabama residents occurring in other states and Canada are also included in the residence data in this publication. See discussion under SOURCES AND COMPLETENESS OF DATA -- OUT OF STATE EVENTS.

POPULATION DENOMINATORS

Different population denominators have been used in this publication depending on the year. For 1990, 2000 and 2010, actual Census counts were used for the denominators for the rates. For the years 1991 through 1999, the population figures used were prepared by the Alabama State Data Center, Center for Business and Economic Research, University of Alabama (CBER) projecting forward from the 1990 Census. Caution should be used in

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comparing rates over time, since the further away from the Census, the less accurate the populations and associated rates become. Based on 2000 Census data, the CBER population projections for the late 1990s appear to be too low, and thus the rates for those years may be too high.

Population figures used to calculate rates for 2001 and 2002 were again from

projections provided by CBER. These population figures were based on 2000 U.S. Census counts and projecting forward. Beginning in 2003, U.S. Census estimates (rather than CBER projections) were used for population denominators in CHS publications.

The rates in this publication may not be the same as those given in other publications

if population data are from a different source. For the years between decennial national Censuses, the National Center for Health Statistics (NCHS) calculates crude rates using population estimates provided by U.S. Census Bureau. These figures are calculated in retrospect based on various housing, labor and vital statistics.

RACE

Birth, fetal death and induced termination of pregnancy statistics are reported

according to the race of the mother since many of the health conditions related to these events are directly associated with the mother. Deaths are reported by the race of the decedent. Infant deaths are also tabulated by the race of the infant. However, the infant mortality rates, with the number of births used as the denominator, are based on the race of the mother. Data for marriages and divorces are shown for both parties to the event.

RACE IN MARRIAGE, DIVORCE, AND INDUCED TERMINATION OF PREGNANCY.

For processing purposes, ten racial groups were used: White, Black, American Indian, Chinese, Japanese, Hawaiian, Filipino, Other Asian or Pacific Islander, other entries and unknown race. However, for tables shown in this publication, these groups are consolidated into “White” and “Black and Other”. “White” encompasses Mexican, Puerto Rican, Cajun, Creole, and Other Caucasian. The “Black and Other” group includes Black, American Indian, Chinese, Japanese, Hawaiian, Filipino and Other Asian or Pacific Islander. Events of unknown race are included in the “White” category.

RACE IN LIVE BIRTH, DEATH AND FETAL DEATH. In 2014, Alabama implemented

the most recent NCHS revisions of the U.S. Standard Certificate of Live Birth and Fetal Death which allows parent(s) to select more than one race. In 2016, Alabama implemented the most recent NCHS revisions of the U.S. Standard Certificate of Death which allows informant(s) to select more than one race for decedent. Twenty racial groupings are now used: White, Black, American Indian, Asian Indian, Chinese, Filipino, Japanese, Korean, Vietnamese, Hawaiian, Other Asian or Pacific Islander, Guamanian or Chamorro, Samoan, other entries, Bridged White, Bridged Black, Bridged American Indian/Alaska, Bridged Asian/Pacific Islander and unknown race. However, for tables shown in this publication, these groups are consolidated into two categories: “White” and “Black and Other”. “White” encompasses Mexican, Puerto Rican, Cajun, Creole, Other Caucasian, and Bridged White. The “Black and Other” group includes Black, American Indian, Asian Indian, Chinese, Filipino, Japanese, Korean, Vietnamese, Hawaiian, Other Asian or Pacific Islander, Guamanian or Chamorro, Samoan, other entries, Bridged Black, Bridged American Indian/Alaska, and Bridged Asian/Pacific Islander. Events of unknown race are included in

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the “White” category. Population figures from the 2010 Census show the population for Alabama as 68.5

percent White, 26.2 percent Black and 5.3 percent other races. Approximately one percent of the population reported two or more races and were included in the “Black and Other” population for tables shown in this publication.

CAUSE OF DEATH

Alabama law requires the physician in charge of the care of the patient for the illness

or condition that resulted in death to complete the medical certification section on the death certificate. The physician is requested to state the diseases or conditions that caused the death and other significant conditions contributing to death. If a death occurs with no medical professional in charge of the patient’s care, the county coroner, or in a few counties, the medical examiner, is responsible for determining the cause of death.

