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National Vital Statistics Reports Volume 61, Number 6 October 10, 2012 Deaths: Preliminary Data for 2011 by Donna L. Hoyert, Ph.D., and Jiaquan Xu, M.D., Division of Vital Statistics Abstract Objectives—This report presents preliminary U.S. data on deaths, death rates, life expectancy, leading causes of death, and infant mortality for 2011 by selected characteristics such as age, sex, race, and Hispanic origin. Methods—Data in this report are based on death records com prising more than 98 percent of the demographic and medical files for all deaths in the United States in 2011. The records are weighted to independent control counts for 2011. Comparisons are made with 2010 final data. Results—The age-adjusted death rate decreased from 747.0 deaths per 100,000 population in 2010 to 740.6 deaths per 100,000 population in 2011. From 2010 to 2011, age-adjusted death rates decreased significantly for 5 of the 15 leading causes of death: Dis eases of heart, Malignant neoplasms, Cerebrovascular diseases, Alzheimer’s disease, and Nephritis, nephrotic syndrome and nephrosis. The age-adjusted death rate increased for six leading causes of death: Chronic lower respiratory diseases, Diabetes mellitus, Influenza and pneumonia, Chronic liver disease and cirrhosis, Parkinson’s disease, and Pneumonitis due to solids and liquids. Life expectancy remained the same in 2011 as it had been in 2010 at 78.7 years. Keywords: death rates c life expectancy c vital statistics c mortality Introduction This report presents preliminary mortality data for the United States based on vital records for a substantial proportion of deaths occurring in 2011. Statistics in preliminary reports are generally considered reliable; past analyses reveal that most statistics shown in preliminary reports were confirmed by the final statistics for each of those years (1–3). Data Sources and Methods Preliminary data in this report are based on records of deaths that occurred in calendar year 2011, which were received from state vital statistics offices and processed by the Centers for Disease Control and Prevention’s National Center for Health Statistics (NCHS) as of June 12, 2012. Estimates of the level of completeness of preliminary data for each state are shown in Table I (see Technical Notes). Detailed information on the nature, sources, and qualifica tions of the preliminary data is given in the Technical Notes. Each state vital statistics office reported to NCHS the number of deaths registered and processed for calendar year 2011. Those state counts were used as independent control counts for NCHS’ 2011 preliminary national mortality file. A comparison of a) the number of 2011 death records received from the states for processing by NCHS with b) the state’s independent control counts of the number of deaths in 2011 indicates that demographic information from death certificates for the United States was available for an estimated 98.9 percent of infant deaths (under age 1 year) and 99.4 percent of deaths of persons aged 1 year and over occurring in calendar year 2011 (see Table I in the Technical Notes). Medical (or cause-of-death) information, pro cessed separately, was available for an estimated 97.3 percent of infant deaths and 98.1 percent of deaths of persons aged 1 year and over in 2011. Cause-of-death information is not always available when prelimi nary data are sent to NCHS, but is available later for final data processing. As a result, estimates of cause of death based on pre liminary mortality data may differ from statistics developed from the final mortality data (see Tables II and III in the Technical Notes). Such differences may affect certain causes of death where the cause is pending investigation, such as for Assault (homicide), Intentional selfharm (suicide), Accidents (unintentional injuries), Drug-induced deaths, and Sudden infant death syndrome (SIDS); see ‘‘Nonsampling error’’ in the Technical Notes. Tabulations by race and ethnic group are based on the race and ethnic group reported for the decedent. Race and Hispanic origin are reported as separate items on the death certificate. Data are shown for the following race and ethnic groups: white, non-Hispanic white, black, non-Hispanic black, American Indian or Alaska Native (AIAN), Asian or Pacific Islander (API), and Hispanic populations. Death rates for AIAN, API, and, to a lesser extent, Hispanic populations are known to be too low because of reporting problems (see ‘‘Race and Hispanic origin’’ in the Technical Notes). U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention National Center for Health Statistics National Vital Statistics System 2 National Vital Statistics Reports, Vol. 61, No. 6, October 10, 2012 All comparisons in this report are between the 2010 final data (3) and the 2011 preliminary data. Changes in death rates from 2010 to 2011 were tested for statistical significance. Differences in death rates across demographic groups (but occurring in 2011 only) were also tested for statistical significance. Unless otherwise specified, reported differences in death rates are statistically significant. Age-adjusted death rates are better indicators than crude death rates for showing changes in the risk of death over time when the age distribution of the population is changing, and for comparing the mortality of population subgroups that have different age compositions. All age-adjusted death rates are standardized to the year 2000 popu lation (see ‘‘Computing rates and percentages’’ in the Technical Notes). Life expectancy data shown in this report for data years 2010–2011 are based on methodology similar to that of the 1999–2001 decennial life tables. Beginning with final data reported for 2008, the life table methodology was revised by changing the smoothing tech nique used to estimate the life table functions at the oldest ages; see Technical Notes (1). The methodology used to produce life expectan cies adjusts for misclassification for Hispanic and for race and ethnicity for the non-Hispanic populations (see ‘‘Life tables’’ in the Technical Notes). Adjustments do not account for other sources of error such as return migration (4). Note that adjustments for misclassification are applied to the production of the life tables, but not to the death rates shown in this report. Two measures of infant mortality are shown: the infant death rate and the infant mortality rate (see ‘‘Infant mortality’’ in the Technical Notes). These measures typically are similar, although they can differ because they have different denominators. Results Trends in numbers and rates The preliminary number of deaths in the United States for 2011 was 2,513,171 (Tables A and 1). The crude death rate of 806.6 per 100,000 population was 0.9 percent higher than the rate of 799.5 per 100,000 in 2010. The estimated age-adjusted death rate, which accounts for changes in the age distribution of the population, reached a record low of 740.6 per 100,000 U.S. standard population, 0.9 percent lower than the 2010 rate of 747.0 (Tables A and 1). Figure 1 illustrates the general pattern of decline in both crude and age-adjusted death rates since 1980. The age-adjusted death rate decreased from 2010 to 2011 by 1.4 percent for males and 0.5 percent for females. The relative magnitudes of significant changes in age-adjusted death rates by sex, race, and Hispanic origin (Table 1) are: + + + + + + + + + + White males—1.0 percent decrease Non-Hispanic white males—0.6 percent decrease Black males—3.3 percent decrease Black females—1.6 percent decrease Non-Hispanic black males—2.7 percent decrease Non-Hispanic black females—1.2 percent decrease AIAN males—5.9 percent decrease AIAN females—3.7 percent decrease API males—4.2 percent decrease API females—2.6 percent decrease + + Hispanic males—4.8 percent decrease Hispanic females—2.5 percent decrease Rates for the AIAN and API populations should be interpreted with caution because of inconsistencies between reporting race on death certificates and on censuses, surveys, and birth certificates. Note that mortality for races other than white and black may be seriously understated in some cases due to underreporting for some race groups and Hispanic origin on death certificates (4–6). Statistically significant decreases in mortality from 2010 to 2011 were registered for those under age 1 year and across age groups over 65 years. Decedents aged 25–34 experienced the only statistically significant increase. Mortality for age groups 1–4 years, 5–14 years, 15–24 years, 35–44 years, 45–54 years, and 55–64 years did not change significantly. The magnitude of the significant changes in mortality by age group is (Table 1): + + + + + Under 1 year—4.0 percent decrease 25–34 years—1.5 percent increase 65–74 years—1.6 percent decrease 75–84 years—0.8 percent decrease 85 years and over—1.2 percent decrease The death rate for ‘‘under 1 year’’ shown above is based on a population estimate and is different from the infant mortality rate, which is based on live births (see ‘‘Infant mortality’’). The preliminary estimate of life expectancy at birth for the total population in 2011 is 78.7 years. This is the same as in 2010 (Tables A and 6). Life expectancy for males increased 0.1 year, from 76.2 in 2010 to 76.3 in 2011. Female life expectancy also increased 0.1 year, from 81.0 years to 81.1 years. (Life expectancy from 2010 to 2011 differed for the male and female populations but was unchanged for both sexes combined due to rounding.) The difference between male and female life expectancy at birth has generally been decreasing since its peak of 7.8 years in 1979 (1,7). The gap between male and female life expectancy was 4.8 years in 2011, unchanged from the difference between the sexes in 2010. The difference in life expectancy between the white and black populations in 2011 was 3.7 years, a 0.1-year decrease from the 2010 gap between the two races (Table A). Life expectancy for the Hispanic population increased 0.2 year in 2011 to 81.4 years compared with 2010 (Table 6). In 2011, the life expectancy for the Hispanic female population was 83.7 years. The life expectancy for the Hispanic male population in 2011 was 78.9. The difference in life expectancy between the sexes for the Hispanic population was 4.8 years. Among the six Hispanic origin-race-sex groups (Table 6 and Figure 2), Hispanic females have the highest life expectancy at birth (83.7 years), followed by non-Hispanic white females (81.1 years), Hispanic males (78.9 years), non-Hispanic black females (77.8 years), non-Hispanic white males (76.4 years), and non-Hispanic black males (71.6 years). Figure 2 also shows that this pattern has not changed since 2006 although life expectancy for all groups has generally increased. By state of residence, Hawaii had the lowest mortality in 2011 with an age-adjusted death rate of 584.8 deaths per 100,000 standard population (Table 3). Mortality was highest in Mississippi, with an age-adjusted death rate of 956.2 per 100,000 standard population. National Vital Statistics Reports, Vol. 61, No. 6, October 10, 2012 Table A. Deaths, age-adjusted death rates, and life expectancy at birth, by race and sex; and infant deaths and mortality rates, by race: United States, final 2010 and preliminary 2011 [Data are based on a continuous file of records received from the states. Figures for 2011 are based on weighted data rounded to the nearest individual, so categories may not add to totals] All races1 White2 Black2 Measure and sex 2011 2010 2011 2010 2011 2010 All deaths . . . . . . . . . . . . . . . . . . Male . . . . . . . . . . . . . . . . . . . . Female . . . . . . . . . . . . . . . . . . 