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Nebraska 2005 Vital Statistics Report Issued March 2008 Dave Heineman Governor Christine Z. Peterson Chief Executive Officer DHHS Joann Schaefer, MD Chief Medical Officer Director, Division of Public Health Robert Zagozda Chief Operating Officer DHHS Jacquelyn Miller, DDS, Chief Administrator Community Health Section Kurt R. Weiss, MBA Administrator Health Statistics Stanley S. Cooper, MS, PhD Supervisor Vital Records Mark A. Miller Health Data Coordinator Health Statistics Paula S. Hartig, MS Program Analysis & Research Administrator Research and Performance Measurement Operations/Financial Services

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Page 1: Vital Statistics Report 2005 - Nebraska Department of ...dhhs.ne.gov/Reports/Vital Statistics Report 2005.pdfNebraska Vital Statistics Report 2005 FOREWORD Nebraska statute requires

Nebraska 2005 Vital Statistics Report

Issued March 2008

Dave Heineman

Governor

Christine Z. Peterson Chief Executive Officer DHHS

Joann Schaefer, MD Chief Medical Officer Director, Division of Public Health

Robert Zagozda Chief Operating Officer DHHS

Jacquelyn Miller, DDS, Chief Administrator Community Health Section

Kurt R. Weiss, MBA AdministratorHealth Statistics

Stanley S. Cooper, MS, PhD SupervisorVital Records

Mark A. Miller Health Data Coordinator Health Statistics

Paula S. Hartig, MS Program Analysis & Research Administrator Research and Performance Measurement Operations/Financial Services

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Nebraska Vital Statistics Report 2005

FOREWORD Nebraska statute requires that records of birth, death, fetal death, marriage and divorce be filed with the Vital Records Office in the Division of Public Health of the Nebraska Department of Health and Human Services. Approximately 60,000 records of vital events occurring in Nebraska are filed annually, adding to the nearly 6 million such records already on file. Over 100,000 certified copies of these records are issued each year.

Responsibility for filing certificates of birth lies with the individual in attendance at birth, usually a physician. Funeral directors are responsible for filing certificates of death and of fetal death when burial takes place. Hospitals must file fetal death certificates when hospital disposal is performed. County clerks and District Court clerks are, respectively, responsible for filing records of marriage and divorce. The excellent cooperation of all these individuals is appreciated. Without their support, this report would not be possible.

The following individuals in the Nebraska Department of Health and Human Services have contributed to the information presented in this report.

Norm Nelson, MS, Statistical Analyst Kay Pytko, Staff Assistant Meridel Funk, Program Analyst Jackie Stanford, Administrative Assistant Bryan Rettig, MS, Program Analyst Christine Noren, Staff Assistant Nila Irwin, Staff Assistant Deb Firman, Staff Assistant Joe Boone, Business Appl. Supp. Tech. Barb Trusty, Vital Statistics Clerk Cindy Stolldorf, Data Entry Operator Diana Yeager, Vital Statistics Clerk Carla Becker, Health Data Manager Beverly Kliment, Vital Statistics Clerk Jill Krause, Staff Assistant Victor Filos, Data Base Manager

Providing useful data stands as the goal of this report. Any questions or comments regarding the report, or requests for more detailed information, should be directed to:

Health Statistics Division of Public Health

Nebraska Department of Health and Human Services 301 Centennial Mall South P.O. Box 95007 Lincoln, NE 68509 Phone: (402) 471-2241

A copy of this report, in part, may be found at: www.hhs.state.ne.us/ced/vs.htm

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TABLE OF CONTENTS

Page

Introduction ........................................................................................................................

1

Definitions of Terms ............................................................................................................ 2-4Graph 1: Birth and death rates, 1940-2005 ........................................................................ Graph 2: Marriage and divorce rates, 1940-2005............................................................... Table 1: Births, deaths, marriages and divorces, number and rate per 1,000 estimated population – 1940-2005 ................................................................................................... Table 2: Population by county, 1960-2005 ......................................................................... Table 3: Summary of vital statistics by month, 2005 ..........................................................

BIRTH SECTION

5 6

7

8-9 10

Birth Highlights ................................................................................................................... Map 1: Births by county of residence, 2005........................................................................ Map 2: Birth rates by county of residence, 2005................................................................. Table 4: Births by place of occurrence and by usual residence of the mother, 2003-2005, rate for 2005..................................................................................................................... Table 5: Births by sex, race and Hispanic origin, by place of residence, 2005 .................. Graph 3: Percent of all births by age of mother, 2001-2005............................................... Graph 4: Average age of mother giving birth, 1975-2005................................................... Table 6: Birth order by age of mother, 2005 ....................................................................... Table 7: Teen births by place of residence, 2005 and 2001-2005 ..................................... Graph 5: Trimester prenatal care began by age of mother, 2005....................................... Table 8: Births - trimester prenatal care began (percent) by number of prenatal visits, 2005 ................................................................................................................................. Table 9: Births - number of prenatal care visits (percent) by age of mother, 2005............. Table 10: Number of prenatal care visits (%) by education of mother, 2005...................... Table 11: Number of prenatal care visits (%) by birth weight of child, 2005....................... Table 12: Number of prenatal care visits (%) by race/Hispanic origin of mother, 2005 ..... Table 13: Births by trimester prenatal care began and percent receiving inadequate care by county of residence, 2005 ........................................................................................... Graph 6: Low and very low birth weight rates, 1970-2005 ................................................. Table 14: Births by weight groups, 2005............................................................................. Table 15: Births, very low and low birth weight by county of residence, 2005 and 2001- 2005 ................................................................................................................................. Table 16: Medical risk factors of the mother, 2005............................................................. Table 17: Obstetric procedures, 2005................................................................................. Table 18: Characteristics of labor and delivery, 2005......................................................... Table 19: Method of delivery, 2005..................................................................................... Table 20: Onset of labor, 2005 ........................................................................................... Table 21: Perinatal cigarette smoking, 2005....................................................................... Graph 7: Average birth weight by tobacco usage of the mother, 2001-2005 ..................... Graph 8: Tobacco use during third trimester of pregnancy by race/Hispanic origin of the mother, 2005.......................................................................................................... Graph 9: Birth rates for unmarried women, 1960-2005 ...................................................... Table 22: Births to unmarried women by place of residence, 2005 and 2001-2005 .......... Table 23: Births to unmarried women by age of mother, 2001-2005 ................................. Table 24: Births to unmarried women by age and race/Hispanic origin of mother, 2005... Table 25: Percent of race/Hispanic origin births to unmarried women, 1980-2005............ Table 26: Percent of age group births to unmarried women, 1980-2005 ........................... Table 27: Birth order of births to unmarried women by age of mother, 2005 ..................... Table 28: Birth defects – number and rate, 2005 and 2001-2005 ......................................

11-12 13 14

15-18 19-22

23 24 25

26-27 28

29 29 30 30 30

31-32

33 34

35-36

37 37 37 38 38 38 39

40 41

42-44 45 45 46 46 47

48-49

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BIRTH SECTION (continued) Table 29: Birth defects by county of residence, 2005 and 2001-2005 ............................... Table 30: Birth defects by month of birth, 2005 .................................................................. Table 31: Birth defects by age of mother, 2005.................................................................. Table 32: Birth defects by age of father, 2005.................................................................... Table 33: Birth defects by weight and sex of child, 2005.................................................... Table 34: Birth defects by race of mother, 2005.................................................................

DEATH SECTION Death Highlights.................................................................................................................. Map 3: Deaths by county of residence, 2005...................................................................... Map 4: Death rates by county of residence, 2005 .............................................................. Table 35: Deaths by place of occurrence and usual residence of deceased, 2003-2005 ........................................................................................................................ Table 36: Deaths by sex, race and Hispanic origin, by place of residence, 2005 .............. Table 37: Deaths by principal cause, 2001-2005……………………………………………... Table 38: Deaths by principal cause, crude rates per 100,000 population, 2001-2005 ........................................................................................................................ Table 39: Deaths by principal cause, age-adjusted rates per 100,000 population, population, 2001-2005 ..................................................................................................... Table 40: Cancer deaths by selected sites and sex, 2001-2005........................................ Table 41: Age-adjusted cancer death rates by selected sites and sex, 2001-2005 ........... Graph 10: Average age at time of death, 1925–2005......................................................... Graph 11: Average age at time of death by sex, 1960-2005.............................................. Table 42: Deaths by age group and sex, 2005................................................................... Table 43: Deaths by age group and average age by county of residence, 2005 ............... Graphs 12-18: leading causes of death by selected age groups and sex, 2005................ Graph 12: all ages............................................................................................................ Graph 13: by sex.............................................................................................................. Graph 14: ages 1-19 ........................................................................................................ Graph 15: ages 20-44 ...................................................................................................... Graph 16: ages 45-59 ...................................................................................................... Graph 17: ages 60-74 ...................................................................................................... Graph 18: ages 75+ ......................................................................................................... Maps 5-14 and Tables 44-53: Ten leading causes of death by county of residence, 2005 and 2001-2005 ...................................................................................... Map 5 and Table 44: Heart disease................................................................................. Map 6 and Table 45: Cancer ........................................................................................... Map 7 and Table 46: Cerebrovascular disease ............................................................... Map 8 and Table 47: Chronic lung disease ..................................................................... Map 9 and Table 48: Accidental ...................................................................................... Map 10 and Table 49: Alzheimer’s disease..................................................................... Map 11 and Table 50: Diabetes mellitus.......................................................................... Map 12 and Table 51: Pneumonia................................................................................... Map 13 and Table 52: Nephritis and nephrosis ............................................................... Map 14 and Table 53: Essential hypertension and hypertensive renal disease.............. Table 54: Accidental deaths by cause, 2001-2005............................................................. Graph 19: Leading causes of accidental deaths, 2005....................................................... Table 55: Accidental deaths by principal cause by place of residence, 2005 ................... Table 56: Drownings by site, sex and age group, 2005...................................................... Table 57: Farm fatalities by type, sex and age group, 2005...............................................

50-5152 52 52 53 53

54-55 56 57

58-61 62-65

66

67

68 69 69 70 71 72

73-74 75-81

75 76 77 78 79 80 81

82-111

82-84 85-87 88-90 91-93 94-96 97-99

100-102 103-105 106-108 109-111

112 113

114-117 118 118

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PageDEATH SECTION (continued)

Graph 20: Intentional self-harm (suicide), 1918-2005 ........................................................ Table 58: Intentional self harm (suicide) by type, sex and age group, 2005 ...................... Graph 21: Infant and neonatal death rates, 1925-2005...................................................... Table 59: Infant and neonatal deaths by place of residence, 2005 and 2001-2005........... Table 60: Deaths under one year of age by cause, 2005................................................... Table 61: Deaths under one year of age by race/Hispanic origin and sex, 2005............... Table 62: Deaths under one year of age by birth weight groups, 2005.............................. Table 63: Perinatal and fetal deaths by place of residence, 2005 and 2001-2005............. Table 64: Fetal deaths by cause of death, 2005 and 2001-2005 ....................................... Table 65: Fetal deaths by age group of mother, sex, race, Hispanic origin and place of delivery, 2005 .....................................................................................................

MARRIAGE AND DIVORCE SECTION Marriage and Divorce Highlights......................................................................................... Map 15: Marriages by county of occurrence, 2005............................................................. Map 16: Marriage rates by county of occurrence, 2005 ..................................................... Table 66: Marriages – number and rate by county, 2002-2005.......................................... Table 67: Number of marriages by race of bride and groom, 2005.................................... Table 68: Number of this marriage - bride and groom, 2005.............................................. Table 69: Number of marriages by previous marital status, bride and groom, 2005.......... Table 70: Number of this marriage by age of the bride, 2005 ............................................ Table 71: Number of this marriage by age of the groom, 2005 .......................................... Table 72: Number of marriages by age of bride and groom, 2005..................................... Table 73: Number of first marriages by age of bride and groom, 2005 .............................. Map 17: Divorces by county of occurrence, 2005............................................................... Map 18: Divorces rates by county of occurrence, 2005...................................................... Table 74: Divorces - number and rate by county, 2002-2005............................................. Table 75: Number of divorces by age of husband and wife, 2005...................................... Table 76: Divorces by duration of marriage, 2003-2005..................................................... Table 77: Number of divorces by race of husband and wife, 2005 .................................... Table 78: Divorces - number of this marriage for husband and wife, 2005 ........................ Table 79: Number of divorces by settlement type, 2005 .................................................... Table 80: Divorces - number of children affected, 2005 ..................................................... Table 81: Divorces - custody and number of children awarded, 2005 ............................... Supplemental Tables - Births: Table S1: Principal source of payment for delivery, 2005 .................................................. Table S2: WIC/breastfeeding, 2005.................................................................................... Table S3: Weight change during pregnancy by pre-pregnancy Body Mass Index (BMI), 2005 (for singleton births) ................................................................................................ Table S4: Maternal morbidity, 2005 .................................................................................... Table S5: Infections present, 2005 ..................................................................................... Appendix – Selected Tables by Service Area and Health Department: Table 4a: Births by place of occurrence and by usual residence of the mother, 2003- 2005 ................................................................................................................................. Table 5a: Births by sex, race and Hispanic origin, by Service Area and health department (residence), 2005…………………………………………………………………. Table 7a: Teen births by Service Area and health department (residence), 2005 and 2001-2005 ....................................................................................................................... Table 13a: Births by trimester prenatal care began and percent receiving inadequate prenatal care by Service Area and health department (residence), 2005 .......................

119 120 121

122-124 125 125 125

126-128 129-130

130

131 132 133

134-135 136 136 136 137 137 138 139 140 141

142-143 144 145 146 146 147 147 147

148 148

148 149 149

153

154

155

156

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Table 35a: Deaths by place of occurrence and usual residence of deceased, 2003-2005 ........................................................................................................................ Table 43a: Deaths by age group and place of residence, 2005 ......................................... Table 44-50a: Deaths by cause (top seven) by place of residence, 2005.......................... Table 66 and 74a: Marriages and divorces – number and rate by Service Area and health department, 2005 ...........................................................................................

157 158 159

160

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INTRODUCTION

The information presented in this report comes from the vital records of the state of Nebraska. Records of events for Nebraska residents which occur in other states, territories and Canada, and which the Department receives through an Inter-jurisdictional Exchange Agreement, are also included. The primary period covered by this report is calendar year 2005; however, some data from previous years are also included. Records received after the following dates were not included in this report: birth records received after June 21, 2007; death records received after January 4, 2008; marriage records received after January 4, 2008; divorce records received after January 7, 2008; and fetal death records received after August 13, 2007. The number of such records is minimal and their statistical effect negligible.

The birth defect data presented in the report are taken from the Nebraska Birth Defects Registry, with the exception of the death data, which are taken from death and fetal death certificates. Information for the Registry is provided by reporting personnel in approximately 90 Nebraska hospitals.

The state and county population figures used in the calculation of rates are from 2005 Census estimates provided by the U.S. Department of Commerce, Bureau of the Census. City and balance of county population estimates are provided by the Nebraska Department of Health and Human Services (DHHS).

Characteristics of the population, such as size and age structure, can have a great influence on vital statistics data. Only 27 counties and 16 cities in Nebraska had populations over 10,000 at the 2000 Census. Eleven counties had less than 1,000 residents. In any area with a population under 10,000, wide variations in numbers or rates of events can appear from year to year, and no single year may be truly representative of the population. Counties with a high proportion of young people will show relatively higher crude birth rates and lower crude death rates than counties with a greater number of older residents.

Information for towns having populations of 2,500 or more (in 2000) is included in this report. Information for towns with a population of 1,000 or more persons is available from the DHHS Health Statistics Section (see address and phone number on page i).

To maintain consistency with previous Vital Statistics Reports, with a few exceptions, the content for the first 147 pages of the report is the same as for previous reports. Supplemental tables have been included to reflect new data being collected. In addition, selected tables for the 20 local health districts and five DHHS Service Areas have been included in the appendix.

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DEFINITIONS OF TERMS GEOGRAPHIC ALLOCATION

RESIDENCE – A person’s usual place of abode. This means, in general, the place where one lives and sleeps most of the time. However, when usual residence is a nursing home or other institution, residence is considered the place where the person lived prior to admission to the institution.

OCCURRENCE – The location in which an event takes place irrespective of the usual residence of persons involved.

BIRTHS

BIRTH WEIGHT – The first weight of the fetus or newborn obtained after birth. This weight should be measured preferably within the first hour of life before significant postnatal weight loss has occurred.

LOW BIRTH WEIGHT – A birth weight under 2500 grams or 5 pounds, 9 ounces.

VERY LOW BIRTH WEIGHT – A birth weight under 1500 grams or 3 pounds, 5 ounces.

LENGTH OF PREGNANCY – The duration of gestation, in completed weeks, as calculated from the first day of the last normal menses to the date of birth.

LIVE BIRTH – The complete expulsion or extraction of a product of conception from its mother, irrespective of the period of gestation which, after such separation, breathes or shows any other evidence of life such as beating of a heart, pulsation of the umbilical cord, or definite movement of voluntary muscles, whether or not the umbilical cord has been cut or the placenta is attached, and is reportable.

LIVE BIRTH ORDER – The number of live born children including the current birth.

DEATHS

CAUSE OF DEATH – Deaths, by cause, are classified according to the International Classification of Diseases, Tenth Revision, of the World Health Organization.

FETAL DEATH – Death prior to the complete expulsion or extraction of a product of conception from its mother, irrespective of the duration of pregnancy. Until the pregnancy has reached 20 weeks duration, it is not required that such a death be reported.

INFANT DEATH – Death of a person under one year of age.

NEONATAL DEATH – Death of a person under 28 days of age. PERINATAL DEATH – Fetal deaths plus neonatal deaths. MATERNAL DEATH – Deaths attributable to delivery or the complications of pregnancy, childbirth or the puerperium.

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DEFINITIONS AND FORMULAS FOR RATES AND RATIOS

CRUDE BIRTH RATE = The number of live births per 1,000 population.

Number of Live Births X 1,000 Population of Area

FERTILITY RATE = The number of live births per 1,000 females 15-44 years of age.

Number of Live Births X 1,000 Female Population (ages 15-44)

UNMARRIED BIRTH RATE = The number of births to unmarried women per 1,000 live births.

Number of Births to Unmarried Women X 1,000 Number of Live Births

SEX RATIO = The number of male births for each 1,000 female births.

Number of Male Live Births X 1,000 Number of Female Live Births

CRUDE DEATH RATE = The number of deaths per 100,000 population.

Number of Deaths X 100,000 Population of Area

FETAL DEATH RATIO = The number of fetal deaths per 1,000 live births.

Number of Fetal Deaths X 1,000 Number of Live Births

INFANT DEATH RATE = The number of infant deaths per 1,000 live births.

Number of Infant Deaths X 1,000 Number of Live Births

NEONATAL DEATH RATE = The number of neonatal deaths per 1,000 live births.

Number of Neonatal Deaths X 1,000 Number of Live Births

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PERINATAL DEATH RATE = The number of perinatal deaths per 1,000 live births, plus fetal deaths.

Number of Perinatal Deaths X 1,000 Number of Live Births + Number of Fetal Deaths

MATERNAL DEATH RATE = The number of maternal deaths per 100,000 live births.

Number of Maternal Deaths X 100,000 Number of Live Births

AGE-SPECIFIC DEATH RATE = The number of deaths in a specific age group per 100,000 population in a specific age group.

Number of Deaths in Age Group X 100,000 Population in Age Group

AGE-ADJUSTED DEATH RATE = A weighted average of a crude death rate according to a standard age distribution. An age-adjusted death rate represents what the crude death rate would be if the population for which the rate is adjusted and the standard population had the same age distribution. This procedure allows for the comparison of death rates among populations having different age distributions. The age-adjusted death rates in this report have been adjusted according to the age distribution of the United States population in 2000.

The sum of Age-Specific Death Rates for Each Standard Population

Age Group X in Each Age Group Total Standard Population

CAUSE-SPECIFIC DEATH RATE = The number of deaths from a specific cause per 100,000 population.

Number of Deaths for a Specific Cause X 100,000 Population of Area

4

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5

Graph 1: Birth and Death Rates, 1940-2005

0

5

10

15

20

25

30

1940

1943

1946

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1952

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1970

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Graph 2: Marriage and Divorce Rates, 1940-2005

0

2

4

6

8

10

12

14

1619

40

1943

1946

1949

1952

1955

1958

1961

1964

1967

1970

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TABLE 1: Births, Deaths, Marriages and Divorces, Number and Rate per 1,000 Estimated Population, 1940-2005 Estimated Births Deaths Marriages Divorces

Year Population # Rate # Rate # Rate # Rate 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005

1,315,834 1,272,000 1,239,000 1,241,000 1,216,000 1,211,000 1,256,000 1,265,000 1,265,000 1,302,000 1,325,510 1,316,000 1,311,000 1,318,000 1,340,000 1,374,000 1,397,000 1,394,000 1,383,000 1,397,000 1,411,330 1,446,000 1,464,000 1,476,000 1,482,000 1,471,000 1,456,000 1,457,000 1,467,000 1,474,000 1,483,493 1,504,604 1,519,013 1,529,567 1,539,191 1,543,117 1,550,911 1,556,842 1,563,884 1,567,344 1,569,825 1,578,515 1,581,780 1,584,293 1,588,639 1,584,664 1,574,333 1,566,547 1,571,477 1,574,864 1,578,385 1,595,919 1,611,687 1,625,590 1,639,041 1,656,992 1,673,740 1,686,418 1,695,816 1,704,764 1,711,263 1,718,280 1,725,545 1,734,746 1,743,954 1,758,787

22,153 22,186 23,950 25,091 24,694 24,292 27,753 32,018 31,066 31,482 31,713 33,595 33,809 32,633 33,617 34,087 33,855 33,161 32,935 34,162 34,257 34,544 33,886 32,624 30,727 27,829 25,618 24,259 24,236 24,801 25,877 25,507 23,473 22,771 23,695 23,658 23,767 25,158 25,103 26,199 27,335 27,164 26,954 26,254 26,099 25,540 24,425 23,813 23,904 24,205 24,362 23,947 23,336 23,196 23,131 23,221 23,271 23,313 23,533 23,900 24,643 24,818 25,381 25,900 26,324 26,142

16.8 17.4 19.3 20.2 20.3 20.1 22.1 25.3 24.6 24.2 23.9 25.5 25.8 24.8 25.1 24.8 24.2 23.8 23.8 24.5 24.3 23.9 23.1 22.1 20.7 18.9 17.6 16.6 16.5 16.8 17.4 17.0 15.5 14.9 15.4 15.3 15.3 16.2 16.1 16.7 17.4 17.2 17.0 16.6 16.4 16.1 15.5 15.2 15.2 15.4 15.4 15.0 14.5 14.3 14.1 14.0 13.9 13.8 13.9 14.0 14.4 14.4 14.7 14.9 15.1 14.9

12,593 12,203 12,293 12,956 12,560 12,446 12,365 12,823 12,569 12,607 12,548 12,880 13,056 13,298 12,741 13,001 13,161 13,797 13,680 13,887 14,071 13,812 14,305 14,657 14,758 14,799 14,799 14,465 15,017 14,898 15,016 15,182 15,540 14,977 15,016 14,569 14,536 14,316 14,408 14,228 14,465 14,580 14,567 14,695 14,633 14,895 14,662 14,820 14,858 14,776 14,751 14,647 14,577 14,967 14,974 15,216 15,435 15,271 15,181 15,580 14,979 15,171 15,721 15,439 14,647 14,950

9.6 9.6 9.9 10.4 10.3 10.3 9.8 10.1 9.9 9.7 9.5 9.8 10.0 10.1 9.5 9.5 9.4 9.9 9.9 9.9 10.0 9.6 9.8 9.9 10.0 10.1 10.2 9.9 10.2 10.1 10.1 10.1 10.2 9.8 9.8 9.4 9.4 9.2 9.2 9.1 9.2 9.2 9.2 9.3 9.2 9.4 9.3 9.5 9.5 9.4 9.3 9.2 9.0 9.2 9.1 9.2 9.2 9.1 9.0 9.1 8.8 8.8 9.1 8.9 8.4 8.5

15,977 18,802 18,462 13,818 9,115 10,358 14,130 14,726 14,928 12,743 13,828 12,399 11,484 11,575 11,307 11,892 11,364 10,702 10,607 10,724 10,635 10,976 11,185 11,711 11,920 12,069 12,390 13,161 14,287 15,145 15,666 15,080 14,106 13,957 13,873 13,087 13,431 13,387 13,711 14,074 14,239 14,363 14,350 13,703 13,274 12,696 12,107 11,808 12,242 12,709 12,625 12,555 12,437 12,337 12,641 12,351 12,257 12,456 12,404 12,886 13,396 13,494 12,889 12,240 12,484 12,262

12.1 14.8 14.9 11.1 7.5 8.6 11.3 11.6 11.8 9.8 10.4 9.4 8.8 8.8 8.4 8.7 8.1 7.7 7.7 7.7 7.5 7.6 7.6 7.9 8.0 8.2 8.5 9.0 9.7 10.3 10.6 10.0 9.3 9.1 9.0 8.5 8.7 8.6 8.8 9.0 9.1 9.1 9.1 8.6 8.4 8.0 7.7 7.5 7.8 8.1 8.0 7.9 7.7 7.6 7.7 7.5 7.3 7.4 7.3 7.6 7.8 7.9 7.5 7.1 7.2 7.0

2,028 2,089 1,805 2,218 2,471

3,176 4,504 3,180 2,648 2,521

2,471 2,290 2,363 2,287 2,355

2,350 2,284 2,130 2,062 2,124

2,092 2,311 2,301 2,378 2,455

2,448 2,531 2,825 2,940 3,194

3,629 3,946 4,326 4,849 5,114

5,504 5,788 6,047 6,010 6,220

6,368 6,769 6,357 6,172 6,348

6,318 6,127 6,189 6,225 6,273

6,454 6,624 6,516 6,254 6,312

6,262 6,140 6,245 6,073 6,207

6,304 6,194 6,143 5,900 5,942

5,830

1.5 1.6 1.5 1.8 2.0 2.6 3.6 2.5 2.1 1.9 1.9 1.7 1.8 1.7 1.8 1.7 1.6 1.5 1.5 1.5 1.5 1.6 1.6 1.6 1.7 1.7 1.7 1.9 2.0 2.2 2.4 2.6 2.8 3.2 3.3 3.6 3.7 3.9 3.8 4.0 4.1 4.3 4.0 3.9 4.0 4.0 3.9 4.0 4.0 4.0 4.1 4.2 4.0 3.8 3.9 3.8 3.7 3.7 3.6 3.6 3.7 3.6 3.6 3.4 3.4 3.3

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TABLE 2: Population by County, 1960-2005 County 1960 1970 1980 1990 2000 2005Total 1,411,330 1,483,493 1,569,825 1,578,385 1,711,263 1,758,787 Adams 28,944 30,553 30,656 29,625 31,151 33,070 Antelope 10,176 9,047 8,675 7,965 7,452 7,004 Arthur 680 606 513 462 444 378 Banner 1,269 1,034 918 852 819 733 Blaine 1,016 847 867 675 583 484 Boone 9,134 8,190 7,391 6,667 6,259 5,772Box Butte 11,688 10,094 13,696 13,130 12,158 11,374 Boyd 4,513 3,752 3,331 2,835 2,438 2,261Brown 4,436 4,021 4,377 3,657 3,525 3,328Buffalo 26,236 31,222 34,797 37,447 42,259 43,572Burt 10,192 9,247 8,813 7,868 7,791 7,455 Butler 10,312 9,461 9,330 8,601 8,767 8,720 Cass 17,821 18,076 20,297 21,318 24,334 25,734 Cedar 13,368 12,192 11,375 10,131 9,615 9,066 Chase 4,317 4,129 4,758 4,381 4,068 3,866 Cherry 8,218 6,846 6,758 6,307 6,148 6,098Cheyenne 14,828 10,778 10,057 9,494 9,830 9,993Clay 8,717 8,266 8,106 7,123 7,039 6,733Colfax 9,595 9,498 9,890 9,139 10,441 10,433 Cuming 12,435 12,034 11,664 10,117 10,203 9,688Custer 16,517 14,092 13,877 12,270 11,793 11,410 Dakota 12,168 13,137 16,573 16,742 20,253 20,349 Dawes 9,536 9,693 9,609 9,021 9,060 8,636 Dawson 19,405 19,467 22,304 19,940 24,365 24,617 Deuel 3,125 2,717 2,462 2,237 2,098 2,004 Dixon 8,106 7,453 7,137 6,143 6,339 6,155Dodge 32,471 34,782 35,847 34,500 36,160 36,078Douglas 343,490 389,455 397,038 416,444 463,585 486,929Dundy 3,570 2,926 2,861 2,582 2,292 2,133Fillmore 9,425 8,137 7,920 7,103 6,634 6,385Franklin 5,449 4,566 4,377 3,938 3,574 3,421 Frontier 4,311 3,982 3,647 3,101 3,099 2,795 Furnas 7,711 6,897 6,486 5,553 5,324 5,019 Gage 26,818 25,719 24,456 22,794 22,993 23,306 Garden 3,472 2,929 2,802 2,460 2,292 1,997 Garfield 2,699 2,411 2,363 2,141 1,902 1,816Gosper 2,489 2,178 2,140 1,928 2,143 2,020Grant 1,009 1,019 877 769 747 670Greeley 4,595 4,000 3,462 3,006 2,714 2,512Hall 35,757 42,851 47,690 48,925 53,534 55,104Hamilton 8,714 8,867 9,301 8,862 9,403 9,568 Harlan 5,081 4,357 4,292 3,810 3,786 3,462 Hayes 1,919 1,530 1,356 1,222 1,068 1,027 Hitchcock 4,829 4,051 4,079 3,750 3,111 2,970 Holt 13,722 12,933 13,552 12,599 11,551 10,784 Hooker 1,130 939 990 793 783 744Howard 6,541 6,807 6,773 6,055 6,567 6,708Jefferson 11,620 10,436 9,817 8,759 8,333 7,925Johnson 6,281 5,743 5,285 4,673 4,488 4,695Kearney 6,580 6,707 7,053 6,629 6,882 6,774

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TABLE 2: Population by County, 1960-2005 (Cont'd)

County 1960 1970 1980 1990 2000 2005 Keith 7,958 8,487 9,364 8,584 8,875 8,330 Keya Paha 1,672 1,340 1,301 1,029 983 902 Kimball 7,975 6,009 4,882 4,108 4,089 3,782 Knox 13,300 11,723 11,457 9,534 9,374 8,916 Lancaster 155,272 167,972 192,884 213,641 250,291 264,814 Lincoln 28,491 29,538 36,455 32,508 34,632 35,636 Logan 1,108 991 983 878 774 740Loup 1,097 854 859 683 712 686McPherson 735 623 593 546 533 507Madison 25,147 27,402 31,382 32,655 35,226 35,488 Merrick 8,363 8,751 8,945 8,042 8,204 8,066 Morrill 7,057 5,813 6,085 5,423 5,440 5,165 Nance 5,635 5,142 4,740 4,275 4,038 3,666 Nemaha 9,099 8,976 8,367 7,980 7,576 6,965 Nuckolls 8,217 7,404 6,726 5,786 5,057 4,739 Otoe 16,503 15,576 15,183 14,252 15,396 15,509Pawnee 5,356 4,473 3,937 3,317 3,087 2,878Perkins 4,189 3,423 3,637 3,367 3,200 3,057Phelps 9,800 9,553 9,769 9,715 9,747 9,449Pierce 8,722 8,493 8,481 7,827 7,857 7,600Platte 23,992 26,508 25,852 29,820 31,662 31,262 Polk 7,210 6,468 6,320 5,675 5,639 5,421 Red Willow 12,940 12,191 12,615 11,705 11,448 11,060 Richardson 13,903 12,277 11,315 9,937 9,531 8,732 Rock 2,554 2,231 2,383 2,019 1,756 1,567 Saline 12,542 12,809 13,131 12,715 13,843 14,195Sarpy 31,281 63,696 86,015 102,583 122,595 139,371Saunders 17,270 17,018 18,716 18,285 19,830 20,458Scotts Bluff 33,809 36,432 38,344 36,025 36,951 36,752 Seward 13,581 14,460 15,789 15,450 16,496 16,739Sheridan 9,049 7,285 7,544 6,750 6,198 5,668 Sherman 5,382 4,725 4,226 3,718 3,318 3,112 Sioux 2,575 2,034 1,845 1,549 1,475 1,458 Stanton 5,783 5,758 6,549 6,244 6,455 6,534 Thayer 9,118 7,779 7,582 6,635 6,055 5,436 Thomas 1,078 954 973 851 729 623Thurston 7,237 6,942 7,186 6,936 7,171 7,365 Valley 6,590 5,783 5,633 5,169 4,647 4,402Washington 12,103 13,310 15,508 16,607 18,780 19,772Wayne 9,959 10,400 9,858 9,364 9,851 9,211Webster 6,224 6,477 4,858 4,279 4,061 3,762 Wheeler 1,297 1,054 1,060 948 886 820 York 13,724 13,685 14,798 14,428 14,598 14,397

Population figures are from the United States Bureau of the Census.

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TABLE 3: Summary of Vital Statistics by Month, 2005

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Total LIVE BIRTHS Sex: Male Female Race: White Black American Indian Asian Other Hispanic Origin* Hispanic Not Hispanic Unmarried Women

2,000 1,007

993 1,551

143 44 45

217

322 1,678

680

1,989 1,017

972 1,549

134 45 57

204

292 1,697

620

2,252 1,146 1,106 1,815

122 36 57

222

338 1,914

653

2,164 1,105 1,059 1,734

127 29 54

220

289 1,875

662

2,242 1,165 1,077 1,788

126 33 55

240

335 1,907

657

2,269 1,168 1,101 1,843

102 36 52

236

353 1,916

684

2,190 1,090 1,100 1,737

116 29 58

250

350 1,840

668

2,330 1,149 1,181 1,881

153 37 52

207

316 2,014

715

2,282 1,182 1,100 1,860

156 42 46

178

300 1,982

689

2,175 1,101 1,074 1,765

110 46 51

203

313 1,862

661

2,100 1,078 1,022 1,698

123 34 58

187

289 1,811

661

2,149 1,139 1,010 1,729

133 29 37

221

351 1,798

718

26,142 13,347 12,795 20,950

1,545440622

2,585

3,84822,294

8,068

FETAL DEATHS 12 12 12 16 8 12 12 11 9 7 12 12 135 DEATHS 1,370 1,384 1,379 1,239 1,217 1,083 1,130 1,207 1,151 1,260 1,234 1,296 14,950 Sex: Male 623 641 638 595 622 533 537 634 581 613 595 621 7,233 Female 747 743 741 644 595 550 593 573 570 647 639 675 7,717 Race: White 1,313 1,332 1,328 1,179 1,164 1,035 1,078 1,154 1,087 1,201 1,164 1,239 14,274 Black 41 38 30 48 41 37 37 43 42 36 50 42 485 American Indian 11 11 11 11 6 2 10 4 17 18 9 10 120 Asian 5 3 8 1 4 7 4 2 5 3 6 4 52 Other 0 0 2 0 2 2 1 4 0 2 5 1 19 Hispanic Origin* Hispanic 23 21 23 29 17 13 16 26 25 19 22 23 257 Not Hispanic 1,347 1,363 1,356 1,210 1,200 1,070 1,114 1,181 1,126 1,241 1,212 1,273 14,693 MARRIAGES

498

601

624

1,034

1,234

1,555

1,567

1,277

1,244

1,185

621

822

12,262

DIVORCES

507

433

514

481

523

495

441

573

478

457

422

506

5,830

ANNULMENTS

6

4

5

5

7

2

4

5

1

2

3

1

45

* Persons of Hispanic Origin may be any race.

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BIRTH HIGHLIGHTS

In 2005, the number of resident live births in Nebraska decreased for the first time since 1994. A total of 26,142 live births were recorded among Nebraska women in 2005, which represents a 0.7% decline from the 2004 tally of 26,324. The 2005 number also translates into a crude birth rate of 14.9 live births per 1,000 population. Although the number of live births fell slightly in 2005, Nebraska experienced a substantial upturn in live births in the ten preceding years, which was largely the result of an increasing number of live births within the state’s Hispanic population. Comparison of 2005’s live birth data with 1995 show that live births among Hispanic women rose from 1,611 to 3,848, a 139% increase, while live births among non-Hispanic women rose from 21,600 to 22,294, a 3% increase. This trend is most likely the result of Nebraska’s expanding Hispanic population, which has tripled in size since 1990.

Among Nebraska women giving birth to their first child, the average age has continued to rise modestly since the beginning of the previous decade, from 24.2 years in 1990 to 24.6 years in 2005, after much larger increases were recorded during the 1970s and 1980s. Among Nebraska women giving birth to their second and third children, the trends are similar though not identical: in both instances, the average age rose during the 1970s, 1980s, and early 1990s, but has changed little since the mid-1990s. In fact, the average age of Nebraska women giving birth to their second child was 27.5 years in 2005, after increasing from 27.0 years in 1990 to 27.6 years in 1995. For Nebraska women bearing a third child, the average age rose from 28.8 years in 1990 to 29.5 years in 1995, but dropped slightly to 29.3 years in 2005.

