Appendixes and Other References

• Appendix A: Rates of COPD Hospitalization by County
• Appendix B: Rates of Chronic Lower Respiratory Disease Mortality by State
• Appendix C: Rates of Chronic Lower Respiratory Disease by County
• References

Appendix A Rates of COPD Hospitalization by County West Virginia Inpatient Records, 2000
County	2000 Census	Discharges	Rate per 10,000	Rank
Barbour	15,557	97	62.4	20
Berkeley	75,905	155	20.4	53
Boone	25,535	167	65.4	17
Braxton	14,702	75	51.0	27
Brooke	25,477	116	45.6	31
Cabell	96,784	368	38.0	39
Calhoun	7,582	69	91.0	6
Clay	10,330	54	52.3	25
Doddridge	7,403	29	39.2	37
Fayette	47,579	535	112.4	3
Gilmer	7,160	96	134.1	2
Grant	11,229	50	44.3	32
Greenbrier	34,453	105	30.5	46
Hampshire	20,203	38	18.8	54
Hancock	32,667	180	55.1	24
Hardy	12,669	44	34.7	41
Harrison	68,652	475	69.2	15
Jackson	28,000	199	71.1	13
Jefferson	42,190	91	21.6	51
Kanawha	200,073	808	40.4	36
Lewis	16,919	269	159.0	1
Lincoln	22,018	85	38.4	38
Logan	37,710	286	75.8	10
McDowell	27,329	192	70.3	14
Marion	56,598	190	33.6	43
Marshall	35,519	217	61.1	21
Mason	25,957	218	84.0	8
Mercer	62,980	460	73.0	12
Mineral	27,078	151	55.8	23
Mingo	28,253	316	111.8	4
Monongalia	81,866	198	24.2	48
Monroe	14,583	35	24.0	49
Morgan	14,943	17	11.4	55
Nicholas	26,562	117	44.0	33
Ohio	47,427	242	51.0	26
Pendleton	8,196	24	29.3	47
Pleasants	7,514	27	35.9	40
Pocahontas	9,131	78	85.4	7
Preston	29,334	70	23.9	50
Putnam	51,589	166	32.2	44
Raleigh	79,220	596	75.2	11
Randolph	28,262	189	66.9	16
Ritchie	10,343	66	63.8	18
Roane	15,446	71	46.0	30
Summers	12,999	79	60.8	22
Taylor	16,089	33	20.5	52
Tucker	7,321	23	31.4	45
Tyler	9,592	33	34.4	42
Upshur	23,404	182	77.8	9
Wayne	42,903	209	48.7	28
Webster	9,719	40	41.2	35
Wetzel	17,693	75	42.4	34
Wirt	5,873	28	47.7	29
Wood	87,986	550	62.5	19
Wyoming	25,708	238	92.6	5
WV Total	1,808,344	9,521	52.7

Appendix B Chronic Lower Respiratory Disease Rates* by State United States, 2000
State	Rate per 100,000 Populations	Rank
Alabama	46.0	27
Alaska	46.9	25
Arizona	51.6	12
Arkansas	49.2	18
California	43.2	35
Colorado	53.6	8
Connecticut	40.2	42
Delaware	45.3	30
Florida	41.3	39
Georgia	49.9	15
Hawaii	22.1	50
Idaho	49.1	20
Illinois	39.5	44
Indiana	51.7	11
Iowa	43.3	34
Kansas	49.2	18
Kentucky	55.3	5
Louisiana	42.4	36
Maine	55.0	6
Maryland	40.8	41
Massachusette	42.1	37
Michigan	44.7	32
Minnesota	39.2	45
Mississippi	47.5	22
Missouri	47.4	24
Montana	53.9	7
Nebraska	45.4	29
Nevada	63.1	2
New Hampshire	50.8	13
New Jersey	34.0	49
New Mexico	48.5	21
New York	34.6	47
North Carolina	49.3	16
North Dakota	38.9	46
Ohio	50.6	14
Oklahoma	55.4	4
Oregon	47.5	22
Pennsylvania	40.9	40
Rhode Island	40.1	43
South Carolina	46.5	26
South Dakota	44.2	33
Tennessee	53.3	9
Texas	45.1	31
Utah	34.5	48
Vermont	52.9	10
Virginia	45.6	28
Washington	49.3	16
West Virginia	63.2	1
Wisconsin	41.6	38
Wyoming	63.1	2
U.S. Rate	44.3
Source: USDHHS, NCHS *Age adjusted to the 2000 U.S. standard million.

