2014 Injury and Violence Assessment Update CLAY COUNTY PUBLIC HEALTH CENTER

Injury and Violence Assessment Update Clay County, Health Planning and Policy Section

2014

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800 H A I N E S D RIVE , L I B E R T Y MO 64068 2014 Injury and Violence Assessment Update

2014 Injury and Violence Assessment Update Summary

 There was significant increase in the general trend of deaths due to unintentional injuries among Clay County residents from 1991-2012.1  The leading causes of injuries in Clay County continue to be fall/jump; struck by/against; all other injuries; over-exertion; and motor vehicle traffic (2006-2012).3  Fall trends in Clay County o There was significant increase in the general trend of deaths due to falls among Clay County residents from 1991-2012. o There was significant increase in the general trend of emergency room visits due to falls among Clay County residents from 1991-2012.1  Motor vehicle crash trends in Clay County o There was significant decrease in the general trend of deaths due to motor vehicle traffic among Clay County residents from 1991-2012. o There was significant decrease in the general trend of hospitalizations due to motor vehicle traffic among Clay County residents from 1991-2012. 1  Poisoning trends in Clay County o There was significant increase in the general trend of deaths due to poisoning with drugs/alcohol among Clay County residents from 1991-2012. o There was significant increase in the general trend of hospitalizations due to poisoning with drugs/alcohol among Clay County residents from 1991-2012. o There was significant increase in the general trend of emergency room visits due to poisoning with drugs/alcohol among Clay County residents from 1991-2012. o There was significant decrease in the general trend of emergency room visits due to poisoning with gas/cleaner/caustic Clay County residents from 1991-2012. 1  Self-Inflicted Injury trends in Clay County o There was significant increase in the general trend of deaths due to self-inflicted injuries among Clay County residents from 1991-2012. o There was significant increase in the general trend of hospitalizations and emergency room visits due to self-inflicted injuries among Clay County residents from 1994-2012.

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2014 Injury and Violence Assessment Update

o There was significant increase in the general trend of emergency room visits due to self-inflicted injuries among Clay County residents ages 15-19 years old from 1994-2012. o There was significant increase in the general trend of emergency room visits and hospitalizations due to self-inflicted injuries among Clay County residents in the 20-34 years and 35-64 years age groups from 1994-2012.23  Injury trends in Clay County o There was significant increase in the general trend of hospitalizations and emergency room visits due to assault injuries among Clay County residents from 1994-2012. o There was significant increase in the trend of emergency room visits due to assault injuries: cut-pierce; and adult abuse among Clay County residents from 1994-2012.29

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2014 Injury and Violence Assessment Update

Previous Assessment Updated Current Missouri Current U.S. Direction Measure of County Notes Clay County Data Clay County Data Data Data Trend Unintentional Injuries Deaths due to 1999-2009: 2001-2011: 2001-2011: 2000-2010: Note that data from unintentional 38/100,0001p 40.3/100,0001 46.77/100,0001 38.02/100,0002 previous assessment injuries and update overlap in years. Trend is 3 3 2007: 44.9/100,000 2012: 39.3/100,000 2012: 48.1/100,000 from 2002-2012 2008: 47.7/100,000 Unintentional Injury 2009: 36.5/100,000 Profile. Death 2010: 41.5/100,000 MICA data includes 2011: 37.1/100,0004p “motor vehicle accidents” “all other accidents” and SIDS.

15 Leading 2007-2011 2012 2012 2011 Please note, the Causes of Death 1. Cancer 1. Cancer 1. Heart Disease 1.Diseases of heart five year range in Clay County 2. Heart Disease 2. Heart Disease 2. Cancer 2. Malignant for previous for all Ages 3. Other diseases 3. Other diseases 3. Other diseases Neoplasms assessment and (residual) (residual) (residual) 3. Chronic lower one year data 4. Chronic lower 4. Chronic lower 4.Chronic lower respiratory disease for this 4. Cerebrovascular respiratory diseases respiratory diseases respiratory diseases assessment. disease 5.Cerebrovascular 5. All other accidents 5. Cerebrovascular 5. Unintentional disease (stroke) and adverse effects disease (stroke) Injury 6. All other accidents 6. Cerebrovascular 6. All other accidents 6. Alzheimer’s and adverse effects disease (stroke) and adverse effects Disease 7. Alzheimer’s disease 7. Alzheimer’s disease 7. Alzheimer’s 7. Diabetes 8. Pneumonia and 8. Diabetes disease Mellitus influenza 9. Other digestive 8. Diabetes 8. Influenza & 9. Kidney disease disorders 9. Kidney disease Pneumonia 10. Diabetes 10. Suicide 10. Pneumonia and 9. Nephritis 11. Other digestive 11. Kidney disease influenza 10. Suicide 11. Septicemia

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2014 Injury and Violence Assessment Update

