1 | <?xml version="1.0" encoding="ISO-8859-1"?> |
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3 | <HTML_CONTENT xmlns:ibis="http://www.ibisph.org"> |
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4 | |
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5 | <ibis:doc> |
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6 | <name>resource/DeathDataReleases</name> |
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7 | <summary>Resources and Help page</summary> |
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8 | <description> |
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9 | </description> |
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10 | |
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11 | <author>Garth Braithwaite</author> |
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12 | <company>Utah Department of Health/Software Technology Group</company> |
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13 | <versions> |
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14 | <version><number>1.0</number><date>Sept 10, 2020</date><who>Katherine</who><description>initial release of DeathDataReleases</description></version> |
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15 | </versions> |
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16 | </ibis:doc> |
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17 | |
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18 | <TITLE>Death Data Release Notes</TITLE> |
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19 | |
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20 | <CONTENT> |
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21 | <br/> |
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22 | <h1>General Release Notes</h1> |
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23 | |
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24 | <h2>2019 Death</h2> |
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25 | <br/> |
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26 | <h3>New Primary Care Service Area Dimension</h3> We have added a new geographic dimension to the Death Module |
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27 | to cover primary care service areas. Primary care service areas were created to describe the delivery of |
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28 | primary health services in the State of Hawai'i through participation of multiple stakeholders in the early |
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29 | 1990's. The rural health associations of the Hawai'i, Maui and Kauai Counties delineated rational service |
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30 | areas under their respective jurisdictions. Neighborhoods were clustered into primary care service areas to |
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31 | provide information below the county or island level with demarcation between adjacent neighborhoods. Census |
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32 | tracts were used in defining these areas due to their availability in census and vital statistic data. |
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33 | <br/><br/> |
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34 | Here is a link to a document containing the Census Tract to Primary Care Service Area Crosswalk: |
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35 | <ibis:SelectionsList> |
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36 | <SELECTIONS> |
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37 | <SELECTION> |
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38 | <TITLE>HHDW Census Tract to Primary Care Service Area Crosswalk</TITLE> |
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39 | <DESCRIPTION>Excel file describing CT to PCSA crosswalk.</DESCRIPTION> |
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40 | <LOCAL_URL>contentfile/docs/Query/PCSA_CT_Crosswalk.pdf</LOCAL_URL> |
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41 | </SELECTION> |
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42 | </SELECTIONS> |
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43 | </ibis:SelectionsList> |
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44 | <br/><br/> |
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45 | |
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46 | <h1>All Years</h1> |
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47 | |
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48 | <h3>Population Estimates for Population-based Rates</h3> |
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49 | Annual population estimates are extracted each year from the U.S. Census, Population Division, Annual County Resident |
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50 | Population Estimates. These estimates change each year and provide the denominator for the crude death rates, by age, |
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51 | sex and census race, for the years 2000-2019. |
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52 | <br/><br/> |
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53 | However, population estimates for Hawai'i-specific race/ethnicities (DOH Race/Ethnicity) are not reportable for |
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54 | individual years, so a special 5 year aggregate population estimate file was created for Hawai'i, by the Data Products |
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55 | Development Branch, American Community Survey Office, U.S. Census Bureau. This 5 year aggregate (2010-2014) file was used to |
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56 | create a single average annual population estimate, which does not change and is used for all population-based rates by |
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57 | DOH Race/Ethnicity for the years 2010-2019. |
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58 | <br/><br/> |
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59 | Because HHDW uses two different population estimate files, death rates may vary slightly depending on which category |
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60 | you select your death rate indicator from - Population Rates with Census Race vs Population Rates by DOH Race/Ethnicity ONLY. |
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61 | Census Race and DOH Race/Ethnicity rates should not be compared directly. |
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62 | <br/><br/> |
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63 | <h3>Residence</h3> |
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64 | Data can be analyzed geographically by decendent's residence or occurence of death. Decedent's residence is based |
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65 | on the address provided on the death certificate as the place where the decedent resided at the time of death. |
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66 | Military members and dependents who live in Hawai'i at the time are classified as residents. |
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67 | <br/><br/> |
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68 | There are two measures for capturing geography in the Death Record - zip code and census tract. School complex and |
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69 | community are based on zip code and primary care service area is based on census tract. |
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70 | <br/><br/> |
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71 | <h3>Cell Suppression Criteria</h3> |
