National Violent Death Reporting System (NVDRS) 2006 Update National Association of Public Health Statistics and Information Systems Annual Meeting June 7, 2006 Leroy Frazier, Jr., MSPH, CHES Etiology and Surveillance Branch Division of Violence Prevention National Center for Injury Prevention and Control Centers for Disease Control and Prevention

NVDRS Funding $3.34 million appropriated for NVDRS in the FY 2006 federal budget. No new funds appropriated. Senators Arlen Spector and Tom Harbin have requested a $5 million set-aside in the CDC FY 07 budget for the expansion of NVDRS.

NVDRS States as of June, 2006 FY 02 (6 states) FY 03 (7 states) FY 04 (4 states) CA funded to collect data in 4 counties

Importation of Data All vital records related data elements can be imported into the database (incorporated in 2004) Ability to import coroner/medical examiner data was added in 2005 Ability to import law enforcement data is planned for January 2007 software update release

Availability of NVDRS Data Public Use Dataset (PUD) is scheduled to be available Summer of ’06 (will include data for 2003 and 2004) Currently developing a data query system similar to CDC WISQARS - scheduled to be complete by Spring ’08 Preliminary data will be available 9 months after the data year and final analysis files will be available 21 months after the data year starting with the 2006 data year.

Preliminary NVDRS Results Frequency2004*2005 # of States included in analysis1317 # of Incidents # of Deaths # of Live Suspects (NVDRS, as of March 2006) *Approximately ¾ of preliminary data for 2005 has been entered

Preliminary NVDRS Results: Manner of Death; 13 states, 2004, N=13 For 44 cases Abstractor Assigned Manner of death is missing, mostly pending cases. (NVDRS, as of March 2006)

Preliminary NVDRS Results: Selected Manner* by State; 2004, 13 states State Suicide Homicide Undetermined # % # % # % AK % %188.3 % CO % % % GA % % % MD % % % MA % % % NJ % %40.4 % NC % %402.3 % OK % % % OR % % % RI % % % SC % %374.1 % VA % %795.9 % WI % %667.5 % Total % % % (NVDRS, as of March 2006) * NVDRS Abstractor Assigned Manner of Death

Data element and categories All cases (N=14,215) Homicides (N=3,924) Suicides (N=7,729) #%#%#% Person Type (CDC) Victim Suspect/Victim % 1.2% % 0.3% % 1.9% Sex (CDC) Male Female Unknown % 23.5% 0.1% % 23.1% 0.0% % 21.7% 0.0% Race (CDC) White African-American American Indian Asian/Pacific Islander Other/Unknown % 22.5% 1.7% 1.4% 0.8% % 53.0% 1.7% 1.3% 1.0% % 7.8% 1.6% 0.5% Hispanic Origin (CDC) Yes No Unknown % 92.2% 1.6% % 87.2% 1.3% % 95.4% 0.8% (NVDRS, as of March 2006) Preliminary Results: Deaths; 2004, 13 states

Data element and categories All cases (N=14,215) Homicide (N=3,924) Marital status (CDC) Married Never married Widowed Divorced Married, but separated Single, NOS* Unknown 30.2% 44.4% 5.2% 18.3% 0.3% 0.2% 1.5% 21.0% 62.5% 3.4% 11.4% 0.2% 1.5% Homeless (CDC) Yes1.3%1.4% Pregnant at time of death (Females) (CDC) Yes60 cases32 cases Preliminary Homicide Results: Deaths; 2004, 13 states (NVDRS, as of March 2006) *NOS = not otherwise specified

Data element and categories All Cases (N=14,215) Homicide (N=3,924) Place of injury (CDC) House/apartment Street/road Natural area Motor vehicle Other Unknown 65.1% 9.4% 3.3% 4.3% 12.7% 5.3% 50.0% 24.1% 2.0% 6.1% 14.9% 3.0% At/during work (CDC) Yes1.3%2.8% Alcohol use suspected ( CME) Yes27.5%27.7% CME Circumstances knownYes73.6%55.5% Preliminary Homicide Results: Injury event; 2004, 13 states (NVDRS, as of March 2006)

Data element and categories # % (n varies) Unknown (N=7,729) Person Type (CDC) Victim Suspect/Victim 7, % 1.9% 0 Marital status (CDC, n=7,665) Married Never married Widowed Divorced Married, but separated Single, not further specified % 33.0% 6.8% 21.8% 0.3% 0.1% 64 (0.9%) Immigrant status (CDC, n=7,289) Born in USA Born outside of the USA % 5.6% 440 (5.7%) Preliminary Suicide Results: Decedent; 2004, N=7,729, 13 states (NVDRS, as of March 2006)

Data element and categories # % (n varies) Unknown (n=7,729) Pregnancy status (CDC data for females, n=1676) Pregnant at death, 1yr/NOS Not pregnant 1 year before Not pregnant, NOS % 78.5% 16.6% 1188 (70.9%) Veteran status (DC data, n=6,862) Yes No % 76.6% 867 (11.2%) Years of education (CDC, n=2,092) Some high school or lower High school graduate Undergraduate degree Higher than undergrad degree % 42.1% 26.6% 5.5% 5637 (72.9%) Homeless (CDC, n=7,050) Yes No % 99.2% 679 (8.8%) Preliminary Suicide Results: Decedent; 2004, N=7,729, 13 states (NVDRS, as of March 2006)

Data element and categories # % (n varies) Unknown (N=7,729) Alcohol use suspected (CME, n=5,530) Yes No Not applicable % 62.0% 2.1% 1667 (21.6%) At/during work (CDC, n=7,657) Yes No Not applicable % 98.3% 0.9% 72 (0.9%) At home (CDC, n=7,279) Yes No % 26.9% 450 (5.8%) Place of injury (CDC, n=7,556) House/apartment Natural area Motor vehicle Other % 4.0% 7.5% 12.5% 173 (2.2%) Preliminary Suicide Results: Injury event; 2004, N=7,729, 13 states (NVDRS, as of March 2006)

Publications MMWR regarding 2004 data NVDRS Supplement for the Journal, Injury Prevention

Future Plans for NVDRS Work with NAPHSIS to include NVDRS in the Inter- Jurisdictional Exchange Agreement Work with NAPHSIS to better understand the potential implications of the Intelligence Reform Act. Finalize and disseminate NVDRS Five Year Strategic Plan Incorporation into Public Health Information Network (PHIN) Development of an IPV module. Eventually fund all 50 states, District of Columbia and territories, assuming funding is available.

For Additional Information, Contact: Leroy Frazier, Jr., MSPH, CHES NVDRS Program Manager (770)