Although Nebraska women today are having children later than earlier generations, the majority of all births still occur among women in their twenties. In 2005, women 20-29 accounted for 57.1% of all Nebraska live births, compared to 32.7% for women 30-39, 8.3% for teens, and 1.9% for women 40 and older.

Nebraska’s 2005 live births included 429 sets of twins, 12 sets of triplets, and 1 set of quadruplets. Nebraska has experienced increasing numbers of multiple births in recent years. By comparison, Nebraska recorded 257 sets of twins and 6 sets of triplets in 1990, just 15 years ago.

Nebraska’s 2005 live births also included 1,821 low birth weight babies, i.e., babies that weighed less than 2500 grams (about 5 ½ pounds) at birth. This figure translates into a low birth weight rate of 69.7 per 1,000 live births, which is a decrease from the 2004 figure of 70.7. Nebraska’s annual low birth weight rate has increased steadily since declining to an all-time low of 52.8 in 1990. Long-term trends show that low weight birth rates dropped substantially in Nebraska during the 1970s and, to a lesser extent, the 1980s.

Among the low birth weight babies born to Nebraska women in 2005, 312 were of very low weight, i.e. they weighed less than 1500 grams (about 3.3 pounds) at birth. This figure translates into a very low birth weight rate of 11.9 per 1,000 live births, a decrease from the 2004 figure of 12.5. For many years, Nebraska’s annual very low birth weight rate showed no consistent trend in any direction, but between 1986 and 1996, it rose by about 50%, and has changed little since.

The Nebraska birth certificate was substantially revised in 2005, adding data that have never been gathered before and altering the way that some existing data are collected. As a result, some data may not be comparable to data collected in years prior to 2005. One such variable affected in this way is the trimester when prenatal care began. These data are now based on the actual

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BIRTH HIGHLIGHTS (continued) calendar date when prenatal care began, which should improve their accuracy, but which has also increased the amount of missing information. Birth certificate data now show that prenatal care began during the first trimester of pregnancy for 71.3% of all 2005 Nebraska live births; this figure increases to 75.3% when births with missing data are excluded. 2005 also marks the first year that Nebraska has used the Kotelchuck Index as an indicator of the adequacy of prenatal care. This statistic combines information from the birth certificate concerning when prenatal care began and the number of prenatal visits from when prenatal care began to delivery. Using this measure, 14.1% of Nebraska's 2005 live births occurred among women who did not receive adequate prenatal care. The number and rate of births to unmarried women in Nebraska increased in 2005, continuing a long-standing trend. A total of 8,068 live births were recorded in Nebraska among unmarried women in 2005, up from the 7,954 recorded in 2004. The 2005 figure represents 30.9% of the state's total number of resident live births, and this rate has doubled in less than 20 years. Both the 2005 number and rate are the highest ever recorded in Nebraska history. Tobacco use is a well-known risk factor for a variety of adverse birth outcomes, including low birth weight, prematurity, and infant death. Tobacco use during pregnancy is another variable that was changed as part of the Nebraska birth certificate revisions that took place in 2005. It now includes tobacco use during the three months prior to pregnancy, and separates tobacco use during pregnancy by trimester. These data show that, in 2005, 20.5% of Nebraska women who gave birth to a live-born infant had smoked during the three months before their pregnancy; this figure steadily declined during pregnancy, to 14.9% for women in their first trimester, 12.7% for women in their second trimester, and 12.0% for women in their third trimester. A total of 1,216 birth defects were diagnosed among 691 children born to Nebraska women in 2005. The latter figure translates into a rate of 26.3 cases per 1,000 resident live births and stillborns. Defects of the circulatory system were the most frequently diagnosed conditions in Nebraska in 2005, accounting for 425 (35.0%) of all defects reported. Musculoskeletal conditions were the second most frequently reported defects among Nebraska children in 2005, with 217 diagnoses, followed by digestive system defects, with 134 diagnoses. Nebraska’s 2005 data also show that birth defects were reported three times more often among low birth weight (less than 2500 grams) babies than among babies of normal weight. In addition, birth defects were more likely to be diagnosed among males and children born to women 40 years of age and older.

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TABLE 4: Births by Place of Occurrence and by Usual Residence of the Mother, 2003-2005 2003 2004 2005 2005

Place Occurrence Residence Occurrence Residence Occurrence Residence Birth Rate**STATE 26,079 25,900 26,446 26,324 26,349 26,142 14.9 Adams 667 413 709 455 703 440 13.3 *Hastings 667 339 708 371 703 365 14.3 Balance of Co. 0 74 1 84 0 75 9.8 Antelope 14 68 28 76 28 80 11.4 Arthur 0 5 0 6 0 3 7.9 Banner 0 4 0 6 0 5 6.8Blaine 0 7 0 5 0 4 8.3Boone 72 50 77 60 87 59 10.2Box Butte 130 163 88 133 79 143 12.6 Alliance 0 132 0 103 79 116 13.9 Balance of Co. 130 31 88 30 0 27 8.9 Boyd 0 20 0 19 1 8 3.5 Brown 9 35 12 40 6 25 7.5 Buffalo 948 649 976 640 1,028 638 14.6 *Kearney 948 433 975 455 1,028 441 15.2 Balance of Co. 0 216 1 185 0 197 13.5 Burt 1 80 2 70 1 88 11.8Butler 67 100 67 95 61 66 7.6 David City 67 31 67 37 61 26 10.2 Balance of Co. 0 69 0 58 0 40 6.5 Cass 1 295 0 335 2 334 13.0 Plattsmouth 0 115 0 126 1 146 20.8 Balance of Co. 1 180 0 209 0 188 10.0 Cedar 0 109 1 100 0 125 13.8 Chase 26 51 41 45 35 46 11.9 Cherry 110 69 110 80 115 81 13.3 Valentine 110 30 109 44 115 43 15.4 Balance of Co. 0 39 1 36 0 38 11.5 Cheyenne 97 121 100 146 100 138 13.8 Sidney 97 88 100 98 100 103 16.0 Balance of Co. 0 33 0 48 0 35 9.9 Clay 0 77 0 67 0 72 10.7 Colfax 79 210 72 186 72 215 20.6 Schuyler 79 145 72 137 72 154 28.9 Balance of Co. 0 65 0 49 0 61 11.9 Cuming 99 140 81 138 86 123 12.7 West Point 97 60 81 57 85 43 12.4 Balance of Co. 2 80 0 81 1 80 12.9 Custer 119 138 110 116 93 135 11.8 Broken Bow 115 50 109 50 91 43 13.0 Balance of Co. 4 88 1 66 2 92 11.4 Dakota 1 384 2 402 1 418 20.5 *So. Sioux City 0 298 1 319 0 318 26.5 Balance of Co. 1 86 1 83 1 100 11.9 Dawes 113 109 123 103 111 96 11.1 Chadron 113 73 122 79 111 75 14.1 Balance of Co. 0 36 1 24 0 21 6.3 Dawson 360 464 324 478 289 410 16.7 Cozad 62 61 52 72 57 60 14.2 Gothenburg 35 53 38 57 24 48 13.0 *Lexington 263 277 234 266 208 224 22.2 Balance of Co. 0 73 0 83 0 78 11.8

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TABLE 4: Births by Place of Occurrence and by Usual Residence of the Mother, 2003-2005 (Cont'd)

Place 2003 2004 2005 2005

Occurrence Residence Occurrence Residence Occurrence Residence Birth Rate** Deuel Dixon Dodge *Fremont Balance of Co. Douglas Elkhorn *Omaha Ralston Balance of Co. Dundy Fillmore Franklin Frontier Furnas Gage *Beatrice Balance of Co. Garden Garfield Gosper Grant Greeley Hall *Grand Island Balance of Co. Hamilton Aurora Balance of Co. Harlan Hayes Hitchcock Holt O'Neill Balance of Co. Hooker Howard Jefferson Fairbury Balance of Co. Johnson Kearney Minden Balance of Co. Keith Ogallala Balance of Co. Keya Paha Kimball Kimball Balance of Co. Knox

0 0

512 511

1 10,965

0 10,962

0 3

22 50 0 0

41 117 117

0 0 0 0 0 0

1,051 1,051

0 79 77

2 0 0 1

123 99 24 0

38 50 50 0

40 10 10 0

79 79 0 0 1 1 0 0

24 86

515 398 117

7,987 95

6,933 55

904 14 75 24 24 46

272 168 104 12 16 23 9

36 974 856 118 118

70 48 35 7

37 105 45 60 3

95 75 49 26 56 79 33 46 95 73 22 15 40 27 13 95

0 0

493 493

0 11,449

1 11,447

0 1

19 28 0 0

54 127 127

0 0 0 0 0 0

945 945

0 73 73 0 0 0 0

136 105 31 0

27 50 49 1

57 13 13 0

79 79 0 0 0 0 0 2

15 62

499 374 125

8,343 134

7,064 62

1,083 18 52 31 25 49

265 175 90 18 19 23 4

28 884 760 124 103

55 48 36 9

36 126

51 75 9

77 91 52 39 54 77 40 37 89 61 28 15 35 24 11 98

1 0

504 504

0 11,742

0 11,742

0 0

22 38 0 0

40 98 98 0 0 0 0 0 0

988 988

0 66 66 0 0 0 0

117 88 29 0

34 54

0 54 46 4 4 0

93 93 0 0 1 1 0 1

25 85

512 394 118

8,199 97

6,868 83

1,151 26 67 35 32 52

276 175 101 19 15 21 3

27 965 838 127 85 42 43 27 6

25 120

49 71 5

82 79 48 31 57 83 38 45 93 69 24 6

39 25 14

102

12.5 13.8 14.2 15.611.0 16.811.8 16.613.4 19.8 12.2 10.5 10.2 11.410.411.813.6

9.7 9.5 8.3

10.4 4.5

10.7 17.518.8 12.0 8.99.8 8.1 7.8 5.8 8.4

11.1 14.19.7 6.7

12.210.011.9 7.9

12.1 12.3 13.0 11.7 11.214.7 6.6 6.7

10.3 10.7 9.7

11.4

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TABLE 4: Births by Place of Occurrence and by Usual Residence of the Mother, 2003-2005 (Cont'd)

Place 2003 2004 2005 2005

Occurrence Residence Occurrence Residence Occurrence Residence Birth Rate** Lancaster *Lincoln Balance of Co. Lincoln *North Platte Balance of Co. Logan Loup McPherson Madison *Norfolk Balance of Co. Merrick Central City Balance of Co. Morrill Nance Nemaha Auburn Balance of Co. Nuckolls Otoe Nebraska City Balance of Co. Pawnee Perkins Phelps Holdrege Balance of Co. Pierce Platte *Columbus Balance of Co. Polk Red Willow McCook Balance of Co. Richardson Falls City Balance of Co. Rock Saline Crete Balance of Co. Sarpy *Bellevue *LaVista *Papillion Balance of Co. Saunders Wahoo Balance of Co.

4,831 4,831

0 608 608

0 0 0 0

999 998

1 37 37 0 0 0 0 0 0

43 126 103 23 1

45 160 160

0 0

563 563

0 19

135 135

0 49 49 0 0

61 26 35

933 4 0

454 475

3 0 3

4,043 3,793

250 501 382 119 10 6 4

567 444 123 101 51 50 60 32 68 37 31 55

180 84 96 23 34

100 58 42 91

446 335 111 76

122 101 21 86 47 39 18

176 87 89

2,335 796 206 291

1,042 237

70 167

4,919 4,918

1 608 608

0 0 0 0

985 984

0 24 24 0 1 0 0 0 0

43 141 130 11 1

41 140 140

0 3

570 570

0 23

136 136

0 59 59 0 0

91 0

91 856

3 0

380 473

1 1 0

4,126 3,873

253 483 374 109

9 2 5

604 466 138 83 29 54 48 51 90 46 44 56

172 96 76 28 42

115 72 43 90

482 351 131 60

145 101 44

100 57 43 15

197 126 71

2,376 734 243 307

1,092 235

54 181

4,892 4,890

2 591 590

1 0 0 0

954 953

1 17 17 0 0 0 2 2 0

51 145 134 11 0

31 123 123

0 0

547 547

0 37

127 127

0 55 55 0 0

114 114

0 568

0 0

390 178

0 0 0

4,067 3,792

275 488 364 124 10 4 4

566 430 136 73 41 32 68 43 70 33 37 59

195 102 93 17 34

110 75 35 85

455 364 91 58

140 105 35 81 57 24 16

203 125 78

2,431 873 261 313 984 261 69

192

15.4 15.9 10.7 13.7 15.0 11.0 13.55.87.9

15.918.0 11.8 9.1

14.2 6.2

13.211.710.110.7 9.5

12.4 12.6 14.5 11.0 5.9

11.111.614.08.5

11.214.6 17.4 8.8

10.7 12.7 13.7 10.4 9.3

13.5 5.3

10.2 14.3 19.8 9.9

17.4 18.416.615.317.6 12.817.0 11.7

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TABLE 4: Births by Place of Occurrence and by Usual Residence of the Mother, 2003-2005 (Cont'd)

Place 2003 2004 2005 2005

Occurrence Residence Occurrence Residence Occurrence Residence Birth Rate** Scotts Bluff Gering *Scottsbluff Balance of Co. Seward Seward Balance of Co. Sheridan Sherman Sioux Stanton Thayer Thomas Thurston Valley Washington Blair Balance of Co. Wayne Wayne Balance of Co. Webster Wheeler York York Balance of Co.

782 0

781 1

112 112

0 57

0 2 0

42 0

75 12 75 74 1

58 58 0 0 0

159 148 11

539 121 255 163 204 87

117 71 38 11 88 56 7

173 52

197 89

108 116 68 48 25 8

191 105 86

773 0

773 0

106 105

1 58

0 0 0

39 0

65 6

69 68 1

64 64 0 0 0

149 141

8

538 165 265 108 203

86 117 72 35 11 85 47 7

149 43

231 112 119 91 49 42 31 6

170 92 78

779 0

779 0

107 107

0 54

0 0 0

41 1

54 9

86 86 0

69 69 0 0 0

148 130 18

520 136 261 123 184

74 110 71 29 14 74 55 6

151 44

225 105 120 104 57 47 28 7

172 102 70

14.1 17.5 17.6

8.7 11.0 10.911.0 12.5

9.3 9.6

11.3 10.1 9.6

20.5 10.011.4 13.5 10.0 11.3 11.0 11.6 7.4 8.5

11.9 12.9 10.8

Indented - Cities 2,500 - 10,000 population in 2000; *cities over 10,000 population in 2000; balance of county ** The number of resident live births per 1,000 population

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TABLE 5: Births by Sex, Race and Hispanic Origin, By Place of Residence, 2005

Place Total Births

Sex Race HispanicOrigin** Male Female White Black Amer Indian Asian Other

STATE Adams *Hastings Balance of Co. Antelope Arthur Banner Blaine Boone Box Butte Alliance Balance of Co. Boyd Brown Buffalo *Kearney Balance of Co. Burt Butler David City Balance of Co. Cass Plattsmouth Balance of Co. Cedar Chase Cherry Valentine Balance of Co. Cheyenne Sidney Balance of Co. Clay Colfax Schuyler Balance of Co. Cuming West Point Balance of Co. Custer Broken Bow Balance of Co. Dakota *So. Sioux City Balance of Co. Dawes Chadron Balance of Co. Dawson Cozad Gothenburg *Lexington Balance of Co.

26,142

440 365 75 80 3 5 4

59 143 116 27 8

25 638 441 197 88 66 26 40

334 146 188 125 46 81 43 38

138 103 35 72

215 154 61

123 43 80

135 43 92

418 318 100 96 75 21

410 60 48

224 78

13,347

224 188 36 46 2 4 2

20 68 59 9 5

14 314 228 86 48 37 16 21

174 84 90 62 21 44 21 23 75 51 24 34

112 80 32 64 26 38 63 26 37

214 169 45 49 40 9

205 32 27

115 31

12,795

216 177 39 34 1 1 2

39 75 57 18 3

11 324 213 111 40 29 10 19

160 62 98 63 25 37 22 15 63 52 11 38

103 74 29 59 17 42 72 17 55

204 149 55 47 35 12

205 28 21

109 47

20,950

369 298 71 75 3 4 4

59 121

95 26 8

25 568 394 174 85 64 26 38

323 142 181 122 37 71 35 36

127 92 35 59 88 31 57

117 39 78

134 43 91

360 270 90 79 58 21

217 50 45 60 62

1,545

4 4 0 1 0 0 0 0 3 3 0 0 0 5 5 0 0 0 0 0 2 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 8 1 1 1 0 4 0 0 3 1

440

5 4 1 0 0 0 0 0 8 8 0 0 0 8 8 0 2 0 0 0 2 1 1 0 0 8 7 1 0 0 0 2 3 3 0 0 0 0 0 0 0

16 13 3

13 13 0 4 0 0 3 1

622

13 13 0 1 0 0 0 0 0 0 0 0 0 5 4 1 1 0 0 0 3 1 2 0 0 1 1 0 9 9 0 1

15 14 1 1 0 1 0 0 0 8 6 2 1 1 0 3 0 0 3 0

2,585

49 46 3 3 0 1 0 0

11 10 1 0 0

52 30 22 0 2 0 2 4 1 3 3 9 1 0 1 2 2 0

10 109 106

3 5 4 1 10 1

25 21 4 2 2 0

182 10 3

155 14

3,848

60 55 5 5 0 1 0 0

15 14 1 0 0

67 42 25 1 2 0 2 8 2 6 1

10 1 1 0 98 1

11 128 124

4 2520 5 10 1

206 182 24 2 2 0

198 14 5

162 17

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TABLE 5: Births by Sex, Race and Hispanic Origin, By Place of Residence, 2005 (Cont'd)

Place Total Births

Sex Race HispanicOrigin** Male Female White Black Amer Indian Asian Other

Deuel Dixon Dodge *Fremont Balance of Co. Douglas Elkhorn *Omaha Ralston Balance of Co. Dundy Fillmore Franklin Frontier Furnas Gage *Beatrice Balance of Co. Garden Garfield Gosper Grant Greeley Hall *Grand Island Balance of Co. Hamilton Aurora Balance of Co. Harlan Hayes Hitchcock Holt O'Neill Balance of Co. Hooker Howard Jefferson Fairbury Balance of Co. Johnson Kearney Minden Balance of Co. Keith Ogallala Balance of Co. Keya Paha Kimball Kimball Balance of Co. Knox

25 85

512 394 118

8,199 97

6,868 83

1,151 26 67 35 32 52

276 175 101

19 15 21 3

27 965 838 127 85 42 43 27 6

25 120 49 71 5

82 79 48 31 57 83 38 45 93 69 24

6 39 25 14

102

8 49

246 195 51

4,128 50

3,480 41

557 15 41 16 16 30

144 88 56 11 7

12 2

20 486 420

66 47 19 28 18 5

12 57 27 30 3

39 30 18 12 21 47 19 28 50 38 12 3

24 15 9

46

17 36

266 199 67

4,071 47

3,388 42

594 11 26 19 16 22

132 87 45 8 8 9 1 7

479 418

61 38 23 15 9 1

13 63 22 41 2

43 49 30 19 36 36 19 17 43 31 12 3

15 10 5

56

25 76

421 312 109

5,805 92

4,558 76

1,079 23 63 35 31 52

271 172

99 19 15 20 3

27 640 521 119 81 39 42 27 5

24 113 44 69 5

80 77 46 31 36 80 35 45 88 65 23 6

37 23 14 75

0 1 2 2 0

1,172 0

1,141 4

27 0 1 0 0 0 0 0 0 0 0 0 0 0

19 19

0 1 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 4 3 1

87 1

84 0 2 0 2 0 0 0 1 0 1 0 0 0 0 0 9 9 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 1 1 0 0 0 0 0

16

0 0 7 7 0

239 1

207 1

30 0 0 0 0 0 2 1 1 0 0 0 0 0

11 11

0 3 2 1 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 1 1 0 0 0 0 0 0

0 8

78 70

8 896

3 878

2 13 3 1 0 1 0 2 2 0 0 0 1 0 0

286278

8 0 0 0 0 1 1 7 5 2 0 2 1 1 0

19 3 3 0 3 2 1 0 2 2 0

11

0 15 88 80

8 1,457

3 1,416

6 32 3 2 0 1 0 5 4 1 0 0 2 0 0

326313

13 1 0 1 0 1 1 7 5 2 0 2 3 3 0

19 6 5 1 5 4 1 0 5 5 0 1

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TABLE 5: Births by Sex, Race and Hispanic Origin, By Place of Residence, 2005 (Cont'd)

Place Total

Births Sex Race Hispanic

Origin** Male Female White Black Amer Indian Asian Other Lancaster *Lincoln Balance of Co. Lincoln *North Platte Balance of Co. Logan Loup McPherson Madison *Norfolk Balance of Co. Merrick Central City Balance of Co. Morrill Nance Nemaha Auburn Balance of Co. Nuckolls Otoe Nebraska City Balance of Co. Pawnee Perkins Phelps Holdrege Balance of Co. Pierce Platte *Columbus Balance of Co. Polk Red Willow McCook Balance of Co. Richardson Falls City Balance of Co. Rock Saline Crete Balance of Co. Sarpy *Bellevue *LaVista *Papillion Balance of Co. Saunders Wahoo Balance of Co.

4,067 3,792

275 488 364 124

10 4 4

566 430 136 73 41 32 68 43 70 33 37 59

195 102 93 17 34

110 75 35 85

455 364 91 58

140 105 35 81 57 24 16

203 125 78

2,431 873 261 313 984 261

69 192

2,119 1,988

131 243 185 58 5 4 1

295 222 73 41 21 20 38 23 43 18 25 28 94 54 40 5

16 57 38 19 51

233 187 46 27 73 51 22 41 29 12

6 103 66 37

1,276 458 129 166 523 131

37 94

1,948 1,804

144 245 179 66 5 0 3

271 208 63 32 20 12 30 20 27 15 12 31

101 48 53 12 18 53 37 16 34

222 177 45 31 67 54 13 40 28 12 10

100 59 41

1,155 415 132 147 461 130

32 98

3,398 3,138

260 442 325 117 10 2 4

516 385 131 70 40 30 54 43 67 32 35 58

178 86 92 16 34

107 73 34 85

358 271 87 56

127 98 29 77 55 22 16

117 47 70

2,116 697 222 285 912 256

65 191

172 170

2 4 4 0 0 0 0

25 25 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 4 0 0 2 2 0 0 0 0 0 3 3 0

100 60 11 11 18 1 0 1

38 38 0 6 5 1 0 0 0

14 13 1 1 1 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 2 2 0 0 0 0 0 3 1 2 0 0 0 0

17 5 3 3 6 0 0 0

188 188

0 4 3 1 0 0 0 5 3 2 0 0 0 0 0 0 0 0 0 2 1 1 1 0 1 1 0 0 5 5 0 0 1 0 1 1 1 0 0 4 3 1

65 29 16 3

17 2 2 0

271 258 13 32 27

5 0 2 0 64 2 1 0 1

130 3 1 2 0

14 14 0 0 0 2 1 1 0

86 82 4 2

10 5 5 0 0 0 0

79 72 7

133 82 9

11 31 2 2 0

350 337 13 41 36

5 020

11174 37 1 0 1

17131 2 0

17 16 1 0 054 1 2

97 91 6 2

14 8 6 00 0 1

83 75 8

194 113 22 14 45 33 0

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TABLE 5: Births by Sex, Race and Hispanic Origin, By Place of Residence, 2005 (Cont'd)

Place Total

Births Sex Race Hispanic

Origin** Male Female White Black Amer Indian Asian Other Scotts Bluff Gering *Scottsbluff Balance of Co. Seward Seward Balance of Co. Sheridan Sherman Sioux Stanton Thayer Thomas Thurston Valley Washington Blair Balance of Co. Wayne Wayne Balance of Co. Webster Wheeler York York Balance of Co.

520 136 261 123 184 74

110 71 29 14 74 55 6

151 44

225 105 120 104 57 47 28 7

172 102 70

261 74

121 66

102 42 60 44 20 8

38 24 3

71 21

107 50 57 61 31 30 12 5

83 50 33

259 62

140 57 82 32 50 27

9 6

36 31 3

80 23

118 55 63 43 26 17 16 2

89 52 37

377 104 175 98

180 71

109 53 29 13 73 54 6

31 43

215 99

116 100 56 44 28 7

155 95 60

3 0 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 2 2

25 8

15 2 0 0 0

15 0 0 1 0 0

118 0 1 0 1 0 0 0 0 0 5 0 5

7 2 4 1 2 2 0 0 0 0 0 0 0 0 1 5 4 1 1 0 1 0 0 0 0 0

108 22 66 20 21 1 30 1 0 1 0 204 2 2 3 1 2 0 0 85 3

160 33

102 25 63 3 10 1 4 1 0 10

105 5 9 5 4 1 0 95 4

Indented - Cities 2,500 - 10,000 population in 2000 *cities over 10,000 population in 2000; balance of county

** Persons of Hispanic origin may be any race. Multiple Pregnancies: 429 sets of Twins 12 sets of Triplets 1 set of Quadruplets

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Graph 3: Percent of All Births by Age of Mother, 2001-2005

0.0

5.0

10.0

15.0

20.0

25.0

30.0

35.0

40.0Pe

rcen

t of A

ll B

irths

Under 2020-2425-2930 and Over

Under 20 9.7 9.5 9.0 8.7 8.320-24 25.6 26.1 25.9 25.5 25.725-29 29.9 29.9 30.8 31.1 31.430 and Over 34.7 34.4 34.3 34.8 34.5

2001 2002 2003 2004 2005

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Graph 4: Average Age of Mother Giving Birth,

1975-2005

0

5

10

15

20

25

30

35A

vera

ge A

ge o

f Mot

her

1st Born2nd Born3rd Born

1st Born 22.7 23.3 23.6 24.2 24.3 24.5 24.62nd Born 25.4 25.9 26.3 27.0 27.6 27.6 27.53rd Born 27.6 28.4 28.2 28.8 29.5 29.3 29.3

1975 1980 1985 1990 1995 2000 2005

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TABLE 7: Teen Births by Place of Residence, 2005 and 2001-2005 2005 2001-2005 Teen Total % Teen Teen Total % Teen County Births Births Births Births Births Births TOTAL 2,175 26,142 8.3 11,632 128,565 9.0 Adams 50 440 11.4 230 2,085 11.0 Antelope * 80 16 356 4.5 Arthur * 3 2 24 8.3 Banner * 5 2 22 9.1 Blaine * 4 0 25 0.0 Boone * 59 23 292 7.9 Box Butte 15 143 10.5 81 753 10.8 Boyd * 8 7 86 8.1 Brown * 25 14 164 8.5 Buffalo 43 638 6.7 218 3,117 7.0 Burt 6 88 6.8 36 403 8.9 Butler 5 66 7.6 23 478 4.8 Cass 16 334 4.8 92 1,615 5.7 Cedar 6 125 4.8 25 537 4.7 Chase * 46 27 234 11.5 Cherry 7 81 8.6 36 370 9.7 Cheyenne 9 138 6.5 74 655 11.3Clay 9 72 12.5 30 361 8.3 Colfax 37 215 17.2 139 978 14.2 Cuming 8 123 6.5 44 638 6.9Custer 11 135 8.1 56 659 8.5 Dakota 45 418 10.8 237 1,985 11.9 Dawes 8 96 8.3 43 505 8.5 Dawson 52 410 12.7 296 2,190 13.5 Deuel * 25 9 98 9.2 Dixon 6 85 7.1 33 389 8.5 Dodge 50 512 9.8 236 2,467 9.6 Douglas 727 8,199 8.9 3,831 40,189 9.5 Dundy * 26 11 105 10.5 Fillmore 6 67 9.0 28 331 8.5 Franklin * 35 8 155 5.2 Frontier * 32 10 139 7.2 Furnas 9 52 17.3 26 259 10.0 Gage 20 276 7.2 117 1,369 8.5 Garden * 19 3 79 3.8 Garfield * 15 7 84 8.3Gosper * 21 12 123 9.8 Grant * 3 1 24 4.2 Greeley * 27 10 150 6.7 Hall 109 965 11.3 610 4,658 13.1 Hamilton * 85 38 547 6.9 Harlan * 27 13 157 8.3 Hayes * 6 3 45 6.7 Hitchcock * 25 13 161 8.1 Holt 6 120 5.0 60 602 10.0 Hooker * 5 4 34 11.8 Howard * 82 26 386 6.7 Jefferson 5 79 6.3 41 416 9.9 Johnson * 57 20 251 8.0 Kearney * 83 25 381 6.6

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TABLE 7: Teen Births by Place of Residence, 2005 and 2001-2005 (Cont'd) 2005 2001-2005 Teen Total % Teen Teen Total % Teen County Births Births Births Births Births BirthsKeith 7 93 7.5 64 458 14.0 Keya Paha * 6 1 57 1.8 Kimball * 39 26 192 13.5 Knox 10 102 9.8 48 501 9.6 Lancaster 271 4,067 6.7 1,510 19,765 7.6 Lincoln 46 488 9.4 272 2,422 11.2Logan * 10 4 51 7.8Loup * 4 1 29 3.4McPherson * 4 2 23 8.7Madison 55 566 9.7 318 2,874 11.1Merrick 5 73 6.8 32 444 7.2 Morrill * 68 33 308 10.7 Nance * 43 19 208 9.1 Nemaha 7 70 10.0 43 371 11.6 Nuckolls * 59 25 280 8.9 Otoe 20 195 10.3 91 946 9.6Pawnee * 17 7 111 6.3Perkins * 34 10 177 5.6Phelps 6 110 5.5 41 572 7.2Pierce * 85 22 436 5.0Platte 46 455 10.1 205 2,228 9.2 Polk * 58 21 315 6.7 Red Willow 13 140 9.3 70 694 10.1 Richardson 13 81 16.0 45 437 10.3 Rock * 16 6 72 8.3 Saline 19 203 9.4 103 933 11.0Sarpy 136 2,431 5.6 652 11,688 5.6Saunders 21 261 8.0 75 1,247 6.0Scotts Bluff 89 520 17.1 403 2,665 15.1Seward 11 184 6.0 56 939 6.0Sheridan 5 71 7.0 39 362 10.8 Sherman * 29 13 167 7.8 Sioux * 14 2 50 4.0 Stanton * 74 30 423 7.1 Thayer * 55 19 259 7.3 Thomas * 6 1 30 3.3Thurston 30 151 19.9 184 776 23.7Valley * 44 17 233 7.3Washington 10 225 4.4 58 1,113 5.2Wayne * 104 35 496 7.1Webster * 28 12 162 7.4 Wheeler * 7 0 42 0.0 York 5 172 2.9 71 878 8.1

Teen Births = Ages 19 and under * Teen Births are not provided for 2005 if there were less than five for any given county for reasons of confidentiality.

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Graph 5: Trimester Prenatal Care Began, 2005

0

10

20

30

40

50

60

70

80

90

Age of Mother

Perc

ent

1st Trimester2nd Trimester3rd TrimesterNo CareUnknown

1st Trimester 49.6 58.6 65.9 74.8 77.6 73.62nd Trimester 35.1 26.4 22.3 17.0 15.2 18.13rd Trimester 7.9 7.1 5.0 2.9 2.0 2.8No Care 1.7 1.3 1.0 0.5 0.5 0.6Unknown 5.8 6.5 5.8 4.8 4.7 4.8

17 and Under 18-19 20-24 25-29 30-34 35+

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TABLE 8: Births - Trimester Prenatal Care Began (Percent) by Number of Prenatal Visits, 2005 No

Number Trimester Prenatal Care

Unknown

Total of Visits First Second Third

0 - - - 100.0 - 100.0 1-5 26.2 36.1 32.9 0.1 4.6 100.0 6-9 62.8 30.3 4.7 - 2.2 100.0 10-12 80.0 14.7 0.6 - 4.6 100.0 13-15 82.1 9.4 0.4 - 8.2 100.0 16-18 78.2 7.2 0.6 - 14.0 100.0 > 18 72.8 9.0 0.2 - 18.0 100.0 Unknown 21.0 4.0 1.0 1.0 73.0 100.0 Total 71.3 19.1 3.6 0.7 5.3 100.0

TABLE 9: Births - Number of Prenatal Care Visits (Percent) by Age of Mother, 2005 Number of Prenatal Care Visits Age of Mother 0 1-5 6-9 10-12 13-15 16-18 >18 Unknown Total < 17 years 2.6 11.8 29.7 35.0 17.0 2.0 1.0 1.0 100.017-19 years 1.3 9.1 32.4 35.3 17.0 3.5 1.3 0.2 100.020-24 years 1.0 7.3 28.6 38.3 19.3 3.6 1.6 0.4 100.025-29 years 0.5 4.6 29.6 41.6 18.3 3.3 1.5 0.5 100.030-34 years 0.4 4.0 30.4 42.3 17.3 3.1 2.1 0.4 100.035-39 years 0.5 4.8 29.8 40.3 18.3 4.0 1.8 0.4 100.0> 39 years 1.0 5.4 34.7 35.5 17.6 2.9 2.7 0.2 100.0Unknown - - - - - - - - - Total 0.7 5.6 29.9 40.1 18.2 3.4 1.7 0.4 100.0

Rows may not sum to total due to rounding.

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TABLE 10: Number of Prenatal Care Visits (%) by Education of Mother, 2005 Education of

0 1.2

1-5 10.0

Number of Prenatal Care Visits 6-9 10-12 13-15 16-18 30.1 35.1 17.5 4.4

>18 1.6

Unknown 0.1

Total 100.0

Mother (Yrs) Less than 9 years 9-11 years 1.4 11.0 28.7 35.3 17.7 3.4 2.1 0.4 100.0 12 years 1.2 7.1 28.9 38.2 19.0 3.7 1.6 0.3 100.0 13 years 0.6 4.6 29.5 40.4 18.9 3.8 1.8 0.4 100.0 14 years 0.4 3.2 29.8 42.4 18.7 3.7 1.3 0.5 100.0 15 years - - - - - - - - - 16 years 0.2 3.0 31.5 43.5 17.1 2.5 1.8 0.5 100.0 More than 16 years 0.4 3.5 30.6 43.0 17.6 3.1 1.5 0.2 100.0 Unknown - 15.4 15.4 15.4 30.8 7.7 - 15.4 100.0 Total 0.7 5.6 29.9 40.1 18.2 3.4 1.7 0.4 100.0

TABLE 11: Births - Number of Prenatal Care Visits (%) by Birth Weight of Child, 2005

Birth Weight of Child

< 1500 grams 0

5.8 1-5 25.6

Number of Prenatal Care Visits 6-9 10-12 13-15 16-18 34.3 17.9 7.4 1.9

>18 6.4

Unknown 0.6

Total 100.0

1500-2499 grams 2.3 10.5 31.4 30.6 15.9 4.6 4.7 0.1 100.0 2500-4499 grams 0.5 5.1 29.8 41.1 18.4 3.3 1.4 0.4 100.0 >4499 grams 1.0 3.3 24.5 36.6 23.2 7.8 2.9 0.7 100.0 Unknown 42.9 - 14.3 28.6 - - - 14.3 100.0 Total 0.7 5.6 29.9 40.1 18.2 3.4 1.7 0.4 100.0

TABLE 12: Births - Number of Prenatal Care Visits (%) by Race/Hispanic Origin of Mother, 2005

Race/Hispanic Number of Prenatal Care Visits Origin of Mother 0 1-5 6-9 10-12 13-15 16-18 >18 Unknown Total

Race: White 0.7 4.5 29.4 41.1 18.7 3.5 1.8 0.4 100.0 Black 0.8 11.1 29.8 31.9 20.3 4.3 1.6 0.3 100.0 American Indian 3.0 14.3 28.9 30.7 14.3 4.3 3.2 1.4 100.0 All Other 0.7 8.7 33.1 38.9 14.9 2.3 1.0 0.3 100.0 Unknown - 15.0 20.0 42.5 7.5 2.5 5.0 7.5 100.0 Hispanic Origin * Mexican 0.5 7.0 28.2 38.5 20.4 3.4 1.9 0.2 100.0 All Other 1.2 9.9 31.4 36.7 15.5 3.6 1.4 0.4 100.0 Total 0.7 5.6 29.9 40.1 18.2 3.4 1.7 0.4 100.0

* Persons of Hispanic Origin may be any race.

Rows may not sum to total due to rounding.

