Injury Prevention STATE INJURY INDICATORS REPORT Fourth Edition - 2005 Data STATE INJURY INDICATORS REPORT, Fourth Edition – 2005 Data 201699-A Department of Health and Human Services Centers for Disease Control and Prevention National Center for Injury Prevention and Control www.cdc.gov/injury State Injury Indicators Report Fourth Edition—2005 Data U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention National Center for Injury Prevention and Control January 2009 Editors The State Injury Indicators Report: Fourth Edition—2005 Data is a publication of the Centers for Disease Control and Prevention, National Center for Injury Prevention and Control. Renee L. Johnson, RPT, MSPH National Center for Injury Prevention and Control Division of Injury Response Centers for Disease Control and Prevention Julie L. Gerberding, MD, MPH Director Robert G. Thomas, Jr., MSIM National Center for Injury Prevention and Control Office of Statistics and Programming National Center for Injury Prevention and Control Ileana Arias, PhD Director Karen E. Thomas, MPH National Center for Injury Prevention and Control Division of Injury Response Suggested Citation: Johnson RL, Thomas RG, Thomas KE, Sarmiento K. State Injury Indicators Report: Fourth Edition— 2005 Data. Atlanta (GA): Centers for Disease Control and Prevention, National Center for Injury Prevention and Control; 2009. Kelly Sarmiento, MPH National Center for Injury Prevention and Control Division of Injury Response Acknowledgements The editors thank the State and Territorial Injury Prevention Directors Association, the Council of State and Territorial Epidemiologists, and their respective members. These partnerships have facilitated the ongoing advancement and success of the development of the Injury Indicators. The editors also thank Kevin Webb and Nimeshkumar Patel from the Office of Statistics and Programming along with Angela Marr from the Division of Injury Response, National Center for Injury Prevention and Control, for their consultation and guidance. iii Contributors Kentucky Injury Prevention and Research Center Mike Singleton, MS Lei Yu, MS Arizona Department of Health Services Jennifer Jung, MSPH Jamie Smith, MPH Tomi St. Mars, RN, BSN, CEN Louisiana Department of Health and Hospitals Mona Doshani, MD, MPH Arkansas Department of Health and Human Services Gayla Nooner, MA Thomas Rainer, BBA Maine Center for Disease Control and Prevention Ann Farmer, MS Cindy Mervis, MPH California Department of Public Health Anura W.G. Ratnasiri, MSc Maryland Department of Health and Mental Hygiene Becky L. Roosevelt, MA Tracey Serpi, PhD Chris Tkach, PhD Colorado Department of Public Health and Environment Letoynia Coombs, MS, EdD Holly B. Hedegaard, MD, MSPH Massachusetts Department of Public Health Maria McKenna, MPH Loreta McKeown, MPH Connecticut Department of Public Health Mukhtar H. Mohamed, MPH, MA Florida Department of Health Michael Lo, MSPH Michigan Department of Community Health Thomas W. Largo, MPH Georgia Department of Human Resources Desiree Mustaquim, MPH Vietdoan Nguyen, MPH Denise Yeager Minnesota Department of Health Heather Day, MPH, RN Anna Gaichas, MS Mark Kinde, MPH Jon Roesler, MS Hawaii State Department of Health Daniel Galanis, PhD Nebraska Health and Human Services System Xiaojuan Mi, MS Peg Prusa-Ogea, MA Ming Qu, PhD Lei Zhang, MS Kansas Department of Health and Environment Greg Crawford, BA Joy Crevoiserat, BA Lori Haskett, BA Ghazala Perveen, PhD, MPH, MBBS Ismaila Ramon, MPH Nevada State Health Division Alicia Hansen, MS Kelly Langdon, MPH Andrea R. Rivers, BA iv New Mexico Department of Health Barbara Chatterjee, MS Glenda Hubbard, MPH Leona Woelk, MA Rhode Island Department of Health Edward F. Donnelly, MPH, RN Janice A. Fontes, MA Beatriz E. Perez, MPH New York State Department of Health Michael Bauer, MS Susan Hardman South Carolina Department of Health and Environmental Control Georgette Demian, MPH Elizabeth Hall, BS North Carolina Department of Health and Human Services Yuan Fan, MA Kathleen Jones-Vessey, MS Pedro Luna-Orea, PhD Rhonda S. Roberts, MSPH Catherine (Kay) Sanford, MSPH Sharon Schiro, PhD Tennessee Department of Health Tom Spillman, BA Utah Department of Health Catherine Groseclose, MS Gary Mower, MPH Albert Wang, MPH Tong Zheng, MS Ohio Department of Health David Engler, PhD (Ohio Hospital Association) Edward Socie, MS Vermont Department of Health Caroline W. Dawson, MS, MPA, BS Joan Mongeon, MS, BS Edith Munene, MA, MA, BA Oklahoma State Department of Health Pam Archer, MPH Tracy Wendling, MPH Virginia Department of Health Christina Sloan Oregon Department of Human Services Melvin Kohn, MD, MPH Matthew R. Laidler, MPH, MA Lisa M. Millet, MSH Washington State Department of Health Jethro S. De Lisle, MA Wisconsin Department of Health and Family Services Kristina Geiger, BS Brianna Kopp, MPH Pennsylvania Department of Health Nathan James v Table of Contents Foreword . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . viii Abbreviations . . . . . . . . . . . . . . . . . . . . . . . . . . . . .ix Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Discussion of Indicators . . . . . . . . . . . . . . . . . . . . . . . Methods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Hospital Discharge Data Quality . . . . . . . . . . . . . . . . . . Highlights . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Table A. F actors Affecting Representativeness of 2005 Hospital Discharge Data . . . . . . . . . . . . . Limitations and Future Efforts . . . . . . . . . . . . . . . . . . . . References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 2 3 3 5 8 9 1.All Injury Indicators . . . . . . . . . . . . . . . . . . . . . . . . 11 1a.Injury Fatalities (Overall), 2005 . . . . . . . . 1b. Injury Fatalities by Sex, 2005 . . . . . . . . . 1c.Injury Fatalities by Age, 2005 . . . . . . . . . 1d. Hospitalizations for All Injuries (Overall), 2005 1e.Hospitalizations for All Injuries by Sex, 2005 . 1 f. Hospitalizations for All Injuries by Age, 2005 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 13 14 15 16 17 2.Drowning Indicators . . . . . . . . . . . . . . . . . . . . . . . 2a.Unintentional Drowning Fatalities (Overall), 2005 . . . . . . . 2b. Unintentional Drowning Fatalities by Sex, 2005 . . . . . . . . 2c. Unintentional Drowning Fatalities by Age, 2005 . . . . . . . . 2d. Drowning-related Hospitalizations (Overall), 2005 . . . . . . . 2e. Drowning-related Hospitalizations by Sex, 2005 . . . . . . . 2 f. Drowning-related Hospitalizations by Age, 2005 . . . . . . . 19 20 21 22 23 24 25 3.Fall Indicators . . . . . . . . . . . . . . . . . . . . . . . . . . . 3a. Unintentional Fall-related Fatalities (Overall), 2005 . . . . . . 3b. Unintentional Fall-related Fatalities by Sex, 2005 . . . . . . . 3c. Unintentional Fall-related Fatalities by Age, 2005 . . . . . . . 27 28 29 30 vi 3d. Unintentional Fall-related Hospitalizations (Overall), 2005 . . 3e. Unintentional Fall-related Hospitalizations by Sex, 2005 . . . 3 f. Unintentional Fall-related Hospitalizations by Age, 2005 . . . 3g. Hip Fracture Hospitalizations in Persons Aged 65 Years and Older (Overall), 2005 . . . . . . . . . . . . . . . . . 3h. Hip Fracture Hospitalizations in Persons Aged 65 Years and Older by Sex, 2005 . . . . . . . . . . . . . . . . . . 3i. Hip Fracture Hospitalizations in Persons Aged 65 Years and Older by Age, 2005 . . . . . . . . . . . . . . . . . . 31 32 33 36 4.Fire-related Indicators . . . . . . . . . . . . . . . . . . . . . . 4a. Unintentional Fire-related Fatalities (Overall), 2005 . . . . . . 4b. Unintentional Fire-related Fatalities by Sex, 2005 . . . . . . . 4c. Unintentional Fire-related Fatalities by Age, 2005 . . . . . . . 4d. Unintentional Fire-related Hospitalizations (Overall), 2005 . . 4e. Unintentional Fire-related Hospitalizations by Sex, 2005 . . . 4 f. Unintentional Fire-related Hospitalizations by Age, 2005 . . . 37 38 39 40 41 42 43 5. Firearm-related Indicators . . . . . . . . . . . . . . . . . . . . 5a. Firearm-related Fatalities (Overall), 2005 . . . . . . . . . . . 5b. Firearm-related Fatalities by Sex, 2005 . . . . . . . . . . . . 5c. Firearm-related Fatalities by Age, 2005 . . . . . . . . . . . . 5d. Firearm-related Hospitalizations (Overall), 2005 . . . . . . . 5e. Firearm-related Hospitalizations by Sex, 2005 . . . . . . . . 5 f. Firearm-related Hospitalizations by Age, 2005 . . . . . . . . 45 46 47 48 49 50 51 6. Homicide/Assault Indicators . . . . . . . . . . . . . . . . . . . 6a. Homicides (Overall), 2005 . . . . . . . . . . . . . . . . . . . 6b. Homicides by Sex, 2005 . . . . . . . . . . . . . . . . . . . . 6c. Homicides by Age, 2005 . . . . . . . . . . . . . . . . . . . . 6d. Assault-related Hospitalizations (Overall), 2005 . . . . . . . . 53 54 55 56 57 34 35 6e. Assault-related Hospitalizations by Sex, 2005 . . . . . . . 58 6f. Assault-related Hospitalizations by Age, 2005 . . . . . . . 59 7.Motor Vehicle Indicators . . . . . . . . . . . . . . . . . . . . . 7a. Motor Vehicle Traffic Fatalities (Overall), 2005 . . . . . . 7b. Motor Vehicle Traffic Fatalities, by Sex, 2005 . . . . . . . 7c. Motor Vehicle Traffic Fatalities, by Age, 2005 . . . . . . . 7d. Motor Vehicle Traffic Hospitalizations (Overall), 2005 . . . . . . . . . . . . . . . . . . . . . . . 7e. Motor Vehicle Traffic Hospitalizations by Sex, 2005 . . . . 7f. Motor Vehicle Traffic Hospitalizations by Age, 2005 . . . . 7g. Percentage of high school students who never or rarely wore a seat belt when riding in a car driven by someone else, 2005 . . . . . . . . . . . . . . . . . . 7h. Percentage of high school students who drove a car or other vehicle when they had been drinking alcohol one or more times during the past 30 days, 2005 . . . . . . . . . . . . . . . . . . . . . . . . . 7i. Percentage of high school students who rode in a car or other vehicle driven by someone who had been drinking alcohol one or more times during the past 30 days, 2005 . . . . . . . . . . . . . . . . . . . 7j. Alcohol-related Crash Deaths, 2005 . . . . . . . . . . . . 70 71 8. P oisoning Indicators . . . . . . . . . . . . . . . . . . . . . . . 8a. Poisoning Fatalities (Overall), 2005 . . . . . . . . . . . . 8b. Poisoning Fatalities by Sex, 2005 . . . . . . . . . . . . . 8c. Poisoning Fatalities by Age, 2005 . . . . . . . . . . . . . 8d. Poisoning Hospitalizations (Overall), 2005 . . . . . . . . 8e. Poisoning Hospitalizations by Sex, 2005 . . . . . . . . . 8f. Poisoning Hospitalizations by Age, 2005 . . . . . . . . . 73 74 75 76 77 78 79 9. S uicide Indicators . . . . . . . . . . . . . . . . . . . . . . . . 81 9a. Suicide (Overall), 2005 . . . . . . . . . . . . . . . . . . . 82 9b. Suicide by Sex, 2005 . . . . . . . . . . . . . . . . . . . 83 9c. Suicide by Age, 2005 . . . . . . . . . . . . . . . . . . . 84 9d. Suicide Attempt Hospitalizations (Overall), 2005 . . . . . 85 9e. Suicide Attempt Hospitalizations by Sex, 2005 . . . . . . 86 9f. Suicide Attempt Hospitalizations by Age, 2005 . . . . . . 87 9g. Percentage of high school students who actually attempted suicide one or more times during the past 12 months, 2005 . . . . . . . . . . . . . . . . . . . 88 61 62 63 64 65 66 67 10. Traumatic Brain Injury (TBI) Indicators . . . . . . . . . . . . . 10a. TBI Fatalities (Overall), 2005 . . . . . . . . . . . . . . . 10b. TBI Fatalities by Sex, 2005 . . . . . . . . . . . . . . . . 10c. TBI Fatalities by Age, 2005 . . . . . . . . . . . . . . . . 10d. TBI Hospitalizations (Overall), 2005 . . . . . . . . . . . . 10e. TBI Hospitalizations by Sex, 2005 . . . . . . . . . . . . . 10f. TBI Hospitalizations by Age, 2005 . . . . . . . . . . . . . 10g. Among high school students who rode a bicycle during the past 12 months, the percentage who never or rarely wore a bicycle helmet, 2005 . . . . . . . . . . . . . . . . 68 69 vii 89 90 91 92 93 94 95 96 Forward The Centers for Disease Control and Prevention’s (CDC) National Center for Injury Prevention and Control (NCIPC) is pleased to provide this fourth edition of the State Injury Indicators Report featuring 2005 data. We hope state public health officials and others will find the surveillance data presented in this report useful in making decisions about prevention efforts to reduce the burden of injury in the United States. The methods used to prepare these data are consistent with those used in previous cycles of Injury Indicator data collection. They are based on recommendations presented in the “Consensus Recommendations for Using Hospital Discharge Data for Injury Surveillance” and from the National Public Health Surveillance System (NPHSS) indicators developed by the State and Territorial Injury Prevention Directors Association (STIPDA) and the Council of State and Territorial Epidemiologists (CSTE). With partner feedback and updated consensus recommendations, CDC continuously modifies the instructions and methods used to prepare these data. Changes for the 2005 data collection cycle include the addition of three fall indicators recommended by the STIPDA Injury Surveillance Workgroup on falls and the expansion of the pre-existing All-Injury and Homicide/Assault indicators to include the corresponding vital statistics or hospital discharge data indicators. Thirty-three states submitted data either as a part of CDC Program Announcement 05027 or voluntarily. As more states and U.S. territories participate in this surveillance effort, a broader picture of the burden of injuries can be presented and priorities for prevention can be targeted. NCIPC looks forward to continuing its work with partners to advance and improve injury surveillance using state-based data on fatal and nonfatal injuries. viii Abbreviations BAC Blood alcohol concentration CDC Centers for Disease Control and Prevention CSTE Council of State and Territorial Epidemiologists FARS Fatality Analysis Reporting System HDD Hospital discharge data ICD-10 International Classification of Diseases-Tenth Revision ICD-9-CMInternational Classification of Diseases-Ninth Revision-Clinical Modification MVC Motor vehicle crash SAVIRSociety for Advancement of Violence and Injury Research NCCDPHP National Center for Chronic Disease Prevention and Health Promotion NCHS National Center for Health Statistics NCIPC National Center for Injury Prevention and Control NHTSA National Highway Traffic Safety Administration NPHSS National Public Health Surveillance System STIPDAState and Territorial Injury Prevention Directors Association TBI Traumatic Brain Injury VA Veterans Affairs WHO World Health Organization WISQARS Web-based Injury Statistics Query and Reporting System YRBS Youth Risk Behavior Survey ix Introduction Surveillance is one of the most important and basic elements of injury prevention and control. It helps determine the magnitude of injury morbidity and mortality, the leading causes of injury, and the population groups and behaviors associated with the greatest risk of injury. Surveillance data are also fundamental to determining program and prevention priorities. Furthermore, these data are crucial for evaluating the effectiveness of program activities and for identifying problems that need further investigation. gists (CSTE), the Centers for Disease Control and Prevention (CDC) and its National Center for Injury Prevention and Control (NCIPC), and the Society for Advancement of Violence and Injury Research (SAVIR). The “State Health Department Consensus Recommendations” identified 14 specific injuries and injury risk factors to be placed under surveillance by all states and 11 data set. to be used to monitor these injuries and risk factors.4 The goal is to improve state-based injury surveillance to better support injury prevention programs and policies. Its integration with overall public health surveillance as part of the National Public Health Surveillance System (NPHSS), will be much easier as the methods used to track fatal and nonfatal injuries at the state level are enhanced and standardized.6 With the “State Health Department Consensus Recommendations,” CSTE and STIPDA developed injury indicators that were formally adopted by NPHSS.7, 8 The NPHSS injury indicators add to others developed by CSTE for chronic diseases and other areas.7 Injury continues to be the leading cause of death and disability among children and young adults.1 In 2005, approximately 173,750 people died from injuries in the United States: 25% were from motor-vehicle traffic crashes, 19% were from suicide, and 10% were from homicide.1 Additionally, in 2005 more than 29.2 million people were treated for injuries in U.S. emergency departments.1 The economic burden of injuries is also significant. Fifty million injuries were treated in 2000, costing an estimated $406 billion in medical expenses and productivity losses.2 The mission of public health includes prevention, mitigation, assurance of access to treatment, and reduction of injury-related disability and death.3 The scope of public health encompasses all injuries—both intentional and unintentional and involving any mechanism (e.g., firearm, motor vehicle, or burn). An important part of the public health mission is to emphasize that injuries are preventable and to dispel the misconception that they are unavoidable. The Consensus Recommendations for Using Hospital Discharge Data for Injury Surveillance, published in 2003, has provided clear and specific guidelines about evaluating and using hospital discharge data.9 It presents important considerations for assessing data quality and outlines the methods for developing an injury hospitalization data set. Additionally, the Consensus Recommendations for Surveillance of Falls and Fall-related Injuries, published in 2006, recommends including criteria for three fall indicators.10 The State and Territorial Injury Prevention Directors Association (STIPDA) recognized the need for more comprehensive injury surveillance data and produced Consensus Recommendations for Injury Surveillance in State Health Departments in 19994 which was updated in 2007.5 These recommendations were developed by a working group representing STIPDA, the Council of State and Territorial Epidemiolo- Collecting and disseminating injury indicators in this report are the result of the foundation laid by the STIPDA and CSTE documents. It is the culmination of the collaborative progress of building strong state-based injury surveillance that can be compared between jurisdictions. 