Previous Assessment Updated Current Missouri Current U.S. Direction Measure of County Notes Clay County Data Clay County Data Data Data Trend disorders 12. Pneumonia and 11. Other digestive 12. Chronic liver 12. Suicide influenza diseases disease and 13. Other infections 13. Motor vehicle 12. Suicide cirrhosis and parasites accidents 13. Motor vehicle 13. Essential 14. Chronic liver 14. Other major accidents hypertension and hypertensive renal disease and cirrhosis cardiovascular disease 14. Septicemia disease 15. Pneumonitis due to 15. Chronic liver 15. Other respiratory 4p 3 3 14. Parkinson’s solids and liquids disease and cirrhosis diseases disease 15. Pneumonitis due to solids and liquids5

Years of potential 2010: 2012: 2012: 2010 Unintentional injuries 4 4 are a leading cause of life lost before 3,346 YPLL 3,975 YPLL 118,328 YPLL Before age 65 premature mortality. age 75 years due 2011: 3,495,389 YPLL calculated with 4p deaths from “motor to injuries 3,018 YPLL vehicle accidents,” suicide, homicide, “all other accidents” and SIDS. Since YPLL is Unintentional a calculation using counts, not rates, Injury 2,083,297 YPLL YPLL cannot be compared between county, state, and Suicide nation. 764,776 YPLL Homicide 522,701 YPLL6 Emergency 2009: 93/1,000 2011: 87.3/1,0007 2011: 92.6/1,0007 2010: 125/1,0008 Please note, state and 7p county data is from a Room visits due 2010: 91.6/1,000 different database than to national data, so these measures may not be injuries/poisoning comparable.

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2014 Injury and Violence Assessment Update

Previous Assessment Updated Current Missouri Current U.S. Direction Measure of County Notes Clay County Data Clay County Data Data Data Trend

Hospitalizations 2009: 108.9/10,000 2011: 109.8/10,0009 2011: 104/10,0009 2012: U.S. data are from due to injury and 2010: 116/10,0009p 71.405/10,000 Nonfatal Injury 10 WISQUARS may poisoning (nonfatal) not be comparable to local and state data. Annual cost of 2008: $63,143,615 2011: $79,245,07730 2011: $2,649,54225 30 2005: National data are for 11 medical costs for hospitalizations 2009: $67,330,079 $40,479,375,000 11p nonfatal injuries and injuries and 2010: $79,974,794 all mechanisms of poisoning injury. Leading causes of 2006-2010 2011 2011 2012 National data are 1. Fall/jump: 2,932.7/100,000 1. Fall/jump: 2,841.4/100,000 1. Fall/jump: 2,804.9/100,000 1. Unintentional Fall for 10 leading injuries 2. Struck by/against: 2. Struck by/against: 2. Struck by/against: 2. Unintentional struck 1,604.2/100,000 1,464.5/100,000 1,453.1/100,000 by/against causes of 3. All other injuries: 3. All other injuries: 3. All other injuries: 3. Unintentional nonfatal injuries 1,081.3/100,000 1,133.5/100,000 1,370.9/100,000 overexertion treated in 4. Over-exertion: 4. Over-exertion: 4. Motor vehicle traffic: 4. Unintentional hospital 1057.1/100,000 896.9/100,000 956.7/100,000 MV-Occupant Emergency 5. Motor vehicle traffic: 5. Motor vehicle traffic: 5. Over-exertion: 5. Unintentional 966.5/100,000 846.5/100,000 774/100,000 cut/pierce Departments. 6. Cut/pierce: 6. Cut/pierce: 6. Cut/pierce: 6. Unintentional Other Please note that 815.4/100,000 713.4/100,000 772.1/100,000 specified the previous 7. Weather/wildlife: 7. Weather/wildlife: 7. Weather/wildlife: 7. Other Assault, struck assessment 371.1/100,000 366.7/100,000 485.9/100,000 by/against 8. Poison/overdose 8. Poison/overdose 8. Poison/overdose 8. Unintentional Other included 299.2/100,000 287.5/100,000 305.3/100,000 Bite/Sting overlapping 9. Motor vehicle-Non traffic: 9. Motor vehicle-Non traffic: 9. Motor vehicle-Non traffic: 9. Unintentional years. 219.7/ 100,000 198.2/ 100,000 239.2/ 100,000 Poisoning 10. Fire/burn: 10. Fire/burn: 10. Fire/burn: 10. Unintentional

149.1/100,000 117.2/100,000 151.8/100,000 Unknown/Unspecified13 11. Unknown 11. Abuse/Neglect/ 11. Unknown 48.2/100,000 Rape: 59.7 /100,000 83.2/100,000 12. Abuse/Neglect/ 12. Unknown 12. Abuse/Neglect/ Rape: 48.1/100,000 47.8/100,000 Rape: 56.6/100,000 13.Machinery: 13.Machinery: 13. Machinery: 40.7/100,000 42.8/100,000 46.5/100,000

