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Vol. 40, No. 11 ● March 12, 1992
thly VitalStatistics Re~ort
--
Provisional Data From the National Center for Health Statistics
Births, Marriages, Divorces, and Deaths for Novembe~ 1991
Mortality SurveillanceSystempages 5-7
Accidents and adverse effectsand Homicide and legalintervention:
Males 25-44 years of age byrace
Births
According to provisional reports,an estimated 327,000 births occurredin the United States during November1991, This was a decrease of 2 percentfrom the provisional number of birthsreported for November 1990
(333,000). The birth rate, 15.7 livebirths per 1,000 population, was also2 percent lower than the rate forNovember 1990 (16,1). The fertilityrate, 67.6 live births per 1,000 women15-44 years, was 2 percent lower thanthe comparable rate for November1990 (68,8), The seasonally adjustedfertility rate (69.6) was 1 percent
below the rate for the same month in1990 (70,6).
During the first 11 months of 1991,an estimated 3,773,000 birthsoccurred, a decline of 1 percent fromthe 3,829,000 reported for the first 11
, months of 1990. The January–Novem-ber birth rate declined by 2 percentfrom 16.7 in 1990 to 16.3 in 1991. Thefertility rate for this period (69.9) alsowas 2 percent lower than the compa-rable rate for Janua~–November 1990(71.2).
An estimated 4,123,000 live birthsoccurred in the 12-month periodending with November 1991. This wasa decrease of 1 percent compared
‘ Provisional Vital Statistics for the United States
[Ratesfor infant deaths are infant mortality rates per 1,000 live births; all other rates per 1,000 population. Data are subject to monthly reporting variation; seeTechnical notes]
November January-November 12 months ending with November
Number Rate Number Rate Number Rate
Item 1991 1990 1991 1990 1991 1990 1991 1990 1991 1990 1991 1990 1989 1988
Live births. . . . . . . . . . . . 327,000 333,ooo 15.7 16.1Deatha
3,773,000 3,829,000 16.3 16.7 4,123,000 4,170,000 16.3 16.6 16.1177,000 169,000 8.4
15.9II, ,. !,,, ,, .,,, 8.2 1,974,000 1,977,000 8,5 8.6 2,161,000 2,175,000 8.5
Natural increase , ., . . . . . , 150,000 164,000 7.3 7.98.7 8.6 8.8
1,799,000 1,852,000 7.6 8.1Marriages , , , . . . , . . . . . . 168,000 190,000 8.o
1,962,000 1,995,000 7.8 7.9 7.5 7.19.2 2,179,000 2,256,000 9.4
Divorces, . . . . . . . . . . . . .9.8 2,370,000 2,464,000 9.4
94,000 96,0009.8 9.7 9.7
4.5 4.6 1,08e,ooo 1,077,000 4.7 4.7Infant deaths . . ...,.,...
l,le6,000 1,184,0002,900
4.7 4.7 4.7 4.83,000 8.8 8.7 . 33,500 34,900 8.9 9.2 38,700 38,200 9.0 9.1 9.7 10.0
NOTE Figures Includa all revisions received from the States. Cumulative figures for the current year reflect revisions received for previous months, end figures for esdier years may differ fromthose previously published,
# $Wtctn.o~a+ “i
~
“ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES-w~ Public Health Service~ Centers for Disease Control
‘“%.>National Center for Health Statistics CDC
Manning Feinleib, M. D., Dr. P.H., Director CENTERS FOR OISEASE CONTROL
2 Monthly Vital Statistics Report. Vol. 40, No. 11. March 12, 1992 ~~
with the 4,170,000 births reported forthe 12 months ending with November1990. The birth rate of 16.3 was 2 per-cent lower than the rate of 16.6 for thepreceding 12-month period. The fer-tility rate for the most recent 12-monthperiod was 69.8, a decline of 2 percentfrom the rate for the comparableperiod a year earlier (71.0). The12-month rates, which had beenincreasing since mid-1987, have beengenerally decreasing since early 1991.
Natural increase
As a result of natural increase, theexcess of births over deaths, an esti-mated 150,000 people, or 7.3 peopleper 1,000 population, were added tothe population during November 1991.
For the 12-month period endingwith November 1991, 1,962,000 per-sons were added to the population.This represents a rate of naturalincrease of 7.8, 1 percent lower thanthe rate of 7.9 for the preceding12-month period. Although both thebirth and death rates declined by2 percent, there was a decrease in therate of natural increase due to a largerabsolute decrease in the birth ratethan in the death rate,
Marriages
The estimated number of mar-riages for November 1991 was 168,000,a decline from the number forNovember 1990 (190,000). The mar-riage rate for November (per 1,000population) was also lower in 1991(8.0) than in 1990 (9.2).
Marriages for January-November1991 totaled 2,179,000, a 3-percentdecline from the number for the samen-month period of the previous year(2,256,000). The marriage rate for Jan-uary-November dropped 4 percent,from 9.8 in 1990 to 9.4 in 1991.
For the 12-month period endingwith November 1991, the number ofmarriages and the marriage rate wereboth 4 percent lower than for the12-month period ending with No-vember 1990. The number of marriagesdropped from 2,464,000 to 2,370,000while the marriage rate declined from9.8 to 9.4.
18
17
16
15
14
0
/.
JFMAMJ
-w19910--0
1990 —
1989 ===
+-kAS CIND
Provisional birth rates per 1,000 population by month: United States, “1989-91
7!5 ., 71,,,
Provisional seasonally adjusted fertility rates per 1,000 women aged 1544: United State1987-91
16
12
8
4
0
1991 ~
1990 —
{1989 ===
-. ---f- I
i-%’--1
4
~-oJFMAMJJ AS
Provisional marriage rates per 1,000 population by month: United States, 1989-91
Monthly Vital Statistics Report ● Vol. 40, No. 11. March 12, 1992 ~3
Divorces
The number of divorces and the
1divorce rate (per 1,000 population) forNovember 1991 were both 2 percentlower than for November 1990. Thenumber of divorces dropped by 2,000,from 96,000 to 94,000, and the divorcerate dropped from 4.6 to 4.5.
Although the monthly number forNovember declined from 1990”to 1991,divorces granted during January-November 1991 numbered 1,088,000,1 percent higher than for the compa-rable period of 1990 (1,077,000). Thedivorce rate for the Ii-month period,however, was 4.7 for both years.
The number of divorces and thedivorce rate for the 12-month periodending with November 1991 were veryclose to or the same as the figures forthe comparable period of a year ear-lier. The number of divorces increasedby less than 1 percent, from 1,184,000in 1990 to 1,186,000 in 1991, and thedivorce rate was 4.7 for both years.
Deaths
For November 1991 there were anestimated 177,000 deaths in theUnited States. The death rate was 8.4deaths per 1,000 population, 2 percenthigher than the rate for November ayear earlier, Among the 177,000deaths for November 1991 were 2,900deaths at ages under 1 year.
According to provisional statisticsthere were 1,974,000 deaths during thefirst 11 months of 1991, about the sameas estimated for January-November1990 (1,977,000). The death rate, 8.5per 1,000 population, was 1 percentlower than the January-hTovember1990 rate of 8.6. Among the 1,974,000deaths for the first 11 months of 1991\vere 33,500 deaths at ages under1 year: yielding an infant mortalityrate of 8,9 per 1,000 live births, Thisrate was 3 percent lower than the rateof 9.2 for the first 11 months of 1990.
The death rate for the 12 monthsending with NTovember 1991 \vas 8.5deaths per 1,000 population, 2 percentIo\ver than the rate of 8.7 for thecomparable 12-month period a yearearlier, The infant mortality rate was
I10
9
8
7
/
o I I I I I I I 1 I 10
:
10
9
8
7
‘f
JFMAMJJ AS ON D-
Provisional death rates per 1,000 population by month: United States, 1989-91
““”~””o
10.5
10.0
9.5
9.0
8.5
8.0 I I I I t I I I I I I I~8.0
JFMAMJJ ASOND
Provisional infant mortality rates per 1,000 live births by month: United States, 1989-91
‘“’’~’o”’10.2F
I10.2
10.0
9.8
9.6
9.4
JFMAMJJ AS ON DJFMAMJJASONDJ FM AM JJASONOJ FM AM JJASONOJ FM AM JJASOND
1987 1988 1989 1980 1991
Provisional marriage rates per 1,000 population for successive 12-month periods endingwith month indicated: United States, 1987-91
4~ Monthly Vital Statistics Report ● Vol. 40, No. 11 ● March 12, 1992 ~~
9.0 per 1,000 live births, comparedwith a rate of 9.1 for the 12 monthsending with November 1990. Thechange in the 12-month infant mor-tality rate was not statisticallysignificant.
Current iVfortali@ Sample, 12months ending with October 1991 —Theprovisional death rate for the12 months ending with October 1991was 851.3 deaths per 100,000 popula-tion, 2 percent lower than the rate of868,3 for the 12-month period endingOctober 1990. Age-adjusted deathrates control for changes and varia-tions in the age composition of thepopulation; therefore, they are betterindicators than crude rates for showingchanges in mortality risk over time andfor showing differences betweenrace-sex groups within the population.The provisional age-adjusted deathrate for the 12-month period endingwith October 1991 was 506.2 deathsper 100,000 population, 3 percentlower than the rate of 519.4 for the12-month period ending with October1990. Among the race-sex groups theestimated age-adjusted death ratesdecreased for white males. whitefemales, and black females. By age. thedeath rate for the total populationdecreased for the following agegroups: under 1 year. 45–54 years.55-64 years, 65-74 years, 75–S4 years.and 85 years and over.
Among the major causes of deaththe estimated death rate increasedbetween the two successive 12-monthperiods for Human imrnunodeficiencyvirus infection. The death ratedecreased between the tsvo successive12-month periods for Diseases ofheart, Cerebrovascular diseases. Acci-dents and adverse effects, Chronicobstructive pulmonary diseases andallied coriditions, Pneumonia andinfluenza. Suicide, Chronic liver dis-ease and cirrhosis. and Septicemia.
The infant mortality rate for the12 months ending ~vith October 1991was S93.9 per 100.OOO live births.3 percent Io}ver than the rate of 921.-Ifor the same 12-month period a yearearlier. For infants under 2S days therate was 56-$.2compared \vith a rate of573.1 for the 12-month period a yearearlier. The infant mortality rate for
5“2~—15’25.0
t 15
:~~:~
o 0JFMAMJJ AS ON DJFMAMJJASONOJ FM AM JJASONOJ FM AM JJASONOJ FM AM JJASOND
1987 1988 1989 1990 1991
Provisional divorce rates per 1,000 population for successive 12-month periods endingwith month indicated: United States, 1987-91
oJFMAMJJ AS ON OJFMAMJJASONOJ FM AM JJASONOJ FM AM JJASONDJ FM AM JJASOND
1987 1988 1989 1990 i991Provisional death rates per 1,000 population for successive 12-month periods ending witmonth indicated: United States, 1987-91
11.0
10.5
10.0
9.5
9.0
8.5.
01...
10
10
9,5
9,0
8,5
5.~[11111 1111, illllll 1111, ll[lflllll[. ,1111111, ,,], ,
‘MLluILJoJFMAMJJ AS ON DJFMAMJJASONO JFMAM.I JASON OJFMAMJJASOND JFMAMJJASOHD
1987 1988 1989 1990 1991
1 000
Monthly Vital Statistics Report. Vol. 40, No. 11. March 12, 1992 5
compared with a rate of 349.6 for the12-month period a year earlier. Thechanges in the mortality rates forinfants under 28 days and for those28 days to 11 months were not statis-tically significant. Among causes ofinfant death the infant mortality rateincreased between the two successive12-month periods for Disordersrelating to short gestation and unspec-ified low birthweight, The infant mor-tality rate decreased between the twosuccessive 12-month periods for Sud-den infant death syndrome.
Mortality Surveillance System
Discussed this month are recenttrends in death rates for Accidents and
adverse effects (accidents) and Homi-cide and legal intervention (homicide)for black and white men aged 25-44years. In this issue, final mortality dataare analyzed for data year 1989 andprovisional data from January1982–May 1991.
