Ten leading causes of death among Hawaii residents, by age group, <1 1-14y 15-24y 25-34y 35-44y 45-54y 55-64y 65+y all ages

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1 INJURY - A MAJOR PUBLIC HEALTH PROBLEM IN HAWAII Injuries are responsible for more deaths of children and young adults in Hawaii from age one through age 0 years than all other causes combined, including heart disease, stroke and cancer. Among residents of all ages, injury is the third leading cause of death, behind only heart disease and cancer, but ahead of cerebrovascular disease, influenza and, and diabetes. Although the greatest impact of injury is in human suffering, the financial cost is staggering - medical treatment for generates nearly $90 million in hospital charges each year in Hawaii. Mortality statistics do not convey the full extent of the injury problem, however. Fatal represent less than % of all requiring medical attention. Although fatal are the most severe, the vast majority of are non-fatal, and in some respects, have much greater public health implications. On an average week in Hawaii residents die from an injury, another 09 are hospitalized and nearly,00 others are treated in emergency departments. Injuries, however, are not accidents. They are neither random nor uncontrollable. Injuries are understandable, predictable and preventable. The first step in understanding and preventing is to collect and analyze data. Answers to questions like How serious is the problem?, Who has the problem? and What are the circumstances under which it occurs? help determine the answers to questions such as What causes it? and What can we do about it? Ten leading causes of death among Hawaii residents, by age group, 00-0 < -y -y -y -y -y -y +y all ages Perinatal conditions 90 Congenital anomalies Sudden infant death synd. Other resp. diseases Acute bronchitis 0 Congenital anomalies Congenital anomalies 0 9 and cirrhosis Septicemia Other resp. diseases and cirrhosis 9 9 Other infectious diseases 0 / Perinatal Septicemia/ Chronic low. other conditions other s grouped as recommended by National Center for Health Statistics (http://www.cdc.gov/nchs/data/nvsr/nvsr/nvsr_.pdf). Other circ. diseases 0 and cirrhosis 0 0 Chronic low.,,0 9 9 and cirrhosis 00 Chronic lower Nephritis, nephrotic synd 9 9,9,9,0, Chronic lower, Alzheimer's disease,99 9 Nephritis, nephrotic synd. 9 Other resp. diseases,,,0,, Chronic lower,9, Alzheimer's disease,09 Nephritis, nephrotic synd.,0 90

2 Leading Causes of Injury Mortality and Morbidity among Hawaii residents, 00-0 Cause # % Cause # % Cause # % % Falls, % Falls, 0% Falls % Car occupant % Striking, % Poisoning 0 % attempt/ % Cut/pierce, 0% self-inflicted Car occupant 9 % Assault 0 % Overexertion,009 9%, % Drowning % Motorcyclist 0 % Natural/ environmental Pedestrian % Poisoning 0 % Assault, % Motorcyclist 9 % Striking % Car occupant, % Assault % Pedestrian % Bicyclist, % 9 Suffocation % Bicyclist 0 % Motorcyclist,0 % 0 Fire/burn % Overexertion % Fire/burn,0 % all other % all other % all other,0 % Annual total 9 Annual total, Annual total,9 Non-residents comprised 0% of the victims killed by in the state, 9% of those hospitalized, and 9% of those treated in emergency departments. Average annual number of deaths, from 00-0 death certificates. For underlying cause of death in the ICD-0 code series: V0-Y, Y-Y, Y9, and U0-U0. Average annual number of injury-related hospitalizations, from 00-0 records. For principle diagnosis in ICD-9CM code series: , 909., 909.9, , , Annual total includes 9% of records that did not have external cause of injury codes. Average annual number of injury-related emergency department visits, from 00-0 records. For principle diagnosis in ICD-9CM code series: , 909., 909.9, , , Annual total includes % of records that did not have external cause of injury codes. Most (9%) of these patients were struck accidentally by objects or persons ; the rest (9%) were were striking in sports (0%), and striking against furniture (%), or running water (%). Most (%) of these were related to Overexertion...from sudden strenuous movements, and trauma from repetitive motion or movements (%). Most (9%) of these visits were related to the bites or venom of animals, most specifically dog bites (%), centipedes (%), bee and wasp stings (9%), and venomous marine animals (%).

3 HAWAII COUNTY Leading Causes of Injury Mortality and Morbidity among Hawaii County residents, 00-0 Cause # % Cause # % Cause # % % Falls % Falls,0 0% Car occupant % Car occupant % Striking,9 % Poisoning 9 % % Cut/pierce, 0% Falls % Poisoning % Overexertion,0 0% Drowning % Motorcyclist % Car occupant 90 % Motorcyclist % Assault % Natural/ 9 % environmental Assault % Striking % Assault 9 % Pedestrian % Bicyclist % Bicyclist 9 % 9 Fire/burn % Fire/burn % Fire/burn % 0 Suffocation % Pedestrian % Motorcyclist % all other 0 % all other % all other,9 % Annual total Annual total Annual total,990 Non-residents comprised 9% of the victims killed by in the County, % of those hospitalized, and % of those treated in emergency departments. Average annual number of deaths, from 00-0 death certificates. For underlying cause of death in the ICD-0 code series: V0-Y, Y-Y, Y9, and U0-U0. Average annual number of injury-related hospitalizations, from 00-0 records. For principle diagnosis in ICD-9CM code series: , 909., 909.9, , , Annual total includes % of records that did not have external cause of injury codes. Average annual number of injury-related emergency department visits, from 00-0 records. For principle diagnosis in ICD-9CM code series: , 909., 909.9, , , Annual total includes % of records that did not have external cause of injury codes. Most (%) of these patients were struck accidentally by objects or persons ; the rest (%) were were striking in sports (%), and striking against furniture (%), or running water (%). Most (%) of these were related to Overexertion...from sudden strenuous movements, and trauma from repetitive motion or movements (%). Most (9%) of these visits were related to the bites or venom of animals, most specifically dog bites (%), bee and wasp stings (%), centipedes (9%), and venomous marine animals (%).