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TABLE 13: Births by Trimester Prenatal Care Began and Percent Receiving Inadequate Care by County of Residence, 2005

County

Trimester Prenatal Care Began Percent Inadequate

Care* First

Trimester Second

Trimester Third

Trimester

None

Unknown STATE Adams Antelope Arthur Banner Blaine Boone Box Butte Boyd Brown Buffalo Burt Butler Cass Cedar Chase CherryCheyenne Clay Colfax Cuming Custer Dakota Dawes Dawson Deuel Dixon Dodge Douglas Dundy Fillmore Franklin Frontier Furnas Gage Garden Garfield Gosper Grant Greeley Hall Hamilton Harlan Hayes Hitchcock Holt Hooker Howard Jefferson Johnson Kearney

18,627

342 58 0 3 3

46 110

3 19

515 64 53

253 37 35

51 94 58

132 91

113 14 69

250 16 28

364 5,964

18 51 26 26 28

176 15 11 18 2

20 646 64 19 5

19 96 3

62 54 40

69

4,992

84 13 2 1 1

13 25

0 4

105 13 13 63 5 8

21 29 11 63 25 17 4

15 126

4 10

117 1,455

2 16

7 5

17 87 2 3 2 1 7

262 17 5 0 6

16 2

17 18 16 14

943

11 7 1 1 0 0 4 0 2

16 1 0 8 2 2 5 5 1

18 5 4 0 3

26 2 2

25 297

3 0 2 1 6 8 0 1 1 0 0

43 4 3 1 0 3 0 2 4 1 0

190

2 0 0 0 0 0 1 0 0 2 1 0 0 1 0 2 3 1 2 0 1 2 0 7 0 1 1

59 0 0 0 0 0 1 0 0 0 0 0 8 0 0 0 0 1 0 0 3 0 0

1,390

1 2 0 0 0 0 3 5 0 0 9 0

10 80 1 2 7 1 0 2 0

398 9 1 3

44 5

424 3 0 0 0 1 4 2 0 0 0 0 6 0 0 0 0 4 0 1 0 0 0

14.1

13.2 16.7 33.3 40.0 25.0 1.7

14.3 0.08.0

11.311.4 4.5

13.0 8.9

11.1 22.816.49.9

29.311.612.6 15.0 11.5 22.5 18.2 22.016.613.317.47.58.6 9.4

23.5 12.6 0.0

28.619.066.77.4

18.812.9 18.5 16.7 4.0 8.6 0.0

13.615.214.06.0

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TABLE 13: Births by Trimester Prenatal Care Began and Percent Receiving Inadequate Care by County of Residence, 2005 (Cont'd) Trimester Prenatal Care Began Percent First Second Third Inadequate

County Trimester Trimester Trimester None Unknown Care* Keith 68 18 5 2 0 23.7 Keya Paha 1 2 0 0 3 0.0 Kimball 23 9 1 1 5 26.5 Knox 27 6 0 1 68 9.1 Lancaster 2,979 903 136 36 13 14.6 Lincoln 360 102 21 3 2 14.2Logan 8 1 1 0 0 20.0Loup 3 1 0 0 0 0.0McPherson 4 0 0 0 0 0.0Madison 414 111 28 4 9 16.7Merrick 58 13 2 0 0 9.6 Morrill 51 12 4 0 1 14.9 Nance 38 4 1 0 0 9.3 Nemaha 48 16 4 1 1 10.1 Nuckolls 48 7 3 0 1 10.3 Otoe 134 46 12 2 1 19.1Pawnee 14 3 0 0 0 5.9Perkins 28 4 2 0 0 11.8Phelps 77 26 5 2 0 20.2Pierce 73 10 1 0 1 4.8Platte 333 94 24 2 2 18.8 Polk 48 8 0 1 1 7.0 Red Willow 113 24 2 1 0 6.4 Richardson 59 16 2 0 4 11.7 Rock 9 6 0 0 1 20.0 Saline 127 62 9 1 4 17.1Sarpy 1,914 357 74 18 68 11.6Saunders 192 57 10 2 0 13.0Scotts Bluff 382 93 21 8 16 13.9 Seward 146 32 6 0 0 13.0Sheridan 42 12 1 1 15 16.1 Sherman 21 7 1 0 0 10.3 Sioux 9 1 1 0 3 9.1 Stanton 56 15 2 0 1 9.6 Thayer 43 11 1 0 0 5.5 Thomas 4 1 0 1 0 16.7Thurston 18 3 1 3 126 20.0Valley 27 13 3 0 1 17.1Washington 174 39 7 0 5 9.5 Wayne 82 13 2 0 7 9.3Webster 21 6 1 0 0 14.3 Wheeler 3 2 1 1 0 28.6 York 95 57 17 0 3 27.2

* Calculated by using the Kotelchuck Index. The Kotelchuck Index measures adequacy of prenatal care (adequate plus, adequate, intermediate, inadequate) by using a combination of two factors: month prenatal care began; and the ratio of the actual number of prenatal care visits to the expected number of visits (based on the American College of Obstetricians and Gynecologists’ prenatal care standards for uncomplicated pregnancies, adjusted for the gestational age at initiation of care and for the gestational age at delivery).

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Graph 6: Low and Very Low Birth Weight Rates, 1970-2005

0

10

20

30

40

50

60

70

80

1970

1973

1976

1979

1982

1985

1988

1991

1994

1997

2000

2003

Rat

e pe

r 1,0

00 L

ive

Birt

hs

<2500 Grams

<1500 Grams

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TABLE 14: Births by Weight Groups, 2005

Weight (pounds) Number

Percentof Total*

1 lb. and under

1 lb. 1 oz. - 2 lbs.

2 lbs. 1 oz. - 3 lbs. 8 ozs.

3 lbs. 9 ozs. - 4 lbs. 8 ozs.

4 lbs. 9 ozs. - 5 lbs. 8 ozs.

5 lbs. 9 ozs. - 5 lbs. 15 ozs.

6 lbs. - 6 lbs. 15 ozs.

7 lbs. - 7 lbs. 15 ozs.

8 lbs. - 8 lbs. 15 ozs.

9 lbs. - 9 lbs. 15 ozs.

10 lbs. - 10 lbs. 15 ozs.

11 lbs. - 11 lbs. 15 ozs.

12 lbs. and over

Unknown

33

95

240

396

1,073

1,131

6,138

9,489

5,709

1,565

234

28

4

7

0.1

0.4

0.9

1.5

4.1

4.3

23.5

36.3

21.8

6.0

0.9

0.1

0.0

0.0

Total Births 26,142 100.0

Weight (grams)

Number

Percent of Total*

499 and under

500-999

1000-1499

1500-1999

2000-2499

2500-2999

3000-3499

3500-3999

4000-4499

4500-4999

5000 and over

Unknown

42

100

170

399

1,110

4,305

10,148

7,590

1,965

276

30

7

0.2

0.4

0.7

1.5

4.2

16.5

38.8

29.0

7.5

1.1

0.1

0.0

Total Births

26,142 100.0

* Percents may not sum to total due to rounding.

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TABLE 15: Births, Very Low and Low Birth Weight by County of Residence, 2005 and 2001-2005

County

2005 2001-2005< 1500 grams < 2500 grams < 1500 grams < 2500 grams

Number Rate* Number Rate* Number Rate* Number Rate* STATE Adams Antelope Arthur Banner Blaine Boone Box Butte Boyd Brown Buffalo Burt Butler Cass Cedar Chase Cherry Cheyenne Clay Colfax Cuming Custer Dakota Dawes Dawson Deuel Dixon Dodge Douglas Dundy Fillmore Franklin Frontier Furnas Gage Garden Garfield Gosper Grant Greeley Hall Hamilton Harlan Hayes Hitchcock Holt Hooker Howard Jefferson Johnson Kearney

312

5 1 0 0 0 1 0 0 0

12 2 0 9 0 0 0 6 0 2 0 3 3 0 2 1 0 6

102 1 0 0 0 0 1 0 0 0 0 0

10 0 0 0 0 1 0 1 1 0 0

11.9

11.4 12.5

- - -

16.9 - - -

18.8 22.7

- 26.9

- - -

43.5 -

9.3 -

22.2 7.2

- 4.9

40.0 -

11.7 12.4 38.5

- - - -

3.6 - - - - -

10.4 - - - -

8.3 -

12.2 12.7

- -

1,821

27 5 0 0 0 4 7 0 1

47 6 1

33 6 3 5

10 1

10 6

11 32 2

20 1 7

30 657

2 5 3 1 3

18 0 1 0 2 3

77 2 0 0 3 7 2 4 4 3 1

69.7

61.4 62.5

- - -

67.8 49.0

- 40.0 73.7 68.2 15.2 98.8 48.0 65.2 61.7 72.5 13.9 46.5 48.8 81.5 76.6 20.8 48.8 40.0 82.4 58.6 80.1 76.9 74.6 85.7 31.3 57.7 65.2

- 66.7

- 666.7 111.1

79.8 23.5

- -

120.0 58.3

400.0 48.8 50.6 52.6 12.0

1,610

25 2 0 0 0 5 5 0 3

51 7 1

28 1 0 3

15 1

12 4 8

21 8

29 2 3

30 579

2 0 0 6 0

12 0 0 3 0 2

61 9 0 0 1 5 0 3 3 0

10

12.5

12.0 5.6

- - -

17.1 6.6

- 18.3 16.4 17.4 2.1

17.3 1.9

- 8.1

22.9 2.8

12.3 6.3

12.1 10.6 15.8 13.2 20.4 7.7

12.2 14.4 19.0

- -

43.2 -

8.8 - -

24.4 -

13.3 13.1 16.5

- -

6.2 8.3

- 7.8 7.2

- 26.2

8,952

120 19 0 0 0

19 49

5 13

194 26 20

115 25 13 18 42 12 57 27 43

140 26

148 5

24 156

3,133 5

17 6

14 9

97 4 4 7 4

10 330

40 5 0 7

32 3

21 28 13 29

69.6

57.6 53.4

- - -

65.165.158.179.362.264.5 41.8 71.2 46.6 55.6 48.664.133.258.342.365.3 70.5 51.5 67.6 51.0 61.763.278.047.651.438.7

100.7 34.7 70.9 50.6 47.656.9

166.766.770.873.1 31.8

- 43.5 53.2 88.254.467.351.876.1

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TABLE 15: Births, Very Low and Low Birth Weight by County of Residence, 2005 and 2001-2005 (Cont'd)

County

2005 2001-2005< 1500 grams < 2500 grams < 1500 grams < 2500 grams

Number Rate* Number Rate* Number Rate* Number Rate* Keith Keya Paha Kimball Knox Lancaster Lincoln Logan Loup McPherson Madison Merrick Morrill Nance Nemaha Nuckolls Otoe Pawnee Perkins Phelps Pierce Platte Polk Red Willow Richardson Rock Saline Sarpy Saunders Scotts Bluff Seward Sheridan Sherman Sioux Stanton Thayer Thomas Thurston Valley Washington Wayne Webster Wheeler York

1 0 0 3

51 9 0 0 0 6 1 3 2 1 1 3 1 0 1 1 1 0 3 0 0 2

26 4 8 1 0 0 1 0 0 0 3 0 3 1 0 0 5

10.8

- -

29.4 12.5 18.4

- - -

10.6 13.7 44.1 46.5 14.3 16.9 15.4 58.8

- 9.1

11.8 2.2

- 21.4

- -

9.9 10.7 15.3 15.4

5.4 - -

71.4 - - -

19.9 -

13.3 9.6

- -

29.1

8 0 2 8

282 37

0 1 0

33 5 7 5 6 3

11 3 1 8 3

27 5

11 4 1

12 132 17 48

8 5 0 1 1 1 1

11 1

18 3 0 0

18

86.0

- 51.3 78.4 69.3 75.8

- 250.0

- 58.3 68.5

102.9 116.3 85.7 50.8 56.4

176.5 29.4 72.7 35.3 59.3 86.2 78.6 49.4 62.5 59.1 54.3 65.1 92.3 43.5 70.4

- 71.4 13.5 18.2

166.7 72.8 22.7 80.0 28.8

- -

104.7

4 0 3 9

251 27

0 0 0

30 5 5 4 2 8 6 1 1 3 7

16 4 7 2 2

13 141 10 22

7 1 3 2 4 2 0 8 3

15 6 0 2

14

8.7

- 15.6 18.0 12.7 11.1

- - -

10.4 11.3 16.2 19.2 5.4

28.6 6.3 9.0 5.6 5.2

16.1 7.2

12.7 10.1 4.6

27.8 13.9 12.1 8.0 8.3 7.5 2.8

18.0 40.0 9.5 7.7

- 10.3 12.9 13.5 12.1

- 47.6 15.9

38 2

23 30

1,409 164

121

166 30 28 17 19 26 65 82

27 15

130 23 45 31 4

6278094

221 5127 12 4

23 13 2

41 1472 23

4 2

67

83.0 35.1

119.8 59.9 71.3 67.719.669.043.557.867.6 90.9 81.7 51.2 92.9 68.772.111.347.234.458.3 73.0 64.8 70.9 55.6 66.566.775.482.9 54.374.6 71.9 80.0 54.4 50.2 66.752.860.164.746.424.7 47.6 76.3

* Per 1,000 live births NOTE: Rates based on small numbers may be unreliable.

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TABLE 16: Medical Risk Factors of the Mother, 2005 Percent of Medical Risk Factors* Number Births Pre-pregnancy Diabetes 178 0.7 Gestational Diabetes 1,233 4.7 Hypertention, Pre-Pregnancy 174 0.7 Hypertension, Gestational 974 3.7 Previous Pre-Term Births 554 2.1 Poor Pregnancy Outcomes 568 2.2 Vaginal Bleeding 567 2.2 Infertility Treatment 352 1.3 Previous Cesarean 2,970 11.4

Percent of Obstetric Procedures Number Births Cervical Cerclage 115 0.4 Tocolysis 330 1.3Successful External Cephalic Version 146 0.6 Failed External Cephalic Version 22 0.1

* More than one medical risk factor may be reported. TABLE 17: Obstetric Procedures, 2005

TABLE 18: Characteristics of Labor and Delivery, 2005

Percent of Characteristics of Labor and Delivery Number Births Induction of Labor 8,612 32.9 Augmentation of Labor 7,165 27.4 Non-Vertex Presentation 568 2.2 Steroids 163 0.6Antibiotics 4,447 17.0Chorioamnionitis 184 0.7Meconium Staining 1,394 5.3 Fetal Intolerance 2,354 9.0 Anesthesia 17,369 66.4

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TABLE 19: Method of Delivery, 2005 Percent of Method of Delivery Number Births Spontaneous 17,078 65.3Forceps 708 2.7Vacuum 870 3.3Cesarean 7,485 28.6Unknown 1 0.0

TABLE 20: Onset of Labor, 2005 Percent of Onset of Labor Number Births Premature Rupture of Membranes 499 1.9 Precipitous Labor 619 2.4 Prolonged Labor 295 1.1

TABLE 21: Perinatal Cigarette Smoking, 2005 3 Months First Second Last Prior to 3 Months 3 Months 3 Months

of of of Number of Cigarettes per Day Pregnancy Pregnancy Pregnancy Pregnancy None 20,716 22,191 22,779 22,9441-5 1,309 1,275 1,197 1,2776-10 1,874 1,620 1,504 1,35411-19 434 282 199 14220-29 1,515 647 382 34030-39 130 39 14 2140 or more 108 31 12 10 Unknown 56 57 55 54

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Gra

ph 7

: Ave

rage

Birt

h W

eigh

t by

Toba

cco

Usa

ge o

f the

Mot

her (

2001

-200

5)

39

0

500

1000

1500

2000

2500

3000

3500

4000

2001

2002

2003

2004

2005

*

Birth Weight in Grams

21-3

011

-20

Non

e1-

56-

1031

+To

bacc

o U

se (C

igar

ette

s pe

r Day

)

*In 2

005,

toba

cco

use

repo

rted

here

refe

rs to

third

trim

este

r of p

regn

ancy

onl

y.

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Gra

ph 8

: Tob

acco

Use

Dur

ing

Third

Trim

este

r of P

regn

ancy

by R

ace/

His

pani

c O

rigin

of t

he M

othe

r, 20

05

40

12.1

21.5

13.3

12.6

2.7

2.5

3.9

0.0

10.0

20.0

30.0

40.0

50.0

60.0

70.0

80.0

90.0

100.

0

Tota

lA

mer

ican

Indi

anW

hite

Bla

ckA

sian

Oth

erH

ispa

nic*

Percent of Mothers Using Tobacco

*His

pani

c O

rigin

may

be

of a

ny ra

ce.

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Graph 9: Birth Rates for Unmarried Women, 1960-2005

0.0

50.0

100.0

150.0

200.0

250.0

300.0

350.0

1960

1963

1966

1969

1972

1975

1978

1981

1984

1987

1990

1993

1996

1999

2002

2005

Rat

e pe

r 1,0

00 L

ive

Birt

hs

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TABLE 22: Births to Unmarried Women by Place of Residence, 2005 and 2001-2005

2005 2001-2005 Place Number Rate* Number Rate*

STATE 8,068 308.6 37,836 294.3 Adams 140 318.2 631 302.6 Hastings 127 347.9 574 334.9 Balance of Co. 13 173.3 57 153.6 Antelope 17 212.5 66 185.4 Arthur 0 - 5 208.3 Banner 0 - 3 136.4 Blaine 0 - 0 - Boone 14 237.3 62 212.3 Box Butte 41 286.7 240 318.7 Boyd 2 250.0 15 174.4 Brown 6 240.0 33 201.2 Buffalo 161 252.4 737 236.4 Kearney 124 281.2 527 246.7 Balance of Co. 37 187.8 210 214.1 Burt 26 295.5 110 273.0 Butler 14 212.1 104 217.6 Cass 71 212.6 384 237.8 Cedar 17 136.0 78 145.3 Chase 11 239.1 57 243.6 Cherry 17 209.9 108 291.9 Cheyenne 34 246.4 176 268.7 Clay 16 222.2 85 235.5 Colfax 79 367.4 382 390.6 Cuming 27 219.5 140 219.4 Custer 30 222.2 135 204.9 Dakota 166 397.1 770 387.9 So. Sioux City 137 430.8 638 409.0 Balance of Co. 29 290.0 132 310.6 Dawes 32 333.3 139 275.2 Dawson 151 368.3 795 363.0 Lexington 85 379.5 504 417.9 Balance of Co. 66 354.8 291 295.7 Deuel 5 200.0 25 255.1 Dixon 19 223.5 99 254.5 Dodge 175 341.8 811 328.7 Fremont 147 373.1 669 356.4 Balance of Co. 28 237.3 142 240.7 Douglas 2,944 359.1 13,614 338.7 Omaha 2,806 408.6 12,998 381.5 Balance of Co. 138 103.7 616 100.7 Dundy 9 346.2 19 181.0 Fillmore 13 194.0 74 223.6 Franklin 8 228.6 32 206.5 Frontier 8 250.0 27 194.2 Furnas 10 192.3 42 162.2 Gage 73 264.5 341 249.1 Beatrice 60 342.9 263 307.2 Balance of Co. 13 128.7 78 152.0 Garden 5 263.2 17 215.2 Garfield 2 133.3 11 131.0

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TABLE 22: Births to Unmarried Women by Place of Residence, 2005 and 2001-2005 (Cont'd)

2005 2001-2005 Place Number Rate* Number Rate*

Gosper 2 95.2 31 252.0 Grant 1 333.3 2 83.3 Greeley 4 148.1 21 140.0 Hall 407 421.8 1,817 390.1 Grand Island 376 448.7 1,674 413.4 Balance of Co. 31 244.1 143 234.8 Hamilton 21 247.1 100 182.8 Harlan 5 185.2 42 267.5 Hayes 1 166.7 8 177.8 Hitchcock 5 200.0 33 205.0 Holt 26 216.7 133 220.9 Hooker 1 200.0 6 176.5 Howard 14 170.7 88 228.0 Jefferson 20 253.2 106 254.8 Johnson 15 263.2 68 270.9 Kearney 20 241.0 69 181.1 Keith 30 322.6 145 316.6 Keya Paha 0 - 3 52.6 Kimball 14 359.0 70 364.6 Knox 31 303.9 154 307.4 Lancaster 1,139 280.1 5,238 265.0 Lincoln 1,089 287.2 5,033 272.0 Balance of Co. 50 181.8 205 162.3 Lincoln 163 334.0 762 314.6 North Platte 132 362.6 653 352.6 Balance of Co. 31 250.0 109 191.2 Logan 3 300.0 8 156.9 Loup 0 - 2 69.0 McPherson 0 - 2 87.0 Madison 182 321.6 1,010 351.4 Norfolk 154 358.1 396 387.5 Balance of Co. 28 205.9 127 235.6 Merrick 20 274.0 105 236.5 Morrill 19 279.4 81 263.0 Nance 10 232.6 56 269.2 Nemaha 20 285.7 92 248.0 Nuckolls 10 169.5 50 178.6 Otoe 67 343.6 276 291.8 Pawnee 3 176.5 21 189.2 Perkins 6 176.5 25 141.2 Phelps 32 290.9 135 236.0 Pierce 16 188.2 83 190.4 Platte 133 292.3 639 286.8 Columbus 114 313.2 543 321.1 Balance of Co. 19 208.8 96 178.8 Polk 13 224.1 58 184.1 Red Willow 46 328.6 200 288.2 Richardson 29 358.0 138 315.8 Rock 4 250.0 10 138.9 Saline 77 379.3 312 334.4

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TABLE 22: Births to Unmarried Women by Place of Residence, 2005 and 2001-2005 (Cont'd)

2005 2001-2005 Place Number Rate* Number Rate*

Sarpy 485 199.5 2,214 189.4 Bellevue 223 255.4 1,090 284.7 LaVista 86 329.5 305 273.8 Papillion 61 194.9 274 185.4 Balance of Co. 115 116.9 545 103.5 Saunders 62 237.5 234 187.7 Scotts Bluff 222 426.9 1,088 408.3 Scottsbluff 124 475.1 611 468.6 Balance of Co. 98 378.4 477 350.5 Seward 38 206.5 159 169.3 Sheridan 24 338.0 140 386.7 Sherman 7 241.4 40 239.5 Sioux 3 214.3 6 120.0 Stanton 13 175.7 79 186.8 Thayer 7 127.3 46 177.6 Thomas 0 - 5 166.7 Thurston 109 721.9 559 720.4 Valley 7 159.1 48 206.0 Washington 52 231.1 226 203.1 Wayne 28 269.2 129 260.1 Webster 7 250.0 38 234.6 Wheeler 1 142.9 7 166.7 York 51 296.5 252 287.0 Indented - Cities over 10,000 population in 2000 Balance of county

* Per 1,000 live births NOTE: Rates based on small numbers may be unreliable.

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TABLE 23: Births to Unmarried Women by Age of Mother, 2001-2005

Age of Mother

2001 2002 2003 2004 2005 Number %* Number %* Number %* Number %* Number %*

12 or Under 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29

30-34 35-39

40 and Over Unknown

0 9

15 84

193 408 572 725 723 662 525 488 399 299 314 236 198 171 548 251 51

0

- 100.0 93.8 95.5 93.2 87.7 86.7 74.4 63.7 54.3 41.8 35.5 29.0 22.7 20.3 15.7 13.3 10.9 9.7

10.1 11.1

-

0 3

21 92

203 343 572 771 805 678 643 540 403 348 299 257 222 181 582 234 65

1

- 100.0 100.0 94.9 95.3 87.7 83.1 76.7 66.8 53.4 47.7 38.6 28.7 22.3 19.6 16.6 15.1 12.1 10.1 9.8

11.8 100.0

0 5

18 85

187 365 544 735 800 743 682 566 481 407 362 267 232 222 646 270 63 0

- 100.0 90.0 97.7 94.0 89.0 84.0 76.5 68.6 58.6 47.8 39.8 33.7 25.0 21.8 17.2 14.3 14.7 10.8 11.3 12.1

-

1 5

18 79

178 369 545 755 848 728 745 609 514 394 363 289 261 220 673 271 89 0

100.0 100.0 100.0 98.8 93.7 91.8 84.9 79.3 71.6 60.1 54.9 42.9 33.4 24.5 21.6 17.5 15.8 14.0 11.0 10.8 16.3

-

2 3

25 82

175 392 504 672 828 708 745 612 544 465 396 303 264 241 707 313 85 2

100.0 100.096.297.695.192.087.377.072.459.951.943.335.329.223.517.415.516.211.8 12.2 17.628.6

Total 6,871 27.2 7,263 28.6 7,680 29.7 7,954 30.2 8,068 30.9 TABLE 24: Births to Unmarried Women by Age and Race/Hispanic Origin of Mother, 2005

Age of Mother

White Black American Indian All Other Hispanic Origin** Number %* Number %* Number %* Number %* Number %*

15 or Under 50 96.2 33 100.0 2 100.0 27 82.9 38 95.016 101 96.2 29 100.0 13 92.9 32 88.9 51 91.117 242 93.8 55 100.0 18 90.0 77 82.8 101 84.218 320 88.6 75 94.9 24 88.9 85 77.3 119 77.819 455 75.8 84 93.3 23 85.2 110 70.5 150 73.9

20-24 2,421 47.0 433 81.7 117 76.0 466 52.8 676 54.5 25-29 1,071 15.8 235 58.6 74 63.3 289 32.0 394 37.1 30-34 440 8.7 89 42.4 30 53.6 148 22.9 177 28.6

35 and Over 258 10.0 41 34.8 15 65.2 84 24.4 103 28.9Unknown 0 --- 0 --- 0 --- 2 --- 0 ---Total 5,358 25.6 1,074 69.5 316 71.8 1,320 41.2 1,809 47.0 * Percent of live births for each age category ** Persons of Hispanic origin may be any race

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TABLE 25: Percent of Race/Hispanic Origin Births to Unmarried Women, 1980-2005 Race of Mother 1980 1990 2000 2004 2005

White 8.9 16.9 23.7 26.7 25.6

Black 61.5 71.3 67.4 69.5 69.5

American Indian 49.8 67.6 71.3 74.9 71.8

All Other 5.2 9.7 30.7 32.6 41.2

Hispanic Origin*

Mexican 22.6 31.3 39.9 42.3 45.5

All Other 19.5 32.3 49.4 49.8 51.6 * Persons of Hispanic origin may be any race. TABLE 26: Percent of Age Group Births to Unmarried Women, 1980-2005 Age of Mother 1980 1990 2000 2004 2005

Under 20 years 43.6 72.8 82.7 85.2 85.3

20-24 years 12.0 30.5 43.0 51.3 51.2

25-29 years 4.2 10.6 15.9 18.7 20.3

30 years and over 3.7 7.2 9.5 11.3 12.2

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TABLE 27: Birth Order of Births to Unmarried Women by Age of Mother, 2005

Age of Mother

Total

Birth Order 1 2 3 4 5 6 7 8 9 10 11 12 13 Unk

TOTAL

12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45

Unk

8,068

2 3

25 82

175 392 504 672 828 708 745 612 544 465 396 303 264 241 194 140 134 132 107 91 66 67 52 37 32 23 18 6 5 1 2

3,935

2 3

25 76

157 357 420 510 552 393 343 255 183 142 104 81 62 64 32 26 18 27 19 17 15 9

11 9 7 7 5 1 1

2

2,088

5 13 27 64

133 211 221 261 212 180 150 120 94 70 88 47 29 39 31 28 13 13 16 7 5 3 2 2 2 2

1,138

1

2 15 17 50 69

108 102 122 103 99 62 58 45 60 36 36 35 18 31 16 11 11 14 10 3 3

1

504

1 1 1 8

15 28 26 39 42 49 42 46 21 32 21 23 19 18 13 7

16 13 5 8 5 4

1

206

1 2 4

13 15 16 12 19 16 16 15 17 13 10 14 5 5 5 3 1 1 1 1 1

76

1

1

2 4 7 3 4

5 6 5 9 6 4 2 4 2 1

4 3 2

1

36

1 4

1 3 1 1 4

4 5 4 4 1 1 2

18

2

1

1 2 1 1

1

1 4 2

1 1

4 1 1 2

0

2

1

1

2

1

1

0

59

4 5 4

11 5 7 1 2 2 4 4

4 3 1

1

1

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TABLE 28: Birth Defects - Number and Rate, 2005 and 2001-2005 2005 2001-2005 Type of Defect* Number Rate Number Rate Central Nervous System: Anencephalus Spina bifida Hydrocephalus Other central nervous system defects Defects of Eye Defects of Ear, Face, Neck Circulatory System: Transposition of great vessels Ventricular septal defect Atrial septal defect Other heart defects Patent ductus arteriosus Coarctation of aorta Other circulatory system defects Defects of Respiratory System Craniofacial: Cleft palate Cleft lip Cleft palate with cleft lip Digestive System: Pyloric stenosis Tracheo-esophageal fistula Other upper alimentary defects Other abdominal cavity defects Other digestive defects Genitourinary System: Hypospadius Renal agenesis Cystic kidney disease Other genitourinary defects Musculoskeletal System: Club foot Polydactyly Syndactyly Reduction deformity Dislocated hips Omphalocele Gastrochisis Other musculoskeletal defects

6

22 12 51 12 16

27 63 49

156 57 18 55

27

13 9

10

62 5

11 14 42

46 5 4

76

40 28 8

18 13 5

10 95

0.23 0.84 0.46 1.94 0.46 0.61

1.03 2.40 1.86 5.94 2.17 0.69 2.09

1.03

0.49 0.34 0.38

2.36 0.19 0.42 0.53 1.60

1.75 0.19 0.15 2.89

1.52 1.07 0.30 0.69 0.49 0.19 0.38 3.62

37 86

115 292 156 234

69 306 247 731 301 71

337

160

57 46 81

229 30 88 82

274

284 64 54

600

254 207 94 81 99 29 51

1,360

0.29 0.67 0.89 2.26 1.21 1.81

0.53 2.37 1.91 5.65 2.33 0.55 2.61

1.24

0.44 0.36 0.63

1.77 0.23 0.68 0.63 2.12

2.20 0.49 0.42 4.64

1.96 1.60 0.73 0.63 0.77 0.22 0.39

10.52 (list continued on next page)

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TABLE 28: Birth Defects - Number and Rate, 2005 and 2001-2005 (Cont'd) 2005 2001-2005Type of Defect* Number Rate Number Rate Defects of Skin, Hair, Nails Defects of Metabolic and Blood Systems: Multiple Systems: Down's syndrome Other chromosomal syndromes Other multiple system defects Other and Unspecified Defects Total Defects Total Cases**

27 1

31 26 9

37

1,216

691

1.03 0.04

1.18 0.99 0.34

26.30

242 20

217 225 74

274

8,258

4,814

1.87 0.15

1.68 1.74 0.57

37.23

* Classified according to the British Pediatric Association (BPA) Classification of Disease and World Health Organization's 1979 International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM), with modifications developed by the National Centers for Disease Control and Prevention. ** Includes all cases reported through January 8, 2008. Rate per 1,000 live births and fetal deaths NOTE: Some variance between years may be caused by a change in the coding classification.

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TABLE 29: Birth Defects by County of Residence, 2005 and 2001-2005 2005 2001-2005

County Number of

Cases Percent of

Total Births* Number of

Cases Percent of

Total Births* STATE Adams Antelope Arthur Banner Blaine Boone Box Butte Boyd Brown Buffalo Burt Butler Cass Cedar Chase Cherry Cheyenne Clay Colfax Cuming Custer Dakota Dawes Dawson Deuel Dixon Dodge Douglas Dundy Fillmore Franklin Frontier Furnas Gage Garden Garfield Gosper Grant Greeley Hall Hamilton Harlan Hayes Hitchcock Holt Hooker Howard Jefferson Johnson Kearney

691

12 1 0 0 0 1 7 0 0

25 6 0 9 0 2 1 4 1 7 7 6 7 0

13 0 3

14 220

0 1 1 0 0 3 0 1 2 0 1

15 2 1 0 2 8 0 1 0 1 5

2.6

2.7 1.2

- - -

1.7 4.9

- -

3.9 6.8

- 2.7

- 4.3 1.2 2.9 1.4 3.2 5.7 4.4 1.7

- 3.1

- 3.5 2.7 2.7

- 1.5 2.8

- -

1.1 -

6.7 9.5

- 3.7 1.5 2.3 3.7

- 8.0 6.6

- 1.2

- 1.7 6.0

4,814

82 11 0 2 1

12 35

3 8

125 23 19 69 6 5 9

10 13 33 23 32 37 3

90 4

12 88

1,568 4

14 2 6 6

57 1 3 7 0 4

114 22 2 3 5

30 1

10 13 11 19

3.7

3.9 3.1

- 9.1 4.0 4.1 4.6 3.54.94.0 5.7 4.0 4.2 1.1 2.1 2.4 1.5 3.6 3.4 3.6 4.8 1.9 0.6 4.1 4.1 3.0 3.5 3.9 3.74.2 1.3 4.3 2.3 4.1 1.3 3.5 5.6

-2.6 2.4 4.0 1.3 6.7 3.1 5.0 2.92.6 3.14.3 5.0

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TABLE 29: Birth Defects by County of Residence, 2005 and 2001-2005 (Cont'd) 2005 2001-2005

County Number of

Cases Percent of

Total Births* Number of

Cases Percent of

Total Births* Keith Keya Paha Kimball Knox Lancaster Lincoln Logan Loup McPherson Madison Merrick Morrill Nance Nemaha Nuckolls Otoe Pawnee Perkins Phelps Pierce Platte Polk Red Willow Richardson Rock Saline Sarpy Saunders Scotts Bluff Seward Sheridan Sherman Sioux Stanton Thayer Thomas Thurston Valley Washington Wayne Webster Wheeler York

4 0 2 0

71 29 1 0 1

14 1 7 1 1 2 9 0 1 7 1

19 3 9 4 0 6

58 6

21 4 0 0 1 2 0 1 3 0 6 0 1 0 5

4.2

- 4.9

- 1.7 5.9

10.0 -

25.0 2.5 1.4

10.1 2.3 1.4 3.4 4.6

- 2.9 6.4 1.2 4.1 5.2 6.3 4.9

- 2.9 2.4 2.3 4.0 2.2

- -

7.1 2.7

- 16.7 1.9

- 2.6

- 3.6

- 2.9

23 0

10 10

747 116

3 3 2

83 10 18 5

15 6

52 4 7

22 16 89 14 29 20 4

33 446 43

112 42

7 3 3

15 9 2

28 7

50 15 2 2

30

5.0 -

5.2 2.0 3.8 4.8 5.9

10.38.72.9 2.2 5.8 2.4 4.0 2.1 5.5 3.64.0 3.8 3.6 4.0 4.4 4.1 4.6 5.6 3.5 3.8 3.4 4.2 4.4 1.9 1.8 5.9 3.5 3.4 6.73.6 3.04.5 3.01.2 4.8 3.4

* Total number of live births and fetal deaths

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TABLE 30: Birth Defects by Month of Birth, 2005

No. of Cases Percent of Month of Birth Total Births* with Defects Total Births* TOTAL 26,277 691 2.6 January 2,012 56 2.8February 2,001 64 3.2March 2,264 65 2.9April 2,180 46 2.1May 2,250 62 2.8June 2,281 74 3.2July 2,202 66 3.0August 2,341 56 2.4September 2,291 63 2.7October 2,182 49 2.2November 2,112 44 2.1December 2,161 46 2.1

TABLE 31: Birth Defects by Age of Mother, 2005

No. of Cases Percent of Age of Mother Total Births* with Defects Total Births* 19 and Under 2,186 70 3.2 20-24 6,744 178 2.625-29 8,259 204 2.530-34 6,005 148 2.535-39 2,583 68 2.640+ 493 23 4.7Unknown 7 0 -

TABLE 32: Birth Defects by Age of Father, 2005

No. of Cases Percent of Age of Father Total Births* with Defects Total Births* 19 and Under 574 17 3.0 20-24 3,820 122 3.225-29 6,980 170 2.430-34 6,331 155 2.435-39 3,491 99 2.840+ 1,749 47 2.7Unknown 3,332 81 2.4

* Total number of live births and fetal deaths

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TABLE 33: Birth Defects by Weight and Sex of Child, 2005

No. of Cases Percent of Total Births* with Defects Total Births* Total 26,277 691 2.6 Weight (grams) 1500 and under 447 47 10.5 1500-2499 1,509 92 6.12500-4499 24,008 540 2.24500+ 306 10 3.3Unknown 7 2 28.6 Sex Male 13,410 423 3.2Female 12,867 268 2.1

TABLE 34: Birth Defects by Race of Mother, 2005

No. of Cases Percent of Total Births* with Defects Total Births* White 21,046 546 2.6Black 1,561 42 2.7American Indian 446 8 1.8 All Other 3,184 93 2.9 Unknown 40 2 5.0 Hispanic Origin** 3,866 81 2.1

* Total number of live births and fetal deaths ** Persons of Hispanic origin may be any race.

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DEATH HIGHLIGHTS A total of 14,950 deaths occurred among Nebraska residents in 2005, an increase from the 14,647 deaths that occurred in 2004. The 2005 figure translates into a crude mortality rate of 8.5 deaths per 1,000 residents and an age-adjusted mortality rate of 748.0 deaths per 100,000 residents.

