|
small (250x250 max)
medium (500x500 max)
Large
Extra Large
large ( > 500x500)
Full Resolution
|
|
i North Carolina Leading Causes of Death North Carolina Vital Statistics Volume 2 – 2003 North Carolina Department of Health and Human Services Division of Public Health State Center for Health Statistics 1908 Mail Service Center Raleigh, NC 27699-1908 (919) 733-4728 www.schs.state.nc.us/SCHS/ ii State of North Carolina Michael F. Easley, Governor Department of Health and Human Services Carmen Hooker Odom, Secretary Division of Public Health Leah Devlin, D.D.S., M.P.H., Health Director State Center for Health Statistics Gustavo Fernandez, Ph.D., Director Contributors: Paul Buescher Reginald Daye Ziya Gizlice Manjoo Mittal Jean Stafford December 2004 The NC Department of Health and Human Services does not discriminate on the basis of race, color, national origin, sex, religion, age or disability in employment or the provision of services. 600 copies of this public document were printed at a total cost of $2,135.12 or $3.56 per copy. iii TABLE OF CONTENTS Page Introduction ................................................................................................................. 1 NORTH CAROLINA'S LEADING CAUSES OF DEATH .......................................................... 5 STATE AND COUNTY MORTALITY TABLES AND FIGURES Mortality Statistics Summary for 1999-2003 ......................................................... 11 Sex-Specific Mortality Statistics Summary for 1999-2003 ....................................... 11 Total Deaths – All Causes ................................................................................... 13 Heart Disease .................................................................................................... 17 Cerebrovascular Disease ..................................................................................... 21 Cancer .............................................................................................................. 25 Cancer of Colon, Rectum, and Anus ................................................................. 29 Cancer of Trachea, Bronchus, and Lung ........................................................... 33 Cancer of Breast ............................................................................................. 37 Cancer of Prostate .......................................................................................... 41 Human Immunodeficiency Virus (HIV) Disease ..................................................... 45 Septicemia ......................................................................................................... 49 Diabetes Mellitus ................................................................................................ 53 Pneumonia and Influenza ................................................................................... 57 Chronic Lower Respiratory Diseases .................................................................... 61 Chronic Liver Disease and Cirrhosis ..................................................................... 65 Nephritis, Nephrotic Syndrome, and Nephrosis ..................................................... 69 Motor Vehicle Injuries ......................................................................................... 73 All Other Unintentional Injuries ........................................................................... 77 Suicide .............................................................................................................. 81 Homicide ........................................................................................................... 85 Alzheimer's Disease ............................................................................................ 89 Infant Mortality .................................................................................................. 93 TECHNICAL NOTES Computation of Death Rates ............................................................................... 99 Interpretation of Death Rates..............................................................................100 Caution About Use of Rates ................................................................................ 101 APPENDICES APPENDIX A – Comparability Ratios for the Major Causes of Death........................ 105 APPENDIX B – List of Selected Causes of Death ................................................... 106 APPENDIX C – List of 51 Selected Causes of Death ............................................... 107 APPENDIX D – List of 72 Selected Causes of Infant Death ..................................... 109 APPENDIX E – Statistical Primer: Age-Adjusted Death Rates .................................. 111 iv 1 Introduction North Carolina Vital Statistics, Volume 2: Leading Causes of Death describes North Carolina’s total and cause-specific deaths at the state and county level. More than a dozen of North Carolina’s leading causes of death are depicted in tables and maps. In addition, major site-specific cancer deaths and total infant deaths are tabulated and mapped. This edition includes the number of deaths and unadjusted death rates for 2003 and the number of deaths and unadjusted and age-adjusted death rates for 1999-2003. Beginning in 1999, causes of death were coded using the tenth revision of the International Classification of Diseases (ICD-10). For the years 1979 through 1998, the ninth revision of the ICD was used. We have not combined mortality data across these two revisions of the ICD due to comparability problems. “Comparability ratios” for the United States have been provided by the National Center for Health Statistics, providing numerical adjustments for comparing data across the ICD revisions. Appendix A shows these comparability ratios for the major causes of death presented in this volume. With five years of data now available under ICD-10, we are publishing five-year unadjusted and age-adjusted death rates. Be sure to read the Technical Notes section of this publication. This section explains some of the limitations of the data and addresses issues of interpretation. Many of the deaths rates presented here are based on small numbers and should be interpreted with caution. A detailed breakout of cause-specific deaths by age, race, sex, and county of residence can be found in the companion publication North Carolina Detailed Mortality Statistics. This and other publications (listed and described on the inside front cover of this publication) are available from the State Center for Health Statistics. Most are available through our Web site (shown below) and some are also available in printed form. Contact us at: State Center for Health Statistics Division of Public Health North Carolina Department of Health and Human Services 1908 Mail Service Center Raleigh, NC 27699-1908 (919) 733-4728 www.schs.state.nc.us/SCHS 2 3 NORTH CAROLINA’S LEADING CAUSES OF DEATH 4 5 TABLE A: Leading Causes of Death* by Age Group North Carolina Residents, 2003 *Leading causes of death are generated from a list of 51 causes of death categories developed by the National Center for Health Statistics to promote comparability in analyses of mortality. For deaths under one year of age, a list of 72 causes of death was used. See Appendices for the ICD-10 codes for these lists of causes. ALL AGES Rank Cause Number 1 Diseases of the heart ........................... 18,648 2 Cancer ................................................. 16,107 3 Cerebrovascular disease………… .............. 5,188 4 Chronic lower respiratory diseases .......... 3,856 5 Diabetes mellitus ................................... 2,384 6 Other unintentional injuries .................... 2,152 7 Alzheimer’s disease ................................ 2,143 8 Pneumonia and influenza ....................... 1,988 9 Motor vehicle injuries ............................. 1,634 10 Nephritis, nephrotic syndrome, nephrosis .. 1,386 All other causes (Residual) .................... 17,744 Total Deaths – All Causes ......................... 73,230 INFANTS (AGE <1) Rank Cause Number 1 Short gestation – low birthweight .............. 179 2 Congenital anomalies (birth defects) .......... 176 3 SIDS ........................................................ 100 4 Maternal complications ................................ 67 5 Complications of placenta ............................ 46 6 Respiratory distress ..................................... 33 7 Bacterial sepsis ........................................... 32 8 Diseases of the circulatory system ............... 26 9 Other unintentional injuries ......................... 24 10 Necrotizing enterocolitis .............................. 21 All other causes (Residual) ........................ 263 Total Deaths – All Causes .............................. 967 1 - 4 YEARS Rank Cause Number 1 Motor vehicle injuries .................................. 26 2 Other unintentional injuries ......................... 22 3 Congenital anomalies (birth defects) ............ 15 4 Cancer ........................................................ 12 5 Homicide ...................................................... 9 6 Diseases of the heart .................................... 7 Pneumonia and influenza .............................. 7 8 Septicemia .................................................... 5 9 In situ neoplasms .......................................... 3 10 Cerebrovascular disease ................................ 2 Pneumonitis due to solids/liquids ................... 2 All other causes (Residual) .......................... 34 Total Deaths – All Causes .............................. 144 5 - 14 YEARS Rank Cause Number 1 Motor vehicle injuries .................................. 51 2 Cancer ........................................................ 32 3 Other unintentional injuries ......................... 31 4 Congenital anomalies (birth defects) ............ 16 5 Homicide ...................................................... 9 6 Suicide ......................................................... 6 7 Diseases of the heart .................................... 5 8 Chronic lower respiratory diseases ................. 3 In situ neoplasms .......................................... 3 10 Cerebrovascular disease ................................ 2 Pneumonia and influenza .............................. 2 Complications of medical/surgical care ........... 2 All other causes (Residual) .......................... 42 Total Deaths – All Causes .............................. 204 6 TABLE A: (cont.) Leading Causes of Death* by Age Group North Carolina Residents, 2003 *Leading causes of death are generated from a list of 51 causes of death categories developed by the National Center for Health Statistics to promote comparability in analyses of mortality. For deaths under one year of age, a list of 72 causes of death was used. See Appendices for the ICD-10 codes for these lists of causes. 15 - 24 YEARS Rank Cause Number 1 Motor vehicle injuries ................................ 409 2 Homicide .................................................. 174 3 Other unintentional injuries ....................... 140 4 Suicide ..................................................... 133 5 Cancer ........................................................ 35 6 Diseases of the heart .................................. 33 7 Congenital anomalies (birth defects) ............ 12 8 HIV disease ................................................ 11 9 Cerebrovascular disease ................................ 8 10 Anemias ....................................................... 4 All other causes (Residual) ........................ 103 Total Deaths – All Causes ........................... 1,062 25 - 44 YEARS Rank Cause Number 1 Cancer ...................................................... 607 2 Diseases of the heart……………………………… 577 3 Motor vehicle injuries ................................ 554 4 Other unintentional injuries ....................... 531 5 Suicide ..................................................... 349 6 Homicide .................................................. 254 7 HIV disease .............................................. 222 8 Cerebrovascular disease ............................ 116 9 Diabetes mellitus ........................................ 85 10 Chronic liver disease/cirrhosis ...................... 78 All other causes (Residual) ........................ 843 Total Deaths – All Causes ........................... 4,216 45 - 64 YEARS Rank Cause Number 1 Cancer ................................................... 4,670 2 Diseases of the heart ............................. 3,330 3 Diabetes mellitus ...................................... 590 4 Cerebrovascular disease ............................ 572 5 Chronic lower respiratory diseases ............. 538 6 Other unintentional injuries ....................... 486 7 Chronic liver disease ................................. 398 8 Suicide ..................................................... 322 9 Motor vehicle injuries ................................ 309 10 Nephritis, nephrotic syndrome, nephrosis ..... 227 All other causes (Residual) ..................... 2,833 Total Deaths – All Causes ......................... 14,275 AGES 65 & OVER Rank Cause Number 1 Diseases of the heart ........................... 14,674 2 Cancer ................................................. 10,750 3 Cerebrovascular disease ......................... 4,485 4 Chronic lower respiratory diseases .......... 3,279 5 Alzheimer’s disease ................................ 2,124 6 Pneumonia and influenza ....................... 1,746 7 Diabetes mellitis ..................................... 1,706 8 Nephritis, nephrotic syndrome, nephrosis .. 1,121 9 Septicemia ................................................ 922 10 Other unintentional injuries ....................... 918 All other causes (Residual) ................... 10,637 Total Deaths – All Causes ......................... 52,362 7 TABLE B: Leading Causes of Death* by Race North Carolina Residents, 2003 *Racial group totals will not add up to overall total because deaths occurring among other races are not included here. Caution should be taken when comparing the number of deaths across racial groupings. Population size varies considerably from one racial group to another. The number of deaths for each group is to a large extent a reflection of that population size. WHITE Rank Cause Number 1 Diseases of the heart ........................... 14,591 2 Cancer ................................................. 12,771 3 Cerebrovascular disease ......................... 3,930 4 Chronic lower resiratory diseases ............ 3,431 5 Alzheimer's disease ................................ 1,866 6 Other unintentional injuries .................... 1,764 7 Pneumonia and influenza ....................... 1,647 8 Diabetes mellitus ................................... 1,554 9 Motor vehicle injuries ............................. 1,247 10 Nephritis, nephrotic syndrome, nephrosis ..... 909 All other causes (Residual) ................... 13,238 Total Deaths – All Causes ......................... 56,938 BLACK Rank Cause Number 1 Diseases of the heart ............................. 3,823 2 Cancer ................................................... 3,168 3 Cerebrovascular disease ......................... 1,196 4 Diabetes mellitus ...................................... 791 5 Nephritis, nephrotic syndrome, nephrosis ..... 458 6 Chronic lower respiratory diseases ............. 399 7 Other unintentional injuries ....................... 357 8 HIV .......................................................... 335 9 Motor vehicle injuries ................................ 329 10 Pneumonia and influenza .......................... 321 All other causes (Residual) ..................... 4,171 Total Deaths – All Causes ......................... 15,348 AMERICAN INDIAN Rank Cause Number 1 Diseases of the heart ................................ 188 2 Cancer ...................................................... 103 3 Diabetes ..................................................... 42 4 Cerebrovascular disease .............................. 40 5 Motor vehicle injuries .................................. 34 6 Other unintentional injuries ......................... 21 7 Chronic lower respiratory diseases ............... 20 8 Pneumonia and influenza ............................ 16 Homicide .................................................... 16 10 Nephritis, nephrotic syndrome, nephrosis ..... 15 All other causes (Residual) ........................ 142 Total Deaths– All Causes ............................... 637 8 TABLE C: Leading Causes of Death by Sex North Carolina Residents, 2003 TABLE D: Leading Causes of Death by Hispanicity North Carolina Residents, 2003 FEMALE Rank Cause Number 1 Diseases of the heart ............................. 9,442 2 Cancer ................................................... 7,615 3 Cerebrovascular disease ......................... 3,244 4 Chronic lower respiratory diseases .......... 1,939 5 Alzhiemer’s disease ................................ 1,557 6 Diabetes mellitus ................................... 1,304 7 Pnuemonia and influenza ....................... 1,140 8 Other unintentional injuries ....................... 895 9 Nephritis, nephrotic syndrome, nephrosis ..... 768 10 Septicemia ................................................ 714 All other causes (Residual) ..................... 8,972 Total Death – All Causes ......................... 37,590 MALE Rank Cause Number 1 Diseases of the heart ............................. 9,206 2 Cancer ................................................... 8,492 3 Cerebrovascular disease ......................... 1,944 4 Chronic lower respiratory diseases .......... 1,917 5 Other unintentional injuries .................... 1,257 6 Motor vehicle injuries ............................. 1,098 7 Diabetes mellitus ................................... 1,080 8 Pneumonia and influenza .......................... 848 9 Suicide ..................................................... 755 10 Nephritis, nephrotic syndrome, nephrosis ..... 618 All other causes (Residual) ..................... 8,424 Total Deaths – All Causes ......................... 35,639 HISPANIC Rank Cause Number 1 Motor vehicle injuries ................................ 157 2 Cancer ........................................................ 64 3 Homicide .................................................... 59 4 Other unintentional injuries ......................... 53 5 Diseases of the heart .................................. 52 6 Conditions originating in the perinatal period ... 47 7 Congenital anomalies .................................. 31 8 Cerebrovascular disease .............................. 22 9 Suicide ....................................................... 18 10 HIV disease ................................................ 12 All other causes (Residual) ........................ 101 Total Deaths – All Causes .............................. 616 NON-HISPANIC Rank Cause Number 1 Diseases of the heart ........................... 18,596 2 Cancer ................................................. 16,043 3 Cerebrovascular disease ......................... 5,166 4 Chronic lower respiratory diseases .......... 3,854 5 Diabetes mellitus ................................... 2,375 6 Alzheimer's disease ................................ 2,140 7 Other unintentional injuries .................... 2,099 8 Pnuemonia and influenza ....................... 1,978 9 Motor vehicle injuries ............................. 1,477 10 Nephritis, nephrotic syndrome, nephrosis .. 1,384 All other causes (Residual) .................... 17,502 Total Deaths – All Causes ......................... 72,614 9 STATE AND COUNTY MORTALITY TABLES FOR 2003 10 11 Table E: Mortality Statistics Summary for 1999-2003 All North Carolina Residents* Number Death Number Death Adjusted of Deaths Rate of Deaths Rate Death Rate Leading Causes of Death 2003 2003 1999-2003 1999-2003 1999-2003 Total Heart Disease 18,648 221.6 94,617 230.9 243.2 Cerebrovascular Disease 5,188 61.6 27,109 66.2 70.7 Atherosclerosis 294 3.5 1,767 4.3 4.7 Total Cancer 16,107 191.3 79,816 194.8 199.7 Lip, Oral Cavity, and Pharynx 249 3.0 1,116 2.7 2.8 Stomach 329 3.9 1,617 3.9 4.1 Colon, Rectum, and Anus 1,516 18.0 7,695 18.8 19.4 Liver 366 4.3 1,621 4.0 4.0 Pancreas 887 10.5 4,234 10.3 10.6 Larynx 110 1.3 598 1.5 1.5 Trachea, Bronchus, and Lung 4,839 57.5 24,132 58.9 59.9 Malignant Melanoma of Skin 231 2.7 1,157 2.8 2.9 Bladder 319 3.8 1,528 3.7 3.9 Brain 385 4.6 1,818 4.4 4.5 Non-Hodgkin’s Lymphoma 576 6.8 2,955 7.2 7.4 Leukemia 585 6.9 2,878 7.0 7.2 Diabetes Mellitus 2,384 28.3 10,894 26.6 27.5 Pneumonia and Influenza 1,988 23.6 9,469 23.1 24.9 Chronic Lower Respiratory Diseases 3,856 45.8 18,318 44.7 46.8 Chronic Liver Disease and Cirrhosis 747 8.9 3,711 9.1 9.1 Septicemia 1,209 14.4 5,500 13.4 14.1 Nephritis, Nephrosis, and Nephrotic Syn. 1,386 16.5 6,588 16.1 16.9 Motor Vehicle Unintentional Injuries 1,634 19.4 8,038 19.6 19.5 Other Unintentional Injuries 2,152 25.6 9,438 23.0 23.7 Suicide 949 11.3 4,735 11.6 11.5 Homicide 592 7.0 3,114 7.6 7.5 Alzheimer’s Disease 2,143 25.5 9,070 21.1 24.2 Total Deaths – All Causes 73,230 869.9 356,784 870.9 909.2 Table F: Sex-Specific Mortality Statistics Summary for 1999-2003 All North Carolina Residents* Number Death Number Death Adjusted of Deaths Rate of Deaths Rate Death Rate Leading Causes of Death 2003 2003 1999-2003 1999-2003 1999-2003 Breast 1,198 28.0 5,845 28.0 25.6 Cervix Uteri 104 2.4 609 2.9 2.7 Ovary 406 9.5 1,998 9.6 8.6 Prostate 894 21.6 4,574 22.8 32.7 Note: All death rates are per 100,000 population. The death rates in Table E cannot be compared to those in Table F because the denominators are sex-specific. Therefore, in ranking the causes of death – for example, in ranking the leading cancer sites – one must use the observed numbers of deaths. Breast cancer includes a very few deaths to males, while the denominator of the rate is the female population, the primary population at risk. * See Appendices for Cause of Death codes. 12 13 TABLE 1 Mortality Statistics Summary for 2003 North Carolina Residents TOTAL DEATHS – ALL CAUSES Number of Death Number of Death Age-Adjusted Geographical Deaths Rate* Deaths Rate* Death Rate* Area 2003 2003 1999-2003 1999-2003 1999-2003 North Carolina 73,230 869.9 356,784 870.9 909.2 1 Alamance 1,368 1003.1 6,565 984.5 896.0 2 Alexander 284 822.4 1,412 832.3 889.6 3 Alleghany 129 1195.6 701 1304.8 896.7 4 Anson 293 1161.6 1,462 1156.1 1010.6 5 Ashe 308 1227.8 1,475 1196.6 872.9 6 Avery 208 1149.6 929 1060.4 881.5 7 Beaufort 522 1145.0 2,690 1188.0 995.7 8 Bertie 219 1105.3 1,300 1312.9 1109.5 9 Bladen 400 1220.1 1,977 1217.6 1098.2 10 Brunswick 778 951.0 3,636 950.4 848.7 11 Buncombe 2,164 1019.6 11,026 1057.8 871.0 12 Burke 880 991.1 4,133 928.5 878.5 13 Cabarrus 1,252 872.9 5,701 837.6 898.5 14 Caldwell 776 993.2 3,841 987.8 943.1 15 Camden 60 764.9 326 906.8 894.0 16 Carteret 757 1249.7 3,443 1152.8 947.0 17 Caswell 243 1024.5 1,233 1044.1 972.4 18 Catawba 1,333 910.2 6,482 899.5 929.8 19 Chatham 495 922.1 2,424 949.0 806.9 20 Cherokee 324 1281.6 1,559 1263.1 883.2 21 Chowan 169 1176.4 913 1271.1 923.3 22 Clay 116 1238.3 554 1230.4 764.9 23 Cleveland 1,013 1038.5 4,995 1032.8 970.4 24 Columbus 608 1114.4 3,148 1151.0 1076.1 25 Craven 900 971.0 4,183 910.7 935.4 26 Cumberland 2,115 687.0 10,024 659.1 1024.1 27 Currituck 173 839.9 834 876.1 934.5 28 Dare 254 762.1 1,265 809.7 842.4 29 Davidson 1,456 958.3 6,819 914.9 913.0 30 Davie 330 886.6 1,704 949.4 871.9 31 Duplin 528 1039.9 2,570 1032.1 1022.5 32 Durham 1,711 724.7 8,490 742.2 896.3 33 Edgecombe 607 1122.5 3,081 1118.5 1119.7 34 Forsyth 2,802 882.1 13,708 882.3 879.5 35 Franklin 450 871.2 2,149 877.9 961.2 36 Gaston 1,918 1002.9 9,753 1021.9 1035.8 37 Gates 116 1070.7 614 1156.8 1056.2 38 Graham 95 1181.0 536 1338.0 1001.4 39 Granville 451 860.0 2,199 877.4 950.4 40 Greene 212 1066.3 885 919.5 939.4 41 Guilford 3,531 818.9 17,401 819.1 859.9 42 Halifax 643 1130.6 3,297 1153.5 1025.0 43 Harnett 783 800.7 3,658 780.8 931.0 44 Haywood 648 1160.8 3,259 1192.6 847.7 45 Henderson 1,174 1242.4 5,496 1204.8 769.4 46 Hertford 309 1300.8 1,454 1253.7 1061.7 47 Hoke 248 670.5 1,203 688.0 1008.0 48 Hyde 65 1136.4 341 1174.6 902.0 49 Iredell 1,168 876.4 5,516 868.0 888.2 50 Jackson 314 897.4 1,548 918.1 852.5 *Death rates with a small number of deaths in the numerator should be interpreted with caution. SEE TECHNICAL NOTES. 14 TABLE 1 (cont.) Mortality Statistics Summary for 2003 North Carolina Residents TOTAL CAUSES – ALL DEATHS Number of Death Number of Death Age-Adjusted Geographical Deaths Rate* Deaths Rate* Death Rate* Area 2003 2003 1999-2003 1999-2003 1999-2003 51 Johnston 1,020 748.3 4,867 762.1 921.3 52 Jones 116 1139.0 599 1164.8 1001.2 53 Lee 476 956.0 2,371 959.9 952.7 54 Lenoir 753 1278.4 3,577 1205.5 1096.0 55 Lincoln 572 848.7 2,808 860.3 928.9 56 McDowell 416 965.6 2,169 1017.4 911.1 57 Macon 391 1246.2 1,895 1246.3 783.6 58 Madison 218 1091.3 1,098 1112.3 874.3 59 Martin 307 1231.5 1,582 1251.4 1074.0 60 Mecklenburg 4,763 634.9 22,926 639.9 859.4 61 Mitchell 222 1394.0 1,024 1295.5 936.2 62 Montgomery 263 962.2 1,344 994.6 932.7 63 Moore 909 1162.0 4,337 1139.9 762.1 64 Nash 893 996.4 4,385 993.1 1023.5 65 New Hanover 1,441 852.4 7,006 857.2 855.8 66 Northampton 286 1312.0 1,448 1319.6 1033.4 67 Onslow 774 493.1 3,832 505.8 962.6 68 Orange 706 584.0 3,523 593.0 803.4 69 Pamlico 137 1054.5 726 1122.9 841.0 70 Pasquotank 382 1048.5 1,842 1039.8 944.8 71 Pender 370 846.7 1,864 885.9 854.1 72 Perquimans 138 1178.3 737 1280.7 928.8 73 Person 418 1130.3 1,875 1037.1 966.5 74 Pitt 1,083 779.1 5,212 769.5 969.5 75 Polk 283 1497.7 1,392 1497.3 823.2 76 Randolph 1,131 837.9 5,582 844.2 873.8 77 Richmond 536 1152.9 2,662 1142.9 1086.9 78 Robeson 1,243 990.0 5,994 965.6 1157.5 79 Rockingham 1,094 1183.7 5,176 1123.9 975.7 80 Rowan 1,284 964.4 6,655 1012.1 917.9 81 Rutherford 737 1161.9 3,719 1177.9 965.7 82 Sampson 648 1041.6 3,131 1027.5 1013.6 83 Scotland 383 1078.7 1,757 981.6 1052.3 84 Stanly 615 1041.3 3,000 1026.8 940.8 85 Stokes 462 1013.1 2,076 921.8 952.7 86 Surry 753 1046.1 3,861 1079.8 904.9 87 Swain 195 1460.3 817 1244.6 1059.1 88 Transylvania 391 1326.9 1,800 1227.3 805.7 89 Tyrrell 34 804.5 228 1093.1 885.8 90 Union 876 605.4 4,272 646.3 869.7 91 Vance 501 1142.3 2,379 1092.2 1111.4 92 Wake 3,576 511.2 16,725 509.1 787.8 93 Warren 251 1251.6 1,149 1149.1 902.9 94 Washington 146 1084.1 836 1227.2 1028.7 95 Watauga 310 724.8 1,465 686.0 782.5 96 Wayne 1,046 917.6 5,285 931.1 1049.0 97 Wilkes 682 1019.3 3,320 1003.5 910.6 98 Wilson 735 971.4 3,732 1001.2 991.5 99 Yadkin 366 994.0 1,864 1019.0 919.9 100 Yancey 198 1104.5 948 1060.4 765.1 *Death rates with a small number of deaths in the numerator should be interpreted with caution. SEE TECHNICAL NOTES. Total Deaths - All Causes North Carolina Resident Data 1999-2003 Figure 1.A Total Deaths - All Causes North Carolina Resident Data 1999-2003 Figure 1.B 15 Age Adjusted Mortality Rates Per 100,000 Population Mortality Rates Per 100,000 Population 593.0 - 780.8 505.8 - 509.1 928.8 - 975.7 841.0 - 923.3 762.1 - 823.2 1497.0 1112.0 - 1338.0 1074.0 - 1157.0 991.5 - 1062.0 809.7 - 1093.0 16 17 TABLE 2 Mortality Statistics Summary for 2003 North Carolina Residents HEART DISEASE Number of Death Number of Death Age-Adjusted Geographical Deaths Rate* Deaths Rate* Death Rate* Area 2003 2003 1999-2003 1999-2003 1999-2003 North Carolina 18,648 221.5 94,617 230.9 243.2 1 Alamance 340 249.3 1,683 252.4 226.9 2 Alexander 79 228.8 419 247.0 267.8 3 Alleghany 37 342.9 167 310.9 209.5 4 Anson 81 321.1 450 355.8 304.5 5 Ashe 75 299.0 385 312.3 219.1 6 Avery 57 315.0 266 303.6 251.3 7 Beaufort 159 348.8 889 392.6 322.3 8 Bertie 59 297.8 320 323.2 271.7 9 Bladen 109 332.5 572 352.3 314.1 10 Brunswick 208 254.2 1,008 263.5 236.4 11 Buncombe 535 252.1 2,881 276.4 222.5 12 Burke 241 271.4 1,102 247.6 233.2 13 Cabarrus 314 218.9 1,547 227.3 245.9 14 Caldwell 202 258.5 1,030 264.9 252.4 15 Camden 16 204.0 99 275.4 268.7 16 Carteret 209 345.0 1,004 336.2 274.8 17 Caswell 59 248.7 326 276.0 255.5 18 Catawba 305 208.3 1,586 220.1 229.1 19 Chatham 128 238.4 632 247.4 207.5 20 Cherokee 75 296.7 437 354.1 239.8 21 Chowan 51 355.0 261 363.4 253.0 22 Clay 29 309.6 120 266.5 152.5 23 Cleveland 301 308.6 1,472 304.4 284.1 24 Columbus 206 377.6 1,064 389.0 362.0 25 Craven 221 238.4 1,072 233.4 243.3 26 Cumberland 537 174.4 2,689 176.8 302.3 27 Currituck 41 199.0 208 218.5 234.7 28 Dare 51 153.0 289 185.0 196.2 29 Davidson 393 258.7 1,962 263.2 264.7 30 Davie 80 214.9 478 266.3 242.8 31 Duplin 137 269.8 623 250.2 247.9 32 Durham 383 162.2 1,929 168.6 208.3 33 Edgecombe 170 314.4 866 314.4 315.3 34 Forsyth 638 200.9 3,310 213.0 212.3 35 Franklin 124 240.1 594 242.7 268.8 36 Gaston 511 267.2 2,618 274.3 279.9 37 Gates 28 258.4 165 310.9 279.7 38 Graham 30 372.9 166 414.4 303.8 39 Granville 108 205.9 573 228.6 251.1 40 Greene 47 236.4 227 235.9 240.4 41 Guilford 875 202.9 4,327 203.7 214.9 42 Halifax 166 291.9 944 330.3 287.7 43 Harnett 205 209.6 980 209.2 256.2 44 Haywood 180 322.5 893 326.8 223.9 45 Henderson 293 310.1 1,458 319.6 194.0 46 Hertford 78 328.4 365 314.7 261.8 47 Hoke 73 197.4 291 166.4 256.6 48 Hyde 17 297.2 114 392.7 289.1 49 Iredell 334 250.6 1,632 256.8 265.3 50 Jackson 79 225.8 397 235.4 216.1 *Death rates with a small number of deaths in the numerator should be interpreted with caution. SEE TECHNICAL NOTES. 