CLASSIFICATION. For tabulation purposes, causes of death are coded according to

the International Classification of Diseases1 (ICD) which provides the essential ground rules for the coding and classification of cause of death data. ICD was developed collaboratively between the World Health Organization (WHO) and ten international centers, one of which is housed at NCHS. The purpose of ICD is to promote international comparability in the collection, classification, processing and presentation of health statistics. The United States is required to use ICD under an agreement with WHO that has the force of an international treaty.

Besides being a classification system for the cause of death, ICD includes coding

rules. These rules identify the single condition on the death certificate considered most informative from a public health point of view, called the underlying cause of death. The underlying cause is the disease or injury initiating the sequence of events that led directly to death or the circumstances of the accident or violence that produced the fatal injury.

Cause of death data in this publication are coded according to procedures established

by NCHS2. Starting with death records for 1999, cause of death data are processed through computer software programs from NCHS which allow CHS staff to enter the literal information provided by the physician or coroner in the medical certification section of the death certificate. The software programs are written to apply WHO rules to select the underlying cause of death from all the conditions given on the death certificate. Tables in this publication contain the underlying cause of death as determined through these procedures.

TABULATION LISTS AND CAUSE OF DEATH RANKINGS. For dissemination and

presentation of data, NCHS developed several tabulation lists which group causes of death codes into categories that are of public health interest and medical importance. The lists have increasing levels of detail or are for specific categories of death and are published in Part 9 of the NCHS Instruction Manual Series.3 Certain groups of causes on these lists are used for ranking causes of death to determine the leading causes of death. Starting with 1999 data, the list most widely used to identify and rank the leading causes of death in the United States is the ICD-10 List of 113 Selected Causes of Death. This list replaces the ICD- 9 List of 72 Selected Causes of Death used from 1979 through 1998. A condensed list of selected causes was also developed to present cause of death data in Alabama.

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CHANGE IN ICD. The ICD has been revised approximately once every 10 years to

stay abreast with advances in medical science and to ensure the international comparability of health statistics. The tenth and most recent revision, known as the ICD-10, was first used to classify deaths that occurred on January 1, 1999 and after. The previous version, the ICD-9, was used from 1979 through 1998. The ICD-10 is much more detailed with about 8,000 possible categories for cause of death compared with 4,000 categories in the previous version. For the first time, the ICD-10 uses alphanumeric codes. In the tenth revision of the ICD, cause of death titles have been changed and conditions have been regrouped. Some coding rules have also been changed. In addition, ICD-10 tabulation lists used in publications have also changed, so mortality data prepared under different revisions of the ICD may not be comparable.

COMPARISON OF CAUSE OF DEATH DATA. Changes in moving to a new revision

of the ICD can cause major discontinuities in trend data for certain causes of death. To understand the changes in mortality rates that are simply due to the new ICD revision, NCHS double codes a large sample of deaths under each revision to develop comparability ratios. This is simply the ratio of deaths coded under the new revision (ICD-10) divided by the number under the old revision (ICD-9) for a particular cause of death. These ratios are given in Robert Anderson, et. al., Comparability of Cause of Death between ICD-9 and ICD-10: Preliminary Estimates, Hyattsville, MD, National Vital Statistics Reports, Volume 49, Number 2, May 18, 2001. Comparability ratios can be applied to specific cause of death groups that were coded under ICD-9 to see how many deaths in that specific group would result if those same deaths had been coded under the new ICD-10. Application of the comparability ratios is crucial in time trend analyses. For additional information on comparability ratios, see the NCHS web site at www.cdc.gov/nchs.

HANDLING OF UNKNOWNS

Items with a missing value or a response of "unknown" are shown as “not stated” in

tables of frequency distributions and are included in totals and subtotals. However, for calculation of rates and ratios, "unknowns" are subtracted from denominators before calculations are made.

The only exceptions to this rule are for race, sex and county of residence. Events with

race "unknown" are included with "White" for tabulation purposes. If sex cannot be determined, sex is considered male if the day of the event is odd and female if the day is even. Events with county of residence “unknown” are included in the statewide number. Therefore, the statewide number may be higher than the combined county numbers.