1 Discussion of Indicators All Injury Indicators Injury fatalities V01–Y36, Y85–Y87, Y89, *U01–*U03 Hospitalizations for all injuries 800–909.2, 909.4, 909.9–994.9, 995.5–995.59, 995.80–995.85 What is an Injury Indicator? An injury indicator describes a health outcome of an injury, such as hospitalization or death, or a factor known to be associated with an injury, such as a risk or protective factor, among a specified population. Drowning Indicators Unintentional drowning fatalities W65–W74, V90, V92 Drowning-related hospitalizations 994.1, E830, E832, E910, E954, E964, E984 Methods The data presented in this report are drawn from state vital statistics records, state hospital discharge data (HDD), the National Center for Health Statistics’ National Vital Statistics System (NVSS), the Agency for Healthcare Research and Quality’s Healthcare Cost and Utilization Project Nationwide Inpatient Sample (NIS), the Youth Risk Behavior Survey (YRBS), and the National Highway Traffic Safety Administration’s Fatality Analysis Reporting System (FARS). The methods used to prepare this report were fully delineated in the companion publication, State Injury Indicators: Instructions for Preparing 2005 Data.11 In brief, injury hospitalization cases were identified from state-based HDD using the principal diagnosis (or first-listed ICD-9-CM diagnosis code) with other selective factors. Injury deaths were identified from vital statistics data using the ICD-10 underlying-cause-of-death codes. All multiple-cause-of-death fields were searched for the fatal TBI indicator. For comparison purposes, national rates for the fatality indicators were generated by using the NVSS. National rates for the hospitalization indicators were generated using the NIS. The national rates include data for all 50 states and not just the 33 states that submitted data. Fall Indicators Unintentional fall-related fatalities W00–W19 Unintentional fall-related hospitalizations E880–E886, E888 Hip fracture hospitalizations in persons aged 65 years and older 820 Fire-related Indicators Unintentional fire-related fatalities X00–X09 Unintentional fire-related hospitalizations E890–E899 Firearm-related Indicators Firearm-related fatalities W32–W34, X72–X74, X93–X95, Y22–Y24, Y35.0, *U01.4 Firearm-related hospitalizations E922.0–E922.3, E922.8, E922.9, E955.0–E955.4, E965.0–E965.4, E985.0–E985.4, E970, E979.4 The following International Classification of Diseases—Tenth Revision (ICD-10)12 and International Classification of Diseases—Ninth Revision—Clinical Modifications (ICD-9-CM)13 code groupings were used to identify cases of injury-related death and hospitalizations, respectively. Homicide/Assault Indicators Homicides X85–Y09, Y87.1, *U01, *U02 Assault-related hospitalizations E960–E969, E979, E999.1 2 Hospital Discharge Data Quality Motor Vehicle Indicators Motor vehicle traffic fatalities V02–V04 (.1, .9), V09.2, V12–V14 (.3–.9), V19 (.4–.6), V20–V28 (.3–.9), V29–V79 (.4–.9), V80 (.3–.5), V81.1, V82.1, V83–V86 (.0–.3), V87 (.0–.8), V89.2 Motor vehicle traffic hospitalizations E810–E819 The quality and completeness of hospital discharge data is affected by factors including the completeness of external-cause-of-injury coding and the inclusion or exclusion of residents in out-of-state hospitals. Both incomplete external-cause-of-injury coding completeness and the loss of state residents treated in out-of-state hospitals decrease the number of cases that can be identified and result in the erroneous reporting of lower rates. Readers should consider the representativeness of data from individual state hospital discharge data systems when interpreting rates based on hospital discharge data as a whole. Poisoning Indicators Poisoning fatalities X40–X49, X60–X69, X85–X90, Y10–Y19, Y35.2, *U01(.6–.7) Poisoning hospitalizations E850–E858, E860–E869, E950–E952, E962, E972, E980–E982, E979 (.6–.7) For 2005, hospital discharge data with external cause coding ranged from 56% to 100% (Table A). Eighty-four percent of the reporting states have >80% of their hospitalization data external-cause-of-injury coded; this is a decrease of 94% from the third edition. A similar decrease is seen in the number of states with >90% of hospitalization data external-cause-of-injury coded; 58% have >90% coded in this edition while 66% had >90% coded in the third edition.16 Suicide Indicators Suicides X60–X84, Y87.0, *U03 Suicide attempt hospitalizations E950–E959 Traumatic Brain Injury Indicators Traumatic brain injury fatalities S01.0–S01.9, S02.0, S02.1, S02.3, S02.7–S02.9, S04.0, S06.0–S06.9, S07.0, S07.1, S07.8, S07.9, S09.7–S09.9, T01.0, T02.0, T04.0, T06.0, T90.1, T90.2, T90.4, T90.5, T90.8, T90.9 Traumatic brain injury hospitalizations 800.0–801.9, 803.0–804.9, 850–854, 950.1–950.3, 959.01, 995.55 Highlights For the YRBS data, weighted percentages were obtained from the YRBS online query system for the questions of interest.14 Alcohol-related crash death rates were calculated by state by dividing the number of alcohol-related crash deaths from FARS data by the state-provided population.15 An alcohol-related crash death is defined as a death due to a motor vehicle traffic crash where either the driver or a non-occupant (e.g., pedestrian) had a blood alcohol concentration (BAC) ≥0.01 g/dL. The 33 reporting states are geographically diverse and represent both urban and rural areas. The population of these 33 states represents 74.2% of the total U.S. population. These states, when considered together provide an overview of injury in each of the injury indicator topics. The injury indicator data presented here provides a unique, statespecific look at the magnitude of 10 injury topics. Using state-specific datasets and the agreed upon methodology, allows for comparing findings both within indicators and among states. The magnitude and impact of the various causes of injury can be compared within states. Interstate comparisons also become possible as the completeness of reporting and external-cause-of-injury data continues to improve. 3 100,000 persons among males and 547.3 per 100,000 persons among females. Among the reporting states, the highest Hospitalizations for All Injuries rates were among people 85 years and older, with a range of 3,522.2 to 6,398.3 per 100,000 persons (Figure 1f). The national rate for Hospitalizations for All Injuries for persons 85 years and older was 5,018.7 per 100,000 persons. Drowning Indicators The individual state rates of Unintentional Drowning Fatalities ranged from too few cases to report to 3.0 per 100,000 persons (Figure 2a). The national rate for Unintentional Drowning Fatalities was 1.3 per 100,000 persons. The individual state rates of Unintentional Drowning Fatalities ranged from too few cases to report to 5.5 among males and from too few cases to report to 0.9 among females (Figure 2b). The national rate for Unintentional Drowning Fatalities was 2.2 per 100,000 persons among males and 0.5 per 100,000 persons among females. Contributing States The individual state rates of Drowning-related Hospitalizations ranged from too few cases to report to 4.5 per 100,000 persons (Figure 2d). The national rate for Drowning-related Hospitalizations was 1.1 per 100,000 persons. The individual state rates of Drowning-related Hospitalizations ranged from too few cases to report to 6.1 among males and from too few cases to report to 1.5 among females (Figure 2e). The national rate for Drowning-related Hospitalizations was 1.5 per 100,000 persons among males and 0.7 per 100,000 persons among females. All Injury Indicators The individual state rates of Injury Fatalities ranged from 34.6 to 92.4 per 100,000 persons (Figure 1a). The national rate for Injury Fatalities was 57.8 per 100,000 persons. The individual state rates of Injury Fatalities ranged from 51.5 to 133.8 among males and from 19.4 to 53.2 among females (Figure 1b). The national rate for Injury Fatalities was 84.1 per 100,000 persons among males and 33.2 per 100,000 persons among females. Among the reporting states, the highest Injury Fatality rates were among people 85 years and older, with a range of 174.8 to 526.3 per 100,000 persons (Figure 1c). The national rate for Injury Fatalities for persons 85 years and older was 301.1 per 100,000 persons. Fall Indicators The individual state rates of Unintentional Fall-related Fatalities ranged from 3.5 to 14.2 per 100,000 persons (Figure 3a). The national rate for Unintentional Fall-related Fatalities was 6.4 per 100,000 persons. The individual state rates of Unintentional Fall-related Fatalities ranged from 4.4 to 16.9 among males and from 2.7 to 12.0 among females (Figure 3b). The national rate for Unintentional Fall-related Fatalities was 8.3 per 100,000 persons among males and 5.0 per 100,000 persons among females. Among the reporting states, the highest Unintentional Fallrelated Fatalities rates were among people 85 years and older, with a range of 66.7 to 395.5 per 100,000 persons (Figure 3c). The national rate for Unintentional Fall-related Fatalities among people 85 years and older was 148.2 per 100,000 persons. The individual state rates of Hospitalizations for All Injuries ranged from 402.3 to 693.4 per 100,000 persons (Figure 1d). The national rate for Hospitalizations for All Injuries was 605.3 per 100,000 persons. The individual state rates of Hospitalizations for All Injuries ranged from 394.5 to 767.5 among males and from 394.8 to 621.0 among females (Figure 1e). The national rate for Hospitalizations for All Injuries was 634.3 per 4 Table A Factors Affecting Representativeness of 2005 Hospital Discharge Data External Cause Percentage* External Cause Percent Arizona Arkansas California Colorado Connecticut Florida Georgia Hawaii Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Nebraska Nevada New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina Tennessee Utah Vermont Virginia Washington Wisconsin 91.5% 96.6% 94.8% 98.7% 94.1% 85.2% 95.7% 89.9% 98.6% 78.9% ‡ 90.1% 95.5% 98.7% 85.6% 84.7% 91.2% 56.3% 66.4% 99.1% 89.7% 74.2% 87.5% 87.1% 96.5% 84.3% 91.2% 96.3% 92.0% 98.2% 76.3% 100.0% 100.0% 0 10 20 30 40 50 60 70 80 90 Complete Hospital Participation Yes Yes Yes Yes Yes Yes Yes Yes Yes No ‡ Yes Yes Yes Yes No Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Inclusion of Readmission and Transfer Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes ‡ Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Cross-Border Hospitalization† Enough to impact totals Have out-of-state data No Yes No No No No No Yes No Yes ‡ No Yes No No No Yes No Yes No Unknown Yes No No No No Yes No No No No Yes No 100 * Percentage of hospital discharge data injury hospitalizations with external cause coding. Incompleteness may lead to bias. † Subjective assessment by health department staff whether a substantial proportion of state residents injured in-state who require hospitalization are hospitalized in a neighboring state. ‡ No data available. 5 No No No No No No No No Yes No ‡ No No No Yes Yes No No No No No Yes No No No No No No No Yes No Yes No The individual state rates of Unintentional Fall-related Hospitalizations ranged from 123.0 to 368.3 per 100,000 persons (Figure 3d). The national rate for Unintentional Fall-related Hospitalizations was 239.4 per 100,000 persons. The individual state rates of Unintentional Fall-related Hospitalizations ranged from 97.4 to 334.9 among males and from 138.5 to 384.8 among females (Figure 3e). The national rate for Unintentional Fall-related Hospitalizations was 198.3 per 100,000 persons among males and 259.3 per 100,000 persons among females. Among the reporting states, the highest Unintentional Fall-related Hospitalizations rates were among people 85 years and older, with a range of 1,820.7 to 5,553.2 per 100,000 persons (Figure 3f). The national rate for Unintentional Fall-related Hospitalizations among people 85 years and older was 3.801.4 per 100,000 persons. The individual state rates of Unintentional Fire-related Hospitalizations ranged from 1.6 to 8.2 per 100,000 persons (Figure 4d). The national rate for Unintentional Fire-related Hospitalizations was 4.7 per 100,000 persons. The individual state rates of Unintentional Fire-related Hospitalizations ranged from too few cases to report to 12.9 among males and from too few cases to report to 3.7 among females (Figure 4e). The national rate for Unintentional Fire-related Hospitalizations was 7.0 per 100,000 persons among males and 2.5 per 100,000 persons among females. Firearm-related Indicators The individual state rates of Firearm-related Fatalities ranged from 2.2 to 17.9 per 100,000 persons (Figure 5a). The national rate for Firearmrelated Fatalities was 10.3 per 100,000 persons. The individual state rates of Firearm-related Fatalities ranged from 3.6 to 31.3 among males and from too few cases to report to 6.1 among females (Figure 5b). The national rate for Firearm-related Fatalities was 18.3 per 100,000 persons among males and 2.7 per 100,000 persons among females. Among most of the reporting states, the highest Firearm-related Fatalities rates were among people 15–24 years (Figure 5c). However, in some states the highest rates were in persons 65 years and older, 25–44 years and 45–64 years. The individual state rates of Hip Fracture Hospitalizations in Persons Aged 65 Years and Older ranged from 259.8 to 879.4 per 100,000 persons (Figure 3g). The national rate for Hip Fracture Hospitalizations in Persons Aged 65 Years and Older was 759.8 per 100,000 persons. The individual state rates of Hip Fracture Hospitalizations in Persons Aged 65 Years and Older ranged from 168.8 to 559.7 among males and from 329.5 to 1,121.6 among females (Figure 3h). The national rate for Hip Fracture Hospitalizations in Persons Aged 65 Years and Older was 468.7 per 100,000 persons among males and 969.2 per 100,000 persons among females. Among the reporting states, the highest Hip Fracture Hospitalizations in Persons Aged 65 Years and Older rates were among people 85 years and older, with a range of 872.7 to 2,825.0 per 100,000 persons (Figure 3i). The national rate for Hip Fracture Hospitalizations among people 85 years and older was 2,419.2 per 100,000 persons. The individual state rates of Firearm-related Hospitalizations ranged from too few cases to report to 15.6 per 100,000 persons (Figure 5d). The national rate for Firearm-related Hospitalizations was 9.7 per 100,000 persons. The individual state rates of Firearm-related Hospitalizations ranged from too few cases to report to 28.9 among males and from too few cases to report to 3.6 among females (Figure 5e). The national rate for Firearm-related Hospitalizations was 17.1 per 100,000 persons among males and 1.9 per 100,000 persons among females. Among the reporting states, the highest Firearm-related Hospitalizations rates were among people 15–24 years, with the highest rate being 55.6 per 100,000 persons (Figure 5f). Fire-related Indicators The individual state rates of Unintentional Fire-related Fatalities ranged from too few cases to report to 2.8 per 100,000 persons (Figure 4a). The national rate for Unintentional Fire-related Fatalities was 1.1 per 100,000 persons. The individual state rates of Unintentional Fire-related Fatalities ranged from too few cases to report to 3.5 among males and from too few cases to report to 2.3 among females (Figure 4b). The national rate for Unintentional Fire-related Fatalities was 1.4 per 100,000 persons among males and 0.8 per 100,000 persons among females. Homicide/Assault Indicators The individual state rates of Homicides ranged from too few cases to report to 12.2 per 100,000 persons (Figure 6a). The national rate for Homicides was 6.1 per 100,000 persons. The individual state rates of 6 Homicides ranged from too few cases to report to 20.5 among males and from too few cases to report to 4.2 among females (Figure 6b). The national rate for Homicides was 9.6 per 100,000 persons among males and 2.5 per 100,000 persons among females. Among the reporting states, the highest Homicides rates were among people 15–24 years of age (Figure 6c). among people ages 15–24 years (Figure 7f). However, in a few states, the highest rate was among persons 85 years and older or persons 7584 years. Based on data from the Youth Risk Behavior Survey for the states that also provided indicator data, 4.8% to 18.1% of high school students reported never or rarely wearing a seat belt when riding in a car driven by someone else (Figure 7g). The national percent was 10.2. Also based on YRBS data, 4.1% to 17.3% of students drove a car or other vehicle when they had been drinking alcohol one or more times during the past 30 days (Figure 7h). The national percent was 9.9. Additionally, 13.4% to 35.6% of students rode in a car or other vehicle driven by someone who had been drinking alcohol one or more times during the past 30 days (Figure 7i). The national percent was 28.5. The individual state rates of Assault-related Hospitalizations ranged from 7.5 to 50.0 per 100,000 persons (Figure 6d). The national rate for Assault-related Hospitalizations was 25.7 per 100,000 persons. The individual state rates of Assault-related Hospitalizations ranged from 12.2 to 88.7 among males and from too few cases to report to 13.7 among females (Figure 6e). The national rate for Assault-related Hospitalizations was 43.3 per 100,000 persons among males and 7.2 per 100,000 persons among females. Among most of the reporting states, the highest Assault-related Hospitalizations rates were among people 15–24 years of age (Figure 6f). However, in a few states, the highest rate was among persons 25–34 years of age. Based on data from the Fatality Analysis Reporting System, alcoholrelated crash death rates ranged from 1.6 to 13.1 per 100,000 (Figure 7j). The alcohol-related crash death rate for the United States was 5.9 per 100,000. Motor Vehicle Indicators Poisoning Indicators The individual state rates of Motor Vehicle Traffic Fatalities ranged from 6.9 to 23.7 per 100,000 persons (Figure 7a). The national rate for Motor Vehicle Traffic Fatalities was 14.6 per 100,000 persons. The individual state rates of Motor Vehicle Traffic Fatalities ranged from 10.3 to 33.8 among males and from 3.3 to 15.1 among females (Figure 7b). The national rate for Motor Vehicle Traffic Fatalities was 20.8 per 100,000 persons among males and 8.7 per 100,000 persons among females. Among most of the reporting states, the highest Motor Vehicle Traffic Fatalities rates were among people 15–24 years (Figure 7c). However, in a few states, the highest rates were among persons 65 years and older. The individual state rates of Poisoning Fatalities ranged from 4.6 to 22.2 per 100,000 persons (Figure 8a). The national rate for Poisoning Fatalities was 11.0 per 100,000 persons. The individual state rates of Poisoning Fatalities ranged from 6.4 to 30.6 among males and from 3.0 to 17.7 among females (Figure 8b). The national rate for Poisoning Fatalities was 14.2 per 100,000 persons among males and 7.8 per 100,000 persons among females. Among the reporting states, more than half reported the highest Poisoning Fatality rates were among people 25–44 years of age, and in the remaining states, the highest rates were among people 45–64 years of age (Figure 8c). The individual state rates of Motor Vehicle Traffic Hospitalizations ranged from 39.7 to 111.7 per 100,000 persons (Figure 7d). The nation al rate for Motor Vehicle Traffic Hospitalizations was 77.9 per 100,000 persons. The individual state rates of Motor Vehicle Traffic Hospitaliza tions ranged from 48.5 to 139.6 among males and from 29.2 to 85.7 among females (Figure 7e). The national rates for Motor Vehicle Traffic Hospitalizations was 97.9 per 100,000 persons among males and 57.1 per 100,000 persons among females. Among most of the reporting states, the highest Motor Vehicle Traffic Hospitalizations rates were The individual state rates of Poisoning Hospitalizations ranged from 45.1 to 117.7 per 100,000 persons (Figure 8d). The national rate for Poisoning Hospitalizations was 74.9 per 100,000 persons. The individual state rates of Poisoning Hospitalizations ranged from 36.9 to 102.5 among males and from 48.5 to 135.8 among females (Figure 8e). The national rate for Poisoning Hospitalizations was 67.6 per 100,000 persons among males and 82.0 per 100,000 persons among females. Among the reporting states, the highest Poisoning Hospitalizations rates were most commonly found among people ages 35–44 years (Figure 7 8f). However, in some states the highest rates were for persons ages 15–24 years, 25–34 years, 45–54 years, or 85 years and older. persons among females. Among the reporting states, the highest TBI Fatalities rates were