leading causes of death and mortality trends by … · leading causes of death and mortality trends...

1

Bexar County Mortality 2009

Leading Causes of Death and Mortality Trends by Age, Race and Ethnicity 2001-2009

A publication of the San Antonio Metropolitan Health District

Table of Contents

Introduction and Forward ……………………………….. i Data Summary & Highlights …………………………..... 1

Definitions and Methods ……………………………..…. 2

Demographic Detail

Bexar County Demographic Detail ……………... 3 2009 US Census Population Estimates …….…… 4

Leading Causes of Death

Life Expectancy at Birth ………………………... 5 Male / Female Leading Causes of Death ……...... 6 Leading Causes of Death by Age and Ethnicity.... 7

Leading Causes of Premature (age <65) Death Leading Causes of Premature Death ……………. 9 Age Adjusted Death, Bexar Co. vs. U.S. ………..10

Leading Causes of Death at a glance Heart Disease …………………………………. 11 Cancer …………………………………………. 12 Emphysema / COPD ………………………...... 13

Stroke ………………………………….... 14 Motor Vehicle & Other Accidents …….... 15 Diabetes ………………………..……..…. 16 Liver Disease ……….……….……….…. 17 Suicide …..……………………………..... 18 Homicide ………………….…………..… 19 Birth Defects …………………………..… 20

Appendix Mortality Trend Summary Tables ………………... 22 Mortality by Council District 2009……………...... 32 Population Estimates Bexar County 2009 ……...... 34

Infant Mortality Detailed Cause of Death ……...… 35

Detailed Cause of Death Trend 2001 – 2009 ….…. 36 Detailed Cause of Death by Age Group 2009 ….… 37 Female Detailed Mortality by Ethnicity 2009 ….… 38 Male Detailed Mortality by Ethnicity 2009 ……… 39 Select Causes of Death by Zip Code 2009 ….……. 40 Select Causes of Death by Census Tract 2009 …… 42

Resources and Reference

NCHS 113 Mortality Classification Crosswalk ….. 49 i

Introduction and Forward

A core function of the San Antonio Metropolitan Health District is to monitor the health status of the community in order to identify the conditions which adversely affect the health and wellbeing of residents and target areas or groups at highest risk. This enables the District and our public health partners to be more efficient and effective with available resources.

With this in mind, this publication of the “Bexar County 2009 Mortality Report” gives considerable insight about how San Antonio is impacted by health conditions which result in premature death and give context to how these conditions compare to the US population as a whole. Data gathered for this publication are sourced primarily from our own City of San Antonio death certificates with supporting documentation from the US Census Bureau, Texas Department of State Health Services, and the Centers for Disease Control and Prevention (CDC). Because each death recorded in Bexar County must be certified by the State Vital Statistics Registrar after extensive review, data used in this analysis come from 2009, the last full year for which this information is available. To facilitate review of this material, whenever possible we have used geographic maps, time series graphs and charts in favor of data tables, which have been included in the appendix of this document. The collection and analysis of these data are used in the creation and implementation Public Health intervention strategies designed to ensure that residents have a reasonable expectation of leading lives of maximum potential and disease free years.

I am hopeful that you will find some interesting information as you peruse this document. Bexar County has experienced an increase in the total number of deaths since 2000, much of which can be attributed to the increase in population over the last decade. While these statistics indicate significant declines in heart disease, stroke, and diabetes mortality overall, the total number of premature deaths (residents under age 65) has increased faster than the County’s population growth as a whole. Moreover, deaths related to liver disease, kidney disease, septicemia, influenza and pneumonia were well above historic averages.

We remain committed to working with many partners to reduce preventable and premature death in our community. We have recently expanded our programs targeting the epidemic of obesity and overweight in our community which impacts the health of many residents, including our children. Improving the health status of our community requires a coordinated effort between schools, health care organizations, the business community, foundations, and volunteer organizations. I hope this report can help guide us in setting priorities and shaping collective efforts to improve the health of our residents.

Charles E. Pruski Interim Deputy Public Health Director San Antonio Metropolitan Health Department

ii

DEMOGRAPHICS

• The 2009 US Census Bureau population estimate for Bexar County of 1,651,448 represents an 18.6% increase over the year 2000 census1.

• Bexar County was listed as the fourth fastest growing County in Texas, adding more than a quarter million residents since 2000. Births account for 53 % of this growth. 2

• The median household income increased 16.1% since the 2000 census to $45,688.1

• Bexar County residents living in poverty increased 7.5% since the 2000 census to 17.1% living below in 2009.2

• Bexar County median age in 2009 was 32.4, up from 32.1 in 2000, yet still below the state average of 33.1.2

LEADING CAUSES OF DEATH

• On an average day in Bexar County 30 deaths will occur, of which a third will be residents under age 65.

• Heart Disease and Cancer were the two leading causes of death in 2009, accounting for 42% of all deaths

• The age adjusted death rate of 702.8 / 100,000 residents is lower than the 2008 national average of 758.6 (all causes).

• The Life Expectancy at birth for Bexar County residents is 79.5 and remains above the U.S. average of 78.3 years.

• The 2009 age adjusted death rates for Bexar County men were 33% higher than women.

• Overall deaths attributed to Heart Disease, Stroke, and Diabetes have decreased since 2001 despite an overall increase in the Bexar County Population.

LEADING CAUSES OF PREMATURE DEATH (<AGE 65)

• In 2009 nearly a third of all Bexar County deaths were residents under 65, totaling 3,381 deaths.

• The leading causes of premature deaths in Bexar County were Cancer, Heart Disease, and Liver Disease.

• Age adjusted death rates for Liver Disease, Kidney Disease, and Septicemia were more than 50% higher than US rates in 2009.

• The leading causes of premature death for residents 15-44 by ethnicity were Motor Vehicle Accidents for Hispanic residents (57 deaths), Suicide for White residents (37 deaths), and Homicide for Black residents (23 deaths).

LEADING CAUSES OF DEATH BY COUNCIL DISTRICT

• Heart Disease was the leading cause of death in each City Council District except City Council Districts 6, 9, and 10 where Cancer was the leading cause of death.

• Heart Disease death rates were below the national average of 195.0 deaths/100,000 residents in all City Council Districts except Council District 5 (216.0/100,000).

• Cancer mortality rates were below the national rate of 185.2 in all Council Districts. The overall Cancer mortality rate in San Antonio in 2009 was 129.7 per 100,000.

• Motor Vehicle Fatality rates were below the national death rate of 11.8 deaths / 100,000 residents in all Council Districts except Council District 4 (13.1 /100,000).

1. US Census Bureau; County population change: April 1, 2000 to July 1, 2009. 2. US Census Bureau; American Fact Finder, Bexar County, Texas, 2009 3. US Census Bureau; Small Area Income and Poverty Estimates, 2009

Data Summary & Highlights 2009

1

Definitions and Methods Age-adjusted rate: A rate that has taken into account influences on a crude

rate, such as differences in age composition of the population. Age adjustment,

using the direct method, is the application of age-specific rates in a population

of interest to a standardized age distribution in order to eliminate differences

in observed rates that result from age differences in the population

composition. Age-adjusted rates are useful for comparison purposes only, not

to measure absolute magnitude. (To compare absolute magnitude, numbers or

crude rates are used.)

Age-specific rate: Rate obtained for specific age groups (for example, age-

specific fertility rate, death rate, marriage rate, illiteracy rate, school

enrollment rate, etc).

Cause of death: Any condition which leads to or contributes to death and is

classifiable according to the tenth revision of The International Classification of

Diseases (ICD-10).

Contributing cause of death: Any conditions significantly contributing to

death, and listed on the death record as a secondary cause of death or

condition of significance contributing to a mortality event.

Crude death rate: The rate of any demographic or vital event that is based on

an entire population.

Ethnicity: The classification of a population that shares common

characteristics, such as, religion, traditions, culture, language, and tribal or

national origin.

Federal poverty guidelines: The poverty guidelines updated periodically

in the Federal Register by the U.S. Department of Health and Human

Services under the authority of 42 U.S.C. 9902(2).

ICD-10: The International Classification of Diseases, 10th edition. A

system for classifying diseases and injuries developed by the World Health

Organization and used worldwide to improve comparability of cause of

death statistics reported from different countries. The tenth revision has

been in use since January 1, 1999.

Life expectancy: The average number of years that a person can

anticipate living after a given age, usually birth. Most often based upon

the current mortality experience of a population.

Mean: The arithmetic average of a set of values. It is calculated as the

sum of the values divided by the number of values.

Median: The value in an ordered set of values above and below which

there are an equal number of values; the 50th percentile.

Premature death: Deaths which occur prior to age 65, the age in which

most are actively employed and not eligible for Medicare benefits.

Race: A geographical population of humankind that possesses inherited

distinctive physical characteristics that distinguish it from other

populations.

Underlying cause of death: The disease or injury which initiated the

train of morbid events leading directly to death, or the circumstances of

the accident or violence which produced the fatal injury.

2

Bexar County Population Demographics The City of San Antonio is geographically contained within the political boundaries of Bexar County. In 2009 there were approximately 1,651,448 Bexar County residents, of which 1,373,668 resided in the City of San Antonio. Figure 1. Bexar County Age Distribution by Ethnicity illustrates that Bexar County is predominately Hispanic (58%) with a significantly lower median age (28 years) than other residents.

Figure 1. Bexar County Age Distribution by Ethnicity

San Antonio, now the 7th largest City in the United States, is located in one of the fastest growing counties in the country. The US Census Bureau estimates that Bexar County population grew by more 250,000 residents between 2000 and 2009, of which 53% were attributed to resident births, making births a critical component of Bexar County’s population growth. Bexar County had a significantly higher annual birth rate (74 / 1,000 women 15-44) than the US general population (66.7 / 1,000 women 15-44). The Bexar County Birth-Death ratio or replacement rate was 2.6 births for each death occurring in 2009. This compares to a national ratio of 1.6 births for each US resident death in 2009.

Population Growth 1960-2009, Bexar County

These population trends are expected to continue into the foreseeable future. As San Antonio continues to grow, it is anticipated that the proportion of Hispanic residents will account for more than 63% of the County’s population by 2040.

Figure 3. Bexar County Population Trend Present – 2040

Figure 2. Bexar County Population Trend 1960 - Present

Age Distribution Bexar CountyHispanic White NH

Source: U.S. Census Bureau, 2009Age distributions for remaining residents in other categories total 60,057

MaleFemaleAfrican Am. NH

MaleFemale MaleFemale

35000 15000 5000 25000Age 0 to 4 yrs

Age 10 to 14 yrs

Age 20 to 24 yrs

Age 30 to 34 yrs

Age 40 to 44 yrs

Age 50 to 54 yrs

Age 60 to 64 yrs

Age 70 to 74 yrs

Age 80 to 84 yrs

50000 30000 10000 10000 30000 50000Age 0 to 4 yrs

Age 10 to 14 yrs

Age 20 to 24 yrs

Age 30 to 34 yrs

Age 40 to 44 yrs

Age 50 to 54 yrs

Age 60 to 64 yrs

Age 70 to 74 yrs

Age 80 to 84 yrs

10000 5000 0 5000 10000Age 0 to 4 yrs

Age 10 to 14 yrs

Age 20 to 24 yrs

Age 30 to 34 yrs

Age 40 to 44 yrs

Age 50 to 54 yrs

Age 60 to 64 yrs

Age 70 to 74 yrs

Age 80 to 84 yrs

0

200,000

400,000

600,000

800,000

1,000,000

1,200,000

1,400,000

1,600,000

1,800,000

1960 1970 1980 1990 2000 2009

Bexar County Population Trend 2000 - 2040

White Non-Hispanic

African Am.

Hispanic

Other0

200,000

400,000

600,000

800,000

1,000,000

1,200,000

1,400,000

1,600,000

2000 2005 2010 2015 2020 2025 2030 2035 2040

W hite Non-Hispanic African Am. Hispanic Other

3

2009 Population Estimate Bexar County

Age Category Total All Male All Female

Hispanic Male

Hispanic Female

White NH Male

White NH Female

African Am NH Male

African Am NH Female

Other NH Male

Other NH Female

1,651,448 807,703 843,745 473,396 489,204 252,363 264,569 53,767 58,092 28,177 31,880 Age 0 to 4 138,335 70,548 67,787 48,278 46,357 15,385 14,700 4,064 3,996 2,821 2,734 Age 5 to 9 131,663 67,105 64,558 44,436 43,207 16,192 15,215 3,885 3,701 2,592 2,435 Age 10 to 14 120,396 61,745 58,651 40,618 38,666 14,680 13,769 4,104 3,898 2,343 2,318 Age 15 to 19 120,834 62,035 58,799 38,757 37,484 16,225 14,564 4,832 4,667 2,221 2,084 Age 20 to 24 124,458 63,209 61,249 38,405 38,053 17,623 16,188 5,026 4,915 2,155 2,093 Age 25 to 29 131,632 65,747 65,885 41,301 40,027 17,817 18,603 4,453 4,746 2,176 2,509 Age 30 to 34 117,085 57,543 59,542 36,856 36,610 15,156 16,381 3,390 3,969 2,141 2,582 Age 35 to 39 115,274 56,620 58,654 34,436 35,449 16,312 16,690 3,593 3,907 2,279 2,608 Age 40 to 44 108,292 53,547 54,745 30,600 31,448 17,171 17,067 3,750 3,981 2,026 2,249 Age 45 to 49 112,239 54,889 57,350 29,268 30,617 19,733 20,085 4,025 4,504 1,863 2,144 Age 50 to 54 100,755 48,695 52,060 24,619 26,047 18,942 19,961 3,577 4,083 1,557 1,969 Age 55 to 59 87,926 41,359 46,567 19,858 22,821 17,266 18,679 2,953 3,227 1,282 1,840 Age 60 to 64 71,444 33,463 37,981 15,108 18,093 15,317 16,021 2,038 2,382 1,000 1,485 Age 65 to 69 50,962 23,316 27,646 10,268 12,675 10,899 12,045 1,436 1,914 713 1,012 Age 70 to 74 38,989 17,189 21,800 7,576 10,085 8,083 9,643 1,083 1,402 447 670 Age 75 to 79 32,682 13,925 18,757 5,830 8,520 6,961 8,433 859 1,228 275 576 Age 80 to 84 24,629 9,245 15,384 4,051 6,639 4,599 7,550 428 871 167 324 Age 85+ 23,853 7,523 16,330 3,131 6,406 4,002 8,975 271 701 119 248 NH= Non Hispanic US Census Bureau, County population, population estimates- CO-EST2009 http://www.census.gov/popest/counties/asrh/

Bexar County Population Growth 2000 - 2009

7% 4%

31% 58%

Hispanic

White NH

African Am. NH

Other NH

53%

11%

36%

Births

Int'l.MigrationDomesticMigration

Bexar County Population by Ethnicity 2009

Bexar County Births by Ethnicity 2009

23%

6% 3%

68%

Hispanic

White NH

African Am. NH

Other NH

4

http://www.census.gov/popest/counties/asrh/

• The two leading causes of death, Heart Disease and Cancer

accounted for more than 42% of all Bexar County deaths in 2009. However, age adjusted death rates for both causes of death remain below the national average.

• Chronic Lower Respiratory Disease (Emphysema / COPD) moved ahead of Stroke as the third leading cause of death in Bexar County with 690 total deaths in 2009.

Total # Bexar Co. US (Age Adj)

Rank Cause of Death of Deaths Death Rate Death Rate

1Heart Disease 2,285 154.0 186.7

2Cancer 2,232 149.2 186.2

3Emphysema /

COPD690 48.2 44.0

4Stroke 587 39.9 40.6

5Diabetes 337 22.6 21.8

6Accidents (not MVA)

324 20.7 24.7

7Kidney Disease 306 20.8 14.8

8Liver Disease 262 15.4 9.2

9Septicemia 254 16.5 11.1

10Alzheimer's

Disease242 16.8 27.1

11Influenza / Pnuemonia

203 13.2 17.0

12Suicide 157 8.0 11.6

Leading Causes of DeathBexar County 2009

Total Deaths = 10,506Age Adjusted Death Rate = 702.8 / 100,000

Overview of Bexar County Leading Causes of Death 2009

Leading Causes of Death Bexar County 2001 - 2009

690587

337

2285

2684

22322047

635

681

477

0

500

1000

1500

2000

2500

3000

2001 2002 2003 2004 2005 2006 2007 2008 2009

# of

Dea

ths

Heart Disease Cancer Emphysema / COPD Stroke Diabetes

Leading Causes of Death Trend 2001 - 2009

• Total deaths from Heart Disease, Stroke, and Diabetes have decreased since 2001 despite a rising County population.

• Total Diabetes deaths have decreased 30% since 2001, but it still remains the fifth leading cause of death in Bexar County.

• Bexar County life expectancy at birth remains higher than the national average for all ethnic classifications except Hispanic males.

Bexar County Life Expectancy at Birth by Race/Ethnicity and Gender

83.2 82.477.0 76.9 76.8

71.6

83.1 80.4 77.9 75.6 76.269.2

0.0

10.0

20.0

30.0

40.0

50.0

60.0

70.0

80.0

90.0

Hispanic

Female

White NH

Female

Hispanic Male White NH

Male

African Am NH

Female

African Am NH

Male

Bexar Co.

US

5

2009 Age Adjusted Death Rate for Leading Causes of Death

41.2

41.6

22.4

26.8

13.5

8.9

11.0

22.8

17.5

10.8

48.2

39.9

22.6

20.7

20.8

15.4

16.5

16.8

13.2

8.0

154.0

0.0 25.0 50.0 75.0 100.0 125.0 150.0 175.0

Heart Disease

Cancer

Emphysema / COPD

Stroke

Diabetes mellitus

Accidents (not MVA)

Renal disease (Kidney)

Liver disease andCirrhosis

Septicemia

Alzheimer's disease

Influenza andpneumonia

Suicide

Bexar County Death Rate

US Death Rate(Deaths per 100,000)

149.2

177.5

190.7

149.2

Leading Causes of Death 2009

Gender Related Differences in Leading Causes of Death 2009

Rank Cause of Death

Total # of Deaths

Age Adj. Death Rate

1Heart Disease 1,195 160.4

2Cancer 1,153 166.9

3Emphysema /

COPD318 40.3

4Stroke 256 35.8

5Liver Disease 178 31.6

6Accidents(not MVA)

175 21.4

7Diabetes 160 23.0

8Kidney Disease 151 20.8

9Suicide 134 17.4

10Septicemia 124 18.0

11Motor Vehicle

Accidents110 12.5


93 12.3

Age Adjusted Death Rate 804.3 / 100,000

Male Deaths = 5,337

Males

Rank Cause of Death

Total # of Deaths

Age Adj. Death Rate

1Heart Disease 1,090 106.6

2Cancer 1,079 140.0

3Emphysema /

COPD372 40.2

4Stroke 331 32.9

5Diabetes 177 21.1

6Alzheimer's

Disease172 13.7

7Kidney Disease 155 17.3

8Accident(not MVA)

149 13.0

9Septicemia 130 15.7


110 11.9

11Liver Disease 84 11.0

12Motor Vehicle

Accidents39 4.4

Age Adjusted Death Rate 605.9 / 100,000

FemalesFemale Deaths = 5,169

• Heart Disease and Cancer account for more than 40% of Bexar

County deaths for both men and women in 2009.

