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Leading Indicators are the most robust measures of the status of Public Health.

Healthy Babies Indicators

Healthy Children Indicators

Healthy Bodies Indicators

Healthy Minds Indicators


Secondary Indicators are other measures of Public Health, variables that have a direct impact on Public Health, are tangentially reflective of the state of Public Health, or derive from the Leading Indicators.

Secondary Indicators


For additional information and explanatory content, download the full report!

Healthy Babies Indicators

Infant Mortality (per 1,000 live births)


2010 2011 2012 2013 2014 2010-2014
Spartanburg 7.1 5.9 2.0 4.9 5.6 5.1
Greenville 5.9 6.6 5.2 6.1 5.8 5.9
Richland 6.2 7.9 8.6 9.4 7.1 7.8
Charleston 6.4 6.7 5.8 4.0 4.8 5.5
South Carolina 7.4 7.4 7.6 6.9 6.5 7.1
United States* 6.1 6.1 6.0 6.0 6.0


Data Source: SC DHEC SCAN Community Profiles; Kids Count Data Center; *Centers for Disease Control & Prevention

Spartanburg Country Infant Mortality Rates (per 1,000 live births) by Race & Ethnicity

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Spartanburg Low Birth Weight by Race and Ethinicity

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Mothers with Prenatal Care Beginning 1st Trimester, Rates per 100 Live Births, Annual 2010-2014


2010 2011 2012 2013 2014 2010-2014
Spartanburg 72.6 74.4 74.5 75.3 73.2 74.0
Greenville 75.8 75.5 72.6 68.2 73.3 73.1
Richland 68.9 68.8 69.4 66.2 68.1 68.3
Charleston 71.8 73.7 72.4 70.6 71.0 71.9
SC Average 72.1 71.7 71.9 70.0 70.3 71.2


Data Source: DHEC SCAN Community Profiles

Healthy Babies

Percent of Mothers with Prenatal Care Beginning in the First Trimester, Spartanburg County 2014, Percent by Race and by Hispanic Ethnicity

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Percent of Babies Born to Mothers with Less Than Adequate Prenatal Care


2010 2011 2012 2013 2014
Spartanburg 31.8% 30.3% 29.8% 28.5% 30.1%
South Carolina 31.9% 32.2% 31.9% 32.3% 32.9%


Data Source: SC DHEC; Kids Count Data Center

Percent of Babies Born to Mothers with Less Than Adequate Prenatal Care, By Race Spartanburg County

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Ranking of Counties in South Carolina Based on Percentage of Babies Born to Mothers with Less Than Adequate Prenatal Care

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Teen Birth Rates, All Mothers 15-19

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Percent Population vs Births, Females Age 15-19, Spartanburg County, 2014

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Inpatient Discharges for Births to Mothers, Age 15-19, Spartanburg County, 2014

Payor # Discharges Total Charges Average Charge
Commercial / HMO 55 $1,057,618 $16,864
Medicaid 240 $3,163,427 $11,786
Self / Indigent 6 $67,257 $11,210
TOTAL (w/ complications)
305
$4,323,056
$12,177
TOTAL (w/o complications)
6
$48,045
$8,008


Data Source: SC Revenue and Fiscal Affairs Office

ED Visits* for Complications of Pregnancy or Birth, Age 15-19, Spartanburg County, 2014


Payor # Discharges Total Charges Average Charges
Commercial / HMO 96  $237,710
$16,864
Medicaid 227 $603,296 $2,110
Self / Indigent 29 $51,196 $1,765
TOTAL
352
$902,202
$2,052


Data Source: SC Revenue and Fiscal Affairs Office 

*Does not include admission to inpatient hospitalization via the ED

Healthy Children Indicators

Percentage of US Residents with Asthma, 2014

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Leading Cause of Hospitalization, Children 0-17, South Carolina, 2014

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Leading Cause of Hospitalization, Children 0-17, Spartanburg County, 2014

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ED Costs* for Asthma by Payor Source, Age 0-17, Spartanburg County, 2014


Visits Total Charge Average Charge
Commercial / HMO 143  $275,834 $1,658
Medicaid 426 $722,118 $1,340
Medicare Not reported** Not reported** Not reported**
Self / Indigent 18 $29,523 $1,257
Total 591
$1,031,674
$1,424


Data Source: SC Revenue and Fiscal Affairs Office

*Excludes inpatient admission from ED

**Data for fewer than 5 visits are not reported

Ranking of Asthma Diagnosis, County Peers and SC, ED and Inpatient, 2014


Spartanburg  Greenville Richland Charleston SC


Emergency Department Asthma Rank

Age 0-10 8 7 9 7 6
Age 0-5 11 12 9 9 11
Age 0-18 18 14 10 8 15


Inpatient Asthma Rank

Age 0-10 2 2 1 1 1
Age 0-5 2 5 2 1 2
Age 0-18 8 32 12 8 13


Source: SC Revenue and Fiscal Affairs Office

Payor Sources for Emergency Department Visits for Asthma Age 0-17, Spartanburg County, 2014

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Payor Sources for Inpatient Visits for Asthma, Age 0-17, Spartanburg County, 2014

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Healthy Children

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Inpatient and ED Discharge Rates* by Race for Asthma, Spartanburg County, Age 0-4

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Rate of Hospitalizations for Asthma, Children Under Age 5 by Race, South Carolina, 2000-2004

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Pertussis Reported Cases by Year, South Carolina

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Percentage Overweight and Obese Children, Age 2-17, Spartanburg and SC, 2013

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Percentage of Overweight & Obese 1st, 3rd, and 5th Grade Children, Spartanburg County