18 TABLE 2 (cont.) Mortality Statistics Summary for 2003 North Carolina Residents HEART DISEASE Number of Death Number of Death Age-Adjusted Geographical Deaths Rate* Deaths Rate* Death Rate* Area 2003 2003 1999-2003 1999-2003 1999-2003 51 Johnston 298 218.6 1,452 227.4 285.9 52 Jones 29 284.8 173 336.4 285.7 53 Lee 123 247.0 633 256.3 256.6 54 Lenoir 207 351.4 972 327.6 296.2 55 Lincoln 131 194.4 761 233.2 256.1 56 McDowell 97 225.2 605 283.8 251.9 57 Macon 102 325.1 531 349.2 211.2 58 Madison 54 270.3 268 271.5 208.8 59 Martin 94 377.1 469 371.0 315.0 60 Mecklenburg 1,078 143.7 5,319 148.5 207.5 61 Mitchell 55 345.4 270 341.6 237.9 62 Montgomery 60 219.5 389 287.9 269.4 63 Moore 232 296.6 1,170 307.5 197.9 64 Nash 205 228.7 1,120 253.7 263.4 65 New Hanover 356 210.6 1,864 228.1 230.0 66 Northampton 76 348.7 389 354.5 269.5 67 Onslow 186 118.5 941 124.2 261.4 68 Orange 158 130.7 778 130.9 182.3 69 Pamlico 35 269.4 184 284.6 209.5 70 Pasquotank 103 282.7 498 281.1 253.0 71 Pender 94 215.1 502 238.6 232.6 72 Perquimans 34 290.3 218 378.8 265.6 73 Person 85 229.9 489 270.5 251.1 74 Pitt 275 197.8 1,320 194.9 251.3 75 Polk 79 418.1 361 388.3 203.5 76 Randolph 272 201.5 1,536 232.3 243.2 77 Richmond 181 389.3 859 368.8 349.3 78 Robeson 333 265.2 1,661 267.6 332.2 79 Rockingham 277 299.7 1,353 293.8 251.6 80 Rowan 383 287.7 2,042 310.5 277.4 81 Rutherford 202 318.5 1,013 320.8 257.4 82 Sampson 144 231.5 761 249.7 246.0 83 Scotland 107 301.4 516 288.3 312.1 84 Stanly 181 306.5 988 338.2 308.2 85 Stokes 114 250.0 532 236.2 246.8 86 Surry 193 268.1 1,046 292.5 240.3 87 Swain 57 426.9 209 318.4 267.0 88 Transylvania 101 342.7 476 324.6 200.8 89 Tyrrell 6 142.0 64 306.8 238.3 90 Union 236 163.1 1,150 174.0 246.9 91 Vance 128 291.8 674 309.4 316.0 92 Wake 845 120.8 4,157 126.5 207.8 93 Warren 71 354.0 338 338.0 256.4 94 Washington 51 378.7 243 356.7 289.9 95 Watauga 75 175.3 413 193.4 221.0 96 Wayne 292 256.2 1,479 260.6 300.0 97 Wilkes 152 227.2 810 244.8 220.9 98 Wilson 177 233.9 964 258.6 257.0 99 Yadkin 81 220.0 489 267.3 240.1 100 Yancey 69 384.9 278 310.9 216.2 *Death rates with a small number of deaths in the numerator should be interpreted with caution. SEE TECHNICAL NOTES. Heart Disease North Carolina Resident Data 1999-2003 Figure 2.A Heart Disease North Carolina Resident Data 1999-2003 Figure 2.B 19 Age Adjusted Mortality Rates Per 100,000 Population Mortality Rates Per 100,000 Population 349.2 - 414.4 303.6 - 341.6 203.7 - 293.8 166.4 - 194.9 124.2 - 148.5 349.3 - 362.0 277.4 - 332.2 226.9 - 274.8 182.3 - 223.9 152.5 - 152.5 20 21 TABLE 3 Mortality Statistics Summary for 2003 North Carolina Residents CEREBROVASCULAR DISEASE Number of Death Number of Death Age-Adjusted Geographical Deaths Rate* Deaths Rate* Death Rate* Area 2003 2003 1999-2003 1999-2003 1999-2003 North Carolina 5,188 61.6 27,109 66.2 70.7 1 Alamance 112 82.1 531 79.6 71.0 2 Alexander 20 57.9 99 58.4 65.0 3 Alleghany 9 83.4 55 102.4 66.9 4 Anson 28 111.0 110 87.0 73.1 5 Ashe 25 99.7 113 91.7 64.0 6 Avery 11 60.8 54 61.6 51.1 7 Beaufort 41 89.9 193 85.2 70.1 8 Bertie 13 65.6 102 103.0 84.0 9 Bladen 27 82.4 181 111.5 99.7 10 Brunswick 50 61.1 227 59.3 56.6 11 Buncombe 127 59.8 838 80.4 63.7 12 Burke 68 76.6 337 75.7 72.4 13 Cabarrus 81 56.5 376 55.2 60.5 14 Caldwell 57 73.0 294 75.6 73.7 15 Camden 0 0.0 29 80.7 82.2 16 Carteret 54 89.1 252 84.4 69.3 17 Caswell 16 67.5 99 83.8 79.4 18 Catawba 96 65.5 479 66.5 70.3 19 Chatham 33 61.5 219 85.7 71.1 20 Cherokee 16 63.3 89 72.1 47.4 21 Chowan 11 76.6 91 126.7 89.0 22 Clay 5 53.4 45 99.9 55.9 23 Cleveland 47 48.2 345 71.3 66.8 24 Columbus 32 58.7 210 76.8 71.8 25 Craven 58 62.6 301 65.5 69.7 26 Cumberland 122 39.6 565 37.2 65.2 27 Currituck 9 43.7 68 71.4 82.8 28 Dare 15 45.0 79 50.6 53.4 29 Davidson 83 54.6 518 69.5 71.2 30 Davie 25 67.2 135 75.2 69.2 31 Duplin 53 104.4 256 102.8 103.8 32 Durham 126 53.4 635 55.5 68.7 33 Edgecombe 68 125.7 280 101.6 103.7 34 Forsyth 221 69.6 1,108 71.3 71.5 35 Franklin 24 46.5 175 71.5 80.9 36 Gaston 99 51.8 618 64.8 67.3 37 Gates 4 36.9 38 71.6 64.9 38 Graham 3 37.3 25 62.4 44.0 39 Granville 28 53.4 164 65.4 73.6 40 Greene 15 75.4 53 55.1 57.0 41 Guilford 239 55.4 1,376 64.8 68.8 42 Halifax 58 102.0 283 99.0 86.2 43 Harnett 58 59.3 269 57.4 72.4 44 Haywood 43 77.0 222 81.2 55.3 45 Henderson 79 83.6 399 87.5 51.9 46 Hertford 27 113.7 128 110.4 90.4 47 Hoke 11 29.7 63 36.0 59.5 48 Hyde 3 52.4 15 51.7 39.7 49 Iredell 84 63.0 427 67.2 70.5 50 Jackson 15 42.9 102 60.5 56.8 *Death rates with a small number of deaths in the numerator should be interpreted with caution. SEE TECHNICAL NOTES. 22 TABLE 3 (cont.) Mortality Statistics Summary for 2003 North Carolina Residents CEREBROVASCULAR DISEASE Number of Death Number of Death Age-Adjusted Geographical Deaths Rate* Deaths Rate* Death Rate* Area 2003 2003 1999-2003 1999-2003 1999-2003 51 Johnston 64 47.0 324 50.7 65.5 52 Jones 11 108.0 49 95.3 80.6 53 Lee 28 56.2 163 66.0 66.2 54 Lenoir 52 88.3 254 85.6 77.2 55 Lincoln 36 53.4 195 59.7 68.3 56 McDowell 32 74.3 150 70.4 63.4 57 Macon 23 73.3 158 103.9 59.9 58 Madison 17 85.1 86 87.1 67.1 59 Martin 22 88.3 100 79.1 67.6 60 Mecklenburg 330 44.0 1,714 47.8 68.5 61 Mitchell 15 94.2 86 108.8 74.9 62 Montgomery 21 76.8 101 74.7 69.9 63 Moore 79 101.0 372 97.8 60.9 64 Nash 83 92.6 403 91.3 96.2 65 New Hanover 111 65.7 559 68.4 70.0 66 Northampton 17 78.0 100 91.1 67.0 67 Onslow 48 30.6 217 28.6 63.7 68 Orange 55 45.5 276 46.5 66.5 69 Pamlico 17 130.8 68 105.2 78.1 70 Pasquotank 22 60.4 144 81.3 71.9 71 Pender 32 73.2 182 86.5 89.4 72 Perquimans 15 128.1 61 106.0 73.7 73 Person 43 116.3 189 104.5 98.3 74 Pitt 73 52.5 405 59.8 79.2 75 Polk 22 116.4 116 124.8 60.7 76 Randolph 87 64.5 408 61.7 65.7 77 Richmond 34 73.1 157 67.4 64.8 78 Robeson 86 68.5 452 72.8 94.0 79 Rockingham 84 90.9 433 94.0 79.9 80 Rowan 92 69.1 461 70.1 61.7 81 Rutherford 47 74.1 301 95.3 74.8 82 Sampson 73 117.3 305 100.1 99.5 83 Scotland 39 109.8 146 81.6 90.1 84 Stanly 46 77.9 242 82.8 75.5 85 Stokes 41 89.9 211 93.7 101.9 86 Surry 64 88.9 319 89.2 72.9 87 Swain 12 89.9 47 71.6 59.5 88 Transylvania 32 108.6 140 95.5 59.1 89 Tyrrell 4 94.7 16 76.7 61.1 90 Union 52 35.9 287 43.4 63.0 91 Vance 51 116.3 227 104.2 107.9 92 Wake 268 38.3 1,381 42.0 72.0 93 Warren 25 124.7 101 101.0 74.8 94 Washington 8 59.4 52 76.3 64.3 95 Watauga 20 46.8 116 54.3 63.3 96 Wayne 65 57.0 350 61.7 73.9 97 Wilkes 52 77.7 303 91.6 84.0 98 Wilson 49 64.8 294 78.9 79.2 99 Yadkin 32 86.9 143 78.2 70.6 100 Yancey 8 44.6 75 83.9 58.4 *Death rates with a small number of deaths in the numerator should be interpreted with caution. SEE TECHNICAL NOTES. Cerebrovascular Disease North Carolina Resident Data 1999-2003 Figure 3.A Cerebrovascular Disease North Carolina Resident Data 1999-2003 Figure 3.B 23 Age Adjusted Mortality Rates Per 100,000 Population Mortality Rates Per 100,000 Population 124.8 - 126.7 89.2 - 111.5 64.8 - 87.5 46.5 - 62.4 28.6 - 43.4 98.3 - 107.9 77.2 - 96.2 63.0 - 75.5 51.1 - 61.7 39.7 - 47.4 24 25 TABLE 4 Mortality Statistics Summary for 2003 North Carolina Residents CANCER - ALL SITES Number of Death Number of Death Age-Adjusted Geographical Deaths Rate* Deaths Rate* Death Rate* Area 2003 2003 1999-2003 1999-2003 1999-2003 North Carolina 16,107 191.3 79,816 194.8 199.7 1 Alamance 293 214.9 1,482 222.2 203.0 2 Alexander 69 199.8 318 187.4 191.1 3 Alleghany 24 222.4 166 309.0 210.4 4 Anson 52 206.2 276 218.2 192.8 5 Ashe 69 275.1 303 245.8 175.9 6 Avery 43 237.7 197 224.9 184.5 7 Beaufort 111 243.5 589 260.1 211.0 8 Bertie 49 247.3 288 290.8 240.4 9 Bladen 72 219.6 384 236.5 209.0 10 Brunswick 196 239.6 946 247.3 193.6 11 Buncombe 504 237.5 2,461 236.1 195.4 12 Burke 198 223.0 914 205.3 189.7 13 Cabarrus 264 184.1 1,247 183.2 194.2 14 Caldwell 166 212.5 878 225.8 208.7 15 Camden 26 331.5 93 258.7 248.5 16 Carteret 175 288.9 847 283.6 218.1 17 Caswell 58 244.5 279 236.3 212.3 18 Catawba 293 200.1 1,456 202.1 202.0 19 Chatham 124 231.0 562 220.0 186.3 20 Cherokee 81 320.4 384 311.1 210.2 21 Chowan 29 201.9 189 263.1 193.1 22 Clay 33 352.3 142 315.4 189.8 23 Cleveland 223 228.6 1,088 225.0 207.4 24 Columbus 133 243.8 646 236.2 214.9 25 Craven 216 233.0 1,003 218.4 214.4 26 Cumberland 448 145.5 2,164 142.3 211.1 27 Currituck 42 203.9 202 212.2 207.1 28 Dare 79 237.0 361 231.1 220.2 29 Davidson 341 224.4 1,568 210.4 201.8 30 Davie 81 217.6 366 203.9 183.2 31 Duplin 95 187.1 529 212.5 207.3 32 Durham 376 159.3 1,935 169.2 208.8 33 Edgecombe 130 240.4 665 241.4 236.6 34 Forsyth 613 193.0 3,125 201.1 199.3 35 Franklin 99 191.7 468 191.2 206.1 36 Gaston 417 218.1 2,094 219.4 215.8 37 Gates 27 249.2 138 260.0 233.5 38 Graham 19 236.2 110 274.6 196.4 39 Granville 104 198.3 512 204.3 214.0 40 Greene 41 206.2 192 199.5 203.3 41 Guilford 751 174.2 3,949 185.9 194.6 42 Halifax 137 240.9 699 244.6 215.7 43 Harnett 174 177.9 831 177.4 208.5 44 Haywood 135 241.8 716 262.0 183.6 45 Henderson 259 274.1 1,244 272.7 175.6 46 Hertford 54 227.3 301 259.5 216.7 47 Hoke 47 127.1 287 164.1 237.6 48 Hyde 9 157.3 73 251.5 196.5 49 Iredell 263 197.3 1,219 191.8 190.0 50 Jackson 63 180.1 343 203.4 182.5 *Death rates with a small number of deaths in the numerator should be interpreted with caution. SEE TECHNICAL NOTES. 26 TABLE 4 (cont.) Mortality Statistics Summary for 2003 North Carolina Residents CANCER – ALL SITES Number of Death Number of Death Age-Adjusted Geographical Deaths Rate* Deaths Rate* Death Rate* Area 2003 2003 1999-2003 1999-2003 1999-2003 51 Johnston 214 157.0 1,080 169.1 197.0 52 Jones 22 216.0 117 227.5 192.2 53 Lee 114 229.0 538 217.8 210.0 54 Lenoir 142 241.1 751 253.1 221.9 55 Lincoln 131 194.4 636 194.9 200.3 56 McDowell 85 197.3 518 243.0 212.8 57 Macon 82 261.3 415 272.9 170.1 58 Madison 50 250.3 250 253.3 200.8 59 Martin 57 228.7 325 257.1 214.7 60 Mecklenburg 1,060 141.3 5,053 141.0 188.7 61 Mitchell 50 314.0 224 283.4 198.7 62 Montgomery 52 190.3 283 209.4 191.4 63 Moore 220 281.2 1,093 287.3 188.0 64 Nash 184 205.3 942 213.3 213.7 65 New Hanover 333 197.0 1,669 204.2 197.2 66 Northampton 58 266.1 307 279.8 214.0 67 Onslow 171 108.9 873 115.2 215.4 68 Orange 176 145.6 897 151.0 201.7 69 Pamlico 25 192.4 175 270.7 196.1 70 Pasquotank 90 247.0 425 239.9 221.5 71 Pender 96 219.7 470 223.4 201.0 72 Perquimans 35 298.8 173 300.6 214.2 73 Person 108 292.0 429 237.3 216.8 74 Pitt 230 165.5 1,159 171.1 214.2 75 Polk 55 291.1 285 306.6 175.2 76 Randolph 292 216.3 1,293 195.6 196.8 77 Richmond 102 219.4 550 236.1 219.5 78 Robeson 233 185.6 1,180 190.1 222.7 79 Rockingham 257 278.1 1,198 260.1 222.8 80 Rowan 262 196.8 1,357 206.4 189.0 81 Rutherford 140 220.7 763 241.7 197.3 82 Sampson 143 229.9 664 217.9 212.5 83 Scotland 73 205.6 377 210.6 222.5 84 Stanly 132 223.5 641 219.4 197.3 85 Stokes 112 245.6 515 228.7 227.4 86 Surry 151 209.8 862 241.1 201.7 87 Swain 26 194.7 137 208.7 173.9 88 Transylvania 69 234.2 416 283.6 183.8 89 Tyrrell 15 354.9 73 350.0 285.7 90 Union 211 145.8 955 144.5 184.6 91 Vance 111 253.1 518 237.8 238.0 92 Wake 854 122.1 3,924 119.5 178.7 93 Warren 61 304.2 266 266.0 205.7 94 Washington 35 259.9 170 249.6 205.4 95 Watauga 70 163.7 312 146.1 163.5 96 Wayne 216 189.5 1,184 208.6 223.6 97 Wilkes 151 225.7 748 226.1 198.3 98 Wilson 147 194.3 786 210.9 202.7 99 Yadkin 63 171.1 399 218.1 192.6 100 Yancey 36 200.8 212 237.1 171.3 *Death rates with a small number of deaths in the numerator should be interpreted with caution. SEE TECHNICAL NOTES. Cancer - All Sites North Carolina Resident Data 1999-2003 Figure 4.A Cancer - All Sites North Carolina Resident Data 1999-2003 Figure 4.B 27 Age Adjusted Mortality Rates Per 100,000 Population Mortality Rates Per 100,000 Population 350.0 270.7 - 315.4 236.1 - 266.0 164.1 - 231.1 115.2 - 151.0 285.7 233.5 - 248.5 205.4 - 227.4 163.5 - 178.7 182.5 - 203.3 28 29 TABLE 5 Mortality Statistics Summary for 2003 North Carolina Residents CANCER – COLON, RECTUM, AND ANUS Number of Death Number of Death Age-Adjusted Geographical Deaths Rate* Deaths Rate* Death Rate* Area 2003 2003 1999-2003 1999-2003 1999-2003 North Carolina 1,516 18.0 7,695 18.8 19.4 1 Alamance 22 16.1 134 20.1 18.3 2 Alexander 10 29.0 30 17.7 18.5 3 Alleghany 0 0.0 8 14.9 10.4 4 Anson 6 23.8 30 23.7 20.3 5 Ashe 7 27.9 33 26.8 19.3 6 Avery 5 27.6 22 25.1 21.4 7 Beaufort 7 15.4 74 32.7 26.9 8 Bertie 5 25.2 42 42.4 35.2 9 Bladen 7 21.4 34 20.9 18.6 10 Brunswick 16 19.6 75 19.6 16.0 11 Buncombe 40 18.8 216 20.7 16.9 12 Burke 17 19.1 96 21.6 19.9 13 Cabarrus 22 15.3 111 16.3 17.4 14 Caldwell 19 24.3 80 20.6 18.8 15 Camden 4 51.0 14 38.9 37.3 16 Carteret 14 23.1 70 23.4 17.8 17 Caswell 5 21.1 23 19.5 16.9 18 Catawba 23 15.7 136 18.9 19.0 19 Chatham 12 22.4 56 21.9 18.3 20 Cherokee 7 27.7 36 29.2 21.1 21 Chowan 6 41.8 22 30.6 22.1 22 Clay 4 42.7 16 35.5 22.1 23 Cleveland 20 20.5 108 22.3 20.4 24 Columbus 10 18.3 60 21.9 19.7 25 Craven 21 22.7 112 24.4 24.5 26 Cumberland 41 13.3 193 12.7 19.2 27 Currituck 5 24.3 20 21.0 20.7 28 Dare 7 21.0 26 16.6 16.2 29 Davidson 29 19.1 146 19.6 18.9 30 Davie 5 13.4 39 21.7 19.6 31 Duplin 10 19.7 53 21.3 20.7 32 Durham 31 13.1 206 18.0 22.3 33 Edgecombe 10 18.5 54 19.6 19.0 34 Forsyth 66 20.8 300 19.3 19.1 35 Franklin 8 15.5 41 16.7 18.6 36 Gaston 30 15.7 198 20.7 20.5 37 Gates 2 18.5 12 22.6 20.3 38 Graham 4 49.7 13 32.5 22.5 39 Granville 8 15.3 51 20.3 22.0 40 Greene 5 25.1 19 19.7 19.9 41 Guilford 72 16.7 365 17.2 18.0 42 Halifax 16 28.1 63 22.0 19.5 43 Harnett 13 13.3 78 16.6 20.0 44 Haywood 16 28.7 70 25.6 18.0 45 Henderson 28 29.6 145 31.8 19.8 46 Hertford 4 16.8 41 35.4 29.1 47 Hoke 3 8.1 25 14.3 19.8 48 Hyde 0 0.0 12 41.3 32.7 49 Iredell 33 24.8 140 22.0 21.9 50 Jackson 6 17.1 35 20.8 18.9 *Death rates with a small number of deaths in the numerator should be interpreted with caution. SEE TECHNICAL NOTES. 30 TABLE 5 (cont.) Mortality Statistics Summary for 2003 North Carolina Residents CANCER – COLON, RECTUM, AND ANUS Number of Death Number of Death Age-Adjusted Geographical Deaths Rate* Deaths Rate* Death Rate* Area 2003 2003 1999-2003 1999-2003 1999-2003 51 Johnston 20 14.7 90 14.1 16.8 52 Jones 2 19.6 18 35.0 29.7 53 Lee 16 32.1 55 22.3 21.9 54 Lenoir 13 22.1 74 24.9 21.7 55 Lincoln 12 17.8 67 20.5 21.8 56 McDowell 8 18.6 52 24.4 21.4 57 Macon 9 28.7 39 25.7 15.4 58 Madison 3 15.0 20 20.3 15.5 59 Martin 8 32.1 32 25.3 21.5 60 Mecklenburg 115 15.3 510 14.2 19.2 61 Mitchell 5 31.4 22 27.8 18.8 62 Montgomery 5 18.3 29 21.5 19.8 63 Moore 28 35.8 111 29.2 19.4 64 Nash 22 24.5 94 21.3 21.4 65 New Hanover 22 13.0 129 15.8 15.3 66 Northampton 4 18.4 30 27.3 20.8 67 Onslow 14 8.9 91 12.0 23.3 68 Orange 14 11.6 78 13.1 17.3 69 Pamlico 0 0.0 17 26.3 19.4 70 Pasquotank 8 22.0 35 19.8 18.2 71 Pender 8 18.3 36 17.1 15.2 72 Perquimans 7 59.8 19 33.0 24.7 73 Person 9 24.3 44 24.3 22.0 74 Pitt 25 18.0 127 18.8 23.4 75 Polk 4 21.2 32 34.4 18.1 76 Randolph 25 18.5 123 18.6 18.9 77 Richmond 18 38.7 67 28.8 26.9 78 Robeson 21 16.7 103 16.6 20.0 79 Rockingham 30 32.5 110 23.9 20.5 80 Rowan 16 12.0 117 17.8 16.2 81 Rutherford 17 26.8 92 29.1 23.9 82 Sampson 13 20.9 68 22.3 21.8 83 Scotland 7 19.7 40 22.3 23.4 84 Stanly 12 20.3 62 21.2 19.1 85 Stokes 11 24.1 40 17.8 17.7 86 Surry 7 9.7 68 19.0 15.9 87 Swain 1 7.5 14 21.3 18.0 88 Transylvania 8 27.1 35 23.9 16.0 89 Tyrrell 1 23.7 10 47.9 37.5 90 Union 25 17.3 80 12.1 15.7 91 Vance 10 22.8 65 29.8 30.2 92 Wake 64 9.1 359 10.9 16.8 93 Warren 6 29.9 28 28.0 22.0 94 Washington 5 37.1 21 30.8 25.2 95 Watauga 8 18.7 31 14.5 16.3 96 Wayne 25 21.9 122 21.5 23.5 97 Wilkes 21 31.4 85 25.7 22.6 98 Wilson 10 13.2 63 16.9 16.2 99 Yadkin 8 21.7 37 20.2 18.0 100 Yancey 5 27.9 21 23.5 16.6 *Death rates with a small number of deaths in the numerator should be interpreted with caution. SEE TECHNICAL NOTES. Cancer - Colon, Rectum and Anus North Carolina Resident Data 1999-2003 Figure 5.A Cancer - Colon, Rectum and Anus North Carolina Resident Data 1999-2003 Figure 5.B 31 Age Adjusted Mortality Rates Per 100,000 Population Mortality Rates Per 100,000 Population 47.9 38.9 - 42.4 31.8 - 35.5 23.4 - 30.8 10.9 - 22.6 32.7 - 37.5 26.9 - 30.2 21.4 - 25.2 15.2 - 21.1 10.4 32 33 TABLE 6 Mortality Statistics Summary for 2003 North Carolina Residents CANCER – TRACHEA, BRONCHUS, AND LUNG Number of Death Number of Death Age-Adjusted Geographical Deaths Rate* Deaths Rate* Death Rate* Area 2003 2003 1999-2003 1999-2003 1999-2003 North Carolina 4,839 57.5 24,132 58.9 59.9 1 Alamance 81 59.4 451 67.6 61.5 2 Alexander 24 69.5 92 54.2 53.2 3 Alleghany 8 74.1 42 78.2 53.8 4 Anson 18 71.4 81 64.0 57.6 5 Ashe 21 83.7 97 78.7 56.3 6 Avery 10 55.3 64 73.0 58.6 7 Beaufort 43 94.3 199 87.9 69.7 8 Bertie 17 85.8 82 82.8 68.0 9 Bladen 20 61.0 120 73.9 63.9 10 Brunswick 58 70.9 339 88.6 65.7 11 Buncombe 139 65.5 709 68.0 56.5 12 Burke 71 80.0 308 69.2 63.0 13 Cabarrus 81 56.5 383 56.3 59.6 14 Caldwell 52 66.6 277 71.2 64.7 15 Camden 7 89.2 27 75.1 70.9 16 Carteret 59 97.4 282 94.4 70.3 17 Caswell 24 101.2 96 81.3 72.3 18 Catawba 94 64.2 448 62.2 61.2 19 Chatham 34 63.3 159 62.3 52.6 20 Cherokee 28 110.8 139 112.6 74.5 21 Chowan 7 48.7 59 82.1 60.7 22 Clay 10 106.7 43 95.5 58.1 23 Cleveland 68 69.7 342 70.7 64.7 24 Columbus 45 82.5 211 77.1 68.5 25 Craven 59 63.7 299 65.1 62.8 26 Cumberland 128 41.6 690 45.4 66.6 27 Currituck 15 72.8 64 67.2 62.4 28 Dare 34 102.0 123 78.7 72.6 29 Davidson 116 76.3 505 67.8 63.9 30 Davie 24 64.5 101 56.3 49.8 31 Duplin 22 43.3 141 56.6 54.8 32 Durham 114 48.3 552 48.3 60.3 33 Edgecombe 34 62.9 172 62.4 60.5 34 Forsyth 171 53.8 955 61.5 60.9 35 Franklin 27 52.3 152 62.1 66.2 36 Gaston 139 72.7 707 74.1 71.9 37 Gates 9 83.1 44 82.9 73.5 38 Graham 3 37.3 38 94.9 66.6 39 Granville 38 72.5 162 64.6 67.3 40 Greene 13 65.4 62 64.4 65.1 41 Guilford 246 57.1 1,168 55.0 57.6 42 Halifax 34 59.8 205 71.7 62.2 43 Harnett 49 50.1 261 55.7 64.7 44 Haywood 42 75.2 223 81.6 56.2 45 Henderson 80 84.7 350 76.7 49.9 46 Hertford 13 54.7 98 84.5 70.4 47 Hoke 22 59.5 89 50.9 73.0 48 Hyde 1 17.5 20 68.9 53.8 49 Iredell 78 58.5 364 57.3 56.3 50 Jackson 15 42.9 100 59.3 52.3 *Death rates with a small number of deaths in the numerator should be interpreted with caution. SEE TECHNICAL NOTES. 34 TABLE 6 (cont.) Mortality Statistics Summary for 2003 North Carolina Residents CANCER – TRACHEA, BRONCHUS, AND LUNG Number of Death Number of Death Age-Adjusted Geographical Deaths Rate* Deaths Rate* Death Rate* Area 2003 2003 1999-2003 1999-2003 1999-2003 51 Johnston 77 56.5 351 55.0 62.9 52 Jones 11 108.0 38 73.9 60.7 53 Lee 30 60.3 157 63.6 60.4 54 Lenoir 40 67.9 209 70.4 60.6 55 Lincoln 36 53.4 196 60.1 60.3 56 McDowell 34 78.9 173 81.1 69.9 57 Macon 23 73.3 117 77.0 48.9 58 Madison 19 95.1 78 79.0 63.6 59 Martin 10 40.1 86 68.0 56.1 60 Mecklenburg 277 36.9 1,365 38.1 51.4 61 Mitchell 16 100.5 68 86.0 60.6 62 Montgomery 19 69.5 80 59.2 53.5 63 Moore 71 90.8 329 86.5 55.8 64 Nash 49 54.7 280 63.4 62.8 65 New Hanover 106 62.7 517 63.3 60.3 66 Northampton 14 64.2 95 86.6 65.3 67 Onslow 58 37.0 298 39.3 72.1 68 Orange 46 38.1 265 44.6 60.4 69 Pamlico 9 69.3 60 92.8 64.5 70 Pasquotank 18 49.4 110 62.1 57.2 71 Pender 28 64.1 150 71.3 62.7 72 Perquimans 6 51.2 51 88.6 60.4 73 Person 33 89.2 125 69.1 62.7 74 Pitt 67 48.2 331 48.9 61.7 75 Polk 14 74.1 81 87.1 50.0 76 Randolph 91 67.4 401 60.6 59.9 77 Richmond 35 75.3 172 73.8 67.8 78 Robeson 70 55.8 352 56.7 64.9 79 Rockingham 88 95.2 386 83.8 71.4 80 Rowan 88 66.1 441 67.1 61.5 81 Rutherford 36 56.8 227 71.9 58.9 82 Sampson 38 61.1 168 55.1 53.1 83 Scotland 23 64.8 108 60.3 62.5 84 Stanly 34 57.6 189 64.7 57.8 85 Stokes 37 81.1 193 85.7 83.9 86 Surry 33 45.8 248 69.4 57.6 87 Swain 7 52.4 42 64.0 52.0 88 Transylvania 19 64.5 114 77.7 48.7 89 Tyrrell 5 118.3 22 105.5 84.1 90 Union 63 43.5 284 43.0 54.3 91 Vance 36 82.1 160 73.5 72.9 92 Wake 245 35.0 1,101 33.5 50.7 93 Warren 15 74.8 69 69.0 52.6 94 Washington 15 111.4 51 74.9 62.0 95 Watauga 15 35.1 70 32.8 36.3 96 Wayne 59 51.8 357 62.9 65.6 97 Wilkes 50 74.7 241 72.8 62.7 98 Wilson 55 72.7 234 62.8 59.5 99 Yadkin 19 51.6 131 71.6 62.3 100 Yancey 7 39.0 66 73.8 53.7 *Death rates with a small number of deaths in the numerator should be interpreted with caution. SEE TECHNICAL NOTES. Cancer - Trachea, Bronchus, and Lung North Carolina Resident Data 1999-2003 Figure 6.A Cancer - Trachea, Bronchus, and Lung North Carolina Resident Data 1999-2003 Figure 6.B 35 Age Adjusted Mortality Rates Per 100,000 Population Mortality Rates Per 100,000 Population 105.5 - 112.6 85.7 - 95.5 67.1 - 84.5 54.2 - 65.1 32.8 - 50.9 83.9 - 84.1 69.7 - 74.5 55.8 - 68.5 48.7 - 54.8 36.3 36 37 TABLE 7 Mortality Statistics Summary for 2003 North Carolina Residents CANCER – BREAST Number of Death Number of Death Age-Adjusted Geographical Deaths Rate* Deaths Rate* Death Rate* Area 2003 2003 1999-2003 1999-2003 1999-2003 North Carolina 1,198 28.0 5,845 28.0 25.6 1 Alamance 18 25.5 97 28.0 23.7 2 Alexander 3 17.3 27 31.8 28.7 3 Alleghany 3 55.0 13 47.6 31.9 4 Anson 5 39.4 18 27.9 24.5 5 Ashe 1 7.9 15 24.0 16.7 6 Avery 1 11.9 8 19.3 15.7 7 Beaufort 9 37.8 38 32.1 24.4 8 Bertie 4 38.0 12 22.7 18.6 9 Bladen 8 47.3 37 43.7 36.1 10 Brunswick 17 40.9 55 28.2 21.3 11 Buncombe 31 28.2 179 33.0 25.1 12 Burke 19 43.0 71 31.9 25.2 13 Cabarrus 20 27.6 81 23.5 22.0 14 Caldwell 12 30.4 59 30.0 24.5 15 Camden 1 25.2 6 33.3 28.2 16 Carteret 13 42.1 63 41.4 30.9 17 Caswell 6 51.8 20 34.2 28.7 18 Catawba 21 28.4 101 27.7 24.7 19 Chatham 8 29.4 38 29.2 22.8 20 Cherokee 4 30.8 26 40.9 30.9 21 Chowan 1 13.1 7 18.3 13.4 22 Clay 4 83.2 12 51.8 30.2 23 Cleveland 18 35.6 80 31.9 27.0 24 Columbus 10 35.5 59 41.4 35.0 25 Craven 20 43.7 67 29.4 26.6 26 Cumberland 39 25.7 188 25.1 30.4 27 Currituck 1 9.6 12 25.1 22.4 28 Dare 3 18.2 27 34.8 28.6 29 Davidson 17 21.9 108 28.4 25.2 30 Davie 5 26.5 21 23.1 18.8 31 Duplin 9 35.4 50 39.8 34.3 32 Durham 25 20.5 152 25.6 27.0 33 Edgecombe 12 41.6 64 43.3 38.1 34 Forsyth 49 29.6 231 28.5 25.4 35 Franklin 6 23.0 29 23.3 21.7 36 Gaston 26 26.4 145 29.5 26.3 37 Gates 2 36.3 8 29.6 27.1 38 Graham 2 48.4 5 24.4 15.4 39 Granville 8 32.6 39 32.6 29.2 40 Greene 5 52.1 21 45.0 39.3 41 Guilford 57 25.5 313 28.3 26.5 42 Halifax 13 43.7 54 36.0 30.8 43 Harnett 12 24.3 51 21.5 22.1 44 Haywood 9 31.0 50 35.1 23.6 45 Henderson 19 39.1 75 31.8 20.9 46 Hertford 7 54.4 22 35.0 27.9 47 Hoke 2 11.0 20 23.2 28.6 48 Hyde 2 76.6 7 50.8 39.5 49 Iredell 17 25.1 72 22.2 19.8 50 Jackson 9 50.5 24 27.8 22.4 *Death rates with a small number of deaths in the numerator should be interpreted with caution. SEE TECHNICAL NOTES. 38 TABLE 7 (cont.) Mortality Statistics Summary for 2003 North Carolina Residents CANCER – BREAST Number of Death Number of Death Age-Adjusted Geographical Deaths Rate* Deaths Rate* Death Rate* Area 2003 2003 1999-2003 1999-2003 1999-2003 51 Johnston 13 19.1 80 24.9 25.1 52 Jones 0 0.0 9 33.7 29.4 53 Lee 9 35.9 37 29.6 26.2 54 Lenoir 18 58.4 65 41.6 33.7 55 Lincoln 8 23.7 42 25.6 23.4 56 McDowell 1 4.7 21 19.6 14.6 57 Macon 7 42.9 31 39.2 23.5 58 Madison 2 19.8 21 42.1 31.5 59 Martin 4 29.8 21 31.0 24.9 60 Mecklenburg 104 27.4 433 23.7 26.5 61 Mitchell 2 24.7 12 29.6 17.9 62 Montgomery 1 7.4 21 31.6 25.8 63 Moore 9 22.3 63 31.9 20.8 64 Nash 15 32.4 69 30.1 27.0 65 New Hanover 27 31.0 134 31.6 27.6 66 Northampton 6 52.7 24 42.0 30.7 67 Onslow 9 12.8 49 14.6 20.5 68 Orange 13 20.6 74 23.8 27.8 69 Pamlico 2 31.4 7 21.7 11.9 70 Pasquotank 10 53.6 33 35.9 31.5 71 Pender 6 27.8 30 28.5 23.4 72 Perquimans 2 32.6 12 40.0 33.2 73 Person 3 15.7 24 25.6 21.6 74 Pitt 16 22.0 93 26.1 28.9 75 Polk 3 30.3 14 28.6 17.6 76 Randolph 19 27.9 82 24.5 22.5 77 Richmond 5 21.2 41 34.5 28.3 78 Robeson 17 26.5 96 30.0 30.9 79 Rockingham 20 42.0 95 39.8 31.5 80 Rowan 15 22.4 106 31.9 27.4 81 Rutherford 6 18.3 56 34.3 24.8 82 Sampson 14 45.0 44 28.5 25.0 83 Scotland 8 42.4 35 36.7 33.6 84 Stanly 10 33.6 39 26.3 21.3 85 Stokes 13 55.9 32 27.9 24.8 86 Surry 18 49.2 73 39.9 31.0 87 Swain 3 43.5 14 41.8 32.3 88 Transylvania 4 26.1 26 34.2 21.8 89 Tyrrell 3 157.2 8 81.2 66.4 90 Union 17 23.6 79 23.9 25.8 91 Vance 5 21.7 36 31.3 27.7 92 Wake 65 18.5 302 18.2 21.9 93 Warren 3 29.6 21 41.2 31.0 94 Washington 0 0.0 9 25.0 19.4 95 Watauga 3 14.0 19 17.7 17.7 96 Wayne 15 25.9 96 33.6 31.5 97 Wilkes 15 44.4 45 26.8 21.5 98 Wilson 10 25.4 63 32.3 28.4 99 Yadkin 4 21.4 15 16.1 12.9 100 Yancey 3 32.9 17 37.2 25.0 *Death rates with a small number of deaths in the numerator should be interpreted with caution. SEE TECHNICAL NOTES. Cancer - Breast North Carolina Resident Data 1999-2003 Figure 7.A Cancer - Breast North Carolina Resident Data 1999-2003 Figure 7.B 39 Age Adjusted Mortality Rates Per 100,000 Female Population Mortality Rates Per 100,000 Female Population 81.2 47.6 - 51.8 39.2 - 45.0 21.5 - 37.2 14.6 - 19.6 66.4 38.1 - 39.5 30.2 - 36.1 20.5 - 29.4 11.9 - 19.8 40 41 TABLE 8 Mortality Statistics Summary for 2003 North Carolina Residents CANCER – PROSTATE Number of Death Number of Death Age-Adjusted Geographical Deaths Rate* Deaths Rate* Death Rate* Area 2003 2003 1999-2003 1999-2003 1999-2003 North Carolina 894 21.6 4,574 22.8 32.7 1 Alamance 25 38.0 84 26.2 31.1 2 Alexander 2 11.6 19 22.5 34.9 3 Alleghany 2 37.5 12 45.4 40.0 4 Anson 4 31.9 17 27.5 32.7 5 Ashe 3 24.1 20 32.9 28.0 6 Avery 1 10.3 7 15.1 16.1 7 Beaufort 7 32.1 30 27.8 28.6 8 Bertie 1 10.8 17 36.9 35.6 9 Bladen 2 12.6 26 33.5 43.6 10 Brunswick 6 14.9 44 23.4 26.3 11 Buncombe 27 26.4 140 28.0 28.7 12 Burke 6 13.5 30 13.5 18.5 13 Cabarrus 12 16.9 64 19.1 29.8 14 Caldwell 8 20.7 50 26.0 32.7 15 Camden 3 77.5 5 27.9 32.3 16 Carteret 7 23.6 50 34.1 32.6 17 Caswell 5 41.2 26 43.7 56.0 18 Catawba 11 15.2 71 20.0 29.2 19 Chatham 9 33.9 41 32.7 35.2 20 Cherokee 1 8.1 21 35.1 25.5 21 Chowan 1 14.8 10 29.7 25.9 22 Clay 2 43.8 9 41.2 25.5 23 Cleveland 13 27.6 69 29.6 38.7 24 Columbus 6 22.7 36 27.5 35.3 25 Craven 11 23.4 55 23.7 32.8 26 Cumberland 23 14.7 122 15.8 40.1 27 Currituck 2 19.6 12 25.3 35.5 28 Dare 3 17.9 12 15.3 22.0 29 Davidson 19 25.5 78 21.3 28.7 30 Davie 5 27.2 19 21.5 24.5 31 Duplin 9 35.5 37 30.0 41.7 32 Durham 30 26.3 131 23.8 42.1 33 Edgecombe 5 19.8 36 28.2 40.3 34 Forsyth 33 21.7 168 22.6 30.9 35 Franklin 6 23.4 27 22.4 34.4 36 Gaston 21 22.6 102 22.1 31.5 37 Gates 4 75.2 15 57.5 62.1 38 Graham 1 25.5 7 35.7 31.7 39 Granville 6 21.5 42 32.1 51.8 40 Greene 0 0.0 7 14.1 21.1 41 Guilford 43 20.7 239 23.5 33.8 42 Halifax 4 14.8 53 39.0 46.8 43 Harnett 9 18.6 47 20.4 38.6 44 Haywood 9 33.6 39 29.8 24.8 45 Henderson 14 30.5 82 37.2 26.1 46 Hertford 3 27.5 18 33.9 38.5 47 Hoke 2 10.7 17 19.2 46.9 48 Hyde 0 0.0 4 26.2 27.2 49 Iredell 18 27.5 55 17.7 23.6 50 Jackson 2 11.6 14 17.0 20.8 *Death rates with a small number of deaths in the numerator should be interpreted with caution. SEE TECHNICAL NOTES. 42 TABLE 8 (cont.) Mortality Statistics Summary for 2003 North Carolina Residents CANCER – PROSTATE Number of Death Number of Death Age-Adjusted Geographical Deaths Rate* Deaths Rate* Death Rate* Area 2003 2003 1999-2003 1999-2003 1999-2003 51 Johnston 9 13.2 52 16.4 30.0 52 Jones 4 81.1 8 32.4 42.4 53 Lee 5 20.2 30 24.6 33.3 54 Lenoir 8 28.5 57 40.6 49.1 55 Lincoln 6 17.8 29 17.9 26.0 56 McDowell 3 13.9 17 16.0 18.3 57 Macon 6 39.8 29 39.8 26.2 58 Madison 4 40.5 14 28.7 26.8 59 Martin 4 34.8 23 39.2 46.9 60 Mecklenburg 55 14.9 276 15.7 31.8 61 Mitchell 3 38.3 14 36.3 34.4 62 Montgomery 1 7.2 21 30.5 41.0 63 Moore 14 37.1 69 37.7 27.6 64 Nash 15 34.6 54 25.4 38.5 65 New Hanover 16 19.5 84 21.3 27.2 66 Northampton 8 76.8 32 60.9 57.0 67 Onslow 6 6.9 36 8.5 28.4 68 Orange 11 19.0 49 17.3 34.6 69 Pamlico 4 60.4 16 49.5 52.1 70 Pasquotank 9 50.6 30 35.2 43.2 71 Pender 8 36.2 39 37.0 52.5 72 Perquimans 3 53.7 16 58.1 46.1 73 Person 9 50.3 28 32.1 40.8 74 Pitt 13 19.7 61 19.0 35.4 75 Polk 3 33.3 11 25.0 15.9 76 Randolph 18 26.9 56 17.1 25.7 77 Richmond 5 21.8 41 36.0 49.4 78 Robeson 21 34.2 86 28.6 48.0 79 Rockingham 8 17.9 52 23.4 26.2 80 Rowan 19 28.7 78 24.0 27.7 81 Rutherford 8 26.1 39 25.6 27.0 82 Sampson 14 45.0 58 38.6 53.8 83 Scotland 7 42.0 26 31.1 47.1 84 Stanly 10 34.1 41 28.5 34.4 85 Stokes 3 13.4 26 23.5 30.9 86 Surry 5 14.1 41 23.5 26.8 87 Swain 1 15.5 7 21.7 22.5 88 Transylvania 4 28.3 20 28.3 21.5 89 Tyrrell 1 43.1 6 54.5 56.1 90 Union 9 12.4 53 16.1 30.4 91 Vance 6 28.8 34 33.0 45.5 92 Wake 47 13.5 221 13.6 33.5 93 Warren 5 50.4 24 48.9 49.8 94 Washington 0 0.0 14 43.6 47.2 95 Watauga 2 9.4 22 20.7 31.2 96 Wayne 9 16.0 75 26.6 42.9 97 Wilkes 7 21.1 38 23.3 28.2 98 Wilson 8 22.0 43 24.2 33.6 99 Yadkin 2 11.0 24 26.7 31.6 100 Yancey 2 22.7 18 41.1 36.2 *Death rates with a small number of deaths in the numerator should be interpreted with caution. SEE TECHNICAL NOTES. Cancer - Prostate North Carolina Resident Data 1999-2003 Figure 8.A Cancer - Prostate North Carolina Resident Data 1999-2003 Figure 8.B 43 Age Adjusted Mortality Rates Per 100,000 Male Population Mortality Rates Per 100,000 Male Population 54.5 - 60.9 48.9 - 49.5 32.1 - 45.4 21.3 - 31.1 8.5 - 20.7 62.1 51.8 - 57.0 38.5 - 49.8 23.6 - 36.2 15.9 - 22.5 44 45 TABLE 9 Mortality Statistics Summary for 2003 North Carolina Residents HUMAN IMMUNODEFICIENCY VIRUS (HIV) DISEASE Number of Death Number of Death Age-Adjusted Geographical Deaths Rate* Deaths Rate* Death Rate* Area 2003 2003 1999-2003 1999-2003 1999-2003 North Carolina 454 5.4 2,321 5.7 5.6 1 Alamance 4 2.9 28 4.2 4.3 2 Alexander 1 2.9 3 1.8 1.7 3 Alleghany 0 0.0 0 0.0 0.0 4 Anson 2 7.9 6 4.7 4.9 5 Ashe 0 0.0 0 0.0 0.0 6 Avery 0 0.0 0 0.0 0.0 7 Beaufort 4 8.8 15 6.6 6.4 8 Bertie 4 20.2 15 15.1 15.4 9 Bladen 2 6.1 12 7.4 7.7 10 Brunswick 1 1.2 11 2.9 3.0 11 Buncombe 5 2.4 44 4.2 4.1 12 Burke 0 0.0 4 0.9 0.9 13 Cabarrus 5 3.5 25 3.7 3.6 14 Caldwell 0 0.0 2 0.5 0.5 15 Camden 0 0.0 4 11.1 9.9 16 Carteret 1 1.7 4 1.3 1.3 17 Caswell 1 4.2 4 3.4 3.1 18 Catawba 5 3.4 17 2.4 2.3 19 Chatham 0 0.0 4 1.6 1.4 20 Cherokee 2 7.9 2 1.6 2.0 21 Chowan 0 0.0 4 5.6 5.9 22 Clay 1 10.7 2 4.4 4.7 23 Cleveland 6 6.2 23 4.8 5.0 24 Columbus 4 7.3 16 5.8 5.9 25 Craven 4 4.3 18 3.9 4.3 26 Cumberland 24 7.8 116 7.6 8.1 27 Currituck 0 0.0 1 1.1 1.0 28 Dare 0 0.0 4 2.6 2.2 29 Davidson 2 1.3 20 2.7 2.6 30 Davie 1 2.7 3 1.7 1.8 31 Duplin 5 9.8 25 10.0 10.3 32 Durham 23 9.7 137 12.0 12.3 33 Edgecombe 8 14.8 32 11.6 11.9 34 Forsyth 19 6.0 115 7.4 7.3 35 Franklin 0 0.0 9 3.7 3.6 36 Gaston 15 7.8 80 8.4 8.2 37 Gates 0 0.0 3 5.7 5.9 38 Graham 0 0.0 0 0.0 0.0 39 Granville 1 1.9 5 2.0 1.9 40 Greene 1 5.0 5 5.2 5.1 41 Guilford 30 7.0 140 6.6 6.5 42 Halifax 6 10.5 33 11.5 11.8 43 Harnett 4 4.1 24 5.1 5.3 44 Haywood 0 0.0 2 0.7 0.8 45 Henderson 5 5.3 10 2.2 2.3 46 Hertford 2 8.4 13 11.2 11.6 47 Hoke 2 5.4 13 7.4 7.9 48 Hyde 0 0.0 1 3.4 3.1 49 Iredell 5 3.8 14 2.2 2.1 50 Jackson 1 2.9 2 1.2 1.4 *Death rates with a small number of deaths in the numerator should be interpreted with caution. SEE TECHNICAL NOTES. 