• Liver Disease and Accident deaths were significantly higher for Bexar County men than women in 2009.

• The 2009 age adjusted death rate for women (605.9/100,000) was significantly lower than men (804.3/100,000) in Bexar County.

6 6

ICD-10 Age < 1 Year # rate per

100k

Q00-Q99 Perinatal, congenital malformations or chromosomal abnormalities 99 371.0

X85-X92, X96-Y09, Y87 1

Homicide 3 11.2

A04, A07-A09

Certain other intestinal infections 2 7.5A00, A05, A20-A36, A42 A44

Other and unspecified infectious and parasitic diseases and their sequelae 2 7.5

J9-J18 Influenza and pneumonia 2 7.5

J9-J18 Chronic lower respiratory diseases 2 7.5

D00-D48 In situ neoplasms, benign neoplasms and neoplasms of uncertain or unknown 1 3.7

TOTAL (All Causes) 149 558.3

ICD-10 5 - 14 Years # rate per

100k

Residual All other diseases (Residual) 6 2.4

C00-C97 Malignant neoplasms 5 2.0

I09,I11,I13,I20-I51

Heart Disease 3 1.2


J9-J18 Influenza and pneumonia 2 0.8

V01-V99,Y85

Motor vehicle accidents 2 0.8

W00-X59, Y86

All other accidents and adverse events 1 0.4,

N17-N19, N25-N27

Renal disease (kidney) 1 0.4


2009 Bexar County Leading Causes of Death by Age Groups


100k W00-X59, Y86

All other accidents and adverse events 6 5.4




X85-X92, X96-Y09, Y87 1

Homicide 2 1.8


I09,I11,I13,I20-I51

Heart Disease 1 0.9



100k V01-V99,Y85


X85-X92, X96-Y09, Y87 1

Homicide 34 13.9

X60-X71, X75-X84, Y87 0

Suicide 28 11.4



I09,I11,I13,I20-I51

Heart Disease 9 3.7

W00-X59, Y86




113 Code Classification: Cause of Death coding system developed by the National Center for Health Statistics to promote comparability of data across states and localities on the leading causes of death.

7


100k


V01-V99,Y85


I09,I11,I13,I20-I51

Heart Disease 53 11.2

X60-X71, X75-X84, Y87 0

Suicide 51 10.8

X85-X92, X96-Y09, Y87 1

Homicide 49 10.4


W00-X59, Y86


K70,K73-K74

Chronic liver disease and cirrhosis 25 5.3



100k


I09,I11,I13,I20-I51




I60-I69 Cerebrovascular diseases 82 91.2

E10-E14 Diabetes mellitus 73 81.2

,N17-N19, N25-N27


A40-A41 Septicemia 56 62.3

K70,K73-K74




100k


I09,I11,I13,I20-I51



K70,K73-K74


I60-I69 Cerebrovascular diseases 109 29.3




TOTAL (All Causes) 2,331 626.0

ICD-10 75 + Years # rate per

100k I09,I11,I13,I20-I51

Heart Disease 1,461 1800.1

C00-C97 Malignant neoplasms 1,005 1238.2


,N17-N19, N25-N27



N70-N76 Inflammatory diseases of female pelvic organs 225 277.2

X60-X71, X75-X84, Y87 0

Suicide 200 246.4

W00-X59, Y86



TOTAL (All Causes) 5,473 6743.1

8

Leading Causes of Premature Deaths < Age65 • Of 10,506 total deaths, Bexar County recorded 3,382 premature deaths (<age

65) in 2009, resulting in an age adjusted death rate of 364.4 deaths per 100,000 residents.

• Premature deaths due to Liver Disease, Birth Defects, and Septicemia were significantly higher than national rates, while Cancer, Heart Disease, and Accident deaths were significantly lower than national rates.

• In 2009, approximately one-third (32%) of Bexar County deaths were individuals less than 65 years of age, compared to just over one quarter (27%) of US population.

2009 Leading Causes of Premature Deaths (<age 65) ALL RACE / ETHNICITY

Rank

Cause of Death(Death Rate1) # of Deaths

Bexar Co. death rate

<age 65 U.S Death Rate <652

1Cancer

48.2 / 100k714 48.2 65.7

2Heart Disease32.4 / 100k

480 32.4 45.5

3Liver Disease11.6 / 100k

171 11.6 7.3

4Motor Vehicle Crash

8.8 / 100k131 8.8 14.0

5Suicide

8.7 / 100k129 8.7 11.1

6Stroke

8.2 / 100k121 8.2 7.6

7Birth Defects

8.2 / 100k121 8.2 3.6

8Homicides7.2 / 100k

106 7.2 6.7

9Emphysema/COPD

6.4 / 100k95 6.4 7.0

10Diabetes

6.3 / 100k93 6.3 7.5

11Accidents (not MVA)6.0/ 100k

89 6.0 17.5

12Septicemia5.8/ 100k

86 5.8 3.2

• Hispanic Heart Disease and Cancer death rates are significantly lower than that of Black and White residents.

• The 2009 age adjusted death rate for Black residents was significantly higher than White and Hispanic residents with a Homicide rate more than double that of other Bexar County residents.

• Emphysema/COPD is the 5th leading cause of premature death for White residents, but is not a leading cause of premature death in Hispanic or Black Bexar County residents.

2009 Leading Cause of Premature Deaths by Ethnicity

Rank

Cause of Death(Death Rate1)

# of Deaths

1Cancer

41.4 / 100k367


238


114

4Birth Defects

9.5 / 100k84


8.9 / 100k79

6Stroke

7.8 / 100k69

7Diabetes

7.1 / 100k63


60

9Septicemia6.6 / 100k

59

10Accidents (not MVA)6.5 / 100k

58

11Suicide

5.2 / 100k46

12Kidney Disease

4.5 / 100k40

Premature (<age 65) Death = 1,844

HISPANIC

Rank


# of Deaths

1Cancer

59.9 / 100k261


185

3Suicide

17.2 / 100k75


50

5Emphysema/COPD

11.5 / 100k50


9.2 / 100k40

7Stroke

8.0 / 100k35

8Accidents (not MVA)6.0 / 100k

26

9Birth Defects

5.3 / 100k23

10Septicemia4.4 / 100k

19

11Diabetes

4.1 / 100k18


17

WHITE

Premature (<age 65) Death = 1,147

Rank


# of Deaths

1Cancer

69.8 / 100k71


51

3Homicides

26.6 / 100k27

4Stroke

14.8 / 100k15

5Birth Defects11.8 / 100k

12

6Kidney Disease

11.8 / 100k12


10.8 / 100k11

8Diabetes

10.8 / 100k11

9 HIV

8.9 / 100k 9

10Influenza & Pnuemonia7.9 / 100k

8

11Suicide

6.9 / 100k7

12Liver Disease

6.9 / 100k7

BLACK

Premature (<age 65) Death = 353

9

Leading Causes of Early Death <age 65 (1996 - 2009) Year #1 Cause

(Deaths) #2 Cause (Deaths)

#3 Cause (Deaths)

#4 Cause (Deaths)

#5 Cause (Deaths)

2009 Cancer 714

Heart Disease 480

Liver Disease 171

Motor vehicle accident

131 Suicide

129

2008 Cancer 761

Heart Disease 443

Liver Disease 147

Homicide 146


141

2007 Cancer 747

Heart Disease 519

Accidents (not MVA) 194

Liver Disease136

Diabetes 133

2006 Cancer 703

Heart Disease 532


Liver Disease149

Suicide 132

2005 Cancer 683

Heart Disease 531


Liver Disease162

Diabetes 144

2004 Cancer 717

Heart Disease 532


Liver Disease154


147

2003 Cancer 740

Heart Disease 580


Birth Defects 148

Liver Disease 136

2002 Cancer 674

Heart Disease 531

Birth Defects 149


147 Liver Disease

146

2001 Cancer 685

Heart Disease 477


Birth Defects 122

Liver Disease 121

2000 Cancer 634

Heart Disease 504



148 Suicide

119

1999 Cancer 533

Heart Disease 394



97 Suicide

95

1998 Cancer 607

Heart Disease 403


Homicide 102

Suicide 98

1997 Cancer 567

Heart Disease 450

Homicide 113



107

1996 Cancer 603

Heart Disease 485

Homicide 128


124 Suicide

122

• Although Heart Disease (2,285 deaths) was the leading cause of overall death, Cancer was the leading cause of premature death in 2009.

• Premature deaths due to Liver Disease have increased 40% over 2001 levels.

Years of Productive Life Lost by Cause of Death

-

20,000

40,000

60,000

80,000

100,000

120,000

2004 2005 2006 2007 2008 2009

HIV

Influenza andpneumoniaHomicide

Kidney Disease

Septicemia

Motor vehicleaccidentsSuicide

Diabetes

Emphysema /COPDStroke

Liver Disease

Heart Disease

Cancer

Rate per 1,000 Deaths of YPLL by Race & Ethnicity

21.28

19.95

23.48

22.3622.30

21.78

18.00

19.00

20.00

21.00

22.00

23.00

24.00

2004 2005 2006 2007 2008 2009

White NH Hispanic Black

10

• Heart Disease was the leading cause of death in Bexar County in 2009 and accounted for 14% of all premature deaths.

• Heart Disease deaths have fallen 27% since 2001 resulting in a Bexar County death rate well below the national death rate of 203.1 / 100,000.

• Heart Disease mortality has decreased each year since 2001 in the 15-44 age categories resulting in a nearly one-third reduction in the number of deaths recorded in this group since 2000.

Bexar County Bexar County

Heart Disease Deaths Premature Heart Disease Deaths (All Ages) (Age 64 and younger)

2,285 480

Bexar County Texas (Crude death rate) (Crude death rate)

138.4/ 100,000 153.4 / 100,000

US Heart Disease Healthy People 2020 Goal

(Crude death rate) (Age adjusted death rate)

195.0 / 100,000 100.8 deaths / 100,000

2009 Heart Disease Mortality at a glance

References:

• US Department of Health and Human Services, http://www.healthypeople.gov/2020

• Texas Department of State Health Services, Vital Statistics, http://www.dshs.state.tx.us/CHS/VSTAT

• San Antonio Metropolitan Health District, Health Profiles, http://www.sanantonio.gov/health/Healthprofiles-Main.html

Heart Disease Mortality Bexar County 2001 - 2009

153.4

138.4

189.7

202.1195.0

246

100

120

140

160

180

200

220

240

260

2001 2002 2003 2004 2005 2006 2007 2008 2009

Dea

ths

per

100,

000

Bexar Co Rate Texas Rate National Rate

2009 Bexar County Heart Disease Death rate per 100,000 by zip code

• 2,285 Heart Disease Deaths• Zip codes with <20 deaths not included• Year 2000 U.S. Standard Million Population

San Antonio Metropolitan Health District, Health Profiles, 2009 http://www.sanantonio.gov/health/Healthprofiles-Main.html

I.H. 10 I.H. 10 I.H. 10 I.H. 10 I.H. 10 I.H. 10 I.H. 10 I.H. 10 I.H. 10

Loop 410Loop 410Loop 410Loop 410Loop 410Loop 410Loop 410Loop 410Loop 410

I.H. 35 N

I.H. 35 N

I.H. 35 NI.H. 35 N

I.H. 35 NI.H. 35 N

I.H. 35 N

I.H. 35 NI.H. 35 N

FM Loop 1604FM Loop 1604FM Loop 1604FM Loop 1604FM Loop 1604FM Loop 1604FM Loop 1604FM Loop 1604FM Loop 1604

I.H. 35 NI.H. 35 NI.H. 35 NI.H. 35 N

I.H. 35 NI.H. 35 NI.H. 35 NI.H. 35 N

I.H. 35 N

Loop

410

Loop

410

Loop

410

Loop

410

Loop

410

Loop

410

Loop

410

Loop

410

Loop

410

I. H. 37 S.I. H. 37 S.I. H. 37 S.

I .H. 37 S.I .H. 37 S.

I. H. 37 S.I. H. 37 S.I. H. 37 S.I .H. 37 S.



U.S.

281

NU.

S. 2

81 N

U.S.

281

NU.

S. 2

81 N

U.S.

281

NU.

S. 2

81 N

U.S.

281

NU.

S. 2

81 N

U.S.

281

N

Loop 4

10

Loop 4

10

Loop 4

10

Loop 4

10

Loop 4

10

Loop 4

10

Loop 4

10

Loop 4

10

Loop 4

10

I.H. 10I.H. 10I.H. 10

I.H. 10I.H. 10

I.H. 10I.H. 10I.H. 10I.H. 10

FM L

oop

1604

FM Lo

op 1

604

FM L

oop

1604

FM L

oop

1604

FM L

oop

1604

FM L

oop 1

604

FM L

oop

1604

FM L

oop

1604

FM Lo

op 1

604

I.H. 10I.H. 10I.H. 10

I.H. 10I.H. 10

I.H. 10I.H. 10I.H. 10I.H. 10

U.S. Hwy 90 W.U.S. Hwy 90 W.U.S. Hwy 90 W.U.S. Hwy 90 W.U.S. Hwy 90 W.U.S. Hwy 90 W.U.S. Hwy 90 W.U.S. Hwy 90 W.U.S. Hwy 90 W.

I.H. 35 S.

I.H. 35 S.

I.H. 35 S.I.H. 35 S.

I.H. 35 S.I.H. 35 S.

I.H. 35 S.

I.H. 35 S.I.H. 35 S.

782277822778227782277822778227782277822778227

781097810978109781097810978109781097810978109

781487814878148781487814878148781487814878148

782017820178201782017820178201782017820178201

782027820278202782027820278202782027820278202782077820778207782077820778207782077820778207

782097820978209782097820978209782097820978209

782107821078210782107821078210782107821078210

782117821178211782117821178211782117821178211

782127821278212782127821278212782127821278212

782137821378213782137821378213782137821378213

782147821478214782147821478214782147821478214

782167821678216782167821678216782167821678216782177821778217782177821778217782177821778217

782187821878218782187821878218782187821878218

782197821978219782197821978219782197821978219

782207822078220782207822078220782207822078220

782217822178221782217822178221782217822178221

782227822278222782227822278222782227822278222

782237822378223782237822378223782237822378223782247822478224782247822478224782247822478224

782257822578225782257822578225782257822578225782267822678226782267822678226782267822678226

782287822878228782287822878228782287822878228

782297822978229782297822978229782297822978229

782307823078230782307823078230782307823078230

782327823278232782327823278232782327823278232

782337823378233782337823378233782337823378233

782377823778237782377823778237782377823778237

782387823878238782387823878238782387823878238

782397823978239782397823978239782397823978239782407824078240782407824078240782407824078240

782427824278242782427824278242782427824278242

782457824578245782457824578245782457824578245

782477824778247782477824778247782477824778247782497824978249782497824978249782497824978249

782507825078250782507825078250782507825078250

782517825178251782517825178251782517825178251

782547825478254782547825478254782547825478254

200 plus200 plus170 to 199170 to 199140 to 169140 to 16960 to 13960 to 139

age adjusted rates per 100,000

11

http://www.healthypeople.gov/2020

http://www.dshs.state.tx.us/CHS/VSTAT

http://www.sanantonio.gov/health/Healthprofiles-Main.html


2009 Cancer Mortality at a glance • In 2009, Cancer was the second leading cause of death in Bexar County

and leading cause of premature deaths (age < 65).

• Lung Cancer remains the most prevalent of cancer mortality in Bexar

County accounting for a quarter of all cancer deaths in 2009.

• Although total Bexar County Cancer mortality rates remained below the

national level, site specific rates for Cervical, Uterine, Ovarian, Breast and

Liver Cancer were significantly higher than U.S. mortality rates.

Bexar County Bexar County Cancer Deaths Premature Cancer Deaths

(All ages) (Age 65 and younger) 2,232 714

Bexar County Texas (Crude Death Rate) (Crude death rate) 135.2 / 100,000 143.4 / 100,000

US Cancer Death Rate Healthy People 2020 Goal (Crude Death Rate) (Age Adjusted Death Rate)

185.2 / 100,000 160.6 / 100,000

Cancer Mortality Bexar County 2001-2009

144.7

135.2

143.4

156.8

185.2

194.4

100.0

120.0

140.0

160.0

180.0

200.0

2001 2002 2003 2004 2005 2006 2007 2008 2009

Deat

hs p

er 1

00,0

00

Bexar Co. Cancer Death Rate Texas Cancer Death Rate US Cancer Death Rate

Site Specific Cancer Mortality Rates 2009

11.6

9.4

7.4

6.7

6.0

4.7

3.7

2.8

2.5

23.1

11.0

20.9

8.7

0

3.9

5.1

4.4

7.8

5.5

3.6

3.1

38.5

15.4

0.1

8.4

11.9

5.7

6.3

11.9

4.2

1.3

13.5

17.5

52.3

1.21.6

0 10 20 30 40 50

Lung

Colon

Breast

Pancreas

Prostate

Leukemia

Lymphoma

Liver

Overy

Stomach

Skin

Uterus

Cervix

Rate per 100,000

US DeathsRate/100K

Femalerate/100K

Malerate/100K

1. US Death Rates expressed are 2008 National Vital Statistics Reports, Advance Data Vol. 59, No.2


12


2009 Emphysema/COPD at a glance

• Of 690 Bexar County Emphysema/COPD deaths in 2009, more than half (55%) were White residents over age 65.

• Although Emphysema/COPD was the fourth leading cause of death in Bexar County, it was not a leading cause of premature death in 2009.

