San Diego County Community Profiles

Communicable Disease Profile by Region and Subregional Area (SRA)

REGIONS: Central East North Central North Coastal North Inland South

Published August 2013

County of San Diego, Health & Human Services Agency, Public Health Services, Community Health Statistics Unit Page 1

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County of San Diego, Health & Human Services Agency, Public Health Services, Community Health Statistics Unit Page 2 Acknowledgements

We acknowledge the contributions of the following individuals for their work in the preparation of this document:

Sanaa Abedin, MPH, Epidemiology & Immunization Services Branch Brit Colanter, MPH, Epidemiology & Immunization Services Branch Isabel Corcos, PhD, MPH, Emergency Medical Services Branch Kim De Vera, Community Health Statistics Lorri Freitas, MPH, Epidemiology & Immunization Services Branch Lacey Hicks, MPH, Epidemiology & Immunization Services Branch Sutida (Nid) Jariangprasert, MPH, Maternal, Child and Family Health Services Jeff Johnson, MPH, Epidemiology & Immunization Services Branch Marjorie Lee, MPH, Sexually Transmitted Diseases and Hepatitis Prevention Program Marisa Moore, MD, MPH, Tuberculosis Control Jennifer Nelson, MPH, Epidemiology & Immunization Services Branch Tyler Packett, Emergency Medical Services Leslie Ray, MPH, MPPA, MA, Community Health Statistics, Emergency Medical Services Alicia Sampson, MPH, CPH, Community Health Statistics Joshua Smith, PhD, MPH, Emergency Medical Services Ryan Smith, MPH(c), Community Health Statistics Barbara Stepanski, MPH, Emergency Medical Services Samantha Tweeten, PhD, MPH, Epidemiology & Immunization Services Branch Jessica Yen, MPH, Epidemiology & Immunization Services Branch

Thank you to the following individuals for their leadership and support in making this project possible: Nick Macchione, MS, MPH, FACHE, Director, Health and Human Services Agency Wilma J. Wooten, MD, MPH, Public Health Officer Eric McDonald, MD, MPH, Deputy Public Health Officer Marcy Metz, RN, CEN, Chief of Emergency Medical Services

County of San Diego, Health & Human Services Agency, Public Health Services, Community Health Statistics Unit Page 3 Table of Contents

Table of Contents – San Diego County Communicable Disease Profile

Click on a topic to jump to that section in the Profile

. Introduction ...... p 5 . San Diego County Communicable Disease Profile ...... p 8 Geographic Maps Geographic Boundary Map Hospital Resource Map Communicable Disease Data AIDS & HIV Chlamydia Chronic Hepatitis C Flu & Pneumonia Gonorrhea Primary & Secondary Syphilis Tuberculosis . Data Guide ...... p 50 Important Information for Data Users – including explanation of Regional Boundaries Data Sources Glossary of Health Terms

County of San Diego, Health & Human Services Agency, Public Health Services, Community Health Statistics Unit Page 4

INTRODUCTION

County of San Diego, Health & Human Services Agency, Public Health Services, Community Health Statistics Unit Page 5 Introduction

Introduction

Community Health Statistics The Community Health Statistics unit was created to provide a means of sharing information about the health behaviors, diseases, injuries, and demographic characteristics of specific populations in San Diego County. This unit aims to supply health professionals with community level data describing the health trends and needs of the residents of our County. Community Health Statistics also provides or refers persons to available local, state, and national statistics.

Purpose This profile is a compilation of information made available to the public health community and public policy‐makers to better understand and manage the health and well‐being of the residents of our County.

The purpose of this profile is to provide detailed information about the health and characteristics of the people living in San Diego County. It is designed to help the Health and Human Services Agency staff in each of the Health and Human Services Regions (Regions) identify problems and priority needs within their communities.

Regional Data Please see Important Information in the data guide section for explanation of geographic boundaries as well as information on methods used here, age adjusted rates, and notes on comparing data.

Navigating the Document This PDF document is intended for electronic viewing, online or downloaded to your computer; this allows full navigation ability to jump through the document. This document is updated periodically throughout the year. Using the online version will preserve the links and full navigation ability as well as ensure the most recent version of the document is being used.

Use links to jump to a section or page from a list The Table of Contents (page 4) has many links to quickly jump to the specific section of interest. Within the document, some title pages have lists that are linked to quickly jump to a topic within a section. These links are not underlined, but can be identified when the hand icon ( ) turns into a pointing hand ( ) when hovering over an item.

County of San Diego, Health & Human Services Agency, Public Health Services, Community Health Statistics Unit Page 6 Introduction

There are also links outside the document for more information on a subject. These are underlined and require internet access. They may be identified by the pointing hand with a “w” for web access.

Use the navigation bar at the bottom of the window to move through a document:

A‐ go to 1st page B‐ go back one page C‐ enter a page number to go to D‐ go forward one page E‐ go to last page

Use bookmarks to jump to a section This is a built‐in table of contents that is viewed to the side of the document and can be left open while viewing the document. To access this, click on the bookmarks tab on the left side of window. Use the (+) or (‐) symbols to expand or collapse the list. Click on a bookmark to jump to that page.

For more information, contact: Alicia Sampson, Epidemiologist Leslie Upledger Ray, Senior Epidemiologist County of San Diego, Community Health Statistics at Emergency Medical Services 6255 Mission Gorge Road, San Diego, CA 92120 (619) 285‐6429 (office) [email protected] [email protected]

County of San Diego, Health & Human Services Agency, Public Health Services, Community Health Statistics Unit Page 7 Region Profiles

SAN DIEGO COUNTY COMMUNICABLE DISEASE PROFILE

12, 12/11.

County of San Diego, Health & Human Services Agency, Public Health Services, Community Health Statistics Unit Page 8 Regional and Subregional (SRA) ORANGE RIVERSIDE Boundaries in San Diego County

Fallbrook Pendleton Pauma

SRA Boundary Valley Center Oceanside Region Vista Palomar-Julian Central San Marcos East Carlsbad Escondido North Central

San Ramona North Coastal Dieguito Anza-Borrego North Poway Springs San Diego IMPERIAL North Inland

Del South Mar-Mira Lakeside Mesa Laguna-Pine Valley

Miramar University Santee Harbison Crest Alpine Coastal Kearny Elliott-Navajo Mesa El Cajon La Mesa Mid-City Spring Peninsula Lemon Mountain Valley Central Grove Empire San Diego Southeastern Coronado San Diego National Jamul City Sweetwater Chula Vista

South Bay

BAJA CALIFORNIA

05 10 20 ± Miles

Map Date: 2013 Maps/Analysis by County of San Diego, EMS Contact Isabel Corcos, Leslie Ray 619.285.6429

County of San Diego, Health & Human Services Agency, Public Health Services, Community Health Statistics Unit Page 9 County of San Diego Emergency Medical Resources Hospitals, Trauma Catchment Areas, and Ambulance Service Areas

ORANGE Trauma Catchment Area RIVERSIDE

Ambulance Service Area

BARONA RESERVATION ® BORREGO SPRINGS FPD Hospital Facilities v

CARLSBAD ED v®

CHULA VISTA v® Alvarado Scripps Memorial La Jolla Trauma Catchment CORONADO v® Camp Pendleton

CSA 17 SAN DIEGUITO v® Fallbrook

CSA 69 HEARTLAND PARAMEDICS v® Kaiser Palomar Medical Trauma Catchment DESERT REGION v® v® Navy Balboa EL CAJON v® Paradise Valley ESCONDIDO v® v® Pomerado FEDERAL v® Scripps Chula Vista GROSSMONT v® Scripps Encinitas v® IMPERIAL BEACH v® Sharp Chula Vista JULIAN-CUYAMACA FPD v® Sharp Coronado MUTUAL AID v®

NATIONAL CITY v® UCSD Thornton

Base/ED NORTH 5 SERVICE ® Grossmont v® NORTH COUNTY FPD v® v

OCEANSIDE v® Tri-City

IMPERIAL Trauma/Base/ED POWAY v®v® v® ® UCSD Medical RAMONA v v® v®

Sharp Memorial v®® Sharp Memorial SAN DIEGO v® v v® Trauma Catchment SAN MARCOS v® Scripps Mercy v® ® SOUTH 5 SERVICE v® Scripps La Jolla v

SYCUAN RESERVATION v® Palomar West Scripps-Mercy UCSD Medical Center v® Trauma Catchment VALLEY CENTER SERVICE Trauma/ED Trauma Catchment v®

VISTA v® Children's

Ü 0 4.5 9 18 BAJA CALIFORNIA Miles

Map Date: 2012 Contact: Isabel Corcos or Leslie Ray, County of San Diego Emergency Medical Services 619.285.6429

NAD_1983_StatePlane_California_VI_FIPS_0406_Feet, D_North_American_1983, Foot_US County of San Diego, Health & Human Services Agency, Public Health Services, Community Health Statistics Unit Page 10

AIDS & HIV

County of San Diego, Health & Human Services Agency, Public Health Services, Community Health Statistics Unit Page 11 AIDS† Incidence Among San Diego County Residents by Location of Residence 2010 Total 2011 Total 2012 Total 2013 Total 2014 Total 2015 Total 2016 Total 2017 Total 2018 Total 2019 Total 2020 Total Geography No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* San Diego County (Actual Rate) 299 9.7 247 7.9 Central Region 150 31.0 115 23.7 Central San Diego Mid‐City Southeast San Diego East Region 24 5.2 <20 § Alpine El Cajon Harbison Crest/El Cajon** Jamul La Mesa Laguna‐Pine Valley Lakeside Lemon Grove Mountain Empire Santee Spring Valley North Central Region 32 5.3 30 4.9 Coastal Del Mar‐Mira Mesa Elliott‐Navajo Kearny Mesa Miramar Peninsula University North Coastal Region 23 4.5 23 4.5 Carlsbad Oceanside Pendleton San Dieguito Vista North Inland Region <20 § <20 § Anza‐Borrego Springs Escondido Fallbrook North San Diego Palomar‐Julian Pauma Poway Ramona San Marcos Valley Center South Region 57 12.2 49 10.4 Chula Vista Coronado National City South Bay Sweetwater Unknown *Rates per 100,000 population. County age‐adjusted rates per 100,000 2000 US standard population. **Harbison Crest/El Cajon is an aggregation of the Harbison Crest and El Cajon SRAs. Due to geographic limitations, the Harbison Crest SRA is not shown alone. See the Data Guide for more information. †AIDS incidence refers to new cases reported to County Public Health Services and includes those ages 13+. §Rates not calculated for fewer than 20 events for AIDS. Rates not calculated in cases where zip code is unknown. Source: County of San Diego, Health & Human Services Agency, HIV/AIDS Epidemiology Unit, HIV/AIDS Reporting System; SANDAG, Current Population Estimates, 10/2012. Prepared by: County of San Diego, Health & Human Services Agency, Public Health Services, Community Health Statistics Unit, 2013.

County of San Diego, Health & Human Services Agency, Public Health Services, Community Health Statistics Unit Page 12 HIV† Incidence Among San Diego County Residents by Location of Residence 2010 Total 2011 Total 2012 Total 2013 Total 2014 Total 2015 Total 2016 Total 2017 Total 2018 Total 2019 Total 2020 Total Geography No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* San Diego County (Actual Rate) 365 11.8 340 10.9 Central Region 176 36.3 179 36.9 Central San Diego Mid‐City Southeast San Diego East Region 21 4.5 26 5.6 Alpine El Cajon Harbison Crest/El Cajon** Jamul La Mesa Laguna‐Pine Valley Lakeside Lemon Grove Mountain Empire Santee Spring Valley North Central Region 52 8.3 32 5.2 Coastal Del Mar‐Mira Mesa Elliott‐Navajo Kearny Mesa Miramar Peninsula University North Coastal Region 31 6.7 33 6.5 Carlsbad Oceanside Pendleton San Dieguito Vista North Inland Region <20 § <20 § Anza‐Borrego Springs Escondido Fallbrook North San Diego Palomar‐Julian Pauma Poway Ramona San Marcos Valley Center South Region 70 14.9 53 11.3 Chula Vista Coronado National City South Bay Sweetwater Unknown *Rates per 100,000 population. Note: Annual fluctuation in numbers and rates are likely an artifact of reporting, not actual variations. **Harbison Crest/El Cajon is an aggregation of the Harbison Crest and El Cajon SRAs. Due to geographic limitations, the Harbison Crest SRA is not shown alone. See the Data Guide for more information. †HIV incidence refers to name‐based reports to CoSD PHS, beginning 4/17/2006. Report date may not reflect the first HIV posive test for that case. §Rates not calculated for fewer than 20 events. Rates not calculated in cases where zip code is unknown. Source: County of San Diego, Health & Human Services Agency, HIV/AIDS Epidemiology Unit, HIV/AIDS Reporting System; SANDAG, Current Population Estimates, 10/2012. Prepared by: County of San Diego, Health & Human Services Agency, Public Health Services, Community Health Statistics Unit, 2013.

County of San Diego, Health & Human Services Agency, Public Health Services, Community Health Statistics Unit Page 13

Chlamydia Incidence

County of San Diego, Health & Human Services Agency, Public Health Services, Community Health Statistics Unit Page 14 Chlamydia† Incidence Among San Diego County Residents by Location of Residence

Healthy People 2020 Target: n/a for Chlamydia incidence USA: 457.6 per 100,000 populaon, age-adjusted (2011)* ‡ California: 447.7 per 100,000 populaon, age-adjusted (2011)* ‡

2010 Total 2011 Total 2012 Total 2013 Total 2014 Total 2015 Total 2016 Total 2017 Total 2018 Total 2019 Total 2020 Total Geography No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* San Diego County (Actual Rate) 15,271 493.4 15,447 495.8 Central Region 3,461 714.5 3,462 713.0 Central San Diego 1,116 674.0 1,166 702.6 Mid-City 1,183 725.6 1,120 686.3 Southeast San Diego 1,162 745.8 1,176 751.9 East Region 1,809 390.6 1,787 382.9 Alpine 20 133.0 46 303.5 El Cajon 372 298.7 357 285.0 Harbison Crest/El Cajon** 662 475.7 620 442.7 Jamul 60 316.5 50 284.4 La Mesa 252 426.4 264 440.1 Laguna-Pine Valley <5 § 5 88.6 Lakeside 118 210.6 133 236.0 Lemon Grove 158 530.0 158 527.6 Mountain Empire 15 197.7 16 188.1 Santee 142 277.6 142 274.7 Spring Valley 380 469.1 353 431.9 North Central Region 1,937 320.7 2,044 335.2 Coastal 333 441.8 385 509.6 Del Mar-Mira Mesa 313 198.6 289 182.4 Elliott-Navajo 238 267.1 232 259.4 Kearny Mesa 719 475.5 729 480.6 Miramar 71 1412.1 70 1387.5 Peninsula 166 263.8 244 386.9 University 97 154.6 95 142.9 North Coastal Region 1,772 350.3 2,019 396.0 Carlsbad 178 155.2 200 172.6 Oceanside 810 507.1 929 580.3 Pendleton 172 459.3 294 780.9 San Dieguito 121 129.4 126 132.8 Vista 491 488.9 470 463.8 North Inland Region 1,469 257.9 1,451 252.5 Anza-Borrego Springs 6 135.1 <5 § Escondido 603 369.9 607 369.6 Fallbrook 113 238.9 120 250.7 North San Diego 255 239.3 234 217.4 Palomar-Julian <5 § 6 93.3 Pauma 24 321.8 19 244.4 Poway 132 152.9 139 160.0 Ramona 64 183.5 66 186.3 San Marcos 244 271.2 223 247.3 Valley Center 27 115.7 33 140.7 South Region 2,257 481.8 2,364 503.6 Chula Vista 791 686.4 820 707.4 Coronado 67 271.3 63 270.1 National City 329 564.1 374 639.4 South Bay 771 571.5 809 598.7 Sweetwater 299 221.0 298 218.2 Unknown 2,566 ‐‐‐ 2,320 ‐‐‐ *Rates per 100,000 population. County age-adjusted rates per 100,000 2000 US standard population. **Harbison Crest/El Cajon is an aggregation of the Harbison Crest and El Cajon SRAs. Due to geographic limitations, the Harbison Crest SRA is not shown alone. See the Data Guide for more information. †Chlamydia incidence refers to new cases reported to County Public Health Services. Note: due to cases with unknown residence, Regional numbers are underesmated. ‡Source: CDC, Sexually Transmied Disease Surveillance, 2011. Atlanta, GA: U.S. Department of Health and Human Services, December 2012. hp://www.cdc.gov/std/. §Rates not calculated for fewer than 5 events. Rates not calculated in cases where zip code is unknown. Source: County of San Diego, Health & Human Services Agency, HIV, STD and Hepatitis Branch, Morbidity Database; SANDAG, Current Population Estimates, 10/2012. Prepared by: County of San Diego, Health & Human Services Agency, Public Health Services, Community Health Statistics Unit, 2013. County of San Diego, Health & Human Services Agency, Public Health Services, Community Health Statistics Unit Page 15 Chlamydia† Incidence Among San Diego County Residents by Locaon of Residence, 2010 Detail Gender Race/Ethnicity Age Group 2010 Total Geography Male Female White BlackHispanic API‡ Other‡ Ages 0‐14 Ages 15‐24 Ages 25‐44 Ages 45‐64 Ages 65+ No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* San Diego County (Actual Rate) 15,271 493.4 4,790 308.3 10,464 678.8 2,156 143.7 1,381 942.0 3,095 312.2 693 202.9 552 476.9 57 9.6 9,692 1954.6 4,972 557.7 469 61.7 22 6.3 Central Region 3,461 714.5 1,251 505.1 2,207 932.3 481 334.9 590 1041.0 827 404.7 192 300.6 102 643.2 24 26.7 2,038 2451.3 1,225 758.7 162 151.8 <5 § Central San Diego 1,116 674.0 559 617.5 556 740.8 226 274.6 135 1175.8 233 404.4 46 541.2 24 422.8 5 25.8 487 2118.3 536 768.7 86 226.6 <5 § Mid-City 1,183 725.6 400 492.6 783 956.8 216 465.0 199 1030.1 283 413.3 76 322.6 38 723.3 7 20.7 754 2265.6 369 732.1 48 146.5 <5 § Southeast San Diego 1,162 745.8 292 384.4 868 1087.2 39 261.8 256 989.3 311 397.3 70 220.0 40 811.9 12 32.7 797 2966.4 320 774.4 28 77.8 <5 § East Region 1,809 390.6 463 203.0 1,344 571.8 367 131.4 250 940.6 300 259.5 66 319.2 72 343.0 5 5.6 1,247 1819.8 510 420.8 36 28.2 5 8.9 Alpine 20 133.0 7 93.8 13 171.6 8 67.7 <5 § <5 § <5 § <5 § <5 § 17 861.6 <5 § <5 § <5 § El Cajon 372 298.7 107 175.6 264 415.1 82 111.3 61 871.7 63 190.1 6 135.0 9 143.4 <5 § 262 1332.7 100 302.9 9 28.4 <5 § Harbison Crest/El Cajon** 662 475.7 167 244.7 494 696.4 145 170.0 93 1305.6 118 334.8 15 319.0 25 367.3 <5 § 455 2113.8 187 521.7 17 46.0 <5 § Jamul 60 316.5 14 128.5 46 570.8 12 114.5 <5 § 7 121.0 <5 159.6 6 1151.6 <5 § 46 1449.3 13 271.1 <5 § <5 § La Mesa 252 426.4 66 234.2 186 601.7 61 164.7 34 820.9 27 227.8 12 346.8 10 385.2 <5 § 165 1956.4 76 445.0 7 45.6 <5 § Laguna-Pine Valley <5§<5§<580.7<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§ Lakeside 118 210.6 26 93.8 92 324.9 39 95.5 5 506.1 16 154.4 <5 § <5 § <5 § 82 1025.0 35 241.7 <5 § <5 § Lemon Grove 158 530.0 51 351.7 107 698.8 20 211.3 38 864.0 30 239.9 6 273.2 8 643.6 <5 § 111 2432.1 45 560.8 <5 § <5 § Mountain Empire 15 197.7 6 146.9 9 256.8 <5 § <5 § <5 § <5 § <5 § <5 § 11 1102.2 <5 § <5 § <5 § Santee 142 277.6 32 129.2 109 413.1 50 131.7 <5 § 6 73.8 <5 § 5 238.8 <5 § 101 1443.3 37 266.8 <5 § <5 § Spring Valley 380 469.1 94 238.5 286 687.8 28 73.2 71 916.4 91 349.3 22 416.1 14 382.9 <5 § 258 2134.9 111 527.0 5 23.2 <5 § North Central Region 1,937 320.7 700 229.1 1,235 413.8 517 141.6 139 740.7 231 269.7 159 146.8 81 310.2 <5 § 1,119 1090.8 739 385.0 64 44.8 5 7.0 Coastal 333 441.8 124 319.2 208 569.3 139 228.5 8 1098.9 35 435.0 12 363.9 14 566.3 <5 § 188 1687.2 139 501.9 5 30.4 <5 § Del Mar-Mira Mesa 313 198.6 113 142.9 200 254.8 50 65.8 20 540.2 29 183.6 47 85.6 14 194.9 <5 § 176 912.0 113 237.7 22 49.1 <5 § Elliott-Navajo 238 267.1 82 189.7 156 340.1 70 116.5 24 596.9 21 161.8 19 247.0 11 253.9 <5 § 136 1226.0 95 377.4 5 22.2 <5 § Kearny Mesa 719 475.5 237 314.5 481 634.1 164 194.4 74 1101.8 109 325.5 50 252.2 26 380.2 <5 § 404 1715.0 281 565.2 24 67.4 <5 § Miramar 71 1412.1 51 1348.5 20 1605.1 21 703.8 5 1057.1 6 583.7 <5 § <5 § <5 § 62 2028.1 9 853.9 <5 § <5 § Peninsula 166 263.8 62 181.4 104 361.7 58 120.9 6 285.9 16 195.2 7 316.9 6 243.0 <5 § 90 720.1 71 337.4 5 34.9 <5 § University 97 154.6 31 99.8 66 208.5 15 45.6 <5 § 15 244.6 20 99.4 7 276.9 <5 § 63 287.2 31 157.0 <5 § <5 § North Coastal Region 1,772 350.3 555 215.3 1,215 489.9 316 105.6 76 523.3 306 212.5 39 129.9 149 819.6 <5 § 1,143 1365.3 561 410.9 50 40.0 <5 § Carlsbad 178 155.2 50 89.7 128 217.2 55 65.2 6 378.8 20 120.0 <5 § 11 276.8 <5 § 107 875.5 60 199.3 9 27.6 <5 § Oceanside 810 507.1 209 263.7 600 745.7 133 179.1 52 749.6 135 225.4 21 171.4 61 954.9 <5 § 516 2034.9 266 595.5 20 51.1 <5 § Pendleton 172 459.3 135 517.4 37 325.7 7 30.0 <5 § <5 § <5 § 53 2796.8 <5 § 151 754.9 20 238.5 <5 § <5 § San Dieguito 121 129.4 38 82.6 82 172.6 24 32.7 <5 § 7 55.8 <5 § <5 § <5 § 56 597.0 54 219.0 8 27.3 <5 § Vista 491 488.9 123 242.6 368 740.0 97 221.2 14 517.2 141 302.1 13 313.6 22 720.1 <5 § 313 1867.8 161 560.8 13 55.2 <5 § North Inland Region 1,469 257.9 402 143.3 1,066 368.8 228 72.4 46 444.4 446 271.9 47 79.4 58 273.7 <5 § 955 1238.8 456 307.2 48 31.5 <5 § Anza-Borrego Springs 6 135.1 <5 § 6 273.5 <5 § <5 § <5 § <5 § <5 § <5 § 5 1312.3 <5 § <5 § <5 § Escondido 603 369.9 163 201.6 440 535.6 79 111.1 18 534.9 261 352.2 14 137.1 21 496.0 <5 § 394 1536.8 190 419.7 16 41.7 <5 § Fallbrook 113 238.9 25 106.2 88 370.4 18 65.9 5 904.2 36 208.9 <5 § 8 721.4 <5 § 84 1179.1 26 260.4 <5 § <5 § North San Diego 255 239.3 74 143.7 180 327.0 41 65.4 11 431.9 26 244.0 21 81.9 12 238.4 <5 § 143 1249.5 91 295.1 17 58.7 <5 § Palomar-Julian <5§<532.4<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§ Pauma 24 321.8 9 234.0 15 415.3 <5 § <5 § <5 § <5 § 5 390.6 <5 § 15 1446.5 8 402.4 <5 § <5 § Poway 132 152.9 44 104.3 88 199.4 27 46.6 6 397.1 13 125.9 8 60.9 <5 § <5 § 76 751.8 47 225.9 9 33.5 <5 § Ramona 64 183.5 16 91.3 48 276.9 19 76.5 <5 § 13 158.3 <5 § <5 § <5 § 47 909.6 16 201.5 <5 § <5 § San Marcos 244 271.2 61 138.6 183 398.1 39 85.8 5 283.8 83 254.5 <5 § 5 174.2 <5 § 174 1387.0 67 265.3 <5 § <5 § Valley Center 27 115.7 9 76.9 18 154.9 <5 § <5 § 9 155.2 <5 § <5 § <5 § 17 550.0 9 193.8 <5 § <5 § South Region 2,257 481.8 565 241.4 1,691 721.4 142 144.7 154 781.6 827 297.8 131 220.2 63 469.5 <5 § 1,474 1824.5 708 536.7 63 59.4 <5 § Chula Vista 791 686.4 187 336.7 604 1011.8 43 201.3 43 1088.3 325 399.6 36 597.6 27 1053.9 <5 § 520 2767.0 247 797.4 20 75.6 <5 § Coronado 67 271.3 33 226.9 34 334.8 13 72.6 7 458.4 <5 § 6 614.1 <5 § <5 § 41 633.2 23 348.9 <5 § <5 § National City 329 564.1 65 216.6 264 932.4 8 117.8 18 703.4 118 317.8 17 161.3 <5 § <5 § 219 1787.8 98 623.2 11 91.7 <5 § South Bay 771 571.5 186 273.3 585 875.0 42 204.6 53 977.1 316 341.9 39 298.6 17 489.9 <5 § 509 2130.1 241 635.3 14 45.8 <5 § Sweetwater 299 221.0 94 142.6 204 294.0 36 114.2 33 528.6 64 100.8 33 114.2 12 232.1 <5 § 185 954.9 99 243.4 15 47.0 <5 § Unknown 2,566 ‐‐‐ 854 ‐‐‐ 1,706 ‐‐‐ 105 ‐‐‐ 126 ‐‐‐ 158 ‐‐‐ 59 ‐‐‐ 27 ‐‐‐ 14 ‐‐‐ 1,716 ‐‐‐ 773 ‐‐‐ 46 ‐‐‐ <5 ‐‐‐ *Rates per 100,000 population. County age-adjusted rates per 100,000 2000 US standard population. **Harbison Crest/El Cajon is an aggregation of the Harbison Crest and El Cajon SRAs. Due to geographic limitations, the Harbison Crest SRA is not shown alone. See the Data Guide for more information. ***Numbers may not add up to totals due to unknown or missing details. †Chlamydia incidence refers to new cases reported to County Public Health Services. Note: due to cases with unknown residence, Regional numbers are underesmated. ‡API includes Asian, Pacific Islander, Nave Hawaiian. Other includes 2 or more races, Nave American/Alaska Nave, American Indian, or other. §Rates not calculated for fewer than 5 events. Rates not calculated in cases where zip code is unknown. Source: County of San Diego, Health & Human Services Agency, HIV, STD and Hepatitis Branch, Morbidity Database; SANDAG, Current Population Estimates, 10/2012. Prepared by: County of San Diego, Health & Human Services Agency, Public Health Services, Community Health Statistics Unit, 2013.