46 TABLE 9 (cont.) Mortality Statistics Summary for 2003 North Carolina Residents HUMAN IMMUNODEFICIENCY VIRUS (HIV) DISEASE Number of Death Number of Death Age-Adjusted Geographical Deaths Rate* Deaths Rate* Death Rate* Area 2003 2003 1999-2003 1999-2003 1999-2003 51 Johnston 7 5.1 34 5.3 5.0 52 Jones 2 19.6 5 9.7 9.5 53 Lee 2 4.0 5 2.0 2.1 54 Lenoir 8 13.6 41 13.8 14.1 55 Lincoln 4 5.9 10 3.1 2.9 56 McDowell 0 0.0 1 0.5 0.5 57 Macon 0 0.0 1 0.7 0.6 58 Madison 0 0.0 0 0.0 0.0 59 Martin 5 20.1 13 10.3 10.0 60 Mecklenburg 87 11.6 466 13.0 12.4 61 Mitchell 0 0.0 1 1.3 1.5 62 Montgomery 0 0.0 0 0.0 0.0 63 Moore 4 5.1 16 4.2 4.5 64 Nash 2 2.2 32 7.2 7.1 65 New Hanover 6 3.5 32 3.9 3.8 66 Northampton 3 13.8 12 10.9 10.5 67 Onslow 5 3.2 16 2.1 2.6 68 Orange 2 1.7 15 2.5 2.5 69 Pamlico 0 0.0 2 3.1 2.7 70 Pasquotank 1 2.7 11 6.2 6.5 71 Pender 0 0.0 3 1.4 1.4 72 Perquimans 0 0.0 0 0.0 0.0 73 Person 2 5.4 9 5.0 4.8 74 Pitt 15 10.8 54 8.0 8.5 75 Polk 0 0.0 2 2.2 2.1 76 Randolph 1 0.7 13 2.0 1.9 77 Richmond 4 8.6 13 5.6 5.9 78 Robeson 12 9.6 36 5.8 6.0 79 Rockingham 4 4.3 14 3.0 3.0 80 Rowan 5 3.8 20 3.0 3.1 81 Rutherford 0 0.0 5 1.6 1.6 82 Sampson 3 4.8 20 6.6 6.8 83 Scotland 4 11.3 14 7.8 8.4 84 Stanly 2 3.4 7 2.4 2.4 85 Stokes 1 2.2 2 0.9 0.9 86 Surry 1 1.4 4 1.1 1.0 87 Swain 0 0.0 0 0.0 0.0 88 Transylvania 2 6.8 7 4.8 5.5 89 Tyrrell 0 0.0 2 9.6 9.4 90 Union 4 2.8 24 3.6 3.5 91 Vance 4 9.1 27 12.4 13.1 92 Wake 27 3.9 149 4.5 4.3 93 Warren 2 10.0 5 5.0 4.6 94 Washington 0 0.0 9 13.2 15.5 95 Watauga 1 2.3 2 0.9 1.1 96 Wayne 11 9.7 43 7.6 7.6 97 Wilkes 0 0.0 3 0.9 0.8 98 Wilson 5 6.6 48 12.9 13.1 99 Yadkin 0 0.0 3 1.6 1.3 100 Yancey 0 0.0 0 0.0 0.0 *Death rates with a small number of deaths in the numerator should be interpreted with caution. SEE TECHNICAL NOTES. HIV Disease North Carolina Resident Data 1999-2003 Figure 9.A HIV Disease North Carolina Resident Data 1999-2003 Figure 9.B 47 Age Adjusted Mortality Rates Per 100,000 Population Mortality Rates Per 100,000 Population 12.4 - 15.1 9.6 - 12.0 5.6 - 8.4 2.9 - 5.3 0.0 - 2.7 15.4 - 15.5 11.6 - 14.1 7.1 - 10.5 3.5 - 6.8 0.0 - 3.1 48 49 TABLE 10 Mortality Statistics Summary for 2003 North Carolina Residents SEPTICEMIA Number of Death Number of Death Age-Adjusted Geographical Deaths Rate* Deaths Rate* Death Rate* Area 2003 2003 1999-2003 1999-2003 1999-2003 North Carolina 1,209 14.4 5,500 13.4 14.1 1 Alamance 16 11.7 68 10.2 9.3 2 Alexander 7 20.3 17 10.0 11.1 3 Alleghany 2 18.5 8 14.9 9.3 4 Anson 10 39.6 30 23.7 20.4 5 Ashe 3 12.0 20 16.2 11.0 6 Avery 2 11.1 13 14.8 12.2 7 Beaufort 7 15.4 39 17.2 14.9 8 Bertie 5 25.2 29 29.3 23.8 9 Bladen 9 27.5 37 22.8 19.9 10 Brunswick 19 23.2 58 15.2 14.1 11 Buncombe 34 16.0 179 17.2 13.9 12 Burke 14 15.8 61 13.7 13.0 13 Cabarrus 20 13.9 92 13.5 14.5 14 Caldwell 13 16.6 53 13.6 13.0 15 Camden 2 25.5 6 16.7 16.8 16 Carteret 7 11.6 34 11.4 9.1 17 Caswell 5 21.1 25 21.2 19.6 18 Catawba 17 11.6 102 14.2 14.6 19 Chatham 6 11.2 35 13.7 11.4 20 Cherokee 3 11.9 12 9.7 6.4 21 Chowan 2 13.9 9 12.5 8.1 22 Clay 0 0.0 3 6.7 3.7 23 Cleveland 14 14.4 57 11.8 11.0 24 Columbus 14 25.7 77 28.2 26.0 25 Craven 11 11.9 89 19.4 20.5 26 Cumberland 36 11.7 166 10.9 17.9 27 Currituck 1 4.9 10 10.5 10.7 28 Dare 6 18.0 32 20.5 22.3 29 Davidson 18 11.8 96 12.9 12.9 30 Davie 8 21.5 24 13.4 12.2 31 Duplin 5 9.8 33 13.3 13.2 32 Durham 43 18.2 151 13.2 16.2 33 Edgecombe 10 18.5 48 17.4 17.5 34 Forsyth 45 14.2 215 13.8 13.8 35 Franklin 10 19.4 41 16.7 18.5 36 Gaston 34 17.8 144 15.1 15.3 37 Gates 4 36.9 20 37.7 34.6 38 Graham 3 37.3 9 22.5 15.9 39 Granville 10 19.1 37 14.8 16.2 40 Greene 2 10.1 17 17.7 18.0 41 Guilford 69 16.0 272 12.8 13.5 42 Halifax 11 19.3 59 20.6 18.1 43 Harnett 15 15.3 59 12.6 14.9 44 Haywood 5 9.0 29 10.6 7.6 45 Henderson 18 19.0 84 18.4 11.4 46 Hertford 8 33.7 23 19.8 16.3 47 Hoke 5 13.5 22 12.6 19.1 48 Hyde 0 0.0 4 13.8 11.5 49 Iredell 19 14.3 69 10.9 11.2 50 Jackson 5 14.3 24 14.2 13.2 *Death rates with a small number of deaths in the numerator should be interpreted with caution. SEE TECHNICAL NOTES. 50 TABLE 10 (cont.) Mortality Statistics Summary for 2003 North Carolina Residents SEPTICEMIA Number of Death Number of Death Age-Adjusted Geographical Deaths Rate* Deaths Rate* Death Rate* Area 2003 2003 1999-2003 1999-2003 1999-2003 51 Johnston 20 14.7 85 13.3 16.1 52 Jones 4 39.3 11 21.4 18.9 53 Lee 10 20.1 42 17.0 16.6 54 Lenoir 13 22.1 54 18.2 16.4 55 Lincoln 8 11.9 42 12.9 14.0 56 McDowell 10 23.2 35 16.4 14.7 57 Macon 7 22.3 25 16.4 10.3 58 Madison 8 40.0 40 40.5 29.9 59 Martin 8 32.1 35 27.7 23.5 60 Mecklenburg 67 8.9 309 8.6 11.9 61 Mitchell 2 12.6 10 12.7 8.6 62 Montgomery 0 0.0 9 6.7 6.2 63 Moore 9 11.5 46 12.1 7.9 64 Nash 20 22.3 61 13.8 14.3 65 New Hanover 18 10.6 81 9.9 9.9 66 Northampton 4 18.4 28 25.5 19.9 67 Onslow 15 9.6 58 7.7 15.9 68 Orange 9 7.4 50 8.4 11.9 69 Pamlico 2 15.4 9 13.9 11.0 70 Pasquotank 8 22.0 28 15.8 14.0 71 Pender 3 6.9 25 11.9 11.8 72 Perquimans 2 17.1 14 24.3 17.3 73 Person 13 35.2 38 21.0 19.6 74 Pitt 22 15.8 104 15.4 20.0 75 Polk 1 5.3 11 11.8 6.3 76 Randolph 32 23.7 105 15.9 16.4 77 Richmond 9 19.4 34 14.6 14.0 78 Robeson 21 16.7 103 16.6 19.9 79 Rockingham 16 17.3 100 21.7 18.7 80 Rowan 17 12.8 100 15.2 13.7 81 Rutherford 13 20.5 56 17.7 14.4 82 Sampson 3 4.8 35 11.5 11.2 83 Scotland 4 11.3 23 12.8 14.0 84 Stanly 9 15.2 26 8.9 8.0 85 Stokes 7 15.3 30 13.3 13.6 86 Surry 8 11.1 50 14.0 11.6 87 Swain 3 22.5 20 30.5 24.8 88 Transylvania 3 10.2 20 13.6 10.2 89 Tyrrell 0 0.0 4 19.2 16.3 90 Union 11 7.6 57 8.6 11.9 91 Vance 8 18.2 47 21.6 21.9 92 Wake 65 9.3 260 7.9 12.5 93 Warren 2 10.0 23 23.0 18.4 94 Washington 2 14.9 19 27.9 23.4 95 Watauga 4 9.4 13 6.1 6.8 96 Wayne 17 14.9 103 18.1 20.9 97 Wilkes 10 14.9 55 16.6 15.0 98 Wilson 18 23.8 75 20.1 20.2 99 Yadkin 11 29.9 39 21.3 19.2 100 Yancey 1 5.6 12 13.4 9.1 *Death rates with a small number of deaths in the numerator should be interpreted with caution. SEE TECHNICAL NOTES. Septicemia North Carolina Resident Data 1999-2003 Figure 10.A Septicemia North Carolina Resident Data 1999-2003 Figure 10.B 51 Age Adjusted Mortality Rates Per 100,000 Population Mortality Rates Per 100,000 Population 37.7 - 40.5 27.7 - 30.5 19.2 - 25.5 9.7 - 18.4 6.1 - 8.9 29.9 - 34.6 17.9 - 26.0 10.7 - 17.5 6.2 - 10.3 3.7 52 53 TABLE 11 Mortality Statistics Summary for 2003 North Carolina Residents DIABETES MELLITUS Number of Death Number of Death Age-Adjusted Geographical Deaths Rate* Deaths Rate* Death Rate* Area 2003 2003 1999-2003 1999-2003 1999-2003 North Carolina 2,384 28.3 10,894 26.6 27.5 1 Alamance 41 30.1 173 25.9 23.5 2 Alexander 3 8.7 29 17.1 17.8 3 Alleghany 2 18.5 25 46.5 33.8 4 Anson 8 31.7 58 45.9 40.4 5 Ashe 9 35.9 46 37.3 26.8 6 Avery 5 27.6 24 27.4 22.1 7 Beaufort 18 39.5 56 24.7 20.4 8 Bertie 9 45.4 72 72.7 59.7 9 Bladen 22 67.1 76 46.8 41.5 10 Brunswick 18 22.0 98 25.6 22.1 11 Buncombe 50 23.6 233 22.4 18.4 12 Burke 30 33.8 139 31.2 29.2 13 Cabarrus 34 23.7 152 22.3 23.8 14 Caldwell 28 35.8 130 33.4 31.3 15 Camden 1 12.7 5 13.9 12.6 16 Carteret 20 33.0 86 28.8 22.7 17 Caswell 21 88.5 51 43.2 40.0 18 Catawba 46 31.4 181 25.1 25.3 19 Chatham 16 29.8 76 29.8 24.9 20 Cherokee 8 31.6 48 38.9 26.8 21 Chowan 11 76.6 31 43.2 30.6 22 Clay 0 0.0 9 20.0 12.8 23 Cleveland 30 30.8 167 34.5 32.0 24 Columbus 18 33.0 100 36.6 33.7 25 Craven 27 29.1 124 27.0 27.7 26 Cumberland 94 30.5 405 26.6 41.7 27 Currituck 4 19.4 25 26.3 26.0 28 Dare 6 18.0 21 13.4 13.0 29 Davidson 54 35.5 177 23.7 23.2 30 Davie 12 32.2 60 33.4 30.4 31 Duplin 24 47.3 102 41.0 40.2 32 Durham 56 23.7 245 21.4 26.6 33 Edgecombe 22 40.7 101 36.7 36.5 34 Forsyth 107 33.7 466 30.0 29.8 35 Forsyth 13 25.2 75 30.6 33.1 36 Gaston 52 27.2 311 32.6 32.1 37 Gates 5 46.2 24 45.2 40.1 38 Graham 2 24.9 16 39.9 27.7 39 Granville 26 49.6 82 32.7 35.3 40 Greene 16 80.5 34 35.3 36.4 41 Guilford 84 19.5 411 19.3 20.3 42 Halifax 23 40.4 126 44.1 38.8 43 Harnett 18 18.4 124 26.5 31.6 44 Haywood 16 28.7 88 32.2 22.8 45 Henderson 18 19.0 96 21.0 13.8 46 Hertford 18 75.8 52 44.8 36.9 47 Hoke 13 35.1 58 33.2 51.0 48 Hyde 9 157.3 14 48.2 38.3 49 Iredell 35 26.3 155 24.4 24.5 50 Jackson 17 48.6 54 32.0 28.8 *Death rates with a small number of deaths in the numerator should be interpreted with caution. SEE TECHNICAL NOTES. 54 TABLE 11 (cont.) Mortality Statistics Summary for 2003 North Carolina Residents DIABETES MELLITUS Number of Death Number of Death Age-Adjusted Geographical Deaths Rate* Deaths Rate* Death Rate* Area 2003 2003 1999-2003 1999-2003 1999-2003 51 Johnston 35 25.7 133 20.8 25.4 52 Jones 3 29.5 20 38.9 32.6 53 Lee 15 30.1 83 33.6 32.9 54 Lenoir 30 50.9 143 48.2 42.9 55 Lincoln 16 23.7 67 20.5 21.6 56 McDowell 6 13.9 69 32.4 28.9 57 Macon 10 31.9 60 39.5 24.6 58 Madison 2 10.0 18 18.2 14.4 59 Martin 20 80.2 88 69.6 58.7 60 Mecklenburg 127 16.9 642 17.9 24.2 61 Mitchell 7 44.0 27 34.2 26.6 62 Montgomery 14 51.2 45 33.3 31.0 63 Moore 22 28.1 90 23.7 16.0 64 Nash 31 34.6 124 28.1 28.4 65 New Hanover 35 20.7 221 27.0 26.4 66 Northampton 16 73.4 62 56.5 43.4 67 Onslow 33 21.0 125 16.5 31.8 68 Orange 17 14.1 77 13.0 17.5 69 Pamlico 2 15.4 15 23.2 16.3 70 Pasquotank 11 30.2 57 32.2 29.8 71 Pender 12 27.5 58 27.6 25.8 72 Perquimans 1 8.5 14 24.3 16.6 73 Person 7 18.9 49 27.1 24.8 74 Pitt 40 28.8 183 27.0 34.3 75 Polk 4 21.2 23 24.7 14.8 76 Randolph 34 25.2 133 20.1 20.5 77 Richmond 19 40.9 117 50.2 46.7 78 Robeson 67 53.4 266 42.9 51.6 79 Rockingham 37 40.0 163 35.4 30.5 80 Rowan 50 37.6 231 35.1 31.7 81 Rutherford 19 30.0 73 23.1 19.1 82 Sampson 38 61.1 150 49.2 48.2 83 Scotland 17 47.9 75 41.9 44.0 84 Stanly 23 38.9 111 38.0 34.2 85 Stokes 9 19.7 57 25.3 25.7 86 Surry 21 29.2 98 27.4 22.8 87 Swain 8 59.9 52 79.2 66.1 88 Transylvania 11 37.3 43 29.3 19.3 89 Tyrrell 0 0.0 5 24.0 19.9 90 Union 28 19.3 125 18.9 25.1 91 Vance 13 29.6 74 34.0 34.5 92 Wake 133 19.0 520 15.8 24.7 93 Warren 1 5.0 27 27.0 20.4 94 Washington 7 52.0 28 41.1 33.1 95 Watauga 3 7.0 29 13.6 15.7 96 Wayne 38 33.3 223 39.3 43.7 97 Wilkes 21 31.4 76 23.0 20.7 98 Wilson 30 39.7 127 34.1 33.3 99 Yadkin 13 35.3 57 31.2 27.6 100 Yancey 9 50.2 30 33.6 24.5 *Death rates with a small number of deaths in the numerator should be interpreted with caution. SEE TECHNICAL NOTES. Diabetes Mellitus North Carolina Resident Data 1999-2003 Figure 11.A Diabetes Mellitus North Carolina Resident Data 1999-2003 Figure 11.B 55 Age Adjusted Mortality Rates Per 100,000 Population Mortality Rates Per 100,000 Population 69.6 - 79.2 56.5 42.9 - 50.2 30.6 - 41.9 13.0 - 30.0 58.7 - 66.1 46.7 - 51.6 36.4 - 44.0 19.1 - 35.3 12.6 - 18.4 56 57 TABLE 12 Mortality Statistics Summary for 2003 North Carolina Residents PNEUMONIA AND INFLUENZA Number of Death Number of Death Age-Adjusted Geographical Deaths Rate* Deaths Rate* Death Rate* Area 2003 2003 1999-2003 1999-2003 1999-2003 North Carolina 1,988 23.6 9,469 23.1 24.9 1 Alamance 26 19.1 141 21.1 19.0 2 Alexander 13 37.6 82 48.3 55.3 3 Alleghany 5 46.3 19 35.4 22.4 4 Anson 7 27.8 48 38.0 31.5 5 Ashe 7 27.9 40 32.4 22.0 6 Avery 15 82.9 41 46.8 38.7 7 Beaufort 6 13.2 59 26.1 21.6 8 Bertie 8 40.4 32 32.3 27.1 9 Bladen 8 24.4 45 27.7 25.5 10 Brunswick 14 17.1 79 20.6 21.4 11 Buncombe 70 33.0 337 32.3 25.6 12 Burke 20 22.5 125 28.1 27.0 13 Cabarrus 44 30.7 201 29.5 32.6 14 Caldwell 20 25.6 113 29.1 28.6 15 Camden 1 12.7 5 13.9 14.5 16 Carteret 11 18.2 61 20.4 17.5 17 Caswell 4 16.9 28 23.7 22.8 18 Catawba 51 34.8 225 31.2 33.8 19 Chatham 15 27.9 83 32.5 27.0 20 Cherokee 17 67.2 66 53.5 35.0 21 Chowan 7 48.7 28 39.0 25.9 22 Clay 3 32.0 16 35.5 21.1 23 Cleveland 18 18.5 106 21.9 20.6 24 Columbus 14 25.7 71 26.0 24.8 25 Craven 23 24.8 120 26.1 28.7 26 Cumberland 58 18.8 241 15.8 29.1 27 Currituck 11 53.4 40 42.0 52.0 28 Dare 14 42.0 59 37.8 47.0 29 Davidson 38 25.0 180 24.2 25.0 30 Davie 8 21.5 39 21.7 20.3 31 Duplin 15 29.5 59 23.7 24.0 32 Durham 46 19.5 231 20.2 24.9 33 Edgecombe 7 12.9 54 19.6 19.8 34 Forsyth 60 18.9 347 22.3 22.4 35 Franklin 14 27.1 60 24.5 27.8 36 Gaston 60 31.4 267 28.0 29.5 37 Gates 2 18.5 9 17.0 16.1 38 Graham 6 74.6 14 34.9 25.1 39 Granville 14 26.7 61 24.3 27.3 40 Greene 6 30.2 16 16.6 17.5 41 Guilford 124 28.8 595 28.0 29.8 42 Halifax 18 31.6 73 25.5 22.2 43 Harnett 26 26.6 106 22.6 28.4 44 Haywood 26 46.6 127 46.5 31.8 45 Henderson 41 43.4 171 37.5 22.4 46 Hertford 8 33.7 45 38.8 32.7 47 Hoke 3 8.1 27 15.4 26.2 48 Hyde 2 35.0 5 17.2 11.2 49 Iredell 39 29.3 152 23.9 25.3 50 Jackson 5 14.3 43 25.5 24.2 *Death rates with a small number of deaths in the numerator should be interpreted with caution. SEE TECHNICAL NOTES. 58 TABLE 12 (cont.) Mortality Statistics Summary for 2003 North Carolina Residents PNEUMONIA AND INFLUENZA Number of Death Number of Death Age-Adjusted Geographical Deaths Rate* Deaths Rate* Death Rate* Area 2003 2003 1999-2003 1999-2003 1999-2003 51 Johnston 16 11.7 88 13.8 17.7 52 Jones 3 29.5 11 21.4 18.4 53 Lee 14 28.1 66 26.7 26.9 54 Lenoir 16 27.2 70 23.6 22.0 55 Lincoln 21 31.2 98 30.0 34.8 56 McDowell 10 23.2 58 27.2 24.6 57 Macon 7 22.3 46 30.3 17.5 58 Madison 11 55.1 46 46.6 34.1 59 Martin 8 32.1 46 36.4 30.7 60 Mecklenburg 112 14.9 565 15.8 22.6 61 Mitchell 9 56.5 28 35.4 24.3 62 Montgomery 11 40.2 34 25.2 24.1 63 Moore 23 29.4 108 28.4 18.3 64 Nash 25 27.9 134 30.3 32.3 65 New Hanover 33 19.5 173 21.2 22.0 66 Northampton 7 32.1 32 29.2 21.9 67 Onslow 20 12.7 88 11.6 26.6 68 Orange 24 19.9 113 19.0 27.0 69 Pamlico 5 38.5 17 26.3 19.4 70 Pasquotank 16 43.9 75 42.3 36.7 71 Pender 10 22.9 45 21.4 22.0 72 Perquimans 8 68.3 29 50.4 35.0 73 Person 7 18.9 45 24.9 23.2 74 Pitt 16 11.5 104 15.4 20.5 75 Polk 6 31.8 43 46.3 21.9 76 Randolph 31 23.0 131 19.8 21.3 77 Richmond 10 21.5 69 29.6 28.9 78 Robeson 20 15.9 106 17.1 22.1 79 Rockingham 32 34.6 111 24.1 20.6 80 Rowan 47 35.3 220 33.5 29.7 81 Rutherford 17 26.8 117 37.1 29.1 82 Sampson 16 25.7 84 27.6 27.6 83 Scotland 7 19.7 36 20.1 22.4 84 Stanly 21 35.6 72 24.6 22.7 85 Stokes 13 28.5 66 29.3 31.5 86 Surry 31 43.1 116 32.4 26.4 87 Swain 12 89.9 32 48.8 41.2 88 Transylvania 6 20.4 41 28.0 17.5 89 Tyrrell 0 0.0 2 9.6 7.2 90 Union 14 9.7 87 13.2 19.2 91 Vance 19 43.3 71 32.6 33.7 92 Wake 76 10.9 298 9.1 15.5 93 Warren 13 64.8 52 52.0 39.6 94 Washington 1 7.4 16 23.5 19.3 95 Watauga 11 25.7 54 25.3 29.5 96 Wayne 22 19.3 106 18.7 22.2 97 Wilkes 20 29.9 96 29.0 26.9 98 Wilson 20 26.4 75 20.1 20.6 99 Yadkin 7 19.0 38 20.8 18.9 100 Yancey 6 33.5 19 21.3 14.4 *Death rates with a small number of deaths in the numerator should be interpreted with caution. SEE TECHNICAL NOTES. Pneumonia and Influenza North Carolina Resident Data 1999-2003 Figure 12.A Pneumonia and Influenza North Carolina Resident Data 1999-2003 Figure 12.B 59 Age Adjusted Mortality Rates Per 100,000 Population Mortality Rates Per 100,000 Population 46.3 - 53.5 34.9 - 42.3 26.7 - 33.5 18.7 - 26.3 9.1 - 17.2 47.0 - 55.3 38.7 - 41.2 28.4 - 36.7 14.4 - 27.8 7.2 - 11.2 60 61 TABLE 13 Mortality Statistics Summary for 2003 North Carolina Residents CHRONIC LOWER RESPIRATORY DISEASES Number of Death Number of Death Age-Adjusted Geographical Deaths Rate* Deaths Rate* Death Rate* Area 2003 2003 1999-2003 1999-2003 1999-2003 North Carolina 3,856 45.8 18,318 44.7 46.8 1 Alamance 79 57.9 343 51.4 46.0 2 Alexander 10 29.0 65 38.3 40.2 3 Alleghany 9 83.4 47 87.5 59.2 4 Anson 13 51.5 47 37.2 31.7 5 Ashe 30 119.6 122 99.0 68.9 6 Avery 16 88.4 67 76.5 61.3 7 Beaufort 14 30.7 139 61.4 50.1 8 Bertie 7 35.3 49 49.5 41.7 9 Bladen 21 64.1 93 57.3 50.5 10 Brunswick 57 69.7 209 54.6 46.0 11 Buncombe 153 72.1 669 64.2 52.3 12 Burke 46 51.8 230 51.7 48.2 13 Cabarrus 70 48.8 283 41.6 45.0 14 Caldwell 51 65.3 241 62.0 58.3 15 Camden 1 12.7 11 30.6 29.6 16 Carteret 35 57.8 173 57.9 44.7 17 Caswell 12 50.6 60 50.8 46.3 18 Catawba 68 46.4 341 47.3 48.3 19 Chatham 21 39.1 92 36.0 29.9 20 Cherokee 19 75.2 95 77.0 49.8 21 Chowan 6 41.8 42 58.5 41.4 22 Clay 6 64.0 34 75.5 45.1 23 Cleveland 43 44.1 222 45.9 42.5 24 Columbus 27 49.5 115 42.0 39.0 25 Craven 56 60.4 218 47.5 48.0 26 Cumberland 126 40.9 583 38.3 63.7 27 Currituck 8 38.8 50 52.5 57.5 28 Dare 9 27.0 57 36.5 38.3 29 Davidson 79 52.0 393 52.7 52.2 30 Davie 18 48.4 84 46.8 42.1 31 Duplin 23 45.3 127 51.0 49.8 32 Durham 70 29.6 348 30.4 38.8 33 Edgecombe 25 46.2 128 46.5 46.8 34 Forsyth 175 55.1 723 46.5 46.6 35 Franklin 27 52.3 100 40.9 45.7 36 Gaston 107 56.0 605 63.4 63.5 37 Gates 5 46.2 28 52.8 47.0 38 Graham 6 74.6 47 117.3 85.1 39 Granville 21 40.0 101 40.3 44.9 40 Greene 9 45.3 43 44.7 46.6 41 Guilford 197 45.7 893 42.0 44.7 42 Halifax 38 66.8 151 52.8 46.0 43 Harnett 44 45.0 229 48.9 59.6 44 Haywood 43 77.0 222 81.2 54.1 45 Henderson 88 93.1 362 79.4 48.6 46 Hertford 13 54.7 64 55.2 44.8 47 Hoke 13 35.1 59 33.7 53.1 48 Hyde 4 69.9 20 68.9 49.7 49 Iredell 56 42.0 256 40.3 41.0 50 Jackson 19 54.3 94 55.7 50.2 *Death rates with a small number of deaths in the numerator should be interpreted with caution. SEE TECHNICAL NOTES. 62 TABLE 13 (cont.) Mortality Statistics Summary for 2003 North Carolina Residents CHRONIC LOWER RESPIRATORY DISEASES Number of Death Number of Death Age-Adjusted Geographical Deaths Rate* Deaths Rate* Death Rate* Area 2003 2003 1999-2003 1999-2003 1999-2003 51 Johnston 48 35.2 225 35.2 43.7 52 Jones 9 88.4 42 81.7 68.4 53 Lee 24 48.2 124 50.2 49.3 54 Lenoir 40 67.9 169 57.0 50.3 55 Lincoln 31 46.0 163 49.9 53.7 56 McDowell 23 53.4 129 60.5 52.7 57 Macon 25 79.7 119 78.3 46.3 58 Madison 15 75.1 56 56.7 43.8 59 Martin 12 48.1 64 50.6 42.5 60 Mecklenburg 192 25.6 1,040 29.0 41.8 61 Mitchell 17 106.8 83 105.0 72.0 62 Montgomery 9 32.9 78 57.7 53.1 63 Moore 61 78.0 255 67.0 40.8 64 Nash 64 71.4 244 55.3 57.3 65 New Hanover 61 36.1 323 39.5 39.0 66 Northampton 15 68.8 75 68.4 50.2 67 Onslow 37 23.6 247 32.6 66.9 68 Orange 30 24.8 148 24.9 35.7 69 Pamlico 6 46.2 42 65.0 45.2 70 Pasquotank 23 63.1 105 59.3 53.5 71 Pender 33 75.5 101 48.0 44.6 72 Perquimans 4 34.2 23 40.0 28.0 73 Person 27 73.0 106 58.6 53.9 74 Pitt 44 31.7 202 29.8 39.1 75 Polk 13 68.8 84 90.4 49.6 76 Randolph 62 45.9 301 45.5 46.8 77 Richmond 20 43.0 126 54.1 50.4 78 Robeson 49 39.0 264 42.5 52.9 79 Rockingham 66 71.4 321 69.7 59.3 80 Rowan 68 51.1 330 50.2 45.3 81 Rutherford 45 70.9 192 60.8 48.5 82 Sampson 26 41.8 160 52.5 51.7 83 Scotland 11 31.0 60 33.5 35.9 84 Stanly 26 44.0 120 41.1 36.7 85 Stokes 28 61.4 110 48.8 50.8 86 Surry 50 69.5 235 65.7 54.1 87 Swain 5 37.4 44 67.0 55.8 88 Transylvania 26 88.2 105 71.6 44.1 89 Tyrrell 2 47.3 10 47.9 35.9 90 Union 42 29.0 212 32.1 43.7 91 Vance 35 79.8 127 58.3 59.4 92 Wake 154 22.0 689 21.0 35.4 93 Warren 9 44.9 50 50.0 37.2 94 Washington 5 37.1 35 51.4 41.7 95 Watauga 18 42.1 85 39.8 45.3 96 Wayne 45 39.5 245 43.2 49.3 97 Wilkes 41 61.3 178 53.8 47.6 98 Wilson 26 34.4 153 41.0 40.4 99 Yadkin 28 76.0 95 51.9 46.0 100 Yancey 13 72.5 50 55.9 39.9 *Death rates with a small number of deaths in the numerator should be interpreted with caution. SEE TECHNICAL NOTES. Chronic Lower Respiratory Diseases North Carolina Resident Data 1999-2003 Figure 13.A Chronic Lower Respiratory Diseases North Carolina Resident Data 1999-2003 Figure 13.B 63 Age Adjusted Mortality Rates Per 100,000 Population Mortality Rates Per 100,000 Population 117.3 99.0 - 105.0 75.5 - 90.4 44.7 - 71.6 21.0 - 43.2 85.1 57.3 - 72.0 43.7 - 55.8 35.4 - 42.5 28.0 - 31.7 64 65 TABLE 14 Mortality Statistics Summary for 2003 North Carolina Residents CHRONIC LIVER DISEASE AND CIRRHOSIS Number of Death Number of Death Age-Adjusted Geographical Deaths Rate* Deaths Rate* Death Rate* Area 2003 2003 1999-2003 1999-2003 1999-2003 North Carolina 747 8.9 3,711 9.1 9.1 1 Alamance 17 12.5 92 13.8 13.0 2 Alexander 2 5.8 11 6.5 6.3 3 Alleghany 3 27.8 9 16.8 13.2 4 Anson 3 11.9 11 8.7 8.3 5 Ashe 6 23.9 21 17.0 13.4 6 Avery 2 11.1 13 14.8 13.0 7 Beaufort 4 8.8 18 7.9 7.1 8 Bertie 0 0.0 9 9.1 7.9 9 Bladen 4 12.2 20 12.3 11.0 10 Brunswick 9 11.0 36 9.4 6.9 11 Buncombe 23 10.8 112 10.7 9.4 12 Burke 8 9.0 39 8.8 8.0 13 Cabarrus 10 7.0 50 7.3 7.6 14 Caldwell 12 15.4 43 11.1 10.1 15 Camden 0 0.0 0 0.0 0.0 16 Carteret 6 9.9 38 12.7 9.4 17 Caswell 1 4.2 10 8.5 7.7 18 Catawba 13 8.9 73 10.1 9.9 19 Chatham 2 3.7 21 8.2 7.0 20 Cherokee 3 11.9 16 13.0 9.8 21 Chowan 2 13.9 6 8.4 6.8 22 Clay 0 0.0 7 15.5 10.4 23 Cleveland 10 10.3 53 11.0 10.3 24 Columbus 7 12.8 32 11.7 10.7 25 Craven 6 6.5 44 9.6 9.5 26 Cumberland 20 6.5 113 7.4 9.9 27 Currituck 0 0.0 6 6.3 6.3 28 Dare 3 9.0 16 10.2 9.4 29 Davidson 9 5.9 60 8.1 7.5 30 Davie 1 2.7 14 7.8 6.8 31 Duplin 3 5.9 26 10.4 10.2 32 Durham 14 5.9 76 6.6 7.7 33 Edgecombe 5 9.2 44 16.0 15.4 34 Forsyth 25 7.9 132 8.5 8.3 35 Franklin 5 9.7 24 9.8 10.2 36 Gaston 29 15.2 141 14.8 14.4 37 Gates 1 9.2 5 9.4 8.5 38 Graham 0 0.0 5 12.5 9.6 39 Granville 5 9.5 28 11.2 10.7 40 Greene 3 15.1 12 12.5 12.9 41 Guilford 39 9.0 173 8.1 8.3 42 Halifax 16 28.1 53 18.5 17.0 43 Harnett 5 5.1 32 6.8 7.3 44 Haywood 4 7.2 38 13.9 10.6 45 Henderson 12 12.7 55 12.1 8.9 46 Hertford 3 12.6 11 9.5 8.1 47 Hoke 4 10.8 13 7.4 9.3 48 Hyde 1 17.5 2 6.9 5.2 49 Iredell 9 6.8 52 8.2 8.1 50 Jackson 7 20.0 26 15.4 14.2 *Death rates with a small number of deaths in the numerator should be interpreted with caution. SEE TECHNICAL NOTES. 66 TABLE 14 (cont.) Mortality Statistics Summary for 2003 North Carolina Residents CHRONIC LIVER DISEASE AND CIRRHOSIS Number of Death Number of Death Age-Adjusted Geographical Deaths Rate* Deaths Rate* Death Rate* Area 2003 2003 1999-2003 1999-2003 1999-2003 51 Johnston 12 8.8 50 7.8 8.5 52 Jones 1 9.8 1 1.9 1.7 53 Lee 9 18.1 28 11.3 10.9 54 Lenoir 11 18.7 36 12.1 10.8 55 Lincoln 11 16.3 34 10.4 10.0 56 McDowell 5 11.6 26 12.2 10.9 57 Macon 6 19.1 24 15.8 12.9 58 Madison 1 5.0 9 9.1 7.4 59 Martin 3 12.0 17 13.4 12.0 60 Mecklenburg 65 8.7 249 7.0 8.2 61 Mitchell 1 6.3 10 12.7 8.8 62 Montgomery 1 3.7 12 8.9 8.5 63 Moore 6 7.7 35 9.2 7.1 64 Nash 8 8.9 44 10.0 9.7 65 New Hanover 14 8.3 68 8.3 7.9 66 Northampton 2 9.2 16 14.6 12.3 67 Onslow 8 5.1 47 6.2 10.1 68 Orange 7 5.8 20 3.4 4.2 69 Pamlico 2 15.4 10 15.5 10.7 70 Pasquotank 4 11.0 19 10.7 10.1 71 Pender 2 4.6 16 7.6 6.4 72 Perquimans 1 8.5 8 13.9 10.5 73 Person 4 10.8 17 9.4 8.7 74 Pitt 9 6.5 61 9.0 10.6 75 Polk 1 5.3 9 9.7 5.8 76 Randolph 10 7.4 58 8.8 8.5 77 Richmond 2 4.3 15 6.4 6.0 78 Robeson 9 7.2 54 8.7 9.6 79 Rockingham 14 15.1 63 13.7 12.0 80 Rowan 8 6.0 54 8.2 7.8 81 Rutherford 4 6.3 36 11.4 9.7 82 Sampson 5 8.0 26 8.5 8.6 83 Scotland 10 28.2 33 18.4 18.5 84 Stanly 3 5.1 27 9.2 8.6 85 Stokes 7 15.3 14 6.2 6.1 86 Surry 7 9.7 45 12.6 11.1 87 Swain 5 37.4 18 27.4 23.6 88 Transylvania 0 0.0 8 5.5 3.6 89 Tyrrell 0 0.0 1 4.8 3.7 90 Union 9 6.2 44 6.7 7.4 91 Vance 4 9.1 38 17.4 17.4 92 Wake 42 6.0 166 5.1 6.6 93 Warren 3 15.0 14 14.0 11.7 94 Washington 1 7.4 8 11.7 9.3 95 Watauga 2 4.7 13 6.1 6.6 96 Wayne 15 13.2 62 10.9 11.3 97 Wilkes 5 7.5 38 11.5 10.1 98 Wilson 3 4.0 41 11.0 10.3 99 Yadkin 8 21.7 22 12.0 11.1 100 Yancey 1 5.6 6 6.7 5.1 *Death rates with a small number of deaths in the numerator should be interpreted with caution. SEE TECHNICAL NOTES. Chronic Liver Disease and Cirrhosis North Carolina Resident Data 1999-2003 Figure 14.A Chronic Liver Disease and Cirrhosis North Carolina Resident Data 1999-2003 Figure 14.B 67 Age Adjusted Mortality Rates Per 100,000 Population Mortality Rates Per 100,000 Population 27.4 14.6 - 18.5 10.1 - 14.0 4.8 - 10.0 0.0 - 3.4 23.6 17.0 - 18.5 5.8 - 11.1 0.0 - 5.2 11.3 - 15.4 68 69 TABLE 15 Mortality Statistics Summary for 2003 North Carolina Residents NEPHRITIS, NEPHROSIS, AND NEPHROTIC SYNDROME Number of Death Number of Death Age-Adjusted Geographical Deaths Rate* Deaths Rate* Death Rate* Area 2003 2003 1999-2003 1999-2003 1999-2003 North Carolina 1,386 16.5 6,588 16.1 16.9 1 Alamance 22 16.1 129 19.3 17.4 2 Alexander 2 5.8 10 5.9 6.4 3 Alleghany 1 9.3 8 14.9 10.1 4 Anson 7 27.8 26 20.6 17.7 5 Ashe 3 12.0 21 17.0 11.6 6 Avery 2 11.1 15 17.1 14.1 7 Beaufort 5 11.0 36 15.9 13.1 8 Bertie 4 20.2 20 20.2 16.7 9 Bladen 12 36.6 39 24.0 21.4 10 Brunswick 13 15.9 72 18.8 17.1 11 Buncombe 47 22.1 197 18.9 15.3 12 Burke 14 15.8 66 14.8 13.9 13 Cabarrus 32 22.3 152 22.3 24.2 14 Caldwell 16 20.5 76 19.5 18.7 15 Camden 1 12.7 4 11.1 12.9 16 Carteret 17 28.1 44 14.7 12.2 17 Caswell 3 12.6 37 31.3 29.3 18 Catawba 26 17.8 117 16.2 17.0 19 Chatham 11 20.5 54 21.1 17.6 20 Cherokee 6 23.7 22 17.8 12.2 21 Chowan 2 13.9 11 15.3 10.3 22 Clay 3 32.0 12 26.7 16.6 23 Cleveland 19 19.5 93 19.2 17.8 24 Columbus 19 34.8 97 35.5 33.2 25 Craven 14 15.1 77 16.8 17.4 26 Cumberland 45 14.6 181 11.9 19.4 27 Currituck 0 0.0 5 5.3 5.8 28 Dare 4 12.0 15 9.6 9.9 29 Davidson 29 19.1 115 15.4 15.5 30 Davie 3 8.1 22 12.3 11.2 31 Duplin 20 39.4 61 24.5 24.1 32 Durham 40 16.9 167 14.6 18.1 33 Edgecombe 20 37.0 71 25.8 25.9 34 Forsyth 54 17.0 261 16.8 16.8 35 Franklin 4 7.7 35 14.3 16.1 36 Gaston 35 18.3 153 16.0 16.3 37 Gates 1 9.2 8 15.1 13.8 38 Graham 0 0.0 5 12.5 9.2 39 Granville 4 7.6 29 11.6 13.2 40 Greene 4 20.1 22 22.9 23.1 41 Guilford 55 12.8 285 13.4 14.2 42 Halifax 14 24.6 62 21.7 19.3 43 Harnett 12 12.3 57 12.2 14.7 44 Haywood 14 25.1 62 22.7 15.1 45 Henderson 12 12.7 77 16.9 10.2 46 Hertford 10 42.1 33 28.5 23.4 47 Hoke 7 18.9 29 16.6 30.5 48 Hyde 1 17.5 10 34.4 24.7 49 Iredell 23 17.3 96 15.1 15.5 50 Jackson 4 11.4 35 20.8 18.7 *Death rates with a small number of deaths in the numerator should be interpreted with caution. SEE TECHNICAL NOTES. 70 TABLE 15 (cont.) Mortality Statistics Summary for 2003 North Carolina Residents NEPHRITIS, NEPHROSIS, AND NEPHROTIC SYNDROME Number of Death Number of Death Age-Adjusted Geographical Deaths Rate* Deaths Rate* Death Rate* Area 2003 2003 1999-2003 1999-2003 1999-2003 51 Johnston 20 14.7 75 11.7 14.7 52 Jones 2 19.6 21 40.8 34.6 53 Lee 6 12.1 50 20.2 19.9 54 Lenoir 18 30.6 82 27.6 25.2 55 Lincoln 16 23.7 58 17.8 20.0 56 McDowell 6 13.9 28 13.1 11.7 57 Macon 9 28.7 21 13.8 8.3 58 Madison 6 30.0 22 22.3 16.9 59 Martin 5 20.1 36 28.5 24.2 60 Mecklenburg 88 11.7 456 12.7 17.8 61 Mitchell 7 44.0 28 35.4 25.6 62 Montgomery 7 25.6 29 21.5 20.2 63 Moore 11 14.1 65 17.1 11.1 64 Nash 22 24.5 88 19.9 20.4 65 New Hanover 33 19.5 148 18.1 18.1 66 Northampton 3 13.8 28 25.5 19.5 67 Onslow 8 5.1 53 7.0 14.4 68 Orange 13 10.8 53 8.9 12.5 69 Pamlico 7 53.9 20 30.9 22.7 70 Pasquotank 2 5.5 24 13.5 12.5 71 Pender 9 20.6 32 15.2 15.4 72 Perquimans 0 0.0 7 12.2 9.8 73 Person 8 21.6 44 24.3 22.9 74 Pitt 22 15.8 138 20.4 26.1 75 Polk 2 10.6 25 26.9 13.7 76 Randolph 21 15.6 93 14.1 14.6 77 Richmond 12 25.8 56 24.0 22.5 78 Robeson 29 23.1 144 23.2 28.0 79 Rockingham 23 24.9 93 20.2 17.3 80 Rowan 20 15.0 123 18.7 16.7 81 Rutherford 14 22.1 65 20.6 16.7 82 Sampson 6 9.6 58 19.0 18.7 83 Scotland 5 14.1 25 14.0 15.1 84 Stanly 11 18.6 51 17.5 16.0 85 Stokes 8 17.5 24 10.7 11.1 86 Surry 16 22.2 74 20.7 16.9 87 Swain 2 15.0 13 19.8 16.4 88 Transylvania 7 23.8 21 14.3 9.7 89 Tyrrell 2 47.3 4 19.2 14.3 90 Union 15 10.4 90 13.6 18.7 91 Vance 16 36.5 45 20.7 21.0 92 Wake 57 8.1 312 9.5 15.8 93 Warren 5 24.9 35 35.0 26.9 94 Washington 2 14.9 21 30.8 24.6 95 Watauga 8 18.7 30 14.0 16.4 96 Wayne 29 25.4 98 17.3 19.5 97 Wilkes 12 17.9 50 15.1 13.6 98 Wilson 11 14.5 55 14.8 14.9 99 Yadkin 4 10.9 31 16.9 15.3 100 Yancey 5 27.9 15 16.8 11.5 *Death rates with a small number of deaths in the numerator should be interpreted with caution. SEE TECHNICAL NOTES. Nephritis and Nephrosis North Carolina Resident Data 1999-2003 Figure 15.A Nephritis and Nephrosis North Carolina Resident Data 1999-2003 Figure 15.B 71 Age Adjusted Mortality Rates Per 100,000 Population Mortality Rates Per 100,000 Population 40.8 30.8 - 35.5 17.8 - 28.5 8.9 - 17.5 5.3 - 7.0 33.2 - 34.6 22.5 - 30.5 13.6 - 21.4 8.3 - 13.2 5.8 - 6.4 72 73 TABLE 16 Mortality Statistics Summary for 2003 North Carolina Residents MOTOR VEHICLE INJURIES Number of Death Number of Death Age-Adjusted Geographical Deaths Rate* Deaths Rate* Death Rate* Area 2003 2003 1999-2003 1999-2003 1999-2003 North Carolina 1,634 19.4 8,038 19.6 19.5 1 Alamance 26 19.1 138 20.7 20.3 2 Alexander 6 17.4 39 23.0 23.6 3 Alleghany 0 0.0 11 20.5 22.4 4 Anson 10 39.6 44 34.8 34.6 5 Ashe 5 19.9 38 30.8 29.9 6 Avery 1 5.5 18 20.5 18.0 7 Beaufort 15 32.9 56 24.7 25.8 8 Bertie 6 30.3 43 43.4 44.2 9 Bladen 9 27.5 63 38.8 39.5 10 Brunswick 20 24.4 106 27.7 29.2 11 Buncombe 23 10.8 156 15.0 15.0 12 Burke 20 22.5 103 23.1 23.1 13 Cabarrus 19 13.2 115 16.9 17.3 14 Caldwell 18 23.0 74 19.0 19.3 15 Camden 0 0.0 9 25.0 25.4 16 Carteret 14 23.1 55 18.4 18.6 17 Caswell 6 25.3 31 26.3 26.9 18 Catawba 28 19.1 140 19.4 19.7 19 Chatham 22 41.0 62 24.3 25.2 20 Cherokee 6 23.7 33 26.7 28.0 21 Chowan 7 48.7 17 23.7 24.1 22 Clay 2 21.3 12 26.7 30.9 23 Cleveland 20 20.5 99 20.5 20.6 24 Columbus 18 33.0 108 39.5 39.9 25 Craven 18 19.4 84 18.3 17.7 26 Cumberland 57 18.5 270 17.8 18.4 27 Currituck 5 24.3 24 25.2 26.8 28 Dare 5 15.0 27 17.3 16.8 29 Davidson 33 21.7 172 23.1 23.5 30 Davie 9 24.2 37 20.6 21.8 31 Duplin 17 33.5 100 40.2 40.5 32 Durham 36 15.2 153 13.4 12.9 33 Edgecombe 8 14.8 51 18.5 18.7 34 Forsyth 40 12.6 203 13.1 13.1 35 Franklin 21 40.7 76 31.0 31.1 36 Gaston 33 17.3 163 17.1 17.3 37 Gates 7 64.6 27 50.9 51.4 38 Graham 3 37.3 12 30.0 33.3 39 Granville 7 13.3 49 19.6 19.4 40 Greene 11 55.3 31 32.2 32.2 41 Guilford 49 11.4 285 13.4 13.3 42 Halifax 17 29.9 87 30.4 30.7 43 Harnett 24 24.5 122 26.0 26.3 44 Haywood 9 16.1 51 18.7 17.5 45 Henderson 17 18.0 83 18.2 17.4 46 Hertford 5 21.0 39 33.6 33.8 47 Hoke 8 21.6 51 29.2 28.1 48 Hyde 1 17.5 8 27.6 27.1 49 Iredell 31 23.3 136 21.4 21.9 50 Jackson 6 17.1 27 16.0 16.2 *Death rates with a small number of deaths in the numerator should be interpreted with caution. SEE TECHNICAL NOTES. 74 TABLE 16 (cont.) Mortality Statistics Summary for 2003 North Carolina Residents MOTOR VEHICLE INJURIES Number of Death Number of Death Age-Adjusted Geographical Deaths Rate* Deaths Rate* Death Rate* Area 2003 2003 1999-2003 1999-2003 1999-2003 51 Johnston 37 27.1 164 25.7 26.3 52 Jones 2 19.6 9 17.5 18.2 53 Lee 13 26.1 61 24.7 25.1 54 Lenoir 11 18.7 81 27.3 27.5 55 Lincoln 11 16.3 68 20.8 21.0 56 McDowell 13 30.2 49 23.0 22.6 57 Macon 7 22.3 30 19.7 17.7 58 Madison 4 20.0 21 21.3 22.8 59 Martin 11 44.1 41 32.4 32.3 60 Mecklenburg 72 9.6 423 11.8 11.7 61 Mitchell 1 6.3 7 8.9 9.3 62 Montgomery 9 32.9 36 26.6 26.4 63 Moore 27 34.5 101 26.5 27.7 64 Nash 20 22.3 95 21.5 21.9 65 New Hanover 21 12.4 86 10.5 10.2 66 Northampton 8 36.7 44 40.1 37.3 67 Onslow 30 19.1 160 21.1 20.3 68 Orange 14 11.6 80 13.5 12.9 69 Pamlico 2 15.4 18 27.8 25.8 70 Pasquotank 3 8.2 24 13.5 13.3 71 Pender 10 22.9 57 27.1 27.2 72 Perquimans 2 17.1 10 17.4 17.7 73 Person 12 32.4 37 20.5 20.7 74 Pitt 33 23.7 122 18.0 18.7 75 Polk 6 31.8 18 19.4 19.0 76 Randolph 18 13.3 128 19.4 19.7 77 Richmond 16 34.4 68 29.2 29.8 78 Robeson 56 44.6 288 46.4 47.3 79 Rockingham 21 22.7 118 25.6 26.3 80 Rowan 24 18.0 159 24.2 24.2 81 Rutherford 12 18.9 80 25.3 25.3 82 Sampson 31 49.8 124 40.7 41.0 83 Scotland 7 19.7 43 24.0 25.2 84 Stanly 17 28.8 71 24.3 24.2 85 Stokes 17 37.3 45 20.0 20.6 86 Surry 24 33.3 100 28.0 28.0 87 Swain 4 30.0 13 19.8 18.0 88 Transylvania 14 47.5 25 17.0 17.0 89 Tyrrell 2 47.3 6 28.8 28.0 90 Union 24 16.6 137 20.7 21.6 91 Vance 10 22.8 38 17.4 17.8 92 Wake 86 12.3 401 12.2 12.5 93 Warren 8 39.9 28 28.0 28.8 94 Washington 3 22.3 17 25.0 25.7 95 Watauga 7 16.4 31 14.5 15.6 96 Wayne 32 28.1 129 22.7 23.0 97 Wilkes 18 26.9 81 24.5 25.0 98 Wilson 15 19.8 66 17.7 17.7 99 Yadkin 11 29.9 53 29.0 27.9 100 Yancey 0 0.0 9 10.1 10.3 *Death rates with a small number of deaths in the numerator should be interpreted with caution. SEE TECHNICAL NOTES. Motor Vehicles Injuries North Carolina Resident Data 1999-2003 Figure 16.A Motor Vehicle Injuries North Carolina Resident Data 1999-2003 Figure 16.B 75 Age Adjusted Mortality Rates Per 100,000 Population Mortality Rates Per 100,000 Population 50.9 38.8 - 46.4 22.7 - 34.8 16.9 - 21.5 8.9 - 16.0 44.2 - 51.4 37.3 - 41.0 21.6 - 34.6 15.0 - 21.0 9.3 - 13.3 76 77 TABLE 17 Mortality Statistics Summary for 2003 North Carolina Residents ALL OTHER UNINTENTIONAL INJURIES Number of Death Number of Death Age-Adjusted Geographical Deaths Rate* Deaths Rate* Death Rate* Area 2003 2003 1999-2003 1999-2003 1999-2003 North Carolina 2,152 25.6 9,438 23.0 23.7 1 Alamance 44 32.3 186 27.9 26.2 2 Alexander 7 20.3 29 17.1 17.9 3 Alleghany 3 27.8 16 29.8 20.3 4 Anson 12 47.6 47 37.2 33.7 5 Ashe 14 55.8 55 44.6 37.9 6 Avery 7 38.7 33 37.7 34.1 7 Beaufort 13 28.5 58 25.6 24.0 8 Bertie 12 60.6 28 28.3 24.2 9 Bladen 23 70.2 59 36.3 33.7 10 Brunswick 24 29.3 100 26.1 26.9 11 Buncombe 62 29.2 327 31.4 27.4 12 Burke 30 33.8 128 28.8 28.4 13 Cabarrus 43 30.0 165 24.2 25.4 14 Caldwell 23 29.4 92 23.7 23.2 15 Camden 0 0.0 3 8.3 7.9 16 Carteret 30 49.5 96 32.1 30.8 17 Caswell 8 33.7 30 25.4 24.8 18 Catawba 53 36.2 188 26.1 26.8 19 Chatham 15 27.9 65 25.4 23.2 20 Cherokee 13 51.4 56 45.4 41.8 21 Chowan 2 13.9 15 20.9 17.1 22 Clay 4 42.7 14 31.1 26.1 23 Cleveland 29 29.7 136 28.1 27.7 24 Columbus 16 29.3 85 31.1 30.0 25 Craven 29 31.3 117 25.5 26.8 26 Cumberland 50 16.2 216 14.2 18.0 27 Currituck 6 29.1 24 25.2 26.6 28 Dare 17 51.0 57 36.5 35.1 29 Davidson 49 32.3 184 24.7 24.8 30 Davie 7 18.8 35 19.5 18.3 31 Duplin 14 27.6 70 28.1 28.0 32 Durham 48 20.3 235 20.5 22.9 33 Edgecombe 6 11.1 60 21.8 21.6 34 Forsyth 87 27.4 358 23.0 23.0 35 Franklin 8 15.5 40 16.3 16.9 36 Gaston 58 30.3 287 30.1 30.2 37 Gates 5 46.2 16 30.1 29.0 38 Graham 2 24.9 14 34.9 29.8 39 Granville 7 13.3 47 18.8 19.8 40 Greene 6 30.2 23 23.9 24.0 41 Guilford 108 25.0 549 25.8 26.8 42 Halifax 10 17.6 50 17.5 16.9 43 Harnett 24 24.5 94 20.1 22.4 44 Haywood 23 41.2 94 34.4 29.2 45 Henderson 46 48.7 151 33.1 26.2 46 Hertford 8 33.7 37 31.9 27.8 47 Hoke 4 10.8 23 13.2 15.3 48 Hyde 1 17.5 7 24.1 22.1 49 Iredell 37 27.8 145 22.8 23.3 50 Jackson 12 34.3 51 30.2 30.8 *Death rates with a small number of deaths in the numerator should be interpreted with caution. SEE TECHNICAL NOTES. 