Black and white print with members of the Luhrs family. Typescript annotation, "July 17th, 1914. Going down Bright Angel Canyon of Arizona, Those on the mules, from bottom up: unknown, unknown, Ella Luhrs, Emma Luhrs, George H. N. Luhrs, unknown, Roger Hunt, George Luhrs Jr., Catherine Margarita 'Gretchen' (Mrs Geo H. N.) Luhrs standing beside George Luhrs Jr." Beside the trail, a sign displays, "Photo by Kolb Brothers."

Mounted black and white photograph with a typescript annotation, "July 17 1914. Making the trip down Bright Angel trail at the Grand Canyon of Arizona on mules. Left to right: George H. N. Luhrs, Jr., unknown, George H. N. Luhrs, Emma Luhrs, Ella Luhrs. Bright Angel Trail to the Colorado River, at bottom on canyon."

This report serves as an addendum to the Navajo County Community Health Status Assessment dated January of 2010. In most cases, the original data table from the 2010 report is reproduced here with an updated table below. The scope of the project was to update all data where current secondary sources of information existed. In a few instances, the research team did obtain primary data by telephone calls.

This report is an annual update of population-level data on trends and patterns in natality and mortality among American Indians who are residents of specified tribal communities on reservations, and those who reside off reservation in Arizona. American Indian births are determined by mother's race as indicated on a birth certificate, that is, these are the births to American Indian mothers. American Indian deaths are determined by decedent's race as stated on the death certificate.