The average age at death among Nebraska residents in 2005 was 75.2 years, an increase from last year’s figure of 75.0 years, but still below the state’s all-time record of 75.5 years, set in 2003. By gender, the average age at death in 2005 was 78.6 years for Nebraska women, which represents a slight increase from the 2004 mark of 78.3 years, and 71.6 years for Nebraska men, which was the same figure recorded in 2004.

Nebraska's leading cause of death in 2005 was heart disease, which accounted for 3,633 resident deaths. This figure represents just under one-fourth (24.3%) of all deaths that occurred among Nebraska residents in 2005. Heart disease has been the most frequent cause of death both statewide and nationally for several decades, although its toll has declined significantly in recent years. In fact, 2005 marked the third consecutive year in which Nebraska deaths attributed to heart disease fell below 4,000.

Cancer ranked as the second leading cause of death among Nebraska residents in 2005, accounting for 3,353 deaths. This figure represents over one-fifth (22.4%) of the state’s total number of deaths for 2005. Cancer of the lung was the year’s leading cause of cancer deaths among both Nebraska men and women, accounting for 904 deaths (516 men, 388 women). Colorectal (colon and rectum) cancer was the state’s second leading cause of cancer deaths overall in 2005, with 364 deaths (184 men, 180 women). However, breast cancer was the second leading cause of cancer deaths among Nebraska women in 2005, claiming the lives of 258 women (as well as seven men). Similarly, prostate cancer was the #2 cause of cancer deaths among Nebraska men, claiming 201 lives in 2005. Taken together, these four sites accounted for slightly more than half (51.7%) of the state's cancer deaths in 2005.

Although #2 overall, cancer ranks well ahead of heart disease as the leading cause of death at younger ages. In fact, among Nebraska residents between 45 and 74 years of age, 1,572 deaths were attributed to cancer in 2005, compared to 854 for heart disease, which was the next most frequent cause of death. At age 75 and beyond, however, heart disease easily outpaced cancer as the state’s leading cause of death in 2005, by a count of 2,721 to 1,672.

After heart disease and cancer, no other single cause of death accounted for more than 10% of Nebraska’s deaths in 2005. Cerebrovascular disease (usually referred to as stroke), long the state’s third leading cause of death, held that rank again in 2005, and was responsible for 986 deaths. Chronic lung disease was Nebraska’s fourth leading cause of death in 2005, accounting for 813 deaths.

Accidents (also referred to as unintentional injuries) were Nebraska’s fifth leading cause of death in 2005, claiming 706 lives. Motor vehicle accidents were once again Nebraska’s leading cause of accidental deaths, accounting for 288 fatalities. Falls were the #2 cause of accidental deaths, with 150 resident fatalities in 2005. Twelve of the state’s accidental deaths in 2005 were farm-related. Accidents were the leading cause of death in 2005 among Nebraska residents under the age of 45 years (excluding infants under one year of age), accounting for 246 (29.6%) of 830 deaths.

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DEATH HIGHLIGHTS (continued) Alzheimer’s Disease has now ranked among the top ten causes of death in Nebraska for over a decade, and in 2005 it was again the state’s sixth leading cause of death. The number of Nebraska deaths attributed to Alzheimer’s Disease in 2005 (473) was an all-time record, surpassing the mark of 462 recorded in 2002. Among women 75 and older, Alzheimer’s Disease ranked as the state’s fourth leading cause of death in 2005. A total of 147 infant deaths occurred among Nebraska residents in 2005, which translates into an infant mortality rate of 5.6 per 1,000 live births. This figure represents a decrease from the 2004 rate of 6.6, and nearly equals the state’s all-time lowest infant mortality rate of 5.4, which was set in 2003. The two leading causes of infant deaths in Nebraska in 2005 were birth defects and sudden infant death syndrome (also known as SIDS), which resulted in 30 infant deaths apiece. Low birth weight babies accounted for 87 (59.2%) of Nebraska's infant deaths, with 59 of these children falling into the very low birth weight (<1500 grams) category. Neonates (infants less than 28 days old) accounted for the majority of Nebraska’s 2005 infant deaths, with a count of 86, while post-neonates (infants between 28 days and one year of age) accounted for the remaining 61.

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TABLE 35: Deaths by Place of Occurrence and Usual Residence of Deceased, 2003-2005

Place 2003 2004 2005 2005

Occurrence Residence Occurrence Residence Occurrence Residence Death Rate** STATE Adams *Hastings Balance of Co. Antelope Arthur Banner Blaine Boone Box Butte Alliance Balance of Co. Boyd Brown Buffalo *Kearney Balance of Co. Burt Butler David City Balance of Co. Cass Plattsmouth Balance of Co. Cedar Chase Cherry Valentine Balance of Co. Cheyenne Sidney Balance of Co. Clay Colfax Schuyler Balance of Co. Cuming West Point Balance of Co. Custer Broken Bow Balance of Co. Dakota *So. Sioux City Balance of Co. Dawes Chadron Balance of Co. Dawson Cozad Gothenburg *Lexington Balance of Co.

15,618

314 279 35 75 0 1 3

83 112

63 49 25 46

500 417 83 72 79 69 10

133 64 69 95 63 66 64 2

114 103 11 45 64 48 16

107 76 31

135 89 46 74 56 18 82 59 23

193 43 38 95 17

15,439

294 229 65 85 2 4 3

68 126

93 33 36 51

363 248 115 121 93 56 37

219 84

135 134 58 71 48 23

118 87 31 78 89 56 33

127 62 65

159 67 92

152 111 41 89 54 35

220 46 48 79 47

14,817

274 237 37 60 0 1 3

74 93 49 44 20 27

483 426 57 58 87 79 8

117 66 51 61 58 50 41 9

79 67 12 40 72 50 22 96 59 37

117 70 47 88 73 15 93 60 33

209 47 54 85 23

14,647

288 226 62 74 6 2 5

70 116

84 32 41 34

329 226 103 89 90 51 39

210 96

114 95 61 67 39 28 91 61 30 68 99 49 50

103 42 61

141 51 90

143 103 40

107 57 50

219 50 55 69 45

15,138

318 285 33 72 1 1 3

82 114 105

9 19 30

464 423

41 71

100 89 11

129 65 64 73 54 54 51 3

115 108

7 44 79 59 20

111 68 43

150 99 51

104 79 25 88 69 19

183 51 54 74 4

14,950

314 261 53 76 3 4 6

87 119 107 12 34 36

306 228

78 102 106

62 44

207 103 104 104 52 65 51 14

121 89 32 74

104 63 41

127 61 66

173 88 85

186 139 47 89 61 28

212 53 60 81 18

8.5

9.5 10.3 6.9

10.9 7.9 5.5

12.415.110.512.8 3.9 15

10.8 7

7.9 5.3

13.712.224.2 7.1

8 14.7 5.6

11.5 13.5 10.718.3 4.2

12.113.8

9 11 10

11.8 8

13.117.5 10.6 15.226.6 10.5 9.1

11.6 5.6

10.3 11.5 8.4 8.6

12.6 16.3

8 2.7

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TABLE 35: Deaths by Place of Occurrence and Usual Residence of Deceased, 2003-2005 (Cont'd)

Place 2003 2004 2005 2005

Occurrence Residence Occurrence Residence Occurrence Residence Death Rate** Deuel Dixon Dodge *Fremont Balance of Co. Douglas Elkhorn *Omaha Ralston Balance of Co. Dundy Fillmore Franklin Frontier Furnas Gage *Beatrice Balance of Co. Garden Garfield Gosper Grant Greeley Hall *Grand Island Balance of Co. Hamilton Aurora Balance of Co. Harlan Hayes Hitchcock Holt O'Neill Balance of Co. Hooker Howard Jefferson Fairbury Balance of Co. Johnson Kearney Minden Balance of Co. Keith Ogallala Balance of Co. Keya Paha Kimball Kimball Balance of Co. Knox

27 37

388 309 79

4,484 77

4,303 4

100 29 73 39 20 57

262 188

74 31 25 15 2

17 578 548

30 64 57 7

34 2

22 90 56 34 12 47 91 82 9

51 54 46 8

90 76 14 1

44 35 9

89

40 62

426 318 108

3,634 73

3,320 29

212 33 82 56 22 74

297 192 105 42 40 31 9

34 506 436

70 75 49 26 50 11 46

120 53 67 13 56

101 69 32 64 66 44 22

106 67 39 6

60 43 17

120

17 41

387 299

88 4,383

85 4,163

15 120 30 86 38 14 62

236 175

61 23 21 16 0

26 541 510

31 93 85 8

31 2

19 110 59 51 10 51 80 75 5

37 61 51 10 72 69 3 1

43 35 8

94

26 77

394 276 118

3,505 73

3,166 33

233 32 88 48 19 83

269 170

99 32 34 31 4

37 479 417

62 101

71 30 55 6

42 118

50 68 11 65 97 67 30 45 78 54 24 86 58 28 7

58 41 17

133

17 33

351 299

52 4,388

69 4,279

7 33 28 90 44 17 53

227 180

47 33 23 10 0

24 536 500

36 87 83 4

33 3

17 130

81 49 14 54 90

0 90 42 58 54

4 81 73 8 2

39 36 3

95

32 68

371 292

79 3,536

60 3,286

33 157 31 96 45 24 63

254 175

79 37 31 22 2

34 506 451

55 9674 22 38 9

38 143

66 77 14 63

105 79 26 49 74 60 14

10274 28 9

50 44 6

132

16 11

10.3 11.5

7.3 7.3 7.3 7.9 5.3 2.7

14.5 15

13.2 8.6

12.610.913.6

7.6 18.5 17.1 10.9

3 13.5 9.2

10.1 5.2 10

17.3 4.2 11

8.8 12.8 13.3 18.9 10.5 18.89.4

13.219.7 6.7

10.4 10.9 20.6

3.6 12.215.8 7.7 10

13.2 18.8 4.2

14.8

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TABLE 35: Deaths by Place of Occurrence and Usual Residence of Deceased, 2003-2005 (Cont'd)

Place 2003 2004 2005 2005

Occurrence Residence Occurrence Residence Occurrence Residence Death Rate** Lancaster *Lincoln Balance of Co. Lincoln *North Platte Balance of Co. Logan Loup McPherson Madison *Norfolk Balance of Co. Merrick Central City Balance of Co. Morrill Nance Nemaha Auburn Balance of Co. Nuckolls Otoe Nebraska City Balance of Co. Pawnee Perkins Phelps Holdrege Balance of Co. Pierce Platte *Columbus Balance of Co. Polk Red Willow McCook Balance of Co. Richardson Falls City Balance of Co. Rock Saline Crete Balance of Co. Sarpy *Bellevue *LaVista *Papillion Balance of Co. Saunders Wahoo Balance of Co.

2,112 2,043

69 373 316 57

2 5 0

396 316 80 83 75 8

37 51 72 35 37 69

175 110 65 36 34

114 76 38 83

221 207 14 46

117 113

4 130

97 33 24

138 60 78

537 109 15

337 76

117 63 54

1,718 1,591

127 357 281 76 9

11 2

360 228 132 87 58 29 54 69 93 45 48 72

184 110 74 45 39

112 59 53 77

250 187 63 75

136 113 23

152 94 58 25

170 67

103 618 307 51

132 128 171

60 111

2,068 2,000

68 347 304 43 2 4 0

395 327 68 66 57 9

42 39 53 31 22 77

140 81 59 27 41

129 86 43 88

183 159 24 43

113 107

6 107

83 24 18

120 49 71

423 103

8 244 68

124 74 50

1,691 1,574

117 322 247

75 8 9 1

337 228 109 84 51 33 59 56 58 31 27 80

158 88 70 36 43

117 65 52 96

212 164 48 55

127 104 23

149 89 60 22

147 63 84

594 269 51

140 134 188

73 115

2,074 2,010

64 350 310

40 3 3 2

409 340 69 61 44 17 47 46 59 52 7

52 155 103 52 35 33

107 95 12 73

198 190

8 56

110 110

0 109

86 23 18

118 69 49

474 124 24

260 66

112 62 50

1,700 1,609

91 341 286

55 106 7

360 268 92 76 36 40 61 58 70 53 17 57

178 115 63 43 32

106 86 20 75

245 203 42 73

134 125

9 132

91 41 21

143 68 75

614 288 66

128 132 178 63

115

6.4 6.7 3.6 9.6

11.8 4.9

13.58.7

13.810.1 11.2

8 9.4

12.5 7.7

11.815.810.117.2 4.4 12

11.5 16.3 7.4

14.9 10.511.2 16.1 4.9 9.97.8 9.7 4.1

13.5 12.1 16.3 2.7

15.1 21.6 9.1

13.4 10.1 10.8 9.5 4.4 6.1 4.2 6.3 2.4 8.7

15.5 7

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TABLE 35: Deaths by Place of Occurrence and Usual Residence of Deceased, 2003-2005 (Cont'd)

Place 2003 2004 2005 2005

Occurrence Residence Occurrence Residence Occurrence Residence Death Rate** Scotts Bluff Gering *Scottsbluff Balance of Co. Seward Seward Balance of Co. Sheridan Sherman Sioux Stanton Thayer Thomas Thurston Valley Washington Blair Balance of Co. Wayne Wayne Balance of Co. Webster Wheeler York York Balance of Co.

506 105 334 67

162 100 62 84 16 2

33 80 0

63 73

144 120 24 69 65 4

43 0

115 92 23

435 134 180 121 175

84 91 92 44 6

55 99 2

74 72

173 105 68 75 62 13 62 10

137 96 41

492 83

319 90

153 90 63 59 18 5

25 70 0

55 46

130 115 15 52 48 4

50 1

127 98 29

424 109 194 121 168

79 89 64 46 13 41 92 6

65 55

161 99 62 54 39 15 61 5

135 94 41

500 91

356 53

172 111 61 82 28 5

52 62 3

66 43

124 109 15 64 62 2

43 2

110 91 19

430 113 219

98 183

99 84 93 47 10 60 77 9

74 48

147 104 43 61 50 11 66 11

133 98 35

11.7 14.5 14.8

6.9 10.9 14.6 8.4

16.4 15.1 6.9 9.2

14.2 14.4

10 10.9 7.4

13.4 3.6 6.6 9.7 2.7

17.5 13.4 9.2

12.4 5.4

Indented - Cities 2,500 - 10,000 population in 2000; *cities over 10,000 population in 2000; balance of county ** The number of resident deaths per 1,000 population

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TABLE 36: Deaths by Sex, Race and Hispanic Origin, By Place of Residence, 2005

Place Total

Deaths Sex Race Hispanic

Origin** Male Female White Black Amer Indian Asian Other STATE Adams *Hastings Balance of Co. Antelope Arthur Banner Blaine Boone Box Butte Alliance Balance of Co. Boyd Brown Buffalo *Kearney Balance of Co. Burt Butler David City Balance of Co. Cass Plattsmouth Balance of Co. Cedar Chase Cherry Valentine Balance of Co. Cheyenne Sidney Balance of Co. Clay Colfax Schuyler Balance of Co. Cuming West Point Balance of Co. Custer Broken Bow Balance of Co. Dakota *So. Sioux City Balance of Co. Dawes Chadron Balance of Co. Dawson Cozad Gothenburg *Lexington Balance of Co.

14,950

314 254 60 76 3 4 6

87 119

97 22 34 36

306 208 98

102 106

59 47

207 86

121 104 52 65 44 21

121 74 47 74

104 56 48

127 50 77

173 80 93

186 132 54 89 50 39

212 47 58 70 37

7,233

164 129 35 34 2 3 4

41 55 45 10 12 20

143 95 48 50 60 27 33 97 44 53 55 25 32 20 12 58 29 29 41 56 25 31 50 23 27 92 37 55 87 58 29 32 18 14

113 24 28 38 23

7,717

150 125 25 42 1 1 2

46 64 52 12 22 16

163 113

50 52 46 32 14

110 42 68 49 27 33 24 9

63 45 18 33 48 31 17 77 27 50 81 43 38 99 74 25 57 32 25 99 23 30 32 14

14,274

312 253 59 76 3 4 6

87 114

94 20 34 36

303 205

98 101 106

59 47

205

120 104 52 65 44 21

121 74 47 74

103 55 48

126 49 77

172 80 92

175 124 51 87 49 38

209 47 56 69 37

485

1

1

2 2

1

1 1

1

1

120

1 1

4 3 1

1

1 1

9 6 3 2 1 1

52

1

1

1 1

1

1 1 1

19

1

1

1 1

2

1 1

257

1 1

1 1

12 10

2

1

1

1

1 1 5 4 1 1 1

3 1 2 8 6 2 1 1

131

10 2

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TABLE 36: Deaths by Sex, Race and Hispanic Origin, By Place of Residence, 2005 (Cont'd)

Place Total

Deaths Sex Race Hispanic

Origin** Male Female White Black Amer Indian Asian Other Deuel Dixon Dodge *Fremont Balance of Co. Douglas Elkhorn *Omaha Ralston Balance of Co. Dundy Fillmore Franklin Frontier Furnas Gage *Beatrice Balance of Co. Garden Garfield Gosper Grant Greeley Hall *Grand Island Balance of Co. Hamilton Aurora Balance of Co. Harlan Hayes Hitchcock Holt O'Neill Balance of Co. Hooker Howard Jefferson Fairbury Balance of Co. Johnson Kearney Minden Balance of Co. Keith Ogallala Balance of Co. Keya Paha Kimball Kimball Balance of Co. Knox

32 68

371 275

96 3,536

60 3,286

33 157 31 96 45 24 63

254 164

90 37 31 22 2

34 506 440

66 96 68 28 38 9

38 143 53 90 14 63

105 72 33 49 74 58 16

102 64 38 9

50 38 12

132

12 35

180 129

51 1,745

22 1,613

23 87 12 46 22 12 35

107 68 39 15 11 9 1

17 252 219

33 43 30 13 20 6

19 69 24 45 5

33 60 38 22 22 33 24

9 45 26 19 9

24 15 9

71

20 33

191 146

45 1,791

38 1,673

10 70 19 50 23 12 28

147 96 51 22 20 13 1

17 254 221

33 53 38 15 18 3

19 74 29 45 9

30 45 34 11 27 41 34

7 57 38 19

26 23 3

61

32 68

369 274

95 3,060

60 2,814

32 154 31 96 44 23 63

254 164

90 37 31 22 2

34 497 431

66 95 68 27 38 9

38 143

53 90 14 63

105 72 33 47 74 58 16

102 64 38 9

50 38 12

125

1 1

423

421

1 1

1 1

1

1

29

28

1

1 1

3 3

7

18

17

1

4 4

2

1

1 6

6

1 1

2 2

84

82 1 1

11

1917

2

1

1

11

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TABLE 36: Deaths by Sex, Race and Hispanic Origin, By Place of Residence, 2005 (Cont'd)

Place Total

Deaths Sex Race Hispanic

Origin** Male Female White Black Amer Indian Asian Other Lancaster *Lincoln Balance of Co. Lincoln *North Platte Balance of Co. Logan Loup McPherson Madison *Norfolk Balance of Co. Merrick Central City Balance of Co. Morrill Nance Nemaha Auburn Balance of Co. Nuckolls Otoe Nebraska City Balance of Co. Pawnee Perkins Phelps Holdrege Balance of Co. Pierce Platte *Columbus Balance of Co. Polk Red Willow McCook Balance of Co. Richardson Falls City Balance of Co. Rock Saline Crete Balance of Co. Sarpy *Bellevue *LaVista *Papillion Balance of Co. Saunders Wahoo Balance of Co.

1,700 1,588

112 341 276 65 10 6 7

360 250 110 76 33 43 61 58 70 39 31 57

178 109 69 43 32

106 57 49 75

245 183 62 73

134 119

15 132

87 45 21

143 60 83

614 288 66

128 132 178

57 121

798 739 59

157 124 33 7 2 4

180 120 60 46 16 30 24 31 32 14 18 23 79 50 29 29 14 42 22 20 40

114 78 36 35 62 54

8 59 36 23 8

68 25 43

296 138 31 62 65 88 25 63

902 849 53

184 152

32 3 4 3

180 130 50 30 17 13 37 27 38 25 13 34 99 59 40 14 18 64 35 29 35

131 105 26 38 72 65

7 73 51 22 13 75 35 40

318 150 35 66 67 90 32 58

1,633 1,522

111 337 272

65 10 6 7

355

109 76 33 43 60 58 70 39 31 57

178 109 69 43 32

106 57 49 73

245 183 62 73

134 119

15 131

87 44 21

142 59 83

597 279 64

128 126 178 57

121

37 37

2 2

1

11 6 2

3

14 13 1 1 1

3

1

1

4 2

2

15 15

2

1

1

1 1

1 1

1 1

1

1 1

1

1

24 24

7 7

7

2 1

1 41

3 2 1

3 3

3 3

20 16 2 2

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TABLE 36: Deaths by Sex, Race and Hispanic Origin, By Place of Residence, 2005 (Cont'd)

Place Total

Deaths Sex Race Hispanic

Origin** Male Female White Black Amer Indian Asian Other Scotts Bluff Gering *Scottsbluff Balance of Co. Seward Seward Balance of Co. Sheridan Sherman Sioux Stanton Thayer Thomas Thurston Valley Washington Blair Balance of Co. Wayne Wayne Balance of Co. Webster Wheeler York York Balance of Co.

430 98

196 136 183 87 96 93 47 10 60 77 9

74 48

147 90 57 61 47 14 66 11

133 93 40

213 38

102 73 77 30 47 38 23 3

29 41 4

46 25 83 42 41 33 25 8

26 6

52 28 24

217 60 94 63

106 57 49 55 24 7

31 36 5

28 23 64 48 16 28 22 6

40 5

81 65 16

418 95

190 133 183

87 96 91 46 10 60 77 9

43 48

147 90 57 60 46 14 66 11

133 93 40

2

2

5 1 3 1

2

31

4 1 1 2

1

1 1

1 1

25 4

14 7

1

1

1

1

Indented - Cities 2,500 - 10,000 population in 2000; *cities over 10,000 population in 2000; balance of county ** Persons of Hispanic Origin may be any race

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TABLE 37: Deaths by Principal Cause, 2001-2005

Cause 2001 2002 2003 2004 2005 Alzheimer's Disease (G30) 431 462 461 459 473 Anemias (D50-D64) 22 24 30 27 37 Aortic Aneurysm (I71) 90 82 93 87 81 Appendicitis (K35-K38) 3 4 2 2 3 Asthma (J45-J46) 37 39 30 31 42 Atherosclerosis (I70) 148 143 135 103 106 Birth Defects (Q00-Q99) 68 75 87 64 57 Cancer (C00-C97) 3,389 3,429 3,331 3,268 3,353 Cerebrovascular Diseases (I60-I69) 1,126 1,102 1,090 977 986Cholelithiasis and other Disorders of the Gallbladder 20 15 24 23 20 (K80-K82) Chronic Liver Disease and Cirrhosis (K70, K73-K74) 103 127 102 116 133 Chronic Lung Disease (J44,J47) 739 795 785 703 813 Diabetes Mellitus (E10-E14) 400 392 406 395 449 Emphysema (J43) 95 86 68 77 83 Essential Hypertension and Hypertensive Renal 141 142 187 175 199 Disease (I10,I12) Heart Disease (all forms) (I00-I09, I11, I13, I20-I51) 4,151 4,235 3,948 3,736 3,633 Hernia (K40-K46) 4 15 9 18 11 Human Immunodeficiency Virus (HIV) Disease (B20-B24) 33 21 18 11 26 Influenza (J10-J11) 4 12 31 5 29 Nephritis and Nephrosis (N00-N07, N17-N19, N25-N27) 289 277 302 282 245 Nutritional Deficiencies (E40-E64) 28 27 23 19 19 Parkinson's Disease (G20-G21) 137 143 146 136 160 Peptic Ulcer (K25-K28) 32 25 32 31 23 Pneumonia (J12-J18) 292 402 404 342 341 Pneumonitis due to Solids and Liquids (J69) 126 139 126 132 116 Pregnancy, Childbirth and the Puerperium (O00-O99) 3 3 2 1 3 Septicemia (A40-A41) 133 146 151 133 123 Viral Hepatitis (B15-B19) 14 26 21 13 21 West Nile Virus (A92.3) 0 0 16 1 6 Accidental Deaths (V01-X59,Y85-Y86) 630 754 695 741 706 Drowning and Submersion (W65-W74) 9 20 21 25 8 Falls (W00-W19) 133 186 136 172 150 Firearms (W32-W34) 5 5 5 6 2 Motor Vehicle 269 334 306 282 288 Poisonings (X40-X49) 39 32 35 45 53 Smoke, Fire and Flames (X00-X09) 22 13 16 15 26 Assault (Homicide) (X85-Y09,Y87.1) 44 50 63 39 44 Intentional Self Harm (Suicide) (X60-X84, Y87.0) 187 201 175 166 182 All Other Causes 2,252 2,328 2,446 2,333 2,427 TOTAL DEATHS 15,171 15,721 15,439 14,647 14,950

Cause codes listed are from the Tenth Revision of the International Classification of Diseases (ICD-10).

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TABLE 38: Deaths by Principal Cause, Crude Rates per 100,000 Population, 2001-2005

Cause 2001 2002 2003 2004 2005 Alzheimer's Disease (G30) 25.2 26.7 26.5 26.3 26.9 Anemias (D50-D64) 1.3 1.4 1.7 1.5 2.1 Aortic Aneurysm (I71) 5.3 4.7 5.3 5.0 4.6 Appendicitis (K35-K38) 0.2 0.2 0.1 0.1 0.2 Asthma (J45-J46) 2.2 2.3 1.7 1.8 2.4 Atherosclerosis (I70) 8.6 8.3 7.8 5.9 6.0Birth Defects (Q00-Q99) 4.0 4.3 5.0 3.7 3.2Cancer (C00-C97) 197.8 198.3 191.5 187.1 190.6 Cerebrovascular Diseases (I60-I69) 65.7 63.7 62.7 55.9 56.1Cholelithiasis and other Disorders of the Gallbladder 1.2 0.9 1.4 1.3 1.1 (K80-K82) Chronic Liver Disease and Cirrhosis (K70, K73-K74) 6.0 7.3 5.9 6.6 7.6 Chronic Lung Disease (J44,J47) 43.1 46.0 45.1 40.2 46.2 Diabetes Mellitus (E10-E14) 23.3 22.7 23.3 22.6 25.5 Emphysema (J43) 5.5 5.0 3.9 4.4 4.7 Essential Hypertension and Hypertensive Renal 8.2 8.2 10.8 10.0 11.3 Disease (I10,I12) Heart Disease (all forms) (I00-I09, I11, I13, I20-I51) 242.3 244.9 227.0 213.8 206.6 Hernia (K40-K46) 0.2 0.9 0.5 1.0 0.6Human Immunodeficiency Virus (HIV) Disease (B20-B24) 1.9 1.2 1.0 0.6 1.5Influenza (J10-J11) 0.2 0.7 1.8 0.3 1.6 Nephritis and Nephrosis (N00-N07, N17-N19, N25-N27) 16.9 16.0 17.4 16.1 13.9 Nutritional Deficiencies (E40-E64) 1.6 1.6 1.3 1.1 1.1 Parkinson's Disease (G20-G21) 8.0 8.3 8.4 7.8 9.1 Peptic Ulcer (K25-K28) 1.9 1.4 1.8 1.8 1.3 Pneumonia (J12-J18) 17.0 23.2 23.2 19.6 19.4Pneumonitis due to Solids and Liquids (J69) 7.4 8.0 7.2 7.6 6.6 Pregnancy, Childbirth and the Puerperium (O00-O99) 0.2 0.2 0.1 0.1 0.2Septicemia (A40-A41) 7.8 8.4 8.7 7.6 7.0Viral Hepatitis (B15-B19) 0.8 1.5 1.2 0.7 1.2West Nile Virus (A92.3) - - 0.9 0.1 0.3 Accidental Deaths (V01-X59,Y85-Y86) 36.8 43.6 40.0 42.4 40.1 Drowning and Submersion (W65-W74) 0.5 1.2 1.2 1.4 0.5 Falls (W00-W19) 7.8 10.8 7.8 9.8 8.5 Firearms (W32-W34) 0.3 0.3 0.3 0.3 0.1 Motor Vehicle 15.7 19.3 17.6 16.1 16.4 Poisonings (X40-X49) 2.3 1.9 2.0 2.6 3.0 Smoke, Fire and Flames (X00-X09) 1.3 0.8 0.9 0.9 1.5Assault (Homicide) (X85-Y09,Y87.1) 2.6 2.9 3.6 2.2 2.5Intentional Self Harm (Suicide) (X60-X84, Y87.0) 10.9 11.6 10.1 9.5 10.3All Other Causes 131.4 134.6 140.6 133.5 138.0 TOTAL DEATHS 885.5 909.2 887.7 838.3 850.0

Cause codes listed are from the Tenth Revision of the International Classification of Diseases (ICD-10).

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TABLE 39: Deaths by Principal Cause, Age-Adjusted Rates per 100,000 Population, 2001-2005

Cause 2001 2002 2003 2004 2005 Alzheimer's Disease (G30) 19.9 21.2 21.2 21.1 21.6 Anemias (D50-D64) 1.0 1.2 1.4 1.4 1.6 Aortic Aneurysm (I71) 4.7 4.3 4.7 4.3 4.1 Appendicitis (K35-K38) 0.2 0.2 0.1 0.1 0.2 Asthma (J45-J46) 1.9 2.0 1.5 1.6 2.0 Atherosclerosis (I70) 6.8 6.7 6.0 4.7 5.0 Birth Defects (Q00-Q99) 3.7 4.0 4.7 3.4 3.0Cancer (C00-C97) 179.1 180.7 174.8 171.6 175.3 Cerebrovascular Diseases (I60-I69) 54.8 52.7 52.5 46.9 47.5 Cholelithiasis and other Disorders of the Gallbladder (K80-K82) 1.0 0.7 1.2 1.2 1.0 Chronic Liver Disease and Cirrhosis (K70, K73-K74) 5.7 7.1 5.6 6.4 7.3 Chronic Lung Disease (J44,J47) 37.8 40.6 40.6 35.8 41.6 Diabetes Mellitus (E10-E14) 20.4 20.0 20.4 20.1 23.2 Emphysema (J43) 5.0 4.5 3.5 3.9 4.3 Essential Hypertension and Hypertensive Renal Disease (I10,I12) 6.8 6.7 8.8 8.2 9.3 Heart Disease (all forms) (I00-I09, I11, I13, I20-I51) 201.6 205.5 191.9 181.2 175.6 Hernia (K40-K46) 0.2 0.7 0.4 0.9 0.5 Human Immunodeficiency Virus (HIV) Disease (B20-B24) 2.0 1.4 1.0 0.7 1.6 Influenza (J10-J11) 0.2 0.5 1.4 0.3 1.3 Nephritis and Nephrosis (N00-N07, N17-N19, N25-N27) 14.3 13.6 14.8 14.1 12.1 Nutritional Deficiencies (E40-E64) 1.3 1.2 1.1 0.9 0.8 Parkinson's Disease (G20-G21) 6.6 7.0 7.2 6.6 7.8 Peptic Ulcer (K25-K28) 1.6 1.2 1.6 1.5 1.1 Pneumonia (J12-J18) 13.6 18.8 18.5 16.5 15.8 Pneumonitis due to Solids and Liquids (J69) 6.0 6.4 5.9 6.3 5.5 Pregnancy, Childbirth and the Puerperium (O00-O99) 0.2 0.2 0.1 0.1 0.2 Septicemia (A40-A41) 6.9 7.5 7.6 6.8 6.3 Viral Hepatitis (B15-B19) 0.7 1.5 1.1 0.7 1.1West Nile Virus (A92.3) - - 0.8 0.1 0.3 Accidental Deaths (V01-X59,Y85-Y86) 33.8 40.1 37.3 38.9 37.3 Drowning and Submersion (W65-W74) 0.5 1.2 1.2 1.4 0.5 Falls (W00-W19) 6.4 9.0 6.6 8.3 7.3 Firearms (W32-W34) 0.3 0.3 0.3 0.3 0.1 Motor Vehicle 15.3 18.5 17.1 15.6 16.0 Poisonings (X40-X49) 2.3 1.9 2.0 2.7 3.1 Smoke, Fire and Flames (X00-X09) 1.2 0.7 0.9 0.9 1.4 Assault (Homicide) (X85-Y09,Y87.1) 2.6 2.9 3.6 2.2 2.6 Intentional Self Harm (Suicide) (X60-X84, Y87.0) 10.8 11.6 10.0 9.5 10.6 All Other Causes 112.5 116.2 120.9 115.7 120.3 TOTAL DEATHS 763.5 789.1 772.3 733.6 748.0

Cause codes listed are from the Tenth Revision of the International Classification of Diseases (ICD-10).

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TABLE 40: Cancer Deaths by Selected Sites and Sex, 2001-2005 2001 2002 2003 2004 2005 Site M F M F M F M F M F Oral Cavity & Pharynx Esophagus Stomach Colon & Rectum Liver & Intrahepatic Bile Duct Pancreas Lung & Bronchus Melanoma of the Skin Breast Cervix Uterine Corpus & Unspecified Ovary Prostate Kidney & Renal Pelvis Urinary Bladder Brain and Other CNS Non-Hodgkin Lymphoma Leukemia Multiple Myeloma All Other Sites All Sites

24 53 33

165 31 89

561 41 3 - - -

190 46 51 42 68 94 36

212 1,739

15 21 23

212 23 85

383 12

255 20 58 91

- 26 23 44 68 51 30

210 1,650

23 60 25

193 41 81

523 39 4 - - -

183 55 52 48 78 77 43

221 1,746

13 21 13

214 24 95

365 15

251 25 42 90

- 47 23 41 67 67 33

237 1,683

28 66 27

188 43 85

511 34 2 - - -

176 46 45 42 73 79 36

233 1,714

16 18 28

175 22 87

364 14

244 14 57 97

- 34 23 40 66 71 37

210 1,617

24 68 29

169 52 95

531 29 3 - - -

183 53 53 50 62 76 36

178 1,691

6

12 18

188 23 78

347 23

248 23 59 80

- 48 19 46 67 59 32

201 1,577

25 67 31

184 42 89

516 38 7 - - -

201 54 51 46 74 79 30

201 1,735

12 13 20

180 22 83

388 20

258 15 48 94

- 34 24 44 76 55 26

206 1,618

TABLE 41: Age-Adjusted Cancer Death Rates by Selected Sites and Sex, 2001-2005 2001 2002 2003 2004 2005 Site M F M F M F M F M F

Oral Cavity & Pharynx Esophagus Stomach Colon & Rectum Liver & Intrahepatic Bile Duct Pancreas Lung & Bronchus Melanoma of the Skin Breast Cervix Uterine Corpus & Unspecified Ovary Prostate Kidney & Renal Pelvis Urinary Bladder Brain and Other CNS Non-Hodgkin Lymphoma Leukemia Multiple Myeloma All Other Sites All Sites

3.0 6.7 4.2

21.3 3.9

11.3 70.7 5.1 0.3

- - -

25.6 5.9 6.7 5.2 8.7

12.1 4.6

27.0 222.4

1.2 1.8 2.3

18.0 2.1 7.7

37.7 1.4

24.7 2.1 5.4 8.9

- 2.6 1.9 4.3 6.2 4.6 2.7

19.4 155.2

2.8 7.5 3.2

24.5 5.1

10.4 66.2 4.8 0.5

- - -

24.6 7.0 6.7 5.9 9.9

10.0 5.5

28.1 222.8

1.2 2.1 1.2

19.1 2.0 8.7

35.6 1.7

24.0 2.8 4.2 8.9

- 4.3 1.8 4.1 6.2 5.8 3.1

21.3 158.0

3.4 8.4 3.5

24.4 5.4

11.0 64.5 4.2 0.3

- - -

23.5 5.9 6.0 5.0 9.4

10.2 4.7

29.6 219.3

1.5 1.7 2.6

15.5 2.0 8.2

35.6 1.3

23.5 1.5 5.4 9.7

- 3.2 1.9 3.9 5.9 6.3 3.3

19.3 152.4

3.1 8.6 3.7

21.7 6.3

12.0 67.2 3.7 0.4

- - -

24.5 6.5 7.1 6.1 8.0 9.8 4.6

22.5 215.9

0.5 1.1 1.6

16.1 2.3 7.5

34.0 2.2

24.0 2.4 5.4 7.5

- 4.3 1.7 4.5 6.0 5.2 2.8

18.8 148.3

3.1 8.3 3.9

23.6 5.1

11.3 65.4 4.7 0.9

- - -

26.9 6.8 6.6 5.7 9.6

10.1 3.8

25.3 221.2

1.2 1.2 1.9

15.5 2.0 7.4

37.9 1.9

24.5 1.6 4.7 9.1

- 3.0 2.0 4.5 6.8 5.0 2.2

18.2 150.8

Rate per 100,000 estimated population.

