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Improving the Social Security Disability Decision Process
D
Appendix Tables
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Improving the Social Security Disability Decision Process
APPENDIX TABLE 3-1 Applicants for Social Security Disability Benefits by Program and Selected Diagnostic Group, CY 2004
Diagnostic Group
SSDI Only
SSDI/SSI
SSI Only Adult
SSI Child
All
Number
Retardation
14,353
12,445
23,314
26,416
76,528
Other mental
112,880
183,957
147,480
218,781
663,098
Cardiovascular
62,123
54,874
32,163
7,065
156,225
Musculoskeletal
266,977
218,923
112,062
6,478
604,440
Neoplasms
65,274
31,987
14,971
3,411
115,643
Nervous/sensory
88,265
70,589
47,261
32,538
238,653
Endocrine
26,934
31,120
19,060
3,584
80,698
Respiratory
30,371
29,762
19,351
37,822
117,306
All
741,385
724,693
466,183
395,775
2,328,036
Percentage
Retardation
1.9
1.7
5.0
6.7
3.3
Other mental
15.2
25.4
31.6
55.3
28.5
Cardiovascular
8.4
7.6
6.9
1.8
6.7
Musculoskeletal
36.0
30.2
24.0
1.6
26.0
Neoplasms
8.8
4.4
3.2
0.9
5.0
Nervous/sensory
11.9
9.7
10.1
8.2
10.3
Endocrine
3.6
4.3
4.1
0.9
3.5
Respiratory
4.1
4.1
4.2
9.6
5.0
All
100.0
100.0
100.0
100.0
100.0
SOURCE: Calculated from tables provided by SSA.
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APPENDIX TABLE 3-2 Awardees of Social Security Disability Benefits by Program and Selected Diagnostic Group, CY 2004
Diagnostic Group
SSDI Only
SSDI/SSI
SSI Only Adult
SSI Child
All
Number
Retardation
12,977
8,930
19,436
24,262
65,605
Other mental
62,801
68,815
65,257
93,703
290,576
Cardiovascular
30,454
17,584
12,686
3,427
64,151
Musculoskeletal
86,407
34,184
27,746
1,129
149,466
Neoplasms
54,158
22,772
10,871
3,305
91,106
Nervous/sensory
53,160
27,684
23,365
16,153
120,362
Endocrine
9,383
5,282
4,754
304
19,723
Respiratory
18,827
11,295
7,149
3,886
41,157
All
356,696
219,198
187,603
180,303
943,800
Percentage
Retardation
3.6
4.1
10.4
13.5
7.0
Other mental
17.6
31.4
34.8
52.0
30.8
Cardiovascular
8.5
8.0
6.8
1.9
6.8
Musculoskeletal
24.2
15.6
14.8
0.6
15.8
Neoplasms
15.2
10.4
5.8
1.8
9.7
Nervous/sensory
14.9
12.6
12.5
9.0
12.8
Endocrine
2.6
2.4
2.5
0.2
2.1
Respiratory
5.3
5.2
3.8
2.2
4.4
All
100.0
100.0
100.0
100.0
100.0
SOURCE: Calculated from tables provided by SSA.
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APPENDIX TABLE 3-3 Distribution of Annual Disability Insurance Awards Among Disabled Workers by Diagnostic Group, FY 1961 - FY 2003
Number of Awards
1961
1963
1967
1969
Total
279,758
224,229
310,947
344,741
Congenital anomalies
1,637
1,646
na
3,004
Endocrine, nutritional, and metabolic diseases
7,070
7,563
10,743
12,169
Infectious/parasitic diseases
15,153
10,859
10,945
9,828
Injuries
na
6,496
19,815
28,473
Mental disorders—Total
26,864
24,526
35,344
43,225
Retardation
na
na
na
na
Other
na
na
na
na
Neoplasms
23,103
25,042
33,358
35,740
Diseases of the—
Blood/blood-forming organs
566
597
na
na
Circulatory system
71,860
66,468
81,507
105,760
Digestive system
4,300
4,437
7,627
8,719
Genitourinary system
1,608
1,725
na
2,717
Musculoskeletal system/connective tissue
23,241
21,744
41,090
47,357
Nervous system/sense organs
44,709
32,712
38,278
21,967
Respiratory system
20,030
19,107
24,646
23,265
Skin/subcutaneous tissue
794
719
na
na
Other
125
588
7,594
2,517
Unknown
38,698
na
na
na
NOTE: na = not available.
