State Injury Profile for District of Columbia

The CDC State Injury Profiles Gathering and sharing reliable data about the broad range of public health problems is among the many ways the Centers for Control and Prevention protect the safety and health of Americans. Policy makers and health care workers need access to the best, most current data available so they can make informed decisions about where to allocate limited resources to prevent diseases and injuries. Yet, many people find statistics difficult to understand and interpret. This State Injury Profile offers an easier way to look at statistics. Through maps and graphs, the Profile clearly shows how this state compares with others in the nation and what injury problems are most pressing. CDC's National Center for Injury Prevention and Control gathers data about a broad range of intentional and unintentional injuries or what many people call 'violence' and 'accidents.' affect everyone. Injury is the leading cause of death for all Americans ages one to, and injury remains one of the leading causes of death, no matter how long someone may live. Maps and graphs in this State Injury Profile show this state's death rates from in falls, poisoning, drowning, suffocation, fires and burns, suicide, homicide, traumatic brain injury and injuries related to firearms. The graphics show how this state compares with others and with mortality rates in the as a whole. You will also find a table showing the Ten Leading Causes of Death for the and for this state. New this year is a county-by-county map showing locations with higher death rates for each type of injury. In addition to injury data, you'll also find a list of all CDC-funded injury prevention and research programs in this state for 2001. DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Control and Prevention National Center for Injury Prevention and Control

To learn more After you page through the State Injury Profile, if you want to know more, CDC has made it easy for you to find additional information about any injury and public health. Simply visit www.cdc.gov/ncipc. Or call the CDC National Center for Injury Prevention and Control, Office of Planning, Evaluation and Legislation at 1-770-88-96. These other resources offered or funded by the CDC may also interest you: General information about injury in America Customized data reports, www.cdc.gov/ncipc/wisqars Consumer facts and tip sheets, www.cdc.gov/ncipc/safeusa or call the SafeUSA hotline toll free at 1-800-252-7751. Intentional Injury National Resource Center on Domestic Violence, 1-800-57-228 National Sexual Violence Resource Center, www.nsvrc.org, or call 1-877-79-895 National Violence Against Women Prevention Research Center, www.violenceagainstwomen.org, or call 1-8-792-295 National Youth Violence Prevention Resource Center, or call 1-866-SAFEYOUTH (72-968) Violence Against Women Electronic Network (VAWnet), or call 1-800-57-228 www.safeyouth.org, www.vawnet.org, Injury National Program for Playground Safety, or call 1-800-55-PLAY (7529) www.uni.edu/playground, National Resource Center on Aging and Injury, or call 1-619-59-0986 www.nrcai.org,

State Injury Profile for the District of Columbia 1989-1998 SAFER. HEALTHIER. PEOPLE TM

Rank 10 Leading Causes of Deaths by Age Group: 1996-1998 Age Groups <1 1-5-9 10-1 15-2 25-5- 5-5 55-6 65+ Total 1 Congenital Anomalies 18,771 6,087,666 5,92 0,525 7,68 51,170 15,80 260,166 1,82,785 2,185,19 2 Short Gestation 11,928 Congenital Anomalies 1,791 1,557 1,51 18,200 Suicide 16,898,925 105,67 198,61 1,150,087 1,620,62 SIDS 8,86 1,227 Congenital Anomalies 662 Suicide 918 Suicide 12,679 15,068 0,07 1,208 Bronchitis Emphysema Asthma 0,17 19,998 78,181 Respiratory Distress Synd.,958 1,19 52 908,976 1,95 26,56 17,196 29,005 Bronchitis Bronchitis Emphysema Emphysema Asthma 28,777 Asthma 27,60 5 Maternal Complications,86 6 1 Congenital Anomalies 61,12 1,87 Suicide 20,08 Liver 16,797 Diabetes 25,50 25,529 288,27 6 Placenta Cord Membranes 2,870 9 218 560 Congenital Anomalies 1,252 9,8 11,18 Suicide 1,916 21,16 Diabetes 12,69 262,07 7 Perinatal Infections 2,8 Septicemia 25 19 Bronchitis Emphysema Asthma 287 88 2,068 Liver 10,518 Diabetes 12,979 Liver 15,8 95,191 Diabetes 189,15 8 2,2 2 Bronchitis Emphysema Asthma 159 180 Bronchitis Emphysema Asthma 677 Diabetes 1,90 8,159 12,892 11,228 Alzheimer's 65,67 Suicide 92,01 9 1,58 Perinatal Period 210 Benign 1 10 68 1,6 Diabetes 5,622 Bronchitis Emphysema Asthma 8,67 Suicide 8,8 Nephritis 65,296 Nephritis 75,817 10 Intrauterine Hypoxia 1,1 Benign 188 102 19 5 Liver 1,592,255 6,9 Septicemia 5,70 Septicemia 5,28 Liver 75,1 Total Number of Injury Deaths Cause Deaths Percent Injury 288,27 65.6% Intentional 151,102.% Total (1996-1998) 9,529 100.0% Average Number of Injury Deaths per Year In the = 16,510