among people 65 years and older, with a range of 27.2 to 67.4 per 100,000 persons (Figure 10c). Suicide Indicators The individual state rates of TBI Hospitalizations ranged from 43.1 to 127.9 per 100,000 persons (Figure 10d). The national rate for TBI Hospitalizations was 84.3 per 100,000 persons. The individual state rates of TBI Hospitalizations ranged from 58.3 to 172.7 among males and from 28.6 to 85.4 among females (Figure 10e). The national rate for TBI Hospitalizations was 111.6 per 100,000 persons among males and 57.1 per 100,000 persons among females. Among the reporting states, the highest TBI Hospitalization rates were among people 85 years and older, with a range of 296.6 to 801.9 per 100,000 persons (Figure 10f). The individual state rates of Suicides ranged from 5.8 to 17.8 per 100,000 persons (Figure 9a). The national rate for Suicides was 10.9 per 100,000 persons. The individual state rates of Suicides ranged from 8.6 to 29.5 among males and from too few cases to report to 7.4 among females (Figure 9b). The national rate for Suicides was 18.0 per 100,000 persons among males and 4.4 per 100,000 persons among females. Among the reporting states, the highest Suicide rates were most commonly found in the 45–64 year-old age group (Figure 9c). However, in some states the highest rates were among persons ages 25–44 and 65 years and older. Based on data from the Youth Risk Behavior Survey for the states that provided indicator data, 70.5% to 93.2% of the high school students who rode a bicycle during the past 12 months, reported never or rarely wearing a bicycle helmet (Figure 10g). The national estimate was 83.4%. The individual state rates of Suicide Attempt Hospitalizations ranged from 29.3 to 91.6 per 100,000 persons (Figure 9d). The national rate for Suicide Attempt Hospitalizations was 43.3 per 100,000 persons. The individual state rates of Suicide Attempt Hospitalizations ranged from 22.3 to 63.6 among males and from 34.1 to 120.6 among females (Figure 9e). The national rates for Suicide Attempt Hospitalizations was 35.0 per 100,000 persons among males and 51.6 per 100,000 persons among females. Among the reporting states, the highest Suicide Attempt Hospitalization rates were split among people 15–24 years of age and those 25–44 years of age (Figure 9f). Limitations and Future Efforts While this report provides important information for understanding injury, the following limitations should be considered: •Only injuries severe enough to lead to either hospitalization or death are reported. Injuries that lead to emergency department or physician office visits or that remain untreated need to be accounted for if the total burden of injury is to be understood. • Not all causes of injury have been included in this report. • Not all states and territories are represented in this report. •Quality and completeness of external-cause-of-injury coding continues to be incomplete. Based on data from the Youth Risk Behavior Survey for the states that provided indicator data, 6.2% to 13.1% of high school students reported actually attempting suicide one or more times during the past 12 months (Figure 9g). The national percent was 8.4. Traumatic Brain Injury Indicators Future editions of the State Injury Indicators Report will strive to address these limitations. NCIPC, STIPDA, and CSTE, in conjunction with participating states, will continue to refine current indicators and define new ones for inclusion in future editions of this report. The incorporation of emergency department data into future editions is under exploration and consideration. Finally, submission of data from additional states and territories is encouraged and welcomed. The individual state rates of Traumatic Brain Injury (TBI) Fatalities ranged from 8.3 to 26.2 per 100,000 persons (Figure 10a). The national TBI Fatalities rate was 18.2 per 100,000 persons. The individual state TBI Fatalities rates ranged from 13.0 to 41.1 among males and from 3.9 to 14.0 among females (Figure 10b). The national TBI Fatalities rate was 28.6 per 100,000 persons among males and 8.9 per 100,000 8 References 1. Centers for Disease Control and Prevention. Web-based injury statistics query and reporting system (WISQARS). Atlanta (GA); 2005. [cited 2008 Jun 26]. Available from: www.cdc.gov/ncipc/wisqars. 9. State and Territorial Injury Prevention Directors Association (STIPDA), Injury Surveillance Workgroup. Consensus recommendations for using hospital discharge data for injury surveillance. Marietta (GA): STIPDA; 2003. 2. Finkelstein EA, Corso PS, Miller TR. Incidence and economic burden of injuries in the United States. New York: Oxford University Press; 2006. 10. State and Territorial Injury Prevention Directors Association (STIPDA), Injury Surveillance Workgroup on Falls. Consensus recommendations for surveillance of falls and fall-related injuries. Atlanta (GA): STIPDA; 2006. 3. Institute of Medicine (US). Reducing the burden of injury, advancing prevention and treatment. Washington (DC): National Academy Press; 1999. 11.Johnson RL, Thomas KE, Sarmiento K. State injury indicators: instructions for preparing 2005 data. Atlanta (GA): Centers for Disease Control and Prevention, National Center for Injury Prevention and Control; 2007. 4. State and Territorial Injury Prevention Directors Association (STIPDA). Consensus recommendations for injury surveillance in state health departments. Marietta (GA): STIPDA; 1999. 12.International Classification of Diseases Tenth Revision. [cited 2008 Jun 23]. Available from: www.who.int/classifications/icd/en/ index.html. 5. State and Territorial Injury Prevention Directors Association (STIPDA), Injury Surveillance Workgroup 5. Consensus recommendations for injury surveillance in state health departments. Atlanta (GA): STIPDA; 2007. 13. International Classification of Diseases Ninth Revision Clinical Modification. [cited 2008 Jun 23]. Available from: www.cdc.gov/nchs/about/otheract/icd9/abticd9.htm. 6. Meriwether RA. Blueprint for a national public health surveillance system for the 21st Century. J Public Health Manag Pract 1996;216-23. 14.Centers for Disease Control and Prevention. Youth online: comprehensive results. [cited 2008 Jun 26]. Available from: http://apps. nccd.cdc.gov/yrbss/. 7. Council of State and Territorial Epidemiologists. Injury control and prevention position statement. [cited 2008 Jun 23]. Available from: www.cste.org/PositionStatement.asp. 15.National Highway Traffic Safety Administration. Fatality Analysis Reporting System Encyclopedia. [cited 2008 Jun 26]. Available from: www-fars.nhtsa.dot.gov/States/StatesAlcohol.aspx. 8. S tate and Territorial Injury Prevention Directors Association (STIPDA). Resolutions, October 1999. [cited 2008 June 2 7]. Available from: www.stipda.org/displaycommon. cfm?an=1&subarticlenbr=30. 16.Johnson RL, Thomas RG, Thomas KE, Patel N, Sarmiento K. State injury indicators report, third edition–2004 data. Atlanta (GA): Centers for Disease Control and Prevention, National Center for Injury Prevention and Control; 2007. 9 All-Injury Indicators 1a. Injury Fatalities (Overall), 2005 1b. Injury Fatalities by Sex, 2005 1c. Injury Fatalities by Age, 2005 1d. Hospitalizations for All Injuries (Overall), 2005 1e. Hospitalizations for All Injuries by Sex, 2005 1f. Hospitalizations for All Injuries by Age, 2005 Figure 1a Injury Fatalities (Overall), 2005 Age-Adjusted Rate per 100,000 Number Arizona Arkansas California Colorado Connecticut Florida Georgia Hawaii Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Nebraska Nevada New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina Tennessee Utah Vermont Virginia Washington Wisconsin United States 4,580 2,090 16,005 3,101 1,504 12,197 5,096 632 1,642 2,993 4,003 788 3,021 2,625 5,446 2,677 897 1,650 1,760 6,920 6,135 6,775 2,833 2,193 7,717 504 3,136 4,635 1,432 367 4,005 3,662 3,411 173,657 0 10 20 30 40 50 60 70 80 ‡ No data available. ||Rates are suppressed if fewer than 20 cases were reported. 90 Rate§ 77.4 74.2 44.8 68.6 40.1 65.0 59.2 47.3 58.9 71.2 89.1 56.0 54.1 38.7 53.4 49.8 48.4 67.3 92.4 34.6 70.7 57.5 79.1 57.4 59.0 42.2 73.3 77.4 62.9 56.3 53.1 57.7 58.2 57.8 100 § Rate per 100,000 population. ¶ Case counts are suppressed if fewer than 5 cases were reported. 12 Figure 1b Injury Fatalities by Sex, 2005 MALES Number Age-Adjusted Rate per 100,000 110.1 106.3 66.0 98.4 59.6 94.9 86.3 66.1 83.8 104.7 129.8 81.9 85.3 55.0 77.5 70.4 64.6 97.6 133.8 51.5 101.2 82.6 111.5 82.0 87.3 58.6 109.0 113.2 86.1 77.8 77.8 83.1 82.6 84.1 140 120 100 80 60 40 20 3,150 1,430 11,504 2,148 1,018 8,498 3,514 424 1,110 2,073 2,747 531 2,247 1,723 3,735 1,745 549 1,190 1,225 4,723 4,132 4,519 1,899 1,475 5,245 309 2,209 3,156 970 235 2,774 2,514 2,254 119,865 FEMALES Number Arizona Arkansas California Colorado Connecticut Florida Georgia Hawaii Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Nebraska Nevada New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina Tennessee Utah Vermont Virginia Washington Wisconsin United States 0 46.1 44.0 24.5 40.7 22.3 36.2 35.0 28.9 35.2 41.1 51.8 32.4 25.7 23.4 31.0 30.4 33.7 37.9 53.2 19.4 42.6 34.5 48.7 34.3 33.4 27.8 40.3 46.0 40.8 36.3 30.4 33.7 35.3 33.2 1,430 660 4,501 953 486 3,698 1,582 208 532 919 1,256 257 774 902 1,711 932 348 460 535 2,197 2,003 2,256 934 718 2,472 195 927 1,479 462 132 1,231 1,148 1,157 53,792 0 ‡ No data available. ||Rates are suppressed if fewer than 20 cases were reported. Age-Adjusted Rate per 100,000 20 40 60 § Rate per 100,000 population. ¶ Case counts are suppressed if fewer than 5 cases were reported. 13 80 100 120 140 Figure 1c Injury Fatalities by Age#, 2005 0-4 State N 5-14 Rate§ N 15-24 Rate§ N 25-34 Rate§ N 35-44 Rate§ N 45-54 Rate§ N 55-64 Rate§ N 65-74 Rate§ N 75-84 Rate§ N 85+ Rate§ N Rate§ Arizona 99 22.2 84 9.3 704 81.9 659 75.1 700 77.0 754 101.5 402 76.8 332 77.6 444 160.5 402 500.8 Arkansas 68 36.3 47 12.7 372 93.6 327 89.5 322 83.6 302 78.6 210 68.9 143 68.6 159 124.7 140 288.4 California 345 13.0 284 5.4 2,701 50.6 2,390 45.4 2,649 47.9 2,855 57.9 1,661 50.3 945 48.0 1,256 91.5 919 174.8 Colorado 52 15.0 51 7.9 455 65.4 421 63.6 500 68.5 567 79.1 316 67.1 191 76.5 273 175.6 275 526.3 Connecticut 22 10.4 14 || 196 41.9 162 40.3 255 46.0 239 44.0 129 33.4 92 43.0 177 101.8 218 252.6 Florida 270 24.6 189 8.7 1,675 73.6 1,679 75.1 1,967 76.3 2,040 83.0 1,164 59.1 854 59.6 1,244 111.2 1,115 257.2 Georgia 133 19.2 92 7.2 781 59.5 736 52.6 847 59.3 851 68.7 513 60.1 314 63.9 468 168.0 361 359.6 Hawaii 16 || ¶ || 66 37.9 67 38.2 106 58.7 118 64.7 72 52.3 41 48.8 64 96.5 78 311.2 Kansas 32 8.7 34 18.2 235 56.5 206 56.6 265 69.4 277 69.4 135 49.7 109 64.0 178 138.0 171 296.5 Kentucky 69 25.6 45 8.3 414 71.7 474 83.0 534 86.5 504 82.0 280 61.3 196 68.6 254 141.6 223 368.1 Louisiana 86 26.7 81 13.0 656 93.8 649 107.3 573 90.7 614 94.4 390 84.8 262 93.4 392 207.8 300 481.7 Maine 7 || 8 || 101 55.5 100 69.5 121 60.3 129 59.0 83 51.1 62 64.6 90 127.7 87 332.1 Maryland 33 8.7 43 5.6 518 66.3 499 71.0 567 64.4 513 60.9 246 41.4 183 55.5 241 106.8 178 199.3 Massachusetts 19 || 26 3.2 355 41.7 373 43.0 457 45.2 454 48.0 212 31.5 151 38.7 271 84.6 307 215.7 Michigan 155 23.9 97 6.9 714 49.6 804 62.3 898 60.5 960 63.4 471 44.2 325 51.3 516 114.6 506 299.5 Minnesota 42 12.5 47 7.0 350 46.2 285 41.7 365 46.7 403 52.2 232 45.5 169 55.8 314 144.5 470 456.3 395.2 Nebraska 18 || 21 9.0 130 48.8 94 40.4 116 48.2 126 49.6 67 38.2 62 55.8 117 136.7 146 Nevada 43 23.9 25 7.2 233 64.5 246 67.0 287 77.1 320 93.5 181 69.5 125 75.9 123 133.4 67 282.0 New Mexico 31 22.1 41 14.8 268 91.2 221 88.5 290 111.0 344 127.9 156 78.5 111 88.6 147 181.0 151 514.8 New York 164 13.3 95 3.8 1,019 37.3 856 33.4 984 33.4 1,036 37.2 653 32.2 528 41.9 781 87.3 804 223.2 North Carolina 121 20.1 111 9.6 885 75.0 908 74.7 990 75.7 998 81.1 557 60.0 435 77.5 647 177.6 483 372.5 Ohio 156 21.1 127 8.2 904 56.2 910 62.4 1,058 64.2 1,127 65.6 635 52.2 444 58.1 720 129.8 694 332.2 Oklahoma 54 21.6 68 14.1 404 76.6 382 81.7 466 97.8 485 98.0 308 82.3 212 87.2 236 145.8 218 341.8 Oregon 46 20.4 27 5.7 237 47.0 254 49.5 294 57.2 408 75.5 219 54.7 160 68.5 258 159.5 290 389.1 Pennsylvania 97 13.3 103 6.5 1,150 64.7 1,012 68.8 1,203 67.9 1,217 67.2 655 47.9 553 57.8 923 135.9 804 300.0 Rhode Island 5 || 6 || 51 33.5 39 27.9 83 51.4 88 55.3 45 39.9 34 54.0 57 96.1 96 348.4 South Carolina 73 26.0 54 9.6 492 80.8 493 85.5 525 85.8 539 88.8 324 68.7 192 65.1 254 144.1 190 298.9 Tennessee 85 21.5 78 9.6 666 81.6 673 82.9 792 90.3 770 89.3 462 71.7 387 96.8 411 164.3 311 337.3 Utah 44 17.6 41 9.8 233 56.0 252 57.1 230 73.5 246 85.4 120 63.5 74 65.9 102 138.6 90 336.7 Vermont ¶ || 14 || 47 51.6 48 66.8 50 54.0 51 49.4 33 43.3 20 48.6 41 141.8 59 495.1 Virginia 71 13.8 75 7.5 609 56.8 552 54.4 639 54.6 620 55.3 402 49.2 309 66.9 397 135.0 331 303.7 Washington 69 17.0 43 5.0 437 48.6 469 56.2 543 57.7 724 76.4 401 60.4 225 62.5 352 142.3 399 382.1 Wisconsin 67 19.5 67 9.3 477 58.1 432 61.0 506 60.8 497 58.4 275 47.4 226 64.2 370 142.6 494 425.1 United States 3,601 17.7 3,093 7.6 26,001 61.7 24,594 61.3 27,900 63.6 28,761 67.7 16,382 54.0 11,582 62.1 16,456 126.0 15,287 301.1 ‡ No data available. § Rate per 100,000 population. || Rates are suppressed if fewer than 20 cases were reported. ¶ Case counts are suppressed if fewer than 5 cases were reported. # Age in years. 14 Figure 1d Hospitalizations for All Injuries (Overall), 2005 Age-Adjusted Rate per 100,000 Number 39,492 17,914 183,962 24,789 18,544 116,960 42,219 6,799 17,838 24,524 ‡ 8,206 31,882 37,629 59,955 31,175 7,634 12,305 9,499 109,782 46,794 53,300 24,140 19,853 93,800 5,352 23,759 38,647 13,050 3,103 37,136 29,201 31,892 1,820,273 Arizona Arkansas California Colorado Connecticut Florida Georgia Hawaii Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Nebraska Nevada New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina Tennessee Utah Vermont Virginia Washington Wisconsin United States 0 100 200 300 400 500 600 663.6 626.0 527.2 579.0 490.7 585.8 514.4 507.6 626.3 586.6 ‡ 571.0 573.7 544.0 585.6 588.8 402.3 525.1 499.4 549.2 542.5 446.6 665.0 521.5 693.4 447.0 559.7 647.1 601.4 470.5 503.4 467.9 540.7 605.3 External Cause Percentage* 91.5% 96.6% 94.8% 98.7% 94.1% 85.2% 95.7% 89.9% 98.6% 78.9% ‡ 90.1% 95.5% 98.7% 85.6% 84.7% 91.2% 56.3% 66.4% 99.1% 89.7% 74.2% 87.5% 87.1% 96.5% 84.3% 91.2% 96.3% 92.0% 98.2% 76.3% 100.0% 100.0% 87.1% 700 * Percentage of hospital discharge data injury hospitalizations with external cause coding. Incompleteness may lead to bias. ‡ No data available. ||Rates are suppressed if fewer than 20 cases were reported. 15 Rate§ § Rate per 100,000 population. ¶ Case counts are suppressed if fewer than 5 cases were reported. Figure 1e Hospitalizations for All Injuries by Sex, 2005 MALES Number Age-Adjusted Rate per 100,000 722.9 634.7 577.9 602.8 545.5 640.3 533.9 597.3 622.0 577.0 ‡ 595.7 659.2 566.0 635.3 618.1 394.5 577.6 517.2 620.5 553.7 459.8 681.6 541.1 767.5 450.6 584.3 666.0 617.9 462.8 498.5 489.8 554.0 634.3 800 700 600 500 400 300 200 100 20,948 8,387 98,653 12,692 9,214 57,642 21,411 3,824 8,029 11,191 ‡ 3,827 17,196 17,402 30,445 15,272 3,311 6,846 4,712 56,696 22,242 24,853 11,521 9,674 46,017 2,354 11,623 18,323 6,889 1,402 17,299 14,543 15,020 890,690 FEMALES Number Arizona Arkansas California Colorado Connecticut Florida Georgia Hawaii Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Nebraska Nevada New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina Tennessee Utah Vermont Virginia Washington Wisconsin United States 0 Age-Adjusted Rate per 100,000 18,544 9,527 85,296 12,096 9,330 59,310 20,808 2,975 9,807 13,333 ‡ 4,379 14,674 20,226 29,503 15,903 4,323 5,416 4,785 53,083 24,552 28,446 12,609 10,179 47,777 2,998 12,116 20,321 6,161 1,701 19,833 14,658 16,872 920,627 582.6 591.1 457.2 530.7 420.8 513.7 471.8 404.4 606.8 567.5 ‡ 526.6 474.5 500.4 518.9 541.3 394.8 454.0 464.0 461.8 505.6 415.5 621.0 485.5 599.1 425.5 511.6 601.6 568.5 458.9 483.2 430.3 509.3 547.3 0 ‡ No data available. ||Rates are suppressed if fewer than 20 cases were reported. 100 200 300 400 § Rate per 100,000 population. ¶ Case counts are suppressed if fewer than 5 cases were reported. 16 500 600 700 800 Figure 1f Hospitalizations for All Injuries by Age#, 2005 0-4 State Arizona 5-14 N Rate§ 1,741 390.2 N 15-24 Rate§ 2,212 245.4 N 25-34 Rate§ 5,727 666.4 N 35-44 Rate§ 4,474 509.5 N 45-54 Rate§ 4,461 490.8 N 55-64 Rate§ 4,411 593.5 N 65-74 Rate§ 3,397 N 649.3 75-84 Rate§ 3,214 751.6 N 5,492 85+ Rate§ N Rate§ 1,984.9 4,363 5,435.5 Arkansas 326 174.0 631 170.5 2,031 510.8 1,930 528.1 2,086 541.5 2,134 555.6 1,628 534.0 1,903 913.0 2,887 2,265.0 2,358 4,857.0 California 6,728 252.6 9,851 187.3 25,788 483.3 18,919 359.6 20,308 367.0 21,429 434.7 16,347 495.1 15,320 777.9 26,888 1,958.0 22,384 4,258.4 Colorado 431 124.2 938 146.0 3,077 442.0 2,586 390.8 2,961 405.4 3,117 435.0 2,312 490.8 2,296 920.1 3,728 2,397.3 3,343 6,398.3 Connecticut 516 244.5 804 170.4 2,075 443.6 1,564 389.3 2,027 365.9 1,999 368.0 1,661 429.9 1,618 756.0 3,240 1,864.1 3,040 3,522.2 Florida 2,843 258.7 4,438 205.0 12,176 534.7 10,325 462.1 12,527 485.8 13,175 536.0 10,299 522.8 11,928 831.8 21,140 1,889.7 18,109 4,177.1 Georgia 1,321 190.7 1,879 147.2 5,232 398.3 4,639 331.5 5,184 363.0 5,293 427.4 4,095 479.9 3,916 796.9 6,006 2,155.5 4,654 4,635.7 Hawaii 243 278.9 337 209.5 975 559.6 730 416.7 709 393.0 749 410.7 606 440.2 523 622.5 998 1,505.3 929 3,706.1 Kansas 552 149.9 562 300.4 1,929 463.4 1,431 393.2 1,699 445.2 1,803 451.8 1,489 548.5 1,749 1,026.7 3,322 2,575.3 3,302 5,726.2 Kentucky 400 148.3 774 143.1 2,432 421.2 2,503 438.2 2,895 468.9 2,950 479.8 2,411 528.1 2,694 942.7 4,319 2,407.5 3,146 5,192.8 Louisiana ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ Maine 140 206.9 263 171.3 864 474.7 655 455.1 894 445.8 902 412.5 807 496.8 861 897.1 1,508 2,139.3 1,312 5,008.4 Maryland 581 152.3 1,047 135.6 4,595 587.8 3,583 509.6 4,442 504.6 4,154 492.9 2,885 485.1 2,682 814.0 4,340 1,922.6 3,573 4,000.0 Massachusetts 771 194.3 1,341 167.2 3,721 437.4 2,997 345.1 3,935 389.2 4,183 442.6 3,536 526.1 3,548 909.7 7,004 2,185.4 6,593 4,632.0 Michigan 1,717 264.6 2,670 189.7 6,848 475.8 5,736 444.8 7,163 482.9 8,173 539.4 5,604 526.4 5,297 836.0 9,257 2,056.8 7,490 4,433.5 Minnesota 756 225.3 1,510 225.4 3,864 510.2 2,792 408.2 3,369 431.3 3,834 496.7 2,829 555.0 2,706 893.1 4,758 2,190.2 4,757 4,617.9 Nebraska 151 122.4 237 102.0 705 264.5 454 194.9 613 254.9 769 302.6 633 360.7 819 737.5 1,624 1,898.0 1,629 4,409.9 Nevada 365 203.3 508 146.6 1,627 450.5 1,438 391.5 1,544 415.0 1,569 458.7 1,278 490.8 1,179 716.3 1,658 1,797.7 1,139 4,793.4 New Mexico 290 207.1 421 151.8 1,204 409.6 1,016 406.8 1,166 446.3 1,104 410.5 830 417.6 814 649.5 1,473 1,813.4 1,181 4,026.7 New York 3,875 314.0 5,420 214.9 13,090 479.6 10,197 398.3 12,717 432.2 12,554 450.4 9,708 479.1 9,678 767.9 17,100 1,911.6 15,443 4,287.0 North Carolina 1,017 169.3 1,634 141.5 4,933 418.3 4,647 382.4 5,591 427.3 5,414 440.0 4,688 504.7 5,042 898.8 7,890 2,166.1 5,938 4,580.0 Ohio 1,169 157.8 2,029 130.6 5,951 369.9 4,901 335.9 5,974 362.7 6,185 359.8 4,520 371.9 4,973 650.8 9,471 1,708.0 8,127 3,889.7 Oklahoma 837 334.1 1,093 226.1 2,814 533.4 2,419 517.3 2,692 564.8 2,673 540.2 2,185 584.1 2,376 977.0 3,916 2,418.6 3,135 4,916.0 Oregon 503 223.0 836 176.6 2,206 437.8 1,914 372.7 2,126 413.5 2,469 456.8 1,983 495.5 1,775 759.9 3,065 1,894.3 2,976 3,993.1 Pennsylvania 1,824 249.5 3,677 230.5 11,005 619.6 8,196 556.8 10,401 586.8 10,787 596.0 8,362 610.9 8,631 902.7 16,800 2,472.8 14,117 5,266.9 Rhode Island 122 189.7 184 134.9 504 331.0 426 304.5 602 372.5 611 384.2 449 398.0 458 727.9 1,017 1,715.0 979 3,553.0 South Carolina 593 210.8 1,328 236.0 2,573 422.5 2,612 452.9 2,770 452.9 2,939 484.3 2,391 506.8 2,392 810.5 3,634 2,061.4 2,527 3,975.1 Tennessee 809 205.1 1,213 149.7 4,004 490.8 4,052 499.2 4,731 539.5 4,905 568.6 3,999 621.0 4,054 1,013.9 6,259 2,501.9 4,621 5,011.6 Utah 445 178.0 750 179.1 2,007 482.0 1,495 338.8 1,442 460.8 1,512 525.2 1,232 651.5 1,152 1,026.2 1,706 2,318.3 1,309 4,897.1 Vermont 55 167.1 111 151.6 369 405.5 245 341.2 326 351.9 350 338.7 299 392.5 288 699.8 525 1,815.9 535 4,489.4 Virginia 1,091 212.7 1,303 130.8 4,069 379.8 3,300 325.0 4,040 345.4 4,208 375.5 3,643 446.0 3,813 825.3 6,581 2,237.9 5,088 4,667.8 Washington 685 168.6 1,332 156.1 3,451 383.9 2,682 321.5 3,181 338.1 3,700 390.5 2,905 437.8 2,553 709.1 4,465 1,805.1 4,247 4,067.2 Wisconsin 751 219.1 1,326 184.1 3,494 425.8 2,690 380.0 3,490 419.5 3,741 439.8 2,952 508.8 2,846 808.9 5,441 2,096.5 5,161 4,440.7 United States 58,128 286.1 91,336 225.9 203,850 484.0 179,648 447.5 192,597 439.1 209,099 492.1 163,691 539.3 171,310 918.6 295,799 2,265.0 254,815 5,018.7 ‡No data available. § Rate per 100,000 population. || Rates are suppressed if fewer than 20 cases were reported. ¶ Case counts are suppressed if fewer than 5 cases were reported. # Age in years. 