California County Health Status Profiles 2007

8/6/2019 California County Health Status Profiles 2007

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COUNTY HEALTH STATUSPROFILES

2007California Department of Public Health

Health Information and Strategic PlanningKevin Reilly, DVM, MPVM, Acting Deputy Director

California Department of Public HealthOffice of Health Information and Research

C. Jane McKendry, MEd, Chief

California Department of Public HealthOffice of Health Information and Research

Linette Scott, MD, MPH, Assistant Chief

California Department of Public HealthPlanning and Data Analysis Section

Karen Flannigan, Chief

In collaboration withCalifornia Conference of Local Health OfficersAnn Lindsay, MD, President

Arnold SchwarzeneggerGovernor

State of California

S. Kimberly Belsh Mark B Horton, MD, MSPHSecretary DirectorCalifornia Health & Human Services Agency California Department of Public Health


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ACKNOWLEDGMENTS

Steven Shippen , Research Program Specialist, and Carol Lau , Research Analyst, with theCenter for Health Statistics, Planning and Data Analysis Section, prepared this report. Theprincipal authors would like to extend their appreciation to the following people for their contribution to the publication and website production.

Janet Ciarcia and Tina Smith of the Office of Health Information and Research assistedwith the processing and distribution of the publication.

Carina Saraiva, MPH of the Maternal, Child and Adolescent Health/Office of FamilyPlanning Branch computed the breastfeeding initiation data using data collected by theNewborn Screening Program, Genetic Disease Branch.

Denise Gilson of the Sexually Transmitted Disease Control Branch provided chlamydiaand gonorrhea case incidence data.

Mary Heim of the Department of Finance provided the 2004 race/ethnic populationestimates by county with age and sex detail.

Jan Christensen of the Office of Health Information and Research matched the birth andinfant death records from the Birth and Death Statistical Master Files to create the BirthCohort-Perinatal Outcome Files of linked births and deaths.

Ann Nakamura of the Office of AIDS provided AIDS case incidence data.

Linda Johnson of the Tuberculosis Control Branch provided tuberculosis case incidencedata.

Daniel Cox of the Office of Health Information and Research prepared the Web page anddata links for the Internet version of the report and county summary tables.

The Staff of the Office of Vital Records collected, coded, and edited birth and deathcertificates, which form the basis of the Birth and Death Statistical Master Files.

Cover Photography by Akkana Peck: California Valley Quail (State Bird).

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State of CaliforniaHealth and Human Services Agency

California Department of Public Health

MARK B HORTON, MD, MSPH ARNOLD SCHWARZENEGDirector Governor

Dear Colleague:

We are pleased to present Californias County Health Status Profiles 2007 . Thisreport contains selected health status indicators recommended by the U.S. PublicHealth Service for monitoring state and local progress toward achieving the goals setforth in Healthy People 2010 . The Healthy People 2010 National Objectives challengepublic health professionals to increase the span of healthy life, reduce health disparities,

and ensure access to preventive services for all Americans.

The County Health Status Profiles report is updated each year and amendedaccording to priorities developed by the California Department of Public Health and theCalifornia Conference of Local Health Officers. Health status indicators presented inthis report have been expanded to include gonorrhea and six new causes of death inresponse to the results of a survey of county health officers and data managersassessing the value of reporting specific indicators. Small numbers and no incidence ofnew hepatitis C, measles, and syphilis cases in many of the states counties lead todiscontinuance of these health indicators. The Healthy People 2010 Objective targetshave been updated to reflect the recommendations of the midcourse review.

We believe this report is an important tool to evaluate the health of Californians. Thehealth status indicators are based on significant and readily available data to help guidethe course of health promotion and preventive services.

Mark B Horton, MD, MSPH Ann Lindsay, MDDirector President, California Conference of

Local Health Officers

1615 Capitol Avenue, Suite 73.720, MS 0500 P.O. Box 997377 Sacramento, CA 95899-7377

(916) 558-1700 (916) 558-1762 FAXInternet Address: www.cdph.ca.gov


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TABLE OF CONTENTS

INTRODUCTION..................................................................................................... 1-2

TABLES WITH HIGHLIGHTS ................................................................................. 3-79

TABLES HEALTH STATUS INDICATORS

1 19 MORTALITY INDICATORS PER 100,000 POPULATION

1 All Causes of Death............................................................................................. 3-42 All Cancer Deaths ............................................................................................... 5-63 Colorectal (Colon) Cancer................................................................................... 7-84 Lung Cancer.................................................................... 9-105 Female Breast Cancer.............................................................................. 11-126 Prostate Cancer .................................................................................................. 13-147 Diabetes .............................................................................................................. 15-168 Alzheimers Disease............................................................................................ 17-18

9 Coronary Heart Disease...................................................................................... 19-2010 Cerebrovascular Disease (Stroke) ...................................................................... 21-2211 Influenza/Pneumonia.. ............................................................... 23-2412 Chronic Lower Respiratory Disease.................................................................... 25-2613 Chronic Liver Disease and Cirrhosis................................................................... 27-2814 Unintentional Injuries........................................................................................... 29-3015 Motor Vehicle Crashes........................................................................................ 31-3216 Suicide......................................................................... 33-3417 Homicide........................................................................................ 35-3618 Firearm-Related Deaths ...................................................................................... 37-3819 Drug-Induced Deaths .......................................................................................... 39-40

20 23 MORBIDITY INDICATORS PER 100,000 POPULATION 20 Acquired Immunodeficiency Syndrome (AIDS)................................................... 41-4221 Tuberculosis ........................................................................................................ 43-4422 Chlamydia ........................................................................................................... 45-4623 Gonorrhea ........................................................................................................... 47-48

24A 24E BIRTH COHORT INFANT MORTALITY UNDER ONE YEAROF AGE PER 1,000 LIVE BIRTHS

24A Infant Mortality, All Race/Ethnic Groups.............................................................. 49-5024B Asian/Pacific Islander Infant Mortality ................................................................. 51-52

24C Black Infant Mortality........................................................................................... 53-5424D Hispanic Infant Mortality...................................................................................... 55-5624E White Infant Mortality........................................................................................... 57-58

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TABLE OF CONTENTS (continued)

TABLES HEALTH STATUS INDICATORS

25 27B NATALITY INDICATORS PER 100 LIVE BIRTHS OR 1,000POPULATION

25 Low Birthweight Infants ....................................................................................... 59-6026 Births to Adolescent Mothers, 15-19 Years Old Per 1,000 Live Births................ 61-6227A Prenatal Care Not Begun During The First Trimester ......................................... 63-6427B Adequate/Adequate Plus Prenatal Care........................................................... 65-66

28 BREASTFEEDING INITIATION RATES PER 100 LIVE BIRTHS

Breastfeeding Initiation During Early Postpartum................................................ 67-68

29 2004 CENSUS POPULATION HEALTH INDICATOR

Persons Under 18 Below Poverty ....................................................................... 69-7030 CURRENT AND PRIOR THREE-YEAR AVERAGE RATES AND

PERCENTAGES BY COUNTY

A Comparison of Three-Year Average Rates And Percentages AmongSelected Health Status Indicators ....................................................................... 71-79

TECHNICAL NOTES ................................................................................................................... 80-89

APPENDIX A

Comparison of Californias Health Status Profiles 2007 Rates with U.S. Rates .........................90

BIBLIOGRAPHY ........................................................................................................................... 91

ORDER FORM. ............................................................................................................................. 92

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CALIFORNIACOUNTIES

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INTRODUCTION

County Health Status Profiles has been published annually for the State of California since1993. This report presents public health data that can be directly compared with clearlyestablished benchmarks, such as national standards, and populations of similar composition . Appendix A (page 90) provides a comparison table of Californiasrates/percentages for selected health indicators, the target rates established for HealthyPeople 2010 (HP 2010) National Objectives, and the United States (U.S.) rateswhere available.

In keeping with the goal of using national standards, mortality causes of death data werecoded using the International Classification of Diseases, Tenth Revision (ICD-10) andage-adjusted rates were calculated using the 2000 Standard Population. Please note thatsome of the HP 2010 Objective target rates were changed beginning with the 2006 Profilespublication in accordance with midcourse review recommendations. For additionalinformation on the HP 2010 recommendations, visit the Centers for Disease Control andPrevention (CDC) online at http://wonder.cdc.gov/data2010/obj.htm .

This report contains vital statistics and morbidity tables that show the population, number of events, crude rates, and age-adjusted death rates (when applicable) or percentages bycounty. Also shown on these tables are the upper and lower 95 percent confidence limits,which provide a means for assessing the degree of stability of the estimated rates andpercentages. Vital statistics rates and percentages are subject to random variation, whichis inversely related to the number of events (e.g., deaths) used to calculate the rates andpercentages. Therefore, standard errors and relative standard errors (coefficients of variation) are calculated to measure the reliability of the rates and percentages. Estimatedrates and percentages that are categorized as unreliable (relative standard error

23 percent) are marked on these tables with an asterisk (*). Rates, percentages, andconfidence limits not calculated for zero events are shown as dashes (-).

Counties are ranked by rates or percentages based on the methodology described in theTechnical Notes section (pages 80 to 89). Data limitations and qualifications are providedin the Technical Notes to assist the reader with interpretation and comparison of these dataamong the counties. For those who may want to learn more about the problemsassociated with analysis of vital events involving small numbers, small area analysis, andage-adjusted death rates, references to relevant statistical publications are locatedin the bibliography.

New in 2007 are thematic maps of Californias 58 counties adding a visual comparison of rates or percentages from each table (excluding Table 30) along with the customary healthstatus indicator highlights. Health indicators were changed this year based on surveyresponses from county health officers and county data managers concerning the value of continued reporting on indicators with a preponderance of unreliable rates and concerningthe addition of new indicators valuable to public health monitoring and planning. Deathsdue to Alzheimers disease, chronic liver disease and cirrhosis, chronic lower respiratorydisease, colorectal (colon) cancer, influenza/pneumonia, and prostate cancer as well asincidence of new gonorrhea cases were added to the 2007 Profiles publication as a resultof the survey respondents interest in these health indicators. Small numbers as well as

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no incidence of new hepatitis C, measles, and primary/secondary syphilis cases in many of the states counties have provided few reliable rates for a number of years, were deemed tohave little value by respondents in evaluating the overall health of the counties, and werediscontinued in this publication.

The following California Department of Public Health offices provided data for this report:Center for Health Statistics, Division of Communicable Disease Control, Genetic DiseaseBranch, Maternal, Child and Adolescent Health/Office of Family Planning Branch, and theOffice of AIDS. In addition, the Demographic Research Unit of the Department of Financeprovided 2004 race/ethnicity population estimates by county with age and sex detail.Estimates of persons under age 18 in 2004 who were below poverty are from the U.S.Census Bureau ( http://www.census.gov/hhes/www/saipe/ ).

To access electronic copies of this report and prior reports, visit the California Departmentof Public Health, Center for Health Statistics site on the Internet athttp://www.dhs.ca.gov/OHIR/reports .

If you have questions about this report, or desire additional state or county health statusdata and statistics (either hard copy reports or electronic media), please write or phone:

California Department of Public HealthCenter for Health Statistics

MS 5103P.O. Box 997410

Sacramento, CA 95899-7410Telephone (916) 552-8095

Fax (916) 650-6889

Should you wish additional copies of the County Health Status Profiles, an order form and

instructions for placing your order appear at the end of this report (page 92).

California Department of Public Health 2 County Health Status Profiles 2007


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DEATHS DUE TO ALL CAUSES, 2003-2005

All Causes Age-Adjusted Death Rateby County per 100,000 Population

Less than or equal to 716.7

Within 716.8 to 832.1

Greater than 832.1

Unreliable*

California Department of Public Health, Death Records.

California Department of Finance,2004 Population Estimates with Age, Sex, and Race/Ethnic Detai l, July 2007.

*When add ed, indica tes unreliable rate, relativestandard error is gr eater than or equal to 23 percent.

