QuickStats: Percentage of Total Deaths, by Age and Hispanic Origin and Race — United States, 2020

September 16, 2022

Significant differences in the age distribution of deaths by race and ethnicity were observed in the United States during 2020.

Decedents aged <65 years accounted for 26% of all U.S. deaths, but they accounted for approximately 50% of deaths among American Indian or Alaska Native (AI/AN) and Native Hawaiian or other Pacific Islander (NH/OPI) persons, 40% of deaths among Black or African American (Black) and Hispanic or Latino (Hispanic) persons, and 20% of deaths among Asian and White persons.

Smaller differences were noted among persons aged 65–84 years. Among persons aged ≥85 years, the pattern was reversed, with the percentage of all deaths ranging from approximately 11% among AI/AN and NH/OPI persons to 33% for Asian and White persons.

Source: National Vital Statistics System, Underlying Cause of Death by Single-Race Categories, 2018–2020. https://wonder.cdc.gov/ucd-icd10-expanded.html

https://www.cdc.gov/mmwr/volumes/71/wr/mm7137a6.htm


Provisional Drug Overdose Deaths from 12 months ending in April 2022

September 14, 2022

New provisional data show that the number of drug overdose deaths occurring in the United States increased by almost 7% from the 12 months ending in April 2021 to the 12 months ending in April 2022, from 101,167 to 108,174.

The number of opioid-involved drug overdose deaths in the United States for the 12-month period ending in April 2022 (81,692) increased from 76,383 in the previous year.

The number of drug overdose deaths involving synthetic opioids (excluding methadone; T40.4), psychostimulants with abuse potential (T43.6), and cocaine (T40.5) continued to increase compared to the previous year.


PODCAST: Life Expectancy Fell in 2021 for the Second Year in a Row

August 31, 2022

https://www.cdc.gov/nchs/pressroom/podcasts/2022/20220831/20220831.htm

HOST: In 2020, the United States experienced the biggest one-year drop in life expectancy since World War II, mostly due to the pandemic.  All 50 states had declines in life expectancy that year.  These declines were detailed in a new report released in mid-August.  On the last day of the month, NCHS released new estimates for 2021, showing life expectancy dropped nearly one more year for the country from the 2020 level.

There were some significant differences between the declines that took place in 2020 and those which occurred in 2021, particularly among different race/ethnic groups.

We talked to NCHS Mortality Statistics Chief Robert Anderson about this and other matters related to the two new studies on life expectancy.

HOST:  So there are two new reports out this month on life expectancy – the first was a report on 2020 life expectancy by state.  First of all, how did the arrival of the pandemic impact life expectancy on the country as a whole in 2020?

ROBERT ANDERSON:  Well by the time we got to the end of 2020, life expectancy had dropped almost two years, it was like 1.8 years, and COVID was, you know, largely responsible for that decline.

HOST:  So what were some of the striking declines in life expectancy from 2019 to 2020 at the state level.

ROBERT ANDERSON:  Certainly there was some state variation in the change in life expectancy, but you know overall we saw declines for every state from 2019 to 2020.  Overall the change was I said almost two years, 1.8 years, a 1.8 year decline from 2019 to 2020 overall, but then if you look at the declines by state of course they vary from about a three-year decline to about a two-year decline. So it’s quite a bit of variation in the decline in life expectancy, although we did see declines for all states.

HOST:  So presumably, the states with the largest declines in life expectancy during 2020 were also the states that have the highest mortality from COVID?

ROBERT ANDERSON:  That’s essentially correct.  I mean it’s a little more complicated than that because there’s some other things going on.  We saw increases for some other causes of death and of course increases in drug overdose deaths also had an impact, but overall COVID-19 was the primary factor.

HOST:  And so I guess the converse would be true as well – states with the smallest declines in life expectancy in 2020 were those states that had lowest mortality from COVID – would that be correct?

ROBERT ANDERSON:  Yeah that’s essentially correct.

HOST:  Now are there any other interesting findings in the state life expectancy report?

ROBERT ANDERSON:  Yeah you know the declines, if you look at things on a regional basis you see larger declines in the South, Southwest and in the Northeast. Well, New York, New Jersey in particular.  And then you know a much smaller declines in the upper Northeast – you know, Maine, New Hampshire, Vermont.  And in the Northwest – Washington, Oregon, Idaho, that area.  And of course that corresponds as we said with the level of COVID mortality in those states during 2020.

HOST:  So turning to the 2021 national report – did the decline in life expectancy continue in year two of the pandemic?

ROBERT ANDERSON:  It did… We saw an additional decline of nearly a year – 0.9 years overall – so yeah, we saw an additional decline in life expectancy.

HOST:  And so I guess this lines up with the fact that there were more COVID-19 deaths in 2021 than in 2020 right?

ROBERT ANDERSON:  That’s right, yeah that’s what we expected – because of the higher mortality in 2021 compared with 2020, we expected an additional decline in life expectancy.  And in fact that’s what we’re seeing.

