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State of Alaska

Complete Health Indicator Report of Unintentional Injury Mortality Rate (HA2020 Leading Health Indicator: 16)

Definition

Age-adjusted rate of unintentional injury deaths due to all causes (ICD-10 codes V01-X59, Y85-Y86) per 100,000 population.

Numerator

Number of unintentional injury deaths in the resident population in a specified time period.

Denominator

Mid-year resident population for the same calendar year in a specified time period.

Data Interpretation Issues

[http://live.laborstats.alaska.gov/pop/index.cfm Alaska population estimates] provided by the State Demographer in the [http://laborstats.alaska.gov/ Research and Analysis Section] of the [http://labor.alaska.gov/ Alaska Department of Labor and Workforce Development].

Why Is This Important?

Unintentional injuries include motor vehicle crashes (passenger and pedestrian); accidental drownings, poisonings and firearm injuries; injuries due to fire or burns; and falls. Alaska experiences one of the highest unintentional injury rates in the nation, ranking 7th among states in 2016.^1^ In 2017, unintentional injury was the 3rd leading cause of death for all Alaskans, with accidental poisonings and exposure to noxious substances accounting for the highest number of unintentional injury deaths.^2^ Unintentional injuries disproportionately affect the younger population and are a leading cause of death among children and young adults and the leading cause of years of potential life lost in Alaska.[[br]] [[br]] ---- {{class .SmallerFont 1. U.S. Centers for Disease Control and Prevention (CDC). National Center for Health Statistics. Accident Mortality by State: 2016. [https://www.cdc.gov/nchs/pressroom/sosmap/accident_mortality/accident.htm]. Updated January 10, 2018. Accessed January 2, 2019. 2. Alaska Department of Health and Social Services, Division of Public Health, Health Analytics and Vital Records Section. Alaska Vital Statistics 2017 Annual Report. [http://dhss.alaska.gov/dph/VitalStats/Documents/PDFs/VitalStatistics_Annualreport_2017.pdf]. Accessed January 2, 2018. }}

Healthy People Objective: Reduce unintentional injury deaths

U.S. Target: 36.4 deaths per 100,000 population
State Target: Healthy Alaskans 2020 Target: 54.8 per 100,000 population

How Are We Doing?

In 2017, Alaskans had an unintentional injury mortality rate of 63.0 per 100,000, exceeding the Healthy Alaskans 2020 goal of 54.8 per 100,000. The rate for Alaska Native people was twice as high at 136.3 per 100,000. Unintentional injuries (including unintentional poisonings) are the 3rd leading cause of death in Alaska. In 2017, unintentional injuries claimed the lives of 427 Alaskans. More Alaskans died from unintentional poisoning and exposure to noxious substances than any other type of unintentional injury; 150 deaths or 35.1% of all unintentional injury deaths.^2^ Among the leading causes of death in Alaska, unintentional injuries ranked first in total years of potential life lost with 12,627 years lost. On average, 29.6 years of life were lost prematurely for each unintentional injury death.^2^ Since 2008, the age-adjusted rate for unintentional injuries has increased 16.7%. The northern region (Nome census area, North Slope Borough, and Northwest Arctic Borough) and southwest Alaska (Dillingham census area, Kusilvak census area, Lake and Peninsula Borough, Yukon-Koyukuk census area) exhibited high rates of unintentional injury mortality.[[br]][[br]] ---- {{class .SmallerFont 2. Alaska Department of Health and Social Services, Division of Public Health, Health Analytics and Vital Records Section. Alaska Vital Statistics 2017 Annual Report. [http://dhss.alaska.gov/dph/VitalStats/Documents/PDFs/VitalStatistics_Annualreport_2017.pdf]. Accessed June 20, 2018. }}

How Do We Compare With the U.S.?