2,513,171 1,253,716 1,259,456 2,468,435 1,232,432 1,236,003 2,153,864 1,070,817 1,083,046 2,114,749 1,051,514 1,063,235 290,135 146,843 143,292 286,959 145,802 141,157 Age-adjusted death rate3 . . . . . . . . . Male . . . . . . . . . . . . . . . . . . . . Female . . . . . . . . . . . . . . . . . . 740.6 874.5 631.9 747.0 887.1 634.9 738.1 869.3 629.7 741.8 878.5 630.8 877.4 1,067.3 740.1 898.2 1,104.0 752.5 Life expectancy at birth (in years) . . . . Male . . . . . . . . . . . . . . . . . . . . Female . . . . . . . . . . . . . . . . . . 78.7 76.3 81.1 78.7 76.2 81.0 79.0 76.6 81.3 78.9 76.5 81.3 75.3 72.1 78.2 75.1 71.8 78.0 All infant deaths . . . . . . . . . . . . . . Infant mortality rate4 . . . . . . . . . . . . 23,910 6.05 24,586 6.15 15,438 5.11 15,954 5.20 7,234 11.42 7,401 11.63 1 Includes races other than white and black. Race categories are consistent with the 1977 Office of Management and Budget (OMB) standards. Multiple-race data were reported for deaths by 38 states and the District of Columbia in 2011 and by 37 states and the District of Columbia in 2010, and were reported for births (used as the denominator in computing infant mortality rates), by 40 states and the District of Columbia in 2011 and by 38 states and the District of Columbia in 2010; see Technical Notes. 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 Technical Notes. 3 Age-adjusted death rates are per 100,000 U.S. standard population, based on the year 2000 standard. 4 Infant mortality rates are deaths under age 1 year per 1,000 live births in specified group. 2 Causes of death 85 Hispanic female Non-Hispanic white female 80 All races, both sexes Age in years The leading causes of death in 2011 remained the same as in 2010 for the 15 leading causes, although two causes exchanged ranks. Nephritis, nephrotic syndrome and nephrosis, the eighth leading cause in 2010, became the ninth leading cause in 2011, while Influenza and pneumonia, the ninth leading cause in 2010, became the eighth leading cause of death in 2011. The 15 leading causes of death in 2011 (Table B) were as follows: Hispanic male Non-Hispanic black female 75 Non-Hispanic white male 1,100 Rate per 100,000 population 70 Non-Hispanic black male Age adjusted 1,000 0 900 2006 2007 Crude 2008 2009 Year 2010 2011 SOURCE: CDC/NCHS, National Vital Statistics System, Mortality. Figure 2. Life expectancy at birth, by Hispanic origin, race for non-Hispanic population, and sex: United States, 2006–2010 final and 2011 preliminary 800 700 1. Diseases of heart 2. Malignant neoplasms 0 1980 1985 1990 1995 Year 2000 2005 2010 2011 NOTE: Crude death rates on an annual basis are per 100,000 population; age-adjusted rates are per 100,000 U.S. standard population; rates for 2001–2009 are revised and may differ from the rates previously published; see Technical Notes. SOURCE: CDC/NCHS, National Vital Statistics System, Mortality. Figure 1. Crude and age-adjusted death rates: United States, 1980–2010 final and 2011 preliminary 3. Chronic lower respiratory diseases 4. Cerebrovascular diseases 5. Accidents (unintentional injuries) 6. Alzheimer’s disease 7. Diabetes mellitus 3 4 National Vital Statistics Reports, Vol. 61, No. 6, October 10, 2012 Table B. Deaths and death rates for 2011 and age-adjusted death rates and percentage changes in age-adjusted rates from 2010 to 2011 for the 15 leading causes of death in 2011: United States, final 2010 and preliminary 2011 [Data are based on a continuous file of records received from the states. Rates are per 100,000 population; age-adjusted rates per 100,000 U.S. standard population based on the year 2000 standard; see Technical Notes. For explanation of asterisks (*) preceding cause-of-death codes, see Technical Notes. Figures for 2011 are based on weighted data rounded to the nearest individual, so categories may not add to totals] Age-adjusted death rate Cause of death (based on the International Classification of Diseases, Tenth Revision, 2008 Edition, 2009) Number Death rate 2011 2010 ... All causes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,512,873 806.5 740.6 747.0 -0.9 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Diseases of heart . . . . . . . . . . . . . . . . . Malignant neoplasms . . . . . . . . . . . . . . . Chronic lower respiratory diseases . . . . . . . Cerebrovascular diseases . . . . . . . . . . . . Accidents (unintentional injuries) . . . . . . . . Alzheimer’s disease . . . . . . . . . . . . . . . . Diabetes mellitus . . . . . . . . . . . . . . . . . Influenza and pneumonia . . . . . . . . . . . . Nephritis, nephrotic syndrome and nephrosis . Intentional self-harm (suicide) . . . . . . . . . . Septicemia . . . . . . . . . . . . . . . . . . . . . Chronic liver disease and cirrhosis . . . . . . . Essential hypertension and hypertensive renal Parkinson’s disease . . . . . . . . . . . . . . . . Pneumonitis due to solids and liquids . . . . . . . . . . (I00–I09,I11,I13,I20–I51) . . . . . . . . . . . . . (C00–C97) . . . . . . . . . . . . . .(J40–J47) . . . . . . . . . . . . . . (I60–I69) . . . . . . (V01–X59,Y85–Y86)2,3 . . . . . . . . . . . . . . . . (G30) . . . . . . . . . . . . . (E10–E14) . . . . . . . . . . . . . (J09–J18)4 .(N00–N07,N17–N19,N25–N27)5 . . . . . (*U03,X60–X84,Y87.0)2 . . . . . . . . . . . . . (A40–A41) . . . . . . . . . . (K70,K73–K74) . . . . . . . . . . . . (I10,I12,I15) . . . . . . . . . . . . (G20–G21)6 . . . . . . . . . . . . . . . . (J69) 596,339 575,313 143,382 128,931 122,777 84,691 73,282 53,667 45,731 38,285 35,539 33,539 27,477 23,107 18,090 191.4 184.6 46.0 41.4 39.4 27.2 23.5 17.2 14.7 12.3 11.4 10.8 8.8 7.4 5.8 173.7 168.6 42.7 37.9 38.0 24.6 21.5 15.7 13.4 12.0 10.5 9.7 8.0 7.0 5.3 179.1 172.8 42.2 39.1 38.0 25.1 20.8 15.1 15.3 12.1 10.6 9.4 8.0 6.8 5.1 –3.0 –2.4 1.2 –3.1 0.0 –2.0 3.4 4.0 –12.4 –0.8 –0.9 3.2 0.0 2.9 3.9 ... All other causes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (residual) 512,723 164.6 ... ... ... Rank1 ...... ...... ...... ...... ...... ...... ...... ...... ...... ...... ...... ...... disease . ...... ...... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Percent change . . .Category not applicable. 1 Rank based on number of deaths. 2 For unintentional injuries, suicides, preliminary and final data may differ significantly because of the truncated nature of the preliminary file. 3 New ICD–10 subcategories were introduced for the existing X34 (Victim of earthquake); see Technical Notes. 4 New ICD–10 code J12.3 (Human metapneumovirus pneumonia) was added to the category in 2011; see Technical Notes. 5 New subcategories replaced previous ones for N18 (Chronic kidney disease) in 2011. Changes affect comparability with previous year’s data; see Technical Notes. 6 New ICD–10 code G21.4 (Vascular parkinsonism) was added to the category in 2011; see Technical Notes. NOTES: Data are subject to sampling and random variation. For information regarding the calculation of standard errors and further discussion of the variability of the data, see Technical Notes. 8. Influenza and pneumonia 9. Nephritis, nephrotic syndrome and nephrosis 10. Intentional self-harm (suicide) 11. Septicemia 12. Chronic liver disease and cirrhosis 13. Essential hypertension and hypertensive renal disease 14. Parkinson’s disease 15. Pneumonitis due to solids and liquids From 2010 to 2011, the age-adjusted death rate declined significantly for 5 of the 15 leading causes of death. The age-adjusted death rate for the leading cause of death, Diseases of heart, decreased by 3.0 percent. The age-adjusted death rate for Malignant neoplasms decreased by 2.4 percent (Tables B and 2). Deaths from these two diseases combined accounted for 47 percent of deaths in the United States in 2011. Heart disease mortality has exhibited a fairly steady decline since 1980, and cancer mortality began to decline in the early 1990s (8). Of the 15 leading causes of death, the age-adjusted death rate also decreased significantly for Cerebrovas cular diseases (3.1 percent), Alzheimer’s disease (2.0 percent), and Nephritis, nephrotic syndrome and nephrosis (12.4 percent). The decrease in deaths from Nephritis, nephrotic syndrome and nephrosis from 2010 to 2011 needs to be interpreted with caution, however. Changes in classification and coding were made in 2011 that contributed to the decrease. Renal failure, for example, mentioned on death certificates was more likely to be treated as a renal complication of other diseases on the death certificate in 2011. As a result, more of these records shift from the Nephritis, nephrotic syndrome and neph rosis category to other diseases (e.g., Diabetes mellitus with renal complications, which is part of the broader Diabetes mellitus category). The age-adjusted death rate increased significantly from 2010 to 2011 for six leading causes: Chronic lower respiratory diseases (1.2 percent), Diabetes mellitus (3.4 percent), Influenza and pneu monia (4.0 percent), Chronic liver disease and cirrhosis (3.2 percent), Parkinson’s disease (2.9 percent), and Pneumonitis due to solids and liquids (3.9 percent). The observed changes in the age-adjusted death rates from 2010 to 2011 were not significant for Accidents (unintentional injuries), Inten tional self-harm (suicide), Septicemia, and Essential hypertension