Section D: Morbidity and Utilization Tables 2004 Minnesota County Health Tables Morbidity and Utilization Table 1a: Number of Cases of Cancer Diagnosed by Major Site and Sex in Minnesota by State and County, 1999-2001** State of Minnesota Aitkin Anoka Becker Beltrami Benton Big Stone Blue Earth Brown Carlton Carver Cass Chippewa Chisago Clay Clearwater Cook Cottonwood Crow Wing Dakota Dodge Douglas Faribault Fillmore Freeborn Goodhue Grant Hennepin Houston Hubbard Isanti Itasca Jackson Kanabec Kandiyohi Kittson Koochiching Lac Qui Parle Lake Lake of the Woods Le Sueur Lincoln Lyon McLeod Mahnomen Marshall Martin Meeker Mille Lacs Morrison Mower Murray Breast Men Women Number Percent* Number Percent^ 81 0.23 10,792 33.1 1 0.45 54 35.1 3 0.18 467 31.9 0 0.00 61 30.3 1 0.36 79 29.8 0 0.00 48 34.5 0 0.00 18 27.3 0 0.00 122 32.8 0 0.00 74 33.3 1 0.36 75 32.5 2 0.64 114 33.6 1 0.34 63 33.9 0 0.00 31 27.9 0 0.00 93 34.2 0 0.00 102 29.5 0 0.00 21 32.3 0 0.00 17 35.4 2 1.85 34 30.4 3 0.52 149 31.0 2 0.11 658 34.8 0 0.00 34 32.7 0 0.00 112 37.5 0 0.00 37 27.2 0 0.00 57 30.3 1 0.33 73 28.9 0 0.00 111 32.2 0 0.00 16 28.1 26 0.36 2,620 34.5 1 0.65 43 31.4 0 0.00 36 25.5 0 0.00 43 29.5 1 0.24 97 28.1 0 0.00 22 30.1 0 0.00 32 32.0 0 0.00 99 33.9 0 0.00 18 40.0 2 1.36 33 29.5 0 0.00 18 29.5 0 0.00 34 32.4 0 0.00 11 31.4 0 0.00 50 31.8 0 0.00 24 36.4 0 0.00 53 30.1 2 0.80 63 29.9 0 0.00 16 34.0 0 0.00 31 43.1 1 0.44 56 30.3 0 0.00 47 33.3 1 0.35 63 31.5 1 0.30 65 28.5 1 0.24 99 28.3 0 0.00 25 32.9 2004 Minnesota County Health Tables Colon and Rectum Men Women Number Percent* Number Percent^ 3,793 10.7 3,741 11.5 21 9.4 19 12.3 159 9.3 148 10.1 39 12.7 23 11.4 27 9.8 38 14.3 24 10.9 10 7.2 12 15.2 8 12.1 41 11.4 56 15.1 27 10.7 33 14.9 35 12.5 20 8.7 39 12.4 37 10.9 33 11.3 19 10.2 12 9.8 20 18.0 37 12.7 31 11.4 39 8.9 47 13.6 11 13.1 11 16.9 6 12.0 5 10.4 15 13.9 19 17.0 58 10.0 62 12.9 169 9.1 170 9.0 6 4.7 15 14.4 37 9.8 42 14.0 22 13.1 22 16.2 22 11.0 26 13.8 38 12.5 41 16.2 37 10.1 40 11.6 9 10.8 7 12.3 700 9.7 758 10.0 18 11.8 14 10.2 36 18.1 17 12.1 15 8.0 15 10.3 46 10.9 48 13.9 11 10.0 8 11.0 15 14.9 16 16.0 29 8.6 45 15.4 6 10.5 5 11.1 16 10.9 11 9.8 5 6.3 12 19.7 19 13.5 13 12.4 1 2.5 2 5.7 24 9.8 18 11.5 10 13.7 11 16.7 27 15.0 25 14.2 32 12.7 34 16.1 5 8.1 5 10.6 11 11.0 7 9.7 15 6.7 31 16.8 19 10.6 12 8.5 33 11.6 23 11.5 34 10.3 29 12.7 36 8.7 50 14.3 16 18.2 15 19.7 D-1 Nicollet 0 0.00 57 32.0 21 Nobles 0 0.00 47 32.4 26 Norman 0 0.00 19 31.7 9 Olmsted 1 0.11 269 34.1 62 Otter Tail 2 0.31 118 28.6 64 Pennington 0 0.00 40 32.5 15 Pine 1 0.36 50 27.5 27 Pipestone 0 0.00 30 31.3 12 Polk 0 0.00 76 30.6 55 Pope 0 0.00 31 30.4 15 Ramsey 6 0.18 1,206 33.9 324 Red Lake 0 0.00 10 33.3 5 Redwood 1 0.61 44 32.4 22 Renville 0 0.00 45 31.0 17 Rice 1 0.25 93 26.6 74 Rock 0 0.00 33 44.6 9 Roseau 0 0.00 35 37.2 17 St Louis 4 0.23 541 33.5 222 Scott 0 0.00 159 36.7 48 Sherburne 0 0.00 98 31.6 41 Sibley 0 0.00 27 25.2 21 Stearns 3 0.31 232 28.9 98 Steele 2 0.76 64 31.5 40 Stevens 0 0.00 17 23.6 22 Swift 0 0.00 38 33.6 9 Todd 0 0.00 51 29.3 26 Traverse 0 0.00 13 31.7 6 Wabasha 0 0.00 62 37.6 33 Wadena 0 0.00 31 27.2 14 Waseca 0 0.00 37 30.8 22 Washington 4 0.36 446 39.2 111 Watonwan 0 0.00 35 33.0 13 Wilkin 0 0.00 19 33.3 14 Winona 1 0.27 114 34.3 47 Wright 1 0.18 148 32.9 65 Yellow Medicine 1 0.84 39 38.2 13 Source: Minnesota Department of Health, Minnesota Cancer Surveillance System 10.7 14.0 10.1 6.8 10.0 15.3 9.9 13.3 17.6 12.7 9.8 13.5 13.4 11.2 18.6 9.4 17.0 12.6 11.0 9.9 15.9 10.0 15.3 22.0 8.9 10.5 12.2 16.8 8.8 14.0 10.1 12.4 20.3 12.5 11.9 10.9 20 20 12 76 63 18 25 20 33 15 383 2 20 20 66 8 15 205 32 37 15 99 32 11 12 21 9 19 15 12 94 11 6 43 49 10 11.2 13.8 20.0 9.6 15.3 14.6 13.7 20.8 13.3 14.7 10.8 6.7 14.7 13.8 18.9 10.8 16.0 12.7 7.4 11.9 14.0 12.3 15.8 15.3 10.6 12.1 22.0 11.5 13.2 10.0 8.3 10.4 10.5 13.0 10.9 9.8 **Includes number of cases diagnosed for the years 1999, 2000 and 2001. *Percent = # specific cancer cases diagnosed in males for county (or state) / total cancer cases diagnosed in males for county (or state) ^Percent = # specific cancer cases diagnosed in females for county (or state) / total cancer cases diagnosed in females for county (or state) ICD-O-3 Site Codes: Breast C50.0 - C50.9, excluding lymphomas (ICD-O-3 cell types M959_ - M998_) Colon & Rectum C18.0 - C18.9, C19.9, C20.9, C26.0, excluding lymphomas (ICD-O-3 cell types M959_ - M998_) 2004 Minnesota County Health Tables D-2 Morbidity and Utilization Table 1b: Number of Cases of Cancer Diagnosed by Major Site and Sex in Minnesota by State and County, 1999-2001** State of Minnesota Aitkin Anoka Becker Beltrami Benton Big Stone Blue Earth Brown Carlton Carver Cass Chippewa Chisago Clay Clearwater Cook Cottonwood Crow Wing Dakota Dodge Douglas Faribault Fillmore Freeborn Goodhue Grant Hennepin Houston Hubbard Isanti Itasca Jackson Kanabec Kandiyohi Kittson Koochiching Lac Qui Parle Lake Lake of the Woods Le Sueur Lincoln Lyon McLeod Mahnomen Marshall Martin Meeker Mille Lacs Morrison Mower Murray Lung Men Women Number Percent* Number Percent^ 4,537 12.7 3,579 11.0 35 15.7 25 16.2 209 12.3 211 14.4 39 12.7 20 10.0 40 14.5 30 11.3 25 11.3 13 9.4 12 15.2 9 13.6 40 11.1 30 8.1 18 7.1 9 4.1 33 11.8 21 9.1 31 9.9 28 8.3 42 14.4 23 12.4 19 15.4 7 6.3 36 12.3 28 10.3 56 12.8 36 10.4 9 10.7 5 7.7 6 12.0 6 12.5 9 8.3 10 8.9 71 12.3 63 13.1 221 11.9 182 9.6 18 14.2 15 14.4 53 14.1 22 7.4 24 14.3 16 11.8 26 13.0 22 11.7 31 10.2 22 8.7 36 9.8 28 8.1 7 8.4 10 17.5 966 13.4 895 11.8 19 12.4 14 10.2 29 14.6 21 14.9 26 13.9 14 9.6 78 18.4 55 15.9 12 10.9 7 9.6 16 15.8 13 13.0 46 13.7 22 7.5 10 17.5 6 13.3 16 10.9 15 13.4 10 12.5 2 3.3 26 18.4 16 15.2 11 27.5 3 8.6 43 17.6 21 13.4 8 11.0 4 6.1 24 13.3 16 9.1 15 6.0 19 9.0 4 6.5 8 17.0 10 10.0 8 11.1 31 13.8 16 8.6 21 11.7 17 12.1 32 11.3 23 11.5 30 9.1 20 8.8 72 17.4 40 11.4 17 19.3 4 5.3 2004 Minnesota County Health Tables Prostate Men Women Number Percent* Number Percent^ 11,862 33.3 0 0.0 73 32.7 0 0.0 609 35.8 0 0.0 110 35.8 0 0.0 90 32.6 0 0.0 91 41.2 0 0.0 28 35.4 0 0.0 116 32.3 0 0.0 92 36.4 0 0.0 78 28.0 0 0.0 110 35.0 0 0.0 99 33.9 0 0.0 50 40.7 0 0.0 102 34.9 0 0.0 185 42.4 0 0.0 33 39.3 0 0.0 13 26.0 0 0.0 44 40.7 0 0.0 232 40.1 0 0.0 575 30.9 0 0.0 48 37.8 0 0.0 146 38.7 0 0.0 55 32.7 0 0.0 57 28.5 0 0.0 115 37.7 0 0.0 131 35.6 0 0.0 31 37.3 0 0.0 2,175 30.1 0 0.0 46 30.1 0 0.0 64 32.2 0 0.0 72 38.5 0 0.0 133 31.4 0 0.0 42 38.2 0 0.0 37 36.6 0 0.0 120 35.7 0 0.0 18 31.6 0 0.0 45 30.6 0 0.0 31 38.8 0 0.0 41 29.1 0 0.0 16 40.0 0 0.0 70 28.7 0 0.0 31 42.5 0 0.0 48 26.7 0 0.0 91 36.3 0 0.0 23 37.1 0 0.0 37 37.0 0 0.0 82 36.4 0 0.0 61 33.9 0 0.0 112 39.4 0 0.0 135 40.8 0 0.0 152 36.8 0 0.0 27 30.7 0 0.0 D-3 Nicollet 24 12.2 17 9.6 52 Nobles 24 12.9 7 4.8 61 Norman 9 10.1 2 3.3 39 Olmsted 110 12.0 78 9.9 304 Otter Tail 79 12.3 39 9.5 278 Pennington 12 12.2 8 6.5 28 Pine 46 16.8 29 15.9 92 Pipestone 7 7.8 6 6.3 38 Polk 37 11.9 23 9.3 102 Pope 15 12.7 6 5.9 34 Ramsey 465 14.1 438 12.3 1,010 Red Lake 6 16.2 5 16.7 17 Redwood 19 11.6 13 9.6 64 Renville 16 10.5 10 6.9 49 Rice 50 12.6 34 9.7 132 Rock 8 8.3 4 5.4 38 Roseau 12 12.0 3 3.2 30 St. Louis 233 13.2 195 12.1 559 Scott 46 10.6 44 10.2 153 Sherburne 51 12.3 37 11.9 139 Sibley 11 8.3 3 2.8 47 Stearns 101 10.3 67 8.4 393 Steele 27 