Rank District of Columbia 10 Leading Causes of Deaths by Age Group: 1996-1998 Age Groups <1 1-5-9 10-1 15-2 25-5- 5-5 55-6 65+ Total 1 Short Gestation 65 11 15 10 62 22 71 10 696,69,897 2 Congenital Anomalies 8 10 Bronchitis Emphysema Asthma 21 166 50 62 2,78,085 Respiratory Distress Synd. 2 7 Suicide 21 62 150 259 112 767 1,062 SIDS 22 Congenital Anomalies 5 Bronchitis Emphysema Asthma 18 5 111 81 Diabetes 90 69 1,018 5 Maternal Complications 16 Bronchitis Emphysema Asthma 2 11 106 78 Liver 59 Diabetes 28 799 6 9 Anemias 1 7 Suicide 28 Liver 8 Liver 6 52 Bronchitis Emphysema Asthma 82 Diabetes 601 7 Placenta Cord Membranes 8 Appendicitis 1 Benign 1 Bronchitis Emphysema Asthma 5 10 Diabetes 59 Septicemia 52 Septicemia 298 59 8 Intestinal Infections 7 Benign 1 Meningococcal 1 8 26 6 50 192 56 9 Perinatal Infections 6 Septicemia Congenital Anomalies 1 Benign Tied Suicide 22 1 Bronchitis Emphysema Asthma 5 Nephritis 185 Bronchitis Emphysema Asthma 81 10 2 Tied 2 Congenital Anomalies Tied Diabetes 16 Septicemia 5 Hypertension 10 Septicemia 1 District of Columbia Total Number of Injury Deaths Cause Deaths Percent Injury 56 8.2% Intentional Injury 912 61.8% Total (1996-1998) 1,75 100.0% Average Number of Injury Deaths per Year In District of Columbia = 92

1996-1998 Leading Causes of Death Injury w Injury w District of Columbia Only Injury Cause Deaths Percent MV Traffic 127,05.1% Fall 5,75 12.% Poisoning 0,7 10.6% Suffocation 1,25.6% Drowning 12,16.% Fire/Burn 10,809.7% Other Causes 58,605 20.% 288,27 100.0% Cause Deaths Percent MV Traffic 167 29.7% Poisoning 100 17.8% Fall 87 15.5% Suffocation 7.8% Fire/Burn 1 7.% Other Causes 12 22.0% 56 100.1% Intentional Injury w Suicide w District of Columbia Only Suicide Cause Deaths Percent Firearm 5,156 57.8% Suffocation 16,69 17.9% Poisoning 15,280 16.6% Other Causes 7,108 7.7% 92,01 100.0% Cause Deaths Percent Suffocation 7 2.7% Firearm 2 28.% Poisoning 19 16.8% Other Causes 25 22.1% 11 99.9% w and Legal Intervention w District of Columbia Only and Legal Intervention Cause Deaths Percent Firearm 9,951 67.6% Cut/Pierce 6,955 11.8% Suffocation 2,17.6% Other Causes 10,06 17.0% 59,089 100.0% Cause Deaths Percent Firearm 608 76.1% Cut/Pierce 88 11.0% Suffocation 1 1.8% Other Causes 89 11.1% 799 100.0%