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Graph 10: Average Age at Time of Death, 1925-2005

0.0

10.0

20.0

30.0

40.0

50.0

60.0

70.0

80.0

1925

1929

1933

1937

1941

1945

1949

1953

1957

1961

1965

1969

1973

1977

1981

1985

1989

1993

1997

2001

2005

Age

at D

eath

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Graph 11: Average Age at Time of Death by Sex, 1960-2005

0.0

10.0

20.0

30.0

40.0

50.0

60.0

70.0

80.0

90.0

1960

1963

1966

1969

1972

1975

1978

1981

1984

1987

1990

1993

1996

1999

2002

2005

Age

at D

eath

FemaleMale

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TABLE 42: Deaths by Age Group and Sex, 2005

Age % of % of % of Group

Total

Male

Female

Total*

Males* F

emales*

Total 14,950 7,233 7,717 100.0 100.0 100.0 < 1 year 147 85 62 1.0 1.2 0.8 1-4 years 24 14 10 0.2 0.2 0.1 5-9 years 19 11 8 0.1 0.2 0.1 10-14 years 29 17 12 0.2 0.2 0.2 15-19 years 83 55 28 0.6 0.8 0.4 20-24 years 99 73 26 0.7 1.0 0.3 25-29 years 87 67 20 0.6 0.9 0.3 30-34 years 103 64 39 0.7 0.9 0.5 35-39 years 143 90 53 1.0 1.2 0.7 40-44 years 243 148 95 1.6 2.0 1.2 45-49 years 341 197 144 2.3 2.7 1.950-54 years 471 297 174 3.2 4.1 2.355-59 years 602 375 227 4.0 5.2 2.9 60-64 years 757 456 301 5.1 6.3 3.9 65-69 years 942 514 428 6.3 7.1 5.5 70-74 years 1,337 759 578 8.9 10.5 7.5 75-79 years 1,816 995 821 12.1 13.8 10.6 80-84 years 2,400 1,187 1,213 16.1 16.4 15.7 85-89 years 2,453 1,006 1,447 16.4 13.9 18.8 90-94 years 1,832 580 1,252 12.3 8.0 16.2 95-99 years 820 210 610 5.5 2.9 7.9 100-104 years 187 31 156 1.3 0.4 2.0105+ years 15 2 13 0.1 0.0 0.2 Average Age 75.2 71.6 78.6 - - -

* Percents may not sum to total due to rounding.

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TABLE 43: Deaths by Age Group and Average Age by County of Residence, 2005 County

Average

Age

Age Group < 45

Years 45-64 Years

65-74 Years

75-84 Years

85+ Years

TOTAL Adams Antelope Arthur Banner Blaine Boone Box Butte Boyd Brown Buffalo Burt Butler Cass Cedar Chase CherryCheyenne Clay ColfaxCuming Custer Dakota Dawes Dawson Deuel Dixon Dodge Douglas DundyFillmore Franklin Frontier Furnas Gage Garden Garfield Gosper Grant GreeleyHall Hamilton Harlan Hayes Hitchcock Holt Hooker Howard Jefferson Johnson Kearney

75.2

74.2 81.5 88.3 69.0 66.3 77.2 77.9 78.4 80.6 74.9 78.1 78.7 75.8 81.6 80.6

77.1 73.9 78.7

76.5 80.1 77.9 75.1 75.2 73.1 78.3 76.8 76.7 71.9

81.4 77.5 77.5 79.4 78.7 78.6 77.2 81.8 78.5 84.5

78.0 74.2 75.9 82.6 75.1 74.7 80.8 82.9 78.2 79.7 74.7

75.6

977

22 2 0 0 0 7 5 2 1

26 4 3

12 3 3 2 9 1 7 3 8 6 6

21 1 1

19 309

0 5 2 0 2

15 1 1 1 0 2

41 9 0 1 4 4 1 4 3 3 6

2,171

50 4 0 1 3 7

13 2 0

32 10 17 28 8 2 7

17 12 12 15 21 44 14 25 5

11 38

667 4

15 3 2 6

21 7 4 2 0 3

71 8 2 1 4

10 1 7 9 4

10

2,279

47 13 0 2 1 6

19 7 6

61 20 10 30 9 7

16 19 7

18 11 23 28 12 37 4

15 64

586 3

12 11 6

11 32 5 0 3 0 4

72 16 4 0 4

14 0 8

13 13 10

4,216

93 21 1 1 2

32 31 10 16 76 26 31 57 34 14 17 39 30 24 41 46 39 29 60 9

19 122 969

7 25 13 9

16 67 6 8 7 1 7

155 28 15 3

15 52 3

17 32 14 19

5,307

102 36 2 0 0

3551 1313

11142 45 80 50 26 233724435775 69 28 69 13 22

1281,005

173916 7

28 119 18 1891

1816735 17 4

11 63 9

27481529

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TABLE 43: Deaths by Age Group and Average Age by County of Residence, 2005 (Cont'd) County

Average

Age

Age Group < 45

Years 45-64 Years

65-74 Years

75-84 Years

85+ Years

Keith Keya Paha Kimball Knox Lancaster Lincoln Logan Loup McPherson Madison Merrick Morrill Nance Nemaha Nuckolls Otoe Pawnee Perkins Phelps Pierce Platte Polk Red Willow Richardson Rock Saline Sarpy Saunders Scotts Bluff Seward Sheridan Sherman Sioux Stanton Thayer Thomas Thurston ValleyWashington Wayne Webster Wheeler York

75.0 85.1 79.0 80.3 74.5 75.0 77.9 76.8 79.1 77.1 72.5 72.0 75.0 76.5 82.6 75.6 78.0 81.7 79.4 77.4 75.3 80.8 77.9 76.8 89.9 77.0 71.0 78.0 75.6 79.0 81.2 81.0 75.1 75.1 80.8 79.7 71.0

81.1 76.3 79.5 78.9 84.7 81.4

5 0 0 4

129 18 0 0 0

18 6 7 5 4 1

12 1 2 3 3

16 2 8

10 0 9

49 8

29 9 3 2 0 4 2 0 5 0 9 1 4 0 1

14 0 7

11 261 64 1 1 1

46 15 8 4

11 5

20 8 0

12 10 36 8

13 16 0

19 128 20 57 21

6 4 2

12 7 0

17 3

18 8 7 1

10

20 1 9

17 239 50 2 2 2

53 14 9

13 9 1

23 5 2

14 12 34 6

23 15 2

20 126 24 75 18 14 9 3 5

11 2

11 11 20

9 8 0

17

35 2

15 46

462 85402

10620 16 21 15 20 581112331886 17 36 37 3

3116759

110 4522 10 1

15 19 3

231646 2114 3

43

28 6

19 54

609 124

332

13721 21 15 31 30 651816443273 40 54 54 16 64

14467

159 9048 22 4

24 38 4

1818542233 7

62

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Graph 12: Ten Leading Causes of Death, 2005

199

245

341

449

473

706

813

986

3,353

3,633

0 500 1000 1500 2000 2500 3000 3500 4000

EssentialHypertension*

Nephritis &Nephrosis

Pneumonia

Diabetes Mellitus

Alzheimer's Disease

Accidents

Chronic LungDisease

Cerebrovascular

Cancer

Heart Disease

Number of Deaths*Essential Hypertension and Hypertensive Renal Disease

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Graph 13: Leading Causes of Death by Sex, 2005

114

131

197

244

304

336

403

578

1,618

1,854

131

137

144

144

205

402

408

410

1,735

1,779

0 500 1000 1500 2000

Nephritis/Nephrosis

Essential Hypertension*

Pneumonia

Diabetes

Accidents

Alzheimer's Disease

Chronic Lung Disease

Cerebrovascular

Cancer

Heart Disease

Nephritis/Nephrosis

Alzheimer's Disease

Suicide

Pneumonia

Diabetes

Accidents

Cerebrovascular

Chronic Lung Disease

Cancer

Heart Disease

Number of Deaths

Females

Males

*Essential Hypertension and Hypertensive Renal Disease

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Graph 14: Leading Causes of Death by Selected Age Groups and Sex, 2005

100

3

3

9

31

9

21

44

0 20 40 60 80

Homicide

Cerebral Palsy

Cancer

Accidents

Cancer

Suicide

Accidents

Number of Deaths

Males, 1-19

Females, 1-19

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Graph 15: Leading Causes of Death by Selected Age

Groups and Sex, 2005

5

8

11

20

22

50

51

10

11

15

29

40

60

61

121

0 20 40 60 80 100 120 140

HIV/AIDS

Diabetes

Cirrhosis

Suicide

Heart Disease

Accidents

Cancer

Diabetes

Cirrhosis

HIV/AIDS

Homicide

Cancer

Heart Disease

Suicide

Accidents

Number of Deaths

Males, 20-44

Females, 20-44

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Graph 16: Leading Causes of Death by Selected Age

Groups and Sex, 2005

10

11

11

12

21

26

45

66

223

11

14

27

30

34

38

70

194

265

0 50 100 150 200 250 300

Suicide

Cirrhosis

Diabetes

Multiple Sclerosis

Stroke

Chronic Lung Disease

Accidents

Heart

Cancer

Nephritis/Nephrosis

Chronic Lung Disease

Stroke

Diabetes

Suicide

Cirrhosis

Accidents

Heart

Cancer

Number of Deaths

Males, 45-59

Females, 45-59

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Graph 17: Leading Causes of Death by Selected Age Groups and Sex, 2005

14

19

30

36

58

65

104

218

482

20

23

31

46

66

78

110

376

602

0 100 200 300 400 500 600 700

Pneumonia

Alzheimer's Disease

Nephritis/Nephrosis

Accidents

Stroke

Diabetes

Chronic Lung Disease

Heart

Cancer

Cirrhosis

Essential Hypertension*

Nephritis/Nephrosis

Accidents

Diabetes

Stroke

Chronic Lung Disease

Heart

Cancer

Number of Deaths

Females, 60-74

Males, 60-74

*Essential Hypertension and Hypertensive Renal Disease

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Graph 18: Leading Causes of Death by Selected Age

Groups and Sex, 2005

118

140

160

178

273

313

495

853

1,574

85

99

120

122

124

285

296

819

1,147

0 200 400 600 800 1000 1200 1400 1600 1800

Essential Hypertension*

Accidents

Diabetes

Pneumonia

Chronic Lung Disease

Alzheimer's Disease

Stroke

Cancer

Heart Disease

Nephritis/Nephrosis

Diabetes

Accidents

Pneumonia

Alzheimer's Disease

Chronic Lung Disease

Stroke

Cancer

Heart Disease

Number of Deaths

Males, 75+

Females, 75+

*Essential Hypertension and Hypertensive Renal Disease

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TABLE 44: Heart Disease Deaths by County of Residence, 2005 and 2001-2005 2005 2001-2005 Total Crude Age-Adjusted Total Crude Age-Adjusted

County Deaths Rate* Rate* Deaths Rate* Rate* STATE 3,633 206.6 180.3 19,703 226.8 196.3 Adams 92 278.2 206.9 470 299.3 205.5 Antelope 26 371.2 206.6 133 370.4 194.8 Arthur 1 264.6 213.5 5 249.4 189.2 Banner 1 136.4 86.9 5 130.3 125.6 Blaine 3 619.8 428.4 11 421.1 235.8 Boone 15 259.9 128.0 102 342.6 182.7 Box Butte 25 219.8 156.5 162 278.6 205.6 Boyd 7 309.6 107.5 73 631.0 258.4 Brown 11 330.5 157.1 55 317.8 165.1 Buffalo 85 195.1 192.7 443 205.9 198.7 Burt 26 348.8 183.2 169 446.9 256.2 Butler 39 447.2 312.2 162 367.2 263.7 Cass 54 209.8 211.3 307 243.4 238.0 Cedar 38 419.1 207.9 185 401.3 209.1 Chase 7 181.1 94.8 65 327.7 172.8 Cherry 13 213.2 145.6 61 199.9 138.5 Cheyenne 23 230.2 168.5 126 253.1 191.3 Clay 29 430.7 277.9 123 359.1 241.3 Colfax 32 306.7 205.3 162 309.1 195.0 Cuming 35 361.3 182.7 200 404.6 209.8 Custer 39 341.8 176.7 238 413.3 222.6 Dakota 38 186.7 203.2 208 203.6 232.4 Dawes 20 231.6 180.3 114 257.4 203.1 Dawson 47 190.9 166.4 260 211.7 182.3 Deuel 6 299.4 136.1 46 450.4 235.1 Dixon 21 341.2 223.0 111 359.7 225.4 Dodge 75 207.9 135.7 433 240.5 153.5 Douglas 806 165.5 186.3 4,198 176.1 194.8 Dundy 8 375.1 155.4 43 391.4 188.2 Fillmore 27 422.9 236.0 153 474.1 244.9 Franklin 12 350.8 201.5 72 417.5 220.6 Frontier 7 250.4 162.4 38 260.2 176.6 Furnas 17 338.7 140.9 111 430.8 207.4 Gage 64 274.6 158.6 376 323.4 191.1 Garden 7 350.5 131.9 42 389.8 168.1 Garfield 13 715.9 251.5 62 668.2 249.7 Gosper 2 99.0 51.6 31 302.5 163.2 Grant 1 149.3 115.0 7 201.0 156.7 Greeley 9 358.3 174.3 57 439.3 214.4 Hall 111 201.4 173.2 547 201.7 172.9 Hamilton 21 219.5 164.9 140 295.7 225.7 Harlan 16 462.2 201.4 62 341.4 172.3 Hayes 2 194.7 124.1 10 183.4 116.8 Hitchcock 9 303.0 181.0 52 343.8 184.6 Holt 33 306.0 149.1 194 351.1 185.2 Hooker 3 403.2 196.1 20 537.1 211.5 Howard 20 298.2 199.7 95 287.7 199.4 Jefferson 36 454.3 201.2 189 464.9 207.3 Johnson 10 213.0 102.7 70 311.3 171.9 Kearney 10 147.6 86.6 104 303.7 191.8

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TABLE 44: Heart Disease Deaths by County of Residence, 2005 and 2001-2005 (Cont'd) 2005 2001-2005

County Total

Deaths Crude Rate*

Age-Adjusted Rate*

Total Deaths

Crude Rate*

Age-Adjusted Rate*

Keith Keya Paha Kimball Knox Lancaster Lincoln Logan Loup McPherson Madison Merrick Morrill Nance Nemaha Nuckolls Otoe Pawnee Perkins Phelps Pierce Platte Polk Red Willow Richardson Rock Saline Sarpy Saunders Scotts Bluff Seward Sheridan Sherman Sioux Stanton Thayer Thomas Thurston ValleyWashington Wayne Webster Wheeler York

22 3

18 62

343 87 2 0 4

99 18 17 11 13 21 28 13 12 24 26 50 29 31 24 10 31

139 37

103 48 29 16 2

22 19 2

19 12

39 21 20 6

49

264.1 332.6 475.9 695.4 129.5 244.1 270.3

- 789.0 279.0 223.2 329.1 300.1 186.6 443.1 180.5 451.7 392.5 254.0 342.1 159.9 535.0 280.3 274.9 638.2 218.4 99.7

180.9 280.3 286.8 511.6 514.1 137.2 336.7 349.5 321.0 258.0 272.6 197.2 228.0 531.6 731.7 340.3

174.0 166.2 255.9 322.9 149.2 190.6 218.4

- 501.6 212.9 151.1 229.0 170.2 116.5 188.4 106.9 195.1 190.0 146.4 213.3 145.4 230.9 178.8 129.3 251.9 144.2 202.9 141.6 197.1 209.4 244.5 234.5 116.3 272.6 127.0 163.2 269.6 125.1 178.0 183.3 231.5 798.2 208.2

111 14 85

286 1,894

471 16 9 6

564 115 86 58 88

116 200 78 64

165 174 281 137 158 153 38

260 744 182 564 243 97 72 9

82 144 13 91 82

177 107 117 17

233

259.5 297.7 438.2 632.5 146.0 270.2 434.9 251.3 226.0 315.8 284.5 326.3 304.7 244.9 478.5 258.2 531.2 415.2 343.7 450.0 179.8 500.5 281.0 340.4 463.4 368.2 112.2 180.6 307.0 292.3 330.4 454.5 124.6 251.6 511.5 389.5 253.2 362.3 181.6 227.3 600.2 406.1 324.9

184.5 160.5 244.7 293.2 166.0 210.5 316.6 152.3 147.5 241.7 180.8 225.4 192.8 154.6 226.9 160.3 254.2 217.1 200.3 276.0 161.3 224.8 186.7 175.2 227.3 235.8 212.6 138.3 214.6 212.0 163.6 221.5 109.2 215.2 224.4 238.0 264.9 166.8 163.0 188.8 260.8 436.5 200.5

* Per 100,000 estimated population. Population estimates are calculated by the U.S. Department of Commerce, Bureau of the Census. NOTE: Rates based on small numbers may be unreliable.

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TABLE 45: Cancer Deaths by County of Residence, 2005 and 2001-2005 2005 2001-2005 Total Crude Age-Adjusted Total Crude Age-Adjusted

County Deaths Rate* Rate* Deaths Rate* Rate* STATE 3,353 190.6 179.4 16,771 193.0 180.0 Adams 77 232.8 202.1 350 222.9 179.8 Antelope 16 228.4 150.2 79 220.0 149.3 Arthur 1 264.6 193.9 3 149.6 120.2 Banner 3 409.3 285.3 5 130.3 96.7 Blaine 2 413.2 243.7 5 191.4 125.3 Boone 23 398.5 293.6 87 292.2 187.4 Box Butte 27 237.4 191.5 128 220.1 188.4 Boyd 7 309.6 181.8 30 259.3 146.5 Brown 7 210.3 104.6 42 242.7 142.9 Buffalo 62 142.3 159.7 339 157.5 168.0 Burt 21 281.7 176.1 113 298.8 191.1 Butler 14 160.6 124.8 88 199.5 153.2 Cass 48 186.5 185.7 222 176.0 174.2 Cedar 17 187.5 132.5 105 227.8 152.2 Chase 7 181.1 102.6 46 231.9 136.3 Cherry 6 98.4 75.8 63 206.5 150.0 Cheyenne 25 250.2 207.0 105 211.0 169.7 Clay 12 178.2 123.8 72 210.2 154.2 Colfax 30 287.5 210.0 110 209.9 163.9 Cuming 30 309.7 204.9 111 224.5 144.6 Custer 39 341.8 233.7 161 279.6 178.2 Dakota 37 181.8 205.9 168 164.5 191.4 Dawes 18 208.4 197.2 90 203.2 175.5 Dawson 44 178.7 171.4 223 181.6 171.3 Deuel 4 199.6 125.6 41 401.4 251.5 Dixon 21 341.2 255.6 87 281.9 197.4 Dodge 86 238.4 172.1 431 239.4 179.1 Douglas 808 165.9 188.7 4,236 177.7 198.4 Dundy 6 281.3 178.7 29 264.0 146.5 Fillmore 19 297.6 179.6 97 300.6 178.2 Franklin 12 350.8 200.0 62 359.5 224.6 Frontier 4 143.1 101.4 22 150.7 113.8 Furnas 13 259.0 130.7 70 271.7 143.7 Gage 42 180.2 120.7 268 230.5 159.1 Garden 7 350.5 179.4 35 324.9 184.0 Garfield 7 385.5 183.4 34 366.5 176.0 Gosper 6 297.0 187.6 27 263.4 163.3 Grant 1 149.3 221.5 4 114.9 131.0 Greeley 10 398.1 165.0 35 269.7 129.9 Hall 102 185.1 166.7 504 185.9 167.4 Hamilton 20 209.0 177.6 101 213.3 178.5 Harlan 8 231.1 112.4 45 247.8 145.1 Hayes 4 389.5 221.0 13 238.4 142.9 Hitchcock 9 303.0 202.4 45 297.5 191.2 Holt 33 306.0 184.0 125 226.2 146.8 Hooker 2 268.8 85.7 13 349.1 164.3 Howard 15 223.6 170.7 70 212.0 155.8 Jefferson 29 365.9 189.2 112 275.5 159.0 Johnson 15 319.5 224.5 61 271.3 166.8 Kearney 20 295.2 207.4 84 245.3 187.4

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TABLE 45: Cancer Deaths by County of Residence, 2005 and 2001-2005 (Cont’d) 2005 2001-2005

Age- Total Crude Adjusted Total Crude Age-Adjusted

County Deaths Rate* Rate* Deaths Rate* Rate* Keith 22 264.1 187.5 118 275.9 195.5 Keya Paha 0 - - 7 148.8 83.6 Kimball 14 370.2 213.2 67 345.4 204.5 Knox 19 213.1 115.7 132 291.9 171.5 Lancaster 410 154.8 182.2 2,044 157.6 182.1 Lincoln 91 255.4 219.5 405 232.3 194.8 Logan 3 405.4 289.9 16 434.9 323.5 Loup 1 145.8 93.8 11 307.2 188.9 McPherson 1 197.2 129.5 3 113.0 73.1 Madison 68 191.6 176.4 326 182.5 161.9 Merrick 18 223.2 161.4 95 235.0 169.6 Morrill 15 290.4 213.8 62 235.2 179.8 Nance 16 436.4 265.3 60 315.2 202.3 Nemaha 13 186.6 127.4 85 236.6 167.4 Nuckolls 9 189.9 95.0 85 350.6 190.2 Otoe 40 257.9 192.0 207 267.2 200.1 Pawnee 10 347.5 236.8 45 306.5 154.2 Perkins 10 327.1 183.0 42 272.5 177.7 Phelps 24 254.0 172.8 117 243.7 166.9 Pierce 18 236.8 187.1 95 245.7 200.0 Platte 63 201.5 186.5 300 192.0 180.6 Polk 12 221.4 117.0 74 270.3 167.9 Red Willow 24 217.0 155.6 142 252.6 181.2 Richardson 21 240.5 171.5 164 364.9 237.3 Rock 3 191.4 86.7 20 243.9 135.6 Saline 29 204.3 160.3 149 211.0 169.3 Sarpy 191 137.0 229.0 779 117.5 183.8Saunders 40 195.5 162.0 209 207.3 172.2 Scotts Bluff 87 236.7 183.1 415 225.9 174.6 Seward 39 233.0 186.0 197 237.0 195.3 Sheridan 15 264.6 148.1 88 299.8 187.0 Sherman 8 257.1 163.6 47 296.7 173.2 Sioux 4 274.3 172.1 12 166.2 119.7 Stanton 10 153.0 157.6 71 217.8 210.7 Thayer 19 349.5 179.3 83 294.8 155.3 Thomas 1 160.5 76.0 3 89.9 45.6 Thurston 17 230.8 246.0 86 239.3 251.4 Valley 8 181.7 84.8 52 229.8 126.2 Washington 32 161.8 154.8 176 180.6 168.7 Wayne 12 130.3 127.4 61 129.6 118.7 Webster 12 319.0 156.1 63 323.2 172.9 Wheeler 2 243.9 243.0 12 286.7 245.2 York 26 180.6 124.7 150 209.2 154.1

* Per 100,000 estimated population. Population estimates are calculated by the U.S. Department of Commerce, Bureau of the Census. NOTE: Rates based on small numbers may be unreliable.

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TABLE 46: Cerebrovascular Disease Deaths by County of Residence, 2005 and 2001-2005 2005 2001-2005 Total Crude Age-Adjusted Total Crude Age-Adjusted

County Deaths Rate* Rate* Deaths Rate* Rate* STATE 986 56.1 48.7 5,281 60.8 52.2 Adams 28 84.7 61.2 116 73.9 50.5 Antelope 11 157.1 76.8 38 105.8 53.9 Arthur 0 - - 4 199.5 133.8 Banner 0 - - 1 26.1 21.9 Blaine 0 - - 0 - - Boone 10 173.3 77.8 38 127.6 67.8 Box Butte 9 79.1 55.7 50 86.0 62.8 Boyd 4 176.9 112.2 19 164.2 77.7 Brown 2 60.1 38.2 9 52.0 26.7 Buffalo 18 41.3 36.6 115 53.4 49.9 Burt 12 161.0 82.3 52 137.5 74.3 Butler 7 80.3 56.9 35 79.3 55.7 Cass 10 38.9 36.3 68 53.9 52.9 Cedar 12 132.4 58.9 70 151.8 72.7 Chase 6 155.2 72.6 26 131.1 68.2 Cherry 6 98.4 63.3 25 81.9 53.8 Cheyenne 5 50.0 36.3 40 80.4 57.0 Clay 4 59.4 38.0 19 55.5 36.8 Colfax 8 76.7 54.1 29 55.3 36.9 Cuming 8 82.6 40.1 39 78.9 38.9 Custer 19 166.5 91.5 72 125.0 64.5 Dakota 16 78.6 89.8 56 54.8 62.3 Dawes 5 57.9 34.6 37 83.5 60.3 Dawson 8 32.5 27.3 77 62.7 52.5 Deuel 2 99.8 38.3 8 78.3 40.6 Dixon 6 97.5 64.0 29 94.0 58.0 Dodge 28 77.6 49.0 180 100.0 62.7 Douglas 191 39.2 44.5 1,128 47.3 52.7 Dundy 2 93.8 39.9 14 127.4 62.2 Fillmore 14 219.3 104.3 52 161.1 74.6 Franklin 2 58.5 20.7 18 104.4 52.0 Frontier 2 71.6 45.9 8 54.8 37.8 Furnas 3 59.8 29.2 35 135.8 66.9 Gage 20 85.8 47.6 94 80.8 47.8 Garden 1 50.1 32.6 13 120.7 47.2 Garfield 2 110.1 44.1 7 75.4 31.8 Gosper 2 99.0 45.0 16 156.1 81.4 Grant 0 - - 3 86.2 108.0 Greeley 3 119.4 54.2 9 69.4 36.0 Hall 36 65.3 54.9 169 62.3 51.8 Hamilton 6 62.7 49.5 29 61.2 48.3 Harlan 5 144.4 58.3 18 99.1 45.8 Hayes 0 - - 1 18.3 10.7 Hitchcock 5 168.4 91.5 13 85.9 51.6 Holt 9 83.5 43.5 50 90.5 47.4 Hooker 2 268.8 62.0 3 80.6 31.5 Howard 2 29.8 18.6 31 93.9 62.2 Jefferson 8 100.9 58.1 30 73.8 37.1 Johnson 6 127.8 71.5 37 164.6 76.4 Kearney 5 73.8 50.0 30 87.6 57.6

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TABLE 46: Cerebrovascular Disease Deaths by County of Residence, 2005 and 2001-2005 (Cont’d) 2005 2001-2005 Total Crude Age-Adjusted Total Crude Age-Adjusted

County Deaths Rate* Rate* Deaths Rate* Rate* Keith 3 36.0 24.3 30 70.1 48.6 Keya Paha 1 110.9 55.4 2 42.5 22.2 Kimball 3 79.3 47.4 22 113.4 61.5 Knox 9 100.9 48.1 57 126.1 62.5 Lancaster 131 49.5 58.0 556 42.9 49.1 Lincoln 17 47.7 37.9 114 65.4 50.4Logan 0 - - 2 54.4 40.4Loup 0 - - 2 55.9 33.1McPherson 0 - - 1 37.7 28.9Madison 34 95.8 72.0 144 80.6 59.7Merrick 6 74.4 44.8 33 81.6 51.1 Morrill 5 96.8 66.6 15 56.9 38.3 Nance 6 163.7 124.6 23 120.8 76.5 Nemaha 5 71.8 36.0 37 103.0 58.0 Nuckolls 2 42.2 19.4 28 115.5 54.7 Otoe 13 83.8 52.9 59 76.2 46.5Pawnee 2 69.5 25.2 14 95.3 36.8Perkins 2 65.4 26.1 15 97.3 47.4Phelps 7 74.1 39.8 42 87.5 45.5 Pierce 8 105.3 56.4 43 111.2 64.3Platte 19 60.8 54.6 88 56.3 49.5 Polk 4 73.8 30.0 17 62.1 27.5 Red Willow 5 45.2 25.4 48 85.4 52.6 Richardson 10 114.5 61.6 45 100.1 51.7 Rock 0 - - 6 73.2 31.2 Saline 10 70.4 39.7 55 77.9 48.1Sarpy 40 28.7 63.5 198 29.9 60.4Saunders 7 34.2 25.4 56 55.6 42.1 Scotts Bluff 22 59.9 41.5 131 71.3 50.2 Seward 7 41.8 27.5 47 56.5 41.7Sheridan 3 52.9 30.9 25 85.2 45.7 Sherman 2 64.3 43.4 12 75.8 37.8 Sioux 0 - - 2 27.7 22.2 Stanton 3 45.9 50.2 15 46.0 41.1 Thayer 2 36.8 16.0 34 120.8 53.9 Thomas 0 - - 3 89.9 46.7Thurston 3 40.7 41.8 28 77.9 78.7 Valley 2 45.4 15.7 24 106.0 47.0Washington 12 60.7 59.6 53 54.4 49.9 Wayne 2 21.7 16.9 20 42.5 34.7Webster 2 53.2 20.4 16 82.1 39.3 Wheeler 1 122.0 155.1 3 71.7 80.0 York 6 41.7 25.0 56 78.1 48.1

* Per 100,000 estimated population. Population estimates are calculated by the U.S. Department of Commerce, Bureau of the Census. NOTE: Rates based on small numbers may be unreliable.

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TABLE 47: Chronic Lung Disease Deaths by County of Residence, 2005 and 2001-2005 Total

2005 Crude

Age-Adjusted

2001-2005Total Crude Age-Adjusted

County Deaths Rate* Rate* Deaths Rate* Rate* STATE 813 46.2 42.3 3,835 44.1 40.0 Adams 10 30.2 21.9 50 31.8 22.7 Antelope 3 42.8 20.1 14 39.0 21.2 Arthur 0 - - 1 49.9 42.7 Banner 0 - - 1 26.1 17.4 Blaine 0 - - 0 - - Boone 2 34.7 19.2 9 30.2 18.2Box Butte 9 79.1 64.6 34 58.5 47.1Boyd 0 - - 6 51.9 20.8Brown 5 150.2 74.3 13 75.1 38.6Buffalo 17 39.0 40.1 76 35.3 37.0Burt 3 40.2 19.6 20 52.9 30.2 Butler 3 34.4 25.3 29 65.7 47.8 Cass 13 50.5 53.2 61 48.4 49.1 Cedar 7 77.2 41.2 24 52.1 29.7 Chase 2 51.7 28.0 7 35.3 22.7 Cherry 3 49.2 34.4 18 59.0 42.4Cheyenne 13 130.1 94.2 47 94.4 71.1Clay 2 29.7 18.3 17 49.6 33.2Colfax 4 38.3 29.7 18 34.3 21.7Cuming 7 72.3 48.0 30 60.7 36.8Custer 7 61.3 37.2 29 50.4 30.9 Dakota 12 59.0 71.2 34 33.3 39.2 Dawes 5 57.9 43.4 26 58.7 48.0 Dawson 15 60.9 54.4 46 37.5 32.2 Deuel 2 99.8 45.7 9 88.1 47.2 Dixon 1 16.2 13.4 17 55.1 34.2Dodge 24 66.5 47.6 88 48.9 34.5Douglas 206 42.3 48.9 974 40.9 46.6Dundy 2 93.8 51.2 8 72.8 42.9Fillmore 4 62.6 28.3 23 71.3 36.1Franklin 4 116.9 57.8 16 92.8 52.3 Frontier 3 107.3 75.8 9 61.6 43.3 Furnas 7 139.5 83.1 24 93.1 48.5 Gage 11 47.2 32.6 53 45.6 30.9 Garden 3 150.2 61.9 10 92.8 43.4 Garfield 0 - - 23 247.9 115.9Gosper 1 49.5 29.1 4 39.0 22.0Grant 0 - - 3 86.2 61.8Greeley 1 39.8 13.8 12 92.5 39.8Hall 28 50.8 45.7 138 50.9 44.6Hamilton 4 41.8 36.2 10 21.1 18.4 Harlan 1 28.9 10.1 9 49.6 25.0 Hayes 0 - - 1 18.3 10.7 Hitchcock 3 101.0 51.3 14 92.5 50.2 Holt 11 102.0 55.1 35 63.3 33.7 Hooker 0 - - 6 161.1 93.7Howard 1 14.9 12.2 10 30.3 23.0Jefferson 2 25.2 15.1 18 44.3 21.2Johnson 0 - - 8 35.6 18.6Kearney 2 29.5 18.4 14 40.9 29.8

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TABLE 47: Chronic Lung Disease Deaths by County of Residence, 2005 and 2001-2005 (Cont'd) 2005 2001-2005 Total Crude Age-Adjusted Total Crude Age-Adjusted

County Deaths Rate* Rate* Deaths Rate* Rate* Keith 6 72.0 47.1 32 74.8 50.5Keya Paha 1 110.9 55.4 3 63.8 32.6Kimball 3 79.3 49.1 13 67.0 39.0Knox 0 - - 15 33.2 15.8Lancaster 96 36.3 43.0 455 35.1 41.1Lincoln 14 39.3 32.3 92 52.8 43.0Logan 0 - - 5 135.9 102.6Loup 0 - - 2 55.9 33.4McPherson 1 197.2 129.5 2 75.3 54.8Madison 17 47.9 39.4 67 37.5 29.9Merrick 6 74.4 47.6 25 61.8 41.4Morrill 1 19.4 11.2 17 64.5 46.3Nance 6 163.7 110.2 24 126.1 78.8Nemaha 6 86.1 51.9 41 114.1 71.7Nuckolls 2 42.2 19.4 14 57.7 31.3Otoe 7 45.1 30.3 45 58.1 39.0Pawnee 3 104.2 55.2 15 102.2 48.6Perkins 0 - - 11 71.4 36.7Phelps 7 74.1 47.7 28 58.3 37.0Pierce 6 78.9 49.9 20 51.7 35.8Platte 10 32.0 28.5 46 29.4 26.7Polk 3 55.3 27.2 8 29.2 16.7Red Willow 7 63.3 42.4 39 69.4 44.4Richardson 8 91.6 54.0 38 84.5 48.7Rock 0 - - 6 73.2 34.7Saline 9 63.4 40.3 35 49.6 34.2Sarpy 39 28.0 51.4 168 25.3 46.7Saunders 14 68.4 57.1 50 49.6 40.6Scotts Bluff 22 59.9 44.2 145 78.9 57.5Seward 11 65.7 51.8 34 40.9 32.9Sheridan 4 70.6 39.7 20 68.1 39.1Sherman 6 192.8 114.8 13 82.1 42.1Sioux 1 68.6 55.4 4 55.4 42.6Stanton 3 45.9 41.1 13 39.9 39.0Thayer 4 73.6 23.1 20 71.0 30.1Thomas 1 160.5 81.6 2 59.9 31.5Thurston 1 13.6 13.7 9 25.0 26.1Valley 4 90.9 50.3 19 84.0 41.7Washington 7 35.4 34.6 35 35.9 34.8Wayne 3 32.6 23.6 16 34.0 29.9Webster 6 159.5 61.1 17 87.2 40.2Wheeler 0 - - 0 - -York 5 34.7 25.9 26 36.3 25.7

* Per 100,000 estimated population. Population estimates are calculated by the U.S. Department of Commerce, Bureau of the Census. NOTE: Rates based on small numbers may be unreliable.