and hypertensive renal disease. Although Human immunodeficiency virus (HIV) disease was not among the 15 leading causes of death in 2011 for all ages combined, it remains a public health concern, especially for those between the ages of 15 and 64. The age-adjusted death rate for HIV disease declined by 7.7 percent from 2010 to 2011 (Table 2). Following a period of increase from 1987 through 1994, HIV disease mortality reached a plateau in 1995. Subsequently, the rate for this disease decreased an average of 33.0 percent per year from 1995 through 1998 (9), and 6.5 percent per year from 1999 through 2010 (data not shown). For all races combined in the age group 15–24, HIV disease was the 12th leading cause of death in 2010 and 2011. HIV disease dropped from National Vital Statistics Reports, Vol. 61, No. 6, October 10, 2012 5 the seventh leading cause of death in 2010 to the eighth leading cause in 2011 for the age group 25–44. Among decedents aged 45–64, HIV disease remained the 13th leading cause in 2011, unchanged from its rank in 2010. Enterocolitis due to Clostridium difficile (C. difficile), a predomi nantly antibiotic-associated inflammation of the intestines caused by C. difficile, a gram-positive, anaerobic, spore-forming bacillus, has become a concern in recent years. The disease is often acquired by long-term patients or residents in hospitals or other health-care facilities and accounted for an increasing number of deaths between 1999 and 2008 (1,10,11). In 1999, 793 deaths were due to C. difficile, compared with 7,476 C. difficile deaths in 2008 (1). The number of deaths dropped slightly to 7,251 in 2009 and increased to 7,994 in 2011. The ageadjusted death rate for this cause in 2011 was 2.4 deaths per 100,000 standard population, an increase of 9.1 percent from the rate in 2010. In 2011, C. difficile ranked as the 17th leading cause of death for the population aged 65 and over. Approximately 91 percent of deaths from C. difficile occurred to people aged 65 and over (data not shown). The age-adjusted death rate for drug-induced deaths did not change significantly, according to preliminary data. However, the final number of drug-induced deaths in 2011 may be substantially higher because information on cause of death in these cases is often delayed pending investigation. Additional information based on toxicology or autopsy reports is often not available in the preliminary file. Mortality from firearm injuries and alcohol-induced deaths in 2011 was unchanged from 2010. The age-adjusted death rate for injury at work in 2011 decreased 5.9 percent from the final rate of 1.7 in 2010 to 1.6 in 2011 (Table 2). reference date, July 1, 2011 (14). This population estimate includes a combination of infants born in 2010 who had not reached their first birthday before July 1, 2011, and infants born in 2011 before July 1, 2011. In contrast, the denominator of the 2011 infant mortality rate is all live births occurring during 2011 (15). For example, the preliminary number of live births for 2011 (n = 3,953,593) is 1.1 percent lower than the July 1 infant population in 2011 (n = 3,996,537). Therefore, the infant mortality rate for 2011 (604.7 deaths per 100,000 live births) is higher than the infant death rate for 2011 (598.3 deaths per 100,000 population). For 2011, only the infant death rate decreased significantly from 2010. The 10 leading causes of infant mortality for 2011 were: Infant mortality 10. Neonatal hemorrhage The preliminary infant mortality rate for 2011 was 6.05 infant deaths per 1,000 live births (Tables A and 4). This was not signifi cantly different from the final 2010 rate of 6.15. Few observed changes in infant mortality from 2010 to 2011 were statistically significant. With the exception of 2002, the infant mortality rate has statistically remained the same or decreased significantly each successive year from 1958 through 2011 (1,12). The neonatal (i.e., infants under age 28 days) mortality rate was 4.04 per 1,000 live births in 2011, which also was not significantly different from 2010. The postneonatal (i.e., infants aged 28 days–11 months) mortality rate decreased by 4.3 percent from 2.10 deaths per 1,000 live births in 2010 to 2.01 deaths per 1,000 live births in 2011. Infant mortality did not change significantly from 2010 to 2011 for either black or white infants. The mortality rate of 11.42 deaths per 1,000 live births for black infants was 2.2 times the rate of 5.11 deaths per 1,000 live births for white infants (Tables A and 4). Because of inconsistencies in the reporting of race groups on birth and death certificates (especially for races other than white and black and for Hispanic origin), infant mortality rates for these groups are likely to be underestimated (4). The linked birth/infant death data set provides a better source of data for infant deaths and mortality rates by maternal race and ethnicity (13). Although the infant mortality rate is the preferred indicator of the risk of dying during the first year of life, the infant death rate is also shown in this report. While similar, these two rates vary based on differences in their denominators. The denominator of the 2011 infant death rate is the estimated population under age 1 year as of the The leading causes of infant death in 2011 were the same as in 2009. They were the same as in 2010 for 9 of the 10 leading causes (Table 8). Dropping from among the 10 leading causes of infant death in 2011 was Necrotizing enterocolitis of newborn, replaced by Neonatal hemorrhage as the 10th leading cause of infant death in 2011. The infant mortality rate decreased for only 1 of the 10 leading causes of death from 2010 to 2011 (Tables 5 and 8). The infant mortality rate decreased by 16.1 percent for SIDS (Tables 5 and 8). Deaths due to SIDS, currently the third leading cause of infant death, have been declining since 1988 (1,16). Because SIDS deaths often involve lengthy investigations, the mortality rate due to SIDS is typically lower based on preliminary data than that based on the final data. Recent declines in mortality due to SIDS also may reflect a change in the way SIDS is diagnosed and reported by medical exam iners and coroners (17). 1. Congenital malformations, deformations and chromosomal abnormalities 2. Disorders related to short gestation and low birth weight, not elsewhere classified 3. Sudden infant death syndrome (SIDS) 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 References 1. 2. Miniño 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: http://www.cdc.gov/nchs/data/nvsr/nvsr59/nvsr59_10.pdf. Kochanek KD, Xu JQ, Murphy SL, et al. Deaths: Final data for 2009. National vital statistics reports; vol 60 no 3. Hyattsville, MD: National Center for Health Statistics. 2011. Available from: http://www.cdc.gov/nchs/data/nvsr/nvsr60/nvsr60_03.pdf. 6 National Vital Statistics Reports, Vol. 61, No. 6, October 10, 2012 3. 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Hyattsville, MD: National Center for Health Statistics. 2012. Available from: http//www.cdc.gov/nchs/data/nvsr/nvsr61/ nvsr61_03.pdf. 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: http://www.cdc.gov/nchs/data/nvsr/nvsr58/nvsr58_19.pdf. National Center for Health Statistics. Hist293. Age-adjusted death rates for 72 selected causes by race and sex using year 2000 standard population: United States, 1979–98. 2001. Available from: http://www.cdc.gov/nchs/data/mortab/aadr7998s.pdf. Sunenshine RH, McDonald LC. Clostridium difficile-associated disease: New challenges from an established pathogen. Cleve Clin J Med 73(2):187–97. 2006. Available from: http://www.ccjm.org/content/ 73/2/187.full.pdf+html. Redelings MD, Sorvillo F, Mascola L. Increase in Clostridium difficile related mortality rates, United States, 1999–2004. Emerg Infect Dis 13(9):1417–19. 2007. Available from: http://www.cdc.gov/EID/content/ 13/9/1417.htm. Kochanek KD, Martin JA. Supplemental analyses of recent trends in infant mortality. Health E-Stat. Hyattsville, MD: National Center for Health Statistics. Available from: http://www.cdc.gov/nchs/data/hestat/ infantmort/infantmort.htm. Mathews TJ, MacDorman MF. Infant mortality statistics from the 2008 period linked birth/infant death data set. National vital statistics reports; vol 60 no 5. Hyattsville, MD: National Center for Health Statistics. 2012. Available from: http://www.cdc.gov/nchs/data/nvsr/nvsr60/ nvsr60_05.pdf. National Center for Health Statistics. Vintage 2011 bridged-race post censal population estimates. Available from: http://www.cdc.gov/nchs/ nvss/bridged_race/data_documentation.htm#vintage2011. Hamilton BE, Martin JA, Ventura SJ. Births: Preliminary data for 2011. National vital statistics reports; vol 61 no 5. Hyattsville, MD: National Center for Health Statistics. 2012. Available from: http://www.cdc.gov/nchs/data/nvsr/nvsr61/nvsr61_05.pdf. Murphy SL. Deaths: Final data for 1998. National vital statistics reports; vol 48 no 11. Hyattsville, MD: National Center for Health Statistics. 2000. Available from: http://www.cdc.gov/nchs/data/nvsr/nvsr48/ nvs48_11.pdf. Shapiro-Mendoza CK, Tomashek KM, Anderson RN, Wingo J. Recent national trends in sudden, unexpected infant deaths: More evidence supporting a change in classification or reporting. Am J Epidemiol 163(8):762–9. 2006. National Center for Health Statistics. Vital statistics of the United States: Mortality, 1999. Technical appendix. Available from: http://www.cdc.gov/nchs/data/statab/techap99.pdf. 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. National Center for Health Statistics. 2003 revision of the U.S. Standard Certificate of Death. 2003. Available from: http://www.cdc.gov/nchs/data/dvs/DEATH11-03final-acc.pdf. National Center for Health Statistics. Report of the panel to evaluate the U.S. standard certificates. 2000. Available from: http://www.cdc.gov/nchs/data/dvs/panelreport_acc.pdf. Office of Management and Budget. Revisions to the standards for the classification of federal data on race and ethnicity. Fed Regist (62 FR58782–58790). October 30, 1997. Office of Management and Budget. Race and ethnic standards for federal statistics and administrative reporting. Statistical Policy Direc tive 15. 1977. Ingram DD, Parker JD, Schenker N, et al. United States census 2000 population with bridged race categories. National Center for Health Statistics. Vital Health Stat 2(135). 