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HEALTH CONSULTATION

Health Outcome Data Evaluation

KELLY AIR FORCE BASE
SAN ANTONIO, BEXAR COUNTY, TEXAS


TABLES

Table 1. Number of Observed and Expected Cancer Cases and Race-Adjusted Standardized Incidence Ratios, Selected Sites, San Antonio, Texas, Zip Code 78211, 1990-1994

MALES

Site

Observed

Expected

SIR

95% CI

Liver
Lung
Bladder
Kidney
Leukemia

11
27
5
6
6

6.3
30.4
8.4
7.7
6.2

1.7
0.9
0.6
0.8
1.0

0.9-3.1
0.6-1.3
0.2-1.4
0.3-1.7
0.4-2.1

FEMALES

Site

Observed

Expected

SIR

95% CI

Liver
Lung
Cervix
Bladder
Kidney
Leukemia

6
11
13
4
9
7

3.0
14.7
10.8
3.1
5.1
4.7

2.0
0.7
1.2
1.3
1.8
1.5

0.7-4.4
0.4-1.3
0.6-2.1
0.4-3.3
0.8-3.4
0.6-3.1

Data provided by the Cancer Registry Division of the Texas Department of Health.

Note: The SIR (standardized incidence ratio) is defined as the number of observed cases divided by the number of expected cases. The latter is based on race-, sex-, and age-specific cancer incidence rates for Texas for the period 1992. The SIR has been rounded to the first decimal place.

CI: confidence interval



Table 2. Number of Observed and Expected Cancer Cases and Race-Adjusted Standardized Incidence Ratios, Selected Sites, San Antonio, Texas, Zip Code 78228, 1990-1994

MALES

Site

Observed

Expected

SIR

95% CI

Liver
Lung
Bladder
Kidney
Leukemia

23
64
23
26
17

10.8
84.5
23.5
16.4
13.9

2.1*
0.8
1.0
1.6
1.2

1.4-3.2
0.6-1.0
0.6-1.5
1.0-2.3
0.7-2.0

FEMALES

Site

Observed

Expected

SIR

95% CI

Liver
Lung
Cervix
Bladder
Kidney
Leukemia

8
44
16
9
17
9

5.6
51.4
22.0
9.5
11.8
12.2

1.4
0.9
0.7
0.9
1.4
0.7

0.6-2.8
0.6-1.1
0.4-1.2
0.4-1.8
0.8-2.3
0.3-1.4

Data provided by the Cancer Registry Division of the Texas Department of Health.

Note: The SIR (standardized incidence ratio) is defined as the number of observed cases divided by the number of expected cases. The latter is based on race-, sex-, and age-specific cancer incidence rates for Texas for the period 1992. The SIR has been rounded to the first decimal place.

CI: confidence interval
Bold type indicates an excess of borderline statistical significance
* Significantly higher ( at the 5% level) than expected



Table 3. Number of Observed and Expected Cancer Cases and Race-Adjusted Standardized Incidence Ratios, Selected Sites, San Antonio, Texas, Zip Code 78237, 1990-1994

MALES

Site

Observed

Expected

SIR

95% CI

Liver
Lung
Bladder
Kidney
Leukemia

20
40
8
10
10

8.2
39.2
9.5
9.4
7.6

2.4*
1.0
0.8
1.1
1.3

1.5-3.8
0.7-1.4
0.4-1.7
0.5-2.0
0.6-2.4

FEMALES

Site

Observed

Expected

SIR

95% CI

Liver
Lung
Cervix
Bladder
Kidney
Leukemia

5
16
23
6
13
13

4.3
20.5
14.4
4.5
7.1
6.0

1.2
0.8
1.6
1.3
1.8
2.2*

0.4-2.7
0.4-1.3
1.0-2.4
0.5-2.9
1.0-3.1
1.2-3.7

Data provided by the Cancer Registry Division of the Texas Department of Health.

Note: The SIR (standardized incidence ratio) is defined as the number of observed cases divided by the number of expected cases. The latter is based on race-, sex-, and age-specific cancer incidence rates for Texas for the period 1992. The SIR has been rounded to the first decimal place.

