State Injury Indicators Report Third Edition — 2004 Data U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention National Center for Injury Prevention and Control July 2007 The “State Injury Indicators Report, Third Edition — 2004 Data” is a publication of the Centers for Disease Control and Prevention, National Center for Injury Prevention and Control. Editors Acknowledgements Renee L. Johnson, RPT, MSPH Division of Injury Response National Center for Injury Prevention and Control The editors thank the State and Territorial Injury Prevention Directors Association, the Council of State and Territorial Epidemiologists, and their respective members. These partners have facilitated the ongoing advancement and success of the development of the injury indicators. The editors also thank Kevin Webb from the Office of Statistics and Programming and Angela Marr from the Division of Injury Response, National Center for Injury Prevention and Control, for their consultation and guidance. Robert G. Thomas, Jr., MSIM Office of Statistics and Programming National Center for Injury Prevention and Control Karen E. Thomas, MPH Division of Injury Response National Center for Injury Prevention and Control Centers for Disease Control and Prevention Julie L. Gerberding, MD, MPH Director Nimeshkumar Patel, MS Office of Statistics and Programming National Center for Injury Prevention and Control National Center for Injury Prevention and Control Ileana Arias, PhD Director Kelly Sarmiento, MPH Division of Injury Response National Center for Injury Prevention and Control Suggested Citation: 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. ii Contributors Kentucky Cabinet for Health and Family Services Mike D. Singleton, MS Lei Yu, MS Arizona Department of Health Services Jennifer Jung, MSPH Tomi St. Mars, RN, BSN, CEN Louisiana Department of Health and Hospitals Mona Doshani, MD, MPH Shirley Kirkconnell, MSW, MPH Arkansas Department of Health and Human Services J. Edward Carson, MHA Paul W C Johnson, MSPH Elaine Anthony Jones Gayla Nooner, MA Thomas S. Rainer, BBA Maine Department of Health and Human Services Ann Farmer, MS Cindy Mervis, MPH Maryland Department of Health and Mental Hygiene Brenna C. Hogan, MPH Becky L. Roosevelt, MA Tracey Serpi, PhD Chris Tkach, PhD California Department of Health Services Jennifer Harper, MSPH Colorado Department of Public Health and Environment Kirk A. Bol, MSPH Holly B. Hedegaard, MD, MSPH Massachusetts Department of Public Health Beth Hume, MPH Maria McKenna, MPH Loreta McKeown, MPH Connecticut Department of Public Health Susan J. Hewes, MPH Jennifer Morin, MPH Justin Peng, MPH Michigan Department of Community Health Thomas W. Largo, MPH Minnesota Department of Health D. R. Hagel Mark Kinde, MPH Jon Roesler, MS Florida Department of Health Michael Lo, MSPH Georgia Department of Human Resources Laura Fehrs, MD Bill Van Fleit, MA Manxia Wu, MD, MPH Denise Yeager Nebraska Health and Human Services System Xiaojuan Mi, MS Peg Prusa-Ogea, MA Ming Qu, PhD Lei Zhang, MS Hawaii State Department of Health Daniel Galanis, PhD Nevada Department of Health and Human Services Kelly Langdon, MPH William Lee, BS Andrea R. Rivers, BA Wei Yang, PhD Kansas Department of Health and Environment Greg Crawford Lori Haskett, BA Donald Owen, MA Ghazala Perveen, MBBS, PhD, MPH Ismaila Ramon, MPH iii New Hampshire Department of Health and Human Services David L. Reichel, MPH, DC South Carolina Department of Health and Environmental Control Georgette Demian, MPH Elizabeth Hall, BS Byron Kirby, BS Randy Rambo New Mexico Department of Health Barbara Chatterjee, MS Glenda Hubbard, MPH Ajoy Kumar, MBBS, MPH Leona Woelk, MA Tennessee Department of Health Tom Spillman, BA New York State Department of Health Michael Bauer, MS Susan Hardman Erin Shortt, MPH Utah Department of Health Catherine Groseclose, MS Gary Mower, MPH Albert Wang, MPH North Carolina Department of Health and Human Services Pedro LunaOreo, PhD Catherine (Kay) Sanford, MSPH Jean Slosek, MS Vermont Department of Health Caroline W. Dawson, BS, MS, MPA Edith Munene, BA, MA, MA Patricia Worcester, PhD Ohio Department of Health David Engler, PhD (Ohio Hospital Association) Edward Socie, MS Virginia Department of Health Michelle White, MSW Washington State Department of Health Jennifer Sabel, PhD John Sabel, BS Oklahoma State Department of Health Tracy Wendling, MPH Oregon Department of Human Services Janice D. Alexander, PhD Mel Kohn, MD, MPH Lisa Millet, MSH Wisconsin Department of Health and Family Services Randall L. Glysch, MS Pennsylvania Department of Health Nathan James, BA Robert Keyton Gerald Miller, BS Tom Truong, MS Rhode Island Department of Health Edward Donnelly, RN, MPH Janice Fontes Beatriz Perez, MPH iv Table of Contents Foreword . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . vii Abbreviations . . . . . . . . . . . . . . . . . . . . . . . . . . . . viii Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Discussion of Indicators . . . . . . . . . . . . . . . . . . . . . . . Methods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Hospital Discharge Data Quality . . . . . . . . . . . . . . . . . . Table A. Factors Affecting Representativeness of 2004 Hospital Discharge Data . . . . . . . . . . . . . . . . . . . . Highlights . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Limitations and Future Efforts . . . . . . . . . . . . . . . . . . . . 2 2 3 4 3 8 1.All-Injury Indicators . . . . . . . . . . . . . . . . . . . . . . . . 1a.Hospitalizations for All Injuries (Overall), 2004 . . . . . . . . 1b.Hospitalizations for All Injuries by Sex, 2004 . . . . . . . . . 1c.Hospitalizations for All Injuries by Age, 2004 . . . . . . . . . 11 12 13 14 2.Traumatic Brain Injury Indicators (TBI) . . . . . . . . . . . . . 2a.TBI Fatalities (Overall), 2004 . . . . . . . . . . . . . . . . . 2b.TBI Fatalities by Sex, 2004 . . . . . . . . . . . . . . . . . . 2c.TBI Fatalities by Age, 2004 . . . . . . . . . . . . . . . . . . 2d.TBI Hospitalizations (Overall), 2004 . . . . . . . . . . . . . . 2e.TBI Hospitalizations by Sex, 2004 . . . . . . . . . . . . . . . 2f.TBI Hospitalizations by Age, 2004 . . . . . . . . . . . . . . . 15 16 17 18 19 20 21 3.Drowning Indicators . . . . . . . . . . . . . . . . . . . . . . . 3a.Unintentional Drowning Fatalities (Overall), 2004 . . . . . . . 3b.Unintentional Drowning Fatalities by Sex, 2004 . . . . . . . . 3c.Unintentional Drowning Fatalities by Age, 2004 . . . . . . . . 3d.Nonfatal Drowning Hospitalizations (Overall), 2004 . . . . . . 3e.Nonfatal Drowning Hospitalizations by Sex, 2004 . . . . . . . 3f.Nonfatal Drowning Hospitalizations by Age, 2004 . . . . . . . 23 24 25 26 27 28 29 4. Fire-Related Indicators . . . . . . . . . . . . . . . . . . . . . . 4a.Unintentional Fire-Related Fatalities (Overall), 2004 . . . . . 4b.Unintentional Fire-Related Fatalities by Sex, 2004 . . . . . . 4c.Unintentional Fire-Related Fatalities by Age, 2004 . . . . . . 4d.Unintentional Fire-Related Hospitalizations (Overall), 2004 . . 4e.Unintentional Fire-Related Hospitalizations by Sex, 2004 . . . 4f.Unintentional Fire-Related Hospitalizations by Age, 2004 . . . 31 32 33 34 35 36 37 5.Firearm–Related Indicators . . . . . . . . . . . . . . . . . . . 5a.Firearm-Related Fatalities (Overall), 2004 . . . . . . . . . . . 5b.Firearm-Related Fatalities by Sex, 2004 . . . . . . . . . . . 5c.Firearm-Related Fatalities by Age, 2004 . . . . . . . . . . . 5d.Firearm-Related Hospitalizations (Overall), 2004 . . . . . . . 5e.Firearm-Related Hospitalizations by Sex, 2004 . . . . . . . . 5f.Firearm-Related Hospitalizations by Age, 2004 . . . . . . . . 5g.Percentage of Adults Living in Homes with Loaded and Unlocked Firearms, 2004 . . . . . . . . . . . . . . . . . 39 40 41 42 43 44 45 6.Homicide Indicators . . . . . . . . . . . . . . . . . . . . . . . . 6a.Homicide (Overall), 2004 . . . . . . . . . . . . . . . . . . . 6b.Homicide by Sex, 2004 . . . . . . . . . . . . . . . . . . . . 6c.Homicide by Age, 2004 . . . . . . . . . . . . . . . . . . . . 47 48 49 50 7.Suicide Indicators . . . . . . . . . . . . . . . . . . . . . . . . . 7a.Suicide (Overall), 2004 . . . . . . . . . . . . . . . . . . . . 7b.Suicide by Sex, 2004 . . . . . . . . . . . . . . . . . . . . . 7c.Suicide by Age, 2004 . . . . . . . . . . . . . . . . . . . . . 7d.Suicide Attempt Hospitalizations (Overall), 2004 . . . . . . . 7e.Suicide Attempt Hospitalizations by Sex, 2004 . . . . . . . . 7f.Suicide Attempt Hospitalizations by Age, 2004 . . . . . . . . 51 52 53 54 55 56 57 8.Motor Vehicle Indicators . . . . . . . . . . . . . . . . . . . . . 8a.Unintentional Motor Vehicle Traffic Fatalities Overall), 2004 . 8b.Unintentional Motor Vehicle Traffic Fatalities, by Sex, 2004 . . 8c.Unintentional Motor Vehicle Traffic Fatalities, by Age, 2004 . . 8d.Unintentional Motor Vehicle Traffic and Non-Traffic Hospitalizations (Overall), 2004 . . . . . . . . . . . . . . . . 59 60 61 62 46 63 8e.Unintentional Motor Vehicle Traffic and Non-Traffic Hospitalizations by Sex, 2004 . . . . . . . . . . . . . . . . . 8f.Unintentional Motor Vehicle Traffic and Non-Traffic Hospitalizations by Age, 2004 . . . . . . . . . . . . . . . . . 8g.Of the Adults Reporting Drinking at Least One Alcoholic Beverage in the Past Month, the Percentage Reporting Driving after Perhaps Having Too Much to Drink in the Past Month, 2004, Behavioral Risk Factor Surveillance System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8h.Alcohol-Related Crash Deaths, 2004 . . . . . . . . . . . . . 9.Poisoning Indicators . . . . . . . . . . . . . . . . . . . . . . . 9a.Poisoning Fatalities (Overall), 2004 . . . . . . . . . . . . . . 9b.Poisoning Fatalities by Sex, 2004 . . . . . . . . . . . . . . . 9c.Poisoning Fatalities by Age, 2004 . . . . . . . . . . . . . . . 9d.Poisoning Hospitalizations (Overall), 2004 . . . . . . . . . . 9e.Poisoning Hospitalizations by Sex, 2004 . . . . . . . . . . . 9f.Poisoning Hospitalizations by Age, 2004 . . . . . . . . . . . 64 65 66 67 69 70 71 72 73 74 75 vi Foreword The Centers for Disease Control and Prevention’s (CDC) National Center for Injury Prevention and Control (NCIPC) is pleased to provide this third edition of the State Injury Indicators Report which presents 2004 data. We hope state public health officials and others will find the injury 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. The methods 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 and updates the instructions and methods used to prepare these data. Thirty-four states participated in data submission either as a part of CDC Program Announcement 05027 or through voluntary submission. 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 to work with partners to advance and improve injury surveillance using state-based data on fatal and nonfatal injuries. vii Abbreviations BAC Blood alcohol concentration BRFSS Behavioral Risk Factors Surveillance System 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-CM International Classification of Diseases – Ninth Revision – Clinical Modifications NCIPC National Center for Injury Prevention and Control NHTSA National Highway Traffic Safety Administration NPHSS National Public Health Surveillance System NVSS National Vital Statistics System SAVIR Society for Advancement of Violence and Injury Research STIPDA State and Territorial Injury Prevention Directors Association TBI Traumatic brain injury WHO World Health Organization WISQARS Web-based Injury Statistics Query and Reporting System viii Introduction factors.4 The goal is to improve state-based injury surveillance to better support injury prevention programs and policies. By enhancing and standardizing methods used to track fatal and nonfatal injuries at the state level, its integration with overall public health surveillance as part of the National Public Health Surveillance System (NPHSS) will be much easier.5 With the State Health Department Consensus Recommendations, CSTE and STIPDA developed injury indicators that were formally adopted for inclusion in NPHSS.6,7 The NPHSS injury indicators add to other indicators developed by CSTE for chronic diseases and other areas.6 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. Injury continues to be the leading cause of death and disability among children and young adults.1 In 2004, more than 167,000 people died from injuries in the U.S. Of the deaths, 27% were from motor-vehicle crashes, 19% were from suicide, and 10% were from homicide.1 Additionally, in 2004, more than 29.6 million people were treated for injuries in U.S. emergency departments.1 The economic cost of injuries is also significant. The total cost of the 50 million medically treated injuries sustained in 2000 is estimated to be $406 billion in medical expenses and productivity losses.2 The Consensus Recommendations for Using Hospital Discharge Data for Injury Surveillance, published in 2003, has provided clear and specific recommendations about the evaluation and use of hospital discharge data.8 It presents important considerations for the evaluation of data quality and outlines the methods for developing an injury hospitalization data set. The collection and dissemination of injury indicators in this report is the implementation of the foundation laid by the publication of the STIPDA and CSTE documents. It is the next step in the collaborative progress of building strong state-based injury surveillance that is comparable between jurisdictions. 