Underlying Cause of Death 2018-2022 by Single Race

Underlying Cause of Death by Single Race 2018-2022

Summary:		The Underlying Cause of Death data available on WONDER are county-level national mortality and population data spanning the years 1999-2022. Data are based on death certificates for U.S. residents. Each death certificate identifies a single underlying cause of death and demographic data. The number of deaths, crude death rates or age-adjusted death rates, and 95% confidence intervals and standard errors for death rates can be obtained by place of residence (total U.S., region, state and county), age group (single-year-of age, 5-year age groups, 10-year age groups and infant age groups), race, Hispanic ethnicity, gender, year, cause-of-death (4-digit ICD-10 code or group of codes), injury intent and injury mechanism, drug/alcohol induced causes and urbanization categories. Data are also available for place of death, month and week day of death, and whether an autopsy was performed. Privacy policy: Statistics representing fewer than ten (one to nine) deaths or births are suppressed. Population figures are also suppressed when the population represents fewer than ten persons. Additional privacy constraints apply to infant mortality statistics for infant age groups and live births denominator population figures. See Assurance of Confidentiality for more information.
Mortality data:		The mortality data are based on information from all death certificates filed in the fifty states and the District of Columbia. Deaths of nonresidents (e.g. nonresident aliens, nationals living abroad, residents of Puerto Rico, Guam, the Virgin Islands, and other territories of the U.S.) and fetal deaths are excluded. Mortality data from the death certificates are coded by the states and provided to NCHS through the Vital Statistics Cooperative Program or coded by NCHS from copies of the original death certificates provided to NCHS by the State registration offices. For more information, see Technical Appendix from Vital Statistics of United States: 1999 Mortality. About suppressed data and unreliable rates: Statistics representing fewer than ten persons (0-9) are suppressed for year 1989 and later years. See Assurance of Confidentiality for more information. Rates are marked as "unreliable" when the death count is less than 20. About cause of death classification: The underlying cause-of-death is defined by the World Health Organization (WHO) as "the disease or injury which initiated the train of events leading directly to death, or the circumstances of the accident or violence which produced the fatal injury." Underlying cause-of-death is selected from the conditions entered by the physician on the cause of death section of the death certificate. When more than one cause or condition is entered by the physician, the underlying cause is determined by the sequence of conditions on the certificate, provisions of the ICD, and associated selection rules and modifications. Causes of death are classified in accordance with the International Classification of Disease. Deaths for 1979-98 are classified using the Ninth Revision (ICD-9). Deaths for 1999 and beyond are classified using the Tenth Revision (ICD-10). Beginning with data for 2006, the valid ICD-10 codes used to classify causes of death changed. Effective with the 2006 data year, 18 codes were introduced as valid causes of death, and 4 codes were discontinued. Effective with the 2007 data year, 4 codes were introduced as valid causes of death, and 2 codes were discontinued. See ICD-10 Changes for more information. Beginning with data for 2001, NCHS introduced categories U01-U03 for classifying and coding deaths due to acts of terrorism. The asterisks before the category codes indicate that they are not part of the International Classification of Diseases, Tenth Revision (ICD-10). Description of the specific 4-digit codes can be found at NCHS Classifications of Diseases, and Functioning & Disability: Appendix I. Deaths classified to the terrorism categories are included in the categories for Assault (homicide) and Intentional self-harm (suicide) in the 113 cause-of-death list. Additional information on these new categories can be found at NCHS Classifications of Diseases, and Functioning & Disability: Classification of Death and Injury Resulting from Terrorism. About race and ethnicity reporting: Race and Hispanic origin are reported separately on the death certificate in accordance with standards set forth by the Office of Management and Budget. The American Indian or Alaska Native race category includes: North, Central, and South American Indians, Eskimos, and Aleuts. The Asian or Pacific Islander race category includes Chinese, Filipino, Hawaiian, Japanese, and Other Asian or Pacific Islanders. Hispanic origin was not reported on the death certificate for some deaths. On the mortality file, missing Hispanic origin information is coded as "not stated". There is no corresponding population figure for this group. Therefore, deaths with Hispanic origin not stated are excluded when death rates are calculated by Hispanic origin. Information included on the death certificate about the race and Hispanic ethnicity of the decedent is reported by the funeral director as provided by an informant, often the surviving next of kin, or, in the absence of an informant, on the basis of observation. Race and ethnicity information from the census is by self-report. To the extent that race and Hispanic origin are inconsistent between these two data sources, death rates will be biased. Studies have shown that persons self-reported as American Indian, Asian, or Hispanic on census and survey records may sometimes be reported as white or non-Hispanic on the death certificate, resulting in an underestimation of deaths and death rates for the American Indian, Asian, and Hispanic groups. Bias also results from undercounts of some population groups in the census, particularly young black males, young white males, and elderly persons, resulting in an overestimation of death rates. In " Quality of death rates by race and Hispanic origin: A summary of current research, 1999," the authors estimate that the misclassification and under-coverage result in overstated death rates for the white and black populations (1% and 5%, respectively) and understated death rates for other population groups (American Indians, 21%; Asian or Pacific Islanders, 11%; and Hispanics, 2%). See also The validity of race and Hispanic Origin reporting on death certificates in the United States. For deaths in 2018-2022, mortality data are available by "single race" categories in three lists, with 6, 15 or 31 distinct options. For 1979-2002, all 50 States and the District of Columbia collected race data on the death certificates using four single-race categories (American Indian or Alaska Native, Asian or Pacific Islander, Black, and White) in accordance with the 1977 OMB standards, allowing only a single race to be reported. Beginning with the 2003 data year, some States began collecting race data in accordance with the 1997 OMB standards, allowing one or more of five race categories to be reported. In order to provide uniformity and comparability of mortality data during the transition from the single-race format to the multiple-race format, NCHS is "bridging" the race responses of those for whom more than one race is reported (multiple race) to one of the single-race categories. The bridging procedure is similar to the procedure used to bridge multiple-race population estimates. Multiple-race decedents are imputed to a single race (White, Black, American Indian or Alaska Native, or Asian or Pacific Islander) according to their combination of races, Hispanic origin, sex, and age indicated on the death certificate. The imputation procedure is described in detail at NCHS Procedures for Multiple-Race and Hispanic Origin Data. For more discussion of race and ethnicity data, see Race and Ethnicity Questions. About "Not Stated" age or ethnicity: Deaths of persons with Age "Not Stated" are included in "All" counts and rates, but are not distributed among age groups, so are not included in age-specific counts, age-specific rates or in any age-adjusted rates. Data for the "Not Stated" age category or the "Not Stated" Hispanic Origin category cannot be combined with any other specified age group or Hispanic Origin categories. Death rates are not calculated specifically for the "Not Stated" groups because there are no corresponding population denominator data for these groups.
Population data:		The population estimates are U.S. Census Bureau estimates of U.S. national, state, and county resident populations. The 2018-2022 population estimates are six single race postcensal estimates of the July 1 resident population. For more information, see Population Data Sources. NCHS live-birth data are included for "Infant Age Groups" so that infant mortality rates can be calculated. The number of live births and the population estimate for the "under one year of age" group differ slightly, thus death rates may differ slightly when compared. For more information, see Mortality for Infants.
Source:		The Underlying Cause of Death data are produced by the Mortality Statistics Branch, Division of Vital Statistics, National Center for Health Statistics (NCHS), Centers for Disease Control and Prevention (CDC), United States Department of Health and Human Services (US DHHS). See Data Source Information.
In WONDER:		You can produce tables, maps, charts, and data extracts. Obtain death counts, crude death rates, age-adjusted rates, 95% confidence intervals and standard errors for rates, and percentage of total. Select specific disease and demographic criteria to produce cross-tabulated mortality measures. Data are organized into three levels of geographic detail: national, state (including multi-state regions and divisions) and county. The population estimates used as the denominator for rate calculations are also shown. You can limit and index your data by any and all of the variables.
Contents:		Underlying Cause of Death Data Request Data Source Information Additional Information

Underlying Cause of Death Data by Single Race Request

Output:		You can produce tables, maps, charts, and data extracts. Obtain death counts, crude death rates, age-adjusted rates, 95% confidence intervals and standard errors for rates, and percentage of total. Select specific disease and demographic criteria to produce cross-tabulated mortality measures. Data are organized into three levels of geographic detail: national, state (including multi-state regions and divisions) and county. The population estimates used as the denominator for rate calculations are also shown.
Variables:		You can limit and index your data by any and all of these variables: Location: Data are available for the decedent's residence in the United States by State and County, Census Regions with divisions, states and counties, Health and Human Services (HHS) Regions) with states and counties, or U.S - Mexico Border Regions with border state areas and counties, for the 44 counties located within 100 kilometers (62 miles) of the border as defined under the 1983 La Paz Agreement; and Urbanization categories for counties, based on population density and other factors at the county level. Pick between the 2006 or the 2013 NCHS Urban-Rural Classification Scheme for Counties. Age Groups: 10 year age groups, 5 year age groups, single-year age groups and infant age groups Race: in three lists of Single Race categories: 6 race categories - American Indian or Alaska Native (AIAN); Asian; Black or African American; More than one race; Native Hawaiian or Other Pacific Islander (NHOPI); White. 15 race categories - White; Black; American Indian or Alaska Native (AIAN); Asian Indian; Chinese; Filipino; Japanese; Korean; Vietnamese; Other Asian; Hawaiian; Guamanian; Samoan; Other Pacific Islander; More than one race. 31 race categories - White; Black; American Indian or Alaskan Native (AIAN); Asian; Native Hawaiian or Other Pacific Islander (NHOPI); Black and White; Black and AIAN; Black and Asian; Black and NHOPI; AIAN and White; AIAN and Asian; AIAN and NHOPI; Asian and White; Asian and NHOPI; NHOPI and White; Black, AIAN, and White; Black, AIAN, and Asian; Black, AIAN, and NHOPI; Black, Asian, and White; Black, Asian, and NHOPI; Black, NHOPI, and White; AIAN, Asian, and White; AIAN, NHOPI, and White; AIAN, Asian, and NHOPI; Asian, NHOPI, and White; Black, AIAN, Asian, and White; Black, AIAN, Asian, and NHOPI; Black, AIAN, NHOPI, and White; Black, Asian, NHOPI, and White; AIAN, Asian, NHOPI, and White; Black, AIAN, Asian, NHOPI, and White. Hispanic Origin: Hispanic or Latino, Not Hispanic or Latino, Not stated Gender (Sex): Female, Male Year of death: 2018-2022 Month of death: January through December Weekday of death: Sunday through Saturday, Unknown Autopsy performed: No, Yes, Unknown Place of Death: Medical Facility - Inpatient, Medical Facility - Outpatient or ER, Medical Facility - Dead on Arrival, Decedent's home, Hospice Facility, Nursing home/long term care, Other, Place of death unknown Cause of Death: underlying cause of death - ICD-10 codes, Drug/Alcohol Induced Causes, Injury Intent and Mechanism groups, 113 Selected Causes, 130 Selected Causes (for infants), 15 Leading Causes Urbanization: classifies population density and other factors at the county level - pick between the 2006 or the 2013 NCHS Urban-Rural Classification Scheme for Counties
How?		The Request screen has sections to guide you through the making a data request as step-by-step process. However, to get your first taste of how the system works, you might want to simply press any Send button, and execute the default data request. The data results for your query appear on the Table screen. After you get your data results, try the Chart and Map screens. Or export your data to a file (tab-delimited line listing) for download to your computer. For more information, see the following: Quick Start Guide Step 1, Organize table layout Step 2, Select location Step 3, Select demographics Step 4, Select year and month Step 5, Select weekday, autopsy and place of death Step 6, Select cause of death Step 7, Other options
'By-Variables'		Select variables that serve as keys (indexes) for organizing your data. See "How do I organize my data?" for more information. Note: To map your data, you must select at least one geographical location as a "By-Variable" for grouping your data, such as State or County.
Help:		Click on any button labeled "Help", located to the right hand side of the screen at the top of each section. Each control's label, such as the "Location" label next to the Location entry box, is linked to the on-line help for that item.
Send:		Sends your data request to be processed on the CDC WONDER databases. The Send buttons are located on the bottom of the Request page, and also in the upper right corner of each section, for easy access.