10.3 25 12.3 82 Stevens 9 9.0 6 8.3 34 Swift 23 22.8 12 10.6 29 Todd 33 13.4 20 11.5 92 Traverse 3 6.1 4 9.8 21 Wabasha 19 9.6 21 12.7 53 Wadena 16 10.0 17 14.9 61 Waseca 20 12.7 14 11.7 46 Washington 122 11.1 111 9.7 346 Watonwan 19 18.1 8 7.5 46 Wilkin 13 18.8 5 8.8 20 Winona 59 15.6 36 10.8 111 Wright 57 10.5 48 10.7 198 Yellow Medicine 18 15.1 14 13.7 42 Source: Minnesota Department of Health, Minnesota Cancer Surveillance System 26.4 32.8 43.8 33.2 43.2 28.6 33.6 42.2 32.7 28.8 30.5 45.9 39.0 32.2 33.2 39.6 30.0 31.6 35.1 33.4 35.6 40.1 31.3 34.0 28.7 37.2 42.9 26.9 38.1 29.3 31.6 43.8 29.0 29.4 36.4 35.3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 **Includes number of cases diagnosed for the years 1999, 2000 and 2001. *Percent = # specific cancer cases diagnosed in males for county (or state) / total cancer cases diagnosed in males for county (or state) ^Percent = # specific cancer cases diagnosed in females for county (or state) / total cancer cases diagnosed in females for county (or state) ICD-O-3 Site Codes: Lung & Bronchus C34.0 - C34.9, excluding lymphomas (ICD-O-3 cell types M959_ - M998_) Prostate C61.9, excluding lymphomas (ICD-O-3 cell types M959_ - M998_) 2004 Minnesota County Health Tables D-4 Morbidity and Utilization Table 1c: Number of Cases of Cancer Diagnosed by Major Site and Sex in Minnesota by State and County, 1999-2001** State of Minnesota Aitkin Anoka Becker Beltrami Benton Big Stone Blue Earth Brown Carlton Carver Cass Chippewa Chisago Clay Clearwater Cook Cottonwood Crow Wing Dakota Dodge Douglas Faribault Fillmore Freeborn Goodhue Grant Hennepin Houston Hubbard Isanti Itasca Jackson Kanabec Kandiyohi Kittson Koochiching Lac Qui Parle Lake Lake of the Woods Le Sueur Lincoln Lyon McLeod Mahnomen Marshall Martin Meeker Mille Lacs Morrison Mower Murray Other Men Women Number Percent* Number Percent^ 15,312 43.0 14,502 44.5 93 41.7 56 36.4 721 42.4 639 43.6 119 38.8 97 48.3 118 42.8 118 44.5 81 36.7 68 48.9 27 34.2 31 47.0 162 45.1 164 44.1 116 45.8 106 47.7 132 47.3 115 49.8 132 42.0 160 47.2 117 40.1 81 43.5 42 34.1 53 47.7 117 40.1 120 44.1 156 35.8 161 46.5 31 36.9 28 43.1 25 50.0 20 41.7 38 35.2 49 43.8 214 37.0 207 43.0 894 48.0 879 46.5 55 43.3 40 38.5 141 37.4 123 41.1 67 39.9 61 44.9 95 47.5 83 44.1 120 39.3 117 46.2 164 44.6 166 48.1 36 43.4 24 42.1 3,357 46.5 3,322 43.7 69 45.1 66 48.2 70 35.2 67 47.5 74 39.6 74 50.7 165 39.0 145 42.0 45 40.9 36 49.3 33 32.7 39 39.0 141 42.0 126 43.2 23 40.4 16 35.6 68 46.3 53 47.3 34 42.5 29 47.5 55 39.0 42 40.0 12 30.0 19 54.3 107 43.9 68 43.3 24 32.9 27 40.9 81 45.0 82 46.6 111 44.2 95 45.0 30 48.4 18 38.3 42 42.0 26 36.1 96 42.7 82 44.3 79 43.9 65 46.1 106 37.3 91 45.5 131 39.6 114 50.0 152 36.8 161 46.0 28 31.8 32 42.1 2004 Minnesota County Health Tables Total Men Women Number Percent* Number Percent^ 35,585 100.0 32,614 100.0 223 100.0 154 100.0 1,701 100.0 1,465 100.0 307 100.0 201 100.0 276 100.0 265 100.0 221 100.0 139 100.0 79 100.0 66 100.0 359 100.0 372 100.0 253 100.0 222 100.0 279 100.0 231 100.0 314 100.0 339 100.0 292 100.0 186 100.0 123 100.0 111 100.0 292 100.0 272 100.0 436 100.0 346 100.0 84 100.0 65 100.0 50 100.0 48 100.0 108 100.0 112 100.0 578 100.0 481 100.0 1,861 100.0 1,889 100.0 127 100.0 104 100.0 377 100.0 299 100.0 168 100.0 136 100.0 200 100.0 188 100.0 305 100.0 253 100.0 368 100.0 345 100.0 83 100.0 57 100.0 7,224 100.0 7,595 100.0 153 100.0 137 100.0 199 100.0 141 100.0 187 100.0 146 100.0 423 100.0 345 100.0 110 100.0 73 100.0 101 100.0 100 100.0 336 100.0 292 100.0 57 100.0 45 100.0 147 100.0 112 100.0 80 100.0 61 100.0 141 100.0 105 100.0 40 100.0 35 100.0 244 100.0 157 100.0 73 100.0 66 100.0 180 100.0 176 100.0 251 100.0 211 100.0 62 100.0 47 100.0 100 100.0 72 100.0 225 100.0 185 100.0 180 100.0 141 100.0 284 100.0 200 100.0 331 100.0 228 100.0 413 100.0 350 100.0 88 100.0 76 100.0 D-5 Nicollet 100 50.8 84 47.2 197 Nobles 75 40.3 71 49.0 186 Norman 32 36.0 27 45.0 89 Olmsted 440 48.0 365 46.3 917 Otter Tail 220 34.2 192 46.6 643 Pennington 43 43.9 57 46.3 98 Pine 108 39.4 78 42.9 274 Pipestone 33 36.7 40 41.7 90 Polk 118 37.8 116 46.8 312 Pope 54 45.8 50 49.0 118 Ramsey 1,502 45.4 1,529 43.0 3,307 Red Lake 9 24.3 13 43.3 37 Redwood 58 35.4 59 43.4 164 Renville 70 46.1 70 48.3 152 Rice 141 35.4 156 44.7 398 Rock 41 42.7 29 39.2 96 Roseau 41 41.0 41 43.6 100 St. Louis 750 42.4 673 41.7 1,768 Scott 189 43.3 198 45.7 436 Sherburne 185 44.5 138 44.5 416 Sibley 53 40.2 62 57.9 132 Stearns 384 39.2 404 50.4 979 Steele 111 42.4 82 40.4 262 Stevens 35 35.0 38 52.8 100 Swift 40 39.6 51 45.1 101 Todd 96 38.9 82 47.1 247 Traverse 19 38.8 15 36.6 49 Wabasha 92 46.7 63 38.2 197 Wadena 69 43.1 51 44.7 160 Waseca 69 43.9 57 47.5 157 Washington 513 46.8 488 42.8 1,096 Watonwan 27 25.7 52 49.1 105 Wilkin 22 31.9 27 47.4 69 Winona 159 42.2 139 41.9 377 Wright 223 41.0 205 45.6 544 Yellow Medicine 45 37.8 39 38.2 119 Source: Minnesota Department of Health, Minnesota Cancer Surveillance System 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 178 145 60 788 412 123 182 96 248 102 3,556 30 136 145 349 74 94 1,614 433 310 107 802 203 72 113 174 41 165 114 120 1,139 106 57 332 450 102 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 **Includes number of cases diagnosed for the years 1999, 2000 and 2001. *Percent = # specific cancer cases diagnosed in males for county (or state) / total cancer cases diagnosed in males for county (or state) ^Percent = # specific cancer cases diagnosed in females for county (or state) / total cancer cases diagnosed in females for county (or state) ICD-O-3 Site Codes: Other Cell types M959_ - M998_, and all other Site Codes Total Includes all microscopically-confirmed or Death-Certificate-Only cancers (Counts include invasive cancers only, with the exception of cancers of urinary bladder, which include in situ cancers.) 2004 Minnesota County Health Tables D-6 Morbidity and Utilization Table 2: Number of Cases of Vaccine Preventable Disease Morbidity in Minnesota by State and County, 2003* Mumps State of Minnesota Aitkin Anoka Becker Beltrami Benton Big Stone Blue Earth Brown Carlton Carver Cass Chippewa Chisago Clay Clearwater Cook Cottonwood Crow Wing Dakota Dodge Douglas Faribault Fillmore Freeborn Goodhue Grant Hennepin Houston Hubbard Isanti Itasca Jackson Kanabec Kandiyohi Kittson Koochiching Lac Qui Parle Lake Lake of the Woods Le Sueur Lincoln Lyon McLeod Mahnomen Marshall Martin Meeker Mille Lacs Morrison Mower Murray Nicollet 2004 Minnesota County Health Tables Pertussis 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Hepatitis A 207 0 7 0 6 0 0 0 0 4 2 0 1 3 0 0 0 0 0 26 1 0 0 1 1 1 0 68 5 0 0 0 0 0 2 0 0 0 0 0 0 0 4 0 0 0 0 1 1 0 4 0 0 Hepatitis B 52 0 1 0 0 0 0 2 0 0 3 0 0 1 0 0 0 0 0 3 0 0 0 1 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 1 0 0 55 0 1 0 0 0 0 0 0 0 1 2 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 27 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 D-7 Nobles 0 0 0 Norman 0 0 0 Olmsted 0 7 2 Otter Tail 0 1 0 Pennington 0 0 0 Pine 0 2 0 Pipestone 0 1 0 Polk 0 0 0 Pope 0 4 0 Ramsey 0 14 2 Red Lake 0 1 0 Redwood 0 2 0 Renville 0 1 0 Rice 0 0 2 Rock 0 1 0 Roseau 0 0 0 St. Louis 0 7 0 Scott 0 9 1 Sherburne 0 3 1 Sibley 0 0 0 Stearns 0 2 4 Steele 0 0 0 Stevens 0 0 0 Swift 0 1 0 Todd 0 0 0 Traverse 0 0 