In 1989, the latest year for whichfinal mortality data are available,homicide accounted for 15 percent ofall deaths for the black populationaged 25–44 years, compared with5 percent for the white population inthis age group. Accidental deathsaccounted for 13 percent and 22 per-cent of all deaths for the respectiveage-race groups. Homicide was theleading cause of death for the blackpopulation in this age group and was
the sixth for the white population.Accidental deaths ranked” third andfirst among all deaths for the black andwhite populations, respectively, forpersons aged 25-44 years.
Based on 1989 final data, thedeath rate for accidents for black menaged 25–44 years was 1.5 times the ratefor white men aged 25-44 years, whilethe rate for homicide for black menaged 25–44 years was 8,1 times the ratefor white men in the same age group.Trends based on provisional data forthese causes and demographic groupsare presented in the Mortality Surveil-lance System charts and accompanyingtext that follow.
6~ Monthly Vital Statistics Report. Vol. 40, No. 11 ● March 12, 1992 ~~
Mortality Surveillance System Charts[Observed and fitted provisional monthly death rates and 95-percent prediction intervals, Models fitted to provisionaldata for January 1982-May 1990; see Technical notes]
160 - - 160
140t + i
140
1984 1985 1986 1987 1988 1989 1990 1991
Provisional death rates per 100,000 black males 25-44 years of age for Accidents andadverse effects, by month: United States, 1984-91
160 - - 160
140 - - 140
120 - - 120
100 - - 100
80 - - 80
60 -
40 -
20 - - 20
0 -
1984 1985 1986 1987 1988 1989 1990 1991
Provisional death rates per 100,000 white maies 2544 years of age for Accidents andadverse effects, by month: United States, 1984-91
In 1989, the latest year for whichfinal mortality data are available, Acci-dents and adverse effects was the thirdleading cause of death for black menaged 25–44 years (after Homicide andlegal intervention and Human immun-odeficieney virus infection) andaccounted for 3,476 deaths, or 14 per-cent of all deaths, For the periodshown in the chart through May 1990provisional death rates for Accidentsand adverse effects decreased for blackmen aged 25–44 years. For the mostrecent 12-month period, June 1990-May 1991, the observed monthly ratesfell within the 95-percent predictionintervals of a model estimated on thebasis of provisional monthly deathrates for January 1982-May 1990, Pro-visional death rates :~or black men inthis age group showed a seasonal pat-tern of mortality with a tendency forrates to be higher in the late summer.
According to 1989 final data, Acci-dents and adverse effects was theleading cause of death for white menaged 25-44 years and accounted for17,792 deaths, or 24 percent of alldeaths for this age-race-sex group. Forthe period shown in the chart throughMay 1990, provisional death rates forthis cause of death decreased for whitemen in this age group. For the mostrecent 12-month period, June 1990-May 1991, the observed monthly rateswere within the 95-percent predictionintervals of a model estimated on thebasis of provisional monthly deathrates for January 1982-May 1990, Pro-visional death rates for white men inthis age group showecl a seasonal pat-tern of mortality with a tendency forrates to be higher in the summer.
I
I Monthly Vital Statistics Report ● Vol. 40, No. 11 ● March 12, 1992 ~7
160
140
120
100
80
60
40
20
0
1+ +. +.”++++
++ +ve-x+++ I.-
u
1984 1985 1986 1987 1988 1989 1990 1991
Provisional death rates per 100,000 black males 25-44 years of age for Homicide andlegal intervention, by month: United States, 1984-91
160
140
120
100
80
60
40
20
0
1984 1985 1986 1987 1988 1989 1990 1991
Provisional death rates per 100,000 white males 25-44 years of age for Homicide andlegal intervention, by month: United States, 1984-91
160
140
120
100
80
60
40
20
0
In 1989, the latest year for whichfinal data are available, Homicide andlegal intervention was the leadingcause of death for black men aged25-44 years and accounted for 4,392deaths, or 18 percent of all deaths forthis age-race-sex group. Provisionaldeath rates for this cause for blackmen aged 25–44 years decreased fromJanuary 1982 to the mid-1980’s andincreased since then through May1990. For the most recent 12-monthperiod, June 1990-May 1991, theobserved monthly rates, except for1 month, were within the 95-percentprediction intervals of a model esti-mated on the basis of provisionalmonthly death rates for January1982-May 1990. Provisional deathrates for black men in this age groupshowed a seasonal pattern of mortalitywith a tendency for rates to be higherin the fall.
According to 1989 final data,Homicide and legal intervention wasthe sixth leading cause of death forwhite men aged 25–44 years andaccounted for 4,174 deaths, or 6 per-cent of all deaths for this age-race-sexgroup. For these white men, provi-sional death rates for Homicide andlegal intervention decreased from Jan-uary 1982 to the mid-1980’s and, asshown in the chart, have remainedstable since then through May 1990,For the most recent 12-month period,June 1990–May 1991, the observedmonthly rates, except for 1 month,were within the 95-percent predictionintervals of a model estimated on thebasis of provisional monthly deathrates for January 1982–May 1990. Pro-visional death rates for white men inthis age group showed a seasonal pat-tern of mortality with a tendency- forrates to be higher in the fall.
8~ Monthly Vital Statistics Report ● Vol. 40, No. 11 ● March 12, 1992 ~~
Symbols
.-. Data not available
. . . Category not applicable
Quantity zero
0.0 Quantity more than zero but lessthan 0.05
z Quantity more than zero but lessthan 500 where numbers arerounded to thousands
* Figure does not meet standards ofreliability or precision (seeTechnical notes)
Monthly Vital Statistics Report. Vol. 40, No. 11. March 12, 1992 ~9
Table 1. Provisional number of live births, marriages, deaths, infant deaths, and rates, by month: United States, January 1990-November1991
[Data are provisional and are subject to monthly reporting variation; see Technical notes]
Live births Marriages Deaths /nfant deaths
Rate per 1,000 women 15-44Rate per Rate per Rate per Rate per
1,000 Seesorta//y 1,000 1,000 1,000Period Number population Unadjusted adjusted 1 Number population Number population Number live births
1990:January . . . . . . . . . . . . . . 330,000Februa~. . . . . . . . . . . . . 316,000March . . . . . . . . . . . . . . . 342,000April, . . . . . . . . . . . . . . . . 330,000May, . . . . . . . . . . . . . . . . 368,000June . . . . . . . . . . . . . . . . 361,000July. . . . . . . . . . . . . . . . . 364,000August . . . . . . . . . . . . . . . 362,000September . . . . . . . . . . . . 362,000October, . . . . . . . . . . . . . 361,000November. ., . . . . . . . . . . 333,oooDecember, . . . . . . . . . . . . 350,000
1991:January, . . . . . . . . . . . . . 325,000February . . . . . . . . . . . . . . 312,000March . . . . . . . . . . . . . . . 346,000April. . . . . . . . . . . . . . . . . 340,000May, . . . . . . . . . . . . . . . . 355,oooJune, . . . . . . . . . . . . . . . 342,000July . . . . . . . . . . . . . . . . . 356,000August . . . . . . . . . . . . . . . 346,000September . . . . . . . . . . . . 365,000October .,, . . . . . . . . . . . 355,oooNovember, . . . . . . . . . . . . 327,000
15.616.516.116.117.317.517.117.017.516.916.116.3
15.216.116.116.416.516.416.616.117.516.415.7
66.470.268.768.573.974.772.972.674.872.268.870.0
65.066.969.070.270.970.471.469.175.370.967.6
69.671.870.169.874.774.669.968.970.072.170.671.7
68.570.570.371.971.969.368.765.370.571.169.6
121,000143,000161,000177,000247,000274,000224,000264,000236,000219,000190,000191,000
120,000151,000140,000186,000229,000257,000232,000253,000223,000220,000168,000
5.77.57.66.6
11,613.310.512,411.410.39.28.9
5.67.86.5
1R12.410.811.710.710.28.0
213,000182,000193,000182,000180,000169,000173,000170,000168,000178,000169,000185,000
195,000179,000191,000185,000183,000168,000178,000172,000165,000180,000177,000
10.0 3,5009.5 3,1009.1 3,2006.9 3,2008.5 3,3008.2 3,2008.1 3,1008.0 3,1008.1 3,1006.3 3,1008.2 3,0008.6 3,200
9.19.28.98.96.56.18.38.07.98.48.4
3,3003,1003,2003,0003,3003,0003,0002,8002,9002,9002,900
10.49.79.39.69.29.28.68.78.88.68.79.1
9.69.69.48.89.58.98.58.28.48.28.8
‘The method of seasonal adjustment, developed by the U.S. Bureau of the Census, is described in The X- 11 Varient of the Census Method II Seasonal Adjustment Program, Technical PaperNo. 15 (1967 revision).
NOTE Figures Include all revisions received from the States and, therefore, may differ from those previously pub fished.
lo~ Monthly Vital Statisqcs Report ● Vol. 40, No. 11 ● March 12, 1992 ~~
Table 2. Provisional number of live births and deaths: each division and State, November 1990 and 1991, and cumulative figures,1989-91
[Data are estimates by State of residence; see Technical notes]
L;ve births Deaths
November January-November November Jafwary-Novembor
Area 1991 1990 1991 1990 1989 1991 1990 1991 1990 198
New England . . . . . . . . . . . . . . . .Maine . . . . . . . . . . . . . . . . . .New Hampshire . . . . . . . . . . . .Vermont . . . . . . . . . . . . . . . .Massachusetts . . . . . . . . . . . .Rhode island . . . . . . . . . . . . .Connecticut . . . . . . . . . . . . . .
Middle Atlantic . . . . . . . . . . . . . . .New York . . . . . . . . . . . . . . . .New Jersey . . . . . . . . . . . . . .Pennsylvania . . . . . . . . . . . . .
Eaat North Central . . . . . . . . . . . .Ohio . . . . . . . . . . . . . . . . . . .Indiana . . . . . . . . . . . . . . . . .Illinois . . . . . . . . . . . . . . . . . .Michigan ., . .,, . .,.....,,Wisconsin . . . . . . . . . . . . . . .
West North Central . . . . . . . . . . . .Minnesota . . . . . . . . . . . . . . .Iowa, . . . . . . . . . . . . . . . . . .Missouri . . . . . . . . . . . . . . . .North Dakota . . . . . . . . . . . . .South Dakota . . . . . . . . . . . . .Nebraska . . . . . . . . . . . . . . . .Kansas . . . . . . . . . . . . . . . . .
South Atlantic . . . . . . . . . . . . . . .Delaware . . . . . . . . . . . . . . . .Maryland . . . . . . . . . . . . . . . .DistrictofColumbia . . . . . . .Virginia . . . . . . . . . . . . . . . . .West Virginia . . . . . . . . . . . . .Norfh Carolina,........,.. .South Carolina . . . . . . . . . . . .Georgia . . . . . . . . . . . . . . .Florida . . . . . . . . . . . . . . . . .
EastSouth Central . . . . . . . . . . . .Kentucky . . . . . . . . . . . . . . . .Tennessee . . . . . . . . . . . . . .Alabama . . . . . . . . . . . . . . . .Mississippi . . . . . . . . . . . . . . .
WestSouth Central . . . . . . . . . . . .Arkansas . . . . . . . . . . . . . . . .Louisiana . . . . . . . . . . . . . . . .Oklahoma . . . . . . . . . . . . . . .TexasZ . . . . . . . . . . . . . . . . .
Mountain . . . . . . . . . . . . . . . . . .Montana . . . . . . . . . . . . . . . .Idaho . . . . . . . . . . . . . . . . . .Wyoming . . . . . . . . . . . . . . . .Colorado . . . . . . . . . . . . . . .New Mexico . . . . . . . . . . . . . .Arizona . . . . . . . . . . . . . . . . .Utah . . . . . . . . . . . . . . . . . . .Nevada . . . . . . . . . . . . . . . . .
Pacific . . . . . . . . . . . . . . . . . . . .Washington . . . . . . . . . . . . . .Oregon . . . . . . . . . . . . . . . . .California, . . . . . . . . . . . . . .Alaska. .,..,..,,.,...,.,Hawaii . . . . . . . . . . . . . . . . . .
114,341.-.
