2014 Injury and Violence Assessment Update CLAY COUNTY PUBLIC HEALTH CENTER Injury and Violence Assessment Update Clay County, Missouri Health Planning and Policy Section 2014 1 800 H A I N E S D RIVE , L I B E R T Y MO 64068 2014 Injury and Violence Assessment Update 2014 Injury and Violence Assessment Update Summary There was significant increase in the general trend of deaths due to unintentional injuries among Clay County residents from 1991-2012.1 The leading causes of injuries in Clay County continue to be fall/jump; struck by/against; all other injuries; over-exertion; and motor vehicle traffic (2006-2012).3 Fall trends in Clay County o There was significant increase in the general trend of deaths due to falls among Clay County residents from 1991-2012. o There was significant increase in the general trend of emergency room visits due to falls among Clay County residents from 1991-2012.1 Motor vehicle crash trends in Clay County o There was significant decrease in the general trend of deaths due to motor vehicle traffic among Clay County residents from 1991-2012. o There was significant decrease in the general trend of hospitalizations due to motor vehicle traffic among Clay County residents from 1991-2012. 1 Poisoning trends in Clay County o There was significant increase in the general trend of deaths due to poisoning with drugs/alcohol among Clay County residents from 1991-2012. o There was significant increase in the general trend of hospitalizations due to poisoning with drugs/alcohol among Clay County residents from 1991-2012. o There was significant increase in the general trend of emergency room visits due to poisoning with drugs/alcohol among Clay County residents from 1991-2012. o There was significant decrease in the general trend of emergency room visits due to poisoning with gas/cleaner/caustic Clay County residents from 1991-2012. 1 Self-Inflicted Injury trends in Clay County o There was significant increase in the general trend of deaths due to self-inflicted injuries among Clay County residents from 1991-2012. o There was significant increase in the general trend of hospitalizations and emergency room visits due to self-inflicted injuries among Clay County residents from 1994-2012. 2 2014 Injury and Violence Assessment Update o There was significant increase in the general trend of emergency room visits due to self-inflicted injuries among Clay County residents ages 15-19 years old from 1994-2012. o There was significant increase in the general trend of emergency room visits and hospitalizations due to self-inflicted injuries among Clay County residents in the 20-34 years and 35-64 years age groups from 1994-2012.23 Assault Injury trends in Clay County o There was significant increase in the general trend of hospitalizations and emergency room visits due to assault injuries among Clay County residents from 1994-2012. o There was significant increase in the trend of emergency room visits due to assault injuries: cut-pierce; and adult abuse among Clay County residents from 1994-2012.29 3 2014 Injury and Violence Assessment Update Previous Assessment Updated Current Missouri Current U.S. Direction Measure of County Notes Clay County Data Clay County Data Data Data Trend Unintentional Injuries Deaths due to 1999-2009: 2001-2011: 2001-2011: 2000-2010: Note that data from unintentional 38/100,0001p 40.3/100,0001 46.77/100,0001 38.02/100,0002 previous assessment and update overlap injuries in years. Trend is 3 3 2007: 44.9/100,000 2012: 39.3/100,000 2012: 48.1/100,000 from 2002-2012 2008: 47.7/100,000 Unintentional Injury 2009: 36.5/100,000 Profile. Death 2010: 41.5/100,000 MICA data includes 2011: 37.1/100,0004p “motor vehicle accidents” “all other accidents” and SIDS. 15 Leading 2007-2011 2012 2012 2011 Please note, the Causes of Death 1. Cancer 1. Cancer 1. Heart Disease 1.Diseases of heart five year range in Clay County 2. Heart Disease 2. Heart Disease 2. Cancer 2. Malignant for previous for all Ages 3. Other diseases 3. Other diseases 3. Other diseases Neoplasms assessment and (residual) (residual) (residual) 3. Chronic lower one year data 4. Chronic lower 4. Chronic lower 4.Chronic lower respiratory disease for this 4. Cerebrovascular respiratory diseases respiratory diseases respiratory diseases assessment. disease 5.Cerebrovascular 5. All other accidents 5. Cerebrovascular 5. Unintentional disease (stroke) and adverse effects disease (stroke) Injury 6. All other accidents 6. Cerebrovascular 6. All other accidents 6. Alzheimer’s and adverse effects disease (stroke) and adverse effects Disease 7. Alzheimer’s disease 7. Alzheimer’s