0 Wabasha 0 0 1 Wadena 0 0 0 Waseca 0 0 0 Washington 0 11 0 Watonwan 0 0 0 Wilkin 0 0 0 Winona 0 1 0 Wright 0 1 2 Yellow Medicine 0 0 0 Source: Minnesota Department of Health - Immmunization, TB & International Health Section 0 0 0 1 0 0 0 0 0 9 0 0 0 0 0 0 5 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 *Note: There were no cases of measles, diphtheria, tetanus, rubella or polio in Minnesota in 2003 For information on definitions, sources of information, prevention and other information about these or other reportable diseases, please contact the Infectious Disease Epidemiology Prevention and Control Division at 612/676-5414 or at 877/676-5414 2004 Minnesota County Health Tables D-8 Morbidity and Utilization Table 3a: Number of Cases of Sexually Transmitted Diseases Reported in Minnesota by State and County, 2003 State of Minnesota Aitkin Anoka Becker Beltrami Benton Big Stone Blue Earth Brown Carlton Carver Cass Chippewa Chisago Clay Clearwater Cook Cottonwood Crow Wing Dakota Dodge Douglas Faribault Fillmore Freeborn Goodhue Grant Hennepin Houston Hubbard Isanti Itasca Jackson Kanabec Kandiyohi Kittson Koochiching Lac Qui Parle Lake Lake of the Woods Le Sueur Lincoln Lyon McLeod Mahnomen Marshall Martin Meeker Mille Lacs Morrison Mower Murray Chlamydia 10,714 14 495 37 99 34 0 154 12 50 43 37 16 55 52 5 3 8 67 621 24 20 11 23 28 49 2 4,190 17 11 34 67 4 10 59 1 11 4 6 2 23 1 30 36 11 7 14 15 13 21 67 8 2004 Minnesota County Health Tables Gonorrhea 3,202 1 133 7 14 5 0 41 2 10 11 5 3 3 5 0 1 2 4 130 3 0 1 1 2 6 0 1,751 2 0 9 8 0 2 4 0 3 1 2 0 3 1 5 11 3 1 3 3 2 1 12 0 Primary/Secondary Syphilis 47 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Syphilis - All Stages* 195 0 8 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 1 5 0 0 0 0 1 1 0 115 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 2 0 0 0 0 0 HIV 266 0 9 0 0 0 0 0 1 0 0 0 1 2 0 0 0 0 3 9 0 0 0 0 1 0 0 157 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 D-9 Nicollet 15 2 Nobles 26 4 Norman 1 0 Olmsted 274 67 Otter Tail 32 7 Pennington 29 5 Pine 16 1 Pipestone 5 0 Polk 36 5 Pope 5 1 Ramsey 2,042 642 Red Lake 3 0 Redwood 13 0 Renville 15 1 Rice 73 9 Rock 5 0 Roseau 14 1 St. Louis 453 74 Scott 114 19 Sherburne 54 7 Sibley 11 1 Stearns 294 35 Steele 52 14 Stevens 8 0 Swift 14 0 Todd 17 0 Traverse 1 0 Wabasha 44 5 Wadena 10 0 Waseca 28 4 Washington 231 52 Watonwan 16 3 Wilkin 3 0 Winona 45 16 Wright 84 8 Yellow Medicine 10 2 Source: Minnesota Department of Health, Acute Disease Epidemiology 0 0 0 2 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 1 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 3 1 0 0 0 0 0 35 0 0 0 0 0 0 1 1 2 0 7 1 0 0 0 0 0 0 0 3 0 0 0 2 0 0 0 0 6 0 1 0 0 0 0 50 0 0 0 2 0 0 3 1 0 0 1 0 0 0 0 0 0 0 0 6 1 0 2 0 0 *Neurosyphilis, primary, secondary, early latent, late latent, congenital and other syphilis ** Cases of newly diagnosed HIV infection = Minnesota residents diagnosed with HIV infection (HIV or AIDS at first report) in the time period 1/1/03 - 12/31/03. HIV Surveillance Reports, MDH www.health.state.mn.us/divs/idepc/diseases/hiv/hivstatistics.html STD Surveillance Reports, MDH: www.health.state.mn.us/divs/idepc/dtopics/stds/stdstatistics.html For information on definitions, sources of information, prevention and other information about these or other reportable diseases, please contact the Acute Disease Epidemiology Section at 612/676-5414 2004 Minnesota County Health Tables D-10 Morbidity and Utilization Table 3b: Number of Cases of Other Selected Diseases Reported in Minnesota by State and County, 2003 Campylobacteriosis State of Minnesota Aitkin Anoka Becker Beltrami Benton Big Stone Blue Earth Brown Carlton Carver Cass Chippewa Chisago Clay Clearwater Cook Cottonwood Crow Wing Dakota Dodge Douglas Faribault Fillmore Freeborn Goodhue Grant Hennepin Houston Hubbard Isanti Itasca Jackson Kanabec Kandiyohi Kittson Koochiching Lac Qui Parle Lake Lake of the Woods Le Sueur Lincoln Lyon McLeod Mahnomen Marshall Martin Meeker Mille Lacs Morrison Mower Murray 937 2 34 7 3 11 0 9 4 2 18 5 2 11 6 1 0 5 4 70 4 14 2 12 5 15 0 214 11 3 5 3 1 3 15 0 2 1 0 0 3 3 9 8 0 1 3 5 1 9 6 2 2004 Minnesota County Health Tables Lyme Rabies in Giardiasis Disease Animals 851 473 48 1 9 0 33 56 0 7 3 0 4 1 0 13 3 2 0 0 2 9 0 1 3 1 1 2 8 0 28 6 0 3 13 0 3 0 0 6 16 0 4 1 4 0 1 0 0 1 0 3 0 0 12 46 1 57 24 0 2 0 0 4 0 1 1 0 1 9 1 0 1 3 2 7 5 0 0 0 0 224 65 6 4 15 0 3 4 0 3 4 0 2 4 0 0 0 0 4 4 0 10 0 0 0 0 1 1 0 0 1 0 2 0 1 0 1 0 0 2 0 0 1 0 0 8 0 0 6 3 0 1 0 0 0 0 1 1 0 1 4 1 1 3 4 0 4 10 1 7 0 3 1 0 0 Salmonellosis 580 1 27 3 7 8 1 7 3 2 10 2 0 5 1 1 0 2 4 43 1 5 2 1 2 7 0 118 5 0 3 1 2 2 6 0 0 2 1 0 1 1 1 1 2 0 0 4 17 3 1 0 Shigellosis Tuberculosis 103 214 0 0 4 8 0 1 1 1 0 2 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 1 0 0 0 0 1 0 8 11 0 0 0 0 0 0 0 0 1 0 0 0 0 0 45 114 1 0 1 0 0 0 0 2 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 D-11 Nicollet 2 1 1 0 Nobles 9 1 0 2 Norman 1 0 0 0 Olmsted 39 30 2 0 Otter Tail 15 7 1 2 Pennington 1 0 0 0 Pine 6 6 15 0 Pipestone 7 3 0 1 Polk 4 1 0 0 Pope 6 7 0 0 Ramsey 79 96 42 1 Red Lake 1 0 0 1 Redwood 6 1 0 0 Renville 2 2 0 0 Rice 9 11 1 1 Rock 1 1 0 0 Roseau 3 0 0 0 St. Louis 20 18 7 0 Scott 14 14 5 0 Sherburne 12 13 12 0 Sibley 4 3 0 1 Stearns 44 49 13 0 Steele 7 11 1 0 Stevens 5 2 0 0 Swift 4 1 0 0 Todd 4 2 0 1 Traverse 0 1 0 1 Wabasha 10 7 3 0 Wadena 5 3 0 2 Waseca 2 0 0 2 Washington 18 19 40 0 Watonwan 2 1 1 1 Wilkin 1 0 0 1 Winona 24 8 12 0 Wright 13 21 4 0 Yellow Medicine 3 6 0 0 Source: Minnesota Department of Health, Acute Disease Epidemiology 2 7 0 22 7 0 0 0 5 1 75 0 3 3 3 1 0 56 9 16 2 10 3 2 0 2 1 3 0 3 14 2 0 2 6 4 0 1 0 4 0 0 1 0 1 0 18 0 0 0 1 0 0 0 2 0 0 9 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 2 0 22 0 0 0 0 0 0 29 0 0 0 3 0 0 2 3 0 0 1 0 0 0 0 0 0 0 0 3 0 0 1 0 0 For information on definitions, sources of information, prevention and other information about these or other reportable diseases, please contact the Acute Disease Epidemiology Section at 612/676-5414. 2004 Minnesota County Health Tables D-12 Morbidity and Utilization Table 4a: Number of Selected Health Care Providers in Minnesota by State and County* State of Minnesota Aitkin Anoka Becker Beltrami Benton Big Stone Blue Earth Brown Carlton Carver Cass Chippewa Chisago Clay Clearwater Cook Cottonwood Crow Wing Dakota Dodge Douglas Faribault Fillmore Freeborn Goodhue Grant Hennepin Houston Hubbard Isanti Itasca Jackson Kanabec Kandiyohi Kittson Koochiching Lac Qui Parle Lake Lake of the Woods Le Sueur Lincoln Lyon McLeod Mahnomen Marshall Martin Meeker Mille Lacs Morrison Mower Dentists 2004 1,872 3 106 5 6 6 1 27 11 14 16 8 3 13 19 3 1 3 30 136 2 13 4 4 8 19 1 543 5 5 7 15 1 5 19 4 3 2 2 5 2 6 17 0 2 5 3 4 6 13 2004 Minnesota County Health Tables Dental Dental Physicians per Assistants Hygienists Primary Care Physicians 10,000 population Physicians 2003 2003 2004 2003 2004 4,027 2,724 4,784 9,427 18.6 4 2 9 10 6.3 257 151 189 379 12.1 8 10 23 32 10.3 28 15 33 59 14.1 22 10 3 3 0.8 3 1 6 6 10.6 66 42 54 133 23.2 10 12 30 38 14.3 23 14 31 38 11.5 34 33 61 97 12.3 8 2 14 14 5.0 9 3 9 10 7.8 24 18 31 46 10.0 37 33 14 20 3.8 2 2 3 4 4.7 1 5 5 9.5 6 2 8 8 6.7 79 36 50 96 16.4 339 248 214 289 7.7 5 4 4 4 2.1 35 22 34 58 17.0 5 3 7 9 5.7 6 7 7 8 