Bexar County Bexar County Premature

Emphysema / COPD Deaths Emphysema / COPD Deaths (All Ages) (Age 65 and younger)

690 95

2009 Bexar County Emphysema / COPD Deaths by Age and Ethnicity

2 010

36

84

147 146

2 4 6

25

43

75

59

0 0 3 3 918

11

0

40

80

120

Under a

ge

White Hispanic Black

Bexar County Texas

(Crude death rate) (Crude death rate)

41.8 / 100,000 36.4 / 100,000

U.S. Population U.S. Population (Crude death rate) (Age adjusted death rate)

44.7/ 100,000 44.0/ 100,000

Emphysema / COPD Mortality Bexar County 2001-2009

41.8

44.9

34.8

36.3

44.7

43.2

20

25

30

35

40

45

50

2001 2002 2003 2004 2005 2006 2007 2008 2009

Dea

ths

per

100,

000

Res

iden

ts

Bexar County Death Rate Texas Death Rate US Death Rate

1ag

es 1-4

ages

5-14ages

15-24

ages

25-34age

s 35-44

ages 45-5

4ag

es 55-6

4ag

es 65-74

ages 75

-84age

s 85 P lus

2009 Bexar County Emphysema / COPD Deaths by zip code

P rimary C auseZ ip codes with <20 deaths not included2000 population



I.H. 35 N

I.H. 35 N

I.H. 35 NI.H. 35

N

I.H. 35 N

I.H. 35 N

I.H. 35 N

I.H. 35 NI.H. 35

N


I.H. 35 NI.H. 35 NI.H. 35 NI.H. 35 NI.H. 35 NI.H. 35 NI.H. 35 NI.H. 35 NI.H. 35 N

Loop

410

Loop

410

Loop

410

Loop

410

Loop

410

Loop

410

Loop

410

Loop

410

Loop

410

I .H. 37 S.I .H. 37 S.I .H. 37 S.

I. H. 37 S.

I. H. 37 S.

I .H. 37 S.I .H. 37 S.I .H. 37 S.I. H

. 37 S.



U.S.

281

NU.

S. 2

81 N

U.S.

281

NU.

S. 28

1 N

U.S.

281

NU.

S. 28

1 N

U.S.

281

NU.

S. 28

1 N

U.S.

281

N

Loop

410

Loop

410

Loop

410

Loop

410

Loop

410

Loop

410

Loop

410

Loop

410

Loop

410

I.H. 10I.H. 10I.H. 10

I.H. 10I.H. 10

I.H. 10I.H. 10I.H. 10I.H. 10

FM L

oop

1604

FM Lo

op 1

604

FM L

oop

1604

FM L

oop

1604

FM L

oop

1604

FM L

oop

1604

FM Lo

op 1

604

FM L

oop

1604

FM Lo

op 1

604

I.H. 10I.H. 10I.H. 10

I.H. 10I.H. 10

I.H. 10I.H. 10I.H. 10I.H. 10


I.H. 35 S.

I.H. 35 S.

I.H. 35 S.I.H. 35 S.

I.H. 35 S.I.H. 35 S.

I.H. 35 S.

I.H. 35 S.I.H. 35 S.

782277822778227782277822778227782277822778227

782017820178201782017820178201782017820178201

782077820778207782077820778207782077820778207

782097820978209782097820978209782097820978209

782107821078210782107821078210782107821078210

782137821378213782137821378213782137821378213

782187821878218782187821878218782187821878218

782237822378223782237822378223782237822378223

782287822878228782287822878228782287822878228

782327823278232782327823278232782327823278232

78239782397823978239782397823978239782397823978240782407824078240782407824078240782407824076 .2 to 91 .476 .2 to 91 .459 .5 to 76 .159 .5 to 76 .151 .8 to 59 .451 .8 to 59 .436 .8 to 51 .736 .8 to 51 .7

rate per 100,000


13


2009 Stroke Mortality at a glance

• Stroke Mortality rates have declined 26% since 2001 and remain below the national death rate of 44.0 deaths/100,000 population.

• Stroke was the third leading cause of death in Blacks over age 45, with a premature death rate nearly double that of White and Hispanic residents.


Stroke Deaths Premature Suicide Deaths (All Ages) (Age 65 and younger)

587 121


35.5 / 100,000 36.8 / 100,000

U.S. Health People 2020 Goal (Crude death rate) (Age adjusted death rate)

41.9 / 100,000 33.8 / 100,000

Stroke Mortality Bexar County 2001-2009

35.5

48.1

36.8

49.1

41.9

57.4

20

25

30

35

40

45

50

55

60

2001 2002 2003 2004 2005 2006 2007 2008 2009

Dea

ths

per

100,

000

Res

iden

ts

Bexar County Stroke Death Rate Texas Stroke Death Rate US Stroke Death Rate

2009 Bexar County Stroke Deaths by Age Groups and Race/Ethnicity

2 2 6

25 27

79

120

3 3

2537 40

74 75

0 1 6 8 13 14 18

0

40

80

120

Under age 1

ages 1-4

ages 5-14

ages 15-24

ages 25-34

ages 35-44

ages 45-54

ages 55-64

ages 65-74

ages 75-84

ages 85 Plus


2009 Bexar County Stroke Death rate per 100,000 by zip code

•587 Stroke Deaths•Zip codes with <20 deaths not included•US Census 2000 population



I.H. 35 NI.H. 35 NI.H. 35 NI.H. 35

N

I.H. 35 N

I.H. 35 N

I.H. 35 N

I.H. 35 N

I.H. 35 N



Loop

410

Loop

410

Loop

410

Loop

410

Loop

410

Loop

410

Loop

410

Loop

410

Loop

410

I .H. 37 S .I .H. 37 S .I .H. 37 S .

I .H. 37 S.

I .H. 37 S.

I. H. 37 S.I. H. 37 S.I. H. 37 S.I .H

. 37 S.



U.S.

281

NU.

S. 2

81 N

U.S.

281

NU.

S. 28

1 N

U.S.

281

NU.

S. 28

1 N

U.S.

281

NU.

S. 28

1 N

U.S.

281

N

Loop

410

Loop

410

Loop

410

Loop

410

Loop

410

Loop

410

Loop

410

Loop

410

Loop

410

I.H. 10I.H. 10I.H. 10

I.H. 10I.H. 10

I.H. 10I.H. 10I.H. 10I.H. 10

FM L

oop

1604

FM L

oop 1

604

FM L

oop 1

604

FM L

oop

1604

FM L

oop 1

604

FM L

oop

1604

FM L

oop 1

604

FM L

oop 1

604

FM L

oop 1

604

I.H. 10I.H. 10I.H. 10

I.H. 10I.H. 10

I.H. 10I.H. 10I.H. 10I.H. 10


I.H. 35 S.I.H. 35 S.I.H. 35 S.I.H. 35 S.

I.H. 35 S.I.H. 35 S.I.H. 35 S.I.H. 35 S.I.H. 35 S.

782077820778207782077820778207782077820778207

782097820978209782097820978209782097820978209

782107821078210782107821078210782107821078210

782187821878218782187821878218782187821878218

782287822878228782287822878228782287822878228

782407824078240782407824078240782407824078240

65 .2 to 74 .2


52 .1 to 65 .165 .2 to 74 .2

51 .8 to 52 .052 .1 to 65 .1

36 .7 to 51 .751 .8 to 52 .036 .7 to 51 .7


14


2009 Accidents Mortality (including MVA) at a glance

• Non-Motor Vehicle Accident deaths outnumbered Motor Vehicle deaths by a 2 to 1 margin in 2009. This ratio has remained constant since 2001.

• More than 1/2 of all accident related fatalities in 2009 were to residents over age 65.

• The Bexar County age adjusted death rates for Motor Vehicle and Other Accidents were below the national average in 2009.


Accidents & MVA Deaths Premature Accidents & MVA Deaths (All Ages) (Age 65 and younger)

473 220

Bexar Co. MVA Only Bexar Co. Accident deaths (Age adjusted death rate) (Age adjusted death rate)

7.3 / 100,000 20.7 / 100,000

U.S Motor Vehicle Accident US Accident deaths (not MVA) (age adjusted death rate) (Age adjusted death rate)

14.1 deaths per 100,000 26.8 deaths per 100,000


Motor Vehicle and Accident Mortality Bexar County 2009

233 260311

362 330372 397 367

324

117

162143

180162

147142 167

149

100

200

300

400

500

600

2001 2002 2003 2004 2005 2006 2007 2008 2009

MVA Accidents (not MVA)

Dea

ths

2009 Bexar County Accidents (not MVA)

Death rate per 100,000 by zip code

• 324 Accidents (not MVA) deaths

• U.S. Standard Million Population• Zip codes with <10 deaths not included



I.H. 35 N

I.H. 35 N

I.H. 35 N

I.H. 35 N

I.H. 35 NI.H. 35

NI.H. 35

NI.H. 35

NI.H. 35 N



Loop

410

Loop

410

Loop

410

Loop

410

Loop

410

Loop

410

Loop

410

Loop

410

Loop

410

I.H. 37 S.I.H. 37 S.I.H. 37 S.

I. H. 37 S.

I. H. 37 S.

I .H. 37 S.I .H. 37 S.I .H. 37 S.I. H

. 37 S.


FM Loop 1604FM Loop 1604FM Loop 1604FM Loop 1604FM Loop 1604FM Loop 1604FM Loop 1604FM Loop 1604FM Loop 1604U.

S. 2

81 N

U.S.

281

NU.

S. 2

81 N

U.S.

281

NU.

S. 28

1 N

U.S.

281

NU.

S. 28

1 N

U.S.

281

NU.

S. 28

1 N

Loop

410

Loop

410

Loop

410

Loop

410

Loop

410

Loop

410

Loop

410

Loop

410

Loop

410

I.H. 10I.H. 10I.H. 10

I.H. 10I.H. 10

I.H. 10I.H. 10I.H. 10I.H. 10

FM L

oop

1604

FM Lo

op 1

604

FM L

oop

1604

FM L

oop

1604

FM L

oop

1604

FM L

oop

1604

FM Lo

op 1

604

FM L

oop

1604

FM Lo

op 1

604

I.H. 10I.H. 10I.H. 10

I.H. 10I.H. 10

I.H. 10I.H. 10I.H. 10I.H. 10


I.H. 35 S.I.H. 35 S.I.H. 35 S.I.H. 35 S.


782587825878258782587825878258782587825878258

782277822778227782277822778227782277822778227

782017820178201782017820178201782017820178201

782077820778207782077820778207782077820778207

782097820978209782097820978209782097820978209

782107821078210782107821078210782107821078210

782137821378213782137821378213782137821378213782167821678216782167821678216782167821678216

782177821778217782177821778217782177821778217

782237822378223782237822378223782237822378223

782287822878228782287822878228782287822878228

782377823778237782377823778237782377823778237

782407824078240782407824078240782407824078240

782477824778247782477824778247782477824778247

36 .3 to 74 .229 .6 to 36 .227 .2 to 29 .522 .8 to 27 .1

36 .3 to 74 .229 .6 to 36 .227 .2 to 29 .522 .8 to 27 .1


2009 Bexar County Accidents & MVA Deaths by Age Groups and Race/Ethnicity

3 2

26 2521 20

27

29 8

13

21

1319

100

1 1

3130 30

50

4 2 3 3 1 2 2 2

0

20

40

60

80

100

120

Under

age 1

ages

1-4

ages

5-14

ages

15-24

ages 2

5-34

ages

35-44

ages

45-54

ages

55-64

ages

65-74

ages

75-84

ages

85 Plus

Hispanic White NH Black

15


� Diabetes was the fifth leading cause of death in Bexar County and the tenth leading cause of premature death in Bexar County in 2009.

� The 2009 Bexar County Diabetes mortality rate has fallen below the national and state averages for the first time this decade.

� In spite of significant reductions in Diabetes mortality, Diabetes as a contributing cause of death remains higher than state and national levels.

Bexar County deaths Bexar County deaths (Underlying cause of death) (Contributing cause of death)

337 1,265

Bexar County Death Rate Bexar County Death Rate (Underlying cause of death) (Contributing cause of death)

20.4 / 100,000 76.6 / 100,000

Texas Death Rate Texas Death Rate (Underlying cause of death) (Contributing cause of death)

21.3 / 100,000 69.2 / 100,000

US Diabetes Death Rate US Diabetes Death Rate (Underlying cause of death) (Contributing cause of death)

22.3 / 100,000 73.1 / 100,000

Special Note: Because diabetes contributes to many types of mortality including: heart disease, kidney disease, and stroke, it is necessary to distinguish between ‘underlying’ (primary cause) and ‘contributing’ (any cause) diabetes deaths to accurately assess the impact of diabetes on mortality. Diabetes was a contributing factor in 12% of Bexar County deaths in 2009, while only 3% of deaths were attributed to Diabetes as the actual cause of death.

Diabetes Mortality (Underlying Cause of Death Only)Bexar County 2001 - 2009

33.7

20.4

19.6

25.5

22.325.1

12.0

17.0

22.0

27.0

32.0

37.0

2001 2002 2003 2004 2005 2006 2007 2008 2009

Dea

ths

per

100,

000

Res

iden

ts

Bexar Co. Diabetes Death Rate Texas Diabetes Death Rate US Diabetes Death Rate

2009 Diabetes Mortality at a glance

I .H. 10I .H. 10I .H. 10I .H. 10I .H. 10I .H. 10I .H. 10I .H. 10I .H. 10


I .H. 35 N

I .H. 35 N

I .H. 35 N

I.H. 35 N

I.H. 35 N

I .H. 35 N

I .H. 35 N

I .H. 35 N

I.H. 35 N

FM Lo op 1604FM Lo op 1604FM Lo op 1604FM Lo op 1604FM Lo op 1604FM Lo op 1604FM Lo op 1604FM Lo op 1604FM Lo op 1604

I .H. 35 N

I .H. 35 N

I .H. 35 NI .H. 35 N

I .H. 35 NI .H. 35 N

I .H. 35 N

I .H. 35 NI .H. 35 N

Loop

410

Loop

410

Loop

410

Loop

410

Loop

410

Loop

410

Loop

410

Loop

410

Loop

410

I. H. 37

S.I. H

. 37S.

I. H. 37

S.I.H

. 3 7S .

I.H. 3 7

S .I. H

.3 7S .

I. H.3 7

S .I. H

.3 7S .

I.H. 3 7

S .

Loo p 410Loo p 410Loo p 410Loo p 410Loo p 410Lo op 410Lo op 410Lo op 410Loo p 410

FM Loo p 1604FM Loo p 1604FM Loo p 1604FM Loo p 1604FM Loo p 1604FM Loo p 1604FM Loo p 1604FM Loo p 1604FM Loo p 1604

U.S

. 281

NU

.S. 2

81N

U.S

. 281

NU

.S. 2

81N

U.S

. 281

NU

.S. 2

81N

U.S

. 281

N

U.S

. 281

N

U.S

. 281

N

Loop

410

Loop

410

Loop

410

Loo p

410

Loo p

410

Loop

410

Loop

410

Loop

410

Loo p

410

I.H. 10I.H. 10I.H. 10

I.H. 10I.H. 10

I.H. 10I.H. 10I.H. 10

I.H. 10

FMLo

o p16

04

FMLo

o p16

04

FMLo

op1

604

FMLo

o p16

04

FMLo

op 16

04

FMLo

op16

04

FMLo

op16

04

FMLo

op 16

04

FMLo

o p16

04

I.H. 10I.H. 10I.H. 10

I.H. 10I.H. 10

I.H. 10I.H. 10I.H. 10I.H. 10

U.S .Hwy 90 W.U.S.Hwy 90 W.U.S.Hwy 90 W.U.S .Hwy 90 W.U.S .Hwy 90 W.U.S.Hwy 90 W.U.S.Hwy 90 W.U.S.Hwy 90 W.U.S .Hwy 90 W.

I .H. 35 S .

I .H. 35 S .

I .H. 35 S .I .H. 35 S .

I .H. 35 S .I .H. 35 S .

I .H. 35 S .

I .H. 35 S .I .H. 35 S .

782507825078250782507825078250782507825078250 782137821378213782137821378213782137821378213

782307823078230782307823078230782307823078230

782337823378233782337823378233782337823378233

782477824778247782477824778247782477824778247

782177821778217782177821778217782177821778217

782127821278212782127821278212782127821278212

782097820978209782097820978209782097820978209

782237822378223782237822378223782237822378223

782227822278222782227822278222782227822278222782147821478214782147821478214782147821478214

782217822178221782217822178221782217822178221

782277822778227782277822778227782277822778227

782017820178201782017820178201782017820178201

782027820278202782027820278202782027820278202782077820778207782077820778207782077820778207

782107821078210782107821078210782107821078210

782117821178211782117821178211782117821178211

782167821678216782167821678216782167821678216

782187821878218782187821878218782187821878218

782197821978219782197821978219782197821978219

782207822078220782207822078220782207822078220

782287822878228782287822878228782287822878228

782297822978229782297822978229782297822978229

782327823278232782327823278232782327823278232

782377823778237782377823778237782377823778237

782397823978239782397823978239782397823978239782407824078240782407824078240782407824078240

782427824278242782427824278242782427824278242

782457824578245782457824578245782457824578245

782517825178251782517825178251782517825178251

Bexar�County�2009�Diabetes�Mortality�Rates�by�Zip�Code(Diabetes�underlying�&�contributing�cause�of�death)

age�adjusted�rates�per�100,000

152 plus133 to 151152 plus

113 to 132133 to 151

38 to 112113 to 132

38 to 112

•1,602��Diabetes�Related�Deaths

•Year�2000�U.S.�Standard�Million�Population

•Zip�codes�with�<20�deaths�not�included

16

2009 Liver Disease Mortality at a glance

• Liver Disease was the third leading cause of premature deaths in Bexar County in 2009, killing 262 residents.

• Of the 171 premature deaths in Bexar County attributed to Liver Disease, 2/3 were Hispanic males under age 65.

• The Bexar County age adjusted death rate for Liver Disease is significantly higher than state and national mortality rates.


Liver Disease Deaths Premature Liver Disease Deaths

(All Ages) (Age 65 and younger)

262 171


15.9 / 100,000 11.0 / 100,000 U.S. Healthy People 2020 Goal

(Crude death rate) (Age adjusted death rate) 9.9 / 100,000 8.2 / 100,000

Liver Disease Mortality Bexar County 2009

15.9

13.8

11.010.3

9.99.5

6.0

8.0

10.0

12.0

14.0

16.0

18.0

2001 2002 2003 2004 2005 2006 2007 2008 2009

Dea

ths

per

100,

000

Res

iden

ts


2009 Bexar County Liver Disease Deaths by Age and Ethnicity

23 22

11

2

5044

62

115

11

20

33

18

1110

20

40

60

Under

age 1

ages

1-4

ages

5-14

ages

15-24

ages

25-34

ages

35-44

ages

45-54

ages

55-64

ages

65-74

ages

75-84

ages

85 P

lus


2009 Bexar County Liver Disease Death rate per

100,000 by zip code



I.H. 35 N

I.H. 35 N

I.H. 35 N

I.H. 35 N

I.H. 35 N

I.H. 35 N

I.H. 35 N

I.H. 35 N

I.H. 35 N


I.H. 35 NI.H. 35 NI.H. 35 NI.H. 35 N

I.H. 35 NI.H. 35 NI.H. 35 NI.H. 35 NI.H. 35 N

Loop

410

Loop

410

Loop

410

Loop

410

Loop

410

Loop

410

Loop

410

Loop

410

Loop

410

I.H . 37 S.I.H . 37 S.I.H . 37 S.

I .H. 37 S.I .H. 37 S.