SOURCE: 2003 Annual Statistical Report on the Social Security Disability Insurance Program, Table 36.
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1971
1973
1975
1977
1978
1981
415,897
491,776
592,049
568,874
464,415
351,847
4,365
5,276
6,576
6,681
5,850
3,118
15,823
18,131
23,176
21,725
16,855
14,768
8,524
7,957
7,579
5,807
4,512
2,596
31,810
30,418
32,341
31,942
27,490
20,868
42,687
47,014
67,213
70,825
54,329
36,318
na
na
na
na
na
na
na
na
na
na
na
na
39,629
50,644
59,852
59,833
54,878
56,410
1,043
1,347
1,491
1,516
1,236
942
131,854
158,202
177,311
167,801
134,634
85,994
11,629
14,614
17,474
15,342
12,407
7,363
3,501
4,810
5,719
5,271
4,719
6,230
66,558
85,431
110,637
107,840
86,921
58,639
26,442
31,139
39,960
36,751
29,314
28,516
30,103
34,656
39,485
35,002
28,005
21,520
1,667
1,854
2,306
1,766
2,017
1,345
262
283
929
772
1,248
616
na
na
na
na
na
6,604
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Number of Awards
1983
1985
1987
1989
Total
311,490
377,371
415,848
425,582
Congenital anomalies
2,827
2,480
787
534
Endocrine, nutritional, and metabolic diseases
14,904
16,976
21,114
14,279
Infectious/parasitic diseases
6,730
2,985
4,676
3,773
Injuries
15,646
16,558
20,889
21,531
Mental disorders—Total
50,633
68,610
81,241
88,500
Retardation
na
na
na
na
Other
na
na
na
na
Neoplasms
52,379
55,120
55,339
60,352
Diseases of the—
Blood/blood-forming organs
958
890
1,205
1,524
Circulatory system
68,352
72,764
76,758
70,235
Digestive system
5,272
5,626
6,122
6,803
Genitourinary system
6,489
3,348
5,801
9,010
Musculoskeletal system/connective tissue
41,872
49,214
63,807
71,419
Nervous system/sense organs
26,203
28,733
35,206
34,756
Respiratory system
17,978
20,213
22,978
21,400
Skin/subcutaneous tissue
848
1,110
1,173
828
Other
a
992
na
20,638
Unknown
na
31,752
18,752
na
NOTE: na = not available.
a Data not shown to prevent disclosure of information about particular individuals.
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1991
1993
1995
1997
1999
2001
2003
536,434
635,238
645,645
587,700
620,559
661,900
755,706
575
543
722
654
645
a
1,152
19,931
30,862
33,370
33,807
36,975
19,500
23,407
28,245
37,450
27,993
15,327
11,743
11,200
10,879
24,129
23,206
27,566
25,930
25,925
25,400
28,612
126,184
166,045
147,900
122,901
138,980
168,600
191,679
na
na
16,681
12,888
16,608
22,500
19,338
na
na
131,219
110,113
122,372
146,100
172,341
69,244
80,266
64,401
62,279
65,681
62,000
70,942
1,904
2,075
2,006
1,815
1,911
2,200
2,408
78,339
88,623
83,065
76,531
74,755
82,500
85,896
8,648
10,026
11,167
11,310
13,389
15,600
17,084
10,874
13,390
11,956
12,151
13,842
16,300
16,968
92,469
94,255
141,306
135,430
146,754
162,100
199,014
41,551
45,742
46,477
45,496
49,869
54,600
64,369
23,798
27,494
28,831
26,483
26,981
28,300
32,007
1,021
1,118
1,643
1,473
1,416
a
1,622
9,522
14,143
14,746
14,436
10,252
10,000
1,871
na
na
2,496
1,677
1,441
1,800
7,796
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Percentage of Awards
1961
1963
1967
1969
Total
100.0
100.0
100.0
100.0
Congenital anomalies
0.6
0.7
0.0
0.9
Endocrine, nutritional, and metabolic diseases
2.5
3.4
3.5
3.5
Infectious/parasitic diseases
5.4
4.8
3.5
2.9
Injuries
0.0
2.9
6.4
8.3
Mental disorders—Total
9.6
10.9
11.4
12.5
Retardation
na
na
na
na
Other
na
na
na
na
Neoplasms
8.3
11.2
10.7
10.4
Diseases of the—
Blood/blood-forming organs
0.2
0.3
0.0
0.0
Circulatory system
25.7
29.6
26.2
30.7
Digestive system
1.5
2.0
2.5
2.5
Genitourinary system
0.6
0.8
0.0
0.8
Musculoskeletal system/connective tissue
8.3
9.7
13.2
13.7
Nervous system/sense organs
16.0
14.6
12.3
6.4
Respiratory system
7.2
8.5
7.9
6.7
Skin/subcutaneous tissue
0.3
0.3
0.0
0.0
Other
0.0
0.3
2.4
0.7
Unknown
13.8
0.0
0.0
0.0
NOTE: na = not available.