Data Source:

California: 716.7

T he crude death rate from all causes for California was 646.1 deaths per 100,000population, a risk of dying equivalent to approximately one death for every 155persons. This rate was based on a three-year average number of deaths of 236,003.0from 2003 to 2005, and a population of 36,525,947 as of July 1, 2004. Among countieswith reliable rates, the crude rate ranged from 1,300.7 in Lake County to 349.7 inMono County, a difference in rates by a factor of 3.7 to 1.

The age-adjusted death rate from all causes for California for the three-year period from2003 to 2005 was 716.7 deaths per 100,000 population. Reliable age-adjusted deathrates ranged from 1,012.4 in Kern County to 413.3 in Mono County.

A Healthy People 2010 National Objective for deaths due to all causes has not beenestablished.



1 MONO 13,727 48.0 349.7 413.3 289.6 537.02 SANTA CLARA 1,747,295 8,608.3 492.7 552.8 541.1 564.6

3 MARIN 251,812 1,786.3 709.4 561.7 535.2 588.24 SAN MATEO 720,229 4,674.7 649.1 597.6 580.3 614.85 SAN BENITO 57,307 260.0 453.7 616.8 540.6 693.06 MONTEREY 423,137 2,364.3 558.8 634.9 609.2 660.77 CALAVERAS 44,243 401.7 907.9 643.1 577.3 708.98 SANTA BARBARA 416,662 2,896.7 695.2 644.3 620.6 667.99 SAN LUIS OBISPO 259,709 2,054.0 790.9 646.4 618.2 674.6

10 ORANGE 3,038,670 16,959.7 558.1 647.2 637.4 657.011 SIERRA 3,716 36.7 986.7 648.5 422.5 874.612 SAN FRANCISCO 793,564 6,017.3 758.3 657.3 640.5 674.113 PLACER 302,199 2,304.0 762.4 676.5 648.8 704.314 LOS ANGELES 10,152,410 60,137.0 592.3 679.3 673.8 684.715 VENTURA 808,735 4,866.0 601.7 682.3 663.1 701.616 IMPERIAL 159,844 906.0 566.8 687.8 642.1 733.517 ALAMEDA 1,497,316 9,444.7 630.8 688.2 674.2 702.118 CONTRA COSTA 1,014,992 6,818.0 671.7 692.6 676.1 709.1

19 MARIPOSA 18,066 168.7 933.6 694.4 586.6 802.220 EL DORADO 172,320 1,250.3 725.6 698.2 658.9 737.421 SANTA CRUZ 259,942 1,647.3 633.7 699.8 665.3 734.422 SAN DIEGO 3,031,055 19,706.3 650.1 709.7 699.8 719.6

CALIFORNIA 36,525,947 236,003.0 646.1 716.7 713.8 719.623 SONOMA 477,419 3,755.3 786.6 720.9 697.6 744.224 NEVADA 98,436 943.0 958.0 730.0 682.1 777.925 TUOLUMNE 57,186 601.7 1,052.1 743.0 681.6 804.326 COLUSA 20,927 142.0 678.5 746.7 623.5 869.927 NAPA 132,753 1,256.7 946.6 750.5 708.3 792.728 MADERA 139,398 932.0 668.6 751.1 702.7 799.629 AMADOR 37,507 392.7 1,046.9 753.1 676.8 829.530 PLUMAS 21,478 229.7 1,069.3 759.6 658.3 860.831 LASSEN 35,626 215.3 604.4 767.1 662.6 871.632 SOLANO 418,097 2,699.3 645.6 777.0 747.4 806.733 YOLO 186,751 1,154.7 618.3 798.3 752.0 844.7

34 SACRAMENTO 1,357,367 9,775.7 720.2 803.7 787.7 819.735 RIVERSIDE 1,845,185 13,664.3 740.5 814.5 800.8 828.236 GLENN 28,115 236.7 841.8 815.0 710.9 919.137 MODOC 10,178 110.0 1,080.8 818.8 662.5 975.238 INYO 18,923 223.0 1,178.5 822.3 710.7 933.939 MENDOCINO 89,966 840.0 933.7 825.8 769.3 882.240 MERCED 237,550 1,456.3 613.1 828.6 785.6 871.741 ALPINE 1,304 10.3 792.4 * 835.5 * 315.1 1,355.942 SISKIYOU 45,644 528.0 1,156.8 841.0 766.8 915.243 FRESNO 874,745 5,870.3 671.1 842.6 820.9 864.344 BUTTE 213,143 2,174.3 1,020.1 845.9 809.8 881.945 SUTTER 87,881 705.3 802.6 849.1 786.2 911.946 TRINITY 13,961 149.3 1,069.6 853.8 709.7 998.047 TULARE 406,003 2,709.0 667.2 856.4 823.9 888.948 SAN JOAQUIN 645,560 4,611.3 714.3 867.9 842.7 893.149 STANISLAUS 499,864 3,613.7 722.9 877.5 848.8 906.3

50 TEHAMA 59,942 613.0 1,022.7 879.3 809.2 949.351 SAN BERNARDINO 1,922,467 12,142.0 631.6 895.0 878.7 911.252 KINGS 143,970 802.0 557.1 903.7 839.3 968.053 SHASTA 177,465 1,874.0 1,056.0 927.5 885.2 969.854 DEL NORTE 29,162 275.0 943.0 953.8 840.6 1,067.055 HUMBOLDT 130,859 1,228.3 938.7 953.8 900.2 1,007.556 LAKE 62,994 819.3 1,300.7 969.6 901.3 1,038.057 YUBA 66,682 546.0 818.8 1,010.9 925.1 1,096.858 KERN 744,489 5,347.3 718.3 1,012.4 984.7 1,040.0

* Death rate unreliable, relative standard error is greater than or equal to 23 percent.Note: Counties were rank ordered first by increasing age-adjusted death rate (calculated to 15 decimal places), second by decreasing size of the population.

Source: California Department of Public Health: Death Statistical Master Files, 2003-2005.California Department of Finance: 2004 Population Estimates with Age, Sex, and Race/Ethnic Detail, July 2007.

DEATH RATE DEATH RATE LOWER UPPERORDER COUNTY POPULATION

TABLE 1DEATHS DUE TO ALL CAUSES

RANKED BY THREE-YEAR AVERAGE AGE-ADJUSTED DEATH RATE

(AVERAGE)

CALIFORNIA COUNTIES, 2003-2005

2003-2005RANK 2004 DEATHS CRUDE AGE-ADJUSTED 95% CONFIDENCE LIMITS

HEALTHY PEOPLE 2010 NATIONAL OBJECTIVE: NONE



DEATHS DUE TO ALL CANCERS, 2003-2005

All Cancers Age-Adjusted Death Rateby County per 100,000 Population


Within 158.7 to 165.1

Greater than 165.1

Unreliable*



*When adde d, indicates unreliable rate, relativestandard error is gre ater than or equal to 2 3 percent.

Data Source:

Healthy People 2010Target: 158.6

California: 165.1

T he crude death rate from all cancers for California was 148.4 deaths per 100,000population, a risk of dying equivalent to approximately one death for every 674persons. This rate was based on a three-year average number of deaths of 54,209.3from 2003 to 2005 and a population of 36,525,947 as of July 1, 2004. Among counties

with reliable rates, the crude rate ranged from 321.2 in Lake County to 98.3 inSan Benito County, a difference in rates by a factor of 3.3 to 1.

The age-adjusted death rate from all cancers for California for the three-year period from2003 to 2005 was 165.1 deaths per 100,000 population. Reliable age-adjusted deathrates ranged from 226.0 in Lake County to 132.3 in San Benito County.

Fourteen counties (twelve with reliable age-adjusted death rates) met the Healthy People2010 National Objective 3-1 of no more than 158.6 age-adjusted deaths due to all cancersper 100,000 population. The statewide age-adjusted death rate for all cancers did notmeet the national objective.



1 MONO 13,727 9.7 70.4 * 76.8 * 25.5 128.22 ALPINE 1,304 1.3 102.2 * 111.5 * 0.0 304.63 SAN BENITO 57,307 56.3 98.3 132.3 97.2 167.4

4 SANTA CLARA 1,747,295 2,183.0 124.9 139.2 133.3 145.15 CALAVERAS 44,243 93.7 211.7 139.4 110.5 168.46 SANTA BARBARA 416,662 623.3 149.6 144.1 132.7 155.47 MONTEREY 423,137 540.0 127.6 148.1 135.6 160.68 COLUSA 20,927 28.0 133.8 150.1 94.4 205.99 ORANGE 3,038,670 4,030.0 132.6 153.5 148.7 158.2

10 MARIN 251,812 486.7 193.3 154.7 140.8 168.711 LOS ANGELES 10,152,410 13,655.3 134.5 154.8 152.2 157.412 VENTURA 808,735 1,116.3 138.0 155.1 146.0 164.313 IMPERIAL 159,844 206.0 128.9 155.9 134.5 177.414 MADERA 139,398 199.0 142.8 156.9 135.0 178.8

158.615 SAN LUIS OBISPO 259,709 499.3 192.3 158.8 144.8 172.816 GLENN 28,115 46.0 163.6 159.5 113.3 205.717 TUOLUMNE 57,186 136.0 237.8 159.6 132.3 187.018 MARIPOSA 18,066 41.7 230.6 160.1 110.9 209.319 SAN MATEO 720,229 1,221.3 169.6 160.3 151.3 169.420 ALAMEDA 1,497,316 2,225.7 148.6 164.0 157.1 170.9

CALIFORNIA 36,525,947 54,209.3 148.4 165.1 163.7 166.521 SAN FRANCISCO 793,564 1,478.7 186.3 165.6 157.1 174.122 EL DORADO 172,320 313.0 181.6 166.5 147.8 185.223 CONTRA COSTA 1,014,992 1,660.3 163.6 166.9 158.8 175.024 FRESNO 874,745 1,162.7 132.9 168.3 158.6 178.025 SAN DIEGO 3,031,055 4,670.0 154.1 170.6 165.6 175.526 SUTTER 87,881 144.0 163.9 170.8 142.8 198.827 SANTA CRUZ 259,942 387.0 148.9 171.7 154.2 189.228 PLACER 302,199 582.3 192.7 171.8 157.8 185.829 MERCED 237,550 303.7 127.8 172.4 152.9 191.930 NEVADA 98,436 235.0 238.7 173.1 150.5 195.631 MODOC 10,178 24.0 235.8 173.5 103.5 243.532 TULARE 406,003 549.3 135.3 174.9 160.2 189.633 LASSEN 35,626 50.7 142.2 176.7 127.3 226.134 YOLO 186,751 259.3 138.9 178.9 157.0 200.935 SIERRA 3,716 10.3 278.1 * 180.8 * 67.6 293.936 SONOMA 477,419 920.7 192.8 180.9 169.1 192.737 SACRAMENTO 1,357,367 2,228.3 164.2 181.9 174.3 189.538 BUTTE 213,143 457.3 214.6 182.3 165.4 199.239 SOLANO 418,097 650.7 155.6 182.8 168.6 197.040 AMADOR 37,507 101.3 270.2 183.2 147.3 219.041 RIVERSIDE 1,845,185 3,056.0 165.6 183.2 176.7 189.742 SAN JOAQUIN 645,560 973.0 150.7 183.8 172.2 195.443 INYO 18,923 50.3 266.0 185.0 133.0 236.944 SAN BERNARDINO 1,922,467 2,557.3 133.0 185.2 177.9 192.545 TRINITY 13,961 37.3 267.4 185.3 125.0 245.646 STANISLAUS 499,864 767.7 153.6 186.2 173.0 199.447 KINGS 143,970 169.3 117.6 187.3 158.5 216.248 MENDOCINO 89,966 197.3 219.3 190.1 163.4 216.949 TEHAMA 59,942 138.0 230.2 193.9 161.4 226.450 NAPA 132,753 317.7 239.3 197.6 175.6 219.551 KERN 744,489 1,075.7 144.5 198.8 186.8 210.852 SISKIYOU 45,644 130.3 285.5 200.9 165.7 236.053 SHASTA 177,465 428.0 241.2 204.0 184.6 223.454 HUMBOLDT 130,859 267.3 204.3 204.3 179.6 228.955 PLUMAS 21,478 65.7 305.7 208.6 156.6 260.656 DEL NORTE 29,162 65.3 224.0 224.4 169.8 278.957 YUBA 66,682 123.3 185.0 224.6 184.6 264.658 LAKE 62,994 202.3 321.2 226.0 194.3 257.8



TABLE 2DEATHS DUE TO ALL CANCERS

RANKED BY THREE-YEAR AVERAGE AGE-ADJUSTED DEATH RATECALIFORNIA COUNTIES, 2003-2005

DEATH RATE LOWER

2003-2005RANK 2004 DEATHS

HEALTHY PEOPLE 2010 NATIONAL OBJECTIVE (3-1)

UPPERCRUDE AGE-ADJUSTED 95% CONFIDENCE LIMITS

ORDER COUNTY POPULATION (AVERAGE) DEATH RATE



DEATHS DUE TO COLORECTAL (COLON) CANCER, 2003-2005

Colorectal (Colon) Cancer Age-Adjusted Death Rateby County per 100,000 Population


Within 13.8 to 16.0

Greater than 16.0

Unreliable*


California Department of Finance,2004 Population Estimates with Age, Sex, and Race/Ethnic Detail, July 2007.

