vital stats report 2006 - nebraska department of health ...dhhs.ne.gov/reports/vital statistics...

Nebraska 2006 Vital Statistics Report

Issued July 2008

Dave Heineman Governor

Christine Z. Peterson Chief Executive Officer

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

Bob Zagozda Chief Operating Officer

Jacquelyn Miller, DDS Chief Administrator Community Health Section

Ming Qu, PhD Acting Administrator Public Health Support Unit

Stanley S. Cooper, MS, PhD Administrator Vital Records Office

Mark A. Miller Health Data Coordinator Health Statistics Office

Paula S. Hartig, MS Program Analysis & Research Administrator Research and Performance Measurement

Nebraska Vital Statistics Report 2006

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 approximately 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 Meridel Funk, Program Analyst Christine Noren, Staff Assistant Nila Irwin, Staff Assistant Joe Boone, Business Appl. Supp. Tech. Cindy Stolldorf, Data Entry Operator Carla Becker, Health Data Manager Jill Krause, Staff Assistant Jackie Fairbanks, Administrative Assistant

Kay Pytko, Staff Assistant Bryan Rettig, MS, Program Analyst Wendell Harper, MA, PM Consultant Deb Firman, Staff Assistant Barb Trusty, Vital Statistics Clerk Diana Yeager, Vital Statistics Clerk Beverly Kliment, Vital Statistics Clerk Victor Filos, Data Base Manager Edilma Him, Administrative Assistant

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 ........................................................................................................................ 1Definitions of Terms .......................................................................................................... 2-4Graph 1: Birth and death rates, 1940-2006 ....................................................................... 5 Graph 2: Marriage and divorce rates, 1940-2006 ............................................................. 6 Table 1: Births, deaths, marriages and divorces, number and rate per 1,000 estimated population, 1940-2006 .................................................................................................... 7 Table 2: Population by county, 1960-2006 ........................................................................ 8-9 Table 3: Summary of vital statistics by month, 2006 ......................................................... 10 BIRTH SECTION

Birth Highlights ................................................................................................................... 11-12 Map 1: Live births by county of residence, 2006 .............................................................. 13 Map 2: Live birth rates by county of residence, 2006 ....................................................... 14 Table 4: Births by place of occurrence and by usual residence of the mother, 2004-2006, rate for 2006................................................................................................. 15-18 Table 5: Births by sex, race and Hispanic origin, by place of residence, 2006 ................. 19-22 Graph 3: Percent of all births by age of mother, 2002-2006.............................................. 23 Graph 4: Average age of mother giving birth, 1975-2006.................................................. 24 Table 6: Birth order by age of mother, 2006 ...................................................................... 25 Table 7: Teen births by county of residence, 2006 and 2002-2006 .................................. 26-27 Graph 5: Trimester prenatal care began by age of mother, 2006...................................... 28 Table 8: Births - trimester prenatal care began (percent) by number of prenatal visits, 2006 ................................................................................................................................ 29 Table 9: Births - number of prenatal care visits (percent) by age of mother, 2006............ 29 Table 10: Number of prenatal care visits (%) by education of mother, 2006..................... 30 Table 11: Number of prenatal care visits (%) by birth weight of child, 2006...................... 30 Table 12: Number of prenatal care visits (%) by race/Hispanic origin of mother, 2006 .... 30 Table 13: Births by trimester prenatal care began and percent receiving inadequate care by county of residence, 2006 .................................................................................. 31-32 Graph 6: Low and very low birth weight rates, 1970-2006 ................................................ 33 Table 14: Births by weight groups, 2006............................................................................ 34 Table 15: Births, very low and low birth weight by county of residence, 2006 and 2002-2006 ..................................................................................................................... 35-36 Table 16: Medical risk factors of the mother, 2006............................................................ 37 Table 17: Obstetric procedures, 2006................................................................................ 37 Table 18: Characteristics of labor and delivery, 2006........................................................ 37 Table 19: Method of delivery, 2006.................................................................................... 38 Table 20: Onset of labor, 2006 .......................................................................................... 38 Table 21: Perinatal cigarette smoking, 2006...................................................................... 38 Graph 7: Average birth weight by tobacco usage of the mother, 2002-2006 .................... 39 Graph 8: Tobacco use during third trimester of pregnancy by race/Hispanic origin of the mother, 2006......................................................................................................... 40 Graph 9: Birth rates for unmarried women, 1960-2006 ..................................................... 41 Table 22: Births to unmarried women by place of residence, 2006 and 2002-2006 ......... 42-44 Table 23: Births to unmarried women by age of mother, 2002-2006 ................................ 45 Table 24: Births to unmarried women by age and race/Hispanic origin of mother, 2006.. 45 Table 25: Percent of race/Hispanic origin births to unmarried women, 1980-2006........... 46 Table 26: Percent of age group births to unmarried women, 1980-2006 .......................... 46 Table 27: Birth order of births to unmarried women by age of mother, 2006 .................... 47 Table 28: Birth defects – number and rate, 2006 and 2002-2006 ..................................... 48-49


BIRTH SECTION (continued)

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Table 29: Birth defects by county of residence, 2006 and 2002-2006 .............................. 50-51 Table 30: Birth defects by month of birth, 2006 ................................................................. 52 Table 31: Birth defects by age of mother, 2006................................................................. 52 Table 32: Birth defects by age of father, 2006................................................................... 52 Table 33: Birth defects by weight and sex of child, 2006................................................... 53 Table 34: Birth defects by race of mother, 2006................................................................ 53 DEATH SECTION Death Highlights................................................................................................................. 54-55 Map 3: Deaths by county of residence, 2006..................................................................... 56 Map 4: Death rates by county of residence, 2006 ............................................................. 57 Table 35: Deaths by place of occurrence and usual residence of deceased, 2004-2006 ...................................................................................................................... 58-61 Table 36: Deaths by sex, race and Hispanic origin, by place of residence, 2006 ............. 62-65 Table 37: Deaths by principal and other causes, 2002-2006 ............................................ 66 Table 38: Deaths by principal and other causes, crude rates per 100,000 population, 2002-2006 ....................................................................................................................... . 67 Table 39: Deaths by principal and other causes, age-adjusted rates per 100,000 population, 2002-2006 .................................................................................................... 68 Table 40: Cancer deaths by selected sites and sex, 2002-2006....................................... 69 Table 41: Age-adjusted cancer death rates by selected sites and sex, 2002-2006 .......... 69 Graph 10: Average age at time of death, 1925–2006........................................................ 70 Graph 11: Average age at time of death by sex, 1960-2006............................................. 71 Table 42: Deaths by age group and sex, 2006.................................................................. 72 Table 43: Deaths by age group and average age by county of residence, 2006 .............. 73-74 Graphs 12-18: leading causes of death by selected age groups and sex, 2006............... 75-81 Graph 12: all ages........................................................................................................... 75 Graph 13: by sex............................................................................................................. 76 Graph 14: ages 1-19 ....................................................................................................... 77 Graph 15: ages 20-44 ..................................................................................................... 78 Graph 16: ages 45-59 ..................................................................................................... 79 Graph 17: ages 60-74 ..................................................................................................... 80 Graph 18: ages 75+ ....................................................................................................... 81 Maps 5-14 and Tables 44-53: Ten leading causes of death by county of residence, 2006 and 2002-2006 ..................................................................................... 82-111 Map 5 and Table 44: Heart disease................................................................................ 82-84 Map 6 and Table 45: Cancer .......................................................................................... 85-87 Map 7 and Table 46: Cerebrovascular disease .............................................................. 88-90 Map 8 and Table 47: Chronic lung disease .................................................................... 91-93 Map 9 and Table 48: Accidental ..................................................................................... 94-96 Map 10 and Table 49: Alzheimer’s disease.................................................................... 97-99 Map 11 and Table 50: Diabetes mellitus......................................................................... 100-102 Map 12 and Table 51: Pneumonia.................................................................................. 103-105 Map 13 and Table 52: Nephritis and nephrosis .............................................................. 106-108 Map 14 and Table 53: Intentional self-harm (suicides)................................................... 109-111 Table 54: Accidental deaths by cause, 2002-2006............................................................ 112 Graph 19: Leading causes of accidental deaths, 2006...................................................... 113 Table 55: Accidental deaths by principal cause by place of residence, 2006 ................... 114-117 Table 56: Drownings by site, sex and age group, 2006..................................................... 118 Table 57: Farm fatalities by type, sex and age group, 2006.............................................. 118


DEATH SECTION (continued)

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Graph 20: Intentional self-harm (suicide), 1918-2006 ....................................................... 119 Table 58: Intentional self harm (suicide) by type, sex and age group, 2006 ..................... 120 Graph 21: Infant and neonatal death rates, 1925-2006..................................................... 121 Table 59: Infant and neonatal deaths by place of residence, 2006 and 2002-2006.......... 122-124 Table 60: Deaths under one year of age by cause, 2006.................................................. 125 Table 61: Deaths under one year of age by race/Hispanic origin and sex, 2006.............. 125 Table 62: Deaths under one year of age by birth weight groups, 2006............................. 125 Table 63: Perinatal and fetal deaths by place of residence, 2006 and 2002-2006............ 126-128 Table 64: Fetal deaths by cause of death, 2006 and 2002-2006 ...................................... 129-130 Table 65: Fetal deaths by age group of mother, sex, race, Hispanic origin and place of delivery, 2006 .................................................................................................... 130 MARRIAGE AND DIVORCE SECTION Marriage and Divorce Highlights........................................................................................ 131 Map 15: Marriages by county of occurrence, 2006 132 Map 16: Marriage rates by county of occurrence, 2006 .................................................... 133 Table 66: Marriages – number and rate by county, 2003-2006......................................... 134-135 Table 67: Number of marriages by race of bride and groom, 2006................................... 136 Table 68: Number of this marriage - bride and groom, 2006............................................. 136 Table 69: Number of marriages by previous marital status, bride and groom, 2006......... 136 Table 70: Number of this marriage by age of the bride, 2006 ........................................... . 137 Table 71: Number of this marriage by age of the groom, 2006 ......................................... 137 Table 72: Number of marriages by age of bride and groom, 2006.................................... 138 Table 73: Number of first marriages by age of bride and groom, 2006 ............................. 139 Map 17: Divorces by county of occurrence, 2006.............................................................. 140 Map 18: Divorce rates by county of occurrence, 2006 ...................................................... 141 Table 74: Divorces - number and rate by county, 2003-2006............................................ 142-143 Table 75: Number of divorces by age of husband and wife, 2006..................................... 144 Table 76: Divorces by duration of marriage, 2004-2006.................................................... 145 Table 77: Number of divorces by race of husband and wife, 2006 ................................... 146 Table 78: Divorces - number of this marriage for husband and wife, 2006 ....................... 146 Table 79: Number of divorces by settlement type, 2006 ................................................... 147 Table 80: Divorces - number of children affected, 2006 .................................................... 147 Table 81: Divorces - custody and number of children awarded, 2006 .............................. 147 Supplemental Tables: Table S1: Principal source of payment for delivery, 2006 ................................................. 148 Table S2: WIC/breastfeeding, 2006................................................................................... 148 Table S3: Weight change during pregnancy by pre-pregnancy Body Mass Index (BMI), 2006 (for singleton births) ............................................................................................... 148 Table S4: Maternal morbidity, 2006 ................................................................................... 149 Table S5: Infections present, 2006 .................................................................................... 149 Table S6: Premature births by county of residence, 2006 and 2002-2006 ....................... 150-151


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Appendix – Selected Tables by Service Area and Health Department: Page Table 4a: Births by place of occurrence and by usual residence of the mother, 2004- 2006 ................................................................................................................................ 152 Table 5a: Births by sex, race and Hispanic origin, by Service Area and health department (residence), 2006......................................................................................... 153 Table 7a: Teen births by Service Area and health department (residence), 2006 and 2002-2006 ....................................................................................................................... 154 Table 13a: Births by trimester prenatal care began and percent receiving inadequate prenatal care by Service Area and health department (residence), 2006 ...................... 155 Table 35a: Deaths by place of occurrence and usual residence of deceased, 2004-2006 ....................................................................................................................... 156 Table 43a: Deaths by age group and place of residence, 2006 ........................................ 157 Table 44-50a: Deaths by cause (top seven) by place of residence, 2006......................... 158 Table 66 and 74a: Marriages and divorces – number and rate by Service Area and health department, 2006 .......................................................................................... 159


1

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 2006; however, some data from previous years are also included. Records received after the following dates were not included in this report: birth, marriage, divorce and fetal death records received after April 22, 2008; and death records received after May 19, 2008. 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 2006 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: a) 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 b) 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


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Graph 1: Birth and Death Rates, 1940-2006

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Graph 2: Marriage and Divorce Rates, 1940-2006

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TABLE 1: Births, Deaths, Marriages and Divorces, Number and Rate per 1,000 Estimated Population, 1940-2006

Year Estimated Population

Births Deaths Marriages Divorces # 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 2006

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 1,758,163 1,768,311

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 26,723

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 15.1 15.1

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 14,931 14,894

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 8.4 8.4

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 12,484 12,053

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 7.1 6.8

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 5,942 6,065

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 3.4 3.4


8

TABLE 2: Population by County, 1960-2006

County 1960 1970 1980 1990 2000 2006 Total 1,411,330 1,483,493 1,569,825 1,578,385 1,711,263 1,768,331 Adams 28,944 30,553 30,656 29,625 31,151 33,185 Antelope 10,176 9,047 8,675 7,965 7,452 6,931 Arthur 680 606 513 462 444 372 Banner 1,269 1,034 918 852 819 783 Blaine 1,016 847 867 675 583 492 Boone 9,134 8,190 7,391 6,667 6,259 5,668Box Butte 11,688 10,094 13,696 13,130 12,158 11,132Boyd 4,513 3,752 3,331 2,835 2,438 2,185Brown 4,436 4,021 4,377 3,657 3,525 3,354Buffalo 26,236 31,222 34,797 37,447 42,259 43,954Burt 10,192 9,247 8,813 7,868 7,791 7,341 Butler 10,312 9,461 9,330 8,601 8,767 8,595 Cass 17,821 18,076 20,297 21,318 24,334 25,963 Cedar 13,368 12,192 11,375 10,131 9,615 8,819 Chase 4,317 4,129 4,758 4,381 4,068 3,811 Cherry 8,218 6,846 6,758 6,307 6,148 5,934Cheyenne 14,828 10,778 10,057 9,494 9,830 9,865Clay 8,717 8,266 8,106 7,123 7,039 6,564Colfax 9,595 9,498 9,890 9,139 10,441 10,113Cuming 12,435 12,034 11,664 10,117 10,203 9,660Custer 16,517 14,092 13,877 12,270 11,793 11,242 Dakota 12,168 13,137 16,573 16,742 20,253 20,587 Dawes 9,536 9,693 9,609 9,021 9,060 8,466 Dawson 19,405 19,467 22,304 19,940 24,365 25,018 Deuel 3,125 2,717 2,462 2,237 2,098 1,958 Dixon 8,106 7,453 7,137 6,143 6,339 6,170Dodge 32,471 34,782 35,847 34,500 36,160 36,171Douglas 343,490 389,455 397,038 416,444 463,585 492,003Dundy 3,570 2,926 2,861 2,582 2,292 2,109Fillmore 9,425 8,137 7,920 7,103 6,634 6,259Franklin 5,449 4,566 4,377 3,938 3,574 3,348 Frontier 4,311 3,982 3,647 3,101 3,099 2,729 Furnas 7,711 6,897 6,486 5,553 5,324 5,003 Gage 26,818 25,719 24,456 22,794 22,993 23,365 Garden 3,472 2,929 2,802 2,460 2,292 1,995 Garfield 2,699 2,411 2,363 2,141 1,902 1,790Gosper 2,489 2,178 2,140 1,928 2,143 1,978Grant 1,009 1,019 877 769 747 660Greeley 4,595 4,000 3,462 3,006 2,714 2,454Hall 35,757 42,851 47,690 48,925 53,534 55,555Hamilton 8,714 8,867 9,301 8,862 9,403 9,490 Harlan 5,081 4,357 4,292 3,810 3,786 3,446 Hayes 1,919 1,530 1,356 1,222 1,068 1,029 Hitchcock 4,829 4,051 4,079 3,750 3,111 2,926 Holt 13,722 12,933 13,552 12,599 11,551 10,610 Hooker 1,130 939 990 793 783 756Howard 6,541 6,807 6,773 6,055 6,567 6,736Jefferson 11,620 10,436 9,817 8,759 8,333 7,874Johnson 6,281 5,743 5,285 4,673 4,488 4,683Kearney 6,580 6,707 7,053 6,629 6,882 6,701


9

TABLE 2: Population by County, 1960-2006 (Cont)

County 1960 1970 1980 1990 2000 2006Keith 7,958 8,487 9,364 8,584 8,875 8,250 Keya Paha 1,672 1,340 1,301 1,029 983 892 Kimball 7,975 6,009 4,882 4,108 4,089 3,710 Knox 13,300 11,723 11,457 9,534 9,374 8,812 Lancaster 155,272 167,972 192,884 213,641 250,291 267,135 Lincoln 28,491 29,538 36,455 32,508 34,632 35,865Logan 1,108 991 983 878 774 749Loup 1,097 854 859 683 712 656McPherson 735 623 593 546 533 497Madison 25,147 27,402 31,382 32,655 35,226 35,279Merrick 8,363 8,751 8,945 8,042 8,204 7,954 Morrill 7,057 5,813 6,085 5,423 5,440 5,171 Nance 5,635 5,142 4,740 4,275 4,038 3,705 Nemaha 9,099 8,976 8,367 7,980 7,576 7,247 Nuckolls 8,217 7,404 6,726 5,786 5,057 4,650 Otoe 16,503 15,576 15,183 14,252 15,396 15,747Pawnee 5,356 4,473 3,937 3,317 3,087 2,804Perkins 4,189 3,423 3,637 3,367 3,200 2,992Phelps 9,800 9,553 9,769 9,715 9,747 9,442Pierce 8,722 8,493 8,481 7,827 7,857 7,564Platte 23,992 26,508 25,852 29,820 31,662 31,962 Polk 7,210 6,468 6,320 5,675 5,639 5,349 Red Willow 12,940 12,191 12,615 11,705 11,448 10,865 Richardson 13,903 12,277 11,315 9,937 9,531 8,656 Rock 2,554 2,231 2,383 2,019 1,756 1,544 Saline 12,542 12,809 13,131 12,715 13,843 14,155Sarpy 31,281 63,696 86,015 102,583 122,595 142,637Saunders 17,270 17,018 18,716 18,285 19,830 20,344Scotts Bluff 33,809 36,432 38,344 36,025 36,951 36,546Seward 13,581 14,460 15,789 15,450 16,496 16,835Sheridan 9,049 7,285 7,544 6,750 6,198 5,571 Sherman 5,382 4,725 4,226 3,718 3,318 3,083 Sioux 2,575 2,034 1,845 1,549 1,475 1,403 Stanton 5,783 5,758 6,549 6,244 6,455 6,570 Thayer 9,118 7,779 7,582 6,635 6,055 5,317 Thomas 1,078 954 973 851 729 629Thurston 7,237 6,942 7,186 6,936 7,171 7,273Valley 6,590 5,783 5,633 5,169 4,647 4,373Washington 12,103 13,310 15,508 16,607 18,780 20,044Wayne 9,959 10,400 9,858 9,364 9,851 9,196Webster 6,224 6,477 4,858 4,279 4,061 3,701 Wheeler 1,297 1,054 1,060 948 886 823 York 13,724 13,685 14,798 14,428 14,598 14,502

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


10

TABLE 3: Summary of Vital Statistics by Month, 2006

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

2,092 1,080 1,012 1,649

144 40

253 6

333 1,759

713

1,979 1,003

976 1,606

136 36

196 5

265 1,714

651

2,254 1,161 1,093 1,828

131 35

255 5

325 1,929

701

2,112 1,124

988 1,674

141 56

238 3

304 1,808

669

2,252 1,185 1,067 1,777

157 37

276 5

334 1,918

642

2,322 1,181 1,141 1,846

159 35

281 1

350 1,972

738

2,281 1,200 1,081 1,835

136 39

265 6

332 1,949

740

2,391 1,227 1,164 1,952

151 37

247 4

334 2,057

753

2,344 1,156 1,188 1,852

142 46

293 11

370 1,974

790

2,247 1,126 1,121 1,776

149 41

274 7

352 1,895

756

2,202 1,136 1,066 1,753

152 38

256 3

322 1,880

708

2,247 1,163 1,084 1,768

154 41

284 0

378 1,869

756

26,723 13,742 12,981 21,316

1,752 481

3,118 56

3,999

22,724 8,617

FETAL DEATHS 12 14 23 7 13 8 11 10 11 11 10 19 149 DEATHS 1,338 1,305 1,397 1,259 1,212 1,107 1,164 1,125 1,159 1,214 1,282 1,332 14,894 Sex: Male 667 623 664 588 591 556 536 540 562 598 631 650 7,206 Female 671 682 733 671 621 551 628 585 597 616 651 682 7,688 Race: White 1,282 1,239 1,330 1,208 1,152 1,050 1,103 1,072 1,103 1,163 1,225 1,269 14,196 Black 40 43 49 37 38 38 40 32 31 39 44 43 474 American Indian 4 13 13 5 7 11 14 12 17 10 9 9 124 Asian 1 1 0 0 0 1 0 0 1 0 0 1 5 Other 3 2 2 2 3 1 3 2 2 0 2 1 23 Hispanic Origin* Hispanic 22 19 15 16 22 19 22 28 12 22 21 22 240 Not Hispanic 1,316 1,286 1,382 1,243 1,190 1,088 1,142 1,097 1,147 1,192 1,261 1,310 14,654 MARRIAGES

465

636

668

900

1,187

1,605

1,385

1,237

1,429

1,064

664

813

12,053

DIVORCES

495

480

496

496

560

535

481

529

481

544

496

472

6,065

ANNULMENTS

2

5

4

2

4

2

2

5

4

1

0

1

32

* Persons of Hispanic Origin may be any race.


11

BIRTH HIGHLIGHTS In 2006, the number of resident live births in Nebraska increased for the eleventh time in the last 12 years, reaching its highest level since 1982. A total of 26,723 live births were recorded among Nebraska women in 2006, compared to the 2005 tally of 26,142. The 2006 number also translates into a crude birth rate of 15.1 live births per 1,000 population. Nebraska’s increasing number of live births is largely the result of a surge in the number of live births within the state’s Hispanic population. Comparison of 2006’s live birth data with 1994 (the year that the current upward trend in live births began) show that live births among Hispanic women rose from 1,378 to 3,999, a 190% increase, while live births among non-Hispanic women rose from 21,753 to 22,724, a 4% 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 risen only slightly during the present decade, from 24.5 years in 2000 to 24.7 years in 2006, 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 much the same: in both instances, the average age rose during the 1970s, 1980s, and into the 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 2006, compared to 27.6 years in 1995 and 2000. For Nebraska women bearing a third child, the average age was 29.3 years in 2006, compared to 29.5 years in 1995 and 29.3 years in 2000. Although Nebraska women today are having children later than earlier generations, the majority of all births still occur among women in their twenties. In 2006, women 20-29 accounted for 57.6% of all Nebraska live births, compared to 32.4% for women 30-39, 8.0% for teenaged women, and 2.0% for women 40 and older. Nebraska’s 2006 live births included 420 sets of twins, 15 sets of triplets, and 1 set of quadruplets. Nebraska has experienced increasing numbers of multiple births in recent years. By comparison, Nebraska recorded 292 sets of twins and 3 sets of triplets in 1986, just 20 years ago. Nebraska’s 2006 live births also included 1,910 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 71.5 per 1,000 live births, which is an increase from the 2005 figure of 69.7. Nebraska’s annual low birth weight rate has increased steadily since falling to an all-time low of 52.8 in 1990. Long-term trends show that low weight birth rates declined throughout the 1970s and 1980s in Nebraska, before reversing direction in the 1990s and during the present decade. Among the low birth weight babies born to Nebraska women in 2006, 333 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 12.5 per 1,000 live births, an increase from the 2005 figure of 11.9. 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.


BIRTH HIGHLIGHTS (continued)

12

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 are not 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 calendar date when prenatal care began, which should improve their accuracy, but which has also increased the amount of missing information. In 2006, birth certificate data showed that prenatal care began during the first trimester of pregnancy for 71.5% of all Nebraska live births, a slight improvement from the 2005 figure of 71.3%. The 2006 figure increases to 75.4% when births with missing data are excluded. 2005 also marked the first year that Nebraska 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, 13.6% of Nebraska's 2006 live births occurred among women who did not receive adequate prenatal care, compared to 14.1% in 2005. The number of live births that occurred among unmarried Nebraska women increased in 2006, continuing a long-standing trend. A total of 8,617 live births were recorded in Nebraska among unmarried women in 2006, up from the 8,068 recorded in 2005. The 2006 figure represents 32.2% of the state's total number of resident live births, and this proportion is the highest ever recorded in Nebraska history. Thirty years ago, in 1976, teenaged mothers accounted for just over half of all births to unmarried women in Nebraska, but by 2006, this proportion had fallen to only one in five (21.6%). 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 2006, 21.2% 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 15.3% for women in their first trimester, 12.5% for women in their second trimester, and 11.8% for women in their third trimester. A total of 1,113 birth defects were diagnosed among 676 children born to Nebraska women in 2006. The latter figure translates into a rate of 25.3 cases per 1,000 resident live births and stillborns. Defects of the circulatory system were the most frequently diagnosed conditions in Nebraska in 2006, accounting for 302 (27.1%) of all defects reported. Musculoskeletal conditions were the second most frequently reported defects among Nebraska children in 2006, with 208 diagnoses, followed by genitourinary system defects, with 152 diagnoses. Nebraska’s 2006 data also show that birth defects were reported over 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.


13


14


15

TABLE 4: Births by Place of Occurrence and by Usual Residence of the Mother, 2004-2006

Place

2004 2005 2006 2006

Occurrence Residence Occurrence Residence Occurrence Residence Birth

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.

26,446

709 708

1 28 0 0 0

77 88

0 88 0

12 976 975

1 2

67 67 0 0 0 0 1

41 110 109

1 100 100

0 0

72 72 0

81 81 0

110 109

1 2 1 1

123 122

1 324 52 38

234 0

26,324

455 371 84 76 6 6 5

60 133 103 30 19 40

640 455 185 70 95 37 58

335 126 209 100 45 80 44 36

146 98 48 67

186 137 49

138 57 81

116 50 66

402 319 83

103 79 24

478 72 57

266 83

26,349

703 703

0 28 0 0 0

87 79 79 0 1 6

1,028 1,028

0 1

61 61 0 2 1 0 0

35 115 115

0 100 100

0 0

72 72 0

86 85 1

93 91 2 1 0 1

111 111

0 289

57 24

208 0

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

26,895

732 732

0 20 0 0 0

82 80 79 1 0 5

1,094 1,094

0 2

69 69 0 3 2 0 1

28 111 111

0 91 91 0 0

74 74 0

71 71 0

119 119

0 0 0 0

119 119

0 267

43 22

202 0

26,723

444 368 76 76 6 7 6

46 150 122 28 13 31

709 488 221 81 98 35 63

301 119 182 108 43 67 35 32

121 87 34 82

173 139 34

110 41 69

131 55 76

374 288 86 95 67 28

418 53 54

234 77

15.1

13.4 14.6 9.5

11.0 16.1 8.9

12.28.1

13.515.0 9.4 5.9 9.2

16.1 16.6 15.2 11.011.413.8 10.4 11.6 16.9 9.6

12.2 11.3 11.312.9

9.9 12.313.7 9.7

12.5 17.1 26.7 6.9

11.411.8 11.2 11.716.8 9.5

18.2 23.7 10.2 11.2 12.98.6

16.712.4 14.4 22.8 11.4


16

TABLE 4: Births by Place of Occurrence and by Usual Residence of the Mother, 2004-2006 (Cont)

Place

2004 2005 2006 2006


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

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

0 0

443 443

0 12,297

2 12,294

0 1

19 40 0 0

24 112 112

0 0 0 0 0 0

965 965

0 63 63 0 0 0 0

132 105 27 0

50 49

0 49 59 0 0 0

89 89 0 0 0 0 0 1

21 83

494 385 109

8,548 127

7,163 58

1,200 14 61 33 28 43

277 185

92 16 16 26 7

26 969 839 130 103

55 48 40 9

27 124

49 75 4

72 76 40 36 66 76 33 43 91 61 30 15 48 32 16

102

10.7 13.5 13.7 15.110.1 17.415.3 17.1

9.4 20.7 6.6 9.7 9.9

10.38.6

11.914.3

8.8 8.0 8.9

13.1 10.6 10.6 17.418.8 11.9 10.912.9 9.2

11.6 8.7 9.2

11.7 14.310.4 5.3

10.79.7

10.0 9.3

14.1 11.3 11.5 11.2 11.013.1 8.3

16.812.9 13.9 11.3 11.6


17


Place

2004 2005 2006 2006


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.