Appendix C Chronic Lower Respiratory Disease By County West Virginia Resident Deaths, 2000
County	Number of Deaths	Crude Rate per 100,000 Population	Adjusted Rate* per 100,000 Population	Rank
Barbour	14	90.0	72.5	14
Berkeley	33	43.5	50.9	43
Boone	23	90.1	88.4	6
Braxton	5	34.0	30.4	54
Brooke	25	98.2	70.4	17
Cabell	59	61.0	50.0	46
Calhoun	8	105.5	81.1	10
Clay	10	96.8	86.3	7
Doddridge	6	81.0	74.3	13
Fayette	37	77.8	61.4	27
Gilmer	6	83.8	65.4	22
Grant	7	62.0	52.2	42
Greenbrier	29	84.2	60.7	29
Hampshire	16	79.2	70.8	15
Hancock	19	58.2	40.9	52
Hardy	6	47.4	42.0	51
Harrison	58	84.5	64.4	24
Jackson	18	64.3	54.3	37
Jefferson	22	52.1	61.3	28
Kanawha	176	88.0	68.4	19
Lewis	17	100.5	78.1	11
Lincoln	21	95.0	92.7	4
Logan	34	90.2	85.0	8
McDowell	35	128.1	102.8	3
Marion	62	109.5	75.7	12
Marshall	28	78.8	64.4	23
Mason	17	65.5	55.4	34
Mercer	48	76.2	57.3	31
Mineral	20	73.9	62.6	25
Mingo	35	123.9	130.2	1
Monongalia	32	39.1	45.9	49
Monroe	6	41.1	34.3	53
Morgan	10	66.9	52.3	41
Nicholas	25	94.1	83.1	9
Ohio	46	97.0	67.8	21
Pendleton	2	24.4	17.6	55
Pleasants	8	106.5	91.6	5
Pocahontas	7	76.7	54.9	35
Preston	19	64.8	55.9	33
Putnam	25	48.5	53.3	39
Raleigh	51	64.4	54.3	36
Randolph	24	84.9	68.3	20
Ritchie	9	87.0	70.5	16
Roane	8	51.8	44.2	50
Summers	10	76.9	50.1	45
Taylor	11	68.4	56.6	32
Tucker	5	68.3	46.7	48
Tyler	7	73.0	59.3	30
Upshur	17	72.6	61.6	26
Wayne	32	74.6	69.2	18
Webster	6	61.7	50.9	44
Wetzel	11	62.2	49.3	47
Wirt	3	51.1	54.0	38
Wood	57	64.8	52.9	40
Wyoming	28	108.9	108.8	2
WV Total	1,353	74.8	63.2
*Age adjusted to the 2000 U.S. standard million.

REFERENCES

1. National Heart, Lung, and Blood Institute. Data Fact Sheet: Chronic obstructive pulmonary disease (COPD). Bethesda, MD: National Institutes of Health, National Heart, Lung, and Blood Institute, May 2001.
2. Indiana State Department of Health. 2002 Minority Health Disparity Report. Online. 25 November 2002. http://www.in.gov/isdh/publications/minority2001/copd-clrd.htm.
3. Petty TL. A new national strategy for COPD. J Resp Dis 1997;18(4):365-369.
4. American Lung Association. Fact Sheet: Asthma in adults. Online. 7 April 2003. http://www.lungusa.org/asthma/aduasthmfac99.html.
5. American Lung Association. Fact Sheet: Chronic obstructive pulmonary disease (COPD). Online. March 2002. http://www.lungusa.org/diseases/copd_factsheet.html.
6. Pleis JR and Coles R. Summary health statistics for U.S. adults: National Health Interview Survey, 1998. National Center for Health Statistics. Vital Health Stat 2002;10(209).
7. PSV Pharmacies, Inc. Respiratory disease statistics for senior citizens. Online. 12 March 2003. http://respmeds.com/psvstats.htm.
8. Terry PB. The Merck Manual of Geriatrics. Chapter 78: Chronic obstructive pulmonary disease. Online. http://www.merck.com/pubs/mm_geriatrics/sec10/ch78.htm.