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2014 Injury and Violence Assessment Update

Previous Assessment Updated Current Missouri Current U.S. Direction Measure of County Notes Clay County Data Clay County Data Data Data Trend 14. Other Transport: 14.Firearm: 14. Firearm: 17.5/100,000 13.7/100,000 31/100,000 15. Firearm: 15. Other Transport: 15. Other Transport: 14.6/100,000 9.1/100,000 11.8/100,000 16. Suffocate/Hang: 16. Suffocate/Hang: 16. Suffocate/Hang: 11.8/100,000 8.3/100,000 10.9/100,000 17. Drowning: 2.6/100,00013p 17. Drowning: 1.7/100,000 17. Drowning: 3.4/100,000

2012 2012 1. Fall/jump: 2,630.7/100,000 1. Fall/jump: 2,756.6/100,000 2. Struck by/against: 2. Struck by/against: 1,424.9/100,000 1,438.3/100,000 3. All other injuries: 3. All other injuries: 1,123/100,000 1,371.2/100,000 4. Motor vehicle traffic: 4. Motor vehicle traffic: 920.5/100,000 932.2/100,000 5.Over-exertion: 5. Over-exertion: 889.1/100,000 794.4/100,000 6. Cut/pierce: 6. Cut/pierce: 695.7/100,000 724.5/100,000 7. Weather/wildlife: 7. Weather/wildlife: 334.8/100,000 486.3/100,000 8. Poison/overdose 8. Poison/overdose 274.1/100,000 297.2/100,000 9. Motor vehicle-Non traffic: 9. Motor vehicle-Non traffic: 198.6/ 100,000 250.1 100,000 10. Fire/burn: 10. Fire/burn: 115.1/100,000 149.6/100,000 11. Abuse/Neglect/ 11. Unknown Rape: 47.3/100,000 122.6/100,000 12. Unknown 12. Abuse/Neglect/ 45.2/100,000 Rape: 55.2/100,000 13.Machinery: 13.Machinery: 44.2/100,000 48.3/100,000 14. Suffocate/Hang: 14. Firearm: 13.6/100,000 32.7/100,000 15. Other Transport: 15. Other Transport: 11.7/100,000 12.3/100,000 15. Firearm: 16. Suffocate/Hang: 11.5/100,000 9.7/100,000 16. 17. Drowning: 2.9/100,00012

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2014 Injury and Violence Assessment Update

Previous Assessment Updated Current Missouri Current U.S. Direction Measure of County Notes Clay County Data Clay County Data Data Data Trend 17. Drowning: 2.7/100,00012

Deaths due to 2009: 15.3/100,000 2012: 11.9/100,0003 2012: 9.8/100,0003 2010: 8.09/100,0002 falls 2010: 13.7/100,000 2011: 16.5/100,0004p Hospitalizations 1999-2009: 2001-2011: 2001-2011: 2001-2011: National data only due to falls 32/10,0001p 33.3/10,0001 28.41/10,0001 22.2/10,00014 includes nonfatal falls who were hospitalized. Emergency room 1999-2009: 2001-2011: 2001-2011: 2011: 29.57/1,000 National data are visits due to falls 24.7/1,0001p 25.8/1,0001 25.98/1,0001 2012: 28.4/1,00014 for nonfatal falls only. Injuries from 2009: 281.3/100,000 2011: 287.5/100,000 2011: 305.3/100,000 2011: Available data poisoning and 408.95/100,000 does not indicate if poisonings were overdose 2010: 315.1/100,000 2012: 274.1/100,000 2012: 297.2/100,000 2012: 14 unintentional, self 395.09/100,000 inflicted, or violence-related. U.S. information does not specify proportion of agent used in poisoning. Drug/alcohol 2009: 89% 2011: 87.3% 2011: 88.9% National data are poisoning/overdose 2010: 89% 2012: 89.4% 2012: 87.9% for nonfatal injuries.

Gas/cleaner/caustics 2009: 11% 2011: 12.7% 2011: 11.1% /or other poisoning 13p 12 12 2010: 11% 2012: 10.6% 2012: 12.1% Deaths due to 2007:12.8/100,000 2012: 10.6/100,0003 2012: 14.1/100,0003 2010: 13.74/100,0002 National data unintentional 2008: 11.3/100,000 for 2011 are poisoning and 2009: 10.5/100,000 not yet 2010: 10.3/100,000 exposure to 4p available. noxious 2011: 7.4/100,000

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2014 Injury and Violence Assessment Update

Previous Assessment Updated Current Missouri Current U.S. Direction Measure of County Notes Clay County Data Clay County Data Data Data Trend substances Emergency room 2009: 2.4/1,000 2011: 2.5/1,000 2011: 2.8/1,000 2012: 3.95/1,00014 visits due to 2010: 2.8/1,000 poisoning