In 2016, unintentional injury was the 3rd leading cause of death in the nation, with an age-adjusted rate of 47.4 per 100,000.^3^ Unintentional injury was also the 3rd leading cause of death in Alaska, accounting for 9.5% of all mortality and an age-adjusted rate of 61.9 per 100,000.^4^[[br]] [[br]] ---- {{class .SmallerFont 3. Kochanek KD, Murphy SL, Xu J and Arias E. U.S. Centers for Disease Control and Prevention (CDC). National Center for Health Statistics. Data Brief. Mortality in the United States, 2016. [https://www.cdc.gov/nchs/data/databriefs/db293.pdf]. Accessed June 20, 2018. 4. Alaska Department of Health and Social Services, Division of Public Health, Health Analytics and Vital Records Section. Alaska Vital Statistics 2016 Annual Report. [http://dhss.alaska.gov/dph/VitalStats/Documents/PDFs/VitalStatistics_Annualreport_2016.pdf]. Accessed June 20, 2018. }}

Evidence-based Practices

As part of the Healthy Alaskans 2020 health improvement process, groups of Alaska subject matter experts met over a period of months in a rigorous review process to identify and prioritize strategies to address the 25 health priorities. Public health partners around the state are aligning work around these approaches adapted to Alaska's unique needs. '''Strategy 1:''' [[br]]Develop and implement a collaborative approach to reducing fatalities resulting from falls by older Alaskans. '''Evidence Base:''' [[br]]Preventing falls to older adults takes a multi-partner, multi-intervention approach. Success requires home-modification, physical activities, vision correction, review of all of medications and multifaceted interventions. While any activity engaged in on its own might show slight impact, overall success requires a collaborative, multi-pronged approach. '''Source:''' [[br]][http://www.cdc.gov/HomeandRecreationalSafety/Falls/index.html CDC: Falls - Older Adults] [https://www.ncoa.org/healthy-aging/falls-prevention/ National Council on Aging- Fall Prevention] '''Strategy 2:''' [[br]]Form a task force to determine effective approaches to decreasing poisoning deaths and improve data collection. '''Evidence Base:''' [[br]]Unintentional poisoning deaths are increasing each year in Alaska and throughout the country. Promising practices for reducing prescription drug overdose deaths include implementing prescription drug monitoring programs, providing access to Naloxone, screening by physicians, and creating immunity laws. Other recommendations address childhood poisoning from household chemicals and carbon monoxide. However, there has not been a thorough multidisciplinary approach to poison prevention in Alaska, and there is insufficient information about the prescription drug poisoning problem in Alaska to assess how to address it. '''Sources:''' [[br]][http://www.ncsl.org/research/health/prevention-of-prescription-drug-overdose-andabuse.aspx Prevention of Prescription Drug Overdose and Abuse] [http://www.whitehouse.gov/ondcp/prescription-drug-abuse Office of National Drug Control Policy - Prescription Drug Abuse] [http://www.cdc.gov/homeandrecreationalsafety/Poisoning/laws/index.html Prescription Drug Overdose: State Laws] [http://www.cdc.gov/homeandrecreationalsafety/Poisoning/preventiontips.htm CDC Tips to Prevent Poisonings] '''Strategy 3:''' [[br]]Promote best practices for reducing transportation related deaths through enforcement of current laws, integration of public health strategies, public outreach, and education; and promotion of new safety technology through collaboration with safety and private sector organizations and cooperation with state and local governments. '''Evidence Base:''' [[br]]Transportation is a leading cause of injury and death in Alaska. Transportation injuries include those suffered on and off roadways and with motorized and non-motorized modes of transportation including cars, trucks, all-terrain vehicles (ATV's), snow machines, boats, bicycles and pedestrians. There are multiple Alaskan transportation strategic plans that include evidence-based action plans for key partners to focus on. '''Sources:''' [[br]]Alaska Department of Transportation & Public Facilities. [https://www.nhtsa.gov/sites/nhtsa.dot.gov/files/documents/ak_fy17hsp.pdf Strategic Highway Safety Plan] Alaska Traffic Records Coordinating Committee. [http://www.dot.state.ak.us/stwdplng/hwysafety/assets/pdf/FFY2018_ATRCC_Strategic_Plan.pdf Alaska Traffic Records Strategic Plan]. 2017. A listing of strategies, actions, and key partners on this measure can be found at: [http://hss.state.ak.us/ha2020/assets/Actions-Partners_16_UnintentionalInjury.pdf].