County of San Diego, Health & Human Services Agency, Public Health Services, Community Health Statistics Unit Page 16 Chlamydia† Incidence Among San Diego County Residents by Locaon of Residence, 2011 Detail Gender Race/Ethnicity Age Group 2011 Total Geography Male Female White Black HispanicAPI‡ Other‡ Ages 0‐14 Ages 15‐24 Ages 25‐44 Ages 45‐64 Ages 65+ No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* San Diego County (Actual Rate) 15,447 495.8 4,935 315.8 10,486 675.2 2,340 156.5 1,284 898.5 3,302 326.7 532 152.6 881 747.8 65 11.0 9,643 1934.2 5,125 575.2 441 57.2 18 5.0 Central Region 3,462 713.0 1,241 500.2 2,215 932.7 539 378.7 543 989.8 940 452.3 158 244.8 155 967.0 23 25.5 2,022 2518.1 1,244 765.1 163 150.2 6 13.6 Central San Diego 1,166 702.6 595 656.9 570 756.1 280 342.1 100 899.8 266 453.6 35 406.0 51 889.4 <5 § 496 2391.9 571 810.9 90 232.8 <5 § Mid-City 1,120 686.3 373 459.0 742 905.7 208 454.7 195 1037.4 297 427.0 66 277.5 59 1112.6 7 20.7 705 2179.8 359 708.5 48 143.4 <5 § Southeast San Diego 1,176 751.9 273 358.1 903 1126.4 51 346.5 248 994.1 377 473.6 57 177.3 45 901.4 13 35.9 821 3016.3 314 756.7 25 68.7 <5 § East Region 1,787 382.9 452 196.7 1,334 563.2 348 124.7 244 936.8 355 298.5 35 165.0 108 503.9 6 6.7 1,179 1699.2 559 462.4 33 25.6 <5 § Alpine 46 303.5 13 172.6 33 432.8 12 102.0 <5 § 5 213.5 <5 § <5 § <5 § 34 1603.8 11 346.2 <5 § <5 § El Cajon 357 285.0 93 151.6 264 413.0 73 99.3 59 860.9 67 197.2 <5 § 29 455.4 <5 § 240 1218.9 105 317.1 7 21.8 <5 § Harbison Crest/El Cajon** 620 442.7 154 224.1 466 653.4 131 153.9 100 1431.6 121 334.3 8 166.0 44 637.7 <5 § 416 1922.4 185 515.5 12 32.2 <5 § Jamul 50 284.4 15 148.5 35 468.3 7 73.2 <5 § 12 218.7 <5 83.2 <5 § <5 § 36 1193.2 12 277.1 <5 § <5 § La Mesa 264 440.1 67 234.0 196 625.0 47 126.0 30 730.1 43 348.7 5 139.5 13 487.1 <5 § 150 1836.2 104 595.4 5 31.9 <5 § Laguna-Pine Valley 5 88.6 <5 § 5 189.5 <5 § <5 § <5 § <5 § <5 § <5 § 5 581.4 <5 § <5 § <5 § Lakeside 133 236.0 26 93.3 107 375.6 48 117.4 <5 § 18 169.4 <5 § 7 262.9 <5 § 84 1041.9 48 333.5 <5 § <5 § Lemon Grove 158 527.6 40 274.6 118 767.0 18 192.5 26 608.5 45 351.3 6 266.0 11 874.4 <5 § 108 2312.6 44 551.6 5 64.9 <5 § Mountain Empire 16 188.1 <5 § 13 330.8 <5 § <5 § 7 226.5 <5 § <5 § <5 § 11 901.6 5 260.7 <5 § <5 § Santee 142 274.7 39 155.9 103 386.2 45 117.9 6 704.2 12 143.0 <5 § 11 516.2 <5 § 93 1283.6 46 335.7 <5 § <5 § Spring Valley 353 431.9 95 238.9 258 614.7 36 94.1 75 990.2 92 343.7 13 240.7 15 401.1 <5 § 242 1954.6 104 494.8 6 27.6 <5 § North Central Region 2,044 335.2 742 240.6 1,299 431.1 540 147.9 144 770.2 243 276.9 150 134.5 120 450.9 5 5.3 1,196 1155.0 771 398.1 65 45.0 <5 § Coastal 385 509.6 150 385.2 234 639.1 159 262.3 12 1576.9 32 388.2 18 528.5 25 992.5 <5 § 197 1784.7 177 635.0 9 54.8 <5 § Del Mar-Mira Mesa 289 182.4 97 122.2 192 242.8 43 56.7 17 472.7 35 217.3 47 84.3 11 152.4 <5 § 178 890.3 93 199.5 16 35.0 <5 § Elliott-Navajo 232 259.4 76 175.2 155 336.7 68 113.5 25 628.3 23 174.3 15 189.1 12 271.2 <5 § 141 1301.6 78 307.4 12 53.1 <5 § Kearny Mesa 729 480.6 225 297.8 503 660.7 158 188.2 65 985.9 128 375.6 49 243.0 31 447.9 <5 § 423 1923.8 282 556.4 19 52.6 <5 § Miramar 70 1387.5 49 1269.1 21 1773.6 13 426.9 7 1518.4 <5 § <5 § 5 1886.8 <5 § 63 2032.9 7 641.0 <5 § <5 § Peninsula 244 386.9 113 328.7 131 456.7 74 155.1 13 607.8 20 238.4 <5 § 27 1068.5 <5 § 131 1062.7 107 501.6 5 35.1 <5 § University 95 142.9 32 97.2 63 187.7 25 73.1 5 428.4 5 74.6 17 78.5 9 328.6 <5 § 63 259.6 27 130.5 <5 § <5 § North Coastal Region 2,019 396.0 690 265.7 1,323 528.9 389 130.1 93 649.4 331 225.5 34 109.9 325 1733.4 <5 § 1,309 1551.4 660 483.4 33 26.0 <5 § Carlsbad 200 172.6 60 106.5 140 235.1 61 72.0 <5 § 21 122.3 <5 12.0 17 418.0 <5 § 121 943.1 67 226.3 8 24.1 <5 § Oceanside 929 580.3 253 318.4 673 834.6 155 210.3 61 912.9 158 259.9 22 177.4 129 1976.1 <5 § 575 2322.7 331 740.9 12 30.5 <5 § Pendleton 294 780.9 220 841.9 74 642.3 52 226.1 12 419.7 <5 § <5 § 135 6332.1 <5 § 249 1228.0 44 496.6 <5 200.4 <5 § San Dieguito 126 132.8 44 94.3 81 167.9 43 58.1 <5 § 11 84.7 <5 § 8 272.4 <5 § 68 678.5 51 208.6 7 23.5 <5 § Vista 470 463.8 113 221.1 355 707.0 78 178.8 16 608.4 139 291.1 <5 § 36 1166.9 <5 § 296 1794.9 167 577.2 5 20.8 <5 § North Inland Region 1,451 252.5 396 139.9 1,055 361.9 312 99.4 60 589.1 385 228.6 51 84.2 75 347.9 6 5.1 936 1173.8 462 314.3 42 27.2 <5 § Anza-Borrego Springs <5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§ Escondido 607 369.6 155 190.2 452 546.3 118 167.3 16 485.9 233 307.7 17 163.8 20 464.7 5 13.8 408 1575.5 175 386.7 17 43.4 <5 § Fallbrook 120 250.7 41 171.9 79 328.9 28 102.8 5 904.2 30 168.5 <5 § 19 1672.5 <5 § 83 1145.3 36 355.9 <5 § <5 § North San Diego 234 217.4 67 128.8 167 300.5 53 84.4 22 882.5 20 182.8 13 49.5 12 235.1 <5 § 134 1116.7 85 279.3 14 47.4 <5 § Palomar-Julian 6 93.3 <5 § 6 184.1 <5 § <5 § <5 § <5 § <5 § <5 § 5 859.1 <5 § <5 § <5 § Pauma 19 244.4 <5 § 17 450.9 <5 § <5 § <5 § <5 § 7 521.6 <5 § 15 1381.2 <5 § <5 § <5 § Poway 139 160.0 34 80.1 105 236.2 34 58.7 <5 § 19 178.8 11 81.8 6 176.0 <5 § 80 730.3 53 263.4 <5 § <5 § Ramona 66 186.3 21 118.0 45 255.2 15 59.9 <5 § 13 152.5 <5 § <5 § <5 § 44 802.2 22 278.3 <5 § <5 § San Marcos 223 247.3 64 145.1 159 345.1 53 118.0 11 643.3 59 177.4 8 108.0 6 208.2 <5 § 147 1149.6 70 281.1 6 29.0 <5 § Valley Center 33 140.7 12 102.0 21 179.6 7 47.2 <5 § <5 § <5 § 5 315.1 <5 § 18 552.7 14 310.6 <5 § <5 § South Region 2,364 503.6 605 258.8 1,757 745.4 146 151.9 126 670.2 924 328.7 82 136.7 81 602.9 12 11.9 1,523 1875.8 752 577.4 60 55.6 <5 § Chula Vista 820 707.4 197 352.9 622 1035.2 49 234.1 45 1175.2 361 437.4 22 362.9 25 975.0 <5 § 529 2783.2 262 847.9 17 63.1 <5 § Coronado 63 270.1 30 224.4 32 321.3 13 76.1 <5 § <5 § <5 § <5 § <5 § 38 668.3 23 382.9 <5 § <5 § National City 374 639.4 92 306.6 282 990.1 14 212.4 8 323.0 155 412.7 23 217.6 18 1393.2 <5 § 255 2083.7 106 670.8 10 82.0 <5 § South Bay 809 598.7 205 301.2 604 900.5 45 223.7 41 789.8 329 352.7 17 130.1 26 748.0 5 16.9 529 2225.8 251 667.4 18 58.2 <5 § Sweetwater 298 218.2 81 121.8 217 309.5 25 79.6 29 479.7 75 116.2 19 64.7 12 229.4 <5 § 172 839.2 110 275.5 14 42.6 <5 § Unknown 2,320 ‐‐‐ 809 ‐‐‐ 1,503 ‐‐‐ 66 ‐‐‐ 74 ‐‐‐ 124 ‐‐‐ 22 ‐‐‐ 17 ‐‐‐ 9 ‐‐‐ 1,478 ‐‐‐ 677 ‐‐‐ 45 ‐‐‐ <5 ‐‐‐ *Rates per 100,000 population. County age-adjusted rates per 100,000 2000 US standard population. **Harbison Crest/El Cajon is an aggregation of the Harbison Crest and El Cajon SRAs. Due to geographic limitations, the Harbison Crest SRA is not shown alone. See the Data Guide for more information. ***Numbers may not add up to totals due to unknown or missing details. †Chlamydia incidence refers to new cases reported to County Public Health Services. Note: due to cases with unknown residence, Regional numbers are underesmated. ‡API includes Asian, Pacific Islander, Nave Hawaiian. Other includes 2 or more races, Nave American/Alaska Nave, American Indian, or other. §Rates not calculated for fewer than 5 events. Rates not calculated in cases where zip code is unknown. Source: County of San Diego, Health & Human Services Agency, HIV, STD and Hepatitis Branch, Morbidity Database; SANDAG, Current Population Estimates, 10/2012. Prepared by: County of San Diego, Health & Human Services Agency, Public Health Services, Community Health Statistics Unit, 2013.

County of San Diego, Health & Human Services Agency, Public Health Services, Community Health Statistics Unit Page 17

Chronic Hepatitis C

County of San Diego, Health & Human Services Agency, Public Health Services, Community Health Statistics Unit Page 18 Chronic Hepas C† Reported Among San Diego County Residents by Location of Residence 2010 Total 2011 Total 2012 Total 2013 Total 2014 Total 2015 Total 2016 Total 2017 Total 2018 Total 2019 Total 2020 Total Geography No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* San Diego County (Actual Rate) 3,260 105.3 3,224 103.5 San Diego County (Age‐Adjusted Rate) 3,260 101.7 3,224 100.4 Central Region 533 110.0 419 86.3 Central San Diego 272 164.3 208 125.3 Mid‐City 131 80.3 101 61.9 Southeast San Diego 130 83.4 110 70.3 East Region 330 71.3 299 64.1 Alpine 20 133.0 11 72.6 El Cajon 65 52.2 61 48.7 Harbison Crest/El Cajon** 115 82.6 110 78.6 Jamul 9 47.5 8 45.5 La Mesa 47 79.5 38 63.3 Laguna‐Pine Valley 6 113.7 <5 § Lakeside 33 58.9 27 47.9 Lemon Grove 27 90.6 22 73.5 Mountain Empire 8 105.4 10 117.6 Santee 17 33.2 32 61.9 Spring Valley 48 59.3 39 47.7 North Central Region 250 41.4 223 36.6 Coastal 32 42.5 41 54.3 Del Mar‐Mira Mesa 38 24.1 41 25.9 Elliott‐Navajo 37 41.5 34 38.0 Kearny Mesa 107 70.8 72 47.5 Miramar <5 § <5 § Peninsula 23 36.5 22 34.9 University 13 20.7 13 19.6 North Coastal Region 248 49.0 256 50.2 Carlsbad 33 28.8 39 33.7 Oceanside 115 72.0 106 66.2 Pendleton <5 § <5 § San Dieguito 35 37.4 44 46.4 Vista 64 63.7 65 64.1 North Inland Region 243 42.7 242 42.1 Anza‐Borrego Springs 6 135.1 <5 § Escondido 86 52.8 109 66.4 Fallbrook 25 52.8 22 46.0 North San Diego 34 31.9 26 24.2 Palomar‐Julian 5 79.8 <5 § Pauma <5 § <5 § Poway 21 24.3 18 20.7 Ramona 22 63.1 16 45.2 San Marcos 32 35.6 28 31.0 Valley Center 9 38.6 12 51.2 South Region 822 175.5 1,005 214.1 Chula Vista 111 96.3 81 69.9 Coronado 12 48.6 10 42.9 National City 44 75.4 36 61.5 South Bay 635 470.7 859 635.7 Sweetwater 20 14.8 19 13.9 Unknown 834 ‐‐‐ 780 ‐‐‐ * Rates per 100,000 population. County age‐adjusted rates per 100,000 2000 US standard population. **Harbison Crest/El Cajon is an aggregation of the Harbison Crest and El Cajon SRAs. Due to geographic limitations, the Harbison Crest SRA is not shown alone. See the Data Guide for more information. †Chronic Hepas C refers to cases voluntarily reported to County Public Health Services and is an underesmate of the actual number of cases in San Diego County. § Rates not calculated for fewer than 5 events. Rates not calculated in cases where zip code is unknown. Source: Source: County of San Diego, Health & Human Services Agency, Epidemiology & Immunization Services Branch , Communicable Disease Data; SANDAG, Current Population Estimates, 10/2012. Prepared by: County of San Diego, Health & Human Services Agency, Public Health Services, Community Health Statistics Unit, 2013.

County of San Diego, Health & Human Services Agency, Public Health Services, Community Health Statistics Unit Page 19 Chronic Hepas C† Reported Among San Diego County Residents by Locaon of Residence, 2010 Detail Gender Race/Ethnicity Age Group 2010 Total Geography Male Female White Black Hispanic API‡ Other‡ Ages 0‐14 Ages 15‐24 Ages 25‐44 Ages 45‐64 Ages 65+ No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* San Diego County (Actual Rate) 3,260 105.3 2,249 144.8 983 63.8 10 1.7 137 27.6 968 108.6 1,910 251.2 229 65.2 San Diego County (Age‐Adjusted Rate) 3,260 101.7 Central Region 533 110.0 353 142.5 179 75.6 <5 § 18 21.7 126 78.0 347 325.2 39 90.1 Central San Diego 272 164.3 191 211.0 80 106.6 <5 § 13 56.5 70 100.4 172 453.3 15 96.5 Mid‐City 131 80.3 83 102.2 48 58.7 <5 § <5 § 34 67.5 84 256.4 9 70.4 Southeast San Diego 130 83.4 79 104.0 51 63.9 <5 § <5 § 22 53.2 91 252.8 15 100.3 East Region 330 71.3 197 86.4 132 56.2 <5 § 6 8.8 61 50.3 229 179.7 33 59.0 Alpine 20 133.0 11 147.5 9 118.8 <5 § <5 § 6 183.3 13 266.9 <5 § El Cajon 65 52.2 40 65.7 25 39.3 <5 § <5 § 11 33.3 40 126.2 12 81.8 Harbison Crest/El Cajon** 115 82.6 72 105.5 43 60.6 <5 § <5 § 24 67.0 72 194.9 16 93.5 Jamul 9 47.5 6 55.1 <5 § <5 § <5 § <5 § 7 116.9 <5 § La Mesa 47 79.5 29 102.9 18 58.2 <5 § <5 § 6 35.1 32 208.3 7 81.4 Laguna‐Pine Valley 6 113.7 <5 § <5 § <5 § <5 § <5 § 6 295.4 <5 § Lakeside 33 58.9 18 65.0 15 53.0 <5 § <5 § 7 48.3 23 143.5 <5 § Lemon Grove 27 90.6 14 96.6 13 84.9 <5 § <5 § 7 87.2 17 222.5 <5 § Mountain Empire 8 105.4 <5 § 5 142.7 <5 § <5 § <5 § 7 307.7 <5 § Santee 17 33.2 8 32.3 9 34.1 <5 § <5 § <5 § 13 88.1 <5 § Spring Valley 48 59.3 33 83.7 15 36.1 <5 § <5 § 7 33.2 39 180.8 <5 § North Central Region 250 41.4 153 50.1 96 32.2 <5 § 10 9.7 41 21.4 174 121.7 24 33.4 Coastal 32 42.5 20 51.5 12 32.8 <5 § <5 § <5 § 26 158.1 <5 § Del Mar‐Mira Mesa 38 24.1 20 25.3 18 22.9 <5 § <5 § 6 12.6 29 64.7 <5 § Elliott‐Navajo 37 41.5 21 48.6 16 34.9 <5 § <5 § 9 35.7 18 80.0 7 52.7 Kearny Mesa 107 70.8 65 86.3 42 55.4 <5 § <5 § 19 38.2 73 204.9 11 57.7 Miramar <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Peninsula 23 36.5 17 49.7 6 20.9 <5 § <5 § <5 § 18 125.7 <5 § University 13 20.7 10 32.2 <5 § <5 § <5 § <5 § 10 108.8 <5 § North Coastal Region 248 49.0 144 55.9 102 41.1 <5 § 9 10.8 63 46.1 161 128.8 15 25.2 Carlsbad 33 28.8 17 30.5 16 27.1 <5 § <5 § <5 § 26 79.7 <5 § Oceanside 115 72.0 68 85.8 46 57.2 <5 § <5 § 30 67.2 71 181.5 11 59.7 Pendleton <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § San Dieguito 35 37.4 20 43.5 15 31.6 <5 § <5 § 5 20.3 26 88.6 <5 § Vista 64 63.7 38 74.9 25 50.3 <5 § <5 § 23 80.1 38 161.3 <5 § North Inland Region 243 42.7 159 56.7 84 29.1 <5 § 8 10.4 41 27.6 167 109.6 25 34.6 Anza‐Borrego Springs 6 135.1 <5 § <5 § <5 § <5 § <5 § <5 § <5 § Escondido 86 52.8 55 68.0 31 37.7 <5 § <5 § 21 46.4 58 151.1 5 28.5 Fallbrook 25 52.8 13 55.2 12 50.5 <5 § <5 § <5 § 18 136.6 <5 § North San Diego 34 31.9 21 40.8 13 23.6 <5 § <5 § <5 § 26 89.8 <5 § Palomar‐Julian 5 79.8 <5 § <5 § <5 § <5 § <5 § <5 § <5 § Pauma <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Poway 21 24.3 13 30.8 8 18.1 <5 § <5 § <5 § 15 55.8 <5 § Ramona 22 63.1 17 97.0 5 28.8 <5 § <5 § <5 § 16 145.2 <5 § San Marcos 32 35.6 22 50.0 10 21.8 <5 § <5 § 7 27.7 20 98.1 5 42.5 Valley Center 9 38.6 8 68.3 <5 § <5 § <5 § <5 § 5 65.0 <5 § South Region 822 175.5 690 294.8 131 55.9 <5 § 36 44.6 378 286.6 366 345.2 38 78.3 Chula Vista 111 96.3 60 108.0 51 85.4 <5 § <5 § 29 93.6 58 219.2 19 130.9 Coronado 12 48.6 6 41.3 6 59.1 <5 § <5 § <5 § 9 179.2 <5 § National City 44 75.4 25 83.3 19 67.1 <5 § <5 § 5 31.8 32 266.9 6 97.3 South Bay 635 470.7 584 858.1 50 74.8 <5 § 30 125.5 339 893.6 252 823.6 11 85.2 Sweetwater 20 14.8 15 22.8 5 7.2 <5 § <5 § <5 § 15 47.0 <5 § Unknown 834 ‐‐‐ 553 ‐‐‐ 259 ‐‐‐ <5 ‐‐‐ 50 ‐‐‐ 258 ‐‐‐ 466 ‐‐‐ 55 ‐‐‐ *Rates per 100,000 population. County age‐adjusted rates per 100,000 2000 US standard population. **Harbison Crest/El Cajon is an aggregation of the Harbison Crest and El Cajon SRAs. Due to geographic limitations, the Harbison Crest SRA is not shown alone. See the Data Guide for more information. ***Numbers may not add up to totals due to unknown or missing details. †Chronic Hepas C refers to cases voluntarily reported to County Public Health Services and is an underesmate of the actual number of cases in San Diego County. ‡ Race/Ethnicity is not reported here due to limited availability of this data. §Rates not calculated for fewer than 5 events. Rates not calculated in cases where zip code is unknown. Source: Source: County of San Diego, Health & Human Services Agency, Epidemiology & Immunization Services Branch , Communicable Disease Data; SANDAG, Current Population Estimates, 10/2012. Prepared by: County of San Diego, Health & Human Services Agency, Public Health Services, Community Health Statistics Unit, 2013.

County of San Diego, Health & Human Services Agency, Public Health Services, Community Health Statistics Unit Page 20 Chronic Hepas C† Reported Among San Diego County Residents by Locaon of Residence, 2011 Detail Gender Race/Ethnicity Age Group 2011 Total Geography Male Female White Black HispanicAPI‡ Other‡ Ages 0‐14 Ages 15‐24 Ages 25‐44 Ages 45‐64 Ages 65+ No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* San Diego County (Actual Rate) 3,224 103.5 2,268 145.1 833 53.6 15 2.5 175 35.1 1,077 120.9 1,716 222.6 223 61.6 San Diego County (Age‐Adjusted Rate) 3,224 100.4 Central Region 419 86.3 267 107.6 143 60.2 <5 § 12 14.9 98 60.3 270 248.8 35 79.4 Central San Diego 208 125.3 142 156.8 61 80.9 <5 § 7 33.8 62 88.0 126 325.9 12 74.8 Mid‐City 101 61.9 64 78.7 34 41.5 <5 § <5 § 15 29.6 69 206.1 12 93.0 Southeast San Diego 110 70.3 61 80.0 48 59.9 <5 § <5 § 21 50.6 75 206.2 11 72.8 East Region 299 64.1 170 74.0 127 53.6 <5 § 8 11.5 54 44.7 214 166.3 21 35.9 Alpine 11 72.6 6 79.6 5 65.6 <5 § <5 § <5 § 8 162.8 <5 § El Cajon 61 48.7 32 52.2 28 43.8 <5 § <5 § 10 30.2 42 131.1 6 39.7 Harbison Crest/El Cajon** 110 78.6 61 88.8 47 65.9 <5 § <5 § 16 44.6 78 209.3 12 67.8 Jamul 8 45.5 6 59.4 <5 § <5 § <5 § <5 § 8 143.4 <5 § La Mesa 38 63.3 20 69.9 18 57.4 <5 § <5 § 7 40.1 29 184.8 <5 § Laguna‐Pine Valley <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Lakeside 27 47.9 16 57.4 11 38.6 <5 § <5 § 9 62.5 16 98.7 <5 § Lemon Grove 22 73.5 15 103.0 7 45.5 <5 § <5 § <5 § 17 220.6 <5 § Mountain Empire 10 117.6 7 153.0 <5 § <5 § <5 § <5 § 7 281.6 <5 § Santee 32 61.9 17 67.9 15 56.2 <5 § <5 § 5 36.5 24 160.0 <5 § Spring Valley 39 47.7 22 55.3 17 40.5 <5 § <5 § 10 47.6 27 124.1 <5 § North Central Region 223 36.6 122 39.6 94 31.2 <5 § 11 10.6 47 24.3 137 94.8 26 35.3 Coastal 41 54.3 27 69.3 13 35.5 <5 § <5 § 8 28.7 25 152.3 <5 § Del Mar‐Mira Mesa 41 25.9 19 23.9 20 25.3 <5 § <5 § 6 12.9 27 59.1 5 34.8 Elliott‐Navajo 34 38.0 14 32.3 19 41.3 <5 § <5 § 8 31.5 19 84.1 5 36.6 Kearny Mesa 72 47.5 43 56.9 28 36.8 <5 § <5 § 17 33.5 42 116.2 10 51.6 Miramar <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Peninsula 22 34.9 13 37.8 8 27.9 <5 § <5 § 5 23.4 15 105.4 <5 § University 13 19.6 6 18.2 6 17.9 <5 § <5 § <5 § 9 96.8 <5 § North Coastal Region 256 50.2 151 58.1 101 40.4 <5 § 18 21.3 57 41.8 148 116.7 30 48.7 Carlsbad 39 33.7 21 37.3 18 30.2 <5 § <5 § 9 30.4 22 66.4 5 27.1 Oceanside 106 66.2 59 74.3 45 55.8 <5 § 7 28.3 22 49.2 62 157.7 14 74.8 Pendleton <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § San Dieguito 44 46.4 25 53.6 17 35.2 <5 § 6 59.9 9 36.8 24 80.7 <5 § Vista 65 64.1 45 88.0 20 39.8 <5 § <5 § 17 58.8 40 166.1 7 67.3 North Inland Region 242 42.1 150 53.0 89 30.5 <5 § 15 18.8 50 34.0 148 95.8 26 34.8 Anza‐Borrego Springs <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Escondido 109 66.4 70 85.9 38 45.9 <5 § 5 19.3 19 42.0 72 184.0 13 72.9 Fallbrook 22 46.0 13 54.5 9 37.5 <5 § <5 § 7 69.2 11 83.7 <5 § North San Diego 26 24.2 16 30.7 10 18.0 <5 § <5 § 5 16.4 15 50.8 <5 § Palomar‐Julian <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Pauma <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Poway 18 20.7 11 25.9 7 15.7 <5 § <5 § <5 § 9 32.9 <5 § Ramona 16 45.2 11 61.8 5 28.4 <5 § <5 § 5 63.3 8 71.5 <5 § San Marcos 28 31.0 14 31.7 12 26.0 <5 § <5 § 7 28.1 15 72.5 <5 § Valley Center 12 51.2 8 68.0 <5 § <5 § <5 § <5 § 10 130.6 <5 § South Region 1,005 214.1 875 374.3 104 44.1 <5 § 55 67.7 486 373.1 415 384.4 41 83.0 Chula Vista 81 69.9 45 80.6 35 58.3 <5 § <5 § 15 48.5 51 189.3 14 95.4 Coronado 10 42.9 <5 § 5 50.2 <5 § <5 § <5 § 6 119.7 <5 § National City 36 61.5 21 70.0 15 52.7 <5 § <5 § 10 63.3 23 188.6 <5 § South Bay 859 635.7 793 1165.3 42 62.6 <5 § 52 218.8 456 1212.5 322 1041.6 21 159.1 Sweetwater 19 13.9 12 18.0 7 10.0 <5 § <5 § <5 § 13 39.5 <5 § Unknown 780 ‐‐‐ 533 ‐‐‐ 175 ‐‐‐ <5 ‐‐‐ 56 ‐‐‐ 285 ‐‐‐ 384 ‐‐‐ 44 ‐‐‐ *Rates per 100,000 population. County age‐adjusted rates per 100,000 2000 US standard population. **Harbison Crest/El Cajon is an aggregation of the Harbison Crest and El Cajon SRAs. Due to geographic limitations, the Harbison Crest SRA is not shown alone. See the Data Guide for more information. ***Numbers may not add up to totals due to unknown or missing details. †Chronic Hepas C refers to cases voluntarily reported to County Public Health Services and is an underesmate of the actual number of cases in San Diego County. ‡ Race/Ethnicity is not reported here due to limited availability of this data. §Rates not calculated for fewer than 5 events. Rates not calculated in cases where zip code is unknown. Source: Source: County of San Diego, Health & Human Services Agency, Epidemiology & Immunization Services Branch , Communicable Disease Data; SANDAG, Current Population Estimates, 10/2012. Prepared by: County of San Diego, Health & Human Services Agency, Public Health Services, Community Health Statistics Unit, 2013.