17 18 Drowning Indicators 2a. Unintentional Drowning Fatalities (Overall), 2005 2b. Unintentional Drowning Fatalities by Sex, 2005 2c. Unintentional Drowning Fatalities by Age, 2005 2d. Drowning-related Hospitalizations (Overall), 2005 2e. Drowning-related Hospitalizations by Sex, 2005 2f. Drowning-related Hospitalizations by Age, 2005 19 Figure 2a Unintentional Drowning Fatalities (Overall), 2005 Age-Adjusted Rate per 100,000 Number 84 65 448 52 25 382 116 39 36 59 100 25 56 59 123 69 8 21 28 134 98 114 64 65 111 10 74 89 32 9 76 104 52 3,958 Arizona Arkansas California Colorado Connecticut Florida Georgia Hawaii Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Nebraska Nevada New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina Tennessee Utah Vermont Virginia Washington Wisconsin United States 0 0.3 0.6 0.9 1.2 1.5 ‡ No data available. ||Rates are suppressed if fewer than 20 cases were reported. 1.8 2.1 2.4 2.7 3 Rate§ 1.4 2.4 1.2 1.2 0.7 2.1 1.3 3.0 1.3 1.4 2.2 1.8 1.0 0.9 1.2 1.4 || 0.8 1.4 0.7 1.1 1.0 1.8 1.8 0.9 || 1.7 1.5 1.2 || 1.0 1.7 0.9 1.3 3.3 § Rate per 100,000 population. ¶ Case counts are suppressed if fewer than 5 cases were reported. 20 Figure 2b Unintentional Drowning Fatalities by Sex, 2005 2.0 4.1 2.0 1.6 60 56 348 35 18 309 97 35 27 47 80 23 45 53 87 55 5 17 20 114 81 88 48 53 84 8 65 73 24 7 57 83 47 3,151 || 3.5 2.1 5.5 1.9 2.3 3.6 3.4 1.7 1.7 1.8 2.1 || || 2.1 1.2 2.0 1.6 2.8 2.9 1.4 || 3.1 2.6 1.9 || 1.5 2.7 1.7 2.2 6 5.4 4.8 4.2 3.6 3 FEMALES MALES Number Age-Adjusted Rate per 100,000 2.4 1.8 1.2 0.6 Age-Adjusted Rate per 100,000 Number Arizona Arkansas California Colorado Connecticut Florida Georgia Hawaii Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Nebraska Nevada New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina Tennessee Utah Vermont Virginia Washington Wisconsin United States 0 24 9 100 17 7 73 19 ¶ 9 12 20 ¶ 11 6 36 14 ¶ ¶ 8 20 17 26 16 12 27 ¶ 9 16 8 ¶ 19 21 5 807 0.8 || 0.5 || || 0.8 || || || || 0.9 0.7 || || || || || || || 0.2 || 0.4 0.4 0.7 0.5 0 || || || || || || || || || 0.6 1.2 1.8 2.4 3 ‡ No data available. § Rate per 100,000 population. ||Rates are suppressed if fewer than 20 cases were reported. ¶ Case counts are suppressed if fewer than 5 cases were reported. 21 3.6 4.2 4.8 5.4 6 Figure 2c Unintentional Drowning Fatalities by Age#, 2005 0-14 State N 15-44 Rate§ N 45+ Rate§ N Rate§ Arizona 25 1.9 33 1.2 26 1.3 Arkansas 15 || 31 2.7 19 || California 101 1.3 163 1.0 184 1.5 Colorado 9 || 17 || 26 1.6 Connecticut ¶ || 14 || 9 || Florida 88 2.7 130 1.8 164 2.2 Georgia 33 1.7 54 1.3 29 1.0 Hawaii ¶ || 20 3.8 18 || Kansas 9 || 16 || 11 || Kentucky 14 || 22 1.2 23 1.4 Louisiana 23 2.4 35 1.8 42 2.6 Maine ¶ || 10 || 14 || Maryland 6 || 23 1.0 27 1.3 Massachusetts 7 || 30 1.1 22 0.9 Michigan 23 1.1 46 1.1 54 1.4 Minnesota 10 || 41 1.8 18 || Nebraska ¶ || ¶ || ¶ || Nevada 10 || 5 || 6 || New Mexico 6 || 11 || 11 || New York 23 0.6 67 0.8 44 0.6 North Carolina 16 || 50 1.4 32 1.0 Ohio 32 1.4 44 0.9 38 0.9 Oklahoma 18 || 22 1.5 24 1.8 Oregon 7 || 30 2.0 28 2.0 Pennsylvania 26 1.1 42 0.8 43 0.8 Rhode Island ¶ || ¶ || 5 || South Carolina 11 || 30 1.7 33 2.0 Tennessee 21 1.7 42 1.7 26 1.2 Utah 8 || 14 || 10 || Vermont ¶ || 5 || ¶ || Virginia 13 || 35 1.1 28 1.0 Washington 15 || 51 1.9 38 1.6 Wisconsin 8 || 28 1.2 16 || United States 823 1.4 1,710 1.4 1,425 1.3 ³ No data available. § Rate per 100,000 population. || Rates are suppressed if fewer than 20 cases were reported. ¶ Case counts are suppressed if fewer than 5 cases were reported. # Age in years. 22 Figure 2d Drowning-Related Hospitalizations (Overall), 2005 Age-Adjusted Rate per 100,000 Number Rate§ 89 30 452 31 18 366 43 57 30 12 ‡ ¶ 31 34 65 33 5 27 14 112 47 83 54 26 69 9 31 36 23 ¶ 33 43 42 3,238 Arizona Arkansas California Colorado Connecticut Florida Georgia Hawaii Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Nebraska Nevada New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina Tennessee Utah Vermont Virginia Washington Wisconsin United States 0 0.4 0.8 1.2 1.6 2 2.4 2.8 3.2 3.6 4 4.4 4.8 * Percentage of hospital discharge data injury hospitalizations with external cause coding. Incompleteness may lead to bias. ‡ No data available. § Rate per 100,000 population. ||Rates are suppressed if fewer than 20 cases were reported. ¶ Case counts are suppressed if fewer than 5 cases were reported. 23 1.4 1.1 1.2 0.7 || 2.2 0.5 4.5 1.1 || ‡ || 0.6 0.5 0.7 0.7 || 1.0 || 0.6 0.5 0.8 1.5 0.7 0.6 || 0.8 0.6 0.7 || 0.4 0.7 0.8 1.1 External Cause Percentage* 91.5% 96.6% 94.8% 98.7% 94.1% 85.2% 95.7% 89.9% 98.6% 78.9% ‡ 90.1% 95.5% 98.7% 85.6% 84.7% 91.2% 56.3% 66.4% 99.1% 89.7% 74.2% 87.5% 87.1% 96.5% 84.3% 91.2% 96.3% 92.0% 98.2% 76.3% 100.0% 100.0% 87.1% Figure 2e Drowning-Related Hospitalizations by Sex, 2005 1.5 1.5 1.5 || || 48 21 285 19 12 244 32 40 19 8 ‡ ¶ 22 26 38 25 ¶ 15 9 71 32 49 34 21 41 6 21 24 17 ¶ 26 29 28 2,149 2.9 0.7 6.1 || || ‡ || || || || || || || 7 6 5 4 3 FEMALES MALES Number Age-Adjusted Rate per 100,000 2 1 0.8 0.9 0.8 1.0 0.8 0.8 0.9 1.9 1.2 0.7 1.0 0.9 0.7 1.0 1.0 1.5 Age-Adjusted Rate per 100,000 Number Arizona Arkansas California Colorado Connecticut Florida Georgia Hawaii Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Nebraska Nevada New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina Tennessee Utah Vermont Virginia Washington Wisconsin United States 0 41 9 167 12 6 122 11 17 11 ¶ ‡ ¶ 9 8 27 8 ¶ 12 5 41 15 34 20 5 28 ¶ 10 12 6 ¶ 7 14 14 1,064 1.3 0.9 1.5 0.6 0.4 0.6 1.1 0.5 0.7 || || || || || || || ‡ || || || || || || || || || || || || || || || || || 0 1 2 3 ‡ No data available. § Rate per 100,000 population. ||Rates are suppressed if fewer than 20 cases were reported. ¶ Case counts are suppressed if fewer than 5 cases were reported. 24 4 5 6 7 Figure 2f Drowning-Related Hospitalizations by Age#, 2005 0-14 State N 15-44 Rate§ N 45+ Rate§ N Rate§ Arizona 70 5.2 11 || 8 Arkansas 9 || 10 || 11 || || California 277 3.5 111 0.7 64 0.5 Colorado 15 || 9 || 7 || Connecticut 12 || ¶ || ¶ || Florida 237 7.3 62 0.9 67 0.9 Georgia 25 1.3 14 || ¶ || Hawaii 20 8.1 24 4.5 13 || || Kansas 16 || 7 || 7 Kentucky 10 || ¶ || ¶ || Louisiana ‡ ‡ ‡ ‡ ‡ ‡ Maine ¶ || ¶ || ¶ || Maryland 11 || 9 || 11 || Massachusetts 14 || 13 || 7 || Michigan 40 1.9 14 || 11 || Minnesota 23 2.3 5 || 5 || Nebraska ¶ || ¶ || ¶ || Nevada 21 4.0 ¶ || ¶ || New Mexico 11 || ¶ || ¶ || 0.5 New York 50 1.3 27 0.3 35 North Carolina 20 1.1 15 || 12 || Ohio 37 1.6 33 0.7 13 || Oklahoma 43 5.9 9 || ¶ || Oregon 10 || 9 || 7 || Pennsylvania 44 1.9 13 || 12 || Rhode Island ¶ || ¶ || ¶ || South Carolina 18 || 10 || ¶ || Tennessee 16 || 14 || 6 || Utah 15 || 7 || ¶ || Vermont ¶ || ¶ || ¶ || Virginia 18 || 6 || 9 || Washington 20 1.6 15 || 8 || Wisconsin 24 2.3 11 || 7 || United States 1,988 3.3 679 0.5 571 0.5 ‡ No data available. § Rate per 100,000 population. || Rates are suppressed if fewer than 20 cases were reported. ¶ Case counts are suppressed if fewer than 5 cases were reported. # Age in years. 25 Fall Indicators 3a. Unintentional Fall-related Fatalities (Overall), 2005 3b. Unintentional Fall-related Fatalities by Sex, 2005 3c. Unintentional Fall-related Fatalities by Age, 2005 3d. Unintentional Fall-related Hospitalizations (Overall), 2005 3e. Unintentional Fall-related Hospitalizations by Sex, 2005 3f. Unintentional Fall-related Hospitalizations by Age, 2005 3g. Hip Fracture Hospitalizations in Persons Aged 65 Years and Older (Overall), 2005 3h. Hip Fracture Hospitalizations in Persons Aged 65 Years and Older by Sex, 2005 3i. Hip Fracture Hospitalizations in Persons Aged 65 Years and Older by Age, 2005 Figure 3a Unintentional Fall-Related Fatalities (Overall), 2005 Age-Adjusted Rate per 100,000 Number 685 147 1,531 403 217 1,685 536 101 212 186 161 90 334 267 635 588 146 138 268 1,157 661 875 221 381 942 135 207 350 114 88 358 566 807 19,654 Arizona Arkansas California Colorado Connecticut Florida Georgia Hawaii Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Nebraska Nevada New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina Tennessee Utah Vermont Virginia Washington Wisconsin United States 0 2 4 6 8 10 12 14 Rate§ 12.0 4.9 4.6 10.9 5.0 6.9 7.6 6.8 6.8 4.5 3.8 5.7 6.1 3.5 6.1 10.4 7.1 6.7 14.2 5.5 7.8 6.9 5.9 9.1 6.1 9.3 4.9 5.9 6.2 12.3 5.0 9.1 12.3 6.4 16 ‡ No data available. § Rate per 100,000 population. ||Rates are suppressed if fewer than 20 cases were reported. ¶ Case counts are suppressed if fewer than 5 cases were reported. 28 Figure 3b Unintentional Fall-Related Fatalities by Sex, 2005 13.1 5.7 6.3 13.5 7.2 8.9 10.0 9.0 8.6 6.0 4.4 8.2 8.4 4.6 8.0 13.4 8.3 10.0 16.9 7.3 9.3 9.0 8.2 11.0 8.0 11.5 6.5 8.0 9.2 13.9 6.2 10.8 15.4 8.3 20 15 10 FEMALES MALES Number Age-Adjusted Rate per 100,000 5 308 67 871 205 120 898 277 58 106 105 79 53 189 138 335 287 64 92 133 599 319 439 124 181 465 60 112 185 73 39 181 263 377 10,152 Age-Adjusted Rate per 100,000 Number Arizona Arkansas California Colorado Connecticut Florida Georgia Hawaii Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Nebraska Nevada New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina Tennessee Utah Vermont Virginia Washington Wisconsin United States 0 11.1 4.3 3.4 8.9 3.4 5.3 6.0 5.0 5.3 3.2 3.2 3.8 4.4 2.7 4.5 8.3 6.3 4.0 12.0 4.1 6.5 5.5 4.2 7.8 4.8 8.2 3.6 4.3 3.8 10.7 4.1 7.9 10.1 5.0 377 80 660 198 97 786 259 43 106 81 82 37 145 129 300 301 82 46 135 558 342 436 97 200 477 75 95 165 41 49 177 303 430 9,502 0 5 10 ‡ No data available. § Rate per 100,000 population. ||Rates are suppressed if fewer than 20 cases were reported. ¶ Case counts are suppressed if fewer than 5 cases were reported. 29 15 20 Figure 3c Unintentional Fall-Related Fatalities by Age#, 2005 0-14 State N 15-44 Rate§ N 45-64 Rate§ N 65-74 Rate§ N Rate§ 75-84 N Rate§ 85+ N Rate§ Arizona ¶ || 30 1.1 69 5.4 97 22.7 215 77.7 271 337.6 Arkansas ¶ || 13 || 20 2.9 18 || 40 31.4 53 109.2 California 7 || 105 0.7 268 3.3 205 10.4 444 32.3 502 95.5 Colorado ¶ || 30 1.4 50 4.2 46 18.4 123 79.1 153 292.8 Connecticut ¶ || 12 || 21 2.3 20 9.3 68 39.1 94 108.9 Florida 9 || 78 1.1 194 4.4 211 14.7 531 47.5 662 152.7 Georgia ¶ || 34 0.8 96 4.6 51 10.4 160 57.4 192 191.2 Hawaii ¶ || 7 || 17 || 9 || 24 36.2 42 167.6 Kansas ¶ || 7 || 24 3.6 27 15.9 61 47.3 93 161.3 Kentucky ¶ || 16 || 41 3.8 19 || 55 30.7 54 89.1 Louisiana ¶ || 19 || 29 2.6 21 7.5 43 22.8 48 77.1 Maine ¶ || 5 || 16 || 10 || 35 49.7 23 87.8 Maryland ¶ || 21 0.9 67 4.7 43 13.1 108 47.8 93 104.1 Massachusetts ¶ || 17 || 43 2.7 27 6.9 84 26.2 95 66.7 Michigan 7 || 39 0.9 84 3.3 64 10.1 189 42.0 252 149.2 Minnesota ¶ || 22 1.0 50 3.9 46 15.2 180 82.9 288 279.6 Nebraska ¶ || 6 || 8 || 14 || 48 56.1 70 189.5 Nevada ¶ || 11 || 27 4.5 21 12.8 40 43.4 35 147.3 New Mexico ¶ || 7 || 27 5.8 39 31.1 79 97.3 116 395.5 New York ¶ || 72 0.9 150 3.1 149 11.8 330 36.9 452 125.5 North Carolina ¶ || 56 1.5 92 4.3 81 14.4 219 60.1 210 162.0 Ohio 5 || 40 0.8 117 4.0 109 14.3 295 53.2 309 147.9 Oklahoma ¶ || 23 1.6 34 3.9 32 13.2 54 33.4 78 122.3 Oregon ¶ || 14 || 36 3.8 25 10.7 119 73.5 186 249.6 Pennsylvania ¶ || 48 1.0 110 3.5 105 11.0 323 47.5 352 131.3 Rhode Island ¶ || ¶ || 8 || 11 || 42 70.8 70 254.0 South Carolina ¶ || 11 || 34 3.2 31 10.5 65 36.9 65 102.2 Tennessee ¶ || 22 0.9 65 4.3 41 10.3 102 40.8 118 128.0 Utah ¶ || 10 || 18 || 12 || 29 39.4 41 153.4 Vermont ¶ || ¶ || 10 || ¶ || 22 76.1 47 394.4 Virginia ¶ || 17 || 72 3.7 57 12.3 113 38.4 98 89.9 Washington ¶ || 23 0.9 52 3.2 61 16.9 162 65.5 268 256.7 Wisconsin ¶ || 26 1.1 75 5.2 67 19.0 226 87.1 412 354.5 United States 82 0.1 1,138 0.9 2,632 3.6 2,319 12.4 5,957 45.6 7,526 148.2 ‡ No data available. § Rate per 100,000 population. || Rates are suppressed if fewer than 20 cases were reported. ¶ Case counts are suppressed if fewer than 5 cases were reported. # Age in years. 30 Figure 3d Unintentional Fall-Related Hospitalizations (Overall), 2005 Age-Adjusted Rate per 100,000 Number 13,825 7,330 76,138 11,211 9,017 46,236 16,126 2,695 7,209 8,705 ‡ 3,798 12,340 20,304 22,717 12,756 4,163 3,337 2,334 50,925 18,384 18,113 8,820 8,288 43,594 2,346 8,997 15,581 4,593 1,641 13,433 13,838 22,679 727,926 Arizona Arkansas California Colorado Connecticut Florida Georgia Hawaii Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Nebraska Nevada New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina Tennessee Utah Vermont Virginia Washington Wisconsin United States 0 100 200 300 Rate§ 235.9 246.1 227.9 287.5 222.7 204.0 221.1 190.1 242.2 209.6 ‡ 247.9 224.5 279.5 219.2 236.5 210.5 154.8 123.0 247.3 214.9 145.6 234.6 210.3 295.0 183.1 212.9 261.1 239.2 240.1 187.2 224.0 368.3 239.4 400 * Percentage of hospital discharge data injury hospitalizations with external cause coding. Incompleteness may lead to bias. ‡ No data available. § Rate per 100,000 population. ||Rates are suppressed if fewer than 20 cases were reported. ¶ Case counts are suppressed if fewer than 5 cases were reported. 31 External Cause Percentage* 91.5% 96.6% 94.8% 98.7% 94.1% 85.2% 95.7% 89.9% 98.6% 78.9% ‡ 90.1% 95.5% 98.7% 85.6% 84.7% 91.2% 56.3% 66.4% 99.1% 89.7% 74.2% 87.5% 87.1% 96.5% 84.3% 91.2% 96.3% 92.0% 98.2% 76.3% 100.0% 100.0% 87.1% Figure 3e Unintentional Fall-Related Hospitalizations by Sex, 2005 MALES Number Age-Adjusted Rate per 100,000 197.9 179.1 196.7 251.5 199.9 174.7 178.5 185.0 195.7 159.4 ‡ 222.2 194.0 237.4 196.4 209.4 172.0 134.3 97.4 221.6 168.0 117.7 181.2 178.4 260.4 148.7 171.2 210.8 198.0 204.2 148.6 192.7 334.9 198.3 400 300 200 100 5,221 2,249 29,837 4,438 3,362 16,655 5,775 1,172 2,419 2,799 ‡ 1,432 4,631 7,129 8,830 4,859 1,382 1,404 847 19,201 6,102 6,044 2,878 3,064 15,466 773 3,122 5,210 1,874 601 4,644 5,265 8,666 259,084 FEMALES Number Arizona Arkansas California Colorado Connecticut Florida Georgia Hawaii Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Nebraska Nevada New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina Tennessee Utah Vermont Virginia Washington Wisconsin United States 0 Age-Adjusted Rate per 100,000 257.8 284.1 243.6 303.0 230.2 219.5 241.4 187.3 269.4 238.0 ‡ 256.9 238.7 299.7 227.3 249.4 234.4 165.4 138.5 255.0 239.4 160.3 265.7 228.5 308.6 200.5 234.5 287.1 266.2 257.9 207.4 240.6 384.8 259.3 8,604 5,081 46,298 6,772 5,655 29,579 10,351 1,523 4,788 5,906 ‡ 2,366 7,708 13,175 13,884 7,897 2,781 1,923 1,486 31,722 12,282 12,069 5,942 5,224 28,125 1,573 5,868 10,371 2,719 1,040 8,789 8,573 14,013 465,969 0 100 200 ‡ No data available. § Rate per 100,000 population. ||Rates are suppressed if fewer than 20 cases were reported. ¶ Case counts are suppressed if fewer than 5 cases were reported. 32 300 400 Figure 3f Unintentional Fall-Related Hospitalizations by Age#, 2005 0-4 State N 5-14 Rate§ N 15-24 Rate§ N 25-34 Rate§ N 35-44 Rate§ N 45-54 Rate§ N 55-64 Rate§ N 65-74 Rate§ N 75-84 Rate§ N 85+ Rate§ N Rate§ Arizona 454 101.8 550 61.0 428 49.8 439 50.0 591 65.0 943 126.9 1,241 237.2 1,861 435.2 3,908 1,412.4 3,410 4,248.2 Arkansas 59 31.5 141 38.1 150 37.7 202 55.3 309 80.2 515 134.1 703 230.6 1,119 536.9 2,159 1,693.8 1,973 4,064.0 California 2,402 90.2 3,676 69.9 2,757 51.7 2,671 50.8 3,698 66.8 5,622 114.0 6,990 211.7 9,364 475.4 20,285 1,477.2 18,673 3,552.4 Colorado 131 37.7 251 39.1 453 65.1 444 67.1 569 77.9 961 134.1 1,038 220.3 1,537 615.9 2,949 1,896.4 2,878 5,508.3 Connecticut 188 89.1 334 70.8 239 51.1 247 61.5 470 84.8 727 133.8 826 213.8 1,056 493.4 2,442 1,405.0 2,488 2,882.6 Florida 784 71.3 1,274 58.8 970 42.6 1,171 52.4 1,983 76.9 3,087 125.6 3,879 196.9 6,392 445.8 13,719 1,226.4 12,977 2,993.3 Georgia 281 40.6 381 29.8 407 31.0 550 39.3 829 58.0 1,263 102.0 1,703 199.6 2,318 471.7 4,529 1,625.4 3,865 3,849.8 Hawaii 77 88.4 114 70.9 101 58.0 99 56.5 133 73.7 200 109.7 231 167.8 296 352.3 694 1,046.8 750 2,992.0 Kansas 143 38.8 158 84.5 171 41.1 185 50.8 299 78.3 460 115.3 624 229.9 948 556.5 2,018 1,564.4 2,203 3,820.3 Kentucky 103 38.2 151 27.9 150 26.0 232 40.6 415 67.2 693 112.7 864 189.3 1,362 476.6 2,616 1,458.2 2,119 3,497.6 Louisiana ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ Maine 46 68.0 91 59.3 84 46.2 111 77.1 193 96.2 287 131.2 384 236.4 526 548.0 1,064 1,509.5 1,012 3,863.2 Maryland 187 49.0 344 44.6 397 50.8 433 61.6 783 89.0 1,110 131.7 1,228 206.5 1,619 491.3 3,274 1,450.4 2,965 3,319.3 4,034.1 Massachusetts 340 85.7 557 69.5 460 54.1 540 62.2 979 96.8 1,544 163.4 1,965 292.3 2,467 632.6 5,710 1,781.7 5,742 Michigan 424 65.3 725 51.5 709 49.3 722 56.0 1,206 81.3 2,068 136.5 2,197 206.4 2,953 466.1 6,122 1,360.2 5,591 3,309.4 Minnesota 236 70.3 445 66.4 437 57.7 363 53.1 638 81.7 1,109 143.7 1,227 240.7 1,539 507.9 3,188 1,467.5 3,574 3,469.5 Nebraska 45 36.5 54 23.2 77 28.9 59 25.3 157 65.3 252 99.2 320 182.4 555 499.8 1,276 1,491.2 1,368 3,703.3 Nevada 83 46.2 101 29.1 109 30.2 127 34.6 173 46.5 309 90.3 395 151.7 514 312.3 883 957.4 643 2,706.0 New Mexico 56 40.0 104 37.5 78 26.5 90 36.0 138 52.8 201 74.7 223 112.2 287 229.0 623 767.0 534 1,820.7 New York 1,282 103.9 1,888 74.9 1,527 55.9 1,637 63.9 2,621 89.1 3,920 140.6 4,756 234.7 6,381 506.3 13,538 1,513.4 13,375 3,712.9 North Carolina 262 43.6 425 36.8 393 33.3 505 41.6 837 64.0 1,276 103.7 1,988 214.0 2,812 501.3 5,398 1,482.0 4,488 3,461.6 Ohio 243 32.8 390 25.1 374 23.2 450 30.8 806 48.9 1,338 77.8 1,654 136.1 2,416 316.2 5,366 967.7 5,076 2,429.4 Oklahoma 217 86.6 275 56.9 178 33.7 204 43.6 309 64.8 569 115.0 789 210.9 1,277 525.1 2,662 1,644.1 2,340 3,669.3 Oregon 163 72.3 304 64.2 273 54.2 275 53.5 365 71.0 608 112.5 778 194.4 1,003 429.4 2,192 1,354.7 2,327 3,122.3 Pennsylvania 597 81.7 1,007 63.1 1,093 61.5 1,080 73.4 1,969 111.1 3,279 181.2 4,065 297.0 5,578 583.4 12,945 1,905.4 11,981 4,470.0 Rhode Island 42 65.3 55 40.3 63 41.4 65 46.5 143 88.5 198 124.5 216 191.4 255 405.3 643 1,084.3 666 2,417.1 South Carolina 148 52.6 322 57.2 192 31.5 272 47.2 455 74.4 738 121.6 971 205.8 1,426 483.2 2,541 1,441.4 1,932 3,039.2 Tennessee 200 50.7 290 35.8 302 37.0 447 55.1 735 83.8 1,208 140.0 1,694 263.1 2,415 604.0 4,540 1,814.7 3,750 4,067.0 Utah 147 58.8 170 40.6 260 62.4 205 46.5 224 71.6 363 126.1 440 232.7 590 525.5 1,154 1,568.2 1,040 3,890.8 Vermont 17 || 41 56.0 45 49.4 51 71.0 75 81.0 122 118.1 155 203.5 204 495.7 448 1,549.5 483 4,053.0 Virginia 191 37.2 336 33.7 346 32.3 406 40.0 660 56.4 1,027 91.7 1,325 162.2 1,836 397.4 3,905 1,327.9 3,401 3,120.1 Washington 226 55.6 440 51.6 446 49.6 436 52.3 649 69.0 1,124 118.6 1,473 222.0 1,701 472.5 3,607 1,458.2 3,736 3,577.8 Wisconsin 244 71.2 449 62.4 478 58.3 537 75.9 1,081 129.9 1,869 219.7 2,242 386.4 2,880 818.5 6,445 2,483.4 6,454 5,553.2 United States 16,122 79.4 25,808 63.8 18,771 ‡ No data available. § Rate per 100,000 population. || Rates are suppressed if fewer than 20 cases were reported. ¶ Case counts are suppressed if fewer than 5 cases were reported. # Age in years. 