Available Services

Alaska Department of Health and Social Services, Division of Public Health, Section of Chronic Disease Prevention and Health Promotion, Injury Prevention [http://www.dhss.alaska.gov/dph/Chronic/Pages/InjuryPrevention/default.aspx] Alaska Poison Control Center (for general information) 1-800-222-1222 (emergency hotline) Safe Alaskans (907) 929-3939 [http://safealaskans.org] Use Only As Directed [http://useonlyasdirected.org/] NATIONAL WEB SITES: National Center for Injury Prevention and Control [http://www.cdc.gov/injury/] National Highway Transportation Safety Administration [http://www.nhtsa.dot.gov/] National SAFE KIDS Campaign [http://www.safekids.org/] Children's Safety Network [http://www.childrenssafetynetwork.org/] U.S. Consumer Product Safety Commission [http://www.cpsc.gov/]


Related Indicators

Relevant Population Characteristics

Alaska males are significantly more likely to experience an unintentional injury death compared to females.

Related Health Care System Factors Indicators:


Related Risk Factors Indicators:


Related Health Status Outcomes Indicators:




Graphical Data Views

Rate of unintentional injury mortality per 100,000 (age-adjusted), all Alaskans, Alaska Natives, and U.S., 1991-2020

::chart - missing::
confidence limits

Alaska ComparisonsYearRate of unintentional injury mortality per 100,000 (age-adjusted)Lower LimitUpper LimitNumer- atorDenom- inator
Record Count: 82
All Alaskans199067.665.170.2339550,043
All Alaskans199170.968.373.5337569,054
All Alaskans199268.666.171.1351586,722
All Alaskans199355.753.557.9299596,906
All Alaskans199461.659.463.9319600,622
All Alaskans199563.160.965.4330601,581
All Alaskans199663.561.265.8324605,212
All Alaskans199749.547.551.5266609,655
All Alaskans199850.148.252.1253617,082
All Alaskans199957.555.459.6295622,000
All Alaskans200063.961.766.0340626,932
All Alaskans200161.058.963.1348632,716
All Alaskans200259.057.061.1345641,729
All Alaskans200355.253.357.2320649,466
All Alaskans200454.752.856.6318659,653
All Alaskans200550.348.552.2311667,146
All Alaskans200652.250.354.0313674,583
All Alaskans200756.654.758.6355680,169
All Alaskans200854.052.155.9331686,818
All Alaskans200953.251.355.0338697,828
All Alaskans201058.556.660.4365710,231
All Alaskans201157.155.359.0384722,818
All Alaskans201253.852.055.6366731,191
All Alaskans201352.250.354.0354735,662
All Alaskans201454.552.756.3378735,601
All Alaskans201557.155.358.9384737,183
All Alaskans201662.160.264.1431739,709
All Alaskans201763.061.064.9427737,080
Alaska Native people1990147.0136.7157.411186,252
Alaska Native people1991147.3137.8156.911489,286
Alaska Native people1992140.0131.0149.112291,933
Alaska Native people1993105.397.3113.39394,176
Alaska Native people1994139.2130.1148.311996,182
Alaska Native people1995109.7101.8117.69498,058
Alaska Native people1996127.6119.2136.110599,678
Alaska Native people1997100.492.9107.990101,751
Alaska Native people199894.386.9101.679103,361
Alaska Native people1999123.4115.4131.499104,745
Alaska Native people2000120.6112.9128.3111107,929
Alaska Native people2001118.3110.7125.9111108,430
Alaska Native people2002106.599.3113.698109,873
Alaska Native people200381.775.487.983111,314
Alaska Native people200492.886.599.281112,356
Alaska Native people2005108.9101.7116.1109113,773
Alaska Native people2006101.895.3108.396114,977
Alaska Native people2007111.4104.2118.7116115,421
Alaska Native people2008103.997.1110.8101115,969
Alaska Native people2009130.5122.8138.1123117,974
Alaska Native people2010100.493.9106.9104120,428
Alaska Native people201199.793.2106.1111122,441
Alaska Native people2012116.4109.5123.3117123,605
Alaska Native people201398.191.4104.7104124,911
Alaska Native people2014108.8101.8115.9112126,090
Alaska Native people2015129.6122.4136.9142127,155
Alaska Native people2016115.0108.0122.1125127,545
Alaska Native people2017136.3128.6143.9151127,656
U.S.200034.8
U.S.200135.6
U.S.200237.1
U.S.200337.7
U.S.200438.3
U.S.200539.9
U.S.200640.8
U.S.200741.1
U.S.200840.1
U.S.200938.5
U.S.201039.1
U.S.201139.4
U.S.201239.1
U.S.201339.4
U.S.201440.5
U.S.201543.2
U.S.201649.9
U.S.2017**
Healthy Alaskans Goal201354.8
Healthy Alaskans Goal201454.8
Healthy Alaskans Goal201554.8
Healthy Alaskans Goal201654.8
Healthy Alaskans Goal201754.8
Healthy Alaskans Goal201854.8
Healthy Alaskans Goal201954.8
Healthy Alaskans Goal202054.8

Data Notes

Data are age adjusted to U.S. 2000 standard population. Unintentional injury is defined by ICD-9 codes E800-E869, E880-E929 and ICD-10 codes V01-X59, Y85-Y86. Does not include legal intervention.   Rates are age-adjusted to the 2000 U.S. standard population.

