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Draft Environmental Impact Statement for Roca Honda Mine

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Chapter 3. Affected Environment and <strong>Environmental</strong> Consequences<br />

General Health Indicators<br />

General health indicators provide a picture of the overall health status of the population. Selfrated<br />

health and mortality are important indicators that reflect population health and wellness and<br />

can be compared across time and regions to understand how the health of one population<br />

compares with the health of others.<br />

Self-rated health is one of the strongest and most consistent predictors of illness, premature death,<br />

health care utilization, and hospitalization (Idler and Benyamini, 1997). In 2008, 16.9 percent of<br />

the population in the northwest health region rated their health as fair or poor (NMDH, 2008a);<br />

this is very similar to the State of New Mexico at 17.9 percent.<br />

Leading causes of death <strong>for</strong> Cibola and McKinley Counties are listed in table 76. The leading<br />

causes of death <strong>for</strong> Cibola and McKinley Counties are heart disease, cancer, and unintentional<br />

injury. These leading causes have remained the same over the past decade and are similar across<br />

the nation. Because confidence intervals are not available <strong>for</strong> these estimates, it is not possible to<br />

determine whether rates are significantly different between the various regions. All of these<br />

diseases are further discussed in the following sections.<br />

Chronic Disease<br />

Chronic diseases are illnesses that have a long duration and slow progression, such as cancer,<br />

heart disease, and diabetes. They are generally multifactorial; that is, they are not caused by any<br />

one factor, but rather by a combination of biological, environmental, and personal influences.<br />

Chronic diseases are now are the leading cause of ill health and death across the U.S. and<br />

internationally. The Centers <strong>for</strong> Disease Control and Prevention (CDC) estimates that chronic<br />

diseases account <strong>for</strong> 70 percent of all deaths in the U.S. (USCDC, 2011).<br />

Cancer<br />

Cancer is the second leading cause of death in Cibola and McKinley Counties. Cancer is a<br />

concern of community members in the ROI (USFS, 2011b), and has been shown to be associated<br />

with uranium mining activities (ATSDR, 2008, 2011). In order to assess potential impacts from<br />

the proposed action, it is important to understand current cancer rates as well as trends over time.<br />

Table 76. Leading and selected causes of death, rates per 10,000 population by region,<br />

2007-2009<br />

Cibola County McKinley County New Mexico<br />

All-cause mortality 101.9 121.0 93.0<br />

Heart disease 12.2 21.2 20.4<br />

Cancer 14.8 17.6 16.6<br />

Unintentional injury 7.2 10.6 6.9<br />

Chronic lower respiratory disease 3.1 5.4 5.5<br />

Cerebrovascular disease (stroke) 1.6 6.7 4.6<br />

Diabetes* 5.8 7.9 3.3<br />

382 DEIS <strong>for</strong> <strong>Roca</strong> <strong>Honda</strong> <strong>Mine</strong>, Cibola National Forest

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