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72 | Cell suppression criteria have changed. In accordance with data use restrictions set forth by Hawai'i State Department |
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73 | of Health (DOH) and the National Center for Health Statistics (NCHS), cell counts of fewer than 9 events and rates |
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74 | based on counts of 9 or fewer will be suppressed, and rates based on counts of less than 20 will be regarded as |
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75 | unreliable and will also be suppressed. Suppressed data is denoted with a double asterisk (**). |
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76 | <br/><br/> |
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77 | Additional information on national standards for the collection and analysis of mortality |
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78 | statistics from the NCHS, National Vital Statistics System can be accessed<a href="https://www.cdc.gov/nchs/nvss/deaths.htm">here.</a> |
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79 | <br/><br/> |
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80 | |
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81 | <h3>Causes of Death</h3> |
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82 | While more than one cause of death can be listed on the death certificate, this system is based on the |
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83 | underlying cause-of-death which is defined by the World Health Organization (WHO) as "the disease or |
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84 | injury which initiated the train of events leading directly to death, or the circumstances of the accident |
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85 | or violence which produced the fatal injury." Underlying cause-of-death is selected from the conditions |
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86 | entered by the physician on the cause of death section of the death certificate. When more than one cause |
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87 | or condition is entered by the physician, the underlying cause is determined by the sequence of conditions |
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88 | on the certificate, provisions of the ICD-10 code, and associated selection rules and modifications. |
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89 | <br/> |
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90 | If you are interested in underlying and contributing causes of death, please contact us or visit |
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91 | CDC WONDER to access the<a href="https://wonder.cdc.gov/mcd.html">Multiple Cause of Death data file.</a> |
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92 | <br/><br/> |
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93 | Beginning with data for 2006, the valid ICD-10 codes used to classify causes of death changed. Effective with |
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94 | the 2006 data year, 18 codes were introduced as valid causes of death, and 4 codes were discontinued. Effective |
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95 | with the 2007 data year, 4 codes were introduced as valid causes of death, and 2 codes were discontinued. |
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96 | See<a href="https://wonder.cdc.gov/wonder/help/ucd.html#ICD-10%20Changes">ICD-10 Changes</a>for more information. |
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97 | <br/><br/> |
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98 | |
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99 | <h3>Race/Ethnicity Data</h3> |
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100 | The death certificate allows for up to 4 race/ethnicities to be captured for the decedent. The DOH Office of |
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101 | Health Status Monitoring (OHSM) uses the following algorithm to code a single race/ethnicity for |
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102 | each individual. |
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103 | <br/><br/> |
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104 | Only one ethnicity is coded from the actual certificates. If more than one ethnicity is listed on the |
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105 | certificate, the following rules apply: |
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106 | <ul> |
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107 | 1. If Hawaiian is one of the multiple ethnicities listed, Part-Hawaiian is coded.<br/> |
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108 | 2. If a non-Caucasian ethnicity is listed with a Caucasian ethnicity, the non-Caucasian ethnicity is coded.<br/> |
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109 | 3. If there is more than one non-Caucasian ethnicity listed, the first one is coded.<br/> |
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110 | 4. If there is more than one Caucasian ethnicity listed, the first one is coded.<br/> |
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111 | </ul> |
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112 | <br/> |
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113 | In HHDW, the most granular level is the program race/ethnicity (PRG) which rolls up into the DOH standard |
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114 | race/ethnicity (DOH), which rolls up into Census race reporting categories (Census). The table below illustrates |
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115 | how the data is aggregated. |
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116 | <br/><br/> |
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117 | |
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118 | <table class="Info"> |
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119 | <tr> |
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120 | <th colspan="4" class="TextAlignCenter LargerFont">Race/Ethnicity Classifications</th> |
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121 | </tr> |
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122 | <tr> |
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123 | <td class="Bold">Source Race/Ethnicity</td> |
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124 | <td class="Bold">Program Race/Ethnicity (PRG)</td> |
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125 | <td class="Bold">DOH Race/Ethnicity (DOH)</td> |
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126 | <td class="Bold">Census Race (Census)</td> |
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127 | </tr> |
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128 | <tr> |
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129 | <td>Asian Indian</td> |
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130 | <td>Asian Indian</td> |
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131 | <td>Other Asian</td> |
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132 | <td>Asian</td> |
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133 | </tr> |
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134 | <tr> |
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135 | <td>Black</td> |
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136 | <td>Black</td> |
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137 | <td>Black</td> |
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138 | <td>Black or African American</td> |
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139 | </tr> |