I. H. 37 S.I. H. 37 S.I. H. 37 S.I .H. 37 S.



U.S.

281

NU.

S. 2

81 N

U.S.

281

NU.

S. 2

81 N

U.S.

281

NU.

S. 2

81 N

U.S.

281

NU.

S. 2

81 N

U.S.

281

N

Loop

410

Loop

410

Loop

410

Loop

410

Loop

410

Loop

410

Loop

410

Loop

410

Loop

410

I.H. 10I.H. 10I.H. 10

I.H. 10I.H. 10

I.H. 10I.H. 10I.H. 10I.H. 10

FM L

oop

1604

FM L

oop

1604

FM L

oop

1604

FM L

oop

1604

FM L

oop

1604

FM L

oop

1604

FM L

oop

1604

FM L

oop

1604

FM L

oop

1604

I.H. 10I.H. 10I.H. 10

I.H. 10I.H. 10

I.H. 10I.H. 10I.H. 10I.H. 10


I.H. 35 S.I.H. 35 S.I.H. 35 S.I.H. 35 S.


782217822178221782217822178221782217822178221

782017820178201782017820178201782017820178201

782077820778207782077820778207782077820778207

782107821078210782107821078210782107821078210

782117821178211782117821178211782117821178211

782287822878228782287822878228782287822878228

782377823778237782377823778237782377823778237

38.5 to 44.138.5 to 44.132.6 to 38.432.6 to 38.423.9 to 32.523.9 to 32.520 to 23.820 to 23.8

age adjusted rates per 100, 00

•262 Liver Disease Deaths

• Year 2000 U.S. Standard Million Population

•Zip codes with <10 deaths not included

San Antonio Metropolitan Health District, Health Profiles, http://www.sanantonio.gov/health/Healthprofiles-Main.html

0

17



• Bexar County recorded 157 Suicide deaths in 2009, of which 85% were males.

• Suicide was the ninth leading cause of death in Bexar County and the fifth leading cause of premature death.

• Even though Suicide was a leading cause of death in Bexar County, the death rate was below the goal set for Health People 2020.

Bexar County Bexar County Suicide Deaths Premature Suicide Deaths

(All Ages) (Age 65 and younger)

157 129


9.5 / 100,000 11.3 / 100,000

U.S. Health People 2020 Goal (2007 Crude death rate) (Age adjusted death rate)

11.9 / 100,000 10.2 / 100,000

Bexar County Suicide Death Rate 2001 - 2009

9.59.4

11.310.4

11.9

10.8

4

6

8

10

12

14

2001 2002 2003 2004 2005 2006 2007 2008 2009

Dea

ths

per

100,

000

Resi

dent

s

Bexar County Suicide Rate Texas Suicide Rate US Suicide Rate


2009 Suicide Mortality at a glance

2009 Bexar County Suicide Death rate per 100,000 by zip code

Primary CauseZip codes with <5 deaths not included2000 population



I.H. 35 N

I.H. 35 N

I.H. 35 NI.H. 35 N

I.H. 35 NI.H. 35

N

I.H. 35 N

I.H. 35 N

I.H. 35 N



Loop

410

Loop

410

Loop

410

Loop

410

Loop

410

Loop

410

Loop

410

Loop

410

Loop

410

I. H. 37 S.I. H. 37 S.I. H. 37 S.

I .H. 37 S.

I .H. 37 S.

I .H. 37 S.I .H. 37 S.I .H. 37 S.I .H

. 37 S.



U.S.

281

NU.

S. 2

81 N

U.S.

281

NU.

S. 28

1 N

U.S.

281

NU.

S. 28

1 N

U.S.

281

NU.

S. 28

1 N

U.S.

281

N

Loop

410

Loop

410

Loop

410

Loop

410

Loop

410

Loop

410

Loop

410

Loop

410

Loop

410

I.H. 10I.H. 10I.H. 10

I.H. 10I.H. 10

I.H. 10I.H. 10I.H. 10I.H. 10

FM Lo

op 1

604

FM L

oop

1604

FM L

oop

1604

FM Lo

op 1

604

FM L

oop

1604

FM Lo

op 1

604

FM L

oop

1604

FM L

oop

1604

FM L

oop

1604

I.H. 10I.H. 10I.H. 10

I.H. 10I.H. 10

I.H. 10I.H. 10I.H. 10I.H. 10


I.H. 35 S.

I.H. 35 S.

I.H. 35 S.I.H. 35 S.

I.H. 35 S.I.H. 35 S.

I.H. 35 S.

I.H. 35 S.I.H. 35 S.

782177821778217782177821778217782177821778217

782217822178221782217822178221782217822178221

782287822878228782287822878228782287822878228

26.3 / 100,000

20.7 / 100,00010 / 100,000

26.3 / 100,000

20.7 / 100,00010 / 100,000

2009 Bexar County S icide Deaths by Age Groups and Race/Ethnicity

u

15 15

5

6

5

9

10

8

19 19

18

11

5

22 2 2 11 1

0

5

10

15

20

Under a

ge 1age

s 1-4

ages 5

-14ag

es 15-24

ages 2

5-34

ages 3

5-44ag

es 45-54

ages 5

5-64

ages 6

5-74

ages 7

5-84ag

es 85

Plus


18


2009 Homicide Mortality at a glance

• Bexar County Homicide rates dropped from a ten year high of 149 in 2008 to 114 deaths in 2009.

• In spite of the significant drop in the number of homicides in 2009, the Bexar County Homicide rate remained higher than state and national homicide death rates.

• The Bexar County Homicide rate ranked 30th among the top 50 metropolitan statistic areas in the United States.


Homicide Deaths Premature Homicide Deaths (All Ages) (Age 65 and younger)

114 106


6.9 / 100,000 6.0 / 100,000 U.S. Healthy People 2020 Goal

(Crude death rate) (Age adjusted death rate) 5.4 / 100,000 5.5 / 100,000

Bexar County Homicide Rate 2001 - 2009

6.97.5

5.4

6.2

5.6

5.0

4.0

5.0

6.0

7.0

8.0

9.0

10.0

2001 2002 2003 2004 2005 2006 2007 2008 2009

Dea

ths

per

100,

000

Resi

dent

s Bexar Co. Homicide Rate Texas Homicide Rate US Homicide Rate


2009 Bexar County Homicide Death rate per

100,000 by Zip Code

I.H. 1 0 I.H. 1 0 I.H. 1 0 I.H. 1 0 I.H. 1 0 I.H. 1 0 I.H. 1 0 I.H. 1 0 I.H. 1 0

Loop 4 10Loop 4 10Loop 4 10Loop 4 10Loop 4 10Loop 410Loop 410Loop 410Loop 4 10

I.H. 35 N

I.H. 35 N

I.H. 35 NI.H. 35 N

I.H. 35 NI.H. 35 N

I.H. 35 N

I.H. 35 NI.H. 35 N

FM Loop 16 04FM Loop 16 04FM Loop 16 04FM Loop 16 04FM Loop 16 04FM Loop 1 604FM Loop 1 604FM Loop 1 604FM Loop 16 04

I.H . 35 NI.H . 35 NI.H . 35 NI.H . 35 N

I.H . 35 NI.H. 35 NI.H. 35 NI.H. 35 NI.H . 35 N

Loop

410

Loop

410

Loop

410

Loop

410

Loop

410

Loop

410

Loop

410

Loop

410

Loop

410

I. H. 37 S.I. H. 37 S.I. H. 37 S.

I .H. 37 S.I .H. 37 S.

I. H. 37 S.I. H. 37 S.I. H. 37 S.I .H. 37 S.

Loop 4 10Loop 4 10Loop 4 10Loop 4 10Loop 4 10Loop 4 10Loop 4 10Loop 4 10Loop 4 10

FM Loop 1604FM Loop 1604FM Loop 1604FM Loop 1604FM Loop 1604FM Loop 160 4FM Loop 160 4FM Loop 160 4FM Loop 1604

U.S

. 281

NU

.S. 2

81 N

U.S

. 281

NU

.S. 2

81 N

U.S

. 281

NU.

S. 2

81 N

U.S.

281

NU.

S. 2

81 N

U.S

. 281

N

Loop 410

Loop 410

Loop 410

Loop

410

Loop

410

Loop

410

Loop

410

Loop

410

Loop

410

I.H. 10I.H. 10I.H. 10

I.H. 10I.H. 10

I.H . 10I.H . 10I.H . 10

I.H. 10

FM L

oop

1604

FM L

oop

1604

FM L

oop

1604

FM L

oop

1604

FM L

oop

1604

FM L

oop

1604

FM L

oop

1604

FM L

oop

1604

FM L

oop

1604

I.H. 10I.H. 10I.H. 10

I.H. 10I.H. 10

I.H. 10I.H. 10I.H. 10I.H. 10

U.S. Hwy 9 0 W.U.S. Hwy 9 0 W.U.S. Hwy 9 0 W.U.S. Hwy 90 W.U.S. Hwy 90 W.U.S. Hwy 90 W.U.S. Hwy 90 W.U.S. Hwy 90 W.U.S. Hwy 90 W.

I.H. 35 S.

I.H. 35 S.

I.H. 35 S.I.H. 3 5 S.

I.H. 3 5 S.I.H. 35 S.

I.H. 35 S.

I.H. 35 S.I.H. 3 5 S.

782477824778247782477824778247782477824778247

782337823378233782337823378233782337823378233

782277822778227782277822778227782277822778227

782017820178201782017820178201782017820178201

782077820778207782077820778207782077820778207

782107821078210782107821078210782107821078210

782397823978239782397823978239782397823978239

78244782447824478244782447824478244782447824414 Plus 13.0 to 13.912.4 to 12.910.9 to 12.3

14 Plus 13.0 to 13.912.4 to 12.910.9 to 12.3


•114 Homicide Related Deaths

•Year 2000 U.S. Standard Million Popul tion

•Zip codes with <5 deaths were not inc uded

2009 Bexar County Homicide Deaths by Age Groups and Race/Ethnicity

21

22

17

11

43 3

21 1

4

2

6

1 1 1

9 9

5

3

1

3

0

5

10

15

20

25

Under

age 1

ages

1-4ag

es 5-1

4ag

es 15-

24ag

es 25

-34ag

es 35-

44ag

es 45-

54ag

es 55-

64ag

es 65-

74ag

es 75

-84ag

es 85

Plus


a

l

19


• Bexar County recorded 56 Birth Defects deaths recorded in 2009, more than half (57%) were newborns and infants under one year of age.

• The 2009 Birth Defects death rate of 1.2 deaths per 1,000 births is at the lowest level in 10 years.

• The Bexar County Infant mortality rate remains lower than State and National mortality rates for 2009.

Bexar County Bexar County Birth Defect Deaths Infant Birth Defect Deaths (All Ages) (Age 1 and younger)

56 32

Bexar County Texas (Age 1 and younger) (Age 1 and younger)

1.20 / 1,000 births 1.34 / 1,000 births

U.S. Population Health People 2020 Goal (Age 1 and younger) (Age 1 and younger)

1.30 / 1,000 births 1.30 deaths / 1,000 births

Birth Defects Mortality Bexar County 2001-2009

1.42

1.20

1.341.38 1.30

1.00

1.25

1.50

1.75

2.00

2001 2002 2003 2004 2005 2006 2007 2008 2009

Dea

ths

per

1,00

0 Bi

rths



2009 Birth Defects Mortality at a glance

20

2009 Bexar County Infant Birth Defects Deaths

(Age < 1 year)

Zip codes with <3 deaths not included

Rate per 1000 birthsby zip code

Loop 1

604

Loop 1

604

Loop 1

604

Loop 1

604

Loop 1

604

Loop 1

604

Loop 1

604

Loop 1

604

Loop 1

604


I.H. 35 N

I.H. 35 N

I.H. 35 N

I.H. 35 N

I.H. 35 NI.H. 35 N

I.H. 35 N

I.H. 35 NI.H. 35 N

Loop

410

Loo p

410

Loo p

410

L oop

4 10

L oop

4 10

L oo p

4 10

L oo p

4 10

L oo p

4 10

L oop

4 10

I.H. 37 S.I.H. 37 S.I.H. 37 S.

I.H. 37 S.I.H. 37 S.

I.H. 37 S.I.H. 37 S.I.H. 37 S.I.H. 37 S.

U.S.

281

NU.

S. 2

81 N

U.S.

281

NU.

S. 2

81 N

U.S.

281

NU.

S. 2

81 N

U.S.

281

NU.

S. 2

81 N

U.S.

281

N


I.H. 10I.H. 10I.H. 10

I.H. 10I.H. 10

I.H. 10I.H. 10I.H. 10I.H. 10

Loop

1604

Loop

1604

Loop

1604

Loop

1604

Loop

1604

Loop

160

4

Loop

160

4

Loop

160

4

Loop

1604

Loop

410

Loop

410

Loop

410

Loop 410

Loop 410

Loop

410

Loop

410

Loop

410

Loop 410U.S. Hwy.151

U.S. Hwy.151

U.S. Hwy.151

U.S. Hwy.151

U.S. Hwy.151

U.S. Hwy.151

U.S. Hwy.151

U.S. Hwy.151

U.S. Hwy.151


I.H. 35 S.I.H. 35 S.I.H. 35 S.I.H. 35 S.I.H. 35 S.I.H. 35 S.I.H. 35 S.I.H. 35 S.I.H. 35 S.

782457824578245782457824578245782457824578245

782547825478254782547825478254782547825478254 782407824078240782407824078240782407824078240

782587825878258782587825878258782587825878258

782077820778207782077820778207782077820778207

782107821078210782107821078210782107821078210

32 Total Deaths

4.2 to 4 .34 .1 to 4 .12 .9 to 4 .01 .8 to 2 .8

4 .2 to 4 .34 .1 to 4 .12 .9 to 4 .01 .8 to 2 .8

2009 Bexar County Birth Defect Deaths by Age Groups and Race/Ethnicity

3 421

42

22

1 11

8

1 11

0

5

10

15

20

25

Unde

r age

1age

s 1-4

ages 5

-14age

s 15-2

4age

s 25-3

4age

s 35-4

4age

s 45-5

4age

s 55-6

4age

s 65-7

4age

s 75-8

4age

s 85 P

lus



APPENDICIES

List of Bexar County Detailed Demographic & Mortality Tables

1. Mortality Trend Tables 2009

2. Mortality by Council District 2009

3. Bexar County Population Estimates 2009

4. Bexar County Infant Mortality Summary 2009

5. Bexar County Leading Causes of Death, 2001 – 2009

6. Bexar County Deaths by Age Group

7. Bexar County Deaths by Ethnicity & Gender 2009

8. Bexar County Mortality by Zip Code

9. Bexar County Mortality by Census Tract

10. Resources and References

• County 2009 Population Estimates

• 113 Code / ICD10 classification crosswalk

• Population and Mortality Website URL’s

21

Number Rate Number Rate Number Rate Number Rate Number Rate Number Rate Number Rate Number Rate Number RateBexar County 2684 230.8 2790 236.2 2711 226.1 2638 216.7 2592 209.8 2479 197.7 2341 184.0 2209 171.2 2285 174.6

Males 1336 194.1 1379 196.7 1297 182.5 1279 176.7 1283 174.3 1228 162.4 1191 153.6 1150 145.2 1195 148.0Females 1348 185.6 1411 191.0 1414 188.2 1359 178.0 1309 168.9 1251 157.4 1150 141.4 1059 127.7 1090 129.2

White non Hisp. 1442 289.9 1464 293.3 1445 289.8 1400 279.4 1249 248.5 1270 249.7 1215 236.8 1174 228.1 1130 218.6Hispanic 1021 131.0 1061 132.6 1004 122.3 976 116.2 1060 123.3 971 109.8 939 102.9 839 89.3 938 97.4Black 205 211.6 248 252.8 249 254.1 245 245.7 234 232.7 214 201.9 168 155.4 165 150.2 184 164.5Other 16 39.4 17 39.8 13 29.1 17 36.3 49 100.2 24 46.1 19 34.5 31 53.7 33 54.9

Males 1336 194.1 1379 196.7 1297 182.5 1279 176.7 1283 174.3 1228 162.4 1191 153.6 1150 145.2 1195 148.0White non Hisp. 700 287.9 703 288.4 690 284.6 666 272.8 618 252.3 633 255.2 622 248.5 609 242.5 570 225.9Hispanic 532 140.2 555 142.3 489 122.1 492 120.0 533 126.8 483 111.6 479 107.0 443 96.1 515 108.8Black 96 204.2 113 237.7 112 237.5 113 234.9 109 225.1 101 198.6 82 158.1 83 157.3 94 174.8Other 8 42.8 8 40.7 6 29.2 8 36.9 23 101.4 11 45.3 8 31.1 15 55.5 16 56.8

Females 1348 185.6 1411 191.0 1414 188.2 1359 178.0 1309 168.9 1251 157.4 1150 141.4 1059 127.7 1090 129.2White non Hisp. 742 291.7 761 298.1 755 294.8 734 285.7 631 244.8 637 244.4 593 225.6 565 214.4 560 211.7Hispanic 489 122.2 506 123.4 515 122.5 484 112.6 527 120.0 488 108.1 460 98.9 396 82.9 423 86.5Black 109 218.5 135 267.0 137 269.4 132 255.6 125 239.9 113 204.9 86 153.0 82 143.7 90 154.9Other 8 36.5 9 39.1 7 29.1 9 35.8 26 99.2 13 46.7 11 37.5 16 52.2 17 53.3

Dist. 1 283 242.6 260 223.7 266 229.8 259 224.7 278 242.2 252 220.4 220 193.2 229 201.9 217 192.2 Dist. 2 251 227.9 283 253.5 298 263.5 273 238.2 300 258.4 254 216.0 209 175.5 203 168.4 196 160.6 Dist. 3 189 167.4 210 184.9 251 219.8 255 222.0 267 231.1 227 195.3 226 193.4 182 154.8 211 178.5 Dist. 4 179 159.6 166 146.4 163 142.3 156 134.7 151 129.0 148 125.1 143 119.7 116 96.1 155 127.1 Dist. 5 217 197.5 233 212.8 276 252.9 246 226.2 265 244.5 226 209.2 207 192.2 193 179.8 231 216.0 Dist. 6 159 132.1 149 120.2 169 132.5 140 106.8 121 89.9 128 92.6 130 91.7 143 98.4 119 79.9 Dist. 7 255 207.7 237 190.5 206 163.4 224 175.4 229 177.1 240 183.2 187 141.0 200 149.0 206 151.6 Dist. 8 232 188.0 228 178.9 183 139.2 184 135.8 175 125.5 182 126.8 155 105.1 157 103.6 171 109.9 Dist. 9 240 198.8 258 206.4 215 166.3 220 164.7 204 148.0 222 156.2 182 124.3 199 132.1 143 92.3 Dist. 10 217 190.5 235 202.5 183 154.9 190 158.0 172 140.5 158 126.9 147 116.1 178 138.2 159 121.4 San Antonio 2222 191.1 2259 191.3 2210 184.3 2147 176.4 2162 175.0 2037 162.5 1806 142.0 1800 139.5 1808 138.2 Population113 codes: 49-59 22