County of San Diego, Health & Human Services Agency, Public Health Services, Community Health Statistics Unit Page 21

Flu & Pneumonia

County of San Diego, Health & Human Services Agency, Public Health Services, Community Health Statistics Unit Page 22 Influenza (Flu) and Pneumonia† Deaths Among San Diego County Residents by Location of Residence 2010 Total 2011 Total 2012 Total 2013 Total 2014 Total 2015 Total 2016 Total 2017 Total 2018 Total 2019 Total 2020 Total Geography No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* San Diego County (Actual Rate) 289 9.3 313 10.0 San Diego County (Age‐Adjusted Rate) 289 9.2 313 9.6 Central Region 33 6.8 48 9.9 Central San Diego 11 6.6 17 10.2 Mid‐City 10 6.1 17 10.4 Southeast San Diego 12 7.7 14 9.0 East Region 47 10.1 63 13.5 Alpine <5 § <5 § El Cajon 10 8.0 12 9.6 Harbison Crest/El Cajon** 15 10.8 19 13.6 Jamul <5 § <5 § La Mesa 11 18.6 10 16.7 Laguna‐Pine Valley <5 § <5 § Lakeside <5 § 5 8.9 Lemon Grove 5 16.8 <5 § Mountain Empire <5 § <5 § Santee 6 11.7 9 17.4 Spring Valley 6 7.4 10 12.2 North Central Region 61 10.1 60 9.8 Coastal 8 10.6 7 9.3 Del Mar‐Mira Mesa 9 5.7 13 8.2 Elliott‐Navajo 8 9.0 7 7.8 Kearny Mesa 22 14.5 22 14.5 Miramar <5 § <5 § Peninsula 10 15.9 7 11.1 University <5 § <5 6.0 North Coastal Region 52 10.3 39 7.6 Carlsbad 18 15.7 17 14.7 Oceanside 15 9.4 12 7.5 Pendleton <5 § <5 § San Dieguito 6 6.4 <5 § Vista 13 12.9 6 5.9 North Inland Region 56 9.8 61 10.6 Anza‐Borrego Springs <5 § <5 § Escondido 14 8.6 18 11.0 Fallbrook 5 10.6 8 16.7 North San Diego 8 7.5 13 12.1 Palomar‐Julian <5 § <5 § Pauma <5 § <5 § Poway 6 7.0 6 6.9 Ramona <5 § <5 § San Marcos 17 18.9 12 13.3 Valley Center <5 § <5 § South Region 40 8.5 39 8.3 Chula Vista 19 16.5 19 16.4 Coronado <5 § <5 § National City <5 § 5 8.5 South Bay 11 8.2 8 5.9 Sweetwater <5 § <5 § Unknown <5 ‐‐‐ <5 ‐‐‐ * Rates per 100,000 population. County age‐adjusted rates per 100,000 2000 US standard population. **Harbison Crest/El Cajon is an aggregation of the Harbison Crest and El Cajon SRAs. Due to geographic limitations, the Harbison Crest SRA is not shown alone. See the Data Guide for more information. † Flu and Pneumonia death refers to (underlying cause of death) ICD‐10 codes J10‐J11, J12‐J18. § Rates not calculated for fewer than 5 events. Rates not calculated in cases where zip code is unknown. Source: Death Statistical Master Files (CDPH), County of San Diego, Health & Human Services Agency, Public Health Services, Epidemiology & Immunization Services Branch; SANDAG, Current Population Estimates, 10/2012. Prepared by: County of San Diego, Health & Human Services Agency, Public Health Services, Community Health Statistics Unit, 2013.

County of San Diego, Health & Human Services Agency, Public Health Services, Community Health Statistics Unit Page 23 Influenza (Flu) and Pneumonia† Deaths Among San Diego County Residents by Locaon of Residence, 2010 Detail Gender Race/Ethnicity Age Group 2010 Total Geography Male Female White Black Hispanic API‡ Other‡ Ages 0‐14 Ages 15‐24 Ages 25‐44 Ages 45‐64 Ages 65+ No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* San Diego County (Actual Rate) 289 9.3 149 9.6 140 9.1 216 14.4 10 6.8 45 4.5 15 4.4 <5 § <5 § <5 § 5 0.6 23 3.0 256 72.8 San Diego County (Age‐Adjusted Rate) 289 9.2 Central Region 33 6.8 28 11.3 5 2.1 15 10.4 <5 § 8 3.9 6 9.4 <5 § <5 § <5 § <5 § <5 § 26 60.1 Central San Diego 11 6.6 11 12.2 <5 § 6 7.3 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § 9 57.9 Mid‐City 10 6.1 7 8.6 <5 § 7 15.1 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § 10 78.2 Southeast San Diego 12 7.7 10 13.2 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § 7 46.8 East Region 47 10.1 23 10.1 24 10.2 36 12.9 <5 § 5 4.3 <5 § <5 § <5 § <5 § <5 § 6 4.7 39 69.7 Alpine <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § El Cajon 10 8.0 <5 § 7 11.0 9 12.2 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § 10 68.2 Harbison Crest/El Cajon** 15 10.8 5 7.3 10 14.1 14 16.4 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § 14 81.8 Jamul <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § La Mesa 11 18.6 7 24.8 <5 § 10 27.0 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § 9 104.7 Laguna‐Pine Valley <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Lakeside <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Lemon Grove 5 16.8 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Mountain Empire <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Santee 6 11.7 5 20.2 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Spring Valley 6 7.4 <5 § 5 12.0 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § 5 53.1 North Central Region 61 10.1 31 10.1 30 10.1 51 14.0 <5 § 5 5.8 <5 § <5 § <5 § <5 § <5 § <5 § 57 79.3 Coastal 8 10.6 6 15.4 <5 § 8 13.2 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § 6 48.4 Del Mar‐Mira Mesa 9 5.7 5 6.3 <5 § 6 7.9 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § 9 66.1 Elliott‐Navajo 8 9.0 <5 § <5 § 8 13.3 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § 8 60.2 Kearny Mesa 22 14.5 6 8.0 16 21.1 15 17.8 <5 § 5 14.9 <5 § <5 § <5 § <5 § <5 § <5 § 20 104.9 Miramar <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Peninsula 10 15.9 7 20.5 <5 § 10 20.8 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § 10 138.4 University <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § North Coastal Region 52 10.3 24 9.3 28 11.3 43 14.4 <5 § 8 5.6 <5 § <5 § <5 § <5 § <5 § <5 § 50 83.9 Carlsbad 18 15.7 8 14.3 10 17.0 17 20.1 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § 18 101.0 Oceanside 15 9.4 6 7.6 9 11.2 13 17.5 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § 14 75.9 Pendleton <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § San Dieguito 6 6.4 <5 § <5 § 6 8.2 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § 6 45.4 Vista 13 12.9 7 13.8 6 12.1 7 16.0 <5 § 5 § <5 § <5 § <5 § <5 § <5 § <5 § 12 118.9 North Inland Region 56 9.8 24 8.6 32 11.1 50 15.9 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § 51 70.7 Anza‐Borrego Springs <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Escondido 14 8.6 <5 § 10 12.2 12 16.9 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § 13 74.2 Fallbrook 5 10.6 <5 § <5 § 5 18.3 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § North San Diego 8 7.5 <5 § <5 § 6 9.6 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § 7 54.3 Palomar‐Julian <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Pauma <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Poway 6 7.0 <5 § <5 § 6 10.4 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § 5 46.2 Ramona <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § San Marcos 17 18.9 7 15.9 10 21.8 15 33.0 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § 16 136.0 Valley Center <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § South Region 40 8.5 19 8.1 21 9.0 21 21.4 <5 § 17 6.1 <5 § <5 § <5 § <5 § <5 § 5 4.7 33 68.0 Chula Vista 19 16.5 9 16.2 10 16.8 13 60.9 <5 § 5 6.1 <5 § <5 § <5 § <5 § <5 § <5 § 17 117.1 Coronado <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § National City <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § South Bay 11 8.2 <5 § 7 10.5 <5 § <5 § 7 7.6 <5 § <5 § <5 § <5 § <5 § <5 § 9 69.7 Sweetwater <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Unknown <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ *Rates per 100,000 population. County age‐adjusted rates per 100,000 2000 US standard population. **Harbison Crest/El Cajon is an aggregation of the Harbison Crest and El Cajon SRAs. Due to geographic limitations, the Harbison Crest SRA is not shown alone. See the Data Guide for more information. ***Numbers may not add up to totals due to unknown or missing details. †Flu and Pneumonia death refers to (underlying cause of death) ICD‐10 codes J10‐J11, J12‐J18. ‡API includes Asian, Pacific Islander, Nave Hawaiian. Other includes 2 or more races, Nave American/Alaska Nave, American Indian, or other. §Rates not calculated for fewer than 5 events. Rates not calculated in cases where zip code is unknown. Source: Death Statistical Master Files (CDPH), County of San Diego, Health & Human Services Agency, Public Health Services, Epidemiology & Immunization Services Branch; SANDAG, Current Population Estimates, 10/2012. Prepared by: County of San Diego, Health & Human Services Agency, Public Health Services, Community Health Statistics Unit, 2013.

County of San Diego, Health & Human Services Agency, Public Health Services, Community Health Statistics Unit Page 24 Influenza (Flu) and Pneumonia† Deaths Among San Diego County Residents by Locaon of Residence, 2011 Detail Gender Race/Ethnicity Age Group 2011 Total Geography Male Female White Black Hispanic API‡ Other‡ Ages 0‐14 Ages 15‐24 Ages 25‐44 Ages 45‐64 Ages 65+ No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* San Diego County (Actual Rate) 313 10.0 162 10.4 151 9.7 217 14.5 8 5.6 53 5.2 28 8.0 <5 § <5 § 5 1.0 6 0.7 25 3.2 273 75.4 San Diego County (Age‐Adjusted Rate) 313 9.6 Central Region 48 9.9 32 12.9 16 6.7 22 15.5 5 9.1 13 6.3 7 10.8 <5 § <5 § <5 § <5 § <5 § 40 90.8 Central San Diego 17 10.2 12 13.2 5 6.6 14 17.1 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § 15 93.5 Mid‐City 17 10.4 10 12.3 7 8.5 7 15.3 <5 § 6 8.6 <5 § <5 § <5 § <5 § <5 § <5 § 15 116.2 Southeast San Diego 14 9.0 10 13.1 <5 5.0 <5 § <5 § 5 6.3 <5 § <5 § <5 § <5 § <5 § <5 § 10 66.2 East Region 63 13.5 34 14.8 29 12.2 52 18.6 <5 § 9 7.6 <5 § <5 § <5 § <5 § <5 § 9 7.0 53 90.6 Alpine <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § El Cajon 12 9.6 5 8.2 7 11.0 11 15.0 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § 12 79.3 Harbison Crest/El Cajon** 19 13.6 10 14.6 9 12.6 16 18.8 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § 17 96.0 Jamul <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § La Mesa 10 16.7 6 21.0 <5 § 9 24.1 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § 8 90.3 Laguna‐Pine Valley <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Lakeside 5 8.9 <5 § <5 § 5 12.2 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § 5 78.5 Lemon Grove <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Mountain Empire <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Santee 9 17.4 5 20.0 <5 § 7 18.3 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § 7 115.7 Spring Valley 10 12.2 <5 § 6 14.3 7 18.3 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § 7 71.1 North Central Region 60 9.8 27 8.8 33 11.0 44 12.0 <5 § <5 § 10 9.0 <5 § <5 § <5 § <5 § <5 § 57 77.4 Coastal 7 9.3 <5 § <5 § 6 9.9 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § 7 55.5 Del Mar‐Mira Mesa 13 8.2 6 7.6 7 8.9 <5 § <5 § <5 § 7 12.5 <5 § <5 § <5 § <5 § <5 § 11 76.5 Elliott‐Navajo 7 7.8 <5 § <5 § 6 10.0 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § 7 51.2 Kearny Mesa 22 14.5 11 14.6 11 14.4 17 20.3 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § 21 108.3 Miramar <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Peninsula 7 11.1 <5 § <5 § 7 14.7 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § 7 96.7 University <5 6.0 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § North Coastal Region 39 7.6 15 5.8 24 9.6 32 10.7 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § 33 53.5 Carlsbad 17 14.7 <5 § 13 21.8 15 17.7 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § 17 92.0 Oceanside 12 7.5 5 6.3 7 8.7 7 9.5 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § 7 37.4 Pendleton <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § San Dieguito <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Vista 6 5.9 <5 § <5 § 6 13.8 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § 5 48.0 North Inland Region 61 10.6 32 11.3 29 9.9 48 15.3 <5 § 8 4.8 5 8.3 <5 § <5 § <5 § <5 § 6 3.9 54 72.3 Anza‐Borrego Springs <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Escondido 18 11.0 9 11.0 9 10.9 12 17.0 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § 13 72.9 Fallbrook 8 16.7 <5 § 6 25.0 7 25.7 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § 7 82.1 North San Diego 13 12.1 7 13.5 6 10.8 12 19.1 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § 13 97.7 Palomar‐Julian <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Pauma <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Poway 6 6.9 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § 6 53.3 Ramona <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § San Marcos 12 13.3 9 20.4 <5 § 9 20.0 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § 11 92.4 Valley Center <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § South Region 39 8.3 22 9.4 17 7.2 19 19.8 <5 § 15 5.3 <5 § <5 § <5 § <5 § <5 § 5 4.6 33 66.8 Chula Vista 19 16.4 10 17.9 9 15.0 9 43.0 <5 § 9 10.9 <5 § <5 § <5 § <5 § <5 § <5 § 15 102.3 Coronado <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § National City 5 8.5 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § South Bay 8 5.9 5 7.3 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § 8 60.6 Sweetwater <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Unknown <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ *Rates per 100,000 population. County age‐adjusted rates per 100,000 2000 US standard population. **Harbison Crest/El Cajon is an aggregation of the Harbison Crest and El Cajon SRAs. Due to geographic limitations, the Harbison Crest SRA is not shown alone. See the Data Guide for more information. ***Numbers may not add up to totals due to unknown or missing details. †Flu and Pneumonia death refers to (underlying cause of death) ICD‐10 codes J10‐J11, J12‐J18. ‡API includes Asian, Pacific Islander, Nave Hawaiian. Other includes 2 or more races, Nave American/Alaska Nave, American Indian, or other. §Rates not calculated for fewer than 5 events. Rates not calculated in cases where zip code is unknown. Source: Death Statistical Master Files (CDPH), County of San Diego, Health & Human Services Agency, Public Health Services, Epidemiology & Immunization Services Branch; SANDAG, Current Population Estimates, 10/2012. Prepared by: County of San Diego, Health & Human Services Agency, Public Health Services, Community Health Statistics Unit, 2013.

County of San Diego, Health & Human Services Agency, Public Health Services, Community Health Statistics Unit Page 25 Influenza (Flu)† Hospitalizaons Among San Diego County Residents by Location of Residence 2010 Total 2011 Total 2012 Total 2013 Total 2014 Total 2015 Total 2016 Total 2017 Total 2018 Total 2019 Total 2020 Total Geography No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* San Diego County (Actual Rate) 93 3.0 319 10.2 San Diego County (Age‐Adjusted Rate) 93 3.0 319 10.5 Central Region 19 3.9 63 13.0 Central San Diego 7 4.2 21 12.7 Mid‐City 5 3.1 22 13.5 Southeast San Diego 7 4.5 20 12.8 East Region 19 4.1 59 12.6 Alpine <5 § <5 § El Cajon <5 § 12 9.6 Harbison Crest/El Cajon** 7 5.0 25 17.9 Jamul <5 § <5 § La Mesa 5 8.5 10 16.7 Laguna‐Pine Valley <5 § <5 § Lakeside <5 § <5 § Lemon Grove <5 § <5 § Mountain Empire <5 § <5 § Santee <5 § 5 9.7 Spring Valley <5 § 7 8.6 North Central Region 15 2.5 51 8.4 Coastal <5 § 7 9.3 Del Mar‐Mira Mesa 7 4.4 9 5.7 Elliott‐Navajo <5 § 9 10.1 Kearny Mesa 5 3.3 19 12.5 Miramar <5 § <5 § Peninsula <5 § <5 § University <5 § 5 7.5 North Coastal Region 8 1.6 23 4.5 Carlsbad <5 § 6 5.2 Oceanside <5 § 8 5.0 Pendleton <5 § <5 § San Dieguito <5 § <5 § Vista <5 § 6 5.9 North Inland Region 9 1.6 66 11.5 Anza‐Borrego Springs <5 § <5 § Escondido <5 § 31 18.9 Fallbrook <5 § <5 § North San Diego <5 § 12 11.2 Palomar‐Julian <5 § <5 § Pauma <5 § <5 § Poway <5 § 10 11.5 Ramona <5 § <5 § San Marcos <5 § 6 6.7 Valley Center <5 § <5 § South Region 23 4.9 57 12.1 Chula Vista 9 7.8 23 19.8 Coronado <5 § <5 § National City <5 § 10 17.1 South Bay 9 6.7 20 14.8 Sweetwater <5 § <5 § Unknown <5 ‐‐‐ <5 ‐‐‐ *Rates per 100,000 population. County age‐adjusted rates per 100,000 2000 US standard population. **Harbison Crest/El Cajon is an aggregation of the Harbison Crest and El Cajon SRAs. Due to geographic limitations, the Harbison Crest SRA is not shown alone. See the Data Guide for more information. † Flu Hospitalizaon refers to ICD 9 Codes 487‐488. § Rates not calculated for fewer than 5 events. Rates not calculated in cases where zip code is unknown. Source: Patient Discharge Database (CA OSHPD), County of San Diego, Health & Human Services Agency, Public Health Services, Epidemiology & Immunization Services Branch; SANDAG, Current Population Estimates, 10/2012. Prepared by: County of San Diego, Health & Human Services Agency, Public Health Services, Community Health Statistics Unit, 2013.

County of San Diego, Health & Human Services Agency, Public Health Services, Community Health Statistics Unit Page 26 Influenza (Flu)† Hospitalizaons Among San Diego County Residents by Locaon of Residence, 2010 Detail Gender Race/Ethnicity Age Group 2010 Total Geography Male Female White Black Hispanic API‡ Other‡ Ages 0‐14 Ages 15‐24 Ages 25‐44 Ages 45‐64 Ages 65+ No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* San Diego County (Actual Rate) 93 3.0 49 3.2 44 2.9 36 2.4 8 5.5 28 2.8 7 2.0 13 11.2 22 3.7 11 2.2 17 1.9 24 3.2 19 5.4 San Diego County (Age‐Adjusted Rate) 93 3.0 Central Region 19 3.9 10 4.0 9 3.8 <5 § 5 8.8 7 3.4 <5 § <5 § 5 5.6 <5 § <5 § <5 § <5 § Central San Diego 7 4.2 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Mid‐City 5 3.1 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Southeast San Diego 7 4.5 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § East Region 19 4.1 8 3.5 11 4.7 9 3.2 <5 § 6 5.2 <5 § <5 § <5 § <5 § <5 § 7 5.5 <5 § Alpine <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § El Cajon <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Harbison Crest/El Cajon** 7 5.0 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Jamul <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § La Mesa 5 8.5 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Laguna‐Pine Valley <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Lakeside <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Lemon Grove <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Mountain Empire <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Santee <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Spring Valley <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § North Central Region 15 2.5 10 3.3 5 1.7 9 2.5 <5 § <5 § <5 § <5 § <5 § <5 § <5 § 6 4.2 <5 § Coastal <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Del Mar‐Mira Mesa 7 4.4 6 7.6 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § 5 11.2 <5 § Elliott‐Navajo <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Kearny Mesa 5 3.3 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Miramar <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Peninsula <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § University <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § North Coastal Region 8 1.6 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Carlsbad <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Oceanside <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Pendleton <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § San Dieguito <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Vista <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § North Inland Region 9 1.6 5 1.8 <5 § 5 1.6 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Anza‐Borrego Springs <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Escondido <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Fallbrook <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § North San Diego <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Palomar‐Julian <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Pauma <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Poway <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Ramona <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § San Marcos <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Valley Center <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § South Region 23 4.9 12 5.1 11 4.7 6 6.1 <5 § 11 4.0 <5 § <5 § <5 § <5 § 5 § 5 4.7 7 14.4 Chula Vista 9 7.8 <5 § 5 8.4 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Coronado <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § National City <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § South Bay 9 6.7 6 8.8 <5 § <5 § <5 § 6 6.5 <5 § <5 § <5 § <5 § <5 § <5 § <5 § Sweetwater <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Unknown <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ *Rates per 100,000 population. County age‐adjusted rates per 100,000 2000 US standard population. **Harbison Crest/El Cajon is an aggregation of the Harbison Crest and El Cajon SRAs. Due to geographic limitations, the Harbison Crest SRA is not shown alone. See the Data Guide for more information. ***Numbers may not add up to totals due to unknown or missing details. †Flu Hospitalizaon refers to ICD 9 Codes 487‐488. ‡API includes Asian, Pacific Islander, Nave Hawaiian. Other includes 2 or more races, Nave American/Alaska Nave, American Indian, or other. §Rates not calculated for fewer than 5 events. Rates not calculated in cases where zip code is unknown. Source: Patient Discharge Database (CA OSHPD), County of San Diego, Health & Human Services Agency, Public Health Services, Epidemiology & Immunization Services Branch; SANDAG, Current Population Estimates, 10/2012. Prepared by: County of San Diego, Health & Human Services Agency, Public Health Services, Community Health Statistics Unit, 2013.

County of San Diego, Health & Human Services Agency, Public Health Services, Community Health Statistics Unit Page 27 Influenza (Flu)† Hospitalizaons Among San Diego County Residents by Locaon of Residence, 2011 Detail Gender Race/Ethnicity Age Group 2011 Total Geography Male Female White Black Hispanic API‡ Other‡ Ages 0‐14 Ages 15‐24 Ages 25‐44 Ages 45‐64 Ages 65+ No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* San Diego County (Actual Rate) 319 10.2 157 10.0 162 10.4 131 8.8 22 15.4 107 10.6 25 7.2 26 22.1 49 8.3 12 2.4 44 4.9 73 9.5 141 39.0 San Diego County (Age‐Adjusted Rate) 319 10.5 Central Region 63 13.0 29 11.7 34 14.3 8 5.6 16 29.2 28 13.5 7 10.8 <5 § 6 6.7 <5 § 13 8.0 22 20.3 19 43.1 Central San Diego 21 12.7 10 11.0 11 14.6 5 6.1 <5 § 12 20.5 <5 § <5 § <5 § <5 § <5 § 10 25.9 <5 12.5 Mid‐City 22 13.5 12 14.8 10 12.2 <5 § <5 § 7 10.1 6 25.2 <5 § <5 § <5 § 6 11.8 <5 § 8 62.0 Southeast San Diego 20 12.8 7 9.2 13 16.2 <5 § 8 32.1 9 11.3 <5 § <5 § <5 § <5 § <5 § 8 22.0 9 59.6 East Region 59 12.6 27 11.7 32 13.5 31 11.1 <5 § 10 8.4 <5 § 11 51.3 6 6.7 <5 § 13 10.8 11 8.5 28 47.9 Alpine <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 44.9 El Cajon 12 9.6 6 9.8 6 9.4 6 8.2 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § 6 39.7 Harbison Crest/El Cajon** 25 17.9 11 16.0 14 19.6 13 15.3 <5 § 5 13.8 <5 § 6 87.0 <5 § <5 § 8 22.3 <5 § 12 67.8 Jamul <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § La Mesa 10 16.7 5 17.5 5 15.9 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § 7 79.1 Laguna‐Pine Valley <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 120.5 Lakeside <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 15.7 Lemon Grove <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 87.8 Mountain Empire <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 81.5 Santee 5 9.7 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 16.5 Spring Valley 7 8.6 5 12.6 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 10.2 North Central Region 51 8.4 29 9.4 22 7.3 31 8.5 <5 § 8 9.1 8 7.2 <5 § 12 12.7 <5 § 5 2.6 8 5.5 22 29.9 Coastal 7 9.3 5 12.8 <5 § 7 11.5 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 15.9 Del Mar‐Mira Mesa 9 5.7 6 7.6 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 20.9 Elliott‐Navajo 9 10.1 <5 § 6 13.0 8 13.4 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 22.0 Kearny Mesa 19 12.5 11 14.6 8 10.5 10 11.9 <5 § 5 14.7 <5 § <5 § 5 § <5 § <5 § <5 § 9 46.4 Miramar <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Peninsula <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 27.6 University 5 7.5 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 46.9 North Coastal Region 23 4.5 9 3.5 14 5.6 9 3.0 <5 § 7 4.8 <5 § <5 § 5 5.0 <5 § <5 § 7 5.5 7 11.4 Carlsbad 6 5.2 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 16.2 Oceanside 8 5.0 <5 § 5 6.2 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 10.7 Pendleton <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § San Dieguito <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 14.3 Vista 6 5.9 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § North Inland Region 66 11.5 35 12.4 31 10.6 41 13.1 <5 § 17 10.1 <5 § <5 § 14 11.8 <5 § 5 3.4 15 9.7 32 42.9 Anza‐Borrego Springs <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Escondido 31 18.9 16 19.6 15 18.1 18 25.5 <5 § 10 13.2 <5 § <5 § 6 16.6 <5 § 5 11.0 6 15.3 14 78.5 Fallbrook <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § North San Diego 12 11.2 6 11.5 6 10.8 9 14.3 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § 8 60.1 Palomar‐Julian <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Pauma <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Poway 10 11.5 5 11.8 5 11.2 6 10.4 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § 6 53.3 Ramona <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 24.9 San Marcos 6 6.7 5 11.3 <5 § 5 11.1 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 25.2 Valley Center <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § South Region 57 12.1 28 12.0 29 12.3 11 11.4 <5 § 37 13.2 <5 § <5 § 6 6.0 <5 § 5 3.8 10 9.3 33 66.8 Chula Vista 23 19.8 11 19.7 12 20.0 <5 § <5 § 17 20.6 <5 § <5 § <5 § <5 § <5 § <5 § 17 115.9 Coronado <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § National City 10 17.1 8 26.7 <5 § <5 § <5 § 6 16.0 <5 § <5 § <5 § <5 § <5 § <5 § <5 32.9 South Bay 20 14.8 8 11.8 12 17.9 5 24.9 <5 § 12 12.9 <5 § <5 § <5 § <5 § <5 § <5 § 13 98.5 Sweetwater <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 8.4 Unknown <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ *Rates per 100,000 population. County age‐adjusted rates per 100,000 2000 US standard population. **Harbison Crest/El Cajon is an aggregation of the Harbison Crest and El Cajon SRAs. Due to geographic limitations, the Harbison Crest SRA is not shown alone. See the Data Guide for more information. ***Numbers may not add up to totals due to unknown or missing details. †Flu Hospitalizaon refers to ICD 9 Codes 487‐488. ‡API includes Asian, Pacific Islander, Nave Hawaiian. Other includes 2 or more races, Nave American/Alaska Nave, American Indian, or other. §Rates not calculated for fewer than 5 events. Rates not calculated in cases where zip code is unknown. Source: Patient Discharge Database (CA OSHPD), County of San Diego, Health & Human Services Agency, Public Health Services, Epidemiology & Immunization Services Branch; SANDAG, Current Population Estimates, 10/2012. Prepared by: County of San Diego, Health & Human Services Agency, Public Health Services, Community Health Statistics Unit, 2013.

County of San Diego, Health & Human Services Agency, Public Health Services, Community Health Statistics Unit Page 28 Influenza (Flu)† Emergency Department Discharges Among San Diego County Residents by Location of Residence 2010 Total 2011 Total 2012 Total 2013 Total 2014 Total 2015 Total 2016 Total 2017 Total 2018 Total 2019 Total 2020 Total Geography No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* San Diego County (Actual Rate) 1,108 35.8 1,798 57.7 San Diego County (Age‐Adjusted Rate) 1,108 35.8 1,798 58.1 Central Region 237 48.9 325 66.9 Central San Diego 65 39.3 104 62.7 Mid‐City 64 39.3 107 65.6 Southeast San Diego 108 69.3 114 72.9 East Region 164 35.4 288 61.7 Alpine 6 39.9 <5 § El Cajon 34 27.3 65 51.9 Harbison Crest/El Cajon** 60 43.1 103 73.6 Jamul 11 58.0 24 136.5 La Mesa 23 38.9 37 61.7 Laguna‐Pine Valley <5 § <5 § Lakeside 9 16.1 22 39.0 Lemon Grove 9 30.2 19 63.4 Mountain Empire <5 § <5 § Santee 13 25.4 28 54.2 Spring Valley 30 37.0 48 58.7 North Central Region 119 19.7 233 38.2 Coastal 10 13.3 25 33.1 Del Mar‐Mira Mesa 17 10.8 45 28.4 Elliott‐Navajo 19 21.3 26 29.1 Kearny Mesa 56 37.0 83 54.7 Miramar <5 § <5 § Peninsula 7 11.1 19 30.1 University 10 15.9 35 52.6 North Coastal Region 144 28.5 285 55.9 Carlsbad 16 13.9 41 35.4 Oceanside 73 45.7 112 70.0 Pendleton <5 § <5 § San Dieguito 11 11.8 36 37.9 Vista 44 43.8 96 94.7 North Inland Region 116 20.4 263 45.8 Anza‐Borrego Springs <5 § <5 § Escondido 48 29.4 105 63.9 Fallbrook 13 27.5 11 23.0 North San Diego 14 13.1 55 51.1 Palomar‐Julian <5 § <5 § Pauma <5 § <5 § Poway 6 7.0 19 21.9 Ramona 8 22.9 7 19.8 San Marcos 19 21.1 53 58.8 Valley Center <5 § 6 25.6 South Region 323 68.9 394 83.9 Chula Vista 133 115.4 177 152.7 Coronado 5 20.2 <5 § National City 39 66.9 43 73.5 South Bay 100 74.1 115 85.1 Sweetwater 46 34.0 56 41.0 Unknown 5 ‐‐‐ 10 ‐‐‐ *Rates per 100,000 population. County age‐adjusted rates per 100,000 2000 US standard population. **Harbison Crest/El Cajon is an aggregation of the Harbison Crest and El Cajon SRAs. Due to geographic limitations, the Harbison Crest SRA is not shown alone. See the Data Guide for more information. †Flu Hospitalizaon refers to ICD 9 Codes 487‐488. §Rates not calculated for fewer than 5 events. Rates not calculated in cases where zip code is unknown. Source: Emergency Department Discharge Database (CA OSHPD), County of San Diego, Health & Human Services Agency, Public Health Services, Emergency Medical Services; SANDAG, Current Population Estimates, 10/2012. Prepared by: County of San Diego, Health & Human Services Agency, Public Health Services, Community Health Statistics Unit, 2013.