Step 1. Organize table layout:

Group Results By:		Select up to five variables that serve as keys for grouping your data. See Group Results By below for hints.
Measures:		If checked, these measures will appear in the results table. Click "+" to select Additional Rate Options, such as archive populations, and selecting the populations for weighting age-adjusted rates.
Title:		Enter any desired description to display as a title with your results.
Additional Rate Options:		Click the "+" to open this section, and select more measures for rates. The options vary, depending on your selections in the Measures section above. For example, when you check Age-Adjusted Rates in the Measures section, then you can choose a standard population for weighting the age-adjusted rates, or you can select criteria to define a non-standard population for weights, in the Additional Rate Options section. For more information, see Additional Rate Options

Group Results By...

Select up to five variables that serve as keys for grouping your data. For example, you could select to group (summarize, stratify, index) your data by State and by County.

How? See "How do I organize my data?" for more information.

Hints:

About rates:
Rates and population estimates are available by 6 race categories. County-level rates are available by 5-year age groups. Please see About Single Race Constraints for Rate Calculations for more information.
About age-adjusted rates:
When age-adjusted rates are calculated, you cannot group the data by Age Group.
About charts:
You cannot make charts when your data has more than two By-Variables.
About maps:
To make a map, you must request data with a geographic location variable, such as State or County, as a "By-Variable." Then click the Map tab.

Death Counts

The death counts in the data represent deaths that occurred in the 50 United States and the district of Columbia, for the legal place of residence of the decedent. See Mortality data for more information.

Notes: Death counts are suppressed for data representing zero to nine (0-9) deaths. See Assurance of Confidentiality for more information.

Crude Rates

Crude Rates are expressed as the number of deaths reported each calendar year per the factor you select. The default factor is per 100,000 population, reporting the death rate per 100,000 persons.

Crude Rate = Count / Population * 100,000

See Frequently Asked Questions about Death Rates .

Hints:

Rates calculated with population estimates are per 100,000 persons by default. However, infant mortality rates are calculated per 1,000 live births by default. See Additional Rate Options to select the factor for rate calculations.
Select the precision for rate calculations in the Other Options section. When the rate calculated for a small numerator (incidence count) is zero, you may increase the precision to reveal the rate by showing more numbers to the right of the decimal point.

Notes:

Rates for small populations should be interpreted with caution.
Rates are suppressed for data representing zero to nine (0-9) deaths. Corresponding denominator population figures are also suppressed when the population represents fewer than 10 persons. See Assurance of Confidentiality for more information.
Rates are marked as "unreliable" when the death count is less than 20.
Rates are marked as "not applicable" when the population denominator figure is unavailable, such as persons of "not stated" or unknown age or Hispanic origin. Rates and populations are also not available for specific categories for month and weekday of death, place of death, whether an autopsy was performed, or any subset of ages 85 and over.
Crude rates are helpful in determining the need for services for a given population, relative to another population, regardless of size. Crude rates are influenced by the underlying age distribution of the state's population. Even if two states have the same age-adjusted rates, the state with the relatively older population (as demonstrated by having a higher median age) will have higher crude rates because incidence or death rates for most cancers increase with increasing age.
The population estimates for the denominators of incidence rates are race-specific and sex-specific population estimates. The population estimates are aggregated from the most detailed level selected, to the extent that such details for age and place are available. For example, if you have requested data for the nation grouped by state and by county, then the populations are the county-level population estimates aggregated to the state and national summaries.
The population for "Infant age groups" is the number of live births in the given time period. See Infant Mortality for more information.
About Single Race Constraints for Rate Calculations:
- Rates are only available for the list of six single race categories, because race-specific population estimates for rate denominators are only available for the list of six race categories.
- Rates and populations are not available for single-year age groups or 10-year age groups at the county level for analysis of mortality by Single Race, including analysis of Urbanization categories for counties.
- Age-adjusted rates are not available at the county level for analysis of mortality by Single Race, including analysis of Urbanization categories for counties, because the standard populations are weighted to the 10-year age groups, and county level populations estimates are not available for the "<1 year" and "1-4 years" age categories.
- See Population Denominator Data Sources below for more information.

Age-Adjusted Rates

Age-adjusted death rates are weighted averages of the age-specific death rates, where the weights represent a fixed population by age. They are used to compare relative mortality risk among groups and over time. An age-adjusted rate represents the rate that would have existed had the age-specific rates of the particular year prevailed in a population whose age distribution was the same as that of the fixed population. Age-adjusted rates should be viewed as relative indexes rather than as direct or actual measures of mortality risk.

The year "2000 U.S. standard" is the default population selection for the calculation of age-adjusted rates. However, you can select other standard populations, or select specific population criteria to determine the age distribution ratios. See Frequently Asked Questions about Death Rates for more information.

The rates of almost all causes of death vary by age. Age adjustment is a technique for "removing" the effects of age from crude rates, so as to allow meaningful comparisons across populations with different underlying age structures. For example, comparing the crude rate of heart disease in Florida to that of California is misleading, because the relatively older population in Florida will lead to a higher crude death rate, even if the age-specific rates of heart disease in Florida and California are the same. For such a comparison, age-adjusted rates are preferable. Age-adjusted rates should be viewed as relative indexes rather than as direct or actual measures of mortality risk.

The National Center for Health Statistics (NCHS) age-adjusts death rates using the direct method. That is, by applying age-specific death rates (Ri) to the U.S. standard population age distribution.

R' = S i ( Psi / Ps ) R i

where Psi is the standard population for age group i and Ps is the total U.S. standard population (all ages combined).

In the direct method, a standard age distribution is chosen and the age-specific death rates are weighted according to the standard. A reasonable choice for the standard is the U.S. total population (all races, both genders) for the year under study. To permit comparison of death rates from year to year, a standard population is used. Beginning with the 1999 data year, NCHS adopted the year 2000 projected population of the United States as the standard population. This new standard replaces the 1940 standard population that was used by NCHS for over 50 years. The new population standard affects the level of mortality and to some extent trends and group comparisons. Of particular note are the effects on race comparison of mortality. For detailed discussion, see:

Anderson RN, Rosenberg HM. Age standardization of death rates: Implementation of the year 2000 standard. National Vital Statistics Reports; vol 47 no 3. Hyattsville, Maryland. National Center for Health Statistics. 1998.

Beginning with publications of the year 2003 data, the traditional standard million population along with corresponding standard weights to six decimal places were replaced by the projected year 2000 population age distribution (see 2000 Standard Population below). The effect of the change is negligible and does not significantly affect comparability with age-adjusted rates calculated using the previous method.

Age-Adjusted Rates Hints:

Age-Adjusted Rates are optional; see Measures in Step 1 and Additional Rate Options .
Rates are calculated per 100,000 population by default. See Additional Rate Options to select the factor for rate calculations.
Select the precision for rate calculations in the Other Options section. You can also change precision in the Results tab, using Table Options. When the rate calculated for a small numerator (incidence count) is zero, you may increase the precision to reveal the rate by showing more numbers to the right of the decimal point.
Age-adjusted rates cannot be calculated when the data are grouped by Age Group.
Age-adjusted rates are not calculated when only one age group is selected (the effect is a ratio of one).
Age-adjusted rates are not available for "Infant age groups" because the populations for these age groups are the number of live births in the given time period, the same population denominator for each infant age group.
Standard age-adjusted rates (calculated with standard populations) are only available for Ten-Year Age Groups.
Age-adjusted rates are not available at the county level for analysis of mortality by Single Race, including analysis of Urbanization categories for counties, because the populations are weighted to the 10-year age groups, and county level populations estimates are not available for the "<1 year" and "1-4 years" age categories.

Notes:

Rates are suppressed for data representing zero to nine (0-9) deaths. Corresponding denominator population figures are also suppressed when the population represents fewer than 10 persons. See Assurance of Confidentiality for more information.
Rates are marked as "unreliable" when the death count is less than 20.
Rates are marked as "not applicable" when the denominator population figure is unavailable, such as "not stated" or unknown age or ethnicity.
Deaths of persons with "not stated" or unknown age are not included in the calculation of age-adjusted rates.
Age-specific death rates are rounded to 1 decimal place, before the weights are applied for the age distributions in the standard population. This approach matches NCHS publications, yet may be more noticeable in the precision of rates calculated for small numbers of deaths.
If a "non-standard" population is selected for age-adjusted rates, then the actual population estimates for the specified year are used to determine the specific age-distribution ratios (or weights) used in the calculation.
The following standard populations (see tables below) are options for computing age-adjusted rates:
The 2000 Standard Population is a projected population, developed before the April 1, 2000 enumerated Census occurred. For more information, see the following publications:

Year 2000 Standard Population for the United States

	Age	Number
	All ages	274,633,642
	Under 1 year	3,794,901
	1-4 years	15,191,619
	5-14 years	39,976,619
	15-24 years	38,076,743
	25-34 years	37,233,437
	35-44 years	44,659,185
	45-54 years	37,030,152
	55-64 years	23,961,506
	65-74 years	18,135,514
	75-84 years	12,314,793
	85 years and over	4,259,173
* Based on year 2000 projected population.

Year 2000 Standard Million Population for the United States
Numbers and All Ages Proportions (Weights) *

	Age	Number	Weight
	All ages	1,000,000	1.000000
	Under 1 year	13,818	0.013818
	1-4 years	55,317	0.055317
	5-14 years	145,565	0.145565
	15-24 years	138,646	0.138646
	25-34 years	135,573	0.135573
	35-44 years	162,613	0.162613
	45-54 years	134,834	0.134834
	55-64 years	87,247	0.087247
	65-74 years	66,037	0.066037
	75-84 years	44,842	0.044842
	85 years and over	15,508	0.015508
* Based on year 2000 projected population. Note that these weights only apply to the all ages population, the weights are calculated dynamically when age groups are selected.

Year 1970 Standard Million Population for the United States
Numbers and All Ages Proportions (Weights) *

	Age	Number	Weight
	All ages	1,000,000	1.000000
	Under 1 year	18,102	0.018102
	1-4 years	66,314	0.066314
	5-14 years	200,508	0.200508
	15-24 years	174,406	0.174406
	25-34 years	122,569	0.122569
	35-44 years	113,614	0.113614
	45-54 years	114,265	0.114265
	55-64 years	91,480	0.091480
	65-74 years	61,195	0.061195
	75-84 years	30,112	0.030112
	85 years and over	7,435	0.007435
* Based on the year 1970 population. Note that these weights only apply to the all ages population, the weights are calculated dynamically when age groups are selected.

Year 1940 Standard Million Population for the United States
Numbers and All Ages Proportions (Weights) *

	Age	Number	Weight
	All ages	1,000,000	1.000000
	Under 1 year	15,343	0.015343
	1-4 years	64,718	0.064718
	5-14 years	170,355	0.170355
	15-24 years	181,677	0.181677
	25-34 years	162,066	0.162166
	35-44 years	139,237	0.139237
	45-54 years	117,811	0.117811
	55-64 years	80,294	0.080294
	65-74 years	48,426	0.048426
	75-84 years	17,303	0.017303
	85 years and over	2,770	0.002770
* Based on the year 1940 population. Note that these weights only apply to the all ages population, the weights are calculated dynamically when age groups are selected.

World Standard Million (WHO 2000-2025)
Numbers and All Ages Proportions (Weights)*

	Age	Number	Weight
	All ages	1,000,000	1.000000
	under 1 year	17,917	0.017917
	01-04 years	70,652	0.070652
	05-14 years	172,840	0.172840
	15-24 years	166,841	0.166841
	25-34 years	155,345	0.155345
	35-44 years	137,352	0.137352
	45-54 years	114,060	0.114060
	55-64 years	82,671	0.082671
	65-74 years	51,682	0.051682
	75-84 years	24,292	0.024292
	85+ years	6,348	0.006348
* Based on the World Health Organization 2000-2025 world population standard. Note that these weights only apply to the all ages population, the weights are calculated dynamically when age groups are selected.

World Standard Million Population (Segi 1960)
Numbers and All Ages Proportions (Weights)*

	Age	Number	Weight
	All ages	1,000,000	1.000000
	under 1 year	24,000	0.024000
	01-04 years	96,000	0.096000
	05-14 years	190,000	0.190000
	15-24 years	170,000	0.170000
	25-34 years	140,000	0.140000
	35-44 years	120,000	0.120000
	45-54 years	110,000	0.110000
	55-64 years	80,000	0.080000
	65-74 years	50,000	0.050000
	75-84 years	15,000	0.015000
	85+ years	5,000	0.005000
* Based on the year Segi 1960 population standard. Note that these weights only apply to the all ages population, the weights are calculated dynamically when age groups are selected.