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140 | <tr> |
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141 | <td>Caucasian</td> |
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142 | <td>Caucasian</td> |
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143 | <td>Caucasian</td> |
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144 | <td>Caucasian</td> |
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145 | </tr> |
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146 | <tr> |
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147 | <td>Chinese</td> |
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148 | <td>Chinese</td> |
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149 | <td>Chinese</td> |
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150 | <td>Asian</td> |
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151 | </tr> |
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152 | <tr> |
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153 | <td>Cuban</td> |
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154 | <td>Cuban</td> |
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155 | <td>Other</td> |
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156 | <td>Other</td> |
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157 | </tr> |
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158 | <tr> |
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159 | <td>Filipino</td> |
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160 | <td>Filipino</td> |
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161 | <td>Filipino</td> |
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162 | <td>Asian</td> |
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163 | </tr> |
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164 | <tr> |
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165 | <td>Guamanian</td> |
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166 | <td>Guamanian</td> |
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167 | <td>Other Pacific Islander</td> |
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168 | <td>Native Hawaiian and Other Pacific Islander</td> |
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169 | </tr> |
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170 | <tr> |
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171 | <td>Hawaiian</td> |
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172 | <td>Hawaiian</td> |
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173 | <td>Native Hawaiian</td> |
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174 | <td>Native Hawaiian and Other Pacific Islander</td> |
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175 | </tr> |
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176 | <tr> |
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177 | <td>Part Hawaiian</td> |
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178 | <td>Part Hawaiian</td> |
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179 | <td>Native Hawaiian</td> |
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180 | <td>Native Hawaiian and Other Pacific Islander</td> |
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181 | </tr> |
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182 | <tr> |
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183 | <td>Indian</td> |
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184 | <td>Indian</td> |
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185 | <td>Native Alaskan/American Indian</td> |
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186 | <td>Native Alaskan/American Indian</td> |
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187 | </tr> |
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188 | <tr> |
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189 | <td>Japanese</td> |
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190 | <td>Japanese</td> |
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191 | <td>Japanese</td> |
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192 | <td>Asian</td> |
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193 | </tr> |
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194 | <tr> |
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195 | <td>Korean</td> |
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196 | <td>Korean</td> |
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197 | <td>Other Asian</td> |
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198 | <td>Asian</td> |
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199 | </tr> |
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200 | <tr> |
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201 | <td>Mexican</td> |
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202 | <td>Mexican</td> |
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203 | <td>Other</td> |
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204 | <td>Other</td> |
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205 | </tr> |
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206 | <tr> |
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207 | <td>Portuguese</td> |
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208 | <td>Portuguese</td> |
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209 | <td>Caucasian</td> |
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210 | <td>Caucasian</td> |
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211 | </tr> |
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212 | <tr> |
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213 | <td>Puerto Rican</td> |
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214 | <td>Puerto Rican</td> |
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215 | <td>Other</td> |
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216 | <td>Other</td> |
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217 | </tr> |
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218 | <tr> |
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219 | <td>Samoan</td> |
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220 | <td>Samoan</td> |
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221 | <td>Other Pacific Islander</td> |
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222 | <td>Native Hawaiian and Other Pacific Islander</td> |
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223 | </tr> |
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224 | <tr> |
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225 | <td>Vietnamese</td> |
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226 | <td>Vietnamese</td> |
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227 | <td>Other Asian</td> |
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228 | <td>Asian</td> |
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229 | </tr> |
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230 | <tr> |
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231 | <td>Other Asian</td> |
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232 | <td>Other Asian</td> |
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233 | <td>Other Asian</td> |
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234 | <td>Asian</td> |
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235 | </tr> |
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236 | </table> |
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237 | <br/><br/> |
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238 | </CONTENT> |
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239 | </HTML_CONTENT> |
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240 | |
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