Data Sources

  • [http://dhss.alaska.gov/dph/VitalStats/Pages/default.aspx Health Analytics and Vital Records Section (HAVRS)], Division of Public Health, Alaska Department of Health and Social Services
  • National Center for Injury Prevention and Control's Web-based Injury Statistics Query and Reporting System (WISQARS)


Rate of unintentional injury mortality per 100,000 (crude rate), by age, All Alaskans, 2003-2017 (15-year average)

::chart - missing::
confidence limits

Age GroupRate of unintentional injury mortality per 100,000 (crude rate)Lower LimitUpper LimitNumer- atorDenom- inator
Record Count: 10
0-422.218.925.5174782
5-1411.59.813.11781
15-2443.540.246.76771
25-3456.752.960.58671
35-4460.156.164.18691
45-5464.560.668.5124
55-6452.748.756.86561
65-7462.455.968.9351562
75-84129.1114.5143.7300232
85+387.5342.4432.728272

Data Notes

Data are age adjusted to U.S. 2000 standard population. Unintentional injury is defined by ICD-9 codes E800-E869, E880-E929 and ICD-10 codes V01-X59, Y85-Y86. Does not include legal intervention.

Data Source

[http://dhss.alaska.gov/dph/VitalStats/Pages/default.aspx Health Analytics and Vital Records Section (HAVRS)], Division of Public Health, Alaska Department of Health and Social Services


Rate of unintentional injury mortality per 100,000 (age-adjusted), by Race, Alaska, 2000-2017

::chart - missing::
confidence limits

Race: Alaska Native, White, TotalYearRate of unintentional injury mortality per 100,000 (age-adjusted)Lower LimitUpper LimitNumer- atorDenom- inator
Record Count: 54
Alaska Native2000120.6112.9128.3111107,929
Alaska Native2001118.3110.7125.9111108,430
Alaska Native2002106.599.3113.698109,873
Alaska Native200381.775.487.983111,314
Alaska Native200492.886.599.281112,356
Alaska Native2005108.9101.7116.1109113,773
Alaska Native2006101.895.3108.396114,977
Alaska Native2007111.4104.2118.7116115,421
Alaska Native2008103.997.1110.8101115,969
Alaska Native2009130.5122.8138.1123117,974
Alaska Native2010100.493.9106.9104120,428
Alaska Native201199.793.2106.1111122,441
Alaska Native2012116.4109.5123.3117123,605
Alaska Native201398.191.4104.7104124,911
Alaska Native2014108.8101.8115.9112126,090
Alaska Native2015129.6122.4136.9142127,155
Alaska Native2016115.0108.0122.1125127,545
Alaska Native2017136.3128.6143.9151127,656
White200053.150.955.3211460,021
White200152.850.555.0220463,075
White200253.351.055.5231468,097
White200350.848.652.9214472,059
White200449.547.451.6218478,660
White200542.440.444.4194482,786
White200645.543.547.6205487,277
White200747.945.950.0217490,232
White200848.746.750.8219493,820
White200943.541.545.4208499,690
White201053.551.455.6242507,467
White201153.451.255.5258513,794
White201244.842.846.7225517,796
White201345.743.747.7225518,821
White201447.745.849.7244517,447
White201545.643.747.4216515,431
White201654.152.056.2270514,814
White201751.149.053.2246510,364
Total200063.961.766.0340626,932
Total200161.058.963.1348632,716
Total200259.057.061.1345641,729
Total200355.253.357.2320649,466
Total200454.752.856.6318659,653
Total200550.348.552.2311667,146
Total200652.250.354.0313674,583
Total200756.654.758.6355680,169
Total200854.052.155.9331686,818
Total200953.251.355.0338697,828
Total201058.556.660.4366710,231
Total201157.255.359.1384722,388
Total201253.852.055.7366731,042
Total201352.550.654.3354735,776
Total201454.652.856.5379736,906
Total201557.455.659.2386737,467
Total201662.160.264.1431739,709
Total201763.061.064.9427737,080