Motor Vehicle, Traffic-Related Death Rates, 1996-1998 1.2 2.51 16.07 21.22 2.66 20.59 17.67 16.68 12.20 20.67 2.1 16.06 12.97 20.6 1.79 15.1 9. 18.21 15.87 1.07 12. 16.7 12.0 19.51 20.5 18.86 20.8 1.55 2.90 22.8 26.07 20.77 2.08 2.6 26. 21.18 19.67 21.2 1.9 NH 11.26 VT 12.98 MA 7.71 RI 8.81 CT 10.1 NJ 10.00 DE 16.06 MD 12.7 DC 10.2 HI 10.91 12.29 18.69 Deaths per 100,000 Population 20.77-2.6 16.7-20.76 12.7-16.6 7.71-12.7 and District of Columbia 1989-1998 6 2 28 Rate per 100,000 2 20 16 12 8 0 1989 1990 1991 1992 199 199 1995 1996 1997 1998 Year District of Columbia

Fall Death Rates, 1996-1998 5.72 9.2 6.65.95.87.2 6.6 5.0 7.0 6.17 6.61 8.8 7. 6.6 5.5 5.0.82 7.9 6.8 5.28.5.16 8.8.79.22.62..81 5.51.16..81.79.05 5.70 2.8 6..2.0 NH.22 VT.90 MA 2.7 RI.68 CT.0 NJ.19 DE.29 MD.18 DC 5.15 HI.87.17 Deaths per 100,000 Population.9 6.17-9.2.79-6.16.0 -.78 2.7 -.02 and District of Columbia 1989-1998 9 8 7 Rate per 100,000 6 5 2 1 0 1989 1990 1991 1992 199 199 1995 1996 1997 1998 Year District of Columbia

Poisoning Death Rates, 1996-1998 5.2 1.6 1.5 5.75 6.1.98 2.6 1.60 7. 2.97.71 11.69 2.11 1. 1.97.17.67 1.56 1.5 2.87 1.9 2.71 2.20 2.16 6.02.17 1.1 2.9 1.76.22 2.88.1 2.8.07 1.78 2.2 2.7.89 2.0 NH 2. VT 2.02 MA 0.57 RI 0.77 CT 5.9 NJ 5.9 DE 5.62 MD 0.91 DC 6.07 HI.19.86 Deaths per 100,000 Population 6.0.89-11.69 2.8 -.88 1.78-2.82 0.57-1.77 and District of Columbia 1989-1998 18 16 1 Rate per 100,000 12 10 8 6 2 0 1989 1990 1991 1992 199 199 1995 1996 1997 1998 Year District of Columbia

Suffocation Death Rates, 1996-1998 1.9 1.27 1.82 1.28 0.78 1.9 1.8 1.71 1.79 2.1 2.8 1.90 1.8 1.87 2.26 2.11 1.9 1.8 1.78 2.1 2.61 2.25 1.69 1.8 1.92 1.62 2.52 1.75 2.7 2.7 2.18 2.7 2.09.06.28 2.8 2.1 0.97 1.59 NH 1.1 VT 1.88 MA 1.7 RI 1.2 CT 1.78 NJ 1.1 DE 2.0 MD 1.67 DC 2.57 HI 1. 1.50 Deaths per 100,000 Population 1.59 2.25 -.28 1.8-2.2 1.9-1.82 0.78-1.8 and District of Columbia 1989-1998.5.5 Rate per 100,000 2.5 2 1.5 1 0.5 0 1989 1990 1991 1992 199 199 1995 1996 1997 1998 Year District of Columbia