disease 7. Alzheimer’s 7. Diabetes 8. Pneumonia and 8. Diabetes disease Mellitus influenza 9. Other digestive 8. Diabetes 8. Influenza & 9. Kidney disease disorders 9. Kidney disease Pneumonia 10. Diabetes 10. Suicide 10. Pneumonia and 9. Nephritis 11. Other digestive 11. Kidney disease influenza 10. Suicide 11. Septicemia 4 2014 Injury and Violence Assessment Update Previous Assessment Updated Current Missouri Current U.S. Direction Measure of County Notes Clay County Data Clay County Data Data Data Trend disorders 12. Pneumonia and 11. Other digestive 12. Chronic liver 12. Suicide influenza diseases disease and 13. Other infections 13. Motor vehicle 12. Suicide cirrhosis and parasites accidents 13. Motor vehicle 13. Essential 14. Chronic liver 14. Other major accidents hypertension and hypertensive renal disease and cirrhosis cardiovascular disease 14. Septicemia disease 15. Pneumonitis due to 15. Chronic liver 15. Other respiratory 4p 3 3 14. Parkinson’s solids and liquids disease and cirrhosis diseases disease 15. Pneumonitis due to solids and liquids5 Years of potential 2010: 2012: 2012: 2010 Unintentional injuries 4 4 are a leading cause of life lost before 3,346 YPLL 3,975 YPLL 118,328 YPLL Before age 65 premature mortality. age 75 years due 2011: 3,495,389 YPLL calculated with 4p deaths from “motor to injuries 3,018 YPLL vehicle accidents,” suicide, homicide, “all other accidents” and SIDS. Since YPLL is Unintentional a calculation using counts, not rates, Injury 2,083,297 YPLL YPLL cannot be compared between county, state, and Suicide nation. 764,776 YPLL Homicide 522,701 YPLL6 Emergency 2009: 93/1,000 2011: 87.3/1,0007 2011: 92.6/1,0007 2010: 125/1,0008 Please note, state and 7p county data is from a Room visits due 2010: 91.6/1,000 different database than to national data, so these measures may not be injuries/poisoning comparable. 5 2014 Injury and Violence Assessment Update Previous Assessment Updated Current Missouri Current U.S. Direction Measure of County Notes Clay County Data Clay County Data Data Data Trend Hospitalizations 2009: 108.9/10,000 2011: 109.8/10,0009 2011: 104/10,0009 2012: U.S. data are from due to injury and 2010: 116/10,0009p 71.405/10,000 Nonfatal Injury 10 WISQUARS may poisoning (nonfatal) not be comparable to local and state data. Annual cost of 2008: $63,143,615 2011: $79,245,07730 2011: $2,649,54225 30 2005: National data are for 11 medical costs for hospitalizations 2009: $67,330,079 $40,479,375,000 11p nonfatal injuries and injuries and 2010: $79,974,794 all mechanisms of poisoning injury. Leading causes of 2006-2010 2011 2011 2012 National data are 1. Fall/jump: 2,932.7/100,000 1. Fall/jump: 2,841.4/100,000 1. Fall/jump: 2,804.9/100,000 1. Unintentional Fall for 10 leading injuries 2. Struck by/against: 2. Struck by/against: 2. Struck by/against: 2. Unintentional struck 1,604.2/100,000 1,464.5/100,000 1,453.1/100,000 by/against causes of 3. All other injuries: 3. All other injuries: 3. All other injuries: 3. Unintentional nonfatal injuries 1,081.3/100,000 1,133.5/100,000 1,370.9/100,000 overexertion treated in 4. Over-exertion: 4. Over-exertion: 4. Motor vehicle traffic: 4. Unintentional hospital 1057.1/100,000 896.9/100,000 956.7/100,000 MV-Occupant Emergency 5. Motor vehicle traffic: 5. Motor vehicle traffic: 5. Over-exertion: 5. Unintentional 966.5/100,000 846.5/100,000 774/100,000 cut/pierce Departments. 6. Cut/pierce: 6. Cut/pierce: 6. Cut/pierce: 6. Unintentional Other Please note that 815.4/100,000 713.4/100,000 772.1/100,000 specified the previous 7. Weather/wildlife: 7. Weather/wildlife: 7. Weather/wildlife: 7. Other Assault, struck assessment 371.1/100,000 366.7/100,000 485.9/100,000 by/against 8. Poison/overdose 8. Poison/overdose 8. Poison/overdose 8. Unintentional Other included 299.2/100,000 287.5/100,000 305.3/100,000 Bite/Sting overlapping 9. Motor vehicle-Non traffic: 9. Motor vehicle-Non traffic: 9. Motor vehicle-Non traffic: 9. Unintentional years. 219.7/ 100,000 198.2/ 100,000 239.2/ 100,000 Poisoning 10. Fire/burn: 10. Fire/burn: 10. Fire/burn: 10. Unintentional 149.1/100,000 117.2/100,000 151.8/100,000 Unknown/Unspecified13 11. Unknown 11. Abuse/Neglect/ 11. Unknown 48.2/100,000 Rape: 59.7 /100,000 83.2/100,000 12. Abuse/Neglect/ 12. Unknown 12. Abuse/Neglect/ Rape: 48.1/100,000 47.8/100,000 Rape: 56.6/100,000 13.Machinery: 13.Machinery: 13. Machinery: 40.7/100,000 42.8/100,000 46.5/100,000 6 2014 Injury and Violence Assessment Update Previous Assessment Updated Current Missouri Current U.S. Direction Measure of County Notes Clay County Data Clay County Data Data Data Trend 14.