Data Notes

Data are age adjusted to U.S. 2000 standard population. Unintentional injury is defined by ICD-9 codes E800-E869, E880-E929 and ICD-10 codes V01-X59, Y85-Y86. Does not include legal intervention.   Age-adjusted to U.S. 2000 standard population. ** Data not available

Data Sources

  • [http://dhss.alaska.gov/dph/VitalStats/Pages/default.aspx Health Analytics and Vital Records Section (HAVRS)], Division of Public Health, Alaska Department of Health and Social Services
  • National Center for Injury Prevention and Control's Web-based Injury Statistics Query and Reporting System (WISQARS)


Rate of unintentional injury mortality per 100,000 (age-adjusted), by Alaska Economic Region, Alaska 2013-2017 (5-year average)

::chart - missing::
confidence limits

Rate of unintentional injury mortality per 100,000 (age-adjusted)Lower LimitUpper LimitNumer- atorDenom- inator
Record Count: 8
Anchorage48.647.449.86811,496,296
Gulf Coast60.657.963.3236404,186
Interior58.256.260.3298565,600
Mat-Su62.760.465.0274500,652
Northern83.277.788.696138,410
Southeast53.751.256.3193369,928
Southwest98.393.4103.2186211,866
Statewide58.057.258.91,9763,686,938

Data Notes

Data are age adjusted to U.S. 2000 standard population. Unintentional injury is defined by ICD-9 codes E800-E869, E880-E929 and ICD-10 codes V01-X59, Y85-Y86. Does not include legal intervention.   Rates are age-adjusted to the 2000 U.S. standard population.

Data Source

[http://dhss.alaska.gov/dph/VitalStats/Pages/default.aspx Health Analytics and Vital Records Section (HAVRS)], Division of Public Health, Alaska Department of Health and Social Services


Rate of unintentional injury mortality per 100,000 (age-adjusted), by behavioral health region, 2013-2017 (5-year average)

::chart - missing::
confidence limits

Lower LimitUpper LimitNumer- atorDenom- inator
Record Count: 11
Anchorage Muncipality48.647.449.86811,496,296
Fairbanks North Star Borough51.649.553.7229494,183
City and Borough of Juneau49.946.453.579164,072
Kenai Peninsula Borough63.460.166.8178288,061
Matanuska-Susitna Borough62.760.465.0274500,652
Northwest Region83.277.788.696138,410
Other Interior Region89.783.995.4101119,263
Other SE - Northern45.740.950.546104,327
Other SE - Southern68.963.474.368101,529
Y-K Delta Region112.3105.4119.3123131,034
Southwest Region65.560.970.289149,111

Data Notes

Data are age adjusted to U.S. 2000 standard population. Unintentional injury is defined by ICD-9 codes E800-E869, E880-E929 and ICD-10 codes V01-X59, Y85-Y86. Does not include legal intervention.


Rate of unintentional injury mortality per 100,000 (age-adjusted), by boroughs and census areas, all Alaskans, 2008-2017 (10-year average)

::chart - missing::
confidence limits

Rate of unintentional injury mortality per 100,000Lower LimitUpper LimitNumer- atorDenom- inator
Record Count: 25
Aleutians East Borough24.618.230.9930,331
Aleutians West CA28.421.435.41153,876
Anchorage Municipality48.247.449.11,3042,954,276
Bethel CA95.189.7100.5147175,759
Bristol Bay Borough162.8137.0188.6169,577
Denali Borough**18,132
Dillingham CA148.6135.6161.76349,190
Fairbanks North Star Borough47.446.048.9405983,716
Haines Borough45.034.555.51025,144
Juneau City and Borough49.747.152.3153321,864
Kenai Peninsula Borough64.862.567.2354564,925
Kusilvak CA136.1126.5145.88778,225
Lake and Peninsula Borough127.6109.3145.92416,602
Matanuska-Susitna Borough60.659.062.3505944,744
Nome CA107.9100.6115.28797,997
North Slope Borough88.381.395.44891,230
Northwest Arctic Borough111.1102.1120.27577,049
Prince of Wales-Hyder CA58.454.862.0109199,322
Sitka City and Borough52.547.057.94789,117
Skagway Municipality67.759.575.91831,594
Southeast Fairbanks CA58.152.164.14169,626
Valdez-Cordova CA63.558.268.95796,446
Wrangell City and Borough54.146.561.72957,586
Yakutat City and Borough**6,360
Yukon-Koyukuk CA164.0152.2175.88455,604

