0920-1365 SpecialEmphasisRpt_CoreSIPP

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Overview

Instructions
Populations
Health Regions Population
Totals
Year 1
Year 2
Year 3
Year 4
Year 5
Health Region Rates
Optional Year 1-5 Rates
Figure 1
Figure 2
Figure 3
Figure 4
Figure 5
Figure 6
Quick Facts
Report

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Sheet 1: Instructions

Form Approved

OMB NO: 0920-1365

Exp. Date:7/31/2025 Public reporting burden of this collection of information is estimated at 10 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC/Information Collection Review Office, 1600 Clifton Road, NE, MS D-74, Atlanta, GA 30333; Attn: PRA (0920-1365).

Step 1: Preparing State/Territory Data

Step 2: Entering Data

Step 3: Creating Special Emphasis Report

Name

ICD-10-CM code

ICD-10 notes

1a. Create Nonfatal MVT-Specific Injury Hospitalizations Data Set - The MVT-specific hospitalization indicators should be calculated based on first creating a MVT-related injury hospitalization subset. This is done using the ICD-10-CM codes for the MVT-related hospital discharge indicator in the State Injury Indicators listed below. For hospitalizations, one of these codes should be in the primary/principal diagnosis field for the case to be in the injury subset. *Only include cases if the 7th character of the code is A, B, C, or missing (reflects initial encounter, active treatment). T30-T32 do not have a 7th character. Create an injury hospitalization subset using the ICD-10-CM codes below:

Nonfatal injury hospitalization for all injuries

S00-S99

T07-T34

T36-T50

T36-T50 with a 6th character of 1, 2, 3, or 4 Note: Include T36.9, T37.9, T39.9, T41.4, T42.7, T43.9, T45.9, T47.9, and T49.9 with 5th character of 1, 2, 3, or 4) (Intent information for these codes is included in the 5thcharacter and not the 6th)

T51-T65

T66-T76

T79

O9A.2-O9A.5

T84.04

T84.04 was retired and replaced by M97 in the FY2017 version of ICD-10-CM which went into effect on Oct 1, 2016.

M97

1b. Select hospitalizations with any of the MVT ICD-10-CM codes in any diagnosis field listed below: *Only Include cases if the 7th character of the code is A or missing (reflects initial encounter, active treatment)

Nonfatal Motor vehicle traffic hospitalization

V02-V04 (.1, .9), V09.2, V09.3

MVT-Pedestrian

V12-V14 (.3-.9), V19.4-V19.6, V19.9

MVT-Pedal cyclist

V20-V28 (.3-.9), V29.4-V29.9

MVT-Motorcyclist

V30-V79 (.4-.9), V83-V86 (.0-.3), V87.0-V87.8, V89.2

MVT-Occupant (and unspecified)

V80.3-V80.5, V81.1, V82.1

MVT-Other

2a. Create Nonfatal MVT-Specific Injury Emergency Department (ED) Visit Data Set - These indicators should be calculated based on first creating a MVT-related injury emergency department visit subset. This is done using the instructions for ICD-10-CM codes for MVT-related emergency department indicator listed below: Include cases if the 7th character of the code is A, B, C, or missing (reflects initial encounter, active treatment)

Nonfatal Injury ED visit

S00-S99

T07-T34

T36-T50

T36-T50 with a 6th character of 1, 2, 3, or 4 Note: Include T36.9, T37.9, T39.9, T41.4, T42.7, T43.9, T45.9, T47.9, and T49.9 with 5th character of 1, 2, 3, or 4) (Intent information for these codes is included in the 5thcharacter and not the 6th)

T51-T65

T66-T76

T79

O9A.2-O9A.5

T84.04

M97

V00-V99

For ICD10CM Injury Cause Codes select only 7th character of A or missing **Only include cases if the 7th character is A or missing (reflects initial encounter, active treatment)

W00-X58

X71-X83

X92-Y09

Y21-Y33

Y35-Y38

2b. Select ED visits with any of the following MVT ICD-10-CM codes in any diagnosis field listed below: **Only Include cases if the 7th character of the code is A or missing (reflects initial encounter, active treatment)

Nonfatal Motor vehicle traffic ED visit

V02.1, V02.9, V03.1, V03.9, V04.1, V04.9, V09.2, V09.3

Pedestrian

V12-V14 (.3-.9), V19.4-V19.6, V19.9

Pedal cyclist

V20-V28 (.3-.9), V29.4-V29.9

Motorcyclist

V30-V79 (.4-.9), V83-V86 (.0-.3), V87.0-V87.8, V89.2

Occupant (and unspecified)

V80.3-V80.5, V81.1, V82.1

Other

3a. Create MVT-specific Deaths Data Set - The MVT-specific death indicators should be calculated based on first creating a MVT-related injury death subset. Limit deaths to those with an injury underlying cause of death:

Injury underlying cause of death

V01-Y36

Y85-Y87

Y89

U01-U03

3b. Then select deaths with any of the MVT ICD-10-CM codes in any field of the multiple cause of death file:

Motor vehicle traffic fatalities

V02-V04 (.1, .9)

MVT-Pedestrian

V09.2

V12-V14(.3-.9)

MVT-Pedal cyclist

V19(.4-.6)

V20-V28(.3-.9)

MVT-Motorcyclist

V29(.4–.9)

V30-V79(.4-.9)

MVT-Occupant

V83-V86(.0-.3)

V80(.3-.5)

MVT-Other

V81.1

V82.1

V87(.0-.8)