44.6 21,672 54.0 32,573 74.3 53,508 125.9 67,419 222.1 96,374 516.8 202,668 1,551.9 193,011 3,801.4 33 Figure 3g Hip Fracture Hospitalizations in Persons Aged 65 Years and Older (Overall), 2005 Age-Adjusted Rate per 100,000 Number 4,804 2,753 25,018 3,377 3,318 18,999 6,075 875 3,010 4,222 ‡ 1,399 3,818 5,847 11,016 4,091 1,605 1,508 1,533 15,083 7,833 8,985 3,737 3,337 13,423 1,045 3,453 5,828 1,509 213 4,268 4,671 5,212 279,498 Arizona Arkansas California Colorado Connecticut Florida Georgia Hawaii Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Nebraska Nevada New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina Tennessee Utah Vermont Virginia Washington Wisconsin United States 0 200 400 600 800 Rate§ 612.3 716.1 646.7 738.5 699.8 636.2 697.9 498.9 843.1 803.0 ‡ 726.1 592.3 685.6 879.4 656.4 687.2 537.5 649.9 599.7 742.6 588.2 797.0 710.1 705.1 697.7 645.4 785.2 709.8 259.8 493.4 656.2 716.3 759.8 1000 * Percentage of hospital discharge data injury hospitalizations with external cause coding. Incompleteness may lead to bias. ‡ No data available. § Rate per 100,000 population. ||Rates are suppressed if fewer than 20 cases were reported. ¶ Case counts are suppressed if fewer than 5 cases were reported. 34 External Cause Percentage* 91.5% 96.6% 94.8% 98.7% 94.1% 85.2% 95.7% 89.9% 98.6% 78.9% ‡ 90.1% 95.5% 98.7% 85.6% 84.7% 91.2% 56.3% 66.4% 99.1% 89.7% 74.2% 87.5% 87.1% 96.5% 84.3% 91.2% 96.3% 92.0% 98.2% 76.3% 100.0% 100.0% 87.1% Figure 3h Hip Fracture Hospitalizations in Persons Aged 65 Years and Older by Sex, 2005 380.2 406.3 415.3 470.3 417.5 401.2 408.1 307.8 559.7 464.7 ‡ 477.7 383.6 404.4 544.1 434.0 457.7 353.5 350.2 363.7 432.9 354.8 486.7 425.4 436.9 393.8 384.3 466.4 476.2 168.8 280.3 398.5 465.3 468.7 1200 1000 800 600 FEMALES MALES Number Age-Adjusted Rate per 100,000 400 200 1,329 658 6,842 922 801 5,203 1,462 234 840 1,017 ‡ 392 1,024 1,403 2,858 1,144 446 461 364 3,721 1,870 2,222 957 866 3,343 237 853 1,408 455 60 1,018 1,223 1,425 72,212 Age-Adjusted Rate per 100,000 Number Arizona Arkansas California Colorado Connecticut Florida Georgia Hawaii Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Nebraska Nevada New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina Tennessee Utah Vermont Virginia Washington Wisconsin United States 0 798.8 941.5 818.4 939.7 891.6 816.8 900.6 645.1 1,048.7 1,044.3 ‡ 910.5 739.9 878.4 1,121.6 819.4 851.5 697.1 885.2 761.6 957.3 750.4 1,021.1 927.7 885.4 901.9 830.0 1,003.8 900.6 329.5 647.4 851.5 898.8 969.2 3,475 2,095 18,176 2,455 2,517 13,796 4,613 641 2,170 3,205 ‡ 1,007 2,794 4,444 8,158 2,947 1,159 1,047 1,168 11,362 5,963 6,763 2,780 2,471 10,080 808 2,598 4,420 1,054 153 3,250 3,448 3,787 207,194 0 200 400 600 ‡ No data available. § Rate per 100,000 population. ||Rates are suppressed if fewer than 20 cases were reported. ¶ Case counts are suppressed if fewer than 5 cases were reported. 35 800 1000 1200 Figure 3i Hip Fracture Hospitalizations in Persons Aged 65 Years and Older by Age#, 2005 65-74 State N 75-84 Rate§ N 85+ Rate§ N Rate§ Arizona 790 184.7 2,041 737.7 1,973 2,458.0 Arkansas 472 226.4 1,129 885.7 1,152 2,372.9 California 3,698 187.8 10,494 764.2 10,826 2,059.6 Colorado 528 211.6 1,373 882.9 1,476 2,825.0 Connecticut 405 189.2 1,342 772.1 1,571 1,820.2 Florida 2,752 191.9 7,825 699.5 8,422 1,942.6 Georgia 1,054 214.5 2,577 924.8 2,444 2,434.4 Hawaii 112 133.3 344 518.9 419 1,671.5 Kansas 411 241.3 1,184 917.9 1,415 2,453.8 Kentucky 755 264.2 1,838 1,024.5 1,629 2,688.8 Louisiana ‡ ‡ ‡ ‡ ‡ ‡ Maine 207 215.7 571 810.1 621 2,370.6 Maryland 577 175.1 1,599 708.4 1,642 1,838.2 Massachusetts 755 193.6 2,358 735.8 2,734 1,920.8 Michigan 2,280 359.9 4,588 1,019.4 4,148 2,455.3 Minnesota 540 178.2 1,543 710.3 2,008 1,949.3 Nebraska 187 168.4 610 712.9 808 2,187.3 Nevada 295 179.2 652 706.9 561 2,360.9 New Mexico 237 189.1 673 828.5 623 2,124.2 New York 1,987 157.7 6,103 682.2 6,993 1,941.2 North Carolina 1,352 241.0 3,360 922.5 3,121 2,407.3 Ohio 1,328 173.8 3,782 682.0 3,875 1,854.6 Oklahoma 608 250.0 1,593 983.9 1,536 2,408.6 Oregon 495 211.9 1,295 800.4 1,547 2,075.7 Pennsylvania 1,724 180.3 5,667 834.1 6,032 2,250.5 Rhode Island 121 192.3 438 738.6 486 1,763.8 South Carolina 623 211.1 1,529 867.3 1,301 2,046.6 Tennessee 1,047 261.9 2,553 1,020.5 2,228 2,416.3 Utah 258 229.8 612 831.7 639 2,390.6 Vermont 23 55.9 86 297.5 104 872.7 Virginia 622 134.6 1,832 623.0 1,814 1,664.2 Washington 636 176.7 1,833 741.0 2,202 2,108.8 Wisconsin 681 193.5 2,084 803.0 2,447 2,105.5 United States 42,267 226.6 114,400 876.0 122,831 2,419.2 ‡ No data available. § Rate per 100,000 population. || Rates are suppressed if fewer than 20 cases were reported. ¶ Case counts are suppressed if fewer than 5 cases were reported. # Age in years. 36 Fire-Related Indicators 4a. Unintentional Fire-related Fatalities (Overall), 2005 4b. Unintentional Fire-related Fatalities by Sex, 2005 4c. Unintentional Fire-related Fatalities by Age, 2005 4d. Unintentional Fire-related Hospitalizations (Overall), 2005 4e. Unintentional Fire-related Hospitalizations by Sex, 2005 4f. Unintentional Fire-related Hospitalizations by Age, 2005 37 Figure 4a Unintentional Fire-Related Fatalities (Overall), 2005 Age-Adjusted Rate per 100,000 Number 56 77 181 24 27 133 106 6 21 87 107 14 59 41 120 28 25 10 23 169 117 119 88 23 166 6 80 139 16 9 80 52 51 3,193 Arizona Arkansas California Colorado Connecticut Florida Georgia Hawaii Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Nebraska Nevada New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina Tennessee Utah Vermont Virginia Washington Wisconsin United States 0 0.3 0.6 0.9 1.2 1.5 1.8 2.1 2.4 2.7 Rate§ 0.9 2.8 0.5 0.6 0.7 0.7 1.3 || 0.7 2.1 2.4 || 1.1 0.6 1.2 0.5 1.4 || 1.2 0.8 1.4 1.0 2.4 0.6 1.2 || 1.9 2.3 || || 1.1 0.9 0.9 1.1 3 ‡ No data available. § Rate per 100,000 population. ||Rates are suppressed if fewer than 20 cases were reported. ¶ Case counts are suppressed if fewer than 5 cases were reported. 38 Figure 4b Unintentional Fire-Related Fatalities by Sex, 2005 MALES Number Age-Adjusted Rate per 100,000 1.2 3.2 0.7 || || 1.0 1.9 || || 3.0 3.0 || 1.4 0.6 1.4 || || || || 1.1 2.0 1.2 3.5 || 1.6 || 2.5 2.8 || || 1.4 1.1 1.1 1.4 3.6 3.3 3 2.7 2.4 2.1 1.8 1.5 1.2 0.9 0.6 36 43 104 14 14 88 70 ¶ 10 57 64 9 35 20 68 15 15 6 12 97 77 64 58 12 98 ¶ 49 75 8 ¶ 44 31 30 1,882 0.3 FEMALES Number Arizona Arkansas California Colorado Connecticut Florida Georgia Hawaii Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Nebraska Nevada New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina Tennessee Utah Vermont Virginia Washington Wisconsin United States 0 Age-Adjusted Rate per 100,000 0.6 2.3 0.4 || || 0.4 0.8 || || 1.3 1.8 || 0.8 0.6 0.9 || || || || 0.7 0.9 0.9 1.6 || 0.9 || 1.4 2.0 || || 0.9 0.7 0.7 0.8 20 34 77 10 13 45 36 ¶ 12 30 43 5 24 21 52 13 10 ¶ 11 72 40 55 30 11 68 ¶ 31 64 8 5 36 21 21 1,311 0 0.3 0.6 0.9 1.2 1.5 1.8 ‡ No data available. § Rate per 100,000 population. ||Rates are suppressed if fewer than 20 cases were reported. ¶ Case counts are suppressed if fewer than 5 cases were reported. 39 2.1 2.4 2.7 3 3.3 3.6 Figure 4c Unintentional Fire-Related Fatalities by Age#, 2005 0-14 State N 15-44 Rate§ N 45+ Rate§ N Rate§ Arizona 15 || 12 || 29 1.4 Arkansas 21 3.8 17 || 39 3.6 California 17 || 29 0.2 135 1.1 Colorado ¶ || ¶ || 17 || Connecticut ¶ || 5 || 20 1.4 Florida 10 || 37 0.5 86 1.2 Georgia 14 || 31 0.7 61 2.1 || Hawaii ¶ || ¶ || 6 Kansas ¶ || ¶ || 16 || Kentucky 20 2.5 13 || 54 3.4 Louisiana 25 2.6 28 1.4 54 3.3 Maine ¶ || 6 || 7 || Maryland 7 || 11 || 41 2.0 Massachusetts ¶ || 10 || 28 1.1 Michigan 18 || 21 0.5 81 2.1 Minnesota ¶ || 5 || 21 1.1 Nebraska ¶ || 9 || 12 || || Nevada ¶ || ¶ || 6 New Mexico 6 || 7 || 10 || New York 19 || 39 0.5 111 1.5 North Carolina 12 || 32 0.9 73 2.3 Ohio 19 || 27 0.6 73 1.6 Oklahoma 9 || 19 || 60 4.5 Oregon ¶ || ¶ || 20 1.4 Pennsylvania 23 1.0 34 0.7 109 2.1 Rhode Island ¶ || ¶ || 5 || South Carolina 13 || 21 1.2 46 2.9 Tennessee 21 1.7 38 1.5 80 3.6 || Utah ¶ || ¶ || 9 Vermont ¶ || ¶ || ¶ || Virginia 14 || 8 || 58 2.1 Washington 7 || 11 || 34 1.5 Wisconsin 14 || 14 || 23 1.1 United States 460 0.8 726 0.6 2,007 1.8 ‡ No data available. § Rate per 100,000 population. || Rates are suppressed if fewer than 20 cases were reported. ¶ Case counts are suppressed if fewer than 5 cases were reported. # Age in years. 40 Figure 4d Unintentional Fire-Related Hospitalizations (Overall), 2005 Age-Adjusted Rate per 100,000 Number 311 232 1,043 141 102 500 532 21 114 180 ‡ 65 214 153 420 165 62 60 46 817 346 191 211 75 635 27 71 366 115 22 175 254 244 13,930 Arizona Arkansas California Colorado Connecticut Florida Georgia Hawaii Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Nebraska Nevada New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina Tennessee Utah Vermont Virginia Washington Wisconsin United States 0 1 2 3 4 5 6 7 8 Rate§ 5.2 8.2 2.9 3.0 2.8 2.9 6.0 1.7 4.2 4.3 ‡ 4.9 3.8 2.3 4.1 3.2 3.6 2.4 2.4 4.2 4.0 1.6 6.0 2.0 5.0 2.4 1.7 6.1 4.8 3.4 2.3 4.0 4.3 4.7 9 * Percentage of hospital discharge data injury hospitalizations with external cause coding. Incompleteness may lead to bias. ‡ No data available. § Rate per 100,000 population. ||Rates are suppressed if fewer than 20 cases were reported. ¶ Case counts are suppressed if fewer than 5 cases were reported. 41 External Cause Percentage* 91.5% 96.6% 94.8% 98.7% 94.1% 85.2% 95.7% 89.9% 98.6% 78.9% ‡ 90.1% 95.5% 98.7% 85.6% 84.7% 91.2% 56.3% 66.4% 99.1% 89.7% 74.2% 87.5% 87.1% 96.5% 84.3% 91.2% 96.3% 92.0% 98.2% 76.3% 100.0% 100.0% 87.1% Figure 4e Unintentional Fire-Related Hospitalizations by Sex, 2005 MALES Number Age-Adjusted Rate per 100,000 8.0 12.9 4.3 4.7 4.0 4.4 9.5 || 6.2 6.5 ‡ 7.0 5.3 2.9 6.1 4.9 5.1 3.7 3.7 5.9 6.2 2.2 9.0 3.3 7.4 || 2.5 8.9 8.2 || 3.4 6.2 6.1 7.0 14 12 10 8 6 4 2 243 175 784 108 67 379 413 17 79 134 ‡ 45 142 90 299 124 43 47 34 545 264 127 151 61 449 16 52 257 95 16 126 195 168 10,142 FEMALES Number Arizona Arkansas California Colorado Connecticut Florida Georgia Hawaii Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Nebraska Nevada New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina Tennessee Utah Vermont Virginia Washington Wisconsin United States 0 Age-Adjusted Rate per 100,000 2.2 3.7 1.4 1.4 1.7 1.3 2.6 || 2.3 2.2 ‡ 2.9 2.4 1.8 2.3 1.6 || || || 2.6 1.8 1.1 3.2 || 2.8 || || 3.5 1.7 || 68 57 259 33 35 121 119 ¶ 35 46 ‡ 20 72 63 121 41 19 13 12 272 82 64 60 14 186 11 19 109 20 6 49 59 76 3,773 1.2 1.9 2.6 2.5 0 2 4 6 ‡ No data available. § Rate per 100,000 population. ||Rates are suppressed if fewer than 20 cases were reported. ¶ Case counts are suppressed if fewer than 5 cases were reported. 42 8 10 12 14 Figure 4f Unintentional Fire-Related Hospitalizations by Age#, 2005 0-14 State N 15-24 Rate§ N 25-44 Rate§ N 45-64 Rate§ N 65+ Rate§ N Rate§ Arizona 54 4.0 57 6.6 95 5.3 65 5.1 40 5.1 Arkansas 40 7.2 26 6.5 60 8.0 67 9.7 39 10.1 California 133 1.7 171 3.2 323 3.0 293 3.6 123 3.2 5.2 Colorado 17 || 10 || 39 2.8 51 4.3 24 Connecticut 11 || 13 || 32 3.3 30 3.2 16 || Florida 76 2.3 73 3.2 146 3.0 146 3.3 59 2.0 Georgia 79 4.0 79 6.0 162 5.7 132 6.3 80 9.2 Hawaii ¶ || ¶ || 8 || ¶ || 7 || Kansas 13 || 9 || 40 5.4 29 4.3 23 6.4 Kentucky 26 3.2 25 4.3 60 5.0 46 4.3 23 4.4 Louisiana ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ Maine ¶ || 14 || 24 7.0 12 || 12 || Maryland 20 1.7 31 4.0 61 3.9 63 4.4 39 6.1 Massachusetts 7 || 22 2.6 50 2.7 47 2.9 27 3.2 Michigan 60 2.9 67 4.7 113 4.1 110 4.3 70 5.6 Minnesota 27 2.7 30 4.0 53 3.6 33 2.6 22 3.5 Nebraska 9 || 13 || 17 || 13 || 10 || Nevada 8 || 6 || 25 3.4 16 || 5 || New Mexico 9 || 5 || 12 || 11 || 9 || New York 116 3.1 112 4.1 238 4.3 192 4.0 159 6.3 North Carolina 42 2.4 36 3.1 110 4.4 104 4.8 54 5.1 Ohio 24 1.0 28 1.7 52 1.7 58 2.0 29 1.9 Oklahoma 30 4.1 18 || 70 7.4 42 4.8 51 10.9 Oregon 8 || 17 || 14 || 22 2.3 14 || Pennsylvania 66 2.8 93 5.2 177 5.5 164 5.2 135 7.1 || Rhode Island ¶ || ¶ || 12 || 6 || 6 South Carolina 14 || 8 || 20 1.7 14 || 15 || Tennessee 48 4.0 44 5.4 102 6.0 99 6.6 73 9.8 Utah 28 4.2 23 5.5 26 3.4 19 || 19 || Vermont ¶ || 5 || ¶ || 8 || ¶ || Virginia 23 1.5 23 2.1 63 2.9 46 2.4 20 2.3 Washington 36 2.9 43 4.8 79 4.5 76 4.7 20 2.8 Wisconsin 41 3.9 33 4.0 63 4.1 67 4.7 40 5.5 United States 2,095 3.4 2,064 4.9 4,129 4.9 3,553 4.9 2,089 5.7 ‡ No data available. § Rate per 100,000 population. || Rates are suppressed if fewer than 20 cases were reported. ¶ Case counts are suppressed if fewer than 5 cases were reported. # Age in years. 43 Firearm–Related Indicators 5a. Firearm-related Fatalities (Overall), 2005 5b. Firearm-related Fatalities by Sex, 2005 5c. Firearm-related Fatalities by Age, 2005 5d. Firearm-related Hospitalizations (Overall), 2005 5e. Firearm-related Hospitalizations by Sex, 2005 5f. Firearm-related Hospitalizations by Age, 2005 45 Figure 5a Firearm-Related Fatalities (Overall), 2005 Age-Adjusted Rate per 100,000 Number 913 439 3,158 540 183 1,827 1,036 28 256 517 824 109 653 222 1,071 361 132 379 262 992 1,139 1,149 470 403 1,337 35 584 973 223 43 883 563 474 30,684 Arizona Arkansas California Colorado Connecticut Florida Georgia Hawaii Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Nebraska Nevada New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina Tennessee Utah Vermont Virginia Washington Wisconsin United States 0 5 10 15 Rate§ 15.2 15.6 8.7 11.6 5.2 10.0 11.6 2.2 9.2 12.2 17.9 7.7 11.8 3.4 10.6 6.9 7.4 15.1 13.6 5.1 13.1 9.9 13.2 10.7 10.7 3.2 13.6 16.1 9.6 6.5 11.5 8.8 8.4 10.3 20 ‡ No data available. § Rate per 100,000 population. ||Rates are suppressed if fewer than 20 cases were reported. ¶ Case counts are suppressed if fewer than 5 cases were reported. 46 Figure 5b Firearm-Related Fatalities by Sex, 2005 MALES Number Age-Adjusted Rate per 100,000 26.9 25.8 15.8 20.5 9.7 17.1 20.4 3.6 16.7 20.8 31.3 14.9 22.4 6.4 19.2 12.1 13.3 26.3 24.8 9.4 23.1 18.1 22.5 19.3 19.7 5.8 23.7 28.7 17.4 12.1 20.3 15.8 15.3 18.3 35 30 25 20 15 10 5 801 352 2,835 466 166 1,539 865 23 229 426 695 98 600 200 947 312 117 328 230 892 970 1,011 390 351 1,194 31 490 825 198 38 754 495 428 26,650 FEMALES Number Arizona Arkansas California Colorado Connecticut Florida Georgia Hawaii Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Nebraska Nevada New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina Tennessee Utah Vermont Virginia Washington Wisconsin United States 0 112 87 323 74 17 288 171 5 27 91 129 11 53 22 124 49 15 51 32 100 169 138 80 52 143 ¶ 94 148 25 5 129 68 46 4,034 Age-Adjusted Rate per 100,000 3.8 6.1 1.8 3.1 || 3.2 3.7 || 2.1 4.3 5.5 || 1.8 2.4 1.9 || 4.1 3.3 1.0 3.8 2.3 4.4 2.7 2.3 || 4.3 4.8 2.1 || 3.3 2.1 1.6 2.7 0 5 10 15 ‡ No data available. § Rate per 100,000 population. ||Rates are suppressed if fewer than 20 cases were reported. ¶ Case counts are suppressed if fewer than 5 cases were reported. 47 20 25 30 35 Figure 5c Firearm-Related Fatalities by Age#, 2005 0-14 State N 15-24 Rate§ N 25-44 Rate§ N 45-64 Rate§ N 65+ Rate§ N Rate§ Arizona 9 || 230 26.8 332 18.6 205 16.2 137 17.5 Arkansas 10 || 98 24.6 154 20.5 120 17.4 57 14.8 California 31 0.4 941 17.6 1,164 10.8 617 7.5 405 10.5 17.7 Colorado 12 || 102 14.7 195 14.0 150 12.6 81 Connecticut ¶ || 32 6.8 74 7.7 54 5.8 22 4.6 Florida 26 0.8 315 13.8 612 12.7 502 11.3 372 12.5 Georgia 13 || 196 14.9 406 14.4 272 13.0 149 17.1 Hawaii ¶ || 5 || 11 || 8 || ¶ || Kansas ¶ || 47 11.3 88 11.8 79 11.8 41 11.5 Kentucky ¶ || 78 13.5 207 17.4 159 14.8 71 13.5 Louisiana 12 || 244 34.9 325 26.3 176 15.9 67 12.6 18.7 Maine ¶ || 6 || 34 9.9 33 8.7 36 Maryland ¶ || 212 27.1 280 17.7 101 7.0 58 9.0 Massachusetts ¶ || 58 6.8 74 3.9 49 3.0 40 4.7 Michigan 11 || 211 14.7 459 16.6 259 10.0 131 10.5 Minnesota 8 || 73 9.6 124 8.5 108 8.4 48 7.7 Nebraska ¶ || 32 12.0 47 9.9 32 7.4 19 || Nevada 5 || 69 19.1 127 17.2 105 17.4 73 26.0 New Mexico ¶ || 56 19.1 76 14.9 77 16.5 49 20.8 New York 10 || 253 9.3 391 7.1 243 5.0 95 3.8 North Carolina 21 1.2 222 18.8 445 17.6 284 13.2 167 15.8 Ohio 20 0.9 230 14.3 403 13.0 328 11.2 168 11.0 Oklahoma 7 || 87 16.5 182 19.3 122 14.0 72 15.4 Oregon ¶ || 62 12.3 107 10.4 134 14.2 98 20.9 Pennsylvania 14 || 295 16.6 495 15.3 334 10.5 199 10.5 Rhode Island ¶ || 9 || 12 || 10 || ¶ || South Carolina ¶ || 113 18.6 242 20.4 157 14.6 68 12.7 Tennessee 9 || 195 23.9 330 19.5 274 18.2 165 22.2 Utah ¶ || 42 10.1 89 11.8 63 13.2 26 12.2 Vermont ¶ || ¶ || 16 || 16 || 7 || Virginia 14 || 188 17.5 323 14.8 241 12.4 117 13.5 Washington 5 || 98 10.9 182 10.3 198 12.3 80 11.2 Wisconsin 9 || 106 12.9 178 11.6 107 7.5 74 10.2 United States 404 0.7 6,821 16.2 11,403 13.6 7,731 10.6 4,325 11.8 ‡ No data available. § Rate per 100,000 population. || Rates are suppressed if fewer than 20 cases were reported. ¶ Case counts are suppressed if fewer than 5 cases were reported. # Age in years. 48 Figure 5d Firearm-Related Hospitalizations (Overall), 2005 Age-Adjusted Rate per 100,000 Number 862 298 4,726 324 282 1,440 977 25 233 285 ‡ 16 857 350 1,210 258 79 270 127 1,747 905 984 354 144 1,632 28 474 732 194 17 613 299 370 28,817 Arizona Arkansas California Colorado Connecticut Florida Georgia Hawaii Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Nebraska Nevada New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina Tennessee Utah Vermont Virginia Washington Wisconsin United States 0 2 4 6 8 10 12 14 Rate§ 14.1 10.9 12.5 6.7 8.6 8.6 10.4 1.9 8.5 6.8 ‡ || 15.6 5.6 12.1 4.9 4.3 10.5 6.6 9.1 10.4 8.8 10.0 4.0 13.5 2.6 11.2 12.4 7.7 || 8.0 4.7 6.6 9.7 16 * Percentage of hospital discharge data injury hospitalizations with external cause coding. Incompleteness may lead to bias. ‡ No data available. § Rate per 100,000 population. ||Rates are suppressed if fewer than 20 cases were reported. ¶ Case counts are suppressed if fewer than 5 cases were reported. 49 External Cause Percentage* 91.5% 96.6% 94.8% 98.7% 94.1% 85.2% 95.7% 89.9% 98.6% 78.9% ‡ 90.1% 95.5% 98.7% 85.6% 84.7% 91.2% 56.3% 66.4% 99.1% 89.7% 74.2% 87.5% 87.1% 96.5% 84.3% 91.2% 96.3% 92.0% 98.2% 76.3% 100.0% 100.0% 87.1% Figure 5e Firearm-Related Hospitalizations by Sex, 2005 MALES Number Age-Adjusted Rate per 100,000 24.7 18.2 22.3 11.4 16.1 15.1 18.0 3.7 14.6 11.9 ‡ || 28.9 10.5 21.4 8.7 7.0 18.2 11.4 16.6 18.3 15.9 17.3 6.8 25.3 4.5 18.8 21.9 13.2 || 13.8 8.1 11.9 17.1 30 25 20 15 10 5 776 248 4,336 282 266 1,288 857 24 201 249 ‡ 12 791 330 1,077 233 65 239 111 1,605 801 892 311 125 1,520 24 399 643 165 13 533 262 336 25,724 FEMALES Number Arizona Arkansas California Colorado Connecticut Florida Georgia Hawaii Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Nebraska Nevada New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina Tennessee Utah Vermont Virginia Washington Wisconsin United States 0 Age-Adjusted Rate per 100,000 2.9 3.6 2.1 1.8 || 1.8 2.6 || 2.3 1.7 ‡ || 2.3 86 50 390 42 16 152 120 ¶ 32 36 ‡ ¶ 64 20 133 25 14 30 16 142 104 92 41 19 112 ¶ 75 88 29 ¶ 80 37 34 2,808 2.7 1.0 || 2.4 || 2.4 1.6 2.3 || 1.9 || 3.6 3.0 2.4 || 2.1 1.9 0 5 10 15 ‡ No data available. § Rate per 100,000 population. ||Rates are suppressed if fewer than 20 cases were reported. ¶ Case counts are suppressed if fewer than 5 cases were reported. 