*When added, indicates unreliable rate, relativestandard error is greater than or equal to 23 percent.

Data Source:


California: 16.0

T he crude death rate from colorectal (colon) cancer for California was 14.3 deathsper 100,000 population, a risk of dying equivalent to approximately one death forevery 6,976 persons. This rate was based on a three-year average number ofdeaths of 5,235.7 from 2003 to 2005 and a population of 36,525,947 as of July 1, 2004.Among counties with reliable rates, the crude rate ranged from 24.9 in Napa County to10.7 in Monterey County, a difference in rates by a factor of 2.3 to 1.

The age-adjusted death rate from colorectal (colon) cancer for California for thethree-year period from 2003 to 2005 was 16.0 deaths per 100,000 population. Reliableage-adjusted death rates ranged from 20.2 in Shasta County to 11.9 inSanta Barbara and Santa Clara Counties.

Eleven counties (four with reliable age-adjusted death rates) met the Healthy People 2010National Objective 3-5 of no more than 13.7 age-adjusted deaths due to colorectal (colon)cancer per 100,000 population. The statewide age-adjusted death rate for colorectal (colon)cancer did not meet the national objective.



1 ALPINE 1,304 0.0 - - - -2 MONO 13,727 1.0 7.3 * 9.1 * 0.0 28.13 COLUSA 20,927 2.0 9.6 * 10.7 * 0.0 25.5

4 SAN BENITO 57,307 4.7 8.1 * 10.7 * 0.8 20.65 SUTTER 87,881 9.3 10.6 * 11.2 * 4.0 18.56 SANTA BARBARA 416,662 52.0 12.5 11.9 8.6 15.17 SANTA CLARA 1,747,295 189.0 10.8 11.9 10.2 13.68 SIERRA 3,716 0.7 17.9 * 12.1 * 0.0 41.29 MARIN 251,812 39.7 15.8 12.5 8.6 16.4

10 MONTEREY 423,137 45.3 10.7 12.6 8.9 16.311 TUOLUMNE 57,186 11.0 19.2 * 12.7 * 5.2 20.2

13.712 CALAVERAS 44,243 8.7 19.6 * 13.8 * 4.3 23.313 PLACER 302,199 47.3 15.7 14.1 10.0 18.114 ORANGE 3,038,670 385.3 12.7 14.7 13.3 16.215 SANTA CRUZ 259,942 35.0 13.5 14.9 9.8 19.916 SAN LUIS OBISPO 259,709 47.3 18.2 14.9 10.7 19.217 SAN MATEO 720,229 116.3 16.2 15.0 12.3 17.818 MADERA 139,398 19.0 13.6 15.1 * 8.3 21.9

19 SACRAMENTO 1,357,367 186.7 13.8 15.4 13.1 17.620 SAN DIEGO 3,031,055 425.7 14.0 15.5 14.1 17.021 SAN JOAQUIN 645,560 82.3 12.8 15.6 12.2 18.922 FRESNO 874,745 106.7 12.2 15.6 12.6 18.623 TRINITY 13,961 3.3 23.9 * 15.7 * 0.0 32.724 VENTURA 808,735 112.0 13.8 15.7 12.8 18.625 IMPERIAL 159,844 21.3 13.3 15.9 9.1 22.726 TULARE 406,003 49.7 12.2 16.0 11.5 20.4

CALIFORNIA 36,525,947 5,235.7 14.3 16.0 15.6 16.427 CONTRA COSTA 1,014,992 159.0 15.7 16.1 13.5 18.628 MERCED 237,550 28.0 11.8 16.2 10.1 22.229 EL DORADO 172,320 30.0 17.4 16.2 10.4 22.130 LOS ANGELES 10,152,410 1,425.0 14.0 16.2 15.4 17.131 BUTTE 213,143 41.7 19.5 16.4 11.3 21.432 YOLO 186,751 23.7 12.7 16.4 9.7 23.033 SAN FRANCISCO 793,564 150.0 18.9 16.5 13.8 19.1

34 SISKIYOU 45,644 11.0 24.1 * 16.6 * 6.8 26.435 STANISLAUS 499,864 68.3 13.7 16.6 12.6 20.536 ALAMEDA 1,497,316 224.0 15.0 16.6 14.4 18.837 GLENN 28,115 5.0 17.8 * 17.3 * 2.1 32.538 AMADOR 37,507 9.7 25.8 * 17.6 * 6.5 28.739 DEL NORTE 29,162 5.0 17.1 * 17.9 * 2.2 33.540 INYO 18,923 4.7 24.7 * 17.9 * 1.3 34.541 RIVERSIDE 1,845,185 298.7 16.2 18.0 15.9 20.042 NEVADA 98,436 24.3 24.7 18.3 10.9 25.843 SOLANO 418,097 64.0 15.3 18.4 13.9 23.044 MARIPOSA 18,066 5.0 27.7 * 18.7 * 2.3 35.145 MENDOCINO 89,966 18.7 20.7 * 18.8 * 10.2 27.546 MODOC 10,178 2.7 26.2 * 19.0 * 0.0 41.847 LAKE 62,994 17.0 27.0 * 19.0 * 9.9 28.248 SAN BERNARDINO 1,922,467 257.7 13.4 19.1 16.7 21.549 KINGS 143,970 17.3 12.0 * 19.3 * 10.0 28.550 KERN 744,489 103.7 13.9 19.5 15.7 23.351 SONOMA 477,419 100.7 21.1 19.6 15.7 23.552 HUMBOLDT 130,859 25.0 19.1 19.8 12.0 27.753 NAPA 132,753 33.0 24.9 20.0 13.1 26.954 SHASTA 177,465 42.7 24.0 20.2 14.1 26.355 PLUMAS 21,478 6.3 29.5 * 20.8 * 4.1 37.456 YUBA 66,682 11.0 16.5 * 20.8 * 8.4 33.257 LASSEN 35,626 6.0 16.8 * 21.3 * 4.1 38.658 TEHAMA 59,942 15.7 26.1 * 21.6 * 10.9 32.4

- Rates, percentages, and confidence limits are not calculated for zero events.*

Note:Source: California Department of Public Health: Death Statistical Master Files, 2003-2005.

California Department of Finance: 2004 Population Estimates with Age, Sex, and Race/Ethnic Detail, July 2007.

Counties were rank ordered first by increasing age-adjusted death rate (calculated to 15 decimal places), second by decreasing size of the population.

UPPER


Death rate unreliable, relative standard error is greater than or equal to 23 percent.

CRUDE AGE-ADJUSTED 95% CONFIDENCE LIMITSORDER COUNTY POPULATION (AVERAGE) DEATH RATE DEATH RATE LOWER


TABLE 3DEATHS DUE TO COLORECTAL (COLON) CANCER




DEATHS DUE TO LUNG CANCER, 2003-2005

Lung Cancer Age-Adjusted Death Rateby County per 100,000 Population


Within 41.6 to 43.3

Greater than 43.3

Unreliable*



*When add ed, indica tes unreliable rate, relativestandard error is gr eater than or equal to 23 percent.

Data Source:


California: 41.5

T he crude death rate from lung cancer for California was 36.9 deaths per 100,000population, a risk of dying equivalent to approximately one death for every 2,713persons. This rate was based on the three-year average number of deaths of13,463.7 from 2003 to 2005 and a population of 36,525,947 as of July 1, 2004. Amongcounties with reliable rates, the crude rate ranged from 111.7 in Lake County to 28.8 inSanta Clara County, a difference in rates by a factor of 3.9 to 1.

The age-adjusted death rate from lung cancer for California for the three-year period from2003 to 2005 was 41.5 deaths per 100,000 population. Reliable age-adjusted death ratesranged from 75.0 in Lake County to 32.6 in Santa Clara County.

Twenty-two counties (seventeen with reliable age-adjusted death rates) and California asa whole met the Healthy People 2010 National Objective 3-2 of no more than 43.3age-adjusted deaths due to lung cancer per 100,000 population.



1 MONO 13,727 2.7 19.4 * 20.2 * 0.0 45.62 SAN BENITO 57,307 11.3 19.8 * 26.8 * 11.0 42.63 SANTA CLARA 1,747,295 503.3 28.8 32.6 29.7 35.4

4 SANTA BARBARA 416,662 147.3 35.4 34.2 28.7 39.85 LOS ANGELES 10,152,410 3,075.7 30.3 35.4 34.2 36.76 MARIN 251,812 109.3 43.4 35.8 29.0 42.67 GLENN 28,115 10.3 36.8 * 36.0 * 14.0 58.08 ORANGE 3,038,670 947.0 31.2 36.7 34.4 39.19 MONTEREY 423,137 134.3 31.7 37.3 30.9 43.6

10 SAN MATEO 720,229 281.0 39.0 37.4 33.0 41.811 LASSEN 35,626 10.7 29.9 * 37.7 * 14.8 60.512 IMPERIAL 159,844 49.3 30.9 37.9 27.2 48.513 VENTURA 808,735 276.0 34.1 39.1 34.4 43.714 MADERA 139,398 50.0 35.9 39.9 28.8 51.015 SAN FRANCISCO 793,564 361.7 45.6 40.8 36.6 45.016 ALAMEDA 1,497,316 552.7 36.9 41.4 37.9 44.9

CALIFORNIA 36,525,947 13,463.7 36.9 41.5 40.8 42.217 TUOLUMNE 57,186 36.3 63.5 42.0 28.1 55.918 NEVADA 98,436 59.3 60.3 42.4 31.6 53.219 EL DORADO 172,320 79.3 46.0 42.6 33.1 52.020 SAN DIEGO 3,031,055 1,148.7 37.9 42.6 40.1 45.121 CONTRA COSTA 1,014,992 425.0 41.9 42.9 38.8 47.022 INYO 18,923 12.3 65.2 * 43.1 * 19.0 67.2

