Contents
Erie County Communities and Cardiovascular Disease
Erie County Communities and Cancer
Exhibit 1 Major Causes of Death of Erie County Residents, 1994 - 1996
Exhibit 2.1 Erie County Communities and Cardiovascular Disease
Exhibit 2.2 Erie County Communities and Cancer
Exhibit 3 Erie County Mortality Profile
Exhibit 5 Buffalo - Central Mortality Profile
Exhibit 6 Buffalo - Lackawanna Mortality Profile
Exhibit 7 Buffalo - Lower West Side Mortality Profile
Exhibit 8 Buffalo - Northeast Mortality Profile
Exhibit 9 Buffalo - Northwest Mortality Profile
Exhibit 10 Buffalo - South Mortality Profile
Exhibit 11 Buffalo - Southeast Mortality Profile
Exhibit 12 Cheektowaga / Lancaster Mortality Profile
Exhibit 13 Erie - Southeast Mortality Profile
Exhibit 14 Erie - Southwest Mortality Profile
Exhibit 15 Hamburg / Eden Mortality Profile
Exhibit 16 Orchard Park / West Seneca Mortality Profile
Exhibit 17 Tonawanda / Grand Island Mortality Profile
Introduction
The Report on Mortality Rates for Erie County Communities contains a compilation of data on major causes of death of Erie County residents for the time period 1994 through 1996. Data on the actual number of deaths, age/sex adjusted annual death rates, and comparative percentiles for the County and its communities are depicted. The document is a ready reference for health care organizations and practitioners serving Erie County. The information in the Report may assist organizations and practitioners in two significant ways.
Identifying and describing local impacts.
The majority of statistics on chronic diseases are most readily available for the County, New York State, and the nation. Many agencies must rely on that data to describe the importance of their programs or services. Yet, administrators and their boards, interested in understanding the impact of a particular health problem on the communities they serve, often can not do so. This report provides agencies and practitioners with exact data of the impact of a variety of major diseases in Erie County and its 14 communities.
Identifying needy communities and targeting resources and programs.
Actual figures tell half the story - exactly how many people died from what major cause. However, such raw data is skewed by the size of the community under study. Communities with large populations almost always eclipse communities with small populations due solely to the difference in population size. The age/sex adjusted rates contained in this report in combination with percentile data pinpoint communities with high comparative needs and screen out the population size problem. Hence this report provides a targeting system which assists organizations in directing their resources at communities with the greatest needs. The targeting system can help organizations schedule presentations or educational sessions and distribute informational material and pamphlets in communities with the highest comparative needs.
HMS Associates
This document was prepared by HMS Associates, Getzville, NY. HMS Associates, was established in 1990 by Gregory Bonk, President and has conducted community health needs assessment related studies for hospitals, community organizations, health care networks, county health departments, and academic institutions. This report may be copied and distributed with the permission of HMS Associates. Additional color copies are available for a nominal fee.
HMS Associates anticipates issuing a series of reports on health in the Western New York area. If you are interested in receiving future reports, please complete the last page of this document and send it to:
Gregory Bonk, President
HMS Associates
2280 Millersport Highway,
P.O. Box 374
Getzville, NY 14068-0374Phone inquiries are welcome at 716-688-8448.
Summary
Over the three year period 1994 through 1996, 30,548 Erie County residents died. This equalled an age/sex adjusted annual death rate of 913.7 deaths per 100,000 people. Only 5% of the 57 upstate New York counties had a death rate equal to or greater than the overall death rate for Erie County. The major causes of death for this time period were:
- Cardiovascular disease, 13,990 deaths
- Cancer, 7,337 deaths
- Chronic obstructive pulmonary disease, 1,265 deaths
- Pneumonia, 1,050 deaths.
These four causes of death accounted for approximately 24 out of every 30 deaths that occurred during this time period. Accidents, diabetes, cirrhosis of the liver, septicemia, AIDS, and suicides each took at least 250 lives during this time period.
The age/sex adjusted annual death rate for cardiovascular disease was 413.0 per 100,000 people for Erie County. Only 7% of the 57 upstate New York counties had death rates equal to or in excess of this rate. The age/sex adjusted annual death rate for cancer for Erie County was 218.3 deaths per 100,000 people. 32% of the 57 upstate New York counties had death rates equal to or higher than this rate. Age/sex adjusted annual death rates for chronic obstructive pulmonary disease and pneumonia were low in comparison to 57 counties in New York state. 79% of upstate counties had a death rate equal to or higher than the death rate for Erie County for chronic obstructive pulmonary disease and 66% of the 57 upstate New York counties had a death rate equal to or higher than the County's death rate for pneumonia.