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Improving the Social Security Disability Decision Process
1971
1973
1975
1977
1978
1981
100.0
100.0
100.0
100.0
100.0
100.0
1.0
1.1
1.1
1.2
1.3
0.9
3.8
3.7
3.9
3.8
3.6
4.2
2.0
1.6
1.3
1.0
1.0
0.7
7.6
6.2
5.5
5.6
5.9
5.9
10.3
9.6
11.4
12.5
11.7
10.3
na
na
na
na
na
na
na
na
na
na
na
na
9.5
10.3
10.1
10.5
11.8
16.0
0.3
0.3
0.3
0.3
0.3
0.3
31.7
32.2
29.9
29.5
29.0
24.4
2.8
3.0
3.0
2.7
2.7
2.1
0.8
1.0
1.0
0.9
1.0
1.8
16.0
17.4
18.7
19.0
18.7
16.7
6.4
6.3
6.7
6.5
6.3
8.1
7.2
7.0
6.7
6.2
6.0
6.1
0.4
0.4
0.4
0.3
0.4
0.4
0.1
0.1
0.2
0.1
0.3
0.2
0.0
0.0
0.0
0.0
0.0
1.9
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Percentage of Awards
1983
1985
1987
1989
Total
100.0
100.0
100.0
100.0
Congenital anomalies
0.9
0.7
0.2
0.1
Endocrine, nutritional, and metabolic diseases
4.8
4.5
5.1
3.4
Infectious/parasitic diseases
2.2
0.8
1.1
0.9
Injuries
5.0
4.4
5.0
5.1
Mental disorders—Total
16.3
18.2
19.5
20.8
Retardation
na
na
na
na
Other
na
na
na
na
Neoplasms
16.8
14.6
13.3
14.2
Diseases of the—
Blood/blood-forming organs
0.3
0.2
0.3
0.4
Circulatory system
21.9
19.3
18.5
16.5
Digestive system
1.7
1.5
1.5
1.6
Genitourinary system
2.1
0.9
1.4
2.1
Musculoskeletal system/connective tissue
13.4
13.0
15.3
16.8
Nervous system/sense organs
8.4
7.6
8.5
8.2
Respiratory system
5.8
5.4
5.5
5.0
Skin/subcutaneous tissue
0.3
0.3
0.3
0.2
Other
a
0.3
0.0
4.8
Unknown
0.0
8.4
4.5
0.0
NOTE: na = not available.
a Data not shown to prevent disclosure of information about particular individuals.
