National Vital Statistics Reports - CDC WONDER

National Vital Statistics Reports Volume 60 Number 3 December 29 2011

Deaths Final Data for 2009 by Kenneth D Kochanek MA Jiaquan Xu MD Sherry L Murphy BS Arialdi M Minino MPH and Hsiang-Ching Kung PhD Division of Vital Statistics

Abstract

ObjectivemdashThis report presents final 2009 data on US deaths death rates life expectancy infant mortality and trends by selected characteristics such as age sex Hispanic origin race state of residence and cause of death

MethodsmdashInformation reported on death certificates which is completed by funeral directors attending physicians medical examshyiners and coroners is presented in descriptive tabulations The original records are filed in state registration offices Statistical inforshymation is compiled in a national database through the Vital Statistics Cooperative Program of the Centers for Disease Control and Preshyventionrsquos National Center for Health Statistics Causes of death are processed in accordance with the International Classification of Disshyeases Tenth Revision

ResultsmdashIn 2009 a total of 2437163 deaths were reported in the United States The age-adjusted death rate was 7411 deaths per 100000 standard population a decrease of 23 from the 2008 rate and a record low figure Life expectancy at birth rose 04 years from 781 years in 2008 to a record-high 785 years in 2009 Age-specific death rates decreased for age groups under 1 year 1ndash4 15ndash24 55ndash64 65ndash74 and 75ndash84 The age-specific death rates remained unchanged for age groups 5ndash14 25ndash34 35ndash44 45ndash54 and 85 years and over The 15 leading causes of death in 2009 remained the same as in 2008 The infant mortality rate decreased 33 to a historically low value of 639 deaths per 1000 live births in 2009

ConclusionmdashThe decline of the age-adjusted death rate to a record low value for the United States and the increase in life expecshytancy to a record high value of 785 years are consistent with long-term trends in mortality

Keywords mortality bull cause of death bull life expectancy bull vital statistics

US DEPARTMENT OF HEALCenters for Disease C

National Center fNational Vital S

Highlights

Mortality experience in 2009

bull In 2009 a total of 2437163 resident deaths were registered in the United States

bull The age-adjusted death rate which takes the aging of the popushylation into account was 7411 deaths per 100000 US standard population

bull Life expectancy at birth was 785 years bull The 15 leading causes of death in 2009 were

1 Diseases of heart (heart disease) 2 Malignant neoplasms (cancer) 3 Chronic lower respiratory diseases 4 Cerebrovascular diseases (stroke) 5 Accidents (unintentional injuries) 6 Alzheimerrsquos disease 7 Diabetes mellitus (diabetes) 8 Influenza and pneumonia 9 Nephritis nephrotic syndrome and nephrosis (kidney

disease) 10 Intentional self-harm (suicide) 11 Septicemia 12 Chronic liver disease and cirrhosis 13 Essential hypertension and hypertensive renal disshy

ease (hypertension) 14 Parkinsonrsquos disease 15 Assault (homicide)

bull In 2009 the infant mortality rate was 639 infant deaths per 1000 live births

bull The 10 leading causes of infant death were

1 Congenital malformations deformations and chromoshysomal abnormalities (congenital malformations)

TH AND HUMAN SERVICES ontrol and Prevention or Health Statistics tatistics System

2 National Vital Statistics Reports Vol 60 No 3 December 29 2011

2 Disorders related to short gestation and low birth weight not elsewhere classified (low birth weight)

3 Sudden infant death syndrome (SIDS) 4 Newborn affected by maternal complications of pregshy

nancy (maternal complications) 5 Accidents (unintentional injuries) 6 Newborn affected by complications of placenta cord

and membranes (cord and placental complications) 7 Bacterial sepsis of newborn 8 Respiratory distress of newborn 9 Diseases of the circulatory system

10 Neonatal hemorrhage

Trends

bull The age-adjusted death rate declined to a record low in 2009 bull Life expectancy was 785 years continuing a long-term rising

trend Life expectancy increased for the total population as well as for the black and white populations Both white and black male and female populations experienced an increase in life expecshytancy in 2009 compared with 2008

bull Life expectancy for the Hispanic US population increased 02 year from 2008 to 812 years in 2009

bull Age-adjusted death rates decreased significantly in 2009 from 2008 for 10 of the 15 leading causes of death and increased for 1 of the 15 leading causes Rates for the top 8 leading causes of death decreased Suicide was the only leading cause of death showing a significant increase

bull Rates for the two leading causesmdashheart disease and cancermdash also continued their long-term decreasing trend Significant decreases occurred for Chronic lower respiratory diseases stroke unintentional injuries Alzheimerrsquos disease diabetes Influshyenza and pneumonia Septicemia and homicide

bull Within external causes of injury death poisoning was the leading mechanism of injury mortality followed by motor-vehicle traffic-related injuries

bull Differences in mortality between the black and white populations persisted The age-adjusted death rate was 13 times greater and the infant mortality rate 24 times greater for the black population than for the white population The difference in life expectancy between the black and white populations narrowed by 02 year from 45 years in 2008 to 43 years in 2009

bull The infant mortality rate decreased 33 in 2009 from 2008 The infant mortality rate stood at 639 infant deaths per 1000 live birthsmdasha record low figure

bull The neonatal mortality rate decreased 26 in 2009 from 2008 and the postneonatal mortality rate decreased 43 for the same period

Introduction This report presents detailed 2009 data on deaths and death

rates according to a number of social demographic and medical characteristics These data provide information on mortality patterns among residents of the United States by such variables as age sex Hispanic origin race state of residence and cause of death Information on these mortality patterns is key to understanding changes in the health and well-being of the US population (1)

Preliminary data for 2009 were presented in the report lsquolsquoDeaths Preliminary Data for 2009rsquorsquo using a 98 (demographic file) sample of US deaths weighted to independent control totals (2) The findings of this report based on the final mortality file are generally consistent with those based on preliminary data the final mortality file incorposhyrates some modifications to the preliminary file as described in lsquolsquoTechnical Notesrsquorsquo Separate companion reports will present additional details on leading causes of death and life expectancy in the United States (34)

Mortality data in this report can be used to monitor and evaluate the health status of the United States in terms of current mortality levels and long-term mortality trends as well as to identify segments of the US population at greater risk of death from specific diseases and injuries Differences in death rates among various demographic sub-populations including race and ethnic groups may reflect subpopushylation differences in factors such as socioeconomic status access to medical care and the prevalence of specific risk factors in a particular subpopulation

Methods Data in this report are based on information from all resident

death certificates filed in the 50 states and the District of Columbia More than 99 of deaths occurring in this country are believed to be registered (5) Tables showing data by state also provide information for Puerto Rico Virgin Islands Guam American Samoa and the Commonwealth of the Northern Mariana Islands (Northern Marishyanas) Cause-of-death statistics presented in this report are classishyfied in accordance with the International Classification of Diseases Tenth Revision (ICDndash10) (6) A discussion of the cause-of-death classification is provided in lsquolsquoTechnical Notesrsquorsquo

Mortality data on specific demographic and medical charactershyistics cover all 50 states and the District of Columbia Measures of mortality in this report include the number of deaths crude age-specific and age-adjusted death rates infant neonatal and post-neonatal mortality rates life expectancy and rate ratios Changes in death rates in 2009 compared with 2008 and differences in death rates across demographic groups in 2009 are tested for statistical signifishycance Unless otherwise specified reported differences are statistishycally significant Additional information on these statistical methods random variation and relative standard error the computation of derived statistics and rates population denominators and the defishynition of terms is presented in lsquolsquoTechnical Notesrsquorsquo

The populations used to calculate death rates for 2000ndash2009 and the intercensal period 1991ndash1999 shown in this report were produced under a collaborative arrangement with the US Census Bureau and are consistent with the 2000 census Reflecting the new guidelines issued in 1997 by the Office of Management and Budget (OMB) the 2000 census included an option for persons to report more than one race as appropriate for themselves and household members (7) see lsquolsquoTechnical Notesrsquorsquo The 1997 OMB guidelines also provided for the reporting of Asian persons separately from Native Hawaiian or Other Pacific Islander persons Under prior OMB standards issued in 1977 data for Asian or Pacific Islander (API) persons were collected as a single group (8) Some death certificates currently collect only one race for the decedent in the same categories as specified in the 1977 OMB guidelines that is death certificate data do not report Asian persons

separately from Native Hawaiian or Other Pacific Islander persons Death certificate data by racemdashthe source of the numerators for death ratesmdashare thus currently incompatible with the population data colshylected in the 2000 census and postcensal estimatesmdashthe denomishynators for the rates To produce death rates by race for 2000ndash2009 and revised intercensal rates for the 1991ndash1999 period the reported population data for multiple-race persons had to be lsquolsquobridgedrsquorsquo to single-race categories In addition the 2000 census counts were modified to be consistent with the 1977 OMB race categories that is to report the data for Asian persons and Native Hawaiian or Other Pacific Islander persons as a combined category Asian or Pacific Islander and to reflect age as of the census reference date (9) The procedures used to produce the bridged populations are described in separate publications (1011) The bridged population data are anticishypated to be used over the next few years for computing population-based rates by race Beginning with deaths occurring in 2003 some states allowed for multiple-race reporting on the death certificate Multiple-race data for these states are bridged to single-race categoshyries see lsquolsquoTechnical Notesrsquorsquo Once all states are collecting data on race according to the 1997 OMB guidelines use of the bridged race algorithm is expected to be discontinued

The population data used to compile death rates by race in this report are based on special estimation procedures and are not true counts This is the case even for the 2000 populations The estimation procedures used to develop these populations contain some error Smaller population groups are affected much more than larger popushylation groups (10) Over the next several years additional information will be incorporated in the estimation procedures possibly resulting in further revisions of the population estimates see lsquolsquoTechnical Notesrsquorsquo

Table A Percentage change in death rates and age-adjusted death [Based on death rates on an annual basis per 100000 population and age-adjusted rateraces other than white and black should be interpreted with caution because of inconsistelsquolsquoTechnical Notesrsquorsquo Race categories are consistent with the 1977 Office of Management an

All races White1

Both Both Age sexes Male Female sexes Male Female

All ages

Crude ndash24 ndash17 ndash30 ndash23 ndash16 ndash30 Age-adjusted ndash23 ndash14 ndash28 ndash24 ndash15 ndash29

Under 1 year5 ndash47 ndash41 ndash55 ndash58 ndash55 ndash62 1ndash4 years ndash78 ndash89 ndash60 ndash73 ndash82 ndash61 5ndash14 years ndash14 ndash25 00 ndash23 ndash21 ndash27 15ndash24 years ndash66 ndash82 ndash20 ndash66 ndash83 ndash21 25ndash34 years ndash10 ndash30 36 01 ndash24 62 35ndash44 years 01 ndash02 04 04 ndash05 17 45ndash54 years 00 ndash07 13 06 ndash03 21 55ndash64 years ndash08 ndash07 ndash11 ndash10 ndash09 ndash10 65ndash74 years ndash33 ndash33 ndash36 ndash33 ndash32 ndash36 75ndash84 years ndash48 ndash53 ndash47 ndash46 ndash50 ndash45 85 years and over 00 52 ndash24 ndash08 41 ndash32

1Multiple-race data were reported by 34 states and the District of Columbia in 2009 and 2008 The muOMB standards for comparability with other reporting areas see lsquolsquoTechnical Notesrsquorsquo 2Death rates for 2009 especially for the younger age groups may not be comparable with rates for pdenominators for computing rates in 2009 may not be comparable with population estimates used in e3Includes Aleuts and Eskimos 4Includes Chinese Filipino Hawaiian Japanese and Other Asian or Pacific Islander persons 5Death rates for lsquolsquoUnder 1 yearrsquorsquo (based on population estimates) differ from infant mortality rates (base

Data presented in this report and other mortality tabulations are available on the National Center for Health Statistics (NCHS) website httpwwwcdcgovnchsdeathshtm Availability of mortality micro-data is described in lsquolsquoTechnical Notesrsquorsquo

Results and Discussion

Deaths and death rates

In 2009 a total of 2437163 resident deaths were registered in the United States 34821 fewer deaths than in 2008 The crude death rate for 2009 7938 deaths per 100000 population was 24 lower than the 2008 rate (8130) (Tables A 1 and 3)

The age-adjusted death rate in 2009 was 7411 deaths per 100000 US standard population a record low value that was 23 lower than the 2008 rate of 7583 (Tables 1 and A) Age-adjusted death rates are constructs that show what the level of mortality would be if no changes occurred in the age composition of the population from year to year (For a discussion of age-adjusted death rates see lsquolsquoTechnical Notesrsquorsquo) Thus age-adjusted death rates are better indishycators than unadjusted (crude) death rates for examining changes in the risk of death over a period of time when the age distribution of the population is changing Age-adjusted death rates also are better indicators of relative risk when comparing mortality across geographic areas or between sex or race subgroups of the population that have different age distributions see lsquolsquoTechnical Notesrsquorsquo Since 1980 the age-adjusted death rate has decreased every year except 1983 1985 1988 1993 and 1999 Those years coincided with influenza out-

rates in 2009 from 2008 by age race and sex United States s per 100000 US standard population see lsquolsquoTechnical Notesrsquorsquo Data for specified ncies between reporting race on death certificates and on censuses and surveys see d Budget (OMB) standards]

American Indian or Asian or Black1 Alaska Native123 Pacific Islander14

Both Both Both sexes Male Female sexes Male Female sexes Male Female

Percent change

ndash24 ndash23 ndash25 ndash10 ndash31 15 ndash05 05 ndash16 ndash13 ndash03 ndash15 ndash09 ndash27 13 ndash08 04 ndash19

ndash20 00 ndash45 ndash60 ndash98 ndash07 ndash89 ndash129 ndash37 ndash67 ndash137 28 ndash211 ndash89 ndash334 ndash156 105 ndash383

10 ndash21 49 166 76 273 47 ndash73 233 ndash84 ndash95 ndash48 43 ndash01 159 13 ndash12 85 ndash34 ndash52 ndash01 ndash58 ndash79 ndash11 ndash87 ndash24 ndash174 ndash25 ndash12 ndash44 44 75 ndash07 91 91 95 ndash28 ndash31 ndash24 21 ndash72 178 23 60 ndash35 ndash07 ndash03 ndash13 ndash20 ndash13 ndash30 ndash07 13 ndash31 ndash32 ndash31 ndash33 ndash52 ndash69 ndash31 ndash37 ndash27 ndash52 ndash83 ndash101 ndash71 ndash52 ndash58 ndash44 ndash12 ndash26 ndash01 116 232 72 89 77 95 06 44 ndash16

ltiple-race data for these reporting areas were bridged to the single-race categories of the 1977

revious years because American Indian or Alaska Native population estimates used as the arlier years see lsquolsquoTechnical Notesrsquorsquo

d on live births)

breaks (12ndash15) The pace of decline for age-adjusted death rates during the last 9 years has been faster than for previous decades From 1980 through 1989 the decline was 85 from 1990 through 1999 67 and from 2000 through 2009 147 (Figure 1 and Table 1)

RacemdashIn 2009 age-adjusted death rates for the major race groups (Table 1) were

bull White population 7326 deaths per 100000 US standard popushylation

bull Black population 9229 bull American Indian or Alaska Native (AIAN) population 6044 bull API population 4105

Rates for AIAN and API populations should be interpreted with caution because of reporting problems regarding correct identificashytion of race on both the death certificate and in population censuses and surveys The net effect of the reporting problems is for the AIAN rate to be approximately 30 understated and the API rate to be approximately 7 understated (16)

In 2009 the age-adjusted death rate for the black population was 13 times that for the white population (Table B) that is the average risk of death for the black population was 260 higher than for the white population From 1960 through 1982 rates for the black and white populations declined by similar percentages (226 and 265 respectively) From 1983 through 1988 rates diverged increasing 52 for the black population and decreasing 17 for the white population (17) The disparity in age-adjusted death rates between the black and white populations reached its widest point in 1989 (14 times greater) Since 1989 the disparity between the two populations has narrowed as the age-adjusted rate for the black population declined 276 and the rate for the white population declined 204 (Table 1 and Figure 2)

In 2009 decreases in age-adjusted death rates were observed for white males (15) white females (29) and black females (15) compared with 2008 There was no change in the age-adjusted death rate for black males (Tables A and 1)

NOTE Crude death rates are on an annual basis per 100000 population age-adjusted rates are per 100000 US standard population see ldquoTechnical Notesrdquo SOURCE CDCNCHS National Vital Statistics System Mortality

Age-adjusted

200920001990198019701960

Figure 1 Crude and age-adjusted death rates United States 1960ndash2009

In general age-adjusted death rates have declined from 1980 through 2009 for white males and females and black males and females The rate decreased an average of 14 per year for white males 09 for white females 13 for black males and 10 for black females during 1980ndash2009 However increases were observed for both white males and white females in 1983 1985 1988 and 1993 In addition the age-adjusted death rate for white females increased in 1995 1999 and 2008 For black males age-adjusted death rates tended to decrease except for a period of increase from 1983 through 1988 and separately in 1993 Rates for black females decreased overall from 1980 through 2009 although with considerable variability in the direction of change from year to year (Table 1)

Counts of deaths for the AIAN population are substantially under-reported by about 30 in the death certificate relative to self-reporting while alive (16) Thus the age-adjusted death rates that are shown for the AIAN population (eg Tables A and 16 Figure 2) do not lend themselves to valid comparisons against other races

Year-to-year trends for the AIAN population do present valid insight into changes in mortality affecting this group if it is reasonable to assume that the level of underreporting of AIAN deaths has remained more or less constant over the past years From 1980 through 1988 the age-adjusted rate for the AIAN population declined 171 (Figure 2 and Table 1) However the rate fluctuated from 1989 through 1999 peaking at 7964 deaths per 100000 US standard population in 1993 Overall the age-adjusted rate increased 25 from 1989 through 1999 and has since trended downward From 1999 through 2009 it declined 226 The observed decrease of 09 for the rate for the total AIAN population between 2008 and 2009 was not statistically significant (Table A)

The level of underreporting of deaths for the API population is not as high as it is for the AIAN population (about 7) (16) but this underreporting still creates enough of a challenge so that any comshyparisons of this population with other races need to be interpreted with caution From 1981 through 1985 the age-adjusted rate for the API population increased 77 to reach a peak of 5865 deaths per 100000 US standard population The rate fluctuated from 1985 through 1993 before starting a persistent downward trend From 1993 through 2009 the age-adjusted rate for the API population decreased 274 However the observed decrease of 08 for the rate for the total API population between 2008 and 2009 is not statistically sigshynificant (Table A)

Hispanic originmdashProblems of race and Hispanic-origin reporting affect Hispanic death rates and the comparison of rates for the Hispanic and non-Hispanic populations see lsquolsquoTechnical Notesrsquorsquo Morshytality for Hispanics is somewhat understated because of net under-reporting of Hispanic origin on the death certificate Hispanic origin on the death certificate is underreported by an estimated 5 (1618) see lsquolsquoTechnical Notesrsquorsquo

The age-adjusted death rate for the Hispanic population in 2009 was 5231 a decrease of 17 from the rate of 5322 observed in 2008 (Tables C and 2) In 2009 the age-adjusted rate for the non-Hispanic white population decreased 24 from 2008 and that rate for the non-Hispanic black population declined 12

Among Hispanics the age-adjusted death rate decreased 11 for Hispanic males and 19 for Hispanic females in 2009 from 2008 Rates decreased for non-Hispanic white males 14 and for non-Hispanic white females 29 (Tables C and 2)

Hispanic2

Asian or Pacific Islander

Figure 2 Age-adjusted death rates by race and Hispanic origin United States 1980ndash2009

1American Indian or Alaska Native 2Mortality data for the Hispanic population of the entire United States became available in 1997 NOTE Deaths for Hispanic origin and races other than white and black are underreported and should be interpreted with caution see ldquoTechnical Notesrdquo SOURCE CDCNCHS National Vital Statistics System Mortality

2009200520001995199019851980

Table B Percentage of total deaths death rates age-adjusted death rates for 2009 percentage change in age-adjusted death rates from 2008 to 2009 and ratio of age-adjusted death rates by race and sex for the 15 leading causes of death for the total population in 2009 United States [Crude death rates are on an annual basis per 100000 population age-adjusted rates per 100000 US standard population The asterisks preceding the cause-of-death codes indicate that they are not part of the International Classification of Diseases Tenth Revision (ICDndash10) Second Edition see lsquolsquoTechnical Notesrsquorsquo Data for specified races other than white and black should be interpreted with caution because of inconsistencies between reporting race on death certificates and on censuses and surveys see lsquolsquoTechnical Notesrsquorsquo Race categories are consistent with the 1977 Office of Management and Budget (OMB) standards Cause-of-death coding changes in 2008 and 2009 may affect comparability of data between 2009 and previous years for various causes of death see lsquolsquoTechnical Notesrsquorsquo]

Age-adjusted death rate

Percent change Ratio

2009 Percent crude 2008 Male Black2

of total death to to to Rank1 Cause of death (based on the ICDndash10 2004) Number deaths rate 2009 2009 female white

All causes 2437163 1000 7938 7411 ndash23 14 13

1 Diseases of heart (I00ndashI09I11I13I20ndashI51) 599413 246 1952 1801 ndash34 16 13 2 Malignant neoplasms (C00ndashC97) 567628 233 1849 1732 ndash12 14 12 3 Chronic lower respiratory diseases (J40ndashJ47) 137353 56 447 423 ndash39 13 07 4 Cerebrovascular diseases (I60ndashI69) 128842 53 420 389 ndash44 11 15 5 Accidents (unintentional injuries) (V01ndashX59Y85ndashY86) 118021 48 384 373 ndash39 21 08 6 Alzheimerrsquos disease (G30) 79003 32 257 235 ndash37 08 09 7 Diabetes mellitus (E10ndashE14) 68705 28 224 209 ndash41 14 21 8 Influenza and pneumonia (J09ndashJ18) 53692 22 175 162 ndash41 14 11 9 Nephritis nephrotic syndrome and nephrosis (N00ndashN07 48935 20 159 149 07 14 23

N17ndashN19N25ndashN27) 10 Intentional self-harm (suicide) (U03 X60ndashX84Y870) 36909 15 120 118 17 39 04 11 Septicemia (A40ndashA41) 35639 15 116 109 ndash18 12 20 12 Chronic liver disease and cirrhosis (K70K73ndashK74) 30558 13 100 92 00 21 07 13 Essential hypertension and hypertensive renal 25734 11 84 77 00 11 25

disease (I10I12I15) 14 Parkinsonrsquos disease (G20ndashG21) 20565 08 67 64 00 23 04 15 Assault (homicide) (U01ndashU02X85ndashY09Y871) 16799 07 55 55 ndash68 36 54 All other causes (residual) 469367 193 1529

Category not applicable 1Rank based on number of deaths see lsquolsquoTechnical Notesrsquorsquo 2Multiple-race data were reported by 34 states and the District of Columbia in 2009 The multiple-race data for these reporting areas were bridged to the single-race categories of the 1977 OMB standards for comparability with other reporting areas see lsquolsquoTechnical Notesrsquorsquo

Within the Hispanic population the age-adjusted death rate for males was 14 times the rate for females (Table 2) The corresponding male-to-female ratios were 14 for the non-Hispanic white population and 15 for the non-Hispanic black population The male-to-female ratio (shown to one decimal place) of the age-adjusted death rate within the Hispanic population has remained constant at 14 since 2006 Age-adjusted death rates in 2009 for selected Hispanic subshygroups (Table 5) in order of relative magnitude were

bull Puerto Rican population 6144 deaths per 100000 US standard population

bull Mexican population 5351 bull Cuban population 5190 bull Central and South American population 2747

The age-adjusted death rate significantly decreased from 2008 to 2009 for the Mexican (33) Cuban (82) and Puerto Rican (39) populations (Table 5) A significant increase was also observed for the Central and South American population (57) but this increase should be interpreted with caution as it is probably an artifact caused by a change in the way that the Central and South American category is defined (see lsquolsquoTechnical Notesrsquorsquo) The differ-ences in age-adjusted death rates among the Mexican Puerto Rican and Cuban populations were not statistically significant Tests

Table C Percentage change in death rates and age-adjusted death rates in 2009 from 2008 by age Hispanic origin race for non-Hispanic population and sex United States [Based on death rates on an annual basis per 100000 population and age-adjusted rates per 100000 US standard population see lsquolsquoTechnical Notesrsquorsquo Race and Hispanic origin are reported separately on the death certificate Persons of Hispanic origin may be of any race Data for Hispanic persons are not tabulated separately by race Data for non-Hispanic persons are tabulated by race Data for Hispanic origin should be interpreted with caution because of inconsistencies between reporting Hispanic origin on death certificates and on censuses and surveys see lsquolsquoTechnical Notesrsquorsquo]

All origins1 Hispanic Non-Hispanic2 Non-Hispanic white Non-Hispanic black

Both Both Both Both Both Age sexes Male Female sexes Male Female sexes Male Female sexes Male Female sexes Male Female

All ages Percent change

Crude ndash24 ndash17 ndash30 ndash14 ndash16 ndash12 ndash22 ndash15 ndash28 ndash20 ndash13 ndash28 ndash23 ndash22 ndash24 Age-adjusted ndash23 ndash14 ndash28 ndash17 ndash11 ndash19 ndash23 ndash13 ndash28 ndash24 ndash14 ndash29 ndash12 ndash02 ndash15

Under 1 year3 ndash47 ndash41 ndash55 ndash76 ndash84 ndash66 ndash41 ndash32 ndash52 ndash53 ndash49 ndash57 ndash18 06 ndash47 1ndash4 years ndash78 ndash89 ndash60 ndash69 ndash124 05 ndash78 ndash82 ndash73 ndash80 ndash75 ndash88 ndash59 ndash116 18 5ndash14 years ndash14 ndash25 00 91 134 61 ndash41 ndash54 ndash16 ndash61 ndash60 ndash63 05 ndash20 47 15ndash24 years ndash66 ndash82 ndash20 ndash55 ndash75 16 ndash70 ndash87 ndash22 ndash72 ndash89 ndash28 ndash85 ndash98 ndash48 25ndash34 years ndash10 ndash30 36 ndash04 ndash29 78 ndash14 ndash34 27 ndash02 ndash26 53 ndash36 ndash55 ndash04 35ndash44 years 01 ndash02 04 ndash06 ndash33 49 02 03 01 06 02 13 ndash25 ndash12 ndash43 45ndash54 years 00 ndash07 13 21 09 42 ndash01 ndash08 11 04 ndash04 18 ndash26 ndash29 ndash22 55ndash64 years ndash08 ndash07 ndash11 ndash08 ndash11 ndash07 ndash08 ndash07 ndash11 ndash10 ndash09 ndash10 ndash09 ndash05 ndash13 65ndash74 years ndash33 ndash33 ndash36 ndash20 ndash24 ndash15 ndash34 ndash33 ndash37 ndash34 ndash33 ndash37 ndash32 ndash31 ndash33 75ndash84 years ndash48 ndash53 ndash47 ndash25 ndash36 ndash15 ndash49 ndash54 ndash48 ndash46 ndash50 ndash46 ndash84 ndash102 ndash72 85 years and over 00 52 ndash24 ndash19 47 ndash55 03 54 ndash22 ndash06 43 ndash30 122 242 77

1Figures for origin not stated are included in lsquolsquoAll originsrsquorsquo but not distributed among specified origins 2Includes races other than white and black 3Death rates for lsquolsquoUnder 1 yearrsquorsquo (based on population estimates) differ from infant mortality rates (based on live births)

of significant differences among the Hispanic subgroups are affected by the large variation in age-specific death rates for some of the subgroups which reflects their relatively small population sizes

Death rates by age and sex

Age-specific death rates decreased for age groups under 1 year 1ndash4 15ndash24 55ndash64 65ndash74 and 75ndash84 years (Tables A 3 9 and 11 Figure 3)

The death rates for males declined in 2009 from 2008 for age groups under 1 year 1ndash4 15ndash24 25ndash34 55ndash64 65ndash74 and 75ndash84 years For males the death rate increased for age group 85 and over Death rates among females declined for the age groups under 1 year 55ndash64 65ndash74 75ndash84 and 85 years and over For females the death rate increased for ages 25ndash34 and 45ndash54

RacemdashIn 2009 the age-specific death rate declined for white males for age groups under 1 year 1ndash4 15ndash24 25ndash34 55ndash64 65ndash74 and 75ndash84 years (Table A) The largest decrease was 83 for those aged 15ndash24 For the black male population in 2009 the rates decreased for most age groups 1ndash4 15ndash24 25ndash34 45ndash54 65ndash74 and 75ndash84 The largest statistically significant decrease for black males was for those aged 1ndash4 at 137 For AIAN males in 2009 age-specific death rates remained unchanged from 2008 Rates for API males decreased for those aged under 1 year while increasing for age groups 35ndash44 45ndash54 and 85 and over

For white females the death rate increased in 2009 for those aged 25ndash34 and 45ndash54 The rates decreased for age groups under 1 year 55ndash64 65ndash74 75ndash84 and 85 and over The largest decrease 62 was observed for age group under 1 year Age-specific rates for black females decreased for age groups under 1 year 35ndash44 45ndash54 65ndash74 and 75ndash84 and increased for the age group 85 and over The largest decrease for black females was 71 for the age

group 75ndash84 For AIAN females age-specific death rates increased significantly for age groups 45ndash54 and 85 and over In 2009 age-specific death rates for API females decreased for age groups 1ndash4 25ndash34 and 65ndash74 Other observed changes were not statistically significant

Hispanic originmdashFor the Hispanic-origin population in 2009 comshypared with 2008 (Table C) the age-specific death rate decreased for age groups under 1 year 15ndash24 65ndash74 75ndash84 and 85 and over The largest decrease was for the age group under 1 year at 76 The age group 5ndash14 showed a significant increase Rates for Hispanic males decreased for age groups under 1 year 1ndash4 15ndash24 and 75ndash84 The largest decrease was for those aged 1ndash4 at 124 Increases were shown for age groups 5ndash14 and 85 and over For Hispanic females age-specific rates decreased by a statistically significant amount in 2009 from 2008 for those aged under 1 year and aged 85 and over The largest decrease occurred for those under 1 year at 66 Increases were shown for age groups 25ndash34 and 45ndash54

Expectation of life at birth and at specified ages

Life expectancy at birth represents the average number of years that a group of infants would live if the group was to experience throughout life the age-specific death rates present in the year of birth

Life table data shown in this report for data years 2000ndash2007 are based on a methodology similar to that of the 1999ndash2001 decennial life tables Beginning with final data reported for 2008 and including 2009 data the life table methodology was revised by changing the smoothing technique used to estimate the life table functions at the oldest ages This revision improves upon the methodologies used previously see lsquolsquoTechnical Notesrsquorsquo

1Rates are based on population estimates which differ from infant mortality rates (based on live births) see Figure 7 for infant mortality rates and ldquoTechnical Notesrdquo for further discussion of the difference SOURCE CDCNCHS National Vital Statistics System Mortality

Male Female

2005 10

100000

1955 1960 1965 1970 1975 1980 1985 1990 1995 2000 2005 2009

85 years and over

75ndash84 years

65ndash74 years

Under 1 year1

55ndash64 years 45ndash54 years

35ndash44 years

5ndash14 years

25ndash34 years

1955 1960 1965 1970 1975 1980 1985 1990 1995 2000 2009

85 years and over

75ndash84 years

65ndash74 years

Under 1 year1

55ndash64 years

45ndash54 years

35ndash44 years

1ndash4 years

15ndash24 years

5ndash14 years

25ndash34 years

Figure 3 Death rates by age and sex United States 1955ndash2009

The methods used to produce life expectancies for the Hispanic population are based on death rates adjusted for misclassification (see lsquolsquoTechnical Notesrsquorsquo) In contrast the age-specific and age-adjusted death rates for the population of Hispanic origin shown in this report are not adjusted for misclassification To do so for all the tabulations would require that the Hispanic origin of individual records in the mortality file be corrected and the currently available information is not sufficient to make this type of correction Thus the report shows the Hispanic deaths and death rates as collected by the registration areas these match those produced using the mortality data file

Life tables were generated for both sexes and by each sex for the following populations

bull Total US population bull Black population bull White population bull Hispanic population bull Non-Hispanic white population bull Non-Hispanic black population

In 2009 life expectancy at birth for the US population was 785 years an increase of 04 year from 781 in 2008 (Tables 6ndash8) This figure revises upward the life expectancy shown in an earlier preliminary report on mortality for 2009 (2) The trend in US life expectancy since 1900 has been one of gradual improvement with single-year decreases found occasionally In 2009 the life expecshytancy for females was 809 years a 03-year increase from 2008

and the life expectancy for males was 760 years a 04-year increase from the previous year From 1900 through the late 1970s the gap in life expectancy between sexes widened (Figure 4) (data prior to 1975 are not shown) from 20 years to 78 years Since its peak in the 1970s the gap between sexes has been narrowing In 2009 the difference in life expectancy between the sexes was 49 years a decrease of 01 year from 50 years in 2008

Life expectancy increased 05 year for the black population in 2009 to 745 years compared with 2008 (740 years) Life expectancy for the white population increased 03 year to 788 years The difshyference in life expectancy between the white and black populations in 2009 was 43 years a 02-year decrease from the 2008 gap between the two races and the smallest gap recorded since at least 1975 (Table 8) The white-black gap has been narrowing gradually from a peak of 71 years in 1989 to the current record low (Figure 4) This continues a long-term decline in the white-black difference in life expectancy that was interrupted from 1982 through 1989 when the gap widened

With very few exceptions such as for 1980 and 1993 life expecshytancy has tended to increase every year since 1975 for white males In contrast life expectancy for black males declined every year from 1984 through 1989 then resumed the long-term trend of increase from 1990 through 1992 1994 through 2004 and 2005 through 2009 (Table 8) For white females life expectancy increased most years from 1970 through 1998 In 1999 life expectancy for white females fell below 1998rsquos then-record high and it did not increase again until

NOTE Life expectancies for 2000ndash2009 were calculated using a revised methodology and may differ from those previously published see ldquoTechnical Notesrdquo SOURCE CDCNCHS National Vital Statistics System Mortality

Female-male life expectancy

White-black life expectancy

20092005200019951990198519801975

Figure 4 Differences in female-male and white-black life expectancy United States 1975ndash2009

2003 From 1989 through 1992 during 1994 and from 1996 through 1998 life expectancy for black females increased In 1999 life expecshytancy for black females declined as it did for white females only to begin climbing again in 2000

Life expectancy for the Hispanic population increased 02 year in 2009 to 812 years compared with 2008 (Tables 7 and 8) Life expectancy figures for the Hispanic population have been available starting with data for 2006 (19) Since that year life expectancy for the Hispanic population has increased 06 year In 2009 the life expectancy for the Hispanic female population was 835 years The life expectancy for the Hispanic male population in 2009 was 787 years The difference in life expectancy between the sexes for the Hispanic population was 48 years

SOURCE CDCNCHS National Vital Statistics System Mortality

White female

Black female

Black male

White male

200920052000199519901985198019751970

Figure 5 Life expectancy by race and sex United States 1970ndash2009

Among the six Hispanic origin-race-sex groups (Tables 7 and 8) Hispanic females had the highest life expectancy at birth (835 years) followed by non-Hispanic white females (811 years) Hispanic males (787 years) non-Hispanic black females (773 years) non-Hispanic white males (763 years) and non-Hispanic black males (707 years) Differences in life expectancy measured across these six groups ranged from 24 years (the difference in life expectancy between Hispanic females and non-Hispanic white females) to 128 years (the difference in life expectancy between Hispanic females and non-Hispanic black males)

Various hypotheses have been proposed to explain favorable mortality outcomes among Hispanic persons The most prevalent hypotheses are the healthy migrant effect which argues that Hispanic immigrants are selected for their good health and robustness and the lsquolsquosalmon biasrsquorsquo effect which posits that US residents of Hispanic origin may return to their country of origin to die or when ill (2122)

Life tables shown in this report may be used to compare life expectancies at selected ages from birth to 100 years For example on the basis of mortality experienced in 2009 a person aged 50 could expect to live an average of 314 more years for a total of 814 years A person aged 65 could expect to live an average of 192 more years for a total of 842 years and a person aged 85 could expect to live an average of 67 more years for a total of 917 years (Tables 6 and 7)

Leading causes of death

The 15 leading causes of death in 2009 accounted for 807 of all deaths in the United States (Tables B and 9) Causes of death are ranked according to the number of deaths for ranking procedures see lsquolsquoTechnical Notesrsquorsquo By rank the 15 leading causes in 2009 were

The 15 leading causes of death in 2009 retained the same ranking as in 2008

The pattern of mortality varies greatly with age As a result the shifting age distribution of a population can significantly influence changes in crude death rates over time Age-adjusted death rates in contrast eliminate the influence of such differences in the population age structure Therefore whereas causes of death are ranked according to the number of deaths age-adjusted death rates are used

to depict trends for leading causes of death in this report as they are better than crude rates for showing changes in mortality over time and among causes of death (Figure 6)

In 2009 the number of deaths decreased from 2008 by 14 or 34821 fewer deaths (Table 1) The age-adjusted death rate for all causes decreased 23

From 2008 to 2009 the age-adjusted death rate declined sigshynificantly for 10 of the 15 leading causes of death The age-adjusted death rate for the leading cause of death heart disease decreased 34 The age-adjusted death rate for cancer decreased 12 (Tables B and 9) Deaths from these two diseases combined accounted for 479 of deaths in the United States in 2009 Although heart disease mortality has exhibited a downward trend since 1950 cancer mortality began to decline only in the early 1990s (22) The age-adjusted death rate also decreased significantly for Chronic lower respiratory diseases (39)

Other leading causes of death that showed significant decreases in 2009 relative to 2008 were stroke (44) Accidents (unintentional injuries) (39) Alzheimerrsquos disease (37) diabetes (41) Influshyenza and pneumonia (41) Septicemia (18) and homicide (68)

The age-adjusted death rate for suicide increased significantly (17) between 2008 and 2009 The observed increase for the age-adjusted death rate for kidney disease was not significant The age-adjusted death rates for Chronic liver disease and cirrhosis hypertension and Parkinsonrsquos disease remained unchanged from 2008 to 2009

19801970

19751960 1965 01

NOTES ICD is the International Classification of Diseases Circled numbers indicate ranking of cSOURCE CDCNCHS National Vital Statistics System Mortality

ICDndash7 ICDndash8

Figure 6 Age-adjusted death rates for selected leading causes of d

Human immunodeficiency virus (HIV) disease was not among the 15 leading causes of death in 2009 The age-adjusted death rate for HIV disease declined 91 from 2008 to 2009 (Table 16) Historically HIV disease mortality reached its highest level in 1995 after a period of increase from 1987 through 1994 Subsequently the rate for this disease decreased an average of 330 per year from 1995 through 1998 and 63 per year from 1999 through 2009 (23) For all races combined in the age group 15ndash24 HIV disease was the 12th leading cause of death in 2009mdashdropping from the 11th leading cause in 2008 HIV disease remained the 6th leading cause of death for the age group 25ndash44 Among decedents aged 45ndash64 HIV disease dropped from the 12th leading cause in 2008 to the 13th leading cause in 2009

Enterocolitis due to Clostridium difficile (C difficile)mdashA predomishynantly antibiotic-associated inflammation of the intestines caused by C difficile a gram-positive anaerobic spore-forming bacillusmdashis of growing concern The disease is often acquired in hospitals or other health care facilities with long-term patients or residents and accounts for an increasing number of deaths (2425) In 1999 793 deaths were due to C difficile compared with 7476 C difficile deaths in 2008 (26) In 2009 the number of deaths decreased to 7251 The age-adjusted death rate for this cause decreased from 23 deaths per 100000 standard population in 2008 to 18 deaths in 2009 In 2009 C difficile ranked as the 18th leading cause of death for the population aged 65 and over Approximately 92 of deaths from C difficile occurred from people aged 65 and over (Table 10)

19901985 1995 2000 20092005

onditions as leading causes of death in 2009

phritis nephrotic syndrome and nephrosis

Malignant neoplasms

Accidents (unintentional injuries)

Cerebrovascular diseases

Alzheimerrsquos disease

ypertension

Parkinsonrsquos disease 14

Diseases of heart

ICDndash9 ICDndash10

eath United States 1958ndash2008

Changes in mortality levels by age and cause of death have a major effect on changes in life expectancy Life expectancy at birth increased 04 year in 2009 from 2008 because of decreases in mortality from heart disease cancer unintentional injuries stroke and Chronic lower respiratory diseases Increases in life expectancy in 2009 from 2008 for the total population were slightly offset by increases in mortality from Chronic liver disease and suicide (In other words if mortality for these causes of death had not increased as much as it did in 2009 the increase in life expectancy for the total population would have been more than 04 year) Decreases in mortality from heart disease unintentional injuries cancer Chronic lower respiratory diseases and homicide generated increases in life expectancy among the male population Increases in life expectancy for the female population were brought about by decreases in mortality for heart disease stroke cancer Alzheimerrsquos disease and Chronic lower respishyratory diseases For discussion of contributions to the change in life expectancy see lsquolsquoTechnical Notesrsquorsquo

The relative risk of death in one population group compared with another can be expressed as a ratio Ratios based on age-adjusted death rates show that males have higher rates than females for 14 of the 15 leading causes of death (Table B) with rates for males at least two times greater than those for females for 5 of these leading causes The largest ratios were for suicide (39) and homicide (36) Other large ratios were evident for Parkinsonrsquos disease (23) uninshytentional injuries Chronic liver disease and cirrhosis (21 for each) heart disease (16) and cancer diabetes Influenza and pneumonia and kidney disease (14 for each)

Age-adjusted death rates for the black population were higher than those for the white population for 9 of the 15 leading causes of death (Table B) The largest ratio was for homicide at 54 Other causes for which the ratio was high include hypertension (25) kidney disease (23) diabetes (21) Septicemia (20) stroke (15) heart disease (13) and cancer (12) For 6 of the leading causes age-adjusted rates were lower for the black population than for the white population The smallest black-to-white ratios were for suicide and Parkinsonrsquos disease (04 for each) that is the risk of dying from suicide was more than double for the white population than for the black population Other conditions with a low black-to-white ratio were Chronic lower respiratory diseases and Chronic liver disease and cirrhosis (07 for each) Alzheimerrsquos disease (09) and unintentional injuries (08)

The difference in life expectancy between the black and white populations narrowed from 45 years in 2008 to 43 years in 2009 (Table 8) The narrowing in the black-white life expectancy gap was due primarily to greater improvements in mortality for the black popushylation than for the white population In particular the black population gained ground due to decreases in death rates for homicide stroke HIV disease and cancer (data not shown)

Death rates for the AIAN population are not adjusted for misshyclassification Given that the rates for the AIAN population are undershyestimated by about 30 (16) disparities in the age-adjusted death rates should be interpreted with caution whenever making comparishysons across races

For the API population death rates are not adjusted for misshyclassification and are underestimated by about 7 due to underreshyporting on death certificates (16) Therefore even though the level of

underestimation for this population is not as dramatic as that for the AIAN population similar caution should be exercised when interpreting rate disparities involving the API population and other races

Death rates for the population of Hispanic origin are not adjusted for misclassification (see lsquolsquoTechnical Notesrsquorsquo) Because rates for the Hispanic population are not adjusted for misclassification and are underestimated by about 5 (16) caution should be exercised when interpreting rate disparities involving the Hispanic population and other races

Life table partitioning analysis indicates that the difference of 25 years in life expectancy between the Hispanic and non-Hispanic white populations is mostly explained by lower death rates from cancer heart disease Chronic lower respiratory diseases unintentional injuries and suicide experienced by the Hispanic population (For discussion of contributions to the difference in life expectancy see lsquolsquoTechnical Notesrsquorsquo)

Leading causes of death for the total population in 2009 and for specific subpopulations are examined in more detail in a separate National Vital Statistics Report on leading causes by age race Hispanic origin and sex (3)

Injury mortality by mechanism and intent

In 2009 a total of 177154 deaths were classified as injury-related (Table 18) Injury data are presented using the external cause-of-injury mortality matrix for ICDndash10 as jointly conceived by the International Collaborative Effort (ICE) on Injury Statistics and the Injury Control and Emergency Health Services section known as ICEHS of the American Public Health Association (2728) The ICD codes for injuries have two essential dimensions the mechanism of the injury and its manner or intent The mechanism involves the circumstances of the injury (eg fall motor vehicle traffic or poisoning) The manner or intent involves whether the injury was purposefully inflicted (where it can be determined) and when intentional whether the injury was self-inflicted (suicide) or inflicted upon another person (assault) In the List of 113 Selected Causes of Death the focus is on manner or intent with subcategories showing selected mechanisms The matrix has two distinct advantages for the analysis of injury mortality data It contains a comprehensive list of mechanisms and data can be displayed by mechanism with subcategories of intent or vice versa Four major mechanisms of injury in 2009mdashpoisoning motor-vehicle traffic firearm and fallmdash accounted for 751 of all injury deaths

PoisoningmdashIn 2009 41592 deaths occurred as the result of poisonings 235 of all injury deaths (Table 18) The majority of poisoning deaths were either unintentional (764) or suicides (154) However 81 of poisoning deaths were of undetermined intent The age-adjusted death rate for poisoning remained the same in 2009 and 2008 134 deaths per 100000 US standard population For unintentional poisoning the observed increase in the age-adjusted death rate of 10 from 102 in 2008 to 103 in 2009 was not statistically significant Unintentional poisoning death rates in the United States have increased each year from 1999 through 2008 (data prior to 2009 are not shown)

Motor-vehicle trafficmdashIn 2009 motor-vehicle traffic-related injushyries resulted in 34485 deaths accounting for 195 of all injury deaths

National Vital Statistics Reports Vol 60 No 3 December 29 2011 11

(Table 18) The age-adjusted death rate for motor-vehicle traffic-related injuries decreased 98 from 123 per 100000 standard population in 2008 to 111 in 2009

FirearmmdashIn 2009 31347 persons died from firearm injuries in the United States (Tables 18 and 19) accounting for 177 of all injury deaths that year The two major component causes of all firearm injury deaths in 2009 were suicide (598) and homicide (367) Firearm injuries (all intents) decreased 19 from 2008 to 2009 The age-adjusted death rate for firearm suicide did not change from 2008 whereas the death rate for firearm homicide decreased 50 in 2009 from 2008

FallmdashIn 2009 25562 persons died as the result of falls 144 of all injury deaths (Table 18) The overwhelming majority of fall-related deaths (970) were unintentional In 2009 the age-adjusted death rate for falls did not change significantly

Drug-induced mortality

In 2009 a total of 39147 persons died of drug-induced causes in the United States (Tables 10 12 and 13) This category includes deaths from poisoning and medical conditions caused by dependent and nondependent use of legal or illegal drugs and also includes poisoning from medically prescribed and other drugs It excludes unintentional injuries homicides and other causes indirectly related to drug use as well as newborn deaths due to the motherrsquos drug use (For a list of drug-induced causes see lsquolsquoTechnical Notesrsquorsquo See also the discussion of poisoning mortality that uses the more narrow definition of poisoning as an injury in the section titled lsquolsquoInjury mortality by mechanism and intentrsquorsquo)

For males in 2009 the age-adjusted death rate for drug-induced causes was 16 times the rate for females The age-adjusted death rate for black females was 402 lower than the rate for white females and the rate for black males was 247 lower than the rate for white males

In 2009 the age-adjusted death rate for drug-induced causes for the US population remained unchanged from 2008 (126) Among the major race-sex and race-ethnicity-sex groups during the same period

the age-adjusted death rate for drug-induced causes increased only for API males 292 All other major race-sex and race-ethnicity-sex groups showed no changes in 2009 from 2008

Alcohol-induced mortality

In 2009 a total of 24518 persons died of alcohol-induced causes in the United States (Tables 10 12 and 13) This category includes deaths from dependent and nondependent use of alcohol and also includes accidental poisoning by alcohol It excludes unintentional injuries homicides and other causes indirectly related to alcohol use as well as deaths due to fetal alcohol syndrome (for a list of alcohol-induced causes see lsquolsquoTechnical Notesrsquorsquo)

In 2009 the age-adjusted death rate for alcohol-induced causes for males was three times the rate for females Compared with the rate for the white population the rate for the black population was 195 lower

There was no change the age-adjusted death rate for alcohol-induced causes for the total population from 2008 to 2009 The age-adjusted death rate decreased 26 for non-Hispanic white males The rate increased 79 for non-Hispanic white females

State of residence

Mortality patterns varied considerably by state (Table 19) The state with the highest age-adjusted death rate in 2009 was West Virginia (9497 per 100000 US standard population) with a rate 281 above the national average (7411) The state with the lowest age-adjusted death rate was Hawaii (6197 per 100000 standard population) with a rate 164 below the national average The age-adjusted death rate for West Virginia was 533 higher than the rate for Hawaii

Variations in mortality by state are associated with differences in socioeconomic status race and ethnic composition as well as with differences in risk for specific causes of death (29)

Table D Number of infant neonatal and postneonatal deaths and mortality rates by sex United States 2008ndash2009 [Rates are for infant (under 1 year) neonatal (under 28 days) and postneonatal (28 daysndash11 months) deaths per 1000 live births in specified group]

2009 2008 Percent change1

Infant age and sex Number Rate Number Rate from 2008 to 2009

Infant

Total 26412 639 28059 661 ndash33 Male 14823 701 15669 721 ndash28 Female 11589 575 12390 597 ndash37

Neonatal

Postneonatal

1Based on a comparison of the 2009 and 2008 mortality rates

12 National Vital Statistics Reports Vol 60 No 3 December 29 2011 D

NOTE Rates are infant (under 1 year) neonatal (under 28 days) and postneonatal (28 daysmdash11 months) deaths per 1000 live births in specified group SOURCE CDCNCHS National Vital Statistics System Mortality

Postneonatal

Neonatal

Infant

20092000199019801970196019501940

Figure 7 Infant neonatal and postneonatal mortality rates United States 1940ndash2009

Infant mortality

In 2009 a total of 26412 deaths occurred in children under age 1 year (Table D) This number represents 1647 fewer infant deaths in 2009 than in 2008 The infant mortality rate was 639 per 1000 live births the neonatal mortality rate (deaths of infants aged 0ndash27 days per 1000 live births) was 418 and the postneonatal mortality rate (deaths of infants aged 28 daysndash11 months per 1000 live births) was 222 in 2009 (Figure 7 see lsquolsquoTechnical Notesrsquorsquo for information on alternative data sources) The decrease of 33 in the infant mortality rate from 2008 to 2009 was statistically significant The neonatal mortality rate also decreased 26 and the postneonatal mortality rate decreased 43

Table E Number of infant deaths percentage of total infant deaths infant mortality rates in 2009 from 2008 for the 10 leading causes o[Rates are infant deaths per 100000 live births]

Rank1 Cause of death (based on ICDndash10 2004)

All causes

1 Congenital malformations deformations and chromosomal abnormalities 2 Disorders related to short gestation and low birth weight not elsewhere clas3 Sudden infant death syndrome 4 Newborn affected by maternal complications of pregnancy 5 Accidents (unintentional injuries) 6 Newborn affected by complications of placenta cord and membranes 7 Bacterial sepsis of newborn 8 Respiratory distress of newborn 9 Diseases of the circulatory system

10 Neonatal hemorrhage All other causes

Category not applicable 1Based on number of deaths see lsquolsquoTechnical Notesrsquorsquo 2Based on a comparison of the 2008 infant mortality rate with the 2009 infant mortality rate

The 10 leading causes of infant death in 2009 accounted for 692 of all infant deaths in the United States (Table E) By rank the 10 leading causes were

1 Congenital malformations deformations and chromoshysomal abnormalities

2 Disorders related to short gestation and low birth weight not elsewhere classified

3 Sudden infant death syndrome 4 Newborn affected by maternal complications of pregshy

nancy 5 Accidents (unintentional injuries) 6 Newborn affected by complications of placenta cord

and membranes 7 Bacterial sepsis of newborn 8 Respiratory distress of newborn 9 Diseases of the circulatory system

The 10 leading causes of infant death were the same in 2009 as in 2008 (26) The ranks of these leading causes also remained the same for 2009 as in 2008

Changes in rates by cause of death among the 10 leading causes were statistically significant for only one condition In 2009 unintenshytional injuries (fifth leading cause of infant death) decreased 77 from 2008 (Table E)

Race cited on the death certificate is considered to be relatively accurate for white and black infants (16) For other race groups however race may be misreported on the death certificate (30) Generally the National Vital Statistics report that uses data from the linked file of live births and infant deaths provides better measures of infant mortality by race (30) see lsquolsquoTechnical Notesrsquorsquo Also infant mortality rates by specified Hispanic origin and race for non-Hispanic origin can be somewhat understated and better measured using data from the linked file of live births and infant deaths (30) see lsquolsquoTechnical

and infant mortality rates for 2009 and percentage change in f infant death in 2009 United States

Percent Percent change2

of total from 2008 Number deaths Rate to 2009

26412 1000 6394 ndash32

(Q00ndashQ99) 5319 201 1288 ndash29 sified (P07) 4538 172 1099 ndash18 (R95) 2226 84 539 ndash27 (P01) 1608 61 389 ndash65 (V01ndashX59) 1181 45 286 ndash77 (P02) 1064 40 258 16 (P36) 652 25 158 ndash42 (P22) 595 23 144 ndash27 (I00ndashI99) 581 22 141 07 (P50ndashP52P54) 517 20 125 ndash46 (residual) 8131 308 1968

Notesrsquorsquo Infant mortality data presented in this report use the general mortality file not the linked file of live births and infant deaths

The ratio of male-to-female infant mortality rates was 12 in 2009mdashthe same as in 2008 The ratio of black-to-white infant mortality rates was 24 in 2009mdashan increase from the ratio of 23 in 2008 The infant mortality rate did not change significantly in 2009 from 2008 for black infants but decreased 45 for white infants (Table 20)

Hispanic infant mortalitymdashInfant mortality rates for the population of Hispanic origin are not adjusted for misclassification see lsquolsquoTechnical Notesrsquorsquo Because rates for the Hispanic population are not adjusted for misclassification and are underestimated by about 50 caution should be exercised when interpreting rate disparities involving the Hispanic population and other races (16) In 2009 the infant mortality rate for Hispanic infants was 543 deaths per 1000 live births For non-Hispanic white infants the infant mortality rate was 525 and for non-Hispanic black infants the infant mortality rate was 1307 (data not shown) Among Hispanic subgroups the infant mortality rate was 720 per 1000 live births for Puerto Rican 570 for Mexican 469 for Cuban and 321 for Central and South American populations The infant mortality rate among Hispanic subgroups decreased 44 for 2009 relative to 2008 The infant mortality rate in 2009 for non-Hispanic white infants decreased 50 from 2008

Additional mortality tables based on 2009 final data

For data year 2009 trend data on drug-induced causes alcohol-induced causes and injury by firearms are available as supplemental tables located on the NCHS mortality website httpwwwcdcgovnchsdeathshtm Likewise mortality data by educational attainment marital status and injury at work are also available as supplemental tables

References

1 Hoyert D Singh G Rosenberg H Sources of data on socioeconomic differential mortality in the United States Jour Off Stat 11(3)233ndash60 1995

2 Kochanek KD Xu JQ Murphy SL et al Deaths Preliminary data for 2009 National vital statistics reports vol 59 no 4 Hyattsville MD National Center for Health Statistics 2011 Available from httpwwwcdcgovnchsdatanvsrnvsr59nvsr59_04pdf

3 Heron M Deaths Leading causes for 2009 National vital statistics reports Hyattsville MD National Center for Health Statistics [forthshycoming]

4 Arias E United States life tables 2009 National vital statistics reports Hyattsville MD National Center for Health Statistics [forthcoming]

5 National Center for Health Statistics Technical appendix Vital statistics of the United States Mortality Washington DC Published annually Availshyable from httpwwwcdcgovnchsproductsvsushtmappendices

6 World Health Organization International statistical classification of diseases and related health problems 10th revision 2nd edition Geneva Switzerland 2004

7 Office of Management and Budget Revisions to the standards for the classification of federal data on race and ethnicity Federal Register 62FR58782 Washington DC 1997 Available from httpfederalregistergova97-28653