MVT-Unspecified

V89.2

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Sheet 2: Populations

Instruction: If you do not have population data for a certain year, please do not delete the rows so that formulas in other spreadsheet tabs will work.	MVT-Specific State Injury Indicators Report
	State/Territory Population Data
	Enter State/Territory:
								Optional: Enter race/ethnicity population data. Race/ethnicity group names can be edited in the green cells below.
Modify year below if needed	Age	Total		Male		Female		White-Not Hispanic		Hispanic		Black-Not Hispanic		Asian		American Indian /Alaska Native		Other		Other
Year 1	<1
Instruction: Edit age groups here if needed. Age groups will then automatically update throughout the spreadsheet.	1-4
	5-9
	10-14
	15-19
	20-24
	25-34
	35-44
	45-54
	55-64
	65-74
	75-84
	85+
	Total	0		0		0		0		0		0		0		0		0		0
Modify year below if needed	Age	Total		Male		Female		White-Not Hispanic		Hispanic		Black-Not Hispanic		Asian		American Indian /Alaska Native		Other		Other
Year 2	<1
	1-4
	5-9
	10-14
	15-19
	20-24
	25-34
	35-44
	45-54
	55-64
	65-74
	75-84
	85+
	Total	0		0		0		0		0		0		0		0		0		0
Modify year below if needed	Age	Total		Male		Female		White-Not Hispanic		Hispanic		Black-Not Hispanic		Asian		American Indian /Alaska Native		Other		Other
Year 3	<1
	1-4
	5-9
	10-14
	15-19
	20-24
	25-34
	35-44
	45-54
	55-64
	65-74
	75-84
	85+
	Total	0		0		0		0		0		0		0		0		0		0
Modify year below if needed	Age	Total		Male		Female		White-Not Hispanic		Hispanic		Black-Not Hispanic		Asian		American Indian /Alaska Native		Other		Other
Year 4	<1
	1-4
	5-9
	10-14
	15-19
	20-24
	25-34
	35-44
	45-54
	55-64
	65-74
	75-84
	85+
	Total	0		0		0		0		0		0		0		0		0		0
Modify year below if needed	Age	Total		Male		Female		White-Not Hispanic		Hispanic		Black-Not Hispanic		Asian		American Indian/Alaska Native		Other		Other
Year 5	<1
	1-4
	5-9
	10-14
	15-19
	20-24
	25-34
	35-44
	45-54
	55-64
	65-74
	75-84
	85+
	Total	0		0		0		0		0		0		0		0		0		0
Instruction: Please enter 2000 standard population and weights by age group. These populations will be used in tabs Year 1 through Year 5 with age weights to calculate age-adjusted rates per 100,000
Age	2000 Population	Weight
<1
1-4
5-9
10-14
15-19
20-24
25-34
35-44
45-54
55-64
65-74
75-84
85+
Total	0	0

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Sheet 3: Health Regions Population

MVT-Specific State Injury Indicators Report
Health Districts/Regions Data
Data Year		Instruction: Edit region names in the blue cells below. Region names will automatically update throughout the spreadsheet
Year 5	Age	Region 1		Region 2		Region 3		Region 4		Region 5		Region 6		Region 7		Region 8		Region 9		Region 10		Region 11		Region 12		Region 13		Region 14		Region 15		Region 16		Region 17		Region 18		Region 19		Region 20
	<1
	1-4
	5-9
	10-14
	15-19
	20-24
	25-34
	35-44
	45-54
	55-64
	65-74
	75-84
	85+
	TOTAL	0		0		0		0		0		0		0		0		0		0		0		0		0		0		0		0		0		0		0		0

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Sheet 4: Totals

Year 1 - Year 5 Totals	Data Input Tables Instructions: Enter your unintentional child injury-related injury data in the red cells below. The age-adjusted rates will automatically calculate in the results table.				Please make note of your program's data supression guidelines. Depending on counts, you may need to combine data years, age groups, and/or race/ethnicity groups.								Crude rate per 100,000 calculations																					Results Table Rates per 100,1000. Results will calculate automatically.
			Sex Data		Demographic Data																													Hospitalization rates per 100,000 population
Nonfatal Hospitalizations		Number of hospitalizations- Total	Male	Female	White-Not Hispanic	Hispanic	Black-Not Hispanic	Asian	American Indian /Alaska Native	Other	Other		State population - Total	Rate	State population - Male	Rate	State population - Female	Rate	White-Not Hispanic	Rate	Hispanic	Rate	Black-Not Hispanic	Rate	Asian	Rate	American Indian /Alaska Native	Rate	Other	Rate	Other	Rate		Total	Male	Female	White-Not Hispanic	Hispanic	Black-Not Hispanic	Asian	American Indian/Alaska Native	Other	Other
	Year 5												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0	0	0	0	0	0	0	0	0
	Year 4												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0	0	0	0	0	0	0	0	0
	Year 3												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0	0	0	0	0	0	0	0	0
	Year 2												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0	0	0	0	0	0	0	0	0
	Year 1												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0	0	0	0	0	0	0	0	0
			Sex Data		Demographic Data																													ED visit rates per 100,000 population
Nonfatal ED Visits		Number of ED visits- Total	Male	Female	White-Not Hispanic	Hispanic	Black-Not Hispanic	Asian	American Indian/Alaska Native	Other	Other		State population - Total	Rate	State population - Male	Rate	State population - Female	Rate	White-Not Hispanic	Rate	Hispanic	Rate	Black-Not Hispanic	Rate	Asian	Rate	American Indian /Alaska Native	Rate	Other	Rate	Other	Rate		Total	Male	Female	White-Not Hispanic	Hispanic	Black-Not Hispanic	Asian	American Indian/Alaska Native	Other	Other
	Year 5												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0	0	0	0	0	0	0	0	0
	Year 4												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0	0	0	0	0	0	0	0	0
	Year 3												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0	0	0	0	0	0	0	0	0
	Year 2												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0	0	0	0	0	0	0	0	0
	Year 1												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0	0	0	0	0	0	0	0	0
			Sex Data		Demographic Data																													Fatality rates per 100,000 population
Deaths		Number of deaths- Total	Male	Female	White-Not Hispanic	Hispanic	Black-Not Hispanic	Asian	American Indian/Alaska Native	Other	Other		State population - Total	Rate	State population - Male	Rate	State population - Female	Rate	White-Not Hispanic	Rate	Hispanic	Rate	Black-Not Hispanic	Rate	Asian	Rate	American Indian /Alaska Native	Rate	Other	Rate	Other	Rate		Total	Male	Female	White-Not Hispanic	Hispanic	Black-Not Hispanic	Asian	American Indian/Alaska Native	Other	Other
	Year 5												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0	0	0	0	0	0	0	0	0
	Year 4												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0	0	0	0	0	0	0	0	0
	Year 3												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0	0	0	0	0	0	0	0	0
	Year 2												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0	0	0	0	0	0	0	0	0
	Year 1												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0	0	0	0	0	0	0	0	0