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 injuries involving any mechanism (e.g., firearm, motor vehicle, or burn) and includes both intentional and unintentional injuries. An important part of the public health mission is to emphasize that injuries are preventable and to dispel the misconception that injuries are unavoidable. Recognizing the need for more comprehensive injury surveillance data, the State and Territorial Injury Prevention Directors Association (STIPDA) produced Consensus Recommendations for Injury Surveillance in State Health Departments in 1999.4 These recommendations were developed by a working group representing STIPDA, the Council of State and Territorial Epidemiologists (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 sets to monitor these injuries and risk Discussion of Indicators Methods Unintentional drowning fatality W65–W74, V90, V92 The data presented in this report are drawn from a combination of state vital statistics records, state hospital discharge data (HDD), the National Vital Statistics System (NVSS), the Behavioral Risk Factor Surveillance System (BRFSS), and the 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 2004 Data.9 In brief, injury hospitalization cases were identified from state-based HDD using the principal diagnosis (or first-listed diagnosis code) along with other selective factors. Injury deaths were identified from vital statistic using the underlying-cause-of-death codes. For the fatal TBI indicator, all multiple-cause-of-death fields were searched. For comparison purposes, national rates for the fatality indicators were generated by using the NVSS. Nonfatal drowning hospitalizations Diagnosis code: 994.1 E830, E832, E910, E954, E964, E984 Unintentional fire-related fatality X00–X09 Unintentional fire-related hospitalizations E890–E899 Firearm-related fatality W32–W34, X72–X74, X93–X95, Y22–Y24, Y35.0 Firearm-related hospitalizations E922.0–E922.3, E922.8, E922.9, E955.0–E955.4, E965.0– E965.4, E985.0–E985.4, E970 What is an Injury Indicator? Homicide 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. Suicide The following International Classification of Diseases – Tenth Revision (ICD-10)10 and International Classification of Diseases – Ninth Revision – Clinical Modifications (ICD-9-CM)11 code groupings were used to identify cases of injury-related death and hospitalizations, respectively. X85–Y09, Y87.1 X60–X84, Y87.0 Suicide attempt hospitalizations E950–E959 Unintentional motor vehicle traffic fatality 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 Hospitalizations for all injuries Diagnosis codes: 800–909.2, 909.4, 909.9–994.9, 995.5– 995.59, 995.80–995.85 Unintentional motor vehicle traffic and non-traffic hospitalizations E810–E825 Traumatic brain injury fatality Diagnosis codes: S01.0–S01.9, S02.0, S02.1, S02.3, S02.7– S02.9, 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 Poisoning fatality X40–X49, X60–X69, X85–X90, Y10–Y19, Y35.2 Poisoning hospitalizations E850–E858, E860–E869, E950–E952 E962, E972, E980– E982 Traumatic brain injury hospitalizations Diagnosis codes: 800.0–801.9, 803.0–804.9, 850–854, 959.01 For the BRFSS data, weighted percentages were generated by state by using the 2004 public-use data file for the questions of interest.12 Alcohol-related crash death rates were calculated by state by using the number of alcohol-related crash deaths from FARS data as the numerator and state-provided population totals for the denominator.13 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. Hospital Discharge Data Quality 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 reporting artificially lower rates. Readers are encouraged to consider the representativeness of data from individual state hospital discharge data systems when interpreting rates based on hospital discharge data. For the 2004 data, hospital discharge data with external cause coding ranged from 66% to 100% (Table A). Ninety-four percent of the reporting states have >80% of their hospitalization data external-cause-of-injury coded; this is an increase from 56% in the 2nd edition. A parallel increase is seen in the number of states with >90% of hospitalization data external-cause-of-injury coded; 66% have >90% coded in this edition while only 35% had >90% coded in the second edition.14 The thirty-four states are geographically diverse and both urban and rural areas are represented. These states, when considered together, provide an overview of injury in each of the indicator areas. All-Injury Indicator The individual state rates of Hospitalizations for All Injuries ranged from 321.0 to 812.3 per 100,000 persons. The median rate for Hospitalizations for All Injuries across the reporting states was 555.4 per 100,000 persons. Highlights The injury indicator data presented here provides a unique state-specific look at the magnitude of nine injury topic areas. With 34 states participating, an increase from 26 states in the second edition, the national representativeness of the data continues to increase. By using statespecific datasets and an agreed upon methodology, states are able to compare findings both within indicators and among states. Within a state, comparisons can be made relative to magnitude and impact of the various causes of injury. Also, as the completeness of reporting and external-cause-of-injury data continues to improve, interstate comparisons become possible. The individual state rate of Hospitalizations for All Injuries ranged from 333.0 to 824.1 per 100,000 persons among males and from 296.5 to 784.2 per 100,000 persons among females. The median rate for Hospitalizations for All Injuries was 585.7 per 100,000 persons among males and 509.9 per 100,000 persons among females. In each of the reporting states, the highest Hospitalizations for All Injuries rate was among people 85 years and older, with a range of 2,557.7 to 6,845.1 per 100,000 persons. Table A Factors Affecting Representativeness of 2004 Hospital Discharge Data External Cause Percentage* Arizona Arkansas California Colorado Connecticut Florida Georgia Hawaii Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Nebraska Nevada New Hampshire New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina Tennessee Utah Vermont Virginia Washington Wisconsin External Cause Percentage* Inclusion of Readmissions and Transfers 92.8% Yes No Yes Yes Yes Yes 100.0% Yes No Yes 98.8% Yes No Yes 94.7% Yes No No 85.7% Yes No Yes 95.5% Yes Unknown Yes 86.4% Yes No Yes 81.5% Yes Yes No 78.6% Yes Yes No ‡ ‡ ‡ 86.2% Yes No Yes 95.6% Yes Yes Yes 98.9% Yes No Yes 86.2% Yes No Yes 84.7% Yes No No 97.0% Yes Yes No 66.0% Yes No Yes 99.8% Yes Yes Yes ‡ ‡ ‡ 99.1% Yes No Yes 90.2% Yes No Yes 99.0% Yes Yes Yes 88.2% Yes No Yes 89.0% Yes No Yes 97.7% Yes Unknown Yes 96.7% Yes No Yes 93.0% Yes Yes Yes 96.3% Yes No Yes 92.0% Yes No Yes 98.4% Yes No Yes 82.7% Yes No Yes 98.4% Yes Yes Yes 100.0% Yes No Yes ‡ 10 20 30 40 50 60 70 80 90 Complete Hospital Participation 100.0% ‡ 0 Cross-Border Hospitalization† 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. Traumatic Brain Injury (TBI) Indicators The individual state rates of Nonfatal Drowning Hospitalizations ranged from too few cases to report to 4.4 per 100,000 persons. The median rate for Nonfatal Drowning Hospitalizations across all reporting states was 0.7 per 100,000 persons. The individual state rates of TBI Fatalities ranged from 7.1 to 25.2 per 100,000 persons. The national rate for TBI Fatalities was 17.9 per 100,000 persons. The individual state rate of Nonfatal Drowning Hospitalizations ranged from too few cases to report to 6.4 per 100,000 persons among males, and from too few cases to report to 1.7 per 100,000 persons among females. Median rates for male and female Nonfatal Drowning Hospitalizations were not reported due to low case counts. The individual state rate of TBI Fatalities ranged from 10.9 to 40.9 per 100,000 persons among males and from 3.8 to 12.9 per 100,000 persons among females. The national rate for TBI Fatalities was 27.8 per 100,000 persons among males and 9.1 per 100,000 persons among females. Fire-Related Indicators In each of the reporting states, the highest TBI Fatality rate was among people 65 years and older, with a range of 24.2 to 61.9 per 100,000 persons. The individual state rates of Unintentional Fire-Related Fatalities ranged from too few cases to report to 2.5 per 100,000 persons. The national rate for Unintentional Fire-Related Fatalities was 1.1 per 100,000 persons. The individual state rates of TBI Hospitalizations ranged from 37.2 to 122.2 per 100,000 persons. The median rate for TBI Hospitalizations across all reporting states was 74.2 per 100,000 persons. The individual state rate of Unintentional Fire-Related Fatalities ranged from too few cases to report to 3.6 per 100,000 persons among males and from too few cases to report to 1.7 per 100,000 persons among females. Among males, the national rate for Unintentional Fire-Related Fatalities was 1.4 per 100,000 persons and among females the national rate was 0.8 per 100,000 persons. The individual state rate of TBI Hospitalizations ranged from 50.1 to 164.4 per 100,000 persons among males and from 26.0 to 82.2 per 100,000 persons among females. The median rate for TBI Hospitalizations was 96.7 per 100,000 persons among males and was 49.1 per 100,000 persons among females. The individual state rates of Unintentional Fire-Related Hospitalizations ranged from too few cases to report to 6.5 per 100,000 persons. The median rate for Unintentional Fire-Related Hospitalizations across all reporting states was 3.3 per 100,000 persons. In each of the reporting states, the highest TBI Hospitalization rate was among people 85 years and older, with a range of 228.4 to 678.7 per 100,000 persons. Drowning Indicators The individual state rate of Unintentional Fire-Related Hospitalizations ranged from too few cases to report to 10.2 per 100,000 persons among males and from too few cases to report to 3.4 per 100,000 persons among females. The median rate for Unintentional Fire-Related Hospitalizations was 5.3 per 100,000 persons among males and 2.1 per 100,000 persons among females. The individual state rates of Unintentional Drowning Fatalities ranged from too few cases to report to 2.6 per 100,000 persons. The national rate for Unintentional Drowning Fatalities was 1.3 per 100,000 persons. The individual state rate of Unintentional Drowning Fatalities ranged from too few cases to report to 4.5 per 100,000 persons among males, and from too few cases to report to 1.2 per 100,000 persons among females. The national rate for Unintentional Drowning Fatalities was 2.1 per 100,000 persons among males and 0.5 per 100,000 persons among females. Firearm–Related Indicators The individual state rates of Firearm-Related Fatalities ranged from 3.1 to 19.6 per 100,000 persons. The national rate for Firearm-Related Fatalities was 10.0 per 100,000 persons. The individual state rate of Firearm-Related Fatalities ranged from 5.5 to 35.0 per 100,000 persons among males, and from too few cases to report to 5.3 per 100,000 persons among females. The national rate for Firearm-Related Fatalities was 17.7 per 100,000 persons among males and 2.7 per 100,000 persons among females. In the reporting states, the highest Homicide rate was most commonly found in the 15-24 year age group. However, in several states the highest rate was among person 25-44 years. In the reporting states, the highest Firearm-Related Fatality rate was most commonly found among persons in the 15-24 year age group. However, in some states the highest rates were in persons 25-44 years, 65 years and older, or 45-64 years. The individual state rates of Suicides ranged from 6.3 to 18.9 per 100,000 persons. The national rate for Suicides was 11.0 per 100,000 persons. Suicide Indicators The individual state rate of Suicides ranged from 10.6 to 31.7 per 100,000 persons among males, and from too few cases to report to 8.0 per 100,000 persons among females. The national rate for Suicides was 18.0 per 100,000 persons among males and 4.5 per 100,000 persons among females. The individual state rates of Firearm-Related Hospitalizations ranged from 1.6 to 15.8 per 100,000 persons. The median rate for Firearm-Related Hospitalizations across all reporting states was 7.5 per 100,000 persons. The individual state rate of Firearm-Related Hospitalizations ranged from too few cases to report to 29.2 per 100,000 persons among males, and from too few cases to report to 5.3 per 100,000 persons among females. The median rate for Firearm-Related Hospitalizations was 13.3 per 100,000 persons among males and 2.1 per 100,000 persons among females. In the reporting states, the highest Suicide rate was most commonly found in the 45-64 year age group. However, in some states the highest rates were for persons 25-44 years, 65 years and older, or 15-24 years. The individual state rates of Suicide Attempt Hospitalizations ranged from 29.0 to 87.6 per 100,000 persons. The median rate for Suicide Attempt Hospitalizations across all reporting states was 47.7 per 100,000 persons. In most of the reporting states, the highest Firearm-Related Hospitalization rate was among person 15-24 years. The individual state rate of Suicide Attempt Hospitalizations ranged from 21.1 to 64.4 per 100,000 persons among males and from 33.5 to 115.6 per 100,000 persons among females. The median rate for Suicide Attempt Hospitalizations was 36.2 per 100,000 persons among males and 56.9 per 100,000 persons among females. Based on results from the Behavioral Risk Factor Surveillance System, 0.6% to 10.3% of adults lived in a home with a loaded and unlocked firearm for the 34 states reporting indicator data. The median percent was 3.8%. Homicide Indicator In the reporting states, the highest Suicide Attempt Hospitalization rate was most commonly found in the 15-24 year age group. However, in approximately a third of the reporting states, the highest rate was for person 25-44 years. The individual state rates of Homicides ranged from too few cases to report to 13.0 per 100,000 persons. The national rate for Homicides was 5.9 per 100,000 