County of San Diego, Health & Human Services Agency, Public Health Services, Community Health Statistics Unit Page 29 Influenza (Flu)† Emergency Department Discharges Among San Diego County Residents by Locaon of Residence, 2010 Detail Gender Race/Ethnicity Age Group 2010 Total Geography Male Female White Black Hispanic API‡ Other‡ Ages 0‐14 Ages 15‐24 Ages 25‐44 Ages 45‐64 Ages 65+ No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* San Diego County (Actual Rate) 1,108 35.8 493 31.7 615 39.9 333 22.2 127 86.6 519 52.4 63 18.4 44 38.0 385 64.6 229 46.2 329 36.9 135 17.8 30 8.5 San Diego County (Age‐Adjusted Rate) 1,108 35.8 Central Region 237 48.9 107 43.2 130 54.9 48 33.4 60 105.9 109 53.3 9 14.1 8 50.4 70 77.9 48 57.7 75 46.5 36 33.7 8 18.5 Central San Diego 65 39.3 40 44.2 25 33.3 21 25.5 15 130.6 23 39.9 <5 § <5 § 16 82.6 12 52.2 23 33.0 12 31.6 <5 § Mid‐City 64 39.3 25 30.8 39 47.7 12 25.8 16 82.8 29 42.4 <5 § <5 § 17 50.3 10 30.0 28 55.6 7 21.4 <5 § Southeast San Diego 108 69.3 42 55.3 66 82.7 15 100.7 29 112.1 57 72.8 <5 § <5 § 37 100.9 26 96.8 24 58.1 17 47.2 <5 § East Region 164 35.4 67 29.4 97 41.3 80 28.6 22 82.8 47 40.7 9 43.5 <5 § 41 45.6 44 64.2 47 38.8 27 21.2 5 8.9 Alpine 6 39.9 <5 § <5 § 5 42.3 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § El Cajon 34 27.3 16 26.3 18 28.3 18 24.4 <5 § 11 33.2 <5 § <5 § 10 39.2 8 40.7 8 24.2 7 22.1 <5 § Harbison Crest/El Cajon** 60 43.1 25 36.6 35 49.3 30 35.2 8 112.3 17 48.2 <5 § <5 § 16 57.6 15 69.7 13 36.3 15 40.6 <5 § Jamul 11 58.0 7 64.2 <5 § <5 § <5 § 7 121.0 <5 § <5 § <5 § 5 157.5 <5 § <5 § <5 § La Mesa 23 38.9 7 24.8 16 51.8 11 29.7 5 120.7 5 42.2 <5 § <5 § 5 51.9 9 106.7 <5 § <5 § <5 § Laguna‐Pine Valley <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Lakeside 9 16.1 <5 § 5 17.7 9 22.0 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Lemon Grove 9 30.2 <5 § 8 52.2 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Mountain Empire <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Santee 13 25.4 5 20.2 8 30.3 9 23.7 <5 § <5 § <5 § <5 § <5 § <5 § 6 43.3 <5 § <5 § Spring Valley 30 37.0 14 35.5 16 38.5 8 20.9 7 90.3 12 46.1 <5 § <5 § 9 53.3 7 57.9 11 52.2 <5 § <5 § North Central Region 119 19.7 56 18.3 63 21.1 60 16.4 9 48.0 27 31.5 9 8.3 12 46.0 33 34.9 17 16.6 48 25.0 14 9.8 7 9.7 Coastal 10 13.3 <5 § 6 16.4 5 8.2 <5 § <5 § <5 § <5 § <5 § 5 44.9 <5 § <5 § <5 § Del Mar‐Mira Mesa 17 10.8 7 8.9 10 12.7 10 13.2 <5 § <5 § <5 § <5 § 6 18.6 5 25.9 6 12.6 <5 § <5 § Elliott‐Navajo 19 21.3 7 16.2 12 26.2 10 16.6 <5 § 7 53.9 <5 § <5 § 7 41.0 <5 § 6 23.8 <5 § <5 § Kearny Mesa 56 37.0 31 41.1 25 33.0 25 29.6 7 104.2 13 38.8 6 30.3 <5 § 16 68.9 <5 § 25 50.3 11 30.9 <5 § Miramar <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Peninsula 7 11.1 <5 § 5 17.4 6 12.5 <5 § <5 § <5 § <5 § <5 § <5 § 5 23.8 <5 § <5 § University 10 15.9 5 16.1 5 15.8 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § North Coastal Region 144 28.5 62 24.0 82 33.1 55 18.4 9 62.0 66 45.8 6 20.0 6 33.0 78 77.2 19 22.7 32 23.4 13 10.4 <5 § Carlsbad 16 13.9 7 12.6 9 15.3 10 11.9 <5 § <5 18.0 <5 § <5 § 5 22.8 <5 § 6 19.9 <5 § <5 § Oceanside 73 45.7 28 35.3 45 55.9 26 35.0 <5 § 36 60.1 <5 § <5 § 44 136.9 5 19.7 18 40.3 5 12.8 <5 § Pendleton <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § San Dieguito 11 11.8 <5 § 7 14.7 5 6.8 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Vista 44 43.8 23 45.4 21 42.2 14 31.9 <5 § 23 49.3 <5 § <5 § 27 126.7 9 53.7 <5 § <5 § <5 § North Inland Region 116 20.4 51 18.2 65 22.5 44 14.0 7 67.6 50 30.5 8 13.5 7 33.0 35 29.3 27 35.0 36 24.3 16 10.5 <5 § Anza‐Borrego Springs <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Escondido 48 29.4 20 24.7 28 34.1 13 18.3 6 178.3 28 37.8 <5 § <5 § 15 41.4 10 39.0 15 33.1 8 20.8 <5 § Fallbrook 13 27.5 6 25.5 7 29.5 7 25.6 <5 § 6 34.8 <5 § <5 § <5 § <5 § 5 50.1 <5 § <5 § North San Diego 14 13.1 5 9.7 9 16.4 7 11.2 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Palomar‐Julian <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Pauma <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Poway 6 7.0 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Ramona 8 22.9 <5 § 6 34.6 5 20.1 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § San Marcos 19 21.1 8 18.2 11 23.9 6 13.2 <5 § 10 30.7 <5 § <5 § 9 44.9 <5 § 6 23.8 <5 § <5 § Valley Center <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § South Region 323 68.9 148 63.2 175 74.7 44 44.8 20 101.5 219 78.9 22 37.0 7 52.2 127 125.5 72 89.1 89 67.5 29 27.4 6 12.4 Chula Vista 133 115.4 59 106.2 74 124.0 24 112.3 7 177.2 88 108.2 6 99.6 <5 § 43 175.6 35 186.2 40 129.1 14 52.9 <5 § Coronado 5 20.2 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § National City 39 66.9 18 60.0 21 74.2 <5 § <5 § 27 72.7 6 56.9 <5 § 14 114.9 6 49.0 13 82.7 5 41.7 <5 § South Bay 100 74.1 47 69.1 53 79.3 12 58.5 7 129.1 75 81.1 <5 § <5 § 49 165.7 20 83.7 24 63.3 <5 § <5 § Sweetwater 46 34.0 21 31.9 25 36.0 <5 § <5 § 28 44.1 7 24.2 <5 § 18 56.6 11 56.8 12 29.5 5 15.7 <5 § Unknown 5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ *Rates per 100,000 population. County age‐adjusted rates per 100,000 2000 US standard population. **Harbison Crest/El Cajon is an aggregation of the Harbison Crest and El Cajon SRAs. Due to geographic limitations, the Harbison Crest SRA is not shown alone. See the Data Guide for more information. ***Numbers may not add up to totals due to unknown or missing details. †Flu Hospitalizaon refers to ICD 9 Codes 487‐488. ‡API includes Asian, Pacific Islander, Nave Hawaiian. Other includes 2 or more races, Nave American/Alaska Nave, American Indian, or other. §Rates not calculated for fewer than 5 events. Rates not calculated in cases where zip code is unknown. Source: Emergency Department Discharge Database (CA OSHPD), County of San Diego, Health & Human Services Agency, Public Health Services, Emergency Medical Services; SANDAG, Current Population Estimates, 10/2012. Prepared by: County of San Diego, Health & Human Services Agency, Public Health Services, Community Health Statistics Unit, 2013.

County of San Diego, Health & Human Services Agency, Public Health Services, Community Health Statistics Unit Page 30 Influenza (Flu)† Emergency Department Discharges Among San Diego County Residents by Locaon of Residence, 2011 Detail Gender Race/Ethnicity Age Group 2011 Total Geography Male Female White Black Hispanic API‡ Other‡ Ages 0‐14 Ages 15‐24 Ages 25‐44 Ages 45‐64 Ages 65+ No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* San Diego County (Actual Rate) 1,798 57.7 815 52.2 983 63.3 622 41.6 157 109.9 718 71.0 123 35.3 129 109.5 563 94.9 425 85.2 500 56.1 217 28.1 93 25.7 San Diego County (Age‐Adjusted Rate) 1,798 58.1 Central Region 325 66.9 160 64.5 165 69.5 76 53.4 51 93.0 142 68.3 29 44.9 22 137.3 95 105.4 69 85.9 105 64.6 42 38.7 14 31.8 Central San Diego 104 62.7 52 57.4 52 69.0 39 47.6 11 99.0 46 78.4 <5 § <5 § 23 114.4 16 77.2 40 56.8 17 44.0 8 49.8 Mid‐City 107 65.6 59 72.6 48 58.6 25 54.6 18 95.8 38 54.6 12 50.4 11 207.4 28 82.9 29 89.7 37 73.0 12 35.8 <5 § Southeast San Diego 114 72.9 49 64.3 65 81.1 12 81.5 22 88.2 58 72.9 13 40.4 8 160.3 44 121.5 24 88.2 28 67.5 13 35.7 5 33.1 East Region 288 61.7 118 51.4 170 71.8 130 46.6 39 149.7 70 58.9 10 47.1 24 112.0 91 102.1 64 92.2 70 57.9 40 31.1 23 39.3 Alpine <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § El Cajon 65 51.9 36 58.7 29 45.4 29 39.4 10 145.9 13 38.3 <5 § 9 141.3 15 59.3 12 60.9 19 57.4 11 34.3 8 52.9 Harbison Crest/El Cajon** 103 73.6 43 62.6 60 84.1 50 58.7 14 200.4 22 60.8 <5 § 11 159.4 27 98.1 25 115.5 24 66.9 18 48.3 9 50.8 Jamul 24 136.5 15 148.5 9 120.4 8 83.7 <5 § 11 200.5 <5 § <5 § <5 § 6 198.9 7 161.6 5 89.6 <5 § La Mesa 37 61.7 12 41.9 25 79.7 15 40.2 8 194.7 6 48.7 <5 § 5 187.3 12 122.4 9 110.2 7 40.1 6 38.2 <5 § Laguna‐Pine Valley <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Lakeside 22 39.0 12 43.0 10 35.1 17 41.6 <5 § <5 § <5 § <5 § 11 97.1 <5 § 5 34.7 <5 § <5 § Lemon Grove 19 63.4 7 48.1 12 78.0 5 53.5 <5 § 5 39.0 <5 § <5 § 7 113.3 <5 § <5 § <5 § <5 § Mountain Empire <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Santee 28 54.2 12 48.0 16 60.0 18 47.2 <5 § <5 § <5 § <5 § 10 103.2 7 96.6 9 65.7 <5 § <5 § Spring Valley 48 58.7 14 35.2 34 81.0 13 34.0 10 132.0 19 71.0 <5 § <5 § 18 107.6 10 80.8 13 61.9 <5 § <5 § North Central Region 233 38.2 118 38.3 115 38.2 104 28.5 17 90.9 46 52.4 32 28.7 31 116.5 57 60.4 65 62.8 77 39.8 21 14.5 13 17.6 Coastal 25 33.1 16 41.1 9 24.6 17 28.0 <5 § <5 § <5 § <5 § <5 § 9 81.5 8 28.7 <5 § <5 § Del Mar‐Mira Mesa 45 28.4 18 22.7 27 34.1 16 21.1 <5 § 5 31.0 11 19.7 11 152.4 11 34.6 8 40.0 15 32.2 6 13.1 5 34.8 Elliott‐Navajo 26 29.1 13 30.0 13 28.2 19 31.7 <5 § <5 § <5 § <5 § 5 29.5 8 73.8 8 31.5 <5 13.3 <5 § Kearny Mesa 83 54.7 43 56.9 40 52.5 31 36.9 9 136.5 27 79.2 9 44.6 5 72.2 22 93.6 25 113.7 26 51.3 7 19.4 <5 § Miramar <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Peninsula 19 30.1 <5 § 11 38.3 13 27.3 <5 § <5 § <5 § <5 § 8 100.9 <5 § 6 28.1 <5 § <5 § University 35 52.6 20 60.8 15 44.7 8 23.4 <5 § 6 89.5 8 36.9 11 401.6 7 120.0 12 49.4 14 67.7 <5 § <5 § North Coastal Region 285 55.9 123 47.4 162 64.8 127 42.5 19 132.7 117 79.7 11 35.5 11 58.7 110 109.5 60 71.1 72 52.7 31 24.4 12 19.5 Carlsbad 41 35.4 17 30.2 24 40.3 30 35.4 <5 63.5 7 40.8 <5 § <5 § 6 27.5 9 70.1 15 50.7 6 18.1 5 27.1 Oceanside 112 70.0 47 59.2 65 80.6 45 61.1 8 119.7 48 79.0 7 56.4 <5 § 47 144.1 26 105.0 20 44.8 16 40.7 <5 § Pendleton <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § San Dieguito 36 37.9 19 40.7 17 35.2 24 32.4 <5 § 8 61.6 <5 § <5 § 9 53.9 9 89.8 11 45.0 5 16.8 <5 § Vista 96 94.7 40 78.3 56 111.5 28 64.2 10 380.2 54 113.1 <5 § <5 § 48 224.2 16 97.0 26 89.9 <5 § <5 § North Inland Region 263 45.8 110 38.9 153 52.5 99 31.5 13 127.6 97 57.6 23 38.0 27 125.2 76 64.0 58 72.7 73 49.7 43 27.8 13 17.4 Anza‐Borrego Springs <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Escondido 105 63.9 38 46.6 67 81.0 31 44.0 6 182.2 57 75.3 <5 § 7 162.6 28 77.5 28 108.1 25 55.2 21 53.7 <5 § Fallbrook 11 23.0 6 25.2 5 20.8 <5 § <5 § 7 39.3 <5 § <5 § <5 § 5 69.0 <5 § <5 § <5 § North San Diego 55 51.1 24 46.1 31 55.8 24 38.2 <5 § <5 § 13 49.5 10 195.9 13 58.1 9 75.0 17 55.9 11 37.3 5 37.6 Palomar‐Julian <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Pauma <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Poway 19 21.9 11 25.9 8 18.0 6 10.4 <5 § <5 § <5 § <5 § <5 § <5 § 8 39.8 <5 § <5 § Ramona 7 19.8 <5 § <5 § <5 16.0 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § San Marcos 53 58.8 21 47.6 32 69.5 23 51.2 <5 § 23 69.2 <5 § <5 § 23 115.6 6 46.9 16 64.2 6 29.0 <5 § Valley Center 6 25.6 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § South Region 394 83.9 182 77.9 212 89.9 81 84.3 18 95.7 243 86.4 18 30.0 13 96.8 132 131.1 107 131.8 99 76.0 39 36.1 17 34.4 Chula Vista 177 152.7 85 152.3 92 153.1 40 191.1 6 156.7 115 139.4 5 82.5 5 195.0 65 266.4 49 257.8 44 142.4 14 52.0 5 34.1 Coronado <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § National City 43 73.5 15 50.0 28 98.3 8 121.4 <5 § 28 74.5 <5 § <5 § 15 123.1 8 65.4 12 75.9 6 49.2 <5 32.9 South Bay 115 85.1 54 79.4 61 90.9 14 69.6 8 154.1 77 82.5 5 38.3 <5 § 37 124.8 34 143.1 24 63.8 12 38.8 8 60.6 Sweetwater 56 41.0 27 40.6 29 41.4 16 50.9 <5 § 23 35.6 6 20.4 <5 § 15 47.8 15 73.2 17 42.6 7 21.3 <5 § Unknown 10 ‐‐‐ <5 ‐‐‐ 6 ‐‐‐ 5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ *Rates per 100,000 population. County age‐adjusted rates per 100,000 2000 US standard population. **Harbison Crest/El Cajon is an aggregation of the Harbison Crest and El Cajon SRAs. Due to geographic limitations, the Harbison Crest SRA is not shown alone. See the Data Guide for more information. ***Numbers may not add up to totals due to unknown or missing details. †Flu Hospitalizaon refers to ICD 9 Codes 487‐488. ‡API includes Asian, Pacific Islander, Nave Hawaiian. Other includes 2 or more races, Nave American/Alaska Nave, American Indian, or other. §Rates not calculated for fewer than 5 events. Rates not calculated in cases where zip code is unknown. Source: Emergency Department Discharge Database (CA OSHPD), County of San Diego, Health & Human Services Agency, Public Health Services, Emergency Medical Services; SANDAG, Current Population Estimates, 10/2012. Prepared by: County of San Diego, Health & Human Services Agency, Public Health Services, Community Health Statistics Unit, 2013.

County of San Diego, Health & Human Services Agency, Public Health Services, Community Health Statistics Unit Page 31 Pneumonia† Hospitalizaons Among San Diego County Residents by Location of Residence 2010 Total 2011 Total 2012 Total 2013 Total 2014 Total 2015 Total 2016 Total 2017 Total 2018 Total 2019 Total 2020 Total Geography No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* San Diego County (Actual Rate) 6,599 213.2 6,298 202.1 San Diego County (Age‐Adjusted Rate) 6,599 218.9 6,298 203.8 Central Region 1,089 224.8 1,023 210.7 Central San Diego 353 213.2 308 185.6 Mid‐City 341 209.1 383 234.7 Southeast San Diego 395 253.5 332 212.3 East Region 1,294 279.4 1,232 264.0 Alpine 28 186.2 31 204.5 El Cajon 352 282.7 297 237.1 Harbison Crest/El Cajon** 532 382.3 486 347.1 Jamul 40 211.0 35 199.1 La Mesa 212 358.8 215 358.4 Laguna‐Pine Valley <5 § <5 § Lakeside 105 187.4 97 172.1 Lemon Grove 86 288.5 63 210.4 Mountain Empire 19 250.4 23 270.4 Santee 145 283.5 126 243.7 Spring Valley 124 153.1 152 186.0 North Central Region 1,027 170.0 1,011 165.8 Coastal 144 191.0 138 182.6 Del Mar‐Mira Mesa 191 121.2 160 101.0 Elliott‐Navajo 195 218.8 186 208.0 Kearny Mesa 355 234.8 383 252.5 Miramar <5 § <5 § Peninsula 66 104.9 63 99.9 University 76 121.2 79 118.8 North Coastal Region 906 179.1 792 155.3 Carlsbad 154 134.2 157 135.5 Oceanside 377 236.0 317 198.0 Pendleton <5 § <5 § San Dieguito 106 113.3 112 118.0 Vista 269 267.8 206 203.3 North Inland Region 1,221 214.4 1,232 214.4 Anza‐Borrego Springs 11 247.7 29 621.4 Escondido 376 230.6 378 230.2 Fallbrook 141 298.1 164 342.6 North San Diego 236 221.5 209 194.2 Palomar‐Julian 12 191.5 8 124.5 Pauma 10 134.1 12 154.4 Poway 136 157.6 115 132.3 Ramona 70 200.7 86 242.7 San Marcos 192 213.4 195 216.2 Valley Center 37 158.6 36 153.5 South Region 1,062 226.7 1,008 214.7 Chula Vista 419 363.6 420 362.3 Coronado 27 109.3 27 115.7 National City 201 344.7 180 307.7 South Bay 289 214.2 260 192.4 Sweetwater 126 93.1 121 88.6 Unknown <5 ‐‐‐ <5 ‐‐‐ *Rates per 100,000 population. County age‐adjusted rates per 100,000 2000 US standard population. **Harbison Crest/El Cajon is an aggregation of the Harbison Crest and El Cajon SRAs. Due to geographic limitations, the Harbison Crest SRA is not shown alone. See the Data Guide for more information. †Pneumonia hospitalizaon refers to ICD 9 Codes 480‐486. §Rates not calculated for fewer than 5 events. Rates not calculated in cases where zip code is unknown. Source: Patient Discharge Database (CA OSHPD), County of San Diego, Health & Human Services Agency, Public Health Services, Epidemiology & Immunization Services Branch; SANDAG, Current Population Estimates, 10/2012. Prepared by: County of San Diego, Health & Human Services Agency, Public Health Services, Community Health Statistics Unit, 2013.

County of San Diego, Health & Human Services Agency, Public Health Services, Community Health Statistics Unit Page 32 Pneumonia† Hospitalizaons Among San Diego County Residents by Locaon of Residence, 2010 Detail Gender Race/Ethnicity Age Group 2010 Total Geography Male Female White Black Hispanic API‡ Other‡ Ages 0‐14 Ages 15‐24 Ages 25‐44 Ages 45‐64 Ages 65+ No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* San Diego County (Actual Rate) 6,599 213.2 3,237 208.3 3,362 218.1 3,987 265.8 347 236.7 1,497 151.0 544 159.3 165 142.5 732 122.8 119 24.0 458 51.4 1,381 181.6 3,909 1112.3 San Diego County (Age‐Adjusted Rate) 6,599 218.9 Central Region 1,089 224.8 566 228.5 523 220.9 404 281.3 184 324.6 327 160.0 143 223.9 23 145.0 144 160.3 22 26.5 91 56.4 283 265.2 549 1268.5 Central San Diego 353 213.2 190 209.9 163 217.2 186 226.0 45 391.9 87 151.0 23 270.6 11 193.8 30 155.0 6 26.1 38 54.5 106 279.3 173 1113.1 Mid‐City 341 209.1 172 211.8 169 206.5 146 314.3 55 284.7 90 131.5 41 174.1 5 95.2 43 127.2 9 27.0 27 53.6 82 250.3 180 1408.1 Southeast San Diego 395 253.5 204 268.5 191 239.2 72 483.3 84 324.6 150 191.6 79 248.2 7 142.1 71 193.7 7 26.1 26 62.9 95 263.9 196 1310.5 East Region 1,294 279.4 624 273.6 670 285.0 966 345.9 63 237.0 190 164.4 34 164.5 29 138.1 98 108.9 25 36.5 96 79.2 327 256.6 748 1336.9 Alpine 28 186.2 15 201.1 13 171.6 24 203.2 <5 § <5 § <5 § <5 § <5 § <5 § <5 § 8 164.3 16 763.7 El Cajon 352 282.7 182 298.7 170 267.3 246 334.0 17 242.9 63 190.1 12 270.1 14 223.0 23 90.2 7 35.6 22 66.6 85 268.1 215 1465.9 Harbison Crest/El Cajon** 532 382.3 275 403.0 257 362.3 387 453.7 20 280.8 90 255.3 15 319.0 18 264.4 33 118.9 13 60.4 43 120.0 142 384.5 301 1759.3 Jamul 40 211.0 22 201.9 18 223.4 27 257.5 <5 § 9 155.5 <5 § <5 § <5 § <5 § <5 § 11 183.7 26 1309.8 La Mesa 212 358.8 93 330.0 119 385.0 168 453.5 10 241.4 23 194.0 6 173.4 <5 § 21 218.1 <5 § 9 52.7 30 195.3 149 1733.6 Laguna‐Pine Valley <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Lakeside 105 187.4 43 155.2 62 219.0 88 215.4 <5 § 11 106.1 <5 § <5 § 8 69.7 <5 § 10 69.0 34 212.2 49 812.3 Lemon Grove 86 288.5 41 282.8 45 293.9 55 581.0 13 295.6 15 119.9 <5 § <5 § 6 95.7 <5 § 5 62.3 33 431.8 41 1237.9 Mountain Empire 19 250.4 11 269.3 8 228.2 13 314.1 <5 § 5 186.7 <5 § <5 § <5 § <5 § <5 § 7 307.7 9 889.3 Santee 145 283.5 68 274.6 77 291.8 128 337.0 <5 § 9 110.6 <5 § <5 § 12 122.3 <5 § 10 72.1 25 169.5 96 1679.2 Spring Valley 124 153.1 55 139.5 69 165.9 73 190.8 12 154.9 25 96.0 10 189.1 <5 § 13 77.0 <5 § 14 66.5 36 166.9 59 626.9 North Central Region 1,027 170.0 499 163.3 528 176.9 746 204.3 21 111.9 91 106.2 118 108.9 40 153.2 82 86.7 17 16.6 61 31.8 172 120.3 695 966.9 Coastal 144 191.0 71 182.8 73 199.8 125 205.5 <5 § 8 99.4 <5 § 6 242.7 7 91.0 <5 § 12 43.3 12 72.9 111 895.4 Del Mar‐Mira Mesa 191 121.2 91 115.1 100 127.4 94 123.8 <5 § 16 101.3 61 111.1 15 208.8 24 74.2 5 25.9 12 25.2 34 75.9 116 852.1 Elliott‐Navajo 195 218.8 97 224.4 98 213.6 167 277.9 5 124.3 7 53.9 11 143.0 <5 § 7 41.0 <5 § 14 55.6 28 124.5 144 1083.9 Kearny Mesa 355 234.8 171 226.9 184 242.5 240 284.6 10 148.9 53 158.3 37 186.6 10 146.2 41 176.4 7 29.7 18 36.2 74 207.7 215 1127.7 Miramar <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Peninsula 66 104.9 35 102.4 31 107.8 58 120.9 <5 § <5 § <5 § <5 § <5 § <5 § <5 § 15 104.8 47 650.2 University 76 121.2 34 109.4 42 132.7 62 188.3 <5 § <5 § 5 24.9 <5 § <5 § <5 § <5 § 9 97.9 62 986.5 North Coastal Region 906 179.1 421 163.3 485 195.6 649 217.0 23 158.4 155 107.7 42 139.9 31 170.5 122 120.7 8 9.6 46 33.7 154 123.2 576 966.4 Carlsbad 154 134.2 61 109.4 93 157.8 134 158.8 <5 § 6 36.0 <5 49.3 5 125.8 9 41.0 <5 § <5 § 23 70.5 117 656.8 Oceanside 377 236.0 189 238.5 188 233.6 246 331.3 15 216.2 84 140.2 18 146.9 14 219.2 61 189.8 <5 § 24 53.7 61 155.9 227 1231.2 Pendleton <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § San Dieguito 106 113.3 43 93.5 63 132.6 98 133.6 <5 § 5 39.9 <5 § <5 § 5 29.6 <5 § 8 32.4 17 57.9 75 567.0 Vista 269 267.8 128 252.5 141 283.5 171 389.9 6 221.6 60 128.6 17 410.0 12 392.8 47 220.6 <5 § 10 34.8 53 224.9 157 1555.4 North Inland Region 1,221 214.4 599 213.5 622 215.2 838 266.2 21 202.9 234 142.7 85 143.7 32 151.0 183 153.1 31 40.2 74 49.9 212 139.2 721 999.3 Anza‐Borrego Springs 11 247.7 9 400.7 <5 § 10 356.8 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § 6 432.0 Escondido 376 230.6 175 216.4 201 244.7 229 322.1 12 356.6 112 151.1 13 127.3 7 165.3 79 218.3 13 50.7 27 59.6 65 169.3 192 1095.5 Fallbrook 141 298.1 68 288.8 73 307.3 108 395.5 <5 § 28 162.5 <5 § <5 § 15 169.8 <5 § <5 § 26 197.3 96 1173.0 North San Diego 236 221.5 116 225.3 120 218.0 168 268.1 <5 § 13 122.0 38 148.2 10 198.7 20 89.2 5 43.7 14 45.4 30 103.6 167 1296.6 Palomar‐Julian 12 191.5 6 194.7 6 188.4 7 151.5 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § 10 725.2 Pauma 10 134.1 6 156.0 <5 § 6 193.5 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § 6 865.8 Poway 136 157.6 68 161.3 68 154.1 103 177.7 <5 § 11 106.5 14 106.6 5 148.1 21 118.6 <5 § 11 52.9 26 96.8 75 693.2 Ramona 70 200.7 37 211.0 33 190.3 55 221.5 <5 § 13 158.3 <5 § <5 § 12 171.3 <5 § <5 § 18 163.4 33 882.8 San Marcos 192 213.4 95 215.9 97 211.0 126 277.3 <5 § 39 119.6 15 205.9 8 278.7 27 134.8 <5 § 11 43.6 30 147.2 121 1028.7 Valley Center 37 158.6 19 162.3 18 154.9 26 173.8 <5 § 11 189.7 <5 § <5 § 5 121.2 <5 § 5 107.7 11 143.0 15 396.8 South Region 1,062 226.7 528 225.6 534 227.8 384 391.3 35 177.6 500 180.0 122 205.0 10 74.5 103 101.8 16 19.8 90 68.2 233 219.8 620 1276.7 Chula Vista 419 363.6 218 392.5 201 336.7 175 819.2 13 329.0 197 242.2 28 464.8 <5 § 42 171.5 <5 § 37 119.4 97 366.6 239 1646.7 Coronado 27 109.3 12 82.5 15 147.7 22 122.8 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § 23 660.7 National City 201 344.7 90 300.0 111 392.0 46 677.2 8 312.6 94 253.1 51 483.9 <5 § 18 147.7 <5 § 18 114.5 42 350.3 122 1979.2 South Bay 289 214.2 143 210.1 146 218.4 90 438.5 8 147.5 161 174.2 25 191.4 <5 § 30 101.4 7 29.3 18 47.4 71 232.0 163 1263.2 Sweetwater 126 93.1 65 98.6 61 87.9 51 161.7 5 80.1 45 70.9 17 58.8 <5 § 12 37.7 <5 § 17 41.8 21 65.7 73 634.8 Unknown <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ *Rates per 100,000 population. County age‐adjusted rates per 100,000 2000 US standard population. **Harbison Crest/El Cajon is an aggregation of the Harbison Crest and El Cajon SRAs. Due to geographic limitations, the Harbison Crest SRA is not shown alone. See the Data Guide for more information. ***Numbers may not add up to totals due to unknown or missing details. †Pneumonia hospitalizaon refers to ICD 9 Codes 480‐486. ‡API includes Asian, Pacific Islander, Nave Hawaiian. Other includes 2 or more races, Nave American/Alaska Nave, American Indian, or other. §Rates not calculated for fewer than 5 events. Rates not calculated in cases where zip code is unknown. Source: Patient Discharge Database (CA OSHPD), County of San Diego, Health & Human Services Agency, Public Health Services, Epidemiology & Immunization Services Branch; SANDAG, Current Population Estimates, 10/2012. Prepared by: County of San Diego, Health & Human Services Agency, Public Health Services, Community Health Statistics Unit, 2013.