50 20 25 30 Figure 5f Firearm-Related Hospitalizations by Age#, 2005 0-14 State N 15-24 Rate§ N 25-44 Rate§ N 45-64 Rate§ N 65+ Rate§ N Rate§ Arizona 19 || 399 46.4 344 19.3 86 6.8 14 || Arkansas 7 || 74 18.6 144 19.2 55 8.0 18 || California 126 1.6 2,458 46.1 1,726 16.0 357 4.3 59 1.5 Colorado 13 || 140 20.1 127 9.1 32 2.7 12 || Connecticut 6 || 137 29.3 116 12.1 18 || 5 || Florida 29 0.9 586 25.7 603 12.5 177 4.0 45 1.5 Georgia 31 1.6 378 28.8 427 15.1 115 5.5 26 3.0 Hawaii ¶ || ¶ || 12 || 8 || ¶ || Kansas 12 || 96 23.1 80 10.7 26 3.9 19 || Kentucky 9 || 72 12.5 135 11.4 53 4.9 16 || Louisiana ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ Maine ¶ || 7 || ¶ || 5 || ¶ || || Maryland 6 || 435 55.6 346 21.9 53 3.7 17 Massachusetts 6 || 195 22.9 128 6.8 16 || 5 || Michigan 38 1.8 479 33.3 525 18.9 145 5.6 23 1.8 Minnesota 8 || 128 16.9 86 5.9 32 2.5 ¶ || Nebraska ¶ || 48 18.0 17 || 8 || ¶ || Nevada 8 || 125 34.6 100 13.5 27 4.5 10 || || New Mexico 6 || 62 21.1 52 10.2 7 || ¶ New York 51 1.4 883 32.4 687 12.5 108 2.2 18 || North Carolina 21 1.2 339 28.7 410 16.2 113 5.2 22 2.1 Ohio 23 1.0 442 27.5 407 13.1 90 3.1 22 1.4 Oklahoma 16 || 138 26.2 146 15.5 49 5.6 5 || Oregon ¶ || 52 10.3 63 6.1 18 || 8 || Pennsylvania 36 1.5 742 41.8 652 20.1 165 5.2 37 1.9 || Rhode Island ¶ || 17 || 10 || ¶ || ¶ South Carolina 19 || 155 25.4 219 18.4 69 6.4 12 || Tennessee 18 || 251 30.8 320 18.9 118 7.8 25 3.4 Utah 28 4.2 57 13.7 60 8.0 28 5.9 21 9.9 Vermont ¶ || 8 || 5 || ¶ || ¶ || Virginia 22 1.5 282 26.3 224 10.3 70 3.6 15 || Washington ¶ || 138 15.4 102 5.7 45 2.8 10 || Wisconsin 15 || 155 18.9 152 9.9 39 2.7 9 || United States 794 1.3 12,260 29.1 12,311 14.7 2,795 3.8 657 1.8 ‡ No data available. § Rate per 100,000 population. || Rates are suppressed if fewer than 20 cases were reported. ¶ Case counts are 51 52 Homicide/ Assault Indicators 6a. Homicides (Overall), 2005 6b. Homicides by Sex, 2005 6c. Homicides by Age, 2005 6d. Assault-related Hospitalizations (Overall), 2005 6e. Assault-related Hospitalizations by Sex, 2005 6f. Assault-related Hospitalizations by Age, 2005 53 Figure 6a Homicides (Overall), 2005 Age-Adjusted Rate per 100,000 Number 499 219 2,314 182 100 987 633 25 105 204 562 21 573 177 673 138 43 179 149 894 683 657 216 103 741 28 336 492 62 12 482 232 236 18,103 Arizona Arkansas California Colorado Connecticut Florida Georgia Hawaii Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Nebraska Nevada New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina Tennessee Utah Vermont Virginia Washington Wisconsin United States 0 2 4 6 8 10 12 Rate§ 8.2 7.9 6.2 3.8 3.0 5.8 6.8 2.0 3.7 4.9 12.2 1.6 10.4 2.8 6.8 2.6 2.5 7.0 7.8 4.6 7.9 5.8 6.1 2.8 6.2 2.7 7.9 8.3 2.3 || 6.3 3.7 4.2 6.1 14 ‡ No data available. § Rate per 100,000 population. ||Rates are suppressed if fewer than 20 cases were reported. ¶ Case counts are suppressed if fewer than 5 cases were reported. 54 Figure 6b Homicides by Sex, 2005 MALES 13.6 12.0 10.2 5.4 4.7 9.0 10.2 || 5.5 6.8 20.5 || 18.3 4.8 10.9 3.7 4.0 10.3 12.1 7.4 12.1 8.9 9.2 3.7 9.9 3.8 12.5 13.2 3.1 || 9.9 5.3 6.6 9.6 24 20 16 12 FEMALES Number Number Age-Adjusted Rate per 100,000 8 4 421 165 1,949 134 78 769 478 18 77 143 466 11 498 149 542 97 36 137 114 703 524 502 162 68 591 20 263 388 42 10 383 171 186 14,360 Arizona Arkansas California Colorado Connecticut Florida Georgia Hawaii Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Nebraska Nevada New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina Tennessee Utah Vermont Virginia Washington Wisconsin United States 0 78 54 365 48 22 218 155 7 28 61 96 10 75 28 131 41 7 42 35 191 159 155 54 35 150 8 73 104 20 ¶ 99 61 50 3,743 Age-Adjusted Rate per 100,000 2.6 3.9 2.0 2.0 1.3 2.5 3.4 || 1.9 2.9 4.2 || 2.6 0.9 2.6 1.6 || 3.4 3.6 1.9 3.6 2.7 3.0 1.9 2.4 || 3.4 3.5 1.5 || 2.6 1.9 1.8 2.5 0 4 8 12 ‡ No data available. § Rate per 100,000 population. ||Rates are suppressed if fewer than 20 cases were reported. ¶ Case counts are suppressed if fewer than 5 cases were reported. 55 16 20 24 Figure 6c Homicides by Age#, 2005 0-14 State N 15-24 Rate§ N 25-44 Rate§ N 45-64 Rate§ N 65+ Rate§ N Rate§ Arizona 26 1.9 168 19.5 219 12.3 70 5.5 16 || Arkansas 19 || 61 15.3 87 11.6 43 6.2 9 || California 95 1.2 853 16.0 975 9.0 318 3.9 73 1.9 Colorado 20 2.0 49 7.0 77 5.5 29 2.4 7 || Connecticut 5 || 29 6.2 49 5.1 14 || ¶ || Florida 55 1.7 265 11.6 438 9.1 175 4.0 54 1.8 Georgia 30 1.5 159 12.1 282 10.0 122 5.8 40 4.6 Hawaii 5 || 7 || 7 || 5 || ¶ || Kansas 7 || 29 7.0 41 5.5 22 3.3 6 || Kentucky 13 || 53 9.2 90 7.6 35 3.3 13 || Louisiana 18 || 186 26.6 251 20.3 86 7.7 21 4.0 Maine ¶ || ¶ || 8 || 6 || ¶ || Maryland 8 || 221 28.3 258 16.3 67 4.7 19 || Massachusetts 5 || 81 9.5 66 3.5 15 || 10 || Michigan 44 2.1 175 12.2 326 11.8 96 3.7 32 2.6 Minnesota 7 || 40 5.3 48 3.3 31 2.4 12 || Nebraska 7 || 13 || 21 4.4 ¶ || ¶ || Nevada 15 || 49 13.6 86 11.6 23 3.8 6 || New Mexico 10 || 35 11.9 57 11.2 36 7.7 11 || New York 47 1.3 274 10.0 388 7.1 148 3.1 37 1.5 North Carolina 50 2.8 172 14.6 300 11.9 121 5.6 40 3.8 Ohio 47 2.0 176 10.9 286 9.2 120 4.1 28 1.8 Oklahoma 16 || 51 9.7 91 9.6 47 5.4 11 || Oregon 9 || 23 4.6 41 4.0 22 2.3 8 || Pennsylvania 35 1.5 258 14.5 316 9.7 102 3.2 30 1.6 Rhode Island ¶ || 8 || 15 || ¶ || ¶ || South Carolina 11 || 88 14.4 143 12.0 67 6.2 27 5.0 Tennessee 21 1.7 139 17.0 204 12.1 96 6.4 32 4.3 Utah 9 || 17 || 28 3.7 6 || ¶ || Vermont ¶ || ¶ || 5 || ¶ || ¶ || Virginia 27 1.8 154 14.4 202 9.2 81 4.2 18 || Washington 12 || 55 6.1 98 5.5 54 3.4 13 || Wisconsin 16 || 75 9.1 99 6.4 35 2.4 11 || United States 1,022 1.7 5,466 13.0 7,861 9.4 2,922 4.0 832 2.3 ‡ No data available. § Rate per 100,000 population. || Rates are suppressed if fewer than 20 cases were reported. ¶ Case counts are suppressed if fewer than 5 cases were reported. # Age in years. 56 Figure 6d Assault-Related Hospitalizations (Overall), 2005 Age-Adjusted Rate per 100,000 Number 2,228 567 13,456 1,123 781 4,658 1,850 345 597 592 ‡ 126 2,780 1,472 3,204 1,087 207 717 452 8,061 1,949 2,267 942 523 4,225 163 1,053 1,908 285 47 1,273 1,162 1,266 76,198 Arizona Arkansas California Colorado Connecticut Florida Georgia Hawaii Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Nebraska Nevada New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina Tennessee Utah Vermont Virginia Washington Wisconsin United States 0 5 10 15 20 25 30 35 40 45 Rate§ 36.9 20.8 36.1 23.1 23.4 27.6 19.7 27.5 21.5 14.2 ‡ 10.3 50.0 23.2 31.9 20.8 11.6 28.2 23.5 41.8 22.5 20.2 27.1 14.4 35.0 15.4 24.8 32.3 10.9 7.5 16.7 18.4 22.7 25.7 50 * Percentage of hospital discharge data injury hospitalizations with external cause coding. Incompleteness may lead to bias. ‡ No data available. § Rate per 100,000 population. ||Rates are suppressed if fewer than 20 cases were reported. ¶ Case counts are suppressed if fewer than 5 cases were reported. 57 External Cause Percentage* 91.5% 96.6% 94.8% 98.7% 94.1% 85.2% 95.7% 89.9% 98.6% 78.9% ‡ 90.1% 95.5% 98.7% 85.6% 84.7% 91.2% 56.3% 66.4% 99.1% 89.7% 74.2% 87.5% 87.1% 96.5% 84.3% 91.2% 96.3% 92.0% 98.2% 76.3% 100.0% 100.0% 87.1% Figure 6e Assault-Related Hospitalizations by Sex, 2005 MALES Number Age-Adjusted Rate per 100,000 63.2 32.7 62.3 39.1 41.6 46.8 32.6 45.7 35.4 23.3 ‡ 17.7 88.7 41.5 53.8 34.7 18.3 44.9 38.8 72.5 36.5 34.8 44.6 23.9 61.2 25.1 40.6 51.0 17.9 12.2 27.6 30.9 34.1 43.3 90 80 70 60 50 40 30 20 10 1,945 445 11,901 977 696 3,976 1,539 293 495 490 ‡ 108 2,436 1,310 2,708 920 166 588 377 6,961 1,586 1,953 777 442 3,688 132 859 1,497 243 39 1,065 990 968 64,820 FEMALES Number Arizona Arkansas California Colorado Connecticut Florida Georgia Hawaii Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Nebraska Nevada New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina Tennessee Utah Vermont Virginia Washington Wisconsin United States 0 283 122 1,553 146 85 682 311 52 102 102 ‡ 18 340 162 496 167 41 121 75 1,100 363 314 162 81 537 31 192 411 42 8 208 172 298 10,689 Age-Adjusted Rate per 100,000 9.5 8.9 8.5 6.2 5.1 8.0 6.7 8.2 7.2 4.9 ‡ || 12.1 5.0 10.0 6.5 4.7 9.8 7.9 11.3 8.4 5.6 9.2 4.5 8.9 5.8 9.1 13.7 || 5.5 5.5 10.8 7.2 0 10 20 30 40 ‡ No data available. § Rate per 100,000 population. ||Rates are suppressed if fewer than 20 cases were reported. ¶ Case counts are suppressed if fewer than 5 cases were reported. 58 50 60 70 80 90 Figure 6f Assault-Related Hospitalizations by Age#, 2005 0-4 State N 5-14 Rate§ N 15-24 Rate§ N 25-34 Rate§ N 35-44 Rate§ N 45-54 Rate§ N 55-64 Rate§ N 65-74 Rate§ N 75-84 Rate§ N 85+ Rate§ N Rate§ Arizona 34 7.6 39 4.3 764 88.9 558 63.5 431 47.4 267 35.9 93 17.8 17 || 13 || 12 || Arkansas ¶ || 6 || 152 38.2 152 41.6 126 32.7 66 17.2 25 8.2 25 12.0 7 || 5 || California 305 11.5 258 4.9 5,247 98.3 3,214 61.1 2,171 39.2 1,483 30.1 468 14.2 143 7.3 113 8.2 54 10.3 Colorado 38 10.9 21 3.3 355 51.0 256 38.7 239 32.7 152 21.2 38 8.1 13 || 8 || ¶ || Connecticut 18 || 9 || 305 65.2 196 48.8 139 25.1 67 12.3 33 8.5 8 || ¶ || ¶ || Florida 116 10.6 83 3.8 1,409 61.9 1,077 48.2 963 37.3 680 27.7 204 10.4 74 5.2 31 2.8 21 4.8 Georgia 95 13.7 31 2.4 502 38.2 418 29.9 374 26.2 287 23.2 94 11.0 25 5.1 17 || 7 || Hawaii 9 || 5 || 99 56.8 77 44.0 74 41.0 42 23.0 17 || 13 || 7 || ¶ || Kansas 17 || 10 || 202 48.5 138 37.9 105 27.5 86 21.6 15 || 8 || 7 || 9 || || Kentucky 9 || 15 || 132 22.9 149 26.1 135 21.9 107 17.4 35 7.7 5 || ¶ || ¶ Louisiana ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ Maine 10 || ¶ || 40 22.0 32 22.2 26 13.0 12 || ¶ || ¶ || ¶ || ¶ || Maryland 18 || 38 4.9 1,028 131.5 670 95.3 536 60.9 343 40.7 94 15.8 27 8.2 15 || 11 || Massachusetts 22 5.5 23 2.9 620 72.9 331 38.1 236 23.3 156 16.5 57 8.5 14 || 9 || ¶ || Michigan 109 16.8 67 4.8 843 58.6 754 58.5 639 43.1 552 36.4 155 14.6 37 5.8 30 6.7 18 || Minnesota 27 8.0 25 3.7 397 52.4 273 39.9 194 24.8 123 15.9 31 6.1 8 || 6 || ¶ || Nebraska 26 21.1 ¶ || 77 28.9 35 15.0 32 13.3 27 10.6 ¶ || ¶ || ¶ || ¶ || Nevada 23 12.8 13 || 210 58.1 157 42.7 143 38.4 112 32.7 35 13.4 11 || 9 || ¶ || New Mexico 23 16.4 ¶ || 172 58.5 110 44.0 79 30.2 49 18.2 11 || 6 || ¶ || ¶ || New York 156 12.6 226 9.0 3,074 112.6 1,830 71.5 1,458 49.6 852 30.6 273 13.5 113 9.0 53 5.9 26 7.2 North Carolina 91 15.1 28 2.4 510 43.2 477 39.3 426 32.6 255 20.7 100 10.8 32 5.7 20 5.5 10 || Ohio 36 4.9 32 2.1 719 44.7 555 38.0 470 28.5 315 18.3 88 7.2 33 4.3 16 || ¶ || Oklahoma 8 || 19 || 265 50.2 242 51.8 205 43.0 136 27.5 39 10.4 14 || 7 || 7 || Oregon 12 || 8 || 188 37.3 118 23.0 94 18.3 71 13.1 21 5.2 6 || ¶ || ¶ || Pennsylvania 41 5.6 86 5.4 1,508 84.9 967 65.7 780 44.0 550 30.4 182 13.3 51 5.3 32 4.7 28 10.4 Rhode Island 16 || 7 || 50 32.8 36 25.7 22 13.6 22 13.8 ¶ || ¶ || ¶ || ¶ || South Carolina 17 || 27 4.8 269 44.2 270 46.8 219 35.8 164 27.0 57 12.1 15 || 12 || ¶ || Tennessee 71 18.0 34 4.2 433 53.1 454 55.9 428 48.8 294 34.1 98 15.2 47 11.8 30 12.0 19 || Utah 12 || ¶ || 93 22.3 74 16.8 43 13.7 38 13.2 14 || ¶ || ¶ || ¶ || Vermont ¶ || ¶ || 19 || 7 || 6 || 7 || ¶ || ¶ || ¶ || ¶ || Virginia 43 8.4 31 3.1 472 44.1 275 27.1 214 18.3 158 14.1 42 5.1 21 4.5 ¶ || 13 || Washington 52 12.8 15 || 363 40.4 269 32.2 206 21.9 168 17.7 47 7.1 22 6.1 11 || 9 || Wisconsin 62 18.1 38 5.3 351 42.8 277 39.1 232 27.9 195 22.9 55 9.5 27 7.7 22 8.5 7 || United States 1,928 9.5 1,592 3.9 24,775 58.8 19,760 49.2 13,797 31.5 9,646 22.7 2,818 9.3 969 5.2 575 4.4 338 6.7 ‡ No data available. § Rate per 100,000 population. || Rates are suppressed if fewer than 20 cases were reported. ¶ Case counts are suppressed if fewer than 5 cases were reported. # Age in years. 59 60 Motor Vehicle Indicators 7a. Motor Vehicle Traffic Fatalities (Overall), 2005 7b. Motor Vehicle Traffic Fatalities, by Sex, 2005 7c. Motor Vehicle Traffic Fatalities, by Age, 2005 7d. Motor Vehicle Traffic Hospitalizations (Overall), 2005 7e. Motor Vehicle Traffic Hospitalizations by Sex, 2005 7f. Motor Vehicle Traffic Hospitalizations by Age, 2005 7g. Percentage of high school students who never or rarely wore a seat belt when riding in a car driven by someone else, 2005, Youth Risk Behavior Survey 7h. Percentage of high school students who drove a car or other vehicle when they had been drinking alcohol one or more times during the past 30 days, 2005, Youth Risk Behavior Survey 7i. Percentage of high school students who rode in a car or other vehicle driven by someone who had been drinking alcohol one or more times during the past 30 days, 2005, Youth Risk Behavior Survey 7j. Alcohol-related Crash Deaths, 2005, Fatality Analysis Reporting System 61 Figure 7a Motor Vehicle Traffic Fatalities (Overall), 2005 Age-Adjusted Rate per 100,000 Number 1,099 672 4,031 654 256 3,490 1,518 135 472 840 900 179 635 478 1,164 587 231 382 435 1,424 1,611 1,513 819 463 1,653 77 642 1,244 307 74 931 752 769 43,661 Arizona Arkansas California Colorado Connecticut Florida Georgia Hawaii Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Nebraska Nevada New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina Tennessee Utah Vermont Virginia Washington Wisconsin United States 0 4 8 12 16 20 Rate§ 18.3 23.7 11.1 13.7 7.2 19.4 17.0 10.5 17.7 19.8 19.6 13.1 11.4 7.2 11.4 11.1 12.8 15.4 22.3 7.2 18.5 13.0 22.8 12.4 12.9 6.9 14.9 20.8 13.0 11.6 12.2 11.9 13.4 14.6 24 ‡ No data available. § Rate per 100,000 population. ||Rates are suppressed if fewer than 20 cases were reported. ¶ Case counts are suppressed if fewer than 5 cases were reported. 62 Figure 7b Motor Vehicle Traffic Fatalities, by Sex, 2005 MALES Number Age-Adjusted Rate per 100,000 26.0 33.8 15.7 19.1 11.2 28.4 24.3 15.4 23.4 28.3 28.8 19.6 17.6 10.4 16.4 15.4 16.7 21.7 31.8 10.3 26.0 18.2 31.0 17.8 19.1 10.6 21.4 29.6 18.2 15.8 17.7 17.9 18.0 20.8 35 30 25 20 15 10 5 773 465 2,818 456 189 2,500 1,055 98 312 578 640 127 470 327 803 397 147 275 304 967 1,090 1,013 542 325 1,163 56 442 848 209 50 652 551 508 30,286 FEMALES Number Arizona Arkansas California Colorado Connecticut Florida Georgia Hawaii Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Nebraska Nevada New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina Tennessee Utah Vermont Virginia Washington Wisconsin United States 0 326 207 1,213 198 67 990 463 37 160 262 260 52 165 151 361 190 84 107 131 457 521 500 277 138 490 21 200 396 98 24 279 201 261 13,375 Age-Adjusted Rate per 100,000 10.8 14.0 6.7 8.4 3.5 10.5 10.1 5.3 12.2 12.1 11.1 7.2 5.6 4.3 6.8 7.0 9.2 8.9 13.3 4.3 11.5 8.2 15.1 7.3 7.1 3.3 9.0 12.8 8.2 7.3 7.2 6.3 9.0 8.7 0 5 10 15 ‡ No data available. § Rate per 100,000 population. ||Rates are suppressed if fewer than 20 cases were reported. ¶ Case counts are suppressed if fewer than 5 cases were reported. 63 20 25 30 35 Figure 7c Motor Vehicle Traffic Fatalities, by Age#, 2005 0-14 State N 15-24 Rate§ N 25-44 Rate§ N 45-64 Rate§ N 65+ Rate§ N Rate§ Arizona 50 3.7 251 29.2 386 21.6 267 21.1 145 18.5 Arkansas 28 5.0 175 44.0 196 26.1 158 22.9 115 29.9 California 222 2.8 1,034 19.4 1,300 12.0 925 11.2 550 14.2 Colorado 30 3.0 174 25.0 209 15.0 169 14.2 72 15.7 Connecticut 6 || 70 15.0 74 7.7 54 5.8 52 11.0 Florida 157 4.8 814 35.7 1,093 22.7 820 18.5 606 20.3 Georgia 61 3.1 347 26.4 507 17.9 390 18.6 213 24.5 Hawaii ¶ || 28 16.1 50 14.1 29 9.1 26 14.8 Kansas 28 5.0 124 29.8 134 18.0 112 16.7 74 20.7 Kentucky 35 4.3 193 33.4 264 22.2 210 19.6 138 26.2 Louisiana 40 4.2 222 31.8 316 25.6 236 21.3 86 16.2 Maine 6 || 51 28.0 44 12.8 38 10.0 40 20.8 16.0 Maryland 28 2.4 150 19.2 208 13.1 146 10.2 103 Massachusetts 10 || 118 13.9 127 6.8 122 7.5 101 11.8 Michigan 61 3.0 249 17.3 353 12.7 282 10.9 219 17.5 Minnesota 22 2.2 142 18.8 176 12.0 154 12.0 93 14.9 Nebraska 9 || 65 24.4 60 12.7 56 13.0 41 17.6 Nevada 21 4.0 83 23.0 117 15.8 89 14.8 72 25.7 New Mexico 27 6.5 118 40.1 125 24.5 115 24.6 50 21.2 New York York 1.2 356 13.0 381 6.9 306 6.4 336 13.4 North Carolina 61 3.5 397 33.7 489 19.4 393 18.2 271 25.7 Ohio 64 2.8 319 19.8 485 15.6 374 12.7 271 17.7 Oklahoma 31 4.2 178 33.7 233 24.7 225 25.9 152 32.4 Oregon 21 3.0 95 18.9 120 11.7 133 14.1 94 20.0 Pennsylvania 50 2.1 420 23.6 464 14.3 367 11.5 352 18.5 Rhode Island ¶ || 20 13.1 20 6.6 19 || 14 || South Carolina 27 3.2 153 25.1 212 17.8 160 14.8 90 16.8 Tennessee 47 3.9 292 35.8 405 24.0 291 19.3 209 28.2 25.9 Utah 34 5.1 69 16.6 77 10.2 72 15.1 55 Vermont 5 || 25 27.5 18 || 19 || 7 || Virginia 41 2.7 239 22.3 265 12.1 227 11.7 159 18.4 Washington 46 3.7 165 18.4 216 12.2 184 11.4 141 19.8 Wisconsin 30 2.8 214 26.1 220 14.3 187 13.1 118 16.2 United States 1,952 3.2 10,657 25.3 13,538 16.1 10,466 14.4 7,048 19.2 ‡ No data available. § Rate per 100,000 population. || Rates are suppressed if fewer than 20 cases were reported. ¶ Case counts are suppressed if fewer than 5 cases were reported. # Age in years. 64 Figure 7d Motor Vehicle Traffic Hospitalizations (Overall), 2005 Number Age-Adjusted Rate per 100,000 6,740 2,817 27,779 3,665 2,322 16,895 7,661 1,177 1,946 3,463 ‡ 945 5,927 4,481 7,232 2,895 718 2,299 1,057 13,973 7,053 6,508 3,166 2,280 13,746 444 4,183 6,616 2,551 416 4,070 4,452 5,434 232,547 Arizona Arkansas California Colorado Connecticut Florida Georgia Hawaii Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Nebraska Nevada New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina Tennessee Utah Vermont Virginia Washington Wisconsin United States 0 20 40 60 80 100 Rate§ 111.7 101.3 76.6 77.8 66.2 95.8 84.6 92.0 72.2 82.3 ‡ 70.0 105.9 68.9 71.1 55.4 39.7 91.9 55.0 71.4 81.2 56.5 88.8 61.5 109.2 40.9 97.8 110.5 105.4 65.3 53.3 70.6 95.7 77.9 120 * Percentage of hospital discharge data injury hospitalizations with external cause coding. Incompleteness may lead to bias. ‡ No data available. § Rate per 100,000 population. ||Rates are suppressed if fewer than 20 cases were reported. ¶ Case counts are suppressed if fewer than 5 cases were reported. External Cause Percentage* 91.5% 96.6% 94.8% 98.7% 94.1% 85.2% 95.7% 89.9% 98.6% 78.9% ‡ 90.1% 95.5% 98.7% 85.6% 84.7% 91.2% 56.3% 66.4% 99.1% 89.7% 74.2% 87.5% 87.1% 96.5% 84.3% 91.2% 96.3% 92.0% 98.2% 76.3% 100.0% 100.0% 87.1% Figure 7e Motor Vehicle Traffic Hospitalizations by Sex, 2005 MALES Number Age-Adjusted Rate per 100,000 136.7 126.9 96.7 96.9 88.2 125.3 106.2 121.3 85.7 101.7 ‡ 87.7 139.6 88.3 87.8 67.7 48.5 122.3 70.9 93.8 103.3 72.4 107.1 78.9 138.8 53.0 125.2 137.9 130.6 77.7 67.7 94.0 124.6 97.9 140 120 100 80 60 40 20 4,148 1,732 17,589 2,305 1,501 10,844 4,748 783 1,150 2,085 ‡ 566 3,804 2,762 4,388 1,751 424 1,562 676 8,808 4,391 4,058 1,877 1,455 8,398 277 2,621 4,011 1,610 240 2,546 2,959 3,485 144,063 FEMALES Number Arizona Arkansas California Colorado Connecticut Florida Georgia Hawaii Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Nebraska Nevada New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina Tennessee Utah Vermont Virginia Washington Wisconsin United States 0 Age-Adjusted Rate per 100,000 85.7 75.9 56.1 58.1 44.3 65.7 63.7 61.1 58.1 63.8 ‡ 53.1 73.0 49.6 54.4 43.6 31.3 59.2 39.1 49.8 59.6 40.9 70.7 44.1 80.1 29.2 71.0 84.5 79.9 53.6 39.0 46.8 67.1 57.1 2,592 1,085 10,185 1,360 821 6,045 2,913 394 796 1,378 ‡ 379 2,118 1,719 2,843 1,158 294 728 381 5,165 2,662 2,449 1,286 825 5,346 167 1,558 2,603 941 176 1,522 1,493 1,949 87,231 0 20 40 60 ‡ No data available. § Rate per 100,000 population. ||Rates are suppressed if fewer than 20 cases were reported. ¶ Case counts are suppressed if fewer than 5 cases were reported. 