Withdrawal Syndrome in Newborns Hal Johnson State Epidemiology and - - PowerPoint PPT Presentation
Withdrawal Syndrome in Newborns Hal Johnson State Epidemiology and Outcome Workgroup Meeting November 8, 2011 ICD-9 Code 779 Other and ill-defined conditions originating in the perinatal period 779.5 Drug withdrawal syndrome in newborn
254 1355 400 800 1200 1600 2005 2006 2007 2008 2009 2010 Number of diagnoses
county_name 2005 2006 2007 2008 2009 2010 county_name 2005 2006 2007 2008 2009 2010 Alachua 1 2 5 6 9 13 Lee 8 14 11 26 54 73 Baker 2 3 1 3 7 Leon 2 6 2 6 Bay 3 2 1 5 7 4 Levy 1 1 4 4 4 Bradford 1 2 5 3 7 Liberty Brevard 21 10 26 43 47 68 Madison 1 2 1 Broward 11 12 35 36 38 65 Manatee 7 13 2 14 17 27 Calhoun Marion 2 8 9 12 16 23 Charlotte 4 1 3 14 13 29 Martin 1 4 3 2 1 Citrus 1 2 7 12 Miami-Dade 9 8 10 13 17 21 Clay 3 8 11 8 18 14 Monroe 1 1 2 Collier 12 12 19 25 32 29 Nassau 3 2 4 6 3 7 Columbia 2 2 3 4 7 15 Okaloosa 8 7 6 8 14 20 DeSoto 1 4 1 7 Okeechobee 2 1 3 5 3 Dixie 2 2 6 7 Orange 13 18 18 39 34 63 Duval 24 37 53 36 85 113 Osceola 3 1 3 7 7 5 Escambia 15 20 26 32 42 27 Palm Beach 12 15 15 29 34 26 Flagler 1 1 2 4 7 Pasco 5 20 36 50 75 147 Franklin 1 Pinellas 22 32 38 70 114 153 Gadsden 1 1 Polk 9 10 11 10 9 11 Gilchrist 1 1 1 3 Putnam 1 1 3 14 14 Glades Saint Johns 1 3 9 3 17 13 Gulf 1 1 Saint Lucie 3 5 4 9 10 11 Hamilton 1 1 Santa Rosa 2 6 14 6 7 10 Hardee 1 1 1 Sarasota 8 5 11 15 40 74 Hendry 2 3 1 2 1 1 Seminole 3 4 2 10 9 15 Hernando 2 8 13 14 30 39 Sumter 2 1 3 Highlands 1 5 1 2 Suwannee 1 3 9 9 Hillsborough 13 28 19 22 31 66 Taylor 1 1 Holmes Union 1 2 6 Indian River 4 1 1 3 10 5 Volusia 6 7 11 25 34 45 Jackson 1 1 Wakulla 1 2 3 Jefferson Walton 2 5 6 3 4 Lafayette Washington 3 Lake 1 4 5 2 5 10 FLORIDA
123 158 236 268 405 1355
Counties with 10+ cases in 3+ years
county_name 2005 2006 2007 2008 2009 2010 Brevard 21 10 26 43 47 68 Broward 11 12 35 36 38 65 Charlotte 4 1 3 14 13 29 Clay 3 8 11 8 18 14 Collier 12 12 19 25 32 29 Duval 24 37 53 36 85 113 Escambia 15 20 26 32 42 27 Hernando 2 8 13 14 30 39 Hillsborough 13 28 19 22 31 66 Lee 8 14 11 26 54 73 Manatee 7 13 2 14 17 27 Marion 2 8 9 12 16 23 Miami-Dade 9 8 10 13 17 21 Orange 13 18 18 39 34 63 Palm Beach 12 15 15 29 34 26 Pasco 5 20 36 50 75 147 Pinellas 22 32 38 70 114 153 Polk 9 10 11 10 9 11 Sarasota 8 5 11 15 40 74 Volusia 6 7 11 25 34 45
F l a g l e r H i g h l a n d s H a r d e e P
k M a r t i n S t . L u c i e I n d i a n R i v e r P u t n a m A l a c h u a U n i
G i l c h r i s t L e v y D i x i e S u w a n n e e H a m i l t
S t . J
n s C l a y D u v a l N a s s a u B a k e r P i n e l l a s P a s c
a n a t e e Hillsborough O s c e
a O r a n g e S e m i n
e C
l i e r H e n d r y L e e G l a d e s D e S
a r a s
a Palm Beach L a k e S u m t e r H e r n a n d
i t r u s M a r i
T a y l
M a d i s
W a k u l l a L e
F r a n k l i n L i b e r t y G a d s d e n J a c k s
C a l h
n G u l f B a y Escambia Okaloosa Broward Dade Holmes Volusia Charlotte
<443 443-999 1,000+
Rate per 100,000 live births Florida: 443/100K
0% 20% 40% 60% 80% 100% 2005 2006 2007 2008 2009 2010
Other Charlotte Hernando Sarasota Pasco Pinellas 16% 33%
Counties Ranked High on Three or More of the Following Indicators:
Number of high indicators: 5 4 3
F l a g l e r H i g h l a n d s H a r d e e P
k M a r t i n S t . L u c i e I n d i a n R i v e r P u t n a m A l a c h u a U n i
G i l c h r i s t L e v y D i x i e S u w a n n e e H a m i l t
S t . J
n s C l a y D u v a l N a s s a u B a k e r P i n e l l a s Pasco
Manatee Hillsborough
O s c e
a O r a n g e S e m i n
e C
l i e r H e n d r y L e e G l a d e s D e S
Palm Beach L a k e S u m t e r H e r n a n d
i t r u s M a r i
T a y l
M a d i s
W a k u l l a L e
F r a n k l i n L i b e r t y G a d s d e n J a c k s
C a l h
n G u l f B a y Escambia Okaloosa Broward Dade Holmes Volusia Charlotte