Medications and 49% 50.5% 49.7% drugs

Nonmedical 32% substances 30.2% 38.5%

7p 19% 7 7 Psychotropic agents 19.2% 11.8% 3 2 Unintentional 2009: 0 @ 2012: 0.9 /100,0003@ 2012: 0.9/100,000 2010: 1.46/100,000 National deaths due to 2010: 1.2/100,000 @ information is not drowning or 2011: 0.9 /100,0004p yet available for 2011. County data submersion @ should not be compared due to the unstable rates. 3 4 @ Approximate annual There were no Sudden Infant 2010: 0 @ 2012: 0 @ 2012: 0.3/100,000 4p @ count: 4,00015 deaths due to SIDS Death Syndrome 2011: 0 in Clay County in (SIDS) 2012. Deaths due to 2009: 0 @ 2012: 03 @ 2012:1.1/100,0003 2010: 0.99/100,0002 National data are accidental 2010: 1/100,000 @ for deaths due to exposure to 2011:0.7/100,0004p@ fire/burn. smoke/fire/flames 3 3 2 Motor Vehicle 2007: 12.5/100,000 2012: 10 2012: 14/100,000 2010: 11.28/100,000 Crash Deaths 2008: 15.8/100,000 2009: 7.4/100,000 @ 2010: 11.2/100,000 2011: 7.4/100,0004p @ Deaths and 2011 2012 2012 2010 County and state 16 deaths 21 deaths 826 deaths data are counts,

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2014 Injury and Violence Assessment Update

Previous Assessment Updated Current Missouri Current U.S. Direction Measure of County Notes Clay County Data Clay County Data Data Data Trend Injuries due to 1,159 injuries 1,188 injuries 50,376 injuries Deaths: not rates. Trends traffic crashes 11.28/100,0002 should not be 17p 16 17 Total crashes: 4,730 Total crashes: 4,793 Total crashes: 137,384, assessed by counts. 2012 Nonfatal injuries U.S. information (all transportation): is by rate. 2011 1,329.63/100,00014 death rates not yet available.

Traffic Crashes 2008-2010 2013 2013 by Time of Day 12:00P-5:59P: 45% 12:00P-5:59P: 45% 12:00P-5:59P: 44% 6:00A-11:59A: 27% 6:00A-11:59A: 27% 6:00A-11:59A: 27% 6:00P-12:00A: 20% 6:00P-12:00A: 20% 6:00P-12:00A: 22% 12:01A-5:59A: 8%11p 12:01A-5:59A: 7%31 12:01A-5:59A: 8%31

2012 71.74% daylight hours17 Locations of 2008-2010 2013 2013 traffic crashes City Streets: 52% City Streets: 52% City Streets: 44% I-35: 10.4% State #Alt/Bus Spur: 17% State #Alt/Bus Spur: 15% I-169: 5.3% Interstate/loop: 16% Interstate/loop: 13% I-435: 4.6% U.S. Roadway: 8% U.S. Roadway: 9% Highway 152: 4% Country rd: 2% Country rd: 7% 31 31 Other Clay County Other: 5% Other: 11% Highways: 23.7%11p Leading cause of 2011 (all crashes) 2013 2013 2010 fatal and injury Speed: 837 (21%) Following too close: Following too close: Distracted Driving Drinking: 162 (4%) (injuries): 18%25 motor vehicle 16% 10% Young Driver: 1,080 crashes (27%) Inattentive/ Inattentive/ Alcohol Impaired Driving (fatalities): distracted:14% distracted:13%

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2014 Injury and Violence Assessment Update

Previous Assessment Updated Current Missouri Current U.S. Direction Measure of County Notes Clay County Data Clay County Data Data Data Trend Older Driver: 1,357 (35%) Failed to Yield:15% Failed to Yield:14% 31%26 Commercial Vehicle: 420 Too fast for Too fast for (11%) Drugs other than Motorcycle: 93 (2%) 18p conditions :9% conditions :13% alcohol Improper passing: 9% Improper passing: 1% (fatalities):18%26 Improper lane Improper lane usage/change: 5% usage/change: 8% Alcohol and drugs:6% Alcohol and drugs:3% Other: 26 %31 Other: 38%31 Motor vehicle 2009 2012 2002 2010 Rates for this Unintentional under 15: 0/100,000 under 15: 2.1/100,000@ under 15: 2.4/100,000 under 15: 2.32/100,000 measure are crude 15-24: 16.71/100,000 Injury fatality 15-24: 14.6/100,000 15-24: 14.4/100,000 @ 15-24: 21.3/100,000 rates. National 25-44: 9.4/100,000 25-44: 16.9/100,000@ 25-44: 17.4/100,000 25-44: 12.86/100,000 data for 2011 not rates by age 45-64: 3.5/100,000 45-64: 6.7/100,000@ 45-64: 14.7/100,000 45-64: 11.9 /100,000 yet available. No 65 and over: groups 65 and over: 16.4/100,000 65 and over: 7.3/100,0003 65 and over: 16/100,0003 trend could be 16.03/100,0002 established for