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TABLE 48: Accidental Deaths by County of Residence, 2005 and 2001-2005 2005 2001-2005 Total Crude Age-Adjusted Total Crude Age-Adjusted

County Deaths Rate* Rate* Deaths Rate* Rate* STATE 706 40.1 38.0 3,526 40.6 38.1 Adams 11 33.3 30.3 60 38.2 32.0 Antelope 1 14.3 6.0 17 47.3 35.7 Arthur 0 - - 2 99.8 86.9 Banner 0 - - 1 26.1 25.8 Blaine 0 - - 2 76.6 57.3 Boone 3 52.0 68.3 14 47.0 46.4 Box Butte 6 52.8 42.3 30 51.6 49.9 Boyd 3 132.7 105.2 9 77.8 69.7 Brown 1 30.0 15.8 9 52.0 43.6 Buffalo 22 50.5 52.6 88 40.9 38.5 Burt 7 93.9 69.7 29 76.7 61.0 Butler 2 22.9 22.0 20 45.3 42.0 Cass 13 50.5 50.6 55 43.6 43.2 Cedar 4 44.1 25.5 25 54.2 50.2 Chase 3 77.6 56.7 11 55.5 45.0 Cherry 9 147.6 112.9 34 111.4 96.3 Cheyenne 6 60.0 61.4 23 46.2 42.7 Clay 5 74.3 58.2 30 87.6 80.8 Colfax 7 67.1 65.8 23 43.9 44.6 Cuming 6 61.9 48.0 24 48.5 39.5 Custer 7 61.3 48.7 37 64.2 51.5 Dakota 11 54.1 57.7 32 31.3 33.2 Dawes 7 81.1 80.4 26 58.7 60.1 Dawson 18 73.1 70.0 76 61.9 60.8 Deuel 1 49.9 41.1 7 68.5 71.2 Dixon 5 81.2 77.7 21 68.1 61.9 Dodge 12 33.3 26.9 87 48.3 42.9 Douglas 144 29.6 31.5 698 29.3 30.7 Dundy 3 140.6 69.5 13 118.3 80.8 Fillmore 5 78.3 73.0 19 58.9 54.5 Franklin 2 58.5 48.3 14 81.2 64.0 Frontier 1 35.8 26.5 3 20.5 17.9 Furnas 3 59.8 62.8 24 93.1 81.6 Gage 8 34.3 29.2 72 61.9 50.8 Garden 0 - - 6 55.7 52.6 Garfield 1 55.1 27.0 6 64.7 42.6 Gosper 1 49.5 58.5 4 39.0 31.4 Grant 0 - - 1 28.7 22.7 Greeley 2 79.6 95.0 10 77.1 63.8 Hall 24 43.6 44.4 118 43.5 41.9 Hamilton 4 41.8 41.5 20 42.2 38.4 Harlan 0 - - 11 60.6 56.9 Hayes 0 - - 5 91.7 78.8 Hitchcock 1 33.7 29.3 15 99.2 84.0 Holt 9 83.5 63.5 30 54.3 47.9 Hooker 1 134.4 356.8 2 53.7 82.3 Howard 6 89.4 76.2 22 66.6 60.6 Jefferson 7 88.3 59.0 31 76.3 60.4 Johnson 3 63.9 54.1 10 44.5 40.9 Kearney 6 88.6 62.6 15 43.8 33.3

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TABLE 48: Accidental Deaths by County of Residence, 2005 and 2001-2005 (Cont'd) 2005 2001-2005 Total Crude Age-Adjusted Total Crude Age-Adjusted

County Deaths Rate* Rate* Deaths Rate* Rate* Keith 10 120.0 95.0 27 63.1 58.6 Keya Paha 2 221.7 104.3 4 85.1 66.6 Kimball 0 - - 10 51.6 50.1 Knox 8 89.7 54.6 37 81.8 60.7 Lancaster 78 29.5 31.9 434 33.5 34.9 Lincoln 22 61.7 57.1 74 42.4 39.4 Logan 1 135.1 103.4 5 135.9 140.4 Loup 0 - - 4 111.7 78.9 McPherson 1 197.2 144.7 2 75.3 57.9 Madison 10 28.2 25.3 73 40.9 37.4 Merrick 5 62.0 61.3 17 42.1 38.5 Morrill 6 116.2 108.8 27 102.4 88.0 Nance 5 136.4 153.3 15 78.8 76.7 Nemaha 5 71.8 53.6 16 44.5 37.9 Nuckolls 1 21.1 9.7 11 45.4 32.6 Otoe 10 64.5 58.7 35 45.2 39.6 Pawnee 1 34.7 12.6 12 81.7 39.6 Perkins 1 32.7 49.5 11 71.4 65.4 Phelps 5 52.9 48.0 22 45.8 37.0 Pierce 3 39.5 38.2 23 59.5 53.8 Platte 11 35.2 33.7 61 39.0 38.3 Polk 4 73.8 33.3 14 51.1 23.9 Red Willow 3 27.1 24.6 22 39.1 34.5 Richardson 11 126.0 108.4 42 93.4 80.9 Rock 1 63.8 20.4 4 48.8 31.4 Saline 4 28.2 18.5 32 45.3 31.8 Sarpy 23 16.5 27.3 152 22.9 33.5 Saunders 12 58.7 55.3 63 62.5 57.4 Scotts Bluff 19 51.7 46.4 102 55.5 49.5 Seward 3 17.9 14.7 32 38.5 31.7 Sheridan 3 52.9 37.8 23 78.4 59.1 Sherman 3 96.4 50.1 16 101.0 94.0 Sioux 1 68.6 55.4 2 27.7 22.2 Stanton 3 45.9 42.6 10 30.7 29.0 Thayer 2 36.8 29.1 22 78.1 67.2 Thomas 1 160.5 124.6 4 119.8 109.1 Thurston 6 81.5 87.4 30 83.5 88.5 Valley 1 22.7 7.8 11 48.6 38.6 Washington 12 60.7 54.8 40 41.0 38.4 Wayne 0 - - 11 23.4 22.2 Webster 5 132.9 147.9 10 51.3 44.2 Wheeler 1 122.0 87.9 1 23.9 17.6 York 2 13.9 11.9 22 30.7 24.7 * Per 100,000 estimated population. Population estimates are calculated by the U.S. Department of Commerce, Bureau of the Census. NOTE: Rates based on small numbers may be unreliable.

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TABLE 49: Alzheimer's Disease Deaths by County of Residence, 2005 and 2001-2005 Total

2005 Crude Age-Adjusted

2001-2005 Total Crude Age-Adjusted

County Deaths Rate* Rate* Deaths Rate* Rate* STATE 473 26.9 22.3 2,286 26.3 21.6 Adams 3 9.1 4.9 35 22.3 13.5 Antelope 2 28.6 16.5 3 8.4 4.5 Arthur 0 - - 0 - - Banner 0 - - 0 - - Blaine 0 - - 0 - - Boone 7 121.3 49.9 16 53.7 24.3 Box Butte 8 70.3 48.4 24 41.3 31.2 Boyd 4 176.9 60.1 5 43.2 14.6 Brown 2 60.1 26.9 12 69.3 29.6 Buffalo 10 23.0 20.9 56 26.0 21.7 Burt 3 40.2 17.6 20 52.9 25.1 Butler 11 126.1 86.0 45 102.0 71.5 Cass 4 15.5 15.1 42 33.3 32.4 Cedar 3 33.1 17.0 11 23.9 12.4 Chase 0 - - 0 - - Cherry 1 16.4 9.3 20 65.6 37.7 Cheyenne 2 20.0 14.0 17 34.2 23.8 Clay 0 - - 5 14.6 8.5 Colfax 1 9.6 4.8 7 13.4 9.3 Cuming 2 20.6 8.1 22 44.5 20.4 Custer 4 35.1 15.8 20 34.7 15.1 Dakota 8 39.3 45.8 37 36.2 41.9 Dawes 4 46.3 38.1 15 33.9 25.8 Dawson 6 24.4 17.7 39 31.8 23.6 Deuel 3 149.7 90.8 7 68.5 36.4 Dixon 1 16.2 8.3 5 16.2 8.8 Dodge 9 24.9 14.7 59 32.8 19.7 Douglas 109 22.4 25.1 463 19.4 21.5Dundy 1 46.9 17.8 8 72.8 31.9 Fillmore 1 15.7 5.7 9 27.9 11.4 Franklin 0 - - 0 - - Frontier 1 35.8 19.4 4 27.4 16.6 Furnas 3 59.8 23.1 15 58.2 23.0 Gage 14 60.1 35.1 40 34.4 19.0 Garden 0 - - 4 37.1 14.0 Garfield 1 55.1 17.0 5 53.9 21.0 Gosper 2 99.0 51.6 11 107.3 54.8 Grant 0 - - 2 57.4 46.0 Greeley 0 - - 4 30.8 12.3 Hall 24 43.6 36.9 84 31.0 25.2 Hamilton 8 83.6 63.0 23 48.6 37.0 Harlan 0 - - 3 16.5 6.8 Hayes 0 - - 1 18.3 10.3 Hitchcock 3 101.0 42.9 12 79.3 30.9 Holt 3 27.8 14.6 18 32.6 16.5 Hooker 0 - - 1 26.9 10.9 Howard 3 44.7 29.7 6 18.2 11.7 Jefferson 2 25.2 13.4 5 12.3 6.2 Johnson 3 63.9 33.0 9 40.0 16.6 Kearney 3 44.3 31.6 7 20.4 12.9

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TABLE 49: Alzheimer's Disease Deaths by County of Residence, 2005 and 2001-2005 (Cont'd) 2005 2001-2005 Total Crude Age-Adjusted Total Crude Age-Adjusted

County Deaths Rate* Rate* Deaths Rate* Rate* Keith 1 12.0 8.2 8 18.7 12.8 Keya Paha 0 - - 0 - - Kimball 1 26.4 12.2 7 36.1 19.7 Knox 1 11.2 5.5 5 11.1 4.6 Lancaster 47 17.7 20.5 247 19.0 21.7 Lincoln 10 28.1 20.3 67 38.4 29.4 Logan 0 - - 1 27.2 20.7Loup 0 - - 0 - -McPherson 0 - - 0 - - Madison 17 47.9 30.0 53 29.7 20.5 Merrick 1 12.4 9.8 8 19.8 12.0 Morrill 1 19.4 11.2 5 19.0 12.6 Nance 0 - - 12 63.0 35.8 Nemaha 3 43.1 24.1 26 72.4 40.3 Nuckolls 3 63.3 25.4 10 41.2 17.5 Otoe 3 19.3 11.5 33 42.6 22.7Pawnee 0 - - 4 27.2 10.4 Perkins 1 32.7 13.0 2 13.0 5.2Phelps 5 52.9 30.9 26 54.2 32.3 Pierce 0 - - 1 2.6 1.3Platte 4 12.8 11.8 37 23.7 20.7 Polk 2 36.9 13.1 9 32.9 14.8 Red Willow 7 63.3 32.5 39 69.4 40.0 Richardson 2 22.9 12.1 9 20.0 9.9 Rock 1 63.8 20.4 1 12.2 4.1 Saline 10 70.4 47.2 61 86.4 50.2Sarpy 12 8.6 20.9 56 8.4 19.0Saunders 1 4.9 3.3 16 15.9 11.5 Scotts Bluff 21 57.1 37.8 91 49.5 32.1 Seward 9 53.8 33.9 51 61.3 42.5Sheridan 4 70.6 34.8 14 47.7 22.2 Sherman 2 64.3 23.0 5 31.6 15.6 Sioux 0 - - 0 - - Stanton 4 61.2 44.0 10 30.7 23.6 Thayer 2 36.8 13.8 5 17.8 7.1 Thomas 0 - - 1 30.0 16.3 Thurston 2 27.2 28.1 7 19.5 19.6 Valley 1 22.7 11.0 5 22.1 8.5Washington 3 15.2 13.6 50 51.3 44.8 Wayne 1 10.9 10.2 4 8.5 6.8Webster 2 53.2 16.7 10 51.3 18.1 Wheeler 1 122.0 155.1 2 47.8 62.0 York 9 62.5 39.2 32 44.6 25.9 * Per 100,000 estimated population. Population estimates are calculated by the U.S. Department of Commerce, Bureau of the Census. NOTE: Rates based on small numbers may be unreliable.

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TABLE 50: Diabetes Mellitus Deaths by County of Residence, 2005 and 2001-2005 2005 2001-2005 Total Crude Age-Adjusted Total Crude Age-Adjusted

County Deaths Rate* Rate* Deaths Rate* Rate* STATE 449 25.5 23.7 2,042 23.5 21.3 Adams 8 24.2 20.3 30 19.1 14.6 Antelope 1 14.3 11.3 9 25.1 17.9 Arthur 0 - - 2 99.8 81.5 Banner 0 - - 0 - - Blaine 0 - - 0 - - Boone 0 - - 4 13.4 6.9 Box Butte 2 17.6 13.6 12 20.6 17.9 Boyd 0 - - 3 25.9 9.5 Brown 0 - - 4 23.1 10.8 Buffalo 10 23.0 24.7 36 16.7 16.9 Burt 3 40.2 21.6 11 29.1 17.1 Butler 4 45.9 41.3 15 34.0 26.3 Cass 8 31.1 30.5 29 23.0 22.1 Cedar 1 11.0 6.5 11 23.9 13.7 Chase 1 25.9 10.1 7 35.3 16.5 Cherry 5 82.0 59.4 11 36.1 25.6 Cheyenne 6 60.0 43.8 24 48.2 35.6 Clay 2 29.7 18.3 10 29.2 18.8 Colfax 3 28.8 19.0 15 28.6 20.3 Cuming 3 31.0 19.6 19 38.4 21.5 Custer 1 8.8 5.2 20 34.7 20.2 Dakota 7 34.4 39.8 32 31.3 36.2 Dawes 4 46.3 50.8 17 38.4 37.3 Dawson 7 28.4 26.8 29 23.6 21.0 Deuel 1 49.9 26.5 8 78.3 55.0 Dixon 0 - - 2 6.5 4.9 Dodge 6 16.6 12.8 45 25.0 18.9 Douglas 116 23.8 27.1 519 21.8 24.3 Dundy 3 140.6 57.7 7 63.7 33.4 Fillmore 3 47.0 25.9 13 40.3 21.7 Franklin 0 - - 4 23.2 10.7 Frontier 2 71.6 50.8 7 47.9 33.5 Furnas 1 19.9 17.6 10 38.8 24.4 Gage 8 34.3 18.2 50 43.0 26.8 Garden 0 - - 3 27.8 11.0 Garfield 3 165.2 120.0 6 64.7 39.9 Gosper 0 - - 6 58.5 32.4 Grant 0 - - 0 - - Greeley 0 - - 1 7.7 7.5 Hall 14 25.4 23.9 67 24.7 22.0 Hamilton 3 31.4 25.6 11 23.2 18.5 Harlan 1 28.9 14.0 8 44.1 19.3 Hayes 1 97.4 117.0 4 73.3 58.0 Hitchcock 1 33.7 19.9 8 52.9 27.8 Holt 6 55.6 39.3 16 29.0 20.2 Hooker 0 - - 1 26.9 22.1 Howard 3 44.7 30.8 4 12.1 8.6 Jefferson 2 25.2 15.1 11 27.1 13.5 Johnson 0 - - 6 26.7 16.3 Kearney 2 29.5 25.6 13 38.0 25.7

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TABLE 50: Diabetes Mellitus Deaths by County of Residence, 2005 and 2001-2005 (Cont'd) 2005 2001-2005 Total Crude Age-Adjusted Total Crude Age-Adjusted

County Deaths Rate* Rate* Deaths Rate* Rate* Keith 6 72.0 60.8 15 35.1 26.0 Keya Paha 0 - - 0 - - Kimball 1 26.4 14.4 2 10.3 5.8 Knox 4 44.9 25.7 18 39.8 22.6 Lancaster 49 18.5 22.1 219 16.9 19.3 Lincoln 11 30.9 25.4 83 47.6 37.9Logan 0 - - 1 27.2 23.0Loup 0 - - 2 55.9 35.2McPherson 0 - - 0 - - Madison 13 36.6 30.9 49 27.4 23.7 Merrick 4 49.6 35.5 8 19.8 13.1 Morrill 1 19.4 14.2 11 41.7 29.5 Nance 0 - - 5 26.3 15.3 Nemaha 4 57.4 39.4 11 30.6 21.8 Nuckolls 1 21.1 7.9 4 16.5 7.4 Otoe 5 32.2 17.7 23 29.7 19.1Pawnee 0 - - 4 27.2 12.5Perkins 1 32.7 13.0 4 26.0 17.1Phelps 3 31.7 19.9 25 52.1 35.5 Pierce 4 52.6 41.8 14 36.2 25.4Platte 8 25.6 24.4 31 19.8 18.4 Polk 2 36.9 22.9 5 18.3 12.6 Red Willow 9 81.4 53.1 22 39.1 25.5 Richardson 4 45.8 26.2 26 57.8 33.7 Rock 0 - - 2 24.4 10.4 Saline 3 21.1 11.7 21 29.7 18.2Sarpy 16 11.5 19.7 64 9.7 16.1Saunders 2 9.8 8.7 18 17.9 15.3 Scotts Bluff 21 57.1 43.8 69 37.6 28.0 Seward 8 47.8 41.1 22 26.5 20.3Sheridan 1 17.6 14.7 6 20.4 11.4 Sherman 0 - - 4 25.3 12.8 Sioux 0 - - 0 - - Stanton 2 30.6 26.0 6 18.4 16.7 Thayer 0 - - 7 24.9 11.8 Thomas 0 - - 1 30.0 20.3Thurston 5 67.9 73.8 13 36.2 38.9 Valley 1 22.7 14.1 6 26.5 11.3Washington 3 15.2 15.3 18 18.5 17.4 Wayne 1 10.9 6.7 7 14.9 13.8Webster 1 26.6 12.0 6 30.8 15.3 Wheeler 0 - - 2 47.8 48.6 York 3 20.8 16.4 8 11.2 8.6

* Per 100,000 estimated population. Population estimates are calculated by the U.S. Department of Commerce, Bureau of the Census. NOTE: Rates based on small numbers may be unreliable.

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TABLE 51: Pneumonia Deaths by County of Residence, 2005 and 2001-2005 Total

2005 Crude Age-Adjusted

2001-2005 Total Crude Age-Adjusted

County Deaths Rate* Rate* Deaths Rate* Rate* STATE 341 19.4 16.3 1,781 20.5 17.1 Adams 9 27.2 18.4 54 34.4 21.9 Antelope 2 28.6 12.0 9 25.1 12.1 Arthur 0 - - 0 - - Banner 0 - - 0 - - Blaine 0 - - 0 - - Boone 1 17.3 6.8 12 40.3 16.8 Box Butte 2 17.6 12.6 14 24.1 17.2 Boyd 1 44.2 12.7 4 34.6 12.0 Brown 1 30.0 11.2 10 57.8 29.7 Buffalo 11 25.2 23.7 56 26.0 23.6 Burt 1 13.4 5.9 11 29.1 14.3 Butler 1 11.5 7.9 9 20.4 13.9 Cass 5 19.4 20.5 31 24.6 23.9 Cedar 1 11.0 4.4 12 26.0 12.1 Chase 2 51.7 24.4 13 65.5 31.6 Cherry 1 16.4 13.1 5 16.4 11.1 Cheyenne 1 10.0 6.6 10 20.1 13.5 Clay 2 29.7 19.6 14 40.9 25.6 Colfax 2 19.2 9.6 19 36.3 20.5 Cuming 4 41.3 16.2 8 16.2 6.9 Custer 6 52.6 26.1 22 38.2 20.3 Dakota 2 9.8 10.3 14 13.7 15.8 Dawes 1 11.6 6.9 6 13.5 12.3 Dawson 7 28.4 22.0 19 15.5 11.9 Deuel 1 49.9 26.5 7 68.5 32.5 Dixon 0 - - 6 19.4 12.7 Dodge 6 16.6 10.2 40 22.2 14.5 Douglas 76 15.6 17.6 406 17.0 18.8 Dundy 1 46.9 17.8 4 36.4 15.1 Fillmore 1 15.7 5.7 8 24.8 10.9 Franklin 0 - - 6 34.8 18.8 Frontier 1 35.8 26.5 4 27.4 16.9 Furnas 3 59.8 23.1 11 42.7 16.5 Gage 3 12.9 8.8 25 21.5 13.1 Garden 1 50.1 15.8 1 9.3 3.2 Garfield 0 - - 2 21.6 10.5 Gosper 1 49.5 22.5 3 29.3 13.5 Grant 0 - - 0 - -Greeley 0 - - 4 30.8 12.3 Hall 20 36.3 30.8 71 26.2 21.7 Hamilton 3 31.4 24.5 12 25.3 18.6 Harlan 1 28.9 19.9 6 33.0 14.9 Hayes 0 - - 0 - - Hitchcock 1 33.7 19.9 2 13.2 8.0 Holt 3 27.8 13.0 17 30.8 15.4 Hooker 0 - - 1 26.9 6.2 Howard 1 14.9 12.2 3 9.1 6.2Jefferson 0 - - 13 32.0 12.8 Johnson 1 21.3 7.4 7 31.1 12.2 Kearney 0 - - 5 14.6 11.0

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TABLE 51: Pneumonia Deaths by County of Residence, 2005 and 2001-2005 (Cont'd)

2005 2001-2005 Total Crude Age-Adjusted Total Crude Age-Adjusted

County Deaths Rate* Rate* Deaths Rate* Rate* Keith 2 24.0 15.6 9 21.0 14.0 Keya Paha 0 - - 2 42.5 22.2 Kimball 1 26.4 14.4 8 41.2 22.1 Knox 7 78.5 31.3 17 37.6 15.8 Lancaster 34 12.8 14.8 179 13.8 15.4 Lincoln 2 5.6 4.4 33 18.9 14.6 Logan 0 - - 0 - - Loup 0 - - 0 - - McPherson 0 - - 0 - - Madison 7 19.7 12.3 30 16.8 12.3 Merrick 3 37.2 22.4 15 37.1 20.6 Morrill 1 19.4 14.7 9 34.1 22.3 Nance 1 27.3 14.8 13 68.3 39.8 Nemaha 3 43.1 17.8 11 30.6 15.6 Nuckolls 1 21.1 7.9 9 37.1 14.9 Otoe 8 51.6 30.8 30 38.7 22.2 Pawnee 0 - - 1 6.8 2.9 Perkins 1 32.7 13.0 10 64.9 27.4 Phelps 3 31.7 13.7 12 25.0 14.7 Pierce 1 13.2 6.4 6 15.5 9.4 Platte 5 16.0 14.7 29 18.6 16.2 Polk 0 - - 2 7.3 3.4 Red Willow 2 18.1 10.4 16 28.5 16.4 Richardson 5 57.3 24.9 17 37.8 17.2 Rock 1 63.8 20.4 3 36.6 12.2 Saline 3 21.1 13.1 12 17.0 9.9 Sarpy 16 11.5 25.3 116 17.5 36.4 Saunders 8 39.1 32.2 18 17.9 14.1 Scotts Bluff 14 38.1 22.7 44 23.9 15.8 Seward 8 47.8 37.6 26 31.3 22.6 Sheridan 2 35.3 13.5 7 23.8 10.6 Sherman 1 32.1 11.5 9 56.8 22.7 Sioux 0 - - 2 27.7 22.2 Stanton 0 - - 2 6.1 5.2 Thayer 2 36.8 17.1 9 32.0 19.7 Thomas 0 - - 1 30.0 16.3 Thurston 1 13.6 13.7 8 22.3 22.9 Valley 1 22.7 7.8 9 39.8 16.0 Washington 2 10.1 8.3 18 18.5 16.5 Wayne 0 - - 4 8.5 6.1 Webster 4 106.3 37.0 7 35.9 13.1 Wheeler 0 - - 0 - - York 4 27.8 16.7 12 16.7 10.5

* Per 100,000 estimated population. Population estimates are calculated by the U.S. Department of Commerce, Bureau of the Census. NOTE: Rates based on small numbers may be unreliable.

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TABLE 52: Nephritis and Nephrosis Deaths by County of Residence, 2005 and 2001-2005 2005 2001-2005 Total Crude Age-Adjusted Total Crude Age-Adjusted

County Deaths Rate* Rate* Deaths Rate* Rate* STATE 245 13.9 12.4 1,395 16.1 14.1 Adams 7 21.2 15.1 29 18.5 13.6 Antelope 0 - - 8 22.3 12.4 Arthur 0 - - 1 49.9 42.7 Banner 0 - - 0 - - Blaine 0 - - 0 - - Boone 3 52.0 25.3 9 30.2 15.3 Box Butte 2 17.6 12.6 11 18.9 14.3 Boyd 0 - - 3 25.9 9.5 Brown 1 30.0 15.8 4 23.1 11.7 Buffalo 4 9.2 10.2 31 14.4 13.9 Burt 2 26.8 13.8 10 26.4 13.1 Butler 2 22.9 15.4 9 20.4 13.9 Cass 2 7.8 8.5 13 10.3 10.8 Cedar 1 11.0 6.5 6 13.0 6.9 Chase 0 - - 9 45.4 26.7 Cherry 2 32.8 24.8 3 9.8 7.4 Cheyenne 1 10.0 8.5 11 22.1 16.2 Clay 3 44.6 37.2 9 26.3 19.4 Colfax 2 19.2 13.1 9 17.2 11.4 Cuming 1 10.3 6.2 10 20.2 10.9 Custer 6 52.6 24.5 16 27.8 14.5 Dakota 5 24.6 26.9 17 16.6 19.2 Dawes 1 11.6 6.9 12 27.1 21.2 Dawson 0 - - 17 13.8 12.0 Deuel 1 49.9 19.1 3 29.4 11.5 Dixon 2 32.5 21.7 9 29.2 19.2 Dodge 6 16.6 10.7 52 28.9 18.2 Douglas 65 13.3 15.1 338 14.2 15.8 Dundy 1 46.9 22.1 3 27.3 12.4 Fillmore 1 15.7 11.2 4 12.4 6.7 Franklin 1 29.2 10.3 6 34.8 15.9 Frontier 0 - - 2 13.7 7.8 Furnas 0 - - 8 31.0 17.9 Gage 4 17.2 9.5 22 18.9 11.0 Garden 2 100.2 74.3 4 37.1 25.9 Garfield 0 - - 3 32.3 14.2 Gosper 1 49.5 30.0 3 29.3 17.8 Grant 0 - - 0 - - Greeley 1 39.8 20.2 5 38.5 16.4 Hall 2 3.6 3.7 38 14.0 12.2 Hamilton 2 20.9 14.0 13 27.5 20.9 Harlan 1 28.9 10.1 4 22.0 8.1 Hayes 0 - - 0 - - Hitchcock 0 - - 6 39.7 20.5 Holt 5 46.4 22.3 17 30.8 16.2 Hooker 0 - - 0 - - Howard 2 29.8 22.8 8 24.2 16.2 Jefferson 1 12.6 6.7 14 34.4 15.7 Johnson 0 - - 3 13.3 7.3 Kearney 1 14.8 11.1 5 14.6 9.6

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TABLE 52: Nephritis and Nephrosis Deaths by County of Residence, 2005 and 2001-2005 (Cont'd) 2005 2001-2005 Total Crude Age-Adjusted Total Crude Age-Adjusted

County Deaths Rate* Rate* Deaths Rate* Rate* Keith 2 24.0 15.6 7 16.4 11.0 Keya Paha 0 - - 0 - - Kimball 0 - - 3 15.5 9.4 Knox 1 11.2 5.5 7 15.5 6.9 Lancaster 29 11.0 12.7 129 9.9 11.4 Lincoln 3 8.4 6.9 24 13.8 11.2 Logan 2 270.3 230.0 2 54.4 46.0 Loup 1 145.8 77.5 1 27.9 15.5 McPherson 0 - - 0 - - Madison 6 16.9 14.0 36 20.2 16.7 Merrick 0 - - 8 19.8 11.9 Morrill 3 58.1 33.7 10 37.9 26.0 Nance 2 54.6 30.0 12 63.0 36.0 Nemaha 1 14.4 12.1 8 22.3 15.8 Nuckolls 0 - - 6 24.7 12.2 Otoe 2 12.9 6.2 23 29.7 17.4 Pawnee 2 69.5 37.3 8 54.5 25.0 Perkins 0 - - 3 19.5 9.2 Phelps 0 - - 6 12.5 7.9 Pierce 2 26.3 18.6 4 10.3 7.4 Platte 6 19.2 17.6 23 14.7 13.2 Polk 1 18.4 16.4 6 21.9 14.2 Red Willow 2 18.1 9.3 14 24.9 14.9 Richardson 5 57.3 26.8 13 28.9 15.7 Rock 0 - - 7 85.4 35.3 Saline 1 7.0 5.5 9 12.7 8.5 Sarpy 6 4.3 9.7 70 10.6 18.6 Saunders 2 9.8 6.7 16 15.9 12.2 Scotts Bluff 6 16.3 11.7 33 18.0 12.7 Seward 2 11.9 8.4 8 9.6 6.6 Sheridan 1 17.6 6.8 8 27.3 13.4 Sherman 0 - - 5 31.6 13.5 Sioux 1 68.6 55.4 2 27.7 22.2 Stanton 0 - - 2 6.1 5.8 Thayer 2 36.8 19.3 10 35.5 15.9 Thomas 0 - - 0 - - Thurston 2 27.2 31.6 9 25.0 26.5 Valley 0 - - 6 26.5 11.3 Washington 0 - - 11 11.3 10.7 Wayne 3 32.6 27.6 8 17.0 13.6 Webster 3 79.7 25.0 8 41.0 14.1 Wheeler 0 - - 1 23.9 31.0 York 2 13.9 8.3 12 16.7 9.8

* Per 100,000 estimated population. Population estimates are calculated by the U.S. Department of Commerce, Bureau of the Census.

NOTE: Rates based on small numbers may be unreliable.

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TABLE 53: Essential Hypertension and Hypertensive Renal Disease Deaths by County of Residence, 2005 and 2001-2005 2005 2001-2005 Total Crude Age-Adjusted Total Crude Age-Adjusted

County Deaths Rate* Rate* Deaths Rate* Rate* STATE 199 11.3 9.6 844 9.7 8.2 Adams 0 - - 3 1.9 1.5 Antelope 0 - - 4 11.1 5.2 Arthur 0 - - 0 - - Banner 0 - - 0 - - Blaine 0 - - 0 - - Boone 0 - - 1 3.4 1.4 Box Butte 2 17.6 10.6 8 13.8 9.9 Boyd 1 44.2 12.7 1 8.6 2.5 Brown 0 - - 2 11.6 4.5 Buffalo 5 11.5 10.8 23 10.7 9.9 Burt 1 13.4 5.9 5 13.2 6.7 Butler 1 11.5 7.9 8 18.1 13.6 Cass 1 3.9 3.6 9 7.1 7.2 Cedar 1 11.0 6.5 5 10.8 5.2 Chase 0 - - 0 - - Cherry 1 16.4 13.1 2 6.6 4.5 Cheyenne 3 30.0 24.5 11 22.1 15.6 Clay 0 - - 3 8.8 5.4 Colfax 1 9.6 4.8 4 7.6 4.3 Cuming 4 41.3 18.4 10 20.2 9.0 Custer 3 26.3 10.6 12 20.8 8.8 Dakota 3 14.7 16.7 4 3.9 4.4 Dawes 2 23.2 16.6 4 9.0 6.1 Dawson 3 12.2 8.3 15 12.2 10.4 Deuel 1 49.9 19.1 3 29.4 11.5 Dixon 1 16.2 8.3 8 25.9 14.3 Dodge 7 19.4 13.9 26 14.4 9.1 Douglas 50 10.3 11.6 224 9.4 10.4 Dundy 1 46.9 17.8 2 18.2 7.1 Fillmore 2 31.3 16.9 4 12.4 7.3 Franklin 0 - - 2 11.6 5.0 Frontier 0 - - 1 6.8 3.9 Furnas 1 19.9 6.6 4 15.5 7.0 Gage 6 25.7 17.9 25 21.5 13.1 Garden 0 - - 1 9.3 3.2 Garfield 0 - - 2 21.6 6.8 Gosper 0 - - 0 - - Grant 0 - - 0 - - Greeley 1 39.8 20.2 1 7.7 4.0 Hall 9 16.3 14.5 25 9.2 7.7 Hamilton 3 31.4 27.7 11 23.2 18.0 Harlan 1 28.9 10.1 1 5.5 2.0 Hayes 0 - - 0 - - Hitchcock 0 - - 0 - - Holt 1 9.3 3.8 1 1.8 0.8 Hooker 0 - - 0 - - Howard 1 14.9 10.2 1 3.0 2.0 Jefferson 0 - - 1 2.5 0.8 Johnson 0 - - 2 8.9 4.0 Kearney 0 - - 5 14.6 8.8

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TABLE 53: Essential Hypertension and Hypertensive Renal Disease Deaths by County of Residence, 2005 and 2001-2005 (Cont'd) 2005 2001-2005 Total Crude Age-Adjusted Total Crude Age-Adjusted

County Deaths Rate* Rate* Deaths Rate* Rate* Keith 1 12.0 8.2 3 7.0 5.4 Keya Paha 0 - - 0 - - Kimball 0 - - 3 15.5 9.5 Knox 0 - - 3 6.6 3.7 Lancaster 24 9.1 10.3 127 9.8 11.1 Lincoln 3 8.4 6.9 13 7.5 6.1 Logan 0 - - 0 - - Loup 0 - - 0 - - McPherson 0 - - 0 - - Madison 6 16.9 12.7 28 15.7 10.9 Merrick 0 - - 1 2.5 1.8 Morrill 1 19.4 11.2 3 11.4 7.4 Nance 1 27.3 15.2 6 31.5 21.5 Nemaha 0 - - 3 8.3 5.4 Nuckolls 2 42.2 15.7 5 20.6 7.9 Otoe 1 6.4 3.1 4 5.2 2.7 Pawnee 2 69.5 27.0 4 27.2 10.8 Perkins 0 - - 0 - - Phelps 1 10.6 4.6 4 8.3 4.2 Pierce 0 - - 3 7.8 5.1 Platte 4 12.8 11.7 19 12.2 11.0 Polk 1 18.4 6.6 3 11.0 5.3 Red Willow 0 - - 2 3.6 2.1 Richardson 3 34.4 12.8 13 28.9 11.4 Rock 0 - - 0 - - Saline 1 7.0 3.1 4 5.7 3.0 Sarpy 2 1.4 3.3 18 2.7 5.3 Saunders 2 9.8 6.7 11 10.9 7.7 Scotts Bluff 10 27.2 17.3 34 18.5 12.5 Seward 4 23.9 13.6 10 12.0 7.5 Sheridan 1 17.6 6.8 2 6.8 2.7 Sherman 0 - - 1 6.3 2.3 Sioux 1 68.6 55.4 1 13.8 11.1 Stanton 2 30.6 26.0 2 6.1 5.2 Thayer 0 - - 7 24.9 8.1 Thomas 0 - - 0 - - Thurston 1 13.6 13.7 1 2.8 2.7 Valley 0 - - 3 13.3 6.0 Washington 5 25.3 21.7 9 9.2 8.3 Wayne 1 10.9 10.7 2 4.2 3.5 Webster 0 - - 1 5.1 1.7 Wheeler 0 - - 0 - - York 2 13.9 7.2 7 9.8 6.2

* Per 100,000 estimated population. Population estimates are calculated by the U.S. Department of Commerce, Bureau of the Census. NOTE: Rates based on small numbers may be unreliable.

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TABLE 54: Accidental Deaths by Cause, 2001-2005 Cause of Death 2001 2002 2003 2004 2005 Railway accidents (all forms) 2 6 2 2 4 Motor vehicle traffic accidents* 251 314 292 266 274 Motor vehicle nontraffic accidents* 18 20 14 16 14 Other road vehicle accidents 2 2 4 4 6Water transport accidents 6 5 3 2 1Air transport accidents 5 4 2 7 0Poisoning by drugs 33 25 30 33 44 Poisoning by other solids and liquids 0 4 1 1 4 Poisoning by gases and vapors 6 3 4 11 5 Accidental falls 133 186 136 172 150Injury by fires 22 13 16 15 26Excessive heat 3 2 3 1 0Excessive cold 4 2 2 4 9 Hunger and thirst 1 2 0 0 1 Injury by animals 3 3 1 0 0 Lightning 1 1 0 0 0Drowning (excluding water transport) 9 20 21 25 8Obstruction, suffocation, or puncture 40 49 61 92 68 by ingested objects Mechanical suffocation 8 12 7 7 9 Struck against or by machinery or other object 6 8 7 5 5 Caught between or in machinery or other object 6 7 5 4 6 Injury by cutting or piercing instruments 1 0 3 0 1 Injury by firearms 5 5 5 6 2Injury by electric current 2 5 4 6 2 Other and unspecified accidents** 63 56 72 62 67 TOTAL ACCIDENTAL DEATHS 630 754 695 741 706 MALE 378 453 404 441 402FEMALE 252 301 291 300 304 Rate per 100,000 population 36.8 43.6 40.0 42.4 40.1

* Motor vehicle accidents include collision between auto and train ** Includes late effects of all types of accidents

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Graph 19: Leading Causes of Accidental Deaths, 2005

288

150

53

26

8

2

179

0 50 100 150 200 250 300 350

Motor Vehicle

Falls

Poisoning

Fires

Drowning

Firearms

All Others

Number of Deaths

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TABLE 55: Accidental Deaths by Principal Cause by Place of Residence, 2005

Place

All Accidents

Motor Vehicle+

Farm

Fall+

Drowning+

Fire+

All Others+

STATE Adams *Hastings Balance of Co. Antelope Arthur Banner Blaine Boone Box Butte Alliance Balance of Co. Boyd Brown Buffalo *Kearney Balance of Co. Burt Butler David City Balance of Co. Cass Plattsmouth Balance of Co. Cedar Chase Cherry Valentine Balance of Co. Cheyenne Sidney Balance of Co. Clay Colfax Schuyler Balance of Co. Cuming West Point Balance of Co. Custer Broken Bow Balance of Co. Dakota *So. Sioux City Balance of Co. Dawes Chadron Balance of Co. Dawson Cozad Gothenburg *Lexington Balance of Co.