2003. Available from: http://www.cdc.gov/nchs/data/series/sr_02/sr02_135.pdf. Schenker N, Parker JD. From single-race reporting to multiple-race reporting: Using imputation methods to bridge the transition. Stat Med 22(9):1571–87. 2003. Vital statistics, instructions for classifying the underlying cause of death. NCHS instruction manual, part 2a. Hyattsville, MD: Public Health Service. Published annually. World Health Organization. International statistical classification of diseases and related health problems, tenth revision. Geneva: World Health Organization. 1992. World Health Organization. International statistical classification of diseases and related health problems, tenth revision, 2008 edition. Geneva: World Health Organization. 2009. National Center for Health Statistics. ICD–10 Cause-of-death lists for tabulating mortality statistics, updated March 2011. NCHS instruction manual, part 9. Hyattsville, MD: Public Health Service. 2011. Available from: http://www.cdc.gov/nchs/nvss/instruction_manuals.htm. Heron, M. Deaths: Leading causes for 2008. National vital statistics reports; vol 60 no 6. Hyattsville, MD: National Center for Health Statistics. 2012. Available from: http://www.cdc.gov/nchs/data/nvsr/ nvsr60/nvsr60_06.pdf. National Center for Health Statistics. U.S. decennial life tables for 1989–91, vol 1 no 2, methodology of the national and state life tables. Hyattsville, MD. 1998. Available from: http://www.cdc.gov/nchs/data/ lifetables/life89_1_2.pdf. Sirken MG. Comparison of two methods of constructing abridged life tables by reference to a ‘‘standard’’ table. National Center for Health Statistics. Vital Health Stat 2(4): 1966. Available from: http://www.cdc.gov/nchs/data/series/sr_02/sr02_004.pdf. Anderson RN. Method for constructing complete annual U.S. life tables. National Center for Health Statistics. Vital Health Stat 2(129). 1999. Available from: http://www.cdc.gov//nchs/data/series/sr_02/ sr02_129.pdf. Kestenbaum B. A description of the extreme aged population based on improved Medicare enrollment data. Demography 29(4):565–80. 1992. Wei R, Curtin LR, Arias E, Anderson RN. United States decennial life tables for 1999–2001, 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: http://www.cdc.gov/nchs/data/nvsr/nvsr57/nvsr57_04.pdf. Arias E, Rostron BL, Tejada-Vera B. United States life tables, 2005. National vital statistics reports; vol 58 no 10. Hyattsville, MD: National Center for Health Statistics. 2010. Available from: http://www.cdc.gov/nchs/data/nvsr/nvsr58/nvsr58_10.pdf. Arias E. United States life tables by Hispanic origin. National Center for Health Statistics. Vital Health Stat 2(152). 2010. Available from: http://www.cdc.gov/nchs/data/series/sr_02/sr02_152.pdf. National Vital Statistics Reports, Vol. 61, No. 6, October 10, 2012 37. 38. Arias E, Eschbach K, Schauman WS, Backlund EL, Sorlie PD. The Hispanic mortality advantage and ethnic misclassification on US death certificates. Am J Public Health 100(Suppl1):S171–7. 2010. Available from: http://ajph.aphapublications.org/doi/pdfplus/10.2105/AJPH.2008. 135863. 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: http://www.cdc.gov/nchs/data/nvsr/ nvsr47/nvs47_03.pdf. List of Detailed Tables 1. Deaths and death rates, by age, sex, race, and Hispanic origin, and age-adjusted death rates, by sex, race, and Hispanic origin: United States, final 2010 and preliminary 2011 . . . . . . . . . . . . 2. Deaths, death rates, and age-adjusted death rates for 113 selected causes, Injury by firearms, Drug-induced deaths, Alcohol-induced deaths, Injury at work, and Enterocolitis due to Clostridium difficile: United States, final 2010 and preliminary 2011 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3. Deaths, death rates, and age-adjusted death rates: United States, and each state and territory, final 2010 and preliminary 2011. . . 4. Infant deaths and infant mortality rates, by age, race, and Hispanic origin: United States, final 2010 and preliminary 2011 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5. Infant deaths and infant mortality rates for 130 selected causes: United States, final 2010 and preliminary 2011 . . . . . . . . . . . . 6. Expectation of life at selected ages, by race, Hispanic origin, race for non-Hispanic population, and sex: United States, final 2010 and preliminary 2011 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7. Deaths and death rates for the 10 leading causes of death in specified age groups: United States, preliminary 2011 . . . . . . . 8. Infant deaths and infant mortality rates for the 10 leading causes of infant death, by race and Hispanic origin: United States, preliminary 2011 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 16 20 21 22 26 29 32 7 8 National Vital Statistics Reports, Vol. 61, No. 6, October 10, 2012 Table 1. Deaths and death rates, by age, sex, race, and Hispanic origin, and age-adjusted death rates, by sex, race, and Hispanic origin: United States, final 2010 and preliminary 2011 [Data are based on a continuous file of records received from the states. Age-specific rates are per 100,000 population in specified group. Age-adjusted rates are per 100,000 U.S. standard population; see Technical Notes. Figures for 2011 are based on weighted data rounded to the nearest individual, so categories may not add to totals. Race and Hispanic origin are reported separately on the death certificate. Data for Hispanic origin and specified races other than white and black should be interpreted with caution because of inconsistencies between reporting Hispanic origin and race on death certificates and on censuses and surveys; see Technical Notes. Race categories are consistent with the 1977 Office of Management and Budget (OMB) standards. Multiple-race data were reported by 38 states and the District of Columbia in 2011 and by 37 states and the District of Columbia in 2010; see Technical Notes. The multiple-race data for these states were bridged to the single-race categories of the 1977 OMB standards for comparability with other states; see Technical Notes. Data for persons of Hispanic origin are included in the data for each race group, according to the decedent’s reported race; see Technical Notes] 2011 Age, sex, race, and Hispanic origin Number 2010 Rate Number Rate All races, both sexes All ages . . . . . . . . . . . . . . . . . . . 2,513,171 806.6 2,468,435 799.5 . . . . . . . . . . . . 23,910 4,236 5,377 29,624 43,631 69,746 182,994 323,015 414,792 625,860 789,854 132 598.3 26.2 13.1 67.6 104.4 171.7 409.2 848.7 1,845.0 4,750.3 13,767.3 ... 24,586 4,316 5,279 29,551 42,259 70,033 183,207 310,802 407,151 625,651 765,474 126 623.4 26.5 12.9 67.7 102.9 170.5 407.1 851.9 1,875.1 4,790.2 13,934.3 ... Age-adjusted rate2 . . . . . . . . . . . . . ... 740.6 ... 747.0 Under 1 year1 . . . 1–4 years . . . . . 5–14 years . . . . 15–24 years . . . 25–34 years . . . 35–44 years . . . 45–54 years . . . 55–64 years . . . 65–74 years . . . 75–84 years . . . 85 years and over Not stated . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . All races, male All ages . . . . . . . . . . . . . . . . . . . 1,253,716 817.9 1,232,432 812.0 . . . . . . . . . . . . 13,259 2,393 3,163 21,894 30,003 43,152 111,552 196,424 234,102 312,543 285,134 96 648.8 29.0 15.1 97.6 142.6 213.4 506.6 1,070.0 2,234.6 5,608.1 15,054.4 ... 13,702 2,460 3,054 21,790 29,192 43,434 112,018 189,295 229,704 311,830 275,866 87 680.2 29.6 14.6 97.6 141.5 212.5 505.9 1,075.5 2,275.1 5,693.7 15,414.3 ... Age-adjusted rate2 . . . . . . . . . . . . . ... 874.5 ... 887.1 Under 1 year1 . . . 1–4 years . . . . . 5–14 years . . . . 15–24 years . . . 25–34 years . . . 35–44 years . . . 45–54 years . . . 55–64 years . . . 65–74 years . . . 75–84 years . . . 85 years and over Not stated . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . All races, female All ages . . . . . . . . . . . . . . . . . . . 1,259,456 795.6 1,236,003 787.4 . . . . . . . . . . . . 10,651 1,843 2,214 7,730 13,628 26,594 71,442 126,591 180,690 313,317 504,720 36 545.4 23.3 11.0 36.2 65.7 130.3 314.7 642.5 1,505.1 4,121.4 13,133.0 ... 10,884 1,856 2,225 7,761 13,067 26,599 71,189 121,507 177,447 313,821 489,608 39 564.0 23.3 11.1 36.4 64.0 128.9 311.4 643.5 1,527.5 4,137.7 13,219.2 ... Age-adjusted rate2 . . . . . . . . . . . . . ... 631.9 ... 634.9 Under 1 year1 . . . 1–4 years . . . . . 5–14 years . . . . 15–24 years . . . 25–34 years . . . 35–44 years . . . 45–54 years . . . 55–64 years . . . 65–74 years . . . 75–84 years . . . 85 years and over Not stated . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . See footnotes at end of table. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . National Vital Statistics Reports, Vol. 61, No. 6, October 10, 2012 9 Table 1. Deaths and death rates, by age, sex, race, and Hispanic origin, and age-adjusted death rates, by sex, race, and Hispanic origin: United States, final 2010 and preliminary 2011—Con. [Data are based on a continuous file of records received from the states. Age-specific rates are per 100,000 population in specified group. Age-adjusted rates are per 100,000 U.S. standard population; see Technical Notes. Figures for 2011 are based on weighted data rounded to the nearest individual, so categories may not add to totals. Race and Hispanic origin are reported separately on the death certificate. Data for Hispanic origin and specified races other than white and black should be interpreted with caution because of inconsistencies between reporting Hispanic origin and race on death certificates and on censuses and surveys; see Technical Notes. Race categories are consistent with the 1977 Office of Management and Budget (OMB) standards. Multiple-race data were reported by 38 states and the District of Columbia in 2011 and by 37 states and the District of Columbia in 2010; see Technical Notes. The multiple-race data for these states were bridged to the single-race categories of the 1977 OMB standards for comparability with other states; see Technical Notes. Data for persons of Hispanic origin are included in the data for each race group, according to the decedent’s reported race; see Technical Notes] 2011 Age, sex, race, and Hispanic origin Number 2010 Rate Number Rate Total white, both sexes All ages . . . . . . . . . . . . . . . . . . . 2,153,864 871.7 2,114,749 861.7 . . . . . . . . . . . . 15,438 2,973 3,907 21,610 32,605 52,857 143,215 259,396 349,774 551,575 720,413 100 515.5 24.5 12.5 64.9 101.2 166.8 397.4 820.3 1,823.5 4,794.0 14,016.6 ... 