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Health in the District of Columbia: Epidemiology and Trends

Health in the District of Columbia: Epidemiology and Trends. John O. Davies-Cole, PhD, MPH, CPM State Epidemiologist DC Department of Health CHP HEALTH FORUM MAY 2008. Health Status. The health status of the District of Columbia is a description of the health of its population.

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Health in the District of Columbia: Epidemiology and Trends

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  1. Health in the District of Columbia: Epidemiology and Trends John O. Davies-Cole, PhD, MPH, CPM State Epidemiologist DC Department of Health CHP HEALTH FORUM MAY 2008

  2. Health Status • The health status of the District of Columbia is a description of the health of its population. • The information used to report health status comes from a variety of sources: - birth and death records - hospital discharge data - health information collected from health care records - personal interviews - telephone surveys.

  3. White, 38.4% African American, 56.5% Asian / Pacific Islander, 3.2% Hispanics, 8.2% Estimated Population by Race, District of Columbia, 2006 (581,530)

  4. Life Expectancy • Life expectancy at birth is strongly influenced by infant and child mortality • District of Columbia was 72.6 in 2000 compared to 77.0 for the U.S. • This was the lowest compared to all states • Neighboring states: Maryland (76.3) and Virginia (76.9) were slightly below the national average.

  5. Life Expectancy (2000)Years

  6. Age-Adjusted Death Rates for the 15 Leading Causes of Death in the United States, 2003 Source: National Vital Statistics Reports, Vol. 54. No.13, April 19,2006

  7. DISTRICT OF COLUMBIA AND UNITED STATES TOP TEN AGE-ADJUSTED DEATH RATES, 2004 Source: DC Department of Health, Center for Policy, Planning and Epidemiology, State Center for Health Statistics. US: CDC, NHCS NVSS Vol. 55, No. 19, 8.21.2007. Notes: Top 10 causes of death account for 75.4% of all D.C. resident deaths. Ranking is based on DC deaths, US deaths are among top 15 deaths. *HIV//AIDS, hypertension and homicide not among top 10 for US.

  8. DC US

  9. Overall Mortality Rates In 5 Selected Cities, 2004 Source: Big Cities Health Inventory 2003 Per 100,000 population using 2000 U.S. Census figures; age-adjusted to the year 2000 standard population

  10. Crude Death Rate from Heart Diseases by Ward, 2004 Source: DC Department of Health, Center for Policy, Planning and Epidemiology, State Center for Health Statistics.

  11. Heart Disease Mortality Rates In 5 Selected Cities, 2004 Source: Big Cities Health Inventory 2003 * Per 100,000 population using 2000 U.S. Census figures; age-adjusted to the year 2000 standard population

  12. Crude Death Rate from Hypertension by Ward, 2004 Source: DC Department of Health, Center for Policy, Planning and Epidemiology, State Center for Health Statistics

  13. Hypertension Mortality Rates in 5 Selected Cities, 2004 * Per 100,000 population using 2000 U.S. Census figures; age-adjusted to the year 2000 standard population Sources: Big Cities Health Inventory 2007 DC Department of Health, Center for Policy, Planning and Epidemiology, State Center for Health Statistics, “Major Causes of Death for the District of Columbia, U.S., and Selected Cities, 2002-2004” Georgia Department of Human Resources, Division of Public Health, http://health.state.ga.us/pdfs/ohip/vsr/mortality.06.pdf Department of Health and Senior Services: http://www.dhss.mo.gov/cgi-bin/death1

  14. Crude Death Rate from Cancer by Ward, 2004 Source: DC Department of Health, Center for Policy, Planning and Epidemiology, State Center for Health Statistics

  15. All Cancer Mortality Rates In 5 Selected Cities, 2004 Source: Big Cities Health Inventory 2003 * Per 100,000 population using 2000 U.S. Census figures; age-adjusted to the year 2000 standard population

  16. Crude Death Rate for Diabetes by Ward, 2004 Source: DC Department of Health, Center for Policy, Planning and Epidemiology, State Center for Health Statistics