3.8 17 6 20 39 12.2 17 26 32 52 11.5 1 1 1 1 1.6 1,069 761 1,530 3,244 28.9 9 6 7 7 3.5 6 5 12 18 9.7 19 14 26 38 10.7 49 19 34 54 12.2 4 3 4 4 3.6 8 3 11 13 8.2 40 14 50 92 22.4 1 1 1 1 2.0 6 3 11 16 11.4 2 1 6 6 7.6 3 4 9 11 9.9 1 4 4 9.1 10 8 7 7 2.6 3 1 9 9 14.6 22 10 18 24 9.7 33 26 37 49 13.7 0 0 3 3 5.9 1 2 1 1 1.0 12 11 25 41 19.3 6 8 13 15 6.5 16 10 25 29 11.9 18 8 19 26 8.0 16 17 32 52 13.4 D-13 Murray 1 0 1 5 5 Nicollet 10 16 14 10 20 Nobles 7 16 7 18 22 Norman 1 4 4 2 2 Olmsted 61 152 96 451 1,529 Otter Tail 13 23 26 28 55 Pennington 5 7 6 17 26 Pine 3 9 9 9 10 Pipestone 3 9 1 5 6 Polk 9 15 17 11 15 Pope 3 4 2 8 8 Ramsey 207 494 304 584 1,148 Red Lake 1 2 1 0 0 Redwood 3 12 5 8 9 Renville 4 7 1 6 6 Rice 21 38 34 47 66 Rock 3 4 1 6 7 Roseau 4 5 7 9 9 St. Louis 97 139 103 207 416 Scott 24 45 63 59 70 Sherburne 11 43 24 24 28 Sibley 5 6 3 5 5 Stearns 54 157 84 126 272 Steele 17 31 20 34 50 Stevens 4 3 4 6 10 Swift 3 8 6 8 8 Todd 8 14 6 16 17 Traverse 1 1 4 1 2 Wabasha 7 12 14 15 18 Wadena 1 14 6 10 13 Waseca 7 11 12 16 16 Washington 92 217 125 154 210 Watonwan 2 8 2 7 8 Wilkin 1 5 6 0 6 Winona 13 31 20 31 46 Wright 23 57 42 47 57 Yellow Medicine 7 10 4 8 10 Sources: Minnesota Department of Health, Office of Rural Health and Primary Care and US Census 5.6 6.5 10.7 2.8 116.4 9.3 19.1 3.6 6.2 4.9 7.1 22.7 0.0 5.5 3.6 11.1 7.3 5.5 20.9 6.4 3.7 3.3 19.8 14.4 10.1 6.9 7.0 5.1 8.1 9.6 8.2 9.8 6.9 8.6 9.3 5.6 9.4 Number of Providers: The number refers to health professionals who are actively working in the county. Primary care physician refers to a physician with a primary specialty of general practice, family practice, internal medicine, pediatrics, obstetrics, gynecology, or obstetrics/gynecology. The Office of Rural Health and Primary Care maintains a database of about 110,000 Minnesota medical professionals. Although these health practitioners do not have to complete the surveys to renew licensure or registration, response rates vary between 60% and 90% depending on the position surveyed. 2004 Minnesota County Health Tables D-14 Morbidity and Utilization Table 4b: Number of Selected Health Care Providers in Minnesota by State and County, 2003* State of Minnesota Aitkin Anoka Becker Beltrami Benton Big Stone Blue Earth Brown Carlton Carver Cass Chippewa Chisago Clay Clearwater Cook Cottonwood Crow Wing Dakota Dodge Douglas Faribault Fillmore Freeborn Goodhue Grant Hennepin Houston Hubbard Isanti Itasca Jackson Kanabec Kandiyohi Kittson Koochiching Lac Qui Parle Lake Lake of the Woods Le Sueur Lincoln Lyon McLeod Mahnomen Marshall Martin Meeker Mille Lacs Morrison Mower Physician Assistants 2003 658 2 33 1 5 3 0 10 3 3 7 4 0 4 6 1 0 2 5 27 0 2 3 1 4 6 1 164 2 3 4 3 2 1 3 2 0 1 0 0 0 1 4 4 3 1 7 2 13 4 5 2004 Minnesota County Health Tables Physical Therapists 2003 2,331 5 109 8 21 6 3 24 13 19 36 6 2 16 8 1 4 3 25 103 1 16 3 3 11 14 1 743 2 4 15 24 1 6 16 0 4 2 4 1 1 3 6 12 1 2 8 5 13 9 12 Respiratory Care Practitioners 2003 1,203 5 51 8 11 2 2 9 4 5 11 0 0 11 0 1 0 0 12 27 0 8 0 0 3 7 0 338 0 4 7 7 0 2 13 0 0 0 0 0 0 0 4 1 0 0 5 0 2 4 8 D-15 Murray 1 0 2 Nicollet 1 10 0 Nobles 1 6 1 Norman 2 1 0 Olmsted 74 145 142 Otter Tail 5 18 9 Pennington 3 7 3 Pine 0 4 0 Pipestone 2 2 1 Polk 5 11 4 Pope 1 2 0 Ramsey 65 303 283 Red Lake 0 1 0 Redwood 0 4 1 Renville 0 2 0 Rice 3 28 2 Rock 0 5 2 Roseau 2 6 1 St. Louis 31 147 84 Scott 1 24 13 Sherburne 9 10 1 Sibley 0 0 0 Stearns 35 72 39 Steele 2 17 3 Stevens 1 2 1 Swift 0 2 0 Todd 4 7 0 Traverse 3 0 0 Wabasha 2 7 2 Wadena 2 7 4 Waseca 1 3 0 Washington 19 68 16 Watonwan 3 4 0 Wilkin 0 2 1 Winona 3 16 1 Wright 13 28 13 Yellow Medicine 2 5 2 Sources: Minnesota Department of Health, Office of Rural Health and Primary Care and US Census Number of Providers: The number refers to health professionals who are actively working in the county. The Office of Rural Health and Primary Care maintains a database of about 110,000 Minnesota medical professionals. Although these health practitioners do not have to complete the surveys to renew licensure or registration, response rates vary between 60% and 90% depending on the position surveyed. 2004 Minnesota County Health Tables D-16 Morbidity and Utilization Table 5a: Minnesota Nonfatal Traumatic Brain Injuries Number and Rate per 100,000 population by State and County, 2001-2003 State of Minnesota Aitkin Anoka Becker Beltrami Benton Big Stone Blue Earth Brown Carlton Carver Cass Chippewa Chisago Clay Clearwater Cook Cottonwood Crow Wing Dakota Dodge Douglas Faribault Fillmore Freeborn Goodhue Grant Hennepin Houston Hubbard Isanti Itasca Jackson Kanabec Kandiyohi Kittson Koochiching Lac Qui Parle Lake Lake of the Woods Le Sueur Lincoln Lyon McLeod Mahnomen Marshall Martin Meeker Mille Lacs Morrison Mower 2001 Number 3,955 12 236 5 29 53 5 30 14 30 44 19 9 29 5 2 3 10 64 216 24 21 28 27 21 58 2 1,008 8 2 27 44 4 16 26 0 8 1 11 1 26 3 14 27 5 1 15 17 37 30 35 2004 Minnesota County Health Tables Rate 80.1 * 91.7 * 72.9 156.8 * 54.0 * 91.8 73.8 * * 71.5 * * * * 113.3 68.2 133.0 58.5 166.4 135.9 60.9 136.3 * 91.8 * * 91.5 97.5 * * 60.1 * * * * * 94.9 * * 76.6 * * * * 177.8 94.6 87.9 2002 Number 4,150 12 215 11 18 34 3 31 21 28 35 27 11 46 2 5 3 4 55 259 21 26 19 26 31 60 10 959 5 5 32 30 3 16 27 3 9 2 6 4 30 1 11 22 0 7 16 18 42 29 45 Rate 81.9 * 74.6 * * 93.3 * 51.9 72.0 82.9 48.5 96.4 * 105.7 * * * * 92.4 78.2 106.9 71.1 * 119.4 94.6 135.4 * 86.8 * * 95.5 65.0 * * 63.1 * * * * * 110.7 * * 59.4 * * * * 173.9 87.9 102.4 2003 Number 4,362 18 228 7 22 49 5 46 26 34 60 30 11 53 4 6 12 4 44 259 19 28 18 22 22 50 4 1,016 8 12 35 45 4 14 28 1 11 10 8 4 34 1 18 37 3 0 18 14 49 38 34 Rate 85.2 * 78.0 * 55.8 135.8 * 75.1 84.9 98.2 83.6 107.4 * 114.4 * * * * 71.9 78.5 * 73.4 * 96.7 63.3 108.6 * 91.4 * * 94.0 102.9 * * 68.0 * * * * * 121.0 * * 95.7 * * * * 205.7 110.1 74.6 D-17 Murray 5 * 1 Nicollet 10 * 20 Nobles 5 * 4 Norman 2 * 1 Olmsted 142 117.7 185 Otter Tail 14 * 32 Pennington 3 * 6 Pine 24 91.2 42 Pipestone 1 * 1 Polk 2 * 14 Pope 5 * 6 Ramsey 432 84.4 498 Red Lake 0 * 1 Redwood 11 * 10 Renville 12 * 12 Rice 51 88.9 42 Rock 1 * 1 Roseau 3 * 11 St. Louis 210 100.5 198 Scott 71 90.8 64 Sherburne 54 84.8 57 Sibley 22 130.5 13 Stearns 122 93.7 124 Steele 24 68.2 44 Stevens 10 * 11 Swift 10 * 12 Todd 20 80.6 16 Traverse 5 * 7 Wabasha 26 119.6 36 Wadena 9 * 14 Waseca 19 * 14 Washington 124 72.6 160 Watonwan 6 * 11 Wilkin 3 * 6 Winona 46 90.7 36 Wright 72 86.9 93 Yellow Medicine 13 * 7 Source: Minnesota Department of Health, Injury and Violence Prevention Unit * 64.1 * * 144.9 46.1 * 152.2 * * * 96.1 * * * 65.2 * * 92.0 69.4 88.2 * 91.2 125.7 * * * * 162.9 * * 87.7 * * 73.6 95.6 * 3 14 7 1 97 40 1 26 10 8 9 537 1 24 15 44 4 1 220 75 86 11 134 32 13 16 22 1 23 10 22 169 5 2 34 95 13 * * * * 74.1 60.1 * 90.4 * * * 104.3 * 155.6 * 70.5 * * 104.5 81.1 117.2 * 97.8 90.6 * * 88.3 * 107.7 * 111.9 86.6 * * 62.8 97.6 * Traumatic Brain Injuries (TBI): Numbers are traumatic brain injury events, (vs. people or hospitalizations). Events are nonfatal at time of discharge from the final acute care hospital. Only Minnesota residents are included. Total Minnesota values include events with unknown counties. Minnesota residents who were injured and/or hospitalized out of state and reported to the MDH are also included. All rates are per 100,000 