1,119640
6,8341,1294,619
45,38722,445
9,47813,464
136,97312,8147,217
---
11,4245,518
20,6365,0943,7426,227
680672
1,9982,023
144,116
693---
5937,2511,4068,1344,0216,508
15,512
18,8674,2175,5895,4413,620
39,7222,7296,9153,630
26,448
17,917944
1,272488
4,1132,6785,2932,244
885
65,0967,0663,131
52,466916
1,513
16,507970
1,249640
7,6661,2544,728
48,43324,10810,67613,649
53,26013,1457,262
15,84911,9225,062
22,0365,0733,0066,990
745862
1,9913,369
55,3941,0276,553
8667,9221,5607,9324,6947,922
16,918
18,3003,9965,2295,2793,794
41,3062,9765:5454,136
28,649
20,099952
1,378576
3,8352,1646,0412,9462,203
65,6385,4273,299
54,1521,0261,734
1161,226---
14,8447,247
81,30913,41044,416
529,626271,486101,612156,526
1430,096144,34878,427
. . .
141,64965,672
239,87261,50132,66870,883
8,36710,22922,15134,073
1552,45910,289
---
9,31789,13120,72093,56652,302
100,235176,899
212,91750,49366,23156,06740,126
440,12531,77868,99143,675
295,661
223,30310,68715,9986,204
50,09525,96162,28532,22819,825
693,34770,46639,068
555,45010,18418,177
187,52815,57315,926
7,64867,04913,78447,546
548,116280,140109,625156,351
619,964150,42478,682
178,125146,32566,408
251,14463,10935,18074,614
8,76910,16522,08037,207
645,71610,46974,99410,05992,29420,55195,78753,972
103,201164,389
219,77853,13266,52259,70440,420
440,40733,21567,09143,580
296,521
223,82810,74715,448
6,35548,35326,39263,48233,53319,518
706,23973,30440,589
563,00110,55318,792
183,16015,74516,6617,570
85,52213,36744,315
531,574269,163106,623155,788
596,139147,05476,228
175,043131,760
66,054
2~3,47060,86835,72271,836
9,16810,24722,11733,492
620,96010,25268,34810,35189,02520,16793,92152,629
100,618175,449
212,97750,30267,01456,20239,459
407,69732,93762,07443,927
268,959
216,42910,75614,521
6,35147,41926,45662,32732,57516,024
649,36068,21637,863
514,86010,56917,832
19,262---
720363
4,964782
2,433
29,54413,1526,087
10,305
121,7808,2123,861
.-.
6,1243,583
14,0643,0242,5644,347
505560
1,3781,666
‘27,908459---
3024,2011,4564,9072,2363,445
10,902
12,0372,8023,6883,2342,373
16,0432,0282,7072,407
10,901
7,510546602267
1,681969
2,331635477
23,1323,2032,073
17,072190594
9,411946698386
4,587651
2,143
28,54113,0345,5939,914
30,9058,2384,1538,4326,6673,395
13,0402,8852,2573,910
427477
1,3251,759
31,724514
2,976616
3,9491,4854,5742,3864,331
10,893
11,0652,9113,1912,9092,054
16,3701,9442,2622,4939,651
8,000581649259
1,7611,0022,315
698735
19,8673,0372,136
13,973160541
192,994..-
7,7434,202
47,3788,449
25,222
328,522152,75563,742
112,025
!245,561
89,10645,115
..-
72,28639,052
147,71232,00323,71947,052
5“1056,049
13,29820,466
1326,513
5,316---
6,00944,50118,13453,41727,01848,236
123,882
131,19331,95641,28734,58823,362
204,05221,97834,72127,710
119,643
90,9506,4997,1272,872
20,419
26:6768,3646,367
268,24334,17322,765
203,1441,9846,157
105,52310,1727,7744,263
50,3128,526
24,476
331,234154,91664,049
112,269
341,68490,56245,70794,50972,70438,202
149,09331,77625,30546,865
5,1925,920
13,31520,716
359,6915,304
34,7086,661
44,19318,09452,37827,12146,623
122,389
133,69832,76141,43636,32723,154
201,25222,74533,66127,907
116,719
88,8226,3707,0282,960
19,4789,993
26,2758,.5276,19f
263,25433,97023,447
197,6402,0056.192
105,79,67,84,0
50,38,6
25,2
333,0156,064,6
112,4
339,2789,3844,4495,0972,3336,03
148,4931,2023,349,3
4,96,0
13,420,0
356,035,3
35,267,1
42,5917,752,0227,0349,13
119,69
129,5i32,2640,5734,0622,61
f 94,4322,5632,1927,06
112,58
66,686,166,922,94
19,529,79
25,718,177,64
261,1133,5f423,65
196,301,845,78
1Excludes figures for State(s) shown below ss not avallabla.%!aglnnlng with data for February 1991, figures Include d@tMCmtS for var@9 lengthof rsporting period, eee Tschnlcal notes,
~
Data for all years are provisional estimates by State of
3F/gures for all ysars Include adjustments for varying length of reportin9 period, see realdence rather than by State of occurrence and therefore
Technical notes, figures for 1989 and 1990 differ from thoee published
NOTE: Figures Inolude sII revisions received from the Ststes, Cumulative figures for the current year reflect revlsione received for previous months, end flguree for eerller years may differ ffomthoee prevlouely published,
Monthly Vital Statistics Report. Vol. 40, No. 11. March 12, 1992 ~11
Table 3. Provisional number of marriages and divorces: each division and State, November 1990 and 1991, and cumulative figures,1989-91
[By Stateof occurrence.Number of events reported;see Technicalnotes. Divorces include reported annulments]
Marriages . Divorces
November January-November November January-November
Area 1991 1990 1991 1990 1989 1991 1990 1991 1990 1989
New England . . . . . . . . . . . . . . . . 15,820Maine . . . . . . . . . . . . . . . . . . ---New Hamrxhlre . . . . . . . . . . . . . 730Vermont: . . . . . . . . . . . . . . .Massachusetts . . . . . . . . . . . .Rhode island . . . . . . . . . . . . .Connecticut . . . . . . . . . . . . . .
Middle Atlantlc . . . . . . . . . . . . . . .New York2, . . . . . . . . . . . . . .New Jersey . . . . . . . . . . . . . .Pennsylvania . . . ) . . . . . . . . .
East North Central . . . . . . . . . . . .Ohio. . . . . . . . . . . . . . . . . . .Indiana, . . . . . . . . . . . . . . . .Illinois, ,, . . . . . . . . . . . . . . .Mlchlgan . . . . . . . . . . . . . . . .Wisconsin . . . . . . . . . . . . . . .
West Norih Central, , . . . . . . . . . .Minnesota . ., .,, . . . . . . . . .Iowa. . . . . . . . . . . . . . . . . . .Mlssoufi, . . . . . . . . . . . . . . .North Dakota . . . . . . . . . . . . .South Dakota ., .,, ...,,...Nebraska, ,, .,, . . . . . . . . . .Kansas, . . . . . . . . . . . . . . . .
SouthAtlantlc . . . . . . . . . . . . . . .Delaware, . . . . . . . . . . . . . . .Ma~land, . .,, . . . . . . . . . . .DlstrlctofColumbla . . . . . . . . .Vlrglnla, . . . . . . . . . . . . . . . .WestVlrglnla . . . . . . . . . . . .North Carolina, . . . . . . . . . . . .South Carolina, . . . . . . . . .Georgia. ,,, ,, t .,, . . . . . . .Florida, . .,, . . . . . . . . . . . .
EastSouth Central . . . . . . . . . . . .Kentucky, . . . . . . . . . . . . . . .Tennessee . . . . . . . . . . . . . . .Alabama . . . . . . . . . . . . . . . .MIssIssIPPI . . . . . . . . . . . . . . .
WestSouth Central . . . . . . . . . . . .Arkansas . . . . . . . . . . . . . . . .Louisiana . . . . . . . . . . . . . . . .Oklahoma .,, , ., .,....,. ,Texas, ,,, ,,, , . . . . . . . . .
Mountain . . . . . . . . . . . . . . . . . .Montana, .,, ..,...... . . .Idaho ., ., . . . . . . . . . . . . . .Wyoming . . . . . . . . . . . . . . . .Colorado, ,,, , .,.,,...,.,New Mexlco4,5, .,,.,,.,.. .Arlzona2 . . . . . . . . . . . . . . . .Utah, ,,, , .,.,....,..,..Nevada, ,,, ,, ., ...,,....
Paclflc, ,, $, .,, ,,, ,,, . ..l. .Washington . . . . . . . . . . . . . .Oregon .,,,,..,.,,...,..California. . .,, . . . . . . . . . . .Alaska, . . . . . . . . . . . . . . . . .Hawaii . . . . . . . . . . . . . . . . . .
5763,936
578. . .
11I ,57(3. . .
4,5437,027
110,783---
4,067..-
4,8551,861
10,1791,7772,0463,186
253355770
1,788
33,464453
3,156420
5,025735
3,6564,5584,907
10,554
12,8612,7665,3782,9991,718
116,3552,467
---2,168
11,720
16,546323
1,290214. . .
8662,6971,154
.-.
16,2323,0921,385
---
4171,336
8,304887937525
3,673535
1,747
28,03215,3444,7375,951
121,33310,056
3,649.-.
5,9211,707
11,3892,1271,9023,982
333502646
1,697
33,607432
3,899308
5,3861,1553,5304,1793,810
10,908
14,5593,9315,7022,9541,972
24,7453,1364,0542,613
14,942
19,348397656274
2,071961
3,3311,5649,694
23,8912,4662,254
17,245416
1,510
160,068. . .
9,1385,710
38,1037,117
-..
i125,332. . .
51,85273,480
1151,877. . .
47,027..-
68,97535,875
139,38730,92422,25342,560
4,3636,901
11,77020,616
410,9735,016
40,9944,385
63,10911,44345,12448,97866,640
125,284
166,48643,77463,10338,52321,086
1235,10934,860
---29,566
170,863
167,6036,675
13,4114,368
. . .
11,99433,61617,539
. . .
190,90446,96221,976
..-
5,57716,369
104,32610,9679,9145,777
43,6927,676
26,300
287,243153,41053,90779,926
1250,13688,88150,082
..-
72,19238,983
145,19431,90523,27445,309
4,4627,22a
11,61021,406
419,9635,236
42,6294,405
65,54912,30147,61051,00661,620
129,727
169,18147,14860,10939,85222,072
266,53132,88136,70330,174
166,773
233,2646,496
13,7674,407
29,66212,03734,10017,674
115,121
305,93845,38823,211
215,2505,316
16,771,
107,37011,57410,4085,736
46,7337,756
25,163
283,437150,51656,01676,903
330,70291,53650,46377,74572,51236,446
145,65432,62022,60747,590
4,5596,698
11,88619,594
407,8765,571
44,4044,505
63,53512,13946,66948,94155,581
126,533
167,09347,36158,60939,13521,988
256,12931,67034,66130,018
159,760
223,2716,323
11,7524,172
29,66711,60133,31817,142
109,296
286,93039,78821,504
205,6255,253
16,560
12,337. . .
349360
1,360246. . .
8,3894,7431,0962,550
14,297. . .------
2,9441,353
5,3791,103
9482,231
166230535164
17,209216
1,143228
2,208647
2,5131,1332,9126,007
7,5742,0122,7011,6021,059
111,6671,360
. . .1,7568,551
14,638365543233. . .
8152,179
683---
14,2172,3401,252
-..
135490
3,758629450325
1,683251520
8,3474,5791,6662,102
19,1965,040
. . .---
2,7091,449
6,4021,219
9631,661
172213595
1,579
17,129304
1,047242
2,226806
2,7031,1431,9236,735
6,9051,7272,6761,983
519
110,9661,617
. . .1,9217,446
6,822319473248
1,492659
1,915608
1,108
17,1061,9401,772
12,755185456
12,443. . .
445236
1,435327-..
21,5116,6711,917
12,923
152,660. . .. . .-..
36,07916,601
71,65313,97611,15924,103
1,9932,5095,683
12,028
20,421266
1,325204
2,2303,4552,206
8353,6038,295
86,22419,94529,82924,51511,935
1140,09317,173
-..21,733
101,187
‘50,8914,0055,9332,965
. . .
7,72722,605
7,656. . .
146,95926,66114,388
. . .
