1. VITAL STATISTICS ANALYSIS RESULTS FENGQING (ZOE) ZHANG COMMUNITY HEALTH INTERN 2012

2. MOTIVATION Analyze the vital records database Identify trends related to causes of death Compare Evanston data to other similarly communities and national figures Assist with addressing the health needs of the community

3. OBJECTIVES Represents City of Evanston Vital Records data: on deaths, death rates, age-adjusted rates, and leading causes of death for calendar years 2008 and 2009 characteristics (age, sex, race, and Hispanic origin)

4. NUMBERS VERSUS RATES Numbers: determine the burden of a health problem in a community; takes the population size into account Death rates: number of vital events/ number of people at risk of these events; accounts for differences in population characteristics Age-adjusted rates: death rates increase with increasing age; allow comparisons between different areas and over various periods of time;

5. TRENDS IN NUMBERS AND RATES FOR EVANSTON Number of Deaths for 2009: 947 Number of Deaths for 2008: 960 Evanston death rate of 1216.15, (5.6 percent lower than the rate of 1288.09 in 2008) Age-adjusted death rate of 1064.08, 18.8 percent lower than the 2008 rate of 1309.94

6. SIGNIFICANT CHANGES IN AGE-RELATED DEATH RATES The relative magnitudes of significant changes in age-adjusted death rates by sex and race are: Males (18.9 percent decrease); Females (15.8 percent decrease) White males (39.3 percent decrease); White females ( 38.9 percent decrease) Black males (21.1 percent decrease); Black females (19.8 percent increase)

7. The magnitude of the significant changes in mortality for Evanston by age group is: Under 5 year (49.9 percent decrease) 5-14 years (180 percent increase) 15-24 years (1.9 percent decrease) 25-34 years (2.5 percent increase) 35-44 years (4.7 percent decrease) 45-54 years (3.8 percent decrease) 55-64 years (6.7 percent decrease) 65-74 years (4.2 percent decrease) 75-84 years (13.4 percent increase) 85 years and over (55.9 percent decrease)

8. the causes of death, ICD-9, by the World Health Organization group ICD codes into more general categories the National Center for Health Statistics provides one of the most commonly used classification systems, grouped into 73 separate groups for ICD-9 Causes of death

9. CAUSES OF DEATH The leading causes of death for Evanston in 2009 remained the same as in 2008 for the 12 leading causes although several causes exchanged ranks 1 Diseases of the heart 2 Malignant neoplasms 3 Pneumonia and Influenza 4 Nephritis, nephrotic syndrome and nephrosis 5 Symptoms, signs and ill-defined conditions 6 Accidents and adverse effects 7 Diabetes mellitus 8 Chronic obstructive pulmonary diseases and allied conditions 9 Cerebrovascular diseases 10 Congenital anomalies 11 Suicide 12 Alzheimer disease

10. From 2008 to 2009, the death rate for Evanston declined significantly for 4 of the 12 leading causes of death: Accidents and adverse effects (21.5 percent) Chronic obstructive pulmonary diseases and allied conditions ( 60 percent) Congenital anomalies ( 33.7 percent) Alzheimer disease ( 36.2 percent) Causes of death The death rate for Evanston increased significantly from 2008 to 2009 for six leading causes: Diseases of the heart ( 8.8 percent) Malignant neoplasms ( 2.1 percent) Nephritis, nephrotic syndrome and nephrosis ( 47.4 percent), Symptoms, signs and ill-defined conditions ( 19.8 percent), Cerebrovascular diseases ( 101 percent), and Suicide ( 67.5 percent). The observed changes in the death rates for Evanston from 2008 to 2009 were not significant for Pneumonia and Influenza, and Diabetes mellitus.

11. Look at immediate death cause 428 ( Heart Failure ) at different age, education level, race and gender for Evanston

12. (Heart Failure)

13. 1Not applicable 28 th grade or less 39th – 12 th grade, no diploma 4High school graduate or GED completed 5Some college credit but no degree 6Associate degree (eg AA, AS) 7Bachelor’s degree (eg BA, AB, BS) 8Master’s degree (eg MA, MS, M Eng, Med, MSW, MBA) 9Doctorate degree (eg PHD, EdD) or Professional degree (eg MD, DDS, DVM, LLB, JD) 99Unknown (Heart Failure)

14. Missing Values:99 1White/Caucasian 2Black/ African American 3American Indian or Alaska native 4Asian Indian 5Japanese 6Native Hawaiian 7Chinese 8Korean 9Guamanian or Chamorro 10Filipino 11Vietnamese 12Samoan 13Other Asian (Hmong, Pakistani, Laotian, Thai, Cambodian etc) 14Other Pacific Islander (Fijian, Togan etc) 15Some other race 99Unknown (Heart Failure)

15. SUMMARY present Evanston vital records data on deaths, death rates, age-adjusted rates, and leading causes of death for calendar years 2008 and 2009 by selected characteristics such as age, sex, race, and Hispanic origin