DATA TECHNIQUES

Data in this publication are generally presented as frequencies, rates, ratios and

percentages. Frequency distributions tell how many times an event occurred for a particular population. For purposes of comparison rates, ratios and percentages are provided to standardize the figures. A ratio is a comparison of two quantities and is generally expressed as a fraction. A rate is the number of items having a certain characteristic divided by the total number of items. Rates are generally expressed to a standard base of 100, 1,000 or 100,000. Percentages are rates standardized to a base of 100. Rounding errors may exist

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because of the estimation techniques.

Demographic rates make all populations equal in size. Demographic rates such as the death rate and birth rate are calculated by dividing the number of events in a given period by the population at risk during that period. Thus, rates give the number of events per person, or the average. By standardizing all populations to the same size, we eliminate one factor that makes comparisons among areas difficult.

The base of a demographic rate may be the total population or a sub population. Rates based on the total population are called crude rates. Others are called specific rates, such as age-specific rates used for children or teenaged populations or the sex-specific rate for prostate cancer. For information on specific calculations, see Appendix B on FORMULAS.

SMALL NUMBER LIMITATIONS

When using vital events data for studying small geographic areas or for examining specific medical or social factors, the number of events reported in a given year may be very small. Understanding the statistical limitations of small numbers is important in conducting analyses. Any time something is measured, error is almost inevitable. Error can be based on the accuracy of the reports, or alternately, the number of the events or the size of the population. Some error is random, and when the numbers are very large, random error does not affect the usefulness of the data. However, when the number of vital events is very small or the population of the area is very low, random errors in data collection, or even randomly occurring events, can cause drastic fluctuations in rates.

One way to counteract random error is to increase the number of years or enlarge the area being studied. Otherwise, calculations may be correct, but of very limited practical value. In this publication, rates are given regardless of their stability; however, for rates based on very small numbers, warnings are issued in the footnotes.

REFERENCES:

1. World Health Organization. "International Statistical Classification of Diseases and Related Health Problems, Tenth Revision." Geneva: World Health Organization, 1992.

2. National Center for Health Statistics. "NCHS Instruction Manual, Part 2a, Vital Statistics, Instructions for Classifying the Underlying Cause of Death." Hyattsville, Maryland: Public Health Service, published annually.

3. National Center for Health Statistics, Centers for Disease Control and Prevention."Instruction Manual Part 9, ICD-10 Cause-of-Death Lists for Tabulation Mortality Statistics, Effective 1999." Hyattsville, Maryland: October 1997.

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DEFINITIONS

Some definitions used in this publication may vary in meaning among states or nations. Also, some subjects change in definition over time. Center for Health Statistics definitions are consistent for all publications within a given year and are generally the same definitions used by the National Center for Health Statistics. However, a data user should always compare definitions across geographical areas and times.

ABORTION - See INDUCED TERMINATION OF PREGNANCY. In this publication, the terms abortion and induced termination of pregnancy are used synonymously.

ADEQUACY OF PRENATAL CARE UTILIZATION INDEX (APNCU) - This index, also known as the Kotelchuck Index of Prenatal Care, was designed as an improvement on the Kessner Index. It has 5 values: 1 = adequate plus, 2 = adequate, 3 = intermediate, 4 = inadequate and 5 = unknown. Its major advantage is that it divides the adequate into two categories. Those with adequate plus had other risk factors, which increased the number of visits. The index can serve as an indicator that some medical condition required additional prenatal care. [Kotelchuck M., "An Evaluation of the Kessner Adequacy of Prenatal Care Index and a Proposed Adequacy of Prenatal Care Utilization Index", American Journal of Public Health, 1994, 84(9):1414-20.]

ANNULMENT - "To nullify, to abolish, to make void by competent authority. An annulment differs from a divorce in that a divorce terminates a legal status, whereas an annulment establishes that a marital status never existed." Black's Law Dictionary, Sixth Edition. In this publication, annulments are included with divorces for rate calculation purposes and are available only by place of occurrence.