3,0054,705
4,604327399396
2,067376
1,039
24,9529,9312,640
12,361
1100,10246,869
------
36,95616,275
70,67513,89110,16623,758
2,1422,4295,976
12,311
19,766231
1,360229
2,0103,0542,475
9643,5065,935
a6,71320,17329,66023,70313,177
1125,37015,739
. . .23,25386,376
80,2633,7a26,0912,634
17,0577,137
23,1678,046
12,149
163,36026,06614,742
115,1482,6914,713
4,116396736400
1,158335
1,090
23,4208,6542,652
11,914
1137,96844,486
---41,23036,28115,971
66,77814,1919,227
24,4062,0592,4085,801
10,686
19,201350
1,238189
1,9903,1842,242
9512,3966,661
63,50319,68628,66923,26011,686
1123,29415,096
---21,37786,821
77,1853,7895,5662,767
17,1377,070
21,2727,412
12,152
153,44924,58613,850
106,9573,0025,054
1Excludes figures for Stala(s) showl below as not available.2F,gUreSfOr~~rdageSare marriage Iicensea issued for some coun:les.
3Bealnnlna wth ds:a for Februaw 1991, fiauras mciude adustman!s for varvina !enoth..-ol,eiortm~ period, see Technlcaj notes, -4Fgures formar.lages %emarriagelrcenses !ssued,%gu:es fordvorces ncludeestmsles for some counties.
Data are provisional estimates by State of occurrence ratherthan by State of residence and should be interpretedaccordingly.
NOTE: Fgures mclbde ail revismns ,ecetvecl ‘ro~ me Sta!es. Cumulative f,gures for the current yaar reflect revisions receivad for previous months, and figures for earher yeara may differ from:hose prevkusly publnshed,
12~ Monthly Vital Statistics Report. Vol. 40, No. 11 ● March 12, 1992 ~~
Table 4. Provisional number of deaths under 1 year and infant mortality rates: each division and State, 12 months ending with November1990 and 1991
[Dataare estimatesby State of residence;see Technicalnotes. Infantmortalityratesare deaths under 1 year per 1,000 live births in specified area]
12 months ending with November
1991 1990
Area Number Rate Number Rate
New England . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Maine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .New Hampshire . . . . . . . . . . . . . . . . . . . . . . . . . . . .Vermont, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Massachusetts, , . ., ., . . . . . . . . . . . . . . . . . . . . . .Rhode island . ., ., . . . . . . . . . . . . . . . . . . . . . . . . .Connecticut, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
MlddleAtlantic, .,, ,,, ..,,.., . . . . . . . . . . . . . . . . . .New York,,,,,,,,,.,.,,,. .,, , .,, ...,,,...NewJersey, ,,, ,,, ,,, ,,,,,,, ,,, ,, .,,,,,,,,Pennsylvania, ,,, ,, .,,,.,... .,, ,,, ..,,,,..,
EastNorth Central . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Ohio . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Indiana . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Illinois . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Michigan . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Wisconsin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
WestNorth Central . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Minnesota . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .lowa . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Missouri . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .North Dakota . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .South Dakota . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Nebraska . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Kansas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
South Atlantic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Delaware . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Maryland . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .DistfictofColumbia . . . . . . . . . . . . . . . . . . . . . . . . . .Virginia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Wastvirginia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .North Carolina . . . . . . . . . . . . . . . . . . . . . . . . . . . . .South Carolina . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Georgia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Florida . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
EastSouth Central . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Kentucky . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Tennessee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Alabama . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Mississippi . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
WestSouth Central . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Arkansas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Louisiana . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Oklahoma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Texas. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Mountain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Montana . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Idaho . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Wyoming . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Colorado . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .New Mexico . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Arizona . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Utah . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Nevada . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
pacific . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Washington . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Oregon . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
California . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Alaska . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Hawaii . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
19781029946
63497
. . .
12,591. . .
1,0221,569
14,4011,507
769-..
1,549576
2,274408281806
8293
183341
18,317
145..-
166953204
1,138509
1,3311,791
2,375465721690499
4,105369744470
2,522
1,93791
15349
456242571214161
5,838“562317
4,73593
131
15.1
6.26.15.87.26.6. . .
14,5. . .
8.89,3
16.69.59.1-..
10.08.0
8.77.37.7
10.49.08.57.69.2
19,2
13.1---
16.39.89.1
11.110.312.19.3
10.18.4
10.010.711.5
8.510.610.19,97.6
6.07.88.97.28.38.66.56.17.5
7.77.57.47.88.26.6
1,503110124
6~108413
5,6692,8871,1191;683
6,6591,560
8302,153i ,665
631
2,205516346670
66108182315
7,367110739207
1,036210
1,158712
1,2731,922
2,406484748640536
4,129354752460
2,563
2,079105146
60424247636274185
6,058811335
4,843121148
7.3
z6.67,27,26,1
::9,19,8
10,19.6
17;:10.58.7
8.17.59.18.37.19.87.67,8
10,59.7
1;:10.3
1::12.1
11.5
9.5
i 0,28.6
10.6
1::
6.6
1:::9,77.9
8.59.08.9
;::8,99.27.68.5
7.97.77.47.9
10.47.2
lExcludes figures for Stale shown below as not available.2Beginning with data for February 1991, figures include adjustments for Varyin9 length
of reootinq IIeriod, see Technical notes.3Figures f~r” all years include adjustments for varyjng length of repoting period. see
Technical notes.
r
Data for all years are provisional estimates by Sta;e ofresidence rather than by State of occurrence and, tharefore,differ from those published previously.
NOTE Figures include all revisions received from the States. Figurea forthecurrent year reflect revisions received for previous monfhs, and figures forearker years mayd!fferftomlhosepreviously pubkshed.
Monthly Vital Statistics Repoti . Vol. 40, No. 11. March 12, 1992 ~13
Table 5. Provisional number of deaths and death rates, by age, race, and sex, and age-adjusted death rates by race and sex:United States, October 1990 and 1991, cumulative figures 1990 and 1991, and 12 months ending with October 1990 and 1991
[Data ara provisional, estimated from a 10-percent sample of deaths. Rates on an annual basis per 100,000 estimated population in specified group. Due to roundingof estimates, figures may not add to totals. For method of computation and information on standard errors of the estimates see Technical notes]
October January-October 12 months ending with October
1991 1990 1991 1990 1991 1990
Age, race, and sex Number Rate Number Rate Number Rate Number Rate Number Rate Number Rata
d,All races, both sexes 1
Alleges ..,,,...,,., 180,000
Under l year.,.,,,,,,l-4yeara, ...,,,,,.,
}4,240
5-14ysara, ,,, ,,, ,,,15-24 yeara, ,, .,,,,, 3,19025-34 years,,.,..,.. 5,13036-44 years, q,,,,,,, 7,89045-54 years 4,, ,1, ,,o 10,28055-64 years,,,,,,,,, 20,49065-74 years.,....,.. 39,32075-84 years . . . . . . . . . 49,21085 years and over . , . . . 40,640Notstated . . . . . . . . . . 80
Age-adjusted rate. . , . . . . . .
835,6 178,000 831.4 1,797,000
30,6006,2907,230
31,39050,05072,75099,150
206,240399,370500,930392,530
760
852.5
2ag7,3
49,523,9
106.3138,5223,1456.6
1,160,62,574.95,916.9
14,365.8.,.
507,7
1,808,000 866.4 2,153,000 851.3 2,174,000 a66.3
31,9005,7107,190
2944.245.624,2
104.0141,0222!0467,7
1,177.52,633.16,112.0
14,889.8. . .
518.4
36,8007,2608,600
37,09059,58067,000
116,230247,610476,600601,630470,390
940
.,.
2905.947.623.7
104,6137.2222,54547
1,160.52,560.45,922,7
14,354.3
38,3606,7506,620
37,26061,66063,650
119,460253,280483,690609,070470,490
1,500
2955.9
45.124.2
103.5141.4222,2470,0
1,181.02,629.26,127.5
14,998.1
89.2 4,230 90.4
106.1139,6235,0456.6
1,132.52,476.05,649.4
14,317,9
2,7405,0507,110
10,15020,39040,20049,56038,140
100
90.1136.2218.9465,5
1,121,92,558.45,613,2
14,055.3
31;19051,37069,71099,120
210,340403,650506,490389,730
1,280 . . .496.4 496.8 506.2 . . . 519.4. . .
All races, male 1
Alleges .,, . . . . . . . . . 94,370
Under l year,...,.,..l-4 years..,...,,,,,
}2,560
5-14years, . . . . . . . . .15-24 years.,,.,,,.. 2,37025–34 years . . . . . . . . . 3,75035-44 years,,,,.,,,. 5,69045-54 years, .,..,... 6,21055-64 years, ,,, ,, ... 12,73065–74years .,....... 22,89075-84 years,...,,,.. 24,40085 years and over . . . . . 13,730Notstated .,,,.,.,., 40
Age-adjusted rate. , , , . . . . .
895.7 91 ,s20 8S1.1 931,330
17,6303,3404,480
23,79036,69050,22062,570
126,960228,930246,410129,860
440
905.9
21,011.051.226.9
159.0202.8311.4592.1
1,507,53,303.47,618.4
17,030.8. . .
656,6
938,640
18,1903,1804,520
23,61037,77047,70082,800
127,970232,190251,310128,570
840
922.7 1,114,290 903.7
21,014.950.228.3
156.7201.3309.8587.9
1,501.13,285.37,648.1
17,009.s
1,127,270
21,7203,7205,370
28,12045,43056,89075,540
154,190279,080301,020155,220
970
923.5
21,056.946.529.4
154.3207.4305.8610.9
1,519.73,401.37,976.2
17,759.7. . .
674.5
21,051.8
49.821,080
3,920105.2 2,510 104.729.7
155.7207.0307.3609.3
1,514.23,395.47,983.9
17,617.6
5,25028,09043,72059,93074,370
151,810273,240296,670155,640
560
155.7203.7342.2566.7
1,483.43,223.07,312.0
17,30s.3
2,0803,5404,7306,370
12,23022,90024,71012,700
50
135.2190.7294.5800.6
1.421.23;264.37,614.2
16,801.4,..
646.6
. . .640.5
. . .673.8 656.2!., . . .
All races, female 1
All agee . . . . . . . . . . . . 86,100
Under l year,,.,,.,,.l-4years. .,+,,.,,.,
}1,680
5-14 years,.,.,,,,,,15-24 years,.,,..,.. 82025-34 years . . . . . . . . . 1,39035-44 years . . . . . . . . . 2,20045–54years .,..,,,,. 4,06055-84 years .,....... 7,76065-74 years .,..,,.,. 16,43075-84 years,.....,.. 24,81085 years and over , , . . . 26,910
6 Notstated . . . . . . . . . . 40
Age-adjusted rate. . . . . . . . .
778,e 85,860 7e4.2 865,920
12,9402,9502,7507,600
13,37022,53036,58079,270
170,440254,520262,670
310
801.8
2776.547.518.752.074.0
136.9328.1848.1
1,986.94,865.1
13,333,6. . .
382.8
869,090
13,7702,5302,6707,580
13,60022,00036,32082,380
171,460255,190261,160
440
612.9 1,037,410
15,6603,3403,3509,000
I 5,a5027,06043,87095,800
203,360304,960314,750
380
aoo.4
2791.544.918,951.373.1
137.0328.6853.5
1,974.84,856.8
13,325.6
1,046,820
16,7103,0403,2609,140
16,43026,76043,92099,090
204,610308,050315,270
540
615.9
2e34.941.518.451.174.7
138.5333,6875.2
2,019.24,9a6.3
13,834.8
2852.841.618.851.475.2
140.6336.4
72.4 1,720 75.3
55.275.6
129.8351.3815.8
1,871.44,617.0
13,157.9
660 43.981.0
145.0337,6853,7
1,987.84,70e.2
13,000.7
1,5002,3803,7808,170
17,29024,86025,440
50
~76.72,007.64,99e.8
13,931.5. . . . . . . . .
370.2 379.5 390.9 382.3 392.4
? White
Alleges, . ., .,..,... 155,830
Under l year. ,, .,,..,l-4 years . .,, . . . . . . .
}2,690
5-14years . . . . . . . . . .15–24 years ...,..... 2,33025–34years, ,,, ,,, ., 3,66035–44 years......,.. 5,74045-54 years,,.,,,,,. 7,84055–64years ...,,,... 17,05065-74 years......,.. 34,36075–84 years ...,.,... 44,49065 years and over , , . . . 37,580Notstated, . . . . . . . . . 70
Age-adjusted rate. . . . . . .,.