1,235,587

2004 2005

1,162,834 1,181,022 1,199,211 1,217,399 1,271,963 1,290,152

2009

1,308,340

Mortality in Bexar County Trends in Heart Disease

2001 2002 2003 2006 2007 2008

1,253,775


Males 1088 158.1 1153 164.5 1123 158.0 1119 154.6 1155 156.9 1165 154.1 1165 150.2 1156 145.9 1153 142.8Females 959 132.1 1015 137.4 1037 138.0 1047 137.1 983 126.8 1052 132.3 1027 126.2 1011 121.9 1079 127.9




Dist. 1 162 138.9 162 139.4 171 147.8 188 163.1 177 154.2 201 175.8 192 168.6 172 151.7 184 162.9 Dist. 2 198 179.8 209 187.2 222 196.3 211 184.1 218 187.8 178 151.4 178 149.5 187 155.1 184 150.8 Dist. 3 148 131.1 152 133.9 180 157.6 166 144.5 169 146.3 182 156.6 149 127.5 164 139.5 167 141.3 Dist. 4 181 161.4 173 152.6 155 135.3 157 135.6 154 131.6 159 134.5 143 119.7 162 134.2 153 125.5 Dist. 5 146 132.9 139 127.0 154 141.1 168 154.5 184 169.7 175 162.0 154 143.0 164 152.8 169 158.0 Dist. 6 125 103.9 153 123.4 143 112.1 149 113.7 138 102.5 161 116.5 150 105.8 127 87.4 153 102.7 Dist. 7 164 133.6 192 154.3 171 135.7 178 139.4 185 143.0 198 151.2 183 138.0 183 136.3 175 128.8 Dist. 8 172 139.4 156 122.4 162 123.2 186 137.3 146 104.7 165 115.0 138 93.5 165 108.9 158 101.6 Dist. 9 193 159.9 226 180.8 186 143.9 168 125.8 182 132.1 160 112.6 169 115.5 193 128.1 191 123.3 Dist. 10 164 144.0 201 173.2 168 142.2 175 145.5 175 143.0 181 145.3 181 142.9 170 132.0 163 124.5 San Antonio 1653 142.2 1763 149.3 1712 142.8 1746 143.4 1728 139.9 1760 140.4 1637 128.7 1687 130.8 1697 129.7 Population113 codes: 18-40 23

1,253,775 1,308,340

2009

Mortality in Bexar County Trends in Cancer (Malignant neoplasms)

1,162,834 1,181,022 1,199,211 1,217,399 1,235,587 1,271,963

2001 2002 2003 2004

1,290,152

2005 2006 2007 2008


Males 299 43.4 285 40.7 278 39.1 293 40.5 296 40.2 303 40.1 334 43.1 319 40.3 318 39.4Females 336 46.3 299 40.5 301 40.1 314 41.1 339 43.7 315 39.6 343 42.2 365 44.0 372 44.1




Dist. 1 65 55.7 52 44.7 44 38.0 48 41.6 56 48.8 34 29.7 35 30.7 23 20.3 61 54.0 Dist. 2 47 42.7 54 48.4 50 44.2 53 46.2 46 39.6 58 49.3 53 44.5 29 24.1 64 52.4 Dist. 3 64 56.7 46 40.5 43 37.6 50 43.5 45 38.9 43 37.0 52 44.5 22 18.7 61 51.6 Dist. 4 34 30.3 31 27.3 25 21.8 31 26.8 27 23.1 24 20.3 38 31.8 32 26.5 51 41.8 Dist. 5 31 28.2 33 30.1 36 33.0 34 31.3 28 25.8 40 37.0 34 31.6 23 21.4 38 35.5 Dist. 6 28 23.3 22 17.8 26 20.4 25 19.1 21 15.6 24 17.4 28 19.7 25 17.2 29 19.5 Dist. 7 49 39.9 51 41.0 44 34.9 41 32.1 45 34.8 43 32.8 43 32.4 38 28.3 63 46.4 Dist. 8 36 29.2 32 25.1 31 23.6 33 24.4 36 25.8 27 18.8 31 21.0 39 25.7 40 25.7 Dist. 9 56 46.4 39 31.2 39 30.2 37 27.7 41 29.7 30 21.1 32 21.9 43 28.5 70 45.2 Dist. 10 50 43.9 55 47.4 38 32.2 46 38.2 52 42.5 36 28.9 53 41.8 40 31.1 56 42.8 San Antonio 460 39.6 415 35.1 376 31.4 398 32.7 397 32.1 359 28.6 399 31.4 314 24.3 533 40.7 Population113 codes:70-76 24

1,235,587

2004 2005

1,162,834 1,181,022 1,199,211 1,217,399 1,271,963 1,290,152

2009

1,308,340

Mortality in Bexar County Trends in Emphysema / COPD (Chronic lower respiratory diseases) Mortality2001 2002 2003 2006 2007 2008

1,253,775


Males 283 41.1 286 40.8 262 36.9 286 39.5 251 34.1 262 34.7 272 35.1 268 33.8 256 31.7Females 398 54.8 379 51.3 427 56.8 410 53.7 351 45.3 342 43.0 296 36.4 360 43.4 331 39.2




Dist. 1 77 66.0 57 49.1 56 48.4 54 46.8 71 61.8 56 49.0 41 36.0 57 50.3 47 41.6 Dist. 2 73 66.3 79 70.8 67 59.2 67 58.5 62 53.4 56 47.6 72 60.5 63 52.3 66 54.1 Dist. 3 58 51.4 53 46.7 62 54.3 58 50.5 53 45.9 58 49.9 52 44.5 62 52.7 46 38.9 Dist. 4 37 33.0 45 39.7 31 27.1 40 34.5 21 17.9 38 32.1 39 32.6 39 32.3 44 36.1 Dist. 5 63 57.4 52 47.5 46 42.2 52 47.8 72 66.4 60 55.5 59 54.8 67 62.4 54 50.5 Dist. 6 42 34.9 30 24.2 36 28.2 37 28.2 31 23.0 30 21.7 40 28.2 35 24.1 25 16.8 Dist. 7 55 44.8 46 37.0 53 42.0 49 38.4 50 38.7 38 29.0 41 30.9 58 43.2 42 30.9 Dist. 8 36 29.2 29 22.8 37 28.1 27 19.9 50 35.8 40 27.9 27 18.3 38 25.1 47 30.2 Dist. 9 32 26.5 35 28.0 34 26.3 34 25.5 63 45.7 66 46.4 37 25.3 52 34.5 54 34.9 Dist. 10 27 23.7 33 28.4 52 44.0 46 38.2 35 28.6 44 35.3 34 26.8 44 34.2 39 29.8 San Antonio 500 43.0 459 38.9 474 39.5 464 38.1 508 41.1 486 38.8 442 34.7 515 39.9 464 35.5 Population113 codes:61 25

1,235,587

2004 2005

1,162,834 1,181,022 1,199,211 1,217,399 1,271,963 1,290,152

2009

1,308,340

Mortality in Bexar County Trends in Stroke (Cerebrovascular diseases)

2001 2002 2003 2006 2007 2008

1,253,775


Males 223 32.4 281 40.1 278 39.1 314 43.4 318 43.2 304 40.2 328 42.3 321 40.5 285 35.3Females 127 17.5 141 19.1 176 23.4 228 29.9 174 22.4 215 27.0 211 25.9 213 25.7 188 22.3




Dist. 1 19 16.3 36 31.0 37 32.0 48 41.6 31 27.0 26 22.7 49 43.0 49 43.2 36 31.9 Dist. 2 32 29.1 33 29.6 39 34.5 31 27.1 44 37.9 29 24.7 47 39.5 44 36.5 35 28.7 Dist. 3 33 29.2 36 31.7 40 35.0 57 49.6 44 38.1 40 34.4 49 41.9 42 35.7 36 30.5 Dist. 4 18 16.1 31 27.3 23 20.1 30 25.9 42 35.9 37 31.3 46 38.5 41 34.0 35 28.7 Dist. 5 31 28.2 37 33.8 22 20.2 34 31.3 34 31.4 43 39.8 55 51.1 39 36.3 27 25.2 Dist. 6 27 22.4 22 17.8 25 19.6 32 24.4 34 25.2 32 23.1 36 25.4 43 29.6 29 19.5 Dist. 7 29 23.6 33 26.5 33 26.2 39 30.5 35 27.1 39 29.8 38 28.7 39 29.0 37 27.2 Dist. 8 19 15.4 23 18.0 18 13.7 35 25.8 24 17.2 28 19.5 31 21.0 31 20.5 52 33.4 Dist. 9 19 15.7 26 20.8 29 22.4 24 18.0 19 13.8 28 19.7 18 12.3 56 37.2 40 25.8 Dist. 10 21 18.4 25 21.5 35 29.6 31 25.8 30 24.5 34 27.3 38 30.0 47 36.5 40 30.6 San Antonio 248 21.3 302 25.6 301 25.1 361 29.7 337 27.3 336 26.8 407 32.0 431 33.4 367 28.1 Population113 codes:96, 97-104 26

1,235,587

2004 2005

1,162,834 1,181,022 1,199,211 1,217,399 1,271,963 1,290,152

2009

1,308,340

Mortality in Bexar County Trends in Motor Vehicle & Accidents (not MVA) Mortality

2001 2002 2003 2006 2007 2008

1,253,775


Males 213 30.9 207 29.5 229 32.2 217 30.0 229 31.1 209 27.6 218 28.1 186 23.5 160 19.8Females 264 36.4 277 37.5 271 36.1 281 36.8 265 34.2 203 25.5 212 26.1 186 22.4 177 21.0




Dist. 1 46 39.4 53 45.6 49 42.3 46 39.9 57 49.7 49 42.9 35 30.7 35 30.9 32 28.3 Dist. 2 40 36.3 56 50.2 44 38.9 44 38.4 41 35.3 33 28.1 41 34.4 40 33.2 29 23.8 Dist. 3 55 48.7 35 30.8 57 49.9 56 48.7 58 50.2 53 45.6 36 30.8 45 38.3 39 33.0 Dist. 4 48 42.8 54 47.6 45 39.3 42 36.3 51 43.6 37 31.3 39 32.6 26 21.5 25 20.5 Dist. 5 56 51.0 56 51.1 71 65.1 53 48.7 61 56.3 42 38.9 72 66.9 49 45.7 40 37.4 Dist. 6 41 34.1 45 36.3 32 25.1 38 29.0 32 23.8 28 20.3 22 15.5 24 16.5 20 13.4 Dist. 7 41 33.4 35 28.1 47 37.3 55 43.1 39 30.2 32 24.4 51 38.5 38 28.3 32 23.5 Dist. 8 30 24.3 29 22.8 25 19.0 27 19.9 34 24.4 24 16.7 21 14.2 19 12.5 19 12.2 Dist. 9 23 19.1 19 15.2 27 20.9 24 18.0 21 15.2 22 15.5 22 15.0 26 17.3 15 9.7 Dist. 10 25 21.9 28 24.1 23 19.5 31 25.8 28 22.9 22 17.7 16 12.6 19 14.8 16 12.2 San Antonio 405 34.8 410 34.7 420 35.0 416 34.2 422 34.2 342 27.3 355 27.9 321 24.9 267 20.4 Population113 codes: 43 27

1,235,587

2004 2005

1,162,834 1,181,022 1,199,211 1,217,399 1,271,963 1,290,152

2009

1,308,340

Mortality in Bexar County Trends in Diabetes Deaths

2001 2002 2003 2006 2007 2008

1,253,775


Males 139 20.2 149 21.3 151 21.2 164 22.7 188 25.5 147 19.4 152 19.6 160 20.2 178 22.0Females 56 7.7 77 10.4 65 8.7 84 11.0 70 9.0 75 9.4 73 9.0 82 9.9 84 10.0




Dist. 1 7 6.0 16 13.8 6 5.2 5 4.3 6 5.2 20 17.5 24 21.1 11 9.7 21 18.6 Dist. 2 4 3.6 8 7.2 7 6.2 7 6.1 9 7.8 16 13.6 18 15.1 6 5.0 22 18.0 Dist. 3 11 9.7 11 9.7 9 7.9 9 7.8 3 2.6 31 26.7 27 23.1 11 9.4 19 16.1 Dist. 4 6 5.4 6 5.3 6 5.2 5 4.3 7 6.0 13 11.0 14 11.7 7 5.8 23 18.9 Dist. 5 18 16.4 21 19.2 8 7.3 14 12.9 21 19.4 30 27.8 29 26.9 19 17.7 38 35.5 Dist. 6 7 5.8 6 4.8 7 5.5 8 6.1 9 6.7 20 14.5 19 13.4 15 10.3 27 18.1 Dist. 7 4 3.3 10 8.0 5 4.0 10 7.8 14 10.8 10 7.6 13 9.8 5 3.7 18 13.2 Dist. 8 0 - 3 2.4 2 1.5 3 2.2 1 0.7 8 5.6 10 6.8 9 5.9 13 8.4 Dist. 9 1 0.8 3 2.4 2 1.5 2 1.5 3 2.2 6 4.2 3 2.0 8 5.3 13 8.4 Dist. 10 5 4.4 2 1.7 5 4.2 4 3.3 7 5.7 11 8.8 5 3.9 13 10.1 19 14.5 San Antonio 63 5.4 86 7.3 57 4.8 67 5.5 80 6.5 165 13.2 162 12.7 104 8.1 213 16.3 Population113 codes: 80-82 28

1,235,587

2004 2005

1,162,834 1,181,022 1,199,211 1,217,399 1,271,963 1,290,152

2009

1,308,340

Mortality in Bexar County Trends in Liver Disease (Chronic liver disease and cirrhosis)

2001 2002 2003 2006 2007 2008

1,253,775

Number Rate Number Rate Number Rate Number Rate Number Rate Number Rate Number Rate Number Rate Number Rate

Bexar County 133 11.4 126 10.7 131 10.9 122 10.0 144 11.7 149 11.9 129 10.1 133 10.3 157 12.0

Males 101 14.7 97 13.8 103 14.5 94 13.0 116 15.8 121 16.0 100 12.9 110 13.9 134 16.6Females 32 4.4 29 3.9 28 3.7 28 3.7 28 3.6 28 3.5 29 3.6 23 2.8 23 2.7





1,235,587

2004 2005

1,162,834 1,181,022 1,199,211 1,217,399 1,271,963 1,290,152

2009

1,308,340

Mortality in Bexar County Trends in Suicide

2001 2002 2003 2006 2007 2008

1,253,775


Males 80 11.6 91 13.0 70 9.9 74 10.2 79 10.7 95 12.6 102 13.2 116 14.6 86 10.6Females 26 3.6 27 3.7 29 3.9 23 3.0 26 3.4 28 3.5 25 3.1 33 4.0 28 3.3





1,235,587

2004 2005

1,162,834 1,181,022 1,199,211 1,217,399 1,271,963 1,290,152

2009

1,308,340

Mortality in Bexar County Trends in Homicide

2001 2002 2003 2006 2007 2008

1,253,775


Males 21 1.7 23 1.8 24 1.9 20 1.6 16 1.3 22 1.7 19 1.4 12 0.9 16 1.2Females 13 1.1 23 1.9 11 0.9 21 1.7 22 1.7 8 0.6 17 1.2 18 1.3 16 1.2

0.0White non Hisp. 11 1.7 7 1.1 7 1.1 11 1.8 4 0.6 4 0.7 9 1.5 7 1.2 8 1.3Hispanic 21 1.4 37 2.2 23 1.4 25 1.5 28 1.6 22 1.2 24 1.3 21 1.1 22 1.2Black 2 1.5 1 0.7 4 2.8 3 2.1 6 4.0 2 1.3 3 1.8 1 0.6 1 0.6Other 0 0.0 1 2.2 1 1.8 2 3.7 0 0.0 2 2.7 0 0.0 1 1.3 1 1.2

Males 21 1.7 23 1.8 24 1.9 20 1.6 16 1.2 22 1.7 19 1.4 12 0.9 16 1.2White non Hisp. 8 2.4 5 1.5 5 1.6 5 1.5 2 0.6 2 0.7 6 1.9 3 1.0 5 1.6Hispanic 13 1.7 17 2.0 14 1.7 11 1.3 14 1.6 16 1.7 13 1.4 8 0.8 11 1.2Black 0 0.0 0 0.0 4 5.5 3 4.1 0 0.0 2 2.5 0 0.0 0 0.0 0 0.0Other 0 0.0 1 3.6 1 3.5 1 3.4 0 0.0 2 -10.5 0 0.0 1 -2.3 0 0.0


Dist. 1 1 0.6 6 3.5 4 2.0 2 1.1 3 1.6 3 1.6 2 1.1 1 0.6 1 0.6 Dist. 2 3 1.7 4 2.2 2 1.0 2 1.0 1 0.5 3 1.5 2 0.9 3 1.4 1 0.5 Dist. 3 2 1.1 3 1.7 4 1.9 2 1.0 1 0.5 4 1.9 3 1.3 4 1.8 1 0.5 Dist. 4 4 1.6 3 1.2 1 0.4 7 3.0 3 1.3 5 2.2 3 1.3 7 3.1 4 1.7 Dist. 5 4 2.4 3 1.8 5 2.2 5 2.3 4 1.8 1 0.5 6 2.8 1 0.5 5 2.5 Dist. 6 5 2.1 7 2.8 1 0.4 7 2.9 0 - 1 0.4 2 0.8 4 1.6 2 0.8 Dist. 7 0 - 8 4.0 2 0.9 3 1.4 2 0.9 1 0.5 3 1.4 2 1.0 4 2.0 Dist. 8 4 1.5 1 0.4 1 0.5 2 1.1 3 1.6 1 0.5 5 2.7 1 0.6 1 0.5 Dist. 9 2 0.9 1 0.5 2 1.1 4 2.1 4 2.1 1 0.5 1 0.5 0 - 3 1.6 Dist. 10 1 0.5 1 0.5 3 1.7 1 0.6 5 2.8 3 1.7 2 1.1 1 0.6 1 0.6 San Antonio 26 1.3 37 1.8 25 1.2 35 1.7 26 1.2 23 1.1 29 1.4 24 1.2 23 1.1 Live Births113 codes:92-93 31

2009

23,982 24,772 24,788 25,136 25,582 26,194 27,156 26,940 26,687

Mortality in Bexar County Trends in Infant Birth Defects Deaths (age <1 yr) (rate per 1,000 live births)