2010 local data since under 15: 4.2/100,000 data by year are 15-24: 14.7/100,000 unstable due to 25-44: 15.7/100,000 low numbers. 45-64: 15.5/100,000 65 and over: 0/100,000

2011 under 15: 2.1/100,000 15-24: 14.5/100,000 25-44: 3.1/100,000 45-64: 8.4/100,000 65 and over: 15.5/100,0004p

@ All county rates are unstable Number of April 2013: 172,971 April 2014: 174,500 April 2014: 4,415,400 The number of Licensed Drivers licensed drivers

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2014 Injury and Violence Assessment Update

Previous Assessment Updated Current Missouri Current U.S. Direction Measure of County Notes Clay County Data Clay County Data Data Data Trend are counts, not Proportion of 15-19: 6.7% 15-19: 6.5% 15-19: 6.3% rates. drivers by ages in 70 and over: 8.9%19p 70 and over: 10.2%18 70 and over: 11.5%18 years for high risk groups Number of deer 2010: 165 2010: 3,420 Report has not strike traffic 2011: 14520p 2011: 3,56320p been released for crashes 2012. Residents 5-15 2004-2008 Information years involved in after 2008 is bicycle accident not yet know to be available. wearing protective headgear

Known to be wearing protective 8.6% headgear

Known to not be 40% using helmets 51% 10p Unknown Residents seek 2008: This survey has shelter when a 73.1%35p not been tornado warning is repeated issued

Traumatic Brain 2010 National data are Injury Deaths: counts and not comparable to

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2014 Injury and Violence Assessment Update

Previous Assessment Updated Current Missouri Current U.S. Direction Measure of County Notes Clay County Data Clay County Data Data Data Trend 17.1/100,000 local and state Type 1 (most Hospitalizations: data. serious) 2009:89.3/100,000 2011:79/100,000 2011:69.9/100,000 91.7/100,000 2010: 83.1/100,000 2012: 58.5/100,000 2012: 72.2/100,000 Emergency Type 2 Department (moderately 2009: 220.6/100,000 2011:263.8/100,000 2011:194.9/100,000 Visits: serious) 2010: 246.4/100,000 2012: 254.8/100,000 2012: 207.7/100,000 715.7/100,000 Total: Type 3 (least 2009:4.8/100,000 @ 2011:9.6/100,000 2011:7.5/100,000 823.7/100,00021 serious) 2010: 5.1/100,00013p @ 2012:7/100,00012@ 2012:6.8/100,00012

Deaths due to 1999-2009: 2001-2011: 1999-2009: 2012: National data are injuries at work 1.4/100,0001p 1.4/100,0001 1.61/100,0001 4, 38322 counts/estimates and not comparable to local and state data. Firearm injuries 1999-2009 2001-2011 2001-2011 1999-2010 Please note the and deaths varied time frames. (unintentional)

Deaths 2 Hospitalizations 0 @ 0 @ 0.28/100,000 10.07/100,000

ED Visits 0.2/10,000 0.2/10,000 0.32/10,000

1p 1 0/1,000 0/1,000 0.07/1,0001 Injuries 2001-2011 22.86/100,00014 Intentional Injuries/Violence Emergency room 1999-2009: 2001-2011 1999-2009: 2010: 713,00027 National data are visits due to self- 0.8/1,00024p 0.9/1,00023 0.62/1,00023 counts (for only inflicted injuries one year), not rates. The

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2014 Injury and Violence Assessment Update

Previous Assessment Updated Current Missouri Current U.S. Direction Measure of County Notes Clay County Data Clay County Data Data Data Trend (trend national since information 1994) should not be compared with state and local information. Suicide rate All ages All ages All ages 2010 Change in 2009: 15.3/100,000 2012: 15.6/100,0004 2012: 14.7/100,0004 All suicides: trend is not 2010: 16.6/100,000 12.4/100,000 significant. 4p Data by year 2011: 12.7/100,000 stratified by age group are unstable (numerator less than 20).

Firearm suicides 6.3/100,000

Suffocation suicides 3.1/100,000 Poisoning suicides 2.1/100,00027 Homicide rate 2009: 8 2012: 4.8/100,000@ 2011: 7.4/100,000 2010: National data 2010: 5 Count: 114 Count 4294 5.29/100,000 not available for 4p 2011. Only 2011: 10

compare national data

with itself.