9. American Lung Association. Diseases A to Z: Chronic bronchitis. Online. 26 November 2002. http://www.lungusa.org/diseases/lungchronic.html.
10. Ferguson GT, Enright PL, Buist AS, and Higgins MW. Office spirometry for lung health assessment in adults: a consensus statement from the National Lung Health Education Program. Resp Care 2000;45(5):513-530.
11. American Lung Association. Diseases A to Z: Emphysema. Online. 11 December 2002. http://www.lungusa.org/diseases/lungemphysem.html.
12. The definition of COPD. Online. 9 April 2003. http://www.priory.com/cmol/definiti.htm.
13. Centers for Disease Control and Prevention. National Center for Chronic Disease Prevention and Health Promotion. Behavioral Risk Factor Surveillance System. Prevalence data. Online. 15 April 2003. http://apps.nccd.cdc.gov/brfss.
14. American Lung Association. Fact Sheet: Asthma in children. March 2002. Online. http://www.lungusa.org/asthma/ascpedfac99.html.
15. West Virginia Bureau for Public Health. West Virginia Healthy People 2010. Charleston, WV: West Virginia Bureau for Public Health, Office of Epidemiology and Health Promotion, 2001.
16. University of Nebraska Medical Center. News release: UNMC researchers take aim on chronic obstructive pulmonary disease. Online. 17 August 2001. http://www.unmc.edu/News/copd.htm.
17. Prescott E. Commentary: Tobacco-related diseases: a gender differential? Int J Epidemiol 2001;30:793-794.
18. American Thoracic Society. ATS International Conference, San Francisco, CA, May 18-23, 2001. Symposium. Closing the gender gap: women and COPD. Online. http://www.macmcm.com/ats/ats2001_01.htm.
19. Fish JE. Asthma prevalence, diagnosis, management, and mortality. Online. 17 June 2003. http://www.geocities.com/Heartland/Pointe/9315/research2.html.
20. American Lung Association. Minority lung disease data. Online. 25 November 2003. http://www.lungusa.org/pub/minority/asthma_00.html.
21. American Academy of Allergy, Asthma and Immunology. Media Resources: Media Kit. Asthma statistics. Online. 17 June 2003. http://www.aaaai.org/media/resources/media_kit/asthma_statistics.stm.
22. Child Trends DataBank. Health status and disability: asthma. Online. 3 April 2003. http://childtrendsdatabank.org/health/status/43Asthma.htm.
23. Associated Press. Study: 1 in 4 Harlem children has asthma. Online. 21 April 2003. http://abcnews.go.com/wire/US/ap20030421_473.html.
24. West Virginia Bureau for Public Health. The Impact of Asthma in West Virginia. Charleston, WV: West Virginia Bureau for Public Health, Office of Epidemiology and Health Promotion, 2003.
25. National Heart, Lung, and Blood Institute. NHLB/WHO Workshop Report: Global Initiative for Chronic Obstructive Lung Disease. Chapter 3: Risk factors. Online. 2 April 2003. http://www.goldcopd.com/workshop/ch3.html.
26. University of Southampton Asthma Genetics Group. New asthma research. Online. 8 April 2003. http://www.medschool.soton.ac.uk/research/rcmb/groups/Genetics/ast_gen.htm.
27. Blanc PD and Toren K. How much adult asthma can be attributed to occupational factors? Am J Med 1999;107(6):580-587.
28. The causes of COPD and who is at risk? 9 April 2003. Online. http://www.priory.com/cmol/causesof.htm.
29. Cockcroft DW, Berscheid BA, and Murdock KY. Unimodal distribution of bronchial responsiveness to inhaled histamine in a random human population. Chest 1983;83:751-754.
30. American Lung Association. Fact Sheet: Environmental tobacco smoke (ETS). Online. 9 April 2003. http://www.lungusa.org/tobacco/smkseconfac.html.
31. BBC News. Health. Passive smoking ‘causes asthma.’ Online. 25 September 2001. http://news.bbc.co.uk/1/hi/health/1562147.stm.