95% Confidence Intervals for Rates

You can request 95% confidence intervals calculated for death rates. The method for confidence intervals calculated for 100 or more deaths differs slightly from the method for confidence intervals calculated for 99 or fewer deaths.

How? Click the check box to indicate the desired measure.

Notes:

The method for confidence intervals calculated for 100 or more deaths:
The lower 95% confidence interval is the crude death rate minus (1.96 times the standard error of the rate). The upper 95% confidence interval is the crude death rate plus (1.96 times the standard error of the rate). LCI = R - 1.96 * S (R)
UCI = R + 1.96 * S (R)
The method for confidence intervals calculated for 99 or fewer deaths:
The lower 95% confidence interval is the crude death multiplied by the lower 95% confidence limit factor for a death rate based on a Poisson variable of the number of deaths. The upper 95% confidence interval is the crude death rate multiplied by the upper 95% confidence limit factor for a death rate based on a Poisson variable of the number of deaths. See Vital Statistics of the United States: Mortality, 1999: Technical Appendix Table S. LCI = R * L (0.95, D)
UCI = R * U (0.95, D)
Where:
- LCI = lower 95% confidence interval
- UCI = upper 95% confidence interval
- R = crude death rate R = (deaths / population) * 100,000
- D = the total number of deaths upon which the rate is based.
- RSE(R) = relative standard error of rate RSE(R) = 100 * square root of (1/D)
- S(R) = standard error of rate S(R) = R * (RSE(R) / 100)
- L = the lower 95% confidence limit factor for a death rate based on a Poisson variable of the number of deaths. See Vital Statistics of the United States: Mortality, 1999 Technical Appendix Table S.
- U = the upper 95% confidence limit factor for a death rate based on a Poisson variable of the number of deaths. See Vital Statistics of the United States: Mortality, 1999 Technical Appendix Table S.
For more information, refer to
- Age-adjusted Death Rates: Trend Data Based on the Year 2000 Standard Population
- Vital Statistics of the United States: Mortality, 1999 Technical Appendix:
  - See the "Random Variation and Sampling Errors" section for methods.
  - See "Table S" for the upper and lower confidence limit factors for death rates based on a Poisson variable of the number of deaths.

Standard Errors for Rates

You can request standard errors calculated for death rates.

How? Click the check box to indicate the desired measure.

Notes:

S(R) = standard error of rate S(R) = R * (RSE(R)/100)
Where:
- R = crude death rate R = (deaths / population) * 100,000
- D = the total number of deaths upon which the rate is based.
- RSE(R) = relative standard error of rate RSE(R) = 100 * square root of (1/D)
For more information, refer to
- Age-adjusted Death Rates: Trend Data Based on the Year 2000 Standard Population
- Vital Statistics of the United States: Mortality, 1999 Technical Appendix, see the "Random Variation and Sampling Errors" section for methods.

Additional Rate Options:

Click the "+" to open this section. The options shown here vary, depending on the Measures you checked in section 1. Organize table layout on the Data Request tab. For example, to pick populations for weighting age-adjusted rates here, you must first check the box for age-adjusted rates in the Measures section.

Calculate Rates Per:		Select the factor (multiplier) for your rates. By default, all ages rates are calculated per 100,000 persons, and rates limited to infant age groups are calculated per 1,000 persons. How? See How do I select items from the list box?
Archive Rates:		Check the box if you wish to reproduce archive rates and population figures from the preceding release of these data. See Comparison with Other Releases for more information. How? See "How do I use a checkbox?"
Include age-adjusted rates?		Crude rates are reported by default. Indicate that you wish to calculate age-adjusted rates by clicking the checkbox under Measures in section 1. Organize table layout on the Data Request tab. Then choose the standard population to use for the ratios in the calculation. For more information, see: Age-Adjusted Rates and Frequently Asked Questions about Death Rates. How? See How do I use a radio button? Notes on Age-Adjusted Rates: Group your data by any variable, except for Age Groups. You are prevented from grouping the data by age groups when requesting age-adjusted rates for mortality data, because any single age group alone yields a corresponding weight of 1. Likewise, you must select more than 1 age group when requesting age-adjusted rates for mortality data. Deaths coded to the "unknown" age groups do not yield a proportional weight, as there is no corresponding population value. Select the combined age group for all persons less than 1 year of age. Age-adjusted rates are not available for deaths codes to the specific Infant Age Groups, because the representative population value for each infant age group is the (same) number of live births in selected time period.
Populations for Age-Adjusted Rates:		If you picked standard age-adjusted rates, then the list of possible standard populations used to calculate these age-adjusted rates is shown. See Age-Adjusted Rates for more information. How? See How do I select items from the list box? Note: The standard populations do not include representations of all age groups included in the mortality data. Your request criteria must combine data for the following ranges of ages: "5 - 14 years" combined and "15 - 24 years" combined.
Non-standard Age-Adjusted Rates:		If you picked non-standard age-adjusted rates, then options for selecting possible actual population criteria are shown. The actual population values for the specified year, race and location selections provide the age-specific proportional weights that calculate these age-adjusted rates. See Frequently Asked Questions about Death Rates for more information. How? See How do I select items from the list box? Type the desired Location code value into the box, one code per line. Or leave the box empty for the entire US (national population). Any region, division, state or county code shown in the Finder at Step 2 is valid. Note: If the same population is picked for your query criteria and your non-standard age-adjusted rate calculations, then the crude rates and age-adjusted rates are identical for those data rows that represent the non-standard population denominator.

Step 2. Select location:

Select the place(s) of interest. Location describes geographic areas in the United States by

Regions for multi-state areas;
State and County; and also
Urbanization classifies population density and other factors at the county level - choose between the 2013 or the 2006 NCHS Urban-Rural Classification Scheme for Counties.

Location

Data are available for the United States by Region, State and County, as well as by Urbanization categories for counties. Select the location(s) for the query. Any number of locations can be specified here.

How?

Click a round button to switch between the State and County list, or the Census Region and Census Division list, or the HHS Region list.
See "How do I use a Finder?" for more information.
See Finder Tool help for more hints.

Hints:

The default is all values (the United States).
The Advanced mode let you easily pick several items from different parts of the list. Items are not selected until you click the "Move" button in Advanced mode. You may also enter values by hand, one code per line, in the Advanced mode. Use the Finder to see the correct code format. For example, 02 is the Alaska state code.
The "plus" symbol, "+" indicates that you can open the item, to see more items below it.
The results to a search are shown in blue, and indicated by ">".

Region

Regions are multi-state groups. For regional data, you can group by region, or you can select any combination of individual regions. There are three types of regions available:

Census regions, divisions, states and counties;
Health and Human Services (HHS) regions, states and counties; and
U.S. - Mexico Border Regions, border state areas, and counties. U.S. - Mexico border area counties are demarcated as the 44 counties that are located within 100 kilometers (62 miles) defined under the 1983 La Paz Agreement.

How?

See Location above for instructions.
See also Group Results By in Step 1.

Notes:

Region is based on the person's legal state of residence at the time of death.
The Regions are identified by both name and codes in data extracts.

Census Regions

The United States is split into 4 Census Regions: Northeast, Midwest, South and West. The states that comprise each region are shown below.

How?

See Location above for instructions.
See also Group Results By in Step 1.

Notes:

Census Region is based on the person's legal state of residence at the time of death.
The Regions are identified by both name and codes in data extracts.

Northeast Census Region:
State abbreviation and name FIPS code ________________________________________
CT Connecticut 09 ME Maine 23 MA Massachusetts 25 NH New Hampshire 33 NJ New Jersey 34 NY New York 36 PA Pennsylvania 42 RI Rhode Island 44 VT Vermont 50 ________________________________________
Midwest Census Region:
IL Illinois 17 IN Indiana 18 IA Iowa 19 KS Kansas 20 MI Michigan 26 MN Minnesota 27 MO Missouri 29 NE Nebraska 31 ND North Dakota 38 OH Ohio 39 SD South Dakota 46 WI Wisconsin 55 ________________________________________
South Census Region:
AL Alabama 01 AR Arkansas 05 DE Delaware 10 DC District of Columbia 11 FL Florida 12 GA Georgia 13 KY Kentucky 21 LA Louisiana 22 MD Maryland 24 MS Mississippi 28 NC North Carolina 37 OK Oklahoma 40 SC South Carolina 45 TN Tennessee 47 TX Texas 48 VA Virginia 51 WV West Virginia 54 ________________________________________
West Census Region:
AK Alaska 02 AZ Arizona 04 CA California 06 CO Colorado 08 HI Hawaii 15 ID Idaho 16 MT Montana 30 NV Nevada 32 NM New Mexico 35 OR Oregon 41 UT Utah 49 WA Washington 53 WY Wyoming 56 ________________________________________

Census Division

Census Divisions are multi-state groups, sub-sets of Census Regions. You can group by Census Division, or select any combination of individual Census Divisions.

How?

See Location above for instructions.
See also Group Results By in Step 1.

Notes:

Census Division is based on the person's legal state of residence at the time of death.
The Census Divisions are identified by both name and codes in data extracts. To see all of the states in each Census Division, group the data by Census Division and by State.

The United States is split into 9 Census Divisions by the Census Bureau:

Census Division 1: New England, (CENS-D1)

Census Division 2: Middle Atlantic, (CENS-D2)

Census Division 3: East North Central, (CENS-D3)

Census Division 4: West North Central, (CENS-D4)

Census Division 5: South Atlantic, (CENS-D5)

Census Division 6: East South Central, (CENS-D6)

Census Division 7: West South Central, (CENS-D7)

Census Division 8: Mountain, (CENS-D8)

Census Division 9: Pacific, (CENS-D9)
The states that comprise each Census Division are shown below.

Census Division 1: New England, (CENS-D1)
State	FIPS Code

Connecticut	09
Maine	23
Massachusetts	25
New Hampshire	33
Rhode Island	44
Vermont	50

Census Division 2: Middle Atlantic, (CENS-D2)
New Jersey	34
New York	36

Census Division 3: East North Central, (CENS-D3)
Illinois	17
Indiana	18
Michigan	26
Ohio	39
Wisconsin	55

Census Division 4: West North Central, (CENS-D4)
Iowa	19
Kansas	20
Minnesota	27
Missouri	29
Nebraska	31
North Dakota	38
South Dakota	46

Census Division 5: South Atlantic (CENS-D5)
Delaware	10
District of Columbia	11
Florida	12
Georgia	13
Maryland	24
North Carolina	37
South Carolina	45
Virginia	51
West Virginia	54

Census Division 6: East South Central (CENS-D6)
Alabama	01
Kentucky	21
Mississippi	28
Tennessee	47

Census Division 7: West South Central (CENS-D7)
Arkansas	05
Louisiana	22
Oklahoma	40
Texas	48

Census Division 8: Mountain (CENS-D8)
Arizona	04
Colorado	08
Idaho	16
Montana	30
Nevada	32
New Mexico	35
Utah	49
Wyoming	56

Census Division 9: Pacific (CENS-D9)
Alaska	02
California	06
Hawaii	15
Oregon	41
Washington	53

HHS Regions

The Department of Health and Human Services (HHS) groups the 50 states, the District of Columbia, and the U.S. territories into ten reporting regions, referred to as the HHS regions. Any number of locations can be specified here.

How?

See Location above for instructions.
See also Group Results By in Step 1.

Notes:

Data for Puerto Rico or any of the U.S. territories are not included. Therefore, data for Puerto Rico and the Virgin Islands are not included in HHS Region 2; data for Guam and American Samoa are not included in HHS Region 9.
HHS Region is based on the person's legal state of residence at the time of death.
When the data are exported, separate columns show both the label and the code for each value. To see the full list of labels and code values, request data grouped by this region for the "All" and export the results.

Health and Human Services (HHS) Regions	List of States
1	Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island, Vermont
2	New Jersey, New York (data for Puerto Rico, Virgin Islands are not included)
3	Delaware, District of Columbia, Maryland, Pennsylvania, Virginia, West Virginia
4	Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina, South Carolina, Tennessee
5	Illinois, Indiana, Michigan, Minnesota, Ohio, Wisconsin
6	Arkansas, Louisiana, New Mexico, Oklahoma, Texas
7	Iowa, Kansas, Missouri, Nebraska
8	Colorado, Montana, North Dakota, South Dakota, Utah, Wyoming
9	Arizona, California, Hawaii, Nevada (data for American Samoa and Guam are not included)
10	Alaska, Idaho, Oregon, Washington

U.S. - Mexico Border Regions

The United States is split into two U.S. - Mexico Border Regions: U.S. - Mexico Border Region with counties within 100 kilometers of the U.S. - Mexico border, and the U.S. Non-Border Region with the remaining counties. The areas that comprise the U.S. - Mexico Border Region are shown below. Each of the "Border State Areas" for Arizona, California, New Mexico and Texas are comprised of the counties listed below, which fall within 100 kilometers (62 miles) of the border, based on the La Paz Agreement.