8 Office of Management and Budget Race and ethnic standards for federal statistics and administrative reporting Statistical Policy Direcshytive 15 Washington DC 1977

9 US Census Bureau Age sex race and Hispanic origin information from the 1990 census A comparison of census results with results where age and race have been modified 1990 CPH-L-74 Washshyington DC US Department of Commerce 1991

10 Ingram DD Parker JD Schenker N Weed JA Hamilton B Arias E Madans JH United States census 2000 population with bridged race categories National Center for Health Statistics Vital Health Stat 2(135) 2003 Available from httpwwwcdcgovnchsdataseriessr_02sr02_135pdf

11 Schenker N Parker JD From single-race reporting to multiple-race reporting Using imputation methods to bridge the transition Stat Med 22(9)1571ndash87 2003

12 Centers for Disease Control and Prevention Update Influenza activitymdashUnited States 1998ndash99 season Morb Mortal Wkly Rep 48(9)177ndash81 1999

14 Centers for Disease Control and Prevention Update Influenza activitymdashUnited States and worldwide 2006ndash07 season and composhysition of the 2007ndash08 influenza vaccine Morb Mortal Wkly Rep 56(31)789ndash94 2007

15 Centers for Disease Control and Prevention Influenza activitymdashUnited States and worldwide 2007ndash08 season Morb Mortal Wkly Rep 57(25)692ndash7 2008

16 Arias E Schauman WS Eschbach K et al The validity of race and Hispanic origin reporting on death certificates in the United States National Center for Health Statistics Vital Health Stat 2(148)23 2008 Available from httpwwwcdcgovnchsdataseriessr_02sr02_148pdf

17 Kochanek K Maurer J Rosenberg H Causes of death contributing to changes in life expectancy United States 1984ndash89 National Center for Health Statistics Vital Health Stat 20(23) 1994 Available from httpwwwcdcgovnchsdataseriessr_20sr20_023pdf

18 Arias E Eschbach K Schauman WS et al The Hispanic mortality advantage and ethnic misclassification on US death certificates Am J Public Health 100 Suppl 1S171ndash7 2010 Available from httpajphaphapublicationsorgdoipdf102105AJPH2008135863

19 Arias E United States life tables by Hispanic origin National Center for Health Statistics Vital Health Stat 2(152) 2010 Available from httpwwwcdcgovnchsdataseriessr_02sr02_152pdf

20 Abraido-Lanza AF Dohrenwend BP Ng-Mak DS Turner JB The Latino mortality paradox A test of the lsquolsquosalmon biasrsquorsquo and healthy migrant hypotheses Am J Public Health 89(10)1543ndash8 1999 Available from httpwwwncbinlmnihgovpmcarticlesPMC1508801 pdfamjph00010-0085pdf

21 Palloni A Arias E Paradox lost Explaining the Hispanic adult mortality advantage Demography 41(3)385ndash415 2004

22 Xu JQ Kochanek KD Murphy SL Tejada-Vera B Deaths Final data for 2007 National vital statistics reports vol 58 no 19 Hyattsville MD National Center for Health Statistics 2010 Available from httpwwwcdcgovnchsdatanvsrnvsr58nvsr58_19pdf

23 Centers for Disease Control and Prevention Wide-ranging online data for epidemiologic research (WONDER) Underlying cause of death output based on the Detailed Mortality File Available from httpwondercdcgov

24 Suneshine RH McDonald LC Clostridium difficile-associated disease New challenges from an established pathogen Cleve Clin J Med 73(2)187ndash97 2006

25 Redelings MD Sorvillo F Mascola L Increase in Clostridium difficile related mortality rates United States 1999ndash2004

Emerg Infect Dis 13(9)1417ndash9 2007 Available from httpwwwcdcgovEIDcontent1391417htm

26 Minino AM Murphy SL Xu JQ Kochanek KD Deaths Final Data for 2008 National vital statistics reports vol 59 no 10 Hyattsville MD National Center for Health Statistics 2011 Available from httpwwwcdcgovnchsdatanvsrnvsr59nvsr59_10pdf

27 National Center for Health Statistics Proceedings of the international collaborative effort on injury statistics vol 1 Hyattsville MD 1995 Available from httpwwwcdcgovnchsdataiceice95v1ice_ipdf

28 Fingerhut L Cox C Warner M International comparative analysis of injury mortality Findings from the ICE on injury statistics Advance data from vital and health statistics no 303 Hyattsville MD National Center for Health Statistics 1998 Available from httpwwwcdcgovnchsdataadad303pdf

29 Pamuk E Makuc D Heck K Reuben C Lochner K Socioeconomic status and health chartbook Health United States 1998 Hyattsville MD National Center for Health Statistics 1998 Available from httpwwwcdcgovnchsdatahushus98chtpdf

30 Mathews T MacDorman M Infant mortality statistics from the 2007 period linked birthinfant death data set National vital statistics reports vol 59 no 6 Hyattsville MD National Center for Health Statistics 2011 Available from httpwwwcdcgovnchsdatanvsrnvsr59nvsr59_06pdf

31 National Center for Health Statistics 2003 revision of the US Standard Certificate of Death [online] 2003 Available from httpwwwcdcgovnchsdatadvsDEATH11-03final-accpdf

32 World Health Organization International statistical classification of diseases and related health problems 10th revision Geneva Switzershyland 1992

33 National Center for Health Statistics Data Warehouse Comparability of cause-of-death between ICD revisions [online] 2008 Available from httpwwwcdcgovnchsnvssmortalitycomparability_icdhtm

34 National Center for Health Statistics Data Warehouse Updated comparability ratios (ICDndash10 and ICDndash9) [online] 2004 Available from ftpftpcdcgovpubHealth_StatisticsNCHSDatasetsComparability icd9_icd10Comparability_Ratio_tablesxls

35 Anderson RN Minino AM Hoyert DL Rosenberg HM Comparability of cause of death between ICDndash9 and ICDndash10 Preliminary estimates National vital statistics reports vol 49 no 2 Hyattsville MD National Center for Health Statistics 2001 Available from httpwwwcdcgovnchsdatanvsrnvsr49nvsr49_02pdf

36 Comparability of mortality statistics for the sixth and seventh revisions United States 1958 Vital statisticsmdashSpecial reports 51(4) Washshyington DC National Center for Health Statistics 1965 Available from httpwwwcdcgovnchsdataspec_rpt51_04pdf

37 Klebba AJ Dolman AB Comparability of mortality statistics for the seventh and eighth revisions of the international classification of diseases United States National Center for Health Statistics Vital Health Stat 2(66) 1975 Available from httpwwwcdcgovnchsdataseriessr_02sr02_066pdf

38 Klebba AJ Scott J Estimates of selected comparability ratios based on dual coding of 1976 death certificates by the eighth and ninth revisions of the international classification of diseases Monthly vital statistics report vol 28 no 11 Hyattsville MD National Center for Health Statistics 1980 Available from httpwwwcdcgovnchsdatamvsrsuppmv28_11spdf

39 National Center for Health Statistics (NCHS) Vital statistics Instrucshytions for classifying the underlying cause of death NCHS instruction manual part 2a Hyattsville MD Published annually

40 National Center for Health Statistics (NCHS) Vital statistics Instrucshytions for classifying multiple causes of death NCHS instruction manual part 2b Hyattsville MD Published annually

41 National Center for Health Statistics Vital statistics (NCHS) ICDndash10 ACME decision tables for classifying underlying causes of death

NCHS instruction manual part 2c Hyattsville MD Published annually 42 National Center for Health Statistics (NCHS) Vital statistics Data

entry instructions for the mortality medical indexing classification and retrieval system (MICAR) NCHS instruction manual part 2g Hyattsshyville MD Published annually

43 National Center for Health Statistics (NCHS) Vital statistics Dictionary of valid terms for the mortality medical indexing classification and retrieval system (MICAR) NCHS instruction manual part 2h Hyattsshyville MD Published annually

44 National Center for Health Statistics Public-use data set documentashytion control total Table 1 Mortality data set for ICDndash10 2009 Hyattsville MD 2012

45 Chamblee RF Evans MC TRANSAX the NCHS system for producing multiple cause-of-death statistics 1968ndash78 National Center for Health Statistics Vital Health Stat 1(20) 1986 Available from httpwwwcdcgovnchsdataseriessr_01sr01_020accpdf

46 Israel RA Rosenberg HM Curtin LR Analytical potential for multiple cause-of-death data Am J Epidemiol 124(2)161ndash79 1986

47 National Center for Health Statistics ICDndash10 cause-of-death lists for tabulating mortality statistics (updated March 2009 to include WHO updates to ICDndash10 for data year 2009) NCHS instruction manual part 9 Hyattsville MD 2009 Available from httpwwwcdcgovnchsdatadvsPart9InstructionManual2009pdf

48 Hoyert DL Arias E Smith BL et al Deaths Final data for 1999 National vital statistics reports vol 49 no 8 Hyattsville MD National Center for Health Staistics 2001 Available from httpwwwcdcgovnchsdatanvsrnvsr49nvsr49_08pdf

49 Centers for Disease Control and Prevention Use of influenza A (H1N1) 2009 monovalent vaccine Recommendations of the Advisory Committee on Immunization Practices (ACIP) 2009 MMWR Recomm Rep 58(RR-10) 2009

50 National Center for Health Statistics (NCHS) Vital statistics Instrucshytion manual data preparation Computer edits for mortality data including separate section for fetal deaths NCHS instruction manual part 11 Hyattsville MD Published annually

51 National Center for Health Statistics (NCHS) ICDndash10 cause-of-death querying 1999 NCHS instruction manual part 20 Hyattsville MD Published annually

52 Minino AM Anderson RN Fingerhut LA et al Deaths Injuries 2002 National vital statistics reports vol 54 no 10 Hyattsville MD National Center for Health Statistics 2006 Available from httpwwwcdcgovnchsdatanvsrnvsr54nvsr54_10pdf

54 Tolson GC Barnes JM Gay GA Kowaleski JL The 1989 revision of the US standard certificates and reports National Center for Health Statistics Vital Health Stat 4(28) 1991 Available from httpwwwcdcgovnchsdataseriessr_04sr04_028pdf

56 Mathews T MacDorman M Infant mortality statistics from the 2009 period linked birthinfant death data set National vital statistics reports Hyattsville MD National Center for Health Statistics [forthshycoming]

57 Arias E Schauman WS Eschbach K et al The validity of race and Hispanic origin reporting on death certificates in the United States National Center for Health Statistics Vital Health Stat 2(148) 2008 Available from httpwwwcdcgovnchsdataseriessr_02sr02_148pdf

58 Rosenberg HM Maurer JD Sorlie PD Johnson NJ MacDorman MF Hoyert DL et al Quality of death rates by race and Hispanic origin A summary of current research 1999 National Center for Health

Statistics Vital Health Stat 2(128) 1999 Available from httpwwwcdcgovnchsdataseriessr_02sr02_128pdf

59 Sorlie PD Rogot E Johnson NJ Validity of demographic characterisshytics on the death certificate Epidemiology 3(2)181ndash4 1992

60 Mulry M Summary of accuracy and coverage evaluation for census 2000 Research Report Series Statistics 2006ndash3 Washington DC Statistical Research Division US Census Bureau 2006 Available from httpwwwcensusgovsrdpaperspdfrrs2006-03pdf

61 Poe GS Powell-Griner E McLaughlin JK Placek PJ Thompson GB Robinson K Comparability of the death certificate and the 1986 national mortality followback survey National Center for Health Statistics Vital Health Stat 2(118) 1993 Available from httpwwwcdcgovnchsdataseriessr_02sr02_118pdf

62 US Census Bureau Facts for Features American Indian and Alaska Native Heritage Month November 2010 CB10-FF22 US Departshyment of Commerce Washington DC 2010 Available from httpwwwcensusgovnewsroomreleasesarchivesfacts_for_features _special_editionscb10ff22html

63 National Center for Health Statistics Vital statistics of the United States 1989 vol I natality Technical appendix Hyattsville MD 1993

64 National Center for Health Statistics Vital statistics of the United States Mortality 1999 Technical appendix Hyattsville MD 2004 Available from httpwwwcdcgovnchsdatastatabtechap99pdf

65 Hoyert DL Effect on mortality rates of the 1989 changes in tabulating race National Center for Health Statistics Vital Health Stat 20(25) 1994 Available from httpwwwcdcgovnchsdataseriessr_20sr20_025pdf

66 Martin JA Hamilton BE Ventura SJ et al Births Final data for 2009 National vital statistics reports vol 60 no 1 Hyattsville MD National Center for Health Statistics 2011 Available from httpwwwcdcgovnchsdatanvsrnvsr60nvsr60_01pdf

67 Sirken MG Comparison of two methods of constructing abridged life tables by reference to a lsquolsquostandardrsquorsquo table National Center for Health Statistics Vital Health Stat 2(4) 1966 Available from httpwwwcdcgovnchsdataseriessr_02sr02_004pdf

68 Anderson RN Method for constructing complete annual US life tables National Center for Health Statistics Vital Health Stat 2(129) 1999 Available from httpwwwcdcgovnchsdataseriessr_02sr02_129pdf

69 National Center for Health Statistics US decennial life tables for 1989ndash91 vol 1 no 2 Methodology of the national and state life tables Hyattsville MD 1998 Available from httpwwwcdcgovnchsdatalifetableslife89_1_2pdf

70 Wei R Curtin LR Arias E Anderson RN US decennial life tables for 1999ndash2001 Methodology of the United States life tables National vital statistics reports vol 57 no 4 Hyattsville MD National Center for Health Statistics 2008 Available from httpwwwcdcgovnchsdatanvsrnvsr57nvsr57_04pdf

71 Kochanek KD Maurer JD Rosenberg HM Causes of death contribshyuting to changes in life expectancy United States 1984ndash89 National Center for Health Statistics Vital Health Stat 20(23) 1994 Available from httpwwwcdcgovnchsdataseriessr_20sr20_023pdf

72 Arriaga EE Changing trends in mortality decline during the last decades In Ruzicka L Wunsch G Kane P editors Differential mortality Methodological issues and biosocial factors Oxford Clarshyendon Press 1989

73 Arriaga EE Measuring and explaining the change in life expectancies Demography 21(1)83ndash96 1984

74 Kominski R Adams A Educational attainment in the United States March 1993 and 1992 Current population reports Population characshyteristics P20ndash476 Washington DC US Bureau of the Census 1994 Available from httpwwwcensusgovpopulationwwwsocdemo educationdatacps1993p20-476pdf

75 Sorlie PD Johnson NJ Validity of education information on the death certificate Epidemiology 7(4)437ndash9 1996

76 Rostron BL Boies JL Arias E Education reporting and classification on death certificates in the United States National Center for Health Statistics Vital Health Stat 2(151) 2010 Available from httpwwwcdcgovnchsdataseriessr_02sr02_151pdf

77 Hoyert DL Maternal mortality and related concepts National Center for Health Statistics Vital Health Stat 3(33) 2007 Available from httpwwwcdcgovnchsdataseriessr_03sr03_033pdf

78 MacKay AP Berg CJ Liu X et al Changes in pregnancy mortality ascertainment United States 1999ndash2005 Obstet Gynecol 118(1) 104ndash10 2011

79 MacKay AP Berg CJ Duran C et al An assessment of pregnancy-related mortality in the United States Paediatr Perinat Epidemiol 19(3)206ndash14 2005

80 Horon IL Cheng D Effectiveness of pregnancy check boxes on death certificates in identifying pregnancy-associated mortality Public Health Rep 126(2)195ndash200 2011

81 National Center for Health Statistics Vintage 2009 bridged-race postcensal population estimates of the resident population of the United States for July 1 2000ndashJuly 1 2009 by year county single-year of age bridged-race Hispanic origin and sex (pcen_v20089txt) Prepared under a collaborative agreement with the US Census Bureau 2010 Available from httpwwwcdcgov nchsnvssbridged_racedata_documentationhtmvintage2009

82 US Census Bureau Housing and Household Economic Statistics Division Population estimates for 2009 based on unpublished tabulashytions 2011

83 US Census Bureau International data base 2009 Available from httpwwwcensusgovpopulationinternationaldataidbinformation Gatewayphp

86 National Center for Health Statistics Vintage 2006 bridged-race postcensal population estimates of the resident population of the United States as of July 1 2006 by year county single year of age bridged race Hispanic origin (and sex [pcen_v2006_y06txt (ASCII)] 2007 Available from httpwwwcdcgovnchsnvssbridged_race data_documentationhtmvintage2006

87 National Center for Health Statistics Vintage 2005 bridged-race postcensal population estimates of the resident population of the United States as of July 1 2005 by year county single-year of age bridged race Hispanic origin and sex [pcen_v2005_y05txt (ASCII)] 2006 Available from httpwwwcdcgovnchsnvssbridged_race data_documentationhtmvintage2005

89 National Center for Health Statistics Bridged-race vintage 2003 postcensal estimates of the resident population of the United States as of July 1 2003 by age sex race and Hispanic origin (pcen_v2003txt) prepared under a collaborative arrangeshyment with the Census Bureau 2004 Available from httpwwwcdcgovnchsnvssbridged_racehtm

90 National Center for Health Statistics Bridged-race vintage 2002 postcensal estimates of the resident population of the United States as of July 1 2002 by age sex race and Hispanic origin (pcen_v2002txt) prepared under a collaborative arrangeshyment with the US Census Bureau 2003 Available from httpwwwcdcgovnchsnvssbridged_racehtm

91 National Center for Health Statistics Bridged-race vintage 2001 postcensal estimates of the resident population of the United States as of July 1 2001 by age sex race and Hispanic origin (pcen_v2001txt) prepared under a collaborative arrangement with the US Census Bureau 2003 Available from httpwwwcdcgovnchsnvssbridged_racehtm

92 National Center for Health Statistics Bridged-race population estishymates for April 1 2000 by county single-year of age bridged-race Hispanic origin and sex (br040100txt) prepared under a collaborative arrangement with the US Census Bureau 2003 Available from httpwwwcdcgovnchsnvssbridged_racehtm

93 National Center for Health Statistics Bridged-race intercensal population estimates for July 1 1990ndashJuly 1 1999 by year county 5-year group bridged-race Hispanic origin and sex (one ASCII file each per separate year) Prepared under a collaborative agreement with the US Census Bureau 2003 Available from httpwwwcdcgovnchsnvssbridged_racehtm

94 Anderson RN Rosenberg HM Age standardization of death rates Implementation of the year 2000 standard National vital statistics reports vol 47 no 3 Hyattsville MD National Center for Health Statistics 1998 Available from httpwwwcdcgovnchsdatanvsrnvsr47nvs47_03pdf

95 Brillinger DR The natural variability of vital rates and associated statistics Biometrics 42(4)693ndash734 1986

96 Chiang CL Introduction to stochastic processes in biostatistics New York Wiley 1968

97 DeNavas-Walt C Proctor BD Smith JC Income poverty and health insurance coverage in the United States 2009 Current population reports P60ndash238 Washington DC US Census Bureau 2010 Available from httpwwwcensusgovprod2010pubsp60-238pdf

98 DeNavas-Walt C Proctor BD Smith JC Income poverty and health insurance coverage in the United States 2008 Current population reports P60ndash236(RV) Washington DC US Census Bureau 2009 Available from httpwwwcensusgovprod2009pubsp60-236pdf

99 Fay MP Feuer EJ Confidence intervals for directly standardized rates A method based on the gamma distribution Stat Med 16(17)791ndash801 1997

100 Schenker N Gentleman JF On judging the significance of differences by examining the overlap between confidence intervals Am Stat 55(3)182ndash6 2001

101 Arnold S Mathematical statistics Englewood Cliffs NJ Prentice Hall 1990

List of Detailed Tables 1 Number of deaths death rates and age-adjusted death rates by

race and sex United States 1940 1950 1960 1970 and 1980ndash2009 18

2 Number of deaths death rates and age-adjusted death rates by Hispanic origin race for non-Hispanic population and sex United States 1997ndash2009 21

3 Number of deaths and death rates by age race and sex United States 2009 23

4 Number of deaths and death rates by Hispanic origin race for non-Hispanic population age and sex United States 2009 25

5 Number of deaths and death rates by age and age-adjusted death rates by specified Hispanic origin race for non-Hispanic population and sex United States 2009 27

6 Abridged life table for the total population 2009 29 7 Life expectancy at selected ages by race Hispanic origin race

for non-Hispanic population and sex United States 2009 30 8 Life expectancy at birth by race Hispanic origin race for

non-Hispanic population and sex United States 1940 1950 1960 1970 and 1975ndash2009 31

9 Death rates by age and age-adjusted death rates for the 15 leading causes of death in 2009 United States 1999ndash2009 32

10 Number of deaths from 113 selected causes Enterocolitis due to Clostridium difficile drug-induced causes alcohol-induced causes and injury by firearms by age United States 2009 36

11 Death rates for 113 selected causes Enterocolitis due to Clostridium difficile drug-induced causes alcohol-induced causes and injury by firearms by age United States 2009 41

12 Number of deaths from 113 selected causes Enterocolitis due to Clostridium difficile drug-induced causes alcohol-induced causes and injury by firearms by race and sex United States 2009 46

13 Number of deaths from 113 selected causes Enterocolitis due to Clostridium difficile drug-induced causes alcohol-induced causes and injury by firearm by Hispanic origin race for non-Hispanic population and sex United States 2009 51

14 Death rates for 113 selected causes Enterocolitis due to Clostridium difficile drug-induced causes alcohol-induced causes and injury by firearms by race and sex United States 2009 57

15 Death rates for 113 selected causes Enterocolitis due to Clostridium difficile drug-induced causes alcohol-induced causes and injury by firearms by Hispanic origin race for non-Hispanic population and sex United States 2009 63

16 Age-adjusted death rates for 113 selected causes Enterocolitis due to Clostridium difficile drug-induced causes alcohol-induced causes and injury by firearms by race and sex United States 2009 69

17 Age-adjusted death rates for 113 selected causes Enterocolitis due to Clostridium difficile drug-induced causes alcohol-induced causes and injury by firearms by Hispanic origin race for non-Hispanic population and sex United States 2009 75

18 Number of deaths death rates and age-adjusted death rates for injury deaths by mechanism and intent of death United States 2009 81

19 Number of deaths death rates and age-adjusted death rates for major causes of death United States each state Puerto Rico Virgin Islands Guam American Samoa and Northern Marianas 2009 83

20 Infant neonatal and postneonatal mortality rates by race and sex United States 1940 1950 1960 1970 and 1975ndash2009 89

21 Number of infant deaths and infant mortality rates for 130 selected causes by race United States 2009 92

22 Number of infant and neonatal deaths and mortality rates by race for the United States each state Puerto Rico Virgin Islands Guam American Samoa and Northern Marianas and by sex for the United States 2009 96

Internet tables (Available from httpwwwcdcgovnchsdatanvsrnvsr60nvsr60_03_tablespdf)

Indash1 Number of deaths death rates and age-adjusted death rates for injury by firearms by race and sex United States 1999ndash2009

Indash2 Number of deaths death rates and age-adjusted death rates for injury by firearms by Hispanic origin race for non-Hispanic population and sex United States 1999ndash2009

Indash3 Number of deaths death rates and age-adjusted death rates for drug-induced causes by race and sex United States 1999ndash2009

Indash4 Number of deaths death rates and age-adjusted death rates for drug-induced causes by Hispanic origin race for non-Hispanic population and sex United States 1999ndash2009

Indash5 Number of deaths death rates and age-adjusted death rates for alcohol-induced causes by race and sex United States 1999ndash2009

Indash6 Number of deaths death rates and age-adjusted death rates for alcohol-induced causes by Hispanic origin race for non-Hispanic population and sex United States 1999ndash2009

Indash7 Number of deaths death rates and age-adjusted death rates for ages 15 and over by marital status and sex United States 2009

Indash8 Number of deaths death rates and age-adjusted death rates for ages 25ndash64 by educational attainment and sex Total of 28 reporting states and the District of Columbia using the 2003 version of the US Standard Certificate of Death and total of 20 reporting states using the 1989 version of the US Standard Certificate of Death 2009

Indash9 Number of deaths death rates and age-adjusted death rates for injury at work for ages 15 and over by race and sex United States 2009

Indash10 Number of deaths death rates and age-adjusted death rates for injury at work by race and sex United States 1993ndash2009

Table 1 Number of deaths death rates and age-adjusted death rates by race and sex United States 1940 1950 1960 1970 and 1980ndash2009 [Crude rates are on an annual basis per 100000 population in specified age group age-adjusted rates per 100000 US standard population see lsquolsquoTechnical Notesrsquorsquo Rates are based on populations enumerated as of April 1 for census years and estimated as of July 1 for all other years see lsquolsquoTechnical Notesrsquorsquo Beginning 1970 excludes deaths of nonresidents of the United States Data for specified races other than white and black should be interpreted with caution because of inconsistencies between reporting race on death certificates and on censuses and surveys see lsquolsquoTechnical Notesrsquorsquo Race categories are consistent with the 1977 Office of Management and Budget (OMB) standards]

All races1 White2 Black2 American Indian or Alaska Native23 Asian or Pacific Islander24

Both Both Both Both Both Years sexes Male Female sexes Male Female sexes Male Female sexes Male Female sexes Male Female

Number

2009 2437163 1217379 1219784 2086355 1037475 1048880 286623 146239 140384 14960 8105 6855 49225 25560 23665 2008 2471984 1226197 1245787 2120233 1046183 1074050 289072 147143 141929 14776 8163 6613 47903 24708 23195 2007 2423712 1203968 1219744 2074151 1023951 1050200 289585 148309 141276 14367 7885 6482 45609 23823 21786 2006 2426264 1201942 1224322 2077549 1022328 1055221 289971 148602 141369 14037 7630 6407 44707 23382 21325 2005 2448017 1207675 1240342 2098097 1028152 1069945 292808 149108 143700 13918 7607 6311 43194 22808 20386 2004 2397615 1181668 1215947 2056643 1007266 1049377 287315 145970 141345 13124 7134 5990 40533 21298 19235 2003 2448288 1201964 1246324 2103714 1025650 1078064 291300 148022 143278 13147 7106 6041 40127 21186 18941 2002 2443387 1199264 1244123 2102589 1025196 1077393 290051 146835 143216 12415 6750 5665 38332 20483 17849 2001 2416425 1183421 1233004 2079691 1011218 1068473 287709 145908 141801 11977 6466 5511 37048 19829 17219 2000 2403351 1177578 1225773 2071287 1007191 1064096 285826 145184 140642 11363 6185 5178 34875 19018 15857 1999 2391399 1175460 1215939 2061348 1005335 1056013 285064 145703 139361 11312 6092 5220 33675 18330 15345 1998 2337256 1157260 1179996 2015984 990190 1025794 278440 143417 135023 10845 5994 4851 31987 17659 14328 1997 2314245 1154039 1160206 1996393 986884 1009509 276520 144110 132410 10576 5985 4591 30756 17060 13696 1996 2314690 1163569 1151121 1992966 991984 1000982 282089 149472 132617 10127 5563 4564 29508 16550 12958 1995 2312132 1172959 1139173 1987437 997277 990160 286401 154175 132226 9997 5574 4423 28297 15933 12364 1994 2278994 1162747 1116247 1959875 988823 971052 282379 153019 129360 9637 5497 4140 27103 15408 11695 1993 2268553 1161797 1106756 1951437 988329 963108 282151 153502 128649 9579 5434 4145 25386 14532 10854 1992 2175613 1122336 1053277 1873781 956957 916824 269219 146630 122589 8953 5181 3772 23660 13568 10092 1991 2169518 1121665 1047853 1868904 956497 912407 269525 147331 122194 8621 4948 3673 22173 12727 9446 1990 2148463 1113417 1035046 1853254 950812 902442 265498 145359 120139 8316 4877 3439 21127 12211 8916 1989 2150466 1114190 1036276 1853841 950852 902989 267642 146393 121249 8614 5066 3548 20042 11688 8354 1988 2167999 1125540 1042459 1876906 965419 911487 264019 144228 119791 7917 4617 3300 18963 11155 7808 1987 2123323 1107958 1015365 1843067 953382 889685 254814 139551 115263 7602 4432 3170 17689 10496 7193 1986 2105361 1104005 1001356 1831083 952554 878529 250326 137214 113112 7301 4365 2936 16514 9795 6719 1985 2086440 1097758 988682 1819054 950455 868599 244207 133610 110597 7154 4181 2973 15887 9441 6446 1984 2039369 1076514 962855 1781897 934529 847368 235884 129147 106737 6949 4117 2832 14483 8627 5856 1983 2019201 1071923 947278 1765582 931779 833803 233124 127911 105213 6839 4064 2775 13554 8126 5428 1982 1974797 1056440 918357 1729085 919239 809846 226513 125610 100903 6679 3974 2705 12430 7564 4866 1981 1977981 1063772 914209 1731233 925490 805743 228560 127296 101264 6608 4016 2592 11475 6908 4567 1980 1989841 1075078 914763 1738607 933878 804729 233135 130138 102997 6923 4193 2730 11071 6809 4262 1970 1921031 1078478 842553 1682096 942437 739659 225647 127540 98107 5675 3391 2284 - - shy - - shy - - shy1960 1711982 975648 736334 1505335 860857 644478 196010 107701 88309 4528 2658 1870 - - shy - - shy - - shy1950 1452454 827749 624705 1276085 731366 544719 169606 92004 77602 4440 2497 1943 - - shy - - shy - - shy1940 1417269 791003 626266 1231223 690901 540322 178743 95517 83226 4791 2527 2264 - - shy - - shy - - shy

See footnotes at end of table

ational Vital Statistics Reports Vol 60 N

o 3 Decem

ber 29 2011

Table 1 Number of deaths death rates and age-adjusted death rates by race and sex United States 1940 1950 1960 1970 and 1980ndash2009mdashCon [Crude rates are on an annual basis per 100000 population in specified age group age-adjusted rates per 100000 US standard population see lsquolsquoTechnical Notesrsquorsquo Rates are based on populations enumerated as of April 1 for census years and estimated as of July 1 for all other years see lsquolsquoTechnical Notesrsquorsquo Beginning 1970 excludes deaths of nonresidents of the United States Data for specified races other than white and black should be interpreted with caution because of inconsistencies between reporting race on death certificates and on censuses and surveys see lsquolsquoTechnical Notesrsquorsquo Race categories are consistent with the 1977 Office of Management and Budget (OMB) standards]

Death rate

2009 7938 8038 7841 8448 8465 8430 6991 7455 6565 4274 4628 3919 3170 3395 2959 2008 8130 8179 8082 8646 8603 8687 7161 7627 6735 4318 4776 3861 3187 3377 3007 2007 8036 8099 7974 8515 8481 8549 7234 7756 6757 4440 4882 4000 3087 3314 2872 2006 8104 8148 8061 8581 8523 8639 7330 7867 6840 4385 4771 3999 3074 3306 2856 2005 8259 8272 8246 8737 8645 8828 7494 7992 7039 4403 4819 3988 3077 3339 2828 2004 8165 8176 8154 8632 8542 8719 7443 7926 7003 4168 4538 3800 2972 3211 2746 2003 8419 8403 8434 8901 8776 9023 7636 8137 7179 4226 4576 3877 3039 3300 2792 2002 8473 8466 8480 8957 8840 9070 7684 8167 7244 4036 4396 3677 2995 3314 2697 2001 8485 8464 8504 8951 8819 9079 7735 8239 7277 3921 4242 3602 3038 3350 2744 2000 8540 8530 8550 9002 8878 9123 7811 8341 7330 3808 4156 3461 2966 3329 2623 1999 8570 8592 8549 9014 8921 9104 7881 8474 7343 3993 4318 3671 2968 3332 2625 1998 8473 8564 8385 8895 8873 8916 7823 8482 7226 3978 4419 3542 2938 3354 2549 1997 8488 8646 8336 8891 8933 8850 7899 8671 7201 4027 4582 3477 2941 3368 2539 1996 8592 8828 8367 8960 9071 8853 8197 9153 7333 3995 4415 3580 2944 3402 2511 1995 8683 9008 8372 9018 9210 8832 8462 9602 7432 4094 4594 3601 2946 3414 2504 1994 8661 9042 8297 8978 9226 8738 8490 9702 7397 4082 4688 3483 2946 3440 2477 1993 8728 9150 8325 9027 9318 8746 8646 9922 7496 4198 4796 3607 2880 3381 2403 1992 8481 8961 8024 8758 9122 8408 8418 9676 7286 4066 4741 3400 2821 3311 2353 1991 8576 9088 8087 8832 9227 8452 8614 9948 7414 4053 4689 3427 2787 3269 2324 1990 8638 9184 8120 8880 9309 8469 8710 10080 7479 4028 4764 3304 2833 3343 2343 1989 8713 9263 8189 8932 9365 8518 8879 10267 7632 4305 5107 3513 2809 3345 2294 1988 8867 9451 8312 9105 9579 8653 8883 10261 7646 4117 4850 3399 2820 3390 2274 1987 8764 9393 8167 9001 9527 8498 8689 10062 7457 4107 4838 3390 2789 3383 2220 1986 8767 9447 8123 9001 9586 8443 8649 10026 7415 4095 4949 3259 2762 3351 2199 1985 8769 9486 8091 9004 9636 8401 8548 9893 7342 4164 4925 3425 2834 3446 2249 1984 8648 9388 7947 8878 9541 8246 8361 9685 7174 4196 5027 3384 2759 3365 2181 1983 8637 9432 7884 8854 9577 8164 8366 9712 7159 4285 5151 3439 2761 3391 2161 1982 8524 9384 7712 8731 9518 7982 8234 9662 6955 4345 5229 3481 2713 3383 2074 1981 8620 9540 7750 8804 9652 7998 8424 9926 7077 4456 5479 3456 2723 3362 2115 1980 8783 9769 7853 8925 9833 8061 8754 10341 7333 4874 5971 3801 2969 3753 2225 1970 9453 10903 8078 9463 10867 8126 9993 11866 8292 - - shy - - shy - - shy - - shy - - shy - - shy1960 9547 11045 8092 9478 10985 8009 10386 11817 9050 - - shy - - shy - - shy - - shy - - shy - - shy1950 9638 11061 8235 9457 10895 8033 - - shy - - shy - - shy - - shy - - shy - - shy - - shy - - shy - - shy1940 10764 11974 9546 10415 11622 9194 - - shy - - shy - - shy - - shy - - shy - - shy - - shy - - shy - - shy

National Vital Statistics R

eports Vol 60 No 3 D

ecember 29 2011

Age-adjusted death rate5

o 3 Decem

ber 29 2011

- - - Data not available 1For 1940ndash1991 data include deaths among races not shown separately beginning in 1992 records coded as lsquolsquoother racesrsquorsquo and records for which race was unknown not stated or not classifiable were assigned to the race of previous record see lsquolsquoTechnical Notesrsquorsquo 2Multiple-race data were reported by 34 states and the District of Columbia in 2008 and 2009 by 27 states and the District of Columbia in 2007 by 25 states and the District of Columbia in 2006 by 21 states and the District of Columbia in 2005 by 15 states in 2004 and by 7 states in 2003 see lsquolsquoTechnical Notesrsquorsquo The multiple-race data for these reporting areas were bridged to the single-race categories of the 1977 OMB standards for comparability with other reporting areas see lsquolsquoTechnical Notesrsquorsquo 3Includes Aleuts and Eskimos 4Includes Chinese Filipino Hawaiian Japanese and Other Asian or Pacific Islander persons 5For method of computation see lsquolsquoTechnical Notesrsquorsquo

Table 2 Number of deaths death rates and age-adjusted death rates by Hispanic origin race for non-Hispanic population and sex United States 1997ndash2009 [Crude rates are on an annual basis per 100000 population in specified group age-adjusted rates are per 100000 US standard population see lsquolsquoTechnical Notesrsquorsquo Rates are based on populations enumerated as of April 1 for 2000 and are estimated as of July 1 for all other years see lsquolsquoTechnical Notesrsquorsquo Race and Hispanic origin are reported separately on the death certificate Persons of Hispanic origin may be of any race Data for Hispanic persons are not tabulated separately by race data for non-Hispanic persons are tabulated by race Race categories are consistent with the 1977 Office of Management and Budget (OMB) standards Data for Hispanic origin should be interpreted with caution because of inconsistencies between reporting Hispanic origin on death certificates and on censuses and surveys see lsquolsquoTechnical Notesrsquorsquo]

All origins1 Hispanic Non-Hispanic2 Non-Hispanic white3 Non-Hispanic black3

Number

2009 2437163 1217379 1219784 141576 78157 63419 2289999 1135852 1154147 1944606 959014 985592 282982 144197 138785 2008 2471984 1226197 1245787 139241 76861 62380 2327636 1146394 1181242 1981034 969288 1011746 285522 145168 140354 2007 2423712 1203968 1219744 135519 75708 59811 2284446 1125974 1158472 1939606 948662 990944 286366 146474 139892 2006 2426264 1201942 1224322 133004 74250 58754 2288424 1124813 1163611 1944617 947966 996651 286581 146729 139852 2005 2448017 1207675 1240342 131161 73788 57373 2312028 1131013 1181015 1967142 954402 1012740 289163 147010 142153 2004 2397615 1181668 1215947 122416 68544 53872 2269583 1109848 1159735 1933382 938143 995239 283859 144022 139837 2003 2448288 1201964 1246324 122026 68119 53907 2319476 1129927 1189549 1979465 956194 1023271 287968 146136 141832 2002 2443387 1199264 1244123 117135 65703 51432 2318269 1129090 1189179 1981973 957645 1024328 286573 144802 141771 2001 2416425 1183421 1233004 113413 63317 50096 2295244 1115683 1179561 1962810 945967 1016843 284343 143971 140372 2000 2403351 1177578 1225773 107254 60172 47082 2287846 1112704 1175142 1959919 944781 1015138 282676 143297 139379 1999 2391399 1175460 1215939 103740 57991 45749 2279325 1112718 1166607 1953197 944913 1008284 281979 143883 138096 1998 2337256 1157260 1179996 98406 55821 42585 2230127 1096677 1133450 1912802 931844 980958 275264 141627 133637 1997 2314245 1154039 1160206 95460 54348 41112 2209450 1094541 1114909 1895461 929703 965758 273381 142241 131140

Death rate

2009 7938 8038 7841 2924 3119 2715 8856 8987 8731 9619 9656 9583 7282 7771 6834 2008 8130 8179 8082 2966 3169 2749 9053 9122 8987 9820 9782 9855 7452 7943 7005 2007 8036 8099 7974 2978 3218 2721 8920 8998 8845 9641 9604 9676 7507 8051 7010 2006 8104 8148 8061 3001 3239 2746 8971 9028 8917 9685 9620 9747 7591 8153 7080 2005 8259 8272 8246 3073 3344 2782 9112 9126 9100 9818 9706 9926 7744 8257 7276 2004 8165 8176 8154 2962 3211 2697 8994 9009 8980 9678 9574 9777 7688 8187 7234 2003 8419 8403 8434 3058 3307 2793 9244 9229 9259 9936 9791 10076 7888 8406 7416 2002 8473 8466 8480 3022 3287 2740 9288 9280 9295 9975 9839 10106 7928 8423 7480 2001 8485 8464 8504 3068 3329 2790 9262 9236 9286 9911 9756 10061 7981 8497 7512 2000 8540 8530 8550 3038 3313 2746 9296 9281 9310 9932 9785 10073 8055 8595 7567 1999 8570 8592 8549 3057 3326 2772 9299 9322 9278 9907 9796 10013 8121 8728 7573 1998 8473 8564 8385 3039 3360 2700 9160 9253 9071 9729 9692 9765 8056 8737 7441 1997 8488 8646 8336 3090 3432 2729 9139 9304 8983 9674 9706 9643 8135 8929 7419

ecember 29 2011

Table 2 Number of deaths death rates and age-adjusted death rates by Hispanic origin race for non-Hispanic population and sex United States 1997ndash2009mdashCon [Crude rates are on an annual basis per 100000 population in specified group age-adjusted rates are per 100000 US standard population see lsquolsquoTechnical Notesrsquorsquo Rates are based on populations enumerated as of April 1 for 2000 and are estimated as of July 1 for all other years see lsquolsquoTechnical Notesrsquorsquo Race and Hispanic origin are reported separately on the death certificate Persons of Hispanic origin may be of any race Data for Hispanic persons are not tabulated separately by race data for non-Hispanic persons are tabulated by race Race categories are consistent with the 1977 Office of Management and Budget (OMB) standards Data for Hispanic origin should be interpreted with caution because of inconsistencies between reporting Hispanic origin on death certificates and on censuses and surveys see lsquolsquoTechnical Notesrsquorsquo]

2009 7411 8884 6255 5231 6236 4372 7583 9101 6401 7481 8958 6319 9436 11747 7832 2008 7583 9006 6434 5322 6307 4457 7758 9222 6585 7662 9085 6508 9552 11766 7948 2007 7602 9056 6434 5461 6545 4527 7763 9249 6577 7633 9068 6477 9786 12109 8104 2006 7765 9248 6578 5640 6756 4686 7914 9426 6711 7770 9228 6600 10014 12410 8284 2005 7988 9511 6776 5907 7170 4853 8125 9667 6903 7966 9454 6777 10345 12753 8605 2004 8008 9557 6792 5867 7068 4859 8141 9711 6914 7971 9490 6775 10447 12915 8694 2003 8327 9943 7062 6212 7481 5158 8445 10080 7172 8261 9840 7021 10832 13411 8998 2002 8453 10137 7152 6293 7667 5183 8565 10265 7258 8375 10022 7099 10992 13606 9153 2001 8545 10291 7218 6587 8025 5442 8640 10398 7309 8429 10128 7135 11165 13937 9255 2000 8690 10538 7314 6657 8181 5460 8779 10638 7400 8555 10354 7215 11370 14220 9412 1999 8756 10670 7340 6764 8305 5559 8839 10764 7419 8598 10455 7223 11501 14494 9460 1998 8706 10694 7247 6654 8336 5369 8784 10782 7324 8541 10467 7128 11418 14482 9329 1997 8781 10881 7256 6693 8405 5388 8853 10964 7326 8597 10632 7125 11543 14767 9342

1Figures for origin not stated are included in lsquolsquoAll originsrsquorsquo but are not distributed among specified origins 2Includes races other than white and black 3Multiple-race data were reported by 34 states and the District of Columbia in 2008 and 2009 by 27 states and the District of Columbia in 2007 by 25 states and the District of Columbia in 2006 by 21 states and the District of Columbia in 2005 by 15 states in 2004 and by 7 states in 2003 see lsquolsquoTechnical Notesrsquorsquo The multiple-race data for these reporting areas were bridged to the single-race categories of the 1977 OMB standards for comparability with other reporting areas see lsquolsquoTechnical Notesrsquorsquo 4For method of computation see lsquolsquoTechnical Notesrsquorsquo

o 3 Decem

ber 29 2011

Table 3 Number of deaths and death rates by age race and sex United States 2009 [Rates are per 100000 population in specified group Populations used for computing death rates are postcensal estimates based on the 2000 census estimated as of July 1 2009 see lsquolsquoTechnical Notesrsquorsquo Data for specified races other than white and black should be interpreted with caution because of inconsistencies between reporting race on death certificates and on censuses and surveys see lsquolsquoTechnical Notesrsquorsquo]

All races White1 Black1 American Indian or Alaska Native12 Asian or Pacific Islander13

Both Both Both Both Both Race sexes Male Female sexes Male Female sexes Male Female sexes Male Female sexes Male Female

Number

All ages 2437163 1217379 1219784 2086355 1037475 1048880 286623 146239 140384 14960 8105 6855 49225 25560 23665

Under 1 year 26412 14823 11589 16817 9419 7398 8312 4706 3606 385 214 171 898 484 414 1ndash4 years 4450 2495 1955 3141 1780 1361 1077 576 501 83 48 35 149 91 58 5ndash9 years 2523 1398 1125 1767 993 774 582 328 254 52 21 31 122 56 66 10ndash14 years 3128 1850 1278 2238 1321 917 718 427 291 63 36 27 109 66 43 15ndash19 years 11520 8176 3344 8401 5862 2539 2571 1939 632 270 189 81 278 186 92 20ndash24 years 18896 14136 4760 13840 10381 3459 4171 3151 1020 400 279 121 485 325 160 25ndash29 years 20612 14571 6041 15237 10837 4400 4469 3141 1328 379 255 124 527 338 189 30ndash34 years 21890 14628 7262 16252 10943 5309 4727 3097 1630 373 247 126 538 341 197 35ndash39 years 29510 18781 10729 21982 14164 7818 6129 3729 2400 566 361 205 833 527 306 40ndash44 years 45155 27774 17381 34355 21463 12892 9024 5223 3801 695 421 274 1081 667 414 45ndash49 years 76407 46373 30034 59417 36730 22687 14413 8085 6328 1005 582 423 1572 976 596 50ndash54 years 111161 68447 42714 86691 54141 32550 21034 12235 8799 1169 668 501 2267 1403 864 55ndash59 years 137706 85207 52499 108467 67695 40772 25138 15062 10076 1234 727 507 2867 1723 1144 60ndash64 years 165601 98935 66666 135342 81310 54032 25538 14870 10668 1291 769 522 3430 1986 1444 65ndash69 years 185771 107198 78573 155100 89933 65167 25460 14256 11204 1335 719 616 3876 2290 1586 70ndash74 years 215261 118596 96665 182948 101561 81387 26410 13820 12590 1339 722 617 4564 2493 2071 75ndash79 years 274987 143233 131754 239822 126016 113806 28098 13633 14465 1295 625 670 5772 2959 2813 80ndash84 years 352740 167799 184941 315346 151515 163831 29366 12482 16884 1240 594 646 6788 3208 3580 85 years and over 733178 262782 470396 668976 241261 427715 49356 15459 33897 1785 627 1158 13061 5435 7626 Not stated 255 177 78 216 150 66 30 20 10 1 1 ndash 8 6 2

ecember 29 2011

Table 3 Number of deaths and death rates by age race and sex United States 2009mdashCon [Rates are per 100000 population in specified group Populations used for computing death rates are postcensal estimates based on the 2000 census estimated as of July 1 2009 see lsquolsquoTechnical Notesrsquorsquo Data for specified races other than white and black should be interpreted with caution because of inconsistencies between reporting race on death certificates and on censuses and surveys see lsquolsquoTechnical Notesrsquorsquo]

All ages4 7938 8038 7841 8448 8465 8430 6991 7455 6565 4274 4628 3919 3170 3395 2959

Under 1 year5 6198 6804 5564 5179 5672 4663 11705 12985 10370 5445 5953 4919 3844 4045 3634 1ndash4 years 261 287 235 241 267 214 388 408 367 307 350 263 157 189 124 5ndash9 years 122 133 112 110 121 99 181 201 161 178 142 215 110 100 121 10ndash14 years 157 181 131 144 166 121 223 261 184 232 260 203 111 133 89 15ndash19 years 535 740 319 505 685 314 713 1060 356 888 1226 541 282 367 191 20ndash24 years 877 1274 456 822 1193 426 1240 1849 615 1309 1778 813 467 615 313 25ndash29 years 951 1311 572 899 1237 537 1403 1975 832 1313 1707 891 421 551 296 30ndash34 years 1101 1447 742 1047 1368 705 1700 2319 1128 1544 1965 1088 401 525 285 35ndash39 years 1437 1814 1053 1361 1717 989 2207 2841 1639 2479 3076 1848 604 783 433 40ndash44 years 2151 2644 1657 2045 2521 1556 3270 4031 2597 3109 3729 2475 894 1144 662 45ndash49 years 3347 4105 2604 3195 3946 2442 5012 6056 4107 4267 5030 3531 1402 1817 1021 50ndash54 years 5108 6410 3854 4831 6078 3602 8062 10205 6239 5524 6534 4581 2277 2988 1642 55ndash59 years 7257 9257 5373 6852 8707 5061 11841 15761 8631 7127 8754 5627 3381 4406 2504 60ndash64 years 10473 13057 8095 10056 12461 7793 16335 21611 12187 9792 12200 7586 5209 6600 4038 65ndash69 years 15764 19451 12525 15323 18792 12212 23012 30414 17571 14919 17029 13033 8308 10670 6296 70ndash74 years 23897 29052 19625 23645 28668 19403 30922 39424 25003 21143 24813 18023 12927 15587 10724 75ndash79 years 37538 45482 31548 37664 45504 31630 43067 54271 36052 29328 32402 26943 22067 27053 18484 80ndash84 years 60584 73011 52479 61184 73658 52899 64271 79166 56424 42389 49887 37242 37269 44761 32408 85 years and over 130212 147409 122245 131840 149491 123607 134632 154308 127233 67189 70134 65695 79964 91092 73560

ndash Quantity zero 1Race categories are consistent with the 1977 Office of Management and Budget (OMB) standards In 2009 multiple-race data were reported by 34 states and the District of Columbia see lsquolsquoTechnical Notesrsquorsquo The multiple-race data for these reporting areas were bridged to the single-race categories of the 1977 OMB standards for comparability with other reporting areas see lsquolsquoTechnical Notesrsquorsquo 2Includes Aleuts and Eskimos 3Includes Chinese Filipino Hawaiian Japanese and Other Asian or Pacific Islander persons 4Figures for age not stated are included in lsquolsquoAll agesrsquorsquo but not distributed among age groups 5Death rates for lsquolsquoUnder 1 yearrsquorsquo (based on population estimates) differ from infant mortality rates (based on live births) see lsquolsquoTechnical Notesrsquorsquo

o 3 Decem

ber 29 2011

Table 4 Number of deaths and death rates by Hispanic origin race for non-Hispanic population age and sex United States 2009 [Rates are per 100000 population in specified group see lsquolsquoTechnical Notesrsquorsquo Populations used for computing death rates are postcensal estimates based on the 2000 census estimated as of July 1 2009 see lsquolsquoTechnical Notesrsquorsquo Race and Hispanic origin are reported separately on the death certificate Persons of Hispanic origin may be of any race Data for Hispanic persons are not tabulated separately by race data for non-Hispanic persons are tabulated by race Data for Hispanic origin should be interpreted with caution because of inconsistencies between reporting Hispanic origin on death certificates and on censuses and surveys see lsquolsquoTechnical Notesrsquorsquo]

Number

All ages 2437163 1217379 1219784 141576 78157 63419 2289999 1135852 1154147 1944606 959014 985592 282982 144197 138785

Under 1 year 26412 14823 11589 5424 2989 2435 20717 11672 9045 11608 6530 5078 7967 4522 3445 1ndash4 years 4450 2495 1955 1004 539 465 3431 1947 1484 2181 1262 919 1039 561 478 5ndash9 years 2523 1398 1125 553 288 265 1959 1104 855 1236 719 517 563 315 248 10ndash14 years 3128 1850 1278 619 362 257 2495 1482 1013 1631 965 666 703 420 283 15ndash19 years 11520 8176 3344 2087 1538 549 9383 6600 2783 6363 4355 2008 2506 1896 610 20ndash24 years 18896 14136 4760 3100 2454 646 15707 11609 4098 10787 7963 2824 4096 3089 1007 25ndash29 years 20612 14571 6041 3151 2363 788 17369 12148 5221 12125 8514 3611 4385 3077 1308 30ndash34 years 21890 14628 7262 3218 2325 893 18575 12231 6344 13078 8651 4427 4646 3035 1611 35ndash39 years 29510 18781 10729 3742 2573 1169 25646 16135 9511 18287 11621 6666 6025 3665 2360 40ndash44 years 45155 27774 17381 4898 3238 1660 40084 24419 15665 29449 18213 11236 8926 5161 3765 45ndash49 years 76407 46373 30034 6875 4447 2428 69204 41714 27490 52481 32242 20239 14258 7994 6264 50ndash54 years 111161 68447 42714 8351 5508 2843 102376 62645 39731 78259 48585 29674 20804 12072 8732 55ndash59 years 137706 85207 52499 9259 5871 3388 127926 78937 48989 99131 61732 37399 24828 14842 9986 60ndash64 years 165601 98935 66666 9992 6070 3922 155116 92514 62602 125244 75143 50101 25261 14685 10576 65ndash69 years 185771 107198 78573 10437 6009 4428 174845 100864 73981 144557 83839 60718 25187 14083 11104 70ndash74 years 215261 118596 96665 11942 6614 5328 202894 111714 91180 170975 94883 76092 26148 13685 12463 75ndash79 years 274987 143233 131754 14345 7312 7033 260171 135644 124527 225470 118658 106812 27777 13471 14306 80ndash84 years 352740 167799 184941 16153 7599 8554 336076 159949 176127 299194 143895 155299 29008 12319 16689 85 years and over 733178 262782 470396 26397 10039 16358 705919 252458 453461 642473 231198 411275 48832 15289 33543 Not stated 255 177 78 29 19 10 106 66 40 77 46 31 23 16 7

ecember 29 2011

Table 4 Number of deaths and death rates by Hispanic origin race for non-Hispanic population age and sex United States 2009mdashCon [Rates are per 100000 population in specified group see lsquolsquoTechnical Notesrsquorsquo Populations used for computing death rates are postcensal estimates based on the 2000 census estimated as of July 1 2009 see lsquolsquoTechnical Notesrsquorsquo Race and Hispanic origin are reported separately on the death certificate Persons of Hispanic origin may be of any race Data for Hispanic persons are not tabulated separately by race data for non-Hispanic persons are tabulated by race Data for Hispanic origin should be interpreted with caution because of inconsistencies between reporting Hispanic origin on death certificates and on censuses and surveys see lsquolsquoTechnical Notesrsquorsquo]

All ages4 7938 8038 7841 2924 3119 2715 8856 8987 8731 9619 9656 9583 7282 7771 6834

1Figures for origin not stated are included in lsquolsquoAll originsrsquorsquo but not distributed among specified origins 2Includes races other than white and black 3Race categories are consistent with the 1977 Office of Management and Budget (OMB) standards In 2009 multiple-race data were reported by 34 states and the District of Columbia see lsquolsquoTechnical Notesrsquorsquo The multiple-race data for these reporting areas were bridged to the single-race categories of the 1977 OMB standards for comparability with other reporting areas see lsquolsquoTechnical Notesrsquorsquo 4Figures for age not stated are included in lsquolsquoAll agesrsquorsquo but not distributed among age groups 5Death rates for lsquolsquoUnder 1 yearrsquorsquo (based on population estimates) differ from infant mortality rates (based on live births) see lsquolsquoTechnical Notesrsquorsquo

o 3 Decem

ber 29 2011

2009 Table 5 Number of deaths and death rates by age and age-adjusted death rates by specified Hispanic origin race for non-Hispanic population and sex United States

[Rates are per 100000 population in specified group age-adjusted rates are per 100000 US standard population see lsquolsquoTechnical Notesrsquorsquo Populations used for computing death rates for All origins Hispanic non-Hispanic non-Hispanic white and non-Hispanic black persons are postcensal estimates based on the 2000 census estimated as of July 1 2009 populations used for computing death rates for Mexican Puerto Rican Cuban Central and South American and Other and unknown Hispanic persons are based on the Current Population Survey adjusted to resident population control totals The control totals are 2000-based population estimates for the United States for July 1 2009 see lsquolsquoTechnical Notesrsquorsquo Race and Hispanic origin are reported separately on the death certificate Persons of Hispanic origin may be of any race Data for Hispanic persons are not tabulated separately by race data for non-Hispanic persons are tabulated by race Data for Hispanic origin should be interpreted with caution because of inconsistencies between reporting Hispanic origin on death certificates and on censuses and surveys see lsquolsquoTechnical Notesrsquorsquo]

Age Age-Hispanic origin race for All Under 1ndash4 5ndash14 15ndash24 25ndash34 35ndash44 45ndash54 55ndash64 65ndash74 75ndash84 85 years not adjusted

non-Hispanic population and sex ages 1 year1 years years years years years years years years years and over stated rate2

Number

All origins 2437163 26412 4450 5651 30416 42502 74665 187568 303307 401032 627727 733178 255 Male 1217379 14823 2495 3248 22312 29199 46555 114820 184142 225794 311032 262782 177 Female 1219784 11589 1955 2403 8104 13303 28110 72748 119165 175238 316695 470396 78