BIRTH - See LIVE BIRTH. In this publication, the terms live birth and birth are used synonymously.

BIRTH INTERVAL - The period from the date of the current birth to the date of the last termination of pregnancy, birth or otherwise.

BIRTH ORDER - The numeric relationship of a child to other children born alive to that mother.

CAUSE OF DEATH - The cause of death presented in this publication is the "underlying cause" which is defined as the cause deemed responsible for the sequence of morbid events leading directly to death or the circumstances of the accident or violence that produced the fatal injury. Deaths, by cause, are classified according to the International Classification of Diseases (ICD), Tenth Revision, following instructions established by the National Center for Health Statistics. See Appendix C for the compilation lists and ICD-10 codes used for the leading cause of death.

DEATH - Death is defined in Black's Law Dictionary, Sixth Edition as "The cessation of life; permanent cessations of all vital functions and signs." For definitions of the determination of death under other than general circumstances, the Code of Alabama should be consulted.

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DIVORCE - A court decree dissolving a marital relationship. A divorce from bed and board is

a separation from cohabitation which does not otherwise affect the marriage and is not included in this publication. See Code of Alabama for additional information. For rate calculation purposes in this publication, divorces include annulments and are reported by the county where the divorce occurred.

ESTIMATED PREGNANCIES - The sum of births, induced terminations of pregnancy, and

estimated total fetal losses. Rounding errors may exist because of the estimation techniques.

ESTIMATED TOTAL FETAL LOSSES - This term, which is a component used in

determining the number of estimated pregnancies, is an estimate of the total number of fetal losses regardless of the gestational age of the fetus. Estimated total fetal losses are equal to the sum of 20 percent of births and 10 percent of induced terminations of pregnancy. This formula was developed by the Alan Guttmacher Institute and is widely accepted and used. Rounding errors may exist because of the estimation techniques. Estimated total fetal losses should be distinguished from the term fetal deaths as used in this publication.

FETAL DEATH - "Death prior to the complete expulsion or extraction from the mother of a

product of human conception, irrespective of the duration of pregnancy and which is not an induced termination of pregnancy. The death is indicated by the fact that after the expulsion or extraction the fetus does not breathe or show any other evidence of life, such as beating of the heart, pulsation of the umbilical cord, or definite movement of voluntary muscles. Heartbeats are to be distinguished from transient cardiac contractions; respirations are to be distinguished from fleeting respiratory efforts or gasps." Code of Alabama, 1975, Section 22-9A-1. While the definition of fetal death includes all gestations, only fetal deaths that have advanced to or are beyond the twentieth week of utero-gestation are required to be reported under Alabama law and are the only ones counted as fetal deaths in this publication.

GESTATION - The period of development from the time of fertilization of the ovum to birth. In

these publications, the terms gestation and utero-gestation are used synonymously. INDUCED TERMINATION OF PREGNANCY - "The purposeful interruption of an intrauterine

pregnancy with the intention other than to produce a liveborn infant and which does not result in a live birth. This definition excludes management of prolonged retention of products of conception following fetal death." Code of Alabama, 1975, Section 22-9A-1. In these publications, the terms induced termination of pregnancy and abortion are used synonymously.

INFANT DEATH - Death of a live born infant under one year of age. INTERNATIONAL CLASSIFICATION OF DISEASES (ICD) - A publication of the World Health

Organization (WHO) that provides the essential ground rules for the coding and classification of cause of death data. The purpose of the ICD and of WHO sponsorship is to promote international comparability in the collection, classification, processing and presentation of health statistics. In addition to being a classification system, the rules

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provide for identification of a single condition on the death certificate that is considered most informative from a public health point of view, called the underlying cause of death.

LIVE BIRTH - "The complete expulsion or extraction from the mother of a product of human conception, irrespective of the duration of the pregnancy, which, after such expulsion or extraction, breathes or shows any other evidence of life such as beating of the heart, pulsation of the umbilical cord, or definite movement of voluntary muscles, whether or not the umbilical cord has been cut or the placenta is attached. Heartbeats are to be distinguished from transient cardiac contractions; respirations are to be distinguished from fleeting respiratory efforts or gasps." Code of Alabama, 1975, Section 22-9A-1. In these publications, the terms live birth and birth are used synonymously.