How?

See Location above for instructions.
See also Group Results By in Step 1.

Notes:

Region is based on the person's legal state of residence at the time of death.
The regions are identified by both name and codes in data extracts.

U.S. - Mexico Border Regions

Area Name and Code


U.S. - Mexico Border Region  	UMB01

  Arizona Border Area		UMB03
     Cochise County, AZ		04003
     Pima County, AZ		04019 
     Santa Cruz County, AZ	04023
     Yuma County, AZ		04027

  California Border Area	UMB05 
     Imperial County, CA	06025
     San Diego County, CA	06073

  New Mexico Border Area	UMB07
     Dona Ana County, NM	35013 
     Grant County, NM		35017
     Hidalgo County, NM    	35023
     Luna County, NM 		35029
     Otero County, NM  		35035
     Sierra County, NM		35051
				    
   Texas Border Area		UMB09
     Brewster County, TX	48043 
     Brooks County, TX		48047 
     Cameron County, TX         48061
     Crockett County, TX        48105
     Culberson County, TX	48109
     Dimmit County, TX		48127
     Duval County, TX		48131
     Edwards County, TX		48137
     El Paso County, TX		48141
     Frio County, TX		48163
     Hidalgo County, TX		48215
     Hudspeth County, TX	48229
     Jeff Davis County, TX	48243
     Jim Hogg County, TX 	48247
     Kenedy County, TX 		48261
     Kinney County, TX		48271
     La Salle County, TX	48283	
     McMullen County, TX	48311
     Maverick County, TX	48323
     Pecos County, TX		48371
     Presidio County, TX	48377
     Real County, TX		48385
     Reeves County, TX		48389
     Starr County, TX		48427
     Sutton County, TX		48435
     Terrell County, TX		48443
     Uvalde County, TX		48463
     Val Verde County, TX	48465 
     Webb County, TX		48479
     Willacy County, TX		48489
     Zapata County, TX		48505
     Zavala County, TX		48507

U.S. Non-Border Region  		UMB02

  Remaining states and counties 
				
________________________________________

State

For state level data, you can select any combination of individual states. Or group by State and leave the Location Finder selection at the default (all locations or the 50 United States and the District of Columbia).

How?

See Location above for instructions.
See also Group Results By in Step 1.

Notes:

The state coded represents the person's place of legal residence at the time of death.
The states and the District of Columbia are identified by both state name and Standard Federal Information Processing (FIPS) codes in data extracts. See About FIPS Codes below.

County

County-level data are available for the United States and the District of Columbia. For county level data, you can select any combination of individual counties, or group by County. Leave the Location Finder selection at the default (all locations or the 50 United States and the District of Columbia).

How?

See Location above for instructions.
See also Group Results By in Step 1.

Notes:

The county coded represents the person's place of legal residence at the time of death.
The counties and the District of Columbia are identified by both county name and Standard Federal Information Processing (FIPS) codes in data extracts.
About FIPS Codes: The FIPS State and county codes were established by the National Bureau of Standards, U.S. Department of Commerce in 1968. This standard set of codes provides names and codes for counties and county equivalents of the 50 States of the United States and the District of Columbia. Counties are considered to be the "first order subdivisions" of each State, regardless of their local designation (county, parish, borough, census area). Washington, D.C.; the consolidated government of Columbus City, Georgia; the independent cities of the States of Maryland, Missouri, Nevada, and Virginia; and the census areas and boroughs of Alaska are identified as county equivalents. The system is standard throughout the Federal Government. The State codes are ascending, two-digit numbers; the county codes are ascending three-digit numbers. For both the State and county codes, space has been left for new States or counties. Some changes in the FIPS codes have occurred since 1968. See Location Updates for information on how these changes affect the data.

Urbanization

Urbanization categories classify the counties based on population density and other factors at the county level.

Pick between the 2006 or the 2013 NCHS Urban-Rural Classification Scheme for Counties. Use the radio buttons to select either the 2006 or the 2013 NCHS Urban-Rural Scheme for Counties.

Select All Categories or any combination of values: Large Central Metro, Large Fringe Metro, Medium Metro, Small Metro, Micropolitan (non-metro), NonCore (non-metro). Each county is classified as one of six categories.

Each death is associated with a category based on the county of the person's legal residence.

How?

Click the Radio Button above the box, to pick your preferred list.
See "How do I select items from the list box?," to limit your data to selected categories in the list.

Notes:

These categories are from the 2006 or 2013 NCHS Urban-Rural Classification Scheme for Counties.
See the NCHS Urban-Rural Classification Scheme for Counties web page for more information about the Urbanization categories.
The large central metro category is the most "urban" category and the noncore category is the most "rural" category.
- The large central metro category contains counties in metropolitan statistical areas (MSAs) of one million or more population that have been identified by NCHS classification rules as central because they contain all or part of a principal city of the area.
- The large fringe metro category contains the remaining counties (similar to suburbs) in MSAs of one million or more.
- Counties in MSAs of 250,000 to 999,999 population are assigned to the medium metro category.
- Counties in MSAs with populations under 250,000 are assigned to the small metro category.
- Nonmetropolitan counties that are designated by the Office of Management and Budget as belonging to a micropolitan statistical area are assigned to the micropolitan category.
- The remaining nonmetropolitan counties are assigned to the noncore category.
To understand how the classification schemes were developed, see:
- NCHS Urban-Rural Classification Scheme for Counties
- 2013 NCHS Urban-Rural Classification Scheme for Counties
Most counties are in the same urbanization category for both the 2013 and 2006 schemes. However, for those counties whose category differs in the two schemes, some moved from a less urban to a more urban category, while others moved from a more urban category to a less urban category. For more information, see "Changes in county urbanization category: 2013 scheme versus 2006 scheme" in the report, 2013 NCHS Urban-Rural Classification Scheme for Counties.
It is recommended that the micropolitan category not be aggregated with metropolitan categories.
The Urbanization categories are identified by two columns, labels and codes, in data extracts.

Step 3. Select demographics:

Limit your data for any of the following data elements:

Age Groups - 10 year age groups, 5 year age groups, single-year ages, infant age groups
Gender - All, Female, Male
Race - select from 3 lists of Single Race categories: 6, 15 or 31 categories
Hispanic Origin - All, Hispanic or Latino, Not Hispanic or Latino, Not stated

Notes:

Rates and populations are not available for single-year and 10-year age groups at the county level, for analysis of mortality by Single Race, including analysis of Urbanization categories for counties.
Rates and populations are only available for the 6 Race list of Single Race categories.

Age Groups: 10-Year Age Groups, 5-Year Age Groups, Single-Year Ages, Infant Age Groups

First click the round radio button to show the preferred list of age groups. Then select All Ages or any combination of the individual age groups in the list box.

How?

See "How do I use a radio button?."
See "How do I select items from the list box?"

Notes:

Rates and populations are not available for single-year age groups or 10-year age groups at the county level for analysis of mortality by Single Race, including analysis of Urbanization categories for counties.
Rates caluclated for infant age groups are calculated with the number of live births in the given time period. Thus each infant age group population shows the total number of live births in that period of years. For more information about infant age groups, see Mortality for Infants .
The population for the other age groups is the population estimate for each age group in the given time period. The population estimates for each year are summed together. For example, if data are requested for the age group "15 - 19 years" in the years 2000-2001, then the population estimate for this age group in the year 2000 is added to the population estimate for this age group in the year 2001. The combined population estimates for the time period are the denominator for the death rates.
Deaths of persons with "Unknown" or "Not Stated" age are included in "All" counts and rates, but are not distributed among age groups, so are not included in age-specific counts, age-specific rates or in any age-adjusted rates. See About "Not Stated" age or ethnicity for more information.
Refer to Age-Adjusted Rates for a discussion on the use of age-groups in calculating age-adjusted rates. Note that some of the age groups available in the data are not available in the standard population tables used to calculate age-adjusted rates. Deaths of persons of "Not stated" age are not included in age-adjusted rate calculations. Also, age-adjusted rates are not available for infant age groups.
Rates and Populations are reported as "Not Applicable" for any subset of ages 85 and over, because population estimates are not available for those ages.
The age groups are identified by two columns, labels and codes, in data extracts.

The following age groups are available:

10-Year Age groups:
under 1 year
1 - 4 years
5 - 14 years
10 - 14 years
15 - 24 years
20 - 24 years
25 - 34 years
35 - 44 years
45 - 54 years
55 - 64 years
65 - 74 years
75 - 84 years
85 years and over
Not stated

- or-

5-Year Age groups:
under 1 year
1 - 4 years
5 - 9 years
10 - 14 years
15 - 19 years
20 - 24 years
25 - 29 years
30 - 34 years
35 - 39 years
40 - 44 years
45 - 49 years
50 - 54 years
55 - 59 years
60 - 64 years
65 - 69 years
70 - 74 years
75 - 79 years
80 - 84 years
85 - 89 years
90 - 94 years
95 - 99 years
100 years and over
Not stated

- or-

Single-Year Age groups:
under 1 year
to
100 years and over
Not stated

- or-

Infant age groups (live births):
under 1 day
1 - 6 days
7 - 27 days
28 - 364 days

Gender

Select All Genders or any combination of other values: female, male.

How? See "How do I select items from the list box?"

Note: The genders are identified by two columns, labels and codes, in data extracts.

Single Race

For deaths in 2018-2022, mortality data are available by "single race" categories in three lists, with 6, 15 or 31 distinct options. Select All Races by default, or select any combination of specific categories in one of the three lists. You can only limit data or group results by one of the lists for any single query. Be sure the Radio Button is set to your choice. Pick between:

6 race categories - American Indian or Alaska Native (AIAN); Asian; Black or African American; More than one race; Native Hawaiian or Other Pacific Islander (NHOPI); White.
15 race categories - White; Black; American Indian or Alaska Native (AIAN); Asian Indian; Chinese; Filipino; Japanese; Korean; Vietnamese; Other Asian; Hawaiian; Guamanian; Samoan; Other Pacific Islander; More than one race.
31 race categories - White; Black; American Indian or Alaskan Native (AIAN); Asian; Native Hawaiian or Other Pacific Islander (NHOPI); Black and White; Black and AIAN; Black and Asian; Black and NHOPI; AIAN and White; AIAN and Asian; AIAN and NHOPI; Asian and White; Asian and NHOPI; NHOPI and White; Black, AIAN, and White; Black, AIAN, and Asian; Black, AIAN, and NHOPI; Black, Asian, and White; Black, Asian, and NHOPI; Black, NHOPI, and White; AIAN, Asian, and White; AIAN, NHOPI, and White; AIAN, Asian, and NHOPI; Asian, NHOPI, and White; Black, AIAN, Asian, and White; Black, AIAN, Asian, and NHOPI; Black, AIAN, NHOPI, and White; Black, Asian, NHOPI, and White; AIAN, Asian, NHOPI, and White; Black, AIAN, Asian, NHOPI, and White.

How?

Click the Radio Button to the left of the box, to pick your preferred list.
Select one or more items from the list to limit your data. The default value for any list is all categories.

Notes:

Rates and population estimates are only available for the list of 6 Single Race categories.
See Race and Ethnicity Questions for more information about the issues of race categories and ethnicity in the data.
To analyze deaths in years 1999-2020 by four Bridged-race categories (American Indian or Alaskan Native, Asian / Pacific Islander, Black or African American, White), see Underlying Cause of Death 1999-2020.
The Race categories are identified by two columns, labels and codes, in data extracts.

Hispanic Origin

Select All values or select any combination of other values: Hispanic or Latino, Not Hispanic or Latino, Not stated.

How? See "How do I select items from the list box?"

Notes:

Population denominator data are not available for the "Not stated" category, thus rates are flagged as "not applicable."
Deaths of persons with unknown or "Not Stated" Hispanic origin are included in "All" counts and rates, but are not distributed among Hispanic Origin groups, so are not included in the Hispanic Origin specific counts and rates . See About "Not Stated" age or ethnicity for more information.
See Race and Ethnicity Questions for more information about the issues of race categories and ethnicity in the data.
The Hispanic Origin categories are identified by two columns, labels and codes, in data extracts.

