UTopiAH is a series about life expectancy – how long we live – from 1960 to 2016. Medical conditions rank states. UTopiAH’s #1 health rankings are recorded. Statistical probability indicates a politicizing of these life expectancy tables since 2012.

Part Ten. How does Heart Disease impact UTopiAH #1 state rankings of life expectancy? As noted in Part One, the United Health Foundation America’s Health ranked Utah #1 as the having the fewest or lowest rate for 2012 Diabetes, and 2nd lowest chronic alcohol use for 2016, both substantial causes for heart disease.

For three decades, 1960-1990, life expectancy, was based on the census taken every ten years. States were rank ordered based on the longevity of their residents’ lives. Longevity have been the basis for commercial uses, health programs, governmental budgets, and forward planning. Commercial uses include 1) annuity tables for retirement investments, how long the annuity will be needed to provide a life time income, and hence its cost; 2) life insurance tables for payment of death benefits and when they will be due, and hence the premium; 3)   long term care, and others. Health programs use include age related maladies    and hospitalization. 4) Governmental budgets include Medicare, Medicaid, Obamacare, development, public health, education, transportation, and national security. 5) Forward planning includes water resources, urban planning, social services, and family growth,.   Progress or decline in life expectancy, takes decades.   For instance noting that Utah’s life expectancy ranked 6th in 1960, Utah climbed to 2nd in 1970, back to 3rd in 1980, and topped out to 1st by 1990. It is even harder to move among ranks the larger the population in the State. California’s population is ten times Utah’s. California’s life expectancy ranked 19th in 1960 census, climbed to 14th in 1970, 18th in 1980, and dropped back to 32nd in 1990.

How can it be that UTopiAH’s lowest diabetes ranking in 2012, and very low chronic alcohol use, results in the 14th and 15th heart disease death rate in 2016?

Heart Disease Mortality by State 2016 & 2005

An anomaly is apparent in the tables. Tables A and B are listed as given by the CDC (Center for Disease Control). Table A should be a calculation of the number of heart disease deaths in each state in 2016, which is obtained by taking the number in column B as actual deaths, and dividing B by the state’s population in 100,000 sets, to give table A, as rates per hundred thousand.   According to the CDC table Minnesota in 2016 had 7,825 deaths for a rate per hundred thousand of 114.9, and Minnesota in 2005 had 7,926 deaths for a rate of 145.4 each number of deaths per 100,000. Calculating back the population in 2005 had Minnesota population 5,452,269 per table) [ but compare it to the U.S. census report of 5.12 million], and   in 2016 the calculated population for Minnesota from the CDC tables is 6,810,269 [The U.S. Census lists a population of 5.25 million for 2016].   A sampling of other states, compared with their 2016 population gives fresh and new rates per 100,000 population, as given in Table D. None of the Table D calculations matched the Table A rates in the samples. The closest being Colorado, wherein its US Census calculation gives a rate within 2 percent of the table column A.

Heart Disease Mortality by StateNumber of deaths and age-adjusted death rates from diseases of the heart. 2016

https://www.cdc.gov/nchs/pressroom/sosmap/heart_disease_mortality/heart_disease.htm

Heart Disease Mortality by State: 2016

Age-Adjusted Death Rates¹

United States 165.5

114.9 – 141

143.1 – 153.4, 154.4 – 164.3

164.7 – 191, 192.1 – 233.1

Data Table Pressroom provided figures for Columns A and B

                        U.S. Census provided figures for Column C

                        [Part 10 made calculation for Column D]

LocationA

Heart Disease age adjusted Death Rates 2016

B

Deaths  2016

  

 

C

Pop-ulation US Census 2016

 

D

Death rate

Heart disease B*10^5/C per one hundred thousand population

Minnesota [error in rate calculation 114.9   or 149?]114.9(sic)7,8255.25M149
Hawaii127.02,4881.43M174
Colorado129.87,2775.53M131
Massachusetts134.811,9216.82M175
Oregon135.06,968
Washington136.111,161
Arizona138.911,9576.91M173
Nebraska140.33,322
North Dakota140.91,338755K176
Alaska141.0831740K112
California143.161,57339.3M156
Connecticut144.37,0513.59M196
Florida146.245,659
Maine149.52,907
Utah #15150.03,6363.04120
New Mexico150.63,800
Virginia150.714,124
New Hampshire151.12,631
Rhode Island152.42,256
South Dakota153.41,729861K201
Montana154.42,138
Wisconsin154.911,526
North Carolina155.818,266
Wyoming157.81,051584K181
Vermont158.81,366
Kansas159.25,6722.9m195
Idaho160.02,969
Iowa162.86,937
Delaware163.21,974
Maryland164.311,390
New Jersey164.718,597
Illinois165.725,013
Texas167.743,77227.9M156
South Carolina173.810,195
Pennsylvania176.231,990
New York177.844,076
Georgia179.018,143
Indiana180.613,952
Ohio185.127,410
West Virginia191.04,767
Missouri192.114,579
Tennessee198.815,429
Michigan200.625,304
Kentucky203.010,519
Nevada205.96,457
Louisiana213.110,9434.68M234
Alabama222.512,8324.86M264
Arkansas223.78,0902.99M270
Oklahoma228.210,2093.92M260
Mississippi233.17,8652.98M263
The number of deaths per 100,000 total population.

Source: https://wonder.cdc.gov

¹The number of deaths per 100,000 total population

Source: https://wonder.cdc.gov

 Heart Disease Mortality by State: 2005

Age-Adjusted Death Rates¹

United States 216.8

145.4 – 180.5

180.5 – 189.8, 190.6 – 220.4

220.7 – 241.3, 246.7 – 306.4

Data Table

Location2005

Heart Disease Death Rates 

Deaths 2005
Minnesota145.47,926
Hawaii160.92,319
Colorado164.86,307
Alaska166.1627
Utah #5167.92,872
Oregon169.66,791
Montana172.21,855
Massachusetts179.013,280
Nebraska179.43,640
Vermont180.51,234
Washington180.510,985
Connecticut180.77,650
North Dakota181.21,512
Idaho182.62,450
New Mexico186.33,435
South Dakota186.31,776
Maine186.52,941
Wyoming188.3952
Arizona189.810,966
New Hampshire189.82,530
Wisconsin190.611,842
Kansas192.65,960
Iowa196.67,437
Florida200.046,279
California203.064,916
Virginia203.014,192
North Carolina211.617,765
Maryland217.911,594
New Jersey219.120,655
Texas220.440,152
Illinois220.728,226
South Carolina223.99,359
Rhode Island226.83,005
Indiana227.914,542
Pennsylvania229.336,207
Ohio231.929,003
Delaware232.32,031
Georgia236.016,781
Missouri236.714,974
Michigan241.325,128
Nevada246.75,094
New York248.351,985
Arkansas250.37,575
Tennessee251.214,946
West Virginia253.65,538
Louisiana256.911,008
Kentucky257.310,782
Oklahoma272.410,043
Alabama274.512,869
Mississippi306.48,637

The number of deaths per 100,000 total population.

Source: http://www.cdc.gov/nchs/data/nvsr/nvsr56/nvsr56_10.pdf

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