Exhibit 1
Major Causes of Death of Erie County Residents, 1994 - 1996
Erie County Communities and Cardiovascular Disease
The Buffalo - Central and Erie Southwest communities had the highest age/sex adjusted death rates for cardiovascular disease of the 14 communities in Erie County. Cardiovascular disease took 1,355 lives of Buffalo - Central residents for an age/sex annual adjusted death rate of 487.3 per 100,000 people. For the Erie Southwest community, 251 people expired from cardiovascular disease during the time period studied. This equalled an age/sex adjusted annual death rate of 481.4 deaths per 100,000 people. Conversely, the communities of Amherst/Clarence and Erie Southeast had the lowest comparative death rates for cardiovascular disease.
The Erie Southwest and Buffalo-South communities had the highest death rates for acute myocardial infarction (AMI) or heart attacks. In the Erie Southwest community, 100 individuals died from this cause. This equalled an age/sex adjusted annual death rate of 192.5 deaths per 100,000 people. 146 residents of the Buffalo - South community died from AMI. This equalled an age/sex adjusted annual death rate of 129.9 deaths per 100,000 people. Residents of Amherst/Clarence and Buffalo - Northeast communities had the lowest death rates for AMI in Erie County. This information is depicted in the map in Exhibit 2.1, Erie County Communities and Cardiovascular Disease.
Exhibit 2.1
Erie County Communities and Cardiovascular Disease
Erie County Communities and Cancer
The Buffalo - Central and Buffalo - Southeast communities of Erie County have the highest cancer death rates, 269.4 deaths per 100,000 people and 242.2 deaths per 100,000 people respectively. During 1994 through 1996, 739 residents of Buffalo - Central, and 264 residents of Buffalo Southeast died from cancer. The Amherst/Clarence and Erie Southwest communities had the lowest cancer death rate of communities studied.
Trachea/bronchus/lung cancer deaths were very high for the Buffalo - Southeast and Buffalo - Central communities, 81.1 deaths per 100,000 people and 79.6 deaths per 100,000 people respectively. During 1994 through 1996, 88 residents of Buffalo - Southeast and 216 residents of Buffalo - Central died from trachea/bronchus/lung cancer. The communities of Amherst/Clarence and Erie - Southeast had the lowest age/sex adjusted death rates for this type of cancer. This information is depicted in Exhibit 2.2 entitled Erie County Communities and Cancer.
Exhibit 2.2
Erie County Communities and Cancer
Technical Information
The Mortality Profile is a presentation of statistics related to the deaths of residents of 14 Erie County communities. The data was gathered by the New York State Department of Health (DOH) during the years 1994 through 1996. The raw record-level data for these five years reflects 30,548 death records for residents of these 14 communities. Nine columns make up the Profile: The area for which data is displayed is depicted in the header, in this case, Buffalo-Lackawanna.
Each row of data represents a single cause of death (1). For instance, consider the last row of the table below. All of the data on that row refer to deaths due to Hypertensive Heart Disease. In 1994-1996 there were 10 such deaths in Buffalo-Lackawanna (2), which is a Mortality Rate of 8.9 deaths per 100,000 people per year (3). This is an increase of 51% over the 5.9 rate in the Base year 1994, so the Trend is greater than 5%, or "
" (4). The 8.9 figure is then displayed in the bar graph (5).
A percentile is then calculated, which represents (in this case) the percentage of communities that have an equal or higher death rate for Hypertensive Heart Disease. On this row, that percentage is 31% (6). The 31% figure is then displayed in the bar graph (7). The further to the left the bar is from the center, the worse the percentile and vice versa. Finally, the Mean (8.0) and Standard Deviation (2.8) for all communities for this rate are listed (8), (9).