4,919 4,918

1 608 608

0 0 0 0

985 984

1 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

4,967 4,965

2 638 638

0 0 0 0

938 938

0 4 4 0 1 0 1 1 0

51 149 140

9 0

27 146 146

0 0

582 582

0 17

125 125

0 55 55 0 0

110 110

0 398

1 0

397 0 1 1 0

4,095 3,822

273 512 382 130 15 3 8

536 395 141 77 35 42 50 39 87 52 35 50

189 101 88 25 40

117 77 40 81

499 387 112 64

121 88 33 84 43 41 16

221 132 89

2,520 897 269 304

1,050 246 54

192

15.3 15.8 10.5 14.3 15.7 11.3 20.04.6

16.115.216.5 12.4 9.7

12.3 8.2 9.7

10.511.915.8 8.7

10.8 12.0 14.2 10.2 8.9

13.412.414.59.7

10.715.6 18.1 10.6 12.0 11.1 11.7 9.9 9.7

10.3 9.2

10.4 15.6 20.9 11.3 17.7 18.816.814.318.2 12.113.4 11.8


18


Place

2004 2005 2006 2006


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.

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

811 1

808 2

107 107

0 36 0 0 0

33 0

71 6

86 84 2

48 48 0 1 0

175 161 14

552 156 252 144 202

83 119 68 27 10 90 63 9

174 56

234 114 120 111 64 47 30 6

191 118 73

15.1 20.3 17.1 10.2 12.012.111.9 12.28.8 7.1

13.7 11.8 14.3 23.912.811.714.4 9.9

12.1 12.4 11.7 8.1 7.3

13.214.8 11.2

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


19

TABLE 5: Births by Sex, Race and Hispanic Origin, By Place of Residence, 2006

Place Total

Births 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.

26,723

444 368 76 76 6 7 6

46 150 122 28 13 31

709 488 221 81 98 35 63

301 119 182 108 43 67 35 32

121 87 34 82

173 139 34

110 41 69

131 55 76

374 288 86 95 67 28

418 53 54

234 77

13,742

234 196 38 39 3 4 4

19 71 59 12 8

13 356 248 108 37 56 20 36

149 60 89 58 28 35 22 13 59 41 18 37 89 70 19 49 21 28 74 33 41

191 152 39 41 27 14

214 24 27

129 34

12,981

210 172 38 37 3 3 2

27 79 63 16 5

18 353 240 113 44 42 15 27

152 59 93 50 15 32 13 19 62 46 16 45 84 69 15 61 20 41 57 22 35

183 136 47 54 40 14

204 29 27

105 43

21,316

375 301 74 73 6 7 6

46 113

85 28 13 30

642 449 193 79 96 34 62

291 113 178 106 35 53 24 29

109 78 31 71 57 25 32

108 40 68

125 52 73

312 229 83 90 63 27

248 46 51 87 64

1,752

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

10 10 0 0 0 0 5 0 0 5 0

481

3 3 0 1 0 0 0 0

18 18 0 0 1 2 2 0 1 0 0 0 0 0 0 2 1

13 10 3 3 2 1 0 0 0 0 0 0 0 3 3 0

18 17 1 4 3 1 2 0 0 2 0

618

12 12 0 0 0 0 0 0 5 5 0 0 0 2 2 0 0 0 0 0 6 4 2 0 0 1 1 0 3 3 0 0

12 12 0 0 0 0 1 0 1

15 15 0 0 0 0 4 0 0 4 0

2,556

49 47 2 2 0 0 0 0

13 13 0 0 0

55 28 27 1 2 1 1 4 2 2 0 7 0 0 0 5 3 2

11 103 101

2 2 1 1 2 0 2

19 17 2 1 1 0

1597 3

136 13

3,999

58 56 2 4 0 001

23 23 0 0 0

68 39 29 232 1 9 7 2 1 7 00 0

109 1

12 119 117

2 1917 2 41 3

191 167 24 4 4 0

19610 3

165 18


20

TABLE 5: Births by Sex, Race and Hispanic Origin, By Place of Residence, 2006 (Cont)

Place Total


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

21 83

494 385 109

8,548 127

7,163 58

1,200 14 61 33 28 43

277 185

92 16 16 26 7

26 969 839 130 103

55 48 40 9

27 124 49 75 4

72 76 40 36 66 76 33 43 91 61 30 15 48 32 16

102

10 49

232 180 52

4,394 59

3,679 25

631 9

31 18 11 17

141 92 49 10 6

16 5

15 476 407

69 44 29 15 16 5

15 64 22 42 2

36 33 21 12 32 35 14 21 46 32 14 7

16 13 3

54

11 34

262 205 57

4,154 68

3,484 33

569 5

30 15 17 26

136 93 43 6

10 10 2

11 493 432

61 59 26 33 24 4

12 60 27 33 2

36 43 19 24 34 41 19 22 45 29 16 8

32 19 13 48

20 78

403 309 94

5,976 118

4,703 54

1,101 11 58 33 28 42

263 174

89 16 14 24 7

26 600 498 102 101

54 47 36 9

26 116 45 71 4

71 73 38 35 45 72 30 42 85 56 29 15 45 29 16 81

0 0 3 1 2

1,345 0

1,317 0

28 0 0 0 0 0 2 2 0 0 1 1 0 0

30 30

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 2 2 0

95 0

93 0 2 0 0 0 0 0 3 2 1 0 0 0 0 0 8 8 0 1 0 1 1 0 0 0 0 0 0 0 2 2 0 0 1 0 1 2 1 1 0 0 0 0

20

0 0 5 5 0

263 6

202 1

54 0 0 0 0 0 1 1 0 0 0 0 0 0

14 12

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

1 5

81 68 13

869 3

848 3

15 3 3 0 0186 2 0 1 1 0 0

317291

26 00 0 3 0 1 7 4 3 0110 1

19 3 3 0 22 0 0 3 3 0 0

1 12 88 73 15

1,589 5

1,546 6

32 4 3 0 02

108 2 0 1 1 0 0

340313

27 00 0 3 0 0 8 4 4 0210 1

20 3 3 0 65 1 0 3 3 0 3


21


Place Total


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.

4,095 3,822

273 512 382 130

15 3 8

536 395 141 77 35 42 50 39 87 52 35 50

189 101 88 25 40

117 77 40 81

499 387 112 64

121 88 33 84 43 41 16

221 132 89

2,520 897 269 304

1,050 246

54 192

2,095 1,960

135 261 186 75

7 1 7

298 212 86 38 17 21 22 22 40 25 15 30

108 58 50 16 25 63 40 23 43

263 200 63 32 48 34 14 47 25 22 11

128 73 55

1,339 478 150 167 544 136

36 100

2,000 1,862

138 251 196 55 8 2 1

238 183 55 39 18 21 28 17 47 27 20 20 81 43 38 9

15 54 37 17 38

236 187 49 32 73 54 19 37 18 19 5

93 59 34

1,181 419 119 137 506 110

18 92

3,449 3,184

265 457 334 123 15 3 8

480 351 129 75 34 41 45 39 86 52 34 48

179 92 87 24 39

112 73 39 81

394 286 108 64

111 78 33 79 40 39 16

129 51 78

2,189 697 224 276 992 236

48 188

171 170

1 5 5 0 0 0 0

19 18 1 1 0 1 0 0 0 0 0 0 1 1 0 0 0 1 1 0 0 5 5 0 0 1 1 0 0 0 0 0 1 0 1

124 78 19 13 14 0 0 0

53 52 1 4 4 0 0 0 0

10 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 0 0 1 1 0 5 3 2 0 0 0 0

10 5 2 0 3 1 0 1

169 169

0 1 1 0 0 0 0 4 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 9 0 0 0 0 0 0 0 0 0 6 5 1

64 30 12

8 14 3 2 1

253 247

6 45 38

7 000

23 12 11 1 1 0 5010 1 2 9 8 1 1 143 1 0

88 84 4 0 8 8 0 0 0 0 0

85 76 9

133 87 12

7 27 6 4 2

340 333

7 62 52 10 000

11575 40 0 0 0 7110 1 3

10 9 1 2 343 1 0

100 96 4 1

10 9 1 11 0 0

85 76 9

225 146 19 11 49 75 2


22


Place Total

BirthsSex 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.

552 156 252 144 202 83

119 68 27 10 90 63 9

174 56

234 114 120 111 64 47 30 6

191 118 73

282 78

130 74 94 33 61 38 19 7

53 31 6

99 28

126 55 71 55 29 26 15 4

92 54 38

270 78

122 70

108 50 58 30

8 3

37 32 3

75 28

108 59 49 56 35 21 15 2

99 64 35

416 126 166 124 199 83

116 50 26 10 84 61 8

33 56

227 109 118 104 59 45 29 6

180 112 68

6 1 4 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 2 1 1

27 4

23 0 0 0 0

16 0 0 1 0 1

140 0 0 0 0 0 0 0 0 0 2 1 1

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

101 25 58 18 0 0 0 2 1 0 4 2 0 1 0 5 3 2 5 4 1 0 0 5 2 3

152 41 87 24 0 0 0 1 1 0 6 2 0 0 0

11 7 4

10 7 3 0 0 8 3 5

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: 420 sets of Twins 15 sets of Triplets 1 set of Quadruplets


23

Graph 3: Percent of All Births by Age of Mother, 2002-2006

0

5

10

15

20

25

30

35

40Pe

rcen

t of A

ll B

irths

Under 2020-2425-2930 and Over

Under 20 9.5 9.0 8.7 8.3 8.020-24 26.1 25.9 25.5 25.7 25.525-29 29.9 30.8 31.1 31.4 32.130 and Over 34.4 34.3 34.8 34.6 34.4

2002 2003 2004 2005 2006


24

Graph 4: Average Age of Mother Giving Birth,1975-2006

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 24.6 24.72nd Born 25.4 25.9 26.3 27.0 27.6 27.6 27.5 27.53rd Born 27.6 28.4 28.2 28.8 29.5 29.3 29.3 29.3

1975 1980 1985 1990 1995 2000 2005 2006


25


26

TABLE 7: Teen Births by County of Residence, 2006 and 2002-2006 2006 2002-2006 Teen Total % Teen Teen Total % Teen County Births Births Births Births Births Births TOTAL 2,143 26,723 8.0 11,356 130,470 8.7 Adams 46 444 10.4 232 2,144 10.8 Antelope 6 76 7.9 17 367 4.6 Arthur * 6 1 28 3.6 Banner * 7 5 26 19.2 Blaine * 6 0 24 0.0 Boone * 46 21 271 7.7Box Butte 17 150 11.3 80 738 10.8 Boyd * 13 8 78 10.3Brown * 31 11 163 6.7Buffalo 42 709 5.9 217 3,237 6.7Burt 7 81 8.6 33 392 8.4 Butler 6 98 6.1 24 449 5.3 Cass 21 301 7.0 83 1,589 5.2 Cedar 5 108 4.6 25 546 4.6 Chase 5 43 11.6 27 225 12.0 Cherry 7 67 10.4 34 365 9.3Cheyenne 9 121 7.4 60 644 9.3Clay 7 82 8.5 31 375 8.3Colfax 25 173 14.5 137 973 14.1Cuming 9 110 8.2 46 637 7.2Custer 9 131 6.9 53 649 8.2 Dakota 35 374 9.4 229 2,018 11.3 Dawes 6 95 6.3 41 498 8.2 Dawson 53 418 12.7 282 2,189 12.9 Deuel * 21 7 97 7.2 Dixon * 83 28 393 7.1Dodge 33 494 6.7 231 2,514 9.2Douglas 738 8,548 8.6 3,801 41,039 9.3 Dundy * 14 11 100 11.0Fillmore * 61 27 328 8.2Franklin * 33 7 160 4.4 Frontier * 28 12 141 8.5 Furnas * 43 21 237 8.9 Gage 24 277 8.7 114 1,373 8.3 Garden * 16 4 82 4.9 Garfield * 16 6 85 7.1Gosper * 26 10 113 8.8Grant * 7 1 29 3.4Greeley * 26 10 148 6.8Hall 98 969 10.1 580 4,723 12.3Hamilton * 103 35 534 6.6 Harlan * 40 15 165 9.1 Hayes * 9 2 46 4.3 Hitchcock * 27 10 160 6.3 Holt 6 124 4.8 52 606 8.6 Hooker * 4 3 31 9.7Howard * 72 23 398 5.8Jefferson 7 76 9.2 36 413 8.7Johnson 6 66 9.1 21 278 7.6Kearney * 76 25 384 6.5


27

TABLE 7: Teen Births by County of Residence, 2006 and 2002-2006 (Cont)

2006 2002-2006 Teen Total % Teen Teen Total % Teen County Births Births Births Births Births BirthsKeith 11 91 12.1 61 461 13.2 Keya Paha * 15 2 58 3.4 Kimball * 48 28 196 14.3 Knox 9 102 8.8 48 497 9.7 Lancaster 277 4,095 6.8 1,465 20,152 7.3 Lincoln 49 512 9.6 271 2,429 11.2Logan * 15 4 56 7.1Loup * 3 1 28 3.6McPherson * 8 2 25 8.0Madison 66 536 12.3 320 2,850 11.2Merrick * 77 27 432 6.3 Morrill 5 50 10.0 24 290 8.3 Nance * 39 15 204 7.4 Nemaha 7 87 8.0 39 391 10.0 Nuckolls 8 50 16.0 31 284 10.9 Otoe 26 189 13.8 98 942 10.4Pawnee * 25 6 109 5.5Perkins * 40 10 178 5.6Phelps 5 117 4.3 38 553 6.9Pierce * 81 20 430 4.7Platte 45 499 9.0 209 2,305 9.1 Polk * 64 18 327 5.5 Red Willow 12 121 9.9 65 678 9.6 Richardson 7 84 8.3 44 443 9.9 Rock * 16 6 74 8.1 Saline 19 221 8.6 104 990 10.5Sarpy 125 2,520 5.0 649 12,002 5.4Saunders 10 246 4.1 68 1,236 5.5Scotts Bluff 70 552 12.7 378 2,654 14.2Seward 8 202 4.0 47 952 4.9Sheridan 6 68 8.8 43 359 12.0 Sherman * 27 11 165 6.7 Sioux * 10 2 51 3.9 Stanton 9 90 10.0 32 426 7.5 Thayer * 63 16 260 6.2 Thomas * 9 0 34 0.0Thurston 37 174 21.3 181 793 22.8Valley * 56 15 245 6.1Washington 9 234 3.8 56 1,103 5.1Wayne 8 111 7.2 33 514 6.4Webster * 30 9 157 5.7 Wheeler * 6 0 37 0.0 York 17 191 8.9 71 898 7.9

Teen Births = Ages 19 and under * For reasons of confidentiality, Teen Births are not provided for 2006 if there were less than five for any given county.


28

Graph 5: Trimester Prenatal Care Began, 2006

0

10

20

30

40

50

60

70

80

90

100

Age of Mother

Perc

ent

1st Trimester2nd Trimester3rd TrimesterNo CareUnknown

1st Trimester 47.4 53.8 64.8 75.5 78.4 75.02nd Trimester 31.6 30.5 23.4 16.8 15.3 17.83rd Trimester 10.0 6.1 4.8 2.8 2.0 2.0No Care 1.5 1.7 0.7 0.6 0.2 0.5Unknown 9.4 7.8 6.3 4.4 4.1 4.8

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


29

TABLE 8: Births - Trimester Prenatal Care Began (Percent) by Number of Prenatal Visits, 2006 No

Number Trimester Prenatal of Visits First Second Third Care Unknown Total

0 - - - 100.0 - 100.0 1-5 27.3 36.0 32.4 - 4.3 100.0 6-9 62.0 31.1 4.4 - 2.4 100.0 10-12 79.4 16.1 0.7 - 3.8 100.0 13-15 82.2 8.4 0.2 - 9.2 100.0 16-18 77.4 7.2 0.1 - 15.3 100.0 > 18 77.2 8.4 1.2 - 13.2 100.0 Unknown 66.3 11.9 5.6 - 16.1 100.0 Total 71.5 19.4 3.4 0.6 5.2 100.0

TABLE 9: Births - Number of Prenatal Care Visits (Percent) by Age of Mother, 2006

Number of Prenatal Care Visits Age of Mother 0 1-5 6-9 10-12 13-15 16-18 >18 Unknown Total < 17 years 1.4 13.3 31.6 31.6 17.3 3.1 1.0 0.7 100.0 17-19 years 1.7 8.7 31.1 35.3 17.8 3.6 0.9 0.9 100.020-24 years 0.7 6.5 29.3 36.8 19.7 4.6 1.5 1.0 100.025-29 years 0.6 4.5 27.4 41.6 19.1 4.1 1.5 1.3 100.030-34 years 0.2 3.8 28.7 41.2 19.2 4.0 1.8 1.1 100.035-39 years 0.4 4.4 29.9 40.5 17.9 4.4 1.7 0.8 100.0> 39 years 0.9 6.1 26.9 36.2 20.5 6.3 2.6 0.6 100.0 Total 0.6 5.2 28.7 39.5 19.1 4.2 1.6 1.1 100.0

Rows may not sum to total due to rounding.


30

TABLE 10: Number of Prenatal Care Visits (%) by Education of Mother, 2006

Education of Number of Prenatal Care Visits Mother (Yrs) 0 1-5 6-9 10-12 13-15 16-18 >18 Unknown Total Less than 9 years 0.7 8.6 27.6 34.1 23.0 4.7 1.3 0.2 100.0 9-11 years 1.4 10.5 30.2 35.1 17.2 4.1 1.3 0.3 100.0 12 years 1.0 7.0 29.0 37.3 19.8 4.2 1.3 0.4 100.0 13 years 0.6 4.9 28.4 40.2 19.1 4.7 1.7 0.3 100.0 14 years 0.3 2.7 29.6 42.4 18.5 4.3 1.9 0.2 100.0 15 years - - - - - - - - - 16 years 0.1 2.8 29.5 43.4 18.7 3.7 1.6 0.3 100.0 More than 16 years 0.2 2.0 27.0 43.1 21.2 4.4 1.9 0.3 100.0 Unknown 0.5 0.5 1.8 4.1 0.5 - - 92.6 100.0 Total 0.6 5.2 28.7 39.5 19.1 4.2 1.6 1.1 100.0

TABLE 11: Births - Number of Prenatal Care Visits (%) by Birth Weight of Child, 2006

Birth Weight Number of Prenatal Care Visits of Child 0 1-5 6-9 10-12 13-15 16-18 >18 Unknown Total

< 1500 grams 3.0 35.1 34.2 10.2 5.7 2.7 6.6 2.4 100.0 1500-2499 grams 1.4 11.4 32.4 29.5 14.2 5.0 4.3 1.8 100.02500-4499 grams 0.5 4.5 28.4 40.6 19.5 4.2 1.3 1.0 100.0>4499 grams 0.3 2.2 29.9 37.1 23.6 3.8 1.9 1.3 100.0 Unknown - 33.3 33.3 33.3 - - - - 100.0 Total 0.6 5.2 28.7 39.5 19.1 4.2 1.6 1.1 100.0

TABLE 12: Births - Number of Prenatal Care Visits (%) by Race/Hispanic Origin of Mother, 2006

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 0.5 4.2 27.6 40.6 19.9 4.5 1.7 1.1 100.0 Black 1.0 10.4 30.7 32.2 19.5 4.4 1.2 0.6 100.0 American Indian 4.0 11.9 31.2 25.6 13.7 3.1 2.5 8.1 100.0 All Other 0.6 8.4 34.4 38.7 14.1 2.6 0.7 0.3 100.0 Unknown 1.8 7.1 32.1 37.5 16.1 - 1.8 3.6 100.0 Hispanic Origin * Mexican 0.6 7.3 28.4 35.2 21.9 5.2 1.1 0.2 100.0 All Other 0.8 8.0 31.1 39.2 15.7 4.1 1.0 0.2 100.0 Total 0.6 5.2 28.7 39.5 19.1 4.2 1.6 1.1 100.0

* Persons of Hispanic Origin may be any race.

Rows may not sum to total due to rounding.


31

TABLE 13: Births by Trimester Prenatal Care Began and Percent Receiving Inadequate Care by County of Residence, 2006

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 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

19,096

338 52 5 4 4

36 115

11 22

559 60 80

233 93 29

43 78 64

112 85 98 7

79 264 15 28

356 6,012

5 46 25 21 27

184 9

11 17 6

24 666 75 25 7

23 93 3

54 54 46

63

5,177

77 21 1 2 1 7

24 2 7

118 11 16 51 8 9

20 25 15 48 15 25 7

15 121

4 10

113 1,590

7 10

6 5

13 78 6 4 6 1 2

251 24 13 2 4

18 1

17 19 17 9

899

24 2 0 0 1 2 6 0 2

31 1 1 7 1 3 2 4 2

13 5 6 0 0

26 0 2

19 284

0 5 0 1 2

13 0 1 2 0 0

38 1 1 0 0

10 0 1 3 3 2

162

1 1 0 0 0 1 2 0 0 0 2 1 1 0 0 2 1 1 0 1 1 2 1 6 0 0 5

58 0 0 1 1 0 1 0 0 0 0 0 9 0 0 0 0 1 0 0 0 0 0

1,389

4 0 0 1 0 0 3 0 0 1 7 0 9 6 2 0

13 0 0 4 1

358 0 1 2

43 1

604 2 0 1 0 1 1 1 0 1 0 0 5 3 1 0 0 2 0 0 0 0 2

13.6

15.5 13.3 0.0 0.0

16.7 8.7

17.0 0.0

14.312.39.5 9.2 9.3 5.7

17.5 22.613.919.522.113.212.3 46.7 8.2

23.4 26.3 21.616.613.825.015.0

6.3 10.7 16.7 14.9 20.0 18.816.014.33.8

16.515.0 17.9 11.1 3.7

14.8 0.0

11.114.516.78.1


32

TABLE 13: Births by Trimester Prenatal Care Began and Percent Receiving Inadequate Care by County of Residence, 2006 (Cont)

County

Trimester Prenatal Care Began Percent Inadequate

Care* First

Trimester Second

Trimester Third

Trimester

None

Unknown 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 SewardSheridan Sherman Sioux Stanton Thayer Thomas Thurston ValleyWashington Wayne Webster Wheeler York

61 12 32 72

3,068 377 10 0 5

401 52 33 25 56 37

119 20 26 85 68

410 54 94 62 14

139 1,983

190 388

148 52 21 8

79 45 7

25 42

183 86 23 6

112

21 3 9

15 852 115

3 3 3

100 20 8

14 23 10 63

4 10 24 9

74 6

24 16 2

67 390 50

124 48 12 5 2 8

16 2 6

11 45 18 2 0

64

4 0 3

13 123 11 1 0 0

30 3 2 0 5 2 3 1 1 7 2

14 3 1 3 0

11 57 5

23 4 4 1 0 3 2 0 0 3 4 4 5 0

14

0 0 0 0

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

5 0 4 2

23 5 1 00 2 1 6 0 2 0 1 0 1 1 1 0 0 1 3 0 3

86 1

12 2 0 0 0 0 0 0

141 0 2 3 0 0 0

16.3 0.0

22.7 14.3 12.4 15.621.433.337.514.97.9

20.5 10.3 15.5 12.0 14.412.520.516.410.412.9 7.8

10.1 16.0 13.3 20.710.1

9.817.0 10.512.7 11.1 0.0 8.9

11.1 11.118.217.911.2

8.520.0 0.0

18.8

* Calculated by using the Kotelchuk Index. The Kotelchuk Index measures adequacy of prenatal care (adequate, inadequate, intermediate) by using a combination of the following factors: number of prenatal visits; gestation and trimester prenatal care started.


33

Graph 6: Low and Very Low Birth Weight Rates, 1970-2006

0

10

20

30

40

50

60

70

80

1970

1973

1976

1979

1982

1985

1988

1991

1994

1997

2000

2003

2006

Rat

e pe

r 1,0

00 L

ive

Birt

hs

<2500 Grams

<1500 Grams


34

TABLE 14: Births by Weight Groups, 2006

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.



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

28

97

284

403

1,107

1,153

6,224

9,783

5,878

1,487

241

31

4

3

0.1

0.4

1.1

1.5

4.1

4.3

23.3

36.6

22.0

5.6

0.9

0.1

0.0

0.0

Total Births 26,723 100.0

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

30

121

182

410

1,167

4,391

10,412

7,802

1,887

289

29

3

0.1

0.5

0.7

1.5

4.4

16.4

39.0

29.2

7.1

1.1

0.1

0.0

Total Births

26,723 100.0

* Percents may not sum to total due to rounding.


35

TABLE 15: Births, Very Low and Low Birth Weight by County of Residence, 2006 and 2002-2006

County

2006 2002-2006< 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 ColfaxCuming 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

333

5 1 0 0 0 0 1 0 1 7 1 1 3 1 0 1 4 1

1 2 0 5 0 4 0 2 5

119 0 3 0 0 0 3 0 0 0 0 0 8 2 0 0 0 1 0 0 0 1

1

12.5

11.3 13.2

- - - -

6.7 -

32.3 9.9

12.3 10.2 10.0 9.3

- 14.9 33.1 12.2 5.8

18.2 -

13.4 -

9.6 -

24.1 10.1 13.9

- 49.2

- - -

10.8 - - - - -

8.3 19.4

- - -

8.1 - - -

15.2 13.2

1,910

31 4 0 0 0 2

11 0 3

43 4 7

15 5 2 6 9 4 6

10 6

29 6

26 1 6

39 704

1 7 2 3 0

17 2 1 0 0 1

59 14 1 0 2 8 0 1 8 2 5

71.5

69.8 52.6

- - -

43.5 73.3

- 96.8 60.6 49.4 71.4 49.8 46.3 46.5 89.6 74.4 48.8 34.7 90.9 45.8 77.5 63.2 62.2 47.6 72.3 78.9 82.4 71.4

114.8 60.6

107.1 -

61.4 125.0 62.5

- -

38.5 60.9

135.9 25.0

- 74.1 64.5

- 13.9

105.3 30.3 65.8

1,621

23 3 0 0 0 3 5 0 4

46 7 1

27 2 0 4

14 1

13 4 8

24 7

27 2 4

31 576

2 3 0 6 0

14 0 0 3 0 0

58 8 0 0 1 5 0 2 3 1 7

12.4

10.7 8.2

- - -

11.1 6.8

- 24.5 14.2 17.9 2.2

17.0 3.7

- 11.0 21.7 2.7

13.4 6.3

12.3 11.9 14.1 12.3 20.6 10.2 12.3 14.0 20.0 9.1

- 42.6

- 10.2

- -

26.5 - -

12.3 15.0

- -

6.3 8.3

- 5.0 7.3 3.6

18.2

9,207

127 21 0 0 0

15 54

5 15

204 23 20

110 24 13 22 41 15 52 32 43

150 29

146 6

27 161

3,237 6

22 6

16 8

108 4 5 5 4 9

324 49 5 0 7

37 3

19 3213 26

70.6

59.2 57.2

- - -

55.473.264.192.063.058.7 44.5 69.2 44.0 57.8 60.363.740.053.450.266.3 74.3 58.2 66.7 61.9 68.764.078.960.067.137.5

113.5 33.8 78.7 48.8 58.844.2

137.960.868.691.8 30.3

- 43.8 61.1 96.847.777.546.867.7


36

TABLE 15: Births, Very Low and Low Birth Weight by County of Residence, 2006 and 2002-2006 (Cont) 2006 2002-2006

County < 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

2 0 0 0

67 7 0 0 0 4 1 5 0 5 0 2 1 0 0 0 1 0 0 0 0 5

24 2 5 4 0 0 0 0 1 0 3 1 4 0 2 0 3

22.0 - - -

16.4 13.7

- - -

7.5 13.0

100.0 -

57.5 -

10.6 40.0

- - -

2.0 - - - -

22.6 9.5 8.1 9.1

19.8 - - - -

15.9 -

17.2 17.9 17.1

- 66.7

- 15.7

10 2 5 7

283 41

1 0 0

32 8 5 3

10 2

20 3 2 2 2

17 5 4 5 3

14 188 17 30 17

1 1 0 4 8 2 7 1

14 3 3 0

15

109.9 133.3 104.2 68.6 69.1 80.1 66.7

- -

59.7 103.9 100.0 76.9

114.9 40.0

105.8 120.0 50.0 17.1 24.7 34.1 78.1 33.1 59.5

187.5 63.3 74.6 69.1 54.3 84.2 14.7 37.0

- 44.4

127.0 222.2 40.2 17.9 59.8 27.0

100.0 -

78.5

5 0 3 8

269 30

0 0 0

30 4

10 3 6 7 6 2 1 2 6

15 4 7 1 0

17 131 10 23 11

0 3 2 0 3 0 9 4

17 5 2 0

16

10.8 -

15.3 16.1 13.3 12.4

- - -

10.5 9.3

34.5 14.7 15.3 24.6 6.4

18.3 5.6 3.6

14.0 6.5

12.2 10.3 2.3

- 17.2 10.9 8.1 8.7

11.6 -

18.2 39.2

- 11.5

- 11.3 16.3 15.4 9.7

12.7 -

17.8

38 4

24 31

1,459 180

2 2 1

159 36 27 19 22 25 73 10 4

22 15

129 25 40 30 5

63 804 92

212 59 25 8 4

18 19 4

40 12 66 25

6 0

68

82.4 69.0

122.4 62.4 72.4 74.1 35.771.440.055.8 83.3 93.1 93.1 56.3 88.0 77.591.7 22.539.834.9 56.0 76.5 59.0 67.7 67.6 63.6 67.074.479.962.0 69.6 48.5 78.4 42.3 73.1

117.650.4 49.0 59.848.638.2

- 75.7

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


37

TABLE 16: Medical Risk Factors of the Mother, 2006

Percent of Medical Risk Factors* Number Births Prepregnancy Diabetes 204 0.8 Gestational Diabetes 1,329 5.0 Hypertension, Pre-Pregnancy 176 0.7 Hypertension, Gestational 961 3.6 Previous Pre-Term Births 606 2.3 Poor Pregnancy Outcomes 740 2.8 Vaginal Bleeding 616 2.3 Infertility Treatment 310 1.2 Previous Cesarean 3,171 11.9

* More than one medical risk factor may be reported.