Data Notes

Data are age adjusted to U.S. 2000 standard population. Unintentional injury is defined by ICD-9 codes E800-E869, E880-E929 and ICD-10 codes V01-X59, Y85-Y86. Does not include legal intervention.   ** = Data not available due to fewer than 20 respondents in the numerator. Rates are age-adjusted to the 2000 U.S. standard population.

Data Source

[http://dhss.alaska.gov/dph/VitalStats/Pages/default.aspx Health Analytics and Vital Records Section (HAVRS)], Division of Public Health, Alaska Department of Health and Social Services

References and Community Resources

'''References:''' 1. U.S. Centers for Disease Control and Prevention (CDC). National Center for Health Statistics. Accident Mortality by State: 2014. [http://www.cdc.gov/nchs/pressroom/sosmap/Accident.htm]. Updated January 19, 2016. Accessed October 4, 2016. 2. U.S. Centers for Disease Control and Prevention (CDC). National Center for Health Statistics. National Vital Statistics System. Mortality, 2014. [https://www.cdc.gov/nchs/data/dvs/lcwk9_2014.pdf]. Accessed October 4, 2016. 3. Alaska Department of Health and Social Services, Division of Public Health, Health Analytics and Vital Records Section. Alaska Vital Statistics 2015 Annual Report. [http://dhss.alaska.gov/dph/VitalStats/Documents/PDFs/VitalStatistics_Annualreport_2015.pdf]. Accessed February 7, 2017. '''Resources:''' Alaska Department of Health and Social Services, Division of Public Health, Health Analytics and Vital Records Section. Alaska Vital Statistics 2015 Annual Report. [http://dhss.alaska.gov/dph/VitalStats/Documents/PDFs/VitalStatistics_Annualreport_2015.pdf]. Healthy Alaskans 2020. [http://hss.state.ak.us/ha2020/default.htm]

More Resources and Links

Alaska and national goals may be found at the following sites:

Alaska health promotion resources may be found at the following site:

Evidence-based community health improvement ideas and interventions may be found at the following sites:

Maps of health indicators for various subdivisions of Alaska may be found at the following site:

Additional indicator data by state and county may be found on these Websites:

Medical literature can be queried at the PubMed website.

For an on-line medical dictionary, click on this Dictionary link.

AK-IBIS Web Citation

Use and reproduction of the information published on this website are encouraged and may be done without permission. The following citation should accompany information from this website whenever it is used, reproduced, or published:

AK-IBIS Indicator Citation:
"[Indicator name]. Retrieved on [insert date] from Alaska Department of Health and Social Services, Indicator-Based Information System for Public Health (AK-IBIS) website: http://ibis.dhss.alaska.gov/.

Example:
Diabetes Prevalence. Retrieved on March 25, 2016, from Alaska Department of Health and Social Services, Indicator-Based Information System for Public Health (AK-IBIS) website: http://ibis.dhss.alaska.gov/.

Page Content Updated On 02/15/2018, Published on 02/15/2019
The information provided above is from the Alaska Department of Health and Social Services' Center for Health Data and Statistics, Alaska Indicator-Based Information System for Public Health (Ak-IBIS) web site (http://ibis.dhss.alaska.gov). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Mon, 19 August 2019 from Alaska Department of Health and Social Services, Center for Health Data and Statistics, Alaska Indicator-Based Information System for Public Health web site: http://ibis.dhss.alaska.gov ".

Content updated: Wed, 20 Feb 2019 15:01:12 AKST
The information provided above is from the Alaska Department of Health and Social Services' Center for Health Data and Statistics AK-IBIS web site (http://ibis.dhss.alaska.gov/). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Mon, 19 August 2019 0:04:57 from Alaska Department of Health and Social Services, Center for Health Data and Statistics, Indicator-Based Information System for Public Health Web site: http://ibis.dhss.alaska.gov/ ".

Content updated: Wed, 20 Feb 2019 15:01:12 AKST