persons. Motor Vehicle Indicators The individual state rate of Homicides ranged from too few cases to report to 21.2 per 100,000 persons among males and from too few cases to report to 5.7 per 100,000 persons among females. The national rate for Homicides was 9.2 per 100,000 persons among males and 2.6 per 100,000 persons among females. The individual state rates of Unintentional Motor Vehicle Traffic Fatalities ranged from 6.6 to 27.4 per 100,000 persons. The national rate for Unintentional Motor Vehicle Traffic Fatalities was 14.7 per 100,000 persons. Poisoning Indicators The individual state rate of Unintentional Motor Vehicle Traffic Fatalities ranged from 10.7 to 36.5 per 100,000 persons among males and from 4.3 to 18.8 per 100,000 persons among females. The national rate for Unintentional Motor Vehicle Traffic Fatalities was 20.6 per 100,000 persons among males and the national rate was 9.1 per 100,000 persons among females. The individual state rates of Poisoning Fatalities ranged from 3.1 to 18.6 per 100,000 persons. The national rate for Poisoning Fatalities was 10.3 per 100,000 persons. The individual state rate of Poisoning Fatalities ranged from 3.9 to 24.0 per 100,000 persons among males and from 2.2 to 14.0 per 100,000 persons among females. The national rate for Poisoning Fatalities was 13.3 per 100,000 persons among males and 7.4 per 100,000 persons among females. In the reporting states, the highest Unintentional Motor Vehicle Traffic Fatality rate was most commonly found in the 15-24 years age group. However, in a few states, the highest rate was among those 65 years and older. In the reporting states, the highest Poisoning Fatality rate was most commonly found in the 25-44 year age group. However, in approximately a third of the reporting states, the highest rate was for person 45-64 years. The individual state rates of Unintentional Motor Vehicle Traffic and Non-Traffic Hospitalizations ranged from 35.0 to 131.0 per 100,000 persons. The median rate for Unintentional Motor Vehicle Traffic and Non-Traffic Hospitalizations across all reporting states was 88.0 per 100,000 persons. The individual state rates of Poisoning Hospitalizations ranged from 40.6 to 105.2 per 100,000 persons. The median rate for Poisoning Hospitalizations across all reporting states was 74.1 per 100,000 persons. The individual state rate of Unintentional Motor Vehicle Traffic and NonTraffic Hospitalizations ranged from 42.8 to 164.3 per 100,000 persons among males and from 27.7 to 96.5 per 100,000 persons among females. The median rate for Unintentional Motor Vehicle Traffic and NonTraffic Hospitalizations was 114.2 per 100,000 persons among males and 63.6 per 100,000 persons among females. The individual state rate of Poisoning Hospitalizations ranged from 32.6 to 99.5 per 100,000 persons among males and 48.7 to 126.9 per 100,000 persons among females. The median rate for Poisoning Hospitalizations was 62.4 per 100,000 persons among males and 81.1 per 100,000 persons among females. In the reporting states, the highest Unintentional Motor Vehicle Traffic and Non-Traffic Hospitalization rate was most commonly found in the 15-24 years age group. However, in a few states, the highest rate was among persons 75-84 years or persons 85 years and older. In the reporting states, the highest Poisoning Hospitalization rate was most commonly found in the 35-44 year age group. However, in some states the highest rates were for persons 15-24 years, 25-34 years, or 45-54 years. Based on results from the Behavioral Risk Factor Surveillance System from the 34 states reporting indicator data, 2.2% to 6.4% of the adults who reported drinking at least one alcoholic beverage in the past month also reported driving after perhaps having too much to drink. The median percent was 3.4%. Based on data from the Fatality Analysis Reporting System, alcohol-related crash death rates ranged from 2.9 to 11.1 per 100,000. The alcohol-related crash death rate for the United States was 5.7 per 100,000. Limitations and Future Efforts While this report provides important information for understanding injury, the following limitations are should be considered: • Only injuries severe enough to lead to either hospitalization or death are reported. Injuries that lead to emergency department visits, physician office visits, or 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. The absence of fall-related indicators is noted. • Representation from all states and territories has not yet been achieved. • Quality and completeness of external-cause-of-injury coding, while improving, continues to be incomplete. 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. In keeping with the consensus building process and the publication of Consensus Recommendations for Surveillance of Falls and Fall-Related Injuries15 the next edition will include the recommended indicators for fall-related injuries. 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. References 1. Centers for Disease Control and Prevention. Web-based injury statistics query and reporting system (WISQARS). Atlanta (GA); 2005. [cited 2007 Mar 28]. Available from: www.cdc.gov/ncipc/wisqars. 11.International Classification of Diseases 9th Revision Clinical Modification. [cited 2007 Mar 29]. Available from: www.cdc.gov/nchs/about/ otheract/icd9/abticd9.htm. 2. Finkelstein EA, Corso PS, Miller TR Associates. Incidence and economic burden of injuries in the United States. New York: Oxford University Press; 2006. 12.Centers for Disease Control and Prevention. Behavioral risk factor surveillance system: technical documents and survey data. [cited 2007 Mar 28]. Available from: http://www.cdc.gov/brfss/technical_infodata/surveydata/2004.htm. 3. Institute of Medicine (US). Reducing the burden of injury, advancing prevention and treatment. Washington (DC): National Academy Press; 1999. 13.National Highway Traffic Safety Administration. Traffic safety facts 2004. [cited 2007 Mar 28]. Available from://www-nrd.nhtsa.dot.gov/ pdf/nrd-30/NCSA/TSFAnn/2004HTML/TSF2004.htm. 4. State and Territorial Injury Prevention Directors Association (STIPDA). Consensus recommendations for injury surveillance in state health departments. Marietta (GA): STIPDA; 1999. 14.Thomas C, Butler J, Davies M, Johnson R. State injury indicators report, second edition – 1999 data. Atlanta (GA): Centers for Disease Control and Prevention, National Center for Injury Prevention and Control; 2004. 5. Meriwether RA. Blueprint for a national public health surveillance system for the 21st century. J Public Health Manag Pract. 1996;21623. 15.Injury Surveillance Workgroup on Falls. Consensus recommendations for surveillance of falls and fall-related injuries. Atlanta (GA): State and Territorial Injury Prevention Directors Association; 2006. 6. Council of State and Territorial Epidemiologists. Injury control and prevention position statement. [cited 2007 Mar 29]. Available from: http://www.cste.org/PositionStatement.asp 7. State and Territorial Injury Prevention Directors Association (STIPDA). Resolutions, October 1999. [cited 2007 Mar 29]. Available from: http://www.stipda.org/displaycommon.cfm?an=1&subarticlenbr=16. 8. Injury Surveillance Workgroup. Consensus recommendations for using hospital discharge data for injury surveillance. Marietta (GA): State and Territorial Injury Prevention Directors Association; 2003. 9. Johnson RL, Sarmiento K. State injury indicators: Instructions for preparing 2004 data. Atlanta (GA): Centers for Disease Control and Prevention, National Center for Injury Prevention and Control; 2006. 10.International Classification of Diseases 10th Revision. [cited 2007 Mar 29]. Available from: http://www.who.int/classifications/icd/en/index.html. All-Injury Indicators 1a. Hospitalizations for All Injuries (Overall), 2004 1b. Hospitalizations for All Injuries by Sex, 2004 1c. Hospitalizations for All Injuries by Age, 2004 11 Figure 1a Hospitalizations for All Injuries (Overall), 2004 Age-Adjusted Rate per 100,000 Arizona Arkansas California Colorado Connecticut Florida Georgia Hawaii Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Nebraska Nevada New Hampshire New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina Tennessee Utah Vermont Virginia Washington Wisconsin 0 100 200 300 400 500 600 700 800 External Cause Percentage* Number Rate§ 37,571 654.0 92.8% 18,280 644.0 100.0% 185,137 536.7 100.0% 24,646 567.3 98.8% 17,724 472.8 94.7% 114,462 593.9 85.7% 41,749 524.8 95.5% 6,676 502.4 86.4% 17,663 633.6 81.5% 24,618 594.9 78.6% ‡ ‡ ‡ 8,284 587.4 86.2% 30,425 555.5 95.6% 37,836 549.4 98.9% 59,002 574.5 86.2% 30,156 577.2 84.7% 7,212 385.3 97.0% 11,267 503.2 66.0% 6,121 466.2 99.8% ‡ ‡ ‡ 110,801 558.7 99.1% 46,596 555.3 90.2% 38,248 321.0 99.0% 23,616 663.9 88.2% 19,415 531.6 89.0% 92,103 685.8 97.7% 4,010 332.0 96.7% 20,280 487.7 93.0% 39,429 669.4 96.3% 16,952 812.3 92.0% 3,073 471.9 98.4% 35,498 495.3 82.7% 41,678 682.2 98.4% 31,623 544.5 100.0% 900 * 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. § Rate per 100,000 population. ¶ Case counts are suppressed if fewer than 5 cases were reported. 12 Figure 1b Hospitalizations for All Injuries by Sex, 2004 MALES Age-Adjusted Rate per 100,000 Number 900 800 700 600 500 400 300 200 707.8 19,809 623.1 8,101 585.3 99,033 585.7 12,608 519.8 8,710 640.2 55,587 536.5 20,945 587.5 3,682 627.9 7,936 585.7 11,261 ‡ ‡ 591.2 3,763 636.0 16,365 569.3 17,411 611.8 29,400 589.5 14,440 379.2 3,146 533.0 6,037 476.4 2,882 ‡ ‡ 631.5 57,284 563.6 22,154 333.0 18,112 666.0 11,138 551.4 9,410 742.3 44,232 338.1 1,765 512.8 10,032 684.4 18,641 824.1 8,595 485.5 1,462 492.8 16,670 716.2 20,640 555.7 14,854 100 FEMALES Number Age-Adjusted Rate per 100,000 Arizona Arkansas California Colorado Connecticut Florida Georgia Hawaii Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Nebraska Nevada New Hampshire New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina Tennessee Utah Vermont Virginia Washington Wisconsin 0 17,762 579.7 10,179 629.8 86,088 466.8 12,038 523.8 9,014 410.5 58,875 528.5 20,804 485.8 2,994 402.8 9,727 609.9 13,355 574.8 ‡ ‡ 4,521 559.3 14,048 461.5 20,424 506.7 29,599 517.4 15,716 543.3 4,066 377.9 5,215 457.6 3,238 438.3 ‡ ‡ 53,511 469.6 24,438 520.2 20,136 296.5 12,474 631.4 10,005 496.7 47,867 606.9 2,245 312.5 10,222 441.3 20,787 625.6 8,354 784.2 1,611 442.2 18,824 473.7 21,038 633.1 16,769 513.1 0 100 200 300 400 500 ‡ 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. 13 600 700 800 900 Figure 1c Hospitalizations for All Injuries by Age#, 2004 0-4 5-14 State N Rate Arizona Arkansas California Colorado Connecticut Florida Georgia Hawaii Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Nebraska Nevada New Hampshire New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina Tennessee Utah Vermont Virginia Washington Wisconsin 1,582 285 6,956 492 506 2,860 1,307 226 470 395 ‡ 166 548 756 1,681 745 131 327 93 ‡ 4,035 968 478 863 509 2,116 95 546 763 510 42 852 777 851 367.4 153.6 264.1 146.4 237.5 262.1 192.5 254.6 126.4 148.2 ‡ 245.5 146.3 191.1 258.7 224.4 107.3 190.8 125.3 ‡ 323.8 167.5 65.5 356.3 223.0 289.7 154.4 194.8 195.5 208.8 125.8 171.0 193.7 250.2 § N 2,242 563 11,071 1,022 854 4,697 2,000 369 693 824 ‡ 305 1,132 1,416 2,775 1,430 261 563 223 ‡ 6,031 1,804 1,203 1,275 876 3,982 133 1,245 1,406 768 130 1,355 1,450 1,437 15-24 Rate § 257.7 150.3 205.4 161.2 178.4 211.3 156.8 229.5 359.7 150.7 ‡ 192.4 145.3 173.7 192.8 208.7 110.1 167.9 127.7 ‡ 237.0 156.3 77.1 271.2 174.9 247.5 95.8 219.4 174.5 187.8 172.0 128.4 169.3 196.0 N 5,393 2,034 25,778 3,284 1,980 11,721 5,195 944 2,056 2,628 ‡ 1,030 4,532 3,920 6,951 3,768 666 1,399 663 ‡ 13,292 4,966 4,659 2,940 2,203 10,390 363 2,312 4,414 2,441 394 4,033 4,391 3,642 Rate 25-34 § 649.9 513.3 498.8 488.9 432.8 523.6 405.9 538.3 491.2 453.5 ‡ 570.9 594.4 460.4 482.3 499.8 250.1 406.1 371.9 ‡ 509.9 402.5 288.3 551.7 442.0 590.5 232.9 381.7 546.2 574.5 439.9 397.3 497.4 444.2 N 4,371 1,877 19,493 2,701 1,527 10,027 4,591 664 1,495 2,617 ‡ 698 3,339 3,013 5,795 2,712 477 1,276 516 ‡ 10,522 4,685 4,114 2,187 1,812 8,044 308 2,140 4,243 1,862 235 3,384 3,747 2,682 Rate 35-44 § 515.9 521.3 371.1 402.3 373.0 468.1 336.7 412.0 417.0 460.7 ‡ 479.1 469.7 342.2 443.8 399.7 208.0 363.4 341.6 ‡ 399.6 390.0 281.0 465.7 366.2 544.9 221.5 376.8 522.5 445.4 337.7 288.4 449.5 383.5 45-54 N Rate 4,361 2,146 21,402 2,933 1,977 12,267 5,276 706 1,703 3,006 ‡ 857 4,174 4,089 7,250 3,350 565 1,438 774 ‡ 13,376 5,693 4,862 2,678 2,142 10,334 419 2,570 5,162 1,909 312 3,951 4,847 3,523 497.2 557.4 386.3 404.8 350.2 484.9 378.9 391.8 439.4 483.7 ‡ 418.5 466.6 396.8 478.8 422.4 231.2 397.9 359.7 ‡ 446.9 439.0 288.7 548.3 387.1 572.2 251.9 420.5 585.7 620.5 328.2 361.4 514.5 417.4 ‡ No data available. § Rate per 100,000 population. || Rates are suppressed if fewer than 20 cases were reported. § N 4,045 2,014 21,020 3,138 1,922 12,651 5,036 791 1,811 2,870 ‡ 895 3,775 4,006 7,663 3,573 690 1,430 679 ‡ 12,387 5,406 4,683 2,509 2,557 10,306 420 2,501 4,868 2,006 366 4,131 5,573 3,516 Rate 55-64 § 564.0 535.9 432.5 452.9 361.0 531.6 423.5 424.8 462.2 474.4 ‡ 414.7 455.6 427.5 512.2 473.2 276.8 437.3 327.0 ‡ 452.0 453.6 275.1 508.8 480.3 571.4 264.8 420.8 575.2 719.0 352.6 413.2 599.5 423.4 N 3,021 1,602 15,764 2,245 1,509 9,791 3,884 561 1,328 2,363 ‡ 732 2,803 3,383 5,271 2,563 601 1,156 566 ‡ 9,368 4,379 3,160 1,954 1,835 7,754 361 1,965 3,851 1,692 267 3,231 4,256 2,639 Rate 65-74 § 599.1 544.4 488.8 512.1 403.3 524.9 483.7 405.5 510.6 537.9 ‡ 473.3 488.9 518.9 516.8 525.3 359.5 469.9 407.4 ‡ 475.5 504.1 268.5 538.8 575.0 585.2 329.0 436.1 621.4 947.6 362.5 415.2 680.2 477.6 N 3,232 1,920 15,440 2,167 1,565 11,573 3,978 526 1,563 2,700 ‡ 849 2,410 3,571 5,109 2,617 777 1,142 582 ‡ 9,636 4,993 3,387 2,330 1,711 8,677 334 2,032 4,000 1,595 309 3,710 4,020 2,959 Rate 75-84 § 784.7 935.6 791.8 828.5 722.5 784.6 834.7 664.9 918.7 959.8 ‡ 889.9 739.2 901.6 835.0 872.0 697.8 729.5 703.3 ‡ 785.9 914.6 453.5 936.8 749.9 910.9 517.5 711.2 1,010.1 1,456.1 756.8 818.5 1,143.9 843.5 ¶ Case counts are suppressed if fewer than 5 cases were reported. # Age in years. 