id author title date pages extension mime words sentences flesch summary cache txt cord-003340-nqc1pduk Dahal, Sushma Natality Decline and Spatial Variation in Excess Death Rates During the 1918–1920 Influenza Pandemic in Arizona, United States 2018-07-26 .txt text/plain 3326 167 49 title: Natality Decline and Spatial Variation in Excess Death Rates During the 1918–1920 Influenza Pandemic in Arizona, United States Moreover, excess mortality rates were highest in northern Arizona counties, where Native Americans were historically concentrated, suggesting a link between ethnic and/or sociodemographic factors and risk of pandemic-related death. Moreover, excess mortality rates were highest in northern Arizona counties, where Native Americans were historically concentrated, suggesting a link between ethnic and/or sociodemographic factors and risk of pandemic-related death. We also analyzed 21,334 individual birth certificates to quantify the impact of the 1918-1920 influenza pandemic on natality fluctuations in Maricopa county, the most populous county in Arizona state. Likewise, our results suggest that northern counties in Arizona with high Native American population density (e.g., Apache, Coconino, and Navajo) experienced higher excess pandemic death rates compared with other counties in the state. ./cache/cord-003340-nqc1pduk.txt ./txt/cord-003340-nqc1pduk.txt