CI: confidence interval
Bold type indicates an excess of borderline statistical significance
* Significantly higher ( at the 5% level) than expected



Table 4. Number of Observed and Expected Cancer Deaths and Race Adjusted Standardized Mortality Ratios, Selected Sites, San Antonio, Texas, Zip Code 78211, 1991-1995

MALES

Site

Observed

Expected

SMR

95% CI

Liver
Lung
Bladder
Kidney
Leukemia

10
28
2
3
8

6.3
26.6
1.8
3.4
4.1

1.6
1.1
1.1
0.9
2.0

0.8-2.9
0.7-1.5
0.1-4.0
0.2-2.6
0.8-3.8

FEMALES

Site

Observed

Expected

SMR

95% CI

Liver
Lung
Cervix
Bladder
Kidney
Leukemia

9
10
6
0
3
2

3.5
11.0
3.3
0.7
2.0
3.0

2.6*
0.9
1.8
0.0
1.5
0.7

1.2-4.9
0.4-1.7
0.7-4.0
0.0-5.3
0.3-4.4
0.1-2.4

Data provided by the Cancer Registry Division of the Texas Department of Health.

Note: The SMR (standardized mortality ratio) is defined as the number of observed deaths divided by the number of expected deaths. The latter is based on race-, sex-, and age-specific cancer mortality rates for Texas during the period 1990-1995.

CI: confidence interval
* Significantly higher (at the 5% level) than expected



Table 5. Number of Observed and Expected Cancer Deaths and Race Adjusted Standardized Mortality Ratios, Selected Sites, San Antonio, Texas, Zip Code 78228, 1991-1995

MALES

Site

Observed

Expected

SMR

95% CI

Liver
Lung
Bladder
Kidney
Leukemia

21
52
3
6
16

11.4
72.5
4.8
7.0
9.8

1.8*
0.7†
0.6
0.9
1.6

1.1-2.8
0.5-0.9
0.1-1.8
0.3-1.9
0.9-2.7

FEMALES

Site

Observed

Expected

SMR

95% CI

Liver
Lung
Cervix
Bladder
Kidney
Leukemia

8
46
2
1
3
3

7.2
40.1
6.7
2.5
4.8
8.3

1.1
1.1
0.3
0.4
0.6
0.4

0.5-2.2
0.8-1.5
0.0-1.1
0.0-2.2
0.1-1.8
0.1-1.1

Data provided by the Cancer Registry Division of the Texas Department of Health.

Note: The SMR (standardized mortality ratio) is defined as the number of observed deaths divided by the number of expected deaths. The latter is based on race-, sex-, and age-specific cancer mortality rates for Texas during the period 1990-1995.

CI: confidence interval
* Significantly higher (at the 5% level) than expected
† Significantly lower (at the 5% level) than expected



Table 6. Number of Observed and Expected Cancer Deaths and Race Adjusted Standardized Mortality Ratios, Selected Sites, San Antonio, Texas, Zip Code 78237, 1991-1995

MALES

Site

Observed

Expected

SMR

95% CI

Liver
Lung
Bladder
Kidney
Leukemia

28
35
2
6
10

8.2
34.7
2.1
4.2
5.0

3.4*
1.0
1.0
1.4
2.0

2.3-4.9
0.7-1.4
0.1-3.4
0.5-3.1
1.0-3.7

FEMALES

Site

Observed

Expected

SMR

95% CI

Liver
Lung
Cervix
Bladder
Kidney
Leukemia

11
22
7
0
4
7

5.2
15.7
4.7
1.1
2.9
4.2

2.1*
1.4
1.5
0.0
1.4
1.7

1.1-3.8
0.9-2.1
0.6-3.1
0.0-3.4
0.4-3.5
0.7-3.4

Data provided by the Cancer Registry Division of the Texas Department of Health.

Note: The SMR (standardized mortality ratio) is defined as the number of observed deaths divided by the number of expected deaths. The latter is based on race-, sex-, and age-specific cancer mortality rates for Texas during the period 1990-1995.