78 TABLE 17 (cont.) Mortality Statistics Summary for 2003 North Carolina Residents ALL OTHER UNINTENTIONAL INJURIES Number of Death Number of Death Age-Adjusted Geographical Deaths Rate* Deaths Rate* Death Rate* Area 2003 2003 1999-2003 1999-2003 1999-2003 51 Johnston 31 22.7 127 19.9 22.4 52 Jones 4 39.3 14 27.2 24.1 53 Lee 10 20.1 65 26.3 26.8 54 Lenoir 22 37.4 100 33.7 32.2 55 Lincoln 15 22.3 67 20.5 21.1 56 McDowell 13 30.2 44 20.6 20.2 57 Macon 11 35.1 55 36.2 28.5 58 Madison 4 20.0 28 28.4 23.8 59 Martin 7 28.1 27 21.4 19.2 60 Mecklenburg 121 16.1 556 15.5 18.2 61 Mitchell 9 56.5 43 54.4 50.9 62 Montgomery 7 25.6 41 30.3 29.8 63 Moore 22 28.1 88 23.1 19.6 64 Nash 17 19.0 91 20.6 21.1 65 New Hanover 52 30.8 182 22.3 22.1 66 Northampton 2 9.2 38 34.6 31.2 67 Onslow 27 17.2 120 15.8 23.9 68 Orange 20 16.5 128 21.5 26.5 69 Pamlico 3 23.1 19 29.4 28.9 70 Pasquotank 8 22.0 42 23.7 21.9 71 Pender 7 16.0 45 21.4 20.8 72 Perquimans 2 17.1 12 20.9 18.5 73 Person 14 37.9 43 23.8 22.7 74 Pitt 38 27.3 144 21.3 24.7 75 Polk 6 31.8 32 34.4 27.2 76 Randolph 23 17.0 135 20.4 20.9 77 Richmond 16 34.4 55 23.6 23.3 78 Robeson 32 25.5 145 23.4 25.6 79 Rockingham 39 42.2 152 33.0 30.4 80 Rowan 36 27.0 191 29.0 27.5 81 Rutherford 28 44.1 110 34.8 31.5 82 Sampson 16 25.7 81 26.6 27.1 83 Scotland 4 11.3 22 12.3 12.8 84 Stanly 19 32.2 72 24.6 23.4 85 Stokes 13 28.5 61 27.1 27.6 86 Surry 21 29.2 92 25.7 23.0 87 Swain 8 59.9 26 39.6 37.2 88 Transylvania 15 50.9 57 38.9 31.1 89 Tyrrell 0 0.0 2 9.6 7.2 90 Union 17 11.7 101 15.3 18.7 91 Vance 13 29.6 61 28.0 28.8 92 Wake 101 14.4 464 14.1 18.8 93 Warren 5 24.9 16 16.0 13.2 94 Washington 5 37.1 15 22.0 20.1 95 Watauga 11 25.7 39 18.3 19.7 96 Wayne 22 19.3 109 19.2 21.5 97 Wilkes 35 52.3 117 35.4 34.2 98 Wilson 21 27.8 84 22.5 22.6 99 Yadkin 14 38.0 48 26.2 24.9 100 Yancey 7 39.0 37 41.4 33.4 *Death rates with a small number of deaths in the numerator should be interpreted with caution. SEE TECHNICAL NOTES. All Other Unintentional Injuries North Carolina Resident Data 1999-2003 Figure 17.A All Other Unintentional Injuries North Carolina Resident Data 1999-2003 Figure 17.B 79 Age Adjusted Mortality Rates Per 100,000 Population Mortality Rates Per 100,000 Population 54.4 44.6 - 45.4 27.1 - 41.4 18.3 - 26.6 8.3 - 17.5 50.9 37.2 - 41.8 26.1 - 35.1 12.8 - 25.6 7.2 - 7.9 80 81 TABLE 18 Mortality Statistics Summary for 2003 North Carolina Residents SUICIDE Number of Death Number of Death Age-Adjusted Geographical Deaths Rate* Deaths Rate* Death Rate* Area 2003 2003 1999-2003 1999-2003 1999-2003 North Carolina 949 11.3 4,735 11.6 11.5 1 Alamance 11 8.1 52 7.8 7.7 2 Alexander 6 17.4 32 18.9 19.1 3 Alleghany 0 0.0 10 18.6 14.5 4 Anson 1 4.0 15 11.9 11.7 5 Ashe 6 23.9 23 18.7 16.6 6 Avery 4 22.1 16 18.3 16.6 7 Beaufort 4 8.8 33 14.6 13.9 8 Bertie 2 10.1 9 9.1 9.3 9 Bladen 6 18.3 30 18.5 17.5 10 Brunswick 10 12.2 53 13.9 13.9 11 Buncombe 30 14.1 146 14.0 13.3 12 Burke 12 13.5 81 18.2 17.8 13 Cabarrus 14 9.8 65 9.5 9.5 14 Caldwell 6 7.7 48 12.3 12.1 15 Camden 2 25.5 5 13.9 13.6 16 Carteret 9 14.9 57 19.1 18.7 17 Caswell 3 12.6 13 11.0 10.6 18 Catawba 24 16.4 111 15.4 15.2 19 Chatham 4 7.5 20 7.8 7.2 20 Cherokee 3 11.9 15 12.2 11.5 21 Chowan 1 7.0 6 8.4 8.4 22 Clay 2 21.3 14 31.1 26.8 23 Cleveland 16 16.4 69 14.3 14.3 24 Columbus 5 9.2 32 11.7 11.2 25 Craven 8 8.6 49 10.7 10.7 26 Cumberland 41 13.3 183 12.0 12.5 27 Currituck 3 14.6 13 13.7 13.3 28 Dare 3 9.0 20 12.8 12.5 29 Davidson 17 11.2 88 11.8 11.6 30 Davie 3 8.1 13 7.2 6.9 31 Duplin 4 7.9 22 8.8 8.8 32 Durham 33 14.0 116 10.1 10.2 33 Edgecombe 7 12.9 24 8.7 8.5 34 Forsyth 40 12.6 155 10.0 9.8 35 Franklin 9 17.4 32 13.1 13.2 36 Gaston 30 15.7 149 15.6 15.4 37 Gates 0 0.0 1 1.9 2.2 38 Graham 0 0.0 4 10.0 9.3 39 Granville 2 3.8 16 6.4 6.2 40 Greene 4 20.1 10 10.4 10.2 41 Guilford 39 9.0 210 9.9 9.8 42 Halifax 6 10.5 35 12.2 12.2 43 Harnett 8 8.2 50 10.7 10.9 44 Haywood 11 19.7 63 23.1 21.0 45 Henderson 13 13.8 55 12.1 11.3 46 Hertford 0 0.0 6 5.2 4.8 47 Hoke 1 2.7 11 6.3 5.9 48 Hyde 1 17.5 4 13.8 12.0 49 Iredell 12 9.0 66 10.4 10.5 50 Jackson 3 8.6 20 11.9 11.5 *Death rates with a small number of deaths in the numerator should be interpreted with caution. SEE TECHNICAL NOTES. 82 TABLE 18 (cont.) Mortality Statistics Summary for 2003 North Carolina Residents SUICIDE Number of Death Number of Death Age-Adjusted Geographical Deaths Rate* Deaths Rate* Death Rate* Area 2003 2003 1999-2003 1999-2003 1999-2003 51 Johnston 18 13.2 85 13.3 13.6 52 Jones 2 19.6 7 13.6 13.0 53 Lee 5 10.0 24 9.7 9.7 54 Lenoir 8 13.6 44 14.8 14.9 55 Lincoln 7 10.4 46 14.1 14.0 56 McDowell 10 23.2 36 16.9 15.8 57 Macon 5 15.9 23 15.1 14.7 58 Madison 2 10.0 15 15.2 14.9 59 Martin 1 4.0 14 11.1 10.7 60 Mecklenburg 73 9.7 327 9.1 9.3 61 Mitchell 7 44.0 14 17.7 16.3 62 Montgomery 1 3.7 13 9.6 9.6 63 Moore 7 8.9 40 10.5 9.9 64 Nash 8 8.9 45 10.2 10.1 65 New Hanover 26 15.4 98 12.0 11.6 66 Northampton 0 0.0 12 10.9 11.5 67 Onslow 14 8.9 64 8.4 9.7 68 Orange 16 13.2 70 11.8 11.6 69 Pamlico 1 7.7 1 1.5 0.9 70 Pasquotank 1 2.7 11 6.2 5.9 71 Pender 5 11.4 24 11.4 10.9 72 Perquimans 1 8.5 11 19.1 20.2 73 Person 4 10.8 33 18.3 17.4 74 Pitt 14 10.1 77 11.4 12.2 75 Polk 5 26.5 21 22.6 21.0 76 Randolph 8 5.9 82 12.4 12.2 77 Richmond 3 6.5 36 15.5 15.7 78 Robeson 10 8.0 63 10.1 10.5 79 Rockingham 16 17.3 84 18.2 17.6 80 Rowan 19 14.3 92 14.0 13.9 81 Rutherford 10 15.8 55 17.4 17.6 82 Sampson 7 11.3 35 11.5 11.5 83 Scotland 2 5.6 18 10.1 10.4 84 Stanly 5 8.5 33 11.3 11.1 85 Stokes 8 17.5 35 15.5 15.2 86 Surry 15 20.8 57 15.9 15.7 87 Swain 4 30.0 9 13.7 14.0 88 Transylvania 4 13.6 17 11.6 11.9 89 Tyrrell 0 0.0 0 0.0 0.0 90 Union 12 8.3 68 10.3 10.8 91 Vance 6 13.7 19 8.7 9.0 92 Wake 63 9.0 276 8.4 8.8 93 Warren 3 15.0 10 10.0 10.1 94 Washington 1 7.4 10 14.7 15.5 95 Watauga 7 16.4 29 13.6 15.1 96 Wayne 9 7.9 49 8.6 8.8 97 Wilkes 8 12.0 44 13.3 12.5 98 Wilson 5 6.6 49 13.1 13.0 99 Yadkin 3 8.1 30 16.4 15.8 100 Yancey 1 5.6 10 11.2 10.6 *Death rates with a small number of deaths in the numerator should be interpreted with caution. SEE TECHNICAL NOTES. Suicide North Carolina Resident Data 1999-2003 Figure 18.A Suicide North Carolina Resident Data 1999-2003 Figure 18.B 83 Age Adjusted Mortality Rates Per 100,000 Population Mortality Rates Per 100,000 Population 31.1 22.6 - 23.1 12.8 - 19.1 5.2 - 12.4 0.0 - 1.9 26.8 20.2 - 21.0 13.0 - 19.1 4.8 - 12.5 0.0 - 2.2 84 85 TABLE 19 Mortality Statistics Summary for 2003 North Carolina Residents HOMICIDE Number of Death Number of Death Age-Adjusted Geographical Deaths Rate* Deaths Rate* Death Rate* Area 2003 2003 1999-2003 1999-2003 1999-2003 North Carolina 592 7.0 3,114 7.6 7.5 1 Alamance 9 6.6 44 6.6 6.6 2 Alexander 1 2.9 5 2.9 3.1 3 Alleghany 0 0.0 2 3.7 3.4 4 Anson 4 15.9 19 15.0 15.5 5 Ashe 3 12.0 7 5.7 5.8 6 Avery 2 11.1 6 6.8 7.0 7 Beaufort 3 6.6 15 6.6 7.1 8 Bertie 0 0.0 7 7.1 7.0 9 Bladen 5 15.3 12 7.4 7.8 10 Brunswick 1 1.2 30 7.8 8.5 11 Buncombe 11 5.2 47 4.5 4.6 12 Burke 6 6.8 20 4.5 4.4 13 Cabarrus 7 4.9 29 4.3 4.2 14 Caldwell 4 5.1 22 5.7 5.7 15 Camden 0 0.0 1 2.8 2.6 16 Carteret 2 3.3 8 2.7 2.8 17 Caswell 2 8.4 10 8.5 8.3 18 Catawba 6 4.1 38 5.3 5.3 19 Chatham 1 1.9 17 6.7 6.6 20 Cherokee 0 0.0 3 2.4 2.7 21 Chowan 2 13.9 8 11.1 11.7 22 Clay 1 10.7 2 4.4 4.9 23 Cleveland 16 16.4 66 13.6 14.3 24 Columbus 6 11.0 36 13.2 13.2 25 Craven 5 5.4 31 6.7 6.7 26 Cumberland 25 8.1 175 11.5 10.9 27 Currituck 0 0.0 3 3.2 3.3 28 Dare 0 0.0 8 5.1 5.6 29 Davidson 6 3.9 39 5.2 5.3 30 Davie 1 2.7 6 3.3 3.3 31 Duplin 8 15.8 25 10.0 10.1 32 Durham 22 9.3 130 11.4 10.3 33 Edgecombe 4 7.4 31 11.3 11.7 34 Forsyth 23 7.2 115 7.4 7.4 35 Franklin 3 5.8 12 4.9 4.7 36 Gaston 11 5.8 77 8.1 8.1 37 Gates 1 9.2 9 17.0 17.4 38 Graham 0 0.0 4 10.0 10.0 39 Granville 4 7.6 15 6.0 5.9 40 Greene 0 0.0 3 3.1 3.1 41 Guilford 43 10.0 171 8.0 7.8 42 Halifax 6 10.5 32 11.2 11.9 43 Harnett 6 6.1 33 7.0 6.8 44 Haywood 2 3.6 11 4.0 4.3 45 Henderson 3 3.2 21 4.6 5.3 46 Hertford 2 8.4 8 6.9 7.2 47 Hoke 5 13.5 23 13.2 12.1 48 Hyde 0 0.0 2 6.9 6.9 49 Iredell 8 6.0 41 6.5 6.5 50 Jackson 2 5.7 9 5.3 5.6 *Death rates with a small number of deaths in the numerator should be interpreted with caution. SEE TECHNICAL NOTES. 86 TABLE 19 (cont.) Mortality Statistics Summary for 2003 North Carolina Residents HOMICIDE Number of Death Number of Death Age-Adjusted Geographical Deaths Rate* Deaths Rate* Death Rate* Area 2003 2003 1999-2003 1999-2003 1999-2003 51 Johnston 7 5.1 46 7.2 7.2 52 Jones 0 0.0 6 11.7 13.2 53 Lee 8 16.1 36 14.6 14.9 54 Lenoir 6 10.2 31 10.4 10.9 55 Lincoln 3 4.5 20 6.1 6.3 56 McDowell 1 2.3 13 6.1 5.8 57 Macon 1 3.2 3 2.0 2.3 58 Madison 1 5.0 7 7.1 7.5 59 Martin 3 12.0 15 11.9 12.5 60 Mecklenburg 73 9.7 382 10.7 10.1 61 Mitchell 1 6.3 2 2.5 3.1 62 Montgomery 1 3.7 17 12.6 13.1 63 Moore 7 8.9 27 7.1 8.0 64 Nash 13 14.5 45 10.2 10.3 65 New Hanover 4 2.4 57 7.0 6.6 66 Northampton 2 9.2 13 11.8 12.3 67 Onslow 8 5.1 41 5.4 4.5 68 Orange 4 3.3 24 4.0 4.1 69 Pamlico 2 15.4 4 6.2 5.9 70 Pasquotank 1 2.7 6 3.4 3.2 71 Pender 2 4.6 16 7.6 8.2 72 Perquimans 1 8.5 2 3.5 2.8 73 Person 3 8.1 13 7.2 7.2 74 Pitt 11 7.9 55 8.1 7.5 75 Polk 0 0.0 3 3.2 4.2 76 Randolph 6 4.4 35 5.3 5.4 77 Richmond 8 17.2 28 12.0 12.5 78 Robeson 27 21.5 132 21.3 20.9 79 Rockingham 8 8.7 40 8.7 8.8 80 Rowan 7 5.3 37 5.6 5.7 81 Rutherford 7 11.0 25 7.9 8.1 82 Sampson 9 14.5 27 8.9 9.0 83 Scotland 7 19.7 23 12.8 13.1 84 Stanly 3 5.1 21 7.2 7.5 85 Stokes 2 4.4 10 4.4 4.2 86 Surry 6 8.3 25 7.0 7.0 87 Swain 0 0.0 5 7.6 7.7 88 Transylvania 2 6.8 5 3.4 4.3 89 Tyrrell 0 0.0 3 14.4 15.8 90 Union 4 2.8 23 3.5 3.4 91 Vance 3 6.8 27 12.4 12.7 92 Wake 20 2.9 129 3.9 3.6 93 Warren 2 10.0 11 11.0 12.2 94 Washington 1 7.4 8 11.7 12.9 95 Watauga 1 2.3 6 2.8 2.5 96 Wayne 10 8.8 50 8.8 8.8 97 Wilkes 2 3.0 18 5.4 5.3 98 Wilson 9 11.9 40 10.7 10.8 99 Yadkin 2 5.4 9 4.9 5.2 100 Yancey 1 5.6 5 5.6 5.3 *Death rates with a small number of deaths in the numerator should be interpreted with caution. SEE TECHNICAL NOTES. Homicide North Carolina Resident Data 1999-2003 Figure 19.A Homicide North Carolina Resident Data 1999-2003 Figure 19.B 87 Age Adjusted Mortality Rates Per 100,000 Population Mortality Rates Per 100,000 Population 17.0 21.3 10.0 - 15.0 6.5 - 8.9 2.0 - 6.2 20.9 14.3 - 17.4 10.0 - 13.2 6.3 - 9.0 2.3 - 5.9 88 89 TABLE 20 Mortality Statistics Summary for 2003 North Carolina Residents ALZHEIMER’S DISEASE Number of Death Number of Death Age-Adjusted Geographical Deaths Rate* Deaths Rate* Death Rate* Area 2003 2003 1999-2003 1999-2003 1999-2003 North Carolina 2,143 25.5 9,070 22.1 24.2 1 Alamance 44 32.3 163 24.4 21.6 2 Alexander 10 29.0 45 26.5 31.0 3 Alleghany 6 55.6 26 48.4 31.1 4 Anson 5 19.8 21 16.6 13.5 5 Ashe 9 35.9 45 36.5 24.7 6 Avery 8 44.2 26 29.7 24.3 7 Beaufort 19 41.7 59 26.1 21.7 8 Bertie 3 15.1 24 24.2 19.7 9 Bladen 5 15.3 23 14.2 13.1 10 Brunswick 4 4.9 26 6.8 7.4 11 Buncombe 84 39.6 343 32.9 25.7 12 Burke 23 25.9 110 24.7 23.8 13 Cabarrus 37 25.8 174 25.6 28.6 14 Caldwell 25 32.0 129 33.2 33.4 15 Camden 1 12.7 3 8.3 9.8 16 Carteret 30 49.5 99 33.1 29.3 17 Caswell 3 12.6 19 16.1 15.3 18 Catawba 42 28.7 248 34.4 38.3 19 Chatham 12 22.4 64 25.1 20.6 20 Cherokee 13 51.4 49 39.7 25.7 21 Chowan 3 20.9 11 15.3 10.2 22 Clay 1 10.7 9 20.0 12.8 23 Cleveland 21 21.5 124 25.6 24.2 24 Columbus 3 5.5 15 5.5 5.3 25 Craven 17 18.3 60 13.1 14.5 26 Cumberland 32 10.4 135 8.9 17.6 27 Currituck 7 34.0 11 11.6 15.0 28 Dare 5 15.0 28 17.9 23.9 29 Davidson 47 30.9 162 21.7 23.3 30 Davie 14 37.6 84 46.8 43.6 31 Duplin 14 27.6 39 15.7 16.0 32 Durham 29 12.3 209 18.3 22.8 33 Edgecombe 11 20.3 72 26.1 27.3 34 Forsyth 106 33.4 518 33.3 33.5 35 Franklin 8 15.5 36 14.7 17.2 36 Gaston 46 24.1 221 23.2 24.9 37 Gates 3 27.7 11 20.7 19.0 38 Graham 4 49.7 10 25.0 17.8 39 Granville 20 38.1 90 35.9 42.7 40 Greene 3 15.1 9 9.4 9.7 41 Guilford 143 33.2 548 25.8 27.6 42 Halifax 5 8.8 35 12.2 10.5 43 Harnett 15 15.3 49 10.5 13.7 44 Haywood 16 28.7 89 32.6 22.0 45 Henderson 61 64.6 265 58.1 33.1 46 Hertford 8 33.7 40 34.5 27.6 47 Hoke 6 16.2 10 5.7 10.9 48 Hyde 2 35.0 6 20.7 14.0 49 Iredell 30 22.5 181 28.5 30.6 50 Jackson 16 45.7 61 36.2 34.6 *Death rates with a small number of deaths in the numerator should be interpreted with caution. SEE TECHNICAL NOTES. 90 TABLE 20 (cont.) Mortality Statistics Summary for 2003 North Carolina Residents ALZHEIMER’S DISEASE Number of Death Number of Death Age-Adjusted Geographical Deaths Rate* Deaths Rate* Death Rate* Area 2003 2003 1999-2003 1999-2003 1999-2003 51 Johnston 13 9.5 82 12.8 17.7 52 Jones 0 0.0 4 7.8 6.6 53 Lee 11 22.1 50 20.2 20.9 54 Lenoir 9 15.3 30 10.1 9.5 55 Lincoln 20 29.7 58 17.8 20.9 56 McDowell 20 46.4 57 26.7 24.2 57 Macon 18 57.4 51 33.5 19.1 58 Madison 10 50.1 62 62.8 46.4 59 Martin 2 8.0 18 14.2 12.0 60 Mecklenburg 244 32.5 918 25.6 38.7 61 Mitchell 8 50.2 29 36.7 25.3 62 Montgomery 10 36.6 30 22.2 21.2 63 Moore 39 49.9 170 44.7 26.9 64 Nash 21 23.4 98 22.2 24.2 65 New Hanover 21 12.4 80 9.8 10.2 66 Northampton 8 36.7 32 29.2 21.2 67 Onslow 9 5.7 54 7.1 18.1 68 Orange 19 15.7 96 16.2 23.8 69 Pamlico 4 30.8 13 20.1 15.0 70 Pasquotank 3 8.2 18 10.2 8.7 71 Pender 2 4.6 11 5.2 5.1 72 Perquimans 1 8.5 8 13.9 9.7 73 Person 10 27.0 32 17.7 16.6 74 Pitt 17 12.2 74 10.9 14.9 75 Polk 27 142.9 72 77.4 35.1 76 Randolph 41 30.4 159 24.0 26.4 77 Richmond 4 8.6 35 15.0 14.3 78 Robeson 30 23.9 110 17.7 24.5 79 Rockingham 19 20.6 100 21.7 18.4 80 Rowan 42 31.5 176 26.8 23.4 81 Rutherford 28 44.1 79 25.0 19.3 82 Sampson 11 17.7 53 17.4 17.4 83 Scotland 6 16.9 35 19.6 22.3 84 Stanly 19 32.2 66 22.6 20.7 85 Stokes 5 11.0 33 14.7 16.3 86 Surry 28 38.9 144 40.3 32.4 87 Swain 6 44.9 23 35.0 29.4 88 Transylvania 23 78.1 79 53.9 32.5 89 Tyrrell 1 23.7 3 14.4 10.6 90 Union 45 31.1 156 23.6 37.8 91 Vance 5 11.4 24 11.0 11.5 92 Wake 97 13.9 326 9.9 18.0 93 Warren 2 10.0 5 5.0 3.7 94 Washington 1 7.4 14 20.6 16.2 95 Watauga 5 11.7 39 18.3 21.1 96 Wayne 29 25.4 110 19.4 25.5 97 Wilkes 24 35.9 107 32.3 30.1 98 Wilson 25 33.0 132 35.4 36.6 99 Yadkin 10 27.2 48 26.2 23.8 100 Yancey 12 66.9 33 36.9 24.8 *Death rates with a small number of deaths in the numerator should be interpreted with caution. SEE TECHNICAL NOTES. Alzheimer's Disease North Carolina Resident Data 1999-2003 Figure 20.A Alzheimer's Disease North Carolina Resident Data 1999-2003 Figure 20.B 91 Age Adjusted Mortality Rates Per 100,000 Population Mortality Rates Per 100,000 Population 77.4 53.9 - 62.8 32.3 - 48.4 12.2 - 29.7 5.0 - 11.6 42.7 - 46.4 28.6 - 38.7 17.2 - 27.6 8.7 - 16.6 3.7 - 7.4 92 93 *Death rates with a small number of deaths in the numerator should be interpreted with caution Rates are infant deaths per 1,000 live births. SEE TECHNICAL NOTES. TABLE 21 Mortality Statistics Summary for 2003 North Carolina Residents INFANT DEATHS (Per 1,000 Live Births) GEOGRAPHIC 2003 DEATHS 1999-2003 DEATHS AREA Number Rate* Number Rate* North Carolina 967 8.2 4,997 8.5 1 Alamance 16 8.7 100 10.8 2 Alexander 3 7.3 10 4.7 3 Alleghany 0 0.0 3 5.9 4 Anson 6 16.6 27 15.9 5 Ashe 3 11.0 16 12.2 6 Avery 0 0.0 2 2.3 7 Beaufort 5 8.9 37 11.9 8 Bertie 3 12.6 16 12.5 9 Bladen 2 4.5 21 9.1 10 Brunswick 5 5.7 26 6.1 11 Buncombe 19 7.6 115 9.1 12 Burke 8 8.3 43 8.0 13 Cabarrus 24 10.7 89 8.4 14 Caldwell 9 10.0 44 9.0 15 Camden 0 0.0 1 2.5 16 Carteret 5 8.5 27 9.0 17 Caswell 1 4.1 15 11.6 18 Catawba 16 7.9 82 8.0 19 Chatham 4 5.8 19 5.6 20 Cherokee 7 26.7 12 9.1 21 Chowan 1 6.9 4 4.5 22 Clay 1 10.9 2 5.1 23 Cleveland 11 9.1 64 10.2 24 Columbus 11 14.6 45 11.3 25 Craven 8 5.2 56 7.1 26 Cumberland 62 11.8 305 11.2 27 Currituck 2 8.6 9 8.2 28 Dare 3 7.0 16 8.9 29 Davidson 17 8.8 80 8.3 30 Davie 2 4.9 28 12.8 31 Duplin 4 5.5 35 9.0 32 Durham 18 4.7 139 7.4 33 Edgecombe 7 9.9 44 11.2 34 Forsyth 34 7.3 218 9.5 35 Franklin 5 7.8 24 7.4 36 Gaston 22 8.9 123 9.4 37 Gates 1 9.5 4 7.5 38 Graham 0 0.0 2 3.9 39 Granville 5 7.9 20 6.7 40 Greene 4 16.7 15 12.4 41 Guilford 46 7.8 254 8.6 42 Halifax 11 14.9 33 8.7 43 Harnett 15 10.6 58 8.1 44 Haywood 6 10.1 16 5.7 45 Henderson 8 7.0 34 6.3 46 Hertford 7 23.7 27 18.9 47 Hoke 8 11.3 30 8.9 48 Hyde 1 17.9 4 14.3 49 Iredell 17 9.3 81 9.0 50 Jackson 4 11.1 15 8.3 94 *Death rates with a small number of deaths in the numerator should be interpreted with caution Rates are infant deaths per 1,000 live births. SEE TECHNICAL NOTES. TABLE 21 (cont.) Mortality Statistics Summary for 2003 North Carolina Residents INFANT DEATHS (Per 1,000 Live Births) GEOGRAPHIC 2003 DEATHS 1999-2003 DEATHS AREA Number Rate* Number Rate* 51 Johnston 20 9.1 77 7.4 52 Jones 1 12.2 2 4.1 53 Lee 5 5.8 28 6.7 54 Lenoir 12 16.8 53 13.1 55 Lincoln 2 2.2 38 8.6 56 McDowell 4 7.8 22 8.3 57 Macon 2 6.0 14 9.0 58 Madison 0 0.0 5 4.6 59 Martin 3 9.7 13 8.1 60 Mecklenburg 87 6.8 449 7.5 61 Mitchell 1 6.3 8 9.6 62 Montgomery 4 10.4 16 8.0 63 Moore 6 6.9 36 8.0 64 Nash 8 7.0 58 9.5 65 New Hanover 11 5.3 57 5.6 66 Northampton 6 24.1 22 17.6 67 Onslow 33 10.4 135 8.5 68 Orange 10 7.7 37 5.8 69 Pamlico 1 9.1 3 5.8 70 Pasquotank 5 9.8 18 7.7 71 Pender 4 9.1 21 8.9 72 Perquimans 3 22.9 9 14.9 73 Person 6 13.8 24 10.5 74 Pitt 23 11.5 111 11.2 75 Polk 0 0.0 4 4.5 76 Randolph 12 6.6 84 9.1 77 Richmond 8 12.9 28 8.6 78 Robeson 12 6.1 121 11.7 79 Rockingham 10 9.1 47 8.1 80 Rowan 12 7.2 62 7.3 81 Rutherford 8 10.4 47 11.6 82 Sampson 11 12.1 43 9.4 83 Scotland 4 8.2 31 12.5 84 Stanly 12 17.1 35 9.5 85 Stokes 2 3.9 16 6.3 86 Surry 8 8.8 34 7.3 87 Swain 3 18.1 5 5.8 88 Transylvania 2 7.5 11 8.0 89 Tyrrell 0 0.0 1 4.5 90 Union 12 5.0 70 6.2 91 Vance 10 15.0 48 13.6 92 Wake 72 6.3 333 6.3 93 Warren 5 22.2 16 15.6 94 Washington 0 0.0 10 11.8 95 Watauga 1 2.8 11 6.4 96 Wayne 17 10.0 90 10.4 97 Wilkes 3 3.6 27 6.2 98 Wilson 8 8.0 59 11.0 99 Yadkin 1 2.3 15 6.2 100 Yancey 0 0.0 3 3.2 Infant Death Rates North Carolina Resident Data 1999-2003 Figure 21 95 Mortality Rates Per 100,000 Population 17.6 - 18.9 14.3 - 15.9 10.2 - 13.6 3.9 - 9.6 2.3 - 3.2 96 97 TECHNICAL NOTES 98 99 Computation of Death Rates In this report, total death rates and cause-specific death rates are expressed as resident deaths per 100,000 population. In 1999 and earlier editions of Leading Causes of Death, the total death rates were expressed per 1,000 population. To compare the total death rates in this edition to the total death rates published in 1999 and earlier editions, just move the decimal point two places to the left. Deaths are assigned to cause-of-death categories based on the underlying (or primary) cause of death from the death certificate. Appendix B describes the cause-of-death categories in terms of codes from the tenth revision of the International Classification of Diseases. All rates in Tables 1-20 use total population in the denominator except rates for the sex-specific cancer sites use male or female population in the denominator. Population denominators for these rates were provided by the Office of State Planning. The infant mortality rates in Table 21 are computed as the number of resident deaths under one year of age per 1,000 resident live births. Deaths in this report are assigned to place of residence. For deaths of people in long-term institu-tions (mental, penal, old age, orphan, nursing home, rest home, etc.), the institution is considered the usual residence if the decedent lived in the institution at least one year. College students and military personnel are considered residents of the college or military community. The following definitions apply to the rates of this report: Unadjusted Annual Death Rate: The annual death rates are computed as resident deaths per 100,000 population. Unadjusted 5-Year Death Rate: The average annual death rates are computed as average resident deaths per 100,000 average population. These multi-year rates are computed by summing the deaths for the five years, summing the population for the five years, dividing the former by the latter, and then multiplying the result by 100,000. These rates are shown in the first set of county maps (Figures 1.A, 2.A, etc.). Age-Adjusted 5-Year Death Rate: The average annual age-adjusted rates are computed by the direct method. These rates are also expressed as deaths per 100,000 population and represent the rate that would be expected if the age composition of the state and each county’s population were the same as that projected for the nation in the year 2000 (the “standard” population). These rates are shown in the second set of county maps (Figures 1.B, 2.B, etc.). The user should not compare an adjusted death rate to an unadjusted death rate. Also, adjusted rates for different time periods cannot be directly compared unless they were adjusted by the same standard population. See Appendix E for a more complete discussion of age-adjusted death rates. The age-adjusted death rates in this 2003 edition of Leading Causes of Death were calculated using the projected United States 2000 population as the standard. In 1997 and earlier editions, different standard populations were used. Therefore the age-adjusted rates in the current edition cannot be compared to the age-adjusted rates in these older editions. When using older editions of Leading Causes of Death, please read the explanatory notes to understand the technical details of how the age-adjusted rates were calculated. The special, expanded 1998 edition of Leading Causes of Death includes five-year age-adjusted death rates, using the projected United States 2000 standard population, over a twenty year period (1979-1998) to allow for comparisons of the ad-justed death rates over time. The death data were consistently coded under the ninth revision of the International Classification of Diseases from 1979 through 1998. The data from this 1998 publication are available on the State Center for Health Statistics Web site. 100 We changed the standard population to the projected United States 2000 population to be consis-tent with the new practices of the National Center for Health Statistics. This allows direct compari-sons of the state and county age-adjusted death rates for North Carolina to the published United States age-adjusted death rates. In age-adjusting the death rates in this publication, 10 age groups are used to compute age-specific death rates for each geographic area and cause of death. These rates are then applied to the projected 2000 United States standard population by age: 0-4, 5-14, 15-24, 25-34, 35-44, 45- 54, 55-64, 65-74, 75-84, and 85+. For details of the age adjustment process, refer to Appendix E. For the maps, a clustering routine from the Statistical Analysis System (SAS) was used to group counties that are “most like each other” with respect to their unadjusted and their adjusted rate. These maps show five levels of death rates, where level one is the lowest rate interval and level five the highest. A word of caution: Rates for sex-specific cancers (e.g., prostate) use male or female population in the denominator and therefore are not comparable to other rates. Therefore, in ranking the causes of cancer death by site one must use the observed number of deaths rather than the rates. Interpretation of Death Rates To assess a county’s relative mortality during a multi-year period, both the unadjusted and the adjusted rate can be compared to the corresponding state rates for a particular cause of death. This, of course, should not be done if the county’s unadjusted rate has fluctuated widely in recent years. The rate should represent a relatively stable situation. Then, the following alternative inter-pretations will apply: Relative Status Of Unadjusted Adjusted Rate Rate Interpretation of Unadjusted Rate Low Low Low mortality is not due to age, other mortality conditions are favorable. Low High Low mortality is due to favorable age distribution, other mor-tality conditions are unfavorable. High Low High mortality is due to unfavorable age distribution, other mortality conditions are favorable. High High High mortality is not due to age, other mortality conditions are unfavorable. Caution: In assessing the relative mortality of a county, be particularly aware of rates based on a small number of deaths (fewer than 20 deaths). Read carefully the next section on “Caution About Use of Rates.” 101 Caution About Use of Rates Small Number of Events: Any death rate with a small number of deaths in the numerator will have substantial random variation over time (a large standard error). A good rule of thumb is that any rate based on fewer than 20 events in the numerator may be subject to serious random error. Therefore, extreme caution should be taken when making comparisons or assessing trends with rates calculated with fewer than 20 events. Many of the death rates in this report have numerators smaller than 20. For a detailed discussion of Problems with Rates Based on Small Numbers, refer to Statistical Primer No. 12 of the State Center for Health Statistics, available on our Web site at http:// www.schs.state.nc.us/SCHS/pdf/primer12.pdf or by request. Age-Adjusted Death Rates: Unadjusted death rates are affected by the demographic composition of populations. Therefore, differences in the age distribution from one geographic area to another or from one point in time to another may hinder comparisons. The standardized adjustment of rates addresses this problem. The age-adjusted rate is a hypothetical rate computed in a way that reflects what the death rate would be in a particular geographic area, if the geographic area had the same age composition of the standard population. The measure, while useful for comparative purposes across time and geographic area, has no descriptive value in itself. The adjusted rate provides opportunities for comparisons across time and geographic area as long as all rates that are to be compared are adjusted to the same standard population. For more information on age-adjusted death rates, see Appendix E. 103 APPENDICES 104 105 APPENDIX A Comparability Ratios for the Major Causes of Death in North Carolina Vital Statistics, Volume 2 The comparability ratio is an adjustment factor that is applied to the number of deaths coded to a cause-of-death category under the International Classification of Diseases, 9th Revision (ICD-9) to make the number more comparable to the number coded under the 10th Revision (ICD-10). In North Carolina, causes of death were coded using ICD-9 from 1979 through 1998, and using ICD- 10 beginning in 1999. The comparability ratios indicate the extent of discontinuities in cause-of-death trends resulting from implementing ICD-10. A large sample of 1996 United States deaths were classified by both ICD-9 and ICD-10 to develop the comparability ratios. The comparability ratio is the ratio of the number of deaths in the 1996 sample in an ICD-10 cause-of-death category to the number of deaths in the sample in the same category as coded under ICD-9. More detailed comparability ratios are available from the State Center for Health Statistics or in the publication of the National Center for Health Statistics titled Comparability of Cause of Death Between ICD-9 and ICD-10: Preliminary Estimates (National Vital Statistics Reports, Volume 49, Number 2; May 18, 2001). CAUSE OF DEATH COMPARABILITY RATIO Heart disease ..................................................................................................................... 0.99 Cerebrovascular disease ...................................................................................................... 1.06 Cancer ............................................................................................................................... 1.01 Cancer of colon, rectum, and anus ....................................................................................... 1.00 Cancer of trachea, bronchus, and lung ................................................................................. 0.98 Cancer of breast ................................................................................................................. 1.01 Cancer of prostate .............................................................................................................. 1.01 Human immunodeficiency virus (HIV) disease ....................................................................... 1.14 Septicemia ......................................................................................................................... 1.19 Diabetes mellitus ................................................................................................................ 1.01 Pneumonia and influenza ..................................................................................................... 0.70 Chronic lower respiratory diseases ....................................................................................... 1.05 Chronic liver disease and cirrhosis ........................................................................................ 1.04 Nephritis, nephrotic syndrome, and nephrosis ....................................................................... 1.23 Unintentional motor vehicle injuries ...................................................................................... 0.85 All other unintentional injuries ............................................................................................. 1.08 Suicide ............................................................................................................................... 1.00 Homicide ............................................................................................................................ 1.00 Alzheimer’s disease ............................................................................................................. 1.55 Deaths from all causes ........................................................................................................ 1.00 106 APPENDIX B List of Selected Causes of Death (used for Tables E and F) CAUSE OF DEATH ICD-10 CODES* Heart disease ........................................................................................ I00-I09,I11,I13, I20-I51 Cerebrovascular disease ................................................................................................ I-60
Click tabs to swap between content that is broken into logical sections.