HOST:  And what about the disparity between the sexes and life expectancy?  It’s always existed but it appears the pandemic has widened that gap.

ROBERT ANDERSON:   Yeah that’s right.  Typically, men have lower life expectancy than women and that’s because men have higher mortality than women overall.  And we do know that men were disproportionately affected by the pandemic – COVID-19 death rates were higher for men than for women – and so it’s not surprising that we would see a slightly larger disparity between males and females during the pandemic.

HOST:   So what race ethnic groups saw the biggest decline in life expectancy during 2021?

ROBERT ANDERSON:   From 2020 to 2021, the American Indian population really was most affected – there was a 1.9 year decline in life expectancy.  That’s followed by the non-Hispanic white population by about a year.  Then non-Hispanic black population about 7/10 of a year… and then the Hispanic population and the Asian population – the declines were much smaller during 2021. A 0.2 year decline for the Hispanic population, about a 0.1 year decline for the Asian population.

HOST:  Now over the span of the entire pandemic, what has been the cumulative impact on life expectancy among those race ethnic groups?

ROBERT ANDERSON:  Yeah I think that’s an important question.  Overall, the decline in life expectancy is about 2.7 years, a nearly three-year decline which is quite substantial.  And then quite a lot of variability by race and ethnicity.  For the American Indian population, the decline was 6.6 years from 2019 to 2021.  That’s just astounding.  For the Hispanic population it was a 4.2 year decline; for the black population about a four-year decline; for the white population, 2.4 years and for the Asian population 2.1 years.

HOST:  So it sounds like for the Hispanic population there is a lot more of an improvement I guess in 2021 is that correct?

ROBERT ANDERSON:  I’m not really sure I would say it was an improvement. The decline wasn’t as large in 2021 as it was in 2020, that’s true, but it did not improve – it continued to drop, just didn’t drop by as much.

HOST:  So besides COVID, were there any other leading causes of death that contributed to this decline in life expectancy?

ROBERT ANDERSON:  Yes – the main one is unintentional injuries, and this is mostly drug overdoses.  You know, there’s some other causes that’re grouped with unintentional injuries, includes motor vehicle accidents and falls and things like that.  But what really stands out in terms of sort of increasing mortality and which is responsible for the decline in life expectancy would be the drug overdose deaths so it’s second to COVID-19 in terms of its impac.

HOST:  And a lot of people would say that that increase in overdose deaths may or may not be indirectly tied to the pandemic stress right?

ROBERT ANDERSON:  Yeah it’s hard to say for sure exactly how it’s related or whether individual cases are related, but you know we were seeing sort of a flattening and even slightly declining drug overdose death rates just prior to the pandemic and of course a quite steep increase in drug overdose mortality during the pandemic.  So it’s hard to tie it directly because we started to see increases late in 2019 before the pandemic became, before it emerged, but then once it did, once the pandemic did emerge, then the increase in drug overdose mortality really went up quite steeply.

HOST: Any other points of either of these reports you like to make?

ROBERT ANDERSON:  Well I’ll just mention with the 2021 report, that the data are provisional still.  The data for 2021 probably won’t be final until December, that’s our target date for release of the 2021 final data.  So there could be some slight differences once we finalize the data, but at the point at which we cut the data to produce this report we had more than 99% of deaths so I don’t expect any substantial differences between this provisional report and what we will have based on our final data.

HOST:  Dr. Anderson thank you for joining us.

ROBERT ANDERSON: Thank you very much.

MUSIC BRIDGE:

HOST:  Overall, August was an extremely busy month at NCHS.  The month started off with a new report on physical therapy, speech therapy, and rehabilitative and occupational therapy among veterans compared with non-veterans, using data from the National Health Interview Survey.  The study showed that veterans are more than 50% likelier than non-veterans to have had any of these therapies.  The same week, NCHS released its latest annual report on fetal mortality in the United States for 2020.  A total of 20,854 fetal deaths at 20 weeks of pregnancy or longer were reported in 2020.

Another study, using NHIS data, looked at organized sports participation among U.S. children ages 6-17.  The study showed that over half of kids in this age group participate in organized sports.

On August 18th, NCHS released the latest monthly data on drug overdose deaths in the country, documenting that over 109,000 overdose deaths occurred in the United States during the one-year period ending in March 2022.

The official public use file for births in the United States for 2021 was released on August 29, accompanied by a Data Brief summarizing the key findings from these final data.  On the same day, the quarterly provisional release of infant mortality data was released in an interactive data visualization for the web, featuring full-year 2020 numbers. The post neonatal mortality rate in the U.S. increased in 2020 from the same point in 2019.  The post neonatal mortality rate is the number of deaths among infants between 28 and 364 days of age per 1,000 live births.

And last, a new report using data from the 2020 National Health Interview Survey shows that about one-quarter of adults in the United States age 18 and over have met the national physical activity guidelines for both aerobic and muscle-strengthening activities.