896.4
2817.840.822.695.1
122.3192.9430.5
1,125.32,584.06,116.3
15,273.6. . .
497.4
862.1 154,250 860.2 1,551,980
19,8904,3105,290
22,77035,87053,23077,560
170,580347,530452,340361,950
650
878.7
27367
42.721.995.3
119.2192.1415.4
1,104.92,521.95,913.3
14,633.7. . .
483.6
1,568,470
21,6204,1105,410
23,25037,29051,36078,260
174,910353,630457,650360,040
750
895.0
2811.841.022.795.6
122,6191.9429.0
1,123.12,589.96,105.3
15,171.8. . .
496.7
1,661,660
24,3405,0306,410
26,aao42,53064,08092,760
205,630415,300543,570434,370
780
678.4
2759.041.422.193.8
117.7192.7414.9
1,109.12,510.45,922.5
14,645.0. . .
483.6
1,885,260
26,1304,8906,490
27,78044,67061,90094,210
210,420423,470549.960
71.1 3,070 S2. I
96.0119.8201.4404.9
1,086.12,437.35,555.7
14,632.1. . .
2,1503,6605,2607,990
16,66035,35044,61035,220
80
87.3118.4190.2426,0
1,oa5.52,528.05,786.6
14,324.2.,.
434;380930
472.2 477.4 . . . . . .
See footnotes at end of table.
14~ Monthly Vital Statistics Report. Vol. 40, No. 11 ● March 12, 1992 ~~
Table 5. Provisional number of deaths and death rates, by age, race, and sex, and age-adjusted death rates by race and sex:United States, October 1990 and 1991, cumulative figures 1990 and 1991, and 12 months ending with October 1990 and 1991 -Con,
[Data are provisional,estimatedfrom a 10-percentsample of deaths. Rates on an annual basis per 100,000 estimated population in specified groLp. Due to roundingof estimates, figures may not add to totals. For method of computation and information on standard errors of the estimates see Technical notes]
October January-October 12 months errd/r7:y with October
1991 1990 1991 1990 1991 1990
Age, race, and sex Number Rate Number Rate Number Rate Number Rate Number Rate Number Rate
White male
Alleges . . . . . . . . . . . . 80,580
Under l year . . . . . . . . .l-4years . . . . . . . . . . .
}
1,6705–14years . . . . . . . . . .15-24 years . . . . . . . . . 1,73025-34 years . . . . . . . . . 2,79035-44 years . . . . . . . . . 4,19045-54 years . . . . . . . . . 4,84055-64 years . . . . . . . . . 10,63065-74 years......,.. 20,07075-84 years . . . . . . . . . 22,16085 yeara and over . . . . . 12,450Notstated, . . . . . . . . . 30
Age-adjusted rate. . . . . . . . .
White female
Alleges . . . . . . . . . . . . 75,250
Under l year . . . . . . . . .l-4years . . . . . . . . . . .
}
1,0205-14years . . . . . . . . . .15-24 years ..,...... 60025-34 years,.....,,. 87035-44 years ..,...... 1,55045-54 years......,.. 3,00055-64 years . . . . . . . . . 6,41085-74 years . . . . . . . . . 14,29075-84 years.....,,.. 22,33085 years and over ., . . . 25,130Notstated . . . . . . . . . . 40
Age-adjusted rate. . . . . . . . .
Black
Alleges . . . . . . . . . . . . 21,660
Under l year . . . . . . . . .l-4years . . . . . . . . . . .
}
1,4105-14years . . . . . . . . . .15-24 years . . . . . . . . . 77025-34 years, ,. .,.... 1,30035-44 years . . . . . . . . . 1,96045-54 years . . . . . . . . . 2,16055-84 years . . . . . . . . . 3,19065–74years . . . . . . . . . 4,12075-84 years . . . . . . . . . 3,98085 years and over . . . . . 2,760Notstated . . . . . . . . . . 10
Age-adjusted rate. . . . . . ., ,
Black male
Alleges, .,.....,,,. 12,030
Under l year . . . . . . . . .l-4years. , . . . . . . . . .
}
8005–14 years . . . . . . . . . .15-24 years . . . . . . . . . 57025-34 years . . . . . . . . .35-44 years . . . . . . . . .45-54 years . . . . . . . . .55-64 years . . . . . . . . .65-74 years . . . . . . . . .75-64 years . . . . . . . . .85 years and ovar . . . . .Notstated . . . . . . . . . .
Age-adjusted rate. . . . . .
8ee footnotes at end of table.
8801,3401,2301,9802,2501,8201,150
10
. . .
910.2
66.0
140.4180.7293.5506.0
1,417.13.171.57;356.0
17,576.6. . .
616.3
816.0
55.3
50.257.6109.0305.0761.9
1,839.24,600.5
13,510.7. . .
350.8
800.8
188.0
170.8272.3516.6920.8
1,719.02,932.96,023.3
12,498.8. . .
714.7
936.4
209.6
255.3369.6774.5
1,175.52,350.13,700.07,338.7
17,584.8. . .
943.5
79,070
1,840
1,6202,6403,5505,050
10,31020,17022,25011,610
40
. . .
75,180
1,230
5301,0201,7102,9506,550
15,18022,36023,610
40
. . .
21,080
1,040
5301,2201,6601,9603,2004,3704,4502,630
20
. . .
11,450
580
400780
1,0701,2301,7802,4502,200
94010
. . .
900.8
95.9
129.7169.0256.6547.6
1,366.43,218.87,589.1
17,173.2. . .
616.6
821.3
67.5
43.766.7
123.7309.4791.2
1,967.14,660.4
13,243.9. . .
363.6
792.5
141.8
116.9255.8461.3856.3
1,737.93,176.16,885.0
12,436.2. . .
704.3
906.8
155.5
178.2346.0851.1
1,203.82,129.94,126.99,068.8
14,757.0. . .
923.1
796,580
11,5502,3603,290
17,11026,59037,17049,290
105,960200,720223,240118,950
360
. . .
755,390
8,3401,9502,0005,6709,280
16,07028,27064,620
146,810229,100243,010
280
. . .
219,070
9,7601,7601,6407,670
12,73017,74019,47032,15046,20042,95026,900
100
. . .
119,360
5,580890
1,0405,9808,990
11,87012,02019,04024,83019,9009,140
80
. . .
921.2
2837.145.526.6
141.2174.9268.0536.8
1,437.43,247.47,844.0
17,463.6. . .
628.2
837.9
2636.639.517.146.282.2
116.2297.9800.9
1,931.64,845.2
13,557.8. . .
364.6
832.0
21,745.787.934.5
173.3272.2486.8855.9
1,771.93,383.26,692.6
12,624.6. . .
739.4
955.0
21,964.585.442.8
273.6406.7712.7
1,185.72,312.04,205.38,260.0
14,369.0. . .
969.5
807,800
12,5602,2703,360
17,45027,82035,56049,870
107,960205,150227,580117,720
500
. . .
760,670
9,2701,8402,0505,8009,470
15,79028,39066,950
148,470230,070242,320
240
. . .
214,920
9,3401,3701,5207,110
12,84016,67016,75032,26044,79043,51026,390
“360
.,.
16,870
5,190760990
5,5709,090
11,02011,80018,21024,01020,770
9,230230
. . .
941.8
Zgog.o
44.327,5
141.6181.1265.5556.1
1,454,83,355.58,003.3
18,036,9. . .
646.8
850,1
2709.537.617.746.362.8
117.9306,0821.1
1,968.74,945.4
14,087.1. . .
373.6
629.6
21,720.670.932.8
159.1275.0461.5642.1
1,791.83,346.96,917.3
12,954.3. . .
737.9
950,6
21,887.177.442.0
251.3412.1696.0
1,166,52,229.74,171.58,824.3
15,051.2. . .
965.7
954,890
14,0502,8103,940
20,13031,63044.51058;500
127,430239,640269,020142,790
430
906,790
10,2802,2302,4706,750
10,89019,57034,26078,200
175,670274,550291,580
350
. . .
259,840
11,4001,9601,8509,060
15,32020,87023,03036,07064,84051,48031,810
140
.,,
141,710
6,440990
1,1507,110
10,81014,06014,37022,22029,75023,86010,850
120
,.,
920.5
2854,1
45.126.5
138.5173<3267.5532.1
1,439.63,230.17,679.7
17,477.4,.,
627,0
836.0
2658,1
37.717.547.880.9
117.8301.6607.1
1,925,44,837.9
13,568.2. . .
365.3
823.0
21,709<181.632.6
171.1273.2478,2845.8
1,747.93,346,06,685.7
12,474.5. . .
731.4
946.1
21,905.3
80.939.8
271.8408.7705.1
1,182.72,249,04,202.08,256,1
14,276.3. . .
960,8
969,700
14,9702,6904,020
20,78033,37042,58059,900
129,920246,260272,440142,170
600
. . .
315,550
11,1602,2002,4707,000
11,30019,32034,31080,500
I77,21O;277,540:292,210
320
,,.
!259,700
11,3301,6001,8106,460
15,64019,83022,80038,84054,07052,71032,180
410
<.,
‘40,740
6,160850
1,1508,610
10,99013,03014,33021,96029,25025,00011,130
260
.,<
942.1
2913,4
43.827.5
140.2180.8265,4558<8
1,458,53,356.97,989.4
18,180,3.,.
647.1
852.5
27~7,~
37.8f7,848.762.5
120.4308.4822.2
i ,957,74,972,1
14,171,2‘..
374.7
835,6
21,756.6
69,032.5
157.6279.0477.8653.6
1,797.33,370.96,990,7
13,134,7,,.
742.8
954.2
21,889,9
72.040,7
249.2415.0688.0
1,201,22,230.54,239.18,865.2
15,040,5,,.
970.5
Monthly Vital Statistics Report ● Vol. 40, No. 11 ● March 12, 1992 ~15
Table 5. Provisional number of deaths and death rates, by age, race, and sex, and age-adjusted death rates by race and sex:United States, October 1990 and 1991, cumulative figures 1990 and 1991, and 12 months ending with October 1990 and 1991- Con,
[Dataare provisional,estimatedfrom a 10-percentsampleof deaths. Rates on an annual basis per 100,000 estimated population in specified group. Due to roundingof estimates, figures may not add to totals. For method of computation and information on standard errors of the estimates see Technical notes]
October January-October 12 months ending with October
1991 1990 1991 1990 1991 1990
Age, race, and sex Number Rate Number Rate Number Rate Number Rate Number Rate Number Rate
Black female
Alleges . . . . . . . . . . . .
Under l year . . . . . . . . .l-4 years . . . . . . . . . . .5-14 years . . . . . . . . . . }15–24years . . . . . . . . .25-34 years . . . . . . . . .35-44 years . . . . . . . . .45–54years .,.,..,..55–64years . . . . . . . . .65-74 years . . . . . . . . .75–84years . . . . . . . . .85 years and over . . . . .Notstated . . . . . . . . . .
Age-adjusted rate. . . . . .
9,620
610
200420620930
1,2101,870
2,1601,610
677.5
165.6
67.9166.9302.6715.7
1,194.22,347.35,233.0
10,356.7
533.4
9,630
450
130440560720
1,4201,9302,2601,690
10
689.3
124.9
56.6174.9296.7566,2
1,412.12,467.35,590.3
11,435.6
533.5
99,700
4,160670600
1,6903,7405,6707,450
13,11021,37023,05017,750
20
. . .
720.9
21,520.2
88.525.675.2
151.9296.9591.9
1,323.12,756.25,741.6
11,676.2. . .
554.6.—
96,050
4,150610530
1,5403,7505,6506,95014,04020,78022,74017,160
130
. . .
720.3
21,549.664.223.368.3
152.2299.7562.6
1,429.02,728.45,760.9
12,037.4. . .
557.2
116,130
4,960960700
1,9504,5106,6108,660
15,86025,09027,62020,960
20
. . .
711.9
21,507.663.125.172.8
152.2287.3574.3
1,332.82,697.85,742.2
11,709.5. . .
547.6
116,960
5,160750660
1,6504,6606,8006,460
16,66024,82027,71021,060
150
. . .