14 85+ N Rate 5,181 3,131 26,594 3,591 2,990 21,184 5,962 976 3,346 4,210 ‡ 1,421 4,374 7,063 9,054 4,822 1,539 1,566 1,069 ‡ 17,047 7,996 6,371 3,730 3,055 16,751 776 2,900 6,147 2,381 506 6,111 6,765 5,258 1,942.3 2,445.3 1,957.1 2,197.5 1,708.4 1,974.2 2,166.1 1,444.7 2,586.0 2,352.0 ‡ 2,051.7 1,935.6 2,192.6 1,969.7 2,223.7 1,820.4 1,762.0 1,941.0 ‡ 1,867.7 2,290.6 1,118.3 2,310.9 1,822.6 2,429.9 1,298.5 1,654.9 2,482.4 3,294.9 1,778.4 2,099.4 2,748.5 2,045.5 § N Rate§ 4,143 2,708 21,619 3,073 2,894 17,691 4,520 913 3,198 3,005 ‡ 1,331 3,338 6,619 7,453 4,576 1,505 970 956 ‡ 15,107 5,706 5,331 3,150 2,715 13,749 801 2,069 4,575 1,788 512 4,740 5,852 5,116 5,348.0 5,660.3 4,205.9 5,582.8 3,526.0 4,660.8 4,744.3 3,602.4 5,808.7 5,091.1 ‡ 5,304.7 4,033.7 4,862.4 4,257.2 4,659.2 4,191.0 4,397.1 4,478.7 ‡ 4,268.9 4,682.6 2,557.7 5,800.6 4,556.2 5,401.5 3,046.8 3,480.2 5,088.1 6,845.1 4,460.7 4,621.6 5,912.0 4,582.8 Traumatic Brain Injury (TBI) Indicators 2a. TBI Fatalities (Overall), 2004 2b. TBI Fatalities by Sex, 2004 2c. TBI Fatalities by Age, 2004 2d. TBI Hospitalizations (Overall), 2004 2e. TBI Hospitalizations by Sex, 2004 2f. TBI Hospitalizations by Age, 2004 15 Figure 2a TBI Fatalities (Overall), 2004 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 Hampshire New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina Tennessee Utah Vermont Virginia Washington Wisconsin United States 1,282 685 4,753 1,015 380 3,619 1,838 175 627 ‡ 1,077 224 666 486 1,502 756 377 437 ‡ 473 ‡ 1,946 2,094 878 725 2,184 151 1,062 ‡ 408 143 1,402 1,281 1,076 53,118 0 5 10 15 20 25 Rate§ 22.3 24.5 13.7 22.4 10.1 19.5 21.8 13.0 23.0 ‡ 23.8 16.3 12.1 7.1 14.7 14.4 20.5 19.3 ‡ 24.9 ‡ 23.0 17.7 24.5 19.8 16.5 12.4 25.2 ‡ 18.5 22.2 19.3 20.9 18.5 17.9 30 ‡ No data available. || Rates are suppressed if fewer than 20 cases were reported. § Rate per 100,000 population. ¶ Case counts are suppressed if fewer than 5 cases were reported. 16 Figure 2b TBI Fatalities by Sex, 2004 Age-Adjusted Rate per 100,000 45 40 35 30 25 20 15 10 5 MALES Number 33.3 925 37.7 500 21.6 3,513 34.0 744 16.3 275 29.8 2,620 32.8 1,303 19.7 123 34.0 437 ‡ ‡ 36.9 795 25.1 160 20.8 517 10.9 331 23.0 1,091 22.7 554 31.0 263 30.1 333 ‡ ‡ 39.2 357 ‡ ‡ 35.4 1,396 28.1 1,542 37.3 633 30.2 515 25.8 1,555 19.5 104 40.9 814 ‡ ‡ 27.6 300 34.8 104 29.3 992 32.4 932 27.6 749 27.8 38,597 FEMALES Number Age-Adjusted Rate per 100,000 Arizona Arkansas California Colorado Connecticut Florida Georgia Hawaii Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Nebraska Nevada New Hampshire New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina Tennessee Utah Vermont Virginia Washington Wisconsin United States 0 357 11.9 185 12.5 1,240 6.8 271 11.7 105 4.9 999 10.0 535 12.2 52 6.7 190 12.6 ‡ ‡ 282 12.0 64 8.7 149 4.9 155 3.8 411 7.4 202 7.0 114 11.2 104 9.1 ‡ ‡ 116 11.9 ‡ ‡ 550 12.0 552 8.4 245 12.9 210 10.6 630 8.2 47 6.5 248 11.1 ‡ ‡ 108 9.9 39 11.6 410 10.5 349 10.6 327 9.9 14,521 9.1 0 ‡ No data available. § Rate per 100,000 population. 5 10 15 20 || Rates are suppressed if fewer than 20 cases were reported. ¶ Case counts are suppressed if fewer than 5 cases were reported. 17 25 30 35 40 45 Figure 2c TBI Fatalities by Age#, 2004 0-14 State Arizona Arkansas California Colorado Connecticut Florida Georgia Hawaii Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Nebraska Nevada New Hampshire New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina Tennessee Utah Vermont Virginia Washington Wisconsin United States N 48 43 183 46 8 140 103 5 28 ‡ 63 7 22 16 67 37 16 12 ‡ 26 ‡ 86 70 43 32 59 ¶ 31 ‡ 20 ¶ 42 39 32 2,224 15-24 Rate § 3.7 7.7 2.3 4.7 || 4.2 5.3 || 5.0 ‡ 6.5 || 1.9 || 3.2 3.6 || || ‡ 6.4 ‡ 4.9 3.1 6.0 4.4 2.5 || 3.7 ‡ 3.1 || 2.7 3.1 3.0 3.7 N 239 121 816 176 55 521 328 22 102 ‡ 235 37 103 71 219 110 78 45 ‡ 96 ‡ 346 355 161 106 308 31 195 ‡ 75 21 258 212 204 9,106 25-44 Rate N § 28.8 30.5 15.8 26.2 12.0 23.3 25.6 12.5 24.4 ‡ 33.3 20.5 13.5 8.3 15.2 14.6 29.3 13.1 ‡ 32.7 ‡ 29.5 22.0 30.2 21.3 17.5 19.9 32.2 ‡ 17.7 23.4 25.4 24.0 24.9 21.8 340 195 1,137 287 78 872 562 40 154 ‡ 336 64 171 87 384 182 68 123 ‡ 128 ‡ 569 514 234 155 527 24 355 ‡ 125 36 380 308 234 13,822 ‡ No data available. § Rate per 100,000 population. || Rates are suppressed if fewer than 20 cases were reported. 45-64 Rate § 19.7 26.2 10.5 20.6 8.0 18.7 20.4 11.7 20.6 ‡ 27.1 18.3 10.7 4.6 13.6 12.4 14.4 17.3 ‡ 25.5 ‡ 22.5 16.3 24.4 14.8 16.1 7.9 30.1 ‡ 17.2 21.9 16.8 17.3 15.2 16.4 N 288 174 1,118 273 84 925 445 40 133 ‡ 253 53 150 105 356 167 78 125 ‡ 116 ‡ 403 523 211 205 505 29 268 ‡ 102 32 315 303 240 12,541 65+ Rate § 23.6 26.0 13.8 24.1 9.3 21.8 22.3 12.3 20.4 ‡ 23.4 14.3 10.7 6.6 14.1 13.4 18.7 21.8 ‡ 24.5 ‡ 19.8 18.2 24.7 24.1 16.1 10.8 25.6 ‡ 22.3 18.0 17.7 19.5 17.4 17.7 N 367 152 1,499 233 155 1,161 400 68 210 ‡ 190 63 220 207 476 260 137 132 ‡ 107 ‡ 542 632 229 227 785 64 213 ‡ 86 50 407 419 366 15,425 Rate§ 48.5 39.9 39.2 48.5 32.7 39.7 47.2 39.5 59.2 ‡ 36.0 33.2 34.7 24.2 38.2 42.3 59.1 49.3 ‡ 46.6 ‡ 52.5 41.4 49.3 49.8 41.4 42.5 40.9 ‡ 41.4 61.9 48.1 60.2 50.9 42.5 ¶ Case counts are suppressed if fewer than 5 cases were reported. # Age in years. 18 Figure 2d TBI Hospitalizations (Overall), 2004 Age-Adjusted Rate per 100,000 Arizona Arkansas California Colorado Connecticut Florida Georgia Hawaii Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Nebraska Nevada New Hampshire New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina Tennessee Utah Vermont Virginia Washington Wisconsin 0 20 40 60 80 100 120 External Cause Percentage* Number Rate§ 6,894 118.8 92.8% 2,099 74.4 100.0% 31,965 91.3 100.0% 4,204 93.1 98.8% 2,357 64.9 94.7% 16,234 87.8 85.7% 6,154 74.0 95.5% 1,480 113.0 86.4% 1,900 71.8 81.5% 2,829 68.4 78.6% ‡ ‡ ‡ 1,067 79.0 86.2% 5,246 95.6 95.6% 4,504 67.0 98.9% 8,765 85.8 86.2% 4,224 81.7 84.7% 773 42.1 97.0% 1,682 72.5 66.0% 549 42.4 99.8% ‡ ‡ ‡ 15,880 81.2 99.1% 5,022 59.4 90.2% 6,259 53.5 99.0% 3,328 93.3 88.2% 2,155 59.5 89.0% 15,876 122.2 97.7% 440 37.2 96.7% 2,909 69.8 93.0% 4,379 74.6 96.3% 2,081 91.3 92.0% 353 55.7 98.4% 4,498 62.1 82.7% 4,251 69.7 98.4% 4,560 79.5 100.0% 140 * 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. § Rate per 100,000 population. ¶ Case counts are suppressed if fewer than 5 cases were reported. 19 Figure 2e TBI Hospitalizations by Sex, 2004 MALES Age-Adjusted Rate per 100,000 Number 180 160 140 120 100 80 60 40 157.2 4,503 93.2 1,235 123.6 20,996 124.8 2,795 87.6 1,463 119.1 10,302 98.0 3,932 157.7 989 94.7 1,208 88.7 1,727 ‡ ‡ 105.6 675 132.7 3,440 90.0 2,753 114.8 5,564 108.2 2,676 58.2 491 98.1 1,145 55.8 339 ‡ ‡ 112.9 10,246 79.1 3,169 72.5 3,999 116.1 1,997 81.4 1,409 164.4 9,839 50.1 259 95.3 1,894 101.9 2,802 57.6 1,353 80.9 243 82.9 2,845 94.2 2,745 103.8 2,790 20 FEMALES Number Age-Adjusted Rate per 100,000 Arizona Arkansas California Colorado Connecticut Florida Georgia Hawaii Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Nebraska Nevada New Hampshire New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina Tennessee Utah Vermont Virginia Washington Wisconsin 0 2,391 79.8 864 55.0 10,964 60.0 1,409 61.1 894 43.4 5,932 56.9 2,222 51.3 491 68.1 692 48.0 1,101 49.1 ‡ ‡ 392 52.8 1,800 61.0 1,751 45.0 3,200 57.7 1,548 55.9 282 27.8 537 46.6 210 29.4 ‡ ‡ 5,632 51.4 1,852 40.2 2,260 35.1 1,330 69.1 746 38.5 6,034 82.2 181 26.0 1,012 45.2 1,576 49.1 727 33.7 110 32.0 1,651 42.3 1,506 46.1 1,770 55.6 0 ‡ No data available. § Rate per 100,000 population. 20 40 60 80 100 || Rates are suppressed if fewer than 20 cases were reported. ¶ Case counts are suppressed if fewer than 5 cases were reported. 20 120 140 160 180 Figure 2f TBI Hospitalizations by Age#, 2004 0-4 State Arizona Arkansas California Colorado Connecticut Florida Georgia Hawaii Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Nebraska Nevada New Hampshire New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina Tennessee Utah Vermont Virginia Washington Wisconsin 5-14 N Rate§ N 474 63 1,683 153 145 726 369 58 85 109 ‡ 34 129 216 433 210 38 88 17 ‡ 868 204 144 218 134 610 27 124 169 143 5 218 187 219 110.1 34.0 63.9 45.5 68.1 66.5 54.3 65.3 22.9 40.9 ‡ 50.3 34.4 54.6 66.6 63.2 31.1 51.3 || ‡ 69.7 35.3 19.7 90.0 58.7 83.5 43.9 44.2 43.3 58.5 || 43.7 46.6 64.4 629 101 2,374 245 143 992 481 106 163 167 ‡ 56 228 183 632 306 50 146 47 ‡ 1,309 289 297 299 142 1,053 24 237 259 206 21 232 295 306 15-24 Rate§ 72.3 27.0 44.0 38.6 29.9 44.6 37.7 65.9 84.6 30.5 ‡ 35.3 29.3 22.4 43.9 44.7 21.1 43.5 26.7 ‡ 51.4 25.0 19.0 63.6 28.4 65.5 17.3 41.8 32.1 50.4 27.8 22.0 34.5 41.7 25-34 35-44 45-54 N Rate§ N Rate§ N Rate§ N 1,480 332 6,174 887 414 2,571 1,188 280 440 492 ‡ 227 1,185 740 1,532 811 136 301 78 ‡ 2,614 855 1,164 641 405 2,827 51 556 832 448 83 804 744 736 178.4 83.8 119.5 132.1 90.5 114.9 92.8 159.7 105.1 84.9 ‡ 125.8 155.4 86.9 106.3 107.6 51.1 87.4 43.6 ‡ 100.3 69.3 72.0 120.3 81.3 160.7 32.7 91.8 103.0 105.4 92.7 79.2 84.3 89.8 842 252 3,642 560 196 1,618 731 149 210 348 ‡ 120 699 397 922 431 61 196 50 ‡ 1,595 521 820 337 197 1,611 34 377 494 233 33 488 458 414 99.4 70.0 69.3 83.4 47.9 75.5 53.6 92.4 58.6 61.3 ‡ 82.4 98.3 45.1 70.6 63.5 26.6 55.8 32.8 ‡ 60.6 43.4 56.0 71.8 39.8 109.1 24.4 66.4 60.8 55.7 47.4 41.6 54.9 59.2 863 234 3,661 528 237 1,735 705 169 193 344 ‡ 120 726 478 1,023 481 64 222 57 ‡ 1,775 606 883 304 224 1,822 28 386 586 193 38 516 403 470 98.4 60.8 66.1 72.9 42.0 68.6 50.6 93.8 49.8 55.4 ‡ 58.6 81.2 46.4 67.6 60.6 26.2 61.4 26.3 ‡ 59.3 46.7 52.4 62.2 40.5 100.9 16.8 63.2 66.5 62.7 40.0 47.2 42.8 55.7 713 246 3,571 522 239 1,749 698 155 213 322 ‡ 109 638 416 1,098 479 58 220 57 ‡ 1,583 562 785 337 300 1,766 37 360 476 198 37 498 464 500 ‡ No data available. § Rate per 100,000 population. || Rates are suppressed if fewer than 20 cases were reported. 55-64 Rate§ 99.4 65.5 73.5 75.3 44.9 73.5 58.7 83.2 54.4 53.2 ‡ 50.5 77.0 44.4 73.4 63.4 23.3 67.3 27.3 ‡ 57.8 47.2 46.1 68.3 56.4 97.9 23.3 60.6 56.2 71.0 35.6 49.8 49.9 60.2 N 470 189 2,438 361 189 1,203 506 106 141 232 ‡ 87 405 397 727 298 65 131 48 ‡ 1,265 440 526 234 178 1,225 30 219 371 178 22 357 339 339 65-74 Rate§ 93.2 64.2 75.6 82.3 50.5 64.5 63.0 76.6 54.2 52.8 ‡ 56.3 70.6 60.9 71.3 61.1 38.9 53.2 34.6 ‡ 64.2 50.7 44.7 64.5 55.8 92.4 27.3 48.6 59.9 99.7 29.9 45.9 54.2 61.3 85+ Rate§ N Rate§ N Rate§ 420 201 2,324 291 209 1,463 447 99 109 245 ‡ 98 347 389 609 326 74 151 56 ‡ 1,326 457 447 270 151 1,267 37 205 338 131 38 396 346 389 102.0 97.9 119.2 111.3 96.5 99.2 93.8 125.1 64.1 87.1 ‡ 102.7 106.4 98.2 99.5 108.6 66.5 96.5 67.9 ‡ 108.1 83.7 59.9 108.6 66.2 133.0 57.3 71.8 85.4 119.6 93.1 87.4 98.5 110.9 592 265 3,720 387 315 2,352 643 186 176 369 ‡ 129 554 710 1,059 509 123 153 85 ‡ 2,005 675 717 395 230 2,162 101 269 526 203 44 600 588 637 221.9 207.0 273.8 236.8 180.0 219.2 233.6 275.3 136.0 206.2 ‡ 186.3 245.2 220.4 230.4 234.7 145.5 172.1 155.2 ‡ 219.7 193.4 125.9 244.7 137.2 313.6 169.0 153.5 212.4 280.9 154.6 206.1 238.9 247.8 411 216 2,378 270 270 1,825 386 172 170 201 ‡ 87 335 578 730 373 104 74 56 ‡ 1,540 413 476 293 194 1,533 71 176 328 148 32 389 427 550 530.5 451.5 462.6 490.5 329.0 480.8 405.2 678.7 308.8 340.5 ‡ 346.7 404.8 424.6 417.0 379.8 289.6 335.4 260.4 ‡ 435.2 338.9 228.4 539.5 325.6 602.3 270.1 296.0 364.8 566.6 278.8 379.3 431.4 492.7 ¶ Case counts are suppressed if fewer than 5 cases were reported. # Age in years. 21 75-84 N Drowning Indicators 3a. Unintentional Drowning Fatalities (Overall), 2004 3b. Unintentional Drowning Fatalities by Sex, 2004 3c. Unintentional Drowning Fatalities by Age, 2004 3d. Nonfatal Drowning Hospitalizations (Overall), 2004 3e. Nonfatal Drowning Hospitalizations by Sex, 2004 3f. Nonfatal Drowning Hospitalizations by Age, 2004 23 Figure 3a Unintentional Drowning Fatalities (Overall), 2004 Age-Adjusted Rate per 100,000 Arizona Arkansas California Colorado Connecticut Florida Georgia Hawaii Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Nebraska Nevada New Hampshire 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 ‡ No data available. § Rate per 100,000 population. 2.1 2.4 Number Rate§ 99 1.7 51 1.9 400 1.1 58 1.3 28 0.8 390 2.2 129 1.5 32 2.4 35 1.2 64 1.5 117 2.6 23 1.8 56 1.0 50 0.8 89 0.9 56 1.1 27 1.5 18 || ‡ ‡ 29 1.5 106 0.5 95 1.1 84 0.7 65 1.8 71 2.0 86 0.7 12 || 66 1.6 114 1.9 29 1.1 5 || 82 1.1 118 1.9 57 1.0 3,715 1.3 2.7 || Rates are suppressed if fewer than 20 cases were reported. ¶ Case counts are suppressed if fewer than 5 cases were reported. 24 Figure 3b Unintentional Drowning Fatalities by Sex, 2004 MALES Age-Adjusted Rate per 100,000 Number 4.8 4.4 4 3.6 3.2 2.8 2.4 2 1.6 1.2 0.8 0.4 2.5 72 3.0 40 1.7 293 1.8 41 1.4 23 3.7 317 2.3 99 4.2 28 1.9 27 2.6 51 4.5 100 || 16 1.6 43 1.2 36 1.3 63 1.9 49 2.6 23 || 12 ‡ ‡ || 19 1.0 91 1.9 82 1.1 64 3.0 52 2.8 49 1.1 67 || 12 2.7 57 3.5 101 1.8 24 || ¶ 2.0 73 3.0 91 1.7 46 2.0 2,952 FEMALES Number Age-Adjusted Rate per 100,000 Arizona Arkansas California Colorado Connecticut Florida Georgia Hawaii Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Nebraska Nevada New Hampshire New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina Tennessee Utah Vermont Virginia Washington Wisconsin United States 0 27 0.9 11 || 107 0.6 17 || 5 || 72 0.8 30 0.7 ¶ || 8 || 13 || 17 || 7 || 13 || 14 || 26 0.5 7 || ¶ || 6 || ‡ ‡ 10 || 15 || 13 || 20 0.3 13 || 22 1.2 19 || ¶ || 9 || 13 || 5 || ¶ || 24 0.6 27 0.8 11 || 763 0.5 0 ‡ No data available. § Rate per 100,000 population. 0.4 0.8 1.2 1.6 2 2.4 || Rates are suppressed if fewer than 20 cases were reported. ¶ Case counts are suppressed if fewer than 5 cases were reported. 