66 80 100 120 140 Figure 7f Motor Vehicle Traffic Hospitalizations by Age#, 2005 0-4 State N 5-14 Rate§ N 15-24 Rate§ N 25-34 Rate§ N 35-44 Rate§ N 45-54 Rate§ N 55-64 Rate§ N 65-74 Rate§ N 75-84 Rate§ N 85+ Rate§ N Rate§ Arizona 188 42.1 446 49.5 1,807 210.2 1,201 136.8 991 109.0 880 118.4 552 105.5 299 69.9 282 101.9 94 117.1 Arkansas 36 19.2 123 33.2 684 172.0 468 128.1 454 117.9 438 114.0 222 72.8 179 85.9 166 130.2 47 96.8 California 554 20.8 1,635 31.1 7,090 132.9 4,591 87.3 4,203 76.0 3,974 80.6 2,422 73.4 1,520 77.2 1,310 95.4 480 91.3 Colorado 38 10.9 161 25.1 847 121.7 594 89.8 581 79.6 587 81.9 383 81.3 188 75.3 210 135.0 76 145.5 Connecticut 32 15.2 118 25.0 600 128.3 347 86.4 380 68.6 296 54.5 222 57.5 122 57.0 134 77.1 71 82.3 Florida 309 28.1 1,166 53.9 4,060 178.3 2,629 117.7 2,554 99.0 2,299 93.5 1,511 76.7 981 68.4 976 87.2 410 94.6 Georgia 117 16.9 401 31.4 1,898 144.5 1,331 95.1 1,251 87.6 1,134 91.6 713 83.6 389 79.2 318 114.1 109 108.6 Hawaii 26 29.8 58 36.1 342 196.3 222 126.7 157 87.0 145 79.5 98 71.2 57 67.8 49 73.9 23 91.8 Kansas 60 16.3 92 49.2 527 126.6 262 72.0 265 69.4 264 66.2 173 63.7 115 67.5 145 112.4 43 74.6 Kentucky 50 18.5 136 25.2 825 142.9 571 100.0 581 94.1 521 84.7 314 68.8 205 71.7 206 114.8 54 89.1 Louisiana ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ Maine 8 || 28 18.2 244 134.1 135 93.8 143 71.3 121 55.3 98 60.3 69 71.9 74 105.0 25 95.4 Maryland 38 10.0 227 29.4 1,669 213.5 1,013 144.1 1,038 117.9 815 96.7 519 87.3 288 87.4 234 103.7 86 96.3 Massachusetts 37 9.3 221 27.6 1,094 128.6 657 75.7 667 66.0 610 64.5 426 63.4 299 76.7 336 104.8 134 94.1 Michigan 128 19.7 408 29.0 1,663 115.5 1,118 86.7 1,106 74.6 1,155 76.2 703 66.0 384 60.6 434 96.4 133 78.7 Minnesota 42 12.5 141 21.0 731 96.5 452 66.1 432 55.3 455 58.9 254 49.8 172 56.8 154 70.9 62 60.2 Nebraska 11 || 34 14.6 177 66.4 95 40.8 95 39.5 85 33.4 65 37.0 50 45.0 62 72.5 44 119.1 Nevada 43 23.9 148 42.7 538 149.0 396 107.8 378 101.6 328 95.9 207 79.5 118 71.7 100 108.4 43 181.0 New Mexico 33 23.6 89 32.1 277 94.2 170 68.1 168 64.3 143 53.2 72 36.2 48 38.3 48 59.1 9 || New York 156 12.6 895 35.5 3,023 110.8 2,109 82.4 2,091 71.1 1,876 67.3 1,359 67.1 1,015 80.5 1,054 117.8 395 109.7 North Carolina 106 17.6 304 26.3 1,669 141.5 1,168 96.1 1,196 91.4 1,010 82.1 647 69.7 460 82.0 357 98.0 136 104.9 Ohio 88 11.9 358 23.1 1,601 99.5 1,053 72.2 1,021 62.0 943 54.9 593 48.8 365 47.8 365 65.8 121 57.9 Oklahoma 74 29.5 169 35.0 775 146.9 521 111.4 475 99.7 435 87.9 322 86.1 170 69.9 155 95.7 70 109.8 Oregon 34 15.1 105 22.2 536 106.4 344 67.0 319 62.0 359 66.4 245 61.2 137 58.7 143 88.4 58 77.8 Pennsylvania 187 25.6 709 44.4 3,378 190.2 2,060 140.0 2,096 118.3 1,922 106.2 1,265 92.4 866 90.6 945 139.1 318 118.6 Rhode Island ¶ || 33 24.2 103 67.6 77 55.0 78 48.3 62 39.0 31 27.5 24 38.1 17 || 16 || South Carolina 68 24.2 247 43.9 999 164.0 812 140.8 670 109.5 587 96.7 377 79.9 198 67.1 182 103.2 43 67.6 Tennessee 93 23.6 237 29.2 1,563 191.6 1,138 140.2 1,084 123.6 958 111.1 670 104.0 420 105.0 340 135.9 113 122.6 Utah 45 18.0 210 50.1 668 160.4 422 95.6 363 116.0 326 113.2 246 130.1 139 123.8 99 134.5 33 123.5 Vermont ¶ || 20 27.3 118 129.7 62 86.3 57 61.5 57 55.2 40 52.5 31 75.3 16 || 12 || Virginia 48 9.4 166 16.7 1,021 95.3 648 63.8 688 58.8 615 54.9 385 47.1 231 50.0 195 66.3 73 67.0 Washington 68 16.7 278 32.6 1,122 124.8 658 78.9 705 74.9 674 71.1 399 60.1 242 67.2 203 82.1 103 98.6 Wisconsin 60 17.5 292 40.5 1,278 155.7 861 121.6 845 101.6 800 94.0 483 83.2 349 99.2 331 127.5 135 116.2 United States 4,341 21.4 14,289 35.3 55,041 130.7 38,823 96.7 34,833 79.4 33,223 78.2 21,692 71.5 13,337 71.5 12,534 96.0 4,434 87.3 ‡ No data available. § Rate per 100,000 population. || Rates are suppressed if fewer than 20 cases were reported. ¶ Case counts are suppressed if fewer than 5 cases were reported. # Age in years. 67 Figure 7g Percentage of high school students who never or rarely wore a seat belt when riding in a car driven by someone else, 2005, Youth Risk Behavior Survey Percentage 13.9 17.8 ‡ 7.6 11.4 12.5 9.6 4.8 14.7 18.1 ‡ 14.4 6.1 15.4 6.3 ‡ 15.9 ‡ 8.4 10.6 8.3 16.5 9.5 ‡ ‡ 12.5 17.8 13.2 5.9 8.5 ‡ ‡ 13.1 10.2 Arizona Arkansas California Colorado Connecticut Florida Georgia Hawaii Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Nebraska Nevada New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina Tennessee Utah Vermont Virginia Washington Wisconsin United States 0 5 10 ‡ No data available 68 15 20 Figure 7h Percentage of high school students who drove a car or other vehicle when they had been drinking alcohol one or more times during the past 30 days, 2005. Youth Risk Behavior Survey Percentage 12.4 12.9 ‡ 11.0 11.0 10.2 8.8 7.9 16.5 8.5 ‡ 11.2 7.2 10.5 8.5 ‡ 17.3 10.4 12.0 5.8 9.4 8.6 12.3 ‡ ‡ 11.1 11.5 10.9 4.1 8.9 ‡ ‡ 13.6 9.9 Arizona Arkansas California Colorado Connecticut Florida Georgia Hawaii Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Nebraska Nevada New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina Tennessee Utah Vermont Virginia Washington Wisconsin United States 0 5 10 ‡ No data available 69 15 20 Figure 7i Percentage of high school students who rode in a car or other vehicle driven by someone who had been drinking alcohol one or more times during the past 30 days, 2005. Youth Risk Behavior Survey Percentage 34.3 27.8 ‡ 26.9 29.7 27.2 26.7 33.0 29.2 22.0 ‡ 25.2 25.0 27.2 24.9 ‡ 35.6 26.4 31.5 20.2 25.3 21.3 25.8 ‡ ‡ 28.8 30.0 25.1 13.4 22.9 ‡ ‡ 31.2 28.5 Arizona Arkansas California Colorado Connecticut Florida Georgia Hawaii Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Nebraska Nevada New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina Tennessee Utah Vermont Virginia Washington Wisconsin United States 0 5 10 15 20 ‡ No data available 70 25 30 35 40 Figure 7j Alcohol-Related Crash Deaths, 2005, Fatality Analysis Reporting System Number Crude Rate per 100,000 Arizona Arkansas California Colorado Connecticut Florida Georgia Hawaii Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Nebraska Nevada New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina Tennessee Utah Vermont Virginia Washington Wisconsin United States 508 218 1,769 252 130 1,553 562 72 142 311 439 60 239 186 438 208 93 169 193 580 562 519 286 177 639 48 555 473 40 30 362 302 380 17,590 0 2 4 6 8 10 ‡ No data available. ||Rates are suppressed if fewer than 20 cases were reported. 12 Rate§ 8.5 7.9 4.9 5.4 3.7 8.7 6.2 5.7 5.2 7.5 9.7 4.6 4.3 2.9 4.3 4.1 5.3 7.0 10.0 3.0 6.5 4.5 8.1 4.9 5.2 4.5 13.1 7.9 1.6 4.8 4.8 4.8 6.9 5.9 14 § Rate per 100,000 population. ¶ Case counts are suppressed if fewer than 5 cases were reported. 71 72 Poisoning Indicators 8a. Poisoning Fatalities (Overall), 2005 8b. Poisoning Fatalities by Sex, 2005 8c. Poisoning Fatalities by Age, 2005 8d. Poisoning Hospitalizations (Overall), 2005 8e. Poisoning Hospitalizations by Sex, 2005 8f. Poisoning Hospitalizations by Age, 2005 73 Figure 8a Poisoning Fatalities (Overall), 2005 Age-Adjusted Rate per 100,000 Number 796 304 3,119 706 314 2,490 693 142 280 649 650 173 691 802 1,084 354 103 449 410 921 1,129 1,404 526 421 1,710 153 475 924 451 57 635 923 586 32,685 Arizona Arkansas California Colorado Connecticut Florida Georgia Hawaii Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Nebraska Nevada New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina Tennessee Utah Vermont Virginia Washington Wisconsin United States 0 4 8 12 16 20 Rate§ 13.7 11.2 8.7 14.5 9.0 14.2 7.6 10.9 10.4 15.4 14.5 13.0 12.1 12.2 10.6 6.7 6.0 17.9 22.2 4.6 12.9 12.2 15.2 11.2 14.0 13.9 11.0 15.4 19.2 8.9 8.2 14.2 10.3 11.0 24 ‡ No data available. § Rate per 100,000 population. ||Rates are suppressed if fewer than 20 cases were reported. ¶ Case counts are suppressed if fewer than 5 cases were reported. 74 Figure 8b Poisoning Fatalities by Sex, 2005 MALES Number Age-Adjusted Rate per 100,000 16.8 13.1 11.0 19.0 12.6 18.7 9.6 14.2 13.5 20.3 20.4 16.6 17.0 16.5 13.4 8.7 6.4 21.4 30.6 6.4 16.5 15.7 17.9 14.1 18.6 17.3 14.0 18.2 20.7 11.1 10.5 17.9 13.0 14.2 35 30 25 20 15 10 5 487 174 1,972 465 217 1,614 436 93 183 422 444 106 466 529 676 231 54 274 279 614 710 881 305 264 1,117 92 292 535 254 35 396 579 369 20,865 FEMALES Number Arizona Arkansas California Colorado Connecticut Florida Georgia Hawaii Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Nebraska Nevada New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina Tennessee Utah Vermont Virginia Washington Wisconsin United States 0 Age-Adjusted Rate per 100,000 10.6 9.4 6.4 9.9 5.4 9.8 5.6 7.5 7.2 10.5 8.9 9.4 7.7 8.1 7.9 4.7 5.6 14.2 14.1 3.0 9.3 8.9 12.5 8.3 9.5 10.7 8.2 12.7 17.7 6.9 6.0 10.5 7.7 7.8 309 130 1,147 241 97 876 257 49 97 226 206 67 225 273 408 123 49 175 131 307 419 523 221 157 593 61 183 389 197 22 239 344 217 11,820 0 5 10 15 ‡ No data available. § Rate per 100,000 population. ||Rates are suppressed if fewer than 20 cases were reported. ¶ Case counts are suppressed if fewer than 5 cases were reported. 75 20 25 30 35 Figure 8c Poisoning Fatalities by Age#, 2005 0-14 State N 15-24 Rate§ N 25-44 Rate§ N 45-64 Rate§ N 65+ Rate§ N Rate§ Arizona 7 || 74 8.6 328 18.4 353 27.9 34 4.3 Arkansas ¶ || 33 8.3 150 20.0 102 14.8 18 || California 19 || 172 3.2 1,241 11.5 1,476 17.9 211 5.5 Colorado 5 || 63 9.1 286 20.5 313 26.4 39 8.5 Connecticut ¶ || 38 8.1 158 16.5 102 11.0 13 || Florida 10 || 253 11.1 1,131 23.5 960 21.7 136 4.6 Georgia 5 || 76 5.8 292 10.3 283 13.5 37 4.3 Hawaii ¶ || 8 || 45 12.7 83 25.9 6 || Kansas ¶ || 23 5.5 134 18.0 107 16.0 14 || Kentucky ¶ || 71 12.3 339 28.5 216 20.2 21 4.0 Louisiana ¶ || 96 13.7 336 27.2 188 16.9 27 5.1 Maine ¶ || 20 11.0 84 24.4 62 16.3 6 || Maryland ¶ || 53 6.8 346 21.9 260 18.1 28 4.3 Massachusetts ¶ || 76 8.9 408 21.7 288 17.8 27 3.2 Michigan ¶ || 103 7.2 476 17.2 463 17.9 40 3.2 Minnesota 5 || 28 3.7 155 10.6 147 11.5 19 || Nebraska ¶ || 9 || 45 9.5 36 8.4 11 || 8.2 Nevada ¶ || 43 11.9 185 25.0 198 32.9 23 New Mexico ¶ || 28 9.5 200 39.1 169 36.1 11 || New York ¶ || 94 3.4 358 6.5 405 8.4 62 2.5 North Carolina ¶ || 127 10.8 542 21.5 402 18.6 56 5.3 Ohio 12 || 145 9.0 640 20.6 533 18.2 74 4.8 Oklahoma ¶ || 58 11.0 232 24.6 203 23.4 30 6.4 Oregon ¶ || 26 5.2 169 16.4 199 21.2 26 5.5 Pennsylvania 9 || 217 12.2 794 24.5 609 19.2 81 4.3 Rhode Island ¶ || 8 || 64 21.2 73 26.9 8 || South Carolina ¶ || 39 6.4 211 17.8 208 19.3 14 || Tennessee ¶ || 82 10.1 461 27.3 333 22.1 47 6.3 || Utah ¶ || 63 15.1 217 28.8 156 32.7 11 Vermont ¶ || ¶ || 28 17.0 21 11.7 ¶ || Virginia ¶ || 62 5.8 332 15.2 207 10.7 33 3.8 Washington ¶ || 68 7.6 349 19.7 456 28.3 50 7.0 Wisconsin ¶ || 63 7.7 273 17.7 220 15.4 29 4.0 United States 173 0.3 3,152 7.5 14,851 17.7 12,865 17.7 1,644 4.5 ‡ No data available. § Rate per 100,000 population. || Rates are suppressed if fewer than 20 cases were reported. ¶ Case counts are suppressed if fewer than 5 cases were reported. # Age in years. 76 Figure 8d Poisoning Hospitalizations (Overall), 2005 Age-Adjusted Rate per 100,000 Number 4,945 2,748 19,770 3,335 2,178 13,722 6,063 589 2,109 3,292 ‡ 1,145 4,149 4,969 8,769 4,047 797 1,647 971 14,911 6,271 7,210 3,533 2,844 12,412 681 3,038 7,056 1,857 421 4,276 4,256 6,283 222,650 Arizona Arkansas California Colorado Connecticut Florida Georgia Hawaii Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Nebraska Nevada New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina Tennessee Utah Vermont Virginia Washington Wisconsin United States 0 20 40 60 80 100 Rate§ 83.1 100.3 55.1 70.1 62.1 77.9 66.6 45.6 78.0 78.4 ‡ 86.8 73.5 76.2 86.7 77.6 45.1 65.8 51.3 76.5 71.9 63.4 101.1 77.6 101.1 63.2 71.2 117.7 77.3 66.7 55.8 67.1 111.5 74.9 120 * Percentage of hospital discharge data injury hospitalizations with external cause coding. Incompleteness may lead to bias. ‡ No data available. § Rate per 100,000 population. ||Rates are suppressed if fewer than 20 cases were reported. ¶ Case counts are suppressed if fewer than 5 cases were reported. 77 External Cause Percentage* 91.5% 96.6% 94.8% 98.7% 94.1% 85.2% 95.7% 89.9% 98.6% 78.9% ‡ 90.1% 95.5% 98.7% 85.6% 84.7% 91.2% 56.3% 66.4% 99.1% 89.7% 74.2% 87.5% 87.1% 96.5% 84.3% 91.2% 96.3% 92.0% 98.2% 76.3% 100.0% 100.0% 87.1% Figure 8e Poisoning Hospitalizations by Sex, 2005 MALES Number Age-Adjusted Rate per 100,000 71.0 84.7 48.3 62.0 59.7 71.3 60.2 43.4 63.5 72.3 ‡ 79.8 76.8 75.1 80.8 63.3 36.9 61.0 42.7 82.5 64.2 55.9 87.1 62.9 101.9 57.3 61.2 102.5 66.4 46.5 46.3 55.0 87.5 67.6 140 120 100 80 60 40 20 2,108 1,148 8,506 1,475 1,017 6,194 2,701 281 864 1,496 ‡ 514 2,081 2,378 4,029 1,651 320 773 395 7,794 2,744 3,124 1,514 1,153 6,124 302 1,266 2,989 816 145 1,740 1,736 2,449 99,029 FEMALES Number Arizona Arkansas California Colorado Connecticut Florida Georgia Hawaii Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Nebraska Nevada New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina Tennessee Utah Vermont Virginia Washington Wisconsin United States 0 Age-Adjusted Rate per 100,000 95.2 115.3 62.1 78.8 64.5 84.5 73.0 48.5 93.2 84.5 ‡ 93.0 70.4 77.6 92.6 92.2 53.4 70.2 60.2 71.0 79.3 70.7 114.6 92.6 100.7 69.0 81.0 131.8 88.3 86.4 65.4 79.3 135.8 82.0 2,837 1,600 11,264 1,860 1,161 7,528 3,362 308 1,245 1,796 ‡ 631 2,068 2,591 4,739 2,396 477 862 576 7,117 3,527 4,086 2,019 1,691 6,288 379 1,771 4,067 1,041 276 2,536 2,520 3,834 123,244 0 20 40 60 ‡ No data available. § Rate per 100,000 population. ||Rates are suppressed if fewer than 20 cases were reported. ¶ Case counts are suppressed if fewer than 5 cases were reported. 78 80 100 120 140 Figure 8f Poisoning Hospitalizations by Age#, 2005 0-4 State N Arizona 5-14 Rate§ 168 37.7 N 15-24 Rate§ 141 15.6 N 25-34 Rate§ 903 105.1 N 35-44 Rate§ 861 98.1 N 45-54 Rate§ 1,028 113.1 N 55-64 Rate§ 908 122.2 N 65-74 Rate§ 469 89.6 N 75-84 Rate§ 206 48.2 N 85+ Rate§ 183 66.1 N Rate§ 78 97.2 Arkansas 40 21.3 56 15.1 523 131.5 575 157.3 601 156.0 499 129.9 197 64.6 133 63.8 94 73.7 30 61.8 California 638 24.0 521 9.9 3,407 63.8 2,650 50.4 3,676 66.4 3,971 80.5 2,115 64.1 1,204 61.1 1,093 79.6 495 94.2 Colorado 54 15.6 102 15.9 657 94.4 580 87.6 741 101.5 597 83.3 299 63.5 141 56.5 115 74.0 49 93.8 Connecticut 83 39.3 50 10.6 409 87.4 335 83.4 482 87.0 372 68.5 186 48.1 107 50.0 105 60.4 49 56.8 Florida 386 35.1 285 13.2 2,352 103.3 2,278 102.0 2,973 115.3 2,741 111.5 1,244 63.1 673 46.9 536 47.9 254 58.6 Georgia 162 23.4 117 9.2 1,005 76.5 1,080 77.2 1,348 94.4 1,278 103.2 533 62.5 283 57.6 194 69.6 63 62.8 Hawaii 28 32.1 14 || 127 72.9 73 41.7 96 53.2 122 66.9 62 45.0 23 27.4 36 54.3 8 || Kansas 100 27.2 57 30.5 459 110.3 400 109.9 429 112.4 326 81.7 143 52.7 82 48.1 77 59.7 36 62.4 Kentucky 47 17.4 58 10.7 577 99.9 727 127.3 778 126.0 588 95.6 271 59.4 122 42.7 87 48.5 37 61.1 Louisiana ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ Maine 22 32.5 22 14.3 233 128.0 194 134.8 270 134.6 205 93.7 97 59.7 49 51.1 37 52.5 16 || Maryland 75 19.7 61 7.9 556 71.1 641 91.2 1,107 125.8 917 108.8 370 62.2 180 54.6 169 74.9 73 81.7 Massachusetts 116 29.2 95 11.8 857 100.7 825 95.0 1,171 115.8 976 103.3 418 62.2 209 53.6 202 63.0 100 70.3 Michigan 318 49.0 207 14.7 1,553 107.9 1,376 106.7 1,996 134.6 1,876 123.8 702 65.9 336 53.0 284 63.1 121 71.6 Minnesota 98 29.2 149 22.2 997 131.6 718 105.0 830 106.3 712 92.2 259 50.8 122 40.3 108 49.7 54 52.4 Nebraska 22 17.8 20 8.6 176 66.0 134 57.5 148 61.6 154 60.6 46 26.2 40 36.0 40 46.7 17 || 84.2 Nevada 35 19.5 43 12.4 270 74.8 310 84.4 363 97.6 308 90.0 157 60.3 72 43.7 69 74.8 20 New Mexico 31 22.1 34 12.3 222 75.5 178 71.3 215 82.3 150 55.8 58 29.2 43 34.3 25 30.8 15 || New York 471 38.2 363 14.4 2,493 91.3 2,157 84.3 3,622 123.1 3,088 110.8 1,306 64.5 659 52.3 524 58.6 228 63.3 North Carolina 135 22.5 114 9.9 941 79.8 1,078 88.7 1,483 113.3 1,285 104.4 590 63.5 321 57.2 245 67.3 79 60.9 Ohio 116 15.7 139 9.0 1,377 85.6 1,352 92.7 1,745 106.0 1,412 82.1 541 44.5 283 37.0 161 29.0 84 40.2 Oklahoma 165 65.9 87 18.0 701 132.9 658 140.7 756 158.6 585 118.2 273 73.0 136 55.9 118 72.9 54 84.7 Oregon 80 35.5 73 15.4 498 98.8 540 105.1 593 115.3 565 104.5 228 57.0 112 48.0 110 68.0 45 60.4 Pennsylvania 212 29.0 253 15.9 2,292 129.0 2,104 142.9 3,039 171.5 2,483 137.2 911 66.6 479 50.1 444 65.4 195 72.8 Rhode Island 20 31.1 13 || 129 84.7 125 89.3 172 106.4 135 84.9 44 39.0 17 || 18 || 8 || South Carolina 114 40.5 110 19.5 404 66.3 562 97.4 652 106.6 602 99.2 302 64.0 162 54.9 98 55.6 32 50.3 Tennessee 128 32.5 94 11.6 966 118.4 1,266 156.0 1,603 182.8 1,482 171.8 728 113.1 415 103.8 280 111.9 94 101.9 || Utah 41 16.4 44 10.5 450 108.1 356 80.7 366 117.0 304 105.6 164 86.7 68 60.6 55 74.7 9 Vermont 8 || ¶ || 87 95.6 70 97.5 109 117.7 80 77.4 38 49.9 13 || 9 || ¶ || Virginia 68 13.3 96 9.6 859 80.2 800 78.8 957 81.8 763 68.1 381 46.6 170 36.8 138 46.9 44 40.4 Washington 61 15.0 97 11.4 800 89.0 719 86.2 867 92.2 886 93.5 411 61.9 202 56.1 148 59.8 65 62.2 Wisconsin 149 43.5 173 24.0 1,343 163.7 1,034 146.1 1,433 172.2 1,005 118.1 489 84.3 264 75.0 250 96.3 143 123.0 United States 7,138 35.1 6,195 15.3 39,804 94.5 41,236 102.7 46,628 106.3 42,532 100.1 18,235 60.1 9,402 50.4 8,145 62.4 3,335 65.7 ‡ No data available. § Rate per 100,000 population. || Rates are suppressed if fewer than 20 cases were reported. ¶ Case counts are suppressed if fewer than 5 cases were reported. # Age in years. 79 80 Suicide Indicators 9a. Suicide (Overall), 2005 9b. Suicide by Sex, 2005 9c. Suicide by Age, 2005 9d. Suicide Attempt Hospitalizations (Overall), 2005 9e. Suicide Attempt Hospitalizations by Sex, 2005 9f. Suicide Attempt Hospitalizations by Age, 2005 9g.Percentage of high school students who actually attempted suicide one or more times during the past 12 months, 2005, Youth Risk Behavior Survey 81 Figure 9a Suicides (Overall), 2005 Number Age-Adjusted Rate per 100,000 914 400 2,971 801 276 2,307 889 105 357 535 487 174 465 469 1,103 542 177 443 341 1,298 1,016 1,360 509 558 1,403 66 502 851 344 73 860 814 639 32,629 Arizona Arkansas California Colorado Connecticut Florida Georgia Hawaii Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Nebraska Nevada New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina Tennessee Utah Vermont Virginia Washington Wisconsin United States 0 5 10 15 Rate§ 15.4 14.3 8.4 17.0 7.5 12.3 10.1 8.1 13.0 12.6 10.7 12.2 8.3 7.1 10.8 10.3 10.2 17.8 17.8 6.5 11.6 11.6 14.5 14.8 11.0 5.8 11.6 14.0 14.7 11.5 11.1 12.7 11.3 10.9 20 ‡ No data available. § Rate per 100,000 population. ||Rates are suppressed if fewer than 20 cases were reported. ¶ Case counts are suppressed if fewer than 5 cases were reported. 82 Figure 9b Suicides by Sex, 2005 MALES Number Age-Adjusted Rate per 100,000 24.9 23.2 13.5 27.9 12.4 19.2 17.5 11.3 21.9 21.1 17.7 21.6 14.4 11.2 17.7 16.9 16.3 28.5 29.5 11.0 18.8 20.0 23.1 24.3 18.7 8.6 19.3 24.2 24.5 18.8 18.5 20.9 18.6 18.0 30 25 20 15 10 5 722 314 2,286 634 217 1,750 718 72 296 431 381 145 375 354 869 438 140 352 274 1,033 778 1,119 394 443 1,138 46 397 692 282 57 678 650 519 25,900 FEMALES Number Arizona Arkansas California Colorado Connecticut Florida Georgia Hawaii Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Nebraska Nevada New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina Tennessee Utah Vermont Virginia Washington Wisconsin United States 0 Age-Adjusted Rate per 100,000 6.5 6.0 3.8 6.9 3.1 5.9 3.7 5.1 4.5 4.8 4.5 3.9 3.0 3.3 4.5 3.9 4.4 7.4 7.0 2.5 5.3 4.0 6.3 5.9 4.1 3.4 4.6 5.1 5.4 || 4.5 4.9 4.2 4.4 192 86 685 167 59 557 171 33 61 104 106 29 90 115 234 104 37 91 67 265 238 241 115 115 265 20 105 159 62 16 182 164 120 6,729 0 5 10 15 ‡ No data available. § Rate per 100,000 population. ||Rates are suppressed if fewer than 20 cases were reported. ¶ Case counts are suppressed if fewer than 5 cases were reported. 