32. Leuenberger P, Schwarz J, Ackermann-Liebrich U, Blaser K, Bolognini G, Bongard JP, Brandli O, Braun P, Bron C, and Brutsche M. Passive smoking exposure in adults and chronic respiratory symptoms (SAPALDIA Study). Swiss study on air pollution and lung diseases in adults, SAPALDIA Team. Am J Respir Crit Care Med 1994;150(5):1222.
33. Iribarren C, Friedman GD, Klatsky AL, and Eisner MD. Exposure to environmental tobacco smoke: association with personal characteristics and self reported health conditions. J Epidemiol Community Health 2001;55:721-728.
34. Hnizdo E, Sullivan PA, Bang KM, and Wagner G. Association between chronic obstructive pulmonary disease and employment by industry and occupation in the US population: a study of data from the Third National Health and Nutrition Examination Survey. Am J Epidemiol 2002;156:738-746.
35. Zock JP, Sunyer J, Kogevinas M, Kromhout H, Burney P, Anto JM, and the ECRHS Study Group. Occupation, chronic bronchitis, and lung function in young adults: an international study. Am J Respir Crit Care Med 2001;163(7):1572-1577.
36. Fishwick D, Bradshaw LM, D’Souza W, Town I, Armstrong R, Pearce N, and Crane J. Chronic bronchitis, shortness of breath, and airway obstruction by occupation in New Zealand. Am J Respir Crit Care Med 1997;156(5):1440-1446.
37. Beeckman LF, Wang M, Petsonk EL, and Wagner GR. Rapid declines in FEV1 and subsequent respiratory symptoms, illnesses, and mortality in coal miners in the United States. Am J Respir Crit Care Med 2001;163(3):633-639.
38. Wang M, Petsonk EL, Beeckman L, and Wagner GR. Clinically important FEV1 declines among coal miners: an exploration of previously unrecognized determinants. Occup Environ Med 1999;56:837-844.
39. American Lung Association. COPD introduction and stats. Online. 12 March 2003. http://www.lungsandiego.org/copd/adults_stats.asp.
40. American Lung Association. Breathless in America: new survey reveals impact of chronic obstructive pulmonary disease. Online. 20 February 2001. http://www.lungusa.org/press/lung_dis/asn_copd21601.html.
41. American Lung Association. 1998 ALA/ATS International Conference Release: Gender differences seen in asthma, COPD and sleep apnea. Online. 27 April 1998. http://www.lungusa.org/press/lung_ass/asnic98_gender.html.
42. Eisner MD, Yelin EH, Trupin L, and Blanc PD. The influence of chronic respiratory conditions on health status and work disability. Am J Public Health 2002;92(9):1506-1513.
43. American Lung Association. Key Findings: the American Lung Association Asthma Survey. Online. 10 August 1998. http://www.lungusa.org/asthma/merck_key.html.
44. Pauwels RA, Buist AS, Calverly PMA, Jenkins CR, and Hurd SS. Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease. Am J Respir Crit Care Med 2001;163(5):1256-1276.
45. Coultas DB, Mapel D, Gagnon R, and Lydick E. The health impact of undiagnosed airflow obstruction in a national sample of United States adults. Am J Respir Crit Care Med 2001;164(3):372-377.
46. Chapman KR, Tashkin DP, and Pye DJ. Gender bias in the diagnosis of COPD. Chest 2001;119:1691-1695.
47. Scanlon PD, Connett JE, Waller LA, Altose MD, Bailey WC, and Buist AS. Smoking cessation and lung function in mild-to-moderate chronic obstructive pulmonary disease. The Lung Health Study. Thorax 2001;56(Suppl 2)ii7-ii10.
48. Pelkonen M, Notkola I-L, Tukiainen H, Tervahauta M, Tuomilehto J, and Nissinen A. Smoking cessation, decline in pulmonary function and total mortality: a 30 year follow up study among the Finnish cohorts of the Seven Countries Study. Thorax 2001;56:703-707.
49. Godtfredsen NS, Vestbo J, Osler M, and Prescott E. Risk of hospital admission for COPD following smoking cessation and reduction: a Danish population study. Thorax 2002;57:967-972.
50. Foglio K, Bianchi L, Bruletti G, Battista L, Pagani M, and Ambrosino N. Long-term effectiveness of pulmonary rehabilitation in patients with chronic airway obstruction. Eur Respir J 1999;13:125-132.