people and were age adjusted to the US 2000 standard population. Go to Page D-21 for Traumatic Brain Injuries Case Report Definitions *Rate not calculated under 20 events 2004 Minnesota County Health Tables D-18 Morbidity and Utilization Table 5b: Minnesota Spinal Cord Injury Number and Annualized Rate per 100,000 population by State and County, 2001-2003 2001 Number State of Minnesota Aitkin Anoka Becker Beltrami Benton Big Stone Blue Earth Brown Carlton Carver Cass Chippewa Chisago Clay Clearwater Cook Cottonwood Crow Wing Dakota Dodge Douglas Faribault Fillmore Freeborn Goodhue Grant Hennepin Houston Hubbard Isanti Itasca Jackson Kanabec Kandiyohi Kittson Koochiching Lac Qui Parle Lake Lake of the Woods Le Sueur Lincoln Lyon McLeod Mahnomen Marshall Martin Meeker Mille Lacs Morrison Mower 2004 Minnesota County Health Tables 2002 Number 245 2 12 0 5 7 0 3 0 0 4 1 0 1 0 0 0 0 6 11 2 2 2 1 2 3 0 68 0 0 7 5 0 1 2 0 0 0 0 0 2 0 3 1 1 0 1 1 4 0 1 Annualized Rate 2000-2003 2003 Number 241 2 17 0 2 2 0 3 2 0 2 1 0 2 1 0 0 0 3 16 0 3 1 0 3 4 0 43 0 0 3 6 1 0 0 0 0 4 0 1 2 0 1 1 0 2 2 1 8 3 3 242 1 8 0 0 4 0 2 0 1 3 4 1 2 0 0 0 0 4 10 1 1 1 2 1 4 1 60 0 0 4 1 1 2 1 0 0 2 2 0 1 0 1 1 0 0 0 1 2 0 1 4.8 * 4.0 * * * * * * * * * * * * * * * * 3.7 * * * * * * * 5.0 * * * * * * * * * * * * * * * * * * * * * * * D-19 Murray 0 0 Nicollet 1 1 Nobles 0 0 Norman 0 0 Olmsted 7 2 Otter Tail 3 1 Pennington 0 0 Pine 3 5 Pipestone 0 0 Polk 0 1 Pope 0 0 Ramsey 26 24 Red Lake 0 0 Redwood 0 1 Renville 0 1 Rice 3 2 Rock 0 0 Roseau 0 0 St. Louis 11 19 Scott 3 8 Sherburne 5 4 Sibley 0 1 Stearns 8 7 Steele 3 0 Stevens 0 0 Swift 1 1 Todd 1 3 Traverse 0 0 Wabasha 0 2 Wadena 1 1 Waseca 1 0 Washington 3 7 Watonwan 0 2 Wilkin 0 0 Winona 0 2 Wright 3 1 Yellow Medicine 0 0 Source: Minnesota Department of Health, Injury and Violence Prevention Unit 0 1 0 0 6 1 1 4 0 0 4 32 0 4 0 2 0 0 11 5 3 2 8 1 0 0 2 0 4 0 0 11 0 0 2 6 1 * * * * * * * * * * * 5.3 * * * * * * 6.3 * * * 5.9 * * * * * * * * 3.6 * * * * * Spinal Cord Injuries (SCI): Numbers are spinal cord injury events, (vs. people or hospitalizations). Events are nonfatal at time of discharge from the final acute care hospital. Only Minnesota residents are included. Total Minnesota values include events with unknown counties. Minnesota residents who were injured and/or hospitalized out of state and reported to the MDH are also included. All rates are per 100,000 people and were age adjusted to the US 2000 standard population. Go to Page D-21 for Spinal Cord Injuries Case Report Definitions *Rate not calculated under 20 events 2004 Minnesota County Health Tables D-20 Morbidity and Utilization Tables 5a and b: TBI and SCI Case Report Definitions Traumatic Brain Injury (TBI) Cases of traumatic brain injury must be reported to the Minnesota Department of Health if the patient receives on of the following ICD-9 N-codes (including respective subcoded four or five digit rubrics), either as a principal or secondary diagnosis: 310.2 - postconcussion syndrome 348.1 - (when coded with 994.1 or 994.7) - anoxic brain damage 800.0-800.99 - fracture of vault of skull 801.00-801.99 - fracture of base of skull 803.00-803.99 - other and unqualified skull fractures 804.00-804.99 - multiple fractures involving skull or face with other bones 850.0-850.9 - concussion 851.00-851.99 - cerebral laceration and contusion 852.00-852.59 - subarachnoid, subdural, and estradural hemorrhage, following injury 853.00-853.19 - other and unspecified intracranial hemorrhage following injury 854.00-854.19 - intracranial injury of other and unspecified nature 905.0* - late effect of fracture of skull and face bones 907.0*- late effect of intracranial injury without mention of skull fracture 950.0-950.9 - injury to optic nerve and pathways Out-of-state hospitals are requested to report cases who are Minnesota residents or who were injured in Minnesota. Do not report patients: seen only in the emergency room and then discharged; or admitted only as outpatients for observation, and then discharged; or admitted directly to long-term care or rehabilitation facilities. Cases should be submitted on the standard case report form, or may be submitted via electronic media. Spinal Cord Injuries (SCI) Cases of spinal cord injury must be reported to the Minnesota Department of Health if the patient receives on of the following ICD-9 N-codes (including respective subcoded four or five digit rubrics), either as a principal or secondary diagnosis: 806.00-806.9 - fracture of vertebral column with spinal cord injury 907.2* - late effect of spinal cord injury 952.00-952.9 - spinal cord injury without evidence of spinal bone injury AND *the injury occurred on or after January 1, 1993 AND the patient: was admitted as an inpatient to an acute care hospital, or died (or declared DOA) in the emergency department prior to admission, or was transferred from the emergency department to an out-of-state hospital. Out-of-state hospitals are requested to report cases who are Minnesota residents or who were injured in Minnesota. Do not report patients: seen only in the emergency room and then discharged; or admitted only as outpatients for observation, and then discharged; or admitted directly to long-term care or rehabilitation facilities. Cases should be submitted on the standard case report form, or may be submitted via electronic media. 2004 Minnesota County Health Tables D-21 Morbidity and Utilization Table 6a: Diabetes Prevalence in the 65 to 74 year old Minnesota Medicare Population by State and County Prevalence Number of People State of Minnesota Aitkin Anoka Becker Beltrami Benton Big Stone Blue Earth Brown Carlton Carver Cass Chippewa Chisago Clay Clearwater Cook Cottonwood Crow Wing Dakota Dodge Douglas Faribault Fillmore Freeborn Goodhue Grant Hennepin Houston Hubbard Isanti Itasca Jackson Kanabec Kandiyohi Kittson Koochiching Lac Qui Parle Lake Lake of the Woods Le Sueur Lincoln Lyon McLeod Mahnomen Marshall Martin Meeker Mille Lacs Morrison Percent with Diabetes Percent with Diabetes (July 1, 2002 to June (April 1, 1998 to March (July 1, 2002 to June Percent Change over 30, 2003) 31, 1999) 30, 2003) Time 24,425 10.4 11.4 9.6 162 11.2 11.1 -0.9 1,138 10.5 13.7 30.5 200 9.9 10.5 6.1 285 13.6 14.6 7.4 127 12.4 11.7 -5.6 48 6.7 9.7 44.8 263 9.4 10.1 7.4 236 11.9 13.5 13.4 256 11.0 12.9 17.3 232 11.4 11.7 2.6 248 11.0 11.3 2.7 84 9.4 11.4 21.3 237 9.6 12.0 25.0 283 11.0 12.3 11.8 69 11.6 13.3 14.7 39 9.3 10.7 15.1 76 9.6 9.2 -4.2 426 9.1 10.4 14.3 942 10.1 10.9 7.9 92 10.3 11.7 13.6 298 10.1 12.9 27.7 150 10.9 12.4 13.8 157 10.4 11.0 5.8 247 10.7 11.8 10.3 256 9.9 10.8 9.1 70 11.6 13.9 19.8 3,915 9.4 10.4 10.6 122 10.4 10.5 1.0 166 9.2 11.4 23.9 138 9.8 11.1 13.3 418 12.4 14.0 12.9 71 11.1 11.4 2.7 86 9.7 10.1 4.1 262 9.5 11.9 25.3 51 11.0 13.8 25.5 105 8.8 9.7 10.2 66 11.1 12.3 10.8 74 10.8 8.9 -17.6 38 9.7 12.5 28.9 168 10.7 10.9 1.9 61 10.4 12.5 20.2 162 12.4 12.8 3.2 199 10.0 11.5 15.0 49 16.5 14.6 -11.5 88 9.9 12.8 29.3 190 9.9 13.2 33.3 157 12.4 12.1 -2.4 169 8.8 10.2 15.9 189 9.3 10.4 11.8 2004 Minnesota County Health Tables D-22 Mower 368 Murray 69 Nicollet 112 Nobles 122 Norman 56 Olmsted 508 Otter Tail 418 Pennington 114 Pine 233 Pipestone 71 Polk 223 Pope 85 Ramsey 2,501 Red Lake 40 Redwood 124 Renville 119 Rice 283 Rock 