2001 2002 2003 2004 2005 2006 2007 2008

COUNCIL DISTRICT 1 COUNCIL DISTRICT 6

Rank Cause of Death No. of Deaths rate per 100k Rank Cause of Death

No. of Deaths rate per 100k

1 Heart Disease 217 192.2 1 Cancer 153 102.7

2 Cancer 184 162.9 2 Heart Disease 119 79.9

3 Emphysema / COPD 61 54.0 3 Emphysema / COPD 29 19.5

4 Stroke 47 41.6 4 Renal disease (kidney) 28 18.8

5 Diabetes mellitus 32 28.3 5 Liver disease 27 18.1

Population 112,932 Population 148,959




1 Heart Disease 196 160.6 1 Heart Disease 206 151.6

2 Cancer 184 150.8 2 Cancer 175 128.8

3 Stroke 66 54.1 3 Emphysema / COPD 63 46.4

4 Emphysema / COPD 64 52.4 4 Stroke 42 30.9

5 Renal disease (kidney) 39 32.0 5 Diabetes mellitus 32 23.5





1 Heart Disease 211 178.5 1 Heart Disease 171 109.9

2 Cancer 167 141.3 2 Cancer 158 101.6

3 Emphysema / COPD 61 51.6 3 Stroke 47 30.2


5 Diabetes mellitus 39 33.0 5 Accidents (other than MVA) 39 25.1







3 Emphysema / COPD 51 41.8 3 Emphysema / COPD 70 45.2

4 Stroke 44 36.1 4 Stroke 54 34.9

5 Diabetes mellitus 25 20.5 5 Accidents (other than MVA) 30 19.4








4 Diabetes mellitus 40 37.4 4 Stroke 39 29.8

5 Emphysema / COPD 38 35.5 5 Accidents (other than MVA) 28 21.4


Death rates for selected causes of death, by Council District

Heart Disease 2009

160.6

127.1

216.0

79.9

109.992.3 121.4

192.2

151.6

178.5

0.0

50.0

100.0

150.0

200.0

250.0

1 2 3 4 5 6 7 8 9 10

Council District

Rate

per

100

,000

Bexar County Death rate --------- U.S. Death rate

Cancer 2009Bexar County Death rate --------- U.S. Death rate

124.5123.3

101.6

128.8102.7

158.0

125.5

141.3150.8

162.9

020406080

100120140160180

1 2 3 4 5 6 7 8 9 10

Council District

Rat

e pe

r 100

,000

Emphysema/COPD 2009


52.4 51.6

35.5

19.5

46.4

25.7

45.242.841.8

54.0

0.0

10.0

20.0

30.0

40.0

50.0

60.0

1 2 3 4 5 6 7 8 9 10

Council District

Rate

per

100

,000

32

Stroke 2009 Bexar County Death rate --------- U.S. Death rate

41.6

54.150.5

16.8

29.830.230.934.936.1

38.9

0.0

10.0

20.0

30.0

40.0

50.0

60.0

1 2 3 4 5 6 7 8 9 10

Council District

Rate

per

100

,000

Motor Vehicle Accidents 2009


9.710.7

9.3

13.1

9.4

6.6

8.4

6.5

9.28.1

0.0

2.0

4.0

6.0

8.0

10.0

12.0

14.0

1 2 3 4 5 6 7 8 9 10

Council District

Rate

per

100

,000

Diabetes 2009


33.0

20.5

37.4

23.5

12.29.7

12.213.4

23.8

28.3

0

5

10

15

20

25

30

35

40

1 2 3 4 5 6 7 8 9 10

Council District

Rat

e pe

r 100

,000

Liver Disease 2009Bexar County Death rate --------- U.S. Death rate

18.9

35.5

18.1

8.4 8.4

14.5

31.2

18.6 18.016.1

0.0

5.0

10.0

15.0

20.0

25.0

30.0

35.0

40.0

1 2 3 4 5 6 7 8 9 10

Council District

Rat

e pe

r 100

,000

Suicides 2009


12.4

7.48.5

5.6

7.4

8.8 9.0

14.5

10.7

5.1

0.0

2.0

4.0

6.0

8.0

10.0

12.0

14.0

16.0

1 2 3 4 5 6 7 8 9 10Council District

Rat

e pe

r 100

,000

Homicide 2009


18.8

8.5

6.6

13.1

5.43.7

1.9

6.9

3.9

8.0

0.02.04.06.08.0

10.012.014.016.018.020.0

1 2 3 4 5 6 7 8 9 10

Council District

Rate

per

100

,000

San Antonio Metropolitan Health District, Health Profiles,

http://www.sanantonio.gov/health/Healthprofiles-Main.html 33

All Male All FemaleHispanic Male Hispanic Female

White NH Male

White NH Female

African Am NH Male

African Am NH Female

Other NH Male

Other NH Female

Age <1 13,727 12,960 9,354 8,825 3,133 2,950 819 789 421 395 Age 1 to 4 yrs 56,821 54,827 38,924 37,532 12,252 11,750 3,245 3,207 2,400 2,339 Age 5 to 9 yrs 67,105 64,558 44,436 43,207 16,192 15,215 3,885 3,701 2,592 2,435 Age 10 to 14 yrs 61,745 58,651 40,618 38,666 14,680 13,769 4,104 3,898 2,343 2,318 Age 15 to 19 yrs 62,035 58,799 38,757 37,484 16,225 14,564 4,832 4,667 2,221 2,084 Age 20 to 24 yrs 63,209 61,249 38,405 38,053 17,623 16,188 5,026 4,915 2,155 2,093 Age 25 to 29 yrs 65,747 65,885 41,301 40,027 17,817 18,603 4,453 4,746 2,176 2,509 Age 30 to 34 yrs 57,543 59,542 36,856 36,610 15,156 16,381 3,390 3,969 2,141 2,582 Age 35 to 39 yrs 56,620 58,654 34,436 35,449 16,312 16,690 3,593 3,907 2,279 2,608 Age 40 to 44 yrs 53,547 54,745 30,600 31,448 17,171 17,067 3,750 3,981 2,026 2,249 Age 45 to 49 yrs 54,889 57,350 29,268 30,617 19,733 20,085 4,025 4,504 1,863 2,144 Age 50 to 54 yrs 48,695 52,060 24,619 26,047 18,942 19,961 3,577 4,083 1,557 1,969 Age 55 to 59 yrs 41,359 46,567 19,858 22,821 17,266 18,679 2,953 3,227 1,282 1,840 Age 60 to 64 yrs 33,463 37,981 15,108 18,093 15,317 16,021 2,038 2,382 1,000 1,485 Age 65 to 69 yrs 23,316 27,646 10,268 12,675 10,899 12,045 1,436 1,914 713 1,012 Age 70 to 74 yrs 17,189 21,800 7,576 10,085 8,083 9,643 1,083 1,402 447 670 Age 75 to 79 yrs 13,925 18,757 5,830 8,520 6,961 8,433 859 1,228 275 576 Age 80 to 84 yrs 9,245 15,384 4,051 6,639 4,599 7,550 428 871 167 324 Age 85 yrs 7,523 16,330 3,131 6,406 4,002 8,975 271 701 119 248 Total 807,703 843,745 473,396 489,204 252,363 264,569 53,767 58,092 28,177 31,880

Total Hispanic White NH African Am NH Other NHTotal 1,651,448 962,600 516,932 111,859 60,057 Age<1 26,687 18,179 6,083 1,608 817Age 1 to 4 yrs 111,648 76,456 24,002 6,452 5,555 Age 5 to 14 yrs 252,059 166,927 59,856 15,588 9,688 Age 15 to 24 yrs 245,292 152,699 64,600 19,440 8,553 Age 25 to 34 yrs 248,717 154,794 67,957 16,558 9,408

Age 35 to 44 yrs 223,566 131,933 67,240 15,231 9,162

Age 45 to 54 yrs 212,994 110,551 78,721 16,189 7,533

Age 55 to 64 yrs 159,370 75,880 67,283 10,600 5,607 Age 65 to 74 yrs 89,951 40,604 40,670 5,835 2,842 Age 75 to 84 yrs 57,311 25,040 27,543 3,386 1,342 Age 85 yrs 23,853 9,537 12,977 972 367 NH= Non Hispanichttp://www.census.gov/popest/counties/asrh/

2009 Bexar County Population Estimate used in Report

Health Profiles 2009 34

http://www.census.gov/popest/counties/asrh/�

ICD 10* Cause of DeathInfant Death age <1 year % of total

Bexar Co. Rate per

1000

U.S. 2007 Rate per

1000Q00-Q99 Birth Defects 32 21.5% 1.20 1.34R95, R99 Sudden infant death syndrome, Sudden, Unexpected Deaths in Infancy 23 15.4% 0.86P07 Disorders related to short gestation and low birth weight 22 14.8% 0.82 1.08P01 Newborn affected by maternal complications of pregnancy 9 6.0% 0.34 0.41P26-P28, J69, J98 Other respiratory conditions 9 6.0% 0.34P02 Newborn affected by complications of placenta, cord, and membranes 8 5.4% 0.30 0.26P77 Necrotizing enterocolitis of newborn 4 2.7% 0.15 0.12J18, P23 Pneumonia, organism unspecified & Congenital 4 2.7% 0.15 0.06Y09, X85 Assault (homicide) 4 2.7% 0.15P29 Cardiovascular disorders originating in the perinatal period 3 2.0% 0.11P36 Bacterial sepsis of newborn 3 2.0% 0.11 0.18I00-I99 Diseases of the circulatory system 2 1.3% 0.07 0.14P22 Respiratory distress of newborn 2 1.3% 0.07 0.17P50-P52, P54 Neonatal hemorrhage .... 2 1.3% 0.07 0.14W75 Accidental suffocation and strangulation in bed 1 0.7% 0.04 0.15P83 Other conditions of integument specific to newborn 1 0.7% 0.04 0.05J21 Acute bronchiolitis 1 0.7% 0.04 0.06

All other causes (residual) 19 12.8% 0.71Total 149 100.0% 5.58 6.77Bexar Co. Births in 2009 26,687

2009 Deaths as of 9/29/2010, subject to change as additional data is reported

This grouping of ICD 10 codes is consistent with the methods of the National Center for Health Statistics

Infant death less than one year of life

*http://www.cdc.gov/nchs/data/nvsr/nvsr58/nvsr58_01.pdf

Bexar County Infant Mortality Rates per 1,000 births

2009 Bexar County Leading Causes of Infant Mortality

0

1

2

3

4

5

6

7

8

9

(per

100

0 liv

e bi

rths)

Rates 7.74 7.84 7.58 6.42 6.17 4.9 6.09 7.35 7.3 6.21 6.65 6.18 5.86 6.42 5.58

1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009


113 causes of death 2001 Rate 2002 Rate 2003 Rate 2004 Rate 2005 Rate 2006 Rate 2007 Rate 2008 Rate 2009 Rate14 Heart Disease 2,684 189.7 2,790 193.8 2,711 185.4 2,638 177.3 2,592 171.5 2,479 159.8 2,341 147.3 2,209 136.2 2,285 138.4

6 Malignant neoplasms 2,047 144.7 2,168 150.6 2,160 147.7 2,166 145.6 2,138 141.4 2,217 142.9 2,192 138.0 2,167 133.7 2,232 135.2

70-76 All other diseases (Residual) 781 55.2 819 56.9 844 57.7 879 59.1 927 61.3 1,074 69.2 1,065 67.0 1,151 71.0 1,118 67.7

42 Chronic lower respiratory diseases 635 44.9 584 40.6 579 39.6 607 40.8 635 42.0 618 39.8 677 42.6 684 42.2 690 41.8

16 Cerebrovascular diseases 681 48.1 665 46.2 689 47.1 696 46.8 602 39.8 604 38.9 568 35.7 628 38.7 587 35.5

66-69Symptoms, signs and abnormal clinical andlaboratory findings 71 5.0 72 5.0 80 5.5 111 7.5 148 9.8 120 7.7 399 25.1 445 27.4 493 29.9

9 Diabetes mellitus 477 33.7 484 33.6 500 34.2 498 33.5 494 32.7 412 26.6 430 27.1 372 22.9 337 20.4

78 All other accidents and adverse events 233 16.5 260 18.1 311 21.3 362 24.3 330 21.8 372 24.0 397 25.0 367 22.6 324 19.6

48 Renal disease (kidney) 140 9.9 148 10.3 191 13.1 150 10.1 171 11.3 205 13.2 223 14.0 274 16.9 306 18.5

47 Chronic liver disease and cirrhosis 195 13.8 226 15.7 216 14.8 248 16.7 258 17.1 222 14.3 225 14.2 242 14.9 262 15.9

2 Septicemia 133 9.4 151 10.5 157 10.7 134 9.0 163 10.8 174 11.2 178 11.2 192 11.8 254 15.4

13 Alzheimer's disease 234 16.5 219 15.2 249 17.0 263 17.7 265 17.5 260 16.8 249 15.7 284 17.5 242 14.7

41 Influenza and pneumonia 158 11.2 193 13.4 196 13.4 150 10.1 169 11.2 172 11.1 158 9.9 175 10.8 203 12.3

79 Suicide 133 9.4 126 8.8 131 9.0 122 8.2 144 9.5 149 9.6 129 8.1 133 8.2 157 9.5

77 Motor vehicle accidents 117 8.3 162 11.3 143 9.8 180 12.1 162 10.7 147 9.5 142 8.9 167 10.3 149 9.0

63-65congenital malformations/chromosomal abnormalities 123 8.7 153 10.6 151 10.3 136 9.1 148 9.8 115 7.4 128 8.1 139 8.6 122 7.4

12 Parkinson's disease 75 5.3 78 5.4 84 5.7 95 6.4 85 5.6 105 6.8 101 6.4 98 6.0 117 7.1

15 Essential (primary) hypertension 70 4.9 80 5.6 81 5.5 93 6.3 120 7.9 96 6.2 119 7.5 105 6.5 114 6.9

80-82 Homicide 106 7.5 118 8.2 99 6.8 97 6.5 105 6.9 123 7.9 127 8.0 149 9.2 114 6.9

18-40 Other diseases of circulatory system 95 6.7 89 6.2 92 6.3 89 6.0 104 6.9 83 5.4 82 5.2 82 5.1 75 4.5

7In situ neoplasms, benign neoplasms and neoplasms 42 3.0 42 2.9 26 1.8 42 2.8 33 2.2 62 4.0 50 3.1 62 3.8 60 3.6

4 Human immunodeficiency virus (HIV) 85 6.0 68 4.7 66 4.5 76 5.1 61 4.0 83 5.4 64 4.0 49 3.0 56 3.4

3 Viral hepatitis 23 1.6 32 2.2 38 2.6 33 2.2 35 2.3 32 2.1 44 2.8 42 2.6 49 3.0

1-8,10-13,16Infectious diseases 11 0.8 10 0.7 15 1.0 29 1.9 22 1.5 33 2.1 24 1.5 30 1.9 40 2.4

5Other and unspecified infectious and parasitic diseases 42 3.0 33 2.3 42 2.9 39 2.6 38 2.5 35 2.3 23 1.4 31 1.9 37 2.2

8 Anemias 27 1.9 23 1.6 17 1.2 16 1.1 16 1.1 17 1.1 19 1.2 23 1.4 20 1.2

10 Nutritional deficiencies 12 0.8 15 1.0 10 0.7 13 0.9 17 1.1 10 0.6 8 0.5 25 1.5 14 0.8

62 Pregnancy, childbirth 3 0.2 1 0.1 0 - 6 0.4 1 0.1 6 0.4 5 0.3 3 0.2 12 0.7

43 Peptic ulcer 14 1.0 12 0.8 17 1.2 18 1.2 12 0.8 7 0.5 9 0.6 10 0.6 8 0.5

83-87 All other external causes 29 2.1 19 1.3 29 2.0 29 1.9 38 2.5 27 1.7 29 1.8 15 0.9 8 0.5

17 Atherosclerosis 52 3.7 35 2.4 20 1.4 17 1.1 21 1.4 22 1.4 9 0.6 19 1.2 7 0.4

46 Hernia 6 0.4 6 0.4 5 0.3 2 0.1 7 0.5 6 0.4 10 0.6 6 0.4 6 0.4

11 Meningitis 1 0.1 3 0.2 4 0.3 6 0.4 3 0.2 5 0.3 3 0.2 4 0.2 5 0.3

49-59 Hyperplasia of prostate 0 - 2 0.1 0 - 1 0.1 3 0.2 1 0.1 1 0.1 1 0.1 1 0.1

60 Inflammatory diseases pelvic organs 0 - 1 0.1 1 0.1 1 0.1 0 - 0 - 0 - 0 - 1 0.1

88 missing 0 - 0 - 0 - 0 - 0 - 5 0.3 0 - 0 - 1 0.1

44-45 Diseases of appendix 1 0.1 1 0.1 4 0.3 2 0.1 1 0.1 2 0.1 3 0.2 1 0.1 0 -

61 Pregnancy with abortive outcome 0 - 0 - 0 - 0 - 0 - 0 - 0 - 0 - 0 - Total 9,536 674.2 9,888 686.7 9,958 681.1 10,044 675.2 10,068 666.1 10,095 650.9 10,231 643.9 10,384 640.5 10,505 636.1

2009 Deaths as of 9/29/2010, subject to change as additional data is reported/Rate per 100000 population

Bexar County Leading Causes of Death, 2001-2009

113 Code: Cause of Death coding system developed by the National Center for Health Statistics to promote comparability of data


113 causes of death Cause of Death age <1

age 1-4

age 5-14

age 15-24

age 25-34

age 35-44

age 45-54

age 55-64

age 65-74

age 75-84

age > 85 Total

1-8,10-13,16 Infectious diseases 2 0 0 1 0 2 4 3 3 10 15 409 Septicemia 0 0 0 2 2 13 25 44 56 69 43 25414 Viral hepatitis 0 0 0 0 0 4 20 16 6 2 1 4915 Human immunodeficiency virus (HIV) disease 0 0 0 1 6 10 23 10 5 1 0 5617 Other and unspecified infectious and parasitic diseases 2 0 0 0 0 1 7 12 7 6 2 3718-40 Malignant neoplasms 0 3 5 9 17 59 216 405 513 643 362 223241 In situ neoplasms, benign neoplasms and neoplasms 1 1 0 1 1 1 4 9 9 19 14 6042 Anemias 0 0 0 0 0 1 1 1 3 3 11 2043 Diabetes mellitus 0 0 0 1 2 10 30 50 73 101 70 33744-45 Nutritional deficiencies 0 0 0 0 0 0 0 0 0 5 9 1446 Meningitis 0 0 0 0 1 1 1 1 1 0 0 5