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1991
1993
1995
1997
1999
2001
2003
100.0
100.0
100.0
100.0
100.0
100.0
100.0
0.1
0.1
0.1
0.1
0.1
a
0.2
3.7
4.9
5.2
5.8
6.0
2.9
3.1
5.3
5.9
4.3
2.6
1.9
1.7
1.4
4.5
3.7
4.3
4.4
4.2
3.8
3.8
23.5
26.1
22.9
20.9
22.4
25.5
25.4
na
na
2.6
2.2
2.7
3.4
2.6
na
na
20.3
18.7
19.7
22.1
22.8
12.9
12.6
10.0
10.6
10.6
9.4
9.4
0.4
0.3
0.3
0.0
0.3
0.3
0.3
14.6
14.0
12.9
13.0
12.0
12.5
11.4
1.6
1.6
1.7
1.9
2.2
2.4
2.3
2.0
2.1
1.9
2.1
2.2
2.5
2.2
17.2
14.8
21.9
23.0
23.6
24.5
26.3
7.7
7.2
7.2
7.7
8.0
8.2
8.5
4.4
4.3
4.5
4.5
4.3
4.3
4.2
0.2
0.2
0.3
0.3
0.2
a
0.2
1.8
2.2
2.3
2.5
1.7
1.5
0.2
0.0
0.0
0.4
0.3
0.2
0.3
1.0
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APPENDIX TABLE 3-5 Distribution of Annual SSI Awards for Children Under Age 18 Among Diagnostic Groups, FY 1974-2003
Number of Awards
1974
1975
1976
1977
1978
Total
69,500
62,880
45,030
50,970
47,050
Congenital anomalies
360
420
270
240
390
Endocrine, nutritional, and metabolic diseases
40
60
40
60
60
Infectious/parasitic diseases
90
140
90
100
60
Injuries
190
130
150
230
140
Mental disorders
Retardation
9,360
9,870
7,500
7,880
8,010
Other
750
870
510
670
890
Neoplasms
40
30
10
30
30
Diseases of the—
Blood/blood-forming organs
150
210
190
210
220
Circulatory system
60
90
140
80
80
Digestive system
20
10
0
20
0
Genitourinary system
60
60
30
40
90
Musculoskeletal system/connective tissue
110
180
120
190
100
Nervous system/sense organs
3,260
3,320
2,360
2,600
2,930
Respiratory system
50
40
60
70
80
Skin/subcutaneous tissue
0
40
0
30
0
Other
20
30
10
60
60
Unknown
54,940
47,380
33,550
38,460
33,910
NOTE: Data are from Supplemental Security Record (Characteristic Extract Record Format), 10 percent sample, and are consistent with those in the 2003 SSI Annual Statistical Report, Table 49.
SOURCE: Unpublished table provided by Clark Pickett, Office of Research, Evaluation, and Statististics, Social Security Administration, February 11, 2005.
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1979
1980
1981
1982
1983
1984
1985
45,810
46,260
39,050
35,670
42,110
45,740
46,590
420
650
900
1,150
3,850
4,360
4,180
70
70
130
320
580
900
780
50
70
140
100
180
200
230
160
240
190
200
550
630
610
8,830
9,830
8,990
8,220
15,470
17,840
19,090
970
980
910
770
2,210
2,650
3,140
80
90
200
340
1,550
1,780
1,780
180
190
230
230
580
960
850
70
140
110
180
510
420
500
50
20
50
40
110
140
120
80
130
80
130
320
370
420
350
150
150
180
600
580
540
3,060
3,500
3,990
4,150
9,360
9,630
9,670
70
190
170
220
450
680
810
0
10
0
0
40
20
10
110
210
280
500
1,650
2,280
2,140
31,260
29,790
22,530
18,940
4,100
2,300
1,720
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Number of Awards
1986
1987
1988
1989
1990
Total
51,020
48,480
47,560
51,520
76,070
Congenital anomalies
2,790
2,600
2,260
2,710
3,300
Endocrine, nutritional, and metabolic diseases
630
820
540
810
1,280
Infectious/parasitic diseases
80
120
130
320
490
Injuries
430
530
470
610
640
Mental disorders
Retardation