2012 Involved 2009-2011 2012 2010 discharge of 52% 54% 73% 3.62/100,000 firearms

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2014 Injury and Violence Assessment Update

Previous Assessment Updated Current Missouri Current U.S. Direction Measure of County Notes Clay County Data Clay County Data Data Data Trend

Other/unspecified means 27%4 48%4p 45%4 Violent 2007-2009: 2009-2011: 2009-2011: 2012: State and local Rate 833/100,000 755/100,00020 466/100,00020 386.9/100,00024 data are from County Health 2008-2010: Rankings which 758/100,00021p use multiple years of data. Notice the overlap in the years compared. Crime rates 2011 2012 2012 These reports Clay County: Clay County: Missouri: represent all 2,679.6/100,000 2,814.9/100,000 3,772.1/100,00028 crime. It is important to Kansas City: Kansas City: note that 6,809.1/100,000 6,901.0/100,000 geographic, demographic, North Kansas City: North Kansas City: economic, and 10,537.5/100,000 8,501.1/100,000 strength and aggressiveness Claycomo: Claycomo: of local law 2,578.4/100,000 3,414.6/100,000 enforcement make a Mosby: Mosby: difference on 2,094.2/100,000 3,141.4/100,000 how accurately crime is Oakview Village: Oakview Village: reported. This 1,861.7/100,000 1,063.8/100,000 is for violent

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2014 Injury and Violence Assessment Update

Previous Assessment Updated Current Missouri Current U.S. Direction Measure of County Notes Clay County Data Clay County Data Data Data Trend and property Excelsior Springs: Excelsior Springs: offences. 3,730.7/100,000 4,755.5/100,000

Liberty: Liberty: 1,835.6/100,000 2,245.8/100,000

Birmingham: Birmingham: 1,630.4/100,000 0/100,000 @

Kearney: Kearney: 1,973.6/100,000 2,128.2/100,000

Pleasant Valley: Pleasant Valley: 2,052.5/100,000 1,850.6/100,000

Gladstone: Gladstone: 3,195.8/100,000 3,046.3/100,000

Clay Co-Rural: Clay Co-Rural: 1,642.1/100,000 1,892.4/100,000

Smithville: Smithville: 1,479.2/100,00029p 1,371.8/100,00028

Assault injury 1999-2009 2001-2011 2001-2011 1999-2010 National death rates data are classified as 17.24/100,0002 “violence Deaths 3.5/100,000 3.5/100,000 7.18/100,000 related” This

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2014 Injury and Violence Assessment Update

Previous Assessment Updated Current Missouri Current U.S. Direction Measure of County Notes Clay County Data Clay County Data Data Data Trend includes sexual assault and other

assault. 2001-2011

Hospitalizations 2.1/10,000 2.3/10,000 3.09/10,000 30.62/100,000

ER Visits 3.1/1,00030p 3.3/1,00029 3.97/1,00029

Injuries

565.22/100,00014 Offences known 2011 2012 2012 2012 These rates are 28 14 to law Clay County: 2.2/1,000 Clay County: 2.2/1,000 4.49/1,000 751.12/100,000 for violent enforcement for only. Claycomo: 0/1,000 Claycomo:4.2/1,000 cities in Clay National data County: Violent include all Excelsior Springs: Excelsior Springs: , legal Crime Rates interventions, and 4.2/1,000 2.6/1,000 self-harm. Gladstone: 2.7/1,000 Gladstone: 2.8/1,000

Kearney: 0.6/1,000 Kearney: 0.4/1,000

Liberty: 1.9/1,000 Liberty: 1.9/1,000

North Kansas City: North Kansas City: 2.8/1,000 3.1/1,000

Pleasant Valley: Pleasant Valley: 1.3/1,000 0.7/1,000

Smithville: 1.3/1,000 Smithville: 2.0/1,000

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2014 Injury and Violence Assessment Update

Previous Assessment Updated Current Missouri Current U.S. Direction Measure of County Notes Clay County Data Clay County Data Data Data Trend

Kansas City: 12/1,00029p Kansas City: 12.7/1,00028 Assault Injuries 1999-2009 2001-2011 2001-2011 2001-2011 with firearm involvement

Deaths 2.1/100,000 2.0/100,000 5.0/100,000 9.91/100,0002

Hospitalizations 0.2/10,000 0.3/10,000 0.77/10,000

ER Visits 0/1,00030p 0/1,00029 0.1/1,00029

Injuries 2001-2011 17.39/100,00014 Offences known 2011 2012 2012 2012 These rates are to law Clay County: 1.8/10,000 Clay County: 2.7/10,000 2.5/10,00028 26.96/100,00014 likely low, as, as enforcement for national data cities in Clay Claycomo: 0/10,000 Claycomo: 20.9/10,000 (3) show 60% of County: Forcible rapes/sexual Excelsior Springs: Excelsior Springs: assaults are not rape rate 56P 4.5/10,000 2.7/10,000 reported.

Gladstone: 3.1/10,000 Gladstone: 1.2/10,000 National data is defined as Kearney: 1.2/10,000 Kearney: 0/10,000 “sexual assault” and is Liberty: 3.1/10,000 Liberty: 3.4/10,000 not comparable

to local and North Kansas City: North Kansas City: 0/10,000 0/10,000 state data.