CI: confidence interval
Bold type indicates an excess of borderline statistical significance
* Significantly higher (at the 5% level) than expected



Table 7. Number of Observed and Expected Liver Cancer Cases and Race-Adjusted Standardized Incidence Ratios, San Antonio, Texas, 1990-1994

MALES

Zip Code

Observed

Expected

SIR

95% CI

78201

16

7.9

2.0*

1.3-3.3

78204 6

3.2

1.9

0.7-4.1

78205 3

0.4

7.5*

1.5-21.9

78207 23 14.0

1.6

1.0-2.5

78221

7

5.3

1.3

0.5-2.7

78224

2

1.9

1.1

0.1-3.8

78225

6

3.7

1.6

0.6-3.5

78226

2

1.3

1.5

0.2-5.6

78227 11 4.4 2.5* 1.2-4.5
78242 4 2.0 2.0 0.5-5.1

FEMALES

Zip Code

Observed

Expected

SIR

95% CI

78201

8

5.5

1.5

0.6-2.9

78204 3

2.1

1.4

0.3-4.2

78205 0

0.3

0.0

0.0-12.3

78207 15 8.8 1.7 1.0-2.8
78221

7

2.8

2.5

1.0-5.2

78224

1

1.0

1.0

0.0-5.6

78225

3

1.9

1.6

0.3-4.6

78226

2

0.5

4.0

0.5-14.4

78227 4 2.1 1.9 0.5-4.9
78242 2 0.8 2.5 0.3-9.0
Note: The SIR (standardized incidence ratio) is defined as the number of observed cases divided by the number of expected cases. The latter is based on race-, sex-, and age-specific cancer incidence rates for Texas for the period 1992. The SIR has been rounded to the first decimal place.
CI: confidence interval
Bold type indicates an excess of borderline statistical significance
* Significantly higher (at the 5% level) than expected



Table 8. Number of Observed and Expected Liver Cancer Deaths and Race-Adjusted Standardized Mortality Ratios, San Antonio, Texas, 1991-1995

MALES

Zip Code

Observed

Expected

SMR

95% CI

78201

18

8.4

2.1*

1.3-3.4

78204

8

3.2

2.5*

1.1-4.9

78205

2

0.5

4.0

0.5-14.4

78207 29

14.0

2.1*

1.4-3.0

78221

9

5.5

1.6

0.7-3.1

78224

5

1.9

2.6

0.9-6.1

78225

6

3.8

1.6

0.6-3.4

78226

2

1.3

1.5

0.2-5.6

78227 10

4.9

2.0

1.0-3.8

78242 2

1.9

1.1

0.1-3.8

FEMALES

Zip Code

Observed

Expected

SMR

95% CI

78201

10

7.1

1.4

0.7-2.6

78204

5

2.5

2.0

0.6-4.7

78205 0 0.4 0.0 0.0-9.2
78207 18 10.2 1.8 1.0-2.8
78221 8 3.6 2.2 1.0-4.4
78224 1 1.2 0.8 0.0-4.6
78225 2 2.3 0.9 0.1-3.1
78226 3 0.6 5.0 1.0-14.6
78227 4 2.7 1.5 0.4-3.8
78242 5 0.9 5.6* 1.8-13.0
Note: The SMR (standardized mortality ratio) is defined as the number of observed deaths divided by the number of expected deaths. The latter is based on race-, sex-, and age-specific cancer mortality rates for Texas during the period 1990-1995.
CI: confidence interval
Bold type indicates an excess of borderline statistical significance
* Significantly higher (at the 5% level) than expected