51. Hunter MH and King DE. COPD: Management of acute exacerbations and chronic stable disease. Am Fam Physician 2001;64(4):203-230.
52. Heath JM and Mongia R. Chronic bronchitis: primary care management. Am Fam Physician 1998;57(10):2365-2375.
53. Sokhandan M and Wilson FE. Diagnosing patients with COPD and OSA. Sleep Rev 2002;3(3).
54. O’Brien GM and Criner GJ. Symposium: surgery for severe COPD: lung volume reduction and lung transplantation. Postgraduate Medicine Online 1998;103(4). http://www.postgradmed.com/issues/1998/04_98/obrien.htm.
55. Ciccone AM, Meyers BF, Guthrie TJ, Davis GE, Yusan RD, Lefrak SS, Patterson GA, and Cooper JD. Long-term outcome of bilateral lung volume reduction in 250 consecutive patients with emphysema. J Thorac Cardiovasc Surg 2003;125:513-525.
56. What you need to know about asthma. Lung transplantation. Online. 21 April 2003. http://asthma.about.com/library/weekly/aal21601a.htm.
57. Wise RA. COPD: state of affairs. Johns Hopkins University School of Medicine Advanced Studies in Medicine. Online. 23 April 2003. http://www.jhasim.com/htmlfiles/Programs/volume3/number2B/cme_intro_Feb.html.
58. National Emphysema/COPD Association. Fact Sheet: Statistics on COPD and emphysema. Online. May 2002. http://cluster.Irri.org/NECA/fact_sheet.htm.
59. HomMed Home Monitoring System. Pressroom. Chronic obstructive pulmonary disease. Online. 10 April 2003. http://www.hommed.com/pressroom/chronic.asp.
60. Mannino DM, Brown C, and Giovino GA. Obstructive lung disease deaths in the United States from 1979 through 1993. Am J Respir Crit Care Med 1997;156(3):814-818.
61. McFadden ER and Warren EL. Observations on asthma mortality. Ann Intern Med 1997;127(2):142-147.
62. Clearbreathing. Asthma: how serious is asthma? Online. 24 April 2003. http://www.clearbreathing.com/disease/asthma_seriousness.asp.
63. American Lung Association. Epidemiology and Statistics Unit. Research and Scientific Affairs. Trends in Asthma Morbidity and Mortality. March 2003.
64. Agency for Healthcare Research and Quality. 1999 Medical Expenditure Panel Survey - Table Compendium. Rockville, MD. Online. March 2003. http://www.meps.ahrq.gov/CompendiumTables/TC_TOC.htm.
65. Pulmonary Education and Research Foundation. COPD: a new perspective. Second Wind Newsletter. Online. March 2002. http://www.perf2ndwind.org/html/news/2002/March-2002/index.html.
66. National Emphysema/COPD Association. Research. COPD: cost of care. Online. 13 January 2003. http://www.copdsupport.org/CostOfCare.htm.
67. Hilleman DE, Dewan N, Malesker M, and Friedman M. Pharmacoeconomic evaluation of COPD. Chest 2000;118:1278-1285.
68. Price-Check PC. Version 2.16. St. Louis, MO: Medi-span, 1999.
69. Sin DD, Stafinski T, Ng YC, Bell NR, and Jacobs P. The impact of chronic obstructive pulmonary disease on work loss in the United States. Am J Respir Crit Care Med 2002;165(5):704-707.
70. Leigh JP, Romano PS, Schenker MB, and Kreiss K. Costs of occupational COPD and asthma. Chest 2002;121(1):264-272.
71. Smog affects 25% in state: Cabell, Kanawha, Ohio among counties flunking national air survey. Charleston Gazette. 2 May 2003.
72. American Lung Association. State of the Air: 2003. West Virginia. Online. 5 June 2003. http://www.lungaction.org/reports/SOTA03_staterisk.html.
73. American Lung Association. Estimated prevalence of lung disease: May 2002. Online. 7 April 2003. http://www.lungusa.org/data/lae_02/table_wv02.html.
74. West Virginia Health Care Authority. Charleston, WV, 2000. Unpublished data.
75. Kozak LJ, Hall MJ, and Owings MF. National Hospital Discharge Survey:2000. National Center for Health Statistics. Vital Health Stat 2002;13(153).