Hispanic 141576 5424 1004 1172 5187 6369 8640 15226 19251 22379 30498 26397 29 Male 78157 2989 539 650 3992 4688 5811 9955 11941 12623 14911 10039 19 Female 63419 2435 465 522 1195 1681 2829 5271 7310 9756 15587 16358 10

Mexican 80058 3681 714 823 3503 4124 5369 8944 11183 12297 16368 13045 7 Male 45295 2018 383 447 2720 3054 3639 5881 6931 6820 8101 5296 5 Female 34763 1663 331 376 783 1070 1730 3063 4252 5477 8267 7749 2

Puerto Rican 17449 493 68 93 393 618 1040 2025 2800 3206 3755 2954 4 Male 9506 274 39 55 299 440 682 1329 1738 1844 1769 1035 2 Female 7943 219 29 38 94 178 358 696 1062 1362 1986 1919 2

Cuban 13432 78 9 20 105 127 264 696 1098 2187 4215 4633 ndash Male 7013 38 4 13 75 98 184 488 762 1356 2250 1745 ndash Female 6419 40 5 7 30 29 80 208 336 831 1965 2888 ndash

Central and South American 12743 477 107 93 576 837 933 1499 1697 1980 2316 2225 3 Male 6633 277 54 47 450 641 645 939 947 1038 940 653 2 Female 6110 200 53 46 126 196 288 560 750 942 1376 1572 1

Other and unknown Hispanic 17894 695 106 143 610 663 1034 2062 2473 2709 3844 3540 15 Male 9710 382 59 88 448 455 661 1318 1563 1565 1851 1310 10 Female 8184 313 47 55 162 208 373 744 910 1144 1993 2230 5

Non-Hispanic3 2289999 20717 3431 4454 25090 35944 65730 171580 283042 377739 596247 705919 106 Male 1135852 11672 1947 2586 18209 24379 40554 104359 171451 212578 295593 252458 66 Female 1154147 9045 1484 1868 6881 11565 25176 67221 111591 165161 300654 453461 40

White4 1944606 11608 2181 2867 17150 25203 47736 130740 224375 315532 524664 642473 77 Male 959014 6530 1262 1684 12318 17165 29834 80827 136875 178722 262553 231198 46 Female 985592 5078 919 1183 4832 8038 17902 49913 87500 136810 262111 411275 31

Black4 282982 7967 1039 1266 6602 9031 14951 35062 50089 51335 56785 48832 23 Male 144197 4522 561 735 4985 6112 8826 20066 29527 27768 25790 15289 16 Female 138785 3445 478 531 1617 2919 6125 14996 20562 23567 30995 33543 7

Origin not stated5 5588 271 15 25 139 189 295 762 1014 914 982 862 120 Male 3370 162 9 12 111 132 190 506 750 593 528 285 92 Female 2218 109 6 13 28 57 105 256 264 321 454 577 28

ecember 29 2011

Table 5 Number of deaths and death rates by age and age-adjusted death rates by specified Hispanic origin race for non-Hispanic population and sex United States 2009mdashCon [Rates are per 100000 population in specified group age-adjusted rates are per 100000 US standard population see lsquolsquoTechnical Notesrsquorsquo Populations used for computing death rates for All origins Hispanic non-Hispanic non-Hispanic white and non-Hispanic black persons are postcensal estimates based on the 2000 census estimated as of July 1 2009 populations used for computing death rates for Mexican Puerto Rican Cuban Central and South American and Other and unknown Hispanic persons are based on the Current Population Survey adjusted to resident population control totals The control totals are 2000-based population estimates for the United States for July 1 2009 see lsquolsquoTechnical Notesrsquorsquo Race and Hispanic origin are reported separately on the death certificate Persons of Hispanic origin may be of any race Data for Hispanic persons are not tabulated separately by race data for non-Hispanic persons are tabulated by race Data for Hispanic origin should be interpreted with caution because of inconsistencies between reporting Hispanic origin on death certificates and on censuses and surveys see lsquolsquoTechnical Notesrsquorsquo]

All origins7 7938 6198 261 139 706 1023 1798 4206 8719 19288 47744 130212 7411 Male 8038 6804 287 156 1008 1376 2232 5225 10973 23536 57096 147409 8884 Female 7841 5564 235 121 387 654 1360 3216 6618 15648 41127 122245 6255

Puerto Rican 4034 4768 182 115 529 1018 1756 3981 9246 21498 41506 59983 6144 Male 4455 207 129 792 1497 2493 5244 11741 29365 7417 Female 3625 157 101 257 568 1123 2726 6861 15775 38189 5069

Cuban 7783 479 589 1055 2869 6626 13717 32125 5190 Male 8240 670 928 1400 3648 9598 18249 42176 6347 Female 7338 674 1912 3893 9762 25238 4179

Central and South American 1555 2991 183 76 449 550 678 1414 3062 8066 17451 42833 2747 Male 1572 3146 175 75 627 737 893 1907 4015 10650 3414 Female 1536 2800 193 77 222 301 440 986 2356 6364 15773 2295

Other and unknown Hispanic 8367 624 373 1914 2238 3681 8218 13594 23479 55398 9722 Male 9173 677 435 2808 3098 4915 11079 18550 28836 11619 Female 7577 568 303 1018 1393 2548 5639 9318 18721 8129

Category not applicable ndash Quantity zero Figure does not meet standards of reliability or precision see lsquolsquoTechnical Notesrsquorsquo 1Death rates for lsquolsquoUnder 1 yearrsquorsquo (based on population estimates) differ from infant mortality rates (based on live births) see lsquolsquoTechnical Notesrsquorsquo 2For method of computation see lsquolsquoTechnical Notesrsquorsquo 3Includes races other than white and black 4Race categories are consistent with the 1977 Office of Management and Budget (OMB) standards In 2009 multiple-race data were reported by 34 states and the District of Columbia see lsquolsquoTechnical Notesrsquorsquo The multiple-race data for these reporting areas were bridged to the single-race categories of the 1977 OMB standards for comparability with other reporting areas see lsquolsquoTechnical Notesrsquorsquo 5Includes deaths for which Hispanic origin was not reported on the death certificate 6Figures for age not stated are included in lsquolsquoAll agesrsquorsquo but not distributed among age groups 7Figures for origin not stated are included in lsquolsquoAll originsrsquorsquo but not distributed among specified origins

o 3 Decem

ber 29 2011

Table 6 Abridged life table for the total population 2009 [For explanation of the columns of the life table see lsquolsquoUnited States Life Tables 2008rsquorsquo National Vital Statistics Reports Volume 61 Number 3]

Total Probability Number Person-years number of of dying Number dying lived person-years Expectancy between surviving to between between lived above of life at

ages x to x + n age x ages x to x + n ages x to x + n age x age x

Age nqx lx ndx nLx Tx ex

0ndash1 0006372 100000 637 99445 7852687 785 1ndash5 0001049 99363 104 397203 7753242 780 5ndash10 0000611 99259 61 496128 7356040 741 10ndash15 0000779 99198 77 495845 6859912 692 15ndash20 0002664 99121 264 495023 6364067 642 20ndash25 0004377 98857 433 493241 5869045 594 25ndash30 0004745 98424 467 490964 5375804 546 30ndash35 0005491 97957 538 488482 4884840 499 35ndash40 0007153 97419 697 485445 4396358 451 40ndash45 0010672 96722 1032 481216 3910913 404 45ndash50 0016580 95690 1587 474749 3429698 358 50ndash55 0025295 94103 2380 464901 2954949 314 55ndash60 0035801 91723 3284 450828 2490048 271 60ndash65 0051385 88439 4544 431429 2039220 231 65ndash70 0076456 83895 6414 404298 1607791 192 70ndash75 0113839 77481 8820 366501 1203493 155 75ndash80 0174346 68660 11971 314773 836993 122 80ndash85 0270796 56690 15351 246333 522220 92 85ndash90 0421149 41338 17410 163179 275887 67 90ndash95 0602540 23929 14418 81237 112707 47 95ndash100 0771300 9511 7336 26301 31470 33 100 and over 1000000 2175 2175 5169 5169 24

Table 7 Life expectancy at selected ages by race Hispanic origin race for non-Hispanic population and sex United States 2009 [Race categories are consistent with the 1977 Office of Management and Budget standards Race and Hispanic origin are reported separately on the death certificate Persons of Hispanic origin may be of any race Data for Hispanic persons are not tabulated separately by race data for non-Hispanic persons are tabulated by race see lsquolsquoTechnical Notesrsquorsquo]

All races and origins1 White2 Black2 Hispanic3 Non-Hispanic white2 Non-Hispanic black2

Both Both Both Both Both Both Exact age in years sexes Male Female sexes Male Female sexes Male Female sexes Male Female sexes Male Female sexes Male Female

0 785 760 809 788 764 812 745 711 776 812 787 835 787 763 811 742 707 773 1 780 755 804 783 759 806 745 711 775 806 782 829 781 757 804 741 707 772 5 741 716 764 743 719 767 706 672 736 767 742 790 742 718 765 703 668 734 10 692 666 715 694 670 717 656 623 687 718 693 740 692 669 715 653 619 684 15 642 617 665 644 620 667 607 573 637 668 643 691 643 619 666 604 570 635 20 594 569 616 596 572 618 559 526 588 620 596 642 594 571 617 556 523 586 25 546 523 568 548 526 570 512 481 540 572 549 593 547 524 568 509 477 538 30 499 476 519 500 479 521 466 435 492 524 502 544 499 477 520 463 432 490 35 451 429 471 453 432 473 420 390 445 476 454 495 452 431 472 417 387 443 40 404 383 423 406 385 425 374 345 398 429 407 447 405 384 424 371 342 396 45 358 337 377 360 340 378 330 302 353 382 361 399 359 339 377 327 299 351 50 314 294 331 315 296 332 287 260 310 336 316 353 314 295 332 285 258 308 55 271 253 287 272 254 288 248 223 269 292 273 308 272 254 287 246 221 267 60 231 213 244 231 215 245 212 189 230 250 233 263 230 214 244 210 187 228 65 192 176 203 191 177 204 178 158 193 209 194 220 191 176 203 177 157 191 70 155 142 165 155 142 165 146 130 158 171 157 180 154 141 164 146 129 157 75 122 110 129 121 110 129 117 103 126 136 124 143 121 110 129 117 102 125 80 92 82 97 91 82 97 91 79 97 104 93 109 91 82 97 90 78 97 85 67 59 70 66 58 70 68 59 72 76 68 79 66 58 70 68 59 72 90 47 41 49 46 41 48 51 44 53 54 48 56 46 40 48 51 44 53 95 33 29 34 32 28 33 38 33 39 38 34 39 32 28 33 38 33 39 100 24 21 24 23 21 23 29 25 29 27 24 27 23 21 23 29 25 29

1Includes races other than white and black 2Race categories are consistent with the 1977 Office of Management and Budget (OMB) standards Multiple-race data were reported by 34 states and the District of Columbia in 2009 see lsquolsquoTechnical Notesrsquorsquo The multiple-race data for these reporting areas were bridged to the single-race categories of the 1977 OMB standards for comparability with other reporting areas see lsquolsquoTechnical Notesrsquorsquo 3Life expectanies for the Hispanic population are based on death rates adjusted for misclassification see lsquolsquoTechnical Notesrsquorsquo

Table 8 Life expectancy at birth by race Hispanic origin race for non-Hispanic population and sex United States 1940 1950 1960 1970 and 1975ndash2009 [Race categories are consistent with the 1977 Office of Management and Budget standards Race and Hispanic origin are reported separately on the death certificate Persons of Hispanic origin may be of any race Data for Hispanic persons are not tabulated separately by race data for non-Hispanic persons are tabulated by race see lsquolsquoTechnical Notesrsquorsquo]

All races and origins1 White Black Hispanic2 Non-Hispanic white Non-Hispanic black

Both Both Both Both Both Both Years sexes Male Female sexes Male Female sexes Male Female sexes Male Female sexes Male Female sexes Male Female

20093 785 760 809 788 764 812 745 711 776 812 787 835 787 763 811 742 707 773 20083 781 756 806 785 761 809 740 706 772 810 784 833 784 759 808 737 702 769 20073 779 754 804 784 759 808 736 700 768 809 782 834 782 758 806 732 696 765 20063 777 751 802 782 757 806 732 697 765 806 779 831 781 756 804 729 692 762 20053 774 749 799 779 754 804 728 693 761 - - shy - - shy - - shy - - shy - - shy - - shy - - shy - - shy - - shy20043 775 749 799 779 754 804 728 693 760 - - shy - - shy - - shy - - shy - - shy - - shy - - shy - - shy - - shy20033 771 745 796 776 750 800 723 688 756 - - shy - - shy - - shy - - shy - - shy - - shy - - shy - - shy - - shy2002 769 743 795 774 749 799 721 686 754 - - shy - - shy - - shy - - shy - - shy - - shy - - shy - - shy - - shy2001 769 742 794 774 748 799 720 684 752 - - shy - - shy - - shy - - shy - - shy - - shy - - shy - - shy - - shy2000 768 741 793 773 747 799 718 682 751 - - shy - - shy - - shy - - shy - - shy - - shy - - shy - - shy - - shy1999 767 739 794 773 746 799 714 678 747 - - shy - - shy - - shy - - shy - - shy - - shy - - shy - - shy - - shy1998 767 738 795 773 745 800 713 676 748 - - shy - - shy - - shy - - shy - - shy - - shy - - shy - - shy - - shy1997 765 736 794 771 743 799 711 672 747 - - shy - - shy - - shy - - shy - - shy - - shy - - shy - - shy - - shy1996 761 731 791 768 739 797 702 661 742 - - shy - - shy - - shy - - shy - - shy - - shy - - shy - - shy - - shy1995 758 725 789 765 734 796 696 652 739 - - shy - - shy - - shy - - shy - - shy - - shy - - shy - - shy - - shy1994 757 724 790 765 733 796 695 649 739 - - shy - - shy - - shy - - shy - - shy - - shy - - shy - - shy - - shy1993 755 722 788 763 731 795 692 646 737 - - shy - - shy - - shy - - shy - - shy - - shy - - shy - - shy - - shy1992 758 723 791 765 732 798 696 650 739 - - shy - - shy - - shy - - shy - - shy - - shy - - shy - - shy - - shy1991 755 720 789 763 729 796 693 646 738 - - shy - - shy - - shy - - shy - - shy - - shy - - shy - - shy - - shy1990 754 718 788 761 727 794 691 645 736 - - shy - - shy - - shy - - shy - - shy - - shy - - shy - - shy - - shy1989 751 717 785 759 725 792 688 643 733 - - shy - - shy - - shy - - shy - - shy - - shy - - shy - - shy - - shy1988 749 714 783 756 722 789 689 644 732 - - shy - - shy - - shy - - shy - - shy - - shy - - shy - - shy - - shy1987 749 714 783 756 721 789 691 647 734 - - shy - - shy - - shy - - shy - - shy - - shy - - shy - - shy - - shy1986 747 712 782 754 719 788 691 648 734 - - shy - - shy - - shy - - shy - - shy - - shy - - shy - - shy - - shy1985 747 711 782 753 718 787 693 650 734 - - shy - - shy - - shy - - shy - - shy - - shy - - shy - - shy - - shy1984 747 711 782 753 718 787 695 653 736 - - shy - - shy - - shy - - shy - - shy - - shy - - shy - - shy - - shy1983 746 710 781 752 716 787 694 652 735 - - shy - - shy - - shy - - shy - - shy - - shy - - shy - - shy - - shy1982 745 708 781 751 715 787 694 651 736 - - shy - - shy - - shy - - shy - - shy - - shy - - shy - - shy - - shy1981 741 704 778 748 711 784 689 645 732 - - shy - - shy - - shy - - shy - - shy - - shy - - shy - - shy - - shy1980 737 700 774 744 707 781 681 638 725 - - shy - - shy - - shy - - shy - - shy - - shy - - shy - - shy - - shy1979 739 700 778 746 708 784 685 640 729 - - shy - - shy - - shy - - shy - - shy - - shy - - shy - - shy - - shy1978 735 696 773 741 704 780 681 637 724 - - shy - - shy - - shy - - shy - - shy - - shy - - shy - - shy - - shy1977 733 695 772 740 702 779 677 634 720 - - shy - - shy - - shy - - shy - - shy - - shy - - shy - - shy - - shy1976 729 691 768 736 699 775 672 629 716 - - shy - - shy - - shy - - shy - - shy - - shy - - shy - - shy - - shy1975 726 688 766 734 695 773 668 624 713 - - shy - - shy - - shy - - shy - - shy - - shy - - shy - - shy - - shy1970 708 671 747 717 680 756 641 600 683 - - shy - - shy - - shy - - shy - - shy - - shy - - shy - - shy - - shy1960 697 666 731 706 674 741 - - shy - - shy - - shy - - shy - - shy - - shy - - shy - - shy - - shy - - shy - - shy - - shy1950 682 656 711 691 665 722 - - shy - - shy - - shy - - shy - - shy - - shy - - shy - - shy - - shy - - shy - - shy - - shy1940 629 608 652 642 621 666 - - shy - - shy - - shy - - shy - - shy - - shy - - shy - - shy - - shy - - shy - - shy - - shy

- - - Data not available 1Includes races other than white and black 2Life expectancies for the Hispanic population are based on death rates adjusted for misclassification see lsquolsquoTechnical Notesrsquorsquo 3Race categories are consistent with the 1977 Office of Management and Budget (OMB) standards Multiple-race data were reported by 34 states and the District of Columbia in 2009 and 2008 by 27 states and the District of Columbia in 2007 by 25 states and the District of Columbia in 2006 by 21 states and the District of Columbia in 2005 by 15 states in 2004 and by 7 states in 2003 see lsquolsquoTechnical Notesrsquorsquo The multiple-race data for these reporting areas were bridged to the single-race categories of the 1977 OMB standards for comparability with other reporting areas see lsquolsquoTechnical Notesrsquorsquo

Table 9 Death rates by age and age-adjusted death rates for the 15 leading causes of death in 2009 United States 1999ndash2009 [Rates are on an annual basis per 100000 population in specified group age-adjusted rates are per 100000 US standard population see lsquolsquoTechnical Notesrsquorsquo Rates are based on populations enumerated as of April 1 for 2000 and estimated as of July 1 for all other years see lsquolsquoTechnical Notesrsquorsquo The asterisks () preceding the cause-of-death codes indicate that they are not part of the International Classification of Diseases Tenth Revision (ICDndash10) Second Edition see lsquolsquoTechnical Notesrsquorsquo]

Age Age-

Cause of death All Under 1ndash4 5ndash14 15ndash24 25ndash34 35ndash44 45ndash54 55ndash64 65ndash74 75ndash84 85 years adjusted (based on ICDndash10 2004) and year ages1 1 year2 years years years years years years years years years and over rate3

All causes

2009 7938 6198 261 139 706 1023 1798 4206 8719 19288 47744 130212 7411 2008 8130 6505 283 141 756 1033 1797 4204 8792 19956 50177 130151 7583 2007 8036 6845 286 153 799 1049 1844 4209 8777 20113 50116 129465 7602 2006 8104 6907 284 152 822 1063 1902 4275 8909 20621 51150 132531 7765 2005 8259 6925 294 163 814 1044 1933 4320 9069 21371 52600 137986 7988 2004 8165 6852 299 168 801 1021 1935 4270 9103 21646 52751 138235 8008 2003 8419 7000 315 170 815 1036 2016 4332 9409 22550 54631 145933 8327 2002 8473 6950 312 174 814 1036 2029 4301 9524 23147 55569 148283 8453 2001 8485 6834 333 173 807 1052 2036 4289 9646 23533 55824 151128 8545 2000 8540 7367 324 180 799 1014 1989 4256 9922 23991 56665 155244 8690 1999 8570 7360 342 186 793 1022 1980 4182 10050 24573 57145 155546 8756

Diseases of heart (I00ndashI09I11I13I20ndashI51)

2009 1952 91 09 05 24 76 267 828 1934 4317 11993 41150 1801 2008 2029 92 11 06 25 79 267 854 1980 4498 12767 41757 1865 2007 2043 100 11 06 26 79 274 853 2003 4629 13150 42677 1909 2006 2110 84 10 06 25 82 283 880 2073 4903 13831 44808 2002 2005 2200 87 09 06 27 81 289 897 2148 5189 14608 47784 2111 2004 2222 103 12 06 25 79 293 902 2188 5416 15063 48959 2170 2003 2356 110 12 06 27 82 307 925 2332 5850 16111 52784 2323 2002 2417 124 11 06 25 79 305 937 2415 6159 16772 54668 2408 2001 2458 119 15 07 25 80 296 929 2469 6351 17257 56642 2478 2000 2526 130 12 07 26 74 292 942 2612 6656 17803 59261 2576 1999 2599 138 12 07 28 76 302 957 2699 7017 18499 60630 2665

Malignant neoplasms (C00ndashC97)

2009 1849 17 21 22 38 88 301 1135 3071 6823 12014 16198 1732 2008 1860 16 24 22 39 86 299 1136 3090 7015 12358 15661 1753 2007 1866 17 22 24 39 85 308 1143 3154 7155 12563 15902 1784 2006 1870 18 23 22 39 90 319 1163 3212 7272 12638 16061 1807 2005 1887 18 23 25 41 90 332 1186 3269 7427 12748 16377 1838 2004 1886 18 25 25 41 91 334 1190 3334 7551 12804 16533 1858 2003 1915 19 25 26 40 94 350 1222 3430 7703 13025 16982 1901 2002 1932 18 26 26 43 97 358 1238 3511 7921 13119 17239 1935 2001 1944 16 27 25 43 101 368 1265 3565 8028 13158 17656 1960 2000 1965 24 27 25 44 98 366 1275 3667 8163 13356 18194 1996 1999 1970 18 27 25 45 100 371 1276 3746 8271 13315 18058 2008

Chronic lower respiratory diseases (J40ndashJ47)

2009 447 06 04 03 04 07 18 105 407 1506 3728 6529 423 2008 464 07 03 03 04 06 19 99 417 1589 3969 6562 440 2007 424 10 03 03 04 06 18 95 391 1481 3689 5961 408 2006 416 07 03 03 04 06 19 91 392 1493 3634 5891 405 2005 442 08 03 03 04 06 20 94 420 1605 3856 6372 432 2004 415 09 03 03 04 06 20 84 404 1538 3667 6017 411 2003 435 08 03 03 05 07 21 87 433 1632 3830 6351 433 2002 433 10 04 03 05 08 22 87 424 1630 3867 6376 435 2001 432 10 03 03 04 07 22 85 441 1679 3798 6447 437 2000 434 09 03 03 05 07 21 86 442 1694 3861 6486 442 1999 445 09 04 03 05 08 20 85 475 1772 3978 6460 454

Table 9 Death rates by age and age-adjusted death rates for the 15 leading causes of death in 2009 United States 1999ndash2009mdashCon [Rates are on an annual basis per 100000 population in specified group age-adjusted rates are per 100000 US standard population see lsquolsquoTechnical Notesrsquorsquo Rates are based on populations enumerated as of April 1 for 2000 and estimated as of July 1 for all other years see lsquolsquoTechnical Notesrsquorsquo The asterisks () preceding the cause-of-death codes indicate that they are not part of the International Classification of Diseases Tenth Revision (ICDndash10) Second Edition see lsquolsquoTechnical Notesrsquorsquo]

Age Age-

Cerebrovascular diseases (I60ndashI69)

2009 420 34 03 02 04 13 46 138 302 845 2921 9458 389 2008 441 33 04 02 04 13 48 138 310 889 3145 9726 407 2007 451 31 03 02 05 12 49 146 321 930 3223 10155 422 2006 458 34 03 02 05 13 51 147 333 963 3351 10396 436 2005 484 31 04 02 05 14 52 150 330 1011 3590 11418 466 2004 511 31 03 02 05 14 54 149 343 1078 3862 12459 500 2003 542 25 03 02 05 15 55 150 356 1129 4107 13701 535 2002 564 29 03 02 04 14 54 151 372 1203 4310 14459 562 2001 574 27 04 02 05 15 55 151 380 1234 4439 15002 579 2000 596 33 03 02 05 15 58 160 410 1286 4613 15892 609 1999 600 27 03 02 05 14 57 152 406 1308 4698 16148 616

Accidents (unintentional injuries) (V01ndashX59Y85ndashY86)

2009 384 277 86 42 289 338 364 448 372 430 1025 2964 373 2008 401 305 88 46 331 356 378 459 379 447 1062 2890 388 2007 410 302 96 55 374 369 392 463 373 452 1055 2867 400 2006 406 278 99 56 382 370 402 455 362 445 1051 2749 398 2005 397 264 103 60 374 349 386 432 358 463 1061 2795 391 2004 381 258 103 65 370 326 373 407 332 440 1037 2767 377 2003 376 236 109 64 371 315 378 388 329 441 1019 2789 373 2002 370 235 105 66 380 315 372 366 314 442 1013 2754 369 2001 357 242 112 69 361 299 354 341 303 428 1009 2764 357 2000 348 231 119 73 360 295 341 326 309 419 951 2735 349 1999 351 223 124 76 353 296 338 318 306 446 1005 2824 353

Alzheimerrsquos disease (G30)

2009 257 03 21 198 1774 9010 235 2008 271 02 22 215 1933 9101 244 2007 247 02 22 206 1767 8491 227 2006 242 02 21 202 1756 8483 226 2005 242 02 21 205 1773 8616 229 2004 225 02 19 197 1687 8188 218 2003 218 02 20 209 1644 8024 214 2002 204 01 19 197 1581 7523 202 2001 189 02 21 187 1475 7103 191 2000 176 02 20 187 1396 6677 181 1999 160 02 19 174 1295 6013 165

Diabetes mellitus (E10ndashE14)

2009 224 01 04 15 45 128 327 711 1444 2694 209 2008 232 01 05 14 44 127 338 761 1538 2714 218 2007 237 01 04 15 46 131 346 781 1627 2762 225 2006 242 01 04 17 48 132 362 818 1668 2852 233 2005 253 01 05 15 47 134 372 868 1772 3121 246 2004 249 01 04 15 46 134 371 872 1769 3070 245 2003 255 01 04 16 46 139 385 908 1811 3175 253 2002 254 01 04 16 48 137 377 914 1828 3206 254 2001 251 01 04 15 43 136 378 914 1814 3218 253 2000 246 01 04 16 43 131 378 907 1795 3197 250 1999 245 01 04 14 43 129 383 918 1780 3172 250

Age Age-

Influenza and pneumonia (J09ndashJ18)

20094 175 59 09 06 10 19 32 65 119 301 1059 4135 162 2008 185 52 09 02 05 09 21 51 111 311 1191 4652 169 2007 175 52 07 03 04 08 18 44 96 287 1141 4632 162 2006 188 64 08 02 04 08 19 46 100 320 1278 5025 178 2005 213 65 07 03 04 09 21 51 113 355 1422 5939 203 2004 203 67 07 02 04 08 20 46 108 346 1393 5826 198 2003 224 80 10 04 05 09 22 52 112 373 1511 6661 220 2002 228 65 07 02 04 09 22 48 112 375 1569 6966 226 2001 218 74 07 02 05 09 22 46 107 363 1485 6856 220 2000 232 76 07 02 05 09 24 47 119 391 1603 7441 237 1999 228 84 08 02 05 08 24 46 110 372 1570 7518 235

Nephritis nephrotic syndrome and nephrosis (N00ndashN07N17ndashN19N25ndashN27)

2009 159 26 02 06 20 53 138 395 1140 3063 149 2008 159 33 02 06 18 50 143 407 1138 2957 148 2007 154 34 01 01 02 06 17 51 136 401 1130 2906 145 2006 151 39 02 07 18 52 138 394 1114 2905 145 2005 148 39 01 02 07 17 48 136 393 1103 2883 143 2004 145 43 01 02 06 18 50 136 386 1084 2866 142 2003 146 45 01 02 07 18 49 136 401 1095 2931 144 2002 142 43 01 02 07 17 47 130 392 1091 2886 142 2001 139 33 00 02 06 17 46 130 402 1042 2877 140 2000 132 43 01 02 06 16 44 128 380 1008 2778 135 1999 127 44 01 02 06 16 40 120 371 976 2689 130

Intentional self-harm (suicide) (U03X60ndashX84Y870)

2009 120 07 101 128 161 193 167 140 157 156 118 2008 119 06 101 129 158 187 162 139 162 149 116 2007 115 05 97 130 156 177 155 126 163 156 113 2006 111 05 99 123 151 172 145 126 159 159 109 2005 110 07 100 124 149 165 139 126 169 169 109 2004 110 07 103 127 150 166 138 123 163 164 109 2003 108 06 97 127 149 159 138 127 164 169 108 2002 110 06 99 126 153 157 136 135 177 180 109 20015 108 07 99 128 147 152 131 133 174 175 107 2000 104 07 102 120 145 144 121 125 176 196 104 1999 105 06 101 127 143 139 122 134 181 193 105

Septicemia (A40ndashA41)

2009 116 52 04 02 03 09 22 55 133 320 784 1738 109 2008 118 67 06 02 03 09 21 57 135 320 823 1724 111 2007 115 66 05 02 04 07 21 55 129 328 799 1744 110 2006 114 65 05 02 03 07 20 52 128 321 824 1773 110 2005 115 74 05 02 04 08 19 52 129 326 814 1873 112 2004 114 66 05 02 03 08 19 54 129 324 816 1867 112 2003 117 69 05 02 04 08 21 53 131 326 850 2025 116 2002 117 73 05 02 03 08 19 52 126 347 865 2030 117 2001 113 77 07 02 03 07 18 50 123 328 823 2059 114 2000 111 72 06 02 03 07 19 49 119 310 804 2157 113 1999 110 75 06 02 03 07 18 46 114 312 794 2207 113

Age Age-

Chronic liver disease and cirrhosis (K70K73ndashK74)

2009 100 01 11 60 188 263 259 269 201 92 2008 99 01 10 60 185 253 268 281 199 92 2007 97 01 09 60 187 245 267 284 198 91 2006 92 01 08 58 178 228 260 290 194 88 2005 93 01 08 61 177 235 272 290 197 90 2004 92 08 63 180 226 277 288 197 90 2003 95 09 68 183 230 295 300 201 93 2002 95 01 09 70 180 229 294 314 214 94 2001 95 01 10 74 185 227 300 302 222 95 2000 94 01 10 75 177 238 298 310 231 95 1999 94 01 10 73 174 237 306 319 232 96

Essential hypertension and hypertensive renal disease (I10I12I15)

2009 84 01 03 10 31 72 166 505 1983 77 2008 85 01 03 10 30 73 168 521 1956 77 2007 79 01 02 09 28 65 162 495 1911 74 2006 80 00 03 09 30 69 168 510 1894 75 2005 84 01 02 09 27 64 177 556 2100 80 2004 79 01 03 08 27 63 171 526 1985 77 2003 75 01 02 08 25 63 169 517 1889 74 2002 70 01 02 08 23 57 160 482 1804 70 2001 68 01 03 07 24 58 155 477 1719 68 2000 64 02 08 23 59 151 455 1629 65 1999 61 02 07 22 55 152 436 1521 62

Parkinsonrsquos disease (G20ndashG21)

2009 67 02 13 114 701 1497 64 2008 67 02 12 125 714 1429 64 2007 67 01 12 119 719 1435 64 2006 65 02 13 122 698 1448 63 2005 66 02 14 130 712 1437 64 2004 61 02 12 120 675 1358 61 2003 62 02 13 127 678 1382 62 2002 59 01 12 122 639 1352 59 2001 58 01 12 117 646 1342 59 2000 56 01 11 115 619 1319 57 1999 52 01 10 110 582 1244 54

Assault (homicide) (U01ndashU02X85ndashY09 Y871)

2009 55 74 22 08 113 102 67 46 29 23 20 22 55 2008 59 79 25 08 124 113 68 48 29 23 18 21 59 2007 61 83 24 09 131 117 71 49 30 21 21 15 61 2006 62 81 22 10 135 117 69 51 32 21 21 19 62 2005 61 75 23 08 130 118 71 48 28 24 22 21 61 2004 59 80 24 08 122 112 68 48 30 24 22 21 59 2003 61 85 24 08 130 113 70 49 28 24 25 22 60 2002 61 75 27 09 129 112 72 48 32 23 23 21 61 20015 71 82 27 08 133 131 95 63 40 29 25 24 71 2000 60 92 23 09 126 104 71 47 30 24 24 24 59 1999 61 87 25 11 129 105 71 46 30 26 25 24 60

Figure does not meet standards of reliability or precision see lsquolsquoTechnical Notesrsquorsquo Category not applicable 1Figures for age not stated included in lsquolsquoAll agesrsquorsquo but not distributed among age groups 2Death rates for lsquolsquoUnder 1 yearrsquorsquo (based on population estimates) differ from infant mortality rates (based on live births) see lsquolsquoTechnical Notesrsquorsquo 3For method of computation see lsquolsquoTechnical Notesrsquorsquo 4Expanded ICDndash10 code J09 (Influenza due to certain identified influenza virus) was added to the category in 2009 see lsquolsquoTechnical Notesrsquorsquo 5Figures include September 11 2001 related deaths for which death certificates were filed as of October 24 2002 see lsquolsquoTechnical Notesrsquorsquo from Deaths Final Data for 2001

Table 10 Number of deaths from 113 selected causes Enterocolitis due to Clostridium difficile drug-induced causes alcoholndashinduced causes and injury by firearms by age United States 2009 [The asterisks () preceding the cause-of-death codes indicate that they are not part of the International Classification of Diseases Tenth Revision (ICDndash10) Second Edition see lsquolsquoTechnical Notesrsquorsquo]

All Under 1ndash4 5ndash14 15ndash24 25ndash34 35ndash44 45ndash54 55ndash64 65ndash74 75ndash84 85 years Not Cause of death (based on ICDndash10 2004) ages 1 year years years years years years years years years years and over stated

All causes 2437163 26412 4450 5651 30416 42502 74665 187568 303307 401032 627727 733178 255

Salmonella infections (A01ndashA02) 26 3 ndash ndash ndash 1 ndash 2 1 8 5 6 ndash Shigellosis and amebiasis (A03A06) 4 ndash ndash ndash ndash ndash ndash ndash ndash 2 2 ndash ndash Certain other intestinal infections (A04A07ndashA09)1 10251 339 19 9 13 26 60 232 635 1318 3371 4229 ndash Tuberculosis (A16ndashA19) 529 1 ndash ndash 6 17 20 63 84 90 159 89 ndash

Respiratory tuberculosis (A16) 405 ndash ndash ndash 5 14 12 46 63 73 123 69 ndash Other tuberculosis (A17ndashA19) 124 1 ndash ndash 1 3 8 17 21 17 36 20 ndash

o 3 Decem

ber 29 2011

Whooping cough (A37) 15 15 ndash ndash ndash ndash ndash ndash ndash ndash ndash ndash ndash Scarlet fever and erysipelas (A38A46) 5 ndash ndash 1 ndash ndash ndash ndash 1 1 ndash 2 ndash Meningococcal infection (A39) 99 11 10 7 14 13 3 9 12 9 7 4 ndash Septicemia (A40ndashA41) 35639 221 71 70 144 383 925 2433 4628 6662 10313 9788 1 Syphilis (A50ndashA53) 34 ndash ndash ndash ndash ndash 4 6 7 4 9 4 ndash Acute poliomyelitis (A80) ndash ndash ndash ndash ndash ndash ndash ndash ndash ndash ndash ndash ndash Arthropod-borne viral encephalitis (A83ndashA84A852) 2 ndash 1 ndash ndash ndash ndash ndash ndash 1 ndash ndash ndash Measles (B05) 2 ndash ndash ndash ndash ndash ndash 1 ndash ndash 1 ndash ndash Viral hepatitis (B15ndashB19) 7694 ndash ndash 1 5 46 391 2602 3063 865 573 148 ndash Human immunodeficiency virus (HIV) disease (B20ndashB24) 9406 1 1 4 149 881 2425 3388 1854 556 122 24 1 Malaria (B50ndashB54) 3 1 ndash ndash ndash 1 ndash ndash 1 ndash ndash ndash ndash Other and unspecified infectious and parasitic diseases and

their sequelae (A00A05A20ndashA36A42ndashA44A48ndashA49 A54ndashA79A81ndashA82A850ndashA851A858A86ndashB04

B06ndashB09B25ndashB49B55ndashB99) 5849 138 69 49 93 114 224 527 906 1170 1415 1144 ndash Malignant neoplasms (C00ndashC97) 567628 74 350 896 1636 3659 12519 50616 106829 141871 157960 91204 14

Malignant neoplasms of lip oral cavity and pharynx (C00ndashC14) 7922 ndash ndash 2 20 49 205 1043 2032 1930 1687 954 ndash Malignant neoplasm of esophagus (C15) 13908 ndash ndash ndash 7 33 220 1481 3483 3779 3411 1494 ndash Malignant neoplasm of stomach (C16) 11185 ndash ndash ndash 29 126 431 1169 1936 2515 3049 1929 1 Malignant neoplasms of colon rectum and anus (C18ndashC21) 52394 ndash 1 ndash 45 294 1362 4884 9278 11545 14152 10832 1 Malignant neoplasms of liver and intrahepatic bile ducts (C22) 19352 9 15 12 28 82 345 2621 5292 4470 4502 1976 ndash Malignant neoplasm of pancreas (C25) 35628 1 ndash 1 9 61 482 2836 7183 9276 10205 5574 ndash Malignant neoplasm of larynx (C32) 3631 ndash ndash ndash ndash 1 46 441 937 977 867 361 1 Malignant neoplasms of trachea bronchus and lung (C33ndashC34) 158158 4 3 5 25 146 1517 12488 30964 48536 46860 17605 5 Malignant melanoma of skin (C43) 9199 ndash 3 2 38 208 497 1187 1879 1949 2159 1277 ndash Malignant neoplasm of breast (C50) 41078 ndash ndash ndash 11 352 2205 6025 8881 8430 8641 6531 2 Malignant neoplasm of cervix uteri (C53) 3909 ndash ndash ndash 21 187 538 983 894 599 456 231 ndash Malignant neoplasms of corpus uteri and uterus part

unspecified (C54ndashC55) 7713 ndash ndash ndash 3 23 162 655 1705 2117 1900 1148 ndash Malignant neoplasm of ovary (C56) 14436 ndash ndash 4 24 88 339 1548 3155 3624 3601 2053 ndash Malignant neoplasm of prostate (C61) 28088 ndash ndash ndash ndash ndash 19 438 2388 5642 10320 9281 ndash Malignant neoplasms of kidney and renal pelvis (C64ndashC65) 12995 ndash 11 27 20 57 248 1267 2835 3245 3372 1913 ndash Malignant neoplasm of bladder (C67) 14201 ndash ndash ndash 3 11 83 532 1620 2942 4921 4089 ndash Malignant neoplasms of meninges brain and other parts of central nervous system (C70ndashC72) 14176 12 84 306 243 419 859 1973 3187 3254 2752 1087 ndash

Table 10 Number of deaths from 113 selected causes Enterocolitis due to Clostridium difficile drug-induced causes alcoholndashinduced causes and injury by firearms by age United States 2009mdashCon [The asterisks () preceding the cause-of-death codes indicate that they are not part of the International Classification of Diseases Tenth Revision (ICDndash10) Second Edition see lsquolsquoTechnical Notesrsquorsquo]

Malignant neoplasms of lymphoid hematopoietic and related tissue (C81ndashC96) 55406 27 125 282 555 818 1382 3544 7898 12535 17367 10871 2 Hodgkinrsquos disease (C81) 1250 ndash ndash 7 60 109 138 137 187 204 267 141 ndash Non-Hodgkinrsquos lymphoma (C82ndashC85) 20389 ndash 7 31 106 230 451 1320 2934 4492 6573 4245 ndash Leukemia (C91ndashC95) 22606 27 118 244 387 466 685 1417 2987 4958 6830 4486 1 Multiple myeloma and immunoproliferative neoplasms (C88C90) 11094 ndash ndash ndash 1 12 107 669 1783 2865 3677 1979 1 Other and unspecified malignant neoplasms of lymphoid

hematopoietic and related tissue (C96) 67 ndash ndash ndash 1 1 1 1 7 16 20 20 ndash All other and unspecified malignant neoplasms (C17C23ndashC24

C26ndashC31C37ndashC41C44ndashC49C51ndashC52C57ndashC60 C62ndashC63C66C68ndashC69C73ndashC80C97) 64249 21 108 255 555 704 1579 5501 11282 14506 17738 11998 2

In situ neoplasms benign neoplasms and neoplasms of uncertain or unknown behavior (D00ndashD48) 14605 62 53 85 72 148 293 747 1476 2452 4561 4656 ndash

Anemias (D50ndashD64) 4686 13 20 35 93 148 183 263 371 529 1069 1962 ndash Diabetes mellitus (E10ndashE14) 68705 2 1 29 167 604 1872 5725 11361 14785 18991 15168 ndash Nutritional deficiencies (E40ndashE64) 2850 3 6 1 7 21 43 114 234 330 782 1309 ndash

Malnutrition (E40ndashE46) 2680 2 5 1 7 20 39 112 224 314 743 1213 ndash Other nutritional deficiencies (E50ndashE64) 170 1 1 ndash ndash 1 4 2 10 16 39 96 ndash

Meningitis (G00G03) 649 62 18 22 25 35 61 111 118 65 78 54 ndash Parkinsonrsquos disease (G20ndashG21) 20565 ndash ndash ndash 1 5 8 68 455 2380 9219 8429 ndash Alzheimerrsquos disease (G30) 79003 ndash ndash ndash ndash 1 8 112 714 4109 23324 50735 ndash Major cardiovascular diseases (I00ndashI78) 780624 553 207 306 1300 3978 13840 45691 82660 115114 210616 306327 32

Diseases of heart (I00ndashI09I11I13I20ndashI51) 599413 386 154 217 1035 3174 11081 36927 67261 89765 157686 231699 28 Acute rheumatic fever and chronic rheumatic heart

diseases (I00ndashI09) 3234 ndash ndash 4 9 31 66 182 368 552 1001 1021 ndash Hypertensive heart disease (I11) 33157 ndash 2 1 66 398 1422 4061 5324 4431 6349 11100 3 Hypertensive heart and renal disease (I13) 2871 ndash ndash 1 4 26 94 196 293 375 700 1182 ndash Ischemic heart diseases (I20ndashI25) 386324 18 4 15 113 955 5574 23285 46018 62329 104786 143204 23

Acute myocardial infarction (I21ndashI22) 125464 8 ndash 8 42 361 2086 8950 17655 22970 33783 39596 5 Other acute ischemic heart diseases (I24) 4001 3 1 ndash 3 14 91 341 639 724 950 1234 1 Other forms of chronic ischemic heart disease (I20I25) 256859 7 3 7 68 580 3397 13994 27724 38635 70053 102374 17

Atherosclerotic cardiovascular disease so described (I250) 57043 ndash 1 ndash 16 205 1383 5848 10323 9956 12775 16521 15 All other forms of chronic ischemic heart

disease (I20I251ndashI259) 199816 7 2 7 52 375 2014 8146 17401 28679 57278 85853 2 Other heart diseases (I26ndashI51) 173827 368 148 196 843 1764 3925 9203 15258 22078 44850 75192 2

Acute and subacute endocarditis (I33) 1167 1 1 1 6 34 76 185 258 196 268 141 ndash Diseases of pericardium and acute myocarditis (I30ndashI31I40) 847 19 13 19 56 34 65 117 128 135 161 100 ndash Heart failure (I50) 56410 22 9 8 40 90 299 1207 2837 5770 14999 31129 ndash All other forms of heart disease (I26ndashI28I34ndashI38I42ndashI49I51) 115403 326 125 168 741 1606 3485 7694 12035 15977 29422 43822 2

Essential hypertension and hypertensive renal disease (I10I12I15) 25734 1 1 1 23 119 435 1390 2503 3455 6641 11165 ndash

Cerebrovascular diseases (I60ndashI69) 128842 147 47 74 193 537 1916 6163 10523 17578 38407 53253 4 Atherosclerosis (I70) 7377 5 ndash ndash 3 11 21 151 397 706 1922 4161 ndash

ecember 29 2011

Other diseases of circulatory system (I71ndashI78) 19258 14 5 14 46 137 387 1060 1976 3610 5960 6049 ndash Aortic aneurysm and dissection (I71) 10597 2 1 8 25 111 282 718 1144 2156 3426 2724 ndash Other diseases of arteries arterioles and capillaries (I72ndashI78) 8661 12 4 6 21 26 105 342 832 1454 2534 3325 ndash

Other disorders of circulatory system (I80ndashI99) 4118 28 3 3 49 116 359 570 618 566 844 961 1 Influenza and pneumonia (J09ndashJ18)2 53692 251 146 228 418 807 1314 2918 4139 6259 13929 23281 2

Influenza (J09ndashJ11)2 2918 43 55 162 188 316 371 673 472 230 204 204 ndash Pneumonia (J12ndashJ18) 50774 208 91 66 230 491 943 2245 3667 6029 13725 23077 2

Other acute lower respiratory infections (J20ndashJ22U04) 272 47 20 4 6 11 10 24 13 18 32 87 ndash Acute bronchitis and bronchiolitis (J20ndashJ21) 234 46 19 3 6 10 10 20 11 12 25 72 ndash Other and unspecified acute lower respiratory

infections (J22U04) 38 1 1 1 ndash 1 ndash 4 2 6 7 15 ndash Chronic lower respiratory diseases (J40ndashJ47) 137353 27 66 123 187 283 743 4664 14160 31314 49021 36763 2

Bronchitis chronic and unspecified (J40ndashJ42) 639 13 20 4 8 9 14 27 36 87 154 267 ndash Emphysema (J43) 10878 3 1 ndash 3 13 58 423 1358 2919 3883 2217 ndash Asthma (J45ndashJ46) 3388 6 37 114 164 215 295 551 470 399 520 617 ndash Other chronic lower respiratory diseases (J44J47) 122448 5 8 5 12 46 376 3663 12296 27909 44464 33662 2

Pneumoconioses and chemical effects (J60ndashJ66J68) 841 ndash ndash ndash ndash 2 2 16 62 179 339 241 ndash Pneumonitis due to solids and liquids (J69) 15948 7 9 10 50 94 152 500 976 1626 4651 7873 ndash Other diseases of respiratory system (J00ndashJ06

J30ndashJ39J67J70ndashJ98) 30530 263 95 77 153 255 556 1613 3315 5882 9801 8519 1 Peptic ulcer (K25ndashK28) 2956 3 1 2 8 23 72 240 406 435 785 981 ndash Diseases of appendix (K35ndashK38) 426 ndash ndash 16 14 9 26 26 54 71 98 112 ndash Hernia (K40ndashK46) 1801 18 3 5 3 10 37 97 194 285 466 683 ndash Chronic liver disease and cirrhosis (K70K73ndashK74) 30558 3 2 1 23 459 2481 8377 9154 5383 3538 1134 3

Alcoholic liver disease (K70) 15183 ndash ndash ndash 13 332 1809 5283 4869 2027 719 128 3 Other chronic liver disease and cirrhosis (K73ndashK74) 15375 3 2 1 10 127 672 3094 4285 3356 2819 1006 ndash

Cholelithiasis and other disorders of gallbladder (K80ndashK82) 3300 ndash ndash 1 7 26 56 133 268 482 963 1364 ndash Nephritis nephrotic syndrome and

nephrosis (N00ndashN07N17ndashN19N25ndashN27) 48935 111 14 19 86 267 829 2352 4792 8223 14993 17249 ndash Acute and rapidly progressive nephritic and nephrotic

syndrome (N00ndashN01N04) 159 4 4 2 4 ndash 5 5 15 21 48 51 ndash Chronic glomerulonephritis nephritis and nephropathy not

specified as acute or chronic and renal sclerosis unspecified (N02ndashN03N05ndashN07N26) 4909 2 1 2 8 21 51 146 321 589 1457 2311 ndash Renal failure (N17ndashN19) 43840 105 9 15 73 243 771 2199 4452 7610 13483 14880 ndash Other disorders of kidney (N25N27) 27 ndash ndash ndash 1 3 2 2 4 3 5 7 ndash

Infections of kidney (N10ndashN12N136N151) 604 3 1 3 2 14 32 43 78 88 152 188 ndash Hyperplasia of prostate (N40) 446 ndash ndash ndash ndash ndash ndash 1 11 44 136 254 ndash Inflammatory diseases of female pelvic organs (N70ndashN76) 134 ndash 1 ndash 5 5 10 9 19 14 41 30 ndash Pregnancy childbirth and the puerperium (O00ndashO99) 960 227 403 228 95 3 1 ndash ndash ndash

Pregnancy with abortive outcome (O00ndashO07) 34 15 13 3 3 ndash ndash ndash ndash ndash Other complications of pregnancy childbirth and the

puerperium (O10ndashO99) 926 212 390 225 92 3 1 ndash ndash ndash Certain conditions originating in the perinatal period (P00ndashP96) 13116 12999 58 26 18 6 ndash 2 2 3 1 ndash 1

o 3 Decem

ber 29 2011

Congenital malformations deformations and chromosomal abnormalities (Q00ndashQ99) 9883 5319 464 364 457 409 462 677 733 388 315 293 2

Symptoms signs and abnormal clinical and laboratory findings not elsewhere classified (R00ndashR99) 39829 3420 282 138 755 1372 1979 3235 3091 2941 6562 15946 108

All other diseases (residual) 252818 787 530 786 1971 3274 6723 16874 24873 31417 61902 103672 9 Accidents (unintentional injuries) (V01ndashX59Y85ndashY86) 118021 1181 1466 1689 12458 14062 15102 19974 12933 8940 13482 16689 45

Transport accidents (V01ndashV99Y85) 39031 97 510 1060 7960 6253 5515 6334 4604 2949 2566 1172 11 Motor vehicle accidents (V02ndashV04V090V092

V12ndashV14V190ndashV192V194ndashV196V20ndashV79 V803ndashV805V810ndashV811V820ndashV821V83ndashV86

V870ndashV878V880ndashV888V890V892) 36216 95 479 974 7688 5887 5066 5695 4082 2693 2425 1123 9 Other land transport accidents (V01V05ndashV06V091

V093ndashV099V10ndashV11V15ndashV18V193V198ndashV199 V800ndashV802V806ndashV809V812ndashV819V822ndashV829

V879V889V891V893V899) 1033 1 24 44 121 134 152 216 155 94 61 30 1 Water air and space and other and unspecified transport

accidents and their sequelae (V90ndashV99Y85) 1782 1 7 42 151 232 297 423 367 162 80 19 1 Nontransport accidents (W00ndashX59Y86) 78990 1084 956 629 4498 7809 9587 13640 8329 5991 10916 15517 34

Falls (W00ndashW19) 24792 19 46 28 192 302 551 1341 1888 2850 6986 10586 3 Accidental discharge of firearms (W32ndashW34) 554 1 15 32 132 99 76 61 60 46 21 11 ndash Accidental drowning and submersion (W65ndashW74) 3517 45 450 209 548 396 392 507 418 247 203 95 7 Accidental exposure to smoke fire and flames (X00ndashX09) 2756 24 167 141 142 200 233 417 444 386 393 209 ndash Accidental poisoning and exposure to noxious

substances (X40ndashX49) 31758 22 37 50 3044 6209 7388 9675 3913 764 415 235 6 Other and unspecified nontransport accidents and their

sequelae (W20ndashW31W35ndashW64W75ndashW99 X10ndashX39X50ndashX59Y86) 15613 973 241 169 440 603 947 1639 1606 1698 2898 4381 18

Intentional selfndashharm (suicide) (U03X60ndashX84Y870) 36909 265 4371 5320 6677 8598 5808 2917 2063 878 12 Intentional self-harm (suicide) by discharge of firearms (X72ndashX74) 18735 64 2002 2379 2874 3975 3191 2035 1591 622 2 Intentional self-harm (suicide) by other and unspecified means

and their sequelae (U03X60ndashX71X75ndashX84Y870) 18174 201 2369 2941 3803 4623 2617 882 472 256 10 Assault (homicide) (U01ndashU02X85ndashY09Y871) 16799 317 376 305 4862 4222 2762 2066 1011 477 258 125 18

Assault (homicide) by discharge of firearms (U014X93ndashX95) 11493 11 55 168 4051 3300 1869 1152 520 215 114 32 6 Assault (homicide) by other and unspecified means and

their sequelae (U010ndashU013U015ndashU019U02 X85ndashX92X96ndashY09Y871) 5306 306 321 137 811 922 893 914 491 262 144 93 12

Legal intervention (Y35Y890) 395 1 ndash 2 72 116 79 72 39 12 1 1 ndash Events of undetermined intent (Y10ndashY34Y872Y899) 5005 111 69 52 449 776 982 1421 709 215 127 92 2

Discharge of firearms undetermined intent (Y22ndashY24) 232 1 2 5 42 40 38 48 33 13 7 3 ndash Other and unspecified events of undetermined intent and

their sequelae (Y10ndashY21Y25ndashY34Y872Y899) 4773 110 67 47 407 736 944 1373 676 202 120 89 2

ecember 29 2011

Operations of war and their sequelae (Y36Y891) 25 ndash ndash ndash 5 ndash 1 1 4 2 5 7 ndash Complications of medical and surgical care (Y40ndashY84Y88) 2616 17 18 14 35 80 112 260 432 529 645 473 1

Enterocolitis due to Clostridium difficile (A047)3 7251 2 3 ndash 5 5 29 125 428 977 2537 3140 ndash Drug-induced deaths45 39147 32 40 43 3489 7257 8938 12069 5275 1137 585 275 7 Alcohol-induced deaths46 24518 ndash ndash 3 186 752 3141 8391 7381 3209 1194 256 5 Injury by firearms47 31347 14 72 269 6296 5917 4921 5289 3838 2320 1734 669 8

ndash Quantity zero Category not applicable 1Expanded ICDndash10 code A09 (Diarrhea and gastroenteritis of infectious origin) was added to the category in 2009 see lsquolsquoTechnical Notesrsquorsquo 2Expanded ICDndash10 code J09 (Influenza due to certain identified influenza virus) was added to the category in 2009 see lsquolsquoTechnical Notesrsquorsquo 3Included in lsquolsquoCertain other intestinal infections (A04A07ndashA09)rsquorsquo shown above Beginning with data year 2006 Enterocolitis due to Clostridium difficile (A047) is shown separately at the bottom of tables showing 113 selected causes and is included in the list of rankable causes see lsquolsquoTechnical Notesrsquorsquo 4Included in selected categories above 5Includes ICDndash10 codes D521 D590 D592 D611 D642 E064 E160 E231 E242 E273 E661 F111ndashF115 F117ndashF119 F121ndashF125 F127ndashF129 F131ndashF135 F137ndashF139 F141ndashF145 F147ndashF149 F151ndashF155 F157ndashF159 F161ndashF165 F167ndashF169 F173ndashF175 F177ndashF179 F181ndashF185 F187ndashF189 F191ndashF195 F197ndashF199 G211 G240 G251 G254 G256 G444 G620 G720 I952 J702ndashJ704 K853 L105 L270ndashL271 M102 M320 M804 M814 M835 M871 R502 R781ndashR785 X40ndashX44 X60ndashX64 X85 and Y10ndashY14 Trend data for Drug-induced deaths previously shown in this report can be found through a link from the online version of this report available from httpwwwcdcgovnchsdeathshtm 6Includes ICDndash10 codes E244 F10 G312 G621 G721 I426 K292 K70 K852 K860 R780 X45 X65 and Y15 Trend data for Alcohol-induced deaths previously shown in this report can be found through a link from the online version of this report available from httpwwwcdcgovnchsdeathshtm 7Includes ICDndash10 codes U014 W32ndashW34 X72ndashX74 X93ndashX95 Y22ndashY24 and Y350 Trend data for Injury by firearms previously shown in this report can be found through a link from the online version of this report available from httpwwwcdcgovnchsdeathshtm

o 3 Decem

ber 29 2011

Table 11 Death rates for 113 selected causes Enterocolitis due to Clostridium difficile drug-induced causes alcohol-induced causes and injury by firearms by age United States 2009 [Rates are per 100000 population in specified group Populations used for computing death rates are postcensal estimates based on the 2000 census estimated as of July 1 2009 see lsquolsquoTechnical Notesrsquorsquo The asterisks () preceding the cause-of-death codes indicate that they are not part of the International Classification of Diseases Tenth Revision (ICDndash10) Second Edition see lsquolsquoTechnical Notesrsquorsquo]