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Sheet 5: Year 1

Year 1	Data Input Tables Instructions: Enter your unintentional child injury-related injury data in the red cells below. The age-adjusted rates will automatically calculate in the results table.					Please make note of your program's data supression guidelines. Depending on counts, you may need to combine data years, age groups, and/or race/ethnicity groups.							Crude rate per 100,000 calculations																					Population values and weights will automatically populate here based on values entered in the "Populations" tab			Results Table Age Adjusted Rates per 100,1000. Results will calculate automatically.
			Sex Data		Demographic Data																																	Age-adjusted Rates per 100,000 population
Nonfatal Hospitalizations	Age	Number of hospitalizations- Total	Male	Female	White-Not Hispanic	Hispanic	Black-Not Hispanic	Asian	American Indian /Alaska Native	Other	Other		State population - Total	Rate	State population - Male	Rate	State population - Female	Rate	White-Not Hispanic	Rate	Hispanic	Rate	Black-Not Hispanic	Rate	Asian	Rate	American Indian /Alaska Native	Rate	Other	Rate	Other	Rate		2000 Standard population - from "Populations" tab	Weight		Age	Total	Male	Female	White-Not Hispanic	Hispanic	Black-Not Hispanic	Asian	American Indian /Alaska Native	Other	Other
	<1												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		<1	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	1-4												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		1-4	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	5-9												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		5-9	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	10-14												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		10-14	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	15-19												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		15-19	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	20-24												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		20-24	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	25-34												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		25-34	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	35-44												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		35-44	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	45-54												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		45-54	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	55-64												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		55-64	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	65-74												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		65-74	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	75-84												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		75-84	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	85+												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		85+	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	total	0	0	0	0	0	0	0	0	0	0		0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		Total	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
			Sex Data		Demographic Data																																	Age-adjusted Rates per 100,000 population
Nonfatal ED Visits	Age	Number of ED visits- Total	Male	Female	White-Not Hispanic	Hispanic	Black-Not Hispanic	Asian	American Indian /Alaska Native	Other	Other		State population - Total	Rate	State population - Male	Rate	State population - Female	Rate	White-Not Hispanic	Rate	Hispanic	Rate	Black-Not Hispanic	Rate	Asian	Rate	American Indian /Alaska Native	Rate	Other	Rate	Other	Rate		2000 Standard population - from "Populations" tab	Weight		Age	Total	Male	Female	White-Not Hispanic	Hispanic	Black-Not Hispanic	Asian	American Indian /Alaska Native	Other	Other
	<1												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		<1	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	1-4												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		1-4	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	5-9												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		5-9	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	10-14												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		10-14	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	15-19												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		15-19	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	20-24												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		20-24	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	25-34												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		25-34	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	35-44												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		35-44	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	45-54												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		45-54	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	55-64												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		55-64	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	65-74												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		65-74	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	75-84												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		75-84	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	85+												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		85+	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	total	0	0	0	0	0	0	0	0	0	0		0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		Total	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
			Sex Data		Demographic Data																																	Age-adjusted Rates per 100,000 population
Deaths	Age	Number of deaths- Total	Male	Female	White-Not Hispanic	Hispanic	Black-Not Hispanic	Asian	American Indian /Alaska Native	Other	Other		State population - Total	Rate	State population - Male	Rate	State population - Female	Rate	White-Not Hispanic	Rate	Hispanic	Rate	Black-Not Hispanic	Rate	Asian	Rate	American Indian /Alaska Native	Rate	Other	Rate	Other	Rate		2000 Standard population - from "Populations" tab	Weight		Age	Total	Male	Female	White-Not Hispanic	Hispanic	Black-Not Hispanic	Asian	American Indian /Alaska Native	Other	Other
	<1												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		<1	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	1-4												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		1-4	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	5-9												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		5-9	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	10-14												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		10-14	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	15-19												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		15-19	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	20-24												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		20-24	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	25-34												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		25-34	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	35-44												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		35-44	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	45-54												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		45-54	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	55-64												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		55-64	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	65-74												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		65-74	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	75-84												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		75-84	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	85+												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		85+	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	total	0	0	0	0	0	0	0	0	0	0		0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		Total	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0