75 Roseau 60 St. Louis 1,339 Scott 237 Sherburne 225 Sibley 89 Stearns 691 Steele 210 Stevens 73 Swift 80 Todd 175 Traverse 40 Wabasha 147 Wadena 107 Waseca 88 Washington 533 Watonwan 86 Wilkin 58 Winona 264 Wright 446 Yellow Medicine 93 Source: Medicare Part A (inpatient) and Part B (ambulatory care) data 11.4 8.9 7.8 10.9 9.2 9.5 11.4 10.0 11.0 8.0 11.7 10.8 10.5 10.5 10.7 11.3 11.4 10.3 8.2 11.5 10.3 10.1 9.2 10.0 11.2 10.1 11.3 11.3 11.6 10.4 11.9 10.1 10.2 11.1 11.0 11.6 10.3 10.6 14.5 10.3 12.1 10.1 11.0 9.6 10.6 15.9 13.6 10.0 12.3 11.2 11.4 15.1 12.0 11.3 11.5 13.5 8.8 12.1 10.4 10.9 10.2 11.1 12.6 13.4 11.4 12.5 11.2 11.3 10.2 9.9 10.7 11.8 13.4 12.0 12.8 11.9 27.2 15.7 55.1 -7.3 19.6 1.1 -7.0 59.0 23.6 25.0 5.1 3.7 8.6 43.8 12.1 0.0 0.9 31.1 7.3 5.2 1.0 7.9 10.9 11.0 12.5 32.7 0.9 10.6 -3.4 8.7 -14.3 -2.0 4.9 6.3 21.8 3.4 24.3 12.3 Number of People is the number of Medicare beneficiaries, ages 65-74, identified as being diagnosed with diabetes who are alive and Minnesota residents as of June 30, 2003. See 'Statistical Considerations” for how the Medicare diabetes population was identified Percent with Diabetes is the rate of diabetes per 100 Medicare beneficiaries 65 to 74 years of age during the designated time period. I this case, two 12-month periods are presented: April 1, 1998 through March 31, 1999 and July 1, 2002 through June 30, 2003. Change Over Time represents the percent increase or decrease in the prevalence rate from the first 12-month period (April 1, 1998 through March 31, 1999) to the most recent 12-month period (July 1, 2002 through June 30, 2003). 2004 Minnesota County Health Tables D-23 Morbidity and Utilization Table 6b: Diabetes Preventive Care in the 65 to 74 year old Minnesota Medicare Population by State and County Annual HbA1c Test Annual Lipid Test Preventive Care Annual Eye Combined measure: Annual HbA1c, Annual Lipid Exam Measurement, and Annual Eye Exam Percent (July 1, 2000 to June 30, 2001) State of Minnesota Aitkin Anoka Becker Beltrami Benton Big Stone Blue Earth Brown Carlton Carver Cass Chippewa Chisago Clay Clearwater Cook Cottonwood Crow Wing Dakota Dodge Douglas Faribault Fillmore Freeborn Goodhue Grant Hennepin Houston Hubbard Isanti Itasca Jackson Kanabec Kandiyohi Kittson Koochiching Lac Qui Parle Lake Lake of the Woods Le Sueur Lincoln Lyon McLeod Mahnomen Marshall Martin Meeker Mille Lacs Morrison 88.3 91.5 90.9 90.6 75.1 90.0 83.5 87.6 92.1 89.9 82.5 79.5 90.7 90.6 92.6 88.7 87.7 92.8 90.3 89.5 96.9 94.5 83.9 91.0 78.6 92.2 91.1 87.2 90.1 89.4 92.5 89.8 92.1 91.7 92.2 88.9 84.9 94.1 81.9 78.8 91.0 89.8 91.3 85.5 59.0 91.0 93.3 94.2 72.2 91.3 2003 Minnesota County Health Tables 65.8 63.5 68.8 58.2 56.5 67.6 68.7 61.7 66.5 66.2 61.1 58.9 71.1 56.8 73.2 63.7 67.7 63.7 69.4 66.8 85.9 65.3 62.2 71.7 58.9 69.4 65.0 65.5 71.0 60.5 72.7 71.6 80.3 62.3 70.5 68.6 63.7 72.8 65.8 55.3 69.4 73.4 59.0 63.2 61.7 69.7 81.5 69.2 51.1 62.5 Percent (04/01/98 to Percent (07/01/2000 Percent Change 03/31/99) to 06/30/2001) over time 78.4 86.2 79.0 79.5 73.9 81.3 82.9 76.7 83.4 74.8 84.9 80.3 73.6 71.2 79.9 73.7 85.0 74.6 83.6 83.2 79.9 74.5 79.6 72.4 80.5 78.4 68.8 81.0 75.2 79.1 74.9 77.8 80.2 82.8 71.4 79.6 72.7 81.3 86.3 85.9 75.8 65.0 79.3 81.1 66.9 76.3 74.3 84.7 81.6 75.6 38.9 32.2 36.2 34.3 40.3 37.1 39.2 40.3 38.3 29.5 34.6 31.5 34.1 23.2 44.0 37.1 38.3 41.9 38.7 39.2 50.0 38.2 33.0 46.2 36.9 41.4 34.1 38.6 43.7 32.1 49.7 39.6 39.3 40.3 44.6 24.0 27.4 50.7 46.8 23.8 45.4 46.7 43.8 32.3 13.1 39.4 51.7 49.5 33.2 39.2 51.8 53.1 55.4 50.7 45.8 54.6 59.2 45.6 54.1 47.9 47.9 48.7 52.0 40.0 59.8 52.4 58.6 47.2 57.9 54.5 67.2 47.8 48.0 53.2 48.8 55.0 43.9 53.3 52.9 48.4 56.0 55.4 65.8 56.4 49.8 55.6 48.8 57.4 55.9 43.4 53.8 52.9 43.6 49.2 33.8 54.9 60.9 59.4 37.8 51.1 33.2 64.9 53.0 47.8 13.6 47.2 51.0 13.2 41.3 62.4 38.4 54.6 52.5 72.4 35.9 41.2 53.0 12.6 49.6 39.0 34.4 25.1 45.5 15.2 32.2 32.9 28.7 38.1 21.1 50.8 12.7 39.9 67.4 40.0 11.7 131.7 78.1 13.2 19.4 82.4 18.5 13.3 -0.5 52.3 158.0 39.3 17.8 20.0 13.9 30.4 D-24 Mower 92.0 Murray 86.1 Nicollet 90.4 Nobles 90.2 Norman 87.1 Olmsted 91.4 Otter Tail 92.0 Pennington 89.7 Pine 89.7 Pipestone 85.1 Polk 88.1 Pope 92.9 Ramsey 86.7 Red Lake 75.1 Redwood 87.3 Renville 81.9 Rice 90.0 Rock 89.7 Roseau 88.2 St. Louis 88.7 Scott 88.4 Sherburne 85.3 Sibley 85.0 Stearns 89.8 Steele 90.4 Stevens 74.0 Swift 95.1 Todd 88.5 Traverse 86.8 Wabasha 90.0 Wadena 92.6 Waseca 81.2 Washington 84.2 Watonwan 87.1 Wilkin 89.8 Winona 88.7 Wright 85.0 Yellow Medicine 85.5 Source: Medicare Part B (ambulatory care) data. 79.9 70.5 76.7 60.1 60.4 84.7 70.8 69.7 63.5 59.6 61.7 75.7 60.1 71.5 69.8 55.3 51.8 47.3 57.5 60.7 63.5 64.2 62.9 71.7 68.0 62.0 68.3 68.5 81.9 77.8 71.7 55.6 60.0 58.9 69.4 73.8 65.3 73.2 76.5 82.7 77.5 69.2 69.7 77.7 79.7 64.9 72.2 84.9 68.6 70.0 78.3 86.4 84.3 77.7 75.9 66.8 77.8 77.2 76.8 77.8 80.0 79.6 87.5 84.4 74.0 75.9 82.3 77.7 75.9 78.4 78.8 77.7 81.6 67.3 77.5 76.9 50.5 33.6 45.8 32.5 43.8 52.5 37.4 45.3 31.7 25.2 30.8 32.7 38.2 42.8 45.1 31.4 42.1 23.0 23.0 37.2 38.3 42.8 30.6 43.9 38.4 43.3 41.5 42.7 45.4 37.1 34.2 41.7 36.8 39.0 29.1 44.3 40.0 36.2 62.2 55.5 57.0 46.8 42.5 66.4 55.3 42.7 46.0 46.6 40.4 52.2 48.5 53.3 60.3 39.7 42.0 31.1 45.7 46.0 46.6 50.3 51.5 56.3 57.8 44.1 52.0 49.4 66.2 61.2 55.9 39.6 48.5 46.8 57.1 52.3 50.8 60.2 23.2 65.2 24.5 44.0 -3.0 26.5 47.9 -5.7 45.1 84.9 31.2 59.6 27.0 24.5 33.7 26.4 -0.2 35.2 98.7 23.7 21.7 17.5 68.3 28.2 50.5 1.8 25.3 15.7 45.8 65.0 63.5 -5.0 31.8 20.0 96.2 18.1 27.0 66.3 Minnesota and county rates (%) are per 100 of the diabetes Medicare population, ages 65-74. Preventive care indicators describe those of the Medicare diabetes population, ages 65-74, who had a Medicare Part B claim for the given indicator. These indicators are as follows: Annual HbA1c Test, Annual Eye Exam, Annual Lipid Measurement and the Combined Measure (annual HbA1c, annual eye exam, and annual lipid measurement). The number of Medicare beneficiaries who receive all three recommended services provides a more comprehensive view of preventive measures being received by the Medicare diabetes population. Two 12-month periods are presented: April 1, 1998 through March 31, 1999 and July 1, 2000 through June 30, 2001. Change Over Time for the Combined Measure represents the percent increase or decrease in the rates from the first 12-month period (April 1, 1998 through March 31, 1999) to the most recent 12-month period (July 1, 2000 through June 30, 2001). 