Title | North Carolina vital statistics |
Other Title | Vital statistics; Leading causes of mortality; Leading causes of death; Population, births, deaths, marriages, divorces |
Date | 2003 |
Release Date | 2004-12 |
Place |
Raleigh, Wake County, North Carolina, United States North Carolina, United States |
Time Period | (1990-current) Contemporary |
Description | Volume 2, (2003) |
Agency-Current | North Carolina Department of Health and Human Services |
Rights | State Document see http://digital.ncdcr.gov/u?/p249901coll22,63754 |
Type | text |
Language |
English |
Format |
Annual reports Statistics Periodicals |
Digital Characteristics-A | 22 MB; 126 p. |
Digital Collection |
N.C. Public Health Collection North Carolina Digital State Documents Collection |
Digital Format |
application/pdf |
Audience | All |
Pres File Name-M | pubs_serial_ncvitalstatistics2003v2.pdf |
Pres Local File Path-M | \Preservation_content\StatePubs\pubs_borndigital\images_master\ |
Full Text | i North Carolina Leading Causes of Death North Carolina Vital Statistics Volume 2 – 2003 North Carolina Department of Health and Human Services Division of Public Health State Center for Health Statistics 1908 Mail Service Center Raleigh, NC 27699-1908 (919) 733-4728 www.schs.state.nc.us/SCHS/ ii State of North Carolina Michael F. Easley, Governor Department of Health and Human Services Carmen Hooker Odom, Secretary Division of Public Health Leah Devlin, D.D.S., M.P.H., Health Director State Center for Health Statistics Gustavo Fernandez, Ph.D., Director Contributors: Paul Buescher Reginald Daye Ziya Gizlice Manjoo Mittal Jean Stafford December 2004 The NC Department of Health and Human Services does not discriminate on the basis of race, color, national origin, sex, religion, age or disability in employment or the provision of services. 600 copies of this public document were printed at a total cost of $2,135.12 or $3.56 per copy. iii TABLE OF CONTENTS Page Introduction ................................................................................................................. 1 NORTH CAROLINA'S LEADING CAUSES OF DEATH .......................................................... 5 STATE AND COUNTY MORTALITY TABLES AND FIGURES Mortality Statistics Summary for 1999-2003 ......................................................... 11 Sex-Specific Mortality Statistics Summary for 1999-2003 ....................................... 11 Total Deaths – All Causes ................................................................................... 13 Heart Disease .................................................................................................... 17 Cerebrovascular Disease ..................................................................................... 21 Cancer .............................................................................................................. 25 Cancer of Colon, Rectum, and Anus ................................................................. 29 Cancer of Trachea, Bronchus, and Lung ........................................................... 33 Cancer of Breast ............................................................................................. 37 Cancer of Prostate .......................................................................................... 41 Human Immunodeficiency Virus (HIV) Disease ..................................................... 45 Septicemia ......................................................................................................... 49 Diabetes Mellitus ................................................................................................ 53 Pneumonia and Influenza ................................................................................... 57 Chronic Lower Respiratory Diseases .................................................................... 61 Chronic Liver Disease and Cirrhosis ..................................................................... 65 Nephritis, Nephrotic Syndrome, and Nephrosis ..................................................... 69 Motor Vehicle Injuries ......................................................................................... 73 All Other Unintentional Injuries ........................................................................... 77 Suicide .............................................................................................................. 81 Homicide ........................................................................................................... 85 Alzheimer's Disease ............................................................................................ 89 Infant Mortality .................................................................................................. 93 TECHNICAL NOTES Computation of Death Rates ............................................................................... 99 Interpretation of Death Rates..............................................................................100 Caution About Use of Rates ................................................................................ 101 APPENDICES APPENDIX A – Comparability Ratios for the Major Causes of Death........................ 105 APPENDIX B – List of Selected Causes of Death ................................................... 106 APPENDIX C – List of 51 Selected Causes of Death ............................................... 107 APPENDIX D – List of 72 Selected Causes of Infant Death ..................................... 109 APPENDIX E – Statistical Primer: Age-Adjusted Death Rates .................................. 111 iv 1 Introduction North Carolina Vital Statistics, Volume 2: Leading Causes of Death describes North Carolina’s total and cause-specific deaths at the state and county level. More than a dozen of North Carolina’s leading causes of death are depicted in tables and maps. In addition, major site-specific cancer deaths and total infant deaths are tabulated and mapped. This edition includes the number of deaths and unadjusted death rates for 2003 and the number of deaths and unadjusted and age-adjusted death rates for 1999-2003. Beginning in 1999, causes of death were coded using the tenth revision of the International Classification of Diseases (ICD-10). For the years 1979 through 1998, the ninth revision of the ICD was used. We have not combined mortality data across these two revisions of the ICD due to comparability problems. “Comparability ratios” for the United States have been provided by the National Center for Health Statistics, providing numerical adjustments for comparing data across the ICD revisions. Appendix A shows these comparability ratios for the major causes of death presented in this volume. With five years of data now available under ICD-10, we are publishing five-year unadjusted and age-adjusted death rates. Be sure to read the Technical Notes section of this publication. This section explains some of the limitations of the data and addresses issues of interpretation. Many of the deaths rates presented here are based on small numbers and should be interpreted with caution. A detailed breakout of cause-specific deaths by age, race, sex, and county of residence can be found in the companion publication North Carolina Detailed Mortality Statistics. This and other publications (listed and described on the inside front cover of this publication) are available from the State Center for Health Statistics. Most are available through our Web site (shown below) and some are also available in printed form. Contact us at: State Center for Health Statistics Division of Public Health North Carolina Department of Health and Human Services 1908 Mail Service Center Raleigh, NC 27699-1908 (919) 733-4728 www.schs.state.nc.us/SCHS 2 3 NORTH CAROLINA’S LEADING CAUSES OF DEATH 4 5 TABLE A: Leading Causes of Death* by Age Group North Carolina Residents, 2003 *Leading causes of death are generated from a list of 51 causes of death categories developed by the National Center for Health Statistics to promote comparability in analyses of mortality. For deaths under one year of age, a list of 72 causes of death was used. See Appendices for the ICD-10 codes for these lists of causes. ALL AGES Rank Cause Number 1 Diseases of the heart ........................... 18,648 2 Cancer ................................................. 16,107 3 Cerebrovascular disease………… .............. 5,188 4 Chronic lower respiratory diseases .......... 3,856 5 Diabetes mellitus ................................... 2,384 6 Other unintentional injuries .................... 2,152 7 Alzheimer’s disease ................................ 2,143 8 Pneumonia and influenza ....................... 1,988 9 Motor vehicle injuries ............................. 1,634 10 Nephritis, nephrotic syndrome, nephrosis .. 1,386 All other causes (Residual) .................... 17,744 Total Deaths – All Causes ......................... 73,230 INFANTS (AGE <1) Rank Cause Number 1 Short gestation – low birthweight .............. 179 2 Congenital anomalies (birth defects) .......... 176 3 SIDS ........................................................ 100 4 Maternal complications ................................ 67 5 Complications of placenta ............................ 46 6 Respiratory distress ..................................... 33 7 Bacterial sepsis ........................................... 32 8 Diseases of the circulatory system ............... 26 9 Other unintentional injuries ......................... 24 10 Necrotizing enterocolitis .............................. 21 All other causes (Residual) ........................ 263 Total Deaths – All Causes .............................. 967 1 - 4 YEARS Rank Cause Number 1 Motor vehicle injuries .................................. 26 2 Other unintentional injuries ......................... 22 3 Congenital anomalies (birth defects) ............ 15 4 Cancer ........................................................ 12 5 Homicide ...................................................... 9 6 Diseases of the heart .................................... 7 Pneumonia and influenza .............................. 7 8 Septicemia .................................................... 5 9 In situ neoplasms .......................................... 3 10 Cerebrovascular disease ................................ 2 Pneumonitis due to solids/liquids ................... 2 All other causes (Residual) .......................... 34 Total Deaths – All Causes .............................. 144 5 - 14 YEARS Rank Cause Number 1 Motor vehicle injuries .................................. 51 2 Cancer ........................................................ 32 3 Other unintentional injuries ......................... 31 4 Congenital anomalies (birth defects) ............ 16 5 Homicide ...................................................... 9 6 Suicide ......................................................... 6 7 Diseases of the heart .................................... 5 8 Chronic lower respiratory diseases ................. 3 In situ neoplasms .......................................... 3 10 Cerebrovascular disease ................................ 2 Pneumonia and influenza .............................. 2 Complications of medical/surgical care ........... 2 All other causes (Residual) .......................... 42 Total Deaths – All Causes .............................. 204 6 TABLE A: (cont.) Leading Causes of Death* by Age Group North Carolina Residents, 2003 *Leading causes of death are generated from a list of 51 causes of death categories developed by the National Center for Health Statistics to promote comparability in analyses of mortality. For deaths under one year of age, a list of 72 causes of death was used. See Appendices for the ICD-10 codes for these lists of causes. 15 - 24 YEARS Rank Cause Number 1 Motor vehicle injuries ................................ 409 2 Homicide .................................................. 174 3 Other unintentional injuries ....................... 140 4 Suicide ..................................................... 133 5 Cancer ........................................................ 35 6 Diseases of the heart .................................. 33 7 Congenital anomalies (birth defects) ............ 12 8 HIV disease ................................................ 11 9 Cerebrovascular disease ................................ 8 10 Anemias ....................................................... 4 All other causes (Residual) ........................ 103 Total Deaths – All Causes ........................... 1,062 25 - 44 YEARS Rank Cause Number 1 Cancer ...................................................... 607 2 Diseases of the heart……………………………… 577 3 Motor vehicle injuries ................................ 554 4 Other unintentional injuries ....................... 531 5 Suicide ..................................................... 349 6 Homicide .................................................. 254 7 HIV disease .............................................. 222 8 Cerebrovascular disease ............................ 116 9 Diabetes mellitus ........................................ 85 10 Chronic liver disease/cirrhosis ...................... 78 All other causes (Residual) ........................ 843 Total Deaths – All Causes ........................... 4,216 45 - 64 YEARS Rank Cause Number 1 Cancer ................................................... 4,670 2 Diseases of the heart ............................. 3,330 3 Diabetes mellitus ...................................... 590 4 Cerebrovascular disease ............................ 572 5 Chronic lower respiratory diseases ............. 538 6 Other unintentional injuries ....................... 486 7 Chronic liver disease ................................. 398 8 Suicide ..................................................... 322 9 Motor vehicle injuries ................................ 309 10 Nephritis, nephrotic syndrome, nephrosis ..... 227 All other causes (Residual) ..................... 2,833 Total Deaths – All Causes ......................... 14,275 AGES 65 & OVER Rank Cause Number 1 Diseases of the heart ........................... 14,674 2 Cancer ................................................. 10,750 3 Cerebrovascular disease ......................... 4,485 4 Chronic lower respiratory diseases .......... 3,279 5 Alzheimer’s disease ................................ 2,124 6 Pneumonia and influenza ....................... 1,746 7 Diabetes mellitis ..................................... 1,706 8 Nephritis, nephrotic syndrome, nephrosis .. 1,121 9 Septicemia ................................................ 922 10 Other unintentional injuries ....................... 918 All other causes (Residual) ................... 10,637 Total Deaths – All Causes ......................... 52,362 7 TABLE B: Leading Causes of Death* by Race North Carolina Residents, 2003 *Racial group totals will not add up to overall total because deaths occurring among other races are not included here. Caution should be taken when comparing the number of deaths across racial groupings. Population size varies considerably from one racial group to another. The number of deaths for each group is to a large extent a reflection of that population size. WHITE Rank Cause Number 1 Diseases of the heart ........................... 14,591 2 Cancer ................................................. 12,771 3 Cerebrovascular disease ......................... 3,930 4 Chronic lower resiratory diseases ............ 3,431 5 Alzheimer's disease ................................ 1,866 6 Other unintentional injuries .................... 1,764 7 Pneumonia and influenza ....................... 1,647 8 Diabetes mellitus ................................... 1,554 9 Motor vehicle injuries ............................. 1,247 10 Nephritis, nephrotic syndrome, nephrosis ..... 909 All other causes (Residual) ................... 13,238 Total Deaths – All Causes ......................... 56,938 BLACK Rank Cause Number 1 Diseases of the heart ............................. 3,823 2 Cancer ................................................... 3,168 3 Cerebrovascular disease ......................... 1,196 4 Diabetes mellitus ...................................... 791 5 Nephritis, nephrotic syndrome, nephrosis ..... 458 6 Chronic lower respiratory diseases ............. 399 7 Other unintentional injuries ....................... 357 8 HIV .......................................................... 335 9 Motor vehicle injuries ................................ 329 10 Pneumonia and influenza .......................... 321 All other causes (Residual) ..................... 4,171 Total Deaths – All Causes ......................... 15,348 AMERICAN INDIAN Rank Cause Number 1 Diseases of the heart ................................ 188 2 Cancer ...................................................... 103 3 Diabetes ..................................................... 42 4 Cerebrovascular disease .............................. 40 5 Motor vehicle injuries .................................. 34 6 Other unintentional injuries ......................... 21 7 Chronic lower respiratory diseases ............... 20 8 Pneumonia and influenza ............................ 16 Homicide .................................................... 16 10 Nephritis, nephrotic syndrome, nephrosis ..... 15 All other causes (Residual) ........................ 142 Total Deaths– All Causes ............................... 637 8 TABLE C: Leading Causes of Death by Sex North Carolina Residents, 2003 TABLE D: Leading Causes of Death by Hispanicity North Carolina Residents, 2003 FEMALE Rank Cause Number 1 Diseases of the heart ............................. 9,442 2 Cancer ................................................... 7,615 3 Cerebrovascular disease ......................... 3,244 4 Chronic lower respiratory diseases .......... 1,939 5 Alzhiemer’s disease ................................ 1,557 6 Diabetes mellitus ................................... 1,304 7 Pnuemonia and influenza ....................... 1,140 8 Other unintentional injuries ....................... 895 9 Nephritis, nephrotic syndrome, nephrosis ..... 768 10 Septicemia ................................................ 714 All other causes (Residual) ..................... 8,972 Total Death – All Causes ......................... 37,590 MALE Rank Cause Number 1 Diseases of the heart ............................. 9,206 2 Cancer ................................................... 8,492 3 Cerebrovascular disease ......................... 1,944 4 Chronic lower respiratory diseases .......... 1,917 5 Other unintentional injuries .................... 1,257 6 Motor vehicle injuries ............................. 1,098 7 Diabetes mellitus ................................... 1,080 8 Pneumonia and influenza .......................... 848 9 Suicide ..................................................... 755 10 Nephritis, nephrotic syndrome, nephrosis ..... 618 All other causes (Residual) ..................... 8,424 Total Deaths – All Causes ......................... 35,639 HISPANIC Rank Cause Number 1 Motor vehicle injuries ................................ 157 2 Cancer ........................................................ 64 3 Homicide .................................................... 59 4 Other unintentional injuries ......................... 53 5 Diseases of the heart .................................. 52 6 Conditions originating in the perinatal period ... 47 7 Congenital anomalies .................................. 31 8 Cerebrovascular disease .............................. 22 9 Suicide ....................................................... 18 10 HIV disease ................................................ 12 All other causes (Residual) ........................ 101 Total Deaths – All Causes .............................. 616 NON-HISPANIC Rank Cause Number 1 Diseases of the heart ........................... 18,596 2 Cancer ................................................. 16,043 3 Cerebrovascular disease ......................... 5,166 4 Chronic lower respiratory diseases .......... 3,854 5 Diabetes mellitus ................................... 2,375 6 Alzheimer's disease ................................ 2,140 7 Other unintentional injuries .................... 2,099 8 Pnuemonia and influenza ....................... 1,978 9 Motor vehicle injuries ............................. 1,477 10 Nephritis, nephrotic syndrome, nephrosis .. 1,384 All other causes (Residual) .................... 17,502 Total Deaths – All Causes ......................... 72,614 9 STATE AND COUNTY MORTALITY TABLES FOR 2003 10 11 Table E: Mortality Statistics Summary for 1999-2003 All North Carolina Residents* Number Death Number Death Adjusted of Deaths Rate of Deaths Rate Death Rate Leading Causes of Death 2003 2003 1999-2003 1999-2003 1999-2003 Total Heart Disease 18,648 221.6 94,617 230.9 243.2 Cerebrovascular Disease 5,188 61.6 27,109 66.2 70.7 Atherosclerosis 294 3.5 1,767 4.3 4.7 Total Cancer 16,107 191.3 79,816 194.8 199.7 Lip, Oral Cavity, and Pharynx 249 3.0 1,116 2.7 2.8 Stomach 329 3.9 1,617 3.9 4.1 Colon, Rectum, and Anus 1,516 18.0 7,695 18.8 19.4 Liver 366 4.3 1,621 4.0 4.0 Pancreas 887 10.5 4,234 10.3 10.6 Larynx 110 1.3 598 1.5 1.5 Trachea, Bronchus, and Lung 4,839 57.5 24,132 58.9 59.9 Malignant Melanoma of Skin 231 2.7 1,157 2.8 2.9 Bladder 319 3.8 1,528 3.7 3.9 Brain 385 4.6 1,818 4.4 4.5 Non-Hodgkin’s Lymphoma 576 6.8 2,955 7.2 7.4 Leukemia 585 6.9 2,878 7.0 7.2 Diabetes Mellitus 2,384 28.3 10,894 26.6 27.5 Pneumonia and Influenza 1,988 23.6 9,469 23.1 24.9 Chronic Lower Respiratory Diseases 3,856 45.8 18,318 44.7 46.8 Chronic Liver Disease and Cirrhosis 747 8.9 3,711 9.1 9.1 Septicemia 1,209 14.4 5,500 13.4 14.1 Nephritis, Nephrosis, and Nephrotic Syn. 1,386 16.5 6,588 16.1 16.9 Motor Vehicle Unintentional Injuries 1,634 19.4 8,038 19.6 19.5 Other Unintentional Injuries 2,152 25.6 9,438 23.0 23.7 Suicide 949 11.3 4,735 11.6 11.5 Homicide 592 7.0 3,114 7.6 7.5 Alzheimer’s Disease 2,143 25.5 9,070 21.1 24.2 Total Deaths – All Causes 73,230 869.9 356,784 870.9 909.2 Table F: Sex-Specific Mortality Statistics Summary for 1999-2003 All North Carolina Residents* Number Death Number Death Adjusted of Deaths Rate of Deaths Rate Death Rate Leading Causes of Death 2003 2003 1999-2003 1999-2003 1999-2003 Breast 1,198 28.0 5,845 28.0 25.6 Cervix Uteri 104 2.4 609 2.9 2.7 Ovary 406 9.5 1,998 9.6 8.6 Prostate 894 21.6 4,574 22.8 32.7 Note: All death rates are per 100,000 population. The death rates in Table E cannot be compared to those in Table F because the denominators are sex-specific. Therefore, in ranking the causes of death – for example, in ranking the leading cancer sites – one must use the observed numbers of deaths. Breast cancer includes a very few deaths to males, while the denominator of the rate is the female population, the primary population at risk. * See Appendices for Cause of Death codes. 12 13 TABLE 1 Mortality Statistics Summary for 2003 North Carolina Residents TOTAL DEATHS – ALL CAUSES Number of Death Number of Death Age-Adjusted Geographical Deaths Rate* Deaths Rate* Death Rate* Area 2003 2003 1999-2003 1999-2003 1999-2003 North Carolina 73,230 869.9 356,784 870.9 909.2 1 Alamance 1,368 1003.1 6,565 984.5 896.0 2 Alexander 284 822.4 1,412 832.3 889.6 3 Alleghany 129 1195.6 701 1304.8 896.7 4 Anson 293 1161.6 1,462 1156.1 1010.6 5 Ashe 308 1227.8 1,475 1196.6 872.9 6 Avery 208 1149.6 929 1060.4 881.5 7 Beaufort 522 1145.0 2,690 1188.0 995.7 8 Bertie 219 1105.3 1,300 1312.9 1109.5 9 Bladen 400 1220.1 1,977 1217.6 1098.2 10 Brunswick 778 951.0 3,636 950.4 848.7 11 Buncombe 2,164 1019.6 11,026 1057.8 871.0 12 Burke 880 991.1 4,133 928.5 878.5 13 Cabarrus 1,252 872.9 5,701 837.6 898.5 14 Caldwell 776 993.2 3,841 987.8 943.1 15 Camden 60 764.9 326 906.8 894.0 16 Carteret 757 1249.7 3,443 1152.8 947.0 17 Caswell 243 1024.5 1,233 1044.1 972.4 18 Catawba 1,333 910.2 6,482 899.5 929.8 19 Chatham 495 922.1 2,424 949.0 806.9 20 Cherokee 324 1281.6 1,559 1263.1 883.2 21 Chowan 169 1176.4 913 1271.1 923.3 22 Clay 116 1238.3 554 1230.4 764.9 23 Cleveland 1,013 1038.5 4,995 1032.8 970.4 24 Columbus 608 1114.4 3,148 1151.0 1076.1 25 Craven 900 971.0 4,183 910.7 935.4 26 Cumberland 2,115 687.0 10,024 659.1 1024.1 27 Currituck 173 839.9 834 876.1 934.5 28 Dare 254 762.1 1,265 809.7 842.4 29 Davidson 1,456 958.3 6,819 914.9 913.0 30 Davie 330 886.6 1,704 949.4 871.9 31 Duplin 528 1039.9 2,570 1032.1 1022.5 32 Durham 1,711 724.7 8,490 742.2 896.3 33 Edgecombe 607 1122.5 3,081 1118.5 1119.7 34 Forsyth 2,802 882.1 13,708 882.3 879.5 35 Franklin 450 871.2 2,149 877.9 961.2 36 Gaston 1,918 1002.9 9,753 1021.9 1035.8 37 Gates 116 1070.7 614 1156.8 1056.2 38 Graham 95 1181.0 536 1338.0 1001.4 39 Granville 451 860.0 2,199 877.4 950.4 40 Greene 212 1066.3 885 919.5 939.4 41 Guilford 3,531 818.9 17,401 819.1 859.9 42 Halifax 643 1130.6 3,297 1153.5 1025.0 43 Harnett 783 800.7 3,658 780.8 931.0 44 Haywood 648 1160.8 3,259 1192.6 847.7 45 Henderson 1,174 1242.4 5,496 1204.8 769.4 46 Hertford 309 1300.8 1,454 1253.7 1061.7 47 Hoke 248 670.5 1,203 688.0 1008.0 48 Hyde 65 1136.4 341 1174.6 902.0 49 Iredell 1,168 876.4 5,516 868.0 888.2 50 Jackson 314 897.4 1,548 918.1 852.5 *Death rates with a small number of deaths in the numerator should be interpreted with caution. SEE TECHNICAL NOTES. 14 TABLE 1 (cont.) Mortality Statistics Summary for 2003 North Carolina Residents TOTAL CAUSES – ALL DEATHS Number of Death Number of Death Age-Adjusted Geographical Deaths Rate* Deaths Rate* Death Rate* Area 2003 2003 1999-2003 1999-2003 1999-2003 51 Johnston 1,020 748.3 4,867 762.1 921.3 52 Jones 116 1139.0 599 1164.8 1001.2 53 Lee 476 956.0 2,371 959.9 952.7 54 Lenoir 753 1278.4 3,577 1205.5 1096.0 55 Lincoln 572 848.7 2,808 860.3 928.9 56 McDowell 416 965.6 2,169 1017.4 911.1 57 Macon 391 1246.2 1,895 1246.3 783.6 58 Madison 218 1091.3 1,098 1112.3 874.3 59 Martin 307 1231.5 1,582 1251.4 1074.0 60 Mecklenburg 4,763 634.9 22,926 639.9 859.4 61 Mitchell 222 1394.0 1,024 1295.5 936.2 62 Montgomery 263 962.2 1,344 994.6 932.7 63 Moore 909 1162.0 4,337 1139.9 762.1 64 Nash 893 996.4 4,385 993.1 1023.5 65 New Hanover 1,441 852.4 7,006 857.2 855.8 66 Northampton 286 1312.0 1,448 1319.6 1033.4 67 Onslow 774 493.1 3,832 505.8 962.6 68 Orange 706 584.0 3,523 593.0 803.4 69 Pamlico 137 1054.5 726 1122.9 841.0 70 Pasquotank 382 1048.5 1,842 1039.8 944.8 71 Pender 370 846.7 1,864 885.9 854.1 72 Perquimans 138 1178.3 737 1280.7 928.8 73 Person 418 1130.3 1,875 1037.1 966.5 74 Pitt 1,083 779.1 5,212 769.5 969.5 75 Polk 283 1497.7 1,392 1497.3 823.2 76 Randolph 1,131 837.9 5,582 844.2 873.8 77 Richmond 536 1152.9 2,662 1142.9 1086.9 78 Robeson 1,243 990.0 5,994 965.6 1157.5 79 Rockingham 1,094 1183.7 5,176 1123.9 975.7 80 Rowan 1,284 964.4 6,655 1012.1 917.9 81 Rutherford 737 1161.9 3,719 1177.9 965.7 82 Sampson 648 1041.6 3,131 1027.5 1013.6 83 Scotland 383 1078.7 1,757 981.6 1052.3 84 Stanly 615 1041.3 3,000 1026.8 940.8 85 Stokes 462 1013.1 2,076 921.8 952.7 86 Surry 753 1046.1 3,861 1079.8 904.9 87 Swain 195 1460.3 817 1244.6 1059.1 88 Transylvania 391 1326.9 1,800 1227.3 805.7 89 Tyrrell 34 804.5 228 1093.1 885.8 90 Union 876 605.4 4,272 646.3 869.7 91 Vance 501 1142.3 2,379 1092.2 1111.4 92 Wake 3,576 511.2 16,725 509.1 787.8 93 Warren 251 1251.6 1,149 1149.1 902.9 94 Washington 146 1084.1 836 1227.2 1028.7 95 Watauga 310 724.8 1,465 686.0 782.5 96 Wayne 1,046 917.6 5,285 931.1 1049.0 97 Wilkes 682 1019.3 3,320 1003.5 910.6 98 Wilson 735 971.4 3,732 1001.2 991.5 99 Yadkin 366 994.0 1,864 1019.0 919.9 100 Yancey 198 1104.5 948 1060.4 765.1 *Death rates with a small number of deaths in the numerator should be interpreted with caution. SEE TECHNICAL NOTES. Total Deaths - All Causes North Carolina Resident Data 1999-2003 Figure 1.A Total Deaths - All Causes North Carolina Resident Data 1999-2003 Figure 1.B 15 Age Adjusted Mortality Rates Per 100,000 Population Mortality Rates Per 100,000 Population 593.0 - 780.8 505.8 - 509.1 928.8 - 975.7 841.0 - 923.3 762.1 - 823.2 1497.0 1112.0 - 1338.0 1074.0 - 1157.0 991.5 - 1062.0 809.7 - 1093.0 16 17 TABLE 2 Mortality Statistics Summary for 2003 North Carolina Residents HEART DISEASE Number of Death Number of Death Age-Adjusted Geographical Deaths Rate* Deaths Rate* Death Rate* Area 2003 2003 1999-2003 1999-2003 1999-2003 North Carolina 18,648 221.5 94,617 230.9 243.2 1 Alamance 340 249.3 1,683 252.4 226.9 2 Alexander 79 228.8 419 247.0 267.8 3 Alleghany 37 342.9 167 310.9 209.5 4 Anson 81 321.1 450 355.8 304.5 5 Ashe 75 299.0 385 312.3 219.1 6 Avery 57 315.0 266 303.6 251.3 7 Beaufort 159 348.8 889 392.6 322.3 8 Bertie 59 297.8 320 323.2 271.7 9 Bladen 109 332.5 572 352.3 314.1 10 Brunswick 208 254.2 1,008 263.5 236.4 11 Buncombe 535 252.1 2,881 276.4 222.5 12 Burke 241 271.4 1,102 247.6 233.2 13 Cabarrus 314 218.9 1,547 227.3 245.9 14 Caldwell 202 258.5 1,030 264.9 252.4 15 Camden 16 204.0 99 275.4 268.7 16 Carteret 209 345.0 1,004 336.2 274.8 17 Caswell 59 248.7 326 276.0 255.5 18 Catawba 305 208.3 1,586 220.1 229.1 19 Chatham 128 238.4 632 247.4 207.5 20 Cherokee 75 296.7 437 354.1 239.8 21 Chowan 51 355.0 261 363.4 253.0 22 Clay 29 309.6 120 266.5 152.5 23 Cleveland 301 308.6 1,472 304.4 284.1 24 Columbus 206 377.6 1,064 389.0 362.0 25 Craven 221 238.4 1,072 233.4 243.3 26 Cumberland 537 174.4 2,689 176.8 302.3 27 Currituck 41 199.0 208 218.5 234.7 28 Dare 51 153.0 289 185.0 196.2 29 Davidson 393 258.7 1,962 263.2 264.7 30 Davie 80 214.9 478 266.3 242.8 31 Duplin 137 269.8 623 250.2 247.9 32 Durham 383 162.2 1,929 168.6 208.3 33 Edgecombe 170 314.4 866 314.4 315.3 34 Forsyth 638 200.9 3,310 213.0 212.3 35 Franklin 124 240.1 594 242.7 268.8 36 Gaston 511 267.2 2,618 274.3 279.9 37 Gates 28 258.4 165 310.9 279.7 38 Graham 30 372.9 166 414.4 303.8 39 Granville 108 205.9 573 228.6 251.1 40 Greene 47 236.4 227 235.9 240.4 41 Guilford 875 202.9 4,327 203.7 214.9 42 Halifax 166 291.9 944 330.3 287.7 43 Harnett 205 209.6 980 209.2 256.2 44 Haywood 180 322.5 893 326.8 223.9 45 Henderson 293 310.1 1,458 319.6 194.0 46 Hertford 78 328.4 365 314.7 261.8 47 Hoke 73 197.4 291 166.4 256.6 48 Hyde 17 297.2 114 392.7 289.1 49 Iredell 334 250.6 1,632 256.8 265.3 50 Jackson 79 225.8 397 235.4 216.1 *Death rates with a small number of deaths in the numerator should be interpreted with caution. SEE TECHNICAL NOTES. 