2011 2010 2013 2014 2015
1st Graders 33.4% 27.6% 31.5% 28.0% 26.1
3rd Graders 38.0% 33.8% 34.4% 35.1% 35.1%
5th Graders 39.1% 41.3% 37.8% 37.7% 40.3%
1st, 3rd, and 5th Graders
36.9% 34.0% 34.5% 33.3% 33.7%


Data Source: SC DHEC Body Mass Index Reports

Spartanburg County Five-Year Trend Data: Percentage of Normal Weight Children

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Spartanburg County Five-Year Trend Data: Percentage of Obese Children

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Spartanburg County Five-Year Trend Data: Percentage of Overweight Children

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Physical Activity & Nutrition Indicators, Children Age 2-17, 2013


Spartanburg
South Carolina
60 minutes or less of physical activity daily 27.4% 28.2%
Consume less than one serving of fruits daily 5.5% 5.5%
Consume less than oe serving of vegetables daily 6.3% 6.2%


Data Source: SC DHEC

Top 5 Reasons for Pediatric Inpatient Treatment, Spartanburg County by Age Group and Race

AGE 0-10


White
Nonwhite
Acute bronchitis and bronchiolitis Asthma
Disorder of fluid, electrolyte, and acid-base balance Acute bronchitis and bronchiolitis 
Asthma General symptoms
General symptoms Pneumonia, organism unspecified
Pneumonia, organism unspecified Hereditary hemolytic anemias


AGE 11-18
White Black
Encounter for other and unspecified procedures and aftercare Diabetes Mellitus
Trauma to perineum and vulva during delivery Other current conditions in the mother classifiable elsewhere, but complicating pregnancy, childbirth, or the puerperium
Diabetes Mellitus Asthma
Depressive disorder, not elsewhere classified  Other indications for care or intervention related to labor and delivery, not elsewhere classified


Data Source: SC Revenue and Fiscal Affairs Office


SC Youth Tobacco Survey Results, Middle and High Schools, South Carolina, 2013


Middle School High School
% of students who had ever used any tobacco product 31.2% (Male 34.2%, Female 28.1%) 59.0% (Male 60.5%, Female 57.3%)
% of student we had ever smoked cigarettes  22.7% (White 21%, Black 262.2%, Hispanic 22.7%) 48.7% (White 51.2%, Black 13.7%, Hispanic 38%)
% of students who currently use any tobacco product 9.7% (Male 11.3%, Female 8.0%) 27.2% (Male 32.1%, Female 21.9%)
% who currently smoke cigarettes  4.8% (White 5.8%, Black 4.3%, Hispanic 5.3%) 23.7% (White 26.8%, Black 13.7%, Hispanic 20%)
% who currently use Smokeless Tobacco (SLT) 3.4% (Male 5.8%, Female 1.7%) 9.0% (Male 15.3%, Female 2.3%)
% exposed to secondhand smoke their home in the past month 26.2% 31.5%
% exposed to secondhand smoke in a vehicle in the past month 27.9% 38.3%
% who want to quit smoking 44.0% 41.0%
% who attempted to quit smoking in the past year 74.9% 58.1%
% taught the dangers of tobacco in the past year 51.4% 28.3%
% who said their school has a program to help students quit using tobacco 6.3% 6.9%
% who buy cigarettes in stores 6.7% 22.9%
% who get cigarettes via social sources (friends, family, and others) 70.6% 81.2%


Data Source: SC DHEC



Emergency Dept. Visits* for Dental Conditions, Age 0-18, Spartanburg County, 2014

Payor
Visits
Total Charges
Average Charge
Commercial / HMO Total
28 
$24,829
$778
- White 16 $15,965 $809
- Nonwhite 12 $8,864 $692
Medicaid Total
98
$70,467
$594
- White 51 $43,074 $605
- Nonwhite 47 $27,394 $549
Self / Indigent Total
11
$7,889
$641
- White Not reported** Not reported**  Not reported**
- Nonwhite 7 $5,496 $603
TOTAL
138
$103,770 $641
- WHITE 71 $61,431 $650
- NONWHITE 67 $42,338 $587


Source: SC Revenue and Fiscal Affairs Office, Health and Demographics Section

*Includes admissions to inpatient via ED

**Date are not reported for less than 5 visits

Cost of Emergency Department Visits* for Dental Conditions, Age 0-10, Spartanburg County

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Healthy Bodies Indicators

Preventing Chronic Disease Through the Promotion of Better Nutrition and Physical Activity

Would you say that in general your health is ... _____?

Spartanburg
South Carolina

% 95% Confidence Interval % 95% Confidence Interval
Excellent 17.83 14.06-21.61 18.31 17.56-19.06
Very good 30.49 26.18-34.81 31.73 30.85-32.62
Good 30.31 26.08-34.53 30.23 29.36-31.09
Fair 13.70 10.57-16.83 13.62 12.95-14.26
Poor 7.67 5.40-9.94 6.11 5.71-6.51


How many days during the past 30 days was your physical health not good?

Spartanburg
South Carolina

% 95% Confidence % 95% Confidence
None 63.97 59.48-68.46 64.04 63.12-64.96
1-2 days 8.92 6.20-11.65 9.30 8.72-9.88
3-7 days 8.46 6.00-10.93 10.53 9.91-11.14
8-29 days 10.22 7.24-10.70 8.62 8.09-9.15
30 days 8.42 6.14-10.70 7.51 7.06-7.96


Data Source: SC DHEC Public Health Statistics and Information Services 

Have you ever been told that you had a heart attack, also called a myocardial infarction?

Spartanburg County
South Carolina

% 95% Confidence Interval % 95% Confidence Interval
Yes 4.14 2.60-5.67 4.70 4.36-5.04
No 95.86 94.33-97.40 95.30 94.81-95.50


Have you ever been told you had angina or coronary heart disease?