47 Parkinson's disease 0 0 0 0 0 0 0 3 10 63 41 11748 Alzheimer's disease 0 0 0 0 0 0 0 2 15 75 150 24249-59 Heart Disease 1 1 3 9 12 41 121 292 344 653 808 228560 Essential (primary) hypertension & hypertensive renal disease 0 0 0 1 0 0 4 17 16 24 52 11461 Cerebrovascular diseases 1 0 0 0 5 6 38 71 82 170 214 58762 Atherosclerosis 0 0 0 0 0 0 0 0 1 0 6 763-65 Other diseases of circulatory system 0 0 0 0 1 1 8 11 15 19 20 7566-69 Influenza and pneumonia 2 0 2 0 6 7 18 27 26 51 64 20370-76 Chronic lower respiratory diseases 2 1 0 1 4 4 19 64 136 242 217 69077 Peptic ulcer 0 0 0 0 0 0 1 0 4 2 1 878 Diseases of appendix 0 0 0 0 0 0 0 0 0 0 0 079 Hernia 0 0 0 0 0 0 2 1 0 1 2 680-82 Chronic liver disease and cirrhosis 0 0 0 0 2 23 74 72 45 31 15 26283-87 Renal disease (kidney) 0 0 1 2 4 6 18 37 65 96 77 30688 Hyperplasia of prostate 0 0 0 0 0 0 0 0 0 1 0 189 Inflammatory diseases of female pelvic organs 0 0 0 0 0 0 0 0 1 0 0 190 Pregnancy with abortive outcome 0 0 0 0 0 0 0 0 0 0 0 091 Pregnancy, childbirth 0 0 0 2 3 5 1 1 0 0 0 1292-93 Perinatal, congenital malformations/chromosomal abnormalities 99 4 2 4 1 0 5 6 1 0 0 12294 Symptoms, signs and abnormal clinical and laboratory findings 33 8 6 36 71 91 93 67 19 32 37 49395 All other diseases (Residual) 3 4 6 14 17 29 95 125 128 281 416 111896 Motor vehicle accidents 0 0 2 35 27 28 28 11 6 9 3 14997-104 All other accidents and adverse events 0 6 1 8 14 15 21 24 35 70 130 324105-106 Suicide 0 0 1 28 25 26 25 24 20 5 3 157107-108 Homicide 3 2 0 34 30 19 8 10 4 3 1 114109-113 All other external causes 0 0 0 0 0 0 2 2 2 1 1 8

missing 0 0 0 0 0 0 0 1 0 0 0 1Total 149 30 29 189 251 403 912 1418 1651 2688 2785 10505

2009 Bexar County Causes of Death by Age Groups


113 causes of death1-8,10-13 Infectious diseases 19 0% 7 0% 11 0% 1 0% 0 0%9 Septicemia 130 3% 63 3% 50 2% 16 4% 1 1%14 Viral hepatitis 15 0% 10 0% 5 0% 0 0% 0 0%15 Human immunodeficiency virus (HIV) disease 11 0% 6 0% 1 0% 4 1% 0 0%17 Other and unspecified infectious and parasitic diseases 9 0% 8 0% 1 0% 0 0% 0 0%18-40 Malignant neoplasms 1079 21% 439 20% 525 21% 89 21% 26 34%41 In situ neoplasms, benign neoplasms and neoplasms 17 0% 10 0% 4 0% 3 1% 0 0%42 Anemias 11 0% 4 0% 6 0% 1 0% 0 0%43 Diabetes mellitus 177 3% 106 5% 46 2% 22 5% 3 4%44-45 Nutritional deficiencies 13 0% 6 0% 6 0% 0 0% 1 1%46 Meningitis 2 0% 2 0% 0 0% 0 0% 0 0%

47 Parkinson's disease 56 1% 18 1% 35 1% 3 1% 0 0%48 Alzheimer's disease 172 3% 64 3% 101 4% 7 2% 0 0%49-59 Heart Disease 1090 21% 423 19% 560 22% 90 21% 17 22%60 Essential (primary) hypertension & hypertensive renal disease 74 1% 32 1% 34 1% 5 1% 3 4%61 Cerebrovascular diseases 331 6% 137 6% 152 6% 36 8% 6 8%62 Atherosclerosis 3 0% 2 0% 1 0% 0 0% 0 0%63-65 Other diseases of circulatory system 38 1% 14 1% 21 1% 3 1% 0 0%66-69 Influenza and pneumonia 110 2% 46 2% 53 2% 8 2% 3 4%70-76 Chronic lower respiratory diseases 372 7% 110 5% 240 10% 19 4% 3 4%77 Peptic ulcer 6 0% 4 0% 2 0% 0 0% 0 0%78 Diseases of appendix 0 0% 0 0% 0 0% 0 0% 0 0%79 Hernia 3 0% 3 0% 0 0% 0 0% 0 0%80-82 Chronic liver disease and cirrhosis 84 2% 50 2% 31 1% 3 1% 0 0%83-87 Renal disease (kidney) 155 3% 97 4% 42 2% 12 3% 4 5%88 Hyperplasia of prostate 0 0% 0 0% 0 0% 0 0% 0 0%89 Inflammatory diseases of female pelvic organs 1 0% 0 0% 1 0% 0 0% 0 0%90 Pregnancy with abortive outcome 0 0% 0 0% 0 0% 0 0% 0 0%91 Pregnancy, childbirth 12 0% 5 0% 4 0% 1 0% 2 3%92-93 Perinatal, congenital malformations/chromosomal abnormalities 57 1% 38 2% 10 0% 8 2% 1 1%94 Symptoms, signs and abnormal clinical and laboratory findings 218 4% 89 4% 97 4% 31 7% 1 1%95 All other diseases (Residual) 661 13% 283 13% 320 13% 53 12% 5 6%96 Motor vehicle accidents 39 1% 21 1% 15 1% 2 0% 1 1%97-104 All other accidents and adverse events 149 3% 50 2% 97 4% 2 0% 0 0%105-106 Suicide 23 0% 8 0% 15 1% 0 0% 0 0%107-108 Homicide 28 1% 14 1% 6 0% 8 2% 0 0%109-113 All other external causes 3 0% 1 0% 1 0% 1 0% 0 0%

missing 1 0% 1 0% 0 0% 0 0% 0 0%Total 5168 2170 2493 428 772009 Deaths as of 9/29/2010, subject to change as additional data is reported113 Code: Cause of Death coding system developed by the National Center for Health Statistics to promote comparability of data across states and localities on the leading causes of death.

2009 Bexar County Deaths by Race & Ethnicity for Females

Total HispanicWhite Non Hispanic

African American Other


113 causes of death1-8,10-13 Infectious diseases 21 0% 11 0% 9 0% 1 0% 0 0%9 Septicemia 124 2% 62 3% 54 2% 7 2% 1 2%14 Viral hepatitis 34 1% 26 1% 5 0% 3 1% 0 0%15 Human immunodeficiency virus (HIV) disease 45 1% 25 1% 14 1% 6 1% 0 0%17 Other and unspecified infectious and parasitic diseases 28 1% 15 1% 9 0% 4 1% 0 0%18-40 Malignant neoplasms 1153 22% 495 20% 557 23% 89 21% 12 28%41 In situ neoplasms, benign neoplasms and neoplasms 43 1% 16 1% 23 1% 4 1% 0 0%42 Anemias 9 0% 3 0% 5 0% 1 0% 0 0%43 Diabetes mellitus 160 3% 98 4% 47 2% 14 3% 1 2%44-45 Nutritional deficiencies 1 0% 1 0% 0 0% 0 0% 0 0%46 Meningitis 3 0% 2 0% 1 0% 0 0% 0 0%

47 Parkinson's disease 61 1% 21 1% 37 2% 2 0% 1 2%48 Alzheimer's disease 70 1% 31 1% 35 1% 3 1% 1 2%49-59 Heart Disease 1195 22% 515 21% 570 24% 94 22% 16 37%60 Essential (primary) hypertension & hypertensive renal disease 40 1% 22 1% 14 1% 4 1% 0 0%61 Cerebrovascular diseases 256 5% 121 5% 109 5% 24 6% 2 5%62 Atherosclerosis 4 0% 0 0% 4 0% 0 0% 0 0%63-65 Other diseases of circulatory system 37 1% 15 1% 20 1% 2 0% 0 0%66-69 Influenza and pneumonia 93 2% 42 2% 40 2% 11 3% 0 0%70-76 Chronic lower respiratory diseases 318 6% 106 4% 187 8% 25 6% 0 0%77 Peptic ulcer 2 0% 1 0% 1 0% 0 0% 0 0%78 Diseases of appendix 0 0% 0 0% 0 0% 0 0% 0 0%79 Hernia 3 0% 2 0% 0 0% 1 0% 0 0%80-82 Chronic liver disease and cirrhosis 178 3% 128 5% 43 2% 6 1% 1 2%83-87 Renal disease (kidney) 151 3% 69 3% 60 2% 21 5% 1 2%88 Hyperplasia of prostate 1 0% 0 0% 1 0% 0 0% 0 0%89 Inflammatory diseases of female pelvic organs 0 0% 0 0% 0 0% 0 0% 0 0%90 Pregnancy with abortive outcome 0 0% 0 0% 0 0% 0 0% 0 0%91 Pregnancy, childbirth 0 0% 0 0% 0 0% 0 0% 0 0%92-93 Perinatal, congenital malformations/chromosomal abnormalities 65 1% 46 2% 14 1% 4 1% 1 2%94 Symptoms, signs and abnormal clinical and laboratory findings 275 5% 148 6% 108 4% 18 4% 1 2%95 All other diseases (Residual) 457 9% 198 8% 223 9% 35 8% 1 2%96 Motor vehicle accidents 110 2% 66 3% 35 1% 9 2% 0 0%97-104 All other accidents and adverse events 175 3% 78 3% 88 4% 8 2% 1 2%105-106 Suicide 134 3% 48 2% 78 3% 7 2% 1 2%107-108 Homicide 86 2% 51 2% 14 1% 19 5% 2 5%109-113 All other external causes 5 0% 4 0% 1 0% 0 0% 0 0%

missing 0 0% 0 0% 0 0% 0 0% 0 0%Total 5337 2466 2406 422 432009 Deaths as of 9/29/2010, subject to change as additional data is reported

2009 Bexar County Deaths by Race & Ethnicity for Males

113 Code: Cause of Death coding system developed by the National Center for Health Statistics to promote comparability of data across states and localities on the leading causes of death.

Total HispanicWhite Non Hispanic

African American Other


zip code All DeathsHeart

DiseaseAll

Cancers COPD StrokeLiver

DiseaseLung

Cancer Diabetes kidney

DiseaseAccidents w/o MVA Homicide Suicide

78002 29 6 10 1 - - 1 3 - - - - 78006 16 5 3 1 2 1 - - - - - 2 78015 17 3 4 2 1 - 1 2 - 1 - - 78023 83 14 28 4 5 1 7 3 2 3 - 2 78052 3 1 - - - - - - - - - - 78054 4 - 2 - 2 - - - - - - - 78069 13 4 2 2 1 - 1 - - 1 - - 78073 59 12 13 8 - 4 1 5 1 - - - 78101 54 16 9 6 1 3 2 2 1 1 - 1 78108 14 4 2 1 - - - 1 1 1 - - 78109 178 38 39 15 11 1 13 4 4 1 1 5 78112 43 12 15 3 2 - 6 - 1 - - 1 78148 99 21 21 10 4 3 9 4 1 4 1 3 78152 17 6 3 1 2 - 3 2 - - - - 78154 21 9 3 1 3 - 1 1 - - - 1 78201 419 108 70 35 19 11 17 19 13 19 5 4 78202 115 27 19 9 10 3 3 3 3 2 2 - 78203 54 10 12 4 4 2 5 1 4 - 2 - 78204 96 18 19 6 2 2 5 2 3 1 2 1 78205 16 4 5 1 - - 3 1 - 1 - - 78207 480 114 85 21 36 22 18 23 13 13 8 5 78208 40 12 2 1 1 1 - 1 1 - - - 78209 385 88 88 24 29 3 26 2 8 29 1 5 78210 337 80 51 20 20 10 8 15 18 14 5 5 78211 233 46 54 10 17 13 9 12 10 9 - 3 78212 274 69 50 16 16 5 8 8 8 7 1 3 78213 286 71 61 24 14 8 10 6 6 14 3 5 78214 206 40 44 11 15 5 8 12 4 4 1 2 78215 6 2 1 - - 1 - - 1 - - - 78216 254 56 52 19 17 2 13 9 8 12 4 5 78217 225 48 52 12 11 5 11 6 3 11 3 8 78218 285 62 50 24 20 8 15 14 9 9 2 4 78219 127 30 37 8 7 2 8 4 2 3 4 4 78220 234 48 51 11 16 4 17 8 11 6 3 1 78221 264 61 58 18 8 11 15 14 6 7 2 7 78222 134 32 38 8 9 2 10 1 5 5 1 - 78223 331 81 77 25 19 6 20 13 4 12 3 4 78224 120 21 22 10 4 3 - 5 5 2 2 4 78225 115 26 23 7 5 3 4 3 4 5 1 1 78226 62 20 13 1 4 4 2 4 1 1 - - 78227 300 55 63 21 18 7 20 13 9 12 5 3 78228 452 103 95 29 22 12 14 18 18 15 4 6

2009 Select Causes of Death Indicators for Bexar County by Zip Code


zip code All DeathsHeart

DiseaseAll

Cancers COPD StrokeLiver

DiseaseLung

Cancer Diabetes kidney

DiseaseAccidents w/o MVA Homicide Suicide

78229 199 55 38 13 8 4 9 3 3 4 1 1 78230 240 58 55 14 19 2 12 6 4 6 1 2 78231 69 15 12 3 9 - 2 1 - 1 - - 78232 218 33 51 27 15 5 11 6 6 8 2 1 78233 219 48 49 12 10 8 15 4 11 6 5 3 78234 7 - 1 - - - - - - - - - 78235 1 - - - - - - - - - - - 78236 3 - 1 1 - - - - - - - - 78237 303 70 62 7 14 16 9 8 18 17 2 2 78238 130 30 31 8 6 5 3 3 4 4 1 1 78239 261 37 49 24 10 2 11 11 11 8 8 5 78240 352 80 77 23 23 9 17 11 7 12 2 4 78241 - - - - - - - - - - - - 78242 162 32 28 11 9 5 7 2 5 7 1 5 78244 99 13 25 2 6 - 6 5 4 - 9 2 78245 218 48 31 17 10 5 5 4 4 9 2 4 78247 219 47 48 18 10 7 13 2 6 11 5 5 78248 66 16 13 8 3 1 3 1 1 3 - - 78249 146 26 30 12 10 3 9 4 5 5 - 2 78250 212 40 48 13 6 4 13 5 6 9 - 4 78251 117 22 32 4 3 6 9 2 3 4 4 3 78252 18 5 8 - - - 1 1 - - - - 78253 81 18 25 2 5 1 8 2 3 - 1 1 78254 124 29 33 4 4 4 8 2 1 - 1 1 78255 48 8 12 5 3 - 4 - 1 2 1 1 78256 11 2 4 - 1 - - - - 1 - 1 78257 18 3 3 - 1 - 1 - - 1 - - 78258 146 17 42 10 11 1 6 1 5 11 - 4 78259 66 7 16 8 4 - 2 2 2 3 - 2 78260 67 10 16 5 3 - 2 1 1 2 - 5 78261 15 3 5 1 1 - 1 1 - - 1 1 78263 41 10 14 1 3 1 - - - 1 - - 78264 69 5 24 4 1 2 3 4 3 2 - 1 78266 3 - - - - - - - - - - -

2009 Deaths as of 9/29/2010, subject to change as additional data is reported

2009 Select Causes of Death Indicators for Bexar County by Zip Code


Census Tract

Total Population All Deaths

Heart Disease All Cancers

Chronic lower respiratory diseases

Cerebrovascular diseases Diabetes

Accidents w/o Motor vehicle accidents Suicide Homicide

1101 3,236 20 4 5 1 - 1 - - - 1102 1,161 7 1 1 1 2 - - - - 1103 2,451 28 7 7 - 3 - 1 2 - 1104 857 14 3 3 1 - 2 - 1 - 1105 2,250 14 6 1 - - - 1 - - 1106 7,088 37 10 10 3 - - - - 1 1107 1,886 22 7 4 1 - 1 - - - 1108 2,527 28 10 3 2 1 1 1 - - 1109 801 3 - 1 - - - - - - 1110 2,498 24 7 1 1 - 2 - - - 1201 5,508 6 - 1 - - - - - - 1202 6,275 54 10 16 1 2 1 4 1 - 1203 7,319 65 14 18 2 5 - 3 - - 1204 5,019 35 6 9 1 5 - 1 2 - 1205.01 7,805 92 16 16 11 3 5 2 1 2 1205.02 5,498 34 12 4 1 1 - - - - 1206 6,147 44 10 7 5 5 - 1 1 - 1207.01 5,518 67 16 16 6 3 1 1 - - 1207.02 4,260 63 12 11 4 8 - 5 1 - 1208 6,797 52 17 10 4 2 - 3 - 1 1209.01 1,858 28 8 5 3 3 1 1 1 - 1209.02 6,180 67 12 13 5 5 2 1 1 2 1210 7,242 62 16 13 4 4 1 2 2 - 1211.08 7,090 43 6 9 7 4 - 2 - - 1211.09 8,792 47 7 11 5 3 1 3 2 - 1211.10 4,567 17 2 6 1 - - - 1 - 1211.11 6,830 38 9 8 4 - 1 2 2 - 1211.12 3,606 25 3 13 - 1 1 1 - - 1211.14 8,941 36 7 10 2 - - 1 - 3 1211.15 5,426 23 4 6 4 2 1 - 1 - 1211.16 4,704 18 2 8 1 2 1 1 - - 1211.17 3,678 26 3 4 2 - 1 1 - 1 1211.18 5,718 28 3 7 4 3 1 - 1 - 1212.03 4,252 21 3 9 1 - - 3 - - 1212.04 7,296 37 6 6 - 2 1 2 2 1 1212.05 3,171 10 1 4 1 - 2 - - - 1212.06 7,737 47 14 9 1 2 1 2 3 2 1213 4,846 74 12 12 6 5 3 3 2 - 1214.02 3,002 24 4 6 1 3 1 1 - 2 1214.03 3,753 42 4 6 4 7 3 - 1 - 1214.04 4,479 34 13 6 2 3 3 - 1 - 1215.01 5,582 60 20 12 2 6 3 4 - 1