726.5
21,622,6
65.824.166.3
157.5301.4573.7
1,430.52,715.55,670.8
12,315.8. . .
562.8
1[n~ludes races other than white and black.2Dsa\h ~stesunder I year (based on population eatimatea) differ from infant mortafity rates (bassd on HVe birtha); see table 8 for infant morfa[l~ rates.
NOTE Figures include all revisions received from the States. Cumulative and 12-month figures for the current year reflecl rsvisiona received for previous months, and figures for earlier yearsmey differ from those previously published, Data include adjustments for Ma~land and Oregon, which are not included In the sample for October 1991.
Table 6. Provisional number of deaths and death rates for 72 selected causes and Human immunodeficiency virus infection: United States, October 1990 and 1991, cumulativefigures 1990 and 1991, and 12 months ending with October 1990 and 1991
[Data are provisional, estimated from a 10-percent sample of deaths. Rates on an annual basis per 100,000 estimated population. Due to rounding of estimates, figures may not add to totals. For method ofcomputation and information on standard errors of the estimates see Technical notes. For explanation of the asterisk preceding cause-of-death codes see Technical notes]
October January-October 12 months ending with October
1991 1990 1991 1990 1991 1990
Cause of death (Ninth Revision hrternaiiona/ Classification of Diseases, 1975) Number Rate Number Rate Number Rate Number Rate Number Rate Number Rate
Allcauscs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 180,000 835.6 178,000 831.4 1,797,000 852.5 1,808,000 886.4 2,153,000 851.3 2,174,000 868.3
Shigellosis andamebiasis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...004.006Certainothcr intestinal infections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..007–009Tuberculosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...010-018
Tuberculosis of respiratorysystem . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...010-012Othertuberculosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...013418
Whooping cough . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...’.. .033Streptococcal sore throat, scarlatina, anderysipelas . . ., . . . . . . . . . . . . . . . . . . . . . . . . .034-035Meningococcal infection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .036Septicemia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .038Aculepoliornyclilis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...045Measles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...055Viral hepatitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , .,..,...............070
Syphilis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...,...............090-097All other infectious and parasitic
diseasesl . . . . . . .001.003,005,020 032,037,039-041, *O42-*O44,O46-O54,O56-O66,O7l-O88,O98-l39
Malignant r\eoplasms, ir\cluding r)coplasms oflymphatic andhematopoietic tissues. . . . . . . . . . .140–208Malignantn coplasrnso flip,oralcavity, and pharynx. . . . . . . . . . . . . . . . . . . . . . . . . . . . .140–149Malignant neoplasms ofdigestive organs andporitoneum . . . . . . . . . . . . . . . . . . . . . . . . .150-159Malignant neoplasrnsof respiratory andintrathoracic organs. , , . . . . , . . . . . . . . . . . . . . . .160-165Malignant ncoplasmofbrcast, . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . ..174–175Malignant ncoplasmsofgcmtal organs, . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . ...179-187Malignrrnt ncoplasmsof l~rinary organs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...168-189Malignant neoplasmsof allolhcr andljnspecified sites . . . . . , . . . . , , , , . .170-173,190-199Lcukcrnio . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , ...,....204-208Olhcrm:iflgnarll ncoplaslns oflymphatic and}~ematopoietic tissues. . . . . . . . . . . . . . . . . . .200-203
Benign noopfasrns, carcinoma in silu, and neopfasms of unceriain behavior andoftlrlsl)cciflcd rlature . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .210-239
Diabctcsrnellitus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...250Nulnlional rlcficicncics. ..,, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..260–269Anemias.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .280-285Mcninf~ltis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .320-322Majorcrrrdiovasculardiscascs. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .390-448
Illseiiscs ofhearl . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .,.........390-398,402,404-429Rllctjln:~lic fovorar)dr t)etjrr}alic hc!artdlsease. , . . . . . . . . . . . . . . . , . . . . . . , . . . . . . .390-398I-lypcrtcrlsiv(: hcartciisoaso ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .402tlypcflcnsivc hcartand rcnaldiscaso. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...404Ischcrnlcflcartdlscasc . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...410-414
Ar:ulr? rnyc)cardiali nfarclion, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..410Oltlcrac(ltc nnclsljl)acljtc forrnsof ischcrnicheart disease. . . . . . . . . . . . . . . . . . . . . . . . .411Angina f)octoris . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..413Old tnyocardial infarction and other forms of
Chronic ischemic hcartcliscasc . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..412.414C)lhcrcliscascsofcndocardiurn . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .424Allolhcr forms ofhoarfdiscasc. . . . . . . . . . . . . . . . . . . . . . . , . . . . . , . . , .415-423,425-429
Hypcrlcnsion wilhorwithout renaldisease . . . . . . . . . . . , . . . , . . . . . . . . . . . , , . . . . .401,403Cc!rcbrovascularcliseascs...... . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . ...430-438
Inlmccrobmlan dothcrintracranial hemorrhage . . . . . . . . . . . . . . . . . . . . . . . , . . . .431-432C(?rel)ral tl~rotI)bosis and unspecilicd occlusion of cerebraf arteries . . . . . . . . . , . . . ...434.0,434.9Ccrcbml cmbotism . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...434.1Allollter andltlte cllccts ofccrcbrovasctl lartiseases . . . . . . . . . . . . . . . . . . . .430,433,435-438
-*40 ●
140 0.6120 0.620 *
*
-*
30 *1,730 8.0
-*-*
130 0.620 *
*—30 *
160 0.7120 0.6
40 ‘-*-*
10 *1,660 7.8
*—*
160 0.710 *
20 ●
540 0.21,380 0.71,040 0.5
340 0.2-*
10 *240 0.1
15,970 7.610 *20 *
1,610 0.8120 0.0
—360
1,4701,130
3402010
11016,600
701,430
80
26,120
424,4006,690
100,840120,14037,44048,88016,98052,71015.750
* 20 *610 0.2
1,580 0.61,190 0.5
390 0.2*
10 ●
*440 0.2
1,750 0.7 ~1,350 0.5 0
400 0.2 220’210*=
0.20.70.50.2
**
0.08.0
**
0.7*
3io 0.119,090 7.5
15020,150
801,790
120
10 *20 *
1,830 0.7150 0.1
34,290 13.6
512,380 202.67,470 3.0
120,200 47!5146,390 57.9
45,220 17.958,740 23.220,840 8,263,450 25.119,130 7<630,950 12.2
* (n
0.7 s=.
0.0 q-.0
12.4 0
202,7 %3.2 ~
48.2 x57.217.8 ~23.2 ~
8,225.5 ~
7.5 -11.9 ~
29,210 13.9
429,690 203.66,300 3.0
99,820 47.3122,870 58.337,630 17.849,650 23.617,480 8.353,800 25.516,230 7.725,920 12.3
12.5 30,980
507,6108,030
120,800143,320
44,57058,13020,50063,85018,740
3,570 16.5
43,920 203.4650 3,0
9,980 46.212,700 58.8
4,050 18,75,200 24.11,620 7.55,540 25,61,610 7.52,570 11.9
600 2.83,930 18.2
230 1.1480 2.2
50 *75,700 350.559,530 275.7
340 1.61,900 8.8
130 0.640,300 186.619,660 91.0
330 1.570 *
2,670 12.5
44,210 206.9660 3,1
10,660 49.912,270 57.43,830 17.95,440 25.51,820 8.55,400 25.31,700 7.92,440 11.4
203.43.2
48.357,617<923.4
8.125.3
7,512.0
7,94047,210
3,1204,1701,150
3.218.9
1.21.70.5
369.6291.0
2.48.50.8
197.2
640 3.03,860 18.1
250 1.2300 1.4100 *
75,050 351.258,710 274.7
490 2.31,770 8.3
150 0.739,850 186.519,190 89.8
210 1.050 *
6,500 3.140,990 19.4
2,530 1.23,440 1.6
580 0.3754,390 357.9594,000 281.8
5,030 2.418,000 8.5
1,690 0.8397,110 188.4193,560 91.8
2,550 1,2770 0.4
200,240 95.011,210 5.3
160,960 76.47,080 3,4
1181590 56.216,800 8,014,690 7,0
590 0.386,510 41.0
8,67039,180
2,5703,4501,000
766,300604,080
5,18017,840
1,490408,280201,970
2,700650
202,96010,350
160,9406,860
120,62016,97015,320
51087,820
3.218.8
7,660 3.049,580 19.6
3,030 1.24,200 1.7
730 0.3906,860 358.6713,620 282.2
6,130 2.421,310 6.4
2,050 0.8477,800 188.9233,540 92.3
3,170 1.3860 0.3
1.21.60.5
367.3289.5
2.58.50.7
195.796.8
1,30.3
97.35.0
77.13.3
57.88.17.30.2
42.1
728;6906,110
21,2901,980
493,860244,970
3,260750
97.81.30.3
20,400 95.51,160 5,4
15,290 71.5660 3.1
12,180 57.01,620 7.61,670 7.8
60 *8,840 41.4
240,240 95.013,130 5.2
193,400 76,58,810 3.5
142,160 56.220.210 8.0
244,88012,250
193,2008,380
146,05020,62018,770
630106,020
97.84.9
77.23.3
58.38.2
20,240 93.71,070 4.9
15,790 73,1780 3.6
11,870 55.01,820 8.41,360 6.3
50 *8,640 40.0
17;240 6.8730 0.3
103,960 41.1
7.50.3
42.3
.- 6.. * — —— — ——— . . -—___ .,.- —.
Atherosclerosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..- . . . . . . . ..+oOther dSeaSeS Of aflefl’aS, arteriOlt?S, and capillaries. . . . . . . . . . . . . . . . . . . . . . . . . . ...441448
Acute bronchitis and bronchiolitis. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Pneumoniaandinfluenza . . . . . . . . . . . . . . . . . . . . . . . . .............-.,.~~~ ~~~4~&~
Pneumonia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...40-486Influenza . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... ..487
Chronic obstructive puImonay dseaseand alhedcondtions. . . . . . . . . . . . . . . . . . . . . . ...490496Bronchitis, chronicand unspecified . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...490491Emphysema . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..~~~~. . . . . . . .492Asthma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...493Other chronicobstructive pulmonary diseases and allied conditions. . . . . . . . . . . . . . . . . ..494-498
Ulcerofstomachandduodenum . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...531-533Appendicitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..54o-543Hernia of abdominal cavity and intestinal obstruction hthout
mention ofhernia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...550-553.580Chronicliverdiseaseandcirrhosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..57ICholelithiasis andother~sorders ofgallbladder. . . . . . ., . . . . . . . . . . . . . . . . . . . . . . ...574-575Nephritis and nephritic syndrome, andnephrosis. . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...580-589
Acute glomerulonephritis andnephrotic syndrome. . . . . . . . . . . . . . . . . . . . . . . . . . . ...580-581Chronic glomerulonephritis, nephritis and nephropathy, not specified as
acute orchronic, and renal sclerosis, unspecified . . . . . . . . . . . . . . . . . . . . . . . . . . .582–583,587Renal failure, disorders resulting from impaired renal function, andsmall kidneyofunknowncause . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .564-586,588-589
lnfectionsofkidney . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..590Hyperplasiaofprostate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..600
Complications ofpregnancy, childtitih, andthepuerperium . . . . . . . . . . . . . . . . . . . . . . . .630-676Pregnancywithabortiveoutcome. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...630-638Othercomplications ofpregnancy, childbirth, and thepuerpetium . . . . . . . . . . . . . . . . . ...640-676
Congenitalanomalies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..74G759Certain conditions originatinginthe perinatalperiod . . . . . . . . . . . . . . . . . . . . . . . . . . . ...760-779
Birth trauma, intrauterine hypoxia, birfh asphyxia, andrespiratory distress syndrome.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..767–769
Other conditions originating intheperinatal pedod. . . . . . . . . . . . . . . . . . . . . . ..760.-766.770-779Symptoms, signs, andill–defined conditions . . . . . . . . . . . . . . . . .780–799Another diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ::::::::::::::.Residual
Accidents and adverse effects . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. E800-E949Motor vehicle accidents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. E81&E825Another accidents and adverse effects. . . . . . . . . . . . . . . .