Step 4. Select year and month:

Select any specific years or year/month dates to limit your data to the specified time of occurrence of death. The default value is the full range of years and months in the data collection.

How?

The first level shows the years. Select one or more years, and then click the Open button below the list to see the months in each year.
See "How do I use a Finder?" for help.
If you prefer, You can also enter date values by hand:
1. Click the link for Advanced mode. (Advanced mode is only available when JavaScript is enabled.)
2. Use yyyy (1994) for years, yyyy/mm (1992/01) for months. Enter one date per line.
See Finder Tool help for more hints.

Notes:

Each month is considered a unique combination of year and month, such as July, 2011.
Rates and populations are shown as "Not Applicable" for months.
When the data are exported, separate columns show both the label and the code for each value.

Step 5. Select weekday, autopsy and place of death:

Limit your data for any of the following data elements:

Weekday of death: - Sunday through Saturday, Unknown
Autopsy performed: - No, Yes, Unknown
Place of Death: - Medical Facility - Inpatient, Medical Facility - Outpatient or ER, Medical Facility - Dead on Arrival, Decedent's home, Hospice Facility, Nursing home/long term care, Other, Place of death unknown

Note that rates and populations are shown as "Not Applicable" for Weekday, Autopsy and Place of Death.

Weekday of Death

Select All any combination of other values for the weekday of occurrence of death: Sunday through Saturday, Unknown.

How? See "How do I select items from the list box?"

Notes:

Note that rates and populations are shown as "Not Applicable" for weekday of death.
Data are identified by two columns, labels and codes, in data extracts.

Autopsy Performed

Select All any combination of other values for the whether an autopsy was performed: No, Yes, Unknown.

How? See "How do I select items from the list box?"

Notes:

Note that rates and populations are shown as "Not Applicable" for whether an autopsy was performed.
Data are identified by two columns, labels and codes, in data extracts.

Place of Death

Select All any combination of other values for the place of death: Medical Facility - Inpatient, Medical Facility - Outpatient or ER, Medical Facility - Dead on Arrival, Decedent's home, Hospice Facility, Nursing home/long term care, Other, Place of death unknown.

How? See "How do I select items from the list box?"

Notes:

Note that rates and populations are shown as "Not Applicable" for place of death.
The Place of Death categories changed in 2003. The "Medical Facility - Status unknown" category is only available in years 1999-2002. The "Hospice Facility" category is only available in years 2003 and later. Death counts for these categories are shown as "Missing" for those years when the data are unavailable.
Data are identified by two columns, labels and codes, in data extracts.

Step 6. Select underlying cause of death:

Select categories that represent the underlying cause of death from the death certificate. Only one underlying cause of death is indicated for each death. Deaths are coded to the International Classification of Disease Tenth Revision (ICD-10) codes. The ICD system is organized by chapters, sub-chapters and codes. Selected causes are also grouped into categories for mortality analysis. Any number of causes can be specified here. However, you can only limit data to one of the lists for any single query. Be sure the Radio Button is set to your choice. Pick between:

ICD-10 Codes listed as chapters, sub-chapters and individual codes
ICD-10 113 Groups for selected causes of death
ICD-10 130 Groups for selected causes of infant mortality
Drug/Alcohol Induced Causes
Injury Intent and Mechanism

Hints:

Only those ICD codes and causes that are used to classify underlying causes of death in the mortality data are available in the Finder for this section. Symptoms are not classified as underlying causes of death.
Deaths in the years 1999 and later are coded to the tenth revision of the International Classification of Diseases (ICD-10). There are 113 selected causes of death groups for the ICD-10 codes.
When you select a code, remember that some deaths are coded to the 3 length code, and not the more detailed designation. Thus some deaths may be excluded from your data selection if your criteria are limited to only 4 length codes. For example, the ICD-10 code A09 is the correct specification; A09.0 will not pick up deaths coded A09.
The causes of death are identified by two columns, labels and codes, in data extracts.

Notes:

About the International Classification of Diseases:
The mortality data are compiled in accordance with the World Health Organization (WHO) regulations, which specify that member nations classify and code causes of death in accordance with the current revision of the International Statistical Classification of Diseases and Related Health Problems (ICD). The International Classification of Diseases is developed collaboratively between the World Health Organization (WHO) and 10 international centers, for purposes of ensuring that medical terms reported on death certificates are internationally comparable and lend themselves to statistical analysis. The ICD has been revised approximately every 10 years since 1900 in order to reflect changes in understanding of disease mechanisms and in disease terminology.
See also ICD 10th revision notes.

ICD-10 Codes

Limit the data to any number of causes of death, for selected chapters, sub-chapters or codes. The default selection is "all causes" of death.

How?

Click the Radio Button to the left of the box, to pick your preferred list.
Select one or more items from the list to limit your data. The default value for any list is all causes of death.
Hints:
- See How do use a Finder? to learn more about search options, expanding or collapsing selected items, and displaying details for selected items in the Finder.
- The "plus" symbol, "+" indicates that you can open the item, to see more items below it.
- The results to a search are shown in blue, and indicated by ">".
- The Advanced mode let you easily pick several items from different parts of the list. Items are not selected until you click the "Move" button in Advanced mode.
- You may also enter values by hand, one code per line, in the Advanced mode. Use the Finder to see the correct code format. For example, "I20-I25" is the ICD-10 code for ischemic heart diseases.
- See Finder Tool help for more hints.

Notes:

The International Classification of Disease (ICD) 10th revision is used to represent the causes of death for the years 1999 and later. The ICD system is organized by chapters, sub-chapters and codes.
ICD-10 uses a 4-length alphanumeric coding scheme. Each of the 21 chapters in ICD-10 is classified to a letter or letters of the alphabet. Infectious disease codes in Chapter 1, for example, begin with an "A" or "B". Thus, Acute poliomyelitis is associated with the codes A80.0-A80.9 and Viral hepatitis is classified as B15.0-B19.9. The ICD 10 system begins codes with a letter from the alphabet, followed by two numerals, then a decimal point to indicate subordinate position, and then more numerals. Some causes of death are represented by 3 length codes, although most causes of death are represented by 4 length codes (format A12.3). Greater detail than 4 length codes are not included in the data.
About Underlying Cause of Death:
- The underlying cause-of-death is defined by the World Health Organization (WHO) as "the disease or injury which initiated the train of events leading directly to death, or the circumstances of the accident or violence which produced the fatal injury." Underlying cause-of-death is selected from the conditions entered by the physician on the cause of death section of the death certificate. When more than one cause or condition is entered by the physician, the underlying cause is determined by the sequence of conditions on the certificate, provisions of the ICD, and associated selection rules and modifications.
- Each death certificate contains a single underlying cause of death.
- Only those ICD codes that are used to classify underlying causes of death in the mortality data are available in the Finder for selecting underlying causes of death. Symptoms are not classified as underlying causes of death.

About changes in ICD-10 codes:
The valid ICD-10 codes used to classify cause of death change over time, refer to table below for details. Effective with the 2020 data year, 1 code was introduced as a valid cause of death. Effective with the 2019 data year, 1 code was introduced as a valid cause of death. Effective with the 2011 data year, 33 codes were introduced as valid causes of death. Effective with the 2009 data year, 5 codes were introduced as valid causes of death, and 11 codes were discontinued. Effective with the 2007 data year, 4 codes were introduced as valid causes of death, and 2 codes were discontinued. Effective with the 2006 data year, 18 codes were introduced as valid causes of death, and 4 codes were discontinued. The World Health Organization (WHO) added code I27.2 in 2003. Prior to 2003, if the certifier listed "secondary pulmonary hypertension" the condition would be coded I27.0 because there was no code for secondary pulmonary hypertension. After code I27.2 was added in 2003, the number of deaths coded to I27.0 dropped significantly.

New causes of death in 2020
ICD-10 Code	Title
U07.1	COVID-19
New causes of death in 2019
ICD-10 Code	Title
U07.0	Vaping related disorder
New causes of death in 2011
ICD-10 Code	Title
B17.9	Acute viral hepatitis, unspecified
D68.5	Primary thrombophilia
D68.6	Other thrombophilia
D89.3	Immune reconstitution syndrome
E88.3	Tumor lysis syndrome
G14	Postpolio syndrome
G21.4	Vascular parkinsonism
H54.9	Unspecified visual impairment (binocular)
I72.5	Aneurysm and dissection of other precerebral arteries
J12.3	Human metapneumovirus pneumonia
J21.1	Acute bronchiolitis due to human metapneumovirus
K12.3	Oral mucositis (ulcerative)
K35.2	Acute appendicitis with generalized peritonitis
K35.3	Acute appendicitis with localized peritonitis
K35.8	Acute appendicitis, other and unspecified
L89.0	Stage I decubitus ulcer and pressure area
L89.1	Stage II decubitus ulcer
L89.2	Stage III decubitus ulcer
L89.3	Stage IV decubitus ulcer
L89.9	Decubitus ulcer and pressure area, unspecified
N18.1	Chronic kidney disease, stage 1
N18.2	Chronic kidney disease, stage 2
N18.3	Chronic kidney disease, stage 3
N18.4	Chronic kidney disease, stage 4
N18.5	Chronic kidney disease, stage 5
N42.3	Dysplasia of prostate
O14.2	HELLP syndrome
O43.2	Morbidly adherent placenta
O96.0	Death from direct obstetric cause occurring more than 42 days but less than one year after delivery
O96.1	Death from indirect obstetric cause occurring more than 42 days but less than one year after delivery
O96.9	Death from unspecified obstetric cause occurring more than 42 days but less than one year after delivery
O97.0	Death from sequelae of direct obstetric cause
O97.1	Death from sequelae of indirect obstetric cause
O97.9	Death from sequelae of obstetric cause, unspecified
O98.7	Human immunodeficiency [HIV] disease complicating pregnancy, childbirth and the puerperium
X34.0	Victim of cataclysmic earth movements caused by earthquake
X34.1	Victim of tsunami
X34.8	Victim of other specified effects of earthquake
X34.9	Victim of unspecified effect of earthquake

New causes of death in 2009
ICD-10 Code	Title
A09.0	Other and unspecified gastroenteritis and colitis of infectious origin
A09.9	Gastroenteritis and colitis of unspecified origin
K52.3	Indeterminate colitis
R26.3	Immobility
R63.6	Insufficient intake of food and water due to self neglect

New causes of death in 2007
ICD-10 Code	Title
J09	Influenza due to identified avian influenza virus
U04.9	Severe acute respiratory syndrome [SARS], unspecified
X59.0	Exposure to unspecified factor causing fracture
X59.9	Exposure to unspecified factor causing other and unspecified injury

New causes of death in 2006
ICD-10 Code	Title
B33.4	Hantavirus (cardio)-pulmonary syndrome [HPS][HCPS]
G90.4	Autonomic dysreflexia
I15.0	Renovascular hypertension
I15.9	Secondary hypertension, unspecified
K22.7	Barrett's esophagus
K85.0	Idiopathic acute pancreatitis
K85.1	Biliary acute pancreatitis
K85.2	Alcohol-induced acute pancreatitis
K85.3	Drug-induced acute pancreatitis
K85.8	Other acute pancreatitis
K85.9	Acute pancreatitis, unspecified
M31.7	Microscopic polyangiitis
M79.7	Fibromyalgia
P91.6	Hypoxic ischemic encephalopathy of newborn
R29.6	Tendency to fall, not elsewhere classified
R50.2	Drug-induced fever
R50.8	Other specified fever
W46	Contact with hypodermic needle

New causes of death in 2003
ICD-10 Code	Title
I27.2	Other secondary pulmonary hypertension

Discontinued causes of death in 2009
ICD-10 Code	Title
A09	Diarrhea and gastroenteritis of infectious origin
F11.0	Mental and behavioral disorders due to use of opioids, acute intoxication
F12.0	Mental and behavioral disorders due to use of cannabinoids, acute intoxication
F13.0	Mental and behavioral disorders due to use of sedatives or hypnotics, acute intoxication
F14.0	Mental and behavioral disorders due to use of cocaine, acute intoxication
F15.0	Mental and behavioral disorders due to use of other stimulants, including caffeine, acute intoxication
F16.0	Mental and behavioral disorders due to use of hallucinogens, acute intoxication
F17.0	Mental and behavioral disorders due to use of tobacco, acute intoxication
F18.0	Mental and behavioral disorders due to use of volatile solvents, acute intoxication
F19.0	Mental and behavioral disorders due to multiple drug use and use of other psychoactive substances, acute intoxication
K51.1	Ulcerative (chronic) ileocolitis