TABLE 17: Obstetric Procedures, 2006 Percent of Obstetric Procedures Number Births Cervical Cerclage 102 0.4 Tocolysis 338 1.3Successful External Cephalic Version 112 0.4 Failed External Cephalic Version 29 0.1

TABLE 18: Characteristics of Labor and Delivery, 2006 Percent of Characteristics of Labor and Delivery Number Births Induction of Labor 9,084 34.0 Augmentation of Labor 7,369 27.6 Non-Vertex Presentation 525 2.0 Steroids 145 0.5Antibiotics 4,846 18.1Chorioamnionitis 307 1.2Meconium Staining 1,285 4.8 Fetal Intolerance 2,625 9.8 Anesthesia 19,157 71.7


38

TABLE 19: Method of Delivery, 2006

Percent of Method of Delivery Number Births Spontaneous 17,514 65.5Forceps 687 2.6Vacuum 814 3.1Cesarean 7,697 28.8Unknown 11 0.0

TABLE 20: Onset of Labor, 2006 Percent of Onset of Labor Number Births Premature Rupture of Membranes 468 1.8 Precipitous Labor 589 2.2 Prolonged Labor 351 1.3

TABLE 21: Perinatal Cigarette Smoking, 2006 3 Months First 3 Second 3 Last 3 Prior to Mos. of Mos. of Mos. of Number of Cigarettes per Day Pregnancy Pregnancy Pregnancy Pregnancy None 21,046 22,563 23,293 23,481 1-5 1,388 1,340 1,232 1,318 6-10 1,991 1,707 1,509 1,336 11-19 474 296 204 15120-29 1,576 670 355 31230-39 120 26 23 2240 or more 99 25 12 9 Unknown 29 96 95 94


39

Graph 7: Average Birth Weight by Tobacco Usage of the Mother (2002-2006)

0

500

1000

1500

2000

2500

3000

3500

4000

2002 2003 2004 2005* 2006*

Birt

h W

eigh

t in

Gra

ms

None 1-5 6-10 11-20 21-30 31+Tobacco Use (Cigarettes per Day)

*In 2005 and 2006, tobacco use reported here refers to third trimester of pregnancy only.


40

Graph 8: Tobacco Use During Third Trimester of Pregnancyby Race/Hispanic Origin of the Mother, 2006

11.8

22.9

13.0 12.0

2.9 2.3 3.2

0.0

10.0

20.0

30.0

40.0

50.0

60.0

70.0

80.0

90.0

100.0

Total AmericanIndian

White Black Asian Other Hispanic*

Perc

ent o

f Mot

hers

Usi

ng T

obac

co

*Hispanic Origin may be of any race.


41

Graph 9: Birth Rates for Unmarried Women, 1960-2006

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


42

TABLE 22: Births to Unmarried Women by Place of Residence, 2006 and 2002-2006

2006 2002-2006Place Number Rate* Number 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 CherryCheyenne 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

8,617

174 158 16 20 0 2 0

11 55

1 10

211 161 50 26 24 77 18 10

24 39 23 81 23 26

157 125 32 27

168 103 65 8

24 172 151 21

3,165 3,043

122 2

17 6 6 9

90 69 21 8 3

322.5

391.9 429.3 210.5 263.2

- 285.7

- 239.1 366.7

76.9 322.6 297.6 329.9 226.2 321.0 244.9 255.8 166.7 232.6 358.2 322.3 280.5 468.2 209.1 198.5 419.8 434.0 372.1 284.2 401.9 440.2 353.3 381.0 289.2 348.2 392.2 192.7 370.3 424.8 88.1

142.9 278.7 181.8 214.3 209.3 324.9 373.0 228.3 500.0 187.5

39,582

698 637 61 70 4 50

59245

1636

819 593 226 108 1033798453

110171 95

402 137 132 810666 144 147816511 305 27 95

850 712 138

14,31413,719

595 20 76 32 29 42

375289 86 2211

303.4

325.6 361.3 160.1 190.7 142.9 192.3

-217.7332.0 205.1220.9 253.0 267.1 222.2 275.5 229.4238.5153.8235.6301.4265.5 253.3 413.2 215.1 203.4 401.4423.7 322.9 295.2372.8415.1 318.4 278.4 241.7 338.1 369.7 234.7 348.8393.8

96.0 200.0 231.7 200.0 205.7 177.2 273.1334.9 168.6 268.3129.4


43

TABLE 22: Births to Unmarried Women by Place of Residence, 2006 and 2002-2006 (Cont)


Gosper Grant Greeley Hall Grand Island Balance of Co. HamiltonHarlanHayes Hitchcock Holt Hooker Howard Jefferson Johnson KearneyKeith Keya Paha Kimball KnoxLancaster 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 RichardsonRock Saline

5 1 5

405 373 32

20 6

1 4

29 0

26 25 17

20 32

1 16

33 1,204 1,157

47 173 153 20 2 1 4

192 153 39 14 13 4

26 11 65

6 9

28 16

151 126 25 12 29

33 0

81

192.3 142.9 192.3 418.0 444.6 246.2 194.2 150.0 111.1 148.1 233.9

- 361.1 328.9 257.6 263.2 351.6

66.7 333.3 323.5 294.0 302.7 172.2 337.9 400.5 153.8 133.3 333.3 500.0 358.2 387.3 276.6 181.8 260.0 102.6 298.9 220.0 343.9 240.0 225.0 239.3 197.5 302.6 325.6 223.2 187.5 239.7 392.9

- 366.5

26 3

22 1,912 1,764

148 105

426

28145

5 99

110 74 78

1513

72160

5,472 5,259

213 803 697 106 1036

1,004248 105 99 73 45

10458

2962030

135 85

670 568 102 63

193 146 10

350

230.1 103.4 148.6 404.8 429.7 239.5 196.6254.5130.4175.0239.3 161.3 248.7 266.3 266.2 203.1327.5

51.7 367.3321.9271.5 278.9 164.7 330.6 378.4 180.6 178.6107.1240.0352.3391.8 216.5 229.2 251.7 220.6 266.0204.2314.2183.5168.5244.1 197.7 290.7 323.3 186.1 192.7284.7 329.6135.1353.5


44

TABLE 22: Births to Unmarried Women by Place of Residence, 2006 and 2002-2006 (Cont)


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

536 257 79 60

140 50

217 123

94 34

20 2 1

18 12 0

133 14

51 34 7 0

51

212.7 286.5 293.7 197.4 133.3 203.3 393.1 488.1 313.3 168.3 294.1 74.1

100.0 200.0 190.5

- 764.4 250.0 217.9 306.3 233.3

- 267.0

2,360 1,149

336 294 581 246

1,069 601 468 162138 36 6

85 46 4

58255

24014633 4

262

196.6 283.3 281.9 193.4 111.0 199.0402.8 468.4 341.4 170.2384.4 218.2 117.6 199.5 176.9 117.6733.9224.5217.6284.0210.2 108.1 291.8

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.


45

TABLE 23: Births to Unmarried Women by Age of Mother, 2002-2006

Age of Mother

2002 2003 2004 2005 2006 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 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

-

4 3

25 82

175 392 504 672 828 708 745 612 544 465 396 303 264 241 707 313 85 0

44.4 100.0 96.2 97.6 95.1 92.0 87.4 77.0 72.4 60.0 51.9 43.3 35.4 29.2 23.5 17.4 15.5 16.2 11.8 12.2 17.6

-

2 4

27 63

192 338 516 717 838 747 742 735 586 503 439 374 290 263 802 354 85

0

66.7 100.0 100.0 98.4 98.0 94.9 85.3 80.6 71.8 62.9 55.7 48.1 36.5 29.1 25.3 21.6 16.8 16.0 13.2 13.7 15.7

- Total 7,263 28.6 7,680 29.7 7,954 30.2 8,068 30.9 8,617 32.3

TABLE 24: Births to Unmarried Women by Age and Race/Hispanic Origin of Mother, 2006

Age of Mother

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

15 or Under 32 94.1 21 100.0 8 100.0 35 100.0 44 97.816 104 98.1 36 100.0 9 100.0 43 95.6 70 95.917 200 94.3 62 98.4 19 100.0 57 91.9 89 88.118 332 85.6 79 94.1 17 89.5 88 77.2 130 77.419 468 78.5 112 94.1 41 97.6 96 72.2 153 73.9

20-24 2,549 49.4 475 79.4 134 77.0 490 55.1 702 57.425-29 1,238 17.4 257 58.9 89 71.2 285 32.0 424 39.530-34 496 9.8 122 44.4 33 61.1 151 23.3 221 30.9

35 and Over Total

302 11.5 51 42.5 15 48.4 71 19.9 118 30.15,721 26.8 1,215 69.4 365 75.9 1,316 41.5 1,951 48.8

* Percent of live births for each age category ** Persons of Hispanic origin may be any race


46

TABLE 25: Percent of Race/Hispanic Origin Births to Unmarried Women, 1980-2006 Race of Mother 1980 1990 2000 2005 2006

White 8.9 16.9 23.7 25.6 26.8

Black 61.5 71.3 67.4 69.5 69.3

American Indian 49.8 67.6 71.3 71.8 75.9

All Other 5.2 9.1 30.1 41.2 41.5

Hispanic Origin*

Mexican 22.6 31.3 39.9 45.5 46.9

All Other 19.4 32.3 49.4 51.6 54.0 * Persons of Hispanic origin may be any race.

TABLE 26: Percent of Age Group Births to Unmarried Women, 1980-2006

Age of Mother 1980 1990 2000 2005 2006 Under 20 years 43.6 72.8 82.7 85.1 86.7

20-24 years 12.0 30.5 43.0 51.2 53.5

25-29 years 4.2 10.6 15.9 20.3 21.8

30 years and over 3.7 7.2 9.5 12.2 13.5


47

TABLE 27: Birth Order of Births to Unmarried Women by Age of Mother, 2006

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

45+ Unknown

8,617

1 4

27 63

192 338 516 717 838 747 742 735 586 503 439 374 290 263 203 188 158 132 121 114 86 67 48 39 30 26 15 9 1 3 1

1

4,102

1 4

26 61

178 303 416 529 561 413 343 308 232 162 139 92 62 61 34 35 29 17 19 25 14 10 5 9 2 8 1 1

1 1

2,272

1 2

13 29 90

148 215 235 266 231 183 177 127 107 83 73 63 48 43 29 29 23 13 16 10 5 5 4 2 1

1

1,240

1 2 8

26 47 75 97

138 110 106 105 97 70 61 54 49 35 32 26 23 26 17 11 9 6 4 2 2

1

565

4 8

18 24 42 43 41 45 39 47 41 28 34 20 24 22 19 15 13 12 7 6 7 3 3

224

1 1 3 4 7

11 11 11 26 16 18 12 14 22 13 13 10 10 2 5 6 6 1

1

87

3 2

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

35

1 2 3 2

1

2 2 4 7 2 2 1

1

2 2 1

16

1

1

1 1

2 1 4

2

2 1

7

1 1 3 1

1

4

1

1 1 1

3

1

1

1

1

1

0

61

4 2 9 6 3 8 5 5 4 4 3

141

1

1


48

TABLE 28: Birth Defects - Number and Rate, 2006 and 2002-2006

2006 2002-2006 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

9

11 9

41 35 18

6

54 34

109 37 12 50

26

15 15 11

35 4

12 17 48

69 4 2

77

39 35 9 8 6 2

12 97

0.33 0.41 0.33 1.53 1.30 0.67

0.22 2.01 1.27 4.06 1.38 0.45 1.86

0.97

0.56 0.56 0.41

1.30 0.15 0.45 0.63 1.79

2.57 0.15 0.07 2.87

1.45 1.30 0.33 0.30 0.22 0.07 0.45 3.61

44 85

101 265 140 182

61 287 211 663 255 71

320

150

59 50 70

213 24 74 85

268

301 55 38

514

247 206 83 75 87 24 58

1,038

0.34 0.65 0.77 2.02 1.07 1.39

0.46 2.19 1.61 5.05 1.94 0.54 2.44

1.14

0.45 0.38 0.53

1.62 0.18 0.56 0.65 2.04

2.29 0.42 0.29 3.92

1.88 1.57 0.63 0.57 0.66 0.18 0.44 7.91

(list continued on next page)


49

TABLE 28: Birth Defects - Number and Rate, 2006 and 2002-2006 (Cont) 2006 2002-2006 Type 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**

24 0

31 38 14 38

1,113

676

0.89 0.00

1.15 1.41 0.52

---

25.16

236 16

208 213

74 251

7,402

4,350

1.80 0.12

1.59 1.62 0.56

---

33.15

* 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 June 24, 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.


50

TABLE 29: Birth Defects by County of Residence, 2006 and 2002-2006

County

2006 2002-2006Number of

Cases Percent of

Total Births* Number of

CasesPercent of

Total Births*STATE Adams Antelope Arthur Banner Blaine Boone Box Butte Boyd Brown Buffalo Burt Butler Cass Cedar Chase CherryCheyenneClay ColfaxCumingCuster Dakota Dawes Dawson Deuel Dixon Dodge Douglas DundyFillmore Franklin Frontier Furnas Gage Garden Garfield Gosper Grant GreeleyHall Hamilton Harlan Hayes Hitchcock Holt Hooker HowardJefferson Johnson Kearney

676

10 4 0 0 0 2 5 0 1

25 5 0

11 0 1

2 2

1 4

2 6 8 1

14 1 0

27 227

0 4 1 0 2 7 1 0 0 0

1 12 2 1 0 2 2 0

1 1 1

4

2.5

2.2 5.3

- - -

4.3 3.3

- 3.2 3.5 6.1

- 3.6

- 2.3 2.9 1.6 1.2 2.3 1.8 4.5 2.1 1.1 3.3 4.8

- 5.4 2.6

- 6.6 3.0

- 4.7 2.5 6.3

- - -

3.8 1.2 1.9 2.4

- 7.4 1.6

- 1.4 1.3 1.5 5.3

4,350

81 12 0 2 0 8

34 2 6

124 22 14 60 5 5 9

11 13 28 23 31 36 1

82 4 8

99 1,434

3 17

3 4 8

56 1 3 5 0 4

91 17 2 3 7

28 1 9

12 9

19

3.3

3.8 3.3

- 7.4

- 3.04.6 2.63.73.85.6 3.1 3.7 0.9 2.2 2.41.73.42.93.64.7 1.8 0.2 3.7 4.1 2.03.93.52.95.21.9 2.8 3.4 4.0 1.2 3.54.4

-2.71.93.2 1.2 6.5 4.4 4.6 3.22.32.93.24.9


51

TABLE 29: Birth Defects by County of Residence, 2006 and 2002-2006 (Cont) 2006 2002-2006

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 SewardSheridan Sherman Sioux Stanton Thayer Thomas Thurston ValleyWashington Wayne Webster Wheeler York

7 0 0 4

77 23 0 1 0 5 0 1 1 4 2 5 1 0 2 0

14 3 2 2 0 4

58 8

23 3

3 0 0 2 3 0 3

1 7 3 0 0 3

7.7 - -

3.9 1.9 4.4

- 33.3

- 0.9

- 2.0 2.6 4.6 4.0 2.6 4.0

- 1.7

- 2.8 4.7 1.7 2.4

- 1.8 2.3 3.3 4.2 1.5 4.4

- -

2.2 4.8

- 1.7 1.8 3.0 2.7

- -

1.6

25 0 8

10 618 112

331

708

15 5

15 7

4536

211086 15 28 21 3

2639438

110 36

9 1 2

13 10 1

246

40152 1

28

5.4 -

4.0 2.0 3.1 4.65.4

10.74.02.41.8 5.1 2.4 3.8 2.4 4.72.83.43.82.33.7 4.6 4.1 4.7 4.1 2.63.33.14.1 3.72.5 0.6 3.8 3.0 3.8 2.93.02.43.62.91.3 2.7 3.1

* Total live births and fetal deaths


52

TABLE 30: Birth Defects by Month of Birth, 2006

Month of Birth

Total Births*

No. of Cases with Defects

Percent of Total Births*

TOTAL January February March April MayJune JulyAugust September October November December

26,872

2,104 1,993 2,277 2,119

2,265 2,330

2,292 2,401 2,355 2,258 2,212 2,266

676

5751 65435851606351 5054 73

2.5

2.72.62.92.02.62.22.62.62.22.22.43.2

TABLE 31: Birth Defects by Age of Mother, 2006

No. of Cases Percent of Age of Mother Total Births* with Defects Total Births* 19 and Under 2,162 64 3.0 20-24 6,856 189 2.825-29 8,600 175 2.030-34 6,096 148 2.435-39 2,607 79 3.040+ 549 21 3.8Unknown 2 0 -

TABLE 32: Birth Defects by Age of Father, 2006

No. of Cases Percent of Age of Father Total Births* with Defects Total Births* 19 and Under 604 16 2.6 20-24 3,736 119 3.225-29 7,081 163 2.330-34 6,479 125 1.935-39 3,535 97 2.740+ 1,832 49 2.7Unknown 3,605 107 3.0

* Total number of live births and fetal deaths


53

TABLE 33: Birth Defects by Weight and Sex of Child, 2006

Total Births*

No. of Cases with Defects

Percent of Total Births*

Total Weight (grams) 1500 and under 1500-2499 2500-4499 4500+Unknown Sex Male Female

26,871

481 1,577

24,492 318

3

13,821 13,050

676

62 90

516 53

411265

2.5

12.9 5.72.11.6

100.0

3.02.0

TABLE 34: Birth Defects by Race of Mother, 2006

No. of Cases Percent of Total

Total Births* with Defects Births* White 21,428 507 2.4Black 1,764 50 2.8American Indian 485 13 2.7 All Other 3,138 103 3.3 Unknown 56 3 5.4 Hispanic Origin** 4,018 74 1.8

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


54

DEATH HIGHLIGHTS A total of 14,894 deaths occurred among Nebraska residents in 2006, a decrease from the 14,950 deaths that occurred in 2005. The 2006 figure translates into a crude mortality rate of 8.4 deaths per 1,000 residents and an age-adjusted mortality rate of 735.0 deaths per 100,000 residents. The average age at death among Nebraska residents in 2006 was 75.1 years, a slight drop from last year’s figure of 75.2 years. The state’s all-time record is 75.5 years, which was set in 2003. By gender, the average age at death in 2006 was 78.8 years for Nebraska women, which represents an increase from the 2005 mark of 78.6 years and is now the state’s all-time record, and 71.1 years for Nebraska men, which represents a decrease from the 2005 figure of 71.6 years. Nebraska's leading cause of death in 2006 was heart disease, which accounted for 3,444 resident deaths. This figure represents just under one-fourth (23.1%) of all deaths that occurred among Nebraska residents in 2006. Heart disease has been the most frequent cause of death both statewide and nationally for several decades, although its toll has steadily declined during the past 30 years. In Nebraska, 2006 marked the fourth consecutive year in which fewer than 4,000 heart disease deaths were recorded, and since the beginning of this decade, the state’s heart disease mortality rate has dropped by nearly 18%. With just 18 fewer deaths than heart disease, cancer was the second leading cause of death among Nebraska residents in 2006, and was responsible for 3,426 deaths. As a result of declining heart disease mortality, the gap between the number of cancer and heart disease deaths in Nebraska has narrowed markedly in recent years, and could put cancer ahead of heart disease as the state’s leading cause of death within the next few years. In fact, among Nebraska men, this historic shift occurred for the first time in 2006, with 1,839 deaths attributed to cancer compared to 1,625 for heart disease. Cancer of the lung was the year’s leading cause of cancer deaths among both Nebraska men and women, accounting for 903 deaths (538 men, 365 women). Colorectal (colon and rectum) cancer was Nebraska’s second leading cause of cancer deaths overall in 2006, with 381 deaths (202 men, 179 women). However, breast cancer was the second leading cause of cancer deaths among Nebraska women in 2006, claiming 213 lives, which is the state’s lowest annual number of female breast cancer deaths since 1967. After lung and colorectal cancer, prostate cancer was the #3 cause of cancer deaths among Nebraska men, claiming 183 lives in 2006. Taken together, these four sites were responsible for almost half (49.1%) of the state’s cancer deaths in 2006. Although still #2 overall, cancer ranks well ahead of heart disease as the leading cause of death at younger ages. Among Nebraska residents between 45 and 74 years of age, 1,625 deaths were attributed to cancer in 2006, 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 2006, by a count of 2,502 to 1,705.


DEATH HIGHLIGHTS (continued)

55

After heart disease and cancer, no other single cause of death accounted for more than 10% of Nebraska resident deaths in 2006. Cerebrovascular disease (usually referred to as stroke), long the state’s third leading cause of death, held that position again in 2006, and was responsible for 921 deaths. Chronic lung disease was Nebraska’s fourth leading cause of death in 2006, accounting for 784 deaths. Accidents (also referred to as unintentional injuries) were Nebraska’s fifth leading cause of death in 2006, claiming 685 lives. Motor vehicle accidents were once again Nebraska’s leading cause of accidental deaths, accounting for 270 fatalities. Falls were the #2 cause of accidental deaths, with 170 resident fatalities in 2006. Seventeen of the state’s accidental deaths in 2006 were farm-related. Accidents were the leading cause of death in 2006 among Nebraska residents under the age of 45 years (excluding infants under one year of age), accounting for 254 (30.9%) of 821 deaths. Alzheimer’s Disease has now ranked among the top ten causes of death in Nebraska for over a decade, and in 2006 it was again the state’s sixth leading cause of death. The number of Nebraska deaths attributed to Alzheimer’s Disease in 2006 (499) was an all-time record, surpassing the previous record of 473, set in 2005. After Alzheimer’s Disease, Nebraska’s top ten causes of death in 2006 included diabetes (with 437 deaths), pneumonia (331 deaths), nephritis and nephrosis (244 deaths), and suicide (201 deaths). A total of 148 infant deaths occurred among Nebraska residents in 2006, which translates into an infant mortality rate of 5.5 per 1,000 live births. This figure represents a slight improvement from the 2005 rate of 5.6, and nearly equals the state’s all-time lowest infant mortality rate of 5.4, which occurred in 2003. The leading cause of infant deaths in Nebraska in 2006 was birth defects, which accounted for 45 deaths, followed by sudden infant death syndrome (also known as SIDS), which resulted in 18 deaths. Low birth weight babies accounted for 95 (64.2%) of Nebraska's infant deaths, with 73 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 2006 infant deaths, with a count of 93, while post-neonates (infants between 28 days and one year of age) accounted for the remaining 55.


56


57


58

TABLE 35: Deaths by Place of Occurrence and Usual Residence of Deceased, 2004-2006

Place

2004 2005 2006 2006

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.

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

314 254 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

15,060

287 254 33 72 3 1 2

73 105

94 11 28 34

482 433

49 65 89 83 6

121 62 59 52 44 48 47 1

90 82 8

52 66 47 19

111 62 49

122 79 43

103 80 23 73 48 25

217 66 56 88 7

14,894

287 226 61 74 7 5 7

79 114

83 31 43 41

342 242 100 95

101 53 48

206 81

125 92 40 51 39 12 98 74 24 77 93 48 45

141 57 84

134 56 78

171 119 52 75 40 35

232 67 43 85 37

8.4

8.6 9.0 7.6

10.7 18.8 6.4

14.213.910.210.2 10.4 19.7 12.2 7.8 8.2 6.9

12.911.821.0

7.9 7.9

11.5 6.6

10.4 10.5 8.6

14.4 3.7 9.9

11.6 6.9

11.7 9.2 9.2 9.2

14.616.4 13.6 11.917.2 9.8 8.3 9.8 6.2 8.9 7.7

10.7 9.3

15.6 11.5 8.3 5.5


59

TABLE 35: Deaths by Place of Occurrence and Usual Residence of Deceased, 2004-2006 (Cont)

Place 2004 2005 2006 2006

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

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

371 275

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

9 35

375 308

67 4,446

78 4,311

13 44 30 79 36 11 61

251 196

55 30 16 8 2

22 596 564

32 70 62 8

43 3

19 119

68 51 11 62 86

0 86 59 48 42

6 76 70 6 1

48 45 3

93

23 57

414 282 132

3,561 67

3,306 33

155 32 84 45 29 85

297 192 105 31 30 13 7

29 542 477

65 76 47 29 45 8

39 130

49 81 11 81

109 80 29 66 74 41 33 93 58 35 8

61 46 15

128

11.7 9.2

11.4 11.112.3 7.28.0 7.95.4 2.7

15.2 13.4 13.4 10.617.012.714.910.1 15.5 16.8 6.6

10.6 11.8 9.8

10.7 6.0 8.0

11.0 5.5

13.1 7.8

13.3 12.3 14.3 11.3 14.612.013.820.0 7.5

14.1 11.0 14.3

8.6 11.312.5 9.7 9.0

16.4 20.0 10.6 14.5


60


Place 2004 2005 2006 2006

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.

2,068 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 1,588

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

2,012 1,935

77 364 318

46 1 1 2

393 336 57 51 41 10 37 48 70 68 2

75 152 90 62 34 35

138 120 18 72

170 162

8 52

110 104

6 105

78 27 17

114 55 59

499 138 18

273 70

130 79 51

1,645 1,552

93 356 276

80 3 3 4

344 244 100 81 46 35 47 48 97 71 26 72

167 91 76 38 38

121 68 53 78

223 168 55 65

121 97 24

120 76 44 18

145 59 86

648 264 58

158 168 192 67

125

6.2 6.4 3.6 9.9

11.3 7.0 4.04.68.09.8

10.2 8.8

10.2 16.1 6.9 9.1

13.013.422.0

6.5 15.5 10.6 12.8 8.8

13.6 12.712.812.812.9 10.37.0 7.8 5.2

12.2 11.1 12.9 7.2

13.918.2 9.8

11.7 10.2 9.4

11.0 4.5 5.53.67.42.9 9.4

16.6 7.7


61


Place 2004 2005 2006 2006

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.

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 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

481 81

348 52

159 88 71 70 21 5

32 60 2

74 46

123 107 16 64 60 4

43 2

111 88 23

432 109 207 116 173

75 98 75 39 8

49 63 5

82 56

161 107 54 71 53 18 62 3

128 92 36

11.8 14.2 14.0

8.2 10.310.99.8

13.512.7 5.7 7.5

11.8 7.9

11.312.88.0

13.54.5 7.7

10.2 4.5

16.8 3.6 8.8

11.6 5.5

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


62

TABLE 36: Deaths by Sex, Race and Hispanic Origin, By Place of Residence, 2006

Place Total

DeathsSex 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.