18 TABLE 2 (cont.) Mortality Statistics Summary for 2003 North Carolina Residents HEART DISEASE Number of Death Number of Death Age-Adjusted Geographical Deaths Rate* Deaths Rate* Death Rate* Area 2003 2003 1999-2003 1999-2003 1999-2003 51 Johnston 298 218.6 1,452 227.4 285.9 52 Jones 29 284.8 173 336.4 285.7 53 Lee 123 247.0 633 256.3 256.6 54 Lenoir 207 351.4 972 327.6 296.2 55 Lincoln 131 194.4 761 233.2 256.1 56 McDowell 97 225.2 605 283.8 251.9 57 Macon 102 325.1 531 349.2 211.2 58 Madison 54 270.3 268 271.5 208.8 59 Martin 94 377.1 469 371.0 315.0 60 Mecklenburg 1,078 143.7 5,319 148.5 207.5 61 Mitchell 55 345.4 270 341.6 237.9 62 Montgomery 60 219.5 389 287.9 269.4 63 Moore 232 296.6 1,170 307.5 197.9 64 Nash 205 228.7 1,120 253.7 263.4 65 New Hanover 356 210.6 1,864 228.1 230.0 66 Northampton 76 348.7 389 354.5 269.5 67 Onslow 186 118.5 941 124.2 261.4 68 Orange 158 130.7 778 130.9 182.3 69 Pamlico 35 269.4 184 284.6 209.5 70 Pasquotank 103 282.7 498 281.1 253.0 71 Pender 94 215.1 502 238.6 232.6 72 Perquimans 34 290.3 218 378.8 265.6 73 Person 85 229.9 489 270.5 251.1 74 Pitt 275 197.8 1,320 194.9 251.3 75 Polk 79 418.1 361 388.3 203.5 76 Randolph 272 201.5 1,536 232.3 243.2 77 Richmond 181 389.3 859 368.8 349.3 78 Robeson 333 265.2 1,661 267.6 332.2 79 Rockingham 277 299.7 1,353 293.8 251.6 80 Rowan 383 287.7 2,042 310.5 277.4 81 Rutherford 202 318.5 1,013 320.8 257.4 82 Sampson 144 231.5 761 249.7 246.0 83 Scotland 107 301.4 516 288.3 312.1 84 Stanly 181 306.5 988 338.2 308.2 85 Stokes 114 250.0 532 236.2 246.8 86 Surry 193 268.1 1,046 292.5 240.3 87 Swain 57 426.9 209 318.4 267.0 88 Transylvania 101 342.7 476 324.6 200.8 89 Tyrrell 6 142.0 64 306.8 238.3 90 Union 236 163.1 1,150 174.0 246.9 91 Vance 128 291.8 674 309.4 316.0 92 Wake 845 120.8 4,157 126.5 207.8 93 Warren 71 354.0 338 338.0 256.4 94 Washington 51 378.7 243 356.7 289.9 95 Watauga 75 175.3 413 193.4 221.0 96 Wayne 292 256.2 1,479 260.6 300.0 97 Wilkes 152 227.2 810 244.8 220.9 98 Wilson 177 233.9 964 258.6 257.0 99 Yadkin 81 220.0 489 267.3 240.1 100 Yancey 69 384.9 278 310.9 216.2 *Death rates with a small number of deaths in the numerator should be interpreted with caution. SEE TECHNICAL NOTES. Heart Disease North Carolina Resident Data 1999-2003 Figure 2.A Heart Disease North Carolina Resident Data 1999-2003 Figure 2.B 19 Age Adjusted Mortality Rates Per 100,000 Population Mortality Rates Per 100,000 Population 349.2 - 414.4 303.6 - 341.6 203.7 - 293.8 166.4 - 194.9 124.2 - 148.5 349.3 - 362.0 277.4 - 332.2 226.9 - 274.8 182.3 - 223.9 152.5 - 152.5 20 21 TABLE 3 Mortality Statistics Summary for 2003 North Carolina Residents CEREBROVASCULAR DISEASE Number of Death Number of Death Age-Adjusted Geographical Deaths Rate* Deaths Rate* Death Rate* Area 2003 2003 1999-2003 1999-2003 1999-2003 North Carolina 5,188 61.6 27,109 66.2 70.7 1 Alamance 112 82.1 531 79.6 71.0 2 Alexander 20 57.9 99 58.4 65.0 3 Alleghany 9 83.4 55 102.4 66.9 4 Anson 28 111.0 110 87.0 73.1 5 Ashe 25 99.7 113 91.7 64.0 6 Avery 11 60.8 54 61.6 51.1 7 Beaufort 41 89.9 193 85.2 70.1 8 Bertie 13 65.6 102 103.0 84.0 9 Bladen 27 82.4 181 111.5 99.7 10 Brunswick 50 61.1 227 59.3 56.6 11 Buncombe 127 59.8 838 80.4 63.7 12 Burke 68 76.6 337 75.7 72.4 13 Cabarrus 81 56.5 376 55.2 60.5 14 Caldwell 57 73.0 294 75.6 73.7 15 Camden 0 0.0 29 80.7 82.2 16 Carteret 54 89.1 252 84.4 69.3 17 Caswell 16 67.5 99 83.8 79.4 18 Catawba 96 65.5 479 66.5 70.3 19 Chatham 33 61.5 219 85.7 71.1 20 Cherokee 16 63.3 89 72.1 47.4 21 Chowan 11 76.6 91 126.7 89.0 22 Clay 5 53.4 45 99.9 55.9 23 Cleveland 47 48.2 345 71.3 66.8 24 Columbus 32 58.7 210 76.8 71.8 25 Craven 58 62.6 301 65.5 69.7 26 Cumberland 122 39.6 565 37.2 65.2 27 Currituck 9 43.7 68 71.4 82.8 28 Dare 15 45.0 79 50.6 53.4 29 Davidson 83 54.6 518 69.5 71.2 30 Davie 25 67.2 135 75.2 69.2 31 Duplin 53 104.4 256 102.8 103.8 32 Durham 126 53.4 635 55.5 68.7 33 Edgecombe 68 125.7 280 101.6 103.7 34 Forsyth 221 69.6 1,108 71.3 71.5 35 Franklin 24 46.5 175 71.5 80.9 36 Gaston 99 51.8 618 64.8 67.3 37 Gates 4 36.9 38 71.6 64.9 38 Graham 3 37.3 25 62.4 44.0 39 Granville 28 53.4 164 65.4 73.6 40 Greene 15 75.4 53 55.1 57.0 41 Guilford 239 55.4 1,376 64.8 68.8 42 Halifax 58 102.0 283 99.0 86.2 43 Harnett 58 59.3 269 57.4 72.4 44 Haywood 43 77.0 222 81.2 55.3 45 Henderson 79 83.6 399 87.5 51.9 46 Hertford 27 113.7 128 110.4 90.4 47 Hoke 11 29.7 63 36.0 59.5 48 Hyde 3 52.4 15 51.7 39.7 49 Iredell 84 63.0 427 67.2 70.5 50 Jackson 15 42.9 102 60.5 56.8 *Death rates with a small number of deaths in the numerator should be interpreted with caution. SEE TECHNICAL NOTES. 22 TABLE 3 (cont.) Mortality Statistics Summary for 2003 North Carolina Residents CEREBROVASCULAR DISEASE Number of Death Number of Death Age-Adjusted Geographical Deaths Rate* Deaths Rate* Death Rate* Area 2003 2003 1999-2003 1999-2003 1999-2003 51 Johnston 64 47.0 324 50.7 65.5 52 Jones 11 108.0 49 95.3 80.6 53 Lee 28 56.2 163 66.0 66.2 54 Lenoir 52 88.3 254 85.6 77.2 55 Lincoln 36 53.4 195 59.7 68.3 56 McDowell 32 74.3 150 70.4 63.4 57 Macon 23 73.3 158 103.9 59.9 58 Madison 17 85.1 86 87.1 67.1 59 Martin 22 88.3 100 79.1 67.6 60 Mecklenburg 330 44.0 1,714 47.8 68.5 61 Mitchell 15 94.2 86 108.8 74.9 62 Montgomery 21 76.8 101 74.7 69.9 63 Moore 79 101.0 372 97.8 60.9 64 Nash 83 92.6 403 91.3 96.2 65 New Hanover 111 65.7 559 68.4 70.0 66 Northampton 17 78.0 100 91.1 67.0 67 Onslow 48 30.6 217 28.6 63.7 68 Orange 55 45.5 276 46.5 66.5 69 Pamlico 17 130.8 68 105.2 78.1 70 Pasquotank 22 60.4 144 81.3 71.9 71 Pender 32 73.2 182 86.5 89.4 72 Perquimans 15 128.1 61 106.0 73.7 73 Person 43 116.3 189 104.5 98.3 74 Pitt 73 52.5 405 59.8 79.2 75 Polk 22 116.4 116 124.8 60.7 76 Randolph 87 64.5 408 61.7 65.7 77 Richmond 34 73.1 157 67.4 64.8 78 Robeson 86 68.5 452 72.8 94.0 79 Rockingham 84 90.9 433 94.0 79.9 80 Rowan 92 69.1 461 70.1 61.7 81 Rutherford 47 74.1 301 95.3 74.8 82 Sampson 73 117.3 305 100.1 99.5 83 Scotland 39 109.8 146 81.6 90.1 84 Stanly 46 77.9 242 82.8 75.5 85 Stokes 41 89.9 211 93.7 101.9 86 Surry 64 88.9 319 89.2 72.9 87 Swain 12 89.9 47 71.6 59.5 88 Transylvania 32 108.6 140 95.5 59.1 89 Tyrrell 4 94.7 16 76.7 61.1 90 Union 52 35.9 287 43.4 63.0 91 Vance 51 116.3 227 104.2 107.9 92 Wake 268 38.3 1,381 42.0 72.0 93 Warren 25 124.7 101 101.0 74.8 94 Washington 8 59.4 52 76.3 64.3 95 Watauga 20 46.8 116 54.3 63.3 96 Wayne 65 57.0 350 61.7 73.9 97 Wilkes 52 77.7 303 91.6 84.0 98 Wilson 49 64.8 294 78.9 79.2 99 Yadkin 32 86.9 143 78.2 70.6 100 Yancey 8 44.6 75 83.9 58.4 *Death rates with a small number of deaths in the numerator should be interpreted with caution. SEE TECHNICAL NOTES. Cerebrovascular Disease North Carolina Resident Data 1999-2003 Figure 3.A Cerebrovascular Disease North Carolina Resident Data 1999-2003 Figure 3.B 23 Age Adjusted Mortality Rates Per 100,000 Population Mortality Rates Per 100,000 Population 124.8 - 126.7 89.2 - 111.5 64.8 - 87.5 46.5 - 62.4 28.6 - 43.4 98.3 - 107.9 77.2 - 96.2 63.0 - 75.5 51.1 - 61.7 39.7 - 47.4 24 25 TABLE 4 Mortality Statistics Summary for 2003 North Carolina Residents CANCER - ALL SITES Number of Death Number of Death Age-Adjusted Geographical Deaths Rate* Deaths Rate* Death Rate* Area 2003 2003 1999-2003 1999-2003 1999-2003 North Carolina 16,107 191.3 79,816 194.8 199.7 1 Alamance 293 214.9 1,482 222.2 203.0 2 Alexander 69 199.8 318 187.4 191.1 3 Alleghany 24 222.4 166 309.0 210.4 4 Anson 52 206.2 276 218.2 192.8 5 Ashe 69 275.1 303 245.8 175.9 6 Avery 43 237.7 197 224.9 184.5 7 Beaufort 111 243.5 589 260.1 211.0 8 Bertie 49 247.3 288 290.8 240.4 9 Bladen 72 219.6 384 236.5 209.0 10 Brunswick 196 239.6 946 247.3 193.6 11 Buncombe 504 237.5 2,461 236.1 195.4 12 Burke 198 223.0 914 205.3 189.7 13 Cabarrus 264 184.1 1,247 183.2 194.2 14 Caldwell 166 212.5 878 225.8 208.7 15 Camden 26 331.5 93 258.7 248.5 16 Carteret 175 288.9 847 283.6 218.1 17 Caswell 58 244.5 279 236.3 212.3 18 Catawba 293 200.1 1,456 202.1 202.0 19 Chatham 124 231.0 562 220.0 186.3 20 Cherokee 81 320.4 384 311.1 210.2 21 Chowan 29 201.9 189 263.1 193.1 22 Clay 33 352.3 142 315.4 189.8 23 Cleveland 223 228.6 1,088 225.0 207.4 24 Columbus 133 243.8 646 236.2 214.9 25 Craven 216 233.0 1,003 218.4 214.4 26 Cumberland 448 145.5 2,164 142.3 211.1 27 Currituck 42 203.9 202 212.2 207.1 28 Dare 79 237.0 361 231.1 220.2 29 Davidson 341 224.4 1,568 210.4 201.8 30 Davie 81 217.6 366 203.9 183.2 31 Duplin 95 187.1 529 212.5 207.3 32 Durham 376 159.3 1,935 169.2 208.8 33 Edgecombe 130 240.4 665 241.4 236.6 34 Forsyth 613 193.0 3,125 201.1 199.3 35 Franklin 99 191.7 468 191.2 206.1 36 Gaston 417 218.1 2,094 219.4 215.8 37 Gates 27 249.2 138 260.0 233.5 38 Graham 19 236.2 110 274.6 196.4 39 Granville 104 198.3 512 204.3 214.0 40 Greene 41 206.2 192 199.5 203.3 41 Guilford 751 174.2 3,949 185.9 194.6 42 Halifax 137 240.9 699 244.6 215.7 43 Harnett 174 177.9 831 177.4 208.5 44 Haywood 135 241.8 716 262.0 183.6 45 Henderson 259 274.1 1,244 272.7 175.6 46 Hertford 54 227.3 301 259.5 216.7 47 Hoke 47 127.1 287 164.1 237.6 48 Hyde 9 157.3 73 251.5 196.5 49 Iredell 263 197.3 1,219 191.8 190.0 50 Jackson 63 180.1 343 203.4 182.5 *Death rates with a small number of deaths in the numerator should be interpreted with caution. SEE TECHNICAL NOTES. 26 TABLE 4 (cont.) Mortality Statistics Summary for 2003 North Carolina Residents CANCER – ALL SITES Number of Death Number of Death Age-Adjusted Geographical Deaths Rate* Deaths Rate* Death Rate* Area 2003 2003 1999-2003 1999-2003 1999-2003 51 Johnston 214 157.0 1,080 169.1 197.0 52 Jones 22 216.0 117 227.5 192.2 53 Lee 114 229.0 538 217.8 210.0 54 Lenoir 142 241.1 751 253.1 221.9 55 Lincoln 131 194.4 636 194.9 200.3 56 McDowell 85 197.3 518 243.0 212.8 57 Macon 82 261.3 415 272.9 170.1 58 Madison 50 250.3 250 253.3 200.8 59 Martin 57 228.7 325 257.1 214.7 60 Mecklenburg 1,060 141.3 5,053 141.0 188.7 61 Mitchell 50 314.0 224 283.4 198.7 62 Montgomery 52 190.3 283 209.4 191.4 63 Moore 220 281.2 1,093 287.3 188.0 64 Nash 184 205.3 942 213.3 213.7 65 New Hanover 333 197.0 1,669 204.2 197.2 66 Northampton 58 266.1 307 279.8 214.0 67 Onslow 171 108.9 873 115.2 215.4 68 Orange 176 145.6 897 151.0 201.7 69 Pamlico 25 192.4 175 270.7 196.1 70 Pasquotank 90 247.0 425 239.9 221.5 71 Pender 96 219.7 470 223.4 201.0 72 Perquimans 35 298.8 173 300.6 214.2 73 Person 108 292.0 429 237.3 216.8 74 Pitt 230 165.5 1,159 171.1 214.2 75 Polk 55 291.1 285 306.6 175.2 76 Randolph 292 216.3 1,293 195.6 196.8 77 Richmond 102 219.4 550 236.1 219.5 78 Robeson 233 185.6 1,180 190.1 222.7 79 Rockingham 257 278.1 1,198 260.1 222.8 80 Rowan 262 196.8 1,357 206.4 189.0 81 Rutherford 140 220.7 763 241.7 197.3 82 Sampson 143 229.9 664 217.9 212.5 83 Scotland 73 205.6 377 210.6 222.5 84 Stanly 132 223.5 641 219.4 197.3 85 Stokes 112 245.6 515 228.7 227.4 86 Surry 151 209.8 862 241.1 201.7 87 Swain 26 194.7 137 208.7 173.9 88 Transylvania 69 234.2 416 283.6 183.8 89 Tyrrell 15 354.9 73 350.0 285.7 90 Union 211 145.8 955 144.5 184.6 91 Vance 111 253.1 518 237.8 238.0 92 Wake 854 122.1 3,924 119.5 178.7 93 Warren 61 304.2 266 266.0 205.7 94 Washington 35 259.9 170 249.6 205.4 95 Watauga 70 163.7 312 146.1 163.5 96 Wayne 216 189.5 1,184 208.6 223.6 97 Wilkes 151 225.7 748 226.1 198.3 98 Wilson 147 194.3 786 210.9 202.7 99 Yadkin 63 171.1 399 218.1 192.6 100 Yancey 36 200.8 212 237.1 171.3 *Death rates with a small number of deaths in the numerator should be interpreted with caution. SEE TECHNICAL NOTES. Cancer - All Sites North Carolina Resident Data 1999-2003 Figure 4.A Cancer - All Sites North Carolina Resident Data 1999-2003 Figure 4.B 27 Age Adjusted Mortality Rates Per 100,000 Population Mortality Rates Per 100,000 Population 350.0 270.7 - 315.4 236.1 - 266.0 164.1 - 231.1 115.2 - 151.0 285.7 233.5 - 248.5 205.4 - 227.4 163.5 - 178.7 182.5 - 203.3 28 29 TABLE 5 Mortality Statistics Summary for 2003 North Carolina Residents CANCER – COLON, RECTUM, AND ANUS Number of Death Number of Death Age-Adjusted Geographical Deaths Rate* Deaths Rate* Death Rate* Area 2003 2003 1999-2003 1999-2003 1999-2003 North Carolina 1,516 18.0 7,695 18.8 19.4 1 Alamance 22 16.1 134 20.1 18.3 2 Alexander 10 29.0 30 17.7 18.5 3 Alleghany 0 0.0 8 14.9 10.4 4 Anson 6 23.8 30 23.7 20.3 5 Ashe 7 27.9 33 26.8 19.3 6 Avery 5 27.6 22 25.1 21.4 7 Beaufort 7 15.4 74 32.7 26.9 8 Bertie 5 25.2 42 42.4 35.2 9 Bladen 7 21.4 34 20.9 18.6 10 Brunswick 16 19.6 75 19.6 16.0 11 Buncombe 40 18.8 216 20.7 16.9 12 Burke 17 19.1 96 21.6 19.9 13 Cabarrus 22 15.3 111 16.3 17.4 14 Caldwell 19 24.3 80 20.6 18.8 15 Camden 4 51.0 14 38.9 37.3 16 Carteret 14 23.1 70 23.4 17.8 17 Caswell 5 21.1 23 19.5 16.9 18 Catawba 23 15.7 136 18.9 19.0 19 Chatham 12 22.4 56 21.9 18.3 20 Cherokee 7 27.7 36 29.2 21.1 21 Chowan 6 41.8 22 30.6 22.1 22 Clay 4 42.7 16 35.5 22.1 23 Cleveland 20 20.5 108 22.3 20.4 24 Columbus 10 18.3 60 21.9 19.7 25 Craven 21 22.7 112 24.4 24.5 26 Cumberland 41 13.3 193 12.7 19.2 27 Currituck 5 24.3 20 21.0 20.7 28 Dare 7 21.0 26 16.6 16.2 29 Davidson 29 19.1 146 19.6 18.9 30 Davie 5 13.4 39 21.7 19.6 31 Duplin 10 19.7 53 21.3 20.7 32 Durham 31 13.1 206 18.0 22.3 33 Edgecombe 10 18.5 54 19.6 19.0 34 Forsyth 66 20.8 300 19.3 19.1 35 Franklin 8 15.5 41 16.7 18.6 36 Gaston 30 15.7 198 20.7 20.5 37 Gates 2 18.5 12 22.6 20.3 38 Graham 4 49.7 13 32.5 22.5 39 Granville 8 15.3 51 20.3 22.0 40 Greene 5 25.1 19 19.7 19.9 41 Guilford 72 16.7 365 17.2 18.0 42 Halifax 16 28.1 63 22.0 19.5 43 Harnett 13 13.3 78 16.6 20.0 44 Haywood 16 28.7 70 25.6 18.0 45 Henderson 28 29.6 145 31.8 19.8 46 Hertford 4 16.8 41 35.4 29.1 47 Hoke 3 8.1 25 14.3 19.8 48 Hyde 0 0.0 12 41.3 32.7 49 Iredell 33 24.8 140 22.0 21.9 50 Jackson 6 17.1 35 20.8 18.9 *Death rates with a small number of deaths in the numerator should be interpreted with caution. SEE TECHNICAL NOTES. 30 TABLE 5 (cont.) Mortality Statistics Summary for 2003 North Carolina Residents CANCER – COLON, RECTUM, AND ANUS Number of Death Number of Death Age-Adjusted Geographical Deaths Rate* Deaths Rate* Death Rate* Area 2003 2003 1999-2003 1999-2003 1999-2003 51 Johnston 20 14.7 90 14.1 16.8 52 Jones 2 19.6 18 35.0 29.7 53 Lee 16 32.1 55 22.3 21.9 54 Lenoir 13 22.1 74 24.9 21.7 55 Lincoln 12 17.8 67 20.5 21.8 56 McDowell 8 18.6 52 24.4 21.4 57 Macon 9 28.7 39 25.7 15.4 58 Madison 3 15.0 20 20.3 15.5 59 Martin 8 32.1 32 25.3 21.5 60 Mecklenburg 115 15.3 510 14.2 19.2 61 Mitchell 5 31.4 22 27.8 18.8 62 Montgomery 5 18.3 29 21.5 19.8 63 Moore 28 35.8 111 29.2 19.4 64 Nash 22 24.5 94 21.3 21.4 65 New Hanover 22 13.0 129 15.8 15.3 66 Northampton 4 18.4 30 27.3 20.8 67 Onslow 14 8.9 91 12.0 23.3 68 Orange 14 11.6 78 13.1 17.3 69 Pamlico 0 0.0 17 26.3 19.4 70 Pasquotank 8 22.0 35 19.8 18.2 71 Pender 8 18.3 36 17.1 15.2 72 Perquimans 7 59.8 19 33.0 24.7 73 Person 9 24.3 44 24.3 22.0 74 Pitt 25 18.0 127 18.8 23.4 75 Polk 4 21.2 32 34.4 18.1 76 Randolph 25 18.5 123 18.6 18.9 77 Richmond 18 38.7 67 28.8 26.9 78 Robeson 21 16.7 103 16.6 20.0 79 Rockingham 30 32.5 110 23.9 20.5 80 Rowan 16 12.0 117 17.8 16.2 81 Rutherford 17 26.8 92 29.1 23.9 82 Sampson 13 20.9 68 22.3 21.8 83 Scotland 7 19.7 40 22.3 23.4 84 Stanly 12 20.3 62 21.2 19.1 85 Stokes 11 24.1 40 17.8 17.7 86 Surry 7 9.7 68 19.0 15.9 87 Swain 1 7.5 14 21.3 18.0 88 Transylvania 8 27.1 35 23.9 16.0 89 Tyrrell 1 23.7 10 47.9 37.5 90 Union 25 17.3 80 12.1 15.7 91 Vance 10 22.8 65 29.8 30.2 92 Wake 64 9.1 359 10.9 16.8 93 Warren 6 29.9 28 28.0 22.0 94 Washington 5 37.1 21 30.8 25.2 95 Watauga 8 18.7 31 14.5 16.3 96 Wayne 25 21.9 122 21.5 23.5 97 Wilkes 21 31.4 85 25.7 22.6 98 Wilson 10 13.2 63 16.9 16.2 99 Yadkin 8 21.7 37 20.2 18.0 100 Yancey 5 27.9 21 23.5 16.6 *Death rates with a small number of deaths in the numerator should be interpreted with caution. SEE TECHNICAL NOTES. Cancer - Colon, Rectum and Anus North Carolina Resident Data 1999-2003 Figure 5.A Cancer - Colon, Rectum and Anus North Carolina Resident Data 1999-2003 Figure 5.B 31 Age Adjusted Mortality Rates Per 100,000 Population Mortality Rates Per 100,000 Population 47.9 38.9 - 42.4 31.8 - 35.5 23.4 - 30.8 10.9 - 22.6 32.7 - 37.5 26.9 - 30.2 21.4 - 25.2 15.2 - 21.1 10.4 32 33 TABLE 6 Mortality Statistics Summary for 2003 North Carolina Residents CANCER – TRACHEA, BRONCHUS, AND LUNG Number of Death Number of Death Age-Adjusted Geographical Deaths Rate* Deaths Rate* Death Rate* Area 2003 2003 1999-2003 1999-2003 1999-2003 North Carolina 4,839 57.5 24,132 58.9 59.9 1 Alamance 81 59.4 451 67.6 61.5 2 Alexander 24 69.5 92 54.2 53.2 3 Alleghany 8 74.1 42 78.2 53.8 4 Anson 18 71.4 81 64.0 57.6 5 Ashe 21 83.7 97 78.7 56.3 6 Avery 10 55.3 64 73.0 58.6 7 Beaufort 43 94.3 199 87.9 69.7 8 Bertie 17 85.8 82 82.8 68.0 9 Bladen 20 61.0 120 73.9 63.9 10 Brunswick 58 70.9 339 88.6 65.7 11 Buncombe 139 65.5 709 68.0 56.5 12 Burke 71 80.0 308 69.2 63.0 13 Cabarrus 81 56.5 383 56.3 59.6 14 Caldwell 52 66.6 277 71.2 64.7 15 Camden 7 89.2 27 75.1 70.9 16 Carteret 59 97.4 282 94.4 70.3 17 Caswell 24 101.2 96 81.3 72.3 18 Catawba 94 64.2 448 62.2 61.2 19 Chatham 34 63.3 159 62.3 52.6 20 Cherokee 28 110.8 139 112.6 74.5 21 Chowan 7 48.7 59 82.1 60.7 22 Clay 10 106.7 43 95.5 58.1 23 Cleveland 68 69.7 342 70.7 64.7 24 Columbus 45 82.5 211 77.1 68.5 25 Craven 59 63.7 299 65.1 62.8 26 Cumberland 128 41.6 690 45.4 66.6 27 Currituck 15 72.8 64 67.2 62.4 28 Dare 34 102.0 123 78.7 72.6 29 Davidson 116 76.3 505 67.8 63.9 30 Davie 24 64.5 101 56.3 49.8 31 Duplin 22 43.3 141 56.6 54.8 32 Durham 114 48.3 552 48.3 60.3 33 Edgecombe 34 62.9 172 62.4 60.5 34 Forsyth 171 53.8 955 61.5 60.9 35 Franklin 27 52.3 152 62.1 66.2 36 Gaston 139 72.7 707 74.1 71.9 37 Gates 9 83.1 44 82.9 73.5 38 Graham 3 37.3 38 94.9 66.6 39 Granville 38 72.5 162 64.6 67.3 40 Greene 13 65.4 62 64.4 65.1 41 Guilford 246 57.1 1,168 55.0 57.6 42 Halifax 34 59.8 205 71.7 62.2 43 Harnett 49 50.1 261 55.7 64.7 44 Haywood 42 75.2 223 81.6 56.2 45 Henderson 80 84.7 350 76.7 49.9 46 Hertford 13 54.7 98 84.5 70.4 47 Hoke 22 59.5 89 50.9 73.0 48 Hyde 1 17.5 20 68.9 53.8 49 Iredell 78 58.5 364 57.3 56.3 50 Jackson 15 42.9 100 59.3 52.3 *Death rates with a small number of deaths in the numerator should be interpreted with caution. SEE TECHNICAL NOTES. 34 TABLE 6 (cont.) Mortality Statistics Summary for 2003 North Carolina Residents CANCER – TRACHEA, BRONCHUS, AND LUNG Number of Death Number of Death Age-Adjusted Geographical Deaths Rate* Deaths Rate* Death Rate* Area 2003 2003 1999-2003 1999-2003 1999-2003 51 Johnston 77 56.5 351 55.0 62.9 52 Jones 11 108.0 38 73.9 60.7 53 Lee 30 60.3 157 63.6 60.4 54 Lenoir 40 67.9 209 70.4 60.6 55 Lincoln 36 53.4 196 60.1 60.3 56 McDowell 34 78.9 173 81.1 69.9 57 Macon 23 73.3 117 77.0 48.9 58 Madison 19 95.1 78 79.0 63.6 59 Martin 10 40.1 86 68.0 56.1 60 Mecklenburg 277 36.9 1,365 38.1 51.4 61 Mitchell 16 100.5 68 86.0 60.6 62 Montgomery 19 69.5 80 59.2 53.5 63 Moore 71 90.8 329 86.5 55.8 64 Nash 49 54.7 280 63.4 62.8 65 New Hanover 106 62.7 517 63.3 60.3 66 Northampton 14 64.2 95 86.6 65.3 67 Onslow 58 37.0 298 39.3 72.1 68 Orange 46 38.1 265 44.6 60.4 69 Pamlico 9 69.3 60 92.8 64.5 70 Pasquotank 18 49.4 110 62.1 57.2 71 Pender 28 64.1 150 71.3 62.7 72 Perquimans 6 51.2 51 88.6 60.4 73 Person 33 89.2 125 69.1 62.7 74 Pitt 67 48.2 331 48.9 61.7 75 Polk 14 74.1 81 87.1 50.0 76 Randolph 91 67.4 401 60.6 59.9 77 Richmond 35 75.3 172 73.8 67.8 78 Robeson 70 55.8 352 56.7 64.9 79 Rockingham 88 95.2 386 83.8 71.4 80 Rowan 88 66.1 441 67.1 61.5 81 Rutherford 36 56.8 227 71.9 58.9 82 Sampson 38 61.1 168 55.1 53.1 83 Scotland 23 64.8 108 60.3 62.5 84 Stanly 34 57.6 189 64.7 57.8 85 Stokes 37 81.1 193 85.7 83.9 86 Surry 33 45.8 248 69.4 57.6 87 Swain 7 52.4 42 64.0 52.0 88 Transylvania 19 64.5 114 77.7 48.7 89 Tyrrell 5 118.3 22 105.5 84.1 90 Union 63 43.5 284 43.0 54.3 91 Vance 36 82.1 160 73.5 72.9 92 Wake 245 35.0 1,101 33.5 50.7 93 Warren 15 74.8 69 69.0 52.6 94 Washington 15 111.4 51 74.9 62.0 95 Watauga 15 35.1 70 32.8 36.3 96 Wayne 59 51.8 357 62.9 65.6 97 Wilkes 50 74.7 241 72.8 62.7 98 Wilson 55 72.7 234 62.8 59.5 99 Yadkin 19 51.6 131 71.6 62.3 100 Yancey 7 39.0 66 73.8 53.7 *Death rates with a small number of deaths in the numerator should be interpreted with caution. SEE TECHNICAL NOTES. Cancer - Trachea, Bronchus, and Lung North Carolina Resident Data 1999-2003 Figure 6.A Cancer - Trachea, Bronchus, and Lung North Carolina Resident Data 1999-2003 Figure 6.B 35 Age Adjusted Mortality Rates Per 100,000 Population Mortality Rates Per 100,000 Population 105.5 - 112.6 85.7 - 95.5 67.1 - 84.5 54.2 - 65.1 32.8 - 50.9 83.9 - 84.1 69.7 - 74.5 55.8 - 68.5 48.7 - 54.8 36.3 36 37 TABLE 7 Mortality Statistics Summary for 2003 North Carolina Residents CANCER – BREAST Number of Death Number of Death Age-Adjusted Geographical Deaths Rate* Deaths Rate* Death Rate* Area 2003 2003 1999-2003 1999-2003 1999-2003 North Carolina 1,198 28.0 5,845 28.0 25.6 1 Alamance 18 25.5 97 28.0 23.7 2 Alexander 3 17.3 27 31.8 28.7 3 Alleghany 3 55.0 13 47.6 31.9 4 Anson 5 39.4 18 27.9 24.5 5 Ashe 1 7.9 15 24.0 16.7 6 Avery 1 11.9 8 19.3 15.7 7 Beaufort 9 37.8 38 32.1 24.4 8 Bertie 4 38.0 12 22.7 18.6 9 Bladen 8 47.3 37 43.7 36.1 10 Brunswick 17 40.9 55 28.2 21.3 11 Buncombe 31 28.2 179 33.0 25.1 12 Burke 19 43.0 71 31.9 25.2 13 Cabarrus 20 27.6 81 23.5 22.0 14 Caldwell 12 30.4 59 30.0 24.5 15 Camden 1 25.2 6 33.3 28.2 16 Carteret 13 42.1 63 41.4 30.9 17 Caswell 6 51.8 20 34.2 28.7 18 Catawba 21 28.4 101 27.7 24.7 19 Chatham 8 29.4 38 29.2 22.8 20 Cherokee 4 30.8 26 40.9 30.9 21 Chowan 1 13.1 7 18.3 13.4 22 Clay 4 83.2 12 51.8 30.2 23 Cleveland 18 35.6 80 31.9 27.0 24 Columbus 10 35.5 59 41.4 35.0 25 Craven 20 43.7 67 29.4 26.6 26 Cumberland 39 25.7 188 25.1 30.4 27 Currituck 1 9.6 12 25.1 22.4 28 Dare 3 18.2 27 34.8 28.6 29 Davidson 17 21.9 108 28.4 25.2 30 Davie 5 26.5 21 23.1 18.8 31 Duplin 9 35.4 50 39.8 34.3 32 Durham 25 20.5 152 25.6 27.0 33 Edgecombe 12 41.6 64 43.3 38.1 34 Forsyth 49 29.6 231 28.5 25.4 35 Franklin 6 23.0 29 23.3 21.7 36 Gaston 26 26.4 145 29.5 26.3 37 Gates 2 36.3 8 29.6 27.1 38 Graham 2 48.4 5 24.4 15.4 39 Granville 8 32.6 39 32.6 29.2 40 Greene 5 52.1 21 45.0 39.3 41 Guilford 57 25.5 313 28.3 26.5 42 Halifax 13 43.7 54 36.0 30.8 43 Harnett 12 24.3 51 21.5 22.1 44 Haywood 9 31.0 50 35.1 23.6 45 Henderson 19 39.1 75 31.8 20.9 46 Hertford 7 54.4 22 35.0 27.9 47 Hoke 2 11.0 20 23.2 28.6 48 Hyde 2 76.6 7 50.8 39.5 49 Iredell 17 25.1 72 22.2 19.8 50 Jackson 9 50.5 24 27.8 22.4 *Death rates with a small number of deaths in the numerator should be interpreted with caution. SEE TECHNICAL NOTES. 38 TABLE 7 (cont.) Mortality Statistics Summary for 2003 North Carolina Residents CANCER – BREAST Number of Death Number of Death Age-Adjusted Geographical Deaths Rate* Deaths Rate* Death Rate* Area 2003 2003 1999-2003 1999-2003 1999-2003 51 Johnston 13 19.1 80 24.9 25.1 52 Jones 0 0.0 9 33.7 29.4 53 Lee 9 35.9 37 29.6 26.2 54 Lenoir 18 58.4 65 41.6 33.7 55 Lincoln 8 23.7 42 25.6 23.4 56 McDowell 1 4.7 21 19.6 14.6 57 Macon 7 42.9 31 39.2 23.5 58 Madison 2 19.8 21 42.1 31.5 59 Martin 4 29.8 21 31.0 24.9 60 Mecklenburg 104 27.4 433 23.7 26.5 61 Mitchell 2 24.7 12 29.6 17.9 62 Montgomery 1 7.4 21 31.6 25.8 63 Moore 9 22.3 63 31.9 20.8 64 Nash 15 32.4 69 30.1 27.0 65 New Hanover 27 31.0 134 31.6 27.6 66 Northampton 6 52.7 24 42.0 30.7 67 Onslow 9 12.8 49 14.6 20.5 68 Orange 13 20.6 74 23.8 27.8 69 Pamlico 2 31.4 7 21.7 11.9 70 Pasquotank 10 53.6 33 35.9 31.5 71 Pender 6 27.8 30 28.5 23.4 72 Perquimans 2 32.6 12 40.0 33.2 73 Person 3 15.7 24 25.6 21.6 74 Pitt 16 22.0 93 26.1 28.9 75 Polk 3 30.3 14 28.6 17.6 76 Randolph 19 27.9 82 24.5 22.5 77 Richmond 5 21.2 41 34.5 28.3 78 Robeson 17 26.5 96 30.0 30.9 79 Rockingham 20 42.0 95 39.8 31.5 80 Rowan 15 22.4 106 31.9 27.4 81 Rutherford 6 18.3 56 34.3 24.8 82 Sampson 14 45.0 44 28.5 25.0 83 Scotland 8 42.4 35 36.7 33.6 84 Stanly 10 33.6 39 26.3 21.3 85 Stokes 13 55.9 32 27.9 24.8 86 Surry 18 49.2 73 39.9 31.0 87 Swain 3 43.5 14 41.8 32.3 88 Transylvania 4 26.1 26 34.2 21.8 89 Tyrrell 3 157.2 8 81.2 66.4 90 Union 17 23.6 79 23.9 25.8 91 Vance 5 21.7 36 31.3 27.7 92 Wake 65 18.5 302 18.2 21.9 93 Warren 3 29.6 21 41.2 31.0 94 Washington 0 0.0 9 25.0 19.4 95 Watauga 3 14.0 19 17.7 17.7 96 Wayne 15 25.9 96 33.6 31.5 97 Wilkes 15 44.4 45 26.8 21.5 98 Wilson 10 25.4 63 32.3 28.4 99 Yadkin 4 21.4 15 16.1 12.9 100 Yancey 3 32.9 17 37.2 25.0 *Death rates with a small number of deaths in the numerator should be interpreted with caution. SEE TECHNICAL NOTES. Cancer - Breast North Carolina Resident Data 1999-2003 Figure 7.A Cancer - Breast North Carolina Resident Data 1999-2003 Figure 7.B 39 Age Adjusted Mortality Rates Per 100,000 Female Population Mortality Rates Per 100,000 Female Population 81.2 47.6 - 51.8 39.2 - 45.0 21.5 - 37.2 14.6 - 19.6 66.4 38.1 - 39.5 30.2 - 36.1 20.5 - 29.4 11.9 - 19.8 40 41 TABLE 8 Mortality Statistics Summary for 2003 North Carolina Residents CANCER – PROSTATE Number of Death Number of Death Age-Adjusted Geographical Deaths Rate* Deaths Rate* Death Rate* Area 2003 2003 1999-2003 1999-2003 1999-2003 North Carolina 894 21.6 4,574 22.8 32.7 1 Alamance 25 38.0 84 26.2 31.1 2 Alexander 2 11.6 19 22.5 34.9 3 Alleghany 2 37.5 12 45.4 40.0 4 Anson 4 31.9 17 27.5 32.7 5 Ashe 3 24.1 20 32.9 28.0 6 Avery 1 10.3 7 15.1 16.1 7 Beaufort 7 32.1 30 27.8 28.6 8 Bertie 1 10.8 17 36.9 35.6 9 Bladen 2 12.6 26 33.5 43.6 10 Brunswick 6 14.9 44 23.4 26.3 11 Buncombe 27 26.4 140 28.0 28.7 12 Burke 6 13.5 30 13.5 18.5 13 Cabarrus 12 16.9 64 19.1 29.8 14 Caldwell 8 20.7 50 26.0 32.7 15 Camden 3 77.5 5 27.9 32.3 16 Carteret 7 23.6 50 34.1 32.6 17 Caswell 5 41.2 26 43.7 56.0 18 Catawba 11 15.2 71 20.0 29.2 19 Chatham 9 33.9 41 32.7 35.2 20 Cherokee 1 8.1 21 35.1 25.5 21 Chowan 1 14.8 10 29.7 25.9 22 Clay 2 43.8 9 41.2 25.5 23 Cleveland 13 27.6 69 29.6 38.7 24 Columbus 6 22.7 36 27.5 35.3 25 Craven 11 23.4 55 23.7 32.8 26 Cumberland 23 14.7 122 15.8 40.1 27 Currituck 2 19.6 12 25.3 35.5 28 Dare 3 17.9 12 15.3 22.0 29 Davidson 19 25.5 78 21.3 28.7 30 Davie 5 27.2 19 21.5 24.5 31 Duplin 9 35.5 37 30.0 41.7 32 Durham 30 26.3 131 23.8 42.1 33 Edgecombe 5 19.8 36 28.2 40.3 34 Forsyth 33 21.7 168 22.6 30.9 35 Franklin 6 23.4 27 22.4 34.4 36 Gaston 21 22.6 102 22.1 31.5 37 Gates 4 75.2 15 57.5 62.1 38 Graham 1 25.5 7 35.7 31.7 39 Granville 6 21.5 42 32.1 51.8 40 Greene 0 0.0 7 14.1 21.1 41 Guilford 43 20.7 239 23.5 33.8 42 Halifax 4 14.8 53 39.0 46.8 43 Harnett 9 18.6 47 20.4 38.6 44 Haywood 9 33.6 39 29.8 24.8 45 Henderson 14 30.5 82 37.2 26.1 46 Hertford 3 27.5 18 33.9 38.5 47 Hoke 2 10.7 17 19.2 46.9 48 Hyde 0 0.0 4 26.2 27.2 49 Iredell 18 27.5 55 17.7 23.6 50 Jackson 2 11.6 14 17.0 20.8 *Death rates with a small number of deaths in the numerator should be interpreted with caution. SEE TECHNICAL NOTES. 42 TABLE 8 (cont.) Mortality Statistics Summary for 2003 North Carolina Residents CANCER – PROSTATE Number of Death Number of Death Age-Adjusted Geographical Deaths Rate* Deaths Rate* Death Rate* Area 2003 2003 1999-2003 1999-2003 1999-2003 51 Johnston 9 13.2 52 16.4 30.0 52 Jones 4 81.1 8 32.4 42.4 53 Lee 5 20.2 30 24.6 33.3 54 Lenoir 8 28.5 57 40.6 49.1 55 Lincoln 6 17.8 29 17.9 26.0 56 McDowell 3 13.9 17 16.0 18.3 57 Macon 6 39.8 29 39.8 26.2 58 Madison 4 40.5 14 28.7 26.8 59 Martin 4 34.8 23 39.2 46.9 60 Mecklenburg 55 14.9 276 15.7 31.8 61 Mitchell 3 38.3 14 36.3 34.4 62 Montgomery 1 7.2 21 30.5 41.0 63 Moore 14 37.1 69 37.7 27.6 64 Nash 15 34.6 54 25.4 38.5 65 New Hanover 16 19.5 84 21.3 27.2 66 Northampton 8 76.8 32 60.9 57.0 67 Onslow 6 6.9 36 8.5 28.4 68 Orange 11 19.0 49 17.3 34.6 69 Pamlico 4 60.4 16 49.5 52.1 70 Pasquotank 9 50.6 30 35.2 43.2 71 Pender 8 36.2 39 37.0 52.5 72 Perquimans 3 53.7 16 58.1 46.1 73 Person 9 50.3 28 32.1 40.8 74 Pitt 13 19.7 61 19.0 35.4 75 Polk 3 33.3 11 25.0 15.9 76 Randolph 18 26.9 56 17.1 25.7 77 Richmond 5 21.8 41 36.0 49.4 78 Robeson 21 34.2 86 28.6 48.0 79 Rockingham 8 17.9 52 23.4 26.2 80 Rowan 19 28.7 78 24.0 27.7 81 Rutherford 8 26.1 39 25.6 27.0 82 Sampson 14 45.0 58 38.6 53.8 83 Scotland 7 42.0 26 31.1 47.1 84 Stanly 10 34.1 41 28.5 34.4 85 Stokes 3 13.4 26 23.5 30.9 86 Surry 5 14.1 41 23.5 26.8 87 Swain 1 15.5 7 21.7 22.5 88 Transylvania 4 28.3 20 28.3 21.5 89 Tyrrell 1 43.1 6 54.5 56.1 90 Union 9 12.4 53 16.1 30.4 91 Vance 6 28.8 34 33.0 45.5 92 Wake 47 13.5 221 13.6 33.5 93 Warren 5 50.4 24 48.9 49.8 94 Washington 0 0.0 14 43.6 47.2 95 Watauga 2 9.4 22 20.7 31.2 96 Wayne 9 16.0 75 26.6 42.9 97 Wilkes 7 21.1 38 23.3 28.2 98 Wilson 8 22.0 43 24.2 33.6 99 Yadkin 2 11.0 24 26.7 31.6 100 Yancey 2 22.7 18 41.1 36.2 *Death rates with a small number of deaths in the numerator should be interpreted with caution. SEE TECHNICAL NOTES. Cancer - Prostate North Carolina Resident Data 1999-2003 Figure 8.A Cancer - Prostate North Carolina Resident Data 1999-2003 Figure 8.B 43 Age Adjusted Mortality Rates Per 100,000 Male Population Mortality Rates Per 100,000 Male Population 54.5 - 60.9 48.9 - 49.5 32.1 - 45.4 21.3 - 31.1 8.5 - 20.7 62.1 51.8 - 57.0 38.5 - 49.8 23.6 - 36.2 15.9 - 22.5 44 45 TABLE 9 Mortality Statistics Summary for 2003 North Carolina Residents HUMAN IMMUNODEFICIENCY VIRUS (HIV) DISEASE Number of Death Number of Death Age-Adjusted Geographical Deaths Rate* Deaths Rate* Death Rate* Area 2003 2003 1999-2003 1999-2003 1999-2003 North Carolina 454 5.4 2,321 5.7 5.6 1 Alamance 4 2.9 28 4.2 4.3 2 Alexander 1 2.9 3 1.8 1.7 3 Alleghany 0 0.0 0 0.0 0.0 4 Anson 2 7.9 6 4.7 4.9 5 Ashe 0 0.0 0 0.0 0.0 6 Avery 0 0.0 0 0.0 0.0 7 Beaufort 4 8.8 15 6.6 6.4 8 Bertie 4 20.2 15 15.1 15.4 9 Bladen 2 6.1 12 7.4 7.7 10 Brunswick 1 1.2 11 2.9 3.0 11 Buncombe 5 2.4 44 4.2 4.1 12 Burke 0 0.0 4 0.9 0.9 13 Cabarrus 5 3.5 25 3.7 3.6 14 Caldwell 0 0.0 2 0.5 0.5 15 Camden 0 0.0 4 11.1 9.9 16 Carteret 1 1.7 4 1.3 1.3 17 Caswell 1 4.2 4 3.4 3.1 18 Catawba 5 3.4 17 2.4 2.3 19 Chatham 0 0.0 4 1.6 1.4 20 Cherokee 2 7.9 2 1.6 2.0 21 Chowan 0 0.0 4 5.6 5.9 22 Clay 1 10.7 2 4.4 4.7 23 Cleveland 6 6.2 23 4.8 5.0 24 Columbus 4 7.3 16 5.8 5.9 25 Craven 4 4.3 18 3.9 4.3 26 Cumberland 24 7.8 116 7.6 8.1 27 Currituck 0 0.0 1 1.1 1.0 28 Dare 0 0.0 4 2.6 2.2 29 Davidson 2 1.3 20 2.7 2.6 30 Davie 1 2.7 3 1.7 1.8 31 Duplin 5 9.8 25 10.0 10.3 32 Durham 23 9.7 137 12.0 12.3 33 Edgecombe 8 14.8 32 11.6 11.9 34 Forsyth 19 6.0 115 7.4 7.3 35 Franklin 0 0.0 9 3.7 3.6 36 Gaston 15 7.8 80 8.4 8.2 37 Gates 0 0.0 3 5.7 5.9 38 Graham 0 0.0 0 0.0 0.0 39 Granville 1 1.9 5 2.0 1.9 40 Greene 1 5.0 5 5.2 5.1 41 Guilford 30 7.0 140 6.6 6.5 42 Halifax 6 10.5 33 11.5 11.8 43 Harnett 4 4.1 24 5.1 5.3 44 Haywood 0 0.0 2 0.7 0.8 45 Henderson 5 5.3 10 2.2 2.3 46 Hertford 2 8.4 13 11.2 11.6 47 Hoke 2 5.4 13 7.4 7.9 48 Hyde 0 0.0 1 3.4 3.1 49 Iredell 5 3.8 14 2.2 2.1 50 Jackson 1 2.9 2 1.2 1.4 *Death rates with a small number of deaths in the numerator should be interpreted with caution. SEE TECHNICAL NOTES. 