Discontinued causes of death in 2007
ICD-10 Code	Title
F10.0	Mental and behavioral disorders due to use of alcohol, acute intoxication
X59	Exposure to unspecified factor

Discontinued causes of death in 2006
ICD-10 Code	Title
I25.2	Old myocardial infarction
K85	Acute pancreatitis
R50.0	Fever with chills
R50.1	Persistent fever

About ICD-10 cause of death codes O00-O99:
Between 2003 and 2017, states were incrementally implementing a pregnancy status checkbox which affected the comparability of data between states. In addition, evaluation of data quality indicated errors following adoption of the checkbox. Beginning with 2018 data, after all states had implemented a checkbox, NCHS restricted use of the checkbox to decedents aged 10-44 years to mitigate probable errors. For more information, please refer to Maternal Mortality Statistics for 2018 at: https://www.cdc.gov/nchs/maternal-mortality/.
About deaths due to acts of terrorism:
Beginning with data for 2001, NCHS introduced categories *U01-*U03 for classifying and coding deaths due to acts of terrorism. The asterisks before the category codes indicate that they are not part of the International Classification of Diseases, Tenth Revision (ICD-10). Description of the specific 4-digit codes can be found at NCHS Classifications of Diseases, Functioning and Disability: Appendix I. Deaths classified to the terrorism categories are included in the categories for Assault (homicide) and Intentional self-harm (suicide) in the 113 cause-of-death list. Additional information on these new categories can be found at NCHS Classifications of Diseases, Functioning and Disability: Classification of Death and Injury Resulting from Terrorism. Terrorism related deaths in this data do not represent a final count of deaths resulting from the terrorist attacks on September 11, 2001, as this figure had not been determined. As of October 24, 2002, death certificates were issued for 2,957 of the estimated 3,028 individuals believed to have died as a result of the September 11, 2001 attacks. Of these, four were issued for terrorists and are classified as suicides. The criteria for issuing a death certificate for those believed to have died in the attacks differed by state, reflecting differences in state laws regarding death certification. Pennsylvania issued a death certificate for every individual, including the terrorists. Death certificates were not issued for any of the terrorists in Virginia or New York City. Virginia issued a death certificate only for those victims whose remains were identified. New York City issued a death certificate for those whose remains were identified or, if remains were not recovered, for those whose families applied for a death certificate. For more detailed information regarding New York City's processing of these deaths, see Deaths in World Trade Center Terrorist Attacks---New York City, 2001.

ICD-10 113 Cause List - 113 Selected Causes of Death

Limit the data to any number of groups of selected causes of death.

How?

Click the Radio Button to pick your preferred list.
Select one or more items from the list to limit your data. Use Ctrl + Click for multiple selections, or Shift + Click for a range.

Notes:

Deaths in the years 1999 and later are coded to the tenth revision of the International Classification of Diseases (ICD-10). There are 113 selected causes of death groups for the ICD-10 codes.
NCHS has defined selected causes of death groups for analysis of mortality data: the "113 Selected Causes of Death" for all age groups, and the "130 Selected Cause of Infant Death" categorize ICD-10 codes for analysis of deaths in the years 1999 and later. The group code values are not actual ICD codes published in the International Classification of Diseases, but are "recodes" defined to support analysis by the Selected Causes of Death groups.
Group results by "ICD-10 113 Groups" and also by "Cause of Death" to see the individual ICD codes included in each category.
A "#" symbol preceding the label indicates a "rankable" cause of death, from the National Center for Health Statistics (NCHS) list of rankable causes of death. The rankable causes are a subset of the 113 selected causes of death, and the 130 selected causes of death for infants.
Group results by "15 Leading Causes" to get death counts and rates for the top 15 rankable causes of death, for your selected query criteria. Note that cross-tabulations, zero value death counts, and suppressed values are not permitted when you group results by "15 Leading Causes." When more than one rankable cause of death occurs in the last position, all these causes are shown.

ICD-10 130 Cause List (Infants) - 130 Selected Causes of Infant Death

Limit the data to any number of groups of selected causes of death for infants.

How?

Click the Radio Button to pick your preferred list.
Select one or more items from the list to limit your data. Use Ctrl + Click for multiple selections, or Shift + Click for a range.

Notes:

Deaths in the years 1999 and later are coded to the tenth revision of the International Classification of Diseases (ICD-10). There are 130 Selected Causes of Infant Death groups for the ICD-10 codes.
NCHS has defined selected causes of death groups for analysis of all ages mortality data: the "113 Selected Causes of Death" for all age groups, and the "130 Selected Cause of Infant Death" categorize ICD-10 codes for analysis of deaths in the years 1999 and later. The group code values are not actual ICD codes published in the International Classification of Diseases, but are "recodes" defined to support analysis by the Selected Causes of Death groups.
Group the data by "ICD-10 130 Groups" and also by "Cause of Death" to see the individual ICD codes included in each category.
A "#" symbol preceding the label indicates a "rankable" cause of death, from the National Center for Health Statistics (NCHS) list of rankable causes of death. The rankable causes are a subset of the 113 selected causes of death, and the 130 selected causes of death for infants.
Group results by "15 Leading Causes" to get death counts and rates for the top 15 rankable causes of death, for your selected query criteria. Note that cross-tabulations, zero value death counts, and suppressed values are not permitted when you group results by "15 Leading Causes." When more than one rankable cause of death occurs in the last position, all these causes are shown.

Drug/Alcohol Induced Causes

Limit the data to any number of groups of selected causes of death, or individual codes.

How?

Click the Radio Button to pick your preferred list.
Select one or more items from the list to limit your data. Use Ctrl + Click for multiple selections, or Shift + Click for a range.

Notes:

Deaths in the years 1999 and later are coded to the tenth revision of the International Classification of Diseases (ICD-10).
NCHS has defined selected causes of death groups for analysis of all ages mortality data: Drug-Induced causes, Alcohol-Induced Causes, All Other Causes. The group code values are not actual ICD codes published in the International Classification of Diseases, but are "recodes" defined to support analysis by the Selected Causes of Death groups.
Group the data by "Drug/Alcohol Induced Causes" and also by "Cause of Death" to see the individual ICD codes included in each category.

Injury Intent and Mechanism

Limit your data for any of the following data elements:

Injury Intent
Injury Mechanism & All Other Leading Causes

About the External Cause of Injury Mortality Matrix:

For the analysis of injury mortality data, all causes of death have been classified by intent and by mechanism. The causes of death that are not related to injuries have been categorized as non-injuries, and are categorized in keeping with the 113 selected causes of death groups for ICD-10. The groups of injury mechanisms are different from those based on the "113 Selected Causes of Death" for ICD-10 codes. The groupings are based on the External Cause of Injury Mortality Matrix. In addition, some non-injury groups have been combined to make for broader categories, such as Heart Disease and Tuberculosis.

For more information, see: External Cause of Injury Mortality Matrix.

Injury Intent

Limit the data to any number of categories.

How?

Click the Radio Button to pick your preferred list.
Select one or more items from the list to limit your data. Use Ctrl + Click for multiple selections, or Shift + Click for a range.

Notes:

Group the data by "Injury Intent" and also by "Cause of Death" to see the individual ICD codes included in each category.
Refer to External Cause of Injury Mortality Matrix for more information.

Injury Mechanism & All Other Leading Causes

Limit the data to any number of categories.

How?

Click the Radio Button to pick your preferred list.
Select one or more items from the list to limit your data. Use Ctrl + Click for multiple selections, or Shift + Click for a range.

Notes:

Group the data by "Injury Mechanism" and also by "Cause of Death" to see the individual ICD codes included in each category.
NCHS has defined selected causes of death groups for analysis of injury mortality data. The groups of injury mechanisms are different from those based on the "113 Selected Causes of Death" for ICD-10 codes. The groupings are based on the External Cause of Injury Mortality Matrix. In addition, some non-injury groups have been combined to make for broader categories, such as Heart Disease and Tuberculosis.
Refer to External Cause of Injury Mortality Matrix for more information.
In order to allow analysis of Injury Mortality across a larger span of years, the ICD-9 codes that classify the underlying cause of death for years 1979 - 1998 have been categorized to be compatible with the ICD-10 External Cause of Mortality Matrix. The categories in WONDER differ slightly from the original ICD-9 External Cause of Mortality Matrix, as follows:

ICD-9 Codes and Updated Injury Mechanism Categories
ICD-9 Code Values	Categories in the original ICD-9 External Cause Mortality Matrix	Categories compatible with the ICD-10 External Cause of Mortality Matrix
E990	Other specified and classifiable, legal intervention	Fire or hot object or substance, legal intervention
E800 - E807(.0,.1,.8,.9), E820 - E825(.0 - .5,.8,.9), E826(.2 - .8), E827 - E829(.2 - .9)	Transport, other, unintentional	Other land transport, unintentional
E846	Other specified and classifiable, unintentional	Other land transport, unintentional
E958.5	Motor Vehicle Traffic, suicide	Other land transport, suicide
E988.5	Motor Vehicle Traffic, undetermined	Other land transport, undetermined
E830 - E832	Drowning, Unintentional	Other transport, unintentional
E847 - E848	Other specified and classifiable, unintentional	Other transport, unintentional
E994	Other specified and classifiable, legal intervention	Other transport, legal intervention
E958(.3)	Natural or environmental, suicide	Other specified classifiable, suicide
E958(.6)	Transport, other, suicide	Other specified, not elsewhere classified, suicide
E988(.3)	Natural or environmental, undetermined	Other specified classifiable, undetermined
E988(.6)	Transport, other, undetermined	Other specified, not elsewhere classified, undetermined

Step 7. Other options:

Export Results:		If checked query results are exported to a local file. More information on how to import this file into other applications can be found here. How? See "How do I use a checkbox?"
Show Totals:		If checked totals and sub-totals will appear in the results table. How? See "How do I use a checkbox?"
Show Zero Values:		If checked, rows containing zero counts are included in the results table. If unchecked, zero count rows are not included. How? See "How do I use a checkbox?"
Precision:		Select the precision for rate calculations. When the rate calculated for a small numerator (incidence count) is zero, you may increase the precision to reveal the rate by showing more numbers to the right of the decimal point. How? See "How do I select items from the list box?"
Data Access Timeout:		This value specifies the maximum time to wait for the data access for a query to complete. If the data access takes too long to complete, a message will be displayed and you can increase the timeout or simplify your request. If you can't complete a request using the maximum timeout, contact user support and we will try to run a custom data request for you. How? See "How do I select items from the list box?"

Data Source Information

Mortality Data Sources:

The Underlying Cause of Death data are produced by the National Center for Health Statistics (NCHS) at the Centers for Disease Control and Prevention (CDC). Mortality information is collected by state registries and provided to the National Vital Statistics System. Underlying cause of death and demographic descriptors are indicated on the death certificates. Each death certificate contains a single underlying cause of death, up to twenty additional multiple causes, and demographic data. The underlying cause-of-death is defined by the World Health Organization (WHO) as "the disease or injury which initiated the train of events leading directly to death, or the circumstances of the accident or violence which produced the fatal injury." Underlying cause-of-death is selected from the conditions entered by the physician on the cause of death section of the death certificate. When more than one cause or condition is entered by the physician, the underlying cause is determined by the sequence of conditions on the certificate, provisions of the International Classification of Diseases, and associated selection rules and modifications.

To learn more about the methods and source of these data please reference:

National Center for Health Statistics: (NCHS) Multiple Cause of Death data web site
National Vital Statistics System: Mortality web site
See also Data Source Citations

Population Denominator Data Sources:

The population estimates are single-race estimates based on Bureau of the Census estimates of total U.S., State, and county resident populations. The 2018-2022 population estimates are postcensal estimates of the July 1 resident population. Note that these estimates are based on 6 single race categories: American Indian or Alaska Native (AIAN); Asian; Black or African American; More than one race; Native Hawaiian or Other Pacific Islander (NHOPI); White. The population estimates are by geographic unit (total United States, State, and county), year, race, sex, and age group. To permit the calculation of infant mortality rates, NCHS live-birth data are included on the file.