County of San Diego, Health & Human Services Agency, Public Health Services, Community Health Statistics Unit Page 33 Pneumonia† Hospitalizaons Among San Diego County Residents by Locaon of Residence, 2011 Detail Gender Race/Ethnicity Age Group 2011 Total Geography Male Female White Black Hispanic API‡ Other‡ Ages 0‐14 Ages 15‐24 Ages 25‐44 Ages 45‐64 Ages 65+ No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* San Diego County (Actual Rate) 6,298 202.1 3,081 197.1 3,217 207.1 3,771 252.1 323 226.0 1,334 132.0 504 144.5 276 234.3 680 114.6 122 24.5 393 44.1 1,263 163.8 3,840 1061.0 San Diego County (Age‐Adjusted Rate) 6,298 203.8 Central Region 1,023 210.7 508 204.8 515 216.9 393 276.1 174 317.2 261 125.6 142 220.0 39 243.3 135 149.8 21 26.2 90 55.4 251 231.3 526 1193.8 Central San Diego 308 185.6 173 191.0 135 179.1 163 199.1 45 404.9 65 110.8 20 232.0 10 174.4 27 134.3 <5 § 34 48.3 96 248.3 147 915.9 Mid‐City 383 234.7 195 239.9 188 229.5 168 367.2 50 266.0 94 135.1 49 206.0 18 339.4 59 174.6 10 30.9 25 49.3 82 244.9 207 1603.8 Southeast San Diego 332 212.3 140 183.6 192 239.5 62 421.3 79 316.7 102 128.1 73 227.1 11 220.4 49 135.3 7 25.7 31 74.7 73 200.7 172 1138.6 East Region 1,232 264.0 599 260.7 633 267.2 827 296.4 56 215.0 188 158.1 43 202.7 86 401.3 119 133.5 34 49.0 94 77.7 290 225.3 695 1188.2 Alpine 31 204.5 13 172.6 18 236.1 28 238.0 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 81.4 24 1078.2 El Cajon 297 237.1 149 242.9 148 231.6 189 257.1 13 189.7 40 117.7 8 176.0 36 565.3 22 87.0 6 30.5 28 84.6 79 246.6 162 1071.1 Harbison Crest/El Cajon** 486 347.1 241 350.7 245 343.5 311 365.3 18 257.7 77 212.7 13 269.8 52 753.6 38 138.0 13 60.1 41 114.2 130 348.8 264 1490.6 Jamul 35 199.1 15 148.5 20 267.6 22 230.2 <5 § 9 164.0 <5 § <5 400.8 <5 § <5 § <5 § 7 125.5 21 1072.0 La Mesa 215 358.4 91 317.9 124 395.4 154 412.9 7 170.4 26 210.9 10 278.9 10 374.7 19 193.8 9 110.2 11 63.0 45 286.8 131 1479.4 Laguna‐Pine Valley <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Lakeside 97 172.1 51 183.0 46 161.5 87 212.9 <5 § 7 65.9 <5 § <5 § 12 105.9 <5 § 10 69.5 21 129.5 53 832.4 Lemon Grove 63 210.4 27 185.4 36 234.0 31 331.4 13 304.2 11 85.9 <5 § <5 § 7 113.3 <5 § 6 75.2 14 181.7 36 1053.2 Mountain Empire 23 270.4 14 305.9 9 229.0 16 354.7 <5 § <5 § <5 § <5 § <5 § <5 § <5 § 9 362.0 9 733.5 Santee 126 243.7 64 255.8 62 232.5 100 262.0 <5 § 13 154.9 <5 § 5 234.6 12 123.8 <5 § 13 94.9 19 126.6 79 1306.2 Spring Valley 152 186.0 81 203.7 71 169.2 74 193.4 17 224.5 38 142.0 13 240.7 9 240.6 22 131.5 <5 § 12 57.1 40 183.8 75 761.4 North Central Region 1,011 165.8 494 160.2 517 171.6 723 198.0 25 133.7 97 110.6 93 83.4 46 172.9 91 96.4 15 14.5 57 29.4 171 118.4 677 918.9 Coastal 138 182.6 57 146.4 81 221.2 124 204.5 <5 § <5 § <5 § 5 198.5 7 91.9 <5 § 9 32.3 16 97.5 105 832.4 Del Mar‐Mira Mesa 160 101.0 73 91.9 87 110.0 83 109.5 <5 § 16 99.3 48 86.1 7 97.0 18 56.7 <5 § 11 23.6 37 80.9 93 646.9 Elliott‐Navajo 186 208.0 97 223.6 89 193.3 146 243.8 7 175.9 10 75.8 11 138.7 6 135.6 15 88.5 <5 § 5 19.7 26 115.1 136 995.2 Kearny Mesa 383 252.5 192 254.1 191 250.9 245 291.9 15 227.5 60 176.1 32 158.7 19 274.5 39 166.0 7 31.8 28 55.2 70 193.7 239 1233.0 Miramar <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Peninsula 63 99.9 36 104.7 27 94.1 53 111.1 <5 § <5 § <5 § <5 § <5 § <5 § <5 § 10 70.2 44 607.7 University 79 118.8 39 118.5 40 119.2 70 204.6 <5 § <5 § <5 § 5 182.5 8 137.1 <5 § <5 § 10 107.6 60 938.7 North Coastal Region 792 155.3 385 148.3 407 162.7 576 192.6 19 132.7 122 83.1 46 148.6 22 117.3 83 82.6 13 15.4 30 22.0 139 109.6 527 855.0 Carlsbad 157 135.5 72 127.8 85 142.8 140 165.3 <5 § <5 § 5 59.8 5 122.9 7 32.1 <5 § 9 30.4 19 57.3 120 649.6 Oceanside 317 198.0 168 211.4 149 184.8 208 282.2 14 209.5 58 95.4 28 225.8 7 107.2 39 119.6 8 32.3 7 15.7 65 165.3 198 1057.4 Pendleton <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § San Dieguito 112 118.0 58 124.3 54 112.0 96 129.7 <5 § 7 53.9 <5 § <5 § 10 59.9 <5 § <5 § 14 47.1 81 580.2 Vista 206 203.3 87 170.2 119 237.0 132 302.5 <5 § 53 111.0 9 212.9 7 226.9 27 126.1 <5 § 10 34.6 41 170.2 128 1229.8 North Inland Region 1,232 214.4 610 215.5 622 213.4 918 292.5 16 157.1 173 102.7 69 114.0 51 236.6 137 115.4 20 25.1 61 41.5 225 145.6 789 1057.1 Anza‐Borrego Springs 29 621.4 10 425.5 19 820.0 26 921.3 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § 23 1556.2 Escondido 378 230.2 196 240.5 182 220.0 272 385.6 8 242.9 82 108.3 7 67.5 8 185.9 54 149.5 8 30.9 23 50.8 77 196.8 216 1211.6 Fallbrook 164 342.6 86 360.6 78 324.7 135 495.7 <5 § 22 123.6 <5 § 5 440.1 11 124.3 <5 § 8 79.1 22 167.4 121 1419.9 North San Diego 209 194.2 92 176.8 117 210.5 144 229.3 <5 § 13 118.9 32 121.8 17 333.0 22 98.4 <5 § 5 16.4 31 105.0 149 1119.5 Palomar‐Julian 8 124.5 <5 § 5 § 6 129.6 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § 7 459.0 Pauma 12 154.4 6 149.9 6 159.2 5 160.1 <5 § 5 173.0 <5 § <5 § <5 § <5 § <5 § <5 § 8 1001.3 Poway 115 132.3 58 136.6 57 128.2 86 148.4 <5 § 5 47.1 13 96.7 9 263.9 18 104.4 <5 § 7 34.8 23 84.2 64 568.4 Ramona 86 242.7 47 264.1 39 221.2 73 291.7 <5 § 10 117.3 <5 § <5 § 9 131.7 <5 § 6 75.9 21 187.6 50 1246.0 San Marcos 195 216.2 95 215.3 100 217.1 145 322.7 5 292.4 23 69.2 15 202.5 6 208.2 15 75.4 <5 § 9 36.1 37 178.7 132 1108.7 Valley Center 36 153.5 17 144.5 19 162.5 26 175.3 <5 § 8 133.4 <5 § <5 § 5 123.8 <5 § <5 § 8 104.5 19 474.9 South Region 1,008 214.7 485 207.5 523 221.9 334 347.4 33 175.5 493 175.4 111 185.1 32 238.2 115 114.2 19 23.4 61 46.8 187 173.2 626 1267.2 Chula Vista 420 362.3 193 345.7 227 377.8 142 678.4 11 287.3 221 267.8 27 445.3 17 663.0 44 180.3 10 52.6 28 90.6 74 274.7 264 1799.8 Coronado 27 115.7 19 142.1 8 80.3 24 140.6 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § 26 734.3 National City 180 307.7 82 273.2 98 344.1 50 758.6 9 363.3 75 199.7 42 397.3 <5 § 14 114.9 <5 § 13 82.3 37 303.5 112 1842.7 South Bay 260 192.4 137 201.3 123 183.4 66 328.1 <5 § 160 171.5 23 176.1 5 143.8 45 151.8 <5 § 12 31.9 56 181.1 145 1098.5 Sweetwater 121 88.6 54 81.2 67 95.6 52 165.5 7 115.8 36 55.8 19 64.7 6 114.7 12 38.3 <5 § 8 20.0 19 57.8 79 663.1 Unknown <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ *Rates per 100,000 population. County age‐adjusted rates per 100,000 2000 US standard population. **Harbison Crest/El Cajon is an aggregation of the Harbison Crest and El Cajon SRAs. Due to geographic limitations, the Harbison Crest SRA is not shown alone. See the Data Guide for more information. ***Numbers may not add up to totals due to unknown or missing details. †Pneumonia hospitalizaon refers to ICD 9 Codes 480‐486. ‡API includes Asian, Pacific Islander, Nave Hawaiian. Other includes 2 or more races, Nave American/Alaska Nave, American Indian, or other. §Rates not calculated for fewer than 5 events. Rates not calculated in cases where zip code is unknown. Source: Patient Discharge Database (CA OSHPD), County of San Diego, Health & Human Services Agency, Public Health Services, Epidemiology & Immunization Services Branch; SANDAG, Current Population Estimates, 10/2012. Prepared by: County of San Diego, Health & Human Services Agency, Public Health Services, Community Health Statistics Unit, 2013.

County of San Diego, Health & Human Services Agency, Public Health Services, Community Health Statistics Unit Page 34 Pneumonia† Emergency Department Discharges Among San Diego County Residents by Locaon of Residence 2010 Total 2011 Total 2012 Total 2013 Total 2014 Total 2015 Total 2016 Total 2017 Total 2018 Total 2019 Total 2020 Total Geography No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* San Diego County (Actual Rate) 6,938 224.1 6,543 210.0 San Diego County (Age‐Adjusted Rate) 6,938 231.9 6,543 220.1 Central Region 1,167 240.9 1,132 233.1 Central San Diego 340 205.3 316 190.4 Mid‐City 346 212.2 372 227.9 Southeast San Diego 481 308.7 444 283.9 East Region 974 210.3 1,000 214.3 Alpine 35 232.8 24 158.3 El Cajon 205 164.6 229 182.8 Harbison Crest/El Cajon** 362 260.1 375 267.8 Jamul 51 269.0 51 290.1 La Mesa 125 211.5 140 233.4 Laguna‐Pine Valley <5 § <5 § Lakeside 86 153.5 87 154.4 Lemon Grove 65 218.0 61 203.7 Mountain Empire 16 210.8 16 188.1 Santee 101 197.5 95 183.8 Spring Valley 131 161.7 148 181.1 North Central Region 840 139.1 772 126.6 Coastal 91 120.7 88 116.5 Del Mar‐Mira Mesa 168 106.6 144 90.9 Elliott‐Navajo 144 161.6 124 138.7 Kearny Mesa 323 213.6 294 193.8 Miramar <5 § <5 § Peninsula 59 93.7 61 96.7 University 55 87.7 61 91.8 North Coastal Region 1,174 232.1 1,096 215.0 Carlsbad 116 101.1 115 99.3 Oceanside 538 336.8 527 329.2 Pendleton <5 § <5 § San Dieguito 113 120.8 124 130.7 Vista 406 404.2 330 325.7 North Inland Region 1,325 232.7 1,144 199.1 Anza‐Borrego Springs 15 337.8 10 214.3 Escondido 518 317.8 443 269.7 Fallbrook 106 224.1 102 213.1 North San Diego 205 192.4 191 177.5 Palomar‐Julian 5 79.8 6 93.3 Pauma 14 187.7 16 205.8 Poway 137 158.7 104 119.7 Ramona 70 200.7 56 158.0 San Marcos 219 243.4 184 204.0 Valley Center 36 154.3 32 136.4 South Region 1,423 303.7 1,380 294.0 Chula Vista 592 513.7 565 487.4 Coronado 40 161.9 28 120.0 National City 173 296.6 189 323.1 South Bay 463 343.2 429 317.5 Sweetwater 155 114.5 169 123.7 Unknown 35 ‐‐‐ 19 ‐‐‐ *Rates per 100,000 population. County age‐adjusted rates per 100,000 2000 US standard population. **Harbison Crest/El Cajon is an aggregation of the Harbison Crest and El Cajon SRAs. Due to geographic limitations, the Harbison Crest SRA is not shown alone. See the Data Guide for more information. †Pneumonia emergency department discharge refers to ICD 9 Codes 480‐486. §Rates not calculated for fewer than 5 events. Rates not calculated in cases where zip code is unknown. Source: Emergency Department Discharge Database (CA OSHPD), County of San Diego, Health & Human Services Agency, Public Health Services, Emergency Medical Services; SANDAG, Current Population Estimates, 10/2012. Prepared by: County of San Diego, Health & Human Services Agency, Public Health Services, Community Health Statistics Unit, 2013.

County of San Diego, Health & Human Services Agency, Public Health Services, Community Health Statistics Unit Page 35 Pneumonia† Emergency Department Discharges Among San Diego County Residents by Locaon of Residence, 2010 Detail Gender Race/Ethnicity Age Group 2010 Total Geography Male Female White Black Hispanic API‡ Other‡ Ages 0‐14 Ages 15‐24 Ages 25‐44 Ages 45‐64 Ages 65+ No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* San Diego County (Actual Rate) 6,938 224.1 3,558 229.0 3,380 219.2 2,680 178.7 502 342.4 2,886 291.1 443 129.7 351 303.2 3733 626.2 424 85.5 859 96.4 946 124.4 976 277.7 San Diego County (Age‐Adjusted Rate) 6,938 231.9 Central Region 1,167 240.9 587 237.0 580 245.0 251 174.7 203 358.2 559 273.5 95 148.7 50 315.3 631 702.5 66 79.4 170 105.3 195 182.7 105 242.6 Central San Diego 340 205.3 188 207.7 152 202.5 129 156.8 41 357.1 149 258.6 10 117.7 11 193.8 144 743.8 16 69.6 63 90.3 77 202.9 40 257.4 Mid‐City 346 212.2 166 204.4 180 220.0 79 170.1 72 372.7 139 203.0 31 131.6 23 437.8 189 559.0 20 60.1 54 107.1 49 149.5 34 266.0 Southeast San Diego 481 308.7 233 306.7 248 310.6 43 288.6 90 347.8 271 346.2 54 169.7 16 324.7 298 812.9 30 111.7 53 128.3 69 191.7 31 207.3 East Region 974 210.3 452 198.2 522 222.1 545 195.2 96 361.2 257 222.3 30 145.1 38 181.0 459 510.1 65 94.9 147 121.3 164 128.7 139 248.4 Alpine 35 232.8 20 268.1 15 198.0 22 186.3 <5 § 11 496.6 <5 § <5 § 15 531.2 <5 § <5 § 9 184.8 7 334.1 El Cajon 205 164.6 101 165.8 104 163.5 116 157.5 17 242.9 57 172.0 <5 § 13 207.1 99 388.4 14 71.2 31 93.9 26 82.0 35 238.6 Harbison Crest/El Cajon** 362 260.1 180 263.8 182 256.6 213 249.7 33 463.3 88 249.7 <5 § 20 293.8 166 598.0 23 106.9 63 175.8 52 140.8 58 339.0 Jamul 51 269.0 26 238.6 25 310.2 21 200.3 <5 § 22 380.2 <5 § <5 § 28 929.0 <5 § 7 146.0 12 200.4 <5 151.1 La Mesa 125 211.5 50 177.4 75 242.6 75 202.5 16 386.3 28 236.2 <5 § <5 § 59 612.8 7 83.0 14 82.0 24 156.3 21 244.3 Laguna‐Pine Valley <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Lakeside 86 153.5 41 148.0 45 158.9 69 168.9 <5 § 13 125.4 <5 § <5 § 38 331.0 12 150.0 17 117.4 11 68.6 8 132.6 Lemon Grove 65 218.0 24 165.5 41 267.8 17 179.6 13 295.6 26 207.9 5 227.7 <5 § 32 510.4 6 131.5 6 74.8 15 196.3 6 181.2 Mountain Empire 16 210.8 7 171.4 9 256.8 10 241.6 <5 § 5 186.7 <5 § <5 § 8 524.2 <5 § <5 § <5 § <5 § Santee 101 197.5 41 165.5 60 227.4 78 205.4 <5 § 11 135.2 7 336.2 <5 § 50 509.4 8 114.3 14 100.9 17 115.2 12 209.9 Spring Valley 131 161.7 62 157.3 69 165.9 38 99.3 25 322.7 53 203.4 10 189.1 <5 § 63 373.3 6 49.6 20 95.0 22 102.0 20 212.5 North Central Region 840 139.1 414 135.5 426 142.8 469 128.5 41 218.5 158 184.4 91 84.0 72 275.7 360 380.6 64 62.4 134 69.8 109 76.3 173 240.7 Coastal 91 120.7 44 113.3 47 128.7 66 108.5 <5 § 13 161.6 7 212.2 5 202.3 30 390.0 6 53.8 21 75.8 7 42.6 27 217.8 Del Mar‐Mira Mesa 168 106.6 92 116.4 76 96.8 72 94.8 9 243.1 26 164.6 36 65.5 21 292.4 82 253.7 19 98.5 20 42.1 21 46.9 26 191.0 Elliott‐Navajo 144 161.6 69 159.6 75 163.5 88 146.5 13 323.3 23 177.3 10 130.0 8 184.7 66 386.8 11 99.2 21 83.4 16 71.1 30 225.8 Kearny Mesa 323 213.6 149 197.8 174 229.4 165 195.6 15 223.3 86 256.8 26 131.1 29 424.1 146 628.3 22 93.4 55 110.6 42 117.9 58 304.2 Miramar <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Peninsula 59 93.7 31 90.7 28 97.4 48 100.1 <5 § 5 61.0 <5 § <5 § 17 216.6 <5 § 9 42.8 17 118.7 14 193.7 University 55 87.7 29 93.3 26 82.1 30 91.1 <5 § 5 81.5 10 49.7 7 276.9 19 341.2 <5 § 8 40.5 6 65.3 18 286.4 North Coastal Region 1,174 232.1 638 247.4 536 216.1 509 170.2 52 358.1 486 337.6 56 186.5 63 346.6 683 676.0 59 70.5 105 76.9 134 107.2 193 323.8 Carlsbad 116 101.1 69 123.7 47 79.7 77 91.3 <5 252.5 18 108.0 7 86.3 8 201.3 50 227.7 6 49.1 16 53.2 15 46.0 29 162.8 Oceanside 538 336.8 296 373.5 242 300.8 217 292.3 26 374.8 224 374.0 38 310.1 30 469.6 340 1058.1 25 98.6 44 98.5 56 143.1 73 395.9 Pendleton <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § San Dieguito 113 120.8 57 123.9 56 117.9 82 111.8 <5 § 23 183.4 <5 § <5 § 33 195.1 7 74.6 14 56.8 24 81.8 35 264.6 Vista 406 404.2 215 424.1 191 384.1 132 301.0 20 738.8 221 473.5 9 217.1 22 720.1 260 1220.1 20 119.3 31 108.0 39 165.5 56 554.8 North Inland Region 1,325 232.7 702 250.3 623 215.6 571 181.4 44 425.1 544 331.7 74 125.1 86 405.8 745 623.3 76 98.6 141 95.0 160 105.0 203 281.4 Anza‐Borrego Springs 15 337.8 8 356.2 7 319.1 6 214.1 <5 § 6 392.7 <5 § <5 § 8 1315.8 <5 § <5 § <5 § <5 § Escondido 518 317.8 283 349.9 235 286.1 160 225.0 30 891.5 306 412.9 10 97.9 11 259.8 326 900.7 30 117.0 55 121.5 52 135.4 55 313.8 Fallbrook 106 224.1 64 271.8 42 176.8 53 194.1 <5 § 47 272.7 <5 § <5 § 59 667.9 9 126.3 7 70.1 16 121.4 15 183.3 North San Diego 205 192.4 98 190.3 107 194.4 102 162.8 <5 § 22 206.5 36 140.4 38 755.0 83 370.0 10 87.4 23 74.6 30 103.6 59 458.1 Palomar‐Julian 5 79.8 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Pauma 14 187.7 11 286.0 <5 § <5 § <5 § 8 296.6 <5 § <5 § 11 635.1 <5 § <5 § <5 § <5 § Poway 137 158.7 69 163.6 68 154.1 76 131.1 <5 § 28 271.2 15 114.2 14 414.8 62 350.0 9 89.0 21 100.9 25 93.1 20 184.8 Ramona 70 200.7 37 211.0 33 190.3 44 177.2 <5 § 23 280.1 <5 § <5 § 45 642.3 5 96.8 9 113.3 6 54.5 5 133.8 San Marcos 219 243.4 113 256.8 106 230.6 105 231.1 <5 § 92 282.1 11 151.0 8 278.7 127 634.1 8 63.8 22 87.1 19 93.2 43 365.6 Valley Center 36 154.3 16 136.7 20 172.1 19 127.0 <5 § 12 206.9 <5 § <5 § 22 533.3 <5 § <5 § 9 117.0 <5 § South Region 1,423 303.7 742 317.0 681 290.5 320 326.1 65 329.9 875 315.1 95 159.7 34 253.4 843 832.9 90 111.4 154 116.7 177 167.0 159 327.4 Chula Vista 592 513.7 306 550.9 286 479.1 147 688.1 24 607.4 365 448.8 26 431.6 13 507.4 334 1363.8 36 191.6 70 226.0 78 294.8 74 509.9 Coronado 40 161.9 13 89.4 27 265.9 33 184.2 <5 § 6 178.9 <5 § <5 § 15 479.2 <5 § 6 91.0 7 139.4 8 229.8 National City 173 296.6 86 286.6 87 307.3 26 382.7 6 234.5 118 317.8 15 142.3 8 619.7 100 820.5 13 106.1 19 120.8 23 191.8 18 292.0 South Bay 463 343.2 252 370.3 211 315.6 80 389.8 21 387.2 319 345.1 25 191.4 6 172.9 293 990.6 22 92.1 45 118.6 55 179.7 48 372.0 Sweetwater 155 114.5 85 128.9 70 100.9 34 107.8 13 208.2 67 105.6 29 100.3 7 135.4 101 317.3 15 77.4 14 34.4 14 43.8 11 95.7 Unknown 35 ‐‐‐ 23 ‐‐‐ 12 ‐‐‐ 15 ‐‐‐ <5 ‐‐‐ 7 ‐‐‐ <5 ‐‐‐ 8 ‐‐‐ 12 ‐‐‐ <5 ‐‐‐ 8 ‐‐‐ 7 ‐‐‐ <5 ‐‐‐ *Rates per 100,000 population. County age‐adjusted rates per 100,000 2000 US standard population. **Harbison Crest/El Cajon is an aggregation of the Harbison Crest and El Cajon SRAs. Due to geographic limitations, the Harbison Crest SRA is not shown alone. See the Data Guide for more information. ***Numbers may not add up to totals due to unknown or missing details. †Pneumonia emergency department discharge refers to ICD 9 Codes 480‐486. ‡API includes Asian, Pacific Islander, Nave Hawaiian. Other includes 2 or more races, Nave American/Alaska Nave, American Indian, or other. §Rates not calculated for fewer than 5 events. Rates not calculated in cases where zip code is unknown. Source: Emergency Department Discharge Database (CA OSHPD), County of San Diego, Health & Human Services Agency, Public Health Services, Emergency Medical Services; SANDAG, Current Population Estimates, 10/2012. Prepared by: County of San Diego, Health & Human Services Agency, Public Health Services, Community Health Statistics Unit, 2013.