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2014 Injury and Violence Assessment Update

Previous Assessment Updated Current Missouri Current U.S. Direction Measure of County Notes Clay County Data Clay County Data Data Data Trend

Pleasant Valley: Pleasant Valley: 0/10,000 3.4/10,000

Smithville: 0 Smithville: 3.5

Kansas City: Kansas City: 2.4/10,00029p 5.3/10,00028 Offences known 2011 2012 2011 See “Assault to law Clay County: 1.5/1,000 Clay County: 1.6/1,000 1.3/1,00028 rate injuries” information. enforcement for Claycomo: 0/1,000 Claycomo: 2.1/1,000 cities in Clay County: Excelsior Springs: Excelsior Springs: Aggravated 3.4/1,000 2.2/1,000 assault rate Gladstone: 1.6/1,000 Gladstone: 2.0 /1,000

Kearney: 0.4/1,000 Kearney: 0.1/1,000

Liberty: 1.4/1,000 Liberty: 1.4/1,000

North Kansas City: North Kansas City: 1.4/1,000 1.7/1,000

Pleasant Valley: 0.7/1,000 Pleasant Valley: 0.3/1,000

Smithville: 0.8/1,000 Smithville: 1.7/1,000

Kansas City: 7.6/1,00029p Kansas City: 8.4/1,00028 Offences known 2011 2012 2012 2010 Due to the low to law Clay County: 3.75/100,000 Clay County: 7.4/100,000 4.9/100,00028 3.62/100,002 numbers, we enforcement for do not Claycomo: 0 Claycomo: 0 cities in Clay recommend County: Murder Excelsior Springs: 0 Excelsior Springs: 0 comparing

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2014 Injury and Violence Assessment Update

Previous Assessment Updated Current Missouri Current U.S. Direction Measure of County Notes Clay County Data Clay County Data Data Data Trend rate trends from Gladstone: 3.9/100,000 Gladstone: 19.6/100,000 (5) these years.

Kearney: 11.9 (1) Kearney: 0 Homicide

information does Liberty: 0 Liberty: 0 not include lethal

intervention data. North Kansas City: 0 North Kansas City: 0 2012 national

data not yet Pleasant Valley: 0 Pleasant Valley: 0 available.

Smithville: 0 Smithville: 0

Kansas City: Kansas City: 6.5/100,00028 23.6/100,00029p Domestic 2011: 2012: 2012: 686.5/100,00028 violence rate 527.8/100,00029p 588.6/100,00028

1. Missouri Department of Health and Senior Services. Community Data Profiles: Unintentional Injury Indicators. Retrieved March 31, 2014 from http://health.mo.gov/data/CommunityDataProfiles/

2. Centers for Disease Control and Prevention. WISQARS, Fatal Injury Reports: 1999-2010 National or Regional. Retrieved April 30, 2014 from http://webappa.cdc.gov/sasweb/ncipc/mortrate10_us.html

3. Missouri Department of Health and Senior Services. Death MICA. Retrieved April 30, 2014 from http://health.mo.gov/data/mica/DeathMICA/

4. Missouri Department of Health and Senior Services. Death MICA. Retrieved May 1, 2014 from http://health.mo.gov/data/mica/DeathMICA/

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2014 Injury and Violence Assessment Update

5. Centers for Disease Control and Prevention. (2012). National Vital Statistics Report: Deaths: Preliminary Data for 2011. Retrieved from http://www.cdc.gov/nchs/data/nvsr/nvsr61/nvsr61_06.pdf

6. Centers for Disease Control and Prevention. WISQARS. Years of Potential Life Lost (YPLL) Reports, 1999-2010. Retrieved April 14, 2014 from http://webappa.cdc.gov/sasweb/ncipc/ypll10.html

7. Missouri Department of Health and Senior Services. Emergency room MICA. Retrieved April 3, 2014 from http://health.mo.gov/data/mica/mica/er.php

8. Centers for Disease Control and Prevention. National Hospital Ambulatory Medical Care Survey: 2010 Emergency Department Summary Tables. Retrieved April 3, 2014 from http://www.cdc.gov/nchs/data/ahcd/nhamcs_emergency/2010_ed_web_tables.pdf

9. Missouri Department of Health and Senior Services. Inpatient Hospitalizations MICA. Retrieved April 3, 2014 from http://health.mo.gov/data/mica/InpatientHospitalizationMICA/

10. Centers for Disease Control and Prevention. Office of Statistics and Programming. WISQARS Nonfatal Injury Reports, 2001- 2012. Retrieved April 3, 2014 from http://webappa.cdc.gov/sasweb/ncipc/nfirates2001.html

11. Centers for Disease Control and Prevention. Data & Statistics (WISQARS): Cost of Injury Reports. Retrieved April 14, 2014 from http://wisqars.cdc.gov:8080/costT/ProcessPart1FinishOutServlet