Table 9. Comparison of Observed Cases to Expected Based on Congenital Anomalies as Listed on Birth Certificates, San Antonio, Texas, Zip Code 78211, 1991-1995
Congenital Anomaly Observed
Cases		 Expected
Casesa		 O:E
Ratiob		 95% Confidence
Interval
Anencephalus 3 1.24 2.41 0.49-7.06
Spina Bifida/Meningocele 1 1.24 0.81 0.02-4.49
Hydrocephalus 1 1.28 0.78 0.02-4.35
Microcephalus 1 0.40 2.51 0.06-13.93
Other Central Nervous System 0 0.69 -- --
Heart Malformations 4 4.38 0.91 0.25-2.34
Other Circulatory/Respiratory 1 2.81 0.36 0.01-1.98
Rectal Atresia/Stenosis 0 0.54 -- --
Tracheo-Esophageal Fistula 0 0.35 -- --
Omphalocele/Gastroschisis 1 1.34 0.75 0.19-4.16
Other Gastrointestinal Anomalies 0 0.88 -- --
Malformed Genitalia 3 3.80 0.79 0.16-2.31
Renal Agenesis 0 0.54 -- --
Other Urogenital Anomalies 3 2.80 1.07 0.22-3.13
Cleft Lip/Palate 3 3.22 0.93 0.19-2.72
Polydactyly/Syndactyly 1 3.43 0.29 0.01-1.62
Limb Reductions 2 0.66 3.04 0.37-10.94
Club Foot 3 2.42 1.24 0.26-3.62
Diaphragmatic Hernia 0 0.59 -- --
Other Musculoskeletal/Integument 3 5.44 0.55 0.11-1.61
Down Syndrome 2 1.76 1.14 0.14-4.10
Other Chromosomal Anomalies 0 0.72 -- --
Other 29 17.37 1.67* 1.12-2.40
a Based on rates for the entire state of Texas
b Observed to expected ratio (observed number of cases divided by the expected number of cases)
* Significant at the 5% level



Table 10. Comparison of Observed Cases to Expected Based on Congenital Anomalies as Listed on Birth Certificates, San Antonio, Texas, Zip Code 78228, 1991-1995
Congenital Anomaly Observed
Cases		 Expected
Casesa		 O:E
Ratiob		 95% Confidence
Interval
Anencephalus 2 1.94 1.03 0.12-3.72
Spina Bifida/Meningocele 2 1.93 1.04 0.13-3.74
Hydrocephalus 1 2.00 0.50 0.01-2.79
Microcephalus 2 0.62 3.22 0.39-11.65
Other Central Nervous System 0 1.08 -- --
Heart Malformations 8 6.82 1.17 0.51-2.31
Other Circulatory/Respiratory 2 4.38 0.46 0.06-1.65
Rectal Atresia/Stenosis 0 0.84 -- --
Tracheo-Esophageal Fistula 0 0.54 -- --
Omphalocele/Gastroschisis 1 2.09 0.48 0.01-2.67
Other Gastrointestinal Anomalies 3 1.36 2.20 0.45-6.44
Malformed Genitalia 4 5.92 0.68 0.18-1.73
Renal Agenesis 1 0.84 1.19 0.03-6.63
Other Urogenital Anomalies 3 4.37 0.69 0.14-2.00
Cleft Lip/Palate 1 5.01 0.20 0.01-1.11
Polydactyly/Syndactyly 1 5.34 0.19 0.01-1.04
Limb Reductions 0 1.03 -- --
Club Foot 0 3.77 -- --
Diaphragmatic Hernias 0 0.92 -- --
Other Musculoskeletal/Integument 4 8.47 0.47 0.13-1.21
Down Syndrome 4 2.74 1.46 0.40-3.74
Other Chromosomal Anomalies 0 1.13 -- --
Other 22 27.07 0.81 0.51-1.23
a Based on rates for the entire state of Texas
b Observed to expected ratio (observed number of cases divided by the expected number of cases)