2009 Deaths by Census Tract to Bexar County Residents


Census Tract






1215.04 5,260 65 10 13 8 4 2 2 1 2 1215.05 3,951 48 12 10 3 2 - - 2 - 1215.06 6,020 33 3 7 5 - 2 5 - 1 1215.07 5,311 45 7 13 2 - 2 1 - - 1215.08 4,890 17 3 3 - - 2 - 1 3 1216.01 4,275 23 5 4 2 2 - - 1 1 1216.03 6,537 50 12 9 5 1 - - - - 1216.04 3,910 21 2 4 4 1 - - 1 - 1217 8,942 65 10 16 7 1 4 3 2 - 1218.01 5,883 29 10 4 2 - 1 - - 1 1218.02 3,955 26 1 6 2 1 1 3 1 1 1218.03 4,234 24 2 5 2 1 - - - 2 1218.04 6,071 31 5 5 2 2 - - - - 1218.06 5,077 31 7 7 5 3 - 1 - - 1218.07 6,330 46 12 7 2 2 - - 2 1 1219.01 2,331 48 7 14 5 5 2 1 1 1 1219.02 8,616 40 7 9 4 1 1 1 2 - 1301 3,915 44 10 9 4 2 2 1 - - 1302 1,883 10 2 2 1 1 1 1 - - 1303 3,396 27 6 5 2 2 2 1 - - 1304 7,717 73 11 17 6 4 2 6 2 4 1305 3,451 37 13 4 3 5 - 1 - - 1306 4,525 43 8 9 2 3 1 3 - 2 1307 2,881 11 4 1 - - - - - - 1308 3,521 58 12 13 3 5 1 - - 2 1309 3,654 38 10 7 1 5 - 1 1 1 1310 4,793 74 16 18 2 3 4 2 - - 1311 2,751 28 7 4 3 1 - 1 - 1 1312 2,863 28 5 11 1 4 - - - - 1313 5,381 66 14 16 1 4 2 1 - 1 1314 6,308 43 10 11 4 2 1 - - - 1315.01 9,572 41 5 8 4 2 - 1 1 6 1315.02 7,901 57 10 21 4 1 4 2 2 1 1316.01 2,156 19 4 4 1 2 2 - - - 1316.04 4,864 34 4 7 1 1 2 1 2 1 1316.05 9,612 58 8 20 - 5 1 - 2 2 1316.06 2,502 23 4 4 5 1 - - - - 1316.07 6,744 43 8 12 2 3 3 - - - 1317 3,803 - - - - - - - - - 1318 7,657 75 22 16 7 4 4 1 2 - 1401 1,712 14 2 2 1 - - 1 - - 1402 3,608 28 5 6 3 1 3 - - -



Census Tract






1403 3,512 27 5 4 2 1 2 - - - 1404 3,950 24 9 4 - 3 - 1 - 1 1405 4,208 36 10 5 5 2 - - 2 1 1406 2,426 33 8 4 3 3 2 - - - 1407 4,684 48 17 3 1 1 2 1 - 1 1408 5,370 31 5 7 5 4 1 1 1 - 1409 1,960 13 5 1 1 - - - - - 1410 3,332 33 8 6 2 1 4 1 - 1 1411 7,226 56 14 10 3 3 2 2 - 1 1412 7,208 45 8 7 5 3 - 2 - 2 1413 5,996 51 16 11 4 3 - 1 - - 1414.01 8,106 67 21 16 3 6 2 1 - - 1414.02 1,443 18 4 5 3 - 1 - - - 1415 773 - - - - - - - - - 1416 1,828 10 3 5 - - - 1 - - 1417 3,875 17 4 6 - - 1 2 - - 1418 3,985 27 7 5 3 2 1 1 - - 1419 4,813 44 13 11 4 2 - - - - 1501 5,636 46 8 11 3 - - 5 - 1 1502 1,413 15 2 4 - 1 - - - - 1503 5,034 34 8 9 2 1 - - - - 1504 4,311 36 7 8 2 1 1 1 1 - 1505.01 4,543 31 7 8 1 2 - 2 - - 1505.02 4,127 29 2 8 2 4 2 - 1 - 1506 4,668 40 7 6 2 6 3 2 3 - 1507 6,289 50 13 7 3 4 2 4 1 1 1508 2,529 22 5 3 1 1 2 1 1 - 1509 6,204 53 11 13 1 3 5 5 - - 1510 3,488 30 8 3 1 - 3 2 - - 1511 7,161 59 14 14 3 1 - 2 3 - 1512 7,889 64 10 14 6 2 3 1 2 - 1513 9,387 53 14 10 2 2 3 3 1 - 1514 4,700 32 5 6 1 1 2 1 - - 1515 2,545 13 6 2 2 2 1 2 - - 1516 7,281 54 11 15 7 3 2 2 1 - 1517 6,891 53 13 11 3 1 1 2 1 1 1518 909 8 2 2 - - 1 - 1 - 1519 3,135 23 3 7 2 - - 2 - - 1520 715 6 1 1 - - 1 - - - 1521 5,488 44 4 15 2 - 4 2 3 1 1522 10,055 69 10 24 4 1 1 2 1 - 1601 5,731 46 10 10 1 3 2 3 1 1



Census Tract






1602 2,696 22 4 5 1 2 - 1 - 1 1603 5,415 44 12 4 5 2 1 - - - 1604 4,935 42 9 9 - 4 2 - - 1 1605 7,831 68 12 16 1 9 5 1 1 2 1606 5,002 47 8 11 - 2 2 - - - 1607.01 3,578 37 6 6 2 1 1 2 - 1 1607.02 5,761 44 17 9 1 2 5 3 1 - 1608 8 - - - - - - - - - 1609 8,292 60 7 17 5 3 4 1 - - 1610 2,838 32 8 6 2 1 3 2 - - 1611 7,597 52 15 10 - 3 2 2 - - 1612 1,992 17 1 4 2 - 1 - - 2 1613.01 9,503 49 9 9 4 2 1 - 2 1 1613.02 4,458 19 2 4 2 - - 2 1 - 1614.01 7,511 - - - - - - - - - 1614.02 1,939 - - - - - - - - - 1615.01 7,078 39 3 8 4 2 1 2 1 - 1615.02 6,893 51 17 7 1 5 - 2 1 - 1616 4,316 23 5 3 1 1 3 1 - - 1617 861 - - - - - - - - - 1618 5,179 71 15 12 10 3 2 4 - - 1619 7,617 32 7 12 1 1 3 2 - - 1620.01 2,462 16 5 5 1 - 1 - - - 1620.02 7,557 43 8 10 6 1 3 1 - - 1701.01 4,353 32 8 8 1 2 4 - - - 1701.02 4,523 38 7 4 3 5 3 - - 1 1702 6,106 64 22 6 5 3 1 1 - 1 1703 6,307 61 17 7 - 5 - 3 1 2 1704.01 4,897 40 9 8 1 3 1 - 1 1 1704.02 5,348 43 9 9 4 1 4 2 - - 1705 4,989 56 12 11 4 3 3 1 1 1 1706 4,785 41 8 6 1 3 2 1 1 - 1707 5,045 53 16 12 1 3 2 3 - 3 1708 1,980 19 5 3 3 1 1 - - - 1709 4,424 47 14 4 1 3 2 5 - - 1710 5,859 46 9 7 1 6 - 1 - 1 1711 3,987 37 6 8 1 3 2 - 1 - 1712 3,807 24 7 8 - - 1 - - - 1713 7,958 55 19 7 - 1 - 1 - - 1714 7,046 50 8 9 6 3 2 1 - - 1715 7,687 47 16 10 1 1 1 1 - - 1716 6,051 35 7 5 3 1 3 3 1 1



Census Tract






1717 7,294 41 6 12 2 1 3 - 1 - 1718.01 5,166 42 5 12 2 2 1 1 1 1 1718.02 6,539 39 6 10 2 3 1 4 - 1 1719.02 2,861 17 2 4 1 - - 1 - 1 1719.03 5,934 37 5 11 1 4 - 3 - 2 1719.06 4,292 22 3 8 - - - 2 1 - 1719.07 6,208 35 9 5 2 1 - 3 1 - 1719.08 6,962 18 1 3 2 1 - - - - 1719.09 4,922 36 8 7 3 3 2 - 1 1 1719.10 8,906 38 8 6 3 3 1 1 - - 1719.11 12,562 57 11 14 3 3 - 4 2 2 1719.12 3,993 18 5 6 1 - 1 - - 1 1720.01 8,788 72 16 24 1 5 1 3 1 - 1720.02 2,223 69 21 6 5 2 - 3 1 - 1801 7,715 62 9 14 6 3 8 6 - - 1802.01 5,136 47 15 11 4 3 3 - - - 1802.02 5,252 45 9 8 4 1 - 2 1 - 1803 4,640 25 6 6 3 2 1 4 1 - 1804 4,025 25 8 4 3 1 - 3 1 - 1805.01 5,231 33 12 8 2 2 - - - - 1805.03 4,521 38 7 12 - 2 - - 1 1 1805.04 3,810 27 4 3 5 1 2 1 - - 1806.01 7,874 57 12 12 1 3 2 1 2 - 1806.02 3,205 78 23 11 7 2 5 1 - 1 1807.01 4,363 41 15 4 2 - - 2 - - 1807.02 6,856 64 19 12 7 4 2 4 - - 1808 3,111 22 5 7 1 - 1 1 - - 1809.01 5,140 35 14 6 1 1 1 1 1 - 1809.02 7,786 59 10 18 5 2 1 2 1 1 1810.01 3,325 25 4 6 2 3 2 5 1 - 1810.03 5,245 13 4 3 1 - - 2 - 1 1810.04 4,049 23 4 7 1 - - 2 1 - 1810.05 4,254 18 5 6 1 2 - 2 - - 1811 5,845 64 16 11 5 3 1 2 - 1 1812 4,900 46 16 11 1 4 1 1 - - 1813.01 3,322 21 3 5 1 2 - 2 - - 1813.02 5,988 22 7 6 - 3 - 2 - - 1813.03 3,695 21 6 2 - 1 - - - 1 1814.01 8,549 97 24 24 5 6 2 3 1 - 1814.02 1,950 20 3 3 - - 1 - - - 1815.03 4,552 57 17 7 1 8 4 1 - - 1815.04 5,317 14 2 4 1 2 - - - -



Census Tract






1815.05 4,487 40 6 12 5 2 1 2 - - 1815.06 3,832 28 6 8 3 2 1 - - - 1816.01 3,068 28 4 7 1 1 1 1 - 1 1816.02 5,825 22 7 7 - 1 - 1 - - 1817.01 1,822 51 11 18 2 1 1 - - 1 1817.03 6,217 29 11 5 - 2 - 1 1 - 1817.04 5,235 24 4 7 1 1 - - 1 - 1817.05 2,193 22 5 3 1 - 1 2 1 - 1817.06 6,111 24 4 4 - 1 2 - - 1 1817.11 4,737 21 3 7 - 1 - - - - 1817.12 3,563 25 4 7 1 - - - - - 1817.13 7,075 26 9 5 4 - 1 2 - - 1817.14 11,289 45 8 10 3 1 1 3 2 - 1817.15 6,707 26 3 9 2 1 - - - - 1817.16 7,301 17 3 2 1 1 - - - - 1817.17 9,004 32 5 5 1 2 2 3 1 - 1817.18 4,273 24 4 6 1 1 - - - - 1817.19 5,367 24 5 7 1 - 1 - - - 1818.01 6,031 23 4 5 - 1 - 1 1 - 1818.03 6,568 60 13 15 4 4 2 3 - - 1818.06 4,677 9 - 3 1 2 - 1 - - 1818.07 6,820 31 7 6 1 4 - - - - 1818.08 970 9 3 3 1 - - - - - 1818.09 5,605 22 2 4 5 - 2 - 1 - 1818.10 6,628 29 3 5 4 1 1 - 3 1 1818.11 3,480 30 8 4 3 - 1 1 - - 1818.12 11,561 50 7 15 4 3 - 1 1 - 1819 4,859 32 5 7 4 3 - 2 1 1 1820 3,868 50 7 17 3 3 1 1 2 - 1821.01 4,196 17 3 4 2 1 2 2 - - 1821.02 3,313 22 6 4 2 1 - - 2 - 1821.03 1,751 9 2 5 - 1 1 1 - - 1821.04 3,180 32 8 8 1 2 1 1 1 - 1901 4,036 32 3 4 1 3 3 1 1 1 1902 4,880 49 18 5 2 2 1 1 1 - 1903 52 - - - - - - - - - 1904 4,104 14 4 1 1 1 - - - - 1905.01 3,098 17 3 5 3 - - - - - 1905.02 7,158 54 16 11 4 2 2 - 1 - 1906.01 3,963 28 7 5 2 3 - 3 - - 1906.02 7,669 57 10 10 5 2 1 - - - 1907 3,059 27 6 6 1 2 - 1 - -



Census Tract






1908 2,463 13 4 2 2 2 1 - - - 1909.01 5,354 43 5 11 4 1 2 1 - 3 1909.02 3,874 43 13 9 - 2 1 1 - - 1910.02 8,879 62 12 11 6 5 1 4 2 2 1910.03 7,009 60 18 8 7 2 4 2 - 1 1910.04 3,757 26 5 3 2 2 - - 2 - 1911.01 1,763 17 4 4 2 - - - - - 1911.02 2,439 35 8 5 1 3 3 1 - - 1912 8,384 82 18 18 6 3 2 3 2 - 1913.01 765 9 2 2 1 - - 1 - - 1913.02 4,653 18 6 4 3 - 1 1 1 - 1914.02 3,563 11 1 4 - 2 - - - - 1914.03 7,788 32 3 6 2 2 2 - 2 1 1914.05 7,732 58 12 12 4 7 1 3 - - 1914.06 6,364 31 7 7 3 3 1 2 - - 1914.07 6,982 55 14 8 9 6 - 1 - - 1914.08 3,243 3 - 1 - - - 1 - - 1914.09 4,940 20 4 4 - 1 - - 1 1 1915.01 6,453 46 11 4 3 3 3 2 - - 1915.02 6,431 34 10 8 3 1 1 1 - - 1916 - - - - - - - - - - 1917 8,092 78 16 15 10 3 2 4 - 1 1918.02 4,197 79 10 22 7 8 2 1 1 - 1918.03 4,418 27 5 5 - 3 - 1 - - 1918.04 3,486 22 4 5 - - 1 - 3 - 1918.05 10,255 105 12 31 8 5 - 5 3 - 2009 Deaths as of 9/29/2010, subject to change as additional data is reportedRates should not be calculated when the frequency of deaths is less than 20 events. These death rates are very unstable.



RESOURCES AND REFERENCES City of San Antonio San Antonio Metropolitan Health District, Health Profiles http://www.sanantonio.gov/health/Healthprofiles-Main.html

City of San Antonio, Planning and Development Services Dept. http://www.sanantonio.gov/planning/pdf/GIS/Demographics_WEB_20100129.pdf Texas Dept of State Health Services Texas Health Data, Vital Statistics Reporting Section. Final Mortality Data (ad hoc Database) http://soupfin.tdh.state.tx.us/death10.htm

2008 Preliminary Mortality data http://wwwprod.dshs.state.tx.us/chs/vstat/latest/t16.shtm US Department of Health and Human Services US Dept of Health and Human Services, Health Objectives for the Nation, Healthy People 2020. http://healthypeople.gov/2020/topicsobjectives2020/pdfs/HP2020objectives.pdf Centers for Disease Control & Prevention National Center for Health Statistics. VitalStats. http://www.cdc.gov/nchs/vitalstats.htm.

Preliminary 2008 Mortality http://www.cdc.gov/nchs/data/nvsr/nvsr59/nvsr59_02.pdf Deaths: Final Data 1999-2007 http://www.cdc.gov/nchs/data/nvsr/nvsr58/nvsr58_19.pdf US Census Bureau US County Specific Population Estimates, 2009 http://www.census.gov/popest/counties/asrh/

MORTALITY CLASSIFICATION CROSSWALK

NCHS 113 Code

Cause of Death ICD-10 Codes

1 Salmonella infections A01-A022 Shigellosis and amebiasis A03, A063 Certain other intest inal infect ions A04, A07-A09

4 Respiratory tuberculosis A165 Other tuberculosis A17-A196 Whooping cough A37

7 Scarlet fever and erysipelas A38, A468 Meningococcal infection A399 Septicemia A40-A41

10 Syphilis A50-A5311 Acute poliomyelitis A80

12 Arthropod borne viral encephalitis A83-A84, A85.213 Measles B0514 Viral hepatitis B15-B1915 Human immunodeficiency virus (HIV) disease B20-B2416 Malaria B50-B54

17 Other and unspecif ied infectious and parasitic diseases and their sequelae

A00, A05, A20-A36, A42-A44, A48-A49, A54-A79, A81-A82, A85.0-A85.1, A85.8, A86-B04, B06-B09, B25-B49, B55-B99

18-40 Malignant neoplasms C00-C97

41In situ neoplasms, benign neoplasms and neoplasms of uncertain or unknown D00-D48

42 Anemias D50-D6443 Diabetes mellitus E10-E14

44-45 Nutritional deficiencies E40-E6446 Meningit is G00, G0347 Parkinson's disease G20-G21

48 Alzheimer's disease G3049-59 Heart Disease I00-I09,I11,I13,I20-I51

60 Essential (primary) hypertension and hypertensive renal disease I10, I12,I1561 Cerebrovascular diseases I60-I6962 Atherosclerosis I70

63-65 Other disorders of circulatory system I80-I9966-69 Influenza and pneumonia J9-J1870-76 Chronic lower respiratory diseases J40-J47

77 Peptic ulcer K25-K2878 Diseases of appendix K35-K3879 Hernia K40-K46

80-82 Chronic liver disease and cirrhosis K70,K73-K7483-87 Renal disease (kidney) N00-N07, N17-N19, N25-N27

88 Hyperplasia of prostate N4089 Inflammatory diseases of female pelvic organs N70-N7690 Pregnancy with abortive outcome O00-O0791 Pregnancy, childbirth O10-O99

92-93 Perinatal, congenital malformations or chromosomal abnormalities Q00-Q99

94Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere R00-R99

95 All other diseases (Residual) Residual96 Motor vehicle accidents V01-V99,Y85

97-104 All other accidents and adverse events W00-X59, Y86

105-106 Suicide X60-X71, X75-X84, Y87.0, *U03

107-108 HomicideX85-X92, X96-Y09, Y87.1, *U01.0-*U01.3, *U01.5-*U01.9, *U02

109-113 All other external causesY35, Y89.0,Y25-Y34,Y87.2, Y89.9,Y40-Y84, Y88

49


http://www.sanantonio.gov/planning/pdf/GIS/Demographics_WEB_20100129.pdf

http://soupfin.tdh.state.tx.us/death10.htm

http://wwwprod.dshs.state.tx.us/chs/vstat/latest/t16.shtm

http://healthypeople.gov/2020/topicsobjectives2020/pdfs/HP2020objectives.pdf

http://www.cdc.gov/nchs/vitalstats.htm

http://www.cdc.gov/nchs/data/nvsr/nvsr59/nvsr59_02.pdf

http://www.cdc.gov/nchs/data/nvsr/nvsr58/nvsr58_19.pdf

http://www.census.gov/popest/counties/asrh/

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