Spartanburg County
South Carolina

% 95% Confidence Interval % 95% Confidence Interval
Yes 5.16 3.56-6.75 4.84 4.50-5.19
No 94.84 93.25-96.44 95.16 94.81-95.50


Have you ever been told you have diabetes?

Spartanburg County
South Carolina

% 95% Confidence Interval % 95% Confidence Interval
Yes 13.25 10.48-16.02 12.26 11.72-12.76
Yes, but female told only during pregnancy  0.24 0.00-0.49 0.80 0.60-0.99
No 84.80 81.85-87.74 85.18 84.58-85.78
Pre-Diabetes or borderline diabetes 1.72 0.69-2.76 1.77 1.54-2.00


Have you ever been told you had a stroke?

Spartanburg County
South Carolina

% 95% Confidence Interval % 95% Confidence Interval
Yes 5.51 3.52-7.50 3.73 3.41-4.05
No 94.49 92.50-96.48 96.27 95.95-96.59


Have you ever been told you had asthma?

Spartanburg Country
South Carolina

% 95% Confidence Interval % 95% Confidence Interval
Yes 14.63 11.29-17.97 13.22 12.57-13.88
No 85.37 82.03-88.71 86.78 86.12-87.43


Have you ever been told you have COPD (chronic obstructive pulmonary disease), emphysema or chronic bronchitis?

Spartanburg County
South Carolina

% 95% Confidence Interval % 95% Confidence Interval
Yes 9.30 6.59-12.02 7.83 7.36-8.30
No 90.70 87.98-93.41
92.17 91.70-92.64


Have you ever been told you have some form of arthritis, rheumatoid arthritis, gout, lupus, or fibromyalgia?  

Spartanburg County
South Carolina

% 95% Confidence Interval % 95% Confidence Interval
Yes 35.66 31.40-39.93 30.11 29.31-30.92
No 64.34 60.07-68.60 69.89 69.08-70.69


Have you ever been told you have skin cancer?

Spartanburg County
South Carolina

% 95% Confidence Interval % 95% Confidence Interval
Yes 6.77 4.98-8.93 7.15 6.73-7.56
No 93.23 91.45-95.02 92.82 92.43-93.20


Have you ever been told you have any other types of cancer?

Spartanburg County
South Carolina

% 95% Confidence Interval % 95% Confidence Interval
Yes 7.15 5.38-8.93 7.15 6.73-7.56
No 92.85 91.07-94.62 92.85 92.44-93.27


Data Source: SC DHEC Public Health Statistics and Information Services









Emergency Dept. Visits* for Select Conditions, Spartanburg County 2014

Diseases of the Circulatory System (includes Heart Disease and Stroke)
Payor
Visits
Total Charges
Average Charges
Commercial / HMO 818 $5,228,898 $4,790
Medicaid 264 $1,230,408 $3,693
Medicare 1,490 $11,218,861 $6,019
Self / Indigent  661 $3,438,832 $4,027
Total
3,233
$21,116,999
$5,1985


Diabetes, With and Without Complications
Payor
Visits
Total Charge
Average Charge
Commercial / HMO 182 $681,671 $3,745
Medicaid 125 $392,762 $3,142
Medicare 311 $1,218,222 $3,917
Self / Indigent 225 $676,329 $3,005
Total 
843
$2,968,982
$3,521


Data Source: SC Revenue and Fiscal Affairs Office, Health and Demographics Section

Inpatient Hospitalization for Select Conditions, Spartanburg County, 2014

Diseases of the Circulatory System (includes heart disease and stroke)
Payor
Visits
Total Charge
Average Charge
Commercial / HMO 944 $55,654,358 $51,223
Medicaid 257 $16,279,263 $48,550
Medicare 3,409 $169,055,320 $40,884
Self / Indigent 431 $21,908,405 $41,611
Total
5,041
$22,349,962
$43,700


Diabetes, With and Without Complications
Payor
Visits
Total Charges
Average Charges
Commercial / HMO 165 $5,253,847 $31,841
Medicaid 87 $2,987,864 $34,239
Medicare 280 $11,430,632 $28,060
Self / Indigent 95 $2,665.724 $28,060
Total 
628
$22,349,962
$35,589


Data Source: SC Revenue and Fiscal Affairs Office, health and Demographics Section

Percentage Adults Overweight and Obese, Spartanburg, SC & US, 2013

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Activity Level of Adults in Spartanburg County


Spartanburg County
South Carolina

% 95% Confidence Interval % 95% Confidence Interval
Yes 72.50 68.33-76.68 73.93 73.10-74.77
No 27.50 23.32-31.67 26.07 25.23-26.90


Data Source: SC DHEC Public Health Statistics and Information Services

Estimated Economic Cost of Physical Inactivity per Adult (Age 18+) Annually in 2013

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Food Environment, Spartanburg County, 2013

Food Retailers
Full Service Supermarkets 37
Limited Service Stores 62
SNAP Retailers 349
Farmers' markets 4
Fast Food and Takeout Restaurants 215


Limited Supermarket Access (LSA)
Population with LSA 39,903
Total Grocery Leakage $45,663,000
Total Grocery STore Demand (Sq. Ft.) 85,730
Limited Services Stores within LSA 9


Data Source: Healthy Food Access Portal

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Percentage of Adults Who Consume Less Than One Serving of Fruits and Vegetables Per Day, 2013

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Uninsured Rates and Questionnaire

Do you have any kind of health coverage?

Spartanburg County
South Carolina

%
95% Confidence Interval
%
95% Confidence Internval
Yes
80.96
75.56-84.81
81.86
81.06-82.65
No
19.31
15.19-23.44
18.14
17.35-18.94


What is the primary source of your health care coverage (2014 only)?