County of San Diego, Health & Human Services Agency, Public Health Services, Community Health Statistics Unit Page 36 Pneumonia† Emergency Department Discharges Among San Diego County Residents by Locaon of Residence, 2011 Detail Gender Race/Ethnicity Age Group 2011 Total Geography Male Female White Black Hispanic API‡ Other‡ Ages 0‐14 Ages 15‐24 Ages 25‐44 Ages 45‐64 Ages 65+ No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* San Diego County (Actual Rate) 6,543 210.0 3,342 213.8 3,201 206.1 2,565 171.5 480 335.9 2,532 250.5 469 134.5 428 363.3 3223 543.1 416 83.4 882 99.0 965 125.2 1,057 292.1 San Diego County (Age‐Adjusted Rate) 6,543 220.1 Central Region 1,132 233.1 572 230.6 560 235.8 250 175.7 203 370.0 483 232.4 121 187.5 65 405.5 543 602.7 83 103.4 182 111.9 206 189.8 118 267.8 Central San Diego 316 190.4 172 189.9 144 191.0 119 145.4 35 314.9 118 201.2 23 266.8 18 313.9 105 522.5 25 120.6 65 92.3 85 219.8 36 224.3 Mid‐City 372 227.9 181 222.7 191 233.1 90 196.7 72 383.0 139 199.8 37 155.6 30 565.7 191 565.2 32 98.9 59 116.4 59 176.2 31 240.2 Southeast San Diego 444 283.9 219 287.2 225 280.7 41 278.6 96 384.8 226 283.9 61 189.8 17 340.5 247 682.2 26 95.5 58 139.8 62 170.4 51 337.6 East Region 1,000 214.3 475 206.7 525 221.7 491 176.0 92 353.2 260 218.6 33 155.6 99 461.9 439 492.3 64 92.2 164 135.6 179 139.1 154 263.3 Alpine 24 158.3 9 119.5 15 196.7 18 153.0 <5 § <5 § <5 § <5 § 11 404.0 <5 § <5 § <5 § 5 224.6 El Cajon 229 182.8 116 189.1 113 176.8 102 138.7 26 379.4 50 147.2 <5 § 42 659.5 103 407.1 17 86.3 38 114.8 36 112.4 35 231.4 Harbison Crest/El Cajon** 375 267.8 186 270.7 189 265.0 175 205.6 32 458.1 96 265.2 <5 § 57 826.1 173 628.4 24 110.9 58 161.6 64 171.7 56 316.2 Jamul 51 290.1 19 188.0 32 428.2 18 188.3 7 841.3 17 309.8 <5 § <5 § 24 891.2 <5 § 11 254.0 9 161.3 5 255.2 La Mesa 140 233.4 66 230.6 74 236.0 84 225.2 12 292.0 23 186.5 5 139.5 12 449.6 54 550.7 8 97.9 25 143.1 25 159.3 28 316.2 Laguna‐Pine Valley <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Lakeside 87 154.4 43 154.3 44 154.5 57 139.5 <5 § 21 197.7 <5 § <5 § 36 317.7 <5 § 17 118.1 21 129.5 10 157.1 Lemon Grove 61 203.7 27 185.4 34 221.0 22 235.2 8 187.2 22 171.8 <5 § 5 397.5 28 453.1 <5 § 10 125.4 7 90.9 12 351.1 Mountain Empire 16 188.1 8 174.8 8 203.6 9 199.5 <5 § 7 226.5 <5 § <5 § 9 543.8 <5 § <5 § <5 § <5 § Santee 95 183.8 46 183.8 49 183.7 62 162.4 <5 § 16 190.7 <5 § 9 422.3 31 319.8 7 96.6 19 138.7 23 153.3 15 248.0 Spring Valley 148 181.1 69 173.5 79 188.2 44 115.0 28 369.7 54 201.8 12 222.2 9 240.6 73 436.4 13 105.0 20 95.2 22 101.1 20 203.0 North Central Region 772 126.6 388 125.8 384 127.5 439 120.2 35 187.2 124 141.3 84 75.3 83 311.9 298 315.7 51 49.3 126 65.1 137 94.8 160 217.2 Coastal 88 116.5 45 115.6 43 117.4 63 103.9 <5 § 7 84.9 <5 § 14 555.8 24 315.1 6 54.4 16 57.4 18 109.7 24 190.3 Del Mar‐Mira Mesa 144 90.9 62 78.1 82 103.7 59 77.9 5 139.0 17 105.5 40 71.7 21 291.0 59 185.7 8 40.0 24 51.5 26 56.9 27 187.8 Elliott‐Navajo 124 138.7 70 161.3 54 117.3 83 138.6 9 226.2 17 128.8 5 63.0 8 180.8 52 306.6 9 83.1 19 74.9 17 75.2 27 197.6 Kearny Mesa 294 193.8 156 206.5 138 181.3 147 175.1 19 288.2 72 211.3 25 124.0 30 433.5 131 557.4 17 77.3 49 96.7 53 146.6 44 227.0 Miramar <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Peninsula 61 96.7 <5 § 31 108.1 47 98.5 <5 § 5 59.6 <5 § 5 197.9 17 214.5 6 48.7 10 46.9 12 84.3 16 221.0 University 61 91.8 25 75.9 36 107.3 40 116.9 <5 § 6 89.5 7 32.3 5 182.5 15 257.1 5 20.6 8 38.7 11 118.3 22 344.2 North Coastal Region 1,096 215.0 589 226.8 507 202.7 508 169.9 60 419.0 424 288.9 53 171.3 47 250.7 583 580.1 53 62.8 111 81.3 134 105.7 215 348.8 Carlsbad 115 99.3 65 115.4 50 84.0 88 103.9 <5 127.1 14 81.5 <5 § 8 196.7 42 192.6 11 85.7 13 43.9 16 48.3 33 178.6 Oceanside 527 329.2 285 358.7 242 300.1 220 298.5 46 688.4 200 329.0 34 274.1 26 398.3 297 910.5 23 92.9 54 120.9 61 155.2 92 491.3 Pendleton <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § San Dieguito 124 130.7 65 139.3 59 122.3 87 117.5 <5 § 32 246.4 <5 § <5 § 46 275.3 6 59.9 18 73.6 20 67.2 34 243.5 Vista 330 325.7 174 340.4 156 310.7 113 259.0 12 456.3 178 372.7 15 354.9 10 324.1 198 924.8 13 78.8 26 89.9 37 153.6 56 538.0 North Inland Region 1,144 199.1 595 210.2 549 188.3 568 181.0 30 294.6 394 234.0 84 138.7 66 306.1 543 457.6 65 81.5 153 104.1 144 93.2 239 320.2 Anza‐Borrego Springs 10 214.3 6 255.3 <5 § 6 212.6 <5 § <5 § <5 § <5 § 7 1076.9 <5 § <5 § <5 § <5 § Escondido 443 269.7 237 290.8 206 249.0 160 226.8 15 455.5 235 310.4 23 221.6 10 232.3 259 717.1 17 65.6 55 121.5 43 109.9 69 387.1 Fallbrook 102 213.1 50 209.6 52 216.5 49 179.9 <5 § 44 247.1 <5 § <5 § 51 576.3 6 82.8 9 89.0 16 121.8 20 234.7 North San Diego 191 177.5 93 178.7 98 176.3 108 172.0 7 280.8 10 91.4 35 133.2 31 607.2 78 348.8 10 83.3 31 101.9 21 71.2 51 383.2 Palomar‐Julian 6 93.3 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Pauma 16 205.8 10 249.8 6 159.2 8 256.1 <5 § 6 207.5 <5 § <5 § 6 330.6 <5 § <5 § <5 § <5 § Poway 104 119.7 58 136.6 46 103.5 67 115.6 <5 § 16 150.6 13 96.7 6 176.0 34 197.3 10 91.3 18 89.4 19 69.5 23 204.3 Ramona 56 158.0 29 162.9 27 153.1 40 159.9 <5 § 12 140.8 <5 § <5 § 27 395.0 <5 § 9 113.9 9 80.4 7 174.4 San Marcos 184 204.0 94 213.1 90 195.3 110 244.8 <5 § 53 159.4 11 148.5 7 242.9 62 311.7 16 125.1 27 108.4 25 120.8 54 453.6 Valley Center 32 136.4 15 127.5 17 145.4 17 114.6 <5 § 14 233.5 <5 § <5 § 16 396.2 <5 § <5 § 5 65.3 9 224.9 South Region 1,380 294.0 711 304.2 669 283.8 302 314.1 57 303.2 841 299.2 94 156.7 66 491.3 813 807.6 97 119.5 144 110.6 156 144.5 170 344.1 Chula Vista 565 487.4 281 503.3 284 472.7 144 687.9 29 757.4 343 415.6 21 346.4 21 819.0 315 1291.0 42 221.0 69 223.3 66 245.0 73 497.7 Coronado 28 120.0 14 104.7 14 140.6 22 128.8 <5 § <5 § <5 § <5 § 8 259.4 <5 § <5 § 7 139.7 11 310.6 National City 189 323.1 99 329.9 90 316.0 23 349.0 <5 § 128 340.8 23 217.6 8 619.2 110 903.0 12 98.1 25 158.2 22 180.4 20 329.1 South Bay 429 317.5 240 352.7 189 281.8 59 293.3 17 327.5 310 332.3 17 130.1 21 604.1 270 911.1 33 138.8 33 87.7 43 139.1 50 378.8 Sweetwater 169 123.7 77 115.8 92 131.2 54 171.8 7 115.8 56 86.8 33 112.4 14 267.6 110 350.7 9 43.9 16 40.1 18 54.7 16 134.3 Unknown 19 ‐‐‐ 12 ‐‐‐ 7 ‐‐‐ 7 ‐‐‐ <5 ‐‐‐ 6 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ 9 ‐‐‐ <5 ‐‐‐ *Rates per 100,000 population. County age‐adjusted rates per 100,000 2000 US standard population. **Harbison Crest/El Cajon is an aggregation of the Harbison Crest and El Cajon SRAs. Due to geographic limitations, the Harbison Crest SRA is not shown alone. See the Data Guide for more information. ***Numbers may not add up to totals due to unknown or missing details. †Pneumonia emergency department discharge refers to ICD 9 Codes 480‐486. ‡API includes Asian, Pacific Islander, Nave Hawaiian. Other includes 2 or more races, Nave American/Alaska Nave, American Indian, or other. §Rates not calculated for fewer than 5 events. Rates not calculated in cases where zip code is unknown. Source: Emergency Department Discharge Database (CA OSHPD), County of San Diego, Health & Human Services Agency, Public Health Services, Emergency Medical Services; SANDAG, Current Population Estimates, 10/2012. Prepared by: County of San Diego, Health & Human Services Agency, Public Health Services, Community Health Statistics Unit, 2013.

County of San Diego, Health & Human Services Agency, Public Health Services, Community Health Statistics Unit Page 37

Gonorrhea Incidence

County of San Diego, Health & Human Services Agency, Public Health Services, Community Health Statistics Unit Page 38 Gonorrhea† Incidence Among San Diego County Residents by Location of Residence

Healthy People 2020 Target: n/a for Gonorrhea incidence USA: 104.2 per 100,000 populaon, age-adjusted (2011)* ‡ California: 73.9 per 100,000 populaon, age-adjusted (2011)* ‡

2010 Total 2011 Total 2012 Total 2013 Total 2014 Total 2015 Total 2016 Total 2017 Total 2018 Total 2019 Total 2020 Total Geography No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* San Diego County (Actual Rate) 2,031 65.6 2,168 69.6 Central Region 795 164.1 855 176.1 Central San Diego 436 263.3 478 288.0 Mid-City 211 129.4 233 142.8 Southeast San Diego 148 95.0 144 92.1 East Region 189 40.8 214 45.9 Alpine <5 § <5 § El Cajon 47 37.7 46 36.7 Harbison Crest/El Cajon** 69 49.6 76 54.3 Jamul <5 § 7 39.8 La Mesa 37 62.6 37 61.7 Laguna-Pine Valley <5 § <5 § Lakeside 7 12.5 7 12.4 Lemon Grove 17 57.0 28 93.5 Mountain Empire <5 § <5 § Santee 16 31.3 12 23.2 Spring Valley 38 46.9 45 55.1 North Central Region 284 47.0 253 41.5 Coastal 51 67.7 44 58.2 Del Mar-Mira Mesa 32 20.3 30 18.9 Elliott-Navajo 29 32.5 28 31.3 Kearny Mesa 120 79.4 101 66.6 Miramar 6 119.3 5 99.1 Peninsula 30 47.7 32 50.7 University 16 25.5 13 19.6 North Coastal Region 164 32.4 182 35.7 Carlsbad 16 13.9 21 18.1 Oceanside 76 47.6 78 48.7 Pendleton 22 58.7 31 82.3 San Dieguito 13 13.9 10 10.5 Vista 37 36.8 42 41.4 North Inland Region 109 19.1 119 20.7 Anza-Borrego Springs <5 § <5 § Escondido 46 28.2 36 21.9 Fallbrook 11 23.3 12 25.1 North San Diego 19 17.8 24 22.3 Palomar-Julian <5 § <5 § Pauma <5 § 7 90.1 Poway 11 12.7 16 18.4 Ramona <5 § <5 § San Marcos 16 17.8 17 18.8 Valley Center <5 § <5 § South Region 171 36.5 199 42.4 Chula Vista 64 55.5 65 56.1 Coronado 9 36.4 11 47.2 National City 18 30.9 38 65.0 South Bay 63 46.7 59 43.7 Sweetwater 17 12.6 26 19.0 Unknown 319 ‐‐‐ 346 ‐‐‐ *Rates per 100,000 population. County age-adjusted rates per 100,000 2000 US standard population. **Harbison Crest/El Cajon is an aggregation of the Harbison Crest and El Cajon SRAs. Due to geographic limitations, the Harbison Crest SRA is not shown alone. See the Data Guide for more information. †Gonorrhea incidence refers to new cases reported to County Public Health Services. Note: due to cases with unknown residence, Regional numbers are underesmated. ‡Source: CDC, Sexually Transmied Disease Surveillance, 2011. Atlanta, GA: U.S. Department of Health and Human Services, December 2012. hp://www.cdc.gov/std/. § Rates not calculated for fewer than 5 events. Rates not calculated in cases where zip code is unknown. Source: County of San Diego, Health & Human Services Agency, HIV, STD and Hepatitis Branch, Morbidity Database; SANDAG, Current Population Estimates, 10/2012. Prepared by: County of San Diego, Health & Human Services Agency, Public Health Services, Community Health Statistics Unit, 2013.

County of San Diego, Health & Human Services Agency, Public Health Services, Community Health Statistics Unit Page 39 Gonorrhea† Incidence Among San Diego County Residents by Locaon of Residence, 2010 Detail Gender Race/Ethnicity Age Group 2010 Total Geography Male Female White BlackHispanic API‡ Other‡ Ages 0‐14 Ages 15‐24 Ages 25‐44 Ages 45‐64 Ages 65+ No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* San Diego County (Actual Rate) 2,031 65.6 1,486 95.6 540 35.0 409 27.3 249 169.8 322 32.5 86 25.2 55 47.5 5 0.8 819 165.2 977 109.6 215 28.3 <5 § Central Region 795 164.1 632 255.2 161 68.0 215 149.7 117 206.4 134 65.6 38 59.5 22 138.7 <5 § 249 299.5 440 272.5 98 91.8 <5 § Central San Diego 436 263.3 396 437.5 39 52.0 149 181.1 37 322.2 70 121.5 16 188.3 13 229.0 <5 § 88 382.8 277 397.2 67 176.6 <5 § Mid-City 211 129.4 157 193.3 53 64.8 60 129.2 37 191.5 35 51.1 13 55.2 7 133.2 <5 § 76 228.4 105 208.3 27 82.4 <5 § Southeast San Diego 148 95.0 79 104.0 69 86.4 6 40.3 43 166.2 29 37.0 9 28.3 <5 § <5 § 85 316.4 58 140.4 <5 § <5 § East Region 189 40.8 115 50.4 74 31.5 27 9.7 35 131.7 33 28.5 <5 § <5 § <5 § 91 132.8 76 62.7 21 16.5 <5 § Alpine <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § El Cajon 47 37.7 31 50.9 16 25.2 6 8.1 8 114.3 11 33.2 <5 § <5 § <5 § 25 127.2 16 48.5 6 18.9 <5 § Harbison Crest/El Cajon** 69 49.6 39 57.2 30 42.3 9 10.6 13 182.5 12 34.0 <5 § <5 § <5 § 36 167.2 25 69.7 8 21.7 <5 § Jamul <5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<541.7<5§<5§ La Mesa 37 62.6 27 95.8 10 32.4 7 18.9 6 144.9 <5 § <5 § <5 § <5 § 14 166.0 18 105.4 5 32.6 <5 § Laguna-Pine Valley <5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§ Lakeside 712.5518.0<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§ Lemon Grove 17 57.0 5 34.5 12 78.4 <5 § 6 136.4 <5 § <5 § <5 § <5 § 10 219.1 6 74.8 <5 § <5 § Mountain Empire <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Santee 16 31.3 11 44.4 5 19.0 5 13.2 <5 § <5 § <5 § <5 § <5 § 5 71.4 9 64.9 <5 § <5 § Spring Valley 38 46.9 26 66.0 12 28.9 <5 § 9 116.2 7 26.9 <5 § <5 § <5 § 19 157.2 13 61.7 6 27.8 <5 § North Central Region 284 47.0 210 68.7 74 24.8 80 21.9 33 175.8 39 45.5 17 15.7 10 38.3 <5 § 124 120.9 124 64.6 32 22.4 <5 § Coastal 51 67.7 33 85.0 18 49.3 22 36.2 5 686.8 <5 § <5 § <5 § <5 § 17 152.6 29 104.7 5 30.4 <5 § Del Mar-Mira Mesa 32 20.3 24 30.4 8 10.2 <5 § <5 § 6 38.0 6 10.9 <5 § <5 § 16 82.9 11 23.1 <5 § <5 § Elliott-Navajo 29 32.5 21 48.6 8 17.4 6 10.0 <5 § <5 § <5 § <5 § <5 § 12 108.2 15 59.6 <5 § <5 § Kearny Mesa 120 79.4 90 119.4 30 39.5 31 36.8 16 238.2 22 65.7 <5 § <5 § <5 § 50 212.3 57 114.6 10 28.1 <5 § Miramar 6 119.3 6 158.6 <5 § <5 § <5 § <5 § <5 § <5 § <5 § 6 196.3 <5 § <5 § <5 § Peninsula 30 47.7 24 70.2 6 20.9 11 22.9 5 238.2 <5 § <5 § <5 § <5 § 12 96.0 10 47.5 8 55.9 <5 § University 16 25.5 12 38.6 <5 § 5 15.2 <5 § <5 § <5 § <5 § <5 § 11 50.1 <5 § <5 § <5 § North Coastal Region 164 32.4 111 43.1 52 21.0 38 12.7 13 89.5 20 13.9 <5 § 8 44.0 <5 § 80 95.6 68 49.8 15 12.0 <5 § Carlsbad 16 13.9 12 21.5 <5 § 5 5.9 <5 § <5 § <5 § <5 § <5 § 5 40.9 10 33.2 <5 § <5 § Oceanside 76 47.6 50 63.1 26 32.3 13 17.5 8 115.3 9 15.0 <5 § 6 93.9 <5 § 37 145.9 32 71.6 6 15.3 <5 § Pendleton 22 58.7 19 72.8 <5 § <5 § <5 § <5 § <5 § <5 § <5 § 20 100.0 <5 § <5 § <5 § San Dieguito 13 13.9 8 17.4 <5 § 10 13.6 <5 § <5 § <5 § <5 § <5 § <5 § 5 20.3 <5 § <5 § Vista 37 36.8 22 43.4 15 30.2 9 20.5 <5 § 10 21.4 <5 § <5 § <5 § 14 83.5 19 66.2 <5 § <5 § North Inland Region 109 19.1 76 27.1 33 11.4 19 6.0 10 96.6 24 14.6 <5 § 6 28.3 <5 § 49 63.6 53 35.7 7 4.6 <5 § Anza-Borrego Springs <5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§ Escondido 46 28.2 30 37.1 16 19.5 7 9.8 <5 § 15 20.2 <5 § <5 § <5 § 18 70.2 24 53.0 <5 § <5 § Fallbrook 11 23.3 7 29.7 <5 § <5 § <5 § <5 § <5 § <5 § <5 § 5 70.2 6 60.1 <5 § <5 § North San Diego 19 17.8 15 29.1 <5 § 6 9.6 <5 § <5 § <5 § <5 § <5 § 8 69.9 8 25.9 <5 § <5 § Palomar-Julian <5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§ Pauma <5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§ Poway 1112.7921.3<5§<5§<5§<5§<5§<5§<5§879.1<5§<5§<5§ Ramona <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § San Marcos 16 17.8 11 25.0 5 10.9 <5 § <5 § 6 18.4 <5 § <5 § <5 § 8 63.8 8 31.7 <5 § <5 § Valley Center <5 § <5 8.5 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § South Region 171 36.5 122 52.1 49 20.9 13 13.2 17 86.3 58 20.9 14 23.5 5 37.3 <5 § 85 105.2 71 53.8 12 11.3 <5 § Chula Vista 64 55.5 43 77.4 21 35.2 <5 § 8 202.5 21 25.8 6 99.6 <5 § <5 § 32 170.3 28 90.4 <5 § <5 § Coronado 936.4641.3<5§<5§<5§<5§<5§<5§<5§577.2<5§<5§<5§ National City 18 30.9 11 36.7 7 24.7 <5 § <5 § 5 13.5 <5 § <5 § <5 § 8 65.3 9 57.2 <5 § <5 § South Bay 63 46.7 49 72.0 14 20.9 <5 § 6 110.6 30 32.5 <5 § <5 § <5 § 33 138.1 22 58.0 6 19.6 <5 § Sweetwater 17 12.6 13 19.7 <5 § <5 § <5 § <5 § <5 § <5 § <5 § 7 36.1 9 22.1 <5 § <5 § Unknown 319 ‐‐‐ 220 ‐‐‐ 97 ‐‐‐ 17 ‐‐‐ 24 ‐‐‐ 14 ‐‐‐ 10 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ 141 ‐‐‐ 145 ‐‐‐ 30 ‐‐‐ <5 ‐‐‐ *Rates per 100,000 population. County age-adjusted rates per 100,000 2000 US standard population. **Harbison Crest/El Cajon is an aggregation of the Harbison Crest and El Cajon SRAs. Due to geographic limitations, the Harbison Crest SRA is not shown alone. See the Data Guide for more information. ***Numbers may not add up to totals due to unknown or missing details. †Gonorrhea incidence refers to new cases reported to County Public Health Services. Note: due to cases with unknown residence, Regional numbers are underesmated. ‡API includes Asian, Pacific Islander, Nave Hawaiian. Other includes 2 or more races, Nave American/Alaska Nave, American Indian, or other. §Rates not calculated for fewer than 5 events. Rates not calculated in cases where zip code is unknown. Source: County of San Diego, Health & Human Services Agency, HIV, STD and Hepatitis Branch, Morbidity Database; SANDAG, Current Population Estimates, 10/2012. Prepared by: County of San Diego, Health & Human Services Agency, Public Health Services, Community Health Statistics Unit, 2013.

County of San Diego, Health & Human Services Agency, Public Health Services, Community Health Statistics Unit Page 40 Gonorrhea† Incidence Among San Diego County Residents by Locaon of Residence, 2011 Detail Gender Race/Ethnicity Age Group 2011 Total Geography Male Female White Black HispanicAPI‡ Other‡ Ages 0‐14 Ages 15‐24 Ages 25‐44 Ages 45‐64 Ages 65+ No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* San Diego County (Actual Rate) 2,168 69.6 1,549 99.1 606 39.0 486 32.5 257 179.8 355 35.1 70 20.1 84 71.3 <5 § 861 172.7 1,009 113.3 225 29.2 8 2.2 Central Region 855 176.1 683 275.3 165 69.5 263 184.8 126 229.7 160 77.0 30 46.5 26 162.2 <5 § 257 320.1 484 297.7 108 99.5 <5 § Central San Diego 478 288.0 433 478.0 43 57.0 181 221.1 47 422.9 90 153.5 13 150.8 14 244.2 <5 § 88 424.4 318 451.6 70 181.0 <5 § Mid-City 233 142.8 175 215.3 56 68.4 73 159.6 37 196.8 45 64.7 9 37.8 8 150.9 <5 § 77 238.1 120 236.8 33 98.6 <5 § Southeast San Diego 144 92.1 75 98.4 66 82.3 9 61.2 42 168.4 25 31.4 8 24.9 <5 § <5 § 92 338.0 46 110.9 5 13.7 <5 § East Region 214 45.9 116 50.5 98 41.4 35 12.5 63 241.9 28 23.5 8 37.7 9 42.0 <5 § 117 168.6 75 62.0 20 15.5 <5 § Alpine <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § El Cajon 46 36.7 25 40.8 21 32.9 12 16.3 13 189.7 5 14.7 <5 § <5 § <5 § 33 167.6 12 36.2 <5 § <5 § Harbison Crest/El Cajon** 76 54.3 36 52.4 40 56.1 14 16.4 23 329.3 9 24.9 <5 § <5 § <5 § 51 235.7 22 61.3 <5 § <5 § Jamul 7 39.8 5 49.5 <5 § <5 10.5 <5 § <5 § <5 § <5 § <5 § <5 § <5 46.2 <5 § <5 § La Mesa 37 61.7 23 80.3 14 44.6 6 16.1 10 243.4 5 40.6 <5 § <5 § <5 § 16 195.9 15 85.9 5 31.9 <5 § Laguna-Pine Valley <5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§ Lakeside 712.4<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§ Lemon Grove 28 93.5 17 116.7 11 71.5 <5 § 10 234.0 <5 § <5 § <5 § <5 § 13 278.4 10 125.4 5 64.9 <5 § Mountain Empire <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Santee 1223.2832.0<5§<5§<5§<5§<5§<5§<5§682.8<5§<5§<5§ Spring Valley 45 55.1 21 52.8 24 57.2 6 15.7 17 224.5 6 22.4 <5 § <5 § <5 § 23 185.8 19 90.4 <5 § <5 § North Central Region 253 41.5 189 61.3 62 20.6 83 22.7 19 101.6 32 36.5 17 15.2 12 45.1 <5 § 92 88.8 128 66.1 30 20.8 <5 § Coastal 44 58.2 35 89.9 9 24.6 20 33.0 <5 § <5 § <5 § <5 § <5 § 10 90.6 26 93.3 8 48.7 <5 § Del Mar-Mira Mesa 30 18.9 21 26.4 8 10.1 5 6.6 <5 § <5 § 6 10.8 <5 § <5 § 17 85.0 9 19.3 <5 § <5 § Elliott-Navajo 28 31.3 17 39.2 11 23.9 8 13.4 5 125.7 <5 § <5 § <5 § <5 § 11 101.5 11 43.3 <5 § <5 § Kearny Mesa 101 66.6 76 100.6 25 32.8 33 39.3 9 136.5 15 44.0 6 29.8 <5 § <5 § 30 136.4 61 120.4 10 27.7 <5 § Miramar 599.1<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§ Peninsula 32 50.7 24 69.8 7 24.4 11 23.1 <5 § 8 95.4 <5 § <5 § <5 § 13 105.5 15 70.3 <5 § <5 § University 13 19.6 12 36.5 <5 § 6 17.5 <5 § <5 § <5 § <5 § <5 § 7 28.8 5 24.2 <5 § <5 § North Coastal Region 182 35.7 114 43.9 67 26.8 39 13.0 13 90.8 33 22.5 <5 § 17 90.7 <5 § 99 117.3 67 49.1 16 12.6 <5 § Carlsbad 21 18.1 14 24.9 7 11.8 11 13.0 <5 § <5 § <5 § <5 § <5 § 8 62.4 9 30.4 <5 § <5 § Oceanside 78 48.7 40 50.3 37 45.9 8 10.9 10 149.7 15 24.7 <5 § 8 122.5 <5 § 36 145.4 35 78.3 7 17.8 <5 § Pendleton 31 82.3 29 111.0 <5 § 7 30.4 <5 § <5 § <5 § 5 234.5 <5 § 30 148.0 <5 § <5 § <5 § San Dieguito 1010.5817.1<5§56.8<5§<5§<5§<5§<5§<5§<5§<5§<5§ Vista 42 41.4 23 45.0 19 37.8 8 18.3 <5 § 12 25.1 <5 § <5 § <5 § 21 127.3 20 69.1 <5 § <5 § North Inland Region 119 20.7 73 25.8 46 15.8 31 9.9 <5 § 28 16.6 <5 § 8 37.1 <5 § 62 77.8 46 31.3 11 7.1 <5 § Anza-Borrego Springs <5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§ Escondido 36 21.9 25 30.7 11 13.3 11 15.6 <5 § <5 § <5 § <5 § <5 § 22 85.0 12 26.5 <5 § <5 § Fallbrook 12 25.1 10 41.9 <5 § <5 § <5 § 7 39.3 <5 § <5 § <5 § 5 69.0 5 49.4 <5 § <5 § North San Diego 24 22.3 12 23.1 12 21.6 7 11.1 <5 § <5 § <5 § <5 § <5 § 13 108.3 8 26.3 <5 § <5 § Palomar-Julian <5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§ Pauma 7 90.1 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § 5 246.8 <5 § <5 § Poway 16 18.4 7 16.5 9 20.2 5 8.6 <5 § <5 § <5 § <5 § <5 § 9 82.2 <5 § <5 § <5 § Ramona <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § San Marcos 17 18.8 9 20.4 8 17.4 <5 § <5 § 8 24.1 <5 § <5 § <5 § 8 62.6 8 32.1 <5 § <5 § Valley Center <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § South Region 199 42.4 133 56.9 66 28.0 21 21.8 23 122.3 59 21.0 8 13.3 7 52.1 <5 § 99 121.9 82 63.0 16 14.8 <5 § Chula Vista 65 56.1 44 78.8 21 35.0 6 28.7 11 287.3 19 23.0 <5 § <5 § <5 § 33 173.6 28 90.6 <5 § <5 § Coronado 11 47.2 9 67.3 <5 § <5 § <5 § <5 § <5 § <5 § <5 § 8 140.7 <5 § <5 § <5 § National City 38 65.0 25 83.3 13 45.6 5 75.9 5 201.9 10 26.6 <5 § <5 § <5 § 20 163.4 16 101.3 <5 § <5 § South Bay 59 43.7 37 54.4 22 32.8 <5 § 6 115.6 24 25.7 <5 § <5 § <5 § 32 134.6 21 55.8 5 16.2 <5 § Sweetwater 26 19.0 18 27.1 8 11.4 <5 § <5 § 6 9.3 <5 § <5 § <5 § 6 29.3 14 35.1 5 15.2 <5 § Unknown 346 ‐‐‐ 241 ‐‐‐ 102 ‐‐‐ 14 ‐‐‐ 9 ‐‐‐ 15 ‐‐‐ <5 ‐‐‐ 5 ‐‐‐ <5 ‐‐‐ 135 ‐‐‐ 127 ‐‐‐ 24 ‐‐‐ <5 ‐‐‐ *Rates per 100,000 population. County age-adjusted rates per 100,000 2000 US standard population. **Harbison Crest/El Cajon is an aggregation of the Harbison Crest and El Cajon SRAs. Due to geographic limitations, the Harbison Crest SRA is not shown alone. See the Data Guide for more information. ***Numbers may not add up to totals due to unknown or missing details. †Gonorrhea incidence refers to new cases reported to County Public Health Services. Note: due to cases with unknown residence, Regional numbers are underesmated. ‡API includes Asian, Pacific Islander, Nave Hawaiian. Other includes 2 or more races, Nave American/Alaska Nave, American Indian, or other. § Rates not calculated for fewer than 5 events. Rates not calculated in cases where zip code is unknown. Source: County of San Diego, Health & Human Services Agency, HIV, STD and Hepatitis Branch, Morbidity Database; SANDAG, Current Population Estimates, 10/2012. Prepared by: County of San Diego, Health & Human Services Agency, Public Health Services, Community Health Statistics Unit, 2013.