25 2.8 3.2 3.6 4 4.4 4.8 Figure 3c Unintentional Drowning Fatalities by Age#, 2004 0-14 State Arizona Arkansas California Colorado Connecticut Florida Georgia Hawaii Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Nebraska Nevada New Hampshire New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina Tennessee Utah Vermont Virginia Washington Wisconsin United States N 15-44 Rate§ 25 12 89 5 6 82 30 ¶ 10 13 20 ¶ 7 6 16 11 6 ¶ ‡ 7 24 10 31 19 11 19 ¶ 15 25 10 ¶ 21 12 14 775 N 1.9 || 1.1 || || 2.5 1.5 || || || 2.1 || || || || || || || ‡ || 0.6 || 1.4 || || || || || 2.1 || || 1.4 || || 1.3 36 23 160 27 7 138 62 11 11 29 57 10 23 20 32 23 11 8 ‡ 11 46 55 32 26 38 35 5 34 49 13 ¶ 29 64 27 1,600 ‡ No data available. § Rate per 100,000 population. || Rates are suppressed if fewer than 20 cases were reported. 26 45+ Rate§ 1.4 2.0 1.0 1.3 || 2.0 1.5 || || 1.6 2.9 || 1.0 0.7 0.8 1.0 || || ‡ || 0.6 1.5 0.7 1.7 2.5 0.7 || 1.9 2.0 || || 0.9 2.4 1.1 1.3 N 38 16 151 26 15 170 37 17 14 22 40 9 26 24 41 22 10 6 ‡ 11 36 30 21 20 22 32 6 17 40 6 ¶ 32 42 16 1,340 Rate§ 1.9 || 1.3 1.6 || 2.4 1.3 || || 1.4 2.5 || 1.3 1.0 1.1 1.2 || || ‡ || 0.5 1.0 0.5 1.5 1.7 0.6 || || 1.8 || || 1.2 1.9 || 1.3 ¶ Case counts are suppressed if fewer than 5 cases were reported. # Age in years. Figure 3d Near Drowning Hospitalizations (Overall), 2004 Age-Adjusted Rate per 100,000 Arizona Arkansas California Colorado Connecticut Florida Georgia Hawaii Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Nebraska Nevada New Hampshire New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina Tennessee Utah Vermont Virginia Washington Wisconsin 0 0.4 0.8 1.2 1.6 2 2.4 2.8 3.2 3.6 4 External Cause Percentage* Number Rate§ 92 1.5 92.8% 27 1.0 100.0% 482 1.3 100.0% 22 0.5 98.8% 21 0.6 94.7% 370 2.2 85.7% 67 0.7 95.5% 55 4.4 86.4% 15 || 81.5% 6 || 78.6% ‡ ‡ ‡ 7 || 86.2% 26 0.5 95.6% 40 0.6 98.9% 65 0.7 86.2% 33 0.7 84.7% 9 || 97.0% 25 1.0 66.0% 12 || 99.8% ‡ ‡ ‡ 120 0.6 99.1% 31 0.4 90.2% 92 0.8 99.0% 43 1.2 88.2% 27 0.8 89.0% 58 0.5 97.7% ¶ || 96.7% 29 0.7 93.0% 34 0.6 96.3% 27 0.9 92.0% ¶ || 98.4% 34 0.5 82.7% 63 1.0 98.4% 40 0.8 100.0% 4.4 * 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. § Rate per 100,000 population. ¶ Case counts are suppressed if fewer than 5 cases were reported. 27 Figure 3e Near Drowning Hospitalizations by Sex, 2004 MALES Age-Adjusted Rate per 100,000 7 6 5 4 3 2 1 Number 1.7 53 || 17 1.7 313 || 9 || 12 2.8 230 1.0 48 6.4 41 || 9 || 5 ‡ ‡ || 7 || 17 1.1 32 0.9 45 || 19 || 7 1.6 20 || 11 ‡ ‡ 0.9 88 0.5 21 0.9 51 1.9 33 || 18 0.7 39 || ¶ 1.2 25 0.9 27 1.3 20 || ¶ 0.7 23 1.5 44 1.0 26 Number Arizona Arkansas California Colorado Connecticut Florida Georgia Hawaii Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Nebraska Nevada New Hampshire New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina Tennessee Utah Vermont Virginia Washington Wisconsin 0 39 FEMALES Age-Adjusted Rate per 100,000 1.3 10 || 168 0.9 13 || 9 || 140 1.7 19 || 14 || 6 || ¶ || ‡ ‡ ¶ || 9 || 8 || 20 0.4 14 || ¶ || 5 || ¶ || ‡ ‡ 32 0.3 10 || 39 0.7 10 || 9 || 19 || ¶ || ¶ || 7 || 7 || ¶ || 13 || 19 || 14 || 0 ‡ No data available. § Rate per 100,000 population. 1 2 3 || Rates are suppressed if fewer than 20 cases were reported. ¶ Case counts are suppressed if fewer than 5 cases were reported. 28 4 5 6 7 Figure 3f Near Drowning Hospitalizations by Age#, 2004 0-14 State Arizona Arkansas California Colorado Connecticut Florida Georgia Hawaii Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Nebraska Nevada New Hampshire New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina Tennessee Utah Vermont Virginia Washington Wisconsin N 15-44 Rate§ 70 10 336 13 5 218 44 21 14 6 ‡ ¶ 12 15 44 21 5 17 5 ‡ 69 22 17 29 12 ‡ ¶ 20 22 19 ¶ 19 21 26 N 5.4 || 4.2 || || 6.6 2.3 8.4 || || ‡ || || || 2.1 2.1 || || || ‡ 1.8 1.3 || 4.1 || ‡ || 2.4 1.8 || || || 1.7 2.4 15 12 96 ¶ 6 83 12 23 ¶ ¶ ‡ ¶ 7 13 13 9 ¶ 5 7 ‡ 30 9 53 6 12 ‡ ¶ 8 9 7 ¶ 8 25 10 ‡ No data available. § Rate per 100,000 population. || Rates are suppressed if fewer than 20 cases were reported. 45+ Rate§ || || 0.6 || || 1.2 || 4.5 || || ‡ || || || || || || || || ‡ 0.4 || 1.1 || || ‡ || || || || || || 0.9 || N Rate§ 7 5 50 6 10 69 11 11 ¶ ¶ ‡ ¶ 7 12 8 ¶ ¶ ¶ ¶ ‡ 21 ¶ 22 8 ¶ ‡ ¶ ¶ ¶ ¶ ¶ 7 17 ¶ || || 0.4 || || 1.0 || || || || ‡ || || || || || || || || ‡ 0.3 || 0.5 || || ‡ || || || || || || || || ¶ Case counts are suppressed if fewer than 5 cases were reported. # Age in years. 29 Fire-Related Indicators 4a. Unintentional Fire-Related Fatalities (Overall), 2004 4b. Unintentional Fire-Related Fatalities by Sex, 2004 4c. Unintentional Fire-Related Fatalities by Age, 2004 4d. Unintentional Fire-Related Hospitalizations (Overall), 2004 4e. Unintentional Fire-Related Hospitalizations by Sex, 2004 4f. Unintentional Fire-Related Hospitalizations by Age, 2004 31 Figure 4a Unintentional Fire-Related Fatalities (Overall), 2004 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 Hampshire New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina Tennessee Utah Vermont Virginia Washington Wisconsin United States 0 0.5 1 1.5 ‡ No data available. § Rate per 100,000 population. 2 Rate§ 30 0.5 69 2.5 216 0.6 16 || 31 0.8 139 0.7 142 1.7 6 || 36 1.3 60 1.4 95 2.1 7 || 70 1.3 33 0.5 118 1.2 26 0.5 15 || 13 || ‡ ‡ 21 1.1 195 1.0 124 1.5 105 0.9 69 1.9 32 0.9 162 1.2 ¶ || 88 2.1 110 1.9 11 || ¶ || 116 1.6 47 0.8 52 0.9 3,226 1.1 2.5 || Rates are suppressed if fewer than 20 cases were reported. ¶ Case counts are suppressed if fewer than 5 cases were reported. 32 Figure 4b Unintentional Fire-Related Fatalities by Sex, 2004 MALES Age-Adjusted Rate per 100,000 4 3.6 3.2 2.8 2.4 2 1.6 1.2 0.8 0.4 FEMALES Number Age-Adjusted Rate per 100,000 Number || 16 3.6 48 0.8 122 || 10 || 16 0.9 79 2.2 86 || ¶ 1.9 24 2.1 39 2.7 55 || ¶ 1.6 40 || 18 1.5 72 || 17 || 7 || 6 ‡ ‡ || 12 1.2 107 2.0 77 1.1 62 2.6 45 || 18 1.5 93 || ¶ 2.8 54 2.2 62 || 6 || ¶ 2.0 66 0.9 25 1.1 29 1.4 1,900 Arizona Arkansas California Colorado Connecticut Florida Georgia Hawaii Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Nebraska Nevada New Hampshire New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina Tennessee Utah Vermont Virginia Washington Wisconsin United States 0 14 || 21 1.4 94 0.5 6 || 15 || 60 0.6 56 1.3 ¶ || 12 || 22 1.0 40 1.7 ¶ || 30 1.0 15 || 46 0.8 9 || 8 || 7 || ‡ ‡ 9 || 88 0.8 47 1.0 43 0.7 24 1.2 14 || 69 1.0 ¶ || 34 1.5 48 1.5 5 || ¶ || 51 1.3 22 0.7 23 0.8 1,326 0.8 0 ‡ No data available. § Rate per 100,000 population. 0.4 0.8 1.2 1.6 2 || Rates are suppressed if fewer than 20 cases were reported. ¶ Case counts are suppressed if fewer than 5 cases were reported. 33 2.4 2.8 3.2 3.6 4 Figure 4c Unintentional Fire-Related Fatalities by Age#, 2004 0-14 State Arizona Arkansas California Colorado Connecticut Florida Georgia Hawaii Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Nebraska Nevada New Hampshire New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina Tennessee Utah Vermont Virginia Washington Wisconsin United States N ¶ 10 10 ¶ ¶ 14 34 ¶ ¶ 11 27 ¶ 17 ¶ 16 6 ¶ ¶ ‡ ¶ 23 17 23 10 ¶ 20 ¶ 10 17 ¶ ¶ 19 ¶ 6 504 15-44 Rate§ || || || || || || 1.7 || || || 2.8 || || || || || || || ‡ || 0.6 || 1.0 || || 0.9 || || || || || || || || 0.8 ‡ No data available. § Rate per 100,000 population. || Rates are suppressed if fewer than 20 cases were reported. N 6 27 37 ¶ 7 29 31 ¶ 11 15 20 ¶ 11 7 28 6 ¶ ¶ ‡ ¶ 38 28 22 18 6 40 ¶ 23 19 ¶ ¶ 26 10 11 739 45+ Rate§ || 2.4 0.2 || || 0.4 0.8 || || || 1.0 || || || 0.7 || || || ‡ || 0.5 0.8 0.5 || || 0.8 || 1.3 || || || 0.8 || || 0.6 N 24 32 169 10 21 96 77 ¶ 22 34 48 ¶ 42 22 74 14 7 8 ‡ 18 134 79 60 41 23 102 ¶ 55 74 7 ¶ 71 34 35 1,983 Rate§ 1.2 3.0 1.4 || 1.5 1.3 2.7 || 2.2 2.2 3.0 || 2.1 0.9 2.0 || || || ‡ || 1.9 2.6 1.4 3.1 1.8 2.0 || 3.5 3.4 || || 2.7 1.5 1.7 1.9 ¶ Case counts are suppressed if fewer than 5 cases were reported. # Age in years. 34 Figure 4d Unintentional Fire-Related Hospitalizations (Overall), 2004 Age-Adjusted Rate per 100,000 External Cause Percentage* Number Rate§ 327 5.6 92.8% 177 6.5 100.0% 1,079 3.0 100.0% 137 3.0 98.8% Florida 97 2.8 94.7% 488 2.9 85.7% Georgia 533 6.1 95.5% 25 2.0 86.4% 114 4.6 81.5% 187 4.5 78.6% ‡ ‡ ‡ Maryland 58 4.3 86.2% 206 3.7 95.6% Massachusetts 152 2.3 98.9% 443 4.4 86.2% 171 3.3 84.7% 49 2.8 97.0% 61 2.5 66.0% 30 2.2 99.8% ‡ ‡ ‡ 803 4.1 99.1% 313 3.7 90.2% 152 1.3 99.0% 117 3.3 88.2% Pennsylvania 98 2.7 89.0% 714 5.7 97.7% Rhode Island 18 || 96.7% 79 1.9 93.0% 362 6.1 96.3% 68 3.1 92.0% 26 4.1 98.4% 196 2.6 82.7% 289 4.7 98.4% 270 4.9 100.0% Arizona Arkansas California Colorado Connecticut Hawaii Kansas Kentucky Louisiana Maine Michigan Minnesota Nebraska Nevada New Hampshire New Mexico New York North Carolina Ohio Oklahoma Oregon South Carolina Tennessee Utah Vermont Virginia Washington Wisconsin 0 1 2 3 4 5 6 7 * 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. § Rate per 100,000 population. ¶ Case counts are suppressed if fewer than 5 cases were reported. 35 Figure 4e Unintentional Fire-Related Hospitalizations by Sex, 2004 MALES Age-Adjusted Rate per 100,000 12 10 8 6 4 2 FEMALES Number Age-Adjusted Rate per 100,000 Number 9.1 265 10.2 134 4.5 788 4.5 104 4.7 80 4.5 374 8.8 381 || 15 7.1 85 7.6 154 ‡ ‡ 6.0 40 5.3 141 3.4 107 6.0 299 5.4 138 5.0 43 3.6 44 3.7 24 ‡ ‡ 5.6 521 5.4 221 2.0 110 4.8 82 4.3 77 8.3 508 || 10 2.7 55 9.3 267 4.6 50 || 16 4.0 150 7.1 217 6.3 170 Arizona Arkansas California Colorado Connecticut Florida Georgia Hawaii Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Nebraska Nevada New Hampshire New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina Tennessee Utah Vermont Virginia Washington Wisconsin 0 62 2.1 43 3.0 291 1.6 33 1.4 17 || 114 1.3 152 3.4 10 || 29 2.2 33 1.6 ‡ ‡ 18 || 65 2.3 45 1.2 144 2.7 33 1.3 6 || 17 || 5 || ‡ ‡ 282 2.7 92 2.1 42 0.7 35 1.9 21 1.1 206 3.1 8 || 24 1.1 95 3.0 18 || 10 || 46 1.2 72 2.3 100 3.4 0 ‡ No data available. § Rate per 100,000 population. 2 4 6 || Rates are suppressed if fewer than 20 cases were reported. ¶ Case counts are suppressed if fewer than 5 cases were reported. 36 8 10 12 Figure 4f Unintentional Fire-Related Hospitalizations by Age#, 2004 0-14 State Arizona Arkansas California Colorado Connecticut Florida Georgia Hawaii Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Nebraska Nevada New Hampshire New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina Tennessee Utah Vermont Virginia Washington Wisconsin N 59 19 159 10 13 82 77 6 23 19 ‡ 8 27 ¶ 70 30 5 ¶ ¶ ‡ 113 39 16 15 14 ‡ ¶ 17 41 7 ¶ 22 29 47 15-24 Rate § 4.5 || 2.0 || || 2.5 3.9 || 4.1 || ‡ || 2.3 || 3.4 2.9 || || || ‡ 3.0 2.3 || || || ‡ || || 3.4 || || 1.4 2.3 4.4 N 57 24 144 20 11 71 83 ¶ 21 24 ‡ 10 32 18 73 41 5 9 ¶ ‡ 112 43 19 20 18 110 ¶ ¶ 39 11 5 17 49 34 25-44 Rate N § 6.9 6.1 2.8 3.0 || 3.2 6.5 || 5.0 4.1 ‡ || 4.2 || 5.1 5.4 || || || ‡ 4.3 3.5 || 3.8 || 6.3 || || 4.8 || || || 5.6 4.1 102 61 333 45 39 166 161 7 27 77 ‡ 14 57 37 119 45 9 24 10 ‡ 230 90 45 37 24 187 6 20 125 19 ¶ 63 90 73 ‡ No data available. 45-64 Rate § 5.9 8.2 3.1 3.2 4.0 3.6 5.8 || 3.6 6.5 ‡ || 3.6 1.9 4.2 3.1 || 3.4 || ‡ 4.1 3.6 1.4 3.9 2.3 5.7 || 1.7 7.4 || || 2.8 5.1 4.7 N 76 31 281 40 20 113 152 7 20 44 ‡ 18 52 56 123 35 17 17 13 ‡ 181 85 46 19 29 185 8 24 93 16 7 73 80 60 65+ Rate § 6.2 4.6 3.5 3.5 2.2 2.7 7.6 || 3.1 4.2 ‡ || 3.7 3.5 4.9 2.8 || || || ‡ 3.8 4.1 1.6 || 3.4 5.9 || 2.3 6.3 || || 4.1 5.1 4.3 N 33 42 162 22 14 56 60 ¶ 23 23 ‡ 8 38 37 58 20 13 7 ¶ ‡ 167 56 26 26 13 131 ¶ 15 64 15 7 21 41 56 ¶ Case counts are suppressed if fewer than 5 cases were reported. # Age in years. § Rate per 100,000 population. || Rates are suppressed if fewer than 20 cases were reported. 37 Rate§ 4.4 11.0 4.2 4.6 || 1.9 7.1 || 6.5 4.4 ‡ || 6.0 4.3 4.7 3.3 || || || ‡ 6.7 5.5 1.7 5.6 || 6.9 || || 8.7 || || 2.5 5.9 7.8 Firearm–Related Indicators 5a. Firearm-Related Fatalities (Overall), 2004 5b. Firearm-Related Fatalities by Sex, 2004 5c. Firearm-Related Fatalities by Age, 2004 5d. Firearm-Related Hospitalizations (Overall), 2004 5e. Firearm-Related Hospitalizations by Sex, 2004 5f. Firearm-Related Hospitalizations by Age, 2004 5g. Percentage of Adults Living in Homes with Loaded and Unlocked Firearms, 2004, Behavioral Risk Factor Surveillance System 39 Figure 5a Firearm-Related Fatalities (Overall), 2004 Age-Adjusted Rate per 100,000 Arizona Arkansas California Colorado Connecticut Florida Georgia Hawaii Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Nebraska Nevada New Hampshire 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 ‡ No data available. § Rate per 100,000 population. Number Rate§ 869 15.0 405 14.6 3,313 9.2 541 11.6 171 4.9 1,880 10.6 1,057 12.1 40 3.1 291 10.8 515 12.2 896 19.6 107 7.6 653 11.9 205 3.2 1,045 10.3 362 7.0 119 6.7 378 15.9 ‡ ‡ 277 14.5 936 4.8 1,049 12.2 1,004 8.7 454 12.8 380 10.4 1,263 10.1 37 3.2 560 13.2 867 14.6 220 9.8 61 9.3 795 10.7 567 9.2 409 7.2 29,542 10.0 20 || Rates are suppressed if fewer than 20 cases were reported. ¶ Case counts are suppressed if fewer than 5 cases were reported. 40 Figure 5b Firearm-Related Fatalities by Sex, 2004 MALES Age-Adjusted Rate per 100,000 40 35 30 25 20 15 10 5 Number 26.6 762 26.1 346 16.7 2,950 19.9 458 8.9 152 17.9 1,558 21.1 877 5.5 35 18.0 241 21.1 427 35.0 775 14.2 94 22.3 592 6.2 192 18.4 909 12.5 320 12.4 107 27.8 327 ‡ ‡ 25.8 238 9.2 867 21.2 882 15.5 862 22.1 381 18.9 326 18.2 1,103 6.0 33 23.0 467 25.5 726 17.7 195 18.3 57 19.0 666 16.0 476 13.1 363 17.7 25,472 Number Arizona Arkansas California Colorado Connecticut Florida Georgia Hawaii Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Nebraska Nevada New Hampshire New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina Tennessee Utah Vermont Virginia Washington Wisconsin United States 0 FEMALES Age-Adjusted Rate per 100,000 107 3.8 59 4.1 363 2.0 83 3.6 19 || 322 3.6 180 4.0 5 || 50 3.9 88 4.1 121 5.3 13 || 61 2.1 13 || 136 2.7 42 1. 