Table 11. Comparison of Observed Cases to Expected Based on Congenital Anomalies as Listed on Birth Certificates, San Antonio, Texas, Zip Code 78237, 1990-1995
Congenital Anomaly Observed
Cases		 Expected
Casesa		 O:E
Ratiob		 95% Confidence
Interval
Anencephalus 3 1.61 1.87 0.38-5.44
Spina Bifida/Meningocele 3 1.60 1.88 0.39-5.48
Hydrocephalus 2 1.66 1.21 0.15-4.35
Microcephalus 0 0.51 -- --
Other Central Nervous System 0 0.90 -- --
Heart Malformations 4 5.65 0.71 0.19-1.81
Other Circulatory/Respiratory 4 3.63 1.10 0.30-2.82
Rectal Atresia/Stenosis 2 0.70 2.86 0.36-10.31
Tracheo-Esophageal Fistula 1 0.45 2.22 0.06-12.38
Omphalocele/Gastroschisis 1 1.73 0.58 0.02-3.22
Other Gastrointestinal Anomalies 1 1.13 0.89 0.02-4.93
Malformed Genitalia 2 4.90 0.41 0.05-1.47
Renal Agenesis 0 0.69 -- --
Other Urogenital Anomalies 1 3.62 0.28 0.01-1.54
Cleft Lip/Palate 4 4.15 0.96 0.26-2.47
Polydactyly/Syndactyly 3 4.42 0.68 0.14-1.98
Limb Reductions 1 0.85 1.18 0.03-6.55
Club Foot 7 3.12 2.24 0.90-4.62
Diaphragmatic Hernias 0 0.77 -- --
Other Musculoskeletal/Integument 6 7.02 0.85 0.31-1.86
Down Syndrome 3 2.27 1.32 0.27-3.86
Other Chromosomal Anomalies 3 0.93 3.22 0.66-9.42
Other 33 22.42 1.47* 1.01-2.06
a Based on rates for the entire state of Texas
b Observed to expected ratio (observed number of cases divided by the expected number of cases)
* Significant at the 5% level



Table 12. Comparison of Observed Cases to Expected Based on Congenital Anomalies as Listed on Fetal Death Certificates, San Antonio, Texas, Zip Code 78211, 1990-1995
Congenital Anomaly Observed
Cases		 Expected
Casesa		 O:E
Ratiob		 95% Confidence
Interval
Anencephalus 1 0.56 1.78 0.05-9.95
Spina Bifida/Meningocele 1 0.21 4.86 0.12-26.52
Hydrocephalus 0 0.32 -- --
Microcephalus 0 0.08 -- --
Other Central Nervous System 0 0.23 -- --
Heart Malformations 1 0.36 2.78 0.07-15.47
Other Circulatory/Respiratory 0 0.25 -- --
Rectal Atresia/Stenosis 0 0.08 -- --
Tracheo-Esophageal Fistula 0 0.02 -- --
Omphalocele/Gastroschisis 0 0.19 -- --
Other Gastrointestinal Anomalies 0 0.11 -- --
Malformed Genitalia 0 0.11 -- --
Renal Agenesis 0 0.14 -- --
Other Urogenital Anomalies 0 0.19 -- --
Cleft Lip/Palate 0 0.19 -- --
Polydactyly/Syndactyly 0 0.12 -- --
Limb Reductions 0 0.13 -- --
Club Foot 0 0.16 -- --
Diaphragmatic Hernias 0 0.05 -- --
Other Musculoskeletal/Integument 0 0.24 -- --
Down Syndrome 0 0.20 -- --
Other Chromosomal Anomalies 0 0.38 -- --
Other 1 1.29 0.78 0.02-4.32
a Based on rates for the entire state of Texas
b Observed to expected ratio (observed number of cases divided by the expected number of cases)
c Significant at the 5% level