14,894

287 226 61 74 7 5 7

79 114

83 31 43 41

342 242 100 95

101 53 48

206 81

125 92 40

51 39 12 98 74 24 77 93 48 45

141 57 84

134 56 78

171 119 52 75 40 35

232 67 43 85 37

7,206

140 106 34 40 5 4 5

50 59 38 21 19 19

158 107 51 50 52 24 28 96 36 60 37 15 26 18 8

53 38 15 41 48 21 27 67 25 42 63 19 44 76 48 28 35 19 16

114 31 18 40 25

7,688

147 120 27 34 2 1 2

29 55 45 10 24 22

184 135

49 45 49 29 20

110 45 65 55 25 25 21 4

45 36 9

36 45 27 18 74 32 42 71 37 34 95 71 24 40 21 19

118 36 25 45 12

14,196

275 214 61 74 7 5 7

79 110

79 31 43 41

341 241 100 94

101 53 48

206 81

125 92 40 48 36 12 98 74 24 77 93 48 45

140 57 83

134 56 78

162 110 52 72 39 33

230 67 43 83 37

474

4 4

1 1

124

1 1

3 3

1 1

1

3 3

1

1

7 7

3 1 2 1

1

55

4 4

45

3 3

1 1

1 1

1

1

240

7 7

1 1

7 4 3

1 1

1 2 2

21 1 6 4 2

61

5


63

TABLE 36: Deaths by Sex, Race and Hispanic Origin, By Place of Residence, 2006 (Cont)

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

23 57

414 282 132

3,561 67

3,306 33

155 32 84 45 29 85

297 192 105 31 30 13 7

29 542 477

65 76

47 29 45 8

39 130 49 81 11 81

109 80 29 66 74 41 33 93 58 35 8

61 46 15

128

11 29

192 122

70 1,718

24 1,594

17 83 19 40 21 15 42

145 89 56 18 10 7 3

15 265 234

31 39 17 22 25 5

22 66 17 49 6

43 52 33 19 33 38 17 21 47 27 20 5

34 23 11 66

12 28

222 160

62 1,843

43 1,712

16 72 13 44 24 14 43

152 103

49 13 20 6 4

14 277 243

34 37 30 7

20 3

17 64 32 32 5

38 57 47 10 33 36 24 12 46 31 15 3

27 23 4

62

23 55

412 280 132

3,081 67

2,831 33

150 32 83 45 29 85

293 189 104 31 30 13 7

29 534 469

65 75 47 28 45 8

39 130

49 81 11 81

109 80 29 66 74 41 33 93 58 35 8

61 46 15

116

1 1 1

425

423

2

2 2

1 1

1

1

1 1

20

19

1

12

17

15

2

1

1 1

2 2

1

18

18

1

1

5 5

1 1 3 3

82

82

1917

2

1 1

11

2 2


64


Place Total


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.

1,645 1,552

93 356 276 80 3 3 4

344 244 100 81 46 35 47 48 97 71 26 72

167 91 76 38 38

121 68 53 78

223 168 55 65

121 97 24

120 76 44 18

145 59 86

648 264 58

158 168 192

67 125

801 755 46

165 121 44 1 1 2

173 124 49 35 15 20 17 23 44 28 16 28 83 46 37 18 22 44 26 18 43

107 73 34 29 55 42 13 58 36 22 9

72 31 41

302 129 29 59 85 89 29 60

844 797 47

191 155

36 2 2 2

171 120 51 46 31 15 30 25 53 43 10 44 84 45 39 20 16 77 42 35 35

116 95 21 36 66 55 11 62 40 22 9

73 28 45

346 135 29 99 83

103 38 65

1,594 1,501

93 354 274

80 3 3 4

338 239 99 80 45 35 47 48 97 71 26 72

167 91 76 38 38

121 68 53 76

222 167 55 65

121 97 24

119 75 44 18

145 59 86

628 250 55

156 167 192 67

125

18 18

1 1

2 2

1

14 12 1

1

5 5

2 2

1 1

1

2 2

21 21

4

2 2

7 7

1 1

21 1

1 1

1 1

19 18 1

13 11

2

76 1 1

1 12

1 1

3 3

4 3 1

3 3

9 6 1 1 1 11


65


Place Total


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.

432 109 207 116 173 75 98 75 39 8

49 63 5

82 56

161 107 54 71 53 18 62 3

128 92 36

213 51 97 65 75 25 50 37 19 3

31 34 2

44 24 77 43 34 30 18 12 26 1

66 43 23

219 58

110 51 98 50 48 38 20 5

18 29 3

38 32 84 64 20 41 35 6

36 2

62 49 13

424 107 202 115 173

75 98 68 39 8

49 61 5

32 56

161 107 54 71 53 18 62 3

127 91 36

2

2

3 1 2

6

1

49

2 1 1

1

1

1 1

1

1

1

32 5

21 6

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


66

TABLE 37: Deaths by Principal and Other Causes, 2002-2006

Cause 2002 2003 2004 2005 2006 Alzheimer's Disease (G30) 462 461 459 473 499 Anemias (D50-D64) 24 30 27 37 30 Aortic Aneurysm (I71) 82 93 87 81 83 Appendicitis (K35-K38) 4 2 2 3 6 Asthma (J45-J46) 39 30 31 42 24 Atherosclerosis (I70) 143 135 103 106 74Birth Defects (Q00-Q99) 75 87 64 57 66 Cancer (C00-C97) 3,429 3,331 3,269 3,353 3,426 Cerebrovascular Diseases (I60-I69) 1,102 1,090 977 986 921Cholelithiasis and other Disorders of the Gallbladder 15 24 23 20 22 (K80-K82) Chronic Liver Disease and Cirrhosis (K70, K73-K74) 127 102 116 133 123 Chronic Lung Disease (J44,J47) 795 785 703 813 784 Diabetes Mellitus (E10-E14) 392 406 395 449 437 Emphysema (J43) 86 68 77 83 65 Essential Hypertension and Hypertensive Renal 142 187 175 199 165 Disease (I10,I12) Heart Disease (all forms) (I00-I09, I11, I13, I20-I51) 4,235 3,948 3,736 3,633 3,444 Hernia (K40-K46) 15 9 18 11 12Human Immunodeficiency Virus (HIV) Disease (B20-B24) 21 18 11 26 24 Influenza (J10-J11) 12 31 5 29 14 Nephritis and Nephrosis (N00-N07, N17-N19, N25-N27) 277 302 282 245 244 Nutritional Deficiencies (E40-E64) 27 23 19 19 14 Parkinson's Disease (G20-G21) 143 146 136 160 157 Peptic Ulcer (K25-K28) 25 32 31 23 28 Pneumonia (J12-J18) 402 404 342 341 331 Pneumonitis due to Solids and Liquids (J69) 139 126 132 116 111 Pregnancy, Childbirth and the Puerperium (O00-O99) 3 2 1 3 3Septicemia (A40-A41) 146 151 133 123 132Viral Hepatitis (B15-B19) 26 21 13 21 19 West Nile Virus (A92.3) 0 16 1 6 1 Accidental Deaths (V01-X59,Y85-Y86) 754 695 741 706 685 Drowning and Submersion (W65-W74) 20 21 25 8 11 Falls (W00-W19) 186 136 172 150 170 Firearms (W32-W34) 5 5 6 2 3 Motor Vehicle 334 306 282 288 270 Poisonings (X40-X49) 32 35 45 53 67 Smoke, Fire and Flames (X00-X09) 13 16 15 26 23 Assault (Homicide) (X85-Y09,Y87.1) 50 63 39 44 55 Intentional Self Harm (Suicide) (X60-X84, Y87.0) 201 175 166 182 201 All Other Causes 2,328 2,446 2,333 2,427 2,694 TOTAL DEATHS 15,721 15,439 14,647 14,950 14,894

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


67

TABLE 38: Deaths by Principal and Other Causes, Crude Rates per 100,000 Population, 2002-2006

Cause 2002 2003 2004 2005 2006 Alzheimer's Disease (G30) 26.7 26.5 26.3 26.9 28.2 Anemias (D50-D64) 1.4 1.7 1.5 2.1 1.7 Aortic Aneurysm (I71) 4.7 5.3 5.0 4.6 4.7 Appendicitis (K35-K38) 0.2 0.1 0.1 0.2 0.3 Asthma (J45-J46) 2.3 1.7 1.8 2.4 1.4 Atherosclerosis (I70) 8.3 7.8 5.9 6.0 4.2Birth Defects (Q00-Q99) 4.3 5.0 3.7 3.2 3.7Cancer (C00-C97) 198.3 191.5 187.1 190.6 193.7Cerebrovascular Diseases (I60-I69) 63.7 62.7 55.9 56.1 52.1Cholelithiasis and other Disorders of the Gallbladder 0.9 1.4 1.3 1.1 1.2 (K80-K82) Chronic Liver Disease and Cirrhosis (K70, K73-K74) 7.3 5.9 6.6 7.6 7.0 Chronic Lung Disease (J44,J47) 46.0 45.1 40.2 46.2 44.3 Diabetes Mellitus (E10-E14) 22.7 23.3 22.6 25.5 24.7 Emphysema (J43) 5.0 3.9 4.4 4.7 3.7 Essential Hypertension and Hypertensive Renal 8.2 10.8 10.0 11.3 9.3 Disease (I10,I12) Heart Disease (all forms) (I00-I09, I11, I13, I20-I51) 244.9 227.0 213.8 206.6 194.8Hernia (K40-K46) 0.9 0.5 1.0 0.6 0.7Human Immunodeficiency Virus (HIV) Disease (B20-B24) 1.2 1.0 0.6 1.5 1.4Influenza (J10-J11) 0.7 1.8 0.3 1.6 0.8Nephritis and Nephrosis (N00-N07, N17-N19, N25-N27) 16.0 17.4 16.1 13.9 13.8Nutritional Deficiencies (E40-E64) 1.6 1.3 1.1 1.1 0.8 Parkinson's Disease (G20-G21) 8.3 8.4 7.8 9.1 8.9 Peptic Ulcer (K25-K28) 1.4 1.8 1.8 1.3 1.6 Pneumonia (J12-J18) 23.2 23.2 19.6 19.4 18.7 Pneumonitis due to Solids and Liquids (J69) 8.0 7.2 7.6 6.6 6.3 Pregnancy, Childbirth and the Puerperium (O00-O99) 0.2 0.1 0.1 0.2 0.2Septicemia (A40-A41) 8.4 8.7 7.6 7.0 7.5Viral Hepatitis (B15-B19) 1.5 1.2 0.7 1.2 1.1West Nile Virus (A92.3) - 0.9 0.1 0.3 0.1 Accidental Deaths (V01-X59,Y85-Y86) 43.6 40.0 42.4 40.1 38.7 Drowning and Submersion (W65-W74) 1.2 1.2 1.4 0.5 0.6 Falls (W00-W19) 10.8 7.8 9.8 8.5 9.6 Firearms (W32-W34) 0.3 0.3 0.3 0.1 0.2 Motor Vehicle 19.3 17.6 16.1 16.4 15.3 Poisonings (X40-X49) 1.9 2.0 2.6 3.0 3.8 Smoke, Fire and Flames (X00-X09) 0.8 0.9 0.9 1.5 1.3Assault (Homicide) (X85-Y09,Y87.1) 2.9 3.6 2.2 2.5 3.1Intentional Self Harm (Suicide) (X60-X84, Y87.0) 11.6 10.1 9.5 10.3 11.4All Other Causes 134.6 140.6 133.5 138.0 152.3 TOTAL DEATHS 909.2 887.7 838.3 850.0 842.3



68

TABLE 39: Deaths by Principal and Other Causes, Age-Adjusted Rates per 100,000 Population, 2002-2006

Cause 2002 2003 2004 2005 2006 Alzheimer's Disease (G30) 20.9 20.8 20.8 21.3 22.5 Anemias (D50-D64) 1.1 1.4 1.4 1.6 1.4 Aortic Aneurysm (I71) 4.3 4.6 4.3 4.1 4.2 Appendicitis (K35-K38) 0.2 0.1 0.1 0.2 0.3 Asthma (J45-J46) 2.0 1.5 1.5 2.0 1.2 Atherosclerosis (I70) 6.6 5.9 4.7 4.9 3.3Birth Defects (Q00-Q99) 4.0 4.7 3.4 3.0 3.5Cancer (C00-C97) 178.9 173.0 169.7 173.4 176.6 Cerebrovascular Diseases (I60-I69) 52.0 51.8 46.3 46.9 43.7Cholelithiasis and other Disorders of the Gallbladder 0.7 1.1 1.2 1.0 1.1 (K80-K82) Chronic Liver Disease and Cirrhosis (K70, K73-K74) 7.0 5.6 6.3 7.3 6.6 Chronic Lung Disease (J44,J47) 40.3 40.3 35.5 41.2 39.4 Diabetes Mellitus (E10-E14) 19.8 20.1 19.9 23.0 22.0 Emphysema (J43) 4.4 3.5 3.9 4.3 3.4 Essential Hypertension and Hypertensive Renal 6.6 8.6 8.1 9.2 7.5 Disease (I10,I12) Heart Disease (all forms) (I00-I09, I11, I13, I20-I51) 202.7 189.3 178.7 173.1 165.0 Hernia (K40-K46) 0.7 0.4 0.9 0.5 0.6Human Immunodeficiency Virus (HIV) Disease (B20-B24) 1.4 1.0 0.7 1.6 1.4Influenza (J10-J11) 0.5 1.4 0.3 1.3 0.6Nephritis and Nephrosis (N00-N07, N17-N19, N25-N27) 13.4 14.6 14.0 12.0 11.9Nutritional Deficiencies (E40-E64) 1.2 1.1 0.9 0.8 0.6 Parkinson's Disease (G20-G21) 6.9 7.2 6.6 7.7 7.4 Peptic Ulcer (K25-K28) 1.2 1.5 1.5 1.1 1.3 Pneumonia (J12-J18) 18.5 18.2 16.3 15.6 15.2 Pneumonitis due to Solids and Liquids (J69) 6.3 5.8 6.2 5.4 5.1 Pregnancy, Childbirth and the Puerperium (O00-O99) 0.2 0.1 0.1 0.2 0.2Septicemia (A40-A41) 7.5 7.5 6.7 6.2 6.6Viral Hepatitis (B15-B19) 1.5 1.1 0.7 1.1 1.0West Nile Virus (A92.3) - 0.8 - 0.3 0.1 Accidental Deaths (V01-X59,Y85-Y86) 39.9 37.1 38.6 37.0 36.0 Drowning and Submersion (W65-W74) 1.2 1.2 1.4 0.4 0.6 Falls (W00-W19) 8.9 6.5 8.2 7.2 8.0 Firearms (W32-W34) 0.3 0.3 0.3 0.1 0.2 Motor Vehicle 18.5 17.1 15.5 15.9 14.8 Poisonings (X40-X49) 1.9 2.0 2.7 3.1 4.0 Smoke, Fire and Flames (X00-X09) 0.7 0.9 0.9 1.4 1.3Assault (Homicide) (X85-Y09,Y87.1) 2.9 3.6 2.2 2.6 3.1Intentional Self Harm (Suicide) (X60-X84, Y87.0) 11.6 10.0 9.5 10.6 11.1All Other Causes 114.9 119.4 114.3 118.8 131.0 TOTAL DEATHS 780.0 763.3 724.9 739.1 735.0



69

TABLE 40: Cancer Deaths by Selected Sites and Sex, 2002-2006 2002 2003 2004 2005 2006 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

23 60 25

193 41 81

523 39 4 - - -

183 55 52 48 78 77 43

221

13 21 13

214 24 95

365 15

251 25 42 90

- 47 23 41 67 67 33

237

28 66 27

188 43 85

511 34 2 - - -

176 46 45 42 73 79 36

233

16 18 28

175 22 87

364 14

244 14 57 97

- 34 23 40 66 71 37

210

24 68 29

169 52 95

531 29 3 - - -

183 53 53 50 62 76 36

178

6 12 18

188 23 78

347 23

248 23 59 80

- 48 19 46 67 59 32

201

25 67 31

184 42 89

516 38 7 - - -

201 54 51 46 74 79 30

201

12 13 20

180 22 83

388 20

258 15 48 94

- 34 24 44 76 55 26

206

23 66 26

202 51

123 538 35 1 - - -

183 55 57 48 71 87 28

245

19 20 23

179 32 98

365 23

213 16 56 92

- 31 29 32 73 56 35

195 1,746 1,683 1,714 1,617 1,691 1,578 1,735 1,618 1,839 1,587

TABLE 41: Age-Adjusted Cancer Death Rates by Selected Sites and Sex, 2002-2006 2002 2003 2004 2005 2006Site 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

2.7 7.3 3.1

23.4 4.9

10.0 63.8 4.5 0.5

- - -

23.5 6.8 6.4 5.7 9.4 9.6 5.2

26.9

1.1 2.1 1.2

18.6 2.0 8.6

34.8 1.6

23.3 2.7 4.1 8.7

- 4.2 1.8 3.9 6.1 5.7 3.0

20.7

3.2 8.0 3.3

23.3 5.2

10.5 61.9 4.0 0.3

- - -

22.5 5.7 5.7 4.8 9.1 9.8 4.5

28.4

1.5 1.6 2.5

15.1 2.0 8.1

34.8 1.3

22.6 1.5 5.2 9.5

- 3.1 1.9 3.8 5.8 6.2 3.2

18.8

3.0 8.2 3.5

20.6 6.0

11.5 64.7 3.5 0.4

- - -

23.3 6.2 6.8 5.9 7.7 9.4 4.4

21.6

0.5 1.1 1.6

15.7 2.3 7.3

33.1 2.2

23.3 2.3 5.3 7.4

- 4.2 1.7 4.4 5.9 5.1 2.8

18.4

2.9 8.0 3.7

22.5 4.9

10.7 62.9 4.5 0.9

- - -

25.7 6.4 6.4 5.5 9.2 9.6 3.6

24.1

1.2 1.2 1.9

15.1 2.0 7.3

36.9 1.9

23.7 1.6 4.5 8.8

- 2.9 1.9 4.4 6.6 4.9 2.2

17.7

2.6 7.8 3.2

24.6 6.2

14.7 65.5 4.2 0.1

- - -

23.4 6.7 7.1 5.5 8.7

10.7 3.5

29.8

1.8 1.7 2.1

15.02.98.7

34.5 2.4

19.6 1.65.08.6

- 2.9 2.3 3.15.94.8 3.2

16.8213.8 154.2 210.1 148.6 206.6 144.6 211.4 146.8 224.3 142.8

Rate per 100,000 estimated population.


70

Graph 10: Average Age at Time of Death, 1925-2006

0.0

10.0

20.0

30.0

40.0

50.0

60.0

70.0

80.019

25

1929

1933

1937

1941

1945

1949

1953

1957

1961

1965

1969

1973

1977

1981

1985

1989

1993

1997

2001

2005

Age

at D

eath


71

Graph 11: Average Age at Time of Death by Sex, 1960-2006

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


72

TABLE 42: Deaths by Age Group and Sex, 2006

Age % of % of % of Group

Total

Male

Female

Total*

Males* Females*

Total 14,894 7,206 7,688 100.0 100.0 100.0 < 1 year 148 84 64 1.0 1.2 0.8 1-4 years 27 19 8 0.2 0.3 0.1 5-9 years 15 10 5 0.1 0.1 0.1 10-14 years 24 17 7 0.2 0.2 0.1 15-19 years 108 80 28 0.7 1.1 0.4 20-24 years 105 76 29 0.7 1.1 0.4 25-29 years 85 62 23 0.6 0.9 0.3 30-34 years 89 51 38 0.6 0.7 0.5 35-39 years 126 78 48 0.8 1.1 0.6 40-44 years 242 144 98 1.6 2.0 1.3 45-49 years 385 248 137 2.6 3.4 1.8 50-54 years 524 336 188 3.5 4.7 2.4 55-59 years 642 403 239 4.3 5.6 3.1 60-64 years 759 453 306 5.1 6.3 4.0 65-69 years 915 521 394 6.1 7.2 5.1 70-74 years 1,256 724 532 8.4 10.0 6.9 75-79 years 1,824 986 838 12.2 13.7 10.9 80-84 years 2,339 1,170 1,169 15.7 16.2 15.2 85-89 years 2,347 914 1,433 15.8 12.7 18.6 90-94 years 1,844 578 1,266 12.4 8.0 16.5 95-99 years 891 215 676 6.0 3.0 8.8 100-104 years 185 36 149 1.2 0.5 1.9 105+ years 14 1 13 0.1 0.0 0.2 Average Age 75.1 71.1 78.8 - - - * Percents may not sum to total due to rounding.


73

TABLE 43: Deaths by Age Group and Average Age by County of Residence, 2006

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

75.1

75.6 78.9 70.4 74.2 70.9 80.4 77.3 81.6 80.5 76.0 78.3 75.2 75.1 79.2 80.6

79.1 74.8 79.3

77.9 77.8 77.6 72.5 80.1 76.9 79.1 73.7 76.5 71.6

80.6 78.9 76.4 76.9 76.5 77.5 77.6 79.5 86.3 75.4

73.7 75.4 77.9 78.1 65.3 78.8 78.1 84.5 80.0 78.8 80.8

78.8

969

15 1 0 0 0 2 3 0 1

25 6 7

13 2 1 1

10 4 3 9 4

13 1

14 1 3

20 324

0 2 3 0 5

14 1 0 0 1 3

36 1 1 2 0 6 0 1 4 4 1

2,310

52 10 2 1 1 7

17 5 4

52 4

12 39 10 5 7

13 5

11 12 21 30 8

29 1

10 65

705 4

10 5 4

11 41 2 3 0 0 5

74 13 5 0 4 8 0 9

13 4

15

2,171

42 11 2 2 5

10 13

7 7

32 13 22 20 13 1 6 9

11 14 18 16 32 12 31 6

10 56

557 5

13 8 8

11 39 9 6 3 1 5

79 10 7 0 9

27 1

13 13

7 9

4,163

75 22 2 0 0

25 41

812 99 36 24 60 28 11 18 30 2832 40 40 46 22 60 6

16108 982

9 23 14 10 30 87 7 8 0 26

16917 19 6

15 40 4

21 28 11 15

5,281

103 30 1 2 1

3540 2317

13436 36 74 39 22 193629336253 50 32 98 9

18165993143615 7

28 116 12 13103

1018435 13 0

11 49 6

37514034


74

TABLE 43: Deaths by Age Group and Average Age by County of Residence, 2006 (Cont)

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 SewardSheridan Sherman Sioux Stanton Thayer Thomas Thurston ValleyWashington Wayne Webster Wheeler York

75.2 74.6 76.6 75.9 74.2 75.3 70.3 76.0 72.0 76.4 73.3 79.8 77.9 77.3 82.1 79.4 77.9 82.2 80.8 78.9 74.5 78.4 77.7 80.3 81.7 78.8 71.3 73.4 75.0

79.1 74.1 79.7 78.0 75.9 83.0 77.0 63.1

80.8 77.8 74.8 79.5 84.3 80.3

5 1 2 9

120 25 0 0 0

21 7 2 2 2 3 8 2 2 6 2

21 3 4 4 1 8

55 17 24

2 7 0 0 2 1 0

17 2 6 5 2 0 1

11 0

12 16

296 52 1 0 2

42 13 3 6

17 3

15 2 2

10 8

31 6

16 13 0

17 129 26 62 23 13 5 0 7 1 1

21 5

20 11

7 0

17

20 3 7

16 203 52 1 1 0

47 15 8 8

19 6

19 5 3

12 14 29 10 21 10 2 9

127 27 79 30

8 6 4 9 7 1 8 4

28 8 8 0

16

28 2

16 38

464 103

021

101 25 12 11 18 18 4913 8

282355 20 37 31 7

4315455

121 3823 10 2

15 28 2

17 1942 1913 2

38

29 2

24 49

562 124

101

13321 22 21 41 42 761623653187 26 43 62 8

6818367

146 8024 18 2

16 26 1

1926652832 1

56


75

Graph 12: Ten Leading Causes of Death, 2006

201

244

331

437

499

685

784

921

3,426

3,444

0 500 1000 1500 2000 2500 3000 3500 4000

Suicide

Nephritis &Nephrosis

Pneumonia

Diabetes Mellitus

Alzheimer's Disease

Accidents

Chronic LungDisease

Cerebrovascular

Cancer

Heart Disease

Number of Deaths


76

Graph 13: Leading Causes of Death by Sex, 2006

106

106

192

224

281

350

389

562

1,587

1,819

138

139

149

169

213

404

359

395

1,625

1,839

0 500 1000 1500 2000

Nephritis/Nephrosis

Musculoskeletal

Pneumonia

Diabetes

Accidents

Alzheimer's Disease

Chronic Lung Disease

Cerebrovascular

Cancer

Heart Disease

Nephritis/Nephrosis

Pneumonia

Alzheimer's Disease

Suicide

Diabetes

Accidents

Cerebrovascular


Heart Disease

Cancer

Number of Deaths

Females

Males


77

Graph 14: Leading Causes of Death by Selected Age Groups and Sex, 2006

2

3

28

7

12

24

60

0 20 40 60 80 100

Pneumonia

Homicide

Accidents

Cancer

Homicide

Suicide

Accidents

Number of Deaths

Males, 1-19

Females, 1-19


78

Graph 15: Leading Causes of Death by Selected Age

Groups and Sex, 2006

8

9

15

23

45

51

10

11

12

17

42

58

60

115

0 20 40 60 80 100 120 140

Stroke

Pneumonia

Suicide

Heart Disease

Cancer

Accidents

HIV/AIDS

Cirrhosis

Stroke

Homicide

Cancer

Suicide

Heart Disease

Accidents

Number of Deaths

Males, 20-44

Females, 20-44


79


13

13

14

19

25

32

73

230

17

17

31

35

46

50

78

215

284

0 50 100 150 200 250 300

Suicide


Cirrhosis

Diabetes

Stroke

Accidents

Heart

Cancer

Septicemia


Diabetes

Cirrhosis

Stroke

Suicide

Accidents

Heart

Cancer

Number of Deaths

Males, 45-59

Females, 45-59


80


18

20

24

44

52

101

218

481

23

24

25

53

62

65

97

348

630

0 100 200 300 400 500 600 700

Nephritis/Nephrosis

Alzheimer's Disease

Accidents

Diabetes

Stroke


Heart

Cancer

Nephritis/Nephrosis

Suicide

Cirrhosis

Stroke

Accidents

Diabetes


Heart

Cancer

Number of Deaths

Females, 60-74

Males, 60-74


81


87

142

155

162

274

330

477

830

1,502

89

102

110

110

133

245

281

875

1,000

0 200 400 600 800 1000 1200 1400 1600

Essential Hypertension*

Accidents

Diabetes

Pneumonia


Alzheimer's Disease

Stroke

Cancer

Heart Disease

Accidents

Nephritis/Nephrosis

Pneumonia

Diabetes

Alzheimer's Disease

Stroke


Cancer

Heart Disease

Number of Deaths

Males, 75+

Females, 75+

*Essential Hypertension and Hypertensive Renal Disease


82


83

TABLE 44: Heart Disease Deaths by County of Residence, 2006 and 2002-2006 2006 2002-2006 Total Crude Age-Adjusted Total Crude Age-Adjusted

County Deaths Rate* Rate* Deaths Rate* Rate* STATE 3,444 194.8 165.0 18,996 217.3 187.1 Adams 87 262.2 192.4 461 289.4 199.1 Antelope 22 317.4 165.4 123 345.9 184.8 Arthur 1 268.8 165.1 5 254.3 178.8 Banner 2 255.4 192.3 4 104.8 86.0 Blaine 0 - - 8 313.0 189.9 Boone 13 229.4 100.6 93 317.7 164.1Box Butte 25 224.6 156.7 145 252.5 182.9 Boyd 17 778.0 299.1 78 686.6 284.0Brown 9 268.3 121.2 56 327.1 165.8Buffalo 94 213.9 199.9 448 206.7 198.4Burt 18 245.2 140.1 154 411.1 231.6 Butler 29 337.4 240.5 158 360.1 254.5 Cass 40 154.1 153.5 275 215.8 214.0 Cedar 29 328.8 178.5 183 402.6 208.5 Chase 7 183.7 79.6 59 299.9 157.1 Cherry 5 84.3 59.4 50 164.9 111.7Cheyenne 18 182.5 137.7 107 215.4 162.3Clay 17 259.0 171.0 120 354.1 231.4Colfax 32 316.4 210.5 164 314.8 196.3 Cuming 53 548.7 296.0 218 444.9 234.2Custer 39 346.9 183.5 215 375.8 205.4 Dakota 52 252.6 296.2 216 211.0 234.2 Dawes 16 189.0 132.8 105 239.6 186.2 Dawson 50 199.9 172.2 255 206.7 177.5 Deuel 7 357.5 191.9 42 415.9 216.8 Dixon 15 243.1 161.0 98 318.2 207.8Dodge 90 248.8 158.5 411 228.0 146.1Douglas 764 155.3 167.1 4,100 170.1 187.4 Dundy 7 331.9 167.8 37 339.7 161.6Fillmore 19 303.6 158.7 132 411.7 217.2 Franklin 15 448.0 242.3 73 426.9 223.7 Frontier 6 219.9 126.1 35 245.3 160.5 Furnas 25 499.7 258.2 107 418.2 205.1 Gage 67 286.8 176.0 364 312.2 186.9 Garden 8 401.0 194.9 36 341.3 152.3 Garfield 10 558.7 244.3 59 643.8 256.4 Gosper 2 101.1 43.1 28 275.1 143.4 Grant 0 - - 7 205.8 153.0Greeley 9 366.7 196.7 56 438.9 201.0Hall 117 210.6 177.2 552 201.9 172.6Hamilton 20 210.7 155.3 129 272.2 204.1 Harlan 9 261.2 154.7 58 325.0 169.3 Hayes 2 194.4 106.8 11 204.3 132.6 Hitchcock 12 410.1 224.4 56 374.1 202.6 Holt 29 273.3 141.6 192 352.2 181.6 Hooker 3 396.8 114.0 19 509.2 184.6Howard 20 296.9 184.8 96 288.5 197.9Jefferson 28 355.6 158.5 174 432.6 195.3Johnson 18 384.4 131.6 78 341.8 154.5Kearney 16 238.8 156.6 84 246.6 159.3


84

TABLE 44: Heart Disease Deaths by County of Residence, 2006 and 2002-2006 (Cont) 2006 2002-2006

County Total

Deaths Crude Rate*

Age-Adjusted Rate*

Total Deaths

Crude Rate*

Age-AdjustedRate*

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

29 2 7

44 316 89 1 1 1

86 14 8 9

19 23 41 12 10 27 27 48 25 22 25 10 29

145 31

119 42 13 11 2

16 9 1

19 10 30 22 17 0

39

351.5 224.2 188.7 499.3 118.3 248.2 133.5 152.4 201.2 243.8 176.0 154.7 242.9 262.2 494.6 260.4 428.0 334.2 286.0 357.0 150.2 467.4 202.5 288.8 647.7 204.9 101.7 152.4 325.6 249.5 233.4 356.8 142.6 243.5 169.3 159.0 261.2 228.7 149.7 239.2 459.3

- 268.9

237.1 122.7 111.3 215.6 130.4 193.1 77.5

112.1 77.5

180.3 120.8 105.2 143.8 156.3 233.3 160.0 180.5 151.6 164.7 248.8 118.1 237.1 120.1 137.4 260.7 132.5 168.6 126.1 217.8 180.1 140.6 184.6 118.0 204.9 64.2 89.7

265.3 110.2 129.6 184.1 188.3

- 160.8

119 13 79

258 1,810

462 13 10 6

544 106 71 53 87

116 197

71 57

153 159 275 142 142 141 40

228 754 176 563 234

90 68 10 82

122 9

90 78

172 109 111 14

228

282.1 279.8 413.9 575.1 138.0 263.0 356.0 283.4 229.4 305.1 263.1 271.4 282.3 243.6 485.2 253.5 490.6 373.7 320.4 413.9 175.3 522.6 255.0 317.8 498.9 321.4 110.9 174.2 306.6 280.0 311.1 434.0 138.4 250.4 441.9 275.9 249.2 348.1 174.9 233.9 578.8 337.3 317.4

195.8 153.4 233.2 263.9 155.7 204.5241.7175.1137.6 230.7 168.4 190.8 175.3 154.7 234.0 158.2233.9195.5188.3 274.6157.0 238.7 165.8 157.9 236.3 207.0203.8135.6 212.4203.5153.6 220.2 124.9 213.6 198.3 185.8 254.6 161.8155.6 191.9252.9 435.7 190.8

* 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.