15,954 3,015 3,841 21,509 31,425 53,060 143,049 249,583 342,977 552,508 697,733 95 537.2 24.6 12.3 64.7 99.2 165.0 392.9 820.3 1,846.7 4,818.2 14,147.6 ... Age-adjusted rate2 . . . . . . . . . . . . . ... 738.1 ... 741.8 Under 1 year1 . . . 1–4 years . . . . . 5–14 years . . . . 15–24 years . . . 25–34 years . . . 35–44 years . . . 45–54 years . . . 55–64 years . . . 65–74 years . . . 75–84 years . . . 85 years and over Not stated . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . White male All ages . . . . . . . . . . . . . . . . . . . 1,070,817 875.4 1,051,514 866.1 . . . . . . . . . . . . 8,555 1,680 2,306 15,810 22,603 33,326 88,664 159,175 198,530 278,190 261,903 74 558.8 27.0 14.4 92.4 137.5 208.5 494.5 1,032.1 2,197.8 5,647.4 15,318.1 ... 8,871 1,718 2,222 15,661 21,883 33,486 89,017 153,296 194,793 277,543 252,958 66 584.3 27.4 13.8 91.8 135.6 206.6 491.9 1,033.0 2,232.4 5,703.6 15,640.3 ... Age-adjusted rate2 . . . . . . . . . . . . . ... 869.3 ... 878.5 Under 1 year1 . . . 1–4 years . . . . . 5–14 years . . . . 15–24 years . . . 25–34 years . . . 35–44 years . . . 45–54 years . . . 55–64 years . . . 65–74 years . . . 75–84 years . . . 85 years and over Not stated . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . White female All ages . . . . . . . . . . . . . . . . . . . 1,083,046 868.0 1,063,235 857.3 . . . . . . . . . . . . 6,883 1,293 1,601 5,800 10,002 19,532 54,550 100,221 151,244 273,385 458,510 26 470.3 21.8 10.5 35.9 63.4 124.4 301.2 618.6 1,490.3 4,155.1 13,367.8 ... 7,083 1,297 1,619 5,848 9,542 19,574 54,032 96,287 148,184 274,965 444,775 29 488.0 21.6 10.6 36.2 61.4 122.8 295.1 617.8 1,504.9 4,165.4 13,419.3 ... Age-adjusted rate2 . . . . . . . . . . . . . ... 629.7 ... 630.8 Under 1 year1 . . . 1–4 years . . . . . 5–14 years . . . . 15–24 years . . . 25–34 years . . . 35–44 years . . . 45–54 years . . . 55–64 years . . . 65–74 years . . . 75–84 years . . . 85 years and over Not stated . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . See footnotes at end of table. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 National Vital Statistics Reports, Vol. 61, No. 6, October 10, 2012 Table 1. Deaths and death rates, by age, sex, race, and Hispanic origin, and age-adjusted death rates, by sex, race, and Hispanic origin: United States, final 2010 and preliminary 2011—Con. [Data are based on a continuous file of records received from the states. Age-specific rates are per 100,000 population in specified group. Age-adjusted rates are per 100,000 U.S. standard population; see Technical Notes. Figures for 2011 are based on weighted data rounded to the nearest individual, so categories may not add to totals. Race and Hispanic origin are reported separately on the death certificate. Data for Hispanic origin and specified races other than white and black should be interpreted with caution because of inconsistencies between reporting Hispanic origin and race on death certificates and on censuses and surveys; see Technical Notes. Race categories are consistent with the 1977 Office of Management and Budget (OMB) standards. Multiple-race data were reported by 38 states and the District of Columbia in 2011 and by 37 states and the District of Columbia in 2010; see Technical Notes. The multiple-race data for these states were bridged to the single-race categories of the 1977 OMB standards for comparability with other states; see Technical Notes. Data for persons of Hispanic origin are included in the data for each race group, according to the decedent’s reported race; see Technical Notes] 2011 Age, sex, race, and Hispanic origin 2010 Number Rate Number Rate Non-Hispanic white, both sexes All ages . . . . . . . . . . . . . . . . . . . 2,005,481 1,000.6 1,969,916 984.3 . . . . . . . . . . . . 10,872 2,051 2,890 16,934 26,672 44,817 127,733 238,404 325,851 519,151 690,048 60 523.2 24.1 12.7 67.1 108.8 180.1 414.0 837.6 1,855.6 4,871.2 14,207.2 ... 11,025 2,139 2,910 16,847 25,486 44,999 128,034 229,265 319,805 520,983 668,361 62 529.3 24.7 12.6 66.4 105.6 176.2 407.2 834.2 1,876.2 4,886.8 14,286.1 ... Age-adjusted rate2 . . . . . . . . . . . . . ... 753.9 ... 755.0 All ages . . . . . . . . . . . . . . . . . . . 989,421 1,003.7 971,604 987.5 Under 1 year1 . . . 1–4 years . . . . . 5–14 years . . . . 15–24 years . . . 25–34 years . . . 35–44 years . . . 45–54 years . . . 55–64 years . . . 65–74 years . . . 75–84 years . . . 85 years and over Not stated . . . . . . . . . . . . . . . . 6,078 1,172 1,714 12,207 18,237 27,944 78,416 145,958 184,956 262,163 250,530 45 572.2 26.9 14.7 94.7 147.5 223.7 512.0 1,049.5 2,226.6 5,728.0 15,558.4 ... 6,144 1,219 1,691 12,079 17,483 28,070 79,295 140,552 181,567 261,723 241,741 40 575.9 27.5 14.3 93.4 143.6 219.1 508.1 1,046.2 2,256.9 5,770.3 15,816.6 ... Age-adjusted rate2 . . . . . . . . . . . . . ... 886.8 ... 892.5 Under 1 year1 . . . 1–4 years . . . . . 5–14 years . . . . 15–24 years . . . 25–34 years . . . 35–44 years . . . 45–54 years . . . 55–64 years . . . 65–74 years . . . 75–84 years . . . 85 years and over Not stated . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Non-Hispanic white male . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Non-Hispanic white female All ages . . . . . . . . . . . . . . . . . . . 1,016,060 997.7 998,312 981.2 . . . . . . . . . . . . 4,793 879 1,176 4,726 8,435 16,872 49,317 92,446 140,894 256,988 439,517 15 471.9 21.1 10.6 38.3 69.4 136.2 317.5 635.1 1,522.6 4,226.4 13,537.1 ... 4,881 920 1,219 4,768 8,003 16,929 48,739 88,713 138,238 259,260 426,620 22 480.4 21.8 10.9 38.4 66.8 133.1 307.7 631.5 1,535.9 4,232.6 13,543.5 ... Age-adjusted rate2 . . . . . . . . . . . . . ... 644.3 ... 643.3 Under 1 year1 . . . 1–4 years . . . . . 5–14 years . . . . 15–24 years . . . 25–34 years . . . 35–44 years . . . 45–54 years . . . 55–64 years . . . 65–74 years . . . 75–84 years . . . 85 years and over Not stated . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . See footnotes at end of table. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . National Vital Statistics Reports, Vol. 61, No. 6, October 10, 2012 11 Table 1. Deaths and death rates, by age, sex, race, and Hispanic origin, and age-adjusted death rates, by sex, race, and Hispanic origin: United States, final 2010 and preliminary 2011—Con. [Data are based on a continuous file of records received from the states. Age-specific rates are per 100,000 population in specified group. Age-adjusted rates are per 100,000 U.S. standard population; see Technical Notes. Figures for 2011 are based on weighted data rounded to the nearest individual, so categories may not add to totals. Race and Hispanic origin are reported separately on the death certificate. Data for Hispanic origin and specified races other than white and black should be interpreted with caution because of inconsistencies between reporting Hispanic origin and race on death certificates and on censuses and surveys; see Technical Notes. Race categories are consistent with the 1977 Office of Management and Budget (OMB) standards. Multiple-race data were reported by 38 states and the District of Columbia in 2011 and by 37 states and the District of Columbia in 2010; see Technical Notes. The multiple-race data for these states were bridged to the single-race categories of the 1977 OMB standards for comparability with other states; see Technical Notes. Data for persons of Hispanic origin are included in the data for each race group, according to the decedent’s reported race; see Technical Notes] 2011 Age, sex, race, and Hispanic origin Number 2010 Rate Number Rate Total black, both sexes All ages . . . . . . . . . . . . . . . . . . . 290,135 679.8 286,959 682.2 . . . . . . . . . . . . 7,234 1,049 1,179 6,695 9,064 13,792 33,504 53,804 53,303 57,973 52,510 28 1,051.3 38.2 17.6 92.4 151.1 248.6 579.3 1,257.8 2,465.2 5,217.6 12,886.4 ... 7,401 1,041 1,145 6,675 8,920 14,016 34,093 51,816 52,491 57,543 51,795 23 1,102.1 38.1 17.1 93.2 152.0 250.3 591.5 1,286.0 2,526.1 5,371.8 13,187.2 ... Age-adjusted rate2 . . . . . . . . . . . . . ... 877.4 ... 898.2 Under 1 year1 . . . 1–4 years . . . . . 5–14 years . . . . 15–24 years . . . 25–34 years . . . 35–44 years . . . 45–54 years . . . 55–64 years . . . 65–74 years . . . 75–84 years . . . 85 years and over Not stated . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Black male All ages . . . . . . . . . . . . . . . . . . . 146,843 719.2 145,802 725.4 . . . . . . . . . . . . 4,018 594 701 5,126 6,097 7,972 19,162 31,583 28,919 26,376 16,274 20 1,138.9 42.6 20.5 140.4 212.0 305.2 705.2 1,622.6 3,128.4 6,361.1 14,176.8 ... 4,116 595 667 5,129 6,071 8,115 19,393 30,458 28,395 26,602 16,243 18 1,206.5 42.9 19.6 142.8 216.7 307.5 716.3 1,662.1 3,205.6 6,721.5 14,715.3 ... Age-adjusted rate2 . . . . . . . . . . . . . ... 1,067.3 ... 1,104.0 Under 1 year1 . . . 1–4 years . . . . . 5–14 years . . . . 15–24 years . . . 25–34 years . . . 35–44 years . . . 45–54 years . . . 55–64 years . . . 65–74 years . . . 75–84 years . . . 85 years and over Not stated . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Black female All ages . . . . . . . . . . . . . . . . . . . 143,292 643.7 141,157 642.7 . . . . . . . . . . . . 3,216 455 477 1,569 2,967 5,819 14,342 22,222 24,384 31,596 36,236 8 959.1 33.7 14.5 43.6 95.0 198.3 467.7 953.2 1,970.0 4,536.6 12,380.3 ... 3,285 446 478 1,546 2,849 5,901 14,700 21,358 24,096 30,941 35,552 5 994.4 33.2 14.5 43.3 92.9 199.3 481.0 972.2 2,021.2 4,580.9 12,589.9 ... Age-adjusted rate2 . . . . . . . . . . . . . ... 740.1 ... 752.5 Under 1 year1 . . . 1–4 years . . . . . 5–14 years . . . . 15–24 years . . . 25–34 years . . . 35–44 years . . . 45–54 years . . . 55–64 years . . . 65–74 years . . . 75–84 years . . . 85 years and over Not stated . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . See footnotes at end of table. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 National Vital Statistics Reports, Vol. 61, No. 6, October 10, 2012 Table 1. Deaths and death rates, by age, sex, race, and Hispanic origin, and age-adjusted death rates, by sex, race, and Hispanic origin: United States, final 2010 and preliminary 2011—Con. [Data are based on a continuous file of records received from the states. Age-specific rates are per 100,000 population in specified group. Age-adjusted rates are per 100,000 U.S. standard population; see Technical Notes. Figures for 2011 are based on weighted data rounded to the nearest individual, so categories may not add to totals. Race and Hispanic origin are reported separately on the death certificate. Data for Hispanic origin and specified races other than white and black should be interpreted with caution because of inconsistencies between reporting Hispanic origin and race on death certificates and on censuses and surveys; see Technical Notes. Race categories are consistent with the 1977 Office of Management and Budget (OMB) standards. Multiple-race data were reported by 38 states and the District of Columbia in 2011 and by 37 states and the District of Columbia in 2010; see Technical Notes. The multiple-race data for these states were bridged to the single-race categories of the 1977 OMB standards for comparability with other states; see Technical Notes. Data for persons of Hispanic origin are included in the data for each race group, according to the decedent’s reported race; see Technical Notes] 2011 Age, sex, race, and Hispanic origin Number 2010 Rate Number Rate Non-Hispanic black, both sexes All ages . . . . . . . . . . . . . . . . . . . 287,482 719.7 283,438 718.7 . . . . . . . . . . . . 6,973 1,007 1,149 6,590 8,959 13,650 33,204 53,415 52,890 57,512 52,108 23 1,130.4 40.7 18.7 97.8 161.6 262.2 601.2 1,295.1 2,531.5 5,344.5 13,175.5 ... 7,071 993 1,118 6,546 8,786 13,807 33,698 51,288 51,930 56,942 51,242 17 1,170.4 40.2 18.1 98.3 161.9 261.9 610.9 1,318.8 2,582.2 5,477.8 13,385.7 ... Age-adjusted rate2 . . . . . . . . . . . . . ... 903.9 ... 920.4 Under 1 year1 . . . 1–4 years . . . . . 5–14 years . . . . 15–24 years . . . 25–34 years . . . 35–44 years . . . 45–54 years . . . 55–64 years . . . 65–74 years . . . 75–84 years . . . 85 years and over Not stated . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Non-Hispanic black male All ages . . . . . . . . . . . . . . . . . . . 145,391 762.2 143,824 764.5 . . . . . . . . . . . . 3,872 571 685 5,048 6,018 7,895 18,962 31,335 28,691 26,146 16,153 16 1,224.8 45.4 21.9 148.8 226.7 322.2 731.0 1,671.1 3,213.9 6,519.6 14,566.3 ... 3,931 570 649 5,033 5,971 7,975 19,146 30,138 28,060 26,281 16,055 15 1,281.5 45.4 20.7 150.8 230.8 321.1 739.1 1,705.0 3,274.7 6,849.1 14,974.2 ... Age-adjusted rate2 . . . . . . . . . . . . . ... 1,101.2 ... 1,131.7 Under 1 year1 . . . 1–4 years . . . . . 5–14 years . . . . 15–24 years . . . 25–34 years . . . 35–44 years . . . 45–54 years . . . 55–64 years . . . 65–74 years . . . 75–84 years . . . 85 years and over Not stated . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Non-Hispanic black female All ages . . . . . . . . . . . . . . . . . . . 142,091 680.8 139,614 676.9 . . . . . . . . . . . . 3,102 436 463 1,542 2,942 5,755 14,242 22,080 24,200 31,367 35,955 7 1,031.5 35.8 15.3 46.1 101.8 208.9 486.2 981.7 2,022.5 4,646.6 12,633.6 ... 3,140 423 469 1,513 2,815 5,832 14,552 21,150 23,870 30,661 35,187 2 1,055.7 34.8 15.5 45.6 99.1 209.1 497.4 996.9 2,068.1 4,675.5 12,767.7 ... Age-adjusted rate2 . . . . . . . . . . . . . ... 761.7 ... 770.8 Under 1 year1 . . . 1–4 years . . . . . 5–14 years . . . . 15–24 years . . . 25–34 years . . . 35–44 years . . . 45–54 years . . . 55–64 years . . . 65–74 years . . . 75–84 years . . . 85 years and over Not stated . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . See footnotes at end of table. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . National Vital Statistics Reports, Vol. 61, No. 6, October 10, 2012 13 Table 1. Deaths and death rates, by age, sex, race, and Hispanic origin, and age-adjusted death rates, by sex, race, and Hispanic origin: United States, final 2010 and preliminary 2011—Con. [Data are based on a continuous file of records received from the states. Age-specific rates are per 100,000 population in specified group. Age-adjusted rates are per 100,000 U.S. standard population; see Technical Notes. Figures for 2011 are based on weighted data rounded to the nearest individual, so categories may not add to totals. Race and Hispanic origin are reported separately on the death certificate. Data for Hispanic origin and specified races other than white and black should be interpreted with caution because of inconsistencies between reporting Hispanic origin and race on death certificates and on censuses and surveys; see Technical Notes. Race categories are consistent with the 1977 Office of Management and Budget (OMB) standards. Multiple-race data were reported by 38 states and the District of Columbia in 2011 and by 37 states and the District of Columbia in 2010; see Technical Notes. The multiple-race data for these states were bridged to the single-race categories of the 1977 OMB standards for comparability with other states; see Technical Notes. Data for persons of Hispanic origin are included in the data for each race group, according to the decedent’s reported race; see Technical Notes] 2011 Age, sex, race, and Hispanic origin Number 2010 Rate Number Rate Total AIAN,3,4 both sexes All ages . . . . . . . . . . . . . . . . . . . 15,875 365.2 15,565 365.1 . . . . . . . . . . . . 357 86 94 587 837 1,194 2,266 2,779 2,845 2,777 2,052 1 444.8 27.3 12.4 77.0 125.7 207.4 415.5 747.5 1,618.9 3,675.3 8,669.2 ... 354 93 108 615 795 1,163 2,203 2,704 2,803 2,685 2,042 – 455.3 29.4 14.4 81.3 122.0 203.2 409.7 782.1 1,709.9 3,833.0 9,615.3 ... Age-adjusted rate2 . . . . . . . . . . . . . ... 598.3 ... 628.3 Under 1 year1 . . . 1–4 years . . . . . 5–14 years . . . . 15–24 years . . . 25–34 years . . . 35–44 years . . . 45–54 years . . . 55–64 years . . . 65–74 years . . . 75–84 years . . . 85 years and over Not stated . . . . AIAN . . . . . . . . . . . . . . . . . . . . . . . . 3,4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . male All ages . . . . . . . . . . . . . . . . . . . 8,582 392.6 8,516 397.5 Under 1 year1 . . . 1–4 years . . . . . 5–14 years . . . . 15–24 years . . . 25–34 years . . . 35–44 years . . . 45–54 years . . . 55–64 years . . . 65–74 years . . . 75–84 years . . . 85 years and over Not stated . . . . . . . . . . . . . . . . 196 46 48 421 553 731 1,340 1,600 1,560 1,339 747 1 479.2 28.8 12.5 106.7 160.5 249.9 498.0 891.4 1,896.0 4,209.1 9,084.3 ... 213 55 69 456 525 749 1,311 1,590 1,507 1,298 743 – 542.5 34.3 18.1 116.4 156.2 258.2 496.1 951.2 1,971.0 4,451.8 10,268.1 ... Age-adjusted rate2 . . . . . . . . . . . . . ... 687.0 ... 730.2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . AIAN3,4 female All ages . . . . . . . . . . . . . . . . . . . 7,292 337.4 7,049 332.4 Under 1 year1 . . . 1–4 years . . . . . 5–14 years . . . . 15–24 years . . . 25–34 years . . . 35–44 years . . . 45–54 years . . . 55–64 years . . . 65–74 years . . . 75–84 years . . . 85 years and over Not stated . . . . . . . . . . . . . . . . 160 40 46 166 284 463 926 1,179 1,285 1,437 1,305 – 406.5 25.8 12.3 45.1 88.4 163.5 335.1 613.1 1,375.0 3,284.8 8,448.2 ... 141 38 39 159 270 414 892 1,114 1,296 1,387 1,299 – 366.4 24.4 10.5 43.6 85.6 146.6 326.2 623.8 1,481.7 3,391.9 9,277.9 ... Age-adjusted rate2 . . . . . . . . . . . . . ... 521.4 ... 541.7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . See footnotes at end of table. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 National Vital Statistics Reports, Vol. 61, No. 6, October 10, 2012 Table 1. Deaths and death rates, by age, sex, race, and Hispanic origin, and age-adjusted death rates, by sex, race, and Hispanic origin: United States, final 2010 and preliminary 2011—Con. [Data are based on a continuous file of records received from the states. Age-specific rates are per 100,000 population in specified group. Age-adjusted rates are per 100,000 U.S. standard population; see Technical Notes. Figures for 2011 are based on weighted data rounded to the nearest individual, so categories may not add to totals. Race and Hispanic origin are reported separately on the death certificate. Data for Hispanic origin and specified races other than white and black should be interpreted with caution because of inconsistencies between reporting Hispanic origin and race on death certificates and on censuses and surveys; see Technical Notes. Race categories are consistent with the 1977 Office of Management and Budget (OMB) standards. Multiple-race data were reported by 38 states and the District of Columbia in 2011 and by 37 states and the District of Columbia in 2010; see Technical Notes. The multiple-race data for these states were bridged to the single-race categories of the 1977 OMB standards for comparability with other states; see Technical Notes. Data for persons of Hispanic origin are included in the data for each race group, according to the decedent’s reported race; see Technical Notes] 2011 Age, sex, race, and Hispanic origin Number 2010 Rate Number Rate Total API,5 both sexes All ages . . . . . . . . . . . . . . . . . . . 53,298 305.1 51,162 301.1 Under 1 year1 . . . 1–4 years . . . . . 5–14 years . . . . 15–24 years . . . 25–34 years . . . 35–44 years . . . 45–54 years . . . 55–64 years . . . 65–74 years . . . 75–84 years . . . 85 years and over Not stated . . . . . . . . . . . . . . . . 882 128 197 731 1,124 1,904 4,009 7,036 8,869 13,535 14,880 3 377.7 13.5 8.5 29.3 38.6 67.4 170.7 393.4 921.9 2,802.0 8,947.8 ... 877 167 185 752 1,119 1,794 3,862 6,699 8,880 12,915 13,904 8 389.3 17.9 8.2 30.2 39.2 65.3 168.0 398.5 987.4 2,853.1 9,418.1 ... Age-adjusted rate2 . . . . . . . . . . . . . ... 410.1 ... 424.3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 API male All ages . . . . . . . . . . . . . . . . . . . 27,473 328.4 26,600 327.0 . . . . . . . . . . . . 490 73 107 537 749 1,123 2,385 4,066 5,094 6,637 6,210 1 411.6 15.1 9.2 42.3 53.9 84.2 216.5 502.3 1,166.9 3,308.2 10,140.1 ... 502 92 96 544 713 1,084 2,297 3,951 5,009 6,387 5,922 3 434.4 19.3 8.4 43.0 52.6 83.5 213.7 519.0 1,226.0 3,438.7 10,824.5 ... Age-adjusted rate2 . . . . . . . . . . . . . ... 490.4 ... 512.1 Under 1 year1 . . . 1–4 years . . . . . 5–14 years . . . . 15–24 years . . . 25–34 years . . . 35–44 years . . . 45–54 years . . . 55–64 years . . . 65–74 years . . . 75–84 years . . . 85 years and over Not stated . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . API5 female All ages . . . . . . . . . . . . . . . . . . . 25,825 283.6 24,562 277.3 . . . . . . . . . . . . 392 55 89 194 375 781 1,624 2,970 3,776 6,898 8,670 2 342.5 11.8 7.8 15.8 24.6 52.4 130.2 303.3 718.6 2,442.5 8,252.8 ... 375 75 89 208 406 710 1,565 2,748 3,871 6,528 7,982 5 341.8 16.3 7.9 17.0 27.1 49.0 127.9 298.8 788.7 2,445.5 8,590.1 ... Age-adjusted rate2 . . . . . . . . . . . . . ... 349.6 ... 359.0 Under 1 year1 . . . 1–4 years . . . . . 5–14 years . . . . 15–24 years . . . 25–34 years . . . 35–44 years . . . 