22,870
20,910
20,300
21,430
31,430
Other
3,850
3,830
3,860
4,670
10,580
Neoplasms
1,960
2,000
1,770
2,060
1,990
Diseases of the—
Blood/blood-forming organs
1,150
860
880
1,020
1,330
Circulatory system
460
390
370
520
670
Digestive system
240
270
220
250
360
Genitourinary system
320
350
280
280
430
Musculoskeletal system/connective tissue
900
1,010
830
900
1,470
Nervous system/sense organs
11,120
10,400
10,590
10,910
14,090
Respiratory system
990
720
980
880
1,800
Skin/subcutaneous tissue
40
30
30
40
50
Other
1,720
1,700
1,890
1,760
2,890
Unknown
1,470
1,940
2,160
2,350
3,270
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1991
1992
1993
1994
1995
1996
1997
126,190
221,080
236,220
203,190
177,550
144,270
116,280
6,690
8,040
7,320
6,780
7,320
6,970
5,970
1,520
2,370
1,670
1,320
1,310
990
830
500
920
810
640
670
470
380
1,210
1,620
1,320
1,170
960
1,050
1,100
135,480
112,620
84,880
62,480
49,080
88,720
92,340
70,440
54,570
42,260
29,680
27,470
55,660
67,570
65,040
58,050
42,620
32,800
2,620
2,850
3,130
3,390
3,100
2,900
2,500
1,960
1,150
2,520
2,530
1,830
1,650
1,520
1,220
550
1,400
1,290
910
1,070
940
830
750
820
650
610
600
500
680
870
640
730
620
490
480
2,080
2,800
2,080
1,430
1,510
1,310
1,250
16,180
21,800
19,610
15,620
14,070
12,250
10,370
3,070
5,430
4,710
5,010
4,830
4,460
4,170
100
120
160
120
190
50
130
4,560
8,940
11,620
15,270
16,930
17,420
16,590
6,700
16,200
18,770
12,880
10,100
8,070
7,300
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Number of Awards
1998
1999
2000
Total
135,600
139,400
144,540
Congenital anomalies
6,580
6,230
7,050
Endocrine, nutritional, and metabolic diseases
980
940
1,070
Infectious/parasitic diseases
280
360
250
Injuries
1,000
1,080
980
Mental disorders
75,760
81,900
84,580
Retardation
31,280
29,110
26,940
Other
44,480
52,790
57,640
Neoplasms
2,720
2,650
2,610
Diseases of the—
Blood/blood-forming organs
1,590
1,340
1,290
Circulatory system
800
840
950
Digestive system
810
720
960
Genitourinary system
510
520
530
Musculoskeletal system/connective tissue
1,390
1,200
1,430
Nervous system/sense organs
11,210
10,820
10,940
Respiratory system
4,050
4,140
4,520
Skin/subcutaneous tissue
110
100
170
Other
18,860
20,640
22,250
Unknown
8,950
5,920
4,960
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2001
2002
2003
156,900
169,130
179,590
7,010
7,400
8,220
910
900
1,070
280
340
170
1,090
1,010
990
95,410
107,430
26,470
27,150
26,110
68,940
80,280
91,160
3,000
2,850
2,830
1,470
1,260
1,320
770
960
1,010
1,340
1,090
1,420
550
510
580
1,650
1,470
1,180
10,800
11,740
11,000
4,550
4,470
4,300
140
160
170
23,120
23,330
24,470
4,810
4,210
3,590
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Percentage of Awards
1974
1975
1976
1977
1978
1979
Congenital anomalies
0.5
0.7
0.6
0.5
0.8
0.9
Endocrine, nutritional, and metabolic diseases
0.1
0.1
0.1
0.1
0.1
0.2
Infectious/parasitic diseases
0.1
0.2
0.2
0.2
0.1
0.1
Injuries
0.3
0.2
0.3
0.5
0.3
0.3
Mental disorders
Retardation
13.5
15.7
16.7
15.5
17.0
19.3