County of San Diego, Health & Human Services Agency, Public Health Services, Community Health Statistics Unit Page 41

Primary and Secondary Syphilis

County of San Diego, Health & Human Services Agency, Public Health Services, Community Health Statistics Unit Page 42 Primary and Secondary Syphilis† Incidence Among San Diego County Residents by Location of Residence

Healthy People 2020 Target: n/a for Primary and Secondary Syphilis incidence USA: 4.5 per 100,000 populaon, age-adjusted (2011)* ‡ California: 6.6 per 100,000 populaon, age-adjusted (2011)* ‡

2010 Total 2011 Total 2012 Total 2013 Total 2014 Total 2015 Total 2016 Total 2017 Total 2018 Total 2019 Total 2020 Total Geography No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* San Diego County (Actual Rate) 277 8.9 289 9.3 Central Region 184 38.0 171 35.2 Central San Diego 119 71.9 109 65.7 Mid-City 49 30.1 54 33.1 Southeast San Diego 16 10.3 8 5.1 East Region 17 3.7 15 3.2 Alpine <5 § <5 § El Cajon <5 § <5 § Harbison Crest/El Cajon** <5 § 5 3.6 Jamul <5 § <5 § La Mesa 5 8.5 <5 § Laguna-Pine Valley <5 § <5 § Lakeside <5 § <5 § Lemon Grove <5 § <5 § Mountain Empire <5 § <5 § Santee <5 § <5 § Spring Valley 7 8.6 <5 § North Central Region 31 5.1 38 6.2 Coastal <5 § 7 9.3 Del Mar-Mira Mesa <5 § <5 § Elliott-Navajo 6 6.7 5 5.6 Kearny Mesa 15 9.9 17 11.2 Miramar <5 § <5 § Peninsula <5 § 5 7.9 University <5 § <5 § North Coastal Region 9 1.8 13 2.5 Carlsbad <5 § <5 § Oceanside <5 § 5 3.1 Pendleton <5 § <5 § San Dieguito <5 § <5 § Vista <5 § 5 4.9 North Inland Region 9 1.6 12 2.1 Anza-Borrego Springs <5 § <5 § Escondido <5 § 6 3.7 Fallbrook <5 § <5 § North San Diego <5 § <5 § Palomar-Julian <5 § <5 § Pauma <5 § <5 § Poway <5 § <5 § Ramona <5 § <5 § San Marcos <5 § <5 § Valley Center <5 § <5 § South Region 19 4.1 32 6.8 Chula Vista 9 7.8 15 12.9 Coronado <5 § <5 § National City <5 § <5 § South Bay 5 3.7 8 5.9 Sweetwater <5 § <5 § Unknown 8 ‐‐‐ 8 ‐‐‐ *Rates per 100,000 population. County age-adjusted rates per 100,000 2000 US standard population. **Harbison Crest/El Cajon is an aggregation of the Harbison Crest and El Cajon SRAs. Due to geographic limitations, the Harbison Crest SRA is not shown alone. See the Data Guide for more information. †Primary and Secondary Syphilis incidence refers to new cases reported to County Public Health Services. ‡Source: CDC, Sexually Transmied Disease Surveillance, 2011. Atlanta, GA: U.S. Department of Health and Human Services, December 2012. hp://www.cdc.gov/std/. § Rates not calculated for fewer than 5 events. Rates not calculated in cases where zip code is unknown. Source: County of San Diego, Health & Human Services Agency, HIV, STD and Hepatitis Branch, Morbidity Database; SANDAG, Current Population Estimates, 10/2012. Prepared by: County of San Diego, Health & Human Services Agency, Public Health Services, Community Health Statistics Unit, 2013.

County of San Diego, Health & Human Services Agency, Public Health Services, Community Health Statistics Unit Page 43 Primary and Secondary Syphilis† Incidence Among San Diego County Residents by Locaon of Residence, 2010 Detail Gender Race/Ethnicity Age Group 2010 Total Geography Male Female White BlackHispanic API‡ Other‡ Ages 0‐14 Ages 15‐24 Ages 25‐44 Ages 45‐64 Ages 65+ No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* San Diego County (Actual Rate) 277 8.9 274 17.6 <5 § 146 9.7 37 25.2 70 7.1 11 3.2 <5 § <5 § 50 10.1 165 18.5 61 8.0 <5 § Central Region 184 38.0 182 73.5 <5 § 105 73.1 23 40.6 39 19.1 8 12.5 <5 § <5 § 27 32.5 120 74.3 36 33.7 <5 § Central San Diego 119 71.9 117 129.3 <5 § 75 91.1 9 78.4 26 45.1 6 70.6 <5 § <5 § 15 65.2 78 111.9 26 68.5 <5 § Mid-City 49 30.1 49 60.3 <5 § 28 60.3 5 25.9 10 14.6 <5 § <5 § <5 § <5 § 34 67.5 10 30.5 <5 § Southeast San Diego 16 10.3 16 21.1 <5 § <5 § 9 34.8 <5 § <5 § <5 § <5 § 8 29.8 8 19.4 <5 § <5 § East Region 17 3.7 17 7.5 <5 § 10 3.6 <5 § 6 5.2 <5 § <5 § <5 § <5 § 7 5.8 7 5.5 <5 § Alpine <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § El Cajon <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Harbison Crest/El Cajon** <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Jamul <5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§ La Mesa 58.5517.7<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§ Laguna-Pine Valley <5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§ Lakeside <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Lemon Grove <5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§ Mountain Empire <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Santee <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Spring Valley 78.6717.8<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§ North Central Region 31 5.1 31 10.1 <5 § 16 4.4 <5 § 7 8.2 <5 § <5 § <5 § 9 8.8 14 7.3 8 5.6 <5 § Coastal <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Del Mar-Mira Mesa <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Elliott-Navajo 6 6.7 6 13.9 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Kearny Mesa 15 9.9 15 19.9 <5 § 7 8.3 <5 § <5 § <5 § <5 § <5 § 5 21.2 6 12.1 <5 § <5 § Miramar <5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§ Peninsula <5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§ University <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § North Coastal Region 9 1.8 9 3.5 <5 § 6 2.0 <5 § <5 § <5 § <5 § <5 § <5 § 5 3.7 <5 § <5 § Carlsbad <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Oceanside <5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§ Pendleton <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § San Dieguito <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Vista <5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§ North Inland Region 9 1.6 9 3.2 <5 § <5 § <5 § <5 § <5 § <5 § <5 § 5 6.5 <5 § <5 § <5 § Anza-Borrego Springs <5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§ Escondido <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Fallbrook <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § North San Diego <5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§ Palomar-Julian <5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§ Pauma <5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§ Poway <5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§ Ramona <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § San Marcos <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Valley Center <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § South Region 19 4.1 18 7.7 <5 § <5 § <5 § 10 3.6 <5 § <5 § <5 § <5 § 9 6.8 6 5.7 <5 § Chula Vista 97.8814.4<5§<5§<5§67.4<5§<5§<5§<5§619.4<5§<5§ Coronado <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § National City <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § South Bay 53.757.3<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§ Sweetwater <5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§ Unknown 8 ‐‐‐ 8 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ 7 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ *Rates per 100,000 population. County age-adjusted rates per 100,000 2000 US standard population. **Harbison Crest/El Cajon is an aggregation of the Harbison Crest and El Cajon SRAs. Due to geographic limitations, the Harbison Crest SRA is not shown alone. See the Data Guide for more information. ***Numbers may not add up to totals due to unknown or missing details. †Primary and Secondary Syphilis incidence refers to new cases reported to County Public Health Services. ‡API includes Asian, Pacific Islander, Nave Hawaiian. Other includes 2 or more races, Nave American/Alaska Nave, American Indian, or other. §Rates not calculated for fewer than 5 events. Rates not calculated in cases where zip code is unknown. Source: County of San Diego, Health & Human Services Agency, HIV, STD and Hepatitis Branch, Morbidity Database; SANDAG, Current Population Estimates, 10/2012. Prepared by: County of San Diego, Health & Human Services Agency, Public Health Services, Community Health Statistics Unit, 2013.

County of San Diego, Health & Human Services Agency, Public Health Services, Community Health Statistics Unit Page 44 Primary and Secondary Syphilis† Incidence Among San Diego County Residents by Locaon of Residence, 2011 Detail Gender Race/Ethnicity Age Group 2011 Total Geography Male Female White Black HispanicAPI‡ Other‡ Ages 0‐14 Ages 15‐24 Ages 25‐44 Ages 45‐64 Ages 65+ No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* San Diego County (Actual Rate) 289 9.3 274 17.5 13 0.8 152 10.2 26 18.2 85 8.4 13 3.7 <5 § <5 § 35 7.0 163 18.3 87 11.3 <5 § Central Region 171 35.2 167 67.3 <5 § 94 66.1 18 32.8 44 21.2 8 12.4 <5 § <5 § 14 17.4 96 59.0 57 52.5 <5 § Central San Diego 109 65.7 108 119.2 <5 § 64 78.2 9 81.0 25 42.6 5 58.0 <5 § <5 § 5 24.1 62 88.0 40 103.4 <5 § Mid-City 54 33.1 53 65.2 <5 § 29 63.4 6 31.9 16 23.0 <5 § <5 § <5 § 5 15.5 30 59.2 17 50.8 <5 § Southeast San Diego 85.167.9<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§ East Region 15 3.2 13 5.7 <5 § 10 3.6 <5 § <5 § <5 § <5 § <5 § <5 § 7 5.8 <5 § <5 § Alpine <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § El Cajon <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Harbison Crest/El Cajon** 5 3.6 5 7.3 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Jamul <5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§ La Mesa <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Laguna-Pine Valley <5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§ Lakeside <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Lemon Grove <5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§ Mountain Empire <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Santee <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Spring Valley <5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§ North Central Region 38 6.2 35 11.3 <5 § 20 5.5 <5 § 9 10.3 <5 § <5 § <5 § 6 5.8 19 9.8 13 9.0 <5 § Coastal 7 9.3 6 15.4 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Del Mar-Mira Mesa <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Elliott-Navajo 5 5.6 5 11.5 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Kearny Mesa 17 11.2 15 19.9 <5 § 8 9.5 <5 § 6 17.6 <5 § <5 § <5 § <5 § 10 19.7 <5 § <5 § Miramar <5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§ Peninsula 57.9514.5<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§ University <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § North Coastal Region 13 2.5 11 4.2 <5 § 7 2.3 <5 § 5 3.4 <5 § <5 § <5 § <5 § 7 5.1 <5 § <5 § Carlsbad <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Oceanside 53.1<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§ Pendleton <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § San Dieguito <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Vista 54.9<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§ North Inland Region 12 2.1 11 3.9 <5 § 7 2.2 <5 § <5 § <5 § <5 § <5 § <5 § 6 4.1 <5 § <5 § Anza-Borrego Springs <5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§ Escondido 6 3.7 6 7.4 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Fallbrook <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § North San Diego <5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§ Palomar-Julian <5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§ Pauma <5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§ Poway <5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§ Ramona <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § San Marcos <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Valley Center <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § South Region 32 6.8 29 12.4 <5 § 8 8.3 <5 § 18 6.4 <5 § <5 § <5 § <5 § 21 16.1 7 6.5 <5 § Chula Vista 15 12.9 14 25.1 <5 § <5 § <5 § 10 12.1 <5 § <5 § <5 § <5 § 11 35.6 <5 § <5 § Coronado <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § National City <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § South Bay 85.9710.3<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§ Sweetwater <5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§<5§ Unknown 8 ‐‐‐ 8 ‐‐‐ <5 ‐‐‐ 6 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ 7 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ *Rates per 100,000 population. County age-adjusted rates per 100,000 2000 US standard population. **Harbison Crest/El Cajon is an aggregation of the Harbison Crest and El Cajon SRAs. Due to geographic limitations, the Harbison Crest SRA is not shown alone. See the Data Guide for more information. ***Numbers may not add up to totals due to unknown or missing details. †Primary and Secondary Syphilis incidence refers to new cases reported to County Public Health Services. ‡API includes Asian, Pacific Islander, Nave Hawaiian. Other includes 2 or more races, Nave American/Alaska Nave, American Indian, or other. §Rates not calculated for fewer than 5 events. Rates not calculated in cases where zip code is unknown. Source: County of San Diego, Health & Human Services Agency, HIV, STD and Hepatitis Branch, Morbidity Database; SANDAG, Current Population Estimates, 10/2012. Prepared by: County of San Diego, Health & Human Services Agency, Public Health Services, Community Health Statistics Unit, 2013.

County of San Diego, Health & Human Services Agency, Public Health Services, Community Health Statistics Unit Page 45

Tuberculosis Incidence

County of San Diego, Health & Human Services Agency, Public Health Services, Community Health Statistics Unit Page 46 Tuberculosis† Incidence Among San Diego County Residents by Location of Residence

Healthy People 2020 Target: 1.0 per 100,000 population, age‐adjusted* USA: 3.4 per 100,000 populaon, age‐adjusted (2011)* ‡ California: 6.2 per 100,000 populaon, age‐adjusted (2011)* ‡

2010 Total†† 2011 Total†† 2012 Total†† 2013 Total†† 2014 Total†† 2015 Total†† 2016 Total†† 2017 Total†† 2018 Total†† 2019 Total†† 2020 Total†† Geography No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* San Diego County (Actual Rate) 222 7.2 263 8.4 San Diego County (Age‐Adjusted Rate) 222 7.1 263 8.4 Central Region 56 11.6 81 16.7 Central San Diego 20 12.1 19 11.4 Mid‐City 20 12.3 28 17.2 Southeast San Diego 16 10.3 34 21.7 East Region 20 4.3 12 2.6 Alpine <5 § <5 § El Cajon 5 4.0 <5 § Harbison Crest/El Cajon** 6 4.3 5 3.6 Jamul <5 § <5 § La Mesa <5 § <5 § Laguna‐Pine Valley <5 § <5 § Lakeside <5 § <5 § Lemon Grove <5 § <5 § Mountain Empire <5 § <5 § Santee <5 § <5 § Spring Valley 6 7.4 <5 § North Central Region 27 4.5 28 4.6 Coastal <5 § <5 § Del Mar‐Mira Mesa 9 5.7 14 8.8 Elliott‐Navajo <5 § <5 § Kearny Mesa 12 7.9 11 7.3 Miramar <5 § <5 § Peninsula <5 § <5 § University <5 § <5 § North Coastal Region 15 3.0 20 3.9 Carlsbad <5 § <5 § Oceanside 10 6.3 10 6.2 Pendleton <5 § <5 § San Dieguito <5 § <5 § Vista <5 § 7 6.9 North Inland Region 22 3.9 27 4.7 Anza‐Borrego Springs <5 § <5 § Escondido 10 6.1 12 7.3 Fallbrook <5 § <5 § North San Diego <5 § 8 7.4 Palomar‐Julian <5 § <5 § Pauma <5 § <5 § Poway <5 § <5 § Ramona <5 § <5 § San Marcos <5 § <5 § Valley Center <5 § <5 § South Region 53 11.3 75 16.0 Chula Vista 14 12.1 17 14.7 Coronado <5 § <5 § National City 10 17.1 19 32.5 South Bay 24 17.8 31 22.9 Sweetwater 5 3.7 5 3.7 § Correctional 29 ‐‐‐ 20 ‐‐‐ *Rates per 100,000 population. County age‐adjusted rates per 100,000 2000 US standard population. **Harbison Crest/El Cajon is an aggregation of the Harbison Crest and El Cajon SRAs. Due to geographic limitations, the Harbison Crest SRA is not shown alone. See the Data Guide for more information. †Tuberculosis (TB) incidence refers to new acve cases that meet CDC definion and are reported to County Public Health Services. ††Total includes unknown area of residence. ‡Source: CDC. Reported Tuberculosis in the United States, 2011. Atlanta, GA: U.S. Department of Health and Human Services, CDC, August 2012. (Table 1 & 19). §Rates not calculated for fewer than 5 events. Rates not calculated for correctional cases. (Correctional refers to patients in correctional facilities within San Diego County.) Source: County of San Diego, Health & Human Services Agency, Tuberculosis Control Program, County TB Registry; SANDAG, Current Population Estimates, 10/2012. Prepared by: County of San Diego, Health & Human Services Agency, Public Health Services, Community Health Statistics Unit, 2013. County of San Diego, Health & Human Services Agency, Public Health Services, Community Health Statistics Unit Page 47 Tuberculosis† Incidence Among San Diego County Residents by Locaon of Residence, 2010 Detail Gender Race/Ethnicity Age Group 2010 Total†† Geography Male Female White Black Hispanic API‡ Other‡ Ages 0‐14 Ages 15‐24 Ages 25‐44 Ages 45‐64 Ages 65+ No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* San Diego County (Actual Rate) 222 7.2 137 8.8 85 5.5 20 1.3 13 8.9 116 11.7 73 21.4 <5 § 12 2.0 25 5.0 78 8.7 64 8.4 43 12.2 San Diego County (Age‐Adjusted Rate) 222 7.1 Central Region 56 11.6 36 14.5 20 8.4 <5 § 8 14.1 25 12.2 21 32.9 <5 § <5 § 8 9.6 15 9.3 17 15.9 14 32.3 Central San Diego 20 12.1 15 16.6 5 6.7 <5 § <5 § 11 19.1 <5 § <5 § <5 § <5 § <5 § 10 26.4 <5 § Mid‐City 20 12.3 13 16.0 7 8.6 <5 § <5 § 6 8.8 10 42.5 <5 § <5 § <5 § 10 19.8 <5 § 5 39.1 Southeast San Diego 16 10.3 8 10.5 8 10.0 <5 § <5 § 8 10.2 8 25.1 <5 § <5 § <5 § <5 § 5 13.9 5 33.4 East Region 20 4.3 12 5.3 8 3.4 7 2.5 <5 § 5 4.3 5 24.2 <5 § <5 § <5 § 5 4.1 6 4.7 5 8.9 Alpine <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § El Cajon 5 4.0 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Harbison Crest/El Cajon** 6 4.3 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Jamul <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § La Mesa <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Laguna‐Pine Valley <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Lakeside <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Lemon Grove <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Mountain Empire <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Santee <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Spring Valley 6 7.4 5 12.7 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § North Central Region 27 4.5 18 5.9 9 3.0 7 1.9 <5 § 5 5.8 15 13.8 <5 § <5 § <5 § 9 4.7 10 7.0 <5 § Coastal <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Del Mar‐Mira Mesa 9 5.7 6 7.6 <5 § <5 § <5 § <5 § 7 12.7 <5 § <5 § <5 § 5 10.5 <5 § <5 § Elliott‐Navajo <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Kearny Mesa 12 7.9 8 10.6 <5 § 5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Miramar <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Peninsula <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § University <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § North Coastal Region 15 3.0 8 3.1 7 2.8 <5 § <5 § 12 8.3 <5 § <5 § <5 § <5 § 5 3.7 <5 § <5 § Carlsbad <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Oceanside 10 6.3 5 6.3 5 6.2 <5 § <5 § 9 15.0 <5 § <5 § <5 § <5 § <5 § <5 § <5 § Pendleton <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § San Dieguito <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Vista <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § North Inland Region 22 3.9 11 3.9 11 3.8 <5 § <5 § 9 5.5 12 20.3 <5 § <5 § <5 § 8 5.4 5 3.3 7 9.7 Anza‐Borrego Springs <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Escondido 10 6.1 7 8.7 <5 § <5 § <5 § 5 6.7 <5 § <5 § <5 § <5 § <5 § <5 § <5 § Fallbrook <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § North San Diego <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Palomar‐Julian <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Pauma <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Poway <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Ramona <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § San Marcos <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Valley Center <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § South Region 53 11.3 25 10.7 28 11.9 <5 § <5 § 34 12.2 17 28.6 <5 § <5 § 7 8.7 18 13.6 15 14.1 11 22.7 Chula Vista 14 12.1 9 16.2 5 8.4 <5 § <5 § 9 11.1 <5 § <5 § <5 § <5 § <5 § <5 § <5 § Coronado <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § National City 10 17.1 7 23.3 <5 § <5 § <5 § <5 § 6 56.9 <5 § <5 § <5 § <5 § 5 41.7 <5 § South Bay 24 17.8 8 11.8 16 23.9 <5 § <5 § 18 19.5 5 38.3 <5 § <5 § <5 § 8 21.1 7 22.9 5 38.7 Sweetwater 5 3.7 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § § Correctional 29 ‐‐‐ 27 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ 26 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ 18 ‐‐‐ 7 ‐‐‐ <5 ‐‐‐ *Rates per 100,000 population. County age‐adjusted rates per 100,000 2000 US standard population. **Harbison Crest/El Cajon is an aggregation of the Harbison Crest and El Cajon SRAs. Due to geographic limitations, the Harbison Crest SRA is not shown alone. See the Data Guide for more information. †Tuberculosis (TB) incidence refers to new acve cases that meet CDC definion and are reported to County Public Health Services. ††Total includes unknown area of residence. ‡API includes Asian, Pacific Islander, Nave Hawaiian. Other includes 2 or more races, Nave American/Alaska Nave, American Indian, or other. §Rates not calculated for fewer than 5 events. Rates not calculated for correctional cases. (Correctional refers to patients in correctional facilities within San Diego County.) Source: County of San Diego, Health & Human Services Agency, Tuberculosis Control Program, County TB Registry; SANDAG, Current Population Estimates, 10/2012. Prepared by: County of San Diego, Health & Human Services Agency, Public Health Services, Community Health Statistics Unit, 2013.

County of San Diego, Health & Human Services Agency, Public Health Services, Community Health Statistics Unit Page 48 Tuberculosis† Incidence Among San Diego County Residents by Locaon of Residence, 2011 Detail Gender Race/Ethnicity Age Group 2011 Total†† Geography Male Female White Black Hispanic API‡Other‡ Ages 0‐14 Ages 15‐24 Ages 25‐44 Ages 45‐64 Ages 65+ No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* No. Rate* San Diego County (Actual Rate) 263 8.4 152 9.7 111 7.1 25 1.7 13 9.1 127 12.6 97 27.8 <5 § 14 2.4 30 6.0 68 7.6 81 10.5 70 19.3 San Diego County (Age‐Adjusted Rate) 263 8.4 Central Region 81 16.7 48 19.3 33 13.9 <5 § 10 18.2 36 17.3 31 48.0 <5 § 9 10.0 9 11.2 22 13.5 27 24.9 14 31.8 Central San Diego 19 11.4 11 12.1 8 10.6 <5 § <5 § 11 18.8 5 58.0 <5 § <5 § <5 § 9 12.8 6 15.5 <5 § Mid‐City 28 17.2 16 19.7 12 14.6 <5 § 7 37.2 10 14.4 9 37.8 <5 § 5 14.8 5 15.5 7 13.8 7 20.9 <5 § Southeast San Diego 34 21.7 21 27.5 13 16.2 <5 § <5 § 15 18.8 17 52.9 <5 § <5 § <5 § 6 14.5 14 38.5 7 46.3 East Region 12 2.6 5 2.2 7 3.0 <5 § <5 § 6 5.0 <5 § <5 § <5 § <5 § <5 § <5 § 5 8.5 Alpine <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § El Cajon <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Harbison Crest/El Cajon** 5 3.6 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Jamul <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § La Mesa <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Laguna‐Pine Valley <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Lakeside <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Lemon Grove <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Mountain Empire <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Santee <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Spring Valley <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § North Central Region 28 4.6 13 4.2 15 5.0 5 1.4 <5 § 6 6.8 16 14.4 <5 § <5 § <5 § 10 5.2 5 3.5 12 16.3 Coastal <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Del Mar‐Mira Mesa 14 8.8 9 11.3 5 6.3 <5 § <5 § <5 § 12 21.5 <5 § <5 § <5 § 6 12.9 <5 § <5 § Elliott‐Navajo <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Kearny Mesa 11 7.3 <5 § 7 9.2 5 6.0 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § 7 36.1 Miramar <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Peninsula <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § University <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § North Coastal Region 20 3.9 9 3.5 11 4.4 <5 § <5 § 9 6.1 7 22.6 <5 § <5 § <5 § <5 § 8 6.3 6 9.7 Carlsbad <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Oceanside 10 6.2 <5 § 7 8.7 <5 § <5 § <5 § 5 40.3 <5 § <5 § <5 § <5 § <5 § <5 § Pendleton <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § San Dieguito <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Vista 7 6.9 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § 6 24.9 <5 § North Inland Region 27 4.7 15 5.3 12 4.1 <5 § <5 § 9 5.3 15 24.8 <5 § <5 § <5 § <5 § 13 8.4 9 12.1 Anza‐Borrego Springs <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Escondido 12 7.3 5 6.1 7 8.5 <5 § <5 § 7 9.2 5 48.2 <5 § <5 § <5 § <5 § 7 17.9 <5 § Fallbrook <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § North San Diego 8 7.4 5 9.6 <5 § <5 § <5 § <5 § 7 26.6 <5 § <5 § <5 § <5 § <5 § <5 § Palomar‐Julian <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Pauma <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Poway <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Ramona <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § San Marcos <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § Valley Center <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § South Region 75 16.0 43 18.4 32 13.6 5 26.0 <5 § 45 16.0 24 40.0 <5 § <5 § 11 13.5 17 13.1 19 17.6 24 48.6 Chula Vista 17 14.7 12 21.5 5 8.3 <5 § <5 § 12 14.5 <5 § <5 § <5 § <5 § <5 § 6 22.3 <5 § Coronado <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § National City 19 32.5 13 43.3 6 21.1 <5 § <5 § 8 21.3 11 104.0 <5 § <5 § <5 § <5 § 5 41.0 10 164.5 South Bay 31 22.9 15 22.0 16 23.9 <5 § <5 § 23 24.7 5 38.3 <5 § <5 § 7 29.5 9 23.9 5 16.2 9 68.2 Sweetwater 5 3.7 <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § <5 § § Correctional 20 ‐‐‐ 19 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ 16 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ <5 ‐‐‐ 11 ‐‐‐ 6 ‐‐‐ <5 ‐‐‐ *Rates per 100,000 population. County age‐adjusted rates per 100,000 2000 US standard population. **Harbison Crest/El Cajon is an aggregation of the Harbison Crest and El Cajon SRAs. Due to geographic limitations, the Harbison Crest SRA is not shown alone. See the Data Guide for more information. †Tuberculosis (TB) incidence refers to new acve cases that meet CDC definion and are reported to County Public Health Services. ††Total includes unknown area of residence. ‡API includes Asian, Pacific Islander, Nave Hawaiian. Other includes 2 or more races, Nave American/Alaska Nave, American Indian, or other. §Rates not calculated for fewer than 5 events. Rates not calculated for correctional cases. (Correctional refers to patients in correctional facilities within San Diego County.) Source: County of San Diego, Health & Human Services Agency, Tuberculosis Control Program, County TB Registry; SANDAG, Current Population Estimates, 10/2012. Prepared by: County of San Diego, Health & Human Services Agency, Public Health Services, Community Health Statistics Unit, 2013.