85


86

TABLE 45: Cancer Deaths by County of Residence, 2006 and 2002-2006 2006 2002-2006

Age- Total Crude Age-Adjusted Total Crude Adjusted

County Deaths Rate* Rate* Deaths Rate* Rate* STATE 3,426 193.7 176.6 16,808 192.2 178.2 Adams 66 198.9 163.9 350 219.7 177.7 Antelope 17 245.3 148.1 82 230.6 156.5 Arthur 2 537.6 414.2 5 254.3 200.4 Banner 1 127.7 80.8 5 131.0 94.2 Blaine 4 813.0 425.9 8 313.0 193.5 Boone 18 317.6 199.4 94 321.1 207.6 Box Butte 22 197.6 151.8 131 228.1 189.4 Boyd 9 411.9 217.0 31 272.9 147.8Brown 10 298.2 159.8 43 251.2 145.6 Buffalo 87 197.9 206.0 365 168.4 180.1 Burt 23 313.3 188.5 114 304.3 189.3 Butler 18 209.4 155.3 89 202.8 152.9 Cass 51 196.4 192.1 234 183.6 183.1 Cedar 17 192.8 120.6 101 222.2 144.4 Chase 7 183.7 102.4 42 213.5 129.4 Cherry 12 202.2 141.3 61 201.2 143.0 Cheyenne 21 212.9 155.6 103 207.4 164.7 Clay 21 319.9 212.4 80 236.0 166.5Colfax 20 197.8 162.6 109 209.2 162.1 Cuming 31 320.9 204.8 122 249.0 163.0 Custer 21 186.8 115.4 144 251.7 164.4 Dakota 32 155.4 185.6 161 157.3 179.9 Dawes 18 212.6 163.0 96 219.0 186.2 Dawson 42 167.9 158.4 219 177.5 168.7 Deuel 9 459.7 245.5 41 406.0 253.6 Dixon 10 162.1 112.8 75 243.5 170.1 Dodge 84 232.2 167.4 424 235.2 173.5 Douglas 849 172.6 190.3 4,198 174.2 193.8 Dundy 6 284.5 148.9 31 284.6 155.7 Fillmore 19 303.6 177.8 91 283.8 164.3 Franklin 5 149.3 87.8 57 333.3 208.8 Frontier 12 439.7 295.8 30 210.3 155.9 Furnas 17 339.8 208.8 70 273.6 150.1 Gage 61 261.1 175.6 277 237.6 162.6 Garden 2 100.3 59.4 31 293.9 167.8 Garfield 5 279.3 114.8 31 338.3 158.5 Gosper 1 50.6 29.1 22 216.2 135.2 Grant 3 454.5 447.8 7 205.8 268.6 Greeley 5 203.7 127.5 36 282.2 139.8 Hall 131 235.8 211.3 527 192.7 173.8 Hamilton 11 115.9 94.8 94 198.3 162.5 Harlan 16 464.3 232.2 55 308.2 170.4 Hayes 1 97.2 53.4 8 148.6 90.1 Hitchcock 5 170.9 93.4 45 300.6 185.4 Holt 28 263.9 168.4 130 238.4 153.1 Hooker 3 396.8 182.1 14 375.2 177.5 Howard 17 252.4 177.0 74 222.4 163.1 Jefferson 18 228.6 121.5 112 278.5 157.7 Johnson 11 234.9 89.3 67 293.6 157.5 Kearney 11 164.2 113.9 83 243.6 186.4


87

TABLE 45: Cancer Deaths by County of Residence, 2006 and 2002-2006 (Cont) 2006 2002-2006 Total Crude Age-Adjusted Total Crude Age-Adjusted

County Deaths Rate* Rate* Deaths Rate* Rate* Keith 22 266.7 175.2 114 270.3 187.4 Keya Paha 2 224.2 136.5 8 172.2 97.9 Kimball 17 458.2 323.0 73 382.5 233.0 Knox 34 385.8 240.9 137 305.4 177.1 Lancaster 425 159.1 176.6 2,063 157.2 179.6 Lincoln 84 234.2 196.9 398 226.6 189.0Logan 1 133.5 90.5 12 328.6 220.2Loup 1 152.4 112.1 11 311.8 194.9McPherson 3 603.6 514.6 5 191.1 163.8 Madison 71 201.3 177.2 328 183.9 160.8 Merrick 19 238.9 168.1 102 253.2 182.3 Morrill 10 193.4 134.0 60 229.3 171.0 Nance 13 350.9 218.7 55 293.0 188.9 Nemaha 19 262.2 182.1 81 226.8 159.7 Nuckolls 13 279.6 130.3 83 347.2 187.1 Otoe 31 196.9 134.3 197 253.5 185.7 Pawnee 8 285.3 152.2 42 290.2 153.0Perkins 8 267.4 146.9 44 288.5 183.2Phelps 25 264.8 167.5 122 255.5 171.5 Pierce 14 185.1 164.2 88 229.1 194.7Platte 59 184.6 163.9 299 190.6 180.6 Polk 15 280.4 199.5 73 268.6 171.6 Red Willow 32 294.5 212.4 144 258.6 186.4 Richardson 23 265.7 133.3 145 326.8 206.9 Rock 3 194.3 121.6 20 249.5 139.3 Saline 29 204.9 165.4 150 211.5 172.6Sarpy 165 115.7 170.2 773 113.7 175.0Saunders 51 250.7 206.5 217 214.7 176.9 Scotts Bluff 87 238.1 181.0 422 229.8 177.2Seward 46 273.2 223.9 206 246.5 202.2Sheridan 15 269.3 159.9 87 300.7 187.1 Sherman 10 324.4 201.9 47 299.9 176.1 Sioux 3 213.8 168.5 13 179.9 130.0 Stanton 9 137.0 126.1 61 186.3 177.6 Thayer 15 282.1 126.6 77 278.9 143.4 Thomas 0 - - 2 61.3 33.2Thurston 15 206.2 211.8 89 246.4 254.1 Valley 13 297.3 153.5 56 249.9 138.1Washington 45 224.5 204.3 190 193.2 178.3 Wayne 17 184.9 160.5 68 145.9 133.2Webster 10 270.2 149.6 60 312.8 168.9 Wheeler 2 243.0 172.5 13 313.2 270.6 York 32 220.7 161.3 154 214.4 156.9



88


89

TABLE 46: Cerebrovascular Disease Deaths by County of Residence, 2006 and 2002-2006 2006 2002-2006 Total Crude Age-Adjusted Total Crude Age-Adjusted

County Deaths Rate* Rate* Deaths Rate* Rate* STATE 921 52.1 43.7 5,076 58.1 49.5 Adams 14 42.2 31.8 98 61.5 41.6 Antelope 4 57.7 30.3 32 90.0 45.4 Arthur 0 - - 4 203.5 138.0 Banner 0 - - 1 26.2 23.0 Blaine 0 - - 0 - - Boone 6 105.9 49.2 40 136.6 66.6Box Butte 9 80.8 58.0 46 80.1 55.1 Boyd 8 366.1 138.6 21 184.9 84.4Brown 4 119.3 54.6 13 75.9 37.0Buffalo 16 36.4 34.6 110 50.8 47.1Burt 10 136.2 64.6 56 149.5 78.5 Butler 6 69.8 47.4 34 77.5 54.1 Cass 13 50.1 48.0 69 54.1 53.6 Cedar 13 147.4 74.9 71 156.2 75.7 Chase 3 78.7 40.4 25 127.1 66.6 Cherry 6 101.1 66.5 27 89.0 58.7Cheyenne 4 40.5 28.2 34 68.5 48.1Clay 7 106.6 63.8 20 59.0 37.9Colfax 4 39.6 28.1 25 48.0 31.7 Cuming 6 62.1 28.8 38 77.5 37.9Custer 9 80.1 41.4 68 118.9 61.6 Dakota 14 68.0 77.5 60 58.6 65.7 Dawes 8 94.5 66.9 37 84.4 61.0 Dawson 14 56.0 49.1 66 53.5 45.7 Deuel 1 51.1 19.1 7 69.3 35.3 Dixon 4 64.8 37.5 24 77.9 49.3Dodge 26 71.9 42.7 172 95.4 59.5Douglas 181 36.8 39.8 1,062 44.1 48.8 Dundy 2 94.8 39.1 13 119.4 55.9Fillmore 10 159.8 84.2 51 159.1 75.2 Franklin 3 89.6 31.0 13 76.0 29.0 Frontier 0 - - 7 49.1 33.5 Furnas 5 99.9 47.3 35 136.8 67.3 Gage 17 72.8 37.3 95 81.5 46.7 Garden 3 150.4 53.4 14 132.7 49.3 Garfield 2 111.7 47.3 8 87.3 39.0Gosper 1 50.6 21.5 13 127.7 62.7Grant 1 151.5 112.1 3 88.2 93.8 Greeley 1 40.7 14.8 9 70.5 31.7Hall 27 48.6 39.6 166 60.7 50.3Hamilton 2 21.1 15.9 27 57.0 45.3 Harlan 3 87.1 40.5 16 89.6 40.8 Hayes 0 - - 1 18.6 10.3 Hitchcock 3 102.5 60.1 14 93.5 53.2 Holt 12 113.1 74.2 50 91.7 49.6 Hooker 1 132.3 61.4 4 107.2 41.1Howard 7 103.9 55.6 31 93.2 60.8Jefferson 9 114.3 46.2 37 92.0 44.1Johnson 13 277.6 87.8 41 179.7 59.5Kearney 6 89.5 51.1 29 85.1 54.4


90

TABLE 46: Cerebrovascular Disease Deaths by County of Residence, 2006 and 2002-2006 (Cont) 2006 2002-2006 Total Crude Age-Adjusted Total Crude Age-Adjusted

County Deaths Rate* Rate* Deaths Rate* Rate* Keith 3 36.4 30.6 27 64.0 44.2 Keya Paha 1 112.1 182.7 3 64.6 48.0 Kimball 1 27.0 13.3 21 110.0 59.2 Knox 6 68.1 24.5 49 109.2 54.3 Lancaster 102 38.2 42.4 531 40.5 46.1 Lincoln 21 58.6 45.8 105 59.8 45.4Logan 0 - - 1 27.4 15.5Loup 0 - - 1 28.3 18.2McPherson 0 - - 1 38.2 29.9Madison 25 70.9 47.9 144 80.7 57.8Merrick 11 138.3 101.2 41 101.8 66.5 Morrill 1 19.3 14.1 10 38.2 27.0 Nance 0 - - 19 101.2 66.0 Nemaha 3 41.4 20.1 32 89.6 48.4 Nuckolls 3 64.5 25.1 27 112.9 52.0 Otoe 14 88.9 44.5 61 78.5 45.2Pawnee 4 142.7 55.0 13 89.8 33.1Perkins 4 133.7 57.2 19 124.6 59.1Phelps 5 53.0 32.1 35 73.3 39.4 Pierce 9 119.0 80.2 43 111.9 71.0Platte 12 37.5 31.2 84 53.5 48.0 Polk 4 74.8 24.6 20 73.6 31.0 Red Willow 8 73.6 41.7 50 89.8 54.1 Richardson 9 104.0 58.2 51 114.9 58.6 Rock 1 64.8 39.3 6 74.8 32.7 Saline 15 106.0 73.1 57 80.4 51.0Sarpy 46 32.2 59.3 186 27.4 54.9Saunders 15 73.7 60.1 59 58.4 45.5 Scotts Bluff 26 71.1 48.0 128 69.7 49.1 Seward 12 71.3 50.4 52 62.2 45.0Sheridan 5 89.8 57.1 21 72.6 41.0 Sherman 3 97.3 44.3 13 83.0 42.9 Sioux 0 - - 1 13.8 13.5 Stanton 0 - - 12 36.7 33.9 Thayer 4 75.2 24.2 28 101.4 42.0 Thomas 0 - - 1 30.7 16.6Thurston 5 68.7 65.3 26 72.0 70.6 Valley 3 68.6 24.5 22 98.2 42.4Washington 12 59.9 54.3 54 54.9 50.3 Wayne 2 21.7 17.7 18 38.6 30.8Webster 3 81.1 22.5 15 78.2 36.1 Wheeler 0 - - 3 72.3 95.0 York 5 34.5 19.9 49 68.2 42.5



91


92

TABLE 47: Chronic Lung Disease Deaths by County of Residence, 2006 and 2002-2006 2006 2002-2006 Total Crude Age-Adjusted Total Crude Age-Adjusted

County Deaths Rate* Rate* Deaths Rate* Rate* STATE 784 44.3 39.4 3,880 44.4 40.1 Adams 6 18.1 13.3 49 30.8 21.8 Antelope 3 43.3 28.7 14 39.4 21.5 Arthur 1 268.8 249.1 2 101.7 85.4 Banner 0 - - 1 26.2 18.3 Blaine 1 203.3 103.2 1 39.1 20.3 Boone 2 35.3 16.4 10 34.2 19.3Box Butte 3 26.9 21.6 30 52.2 41.6 Boyd 1 45.8 22.8 5 44.0 18.8Brown 2 59.6 35.7 12 70.1 39.4Buffalo 14 31.9 33.3 74 34.1 36.3Burt 6 81.7 47.2 22 58.7 33.0 Butler 4 46.5 33.5 28 63.8 45.8 Cass 12 46.2 49.1 59 46.3 48.2 Cedar 4 45.4 24.4 25 55.0 30.9 Chase 1 26.2 15.6 8 40.7 26.0 Cherry 5 84.3 55.9 19 62.7 43.4Cheyenne 2 20.3 13.0 41 82.6 61.6Clay 5 76.2 53.0 19 56.1 37.0Colfax 5 49.4 40.4 18 34.6 24.4 Cuming 4 41.4 26.0 29 59.2 35.1Custer 15 133.4 68.4 42 73.4 42.2 Dakota 6 29.1 33.6 35 34.2 39.5 Dawes 6 70.9 56.7 30 68.4 54.7 Dawson 14 56.0 49.6 52 42.1 36.3 Deuel 1 51.1 26.5 8 79.2 39.7 Dixon 2 32.4 22.8 12 39.0 24.9Dodge 19 52.5 37.8 88 48.8 34.9Douglas 214 43.5 49.3 984 40.8 46.5Dundy 4 189.7 112.9 8 73.5 42.9Fillmore 5 79.9 42.2 23 71.7 37.1 Franklin 2 59.7 39.5 16 93.6 54.4 Frontier 1 36.6 25.1 9 63.1 43.4 Furnas 6 119.9 69.0 23 89.9 49.3 Gage 18 77.0 49.2 60 51.5 34.9 Garden 2 100.3 50.7 12 113.8 54.0 Garfield 2 111.7 49.3 18 196.4 92.0Gosper 2 101.1 43.1 4 39.3 20.6Grant 0 - - 3 88.2 61.8Greeley 1 40.7 27.5 11 86.2 37.3Hall 34 61.2 52.1 150 54.9 48.1Hamilton 3 31.6 28.1 9 19.0 16.7 Harlan 1 29.0 14.6 10 56.0 28.9 Hayes 0 - - 1 18.6 10.3 Hitchcock 4 136.7 66.6 16 106.9 56.4 Holt 3 28.3 19.4 30 55.0 29.9 Hooker 0 - - 5 134.0 78.1Howard 1 14.8 7.5 10 30.1 22.8Jefferson 7 88.9 42.2 21 52.2 25.4Johnson 4 85.4 39.5 10 43.8 18.0Kearney 5 74.6 42.9 16 47.0 33.5


93

TABLE 47: Chronic Lung Disease Deaths by County of Residence, 2006 and 2002-2006 (Cont) 2006 2002-2006 Total Crude Age-Adjusted Total Crude Age-Adjusted

County Deaths Rate* Rate* Deaths Rate* Rate* Keith 7 84.8 53.8 34 80.6 53.0 Keya Paha 0 - - 3 64.6 31.5 Kimball 2 53.9 26.5 13 68.1 38.3 Knox 2 22.7 14.0 14 31.2 14.8 Lancaster 89 33.3 37.6 450 34.3 39.6 Lincoln 25 69.7 54.9 97 55.2 44.1Logan 0 - - 3 82.1 47.7Loup 0 - - 2 56.7 37.1McPherson 0 - - 2 76.5 56.3Madison 18 51.0 43.8 77 43.2 35.0Merrick 2 25.1 17.3 23 57.1 38.3 Morrill 2 38.7 25.8 11 42.0 30.6 Nance 4 108.0 71.3 25 133.2 85.6 Nemaha 4 55.2 44.0 33 92.4 63.3 Nuckolls 3 64.5 29.0 13 54.4 28.0 Otoe 8 50.8 31.4 44 56.6 37.7Pawnee 0 - - 13 89.8 43.9Perkins 2 66.8 32.8 11 72.1 35.6Phelps 7 74.1 48.0 32 67.0 42.9 Pierce 5 66.1 38.2 22 57.3 39.3Platte 5 15.6 12.4 43 27.4 25.0 Polk 4 74.8 45.9 10 36.8 21.6 Red Willow 6 55.2 38.5 36 64.7 42.2 Richardson 12 138.6 68.9 41 92.4 52.1 Rock 0 - - 4 49.9 21.6 Saline 6 42.4 30.1 36 50.8 34.8Sarpy 29 20.3 37.3 163 24.0 43.5Saunders 5 24.6 20.2 46 45.5 37.3 Scotts Bluff 27 73.9 51.6 152 82.8 59.9 Seward 4 23.8 19.4 34 40.7 32.8Sheridan 3 53.9 29.2 21 72.6 40.8 Sherman 2 64.9 21.8 13 83.0 42.1 Sioux 1 71.3 53.3 4 55.4 40.1 Stanton 3 45.7 43.3 13 39.7 37.2 Thayer 4 75.2 34.8 21 76.1 33.8 Thomas 1 159.0 89.7 3 92.0 50.4 Thurston 2 27.5 26.5 11 30.5 30.0 Valley 4 91.5 42.2 20 89.2 43.9Washington 7 34.9 31.5 40 40.7 38.3 Wayne 1 10.9 10.0 14 30.0 26.7Webster 5 135.1 59.8 19 99.1 44.8 Wheeler 0 - - 0 - - York 10 69.0 50.4 32 44.5 31.1

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



94


95

TABLE 48: Accidental Deaths by County of Residence, 2006 and 2002-2006 2006 2002-2006 Total Crude Age-Adjusted Total Crude Age-Adjusted

County Deaths Rate* Rate* Deaths Rate* Rate* STATE 685 38.7 36.0 3,581 41.0 38.3 Adams 14 42.2 34.3 61 38.3 31.1 Antelope 3 43.3 27.3 18 50.6 37.8 Arthur 0 - - 2 101.7 83.6 Banner 0 - - 0 - - Blaine 1 203.3 103.2 2 78.2 57.3 Boone 4 70.6 54.2 13 44.4 44.8Box Butte 4 35.9 31.8 27 47.0 46.2 Boyd 1 45.8 29.7 10 88.0 77.2Brown 0 - - 7 40.9 39.3Buffalo 16 36.4 41.2 93 42.9 41.7Burt 9 122.6 99.6 29 77.4 63.5 Butler 9 104.7 92.2 23 52.4 47.4 Cass 8 30.8 29.3 50 39.2 38.9 Cedar 4 45.4 44.6 26 57.2 51.7 Chase 4 105.0 69.3 13 66.1 54.4 Cherry 3 50.6 36.4 33 108.8 92.7Cheyenne 7 71.0 63.8 28 56.4 51.8Clay 3 45.7 46.1 29 85.6 78.1Colfax 2 19.8 17.5 21 40.3 39.9 Cuming 13 134.6 144.0 33 67.3 58.5Custer 7 62.3 55.4 39 68.2 56.5 Dakota 2 9.7 11.9 28 27.3 29.3 Dawes 2 23.6 17.7 23 52.5 55.1 Dawson 14 56.0 52.6 74 60.0 59.2 Deuel 1 51.1 81.2 5 49.5 52.3 Dixon 5 81.0 62.6 25 81.2 73.4Dodge 12 33.2 27.9 81 44.9 39.9Douglas 139 28.3 28.9 702 29.1 30.5Dundy 1 47.4 15.7 11 101.0 52.6Fillmore 1 16.0 5.7 20 62.4 56.2 Franklin 3 89.6 92.6 15 87.7 71.3 Frontier 0 - - 3 21.0 17.7 Furnas 6 119.9 144.6 26 101.6 95.5 Gage 21 89.9 64.1 78 66.9 55.6 Garden 1 50.1 60.3 6 56.9 59.2 Garfield 0 - - 4 43.6 31.5Gosper 0 - - 2 19.7 20.8Grant 0 - - 0 - -Greeley 1 40.7 43.1 10 78.4 69.0Hall 18 32.4 29.2 123 45.0 43.1Hamilton 6 63.2 48.2 24 50.6 44.8 Harlan 2 58.0 41.2 11 61.6 54.8 Hayes 2 194.4 256.2 7 130.0 121.6 Hitchcock 3 102.5 63.8 16 106.9 86.7 Holt 9 84.8 50.2 35 64.2 51.8 Hooker 0 - - 2 53.6 82.9Howard 6 89.1 71.5 25 75.1 65.7Jefferson 3 38.1 32.8 28 69.6 51.0Johnson 5 106.8 101.4 14 61.4 55.9Kearney 8 119.4 95.6 20 58.7 43.9


96

TABLE 48: Accidental Deaths by County of Residence, 2006 and 2002-2006 (Cont) 2006 2002-2006 Total Crude Age-Adjusted Total Crude Age-Adjusted

County Deaths Rate* Rate* Deaths Rate* Rate* Keith 2 24.2 21.0 23 54.5 46.8 Keya Paha 1 112.1 62.3 5 107.6 75.6 Kimball 2 53.9 26.5 11 57.6 49.5 Knox 6 68.1 71.6 36 80.3 65.3 Lancaster 73 27.3 28.6 419 31.9 33.5 Lincoln 16 44.6 40.4 78 44.4 41.0Logan 0 - - 5 136.9 142.0Loup 0 - - 4 113.4 83.9McPherson 0 - - 2 76.5 59.8Madison 18 51.0 44.9 83 46.5 41.5Merrick 8 100.6 99.6 23 57.1 52.7 Morrill 3 58.0 49.2 24 91.7 83.7 Nance 2 54.0 40.7 16 85.2 81.4 Nemaha 9 124.2 115.7 21 58.8 49.1 Nuckolls 1 21.5 37.8 10 41.8 34.0 Otoe 9 57.2 56.2 41 52.8 48.1Pawnee 3 107.0 146.7 11 76.0 55.9Perkins 2 66.8 94.0 10 65.6 66.7Phelps 4 42.4 31.5 16 33.5 27.9 Pierce 1 13.2 10.5 19 49.5 42.6Platte 16 50.1 49.5 61 38.9 38.1 Polk 3 56.1 57.0 15 55.2 32.1 Red Willow 5 46.0 35.5 25 44.9 40.0 Richardson 4 46.2 28.6 40 90.1 78.3 Rock 0 - - 3 37.4 22.2 Saline 6 42.4 30.4 33 46.5 34.2Sarpy 28 19.6 24.8 157 23.1 32.3Saunders 14 68.8 60.3 63 62.3 56.0 Scotts Bluff 19 52.0 50.1 102 55.5 50.9 Seward 4 23.8 15.7 28 33.5 26.1Sheridan 2 35.9 28.6 22 76.1 55.6 Sherman 0 - - 14 89.3 81.8 Sioux 0 - - 2 27.7 27.0 Stanton 2 30.4 36.7 11 33.6 33.6 Thayer 2 37.6 20.9 20 72.5 58.7 Thomas 1 159.0 146.7 3 92.0 76.3 Thurston 8 110.0 117.1 35 96.9 101.7 Valley 3 68.6 77.3 13 58.0 52.5Washington 10 49.9 46.8 48 48.8 46.3 Wayne 7 76.1 70.4 16 34.3 30.0Webster 2 54.0 15.0 10 52.1 45.1 Wheeler 0 - - 1 24.1 16.6 York 6 41.4 27.1 27 37.6 29.9




97


98

TABLE 49: Alzheimer's Disease Deaths by County of Residence, 2006 and 2002-2006 2006 2002-2006 Total Crude Age-Adjusted Total Crude Age-Adjusted

County Deaths Rate* Rate* Deaths Rate* Rate* STATE 499 28.2 22.5 2,354 26.9 22.0 Adams 6 18.1 11.3 35 22.0 13.1 Antelope 2 28.9 14.4 5 14.1 7.3 Arthur 0 - - 0 - - Banner 0 - - 0 - - Blaine 0 - - 0 - - Boone 9 158.8 76.5 22 75.2 34.5Box Butte 7 62.9 40.4 25 43.5 30.0 Boyd 1 45.8 14.2 6 52.8 17.8Brown 3 89.4 45.7 13 75.9 33.8Buffalo 9 20.5 17.6 58 26.8 22.2Burt 2 27.2 13.4 15 40.0 18.4 Butler 7 81.4 56.3 46 104.8 72.7 Cass 6 23.1 25.1 37 29.0 29.5 Cedar 2 22.7 12.9 12 26.4 13.4 Chase 0 - - 0 - - Cherry 2 33.7 21.5 19 62.7 36.2Cheyenne 5 50.7 30.0 17 34.2 22.9Clay 2 30.5 18.9 5 14.8 8.7Colfax 3 29.7 18.4 10 19.2 12.6 Cuming 0 - - 20 40.8 19.2Custer 4 35.6 15.2 20 35.0 15.2 Dakota 7 34.0 42.9 41 40.0 45.8 Dawes 5 59.1 37.1 19 43.4 31.7 Dawson 13 52.0 39.6 41 33.2 23.9 Deuel 0 - - 5 49.5 27.7 Dixon 2 32.4 13.3 6 19.5 10.6Dodge 17 47.0 25.5 60 33.3 19.3Douglas 97 19.7 21.3 472 19.6 21.6Dundy 1 47.4 15.7 8 73.5 30.6Fillmore 3 47.9 24.0 12 37.4 16.3 Franklin 0 - - 0 - - Frontier 1 36.6 25.1 4 28.0 15.4 Furnas 0 - - 10 39.1 15.3 Gage 14 59.9 31.7 51 43.7 24.1 Garden 0 - - 4 37.9 13.8 Garfield 0 - - 4 43.6 16.2Gosper 1 50.6 21.5 11 108.1 54.1Grant 1 151.5 172.3 3 88.2 96.5 Greeley 0 - - 3 23.5 9.4Hall 14 25.2 18.5 87 31.8 25.7Hamilton 2 21.1 14.6 20 42.2 32.0 Harlan 2 58.0 25.8 4 22.4 9.1 Hayes 0 - - 1 18.6 12.2 Hitchcock 3 102.5 36.9 12 80.2 30.9 Holt 5 47.1 28.3 19 34.8 17.8 Hooker 0 - - 1 26.8 11.5Howard 3 44.5 29.9 9 27.0 18.0Jefferson 2 25.4 14.7 7 17.4 9.2Johnson 2 42.7 15.4 9 39.4 13.2Kearney 1 14.9 6.7 8 23.5 14.6