All Under 1ndash4 5ndash14 15ndash24 25ndash34 35ndash44 45ndash54 55ndash64 65ndash74 75ndash84 85 years Cause of death (based on ICDndash10 2004) ages1 1 year2 years years years years years years years years years and over

All causes 7938 6198 261 139 706 1023 1798 4206 8719 19288 47744 130212

Salmonella infections (A01ndashA02) 00 Shigellosis and amebiasis (A03A06) Certain other intestinal infections (A04A07ndashA09)3 33 80 01 01 05 18 63 256 751 Tuberculosis (A16ndashA19) 02 00 01 02 04 12 16

Respiratory tuberculosis (A16) 01 01 02 04 09 12 Other tuberculosis (A17ndashA19) 00 01 03 04

Whooping cough (A37) Scarlet fever and erysipelas (A38A46) Meningococcal infection (A39) 00 Septicemia (A40ndashA41) 116 52 04 02 03 09 22 55 133 320 784 1738 Syphilis (A50ndashA53) 00 Acute poliomyelitis (A80) Arthropod-borne viral encephalitis (A83ndashA84A852) Measles (B05) Viral hepatitis (B15ndashB19) 25 01 09 58 88 42 44 26 Human immunodeficiency virus (HIV) disease (B20ndashB24) 31 03 21 58 76 53 27 09 04 Malaria (B50ndashB54) Other and unspecified infectious and parasitic diseases and

B06ndashB09B25ndashB49B55ndashB99) 19 32 04 01 02 03 05 12 26 56 108 203 Malignant neoplasms (C00ndashC97) 1849 17 21 22 38 88 301 1135 3071 6823 12014 16198

Malignant neoplasms of lip oral cavity and pharynx (C00ndashC14) 26 00 01 05 23 58 93 128 169 Malignant neoplasm of esophagus (C15) 45 01 05 33 100 182 259 265 Malignant neoplasm of stomach (C16) 36 01 03 10 26 56 121 232 343 Malignant neoplasms of colon rectum and anus (C18ndashC21) 171 01 07 33 110 267 555 1076 1924 Malignant neoplasms of liver and intrahepatic bile ducts (C22) 63 01 02 08 59 152 215 342 351 Malignant neoplasm of pancreas (C25) 116 01 12 64 206 446 776 990 Malignant neoplasm of larynx (C32) 12 01 10 27 47 66 64 Malignant neoplasms of trachea bronchus and lung (C33ndashC34) 515 01 04 37 280 890 2334 3564 3127 Malignant melanoma of skin (C43) 30 01 05 12 27 54 94 164 227 Malignant neoplasm of breast (C50) 134 08 53 135 255 405 657 1160 Malignant neoplasm of cervix uteri (C53) 13 00 04 13 22 26 29 35 41 Malignant neoplasms of corpus uteri and uterus

part unspecified (C54ndashC55) 25 01 04 15 49 102 145 204 Malignant neoplasm of ovary (C56) 47 01 02 08 35 91 174 274 365 Malignant neoplasm of prostate (C61) 91 10 69 271 785 1648 Malignant neoplasms of kidney and renal pelvis (C64ndashC65) 42 01 00 01 06 28 81 156 256 340 Malignant neoplasm of bladder (C67) 46 02 12 47 141 374 726 Malignant neoplasms of meninges brain and other parts

of central nervous system (C70ndashC72) 46 05 08 06 10 21 44 92 157 209 193

ecember 29 2011

Table 11 Death rates for 113 selected causes Enterocolitis due to Clostridium difficile drug-induced causes alcohol-induced causes and injury by firearms by age United States 2009mdashCon [Rates are per 100000 population in specified group Populations used for computing death rates are postcensal estimates based on the 2000 census estimated as of July 1 2009 see lsquolsquoTechnical Notesrsquorsquo The asterisks () preceding the cause-of-death codes indicate that they are not part of the International Classification of Diseases Tenth Revision (ICDndash10) Second Edition see lsquolsquoTechnical Notesrsquorsquo]

Malignant neoplasms of lymphoid hematopoietic and related tissue (C81ndashC96) 180 06 07 07 13 20 33 79 227 603 1321 1931 Hodgkinrsquos disease (C81) 04 01 03 03 03 05 10 20 25 Non-Hodgkinrsquos lymphoma (C82ndashC85) 66 01 02 06 11 30 84 216 500 754 Leukemia (C91ndashC95) 74 06 07 06 09 11 16 32 86 238 519 797 Multiple myeloma and immunoproliferative neoplasms (C88C90) 36 03 15 51 138 280 351 Other and unspecified malignant neoplasms of lymphoid hematopoietic and related tissue (C96) 00 02 04

All other and unspecified malignant neoplasms (C17C23ndashC24C26ndashC31C37ndashC41C44ndashC49

C51ndashC52C57ndashC60C62ndashC63C66C68ndashC69C73ndashC80C97) 209 05 06 06 13 17 38 123 324 698 1349 2131 In situ neoplasms benign neoplasms and neoplasms of uncertain or unknown behavior (D00ndashD48) 48 15 03 02 02 04 07 17 42 118 347 827

Anemias (D50ndashD64) 15 01 01 02 04 04 06 11 25 81 348 Diabetes mellitus (E10ndashE14) 224 01 04 15 45 128 327 711 1444 2694 Nutritional deficiencies (E40ndashE64) 09 01 01 03 07 16 59 232

Malnutrition (E40ndashE46) 09 00 01 03 06 15 57 215 Other nutritional deficiencies (E50ndashE64) 01 03 17

Meningitis (G00G03) 02 15 01 01 01 01 02 03 03 06 10 Parkinsonrsquos disease (G20ndashG21) 67 02 13 114 701 1497 Alzheimerrsquos disease (G30) 257 03 21 198 1774 9010 Major cardiovascular diseases (I00ndashI78) 2543 130 12 08 30 96 333 1025 2376 5536 16019 54403

Diseases of heart (I00ndashI09I11I13I20ndashI51) 1952 91 09 05 24 76 267 828 1934 4317 11993 41150 Acute rheumatic fever and chronic rheumatic heart diseases (I00ndashI09) 11 01 02 04 11 27 76 181

Hypertensive heart disease (I11) 108 02 10 34 91 153 213 483 1971 Hypertensive heart and renal disease (I13) 09 01 02 04 08 18 53 210 Ischemic heart diseases (I20ndashI25) 1258 03 23 134 522 1323 2998 7970 25433

Acute myocardial infarction (I21ndashI22) 409 01 09 50 201 508 1105 2569 7032 Other acute ischemic heart diseases (I24) 13 02 08 18 35 72 219 Other forms of chronic ischemic heart disease (I20I25) 837 02 14 82 314 797 1858 5328 18182

Atherosclerotic cardiovascular disease so described (I250) 186 05 33 131 297 479 972 2934 All other forms of chronic ischemic heart disease (I20I251ndashI259) 651 01 09 48 183 500 1379 4356 15247

Other heart diseases (I26ndashI51) 566 86 09 05 20 42 95 206 439 1062 3411 13354 Acute and subacute endocarditis (I33) 04 01 02 04 07 09 20 25 Diseases of pericardium and acute myocarditis (I30ndashI31I40) 03 01 01 02 03 04 06 12 18 Heart failure (I50) 184 05 01 02 07 27 82 278 1141 5528 All other forms of heart disease (I26ndashI28I34ndashI38I42ndashI49I51) 376 76 07 04 17 39 84 173 346 768 2238 7783

Essential hypertension and hypertensive renal disease (I10I12I15) 84 01 03 10 31 72 166 505 1983 Cerebrovascular diseases (I60ndashI69) 420 34 03 02 04 13 46 138 302 845 2921 9458 Atherosclerosis (I70) 24 01 03 11 34 146 739

o 3 Decem

ber 29 2011

Other diseases of circulatory system (I71ndashI78) 63 01 03 09 24 57 174 453 1074 Aortic aneurysm and dissection (I71) 35 01 03 07 16 33 104 261 484 Other diseases of arteries arterioles and capillaries (I72ndashI78) 28 00 01 03 08 24 70 193 591

Other disorders of circulatory system (I80ndashI99) 13 07 01 03 09 13 18 27 64 171 Influenza and pneumonia (J09ndashJ18)4 175 59 09 06 10 19 32 65 119 301 1059 4135

Influenza (J09ndashJ11)4 10 10 03 04 04 08 09 15 14 11 16 36 Pneumonia (J12ndashJ18) 165 49 05 02 05 12 23 50 105 290 1044 4098

Other acute lower respiratory infections (J20ndashJ22U04) 01 11 01 01 02 15 Acute bronchitis and bronchiolitis (J20ndashJ21) 01 11 00 02 13 Other and unspecified acute lower respiratory infections (J22U04) 00

Chronic lower respiratory diseases (J40ndashJ47) 447 06 04 03 04 07 18 105 407 1506 3728 6529 Bronchitis chronic and unspecified (J40ndashJ42) 02 01 01 01 04 12 47 Emphysema (J43) 35 01 09 39 140 295 394 Asthma (J45ndashJ46) 11 02 03 04 05 07 12 14 19 40 110 Other chronic lower respiratory diseases (J44J47) 399 01 09 82 353 1342 3382 5978

Pneumoconioses and chemical effects (J60ndashJ66J68) 03 02 09 26 43 Pneumonitis due to solids and liquids (J69) 52 01 02 04 11 28 78 354 1398 Other diseases of respiratory system (J00ndashJ06J30ndashJ39J67J70ndashJ98) 99 62 06 02 04 06 13 36 95 283 745 1513 Peptic ulcer (K25ndashK28) 10 01 02 05 12 21 60 174 Diseases of appendix (K35ndashK38) 01 01 01 02 03 07 20 Hernia (K40ndashK46) 06 01 02 06 14 35 121 Chronic liver disease and cirrhosis (K70K73ndashK74) 100 01 11 60 188 263 259 269 201

Alcoholic liver disease (K70) 49 08 44 118 140 97 55 23 Other chronic liver disease and cirrhosis (K73ndashK74) 50 03 16 69 123 161 214 179

Cholelithiasis and other disorders of gallbladder (K80ndashK82) 11 01 01 03 08 23 73 242 Nephritis nephrotic syndrome and nephrosis (N00ndashN07N17ndashN19N25ndashN27) 159 26 02 06 20 53 138 395 1140 3063 Acute and rapidly progressive nephritic and nephrotic syndrome (N00ndashN01N04) 01 01 04 09

Chronic glomerulonephritis nephritis and nephropathy not specified as acute or chronic and renal sclerosis unspecified (N02ndashN03N05ndashN07N26) 16 01 01 03 09 28 111 410

Renal failure (N17ndashN19) 143 25 02 06 19 49 128 366 1025 2643 Other disorders of kidney (N25N27) 00

Infections of kidney (N10ndashN12N136N151) 02 01 01 02 04 12 33 Hyperplasia of prostate (N40) 01 02 10 45 Inflammatory diseases of female pelvic organs (N70ndashN76) 00 03 05

Pregnancy childbirth and the puerperium (O00ndashO99) 03 05 10 05 02 Pregnancy with abortive outcome (O00ndashO07) 00 Other complications of pregnancy childbirth and the puerperium (O10ndashO99) 03 05 09 05 02

Certain conditions originating in the perinatal period (P00ndashP96) 43 3050 03 01

ecember 29 2011

Congenital malformations deformations and chromosomal abnormalities (Q00ndashQ99) 32 1248 27 09 11 10 11 15 21 19 24 52

Symptoms signs and abnormal clinical and laboratory findings not elsewhere classified (R00ndashR99) 130 803 17 03 18 33 48 73 89 141 499 2832

All other diseases (residual) 823 185 31 19 46 79 162 378 715 1511 4708 18412 Accidents (unintentional injuries) (V01ndashX59Y85ndashY86) 384 277 86 42 289 338 364 448 372 430 1025 2964

Transport accidents (V01ndashV99Y85) 127 23 30 26 185 150 133 142 132 142 195 208 Motor vehicle accidents (V02ndashV04V090V092

V870ndashV878V880ndashV888V890V892) 118 22 28 24 178 142 122 128 117 130 184 199 Other land transport accidents (V01V05ndashV06

V091V093ndashV099V10ndashV11V15ndashV18V193 V198ndashV199V800ndashV802V806ndashV809V812ndashV819

V822ndashV829V879V889V891V893V899) 03 01 01 03 03 04 05 04 05 05 05 Water air and space and other and unspecified transport

accidents and their sequelae (V90ndashV99Y85) 06 01 04 06 07 09 11 08 06 Nontransport accidents (W00ndashX59Y86) 257 254 56 15 104 188 231 306 239 288 830 2756

Falls (W00ndashW19) 81 03 01 04 07 13 30 54 137 531 1880 Accidental discharge of firearms (W32ndashW34) 02 01 03 02 02 01 02 02 02 Accidental drowning and submersion (W65ndashW74) 11 11 26 05 13 10 09 11 12 12 15 17 Accidental exposure to smoke fire and flames (X00ndashX09) 09 06 10 03 03 05 06 09 13 19 30 37 Accidental poisoning and exposure to noxious

substances (X40ndashX49) 103 05 02 01 71 149 178 217 112 37 32 42 Other and unspecified nontransport accidents and their

sequelae (W20ndashW31W35ndashW64 W75ndashW99X10ndashX39X50ndashX59Y86) 51 228 14 04 10 15 23 37 46 82 220 778

Intentional self-harm (suicide) (U03X60ndashX84Y870) 120 07 101 128 161 193 167 140 157 156 Intentional self-harm (suicide) by discharge of firearms (X72ndashX74) 61 02 46 57 69 89 92 98 121 110 Intentional self-harm (suicide) by other and unspecified means and

their sequelae (U03X60ndashX71X75ndashX84Y870) 59 05 55 71 92 104 75 42 36 45 Assault (homicide) (U01ndashU02X85ndashY09Y871) 55 74 22 08 113 102 67 46 29 23 20 22

Assault (homicide) by discharge of firearms (U014X93ndashX95) 37 03 04 94 79 45 26 15 10 09 06 Assault (homicide) by other and unspecified means and their

sequelae (U010ndashU013U015ndashU019 U02X85ndashX92X96ndashY09Y871) 17 72 19 03 19 22 22 20 14 13 11 17

Legal intervention (Y35Y890) 01 02 03 02 02 01 Events of undetermined intent (Y10ndashY34Y872Y899) 16 26 04 01 10 19 24 32 20 10 10 16

Discharge of firearms undetermined intent (Y22ndashY24) 01 01 01 01 01 01 Other and unspecified events of undetermined intent and

their sequelae (Y10ndashY21Y25ndashY34 Y872Y899) 16 26 04 01 09 18 23 31 19 10 09 16 Operations of war and their sequelae (Y36Y891) 00 Complications of medical and surgical care (Y40ndashY84Y88) 09 01 02 03 06 12 25 49 84

o 3 Decem

ber 29 2011

Enterocolitis due to Clostridium difficile (A047)5 24 01 03 12 47 193 558 Drug-induced deaths67 128 08 02 01 81 175 215 271 152 55 44 49 Alcohol-induced deaths68 80 04 18 76 188 212 154 91 45 Injury by firearms69 102 04 07 146 142 118 119 110 112 132 119

00 Quantity more than zero but less than 005 Figure does not meet standards of reliability or precision see lsquolsquoTechnical Notesrsquorsquo Category not applicable 1Figures for age not stated included in lsquolsquoAll agesrsquorsquo but not distributed among age groups 2Death rates for lsquolsquoUnder 1 yearrsquorsquo (based on population estimates) differ from infant mortality rates (based on live births) see lsquolsquoTechnical Notesrsquorsquo 3Expanded ICDndash10 code A09 (Diarrhea and gastroenteritis of infectious origin) was added to the category in 2009 see lsquolsquoTechnical Notesrsquorsquo 4Expanded ICDndash10 code J09 (Influenza due to certain identified influenza virus) was added to the category in 2009 see lsquolsquoTechnical Notesrsquorsquo 5Included in lsquolsquoCertain other intestinal infections (A04A07ndashA09)rsquorsquo shown above Beginning with data year 2006 Enterocolitis due to Clostridium difficile (A047) is shown separately at the bottom of tables showing 113 selected causes and is included in the list of rankable causes see lsquolsquoTechnical Notesrsquorsquo 6Included in selected categories above 7Includes ICDndash10 codes D521 D590 D592 D611 D642 E064 E160 E231 E242 E273 E661 F111ndashF115 F117ndashF119 F121ndashF125 F127ndashF129 F131ndashF135 F137ndashF139 F141ndashF145 F147ndashF149 F151ndashF155 F157ndashF159 F161ndashF165 F167ndashF169 F173ndashF175 F177ndashF179 F181ndashF185 F187ndashF189 F191ndashF195 F197ndashF199 G211 G240 G251 G254 G256 G444 G620 G720 I952 J702ndashJ704 K853 L105 L270ndashL271 M102 M320 M804 M814 M835 M871 R502 R781ndashR785 X40ndashX44 X60ndashX64 X85 and Y10ndashY14 Trend data for Drug-induced deaths previously shown in this report can be found through a link from the online version of this report available from httpwwwcdcgovnchsdeathshtm 8Includes ICDndash10 codes E244 F10 G312 G621 G721 I426 K292 K70 K852 K860 R780 X45 X65 and Y15 Trend data for Alcohol-induced deaths previously shown in this report can be found through a link from the online version of this report available from httpwwwcdcgovnchsdeathshtm 9Includes ICDndash10 codes U014 W32ndashW34 X72ndashX74 X93ndashX95 Y22ndashY24 and Y350 Trend data for Injury by firearms previously shown in this report can be found through a link from the online version of this report available from httpwwwcdcgovnchsdeathshtm N

o 3 Decem

ber 29 2011 45

Table 12 Number of deaths from 113 selected causes Enterocolitis due to Clostridium difficile drug-induced causes alcohol-induced causes and injury by firearms by race and sex United States 2009 [Data for specified races other than white and black should be interpreted with caution because of inconsistencies between reporting race on death certificates and on censuses and surveys see lsquolsquoTechnical Notesrsquorsquo The asterisks () preceding the cause-of-death codes indicate that they are not part of the International Classification of Diseases Tenth Revision (ICDndash10) Second Edition see lsquolsquoTechnical Notesrsquorsquo]

Both Both Both Both Both Cause of death (based on ICDndash10 2004) sexes Male Female sexes Male Female sexes Male Female sexes Male Female sexes Male Female

All causes 2437163 1217379 1219784 2086355 1037475 1048880 286623 146239 140384 14960 8105 6855 49225 25560 23665

Salmonella infections (A01ndashA02) 26 12 14 21 10 11 5 2 3 ndash ndash ndash ndash ndash ndash Shigellosis and amebiasis (A03A06) 4 3 1 4 3 1 ndash ndash ndash ndash ndash ndash ndash ndash ndash Certain other intestinal infections (A04A07ndashA09)4 10251 3992 6259 9178 3524 5654 853 362 491 51 32 19 169 74 95 Tuberculosis (A16ndashA19) 529 320 209 310 182 128 119 79 40 14 8 6 86 51 35

Respiratory tuberculosis (A16) 405 251 154 236 136 100 89 61 28 12 8 4 68 46 22 Other tuberculosis (A17ndashA19) 124 69 55 74 46 28 30 18 12 2 ndash 2 18 5 13

Whooping cough (A37) 15 7 8 14 7 7 ndash ndash ndash ndash ndash ndash 1 ndash 1 Scarlet fever and erysipelas (A38A46) 5 2 3 5 2 3 ndash ndash ndash ndash ndash ndash ndash ndash ndash Meningococcal infection (A39) 99 57 42 76 43 33 16 8 8 1 1 ndash 6 5 1 Septicemia (A40ndashA41) 35639 16371 19268 28609 13206 15403 6179 2745 3434 275 127 148 576 293 283 Syphilis (A50ndashA53) 34 22 12 13 7 6 20 14 6 ndash ndash ndash 1 1 ndash Acute poliomyelitis (A80) ndash ndash ndash ndash ndash ndash ndash ndash ndash ndash ndash ndash ndash ndash ndash Arthropod-borne viral encephalitis (A83ndashA84A852) 2 2 ndash 2 2 ndash ndash ndash ndash ndash ndash ndash ndash ndash ndash Measles (B05) 2 1 1 2 1 1 ndash ndash ndash ndash ndash ndash ndash ndash ndash Viral hepatitis (B15ndashB19) 7694 5104 2590 6198 4170 2028 1109 725 384 108 61 47 279 148 131 Human immunodeficiency virus (HIV) disease (B20ndashB24) 9406 6803 2603 3896 3169 727 5377 3535 1842 64 45 19 69 54 15 Malaria (B50ndashB54) 3 ndash 3 1 ndash 1 1 ndash 1 ndash ndash ndash 1 ndash 1 Other and unspecified infectious and parasitic diseases

and their sequelae (A00A05A20ndashA36 A42ndashA44A48ndashA49A54ndashA79A81ndashA82A850ndashA851

A858A86ndashB04 B06ndashB09B25ndashB49B55ndashB99) 5849 3046 2803 4885 2522 2363 758 416 342 56 30 26 150 78 72 Malignant neoplasms (C00ndashC97) 567628 296763 270865 486995 255042 231953 64649 33443 31206 2710 1381 1329 13274 6897 6377

Malignant neoplasms of lip oral cavity and pharynx (C00ndashC14) 7922 5472 2450 6654 4537 2117 970 732 238 42 26 16 256 177 79

Malignant neoplasm of esophagus (C15) 13908 11029 2879 12258 9811 2447 1358 1004 354 65 49 16 227 165 62 Malignant neoplasm of stomach (C16) 11185 6666 4519 8347 4999 3348 1960 1162 798 92 55 37 786 450 336 Malignant neoplasms of colon rectum and

anus (C18ndashC21) 52394 26971 25423 43956 22731 21225 6842 3415 3427 299 145 154 1297 680 617 Malignant neoplasms of liver and intrahepatic

bile ducts (C22) 19352 13035 6317 15227 10179 5048 2726 1910 816 159 100 59 1240 846 394 Malignant neoplasm of pancreas (C25) 35628 17870 17758 30381 15380 15001 4199 1968 2231 133 70 63 915 452 463 Malignant neoplasm of larynx (C32) 3631 2867 764 2941 2301 640 626 512 114 16 14 2 48 40 8 Malignant neoplasms of trachea bronchus and

lung (C33ndashC34) 158158 87741 70417 138111 75906 62205 16334 9695 6639 686 367 319 3027 1773 1254 Malignant melanoma of skin (C43) 9199 5992 3207 9000 5885 3115 136 70 66 19 14 5 44 23 21 Malignant neoplasm of breast (C50) 41078 400 40678 34124 342 33782 5905 55 5850 173 ndash 173 876 3 873 Malignant neoplasm of cervix uteri (C53) 3909 3909 2912 2912 822 822 43 43 132 132 Malignant neoplasms of corpus uteri and uterus

part unspecified (C54ndashC55) 7713 7713 6125 6125 1369 1369 22 22 197 197 Malignant neoplasm of ovary (C56) 14436 14436 12744 12744 1260 1260 85 85 347 347 Malignant neoplasm of prostate (C61) 28088 28088 22777 22777 4794 4794 111 111 406 406

o 3 Decem

ber 29 2011

Table 12 Number of deaths from 113 selected causes Enterocolitis due to Clostridium difficile drug-induced causes alcohol-induced causes and injury by firearms by race and sex United States 2009mdashCon [Data for specified races other than white and black should be interpreted with caution because of inconsistencies between reporting race on death certificates and on censuses and surveys see lsquolsquoTechnical Notesrsquorsquo The asterisks () preceding the cause-of-death codes indicate that they are not part of the International Classification of Diseases Tenth Revision (ICDndash10) Second Edition see lsquolsquoTechnical Notesrsquorsquo]

Malignant neoplasms of kidney and renal pelvis (C64ndashC65) 12995 8321 4674 11365 7303 4062 1268 772 496 95 62 33 267 184 83

Malignant neoplasm of bladder (C67) 14201 10042 4159 12948 9293 3655 1025 596 429 35 26 9 193 127 66 Malignant neoplasms of meninges brain and other

parts of central nervous system (C70ndashC72) 14176 7858 6318 12999 7238 5761 872 451 421 42 22 20 263 147 116 Malignant neoplasms of lymphoid hematopoietic and

related tissue (C81ndashC96) 55406 30928 24478 48676 27308 21368 5285 2846 2439 221 122 99 1224 652 572 Hodgkinrsquos disease (C81) 1250 690 560 1092 598 494 140 81 59 3 3 ndash 15 8 7 Non-Hodgkinrsquos lymphoma (C82ndashC85) 20389 11165 9224 18365 10048 8317 1446 816 630 80 42 38 498 259 239 Leukemia (C91ndashC95) 22606 12977 9629 20143 11643 8500 1868 1009 859 81 50 31 514 275 239 Multiple myeloma and immunoproliferative

neoplasms (C88C90) 11094 6062 5032 9016 4987 4029 1826 938 888 57 27 30 195 110 85 Other and unspecified malignant neoplasms of

lymphoid hematopoietic and related tissue (C96) 67 34 33 60 32 28 5 2 3 ndash ndash ndash 2 ndash 2 All other and unspecified malignant

neoplasms (C17C23ndashC24C26ndashC31C37ndashC41 C44ndashC49C51ndashC52C57ndashC60C62ndashC63

C66C68ndashC69C73ndashC80C97) 64249 33483 30766 55450 29052 26398 6898 3461 3437 372 198 174 1529 772 757 In situ neoplasms benign neoplasms and neoplasms

of uncertain or unknown behavior (D00ndashD48) 14605 7549 7056 12968 6780 6188 1262 571 691 62 32 30 313 166 147 Anemias (D50ndashD64) 4686 1908 2778 3559 1411 2148 1021 445 576 16 4 12 90 48 42 Diabetes mellitus (E10ndashE14) 68705 35054 33651 54113 28205 25908 11960 5488 6472 786 418 368 1846 943 903 Nutritional deficiencies (E40ndashE64) 2850 1092 1758 2421 914 1507 349 139 210 20 10 10 60 29 31

Malnutrition (E40ndashE46) 2680 1032 1648 2265 858 1407 342 139 203 20 10 10 53 25 28 Other nutritional deficiencies (E50ndashE64) 170 60 110 156 56 100 7 ndash 7 ndash ndash ndash 7 4 3

Meningitis (G00G03) 649 358 291 490 274 216 133 72 61 6 3 3 20 9 11 Parkinsonrsquos disease (G20ndashG21) 20565 12088 8477 19401 11407 7994 741 427 314 56 27 29 367 227 140 Alzheimerrsquos disease (G30) 79003 23900 55103 72696 22066 50630 5090 1451 3639 193 65 128 1024 318 706 Major cardiovascular diseases (I00ndashI78) 780624 382750 397874 667744 326672 341072 93120 45670 47450 3527 1962 1565 16233 8446 7787

Diseases of heart (I00ndashI09I11I13I20ndashI51) 599413 307225 292188 515587 263976 251611 69687 35420 34267 2764 1591 1173 11375 6238 5137 Acute rheumatic fever and chronic rheumatic

heart diseases (I00ndashI09) 3234 1071 2163 2849 946 1903 267 89 178 20 5 15 98 31 67 Hypertensive heart disease (I11) 33157 15924 17233 24479 11420 13059 7832 4091 3741 167 89 78 679 324 355 Hypertensive heart and renal disease (I13) 2871 1283 1588 1956 832 1124 825 417 408 8 3 5 82 31 51 Ischemic heart diseases (I20ndashI25) 386324 210069 176255 336238 183453 152785 40521 21051 19470 1813 1086 727 7752 4479 3273

Acute myocardial infarction (I21ndashI22) 125464 68814 56650 109118 60316 48802 13284 6717 6567 600 363 237 2462 1418 1044 Other acute ischemic heart diseases (I24) 4001 2111 1890 3333 1731 1602 568 317 251 49 32 17 51 31 20 Other forms of chronic ischemic heart

disease (I20I25) 256859 139144 117715 223787 121406 102381 26669 14017 12652 1164 691 473 5239 3030 2209 Atherosclerotic cardiovascular disease so

described (I250) 57043 33117 23926 47062 27054 20008 8399 5028 3371 375 244 131 1207 791 416 All other forms of chronic ischemic heart

disease (I20I251ndashI259) 199816 106027 93789 176725 94352 82373 18270 8989 9281 789 447 342 4032 2239 1793

ecember 29 2011

Other heart diseases (I26ndashI51) 173827 78878 94949 150065 67325 82740 20242 9772 10470 756 408 348 2764 1373 1391 Acute and subacute endocarditis (I33) 1167 683 484 950 561 389 187 102 85 11 7 4 19 13 6 Diseases of pericardium and acute

myocarditis (I30ndashI31I40) 847 434 413 648 339 309 169 78 91 9 4 5 21 13 8 Heart failure (I50) 56410 23563 32847 50187 20815 29372 5328 2341 2987 235 127 108 660 280 380 All other forms of heart

disease (I26ndashI28I34ndashI38I42ndashI49I51) 115403 54198 61205 98280 45610 52670 14558 7251 7307 501 270 231 2064 1067 997 Essential hypertension and hypertensive

renal disease (I10I12I15) 25734 10461 15273 20052 8034 12018 4868 2066 2802 104 61 43 710 300 410 Cerebrovascular diseases (I60ndashI69) 128842 52073 76769 108764 43190 65574 15878 6962 8916 561 263 298 3639 1658 1981 Atherosclerosis (I70) 7377 2913 4464 6675 2635 4040 575 227 348 26 12 14 101 39 62 Other diseases of circulatory system (I71ndashI78) 19258 10078 9180 16666 8837 7829 2112 995 1117 72 35 37 408 211 197

Aortic aneurysm and dissection (I71) 10597 6197 4400 9345 5503 3842 939 514 425 30 15 15 283 165 118 Other diseases of arteries arterioles and

capillaries (I72ndashI78) 8661 3881 4780 7321 3334 3987 1173 481 692 42 20 22 125 46 79 Other disorders of circulatory system (I80ndashI99) 4118 1932 2186 3320 1523 1797 712 360 352 26 16 10 60 33 27 Influenza and pneumonia (J09ndashJ18)5 53692 25128 28564 46432 21614 24818 5290 2512 2778 402 193 209 1568 809 759

Influenza (J09ndashJ11)5 2918 1482 1436 2416 1246 1170 312 136 176 79 43 36 111 57 54 Pneumonia (J12ndashJ18) 50774 23646 27128 44016 20368 23648 4978 2376 2602 323 150 173 1457 752 705

Other acute lower respiratory infections (J20ndashJ22U04) 272 112 160 219 92 127 46 17 29 1 ndash 1 6 3 3 Acute bronchitis and bronchiolitis (J20ndashJ21) 234 97 137 186 77 109 43 17 26 ndash ndash ndash 5 3 2 Other and unspecified acute lower respiratory

infections (J22U04) 38 15 23 33 15 18 3 ndash 3 1 ndash 1 1 ndash 1 Chronic lower respiratory diseases (J40ndashJ47) 137353 65119 72234 126733 59465 67268 8530 4503 4027 610 287 323 1480 864 616

Bronchitis chronic and unspecified (J40ndashJ42) 639 258 381 569 227 342 53 24 29 5 3 2 12 4 8 Emphysema (J43) 10878 5604 5274 10110 5137 4973 638 380 258 34 18 16 96 69 27 Asthma (J45ndashJ46) 3388 1220 2168 2299 751 1548 924 410 514 26 7 19 139 52 87

Other chronic lower respiratory diseases (J44J47) 122448 58037 64411 113755 53350 60405 6915 3689 3226 545 259 286 1233 739 494 Pneumoconioses and chemical effects (J60ndashJ66J68) 841 800 41 795 758 37 32 28 4 6 6 ndash 8 8 ndash Pneumonitis due to solids and liquids (J69) 15948 8299 7649 14133 7413 6720 1422 672 750 92 49 43 301 165 136 Other diseases of respiratory system (J00ndashJ06

J30ndashJ39J67J70ndashJ98) 30530 15125 15405 26967 13425 13542 2709 1254 1455 219 109 110 635 337 298 Peptic ulcer (K25ndashK28) 2956 1490 1466 2564 1274 1290 280 155 125 15 9 6 97 52 45 Diseases of appendix (K35ndashK38) 426 254 172 352 210 142 54 34 20 4 2 2 16 8 8 Hernia (K40ndashK46) 1801 753 1048 1610 663 947 160 74 86 11 5 6 20 11 9 Chronic liver disease and cirrhosis (K70K73ndashK74) 30558 19804 10754 26820 17475 9345 2560 1660 900 714 380 334 464 289 175

Alcoholic liver disease (K70) 15183 10881 4302 13318 9659 3659 1172 791 381 506 281 225 187 150 37 Other chronic liver disease and cirrhosis (K73ndashK74) 15375 8923 6452 13502 7816 5686 1388 869 519 208 99 109 277 139 138

Cholelithiasis and other disorders of gallbladder (K80ndashK82) 3300 1514 1786 2883 1333 1550 283 117 166 27 17 10 107 47 60

o 3 Decem

ber 29 2011

Nephritis nephrotic syndrome and nephrosis (N00ndashN07N17ndashN19N25ndashN27) 48935 23930 25005 38758 19312 19446 8808 3974 4834 307 126 181 1062 518 544 Acute and rapidly progressive nephritic and

nephrotic syndrome (N00ndashN01N04) 159 67 92 131 52 79 25 12 13 1 1 ndash 2 2 ndash Chronic glomerulonephritis nephritis and nephropathy

not specified as acute or chronic and renal sclerosis unspecified (N02ndashN03N05ndashN07N26) 4909 2320 2589 3943 1883 2060 816 370 446 28 11 17 122 56 66

Renal failure (N17ndashN19) 43840 21528 22312 34661 17364 17297 7964 3590 4374 277 114 163 938 460 478 Other disorders of kidney (N25N27) 27 15 12 23 13 10 3 2 1 1 ndash 1 ndash ndash ndash Infections of kidney (N10ndashN12N136N151) 604 198 406 518 166 352 72 30 42 3 1 2 11 1 10

Hyperplasia of prostate (N40) 446 446 405 405 32 32 1 1 8 8 Inflammatory diseases of female pelvic organs (N70ndashN76) 134 134 108 108 21 21 2 2 3 3 Pregnancy childbirth and the puerperium (O00ndashO99) 960 960 606 606 307 307 15 15 32 32

Pregnancy with abortive outcome (O00ndashO07) 34 34 16 16 17 17 1 1 ndash ndash Other complications of pregnancy childbirth and the puerperium (O10ndashO99) 926 926 590 590 290 290 14 14 32 32

Certain conditions originating in the perinatal period (P00ndashP96) 13116 7400 5716 7859 4427 3432 4654 2635 2019 148 92 56 455 246 209

Congenital malformations deformations and chromosomal abnormalities (Q00ndashQ99) 9883 5173 4710 7726 4059 3667 1694 888 806 125 62 63 338 164 174

Symptoms signs and abnormal clinical and laboratory findings not elsewhere classified (R00ndashR99) 39829 17773 22056 33480 14538 18942 5588 2865 2723 235 119 116 526 251 275

All other diseases (residual) 252818 102994 149824 219939 88994 130945 27392 11622 15770 1526 696 830 3961 1682 2279 Accidents (unintentional injuries) (V01ndashX59Y85ndashY86) 118021 75022 42999 102170 64501 37669 12074 8083 3991 1733 1150 583 2044 1288 756

Transport accidents (V01ndashV99Y85) 39031 27684 11347 32485 23100 9385 4959 3569 1390 752 501 251 835 514 321 Motor vehicle accidents (V02ndashV04V090V092

V870ndashV878V880ndashV888V890V892) 36216 25430 10786 30081 21176 8905 4667 3331 1336 699 458 241 769 465 304 Other land transport accidents (V01V05ndashV06V091

V879V889V891V893V899) 1033 816 217 834 661 173 146 114 32 31 24 7 22 17 5 Water air and space and other and unspecified transport accidents and their sequelae (V90ndashV99Y85) 1782 1438 344 1570 1263 307 146 124 22 22 19 3 44 32 12

Nontransport accidents (W00ndashX59Y86) 78990 47338 31652 69685 41401 28284 7115 4514 2601 981 649 332 1209 774 435 Falls (W00ndashW19) 24792 12724 12068 22934 11653 11281 1173 683 490 152 87 65 533 301 232 Accidental discharge of firearms (W32ndashW34) 554 497 57 455 410 45 90 80 10 5 4 1 4 3 1 Accidental drowning and submersion (W65ndashW74) 3517 2724 793 2789 2136 653 525 433 92 57 47 10 146 108 38 Accidental exposure to smoke fire and flames (X00ndashX09) 2756 1652 1104 2044 1233 811 635 374 261 34 21 13 43 24 19

Accidental poisoning and exposure to noxious substances (X40ndashX49) 31758 20577 11181 28019 18104 9915 2951 1928 1023 533 350 183 255 195 60

ecember 29 2011

Other and unspecified nontransport accidents and their sequelae (W20ndashW31W35ndashW64

W75ndashW99X10ndashX39X50ndashX59Y86) 15613 9164 6449 13444 7865 5579 1741 1016 725 200 140 60 228 143 85 Intentional self-harm (suicide) (U03X60ndashX84Y870) 36909 29089 7820 33425 26426 6999 2084 1684 400 429 313 116 971 666 305

Intentional self-harm (suicide) by discharge of firearms (X72ndashX74) 18735 16307 2428 17332 15055 2277 1034 939 95 161 133 28 208 180 28

Intentional self-harm (suicide) by other and unspecified means and their sequelae (U03X60ndashX71X75ndashX84Y870) 18174 12782 5392 16093 11371 4722 1050 745 305 268 180 88 763 486 277

Assault (homicide) (U01ndashU02X85ndashY09Y871) 16799 13126 3673 8323 5983 2340 7874 6715 1159 254 193 61 348 235 113 Assault (homicide) by discharge of

firearms (U014X93ndashX95) 11493 9615 1878 4950 3786 1164 6216 5574 642 112 91 21 215 164 51 Assault (homicide) by other and unspecified means and

their sequelae (U010ndashU013U015ndashU019 U02X85ndashX92X96ndashY09Y871) 5306 3511 1795 3373 2197 1176 1658 1141 517 142 102 40 133 71 62

Legal intervention (Y35Y890) 395 373 22 267 249 18 113 109 4 6 6 ndash 9 9 ndash Events of undetermined intent (Y10ndashY34Y872Y899) 5005 3064 1941 4188 2524 1664 648 426 222 83 57 26 86 57 29

Discharge of firearms undetermined intent (Y22ndashY24) 232 191 41 194 158 36 28 24 4 7 7 ndash 3 2 1 Other and unspecified events of undetermined intent and

their sequelae (Y10ndashY21Y25ndashY34Y872Y899) 4773 2873 1900 3994 2366 1628 620 402 218 76 50 26 83 55 28 Operations of war and their sequelae (Y36Y891) 25 24 1 24 24 ndash 1 ndash 1 ndash ndash ndash ndash ndash ndash Complications of medical and surgical care (Y40ndashY84Y88) 2616 1233 1383 2130 1003 1127 421 198 223 21 10 11 44 22 22

Enterocolitis due to Clostridium difficile (A047)6 7251 2856 4395 6619 2598 4021 496 194 302 38 23 15 98 41 57 Drug-induced deaths78 39147 24015 15132 34633 21162 13471 3660 2322 1338 495 292 203 359 239 120 Alcohol-induced deaths79 24518 18088 6430 21066 15629 5437 2340 1721 619 830 511 319 282 227 55 Injury by firearms710 31347 26921 4426 23163 19623 3540 7455 6700 755 291 241 50 438 357 81

ndash Quantity zero Category not applicable 1Race categories are consistent with the 1977 Office of Management and Budget (OMB) standards Multiple-race data were reported by 34 states and the District of Columbia in 2009 see lsquolsquoTechnical Notesrsquorsquo The multiple-race data for these reporting areas were bridged to the single-race categories of the 1977 OMB standards for comparability with other reporting areas see lsquolsquoTechnical Notesrsquorsquo 2Includes Aleuts and Eskimos 3Includes Chinese Filipino Hawaiian Japanese and Other Asian or Pacific Islander persons 4Expanded ICDndash10 code A09 (Diarrhea and gastroenteritis of infectious origin) was added to the category in 2009 see lsquolsquoTechnical Notesrsquorsquo 5Expanded ICDndash10 code J09 (Influenza due to certain identified influenza virus) was added to the category in 2009 see lsquolsquoTechnical Notesrsquorsquo 6Included in lsquolsquoCertain other intestinal infections (A04A07ndashA09)rsquorsquo shown above Beginning with data year 2006 Enterocolitis due to Clostridium difficile (A047) is shown separately at the bottom of tables showing 113 selected causes and is included in the list of rankable causes see lsquolsquoTechnical Notesrsquorsquo 7Included in selected categories above 8Includes ICDndash10 codes D521 D590 D592 D611 D642 E064 E160 E231 E242 E273 E661 F111ndashF115 F117ndashF119 F121ndashF125 F127ndashF129 F131ndashF135 F137ndashF139 F141ndashF145 F147ndashF149 F151ndashF155 F157ndashF159 F161ndashF165 F167ndashF169 F173ndashF175 F177ndashF179 F181ndashF185 F187ndashF189 F191ndashF195 F197ndashF199 G211 G240 G251 G254 G256 G444 G620 G720 I952 J702ndashJ704 K853 L105 L270ndashL271 M102 M320 M804 M814 M835 M871 R502 R781ndashR785 X40ndashX44 X60ndashX64 X85 and Y10ndashY14 Trend data for Drug-induced deaths previously shown in this report can be found through a link from the online version of this report available from httpwwwcdcgovnchsdeathshtm 9Includes ICDndash10 codes E244 F10 G312 G621 G721 I426 K292 K70 K852 K860 R780 X45 X65 and Y15 Trend data for Alcohol-induced deaths previously shown in this report can be found through a link from the online version of this report available from httpwwwcdcgovnchsdeathshtm 10Includes ICDndash10 codes U014 W32ndashW34 X72ndashX74 X93ndashX95 Y22ndashY24 and Y350 Trend data for Injury by firearms previously shown in this report can be found through a link from the online version of this report available from httpwwwcdcgovnchsdeathshtm

o 3 Decem

ber 29 2011

Table 13 Number of deaths from 113 selected causes Enterocolitis due to Clostridium difficile drug-induced causes alcohol-induced causes and injury by firearm by Hispanic origin race for non-Hispanic population and sex United States 2009 [Race and Hispanic origin are reported separately on the death certificate Persons of Hispanic origin may be of any race Data for Hispanic persons are not tabulated separately by race data for non-Hispanic persons are tabulated by race Data for Hispanic origin should be interpreted with caution because of inconsistencies between reporting Hispanic origin on death certificates and on censuses and surveys see lsquolsquoTechnical Notesrsquorsquo The asterisks () preceding the cause-of-death codes indicate that they are not part of the International Classification of Diseases Tenth Revision (ICDndash10) Second Edition see lsquolsquoTechnical Notesrsquorsquo]

All origins Hispanic Non-Hispanic1 Non-Hispanic white2 Non-Hispanic black2 Origin not stated3

Cause of death (based on ICDndash10 2004) Both sexes Male Female

Both sexes Male Female

All causes

Salmonella infections (A01ndashA02) Shigellosis and amebiasis (A03A06)

Certain other intestinal infections (A04A07ndashA09)4

Tuberculosis (A16ndashA19) Respiratory tuberculosis (A16) Other tuberculosis (A17ndashA19)

Whooping cough (A37) Scarlet fever and erysipelas (A38A46) Meningococcal infection (A39) Septicemia (A40ndashA41) Syphilis (A50ndashA53) Acute poliomyelitis (A80) Arthropod-borne viral encephalitis (A83ndashA84A852) Measles (B05) Viral hepatitis (B15ndashB19) Human immunodeficiency virus (HIV)

disease (B20ndashB24) Malaria (B50ndashB54) Other and unspecified infectious and parasitic diseases

A858A86ndashB04B06ndashB09B25ndashB49B55ndashB99) Malignant neoplasms (C00ndashC97)

Malignant neoplasms of lip oral cavity and pharynx (C00ndashC14)

Malignant neoplasm of esophagus (C15) Malignant neoplasm of stomach (C16) Malignant neoplasms of colon rectum and

anus (C18ndashC21) Malignant neoplasms of liver and intrahepatic

bile ducts (C22) Malignant neoplasm of pancreas (C25) Malignant neoplasm of larynx (C32) Malignant neoplasms of trachea bronchus and

lung (C33ndashC34) Malignant melanoma of skin (C43) Malignant neoplasm of breast (C50) Malignant neoplasm of cervix uteri (C53) Malignant neoplasms of corpus uteri and uterus

part unspecified (C54ndashC55)

2437163

10251 529 405 124 15

35639 34

ndash 2 2

9406 3

5849 567628

7922 13908 11185

19352 35628

158158 9199

41078 3909

1217379

3992 320 251

69 7 2

57 16371

22 ndash 2 1

6803 ndash

3046 296763

5472 11029 6666

13035 17870

87741 5992

1219784

6259 209 154

55 8 3

42 19268

12 ndash ndash 1

2603 3

2803 270865

2450 2879 4519

6317 17758

70417 3207

40678 3909

141576

532 89 68 21 9 1

19 2077

3 ndash ndash ndash

1263 ndash

490 29935

394 578

2263 2070

4780 208

2286 486

2 ndash

247 53 37 16 4 ndash

10 1041

2 ndash ndash ndash

985 ndash

271 15772

290 468 805

1512 1054

2962 121 16

ndash 1

285 36 31

5 5 1 9

1036 1 ndash ndash ndash

278 ndash

219 14163

104 110 614

751 1016

1818 87

2270 486

2289999

9703 437 335 102

80 33491

31 ndash 2 2

8071 3

5346 536814

7512 13297

17056 33510

153112 8980

38734 3415

1135852

3738 265 212

53 3 2

47 15294

20 ndash 2 1

5763 ndash

2767 280492

5169 10536

11497 16793

84614 5862

1154147

14 ndash

5965 172 123

49 3 2

33 18197

11 ndash ndash 1

2308 3

2579 256322

2343 2761 3900

5559 16717

68498 3118

38350 3415

1944606

8647 221 167

54 5 4

58 26533

10 ndash 2 2

2640 1

4400 457189

6261 11663 6955

12982 28326

133268 8784

31860 2437

959014

3283 128 98 30 3 2

33 12167

5 ndash 2 1

2197 ndash

2253 239301

4249 9331 4208

8671 14328

72911 5757

985592

11ndash

5364 93 69 24 2 2

25 14366

5 ndash ndash 1

2147 217888

2012 2332 2747

4311 13998

60357 3027

31534 2437

282982

5 ndash

843 118 89 29 ndash ndash

16 6131

20 ndash ndash ndash

5307 1

751 63967

957 1348 1936

2697 4155

16188 134

5849 813

144197

2 ndash

354 79 61 18 ndash ndash 8

3476 ndash

412 33065

720 996

1896 1950

9592 69 55

138785

3 ndash

489 39 28 11 ndash ndash 8

1831 1

339 30902

237 352 789

801 2205

6596 65

5794 813

ndash ndash

16 3 2 1 ndash ndash ndash

71 ndash ndash ndash ndash

72 ndash

13 879

16 33 16

33 48 13

266 11 58 8

ndash ndash 7 2 2 ndash ndash ndash ndash

55 ndash

13 25 11

26 23 10

165 9 ndash

ndash ndash 9 1 ndash 1 ndash ndash ndash

35 ndash ndash ndash ndash 4

17 ndash

7 25 3

ecember 29 2011

Table 13 Number of deaths from 113 selected causes Enterocolitis due to Clostridium difficile drug-induced causes alcohol-induced causes and injury by firearm by Hispanic origin race for non-Hispanic population and sex United States 2009mdashCon [Race and Hispanic origin are reported separately on the death certificate Persons of Hispanic origin may be of any race Data for Hispanic persons are not tabulated separately by race data for non-Hispanic persons are tabulated by race Data for Hispanic origin should be interpreted with caution because of inconsistencies between reporting Hispanic origin on death certificates and on censuses and surveys see lsquolsquoTechnical Notesrsquorsquo The asterisks () preceding the cause-of-death codes indicate that they are not part of the International Classification of Diseases Tenth Revision (ICDndash10) Second Edition see lsquolsquoTechnical Notesrsquorsquo]

Both Both Both Both Both Both Cause of death (based on ICDndash10 2004) sexes Male Female sexes Male Female sexes Male Female sexes Male Female sexes Male Female sexes Male Female

Malignant neoplasm of ovary (C56) 14436 14436 831 831 13593 13593 11932 11932 1244 1244 12 12 Malignant neoplasm of prostate (C61) 28088 28088 1436 1436 26604 26604 21368 21368 4731 4731 48 48 Malignant neoplasms of kidney and renal

pelvis (C64ndashC65) 12995 8321 4674 847 550 297 12125 7756 4369 10514 6751 3763 1253 762 491 23 15 8 Malignant neoplasm of bladder (C67) 14201 10042 4159 503 344 159 13686 9688 3998 12452 8952 3500 1016 591 425 12 10 2 Malignant neoplasms of meninges brain and other

parts of central nervous system (C70ndashC72) 14176 7858 6318 897 493 404 13267 7357 5910 12112 6752 5360 855 438 417 12 8 4 Malignant neoplasms of lymphoid hematopoietic

and related tissue (C81ndashC96) 55406 30928 24478 3500 1944 1556 51838 28947 22891 45202 25376 19826 5227 2814 2413 68 37 31 Hodgkinrsquos disease (C81) 1250 690 560 113 68 45 1137 622 515 981 531 450 139 81 58 ndash ndash ndash Non-Hodgkinrsquos lymphoma (C82ndashC85) 20389 11165 9224 1324 742 582 19043 10411 8632 17053 9311 7742 1427 805 622 22 12 10 Leukemia (C91ndashC95) 22606 12977 9629 1406 761 645 21169 12200 8969 18739 10882 7857 1849 999 850 31 16 15 Multiple myeloma and immunoproliferative

neoplasms (C88C90) 11094 6062 5032 653 369 284 10426 5684 4742 8373 4624 3749 1807 927 880 15 9 6 Other and unspecified malignant neoplasms of

lymphoid hematopoietic and related tissue (C96) 67 34 33 4 4 ndash 63 30 33 56 28 28 5 2 3 ndash ndash ndash

All other and unspecified malignant neoplasms (C17C23ndashC24C26ndashC31

C37ndashC41C44ndashC49C51ndashC52C57ndashC60 C62ndashC63C66C68ndashC69C73ndashC80C97) 64249 33483 30766 3632 1887 1745 60505 31538 28967 51836 27172 24664 6812 3419 3393 112 58 54

In situ neoplasms benign neoplasms and neoplasms of uncertain or unknown behavior (D00ndashD48) 14605 7549 7056 759 388 371 13831 7151 6680 12216 6395 5821 1249 564 685 15 10 5

Anemias (D50ndashD64) 4686 1908 2778 218 103 115 4461 1801 2660 3347 1310 2037 1013 441 572 7 4 3 Diabetes mellitus (E10ndashE14) 68705 35054 33651 6311 3212 3099 62250 31749 30501 47851 24993 22858 11833 5430 6403 144 93 51 Nutritional deficiencies (E40ndashE64) 2850 1092 1758 132 50 82 2711 1037 1674 2285 861 1424 347 137 210 7 5 2

Malnutrition (E40ndashE46) 2680 1032 1648 127 48 79 2546 979 1567 2134 807 1327 340 137 203 7 5 2 Other nutritional deficiencies (E50ndashE64) 170 60 110 5 2 3 165 58 107 151 54 97 7 ndash 7 ndash ndash ndash

Meningitis (G00G03) 649 358 291 82 43 39 564 314 250 409 233 176 130 70 60 3 1 2 Parkinsonrsquos disease (G20ndashG21) 20565 12088 8477 847 484 363 19700 11590 8110 18554 10919 7635 730 422 308 18 14 4 Alzheimerrsquos disease (G30) 79003 23900 55103 2986 973 2013 75932 22897 53035 69695 21087 48608 5042 1430 3612 85 30 55 Major cardiovascular diseases (I00ndashI78) 780624 382750 397874 39352 20937 18415 739525 360796 378729 628219 305568 322651 92009 45080 46929 1747 1017 730

Diseases of heart (I00ndashI09I11I13I20ndashI51) 599413 307225 292188 29611 16301 13310 568378 290046 278332 485779 247489 238290 68811 34935 33876 1424 878 546 Acute rheumatic fever and chronic rheumatic

heart diseases (I00ndashI09) 3234 1071 2163 201 68 133 3032 1002 2030 2654 878 1776 261 88 173 1 1 ndash Hypertensive heart disease (I11) 33157 15924 17233 2020 1105 915 30990 14738 16252 22430 10302 12128 7729 4033 3696 147 81 66 Hypertensive heart and renal disease (I13) 2871 1283 1588 189 97 92 2674 1179 1495 1768 732 1036 818 413 405 8 7 1 Ischemic heart diseases (I20ndashI25) 386324 210069 176255 20228 11519 8709 365119 197912 167207 315810 171752 144058 39956 20721 19235 977 638 339

Acute myocardial infarction (I21ndashI22) 125464 68814 56650 6398 3585 2813 118827 65076 53751 102708 56723 45985 13130 6621 6509 239 153 86 Other acute ischemic heart diseases (I24) 4001 2111 1890 123 66 57 3859 2033 1826 3211 1665 1546 553 306 247 19 12 7

o 3 Decem

ber 29 2011

Other forms of chronic ischemic heart disease (I20I25) 256859 139144 117715 13707 7868 5839 242433 130803 111630 209891 113364 96527 26273 13794 12479 719 473 246 Atherosclerotic cardiovascular disease

so described (I250) 57043 33117 23926 3224 2155 1069 53423 30690 22733 43620 24748 18872 8265 4933 3332 396 272 124 All other forms of chronic ischemic heart

disease (I20I251ndashI259) 199816 106027 93789 10483 5713 4770 189010 100113 88897 166271 88616 77655 18008 8861 9147 323 201 122 Other heart diseases (I26ndashI51) 173827 78878 94949 6973 3512 3461 166563 75215 91348 143117 63825 79292 20047 9680 10367 291 151 140

Acute and subacute endocarditis (I33) 1167 683 484 93 55 38 1072 628 444 857 507 350 186 102 84 2 ndash 2 Diseases of pericardium and acute

myocarditis (I30ndashI31I40) 847 434 413 77 43 34 767 390 377 574 296 278 164 77 87 3 1 2 Heart failure (I50) 56410 23563 32847 2013 915 1098 54314 22609 31705 48156 19887 28269 5290 2324 2966 83 39 44 All other forms of heart

disease (I26ndashI28I34ndashI38I42ndashI49I51) 115403 54198 61205 4790 2499 2291 110410 51588 58822 93530 43135 50395 14407 7177 7230 203 111 92 Essential hypertension and hypertensive

renal disease (I10I12I15) 25734 10461 15273 1524 733 791 24166 9712 14454 18552 7316 11236 4819 2045 2774 44 16 28 Cerebrovascular diseases (I60ndashI69) 128842 52073 76769 7065 3288 3777 121540 48687 72853 101703 39912 61791 15718 6892 8826 237 98 139 Atherosclerosis (I70) 7377 2913 4464 299 134 165 7067 2775 4292 6376 2500 3876 568 226 342 11 4 7 Other diseases of circulatory

system (I71ndashI78) 19258 10078 9180 853 481 372 18374 9576 8798 15809 8351 7458 2093 982 1111 31 21 10 Aortic aneurysm and dissection (I71) 10597 6197 4400 434 274 160 10145 5911 4234 8908 5227 3681 928 507 421 18 12 6 Other diseases of arteries arterioles and

capillaries (I72ndashI78) 8661 3881 4780 419 207 212 8229 3665 4564 6901 3124 3777 1165 475 690 13 9 4 Other disorders of circulatory system (I80ndashI99) 4118 1932 2186 276 140 136 3827 1783 2044 3054 1388 1666 696 353 343 15 9 6 Influenza and pneumonia (J09ndashJ18)5 53692 25128 28564 3679 1882 1797 49905 23181 26724 42752 19736 23016 5214 2463 2751 108 65 43