Table 13. Comparison of Observed Cases to Expected Based on Congenital Anomalies as Listed on Fetal Death Certificates, San Antonio, Texas, Zip Code 78228, 1990-1995
Congenital Anomaly Observed
Cases		 Expected
Casesa		 O:E
Ratiob		 95% Confidence
Interval
Anencephalus 0 0.88 -- --
Spina Bifida/Meningocele 0 0.32 -- --
Hydrocephalus 0 0.50 -- --
Microcephalus 0 0.12 -- --
Other Central Nervous System 1 0.36 2.81 0.07-15.47
Heart Malformations 1 0.56 1.78 0.05-9.95
Other Circulatory/Respiratory 0 0.38 -- --
Rectal Atresia/Stenosis 0 0.13 -- --
Tracheo-Esophageal Fistula 0 0.04 -- --
Omphalocele/Gastroschisis 0 0.30 -- --
Other Gastrointestinal Anomalies 0 0.17 -- --
Malformed Genitalia 0 0.18 -- --
Renal Agenesis 0 0.22 -- --
Other Urogenital Anomalies 0 0.29 -- --
Cleft Lip/Palate 0 0.29 -- --
Polydactyly/Syndactyly 0 0.19 -- --
Limb Reductions 1 0.21 4.78 0.12-26.52
Club Foot 0 0.25 -- --
Diaphragmatic Hernias 0 0.08 -- --
Other Musculoskeletal/Integument 0 0.38 -- --
Down Syndrome 1 0.31 3.26 0.08-17.97
Other Chromosomal Anomalies 0 0.59 -- --
Other 0 2.01 -- --
a Based on rates for the entire state of Texas
b Observed to expected ratio (observed number of cases divided by the expected number of cases)



Table 14. Comparison of Observed Cases to Expected Based on Congenital Anomalies as Listed on Fetal Death Certificates, San Antonio, Texas, Zip Code 78237, 1990-1995
Congenital Anomaly Observed
Cases		 Expected
Casesa		 O:E
Ratiob		 95% Confidence
Interval
Anencephalus 0 0.73 -- --
Spina Bifida/Meningocele 1 0.27 3.76 0.09-20.63
Hydrocephalus 0 0.41 -- --
Microcephalus 0 0.10 -- --
Other Central Nervous System 1 0.30 3.39 0.09-19.2
Heart Malformations 0 0.47 -- --
Other Circulatory/Respiratory 0 0.32 -- --
Rectal Atresia/Stenosis 1 0.11 9.35 0.24-52.12
Tracheo-Esophageal Fistula 0 0.03 -- --
Omphalocele/Gastroschisis 0 0.25 -- --
Other Gastrointestinal Anomalies 0 0.14 -- --
Malformed Genitalia 0 0.15 -- --
Renal Agenesis 0 0.19 -- --
Other Urogenital Anomalies 0 0.24 -- --
Cleft Lip/Palate 0 0.24 -- --
Polydactyly/Syndactyly 0 0.16 -- --
Limb Reductions 0 0.17 -- --
Club Foot 0 0.21 -- --
Diaphragmatic Hernias 0 0.06 -- --
Other Musculoskeletal/Integument 0 0.31 -- --
Down Syndrome 0 0.25 -- --
Other Chromosomal Anomalies 1 0.49 2.05 0.05-11.4
Other 2 1.66 1.20 0.15-4.35
a Based on rates for the entire state of Texas
b Observed to expected ratio (observed number of cases divided by the expected number of cases)



Table 15. Comparison of Observed Cases to Expected Based on Congenital Anomalies as Listed on Infant Death Certificates, San Antonio, Texas, Zip Code 78211, 1990-1995
Congenital Anomaly ICD9a
Code		 Observed
Cases		 Expected
Casesb		 O:E
Ratioc		 95%Confidence
Interval
Anencephalus and similar anomalies 740 2.00 0.59 3.41 0.41-12.31
Spina bifida 741 -- 0.15 -- --
Other congenital anomalies of nervous system 742 -- 0.86 -- --
Bulbus cordis anomalies and anomalies of cardiac septal closure 745 1.00 1.05 0.96 0.02-5.30
Other congenital anomalies of heart 746 5.00 2.47 2.02 0.66-4.72
Other congenital anomalies of circulatory system 747 1.00 0.84 1.19 0.03-6.65
Congenital anomalies of respiratory system 748 4.00 2.08 1.92 0.52-4.92
Cleft palate and cleft lip 749 -- 0.07 -- --
Other congenital anomalies of upper alimentary tract 750 1.00 0.09 11.76 0.30-65.53
Other congenital anomalies of digestive system 751 -- 0.25 -- --
Congenital anomalies of urinary system 753 3.00 0.92 3.25 0.67-9.50
Certain congenital musculoskeletal deformities 754 -- 0.04 -- --
Other congenital anomalies of limbs 755 -- 0.08 -- --
Other congenital musculoskeletal anomalies 756 -- 0.77 -- --
Congenital anomalies of the integument 757 -- 0.05 -- --
Chromosomal anomalies 758 -- 1.35 -- --
Other and unspecified congenital anomalies 759 -- 0.69 -- --
a International Classification of Disease - 9th Edition
b Based on rates for the entire state of Texas
c Observed to expected ratio (observed number of cases divided by the expected number of cases)