---

Sheet 6: Year 2

Year 2	Data Input Tables Instructions: Enter your unintentional child injury-related injury data in the red cells below. The age-adjusted rates will automatically calculate in the results table.					Please make note of your program's data supression guidelines. Depending on counts, you may need to combine data years, age groups, and/or race/ethnicity groups.							Crude rate per 100,000 calculations																					Population values and weights will automatically populate here based on values entered in the "Populations" tab			Results Table Age Adjusted Rates per 100,1000. Results will calculate automatically.
			Sex Data		Demographic Data																																	Age-adjusted Rates per 100,000 population
Nonfatal Hospitalizations	Age	Number of hospitalizations- Total	Number of hospitalizations- Male	Number of hospitalizations- Female	White-Not Hispanic	Hispanic	Black-Not Hispanic	Asian	American Indian /Alaska Native	Other	Other		State population - Total	Rate	State population - Male	Rate	State population - Female	Rate	White-Not Hispanic	Rate	Hispanic	Rate	Black-Not Hispanic	Rate	Asian	Rate	American Indian /Alaska Native	Rate	Other	Rate	Other	Rate		2000 Standard population - from "Populations" tab	Weight		Age	Total	Male	Female	White-Not Hispanic	Hispanic	Black-Not Hispanic	Asian	American Indian /Alaska Native	Other	Other
	<1												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		<1	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	1-4												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		1-4	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	5-9												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		5-9	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	10-14												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		10-14	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	15-19												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		15-19	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	20-24												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		20-24	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	25-34												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		25-34	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	35-44												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		35-44	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	45-54												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		45-54	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	55-64												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		55-64	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	65-74												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		65-74	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	75-84												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		75-84	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	85+												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		85+	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	total	0	0	0	0	0	0	0	0	0	0		0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		Total	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
			Sex Data		Demographic Data																																	Age-adjusted Rates per 100,000 population
Nonfatal ED Visits	Age	Number of ED visits- Total	Number of ED visits- Male	Number of ED visits- Female	White-Not Hispanic	Hispanic	Black-Not Hispanic	Asian	American Indian /Alaska Native	Other	Other		State population - Total	Rate	State population - Male	Rate	State population - Female	Rate	White-Not Hispanic	Rate	Hispanic	Rate	Black-Not Hispanic	Rate	Asian	Rate	American Indian /Alaska Native	Rate	Other	Rate	Other	Rate		2000 Standard population - from "Populations" tab	Weight		Age	Total	Male	Female	White-Not Hispanic	Hispanic	Black-Not Hispanic	Asian	American Indian /Alaska Native	Other	Other
	<1												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		<1	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	1-4												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		1-4	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	5-9												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		5-9	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	10-14												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		10-14	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	15-19												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		15-19	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	20-24												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		20-24	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	25-34												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		25-34	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	35-44												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		35-44	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	45-54												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		45-54	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	55-64												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		55-64	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	65-74												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		65-74	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	75-84												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		75-84	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	85+												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		85+	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	total	0	0	0	0	0	0	0	0	0	0		0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		Total	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
			Sex Data		Demographic Data																																	Age-adjusted Rates per 100,000 population
Deaths	Age	Number of deaths- Total	Number of deaths- Male	Number of deaths- Female	White-Not Hispanic	Hispanic	Black-Not Hispanic	Asian	American Indian /Alaska Native	Other	Other		State population - Total	Rate	State population - Male	Rate	State population - Female	Rate	White-Not Hispanic	Rate	Hispanic	Rate	Black-Not Hispanic	Rate	Asian	Rate	American Indian /Alaska Native	Rate	Other	Rate	Other	Rate		2000 Standard population - from "Populations" tab	Weight		Age	Total	Male	Female	White-Not Hispanic	Hispanic	Black-Not Hispanic	Asian	American Indian /Alaska Native	Other	Other
	<1												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		<1	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	1-4												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		1-4	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	5-9												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		5-9	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	10-14												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		10-14	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	15-19												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		15-19	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	20-24												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		20-24	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	25-34												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		25-34	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	35-44												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		35-44	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	45-54												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		45-54	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	55-64												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		55-64	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	65-74												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		65-74	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	75-84												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		75-84	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	85+												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		85+	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	total	0	0	0	0	0	0	0	0	0	0		0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		Total	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0

---

Sheet 7: Year 3

Year 3	Data Input Tables Instructions: Enter your unintentional child injury-related injury data in the red cells below. The age-adjusted rates will automatically calculate in the results table.					Please make note of your program's data supression guidelines. Depending on counts, you may need to combine data years, age groups, and/or race/ethnicity groups.							Crude rate per 100,000 calculations																					Population values and weights will automatically populate here based on values entered in the "Populations" tab			Results Table Age Adjusted Rates per 100,1000. Results will calculate automatically.
			Sex Data		Demographic Data																																	Age-adjusted Rates per 100,000 population
Nonfatal Hospitalizations	Age	Number of hospitalizations- Total	Male	Female	White-Not Hispanic	Hispanic	Black-Not Hispanic	Asian	American Indian /Alaska Native	Other	Other		State population - Total	Rate	State population - Male	Rate	State population - Female	Rate	White-Not Hispanic	Rate	Hispanic	Rate	Black-Not Hispanic	Rate	Asian	Rate	American Indian /Alaska Native	Rate	Other	Rate	Other	Rate		2000 Standard population - from "Populations" tab	Weight		Age	Total	Male	Female	White-Not Hispanic	Hispanic	Black-Not Hispanic	Asian	American Indian /Alaska Native	Other	Other
	<1												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		<1	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	1-4												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		1-4	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	5-9												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		5-9	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	10-14												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		10-14	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	15-19												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		15-19	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	20-24												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		20-24	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	25-34												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		25-34	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	35-44												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		35-44	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	45-54												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		45-54	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	55-64												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		55-64	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	65-74												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		65-74	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	75-84												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		75-84	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	85+												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		85+	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	total	0	0	0	0	0	0	0	0	0	0		0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		Total	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
			Sex Data		Demographic Data																																	Age-adjusted Rates per 100,000 population
Nonfatal ED Visits	Age	Number of ED visits- Total	Male	Female	White-Not Hispanic	Hispanic	Black-Not Hispanic	Asian	American Indian /Alaska Native	Other	Other		State population - Total	Rate	State population - Male	Rate	State population - Female	Rate	White-Not Hispanic	Rate	Hispanic	Rate	Black-Not Hispanic	Rate	Asian	Rate	American Indian /Alaska Native	Rate	Other	Rate	Other	Rate		2000 Standard population - from "Populations" tab	Weight		Age	Total	Male	Female	White-Not Hispanic	Hispanic	Black-Not Hispanic	Asian	American Indian /Alaska Native	Other	Other
	<1												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		<1	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	1-4												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		1-4	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	5-9												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		5-9	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	10-14												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		10-14	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	15-19												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		15-19	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	20-24												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		20-24	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	25-34												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		25-34	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	35-44												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		35-44	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	45-54												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		45-54	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	55-64												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		55-64	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	65-74												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		65-74	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	75-84												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		75-84	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	85+												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		85+	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	total	0	0	0	0	0	0	0	0	0	0		0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		Total	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
			Sex Data		Demographic Data																																	Age-adjusted Rates per 100,000 population
Deaths	Age	Number of deaths- Total	Male	Female	White-Not Hispanic	Hispanic	Black-Not Hispanic	Asian	American Indian /Alaska Native	Other	Other		State population - Total	Rate	State population - Male	Rate	State population - Female	Rate	White-Not Hispanic	Rate	Hispanic	Rate	Black-Not Hispanic	Rate	Asian	Rate	American Indian /Alaska Native	Rate	Other	Rate	Other	Rate		2000 Standard population - from "Populations" tab	Weight		Age	Total	Male	Female	White-Not Hispanic	Hispanic	Black-Not Hispanic	Asian	American Indian /Alaska Native	Other	Other
	<1												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		<1	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	1-4												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		1-4	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	5-9												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		5-9	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	10-14												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		10-14	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	15-19												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		15-19	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	20-24												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		20-24	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	25-34												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		25-34	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	35-44												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		35-44	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	45-54												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		45-54	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	55-64												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		55-64	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	65-74												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		65-74	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	75-84												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		75-84	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	85+												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		85+	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	total	0	0	0	0	0	0	0	0	0	0		0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		Total	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0