Drowning Death Rates, 1996-1998 1.9 2.0 1.72 2.15 1.5 1.60 2.92 1.07 1.99 1.78 1.5 1.52 2.15 1.09 1.5 2.05 1.78 1.5 1.11 1.81 2. 2.9 1.25 1.27 0.87 1.08 1.26 0.91 1.8 1.80 1.56 1.89 1.5 2.21 2.81 2.16 1.67 0.70 1.81 NH 1.17 VT 1.2 MA 0.96 RI 1.8 CT 0.90 NJ 0.82 DE 1.18 MD 0.98 DC 1. HI.1 2.5 Deaths per 100,000 Population 6.5 2.0-6.5 1.56-2.0 1.18-1.55 0.70-1.17 and District of Columbia 1989-1998.5.5 Rate per 100,000 2.5 2 1.5 1 0.5 0 1989 1990 1991 1992 199 199 1995 1996 1997 1998 Year District of Columbia

Fire and Burn-Related Death Rates, 1996-1998 0.92 1.50 1.09 1.11 0.81 1.0 1.07 0.52 0.88 0.91 0.69 1.51 0.96 0.95 1.26 1.2 2.0 0.88 1.20 1.82 2.68 2.0 1.21 1. 1.59 1.1 1.61 1.1 2.18 1.9 1.59 2.1 1.87 2.56.9 2.9 2.08 1.21 1.29 NH 0.85 VT 1.71 MA 0.88 RI 0.6 CT 1.00 NJ 1.0 DE 1.07 MD 1.10 DC 2.5 HI 1.05 0.92 Deaths per 100,000 Population.28 1.87 -.9 1.21-1.86 0.96-1.20 0.6-0.95 and District of Columbia 1989-1998.5.5 Rate per 100,000 2.5 2 1.5 1 0.5 0 1989 1990 1991 1992 199 199 1995 1996 1997 1998 Year District of Columbia

Suicide Death Rates, 1996-1998 1.1 19.57 16.25 16.75 19.09 22.96 16.25 16.65 11.12 17.10 18.2 11.72 10.16 16.65 11.1 10.57 7.9 11.52 11.52 11. 8.9 12.25 9.7 12.51 1. 1.60 12.7 11.9 1.5 1.25 11.92 1.6 12.06 12.20 12.22 11.78 11.65 12.0 1.12 NH 12.11 VT 12.9 MA 7.9 RI 8.08 CT 8.07 NJ 7.1 DE 11.27 MD 9.90 DC 6.88 HI 10.76 21.5 1.08 Deaths per 100,000 Population 1.08-22.96 12.11-1.07 11.12-12.10 6.88-11.11 and District of Columbia 1989-1998 18 16 1 Rate per 100,000 12 10 8 6 2 0 1989 1990 1991 1992 199 199 1995 1996 1997 1998 Year District of Columbia

Death Rates, 1996-1998..92 1.81.2 8. 10.9.5.00 9.66.78.92 9.89 2.18.0 5.85 7.9.00.95 7.9 2.7 6.10 9.77 6.91.25 8.18 5.1 6.2 7.0 9.60 8.89 10. 9.6 1.5 11.0 8.80 6.7 2.16 NH 1.88 VT 1.67 MA 2.5 RI 2.78 CT.72 NJ.58 DE 5.25 MD 11.28 DC 51.72 7.55 15.59 HI.2 8.05 Deaths per 100,000 Population 7.89 8.89-51.72 6.10-8.88.5-6.00 1.67 -.5 and District of Columbia 1989-1998 90 80 70 Rate per 100,000 60 50 0 0 20 10 0 1989 1990 1991 1992 199 199 1995 1996 1997 1998 Year District of Columbia