Spartanburg County
South Carolina

%
95% Confidence Interval
%
95% Confidence Interval
Employer / Union Plan
48.45
41.85-55.08
50.07
48.68-51.46
Individually Purchased Plan
7.19
4.05-10.32
9.41
8.60-10.23
Medicare
29.33
23.93-34.73
23.69
22.68-24.70
Medicaid
9.52
5.03-14.01
8.55
7.66-9.44
Military
3.33
1.17-5.49
6.18
5.53-6.84
Alaska Native / Native American / Tribal Health Services
0.31
0.00-0.91
0.06
0.00-0.13
Other
1.25
0.31-2.19
1.84
1.45-2.22
No coverage
0.63
0.00-1.85
0.19
0.05-0.34


Was there a time in the past 12 months when you needed to see a doctor but could not because of cost?

Spartanburg County
South Carolina

% 95% Confidence Interval % 95% Confidence Interval
Yes 18.65 14.81-22.48 18.62 69.50-71.31
No 81.35 77.52-85.19 81.83 80.61-82.15


Do you have one person you think of as your personal doctor or health care provider

Spartanburg County
South Carolina

% 95% Confidence Interval % 95% Confidence Interval
Only one 73.36 68.91-77.82 70.40 69.50-71.31
More than one 6.98 4.52-9.44 5.97 5.53-6.41
None 19.66 15.54-23.78 23.63 22.76-24.49


About how long has it been since you last visited a doctor for a routine checkup?

Spartanburg County
South Carolina

% 95% Confidence Interval % 95% Confidence Interval
Within past 1 year 66.50 61.95-71.06 67.06 66.13-67.99
Within past 2 years 12.56 9.32-15.80 12.91 12.25-13.58
Within past 5 years 6.66 4.18-9.15 9.12 8.51-9.74
5 or more years ago 13.06 9.63-16.49 9.72 9.12-10.32
Never 1.21 0.00-2.43 1.19 0.95-1.42


Data Source: SC DHEC Public Health Statistics and Information Services


Uninsured Rates by Selected Demographics, Spartanburg County, 2014



Age


Under 18
5.6%
18-64
19.6%
65+
0.7%

Race / Ethnicity


White
12.1%
Black
17.3%
Hispanic (Any Race)
29.3%


Education


Less than High School
25.4%
High School Only
17.0%
Some College / Associate's Degree
13.4%
Bachelor's Degree and Above
5.2%

Household Income



Less than $25,000
23.1%
$25,000-$49,999
14.0%
$50,000-$74,999
10.1%
$75,000-$99,000
11.0%
$100,000 and Above
4.7%


Work Status


In Labor Force, Employed 16.7%
In Labor Force, Unemployed 48.4%
Worked Full Time, Year Round 12.9%


Data Source: US Census


Percentage Uninsured, Spartanburg County and Peer Counties



2010 2012 2014 2010-2014 Average

All ages 18-64 All ages 18-64 All ages 18-64 All ages 18-64
Spartanburg 19.8 26.3 18.2 24.8 13.5 19.6 16.8 23.3
Charleston 17.2 23.2 18.2 24.8 12.8 18.2 15.7 21.4
Greenville 17.4 23.2 17.6 23.1 13.0 18.1 15.6 21.8
Richland 14.0 19.2 13.7 18.5 10.5 14.8 13.1 18.0
SC 17.5 24.3 16.8 23.8 13.6 19.9 15.9 22.7
US 15.5 21.4 14.8 20.6 11.7 16.3 14.2 19.8


Data Source: US Census


Insurance Coverage by Age Group for Poverty Levels below 100% FPL, Spartanburg County


2014
2011-2013 Average
Severe Poverty (Under 0.50 of FPL)
25,130
20,830
With Health Insurance Coverage
Under Age 18
9,871
6,340
Age 18-64
6,319
6,428
Age 65+
1,188
1,116
No Health Insurance Coverage
Under Age 18
628
619
Age 18-64
7,074
6,186
Age 65+
50
41
Poverty (0.50 to .99 of FPL)
25,573
33,633
With Health Insurance Coverage
Under Age 18
8,764
10,649
18-64
9,272
7,684
65+
50
41
No Health Insurance Coverage
Under Age 18
40
1,830
18-64
4,792
7,684
65+
0
0
Total No Health Insurance Below 100% of FPL
12,584
16,360


Data Source: US Census


Uninsured Rates by Age and Poverty Level, Spartanburg County Trend

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Uninsured Low Income, Peer Counties Trend


2012
2014
2010-2014 Average

<1.38 FPL 1.38-1.99 FPL 2.00+ FPL <1.38 FPL 1.38-1.99 2.00+ FPL <1.38 FPL 1.38-1.99 2.00 FPL
Spartanburg 26.7 24.9 11.6 22.0 20.0 8.1 28.6 24.3 9.7
Charleston 29.6 28.7 11.3 24.3 19.9 7.9 27.0 26.9 9.9
Greenville 33.7 25.3 8.4 27.7 16.5 7.0 30.9 24.3 8.8
Richland 24.6 23.1 7.9 21.7 15.8 5.7 24.3 21.3 7.3
SC 28.7 24.0 9.9 23.7 19.1 8.0 27.7 22.3 9.4
US 26.3 23.2 9.2 20.9 18.5 7.4 25.6 22.3 8.9


Data Source: US Census

Note: 2010 data are not available at these levels of poverty.