---

Sheet 8: Year 4

Year 4	Data Input Tables Instructions: Enter your unintentional child injury-related injury data in the red cells below. The age-adjusted rates will automatically calculate in the results table.					Please make note of your program's data supression guidelines. Depending on counts, you may need to combine data years, age groups, and/or race/ethnicity groups.							Crude rate per 100,000 calculations																					Population values and weights will automatically populate here based on values entered in the "Populations" tab			Results Table Age Adjusted Rates per 100,1000. Results will calculate automatically.
			Sex Data		Demographic Data																																	Age-adjusted Rates per 100,000 population
Nonfatal Hospitalizations	Age	Number of hospitalizations- Total	Male	Female	White-Not Hispanic	Hispanic	Black-Not Hispanic	Asian	American Indian /Alaska Native	Other	Other		State population - Total	Rate	State population - Male	Rate	State population - Female	Rate	White-Not Hispanic	Rate	Hispanic	Rate	Black-Not Hispanic	Rate	Asian	Rate	American Indian /Alaska Native	Rate	Other	Rate	Other	Rate		2000 Standard population - from "Populations" tab	2000 state population weights		Age	Total	Male	Female	White-Not Hispanic	Hispanic	Black-Not Hispanic	Asian	American Indian /Alaska Native	Other	Other
	<1												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		<1	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	1-4												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		1-4	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	5-9												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		5-9	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	10-14												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		10-14	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	15-19												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		15-19	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	20-24												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		20-24	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	25-34												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		25-34	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	35-44												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		35-44	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	45-54												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		45-54	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	55-64												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		55-64	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	65-74												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		65-74	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	75-84												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		75-84	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	85+												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		85+	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	total	0	0	0	0	0	0	0	0	0	0		0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		Total	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
			Sex Data		Demographic Data																																	Age-adjusted Rates per 100,000 population
Nonfatal ED Visits	Age	Number of ED visits- Total	Male	Female	White-Not Hispanic	Hispanic	Black-Not Hispanic	Asian	American Indian /Alaska Native	Other	Other		State population - Total	Rate	State population - Male	Rate	State population - Female	Rate	White-Not Hispanic	Rate	Hispanic	Rate	Black-Not Hispanic	Rate	Asian	Rate	American Indian /Alaska Native	Rate	Other	Rate	Other	Rate		2000 Standard population - from "Populations" tab	Weight		Age	Total	Male	Female	White-Not Hispanic	Hispanic	Black-Not Hispanic	Asian	American Indian /Alaska Native	Other	Other
	<1												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		<1	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	1-4												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		1-4	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	5-9												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		5-9	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	10-14												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		10-14	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	15-19												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		15-19	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	20-24												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		20-24	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	25-34												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		25-34	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	35-44												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		35-44	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	45-54												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		45-54	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	55-64												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		55-64	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	65-74												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		65-74	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	75-84												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		75-84	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	85+												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		85+	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	total	0	0	0	0	0	0	0	0	0	0		0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		Total	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
			Sex Data		Demographic Data																																	Age-adjusted Rates per 100,000 population
Deaths	Age	Number of deaths- Total	Male	Female	White-Not Hispanic	Hispanic	Black-Not Hispanic	Asian	American Indian /Alaska Native	Other	Other		State population - Total	Rate	State population - Male	Rate	State population - Female	Rate	White-Not Hispanic	Rate	Hispanic	Rate	Black-Not Hispanic	Rate	Asian	Rate	American Indian /Alaska Native	Rate	Other	Rate	Other	Rate		2000 Standard population - from "Populations" tab	Weight		Age	Total	Male	Female	White-Not Hispanic	Hispanic	Black-Not Hispanic	Asian	American Indian /Alaska Native	Other	Other
	<1												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		<1	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	1-4												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		1-4	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	5-9												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		5-9	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	10-14												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		10-14	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	15-19												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		15-19	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	20-24												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		20-24	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	25-34												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		25-34	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	35-44												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		35-44	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	45-54												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		45-54	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	55-64												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		55-64	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	65-74												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		65-74	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	75-84												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		75-84	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	85+												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		85+	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	total	0	0	0	0	0	0	0	0	0	0		0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		Total	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0