43.323 CALAVERAS 44,243 31.0 70.1 43.8 28.1 59.424 SAN LUIS OBISPO 259,709 140.0 53.9 44.4 37.0 51.825 FRESNO 874,745 304.7 34.8 44.8 39.8 49.926 MENDOCINO 89,966 46.0 51.1 45.1 32.0 58.227 PLACER 302,199 154.3 51.1 45.4 38.3 52.628 SANTA CRUZ 259,942 98.7 38.0 45.6 36.4 54.829 MERCED 237,550 80.7 34.0 45.9 35.8 56.030 AMADOR 37,507 26.3 70.2 46.3 28.5 64.031 TULARE 406,003 147.0 36.2 47.2 39.5 54.832 SOLANO 418,097 170.0 40.7 48.0 40.7 55.333 SONOMA 477,419 239.7 50.2 48.2 42.0 54.434 SAN BERNARDINO 1,922,467 656.7 34.2 48.2 44.5 52.035 PLUMAS 21,478 16.0 74.5 * 48.3 * 24.5 72.136 MARIPOSA 18,066 13.0 72.0 * 49.0 * 22.1 76.037 ALPINE 1,304 0.7 51.1 * 49.2 * 0.0 171.438 RIVERSIDE 1,845,185 830.7 45.0 49.9 46.5 53.339 YOLO 186,751 72.0 38.6 50.2 38.5 61.840 SACRAMENTO 1,357,367 609.7 44.9 50.2 46.2 54.241 KINGS 143,970 43.7 30.3 50.2 35.1 65.342 SUTTER 87,881 43.3 49.3 51.3 36.0 66.643 NAPA 132,753 82.7 62.3 51.9 40.6 63.244 SAN JOAQUIN 645,560 277.7 43.0 53.0 46.7 59.245 KERN 744,489 285.3 38.3 53.1 46.8 59.346 BUTTE 213,143 133.3 62.6 53.4 44.3 62.647 STANISLAUS 499,864 219.3 43.9 53.6 46.5 60.748 COLUSA 20,927 10.0 47.8 * 54.0 * 20.5 87.549 HUMBOLDT 130,859 75.3 57.6 56.3 43.5 69.250 SIERRA 3,716 3.3 89.7 * 56.6 * 0.0 117.851 TEHAMA 59,942 42.3 70.6 59.1 41.3 77.052 MODOC 10,178 8.3 81.9 * 59.2 * 18.4 100.053 SISKIYOU 45,644 40.3 88.4 61.0 42.0 80.154 TRINITY 13,961 12.7 90.7 * 61.5 * 27.3 95.755 YUBA 66,682 35.7 53.5 64.0 42.9 85.156 SHASTA 177,465 138.7 78.1 65.3 54.4 76.257 DEL NORTE 29,162 20.7 70.9 71.2 40.4 102.058 LAKE 62,994 70.3 111.7 75.0 57.3 92.7


Source: California Department of Public Health: D eath Statistical Master Files, 2003-2005.California Department of Finance: 2004 Population Estimates with Age, Sex, and Race/Ethnic Detail, July 2007.

TABLE 4DEATHS DUE TO LUNG CANCER


DEATH RATE LOWER


UPPER


CRUDE AGE-ADJUSTED 95% CONFIDENCE LIMITSORDER COUNTY POPULATION (AVERAGE) DEATH RATE



DEATHS DUE TO FEMALE BREAST CANCER, 2003-2005

Fema le Breast Cancer A ge-Adjusted Death Rateby County per 100,000 Population


Within 21.4 to 22 .7

Greater t han 22 .7

Unreliable*

*When added, indicates unreliable rate, relativestandard error is g reater t han or equal to 23 percent.

Data Source:


California: 22.7

California De partment of Public Health, Death R ecords.California De partment of Finance,2004 Population Estimates with Age, Sex, and Race/Ethnic Detail, July 2007.

T he crude death rate from female breast cancer for California was 22.9 deaths per100,000 population, a risk of dying equivalent to approximately one death for every4,373 females. This rate was based on a three-year average number of deaths of4,184.0 from 2003 to 2005 and a female population of 18,297,303 as ofJuly 1, 2004. Among counties with reliable rates, the crude rate ranged from 36.0 inMarin County to 18.3 in Monterey County, a difference in rates by a factor of 2.0 to 1.

The age-adjusted death rate from female breast cancer for California for the three-yearperiod from 2003 to 2005 was 22.7 deaths per 100,000 population. Reliableage-adjusted death rates ranged from 27.1 in Santa Cruz County to 16.6 inButte County.

Twenty counties (eight with reliable age-adjusted death rates) met the Healthy People2010 National Objective 3-3 of no more than 21.3 age-adjusted deaths due to femalebreast cancer per 100,000 population. The statewide age-adjusted death rate for femalebreast cancer did not meet the national objective.



1 GLENN 13,892 1.3 9.6 * 8.3 * 0.0 22.92 COLUSA 10,267 1.0 9.7 * 10.4 * 0.0 30.83 INYO 9,560 2.0 20.9 * 12.6 * 0.0 30.4

4 MONO 6,292 0.7 10.6 * 13.3 * 0.0 47.25 DEL NORTE 13,112 2.3 17.8 * 14.4 * 0.0 33.06 BUTTE 108,444 22.7 20.9 16.6 9.6 23.77 MADERA 72,254 12.7 17.5 * 18.4 * 8.2 28.58 SANTA CLARA 862,220 165.0 19.1 18.6 15.8 21.59 MONTEREY 205,614 37.7 18.3 18.8 12.8 24.8

10 CALAVERAS 22,312 6.7 29.9 * 18.9 * 4.0 33.711 TRINITY 6,856 2.0 29.2 * 19.2 * 0.0 46.112 SANTA BARBARA 207,704 44.7 21.5 19.3 13.5 25.013 SAN BENITO 28,286 4.3 15.3 * 19.9 * 1.0 38.814 SONOMA 241,926 58.3 24.1 20.1 14.8 25.315 ORANGE 1,529,228 309.0 20.2 20.4 18.2 22.716 SAN FRANCISCO 387,989 98.7 25.4 20.8 16.6 25.017 TUOLUMNE 27,136 8.3 30.7 * 20.9 * 5.7 36.018 SAN LUIS OBISPO 126,732 35.0 27.6 20.9 13.8 28.019 SISKIYOU 23,255 6.3 27.2 * 21.0 * 3.7 38.3

20 IMPERIAL 75,712 15.0 19.8 * 21.3 * 10.5 32.121.3

21 SOLANO 207,410 43.7 21.1 21.5 15.1 27.822 HUMBOLDT 66,025 15.7 23.7 * 21.7 * 10.9 32.523 YUBA 33,076 6.7 20.2 * 21.7 * 5.2 38.324 FRESNO 435,225 83.3 19.1 21.8 17.1 26.525 MERCED 118,024 21.7 18.4 22.0 12.7 31.326 YOLO 94,992 18.0 18.9 * 22.0 * 11.8 32.327 VENTURA 403,047 91.3 22.7 22.4 17.8 27.028 NAPA 66,547 19.7 29.6 22.5 * 12.2 32.829 LOS ANGELES 5,108,508 1,134.3 22.2 22.6 21.3 24.0

CALIFORNIA 18,297,303 4,184.0 22.9 22.7 22.0 23.430 ALAMEDA 763,321 179.3 23.5 22.9 19.5 26.231 EL DORADO 86,293 23.7 27.4 22.9 13.5 32.332 NEVADA 49,454 17.3 35.0 * 23.2 * 12.2 34.233 SAN DIEGO 1,508,925 357.7 23.7 23.2 20.8 25.6

34 SAN MATEO 363,015 100.0 27.5 23.4 18.8 28.035 TULARE 202,596 41.0 20.2 23.5 16.3 30.736 CONTRA COSTA 517,284 135.0 26.1 23.7 19.7 27.737 TEHAMA 30,260 9.0 29.7 * 24.2 * 8.1 40.238 SUTTER 44,410 11.3 25.5 * 24.2 * 10.0 38.439 SACRAMENTO 691,547 170.7 24.7 24.6 20.9 28.340 PLACER 154,607 45.3 29.3 24.7 17.4 31.941 SAN JOAQUIN 323,612 72.7 22.5 24.8 19.1 30.542 RIVERSIDE 926,373 228.7 24.7 25.1 21.8 28.443 SHASTA 90,506 29.0 32.0 25.2 15.9 34.544 STANISLAUS 254,288 58.0 22.8 25.3 18.8 31.845 MARIN 127,021 45.7 36.0 25.7 18.1 33.346 KERN 363,017 78.3 21.6 25.9 20.1 31.647 SAN BERNARDINO 962,354 211.3 22.0 26.2 22.7 29.848 MARIPOSA 8,842 3.0 33.9 * 26.7 * 0.0 58.249 KINGS 62,251 13.3 21.4 * 27.0 * 12.4 41.5

50 SANTA CRUZ 130,188 35.3 27.1 27.1 17.9 36.351 PLUMAS 10,795 4.3 40.1 * 27.3 * 0.6 54.052 LASSEN 13,427 4.0 29.8 * 27.4 * 0.3 54.453 MENDOCINO 45,111 16.3 36.2 * 28.2 * 14.3 42.054 MODOC 5,023 2.0 39.8 * 28.9 * 0.0 69.355 AMADOR 16,958 8.0 47.2 * 31.1 * 8.9 53.356 LAKE 31,716 14.3 45.2 * 31.6 * 14.8 48.357 SIERRA 1,838 1.0 54.4 * 34.6 * 0.0 104.358 ALPINE 626 0.3 53.2 * 74.7 * 0.0 328.5



UPPER



2004 2003-2005RANK FEMALE DEATHS

TABLE 5DEATHS DUE TO FEMALE BREAST CANCER




DEATHS DUE TO PROSTATE CANCER, 2003-2005

Prostate Cancer Age-Adjusted Death Rateby County per 100,000 Population

Less than or equal to 2 3.8

Within 23.9 to 28.2

Greater than 28 .2

Unreliable*




Data Source:


California: 23.8

T he crude death rate from prostate cancer for California was 16.5 deaths per 100,000population, a risk of dying equivalent to approximately one death for every 6,045males. This rate was based on a three-year average number of deaths of 3,015.3from 2003 to 2005 and a male population of 18,228,644 as of July 1, 2004. Among countieswith reliable rates, the crude rate ranged from 29.2 in Napa County to 13.2 inSanta Clara County, a difference in rates by a factor of 2.2 to 1.

The age-adjusted death rate from prostate cancer for California for the three-year periodfrom 2003 to 2005 was 23.8 deaths per 100,000 population. Reliable age-adjusted deathrates ranged from 30.0 in Kern County to 18.9 in San Francisco County.

Forty-seven counties (twenty-four with reliable age-adjusted death rates) and Californiaas a whole met the Healthy People 2010 National Objective 3-7 of no more than 28.2age-adjusted deaths due to prostate cancer per 100,000 population.



1 ALPINE 678 0.0 - - - -2 SIERRA 1,878 0.3 17.7 * 10.1 * 0.0 44.53 MONO 7,435 0.7 9.0 * 12.4 * 0.0 42.7

4 SAN BENITO 29,021 2.3 8.0 * 12.7 * 0.0 29.75 TUOLUMNE 30,050 5.3 17.7 * 13.9 * 1.9 25.96 MARIPOSA 9,224 1.7 18.1 * 14.1 * 0.0 35.57 SAN FRANCISCO 405,575 69.7 17.2 18.9 14.4 23.38 TRINITY 7,105 1.7 23.5 * 19.2 * 0.0 49.09 GLENN 14,223 2.3 16.4 * 19.2 * 0.0 43.9

10 KINGS 81,719 6.0 7.3 * 19.5 * 3.5 35.511 SANTA CLARA 885,075 116.7 13.2 19.6 16.0 23.212 NEVADA 48,982 11.7 23.8 * 20.1 * 8.4 31.913 SHASTA 86,959 17.3 19.9 * 20.2 * 10.5 29.814 MONTEREY 217,523 30.0 13.8 20.5 13.2 27.815 VENTURA 405,688 57.0 14.1 21.0 15.5 26.516 AMADOR 20,549 4.7 22.7 * 21.1 * 1.6 40.517 SAN LUIS OBISPO 132,977 28.7 21.6 21.1 13.3 28.818 SAN MATEO 357,214 64.7 18.1 21.4 16.2 26.619 SANTA BARBARA 208,958 40.0 19.1 22.1 15.2 28.9

20 LOS ANGELES 5,043,902 744.7 14.8 22.1 20.5 23.721 CONTRA COSTA 497,708 82.3 16.5 22.1 17.3 27.022 TULARE 203,407 27.3 13.4 22.6 14.0 31.123 CALAVERAS 21,931 7.0 31.9 * 23.2 * 5.7 40.724 MARIN 124,791 29.7 23.8 23.3 14.9 31.825 ORANGE 1,509,442 227.3 15.1 23.4 20.3 26.526 TEHAMA 29,682 7.0 23.6 * 23.6 * 5.9 41.327 SACRAMENTO 665,820 108.3 16.3 23.6 19.1 28.128 MADERA 67,144 11.7 17.4 * 23.7 * 9.8 37.6