LOW BIRTH WEIGHT - A weight at birth of under 2,500 grams or under 5 pounds and 8 ounces.

MARRIAGE - The legal union of two persons which establishes their relationship as spouses. Marriage data are reported by the county where the marriage license was issued.

MATERNAL DEATH - Defined by WHO as "the death of a woman while pregnant or within 42 days of termination of pregnancy, irrespective of the duration and the site of pregnancy from any cause of the pregnancy or its management, but not from accidental or incidental causes." Included in these deaths are ICD-10 codes A34, O00-O95, O98-O99.

NEONATAL DEATH - Death of a liveborn infant occurring within the first 27 days of life.

OCCURRENCE DATA - Data compiled as to the geographical place where the event occurred.

PERINATAL DEATH - Death of a fetus of 28 or more weeks gestation or death of a liveborn infant under seven days of age. Note that several other definitions of this term exist.

POSTNEONATAL DEATH - Death of a liveborn infant after the first 27 days of age, but before one year of age.

RESIDENT DATA - Data compiled as to the place of residence without regard to the geographical place where the event occurred. For births and fetal deaths, place of residence of mother is used.

TEENAGE - In this publication, persons aged 10 years through 19 years.

TOTAL FERTILITY RATE - An estimate of the average number of children that 1,000 women would bear if the current age-specific birth rates remained constant.

VERY LOW BIRTH WEIGHT - A weight at birth of under 1,500 grams or under 3 pounds and 5 ounces.

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Number of AbortionsEstimated Female Population Aged 15-44

AGE-SPECIFIC Number of Live Births to Females in Specific Age GroupBIRTH RATE Estimated Female Population in That Age Group

AGE-SPECIFIC Number of Deaths for Specific Age GroupDEATH RATE Estimated Population in That Age Group

Number of Live Births to Females in Specific Age Group + Abortions to Females in That Age Group +

Total Estimated Fetal Losses to Females in That Age Group Estimated Female Population in That Age Group

BIRTH RATE or Number of Live BirthsCRUDE BIRTH RATE Estimated Midyear Population

Number of Deaths for Specific Cause Estimated Midyear Population

Number of Deaths Under 1 Year of Age for Specific Cause Number of Live Births

Number of Birth Delivered by Primary Cesarean + Number of Births Delivered by Repeat Cesarean

Number of Live Births with Known Methods of Delivery

DEATH RATE or Number of Deaths CRUDE DEATH RATE Estimated Midyear Population

Number of Divorces and AnnulmentsEstimated Midyear Population

CAUSE-SPECIFIC INFANT MORTALITY RATE

X 1,000=

DIVORCE RATE (DISSOLUTION)

= X 1,000

CAUSE-SPECIFIC DEATH RATE = X 100,000

= X 100,000

CESAREAN DELIVERY RATE

= X 100

ALABAMA VITAL STATISTICS FORMULAS

AGE-SPECIFIC PREGNANCY RATE = X 1,000

= X 1,000

ABORTION RATE = X 1,000

X 1,000

X 1,000

=

=

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Number of Live Births + Number of Abortions + Estimated Total Fetal Losses

Number of Fetal Deaths 20 or More Weeks in GestationNumber of Live Births

Number of Live Births Estimated Female Population Aged 15-44

Number of Deaths Under 1 Year of Age Number of Live Births

Number of Marriages Estimated Midyear Population

Number of Births During Month(Number of Days in Month/Number of Days in Year)

X Estimated Midyear Population

Number of Deaths During Month(Number of Days in Month/Number of Days in Year)

X Estimated Midyear Population

Number of Marriages During Month(Number of Days in Month/Number of Days in Year)

X Estimated Midyear Population

Number of Deaths Under 28 Days of Age Number of Live Births

MARRIAGE RATE = X 1,000

ALABAMA VITAL STATISTICS FORMULAS (Continued)

GENERAL FERTILITY RATE = X 1,000

20 Percent of Live Births + 10 Percent of Abortions

FETAL DEATH RATIO* =

ESTIMATED PREGNANCIES

=

NEONATAL MORTALITY RATE =

X 1,000

X 1,000

X 1,000

X 1,000

INFANT MORTALITY RATE = X 1,000

ESTIMATED TOTAL FETAL LOSSES =

X 1,000

*The definition of a fetal death varies from state to state. Caution should be exercised in comparing this ratio between states.