The following major causes of death are included in each profile:
Total
Accidents by Type
AIDS
Cancer by Type
Cardiovascular Disease by Type
Chronic Obstructive Pulmonary Disease
Cirrhosis of the Liver
Complications of Pregnancy
Conditions in the Perinatal Period
Congenital Anomalies
Diabetes Mellitus
Gastritis et al
Homicide & Legal Intervention
Influenza
Nephritis et al
Pneumonia
Septicemia
Sudden Infant Death Syndrome
Suicide
Tuberculosis
All Other
The 14 Erie County Communities are composed of the following Zip Codes:
Amherst/Clarence - Exhibit 4
14001, 14026, 14031, 14032, 14051, 14068, 14221, 14226, 14228Buffalo-Central - Exhibit 5
14203, 14204, 14208, 14211, 14212Buffalo-Lackawanna - Exhibit 6
14218, 14219Buffalo-Lower West Side - Exhibit 7
14201, 14202Buffalo-Northeast - Exhibit 8
14214, 14215Buffalo-Northwest - Exhibit 9
14209, 14213, 14216, 14222Buffalo-South - Exhibit 10
14210, 14220Buffalo-Southeast - Exhibit 11
14206Cheektowaga/Lancaster - Exhibit 12
14004, 14038, 14043, 14086, 14102, 14225, 14227Erie-Southeast - Exhibit 13
14025, 14030, 14055, 14069, 14080, 14134, 14141Erie-Southwest - Exhibit 14
14034, 14035, 14061, 14070, 14079, 14081, 14091Hamburg/Eden - Exhibit 15
14006, 14010, 14027, 14047, 14057, 14075, 14085 , 14110, 14111, 14112Orchard Park/West Seneca - Exhibit 16
14033, 14052, 14059, 14127, 14139, 14140, 14169, 14170, 14224Tonawanda/Grand Island - Exhibit 17
14072, 14150, 14207, 14217, 14223
Optional Analyses
HMS Associates can customize these analyses to meet your needs. More targeted analyses can be conducted on a zip code level, an age/sex group, or ethnicity type to further pinpoint groups in communities highly in need of preventive health care services.
Exhibit 3
Erie County Mortality ProfileDeath figures less than five should be interpreted with caution. Source: © HMS Associates, Getzville, NY, New York State Department of Health, 1994 - 1996. Exhibit 4
Amherst / ClarenceDeath figures less than five should be interpreted with caution. Source: © HMS Associates, Getzville, NY, New York State Department of Health, 1994 - 1996. Exhibit 5
Buffalo - Central Mortality ProfileDeath figures less than five should be interpreted with caution. Source: © HMS Associates, Getzville, NY, New York State Department of Health, 1994 - 1996. Exhibit 6
Buffalo - Lackawanna Mortality ProfileDeath figures less than five should be interpreted with caution. Source: © HMS Associates, Getzville, NY, New York State Department of Health, 1994 - 1996. Exhibit 7
Buffalo - Lower West Side Mortality ProfileDeath figures less than five should be interpreted with caution. Source: © HMS Associates, Getzville, NY, New York State Department of Health, 1994 - 1996.
Exhibit 8
Buffalo - Northeast Mortality ProfileDeath figures less than five should be interpreted with caution. Source: © HMS Associates, Getzville, NY, New York State Department of Health, 1994 - 1996. Exhibit 9
Buffalo - Northwest Mortality ProfileDeath figures less than five should be interpreted with caution. Source: © HMS Associates, Getzville, NY, New York State Department of Health, 1994 - 1996. Exhibit 10
Buffalo - South Mortality ProfileDeath figures less than five should be interpreted with caution. Source: © HMS Associates, Getzville, NY, New York State Department of Health, 1994 - 1996. Exhibit 11
Buffalo - Southeast Mortality ProfileDeath figures less than five should be interpreted with caution. Source: © HMS Associates, Getzville, NY, New York State Department of Health, 1994 - 1996. Exhibit 12
Cheektowaga / Lancaster Mortality ProfileDeath figures less than five should be interpreted with caution. Source: © HMS Associates, Getzville, NY, New York State Department of Health, 1994 - 1996. Exhibit 13
Erie - Southeast Mortality ProfileDeath figures less than five should be interpreted with caution. Source: © HMS Associates, Getzville, NY, New York State Department of Health, 1994 - 1996. Exhibit 14
Erie - Southwest Mortality ProfileDeath figures less than five should be interpreted with caution. Source: © HMS Associates, Getzville, NY, New York State Department of Health, 1994 - 1996. Exhibit 15
Hamburg / Eden Mortality ProfileDeath figures less than five should be interpreted with caution. Source: © HMS Associates, Getzville, NY, New York State Department of Health, 1994 - 1996. Exhibit 16
Orchard Park / West Seneca Mortality ProfileDeath figures less than five should be interpreted with caution. Source: © HMS Associates, Getzville, NY, New York State Department of Health, 1994 - 1996. Exhibit 17
Tonawanda / Grand Island Mortality ProfileDeath figures less than five should be interpreted with caution. Source: © HMS Associates, Getzville, NY, New York State Department of Health, 1994 - 1996
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Mortality Report - Erie County
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