6 12 || 51 4.3 ‡ ‡ 39 4.1 69 0.7 167 3.8 142 2.4 73 4.1 54 2.9 160 2.6 ¶ || 93 4.2 141 4.6 25 2.2 ¶ || 129 3.4 91 2.9 69 2.3 4,070 2.7 0 ‡ No data available. § Rate per 100,000 population. 5 10 15 20 || Rates are suppressed if fewer than 20 cases were reported. ¶ Case counts are suppressed if fewer than 5 cases were reported. 41 25 30 35 40 Figure 5c Firearm-Related Fatalities by Age#, 2004 0-14 State Arizona Arkansas California Colorado Connecticut Florida Georgia Hawaii Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Nebraska Nevada New Hampshire New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina Tennessee Utah Vermont Virginia Washington Wisconsin United States N 12 5 46 5 ¶ 18 17 ¶ 7 ¶ 8 ¶ 7 ¶ 16 ¶ ¶ ¶ ‡ ¶ 6 16 8 6 ¶ 15 ¶ 10 10 ¶ ¶ 16 6 ¶ 358 15-24 Rate § || || 0.6 || || || || || || || || || || || || || || || ‡ || || || || || || || || || || || || || || || 0.6 N 197 51 986 95 39 301 198 ¶ 58 88 266 23 202 75 220 86 31 58 ‡ 69 257 202 201 80 56 282 14 102 155 43 ¶ 165 99 101 6,540 25-44 Rate N § 23.7 12.9 19.1 14.1 8.5 13.4 15.5 || 13.9 15.2 37.7 12.7 26.5 8.8 15.3 11.4 11.6 16.8 ‡ 23.5 9.9 17.2 12.4 15.0 11.2 16.0 || 16.8 19.2 10.1 || 16.3 11.2 12.3 15.7 327 147 1,179 190 61 648 425 14 104 189 364 26 269 62 452 138 34 129 ‡ 95 368 437 359 156 105 487 7 217 332 79 22 279 187 138 11,007 ‡ No data available. § Rate per 100,000 population. || Rates are suppressed if fewer than 20 cases were reported. 45-64 Rate § 19.0 19.7 10.9 13.6 6.3 13.9 15.4 || 13.9 15.9 29.4 7.4 16.8 3.2 16.0 9.4 7.2 18.1 ‡ 18.9 6.5 17.3 11.4 16.3 10.0 14.8 || 18.4 19.6 10.9 13.4 12.3 10.5 8.9 13.1 N 190 131 658 177 53 545 279 17 79 163 178 35 113 35 249 90 27 115 ‡ 71 216 254 280 128 126 318 13 152 244 67 23 208 165 116 7,447 65+ Rate § 15.6 19.5 8.1 15.6 5.8 12.8 14.0 || 12.1 15.6 16.5 9.4 8.1 2.2 9.9 7.2 6.5 20.1 ‡ 15.0 4.6 12.5 9.7 15.0 14.8 10.2 || 14.5 16.6 14.6 13.0 11.7 10.6 8.4 10.5 N 143 71 444 74 18 368 138 6 43 75 80 23 62 31 108 44 26 72 ‡ 41 89 140 156 84 89 161 ¶ 79 126 30 12 127 110 50 4,190 ¶ Case counts are suppressed if fewer than 5 cases were reported. # Age in years. 42 Rate§ 18.9 18.6 11.6 15.4 || 12.6 16.3 || 12.1 14.4 15.2 12.1 9.8 3.6 8.7 7.2 11.2 26.9 ‡ 17.9 3.6 13.6 10.2 18.1 19.5 8.5 || 15.2 17.2 14.4 || 15.0 15.8 6.9 11.5 Figure 5d Firearm-Related Hospitalizations (Overall), 2004 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 Hampshire New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina Tennessee Utah Vermont Virginia Washington Wisconsin 0 2 4 6 8 10 12 14 Rate§ External Cause Percentage* 809 13.7 92.8% 363 13.5 100.0% 4,205 11.3 100.0% 285 5.9 98.8% 203 6.2 94.7% 1,388 8.5 85.7% 940 10.3 95.5% 28 2.3 86.4% 176 6.6 81.5% 320 7.7 78.6% ‡ ‡ ‡ 31 2.4 86.2% 862 15.8 95.6% 304 4.8 98.9% 1,181 11.8 86.2% 277 5.3 84.7% 58 3.2 97.0% 216 8.8 66.0% 20 1.6 99.8% ‡ ‡ ‡ 1,661 8.7 99.1% 901 10.4 90.2% 845 7.5 99.0% 343 9.7 88.2% 161 4.5 89.0% 1,470 12.3 97.7% 38 3.5 96.7% 461 10.9 93.0% 762 13.0 96.3% 106 4.2 92.0% 17 || 98.4% 556 7.4 82.7% 367 5.9 98.4% 309 5.5 100.0% 16 * 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. § Rate per 100,000 population. ¶ Case counts are suppressed if fewer than 5 cases were reported. 43 Figure 5e Firearm-Related Hospitalizations by Sex, 2004 MALES Age-Adjusted Rate per 100,000 30 25 20 15 10 5 FEMALES Number Age-Adjusted Rate per 100,000 Number 24.1 735 21.6 291 20.2 3,851 9.6 239 11.3 187 14.8 1,220 17.7 818 4.1 26 11.5 156 13.3 276 ‡ ‡ 4.4 28 29.2 791 9.2 290 21.0 1,059 9.0 239 5.7 52 14.6 184 || 17 ‡ ‡ 16.0 1,525 18.4 808 13.3 752 16.3 293 7.8 142 22.6 1,355 6.3 34 18.5 392 22.3 652 7.1 92 || 13 13.1 488 10.1 320 9.7 276 Arizona Arkansas California Colorado Connecticut Florida Georgia Hawaii Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Nebraska Nevada New Hampshire New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina Tennessee Utah Vermont Virginia Washington Wisconsin 0 74 2.6 72 5.3 354 2.0 46 2.0 16 || 168 2.0 122 2.7 ¶ || 20 1.6 44 2.1 ‡ ‡ ¶ || 70 2.5 14 || 122 2.5 38 1.5 6 || 32 2.7 ¶ || ‡ ‡ 136 1.5 92 2.2 93 1.7 49 2.8 19 || 115 1.9 ¶ || 69 3.2 110 3.8 14 || ¶ || 68 1.8 47 1.5 33 1.2 0 ‡ No data available. § Rate per 100,000 population. 5 10 15 || Rates are suppressed if fewer than 20 cases were reported. ¶ Case counts are suppressed if fewer than 5 cases were reported. 44 20 25 30 Figure 5f Firearm-Related Hospitalizations by Age#, 2004 0-14 State Arizona Arkansas California Colorado Connecticut Florida Georgia Hawaii Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Nebraska Nevada New Hampshire New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina Tennessee Utah Vermont Virginia Washington Wisconsin N 19 12 115 8 ¶ 17 23 ¶ 7 6 ‡ ¶ 13 9 31 26 8 9 ¶ ‡ 44 25 16 18 ¶ ‡ ¶ 19 13 ¶ ¶ 16 7 20 15-24 Rate § || || 1.4 || || || 1.2 || || || ‡ || || || 1.5 2.6 || || || ‡ 1.2 1.4 || || || ‡ || || || || || || || 1.9 N 356 100 2,194 131 102 544 344 8 74 100 ‡ 9 440 170 445 118 33 86 6 ‡ 781 344 350 122 57 670 18 181 239 33 5 257 140 138 25-44 Rate N § 42.9 25.2 42.5 19.5 22.3 24.3 26.9 || 17.7 17.3 ‡ || 57.7 20.0 30.9 15.7 12.4 25.0 || ‡ 30.0 27.9 21.7 22.9 11.4 38.1 || 29.9 29.6 7.8 || 25.3 15.9 16.8 355 178 1,565 109 80 592 415 14 76 154 ‡ 14 341 108 554 95 13 91 9 ‡ 721 399 372 145 68 608 16 181 380 55 ¶ 212 145 98 ‡ No data available. 45-64 Rate § 20.6 23.9 14.5 7.8 8.2 12.7 15.1 || 10.2 12.9 ‡ || 21.2 5.7 19.6 6.5 || 12.8 || ‡ 12.8 16.0 11.8 15.1 6.5 18.5 || 15.3 22.4 7.6 || 9.4 8.2 6.3 N 60 58 277 34 14 183 125 6 14 52 ‡ 5 54 15 137 30 ¶ 25 ¶ ‡ 103 107 95 54 24 126 ¶ 65 113 12 7 49 58 45 65+ Rate § 4.9 8.7 3.4 3.0 || 4.3 6.3 || || 5.0 ‡ || 3.9 || 5.4 2.4 || 4.4 || ‡ 2.2 5.2 3.3 6.3 2.8 4.0 || 6.2 7.7 || || 2.8 3.7 3.3 N 19 15 54 ¶ ¶ 52 33 ¶ 5 8 ‡ ¶ 14 ¶ 14 8 ¶ 5 ¶ ‡ 12 26 12 ¶ 9 ‡ ¶ 15 17 ¶ ¶ 22 17 8 ¶ Case counts are suppressed if fewer than 5 cases were reported. # Age in years. § Rate per 100,000 population. || Rates are suppressed if fewer than 20 cases were reported. 45 Rate§ || || 1.4 || || 1.8 3.9 || || || ‡ || || || || || || || || ‡ || 2.6 || || || ‡ || || || || || 2.6 || || Figure 5g Percentage of Adults Reporting Living in a Home with a Loaded and Unlocked Firearm, 2004, Behavioral Risk Factor Surveillance System Percentage Arizona Arkansas California Colorado Connecticut Florida Georgia Hawaii Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Nebraska Nevada New Hampshire New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina Tennessee Utah Vermont Virginia Washington Wisconsin 6.1 10.3 2.8 5.0 1.4 4.8 7.8 ‡ 3.8 6.5 7.7 2.1 1.6 0.6 3.1 1.9 2.3 6.4 2.0 7.1 1.1 6.2 2.8 8.5 6.3 3.2 1.0 8.1 7.4 2.5 2.5 5.4 4.1 2.0 0 2 4 6 ‡ No data available. 46 8 10 12 Homicide Indicators 6a. Homicide (Overall), 2004 6b. Homicide by Sex, 2004 6c. Homicide by Age, 2004 47 Figure 6a Homicide (Overall), 2004 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 Hampshire New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina Tennessee Utah Vermont Virginia Washington Wisconsin United States 480 210 2,484 220 104 1,023 657 29 118 205 603 21 535 175 672 130 39 180 ‡ 175 870 608 544 219 107 678 26 313 415 42 10 400 216 149 17,321 0 2 4 6 8 10 ‡ No data available. § Rate per 100,000 population. 12 Rate§ 8.2 7.7 6.8 4.6 3.1 6.1 7.3 2.3 4.4 4.9 13.0 1.6 9.8 2.8 6.7 2.5 2.2 7.4 ‡ 9.3 4.5 7.1 4.8 6.2 3.0 5.7 2.4 7.5 7.0 1.8 || 5.3 3.5 2.7 5.9 14 || Rates are suppressed if fewer than 20 cases were reported. ¶ Case counts are suppressed if fewer than 5 cases were reported. 48 Figure 6b Homicide by Sex, 2004 MALES Age-Adjusted Rate per 100,000 24 20 16 12 8 4 FEMALES Number Age-Adjusted Rate per 100,000 Number 13.3 397 11.9 159 11.2 2,103 6.3 156 4.6 76 8.9 738 10.8 490 3.6 23 5.7 77 7.2 147 21.2 488 || 14 16.9 458 4.5 143 10.7 532 3.7 98 3.2 28 11.4 144 ‡ ‡ 12.9 121 7.3 696 10.9 472 7.3 411 8.9 157 4.6 84 8.9 528 || 19 11.5 235 11.1 325 2.5 31 || 5 7.8 292 4.9 155 4.0 113 9.2 13,549 Arizona Arkansas California Colorado Connecticut Florida Georgia Hawaii Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Nebraska Nevada New Hampshire New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina Tennessee Utah Vermont Virginia Washington Wisconsin United States 0 83 2.9 51 3.6 381 2.1 64 2.7 28 1.6 285 3.3 167 3.7 6 || 41 3.2 58 2.8 115 5.0 7 || 79 2.8 32 1.0 140 2.8 32 1.3 11 || 36 3.1 ‡ ‡ 54 5.7 174 1.8 136 3.2 133 2.3 62 3.5 23 1.3 150 2.5 7 || 78 3.7 90 3.0 11 || 5 || 108 2.8 61 2.0 36 1.3 3,772 2.6 0 ‡ No data available. § Rate per 100,000 population. 4 8 12 || Rates are suppressed if fewer than 20 cases were reported. ¶ Case counts are suppressed if fewer than 5 cases were reported. 49 16 20 24 Figure 6c Homicide by Age#, 2004 0-14 State Arizona Arkansas California Colorado Connecticut Florida Georgia Hawaii Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Nebraska Nevada New Hampshire New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina Tennessee Utah Vermont Virginia Washington Wisconsin United States N 23 13 98 21 7 64 53 ¶ 11 10 17 ¶ 25 10 40 13 6 10 ‡ 16 41 37 33 17 10 41 ¶ 23 19 5 ¶ 26 25 14 1,031 15-24 Rate § 1.8 || 1.2 2.2 || 1.9 2.7 || || || || || 2.2 || 1.9 || || || ‡ || 1.1 2.1 1.4 || || 1.8 || 2.7 || || || 1.7 2.0 || 1.7 N 131 39 939 57 36 235 148 ¶ 30 52 221 ¶ 203 80 161 42 11 50 ‡ 40 285 141 150 49 25 214 10 71 103 10 ¶ 124 53 48 5,085 25-44 Rate N § 15.8 9.8 18.2 8.5 7.9 10.5 11.6 || 7.2 9.0 31.3 || 26.6 9.4 11.2 5.6 || 14.5 ‡ 13.6 10.9 12.0 9.3 9.2 5.0 12.2 || 11.7 12.7 || || 12.2 6.0 5.9 12.2 223 87 995 82 45 438 290 11 49 91 266 9 240 60 337 49 12 81 ‡ 71 361 280 226 92 39 303 7 148 188 16 ¶ 165 88 59 7,479 ‡ No data available. 45-64 Rate § 12.9 11.7 9.2 5.9 4.6 9.4 10.5 || 6.6 7.7 21.5 || 14.9 3.1 12.0 3.3 || 11.4 ‡ 14.2 6.4 11.1 7.2 9.6 3.7 9.2 || 12.6 11.1 || || 7.3 5.0 3.8 8.9 N 76 52 365 47 12 224 123 12 18 38 83 5 52 20 105 21 6 28 ‡ 33 148 117 101 48 23 101 6 54 79 6 ¶ 63 38 24 2,887 65+ Rate § 6.2 7.8 4.5 4.2 || 5.3 6.2 || || 3.6 7.7 || 3.7 1.3 4.2 1.7 || 4.9 ‡ 7.0 3.1 5.8 3.5 5.6 2.7 3.2 || 5.2 5.4 || || 3.5 2.4 1.7 4.1 N 27 19 87 13 ¶ 62 43 ¶ 10 14 16 ¶ 15 5 29 5 ¶ 11 ‡ 15 35 33 34 13 10 19 ¶ 17 26 5 ¶ 22 12 ¶ 839 ¶ Case counts are suppressed if fewer than 5 cases were reported. # Age in years. § Rate per 100,000 population. || Rates are suppressed if fewer than 20 cases were reported. 50 Rate§ 3.6 || 2.3 || || 2.1 5.1 || || || || || || || 2.3 || || || ‡ || 1.4 3.2 2.2 || || || || || 3.5 || || 2.6 || || 2.3 Suicide Indicators 7a.Suicide (Overall), 2004 7b.Suicide by Sex, 2004 7c.Suicide by Age, 2004 7d.Suicide Attempt Hospitalizations (Overall), 2004 7e.Suicide Attempt Hospitalizations by Sex, 2004 7f.Suicide Attempt Hospitalizations by Age, 2004 51 Figure 7a Suicide (Overall), 2004 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 Hampshire 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 ‡ No data available. § Rate per 100,000 population. Rate§ 854 14.9 359 12.9 3,362 9.6 792 16.8 288 7.9 2,380 13.1 966 11.2 114 8.8 368 13.6 524 12.4 533 11.9 169 12.1 491 8.7 429 6.4 1,096 10.7 522 10.0 166 9.5 432 18.2 ‡ ‡ 358 18.9 1,242 6.3 1,021 11.9 1,280 11.0 503 14.3 549 15.0 1,395 11.0 79 7.0 474 11.1 791 13.2 376 16.6 91 14.0 804 10.9 823 13.2 656 11.6 32,428 10.9 20 || Rates are suppressed if fewer than 20 cases were reported. ¶ Case counts are suppressed if fewer than 5 cases were reported. 52 Figure 7b Suicide by Sex, 2004 MALES Age-Adjusted Rate per 100,000 35 30 25 20 15 10 5 FEMALES Number Age-Adjusted Rate per 100,000 Number 24.1 674 Arizona 180 6.3 21.9 291 Arkansas 68 4.8 15.1 2,541 California 821 4.6 26.2 606 Colorado 186 7.9 13.1 226 Connecticut 62 3.3 20.4 1,790 Florida 590 6.4 19.1 769 Georgia 197 4.4 13.9 88 Hawaii 26 3.9 21.6 289 Kansas 79 5.8 21.6 435 Kentucky 89 4.1 20.4 433 Louisiana 100 4.3 20.3 136 Maine 33 4.6 15.1 398 Maryland 93 3.1 10.9 342 Massachusetts 87 2.5 17.8 875 Michigan 221 4.2 16.7 425 Minnesota 97 3.7 15.3 132 Nebraska 34 3.9 29.3 337 Nevada 95 8.0 ‡ ‡ New Hampshire ‡ ‡ 31.7 292 New Mexico 66 6.8 10.6 991 New York 251 2.4 19.4 790 North Carolina 231 5.2 18.1 1,006 Ohio 274 4.5 22.9 391 Oklahoma 112 6.3 23.5 406 Oregon 143 7.7 18.4 1,123 Pennsylvania 272 4.2 12.2 66 Rhode Island 13 || 19.2 386 South Carolina 88 4.0 22.2 627 Tennessee 164 5.3 27.6 308 Utah 68 6.0 24.1 75 Vermont 16 || 18.5 642 Virginia 162 4.3 21.3 633 Washington 190 6.0 18.0 501 Wisconsin 155 5.5 18.0 25,555 6,873 4.5 United States 0 0 ‡ No data available. § Rate per 100,000 population. 5 10 15 || Rates are suppressed if fewer than 20 cases were reported. ¶ Case counts are suppressed if fewer than 5 cases were reported. 53 20 25 30 35 Figure 7c Suicide by Age#, 2004 0-14 State Arizona Arkansas California Colorado Connecticut Florida Georgia Hawaii Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Nebraska Nevada New Hampshire New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina Tennessee Utah Vermont Virginia Washington Wisconsin United States N ¶ ¶ 25 11 5 16 9 ¶ ¶ ¶ 6 ¶ 6 ¶ 11 8 ¶ ¶ ‡ 7 12 9 19 ¶ ¶ 14 ¶ ¶ ¶ 5 ¶ 5 ¶ 8 285 15-24 Rate § || || 0.3 || || || || || || || || || || || || || || || ‡ || || || || || || || || || || || || || || || 0.5 N 137 38 423 101 34 207 131 14 56 69 85 28 57 51 138 84 33 38 ‡ 76 174 128 176 74 66 161 11 63 99 62 7 92 102 101 4,316 25-44 Rate N § 16.5 9.6 8.2 15.0 7.4 9.2 10.2 || 13.4 11.9 12.1 15.5 7.5 6.0 9.6 11.1 12.4 11.0 ‡ 25.9 6.7 10.9 10.9 13.9 13.2 9.1 || 10.4 12.3 14.6 || 9.1 11.6 12.3 10.4 298 120 1,134 299 93 754 364 39 136 201 209 50 170 165 430 209 54 127 ‡ 129 425 427 450 186 167 499 27 158 292 155 31 291 301 253 11,712 ‡ No data available. 