---

Sheet 9: Year 5

Year 5	Data Input Tables Instructions: Enter your unintentional child injury-related injury data in the red cells below. The age-adjusted rates will automatically calculate in the results table.				Please make note of your program's data supression guidelines. Depending on counts, you may need to combine data years, age groups, and/or race/ethnicity groups.								Crude rate per 100,000 calculations																					Population values and weights will automatically populate here based on values entered in the "Populations" tab			Results Table Age Adjusted Rates per 100,1000. Results will calculate automatically.
			Sex Data		Demographic Data																																	Age-adjusted Rates per 100,000 population
Nonfatal Hospitalizations	Age	Number of hospitalizations- Total	Male	Female	White-Not Hispanic	Hispanic	Black-Not Hispanic	Asian	American Indian/Alaska Native	Other	Other		State population - Total	Rate	State population - Male	Rate	State population - Female	Rate	White-Not Hispanic	Rate	Hispanic	Rate	Black-Not Hispanic	Rate	Asian	Rate	American Indian /Alaska Native	Rate	Other	Rate	Other	Rate		2000 Standard population - from "Populations" tab	2000 state population weights		Age	Total	Male	Female	White-Not Hispanic	Hispanic	Black-Not Hispanic	Asian	American Indian /Alaska Native	Other	Other
	<1												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		<1	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	1-4												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		1-4	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	5-9												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		5-9	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	10-14												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		10-14	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	15-19												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		15-19	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	20-24												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		20-24	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	25-34												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		25-34	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	35-44												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		35-44	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	45-54												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		45-54	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	55-64												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		55-64	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	65-74												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		65-74	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	75-84												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		75-84	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	85+												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		85+	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	total	0	0	0	0	0	0	0	0	0	0		0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		Total	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
			Sex Data		Demographic Data																																	Age-adjusted Rates per 100,000 population
Nonfatal ED Visits	Age	Number of ED visits- Total	Male	Female	White-Not Hispanic	Hispanic	Black-Not Hispanic	Asian	American Indian/Alaska Native	Other	Other		State population - Total	Rate	State population - Male	Rate	State population - Female	Rate	White-Not Hispanic	Rate	Hispanic	Rate	Black-Not Hispanic	Rate	Asian	Rate	American Indian /Alaska Native	Rate	Other	Rate	Other	Rate		2000 Standard population - from "Populations" tab	Weight		Age	Total	Male	Female	White-Not Hispanic	Hispanic	Black-Not Hispanic	Asian	American Indian /Alaska Native	Other	Other
	<1												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		<1	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	1-4												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		1-4	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	5-9												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		5-9	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	10-14												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		10-14	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	15-19												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		15-19	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	20-24												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		20-24	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	25-34												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		25-34	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	35-44												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		35-44	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	45-54												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		45-54	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	55-64												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		55-64	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	65-74												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		65-74	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	75-84												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		75-84	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	85+												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		85+	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	total	0	0	0	0	0	0	0	0	0	0		0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		Total	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
			Sex Data		Demographic Data																																	Age-adjusted Rates per 100,000 population
Deaths	Age	Number of deaths- Total	Male	Female	White-Not Hispanic	Hispanic	Black-Not Hispanic	Asian	American Indian/Alaska Native	Other	Other		State population - Total	Rate	State population - Male	Rate	State population - Female	Rate	White-Not Hispanic	Rate	Hispanic	Rate	Black-Not Hispanic	Rate	Asian	Rate	American Indian /Alaska Native	Rate	Other	Rate	Other	Rate		2000 Standard population - from "Populations" tab	Weight		Age	Total	Male	Female	White-Not Hispanic	Hispanic	Black-Not Hispanic	Asian	American Indian /Alaska Native	Other	Other
	<1												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		<1	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	1-4												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		1-4	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	5-9												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		5-9	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	10-14												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		10-14	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	15-19												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		15-19	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	20-24												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		20-24	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	25-34												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		25-34	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	35-44												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		35-44	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	45-54												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		45-54	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	55-64												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		55-64	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	65-74												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		65-74	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	75-84												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		75-84	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	85+												0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		85+	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	total	0	0	0	0	0	0	0	0	0	0		0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		Total	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0

---

Sheet 10: Health Region Rates

Year 5	Data Input Tables Instructions: Enter your unintentional child injury-related injury data in the red cells below. The age-adjusted rates will automatically calculate in the results table.						Please make note of your program's data supression guidelines. Depending on counts, you may need to combine data years, age groups, and/or race/ethnicity groups.																Crude rate per 100,000 calculations																																									Population values and weights will automatically populate here based on values entered in the "Populations" tab			Results Table Age Adjusted Rates per 100,1000. Results will calculate automatically.
		Region Data
Nonfatal Hospitalizations	Age	Region 1	Region 2	Region 3	Region 4	Region 5	Region 6	Region 7	Region 8	Region 9	Region 10	Region 11	Region 12	Region 13	Region 14	Region 15	Region 16	Region 17	Region 18	Region 19	Region 20		Region 1	Rate	Region 2	Rate	Region 3	Rate	Region 4	Rate	Region 5	Rate	Region 6	Rate	Region 7	Rate	Region 8	Rate	Region 9	Rate	Region 10	Rate	Region 11	Rate	Region 12	Rate	Region 13	Rate	Region 14	Rate	Region 15	Rate	Region 16	Rate	Region 17	Rate	Region 18	Rate	Region 19	Rate	Region 20	Rate		2000 State population - from "Populations" tab	Weight		Age	Region 1	Region 2	Region 3	Region 4	Region 5	Region 6	Region 7	Region 8	Region 9	Region 10	Region 11	Region 12	Region 13	Region 14	Region 15	Region 16	Region 17	Region 18	Region 19	Region 20
	<1																						0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		<1	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	1-4																						0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		1-4	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	5-9																						0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		5-9	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	10-14																						0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		10-14	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	15-19																						0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		15-19	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	20-24																						0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		20-24	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	25-34																						0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		25-34	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	35-44																						0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		35-44	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	45-54																						0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		45-54	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	55-64																						0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		55-64	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	65-74																						0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		65-74	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	75-84																						0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		75-84	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	85+																						0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		85+	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
	total	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		Total	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
		Rename regions in the "Health Regions" tab only
		Region Data
Nonfatal ED Visits	Age	Region 1	Region 2	Region 3	Region 4	Region 5	Region 6	Region 7	Region 8	Region 9	Region 10	Region 11	Region 12	Region 13	Region 14	Region 15	Region 16	Region 17	Region 18	Region 19	Region 20		Region 1	Rate	Region 2	Rate	Region 3	Rate	Region 4	Rate	Region 5	Rate	Region 6	Rate	Region 7	Rate	Region 8	Rate	Region 9	Rate	Region 10	Rate	Region 11	Rate	Region 12	Rate	Region 13	Rate	Region 14	Rate	Region 15	Rate	Region 16	Rate	Region 17	Rate	Region 18	Rate	Region 19	Rate	Region 20	Rate		2000 State population - from "Populations" tab	Weight		Age	Region 1	Region 2	Region 3	Region 4	Region 5	Region 6	Region 7	Region 8	Region 9	Region 10	Region 11	Region 12	Region 13	Region 14	Region 15	Region 16	Region 17	Region 18	Region 19	Region 20
	<1																						0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		<1	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0
	1-4																						0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		1-4	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0
	5-9																						0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		5-9	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0
	10-14																						0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		10-14	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0
	15-19																						0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		15-19	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0
	20-24																						0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		20-24	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0
	25-34																						0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		25-34	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0
	35-44																						0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		35-44	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0
	45-54																						0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		45-54	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0
	55-64																						0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		55-64	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0
	65-74																						0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		65-74	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0
	75-84																						0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		75-84	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0
	85+																						0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		85+	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0
	total	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		Total	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0

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Sheet 11: Optional Year 1-5 Rates