Influenza (J09ndashJ11)5 2918 1482 1436 573 325 248 2337 1152 1185 1847 921 926 306 134 172 8 5 3 Pneumonia (J12ndashJ18) 50774 23646 27128 3106 1557 1549 47568 22029 25539 40905 18815 22090 4908 2329 2579 100 60 40

Other acute lower respiratory infections (J20ndashJ22U04) 272 112 160 26 13 13 244 98 146 192 78 114 45 17 28 2 1 1 Acute bronchitis and bronchiolitis (J20ndashJ21) 234 97 137 24 12 12 208 84 124 161 64 97 42 17 25 2 1 1 Other and unspecified acute lower

respiratory infections (J22U04) 38 15 23 2 1 1 36 14 22 31 14 17 3 ndash 3 ndash ndash ndash Chronic lower respiratory diseases (J40ndashJ47) 137353 65119 72234 4026 2024 2002 133095 62954 70141 122605 57370 65235 8444 4457 3987 232 141 91

Bronchitis chronic and unspecified (J40ndashJ42) 639 258 381 39 17 22 599 240 359 533 211 322 52 23 29 1 1 ndash Emphysema (J43) 10878 5604 5274 283 155 128 10567 5429 5138 9811 4969 4842 628 374 254 28 20 8 Asthma (J45ndashJ46) 3388 1220 2168 302 129 173 3076 1088 1988 2012 633 1379 905 397 508 10 3 7 Other chronic lower respiratory

diseases (J44J47) 122448 58037 64411 3402 1723 1679 118853 56197 62656 110249 51557 58692 6859 3663 3196 193 117 76 Pneumoconioses and chemical

effects (J60ndashJ66J68) 841 800 41 14 13 1 824 786 38 779 745 34 32 28 4 3 1 2 Pneumonitis due to solids and liquids (J69) 15948 8299 7649 644 346 298 15276 7938 7338 13489 7068 6421 1405 664 741 28 15 13

ecember 29 2011

Other diseases of respiratory system (J00ndashJ06 J30ndashJ39J67J70ndashJ98) 30530 15125 15405 1932 950 982 28549 14152 14397 25037 12472 12565 2676 1242 1434 49 23 26

Peptic ulcer (K25ndashK28) 2956 1490 1466 167 94 73 2783 1392 1391 2397 1178 1219 277 155 122 6 4 2 Diseases of appendix (K35ndashK38) 426 254 172 45 30 15 381 224 157 309 182 127 52 32 20 ndash ndash ndash Hernia (K40ndashK46) 1801 753 1048 99 42 57 1698 709 989 1509 619 890 158 74 84 4 2 2 Chronic liver disease and cirrhosis (K70K73ndashK74) 30558 19804 10754 4303 2969 1334 26160 16761 9399 22520 14494 8026 2518 1636 882 95 74 21

Alcoholic liver disease (K70) 15183 10881 4302 2287 1874 413 12841 8962 3879 11032 7781 3251 1152 777 375 55 45 10 Other chronic liver disease and

cirrhosis (K73ndashK74) 15375 8923 6452 2016 1095 921 13319 7799 5520 11488 6713 4775 1366 859 507 40 29 11 Cholelithiasis and other disorders of

gallbladder (K80ndashK82) 3300 1514 1786 251 115 136 3041 1395 1646 2627 1217 1410 281 115 166 8 4 4 Nephritis nephrotic syndrome and

nephrosis (N00ndashN07N17ndashN19N25ndashN27) 48935 23930 25005 3107 1593 1514 45729 22284 23445 35670 17735 17935 8727 3930 4797 99 53 46 Acute and rapidly progressive nephritic and

nephrotic syndrome (N00ndashN01N04) 159 67 92 15 7 8 142 59 83 115 44 71 24 12 12 2 1 1 Chronic glomerulonephritis nephritis and nephropathy

not specified as acute or chronic and renal sclerosis unspecified (N02ndashN03N05ndashN07N26) 4909 2320 2589 274 142 132 4623 2171 2452 3666 1741 1925 808 363 445 12 7 5

Renal failure (N17ndashN19) 43840 21528 22312 2815 1441 1374 40940 20042 20898 31869 15940 15929 7892 3553 4339 85 45 40 Other disorders of kidney (N25N27) 27 15 12 3 3 ndash 24 12 12 20 10 10 3 2 1 ndash ndash ndash

Infections of kidney (N10ndashN12N136N151) 604 198 406 38 13 25 565 185 380 480 153 327 72 30 42 1 ndash 1 Hyperplasia of prostate (N40) 446 446 25 25 420 420 382 382 29 29 1 1 Inflammatory diseases of female pelvic

organs (N70ndashN76) 134 134 12 12 122 122 96 96 21 21 ndash ndash Pregnancy childbirth and the puerperium (O00ndashO99) 960 960 181 181 776 776 425 425 305 305 3 3

Pregnancy with abortive outcome (O00ndashO07) 34 34 7 7 27 27 9 9 17 17 ndash ndash Other complications of pregnancy childbirth and the puerperium (O10ndashO99) 926 926 174 174 749 749 416 416 288 288 3 3

Certain conditions originating in the perinatal period (P00ndashP96) 13116 7400 5716 2618 1462 1156 10351 5852 4499 5363 3019 2344 4456 2533 1923 147 86 61

Congenital malformations deformations and chromosomal abnormalities (Q00ndashQ99) 9883 5173 4710 1851 969 882 7974 4171 3803 5915 3108 2807 1633 857 776 58 33 25

Symptoms signs and abnormal clinical and laboratory findings not elsewhere classified (R00ndashR99) 39829 17773 22056 2188 1210 978 37423 16422 21001 31200 13267 17933 5494 2804 2690 218 141 77

All other diseases (residual) 252818 102994 149824 12867 5967 6900 239448 96780 142668 207008 82980 124028 27101 11491 15610 503 247 256 Accidents (unintentional injuries) (V01ndashX59Y85ndashY86) 118021 75022 42999 10654 7841 2813 106812 66791 40021 91416 56607 34809 11810 7894 3916 555 390 165

Transport accidents (V01ndashV99Y85) 39031 27684 11347 5067 3780 1287 33773 23757 10016 27438 19332 8106 4839 3479 1360 191 147 44 Motor vehicle accidents (V02ndashV04V090

V092V12ndashV14V190ndashV192V194ndashV196V20ndashV79 V803ndashV805V810ndashV811V820ndashV821V83ndashV86

V870ndashV878V880ndashV888V890V892) 36216 25430 10786 4789 3553 1236 31251 21745 9506 25313 17637 7676 4554 3248 1306 176 132 44

o 3 Decem

ber 29 2011

Other land transport accidents (V01V05ndashV06 V091V093ndashV099V10ndashV11V15ndashV18V193

V198ndashV199V800ndashV802V806ndashV809 V812ndashV819V822ndashV829V879V889

V891V893V899) 1033 816 217 157 128 29 868 680 188 677 533 144 141 109 32 8 8 ndash Water air and space and other and

unspecified transport accidents and their sequelae (V90ndashV99Y85) 1782 1438 344 121 99 22 1654 1332 322 1448 1162 286 144 122 22 7 7 ndash

Nontransport accidents (W00ndashX59Y86) 78990 47338 31652 5587 4061 1526 73039 43034 30005 63978 37275 26703 6971 4415 2556 364 243 121 Falls (W00ndashW19) 24792 12724 12068 1242 782 460 23480 11901 11579 21661 10856 10805 1149 668 481 70 41 29 Accidental discharge of firearms (W32ndashW34) 554 497 57 47 43 4 505 452 53 406 365 41 90 80 10 2 2 ndash Accidental drowning and

submersion (W65ndashW74) 3517 2724 793 505 406 99 2993 2304 689 2287 1732 555 512 425 87 19 14 5 Accidental exposure to smoke fire and

flames (X00ndashX09) 2756 1652 1104 156 110 46 2580 1529 1051 1881 1119 762 628 370 258 20 13 7 Accidental poisoning and exposure to

noxious substances (X40ndashX49) 31758 20577 11181 2584 1969 615 28979 18476 10503 25355 16090 9265 2894 1886 1008 195 132 63 Other and unspecified nontransport accidents and

their sequelae (W20ndashW31W35ndashW64 W75ndashW99X10ndashX39X50ndashX59Y86) 15613 9164 6449 1053 751 302 14502 8372 6130 12388 7113 5275 1698 986 712 58 41 17

Intentional self-harm (suicide) (U03X60ndashX84Y870) 36909 29089 7820 2573 2135 438 34188 26834 7354 30813 24248 6565 2034 1649 385 148 120 28 Intentional self-harm (suicide) by

discharge of firearms (X72ndashX74) 18735 16307 2428 955 863 92 17725 15393 2332 16351 14168 2183 1024 929 95 55 51 4 Intentional self-harm (suicide) by other and

unspecified means and their sequelae (U03 X60ndashX71X75ndashX84Y870) 18174 12782 5392 1618 1272 346 16463 11441 5022 14462 10080 4382 1010 720 290 93 69 24

Assault (homicide) (U01ndashU02X85ndashY09Y871) 16799 13126 3673 3179 2635 544 13456 10358 3098 5163 3363 1800 7733 6605 1128 164 133 31 Assault (homicide) by discharge of

firearms (U014X93ndashX95) 11493 9615 1878 2115 1881 234 9275 7644 1631 2860 1930 930 6117 5488 629 103 90 13 Assault (homicide) by other and unspecified means

and their sequelae (U010ndashU013 U015ndashU019U02X85ndashX92X96ndashY09Y871) 5306 3511 1795 1064 754 310 4181 2714 1467 2303 1433 870 1616 1117 499 61 43 18

Legal intervention (Y35Y890) 395 373 22 72 72 ndash 321 300 21 194 176 18 112 109 3 2 1 1 Events of undetermined

intent (Y10ndashY34Y872Y899) 5005 3064 1941 346 228 118 4633 2818 1815 3843 2293 1550 634 417 217 26 18 8 Discharge of firearms undetermined

intent (Y22ndashY24) 232 191 41 21 16 5 209 173 36 171 140 31 28 24 4 2 2 ndash Other and unspecified events of undetermined

intent and their sequelae (Y10ndashY21Y25ndashY34 Y872Y899) 4773 2873 1900 325 212 113 4424 2645 1779 3672 2153 1519 606 393 213 24 16 8

ecember 29 2011

Operations of war and their sequelae (Y36Y891) 25 24 1 2 2 ndash 23 22 1 22 22 ndash 1 ndash 1 ndash ndash ndash

Complications of medical and surgical care (Y40ndashY84Y88) 2616 1233 1383 160 74 86 2450 1155 1295 1971 929 1042 416 195 221 6 4 2

Enterocolitis due to Clostridium difficile (A047)6 7251 2856 4395 324 145 179 6915 2705 4210 6294 2456 3838 489 188 301 12 6 6 Drug-induced deaths78 39147 24015 15132 2811 2013 798 36124 21864 14260 31749 19107 12642 3588 2274 1314 212 138 74 Alcohol-induced deaths79 24518 18088 6430 3139 2618 521 21265 15375 5890 17902 12986 4916 2299 1688 611 114 95 19 Injury by firearms710 31347 26921 4426 3202 2867 335 27981 23908 4073 19955 16752 3203 7345 6604 741 164 146 18

ndash Quantity zero Category not applicable 1Includes races other than white and black 2Race categories are consistent with the 1977 Office of Management and Budget (OMB) standards Multiple-race data were reported by 34 states and the District of Columbia in 2009 see lsquolsquoTechnical Notesrsquorsquo The multiple-race data for these reporting areas were bridged to the single-race categories of the 1977 OMB standards for comparability with other reporting areas see lsquolsquoTechnical Notesrsquorsquo 3Includes deaths for which Hispanic origin was not reported on the death certificate 4Expanded ICDndash10 code A09 (Diarrhea and gastroenteritis of infectious origin) was added to the category in 2009 see lsquolsquoTechnical Notesrsquorsquo 5Expanded ICDndash10 code J09 (Influenza due to certain identified influenza virus) was added to the category in 2009 see lsquolsquoTechnical Notesrsquorsquo 6Included in lsquolsquoCertain other intestinal infections (A04A07ndashA09)rsquorsquo shown above Beginning with data year 2006 Enterocolitis due to Clostridium difficile (A047) is shown separately at the bottom of tables showing 113 selected causes and is included in the list of rankable causes see lsquolsquoTechnical Notesrsquorsquo 7Included in selected categories above 8Includes ICDndash10 codes D521 D590 D592 D611 D642 E064 E160 E231 E242 E273 E661 F111ndashF115 F117ndashF119 F121ndashF125 F127ndashF129 F131ndashF135 F137ndashF139 F141ndashF145 F147ndashF149 F151ndashF155 F157ndashF159 F161ndashF165 F167ndashF169 F173ndashF175 F177ndashF179 F181ndashF185 F187ndashF189 F191ndashF195 F197ndashF199 G211 G240 G251 G254 G256 G444 G620 G720 I952 J702ndashJ704 K853 L105 L270ndashL271 M102 M320 M804 M814 M835 M871 R502 R781ndashR785 X40ndashX44 X60ndashX64 X85 and Y10ndashY14 Trend data for Drug-induced deaths previously shown in this report can be found through a link from the online version of this report available from httpwwwcdcgovnchsdeathshtm 9Includes ICDndash10 codes E244 F10 G312 G621 G721 I426 K292 K70 K852 K860 R780 X45 X65 and Y15 Trend data for Alcohol-induced deaths previously shown in this report can be found through a link from the online version of this report available from httpwwwcdcgovnchsdeathshtm 10Includes ICDndash10 codes U014 W32ndashW34 X72ndashX74 X93ndashX95 Y22ndashY24 and Y350 Trend data for Injury by firearms previously shown in this report can be found through a link from the online version of this report available from httpwwwcdcgovnchsdeathshtm

o 3 Decem

ber 29 2011

Table 14 Death rates for 113 selected causes Enterocolitis due to Clostridium difficile drug-induced causes alcohol-induced causes and injury by firearms by race and sex United States 2009 [Rates are per 100000 population in specified group Populations used for computing death rates are postcensal estimates based on the 2000 census estimated as of July 1 2009 see lsquolsquoTechnical Notesrsquorsquo Data for specified races other than white and black should be interpreted with caution because of inconsistencies between reporting race on death certificates and on censuses and surveys see lsquolsquoTechnical Notesrsquorsquo The asterisks () preceding the cause-of-death codes indicate that they are not part of the International Classification of Diseases Tenth Revision (ICDndash10) Second Edition see lsquolsquoTechnical Notesrsquorsquo]

All causes 7938 8038 7841 8448 8465 8430 6991 7455 6565 4274 4628 3919 3170 3395 2959

Salmonella infections (A01ndashA02) 00 00 Shigellosis and amebiasis (A03A06) Certain other intestinal infections (A04A07ndashA09)4 33 26 40 37 29 45 21 18 23 15 18 11 10 12 Tuberculosis (A16ndashA19) 02 02 01 01 01 01 03 04 02 06 07 04

Respiratory tuberculosis (A16) 01 02 01 01 01 01 02 03 01 04 06 03 Other tuberculosis (A17ndashA19) 00 00 00 00 00 00 01

Whooping cough (A37) Scarlet fever and erysipelas (A38A46) Meningococcal infection (A39) 00 00 00 00 00 00 Septicemia (A40ndashA41) 116 108 124 116 108 124 151 140 161 79 73 85 37 39 35 Syphilis (A50ndashA53) 00 00 00 Acute poliomyelitis (A80) Arthropod-borne viral encephalitis (A83ndashA84A852) Measles (B05) Viral hepatitis (B15ndashB19) 25 34 17 25 34 16 27 37 18 31 35 27 18 20 16 Human immunodeficiency virus (HIV)

disease (B20ndashB24) 31 45 17 16 26 06 131 180 86 18 26 04 07 Malaria (B50ndashB54) Other and unspecified infectious and parasitic diseases

and their sequelae (A00A05A20ndashA36A42ndashA44 A48ndashA49A54ndashA79A81ndashA82A850ndashA851A858

A86ndashB04 B06ndashB09B25ndashB49B55ndashB99) 19 20 18 20 21 19 18 21 16 16 17 15 10 10 09 Malignant neoplasms (C00ndashC97) 1849 1959 1741 1972 2081 1864 1577 1705 1459 774 789 760 855 916 797

Malignant neoplasms of lip oral cavity and pharynx (C00ndashC14) 26 36 16 27 37 17 24 37 11 12 15 16 24 10

Malignant neoplasm of esophagus (C15) 45 73 19 50 80 20 33 51 17 19 28 15 22 08 Malignant neoplasm of stomach (C16) 36 44 29 34 41 27 48 59 37 26 31 21 51 60 42 Malignant neoplasms of colon rectum and

bile ducts (C22) 63 86 41 62 83 41 66 97 38 45 57 34 80 112 49 Malignant neoplasm of pancreas (C25) 116 118 114 123 125 121 102 100 104 38 40 36 59 60 58 Malignant neoplasm of larynx (C32) 12 19 05 12 19 05 15 26 05 03 05 Malignant neoplasms of trachea bronchus and

lung (C33ndashC34) 515 579 453 559 619 500 398 494 310 196 210 182 195 235 157 Malignant melanoma of skin (C43) 30 40 21 36 48 25 03 04 03 03 03 03 Malignant neoplasm of breast (C50) 134 03 261 138 03 272 144 03 274 49 99 56 109 Malignant neoplasm of cervix uteri (C53) 13 25 12 23 20 38 12 25 09 17 Malignant neoplasms of corpus uteri and uterus

part unspecified (C54ndashC55) 25 50 25 49 33 64 06 13 13 25

ecember 29 2011

Table 14 Death rates for 113 selected causes Enterocolitis due to Clostridium difficile drug-induced causes alcohol-induced causes and injury by firearms by race and sex United States 2009mdashCon [Rates are per 100000 population in specified group Populations used for computing death rates are postcensal estimates based on the 2000 census estimated as of July 1 2009 see lsquolsquoTechnical Notesrsquorsquo Data for specified races other than white and black should be interpreted with caution because of inconsistencies between reporting race on death certificates and on censuses and surveys see lsquolsquoTechnical Notesrsquorsquo The asterisks () preceding the cause-of-death codes indicate that they are not part of the International Classification of Diseases Tenth Revision (ICDndash10) Second Edition see lsquolsquoTechnical Notesrsquorsquo]

Malignant neoplasm of ovary (C56) 47 93 52 102 31 59 24 49 22 43 Malignant neoplasm of prostate (C61) 91 185 92 186 117 244 32 63 26 54 Malignant neoplasms of kidney and

renal pelvis (C64ndashC65) 42 55 30 46 60 33 31 39 23 27 35 19 17 24 10 Malignant neoplasm of bladder (C67) 46 66 27 52 76 29 25 30 20 10 15 12 17 08 Malignant neoplasms of meninges brain and

other parts of central nervous system (C70ndashC72) 46 52 41 53 59 46 21 23 20 12 13 11 17 20 15 Malignant neoplasms of lymphoid hematopoietic and

related tissue (C81ndashC96) 180 204 157 197 223 172 129 145 114 63 70 57 79 87 72 Hodgkinrsquos disease (C81) 04 05 04 04 05 04 03 04 03 Non-Hodgkinrsquos lymphoma (C82ndashC85) 66 74 59 74 82 67 35 42 29 23 24 22 32 34 30 Leukemia (C91ndashC95) 74 86 62 82 95 68 46 51 40 23 29 18 33 37 30 Multiple myeloma and immunoproliferative

neoplasms (C88C90) 36 40 32 37 41 32 45 48 42 16 15 17 13 15 11 Other and unspecified malignant neoplasms of lymphoid hematopoietic and related tissue (C96) 00 00 00 00 00 00

C37ndashC41C44ndashC49C51ndashC52C57ndashC60 C62ndashC63C66C68ndashC69C73ndashC80C97) 209 221 198 225 237 212 168 176 161 106 113 99 98 103 95

In situ neoplasms benign neoplasms and neoplasms of uncertain or unknown behavior (D00ndashD48) 48 50 45 53 55 50 31 29 32 18 18 17 20 22 18

Anemias (D50ndashD64) 15 13 18 14 12 17 25 23 27 06 06 05 Diabetes mellitus (E10ndashE14) 224 231 216 219 230 208 292 280 303 225 239 210 119 125 113 Nutritional deficiencies (E40ndashE64) 09 07 11 10 07 12 09 07 10 06 04 04 04

Malnutrition (E40ndashE46) 09 07 11 09 07 11 08 07 09 06 03 03 04 Other nutritional deficiencies (E50ndashE64) 01 00 01 01 00 01

Meningitis (G00G03) 02 02 02 02 02 02 03 04 03 01 Parkinsonrsquos disease (G20ndashG21) 67 80 54 79 93 64 18 22 15 16 15 17 24 30 18 Alzheimerrsquos disease (G30) 257 158 354 294 180 407 124 74 170 55 37 73 66 42 88 Major cardiovascular diseases (I00ndashI78) 2543 2527 2558 2704 2666 2741 2271 2328 2219 1008 1120 895 1045 1122 974

Diseases of heart (I00ndashI09I11I13I20ndashI51) 1952 2029 1878 2088 2154 2022 1700 1806 1602 790 909 671 733 829 642 Acute rheumatic fever and chronic rheumatic heart diseases (I00ndashI09) 11 07 14 12 08 15 07 05 08 06 06 04 08

Hypertensive heart disease (I11) 108 105 111 99 93 105 191 209 175 48 51 45 44 43 44 Hypertensive heart and renal disease (I13) 09 08 10 08 07 09 20 21 19 05 04 06 Ischemic heart diseases (I20ndashI25) 1258 1387 1133 1361 1497 1228 988 1073 911 518 620 416 499 595 409

Acute myocardial infarction (I21ndashI22) 409 454 364 442 492 392 324 342 307 171 207 135 159 188 131 Other acute ischemic heart diseases (I24) 13 14 12 13 14 13 14 16 12 14 18 03 04 03 Other forms of chronic ischemic heart disease (I20I25) 837 919 757 906 991 823 650 715 592 333 395 270 337 402 276

o 3 Decem

ber 29 2011

Atherosclerotic cardiovascular disease so described (I250) 186 219 154 191 221 161 205 256 158 107 139 75 78 105 52

All other forms of chronic ischemic heart disease (I20I251ndashI259) 651 700 603 716 770 662 446 458 434 225 255 195 260 297 224

Other heart diseases (I26ndashI51) 566 521 610 608 549 665 494 498 490 216 233 199 178 182 174 Acute and subacute endocarditis (I33) 04 05 03 04 05 03 05 05 04 Diseases of pericardium and acute

myocarditis (I30ndashI31I40) 03 03 03 03 03 02 04 04 04 01 Heart failure (I50) 184 156 211 203 170 236 130 119 140 67 73 62 43 37 48 All other forms of heart

disease (I26ndashI28I34ndashI38I42ndashI49I51) 376 358 393 398 372 423 355 370 342 143 154 132 133 142 125 Essential hypertension and hypertensive renal

disease (I10I12I15) 84 69 98 81 66 97 119 105 131 30 35 25 46 40 51 Cerebrovascular diseases (I60ndashI69) 420 344 494 440 352 527 387 355 417 160 150 170 234 220 248 Atherosclerosis (I70) 24 19 29 27 22 32 14 12 16 07 07 05 08 Other diseases of circulatory system (I71ndashI78) 63 67 59 67 72 63 52 51 52 21 20 21 26 28 25

Aortic aneurysm and dissection (I71) 35 41 28 38 45 31 23 26 20 09 18 22 15 Other diseases of arteries arterioles and

capillaries (I72ndashI78) 28 26 31 30 27 32 29 25 32 12 11 13 08 06 10 Other disorders of circulatory system (I80ndashI99) 13 13 14 13 12 14 17 18 16 07 04 04 03 Influenza and pneumonia (J09ndashJ18)5 175 166 184 188 176 199 129 128 130 115 110 119 101 107 95

Other acute lower respiratory infections (J20ndashJ22U04) 01 01 01 01 01 01 01 01 Acute bronchitis and bronchiolitis (J20ndashJ21) 01 01 01 01 01 01 01 01 Other and unspecified acute lower respiratory

infections (J22U04) 00 00 00 Chronic lower respiratory diseases (J40ndashJ47) 447 430 464 513 485 541 208 230 188 174 164 185 95 115 77

Bronchitis chronic and unspecified (J40ndashJ42) 02 02 02 02 02 03 01 01 01 Emphysema (J43) 35 37 34 41 42 40 16 19 12 10 06 09 03 Asthma (J45ndashJ46) 11 08 14 09 06 12 23 21 24 07 09 07 11 Other chronic lower respiratory diseases (J44J47) 399 383 414 461 435 485 169 188 151 156 148 163 79 98 62

Pneumoconioses and chemical effects (J60ndashJ66J68) 03 05 00 03 06 00 01 01 Pneumonitis due to solids and liquids (J69) 52 55 49 57 60 54 35 34 35 26 28 25 19 22 17 Other diseases of respiratory system (J00ndashJ06

J30ndashJ39J67J70ndashJ98) 99 100 99 109 110 109 66 64 68 63 62 63 41 45 37 Peptic ulcer (K25ndashK28) 10 10 09 10 10 10 07 08 06 06 07 06 Diseases of appendix (K35ndashK38) 01 02 01 01 02 01 01 02 01 Hernia (K40ndashK46) 06 05 07 07 05 08 04 04 04 01 Chronic liver disease and cirrhosis (K70K73ndashK74) 100 131 69 109 143 75 62 85 42 204 217 191 30 38 22

Alcoholic liver disease (K70) 49 72 28 54 79 29 29 40 18 145 160 129 12 20 05

ecember 29 2011

Other chronic liver disease and cirrhosis (K73ndashK74) Cholelithiasis and other disorders of

gallbladder (K80ndashK82) Nephritis nephrotic syndrome and

nephrosis (N00ndashN07N17ndashN19N25ndashN27) Acute and rapidly progressive nephritic and

nephrotic syndrome (N00ndashN01N04) Chronic glomerulonephritis nephritis and nephropathy not

specified as acute or chronic and renal sclerosis unspecified (N02ndashN03N05ndashN07N26)

Renal failure (N17ndashN19) Other disorders of kidney (N25N27)

Infections of kidney (N10ndashN12N136N151) Hyperplasia of prostate (N40) Inflammatory diseases of female pelvic

organs (N70ndashN76) Pregnancy childbirth and the puerperium (O00ndashO99)

Pregnancy with abortive outcome (O00ndashO07) Other complications of pregnancy childbirth and

the puerperium (O10ndashO99) Certain conditions originating in the perinatal

period (P00ndashP96) Congenital malformations deformations and

chromosomal abnormalities (Q00ndashQ99) Symptoms signs and abnormal clinical and laboratory

findings not elsewhere classified (R00ndashR99) All other diseases (residual) Accidents (unintentional injuries) (V01ndashX59Y85ndashY86)

Transport accidents (V01ndashV99Y85) Motor vehicle accidents (V02ndashV04V090V092

V870ndashV878V880ndashV888V890V892) Other land transport accidents (V01V05ndashV06

V822ndashV829V879V889V891V893V899) Water air and space and other and unspecified

transport accidents and their sequelae (V90ndashV99Y85)

16 143

00 02 01

00 03 00

130 823 384 127

15 142

117 680 495 183

17 143

01 06 00

142 963 276

16 140

00 02 02

136 891 414 132

15 142

119 726 526 188

17 139

152 1052

303 75

20 194

136 668 294 121

19 183

146 592 412 182

21 205

127 737 187

67 436 495 215

68 397 657 286

66 474 333 143

34 255 132

33 223 171

34 285

o 3 Decem

ber 29 2011

Nontransport accidents (W00ndashX59Y86) 257 313 203 282 338 227 174 230 122 280 371 190 78 103 54 Falls (W00ndashW19) 81 84 78 93 95 91 29 35 23 43 50 37 34 40 29 Accidental discharge of firearms (W32ndashW34) 02 03 00 02 03 00 02 04 Accidental drowning and submersion (W65ndashW74) 11 18 05 11 17 05 13 22 04 16 27 09 14 05 Accidental exposure to smoke fire and

flames (X00ndashX09) 09 11 07 08 10 07 15 19 12 10 12 03 03 Accidental poisoning and exposure to noxious

substances (X40ndashX49) 103 136 72 113 148 80 72 98 48 152 200 105 16 26 08 Other and unspecified nontransport accidents and

their sequelae (W20ndashW31W35ndashW64 W75ndashW99X10ndashX39X50ndashX59Y86) 51 61 41 54 64 45 42 52 34 57 80 34 15 19 11

Intentional self-harm (suicide) (U03X60ndashX84Y870) 120 192 50 135 216 56 51 86 19 123 179 66 63 88 38 Intentional self-harm (suicide) by discharge of

firearms (X72ndashX74) 61 108 16 70 123 18 25 48 04 46 76 16 13 24 04 Intentional self-harm (suicide) by other and unspecified

means and their sequelae (U03X60ndashX71 X75ndashX84Y870) 59 84 35 65 93 38 26 38 14 77 103 50 49 65 35

firearms (U014X93ndashX95) 37 63 12 20 31 09 152 284 30 32 52 12 14 22 06 Assault (homicide) by other and unspecified

means and their sequelae (U010ndashU013 U015ndashU019U02X85ndashX92X96ndashY09Y871) 17 23 12 14 18 09 40 58 24 41 58 23 09 09 08

Legal intervention (Y35Y890) 01 02 00 01 02 03 06 Events of undetermined intent (Y10ndashY34Y872Y899) 16 20 12 17 21 13 16 22 10 24 33 15 06 08 04

Discharge of firearms undetermined intent (Y22ndashY24) 01 01 00 01 01 00 01 01 Other and unspecified events of undetermined intent and their sequelae (Y10ndashY21Y25ndashY34Y872Y899) 16 19 12 16 19 13 15 20 10 22 29 15 05 07 04

Operations of war and their sequelae (Y36Y891) 00 00 00 00 Complications of medical and surgical care (Y40ndashY84Y88) 09 08 09 09 08 09 10 10 10 06 03 03 03

ecember 29 2011

Enterocolitis due to Clostridium difficile (A047)6 24 19 28 27 21 32 12 10 14 11 13 06 05 07 Drug-induced deaths78 128 159 97 140 173 108 89 118 63 141 167 116 23 32 15 Alcohol-induced deaths79 80 119 41 85 128 44 57 88 29 237 292 182 18 30 07 Injury by firearms710 102 178 28 94 160 28 182 342 35 83 138 29 28 47 10

00 Quantity more than zero but less than 005 Figure does not meet standards of reliability or precision see lsquolsquoTechnical Notesrsquorsquo Category not applicable 1Race categories are consistent with the 1977 Office of Management and Budget (OMB) standards Multiple-race data were reported by 34 states and the District of Columbia in 2009 see lsquolsquoTechnical Notesrsquorsquo The multiple-race data for these reporting areas were bridged to the single-race categories of the 1977 OMB standards for comparability with other reporting areas see lsquolsquoTechnical Notesrsquorsquo 2Includes Aleuts and Eskimos 3Includes Chinese Filipino Hawaiian Japanese and Other Asian or Pacific Islander persons 4Expanded ICDndash10 code A09 (Diarrhea and gastroenteritis of infectious origin) was added to the category in 2009 see lsquolsquoTechnical Notesrsquorsquo 5Expanded ICDndash10 code J09 (Influenza due to certain identified influenza virus) was added to the category in 2009 see lsquolsquoTechnical Notesrsquorsquo 6Included in lsquolsquoCertain other intestinal infections (A04A07ndashA09)rsquorsquo shown above Beginning with data year 2006 Enterocolitis due to Clostridium difficile (A047) is shown separately at the bottom of tables showing 113 selected causes and is included in the list of rankable causes see lsquolsquoTechnical Notesrsquorsquo 7Included in selected categories above 8Includes ICDndash10 codes D521 D590 D592 D611 D642 E064 E160 E231 E242 E273 E661 F111ndashF115 F117ndashF119 F121ndashF125 F127ndashF129 F131ndashF135 F137ndashF139 F141ndashF145 F147ndashF149 F151ndashF155 F157ndashF159 F161ndashF165 F167ndashF169 F173ndashF175 F177ndashF179 F181ndashF185 F187ndashF189 F191ndashF195 F197ndashF199 G211 G240 G251 G254 G256 G444 G620 G720 I952 J702ndashJ704 K853 L105 L270ndashL271 M102 M320 M804 M814 M835 M871 R502 R781ndashR785 X40ndashX44 X60ndashX64 X85 and Y10ndashY14 Trend data for Drug-induced deaths previously shown in this report can be found through a link from the online version of this report available from httpwwwcdcgovnchsdeathshtm 9Includes ICDndash10 codes E244 F10 G312 G621 G721 I426 K292 K70 K852 K860 R780 X45 X65 and Y15 Trend data for Alcohol-induced deaths previously shown in this report can be found through a link from the online version of this report available from httpwwwcdcgovnchsdeathshtm 10Includes ICDndash10 codes U014 W32ndashW34 X72ndashX74 X93ndashX95 Y22ndashY24 and Y350 Trend data for Injury by firearms previously shown in this report can be found through a link from the online version of this report available from httpwwwcdcgovnchsdeathshtm

o 3 Decem

ber 29 2011

Table 15 Death rates for 113 selected causes Enterocolitis due to Clostridium difficile drug-induced causes alcohol-induced causes and injury by firearms by Hispanic origin race for non-Hispanic population and sex United States 2009 [Rates are per 100000 population in specified group Populations used for computing death rates are postcensal estimates based on the 2000 census estimated as of July 1 2009 see lsquolsquoTechnical Notesrsquorsquo Race and Hispanic origin are reported separately on the death certificate Persons of Hispanic origin may be of any race Data for Hispanic persons are not tabulated separately by race data for non-Hispanic persons are tabulated by race Data for Hispanic origin should be interpreted with caution because of inconsistencies between reporting Hispanic origin on death certificates and on censuses and surveys see lsquolsquoTechnical Notesrsquorsquo The asterisks () preceding the cause-of-death codes indicate that they are not part of the International Classification of Diseases Tenth Revision (ICDndash10) Second Edition see lsquolsquoTechnical Notesrsquorsquo]

All causes 7938 8038 7841 2924 3119 2715 8856 8987 8731 9619 9656 9583 7282 7771 6834

Salmonella infections (A01ndashA02) 00 00 Shigellosis and amebiasis (A03A06) Certain other intestinal infections (A04A07ndashA09)4 33 26 40 11 10 12 38 30 45 43 33 52 22 19 24 Tuberculosis (A16ndashA19) 02 02 01 02 02 02 02 02 01 01 01 01 03 04 02

Respiratory tuberculosis (A16) 01 02 01 01 01 01 01 02 01 01 01 01 02 03 01 Other tuberculosis (A17ndashA19) 00 00 00 00 00 00 00 00 00 00 01

Whooping cough (A37) Scarlet fever and erysipelas (A38A46) Meningococcal infection (A39) 00 00 00 00 00 00 00 00 00 Septicemia (A40ndashA41) 116 108 124 43 42 44 130 121 138 131 123 140 158 147 168 Syphilis (A50ndashA53) 00 00 00 00 01 Acute poliomyelitis (A80) Arthropod-borne viral encephalitis (A83ndashA84A852) Measles (B05) Viral hepatitis (B15ndashB19) 25 34 17 23 29 17 25 34 17 25 35 16 28 38 19 Human immunodeficiency virus (HIV)

disease (B20ndashB24) 31 45 17 26 39 12 31 46 17 13 22 04 137 187 90 Malaria (B50ndashB54) Other and unspecified infectious and parasitic diseases

A858A86ndashB04B06ndashB09B25ndashB49B55ndashB99) 19 20 18 10 11 09 21 22 20 22 23 21 19 22 17 Malignant neoplasms (C00ndashC97) 1849 1959 1741 618 629 606 2076 2219 1939 2262 2410 2119 1646 1782 1522

lung (C33ndashC34) 515 579 453 99 118 78 592 669 518 659 734 587 417 517 325 Malignant melanoma of skin (C43) 30 40 21 04 05 04 35 46 24 43 58 29 03 04 03 Malignant neoplasm of breast (C50) 134 03 261 47 97 150 03 290 158 03 307 151 03 285 Malignant neoplasm of cervix uteri (C53) 13 25 10 21 13 26 12 24 21 40

ecember 29 2011

Table 15 Death rates for 113 selected causes Enterocolitis due to Clostridium difficile drug-induced causes alcohol-induced causes and injury by firearms by Hispanic origin race for non-Hispanic population and sex United States 2009mdashCon [Rates are per 100000 population in specified group Populations used for computing death rates are postcensal estimates based on the 2000 census estimated as of July 1 2009 see lsquolsquoTechnical Notesrsquorsquo Race and Hispanic origin are reported separately on the death certificate Persons of Hispanic origin may be of any race Data for Hispanic persons are not tabulated separately by race data for non-Hispanic persons are tabulated by race Data for Hispanic origin should be interpreted with caution because of inconsistencies between reporting Hispanic origin on death certificates and on censuses and surveys see lsquolsquoTechnical Notesrsquorsquo The asterisks () preceding the cause-of-death codes indicate that they are not part of the International Classification of Diseases Tenth Revision (ICDndash10) Second Edition see lsquolsquoTechnical Notesrsquorsquo]

Malignant neoplasms of corpus uteri and uterus part unspecified (C54ndashC55) 25 50 10 22 28 54 28 55 35 67

renal pelvis (C64ndashC65) 42 55 30 17 22 13 47 61 33 52 68 37 32 41 24 Malignant neoplasm of bladder (C67) 46 66 27 10 14 07 53 77 30 62 90 34 26 32 21 Malignant neoplasms of meninges brain and

related tissue (C81ndashC96) 180 204 157 72 78 67 200 229 173 224 256 193 135 152 119 Hodgkinrsquos disease (C81) 04 05 04 02 03 02 04 05 04 05 05 04 04 04 03 Non-Hodgkinrsquos lymphoma (C82ndashC85) 66 74 59 27 30 25 74 82 65 84 94 75 37 43 31 Leukemia (C91ndashC95) 74 86 62 29 30 28 82 97 68 93 110 76 48 54 42 Multiple myeloma and immunoproliferative

lymphoid hematopoietic and related tissue (C96) 00 00 00 00 00 00 00 00 00

C37ndashC41C44ndashC49C51ndashC52C57ndashC60C62ndashC63 C66C68ndashC69C73ndashC80C97) 209 221 198 75 75 75 234 250 219 256 274 240 175 184 167

Anemias (D50ndashD64) 15 13 18 05 04 05 17 14 20 17 13 20 26 24 28 Diabetes mellitus (E10ndashE14) 224 231 216 130 128 133 241 251 231 237 252 222 304 293 315 Nutritional deficiencies (E40ndashE64) 09 07 11 03 02 04 10 08 13 11 09 14 09 07 10

Malnutrition (E40ndashE46) 09 07 11 03 02 03 10 08 12 11 08 13 09 07 10 Other nutritional deficiencies (E50ndashE64) 01 00 01 01 00 01 01 01 01

Diseases of heart (I00ndashI09I11I13I20ndashI51) 1952 2029 1878 612 651 570 2198 2295 2105 2403 2492 2317 1771 1883 1668 Acute rheumatic fever and chronic rheumatic heart

diseases (I00ndashI09) 11 07 14 04 03 06 12 08 15 13 09 17 07 05 09 Hypertensive heart disease (I11) 108 105 111 42 44 39 120 117 123 111 104 118 199 217 182 Hypertensive heart and renal disease (I13) 09 08 10 04 04 04 10 09 11 09 07 10 21 22 20 Ischemic heart diseases (I20ndashI25) 1258 1387 1133 418 460 373 1412 1566 1265 1562 1729 1401 1028 1117 947

Acute myocardial infarction (I21ndashI22) 409 454 364 132 143 120 460 515 407 508 571 447 338 357 321

o 3 Decem

ber 29 2011

Other acute ischemic heart diseases (I24) 13 14 12 03 03 02 15 16 14 16 17 15 14 16 12 Other forms of chronic ischemic heart

disease (I20I251ndashI259) 651 700 603 217 228 204 731 792 672 822 892 755 463 478 450 Other heart diseases (I26ndashI51) 566 521 610 144 140 148 644 595 691 708 643 771 516 522 511

Acute and subacute endocarditis (I33) 04 05 03 02 02 02 04 05 03 04 05 03 05 05 04 Diseases of pericardium and acute

myocarditis (I30ndashI31I40) 03 03 03 02 02 01 03 03 03 03 03 03 04 04 04 Heart failure (I50) 184 156 211 42 37 47 210 179 240 238 200 275 136 125 146 All other forms of heart disease (I26ndashI28

I34ndashI38I42ndashI49I51) 376 358 393 99 100 98 427 408 445 463 434 490 371 387 356 Essential hypertension and hypertensive renal

disease (I10I12I15) 84 69 98 31 29 34 93 77 109 92 74 109 124 110 137 Cerebrovascular diseases (I60ndashI69) 420 344 494 146 131 162 470 385 551 503 402 601 404 371 435 Atherosclerosis (I70) 24 19 29 06 05 07 27 22 32 32 25 38 15 12 17 Other diseases of circulatory system (I71ndashI78) 63 67 59 18 19 16 71 76 67 78 84 73 54 53 55

Other acute lower respiratory infections (J20ndashJ22U04) 01 01 01 01 01 01 01 01 01 01 01 01 Acute bronchitis and bronchiolitis (J20ndashJ21) 01 01 01 00 01 01 01 01 01 01 01 01 Other and unspecified acute lower respiratory

infections (J22U04) 00 00 00 00 00 Chronic lower respiratory diseases (J40ndashJ47) 447 430 464 83 81 86 515 498 531 606 578 634 217 240 196

Bronchitis chronic and unspecified (J40ndashJ42) 02 02 02 01 01 02 02 03 03 02 03 01 01 01 Emphysema (J43) 35 37 34 06 06 05 41 43 39 49 50 47 16 20 13 Asthma (J45ndashJ46) 11 08 14 06 05 07 12 09 15 10 06 13 23 21 25 Other chronic lower respiratory diseases (J44J47) 399 383 414 70 69 72 460 445 474 545 519 571 176 197 157

Pneumoconioses and chemical effects (J60ndashJ66J68) 03 05 00 03 06 00 04 08 00 01 02 Pneumonitis due to solids and liquids (J69) 52 55 49 13 14 13 59 63 56 67 71 62 36 36 36 Other diseases of respiratory system (J00ndashJ06

J30ndashJ39J67J70ndashJ98) 99 100 99 40 38 42 110 112 109 124 126 122 69 67 71 Peptic ulcer (K25ndashK28) 10 10 09 03 04 03 11 11 11 12 12 12 07 08 06

ecember 29 2011

Diseases of appendix (K35ndashK38) 01 02 01 01 01 01 02 01 02 02 01 01 02 01 Hernia (K40ndashK46) 06 05 07 02 02 02 07 06 07 07 06 09 04 04 04 Chronic liver disease and cirrhosis (K70K73ndashK74) 100 131 69 89 118 57 101 133 71 111 146 78 65 88 43

nephrotic syndrome (N00ndashN01N04) 01 00 01 01 00 01 01 00 01 01 Chronic glomerulonephritis nephritis and nephropathy

Renal failure (N17ndashN19) 143 142 143 58 58 59 158 159 158 158 161 155 203 191 214 Other disorders of kidney (N25N27) 00 00 00

Infections of kidney (N10ndashN12N136N151) 02 01 03 01 01 02 01 03 02 02 03 02 02 02 Hyperplasia of prostate (N40) 01 03 01 01 02 03 02 04 01 02 Inflammatory diseases of female pelvic

organs (N70ndashN76) 00 01 00 01 00 01 01 01 Pregnancy childbirth and the puerperium (O00ndashO99) 03 06 04 08 03 06 02 04 08 15

Pregnancy with abortive outcome (O00ndashO07) 00 00 00 00 Other complications of pregnancy childbirth and

the puerperium (O10ndashO99) 03 06 04 07 03 06 02 04 07 14 Certain conditions originating in the perinatal

period (P00ndashP96) 43 49 37 54 58 49 40 46 34 27 30 23 115 137 95 Congenital malformations deformations and

chromosomal abnormalities (Q00ndashQ99) 32 34 30 38 39 38 31 33 29 29 31 27 42 46 38 Symptoms signs and abnormal clinical and laboratory

findings not elsewhere classified (R00ndashR99) 130 117 142 45 48 42 145 130 159 154 134 174 141 151 132 All other diseases (residual) 823 680 963 266 238 295 926 766 1079 1024 836 1206 697 619 769 Accidents (unintentional injuries) (V01ndashX59Y85ndashY86) 384 495 276 220 313 120 413 528 303 452 570 338 304 425 193

Transport accidents (V01ndashV99Y85) 127 183 73 105 151 55 131 188 76 136 195 79 125 187 67 Motor vehicle accidents (V02ndashV04090

V870ndashV878V880ndashV888V890V892) 118 168 69 99 142 53 121 172 72 125 178 75 117 175 64

o 3 Decem

ber 29 2011

V198ndashV199V800ndashV802V806ndashV809V812ndashV819 V822ndashV829V879V889V891V893V899) 03 05 01 03 05 01 03 05 01 03 05 01 04 06 02

Water air and space and other and unspecified transport accidents and their sequelae (V90ndashV99Y85) 06 09 02 02 04 01 06 11 02 07 12 03 04 07 01

Nontransport accidents (W00ndashX59Y86) 257 313 203 115 162 65 282 340 227 316 375 260 179 238 126 Falls (W00ndashW19) 81 84 78 26 31 20 91 94 88 107 109 105 30 36 24 Accidental discharge of firearms (W32ndashW34) 02 03 00 01 02 02 04 00 02 04 00 02 04 Accidental drowning and submersion (W65ndashW74) 11 18 05 10 16 04 12 18 05 11 17 05 13 23 04 Accidental exposure to smoke fire and

flames (X00ndashX09) 09 11 07 03 04 02 10 12 08 09 11 07 16 20 13 Accidental poisoning and exposure to noxious

Legal intervention (Y35Y890) 01 02 00 01 03 01 02 00 01 02 03 06 Events of undetermined intent (Y10ndashY34Y872Y899) 16 20 12 07 09 05 18 22 14 19 23 15 16 22 11

Discharge of firearms undetermined intent (Y22ndashY24) 01 01 00 00 01 01 00 01 01 00 01 01

Other and unspecified events of undetermined intent and their sequelae (Y10ndashY21

Y25ndashY34Y872Y899) 16 19 12 07 08 05 17 21 13 18 22 15 16 21 10

ecember 29 2011

Operations of war and their sequelae (Y36Y891) 00 00 00 00 00 00 Complications of medical and surgical

care (Y40ndashY84Y88) 09 08 09 03 03 04 09 09 10 10 09 10 11 11 11

00 Quantity more than zero but less than 005 Figure does not meet standards of reliability or precision see lsquolsquoTechnical Notesrsquorsquo Category not applicable 1Figures for origin not stated are included in lsquolsquoAll originsrsquorsquo but not distributed among specified origins 2Includes races other than white and black 3Race categories are consistent with the 1977 Office of Management and Budget (OMB) standards Multiple-race data were reported by 34 states and the District of Columbia in 2009 see lsquolsquoTechnical Notesrsquorsquo The multiple-race data for these reporting areas were bridged to the single-race categories of the 1977 OMB standards for comparability with other reporting areas see lsquolsquoTechnical Notesrsquorsquo 4Expanded ICDndash10 code A09 (Diarrhea and gastroenteritis of infectious origin) was added to the category in 2009 see lsquolsquoTechnical Notesrsquorsquo 5Expanded ICDndash10 code J09 (Influenza due to certain identified influenza virus) was added to the category in 2009 see lsquolsquoTechnical Notesrsquorsquo 6Included in lsquolsquoCertain other intestinal infections (A04A07ndashA09)rsquorsquo shown above Beginning with data year 2006 Enterocolitis due to Clostridium difficile (A047) is shown separately at the bottom of tables showing 113 selected causes and is included in the list of rankable causes see lsquolsquoTechnical Notesrsquorsquo 7Included in selected categories above 8Includes ICDndash10 codes D521 D590 D592 D611 D642 E064 E160 E231 E242 E273 E661 F111ndashF115 F117ndashF119 F121ndashF125 F127ndashF129 F131ndashF135 F137ndashF139 F141ndashF145 F147ndashF149 F151ndashF155 F157ndashF159 F161ndashF165 F167ndashF169 F173ndashF175 F177ndashF179 F181ndashF185 F187ndashF189 F191ndashF195 F197ndashF199 G211 G240 G251 G254 G256 G444 G620 G720 I952 J702ndashJ704 K853 L105 L270ndashL271 M102 M320 M804 M814 M835 M871 R502 R781ndashR785 X40ndashX44 X60ndashX64 X85 and Y10ndashY14 Trend data for Drug-induced deaths previously shown in this report can be found through a link from the online version of this report available from httpwwwcdcgovnchsdeathshtm 9Includes ICDndash10 codes E244 F10 G312 G621 G721 I426 K292 K70 K852 K860 R780 X45 X65 and Y15 Trend data for Alcohol-induced deaths previously shown in this report can be found through a link from the online version of this report available from httpwwwcdcgovnchsdeathshtm 10Includes ICDndash10 codes U014 W32ndashW34 X72ndashX74 X93ndashX95 Y22ndashY24 and Y350 Trend data for Injury by firearms previously shown in this report can be found through a link from the online version of this report available from httpwwwcdcgovnchsdeathshtm

o 3 Decem

ber 29 2011

Table 16 Age-adjusted death rates for 113 selected causes Enterocolitis due to Clostridium difficile drug-induced causes alcohol-induced causes and injury by firearms by race and sex United States 2009 [Age-adjusted rates are per 100000 US standard population see lsquolsquoTechnical Notesrsquorsquo Populations used for computing death rates are postcensal estimates based on the 2000 census estimated as of July 1 2009 see lsquolsquoTechnical Notesrsquorsquo Data for specified races other than white and black should be interpreted with caution because of inconsistencies between reporting race on death certificates and on censuses and surveys see lsquolsquoTechnical Notesrsquorsquo The asterisks () preceding the cause-of-death codes indicate that they are not part of the International Classification of Diseases Tenth Revision (ICDndash10) Second Edition see lsquolsquoTechnical Notesrsquorsquo]

All causes 7411 8884 6255 7326 8763 6185 9229 11473 7666 6044 6980 5216 4105 4949 3464

ecember 29 2011

Table 16 Age-adjusted death rates for 113 selected causes Enterocolitis due to Clostridium difficile drug-induced causes alcohol-induced causes and injury by firearms by race and sex United States 2009mdashCon [Age-adjusted rates are per 100000 US standard population see lsquolsquoTechnical Notesrsquorsquo Populations used for computing death rates are postcensal estimates based on the 2000 census estimated as of July 1 2009 see lsquolsquoTechnical Notesrsquorsquo Data for specified races other than white and black should be interpreted with caution because of inconsistencies between reporting race on death certificates and on censuses and surveys see lsquolsquoTechnical Notesrsquorsquo The asterisks () preceding the cause-of-death codes indicate that they are not part of the International Classification of Diseases Tenth Revision (ICDndash10) Second Edition see lsquolsquoTechnical Notesrsquorsquo]

Hypertensive heart disease (I11) 99 111 85 84 93 73 248 307 203 68 74 60 58 62 54 Hypertensive heart and renal disease (I13) 09 10 08 07 07 06 27 33 23 07 07 08

Ischemic heart diseases (I20ndashI25) 1161 1558 862 1156 1559 849 1390 1811 1103 813 1065 603 673 902 499 Acute myocardial infarction (I21ndashI22) 378 500 283 378 503 279 451 569 370 266 353 194 212 281 159 Other acute ischemic heart diseases (I24) 12 15 09 11 14 09 18 26 14 22 30 04 06 03

o 3 Decem

ber 29 2011

Other forms of chronic ischemic heart disease (I20I25) 771 1043 570 767 1042 561 920 1216 719 526 681 394 456 614 337 Atherosclerotic cardiovascular disease so

Acute and subacute endocarditis (I33) 03 05 03 03 04 03 06 07 04 Diseases of pericardium and acute

myocarditis (I30ndashI31I40) 03 03 02 02 03 02 05 05 04 01 Heart failure (I50) 168 187 154 168 188 154 191 220 171 117 148 93 60 62 58 All other forms of heart disease (I26ndashI28

J30ndashJ39J67J70ndashJ98) 94 113 80 95 115 81 87 101 79 96 104 89 55 69 45 Peptic ulcer (K25ndashK28) 09 11 07 09 11 07 09 12 07 09 11 07 Diseases of appendix (K35ndashK38) 01 02 01 01 02 01 02 03 01

ecember 29 2011

Hernia (K40ndashK46) 05 06 05 05 06 05 05 06 05 02 Chronic liver disease and cirrhosis (K70K73ndashK74) 92 126 61 96 131 63 70 102 45 238 254 221 34 44 25

Clolelithiasis and other disorders of gallbladder (K80ndashK82) 10 12 09 10 12 09 10 11 09 12 10 10 09

nephrotic syndrome (N00ndashN01N04) 00 00 00 00 00 00 01 Chronic glomerulonephritis nephritis and nephropathy

not specified as acute or chronic and renal sclerosis unspecified (N02ndashN03N05ndashN07N26) 15 18 13 13 17 11 29 36 26 14 11 13 10

Renal failure (N17ndashN19) 133 164 114 120 152 100 272 314 245 123 115 131 82 96 73 Other disorders of kidney (N25N27) 00 00

Infections of kidney (N10ndashN12N136N151) 02 01 02 02 01 02 02 02 02 Hyperplasia of prostate (N40) 01 04 01 04 01 04 Inflammatory diseases of female pelvic

organs (N70ndashN76) 00 01 00 01 01 01 Pregnancy childbirth and the puerperium (O00ndashO99) 03 07 03 05 07 14 02 04

Pregnancy with abortive outcome (O00ndashO07) 00 00 Other complications of pregnancy childbirth and

the puerperium (O10ndashO99) 03 06 03 05 07 13 02 04 Certain conditions originating in the perinatal

V870ndashV878V880ndashV888V890V892) 117 168 68 119 171 69 117 180 63 201 264 138 52 65 40 Other land transport accidents (V01V05ndashV06

V091V093ndashV099V10ndashV11V15ndashV18V193V198ndash V199V800ndashV802V806ndashV809V812ndashV819 V822ndashV829V879V889V891V893 V899) 03 05 01 03 05 02 04 06 02 09 15 01

o 3 Decem

ber 29 2011

Water air and space and other and unspecified transport accidents and their sequelae (V90ndashV99Y85) 06 09 02 06 10 02 04 07 01 07 03 04

Discharge of firearms undetermined intent (Y22ndashY24) 01 01 00 01 01 00 01 01 Other and unspecified events of undetermined intent and their sequelae (Y10ndashY21Y25ndashY34

Y872Y899) 15 19 12 16 19 13 16 22 10 23 31 15 05 08 04 Operations of war and their sequelae (Y36Y891) 00 00 00 00 Complications of medical and surgical care (Y40ndashY84Y88) 08 09 08 08 08 07 13 14 12 08 03 04 03

ecember 29 2011

o 3 Decem

ber 29 2011

Table 17 Age-adjusted death rates for 113 selected causes Enterocolitis due to Clostridium difficile drug-induced causes alcohol-induced causes and injury by firearms by Hispanic origin race for non-Hispanic population and sex United States 2009 [Age-adjusted rates are per 100000 US standard population see lsquolsquoTechnical Notesrsquorsquo Populations used for computing death rates are postcensal estimates based on the 2000 census estimated as of July 1 2009 see lsquolsquoTechnical Notesrsquorsquo Race and Hispanic origin are reported separately on the death certificate Persons of Hispanic origin may be of any race Data for Hispanic persons are not tabulated separately by race data for non-Hispanic persons are tabulated by race Data for Hispanic origin should be interpreted with caution because of inconsistencies between reporting Hispanic origin on death certificates and on censuses and surveys see lsquolsquoTechnical Notesrsquorsquo The asterisks () preceding the cause-of-death codes indicate that they are not part of the International Classification of Diseases Tenth Revision (ICDndash10) Second Edition see lsquolsquoTechnical Notesrsquorsquo]