CALIFORNIA 18,228,644 3,015.3 16.5 23.8 22.9 24.629 MERCED 119,526 15.7 13.1 * 23.9 * 11.9 35.930 MENDOCINO 44,855 10.3 23.0 * 23.9 * 9.1 38.731 STANISLAUS 245,576 38.0 15.5 24.7 16.7 32.632 BUTTE 104,699 27.0 25.8 24.7 15.4 34.033 SOLANO 210,687 33.3 15.8 24.8 16.2 33.434 IMPERIAL 84,132 13.7 16.2 * 24.9 * 11.4 38.5

35 PLACER 147,592 35.0 23.7 25.3 16.9 33.736 FRESNO 439,520 67.0 15.2 25.6 19.4 31.837 ALAMEDA 733,995 130.7 17.8 25.7 21.2 30.138 SAN JOAQUIN 321,948 54.0 16.8 26.1 19.1 33.139 EL DORADO 86,027 19.3 22.5 26.3 * 14.4 38.240 SISKIYOU 22,389 7.7 34.2 * 26.3 * 7.6 45.141 COLUSA 10,660 2.3 21.9 * 26.8 * 0.0 61.442 SAN DIEGO 1,522,130 290.7 19.1 26.9 23.8 30.043 YOLO 91,759 15.0 16.3 * 27.1 * 13.3 41.044 RIVERSIDE 918,812 189.0 20.6 27.4 23.5 31.345 NAPA 66,206 19.3 29.2 27.6 15.3 39.946 SONOMA 235,493 56.0 23.8 27.8 20.5 35.247 YUBA 33,606 5.7 16.9 * 28.0 * 4.4 51.6

28.248 PLUMAS 10,683 3.7 34.3 * 28.3 * 0.0 57.949 HUMBOLDT 64,834 14.3 22.1 * 28.6 * 13.7 43.650 MODOC 5,155 1.7 32.3 * 29.0 * 0.0 73.151 SAN BERNARDINO 960,113 142.7 14.9 29.2 24.3 34.252 LAKE 31,278 11.3 36.2 * 29.4 * 12.0 46.953 SANTA CRUZ 129,754 24.3 18.8 29.5 17.7 41.454 KERN 381,472 57.7 15.1 30.0 22.0 38.055 INYO 9,363 4.0 42.7 * 32.9 * 0.6 65.356 DEL NORTE 16,050 4.3 27.0 * 33.9 * 1.5 66.357 SUTTER 43,471 11.3 26.1 * 34.4 * 14.1 54.658 LASSEN 22,199 4.3 19.5 * 38.1 * 0.6 75.6




TABLE 6MALE DEATHS DUE TO PROSTATE CANCER


2004 2003-2005RANK MALE DEATHS CRUDE AGE-ADJUSTED 95% CONFIDENCE LIMITS

ORDER COUNTY POPULATION (AVERAGE) DEATH RATE DEATH RATE LOWER


UPPER





DEATHS DUE TO DIABETES, 2003-2005

Diabetes Age-Adjusted D eath Rateby County per 100,000 Population


Within 22.4 to 30.0

Greater than 30.0

Unreliable*




Data Source:

California: 22.3

T he crude death rate from diabetes for California was 20.0 deaths per 100,000population, a risk of dying equivalent to approximately one death for every 5,007persons. This rate was based on a three-year average number of deaths of 7,295.3from 2003 to 2005 and a population of 36,525,947 as of July 1, 2004. Among countieswith reliable rates, the crude rate ranged from 32.9 in Kings County to 12.0 inMarin County, a difference in rates by a factor of 2.7 to 1.

The age-adjusted death rate from diabetes for California for the three-year period from2003 to 2005 was 22.3 deaths per 100,000 population. Reliable age-adjusted death ratesranged from 54.9 in Kings County to 9.8 in Marin County.

The Healthy People 2010 National Objective 5-5 for diabetes mortality is based on bothunderlying and contributing causes of death. Multiple causes of death data for 2005 arenot yet available for California. Therefore, Californias progress in meeting this objectivewill not be addressed in this report.



1 MONO 13,727 1.0 7.3 * 5.8 * 0.0 17.12 MARIN 251,812 30.3 12.0 9.8 6.2 13.3

3 CALAVERAS 44,243 6.7 15.1 * 10.0 * 2.3 17.64 AMADOR 37,507 6.3 16.9 * 11.8 * 2.5 21.25 EL DORADO 172,320 22.3 13.0 12.0 6.9 17.16 SAN BENITO 57,307 5.3 9.3 * 13.0 * 1.8 24.27 SAN MATEO 720,229 103.0 14.3 13.2 10.6 15.78 NEVADA 98,436 18.0 18.3 * 13.7 * 7.2 20.29 LAKE 62,994 12.3 19.6 * 13.8 * 6.0 21.5

10 TUOLUMNE 57,186 12.0 21.0 * 13.9 * 5.9 21.911 SAN FRANCISCO 793,564 137.3 17.3 15.0 12.5 17.512 SHASTA 177,465 31.7 17.8 15.2 9.9 20.513 PLACER 302,199 52.0 17.2 15.2 11.0 19.314 SANTA CRUZ 259,942 35.3 13.6 15.5 10.2 20.715 SAN LUIS OBISPO 259,709 51.3 19.8 15.9 11.6 20.316 MARIPOSA 18,066 4.0 22.1 * 16.0 * 0.3 31.617 ORANGE 3,038,670 453.7 14.9 17.4 15.8 19.118 MONTEREY 423,137 63.7 15.0 17.5 13.2 21.8

19 MODOC 10,178 2.7 26.2 * 17.5 * 0.0 38.620 SANTA BARBARA 416,662 77.3 18.6 17.7 13.7 21.721 SIERRA 3,716 1.0 26.9 * 18.0 * 0.0 53.522 LASSEN 35,626 5.3 15.0 * 18.0 * 2.5 33.623 BUTTE 213,143 46.0 21.6 18.4 13.0 23.924 SANTA CLARA 1,747,295 291.7 16.7 18.9 16.7 21.125 SONOMA 477,419 97.0 20.3 19.2 15.3 23.126 RIVERSIDE 1,845,185 325.0 17.6 19.5 17.4 21.627 PLUMAS 21,478 6.0 27.9 * 19.5 * 3.4 35.728 MENDOCINO 89,966 20.0 22.2 19.7 11.0 28.529 CONTRA COSTA 1,014,992 197.7 19.5 19.9 17.1 22.730 SAN DIEGO 3,031,055 544.7 18.0 20.0 18.3 21.631 VENTURA 808,735 141.0 17.4 20.1 16.8 23.432 NAPA 132,753 34.3 25.9 20.8 13.7 27.833 SACRAMENTO 1,357,367 258.3 19.0 21.1 18.6 23.734 YUBA 66,682 11.0 16.5 * 21.2 * 8.6 33.935 ALAMEDA 1,497,316 297.3 19.9 21.9 19.4 24.4

CALIFORNIA 36,525,947 7,295.3 20.0 22.3 21.8 22.836 INYO 18,923 6.3 33.5 * 22.4 * 4.9 39.837 COLUSA 20,927 4.3 20.7 * 22.4 * 1.3 43.538 YOLO 186,751 35.0 18.7 24.1 16.1 32.239 SISKIYOU 45,644 16.0 35.1 * 24.2 * 12.2 36.240 TEHAMA 59,942 17.3 28.9 * 24.4 * 12.9 35.941 MADERA 139,398 30.3 21.8 24.5 15.8 33.342 LOS ANGELES 10,152,410 2,229.0 22.0 25.4 24.4 26.543 TRINITY 13,961 5.0 35.8 * 26.6 * 2.6 50.644 SUTTER 87,881 22.7 25.8 26.8 15.7 37.945 SOLANO 418,097 95.7 22.9 27.1 21.6 32.546 STANISLAUS 499,864 111.7 22.3 27.4 22.3 32.547 HUMBOLDT 130,859 38.7 29.5 30.0 20.5 39.548 DEL NORTE 29,162 9.0 30.9 * 31.0 * 10.7 51.349 SAN BERNARDINO 1,922,467 423.7 22.0 31.0 28.0 34.050 FRESNO 874,745 218.7 25.0 31.9 27.6 36.151 SAN JOAQUIN 645,560 169.7 26.3 32.0 27.1 36.852 IMPERIAL 159,844 43.3 27.1 33.5 23.5 43.653 KERN 744,489 183.7 24.7 34.4 29.4 39.554 TULARE 406,003 110.3 27.2 35.3 28.7 41.955 MERCED 237,550 63.7 26.8 36.6 27.5 45.656 GLENN 28,115 10.7 37.9 * 36.6 * 14.6 58.657 KINGS 143,970 47.3 32.9 54.9 39.0 70.858 ALPINE 1,304 0.7 51.1 * 55.6 * 0.0 190.5


Healthy People 2010 objective is based on both underlying and contributing cause of death. This report excludes multiple/contributing cause of death.Source: California Department of Public Health: Death Statistical Master Files, 2003-2005.


UPPER

HEALTHY PEOPLE 2010 NATIONAL OBJECTIVE (5-5) NOTE



TABLE 7DEATHS DUE TO DIABETES




DEATHS DUE TO ALZHEIMERS DISEASE, 2003-2005

Alzheimer's Disease Age-Adjusted Death Rateby County per 100,000 Population

Less than or equal to 22 .1

Within 22.2 to 25.6

Greater than 25.6

Unreliable*




Data Source:

California: 22.1

T he crude death rate from Alzheimers disease for California was 19.4 deaths per100,000 population, a risk of dying equivalent to approximately one death for every5,159 persons. This rate was based on a three-year average number of deaths of7,080.3 from 2003 to 2005 and a population of 36,525,947 as of July 1, 2004. Amongcounties with reliable rates, the crude rate ranged from 55.0 in Napa County to 7.1 inTulare County, a difference in rates by a factor of 7.7 to 1.

The age-adjusted death rate from Alzheimers disease for California for the three-yearperiod from 2003 to 2005 was 22.1 deaths per 100,000 population. Reliableage-adjusted death rates ranged from 42.0 in Humboldt County to 10.0 inTulare County.

A Healthy People National Objective for deaths due to Alzheimers disease has not beenestablished.