Other
1.1
1.4
1.1
1.3
1.9
2.1
Neoplasms
0.1
0
0
0.1
0.1
0.2
Diseases of the—
Blood/blood-forming organs
0.2
0.3
0.4
0.4
0.5
0.4
Circulatory system
0.1
0.1
0.3
0.2
0.2
0.2
Digestive system
0
0
0
0
0
0.1
Genitourinary system
0.1
0.1
0.1
0.1
0.2
0.2
Musculoskeletal system/connective tissue
0.2
0.3
0.3
0.4
0.2
0.8
Nervous system/sense organs
4.7
5.3
5.2
5.1
6.2
6.7
Respiratory system
0.1
0.1
0.1
0.1
0.2
0.2
Skin/ubcutaneous tissue
0
0.1
0
0.1
0
0
Other
0
0
0
0.1
0.1
0.2
Unknown
79.1
75.3
74.5
75.5
72.1
68.2
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1980
1981
1982
1983
1984
1985
1986
1987
1988
1.4
2.3
3.2
9.1
9.5
9.0
5.5
5.4
4.8
0.2
0.3
0.9
1.4
2.0
1.7
1.2
1.7
1.1
0.2
0.4
0.3
0.4
0.4
0.5
0.2
0.2
0.3
0.5
0.5
0.6
1.3
1.4
1.3
0.8
1.1
1.0
21.2
23.0
23.0
36.7
39.0
41.0
44.8
43.1
42.7
2.1
2.3
2.2
5.2
5.8
6.7
7.5
7.9
8.1
0.2
0.5
1.0
3.7
3.9
3.8
3.8
4.1
3.7
0.4
0.6
0.6
1.4
2.1
1.8
2.3
1.8
1.9
0.3
0.3
0.5
1.2
0.9
1.1
0.9
0.8
0.8
0
0.1
0.1
0.3
0.3
0.3
0.5
0.6
0.5
0.3
0.2
0.4
0.8
0.8
0.9
0.6
0.7
0.6
0.3
0.4
0.5
1.4
1.3
1.2
1.8
2.1
1.7
7.6
10.2
11.6
22.2
21.1
20.8
21.8
21.5
22.3
0.4
0.4
0.6
1.1
1.5
1.7
1.9
1.5
2.1
0.0
0.0
0.0
0.1
0.0
0.0
0.1
0.1
0.1
0.5
0.7
1.4
3.9
5.0
4.6
3.4
3.5
4.0
64.4
57.7
53.1
9.7
5.0
3.7
2.9
4.0
4.5
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Percentage of Awards
1989
1990
1991
1992
1993
1994
Congenital anomalies
5.3
4.3
5.3
3.6
3.1
3.3
Endocrine, nutritional, and metabolic diseases
1.6
1.7
1.2
1.1
0.7
0.6
Infectious/parasitic diseases
0.6
0.6
0.4
0.4
0.3
0.3
Injuries
1.2
0.8
1.0
0.7
0.6
0.6
Mental disorders
Retardation
41.6
41.3
38.9
40.1
39.1
34.7
Other
9.1
13.9
21.8
25.2
28.6
32.0
Neoplasms
4.0
2.6
2.1
1.3
1.3
1.7
Diseases of the—
Blood/blood-forming organs
2.0
1.7
1.6
1.1
1.1
0.9
Circulatory system
1.0
0.9
0.9
0.6
0.5
0.4
Digestive system
0.5
0.5
0.4
0.4
0.3
0.3
Genitourinary system
0.5
0.6
0.6
0.4
0.3
0.4
Musculoskeletal system/connective tissue
1.7
1.9
1.6
1.3
0.9
0.7
Nervous system/sense organs
21.2
18.5
12.8
9.9
8.3
7.7
Respiratory system
1.7
2.4
2.4
2.5
2.0
2.5
Skin/subcutaneous tissue
0.1
0.1
0.1
0.1
0.1
0.1
Other
3.4
3.8
3.6
4.0
4.9
7.5
Unknown
4.6
4.3
5.3
7.3
7.9
6.3
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1995
1996
1997
1998
1999
2000
2001
2002
2003
4.1
4.8
5.1
4.9
4.5
4.9
4.5
4.4
4.6
0.7
0.7
0.7
0.7
0.7
0.7
0.6
0.5
0.6
0.4
0.3
0.3
0.2
0.3
0.2
0.2
0.2
0.1
0.5
0.7
0.9
0.7
0.8
0.7
0.7
0.6
0.6
30.7
29.3
25.5
23.1
20.9
18.6
16.9
16.1
14.5
32.7
29.5
28.2
32.8
37.9
39.9
43.9
47.5
50.8
1.7
2.0
2.1
2.0
1.9
1.8
1.9
1.7
1.6
0.9
1.1
1.0
1.2
1.0
0.9
0.9
0.7
0.7
0.6
0.7
0.7
0.6
0.6
0.7
0.5
0.6
0.6
0.3
0.3
0.6
0.6
0.5
0.7
0.9
0.6
0.8
0.3
0.3
0.4
0.4
0.4
0.4
0.4
0.3
0.3
0.9
0.9
1.1
1.0
0.9
1.0
1.1
0.9
0.7
7.9
8.5
8.9
8.3
7.8
7.6
6.9
6.9
6.1
2.7
3.1
3.6
3.0
3.0
3.1
2.9
2.6
2.4
0.1
0.0
0.1
0.1
0.1
0.1
0.1
0.1
0.1
9.5
12.1
14.3
13.9
14.8
15.4
14.7
13.8
13.6
5.7
5.6
6.3
6.6
4.2
3.4
3.1
2.5
2.0
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Representative terms from entire chapter:
connective tissue