Suicide . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...”..”.’.”.””” .. .E800-E807,E826-E949
.E950-E959Homicide andlegal intewention . . . . . . . . . . . . . . . . . . . . . . . . . . . . :::: :::: ::::, E960-E978Another external causes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. E980-Eggg
1,4802,040
705,5405,530
106,340
2101,070
2404,820
45040
4602,080
2401,960
100
1,8607020
30
30920
1,370
3001,0703,070
14,450
6.050
6.99.4
*
25.625.6
*
29.41.04.91.1
22.3
2.1*
2.19.61.19.1
*
*
8.6**
***
4.36.3
1.44.9
14.266.9
37.34;190 19.43,860 17.92,280 10.52,280 10.5
160 0.8
1,3002,200
405,7005,690
105,970
200910230
4,620
44080
4801,940
3201,920
50
100
1,7708020
301020
1,1901,420
3201,1002,710
14,230
7,5204,1003,4202,3101,970
190
6.110.3
*
26.726.6
*
27.90.94.31.1
21.6
2.0*
2.29.11.59.0
●
*
8.3**
***
5.66.6
1.55.1
12.766.6
35.219.216.010.89.20.9
14,23020,490
50061,99061,440
56073,890
3,09013,370
3,66053,780
5,130420
4,83020,510
2,58018,590
230
1,130
17,2301,040
300
23060
1709,910
14,130
2,92011,22026,490
144,760
74,89037,13037,76024,41021,800
1,590
6.89.7
0.229.429.1
0.335.1
1.56.31.7
25.5
2.40.2
2.39.71.28.80.1
0.5
8.20.50.1
0.1*
0.14.76.7
1.45.3
13.568.7
35.517.617.911.610.3
0.8
14,630 7.119,890 9.5
520 0.266,370 31.864,520 30.9
1,850 0.975,220 36.1
2,600 1.214,160 6.8
3,950 1.954,510 26.1
4,910 2.3390 0.2
4,700 2.221,170 10.1
2,490 1.217,920 6.6
300 0.1
1,140 0.5
16,480 7.9970 0.5260 0.1
270 0.180 ●
190 0.111,160 5.314,410 6.9
2,860 1.411,550 5.530,020 14.4
142,400 68.2
76,760 36.838,850 16.637,910 16.225,550 12.220,860 10.0
1,540 0.7
17,08024,990
53074,32073,680
64087,460
3,60015,710
4,31063,840
6,050460
5,71024,890
3,11022,110
260
1,380
20,4701,160
340
29060
23012,04017,040
3,55013,50034,310
173,950
89.590
6.89.9
0.229.429.1
0.334.6
1.46.21.7
25.2
2.40.2
2.39.81.28.70.1
0.5
6.10.50.1
0.1*
0.14.86.7
1:45.3
13.666.8
35.444;910 17.844,690 17.728,510 11.325,490 10.1
1,970 0.8
17,980 7.224,290 9.7
620 0.279,220 31.677,170 30.8
2,050 0.889,190 35.6
3,240 1.316,590 6.6
4,960 2.064,400 25.7
6,070 2.4480 0.2
5,530 2.2 ~26,030 10.4 ~
3,010 1.2 =21,980 6.8 :
320 0.1 <-.
1,430 0.6 ~
tn20,220 8.1 G
1,170 0.5 ~330 0.1 =.
320 0.1 :80*~
240 0.1 g13,010 5.2 Cl17,420 7.0 3
●
3,520 1.4 ~13,900 5.6 ~37,040 14.8
171,600 68.5 “8
92,200 36.846,830 18.7 ~
45,370 18.1 ~30,180 12.1 .24,670 9.9
1,950 0.8 ~
6
Human immunodeficiency virus infection2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .*042-*044 2,950 13.7s
1,“,-,, ,do2,110 9.9 24,050 11.4 19,850 9.5 28,260 11.2 23,570 9.4 ~
T,=,-hn;,..l nn,..21ncludedinAfl olharinfectious arrd parasitic diseases shown above.
“N
A
NOTE Wguresinclude allrevisions recaived from the States. Cumulative and 12-month figures for the currant yearreflect revisions received forprevious months, and figures forearheryeam maydflerfim those previously pubHshed. Data include ~adjustments for Ma~land and Oregon, which are not includedin lhesemple for October 1991.
Table 7. Provisional number of deaths and death rates for 16 selected subcategories of Malignant neoplasms, including neoplasms of lymphatic and hematopoietic tissues:United States, October 1990 and 1991, cumulative figures 1990 and 1991, and 12 months ending with October 1990 and 1991
[Data are provisional, estimated from a 10-percent sample of deaths, Rates on an annual basia per 100,000 estimated population. Due to rounding of estimates, figures may not add to totala. For method ofcomputation and information on standard errors of the estimates see Technical notes]
October January-October 12 months ending with October
Cause of death (Ninth Revision International Classification of Diseases, 1975)
Mafignant neoplasms, including neoplasma of lymphatic and hematopoietic tissuesl . . . . . . . ...140-208Malignant neoplasm of esophagus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...150Malignant neoplasm of stomach . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...151Malignant neoplasms of colon, rectum, rectosigmoid junction, and anus, . . . . . . . . . . . . . ..153,154Malignant neoplasm of pancreas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...157Malignant neoplasms of trachea, bronchus, and lung . . . . . . . . . . ., . . . . . . . ., . . . . . . . ..162Malignant melanoma of skin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...172Malignant neoplasm ofcetvlx uteri... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...180Malignant neoplasms of body ofuterus andofuterus, patiunspecifled ., . . . . . . . . . . . . ..179.182Malignant neoplasm of ovary ..,... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...183.0Malignant neoplasm ofproatate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...185Malignantneoplasmofbladder.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..I88Mahgnant neoplaams ofkidney andother andunspecified ufina~ organs ., , , . . . . . . . . . . . ..169Malignant neoplaams of brain andother andunspecified paflsof newous system. . . . . . . ...191.192Hodgkin’s disease.......,.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..2olMalignant lymphomaother thanHodgkin’s disease. . . . . . . . . . . . . . . . . . . . . . . . . . . ..200,202Multipla myelomaand other immunoproliferative neoplasms. . . . . . . . . . . . . . . . . . . . . . . . ..203
1991 1990
Number Rate Number Rate
43,920 203.4 44,210 3.1640 3.0 810 3.8
1,230 5.7 1,480 8.94,850 22.5 4,730 22.11,960 9,1 2,380 11.1
12,230 56.6 11,840 55.4610 2.8 530 2.5390 1.8 500 2.3510 2.4 590 2.8
1,210 5,6 1,090 5.12,920 13.5 3,160 14.8
610 3.7 1,030 4.8610 3,7 780 3.6930 4,3 890 4,2180 0.8 120 0.8
1,640 7.6 1,570 7.3760 3,5 740 3.5
1991 1990 1991 1990
Number Rate
429,690 3.08,310 3.9
12,050 5.746,070 21.821,230 10.1
118,540 56.25,980 2.83,930 1.94,880 2.3
11,080 5.228,200 13,4
8,580 4,18,900 4.29,340 4.41,410 0.7
16,790 6.07,710 3.6
Number Rate
424,400 3.28,210 3.9
12,270 5.947,540 22.820,250 9.7
115,900 55.55,350 2.54,280 2.05,010 2.4
10,330 4.927,690 13.3
8,490 4.18,490 4.19,560 4.61,370 0.6
15,740 7.57,850 3.8
Number Rate
512,360 3.09,790 3.9
14,270 5.655,630 22.025)530 10.1
141,290 55.96,850 2.74,680 1.95,720 2.3
12,940 5.133,630 13.310,250 4,110,590 4,211,040 4.4
1,680 0.720,080 7.9
9,180 3.6
Number Rate
507,610 3.29,760 3.9
14,740 5.957,010 22.824,380 9.7
138,130 55.26,350 2.54,990 2.05,930 2,4
12,220 4.933,140 13.210,200‘4.110,300 4.111,460 4.6
1,650 0.718,810 7.59,220 3.7
1Includesfigures for subcategoriesnot shown below.
NOTE Figures Include all revisions received from the Stales, Cumulative snd 12-month figures for the current year reflect revisions received for previous months, and figures for earlier years may differ from those previously published. Oata includeadjustments for Maryfsnd and Oregonq which are not included in the sample for October 1991.
.+ -- -—— —--— - -- -— —-- — .— ——. W– *—-—-— —
TabIe8. Provisional number of deaths underl year and infant mortality rates,byageand forl O selected causes: United States, 0ctober1990 and 1991, cumulative figures 1990and 1991, and 12 months ending with October 1990 and 1991
[Dala are provisional, estimated from a 10-percent sample of deaths. Rates on an annual basis per 100,000 five births. Due !0 rounding of estimates, figures may not add to totals. For method of comptiation andinformation on standard errors of the ostima[cs sco Tcchniml notes]
October ./arruary-October 12 months ending with October
1991 1990 1991 1990 1991 1990
Age and cause of death (Nintlj Revision International classification of Diseases, 1975) Number Rate Number Rate Number Rate Number Rate Number Rate Number Rate
Total, undorlycar . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,900 820.0 3,100 859.6 30,600 889.9 31,900 920.3 36,800 893.9 38,400 921.4
Under28days . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,87(J28 daystoll months . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,070
522.6 1,930 530.0 19,250 560.5 19,960 575.9 23,200 564.2 23,670 573.1299.0 1,200 329.6 11,320. 329.6 12,000 346.2 13,560 329.8 14,560 349.6
Certain gastrointestinal diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..oo8-00g.535,555-55E 10 * 2CI *Pnetmloniaandin fluenza.. ., . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .480-487 10 *
270 7.9 170 4.9 300 7.3 230 5.5
Congenitalanomalies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...740-75920 * 520 15.1 460 13.3 640 15.6 540 13.0
Disorders relating toshodgestation and unspecified lowbiflhweight. . . . . . . . . . . . . . . . . . . . ...765570 158.3 840 230.7 6,450 187.6 7,140 206.0400
7,620 190.2 8,300 199.3111.8
Birthtrauma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .767 10 ●
360 96.9 3,920 114.1 3,230 93.2 4,610 112.1 3,940 94.6
intrauterine hypoxiaand ~tihasphyxia. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...768 70 *30 * 120 3.5 140 4.0 150 3.6 170 4.1
Respirato~distresssyndrolne.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .769100 * 660 19.2 700 20.2 740 18.0 830 19.9
Other conditions originating in the perinatal period. . . . . . . . . . . . . . . . . . . . . .760–764,766,770-779210 58.7 190 52.2 2,090 60.8 1,980 56,5 2,600 63.2 2,470 59.3
SLidden infantdeath syndrome. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...798.0670 187.3 710 195.0 7,220 210.2 8,150 235.1 8,690 211.3 9,780 234.8
All othercauses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..Residual420 117.4 370 101.6 3,520 102.5 4,100 118.3 4,400 107.0560
5,060 121.5156.5 480 131,8 5,810 169.2 5,900 170.2 6,820 165;9 7,120 171.0
NOTE: Figures include all revisions received from the States. Cumulative and 12-morrth figures for the current year reflect revisions recetied for previous months, and figures for earlier years may differ from those previously pub fished. Data includea~ustlnen[s for Maryland and Oregon, which are not included in the sample for October 1991.
.
Monthly Vital Statistics Report ● Vol. 40, No. 11 ● March 12, 1992 ~21
Technical notes
Nature and sources of data
Data in this report are provisionaland include only events occurringwithin the United States. Mortalitydata exclude fetal deaths.
Beginning with the January 1991,issue birth, death, and infant deathfigures for all years shown in tables 2
d and 4 for each State are estimates byState of residence. These estimates arederived by applying adjustment ratiosto the actual counts of certificates forall events occurring in the State andreceived in registration offices during al-month period regardless of date ofthe event, The adjustment ratios foreach data year represent the observedrelationship between final State occur-rence and residence figures for the 3most recent years for which final datawere available, expressed as a singleratio for each State. As. in previousyears, monthly State marriage anddivorce figures represent the actualcount of all events occurring in theState (State of occurrence) that werereceived in the registration officesduring the l-month period, Prior tothe January 1991 issue, provisionaldata for all events \vere by State ofoccurrence. Delay in the receipt ofcertificates in a registration office mayresult in a low State figure for a givenmonth follo\ved by a high figure for themonth(s) in which the delayed recordsare received. Data for pre\’ious monthsand cumulative data include revisedfigures received from the States.