45-64 Rate § 17.3 16.1 10.5 21.4 9.5 16.1 13.2 11.4 18.2 16.9 16.9 14.3 10.6 8.6 15.2 14.2 11.4 17.8 ‡ 25.7 7.6 16.9 14.3 19.4 15.9 15.2 8.8 13.4 17.2 21.4 18.8 12.8 16.9 16.4 13.9 N 263 142 1,148 292 113 887 313 41 118 176 159 63 177 141 381 165 50 178 ‡ 97 423 299 440 151 205 513 33 170 281 117 35 276 278 213 10,917 65+ Rate § 21.5 21.2 14.2 25.8 12.5 20.9 15.7 12.6 18.1 16.9 14.7 17.0 12.6 8.9 15.1 13.3 12.0 31.1 ‡ 20.5 9.0 14.7 15.3 17.6 24.1 16.4 12.3 16.3 19.2 25.6 19.7 15.5 17.9 15.4 15.4 N 154 57 632 89 43 516 149 18 55 78 74 28 81 69 136 56 26 86 ‡ 49 208 158 195 88 109 208 8 79 116 37 17 140 139 81 5,198 ¶ Case counts are suppressed if fewer than 5 cases were reported. # Age in years. § Rate per 100,000 population. || Rates are suppressed if fewer than 20 cases were reported. 54 Rate§ 20.4 15.0 16.5 18.5 9.1 17.6 17.6 || 15.5 15.0 14.0 14.8 12.8 8.1 10.9 9.1 11.2 32.2 ‡ 21.4 8.3 15.3 12.8 18.9 23.9 11.0 || 15.2 15.8 17.8 || 16.5 20.0 11.3 14.3 Figure 7d Suicide Attempt Hospitalizations (Overall), 2004 Age-Adjusted Rate per 100,000 Arizona Arkansas California Colorado Connecticut Florida Georgia Hawaii Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Nebraska Nevada New Hampshire New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina Tennessee Utah Vermont Virginia Washington Wisconsin 0 10 20 30 40 50 60 70 80 External Cause Percentage* Number Rate§ 2,903 50.3 92.8% 1,986 74.2 100.0% 11,142 30.9 100.0% 2,021 42.4 98.8% 1,179 34.2 94.7% 8,137 48.3 85.7% 3,381 37.4 95.5% 427 34.0 86.4% 1,345 50.7 81.5% 2,018 48.6 78.6% ‡ ‡ ‡ 778 59.8 86.2% 1,702 30.4 95.6% 2,965 45.8 98.9% 5,126 50.9 86.2% 2,442 47.1 84.7% 506 29.0 97.0% 831 34.5 66.0% 668 51.3 99.8% ‡ ‡ ‡ 7,211 37.4 99.1% 3,637 42.3 90.2% 4,613 40.7 99.0% 1,997 57.6 88.2% 1,959 54.1 89.0% 6,643 54.9 97.7% 397 36.5 96.7% 1,669 40.0 93.0% 3,465 59.0 96.3% 1,790 72.5 92.0% 314 50.3 98.4% 2,992 40.0 82.7% 3,363 53.8 98.4% 4,863 87.6 100.0% 90 * 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. § Rate per 100,000 population. ¶ Case counts are suppressed if fewer than 5 cases were reported. 55 Figure 7e Suicide Attempt Hospitalizations by Sex, 2004 MALES Age-Adjusted Rate per 100,000 120 100 80 60 40 20 FEMALES Number Age-Adjusted Rate per 100,000 Number 39.9 1,171 64.4 860 25.1 4,505 35.2 852 28.4 481 39.0 3,258 31.9 1,435 27.5 174 37.3 506 41.5 859 ‡ ‡ 46.3 294 27.4 743 38.4 1,224 43.0 2,160 33.0 863 21.1 185 26.4 326 40.8 260 ‡ ‡ 32.2 3,048 34.5 1,478 33.3 1,867 44.8 782 38.4 698 46.4 2,768 34.2 183 32.1 663 50.2 1,459 57.4 715 35.0 112 30.6 1,128 41.2 1,295 60.4 1,700 Arizona Arkansas California Colorado Connecticut Florida Georgia Hawaii Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Nebraska Nevada New Hampshire New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina Tennessee Utah Vermont Virginia Washington Wisconsin 0 1,732 61.1 1,126 84.1 6,635 37.1 1,169 50.2 698 40.0 4,879 57.9 1,946 43.2 253 41.7 839 64.8 1,159 55.9 ‡ ‡ 484 73.3 959 33.5 1,741 53.2 2,966 58.8 1,579 61.7 321 37.2 503 42.8 407 62.0 ‡ ‡ 4,163 42.8 2,159 50.4 2,746 48.2 1,214 70.5 1,261 70.2 3,875 63.7 214 38.8 1,006 47.8 2,006 67.8 1,075 88.0 202 65.4 1,864 49.6 2,068 66.9 3,163 115.5 0 ‡ No data available. § Rate per 100,000 population. 20 40 60 || Rates are suppressed if fewer than 20 cases were reported. ¶ Case counts are suppressed if fewer than 5 cases were reported. 56 80 100 120 Figure 7f Suicide Attempt Hospitalizations by Age#, 2004 0-14 15-24 State N Rate Arizona Arkansas California Colorado Connecticut Florida Georgia Hawaii Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Nebraska Nevada New Hampshire New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina Tennessee Utah Vermont Virginia Washington Wisconsin 80 67 348 58 36 218 79 14 37 43 ‡ 16 19 94 148 107 18 32 20 ‡ 241 96 81 62 52 131 10 70 64 56 9 100 100 289 6.2 12.0 4.3 6.0 5.2 6.6 4.0 || 6.6 5.3 ‡ || || 7.8 7.1 10.5 || 6.3 8.0 ‡ 6.4 5.5 3.5 8.7 7.1 5.6 || 8.3 5.4 8.6 || 6.4 8.0 26.9 § 25-44 N Rate 691 444 2,821 507 290 1,702 752 109 402 467 ‡ 197 375 638 1,250 760 137 186 152 ‡ 1,846 721 1,039 499 438 1,514 95 299 682 561 80 686 830 1,538 83.3 112.0 54.6 75.5 63.4 76.0 58.8 62.2 96.0 80.6 ‡ 109.2 49.2 74.9 86.7 100.8 51.4 54.0 85.2 ‡ 70.8 58.4 64.3 93.6 87.9 86.0 60.9 49.4 84.4 132.0 89.3 67.6 94.0 187.6 45-64 N Rate 1,428 993 4,561 894 515 3,511 1,633 157 614 1,012 ‡ 350 801 1,386 2,345 1,061 210 364 329 ‡ 3,070 1,844 2,254 972 887 3,106 180 834 1,798 785 131 1,428 1,552 2,085 82.8 133.3 42.3 64.0 52.9 75.2 59.3 46.0 82.3 85.1 ‡ 99.9 49.9 72.5 83.2 72.1 44.3 51.1 89.9 ‡ 54.6 73.8 71.6 101.5 84.6 94.6 58.9 70.7 106.2 108.2 79.6 63.0 87.4 135.1 § ‡ No data available. § Rate per 100,000 population. || Rates are suppressed if fewer than 20 cases were reported. § 65+ N Rate 586 409 2,771 477 278 2,152 816 123 255 447 ‡ 190 439 732 1,206 460 125 207 143 ‡ 1,682 864 1,100 422 513 1,636 97 421 829 351 80 665 783 839 48.0 61.0 34.3 42.2 30.7 50.7 41.0 37.9 39.1 42.8 ‡ 51.3 31.3 46.1 47.9 37.0 30.0 36.1 41.4 ‡ 35.7 41.9 38.2 49.3 60.2 52.3 36.1 40.3 56.5 76.7 45.1 37.4 50.3 60.7 § N Rate§ 118 73 641 85 60 554 101 24 37 49 ‡ 25 68 115 177 54 16 42 23 ‡ 372 112 139 42 69 256 15 45 92 37 14 113 98 112 15.6 19.2 16.8 17.7 12.7 18.9 11.9 14.0 10.4 9.4 ‡ 13.2 10.7 13.5 14.2 8.8 || 15.7 14.5 ‡ 14.9 11.0 9.1 9.0 15.2 13.5 || 8.6 12.5 17.8 || 13.3 14.1 15.6 ¶ Case counts are suppressed if fewer than 5 cases were reported. # Age in years. 57 Motor Vehicle Indicators 8a. Unintentional Motor Vehicle Traffic Fatalities (Overall), 2004 8b. Unintentional Motor Vehicle Traffic Fatalities by Sex, 2004 8c. Unintentional Motor Vehicle Traffic Fatalities by Age, 2004 8d. Unintentional Motor Vehicle Traffic and Non-Traffic Hospitalizations (Overall), 2004 8e. Unintentional Motor Vehicle Traffic and Non-Traffic Hospitalizations by Sex, 2004 8f. Unintentional Motor Vehicle Traffic and Non-Traffic Hospitalizations by Age, 2004 8g. Of the Adults Reporting Drinking at Least One Alcoholic Beverage in the Past Month, the Percentage Reporting Driving after Perhaps Having Too Much to Drink in the Past Month, 2004, Behavioral Risk Factor Surveillance System 8h. Alcohol-Related Crash Deaths, 2004, Fatality Analysis Reporting System 59 Figure 8a Unintentional Motor Vehicle Traffic Fatalities (Overall), 2004 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 Hampshire 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. § Rate per 100,000 population. 25 Rate§ 1,008 17.4 755 27.4 3,820 10.8 675 14.5 319 9.1 3,198 18.1 1,427 16.6 134 10.6 476 17.7 864 20.7 970 21.3 165 12.4 652 11.8 508 7.7 1,225 12.0 602 11.6 269 14.9 382 15.9 ‡ ‡ 444 23.3 1,464 7.5 1,635 19.2 1,177 10.1 732 20.4 462 12.7 1,494 11.7 75 6.6 986 23.3 1,344 22.6 298 12.8 80 12.5 885 11.9 647 10.4 751 13.2 43,406 14.7 30 || Rates are suppressed if fewer than 20 cases were reported. ¶ Case counts are suppressed if fewer than 5 cases were reported. 60 Figure 8b Unintentional Motor Vehicle Traffic Fatalities by Sex, 2004 MALES Age-Adjusted Rate per 100,000 40 35 30 25 20 15 10 5 FEMALES Number Age-Adjusted Rate per 100,000 Number 22.8 652 Arizona 356 12.1 36.5 490 Arkansas 265 18.8 14.4 2,523 California 1,297 7.2 19.0 447 Colorado 228 9.8 13.2 221 Connecticut 98 5.4 26.3 2,254 Florida 944 10.2 22.9 940 Georgia 487 11.0 15.1 95 Hawaii 39 5.8 23.0 304 Kansas 172 12.7 28.1 570 Kentucky 294 13.9 30.0 658 Louisiana 312 13.2 15.8 100 Maine 65 9.4 17.9 471 Maryland 181 6.3 10.8 342 Massachusetts 166 4.6 16.4 809 Michigan 416 7.8 16.2 408 Minnesota 194 7.4 18.9 165 Nebraska 104 11.2 21.8 265 Nevada 117 9.8 ‡ ‡ 32.9 307 10.9 27.2 14.7 27.9 New Hampshire ‡ ‡ New Mexico 137 14.0 1,004 New York 459 4.3 1,127 North Carolina 508 11.7 825 Ohio 352 5.8 489 Oklahoma 243 13.2 17.2 305 Oregon 157 8.4 16.7 1,015 Pennsylvania 479 6.9 10.7 58 Rhode Island 17 || 35.2 724 South Carolina 262 12.0 32.9 935 Tennessee 409 13.3 16.2 189 Utah 109 9.4 16.6 52 Vermont 28 8.5 17.1 612 Virginia 273 7.1 14.8 455 Washington 192 6.1 18.3 506 Wisconsin 245 8.3 20.6 29,628 13,778 9.0 United States 0 0 ‡ No data available. § Rate per 100,000 population. 5 10 15 20 || Rates are suppressed if fewer than 20 cases were reported. ¶ Case counts are suppressed if fewer than 5 cases were reported. 61 25 30 35 40 Figure 8c Unintentional Motor Vehicle Traffic Fatalities by Age#, 2004 0-14 State N Arizona Arkansas California Colorado Connecticut Florida Georgia Hawaii Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Nebraska Nevada New Hampshire New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina Tennessee Utah Vermont Virginia Washington Wisconsin United States 49 44 217 30 11 147 77 ¶ 29 35 60 8 38 19 61 35 11 19 ‡ 31 82 88 50 36 29 54 ¶ 28 53 20 ¶ 29 24 26 2,165 15-24 Rate § 3.8 7.9 2.7 3.1 || 4.4 3.9 || 5.1 4.3 6.2 || 3.3 || 2.9 3.4 || || ‡ 7.7 2.2 5.0 2.2 5.1 4.0 2.3 || 3.3 4.4 3.1 || 1.9 1.9 2.4 3.6 N 247 192 924 181 83 720 319 31 116 232 249 45 172 128 308 147 82 72 ‡ 114 333 422 336 196 109 354 24 244 326 69 22 230 184 207 10,757 25-44 Rate N § 29.8 48.5 17.9 26.9 18.1 32.2 24.9 17.7 27.7 40.0 35.3 24.9 22.6 15.0 21.4 19.5 30.8 20.9 ‡ 38.8 12.8 35.9 20.8 36.8 21.9 20.1 15.4 40.3 40.3 16.2 24.6 22.7 20.8 25.2 25.8 299 253 1,199 208 96 931 449 55 126 309 322 49 183 146 340 154 61 126 ‡ 145 397 527 325 217 121 413 20 356 416 99 21 276 180 208 13,285 ‡ No data available. 45-64 Rate § 17.3 34.0 11.1 14.9 9.9 19.9 16.3 16.1 16.9 26.0 26.0 14.0 11.4 7.6 12.1 10.5 12.9 17.7 ‡ 28.9 7.1 20.8 10.3 22.6 11.5 12.6 6.5 30.2 24.6 13.6 12.8 12.2 10.1 13.5 15.8 N 233 160 858 162 71 797 352 22 118 179 232 29 152 119 283 148 62 103 ‡ 97 304 335 269 160 117 349 15 241 356 61 20 184 156 157 10,024 65+ Rate § 19.1 23.9 10.6 14.3 7.8 18.8 17.7 6.8 18.1 17.1 21.5 7.8 10.8 7.5 11.2 11.9 14.9 18.0 ‡ 20.5 6.5 16.5 9.3 18.7 13.7 11.2 || 23.1 24.3 13.3 11.3 10.3 10.0 11.4 14.2 N Rate§ 180 106 622 94 58 603 230 22 87 109 107 34 107 96 233 118 53 62 ‡ 57 348 263 197 123 86 324 16 117 193 49 15 166 103 153 7,175 23.8 27.8 16.3 19.6 12.2 20.6 27.2 12.8 24.5 21.0 20.3 17.9 16.9 11.2 18.7 19.2 22.9 23.2 ‡ 24.8 14.0 25.5 12.9 26.5 18.9 17.1 || 22.5 26.3 23.6 || 19.6 14.8 21.3 19.7 ¶ Case counts are suppressed if fewer than 5 cases were reported. # Age in years. § Rate per 100,000 population. || Rates are suppressed if fewer than 20 cases were reported. 62 Figure 8d Unintentional Motor Vehicle Traffic and Non-Traffic Hospitalizations (Overall), 2004 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 Hampshire New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina Tennessee Utah Vermont Virginia Washington Wisconsin 0 20 40 60 80 100 120 Rate§ External Cause Percentage* 7,633 131.0 92.8% 3,281 119.0 100.0% 31,590 88.0 100.0% 4,561 98.0 98.8% 2,583 74.5 94.7% 16,330 94.6 85.7% 8,289 94.5 95.5% 1,291 102.3 86.4% 1,659 63.9 81.5% 4,205 101.0 78.6% ‡ ‡ ‡ 1,227 93.3 86.2% 5,805 105.0 95.6% 4,847 75.0 98.9% 8,903 88.0 86.2% 3,855 74.0 84.7% 896 50.0 97.0% 1,759 73.0 66.0% 1,007 77.0 99.8% ‡ ‡ ‡ 15,541 80.4 99.1% 7,804 91.0 90.2% 6,619 57.0 99.0% 3,654 102.9 88.2% 2,627 73.0 89.0% 14,447 115.0 97.7% 389 35.0 96.7% 4,450 105.7 93.0% 7,297 124.0 96.3% 2,176 92.0 92.0% 533 84.7 98.4% 3,619 49.0 82.7% 4,593 73.9 98.4% 3,764 66.8 100.0% 140 * 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. § Rate per 100,000 population. ¶ Case counts are suppressed if fewer than 5 cases were reported. 63 Figure 8e Unintentional Motor Vehicle Traffic and Non-Traffic Hospitalizations by Sex, 2004 MALES Age-Adjusted Rate per 100,000 180 160 140 120 100 80 60 40 164.3 4,820 145.6 1,967 113.9 20,499 126.5 2,976 101.3 1,702 122.6 10,345 119.5 5,185 136.1 865 80.5 1,035 123.3 2,518 ‡ ‡ 118.7 761 139.4 3,754 98.1 3,069 109.6 5,464 94.5 2,429 64.9 563 96.2 1,173 106.3 672 ‡ ‡ 105.7 9,837 116.3 4,926 73.3 4,112 130.2 2,283 96.1 1,720 151.1 9,109 42.8 225 136.1 2,796 156.2 4,489 114.9 1,363 114.4 356 61.9 2,265 97.7 3,020 84.0 2,323 20 FEMALES Number 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 Hampshire New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina Tennessee Utah Vermont Virginia Washington Wisconsin 0 2,813 96.5 1,314 91.3 11,087 61.8 1,585 68.4 881 48.0 5,985 66.3 3,104 70.1 426 66.2 624 46.8 1,685 78.2 ‡ ‡ 466 67.9 2,046 71.2 1,778 51.9 3,438 65.9 1,426 54.0 333 36.7 585 49.7 335 49.1 ‡ ‡ 5,702 55.9 2,876 65.4 2,507 41.8 1,369 75.7 907 49.2 5,338 80.2 164 27.7 1,649 76.0 2,808 92.3 811 68.3 177 54.5 1,350 35.5 1,573 50.1 1,441 49.5 0 ‡ No data available. § Rate per 100,000 population. 20 40 60 80 100 || Rates are suppressed if fewer than 20 cases were reported. ¶ Case counts are suppressed if fewer than 5 cases were reported. 