Unintentional Injury Death Rates in Rural and Urban Areas: United States, 1999–2017

July 16, 2019

Questions for Lead Author Henry Olaisen, EIS Fellow, of “Unintentional Injury Death Rates in Rural and Urban Areas: United States, 1999–2017.”

Q: Can you define what an unintentional injury death is?  Is there a difference in the term accidental death?

HO: Unintentional injury deaths consist of those deaths involving injuries for which there are no evidence of predetermined intent, meaning intention of harm to self or others. In 2017, the leading causes of unintentional deaths in the U.S. were drug overdose, motor vehicle crashes, and falls.

Unintentional injury deaths are a subset of injury deaths, and exclude those that are intentional (e.g. where there is intent to harm) and those where intent is unknown. Among drug overdose deaths, unintentional drug deaths comprise 87% of all deaths due to overdose.

Q: Do you have data that directly corresponds with this report that goes back further than 1999?

HO: We here at the CDC’s National Center for Health Statistics have data dating back to 1959. Given our focus on unintentional injury and the changing patterns of where people live and work in the U.S., we focused on the most recent 18 years, as they are trend patterns that not only tell an important story, but can guide decision-makers and inform new policies to avoid these types of preventable deaths in the near future.

Q: Was there a specific finding in your report that surprised you?

HO: We were surprised that drug overdose death rates are not only growing fastest in the last three years in suburban counties (“large fringe counties”), but that the rate of drug overdose deaths is now (in 2017) highest in small metro and suburban counties(“large fringe counties), and lowest in rural counties.

Q: Why do you think there is a difference in unintentional injury deaths from rural and urban areas?

HO: We observed differences in trends and patterns of unintentional injury deaths using mortality data from the   National Center for Health Statistics. Determining the reasons for the difference is a really important next step, and not something we looked at in this report. We at the National Center for Health Statistics encourage scientists to use these data to help us understand the underlying causes for these observed trends and patterns.

Q: What is the take home message for this report?

HO: Unintentional injury death rates – which are preventable deaths, are on the rise, with a steeper increase since 2014. Between 2014 and 2017, large fringe metro counties had the largest increase in unintentional drug overdose rates; small metro had the largest increase in motor vehicle death rates; and rural counties had the largest increase in death rates due to unintentional falls. While motor vehicle deaths have historically been the leading cause of unintentional deaths for several decades, in 2013 unintentional overdose deaths became the leading cause of unintentional deaths.


QuickStats: Age-Adjusted Death Rates from Female Breast Cancer by State — National Vital Statistics System, United States, 2017

July 12, 2019

In 2017, the overall age-adjusted death rate for female breast cancer was 19.9 per 100,000 population.

The highest death rates were in Mississippi (25.5), DC (24.3), and Louisiana (23.6).

The lowest death rates were in Hawaii (15.6), Alaska (16.3), New Hampshire (16.3), Wyoming (16.5), Rhode Island (16.6), Minnesota (16.7), South Dakota (17.3), Wisconsin (17.4), and Vermont (17.4).

Source: National Center for Health Statistics, National Vital Statistics System, mortality file. https://www.cdc.gov/nchs/nvss/deaths.htm.


Deaths from Motor Vehicle Traffic Accidents in July, 1999-2017

July 10, 2019


SOURCE:  National Vital Statistics System, 1999-2017, CDC WONDER

Deaths from Drowning in Swimming Pools or Natural Water, 1999-2017 (July)

July 9, 2019


SOURCE:  National Vital Statistics System, CDC WONDER, 1999-2017; ICD-1O Codes:  X67, X68, X69, X70

Contribution of Whole Grains to Total Grains Intake Among Adults Aged 20 and Over: United States, 2013–2016

July 9, 2019

New NCHS report provides estimates of the percentage of total grains intake consumed from whole grains sources, for U.S. adults aged 20 and over who reported consumption of grains (98.6%) on a given day during 2013–2016.


  • During 2013–2016, whole grains accounted for 15.8% of total grains intake among adults on a given day. This percentage increased with age from 12.9% among adults aged 20–39 to 19.7% for adults 60 and over.
  • Overall, the contribution of whole grains to total grains intake was lower among men (14.8%) than women (16.7%).
  • The contribution of whole grains to total grains intake was lowest among Hispanic adults (11.1%) compared with non-Hispanic white (16.5%), non-Hispanic black (13.7%), and non-Hispanic Asian (18.3%) adults.
  • The contribution of whole grains to total grains intake on a given day increased with increasing family income.
  • From 2005–2006 to 2015–2016, the contribution of whole grains to total grains intake increased for adults overall, and for men and women.

Deaths from Heat Exposure, 1999-2017

July 5, 2019


SOURCE:  National Vital Statistics System, CDC WONDER, ICD-10 Code X30

QuickStats: Average Daily Number of Deaths, by Month — United States, 2017

July 5, 2019

In 2017, an average of 7,708 deaths occurred each day.

January, February, and December were the months with the highest average daily number of deaths (8,478, 8,351, and 8,344, respectively).

June, July, and August were the months with the lowest average daily number of deaths (7,298, 7,157, and 7,158, respectively).

Source: National Vital Statistics System. Underlying cause of death data, 1999–2017. https://wonder.cdc.gov/ucd-icd10.html.