12. Missouri Department of Health and Senior Services. Injury MICA. Retrieved April 14, 2014 from http://health.mo.gov/data/mica/InjuryMICA/

13. Centers for Disease Control and Prevention. Office of Statistics and Programming. WISQARS Leading Causes of Nonfatal Injury Reports, 2001-2012.Retrieved April 14, 2014 from http://webappa.cdc.gov/sasweb/ncipc/nfilead2001.html

14. Centers for Disease Control and Prevention. Office of Statistics and Programming. WISQARS Nonfatal Injury Reports 2001-2012. Retrieved April 14, 2014 from http://webappa.cdc.gov/sasweb/ncipc/nfirates2001.html

15. Centers for Disease Control and Prevention. Sudden Unexpected Infant Death (SUID). Retrieved April 15, 2014 from http://www.cdc.gov/SIDS/index.htm

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2014 Injury and Violence Assessment Update

16. Missouri Statistical Analysis Center. Clay County Facts-2011. Retrieved April 17, 2014 from http://www.mshp.dps.missouri.gov/MSHPWeb/SAC/pdf/2012countyPDF/Clay%20County%202012.pdf

17. Missouri State Highway Patrol Department of Public Safety. 2013 Edition: 2012 Statistics, Missouri Traffic Crashes. Retrieved April 17, 2014 from http://www.mshp.dps.missouri.gov/MSHPWeb/SAC/pdf/2013E.pdf

18. Missouri Department of Revenue. Total drivers by age per county. Retrieved April 17, 2014 from http://dor.mo.gov/publicreports/drivers_age_cnty_report.txt

20. University of Wisconsin Population Health Institute. 2012, 2013 County health rankings. Retrieved April 2014 from http://www.countyhealthrankings.org/app#/missouri/2013/clay/county/outcomes/overall/snapshot/by-rank

21. Centers for Disease Control and Prevention. Rates of TBI-related Emergency Department Visits, Hospitalizations, and Deaths— United States, 2001-2010. Retrieved April 21, 2014 from http://www.cdc.gov/traumaticbraininjury/data/rates.html

22. Bureau of Labor Statistics. Census of Fatal Occupational Injuries (CFOI)-Current and Revised Data. Retrieved April 21, 2014 from http://stats.bls.gov/iif/oshcfoi1.htm#2012

23. Missouri Department of Health and Senior Services. Self-Inflicted Injury Profile. Retrieved April 21, 2014 from http://health.mo.gov/data/mica/ASPsSelfInflicted/header.php?cnty=047

24. The Federal Bureau of Investigation. Crime in the United States 2012.. Retrieved April 21, 2014 from http://www.fbi.gov/about- us/cjis/ucr/crime-in-the-u.s/2012/crime-in-the-u.s.-2012/violent-crime/violent-crime

25. Centers for Disease Control and Prevention. Injury Prevention & Control: Motor Vehicle Safety. Distracted Driving. Page last updated January 28, 2014. Retrieved from http://www.cdc.gov/Motorvehiclesafety/Distracted_Driving/index.html

26. Centers for Disease Control and Prevention. Impaired Driving: Get the Facts. Page last updated April 17, 2013. Retrieved from http://www.cdc.gov/motorvehiclesafety/impaired_driving/impaired-drv_factsheet.html

27. Centers for Disease Control and Prevention. Suicide and Self-Inflicted Injury FastStats. Last updated December 30, 2013. Retrieved from http://www.cdc.gov/nchs/fastats/suicide.htm

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2014 Injury and Violence Assessment Update

28. Missouri State Highway Patrol Statistical Analysis Center. Crime in Missouri 2012. Retrieved April 15, 2014 from http://www.mshp.dps.missouri.gov/MSHPWeb/SAC/pdf/2012CrimeInMO.pdf

29. Missouri Department of Health and Senior Services. Assault Injury Profile for Clay Residents. Retrieved April 17, 2014 from http://health.mo.gov/data/mica/ASPsAssault/header.php?cnty=047

30. Missouri Department of Health and Senior Services. Hospital Discharges, Charges, and Days of Care. Retrieved April 9, 2014 from http://health.mo.gov/data/mica/mica/hospa_new_alt.php

31. Missouri State Highway Patrol. Accident Characteristics Summary Reports. Retrieved April 18, 2014 from http://www.mshp.dps.missouri.gov/TR15Reports/850ReportMenu.htm

@Rate is unstable; numerator less than 20

Table Guide

A black arrow means stable A green arrow means a good trend A yellow arrow means warning A red arrow means not good trend. Down arrow means decreased trend. Up arrow means increase in trend. Horizontal arrow means steady, no change, or not significant change. Reference number with P means reference as published in previous assessment (e.g. (5p) means reference #5 in previous assessment document). If any change in data figure, current data is presented with current reference without a P.

Significance established using 95% confidence intervals

Blank spaces in the table mean information was not available or could not be located. A blank space in the trend column means a clear trend could not be established with available data

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