Table 16. Comparison of Observed Cases to Expected Based on Congenital Anomalies as Listed on Infant Death Certificates, San Antonio, Texas, Zip Code 78228, 1990-1995
Congenital Anomaly ICD9a
Code		 Observed
Cases		 Expected
Casesb		 O:E
Ratioc		 95%Confidence
Interval
Anencephalus and similar anomalies 740 -- 0.91 -- --
Spina bifida 741 -- 0.24 -- --
Other congenital anomalies of nervous system 742 -- 1.35 -- --
Bulbus cordis anomalies and anomalies of cardiac septal closure 745 1 1.63 0.61 0.02-3.42
Other congenital anomalies of heart 746 4 3.85 1.04 0.28-2.66
Other congenital anomalies of circulatory system 747 -- 1.30 -- --
Congenital anomalies of respiratory system 748 1 3.24 0.31 0.01-1.7
Cleft palate and cleft lip 749 -- 0.11 -- --
Other congenital anomalies of upper alimentary tract 750 1 0.13 7.55 0.19-42.0
Other congenital anomalies of digestive system 751 -- 0.39 -- --
Congenital anomalies of urinary system 753 1 1.44 0.70 0.02-3.8
Certain congenital musculoskeletal deformities 754 -- 0.06 -- --
Other congenital anomalies of limbs 755 1 0.12 8.19 0.21-45.62
Other congenital musculoskeletal anomalies 756 1 1.20 0.83 0.02-4.6
Congenital anomalies of the integument 757 -- 0.07 -- --
Chromosomal anomalies 758 2 2.11 0.95 0.12-3.43
Other and unspecified congenital anomalies 759 -- 1.08 -- --
a International Classification of Disease - 9th Edition
b Based on rates for the entire state of Texas
c Observed to expected ratio (observed number of cases divided by the expected number of cases)



Table 17. Comparison of Observed Cases to Expected Based on Congenital Anomalies as Listed on Infant Death Certificates, San Antonio, Texas, 78237, 1990-1995
Congenital Anomaly ICD9a
Code		 Observed
Cases		 Expected
Casesb		 O:E
Ratioc		 95%Confidence
Interval
Anencephalus and similar anomalies 740 2 0.76 2.64 0.32-9.54
Spina bifida 741 -- 0.20 -- --
Other congenital anomalies of nervous system 742 -- 1.12 -- --
Bulbus cordis anomalies and anomalies of cardiac septal closure 745 6 1.35 4.45* 1.63-9.68
Other congenital anomalies of heart 746 9 3.19 2.82* 1.29-5.36
Other congenital anomalies of circulatory system 747 4 1.08 3.70* 1.01-9.48
Congenital anomalies of respiratory system 748 3 2.68 1.12 0.23-3.26
Cleft palate and cleft lip 749 -- 0.09 -- --
Other congenital anomalies of upper alimentary tract 750 -- 0.11 -- --
Other congenital anomalies of digestive system 751 1 0.32 3.12 0.08-17.37
Congenital anomalies of urinary system 753 2 1.19 1.68 0.20-6.07
Certain congenital musculoskeletal deformities 754 -- 0.05 -- --
Other congenital anomalies of limbs 755 1 0.10 9.89 0.25-55.09
Other congenital musculoskeletal anomalies 756 2 0.99 2.01 0.24-7.27
Congenital anomalies of the integument 757 -- 0.06 -- --
Chromosomal anomalies 758 2 1.75 1.15 0.14-4.14
Other and unspecified congenital anomalies 759 -- 0.90 -- --
a International Classification of Disease - 9th Edition
b Based on rates for the entire state of Texas
c Observed to expected ratio (observed number of cases divided by the expected number of cases)
* Significant at the 5% level