For more information on the population estimates, see:

Population Data

Additional Information

Suggested Data Source Citations:

United States Department of Health and Human Services (US DHHS),
Centers for Disease Control and Prevention (CDC),
National Center for Health Statistics (NCHS),
Underlying Cause of Death by Single Race 2018-2022 on CDC WONDER Online Database, released 2024. Data are compiled from data provided by the 57 vital statistics jurisdictions through the Vital Statistics Cooperative Program.

Data for year 2022 are compiled from the Multiple Cause of Death File 2022, Series 20, No. 2Z, 2024.
Data for year 2021 are compiled from the Multiple Cause of Death File 2021, Series 20, No. 2Z, 2022.
Data for year 2020 are compiled from the Multiple Cause of Death File 2020, Series 20, No. 2Z, 2021.
Data for year 2019 are compiled from the Multiple Cause of Death File 2019, Series 20, No. 2Y, 2020.
Data for year 2018 are compiled from the Multiple Cause of Death File 2018, Series 20, No. 2X, 2020.
Accessed at http://wonder.cdc.gov/ucd-icd10-expanded.html.

The suggested citation including the original series for the data is shown below each table, chart or map.

Contact:

For data questions that are not addressed in this document, e-mail nchsquery@cdc.gov.

Other Issues:

Reference the following topics:
Frequently Asked Questions about Death Rates
Mortality Data
Infant Mortality
Population Estimates
Age Adjustment of Death Rates
Assurance of Confidentiality
International Classification of Diseases (ICD)
Locations: About County Level Changes
Contact for Data Questions
Suggested Citation

Notes:

Reporting anomalies:
- About cause of death classification changes:
  - Changes to cause of death classification affect reporting trends. For more information, see Changes in ICD-10 codes.
  - See also About ICD-10 codes O00-O99 for reporting issues affecting maternal mortality statistics.
Demographic reporting:
- Deaths of persons with Age "Not Stated" are included in "All" counts and rates, but are not distributed among age groups, so are not included in age-specific counts, age-specific rates or in any age-adjusted rates. For more information, see Not Stated Age or Ethnicity.
- Information included on the death certificate about the race and Hispanic ethnicity of the decedent is reported by the funeral director as provided by an informant, often the surviving next of kin, or, in the absence of an informant, on the basis of observation. Race and ethnicity information from the census is by self-report. To the extent that race and Hispanic origin are inconsistent between these two data sources, death rates will be biased. For more information, see Race and Ethnicity Reporting.
Revisions and errata:
- About revised 2019 deaths: On March 11, 2021, the 2019 mortality data on CDC WONDER was updated with the 2019 mortality data updated by NCHS on March 4, 2021 to include corrected information for residents of Texas affecting 5 records previously coded to cause code *U01.4, Terrorism involving firearms (homicide). The underlying and multiple cause of death codes for 5 records were corrected in the 2019 data. Underlying and multiple cause of death codes for those 5 records were recoded to Assault (homicide) by other and unspecified firearm discharge, ICD-10 code X95. The corrected final death records replaces the data released on December 22, 2020.
- Rates by County and specific single Race 6 categories: Between December 22, 2020 and February 3, 2021, the county-level race-specific population figures and rates reported for year 2018 were inaccurate for queries that reported race-specific categories for single race 6 Race groups in combination for any specific County and/or Urbanization categories. The results to such queries erroneously reported inaccurate population values and death rates for specific 6 Race categories at the county level. This problem applied to all queries with County and/or Urbanization categories and the specific 6 Race categories in year 2018. We apologize for this error.

Population Estimates

Reference the following topics to learn more about population denominators for rate calculation:

Population Information for the Current Release

Comparison with other releases

Population Information

The population data are single race estimates from U.S. Census Bureau files. The population estimates for the years 2018-2022 are postcensal estimates of the July 1, resident population.

To permit the calculation of infant mortality rates, NCHS live-birth data are included for "Infant age Groups." The race code for these records is derived from "race of mother".

Specific Details

2018 Population Estimates
National, state, and county population estimates are July 1 resident population estimates from the Vintage 2018 six single race postcensal series released by the Census Bureau on June 20, 2019. The population files have estimates for six single race categories: American Indian or Alaska Native (AIAN); Asian; Black or African American; More than one race; Native Hawaiian or Other Pacific Islander (NHOPI); White. The postcensal July 1st population estimates are based on the year 2010 April 1st Census counts.
The national, region, division, and state and county estimates are consistent with each other within a given year.
The July 1 resident population estimates from the Vintage 2018 six single race postcensal series by age, sex, Hispanic origin and place are also consistent with the July 1 resident population estimates from the Vintage 2018 Bridged-race postcensal series.
2019 Population Estimates
National, state, and county population estimates are July 1 resident population estimates from the Vintage 2019 six single race postcensal series released by the Census Bureau on June 25, 2020. The population files have estimates for six single race categories: American Indian or Alaska Native (AIAN); Asian; Black or African American; More than one race; Native Hawaiian or Other Pacific Islander (NHOPI); White. The postcensal July 1st population estimates are based on the year 2010 April 1st Census counts.
The national, region, division, and state and county estimates are consistent with each other within a given year.
The July 1 resident population estimates from the Vintage 2019 six single race postcensal series by age, sex, Hispanic origin and place are also consistent with the July 1 resident population estimates from the Vintage 2019 Bridged-race postcensal series.
2020 Population Estimates
National, state, and county population estimates are July 1 resident population estimates from the Vintage 2020 six single race postcensal series released by the Census Bureau on July 27, 2021. The population files have estimates for six single race categories: American Indian or Alaska Native (AIAN); Asian; Black or African American; More than one race; Native Hawaiian or Other Pacific Islander (NHOPI); White. The postcensal July 1st population estimates are based on the year 2010 April 1st Census counts.
The national, region, division, and state and county estimates are consistent with each other within a given year.
The July 1 resident population estimates from the Vintage 2020 six single race postcensal series by age, sex, Hispanic origin and place are also consistent with the July 1 resident population estimates from the Vintage 2020 Bridged-race postcensal series.
2021 Population Estimates
National, state, and county population estimates are July 1 resident population estimates from the Vintage 2021 six single race postcensal series released by the Census Bureau on June 30, 2022. The population files have estimates for six single race categories: American Indian or Alaska Native (AIAN); Asian; Black or African American; More than one race; Native Hawaiian or Other Pacific Islander (NHOPI); White.
Population estimates for 2021 are estimated as of July 1, 2021 based on the Blended Base produced by the US Census Bureau in lieu of the April 1, 2020 decennial population count. The Blended Base consists of the blend of Vintage 2020 postcensal population estimates, 2020 Demographic Analysis Estimates, and 2020 Census PL 94-171 Redistricting File see 2020-2021 Population Estimates Methodology).
The national, region, division, and state and county estimates are consistent with each other within a given year.
2022 Population Estimates
National, state, and county population estimates are July 1 resident population estimates from the Vintage 2022 six single race postcensal series released by the Census Bureau on June 22, 2023. The population files have estimates for six single race categories: American Indian or Alaska Native (AIAN); Asian; Black or African American; More than one race; Native Hawaiian or Other Pacific Islander (NHOPI); White.
Population estimates for 2022 are estimated as of July 1, 2022 are based on the Modified Blended Base produced by the US Census Bureau in lieu of the April 1, 2020 decennial population count. The Modified Blended Base consists of the blend of Vintage 2020 postcensal population estimates for April 1, 2020, 2020 Demographic Analysis Estimates, and 2020 Census data from the internal Census Edited File (CEF) (see 2020-2022 Population Estimates Methodology).
The national, region, division, and state and county estimates are consistent with each other within a given year.
The July 1, 2022 population estimates are used as denominators for calculating rates for deaths in year 2022.
The July 1, 2022 population estimates are used as denominators for calculating provisional death rates in year 2022 and later years in the provisional mortality data updates effective January 18, 2024.
Comparison with other releases:
The rates and population figures by single-race for years 2018-2020 are different from the other releases of the 2018-2020 mortality data on CDC WONDER, in that data are available by single race categories.
The rates and population estimates for 2021 and later years differ in methodology from prior years, in that population figures are based on the Blended Base produced by the US Census Bureau in lieu of the April 1, 2020 decennial population count. The Blended Base consists of the blend of Vintage 2020 postcensal population estimates and other components. For more information:
- 2020-2021 Population Estimates Methodology
- 2020-2022 Population Estimates Methodology

If you have additional questions about the population estimates, please contact PopEst@CDC.gov.

Frequently Asked Questions about Mortality

The questions are in three sections:

Questions about Death Rates

Data Release Questions

Race and Ethnicity Questions

Questions about Death Rates
1. How do I get the top 15 leading causes of death in WONDER?
  Group results by "15 Leading Causes" to get death counts and rates for the top 15 rankable causes of death, for your selected query criteria. Note that cross-tabulations, zero value death counts, and suppressed values are not permitted when you group results by "15 Leading Causes." When more than one rankable cause of death occurs in the last position, all these causes are shown.
  The "leading causes of death" published by the National Center for Health Statistics (NCHS) are also called "rankable causes of death." The rankable causes are a subset of the 113 selected causes of death, and the 130 selected causes of death for infants. A "#" symbol preceding the label indicates a "rankable" cause of death, from the National Center for Health Statistics (NCHS) list of rankable causes of death.
2. How are crude death rates calculated in WONDER?
  The "crude death rate" is the number of deaths divided by the population, multiplied by 100,000.
  
  Crude Death Rate = (number of deaths / population) * 100,000
  
  Note: 100,000 is the default multiplier, other multipliers can be specified in the query.
3. How are age-adjusted death rates calculated in WONDER?
  The age-adjusted rate is calculated by multiplying the age-specific death rate for each age group by the corresponding weight from the specified standard population, summing across all age groups, and then multiplying this result by 100,000 (or whatever multiplier is specified in the query).
  
  Age-Adjusted Death Rate = Sum of (Age Specific Death Rate * Standard Population weight) * 100,000
  
  The age-specific death rate is the number of deaths for a given age group divided by the population of that age group.
  
  Age Specific Death Rate = (number of deaths in age group / population of age group)
  
  The "standard population weight " for an age group is calculated by dividing the population for the age group by the sum of the populations for all of the age groups in the query. Please see the question below on "children under 1 year" age categories.
  
  Standard Population Weight = population for age group
  / sum of age group populations for all age groups in query
  
  See http://seer.cancer.gov/seerstat/tutorials/aarates/definition.html for a step-by-step tutorial with an example of the calculations.
  
  Note that the precision of the age-specific death rate is rounded to 1 decimal place, before proceeding to the next step in the calculation of age-adjusted death rates for NCHS Detailed Mortality and NCHS Multiple Cause of Death on WONDER, in order to match rates in NCHS publications. However, Compressed Mortality on WONDER does not round the age-specific death rate. Slight differences may be noted when comparing age-adjusted deaths rates. This rounding step may have a more noticeable effect on the precision of rates calculated for small numbers of deaths.
4. What are the "Standard" and "Non-Standard" populations?
  WONDER allows the user to select the population distribution used for calculating age-adjusted rates. Three "Standard" populations are offered: the year 2000 standard population (the default), the 1970 standard population, and the 1940 standard population. Alternatively, the user can specify a "Non-Standard" population for use as the population distribution in the age-adjustment.
  - The 1940 and 2000 standard populations were obtained from the National Center for Health Statistics. Beginning with the 1999 data year, NCHS adopted the year 2000 projected population of the U.S. as the standard population for use in age adjusting death rates. The year 2000 standard replaced the 1940 standard population that had been used for over 50 years. The new population standard affects levels of mortality, and to some extent, trends and group comparisons.
  - The 1970 standard population is the one used by the National Cancer Institute.
  - When the user requests that a "non-standard " population is used in the calculation of age-adjusted rates, WONDER uses the Census population estimates/counts included in the data to determine the weights used in the age-adjustment. See Population Data Description for more information.
5. What age categories are used for age-adjusted rates?
  Only age groups that fall within the age range specified in the query are used to calculate an age-adjusted rate. The "total population" for a query is the sum of the populations of each age group included in that query. For example, if an age-adjusted rate is requested for 45-74 year olds, then the total population is the sum of the 45-54 year olds, 55-64 year olds, and 65-74 year old populations. For the 1940, 1970 and 2000 standard populations, the possible age groups are:
  
  less than 1 year, 1-4, 5-14, 15-24, 25-34, ....85 years and over.
  
