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<br /> 33 <br /> <br />132.3 <br />123.2 118.4 <br />87 91.9 94.7 <br />0 <br />50 <br />100 <br />150 <br />201220132014 <br />Figure 26: Heart Disease Mortality Rates per <br />100,000 People <br />3-year Age- <br />Adjusted <br />Death Rate <br />1-year <br />Crude <br />Death Rate <br />Heart Disease <br />Heart disease is a term that describes several conditions that affect the heart and cardiovascular system. <br />Types of heart disease include: coronary heart disease (the most common and the leading cause of heart <br />attacks), heart failure, and heart arrhythmias (changes in the heart beat)51. <br /> In Orange County, the age-adjusted mortality rate for heart disease has declined in recent years <br />(shown in figure 26) however, the crude mortality rate is increasing due to the county’s aging <br />population (shown in table 7). <br /> 5% of survey respondents reported having been diagnosed with heart disease. <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />Diabetes <br />Diabetes is a group of diseases marked by high levels of blood glucose, resulting from defects in insulin <br />production, insulin action, or both. When food containing carbohydrates is consumed, the body breaks <br />down this food into glucose (sugar), which is the basic fuel for the body. Insulin is the body’s hormone <br />that helps glucose get into the cells to be used for energy. In Type 1 diabetes, the body does not make <br />insulin; and in the more common Type 2 diabetes, the body does not make or use insulin properly <br />causing blood glucose to rise, leading to extensive damage to the body over time52. <br /> <br /> Orange County’s 2010-2014 age-adjusted death rate for Diabetes Mellitus is 13.0, compared to 11.4 <br />from 2009-2013, and NC has a rate of 22.1 per 100,000 people (shown in figure 27). <br /> <br /> <br /> <br /> <br /> <br /> <br />Table 7: Orange County Heart Disease <br />Deaths from 2013 - 2014 <br />Year <br />Number of Heart Disease <br />Deaths <br />2012 120 <br />2013 129 <br />2014 133 <br />17.8 17.6 <br />11.4 <br />27.7 24.7 <br />21.7 <br />0 <br />5 <br />10 <br />15 <br />20 <br />25 <br />30 <br />1999-20032004-20082009-2013 <br />Figure 27: Age-Adjusted Diabetes Death Rates per <br />100,000 People <br />Orange County <br />North Carolina