Table 18. Comparison of Observed Cases to Expected Adjusted for Selected Congenital Anomalies as Listed on Infant Death Certificates, San Antonio, Texas, Zip Code 78237, 1990-1995
Congenital Anomaly ICD9a
Code		 Observed
Cases		 Expected
Casesb		 O:E
Ratioc		 95%Confidence
Interval
Bulbus cordis anomalies and anomalies of cardiac septal closure 745 6 1.33 4.52* 1.66-9.83
Other congenital anomalies of heart 746 9 3.03 2.98* 1.36-5.65
Other congenital anomalies of circulatory system 747 4 1.09 3.67 1.00-9.38
a International Classification of Disease - 9th Edition
b Based on rates for the entire state of Texas
c Observed to expected ratio (observed number of cases divided by the expected number of cases)
Bold type indicates an excess of borderline statistical significance
* Significant at the 5% level



Table 19. Comparison of Observed Cases to Expected Adjusted for Maternal Age for Selected Congenital Anomalies as Listed on Infant Death Certificates, San Antonio, Texas, Zip Code 78237, 1990-1995
Congenital Anomaly ICD9a
Code		 Observed
Cases		 Expected
Casesb		 O:E
Ratioc		 95%Confidence
Interval
Bulbus cordis anomalies and anomalies of cardiac septal closure 745 6 0.64 9.32* 3.40-21.2
Other congenital anomalies of heart 746 9 2.34 3.84* 1.76-7.30
Other congenital anomalies of circulatory system 747 4 0.51 7.82* 2.13-20.0
a International Classification of Disease - 9th Edition
b Based on rates for the entire state of Texas
c Observed to expected ratio (observed number of cases divided by the expected number of cases)
* Significant at the 5% level



Table 20. Comparison of Observed to Expected Cases of Low Birth Weight as Listed on Infant Birth Certificates, Zip Codes 78211, 78228, and 78237, San Antonio, Texas, 1990-1995
Zip Code Observed
Cases		 Expected
Casesa		 O:E
Ratiob		 95%Confidence
Interval
78211 323 303.12 1.07 0.95-1.19
78228 461 472.32 0.98 0.89-1.07
78237 462 391.21 1.18* 1.08-1.30
a Based on rates for the entire state of Texas
b Observed to expected ratio (observed number of cases divided by the expected number of cases)
* Significant at the 5% level



Table 21. Blood Lead Levels of Children 0-72 Months of Age in San Antonio, Texas, Zip Code 78211
  Total Tests

Pb <10µg/dL

Pb > 10µg/dL

Pb > 20µg/dL

Pb > 30µg/dL

1993

574

517 (90%)

51 (9%)

1 (< 1%)

0 (0%)

1994

285

275 (96%)

10 (3%)

2 (< 1%)

2 (< 1%)

1995

296

271 (92%)

19 (7%)

1 (< 1%)

0 (0%)



Table 22. Blood Lead Levels of Children 0-72 Months of Age in San Antonio, Texas, Zip Code 78228
  Total Tests Pb <10µg/dL

Pb > 10µg/dL

Pb > 20µg/dL

Pb > 30µg/dL

1993 577 546 (95%) 28 (4%) 5 (< 1%) 2 (0%)
1994 459 446 (97%) 13 (3%) 0 (0) 0 (0%)
1995 519 495 (96%) 13 (3%) 2 (< 1%) 0 (0%)



Table 23. Blood Lead Levels of Children 0-72 Months of Age in San Antonio, Texas, Zip Code 78237
  Total Tests Pb <10µg/dL

Pb > 10µg/dL

Pb > 20µg/dL

Pb > 30µg/dL

1993

635

589 (93%)

38 (6%)

1 (< 1%)

0 (0%)

1994

503

485 (96%)

18 (4%)

2 (< 1%)

2 (< 1%)

1995

530

494 (93%)

24 (6%)

1 (< 1%)

0 (0%)

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