46 TABLE 9 (cont.) Mortality Statistics Summary for 2003 North Carolina Residents HUMAN IMMUNODEFICIENCY VIRUS (HIV) DISEASE Number of Death Number of Death Age-Adjusted Geographical Deaths Rate* Deaths Rate* Death Rate* Area 2003 2003 1999-2003 1999-2003 1999-2003 51 Johnston 7 5.1 34 5.3 5.0 52 Jones 2 19.6 5 9.7 9.5 53 Lee 2 4.0 5 2.0 2.1 54 Lenoir 8 13.6 41 13.8 14.1 55 Lincoln 4 5.9 10 3.1 2.9 56 McDowell 0 0.0 1 0.5 0.5 57 Macon 0 0.0 1 0.7 0.6 58 Madison 0 0.0 0 0.0 0.0 59 Martin 5 20.1 13 10.3 10.0 60 Mecklenburg 87 11.6 466 13.0 12.4 61 Mitchell 0 0.0 1 1.3 1.5 62 Montgomery 0 0.0 0 0.0 0.0 63 Moore 4 5.1 16 4.2 4.5 64 Nash 2 2.2 32 7.2 7.1 65 New Hanover 6 3.5 32 3.9 3.8 66 Northampton 3 13.8 12 10.9 10.5 67 Onslow 5 3.2 16 2.1 2.6 68 Orange 2 1.7 15 2.5 2.5 69 Pamlico 0 0.0 2 3.1 2.7 70 Pasquotank 1 2.7 11 6.2 6.5 71 Pender 0 0.0 3 1.4 1.4 72 Perquimans 0 0.0 0 0.0 0.0 73 Person 2 5.4 9 5.0 4.8 74 Pitt 15 10.8 54 8.0 8.5 75 Polk 0 0.0 2 2.2 2.1 76 Randolph 1 0.7 13 2.0 1.9 77 Richmond 4 8.6 13 5.6 5.9 78 Robeson 12 9.6 36 5.8 6.0 79 Rockingham 4 4.3 14 3.0 3.0 80 Rowan 5 3.8 20 3.0 3.1 81 Rutherford 0 0.0 5 1.6 1.6 82 Sampson 3 4.8 20 6.6 6.8 83 Scotland 4 11.3 14 7.8 8.4 84 Stanly 2 3.4 7 2.4 2.4 85 Stokes 1 2.2 2 0.9 0.9 86 Surry 1 1.4 4 1.1 1.0 87 Swain 0 0.0 0 0.0 0.0 88 Transylvania 2 6.8 7 4.8 5.5 89 Tyrrell 0 0.0 2 9.6 9.4 90 Union 4 2.8 24 3.6 3.5 91 Vance 4 9.1 27 12.4 13.1 92 Wake 27 3.9 149 4.5 4.3 93 Warren 2 10.0 5 5.0 4.6 94 Washington 0 0.0 9 13.2 15.5 95 Watauga 1 2.3 2 0.9 1.1 96 Wayne 11 9.7 43 7.6 7.6 97 Wilkes 0 0.0 3 0.9 0.8 98 Wilson 5 6.6 48 12.9 13.1 99 Yadkin 0 0.0 3 1.6 1.3 100 Yancey 0 0.0 0 0.0 0.0 *Death rates with a small number of deaths in the numerator should be interpreted with caution. SEE TECHNICAL NOTES. HIV Disease North Carolina Resident Data 1999-2003 Figure 9.A HIV Disease North Carolina Resident Data 1999-2003 Figure 9.B 47 Age Adjusted Mortality Rates Per 100,000 Population Mortality Rates Per 100,000 Population 12.4 - 15.1 9.6 - 12.0 5.6 - 8.4 2.9 - 5.3 0.0 - 2.7 15.4 - 15.5 11.6 - 14.1 7.1 - 10.5 3.5 - 6.8 0.0 - 3.1 48 49 TABLE 10 Mortality Statistics Summary for 2003 North Carolina Residents SEPTICEMIA Number of Death Number of Death Age-Adjusted Geographical Deaths Rate* Deaths Rate* Death Rate* Area 2003 2003 1999-2003 1999-2003 1999-2003 North Carolina 1,209 14.4 5,500 13.4 14.1 1 Alamance 16 11.7 68 10.2 9.3 2 Alexander 7 20.3 17 10.0 11.1 3 Alleghany 2 18.5 8 14.9 9.3 4 Anson 10 39.6 30 23.7 20.4 5 Ashe 3 12.0 20 16.2 11.0 6 Avery 2 11.1 13 14.8 12.2 7 Beaufort 7 15.4 39 17.2 14.9 8 Bertie 5 25.2 29 29.3 23.8 9 Bladen 9 27.5 37 22.8 19.9 10 Brunswick 19 23.2 58 15.2 14.1 11 Buncombe 34 16.0 179 17.2 13.9 12 Burke 14 15.8 61 13.7 13.0 13 Cabarrus 20 13.9 92 13.5 14.5 14 Caldwell 13 16.6 53 13.6 13.0 15 Camden 2 25.5 6 16.7 16.8 16 Carteret 7 11.6 34 11.4 9.1 17 Caswell 5 21.1 25 21.2 19.6 18 Catawba 17 11.6 102 14.2 14.6 19 Chatham 6 11.2 35 13.7 11.4 20 Cherokee 3 11.9 12 9.7 6.4 21 Chowan 2 13.9 9 12.5 8.1 22 Clay 0 0.0 3 6.7 3.7 23 Cleveland 14 14.4 57 11.8 11.0 24 Columbus 14 25.7 77 28.2 26.0 25 Craven 11 11.9 89 19.4 20.5 26 Cumberland 36 11.7 166 10.9 17.9 27 Currituck 1 4.9 10 10.5 10.7 28 Dare 6 18.0 32 20.5 22.3 29 Davidson 18 11.8 96 12.9 12.9 30 Davie 8 21.5 24 13.4 12.2 31 Duplin 5 9.8 33 13.3 13.2 32 Durham 43 18.2 151 13.2 16.2 33 Edgecombe 10 18.5 48 17.4 17.5 34 Forsyth 45 14.2 215 13.8 13.8 35 Franklin 10 19.4 41 16.7 18.5 36 Gaston 34 17.8 144 15.1 15.3 37 Gates 4 36.9 20 37.7 34.6 38 Graham 3 37.3 9 22.5 15.9 39 Granville 10 19.1 37 14.8 16.2 40 Greene 2 10.1 17 17.7 18.0 41 Guilford 69 16.0 272 12.8 13.5 42 Halifax 11 19.3 59 20.6 18.1 43 Harnett 15 15.3 59 12.6 14.9 44 Haywood 5 9.0 29 10.6 7.6 45 Henderson 18 19.0 84 18.4 11.4 46 Hertford 8 33.7 23 19.8 16.3 47 Hoke 5 13.5 22 12.6 19.1 48 Hyde 0 0.0 4 13.8 11.5 49 Iredell 19 14.3 69 10.9 11.2 50 Jackson 5 14.3 24 14.2 13.2 *Death rates with a small number of deaths in the numerator should be interpreted with caution. SEE TECHNICAL NOTES. 50 TABLE 10 (cont.) Mortality Statistics Summary for 2003 North Carolina Residents SEPTICEMIA Number of Death Number of Death Age-Adjusted Geographical Deaths Rate* Deaths Rate* Death Rate* Area 2003 2003 1999-2003 1999-2003 1999-2003 51 Johnston 20 14.7 85 13.3 16.1 52 Jones 4 39.3 11 21.4 18.9 53 Lee 10 20.1 42 17.0 16.6 54 Lenoir 13 22.1 54 18.2 16.4 55 Lincoln 8 11.9 42 12.9 14.0 56 McDowell 10 23.2 35 16.4 14.7 57 Macon 7 22.3 25 16.4 10.3 58 Madison 8 40.0 40 40.5 29.9 59 Martin 8 32.1 35 27.7 23.5 60 Mecklenburg 67 8.9 309 8.6 11.9 61 Mitchell 2 12.6 10 12.7 8.6 62 Montgomery 0 0.0 9 6.7 6.2 63 Moore 9 11.5 46 12.1 7.9 64 Nash 20 22.3 61 13.8 14.3 65 New Hanover 18 10.6 81 9.9 9.9 66 Northampton 4 18.4 28 25.5 19.9 67 Onslow 15 9.6 58 7.7 15.9 68 Orange 9 7.4 50 8.4 11.9 69 Pamlico 2 15.4 9 13.9 11.0 70 Pasquotank 8 22.0 28 15.8 14.0 71 Pender 3 6.9 25 11.9 11.8 72 Perquimans 2 17.1 14 24.3 17.3 73 Person 13 35.2 38 21.0 19.6 74 Pitt 22 15.8 104 15.4 20.0 75 Polk 1 5.3 11 11.8 6.3 76 Randolph 32 23.7 105 15.9 16.4 77 Richmond 9 19.4 34 14.6 14.0 78 Robeson 21 16.7 103 16.6 19.9 79 Rockingham 16 17.3 100 21.7 18.7 80 Rowan 17 12.8 100 15.2 13.7 81 Rutherford 13 20.5 56 17.7 14.4 82 Sampson 3 4.8 35 11.5 11.2 83 Scotland 4 11.3 23 12.8 14.0 84 Stanly 9 15.2 26 8.9 8.0 85 Stokes 7 15.3 30 13.3 13.6 86 Surry 8 11.1 50 14.0 11.6 87 Swain 3 22.5 20 30.5 24.8 88 Transylvania 3 10.2 20 13.6 10.2 89 Tyrrell 0 0.0 4 19.2 16.3 90 Union 11 7.6 57 8.6 11.9 91 Vance 8 18.2 47 21.6 21.9 92 Wake 65 9.3 260 7.9 12.5 93 Warren 2 10.0 23 23.0 18.4 94 Washington 2 14.9 19 27.9 23.4 95 Watauga 4 9.4 13 6.1 6.8 96 Wayne 17 14.9 103 18.1 20.9 97 Wilkes 10 14.9 55 16.6 15.0 98 Wilson 18 23.8 75 20.1 20.2 99 Yadkin 11 29.9 39 21.3 19.2 100 Yancey 1 5.6 12 13.4 9.1 *Death rates with a small number of deaths in the numerator should be interpreted with caution. SEE TECHNICAL NOTES. Septicemia North Carolina Resident Data 1999-2003 Figure 10.A Septicemia North Carolina Resident Data 1999-2003 Figure 10.B 51 Age Adjusted Mortality Rates Per 100,000 Population Mortality Rates Per 100,000 Population 37.7 - 40.5 27.7 - 30.5 19.2 - 25.5 9.7 - 18.4 6.1 - 8.9 29.9 - 34.6 17.9 - 26.0 10.7 - 17.5 6.2 - 10.3 3.7 52 53 TABLE 11 Mortality Statistics Summary for 2003 North Carolina Residents DIABETES MELLITUS Number of Death Number of Death Age-Adjusted Geographical Deaths Rate* Deaths Rate* Death Rate* Area 2003 2003 1999-2003 1999-2003 1999-2003 North Carolina 2,384 28.3 10,894 26.6 27.5 1 Alamance 41 30.1 173 25.9 23.5 2 Alexander 3 8.7 29 17.1 17.8 3 Alleghany 2 18.5 25 46.5 33.8 4 Anson 8 31.7 58 45.9 40.4 5 Ashe 9 35.9 46 37.3 26.8 6 Avery 5 27.6 24 27.4 22.1 7 Beaufort 18 39.5 56 24.7 20.4 8 Bertie 9 45.4 72 72.7 59.7 9 Bladen 22 67.1 76 46.8 41.5 10 Brunswick 18 22.0 98 25.6 22.1 11 Buncombe 50 23.6 233 22.4 18.4 12 Burke 30 33.8 139 31.2 29.2 13 Cabarrus 34 23.7 152 22.3 23.8 14 Caldwell 28 35.8 130 33.4 31.3 15 Camden 1 12.7 5 13.9 12.6 16 Carteret 20 33.0 86 28.8 22.7 17 Caswell 21 88.5 51 43.2 40.0 18 Catawba 46 31.4 181 25.1 25.3 19 Chatham 16 29.8 76 29.8 24.9 20 Cherokee 8 31.6 48 38.9 26.8 21 Chowan 11 76.6 31 43.2 30.6 22 Clay 0 0.0 9 20.0 12.8 23 Cleveland 30 30.8 167 34.5 32.0 24 Columbus 18 33.0 100 36.6 33.7 25 Craven 27 29.1 124 27.0 27.7 26 Cumberland 94 30.5 405 26.6 41.7 27 Currituck 4 19.4 25 26.3 26.0 28 Dare 6 18.0 21 13.4 13.0 29 Davidson 54 35.5 177 23.7 23.2 30 Davie 12 32.2 60 33.4 30.4 31 Duplin 24 47.3 102 41.0 40.2 32 Durham 56 23.7 245 21.4 26.6 33 Edgecombe 22 40.7 101 36.7 36.5 34 Forsyth 107 33.7 466 30.0 29.8 35 Forsyth 13 25.2 75 30.6 33.1 36 Gaston 52 27.2 311 32.6 32.1 37 Gates 5 46.2 24 45.2 40.1 38 Graham 2 24.9 16 39.9 27.7 39 Granville 26 49.6 82 32.7 35.3 40 Greene 16 80.5 34 35.3 36.4 41 Guilford 84 19.5 411 19.3 20.3 42 Halifax 23 40.4 126 44.1 38.8 43 Harnett 18 18.4 124 26.5 31.6 44 Haywood 16 28.7 88 32.2 22.8 45 Henderson 18 19.0 96 21.0 13.8 46 Hertford 18 75.8 52 44.8 36.9 47 Hoke 13 35.1 58 33.2 51.0 48 Hyde 9 157.3 14 48.2 38.3 49 Iredell 35 26.3 155 24.4 24.5 50 Jackson 17 48.6 54 32.0 28.8 *Death rates with a small number of deaths in the numerator should be interpreted with caution. SEE TECHNICAL NOTES. 54 TABLE 11 (cont.) Mortality Statistics Summary for 2003 North Carolina Residents DIABETES MELLITUS Number of Death Number of Death Age-Adjusted Geographical Deaths Rate* Deaths Rate* Death Rate* Area 2003 2003 1999-2003 1999-2003 1999-2003 51 Johnston 35 25.7 133 20.8 25.4 52 Jones 3 29.5 20 38.9 32.6 53 Lee 15 30.1 83 33.6 32.9 54 Lenoir 30 50.9 143 48.2 42.9 55 Lincoln 16 23.7 67 20.5 21.6 56 McDowell 6 13.9 69 32.4 28.9 57 Macon 10 31.9 60 39.5 24.6 58 Madison 2 10.0 18 18.2 14.4 59 Martin 20 80.2 88 69.6 58.7 60 Mecklenburg 127 16.9 642 17.9 24.2 61 Mitchell 7 44.0 27 34.2 26.6 62 Montgomery 14 51.2 45 33.3 31.0 63 Moore 22 28.1 90 23.7 16.0 64 Nash 31 34.6 124 28.1 28.4 65 New Hanover 35 20.7 221 27.0 26.4 66 Northampton 16 73.4 62 56.5 43.4 67 Onslow 33 21.0 125 16.5 31.8 68 Orange 17 14.1 77 13.0 17.5 69 Pamlico 2 15.4 15 23.2 16.3 70 Pasquotank 11 30.2 57 32.2 29.8 71 Pender 12 27.5 58 27.6 25.8 72 Perquimans 1 8.5 14 24.3 16.6 73 Person 7 18.9 49 27.1 24.8 74 Pitt 40 28.8 183 27.0 34.3 75 Polk 4 21.2 23 24.7 14.8 76 Randolph 34 25.2 133 20.1 20.5 77 Richmond 19 40.9 117 50.2 46.7 78 Robeson 67 53.4 266 42.9 51.6 79 Rockingham 37 40.0 163 35.4 30.5 80 Rowan 50 37.6 231 35.1 31.7 81 Rutherford 19 30.0 73 23.1 19.1 82 Sampson 38 61.1 150 49.2 48.2 83 Scotland 17 47.9 75 41.9 44.0 84 Stanly 23 38.9 111 38.0 34.2 85 Stokes 9 19.7 57 25.3 25.7 86 Surry 21 29.2 98 27.4 22.8 87 Swain 8 59.9 52 79.2 66.1 88 Transylvania 11 37.3 43 29.3 19.3 89 Tyrrell 0 0.0 5 24.0 19.9 90 Union 28 19.3 125 18.9 25.1 91 Vance 13 29.6 74 34.0 34.5 92 Wake 133 19.0 520 15.8 24.7 93 Warren 1 5.0 27 27.0 20.4 94 Washington 7 52.0 28 41.1 33.1 95 Watauga 3 7.0 29 13.6 15.7 96 Wayne 38 33.3 223 39.3 43.7 97 Wilkes 21 31.4 76 23.0 20.7 98 Wilson 30 39.7 127 34.1 33.3 99 Yadkin 13 35.3 57 31.2 27.6 100 Yancey 9 50.2 30 33.6 24.5 *Death rates with a small number of deaths in the numerator should be interpreted with caution. SEE TECHNICAL NOTES. Diabetes Mellitus North Carolina Resident Data 1999-2003 Figure 11.A Diabetes Mellitus North Carolina Resident Data 1999-2003 Figure 11.B 55 Age Adjusted Mortality Rates Per 100,000 Population Mortality Rates Per 100,000 Population 69.6 - 79.2 56.5 42.9 - 50.2 30.6 - 41.9 13.0 - 30.0 58.7 - 66.1 46.7 - 51.6 36.4 - 44.0 19.1 - 35.3 12.6 - 18.4 56 57 TABLE 12 Mortality Statistics Summary for 2003 North Carolina Residents PNEUMONIA AND INFLUENZA Number of Death Number of Death Age-Adjusted Geographical Deaths Rate* Deaths Rate* Death Rate* Area 2003 2003 1999-2003 1999-2003 1999-2003 North Carolina 1,988 23.6 9,469 23.1 24.9 1 Alamance 26 19.1 141 21.1 19.0 2 Alexander 13 37.6 82 48.3 55.3 3 Alleghany 5 46.3 19 35.4 22.4 4 Anson 7 27.8 48 38.0 31.5 5 Ashe 7 27.9 40 32.4 22.0 6 Avery 15 82.9 41 46.8 38.7 7 Beaufort 6 13.2 59 26.1 21.6 8 Bertie 8 40.4 32 32.3 27.1 9 Bladen 8 24.4 45 27.7 25.5 10 Brunswick 14 17.1 79 20.6 21.4 11 Buncombe 70 33.0 337 32.3 25.6 12 Burke 20 22.5 125 28.1 27.0 13 Cabarrus 44 30.7 201 29.5 32.6 14 Caldwell 20 25.6 113 29.1 28.6 15 Camden 1 12.7 5 13.9 14.5 16 Carteret 11 18.2 61 20.4 17.5 17 Caswell 4 16.9 28 23.7 22.8 18 Catawba 51 34.8 225 31.2 33.8 19 Chatham 15 27.9 83 32.5 27.0 20 Cherokee 17 67.2 66 53.5 35.0 21 Chowan 7 48.7 28 39.0 25.9 22 Clay 3 32.0 16 35.5 21.1 23 Cleveland 18 18.5 106 21.9 20.6 24 Columbus 14 25.7 71 26.0 24.8 25 Craven 23 24.8 120 26.1 28.7 26 Cumberland 58 18.8 241 15.8 29.1 27 Currituck 11 53.4 40 42.0 52.0 28 Dare 14 42.0 59 37.8 47.0 29 Davidson 38 25.0 180 24.2 25.0 30 Davie 8 21.5 39 21.7 20.3 31 Duplin 15 29.5 59 23.7 24.0 32 Durham 46 19.5 231 20.2 24.9 33 Edgecombe 7 12.9 54 19.6 19.8 34 Forsyth 60 18.9 347 22.3 22.4 35 Franklin 14 27.1 60 24.5 27.8 36 Gaston 60 31.4 267 28.0 29.5 37 Gates 2 18.5 9 17.0 16.1 38 Graham 6 74.6 14 34.9 25.1 39 Granville 14 26.7 61 24.3 27.3 40 Greene 6 30.2 16 16.6 17.5 41 Guilford 124 28.8 595 28.0 29.8 42 Halifax 18 31.6 73 25.5 22.2 43 Harnett 26 26.6 106 22.6 28.4 44 Haywood 26 46.6 127 46.5 31.8 45 Henderson 41 43.4 171 37.5 22.4 46 Hertford 8 33.7 45 38.8 32.7 47 Hoke 3 8.1 27 15.4 26.2 48 Hyde 2 35.0 5 17.2 11.2 49 Iredell 39 29.3 152 23.9 25.3 50 Jackson 5 14.3 43 25.5 24.2 *Death rates with a small number of deaths in the numerator should be interpreted with caution. SEE TECHNICAL NOTES. 58 TABLE 12 (cont.) Mortality Statistics Summary for 2003 North Carolina Residents PNEUMONIA AND INFLUENZA Number of Death Number of Death Age-Adjusted Geographical Deaths Rate* Deaths Rate* Death Rate* Area 2003 2003 1999-2003 1999-2003 1999-2003 51 Johnston 16 11.7 88 13.8 17.7 52 Jones 3 29.5 11 21.4 18.4 53 Lee 14 28.1 66 26.7 26.9 54 Lenoir 16 27.2 70 23.6 22.0 55 Lincoln 21 31.2 98 30.0 34.8 56 McDowell 10 23.2 58 27.2 24.6 57 Macon 7 22.3 46 30.3 17.5 58 Madison 11 55.1 46 46.6 34.1 59 Martin 8 32.1 46 36.4 30.7 60 Mecklenburg 112 14.9 565 15.8 22.6 61 Mitchell 9 56.5 28 35.4 24.3 62 Montgomery 11 40.2 34 25.2 24.1 63 Moore 23 29.4 108 28.4 18.3 64 Nash 25 27.9 134 30.3 32.3 65 New Hanover 33 19.5 173 21.2 22.0 66 Northampton 7 32.1 32 29.2 21.9 67 Onslow 20 12.7 88 11.6 26.6 68 Orange 24 19.9 113 19.0 27.0 69 Pamlico 5 38.5 17 26.3 19.4 70 Pasquotank 16 43.9 75 42.3 36.7 71 Pender 10 22.9 45 21.4 22.0 72 Perquimans 8 68.3 29 50.4 35.0 73 Person 7 18.9 45 24.9 23.2 74 Pitt 16 11.5 104 15.4 20.5 75 Polk 6 31.8 43 46.3 21.9 76 Randolph 31 23.0 131 19.8 21.3 77 Richmond 10 21.5 69 29.6 28.9 78 Robeson 20 15.9 106 17.1 22.1 79 Rockingham 32 34.6 111 24.1 20.6 80 Rowan 47 35.3 220 33.5 29.7 81 Rutherford 17 26.8 117 37.1 29.1 82 Sampson 16 25.7 84 27.6 27.6 83 Scotland 7 19.7 36 20.1 22.4 84 Stanly 21 35.6 72 24.6 22.7 85 Stokes 13 28.5 66 29.3 31.5 86 Surry 31 43.1 116 32.4 26.4 87 Swain 12 89.9 32 48.8 41.2 88 Transylvania 6 20.4 41 28.0 17.5 89 Tyrrell 0 0.0 2 9.6 7.2 90 Union 14 9.7 87 13.2 19.2 91 Vance 19 43.3 71 32.6 33.7 92 Wake 76 10.9 298 9.1 15.5 93 Warren 13 64.8 52 52.0 39.6 94 Washington 1 7.4 16 23.5 19.3 95 Watauga 11 25.7 54 25.3 29.5 96 Wayne 22 19.3 106 18.7 22.2 97 Wilkes 20 29.9 96 29.0 26.9 98 Wilson 20 26.4 75 20.1 20.6 99 Yadkin 7 19.0 38 20.8 18.9 100 Yancey 6 33.5 19 21.3 14.4 *Death rates with a small number of deaths in the numerator should be interpreted with caution. SEE TECHNICAL NOTES. Pneumonia and Influenza North Carolina Resident Data 1999-2003 Figure 12.A Pneumonia and Influenza North Carolina Resident Data 1999-2003 Figure 12.B 59 Age Adjusted Mortality Rates Per 100,000 Population Mortality Rates Per 100,000 Population 46.3 - 53.5 34.9 - 42.3 26.7 - 33.5 18.7 - 26.3 9.1 - 17.2 47.0 - 55.3 38.7 - 41.2 28.4 - 36.7 14.4 - 27.8 7.2 - 11.2 60 61 TABLE 13 Mortality Statistics Summary for 2003 North Carolina Residents CHRONIC LOWER RESPIRATORY DISEASES Number of Death Number of Death Age-Adjusted Geographical Deaths Rate* Deaths Rate* Death Rate* Area 2003 2003 1999-2003 1999-2003 1999-2003 North Carolina 3,856 45.8 18,318 44.7 46.8 1 Alamance 79 57.9 343 51.4 46.0 2 Alexander 10 29.0 65 38.3 40.2 3 Alleghany 9 83.4 47 87.5 59.2 4 Anson 13 51.5 47 37.2 31.7 5 Ashe 30 119.6 122 99.0 68.9 6 Avery 16 88.4 67 76.5 61.3 7 Beaufort 14 30.7 139 61.4 50.1 8 Bertie 7 35.3 49 49.5 41.7 9 Bladen 21 64.1 93 57.3 50.5 10 Brunswick 57 69.7 209 54.6 46.0 11 Buncombe 153 72.1 669 64.2 52.3 12 Burke 46 51.8 230 51.7 48.2 13 Cabarrus 70 48.8 283 41.6 45.0 14 Caldwell 51 65.3 241 62.0 58.3 15 Camden 1 12.7 11 30.6 29.6 16 Carteret 35 57.8 173 57.9 44.7 17 Caswell 12 50.6 60 50.8 46.3 18 Catawba 68 46.4 341 47.3 48.3 19 Chatham 21 39.1 92 36.0 29.9 20 Cherokee 19 75.2 95 77.0 49.8 21 Chowan 6 41.8 42 58.5 41.4 22 Clay 6 64.0 34 75.5 45.1 23 Cleveland 43 44.1 222 45.9 42.5 24 Columbus 27 49.5 115 42.0 39.0 25 Craven 56 60.4 218 47.5 48.0 26 Cumberland 126 40.9 583 38.3 63.7 27 Currituck 8 38.8 50 52.5 57.5 28 Dare 9 27.0 57 36.5 38.3 29 Davidson 79 52.0 393 52.7 52.2 30 Davie 18 48.4 84 46.8 42.1 31 Duplin 23 45.3 127 51.0 49.8 32 Durham 70 29.6 348 30.4 38.8 33 Edgecombe 25 46.2 128 46.5 46.8 34 Forsyth 175 55.1 723 46.5 46.6 35 Franklin 27 52.3 100 40.9 45.7 36 Gaston 107 56.0 605 63.4 63.5 37 Gates 5 46.2 28 52.8 47.0 38 Graham 6 74.6 47 117.3 85.1 39 Granville 21 40.0 101 40.3 44.9 40 Greene 9 45.3 43 44.7 46.6 41 Guilford 197 45.7 893 42.0 44.7 42 Halifax 38 66.8 151 52.8 46.0 43 Harnett 44 45.0 229 48.9 59.6 44 Haywood 43 77.0 222 81.2 54.1 45 Henderson 88 93.1 362 79.4 48.6 46 Hertford 13 54.7 64 55.2 44.8 47 Hoke 13 35.1 59 33.7 53.1 48 Hyde 4 69.9 20 68.9 49.7 49 Iredell 56 42.0 256 40.3 41.0 50 Jackson 19 54.3 94 55.7 50.2 *Death rates with a small number of deaths in the numerator should be interpreted with caution. SEE TECHNICAL NOTES. 62 TABLE 13 (cont.) Mortality Statistics Summary for 2003 North Carolina Residents CHRONIC LOWER RESPIRATORY DISEASES Number of Death Number of Death Age-Adjusted Geographical Deaths Rate* Deaths Rate* Death Rate* Area 2003 2003 1999-2003 1999-2003 1999-2003 51 Johnston 48 35.2 225 35.2 43.7 52 Jones 9 88.4 42 81.7 68.4 53 Lee 24 48.2 124 50.2 49.3 54 Lenoir 40 67.9 169 57.0 50.3 55 Lincoln 31 46.0 163 49.9 53.7 56 McDowell 23 53.4 129 60.5 52.7 57 Macon 25 79.7 119 78.3 46.3 58 Madison 15 75.1 56 56.7 43.8 59 Martin 12 48.1 64 50.6 42.5 60 Mecklenburg 192 25.6 1,040 29.0 41.8 61 Mitchell 17 106.8 83 105.0 72.0 62 Montgomery 9 32.9 78 57.7 53.1 63 Moore 61 78.0 255 67.0 40.8 64 Nash 64 71.4 244 55.3 57.3 65 New Hanover 61 36.1 323 39.5 39.0 66 Northampton 15 68.8 75 68.4 50.2 67 Onslow 37 23.6 247 32.6 66.9 68 Orange 30 24.8 148 24.9 35.7 69 Pamlico 6 46.2 42 65.0 45.2 70 Pasquotank 23 63.1 105 59.3 53.5 71 Pender 33 75.5 101 48.0 44.6 72 Perquimans 4 34.2 23 40.0 28.0 73 Person 27 73.0 106 58.6 53.9 74 Pitt 44 31.7 202 29.8 39.1 75 Polk 13 68.8 84 90.4 49.6 76 Randolph 62 45.9 301 45.5 46.8 77 Richmond 20 43.0 126 54.1 50.4 78 Robeson 49 39.0 264 42.5 52.9 79 Rockingham 66 71.4 321 69.7 59.3 80 Rowan 68 51.1 330 50.2 45.3 81 Rutherford 45 70.9 192 60.8 48.5 82 Sampson 26 41.8 160 52.5 51.7 83 Scotland 11 31.0 60 33.5 35.9 84 Stanly 26 44.0 120 41.1 36.7 85 Stokes 28 61.4 110 48.8 50.8 86 Surry 50 69.5 235 65.7 54.1 87 Swain 5 37.4 44 67.0 55.8 88 Transylvania 26 88.2 105 71.6 44.1 89 Tyrrell 2 47.3 10 47.9 35.9 90 Union 42 29.0 212 32.1 43.7 91 Vance 35 79.8 127 58.3 59.4 92 Wake 154 22.0 689 21.0 35.4 93 Warren 9 44.9 50 50.0 37.2 94 Washington 5 37.1 35 51.4 41.7 95 Watauga 18 42.1 85 39.8 45.3 96 Wayne 45 39.5 245 43.2 49.3 97 Wilkes 41 61.3 178 53.8 47.6 98 Wilson 26 34.4 153 41.0 40.4 99 Yadkin 28 76.0 95 51.9 46.0 100 Yancey 13 72.5 50 55.9 39.9 *Death rates with a small number of deaths in the numerator should be interpreted with caution. SEE TECHNICAL NOTES. Chronic Lower Respiratory Diseases North Carolina Resident Data 1999-2003 Figure 13.A Chronic Lower Respiratory Diseases North Carolina Resident Data 1999-2003 Figure 13.B 63 Age Adjusted Mortality Rates Per 100,000 Population Mortality Rates Per 100,000 Population 117.3 99.0 - 105.0 75.5 - 90.4 44.7 - 71.6 21.0 - 43.2 85.1 57.3 - 72.0 43.7 - 55.8 35.4 - 42.5 28.0 - 31.7 64 65 TABLE 14 Mortality Statistics Summary for 2003 North Carolina Residents CHRONIC LIVER DISEASE AND CIRRHOSIS Number of Death Number of Death Age-Adjusted Geographical Deaths Rate* Deaths Rate* Death Rate* Area 2003 2003 1999-2003 1999-2003 1999-2003 North Carolina 747 8.9 3,711 9.1 9.1 1 Alamance 17 12.5 92 13.8 13.0 2 Alexander 2 5.8 11 6.5 6.3 3 Alleghany 3 27.8 9 16.8 13.2 4 Anson 3 11.9 11 8.7 8.3 5 Ashe 6 23.9 21 17.0 13.4 6 Avery 2 11.1 13 14.8 13.0 7 Beaufort 4 8.8 18 7.9 7.1 8 Bertie 0 0.0 9 9.1 7.9 9 Bladen 4 12.2 20 12.3 11.0 10 Brunswick 9 11.0 36 9.4 6.9 11 Buncombe 23 10.8 112 10.7 9.4 12 Burke 8 9.0 39 8.8 8.0 13 Cabarrus 10 7.0 50 7.3 7.6 14 Caldwell 12 15.4 43 11.1 10.1 15 Camden 0 0.0 0 0.0 0.0 16 Carteret 6 9.9 38 12.7 9.4 17 Caswell 1 4.2 10 8.5 7.7 18 Catawba 13 8.9 73 10.1 9.9 19 Chatham 2 3.7 21 8.2 7.0 20 Cherokee 3 11.9 16 13.0 9.8 21 Chowan 2 13.9 6 8.4 6.8 22 Clay 0 0.0 7 15.5 10.4 23 Cleveland 10 10.3 53 11.0 10.3 24 Columbus 7 12.8 32 11.7 10.7 25 Craven 6 6.5 44 9.6 9.5 26 Cumberland 20 6.5 113 7.4 9.9 27 Currituck 0 0.0 6 6.3 6.3 28 Dare 3 9.0 16 10.2 9.4 29 Davidson 9 5.9 60 8.1 7.5 30 Davie 1 2.7 14 7.8 6.8 31 Duplin 3 5.9 26 10.4 10.2 32 Durham 14 5.9 76 6.6 7.7 33 Edgecombe 5 9.2 44 16.0 15.4 34 Forsyth 25 7.9 132 8.5 8.3 35 Franklin 5 9.7 24 9.8 10.2 36 Gaston 29 15.2 141 14.8 14.4 37 Gates 1 9.2 5 9.4 8.5 38 Graham 0 0.0 5 12.5 9.6 39 Granville 5 9.5 28 11.2 10.7 40 Greene 3 15.1 12 12.5 12.9 41 Guilford 39 9.0 173 8.1 8.3 42 Halifax 16 28.1 53 18.5 17.0 43 Harnett 5 5.1 32 6.8 7.3 44 Haywood 4 7.2 38 13.9 10.6 45 Henderson 12 12.7 55 12.1 8.9 46 Hertford 3 12.6 11 9.5 8.1 47 Hoke 4 10.8 13 7.4 9.3 48 Hyde 1 17.5 2 6.9 5.2 49 Iredell 9 6.8 52 8.2 8.1 50 Jackson 7 20.0 26 15.4 14.2 *Death rates with a small number of deaths in the numerator should be interpreted with caution. SEE TECHNICAL NOTES. 66 TABLE 14 (cont.) Mortality Statistics Summary for 2003 North Carolina Residents CHRONIC LIVER DISEASE AND CIRRHOSIS Number of Death Number of Death Age-Adjusted Geographical Deaths Rate* Deaths Rate* Death Rate* Area 2003 2003 1999-2003 1999-2003 1999-2003 51 Johnston 12 8.8 50 7.8 8.5 52 Jones 1 9.8 1 1.9 1.7 53 Lee 9 18.1 28 11.3 10.9 54 Lenoir 11 18.7 36 12.1 10.8 55 Lincoln 11 16.3 34 10.4 10.0 56 McDowell 5 11.6 26 12.2 10.9 57 Macon 6 19.1 24 15.8 12.9 58 Madison 1 5.0 9 9.1 7.4 59 Martin 3 12.0 17 13.4 12.0 60 Mecklenburg 65 8.7 249 7.0 8.2 61 Mitchell 1 6.3 10 12.7 8.8 62 Montgomery 1 3.7 12 8.9 8.5 63 Moore 6 7.7 35 9.2 7.1 64 Nash 8 8.9 44 10.0 9.7 65 New Hanover 14 8.3 68 8.3 7.9 66 Northampton 2 9.2 16 14.6 12.3 67 Onslow 8 5.1 47 6.2 10.1 68 Orange 7 5.8 20 3.4 4.2 69 Pamlico 2 15.4 10 15.5 10.7 70 Pasquotank 4 11.0 19 10.7 10.1 71 Pender 2 4.6 16 7.6 6.4 72 Perquimans 1 8.5 8 13.9 10.5 73 Person 4 10.8 17 9.4 8.7 74 Pitt 9 6.5 61 9.0 10.6 75 Polk 1 5.3 9 9.7 5.8 76 Randolph 10 7.4 58 8.8 8.5 77 Richmond 2 4.3 15 6.4 6.0 78 Robeson 9 7.2 54 8.7 9.6 79 Rockingham 14 15.1 63 13.7 12.0 80 Rowan 8 6.0 54 8.2 7.8 81 Rutherford 4 6.3 36 11.4 9.7 82 Sampson 5 8.0 26 8.5 8.6 83 Scotland 10 28.2 33 18.4 18.5 84 Stanly 3 5.1 27 9.2 8.6 85 Stokes 7 15.3 14 6.2 6.1 86 Surry 7 9.7 45 12.6 11.1 87 Swain 5 37.4 18 27.4 23.6 88 Transylvania 0 0.0 8 5.5 3.6 89 Tyrrell 0 0.0 1 4.8 3.7 90 Union 9 6.2 44 6.7 7.4 91 Vance 4 9.1 38 17.4 17.4 92 Wake 42 6.0 166 5.1 6.6 93 Warren 3 15.0 14 14.0 11.7 94 Washington 1 7.4 8 11.7 9.3 95 Watauga 2 4.7 13 6.1 6.6 96 Wayne 15 13.2 62 10.9 11.3 97 Wilkes 5 7.5 38 11.5 10.1 98 Wilson 3 4.0 41 11.0 10.3 99 Yadkin 8 21.7 22 12.0 11.1 100 Yancey 1 5.6 6 6.7 5.1 *Death rates with a small number of deaths in the numerator should be interpreted with caution. SEE TECHNICAL NOTES. Chronic Liver Disease and Cirrhosis North Carolina Resident Data 1999-2003 Figure 14.A Chronic Liver Disease and Cirrhosis North Carolina Resident Data 1999-2003 Figure 14.B 67 Age Adjusted Mortality Rates Per 100,000 Population Mortality Rates Per 100,000 Population 27.4 14.6 - 18.5 10.1 - 14.0 4.8 - 10.0 0.0 - 3.4 23.6 17.0 - 18.5 5.8 - 11.1 0.0 - 5.2 11.3 - 15.4 68 69 TABLE 15 Mortality Statistics Summary for 2003 North Carolina Residents NEPHRITIS, NEPHROSIS, AND NEPHROTIC SYNDROME Number of Death Number of Death Age-Adjusted Geographical Deaths Rate* Deaths Rate* Death Rate* Area 2003 2003 1999-2003 1999-2003 1999-2003 North Carolina 1,386 16.5 6,588 16.1 16.9 1 Alamance 22 16.1 129 19.3 17.4 2 Alexander 2 5.8 10 5.9 6.4 3 Alleghany 1 9.3 8 14.9 10.1 4 Anson 7 27.8 26 20.6 17.7 5 Ashe 3 12.0 21 17.0 11.6 6 Avery 2 11.1 15 17.1 14.1 7 Beaufort 5 11.0 36 15.9 13.1 8 Bertie 4 20.2 20 20.2 16.7 9 Bladen 12 36.6 39 24.0 21.4 10 Brunswick 13 15.9 72 18.8 17.1 11 Buncombe 47 22.1 197 18.9 15.3 12 Burke 14 15.8 66 14.8 13.9 13 Cabarrus 32 22.3 152 22.3 24.2 14 Caldwell 16 20.5 76 19.5 18.7 15 Camden 1 12.7 4 11.1 12.9 16 Carteret 17 28.1 44 14.7 12.2 17 Caswell 3 12.6 37 31.3 29.3 18 Catawba 26 17.8 117 16.2 17.0 19 Chatham 11 20.5 54 21.1 17.6 20 Cherokee 6 23.7 22 17.8 12.2 21 Chowan 2 13.9 11 15.3 10.3 22 Clay 3 32.0 12 26.7 16.6 23 Cleveland 19 19.5 93 19.2 17.8 24 Columbus 19 34.8 97 35.5 33.2 25 Craven 14 15.1 77 16.8 17.4 26 Cumberland 45 14.6 181 11.9 19.4 27 Currituck 0 0.0 5 5.3 5.8 28 Dare 4 12.0 15 9.6 9.9 29 Davidson 29 19.1 115 15.4 15.5 30 Davie 3 8.1 22 12.3 11.2 31 Duplin 20 39.4 61 24.5 24.1 32 Durham 40 16.9 167 14.6 18.1 33 Edgecombe 20 37.0 71 25.8 25.9 34 Forsyth 54 17.0 261 16.8 16.8 35 Franklin 4 7.7 35 14.3 16.1 36 Gaston 35 18.3 153 16.0 16.3 37 Gates 1 9.2 8 15.1 13.8 38 Graham 0 0.0 5 12.5 9.2 39 Granville 4 7.6 29 11.6 13.2 40 Greene 4 20.1 22 22.9 23.1 41 Guilford 55 12.8 285 13.4 14.2 42 Halifax 14 24.6 62 21.7 19.3 43 Harnett 12 12.3 57 12.2 14.7 44 Haywood 14 25.1 62 22.7 15.1 45 Henderson 12 12.7 77 16.9 10.2 46 Hertford 10 42.1 33 28.5 23.4 47 Hoke 7 18.9 29 16.6 30.5 48 Hyde 1 17.5 10 34.4 24.7 49 Iredell 23 17.3 96 15.1 15.5 50 Jackson 4 11.4 35 20.8 18.7 *Death rates with a small number of deaths in the numerator should be interpreted with caution. SEE TECHNICAL NOTES. 70 TABLE 15 (cont.) Mortality Statistics Summary for 2003 North Carolina Residents NEPHRITIS, NEPHROSIS, AND NEPHROTIC SYNDROME Number of Death Number of Death Age-Adjusted Geographical Deaths Rate* Deaths Rate* Death Rate* Area 2003 2003 1999-2003 1999-2003 1999-2003 51 Johnston 20 14.7 75 11.7 14.7 52 Jones 2 19.6 21 40.8 34.6 53 Lee 6 12.1 50 20.2 19.9 54 Lenoir 18 30.6 82 27.6 25.2 55 Lincoln 16 23.7 58 17.8 20.0 56 McDowell 6 13.9 28 13.1 11.7 57 Macon 9 28.7 21 13.8 8.3 58 Madison 6 30.0 22 22.3 16.9 59 Martin 5 20.1 36 28.5 24.2 60 Mecklenburg 88 11.7 456 12.7 17.8 61 Mitchell 7 44.0 28 35.4 25.6 62 Montgomery 7 25.6 29 21.5 20.2 63 Moore 11 14.1 65 17.1 11.1 64 Nash 22 24.5 88 19.9 20.4 65 New Hanover 33 19.5 148 18.1 18.1 66 Northampton 3 13.8 28 25.5 19.5 67 Onslow 8 5.1 53 7.0 14.4 68 Orange 13 10.8 53 8.9 12.5 69 Pamlico 7 53.9 20 30.9 22.7 70 Pasquotank 2 5.5 24 13.5 12.5 71 Pender 9 20.6 32 15.2 15.4 72 Perquimans 0 0.0 7 12.2 9.8 73 Person 8 21.6 44 24.3 22.9 74 Pitt 22 15.8 138 20.4 26.1 75 Polk 2 10.6 25 26.9 13.7 76 Randolph 21 15.6 93 14.1 14.6 77 Richmond 12 25.8 56 24.0 22.5 78 Robeson 29 23.1 144 23.2 28.0 79 Rockingham 23 24.9 93 20.2 17.3 80 Rowan 20 15.0 123 18.7 16.7 81 Rutherford 14 22.1 65 20.6 16.7 82 Sampson 6 9.6 58 19.0 18.7 83 Scotland 5 14.1 25 14.0 15.1 84 Stanly 11 18.6 51 17.5 16.0 85 Stokes 8 17.5 24 10.7 11.1 86 Surry 16 22.2 74 20.7 16.9 87 Swain 2 15.0 13 19.8 16.4 88 Transylvania 7 23.8 21 14.3 9.7 89 Tyrrell 2 47.3 4 19.2 14.3 90 Union 15 10.4 90 13.6 18.7 91 Vance 16 36.5 45 20.7 21.0 92 Wake 57 8.1 312 9.5 15.8 93 Warren 5 24.9 35 35.0 26.9 94 Washington 2 14.9 21 30.8 24.6 95 Watauga 8 18.7 30 14.0 16.4 96 Wayne 29 25.4 98 17.3 19.5 97 Wilkes 12 17.9 50 15.1 13.6 98 Wilson 11 14.5 55 14.8 14.9 99 Yadkin 4 10.9 31 16.9 15.3 100 Yancey 5 27.9 15 16.8 11.5 *Death rates with a small number of deaths in the numerator should be interpreted with caution. SEE TECHNICAL NOTES. Nephritis and Nephrosis North Carolina Resident Data 1999-2003 Figure 15.A Nephritis and Nephrosis North Carolina Resident Data 1999-2003 Figure 15.B 71 Age Adjusted Mortality Rates Per 100,000 Population Mortality Rates Per 100,000 Population 40.8 30.8 - 35.5 17.8 - 28.5 8.9 - 17.5 5.3 - 7.0 33.2 - 34.6 22.5 - 30.5 13.6 - 21.4 8.3 - 13.2 5.8 - 6.4 72 73 TABLE 16 Mortality Statistics Summary for 2003 North Carolina Residents MOTOR VEHICLE INJURIES Number of Death Number of Death Age-Adjusted Geographical Deaths Rate* Deaths Rate* Death Rate* Area 2003 2003 1999-2003 1999-2003 1999-2003 North Carolina 1,634 19.4 8,038 19.6 19.5 1 Alamance 26 19.1 138 20.7 20.3 2 Alexander 6 17.4 39 23.0 23.6 3 Alleghany 0 0.0 11 20.5 22.4 4 Anson 10 39.6 44 34.8 34.6 5 Ashe 5 19.9 38 30.8 29.9 6 Avery 1 5.5 18 20.5 18.0 7 Beaufort 15 32.9 56 24.7 25.8 8 Bertie 6 30.3 43 43.4 44.2 9 Bladen 9 27.5 63 38.8 39.5 10 Brunswick 20 24.4 106 27.7 29.2 11 Buncombe 23 10.8 156 15.0 15.0 12 Burke 20 22.5 103 23.1 23.1 13 Cabarrus 19 13.2 115 16.9 17.3 14 Caldwell 18 23.0 74 19.0 19.3 15 Camden 0 0.0 9 25.0 25.4 16 Carteret 14 23.1 55 18.4 18.6 17 Caswell 6 25.3 31 26.3 26.9 18 Catawba 28 19.1 140 19.4 19.7 19 Chatham 22 41.0 62 24.3 25.2 20 Cherokee 6 23.7 33 26.7 28.0 21 Chowan 7 48.7 17 23.7 24.1 22 Clay 2 21.3 12 26.7 30.9 23 Cleveland 20 20.5 99 20.5 20.6 24 Columbus 18 33.0 108 39.5 39.9 25 Craven 18 19.4 84 18.3 17.7 26 Cumberland 57 18.5 270 17.8 18.4 27 Currituck 5 24.3 24 25.2 26.8 28 Dare 5 15.0 27 17.3 16.8 29 Davidson 33 21.7 172 23.1 23.5 30 Davie 9 24.2 37 20.6 21.8 31 Duplin 17 33.5 100 40.2 40.5 32 Durham 36 15.2 153 13.4 12.9 33 Edgecombe 8 14.8 51 18.5 18.7 34 Forsyth 40 12.6 203 13.1 13.1 35 Franklin 21 40.7 76 31.0 31.1 36 Gaston 33 17.3 163 17.1 17.3 37 Gates 7 64.6 27 50.9 51.4 38 Graham 3 37.3 12 30.0 33.3 39 Granville 7 13.3 49 19.6 19.4 40 Greene 11 55.3 31 32.2 32.2 41 Guilford 49 11.4 285 13.4 13.3 42 Halifax 17 29.9 87 30.4 30.7 43 Harnett 24 24.5 122 26.0 26.3 44 Haywood 9 16.1 51 18.7 17.5 45 Henderson 17 18.0 83 18.2 17.4 46 Hertford 5 21.0 39 33.6 33.8 47 Hoke 8 21.6 51 29.2 28.1 48 Hyde 1 17.5 8 27.6 27.1 49 Iredell 31 23.3 136 21.4 21.9 50 Jackson 6 17.1 27 16.0 16.2 *Death rates with a small number of deaths in the numerator should be interpreted with caution. SEE TECHNICAL NOTES. 74 TABLE 16 (cont.) Mortality Statistics Summary for 2003 North Carolina Residents MOTOR VEHICLE INJURIES Number of Death Number of Death Age-Adjusted Geographical Deaths Rate* Deaths Rate* Death Rate* Area 2003 2003 1999-2003 1999-2003 1999-2003 51 Johnston 37 27.1 164 25.7 26.3 52 Jones 2 19.6 9 17.5 18.2 53 Lee 13 26.1 61 24.7 25.1 54 Lenoir 11 18.7 81 27.3 27.5 55 Lincoln 11 16.3 68 20.8 21.0 56 McDowell 13 30.2 49 23.0 22.6 57 Macon 7 22.3 30 19.7 17.7 58 Madison 4 20.0 21 21.3 22.8 59 Martin 11 44.1 41 32.4 32.3 60 Mecklenburg 72 9.6 423 11.8 11.7 61 Mitchell 1 6.3 7 8.9 9.3 62 Montgomery 9 32.9 36 26.6 26.4 63 Moore 27 34.5 101 26.5 27.7 64 Nash 20 22.3 95 21.5 21.9 65 New Hanover 21 12.4 86 10.5 10.2 66 Northampton 8 36.7 44 40.1 37.3 67 Onslow 30 19.1 160 21.1 20.3 68 Orange 14 11.6 80 13.5 12.9 69 Pamlico 2 15.4 18 27.8 25.8 70 Pasquotank 3 8.2 24 13.5 13.3 71 Pender 10 22.9 57 27.1 27.2 72 Perquimans 2 17.1 10 17.4 17.7 73 Person 12 32.4 37 20.5 20.7 74 Pitt 33 23.7 122 18.0 18.7 75 Polk 6 31.8 18 19.4 19.0 76 Randolph 18 13.3 128 19.4 19.7 77 Richmond 16 34.4 68 29.2 29.8 78 Robeson 56 44.6 288 46.4 47.3 79 Rockingham 21 22.7 118 25.6 26.3 80 Rowan 24 18.0 159 24.2 24.2 81 Rutherford 12 18.9 80 25.3 25.3 82 Sampson 31 49.8 124 40.7 41.0 83 Scotland 7 19.7 43 24.0 25.2 84 Stanly 17 28.8 71 24.3 24.2 85 Stokes 17 37.3 45 20.0 20.6 86 Surry 24 33.3 100 28.0 28.0 87 Swain 4 30.0 13 19.8 18.0 88 Transylvania 14 47.5 25 17.0 17.0 89 Tyrrell 2 47.3 6 28.8 28.0 90 Union 24 16.6 137 20.7 21.6 91 Vance 10 22.8 38 17.4 17.8 92 Wake 86 12.3 401 12.2 12.5 93 Warren 8 39.9 28 28.0 28.8 94 Washington 3 22.3 17 25.0 25.7 95 Watauga 7 16.4 31 14.5 15.6 96 Wayne 32 28.1 129 22.7 23.0 97 Wilkes 18 26.9 81 24.5 25.0 98 Wilson 15 19.8 66 17.7 17.7 99 Yadkin 11 29.9 53 29.0 27.9 100 Yancey 0 0.0 9 10.1 10.3 *Death rates with a small number of deaths in the numerator should be interpreted with caution. SEE TECHNICAL NOTES. Motor Vehicles Injuries North Carolina Resident Data 1999-2003 Figure 16.A Motor Vehicle Injuries North Carolina Resident Data 1999-2003 Figure 16.B 75 Age Adjusted Mortality Rates Per 100,000 Population Mortality Rates Per 100,000 Population 50.9 38.8 - 46.4 22.7 - 34.8 16.9 - 21.5 8.9 - 16.0 44.2 - 51.4 37.3 - 41.0 21.6 - 34.6 15.0 - 21.0 9.3 - 13.3 76 77 TABLE 17 Mortality Statistics Summary for 2003 North Carolina Residents ALL OTHER UNINTENTIONAL INJURIES Number of Death Number of Death Age-Adjusted Geographical Deaths Rate* Deaths Rate* Death Rate* Area 2003 2003 1999-2003 1999-2003 1999-2003 North Carolina 2,152 25.6 9,438 23.0 23.7 1 Alamance 44 32.3 186 27.9 26.2 2 Alexander 7 20.3 29 17.1 17.9 3 Alleghany 3 27.8 16 29.8 20.3 4 Anson 12 47.6 47 37.2 33.7 5 Ashe 14 55.8 55 44.6 37.9 6 Avery 7 38.7 33 37.7 34.1 7 Beaufort 13 28.5 58 25.6 24.0 8 Bertie 12 60.6 28 28.3 24.2 9 Bladen 23 70.2 59 36.3 33.7 10 Brunswick 24 29.3 100 26.1 26.9 11 Buncombe 62 29.2 327 31.4 27.4 12 Burke 30 33.8 128 28.8 28.4 13 Cabarrus 43 30.0 165 24.2 25.4 14 Caldwell 23 29.4 92 23.7 23.2 15 Camden 0 0.0 3 8.3 7.9 16 Carteret 30 49.5 96 32.1 30.8 17 Caswell 8 33.7 30 25.4 24.8 18 Catawba 53 36.2 188 26.1 26.8 19 Chatham 15 27.9 65 25.4 23.2 20 Cherokee 13 51.4 56 45.4 41.8 21 Chowan 2 13.9 15 20.9 17.1 22 Clay 4 42.7 14 31.1 26.1 23 Cleveland 29 29.7 136 28.1 27.7 24 Columbus 16 29.3 85 31.1 30.0 25 Craven 29 31.3 117 25.5 26.8 26 Cumberland 50 16.2 216 14.2 18.0 27 Currituck 6 29.1 24 25.2 26.6 28 Dare 17 51.0 57 36.5 35.1 29 Davidson 49 32.3 184 24.7 24.8 30 Davie 7 18.8 35 19.5 18.3 31 Duplin 14 27.6 70 28.1 28.0 32 Durham 48 20.3 235 20.5 22.9 33 Edgecombe 6 11.1 60 21.8 21.6 34 Forsyth 87 27.4 358 23.0 23.0 35 Franklin 8 15.5 40 16.3 16.9 36 Gaston 58 30.3 287 30.1 30.2 37 Gates 5 46.2 16 30.1 29.0 38 Graham 2 24.9 14 34.9 29.8 39 Granville 7 13.3 47 18.8 19.8 40 Greene 6 30.2 23 23.9 24.0 41 Guilford 108 25.0 549 25.8 26.8 42 Halifax 10 17.6 50 17.5 16.9 43 Harnett 24 24.5 94 20.1 22.4 44 Haywood 23 41.2 94 34.4 29.2 45 Henderson 46 48.7 151 33.1 26.2 46 Hertford 8 33.7 37 31.9 27.8 47 Hoke 4 10.8 23 13.2 15.3 48 Hyde 1 17.5 7 24.1 22.1 49 Iredell 37 27.8 145 22.8 23.3 50 Jackson 12 34.3 51 30.2 30.8 *Death rates with a small number of deaths in the numerator should be interpreted with caution. SEE TECHNICAL NOTES. 