NONE1 ALPINE 1,304 0.0 - - - -2 INYO 18,923 1.3 7.0 * 4.3 * 0.0 11.5

3 SIERRA 3,716 0.3 9.0 * 4.4 * 0.0 19.44 SAN BENITO 57,307 3.3 5.8 * 8.9 * 0.0 18.45 IMPERIAL 159,844 10.7 6.7 * 9.5 * 3.7 15.26 TULARE 406003 29.0 7.1 10.0 6.3 13.67 TRINITY 13,961 2.0 14.3 * 10.6 * 0.0 25.28 LASSEN 35,626 2.7 7.5 * 11.3 * 0.0 25.09 YUBA 66,682 5.3 8.0 * 11.7 * 1.7 21.6

10 MARIPOSA 18,066 3.0 16.6 * 12.2 * 0.0 26.011 MENDOCINO 89,966 12.7 14.1 * 12.3 * 5.5 19.112 MONO 13,727 1.0 7.3 * 12.9 * 0.0 38.313 SAN FRANCISCO 793,564 134.3 16.9 13.3 11.1 15.614 MONTEREY 423,137 50.0 11.8 13.6 9.8 17.315 CALAVERAS 44,243 9.0 20.3 * 14.0 * 4.8 23.216 SUTTER 87,881 11.7 13.3 * 14.3 * 6.1 22.617 LAKE 62,994 12.7 20.1 * 14.8 * 6.6 22.918 PLUMAS 21,478 4.3 20.2 * 14.9 * 0.8 29.0

19 SISKIYOU 45,644 10.3 22.6 * 15.1 * 5.9 24.220 TUOLUMNE 57,186 13.3 23.3 * 15.4 * 7.1 23.621 ALAMEDA 1,497,316 212.3 14.2 15.8 13.6 17.922 NEVADA 98,436 21.3 21.7 16.2 9.3 23.123 LOS ANGELES 10,152,410 1,391.7 13.7 16.3 15.4 17.124 MARIN 251,812 57.7 22.9 16.8 12.4 21.225 SANTA CRUZ 259,942 42.3 16.3 17.4 12.1 22.726 MERCED 237,550 27.3 11.5 17.6 11.0 24.127 KINGS 143,970 13.0 9.0 * 17.6 * 8.0 27.228 DEL NORTE 29,162 5.0 17.1 * 18.2 * 2.2 34.229 SAN MATEO 720,229 156.0 21.7 18.9 15.9 21.930 AMADOR 37,507 10.0 26.7 * 19.3 * 7.3 31.231 VENTURA 808,735 136.0 16.8 20.0 16.6 23.432 SANTA CLARA 1,747,295 311.0 17.8 20.8 18.5 23.233 MODOC 10,178 3.0 29.5 * 21.9 * 0.0 46.734 EL DORADO 172,320 36.7 21.3 22.0 14.8 29.1

CALIFORNIA 36,525,947 7,080.3 19.4 22.1 21.6 22.635 SANTA BARBARA 416,662 107.3 25.8 22.2 18.0 26.436 ORANGE 3,038,670 564.7 18.6 22.2 20.4 24.037 SHASTA 177,465 46.3 26.1 23.2 16.5 29.938 GLENN 28,115 7.0 24.9 * 23.4 * 6.0 40.739 FRESNO 874,745 153.0 17.5 23.4 19.7 27.140 SAN LUIS OBISPO 259,709 79.7 30.7 23.4 18.3 28.641 CONTRA COSTA 1,014,992 229.7 22.6 23.9 20.8 26.942 STANISLAUS 499,864 94.0 18.8 24.0 19.2 28.943 YOLO 186,751 33.0 17.7 24.1 15.9 32.344 PLACER 302,199 85.0 28.1 24.1 19.0 29.345 SACRAMENTO 1,357,367 283.0 20.8 24.5 21.7 27.446 SAN JOAQUIN 645,560 126.3 19.6 25.0 20.6 29.347 SAN BERNARDINO 1,922,467 299.3 15.6 26.1 23.2 29.148 SONOMA 477,419 150.0 31.4 27.5 23.0 31.949 TEHAMA 59,942 19.7 32.8 27.8 15.5 40.150 RIVERSIDE 1,845,185 474.3 25.7 28.6 26.1 31.251 BUTTE 213,143 85.3 40.0 29.6 23.3 35.952 KERN 744,489 140.3 18.8 31.4 26.2 36.653 MADERA 139,398 41.0 29.4 35.5 24.6 46.354 SOLANO 418,097 119.0 28.5 38.3 31.4 45.255 SAN DIEGO 3,031,055 1,068.0 35.2 38.6 36.3 41.056 NAPA 132,753 73.0 55.0 39.1 30.0 48.257 HUMBOLDT 130,859 52.3 40.0 42.0 30.6 53.458 COLUSA 20,927 8.7 41.4 * 45.2 * 15.1 75.4


Note:Source: California Department of Public Health: D eath Statistical Master Files, 2003-2005.


TABLE 8DEATHS DUE TO ALZHEIMER'S DISEASE


2003-2005RANK 2004 DEATHS CRUDE AGE-ADJUSTED 95% CONFIDENCE LIMITS

ORDER COUNTY POPULATION (AVERAGE) DEATH RATE DEATH RATE LOWER


UPPER

HEALTHY PEOPLE 2010 NATIONAL OBJECTIVE:




DEATHS DUE TO CORONARY HEART DISEASE, 2003-2005

Coronary Heart Disease Age-Adjusted Death Rateby County per 100,000 Population

Less than or equal to 1 62.0

Greater than 162.0

Unreliable*



*When adde d, indicates unreliable rate , relativestandard error is gre ater than or equal to 2 3 percent.

Data Source:


California: 163.1

T he crude death rate from coronary heart disease for California was 144.9 deaths per100,000 population, a risk of dying equivalent to approximately one death for every690 persons. This rate was based on a three-year average number of deaths of52,925.7 from 2003 to 2005 and a population of 36,525,947 as of July 1, 2004. Amongcounties with reliable rates, the crude rate ranged from 306.5 in Inyo County to 87.2 inSan Benito County, a difference in rates by a factor of 3.5 to 1.

The age-adjusted death rate from coronary heart disease for California for thethree-year period from 2003 to 2005 was 163.1 deaths per 100,000 population. Reliableage-adjusted death rates ranged from 267.9 in Kern County to 100.5 inMarin County.

Forty-two counties (thirty-eight with reliable age-adjusted death rates) met the HealthyPeople 2010 National Objective 12-1 of no more than 162.0 age-adjusted deaths due tocoronary heart disease per 100,000 population. The statewide age-adjusted death ratefor coronary heart disease did not meet the national objective.



1 MONO 13,727 8.7 63.1 * 77.2 * 22.6 131.92 TRINITY 13,961 16.0 114.6 * 84.2 * 42.2 126.13 ALPINE 1,304 1.3 102.2 * 92.2 * 0.0 252.5

4 SIERRA 3,716 6.0 161.5 * 94.3 * 17.9 170.65 MARIN 251,812 329.7 130.9 100.5 89.5 111.56 PLUMAS 21,478 33.0 153.6 106.4 69.3 143.57 SANTA CLARA 1,747,295 1,732.0 99.1 113.1 107.8 118.58 SAN MATEO 720,229 915.3 127.1 114.9 107.4 122.49 MONTEREY 423,137 429.7 101.5 117.1 106.0 128.2

10 SAN LUIS OBISPO 259,709 398.7 153.5 121.6 109.6 133.611 SAN BENITO 57,307 50.0 87.2 123.2 88.7 157.812 COLUSA 20,927 23.7 113.1 124.2 74.1 174.313 CONTRA COSTA 1,014,992 1,219.0 120.1 124.4 117.4 131.414 NAPA 132,753 216.7 163.2 124.6 107.8 141.415 CALAVERAS 44,243 84.7 191.4 126.4 99.2 153.616 EL DORADO 172,320 228.3 132.5 127.7 111.0 144.417 SISKIYOU 45,644 84.3 184.8 129.0 100.9 157.018 NEVADA 98,436 172.0 174.7 129.0 109.6 148.319 PLACER 302,199 448.3 148.4 129.3 117.3 141.3

20 TUOLUMNE 57,186 112.3 196.4 130.2 105.9 154.621 MARIPOSA 18,066 34.3 190.0 132.8 88.1 177.622 YOLO 186,751 188.7 101.0 133.2 114.1 152.323 SONOMA 477,419 711.7 149.1 133.7 123.7 143.624 DEL NORTE 29,162 38.0 130.3 134.0 91.3 176.725 SAN FRANCISCO 793,564 1,260.0 158.8 134.4 127.0 141.926 SANTA CRUZ 259,942 312.7 120.3 134.7 119.5 150.027 GLENN 28,115 40.7 144.6 137.5 95.2 179.828 ALAMEDA 1,497,316 1,877.3 125.4 138.5 132.2 144.829 SANTA BARBARA 416,662 643.0 154.3 140.6 129.7 151.530 IMPERIAL 159,844 178.0 111.4 142.5 121.4 163.731 SOLANO 418,097 479.3 114.6 142.9 130.0 155.832 MENDOCINO 89,966 151.0 167.8 144.9 121.7 168.233 SAN DIEGO 3,031,055 3,988.7 131.6 145.1 140.6 149.634 AMADOR 37,507 81.0 216.0 150.7 117.6 183.835 LASSEN 35,626 42.3 118.8 151.9 105.4 198.436 VENTURA 808,735 1,063.0 131.4 152.3 143.1 161.537 BUTTE 213,143 405.7 190.3 152.4 137.4 167.438 HUMBOLDT 130,859 199.0 152.1 156.3 134.5 178.139 MODOC 10,178 22.3 219.4 158.0 92.3 223.640 ORANGE 3,038,670 4,076.7 134.2 158.2 153.3 163.141 SHASTA 177,465 328.3 185.0 160.1 142.7 177.542 TEHAMA 59,942 115.0 191.9 161.6 132.0 191.1

162.0CALIFORNIA 36,525,947 52,925.7 144.9 163.1 161.7 164.5

43 KINGS 143,970 138.7 96.3 169.1 140.5 197.644 FRESNO 874,745 1,166.0 133.3 173.8 163.8 183.845 MADERA 139,398 213.7 153.3 176.1 152.4 199.846 LAKE 62,994 154.3 245.0 176.4 148.2 204.647 SACRAMENTO 1,357,367 2,125.3 156.6 178.1 170.5 185.748 LOS ANGELES 10,152,410 15,596.7 153.6 179.5 176.7 182.449 MERCED 237,550 306.3 129.0 184.2 163.4 204.950 TULARE 406,003 572.7 141.0 189.8 174.2 205.451 SUTTER 87,881 157.3 179.0 191.1 161.2 221.152 INYO 18,923 58.0 306.5 196.4 145.6 247.253 RIVERSIDE 1,845,185 3,373.7 182.8 203.1 196.2 209.954 YUBA 66,682 112.3 168.5 217.9 177.2 258.655 SAN JOAQUIN 645,560 1,139.7 176.5 220.4 207.6 233.256 SAN BERNARDINO 1,922,467 2,844.0 147.9 224.1 215.7 232.457 STANISLAUS 499,864 900.0 180.0 225.3 210.6 240.158 KERN 744,489 1,320.7 177.4 267.9 253.2 282.5



UPPER




TABLE 9DEATHS DUE TO CORONARY HEART DISEASE




DEATHS DUE TO CEREBROVASCULAR DISEASE (STROKE), 2003-2005

Cerebrovascular Dis ease Age-Adjusted Death Rateby County per 100,000 Population


Within 5 0.1 to 51 .7

Greater than 51.7

Unreliabl e*




Data Source:


California: 51.7

T he crude death rate from cerebrovascular disease for California was 45.7 deathsper 100,000 population, a risk of dying equivalent to approximately one death forevery 2,186 persons. This rate was based on a three-year average number of deathsof 16,707.0 from 2003 to 2005 and a population of 36,525,947 as of July 1, 2004. Amongcounties with reliable rates, the crude rate ranged from 92.6 in Lake County to 33.3 inKings County, a difference in rates by a factor of 2.8 to 1.

The age-adjusted death rate from cerebrovascular disease for California for thethree-year period from 2003 to 2005 was 51.7 deaths per 100,000 population. Reliableage-adjusted death rates ranged from 74.8 in Merced County to 40.4 inSanta Clara County.

Twenty-five counties (fifteen with reliable age-adjusted death rates) met the Healthy People2010 National Objective 12-7 of no more than 50.0 age-adjusted deaths due tocerebrovascular disease per 100,000 population. The statewide age-adjusted death ratefor cerebrovascular disease did not meet the national objective.