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Healthy Bodies- Mental Health Provider Shortage

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Primary Care Preventable Hospitalizations per 1,000 People, Spartanburg County

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Primary Care Preventable ED Visits per 1,000 People, Spartanurg County

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Racial Disparity in Preventable ED Visits and Hospitalizations, Spartanburg  County



2012 2013 2014
ED Racial Disparity 75% 80% 88%
Hospitalizations- Racial Disparity -8% -1% 2%
Ideal 0% 0% 0%


Data Source: Alliance for a Healthier South Carolina

Emergency Department Discharges for Residents of Spartanburg County, Ambulatory Care Sensitive Conditions, 2011-2014


2011 2012 2013 2014
Total ED Discharges
130,294 134,250 134,725 137,754
Ambulatory Care Sensitive  22,993 24,064 22,764 21,669
% Ambulatory Care Sensitive 17.65% 17.92% 16.90% 15.73%
Total ED Charges
$223,961,467 $282,173,466 $341,087,486 $398,181,432
Ambulatory Care Sensitive $26,972,765 $34,335,785 $39,812,565 $43,706,634
% Ambulatory Care Sensitive 12.04% 12.17% 11.67% 10.98%


Data Source: SC Revenue and Fiscal Affairs Office, Health and Demographics Section

ED and Inpatient Data, Self-Pay / Indigent Patients, Spartaburg Country, July 2014-June 2015

Emergency Department

Diagnosis
Average Age Visits Total Charges Average Charge
Acute Bronchitis 35 1,030 $1,623,445 $1,576
Urinary Tract Infection 33 984 $2,976,881 $3,025
Acute Upper Respiratory Infection 25 754 $790,416 $1,048
Headache 35 742 $2,233,136 $2,996
Abdominal Pain, Unspecific 33 671 $2,911,411 $3,339
Total All Self-Pay / Indigent
34 38,253 $102,034,553 $2,667


Inpatient 

Diagnosis Average Age Visits Total Charges Average Charge
Acute Pancreatitis 43 84 $2,747,393 $32,707
Diabetes Mellitus Ketoacidosis 35 44 $977,845 $22,224
Cellulitis of Leg 46 44 $1,227,031 $39,334
Subindocardial Infarct, Initial 53 42 $2,551,391 $60,747
Cerebral Artery Occlusion with Infarct 59 37 $1,455,364 $39,334
Total All Self-Pay / Indigent 45 2,269 $99,452,685 $43,831


Data Source: SC Revenue and Fiscal Affairs Office

High ED Utilizers by Patient Demographics, Spartanburg County, July 2014- June 2015




Age # of Visits % of Visits
Age
0-17 614 3.47
18-34 1,552 8.77
35-64 6,364 35.97
65-84 7,858 44.42
85+ 1,303 7.37
Race
White 13,130 74.22
African American 4,085 23.09
Other 476 2.69
Sex
Female 10,947 61.88
Male 6,744 38.12
Payor
Private Insurance 3,125 17.66
Medicaid 1,794 10.14
Medicare 11,376 64.30
Self / Indigent 1,396 7.89


Data Source: SC Revenue and Fiscal Affairs Office

25 Top Diagnoses, ED Visits by High Utilizers, Spartanburg County, July 2014 - June 2015

Diagnosis # Visits Total Charges
1. Encounter for Other and Unspecified Procedures and Aftercare 10,334 $82,346,755
2. Respiratory Symptoms / Other Chest Symptoms 5,892 $19,088,741
3. General Symptoms 5,539 $9,877,467
4. Malignant Neoplasms of Female Breasts 5,506 $26,350,328
5. Diabetes Mellitus 4,565 $3,266,658
6. Other Abdomen / Pelvis Symptoms 4,427 $10,723,311
7. Essential Hypertension 3,383 $2,108,382
8. Other Urinary Tract Disorders 3,159 $3,778,943
9. Chronic Ulcer of Skin 3,094 $4,061,535
10. Screening - Malignant Neoplasm 3,036 $2,140,303
11. Joint Disorder Not Elsewhere Classified 2,973 $3,349,873
12. Symptoms Involving Head / Neck 2,855 $4,315,208
13. Malignant Neoplasm - Trachea / Lung 2,699 $12,279,818
14. Back Disorder Not Elsewhere Classified 2,655 $4,172,903
15. GI System Symptoms 2,417 $4,211,382
16. Heart Failure 2,347 $4,410,585
17. Anemia Not Elsewhere Classified 2,330 $4,119,325
18. Malignant Neoplasm - Prostate 2,281 $16,640,361
19. Disorder of Lipoid Metabolism 2,186 $630,272
20. Other Soft Tissue Disorders 1,981 $2,819,575
21. Iron Deficiency Anemias 1,579 $2,487,559
22. Nervous / Musculoskeletal System Symptoms 1,526 $3,240,059
23. Fluid / Electrolyte Disorder 1,410 $1,966,979
24. Cardiac Dysrhythmias 1,346 $8,079,670
25. Disorders of Muscle / Ligament / Fascia 1,242 $2,291,951


Data Source: SC Revenue and Fiscal Affairs Office

Adult Tobacco Use


Do you now smoke cigarettes every day, some days, or not at all?

Spartanburg County South Carolina

% 95% Confidence Interval % 95% Confidence Interval
Every day 35.01 28.28-41.73 32.17 30.83-33.52
Some days 13.24 8.72-17.77 14.10 13.09-15.11
Not at all 51.75 45.15-58.36 53.73 52.36-55.10


During the past 12 months, have you stopped smoking for one day or longer becusae you were trying to quite smoking?

Spartanburg County
South Carolina

% 95% Confidence Interval % 95% Confidence Interval
Yes 59.98 49.50-70.47 63.00 60.87-65.13
No 40.02 29.53-50.50 37.00 37.87-39.13


Do you currently use chewing tobaco or snuff every day, some days, or not at all?