78 TABLE 17 (cont.) Mortality Statistics Summary for 2003 North Carolina Residents ALL OTHER UNINTENTIONAL INJURIES Number of Death Number of Death Age-Adjusted Geographical Deaths Rate* Deaths Rate* Death Rate* Area 2003 2003 1999-2003 1999-2003 1999-2003 51 Johnston 31 22.7 127 19.9 22.4 52 Jones 4 39.3 14 27.2 24.1 53 Lee 10 20.1 65 26.3 26.8 54 Lenoir 22 37.4 100 33.7 32.2 55 Lincoln 15 22.3 67 20.5 21.1 56 McDowell 13 30.2 44 20.6 20.2 57 Macon 11 35.1 55 36.2 28.5 58 Madison 4 20.0 28 28.4 23.8 59 Martin 7 28.1 27 21.4 19.2 60 Mecklenburg 121 16.1 556 15.5 18.2 61 Mitchell 9 56.5 43 54.4 50.9 62 Montgomery 7 25.6 41 30.3 29.8 63 Moore 22 28.1 88 23.1 19.6 64 Nash 17 19.0 91 20.6 21.1 65 New Hanover 52 30.8 182 22.3 22.1 66 Northampton 2 9.2 38 34.6 31.2 67 Onslow 27 17.2 120 15.8 23.9 68 Orange 20 16.5 128 21.5 26.5 69 Pamlico 3 23.1 19 29.4 28.9 70 Pasquotank 8 22.0 42 23.7 21.9 71 Pender 7 16.0 45 21.4 20.8 72 Perquimans 2 17.1 12 20.9 18.5 73 Person 14 37.9 43 23.8 22.7 74 Pitt 38 27.3 144 21.3 24.7 75 Polk 6 31.8 32 34.4 27.2 76 Randolph 23 17.0 135 20.4 20.9 77 Richmond 16 34.4 55 23.6 23.3 78 Robeson 32 25.5 145 23.4 25.6 79 Rockingham 39 42.2 152 33.0 30.4 80 Rowan 36 27.0 191 29.0 27.5 81 Rutherford 28 44.1 110 34.8 31.5 82 Sampson 16 25.7 81 26.6 27.1 83 Scotland 4 11.3 22 12.3 12.8 84 Stanly 19 32.2 72 24.6 23.4 85 Stokes 13 28.5 61 27.1 27.6 86 Surry 21 29.2 92 25.7 23.0 87 Swain 8 59.9 26 39.6 37.2 88 Transylvania 15 50.9 57 38.9 31.1 89 Tyrrell 0 0.0 2 9.6 7.2 90 Union 17 11.7 101 15.3 18.7 91 Vance 13 29.6 61 28.0 28.8 92 Wake 101 14.4 464 14.1 18.8 93 Warren 5 24.9 16 16.0 13.2 94 Washington 5 37.1 15 22.0 20.1 95 Watauga 11 25.7 39 18.3 19.7 96 Wayne 22 19.3 109 19.2 21.5 97 Wilkes 35 52.3 117 35.4 34.2 98 Wilson 21 27.8 84 22.5 22.6 99 Yadkin 14 38.0 48 26.2 24.9 100 Yancey 7 39.0 37 41.4 33.4 *Death rates with a small number of deaths in the numerator should be interpreted with caution. SEE TECHNICAL NOTES. All Other Unintentional Injuries North Carolina Resident Data 1999-2003 Figure 17.A All Other Unintentional Injuries North Carolina Resident Data 1999-2003 Figure 17.B 79 Age Adjusted Mortality Rates Per 100,000 Population Mortality Rates Per 100,000 Population 54.4 44.6 - 45.4 27.1 - 41.4 18.3 - 26.6 8.3 - 17.5 50.9 37.2 - 41.8 26.1 - 35.1 12.8 - 25.6 7.2 - 7.9 80 81 TABLE 18 Mortality Statistics Summary for 2003 North Carolina Residents SUICIDE Number of Death Number of Death Age-Adjusted Geographical Deaths Rate* Deaths Rate* Death Rate* Area 2003 2003 1999-2003 1999-2003 1999-2003 North Carolina 949 11.3 4,735 11.6 11.5 1 Alamance 11 8.1 52 7.8 7.7 2 Alexander 6 17.4 32 18.9 19.1 3 Alleghany 0 0.0 10 18.6 14.5 4 Anson 1 4.0 15 11.9 11.7 5 Ashe 6 23.9 23 18.7 16.6 6 Avery 4 22.1 16 18.3 16.6 7 Beaufort 4 8.8 33 14.6 13.9 8 Bertie 2 10.1 9 9.1 9.3 9 Bladen 6 18.3 30 18.5 17.5 10 Brunswick 10 12.2 53 13.9 13.9 11 Buncombe 30 14.1 146 14.0 13.3 12 Burke 12 13.5 81 18.2 17.8 13 Cabarrus 14 9.8 65 9.5 9.5 14 Caldwell 6 7.7 48 12.3 12.1 15 Camden 2 25.5 5 13.9 13.6 16 Carteret 9 14.9 57 19.1 18.7 17 Caswell 3 12.6 13 11.0 10.6 18 Catawba 24 16.4 111 15.4 15.2 19 Chatham 4 7.5 20 7.8 7.2 20 Cherokee 3 11.9 15 12.2 11.5 21 Chowan 1 7.0 6 8.4 8.4 22 Clay 2 21.3 14 31.1 26.8 23 Cleveland 16 16.4 69 14.3 14.3 24 Columbus 5 9.2 32 11.7 11.2 25 Craven 8 8.6 49 10.7 10.7 26 Cumberland 41 13.3 183 12.0 12.5 27 Currituck 3 14.6 13 13.7 13.3 28 Dare 3 9.0 20 12.8 12.5 29 Davidson 17 11.2 88 11.8 11.6 30 Davie 3 8.1 13 7.2 6.9 31 Duplin 4 7.9 22 8.8 8.8 32 Durham 33 14.0 116 10.1 10.2 33 Edgecombe 7 12.9 24 8.7 8.5 34 Forsyth 40 12.6 155 10.0 9.8 35 Franklin 9 17.4 32 13.1 13.2 36 Gaston 30 15.7 149 15.6 15.4 37 Gates 0 0.0 1 1.9 2.2 38 Graham 0 0.0 4 10.0 9.3 39 Granville 2 3.8 16 6.4 6.2 40 Greene 4 20.1 10 10.4 10.2 41 Guilford 39 9.0 210 9.9 9.8 42 Halifax 6 10.5 35 12.2 12.2 43 Harnett 8 8.2 50 10.7 10.9 44 Haywood 11 19.7 63 23.1 21.0 45 Henderson 13 13.8 55 12.1 11.3 46 Hertford 0 0.0 6 5.2 4.8 47 Hoke 1 2.7 11 6.3 5.9 48 Hyde 1 17.5 4 13.8 12.0 49 Iredell 12 9.0 66 10.4 10.5 50 Jackson 3 8.6 20 11.9 11.5 *Death rates with a small number of deaths in the numerator should be interpreted with caution. SEE TECHNICAL NOTES. 82 TABLE 18 (cont.) Mortality Statistics Summary for 2003 North Carolina Residents SUICIDE Number of Death Number of Death Age-Adjusted Geographical Deaths Rate* Deaths Rate* Death Rate* Area 2003 2003 1999-2003 1999-2003 1999-2003 51 Johnston 18 13.2 85 13.3 13.6 52 Jones 2 19.6 7 13.6 13.0 53 Lee 5 10.0 24 9.7 9.7 54 Lenoir 8 13.6 44 14.8 14.9 55 Lincoln 7 10.4 46 14.1 14.0 56 McDowell 10 23.2 36 16.9 15.8 57 Macon 5 15.9 23 15.1 14.7 58 Madison 2 10.0 15 15.2 14.9 59 Martin 1 4.0 14 11.1 10.7 60 Mecklenburg 73 9.7 327 9.1 9.3 61 Mitchell 7 44.0 14 17.7 16.3 62 Montgomery 1 3.7 13 9.6 9.6 63 Moore 7 8.9 40 10.5 9.9 64 Nash 8 8.9 45 10.2 10.1 65 New Hanover 26 15.4 98 12.0 11.6 66 Northampton 0 0.0 12 10.9 11.5 67 Onslow 14 8.9 64 8.4 9.7 68 Orange 16 13.2 70 11.8 11.6 69 Pamlico 1 7.7 1 1.5 0.9 70 Pasquotank 1 2.7 11 6.2 5.9 71 Pender 5 11.4 24 11.4 10.9 72 Perquimans 1 8.5 11 19.1 20.2 73 Person 4 10.8 33 18.3 17.4 74 Pitt 14 10.1 77 11.4 12.2 75 Polk 5 26.5 21 22.6 21.0 76 Randolph 8 5.9 82 12.4 12.2 77 Richmond 3 6.5 36 15.5 15.7 78 Robeson 10 8.0 63 10.1 10.5 79 Rockingham 16 17.3 84 18.2 17.6 80 Rowan 19 14.3 92 14.0 13.9 81 Rutherford 10 15.8 55 17.4 17.6 82 Sampson 7 11.3 35 11.5 11.5 83 Scotland 2 5.6 18 10.1 10.4 84 Stanly 5 8.5 33 11.3 11.1 85 Stokes 8 17.5 35 15.5 15.2 86 Surry 15 20.8 57 15.9 15.7 87 Swain 4 30.0 9 13.7 14.0 88 Transylvania 4 13.6 17 11.6 11.9 89 Tyrrell 0 0.0 0 0.0 0.0 90 Union 12 8.3 68 10.3 10.8 91 Vance 6 13.7 19 8.7 9.0 92 Wake 63 9.0 276 8.4 8.8 93 Warren 3 15.0 10 10.0 10.1 94 Washington 1 7.4 10 14.7 15.5 95 Watauga 7 16.4 29 13.6 15.1 96 Wayne 9 7.9 49 8.6 8.8 97 Wilkes 8 12.0 44 13.3 12.5 98 Wilson 5 6.6 49 13.1 13.0 99 Yadkin 3 8.1 30 16.4 15.8 100 Yancey 1 5.6 10 11.2 10.6 *Death rates with a small number of deaths in the numerator should be interpreted with caution. SEE TECHNICAL NOTES. Suicide North Carolina Resident Data 1999-2003 Figure 18.A Suicide North Carolina Resident Data 1999-2003 Figure 18.B 83 Age Adjusted Mortality Rates Per 100,000 Population Mortality Rates Per 100,000 Population 31.1 22.6 - 23.1 12.8 - 19.1 5.2 - 12.4 0.0 - 1.9 26.8 20.2 - 21.0 13.0 - 19.1 4.8 - 12.5 0.0 - 2.2 84 85 TABLE 19 Mortality Statistics Summary for 2003 North Carolina Residents HOMICIDE Number of Death Number of Death Age-Adjusted Geographical Deaths Rate* Deaths Rate* Death Rate* Area 2003 2003 1999-2003 1999-2003 1999-2003 North Carolina 592 7.0 3,114 7.6 7.5 1 Alamance 9 6.6 44 6.6 6.6 2 Alexander 1 2.9 5 2.9 3.1 3 Alleghany 0 0.0 2 3.7 3.4 4 Anson 4 15.9 19 15.0 15.5 5 Ashe 3 12.0 7 5.7 5.8 6 Avery 2 11.1 6 6.8 7.0 7 Beaufort 3 6.6 15 6.6 7.1 8 Bertie 0 0.0 7 7.1 7.0 9 Bladen 5 15.3 12 7.4 7.8 10 Brunswick 1 1.2 30 7.8 8.5 11 Buncombe 11 5.2 47 4.5 4.6 12 Burke 6 6.8 20 4.5 4.4 13 Cabarrus 7 4.9 29 4.3 4.2 14 Caldwell 4 5.1 22 5.7 5.7 15 Camden 0 0.0 1 2.8 2.6 16 Carteret 2 3.3 8 2.7 2.8 17 Caswell 2 8.4 10 8.5 8.3 18 Catawba 6 4.1 38 5.3 5.3 19 Chatham 1 1.9 17 6.7 6.6 20 Cherokee 0 0.0 3 2.4 2.7 21 Chowan 2 13.9 8 11.1 11.7 22 Clay 1 10.7 2 4.4 4.9 23 Cleveland 16 16.4 66 13.6 14.3 24 Columbus 6 11.0 36 13.2 13.2 25 Craven 5 5.4 31 6.7 6.7 26 Cumberland 25 8.1 175 11.5 10.9 27 Currituck 0 0.0 3 3.2 3.3 28 Dare 0 0.0 8 5.1 5.6 29 Davidson 6 3.9 39 5.2 5.3 30 Davie 1 2.7 6 3.3 3.3 31 Duplin 8 15.8 25 10.0 10.1 32 Durham 22 9.3 130 11.4 10.3 33 Edgecombe 4 7.4 31 11.3 11.7 34 Forsyth 23 7.2 115 7.4 7.4 35 Franklin 3 5.8 12 4.9 4.7 36 Gaston 11 5.8 77 8.1 8.1 37 Gates 1 9.2 9 17.0 17.4 38 Graham 0 0.0 4 10.0 10.0 39 Granville 4 7.6 15 6.0 5.9 40 Greene 0 0.0 3 3.1 3.1 41 Guilford 43 10.0 171 8.0 7.8 42 Halifax 6 10.5 32 11.2 11.9 43 Harnett 6 6.1 33 7.0 6.8 44 Haywood 2 3.6 11 4.0 4.3 45 Henderson 3 3.2 21 4.6 5.3 46 Hertford 2 8.4 8 6.9 7.2 47 Hoke 5 13.5 23 13.2 12.1 48 Hyde 0 0.0 2 6.9 6.9 49 Iredell 8 6.0 41 6.5 6.5 50 Jackson 2 5.7 9 5.3 5.6 *Death rates with a small number of deaths in the numerator should be interpreted with caution. SEE TECHNICAL NOTES. 86 TABLE 19 (cont.) Mortality Statistics Summary for 2003 North Carolina Residents HOMICIDE Number of Death Number of Death Age-Adjusted Geographical Deaths Rate* Deaths Rate* Death Rate* Area 2003 2003 1999-2003 1999-2003 1999-2003 51 Johnston 7 5.1 46 7.2 7.2 52 Jones 0 0.0 6 11.7 13.2 53 Lee 8 16.1 36 14.6 14.9 54 Lenoir 6 10.2 31 10.4 10.9 55 Lincoln 3 4.5 20 6.1 6.3 56 McDowell 1 2.3 13 6.1 5.8 57 Macon 1 3.2 3 2.0 2.3 58 Madison 1 5.0 7 7.1 7.5 59 Martin 3 12.0 15 11.9 12.5 60 Mecklenburg 73 9.7 382 10.7 10.1 61 Mitchell 1 6.3 2 2.5 3.1 62 Montgomery 1 3.7 17 12.6 13.1 63 Moore 7 8.9 27 7.1 8.0 64 Nash 13 14.5 45 10.2 10.3 65 New Hanover 4 2.4 57 7.0 6.6 66 Northampton 2 9.2 13 11.8 12.3 67 Onslow 8 5.1 41 5.4 4.5 68 Orange 4 3.3 24 4.0 4.1 69 Pamlico 2 15.4 4 6.2 5.9 70 Pasquotank 1 2.7 6 3.4 3.2 71 Pender 2 4.6 16 7.6 8.2 72 Perquimans 1 8.5 2 3.5 2.8 73 Person 3 8.1 13 7.2 7.2 74 Pitt 11 7.9 55 8.1 7.5 75 Polk 0 0.0 3 3.2 4.2 76 Randolph 6 4.4 35 5.3 5.4 77 Richmond 8 17.2 28 12.0 12.5 78 Robeson 27 21.5 132 21.3 20.9 79 Rockingham 8 8.7 40 8.7 8.8 80 Rowan 7 5.3 37 5.6 5.7 81 Rutherford 7 11.0 25 7.9 8.1 82 Sampson 9 14.5 27 8.9 9.0 83 Scotland 7 19.7 23 12.8 13.1 84 Stanly 3 5.1 21 7.2 7.5 85 Stokes 2 4.4 10 4.4 4.2 86 Surry 6 8.3 25 7.0 7.0 87 Swain 0 0.0 5 7.6 7.7 88 Transylvania 2 6.8 5 3.4 4.3 89 Tyrrell 0 0.0 3 14.4 15.8 90 Union 4 2.8 23 3.5 3.4 91 Vance 3 6.8 27 12.4 12.7 92 Wake 20 2.9 129 3.9 3.6 93 Warren 2 10.0 11 11.0 12.2 94 Washington 1 7.4 8 11.7 12.9 95 Watauga 1 2.3 6 2.8 2.5 96 Wayne 10 8.8 50 8.8 8.8 97 Wilkes 2 3.0 18 5.4 5.3 98 Wilson 9 11.9 40 10.7 10.8 99 Yadkin 2 5.4 9 4.9 5.2 100 Yancey 1 5.6 5 5.6 5.3 *Death rates with a small number of deaths in the numerator should be interpreted with caution. SEE TECHNICAL NOTES. Homicide North Carolina Resident Data 1999-2003 Figure 19.A Homicide North Carolina Resident Data 1999-2003 Figure 19.B 87 Age Adjusted Mortality Rates Per 100,000 Population Mortality Rates Per 100,000 Population 17.0 21.3 10.0 - 15.0 6.5 - 8.9 2.0 - 6.2 20.9 14.3 - 17.4 10.0 - 13.2 6.3 - 9.0 2.3 - 5.9 88 89 TABLE 20 Mortality Statistics Summary for 2003 North Carolina Residents ALZHEIMER’S DISEASE Number of Death Number of Death Age-Adjusted Geographical Deaths Rate* Deaths Rate* Death Rate* Area 2003 2003 1999-2003 1999-2003 1999-2003 North Carolina 2,143 25.5 9,070 22.1 24.2 1 Alamance 44 32.3 163 24.4 21.6 2 Alexander 10 29.0 45 26.5 31.0 3 Alleghany 6 55.6 26 48.4 31.1 4 Anson 5 19.8 21 16.6 13.5 5 Ashe 9 35.9 45 36.5 24.7 6 Avery 8 44.2 26 29.7 24.3 7 Beaufort 19 41.7 59 26.1 21.7 8 Bertie 3 15.1 24 24.2 19.7 9 Bladen 5 15.3 23 14.2 13.1 10 Brunswick 4 4.9 26 6.8 7.4 11 Buncombe 84 39.6 343 32.9 25.7 12 Burke 23 25.9 110 24.7 23.8 13 Cabarrus 37 25.8 174 25.6 28.6 14 Caldwell 25 32.0 129 33.2 33.4 15 Camden 1 12.7 3 8.3 9.8 16 Carteret 30 49.5 99 33.1 29.3 17 Caswell 3 12.6 19 16.1 15.3 18 Catawba 42 28.7 248 34.4 38.3 19 Chatham 12 22.4 64 25.1 20.6 20 Cherokee 13 51.4 49 39.7 25.7 21 Chowan 3 20.9 11 15.3 10.2 22 Clay 1 10.7 9 20.0 12.8 23 Cleveland 21 21.5 124 25.6 24.2 24 Columbus 3 5.5 15 5.5 5.3 25 Craven 17 18.3 60 13.1 14.5 26 Cumberland 32 10.4 135 8.9 17.6 27 Currituck 7 34.0 11 11.6 15.0 28 Dare 5 15.0 28 17.9 23.9 29 Davidson 47 30.9 162 21.7 23.3 30 Davie 14 37.6 84 46.8 43.6 31 Duplin 14 27.6 39 15.7 16.0 32 Durham 29 12.3 209 18.3 22.8 33 Edgecombe 11 20.3 72 26.1 27.3 34 Forsyth 106 33.4 518 33.3 33.5 35 Franklin 8 15.5 36 14.7 17.2 36 Gaston 46 24.1 221 23.2 24.9 37 Gates 3 27.7 11 20.7 19.0 38 Graham 4 49.7 10 25.0 17.8 39 Granville 20 38.1 90 35.9 42.7 40 Greene 3 15.1 9 9.4 9.7 41 Guilford 143 33.2 548 25.8 27.6 42 Halifax 5 8.8 35 12.2 10.5 43 Harnett 15 15.3 49 10.5 13.7 44 Haywood 16 28.7 89 32.6 22.0 45 Henderson 61 64.6 265 58.1 33.1 46 Hertford 8 33.7 40 34.5 27.6 47 Hoke 6 16.2 10 5.7 10.9 48 Hyde 2 35.0 6 20.7 14.0 49 Iredell 30 22.5 181 28.5 30.6 50 Jackson 16 45.7 61 36.2 34.6 *Death rates with a small number of deaths in the numerator should be interpreted with caution. SEE TECHNICAL NOTES. 90 TABLE 20 (cont.) Mortality Statistics Summary for 2003 North Carolina Residents ALZHEIMER’S DISEASE Number of Death Number of Death Age-Adjusted Geographical Deaths Rate* Deaths Rate* Death Rate* Area 2003 2003 1999-2003 1999-2003 1999-2003 51 Johnston 13 9.5 82 12.8 17.7 52 Jones 0 0.0 4 7.8 6.6 53 Lee 11 22.1 50 20.2 20.9 54 Lenoir 9 15.3 30 10.1 9.5 55 Lincoln 20 29.7 58 17.8 20.9 56 McDowell 20 46.4 57 26.7 24.2 57 Macon 18 57.4 51 33.5 19.1 58 Madison 10 50.1 62 62.8 46.4 59 Martin 2 8.0 18 14.2 12.0 60 Mecklenburg 244 32.5 918 25.6 38.7 61 Mitchell 8 50.2 29 36.7 25.3 62 Montgomery 10 36.6 30 22.2 21.2 63 Moore 39 49.9 170 44.7 26.9 64 Nash 21 23.4 98 22.2 24.2 65 New Hanover 21 12.4 80 9.8 10.2 66 Northampton 8 36.7 32 29.2 21.2 67 Onslow 9 5.7 54 7.1 18.1 68 Orange 19 15.7 96 16.2 23.8 69 Pamlico 4 30.8 13 20.1 15.0 70 Pasquotank 3 8.2 18 10.2 8.7 71 Pender 2 4.6 11 5.2 5.1 72 Perquimans 1 8.5 8 13.9 9.7 73 Person 10 27.0 32 17.7 16.6 74 Pitt 17 12.2 74 10.9 14.9 75 Polk 27 142.9 72 77.4 35.1 76 Randolph 41 30.4 159 24.0 26.4 77 Richmond 4 8.6 35 15.0 14.3 78 Robeson 30 23.9 110 17.7 24.5 79 Rockingham 19 20.6 100 21.7 18.4 80 Rowan 42 31.5 176 26.8 23.4 81 Rutherford 28 44.1 79 25.0 19.3 82 Sampson 11 17.7 53 17.4 17.4 83 Scotland 6 16.9 35 19.6 22.3 84 Stanly 19 32.2 66 22.6 20.7 85 Stokes 5 11.0 33 14.7 16.3 86 Surry 28 38.9 144 40.3 32.4 87 Swain 6 44.9 23 35.0 29.4 88 Transylvania 23 78.1 79 53.9 32.5 89 Tyrrell 1 23.7 3 14.4 10.6 90 Union 45 31.1 156 23.6 37.8 91 Vance 5 11.4 24 11.0 11.5 92 Wake 97 13.9 326 9.9 18.0 93 Warren 2 10.0 5 5.0 3.7 94 Washington 1 7.4 14 20.6 16.2 95 Watauga 5 11.7 39 18.3 21.1 96 Wayne 29 25.4 110 19.4 25.5 97 Wilkes 24 35.9 107 32.3 30.1 98 Wilson 25 33.0 132 35.4 36.6 99 Yadkin 10 27.2 48 26.2 23.8 100 Yancey 12 66.9 33 36.9 24.8 *Death rates with a small number of deaths in the numerator should be interpreted with caution. SEE TECHNICAL NOTES. Alzheimer's Disease North Carolina Resident Data 1999-2003 Figure 20.A Alzheimer's Disease North Carolina Resident Data 1999-2003 Figure 20.B 91 Age Adjusted Mortality Rates Per 100,000 Population Mortality Rates Per 100,000 Population 77.4 53.9 - 62.8 32.3 - 48.4 12.2 - 29.7 5.0 - 11.6 42.7 - 46.4 28.6 - 38.7 17.2 - 27.6 8.7 - 16.6 3.7 - 7.4 92 93 *Death rates with a small number of deaths in the numerator should be interpreted with caution Rates are infant deaths per 1,000 live births. SEE TECHNICAL NOTES. TABLE 21 Mortality Statistics Summary for 2003 North Carolina Residents INFANT DEATHS (Per 1,000 Live Births) GEOGRAPHIC 2003 DEATHS 1999-2003 DEATHS AREA Number Rate* Number Rate* North Carolina 967 8.2 4,997 8.5 1 Alamance 16 8.7 100 10.8 2 Alexander 3 7.3 10 4.7 3 Alleghany 0 0.0 3 5.9 4 Anson 6 16.6 27 15.9 5 Ashe 3 11.0 16 12.2 6 Avery 0 0.0 2 2.3 7 Beaufort 5 8.9 37 11.9 8 Bertie 3 12.6 16 12.5 9 Bladen 2 4.5 21 9.1 10 Brunswick 5 5.7 26 6.1 11 Buncombe 19 7.6 115 9.1 12 Burke 8 8.3 43 8.0 13 Cabarrus 24 10.7 89 8.4 14 Caldwell 9 10.0 44 9.0 15 Camden 0 0.0 1 2.5 16 Carteret 5 8.5 27 9.0 17 Caswell 1 4.1 15 11.6 18 Catawba 16 7.9 82 8.0 19 Chatham 4 5.8 19 5.6 20 Cherokee 7 26.7 12 9.1 21 Chowan 1 6.9 4 4.5 22 Clay 1 10.9 2 5.1 23 Cleveland 11 9.1 64 10.2 24 Columbus 11 14.6 45 11.3 25 Craven 8 5.2 56 7.1 26 Cumberland 62 11.8 305 11.2 27 Currituck 2 8.6 9 8.2 28 Dare 3 7.0 16 8.9 29 Davidson 17 8.8 80 8.3 30 Davie 2 4.9 28 12.8 31 Duplin 4 5.5 35 9.0 32 Durham 18 4.7 139 7.4 33 Edgecombe 7 9.9 44 11.2 34 Forsyth 34 7.3 218 9.5 35 Franklin 5 7.8 24 7.4 36 Gaston 22 8.9 123 9.4 37 Gates 1 9.5 4 7.5 38 Graham 0 0.0 2 3.9 39 Granville 5 7.9 20 6.7 40 Greene 4 16.7 15 12.4 41 Guilford 46 7.8 254 8.6 42 Halifax 11 14.9 33 8.7 43 Harnett 15 10.6 58 8.1 44 Haywood 6 10.1 16 5.7 45 Henderson 8 7.0 34 6.3 46 Hertford 7 23.7 27 18.9 47 Hoke 8 11.3 30 8.9 48 Hyde 1 17.9 4 14.3 49 Iredell 17 9.3 81 9.0 50 Jackson 4 11.1 15 8.3 94 *Death rates with a small number of deaths in the numerator should be interpreted with caution Rates are infant deaths per 1,000 live births. SEE TECHNICAL NOTES. TABLE 21 (cont.) Mortality Statistics Summary for 2003 North Carolina Residents INFANT DEATHS (Per 1,000 Live Births) GEOGRAPHIC 2003 DEATHS 1999-2003 DEATHS AREA Number Rate* Number Rate* 51 Johnston 20 9.1 77 7.4 52 Jones 1 12.2 2 4.1 53 Lee 5 5.8 28 6.7 54 Lenoir 12 16.8 53 13.1 55 Lincoln 2 2.2 38 8.6 56 McDowell 4 7.8 22 8.3 57 Macon 2 6.0 14 9.0 58 Madison 0 0.0 5 4.6 59 Martin 3 9.7 13 8.1 60 Mecklenburg 87 6.8 449 7.5 61 Mitchell 1 6.3 8 9.6 62 Montgomery 4 10.4 16 8.0 63 Moore 6 6.9 36 8.0 64 Nash 8 7.0 58 9.5 65 New Hanover 11 5.3 57 5.6 66 Northampton 6 24.1 22 17.6 67 Onslow 33 10.4 135 8.5 68 Orange 10 7.7 37 5.8 69 Pamlico 1 9.1 3 5.8 70 Pasquotank 5 9.8 18 7.7 71 Pender 4 9.1 21 8.9 72 Perquimans 3 22.9 9 14.9 73 Person 6 13.8 24 10.5 74 Pitt 23 11.5 111 11.2 75 Polk 0 0.0 4 4.5 76 Randolph 12 6.6 84 9.1 77 Richmond 8 12.9 28 8.6 78 Robeson 12 6.1 121 11.7 79 Rockingham 10 9.1 47 8.1 80 Rowan 12 7.2 62 7.3 81 Rutherford 8 10.4 47 11.6 82 Sampson 11 12.1 43 9.4 83 Scotland 4 8.2 31 12.5 84 Stanly 12 17.1 35 9.5 85 Stokes 2 3.9 16 6.3 86 Surry 8 8.8 34 7.3 87 Swain 3 18.1 5 5.8 88 Transylvania 2 7.5 11 8.0 89 Tyrrell 0 0.0 1 4.5 90 Union 12 5.0 70 6.2 91 Vance 10 15.0 48 13.6 92 Wake 72 6.3 333 6.3 93 Warren 5 22.2 16 15.6 94 Washington 0 0.0 10 11.8 95 Watauga 1 2.8 11 6.4 96 Wayne 17 10.0 90 10.4 97 Wilkes 3 3.6 27 6.2 98 Wilson 8 8.0 59 11.0 99 Yadkin 1 2.3 15 6.2 100 Yancey 0 0.0 3 3.2 Infant Death Rates North Carolina Resident Data 1999-2003 Figure 21 95 Mortality Rates Per 100,000 Population 17.6 - 18.9 14.3 - 15.9 10.2 - 13.6 3.9 - 9.6 2.3 - 3.2 96 97 TECHNICAL NOTES 98 99 Computation of Death Rates In this report, total death rates and cause-specific death rates are expressed as resident deaths per 100,000 population. In 1999 and earlier editions of Leading Causes of Death, the total death rates were expressed per 1,000 population. To compare the total death rates in this edition to the total death rates published in 1999 and earlier editions, just move the decimal point two places to the left. Deaths are assigned to cause-of-death categories based on the underlying (or primary) cause of death from the death certificate. Appendix B describes the cause-of-death categories in terms of codes from the tenth revision of the International Classification of Diseases. All rates in Tables 1-20 use total population in the denominator except rates for the sex-specific cancer sites use male or female population in the denominator. Population denominators for these rates were provided by the Office of State Planning. The infant mortality rates in Table 21 are computed as the number of resident deaths under one year of age per 1,000 resident live births. Deaths in this report are assigned to place of residence. For deaths of people in long-term institu-tions (mental, penal, old age, orphan, nursing home, rest home, etc.), the institution is considered the usual residence if the decedent lived in the institution at least one year. College students and military personnel are considered residents of the college or military community. The following definitions apply to the rates of this report: Unadjusted Annual Death Rate: The annual death rates are computed as resident deaths per 100,000 population. Unadjusted 5-Year Death Rate: The average annual death rates are computed as average resident deaths per 100,000 average population. These multi-year rates are computed by summing the deaths for the five years, summing the population for the five years, dividing the former by the latter, and then multiplying the result by 100,000. These rates are shown in the first set of county maps (Figures 1.A, 2.A, etc.). Age-Adjusted 5-Year Death Rate: The average annual age-adjusted rates are computed by the direct method. These rates are also expressed as deaths per 100,000 population and represent the rate that would be expected if the age composition of the state and each county’s population were the same as that projected for the nation in the year 2000 (the “standard” population). These rates are shown in the second set of county maps (Figures 1.B, 2.B, etc.). The user should not compare an adjusted death rate to an unadjusted death rate. Also, adjusted rates for different time periods cannot be directly compared unless they were adjusted by the same standard population. See Appendix E for a more complete discussion of age-adjusted death rates. The age-adjusted death rates in this 2003 edition of Leading Causes of Death were calculated using the projected United States 2000 population as the standard. In 1997 and earlier editions, different standard populations were used. Therefore the age-adjusted rates in the current edition cannot be compared to the age-adjusted rates in these older editions. When using older editions of Leading Causes of Death, please read the explanatory notes to understand the technical details of how the age-adjusted rates were calculated. The special, expanded 1998 edition of Leading Causes of Death includes five-year age-adjusted death rates, using the projected United States 2000 standard population, over a twenty year period (1979-1998) to allow for comparisons of the ad-justed death rates over time. The death data were consistently coded under the ninth revision of the International Classification of Diseases from 1979 through 1998. The data from this 1998 publication are available on the State Center for Health Statistics Web site. 100 We changed the standard population to the projected United States 2000 population to be consis-tent with the new practices of the National Center for Health Statistics. This allows direct compari-sons of the state and county age-adjusted death rates for North Carolina to the published United States age-adjusted death rates. In age-adjusting the death rates in this publication, 10 age groups are used to compute age-specific death rates for each geographic area and cause of death. These rates are then applied to the projected 2000 United States standard population by age: 0-4, 5-14, 15-24, 25-34, 35-44, 45- 54, 55-64, 65-74, 75-84, and 85+. For details of the age adjustment process, refer to Appendix E. For the maps, a clustering routine from the Statistical Analysis System (SAS) was used to group counties that are “most like each other” with respect to their unadjusted and their adjusted rate. These maps show five levels of death rates, where level one is the lowest rate interval and level five the highest. A word of caution: Rates for sex-specific cancers (e.g., prostate) use male or female population in the denominator and therefore are not comparable to other rates. Therefore, in ranking the causes of cancer death by site one must use the observed number of deaths rather than the rates. Interpretation of Death Rates To assess a county’s relative mortality during a multi-year period, both the unadjusted and the adjusted rate can be compared to the corresponding state rates for a particular cause of death. This, of course, should not be done if the county’s unadjusted rate has fluctuated widely in recent years. The rate should represent a relatively stable situation. Then, the following alternative inter-pretations will apply: Relative Status Of Unadjusted Adjusted Rate Rate Interpretation of Unadjusted Rate Low Low Low mortality is not due to age, other mortality conditions are favorable. Low High Low mortality is due to favorable age distribution, other mor-tality conditions are unfavorable. High Low High mortality is due to unfavorable age distribution, other mortality conditions are favorable. High High High mortality is not due to age, other mortality conditions are unfavorable. Caution: In assessing the relative mortality of a county, be particularly aware of rates based on a small number of deaths (fewer than 20 deaths). Read carefully the next section on “Caution About Use of Rates.” 101 Caution About Use of Rates Small Number of Events: Any death rate with a small number of deaths in the numerator will have substantial random variation over time (a large standard error). A good rule of thumb is that any rate based on fewer than 20 events in the numerator may be subject to serious random error. Therefore, extreme caution should be taken when making comparisons or assessing trends with rates calculated with fewer than 20 events. Many of the death rates in this report have numerators smaller than 20. For a detailed discussion of Problems with Rates Based on Small Numbers, refer to Statistical Primer No. 12 of the State Center for Health Statistics, available on our Web site at http:// www.schs.state.nc.us/SCHS/pdf/primer12.pdf or by request. Age-Adjusted Death Rates: Unadjusted death rates are affected by the demographic composition of populations. Therefore, differences in the age distribution from one geographic area to another or from one point in time to another may hinder comparisons. The standardized adjustment of rates addresses this problem. The age-adjusted rate is a hypothetical rate computed in a way that reflects what the death rate would be in a particular geographic area, if the geographic area had the same age composition of the standard population. The measure, while useful for comparative purposes across time and geographic area, has no descriptive value in itself. The adjusted rate provides opportunities for comparisons across time and geographic area as long as all rates that are to be compared are adjusted to the same standard population. For more information on age-adjusted death rates, see Appendix E. 103 APPENDICES 104 105 APPENDIX A Comparability Ratios for the Major Causes of Death in North Carolina Vital Statistics, Volume 2 The comparability ratio is an adjustment factor that is applied to the number of deaths coded to a cause-of-death category under the International Classification of Diseases, 9th Revision (ICD-9) to make the number more comparable to the number coded under the 10th Revision (ICD-10). In North Carolina, causes of death were coded using ICD-9 from 1979 through 1998, and using ICD- 10 beginning in 1999. The comparability ratios indicate the extent of discontinuities in cause-of-death trends resulting from implementing ICD-10. A large sample of 1996 United States deaths were classified by both ICD-9 and ICD-10 to develop the comparability ratios. The comparability ratio is the ratio of the number of deaths in the 1996 sample in an ICD-10 cause-of-death category to the number of deaths in the sample in the same category as coded under ICD-9. More detailed comparability ratios are available from the State Center for Health Statistics or in the publication of the National Center for Health Statistics titled Comparability of Cause of Death Between ICD-9 and ICD-10: Preliminary Estimates (National Vital Statistics Reports, Volume 49, Number 2; May 18, 2001). CAUSE OF DEATH COMPARABILITY RATIO Heart disease ..................................................................................................................... 0.99 Cerebrovascular disease ...................................................................................................... 1.06 Cancer ............................................................................................................................... 1.01 Cancer of colon, rectum, and anus ....................................................................................... 1.00 Cancer of trachea, bronchus, and lung ................................................................................. 0.98 Cancer of breast ................................................................................................................. 1.01 Cancer of prostate .............................................................................................................. 1.01 Human immunodeficiency virus (HIV) disease ....................................................................... 1.14 Septicemia ......................................................................................................................... 1.19 Diabetes mellitus ................................................................................................................ 1.01 Pneumonia and influenza ..................................................................................................... 0.70 Chronic lower respiratory diseases ....................................................................................... 1.05 Chronic liver disease and cirrhosis ........................................................................................ 1.04 Nephritis, nephrotic syndrome, and nephrosis ....................................................................... 1.23 Unintentional motor vehicle injuries ...................................................................................... 0.85 All other unintentional injuries ............................................................................................. 1.08 Suicide ............................................................................................................................... 1.00 Homicide ............................................................................................................................ 1.00 Alzheimer’s disease ............................................................................................................. 1.55 Deaths from all causes ........................................................................................................ 1.00 106 APPENDIX B List of Selected Causes of Death (used for Tables E and F) CAUSE OF DEATH ICD-10 CODES* Heart disease ........................................................................................ I00-I09,I11,I13, I20-I51 Cerebrovascular disease ................................................................................................ I-60 |
OCLC number | 4242828 |
|
|
|
1 |
|
A |
|
B |
|
C |
|
D |
|
F |
|
G |
|
L |
|
M |
|
N |
|
O |
|
R |
|
S |
|
T |
|
V |
|
W |
|
|
|