64 120 140 160 180 Figure 8f Unintentional Motor Vehicle Traffic and Non-Traffic Hospitalizations by Age#, 2004 0-4 State Arizona Arkansas California Colorado Connecticut Florida Georgia Hawaii Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Nebraska Nevada New Hampshire New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina Tennessee Utah Vermont Virginia Washington Wisconsin N 209 31 650 55 30 282 186 22 32 59 ‡ 12 37 26 161 45 15 25 10 ‡ 168 128 69 97 56 203 6 60 99 46 7 52 53 51 5-14 Rate § 48.5 16.7 24.7 16.4 14.1 25.8 27.4 24.8 8.6 22.1 ‡ || 9.9 6.6 24.8 13.6 || 14.6 || ‡ 13.5 22.1 9.5 40.0 24.5 27.8 || 21.4 25.4 18.8 || 10.4 13.2 15.0 N 666 162 2,402 252 162 1,174 612 87 125 238 ‡ 68 258 253 668 216 55 141 53 ‡ 1,306 481 305 332 164 1,002 28 359 434 162 29 176 277 186 15-24 Rate § 76.6 43.3 44.6 39.7 33.8 52.8 48.0 54.1 64.9 43.5 ‡ 42.9 33.1 31.0 46.4 31.5 23.2 42.1 30.2 ‡ 51.3 41.7 19.5 70.6 32.7 62.3 20.2 63.3 53.9 39.6 38.4 16.7 32.4 25.4 N 2,041 784 7,975 1,129 719 3,818 2,056 355 438 1,030 ‡ 365 1,703 1,289 2,070 988 210 401 241 ‡ 3,482 1,827 1,618 964 658 3,523 83 1,040 1,815 612 157 903 1,142 807 Rate 25-34 § 246.0 197.8 154.3 168.1 157.2 170.6 160.6 202.4 104.6 177.7 ‡ 202.3 223.3 151.4 143.6 131.0 78.9 116.4 135.2 ‡ 133.6 148.1 100.1 180.9 132.0 200.2 53.2 171.7 224.6 144.0 175.3 89.0 129.4 98.4 N 1,290 516 5,257 755 419 2,546 1,403 183 240 702 ‡ 185 1,004 704 1,359 572 113 288 146 ‡ 2,270 1,333 1,095 530 400 2,149 62 767 1,253 334 68 597 694 514 Rate 35-44 § 152.3 143.3 100.1 112.5 102.3 118.9 102.9 113.5 66.9 123.6 ‡ 127.0 141.2 80.0 104.1 84.3 49.3 82.0 96.7 ‡ 86.2 111.0 74.8 112.8 80.8 145.6 44.6 135.0 154.3 79.9 97.7 50.9 83.2 73.5 N 1,136 532 4,942 707 394 2,457 1,248 199 223 667 ‡ 185 957 778 1,462 609 130 295 174 ‡ 2,402 1,311 1,128 519 393 2,179 62 737 1,241 346 89 594 700 660 ‡ No data available. § Rate per 100,000 population. || Rates are suppressed if fewer than 20 cases were reported. Rate 45-54 § 129.5 138.2 89.2 97.6 69.8 97.1 89.6 110.4 57.5 107.3 ‡ 90.4 107.0 75.5 96.5 76.8 53.2 81.6 80.9 ‡ 80.3 101.1 67.0 106.3 71.0 120.7 37.3 120.6 140.8 112.5 93.6 54.3 74.3 78.2 N 906 444 4,291 703 319 2,255 1,140 172 233 555 ‡ 143 773 615 1,268 549 120 265 146 ‡ 1,969 1,062 981 440 391 1,850 47 631 991 269 73 500 712 495 Rate 55-64 § 126.3 118.1 88.3 101.5 59.9 94.7 95.9 92.4 59.5 91.7 ‡ 66.3 93.3 65.6 84.8 72.7 48.1 81.0 70.2 ‡ 71.8 89.1 57.6 89.2 73.4 102.6 29.6 106.2 117.1 96.4 70.3 50.0 76.6 59.6 N 556 318 2,400 390 195 1,378 685 108 165 393 ‡ 88 470 405 764 342 83 159 91 ‡ 1,356 657 564 304 222 1,217 30 394 604 178 46 351 403 369 Rate 65-74 § 110.3 108.1 74.4 89.0 52.1 73.9 85.3 78.1 63.4 89.5 ‡ 56.9 82.0 62.1 74.9 70.1 49.6 64.6 65.6 ‡ 68.8 75.6 47.9 83.8 69.6 91.8 27.3 87.4 97.5 99.7 62.5 45.1 64.4 66.8 N 384 245 1,577 231 132 1,069 474 72 85 262 ‡ 84 281 296 462 203 67 92 59 ‡ 1,091 432 335 210 153 929 27 216 391 101 31 215 247 267 Rate 93.2 119.4 80.9 88.3 60.9 72.5 99.5 91.0 50.0 93.1 ‡ 88.0 86.2 74.7 75.5 67.6 60.2 58.8 71.6 ‡ 89.0 79.1 44.9 84.4 67.1 97.5 41.8 75.6 98.7 92.2 75.9 47.4 70.3 76.1 ¶ Case counts are suppressed if fewer than 5 cases were reported. # Age in years. 65 75-84 § N 331 186 1,499 248 141 979 391 58 77 228 ‡ 69 229 349 524 238 74 65 56 ‡ 1,108 443 398 184 131 1,027 26 203 353 91 20 186 270 296 Rate 85+ § 124.1 145.3 110.3 151.8 80.6 91.2 142.1 85.9 59.5 127.4 ‡ 99.6 101.3 108.3 114.0 109.8 87.5 73.1 102.3 ‡ 121.4 126.9 69.9 114.0 78.2 149.0 43.5 115.8 142.6 125.9 70.3 63.9 109.7 115.2 N Rate§ 114 63 597 91 72 372 94 35 41 71 ‡ 28 93 132 165 93 29 28 31 ‡ 389 130 126 74 59 368 18 43 116 37 13 45 95 119 147.2 131.7 116.1 165.3 87.7 98.0 98.7 138.1 74.5 120.3 ‡ 111.6 112.4 97.0 94.2 94.7 80.8 126.9 146.1 ‡ 109.9 106.7 60.5 136.3 99.0 144.6 || 72.3 129.0 141.6 || 43.9 96.0 106.6 Figure 8g Of the Adults Reporting Drinking at Least One Alcoholic Beverage in the Past Month, the Percentage Reporting Driving after Perhaps Having Too Much to Drink in the Past Month, 2004, Behavioral Risk Factor Surveillance System Percentage Arizona Arkansas California Colorado Connecticut Florida Georgia Hawaii Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Nebraska Nevada New Hampshire New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina Tennessee Utah Vermont Virginia Washington Wisconsin 3.2 3.7 2.8 3.4 3.6 2.2 3.7 ‡ 3.4 3.1 5.6 2.4 3.7 3.6 4.4 3.8 5.6 5.1 2.9 3.3 3.0 2.4 5.0 3.3 3.5 3.3 4.4 3.9 3.9 3.0 3.2 3.1 2.9 6.4 0 1 2 3 ‡ No data available. 66 4 5 6 7 Figure 8h Alcohol-Related Crash Deaths, 2004, Fatality Analysis Reporting System Rate per 100,000 Arizona Arkansas California Colorado Connecticut Florida Georgia Hawaii Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Nebraska Nevada New Hampshire 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 § Rate per 100,000 population. 67 10 12 Number Rate§ 435 276 1,643 259 127 1,222 525 65 148 308 414 70 286 203 430 184 92 152 59 211 587 553 492 278 199 614 42 464 519 72 32 359 246 358 16,694 7.5 10.0 4.6 5.6 3.6 7.0 5.9 5.1 5.4 7.4 9.2 5.3 5.1 3.2 4.3 3.6 5.3 6.3 4.5 11.1 3.1 6.5 4.3 7.9 5.6 4.9 3.9 11.1 8.8 2.9 5.1 4.8 4.0 6.5 5.7 Poisoning Indicators 9a. Poisoning Fatalities (Overall), 2004 9b. Poisoning Fatalities by Sex, 2004 9c. Poisoning Fatalities by Age, 2004 9d. Poisoning Hospitalizations (Overall), 2004 9e. Poisoning Hospitalizations by Sex, 2004 9f. Poisoning Hospitalizations by Age, 2004 69 Figure 9a Poisoning Fatalities (Overall), 2004 Age-Adjusted Rate per 100,000 Arizona Arkansas California Colorado Connecticut Florida Georgia Hawaii Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Nebraska Nevada New Hampshire 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 ‡ No data available. § Rate per 100,000 population. Number Rate§ 744 13.3 247 9.2 3,362 9.4 610 12.8 365 10.4 2,427 14.2 738 8.3 113 8.8 258 9.7 525 12.6 555 12.5 148 11.4 698 12.3 734 11.2 987 9.7 319 6.1 88 5.2 402 16.6 ‡ ‡ 348 18.6 599 3.1 936 11.0 1,258 10.9 525 15.3 387 10.6 1,654 13.6 104 9.5 375 8.9 798 13.4 404 17.8 54 8.4 601 8.1 866 13.6 504 8.9 30,298 10.3 20 || Rates are suppressed if fewer than 20 cases were reported. ¶ Case counts are suppressed if fewer than 5 cases were reported. 70 Figure 9b Poisoning Fatalities by Sex, 2004 MALES Age-Adjusted Rate per 100,000 Number 24 20 16 12 8 4 17.3 482 10.3 137 11.6 2,062 16.3 393 14.1 241 18.3 1,537 10.1 443 13.5 86 11.4 153 16.2 333 16.6 358 15.3 96 17.1 469 15.6 500 12.5 624 7.9 207 6.1 53 19.1 237 ‡ ‡ 24.0 221 3.9 370 13.3 557 14.3 802 19.3 330 11.7 211 19.0 1,136 12.8 68 10.7 221 15.8 458 22.9 269 12.8 40 10.6 401 16.8 533 11.0 309 13.3 19,300 FEMALES Number Age-Adjusted Rate per 100,000 Arizona Arkansas California Colorado Connecticut Florida Georgia Hawaii Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Nebraska Nevada New Hampshire New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina Tennessee Utah Vermont Virginia Washington Wisconsin United States 0 262 9.3 110 8.0 1,300 7.3 217 9.2 124 6.7 890 10.2 295 6.6 27 4.3 105 7.9 192 9.1 197 8.6 52 7.5 229 7.7 234 6.9 363 7.0 112 4.3 35 4.2 165 14.0 ‡ ‡ 127 13.4 229 2.2 379 8.7 456 7.7 195 11.2 176 9.5 518 8.3 36 6.4 154 7.1 340 11.1 135 12.4 14 || 200 5.6 333 10.5 195 6.8 10,998 7.4 0 ‡ No data available. § Rate per 100,000 population. 4 8 12 || Rates are suppressed if fewer than 20 cases were reported. ¶ Case counts are suppressed if fewer than 5 cases were reported. 71 16 20 24 Figure 9c Poisoning Fatalities by Age#, 2004 0-14 State Arizona Arkansas California Colorado Connecticut Florida Georgia Hawaii Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Nebraska Nevada New Hampshire New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina Tennessee Utah Vermont Virginia Washington Wisconsin United States N 5 ¶ 12 ¶ ¶ 12 6 ¶ ¶ 8 ¶ ¶ ¶ ¶ ¶ ¶ ¶ ¶ ‡ ¶ 9 ¶ 9 ¶ ¶ 5 ¶ ¶ ¶ ¶ ¶ ¶ ¶ ¶ 174 15-24 Rate § || || || || || || || || || || || || || || || || || || ‡ || || || || || || || || || || || || || || || 0.3 N 77 31 211 49 43 251 54 6 20 63 84 23 43 83 85 18 8 39 ‡ 27 54 105 129 62 28 218 10 29 70 53 6 63 58 46 2,969 25-44 Rate N § 9.3 7.8 4.1 7.3 9.4 11.2 4.2 || 4.8 10.9 11.9 12.7 5.6 9.7 5.9 || || 11.3 ‡ 9.2 2.1 8.9 8.0 11.6 5.6 12.4 || 4.8 8.7 12.5 || 6.2 6.6 5.6 7.1 304 116 1,407 271 195 1,072 370 42 124 275 290 78 367 390 474 147 45 179 ‡ 162 255 457 554 245 159 799 49 165 379 207 25 310 366 225 14,190 ‡ No data available. 45-64 Rate § 17.6 15.6 13.0 19.4 20.0 22.9 13.4 12.3 16.6 23.1 23.4 22.3 22.9 20.4 16.8 10.0 9.5 25.1 ‡ 32.3 4.5 18.1 17.6 25.6 15.2 24.3 16.0 14.0 22.4 28.5 15.2 13.7 20.6 14.6 16.9 N 316 79 1,564 256 102 937 280 58 96 157 155 37 264 237 373 139 33 169 ‡ 147 218 321 494 191 171 548 41 161 307 132 21 198 398 199 11,444 65+ Rate § 25.9 11.8 19.3 22.6 11.3 22.1 14.1 17.9 14.7 15.0 14.4 10.0 18.8 14.9 14.8 11.2 7.9 29.5 ‡ 31.0 4.6 15.8 17.2 22.3 20.1 17.5 15.3 15.4 20.9 28.9 11.8 11.1 25.6 14.4 16.2 N 42 17 168 31 24 155 28 6 15 22 22 8 21 21 51 13 ¶ 12 ‡ 10 63 49 72 25 29 84 ¶ 17 40 10 ¶ 28 40 33 1,521 ¶ Case counts are suppressed if fewer than 5 cases were reported. # Age in years. § Rate per 100,000 population. || Rates are suppressed if fewer than 20 cases were reported. 72 Rate§ 5.6 || 4.4 6.5 5.1 5.3 3.3 || || 4.2 4.2 || 3.3 2.5 4.1 || || || ‡ || 2.5 4.7 4.7 5.4 6.4 4.4 || || 5.5 || || 3.3 5.7 4.6 4.2 Figure 9d Poisoning Hospitalizations (Overall), 2004 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 Hampshire New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina Tennessee Utah Vermont Virginia Washington Wisconsin 0 10 20 30 40 50 60 70 80 90 100 Rate§ 4,699 81.5 92.8% 1,617 59.2 100.0% 18,012 50.4 100.0% 3,192 67.9 98.8% 2,092 59.8 94.7% 13,636 79.7 85.7% 5,874 66.6 95.5% 657 51.4 86.4% 2,011 74.7 81.5% 3,258 78.2 78.6% ‡ ‡ ‡ 1,164 88.8 86.2% 3,744 66.7 95.6% 4,910 75.1 98.9% 8,631 85.4 86.2% 3,801 73.4 84.7% 713 40.6 97.0% 1,299 53.9 66.0% 996 76.4 99.8% ‡ ‡ ‡ 15,212 78.5 99.1% 6,238 72.7 90.2% 6,903 60.4 99.0% 3,639 104.0 88.2% 2,869 79.2 89.0% 12,484 101.8 97.7% 561 51.0 96.7% 2,778 66.3 93.0% 6,029 101.9 96.3% 2,396 102.1 92.0% 437 69.5 98.4% 4,229 56.7 82.7% 5,038 80.7 98.4% 5,871 105.2 100.0% 110 * 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. § Rate per 100,000 population. ¶ Case counts are suppressed if fewer than 5 cases were reported. 73 External Cause Percentage* Figure 9e Poisoning Hospitalizations by Sex, 2004 MALES Age-Adjusted Rate per 100,000 140 120 100 80 60 40 20 FEMALES Number Age-Adjusted Rate per 100,000 Number 67.3 1,949 53.1 708 42.9 7,615 57.4 1,359 57.3 972 70.1 5,903 59.7 2,598 44.5 284 56.0 763 68.5 1,407 ‡ ‡ 75.6 485 69.0 1,862 71.4 2,268 78.1 3,903 59.5 1,539 32.6 283 44.8 551 64.1 408 ‡ ‡ 82.5 7,757 64.1 2,701 52.6 2,937 89.7 1,565 60.6 1,088 99.5 5,962 51.6 275 57.1 1,164 90.2 2,599 82.4 971 57.1 182 44.9 1,649 64.6 1,998 83.9 2,326 Arizona Arkansas California Colorado Connecticut Florida Georgia Hawaii Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Nebraska Nevada New Hampshire New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina Tennessee Utah Vermont Virginia Washington Wisconsin 0 2,750 95.9 909 65.3 10,396 58.1 1,833 78.6 1,120 62.4 7,733 89.3 3,276 73.4 373 59.7 1,248 93.6 1,851 87.9 ‡ ‡ 679 101.6 1,882 64.6 2,642 78.7 4,727 92.3 2,262 87.8 430 48.7 744 63.3 588 88.1 ‡ ‡ 7,454 75.3 3,537 81.3 3,966 68.3 2,074 117.8 1,781 98.1 6,522 104.4 286 50.9 1,613 75.1 3,430 113.6 1,425 122.3 255 80.9 2,580 68.2 3,040 96.9 3,545 126.9 0 ‡ No data available. § Rate per 100,000 population. 20 40 60 || Rates are suppressed if fewer than 20 cases were reported. ¶ Case counts are suppressed if fewer than 5 cases were reported. 74 80 100 120 140 Figure 9f Poisoning Hospitalizations by Age#, 2004 0-4 State Arizona Arkansas California Colorado Connecticut Florida Georgia Hawaii Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Nebraska Nevada New Hampshire New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina Tennessee Utah Vermont Virginia Washington Wisconsin N 152 50 395 75 74 384 164 26 93 51 ‡ 28 93 75 284 95 15 29 16 ‡ 533 143 64 171 66 293 14 106 70 63 7 67 72 166 5-14 Rate § 35.3 26.9 15.0 22.3 34.7 35.2 24.2 29.3 25.0 19.1 ‡ 41.4 24.8 19.0 43.7 28.6 || 16.9 || ‡ 42.8 24.7 8.8 70.6 28.9 40.1 || 37.8 17.9 25.8 || 13.4 17.9 48.8 N 139 63 498 78 61 338 127 16 56 60 ‡ 28 46 117 227 149 27 37 28 ‡ 431 128 128 121 74 258 14 106 110 53 9 122 125 246 15-24 Rate § 16.0 16.8 9.2 12.3 12.7 15.2 10.0 || 29.1 11.0 ‡ 17.7 5.9 14.4 15.8 21.7 11.4 11.0 15.9 ‡ 16.9 11.1 8.2 25.7 14.8 16.0 || 18.7 13.7 13.0 || 11.6 14.6 33.6 N 889 302 3,567 640 377 2,479 1,005 130 462 627 ‡ 268 570 868 1,642 957 158 233 200 ‡ 2,672 928 1,337 743 531 2,308 109 392 942 555 105 862 868 1,341 Rate 25-34 § 107.1 76.2 69.0 95.3 82.4 110.7 78.5 74.1 110.4 108.2 ‡ 148.6 74.8 101.9 113.9 126.9 59.3 67.6 112.2 ‡ 102.5 75.2 82.7 139.4 106.5 131.2 69.9 64.7 116.6 130.6 117.2 84.9 98.3 163.6 N 919 303 2,742 603 344 2,262 1,003 103 362 723 ‡ 206 568 858 1,479 688 122 240 184 ‡ 2,301 1,129 1,368 627 525 2,136 90 517 1,177 482 66 837 820 968 Rate 35-44 § 108.5 84.2 52.2 89.8 84.0 105.6 73.6 63.9 101.0 127.3 ‡ 141.4 79.9 97.5 113.3 101.4 53.2 68.4 122.1 ‡ 87.4 94.0 93.5 133.5 106.1 144.7 64.7 91.0 144.9 115.3 94.9 71.3 98.4 138.4 N 946 318 3,709 659 462 2,941 1,396 100 419 770 ‡ 244 945 1,163 1,956 787 130 293 253 ‡ 3,656 1,557 1,625 795 623 3,021 129 604 1,500 451 91 972 1,026 1,262 ‡ No data available. Rate 45-54 § 107.9 82.6 66.9 91.0 81.8 116.3 100.3 55.5 108.1 123.9 ‡ 119.2 105.6 112.9 129.2 99.2 53.2 81.1 117.4 ‡ 122.2 120.1 96.5 162.8 112.6 167.3 77.6 98.8 170.2 146.6 95.7 88.9 108.9 149.5 N 819 260 3,582 599 370 2,623 1,123 151 346 586 ‡ 215 784 948 1,693 638 137 247 159 ‡ 2,967 1,181 1,349 590 599 2,490 106 536 1,221 380 78 790 1,046 918 Rate 55-64 § 114.2 69.2 73.7 86.5 69.5 110.2 94.4 81.1 88.3 96.9 ‡ 99.6 94.6 101.2 113.2 84.5 55.0 75.5 76.8 ‡ 108.3 99.1 79.2 119.7 112.5 138.1 66.8 90.2 144.3 136.2 75.1 79.0 112.5 110.5 N 392 146 1,750 239 164 1,160 533 54 110 210 ‡ 84 358 380 611 229 59 119 71 ‡ 1,237 531 484 275 219 901 48 226 518 214 32 302 482 382 Rate 65-74 § 77.7 49.6 54.3 54.5 43.8 62.2 66.4 39.0 42.3 47.8 ‡ 54.3 62.4 58.3 59.9 46.9 35.3 48.4 51.4 ‡ 62.8 61.1 41.1 75.8 68.6 68.0 43.7 50.2 83.6 119.9 43.4 38.8 77.0 69.1 N 209 85 843 131 93 634 301 35 75 112 ‡ 35 164 195 328 115 26 56 32 ‡ 618 334 260 137 99 458 17 150 260 92 23 142 252 251 75-84 Rate 50.7 41.4 43.2 50.1 42.9 43.0 63.2 44.2 44.1 39.8 ‡ 36.7 50.3 49.2 53.6 38.3 23.3 35.8 38.7 ‡ 50.4 61.2 34.8 55.1 43.4 48.1 || 52.5 65.7 84.0 56.3 31.3 71.7 71.6 ¶ Case counts are suppressed if fewer than 5 cases were reported. # Age in years. § Rate per 100,000 population. || Rates are suppressed if fewer than 20 cases were reported. 75 § 85+ N Rate 167 61 691 120 91 591 161 27 57 91 ‡ 43 154 201 289 106 24 30 30 ‡ 553 239 203 133 89 433 21 104 173 78 21 92 242 233 62.6 47.6 50.9 73.4 52.0 55.1 58.5 40.0 44.1 50.8 ‡ 62.1 68.1 62.4 62.9 48.9 28.4 33.8 54.6 ‡ 60.6 68.5 35.6 82.4 53.1 62.8 35.1 59.3 69.9 107.9 73.8 31.6 98.3 90.6 § N Rate§ 67 29 235 48 56 224 61 15 31 28 ‡ 13 62 105 122 37 15 15 22 ‡ 244 68 85 47 44 186 13 37 58 28 5 43 105 104 86.5 60.6 45.7 87.2 68.2 59.0 64.0 || 56.3 47.4 ‡ || 74.9 77.1 69.7 37.7 || || 103.1 ‡ 68.9 55.8 40.8 86.5 73.8 73.1 || 62.2 64.5 107.2 || 41.9 106.1 93.2 76