1 SIERRA 3,716 1.0 26.9 * 14.3 * 0.0 42.62 MONO 13,727 2.7 19.4 * 25.8 * 0.0 57.83 TRINITY 13,961 5.7 40.6 * 32.0 * 5.3 58.7

4 INYO 18,923 9.7 51.1 * 32.7 * 12.1 53.45 SANTA CLARA 1,747,295 613.7 35.1 40.4 37.2 43.66 DEL NORTE 29,162 11.3 38.9 * 40.8 * 17.0 64.67 LASSEN 35,626 10.7 29.9 * 42.1 * 16.7 67.68 VENTURA 808,735 294.3 36.4 42.6 37.7 47.49 MARIN 251,812 141.3 56.1 43.0 35.8 50.1

10 GLENN 28,115 12.7 45.1 * 43.4 * 19.4 67.311 EL DORADO 172,320 77.7 45.1 44.7 34.7 54.712 CALAVERAS 44,243 29.0 65.5 44.7 28.3 61.113 PLUMAS 21,478 14.3 66.7 * 46.6 * 22.3 70.814 LOS ANGELES 10,152,410 4,049.3 39.9 46.8 45.3 48.215 MONTEREY 423,137 173.3 41.0 47.2 40.1 54.216 SAN LUIS OBISPO 259,709 157.3 60.6 47.3 39.9 54.717 MADERA 139,398 56.3 40.4 47.4 35.0 59.818 SANTA BARBARA 416,662 219.7 52.7 47.4 41.1 53.819 SAN MATEO 720,229 383.3 53.2 47.7 42.9 52.5

20 TUOLUMNE 57,186 41.7 72.9 48.3 33.5 63.121 SANTA CRUZ 259,942 114.7 44.1 48.8 39.7 57.922 MARIPOSA 18,066 12.0 66.4 * 48.8 * 21.0 76.723 SISKIYOU 45,644 33.3 73.0 49.1 32.4 65.724 COLUSA 20,927 9.3 44.6 * 49.3 * 17.6 81.125 SAN BENITO 57,307 19.3 33.7 49.8 27.5 72.1

50.026 IMPERIAL 159,844 61.0 38.2 50.1 37.4 62.827 SAN DIEGO 3,031,055 1,387.3 45.8 50.4 47.8 53.128 ORANGE 3,038,670 1,298.3 42.7 50.7 47.9 53.429 SAN FRANCISCO 793,564 481.3 60.7 50.7 46.1 55.2

CALIFORNIA 36,525,947 16,707.0 45.7 51.7 50.9 52.530 ALAMEDA 1,497,316 711.3 47.5 52.6 48.7 56.431 SHASTA 177,465 109.3 61.6 54.1 43.9 64.232 STANISLAUS 499,864 216.7 43.3 54.2 46.9 61.433 SAN BERNARDINO 1,922,467 690.3 35.9 55.3 51.1 59.5

34 CONTRA COSTA 1,014,992 537.7 53.0 55.4 50.7 60.135 HUMBOLDT 130,859 70.0 53.5 55.8 42.7 68.936 TULARE 406,003 170.0 41.9 56.5 47.9 65.037 MENDOCINO 89,966 59.0 65.6 57.5 42.7 72.238 MODOC 10,178 8.0 78.6 * 58.1 * 17.7 98.539 RIVERSIDE 1,845,185 968.3 52.5 58.2 54.6 61.940 AMADOR 37,507 31.3 83.5 59.0 38.2 79.841 SOLANO 418,097 194.3 46.5 59.1 50.8 67.542 SUTTER 87,881 48.3 55.0 59.3 42.5 76.043 KINGS 143,970 48.0 33.3 59.4 42.4 76.544 KERN 744,489 294.7 39.6 60.2 53.2 67.145 PLACER 302,199 212.7 70.4 61.0 52.8 69.346 BUTTE 213,143 168.0 78.8 61.1 51.8 70.447 YUBA 66,682 31.3 47.0 61.9 40.0 83.848 NAPA 132,753 110.7 83.4 62.0 50.3 73.749 YOLO 186,751 87.3 46.8 62.4 49.3 75.550 SAN JOAQUIN 645,560 324.0 50.2 63.0 56.1 69.851 SONOMA 477,419 341.7 71.6 63.8 56.9 70.652 TEHAMA 59,942 45.3 75.6 64.1 45.4 82.853 SACRAMENTO 1,357,367 782.7 57.7 66.2 61.6 70.954 FRESNO 874,745 451.0 51.6 67.3 61.1 73.555 LAKE 62,994 58.3 92.6 67.4 50.0 84.856 NEVADA 98,436 90.7 92.1 68.6 54.5 82.857 MERCED 237,550 122.7 51.6 74.8 61.5 88.158 ALPINE 1,304 1.7 127.8 * 155.7 * 0.0 392.1



TABLE 10DEATHS DUE TO CEREBROVASCULAR DISEASE (STROKE


DEATH RATE LOWER


UPPER

HEALTHY PEOPLE 2010 NATIONAL OBJECTIVE (12-7

CRUDE AGE-ADJUSTED 95% CONFIDENCE LIMITSORDER COUNTY POPULATION (AVERAGE) DEATH RATE



DEATHS DUE TO INFLUENZA/PNEUMONIA, 2003-2005

Influenza/Pneumonia Age-Adjusted D eath Rateby County per 10 0,000 Population


Within 23.9 to 27.3

Greater than 27.3

Unreliable*




Data Source:

California: 23.8

T he crude death rate from influenza/pneumonia for California was 21.0 deaths per100,000 population, a risk of dying equivalent to approximately one death for every4,754 persons. This rate was based on a three-year average number of deaths of7,684.0 from 2003 to 2005 and a population of 36,525,947 as of July 1, 2004. Amongcounties with reliable rates, the crude rate ranged from 35.4 in Napa County to 12.6 inMonterey County, a difference in rates by a factor of 2.8 to 1.

The age-adjusted death rate from influenza/pneumonia for California for the three-yearperiod from 2003 to 2005 was 23.8 deaths per 100,000 population. Reliableage-adjusted death rates ranged from 40.4 in Yolo County to 14.3 in Monterey County.

A Healthy People 2010 National Objective for deaths due to influenza/pneumonia has notbeen established.



NONE1 ALPINE 1,304 0.0 - - - -2 SIERRA 3,716 0.7 17.9 * 11.0 * 0.0 37.93 MONTEREY 423,137 53.3 12.6 14.3 10.5 18.24 SAN LUIS OBISPO 259,709 48.0 18.5 14.5 10.4 18.65 MARIPOSA 18,066 3.7 20.3 * 14.7 * 0.0 29.86 MODOC 10,178 2.0 19.7 * 15.1 * 0.0 36.07 KINGS 143,970 12.7 8.8 * 15.6 * 6.8 24.38 IMPERIAL 159,844 18.7 11.7 * 15.7 * 8.5 22.99 MARIN 251,812 56.7 22.5 16.6 12.2 21.0

10 EL DORADO 172,320 30.0 17.4 17.3 11.1 23.511 CALAVERAS 44,243 11.7 26.4 * 17.6 * 7.4 27.712 SAN DIEGO 3,031,055 494.7 16.3 17.9 16.3 19.413 SONOMA 477,419 98.3 20.6 18.0 14.4 21.514 PLACER 302,199 64.7 21.4 18.6 14.0 23.115 MENDOCINO 89,966 19.7 21.9 19.1 10.6 27.716 SANTA BARBARA 416,662 91.7 22.0 19.2 15.3 23.217 TUOLUMNE 57,186 16.3 28.6 * 19.7 * 10.0 29.418 MONO 13,727 2.0 14.6 * 20.1 * 0.0 48.919 NEVADA 98,436 26.3 26.8 20.2 12.4 28.120 ALAMEDA 1,497,316 274.3 18.3 20.2 17.8 22.621 RIVERSIDE 1,845,185 339.3 18.4 20.4 18.2 22.622 SANTA CRUZ 259,942 49.7 19.1 20.5 14.7 26.323 SANTA CLARA 1,747,295 311.7 17.8 20.6 18.3 22.824 MADERA 139,398 25.0 17.9 21.0 12.7 29.225 TEHAMA 59,942 15.0 25.0 * 21.0 * 10.4 31.726 MERCED 237,550 35.0 14.7 21.2 14.2 28.327 VENTURA 808,735 150.7 18.6 21.6 18.2 25.128 AMADOR 37,507 11.7 31.1 * 22.0 * 9.3 34.729 BUTTE 213,143 59.7 28.0 22.3 16.6 28.130 TULARE 406,003 69.0 17.0 22.7 17.3 28.131 SAN JOAQUIN 645,560 117.3 18.2 22.9 18.7 27.032 SHASTA 177,465 46.0 25.9 22.9 16.2 29.533 CONTRA COSTA 1,014,992 226.3 22.3 23.2 20.2 26.234 ORANGE 3,038,670 601.3 19.8 23.6 21.7 25.5

CALIFORNIA 36525947 7,684.0 21.0 23.8 23.3 24.335 INYO 18,923 6.0 31.7 * 23.9 * 3.1 44.736 LAKE 62,994 20.0 31.7 24.4 13.4 35.437 SAN BENITO 57,307 9.7 16.9 * 24.7 * 9.0 40.438 TRINITY 13,961 4.3 31.0 * 24.7 * 1.1 48.339 SOLANO 418,097 81.3 19.5 24.7 19.3 30.140 SAN MATEO 720,229 205.3 28.5 25.4 21.9 28.941 NAPA 132,753 47.0 35.4 25.5 18.1 32.942 SAN FRANCISCO 793,564 259.0 32.6 26.6 23.3 29.843 HUMBOLDT 130,859 34.0 26.0 26.7 17.7 35.744 PLUMAS 21,478 7.7 35.7 * 26.7 * 7.4 46.045 SISKIYOU 45,644 17.7 38.7 * 27.2 * 14.3 40.046 LOS ANGELES 10,152,410 2,342.3 23.1 27.3 26.2 28.447 SAN BERNARDINO 1,922,467 336.3 17.5 27.4 24.4 30.448 LASSEN 35,626 6.7 18.7 * 27.5 * 6.5 48.549 YUBA 66,682 14.0 21.0 * 27.9 * 13.1 42.650 SACRAMENTO 1,357,367 330.0 24.3 27.9 24.9 30.951 FRESNO 874,745 189.7 21.7 28.4 24.4 32.552 COLUSA 20,927 5.3 25.5 * 29.1 * 4.4 53.853 GLENN 28,115 8.7 30.8 * 29.7 * 9.8 49.554 STANISLAUS 499,864 119.7 23.9 30.0 24.6 35.355 DEL NORTE 29,162 8.7 29.7 * 31.4 * 10.5 52.456 SUTTER 87,881 26.7 30.3 33.0 20.5 45.657 KERN 744,489 165.0 22.2 33.2 28.1 38.458 YOLO 186,751 56.0 30.0 40.4 29.8 51.0





UPPER





TABLE 11DEATHS DUE TO INFLUENZA/PNEUMONIA




DEATHS DUE TO CHRONIC LOWER RESPIRATORY DISEASE, 2003-2005

Chronic Lower Respiratory DiseaseAge-Adjusted Death Rate

by County per 10 0,000 Population


Within 40.8 to 57.0

Greater than 57.0

Unreliable*




Data Source:

California: 40.7

T he crude death rate from chronic lower respiratory disease deaths for California was35.7 deaths per 100,000 population, a risk of dying equivalent to approximately onedeath for every 2,805 persons. This rate was based on a three-year average numberof deaths of 13,022.0 from 2003 to 2005 and a population of 36,525,947 as of July 1, 2004.Among counties with reliable rates, the crude rate ranged from 113.2 in Lake County to24.6 in Imperial County, a difference in rates by a factor of 4.6 to 1.

The age-adjusted death rate from chronic lower respiratory disease deaths for Californiafor the three-year period from 2003 to 2005 was 40.7 deaths per 100,000 population.Reliable age-adjusted death rates ranged from 84.1 in Yuba County to 26.5 inMarin County.

A Healthy People 2010 National Objective for deaths due to chronic lower respiratorydisease has not been established.