All causes 7411 8884 6255 5231 6236 4372 7583 9101 6401 7481 8958 6319 9436 11747 7832

Salmonella infections (A01ndashA02) 00 ndash ndash ndash ndash ndash 00 ndash ndash ndash ndash ndash ndash ndash ndash Shigellosis and amebiasis (A03A06) ndash ndash ndash ndash ndash ndash ndash ndash ndash ndash ndash ndash ndash ndash ndash Certain other intestinal infections (A04A07ndashA09)4 31 31 31 21 22 20 32 32 32 32 32 33 29 29 28 Tuberculosis (A16ndashA19) 01 02 01 03 04 03 01 02 01 01 01 01 04 06 02

Respiratory tuberculosis (A16) 01 02 01 03 03 02 01 02 01 01 01 00 03 05 02 Other tuberculosis (A17ndashA19) 00 00 00 01 ndash ndash 00 00 00 00 00 00 01 ndash ndash

Whooping cough (A37) ndash ndash ndash ndash ndash ndash ndash ndash ndash ndash ndash ndash ndash ndash ndash Scarlet fever and erysipelas (A38A46) ndash ndash ndash ndash ndash ndash ndash ndash ndash ndash ndash ndash ndash ndash ndash Meningococcal infection (A39) 00 00 00 ndash ndash ndash 00 00 00 00 00 00 ndash ndash ndash Septicemia (A40ndashA41) 109 121 101 79 88 73 111 123 103 102 113 94 212 242 195 Syphilis (A50ndashA53) 00 00 ndash ndash ndash ndash 00 00 ndash ndash ndash ndash 01 ndash ndash Acute poliomyelitis (A80) ndash ndash ndash ndash ndash ndash ndash ndash ndash ndash ndash ndash ndash ndash ndash Arthropod-borne viral encephalitis (A83ndashA84A852) ndash ndash ndash ndash ndash ndash ndash ndash ndash ndash ndash ndash ndash ndash ndash Measles (B05) ndash ndash ndash ndash ndash ndash ndash ndash ndash ndash ndash ndash ndash ndash ndash Viral hepatitis (B15ndashB19) 22 31 14 35 46 25 21 29 13 20 28 12 30 43 19 Human immunodeficiency virus (HIV) disease (B20ndashB24) 30 44 17 33 50 15 30 43 17 12 20 04 144 207 93 Malaria (B50ndashB54) ndash ndash ndash ndash ndash ndash ndash ndash ndash ndash ndash ndash ndash ndash ndash Other and unspecified infectious and parasitic diseases and

their sequelae (A00A05A20ndashA36A42ndashA44 A48ndashA49A54ndashA79A81ndashA82A850ndashA851A858

A86ndashB04B06ndashB09B25ndashB49B55ndashB99) 18 22 15 16 19 13 18 22 15 17 21 15 23 31 18 Malignant neoplasms (C00ndashC97) 1732 2116 1468 1148 1391 976 1779 2174 1507 1774 2154 1509 2115 2792 1716

lung (C33ndashC34) 485 618 385 196 280 133 508 646 406 518 646 422 532 786 368 Malignant melanoma of skin (C43) 28 42 18 08 10 06 30 45 19 35 52 22 05 06 04 Malignant neoplasm of breast (C50) 124 03 223 80 ndash 147 129 03 229 124 03 223 185 05 312 Malignant neoplasm of cervix uteri (C53) 12 23 15 28 12 22 10 19 24 43 Malignant neoplasms of corpus uteri and uterus

ecember 29 2011

Table 17 Age-adjusted death rates for 113 selected causes Enterocolitis due to Clostridium difficile drug-induced causes alcohol-induced causes and injury by firearms by Hispanic origin race for non-Hispanic population and sex United States 2009mdashCon [Age-adjusted rates are per 100000 US standard population see lsquolsquoTechnical Notesrsquorsquo Populations used for computing death rates are postcensal estimates based on the 2000 census estimated as of July 1 2009 see lsquolsquoTechnical Notesrsquorsquo Race and Hispanic origin are reported separately on the death certificate Persons of Hispanic origin may be of any race Data for Hispanic persons are not tabulated separately by race data for non-Hispanic persons are tabulated by race Data for Hispanic origin should be interpreted with caution because of inconsistencies between reporting Hispanic origin on death certificates and on censuses and surveys see lsquolsquoTechnical Notesrsquorsquo The asterisks () preceding the cause-of-death codes indicate that they are not part of the International Classification of Diseases Tenth Revision (ICDndash10) Second Edition see lsquolsquoTechnical Notesrsquorsquo]

neoplasms (C88C90) 34 44 27 27 34 21 35 45 27 32 42 25 62 79 50 Other and unspecified malignant neoplasms of lymphoid hematopoietic and related tissue (C96) 00 00 00 ndash ndash ndash 00 00 00 00 00 00 ndash ndash ndash

All other and unspecified malignant neoplasms (C17C23ndashC24C26ndashC31C37ndashC41

C44ndashC49C51ndashC52C57ndashC60C62ndashC63C66 C68ndashC69C73ndashC80C97) 196 239 165 136 155 121 201 246 168 201 246 168 224 276 189

Malnutrition (E40ndashE46) 08 08 08 05 05 06 08 08 08 08 08 08 13 14 12 Other nutritional deficiencies (E50ndashE64) 00 00 00 ndash ndash ndash 00 00 00 00 00 01 ndash ndash ndash

Diseases of heart (I00ndashI09I11I13I20ndashI51) 1801 2286 1430 1242 1538 998 1842 2344 1459 1809 2311 1421 2392 3024 1954 Acute rheumatic fever and chronic rheumatic heart diseases (I00ndashI09) 10 08 11 08 06 10 10 08 11 10 08 11 08 06 09

Hypertensive heart disease (I11) 99 111 85 78 87 66 101 113 87 84 93 73 254 314 207 Hypertensive heart and renal disease (I13) 09 10 08 08 09 07 09 10 08 06 07 06 28 33 23 Ischemic heart diseases (I20ndashI25) 1161 1558 862 865 1117 663 1182 1592 876 1177 1593 861 1413 1844 1122

Acute myocardial infarction (I21ndashI22) 378 500 283 271 341 213 387 514 288 387 518 284 460 580 378 Other acute ischemic heart diseases (I24) 12 15 09 05 06 04 13 16 10 12 15 10 19 26 14

o 3 Decem

ber 29 2011

Other acute lower respiratory infections (J20ndashJ22U04) 01 01 01 00 ndash ndash 01 01 01 01 01 01 01 ndash 01 Acute bronchitis and bronchiolitis (J20ndashJ21) 01 00 01 00 ndash ndash 01 01 01 00 01 01 01 ndash 01 Other and unspecified acute lower respiratory

infections (J22U04) 00 ndash 00 ndash ndash ndash 00 ndash 00 00 ndash ndash ndash ndash ndash Chronic lower respiratory diseases (J40ndashJ47) 423 494 378 179 220 152 441 515 395 469 536 427 298 423 228

Bronchitis chronic and unspecified (J40ndashJ42) 02 02 02 01 ndash 01 02 02 02 02 02 02 02 02 02 Emphysema (J43) 33 42 28 13 17 10 35 43 30 38 46 32 22 35 15 Asthma (J45ndashJ46) 11 08 12 09 08 11 11 09 12 08 06 10 25 24 26 Other chronic lower respiratory diseases (J44J47) 376 442 336 156 194 130 393 461 351 420 482 382 249 363 186

Pneumoconioses and chemical effects (J60ndashJ66J68) 03 06 00 ndash ndash ndash 03 07 00 03 07 00 01 03 ndash Pneumonitis due to solids and liquids (J69) 48 66 37 28 37 23 49 68 38 50 69 38 53 71 44 Other diseases of respiratory system (J00ndashJ06

ecember 29 2011

Diseases of appendix (K35ndashK38) 01 02 01 01 02 ndash 01 02 01 01 02 01 02 02 01 Hernia (K40ndashK46) 05 06 05 04 04 04 05 06 05 06 06 05 05 06 05 Chronic liver disease and cirrhosis (K70K73ndashK74) 92 126 61 139 191 89 87 118 59 91 122 61 71 104 45

Clolelithiasis and other disorders of gallbladder (K80ndashK82) 10 12 09 11 12 10 10 12 09 10 12 08 10 11 10

nephrotic syndrome (N00ndashN01N04) 00 00 00 ndash ndash ndash 00 00 00 00 00 00 01 ndash ndash Chronic glomerulonephritis nephritis and nephropathy not

specified as acute or chronic and renal sclerosis unspecified (N02ndashN03N05ndashN07N26) 15 18 13 12 15 10 15 18 13 13 17 11 30 36 26

Renal failure (N17ndashN19) 133 164 114 116 135 101 134 165 115 120 152 99 278 322 251 Other disorders of kidney (N25N27) 00 ndash ndash ndash ndash ndash 00 ndash ndash 00 ndash ndash ndash ndash ndash

Infections of kidney (N10ndashN12N136N151) 02 01 02 01 ndash 02 02 01 02 02 01 02 02 02 02 Hyperplasia of prostate (N40) 01 04 01 03 01 04 01 04 01 04 Inflammatory diseases of female pelvic

organs (N70ndashN76) 00 01 ndash ndash 00 01 00 01 01 01 Pregnancy childbirth and the puerperium (O00ndashO99) 03 07 03 07 03 06 02 05 07 15

Pregnancy with abortive outcome (O00ndashO07) 00 00 ndash ndash 00 00 ndash ndash ndash ndash Other complications of pregnancy childbirth and

V091V093ndashV099V10ndashV11V15ndashV18V193V198ndash V199V800ndashV802V806ndashV809 V812ndashV819 V822ndashV829V879 V889V891V893V899) 03 05 01 04 06 01 03 05 02 03 05 01 04 06 02

o 3 Decem

ber 29 2011

Nontransport accidents (W00ndashX59Y86) 247 329 175 151 214 88 260 344 185 278 364 199 201 285 134 Falls (W00ndashW19) 75 97 58 48 64 35 76 99 60 81 104 64 40 57 28 Accidental discharge of firearms (W32ndashW34) 02 03 00 01 02 ndash 02 03 00 02 04 00 02 04 ndash Accidental drowning and submersion (W65ndashW74) 11 18 05 10 16 04 11 18 05 11 17 05 13 22 04 Accidental exposure to smoke fire and

substances (X40ndashX49) 103 134 72 59 86 30 110 144 77 125 161 88 77 109 50 Other and unspecified nontransport accidents and their

sequelae (W20ndashW31W35ndashW64 W75ndashW99X10ndashX39X50ndashX59Y86) 48 65 33 29 41 17 50 67 35 50 68 35 51 68 38

Legal intervention (Y35Y890) 01 02 00 02 03 ndash 01 02 00 01 02 ndash 03 06 ndash Events of undetermined intent (Y10ndashY34Y872Y899) 16 20 12 08 10 06 17 22 13 18 23 14 17 24 11

Discharge of firearms undetermined intent (Y22ndashY24) 01 01 00 00 ndash ndash 01 01 00 01 01 00 01 01 ndash Other and unspecified events of undetermined intent and

their sequelae (Y10ndashY21Y25ndashY34Y872Y899) 15 19 12 08 10 06 17 20 13 18 21 14 16 23 11 Operations of war and their sequelae (Y36Y891) 00 00 ndash ndash ndash ndash 00 00 ndash 00 00 ndash ndash ndash ndash Complications of medical and surgical

care (Y40ndashY84Y88) 08 09 08 06 06 06 08 09 08 08 09 07 13 15 12

ecember 29 2011

00 Quantity more than zero but less than 005 ndash Quantity zero Category not applicable 1Figures for origin not stated are included in lsquolsquoAll originsrsquorsquo but not distributed among specified origins 2Includes races other than white and black 3Race categories are consistent with the 1977 Office of Management and Budget (OMB) standards Multiple-race data were reported by 34 states and the District of Columbia in 2009 see lsquolsquoTechnical Notesrsquorsquo The multiple-race data for these reporting areas were bridged to the single-race categories of the 1977 OMB standards for comparability with other reporting areas see lsquolsquoTechnical Notesrsquorsquo 4Expanded ICDndash10 code A09 (Diarrhea and gastroenteritis of infectious origin) was added to the category in 2009 see lsquolsquoTechnical Notesrsquorsquo 5Expanded ICDndash10 code J09 (Influenza due to certain identified influenza virus) was added to the category in 2009 see lsquolsquoTechnical Notesrsquorsquo 6Included in lsquolsquoCertain other intestinal infections (A04A07ndashA09)rsquorsquo shown above Beginning with data year 2006 Enterocolitis due to Clostridium difficile (A047) is shown separately at the bottom of tables showing 113 selected causes and is included in the list of rankable causes see lsquolsquoTechnical Notesrsquorsquo 7Included in selected categories above 8Includes ICDndash10 codes D521 D590 D592 D611 D642 E064 E160 E231 E242 E273 E661 F111ndashF115 F117ndashF119 F121ndashF125 F127ndashF129 F131ndashF135 F137ndashF139 F141ndashF145 F147ndashF149 F151ndashF155 F157ndashF159 F161ndashF165 F167ndashF169 F173ndashF175 F177ndashF179 F181ndashF185 F187ndashF189 F191ndashF195 F197ndashF199 G211 G240 G251 G254 G256 G444 G620 G720 I952 J702ndashJ704 K853 L105 L270ndashL271 M102 M320 M804 M814 M835 M871 R502 R781ndashR785 X40ndashX44 X60ndashX64 X85 and Y10ndashY14 Trend data for Drug-induced deaths previously shown in this report can be found through a link from the online version of this report available from httpwwwcdcgovnchsdeathshtm 9Includes ICDndash10 codes E244 F10 G312 G621 G721 I426 K292 K70 K852 K860 R780 X45 X65 and Y15 Trend data for Alcohol-induced deaths previously shown in this report can be found through a link from the online version of this report available from httpwwwcdcgovnchsdeathshtm 10Includes ICDndash10 codes U014 W32ndashW34 X72ndashX74 X93ndashX95 Y22ndashY24 and Y350 Trend data for Injury by firearms previously shown in this report can be found through a link from the online version of this report available from httpwwwcdcgovnchsdeathshtm

o 3 Decem

ber 29 2011

Table 18 Number of deaths death rates and age-adjusted death rates for injury deaths by mechanism and intent of death United States 2009 [Totals for selected causes of death differ from those shown in other tables that utilize standard mortality tabulation lists see lsquolsquoTechnical Notesrsquorsquo Populations used for computing death rates are postcensal estimates based on the 2000 census estimated as of July 1 2009 Rates are per 100000 population age-adjusted rates are per 100000 US standard population see lsquolsquoTechnical Notesrsquorsquo Figure(s) in brackets [ ] apply to the code or range of codes preceding it For explanation of asterisks preceding cause-of-death codes see lsquolsquoTechnical Notesrsquorsquo]

Mechanism and intent of death (based Diseases Tenth Revision

on the International Classification Second Edition 2004)

of Number Rate

Age-adjusted rate1

All injury (U01ndashU03V01ndashY36Y85ndashY87Y89) Unintentional (V01ndashX59Y85ndashY86) Suicide (U03X60ndashX84Y870) Homicide (U01ndashU02X85ndashY09Y871) Undetermined (Y10ndashY34Y872Y899) Legal interventionwar (Y35ndashY36Y89[01])

Cutpierce (W25ndashW29W45ndashW46X78X99Y28Y354) Unintentional (W25ndashW29W45ndashW46) Suicide (X78) Homicide (X99) Undetermined (Y28) Legal interventionwar (Y354)

Drowning (W65ndashW74X71X92Y21) Unintentional (W65ndashW74) Suicide (X71) Homicide (X92) Undetermined (Y21)

Fall (W00ndashW19X80Y01Y30) Unintentional (W00ndashW19) Suicide (X80) Homicide (Y01) Undetermined (Y30)

Firehot object or substance (U013X00ndashX19X76ndashX77 X97ndashX98Y26ndashY27Y363)2

Unintentional (X00ndashX19) Suicide (X76ndashX77) Homicide (U013X97ndashX98) Undetermined (Y26ndashY27) Legal interventionwar (Y363)

Fireflame (X00ndashX09X76X97Y26) Unintentional (X00ndashX09) Suicide (X76) Homicide (X97) Undetermined (Y26)

Hot objectsubstance (X10ndashX19X77X98Y27) Unintentional (X10ndashX19) Suicide (X77) Homicide (X98) Undetermined (Y27)

Firearm (U014W32ndashW34X72ndashX74X93ndashX95Y22ndashY24Y350) Unintentional (W32ndashW34) Suicide (X72ndashX74) Homicide (U014X93ndashX95) Undetermined (Y22ndashY24) Legal interventionwar (Y350)

Machinery (W24W30ndashW31)3

All transport (U011V01ndashV99X82Y03Y32Y361) Unintentional (V01ndashV99) Suicide (X82) Homicide (U011Y03) Undetermined (Y32) Legal interventionwar (Y361)

Motor vehicle traffic (V02ndashV04[19]V092V12ndashV14[3ndash9]V19[4ndash6] V20ndashV28[3ndash9]V29ndashV79[4ndash9]V80[3ndash5]V811V821

V83ndashV86[0ndash3]V87[0ndash8]V892)3 Occupant (V30ndashV79[4ndash9]V83ndashV86[0ndash3])3

Motorcyclist (V20ndashV28[3ndash9]V29[4ndash9])3

Pedal cyclist (V12ndashV14[3ndash9]V19[4ndash6])3

Pedestrian (V02ndashV04[19]V092)3

177154 118021 36909 16799

5005 420

2688 125 669

1874 20

ndash 4211 3517

389 41

264 25562 24792

685 18 67

3195 2823

161 93

118 ndash

3125 2756

161 91

117 70 67

ndash 2 1

31347 554

18735 11493

232 333 608

38438 38255

104 60 19

34485 12349

4214 529

577 384 120

55 16 01 09 00 02 06 00

14 11 01 00 01 83 81 02

10 09 01 00 00

10 09 01 00 00 00 00

102 02 61 37 01 01 02

125 125

112 40 14 02 13

563 373 118 55 16 01 09 00 02 06 00

14 11 01 00 01 77 75 02

10 09 01 00 00

10 09 01 00 00 00 00

101 02 59 38 01 01 02

124 123

111 40 14 01 13

Table 18 Number of deaths death rates and age-adjusted death rates for injury deaths by mechanism and intent of death United States 2009mdashCon [Totals for selected causes of death differ from those shown in other tables that utilize standard mortality tabulation lists see lsquolsquoTechnical Notesrsquorsquo Populations used for computing death rates are postcensal estimates based on the 2000 census estimated as of July 1 2009 Rates are per 100000 population age-adjusted rates are per 100000 US standard population see lsquolsquoTechnical Notesrsquorsquo Figure(s) in brackets [ ] apply to the code or range of codes preceding it For explanation of asterisks preceding cause-of-death codes see lsquolsquoTechnical Notesrsquorsquo]

of Number Rate

Age-adjusted rate1

Other (V80[3ndash5]V811V821)3

Unspecified (V87[0ndash8]V892)3

Pedal cyclist other (V10ndashV11V12ndashV14[0ndash2]V15ndashV18V19[0ndash389])3

Pedestrian other (V01V02ndashV04[0]V05V06V09[0139])3

Other land transport (V20ndashV28[0ndash2]V29ndashV79[0ndash3]V80[0ndash26ndash9] V81ndashV82[02ndash9]V83ndashV86[4ndash9]V879V88[0ndash9]V89[0139]X82Y03Y32) Unintentional (V20ndashV28[0ndash2]V29ndashV79[0ndash3]V80(0ndash26ndash9)

V81ndashV82[02ndash9]V83ndashV86[4ndash9]V879V88[0ndash9]V89[0139]) Suicide (X82) Homicide (Y03) Undetermined (Y32)

Other transport (U011V90ndashV99Y361) Unintentional (V90ndashV99) Homicide (U011) Legal interventionwar (Y361)

Naturalenvironmental (W42ndashW43W53ndashW64W92ndashW99X20ndashX39X51ndashX57)3

Overexertion (X50)3

Poisoning (U01[6ndash7]X40ndashX49X60ndashX69X85ndashX90Y10ndashY19Y352) Unintentional (X40ndashX49) Suicide (X60ndashX69) Homicide (U01[6ndash7]X85ndashX90) Undetermined (Y10ndashY19) Legal interventionwar (Y352)

Struck by or against (W20ndashW22W50ndashW52X79Y00Y04Y29Y353) Unintentional (W20ndashW22W50ndashW52) Suicide (X79) Homicide (Y00Y04) Undetermined (Y29) Legal interventionwar (Y353)

Suffocation (W75ndashW84X70X91Y20) Unintentional (W75ndashW84) Suicide (X70) Homicide (X91) Undetermined (Y20)

Other specified classifiable (U01[025]U030W23W35ndashW41W44W49 W85ndashW91X75X81X96Y02Y05ndashY07Y25Y31Y35[15]Y36[024ndash8]Y85)

Unintentional (W23W35ndashW41W44W49W85ndashW91Y85) Suicide (U030X75X81) Homicide (U01[025]X96Y02Y05ndashY07) Undetermined (Y25Y31) Legal interventionwar (Y35[15]Y36[024ndash8])

Other specified not elsewhere classified (U018U02X58X83Y08Y33 Y356Y86ndashY87Y89[0ndash1])

Unintentional (X58Y86) Suicide (X83Y870) Homicide (U018U02Y08Y871) Undetermined (Y33Y872) Legal interventionwar (Y356Y89[01])

Unspecified (U019U039X59X84Y09Y34Y357Y369Y899) Unintentional (X59) Suicide (U039X84) Homicide (U019Y09) Undetermined (Y34Y899) Legal interventionwar (Y357Y369)

11 13273

256 1110

1398 104

1006 1006

ndash ndash

1327 10

41592 31758

6398 87

3349 ndash

910 776

1 ndash

15645 5939 9000

543 163

2019 1389

332 226 19 53

2031 1050

246 504 200

31 7571 5098

189 1728

43 01 04

05 00 00

135 103

21 00 11

51 19 29 02 01

07 05 01 01

07 03 01 02 01 00 25 17 01 06 02

43 01 04

04 00 00

134 103

20 00 11

50 18 30 02 00

07 04 01 01

06 03 01 02 01 00 23 15 01 06 02

00 Quantity more than zero but less than 005 ndash Quantity zero Figure does not meet standard of reliability or precision see lsquolsquoTechnical Notesrsquorsquo 1For method of computation see lsquolsquoTechnical Notesrsquorsquo 2Codes U013 and Y363 cannot be divided separately into the subcategories shown 3Intent of death is unintentional

below therefore subcategories may not add to the total

Table 19 Number of deaths death rates and age-adjusted death rates for major causes of death United States each state Puerto Rico Virgin Islands Guam American Samoa and Northern Marianas 2009 [Rates are per 100000 population age-adjusted rates per 100000 US standard population see lsquolsquoTechnical Notesrsquorsquo Populations used for computing death rates are postcensal estimates based on the 2000 census estimated as of July 1 2009 see lsquolsquoTechnical Notesrsquorsquo Numbers after causes of death are categories of the International Classification of Diseases Tenth Revision (ICDndash10) The asterisks () preceding the cause-of-death codes indicate that they are not part of the ICDndash10 see lsquolsquoTechnical Notesrsquorsquo For explanation of asterisks preceding cause-of-death codes see lsquolsquoTechnical Notesrsquorsquo]

Human immunodeficiency virus Malignant neoplasms Diabetes mellitus All causes (HIV) disease (B20ndashB24) (C00ndashC97) (E10ndashE14)

Age- Age- Age- Age-adjusted adjusted adjusted adjusted

Area Number Rate rate1 Number Rate rate1 Number Rate rate1 Number Rate rate1

United States2 2437163 7938 7411 9406 31 30 567628 1849 1732 68705 224 209 Alabama 47470 10081 9213 171 36 36 10289 2185 1956 1259 267 242 Alaska 3618 5180 7550 5 895 1281 1828 84 120 179 Arizona 45816 6946 6522 111 17 17 10271 1557 1471 1083 164 156 Arkansas 28673 9923 8746 67 23 25 6513 2254 1973 890 308 271 California 232736 6297 6520 871 24 24 55991 1515 1591 6979 189 198 Colorado 31173 6204 6881 61 12 12 6950 1383 1513 779 155 172 Connecticut 28585 8125 6841 102 29 26 6819 1938 1676 624 177 150 Delaware 7534 8512 7535 41 46 45 1813 2048 1779 206 233 205 District of Columbia 4834 8061 8127 142 237 232 1131 1886 1910 129 215 217 Florida 169924 9166 6737 1232 66 65 40932 2208 1657 4901 264 197 Georgia 69712 7092 8184 543 55 55 15143 1541 1728 1582 161 183 Hawaii 9914 7655 6197 12 2244 1733 1443 308 238 198 Idaho 11098 7179 7213 5 2458 1590 1594 372 241 242 Illinois 100056 7750 7435 251 19 19 24185 1873 1815 2741 212 205 Indiana 55973 8714 8158 112 17 17 13093 2038 1908 1646 256 240 Iowa 27544 9157 7247 19 6249 2078 1723 702 233 189 Kansas 24024 8523 7602 25 09 09 5319 1887 1738 635 225 204 Kentucky 41380 9592 8987 60 14 14 9634 2233 2043 1348 312 291 Louisiana 40282 8967 8883 306 68 70 9098 2025 1970 1249 278 274 Maine 12594 9553 7577 14 3133 2377 1870 350 265 209 Maryland 43843 7692 7626 364 64 60 10412 1827 1783 1207 212 208 Massachusetts 52308 7933 6803 124 19 17 13112 1989 1749 1007 153 132 Michigan 86455 8672 7859 140 14 13 20257 2032 1826 2705 271 245 Minnesota 37851 7188 6518 57 11 10 9580 1819 1691 1021 194 177 Mississippi 28275 9578 9261 156 53 57 6131 2077 1988 900 305 292 Missouri 54263 9063 8046 98 16 16 12472 2083 1856 1335 223 197 Montana 8730 8954 7580 4 1914 1963 1647 228 234 194 Nebraska 14810 8243 7161 16 3336 1857 1677 445 248 220 Nevada 19224 7273 7848 63 24 23 4461 1688 1764 377 143 154 New Hampshire 10100 7625 6773 9 2562 1934 1704 276 208 183 New Jersey 68277 7841 6948 389 45 41 16541 1900 1700 1959 225 201 New Mexico 15643 7784 7394 31 15 15 3202 1593 1500 597 297 283 New York 146475 7496 6671 1104 56 52 35216 1802 1623 3723 191 171 North Carolina 77117 8221 8007 362 39 38 17513 1867 1780 2114 225 216 North Dakota 5914 9143 7194 1 1243 1922 1604 214 331 257 Ohio 107156 9283 8134 172 15 15 25149 2179 1909 3401 295 257 Oklahoma 35601 9656 8905 70 19 20 7639 2072 1900 1146 311 286 Oregon 31636 8269 7331 46 12 11 7487 1957 1736 1073 280 250 Pennsylvania 124780 9899 7708 296 23 22 28881 2291 1827 3254 258 202 Rhode Island 9395 8920 7176 29 28 26 2220 2108 1758 213 202 167 South Carolina 40449 8868 8182 230 50 49 9123 2000 1795 1128 247 225 South Dakota 6923 8522 6893 8 1503 1850 1562 202 249 206 Tennessee 58288 9258 8672 238 38 38 13482 2141 1959 1759 279 258 Texas 163249 6587 7543 879 35 37 35591 1436 1638 4873 197 225 Utah 14138 5077 6587 15 2555 918 1206 463 166 218 Vermont 5034 8096 6816 3 1254 2017 1688 143 230 192 Virginia 58653 7441 7493 184 23 22 14122 1792 1765 1560 198 196 Washington 48270 7243 7098 94 14 13 11922 1789 1749 1554 233 228 West Virginia 21386 11752 9497 25 14 14 4786 2630 2082 746 410 324 Wisconsin 45697 8081 7089 48 08 08 10866 1922 1710 1110 196 173 Wyoming 4283 7869 7764 1 936 1720 1683 105 193 183

Puerto Rico3 29005 7311 6869 397 100 102 5078 1280 1173 2807 708 645 Virgin Islands3 675 6147 6298 10 111 1011 965 45 410 437 Guam3 835 4680 6855 2 140 785 1154 49 275 408 American Samoa3 310 4724 12169 ndash 42 640 1924 29 442 1089 Northern Marianas3 203 3943 9387 ndash 31 602 1326 14

Table 19 Number of deaths death rates and age-adjusted death rates for major causes of death United States each state Puerto Rico Virgin Islands Guam American Samoa and Northern Marianas 2009mdashCon [Rates are per 100000 population age-adjusted rates per 100000 US standard population see lsquolsquoTechnical Notesrsquorsquo Populations used for computing death rates are postcensal estimates based on the 2000 census estimated as of July 1 2009 see lsquolsquoTechnical Notesrsquorsquo Numbers after causes of death are categories of the International Classification of Diseases Tenth Revision (ICDndash10) The asterisks () preceding the cause-of-death codes indicate that they are not part of the ICDndash10 see lsquolsquoTechnical Notesrsquorsquo For explanation of asterisks preceding cause-of-death codes see lsquolsquoTechnical Notesrsquorsquo]

Essential hypertension Diseases of heart and hypertensive renal

Parkinsonrsquos disease (G20ndashG21) Alzheimerrsquos disease (G30) (I00ndashI09I11I13I20ndashI51) disease (I10I12I15)

Age- Age- Age- Age-

Area Number Rate adjusted

rate1 Number Rate adjusted

United States2 20565 67 64 79003 257 235 599413 1952 1801 25734 84 77 Alabama 363 77 71 1521 323 296 12021 2553 2315 523 111 100 Alaska 21 30 57 67 96 206 714 1022 1569 19 Arizona 448 68 64 2097 318 288 10273 1558 1446 477 72 67 Arkansas 192 66 58 885 306 259 7295 2525 2188 237 82 71 California 2008 54 59 9905 268 275 59206 1602 1656 3559 96 99 Colorado 285 57 69 1319 263 314 6093 1213 1365 231 46 53 Connecticut 250 71 59 778 221 173 7105 2019 1648 346 98 80 Delaware 53 60 53 163 184 162 1796 2029 1778 56 63 56 District of Columbia 27 45 48 94 157 159 1288 2148 2191 46 77 78 Florida 1628 88 59 4617 249 156 41274 2226 1544 1870 101 70 Georgia 440 45 58 1865 190 246 16165 1645 1925 954 97 115 Hawaii 98 76 57 253 195 137 2363 1824 1450 86 66 50 Idaho 123 80 83 369 239 242 2398 1551 1546 87 56 56 Illinois 882 68 67 2891 224 208 24931 1931 1832 890 69 65 Indiana 479 75 71 1884 293 268 13509 2103 1950 455 71 66 Iowa 313 104 80 1265 421 295 6938 2307 1759 291 97 72 Kansas 250 89 79 802 285 238 5294 1878 1631 158 56 47 Kentucky 317 73 71 1345 312 299 9728 2255 2102 285 66 62 Louisiana 278 62 64 1336 297 304 10169 2264 2238 332 74 73 Maine 127 96 76 466 353 270 2674 2028 1574 83 63 48 Maryland 343 60 63 937 164 169 11210 1967 1950 427 75 75 Massachusetts 441 67 57 1700 258 207 12322 1869 1563 417 63 52 Michigan 744 75 69 2578 259 232 23099 2317 2070 857 86 77 Minnesota 458 87 80 1358 258 221 7238 1374 1219 472 90 79 Mississippi 161 55 54 900 305 296 7530 2551 2449 466 158 152 Missouri 417 70 62 1728 289 247 13916 2324 2025 451 75 65 Montana 86 88 75 256 263 212 1832 1879 1540 68 70 57 Nebraska 172 96 81 573 319 255 3277 1824 1539 184 102 84 Nevada 115 44 51 312 118 145 4687 1773 1918 132 50 56 New Hampshire 99 75 69 367 277 243 2268 1712 1501 75 57 49 New Jersey 615 71 63 1872 215 181 18086 2077 1804 667 77 66 New Mexico 162 81 78 373 186 173 3214 1599 1495 116 58 53 New York 964 49 44 2396 123 104 47283 2420 2110 1912 98 86 North Carolina 593 63 64 2646 282 284 17203 1834 1784 796 85 83 North Dakota 53 82 60 366 566 381 1431 2212 1662 59 91 64 Ohio 909 79 69 3879 336 283 25453 2205 1897 1271 110 95 Oklahoma 212 57 54 993 269 243 9202 2496 2269 314 85 77 Oregon 345 90 82 1212 317 276 6262 1637 1426 422 110 94 Pennsylvania 1132 90 67 3547 281 196 32297 2562 1921 1046 83 62 Rhode Island 66 63 48 321 305 222 2411 2289 1763 73 69 54 South Carolina 277 61 58 1478 324 306 9068 1988 1821 418 92 85 South Dakota 64 79 61 403 496 353 1778 2189 1682 54 66 49 Tennessee 378 60 58 2203 350 336 14257 2264 2109 551 88 82 Texas 1319 53 66 5064 204 249 38077 1536 1786 1607 65 76 Utah 175 63 89 371 133 185 2813 1010 1359 106 38 51 Vermont 65 105 88 190 306 254 1171 1883 1560 41 66 55 Virginia 485 62 66 1738 220 233 13397 1700 1717 555 70 71 Washington 508 76 79 3010 452 448 10561 1585 1544 514 77 76 West Virginia 150 82 66 563 309 240 5038 2768 2181 236 130 102 Wisconsin 456 81 71 1611 285 236 10834 1916 1647 422 75 64 Wyoming 19 136 250 251 964 1771 1730 20 37 36

Puerto Rico3 136 34 32 1600 403 387 5209 1313 1220 622 157 148 Virgin Islands3 ndash 17 172 1566 1603 17 Guam3 3 3 257 1440 2305 19 American Samoa3 ndash ndash 58 884 2270 20 305 1103 Northern Marianas3 ndash ndash 40 777 2269 2

Cerebrovascular Influenza and pneumonia Chronic lower respiratory Chronic liver disease and diseases (I60ndashI69) (J09ndashJ18)4 diseases (J40ndashJ47) cirrhosis (K70K73ndashK74)

United States2 128842 420 389 53692 175 162 137353 447 423 30558 100 92 Alabama 2675 568 519 952 202 185 2770 588 532 488 104 93 Alaska 162 232 408 51 73 122 196 281 489 94 135 141 Arizona 2072 314 292 1058 160 151 2839 430 404 826 125 122 Arkansas 1694 586 508 705 244 211 1831 634 552 264 91 82 California 13506 365 381 6394 173 179 12936 350 373 4279 116 115 Colorado 1532 305 352 658 131 148 2073 413 477 553 110 107 Connecticut 1460 415 340 696 198 161 1448 412 348 301 86 74 Delaware 415 469 412 132 149 131 428 484 424 94 106 92 District of Columbia 199 332 338 73 122 123 136 227 237 47 78 76 Florida 8395 453 313 2410 130 93 10182 549 388 2361 127 105 Georgia 3732 380 454 1500 153 184 3736 380 456 694 71 71 Hawaii 671 518 402 291 225 173 303 234 190 116 90 78 Idaho 627 406 411 207 134 135 725 469 481 133 86 85 Illinois 5258 407 388 2416 187 177 5299 410 402 1111 86 82 Indiana 3004 468 435 1191 185 171 3745 583 553 555 86 79 Iowa 1635 544 410 661 220 165 1832 609 491 260 86 75 Kansas 1416 502 431 594 211 179 1580 561 510 224 79 74 Kentucky 2064 478 452 1018 236 222 2854 662 616 420 97 88 Louisiana 2061 459 460 891 198 199 1878 418 417 382 85 79 Maine 647 491 382 251 190 146 821 623 490 144 109 89 Maryland 2288 401 404 976 171 173 2064 362 368 429 75 69 Massachusetts 2579 391 326 1348 204 170 2559 388 338 571 87 77 Michigan 4435 445 401 1613 162 146 4961 498 453 1082 109 95 Minnesota 2033 386 343 618 117 102 1961 372 349 403 77 70 Mississippi 1436 486 470 578 196 190 1556 527 513 289 98 95 Missouri 3017 504 440 1330 222 192 3456 577 516 512 86 77 Montana 462 474 392 176 181 148 598 613 518 139 143 130 Nebraska 857 477 403 266 148 123 987 549 489 136 76 68 Nevada 859 325 360 542 205 227 1244 471 525 325 123 119 New Hampshire 499 377 333 194 146 128 652 492 445 133 100 84 New Jersey 3265 375 329 1309 150 131 3125 359 320 719 83 74 New Mexico 726 361 339 344 171 162 984 490 463 370 184 177 New York 5950 304 268 4527 232 203 6740 345 311 1296 66 59 North Carolina 4442 474 466 1752 187 184 4329 461 452 935 100 92 North Dakota 337 521 380 138 213 156 341 527 422 51 79 84 Ohio 5576 483 418 2040 177 154 6642 575 504 1167 101 89 Oklahoma 1961 532 486 879 238 219 2595 704 647 433 117 109 Oregon 1912 500 439 507 133 118 1943 508 456 507 133 117 Pennsylvania 6842 543 403 2601 206 155 6432 510 394 1163 92 77 Rhode Island 429 407 318 222 211 163 511 485 402 109 103 90 South Carolina 2400 526 488 759 166 156 2317 508 465 527 116 102 South Dakota 418 515 388 134 165 125 440 542 439 78 96 86 Tennessee 3156 501 472 1390 221 209 3503 556 520 702 111 99 Texas 9137 369 436 3387 137 159 8649 349 417 2720 110 116 Utah 738 265 359 332 119 156 581 209 284 152 55 69 Vermont 221 355 296 52 84 69 364 585 491 60 97 76 Virginia 3244 412 423 1237 157 162 3013 382 394 660 84 77 Washington 2591 389 387 728 109 107 2933 440 443 751 113 102 West Virginia 1073 590 462 443 243 195 1490 819 644 236 130 106 Wisconsin 2501 442 380 979 173 148 2461 435 389 498 88 79 Wyoming 233 428 425 142 261 266 310 570 576 59 108 100

Puerto Rico3 1455 367 345 1013 255 242 1150 290 273 224 56 51 Virgin Islands3 44 401 403 9 10 13 Guam3 59 331 550 21 118 168 27 151 262 23 129 149 American Samoa3 23 350 1208 4 12 1 Northern Marianas3 22 427 1033 10 10 ndash

Nephritis nephrotic syndrome Intentional self-harm and nephrosis Accidents Motor-vehicle (suicide)

(N00ndashN07N17ndashN19N25ndashN27) (V01ndashX59Y85ndashY86) accidents5 (U03X60ndashX84Y870)

Age- Age- Age- Age-

Puerto Rico3 1028 259 240 999 252 245 378 95 94 331 83 82 Virgin Islands3 7 40 364 376 15 9 Guam3 21 118 183 27 151 166 13 28 157 152 American Samoa3 9 44 670 1121 2 ndash Northern Marianas3 9 19 7 1

Assault (homicide) (U01ndashU02X85ndashY09Y871) Alcohol-induced causes6 Drug-induced causes7 Injury by firearms8

United States2 16799 55 55 24518 80 74 39147 128 126 31347 102 101 Alabama 412 87 90 238 51 46 688 146 149 830 176 174 Alaska 26 37 38 149 213 222 133 190 183 104 149 147 Arizona 387 59 60 804 122 120 1041 158 161 856 130 130 Arkansas 219 76 78 173 60 56 384 133 137 465 161 162 California 2124 57 56 4245 115 113 4290 116 114 3094 84 83 Colorado 194 39 38 686 137 129 784 156 151 583 116 115 Connecticut 114 32 35 222 63 56 397 113 112 173 49 49 Delaware 45 51 53 70 79 71 139 157 158 76 86 89 District of Columbia 135 225 205 51 85 80 58 97 92 111 185 166 Florida 1134 61 64 1688 91 79 3193 172 174 2324 125 121 Georgia 640 65 65 533 54 53 1043 106 105 1247 127 129 Hawaii 23 18 18 94 73 66 148 114 111 47 36 36 Idaho 22 14 14 167 108 106 181 117 124 196 127 129 Illinois 881 68 68 746 58 56 1427 111 111 1058 82 81 Indiana 341 53 54 381 59 55 929 145 146 735 114 114 Iowa 43 14 15 230 76 69 213 71 74 193 64 63 Kansas 128 45 46 225 80 74 318 113 116 303 107 109 Kentucky 212 49 49 301 70 63 786 182 183 560 130 128 Louisiana 573 128 129 219 49 47 623 139 141 810 180 181 Maine 30 23 22 133 101 84 182 138 133 122 93 87 Maryland 457 80 81 296 52 48 768 135 130 586 103 102 Massachusetts 176 27 27 421 64 57 916 139 135 207 31 31 Michigan 656 66 68 883 89 79 1750 176 174 1095 110 109 Minnesota 93 18 18 440 84 76 441 84 83 336 64 62 Mississippi 275 93 95 161 55 53 345 117 121 487 165 168 Missouri 428 71 73 376 63 57 881 147 148 822 137 136 Montana 35 36 39 147 151 143 147 151 152 166 170 160 Nebraska 48 27 28 134 75 69 118 66 66 132 73 73 Nevada 153 58 59 319 121 115 555 210 208 406 154 155 New Hampshire 15 131 99 84 172 130 127 89 67 62 New Jersey 328 38 39 395 45 40 343 39 39 411 47 47 New Mexico 175 87 89 426 212 210 447 222 229 299 149 146 New York 840 43 43 1232 63 57 1797 92 88 958 49 48 North Carolina 565 60 61 714 76 71 1223 130 131 1112 119 117 North Dakota 14 70 108 113 28 43 47 59 91 92 Ohio 541 47 48 735 64 56 1340 116 116 991 86 84 Oklahoma 248 67 68 359 97 93 766 208 212 533 145 145 Oregon 103 27 26 592 155 138 576 151 145 417 109 103 Pennsylvania 650 52 54 695 55 49 1983 157 158 1349 107 104 Rhode Island 30 28 29 89 85 73 168 160 153 56 53 50 South Carolina 347 76 77 391 86 77 631 138 137 634 139 136 South Dakota 31 38 39 84 103 98 51 63 69 75 92 92 Tennessee 496 79 80 514 82 72 1000 159 157 966 153 152 Texas 1502 61 60 1413 57 59 2509 101 103 2691 109 111 Utah 51 18 19 173 62 75 508 182 200 260 93 102 Vermont 8 65 105 84 57 92 86 60 97 89 Virginia 387 49 49 418 53 49 700 89 88 836 106 104 Washington 193 29 29 815 122 112 1031 155 149 623 93 91 West Virginia 92 51 52 141 77 66 235 129 131 251 138 133 Wisconsin 162 29 30 469 83 74 641 113 111 457 81 79 Wyoming 17 65 119 110 63 116 119 96 176 181

Area Number Rate

Age-adjusted

rate1 Number Rate

Age-adjusted

rate1 Number Rate

Age-adjusted

rate1 Number Rate

Age-adjusted

Puerto Rico3 Virgin Islands3 Guam3 American Samoa3 Northern Marianas3

927 50

234 455

233 488

229 15

3 ndash 1

165 3 1 ndash ndash

857 52 2 ndash 5

216 474

216 507

Figure does not meet standards of reliability or precision see lsquolsquoTechnical Notesrsquorsquo ndash Quantity zero 1Death rates are affected by the population composition of the area Age-adjusted death rates should be used for comparisons between areas for method of computation see lsquolsquoTechnical Notesrsquorsquo 2Excludes data for Puerto Rico Virgin Islands Guam American Samoa and Northern Marianas 3Age-adjusted death rates for Puerto Rico Virgin Islands Guam American Samoa and Northern Marianas are calculated using different age groups in the weighting procedure see lsquolsquoTechnical Notesrsquorsquo 4Expanded ICDndash10 code J09 (Influenza due to certain identified influenza virus) was added to the category in 2009 see lsquolsquoTechnical Notesrsquorsquo 5ICDndash10 codes for Motor vehicle accidents are V02ndashV04 V090 V092 V12ndashV14 V190ndashV192 V194ndashV196 V20ndashV79 V803ndashV805 V810ndashV811 V820ndashV821 V83ndashV86 V870ndashV878 V880ndashV888 V890 and V892 see lsquolsquoTechnical Notesrsquorsquo 6Causes of death attributable to alcohol-induced mortality include ICDndash10 codes E244 F10 G312 G621 G721 I426 K292 K70 K852 K860 R780 X45 X65 and Y15 see lsquolsquoTechnical Notesrsquorsquo 7Causes of death attributable to drug-induced mortality include ICDndash10 codes D521 D590 D592 D611 D642 E064 E160 E231 E242 E273 E661 F111ndashF115 F117ndashF119 F121ndashF125 F127ndashF129 F131ndashF135 F137ndashF139 F141ndashF145 F147ndashF149 F151ndashF155 F157ndashF159 F161ndashF165 F167ndashF169 F173ndashF175 F177ndashF179 F181ndashF185 F187ndashF189 F191ndashF195 F197ndashF199 G211 G240 G251 G254 G256 G444 G620 G720 I952 J702ndashJ704 K853 L105 L270ndashL271 M102 M320 M804 M814 M835 M871 R502 R781ndashR785 X40ndashX44 X60ndashX64 X85 and Y10ndashY14 see lsquolsquoTechnical Notesrsquorsquo 8ICDndash10 codes for Injury by firearms are U014 W32ndashW34 X72ndashX74 X93ndashX95 Y22ndashY24 and Y350 see lsquolsquoTechnical Notesrsquorsquo

NOTE In 2009 death records pending investigation were not updated by several states for a greater number of records than usual (see lsquolsquoQuality of reporting and processing cause of deathrsquorsquo in lsquolsquoTechnical Notesrsquorsquo) therefore caution should be used in interpreting trends by cause of death and state

Table 20 Infant neonatal and postneonatal mortality rates by race and sex United States 1940 1950 1960 1970 and 1975ndash2009 [Rates are infant (under 1 year) neonatal (under 28 days) and postneonatal (28 daysndash11 months) deaths per 1000 live births in specified group Beginning in 1980 race for live births is tabulated according to race of mother see lsquolsquoTechnical Notesrsquorsquo Race categories are consistent with the 1977 Office of Management and Budget (OMB) standards]

All other1

All races White1 Total1 Black1

Both Both Both Both Year sexes Male Female sexes Male Female sexes Male Female sexes Male Female

Race of mother2 Infant mortality rate

2009 639 701 575 530 579 478 1002 1106 894 1264 1408 1115 2008 661 721 597 555 605 502 1016 1111 918 1274 1393 1150 2007 675 738 609 564 617 508 1055 1151 954 1324 1449 1194 2006 669 732 603 556 610 499 1060 1154 961 1329 1438 1216 2005 687 756 615 573 632 511 1092 1198 982 1373 1515 1227 2004 679 747 609 566 622 507 1092 1201 977 1379 1519 1233 2003 685 760 607 572 636 505 1109 1224 990 1401 1553 1243 2002 697 764 627 579 642 513 1141 1224 1055 1436 1543 1325 2001 685 752 614 565 621 506 1133 1244 1018 1402 1548 1252 2000 691 757 621 568 622 511 1144 1257 1026 1409 1550 1263 1999 706 772 636 577 635 515 1194 1294 1090 1456 1592 1316 1998 720 783 654 595 647 541 1192 1301 1079 1431 1575 1282 1997 723 795 647 603 667 536 1176 1283 1065 1416 1547 1282 1996 732 802 659 607 667 544 1218 1331 1101 1468 1604 1327 1995 759 833 681 629 699 555 1261 1353 1165 1512 1634 1386 1994 802 881 720 657 722 589 1347 1482 1208 1583 1749 1412 1993 837 925 743 682 756 605 1407 1558 1252 1652 1833 1467 1992 852 939 761 692 769 612 1444 1572 1310 1685 1838 1526 1991 894 1000 784 730 826 630 1507 1653 1357 1757 1938 1571 1990 922 1026 813 756 851 656 1552 1696 1403 1796 1962 1625 1989 981 1081 877 808 901 710 1633 1760 1502 1861 2002 1715 1988 995 1099 886 836 935 731 1608 1733 1479 1854 2004 1699 1987 1008 1117 894 848 945 745 1646 1806 1480 1875 2063 1683 1986 1035 1155 910 880 987 767 1672 1845 1491 1890 2091 1681 1985 1064 1191 932 917 1039 788 1684 1833 1528 1901 2076 1722 1984 1079 1190 962 930 1038 817 1705 1837 1569 1915 2067 1758 1983 1116 1231 996 961 1066 849 1780 1944 1611 1998 2195 1796 1982 1152 1277 1021 994 1108 873 1831 2007 1649 2048 2245 1844 1981 1193 1314 1066 1034 1150 912 1882 2036 1724 2081 2254 1903 1980 1260 1393 1121 1086 1212 952 2019 2189 1843 2219 2416 2015

Race of child3

1980 1260 1393 1121 1100 1227 965 1912 2073 1747 2137 2327 1943 1979 1307 1450 1156 1142 1282 994 1981 2147 1809 2178 2366 1985 1978 1378 1526 1223 1201 1337 1058 2106 2315 1890 2311 2539 2077 1977 1412 1575 1240 1234 1390 1068 2168 2371 1958 2364 2591 2130 1976 1524 1682 1357 1331 1481 1171 2350 2551 2142 2554 2783 2319 1975 1607 1786 1418 1417 1594 1230 2423 2624 2217 2621 2832 2403 1970 2001 2237 1752 1775 1995 1542 3092 3420 2753 3265 3618 2901 1960 2604 2933 2259 2291 2601 1964 4321 4788 3846 4432 4912 3943 1950 2921 3275 2548 2677 3021 2313 4446 4887 3993 4391 4827 3944 1940 4702 5245 4129 4323 4832 3784 7378 8221 6519 7294 8107 6461

Race of mother2 Neonatal mortality rate

2009 418 453 381 348 376 319 648 710 583 817 904 728 2008 429 467 389 362 394 328 654 714 592 823 899 745 2007 442 479 402 370 401 337 686 749 622 865 948 778 2006 445 484 405 372 405 337 700 758 640 882 949 812 2005 454 493 412 379 410 346 718 788 647 907 996 814 2004 452 494 409 378 414 341 719 782 654 913 995 827 2003 462 508 414 387 426 346 740 814 664 940 1040 837 2002 466 506 425 389 427 350 755 803 705 951 1013 887 2001 454 497 408 378 415 339 737 806 665 921 1015 825 2000 463 506 417 382 416 346 760 839 679 938 1039 835 1999 473 511 433 388 419 356 794 860 725 977 1072 879

Table 20 Infant neonatal and postneonatal mortality rates by race and sex United States 1940 1950 1960 1970 and 1975ndash2009mdashCon [Rates are infant (under 1 year) neonatal (under 28 days) and postneonatal (28 daysndash11 months) deaths per 1000 live births in specified group Beginning in 1980 race for live births is tabulated according to race of mother see lsquolsquoTechnical Notesrsquorsquo Race categories are consistent with the 1977 Office of Management and Budget (OMB) standards]

All other1

Race of mother2mdashCon Neonatal mortality rate

1998 480 521 437 398 431 363 791 863 717 955 1051 856 1997 477 520 432 399 437 359 774 836 709 940 1012 865 1996 477 518 434 397 431 362 786 859 712 956 1045 865 1995 491 536 444 408 450 364 813 871 753 985 1063 905 1994 512 558 464 420 455 383 860 951 765 1021 1132 907 1993 529 575 481 429 464 392 902 990 811 1069 1176 959 1992 537 584 489 435 472 396 919 1002 832 1083 1183 979 1991 559 617 498 453 501 404 952 1054 847 1125 1256 989 1990 585 650 516 479 538 417 986 1079 889 1155 1269 1038 1989 623 679 563 515 566 460 1030 1108 949 1192 1284 1097 1988 632 695 565 527 584 467 1033 1122 942 1205 1314 1093 1987 646 711 579 540 596 482 1068 1172 961 1230 1352 1105 1986 671 742 597 572 634 505 1079 1183 970 1231 1359 1098 1985 696 775 613 600 675 521 1100 1200 995 1262 1381 1139 1984 700 766 631 609 672 541 1087 1166 1006 1232 1322 1140 1983 728 801 652 631 698 561 1141 1246 1033 1293 1420 1163 1982 770 848 688 669 739 594 1204 1315 1088 1362 1486 1234 1981 802 881 720 699 773 620 1251 1352 1148 1398 1516 1277 1980 848 931 760 739 819 654 1321 1427 1213 1462 1591 1329

Race of child3

1980 848 931 760 748 829 662 1252 1351 1149 1408 1532 1281 1979 887 979 789 788 880 692 1289 1391 1183 1431 1545 1314 1978 949 1054 838 839 934 738 1401 1554 1243 1547 1717 1372 1977 988 1100 870 875 983 760 1466 1602 1327 1608 1760 1452 1976 1092 1203 975 966 1073 852 1631 1768 1490 1792 1947 1632 1975 1158 1291 1018 1038 1170 898 1678 1821 1531 1832 1978 1681 1970 1508 1696 1310 1377 1555 1188 2143 2387 1891 2276 2537 2007 1960 1873 2124 1609 1724 1966 1470 2686 3004 2362 2783 3113 2449 1950 2050 2334 1750 1937 2218 1640 2754 3076 2423 2780 3109 2444 1940 2875 3256 2474 2720 3085 2333 3971 4487 3445 3990 4478 3489

Race of mother2 Postneonatal mortality rate

2009 222 248 194 182 204 159 355 396 311 447 505 387 2008 232 254 208 193 212 173 362 397 326 450 493 406 2007 234 258 207 194 216 171 368 402 332 459 501 416 2006 224 248 198 184 205 162 360 396 322 447 489 404 2005 234 263 203 194 222 165 373 410 336 467 519 413 2004 227 253 200 187 207 166 372 419 323 466 524 406 2003 223 252 194 184 209 158 369 410 326 460 513 406 2002 231 258 203 189 215 163 386 421 350 485 530 438 2001 231 255 206 187 206 167 396 437 353 481 532 427 2000 228 251 204 186 206 166 383 418 347 470 511 428 1999 233 261 203 188 216 160 400 434 364 479 520 436 1998 240 262 216 197 216 178 401 438 362 476 524 426 1997 245 275 214 204 230 177 402 447 356 477 534 417 1996 255 284 224 209 236 181 432 472 390 511 560 462 1995 267 297 237 221 249 191 447 482 411 527 571 481 1994 290 322 256 237 267 206 488 532 442 561 617 504 1993 307 350 262 254 292 213 506 568 442 583 657 508 1992 314 355 272 258 297 216 525 569 478 602 654 547 1991 335 382 286 276 325 226 555 599 510 632 682 581 1990 338 376 297 278 314 239 566 616 513 641 693 587 1989 359 401 314 293 335 249 603 652 553 669 718 619

All other1

Race of mother2mdashCon Postneonatal mortality rate

1988 364 404 321 309 351 265 575 611 537 649 690 607 1987 362 406 315 308 349 264 577 634 518 645 710 577 1986 364 413 313 308 353 262 593 662 521 659 733 583 1985 368 415 319 317 364 267 584 633 533 640 695 583 1984 379 423 331 322 365 276 618 671 563 683 746 618 1983 388 430 344 329 368 288 639 698 578 705 775 632 1982 382 429 333 325 368 279 628 692 561 686 759 610 1981 391 434 346 335 377 292 631 684 576 683 738 626 1980 413 462 361 347 393 298 697 762 630 757 825 687