706

11 9 2 1 0 0 0 3 6 5 1 3 1

22 15 7 7 2 1 1

13 6 7 4 3 9 8 1 6 4 2 5 7 6 1 6 1 5 7 3 4

11 7 4 7 7 0

18 3 4 8 3

286

5 4 1 0 0 0 0 2 1 1 0 1 0 7 3 4 4 0 0 0 6 2 4 1 0 1 1 0 5 3 2 3 3 3 0 2 0 2 3 1 2 3 2 1 3 3 0 5 0 1 2 2

12

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 2 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0

149

1 1 0 1 0 0 0 0 2 2 0 0 0 4 3 1 1 0 0 0 3 2 1 2 1 5 5 0 0 0 0 0 1 1 0 1 0 1 2 2 0 3 2 1 2 2 0 6 2 2 2 0

8

0 0 0 0 0 0000 0 0 0 0 0 0 0 000 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 00 0 00 0 0 0 0 0 0 0 00 0 0 0

26

1 1 0 0 0 0000 0 0 0 0 4 4 0 000 0 0 0 0 0 0 00 0 00 0 1 0 0 0 11 0 00 0 0 0 0 1 1 0 20 0 2 0

225

4 3 1 0 0 0013 2 1 2 1 7 5 2 210 1 4 2 2 1 2 21 1 11 0 1 2 2 0 00 0 20 2 5 3 2 1 1 0 51 1 2 1

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TABLE 55: Accidental Deaths by Principal Cause by Place of Residence, 2005 (Cont'd)

Place

All Accidents

Motor Vehicle+

Farm

Fall+

Drowning+

Fire+

AllOthers+

Deuel Dixon Dodge *Fremont Balance of Co. Douglas Elkhorn *Omaha Ralston Balance of Co. Dundy Fillmore Franklin Frontier Furnas Gage *Beatrice Balance of Co. Garden Garfield Gosper Grant Greeley Hall *Grand Island Balance of Co. Hamilton Aurora Balance of Co. Harlan Hayes Hitchcock Holt O'Neill Balance of Co. Hooker Howard Jefferson Fairbury Balance of Co. Johnson Kearney Minden Balance of Co. Keith Ogallala Balance of Co. Keya Paha Kimball Kimball Balance of Co. Knox

1 5

12 8 4

144 5

130 2 7 3 5 2 1 3 8 4 4 0 1 1 0 2

24 20

4 4 4 0 0 0 1 9 3 6 1 6 7 4 3 3 6 3 3

10 9 1 2 0 0 0 8

1 5 5 4 1

51 3

44 1 3 1 3 2 0 3 3 2 1 0 0 1 0 0

12 10

2 3 3 0 0 0 1 5 1 4 1 2 2 1 1 2 1 1 0 5 4 1 1 0 0 0 2

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 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 1

0 0 3 2 1

28 0

25 0 3 1 1 0 1 0 2 0 2 0 0 0 0 1 2 2 0 0 0 0 0 0 0 3 1 2 0 3 3 3 0 0 3 2 1 3 3 0 0 0 0 0 2

0 0 0 0 0 30 3 0 0 0 0 0 0000 0 0 0 0 0 0 00 0 00 0 0 0 0 0 0 0 0000 0 0 0 0 0 00 0 0 0 0 0 0

0 0 0 0 0 40 4 0 0 0 0 0 0000 0 0 0 0 0 0 10 1 00 0 0 0 0 0 0 0 0010 1 0 0 0 0 11 0 0 0 0 0 0

0 0 4 2 2

582

54 1 1 1 1 0 0032 1 0 1 0 0 0 87 1 11 0 0 0 0 1 1 0 0110 1 1 2 0 2 11 0 1 0 0 0 3

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TABLE 55: Accidental Deaths by Principal Cause by Place of Residence, 2005 (Cont'd)

Place All

Accidents Motor

Vehicle+

Farm

Fall+

Drowning+

Fire+ All

Others+Lancaster *Lincoln Balance of Co. Lincoln *North Platte Balance of Co. Logan Loup McPherson Madison *Norfolk Balance of Co. Merrick Central City Balance of Co. Morrill Nance Nemaha Auburn Balance of Co. Nuckolls Otoe Nebraska City Balance of Co. Pawnee Perkins Phelps Holdrege Balance of Co. Pierce Platte *Columbus Balance of Co. Polk Red Willow McCook Balance of Co. Richardson Falls City Balance of Co. Rock Saline Crete Balance of Co. Sarpy *Bellevue *LaVista *Papillion Balance of Co. Saunders Wahoo Balance of Co.

78 74 4

22 17 5 1 0 1

10 8 2 5 3 2 6 5 5 5 0 1

10 7 3 1 1 5 3 2 3

11 10 1 4 3 3 0

11 9 2 1 4 1 3

23 13 3 3 4

12 5 7

26 26 0

13 10 3 0 0 1 4 2 2 4 2 2 3 2 2 2 0 1 3 1 2 0 1 1 1 0 0 4 4 0 0 1 1 0 5 5 0 0 2 1 1 9 5 1 0 3 6 1 5

1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0

19 17 2 3 2 1 1 0 0 5 5 0 0 0 0 0 1 1 1 0 0 3 2 1 0 0 1 0 1 1 3 3 0 2 1 1 0 2 1 1 0 0 0 0 0 0 0 0 0 3 2 1

2 2 0 1 0 1 00000 0 0 0 0 0000 0 0 0 0 0 0 000 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0

1 1 0 1 1 0 00000 0 0 0 0 1111 0 0 2 2 0 0 000 0 00 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 00 0

29 28 1 4 4 0 00011 0 1 1 0 2111 0 0 1 1 0 1 022 0 24 3 1 2 1 1 0 32 1 1 2 0 2

13 8 2 3 0 21 1

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TABLE 55: Accidental Deaths by Principal Cause by Place of Residence, 2005 (Cont'd)

Place All

Accidents Motor

Vehicle+

Farm

Fall+

Drowning+

Fire+ All

Others+ Scotts Bluff Gering *Scottsbluff Balance of Co. Seward Seward Balance of Co. Sheridan Sherman Sioux Stanton Thayer Thomas Thurston ValleyWashington Blair Balance of Co. Wayne Wayne Balance of Co. Webster Wheeler York York Balance of Co.

19 6 9 4 3 1 2 3 3 1 3 2 1 6

1 12

7 5 0 0 0 5 1 2 1 1

10 4 5 1 0 0 0 2 2 0 1 0 0 3 0 8 4 4 0 0 0 4 0 1 1 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

3 1 2 0 0 0 0 1 0 1 0 1 0 2 1 1 1 0 0 0 0 0 1 1 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 0 0 0 11 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 00 0

6 1 2 3 20 2 01 0 2 1 0 1032 1 0 0 0 1 0 00 0

Indented - Cities 2,500 - 10,000 population in 2000; *cities over 10,000 population in 2000; balance of county + Excludes cases which occur on a farm

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TABLE 56: Drownings by Site, Sex and Age Group, 2005

Age Group15- 30- 45-

Site Male Female Total < 15 29 44 59 60+ Bath tub/home 1 0 1 0 0 1 0 0 Natural water/unspecified place 3 1 4 1 2 0 1 0 Unspecified drowning/home 0 2 2 1 0 0 1 0 Unspecified drowning/construction area

1 0 1 0 1 0 0 0

Total 5 3 8 2 3 1 2 0

TABLE 57: Farm Fatalities by Type, Sex and Age Group, 2005

Type of Age Group 15- 30- 45-

Accident Male Female Total < 15 29 44 59 60+ Agriculture vehicle accident 2 0 2 0 0 0 0 2 Unspecified fall 1 0 1 0 0 0 0 1 Struck by object 2 0 2 0 0 0 1 1 Non-powered hand tool 1 0 1 0 0 1 0 0 Machinery 3 0 3 0 1 0 1 1 Cave-in 1 0 1 0 0 0 0 1 Low-oxygen environment 1 0 1 0 0 0 1 0 Excessive cold exposure

1 0 1 0 0 0 0 1

Total 12 0 12 0 1 1 3 7

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Graph 20: Intentional Self-Harm (Suicide), 1918-2005

0.0

5.0

10.0

15.0

20.0

25.0

1918

1923

1928

1933

1938

1943

1948

1953

1958

1963

1968

1973

1978

1983

1988

1993

1998

2003

Rat

e pe

r 100

,000

Pop

ulat

ion

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TABLE 58: Intentional Self-Harm (Suicide) by Type, Sex and Age Group, 2005

Type

Sex

Total

Age in Years

<5 5- 9

10- 14

15- 19

20- 24

25- 29

30- 34

35- 39

40- 44

45- 49

50- 54

55- 59

60- 64

65- 69

70- 74

75- 79

80+

Gunshot

M 88 2 13 4 3 8 5 8 11 8 4 5 2 4 5 6 F 11 3 2 1 3 1 1

Hanging/Suffocation

M 38 2 4 4 3 9 5 4 3 1 2 1 F 9 1 1 2 3 1 1

Carbon Monoxide

M 8 2 1 1 1 1 1 1 F 2 1 1

Drugs

M 7 1 1 3 1 1 F 16 1 1 1 4 3 1 2 1 2

Laceration

M 0 F 0

Jumping

M 1 1 F 0

Drowning

M 1 1 F 0

Other

M 1 1 F 0

Total

182

0

0

5

18

6

9

20

24

22

24

13

7

10

4

6

6

8

Male 144 Female 38

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Graph 21: Infant and Neonatal Death Rates, 1925-2005

0.0

10.0

20.0

30.0

40.0

50.0

60.0

70.0

1925

1930

1935

1940

1945

1950

1955

1960

1965

1970

1975

1980

1985

1990

1995

2000

2005

Rat

e pe

r 1,0

00 L

ive

Birt

hs

InfantNeonatal

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TABLE 59: Infant and Neonatal Deaths by Place of Residence, 2005 and 2001-2005

2005 2001-2005 2005 2001-2005

Place Infant

Deaths

Rate Infant

Deaths

Rate Neonatal Deaths

Rate

Neonatal Deaths

Rate

STATE Adams Hastings Balance of Co. Antelope Arthur Banner Blaine Boone Box Butte Boyd Brown Buffalo Kearney Balance of Co. Burt Butler Cass Cedar Chase Cherry Cheyenne Clay Colfax Cuming Custer Dakota So. Sioux City Balance of Co. Dawes Dawson Lexington Balance of Co. Deuel Dixon Dodge Fremont Balance of Co. Douglas Omaha Balance of Co. Dundy Fillmore Franklin Frontier Furnas Gage Beatrice Balance of Co. Garden Garfield

147

7 6 1 0 0 0 0 0 0 0 0 5 4 1 1 0 2 0 0 0 2 0 1 1 1 0 0 0 0 3 1 2 0 0 3 3 0

52 47 5 0 0 0 0 0 1 1 0 0 0

5.6

15.9 16.4 13.3

- - - - - - - -

7.8 9.1 5.1

11.4 -

6.0 - - -

14.5 -

4.7 8.1 7.4

- - - -

7.3 4.5

10.8 - -

5.9 7.6

- 6.3 6.8 3.8

- - - - -

3.6 5.7

- - -

807

16 12 4 3 0 1 0 2 3 1 0

22 18 4 1 0

13 1 1 2 5 1 7 4 6 8 4 4 2

18 9 9 0 0

18 15 3

282 257 25 0 3 0 0 1 6 6 0 0 0

6.3

7.7 7.0

10.8 8.4

- 45.5

- 6.8 4.0

11.6 -

7.1 8.4 4.1 2.5

- 8.0 1.9 4.3 5.4 7.6 2.8 7.2 6.3 9.1 4.0 2.6 9.4 4.0 8.2 7.5 9.1

- -

7.3 8.0 5.1 7.0 7.5 4.1

- 9.1

- -

3.9 4.4 7.0

- - -

86

5 5 0 0 0 0 0 0 0 0 0 3 3 0 1 0 1 0 0 0 2 0 1 1 0 0 0 0 0 2 1 1 0 0 2 2 0

29 27 2 0 0 0 0 0 0 0 0 0 0

3.3

11.4 13.7

- - - - - - - - -

4.7 6.8

- 11.4

- 3.0

- - -

14.5 -

4.7 8.1

- - - - -

4.9 4.5 5.4

- -

3.9 5.1

- 3.5 3.9 1.5

- - - - - - - - - -

532

12 9 3 1 0 1 0 2 2 1 0

17 14 3 1 0 6 1 0 1 4 1 4 4 4 7 3 4 2

12 5 7 0 0

11 9 2

189 171 18 0 2 0 0 0 1 1 1 0 0

4.1

5.8 5.3 8.1 2.8

- 45.5

-6.82.7

11.6-

5.5 6.6 3.1 2.5

-3.7 1.9

-2.76.1 2.8 4.1 6.3 6.1 3.51.9 9.4 4.05.5 4.1 7.1

- -

4.5 4.83.4 4.7 5.0 2.9

- 6.0

- - -

0.7 1.2 1.9

--

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TABLE 59: Infant and Neonatal Deaths by Place of Residence, 2005 and 2001-2005 (Cont'd)

2005 2001-2005 2005 2001-2005

Place Infant

Deaths

Rate Infant

Deaths

Rate Neonatal Deaths

Rate

Neonatal Deaths

Rate

Gosper Grant Greeley Hall Grand Island Balance of Co. Hamilton Harlan Hayes Hitchcock Holt Hooker Howard Jefferson Johnson Kearney Keith Keya Paha Kimball Knox Lancaster Lincoln Balance of Co. Lincoln North Platte Balance of Co. Logan Loup McPherson Madison Norfolk Balance of Co. Merrick Morrill Nance Nemaha Nuckolls Otoe Pawnee Perkins Phelps Pierce Platte Columbus Balance of Co. Polk Red Willow Richardson Rock Saline

0 0 0 5 3 2 0 0 0 2 0 0 0 0 1 0 1 0 0 0

25 25 0 2 2 0 0 0 0 3 3 0 0 2 0 0 1 4 0 0 0 1 2 1 1 1 1 0 0 1

- - -

5.2 3.6

15.7 - - -

80.0 - - - -

17.5 -

10.8 - - -

6.1 6.6

- 4.1 5.5

- - - -

5.3 6.3

- -

29.4 - -

16.9 20.5

- - -

11.8 4.4 2.7

11.0 17.2 7.1

- -

4.9

2 0 3

37 33 4 2 1 0 2 3 0 1 2 1 2 4 0 1 4

127 119

8 12 10 2 1 0 0

21 18 3 3 2 2 0 2 7 0 1 0 2

12 8 4 2 1 1 0 2

16.3 -

20.0 7.9 8.2 6.6 3.7 6.4

- 12.4

5.0 -

2.6 4.8 4.0 5.2 8.7

- 5.2 8.0 6.4 6.4 6.3 5.0 5.4 3.5

19.6 - -

7.3 7.4 6.7 6.8 6.5 9.6

- 7.1 7.4

- 5.6

- 4.6 5.4 4.7 7.4 6.3 1.4 2.3

- 2.1

0 0 0 4 2 2 0 0 0 0 0 0 0 0 1 0 1 0 0 0

16 16 0 1 1 0 0 0 0 1 1 0 0 2 0 0 1 1 0 0 0 1 1 0 1 0 1 0 0 1

- - -

4.1 2.4

15.7 - - - - - - - -

17.5 -

10.8 - - -

3.9 4.2

- 2.0 2.7

- - - -

1.8 2.1

- -

29.4 - -

16.9 5.1

- - -

11.8 2.2

- 11.0

- 7.1

- -

4.9

2 0 3

28 24 4 2 1 0 0 3 0 1 1 1 2 20 1 2

80 75 5 8 6 2 1 0 0

11 9 2 2 2 2 0 1 2 0 1 0 2 4 2 2 11 1 0 2

16.3 -

20.0 6.0 5.9 6.6 3.76.4

--

5.0 -

2.6 2.4 4.0 5.24.4

-5.24.04.0 4.1 4.0 3.3 3.2 3.5

19.6--

3.83.7 4.5 4.5 6.5 9.6

-3.62.1

-5.6

- 4.6 1.8 1.2 3.7 3.21.42.3

-2.1

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TABLE 59: Infant and Neonatal Deaths by Place of Residence, 2005 and 2001-2005 (Cont'd)

2005 2001-2005 2005 2001-2005

Place Infant

Deaths

Rate Infant

Deaths

Rate Neonatal Deaths

Rate

Neonatal Deaths

Rate

Sarpy Bellevue LaVista Papillion Balance of Co. Saunders Scotts Bluff Scottsbluff Balance of Co. Seward Sheridan Sherman Sioux Stanton Thayer Thomas Thurston Valley Washington Wayne Webster Wheeler York

9 4 1 1 3 0 4 1 3 1 0 0 0 0 0 0 1 0 1 0 0 0 0

3.7 4.6 3.8 3.2 3.0

- 7.7 3.8

11.6 5.4

- - - - - -

6.6 -

4.4 - - - -

55 29 2

10 14 6

21 13

8 4 1 2 0 0 2 1 8 3 8 3 0 1 2

4.7 7.6 1.8 6.8 2.7 4.8 7.9

10.0 5.9 4.3 2.8

12.0 - -

7.7 33.3 10.3 12.9 7.2 6.0

- 23.8 2.3

4 1 1 0 2 0 1 0 1 0 0 0 0 0 0 0 1 0 1 0 0 0 0

1.6 1.1 3.8

- 2.0

- 1.9

- 3.9

- - - - - - -

6.6 -

4.4 - - - -

40 21 2 6

11 5

11 7 4 1 0 1 0 0 1 0 43 62 0 1 1

3.4 5.5 1.8 4.1 2.1 4.04.15.4 2.9 1.1

- 6.0

- -

3.9 -

5.212.95.44.0

- 23.8 1.1

Indented - Cities over 10,000 population in 2000 Balance of County

Rates based on small numbers may be unreliable. Infant and neonatal death rates are per 1,000 live births.

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TABLE 60: Deaths Under One Year of Age by Cause, 2005

Cause Total Male FemaleHeart Disease (I00-I09, I11, I13, I20-I51) 2 1 1 Birth Defects (Q00-Q99) 30 18 12 Maternal Complications of Pregnancy (P01) 11 8 3 Complications of Placenta, Cord, and Membranes (P02) 10 7 3 Prematurity (P07) 15 6 9Intrauterine Hypoxia and Birth Asphyxia (P20-P21) 6 4 2 Respiratory Distress Syndrome (P22) 2 2 0 Other Respiratory Conditions (P23-P29) 10 5 5 Perinatal Infections (P35-P39) 3 1 2 Other Perinatal Conditions (P50-P96) 6 1 5 Sudden Infant Death Syndrome (R95) 30 18 12 Violent or Accidental Causes (V00-Y98) 8 6 2 All Other Causes Total Infant Deaths

14 8 6 147 85 62

TABLE 61: Deaths Under One Year of Age by Race/Hispanic Origin* and Sex, 2005

Race Total Male Female RateWhite 110 64 46 5.3 Black 18 9 9 11.7 American Indian 9 4 5 20.5 Other 10 8 2 3.1 Total 147 85 62 5.6 Hispanic Origin* Mexican 24 14 10 8.3 Other 3 3 0 3.2 Total 27 17 10 7.0 TABLE 62: Deaths Under One Year of Age by Birth Weight Groups, 2005 Weight (pounds) 1 lb. and under 1 lb. 1 oz. - 2 lbs. 2 lbs. 1 oz. - 3 lbs. 8 ozs. 3 lbs. 9 ozs. - 4 lbs. 8 ozs. 4 lbs. 9 ozs. - 5 lbs. 8 ozs. 5 lbs. 9 ozs. - 5 lbs. 15 ozs. 6 lbs. - 6 lbs. 15 ozs. 7 lbs. - 7 lbs. 15 ozs. 8 lbs. - 8 lbs. 15 ozs. 9 lbs. or more Unknown

Number 28 25 9 7 18 11 16 16 10 3

4

Percent** 19.0 17.0 6.1 4.8

12.2 7.5

10.9 10.9

6.8 2.0 2.7

100.0Percent**

22.4 14.3

3.4 6.8

12.2 12.2 12.9 9.5 3.4 2.7

100.0

Total Weight (grams) 499 grams or less 500-999 grams 1000-1499 grams 1500-1999 grams 2000-2499 grams 2500-2999 grams 3000-3499 grams 3500-3999 grams 4000 grams or over Unknown Total

147 Number 33 21 5 10 18 18 19 14 5

4147

* Persons of Hispanic origin may be any race. ** Numbers may not add to 100.0 due to rounding. Rate per 1,000 live births

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TABLE 63: Perinatal and Fetal Deaths by Place of Residence, 2005 and 2001-2005

2005 2001-2005 2005 2001-2005 Perinatal Perinatal Fetal Fetal

Place Deaths Rate Deaths Rate Deaths Rate Deaths Rate STATE 221 8.4 1,267 9.8 135 5.2 735 5.7 Adams 7 15.8 26 12.4 2 4.5 14 6.7 Hastings 7 19.1 22 12.7 2 5.5 13 7.6 Balance of Co. 0 - 4 10.8 0 - 1 2.7 Antelope 1 12.3 2 5.6 1 12.5 1 2.8 Arthur 0 - 0 - 0 - 0 - Banner 0 - 1 45.5 0 - 0 - Blaine 0 - 0 - 0 - 0 - Boone 0 - 3 10.2 0 - 1 3.4 Box Butte 0 - 3 4.0 0 - 1 1.3 Boyd 0 - 1 11.6 0 - 0 - Brown 0 - 0 - 0 - 0 - Buffalo 8 12.4 37 11.8 5 7.8 20 6.4 Kearney 7 15.7 31 14.4 4 9.1 17 8.0 Balance of Co. 1 5.1 6 6.1 1 5.1 3 3.1 Burt 1 11.4 3 7.4 0 - 2 5.0 Butler 0 - 2 4.2 0 - 2 4.2 Cass 6 17.7 16 9.8 5 15.0 10 6.2 Cedar 0 - 3 5.6 0 - 2 3.7 Chase 0 - 1 4.3 0 - 1 4.3 Cherry 0 - 3 8.1 0 - 2 5.4 Cheyenne 2 14.5 5 7.6 0 - 1 1.5 Clay 0 - 3 8.3 0 - 2 5.5 Colfax 2 9.3 11 11.2 1 4.7 7 7.2 Cuming 1 8.1 6 9.4 0 - 2 3.1 Custer 0 - 9 13.6 0 - 5 7.6 Dakota 0 - 12 6.0 0 - 5 2.5 So. Sioux City 0 - 5 3.2 0 - 2 1.3 Balance of Co. 0 - 7 16.4 0 - 3 7.1 Dawes 0 - 3 5.9 0 - 1 2.0 Dawson 6 14.5 27 12.2 4 9.8 15 6.8 Lexington 4 17.6 16 13.1 3 13.4 11 9.1 Balance of Co. 2 10.7 11 11.1 1 5.4 4 4.1 Deuel 0 - 0 - 0 - 0 - Dixon 1 11.6 5 12.7 1 11.8 5 12.9 Dodge 4 7.8 27 10.9 2 3.9 16 6.5 Fremont 4 10.1 23 12.2 2 5.1 14 7.5 Balance of Co. 0 - 4 6.8 0 - 2 3.4 Douglas 79 9.6 438 10.8 50 6.1 249 6.2 Omaha 76 11.0 395 11.5 49 7.1 224 6.6 Balance of Co. 3 2.3 43 7.0 1 0.8 25 4.1 Dundy 0 - 2 18.7 0 - 2 19.0 Fillmore 0 - 2 6.0 0 - 0 - Franklin 1 27.8 1 6.4 1 28.6 1 6.5 Frontier 0 - 0 - 0 - 0 - Furnas 0 - 1 3.8 0 - 1 3.9 Gage 1 3.6 13 9.4 1 3.6 12 8.8 Beatrice 1 5.7 7 8.1 1 5.7 6 7.0 Balance of Co. 0 - 6 11.6 0 - 6 11.7 Garden 0 - 0 - 0 - 0 - Garfield 0 - 1 11.8 0 - 1 11.9

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TABLE 63: Perinatal and Fetal Deaths by Place of Residence, 2005 and 2001-2005 (Cont'd)

2005 2001-2005 2005 2001-2005 Perinatal Perinatal Fetal Fetal

Place Deaths Rate Deaths Rate Deaths Rate Deaths RateGosper 0 - 3 24.2 0 - 1 8.1 Grant 0 - 0 - 0 - 0 - Greeley 0 - 4 26.5 0 - 1 6.7 Hall 7 7.2 52 11.1 3 3.1 24 5.2 Grand Island 5 5.9 46 11.3 3 3.6 22 5.4 Balance of Co. 2 15.7 6 9.8 0 - 2 3.3 Hamilton 1 11.6 5 9.1 1 11.8 3 5.5Harlan 0 - 2 12.7 0 - 1 6.4Hayes 0 - 0 - 0 - 0 -Hitchcock 0 - 1 6.2 0 - 1 6.2Holt 1 8.3 6 9.9 1 8.3 3 5.0 Hooker 0 - 0 - 0 - 0 - Howard 0 - 1 2.6 0 - 0 - Jefferson 1 12.5 4 9.5 1 12.7 3 7.2 Johnson 3 50.8 4 15.7 2 35.1 3 12.0 Kearney 0 - 3 7.9 0 - 1 2.6Keith 3 31.6 7 15.1 2 21.5 5 10.9Keya Paha 0 - 0 - 0 - 0 - Kimball 2 48.8 3 15.5 2 51.3 2 10.4Knox 0 - 4 8.0 0 - 2 4.0Lancaster 29 7.1 192 9.7 13 3.2 112 5.7 Lincoln 28 7.4 181 9.7 12 3.2 106 5.7 Balance of Co. 1 3.6 11 8.7 1 3.6 6 4.8 Lincoln 2 4.1 23 9.4 1 2.0 15 6.2 North Platte 2 5.5 20 10.7 1 2.7 14 7.6 Balance of Co. 0 - 3 5.3 0 - 1 1.8 Logan 0 - 1 19.6 0 - 0 -Loup 0 - 0 - 0 - 0 -McPherson 0 - 0 - 0 - 0 -Madison 3 5.3 22 7.6 2 3.5 11 3.8 Norfolk 3 6.3 18 7.4 2 4.2 9 3.7 Balance of Co. 0 - 4 8.9 0 - 2 4.5 Merrick 1 13.5 4 9.0 1 13.7 2 4.5 Morrill 3 43.5 4 12.9 1 14.7 2 6.5 Nance 0 - 4 19.0 0 - 2 9.6 Nemaha 1 14.1 1 2.7 1 14.3 1 2.7Nuckolls 1 16.9 6 21.1 0 - 5 17.9Otoe 1 5.1 8 8.4 0 - 6 6.3Pawnee 0 - 0 - 0 - 0 -Perkins 0 - 1 5.6 0 - 0 -Phelps 0 - 4 6.9 0 - 4 7.0 Pierce 1 11.8 8 18.1 0 - 6 13.8 Platte 5 10.9 16 7.1 4 8.8 12 5.4 Columbus 3 8.2 10 5.9 3 8.2 8 4.7 Balance of Co. 2 21.7 6 11.1 1 11.0 4 7.4 Polk 0 - 1 3.2 0 - 0 -Red Willow 4 28.0 9 12.8 3 21.4 8 11.5 Richardson 0 - 3 6.8 0 - 2 4.6Rock 0 - 0 - 0 - 0 -Saline 2 9.8 4 4.3 1 4.9 2 2.1

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TABLE 63: Perinatal and Fetal Deaths by Place of Residence, 2005 and 2001-2005 (Cont'd)

Place

2005 2001-2005 2005 2001-2005 Perinatal

Deaths

Rate Perinatal Deaths

Rate

Fetal Deaths Rate

Fetal Deaths

Rate

Sarpy Bellevue LaVista Papillion Balance of Co. Saunders Scotts Bluff Scottsbluff Balance of Co. Seward Sheridan Sherman Sioux Stanton Thayer Thomas Thurston ValleyWashington Wayne Webster Wheeler York

8 5 1 0 2 1 3 1 2 2 0 1 0 1 0 0 6

0 5 2 0 0 1

3.3 5.7 3.8

- 2.0 3.8 5.7 3.8 7.7

10.8 -

33.3 -

13.3 - -

38.5 -

21.8 18.9

- -

5.8

92 47 11 11 23 12 26 16 10 9 2 2 1 1 3 0

12 3

13 7 0 1 6

7.8 12.2 9.8 7.4 4.4 9.6 9.7

12.2 7.3 9.5 5.5

11.9 19.6 2.4

11.5 -

15.3 12.9 11.6 14.0

- 23.8 6.8

4 4 0 0 0 1 2 1 1 2 0 1 0 1 0 0 5 0 4 2 0 0 1

1.6 4.6

- - -

3.8 3.8 3.8 3.9

10.9 -

34.5 -

13.5 - -

33.1 -

17.8 19.2

- -

5.8

52 26 9 5

12 7

15 9 6 82 1 1 1 2 08 07 50 0 5

4.4 6.8 8.1 3.4 2.3 5.65.6 6.9 4.4 8.55.5 6.0

20.0 2.4 7.7

-10.3

-6.3

10.1- -

5.7

Indented - Cities over 10,000 population in 2000 Balance of County

Rates based on small numbers may be unreliable. Perinatal and fetal death rates are per 1,000 live births.

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TABLE 64: Fetal Deaths by Cause of Death, 2005 and 2001-2005

Total Total Cause 2005 2001-2005 BIRTH DEFECTS Anencephalus 2 9 Other specified defects of brain 0 1 Other specified defects of nervous system 0 1 Other specified defects of face and neck 1 1 Other specified defects of heart 0 4 Unspecified defects of heart 0 6 Other specified defects of circulatory system 0 1 Tracheo-esophageal fistula, esophageal atresia and stenosis 0 1 Renal agenesis and dysgenesis 0 2 Cystic kidney disease 0 3 Osteodystrophies 0 1 Diaphragm 0 1 Abdominal wall 1 1 Other specified defects of muscle, tendon, fasia and connective tissue 0 1 Down's syndrome 3 13 Patau's syndrome 0 6 Edward's syndrome 2 22 Autosomal deletion syndromes 0 1 Other conditions due to autosomal defects 1 5 Gonadal dysgenesis 3 16 Conditions due to defect of unspecified chromosome 0 3 Multiple defects, so described 2 7 Other specified defects 0 1 Unspecified defects 1 4 MATERNAL CONDITIONS Hypertensive disorders 5 21 Renal and urinary tract diseases 0 1 Infections 1 3 Other chronic maternal circulatory and respiratory diseases 0 2 Injury 0 7 Other 3 9 Unspecified 0 2 MATERNAL COMPLICATIONS OF PREGNANCY Incompetent cervix 2 17 Premature rupture of membranes 14 50 Oligohydramnios 1 6 Polyhydramnios 1 1 Multiple pregnancy 1 12 Other 1 3 COMPLICATIONS OF PLACENTA, CORD AND MEMBRANES Placenta previa 0 4 Placental separation and hemorrhage 14 64 Other abnormalities of placenta 11 34 Placental transfusion syndrome 0 9 Prolapsed cord 0 6 Other compression of umbilical cord 7 49 Other and unspecified conditions of umbilical cord 7 55 Chorioamnionitis 7 30 Other Abnormalities of chorion and amnion 0 2 Unspecified abnormality of chorion and amnion 1 1 (Continued on next page)

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TABLE 64: Fetal Deaths by Cause of Death, 2005 and 2001-2005 (Cont'd)

Total Total Cause 2005 2001-2005OTHER COMPLICATIONS OF LABOR AND DELIVERY Breech delivery and extraction 0 1 Malpresentation, malposition and disproportion excluding breech 1 1 Other complications of labor and delivery 0 4 SLOW FETAL GROWTH AND FETAL MALNUTRITION Fetal growth retardation, unspecified 0 2DISORDERS RELATING TO SHORT GESTATION AND LOW BIRTHWEIGHT Extreme immaturity 3 14 Other preterm infants 4 14 INTRAUTERINE HYPOXIA AND BIRTH ASPHYXIA Asphyxia or anoxia before labor 0 1 Unspecified asphyxia in liveborn infant 0 8OTHER RESPIRATORY CONDITIONS OF FETUS AND NEWBORN Primary atelectasis 1 1 INFECTIONS SPECIFIC TO PERINATAL PERIOD Congenital cytomegalovirus infection 0 1 Other congenital infections 1 1 Other infection specific to the perinatal period 0 3 FETAL AND NEONATAL HEMORRHAGE Fetal blood loss 0 1 Other 0 1HEMOLYTIC DISEASE OF FETUS OR NEWBORN, DUE TO ISOIMMUNIZATION Hemolytic disease due to other and unspecified isoimmunization 1 2 Hydrops fetalis due to isoimmunization 0 1 ENDOCRINE AND METABOLIC DISTURBANCES SPECIFIC TO THE FETUS AND NEWBORN Syndrome of an infant of a diabetic mother 5 21 CONDITIONS INVOLVING THE INTEGUMENT AND TEMPERATURE REGULATION Hydrops fetalis not due to isoimmunization 1 2 OTHER AND ILL-DEFINED CONDITIONS 26 157 Total 135 735

TABLE 65: Fetal Deaths by Age Group of Mother, Sex, Race, Hispanic Origin and Place of Delivery, 2005 Age of Mother Sex Place of Delivery 14 or under 15-19 20-24

0 11 30

Male Female

63 72

Hospital Non-Hospital

135 0

25-29 39 30-34 33 35-39 40-44

13 8

RaceWhite

96

Hispanic Origin**Mexican

17

45 + 1 Black 16 Other 1 American Indian 6

Other

17

** Persons of Hispanic origin may be any race.

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MARRIAGE AND DIVORCE HIGHLIGHTS

In 2005, 12,262 marriages took place in Nebraska, which is a slight decrease from the 12,484 marriages that occurred here in 2004. The Nebraska resident marriage rate in 2005 was 7.0 marriages per 1,000 population, which is one of the state’s lowest annual marriage rates on record.

During the 1970s, 1980s, and early 1990s, Nebraska marriage data showed a strong trend toward fewer first marriages and more remarriages. In recent years, this trend has stabilized and has even reversed slightly. In 2005, 7,378 (60.2%) Nebraska marriages were the first marriage for both bride and groom, compared to the 1995 figure of 58.0%. The 2005 figure is still considerably lower than that recorded 30 years ago, in 1975, when 66.1% of the state's total number of marriages were the first for both the bride and groom.

Age at marriage continues to increase in Nebraska, although this trend has slowed down considerably in recent years. In 2005, 6.6% of all Nebraska marriages involved a teenaged bride or groom, a decrease from the 1995 figure of 9.5% but well below the 1975 figure of 33.0%. Conversely, nearly half (46.2%) of all Nebraska marriages in 2005 involved either a bride or groom who was at least 30 years of age, up from 44.1% in 1995 and 23.1% in 1975. The trend toward increasing age at marriage remains even when limited to first marriages alone. In 2005, the proportion of first marriages in Nebraska that involved a teenaged bride or groom was 10.2%, down from 46.4% in 1975, while the proportion of first marriages involving a bride or groom age 30 or older dramatically increased during the same period, from 4.0% in 1975 to 20.6% in 2005.

There were 5,830 divorces granted in Nebraska in 2005, which is a slight decrease from the 2004 count of 5,942. 2005 marks the third year in a row in which the number of divorces granted fell below 6,000, the first time that this has happened in Nebraska since 1974-1976. The 2005 figure translates into a rate of 3.3 divorces per 1,000 population, which is the state’s lowest annual divorce rate since 1974. Both the number of divorces granted and the divorce rate in Nebraska rose dramatically during the 1960s and 1970s, stabilized during the 1980s, and have declined somewhat since the early 1990s.

More divorces were granted to people in their thirties than in any other decade of life, with 43.6% of Nebraska divorces in 2005 involving at least one person 30-39 years of age. One of every four (25.0%) Nebraska divorces in 2005 terminated marriages lasting three years or less, while about half (50.7%) ended marriages lasting seven years or less. Over half (54.9%) of all divorces granted in Nebraska in 2005 ended a first marriage for both husband and wife. More than half (53.4%) of the state's 2005 divorces involved couples with children. In two-thirds (66.2%) of all divorces in which a child was involved, custody of some or all of the children was awarded to the wife.