Spartanburg County
South Carolina

% 95% Confidence Interval % 95% Confidence Interval
Every day 4.30 2.27-6.33 2.13 1.82-2.43
Some days 1.51 0.35-2.66 1.92 1.64-2.19
Not at all 94.19 91.89-96.50 95.95 95.55-96.36


Data Source: SC DHEC Public Health Statistics and Information Services

Percentage of Adults Who Smoke, Spartanburg County, 2011-2012 and 2013-2014

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State Cigarette Tax Rates as of January 2016

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Healthy Bodies- SC Smoke Free Workplace Laws

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Oral Health

How long has it been since you last visited a dentist or dental clinic for any reason?

Spartanburg County
South Carolina

% 95% Confidence Interval % 95% Confidence Interval
Within the past year 55.03 48.71-61.34 58.32 57.04-59.61
Within the past 2 years 12.34 8.02-16.67 12.71 11.81-13.61
Within the past 5 years 13.81 9.17-18.44 15.02 14.09-15.95
5 or more years ago 18.18 13.36-23.00 15.02 14.09-15.95
Never 0.64 0.00-1.60 1.05 0.72-1.38


How many of your permanent teeth have been removed because of tooth decay or gum disease?

Spartanburg County
South Carolina

% 95% Confidence Interval % 95% Confidence Interval
1 to 5 27.46 22.05-32.88 28.85 27.70-30.01
6 or more, but not all 16.71 12.22-21.20 13.57 12.78-14.37
All  10.72 7.16-14.27 50.79 49.48-52.10
Never 45.12 38.68-51.55 50.79 49.48-52.10


Data Source: SC DHEC Public Health Statistics and Information Services

Chargs for ED Visits for Oral Health by Payor Source, 2014

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Healthy Minds Indicators

Mental Health Services Penetration Rate per 1,000 population, SC and US


2012
2013
2014
SC 15.9% 16.79% 16.94%
US 20.0% 22.77% 22.78


Data Source: CMHS Uniform Reporting System


State Appropriations, SC DMH, FY 2007-2016

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For how many days during the past 30 days was your mental health not good?

Spartanburg County
South Carolina

% 95% Confidence Interval % 95% Confidence Interval
None  65.46 60.99-69.92 65.70 64.78-66.62
1-2 days 7.12 4.78-9.45 7.64 7.11-8.17
3-7 days 12.44 9.15-15.73 10.55 9.96-11.14
8-29 8.56 5.91-11.22 9.74 9.14-10.34
30 days 6.42 4.38-8.46 6.38 5.90-6.86


Data Source: SC DHEC Public Health Statistics and Information Services

Emergency Department Visits* for Mental Disorders, Spartanburg County, 2014 (including drug or alcohol dependence syndromes).
Payor
Visits
Total Charge
Average Charge
Commercial / HMO 947 $2,245,320 $2,053
Medicaid 967 $2,020,602 $1,901
Medicare 1,088 $3,112,039 $2,480
Self / Indigent 1,542 $3,760,051 $2,166
Total
4,544
$11,138,013
$2,161


Data Source: SC Revenue and Fiscal Affairs Office, Health and Demographics Section

*Excludes admissions to inpatient via ED

Emergency Department Visits* for Mental Disorders, Spartanburg County, 2014 (Including Drug or Alcohol Dependence Syndromes)
Diagnosis
Visits
Total Charge
Average Charge
Alcohol Dependence Syndrome 130 $397,758 $2,667
Anxiety States 1,061 $2,072,353 $1,691
Drug Dependence 53 $111,629 $1,841
Nondependent Use of Drugs 628 $1,867,332 $2,562
Organic Psychotic Conditions 317 $1,120,867 $3,006
Schizophrenic Disorders 242 $622,582 $2,275
Other Neuroses and Personality Disorders 126 $282,297 $2,066
Other Psychoses 611 $1,717,679 $2,552
Other Mental Disorders 1,376 $2,945,516 $1,947
Diagnostic Category Total
5,544
$11,138,013
$2,161


Data Source: SC Revenue and Fiscal Affairs Office, Health and Demographics Section

*Excludes admissions to inpatient via ED

Number of Visits for Mental Disorders*, ED Only, ** Spartanburg County

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Inpatient Data for Mental Disorders by Diagnosis, Spartanburg County, 2014
Diagnosis
Discharge
Total Charge
Average Charge
Alcohol Dependency Syndrome 13 $233,953 $17,996
Anxiety States 16 $246,588 $15,412
Drug Dependence  Not reportable* Not reportable* Not reportable
Nondependent use of Drugs 11 $224,833 $20,439
Organic Psychotic Conditions 222 $7,031,080 $28,166
Schizophrenic Disorders 114 $3,444,123 $24,055
Other Neuroses & Personality Disorders 14 $410,508 $24,055
Other Psychoses 501 $13,403,755 $23,116
Other Mental Disorders 80 $1,407,192 $15,564
Total
973
$26,417,443
$23,697

Data Source: SC Revenue and Fiscal Affairs Office, Health and Demographics Sections
*Data is not reported where the number of discharges is less than 5
Inpatient Payor Data for Mental Disorders, Spartanburg County, 2014
Payor
Discharges
Total Charges
Average Charge
Commercial / HMO 166 $4,199,926 $21,586
Medicaid 188 $3,807,646 $17,776
Medicare 402 $14,409,108 $31,379
Self-Pay / Indigent 217 $4,360,762 $18,061
Total
973
$26,417,443
$23,697


Data Source: SC Revenue and Fiscal Affairs Office, Health and Demographics Section

Number Inpatient Psychiatric Discharges, Spartanburg Hospitals

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Hot Spot Analysis of Depression Prevalence

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Alcohol Use

During the past 30 days, how many days did you have at least one drink of any alcoholic beverage?