  If the user specifies a "non-standard" population for use in age-adjustment, then any age groups may be used.
  Note that age groups differ from the age groups used for "standard" years.
  See Age Adjustment of Death Rates for more information.
6. What about children under 1 year and rate calculation?
  When calculating mortality rates for "Infant Age Groups" (under 1 day, 1-6 days, 7-27 days, 28-264 days), the population is the number of live births in the given time period. Note that rates for infant age groups are not shown for fewer than twenty deaths, nor are race and Hispanic Origin data available, due to privacy constraints; see Assurance of Confidentiality for more information. Note that age-adjusted rates are not calculated for infant age groups, because the denominator population is the number of live births in the specified years.
  However, rates for race and Hispanic Origin are available for the age group "under 1 year of age." The "under 1 year of age" age group represents the population estimates for the given time period. For more information, see Mortality for Infants.
7. Why are death rates sometimes flagged as "Unreliable" or "Suppressed"?
  Death rates based on counts of less than twenty (death count < 20) are flagged as "Unreliable". A death rate based on fewer than 20 deaths has a relative standard error (RSE(R)) of 23 percent or more. A RES(R) of 23 percent is considered statistically unreliable.
  Death counts and death rates are "Suppressed" when the data meets the criteria for confidentiality constraints. See Assurance of Confidentiality for more information.
  The confidentiality constraints and use of the "Unreliable" flag are established by the original data providers. For more information, please contact the data providers.
Data Release Questions
1. What are the Assurance of Confidentiality constraints for the data?
  Vital statistics reports for years 1989 and later must meet the National Center for Health Statistics data use restrictions. Vital statistics data are suppressed due to confidentiality constraints, in order to protect personal privacy. The term "Suppressed" replaces death counts, births counts, death rates and associated confidence intervals and standard errors, as well as corresponding population figures, when the figure represents fewer than 10 (1-9) persons for deaths in 1999 and later years. For deaths in years 1989 - 1998, sub-national statistics representing fewer than ten persons are suppressed, at the region, division, state and county level, including urbanization categories for counties.
  Totals and sub-totals are suppressed when the value falls within scope of the suppression criteria, or when the summary value includes a single suppressed figure, in order to prevent the inadvertent disclosure of suppressed values.
  Previous privacy policies:
  - Before May 2023, zero values were suppressed for deaths in 1999 and later years, since May 2011.
  - Before September 2022, national statistics were not suppressed for deaths in 1999 and later years.
  - As of December 12, 2011, additional privacy constraints apply to infant mortality statistics representing infant age groups and live births as the denominator population. When an infant mortality measure represents fewer than ten (0-9) infant deaths, all corresponding live birth population denominator figures are suppressed. When the infant mortality measure represents ten to nineteen (10-19) infant deaths, the number of deaths and live births are shown, but rates and associated measures are not shown. Race and Hispanic origin data are not available in this online database for infant age groups. However, race and Hispanic origin data are available for persons under one year of age in the other age groups, which use population estimates as population denominator data. Race and Hispanic origin detail for infant mortality statistics are available in the Linked Birth / Infant Death Records data collections.
  - Prior to May 23, 2011, data cells in tables for year 1989 and later years were suppressed only for single county-level data, when the data represented five or fewer (1-5) deaths for a time period less than three years, and the county's total population in the April 1st, 2000 Census was fewer than one hundred thousand (100,000) persons.
2. What are my responsibilities in accessing this data?
  See Data Use Restrictions to review the policies affecting access to the data. Note that use of the data implies consent or agreement to abide by the policies.
Race and Ethnicity Questions
1. What single race categories are available for calculating rates?
  The 2018-2021 mortality data by single race calculates race-specific rates for six race categories: American Indian or Alaska Native (AIAN); Asian; Black or African American; More than one race; Native Hawaiian or Other Pacific Islander (NHOPI); White.
  To analyze deaths in years 1999-2020 by four Bridged-race categories (American Indian or Alaskan Native, Asian / Pacific Islander, Black or African American, White), see Underlying Cause of Death 1999-2020.
  For more information on calculating death rates by single race, see Single Race Constraints for Rate Calculations.
2. What ethnicity categories are available?
  The 1999-2021 mortality data has 3 Hispanic Origin categories: Hispanic or Latino, Not Hispanic or Latino, Not stated.
3. How are race and ethnicity reported?
  For more information on race and ethnicity in the mortality data, see race and ethnicity reporting.

Mortality for Infants (under 1 Year of Age)

Causes of death among persons less than one year of age vary greatly during the first year of life, and therefore special "rates" (actually, ratios) have long been used in public health to provide meaningful indicators of infant mortality. Infant mortality rates are typically calculated as the number of deaths per 1,000 live births.

Select "Infant Age Groups" for rates calculated using the number live births as the population denominator. The default multiplier for Infant Age Groups (live births population) is 1,000 births. However, the default multiplier for death rates calculated with the population estimate for persons under 1 year of age is 100,000 persons.

Three commonly used indicators of infant mortality that can be calculated in WONDER are:

Infant Mortality Rate
Number of deaths of infants (less than 1 year of age of death)
divided by the number of live births during a given period,
then multiplied by 1,000;
(Deaths of persons under 1 year of age) / Live Births) * 1000
Neonatal Mortality Rate
Number of deaths of infants less than 28 days of age
divided by the number of live births during a given period,
then multiplied by 1,000;

(Deaths of persons under 28 days of age) / Live Births) * 1000
Postneonatal Mortality Rate
Number of deaths of infants 28 days to 1 year of age
divided by the number of live births during a given period,
then multiplied by 1,000.

(Deaths of persons age 28 days to 1 year of age) / Live Births) * 1000

Note that all three indicators use the same denominator: number of live births during a given period.

To support these and other infant mortality indicators, the online database provides first-year mortality data as follows:

Infant Age Groups

less than one day old;

1 to 6 days old;

7 to 27 days old;

and 28 to 364 days old.

Hints:

Select "Infant Age Groups" for rates calculated using the number live births as the population denominator. The default multiplier for Infant Age Groups (live births population) is 1,000 births.
The single age group labeled "under 1 of age year" in the standard "Age Groups" list represents the population estimates for this age group.
Change the default multiplier for the rate per number of persons in the Additional Rate Options section in section 1 on the Request Form tab.

Notes:

The number of live births are not summed together for the population total when the data are grouped by infant age groups, because the number of live births is used as the population denominator for each infant age group.
Age-adjusted rates are not available for the live births population, because each infant age group uses the same population, the number of live births, to produce the age-specific rates.
Age-adjusted rates are available for the "under 1 year of age" group, when this group is combined with other age groups. Age-adjusted rates are not calculated for any single age group because the ratio is effectively "1" in this case.
Note that rates for infant age groups are not shown for fewer than twenty deaths, nor are race and Hispanic Origin data available, due to privacy constraints; see Assurance of Confidentiality for more information.

Location Updates: notes about specific county-level changes in boundaries and codes

Comparable total deaths and death rates may be misleading for counties with changing boundaries. The data collection may lag behind some Federal Information Processing (FIPS) location code changes. Some places, such as independent cities and New York City boroughs are included as unique locations in the data. Some county and census tract area (CA) locations are not included, instead the deaths are associated with a neighboring county or the previous location name and FIPS code. The list below of county-level changes is organized alphabetically by state name and then county name.

Alaska: Valdez-Cordova, Copper River and Chugach Census Areas
The Copper River Census Area, AK (02066) and the Chugach Census Area, AK (02063) were formed from part of former Valdez-Cordova Census Area (02261) effective January 02, 2019. Deaths are reported for the Valdez-Cordova Census Area (02261) for years 2020 and later. The population estimates for the Copper River Census Area, AK (02066) and the Chugach Census Area, AK (02063) are summed together for use as rate denominators for the Valdez-Cordova Census Area (02261) in years 2020 and later.
Connecticut: Counties and Planning Regions in 2022
Population estimates and rates are flagged as "Not Available" for the eight Connecticut counties in 2022. Deaths are reported for the eight Connecticut counties in 2022. The July 1, 2022 population estimates for Connecticut residents are available by the nine county-equivalent areas for planning regions in the 2022 postcensal series released by the Census Bureau on June 22, 2023. Population estimates for 2022 are not available for the eight counties. For more information, see the Federal Register.
Florida: Dade county and Miami city
Dade county, Florida (FIPS code 12025) was renamed Miami-Dade County and its FIPS code changed to 12086, effective November 13, 1997. The new code [12086] is used here.
Maryland: Baltimore city and Baltimore county
The independent city of Baltimore, Maryland has been treated as a county. Death counts and population estimates are reported separately for Baltimore city (FIPS code 24510) and Baltimore county (FIPS code 24005).
Missouri:
1. St. Genevieve county, Missouri
  In order to achieve alphabetical consistency, the FIPS code for St. Genevieve, Missouri was changed in 1979 from 29193 to 29186. The new code (29186) is used here.
2. St. Louis city and St. Louis county, Missouri
  The independent city of St. Louis, Missouri has been treated as a county. Death counts and population estimates are reported separately for St. Louis city (FIPS code 29510) and St. Louis county (FIPS code 29189).
Nevada: Carson City
The independent city of Carson City, Nevada (FIPS code 32510) has been treated as a county.

New York: New York City boroughs
The five boroughs of New York City have been treated as counties and reported as separate entities.

Borough	County	FIPS Code
Bronx	Bronx	36005
Brooklyn	Kings	36047
Manhattan	New York	36061
Queens	Queens	36081
Staten Island	Richmond	36085

Virginia independent cities:

Bedford City, Virginia
Bedford City, Virginia (FIPS code 51515), formerly an independent city, merged with Bedford County, Virginia (FIPS code 51019) on July 1, 2013. Beginning in year 2014, this change is effective for deaths and population estimates. Deaths and population estimates for Bedford City, Virginia (FIPS code 51515) are only available for the years prior to 2014. Deaths are population estimates are missing (zero) for Bedford City, Virginia beginning in year 2014. Bedford County, Virginia (FIPS code 51019) has a discontinuity in the population estimates between 2013 and 2014 due to the addition of the city population.
Clifton Forge city, Virginia
On July 1, 2001, Clifton Forge city, Virginia (FIPS code 51560), formerly an independent city, merged with Alleghany county (FIPS code 51005). Deaths and population estimates are available for Clifton Forge city through the year 2000.
Nansemond city, Virginia
Nansemond city, Virginia (FIPS code 51123) has been part of the independent city of Suffolk, VA (FIPS code 51800) since 1979. For all years, death counts and population estimates for Nansemond have been aggregated with those for Suffolk city.

Table of Virginia independent cities and counties
The Virginia independent cities are treated as counties and appear on the data with the following FIPS codes:

Independent City County

Name FIPS code Name FIPS code

Alexandria	 51510	Arlington	51013
Bedford		 51515	Bedford		51019
Bristol		 51520	Washington	51191
Buena Vista	 51530	Rockbridge	51163
Charlottesville	 51540	Albemarle 	51003
Chesapeake	 51550	
Clifton Forge	 51560	Alleghany 	51005 
Colonial Heights 51570	Chesterfield 	51041
Covington	 51580	Alleghany 	51005
Danville	 51590	Pittsylvania 	51143
Emporia		 51595	Greensville	51081
Fairfax		 51600	Fairfax	 	51059
Falls Church	 51610	Fairfax 	51059
Franklin	 51620	Southampton	51175
Fredericksburg	 51630	Spotsylvania	51177
Galax		 51640	Grayson 	51077          
Hampton		 51650
Harrisonburg	 51660	Rockingham	51165
Hopewell	 51670	Prince George	51149
Lexington	 51678	Rockbridge	51163
Lynchburg	 51680	Campbell 	51031
Manassas	 51683	Prince William	51153
Manassas Park	 51685	Prince William	51153
Martinsville	 51690	Henry	 	51089
Newport News	 51700
Norfolk		 51710
Norton		 51720	Wise	 	51195
Petersburg	 51730	Dinwiddie	51053
Poquoson	 51735	York	 	51199
Portsmouth	 51740	Norfolk city	51710
Radford		 51750	Montgomery	51121
Richmond	 51760	Henrico	 	51087
Roanoke		 51770	Roanoke	 	51161
Salem		 51775	Roanoke	 	51161
Staunton	 51790	Augusta	 	51015
Suffolk		 51800
Virginia Beach	 51810
Waynesboro	 51820	Augusta	 	51015
Williamsburg	 51830	James City	51095
Winchester	 51840	Frederick	51069

This page last reviewed: Friday, April 26, 2024

This information is provided as technical reference material. Please contact us at cwus@cdc.gov.