County of San Diego, Health & Human Services Agency, Public Health Services, Community Health Statistics Unit Page 49

DATA GUIDE

County of San Diego, Health & Human Services Agency, Public Health Services, Community Health Statistics Unit Page 50 Important Information for Data Users

Important Information for Data Users

Please Review This Section before Using the Following Public Health Data

For abbreviations used in data sources, see Data Sources.

Diagnoses: Disease definitions for most indicators are based on ICD‐CM coding. Two versions of ICD coding are used in this document depending upon the data source, ICD‐9 or ICD‐10. ICD‐CM based data for San Diego is comparable whether obtained using the 9th or 10th revision; codes used are listed in footnotes for appropriate tables. Healthy People 2020, USA, California data are shown if available and comparable to local data.

The death data used in this document only include underlying cause of death. That means that deaths are categorized only by the disease or injury that initiated the chain of events leading to death and not by the immediate cause or any other contributing causes. For example, a diabetic who died of heart disease resulting from complications of diabetes would only be included among diabetes‐related deaths. Similarly, Hospital Discharge and Emergency Department Discharge data is reported by the primary diagnosis at time of discharge for which the medical encounter occurred. In some cases, indicators are based on case definitions; meeting specified clinical and/or laboratory criteria not ICD‐CM coding.

Comparing Data: Caution must be used when exploring data from multiple sources or even the same data prepared by different analysts; comparisons may not be appropriate. Attention to accompanying information is important in order to note differences, including, but not limited to: data sources, data preparation, diagnoses/case definitions, rate constant (i.e. per 100,000 or 1,000), geographic units, persons included in the data (i.e. location of occurrence vs. location of residence, or among live births not total pregnancies).

Data from different tables must not be modified (i.e. aggregated or subtracted). For example, pedestrian deaths cannot be added to nonfatal pedestrian injuries to determine total injuries. In this case, one database is recorded by location of residence, while the other is by location of occurrence. If you need assistance or additional data not contained here, please contact the Community Health Statistics unit.

Geography: Understanding Geographic Units used in Health Data Many different geographic units are used throughout San Diego County. In this document, boundaries for Regions and Subregional Areas (SRAs) used here are based on census tracts and approximate Health and Human Service Agency Region (HHSA Region)

County of San Diego, Health & Human Services Agency, Public Health Services, Community Health Statistics Unit Page 51 Important Information for Data Users

boundaries which are based on zip codes. The exception to this is California Health Interview Survey (CHIS) data, which use zip code based HHSA Regions.

Many data users have expressed the desire for community level data, beyond the HHSA Region (which are large aggregations of zip codes). Several levels of geography may be considered, such as Subregional Area, Census Tract, Zip Code, or City. In order to provide community level health data and compare populations, it is important to have stable geographic units and units that are compatible with population data estimates.

While most health data is reported by zip code, zip codes may change at any time throughout the year – making annual aggregated estimates difficult. Additionally, since zip codes may change from one year to the next, comparing zip code data over time may introduce a level of imprecision. Subregional Areas (SRAs) are small, community level geographic units based on census tracts which are stable between census years (i.e. change only every 10 years, if at all). Population estimates are available at this level with high level of accuracy. However, health data for an SRA must be estimated based on reported zip code data.

Types of data available for Geographic Boundaries Zip Codes: Census Tracts: HHSA Region Subregional Area (SRA) Health Services Major Statistical Area (MSA) Region (approximated HHSA Region)

In this document, community level (SRA) data is aggregated to larger regional levels. Currently, Region aggregations based on SRAs closely approximate, but do not directly correspond to HHSA Regions. In order to have more accurate community level data and enable reliable comparisons over time and place, SRA Region aggregations are used in lieu of HHSA Regions. A list of Subregional Areas (SRAs) representing each Region, as well as to zip code, is included at the end of this section.

Other data preparers that provide direct HHSA Region level data may differ slightly from the data presented here; however, any difference would not be expected to impact any decisions related to policy, planning, or resources for any particular area. There are 3 zip codes which are primarily affected by the differences in method of aggregation to Region or HHSA Region (see table below). Again, the only data in this document to which the above information does not apply is the CHIS (California Health Interview Survey) data in the Public Health Data Section. Data in this survey is collected by HHSA Region and cannot be estimated for SRA based Regions.

County of San Diego, Health & Human Services Agency, Public Health Services, Community Health Statistics Unit Page 52 Important Information for Data Users

Methods of Aggregating Data HHSA Community Profiles HHSA REGION Zip Code Subregional Area (SRA) Region North Coastal 92014 Del Mar‐Mira Mesa North Central North Coastal 92091 North San Diego North Inland North Central 92131 Poway North Inland

Harbison Crest/El Cajon Due to data aggregation methods, health data for the Harbison Crest SRA may be misleading. Health data are presented as an aggregate of the two SRAs, Harbison Crest/El Cajon for better data stability and representation of the area.

Rates, Age Adjusted Rates: Understanding Rates and Age Adjusted Rates The public health data in the Community Profiles includes crude rates (from this point forward referred to as rates) for Regional and Subregional (SRA) level data. Additionally, age adjusted rates are provided for County level data in many cases.

For comparison, Healthy People 2020 Targets are included, along with comparable USA and California rates. Many Healthy People 2020 Targets are based on age adjusted rates; these are indicated by “age adjusted population”. When a Healthy People target listed is based on an age adjusted rate, the comparable rates for USA and California are also age adjusted.

A rate is the number of cases divided by the population, usually multiplied by a constant. For example 987 cases, divided by population of 654,321 multiplied by 100,000 would be a rate of 150.8 per 100,000 population. This means for every 100,000 people, 150‐151 cases would be expected.

Calculations of age adjusted rates are slightly more complex. They take into account the age of each case relative to a standard age distribution of a reference population. Recently a new reference population was determined referred to as “2000 US standard population”, previously used was a reference population from 1940. The 2000 US standard population proportions more closely reflect the current age distribution of the entire US population.

Age adjusted rates represent the rates that would be expected if a population of interest had the same age distribution as the standard population. This removes the effect of age when comparing rates to identify risk in a population. This is important in many cases when comparing risk “across populations with different underlying age structures.”1

County of San Diego, Health & Human Services Agency, Public Health Services, Community Health Statistics Unit Page 53 Important Information for Data Users

Since many causes of mortality disproportionately affect older persons, disease mortality is often reported as age adjusted rates. This is the case with many Healthy People 2010 Targets, particularly death rates.

Age adjusted rates are used to compare relative risk (over time or between populations), while removing the effect of differences in the age of a population. Age‐ adjusting shows differences between groups that are not due to differences in age distribution. “Age adjusted rates should be viewed as relative indexes rather than as direct or actual measures” of risk.2

For many users of this data the magnitude of an issue is important, not only the risk outside of age. Often planning and resource needs are based on data. In this case, knowing that a group contains an older population is valid and important for planning for those diseases which affect different aged population sectors.

Additionally, differences may be due to other reasons besides age, such as gender or race/ethnicity. One may want to consider several of these demographic factors when examining a health issue. Each Profile contains demographic data for each Region and SRA, including: age, gender, race/ethnicity distributions, income, occupation, housing, and education data. Many of these factors have been implicated at the roots of health disparities.

1: http://wonder.cdc.gov/wonder/help/ucd.html 2: http://wonder.cdc.gov/wonder/help/faq.html#6

County of San Diego, Health & Human Services Agency, Public Health Services, Community Health Statistics Unit Page 54 Region Subregional Area (SRA) Enclosing Zip Code(s)* Central San Diego 92101, 92102, 92103, 92104, 92134, 92136 Central Mid City 92105, 92115, 92116, 92182 Southeastern San Diego 92113, 92114, 92139 Alpine 91901 El Cajon 92019, 92020 Harbison Crest/El Cajon** 92019, 92020, 92021 Jamul 91917, 91935, 91978 La Mesa 91941, 91942 East Laguna‐Pine Valley 91916, 91931, 91948 Lakeside 92040 Lemon Grove 91945 Mountain Empire 91905, 91906, 91934, 91962, 91963, 91980 Santee 92071 Spring Valley 91977 Coastal 92037, 92093, 92109 Del Mar‐Mira Mesa 92014, 92126, 92130 Elliott‐Navajo 92119, 92120, 92124 North Central Kearny Mesa 92108, 92110, 92111, 92117, 92123 Miramar 92145 Peninsula 92106, 92107, 92140, 92147 University 92121, 92122, 92161 Carlsbad 92008, 92009, 92010, 92011 Oceanside 92054, 92056, 92057, 92058 North Coastal Pendleton 92055, 92672 San Dieguito 92007, 92024, 92067, 92075 Vista 92081, 92083, 92084 Anza‐Borrego Springs 92004, 92036, 92259 Escondido 92025, 92026, 92027, 92096 Fallbrook 92003, 92028 North San Diego 92091, 92127, 92128, 92129 Palomar‐Julian 92066, 92070, 92086, 92536 North Inland Pauma 92059, 92061 Poway 92064, 92131 Ramona 92065 San Marcos 92069, 92078 Valley Center 92082 Chula Vista 91910, 91911 Coronado 92118, 92135, 92155 South National City 91950 South Bay 91932, 92154, 92173 Sweetwater 91913, 91914, 91915 *Zip code(s) to Subregional Areas are defined by the San Diego Association of Governments (SANDAG) and are subject to change at any moment and include enclosing zip codes only. This list is valid for data years 2010 and 2011. **Harbison Crest/El Cajon is an aggregation of the Harbison Crest and El Cajon SRAs. Due to geographical limitations, Harbison Crest is not shown alone. See data guide for more information. Source: San Diego Association of Governments (SANDAG), Zip Code to SRA Crosswalk, October 2012.

County of San Diego, Health & Human Services Agency, Public Health Services, Community Health Statistics Unit Page 55 Data Sources

Data Sources

Health and demographic data are available from a variety of sources, represented by three different categories of data. Population data, such as the census, are collected from the entire population. Sample or survey data are collected from a portion of the population and extrapolated to represent the entire population. Administrative data are collected based on an organization’s day‐to‐day operations, such as the prehospital database. The following data sources were used in the preparation of this report.

American Community Survey (ACS): ACS is a new nationwide survey designed to provide communities a fresh look at how they are changing. It is intended to eliminate the need for the long form in the 2010 Census. The ACS collects information from U.S. households similar to what was collected on the Census 2000 long form, such as income, commute time to work, home value, veteran status, and other important data. Information is available by county.

Emergency Department Data (ED Data): ED data is collected and maintained for most emergency hospitals in San Diego County. ED data elements include patient’s home zip code, demographic information, source of payment, disposition, diagnoses, and procedures performed for all patients treated and discharged from the ED.

HIV/AIDS Reporting System (HARS): HARS is used to report HIV and AIDS cases in San Diego County. HIV reporting began recently (July 2002), has not been evaluated, and therefore is not available for zip code level analysis. The number of AIDS cases is available by zip code if the total is 5 or more.

Hospital Discharge Data: Discharge data is collected and maintained for most inpatient facilities in San Diego County. Discharge data elements include patient’s home zip code, demographic information, source of payment, disposition, diagnoses, and procedures performed for all patients admitted to the hospital for any condition.

Medical Examiner’s Data: The County of San Diego’s Emergency Medical Services (EMS) receives an Investigative Summary and Autopsy for every individual who dies in San Diego County from a traumatic injury. Medical Examiner’s Records contain injury related information, including date and time of injury, incident location, patient home zip code, external cause of injury (ICD‐9 CM Ecode), age, sex, race/ethnicity, vehicle make and type, law enforcement agency and report number, mechanism of injury, and detailed narrative of injuries sustained.

Prehospital Database: The County of San Diego’s Emergency Medical Services (EMS) receives a prehospital patient record (PPR) for every patient seen by a paramedic or emergency medical technician from 911 calls. The PPR contains information including

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demographics, incident zip code location, chief complaint, patient status, injury event information, restraint use, contributing factors, times and outcomes. At this time, only those calls in which a paramedic or EMT made contact with a Mobile Intensive Care Nurse (MICN) at a base hospital are included in this data.

San Diego Association of Governments (SANDAG): SANDAG creates and maintains a tremendous quantity of demographic, economic, land use, transportation, and criminal justice information about the San Diego region. Demographic data includes population characteristics like age, education, and employment. SANDAG develops annual demographic estimates and long range forecasts in addition to maintaining census data files. Data is available by County, SRA, zip code, and census tract.

STD Morbidity Surveillance Data: Data is available for three STDs: chlamydia, gonorrhea and syphilis (primary and secondary). Information on age, gender, and race/ethnicity are available for all 3 diseases. Data is also available at the zip code level, although this data is incomplete.

Statewide Integrated Traffic Record System (SWITRS): SWITRS is traffic collision data collected by the California Highway Patrol. Collisions with personal injury on public roads are included. Detailed information on the circumstances of the crash, drivers, passengers, and other victims are available by incident zip code.

Trauma Registry: EMS receives a Trauma Registry for every trauma patient admitted to any of the designated trauma center hospitals who meets one or more of the following criteria: length of hospitalization of 24 hours or more, death due to traumatic injuries, or transfer to or from another acute care hospital.

Vital Records Data: A birth certificate is required for every live birth in San Diego County; a death certificate is completed for every person who dies in San Diego County. Vital records data includes information on birth (e.g. weight) or death (e.g. underlying and contributing causes of death) and basic demographic information by zip code.

Additional abbreviations used in sources: CDPH – State of California, Department of Public Health CDC – Centers for Disease Control and Prevention CHIP – Community Health Improvement Partners HASD & IC – Hospital Association of San Diego & Imperial Counties NCHS – National Center for Health Statistics NVSS – National Vital Statistics System OSHPD – California Office of Statewide Health Planning and Development

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Glossary of Health Indicator Terms

The following are definitions of health indicator terms for population and service data used in this document, including which databases data comes from (noted in italics). For more information, see Data Sources.

Disease data here represent only principal diagnoses (or underlying cause of death) and do not include secondary diagnoses. Injury data using ICD‐10 coding (death) only uses underlying cause of death; injury data using Ecodes from Emergency Department and Hospital discharges include only primary Ecode (mechanism of injury).

The majority of the data here are reported by location of residence of the subject. Non‐ fatal motor vehicle injury data from SWITRS is reported by location of occurrence; while motor vehicle death data (from Death Statistical Master Files) is reported by location of residence.

Population and Service Data Definitions by Profile:

Non‐Communicable (Chronic) Disease Profile

Arthritis: ICD‐9 codes 95.6, 95.7, 98.5, 99.3, 136.1, 274, 277.2, 287.0, 344.6, 353.0, 354.0, 355.5, 357.1, 390, 391, 437.4, 443.0, 446, 447.6, 696.0, 710‐716, 719.0, 719.2‐ 719.9, 720‐721, 725‐727, 728.0‐ 728.3, 728.6‐728.9, 729.0‐729.1, and 729.4. Hospital, Emergency Department.

Asthma: ICD‐9 code 493; ICD‐10 codes J45‐J46. Death, Hospital, Emergency Department.

Cervical Cancer: ICD‐10 code C53. Death.

Colorectal Cancer: cancer of the colon, rectum or anus, ICD‐10 codes C18‐C21. Death.

Chronic Obstructive Pulmonary Disease (COPD): ICD‐9 codes 490‐492, 496; ICD‐10 codes J40‐J44. Death, Hospital, Emergency Department.

Coronary Heart Disease: ischemic and hypertensive heart disease, ICD‐9 codes 402, 410‐414, 429.2; ICD‐10 codes I11, I20‐I25. Death, Hospital, Emergency Department.

Cardiac Provider Impressions: cardiac chest pain, congestive heart failure, palpitations and STEMI (st‐elevation myocardial infarction). Prehospital (911).

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Diabetes: diabetes mellitus, includes insulin‐dependent and non‐insulin dependent diabetes, ICD‐9 code 250; ICD‐10 codes E10‐E14. Death, Hospital, Emergency Department.

Diabetes Provider Impressions: hypoglycemia. Prehospital (911).

Dorsopathy: ICD‐9 codes 720‐724. Hospital, Emergency Department.

Female Breast Cancer: ICD‐10 code C50. Death.

Lung Cancer: cancer of the trachea, bronchus or lung, ICD‐10 codes C33‐C34. Death.

Overall Cancer: ICD‐10 codes C00‐C97. Death.

Parkinson’s Disease: ICD‐9 codes 332.0 – 332.9. Hospital, Emergency Department.

Prostate Cancer: ICD‐10 code C61. Death.

Respiratory‐Related Provider Impressions: asthma, chronic obstructive pulmonary disease (COPD) and respiratory distress. Prehospital (911).

Stroke: cerebrovascular disease, ICD‐9 codes 430‐438; ICD‐10 codes I60‐I69. Death, Hospital, Emergency Department.

Stroke Provider Impressions: cerebrovascular accident (CVA), CVA onset within 2 hours, or CVA onset within 3 hours. Prehospital (911).

Communicable Disease

AIDS Incidence: new cases reported by providers* to County Public Health Services, cases need not be investigated and confirmed, see CDC clinical case definition. HIV/AIDS Reporting System.

Chlamydia Incidence: new cases reported by providers* to County Public Health Services, cases need not be investigated and confirmed, see CDC clinical case definition. For estimated Chlamydia (Regional Tables), cases with unknown residence are statistically distributed to Regions to better estimate Regional needs. SRA Tables do not include a substantial number of cases reported in San Diego County, due to cases with unknown residence. Approximately 30%, or 2500 Chlamydia cases per year, are missing residence data. Chlamydia numbers are underestimated at the SRA level. STD Reporting.

Chronic Hepatitis C: cases reported by providers* to County Public Health Services, see CDC clinical case definition. Hepatitis Reporting.

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Gonorrhea Incidence: new cases reported by providers* to County Public Health Services, cases need not be investigated and confirmed, see CDC clinical case definition. For estimated Gonorrhea, cases with unknown residence are statistically distributed to Regions to better estimate Regional needs. SRA Tables do not include a substantial number of cases reported in San Diego County, due to cases with unknown residence. Approximately 30%, or 600 gonorrhea cases per year, are missing residence data. Gonorrhea numbers are underestimated at the SRA level. STD Reporting.

HIV Incidence: new cases reported by providers* to County Public Health Services, cases need not be investigated and confirmed, see CDC clinical case definition. HIV/AIDS Reporting System.

Influenza: ICD‐9 codes 487‐488; ICD‐10 codes J10‐J11. Death, Hospital, Emergency Department.

Pneumonia: ICD‐9 codes 480‐486; ICD‐10 codes J12‐J18. Death, Hospital, Emergency Department.

Primary and Secondary Syphilis: new cases reported to and confirmed by County Public Health Services, see CDC clinical case definition. STD Reporting.

Tuberculosis (TB) Incidence: new active cases reported to and confirmed by County Public Health Services, see CDC clinical case definition. TB Registry.

Injury

Active Restraint Use: those injured in motor vehicle crashes occurring on public roads where active restraints were used. Rates are calculated amongst those whose status of restraint use/non‐use was known. Data applies to those ages 6 years and older. Data is by location of occurrence. SWITRS.

Alcohol‐involved Motor Vehicle Crashed: those injured in motor vehicle crashes occurring on public roads where alcohol was involved. The drinking driver need not be injured and need not be declared at fault, nor tested for being under the influence of alcohol. Data is by location of occurrence. SWITRS.

Assault Injury: injuries that are intentionally inflicted by another, ICD‐9 codes E960‐ E969. Hospital, Emergency Department.

Child Restraint Use: those injured in motor vehicle crashes occurring on public roads where child restraints were used. Rates are calculated amongst those whose status of

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restraint use/non‐use was known. Data applies to those ages 0‐5 years. Data is by location of occurrence. SWITRS.

Dental‐related: injury as well as non‐injury medical/dental primary diagnoses, ICD‐9 codes 521‐523, 525.3, 525.9, 873.63, 873.73. Emergency Department.

Drinking Drivers Motor Vehicle Crashes: drivers noted as drinking, involved in motor vehicle crashes occurring on public roads with injury to any party. The drinking drivers need not be injured and need not be determined to be at fault nor impaired. Data is by location of occurrence. SWITRS.

Drowning: Accidental drowning and submersion, including those caused by accident to watercraft or related to water‐transport, ICD‐10 codes W65‐W74, V90, V92. Death.

Exposure to smoke, fire or flame: ICD‐10 codes X00‐X09. Death.

Fall‐related: accidental falls, ICD‐9 Ecodes E880‐E886, E888; ICD‐10 codes W00‐W19. Death, Hospital, Emergency Department.

Firearm‐related: all intents, ICD‐9 Ecodes E922, E955.0‐E955.4, E965.0‐E965.4, E970, E985.0‐E985.4; ICD‐10 codes W32‐W34, X72‐X74, U01.4, X93‐X95, Y22‐Y24, Y35.0. Death, Hospital, Emergency Department.

Hip Fractures: ICD‐9 code 820; ICD‐10 code S72. Death, Hospital, Emergency Department.

Homicide: deaths that are intentionally inflicted by another, ICD‐10 codes U01‐U02, X85‐Y09, Y87.1. Death.

Motor Vehicle Injury: unintentional injury of anyone involved in a motor vehicle crash (collision or non‐collision) on a public road, including occupants, pedestrians, and cyclists, ICD‐9 Ecodes E810‐819; ICD‐10 codes V30‐V39 (.4‐.9), V40‐V49 (.4‐.9), V50‐V59 (.4‐.9), V60‐V69 (.4‐.9), V70‐V79 (.4‐.9), V81.1, V82.1, V83‐V86 (.0‐.3), V20‐V28 (.3‐.9), V29 (.4‐.9), V12‐V14 (.3‐.9), V19 (.4‐.6), V02‐V04 (.1, .9), V09.2, V80 (.3‐.5), V87 (.0‐.8), V89.2. Death, Hospital.

Overdose/Poisoning: all intents, ICD‐9 Ecodes E850‐E869, E950‐E952, E962, E972, E980‐ E982; ICD‐10 codes X40‐X49, X60‐X69, X85‐X90, Y10‐Y19, Y35.2, Y40‐59, Y60‐69, U01.6‐ U01.7. Death, Hospital, Emergency Department.

Pedalcycle Injury: unintentional injury of persons using pedal‐driven vehicles involved in motor vehicle crashes on public roads. SWITRS.

Pedestrian Injury attributed to Motor Vehicle Accidents: unintentional injury of pedestrians involved in motor vehicle crashes on a public road, ICD‐9 codes E810‐

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819(.7); ICD‐10 codes V02‐V04 (.1, .9), V09.2. Death, Hospital, Emergency Department, SWITRS.

Self‐inflicted Injury: injuries that are intentionally inflicted by self, ICD‐9 Ecodes E950‐ E959. Hospital, Emergency Department.

Suicide: deaths that are intentionally inflicted by self, ICD‐10 codes U03, X60‐X84, Y87.0. Death.

Total Motor Vehicle Accident Injuries: those injured in motor vehicle crashes occurring on public roads; injured may be cyclists, pedestrians or occupants of motor vehicles (such as cars, trucks, or buses). Data here is based on injuries involving a motor vehicle in transport (in motion or readiness for motion) and is not defined by ICD codes of collision or non‐collision. Data is by location of occurrence. SWITRS.

Unintentional Injury: ICD‐9 Ecodes E800‐E869, E880‐E929; ICD‐10 codes V01‐X59, Y85‐ Y86. This generalized unintentional injury may overlap with specific indicators below, such as drowning, smoke/fire, suffocation, falls, motor vehicle or pedestrian deaths, as well as the unintentional portion of overdose/poisoning and firearm injuries. Death, Hospital, Emergency Department.

Unintentional Suffocation: ICD‐10 codes W75‐W84. Death.

Maternal & Child Health

Early Prenatal Care: care beginning during the 1st trimester of pregnancy. Rates (%) are calculated amongst those births whose start time of prenatal care is known (i.e. those whose start time of care is unknown or missing are excluded from the denominator). MCFHS.

Fetal mortality: number of deaths of fetuses at least 20 complete weeks gestation per 1,000 live births and fetal deaths. MCFHS.

Infant mortality: number of deaths of infants under one year of age per 1,000 live births. MCFHS.

Live Birth: a product of conception, which after complete expulsion or extraction from the mother, breathes or shows any other evidence of life. This is not synonymous with the term “pregnancy”, which can result in a miscarriage, fetal death, induced abortion or live birth. MCFHS.

Low birth weight: birth weight less than 2,500 g (approximately 5lbs, 8oz). MCFHS.

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Maternal Complications: ICD‐9 codes 641, 642.0‐642.7, 642.9, 643.2, 646.2, 646.6, 646.7, 648.0, 648.5, 648.6, 648.8, 658.4, 659.2, 659.3, 664.2, 664.3, 664.5, 665.0‐665.9, 666, 668, 669.0‐669.4, 670, 671.3‐671.5, 672, 673, 674.0‐674.3, 674.50‐674.54, 674.8‐ 674.9. Hospital, Emergency Department.

Preterm birth: birth prior to 37 completed weeks of gestation. MCFHS.

Sudden Infant Death Syndrome: the sudden death of an infant less than 1 year of age that cannot be explained after a thorough investigation is conducted, including a complete autopsy, examination of the death scene, and a review of the clinical history. Death.

Very low birth weight: birth weight less than 1,500 g (approximately 3lbs, 5oz). MCFHS.

Behavioral Health

Acute Alcohol‐Related Disorders: ICD‐9 codes 291, 305.0, 980.0. Emergency Department.

Acute Substance‐Related Disorders: ICD‐9 codes 292, 305.2‐305.9. Hospital, Emergency Department.

Alzheimer’s Disease: ICD‐9 code 331; ICD‐10 code G30. Death, Hospital, Emergency Department.

Anxiety Disorders: ICD‐9 codes 293.84, 300, 308, 309.81, 313.00‐313.22, 313.3, 313.83‐ 313.84. Hospital, Emergency Department.

Attention‐Deficit, Conduct, and Disruptive Behavior: ICD‐9 codes 312.00‐312.23, 312.4, 312.8,312.9, 313.81, 314. Hospital, Emergency Department.

Chronic Alcohol‐Related Disorders: ICD‐9 code 303. Hospital, Emergency Department.

Chronic Substance‐Related Disorders: ICD‐9 code 304. Hospital, Emergency Department.

Dementia: ICD‐9 code 290; ICD‐10 codes F10, F03. Death, Hospital, Emergency Department.

Developmental Disorders: ICD‐9 codes 307.0, 307.9, 315, 317‐319, V40.0‐V41.0. Hospital, Emergency Department.

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Disorders Usually Diagnosed in Infancy, Childhood, or Adolescence: ICD‐9 codes 299, 307.2, 307.3, 307.6, 307.7, 309.21, 313.23, 313.89, 313.9. Hospital, Emergency Department.

Impulse Control Disorder: ICD‐9 code 312.3. Hospital, Emergency Department.

Mood Disorders: ICD‐9 codes 293.83, 296, 300.4, 311. Hospital, Emergency Department.

Overdose/Poisoning: all intents, ICD‐9 Ecodes E850‐E869, E950‐E952, E962; ICD‐10 codes X40‐X49, X60‐X69, X85‐X90, Y10‐Y19, Y35.2, Y40‐59, Y60‐69, U01.6‐U01.7. Death, Hospital, Emergency Department.

Personality Disorders: ICD‐9 code 301. Hospital, Emergency Department.

Schizophrenia and Other Psychotic Disorders: ICD‐9 codes 293.81, 293.82, 295, 297, 298. Hospital, Emergency Department.

Self‐inflicted Injury: injuries that are intentionally inflicted by self, ICD‐9 Ecodes E950‐ E959. Hospital, Emergency Department.

Suicide: deaths that are intentionally inflicted by self, ICD‐10 codes U03, X60‐X84, Y87.0. Death.

* Providers may refer to health care providers (e.g. physicians, nurses, or hospital administrators), laboratories, or school administrators who are legally mandated to report diseases indicated in CCR, Title 17, sections 2500, 2508, and 2505.

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For more information, contact the Community Health Statistics Unit:

Alicia Sampson, Epidemiologist Leslie Upledger Ray, Senior Epidemiologist Community Health Statistics Located at Emergency Medical Services 6255 Mission Gorge Road, San Diego, CA 92120 [email protected] [email protected]

www.SDHealthStatistics.com

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