Spartanburg County
South Carolina

% 95% Confidence Interval % 95% Confidence Interval
None 65.16 60.70-69.62 52.13 51.18-53.08
1-2 days 11.03 8.03-14.03 13.77 13.08-14.45
3-7 days 9.90 6.97-12.83 14.36 13.68-15.04
8-29 days 10.63 7.92-13.34 15.06 14.38-15.73
Everyday 3.28 1.68-4.87 4.69 4.32-5.06


During the past 20 days on the days that you drank, about how many drinks did you drink on average?

Spartanburg County
South Carolina

% 95% Confidence Interval % 95% Confidence Interval
One drink 41.01 33.62-48.40 38.04 36.71-39.38
Two drinks 34.27 26.41-42.12 31.02 29.73-32.31
Three drinks 15.83 8.47-23.19 14.55 13.48-15.61
Four drinks 7.19 3.22-11.16 5.99 5.30-6.69
Five or more drinks 3.28 1.68-4.87 4.69 4.32-5.06


How many times during the past 30 days did you binge drink?

Spartanburg County
South Carolina

95% Confidence Interval % 95% Confidence Interval
None  74.01 33.62-48.40 38.04 36.71-39.38
Once 12.55
6.42-18.69 10.30 9.38-11.22
Twice  6.10 1.41-10.79 6.68 5.95-11.22
3-7 times 5.64 2.07-9.20 8.95 8.13-9.77
8-30 times 1.60 0.00-3.37 4.81 4.14-5.47


Data Source: SC DHEC Public Health Statistics and Information Services


Opioid Deaths in South Carolina by County, 2014

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Average Number of Opioids Dispensed in 2011 Prescription Drug Overdose Deaths and Milligrams per County Resident by County, Rate per 1000,000

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ED Visits for Alcohol Dependency Syndrome, Spartanburg County, 2014
Payor
Visits
Total Charges
Average Charges
Commercial / HMO 22 $63,552 $2,755
Medicaid 18 $44,811 $2,490
Medicare 32 $115,688 $2,755
Self / Indigent  58 $173,706 $2,590
Total 
130
$397,758
$2,667


Data Source: SC Revenue and Fiscal Affairs, Health and Demographics Section

Spartanburg County Resident Emergency Room Visits & Inpatient Hospitalizations Having Any Diagnosis of Alcohol or Drug Dependence, Calendar Years 2012-2014

2012 2012 Total 2012 Alcohol 2012 Other Drugs

Total 
31,076
2,540
28,536
Race Caucasian  22,825 1,692 21,133
African - American 6,884 733 6,151
Other 1,367 115 1,252
Age 0-17 294 19 275
18-44 17,234 831 16,405
45-64 10,774 1,369 9,405
65+ 2,774 321 2,453
Sex Female 16,109 662 15,447
Male 14,967 1,878 13,089


2013 2013 Total 2013 Alcohol 2013 Other Drugs

Total
31,950
2,630
29,320
Race Caucasian 22,493 1,800 21,693
African-American 7,877 745 7,132
Other 580 85 495
Age 0-17 278 24 254
18-44 18,009 920 17,089
45-64 10,885 1,378 9,507
65+ 2,778 308 2,470
Sex Female 16,474 736 17,738
Male 15,476 1,894 13,582


2014 2014 Total 2014 Alcohol 2014 Other Drugs

Total
39,589
2,912
36,677
Race Caucasian 27,791 1,963 25,828
African-American 11,065 857 10,208
Other 733 92 641
Age 0-17 398 19 379
18-44 22,805 958 379
45-64 13,049 1,531 11,518
65+ 3,337 404 2,933
Sex Female 20,529 765 19,764
Male 19,060 2,147 16,913


Source: SC Revenue and Fiscal Affairs Office, Health and Demographics Section


Drug Abuse

Emergency Department Visits for Drug Dependence, Spartanburg County, 2014
Payor
Visits
Total Charge
Average Charge
Commercial / HMO 6 $20,543 $3,424
Medicaid 16 $26,021 $1,461
Medicare 7 $12,192 $1,742
Self / Indigent 24 $52,874 $1,996
Total
53
$111,629
$1,841


Data Source: SC Revenue and Fiscal Affairs Office, Health and Demographics Section

National Overdoes Deaths, Trend by Catagory

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Secondary Indicators

Adult Vaccination

Have you had a flu shot / spray in the past 12 months?

Spartanburg County
South Carolina

95% Confidence Interval % 95% Confidence Interval
Yes 36.54 32.29-40.80 39.80 38.88-40.72
No 63.46 63.05-71.68 81.38 80.28-82.49


Have you ever had a pneumonia shot?

Spartanburg County
South Carolina

% 95% Confidence Interval % 95% Confidence Interval
Yes 32.63 28.32-36.95 24.13 33.21-35.05
No 67.37 63.05-71.68 65.87 64.95-66.79


Have you ever had the shingles or zoster vaccine? (2014 Only)

Spartanburg County
South Carolina

% 95% Confidence Interval % 95% Confidence Interval
Yes 18.22 13.49-22.95 18.62 17.51-19.72
No 81.78 7.05-86.51 81.38 80.28-82.49


Data Source: SC DHEC Public Health Statistics and Information Services


South Carolina Resident Causes of Injury Deaths, 2013

All Ages
Cause of Injury Number Rate*
All Injury 3,331 68.1
Unintentional Injury 2,302 482.1
Motor Vehicle Traffic 756 15.6
Poisoning 568 11.9
Fall 367 7.1
Other Specified, Unspecified 176 3.5
Suffocation 134 2.7
Fire or Hot Object 74 1.3
Drowning 71 1.5
Natural or Environmental  23 0.5
Transport, Other 23 0.5
Pedestrian, Other 18 0.4
Firearm 15 0.3
Struck by of Against 12 0.2
Machinery 8 0.2
Pedal Cyclist, Other 2 #
Cut or Pierce 1 #
Intentional Injuries 1,024 214.5
Suicide 698 14.0
Homicide 316 6.8
Legal Intervention 10 0.2
Undetermined Intention 44 0.9