Instruction: Data in this tab is optional and can be referenced to see trends in data to fill in text sections of the Special Emphasis Report Form This tab will automatically fill with data from the Year 1 through Year 5 tabs. The information in this tab can be used to complete the "Burden and Overview" section of the MVT Special Emphasis report. The average annual change in MVT injury age-adjusted rates per 100,000 over 5 years (not percentage change) is shown in this tab for hospitalizations, ED visits, and deaths across race/ethnicity, sex, and age groups.
Years will autofill using "Populations" tab	Year 1 - Year 5 total MVT non-fatal and fatal injury rates
	Hopitalization	ED	Death
Year 5	0.0	0.0	0.0
Year 4	0.0	0.0	0.0
Year 3	0.0	0.0	0.0
Year 2	0.0	0.0	0.0
Year 1	0.0	0.0	0.0
	Year 1 - Year 5 hospitalization rates across age groups
age group	Year 5	Year 4	Year 3	Year 2	Year 1
<1	0.0	0.0	0.0	0.0	0.0
1-4	0.0	0.0	0.0	0.0	0.0
5-9	0.0	0.0	0.0	0.0	0.0
10-14	0.0	0.0	0.0	0.0	0.0
15-19	0.0	0.0	0.0	0.0	0.0
20-24	0.0	0.0	0.0	0.0	0.0
25-34	0.0	0.0	0.0	0.0	0.0
35-44	0.0	0.0	0.0	0.0	0.0
45-54	0.0	0.0	0.0	0.0	0.0
55-64	0.0	0.0	0.0	0.0	0.0
65-74	0.0	0.0	0.0	0.0	0.0
75-84	0.0	0.0	0.0	0.0	0.0
85+	0.0	0.0	0.0	0.0	0.0
	Year 1 - Year 5 ED rates across age groups
age group	Year 5	Year 4	Year 3	Year 2	Year 1
<1	0.0	0.0	0.0	0.0	0.0
1-4	0.0	0.0	0.0	0.0	0.0
5-9	0.0	0.0	0.0	0.0	0.0
10-14	0.0	0.0	0.0	0.0	0.0
15-19	0.0	0.0	0.0	0.0	0.0
20-24	0.0	0.0	0.0	0.0	0.0
25-34	0.0	0.0	0.0	0.0	0.0
35-44	0.0	0.0	0.0	0.0	0.0
45-54	0.0	0.0	0.0	0.0	0.0
55-64	0.0	0.0	0.0	0.0	0.0
65-74	0.0	0.0	0.0	0.0	0.0
75-84	0.0	0.0	0.0	0.0	0.0
85+	0.0	0.0	0.0	0.0	0.0
	Year 1 - Year 5 death rates across age groups
age group	Year 5	Year 4	Year 3	Year 2	Year 1
<1	0.0	0.0	0.0	0.0	0.0
1-4	0.0	0.0	0.0	0.0	0.0
5-9	0.0	0.0	0.0	0.0	0.0
10-14	0.0	0.0	0.0	0.0	0.0
15-19	0.0	0.0	0.0	0.0	0.0
20-24	0.0	0.0	0.0	0.0	0.0
25-34	0.0	0.0	0.0	0.0	0.0
35-44	0.0	0.0	0.0	0.0	0.0
45-54	0.0	0.0	0.0	0.0	0.0
55-64	0.0	0.0	0.0	0.0	0.0
65-74	0.0	0.0	0.0	0.0	0.0
75-84	0.0	0.0	0.0	0.0	0.0
85+	0.0	0.0	0.0	0.0	0.0
	Year 1 - Year 5 hospitalization rates across race/ethnicity and sex
	Year 5	Year 4	Year 3	Year 2	Year 1
White-Not Hispanic	0.0	0.0	0.0	0.0	0.0
Hispanic	0.0	0.0	0.0	0.0	0.0
Black-Not Hispanic	0.0	0.0	0.0	0.0	0.0
Asian	0.0	0.0	0.0	0.0	0.0
American Indian /Alaska Native	0.0	0.0	0.0	0.0	0.0
Other	0.0	0.0	0.0	0.0	0.0
Male	0.0	0.0	0.0	0.0	0.0
Female	0.0	0.0	0.0	0.0	0.0
	Year 1 - Year 5 ED rates across race/ethnicity and sex
	Year 5	Year 4	Year 3	Year 2	Year 1
White-Not Hispanic	0.0	0.0	0.0	0.0	0.0
Hispanic	0.0	0.0	0.0	0.0	0.0
Black-Not Hispanic	0.0	0.0	0.0	0.0	0.0
Asian	0.0	0.0	0.0	0.0	0.0
American Indian /Alaska Native	0.0	0.0	0.0	0.0	0.0
Other	0.0	0.0	0.0	0.0	0.0
Male	0.0	0.0	0.0	0.0	0.0
Female	0.0	0.0	0.0	0.0	0.0
	Year 1 - Year 5 death rates across race/ethnicity and sex
	Year 5	Year 4	Year 3	Year 2	Year 1
White-Not Hispanic	0.0	0.0	0.0	0.0	0.0
Hispanic	0.0	0.0	0.0	0.0	0.0
Black-Not Hispanic	0.0	0.0	0.0	0.0	0.0
Asian	0.0	0.0	0.0	0.0	0.0
American Indian /Alaska Native	0.0	0.0	0.0	0.0	0.0
Other	0.0	0.0	0.0	0.0	0.0
Male	0.0	0.0	0.0	0.0	0.0
Female	0.0	0.0	0.0	0.0	0.0

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Sheet 12: Figure 1

Please enter ED Visits, Hospitalizations, and Fatalities for the most recent data year in row 6 to populate the pyramid
		ED Visits	Hospitalizations	Fatalities
	Item	58000	22315	32000

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Sheet 13: Figure 2

Instruction: Years can be edited in column B given your dataset. Data for years 1-5 in prior tabs will automatically populate with years from the "Populations" tab. Figure 2 reflects MVT fatality rates over 10 years.
Year	Year label - modify years in this column to reflect in graph	Please enter fatality rates for each year to reflect in the graph. These rates can be age-adjusted if the data is available.	data year label
1	Year 1	1	0
2	Year 2	2	0
3	Year 3	3	0
4	Year 4	4	0
5	Year 5		0
6	Year 6		0
7	Year 7		0
8	Year 8		0
9	Year 9		0
10	Year 10		0
11	Year 11		0
12	Year 12		0