Figures for births. deaths, and.4
infant deaths for all years for Cali-fornia shown in tables 2 and 4 contain
J adjustments for varying length of Statereporting periods. Beginning \vith datafor February 1991, figures for Texasfor all events sho~vn in tables 2–4 arealso adjusted for vawing length ofState reporting periods. Prior to Feb-ruag~ 1991 data for Texas \verereported for monthly periods. The fig-ures for both States are adjusted bythe ratio bet\veen the number of (iaysin the data month and the number ofdays in the State reporting period. Theadjusted figures for California andTexas sho\vn in tables 2-4 are included. .,in the U.S. totals.
Beginning with data for January1991, U.S. totals for births, deaths, andinfant deaths are based on the Stateestimates by State of residence(described above) and, therefore, ineffect, exclude events to nonresidentsof the United States. Events to nonres-idents of the United States areincluded in all marriage and divorcefigures for all years and in the U.S.birth, death, and infant death figuresfor 1990 and previous years. The effectof excluding events to nonresidentsfrom the U.S. totals is small,
Provisional totals for the UnitedStates include estimates for State datashown as not available. Provisionaltotals for births and marriages for theentire United States include adjust-ments for observed differencesbetween provisional and final monthlyfigures.
Divorce figures include reportedannulments. The monthly nationaldivorce estimate is obtained by nlulti-plying the total for the reporting areasby the ratio obselwed between themost recent final annual divorce totalfor the United States and the provi-sional total for the reporting areascombiqed.
RaiIdoI?z ])ariafiolz– Although thecounts in this report are not subject tosampling variability (except the Cur-rent Mortality Sample, see below),they may be affected by random varia-tion. fVhen the number of events issmall and the probability of such anevent is small, considerable cautionmust be observed in interpreting thedata. Such infrequent events may beassumed to follo\~ a Poisson proba-bility distribution, For this distributiona simple approximation may be used toestimate the random variation. as fol-lo\Ys:
If .Y is the number of events in thepopulation and R is the correspondingrate. the chances are 19 in 20 that
co\ers the “true”’ number ofevents.
covers the ‘true.. rate.
If the rate R, corresponding to N,events is compared with the rate R2corresponding to ~2 events, the differ-ence between the two rates may beregarded as statistically significant atthe 0.05 level if it exceeds
Additional information on randomvariation in numbers of events, rates,and ratios may be found in the tech-nicaI appendixes of Vital Statistics ofthe United States, 1988, Volumes I and11.
..Rates
Rates are on an annual basis and,except for infant mortality rates, areper 1,000 or 100,000 estimated popula-tion residing in the United States. Thepopulations used for computing theserates are furnished by the U.S. Bureauof the Census. The population esti-mates are based on the 19S0 Census ofPopulation and do not reflect theresults of the 1990 census enumera-tion. Monthly rates are based on pop-ulations estimated for the specificplonth, Year-to-date rates are aver-ages of”the nlonthl~~rates weighted bythe number of days in each respectivemonth, Rates for 12-month periods arethe sum of events for the period perpopulation e$timated at the midpointof the period. -
Infant mortality rates are infantdeaths for the specified period(monthly, year-to-date, 12-monthperiod) per 1:000 or 100,000 livebirths, Births used for computingmonthly and year-to-date infant mor-tality rates are adjusted for monthlyvariation in the number of births;births used to compute 12-month ratesdo “not contain this adjustment. Birthsused for computing infant mortalityrates are not corrected for obsemeddifferences bet\veen provisional andfinal monthly figures as described insection on >’ature and sources of data,Because monthly infant mortality ratesare based on relati~.ely fe\v events. theyare highly variable. Therefore, com-parisons bet\veen monthly infant
22 ~
mortality rates should be
Monthly Vital Statistics Report. Vol. 40, No. 11. March 12, 1992 ~~
interpretedcautiously; see section on Randomvariation.
The age-adjusted rates presentedin this report are computed by thedirect method, that is, by applying theage-specific death rates for age groupsshown in the specific table to the stan-dard population distributed by age,The total population as enumerated in1940 was selected as the standard. It isimportant not to compare age-adjusteddeath rates with crude rates.
Current Mortality Sample
The Current Mortality Sample(CMS) is a 10-percent systematicsample of death certificates drawneach month after the certificates arecounted in the State registrationoffices. Deaths and death rates by age,race, sex, and cause are based on thesample. Because of the additional timerequired to select and process the cer-tificates, data based on the CMS arepublished 1 month after publication ofthe U.S. and State counts. Completeinformation concerning the underlyingcause of death is sometimes not avail-able when the sample is drawn. As aresult, estimates based on samplecounts for certain causes are biased.Correction for bias is shown in theannual summary (issue No. 13 in thisseries) for each year.
Estimated numbers of deaths anddeath rates based on the sample wereproportionately adjusted to be consis-tent with estimates based on the countof death certificates received in Stateregistration offices.
H~ infection – Beginning withdata for 1987, NCHS introduced cate-gory numbers “042–”044 for classi&ingand coding human immunodeficiencyvirus infection (HIV infection), for-merly referred to as human T-cellIymphotropic virus-111/lymphadenop-athy-associated virus (HTLV-111/LAV)infection. The asterisk before the cat-egory numbers indicates that thesecodes are not part of the Ninth Revi-sion of the International Classificationof Diseases (ICD-9). Deaths classifiedto these categories are included in Allother infectious and parasitic diseases
in the List of 72 Selected Causes ofDeath as well as shown separately atthe bottom of table 6. For 1986 andearlier years these deaths were classi-fied to a number of other causes,Therefore, beginning with 1987, cause-of-death data are not strictly compa-rable with data for earlier years.
Sampling variabili~– Because theestimates of deaths and death ratespresented in this report (with theexception of total deaths and deathsunder 1 year) are based on a sample ofdeath certificates, they are subject tosampling variability. The estimated rel-ative standard error shown in the tableis a measure of the sampling error ofthe estimated number of deaths (or ofthe estimated death rate) expressed asa percent of the estimate. The firstcolumn refers to monthly estimates;the second to annual; cumulative year-to-date totals will be between the two.
The chances are about 2 out of 3that the percent difference between anestimate and the result of a completecount is less than the percent shown.The chances are about 19 out of 20that the percent difference is less thantwice the percent shown. Figuresbased on 100 or fewer estimateddeaths have relative standard errors of30 percent or more and are, therefore,considered unreliable. Rates based on100 or fewer estimated deaths are indi-cated by an “*”.
Relative standard errors for estimatednumbers of deaths from the CurrentMortality Sample expressed as a percent ofthe estimate
Relative standard errorof estimate (as percent)
170,000 2,000,000estimated estimated
Estimated number deaths deathsof deaths each month each year
lo ..................... 94.9 94.920 ..................... 67.1 67.150 ..................... 42.4 42.4100 .................... 30.0 30.0200 .................... 21.2 21.2500 .................... 13.4 13.41,000.................. 9.5 9.52,000.................. 6.7 6.75,000.................. 4.2 4.210,000................. 2.9 3.020,000................. 2.0 2.150,000................. 1.1 1.3100,000............... 0.9200,000 ............... ‘:6 0.6500,000 ............... ... 0.41,000,000............. ... 0.2
Unless otherwise specified, com-parisons made in the text i~etweendeath rates based on the CNIS werestatistically significant at the 0.05 levelof significance. Lack of comment inthe text about any two rates cloes notmean that the difference was testedand found not to be significant at thislevel. @
Mortali@ Surveillance Syste,n - The ,Mortality Surveillance System chartsare based entirely on monthly provi- $
sional data from the Current hlortalitySample (CMS). Where sample sizepermits, age-race-sex compari::ons aremade for the causes of death. Wheresample size is too small, only age-sexcomparisons are made. A time seriesregression model of the following formwas used:
Y(t) = Ao+A1t+A~’+ c Cos [2rlt/12)+ S sin (2rIt/12)+ et
where
Y(t) = monthly death rate at time tt = month number
,40 = coefficient, which, togetherwith C determines theY-intercept
Al = coefficient oft
AZ = coefficient of tz
C, S = coefficients of the har-monic terms
Et = error terms, assumed to beindependent and normallydistributed with means Oand constant variances,
and cos (2rrt/12) and sin (2rrt/12) are12-month period harmonic functions,
The coefficients of this modelwere estimated using provisionalmonthly death rates from January 1982through the month that is 12 monthsprior to the latest month shown in thechart. The graph of the estimatedequation and 95-percent predictionintervals is shown from Janua~y 1984through the month that is 12 :monthsprior to the latest month shown in thechart; the graph for the subseqr~ent 12months is projected (l). Symbols ineach chart represent actual monthlydeath rates based on the C~dS. Insome cases the data are transformedby the natural logarithm before fitting
i,L
Monthly Vital Statistics Report ● Vol. 40, No. 11 ● March 12, 1992 ~ 23
the model. For graphical purposes thedata are transformed back to rates bythe inverse of the natural logarithm,This procedure has the advantage ofavoiding negative prediction intervalsfor the model. The models, parameterestimates, and statistical tests for lackof fit are available upon request for
1 the charts published in the MortalitySurveillance System. Time series
-J
regression models have previously 2. Lui KJ, I{cnd~dAP. Impact of influenza cpi-
been used to describe trends in mor- dcmics on morttdity in the United States from
tality data (2–4). A list of cause-of-Octobcr 1972 to May 19S5. Am J Public Hcti]th
death topics is presented in the table77(6): 712-16.1987.
3. Scrfling RE. Methods for cllrrcnt statistic?]on the back of this report. an:dvsis of cxccss ~ncumonia-influenza dc:lths.
Pubiic Hc:klth Rcp “78(6):494-506.1963.
4. Shumway RH. Applied statistical time series
1. Ostlc B. Statistics in research. Second cdi-analysis. Prcnticc-Hall Press. Englcwood Cliffs,Ncw Jersey. 1988.
tion. The Iowa State University Press. Ames,IOWtl,159-221.1963.
‘U.S.Government Printing~ca 1992 — 312-0W40020
24 ~ Monthly Vital Statistics Report. Vol. 40, No. 11. March 12, 1992 ~~
Mortality Sun
MVSR issue
Vol. 39 No. 12
Vol. 40 No. 1
Vol. 40 No. 2
Vol. 40 No. 3
Vol. 40 No. 4
Vol. 40 No. 5
Vol.40 No. 6
Vol. 40 No. 7
Vol.40 No. 8
Vol. 40 No. 9
Vol. 40 No. 10
Vol. 40 No. 11
Illance Svstem chart to~ics
Cause-of-death chart topics
Motor vehicle accidents, Homicide and legal intervention, and Suicide
Human immunodeficiency virus infection; Symptoms, signs, and ill-defined conditions: andSepticemia
Cerebrovascular diseases
Chronic obstructive pulmonary diseases and allied conditions
Oiabetes mellitus
Oiseases of heart
Malignant neoplasms including neoplasms of lymphatic and hematopoietic tissues
Malignant neoplasms of trachea, bronchus, and lung
Malignant neoplasm of prostate, Malignant neoplasm of breast
Malignant neoplasms of digestive organs and peritoneum
Suicide
Accidents and adverse effects, Homicide and Ieaal intervention
+. .e
. . ●
‘* ‘ “.”..
.’ . .,. .. . . J.“”””
..+ “+ ● .. “++Wd ●..,..+.d.
Suggested citation
National Center for Health Statistics. Biflhs, Copyright informationmarriages, divorces, and deaths for November 1991.Monthiy vital statistics report; voi 40 no 11. This report may be reprinted without furtherHyattsvilie, Maryiand: Public Health Service. 1992. permission.
U.S. DEPARTMENT OF HEALTHAND HUMAN SERVICESPublic Health ServiceCenters for Disease ControlNational Center for Health Statistics6525 Belcrest RoadHyattsvilie, Maryland 20782
OFFICIAL BUSINESSPENALTY FOR PRiVATE USE, $300
To receive the Monthly Vitai Statistics Reportregulariy, contact the National Center for HeaithStatistics by calling 301-436-8500
?1.
DHHS Publication No. (PHS) 92-1120
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