Source: SC DHEC

*Per 100,000 


South Carolina Resident Causes of Injury Deaths, 2013

Age 0-17
All Injury 157 14.4
Unintentional Injury 99 91.0
Suffocation 31 2.8
Motor Vehicle Traffic 23 2.1
Drowning 17 1.6
Fire or Hot Object 9 0.8
Transport, Other 6 0.6
Pedestrian, Other 3 #
Other Specified, Unspecified 2 #
Poisoning 3 #
Natural of Environmental  2 #
Struck by or Against 2 #
Firearm 1 #
Intentional Injuries 47 4.3
Homicide 28 2.6
Suicide 19 1.7
Undetermined Intention 10 0.9


Source: SC DHEC

*Per 100,000


Child Fatalities

Number of Child Fatalities by Manner of Death, Spartanburg County, Age 0-17

2006
2007
2008
2009
2010
2011
2012
2013
2014
Total
Accident
2
4
3
7
2
4

2
Unavailable from child fatalities report
24
Homicide

2
3
6
1
2
1

15
Natural
2
4
6
3
2
4
1
1
23
Suicide
2
1

1
1
3

1
9
Undetermined
5
3
3
9
6
5
1
1
33
Total
11
14
15
26
12
18
3
5
104
Total All Causes
15
15
17
24
12
18
13
16
20
150


Source: SC DHEC Child Fatalities Report and SC DHEC SCAN


Homicide Deaths

Homicide Deaths, Numbers and Rates per 100,000 Population, Annual 2010-2014

2010 2011 2012 2013 2014

# rate # rate # rate # rate # rate
Spartanburg 19 6.7 22 7.7 23 8.0 8 DSU* 12 DSU*
Greenville 23 5.1 34 7.4 24 5.1 25 5.3 27 5.6
Richland 30 7.8 35 9.0 25 6.3 39 9.8 32 8.0
Charleston 40 11.4 29 8.1 41 11.2 30 8.0 44 11.5


Source: DHEC SCAN Community Profiles

*DSU: Data is statistically ureliable


Motor Vehicle Deaths, Annual 2010-2014

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Motor Vehicle Deaths, rate per 100,000 Population

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HIV/AIDS

HIV/AIDS Cases Diagnosed and Rates* by Years of Diagnosis

2002-2004
2005-2007
2008-2010
2011-2013

# Rate # Rate # Rate # Rate
Spartanburg 68 8.7 108 13.5 107 12.7 108 12.6
Charleston 242 25.5 206 20.8 249 23.8 257 23.9
Greenville 185 15.8 181 14.8 171 13 178 12.9
Richland 533 54.1 416 40.7 425 38.9 376 32.2
Upstate Region 413 10.9 469 12.1 429 10.6 440 10.6


Data Source: SC DHEC

*rates per 100,000 population

2013 Prevalence of HIV / AIDS

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HIV/AIDS 2013 Spartanburg County Prevalence, Numbers and Rates*, by Gender, Race, and Ethnicity


Number Rate



Gender

Male 466 332.9
Female 190 127.7
Race / Ethnicity

White 230 113.4
Black 398 653.4
Hispanic 21 118.4
Race / Gender

White Male 193 195.7
White Female 37 35.5
Black Male 251 887.6
Black Female 147 450.5


Data Source: SC DHEC

*Rates per 100,000 population

Chlamydia

Chlamydia Cases and Annual Rate* by County

2012 2013 2014

# Rate # Rate # Rate
Spartanburg 1,574 545.1 1,490 512.1 1,477 507.6
Greenville 1,938 414.5 1,916 404.0 2,426 511.5
Richland 3,104 788.2 2,844 712.3 3,216 805.5
Charleston 2,516 689.0 2,602 698.0 2,807 752.9
SC Total 27,054 572.7 26,058 545.7 27,130 568.2


Data Source: SC DHEC STD/HIV/AIDS Data Surveillance Report

*Rates per 100,000 population

Gonorrhea

Gonorrhea Cases and Annual Rate* by County

2012 2013 2014

# Rate # Rate # Rate
Spartanburg 431 149.3 415 142.6 479 164.6
Greenville 711 152.1 702 148.0 812 171.2
Richland 880 223.4 752 188.4 902 225.9
Charleston 731 200.0 773 207.3 842 225.9
SC Total 7,601 160.9 7,309 153.1 7,954 166.6


Data Source: SC HDEC STD/HIV/AIDS Data Surveillance Report

*Report per 100,000 population

Syphilis

Syphilis Cases and Annual Rate* by County

2012 2013 2014

# Rate # Rate # Rate
Spartanburg 45 15.6 49 16.8 40 13.7
Greenville 49 10.5 88 18.6 91 19.2
Richland 132 33.5 143 35.8 180 45.1
Charleston 58 15.9 69 18.5 91 24.4
SC Total 606 12.8 753 15.8 775 16.2


Data Source: SC DHEC STD/HIV/AIDS Data Surveillance Report

*Rates per 100,000 population

Top 10 Casues of Deaths, Upstate Health Region, 2014

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Top 10 Causes of Death of Race and Sex Upstate Health Region, 2014

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SC Breast Cancer Incidence Rates

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SC Breast Cancer Death Rates

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Cancer Death Rates, 2012-2014 Race and Health Region, South Carolina

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Diabetes Death Rates, 2012-2014, Race and Region, South Carolina

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Incidence of PAP Screening Past 3 Years, South Carolina, Women Age 18+

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Cervical Cancer Death Rates, South Carolina

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Colorectal Cancer Mortality Rates, South Carolina

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Colorectal Cancer Incidence Rates, South Carolina

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Heart Disease Death Rates, South Carolina

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