Traumatic Brain Injury-Related Death Rates*, 1996-1998 21.0 29.5 19.1 2.7 15.0 27.1 27. 22. 2.7.9 2.6 2.5 2. 20. 21.0 25.7 15. 18.0 16. 17. 16.7 1. 20.9 17.0 25.6 21.7 2.2 20.0 2.8 22.9 27.7 26.0 28.6 26. 2.5 12.7 18.9 NH 1.5 VT 19.0 MA 8.1 RI 12.1 CT 11.6 NJ 10.8 DE 17. MD 1.7 DC 26.6 20.1 28.0 HI 12.0 19.7 Deaths per 100,000 Population 25.7 25.6 -.9 20.9-25.5 16.6-20.8 8.1-16.5 and District of Columbia 1989-1998 5 0 5 Rate per 100,000 0 25 20 15 10 5 0 1989 1990 1991 1992 199 199 1995 1996 1997 1998 Year District of Columbia * Includes unintentional and intentional deaths from motor vehicles, firearms, falls, and other causes (of determined and undetermined intent).

Firearm-Related Death Rates, 1996-1998 10.55 16.06 1.22 1.7 16.95 22.9 11.52 12.61 11.89 19.05 17.76 7.85 7. 11.07 8.72 11.78 6.91 9.1 7.75 11.00 11.20 1.8 8.69 12.15 1.6 1.60 1. 1.6 15.12 17.87 17.8 1.80 15. 20.28 19.27 21.52 1.12 15.57 8.82 NH 7.72 VT 9.7 MA.66 RI.7 CT 6.6 NJ 5.01 DE 8.8 MD 1.10 DC 2.8 HI.11 20.61 1.2 Deaths per 100,000 Population 15.57-2.8 1.12-15.56 8.72-1.11.66-8.71 and District of Columbia 1989-1998 6 56 9 Rate per 100,000 2 5 28 21 1 7 0 1989 1990 1991 1992 199 199 1995 1996 1997 1998 Year District of Columbia * Includes deaths from firearm suicide, firearm homicide, unintentional firearm-related deaths, and firearm-related deaths of undetermined intent.

District of Columbia 1989-1998 Motor Vehicle 65 Deaths/Year U.S. 16. DC 11.1 s 2 Deaths/Year U.S. 8.7 DC 55.8 Excess Deaths/Year 269 Falls 28 Deaths/Year U.S.. DC 5.0 Excess Deaths/Year Suicides 8 Deaths/Year U.S. 12.0 DC 6.1 Fires/Burns 1 Deaths/Year U.S. 1.6 DC 2.5 Excess Deaths/Year 5 Firearms 285 Deaths/Year U.S. 1.7 DC 6. Excess Deaths/Year 187 Drownings 7 Deaths/Year U.S. 1.7 DC 1.17 Traumatic Brain Injury 181 Deaths/Year U.S. 18.5 DC 0. Excess Deaths/Year 68 Legend Poisonings 16 Deaths/Year U.S..2 DC 2.8 At or above the 90th NATIONAL percentile At or above the 75th but less than the 90th NATIONAL percentile

CDC-Funded Injury Control Projects SAFER. HEALTHIER. PEOPLE TM

CDC-Funded Injury Control Projects in the DISTRICT OF COLUMBIA CDC s National Center for Injury Prevention and Control funds one project in the District of Columbia to improve the district s capacity to keep its citizens safe. Intentional Injury Rape Prevention and Education A nationwide grant program providing resources to states for rape prevention and education programs conducted by rape crisis centers, State sexual assault coalitions, and other public and private nonprofit entities for: 1) educational seminars; 2) operation of hotlines; ) training programs for professionals; ) preparation of informational material; 5) education and training programs for students and campus personnel designed to reduce the incidence of sexual assault at colleges and universities; 6) education and training to increase awareness about drugs to facilitate rapes or sexual assaults; and 7) other efforts to increase awareness about, or to help prevent, sexual assault, including efforts to increase awareness in underserved communities and awareness among individuals with disabilities. (State Block Grant)

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