4 KAUAI COUNTY Leading Causes of Injury Mortality and Morbidity among Kauai County residents, 00-0 Cause # % Cause # % Cause # % % Falls 9% Falls, % Car occupant % Car occupant 9% Striking, 9% Falls % % Cut/pierce % Poisoning 0% Motorcyclist % Overexertion 0% Drowning % Poisoning 0 % Natural/ 0 % environmental Motorcyclist % Striking 0 % Car occupant % Assault % Assault % Assault 0 % Pedestrian % Bicyclist % Bicyclist % 9 Natural/ < % Fire/burn % Fire/burn 99 % environmental 0 Suffocation < % Overexertion % Motorcyclist 9 % all other % all other 0 % all other 9 % Annual total Annual total Annual total, Non-residents comprised % of the victims killed by in the County, % of those hospitalized, and 9% of those treated in emergency departments. Average annual number of deaths, from 00-0 death certificates. For underlying cause of death in the ICD-0 code series: V0-Y, Y-Y, Y9, and U0-U0. Average annual number of injury-related hospitalizations, from 00-0 records. For principle diagnosis in ICD-9CM code series: , 909., 909.9, , , Annual total includes % of records that did not have external cause of injury codes. Average annual number of injury-related emergency department visits, from 00-0 records. For principle diagnosis in ICD-9CM code series: , 909., 909.9, , , Annual total includes % of records that did not have external cause of injury codes. Most (9%) of these patients were struck accidentally by objects or persons ; the rest (%) were were striking in sports (%), and striking against or by running water (0%), or furniture (%). Most (0%) of these were related to Overexertion...from sudden strenuous movements, and trauma from repetitive motion or movements (9%). Most (9%) of these visits were related to the bites or venom of animals, most specifically dog bites (%), bee and wasp stings (%), centipedes (%), and venomous marine animals (%).

5 MAUI COUNTY Leading Causes of Injury Mortality and Morbidity among Maui County residents, 00-0 Cause # % Cause # % Cause # % % Falls 9% Falls, % Poisoning % Car occupant 9 % Striking,9 % Falls 0 0% Motorcyclist 9 % Overexertion 0% Car occupant 9% Assault % Cut/pierce 9% Motorcyclist % % Natural/ 0 % environmental Drowning % Striking % Assault % Pedestrian % Poisoning % Car occupant % Suffocation % Bicyclist % Motorcyclist 9 % 9 Assault % Pedestrian 0 % Bicyclist % 0 Machinery % Overexertion 9 % Fire/burn 9 % all other % all other % all other, % Annual total 99 Annual total 0 Annual total, Non-residents comprised % of the victims killed by in the County, % of those hospitalized, and % of those treated in emergency departments. Average annual number of deaths, from 00-0 death certificates. For underlying cause of death in the ICD-0 code series: V0-Y, Y-Y, Y9, and U0-U0. Average annual number of injury-related hospitalizations, from 00-0 records. For principle diagnosis in ICD-9CM code series: , 909., 909.9, , , Annual total includes % of records that did not have external cause of injury codes. Average annual number of injury-related emergency department visits, from 00-0 records. For principle diagnosis in ICD-9CM code series: , 909., 909.9, , , Annual total includes % of records that did not have external cause of injury codes. Most (9%) of these patients were struck accidentally by objects or persons ; the rest (%) were were striking in sports (%), and striking against furniture (%). Most (%) of these were related to Overexertion...from sudden strenuous movements, and trauma from repetitive motion or movements (%). Most (9%) of these visits were related to the bites or venom of animals, most specifically dog bites (%), centipedes (%), bee and wasp stings (%), and venomous marine animals (%).

6 HONOLULU COUNTY Leading Causes of Injury Mortality and Morbidity among Honolulu County residents, 00-0 Cause # % Cause # % Cause # % 0 % Falls,90 % Falls, % Falls 99 % % Striking,00 % Poisoning % Assault 0 % Cut/pierce, 0% Pedestrian % Car occupant % Overexertion, 9% Drowning % Motorcyclist 9 % Assault,0 % Suffocation 9 % Poisoning 9 % Natural/, % environmental Car occupant 9 % Striking % Car occupant,9 % Assault % Pedestrian 0 % Bicyclist % 9 Motorcyclist % Bicyclist 0 % Fire/burn % 0 Fire/burn % Overexertion % Motorcyclist 9 % all other 9% all other 0% all other,9 % Annual total Annual total,9 Annual total, Non-residents comprised % of the victims killed by in the County, % of those hospitalized, and % of those treated in emergency departments. Average annual number of deaths, from 00-0 death certificates. For underlying cause of death in the ICD-0 code series: V0-Y, Y-Y, Y9, and U0-U0. Average annual number of injury-related hospitalizations, from 00-0 records. For principle diagnosis in ICD-9CM code series: , 909., 909.9, , , Annual total includes 0% of records that did not have external cause of injury codes. Average annual number of injury-related emergency department visits, from 00-0 records. For principle diagnosis in ICD-9CM code series: , 909., 909.9, , , Annual total includes 9% of records that did not have external cause of injury codes. Most (%) of these patients were struck accidentally by objects or persons ; the rest (%) were were striking in sports (%), and striking against furniture (%), or running water (%). Most (0%) of these were related to Overexertion...from sudden strenuous movements, and trauma from repetitive motion or movements (9%). Most (9%) of these visits were related to the bites or venom of animals, most specifically dog bites (%), centipedes (%), bee and wasp stings (%), and venomous marine animals (%).

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