NONE1 MONO 13,727 1.3 9.7 * 16.7 * 0.0 45.12 MARIN 251,812 83.3 33.1 26.5 20.8 32.2

3 SAN FRANCISCO 793,564 252.3 31.8 27.3 24.0 30.74 SANTA CLARA 1,747,295 435.7 24.9 29.1 26.3 31.85 SIERRA 3,716 2.0 53.8 * 30.3 * 0.0 72.56 SAN MATEO 720,229 234.0 32.5 30.3 26.4 34.27 IMPERIAL 159,844 39.3 24.6 31.3 21.5 41.28 ALAMEDA 1,497,316 438.7 29.3 33.3 30.2 36.59 LOS ANGELES 10,152,410 2,893.7 28.5 33.8 32.5 35.0

10 MONTEREY 423,137 123.7 29.2 34.2 28.2 40.311 ORANGE 3,038,670 881.0 29.0 34.8 32.5 37.112 SANTA BARBARA 416,662 157.3 37.8 34.9 29.4 40.413 AMADOR 37,507 19.7 52.4 35.1 19.6 50.714 CONTRA COSTA 1,014,992 348.3 34.3 36.1 32.3 40.015 SANTA CRUZ 259,942 79.3 30.5 37.2 28.9 45.616 VENTURA 808,735 258.3 31.9 37.6 33.0 42.217 TUOLUMNE 57,186 34.0 59.5 39.0 25.7 52.218 SAN LUIS OBISPO 259,709 126.7 48.8 39.0 32.2 45.8

19 SONOMA 477,419 201.3 42.2 39.7 34.2 45.220 SAN BENITO 57,307 15.7 27.3 * 39.8 * 20.0 59.721 SAN DIEGO 3,031,055 1,087.0 35.9 40.2 37.8 42.522 MARIPOSA 18,066 10.0 55.4 * 40.5 * 14.9 66.0

CALIFORNIA 36,525,947 13,022.0 35.7 40.7 40.0 41.423 NAPA 132,753 70.0 52.7 41.4 31.6 51.124 FRESNO 874,745 293.3 33.5 43.9 38.8 48.925 PLACER 302,199 154.7 51.2 45.2 38.0 52.326 MADERA 139,398 55.0 39.5 45.8 33.6 57.927 CALAVERAS 44,243 30.0 67.8 46.1 29.3 63.028 NEVADA 98,436 62.3 63.3 46.6 35.0 58.229 EL DORADO 172,320 84.0 48.7 47.2 37.0 57.330 TULARE 406,003 146.7 36.1 48.6 40.7 56.531 SACRAMENTO 1,357,367 577.7 42.6 48.9 44.9 52.932 MERCED 237,550 82.0 34.5 48.9 38.3 59.533 STANISLAUS 499,864 197.0 39.4 49.1 42.2 55.934 SOLANO 418,097 172.0 41.1 52.1 44.2 59.935 SAN JOAQUIN 645,560 273.0 42.3 52.8 46.5 59.036 INYO 18,923 15.3 81.0 * 53.9 * 26.6 81.237 YOLO 186,751 75.7 40.5 54.1 41.9 66.338 PLUMAS 21,478 17.3 80.7 * 54.6 * 28.8 80.439 RIVERSIDE 1,845,185 941.7 51.0 56.5 52.9 60.240 MENDOCINO 89,966 58.7 65.2 56.7 42.1 71.441 BUTTE 213,143 149.7 70.2 57.4 48.1 66.642 SISKIYOU 45,644 39.3 86.2 58.4 40.1 76.843 TEHAMA 59,942 42.3 70.6 59.1 41.3 76.944 COLUSA 20,927 11.3 54.2 * 60.9 * 25.4 96.445 ALPINE 1,304 1.0 76.7 * 62.8 * 0.0 186.446 GLENN 28,115 19.0 67.6 64.7 35.6 93.847 LASSEN 35,626 17.3 48.7 * 65.0 * 33.9 96.248 SAN BERNARDINO 1,922,467 833.0 43.3 65.6 61.1 70.149 KINGS 143,970 53.3 37.0 65.8 48.0 83.750 HUMBOLDT 130,859 84.7 64.7 65.9 51.8 80.051 SUTTER 87,881 55.3 63.0 66.5 48.9 84.052 DEL NORTE 29,162 19.7 67.4 66.9 37.2 96.553 SHASTA 177,465 142.7 80.4 69.2 57.8 80.654 TRINITY 13,961 13.3 95.5 * 70.0 * 32.0 108.155 KERN 744,489 383.3 51.5 76.1 68.4 83.856 MODOC 10,178 11.0 108.1 * 77.3 * 31.5 123.157 LAKE 62,994 71.3 113.2 78.3 59.9 96.658 YUBA 66,682 45.3 68.0 84.1 59.4 108.7



TABLE 12DEATHS DUE TO CHRONIC LOWER RESPIRATORY DISEASE



ORDER COUNTY POPULATION (AVERAGE) UPPER


CRUDE AGE-ADJUSTED 95% CONFIDENCE LIMITSDEATH RATE DEATH RATE LOWER



DEATHS DUE TO CHRONIC LIVER DISEASE AND CIRRHOSIS, 2003-2005

Chronic Liver Disease and CirrhosisAge-A djusted Death Rate

by County per 100,000 Population


Within 3 .3 to 10.8

Greater t han 10.8

Unreliable*

California Department of Public Health, Death Records.California Department of Finance,2004 Population Estimates with Age, Sex, and Race/Ethnic Detai l, July 2007.


Data Source:


California: 10.8

T he crude death rate from chronic liver disease and cirrhosis for California was 10.3deaths per 100,000 population, a risk of dying equivalent to approximately onedeath for every 9,666 persons. This rate was based on a three-year average numberof deaths of 3,779.0 from 2003 to 2005 and a population of 36,525,947 as ofJuly 1, 2004. Among counties with reliable rates, the crude rate ranged from 19.0 inShasta County to 7.8 in Santa Clara County, a difference in rates by a factor of 2.4 to 1.

The age-adjusted death rate from chronic liver disease and cirrhosis for California for thethree-year period from 2003 to 2005 was 10.8 deaths per 100,000 population. Reliableage-adjusted death rates ranged from 18.5 in Kern County to 6.9 inMarin County.

One county (with an unreliable age-adjusted death rate) met the Healthy People 2010National Objective 26-2 of no more than 3.2 age-adjusted deaths due to chronic liverdisease and cirrhosis per 100,000 population. The statewide age-adjusted death rate forchronic liver disease and cirrhosis did not meet the national objective.



1 MODOC 10,178 0.3 3.3 * 2.1 * 0.0 9.13.2

2 MONO 13,727 0.7 4.9 * 4.1 * 0.0 13.9

3 MARIN 251,812 22.7 9.0 6.9 4.0 9.84 SANTA CLARA 1,747,295 136.3 7.8 7.9 6.6 9.35 CONTRA COSTA 1,014,992 91.0 9.0 8.7 6.9 10.56 ORANGE 3,038,670 247.3 8.1 8.8 7.7 9.97 SAN MATEO 720,229 68.3 9.5 8.8 6.7 10.98 SAN FRANCISCO 793,564 76.3 9.6 8.8 6.8 10.89 SAN LUIS OBISPO 259,709 25.7 9.9 8.9 5.4 12.4

10 SAN DIEGO 3,031,055 265.0 8.7 9.2 8.0 10.311 COLUSA 20,927 1.7 8.0 * 9.2 * 0.0 23.212 PLACER 302,199 32.0 10.6 9.3 6.1 12.513 ALAMEDA 1,497,316 137.3 9.2 9.3 7.7 10.914 VENTURA 808,735 76.0 9.4 9.6 7.4 11.715 SUTTER 87,881 8.3 9.5 * 9.7 * 3.1 16.216 YOLO 186,751 15.7 8.4 * 9.8 * 4.9 14.717 NEVADA 98,436 13.3 13.5 * 9.9 * 4.5 15.318 CALAVERAS 44243 5.7 12.8 * 9.9 * 1.2 18.5

19 SANTA BARBARA 416,662 41.0 9.8 9.9 6.9 12.920 MONTEREY 423,137 37.7 8.9 10.1 6.8 13.321 SAN BENITO 57,307 5.7 9.9 * 10.7 * 1.8 19.7

CALIFORNIA 36,525,947 3,779.0 10.3 10.8 10.5 11.222 SANTA CRUZ 259,942 28.7 11.0 11.0 6.9 15.223 LOS ANGELES 10,152,410 1,050.0 10.3 11.1 10.4 11.824 LASSEN 35,626 3.7 10.3 * 11.2 * 0.0 22.825 SACRAMENTO 1,357,367 146.7 10.8 11.2 9.4 13.026 SONOMA 477,419 57.7 12.1 11.5 8.5 14.527 MERCED 237,550 22.7 9.5 11.8 6.9 16.628 MARIPOSA 18,066 3.0 16.6 * 11.8 * 0.0 25.629 MADERA 139,398 16.0 11.5 * 11.8 * 6.0 17.730 SOLANO 418,097 48.7 11.6 12.0 8.6 15.431 SISKIYOU 45,644 7.0 15.3 * 12.1 * 2.8 21.332 EL DORADO 172,320 25.0 14.5 12.2 7.3 17.233 MENDOCINO 89,966 13.7 15.2 * 12.5 * 5.8 19.334 STANISLAUS 499,864 55.3 11.1 12.8 9.4 16.235 TUOLUMNE 57,186 10.0 17.5 * 12.8 * 4.7 20.936 NAPA 132,753 18.7 14.1 * 12.9 * 7.0 18.837 RIVERSIDE 1,845,185 215.3 11.7 12.9 11.2 14.638 SAN BERNARDINO 1,922,467 205.0 10.7 12.9 11.1 14.739 SAN JOAQUIN 645,560 77.0 11.9 13.7 10.7 16.840 TEHAMA 59,942 9.0 15.0 * 13.8 * 4.7 23.041 TULARE 406,003 48.0 11.8 14.5 10.4 18.642 AMADOR 37,507 7.3 19.6 * 14.8 * 3.9 25.743 KINGS 143,970 16.3 11.3 * 14.8 * 7.5 22.244 BUTTE 213,143 33.3 15.6 14.8 9.7 19.945 FRESNO 874,745 109.3 12.5 14.8 12.0 17.646 YUBA 66,682 9.0 13.5 * 14.9 * 5.2 24.747 GLENN 28,115 4.3 15.4 * 15.3 * 0.8 29.848 PLUMAS 21,478 4.3 20.2 * 15.5 * 0.0 31.149 HUMBOLDT 130,859 22.0 16.8 15.6 9.0 22.250 DEL NORTE 29,162 5.0 17.1 * 16.2 * 1.9 30.551 SHASTA 177,465 33.7 19.0 16.6 10.9 22.252 IMPERIAL 159,844 23.3 14.6 16.6 9.9 23.453 ALPINE 1,304 0.3 25.6 * 17.9 * 0.0 78.754 KERN 744,489 114.0 15.3 18.5 15.0 21.955 SIERRA 3,716 0.7 17.9 * 18.7 * 0.0 65.056 LAKE 62,994 16.3 25.9 * 19.7 * 9.8 29.557 TRINITY 13,961 4.3 31.0 * 23.5 * 0.2 46.858 INYO 18,923 6.3 33.5 * 25.6 * 5.3 45.8



UPPER


CRUDE AGE-ADJUSTED 95% CONFIDENCE LIMITSDEATH RATE DEATH RATE LOWERORDER COUNTY POPULATION (AVERAGE)


TABLE 13DEATHS DUE TO CHRONIC LIVER DISEASE AND CIRRHOSIS




DEATHS DUE TO UNINTENTIONAL INJURIES, 2003-2005

Unintentional Injuries Age-Adjusted Death Rateby County per 100,000 Population


Within 30.1 to 46.7

Greater than 46.7

Unreliable*




Data Source:


California: 30.0

T he crude death rate from unintentional injuries for California was 29.2 deaths per100,000 population, a risk of dying equivalent to approximately one death for every3,423 persons. This rate was based on a three-year average number of deaths of10,670.0 from 2003 to 2005 and a population of 36,525,947 as of July 1, 2004. Amongcounties with reliable rates, the crude rate ranged from 76.7 in Lake County to 19.3 inSanta Clara County, a difference in rates by a factor of 4.0 to 1.

The age-adjusted death rate from unintentional injuries for California for the three-yearperiod from 2003 to 2005 was 30.0 deaths per 100,000 population. Reliableage-adjusted death rates ranged from 72.2 in Tuolumne County to 19.9 inSanta Clara County.

Neither the counties nor California as a whole

California County Health Status Profiles 2007

Documents

Transcript of California County Health Status Profiles 2007