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Sheet 14: Figure 3

FIGURE 3: Percent of Unintentional MTV Injuries by Type of Person, (Years, State)
Instruction: The type of person type can be modified in rows A7, A8, A9, and A10 if necessary. Please enter fatality, hospitalization, and ED visit data in Rows 6 through 10.
Number by person type
	Deaths	Hospitalizations	ED Visits
Occupant / Unspecified	2	6	5
Motorcyclist	3	9	15
Pedestrian	12	14	13
Pedal cyclist	5	6	7
Other	11	13	9
TOTAL	33	48	49
Percent by person type
	Deaths	Hospitalizations	ED Visits
Occupant / Unspecified	6.1	12.5	10.2
Motorcyclist	9.1	18.8	30.6
Pedestrian	36.4	29.2	26.5
Pedal cyclist	15.2	12.5	14.3
Other	33.3	27.1	18.4
TOTAL	100.0%	100.0%	100.0%
Instruction: Please do not edit data in rows 27 through 29, they will autofill with data from rows 6 through 10
Values are shown as percentages	Occupant / Unspecified	Motorcyclist	Pedestrian	Pedal cyclist	Other
ED Visits	10.2	30.6	26.5	14.3	18.4
Hospitalizations	12.5	18.8	29.2	12.5	27.1
Fatalities	6.1	9.1	36.4	15.2	33.3

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Sheet 15: Figure 4

Figure 4: Death or Non-fatal Unintentional Motor Vehicle Traffic-Occupant Injuries by Sex

Instruction: Enter years and data in the tables below to populate graphs for Figure 4. Select which graph they would like to include for Figure 4.

Death rates

Total

Male

Female

Year 1

Year 2

Year 3

Year 4

Year 5

Year 6

Year 7

Year 8

Year 9

Year 10

Year 11

Year 12

Year 13

Year 14

Year 15

Year 16

Year 17

Year 18

Year 19

Year 20

Hospitalizations rates

Total

Male

Female

Year 5

Year 4

Year 3

Year 2

Year 1

ED Visits rates

Total

Male

Female

Year 5

Year 4

Year 3

Year 2

Year 1

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Sheet 16: Figure 5

Instruction: Please use the populations for these age groups to calculate age-specific hospitalization rates for data years you would like to include in the Figure 5 graph. Years in row 3 can be edited to reflect the data years you would like to see in the Figure 5 graph.
age group	Year 5	Year 4	Year 3	Year 2	Year 1
0-14
15-19
20-24
25-44
45-64
65+

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Sheet 17: Figure 6

Instruction: Modify race/ethnicity groups as needed below. Enter hospitalization rates for most recent data year. Rates can be pulled from the "Totals" tab or tabs for "Year 1" through "Year 5"
White-Not Hispanic	1
Hispanic	2
Black-Not Hispanic	3
Asian	4
American Indian/Alaska Native	5
Other	6
Other	7

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Sheet 18: Quick Facts

The links below can be used to compile information for the Quick Facts section on Page 2 of the MVT Special Emphasis Report
MVT State Facts:		Data Source:	Web Link:	Sub-category	Table	Comments
Percent of State/Region drivers wearing seat belts		Fatal Analysis Reporting System (FARS)	https://cdan.nhtsa.gov/stsi.htm	State Traffic Safety Information (STSI)	Table: Traffic Safety Performance (Core Outcome) Measures	Website also includes county data
Percent of State/Region driver fatalities not restrained		Fatal Analysis Reporting System (FARS)	https://cdan.nhtsa.gov/tsftables/tsfar.htm	Traffic Safety Facts Annual Report Tables (TSFAR)	Table 84: Drivers Involved in Crashes, by Vehicle Type, Restraint Use, and Crash Severity, 2017	Located within “People – Restraints”
Number of lives saved if 100% of drivers wore seat belts		Fatal Analysis Reporting System (FARS)	https://cdan.nhtsa.gov/stsi.htm	State Traffic Safety Information (STSI)	Table: (State) Passenger Vehicle Occupant Fatalities by Restraint Use and Lives Saved Estimates (Ages 5+)
Percent of fatal drivers with BAC higher than .08		Fatal Analysis Reporting System (FARS)	https://cdan.nhtsa.gov/stsi.htm	State Traffic Safety Information (STSI)	Table: Alcohol-Impaired Driving Fatalities
Percent of seat belt use among teens (see below footnotes)		Youth Risk Behavioral Survey (YRBS)	https://www.cdc.gov/healthyyouth/data/yrbs	State Data can be downloaded		Check state public health department for reports
How many times did you ride with someone whose been drinking? (Percentage)		Youth Risk Behavioral Survey (YRBS)	https://www.cdc.gov/healthyyouth/data/yrbs	State Data can be downloaded
How many times did you text or e-mail? (Percentage)		Youth Risk Behavioral Survey (YRBS)	https://www.cdc.gov/healthyyouth/data/yrbs	State Data can be downloaded
Lifetime cost of MVT injuries in <State/Region>		National Center for Health Statistics (NCHS)	https://www.cdc.gov/injury/wisqars	Cost of Injury Data
Can also include whether your state has a primary or secondary seat belt law.		Governors Highway Safety Administration (GHSA)	https://www.ghsa.org/state-laws	All states have laws governing various driver behaviors, from distracted driving to motorcyle helmet use		Drop down menus by State and Topic
YRBS: 2017/2019 Youth Behavioral Survey provides seat belt use; driving and drinking (YRBS), rode w/driver who had been drinking (YRBS).
YRBS also has texting and marijuana driving questions too.
Please use percentages to report YRBS teen data
Q1) How often do you wear a seat belt when riding in a car driven by someone else?
Options: Never, Rarely, Sometimes, Most of the time, Always
Q2) During the past 30 days, how many times did you ride in a car or other vehicle driven by someone who had been drinking alcohol (0, 1, 2 or 3, 4 or 5, 6+).
Options: 0, 1, 2 or 3, 4 or 5, 6+
Q3) During the past 30 days, on how many days did you text or e-mail while driving a car or other vehicle
Options: I did not drive a car or other vehicle during the past 30 days, 0 days, 1 or 2 days, 3 to 5 days, 6 to 9 days, 10 to 19 days, 20 to 29 days, All 30 days

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Sheet 19: Report