83 20 25 30 Figure 9c Suicides by Age#, 2005 0-14 State N 15-24 Rate§ N 25-44 Rate§ N 45-64 Rate§ N 65+ Rate§ N Rate§ Arizona 11 || 142 16.5 322 18.0 275 21.7 164 Arkansas ¶ || 59 14.8 144 19.2 137 19.9 57 20.9 14.8 California 13 || 359 6.7 966 8.9 1,054 12.8 579 15.0 Colorado 8 || 141 20.3 276 19.8 264 22.2 112 24.5 Connecticut ¶ || 31 6.6 96 10.0 104 11.2 42 8.9 Florida 20 0.6 206 9.0 723 15.0 859 19.4 499 16.7 Georgia 9 || 107 8.1 313 11.1 316 15.1 144 16.5 Hawaii ¶ || 10 || 46 12.9 33 10.3 15 || Kansas ¶ || 46 11.0 140 18.8 115 17.2 55 15.4 Kentucky ¶ || 58 10.0 221 18.6 177 16.5 79 15.0 Louisiana ¶ || 89 12.7 171 13.8 152 13.7 71 13.4 Maine ¶ || 14 || 55 16.0 68 17.8 37 19.2 Maryland ¶ || 63 8.1 173 10.9 131 9.1 94 14.6 Massachusetts ¶ || 54 6.3 181 9.6 158 9.8 74 8.7 Michigan 6 || 136 9.4 423 15.3 378 14.7 160 12.8 Minnesota 11 || 94 12.4 181 12.4 189 14.7 67 10.8 Nebraska ¶ || 22 8.3 74 15.6 54 12.6 23 9.8 Nevada 5 || 50 13.8 138 18.7 159 26.4 91 32.4 New Mexico 7 || 63 21.4 102 20.0 117 25.0 52 22.0 New York 10 || 177 6.5 452 8.2 455 9.5 204 8.1 North Carolina 8 || 114 9.7 354 14.0 360 16.7 180 17.1 Ohio 10 || 184 11.4 477 15.4 474 16.2 215 14.1 Oklahoma 5 || 68 12.9 199 21.1 155 17.8 82 17.5 Oregon ¶ || 58 11.5 161 15.7 215 22.9 121 25.7 Pennsylvania 10 || 161 9.1 485 14.9 497 15.6 250 13.1 Rhode Island ¶ || 9 || 18 || 28 10.3 10 || South Carolina ¶ || 70 11.5 190 16.0 177 16.4 61 11.4 Tennessee ¶ || 90 11.0 298 17.6 302 20.0 159 21.4 15.1 Utah ¶ || 62 14.9 147 19.5 100 21.0 32 Vermont ¶ || 7 || 33 20.1 23 12.8 9 || Virginia 11 || 91 8.5 306 14.0 316 16.3 136 15.7 Washington ¶ || 99 11.0 263 14.8 322 20.0 126 17.7 Wisconsin 9 || 95 11.6 258 16.8 183 12.8 94 12.9 United States 272 0.4 4,212 10.0 11,540 13.7 11,201 15.4 5,404 14.7 ‡ No data available. § Rate per 100,000 population. || Rates are suppressed if fewer than 20 cases were reported. ¶ Case counts are suppressed if fewer than 5 cases were reported. # Age in years. 84 Figure 9d Suicide Attempt Hospitalizations (Overall), 2005 Age-Adjusted Rate per 100,000 Number 3,006 1,717 10,809 2,167 1,254 7,892 3,466 374 1,321 1,991 ‡ 708 1,799 2,916 4,885 2,547 511 939 741 6,875 3,592 4,702 1,933 1,896 6,696 484 1,758 3,918 1,202 311 2,847 2,600 5,112 128,171 Arizona Arkansas California Colorado Connecticut Florida Georgia Hawaii Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Nebraska Nevada New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina Tennessee Utah Vermont Virginia Washington Wisconsin United States 0 10 20 30 40 50 60 70 80 90 Rate§ 50.4 63.5 29.6 44.9 36.1 45.6 37.3 29.3 49.6 47.7 ‡ 54.2 32.1 45.0 48.6 48.9 29.4 37.5 39.3 35.4 41.4 41.8 56.2 52.2 55.4 45.2 41.5 66.0 48.1 49.6 37.2 41.1 91.6 43.3 100 * Percentage of hospital discharge data injury hospitalizations with external cause coding. Incompleteness may lead to bias. ‡ No data available. § Rate per 100,000 population. ||Rates are suppressed if fewer than 20 cases were reported. ¶ Case counts are suppressed if fewer than 5 cases were reported. 85 External Cause Percentage* 91.5% 96.6% 94.8% 98.7% 94.1% 85.2% 95.7% 89.9% 98.6% 78.9% ‡ 90.1% 95.5% 98.7% 85.6% 84.7% 91.2% 56.3% 66.4% 99.1% 89.7% 74.2% 87.5% 87.1% 96.5% 84.3% 91.2% 96.3% 92.0% 98.2% 76.3% 100.0% 100.0% 87.1% Figure 9e Suicide Attempt Hospitalizations by Sex, 2005 MALES Number Age-Adjusted Rate per 100,000 41.7 51.7 24.2 37.9 30.7 38.5 30.7 25.3 37.8 41.9 ‡ 43.1 30.2 39.8 41.0 33.8 22.3 34.4 33.3 32.1 34.9 34.4 44.5 39.2 49.8 36.3 33.5 54.2 40.8 31.9 30.6 31.1 63.6 35.0 140 120 100 80 60 40 20 1,248 699 4,411 926 525 3,326 1,424 163 514 872 ‡ 278 817 1,266 2,051 891 194 438 311 3,040 1,500 1,916 769 721 2,973 192 700 1,584 522 100 1,164 993 1,796 51,629 FEMALES Number Arizona Arkansas California Colorado Connecticut Florida Georgia Hawaii Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Nebraska Nevada New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina Tennessee Utah Vermont Virginia Washington Wisconsin United States 0 Age-Adjusted Rate per 100,000 59.6 75.4 35.3 52.5 41.6 52.8 44.1 34.1 62.3 53.8 ‡ 65.3 34.3 50.3 56.3 64.4 36.7 40.9 45.5 39.0 48.1 49.2 68.1 65.5 61.2 53.9 49.5 77.8 55.7 67.2 44.0 51.4 120.6 51.6 1,758 1,018 6,398 1,241 729 4,566 2,042 211 807 1,119 ‡ 430 982 1,650 2,833 1,656 317 498 430 3,835 2,092 2,786 1,164 1,175 3,723 292 1,058 2,334 680 211 1,683 1,607 3,316 76,294 0 20 40 60 ‡ No data available. § Rate per 100,000 population. ||Rates are suppressed if fewer than 20 cases were reported. ¶ Case counts are suppressed if fewer than 5 cases were reported. 86 80 100 120 140 Figure 9f Suicide Attempt Hospitalizations by Age#, 2005 0-14 State N 15-24 Rate§ N 25-44 Rate§ N 45-64 Rate§ N 65+ Rate§ N Rate§ Arizona 79 5.9 717 83.4 1,341 75.0 732 57.8 137 Arkansas 33 5.9 374 94.1 850 113.2 407 59.1 53 17.5 13.8 California 329 4.2 2,714 50.9 4,281 39.7 2,854 34.7 631 16.3 Colorado 73 7.4 523 75.1 969 69.6 514 43.3 88 19.2 Connecticut 22 3.2 299 63.9 551 57.6 310 33.3 72 15.2 Florida 161 4.9 1,558 68.4 3,443 71.5 2,216 50.0 514 17.2 Georgia 65 3.3 781 59.5 1,647 58.2 862 41.2 111 12.8 Hawaii 9 || 101 58.0 136 38.2 104 32.5 24 13.7 Kansas 42 7.6 361 86.7 607 81.4 262 39.1 49 13.7 Kentucky 35 4.3 408 70.7 1,043 87.8 447 41.7 58 11.0 Louisiana ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ Maine 12 || 159 87.4 334 97.0 180 47.2 23 11.9 Maryland 39 3.4 380 48.6 856 54.1 441 30.7 83 12.9 Massachusetts 59 4.9 597 70.2 1,338 71.2 792 49.0 130 15.2 Michigan 137 6.7 1,114 77.4 2,195 79.2 1,274 49.4 165 13.2 Minnesota 111 11.0 816 107.7 1,085 74.1 493 38.5 42 6.7 Nebraska 15 || 143 53.7 231 48.8 110 25.6 12 || Nevada 29 5.5 197 54.5 436 59.0 217 36.0 60 21.4 New Mexico 26 6.2 208 70.8 348 68.1 135 28.9 24 10.2 New York 204 5.4 1,706 62.5 2,908 52.9 1,696 35.2 361 14.4 North Carolina 70 4.0 710 60.2 1,737 68.8 936 43.3 139 13.2 Ohio 106 4.6 1,070 66.5 2,260 72.8 1,128 38.4 138 9.0 Oklahoma 38 5.2 460 87.2 950 100.6 443 51.0 42 9.0 Oregon 49 7.0 404 80.2 893 86.9 482 51.2 68 14.5 Pennsylvania 127 5.5 1,485 83.6 3,130 96.5 1,639 51.6 315 16.5 Rhode Island 9 || 112 73.6 237 78.6 113 41.6 13 || South Carolina 75 8.9 310 50.9 841 70.8 483 44.8 49 9.2 Tennessee 66 5.5 689 84.5 1,956 115.8 1,050 69.7 157 21.2 Utah 36 5.4 354 85.0 536 71.1 246 51.6 30 14.1 Vermont ¶ || 77 84.6 146 88.8 78 43.5 9 || Virginia 62 4.1 703 65.6 1,330 60.9 674 34.8 78 9.0 Washington 67 5.3 621 69.1 1,175 66.2 649 40.3 88 12.4 Wisconsin 261 24.6 1,566 190.8 2,204 143.1 941 65.8 140 19.2 United States 3,906 6.4 29,572 70.2 58,648 69.8 31,219 42.9 4,826 13.1 ‡ No data available. § Rate per 100,000 population. || Rates are suppressed if fewer than 20 cases were reported. ¶ Case counts are suppressed if fewer than 5 cases were reported. # Age in years. 87 Figure 9g Percentage of high school students who actually attempted suicide one or more times during the past 12 months, 2005 Youth Risk Behavior Survey Percentage 11.6 12.1 ‡ 6.7 12.1 8.5 7.8 12.9 6.5 9.2 ‡ 6.4 9.3 6.4 9.3 ‡ 9.4 8.7 12.5 7.1 13.1 9.1 7.9 ‡ ‡ 8.4 11.1 9.4 8.4 6.2 ‡ ‡ 8.8 8.4 Arizona Arkansas California Colorado Connecticut Florida Georgia Hawaii Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Nebraska Nevada New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina Tennessee Utah Vermont Virginia Washington Wisconsin United States 0 2 4 6 ‡ No data available 88 8 10 12 14 Traumatic Brain Injury Indicators 10a. Traumatic Brain Injury (TBI) Fatalities (Overall), 2005 10b. TBI Fatalities by Sex, 2005 10c. TBI Fatalities by Age, 2005 10d. TBI Hospitalizations (Overall), 2005 10e. TBI Hospitalizations by Sex, 2005 10f. TBI Hospitalizations by Age, 2005 10g. Among high school students who rode a bicycle during the past 12 months, the percentage who never or rarely wore a bicycle helmet, 2005, Youth Risk Behavior Survey 89 Figure 10a TBI Fatalities (Overall), 2005 Age-Adjusted Rate per 100,000 Number 1,373 706 4,254 1,063 362 3,910 1,793 180 732 1,016 952 267 660 571 1,557 791 330 460 410 ¶ 1,445 2,290 927 735 2,321 141 1,086 1,318 453 129 1,499 1,304 1,173 54,888 Arizona Arkansas California Colorado Connecticut Florida Georgia Hawaii Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Nebraska Nevada New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina Tennessee Utah Vermont Virginia Washington Wisconsin United States 0 5 10 15 20 25 Rate§ 22.9 24.9 12.1 23.9 9.5 20.3 20.9 13.0 26.2 24.1 21.0 19.0 11.9 8.3 15.2 14.9 17.9 19.0 21.6 || 16.7 19.3 25.7 19.3 17.3 11.6 25.4 21.9 19.3 19.5 19.9 20.7 20.1 18.2 30 ‡ No data available. § Rate per 100,000 population. ||Rates are suppressed if fewer than 20 cases were reported. ¶ Case counts are suppressed if fewer than 5 cases were reported. 90 Figure 10b TBI Fatalities by Sex, 2005 MALES Number Age-Adjusted Rate per 100,000 34.9 36.8 19.5 36.7 16.0 31.4 32.7 18.6 41.1 36.9 33.4 31.6 19.9 13.0 24.2 23.2 26.4 30.6 35.9 || 26.0 30.5 39.2 30.2 28.2 17.4 39.6 35.8 31.3 29.5 30.7 31.9 31.0 28.6 45 40 35 30 25 20 15 10 5 1,009 497 3,232 778 274 2,864 1,320 120 545 737 715 206 508 398 1,150 573 226 367 321 ¶ 1,031 1,661 672 544 1,703 91 809 993 359 90 1,093 951 842 40,397 FEMALES Number Arizona Arkansas California Colorado Connecticut Florida Georgia Hawaii Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Nebraska Nevada New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina Tennessee Utah Vermont Virginia Washington Wisconsin United States 0 Age-Adjusted Rate per 100,000 11.7 14.0 5.5 12.4 3.9 10.0 10.5 7.9 12.7 12.5 9.9 7.6 4.8 4.3 7.2 7.3 10.5 7.9 8.8 || 8.6 9.5 13.3 9.3 7.9 6.6 12.3 10.2 7.7 10.6 10.1 10.4 10.4 8.9 364 209 1,022 285 88 1,045 473 60 187 279 237 61 152 173 407 218 104 93 89 ¶ 414 629 255 191 618 50 277 325 94 39 406 353 331 14,491 0 5 10 15 20 ‡ No data available. § Rate per 100,000 population. ||Rates are suppressed if fewer than 20 cases were reported. ¶ Case counts are suppressed if fewer than 5 cases were reported. 91 25 30 35 40 45 Figure 10c TBI Fatalities by Age#, 2005 0-14 State N Arizona 15-24 Rate§ 58 4.3 N 25-44 Rate§ 256 29.8 N 45-64 Rate§ 377 21.1 N 65+ Rate§ 307 24.2 N Rate§ 375 47.8 Arkansas 38 6.8 160 40.2 193 25.7 176 25.5 139 36.2 California 179 2.3 763 14.3 1,020 9.4 954 11.6 1,338 34.6 Colorado 49 5.0 175 25.1 270 19.4 261 22.0 308 67.4 Connecticut 14 || 39 8.3 86 9.0 94 10.1 129 27.2 Florida 153 4.7 571 25.1 958 19.9 915 20.7 1,313 44.0 Georgia 78 4.0 332 25.3 517 18.3 455 21.8 411 47.2 Hawaii ¶ || 19 || 36 10.1 44 13.7 77 43.9 Kansas 29 5.2 122 29.3 188 25.2 166 24.8 227 63.6 Kentucky 36 4.4 168 29.1 322 27.1 268 25.0 222 42.2 Louisiana 44 4.6 209 29.9 285 23.0 233 21.0 181 34.0 Maine 8 || 34 18.7 69 20.0 62 16.3 94 48.8 Maryland 11 || 112 14.3 159 10.0 156 10.9 222 34.4 Massachusetts 8 || 85 10.0 113 6.0 121 7.5 244 28.6 Michigan 65 3.2 209 14.5 413 14.9 370 14.3 500 39.9 Minnesota 25 2.5 134 17.7 165 11.3 184 14.4 283 45.4 Nebraska 16 || 68 25.5 75 15.8 67 15.6 104 44.5 Nevada 22 4.2 58 16.1 119 16.1 123 20.4 138 49.2 New Mexico 16 || 68 23.1 102 20.0 92 19.7 132 56.0 New York ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ North Carolina 48 2.7 180 15.3 366 14.5 338 15.7 513 48.6 Ohio 89 3.9 295 18.3 598 19.3 580 19.8 728 47.7 Oklahoma 40 5.5 164 31.1 242 25.6 244 28.1 237 50.5 Oregon 24 3.4 107 21.2 157 15.3 212 22.5 235 50.0 Pennsylvania 49 2.1 352 19.8 550 17.0 517 16.3 853 44.8 Rhode Island ¶ || 22 14.4 21 7.0 21 7.7 73 48.7 South Carolina 44 5.2 182 29.9 360 30.3 280 26.0 220 41.1 Tennessee 43 3.6 218 26.7 343 20.3 361 24.0 353 47.6 Utah 29 4.3 91 21.9 147 19.5 119 24.9 67 31.5 Vermont ¶ || 19 || 28 17.0 33 18.4 45 54.9 Virginia 54 3.6 255 23.8 401 18.4 375 19.4 414 47.9 Washington 50 4.0 199 22.1 306 17.2 346 21.5 403 56.6 Wisconsin 47 4.4 192 23.4 283 18.4 246 17.2 405 55.7 United States 2,179 3.6 9,068 21.5 14,259 17.0 13,154 18.1 16,228 44.1 ‡ No data available. § Rate per 100,000 population. || Rates are suppressed if fewer than 20 cases were reported. ¶ Case counts are suppressed if fewer than 5 cases were reported. # Age in years. 92 Figure 10d TBI Hospitalizations (Overall), 2005 Age-Adjusted Rate per 100,000 Number 7,193 1,965 25,634 4,470 2,404 16,856 6,428 1,571 2,513 2,998 ‡ 1,038 5,848 4,835 9,365 4,506 827 1,910 1,044 16,007 5,553 8,674 3,250 2,780 16,780 513 3,357 5,393 1,852 424 5,197 3,761 4,324 252,297 Arizona Arkansas California Colorado Connecticut Florida Georgia Hawaii Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Nebraska Nevada New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina Tennessee Utah Vermont Virginia Washington Wisconsin United States 0 20 40 60 80 100 120 Rate§ 119.5 69.2 72.5 100.1 65.6 88.1 75.1 117.8 90.3 71.7 ‡ 75.9 105.1 71.5 91.9 85.8 44.6 78.4 54.0 80.9 64.4 74.0 89.8 74.8 127.9 43.1 79.1 90.8 78.7 66.6 70.2 60.5 74.6 84.3 140 * Percentage of hospital discharge data injury hospitalizations with external cause coding. Incompleteness may lead to bias. ‡ No data available. § Rate per 100,000 population. ||Rates are suppressed if fewer than 20 cases were reported. ¶ Case counts are suppressed if fewer than 5 cases were reported. 93 External Cause Percentage* 91.5% 96.6% 94.8% 98.7% 94.1% 85.2% 95.7% 89.9% 98.6% 78.9% ‡ 90.1% 95.5% 98.7% 85.6% 84.7% 91.2% 56.3% 66.4% 99.1% 89.7% 74.2% 87.5% 87.1% 96.5% 84.3% 91.2% 96.3% 92.0% 98.2% 76.3% 100.0% 100.0% 87.1% Figure 10e TBI Hospitalizations by Sex, 2005 MALES Number Age-Adjusted Rate per 100,000 158.0 88.4 99.2 133.4 92.3 119.1 101.6 164.0 115.0 96.0 ‡ 106.4 145.3 95.7 125.4 112.6 61.1 107.6 73.6 112.9 84.5 100.3 115.4 102.1 172.7 58.3 105.8 119.7 100.5 83.1 89.5 81.9 98.8 111.6 180 160 140 120 100 80 60 40 20 4,695 1,185 17,032 2,902 1,557 10,661 4,183 1,051 1,499 1,893 ‡ 680 3,837 2,934 6,054 2,808 519 1,324 686 10,315 3,426 5,486 1,982 1,827 10,374 304 2,147 3,292 1,182 248 3,112 2,436 2,696 158,545 FEMALES Number Arizona Arkansas California Colorado Connecticut Florida Georgia Hawaii Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Nebraska Nevada New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina Tennessee Utah Vermont Virginia Washington Wisconsin United States 0 Age-Adjusted Rate per 100,000 80.2 50.1 46.5 68.3 40.2 57.3 50.2 71.4 65.7 48.5 ‡ 46.8 67.0 49.0 60.3 59.7 29.5 47.6 34.8 51.4 44.9 49.3 64.1 48.3 85.4 28.6 52.9 63.9 57.5 51.0 51.7 39.8 51.9 57.1 2,498 780 8,602 1,568 847 6,191 2,245 520 1,012 1,105 ‡ 358 2,006 1,901 3,308 1,698 308 577 358 5,691 2,127 3,188 1,266 953 6,404 209 1,209 2,100 670 176 2,084 1,325 1,628 92,609 0 20 40 60 80 ‡ No data available. § Rate per 100,000 population. ||Rates are suppressed if fewer than 20 cases were reported. ¶ Case counts are suppressed if fewer than 5 cases were reported. 94 100 120 140 160 180 Figure 10f TBI Hospitalizations by Age#, 2005 0-4 State N 5-14 Rate§ N 15-24 Rate§ N 25-34 Rate§ N 35-44 Rate§ N 45-54 Rate§ N 55-64 Rate§ N 65-74 Rate§ N 75-84 Rate§ N 85+ Rate§ N Rate§ Arizona 514 115.2 589 65.3 1,505 175.1 935 106.5 857 94.3 787 105.9 533 101.9 456 106.6 610 220.5 407 507.0 Arkansas 90 48.0 107 28.9 336 84.5 224 61.3 201 52.2 240 62.5 152 49.9 198 95.0 244 191.4 173 356.3 California 1,378 51.7 1,640 31.2 4,947 92.7 2,846 54.1 2,694 48.7 2,885 58.5 2,127 64.4 2,006 101.9 3,060 222.8 2,051 390.2 Colorado 136 39.2 227 35.3 839 120.5 551 83.3 587 80.4 592 82.6 364 77.3 350 140.3 473 304.2 351 671.8 Connecticut 108 51.2 140 29.7 405 86.6 242 60.2 243 43.9 258 47.5 204 52.8 180 84.1 340 195.6 284 329.0 Florida 729 66.3 964 44.5 2,594 113.9 1,678 75.1 1,810 70.2 1,809 73.6 1,387 70.4 1,443 100.6 2,544 227.4 1,898 437.8 Georgia 321 46.3 420 32.9 1,284 97.8 787 56.2 781 54.7 755 61.0 547 64.1 439 89.3 676 242.6 418 416.4 Hawaii 74 84.9 79 49.1 267 153.2 182 103.9 149 82.6 148 81.1 125 90.8 122 145.2 224 337.9 201 801.9 Kansas 123 33.4 125 66.8 458 110.0 235 64.6 255 66.8 270 67.7 206 75.9 216 126.8 330 255.8 295 511.6 399.4 Kentucky 126 46.7 152 28.1 508 88.0 341 59.7 343 55.6 364 59.2 283 62.0 240 84.0 399 222.4 242 Louisiana ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ Maine 34 50.3 58 37.8 191 104.9 106 73.7 113 56.3 114 52.1 81 49.9 100 104.2 154 218.5 87 332.1 426.5 Maryland 171 44.8 223 28.9 1,253 160.3 806 114.6 858 97.5 730 86.6 474 79.7 385 116.8 567 251.2 381 Massachusetts 205 51.7 230 28.7 676 79.5 406 46.8 440 43.5 560 59.3 435 64.7 459 117.7 777 242.4 647 454.6 Michigan 466 71.8 590 41.9 1,554 108.0 1,017 78.9 1,044 70.4 1,263 83.3 814 76.5 692 109.2 1,140 253.3 785 464.7 Minnesota 195 58.1 314 46.9 846 111.7 455 66.5 448 57.4 518 67.1 379 74.4 335 110.6 552 254.1 464 450.4 Nebraska 55 44.6 49 21.1 114 42.8 62 26.6 67 27.9 69 27.2 62 35.3 81 72.9 157 183.5 111 300.5 Nevada 113 62.9 117 33.8 329 91.1 243 66.2 220 59.1 258 75.4 188 72.2 152 92.4 210 227.7 80 336.7 New Mexico 59 42.1 66 23.8 187 63.6 111 44.4 105 40.2 133 49.5 100 50.3 82 65.4 114 140.3 87 296.6 New York 837 67.8 1,060 42.0 2,540 93.1 1,631 63.7 1,755 59.7 1,697 60.9 1,356 66.9 1,346 106.8 2,136 238.8 1,649 457.8 North Carolina 257 42.8 289 25.0 915 77.6 629 51.8 625 47.8 561 45.6 490 52.8 513 91.5 778 213.6 496 382.6 Ohio 341 46.0 463 29.8 1,480 92.0 990 67.8 1,084 65.8 1,026 59.7 733 60.3 676 88.5 1,096 197.7 785 375.7 Oklahoma 208 83.0 216 44.7 556 105.4 349 74.6 330 69.2 338 68.3 270 72.2 269 110.6 427 263.7 287 450.0 Oregon 119 52.8 163 34.4 482 95.7 277 53.9 343 66.7 375 69.4 250 62.5 218 93.3 328 202.7 225 301.9 Pennsylvania 539 73.7 1,042 65.3 2,982 167.9 1,694 115.1 1,848 104.3 1,862 102.9 1,357 99.1 1,292 135.1 2,417 355.8 1,747 651.8 Rhode Island 29 45.1 27 19.8 57 37.4 35 25.0 46 28.5 56 35.2 36 31.9 31 49.3 108 182.1 88 319.4 South Carolina 119 42.3 245 43.5 659 108.2 453 78.5 419 68.5 400 65.9 279 59.1 240 81.3 338 191.7 205 322.5 Tennessee 249 63.1 250 30.9 824 101.0 550 67.8 657 74.9 600 69.6 479 74.4 508 127.1 807 322.6 469 508.6 Utah 190 76.0 246 58.7 348 83.6 185 41.9 151 48.3 146 50.7 140 74.0 142 126.5 185 251.4 119 445.2 Vermont 14 || 26 35.5 78 85.7 41 57.1 48 51.8 47 45.5 30 39.4 39 94.8 57 197.1 44 369.2 Virginia 209 40.7 276 27.7 854 79.7 511 50.3 552 47.2 558 49.8 441 54.0 491 106.3 763 259.5 542 497.2 Washington 188 46.3 268 31.4 621 69.1 373 44.7 366 38.9 430 45.4 303 45.7 313 86.9 497 200.9 402 385.0 Wisconsin 174 50.8 275 38.2 706 86.0 415 58.6 425 51.1 533 62.7 384 66.2 368 104.6 599 230.8 445 382.9 United States 15,002 73.8 18,937 46.8 42,317 100.5 28,165 70.2 26,085 59.5 27,421 64.5 20,481 67.5 19,867 106.5 31,069 237.9 22,953 452.1 ‡ No data available. § Rate per 100,000 population. || Rates are suppressed if fewer than 20 cases were reported. ¶ Case counts are suppressed if fewer than 5 cases were reported. # Age in years. 95 Figure 10g Among high school students who rode a bicycle during the past 12 months, the percentage who never or rarely wore a bicycle helmet, 2005, Youth Risk Behavior Survey Percentage 87.3 92.7 ‡ 70.7 76.2 87.7 85.6 85.7 86.7 92.9 ‡ 70.5 81.7 ‡ 89.8 ‡ 91.7 ‡ ‡ 80.6 86.4 ‡ 93.2 ‡ ‡ 82.9 91.6 89.0 76.8 55.9 ‡ ‡ 88.9 83.4 Arizona Arkansas California Colorado Connecticut Florida Georgia Hawaii Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Nebraska Nevada New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina Tennessee Utah Vermont Virginia Washington Wisconsin United States 0 10 20 30 40 50 ‡ No data available 96 60 70 80 90 100 Injury Prevention STATE INJURY INDICATORS REPORT Fourth Edition - 2005 Data STATE INJURY INDICATORS REPORT, Fourth Edition – 2005 Data Department of Health and Human Services Centers for Disease Control and Prevention National Center for Injury Prevention and Control www.cdc.gov/injury 201699-A