2003 Minnesota County Health Tables D-25 Morbidity and Utilization Table 6c: Hospital Discharge Claims in the 65 to 74 year old Minnesota Medicare Diabetes Population by State and County All hospital discharge claims (HDC's) Major Cardiovascular Disease HDC's HDC per 1,000 Medicare population Number of HDC's (July 1, 2002 to June 30, 2003) State of Minnesota Aitkin Anoka Becker Beltrami Benton Big Stone Blue Earth Brown Carlton Carver Cass Chippewa Chisago Clay Clearwater Cook Cottonwood Crow Wing Dakota Dodge Douglas Faribault Fillmore Freeborn Goodhue Grant Hennepin Houston Hubbard Isanti Itasca Jackson Kanabec Kandiyohi Kittson Koochiching Lac Qui Parle Lake Lake of the Woods Le Sueur Lincoln Lyon McLeod Mahnomen Marshall Martin Meeker Mille Lacs 15,648 159 897 102 160 69 26 113 125 155 183 173 39 160 139 34 39 34 293 609 28 171 101 103 170 144 26 2,568 41 106 89 236 43 50 145 26 96 59 42 22 84 20 89 150 28 50 120 70 146 2004 Minnesota County Health Tables 636.1 994.6 797.0 510.3 543.0 548.1 559.1 436.4 518.6 615.8 849.0 658.0 395.6 646.8 457.7 484.7 951.2 395.8 685.5 641.6 286.3 591.4 687.1 651.4 710.8 581.7 400.5 660.8 341.8 670.4 602.8 588.2 636.7 555.0 543.2 477.9 958.8 824.4 663.0 574.9 486.8 337.1 544.1 744.6 450.5 537.7 615.9 450.4 845.7 HDC per 1,000 Medicare population Number of HDC's (July 1, 2002 to June 30, 2003) 13,592 135 815 83 140 61 23 100 108 145 166 154 34 140 120 30 29 29 266 535 23 137 93 82 144 123 23 2,280 36 88 88 208 37 42 121 25 82 53 40 18 67 18 73 135 27 46 108 60 116 550.5 844.2 723.0 405.8 470.6 469.2 505.2 385.0 441.6 573.3 772.6 605.4 343.9 563.0 398.4 416.2 747.1 317.6 623.5 557.4 238.5 466.6 641.0 529.9 598.6 499.0 347.6 584.9 297.6 555.5 596.2 514.3 533.4 464.7 444.3 462.4 809.2 743.7 610.6 467.3 391.1 303.4 450.6 659.3 436.8 486.1 549.6 382.8 682.0 Stroke HDC's HDC per 1,000 Medicare population Number of HDC's (July 1, 2002 to June 30, 2003) 1,350 13 104 NA 15 NA NA 7 10 13 20 18 NA 13 18 11 0 NA 17 87 NA 19 NA 10 14 14 1 231 NA 7 26 21 NA NA 10 NA 7 6 NA 0 NA NA 13 10 NA NA 13 NA 14 53.2 89.3 88.2 24.7 42.4 21.1 68.0 22.1 43.6 48.0 78.5 71.2 26.2 47.4 59.3 134.2 0.0 38.2 42.5 89.4 47.8 60.6 24.5 69.6 59.5 54.3 21.2 60.0 16.7 46.6 151.9 49.7 36.4 38.2 40.8 15.5 77.0 80.8 89.9 0.0 31.2 14.0 80.5 46.9 27.2 32.5 67.5 15.8 83.6 D-26 Morrison 129 Mower 241 Murray 60 Nicollet 70 Nobles 88 Norman 31 Olmsted 369 Otter Tail 212 Pennington 64 Pine 161 Pipestone 56 Polk 143 Pope 52 Ramsey 1,675 Red Lake 12 Redwood 52 Renville 61 Rice 191 Rock 27 Roseau 38 St. Louis 924 Scott 169 Sherburne 165 Sibley 95 Stearns 394 Steele 127 Stevens 46 Swift 71 Todd 124 Traverse 27 Wabasha 75 Wadena 72 Waseca 54 Washington 309 Watonwan 58 Wilkin 43 Winona 128 Wright 315 Yellow Medicine 63 Source: Medicare Part A (Inpatient) Data 663.0 636.0 862.6 609.6 729.3 553.2 710.4 503.0 561.6 709.6 734.3 617.0 602.4 665.2 302.3 399.7 523.8 628.7 356.6 545.8 679.4 687.0 680.8 1,089.5 550.5 624.5 631.1 850.7 725.0 661.6 454.7 698.0 613.0 563.6 658.6 753.3 488.3 677.8 694.5 111 223 40 62 77 27 319 182 57 136 51 112 34 1,439 11 49 50 159 26 32 798 140 144 82 344 105 37 59 102 25 55 68 46 248 53 40 106 291 52 566.2 588.2 569.1 542.0 634.5 481.9 616.8 431.8 500.3 595.9 642.3 482.1 387.1 570.1 280.9 374.0 432.1 521.7 340.4 461.7 581.7 571.7 587.3 948.4 477.6 522.8 496.6 703.2 592.4 614.3 339.3 657.9 521.0 447.2 599.7 698.2 406.7 618.8 571.1 18 11 NA 6 8 7 10 28 NA 14 NA 9 NA 122 NA 9 NA NA 0 NA 77 21 31 15 21 9 7 NA 8 0 NA NA 8 16 8 NA NA 19 NA 88.2 26.6 12.1 47.3 68.2 124.6 17.1 65.8 44.0 58.2 82.1 38.8 47.1 48.1 21.4 65.5 25.8 15.8 0.0 53.5 53.0 75.2 149.4 134.9 27.8 37.6 91.3 13.8 45.3 0.0 5.3 36.2 95.8 27.1 87.4 53.4 21.1 37.8 23.0 Number of hospital discharge claims (HDC) among the Medicare diabetes population. An individual may have had more than one HDC during this time frame. The Minnesota and county rates are per 1,000 Medicare beneficiaries with diabetes . Hospital discharge claims (HDC’s) are submitted by the provider to Medicare and are categorized as follows: Q All HDC’s in the Medicare diabetes population ages 65-74, regardless of whether diabetes was actually listed as a diagnosis on the HDC. Q HDC’s in the diabetes population with major cardiovascular disease (CVD) Q HDC’s in the diabetes population with stroke 2004 Minnesota County Health Tables D-27 Morbidity and Utilization Table 6d: Total Reimbursed Charges for Hospital Claims in the 65 to 74 year old Minnesota Medicare Diabetes Population by State and County State of Minnesota Aitkin Anoka Becker Beltrami Benton Big Stone Blue Earth Brown Carlton Carver Cass Chippewa Chisago Clay Clearwater Cook Cottonwood Crow Wing Dakota Dodge Douglas Faribault Fillmore Freeborn Goodhue Grant Hennepin Houston Hubbard Isanti Itasca Jackson Kanabec Kandiyohi Kittson Koochiching Lac Qui Parle Lake Lake of the Woods Le Sueur Lincoln Lyon McLeod Mahnomen Marshall Martin Meeker Mille Lacs Morrison Mower Total Medicare Reimbursed Charges April 1, 1998 to March July 1, 2000 to June 30, July 1, 2002 to June 30, Change 31, 1999 2001 2003 over Time $67,232,387 $90,666,139 $118,445,513 76% $597,546 $692,494 $1,400,061 134% $3,132,200 $4,270,554 $6,485,164 107% $385,165 $492,755 $707,317 84% $957,456 $1,068,242 $1,043,803 9% $485,465 $307,963 $488,250 1% $82,727 $185,125 $157,575 90% $685,169 $917,336 $675,694 -1% $485,701 $555,162 $954,003 96% $587,465 $1,137,597 $1,247,906 112% $815,528 $812,873 $1,332,725 63% $836,563 $1,002,606 $1,154,219 38% $244,171 $190,941 $206,920 -15% $568,388 $643,378 $1,310,765 131% $636,758 $666,735 $2,400,336 277% $126,431 $200,022 $215,219 70% $52,639 $78,078 $245,775 367% $253,272 $224,118 $202,554 -20% $1,143,516 $1,506,203 $2,024,012 77% $2,390,229 $3,434,145 $5,063,800 112% $227,786 $272,641 $255,795 12% $515,972 $772,118 $1,039,313 101% $540,536 $651,766 $660,911 22% $425,207 $413,050 $806,733 90% $484,725 $936,506 $1,312,371 171% $1,085,402 $994,967 $1,001,127 -8% $270,389 $79,024 $195,143 -28% $12,950,130 $17,520,137 $19,888,203 54% $253,792 $325,495 $347,954 37% $349,998 $569,068 $765,694 119% $407,266 $472,773 $703,632 73% $901,238 $1,160,017 $1,966,292 118% $204,787 $235,587 $226,208 10% $334,079 $314,499 $417,778 25% $474,263 $605,071 $1,033,617 118% $48,079 $168,716 $327,283 581% $169,540 $359,152 $712,833 320% $193,791 $197,490 $372,884 92% $272,824 $338,003 $483,327 77% $60,332 $232,356 $191,295 217% $591,947 $591,759 $514,059 -13% $54,332 $222,123 $93,995 73% $551,226 $579,617 $444,320 -19% $512,948 $663,566 $873,540 70% $95,286 $519,727 $131,191 38% $205,934 $521,899 $446,876 117% $509,094 $541,156 $987,183 94% $315,228 $528,178 $438,996 39% $581,010 $676,448 $1,269,926 119% $485,340 $655,000 $989,516 104% $1,221,477 $943,987 $1,986,107 63% 2004 Minnsota County Health Tables D-28 Murray Nicollet Nobles Norman Olmsted Otter Tail Pennington Pine Pipestone Polk Pope Ramsey Red Lake Redwood Renville Rice Rock Roseau St. Louis Scott Sherburne Sibley Stearns Steele Stevens Swift Todd Traverse Wabasha Wadena Waseca Washington Watonwan Wilkin Winona Wright Yellow Medicine Source: Medicare Part A (Inpatient) data. $140,101 $189,349 $299,386 $261,141 $1,680,376 $969,206 $191,349 $551,203 $159,847 $479,574 $173,751 $7,314,934 $89,714 $125,162 $241,255 $699,275 $204,171 $98,733 $4,203,830 $833,002 $368,747 $181,214 $1,481,323 $542,556 $370,625 $186,578 $330,633 $82,787 $433,614 $347,267 $324,693 $1,181,194 $149,155 $88,020 $805,050 $675,992 $246,385 $377,355 $401,118 $546,585 $175,096 $2,707,480 $1,059,015 $299,913 $889,788 $302,316 $1,105,455 $219,685 $10,342,958 $38,307 $357,595 $342,616 $869,285 $214,817 $175,146 $6,202,483 $848,979 $637,898 $125,031 $2,109,901 $662,634 $340,288 $289,911 $502,870 $241,355 $588,447 $504,149 $253,614 $1,855,300 $400,657 $135,802 $1,211,827 $907,211 $367,861 $444,634 $422,868 $506,501 $237,697 $3,086,079 $1,655,966 $669,053 $1,060,415 $354,130 $1,064,557 $311,452 $12,468,375 $109,897 $303,104 $429,280 $1,382,949 $128,885 $316,596 $7,261,250 $1,295,724 $1,392,010 $628,642 $2,548,010 $1,016,930 $283,611 $324,986 $822,081 $222,426 $757,732 $498,248 $519,820 $2,394,239 $401,076 $354,564 $897,820 $2,635,364 $261,162 217% 123% 69% -9% 84% 71% 250% 92% 122% 122% 79% 70% 22% 142% 78% 98% -37% 221% 73% 56% 277% 247% 72% 87% -23% 74% 149% 169% 75% 43% 60% 103% 169% 303% 12% 290% 6% Total charges reimbursed by Medicare to hospital providers for HDC’s among the Medicare diabetes population. These do not include charges associated with outpatient care, such as those for the preventive care measures. Three 12-month periods are presented: April 1, 1998 through March 31, 1999, July 1, 2000 through June 30, 2001, and July 1, 2002 through June 30, 2003. Change Over Time for the Total Medicare Reimbursed Charges represents the percent increase or decrease in the charges from the first 12-month period (April 1, 1998 through March 31, 1999) to the most recent 12-month period (July 1, 2002 through June 30, 2003). Note: In counties with a small number of events, one or two expensive hospital discharge claims can result in large changes in the Medicare reimbursed charges over time. 2004 Minnsota County Health Tables D-29 Morbidity and Utilization Table 7: Minnesota Behavioral Risk Factors of Adults County Synthetic Estimates and State Estimates, 2003 Estimated Percent of: US Median State of Minnesota Aitkin Anoka Becker Beltrami Benton Big Stone Blue Earth Brown Carlton Carver Cass Chippewa Chisago Clay Clearwater Cook Cottonwood Crow Wing Dakota Dodge Douglas Faribault Fillmore Freeborn Goodhue Grant Hennepin Houston Hubbard Isanti Itasca Jackson Kanabec Kandiyohi Kittson Koochiching Lac Qui Parle Lake Lake of the Woods Le Sueur Lincoln Lyon McLeod Mahnomen Marshall Martin Over weight 60.1 60.4 61.5 60.5 60.4 58.1 58.9 60.4 56.8 59.6 60.4 60.1 61.1 59.9 60.1 57.1 60.4 61.8 60.1 60.1 60.4 59.9 59.8 60.3 60.2 60.4 60.2 60.1 60.2 60.4 61.0 59.7 60.6 60.2 60.3 59.6 61.1 61.0 60.6 61.1 61.8 60.3 60.5 58.4 60.1 60.4 60.8 60.4 2004 Minnesota County Health Tables Current Acute Chronic Smokers Drinking Drinking* 22.0 16.5 5.7 21.2 20.0 5.6 18.6 16.1 5.2 22.0 21.0 5.7 20.3 18.6 5.5 22.1 21.6 6.0 22.0 21.8 5.7 18.7 15.9 5.2 22.9 23.6 6.2 20.4 18.8 5.6 20.7 19.5 5.6 22.3 21.2 5.8 19.7 17.6 5.4 19.4 17.2 5.3 21.9 21.2 5.7 22.4 21.9 6.1 20.0 18.3 5.5 19.5 16.9 5.4 18.8 16.4 5.2 20.2 18.4 5.5 21.9 20.6 5.7 21.5 20.3 5.7 20.3 18.8 5.5 19.0 16.7 5.3 19.7 17.9 5.4 19.6 17.5 5.4 20.6 18.9 5.6 18.8 16.6 5.2 21.1 20.0 5.5 20.2 18.1 5.5 19.5 17.2 5.4 21.9 21.0 5.8 20.2 18.1 5.6 19.7 17.8 5.4 20.9 19.5 5.6 20.7 19.2 5.6 18.5 15.7 5.2 19.6 17.1 5.4 18.9 16.3 5.3 19.5 17.2 5.4 19.5 16.9 5.4 20.8 19.4 5.6 18.5 16.2 5.1 21.4 20.5 5.8 20.6 19.2 5.4 19.9 18.0 5.5 19.7 17.8 5.4 19.4 17.1 5.4 Reporting limitation in Perceiving health any activities because of status as fair or any impairment or health poor problem* 14.8 18.3 11.1 23.6 13.8 26.7 9.8 22.4 12.2 25.0 10.8 23.4 10.2 22.2 14.3 27.3 10.4 22.7 12.6 25.4 11.7 24.4 9.8 22.3 12.6 25.5 13.6 26.5 10.2 22.6 10.9 23.5 12.6 25.4 12.5 25.8 14.2 27.0 12.3 25.0 9.9 22.5 11.0 23.5 12.5 25.2 13.9 26.9 13.1 25.8 13.0 25.9 11.9 24.7 14.2 26.8 10.7 23.1 12.5 25.3 12.8 25.8 10.5 23.0 12.4 25.5 13.2 25.9 11.5 24.2 12.1 24.9 14.3 27.2 13.0 26.1 14.4 27.4 13.1 26.0 12.9 26.0 11.6 24.4 14.5 27.1 11.7 24.3 11.7 24.2 12.9 25.8 13.1 26.0 13.4 26.4 D-30 Morbidity and Utilization Table 7: Minnesota Behavioral Risk Factors of Adults County Synthetic Estimates and State Estimates, 2003 Estimated Percent of: Reporting limitation in Perceiving health any activities because of Over Current Acute Chronic status as fair or any impairment or health weight Smokers Drinking Drinking* poor problem* US Median 60.1 22.0 16.5 5.7 14.8 18.3 State of Minnesota 60.4 21.2 20.0 5.6 11.1 23.6 Meeker 60.4 20.3 18.8 5.5 12.3 25.0 Mille Lacs 59.9 20.6 19.2 5.5 11.9 24.5 Morrison 60.1 20.6 19.3 5.6 12.0 24.7 Mower 59.8 19.9 18.2 5.4 13.0 25.6 Murray 60.9 18.9 16.5 5.3 13.8 26.7 Nicollet 58.0 22.6 22.3 6.2 10.4 23.1 Nobles 60.2 20.0 18.4 5.4 12.7 25.5 Norman 60.7 19.1 16.8 5.3 13.7 26.5 Olmsted 60.1 21.1 19.8 5.5 10.8 23.3 Otter Tail 60.5 19.8 17.8 5.5 12.9 25.8 Pennington 59.4 20.6 19.4 5.6 12.1 24.8 Pine 60.9 20.6 19.6 5.6 11.7 24.3 Pipestone 59.7 19.2 16.9 5.3 13.7 26.4 Polk 59.5 20.5 19.0 5.6 12.6 25.4 Pope 60.0 19.3 17.1 5.3 13.7 26.5 Ramsey 59.3 21.2 20.0 5.6 11.0 23.5 Red Lake 60.3 20.1 18.5 5.5 12.8 25.6 Redwood 60.4 19.4 17.4 5.3 13.5 26.3 Renville 60.6 19.6 17.7 5.4 13.2 26.0 Rice 58.2 22.7 22.6 6.2 10.4 23.1 Rock 59.8 19.6 17.5 5.4 13.3 26.1 Roseau 60.8 21.0 19.5 5.6 11.4 24.1 St. Louis 59.3 20.9 19.5 5.7 12.0 24.9 Scott 60.0 22.6 22.0 5.7 9.2 21.3 Sherburne 59.4 22.7 22.7 5.8 9.4 21.6 Sibley 60.4 20.2 18.7 5.4 12.3 24.9 Stearns 58.2 22.5 22.5 6.0 10.4 22.9 Steele 59.9 21.0 19.6 5.6 11.4 24.0 Stevens 56.1 22.4 22.2 6.3 11.8 24.5 Swift 62.2 19.9 19.9 5.3 12.6 24.8 Todd 60.3 20.6 19.2 5.7 12.2 25.1 Traverse 59.8 18.0 15.3 5.0 15.4 28.1 Wabasha 60.5 20.6 18.8 5.5 12.0 24.8 Wadena 60.0 19.4 17.4 5.4 13.5 26.2 Waseca 60.7 20.8 20.2 5.5 11.6 24.1 Washington 60.7 21.8 20.3 5.7 10.1 22.9 Watonwan 60.0 19.5 17.5 5.4 13.3 26.1 Wilkin 60.5 20.3 18.5 5.5 12.2 25.1 Winona 57.1 22.5 22.2 6.2 10.9 23.5 Wright 59.9 22.1 21.4 5.7 10.0 22.3 Yellow Medicine 60.0 19.5 17.5 5.4 13.6 26.4 Source: Minnesota Department of Health, Behavioral Risk Factor Surveillance System **Not available Synthetic Estimates: County level estimated percentages for behavioral risk factors represent the percent of adults considered to be at risk for those behaviors in that county. These estimated percentages were derived through a synthetic estimation method, which adjusts statewide BRFSS percentages by the age and gender distributions of adults in each county. 2004 Minnesota County Health Tables D-31 Morbidity and Utilization Table 7: Definitions for Behavior Risk Factors of Adults Behavioral Risk Factor Surveillance System (BRFSS): A continuous monthly telephone survey that monitors health risk behaviors that has impact on chronic diseases and disabilities. Approximately, 4800 interviews of adults 18 years and older are completed yearly. U.S. Median: The median is the midpoint percentage value for a particular risk behavior. Smoking: Current regular smoker (ever smoked 100 cigarettes and now smokes every day or some days). Overweight: The prevalence of overweight is defined as a Body Mass Index (BMI) [(weight in kilograms)/(height in meters)2] greater than or equal to 25 for men and women. Please note that as of 1999, the definition of overweight has changed. The prevalence of overweight was previously defined as a BMI greater than or equal to 27.8 for men and greater than or equal to 27.3 for women. Acute Drinking: Respondents who report they have consumed five or more drinks on an occasion, one or more times in the month prior to the survey. Chronic Drinking: Chronic drinking of adults is defined as the percent of male respondents 18 and older who report an average of more than two drinks per day and female respondents 18 and older who report an average of more than one drink per day. Limitation of Activities: The percent of adults who are limited in any activities because of physical mental or emotional problems, OR those adults who have a health impairment that requires the use of special equipment, such as cane, a wheelchair, a speical bed or special telephone. 2004 Minnesota County Health Tables D-32
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