QuickStats: Deaths Involving Exposure to Excessive Heat, by Sex — National Vital Statistics System, United States, 1999–2020

August 26, 2022

During 1999–2020, the annual number of deaths from excessive natural heat ranged from a low of 297 in 2004 to a high of 1,153 in 2020.

The number of deaths among males increased from 622 deaths in 1999 to 822 deaths in 2020, but there was no statistically significant increase among females.

During 1999–2020, there were generally twice as many deaths among males than among females each year.

Source: National Vital Statistics System, multiple cause of death data, 1999–2020. https://wonder.cdc.gov/mcd.html

https://www.cdc.gov/mmwr/volumes/71/wr/mm7134a5.htm


HIV Deaths from 1999-2020

June 27, 2022
YearDeathsDeath Rate Per 100,000
199914,8025.3
200014,4785.2
200114,1755
200214,0954.9
200313,6584.7
200413,0634.5
200512,5434.2
200612,1134
200711,2953.7
200810,2853.3
20099,4063
20108,3692.6
20117,6832.4
20127,2162.2
20136,9552.1
20146,7212
20156,4651.9
20166,1601.8
20175,6981.6
20185,4251.5
20195,0441.4
20205,1151.4

Source: https://wonder.cdc.gov


QuickStats: Percentage of Suicides and Homicides Involving a Firearm Among Persons Aged ≥10 Years, by Age Group — National Vital Statistics System, United States, 2020

May 13, 2022

In 2020, among persons aged ≥10 years, the percentage of suicide deaths that involved a firearm was lowest among those aged 25–44 years (45.1%) and highest among those aged ≥65 years (70.8%).

The percentage of homicide deaths that involved a firearm decreased with age, from 91.6% among those aged 10–24 years to 46.0% among those aged ≥65 years.

Persons aged ≥65 years had the highest percentage of suicide deaths that involved a firearm but the lowest percentage of homicide deaths that involved a firearm.

Source: National Vital Statistics System, Mortality Data, 2020. https://www.cdc.gov/nchs/nvss/deaths.htm

https://www.cdc.gov/mmwr/volumes/71/wr/mm7119a5.htm


Tuberculosis Deaths in U.S. from 1999-2020

March 24, 2022
YearDeathsAge Adjusted Death Rate Per 100,000
19999300.3
20007760.3
20017640.3
20027840.3
20037110.2
20046570.2
20056480.2
20066520.2
20075540.2
20085850.2
20095290.1
20105690.2
20115390.2
20125100.1
20135550.1
20144930.1
20154700.1
20165280.1
20175150.1
20185420.1
20195260.1
20206000.2

Source: CDC WONDER, https://wonder.cdc.gov

ICD-10 Codes: A16-A19 (Tuberculosis)


QuickStats: Rate of Unintentional Traumatic Brain Injury–Related Deaths Among Persons Aged ≤19 Years, by Age Group and Sex — National Vital Statistics System, United States, 2018–2020

March 18, 2022

During 2018–2020, death rates for unintentional traumatic brain injury among persons aged ≤19 years were higher for males than for females in each age group.

Rates were highest for males (6.1 per 100,000) and females (2.9) among persons aged 15–19 years.

Rates were lowest for males and females aged 5–9 years (1.1 and 0.8, respectively) and for males and females aged 10–14 years (1.3 and 0.8, respectively).

Source: National Center for Health Statistics, National Vital Statistics System, Mortality Data. https://www.cdc.gov/nchs/deaths.htm

https://www.cdc.gov/mmwr/volumes/71/wr/mm7111a5.htm


QuickStats: Death Rates Attributed to Excessive Cold or Hypothermia, by Urbanization Level and Sex — National Vital Statistics System, 2018–2020

February 18, 2022

During 2018–2020, death rates attributed to excessive cold or hypothermia were generally higher in more rural areas.

Among females, the death rate increased from 0.11 per 100,000 for those residing in large central metro areas, to 0.40 for those in noncore (rural) areas.

Among males, the death rates were lowest for those residing in large central metro areas (0.29) and large fringe metro areas (0.24), and highest in noncore (rural) areas (0.93).

Males had higher death rates than females for each corresponding urbanization level.

Source: National Center for Health Statistics, National Vital Statistics System, Mortality Data, 2018-2020. https://www.cdc.gov/nchs/nvss/deaths.htm

https://www.cdc.gov/mmwr/volumes/71/wr/mm7107a6.htm


Monthly Provisional Drug Overdose Counts through June 2021

January 12, 2022

NCHS has released the next set of monthly provisional drug overdose death counts.  The monthly counts are released under the Vital Statistics Rapid Release program as an interactive data visualization.

Findings:

  • Provisional data show that the predicted number of drug overdose deaths showed an increase of 20.6% from the 12 months ending in June 2020 to the 12 months ending in June 2021, from 83,992 to 101,263. 
  • The predicted number of opioid-involved drug overdose deaths in the United States for the 12-month period ending in June 2021 (76,002) increased from 61,475 in the previous year.