  17. Diabetes Mortality Rates In 5 Selected Cities, 2004 Source: Big Cities Health Inventory 2003 * Per 100,000 population using 2000 U.S. Census figures; age-adjusted to the year 2000 standard population

  18. Crude Death Rate from Homicide by Ward, 2004 Source: DC Department of Health, Center for Policy, Planning and Epidemiology, State Center for Health Statistics

  19. Homicide Rates In 5 Selected Cities, 2004 Source: Big Cities Health Inventory 2003 * Per 100,000 population using 2000 U.S. Census figures; age-adjusted to the year 2000 standard population

  20. Infant Mortality Rates by Ward, 2004 Source: DC Department of Health, Center for Policy, Planning and Epidemiology, State Center for Health Statistics

  21. Ranking of Infant Mortality Rate in 5 Selected Cities, 2003 Source: Big Cities Health Inventory 2007 * * Infant death/ 1,000 live births

  22. Crude Death Rates from HIV/AIDS by Ward, 2004 Source: DC Department of Health, Center for Policy, Planning and Epidemiology, State Center for Health Statistics

  23. HIV-Related Mortality Rates In 5 Selected Cities, 2004 Source: Big Cities Health Inventory 2003 * Per 100,000 population using 2000 U.S. Census figures; age-adjusted to the year 2000 standard population

  24. Crude Death Rates from Unintentional Injures by Ward, 2004 Source: DC Department of Health, Center for Policy, Planning and Epidemiology, State Center for Health Statistics

  25. Some Risk Behaviors

  26. Current Smokers Prevalence by Ward, 2005 Source: DOH, CPPE, Behavioral Risk Factor Surveillance System

  27. Obesity

  28. Prevalence of Obesity by Race (1996 – 2003)

  29. Obesity Prevalence by Ward, 2005 Source: DOH, CPPE, Behavioral Risk Factor Surveillance System

  30. Health Disparities

  31. ------ 2010 Target (US) ------ 2010 Target (DC) DC:8* US: 4.5* Source: D.C. State Center for Health Statistics. National Center for Health Statistics. Hispanics include persons of all Hispanic origin of any race. **U.S. rates base on 2003 data ***Rates not computed due to small number of infant deaths and, therefore are likely to be unstable. *Healthy People 2010 targets for US and DC: rates per 1,000 live births.

  32. Breast and Cervical Cancer* Age-Adjusted Death Rates by Race: District of Columbia, 2004 Source: DC Department of Health. *Rates are per 100,000 and age-adjusted to the 2000 U.S. standard.

  33. Incidence of Breast Cancer* Age-Adjusted Rates by Race: District of Columbia, 2003 Source: DC Department of Health, Cancer Registry *Rates are per 100,000 and age-adjusted to the 2000 U.S. standard.

  34. Hypertension* Age-Adjusted Death Rates by Race: District of Columbia, 2004 Age-adjusted Rate per 100,000 Standard Population Rates are age-adjusted to the year 2000 standard population. Source: DC Department of Health, State Center for Health Statistics, 2004.

  35. Diabetes* and Gestational Diabetes Prevalence by Race: District of Columbia, BRFSS 2004 Percent Source: 2004 DC BRFSS weighted data. DC Department of Health, Diabetes Control Program. *Healthy People 2010 targets for US and DC: rate per 100,000 deaths.

  36. HIV/AIDS* Age-Adjusted Death Rates by Race: District of Columbia, 2004 Age-adjusted Rate per 100,000 Standard Population Rates are age-adjusted to the year 2000 standard population. Source: DC Department of Health, State Center for Health Statistics, 2004.

  37. Homicide* Age-Adjusted Rates by Race : District of Columbia, 2004 Age-adjusted Rate per 100,000 Standard Population US: 3.0* Rates are age-adjusted to the year 2000 standard population. Source: DC Department of Health, State Center for Health Statistics, 2006.

  38. Questions

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