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TABLE 66: Marriages - Number and Rate by County, 2002-2005

County

2002 2003 2004 2005 Number Rate* Number Rate* Number Rate* Number Rate*

TOTAL Adams Antelope Arthur Banner Blaine Boone Box Butte Boyd Brown Buffalo Burt Butler Cass Cedar Chase Cherry Cheyenne Clay Colfax Cuming Custer Dakota Dawes Dawson Deuel Dixon Dodge Douglas Dundy Fillmore Franklin Frontier Furnas Gage Garden Garfield Gosper Grant Greeley Hall Hamilton Harlan Hayes Hitchcock Holt Hooker Howard Jefferson Johnson Kearney

12,889

216 55 5 1 4

44 86 10 30

347 45 41

124 68 32 58 60 24 68 86 66

187 83

197 14 43

289 4,096

11 39 20 16 39

156 8

18 26 2

15 413 60 26 5

22 65 4

41 72 30 45

7.5

6.9 7.5

12.0 1.3 7.6 7.2 7.2 4.3 8.5 8.1 5.9 4.6 5.0 7.3 8.0 9.4 6.0 3.5 6.4 8.6 5.7 9.2 9.2 8.0 6.8 6.9 8.0 8.7 5.0 6.0 5.8 5.4 7.4 6.7 3.6 9.6

12.6 2.8 5.7 7.7 6.4 7.2 4.5 7.3 5.8 5.4 6.3 8.7 6.7 6.6

12,240

200 47 2 1 8

31 70 10 22

339 47 60

119 54 24 91 69 23 65 57 53

130 65

159 8

38 246

3,695 11 27 17 28 39

175 6

18 11 2

18 417 67 20 1

20 66 5

41 54 33 36

7.0

6.5 6.5 5.0 1.3

15.0 5.2 6.0 4.3 6.3 7.9 6.2 6.7 4.7 5.8 5.9

15.0 6.9 3.3 6.2 5.8 4.6 6.3 7.2 6.5 3.9 6.2 6.8 7.8 4.9 4.2 4.9 9.6 7.5 7.5 2.7 9.8 5.3 2.9 6.9 7.7 7.1 5.5 0.9 6.6 6.0 6.8 6.2 6.7 7.5 5.2

12,484

214 60 1 0 6

39 74 18 19

333 50 66

136 63 25 63 67 38 70 61 61

184 76

159 10 50

280 3,772

15 39 25 13 37

172 14 21 17

1 15

406 69 20 9

14 79 7

39 51 34 44

7.1

6.9 8.4 2.5

- 11.6 6.7 6.5 7.9 5.5 7.7 6.7 7.5 5.3 7.0 6.3

10.4 6.8 5.6 6.7 6.2 5.3 8.9 8.7 6.5 5.0 8.2 7.8 7.8 6.8 6.0 7.3 4.5 7.2 7.3 6.5

11.4 8.4 1.5 5.9 7.4 7.3 5.5 8.1 4.6 7.3 9.3 5.8 6.3 7.5 6.4

12,262

207 40 2 2 3

31 74

7 19

410 30 48 95 50 27 66 87 24 55 42 56

156 66

146 6

31 283

3,403 14 32 18 9

24 142 11 16 15 5

15 357

60 21 3

16 53 3

32 50 31 37

7.0

6.3 5.7 5.3 2.7 6.2 5.4 6.5 3.1 5.7 9.4 4.0 5.5 3.7 5.5 7.0

10.8 8.7 3.6 5.3 4.3 4.9 7.7 7.6 5.9 3.0 5.0 7.8 7.0 6.6 5.0 5.3 3.2 4.8 6.1 5.5 8.8 7.4 7.5 6.0 6.5 6.3 6.1 2.9 5.4 4.9 4.0 4.8 6.3 6.6 5.5

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TABLE 66: Marriages - Number and Rate by County, 2002-2005 (Cont'd)

County

2002 2003 2004 2005 Number Rate* Number Rate* Number Rate* Number Rate*

Keith Keya Paha Kimball Knox Lancaster Lincoln Logan Loup McPherson Madison Merrick Morrill Nance Nemaha Nuckolls Otoe Pawnee Perkins Phelps Pierce Platte Polk Red Willow Richardson Rock Saline Sarpy Saunders Scotts Bluff Seward Sheridan Sherman Sioux Stanton Thayer Thomas Thurston Valley Washington Wayne Webster Wheeler York

71 4

27 40

2,021 266

3 1 2

253 36 21 23 60 34

122 22 12 67 51

269 20 91 70 12 93

715 124 288

95 27 16 6

41 42 6

42 30 97 50 21 3

83

8.1 4.2 6.8 4.4 7.8 7.7 4.0 1.4 3.7 7.0 4.5 4.0 5.9 8.2 7.0 7.9 7.3 3.9 7.0 6.5 8.6 3.6 8.0 7.7 7.0 6.6 5.5 6.2 7.8 5.7 4.5 5.0 4.2 6.3 7.4 8.6 5.8 6.6 5.0 5.3 5.3 3.4 5.8

72 8

24 57

1,947 267

8 8 1

272 52 14 25 62 33

120 17 20 62 47

249 37 95 81 9

92 742 125 274

95 30 16 4

27 46 5

40 31

117 62 15 0

87

8.5 8.4 6.2 6.3 7.5 7.7

11.3 10.8 1.8 7.6 6.4 2.6 6.7 8.7 6.8 7.7 5.8 6.5 6.4 6.1 8.0 6.8 8.4 9.0 5.6 6.5 5.6 6.2 7.4 5.7 5.2 5.1 2.7 4.1 8.1 7.5 5.6 6.8 5.9 6.5 3.9

- 6.1

70 4

23 63

1,888 282

7 5 0

267 54 28 31 63 25

155 19 16 59 54

261 18

104 63 11 91

694 113 257

95 36 16 3

38 53 6

36 35

113 46 22 4

120

8.3 4.3 6.1 7.0 7.2 8.1 9.9 7.1

- 7.5 6.7 5.3 8.3 8.9 5.2

10.0 6.7 5.2 6.1 7.0 8.4 3.3 9.3 7.1 7.0 6.4 5.1 5.6 7.0 5.7 6.2 5.0 2.1 5.8 9.6 9.3 5.0 7.7 5.8 5.0 5.7 4.9 8.4

75 4

28 37

2,114 297

6 1 2

239 43 15 15 45 45

118 17 19 70 58

231 14 99 73 8

88 1,099

90 260 103

29 13 1

40 31 6

39 21

126 86 11 4

112

9.0 4.4 7.4 4.1 8.0 8.3 8.1 1.5 3.9 6.7 5.3 2.9 4.1 6.5 9.5 7.6 5.9 6.2 7.4 7.6 7.4 2.6 9.0 8.4 5.1 6.2 7.9 4.4 7.1 6.2 5.1 4.2 0.7 6.1 5.7 9.6 5.3 4.8 6.4 9.3 2.9 4.9 7.8

* The number of marriages per 1,000 population by county of occurrence

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TABLE 67: Number of Marriages by Race of Bride and Groom, 2005 Bride American All Groom Total White Black Indian Other UnknownWhite 11,041 10,683 64 65 203 26 Black 553 210 315 7 18 3 American Indian 98 42 2 52 2 0 All Other 426 200 3 8 211 4 Unknown 144 10 2 2 130 Total 12,262 11,145 386 132 436 163

TABLE 68: Number of This Marriage - Bride and Groom, 2005

Bride Groom Total 1st 2nd 3rd 4th 5th 6th 7th >7th Unknown

1st 8,608 7,378 1,039 157 30 3 1 2nd 2,749 994 1,239 415 79 18 3 1 3rd 641 136 287 171 38 7 2 4th 124 12 57 39 12 2 1 1 5th 20 1 10 7 2 6th 10 7 3 7th 2 1 1 >7th 0 Unknown 108 3 2 103 Total 12,262 8,525 2,634 796 163 32 6 2 1 103

TABLE 69: Number of Marriages by Previous Marital Status - Bride and Groom, 2005

Never Bride

Groom

Never Total Married Widowed Divorced Unknown

Married 8,609 7,377 48 1,179 5 Widowed 292 37 114 141 Divorced 3,250 1,106 138 2,005 1 Unknown Total

111 12,262

4 8,524

0 300

2 3,327

105 111

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TABLE 70: Number of This Marriage by Age of the Bride, 2005

Age of Bride

Total

Number of Marriages - Bride 1 2 3 4 5 6 7 >7 Unknown

19 or Under 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75+

707

4,457 2,890 1,305

868 748 532 348 193 91 52 34 37

699

4,281 2,354

694 261 136 59 24 8 4

2 3

5 147 475 483 428 405 278 179 107 55 31 17 24

4

34 95

128 162 148 98 66 22 18 11 10

4 12 28 31 36 35 9 4 1 3

4 4 5 6 5 3 3 1 1

2 1 2

1

2

1

3 25 23 16 19 7 4 3

3

Total 12,262 8,525 2,634 796 163 32 6 2 1 103

TABLE 71: Number of This Marriage by Age of the Groom, 2005

Age of Groom

Total

Number of Marriages - Groom 1 2 3 4 5 6 7 >7 Unknown

19 or Under 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75+

263

3,381 3,391 1,779

976 807 605 450 261 132 84 66 67

261

3,294 2,984 1,195

450 224 117 50 18 5 1 5 4

62

365 506 426 433 334 253 152 75 52 41 50

2

14 57 84

112 111 111 66 36 21 16 11

1 1

10 21 30 21 20 11 6 2 1

1 5 3 6 1 2 2

2

1 3 1 1 2

2

2

23 27 205

1010 6 1 2 1

1

Total 12,262 8,608 2,749 641 124 20 10 2 0 108

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TABLE 74: Divorces - Number and Rate by County, 2002-2005

County

2002 2003 2004 2005Number Rate* Number Rate* Number Rate* Number Rate*

TOTAL Adams Antelope Arthur Banner Blaine Boone Box Butte Boyd Brown Buffalo Burt Butler Cass Cedar Chase Cherry Cheyenne Clay Colfax Cuming Custer Dakota Dawes Dawson Deuel Dixon Dodge Douglas Dundy Fillmore Franklin Frontier Furnas Gage Garden Garfield Gosper Grant Greeley Hall Hamilton Harlan Hayes Hitchcock Holt Hooker Howard Jefferson Johnson Kearney

6,143

94 14 0 0 1

14 42

3 11

136 23 25

110 15 12 16 44 30 31 20 30 60 25

110 10 12

140 1,675

9 20

7 11 18 93 8 8 8 5 4

226 28 14 1 6

38 2

12 27 14 23

3.6

3.0 1.9

- -

1.9 2.3 3.5 1.3 3.1 3.2 3.0 2.8 4.4 1.6 3.0 2.6 4.4 4.3 2.9 2.0 2.6 2.9 2.8 4.5 4.8 1.9 3.9 3.5 4.1 3.1 2.0 3.7 3.4 4.0 3.6 4.3 3.9 7.1 1.5 4.2 3.0 3.9 0.9 2.0 3.4 2.7 1.9 3.3 3.1 3.4

5,900

118 17 0 1 0

17 62

3 15

135 12 17 95 9

12 16 37 19 30 23 52 61 25

115 5

19 122

1,631 6

13 2 5

23 93 2 3 5 2 5

214 36 4 2 8

32 2

16 27 16 23

3.4

3.8 2.4

- 1.3

- 2.9 5.3 1.3 4.3 3.1 1.6 1.9 3.8 1.0 3.0 2.6 3.7 2.8 2.9 2.3 4.5 3.0 2.8 4.7 2.4 3.1 3.4 3.4 2.7 2.0 0.6 1.7 4.4 4.0 0.9 1.6 2.4 2.9 1.9 3.9 3.8 1.1 1.8 2.6 2.9 2.7 2.4 3.3 3.6 3.4

5,942

98 20 1 1 0

10 43

3 10

175 8

24 85 14 6

23 52 18 27 22 45 65 36 82 5

17 131

1,628 9

17 7

12 26

100 9 9 7 3

11 219 32 10 1

13 22 1

18 21 23 25

3.4

3.2 2.8 2.5 1.3

- 1.7 3.8 1.3 2.9 4.0 1.1 2.7 3.3 1.5 1.5 3.8 5.3 2.7 2.6 2.2 3.9 3.2 4.1 3.3 2.5 2.8 3.6 3.4 4.1 2.6 2.0 4.2 5.1 4.3 4.1 4.9 3.4 4.5 4.3 4.0 3.4 2.7 0.9 4.3 2.0 1.3 2.7 2.6 5.0 3.6

5,830

116 18 0 0 0 9

39 2 9

154 20 28 87 19 7

13 42 19 30 16 50 56 24 60 10 20

119 1,582

5 17 13 7

21 93 2 1 5 2 6

234 33 12 1 6

27 0 9

27 20 22

3.3

3.5 2.6

- - -

1.6 3.4 0.9 2.7 3.5 2.7 3.2 3.4 2.1 1.8 2.1 4.2 2.8 2.9 1.7 4.4 2.8 2.8 2.4 5.0 3.2 3.3 3.2 2.3 2.7 3.8 2.5 4.2 4.0 1.0 0.6 2.5 3.0 2.4 4.2 3.4 3.5 1.0 2.0 2.5

- 1.3 3.4 4.3 3.2

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TABLE 74: Divorces - Number and Rate by County, 2002-2005 (Cont'd)

County

2002 2003 2004 2005 Number Rate* Number Rate* Number Rate* Number Rate*

Keith Keya Paha Kimball Knox Lancaster Lincoln Logan Loup McPherson Madison Merrick Morrill Nance Nemaha Nuckolls Otoe Pawnee Perkins Phelps Pierce Platte Polk Red Willow Richardson Rock Saline Sarpy Saunders Scotts Bluff Seward Sheridan Sherman Sioux Stanton Thayer Thomas Thurston Valley Washington Wayne Webster Wheeler York

38 3 5

17 973 180

2 3 1

122 23 19 10 24 14 58

5 6

27 33 96 10 54 39 1

41 531 59

180 50 17 4 3

29 15 0

25 8

42 14 9 2

66

4.4 3.1 1.3 1.9 3.8 5.2 2.7 4.1 1.8 3.4 2.9 3.6 2.6 3.3 2.9 3.8 1.7 2.0 2.8 4.2 3.1 1.8 4.7 4.3 0.6 2.9 4.1 3.0 4.9 3.0 2.8 1.3 2.1 4.4 2.6

- 3.5 1.8 2.2 1.5 2.3 2.3 4.6

51 5

11 10

914 146

5 0 0

133 21 14 4

18 15 49

6 10 20 19

103 15 56 27 6

47 471 60

152 31 25 7 2

23 9 0

17 10 68 22 17 4

70

6.0 5.2 2.9 1.1 3.5 4.2 7.0

- -

3.7 2.6 2.6 1.1 2.5 3.1 3.2 2.1 3.3 2.1 2.5 3.3 2.7 5.0 3.0 3.7 3.3 3.6 3.0 4.1 1.9 4.3 2.2 1.3 3.5 1.6

- 2.4 2.2 3.5 2.3 4.4 4.9 4.9

34 4

11 9

881 166

1 0 1

131 34 27 11 23 11 34 13 12 32 26

102 17 44 31 6

43 477 61

161 42 19 8 5

22 15 1

29 9

58 22 11 0

54

4.0 4.3 2.9 1.0 3.4 4.7 1.4

- 1.9 3.7 4.2 5.1 2.9 3.3 2.3 2.2 4.6 3.9 3.3 3.4 3.3 3.1 4.0 3.5 3.8 3.0 3.5 3.0 4.4 2.5 3.3 2.5 3.5 3.4 2.7 1.6 4.1 2.0 3.0 2.4 2.8

- 3.8

35 1

15 17

965 158

2 2 2

137 21 22 7

24 16 62 16 9

29 21 97 16 32 35 6

35 454 56

150 35 18 9 1

13 18 0

20 10 55 25 8 2

62

4.2 1.1 4.0 1.9 3.6 4.4 2.7 2.9 3.9 3.9 2.6 4.3 1.9 3.4 3.4 4.0 5.6 2.9 3.1 2.8 3.1 3.0 2.9 4.0 3.8 2.5 3.3 2.7 4.1 2.1 3.2 2.9 0.7 2.0 3.3

- 2.7 2.3 2.8 2.7 2.1 2.4 4.3

* The number of divorces per 1,000 population by county

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TABLE 76: Divorces by Duration of Marriage, 2003-2005 2003 2004 2005

Duration of Marriage

Number

Percent of Total

Number

Percent of Total

Number

Percent of Total

Less than 1 year 1 year 2 years 3 years 4 years 5 years 6 years 7 years 8 years 9 years 10 years 11 years 12 years 13 years 14 years 15 years 16 years 17 years 18 years 19 years 20 years 21 years 22 years 23 years 24 years 25 years 26 years 27 years 28 years 29 years 30 years 31 years 32 years 33 years 34 years 35-39 years 40-44 years 45-49 years 50-54 years 55-59 years 60-64 years 65-69 years 70-74 years Unknown

123 388 466 498 455 389 319 322 266 223 205 203 191 166 151 129 129 116 100 86 98

107 99 82 71 62 58 57 37 44 46 30 33 26 25 46 26 12 8 1 0 0 0 7

2.1 6.6 7.9 8.4 7.7 6.6 5.4 5.5 4.5 3.8 3.5 3.4 3.2 2.8 2.6 2.2 2.2 2.0 1.7 1.5 1.7 1.8 1.7 1.4 1.2 1.1 1.0 1.0 0.6 0.7 0.8 0.5 0.6 0.4 0.4 0.8 0.4 0.2 0.1 0.0

- - -

0.1

136 353 483 493 453 376 333 319 291 246 231 176 172 165 150 138 132 106 105 101 101 106 99 85 72 67 61 57 45 42 41 25 34 23 26 52 20 11 3 2 0 0 0

11

2.3 5.9 8.1 8.3 7.6 6.3 5.6 5.4 4.9 4.1 3.9 3.0 2.9 2.8 2.5 2.3 2.2 1.8 1.8 1.7 1.7 1.8 1.7 1.4 1.2 1.1 1.0 1.0 0.8 0.7 0.7 0.4 0.6 0.4 0.4 0.9 0.3 0.2 0.1 0.0

- - -

0.2

130 377 467 482 456 380 339 322 251 211 234 190 164 160 149 133 115 117 96 86

102 96

104 85 72 70 52 50 43 36 40 34 31 20 24 68 28 8 2 1 1 0 1 3

2.2 6.5 8.0 8.3 7.8 6.5 5.8 5.5 4.3 3.6 4.0 3.3 2.8 2.7 2.6 2.3 2.0 2.0 1.6 1.5 1.7 1.6 1.8 1.5 1.2 1.2 0.9 0.9 0.7 0.6 0.7 0.6 0.5 0.3 0.4 1.2 0.5 0.1 0.0 0.0 0.0

- 0.0 0.1

Total

5,900

100.0

5,942

100.0

5,830 100.0

Percentages may not sum to 100.0 due to rounding.

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TABLE 77: Number of Divorces by Race of Husband and Wife, 2005 Race of Wife

Race of Husband

Total

White

Black

AmericanIndian

All Other

Unknown

White Black American Indian All Other Unknown

5,101

317

40

124

248

4,953

90

25

53

17

33

212

1

3

3

37

5

13

2

3

58

6

1

66

0

20

4

225

Total 5,830 5,138 252 60 131 249

TABLE 78: Divorces - Number of This Marriage for Husband and Wife, 2005

Wife Husband Total 1st 2nd 3rd 4th 5th 6th 7th >7th Unknown

1st 3,885 3,198 540 112 14 1 2 182nd 1,214 465 551 144 33 5 2 1 133rd 322 70 158 67 19 4 1 1 24th 59 11 25 13 6 2 25th 19 4 10 2 2 1 6th 9 1 4 4 7th 0 >7th 2 1 1 Unknown 320 18 8 5 2 1 286 Total 5,830 3,767 1,297 347 76 14 3 2 3 321

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TABLE 79: Number of Divorces by Settlement Type, 2005 Number of Settlement Type Divorces None 912 Alimony 15 Child Support 313 Property Settlement 2,147 Alimony & Child Support 16 Alimony & Property Settlement 247 Child Support & Property Settlement 1,799 Alimony, Child Support & Property Settlement 317 Other 62 Unknown 2 Total 5,830

TABLE 80: Divorces - Number of Children Affected, 2005

Number of Total Number Number of Children of Children Couples per Couple

Affected

2,715 0 0 1,258 1 1,258 1,233 2 2,466

458 3 1,374 132 4 528 23 5 115 11 6+ 94

5,830

5,835

TABLE 81: Divorces - Custody and Number of Children Awarded, 2005

Number of Children Awarded Six or

Custody to: Total One Two Three Four Five More Husband 316 164 107 31 11 2 1Wife 2,036 885 784 283 63 17 4Joint 654 279 262 87 23 2 1Other 68 35 21 6 3 3 0

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Supplemental Tables - Nebraska Births TABLE S1: Principal Source of Payment for Delivery, 2005 Source of Payment Number % Medicaid 8,590 32.9Private Insurance 14,347 54.9 Self-Pay 715 2.7Indian Health Service 5 0.0 CHAMPUS/TRICARE 489 1.9Other Government 72 0.3 Other 527 2.0 Unknown Total

1,397 5.326,142 100.0

TABLE S2: WIC/Breastfeeding, 2005 Number % Did mother get WIC food for herself? Yes 9,051 34.6 No 15,974 61.1 Unknown 1,117 4.3 Is infant breastfeeding? Yes 19,541 74.7 No 5,573 21.3 Unknown 1,028 3.9

TABLE S3: Weight Change During Pregnancy by Pre-Pregnancy Body Mass Index (BMI), 2005 (for singleton births) Pre-Pregnancy Body Mass Index (BMI) Weight Change < 19.8 19.8 - 26.0 26.1 - 29.0 > 29.0 Total Loss - more than 100 pounds 0 0 0 0 0 Loss - 50-99 pounds 0 1 0 0 0 Loss - 25-49 pounds 0 1 8 25 34 Loss - < 25 pounds 16 152 108 415 691 Gain - 1-9 pounds 20 223 137 565 945 Gain - 10-20 pounds 271 1,489 619 1,305 3,684 Gain - 21-29 pounds 582 2,783 672 1,118 5,155 Gain - 30-39 pounds 799 3,915 781 1,036 6,531 Gain - 40-49 pounds 394 2,336 508 633 3,871 Gain - 50-99 pounds 244 1,651 394 493 2,782 Gain - 100-149 pounds 5 16 7 13 41 Gain - 150+ pounds 0 0 1 0 1 Unknown 41 193 45 74 352 Total 2,372 12,759 3,280 5,677 24,088

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Supplemental Tables - Nebraska Births TABLE S4: Maternal Morbidity, 2005 Percent of Maternal Morbidity Number Births Maternal Transfusion 51 0.2 Perineal Laceration 1,134 4.3 Ruptured Uterus 21 0.1 Unplanned Hysterectomy 6 0.0 Admit to Intensive Care 22 0.1 Unplanned Operation 261 1.0 TABLE S5: Infections Present, 2005 Percent of Infections Number Births Gonorrhea 47 0.2Syphilis 11 0.0Herpes Simplex (HSV) 282 1.1 Chlamydia 312 1.2Hepatitis B 34 0.1 Hepatitis C 20 0.1

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Appendix

Selected Tables by Service Area and Health Department

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TABLE 4a: Births by Place of Occurrence and by Usual Residence of the Mother, 2003-2005 2003 2004 2005 2005

Occurrence Residence Occurrence Residence Occurrence Residence Rate* STATE Service Area: Western Service Area Central Service Area Northern Service Area Southeast Service Area Eastern Service Area Health Department: Dakota County Douglas County Scotts Bluff County Lincoln-Lancaster County Central District East Central District Elkhorn Logan Valley Four Corners Loup Basin North Central District Northeast Nebraska Panhandle Public Health Solutions Sarpy/Cass South Heartland District Southeast District Southwest Three Rivers Two Rivers West Central District

26,079

2,499 3,164 2,790 5,728

11,898

1 10,965

782 4,831 1,167

714 1,099

357 169 256 133 400 320 934 710 216 270 590

1,478 687

25,900

2,610 3,046 3,709 6,213

10,322

384 7,987

539 4,043 1,193

738 875 571 396 516 484 615 654

2,630 570 413 335 949

1,374 634

26,446

2,445 3,066 2,772 5,858

12,305

2 11,449

773 4,919 1,042

719 1,068

345 143 291 130 370 335 856 752 258 291 563

1,453 687

26,324

2,607 2,909 3,769 6,320

10,719

402 8,343

538 4,126 1,070

779 897 528 331 559 402 587 652

2,711 609 444 369 965

1,400 612

26,349

2,354 3,116 2,729 5,840

12,310

1 11,742

779 4,892 1,071

706 1,041

353 136 268 123 346 345 570 754 248 255 590

1,444 685

26,142

2,542 2,962 3,766 6,242

10,630

418 8,199

520 4,067 1,123

772 851 480 347 523 465 618 680

2,765 599 420 361 998

1,324 612

14.9

13.113.514.113.817.0

20.5 16.8 14.1 15.4 15.4 15.1 14.410.6 10.9 10.8 14.6 12.2 11.9 16.7 12.4 10.8 11.3 13.1 14.212.8

* The number of resident live births per 1,000 population

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TABLE 5a: Births by Sex, Race and Hispanic Origin, By Service Area and Health Department (Residence), 2005 Total

Births

Sex Race Hispanic

Origin* Male Female White Black Amer Indian Asian Other

STATE Service Area: Western Service Area Central Service Area Northern Service Area Southeast Service Area Eastern Service Area Health Department: Dakota County Douglas County Scotts Bluff County Lincoln-Lancaster County Central District East Central District Elkhorn Logan Valley Four Corners Loup Basin North Central District Northeast Nebraska Panhandle Public Health Solutions Sarpy/Cass South Heartland District Southeast District Southwest Three Rivers Two Rivers West Central District

26,142

2,542 2,962 3,766 6,242

10,630

418 8,199

520 4,067 1,123

772 851 480 347 523 465 618 680

2,765 599 420 361 998

1,324 612

13,347

1,304 1,505 1,915 3,219 5,404

214 4,128

261 2,119

574 388 445 249 181 272 243 329 342

1,450 298 204 188 484 669 309

12,795

1,238 1,457 1,851 3,023 5,226

204 4,071

259 1,948

549 384 406 231 166 251 222 289 338

1,315 301 216 173 514 655 303

20,950

2,040 2,463 3,138 5,388 7,921

360 5,805

377 3,398

791 548 791 455 341 474 329 532 582

2,439 514 374 333 892

1,054 561

1,545

18 30 42

183 1,272

9 1,172

3 172 21 4

25 4 0 1 1 5 4

102 4 0 2 3 9 4

440

72 26

185 53

104

16 87 25 38 10 5

17 5 0

24 118 36 4

19 8 4 0 5

12 7

622

26 35 50

207 304

8 239

7 188 14 20 7 2 1 2 1

10 6

68 14 6 1

14 9 5

2,585

386 408 351 411

1,029

25 896 108 271 287 195 11 14 5

22 16 35 84

137 59 36 25 84

240 35

3,848

487 483 714 513

1,651

206 1,457

160 350 328 226 141

19 5

17 26 51 94

202 72 39 30

101 278

46 * Persons of Hispanic origin may be any race.

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TABLE 7a: Teen Births by Service Area and Health Department (Residence), 2005 and 2001-2005

2005 2001-2005 Teen Total % Teen Teen Total % Teen Births Births Births Births Births Births STATE 2,175 26,142 8.3 11,632 128,565 9.0 Service Area: Western Service Area 279 2,542 11.0 1,543 12,882 12.0 Central Service Area 262 2,962 8.8 1,412 14,694 9.6 Northern Service Area 346 3,766 9.2 1,832 18,451 9.9 Southeast Service Area 425 6,242 6.8 2,362 30,661 7.7 Eastern Service Area 863 10,630 8.1 4,483 51,877 8.6 Health Department: Dakota County 45 418 10.8 237 1,985 11.9 Douglas County 727 8,199 8.9 3,831 40,189 9.5 Scotts Bluff County 89 520 17.1 403 2,665 15.1 Lincoln-Lancaster County 271 4,067 6.7 1,510 19,765 7.6 Central District 118 1,123 10.5 680 5,649 12.0 East Central District 87 772 11.3 386 3,706 10.4 Elkhorn Logan Valley 73 851 8.6 428 4,338 9.9 Four Corners 23 480 4.8 171 2,610 6.6 Loup Basin 23 347 6.6 130 1,775 7.3 North Central District 35 523 6.7 210 2,644 7.9 Northeast Nebraska 46 465 9.9 277 2,198 12.6 Panhandle 45 618 7.3 312 3,024 10.3 Public Health Solutions 51 680 7.5 308 3,308 9.3 Sarpy/Cass 152 2,765 5.5 744 13,303 5.6 South Heartland District 65 599 10.9 297 2,888 10.3 Southeast District 43 420 10.2 206 2,116 9.7 Southwest 37 361 10.2 170 1,814 9.4 Three Rivers 81 998 8.1 369 4,827 7.6 Two Rivers 109 1,324 8.2 613 6,695 9.2 West Central District 55 612 9.0 350 3,066 11.4

Teen Births = Ages 19 and under

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TABLE 13a: Births by Trimester Prenatal Care Began and Percent Receiving Inadequate Prenatal Care by Service Area and Health Department (Residence), 2005

Trimester Prenatal Care Began Percent First Second Third Inadequate

Trimester Trimester Trimester None Unknown Care* STATE 18,627 4,992 943 190 1,390 14.1 Service Area: Western Service Area 1,803 524 115 28 72 15.7 Central Service Area 2,206 625 103 17 11 14.5 Northern Service Area 2,228 607 136 21 774 15.5 Southeast Service Area 4,512 1,424 218 47 41 14.4 Eastern Service Area 7,878 1,812 371 77 492 12.9 Health Department: Dakota County 14 4 0 2 398 15.0 Douglas County 5,964 1,455 297 59 424 13.3 Scotts Bluff County 382 93 21 8 16 13.9 Lincoln-Lancaster County 2,979 903 136 36 13 14.6 Central District 768 292 49 8 6 17.8 East Central District 549 174 43 4 2 19.9 Elkhorn Logan Valley 625 164 36 5 21 14.8 Four Corners 342 110 23 1 4 16.2 Loup Basin 263 68 12 2 2 13.7 North Central District 337 78 18 4 86 12.4 Northeast Nebraska 165 31 7 5 257 13.2 Panhandle 432 110 22 6 48 15.2 Public Health Solutions 451 194 22 5 8 13.1 Sarpy/Cass 2,167 420 82 18 78 11.8 South Heartland District 469 108 16 3 3 12.6 Southeast District 295 97 19 3 6 15.0 Southwest 272 66 17 1 5 11.0 Three Rivers 730 213 42 3 10 14.1 Two Rivers 974 285 53 11 1 15.4 West Central District 449 127 28 6 2 15.9

* Calculated by using the Kotelchuck Index. The Kotelchuck Index measures adequacy of prenatal care (adequate plus, adequate, intermediate, inadequate) by using a combination of two factors: month prenatal care began; and the ratio of the actual number of prenatal care visits to the expected number of visits (based on the American College of Obstetricians and Gynecologists’ prenatal care standards for uncomplicated pregnancies, adjusted for the gestational age at initiation of care and for the gestational age at delivery).

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TABLE 35a: Deaths by Place of Occurrence and Usual Residence of Deceased, 2003-2005 2003 2004 2005 2005

Occ. Res. Occ. Res. Occ. Res. Death Rate* STATE Service Area: Western Service Area Central Service Area Northern Service Area Southeast Service Area Eastern Service Area Health Department: Dakota County Douglas County Scotts Bluff County Lincoln-Lancaster County Central District East Central District Elkhorn Logan Valley Four Corners Loup Basin North Central District Northeast Nebraska Panhandle Public Health Solutions Sarpy/Cass South Heartland District Southeast District Southwest Three Rivers Two Rivers West Central District

15,618

2,071 2,258 2,396 3,872 5,021

74 4,484

506 2,112

725 419 608 402 321 499 264 534 644 670 471 464 344 649 949 479

15,439

2,236 2,250 2,826 3,875 4,252

152 3,634

435 1,718

668 476 663 480 429 591 345 631 749 837 506 538 419 770 898 500

14,817

1,942 2,170 2,224 3,675 4,806

88 4,383

492 2,068

700 368 574 410 287 468 209 455 592 540 441 364 339 641 967 431

14,647

2,099 2,185 2,588 3,676 4,099

143 3,505

424 1,691

664 437 570 448 397 592 291 568 693 804 497 446 413 743 877 444

15,138

2,003 2,177 2,356 3,740 4,862

104 4,388

500 2,074

684 405 643 438 330 493 236 541 587 603 457 400 315 587 899 454

14,950

2,151 2,177 2,745 3,727 4,150

186 3,549

430 1,700

678 494 649 495 419 591 307 616 675 808 511 472 383 696 803 488

8.5

11.1 9.9 10.3 8.2 6.6

9.1 7.3 11.7 6.4 9.3 9.7 11.0 10.9 13.1 12.2 9.7 12.1 11.8 4.9 10.6 12.2 12.0 9.1 8.6 10.2

* The number of resident deaths per 1,000 population

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TABLE 43a: Deaths by Age Group and Place of Residence, 2005 Age Group < 45 45-64 65-74 75-84 85+ Years Years Years Years Years Total STATE 977 2,171 2,279 4,216 5,307 14,950 Service Area: Western Service Area 127 277 343 592 812 2,151 Central Service Area 138 274 323 625 817 2,177 Northern Service Area 126 330 404 840 1,045 2,745 Southeast Service Area 228 495 497 1,023 1,484 3,727 Eastern Service Area 358 795 712 1,136 1,149 4,150 Health Department: Dakota County 6 44 28 39 69 186 Douglas County 310 671 589 972 1,007 3,549 Scotts Bluff County 29 57 75 110 159 430 Lincoln-Lancaster County 129 261 239 462 609 1,700 Central District 56 94 102 203 223 678 East Central District 35 59 71 163 166 494 Elkhorn Logan Valley 29 83 89 188 260 649 Four Corners 15 56 51 136 237 495 Loup Basin 17 47 58 109 188 419 North Central District 18 44 88 185 256 591 Northeast Nebraska 10 44 44 97 112 307 Panhandle 32 80 96 169 239 616 Public Health Solutions 34 71 88 174 308 675 Sarpy/Cass 60 152 153 221 222 808 South Heartland District 28 74 63 157 189 511 Southeast District 30 59 65 135 183 472 Southwest 20 32 56 112 163 383 Three Rivers 36 76 108 227 249 696 Two Rivers 59 86 140 223 295 803 West Central District 24 81 76 134 173 488

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TABLE 44-50a: Deaths by Cause (Top Seven) by Place of Residence, 2005 Cause Heart Disease

Cancer

Cerebro- vascular Disease

Chronic Lung

Disease

Accidental

Deaths

Alzheimer's

Disease

Diabetes Mellitus

All

Other STATE Service Area: Western Service Area Central Service Area Northern Service Area Southeast Service Area Eastern Service Area Health Department: Dakota County Douglas County Scotts Bluff County Lincoln-Lancaster County Central District East Central District Elkhorn Logan Valley Four Corners Loup Basin North Central District Northeast Nebraska Panhandle Public Health Solutions Sarpy/Cass South Heartland District Southeast District Southwest Three Rivers Two Rivers West Central District

3,633

515 577 732 864 945

38

810 103 343 150 108 182 165 118 191

99 148 177 189 162 88 93

151 196 122

3,353

468 468 592 826 999

37

812 87

410 140 132 129 91 92

109 67

132 138 235 110 99 77

158 176 122

986

112 152 229 262 231

16 193 22

131 48 43 57 24 31 50 23 33 54 48 36 36 25 47 47 22

813

125 108 136 199 245

12 206 22 96 38 22 30 22 19 29 12 41 30 52 20 24 24 45 47 22

706

119 111 139 170 167

11 144 19 78 33 26 26 11 21 37 15 30 26 36 22 30 15 36 54 36

473

79 71 79

123 121

8

110 21 47 33 12 26 31 12 14

7 23 29 15 8

11 16 13 26 11

449

80 57 75

105 132

7 116 21 49 21 11 21 17

8 20

7 16 16 24 12 13 19 11 23 17

4,537

653 633 763

1,178 1,310

57

1,158 135 546 215 140 178 134 118 141

77 193 205 209 141 171 114 235 234 136

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TABLE 66 & 74a: Marriages and Divorces - Number and Rate by Service Area and Health Department, 2005

Marriages Divorces Number Rate* Number Rate**

TOTAL 12,262 7.0 5,830 3.3 Service Area: Western Service Area 1,347 7.0 675 3.5 Central Service Area 1,464 6.7 766 3.5 Northern Service Area 1,746 6.5 757 2.8 Southeast Service Area 3,203 7.1 1,596 3.5 Eastern Service Area 4,502 7.2 2,036 3.3 Health Department: Dakota County 156 7.7 56 2.8 Douglas County 3,403 7.0 1,582 3.2 Scotts Bluff County 260 7.1 150 4.1 Lincoln-Lancaster County 2,114 8.0 965 3.6 Central District 460 6.3 288 4.0 East Central District 332 6.5 143 2.8 Elkhorn Logan Valley 351 5.9 186 3.1 Four Corners 277 6.1 141 3.1 Loup Basin 161 5.0 89 2.8 North Central District 292 6.0 114 2.4 Northeast Nebraska 206 6.5 84 2.6 Panhandle 319 6.3 173 3.4 Public Health Solutions 343 6.0 190 3.3 Sarpy/Cass 1,194 7.2 541 3.3 South Heartland District 287 5.9 159 3.3 Southeast District 284 7.3 157 4.0 Southwest 211 6.6 88 2.8 Three Rivers 499 6.5 230 3.0 Two Rivers 717 7.7 295 3.2 West Central District 396 8.3 199 4.2

* The number of marriages per 1,000 population ** The number of divorces per 1,000 population

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Division of Public Health

Health Statistics P.O. Box 95007 Lincoln, NE 68509-5007(402) 471-2241

01/2008 – 350

AA/EOE/ADA

Alternate formats are available upon request. Please contact Health Statistics at (402) 471-2241 or (402) 471-9570 (TDD).

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