Health Highlight Report for San Miguel County
Birth Defects: Prevalence of Spina Bifida (without Anencephaly) per 10,000 Live Births: Prevalence per 10,000 Live Births, 2006-2011
San Miguel County4.8 95% Confidence Interval(0 - 14.1)Description of the Confidence IntervalThe confidence interval indicates the range of probable true values for the level of risk in the community.
A value of "DNA" (Data Not Available) will appear if the confidence interval was not published with the IBIS indicator data for this measure.
Statistical StabilityVery UnstableDescription of Statistical Stability
- Stable = This count or rate is relatively stable and should provide a good estimate of your community risk.
- Unstable = This count or rate is statistically unstable (RSE >0.30), and may fluctuate widely due to random variation (chance).
- Very Unstable = This count or rate is extremely unstable (RSE >0.50). This value should not be used to represent your population risk. You should combine years or otherwise increase the population denominator in this calculation.
- DNA = Data Not Available. The required community value and/or confidence interval was not available for this measure.
New Mexico4.9 U.S. DNADNA=Data not available.
San Miguel County Compared to State
Description of Dashboard Gauge
Description of the Dashboard GaugeThis "dashboard" type graphic is based on the community data on the right. It compares the community value on this indicator to the state overall value.
The community value is considered statistically significantly different from the state value if the state value is outside the range of the community's 95% confidence interval. If the community's data or 95% confidence interval information is not available, a blank gauge image will be displayed with the message, "missing information."NOTE: The labels used on the gauge graphic are meant to describe the community's status in plain language. The placement of the gauge needle is based solely on the statistical difference between the community and state values. When selecting priority health issues to work on, a community should take into account additional factors such as how much improvement could be made, the U.S. value, the statistical stability of the community number, the severity of the health condition, and whether the difference is clinically significant.
- Excellent = The community's value on this indicator is BETTER than the state value, and the difference IS statistically significant.
- Watch = The community's value is BETTER than state value, but the difference IS NOT statistically significant.
- Improvement Needed = The community's value on this indicator is WORSE than the state value, but the difference IS NOT statistically significant.
- Reason for Concern = The community's value on this indicator is WORSE than the state value, and the difference IS statistically significant.
Why Is This Important?Birth defects pose a significant public health problem. One in 33 babies is born with a structural birth defect in the United States. Birth defects are a leading cause of infant mortality and responsible for considerable morbidity with enormous economic and social costs. In 1992, the U.S. Public Health Service recommended that women of childbearing age increase consumption of the vitamin folic acid to reduce the number of spina bifida and anencephaly cases in the United States. By 1998, <30% of women were following this recommendation. In 2001, researchers from CDC determined that the overall birth prevalence of these two neural tube defects declined 19% after mandatory folic acid fortification.
Healthy People Objective MICH-28.1:Reduce the occurrence of spina bifida
U.S. Target: 30.8 live births and/or fetal deaths with spina bifida per 100,000 live births
NoteSpina Bifida is a neural tube defect resulting from failure of the spinal neural tube to close. This usually results in damage to the spinal cord with paralysis of the involved limbs. Includes myelomeningocele (involving both spinal cord and meninges) and meningocele (involving just the meninges). The following International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) codes were used to identify spina bifida without anencephaly: 741.0, 741.9 without 740.0 - 740.10. In 1987, CDC put forth a set of 6 digit codes (the sixth digit provides greater specificity for diagnosis) based on the British Pediatric Association Classification of Diseases and the ICD-9-CM. If CDC/BPA codes are present, the following were used to identify spina bifida without anencephaly: 741.000 - 741.990 without 740.000 - 740.100.
Data SourcesBirth Defects Prevention and Surveillance System (BDPASS), New Mexico Department of Health. Birth Certificate Data, Bureau of Vital Records and Health Statistics (BVRHS), New Mexico Department of Health.
Measure Description for Birth Defects: Prevalence of Spina Bifida (without Anencephaly) per 10,000 Live Births
Definition: Prevalence of spina bifida is the number of live-born infants with spina bifida but without anencephaly per 10,000 live-born infants. (Live-born infants are infants born with any evidence of life.)
Numerator: Number of live-born infants with spina bifida (without anencephaly)
Denominator: Number of live-born infants