99

TABLE 49: Alzheimer's Disease Deaths by County of Residence, 2006 and 2002-2006 (Cont) 2006 2002-2006 Total Crude Age-Adjusted Total Crude Age-Adjusted

County Deaths Rate* Rate* Deaths Rate* Rate* Keith 2 24.2 15.8 9 21.3 14.1 Keya Paha 0 - - 0 - - Kimball 1 27.0 13.3 8 41.9 22.4 Knox 1 11.3 8.1 6 13.4 6.1 Lancaster 50 18.7 20.8 250 19.1 21.6 Lincoln 8 22.3 17.3 55 31.3 23.3Logan 0 - - 0 - -Loup 0 - - 0 - -McPherson 0 - - 0 - -Madison 13 36.8 23.7 54 30.3 20.2Merrick 6 75.4 46.1 12 29.8 18.0 Morrill 4 77.4 44.6 7 26.8 16.9 Nance 2 54.0 29.5 9 47.9 27.2 Nemaha 10 138.0 72.4 28 78.4 43.0 Nuckolls 3 64.5 25.1 12 50.2 21.5 Otoe 3 19.1 11.4 33 42.5 22.7Pawnee 5 178.3 71.4 9 62.2 23.6Perkins 0 - - 2 13.1 5.1Phelps 6 63.5 25.9 29 60.7 34.5 Pierce 2 26.4 17.3 3 7.8 5.0Platte 8 25.0 18.8 33 21.0 18.5 Polk 3 56.1 23.1 9 33.1 14.3 Red Willow 4 36.8 20.4 38 68.2 38.8 Richardson 1 11.6 4.2 7 15.8 7.0 Rock 1 64.8 19.9 2 24.9 8.5 Saline 13 91.8 45.8 63 88.8 52.8Sarpy 17 11.9 23.8 59 8.7 18.8Saunders 3 14.7 10.1 17 16.8 12.3 Scotts Bluff 24 65.7 39.0 99 53.9 34.7 Seward 14 83.2 56.1 59 70.6 48.7Sheridan 2 35.9 19.1 16 55.3 25.4 Sherman 2 64.9 21.8 7 44.7 20.7 Sioux 0 - - 0 - - Stanton 3 45.7 43.3 11 33.6 27.3 Thayer 3 56.4 22.2 8 29.0 11.8 Thomas 0 - - 0 - -Thurston 1 13.7 12.4 8 22.2 21.4 Valley 2 45.7 19.5 7 31.2 12.5Washington 9 44.9 36.0 44 44.8 38.8 Wayne 1 10.9 11.2 4 8.6 7.5Webster 1 27.0 7.5 9 46.9 16.7 Wheeler 0 - - 2 48.2 77.5 York 5 34.5 21.6 30 41.8 24.1




100


101

TABLE 50: Diabetes Mellitus Deaths by County of Residence, 2006 and 2002-2006 2006 2002-2006

Age- Total Crude Age-Adjusted Total Crude Adjusted

County Deaths Rate* Rate* Deaths Rate* Rate* STATE 437 24.7 22.0 2,079 23.8 21.5 Adams 4 12.1 10.8 26 16.3 12.4 Antelope 3 43.3 15.8 9 25.3 16.2 Arthur 0 - - 2 101.7 87.0 Banner 1 127.7 81.5 1 26.2 18.3 Blaine 0 - - 0 - - Boone 3 52.9 33.4 7 23.9 13.5Box Butte 3 26.9 19.8 14 24.4 20.1 Boyd 0 - - 2 17.6 5.3Brown 3 89.4 83.4 6 35.0 25.5Buffalo 10 22.8 20.9 37 17.1 16.9Burt 2 27.2 14.7 12 32.0 18.6 Butler 4 46.5 34.4 16 36.5 28.6 Cass 2 7.7 8.4 25 19.6 19.4 Cedar 3 34.0 22.1 12 26.4 15.0 Chase 1 26.2 20.8 5 25.4 15.0 Cherry 2 33.7 25.6 11 36.3 25.1Cheyenne 6 60.8 45.6 27 54.4 40.2Clay 2 30.5 18.9 9 26.6 16.8Colfax 5 49.4 35.2 17 32.6 22.2 Cuming 2 20.7 8.4 18 36.7 19.4Custer 3 26.7 14.0 15 26.2 15.1 Dakota 4 19.4 22.1 31 30.3 34.4 Dawes 4 47.2 42.0 18 41.1 40.1 Dawson 6 24.0 20.7 32 25.9 22.8 Deuel 0 - - 7 69.3 38.4 Dixon 1 16.2 6.7 3 9.7 6.5Dodge 8 22.1 16.0 37 20.5 15.5Douglas 110 22.4 24.6 530 22.0 24.5Dundy 2 94.8 39.1 9 82.6 41.1Fillmore 1 16.0 11.9 9 28.1 16.6 Franklin 0 - - 3 17.5 7.1 Frontier 1 36.6 25.1 6 42.1 28.7 Furnas 1 20.0 14.8 8 31.3 21.9 Gage 6 25.7 11.9 45 38.6 22.3 Garden 1 50.1 28.1 3 28.4 12.9 Garfield 1 55.9 31.1 7 76.4 46.8Gosper 0 - - 5 49.1 27.1Grant 0 - - 0 - -Greeley 1 40.7 29.6 1 7.8 6.5Hall 11 19.8 16.9 67 24.5 21.8Hamilton 6 63.2 51.3 16 33.8 26.7 Harlan 0 - - 6 33.6 15.7 Hayes 0 - - 2 37.1 37.4 Hitchcock 5 170.9 94.9 11 73.5 40.1 Holt 2 18.9 8.9 18 33.0 22.0 Hooker 0 - - 1 26.8 23.6Howard 3 44.5 28.4 7 21.0 14.5Jefferson 3 38.1 23.5 13 32.3 17.2Johnson 1 21.4 12.1 6 26.3 14.2Kearney 3 44.8 25.6 12 35.2 24.3


102

TABLE 50: Diabetes Mellitus Deaths by County of Residence, 2006 and 2002-2006 (Cont) 2006 2002-2006

County Total

Deaths Crude Rate*

Age-Adjusted Rate

Total Deaths

Crude Rate*

Age-AdjustedRate*

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 SewardSheridan Sherman Sioux Stanton Thayer Thomas Thurston ValleyWashington Wayne Webster Wheeler York

3 0 0 5

45 17 0 0 0

16 2 2 1 1 3 3 0 2 8 6 3 1 8 2 0 8

19 5 4

4 1 0 0 1 4 0 5

3 7 4 2 0 2

36.4 - -

56.7 16.8 47.4

- - -

45.4 25.1 38.7 27.0 13.8 64.5 19.1

- 66.8 84.7 79.3 9.4

18.7 73.6 23.1

- 56.5 13.3 24.6 10.9 23.8 18.0

- -

15.2 75.2

- 68.7 68.6 34.9 43.5 54.0

- 13.8

22.2--

31.718.937.6

---

36.717.725.314.89.8

25.113.8

-32.854.064.08.8

15.144.012.8

-39.220.520.08.5

18.76.1

--

16.731.5

-83.632.432.929.223.1

-8.2

1701

2023188100

561011597

2235

2619286

22231

23681658226405

101

148

239629

40.3 -

5.2 44.6 17.6 50.1 27.4

- -

31.4 24.8 42.0 26.6 25.2 29.3 28.3 20.7 32.8 54.5 49.5 17.8 22.1 39.5 51.8 12.5 32.4 10.0 15.8 31.6 26.3 20.7 25.5

- 15.3 36.2 30.7 38.8 35.7 23.4 19.3 31.3 48.2 12.5

29.1-

3.025.120.039.325.6

--

26.817.029.315.117.512.717.6

9.619.737.136.716.815.424.729.34.2

21.116.413.723.920.710.613.1

-14.917.120.143.916.621.816.016.255.49.0




103


104

TABLE 51: Pneumonia Deaths by County of Residence, 2006 and 2002-2006 2006 2002-2006 Total Crude Age-Adjusted Total Crude Age-Adjusted

County Deaths Rate* Rate* Deaths Rate* Rate* STATE 331 18.7 15.2 1,820 20.8 17.3 Adams 10 30.1 22.3 59 37.0 23.7 Antelope 3 43.3 25.1 12 33.7 17.0 Arthur 0 - - 0 - - Banner 0 - - 0 - - Blaine 0 - - 0 - - Boone 5 88.2 36.5 17 58.1 23.6Box Butte 1 9.0 5.2 11 19.2 12.6 Boyd 0 - - 3 26.4 9.8Brown 1 29.8 17.4 9 52.6 27.3Buffalo 9 20.5 15.7 58 26.8 23.6Burt 2 27.2 13.4 11 29.4 14.4 Butler 0 - - 8 18.2 12.2 Cass 11 42.4 42.8 37 29.0 29.2 Cedar 0 - - 9 19.8 9.1 Chase 0 - - 11 55.9 27.3 Cherry 3 50.6 34.3 7 23.1 15.3Cheyenne 5 50.7 40.7 13 26.2 18.9Clay 3 45.7 26.0 17 50.2 30.0Colfax 1 9.9 5.3 14 26.9 14.4Cuming 3 31.1 16.2 11 22.4 10.3Custer 3 26.7 14.0 25 43.7 23.1 Dakota 2 9.7 9.6 15 14.7 16.2 Dawes 1 11.8 6.8 7 16.0 13.7 Dawson 5 20.0 17.9 20 16.2 12.8 Deuel 0 - - 4 39.6 18.6 Dixon 0 - - 6 19.5 12.7Dodge 9 24.9 14.9 42 23.3 15.2Douglas 85 17.3 18.0 411 17.1 18.7Dundy 0 - - 4 36.7 14.8Fillmore 3 47.9 23.4 8 25.0 12.2 Franklin 1 29.9 19.8 4 23.4 11.6 Frontier 0 - - 3 21.0 12.5 Furnas 1 20.0 14.8 11 43.0 17.5 Gage 5 21.4 18.5 20 17.2 11.2 Garden 1 50.1 15.4 2 19.0 6.1 Garfield 2 111.7 32.3 2 21.8 7.0Gosper 1 50.6 21.5 4 39.3 17.2Grant 0 - - 0 - -Greeley 0 - - 4 31.4 12.2Hall 12 21.6 17.2 69 25.2 21.1Hamilton 2 21.1 15.5 12 25.3 18.9 Harlan 0 - - 5 28.0 13.0 Hayes 0 - - 0 - - Hitchcock 0 - - 2 13.4 7.4 Holt 2 18.9 7.0 19 34.8 16.4 Hooker 0 - - 1 26.8 5.7Howard 1 14.8 7.5 4 12.0 7.8Jefferson 2 25.4 17.6 14 34.8 15.7Johnson 3 64.1 23.9 8 35.1 11.2Kearney 2 29.8 18.9 7 20.5 15.0


105

TABLE 51: Pneumonia Deaths by County of Residence, 2006 and 2002-2006 (Cont)

2006 2002-2006 Total Crude Age-Adjusted Total Crude Age-Adjusted

County Deaths Rate* Rate* Deaths Rate* Rate* Keith 1 12.1 7.8 9 21.3 13.8 Keya Paha 0 - - 0 - - Kimball 1 27.0 15.3 9 47.2 25.4 Knox 3 34.0 21.9 17 37.9 17.4 Lancaster 21 7.9 8.4 182 13.9 15.3 Lincoln 4 11.2 8.0 30 17.1 12.8Logan 0 - - 0 - -Loup 0 - - 0 - -McPherson 0 - - 0 - -Madison 8 22.7 13.4 36 20.2 14.1 Merrick 3 37.7 27.3 14 34.7 20.1 Morrill 1 19.3 14.1 9 34.4 23.5 Nance 3 81.0 49.2 14 74.6 44.5 Nemaha 6 82.8 42.5 14 39.2 20.3 Nuckolls 0 - - 9 37.6 15.2 Otoe 5 31.8 15.8 31 39.9 22.6 Pawnee 1 35.7 11.1 2 13.8 5.3 Perkins 0 - - 8 52.5 20.5Phelps 6 63.5 36.4 14 29.3 17.2 Pierce 1 13.2 10.5 5 13.0 8.8Platte 6 18.8 14.1 31 19.8 17.3 Polk 1 18.7 6.2 2 7.4 3.4 Red Willow 5 46.0 25.6 20 35.9 20.2 Richardson 3 34.7 16.9 18 40.6 18.3 Rock 0 - - 2 24.9 8.5 Saline 2 14.1 6.0 12 16.9 10.1Sarpy 13 9.1 19.3 106 15.6 32.1 Saunders 6 29.5 22.0 22 21.8 17.2 Scotts Bluff 12 32.8 20.5 50 27.2 17.5 Seward 4 23.8 14.2 26 31.1 21.9 Sheridan 2 35.9 12.3 7 24.2 9.7 Sherman 1 32.4 10.9 6 38.3 16.2 Sioux 0 - - 2 27.7 27.0 Stanton 0 - - 2 6.1 5.2 Thayer 2 37.6 17.0 9 32.6 22.0 Thomas 0 - - 1 30.7 17.2 Thurston 0 - - 7 19.4 19.0 Valley 3 68.6 30.9 12 53.5 22.3 Washington 1 5.0 3.9 16 16.3 14.6 Wayne 0 - - 3 6.4 4.7Webster 5 135.1 60.6 11 57.4 23.7 Wheeler 0 - - 0 - - York 1 6.9 5.2 12 16.7 10.2




106


107

TABLE 52: Nephritis and Nephrosis Deaths by County of Residence, 2006 and 2002-2006 2006 2002-2006 Total Crude Age-Adjusted Total Crude Age-Adjusted

County Deaths Rate* Rate* Deaths Rate* Rate* STATE 244 13.8 11.9 1,350 15.4 13.5 Adams 8 24.1 18.1 31 19.5 14.2 Antelope 1 14.4 9.2 8 22.5 13.0 Arthur 0 - - 1 50.9 42.7 Banner 0 - - 0 - - Blaine 0 - - 0 - - Boone 1 17.6 6.7 8 27.3 14.2Box Butte 0 - - 7 12.2 10.1 Boyd 0 - - 2 17.6 7.2Brown 0 - - 1 5.8 3.4Buffalo 11 25.0 24.8 34 15.7 15.6Burt 2 27.2 11.1 8 21.4 10.6 Butler 1 11.6 7.4 7 16.0 10.6 Cass 2 7.7 8.9 12 9.4 10.0 Cedar 2 22.7 10.9 8 17.6 9.1 Chase 0 - - 7 35.6 22.3 Cherry 2 33.7 17.4 5 16.5 11.1Cheyenne 1 10.1 7.3 9 18.1 13.9Clay 0 - - 7 20.7 15.0Colfax 1 9.9 7.9 8 15.4 10.4Cuming 3 31.1 16.4 10 20.4 10.8Custer 1 8.9 3.3 14 24.5 12.9 Dakota 1 4.9 6.0 16 15.6 17.5 Dawes 1 11.8 10.2 10 22.8 19.0 Dawson 7 28.0 24.2 19 15.4 13.0 Deuel 0 - - 3 29.7 11.6 Dixon 1 16.2 6.7 9 29.2 18.7Dodge 11 30.4 21.6 49 27.2 17.9Douglas 46 9.3 10.0 317 13.2 14.6Dundy 0 - - 3 27.5 12.5Fillmore 3 47.9 26.7 7 21.8 12.0 Franklin 2 59.7 34.3 7 40.9 20.1 Frontier 0 - - 1 7.0 3.5 Furnas 2 40.0 17.0 8 31.3 16.0 Gage 5 21.4 11.8 20 17.2 9.7 Garden 0 - - 3 28.4 20.4 Garfield 2 111.7 64.3 3 32.7 15.9Gosper 0 - - 2 19.7 11.7Grant 0 - - 0 - -Greeley 0 - - 4 31.4 13.3Hall 12 21.6 19.3 43 15.7 13.7Hamilton 0 - - 8 16.9 12.6 Harlan 0 - - 3 16.8 6.2 Hayes 0 - - 0 - - Hitchcock 0 - - 6 40.1 19.6 Holt 4 37.7 21.2 16 29.3 14.5 Hooker 0 - - 0 - -Howard 3 44.5 26.3 8 24.0 16.4Jefferson 1 12.7 3.8 11 27.3 11.8Johnson 0 - - 1 4.4 2.4Kearney 1 14.9 6.7 5 14.7 9.9


108

TABLE 52: Nephritis and Nephrosis Deaths by County of Residence, 2006 and 2002-2006 (Cont) 2006 2002-2006 Total Crude Age-Adjusted Total Crude Age-Adjusted

County Deaths Rate* Rate* Deaths Rate* Rate* Keith 3 36.4 22.2 9 21.3 13.9 Keya Paha 0 - - 0 - - Kimball 1 27.0 13.3 4 21.0 11.9 Knox 3 34.0 17.7 8 17.8 8.7 Lancaster 26 9.7 10.4 122 9.3 10.5 Lincoln 2 5.6 4.8 22 12.5 10.2Logan 0 - - 2 54.8 51.2Loup 0 - - 1 28.3 18.2McPherson 0 - - 0 - -Madison 9 25.5 18.2 41 23.0 17.8Merrick 1 12.6 8.7 7 17.4 11.2 Morrill 0 - - 9 34.4 24.0 Nance 1 27.0 15.8 12 63.9 36.9 Nemaha 3 41.4 15.4 10 28.0 16.7 Nuckolls 1 21.5 7.5 6 25.1 12.0 Otoe 2 12.7 8.5 19 24.5 14.6Pawnee 0 - - 7 48.4 21.5Perkins 1 33.4 12.2 4 26.2 11.7Phelps 5 53.0 34.8 10 20.9 13.8 Pierce 0 - - 2 5.2 4.0Platte 2 6.3 5.6 19 12.1 11.0 Polk 1 18.7 6.2 6 22.1 12.8 Red Willow 1 9.2 4.3 11 19.8 11.3 Richardson 4 46.2 18.9 16 36.1 18.0 Rock 0 - - 7 87.3 36.9 Saline 3 21.2 18.1 11 15.5 11.4Sarpy 9 6.3 11.5 71 10.4 18.5Saunders 3 14.7 12.4 14 13.9 10.9 Scotts Bluff 7 19.2 14.2 36 19.6 14.0 Seward 3 17.8 19.1 10 12.0 9.9Sheridan 1 18.0 9.7 7 24.2 10.3 Sherman 3 97.3 54.2 7 44.7 21.2 Sioux 0 - - 2 27.7 27.0 Stanton 0 - - 1 3.1 2.7 Thayer 1 18.8 8.5 11 39.8 17.9 Thomas 0 - - 0 - -Thurston 1 13.7 12.4 10 27.7 28.2 Valley 0 - - 4 17.8 7.1Washington 0 - - 8 8.1 7.5Wayne 3 32.6 24.0 11 23.6 18.7Webster 3 81.1 22.5 9 46.9 16.0 Wheeler 0 - - 1 24.1 38.8 York 3 20.7 13.9 14 19.5 11.3




109


110

TABLE 53: Intentional Self-Harm (Suicide) Deaths by County of Residence, 2006 and 2002-2006 2006 2002-2006 Total Crude Age-Adjusted Total Crude Age-Adjusted

County Deaths Rate* Rate* Deaths Rate* Rate* STATE 201 11.4 11.1 925 10.6 10.5 Adams 1 3.0 2.5 9 5.7 6.2 Antelope 0 - - 2 5.6 5.3 Arthur 1 268.8 516.9 1 50.9 44.3 Banner 0 - - 0 - - Blaine 0 - - 0 - - Boone 1 17.6 14.3 1 3.4 3.0Box Butte 1 9.0 9.1 7 12.2 11.6 Boyd 0 - - 0 - -Brown 0 - - 0 - -Buffalo 3 6.8 7.5 20 9.2 9.4Burt 0 - - 3 8.0 7.8 Butler 3 34.9 39.5 8 18.2 18.2 Cass 4 15.4 15.7 16 12.6 12.5 Cedar 0 - - 5 11.0 10.1 Chase 1 26.2 20.8 6 30.5 35.7 Cherry 1 16.9 20.0 5 16.5 18.1Cheyenne 2 20.3 23.8 9 18.1 17.8Clay 1 15.2 20.4 5 14.8 16.0Colfax 3 29.7 27.1 6 11.5 11.0 Cuming 1 10.4 9.1 1 2.0 1.9Custer 1 8.9 6.3 6 10.5 9.6 Dakota 2 9.7 9.1 11 10.7 11.2 Dawes 1 11.8 10.9 10 22.8 19.6 Dawson 0 - - 8 6.5 7.1 Deuel 0 - - 0 - - Dixon 0 - - 4 13.0 15.2Dodge 5 13.8 15.0 21 11.6 12.3Douglas 48 9.8 9.7 257 10.7 10.8Dundy 1 47.4 15.7 4 36.7 20.3Fillmore 0 - - 2 6.2 9.0Franklin 0 - - 2 11.7 12.5 Frontier 0 - - 0 - - Furnas 0 - - 0 - - Gage 3 12.8 12.3 13 11.2 10.5 Garden 0 - - 1 9.5 8.0 Garfield 1 55.9 48.7 1 10.9 9.7Gosper 0 - - 0 - -Grant 1 151.5 137.3 1 29.4 28.0 Greeley 2 81.5 92.4 5 39.2 36.8Hall 9 16.2 17.8 37 13.5 14.0Hamilton 0 - - 1 2.1 1.8 Harlan 1 29.0 17.7 2 11.2 6.9 Hayes 0 - - 0 - - Hitchcock 0 - - 0 - - Holt 0 - - 5 9.2 8.7 Hooker 0 - - 0 - -Howard 0 - - 0 - -Jefferson 1 12.7 10.7 3 7.5 6.1Johnson 0 - - 5 21.9 21.2Kearney 0 - - 3 8.8 9.3


111

TABLE 53: Intentional Self-Harm (Suicide) Deaths by County of Residence, 2006 and 2002-2006 (Cont) 2006 2002-2006 Total Crude Age-Adjusted Total Crude Age-Adjusted

County Deaths Rate* Rate* Deaths Rate* Rate* Keith 2 24.2 23.6 5 11.9 11.5 Keya Paha 1 112.1 74.2 1 21.5 14.7 Kimball 0 - - 3 15.7 21.1 Knox 1 11.3 8.0 3 6.7 8.1 Lancaster 39 14.6 14.7 164 12.5 12.9 Lincoln 7 19.5 18.8 24 13.7 13.5 Logan 0 - - 0 - -Loup 0 - - 0 - -McPherson 0 - - 0 - -Madison 3 8.5 7.8 17 9.5 9.7Merrick 1 12.6 10.8 7 17.4 18.7 Morrill 0 - - 1 3.8 5.0 Nance 1 27.0 27.9 1 5.3 5.8 Nemaha 2 27.6 14.9 3 8.4 5.5 Nuckolls 0 - - 1 4.2 4.5 Otoe 0 - - 2 2.6 2.1Pawnee 0 - - 1 6.9 3.0Perkins 0 - - 2 13.1 11.0Phelps 1 10.6 11.7 2 4.2 4.1Pierce 1 13.2 11.7 3 7.8 7.1Platte 2 6.3 5.9 8 5.1 5.3 Polk 0 - - 2 7.4 4.5 Red Willow 1 9.2 13.0 11 19.8 21.1 Richardson 1 11.6 12.5 5 11.3 13.8 Rock 0 - - 0 - - Saline 1 7.1 6.0 5 7.0 6.5Sarpy 20 14.0 14.6 69 10.2 10.6 Saunders 2 9.8 9.4 13 12.9 12.5Scotts Bluff 4 10.9 9.1 25 13.6 14.5 Seward 1 5.9 5.5 4 4.8 5.2Sheridan 2 35.9 38.7 6 20.7 22.0 Sherman 0 - - 0 - - Sioux 0 - - 0 - - Stanton 0 - - 3 9.2 9.8 Thayer 0 - - 3 10.9 6.8 Thomas 1 159.0 85.5 1 30.7 20.1 Thurston 4 55.0 44.7 7 19.4 19.2 Valley 0 - - 1 4.5 5.3Washington 1 5.0 4.4 3 3.1 3.0Wayne 1 10.9 4.9 4 8.6 7.7Webster 2 54.0 32.1 5 26.1 18.1 Wheeler 0 - - 0 - - York 0 - - 4 5.6 5.6




112

TABLE 54: Accidental Deaths by Cause, 2002-2006 Cause of Death 2002 2003 2004 2005 2006 Railway accidents (all forms) 6 2 2 4 1 Motor vehicle traffic accidents* 314 292 266 274 260 Motor vehicle nontraffic accidents* 20 14 16 14 10 Other road vehicle accidents 2 4 4 6 7Water transport accidents 5 3 2 1 4Air transport accidents 4 2 7 0 3Poisoning by drugs 25 30 33 44 56 Poisoning by other solids and liquids 4 1 1 4 3 Poisoning by gases and vapors 3 4 11 5 8 Accidental falls 186 136 172 150 170Injury by fires 13 16 15 26 23Excessive heat 2 3 1 0 2Excessive cold 2 2 4 9 2 Hunger and thirst 2 0 0 1 0 Injury by animals 3 1 0 0 0 Lightning 1 0 0 0 1Drowning (excluding water transport) 20 21 25 8 11Obstruction, suffocation, or puncture 49 61 92 68 29 by ingested objects Mechanical suffocation 12 7 7 9 7 Struck against or by machinery or other object 8 7 5 5 7 Caught between or in machinery or other object 7 5 4 6 8 Injury by cutting or piercing instruments 0 3 0 1 0 Injury by firearms 5 5 6 2 3Injury by electric current 5 4 6 2 4Other and unspecified accidents** 56 72 62 67 66 TOTAL ACCIDENTAL DEATHS 754 695 741 706 685 MALE 453 404 441 402 404FEMALE 301 291 300 304 281 Rate per 100,000 population 43.6 40.0 42.4 40.1 38.7

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


113

Graph 19: Leading Causes of Accidental Deaths, 2006

270

170

67

23

11

3

141

0 50 100 150 200 250 300

Motor Vehicle

Falls

Poisoning

Fires

Drowning

Firearms

All Others

Number of Deaths


114

TABLE 55: Accidental Deaths by Principal Cause by Place of Residence, 2006

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.

685

14 5 9 3 0 0 1 4 4 1 3 1 0

16 9 7 9 9 2 7 8 1 7 4 4

3 3 0 7 5 2 3 2 1 1

13 0

13 7 4 3 2 2 0 2 1 1

14 2 1 7 4

269

8 1 7 0 0 0 1 3 2 1 1 1 0 7 5 2 7 9 2 7 5 1 4 2 2 1 1 0 5 4 1 1 1 0 1 6 0 6 4 2 2 0 0 0 1 0 1 9 2 1 4 2

17

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

169

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

10

0 0 0 0 0 0000 0 0 0 0 0 0 0 000 0 0 0 0 0 0 00 0 00 0 1 0 0 0 00 0 00 0 0 0 0 0 0 0 00 0 0 0

21

0 0 0 0 0 0000 0 0 0 0 0 0 0 000 0 0 0 0 0 0 00 0 00 0 0 0 0 0 40 4 00 0 0 0 0 0 0 0 00 0 0 0

199

2 0 2 2 0 0001 0 1 0 0 7 3 4 000 0 3 0 3 2 0 11 0 10 1 1 0 0 0 20 2 10 1 1 1 0 0 0 0 10 0 0 1


115

TABLE 55: Accidental Deaths by Principal Cause by Place of Residence, 2006 (Cont)

Place

All Accidents

Motor Vehicle+

Farm

Fall+

Drowning+

Fire+

All Others+

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 5 7

139 3

129 2 5 1 1 3 0 6

21 15

6 1 0 0 0 1

18 16

2 6

2 4 2 2 3 9 2 7 0 6 3 1 2 5 8 3 5 2 2 0 1 2 1 1 6

1 3 3 0 3

43 2

37 1 3 0 0 0 0 3 7 4 3 1 0 0 0 1 7 7 0 3 0 3 1 2 1 2 0 2 0 4 2 0 2 3 4 0 4 1 1 0 1 0 0 0 3

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

0 1 3 2 1

38 1

36 0 1 0 0 0 0 2 8 6 2 0 0 0 0 0 6 5 1 3 2 1 0 0 0 4 2 2 0 1 1 1 0 1 2 2 0 0 0 0 0 1 0 1 1

0 0 0 0 0 2 0 2 0 0 0 0 2 0000 0 0 0 0 0 0 00 0 00 0 0 0 0 1 0 1 0000 0 0 0 0 0 00 0 0 0 0 0 0

0 0 1 0 1 50 5 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 1 4 3 1

510

49 1 1 1 1 1 0165 1 0 0 0 0 0 54 1 00 0 1 0 2 1 0 1 0100 0 1 2 1 1 11 0 0 1 1 0 1


116


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.