Race of child3

1980 413 462 361 352 398 302 661 722 597 729 795 662 1979 420 471 367 354 402 303 692 757 625 747 821 671 1978 430 472 385 363 403 320 705 760 648 764 822 705 1977 424 475 371 359 407 308 701 769 631 756 832 678 1976 432 479 383 365 408 319 719 783 652 763 836 688 1975 449 495 400 380 424 333 745 803 686 789 854 722 1970 493 541 442 398 440 354 949 1033 862 989 1081 894 1960 731 810 649 566 635 494 1635 1784 1484 1648 1799 1495 1950 871 941 798 740 804 673 1692 1811 1570 1610 1718 1500 1940 1827 1989 1655 1603 1747 1450 3407 3735 3074 3305 3629 2972

1Multiple-race data were reported for deaths by 34 states and the District of Columbia in 2008 and 2009 by 27 states and the District of Columbia in 2007 by 25 states and the District of Columbia in 2006 by 21 states and the District of Columbia in 2005 by 15 states in 2004 and by 7 states in 2003 see lsquolsquoTechnical Notesrsquorsquo Multiple-race data were reported for births by 32 states and the District of Columbia in 2009 by 30 areas in 2008 by 27 areas in 2007 by 23 areas in 2006 by 19 areas in 2005 by 15 areas in 2004 and by 6 areas in 2003 see lsquolsquoTechnical Notesrsquorsquo The multiple-race data for these reporting areas were bridged to the single-race categories of the 1977 OMB standards for comparability with other reporting areas see lsquolsquoTechnical Notesrsquorsquo 2Infant deaths are based on race of child as stated on the death certificate live births are based on race of mother as stated on the birth certificate see lsquolsquoTechnical Notesrsquorsquo 3Infant deaths are based on race of child as stated on the death certificate live births are based on race of parents as stated on the birth certificate see lsquolsquoTechnical Notesrsquorsquo

Table 21 Number of infant deaths and infant mortality rates for 130 selected causes by race United States 2009 [Rates are infant deaths (under 1 year) per 100000 live births in specified group Infant deaths are based on race of decedent live births are based on race of mother The asterisks () preceding the cause-of-death codes indicate that they are not part of the International Classification of Diseases Tenth Revision (ICDndash10) Second Edition see lsquolsquoTechnical Notesrsquorsquo]

Number Rate

All All Cause of death (based on ICDndash10 2004) races1 White2 Black2 races1 White2 Black2

All causes 26412 16817 8312 6394 5300 12640

Certain infectious and parasitic diseases (A00ndashB99)3 730 411 282 177 130 429 Certain intestinal infectious diseases (A00ndashA08) 11 7 4 Diarrhea and gastroenteritis of infectious origin (A09)3 331 173 142 80 55 216 Tuberculosis (A16ndashA19) 1 1 ndash Tetanus (A33A35) ndash ndash ndash Diphtheria (A36) ndash ndash ndash Whooping cough (A37) 15 14 ndash Meningococcal infection (A39) 11 7 3 Septicemia (A40ndashA41) 221 123 92 54 39 140 Congenital syphilis (A50) ndash ndash ndash Gonococcal infection (A54) ndash ndash ndash Viral diseases (A80ndashB34) 99 63 24 24 20 36

Acute poliomyelitis (A80) ndash ndash ndash Varicella (chickenpox) (B01) ndash ndash ndash Measles (B05) ndash ndash ndash Human immunodeficiency virus (HIV) disease (B20ndashB24) 1 ndash 1 Mumps (B26) ndash ndash ndash Other and unspecified viral diseases (A81ndashB00B02ndashB04B06ndashB19B25B27ndashB34) 98 63 23 24 20 35

Candidiasis (B37) 11 7 4 Malaria (B50ndashB54) 1 ndash 1 Pneumocystosis (B59) ndash ndash ndash All other and unspecified infectious and parasitic diseases (A20ndashA32A38A42ndashA49

A51ndashA53A55ndashA79B35ndashB36B38ndashB49B55ndashB58B60ndashB99) 29 16 12 07 Neoplasms (C00ndashD48) 136 104 21 33 33 32

Malignant neoplasms (C00ndashC97) 74 56 13 18 18 Hodgkinrsquos disease and non-Hodgkinrsquos lymphomas (C81ndashC85) ndash ndash ndash Leukemia (C91ndashC95) 27 23 3 07 07 Other and unspecified malignant neoplasms (C00ndashC80C88C90C96ndashC97) 47 33 10 11 10

In situ neoplasms benign neoplasms and neoplasms of uncertain or unknown behavior (D00ndashD48) 62 48 8 15 15

Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism (D50ndashD89) 92 56 32 22 18 49 Anemias (D50ndashD64) 13 6 6 Hemorrhagic conditions and other diseases of blood and blood-forming organs (D65ndashD76) 64 42 19 15 13 Certain disorders involving the immune mechanism (D80ndashD89) 15 8 7

Endocrine nutritional and metabolic diseases (E00ndashE88) 196 144 35 47 45 53 Short stature not elsewhere classified (E343) 2 2 ndash Nutritional deficiencies (E40ndashE64) 3 2 1 Cystic fibrosis (E84) 7 5 ndash Volume depletion disorders of fluid electrolyte and acid-base balance (E86ndashE87) 46 29 12 11 09 All other endocrine nutritional and metabolic diseases (E00ndashE32E340ndashE342

E344ndashE349E65ndashE83E85E88) 138 106 22 33 33 33 Diseases of the nervous system (G00ndashG98) 354 271 67 86 85 102

Meningitis (G00G03) 62 43 12 15 14 Infantile spinal muscular atrophy type I (Werdnig-Hoffman) (G120) 13 10 2 Infantile cerebral palsy (G80) 8 8 ndash Anoxic brain damage not elsewhere classified (G931) 38 23 15 09 07 Other diseases of nervous system (G04G06ndashG11G121ndashG129G20ndashG72

G81ndashG92G930G932ndashG939G95ndashG98) 233 187 38 56 59 58 Diseases of the ear and mastoid process (H60ndashH93) 2 2 ndash Diseases of the circulatory system (I00ndashI99) 581 377 177 141 119 269

Pulmonary heart disease and diseases of pulmonary circulation (I26ndashI28) 112 63 44 27 20 67 Pericarditis endocarditis and myocarditis (I30I33I40) 15 8 7 Cardiomyopathy (I42) 111 80 23 27 25 35 Cardiac arrest (I46) 28 18 9 07 Cerebrovascular diseases (I60ndashI69) 147 98 46 36 31 70 All other diseases of circulatory system (I00ndashI25I31I34ndashI38I44ndashI45I47ndashI51I70ndashI99) 168 110 48 41 35 73

Table 21 Number of infant deaths and infant mortality rates for 130 selected causes by race United States 2009mdashCon [Rates are infant deaths (under 1 year) per 100000 live births in specified group Infant deaths are based on race of decedent live births are based on race of mother The asterisks () preceding the cause-of-death codes indicate that they are not part of the International Classification of Diseases Tenth Revision (ICDndash10) Second Edition see lsquolsquoTechnical Notesrsquorsquo]

Number Rate

Diseases of the respiratory system (J00ndashJ98U04)4 595 350 212 144 110 322 Acute upper respiratory infections (J00ndashJ06) 12 6 5 Influenza and pneumonia (J09ndashJ18)4 251 149 82 61 47 125

Influenza (J09ndashJ11)4 43 29 9 10 09 Pneumonia (J12ndashJ18) 208 120 73 50 38 111

Acute bronchitis and acute bronchiolitis (J20ndashJ21) 46 27 18 11 09 Bronchitis chronic and unspecified (J40ndashJ42) 13 8 3 Asthma (J45ndashJ46) 6 3 3 Pneumonitis due to solids and liquids (J69) 7 4 3 Other and unspecified diseases of respiratory system (J22J30ndashJ39

J43ndashJ44J47ndashJ68J70ndashJ98U04) 260 153 98 63 48 149 Diseases of the digestive system (K00ndashK92) 220 145 58 53 46 88

Gastritis duodenitis and noninfective enteritis and colitis (K29K50ndashK55) 31 21 7 08 07 Hernia of abdominal cavity and intestinal obstruction without hernia (K40ndashK46K56) 49 31 16 12 10 All other and unspecified diseases of digestive system (K00ndashK28K30ndashK38K57ndashK92) 140 93 35 34 29 53

Diseases of the genitourinary system (N00ndashN95) 127 84 40 31 26 61 Renal failure and other disorders of kidney (N17ndashN19N25N27) 105 70 32 25 22 49 Other and unspecified diseases of genitourinary system (N00ndashN15N20ndashN23N26N28ndashN95) 22 14 8 05

Certain conditions originating in the perinatal period (P00ndashP96) 12999 7778 4621 3147 2451 7027 Newborn affected by maternal factors and by complications of pregnancy

labor and delivery (P00ndashP04) 2980 1834 996 721 578 1515 Newborn affected by maternal hypertensive disorders (P000) 83 45 35 20 14 53 Newborn affected by other maternal conditions which may be unrelated

to present pregnancy (P001ndashP009) 94 63 25 23 20 38 Newborn affected by maternal complications of pregnancy (P01) 1608 962 562 389 303 855

Newborn affected by incompetent cervix (P010) 430 247 162 104 78 246 Newborn affected by premature rupture of membranes (P011) 774 463 265 187 146 403 Newborn affected by multiple pregnancy (P015) 206 121 76 50 38 116 Newborn affected by other maternal complications of

pregnancy (P012ndashP014P016ndashP019) 198 131 59 48 41 90 Newborn affected by complications of placenta cord and membranes (P02) 1064 689 322 258 217 490

Newborn affected by complications involving placenta (P020ndashP023) 522 359 137 126 113 208 Newborn affected by complications involving cord (P024ndashP026) 41 31 10 10 10 Newborn affected by chorioamnionitis (P027) 500 298 175 121 94 266 Newborn affected by other and unspecified abnormalities of membranes (P028ndashP029) 1 1 ndash

Newborn affected by other complications of labor and delivery (P03) 98 58 37 24 18 56 Newborn affected by noxious influences transmitted via placenta or breast milk (P04) 33 17 15 08

Disorders related to length of gestation and fetal malnutrition (P05ndashP08) 4625 2526 1902 1120 796 2892 Slow fetal growth and fetal malnutrition (P05) 87 53 32 21 17 49 Disorders related to short gestation and low birth weight not elsewhere classified (P07) 4538 2473 1870 1099 779 2844

Extremely low birth weight or extreme immaturity (P070P072) 3467 1872 1456 839 590 2214 Other low birth weight or preterm (P071P073) 1071 601 414 259 189 630

Disorders related to long gestation and high birth weight (P08) ndash ndash ndash Birth trauma (P10ndashP15) 16 14 2 Intrauterine hypoxia and birth asphyxia (P20ndashP21) 316 224 81 77 71 123

Intrauterine hypoxia (P20) 119 82 34 29 26 52 Birth asphyxia (P21) 197 142 47 48 45 71

Respiratory distress of newborn (P22) 595 356 215 144 112 327 Other respiratory conditions originating in the perinatal period (P23ndashP28) 956 586 320 231 185 487

Congenital pneumonia (P23) 95 59 32 23 19 49 Neonatal aspiration syndromes (P24) 44 26 11 11 08 Interstitial emphysema and related conditions originating in the perinatal period (P25) 113 81 30 27 26 46 Pulmonary hemorrhage originating in the perinatal period (P26) 159 91 60 38 29 91 Chronic respiratory disease originating in the perinatal period (P27) 183 88 87 44 28 132 Atelectasis (P280ndashP281) 283 191 75 69 60 114 All other respiratory conditions originating in the perinatal period (P282ndashP289) 79 50 25 19 16 38

Number Rate

Infections specific to the perinatal period (P35ndashP39) 832 500 294 201 158 447 Bacterial sepsis of newborn (P36) 652 380 241 158 120 366 Omphalitis of newborn with or without mild hemorrhage (P38) 4 3 ndash All other infections specific to the perinatal period (P35P37P39) 176 117 53 43 37 81

Hemorrhagic and hematological disorders of newborn (P50ndashP61) 624 425 169 151 134 257 Neonatal hemorrhage (P50ndashP52P54) 517 349 143 125 110 217 Hemorrhagic disease of newborn (P53) 1 1 ndash Hemolytic disease of newborn due to isoimmunization and other

perinatal jaundice (P55ndashP59) 15 13 2 Hematological disorders (P60ndashP61) 91 62 24 22 20 36

Syndrome of infant of a diabetic mother and neonatal diabetes mellitus (P700ndashP702) 11 8 3 Necrotizing enterocolitis of newborn (P77) 484 290 168 117 91 255 Hydrops fetalis not due to hemolytic disease (P832) 193 149 38 47 47 58 Other perinatal conditions (P29P703ndashP709P71ndashP76P78ndashP81P830ndashP831

P833ndashP839P90ndashP96) 1367 866 433 331 273 658 Congenital malformations deformations and chromosomal abnormalities (Q00ndashQ99) 5319 3942 1075 1288 1242 1635

Anencephaly and similar malformations (Q00) 324 268 39 78 84 59 Congenital hydrocephalus (Q03) 105 73 29 25 23 44 Spina bifida (Q05) 23 15 5 06 Other congenital malformations of nervous system (Q01ndashQ02Q04Q06ndashQ07) 328 246 67 79 78 102 Congenital malformations of heart (Q20ndashQ24) 1226 892 255 297 281 388 Other congenital malformations of circulatory system (Q25ndashQ28) 187 127 45 45 40 68 Congenital malformations of respiratory system (Q30ndashQ34) 390 281 81 94 89 123 Congenital malformations of digestive system (Q35ndashQ45) 67 47 17 16 15 Congenital malformations of genitourinary system (Q50ndashQ64) 500 389 97 121 123 148 Congenital malformations and deformations of musculoskeletal system limbs

and integument (Q65ndashQ85) 545 419 98 132 132 149 Downrsquos syndrome (Q90) 86 63 18 21 20 Edwardrsquos syndrome (Q910ndashQ913) 499 376 97 121 118 148 Pataursquos syndrome (Q914ndashQ917) 250 173 61 61 55 93 Other congenital malformations and deformations (Q10ndashQ18Q86ndashQ89) 592 425 128 143 134 195 Other chromosomal abnormalities not elsewhere classified (Q92ndashQ99) 197 148 38 48 47 58

Symptoms signs and abnormal clinical and laboratory findings not elsewhere classified (R00ndashR99) 3420 2149 1120 828 677 1703 Sudden infant death syndrome (R95) 2226 1437 690 539 453 1049 Other symptoms signs and abnormal clinical and laboratory findings

not elsewhere classified (R00ndashR53R55ndashR94R96ndashR99) 1194 712 430 289 224 654 All other diseases (residual) 14 11 2 External causes of mortality (U01V01ndashY84) 1627 993 570 394 313 867

Accidents (unintentional injuries) (V01ndashX59) 1181 737 402 286 232 611 Transport accidents (V01ndashV99) 97 61 30 23 19 46

Motor vehicle accidents (V02ndashV04V090V092V12ndashV14V190ndashV192 V194ndashV196V20ndashV79V803ndashV805V810ndashV811V820ndashV821

V83ndashV86V870ndashV878V880ndashV888V890V892) 95 60 29 23 19 44 Other and unspecified transport accidents (V01V05ndashV06V091V093ndashV099

V10ndashV11V15ndashV18V193V198ndashV199V800ndashV802V806ndashV809 V812ndashV819V822ndashV829V879V889V891V893V899V90ndashV99) 2 1 1

Falls (W00ndashW19) 19 15 3 Accidental discharge of firearms (W32ndashW34) 1 ndash 1 Accidental drowning and submersion (W65ndashW74) 45 32 12 11 10 Accidental suffocation and strangulation in bed (W75) 665 393 250 161 124 380 Other accidental suffocation and strangulation (W76ndashW77W81ndashW84) 188 126 54 46 40 82 Accidental inhalation and ingestion of food or other objects causing obstruction

of respiratory tract (W78ndashW80) 54 37 14 13 12 Accidents caused by exposure to smoke fire and flames (X00ndashX09) 24 15 9 06 Accidental poisoning and exposure to noxious substances (X40ndashX49) 22 14 8 05 Other and unspecified accidents (W20ndashW31W35ndashW64W85ndashW99X10ndashX39X50ndashX59) 66 44 21 16 14 32

Number Rate

Assault (homicide) (U01X85ndashY09) 317 185 117 77 58 178 Assault (homicide) by hanging strangulation and suffocation (X91) 26 19 6 06 Assault (homicide) by discharge of firearms (U014X93ndashX95) 11 4 5 Neglect abandonment and other maltreatment syndromes (Y06ndashY07) 97 52 40 23 16 61 Assault (homicide) by other and unspecified means (U010ndashU013

U015ndashU019X85ndashX90X92X96ndashX99Y00ndashY05Y08ndashY09) 183 110 66 44 35 100 Complications of medical and surgical care (Y40ndashY84) 17 9 7 Other external causes (Y10ndashY36) 112 62 44 27 20 67

Figure does not meet standards of reliability or precision see lsquolsquoTechnical Notesrsquorsquo ndash Quantity zero 1Includes races other than white and black 2Race categories are consistent with the 1977 Office of Management and Budget (OMB) standards Multiple-race data were reported for deaths by 34 states and the District of Columbia and for births by 32 states and the District of Columbia see lsquolsquoTechnical Notesrsquorsquo The multiple-race data for these reporting areas were bridged to the single-race categories of the 1977 OMB standards for comparability with other reporting areas see lsquolsquoTechnical Notesrsquorsquo 3Expanded ICDndash10 code A09 (Diarrhea and gastroenteritis of infectious origin) was added to the category in 2009 see lsquolsquoTechnical Notesrsquorsquo 4Expanded ICDndash10 code J09 (Influenza due to certain identified influenza virus) was added to the category in 2009 see lsquolsquoTechnical Notesrsquorsquo

Table 22 Number of infant and neonatal deaths and mortality rates by race for the United States each state Puerto Rico Virgin Islands Guam American Samoa and Northern Marianas and by sex for the United States 2009 [Rates are infant (under 1 year) and neonatal (under 28 days) deaths per 1000 live births in specified group Infant deaths are based on race of decedent live births are based on race of mother See lsquolsquoTechnical Notesrsquorsquo]

Infant deaths Neonatal deaths

All races1 White2 Black2 All races1 White2 Black2

Sex and area Number Rate Number Rate Number Rate Number Rate Number Rate Number Rate

United States3 26412 639 16817 530 8312 1264 17255 418 11054 348 5374 817 Male 14823 701 9419 579 4706 1408 9578 453 6110 376 3019 904 Female 11589 575 7398 478 3606 1115 7677 381 4944 319 2355 728

Alabama 517 828 259 617 254 1316 316 506 151 360 163 845 Alaska 77 680 36 519 7 31 274 12 6 Arizona 556 599 414 527 76 1687 367 395 283 360 47 1043 Arkansas 307 771 198 634 97 1257 170 427 108 346 54 700 California 2602 494 1945 465 375 1115 1759 334 1343 321 236 702 Colorado 429 625 352 569 57 1662 288 420 239 386 37 1079 Connecticut 214 550 143 462 65 1190 163 419 107 346 52 952 Delaware 91 787 36 462 55 1700 66 571 25 321 41 1267 District of Columbia 89 985 20 609 69 1296 57 631 18 39 732 Florida 1522 687 816 519 684 1222 992 448 533 339 444 793

Georgia 1049 742 436 522 599 1162 705 499 279 334 416 807 Hawaii 116 614 29 511 6 84 445 21 370 3 Idaho 129 543 122 538 2 81 341 77 340 1 Illinois 1177 688 727 555 416 1374 796 465 515 393 255 843 Indiana 678 782 494 667 174 1667 433 500 316 426 110 1054 Iowa 182 458 155 427 24 1163 106 267 86 237 18 Kansas 289 698 225 618 47 1437 177 428 139 382 29 887 Kentucky 397 690 326 643 66 1164 216 375 178 351 34 600 Louisiana 568 874 245 646 317 1252 325 500 132 348 188 742 Maine 76 564 73 575 2 53 393 50 394 2

Maryland 546 727 181 417 348 1335 389 518 124 286 252 967 Massachusetts 379 505 298 503 61 637 289 385 229 387 42 438 Michigan 881 751 501 558 352 1559 603 514 348 388 231 1023 Minnesota 326 461 235 414 51 744 190 269 138 243 28 408 Mississippi 431 1005 162 706 262 1371 263 613 98 427 162 848 Missouri 565 716 392 609 166 1368 357 452 242 376 110 907 Montana 72 587 54 514 1 41 335 30 285 1 Nebraska 146 542 120 511 20 988 89 330 72 307 15 Nevada 220 585 172 570 34 898 148 393 119 394 22 581 New Hampshire 65 486 62 496 1 45 336 45 360 ndash

New Jersey 566 513 305 390 221 1086 401 363 217 278 156 767 New Mexico 153 528 118 495 9 93 321 67 281 7 New York 1323 533 789 451 476 967 914 368 561 321 313 636 North Carolina 1004 792 492 545 485 1586 674 531 331 366 329 1076 North Dakota 55 611 35 459 1 30 333 21 276 ndash Ohio 1112 768 723 624 380 1508 752 519 487 421 259 1028 Oklahoma 428 785 264 636 86 1630 239 438 146 352 52 986 Oregon 227 482 207 490 7 157 333 143 339 5 Pennsylvania 1052 718 651 575 379 1434 724 494 452 399 255 965 Rhode Island 71 621 46 498 21 1534 57 498 39 422 15

South Carolina 430 709 202 521 222 1086 260 429 122 315 135 661 South Dakota 80 670 57 599 4 45 377 35 368 3 Tennessee 658 800 376 613 277 1506 392 477 218 355 170 924 Texas 2402 598 1785 533 546 1109 1516 377 1145 342 316 642 Utah 285 529 268 528 7 209 388 197 388 5 Vermont 38 622 34 577 3 27 442 25 424 2 Virginia 751 715 411 559 318 1351 491 467 269 366 208 884 Washington 438 490 343 471 45 907 254 284 200 275 22 443 West Virginia 165 776 148 730 17 111 522 100 494 11 Wisconsin 431 608 292 493 119 1606 282 398 196 331 73 985 Wyoming 47 596 43 580 1 28 355 26 351 ndash

Table 22 Number of infant and neonatal deaths and mortality rates by race for the United States each state Puerto Rico Virgin Islands Guam American Samoa and Northern Marianas and by sex for the United States 2009mdashCon [Rates are infant (under 1 year) and neonatal (under 28 days) deaths per 1000 live births in specified group Infant deaths are based on race of decedent live births are based on race of mother See lsquolsquoTechnical Notesrsquorsquo]

Puerto Rico 353 788 341 858 12 267 596 257 647 10 Virgin Islands 11 4 7 9 3 6 Guam 36 1054 2 ndash 23 673 2 ndash American Samoa 15 ndash ndash 6 ndash ndash Northern Marianas 2 ndash ndash 1 ndash ndash

Figure does not meet standards of reliability or precision see lsquolsquoTechnical Notesrsquorsquo ndash Quantity zero 1Includes races other than white and black 2Race categories are consistent with the 1977 Office of Management and Budget (OMB) standards Multiple-race data were reported for deaths by 34 states and the District of Columbia and for births by 32 states and the District of Columbia see lsquolsquoTechnical Notesrsquorsquo The multiple-race data for these reporting areas were bridged to the single-race categories of the 1977 OMB standards for comparability with other reporting areas see lsquolsquoTechnical Notesrsquorsquo 3Excludes data for Puerto Rico Virgin Islands Guam American Samoa and Northern Marianas

Technical Notes

Nature and sources of data Data in this report are based on information from all death

certificates filed in the 50 states and the District of Columbia and are processed by the Centers for Disease Control and Preventionrsquos (CDC) National Center for Health Statistics (NCHS) Data for 2009 are based on records of deaths that occurred during 2009 and were received as of September 14 2011

The US Standard Certificate of Deathmdashwhich is used as a model by the statesmdashwas revised in 2003 (31) Prior to 2003 the standard certificate of death had not been revised since 1989 This report includes data for 30 states (Arkansas California Connecticut Delashyware Florida Georgia Idaho Illinois Indiana Kansas Michigan Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York State (excluding New York City) North Dakota Ohio Oklahoma Oregon Rhode Island South Carolina South Dakota Texas Utah Vermont Washington and Wyoming) New York City and the District of Columbia that used the 2003 revision of the US Standard Certificate of Death in 2009 This report includes data for the remaining 20 states that collected and reported death data in 2009 based on the 1989 revision of the US Standard Certificate of Death

Because most of the items presented in this report appear largely comparable despite changes to item wording and format in the 2003 death certificate revision data from both groups of states are comshybined unless otherwise stated Data for Puerto Rico Virgin Islands Guam American Samoa and Northern Marianas are included in tables showing data by state but are not included in US totals

Mortality statistics are based on information coded by the states and provided to NCHS through the Vital Statistics Cooperative Proshygram and from copies of original certificates received by NCHS from state registration offices For the 2009 data year the District of Columbia and all states except for Georgia and West Virginia parshyticipated in this program and submitted part or all of the mortality medical data in electronic data files to NCHS The remainder of the data was coded by NCHS from copies of death certificates Georgia West Virginia and the territories submitted copies of death certificates from which NCHS entered and coded all data For 2009 all states submitted precoded demographic data for all deaths

In 2009 Georgia continued to experience difficulties entering data from the revised certificate into a new system Similar problems were encountered in 2008 when Georgia began implementation of the revised certificate Georgiarsquos demographic data for 2009 were comshypiled from a subset of the demographic file coded and provided by Georgiarsquos State Office of Vital Records Many variables that are traditionally included are missing from Georgiarsquos file for 2009 These variables include (but are not limited to)

bull Birthplace of decedent bull City limits indicator for place of residence of decedent bull Marital status of decedent bull Place (type of institution or home) of death bull Method of disposition of the body bull Time of death

Data for the entire United States refer to events occurring within the United States Data shown for geographic areas are by place of

residence Beginning with 1970 mortality statistics for the United States exclude deaths of nonresidents of the United States All data exclude fetal deaths

Mortality statistics for Puerto Rico Virgin Islands American Samoa and Northern Marianas exclude deaths of nonresidents for each area For Guam however mortality statistics exclude deaths that occurred to a resident of any place other than Guam or the United States

Cause-of-death classification

The mortality statistics presented in this report were compiled in accordance with World Health Organization (WHO) regulations which specify that member nations classify and code causes of death in accordance with the current revision of the International Classification of Diseases (ICD) ICD provides the basic guidance used in virtually all countries to code and classify causes of death Effective with deaths occurring in 1999 the United States began using the Tenth Revision of this classification (ICDndash10) (32) In 2004 the second edition of ICDndash10 was adopted (6) For earlier years causes of death were classified according to the revisions then in usemdash1979ndash1998 Ninth Revision 1968ndash1978 Eighth Revision adapted for use in the United States 1958ndash1967 Seventh Revision and 1949ndash1957 Sixth Revision

Changes in classification of causes of death due to these revishysions may result in discontinuities in cause-of-death trends Conseshyquently cause-of-death comparisons among revisions require consideration of comparability ratios and where available considshyeration of estimates of their standard errors Comparability ratios between the Ninth and Tenth revisions Eighth and Ninth revisions Seventh and Eighth revisions and Sixth and Seventh revisions may be found in other NCHS reports and independent tabulations (33ndash38)

Rules for coding a cause or causes of death may sometimes require modification when evidence suggests it will improve the quality of cause-of-death data Prior to 1999 such modifications were made only when a new ICD revision was implemented A process for updating ICD was introduced with ICDndash10 that allows for mid-revision changes These changes however may affect comparability of data between years for selected causes of death The changes to ICDndash10 that were implemented in data year 2009 are discussed in subsequent sections of this report

ICD not only details disease classification but also provides definitions tabulation lists the format of the death certificate and the rules for coding cause of death Cause-of-death data presented in this publication were coded by procedures outlined in annual issues of the NCHS Instruction Manual (3940) ICD includes rules for selecting the underlying cause of death and regulations on the use of ICD

Before data year 1968 mortality medical data were based on manual coding of an underlying cause of death for each certificate in accordance with WHO rules Effective with data year 1968 NCHS converted to computerized coding of the underlying cause and manual coding of all causes (multiple causes) on the death certificate In this system called lsquolsquoAutomated Classification of Medical Entitiesrsquorsquo (ACME) (41) multiple-cause codes are inputted to computer software that uses WHO rules to select the underlying cause All cause-of-death data in this report are coded using ACME

The ACME system is used to select the underlying cause of death for all death certificates in the United States In addition NCHS has

developed two computer systems as inputs to ACME Beginning with 1990 data the Mortality Medical Indexing Classification and Retrieval system (MICAR) (4243) was introduced to automate the coding of multiple causes of death In addition MICAR provides more detailed information on the conditions reported on death certificates than is available through ICD code structure Beginning with data year 1993 SuperMICAR an enhancement of the MICAR system was introduced allowing for literal entry of the multiple cause-of-death text as reported by the certifier This information is then automatically processed by the MICAR and ACME computer systems Records that cannot be autoshymatically processed by MICAR or SuperMICAR are manually multiple-cause coded and then further processed through ACME In 2009 SuperMICAR was used to process all of the nationrsquos death records

In this report tabulations of cause-of-death statistics are based solely on the underlying cause of death The underlying cause is defined by WHO as lsquolsquothe disease or injury which initiated the train of events leading directly to death or the circumstances of the accident or violence which produced the fatal injuryrsquorsquo (6) The underlying cause is selected from the conditions entered by the medical certifier in the cause-of-death section of the death certificate When more than one cause or condition is entered by the medical certifier the underlying cause is determined by the sequence of conditions on the certificate provisions of ICD and associated selection rules and modifications Generally more medical information is reported on death certificates than is directly reflected in the underlying cause of death This is captured in NCHS multiple cause-of-death statistics (44ndash46)

Tabulation lists and cause-of-death ranking

Tabulation lists for ICDndash10 are published in the NCHS Instrucshytion Manual Part 9 lsquolsquoICDndash10 Cause-of-Death Lists for Tabulating Mortality Statisticsrsquorsquo (updated March 2009 to include WHO updates to ICDndash10 for data year 2009) (47) For this report two tabulation lists are used List of 113 Selected Causes of Death and Enterocolitis due to Clostridium difficile (the title of this list was modified in 2009 to include Enterocolitis due to Clostridium difficile) used for deaths of all ages and List of 130 Selected Causes of Infant Death used for infants (47) These lists are also used to rank leading causes of death for the two population groups For the list of 113 causes the group titles of major cardiovascular diseases (ICDndash10 codes I00ndashI78) and symptoms signs and abnormal clinical and laboratory findings not elsewhere classified (ICDndash10 codes R00-R99) are not ranked In addition category titles that begin with the words lsquolsquootherrsquorsquo and lsquolsquoall otherrsquorsquo are not ranked to determine the leading causes of death When one of the titles that represents a subtotal is rankedmdashfor example Tuberculosis (ICDndash10 codes A16ndashA19)mdashits component parts are not rankedmdashin this case Respiratory tubercushylosis (ICDndash10 code A16) and Other tuberculosis (ICDndash10 codes A17ndashA19) For the list of 130 causes of infant death the same ranking procedures are used except that the category of major cardiovascular diseases is not on the list More detail regarding ranking procedures can be found in lsquolsquoDeaths Leading Causes for 2009rsquorsquo (3)

Leading cause-of-death trends discussed in this report are based on cause-of-death data according to ICDndash10 for 1999ndash2009 and ICDndash9 for the most comparable cause-of-death titles for 1979ndash1998 Tables showing ICDndash9 categories that are comparable with ICDndash10 titles in the List of 113 Selected Causes of Death may be found in

lsquolsquoComparability of Cause of Death between ICDndash9 and ICDndash10 Preshyliminary Estimatesrsquorsquo (35) and lsquolsquoDeaths Final Data for 1999rsquorsquo (48) Although in some cases categories from the List of 113 Selected Causes of Death are identical to those in the earlier List of 72 Selected Causes of Death used with ICDndash9 caution must be used because many of these categories are not comparable even though the causeshyof-death titles may be the same

Trend data for 1979ndash1998 that are classified by ICDndash9 but sorted into the List of 113 Selected Causes of Death developed for ICDndash10 can be found on the mortality website at httpwwwcdcgovnchsdatastatabhist001rpdf

Revision of ICD and resulting changes in classification and rules for selecting the underlying cause of death have important implications for the analysis of mortality trends by cause of death For some causes of death the discontinuity in trend can be substantial (3335) Thereshyfore considerable caution should be used in analyzing cause-of-death trends for periods of time that extend across more than one revision of ICD

Codes added and deleted in 2009

Effective with data year 2009 the following five new ICDndash10 codes were added as valid underlying cause-of-death codes A090 Other and unspecified gastroenteritis and colitis of infectious origin A099 Gastroenteritis and colitis of unspecified origin K523 Indeterminate colitis R263 Immobility and R636 Insufficient intake of food and water due to self-neglect Deaths classified to codes A090 and A099 are included in the category lsquolsquoCertain other intestinal infectionsrsquorsquo in the list of 113 selected causes of death and in the category lsquolsquoDiarrhea and gastroenteritis of infectious originrsquorsquo in the list of 130 selected causes of infant death Deaths classified to the code K523 are included in the lsquolsquoResidualrsquorsquo category of the list of 113 selected causes of death and in the category lsquolsquoGastritis duodenitis and noninfective enteritis and colitisrsquorsquo in the list of 130 selected causes of infant death Deaths classified to codes R263 and R636 are included in the category lsquolsquoSymptoms signs and abnormal clinical and laboratory findings not elsewhere classifiedrsquorsquo in both the 113 and 130 cause lists Additional information on these new categories can be found at httpwwwcdcgovnchsdatadvsPart9InstructionManual2009pdf (47) The effect on the data in this report due to these changes can be found in the section lsquolsquoQuality of reporting and processing cause of deathrsquorsquo

Deleted from the list of valid underlying cause-of-death codes in 2009 were the following A09 Diarrhea and gastroenteritis of infectious origin (expanded to four-digit code) F110 Mental and behavioral disorders due to use of opioids acute intoxication F120 Mental and behavioral disorders due to use of cannabinoids acute intoxication F130 Mental and behavioral disorders due to use of sedatives or hypnotics acute intoxication F140 Mental and behavioral disorders due to use of cocaine acute intoxication F150 Mental and behavioral disorders due to use of other stimulants including caffeine acute intoxication F160 Mental and behavioral disorders due to use of hallucinogens acute intoxication F170 Mental and behavioral disshyorders due to use of tobacco acute intoxication F180 Mental and behavioral disorders due to use of volatile solvents acute intoxication F190 Mental and behavioral disorders due to multiple drug use and use of other psychoactive substances acute intoxication and K511

Ulcerative (chronic) ileocolitis These codes were deleted from the list of valid underlying cause of death codes because the conditions assigned to these categories are interpreted as poisoning deaths

Codes for terrorism

Beginning with data for 2001 NCHS introduced categories U01ndashU03 for classifying and coding deaths due to acts of terrorism The asterisks before the category codes indicate that they are not part of ICDndash10 Deaths classified to the terrorism categories are included in the 113 causes of death list in the categories for Assault (homicide) and Intentional self-harm (suicide) and in the 130 causes of death list for infants in the category for Assault (homicide) Additional information on these new categories is available from httpwwwcdcgovnchsicdterrorism_codehtm No deaths were assigned to the terrorism categories in 2009

Enterocolitis due to Clostridium difficile

The number of deaths from Enterocolitis due to Clostridium difficile (C difficile) (ICDndash10 code A047) has increased dramatically in recent years from 793 deaths in 1999 to 7251 deaths in 2009 Data for C difficile are included in tables showing data for 113 selected causes of death in lsquolsquoCertain other intestinal infections (A04 A07ndashA09)rsquorsquo but were not identified separately until 2006 Because of the increasing importance of this cause of death beginning with data year 2006 data for C difficile are shown separately at the bottom of tables showing 113 selected causes and C difficile was added to the list of rankable causes

Quality of reporting and processing cause of death

One index of the quality of reporting causes of death is the proportion of death certificates coded to Chapter XVIIImdashSymptoms signs and abnormal clinical and laboratory findings not elsewhere classified (ICDndash10 codes R00ndashR99) Although which deaths occur for which underlying causes are impossible to determine the proportion coded to R00ndashR99 indicates the consideration given to the cause-of-death statement by the medical certifier This proportion also may be used as a rough measure of specificity of medical diagnoses made by the certifier in various areas The percentage of all reported deaths in the United States assigned to lsquolsquoSymptoms signs and abnormal clinical and laboratory findings not elsewhere classifiedrsquorsquo increased from 156 in 2008 to 163 in 2009 In 2009 the following states reported an unusually large increase in deaths assigned to R99 New Jersey (from 347 in 2008 to 1662 in 2009) Ohio (from 432 to 2431) and West Virginia (from 209 to 750)

Due to a system error most deaths assigned to ICD code K088 (Other specified disorders of teeth and supporting structures) should instead have been assigned to lung hemorrhage In 2009 107 deaths were assigned to K088 Because the number of deaths is relatively small this error did not significantly impact any category in tables appearing in this report that show data by cause of death The error will be corrected for the 2010 data year

Rules for coding a cause or causes of death may sometimes require modification when evidence suggests it will improve the quality of cause-of-death data These changes however may affect comshy

parability of data between years for selected causes of death The implementation of changes in coding rules in 2009 had an impact on several mortality causesmdashand the comparison of 2009 and 2008 data for these causesmdashin the following ways

bull In 2009 the ICDndash10 code A09 was expanded from a three-digit code to two four-digit codes (A090 and A099) This expansion allowed for greater specificity and the result was an increase in the number of deaths classified to A09 Accounting for much of the increase was a coding change that resulted in deaths which would have previously been assigned to K52 Other noninfective gastroenteritis and colitis instead being assigned to A09 Beginshyning in 2009 ICDndash10 code A09 represents the subtotal of ICDndash10 codes A090 and A099 but is no longer selected as a three-digit underlying cause-of-death code This change directly affects the category lsquolsquoCertain other intestinal infectionsrsquorsquo in the list of 113 selected causes of death (the number of deaths increased from 7876 in 2008 to 10251 in 2009) and the category lsquolsquoDiarrhea and gastroenteritis of infectious originrsquorsquo in the list of 130 selected causes of infant death (the number of deaths increased from 0 in 2008 to 331 in 2009) The total number of deaths from K52 decreased from 2580 deaths in 2008 to 301 deaths in 2009 Because ICDndash10 code K52 falls within the category lsquolsquoAll other diseases (Residual) no cause or group of causesrsquorsquo in the list of 113 selected causes was significantly impacted by the decrease in deaths from this cause The number of infant deaths from K52 decreased from 328 deaths in 2008 to 7 deaths in 2009 Affected by this change in the list of 130 selected causes of infant death was lsquolsquoDiseases of the digestive systemrsquorsquo (K00ndashK92) From 2008 to 2009 the infant mortality rate for this cause decreased 61 (from 136 infant deaths per 1000 live births in 2008 to 53 in 2009)

bull In 2009 the title for the ICDndash10 code J09 was changed from lsquolsquoInfluenza due to identified avian influenza virusrsquorsquo to lsquolsquoInfluenza due to certain identified influenza virusrsquorsquo The reason for this change was to accommodate deaths from influenza A (H1N1) virus in the ICDndash10 code J09 for the 2009 data year In April 2009 the new influenza A (H1N1) virus was determined to be a cause of influenza illness in the United States (49) In 2009 1557 deaths were classified to ICDndash10 code J09

bull In 2009 ICDndash10 codes F110 F120 F130 F140 F150 F160 F170 F180 and F190 were deleted from the list of valid underlying cause-of-death codes In 2008 there were 0 deaths classified to these ICDndash10 codes

Detail on coding and classification rule changes can be found in the instruction manual lsquolsquoICDndash10 ACME Decision Tables for Classifying Underlying Causes of Death 2009rsquorsquo at httpwwwcdcgovnchsdatadvs2c2009pdf (41)

Rare causes of death

Selected causes of death considered to be of public health concern are supposed to be routinely confirmed by states according to agreed-upon procedures between state vital statistics programs and NCHS These causes termed infrequent and rare causes of death are listed in the NCHS Instruction Manual Parts 2a 11 and 20 (395051) In 2009 some states did not confirm some or all deaths from rare causes

Injury mortality data are presented using the external cause of injury mortality matrix for ICDndash10 (Table 18) In this framework cause-of-injury deaths are organized principally by mechanism (eg firearm or poisoning) and secondarily by manner or intent of death (eg unintentional suicide or homicide)

The number of deaths for selected causes in this framework may differ from those shown in tables that use the standard mortality tabulation lists Following WHO conventions standard mortality tabushylations (Table 10) present external causes of death (ICDndash10 codes U01ndashU03 and V01ndashY89) in contrast the matrix (Table 18) excludes deaths classified as Complications of medical and surgical care (Y40ndashY84 and Y88) For additional information on injury data preshysented in this framework see lsquolsquoDeaths Injuries 2002rsquorsquo available from httpwwwcdcgovnchsdatanvsrnvsr54nvsr54_10pdf (52) Data for later years are available through CDCrsquos WONDER system at httpwondercdcgov or through CDCrsquos Web-based Injury Statistics Query and Reporting System (WISQARS) at httpwwwcdcgovinjurywisqarsindexhtml Implementation of changes to ICDndash10 may affect the matrix requiring modification of codes in selected categories No changes were made to the matrix in 2009 For more information on the latest ICDndash10 external cause-of-injury codes included in the matrix see httpwwwcdcgovnchsinjuryinjury_toolshtm

Codes for firearm deaths

Causes of death attributable to firearm mortality include ICDndash10 codes U014 Terrorism involving firearms (homicide) W32ndashW34 Accidental discharge of firearms X72ndashX74 Intentional self-harm (suicide) by discharge of firearms X93ndashX95 Assault (homicide) by discharge of firearms Y22ndashY24 Discharge of firearms undetershymined intent and Y350 Legal intervention involving firearm disshycharge Deaths from injury by firearms exclude deaths due to explosives and other causes indirectly related to firearms

Codes for drug-induced deaths

The list of codes for drug-induced deaths was modified in 2009 to exclude deleted codes F110 F120 F130 F140 F150 F160 F170 F180 and F190 (see lsquolsquoCodes added and deleted in 2009rsquorsquo section) Causes of death attributable to drug-induced mortality include ICDndash10 codes D521 Drug-induced folate deficiency anemia D590 Drug-induced hemolytic anemia D592 Drug-induced nonautoimmune hemolytic anemia D611 Drug-induced aplastic anemia D642 Secondary sideroblastic anemia due to drugs and toxins E064 Drug-induced thyroiditis E160 Drug-induced hypoglycemia without coma E231 Drug-induced hypopitushyitarism E242 Drug-induced Cushingrsquos syndrome E273 Drug-induced adrenocortical insufficiency E661 Drug-induced obesity selected codes from the ICDndash10 title of mental and behavioral disorders due to psychoactive substance use specifically F111ndashF115 F117ndashF119 F121ndashF125 F127ndashF129 F131ndashF135 F137ndashF139 F141ndashF145 F147ndashF149 F151ndashF155 F157ndashF159 F161ndashF165 F167ndashF169 F173ndashF175 F177ndashF179 F181ndashF185 F187ndashF189 F191ndashF195 and F197ndashF199 G211 Other drug-induced secondary parkinsonism G240 Drug-induced dystonia

G251 Drug-induced tremor G254 Drug-induced chorea G256 Drug-induced tics and other tics of organic origin G444 Drug-induced headache not elsewhere classified G620 Drug-induced polyneuropathy G720 Drug-induced myopathy I952 Hypotension due to drugs J702 Acute drug-induced interstitial lung disorders J703 Chronic drug-induced interstitial lung disorders J704 Drug-induced interstitial lung disorder unspecified K853 Drug-induced acute pancreatitis L105 Drug-induced pemphigus L270 Generalshyized skin eruption due to drugs and medicaments L271 Localized skin eruption due to drugs and medicaments M102 Drug-induced gout M320 Drug-induced systemic lupus erythematosus M804 Drug-induced osteoporosis with pathological fracture M814 Drug-induced osteoporosis M835 Other drug-induced osteomalacia in adults M871 Osteonecrosis due to drugs R502 Drug-induced fever R781 Finding of opiate drug in blood R782 Finding of cocaine in blood R783 Finding of hallucinogen in blood R784 Finding of other drugs of addictive potential in blood R785 Finding of psychotropic drug in blood X40ndashX44 Accidental poisoning by and exposure to drugs medicaments and biological substances X60ndashX64 Intentional self-poisoning (suicide) by and exposure to drugs medicaments and biological substances X85 Assault (homishycide) by drugs medicaments and biological substances and Y10ndashY14 Poisoning by and exposure to drugs medicaments and biological substances undetermined intent Drug-induced causes exclude accidents homicides and other causes indirectly related to drug use as well as newborn deaths associated with the motherrsquos drug use

Codes for alcohol-induced deaths

Causes of death attributable to alcohol-induced mortality include ICDndash10 codes E244 Alcohol-induced pseudo-Cushingrsquos syndrome F10 Mental and behavioral disorders due to alcohol use G312 Degeneration of nervous system due to alcohol G621 Alcoholic polyneuropathy G721 Alcoholic myopathy I426 Alcoshyholic cardiomyopathy K292 Alcoholic gastritis K70 Alcoholic liver disease K852 Alcohol-induced acute pancreatitis K860 Alcohol-induced chronic pancreatitis R780 Finding of alcohol in blood X45 Accidental poisoning by and exposure to alcohol X65 Intentional self-poisoning by and exposure to alcohol and Y15 Poisoning by and exposure to alcohol undetermined intent Alcohol-induced causes exclude accidents homicides and other causes indirectly related to alcohol use as well as newborn deaths associated with maternal alcohol use

Race and Hispanic origin

The 2003 revision of the US Standard Certificate of Death allows the reporting of more than one race (multiple races) (31) This change was implemented to reflect the increasing diversity of the population of the United States and to be consistent with the decennial census The race and ethnicity items on the revised certificate are compliant with the lsquolsquo1997 Revision of the Standards for the Classification of the Federal Data on Race and Ethnicityrsquorsquo issued by the Office of Management and Budget (OMB) This revision replaced standards that were issued in 1977 (53) The new standards mandate the collection of more than one race where applicable for federal data (7) In addition the new certificate is

Table I Year state started reporting multiple race and year state began using the revised standard certificate of death Each state and the District of Columbia 2003ndash2009

Year state Year1 state began using

began reporting the 2003 multiple standard

State race certificate

Alabama Alaska Arizona Arkansas 2008 2008 California 2003 2003 Colorado Connecticut 2005 2005 Delaware 2007 2007 District of Columbia 22005 22005 Florida 2005 2005 Georgia 2008 2008 Hawaii 2003 Idaho 2003 2003 Illinois 2008 2008 Indiana 2008 2008 Iowa Kansas 2005 2005 Kentucky Louisiana Maine 2003 Maryland Massachusetts Michigan 2004 2004 Minnesota 2004 Mississippi Missouri Montana 2003 2003 Nebraska 2005 2005 Nevada 2008 2008 New Hampshire 32004 32004 New Jersey 2004 2004 New Mexico 2006 2006 New York 2003 2003 North Carolina North Dakota 2008 2008 Ohio 2007 2007 Oklahoma 2004 2004 Oregon 2006 2006 Pennsylvania Rhode Island 2006 2006 South Carolina 2005 2005 South Dakota 2004 2004 Tennessee Texas 2006 2006 Utah 2005 2005 Vermont 42008 42008 Virginia Washington 2004 2004 West Virginia Wisconsin 2003 Wyoming 2004 2004

Category not applicable 1Year in which the National Center for Health Statistics first received multiple-race data from the state although the state may have begun collecting such data at an earlier date 2Began reporting multiple race in March upon implementing the revised certificate 3Began reporting multiple race in mid-April upon implementing the revised certificate 4Began reporting multiple race in July upon implementing the revised certificate

compliant with the OMB-mandated minimum set of five races to be reported for federal data Multiple race includes any combination of white black or African American American Indian or Alaska Native (AIAN) Asian and Native Hawaiian or Other Pacific Islander (NHOPI) If two or more specific subgroups such as Korean and Chinese are reported these count as a single race of Asian rather than as multiple races

The number of states reporting multiple race has increased from 7 states in 2003 to 34 states and the District of Columbia in 2009 (Table I) In 2009 more than one race was reported for 04 of the records in the 34 states and the District of Columbia that reported multiple race (Table II) Although still uncommon multiple races were reported more often for younger decedents than for older decedents (23 of decedents under age 25 compared with 06 of decedents aged 25ndash64 and 03 of decedents aged 65 and over) No decedent was reported as having more than four races The race category that was reported most often in combination with one or more other races was NHOPI In 2009 more than one race was reported on 479 of records reporting NHOPI on the death certificate 229 of records reporting AIAN 59 of records reporting Asian 09 of records reporting black and 04 of records reporting white

Data from vital records based on the 1989 revision of the US Standard Certificate of Death follow the 1977 OMB standard allowing only a single race to be reported (1053) The 1977 standard also stipulates that these states must report a minimum set of four races white black or African American AIAN and Asian or Pacific Islander (API)

To provide uniformity and comparability of data during the transhysition period before all or most of the data become available in the multiple-race format the responses of those for whom more than one race was reported (multiple race) must be lsquolsquobridgedrsquorsquo to a single race The bridging procedure is similar to that used to bridge multiracial population estimates (5455) Multiracial decedents are imputed to a single race (white black AIAN or API) according to their combination of races Hispanic origin sex and age indicated on the death cershytificate The imputation procedure is described in detail at httpwww cdcgovnchsdatadvsMultiple_race_documentation_5-10-04pdf Similarly when calculating infant mortality rates multiracial infants are bridged to a single race The bridging procedure for multiple-race mothers and fathers is based on the procedure used to bridge the multiple-race population estimates (56) see the following subsection on lsquolsquoInfant mortality ratesrsquorsquo

Race and Hispanic origin are reported separately on the death certificate Therefore data shown by race include persons of Hispanic and non-Hispanic origin and data for Hispanic origin include persons of any race In this report unless otherwise specified deaths of persons of Hispanic origin are included in the totals for each race groupmdashwhite black AIAN and APImdashaccording to the decedentrsquos race as reported on the death certificate Data shown for Hispanic persons include all persons of Hispanic origin of any race

Mortality data for the Hispanic-origin population are based on deaths of residents of all 50 states and the District of Columbia

Quality of race and Hispanic origin datamdashDeath rates for Hisshypanic AIAN and API persons should be interpreted with caution because of inconsistencies in reporting Hispanic origin or race on the death certificate as compared with censuses surveys and birth

Table II Deaths by race Arkansas California Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Kansas Maine Michigan Minnesota Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Dakota Ohio Oklahoma Oregon Rhode Island South Carolina South Dakota Texas Utah Vermont Washington Wisconsin and Wyoming 2009 [By state of occurrence]

Percent Race Deaths of deaths

Total 1676125 1000

One race 1669086 996 White 1425389 850 Black 178764 107 Asian 39169 23

Other1 14101 08 AIAN 9676 06 NHOPI 1987 01

Two or more races 7039 04 Two races 6483 04

AIAN and white 2458 01 Asian and white 1099 01 Black and white 1080 01 Asian and NHOPI 701 00 NHOPI and white 637 00 Black and AIAN 239 00 Black and Asian 178 00 Black and NHOPI 48 00 AIAN and Asian 34 00 AIAN and NHOPI 9 00

Three races 541 00 Asian NHOPI and white 390 00 Black AIAN and white 80 00 Black Asian and white 22 00 AIAN Asian and white 19 00 AIAN NHOPI and white 13 00 Black Asian and NHOPI 6 00 Black AIAN and Asian 4 00 AIAN Asian and NHOPI 4 00 Black NHOPI and white 3 00

Four races 15 00 AIAN Asian NHOPI and white 9 00 Black Asian NHOPI and white 3 00 Black Asian AIAN and NHOPI 2 00 Black AIAN NHOPI and white 1 00

00 Quantity more than zero but less than 005 1Includes records for which race was reported as lsquolsquootherrsquorsquo Future processing assigns lsquolsquootherrsquorsquo race to one of the recognized categories lsquolsquoOtherrsquorsquo race comprises a wide variety of responses however the most common is to check lsquolsquootherrsquorsquo and not provide future specification or to report a Hispanic group as a race

NOTES AIAN is American Indian or Alaska Native NHOPI is Native Hawaiian or Other Pacific Islander

certificates Studies have shown underreporting on death certificates of AIAN API and Hispanic decedents as well as undercounts of these groups in censuses (1857ndash59)

A number of studies have been conducted on the reliability of race reported on the death certificate by comparing it with race reported on another data collection instrument such as the census or a survey (1857ndash59) Inconsistencies may arise because of differences in who provides race information on the compared records Race information on the death certificate is reported by a funeral director as provided by an informant or in the absence of an informant on the basis of

observation In contrast race on the census or the Current Population Survey (CPS) is obtained while the person is alive in these cases race is self-reported or reported by another member of the household familiar with the person and therefore may be considered more valid A high level of agreement between the death certificate and the census or survey report is essential to assure unbiased death rates by race

Studies show that a person self-reported as AIAN or API on census or survey records was sometimes reported as white on the death certificate (5859) The net effect of misclassification is an underestimation of deaths and death rates for races other than white and black In addition undercoverage of minority groups in the census and resultant population estimates introduces biases into death rates by race (1857ndash61) Unlike the 1990 census coverage error in the 2000 census was found to be statistically significant only for the non-Hispanic white population (overcounted by approximately 113) and non-Hispanic black population (undercounted by approximately 184) (60)

Death rates for the AIAN population in 2009 may not be comshyparable with rates for previous years Population estimates for AIAN persons changed significantly from 2008 to 2009 especially for the younger age groups (62) Death rates for AIAN persons should be interpreted with caution when comparing data for 2009 to previous years

Using the National Longitudinal Mortality Study Arias et al examined the reliability of race and Hispanic origin reported on about 250000 death certificates compared with that reported on a total of 26 CPSs conducted by the US Census Bureau for 1979ndash1998 (1857) Agreement between the two sources was found to be excellent for the white and black populations both exhibiting CPS to death certificate ratios of 100 On the other hand substantial differences were found for other race groups The ratio of CPS to death certificates was found to be 130 for the AIAN population and 107 for the API population indicating net underreporting on death certificates of 30 for AIAN and 7 for API persons The ratio of deaths for CPS to death certificates for Hispanics was found to be 105 indicating a net underreporting on death certificates for the Hispanic population of 5

Data on the Central and South American and Other Hispanic origin populations are affected by whether a state submits literal text to NCHS thereby making it possible to identify decedents as being of Central and South American origin Before 2008 decedents idenshytified as lsquolsquoDominicanrsquorsquo were classified as Central and South American Starting in 2008 Dominican decedents are included among lsquolsquoOther and unknown Hispanicrsquorsquo and are no longer counted among Central and South American decedents Data year 1997 was the first year in which mortality data for the Hispanic population were available for the entire United States

Other races and race not statedmdashBeginning in 1992 all records coded as lsquolsquoother racesrsquorsquo (041 of total deaths in 2009) were assigned to the specified race of the previous record Records for which race was unknown not stated or not classifiable (018) were assigned the racial designation of the previous record

Infant mortality ratesmdashFor 1989ndash2009 as in previous years infant deaths continue to be tabulated by the race of the decedent However beginning with the 1989 data year the method of tabulating live births by race was changed from race of parents to race of mother as stated on the birth certificate (63) This change affects infant mortality rates because live births are the denominators of these rates

(6465) To improve continuity and ease of interpretation trend data by race in this report have been retabulated by race of mother for all years beginning with the 1980 data year

Quantitatively the change in the basis for tabulating live births by race of mother results in more white births and fewer black births and births of other races Consequently infant mortality rates under the new tabulating procedure tend to be about 2 lower for white infants and about 5 higher for black infants than when they are computed by the previous method of tabulating live births by race of parents Rates for most other minority races also are higher when computed by race of mother (65)