MONTHLY BIRTH RATE

=

MONTHLY DEATH RATE

=

MONTHLY MARRIAGE RATE

=

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Number of Deaths 28 or More Days, But Less Than 1 Year of Age Number of Live Births

Estimated Female Population Aged 15-44

Number of Abortions to Females Aged 10-19Estimated Female Population Aged 10-19

Number of Live Births to Females Aged 10-19Estimated Female Population Aged 10-19

Number of Live Births to Females Aged 10-19+ Number of Abortions to Females Aged 10-19

+ Estimated Total Fetal Losses to Females Aged 10-19 Estimated Female Population Aged 10-19

Number of Vaginal Births after Cesarean Number of Births with a Vaginal Birth after Cesarean +

Number of Births with a Repeat Cesarean

*Some states do not consider age groups 10-14 and 45-49 in this computation. Caution should be exercised in comparing TotalFertility Rates.

TEENAGE ABORTION RATE X 1,000

ALABAMA VITAL STATISTICS FORMULAS (Continued)

(Age-Specific Birth Rate For Females Aged 10-14 X Age Interval In Age Group) + (Age-Specific Birth Rate For Females Aged 15-19 X Age Interval In Age Group) + (Age-Specific Birth Rate For Females Aged 20-24 X Age Interval In Age Group ) + (Age-Specific Birth Rate For Females Aged 25-29 X AgeInterval In Age Group) + (Age-Specific Birth Rate For FemalesAged 30-34 X Age Interval In Age Group) + (Age-SpecificBirth Rate For Females Aged 35-39 X Age Interval In AgeGroup)+(Age-Specific Birth Rate For Females Aged 40-44 XAge Interval In Age Group ) + (Age-Specific Birth Rate ForFemales Aged 45-49 X Age Interval In Age Group)

TOTAL FERTILITY RATE* =

Number of Live Births + Number of Abortions + Estimated Total Fetal Losses PREGNANCY RATE = X 1,000

POSTNEONATAL MORTALITY RATE

TEENAGE BIRTH RATE

X 1,000=

VAGINAL BIRTH AFTER CESAREAN RATE

X 1,000=

=TEENAGE PREGNANCY RATE X 1,000

= X 1,000

=

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ICD-10 CODES USED IN THE COUNTY HEALTH PROFILES SELECTED DEATHS

Heart Disease I00-I09, I11, I13, I20-I51 Cancer C00-C99 Stroke I60-I69 Accidents V01-X59, Y85-Y86 Chronic Lower Respiratory Disease (CLRD) J40-J47 Diabetes E10-E14 Influenza and Pneumonia J09-J18 Alzheimer’s Disease G30 Suicide X60-X84, Y870 Homicide X85-Y09, Y871 HIV B20-B24

ACCIDENTAL DEATHS

All Accidents V01-X59, Y85-Y86 Motor Vehicle V02-V04, V090, V092, V12-V14, V190-V192,

V194-V196, V20-V79, V803-V805, V83-V86, V870-V878, V880-V888, 890, V892

Suffocation W75-W84 Poisoning X40-X49 Smoke, Fire and Flames X00-X09 Falls W00-W19 Drowning W65-W75 Firearms W32-W34 Other Accidents All other accident codes not specifically

mentioned above

SELECTED CANCER SITES

All Cancers C00-C99 Trachea, Bronchus, Lung, Pleura C33-C34 Colorectal C18-C21 Breast C50 Prostate (male) C61 Pancreas C25 Leukemias C91-C95 Non-Hodgkin’s Lymphomas C82-C85 Ovary (female) C56 Brain and other nervous system C70-C72 Stomach C16 Uterus and Cervix (female) C53-C55 Esophagus C15 Melanoma of Skin C43 Other All other cancer sites not specifically mentioned

above

159 ADPH|CHS County Profile (2018)