73 70 3

16 10 6 0 0 0

18 16 2 8 4 4 3 2 9 5 4 1 9 2 7 3 2 4 2 2 1

16 7 9 3 5 2 3 4 2 2 0 6 4 2

28 8 6 4

10 14

4 10

16 16 0 4 3 1 0 0 0 2 1 1 3 1 2 1 0 3 1 2 0 6 2 4 1 0 2 1 1 0 6 3 3 1 2 0 2 1 0 1 0 2 1 1

16 6 3 1 6 7 3 4

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

25 25 0 3 2 1 0 0 0 5 5 0 3 1 2 1 0 5 3 2 0 1 0 1 2 0 0 0 0 1 2 1 1 1 2 2 0 0 0 0 0 3 2 1 8 1 2 2 3 2 1 1

2 0 2 0 0 0 000 0 0 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 1 0 1

3 3 0 1 1 0 00055 0 0 0 0 0100 0 0 0 0 0 0 000 0 00 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 00 0

27 26 1 8 4 4 00065 1 2 2 0 1011 0 1 2 0 2 0 121 1 04 2 2 1 1 0 1 32 1 0 1 1 0 4 1 1 1 1 30 3


117


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

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

3 10

4 6 7 4 3 2 0 6 4 2

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

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

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

0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 10 1

0 0 0 0 00 0 00 0 0 0 0 0100 0 0 0 0 0 0 00 0

8 2 4 2 20 2 10 0 2 1 0 3131 2 1 1 0 1 0 10 1

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


118

TABLE 56: Drownings by Site, Sex and Age Group, 2006

Age Group 15- 30- 45-

Site Male Female Total < 15 29 44 59 60+ Bath tub/unspecified place 0 1 1 1 0 0 0 0 Swimming pool/sports area 1 0 1 1 0 0 0 0 Natural water/unspecified place 4 0 4 1 1 0 2 0 Reservoir/specified place 3 0 3 0 1 2 0 0 Unspecified drowning/construction area 1 0 1 0 1 0 0 0 Fall into water/farm 1 0 1 0 0 0 0 1 Total 10 1 11 3 3 2 2 1

TABLE 57: Farm Fatalities by Type, Sex and Age Group, 2006

Type of Age Group 15- 30- 45-

Accident Male Female Total < 15 29 44 59 60+ Agriculture vehicle accident 1 0 1 0 0 0 0 1 Air transport 1 0 1 0 0 0 0 1 Unspecified fall 0 1 1 0 0 1 0 0 Striking against object 2 0 2 0 0 0 1 1 Machinery 5 0 5 0 0 1 0 4 Fall into water 1 0 1 0 0 0 0 1 Electric current 2 0 2 0 0 0 0 2 Uncontrolled fire 1 0 1 0 0 0 0 1 Ignition of flammable material 1 0 1 0 0 0 0 1 Excessive heat exposure 1 0 1 0 0 0 1 0 Unspecified factor 1 0 1 0 1 0 0 0 Total 16 1 17 0 1 2 2 12


119

Graph 20: Intentional Self-Harm (Suicide), 1918-2006

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


120

TABLE 58: Intentional Self-Harm (Suicide) by Type, Sex and Age Group, 2006

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 96 8 12 2 6 6 4 12 6 11 10 2 4 5 8 F 9 1 2 2 1 1 1 1

Hanging/ Suffocation

M 45 4 10 2 4 2 3 3 3 6 3 2 2 1 F 10 1 3 1 1 2 1 1

Carbon Monoxide

M 11 2 2 2 1 1 1 1 1 F 2 2

Drugs

M 12 1 2 1 2 4 2 F 9 1 1 1 1 3 1 1

Laceration

M 1 1 F 1 1

Jumping

M 2 1 1 F 0

Drowning

M 0 F 0

Other

M 2 1 1 F 1 1

Total

201

0

0

4

21

21

9

11

16

16

25

20

18

15

5

5

7

8

Male 169Female 32


121

Graph 21: Infant and Neonatal Deaths, 1925-2006

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


122

TABLE 59: Infant and Neonatal Deaths by Place of Residence, 2006 and 2002-2006

2006 2002-2006 2006 2002-2006 Infant Infant Neonatal Neonatal

Place Deaths Rate Deaths Rate Deaths Rate Deaths Rate STATE 148 5.5 787 6.0 93 3.5 506 3.9 Adams 0 - 10 4.7 0 - 8 3.7 Hastings 0 - 7 4.0 0 - 6 3.4 Balance of Co. 0 - 3 7.9 0 - 2 5.2 Antelope 1 13.2 4 10.9 1 13.2 2 5.4 Arthur 0 - 0 - 0 - 0 - Banner 0 - 1 38.5 0 - 1 38.5Blaine 0 - 0 - 0 - 0 -Boone 0 - 0 - 0 - 0 -Box Butte 0 - 2 2.7 0 - 1 1.4Boyd 0 - 1 12.8 0 - 1 12.8Brown 0 - 0 - 0 - 0 - Buffalo 2 2.8 21 6.5 2 2.8 16 4.9 Kearney 2 4.1 19 8.6 2 4.1 15 6.8 Balance of Co. 0 - 2 2.0 0 - 1 1.0 Burt 0 - 1 2.6 0 - 1 2.6 Butler 0 - 0 - 0 - 0 -Cass 2 6.6 11 6.9 1 3.3 5 3.1Cedar 0 - 1 1.8 0 - 1 1.8Chase 0 - 1 4.4 0 - 0 -Cherry 0 - 2 5.5 0 - 1 2.7Cheyenne 0 - 4 6.2 0 - 3 4.7 Clay 0 - 1 2.7 0 - 1 2.7 Colfax 1 5.8 8 8.2 1 5.8 5 5.1 Cuming 0 - 2 3.1 0 - 2 3.1 Custer 1 7.6 6 9.2 1 7.6 4 6.2 Dakota 3 8.0 8 4.0 3 8.0 7 3.5 So. Sioux City 2 6.9 5 3.2 2 6.9 4 2.5 Balance of Co. 1 11.6 3 6.7 1 11.6 3 6.7 Dawes 1 10.5 3 6.0 0 - 2 4.0Dawson 2 4.8 17 7.8 2 4.8 12 5.5 Lexington 1 4.3 9 7.3 1 4.3 6 4.9 Balance of Co. 1 5.4 8 8.4 1 5.4 6 6.3 Deuel 0 - 0 - 0 - 0 - Dixon 2 24.1 2 5.1 2 24.1 2 5.1 Dodge 5 10.1 20 8.0 5 10.1 14 5.6 Fremont 4 10.4 16 8.3 4 10.4 11 5.7 Balance of Co. 1 9.2 4 6.8 1 9.2 3 5.1 Douglas 58 6.8 284 6.9 36 4.2 182 4.4 Omaha 55 7.7 264 7.6 34 4.7 170 4.9 Balance of Co. 3 2.2 20 3.2 2 1.4 12 1.9 Dundy 0 - 0 - 0 - 0 - Fillmore 0 - 2 6.1 0 - 2 6.1 Franklin 0 - 0 - 0 - 0 - Frontier 0 - 0 - 0 - 0 - Furnas 0 - 1 4.2 0 - 0 - Gage 1 3.6 5 3.6 0 - 0 - Beatrice 1 5.4 5 5.8 0 - 0 - Balance of Co. 0 - 0 - 0 - 0 - Garden 0 - 0 - 0 - 0 -Garfield 0 - 0 - 0 - 0 -


123

TABLE 59: Infant and Neonatal Deaths by Place of Residence, 2006 and 2002-2006 (Cont)


Place Deaths Rate Deaths Rate Deaths Rate Deaths RateGosper 0 - 2 17.7 0 - 2 17.7 Grant 0 - 0 - 0 - 0 - Greeley 0 - 1 6.8 0 - 1 6.8 Hall 5 5.2 35 7.4 4 4.1 26 5.5 Grand Island 4 4.8 30 7.3 3 3.6 21 5.1 Balance of Co. 1 7.7 5 8.1 1 7.7 5 8.1 Hamilton 0 - 2 3.7 0 - 2 3.7Harlan 0 - 1 6.1 0 - 1 6.1Hayes 0 - 0 - 0 - 0 -Hitchcock 0 - 2 12.5 0 - 0 -Holt 3 24.2 4 6.6 1 8.1 2 3.3 Hooker 0 - 0 - 0 - 0 - Howard 0 - 0 - 0 - 0 - Jefferson 2 26.3 4 9.7 1 13.2 2 4.8 Johnson 0 - 1 3.6 0 - 1 3.6 Kearney 0 - 2 5.2 0 - 2 5.2Keith 0 - 3 6.5 0 - 2 4.3Keya Paha 0 - 0 - 0 - 0 -Kimball 1 20.8 2 10.2 1 20.8 2 10.2Knox 1 9.8 4 8.0 1 9.8 3 6.0Lancaster 21 5.1 122 6.1 13 3.2 73 3.6 Lincoln 19 5.0 112 5.9 12 3.1 67 3.6 Balance of Co. 2 7.3 10 7.7 1 3.7 6 4.6 Lincoln 2 3.9 11 4.5 2 3.9 8 3.3 North Platte 1 2.6 8 4.3 1 2.6 5 2.7 Balance of Co. 1 7.7 3 5.1 1 7.7 3 5.1 Logan 0 - 1 17.9 0 - 1 17.9Loup 0 - 0 - 0 - 0 -McPherson 0 - 0 - 0 - 0 -Madison 4 7.5 21 7.4 2 3.7 12 4.2 Norfolk 3 6.8 17 7.1 2 4.5 10 4.2 Balance of Co. 1 10.6 4 9.0 0 - 2 4.5 Merrick 0 - 1 2.3 0 - 1 2.3 Morrill 1 20.0 3 10.3 1 20.0 3 10.3 Nance 0 - 2 9.8 0 - 2 9.8 Nemaha 0 - 0 - 0 - 0 -Nuckolls 1 20.0 3 10.6 0 - 1 3.5Otoe 0 - 6 6.4 0 - 1 1.1Pawnee 0 - 0 - 0 - 0 -Perkins 0 - 1 5.6 0 - 1 5.6Phelps 0 - 0 - 0 - 0 - Pierce 0 - 2 4.7 0 - 2 4.7 Platte 2 4.0 12 5.2 0 - 4 1.7 Columbus 1 2.6 8 4.6 0 - 2 1.1 Balance of Co. 1 8.9 4 7.3 0 - 2 3.6 Polk 0 - 2 6.1 0 - 1 3.1Red Willow 0 - 1 1.5 0 - 1 1.5Richardson 0 - 1 2.3 0 - 1 2.3Rock 0 - 0 - 0 - 0 -Saline 3 13.6 5 5.1 3 13.6 5 5.1


124

TABLE 59: Infant and Neonatal Deaths by Place of Residence, 2006 and 2002-2006 (Cont)


Place Deaths Rate Deaths Rate Deaths Rate Deaths Rate Sarpy 10 4.0 54 4.5 5 2.0 38 3.2 Bellevue 3 3.3 25 6.2 2 2.2 17 4.2 LaVista 2 7.4 4 3.4 0 - 2 1.7 Papillion 1 3.3 9 5.9 0 - 5 3.3 Balance of Co. 4 3.8 16 3.1 3 2.9 14 2.7 Saunders 2 8.1 7 5.7 1 4.1 5 4.0Scotts Bluff 5 9.1 20 7.5 2 3.6 10 3.8 Scottsbluff 4 15.9 12 9.4 2 7.9 6 4.7 Balance of Co. 1 3.3 8 5.8 0 - 4 2.9 Seward 1 5.0 4 4.2 0 - 1 1.1Sheridan 1 14.7 2 5.6 0 - 0 - Sherman 0 - 1 6.1 0 - 1 6.1 Sioux 0 - 0 - 0 - 0 - Stanton 0 - 0 - 0 - 0 - Thayer 0 - 2 7.7 0 - 1 3.8 Thomas 0 - 0 - 0 - 0 -Thurston 1 5.7 7 8.8 0 - 3 3.8Valley 0 - 2 8.2 0 - 2 8.2Washington 1 4.3 6 5.4 1 4.3 5 4.5Wayne 2 18.0 5 9.7 1 9.0 3 5.8Webster 0 - 0 - 0 - 0 - Wheeler 0 - 0 - 0 - 0 - York 0 - 2 2.2 0 - 1 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.


125

TABLE 60: Deaths Under One Year of Age by Cause, 2006

Cause Total Male FemaleHeart Disease (I00-I09, I11, I13, I20-I51) 3 1 2 Pneumonia (J12-J18) 1 0 1 Birth Defects (Q00-Q99) 45 21 24 Maternal Complications of Pregnancy (P01) 13 9 4 Complications of Placenta, Cord, and Membranes (P02) 9 6 3 Prematurity (P07) 8 5 3 Intrauterine Hypoxia and Birth Asphyxia (P20-P21) 3 2 1 Respiratory Distress Syndrome (P22) 3 3 0 Other Respiratory Conditions (P23-P29) 10 3 7 Perinatal Infections (P35-P39) 2 1 1 Other Perinatal Conditions (P50-P96) 9 5 4 Sudden Infant Death Syndrome (R95) 18 12 6 Violent or Accidental Causes (V00-Y98) 9 3 6 All Other Causes Total Infant Deaths

15 13 2 148 84 64

TABLE 61: Deaths Under One Year of Age by Race/Hispanic Origin* and Sex, 2006

Race Male Female Total RateWhite 69 51 120 5.6Black 8 12 20 11.4American Indian 3 0 3 6.2 Other 4 1 5 1.6Total 84 64 148 5.5 Hispanic Origin* Mexican 13 10 23 7.8Other Total

0 13

1 1 0.9 11 24 6.0

TABLE 62: Deaths Under One Year of Age by Birth Weight Groups, 2006 Weight (pounds) Number Percent** 1 lb. and under 23 15.5 1 lb. 1 oz. - 2 lbs. 30 20.3 2 lbs. 1 oz. - 3 lbs. 8 ozs. 21 14.2 3 lbs. 9 ozs. - 4 lbs. 8 ozs. 8 5.4 4 lbs. 9 ozs. - 5 lbs. 8 ozs. 13 8.8 5 lbs. 9 ozs. - 5 lbs. 15 ozs. 8 5.4 6 lbs. - 6 lbs. 15 ozs. 18 12.2 7 lbs. - 7 lbs. 15 ozs. 17 11.5 8 lbs. - 8 lbs. 15 ozs. 6 4.1 9 lbs. or more 3 2.0 Unknown Total

1148

0.7100.0

Weight (grams) Number Percent** 499 grams or less 26 17.6 500-999 grams 29 19.6 1000-1499 grams 18 12.2 1500-1999 grams 7 4.7 2000-2499 grams 15 10.1 2500-2999 grams 20 13.5 3000-3499 grams 18 12.2 3500-3999 grams 11 7.4 4000 grams or over 3 2.0 Unknown Total

1148

0.7100.0

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


126

TABLE 63: Perinatal and Fetal Deaths by Place of Residence, 2006 and 2002-2006

2006 2002-2006 2006 2002-2006 Perinatal Perinatal Fetal Fetal

Place Deaths Rate Deaths Rate Deaths Rate Deaths Rate STATE 242 9.0 1,247 9.5 149 5.6 741 5.7 Adams 2 4.5 21 9.7 2 4.5 13 6.1 Hastings 2 5.4 18 10.1 2 5.4 12 6.8 Balance of Co. 0 - 3 7.9 0 - 1 2.6 Antelope 1 13.2 3 8.2 0 - 1 2.7 Arthur 0 - 0 - 0 - 0 - Banner 1 125.0 2 74.1 1 142.9 1 38.5Blaine 0 - 0 - 0 - 0 -Boone 0 - 0 - 0 - 0 -Box Butte 1 6.6 2 2.7 1 6.7 1 1.4 Boyd 0 - 1 12.8 0 - 0 -Brown 0 - 0 - 0 - 0 - Buffalo 4 5.6 37 11.4 2 2.8 21 6.5 Kearney 4 8.2 33 14.7 2 4.1 18 8.1 Balance of Co. 0 - 4 3.9 0 - 3 2.9 Burt 1 12.2 3 7.6 1 12.3 2 5.1 Butler 0 - 2 4.4 0 - 2 4.5Cass 5 16.4 18 11.2 4 13.3 13 8.2Cedar 0 - 3 5.5 0 - 2 3.7Chase 0 - 1 4.4 0 - 1 4.4Cherry 1 14.7 4 10.9 1 14.9 3 8.2Cheyenne 1 8.2 5 7.7 1 8.3 2 3.1 Clay 1 12.0 4 10.6 1 12.2 3 8.0 Colfax 2 11.5 12 12.2 1 5.8 7 7.2 Cuming 3 26.5 6 9.4 3 27.3 4 6.3 Custer 2 15.2 10 15.3 1 7.6 6 9.2 Dakota 6 15.9 14 6.9 3 8.0 7 3.5 So. Sioux City 5 17.2 9 5.7 3 10.4 5 3.2 Balance of Co. 1 11.6 5 11.2 0 - 2 4.5 Dawes 0 - 2 4.0 0 - 0 -Dawson 7 16.5 29 13.1 5 12.0 17 7.8 Lexington 4 16.9 17 13.7 3 12.8 11 8.9 Balance of Co. 3 16.1 12 12.4 2 10.9 6 6.3 Deuel 0 - 0 - 0 - 0 - Dixon 4 47.1 8 20.1 2 24.1 6 15.3 Dodge 9 18.1 33 13.0 4 8.1 19 7.6 Fremont 8 20.6 29 14.9 4 10.4 18 9.3 Balance of Co. 1 9.2 4 6.8 0 - 1 1.7 Douglas 89 10.3 438 10.6 53 6.2 256 6.2 Omaha 83 11.5 403 11.5 49 6.8 233 6.7 Balance of Co. 6 4.3 35 5.6 4 2.9 23 3.7 Dundy 0 - 2 19.6 0 - 2 20.0 Fillmore 0 - 2 6.1 0 - 0 - Franklin 0 - 1 6.2 0 - 1 6.3 Frontier 0 - 0 - 0 - 0 - Furnas 0 - 0 - 0 - 0 - Gage 0 - 10 7.2 0 - 10 7.3 Beatrice 0 - 6 6.9 0 - 6 7.0 Balance of Co. 0 - 4 7.8 0 - 4 7.8 Garden 0 - 0 - 0 - 0 -Garfield 0 - 1 11.6 0 - 1 11.8


127

TABLE 63: Perinatal and Fetal Deaths by Place of Residence, 2006 and 2002-2006 (Cont)


Place Deaths Rate Deaths Rate Deaths Rate Deaths Rate Gosper 0 - 3 26.3 0 - 1 8.8 Grant 0 - 0 - 0 - 0 - Greeley 0 - 2 13.4 0 - 1 6.8 Hall 12 12.3 54 11.4 8 8.3 28 5.9 Grand Island 11 13.0 47 11.4 8 9.5 26 6.3 Balance of Co. 1 7.7 7 11.3 0 - 2 3.2 Hamilton 1 9.6 5 9.3 1 9.7 3 5.6Harlan 1 24.4 2 12.0 1 25.0 1 6.1 Hayes 0 - 0 - 0 - 0 -Hitchcock 0 - 0 - 0 - 0 -Holt 1 8.1 4 6.6 0 - 2 3.3 Hooker 0 - 0 - 0 - 0 - Howard 1 13.7 1 2.5 1 13.9 1 2.5 Jefferson 2 26.0 5 12.0 1 13.2 3 7.3 Johnson 1 14.9 5 17.7 1 15.2 4 14.4 Kearney 0 - 3 7.8 0 - 1 2.6Keith 0 - 6 12.9 0 - 4 8.7Keya Paha 0 - 0 - 0 - 0 -Kimball 2 40.8 5 25.1 1 20.8 3 15.3 Knox 1 9.8 5 10.0 0 - 2 4.0Lancaster 31 7.5 178 8.8 18 4.4 105 5.2 Lincoln 29 7.6 165 8.7 17 4.4 98 5.2 Balance of Co. 2 7.3 13 10.0 1 3.7 7 5.4 Lincoln 9 17.3 24 9.8 7 13.7 16 6.6 North Platte 7 18.0 20 10.8 6 15.7 15 8.1 Balance of Co. 2 15.3 4 6.8 1 7.7 1 1.7 Logan 0 - 1 17.9 0 - 0 -Loup 0 - 0 - 0 - 0 -McPherson 0 - 0 - 0 - 0 -Madison 2 3.7 21 7.3 0 - 9 3.2 Norfolk 2 4.5 18 7.5 0 - 8 3.3 Balance of Co. 0 - 3 6.7 0 - 1 2.2 Merrick 0 - 3 6.9 0 - 2 4.6 Morrill 2 39.2 6 20.5 1 20.0 3 10.3 Nance 0 - 3 14.6 0 - 1 4.9 Nemaha 0 - 1 2.6 0 - 1 2.6Nuckolls 0 - 5 17.4 0 - 4 14.1Otoe 0 - 7 7.4 0 - 6 6.4Pawnee 0 - 0 - 0 - 0 -Perkins 1 24.4 2 11.2 1 25.0 1 5.6 Phelps 2 16.8 6 10.7 2 17.1 6 10.8 Pierce 0 - 6 13.8 0 - 4 9.3 Platte 4 8.0 18 7.8 4 8.0 14 6.1 Columbus 4 10.2 13 7.4 4 10.3 11 6.3 Balance of Co. 0 - 5 9.1 0 - 3 5.5 Polk 0 - 1 3.1 0 - 0 -Red Willow 0 - 6 8.8 0 - 5 7.4Richardson 1 11.8 3 6.7 1 11.9 2 4.5Rock 0 - 0 - 0 - 0 -Saline 4 18.0 7 7.1 1 4.5 2 2.0


128

TABLE 63: Perinatal and Fetal Deaths by Place of Residence, 2006 and 2002-2006 (Cont)


Place Deaths Rate Deaths Rate Deaths Rate Deaths Rate Sarpy 10 4.0 86 7.1 5 2.0 48 4.0 Bellevue 2 2.2 37 9.1 0 - 20 4.9 LaVista 0 - 10 8.3 0 - 8 6.7 Papillion 2 6.5 12 7.9 2 6.6 7 4.6 Balance of Co. 6 5.7 27 5.1 3 2.9 13 2.5 Saunders 1 4.1 11 8.9 0 - 6 4.9 Scotts Bluff 4 7.2 21 7.9 2 3.6 11 4.1 Scottsbluff 2 7.9 11 8.5 0 - 5 3.9 Balance of Co. 2 6.6 10 7.3 2 6.7 6 4.4 Seward 2 9.8 10 10.4 2 9.9 9 9.5 Sheridan 0 - 2 5.5 0 - 2 5.6 Sherman 0 - 2 12.0 0 - 1 6.1 Sioux 0 - 1 19.2 0 - 1 19.6 Stanton 0 - 1 2.3 0 - 1 2.3 Thayer 0 - 2 7.7 0 - 1 3.8 Thomas 0 - 0 - 0 - 0 -Thurston 2 11.4 12 15.0 2 11.5 9 11.3Valley 0 - 2 8.2 0 - 0 -Washington 3 12.7 14 12.6 2 8.5 9 8.2Wayne 1 9.0 7 13.5 0 - 4 7.8Webster 0 - 0 - 0 - 0 - Wheeler 0 - 0 - 0 - 0 - York 1 5.2 4 4.4 1 5.2 3 3.3

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.


129

TABLE 64: Fetal Deaths by Cause of Death, 2006 and 2002-2006 Total Total

2002- Cause 2006 2006 BIRTH DEFECTS Anencephalus 3 12 Spina Bifida without mention of hydrocephalus 1 1 Encephalocele 1 1 Reduction deformities of brain 2 2 Other specified defects of brain 0 1 Other specified defects of nervous system 0 1 Other specified defects of face and neck 0 1 Other specified defects of heart 0 3 Unspecified defects of heart 0 4 Other specified defects of circulatory system 0 1 Congenital cystic lung 1 1 Tracheo-esophageal fistula, esophageal atresia and stenosis 0 1 Renal agenesis and dysgenesis 1 3 Cystic kidney disease 0 3 Osteodystrophies 0 1 Diaphragm 0 1 Abdominal wall 1 2 Other specified defects of muscle, tendon, fasia and connective tissue 0 1 Down's syndrome 2 13 Patau's syndrome 0 4 Edward's syndrome 4 20 Autosomal deletion syndromes 0 1 Other conditions due to autosomal defects 1 4 Gonadal dysgenesis 2 13 Conditions due to defect of unspecified chromosome 0 3 Multiple defects, so described 0 7 Other specified defects 0 1 Unspecified defects 1 4MATERNAL CONDITIONS Hypertensive disorders 4 20 Renal and urinary tract diseases 0 1 Infections 1 3 Other chronic maternal circulatory and respiratory diseases 0 1 Injury 1 5 Other 2 10 Unspecified 0 2MATERNAL COMPLICATIONS OF PREGNANCY Incompetent cervix 4 20 Premature rupture of membranes 11 48 Oligohydramnios 0 5 Polyhydramnios 0 1 Multiple pregnancy 6 16 Other 0 3 COMPLICATIONS OF PLACENTA, CORD AND MEMBRANES Placenta previa 0 2 Placental separation and hemorrhage 18 72 Other abnormalities of placenta 7 37 Placental transfusion syndrome 3 10 Prolapsed cord 0 4 Other compression of umbilical cord 12 52 Other and unspecified conditions of umbilical cord 5 48 Chorioamnionitis 6 33 Other Abnormalities of chorion and amnion 0 1 Unspecified abnormality of chorion and amnion 0 1


130

TABLE 64: Fetal Deaths by Cause of Death, 2006 and 2002-2006 (Cont) Total Total

2002- Cause 2006 2006 OTHER COMPLICATIONS OF LABOR AND DELIVERY Malpresentation, malposition and disproportion excluding breech 0 1 Other complications of labor and delivery 0 4SLOW FETAL GROWTH AND FETAL MALNUTRITION Fetal growth retardation, unspecified 1 3 DISORDERS RELATING TO SHORT GESTATION AND LOW BIRTHWEIGHT Extreme immaturity 4 16 Other preterm infants 2 10INTRAUTERINE HYPOXIA AND BIRTH ASPHYXIA Unspecified asphyxia in liveborn infant 0 6 OTHER RESPIRATORY CONDITIONS OF FETUS AND NEWBORN Primary atelectasis 0 1INFECTIONS SPECIFIC TO PERINATAL PERIOD Congenital cytomegalovirus infection 1 2 Other congenital infections 1 2 Other infection specific to the perinatal period 0 2 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 0 2 ENDOCRINE AND METABOLIC DISTURBANCES SPECIFIC TO THE FETUS AND NEWBORN Syndrome of an infant of a diabetic mother 4 23CONDITIONS INVOLVING THE INTEGUMENT AND TEMPERATURE REGULATION Hydrops fetalis not due to isoimmunization 0 2 OTHER AND ILL-DEFINED CONDITIONS 36 160 TOTAL 149 741

TABLE 65: Fetal Deaths by Age Group of Mother, Sex, Race, Hispanic Origin and Place of Delivery, 2006

Age of Mother Sex Place of Delivery 14 or under 15-19 20-24

2 17 36

Male Female Unknown

79 69 1

Hospital Non-Hospital

148 1

25-29 34 30-34 38 35-3940-44

15 5

Race White 113

Hispanic Origin** Mexican

14

45 + 2 Black 12 Other 5 American Indian 4

Other

20

** Persons of Hispanic origin may be any race.


131

MARRIAGE AND DIVORCE HIGHLIGHTS In 2006, 12,053 marriages took place in Nebraska, which is a decrease from the 12,262 marriages that occurred here in 2005. The Nebraska resident marriage rate in 2006 was 6.8 marriages per 1,000 population, which is the state’s lowest annual marriage rate since 1925. 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 2006, 7,356 (61.0%) Nebraska marriages were the first marriage for both bride and groom, compared to the 1996 figure of 57.6%. The 2006 figure is still considerably lower than that recorded 40 years ago, in 1966, when 68.9% of the state's 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 2006, 5.9% of all Nebraska marriages involved a teenaged bride or groom, a decrease from the 1996 figure of 9.3% but well below the 1966 figure of 36.7%. Conversely, nearly half (46.0%) of all Nebraska marriages in 2006 involved either a bride or groom who was at least 30 years of age, up from 44.9% in 1996 and 24.2% in 1966. The trend toward increasing age at marriage remains even when limited to first marriages alone. In 2006, the proportion of first marriages in Nebraska that involved a teenaged bride or groom was 9.1%, down from 50.4% in 1966, while the proportion of first marriages involving a bride or groom age 30 or older increased during the same period, from 4.8% in 1966 to 20.5% in 2006. There were 6,065 divorces granted in Nebraska in 2006, which is an increase from the 2005 count of 5,830. The 2006 number translates into a divorce rate of 3.4 per 1,000 population. Nebraska’s divorce rate rose dramatically during the 1960s and 1970s (along with the number of divorces granted), stabilized during the 1980s, and has declined steadily since the early 1990s. More divorces were granted to people in their thirties than in any other decade of life, with 45.0% of Nebraska divorces in 2006 involving at least one person between 30 and 39 years of age. Almost one of every four (24.8%) Nebraska divorces in 2006 terminated marriages lasting three years or less, while about half (51.4%) ended marriages lasting seven years or less. Over half (56.4%) of all divorces granted in Nebraska in 2006 ended a first marriage for both husband and wife. More than half (53.8%) of the state's 2006 divorces involved couples with children. In close to two-thirds (63.2%) of all divorces in which a child was involved, custody of some or all of the children was awarded to the wife.