In 2009 multiple race was reported on the revised birth certifishycates of California Colorado Delaware the District of Columbia (for births occurring after January 31) Florida Georgia Idaho Indiana Iowa Kansas Kentucky Michigan Montana Nebraska Nevada (for births occurring after May 31) New Hampshire New Mexico New York North Dakota Ohio Oklahoma (for births occurring after March 31) Oregon Pennsylvania South Carolina South Dakota Tennessee Texas Utah Vermont Washington and Wyoming and on the unreshyvised birth certificates of Hawaii Minnesota and Rhode Island (66)

Infant mortality rates for the Hispanic-origin population are based on numbers of resident infant deaths reported to be of Hispanic origin and numbers of resident live births by Hispanic origin of mother for the United States In computing infant mortality rates deaths and live births of unknown origin are not distributed among the specified Hispanic and non-Hispanic groups In the United States in 2009 the percentage of infant deaths of unknown origin was 10 and the percentage of live births to mothers of unknown origin was 07

Small numbers of infant deaths for specific Hispanic-origin groups result in infant mortality rates subject to relatively large random variashytion (see lsquolsquoRandom variationrsquorsquo section)

Infant mortality rates calculated from the general mortality file for specified race and Hispanic origin contain errors because of reporting problems that affect the classification of race and Hispanic origin on the birth and death certificates for the same infant Infant mortality rates by specified race and Hispanic origin are more accurate when based on the linked file of infant deaths and live births (56) The linked file computes infant mortality rates using the race and Hispanic origin of the mother from the birth certificate in both the numerator and denominator of the rate In addition the motherrsquos race and Hispanic origin from the birth certificate is considered to be more accurately reported than the infantrsquos race and Hispanic origin from the death certificate On the birth certificate race is generally reported by the mother at the time of delivery whereas on the death certificate the infantrsquos race and Hispanic origin is reported by an informant usually the mother but sometimes the funeral director Estimates of reporting errors have been made by comparing rates based on the linked files with those in which the infantrsquos race is based on information from the death certificate (5658)

Life tables

The life table provides a comprehensive measure of the effect of mortality on life expectancy It is composed of sets of values showing the mortality experience of a hypothetical group of infants born at the same time and subject throughout their lifetime to the age-specific death rates of a particular time period usually a given year Prior to data year 1997 US life tables were abridged and

constructed by reference to a standard table (67) In addition the age range for these life tables was limited to 5-year age groups ending with the age group 85 and over Beginning with final data reported for 1997 complete life tables were constructed by single years of age extending to age 100 using a methodology similar to that of the 1989ndash1991 decennial life tables (6869) The methodshyology was again revised for data years 2000ndash2007 using a methodshyology similar to that of the 1999ndash2001 decennial life tables (19) Beginning with final data reported for 2008 the life table methodshyology was refined by changing the smoothing technique used to estimate the life table functions at the oldest ages (26) This revision improves upon the methodologies used previously

Although the life table methodology used produces complete life tables (by single years of age) the life table data shown in this report are summarized in 5-year age groupings Complete life tables by single years of age extending to age 100 for data years 2000ndash2007 were constructed using a methodology similar to that developed for the 1999ndash2001 decennial life tables (70) To calshyculate the probability of dying at each age this methodology used vital statistics death rates for ages under 66 and modeled probshyabilities of death for ages 66ndash100 based on blended vital statistics and Medicare probabilities of dying (70) A more comprehensive description of this methodology was published in lsquolsquoUnited States Life Tables 2005rsquorsquo NVSR Volume 58 Number 10 See httpwwwcdcgovnchsdatanvsrnvsr58nvsr58_10pdf for addishytional information

The methodology employed to construct the 2008 and 2009 life tables is different from methods used in earlier reports with respect to the technique used to estimate the probabilities of death for ages over 65 Beginning with the 2008 data year the methodology used to produce the life tables does not model the probabilities of death beginning at age 66 but rather at ages over 85 (The exact ages at which smoothing techniques are used depend on the population) Research into the methodology used for the 1999ndash2001 decennial life tables and then applied to the annual life tables has revealed that it is not necessary to model (or smooth) the probabilities of death beginning at age 66 The observed blended vital statistics and Medishycare data for ages 66ndash85 are robust enough and do not require additional smoothing A full description of this methodology is forthshycoming

Historically NCHS has produced annual life tables by race including the white and black populations but did not produce life tables for other racial or ethnic groups Beginning with data year 2006 (originally published elsewhere) NCHS began producing life tables by Hispanic origin after conducting research into the quality of race and ethnicity reporting on death certificates and developing methodologies to correct for misclassification of these populations on death certifishycates (181957) These methods that adjust for misclassification are applied to the production of the life tables but not to the death rates shown throughout this report Life tables by Hispanic origin are shown in this report with trend data from 2006 to 2009

Causes of death contributing to changes in life expectancy

A life table partitioning technique was used to estimate causes of death contributing to changes in life expectancy in this report The

method partitions changes into component additive parts and identifies the causes of death having the greatest influence positive or negative on changes in life expectancy (71ndash73)

Infant mortality

Infant mortality rates are the most commonly used index for measuring the risk of dying during the first year of life The rates presented in this report are calculated by dividing the number of infant deaths in a calendar year by the number of live births registered for the same period and are presented as rates per 1000 or per 100000 live births For final birth figures used in the denominator for infant mortality rates see lsquolsquoBirths Final Data for 2009rsquorsquo (66) In contrast to infant mortality rates based on live births infant death rates are based on the estimated population under age 1 year Infant death rates that appear in tabulations of age-specific death rates in this report are calculated by dividing the number of infant deaths by the July 1 2009 population estimate of persons under age 1 year based on 2000 census populations These rates are presented per 100000 population in this age group Because of differences in the denominators infant death rates may differ from infant mortality rates

There are two sources of infant mortality data the general mortality file and the linked file of live births and infant deaths Data from the linked file differ from the infant mortality data presented in this report because the linked file includes only events in which both the birth and the death occur in the United States and late-filed births Processing of the linked file allows for further exclusion of infant records due to duplicates and records with additional information that raise questions about an infantrsquos age Although the differences are usually minuscule infant mortality rates based on the linked file tend to be somewhat smaller than those based on data from the general mortality file as presented in this report The linked file is the preferred source for infant mortality by race because it uses the motherrsquos self-reported race from the childrsquos birth certificate which is more reliable than the infantrsquos race listed on the death certificate and because the numerator and denominator are referring to the same personrsquos race (56)

Other variables not shown in the printed version of this report

Marital status

Mortality data by marital status no longer appear in the printed version of this report but are available in Internet Table Indash7 from the NCHS website Mortality data by marital status are generally of high quality A study of death certificate data using the 1986 National Mortality Followback Survey showed a high level of consistency in reporting marital status (61) In 2009 however mortality data by specified marital status were not available for Georgia (see lsquolsquoNature and sources of datarsquorsquo section) Data for Georgia are included in Table Indash7 for both sexes in the totals and lsquolsquoNot statedrsquorsquo category but are not included in data by specified marital groups Therefore data for specified marital groups in Table Indash7 should be interpreted with caution

Age-adjusted death rates in Table Indash7 were computed based on age-specific rates and the standard population for those aged 25 and

over Although Table Indash7 shows age-specific death rates by marital status for the age group 15ndash24 they are not included in the comshyputation of the age-adjusted rate because of their high variability particularly for the widowed population Furthermore the age groups 75ndash84 and 85 and over are combined because of high variability in death rates among those aged 85 and over particularly for the never-married population

Educational attainment

Mortality data by educational attainment no longer appear in the printed version of this report but are available in Internet Table Indash8 from the NCHS website Beginning in 2003 some registration areas adopted the new US Standard Certificate of Death which includes a revised educational attainment item The revised item is consistent with efforts of the US Census Bureau to improve the ability to identify specific degrees and persons who had completed 12 years of education but did not hold either a high school diploma or General Educational Development (GED) high school equivalency diploma Based on testing by the Census Bureau the new item identifies about 2 more persons with less than a high school diploma or equivalent 13 fewer persons with a high school diploma and 8 more persons with at least some college (74) In 2009 the District of Columbia and 28 states used the revised item Arkansas California Connecticut Delaware Florida Idaho Illinois Indiana Kansas Michigan Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Dakota Ohio Oklahoma Oregon South Carolina South Dakota Texas Utah Vermont Washington and Wyoming The unrevised education item continued to be used by 20 states Alabama Alaska Arizona Colorado Hawaii Iowa Kentucky Louisiana Maine Maryland Massachusetts Minnesota Mississippi Missouri North Carolina Pennsylvania Tenshynessee Virginia West Virginia and Wisconsin

Because some states do not yet use the new educational attainshyment item and because the revised and unrevised versions are not fully comparable data by educational attainment are shown separately according to the revision status of the decedentrsquos state of occurrence Table Indash8 shows mortality data by educational attainment for states using the 2003 version of the standard death certificate and sepashyrately for states using the 1989 version Data were approximately 80 or more complete on a state-of-occurrence basis Data for Georgia are not included because data for this variable were unavailable for 2009 (see lsquolsquoNature and sources of datarsquorsquo) Data for Rhode Island are not included because the educational attainment item was not on their certificate Age-adjusted death rates by educational attainment were computed based on the age-specific rates and the standard population for those aged 25ndash64 Data for those aged 65 and over are not shown because reporting quality is poorer at older ages (75)

Rates by educational attainment for states using the unrevised certificate are affected by differences between measurement of edushycation for the numerator which is based on the number of years of education completed as reported on the 1989 revision of the death certificate and the denominator which is based on highest degree completed as reported on the 2000 census and the CPSs (7476)

Table III shows a 2002-to-2009 comparison of the percent disshytribution of deaths by measures of educational attainment for areas using the 2003 revised certificate in 2009 and some areas using the 1989 revision Georgia is excluded because data for educational

Table III Percent distribution of deaths by education items Arkansas California Connecticut Delaware District of Columbia Florida Idaho Illinois Indiana Kansas Michigan Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Dakota Ohio Oklahoma Oregon South Carolina Texas Utah Vermont Washington and Wyoming 2002 and 2009 [By state of occurrence Excludes nonresidents of the United States Because of rounding the sum of the subgroups may not add to the total]

Percent Years of school completed distribution

Total 1000

Less than 12 years 287 12 years 413 13 years or more 268 Not stated 32

Percent Educational attainment distribution

Total 1000

Less than high school diploma or GED 249 High school diploma or GED 418 Some college or collegiate degree 314 Not stated 19

NOTE GED is General Education Development high school equivalency diploma

attainment were not available (see lsquolsquoNature and sources of datarsquorsquo) South Dakota is excluded because that state first began reporting education in 2004 and has no comparison data for 2002

Injury at work

Mortality data by injury at work are available in Internet Tables Indash9 and Indash10 on the NCHS website Information on deaths attributed to injuries at work is derived from a separate item on the death certificate that asks the medical certifier whether the death resulted from an injury sustained at work This item is on the death certificate of all states Number of deaths age-specific death rates and age-adjusted death rates for injury at work are shown in Tables Indash9 and Indash10 Deaths crude death rates and age-adjusted death rates for injury at work are shown for those aged 15 and over Age-adjusted death rates for injury at work were computed using age-specific death rates and the 2000 US standard population for those aged 15 and over see lsquolsquoComputing ratesrsquorsquo

In 2009 all records for Wyoming were recoded to lsquolsquounknownrsquorsquo for injury at work due to a data quality issue with injury at work data The impact of this change to data in Tables Indash9 and Indash10 is minimal because the number of injury at work deaths for Wyoming is relatively small (less than 1 of the total number of injury at work deaths for the United States)

Maternal mortality

Maternal mortality data are not included in this yearrsquos report The reader should note that the 2003 revision of the US Standard Certificate of Death introduced a checkbox question format with categories to take advantage of additional codes available in ICDndash10 for deaths with a connection to pregnancy childbirth and puerpeshyrium As states revise their certificates most are adopting the checkbox format resulting in wider adoption of a pregnancy status question nationwide and greater standardization of the particular question used As of 2009 39 states and the District of Columbia have a separate question related to pregnancy status of female decedents around the time of their death and 1 state has a prompt encouraging medical certifiers to report recent pregnancies on the death certificate However at least five different questions were used in the 39 states and the District of Columbia reflecting the mix of 30 states and the District of Columbia using the 2003 standard format and 9 states with preexisting questions

Adopting a pregnancy status question consistent with the stanshydard death certificate increases the identification of maternal deaths (7778) Maternal mortality rates are consistently greater for those states with the additional information from the separate question than for the states without it In addition State maternal mortality rates tend to be greater after adopting the standard question than before Research on this issue indicates that this increase represents an improvement in identifying maternal deaths (78ndash80) For example a study in Maryland that used multiple data sources as the standard showed an improvement (from 62 to 98) in identifying maternal deaths after adoption of a pregnancy checkbox item consistent with the 2003 standard certificate (80)

Population bases for computing rates

Populations used for computing death rates and life tables shown in this report represent the population residing in the United States enumerated as of April 1 for census years and estimated as of July 1 for all other years Population estimates used to compute death rates for the United States for 2009 are shown by race for 5-year age groups in Table IV and are available by single years of age at httpwwwcdcgovnchsnvssmortality_tableshtm (81)

Population estimates in Table V for Mexican Puerto Rican Cuban Central and South America and Other Hispanic populations and population estimates by marital status in Table VI are based on the Current Population Survey (CPS) adjusted to resident population control totals for the United States and as such are subject to sampling variation see lsquolsquoRandom variationrsquorsquo (82) The control totals used are 2000-based population estimates for the United States for July 1 2009 (81)

Population estimates by educational attainment shown in Table VII are also based on CPS adjusted to resident population control totals and similarly are subject to sampling variation (see lsquolsquoRandom variationrsquorsquo) (82) The control totals used are 2000-based population estimates for July 1 2009 for the 28 states and District of Columbia that reported mortality data by educational attainment using the 2003 version of the US Standard Certificate of Death and for the 20 states that reported using the 1989 version (81)

Population estimates for each state shown in Table VIII were estimated from state-level postcensal population estimates based on the 2000 census estimated as of July 1 2009 (81) Population estimates for Puerto Rico Virgin Islands Guam American Samoa

Table IV Estimated population by 5-year age groups specified race and sex United States 2009 [Populations are postcensal estimates based on the 2000 census estimated as of July 1 2009 see lsquolsquoTechnical Notesrsquorsquo]

All races White Black American Indian or Alaska Native Asian or Pacific Islander

Age Total Male Female Total Male Female Total Male Female Total Male Female Total Male Female

Total 307006550 151449490 155557060 246978488 122553497 124424991 40999984 19616210 21383774 3500501 1751119 1749382 15527577 7528664 7998913

Under 1 year 1ndash4 years 5ndash9 years 10ndash14 years 15ndash19 years 20ndash24 years 25ndash29 years 30ndash34 years 35ndash39 years 40ndash44 years 45ndash49 years 50ndash54 years 55ndash59 years 60ndash64 years 65ndash69 years 70ndash74 years 75ndash79 years 80ndash84 years 85 years and over

4261494 17038162 20609634 19973564 21537837 21539559 21677719 19888603 20538351 20991605 22831092 21761391 18975026 15811923 11784320 9007747 7325528 5822334 5630661

2178512 8708496

10535900 10222522 11051289 11093552 11115560 10107974 10353016 10504139 11295524 10677847

9204666 7576933 5511164 4082226 3149236 2298260 1782674

2082982 8329666

10073734 9751042

10486548 10446007 10562159

9780629 10185335 10487466 11535568 11083544 9770360 8234990 6273156 4925521 4176292 3524074 3847987

3247073 13040876 16000159 15502098 16639809 16830416 16951721 15524991 16153897 16800070 18598638 17944853 15830906 13458219 10121913

7737273 6367378 5154039 5074159

1660504 6675774 8194052 7952253 8560956 8704165 8762954 7997168 8250450 8512249 9307506 8907124 7774914 6524926 4785590 3542644 2769367 2057015 1613886

1586569 6365102 7806107 7549845 8078853 8126251 8188767 7527823 7903447 8287821 9291132 9037729 8055992 6933293 5336323 4194629 3598011 3097024 3460273

710133 2777949 3211169 3219004 3606737 3363875 3186156 2780744 2777049 2759358 2875824 2609156 2123033 1563397 1106383

854080 652431 456906 366600

362411 1413104 1631285 1635276 1829620 1704450 1590115 1335644 1312562 1295753 1335037 1198883

955671 688070 468727 350548 251202 157669 100183

347722 1364845 1579884 1583728 1777117 1659425 1596041 1445100 1464487 1463605 1540787 1410273 1167362

875327 637656 503532 401229 299237 266417

70707 270191 291917 271184 303995 305642 288554 241521 228315 223575 235504 211614 173145 131843 89486 63332 44156 29253 26567

35947 137019 148059 138225 154164 156895 149359 125705 117371 112885 115713 102241

83049 63032 42221 29098 19289 11907 8940

34760 133172 143858 132959 149831 148747 139195 115816 110944 110690 119791 109373

90096 68811 47265 34234 24867 17346 17627

233581 949146

1106389 981278 987296

1039626 1251288 1341347 1379090 1208602 1121126

995768 847942 658464 466538 353062 261563 182136 163335

119650 482599 562504 496768 506549 528042 613132 649457 672633 583252 537268 469599 391032 300905 214626 159936 109378

71669 59665

113931 466547 543885 484510 480747 511584 638156 691890 706457 625350 583858 526169 456910 357559 251912 193126 152185 110467 103670

SOURCE CDCNCHS estimates of the July 1 2009 US resident population by age sex race and Hispanic origin prepared under a collaborative arrangement with the US Census Bureau 2010

ecember 29 2011

Table V Estimated population by 5-year age groups according to specified Hispanic origin race for non-Hispanic population and sex United States 2009 [Populations for All origins Hispanic non-Hispanic non-Hispanic white and non-Hispanic black are postcensal estimates based on the 2000 census estimated as of July 1 2009 populations for Mexican Puerto Rican Cuban Central and South American and other and unknown Hispanic are based on the Current Population Survey adjusted to resident population control totals Due to rounding population estimates for Hispanic subgroups may not add to Hispanic control totals The control totals are 2000-based population estimates for the United States for July 1 2009 see lsquolsquoTechnical Notesrsquorsquo]

Hispanic origin race for non-Hispanic Under 1ndash4 5ndash9 10ndash14 15ndash19 20ndash24 25ndash29 30ndash34 35ndash39 40ndash44 45ndash49 50ndash54 55ndash59 60ndash64 65ndash69 70ndash74 75ndash79 80ndash84 85 years population and sex Total 1 years years years years years years years years years years years years years years years years years years and over

All origins 307006550 4261494 17038162 20609634 19973564 21537837 21539559 21677719 19888603 20538351 20991605 22831092 21761391 18975026 15811923 11784320 9007747 7325528 5822334 5630661 Male 151449490 2178512 8708496 10535900 10222522 11051289 11093552 11115560 10107974 10353016 10504139 11295524 10677847 9204666 7576933 5511164 4082226 3149236 2298260 1782674 Female 155557060 2082982 8329666 10073734 9751042 10486548 10446007 10562159 9780629 10185335 10487466 11535568 11083544 9770360 8234990 6273156 4925521 4176292 3524074 3847987

Hispanic 48419324 1104650 4380120 4792409 4059590 4031986 3883925 4149692 4029775 3757576 3306453 2893985 2273831 1720174 1274195 890817 675704 508733 361632 324077 Male 25056919 564022 2236307 2449524 2079581 2087024 2067211 2283381 2221388 2025057 1757030 1499288 1150037 844239 607560 408131 299847 216710 146098 114484 Female 23362405 540628 2143813 2342885 1980009 1944962 1816714 1866311 1808387 1732519 1549423 1394697 1123794 875935 666635 482686 375857 292023 215534 209593

Mexican 32032897 780491 3181881 3418262 2813442 2713960 2636753 2827023 2712353 2481424 2083103 1762807 1342348 1021215 768483 527242 369846 272244 174342 145678 Male 16794331 384889 1612996 1726873 1450229 1384423 1403125 1571982 1516271 1367610 1152956 951572 699341 520254 383997 254370 164769 119747 75952 52975 Female 15238566 395602 1568885 1691389 1363213 1329537 1233628 1255041 1196082 1113814 930147 811235 643007 500961 384486 272872 205077 152497 98390 92703

Puerto Rican 4325043 103403 373183 408021 397266 415539 327787 313366 293854 273717 318535 274677 234027 164064 138756 87523 61609 50749 39720 49247 Male 2133669 50983 188310 224825 203019 216013 161695 161748 132201 117780 155759 136262 117149 75323 72703 37089 25706 22331 16133 18640 Female 2191374 52420 184873 183196 194247 199526 166092 151618 161653 155937 162776 138415 116878 88741 66053 50434 35903 28418 23587 30607

Cuban 1725812 18099 70413 108855 95859 100564 118763 105353 110325 133029 117093 143271 99304 91833 73872 69650 89786 75025 56183 48535 Male 851089 9706 38468 53017 40709 54821 57083 50625 55031 66072 65341 83901 49868 48336 31059 30530 43777 34061 19287 19397 Female 874723 8393 31945 55838 55150 45743 61680 54728 55294 66957 51752 59370 49436 43497 42813 39120 46009 40964 36896 29138

Central and South American 8196835 159483 584730 661868 564898 637760 646052 754780 766194 723200 653033 573840 486634 335229 218984 145599 99889 73086 59630 51946

Male 4219295 88057 309418 333348 294785 345274 372231 420735 449303 401937 320138 260104 232173 149942 85922 54840 42629 23253 22227 12979 Female 3977540 71426 275312 328520 270113 292486 273821 334045 316891 321263 332895 313736 254461 185287 133062 90759 57260 49833 37403 38967

Other Hispanic 2138721 43170 169915 195404 188125 164163 154566 149160 147057 146209 134687 139396 111513 107823 74097 60814 54566 37630 31759 28667 Male 1058547 30385 87116 111459 90843 86497 73072 78285 68593 71660 62834 67454 51507 50379 33878 31312 22961 17322 12496 10494 Female 1080174 12785 82799 83945 97282 77666 81494 70875 78464 74549 71853 71942 60006 57444 40219 29502 31605 20308 19263 18173

Non-Hispanic1 258587226 3156844 12658042 15817225 15913974 17505851 17655634 17528027 15858828 16780775 17685152 19937107 19487560 17254852 14537728 10893503 8332043 6816795 5460702 5306584 Male 126392571 1614490 6472189 8086376 8142941 8964265 9026341 8832179 7886586 8327959 8747109 9796236 9527810 8360427 6969373 5103033 3782379 2932526 2152162 1668190 Female 132194655 1542354 6185853 7730849 7771033 8541586 8629293 8695848 7972242 8452816 8938043 10140871 9959750 8894425 7568355 5790470 4549664 3884269 3308540 3638394

White 202157932 2257017 9101967 11579509 11766196 12925546 13235712 13089988 11767771 12644144 13715225 15900768 15827692 14229018 12266914 9284709 7101021 5886599 4811284 4766852 Male 99313231 1154985 4664802 5934303 6038136 6635916 6787606 6632544 5917472 6350333 6866137 7904744 7833168 6987409 5956203 4401949 3260058 2564262 1918103 1505101 Female 102844701 1102032 4437165 5645206 5728060 6289630 6448106 6457444 5850299 6293811 6849088 7996024 7994524 7241609 6310711 4882760 3840963 3322337 2893181 3261751

Black 38862271 638247 2497672 2994693 3027046 3419270 3199744 3022952 2622410 2630515 2628348 2761081 2517109 2052715 1513542 1073134 828878 634545 444820 355550 Male 18554739 325675 1270023 1520665 1537382 1734258 1619330 1504956 1256736 1242228 1232537 1280170 1155485 922599 665312 453844 339785 243924 153210 96620 Female 20307532 312572 1227649 1474028 1489664 1685012 1580414 1517996 1365674 1388287 1395811 1480911 1361624 1130116 848230 619290 489093 390621 291610 258930

1Includes races other than white and black

SOURCE Population estimates for specified Hispanic subgroups are based on unpublished tabulations prepared by the Housing and Household Economic Statistics Division US Census Bureau 2010 Population estimates for All origins Hispanic non-Hispanic non-Hispanic white and non-Hispanic black were prepared under a collaborative arrangement with the US Census Bureau 2010

o 3 Decem

ber 29 2011

Table VI Estimated population for ages 15 and over by marital status 10-year age groups and sex 2009 [Population estimates are based on the Current Population Survey adjusted to resident population controls for the United States The control totals used are 2000-based population estimates for the United States for July 1 2009]

15 years 15ndash24 25ndash34 35ndash44 45ndash54 55ndash64 65ndash74 75 years Marital status and sex and over years years years years years years and over

All races 245123681 43077379 41566329 41529953 44592491 34786948 20792049 18778532 Never married 74398951 38901972 17956006 7476828 5720069 2671815 951246 721015 Ever married 170724730 4175407 23610323 34053125 38872422 32115133 19840803 18057517

Married 131866021 3859566 21239229 28871913 30883174 24732132 13867300 8412707 Widowed 15185451 42562 109335 340289 1009337 1873604 3309432 8500892 Divorced 23673258 273279 2261759 4840923 6979911 5509397 2664071 1143918

All races male 119804077 22144824 21223545 20857154 21973378 16781608 9593387 7230181 Never married 40721023 20571872 10417282 4365661 3263245 1389136 447526 266301 Ever married 79083054 1572952 10806263 16491493 18710133 15392472 9145861 6963880

All races female 125319604 20932555 20342784 20672799 22619113 18005340 11198662 11548351 Never married 33677928 18330100 7538724 3111167 2456824 1282679 503720 454714 Ever married 91641676 2602455 12804060 17561632 20162289 16722661 10694942 11093637

SOURCE Population estimates are based on unpublished tabulations prepared by the Housing and Household Economic Statistics Division of the US Census Bureau 2011

Table VII Estimated population for ages 25ndash64 by educational attainment and sex Total of 28 reporting states and the District of Columbia using the 2003 version of the US Standard Certificate of Death and total of 20 reporting states using the 1989 version of the US Standard Certificate of Death 2009 [Population estimates are based on the Current Population Survey adjusted to resident population controls The control totals used are 2000-based population estimates for reporting states for July 1 2009 See lsquolsquoTechnical Notesrsquorsquo]

28 Reporting states and the 2003 Version of the

the District of Columbia1 using Standard Certificate of Death the 1989

20 Reporting states2

Version of the Standard using Certificate of Death

Education level and sex

25ndash64 years

25ndash34 years

35ndash44 years

45ndash54 years

55ndash64 years

Years of completed

school and sex

25ndash64 years

25ndash34 years

35ndash44 years

45ndash54 years

55ndash64 years

All races Both sexes

Less than high school diploma or GED

High school diploma or GED

Some college or collegiate degree

Male Less than high school diploma or GED

Female Less than high school diploma or GED

102965464

12282262

29745624

60937578

51450772

6592436

15602312

29256024

51514692

5689826

14143312

31681554

26714675

3342408

7285815

16086452

13727526

1925373

4220548

7581605

12987149

1417035

3065267

8504847

26370907

3330454

7381461

15658992

13348929

1810403

4026484

7512042

13021978

1520051

3354977

8146950

28061929

3190944

8699090

16171895

13870669

1679475

4480322

7710872

14191260

1511469

4218768

8461023

21817953

2418456

6379258

13020239

10503648

1177185

2874958

6451505

11314305

1241271

3504300

6568734

All Races Both sexes

Less than 12 years

12 years

13 years or more

Less than 12 years

12 years

13 years or more

Female

Less than 12 years

12 years

13 years or more

53621440

5399375

17038189

31183876

26496917

3002455

8932361

14562101

27124523

2396920

8105828

16621775

13295607

1337886

3842803

8114918

6702949

748364

2230210

3724375

6592658

589522

1612593

4390543

13653329

1369224

4076790

8207315

6773903

786000

2203168

3784735

6879426

583224

1873622

4422580

14850943

1469292

5207083

8174568

7288546

823695

2719283

3745568

7562397

645597

2487800

4429000

11821561

1222973

3911513

6687075

5731519

644396

1779700

3307423

6090042

578577

2131813

3379652

1Includes data for Arkansas California Connecticut Delaware District of Columbia Florida Idaho Illinois Indiana Kansas Michigan Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Dakota Ohio Oklahoma Oregon South Carolina South Dakota Texas Utah Vermont Washington and Wyoming see lsquolsquoTechnical Notesrsquorsquo 2Includes data for Alabama Alaska Arizona Colorado Hawaii Iowa Kentucky Louisiana Maine Maryland Massachusetts Minnesota Mississippi Missouri North Carolina Pennsylvania Tennessee Virginia Wisconsin and West Virginia see lsquolsquoTechnical Notesrsquorsquo

SOURCE Population estimates are based on unpublished tabulations prepared by the Housing and Household Economic Statistics Division US Census Bureau 2011

Table VIII Estimated population for the United States each state Puerto Rico Virgin Islands Guam American Samoa and Northern Marianas 2009 [Populations for the United States each state Puerto Rico Virgin Islands Guam American Samoa and Northern Marianas are postcensal estimates produced in 2010 based on the 2000 census estimated as of July 1 2009]

Area Total

United States

Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska

307006550

4708708 698473

6595778 2889450

36961664 5024748 3518288

885122 599657

18537969 9829211 1295178 1545801

12910409 6423113 3007856 2818747 4314113 4492076 1318301 5699478 6593587 9969727 5266214 2951996 5987580

974989 1796619

Area Total

Nevada 2643085 New Hampshire 1324575 New Jersey 8707739 New Mexico 2009671 New York 19541453 North Carolina 9380884 North Dakota 646844 Ohio 11542645 Oklahoma 3687050 Oregon 3825657 Pennsylvania 12604767 Rhode Island 1053209 South Carolina 4561242 South Dakota 812383 Tennessee 6296254 Texas 24782302 Utah 2784572 Vermont 621760 Virginia 7882590 Washington 6664195 West Virginia 1819777 Wisconsin 5654774 Wyoming 544270

Puerto Rico 3967288 Virgin Islands 109809 Guam 178430 American Samoa 65628 Northern Marianas 51484

and Northern Marianas also shown in Table VIII are based on the 2000 census estimated as of July 1 2009 (81) Population estimates for each state and territory are not subject to sampling variation because the sources used in demographic analysis are complete counts

Death rates shown in this report for 1991ndash2009 are based on populations consistent with the 2000 census levels (81ndash93) These estimates were produced under a collaborative arrangement with the US Census Bureau and are based on the 2000 census counts by age race and sex modified for consistency with US Office of Management and Budget race categories as of 1977 and historical categories for death data (7) The modification procedures are described in detail elsewhere (5455)

Population estimates for AIAN changed significantly from 2008 to 2009 especially for the younger age groups (62) A footnote in Table A further indicates that death rates for the AIAN population in 2009 may not be comparable with rates for previous years

Computing rates

Except for infant mortality rates rates are on an annual basis per 100000 estimated population residing in the specified area Infant mortality rates are per 1000 or per 100000 live births Comparisons made in the text among rates unless otherwise

Psi R prime = RiPs

specified are statistically significant at the 005 level of significance Lack of comment in this report about any two rates does not mean that the difference was tested and found not to be significant at this level

Age-adjusted rates (Rne) are used to compare relative mortality risks among groups and over time However they should be viewed as relative indexes rather than as actual measures of mortality risk They were computed by the direct methodmdashthat is by applying age-specific death rates (Ri) to the US standard population age distribution (Table IX)

Owhere Psi is the standard population for age group i and Ps is the total US standard population (all ages combined)

Beginning with the 1999 data year a new population standard was adopted by NCHS for use in age-adjusting death rates Based on the projected year 2000 population of the United States the new standard replaced the 1940 standard population that had been used for over 50 years The new population standard affects levels of mortality and to some extent trends and group comparisons Of particular note are the effects on race mortality comparisons For detailed discussion see lsquolsquoAge Standardization of Death Rates

Table IX United States standard population

Age Population

All ages 274633642

Under 1 year 3794901 1ndash4 years 15191619 5ndash14 years 39976619 15ndash24 years 38076743 25ndash34 years 37233437 35ndash44 years 44659185 45ndash54 years 37030152 55ndash64 years 23961506 65ndash74 years 18135514 75ndash84 years 12314793 85 years and over 4259173

Table X United States standard population for ages 25 and over

Age Population

25 years and over 177593760 25ndash34 years 37233437 35ndash44 years 44659185 45ndash54 years 37030152 55ndash64 years 23961506 65ndash74 years 18135514 75 years and over 16573966

Table XI United States standard population for ages 25ndash64

Age Population

25ndash64 years 142884280 25ndash34 years 37233437 35ndash44 years 44659185 45ndash54 years 37030152 55ndash64 years 23961506

Table XII United States standard population for ages 15 and over

Age Population

Table XIII United States standard population for the territories

Age Population

All ages 274633642

Under 1 year 3794901 1ndash4 years 15191619 5ndash14 years 39976619 15ndash24 years 38076743 25ndash34 years 37233437 35ndash44 years 44659185 45ndash54 years 37030152 55ndash64 years 23961506 65ndash74 years 18135514 75 years and over 16573966

Implementation of the Year 2000 Standardrsquorsquo (94) Beginning with 2003 data the traditional standard million population along with corresponding standard weights to six decimal places were replaced by the projected year 2000 population age distribution (see Table IX) The effect of the change is negligible and does not significantly affect comparability with age-adjusted rates calculated using the previous method

All age-adjusted rates shown in this report are based on the 2000 US standard population The 2000 standard population used for computing age-adjusted rates and standard errors except for the US territories is shown in Table IX

Age-adjusted rates by marital status were computed by applying the age-specific death rates to the US standard population for those aged 25 and over Although age-specific death rates by marital status are shown for the age group 15ndash24 they are not included in the calculation of age-adjusted rates because of their high variability particularly for the widowed population Age groups 75ndash84 and age 85 and over are combined because of high variability in death rates in the 85 and over age group particularly for the never-married population The 2000 standard population used for computing age-adjusted rates and standard errors by marital status is shown in Table X

Age-adjusted rates by educational attainment were computed by applying the age-specific death rates to the US standard population for those aged 25ndash64 Data for those aged 65 and over are not shown because reporting quality is poorer for older ages (74) The year 2000 standard population used for computing age-adjusted rates and standard errors by education is shown in Table XI

Age-adjusted rates for injury at work were computed by applying the age-specific death rates to the US standard population for those aged 15 and over The 2000 standard population used for computing age-adjusted rates and standard errors for injury at work is shown in Table XII

Age-adjusted rates for Puerto Rico Virgin Islands Guam American Samoa and Northern Marianas were computed by applying the age-specific death rates to the US standard populashytion Age groups for those 75 and over were combined because population counts were unavailable by age group over 75 The 2000 standard population used for computing age-adjusted rates and standard errors for the territories is shown in Table XIII

Using the same standard population death rates for the total population and for each race-sex group were adjusted separately The age-adjusted rates were based on 10-year age groups Age-adjusted death rates are not comparable with crude rates

Death rates for the Hispanic population are based only on events to persons reported as Hispanic Rates for non-Hispanic white persons are based on the sum of all events to white decedents

1 SE(D) = radicvar(D) = radicD

D R 2 SE(R) = var(P) =

12 var(D) =

radicD Œ

SE(D) radicD RSE(D) = 100 = 100 D = 100

SE(R) RradicD RSE(R) = 100 = 100 = 100

1 R R D Œ

3 RSE(D) = RSE(R) = 100 1 D

Psi 2 2 24 SE(R prime) = sum( ) var (Ri) = sum Psi RiPs ( ) ( )

i i Ps Di

reported as non-Hispanic and white decedents with origin not stated Hispanic origin is not imputed if it is not reported

Random variation

The mortality data presented in this report with the exception of data for 1972 are not subject to sampling error In 1972 mortality data were based on a 50 sample of deaths because of resource constraints Mortality data even based on complete counts may be affected by random variationmdashthat is the number of deaths that actually occurred may be considered as one of a large series of possible results that could have arisen under the same circumshystances (9596) When the number of deaths is small perhaps fewer than 100 random variation tends to be relatively large Therefore considerable caution must be observed in interpreting statistics based on small numbers of deaths

Measuring random variabilitymdashTo quantify the random variation associated with mortality statistics an assumption must be made regarding the appropriate underlying distribution Deaths as infreshyquent events can be viewed as deriving from a Poisson probability distribution The Poisson distribution is simple conceptually and computationally and provides reasonable conservative variance estimates for mortality statistics when the probability of dying is relatively low (95) Using the properties of the Poisson distribution the standard error (SE) associated with the number of deaths (D) is

where var(D) denotes the variance of D The standard error associated with crude and age-specific

death rates (R) assumes that the population denominator (P) is a constant and is

Œ ŒThe coefficient of variation or relative standard error (RSE) is a

useful measure of relative variation The RSE is calculated by dividing the statistic (eg number of deaths death rate) into its SE and multiplying by 100 For the number of deaths

ŒFor crude and age-specific death rates

ŒThe standard error of the age-adjusted death rate (R prime) is

Œ Œwhere

bull Ri is the age-specific rate for the ith age group

SE(R prime)RSE(R prime) = 100

5 SE(IMR) = var(D) + IMR c var(B)

E(B)2 B 2 + B 3

SE(IMR) 1 6 RSE(IMR) = 100 = 100 D

1+IMR B

b 7 SE(R) = RŒ1

+ 067 (a + )D P

2 1 b 8 SE(R prime) = sum(Psi) R 2[ + 067 (a + )]

i Di Pi

bull Psi is the age-specific standard population for the i th age group from the US standard population age distribution (see Table VIII and age-adjusted death rate under lsquolsquoDefinition of termsrsquorsquo)

bull Ps is the total US standard population (all ages combined) bull Di is the number of deaths for the i th age group

The RSE for the age-adjusted rate RSE(Rne) is calculated by dividing SE(Rne) from Formula 4 by the age-adjusted death rate Rne and multiplying by 100

R prime

For tables showing infant mortality rates based on live births (B) in the denominator calculation of the standard error assumes random variability in both the numerator and denominator The standard error for the infant mortality rate (IMR) is

Œ Œwhere the number of births B is also assumed to be distributed according to a Poisson distribution and E(B) is the expectation of B

The RSE for the IMR is

ŒFormulas 1ndash6 may be used for all tables presented in this

report except for death rates and age-adjusted death rates shown in Tables 5 and Internet Tables Indash7 and Indash8 which are calculated using population figures that are subject to sampling error

Tables 5 Indash7 and Indash8mdashDeath rates for Mexican Puerto Rican Cuban Central and South American and Other Hispanic populations in Table 5 by marital status in Table Indash7 and by educational attainment in Table Indash8 are based on population estimates derived from CPS for 2009 and adjusted to resident population control totals As a result the rates are subject to sampling variability in the denominator as well as random variability in the numerator

For crude and age-specific death rates (R) the standard error is calculated as

For age-adjusted death rates (R prime)

Œwhere a and b in Formulas 7 and 8 represent parameters presented in Table XIV which are derived from CPS data for 2009 and 2010 and vary depending on the subgroup of interest (9798)

Suppression of unreliable ratesmdashBeginning with 1989 data an asterisk is shown in place of a crude or age-specific death rate based on fewer than 20 deaths the equivalent of an RSE of 23 or more The limit of 20 deaths is a convenient if somewhat arbitrary benchmark below which rates are considered to be too statistically unreliable for presentation For infant mortality rates the same threshold of fewer than 20 deaths is used to determine whether an asterisk is presented in place of the rate For age-adjusted death

Table XIV Current Population Survey standard error parameters for death rates in Tables 5 Indash7 and Indash8

White black non-Hispanic white Total or non-Hispanic black Hispanic

Characteristic a b a b a b

Table 5 All origins 0000000 0 0000000 0 0000000 0 Hispanic subgroups (Mexican Puerto Rican Cuban Central

and South American and Other Hispanic) ndash0000079 3809

Tables Indash7 All marital status groups combined 0000000 0 Marital status subgroups (Never married Ever married

Married Widowed Divorced) ndash0000009 2652

Table Indash8 All education groups 0000000 0 Education subgroups (Less than 12 years 12 years

13 years or more) ndash0000005 1206

Category not applicable

SOURCE The a and b parameters are averages of the 2009 and 2010 Current Population Survey standard error parameters

rates the suppression criterion is based on the sum of age-specific deaths that is if the sum of the age-specific deaths is less than 20 an asterisk replaces the rate These procedures are used throughout this report except for death rates shown in Tables 5 Indash7 and Indash8

In Tables 5 Indash7 and Indash8 sampling variability in the population denominator has a substantial impact on the overall variability in the death rate Therefore the number of deaths in the numerator is not used as the sole suppression factor RSEs for rates shown in Tables 5 Indash7 and Indash8 are derived from Formulas 7 and 8 by dividing the result of Formula 7 by the crudeage-specific rate and the result of Formula 8 by the age-adjusted rate and then multiplying by 100 Rates are replaced by asterisks if the calculated RSE is 23 or more In some cases for smaller population subgroups the estishymated sample population from CPS may be zero even though deaths are presented for the subgroups In these cases the death rate is incalculable and automatically replaced with an asterisk

Confidence intervals and statistical tests based on 100 deaths or moremdashWhen the number of deaths is large a normal approximashytion may be used in calculating confidence intervals and statistical tests How large in terms of number of deaths is to some extent subjective In general for crude and age-specific death rates and for infant mortality rates the normal approximation performs well when the number of deaths is 100 or greater For age-adjusted rates the criterion for use of the normal approximation is somewhat more complicated (649499) Formula 9 is used to calculate 95 confishydence limits for the death rate when the normal approximation is appropriate

9 L(R) = R ndash 196(SE(R)) and U(R) = R + 196(SE(R))

where L(R) and U(R) are the lower and upper limits of the confidence interval respectively The resulting 95 confidence interval can be interpreted to mean that the chances are 95 in 100 that the lsquolsquotruersquorsquo death rate falls between L(R) and U(R) For example suppose that the crude death rate for Malignant neoplasms is 1860 per 100000 population based on 565469 deaths Lower and upper 95 confidence limits using Formula 9 are calculated as

L(1860) = 1860 ndash 196(25) = 1855 and

R1 ndash R 210 z =

radicSE(R1)2 + SE(R2 )2

651 ndash 636 z = = 483

(0222)2 + (0217)2

U(1860) = 1860 + 196(25) = 1865

Thus the chances are 95 in 100 that the true death rate for Malignant neoplasms is between 1855 and 1865 Formula 9 can also be used to calculate 95 confidence intervals for the number of deaths age-adjusted death rates infant mortality rates and other mortality statistics when the normal approximation is appropriate by replacing R with D Rne IMR or others

When testing the difference between two rates R1 and R2 (each based on 100 or more deaths) the normal approximation may be used to calculate a test statistic z such that

If |z | ge 196 then the difference between the rates is statistically significant at the 005 level If |z | lt 196 then the difference is not statistically significant Formula 10 can also be used to perform tests for other mortality statistics when the normal approximation is appropriate (when both statistics being compared meet the normal criteria) by replacing R1 and R2 with D1 and D2 Rne1 and Rne2 or others For example suppose that the male age-adjusted death rate for Malignant neoplasms of trachea bronchus and lung (lung cancer) is 651 per 100000 US standard population in 2008 (R1) and 636 per 100000 US standard population in 2009 (R2) The standard error for each of these figures SE(R1) and SE(R2) is calculated using Formula 4 A test using Formula 10 can determine if the decrease in the age-adjusted rate is statistically significant

radicBecause z = 483 gt 196 the decrease from 2008 to 2009 in the male age-adjusted death rate for lung cancer is statistically signifishycant

Confidence intervals and statistical tests based on fewer than 100 deathsmdashWhen the number of deaths is not large (fewer than 100) the Poisson distribution cannot be approximated by the normal distribution The normal distribution is symmetrical with a range from

ndash infin to + infin As a result confidence intervals based on the normal distribution also have this range The number of deaths or the death rate however cannot be less than zero When the number of deaths is very small approximating confidence intervals for deaths and death rates using the normal distribution will sometimes produce lower confidence limits that are negative The Poisson distribution in contrast is an asymmetric distribution with zero as a lower boundmdash confidence limits based on this distribution will never be less than zero A simple method based on the more general family of gamma distributions of which the Poisson is a member can be used to approximate confidence intervals for deaths and death rates when the number of deaths is small (9499) For more information regarding how the gamma method is derived see lsquolsquoDerivation of the gamma methodrsquorsquo at the end of this section

Calculations using the gamma method can be made using commonly available spreadsheet programs or statistical software (eg Excel SAS) that include an inverse gamma function In Excel the function lsquolsquogammainv (probability alpha beta)rsquorsquo returns values associated with the inverse gamma function for a given probability between 0 and 1 For 95 confidence limits the probability associated with the lower limit is 052 = 025 and with the upper limit 1 ndash (052) = 975 Alpha and beta are parameters associated with the gamma distribution For the number of deaths and crude and age-specific death rates alpha = D (the number of deaths) and beta = 1 In Excel the following formulas can be used to calculate lower and upper 95 confidence limits for the number of deaths and crude and age-specific death rates

L(D) = GAMMAINV(025 D 1) and U(D) = GAMMAINV(975 D+1 1)

Confidence limits for the death rate are then calculated by dividing L(D) and U(D) by the population (P) at risk of dying (see Formula 17)

Alternatively 95 confidence limits can be estimated using the lower and upper confidence limit factors shown in Table XV For the number of deaths D and the death rate R

11 L(D) = L x D and U(D) = U x D

12 L(R) = L x R and U(R) = U x R where L and U in both formulas are the lower and upper confidence limit factors that correspond to the appropriate number of deaths D in Table XV For example suppose that the death rate for AIAN females aged 1ndash4 years is 395 per 100000 and based on 50 deaths Applying Formula 12 values for L and U from Table XV for 50 deaths are multiplied by the death rate 395 such that

L (R) = L(395) = 0742219 x 395 = 293 and U (R) = U(395) = 1318375 x 395 = 521

These confidence limits indicate that the chances are 95 out of 100 that the actual death rate for AIAN females aged 1ndash4 years is between 293 and 521 per 100000

Although the calculations are similar confidence intervals based on small numbers for age-adjusted death rates infant mortality rates and rates that are subject to sampling variability in the denominator are somewhat more complicated (6494)

Refer to the most recent version of the Mortality Technical Appendix for more details at httpwwwcdcgovnchsproducts vsushtmappendices

P ndash1 = D ~ Γ(D1) R

When comparing the difference between two rates (R1 and R2) where one or both of the rates are based on fewer than 100 deaths a comparison of 95 confidence intervals may be used as a statistical test If the 95 confidence intervals do not overlap then the difference can be said to be statistically significant at the 005 level A simple rule of thumb is If R1 gt R2 then test if L (R1) gt U (R2) or if R2 gt R1 then test if L (R2) gt U (R1) Positive tests denote statistical significance at the 005 level For example suppose that AIAN females aged 1ndash4 years have a death rate (R1) of 395 based on 50 deaths and API females aged 1ndash4 years have a death rate (R2) of 201 per 100000 based on 86 deaths The 95 confidence limits for R1 and R2 calculated using Formula 12 would be

L (R1) = L (395) = 0742219 x 395 = 293 and U (R1) = U1 (395) = 1318375 x 395 = 521

L (R2) = L (201) = 0799871 x 179 = 161 and U (R2) = U (201) = 1234992 x 179 = 248

Because R1 gt R2 and L (R1) gt U (R2) it can be concluded that the difference between the death rates for AIAN females aged 1ndash4 years and API females of the same age is statistically significant at the 005 level That is taking into account random variability API females aged 1ndash4 years have a death rate significantly lower than that for AIAN females of the same age

This test may also be used to perform tests for other statistics when the normal approximation is not appropriate for one or both of the statistics being compared by replacing R1 and R2 with D1 and D2 Rne1 and Rne2 or others

Users of the method of comparing confidence intervals should be aware that this method is a conservative test for statistical significancemdashthe difference between two rates may in fact be statistically significant even though confidence intervals for the two rates overlap (100) Caution should be observed when interpreting a nonsignificant difference between two rates especially when the lower and upper limits being compared overlap only slightly

Derivation of the gamma methodmdashFor a random variable X that follows a gamma distribution Γ(yz) where y and z are the parameters that determine the shape of the distribution (101) E(X) = yz and Var(X) = yz2 For the number of deaths D E (D) = D and Var (D) = D It follows that y = D and z = 1 and thus

13 D ~ Γ(D1)

Based on the above equation it is clear that the shape of the distribution of deaths depends only on the number of deaths

For the death rate R E(R ) = R and Var (R ) = DP 2 It follows in this case that y = D and z = Pndash1 and thus

14 R ~ Γ(DPndash1)

A useful property of the gamma distribution is that for X ~ Γ(yz) X can be divided by z such that Xz ~ Γ(y1) This converts the gamma distribution into a simplified standard form dependent only on parameter y Expressing Equation 14 in its simplified form gives

Table XV deaths is

Lower and upper less than 100

95 percent confidence limit factors for the number of deaths and death rate when the number of

Number of deaths (D)

Lower confidence

limit (L)

Upper confidence

limit (U)

Number of

deaths (D)

Lower confidence

limit (L)

Upper confidence

limit (U)

1 2 3 4 5 6 7 8 9

10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50

0025318 0121105 0206224 0272466 0324697 0366982 0402052 0431729 0457264 0479539 0499196 0516715 0532458 0546709 0559692 0571586 0582537 0592663 0602065 0610826 0619016 0626695 0633914 0640719 0647147 0653233 0659006 0664493 0669716 0674696 0679451 0683999 0688354 0692529 0696537 0700388 0704092 0707660 0711098 0714415 0717617 0720712 0723705 0726602 0729407 0732126 0734762 0737321 0739806 0742219

5571643 3612344 2922424 2560397 2333666 2176579 2060382 1970399 1898311 1839036 1789276 1746799 1710030 1677830 1649348 1623937 1601097 1580431 1561624 1544419 1528606 1514012 1500491 1487921 1476197 1465232 1454947 1445278 1436167 1427562 1419420 1411702 1404372 1397400 1390758 1384422 1378368 1372578 1367033 1361716 1356613 1351709 1346993 1342453 1338079 1333860 1329788 1325855 1322053 1318375

51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99

0744566 0746848 0749069 0751231 0753337 0755389 0757390 0759342 0761246 0763105 0764921 0766694 0768427 0770122 0771779 0773400 0774986 0776539 0778060 0779549 0781008 0782438 0783840 0785215 0786563 0787886 0789184 0790459 0791709 0792938 0794144 0795330 0796494 0797639 0798764 0799871 0800959 0802029 0803082 0804118 0805138 0806141 0807129 0808102 0809060 0810003 0810933 0811848 0812751

1314815 1311367 1308025 1304783 1301637 1298583 1295616 1292732 1289927 1287198 1284542 1281955 1279434 1276978 1274582 1272245 1269965 1267738 1265564 1263440 1261364 1259335 1257350 1255408 1253509 1251649 1249828 1248045 1246298 1244587 1242909 1241264 1239650 1238068 1236515 1234992 1233496 1232028 1230586 1229170 1227778 1226411 1225068 1223747 1222448 1221171 1219915 1218680 1217464

L(D) U(D)17 L(R) = and U(R) =P P

From Equation 15 it is clear that the shape of the distribution of the death rate is also dependent solely on the number of deaths

Using the results of Equations 13 and 15 the inverse gamma distribution can be used to calculate upper and lower confidence limits Lower and upper 100(1 ndash α) percent confidence limits for the number of deaths L(D) and U(D) are estimated as

16 L(D) = Γndash1(D1)(α 2) and U(D) = Γndash1

(D+11)(1ndashα 2)

where Γndash1 represents the inverse of the gamma distribution and D+1 in the formula for U(D) reflects a continuity correction which is necessary because D is a discrete random variable and the gamma distribution is a continuous distribution For a 95 confidence interval α = 05 For the death rate it can be shown that

For more detail regarding the derivation of the gamma method and its application to age-adjusted death rates and other mortality statistics see References 64 99 and 101

Availability of mortality data

Mortality data are available in publications unpublished tables and electronic products as described on the NCHS mortality website at httpwwwcdcgovnchsdeathshtm More detailed analysis than this report provides can be derived from the mortality public-use data set issued each data year Since 1968 the data set has been available through NCHS in ASCII format and can now be downshyloaded from httpwwwcdcgovnchsdata_accessVitalstatsonlinehtm Additional resources available from NCHS include Vital Statistics of the United States Mortality Vital and Health Statistics Series 20 reports and National Vital Statistics Reports

Definition of terms

Infant deathsmdashDeaths of infants under age 1 year Neonatal deathsmdashDeaths of infants aged 0ndash27 days Postneonatal deathsmdashDeaths of infants aged 28 daysndash11

months Crude death ratemdashTotal deaths per 100000 population for a

specified period This rate represents the average chance of dying during a specified period for persons in the entire population

Age-specific death ratemdashDeaths per 100000 population in a specified age group such as 1ndash4 or 5ndash9 for a specified period

Age-adjusted death ratemdashDeath rate used to make comparisons of relative mortality risks across groups and over time This rate should be viewed as a construct or an index rather than a direct or actual measure of mortality risk Statistically it is a weighted average of age-specific death rates where the weights represent the fixed popushylation proportions by age

US DEPARTMENT OF HEALTH amp HUMAN SERVICES

Centers for Disease Control and Prevention National Center for Health Statistics 3311 Toledo Road Hyattsville MD 20782

FIRST CLASS MAIL POSTAGE amp FEES PAID

CDCNCHS PERMIT NO G-284

OFFICIAL BUSINESS PENALTY FOR PRIVATE USE $300

National Vital Statistics Reports Vol 60 No 3 December 29 2011

Contents

Abstract 1

Highlights 1 Mortality experience in 2009 1 Trends 2

Introduction 2

Methods 2

Results and Discussion 3 Deaths and death rates 3 Death rates by age and sex 6 Expectation of life at birth and at specified ages 6 Leading causes of death 8 Injury mortality by mechanism and intent 10 Drug-induced mortality 11 Alcohol-induced mortality 11 State of residence 11 Infant mortality 12 Additional mortality tables based on 2009 final data 13

References 13

List of Detailed Tables 16

Technical Notes 98

Acknowledgments

This report was prepared in the Division of Vital Statistics (DVS) under the direction of Charles J Rothwell Director DVS Robert N Anderson Chief Mortality Statistics Branch (MSB) and Nicholas F Pace Chief Systems Programming and Statistical Resources Branch (SPSRB) Elizabeth Arias of MSB provided content related to life expectancy David W Justice of the Data Acquisition and Evaluation Branch (DAEB) contributed to the lsquolsquoTechnical Notesrsquorsquo Annie Liu and Jaleh Mousavi of SPSRB provided computer programshyming support and produced statistical tables David Johnson and Jaleh Mousavi of SPSRB prepared the mortality file Staff of the Mortality Medical Classification Branch processed the cause-of-death data for individual records Registration Methods staff and staff of DAEB provided consultation to state vital statistics offices regarding collection of the death certificate data on which this report is based This report was edited and produced by CDCOSELSNCHSODOffice of Information Services Information Design and Publishing Staff Danielle Woods edited the report typesetting was done by Zung T Le and graphics were produced by Zorica Tomic-Whalen (contractor)

Suggested citation

Kochanek KD Xu J Murphy SL et al Deaths Final Data for 2009 National vital statistics reports vol 60 no 3 Hyattsville MD National Center for Health Statistics 2012

Copyright information

All material appearing in this report is in the public domain and may be reproduced or copied without permission citation as to source however is appreciated

National Center for Health Statistics

Edward J Sondik PhD Director Jennifer H Madans PhD Associate Director

for Science

Division of Vital Statistics Charles J Rothwell MS Director

For e-mail updates on NCHS publication releases subscribe online at httpwwwcdcgovnchsgovdeliveryhtm For questions or general information about NCHS Tel 1ndash800ndash232ndash4636 bull E-mail cdcinfocdcgov bull Internet httpwwwcdcgovnchs

DHHS Publication No (PHS) 2012ndash1120 bull CS234786

Contents13

Abstract13

Highlights13


Trends

Introduction

Methods









State of residence

Infant mortality


References

List of Detailed Tables

Internet tables

Technical Notes

Nature and sources of data




Codes for terrorism


Quality of reporting and processing cause of death13







Life tables


Infant mortality


Marital status


Injury at work

Maternal mortality


Computing rates

Random variation


Definition of terms