132


133


134

TABLE 66: Marriages - Number and Rate by County, 2003-2006

County

2003 2004 2005 2006 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 ColfaxCuming 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

12,240

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

12,053

207 35 3 0 4

37 77 11 19

361 31 38

107 54 29 43 66 27 56 40 55

189 65

123 5

27 283

3,481 7

38 17 9

14 148 10 10 15 5 9

366 61 18 5

20 53 4

37 37 35 17

6.8

6.2 5.0 8.1

- 8.1 6.5 6.9 5.0 5.7 8.2 4.2 4.4 4.1 6.1 7.6 7.2 6.7 4.1 5.5 4.1 4.9 9.2 7.7 4.9 2.6 4.4 7.8 7.1 3.3 6.1 5.1 3.3 2.8 6.3 5.0 5.6 7.6 7.6 3.7 6.6 6.4 5.2 4.9 6.8 5.0 5.3 5.5 4.7 7.5 2.5


135

TABLE 66: Marriages - Number and Rate by County, 2003-2006 (Cont)

County

2003 2004 2005 2006 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

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

55 2

35 40

2,053 298

433

247 41 23 17 45 26

125 15 14 55 70

230 15 87 54 12 72

1,078 98

269 108

26 13 2

34 31 4

33 16

100 90 8 2

92

6.7 2.2 9.4 4.5 7.7 8.3 5.34.66.07.05.2 4.4 4.6 6.2 5.6 7.95.3 4.7 5.89.3 7.2 2.8 8.0 6.2 7.8 5.1 7.6 4.87.4 6.4 4.7 4.2 1.4 5.2 5.8 6.44.53.7 5.09.8 2.2 2.4 6.3

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


136

TABLE 67: Number of Marriages by Race of Bride and Groom, 2006

Bride American All

Groom Total White Black Indian Other Unknown 114 White 10,616 10,212 53 54 183

Black 631 238 364 8 14 7 American Indian 94 51 5 37 1 0 All Other 540 331 8 3 180 18 Unknown 172 25 2 0 2 143

282 Total 12,053 10,857 432 102 380

TABLE 68: Number of This Marriage - Bride and Groom, 2006

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

1st 8,553 7,356 1,006 162 22 3 1 3 2nd 2,540 910 1,177 370 56 20 2 2 2 13rd 665 125 340 143 47 7 3 4th 155 20 65 48 20 2 5th 20 12 7 1 6th 2 1 1 7th 3 2 1 >7th 5 1 3 1 Unknown 110 4 4 1 101 Total 12,053 8,416 2,610 733 146 33 5 3 2 105

TABLE 69: Number of Marriages by Previous Marital Status - Bride and Groom, 2006

Bride Never

Groom Total Married Widowed Divorced Unknown Never Married 8,559 7,362 44 1,149 4 Widowed 276 32 111 133 0 Divorced 3,106 1,024 126 1,955 1 Unknown 112 4 0 4 104 Total 12,053 8,422 281 3,241 109


137

TABLE 70: Number of This Marriage by Age of the Bride, 2006

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+

623

4,287 3,036 1,347

841 666 506 348 182 96 53 32 36

614

4,107 2,483

755 235 113

61 28 13 4 2

4 157 488 463 455 352 284 202 75 53 36 19 23

4

37 103 110 153 114 82 68 30 11 12 9

4 8

18 29 31 26 18 5 3 1 3

2 4 8 7 6 3 2

1

2 1 2

1 1

1

1

1

5 19 23 161710

7 2 3 21

Total 12,053 8,415 2,611 733 146 33 5 3 2 105

TABLE 71: Number of This Marriage by Age of the Groom, 2006

Age of Groom

Total

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

19 or Under 20-24 25-29 30-3435-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75+

229

3,278 3,474

1,653 1,016

778 583 408 288 154 70 58 64

228 3,195 3,125 1,145

437 249

91 51 20 5 3

2

1 71

310 447 474 370 323 203 147 78 33 40 45

10 42 81

113 125 106 85 53 23 13 14

3 12 27 30 33 24 12 8 4 2

1 2 4 6 5

1

1

1 1

1 1

1

1

1 1

1 1

12 28 161115

8 8 5 5 2

Total 12,053 8,551 2,542 665 155 20 2 3 5 110


138


139


140


141


142

TABLE 74: Divorces - Number and Rate by County, 2003-2006

County 2003 2004 2005 2006

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 ColfaxCuming 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

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

6,065

113 17 1 2 0

13 52

1 11

165 33 18 98 16 11 19 36 16 32 20 37 50 32 91 4

24 112

1,712 5

15 8 6

16 91 5 5 6 2 6

227 40 10 1 8

31 1

19 29 20 18

3.4

3.4 2.5 2.7 2.6

- 2.3 4.7 0.5 3.3 3.8 4.5 2.1 3.8 1.8 2.9 3.2 3.6 2.4 3.2 2.1 3.3 2.4 3.8 3.6 2.0 3.9 3.1 3.5 2.4 2.4 2.4 2.2 3.2 3.9 2.5 2.8 3.0 3.0 2.4 4.1 4.2 2.9 1.0 2.7 2.9 1.3 2.8 3.7 4.3 2.7


143

TABLE 74: Divorces - Number and Rate by County, 2003-2006 (Cont)

County 2003 2004 2005 2006

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

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

32 1

20 27

901 156

2 2 3

123 19 18 10 15 15 55 10 9

35 10

102 19 53 32 3

41 493 68

183 53 14 5 4

20 13 4

20 13 54 25 15 2

61

3.9 1.1 5.4 3.1 3.4 4.32.73.06.03.52.4 3.5 2.7 2.1 3.2 3.53.63.03.71.33.2 3.6 4.9 3.7 1.9 2.93.53.35.03.12.5 1.6 2.9 3.0 2.4 6.42.73.02.72.74.1 2.4 4.2

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


144


145

TABLE 76: Divorces by Duration of Marriage, 2004-2006

2004 2005 2006Duration 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

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

147 395 494 472 481 400 423 305 250 256 224 198 188 189 159 136 132 120 94 95

103 73 90 93 80 59 49 47 42 30 31 31 31 27 20 58 21 10 8 1 0 1 0 2

2.4 6.5 8.1 7.87.96.67.0 5.0 4.1 4.23.73.33.1 3.1 2.6 2.22.22.01.5 1.6 1.7 1.21.51.51.3 1.0 0.8 0.80.70.50.5 0.5 0.5 0.40.31.00.3 0.2 0.1 0.0

- 0.0

- 0.0

Total 5,942

100.0 5,830

100.0 6,065 100.0

Percentages may not sum to 100.0 due to rounding.


146

Race of Wife

Race of American All Husband Total White Black Indian Other Unknown

White 5,308 5,175 28 40 57 8 Black 387 103 272 5 3 4 American Indian 59 45 1 13 All Other 136 55 1 2 78 Unknown 175 7 1 1 166 Total 6,065 5,385 303 61 138 178

TABLE 77: Number of Divorces by Race of Husband and Wife, 2006

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

1st 4,098 3,423 555 80 18 2 1 192nd 1,310 514 556 179 37 14 3 1 63rd 335 86 137 84 16 3 4 1 1 34th 55 9 21 14 7 2 1 15th 16 2 3 8 3 6th 4 1 1 2 7th >7th 3 1 1 1Unknown Total

244 15 6 3 1 1 2186,065 4,051 1,280 370 82 22 7 3 2 248

TABLE 78: Divorces - Number of This Marriage for Husband and Wife, 2006


147

TABLE 79: Number of Divorces by Settlement Type, 2006

Number of Settlement Type Divorces None 954Alimony 18Child Support 285 Property Settlement 2,289 Alimony & Child Support 13 Alimony & Property Settlement 248 Child Support & Property Settlement 1,873 Alimony, Child Support & Property Settlement 337 Other 46Unknown 2 Total 6,065

TABLE 80: Divorces - Number of Children Affected, 2006

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

2,799 0 0 1,314 1 1,314 1,261 2 2,522

526 3 1,578 134 4 536 23 5 115 8 6+ 48

6,065 6,113

Number of Children Awarded Six or

Custody to: Total One Two Three Four Five More Husband 354 174 120 48 11 1 0Wife 2,073 917 768 305 68 11 4Joint 762 321 301 115 18 5 2Other 92 49 27 11 5 0 0

TABLE 81: Divorces - Custody and Number of Children Awarded, 2006


148

Supplemental Tables - Nebraska Births

TABLE S1: Principal Source of Payment for Delivery, 2006

Source of Payment Number % Medicaid 8,639 32.3Private Insurance 15,067 56.4 Self-Pay 721 2.7Indian Health Service 11 0.0 CHAMPUS/TRICARE 512 1.9Other Government 63 0.2 Other 507 1.9 Unknown Total

1,203 4.526,723 99.9

TABLE S2: WIC/Breastfeeding, 2006

Number % Did mother get WIC food for herself? Yes 9,468 35.4 No 16,377 61.3 Unknown 878 3.3 Is infant breastfeeding? Yes 20,468 76.6 No 5,430 20.3 Unknown 825 3.1

TABLE S3: Weight Change During Pregnancy by Pre-Pregnancy Body Mass Index (BMI), 2006 (for singleton births)

Weight Change

Pre-Pregnancy Body Mass Index (BMI) Total < 19.8 19.8 - 26.0 26.1 - 29.0 > 29.0

Loss - more than 100 pounds Loss - 50-99 pounds Loss - 25-49 pounds Loss - < 25 pounds Gain - 1-9 pounds Gain - 10-20 pounds Gain - 21-29 pounds Gain - 30-39 pounds Gain - 40-49 pounds Gain - 50-99 pounds Gain - 100-149 pounds Gain - 150+ pounds Unknown

0 0 0

21 23

291 609 799 396 216

2 1

30

0 1 4

254 286

1,523 2,851 3,925 2,360 1,568

21 2

183

0 2 6

120 185 625 750 809 502 391

7 0

37

3 8

33 481 554

1,398 1,192 1,076

621 531

4 0

68

3 11 43

876 1,048 3,837 5,402 6,609 3,879 2,706

34 3

318 Total 2,388 12,978 3,434 5,969 24,769


149

TABLE S4: Maternal Morbidity, 2006

Percent of Maternal Morbidity Number Births Maternal Transfusion 76 0.3 Perineal Laceration 1,195 4.5 Ruptured Uterus 14 0.1 Unplanned Hysterectomy 15 0.1 Admit to Intensive Care 25 0.1 Unplanned Operation 256 1.0

TABLE S5: Infections Present, 2006

Percent of Infections Number Births Gonorrhea 38 0.1Syphilis 7 0.0Herpes Simplex (HSV) 283 1.1 Chlamydia 271 1.0Hepatitis B 38 0.1 Hepatitis C 36 0.1


150

TABLE S6: Premature Births by County of Residence, 2006 and 2002-2006

County

2,006 2002-2006Premature

Births* Total Births

% Premature Births

Premature Births*

Total Births

% Premature Births

TOTAL 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 DundyFillmore Franklin Frontier Furnas Gage Garden Garfield Gosper Grant GreeleyHall Hamilton Harlan Hayes Hitchcock Holt Hooker HowardJefferson Johnson Kearney

2,676 33 6 - 1 - 3

14 - 4

58 7

13 34 11 6

8 18 9 5

10 12 47 4

36 1

10 61

965 1

7 1 4 3

24 2 - - -

1 93 17 1 - 2 8 -

2 4 6

5

26,723 444 76 6 7 6

46 150

13 31

709 81 98

301 108 43 67

121 82

173 110 131 374 95

418 21 83

494 8,548

14 61 33 28 43

277 16 16 26 7

26 969 103 40 9

27 124

4 72 76 66 76

10.0 7.4 7.9

- 14.3

- 6.5 9.3

- 12.9 8.2 8.6

13.3 11.3 10.2 14.0 11.9 14.9 11.0 2.9 9.1 9.2

12.6 4.2 8.6 4.8

12.0 12.3 11.3

7.1 11.5

3.0 14.3 7.0 8.7

12.5 - - -

3.8 9.6

16.5 2.5

- 7.4 6.5

- 2.8 5.3 9.1 6.6

10,056 120 20

- 2 -

14 55

2 14

243 28 30

145 30 20 23 52 22 45 41 51

166 21

140 6

23 199

3,579 5

24 5

15 11

129 2 3 4 2 8

388 51 2 3

13 32 2

21 17 23 22

130,470 2,144

367 28 26 24

271 738

78 163

3,237 392 449

1,589 546 225 365 644 375 973 637 649

2,018 498

2,189 97

393 2,514

41,039 100 328 160 141 237

1,373 82 85

113 29

148 4,723

534 165 46

160 606 31

398 413 278 384

7.75.6 5.4

- 7.7

- 5.27.5 2.6 8.67.57.1 6.7 9.1 5.5 8.9 6.38.1 5.94.6 6.4 7.9 8.2 4.2 6.4 6.2 5.97.98.75.07.33.1

10.6 4.6 9.4 2.4 3.5 3.56.95.48.29.6 1.2 6.5 8.1 5.3 6.55.34.18.35.7


151

TABLE S6: Premature Births by Place of Residence, 2006 and 2002-2006 (Cont)

County

2,006 2002-2006

Premature Births*

Total Births

% Premature

Births

Premature

Births*

Total Births

% Premature

BirthsKeith 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 SewardSheridan Sherman Sioux Stanton Thayer Thomas Thurston ValleyWashington Wayne Webster Wheeler York

12 1 3

10 379 67

- - -

48 10 6 5 8 2

22 4 3 9 6

33 7 9 9 3

17 272 28 38

21 2 3 - 9 5 2

11 3

24 8 3 -

17

91 15 48

102 4,095

512 15 3 8

536 77 50 39 87 50

189 25 40

117 81

499 64

121 84 16

221 2,520

246 552 202 68 27 10 90 63 9

174 56

234 111 30 6

191

13.2 6.7 6.3 9.8 9.3

13.1 - - -

9.0 13.0 12.0 12.8 9.2 4.0

11.6 16.0 7.5 7.7 7.4 6.6

10.9 7.4

10.7 18.8 7.7

10.8 11.4 6.9

10.4 2.9

11.1 -

10.0 7.9

22.2 6.3 5.4

10.3 7.2

10.0 -

8.9

40 1

15 30

1,467 236

- 2 1

192 38 21 12 24 23 82

9 10 36 20

123 24 52 34 7

73 942 106 164

78 21 15 5

30 9 2

44 10 81 30 4 -

70

461 58

196 497

20,152 2,429

56 2825

2,850 432 290 204 391 284 942109 178 553 430

2,305 327 678 443 74

990 12,002

1,236 2,654

952 359 165 51

426 260 34

793 245

1,103 514 157 37

898

8.7 1.7 7.7 6.0 7.3 9.7

-7.14.06.78.8 7.2 5.9 6.1 8.1 8.78.35.66.54.75.3 7.3 7.7 7.7 9.5 7.47.88.66.2 8.25.8 9.1 9.8 7.0 3.5 5.95.54.17.35.82.5

- 7.8

* Premature births are live births with < 37 weeks of gestation.


Appendix

Selected Tables by Service Area and Health Department


152

TABLE 4a: Births by Place of Occurrence and by Usual Residence of the Mother, 2004-2006

2004 2005 2006 2006

Occurrence Residence Occurrence Residence Occurrence Residence Birth 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

26,446

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

26,895

2,355 3,231 2,667 5,947

12,695

0 12,297

811 4,967 1,032

738 1,011

368 175 269 120 327 344 401 784 264 223 530

1,507 727

26,723

2,559 3,073 3,677 6,346

11,068

374 8,548

552 4,095 1,149

757 817 555 343 525 476 586 698

2,821 606 451 325 974

1,419 652

15.1 13.3 14.0 13.8 14.0 17.4

18.2 17.4 15.1 15.3 15.7 14.7 13.9 12.3 10.8 11.0 15.1 11.7 12.3 16.7 12.6 11.5 10.3 12.7 15.1 13.6

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


153

TABLE 5a: Births by Sex, Race and Hispanic Origin, By Service Area and Health Department (Residence), 2006

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

26,723

2,559 3,073 3,677 6,346

11,068

374 8,548

552 4,095 1,149

757 817 555 343 525 476 586 698

2,821 606 451 325 974

1,419 652

13,742

1,285 1,549 1,914 3,261 5,733

191 4,394

282 2,095

558 393 437 274 187 274 261 278 364

1,488 316 243 158 494 718 337

12,981

1,274 1,524 1,763 3,085 5,335

183 4,154

270 2,000

591 364 380 281 156 251 215 308 334

1,333 290 208 167 480 701 315

21,316

2,084 2,527 3,028 5,512 8,165

312 5,976

416 3,449

776 536 751 539 333 478 321 505 584

2,480 523 413 301 866

1,167 590

1,752

20 47 39

177 1,469

10 1,345

6 171 32 6

19 2 1 0 1 2 3

124 5 1 1 3

15 5

481

79 19

212 66

105

18 95 27 53 9 3

12 2 3

35 142 41 5

10 3 5 2 3 6 7

618

17 30 52

192 327

15 263

2 169 14 21

5 5 1 3 1 8 7

70 13 2 0

10 6 3

2,556

359 450 346 399

1,002

19 869 101 253 318 191

30 7 5 9

11 30 99

137 62 30 21 92

225 47

3,999

492 499 691 503

1,814

191 1,589

152 340 340 221 142

12 8

15 23 49

101 234 73 34 26

106 275

68

* Persons of Hispanic origin may be any race.


154

TABLE 7a: Teen Births by Service Area and Health Department (Residence), 2006 and 2002-2006

2006 2002-2006 Teen Total % Teen Teen Total % Teen Births Births Births Births Births Births STATE 2,143 26,723 8.0 11,356 130,470 8.7 Service Area: Western Service Area 267 2,559 10.4 1,465 12,795 11.4 Central Service Area 236 3,073 7.7 1,366 14,927 9.2 Northern Service Area 332 3,677 9.0 1,794 18,577 9.7 Southeast Service Area 445 6,346 7.0 2,281 31,130 7.3 Eastern Service Area 863 11,068 7.8 4,450 53,041 8.4 Health Department: Dakota County 35 374 9.4 229 2,018 11.3 Douglas County 738 8,548 8.6 3,801 41,039 9.3 Scotts Bluff County 70 552 12.7 378 2,654 14.2 Lincoln-Lancaster County 277 4,095 6.8 1,465 20,152 7.3 Central District 105 1,149 9.1 642 5,689 11.3 East Central District 75 757 9.9 382 3,753 10.2 Elkhorn Logan Valley 91 817 11.1 431 4,305 10.0 Four Corners 33 555 5.9 160 2,626 6.1 Loup Basin 14 343 4.1 119 1,779 6.7 North Central District 35 525 6.7 198 2,638 7.5 Northeast Nebraska 54 476 11.3 267 2,246 11.9 Panhandle 55 586 9.4 294 2,981 9.9 Public Health Solutions 58 698 8.3 297 3,364 8.8 Sarpy/Cass 146 2,821 5.2 732 13,591 5.4 South Heartland District 62 606 10.2 303 2,960 10.2 Southeast District 46 451 10.2 208 2,163 9.6 Southwest 28 325 8.6 158 1,765 9.0 Three Rivers 52 974 5.3 355 4,853 7.3 Two Rivers 109 1,419 7.7 594 6,801 8.7 West Central District 60 652 9.2 343 3,093 11.1

Teen Births = Ages 19 and under


155

TABLE 13a: Births by Trimester Prenatal Care Began and Percent Receiving Inadequate Prenatal Care by Service Area and Health Department (Residence), 2006

Trimester Prenatal Care Began Percent First Second Third Inadequate

Trimester Trimester Trimester None Unknown Care* STATE 19,096 5,177 899 162 1,389 13.6 Service Area: Western Service Area 1,800 579 94 24 62 16.9 Central Service Area 2,272 637 129 15 20 14.4 Northern Service Area 2,373 581 129 22 572 14.3 Southeast Service Area 4,656 1,400 206 39 45 12.8 Eastern Service Area 7,995 1,980 341 62 690 12.9 Health Department: Dakota County 7 7 0 2 358 NA Douglas County 6,012 1,590 284 58 604 13.8 Scotts Bluff County 388 124 23 5 12 17.0 Lincoln-Lancaster County 3,068 852 123 29 23 12.4 Central District 793 295 42 10 9 15.8 East Central District 583 143 29 2 0 14.6 Elkhorn Logan Valley 625 134 39 6 13 13.5 Four Corners 394 134 22 3 2 12.8 Loup Basin 260 68 13 1 1 12.6 North Central District 387 97 31 5 5 14.3 Northeast Nebraska 232 42 7 2 193 11.8 Panhandle 425 107 19 5 30 15.2 Public Health Solutions 468 190 34 2 4 16.3 Sarpy/Cass 2,216 441 64 5 95 10.1 South Heartland District 462 104 33 3 4 15.9 Southeast District 303 123 15 4 6 15.1 Southwest 232 74 8 4 7 13.3 Three Rivers 729 208 28 5 4 13.6 Two Rivers 1,038 297 69 7 8 15.8 West Central District 474 147 16 4 11 15.8

* Calculated by using the Kotelchuk Index. The Kotelchuk Index measures adequacy of prenatal care (adequate, inadequate, intermediate) by using a combination of the following factors: number of prenatal visits; gestation and trimester prenatal care started.


156

TABLE 35a: Deaths by Place of Occurrence and Usual Residence of Deceased, 2004-2006

2004 2005 2006 2006 Occ. Res. Occ. Res. Occ. Res. Death Rate*

STATE 14,817 14,647 15,138 14,950 15,060 14,894 8.4 Service Area: Western Service Area 1,942 2,099 2,003 2,151 1,948 2,092 10.8 Central Service Area 2,170 2,185 2,177 2,177 2,215 2,206 10.0 Northern Service Area 2,224 2,588 2,356 2,745 2,268 2,691 10.1 Southeast Service Area 3,675 3,676 3,740 3,727 3,684 3,696 8.1 Eastern Service Area 4,806 4,099 4,862 4,150 4,945 4,209 6.6 Health Department: Dakota County 88 143 104 186 103 171 8.3 Douglas County 4,383 3,505 4,388 3,536 4,446 3,561 7.2 Scotts Bluff County 492 424 500 430 481 432 11.8 Lincoln-Lancaster County 2,068 1,691 2,074 1,700 2,012 1,645 6.2 Central District 700 664 684 678 717 699 9.6 East Central District 368 437 405 494 357 443 8.6 Elkhorn Logan Valley 574 570 643 649 601 629 10.7 Four Corners 410 448 438 495 411 467 10.3 Loup Basin 287 397 330 419 294 382 12.1 North Central District 468 592 493 591 484 571 11.9 Northeast Nebraska 209 291 236 307 225 302 9.6 Panhandle 455 568 541 616 468 537 10.7 Public Health Solutions 592 693 587 675 590 698 12.3 Sarpy/Cass 540 804 603 821 620 854 5.1 South Heartland District 441 497 457 511 457 498 10.4 Southeast District 364 446 400 472 420 488 12.5 Southwest 339 413 315 383 313 392 12.5 Three Rivers 641 743 587 696 628 767 10.0 Two Rivers 967 877 899 803 972 872 9.3 West Central District 431 444 454 488 461 486 10.2

* The number of resident deaths per 1,000 population


157

Age Group < 45 45-64 65-74 75-84 85+ Years Years Years Years Years Total STATE 969 2,310 2,171 4,163 5,281 14,894 Service Areas: Western Service Area 110 276 327 608 771 2,092 Central Service Area 114 303 295 628 866 2,206 Northern Service Area 154 345 396 761 1,035 2,691 Southeast Service Area 212 552 469 1,030 1,433 3,696 Eastern Service Area 379 834 684 1,136 1,176 4,209 Health Department: Dakota County 13 30 32 46 50 171 Douglas County 324 705 557 982 993 3,561 Scotts Bluff County 24 62 79 121 146 432 Lincoln-Lancaster County 120 296 203 464 562 1,645 Central District 44 100 104 211 240 699 East Central District 28 55 61 123 176 443 Elkhorn Logan Valley 38 65 87 192 247 629 Four Corners 13 58 78 120 198 467 Loup Basin 10 49 56 108 159 382 North Central District 22 58 93 170 228 571 Northeast Nebraska 27 52 39 80 104 302 Panhandle 27 70 78 159 203 537 Public Health Solutions 29 82 81 209 297 698 Sarpy/Cass 68 168 147 214 257 854 South Heartland District 24 67 67 134 206 498 Southeast District 20 51 60 122 235 488 Southwest 14 46 58 126 148 392 Three Rivers 43 111 111 205 297 767 Two Rivers 50 116 102 235 369 872 West Central District 31 69 78 142 166 486

TABLE 43a: Deaths by Age Group and Place of Residence, 2006


158

TABLE 44-50a: Deaths by Cause (Top Seven) by Place of Residence, 2006

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

3,444

493 556 697 789 909

52

764 119 316 151 102 173 135 100 165

85 106 152 185 144 115

91 151 213 125

3,426

454 493 593 872

1,014

32

849 87

425 161 110 134 111 78

129 59

118 142 216 110 92 88

180 187 118

921

124 125 190 255 227

14 181 26

102 40 22 41 27 25 51 24 32 55 59 27 43 25 53 48 26

784

123 113 109 196 243

6 214 27 89 39 16 31 22 26 21

9 22 40 41 19 28 24 31 45 34

685

97 103 138 180 167

2 139 19 73 32 24 42 22 18 24 24 22 33 36 20 30 23 36 47 19

499

82 63 96

144 114

7

97 24 50 22 22 18 29 11 17

6 24 35 23 12 21

9 29 32 11

437

68 62 86 92

129

4 110

4 45 19 12 21 11 11 21 13 18 22 21 11

7 20 20 27 20

4,698

651 691 782

1,168 1,406

54 1,207

126 545 235 135 169 110 113 143 82

195 219 273 155 152 112 267 273 133


159

TABLE 66 & 74a: Marriages and Divorces - Number and Rate by Service Area and Health Department, 2006

Marriages Divorces Number Rate* Number Rate**

TOTAL 12,053 6.8 6,065 3.4 Service Area: Western Service Area 1,277 6.6 777 4.0 Central Service Area 1,353 6.2 770 3.5 Northern Service Area 1,753 6.6 774 2.9 Southeast Service Area 3,111 6.8 1,539 3.4 Eastern Service Area 4,559 7.2 2,205 3.5 Health Department: Dakota County 189 9.2 50 2.4 Douglas County 3,481 7.1 1,712 3.5 Scotts Bluff County 269 7.4 183 5.0 Lincoln-Lancaster County 2,053 7.7 901 3.4 Central District 468 6.4 286 3.9 East Central District 340 6.6 157 3.1 Elkhorn Logan Valley 352 6.0 196 3.3 Four Corners 253 5.6 151 3.3 Loup Basin 149 4.7 89 2.8 North Central District 285 6.0 120 2.5 Northeast Nebraska 204 6.5 85 2.7 Panhandle 309 6.2 187 3.7 Public Health Solutions 326 5.7 189 3.3 Sarpy/Cass 1,185 7.0 591 3.5 South Heartland District 268 5.6 159 3.3 Southeast District 274 7.0 132 3.4 Southwest 185 5.9 109 3.5 Three Rivers 481 6.3 234 3.1 Two Rivers 606 6.5 333 3.5 West Central District 376 7.9 201 4.2

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

vital stats report 2006 - nebraska department of health ...dhhs.ne.gov/reports/vital statistics...

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