45–54 years . . . 55–64 years . . . 65–74 years . . . 75–84 years . . . 85 years and over Not stated . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . See footnotes at end of table. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . National Vital Statistics Reports, Vol. 61, No. 6, October 10, 2012 15 Table 1. Deaths and death rates, by age, sex, race, and Hispanic origin, and age-adjusted death rates, by sex, race, and Hispanic origin: United States, final 2010 and preliminary 2011—Con. [Data are based on a continuous file of records received from the states. Age-specific rates are per 100,000 population in specified group. Age-adjusted rates are per 100,000 U.S. standard population; see Technical Notes. Figures for 2011 are based on weighted data rounded to the nearest individual, so categories may not add to totals. Race and Hispanic origin are reported separately on the death certificate. Data for Hispanic origin and specified races other than white and black should be interpreted with caution because of inconsistencies between reporting Hispanic origin and race on death certificates and on censuses and surveys; see Technical Notes. Race categories are consistent with the 1977 Office of Management and Budget (OMB) standards. Multiple-race data were reported by 38 states and the District of Columbia in 2011 and by 37 states and the District of Columbia in 2010; see Technical Notes. The multiple-race data for these states were bridged to the single-race categories of the 1977 OMB standards for comparability with other states; see Technical Notes. Data for persons of Hispanic origin are included in the data for each race group, according to the decedent’s reported race; see Technical Notes] 2011 Age, sex, race, and Hispanic origin Number 2010 Rate Number Rate Hispanic,6 both sexes All ages . . . . . . . . . . . . . . . . . . . 149,234 286.7 144,490 286.2 . . . . . . . . . . . . 4,806 972 1,053 4,822 6,041 8,166 15,506 20,895 23,914 32,524 30,529 7 457.9 23.5 11.0 53.2 70.2 108.8 271.3 604.3 1,362.2 3,574.8 10,052.8 ... 5,170 930 951 4,795 6,022 8,142 14,915 20,066 22,962 31,364 29,166 7 510.7 22.7 10.2 54.2 71.4 111.6 273.0 624.4 1,392.7 3,637.3 10,777.9 ... Age-adjusted rate2 . . . . . . . . . . . . . ... 539.3 ... 558.6 All ages . . . . . . . . . . . . . . . . . . . 81,632 308.7 79,622 310.8 Under 1 year1 . . . 1–4 years . . . . . 5–14 years . . . . 15–24 years . . . 25–34 years . . . 35–44 years . . . 45–54 years . . . 55–64 years . . . 65–74 years . . . 75–84 years . . . 85 years and over Not stated . . . . . . . . . . . . . . . . 2,611 538 607 3,720 4,450 5,452 10,244 13,072 13,493 16,032 11,408 6 486.3 25.4 12.5 78.4 98.1 141.8 356.4 788.6 1,716.4 4,290.4 10,676.0 ... 2,870 524 543 3,689 4,461 5,460 9,627 12,509 13,040 15,723 11,171 5 556.8 25.0 11.4 79.4 100.9 146.2 351.9 815.1 1,775.0 4,461.9 11,779.8 ... Age-adjusted rate2 . . . . . . . . . . . . . ... 645.3 ... 677.7 Under 1 year1 . . . 1–4 years . . . . . 5–14 years . . . . 15–24 years . . . 25–34 years . . . 35–44 years . . . 45–54 years . . . 55–64 years . . . 65–74 years . . . 75–84 years . . . 85 years and over Not stated . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Hispanic male . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Hispanic6 female All ages . . . . . . . . . . . . . . . . . . . 67,602 264.0 64,868 260.9 Under 1 year1 . . . 1–4 years . . . . . 5–14 years . . . . 15–24 years . . . 25–34 years . . . 35–44 years . . . 45–54 years . . . 55–64 years . . . 65–74 years . . . 75–84 years . . . 85 years and over Not stated . . . . . . . . . . . . . . . . 2,195 434 445 1,103 1,591 2,714 5,262 7,823 10,421 16,492 19,120 1 428.2 21.4 9.5 25.6 39.1 74.1 185.2 434.6 1,075.0 3,076.1 9,714.0 ... 2,300 406 408 1,106 1,561 2,682 5,288 7,557 9,922 15,641 17,995 2 462.9 20.2 8.9 26.3 38.9 75.2 193.9 450.1 1,085.5 3,067.4 10,237.3 ... Age-adjusted rate2 . . . . . . . . . . . . . ... 451.8 ... 463.4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Category not applicable. – Quantity zero. 1 Death rates for ‘‘Under 1 year’’ (based on population estimates) differ from infant mortality rates (based on live births). See text for additional information on the infant mortality rate. 2 For method of computation, see Technical Notes. 3 AIAN is American Indian or Alaska Native. 4 Includes deaths among Aleut and Eskimo persons. 5 API is Asian or Pacific Islander. 6 Includes all persons of Hispanic origin of any race; see Technical Notes. NOTE: Data are subject to sampling or random variation. For information regarding the calculation of standard errors and further discussion of the variability of the data, see Technical Notes. 2011 2010 Cause of death (based on the International Classification of Diseases, Tenth Revision, 2008 Edition, 2009) Number Rate Age-adjusted rate Number Rate Age-adjusted rate All causes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,512,873 806.5 740.6 2,468,435 799.5 747.0 42 8 10,972 536 392 144 8 4 85 35,539 45 – 5 1 7,794 7,638 1 0.0 * 3.5 0.2 0.1 0.0 * * 0.0 11.4 0.0 * * * 2.5 2.5 * 0.0 * 3.3 0.2 0.1 0.0 * * 0.0 10.5 0.0 * * * 2.1 2.4 * 28 3 10,276 569 423 146 26 3 79 34,812 28 – 9 2 7,564 8,369 10 0.0 * 3.3 0.2 0.1 0.0 0.0 * 0.0 11.3 0.0 * * * 2.4 2.7 * 0.0 * 3.1 0.2 0.1 0.0 0.0 * 0.0 10.6 0.0 * * * 2.1 2.6 * 5,713 575,313 8,625 14,413 10,995 52,243 21,519 37,371 3,710 156,614 9,126 41,271 4,080 8,615 14,312 27,929 13,520 14,969 14,492 56,263 1,172 20,221 22,982 11,808 1.8 184.6 2.8 4.6 3.5 16.8 6.9 12.0 1.2 50.3 2.9 13.2 1.3 2.8 4.6 9.0 4.3 4.8 4.7 18.1 0.4 6.5 7.4 3.8 1.7 168.6 2.5 4.1 3.2 15.3 6.1 10.9 1.1 45.9 2.7 12.0 1.2 2.5 4.2 8.3 4.0 4.4 4.3 16.8 0.4 6.0 6.9 3.5 5,805 574,743 8,474 14,490 11,390 52,622 20,305 36,888 3,691 158,318 9,154 41,435 3,939 8,402 14,572 28,561 13,219 14,731 14,164 55,590 1,231 20,294 22,569 11,428 1.9 186.2 2.7 4.7 3.7 17.0 6.6 11.9 1.2 51.3 3.0 13.4 1.3 2.7 4.7 9.3 4.3 4.8 4.6 18.0 0.4 6.6 7.3 3.7 1.8 172.8 2.5 4.3 3.4 15.8 6.0 11.0 1.1 47.6 2.8 12.4 1.2 2.5 4.4 8.7 3.9 4.5 4.3 17.0 0.4 6.2 6.9 3.4 Salmonella infections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (A01–A02) Shigellosis and amebiasis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (A03,A06) Certain other intestinal infections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (A04,A07–A09) Tuberculosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (A16–A19) Respiratory tuberculosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (A16) Other tuberculosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (A17–A19) Whooping cough . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (A37) Scarlet fever and erysipelas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (A38,A46) Meningococcal infection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (A39) Septicemia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (A40–A41) Syphilis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (A50–A53) Acute poliomyelitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (A80) Arthropod-borne viral encephalitis. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (A83–A84,A85.2) Measles. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (B05) Viral hepatitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .(B15–B19)1 Human immunodeficiency virus (HIV) disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (B20–B24) Malaria . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (B50–B54) Other and unspecified infectious and parasitic diseases and their sequelae . . . . . . . . . . . (A00,A05,A20–A36, A42–A44,A48–A49,A54–A79,A81–A82,A85.0–A85.1,A85.8,A86–B04,B06–B09,B25–B49,B55–B99) Malignant neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (C00–C97) Malignant neoplasms of lip, oral cavity and pharynx . . . . . . . . . . . . . . . . . . . . . . . . . . . . (C00–C14) Malignant neoplasm of esophagus. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (C15) Malignant neoplasm of stomach . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (C16) Malignant neoplasms of colon, rectum and anus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (C18–C21) 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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . (C33–C34) 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 . . . . . . . . . . . . . . . . . . . . (C54–C55) Malignant neoplasm of ovary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (C56) Malignant neoplasm of prostate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (C61) Malignant neoplasms of kidney and renal pelvis. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (C64–C65) Malignant neoplasm of bladder. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (C67) Malignant neoplasms of meninges, brain and other parts of central nervous system . . . . . . . . . (C70–C72) Malignant neoplasms of lymphoid, hematopoietic and related tissue . . . . . . . . . . . . . . . . . . . (C81–C96) Hodgkin’s disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (C81) Non-Hodgkin’s lymphoma. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (C82–C85) Leukemia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (C91–C95) Multiple myeloma and immunoproliferative neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . (C88,C90) See footnotes at end of table. National Vital Statistics Reports, Vol. 61, No. 6, October 10, 2012 [Data are based on a continuous file of records received from the states. Rates per 100,000 population. Age-adjusted rates are per 100,000 U.S. standard population; see Technical Notes. For explanation of asterisks (*) preceding cause-of-death codes; see Technical Notes. Figures for 2011 are based on weighted data rounded to the nearest individual, so categories may not add to totals or subtotals] 16 Table 2. Deaths, death rates, and age-adjusted death rates for 113 selected causes, Injury by firearms, Drug-induced deaths, Alcohol-induced deaths, Injury at work, and Enterocolitis due to Clostridium difficile: United States, final 2010 and preliminary 2011 Table 2. Deaths, death rates, and age-adjusted death rates for 113 selected causes, Injury by firearms, Drug-induced deaths, Alcohol-induced deaths, Injury at work, and Enterocolitis due to Clostridium difficile: United States, final 2010 and preliminary 2011—Con. [Data are based on a continuous file of records received from the states. Rates per 100,000 population. Age-adjusted rates are per 100,000 U.S. standard population; see Technical Notes. For explanation of asterisks (*) preceding cause-of-death codes; see Technical Notes. Figures for 2011 are based on weighted data rounded to the nearest individual, so categories may not add to totals or subtotals] 2011 Cause of death (based on the International Classification of Diseases, Tenth Revision, 2008 Edition, 2009) See footnotes at end of table. Rate 79 0.0 65,248 14,992 4,956 73,282 3,177 2,993 184 606 23,107 84,691 778,503 596,339 3,070 33,383 3,598 374,601 119,732 3,952 250,916 58,261 192,656 181,686 1,165 790 59,544 120,188 27,477 128,931 7,011 18,746 10,030 8,716 4,317 53,667 1,532 52,136 241 210 31 143,382 20.9 4.8 1.6 23.5 1.0 1.0 0.1 0.2 7.4 27.2 249.8 191.4 1.0 10.7 1.2 120.2 38.4 1.3 80.5 18.7 61.8 58.3 0.4 0.3 19.1 38.6 8.8 41.4 2.3 6.0 3.2 2.8 1.4 17.2 0.5 16.7 0.1 0.1 0.0 46.0 Age-adjusted rate Age-adjusted rate Number Rate 0.0 68 0.0 0.0 19.2 4.5 1.5 21.5 0.9 0.9 0.0 0.2 7.0 24.6 227.1 173.7 0.9 9.6 1.0 109.0 34.9 1.1 72.9 16.7 56.2 53.1 0.3 0.2 17.3 35.2 8.0 37.9 2.0 5.5 3.0 2.5 1.3 15.7 0.4 15.2 0.1 0.0 0.0 42.7 64,798 14,917 4,852 69,071 2,948 2,790 158 608 22,032 83,494 780,213 597,689 2,987 33,678 2,807 379,559 122,071 4,170 253,318 57,438 195,880 178,658 1,103 776 57,757 119,022 26,634 129,476 7,230 19,184 10,431 8,753 4,241 50,097 500 49,597 213 177 36 138,080 21.0 4.8 1.6 22.4 1.0 0.9 0.1 0.2 7.1 27.0 252.7 193.6 1.0 10.9 0.9 122.9 39.5 1.4 82.0 18.6 63.4 57.9 0.4 0.3 18.7 38.6 8.6 41.9 2.3 6.2 3.4 2.8 1.4 16.2 0.2 16.1 0.1 0.1 0.0 44.7 19.5 4.6 1.5 20.8 0.9 0.8 0.0 0.2 6.8 25.1 234.2 179.1 0.9 10.0 0.8 113.6 36.5 1.3 75.9 17.0 58.9 53.7 0.3 0.2 17.3 35.9 8.0 39.1 2.2 5.8 3.2 2.6 1.3 15.1 0.1 14.9 0.1 0.0 0.0 42.2 National Vital Statistics Reports, Vol. 61, No. 6, October 10, 2012 Other and unspecified malignant neoplasms of lymphoid, hematopoietic and related tissue. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (C96) All other and unspecified malignant neoplasms . . . . . . . . . . .(C17,C23–C24,C26–C31,C37–C41,C44–C49, C51–C52,C57–C60,C62–C63,C66,C68–C69,C73–C80,C97) In situ neoplasms, benign neoplasms and neoplasms of uncertain or unknown behavior . . . . . . . . (D00–D48) Anemias . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (D50–D64) Diabetes mellitus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (E10–E14) Nutritional deficiencies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (E40–E64) Malnutrition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (E40–E46) Other nutritional deficiencies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (E50–E64) Meningitis. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (G00,G03) Parkinson’s disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (G20–G21)2 Alzheimer’s disease. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (G30) Major cardiovascular diseases. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (I00–I78) Diseases of heart. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (I00–I09,I11,I13,I20–I51) Acute rheumatic fever and chronic rheumatic heart diseases. . . . . . . . . . . . . . . . . . . . . . . (I00–I09) Hypertensive heart disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (I11) Hypertensive heart and renal disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .(I13) Ischemic heart diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (I20–I25) Acute myocardial infarction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (I21–I22) Other acute ischemic heart diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .(I24) Other forms of chronic ischemic heart disease. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (I20,I25) Atherosclerotic cardiovascular disease, so described . . . . . . . . . . . . . . . . . . . . . . . . . . .(I25.0) All other forms of chronic ischemic heart disease. . . . . . . . . . . . . . . . . . . . . . . (I20,I25.1–I25.9) Other heart diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (I26–I51) Acute and subacute endocarditis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .(I33) Diseases of pericardium and acute myocarditis . . . . . . . . . . . . . . . . . . . . . . . . . . . (I30–I31,I40) Heart failure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .(I50) All other forms of heart disease . . . . . . . . . . . . . . . . . . . . . . . . . . (I26–I28,I34–I38,I42–I49,I51) Essential hypertension and hypertensive renal disease. . . . . . . . . . . . . . . . . . . . . . . . . . (I10,I12,I15) Cerebrovascular diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (I60–I69) Atherosclerosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .(I70) Other diseases of circulatory system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .(I71–I78)3 Aortic aneurysm and dissection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .(I71) Other diseases of arteries, arterioles and capillaries . . . . . . . . . . . . . . . . . . . . . . . . . . . .(I72–I78)3 Other disorders of circulatory system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (I80–I99) Influenza and pneumonia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (J09–J18)4 Influenza . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .(J09–J11) Pneumonia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (J12–J18)4 Other acute lower respiratory infections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (J20–J22,U04)5 Acute bronchitis and bronchiolitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (J20–J21)5 Other and unspecified acute lower respiratory infections . . . . . . . . . . . . . . . . . . . . . . . . . . .(J22,U04) Chronic lower respiratory diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .(J40–J47) Number 2010 17 2011 Cause of death (based on the International Classification of Diseases, Tenth Revision, 2008 Edition, 2009) Bronchitis, chronic and unspecified . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .(J40–J42) Emphysema . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (J43) Asthma. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .(J45–J46) Other chronic lower respiratory diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (J44,J47) Pneumoconioses and chemical effects. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (J60–J66,J68) Pneumonitis due to solids and liquids . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (J69) Other diseases of respiratory system . . . . . . . . . . . . . . . . . . . . . . . . . (J00–J06,J30–J39,J67,J70–J98) Peptic ulcer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (K25–K28) Diseases of appendix. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .(K35–K38)6 Hernia. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (K40–K46) Chronic liver disease and cirrhosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (K70,K73–K74) Alcoholic liver disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (K70) Other chronic liver disease and cirrhosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (K73–K74) Cholelithiasis and other disorders of gallbladder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (K80–K82) Nephritis, nephrotic syndrome and nephrosis . . . . . . . . . . . . . . . . . . . . . .(N00–N07,N17–N19,N25–N27)7 Acute and rapidly progressive nephritic and nephrotic syndrome . . . . . . . . . . . . . . . . . . (N00–N01,N04) Chronic glomerulonephritis, nephrosis and nephropathy not specified as acute or chronic, and renal sclerosis unspecified. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (N02–N03,N05–N07,N26) Renal failure. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (N17–N19)7 Other disorders of kidney . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (N25,N27) Infections of kidney . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (N10–N12,N13.6,N15.1) Hyperplasia of prostate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (N40) Inflammatory diseases of female pelvic organs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (N70–N76) Pregnancy, childbirth and the puerperium . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (O00–O99)8 Pregnancy with abortive outcome . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (O00–O07) Other complications of pregnancy, childbirth and the puerperium . . . . . . . . . . . . . . . . . . . . (O10–O99)8 Certain conditions originating in the perinatal period. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (P00–P96) Congenital malformations, deformations and chromosomal abnormalities. . . . . . . . . . . . . . . . . . (Q00–Q99) Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified . . . . . . . . (R00–R99) All other diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (residual) Accidents (unintentional injuries) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (V01–X59,Y85–Y86)9 Transport accidents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (V01–V99,Y85) Motor vehicle accidents. . . . . . . . . . . . (V02–V04,V09.0,V09.2,V12–V14,V19.0–V19.2,V19.4–V19.6,V20– V79,V80.3–V80.5,V81.0–V81.1,V82.0–V82.1,V83–V86,V87.0–V87.8,V88.0–V88.8,V89.0,V89.2) Other land transport accidents. . . . . . . . . . (V01,V05–V06,V09.1,V09.3–V09.9,V10–V11,V15–V18,V19.3, V19.8–V19.9,V80.0–V80.2,V80.6–V80.9,V81.2–V81.9,V82.2–V82.9,V87.9,V88.9, V89.1,V89.3,V89.9) Water, air and space, and other and unspecified transport accidents and their sequelae. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (V90–V99,Y85) Nontransport accidents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (W00–X59,Y86)9 Falls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (W00–W19) Accidental discharge of firearms. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (W32–W34) Accidental drowning and submersion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (W65–W74) Accidental exposure to smoke, fire and flames . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (X00–X09) See footnotes at end of table. 2010 Number Rate Age-adjusted rate Number Rate Age-adjusted rate 594 9,418 3,311 130,059 774 18,090 32,693 2,981 387 1,884 33,539 16,634 16,905 3,324 45,731 315 0.2 3.0 1.1 41.7 0.2 5.8 10.5 1.0 0.1 0.6 10.8 5.3 5.4 1.1 14.7 0.1 0.2 2.8 1.0 38.7 0.2 5.3 9.7 0.8 0.1 0.6 9.7 4.8 4.9 1.0 13.4 0.1 620 10,034 3,404 124,022 845 17,011 31,187 2,977 415 1,832 31,903 15,990 15,913 3,332 50,476 203 0.2 3.2 1.1 40.2 0.3 5.5 10.1 1.0 0.1 0.6 10.3 5.2 5.2 1.1 16.3 0.1 0.2 3.1 1.0 37.9 0.3 5.1 9.5 0.9 0.1 0.5 9.4 4.7 4.7 1.0 15.3 0.0 1,710 43,682 24 648 517 133 940 28 912 11,969 9,646 47,747 288,936 122,777 37,275 0.5 14.0 0.0 0.2 0.2 0.0 0.3 0.0 0.3 3.8 3.1 15.3 92.7 39.4 12.0 0.5 12.8 0.0 0.2 0.2 0.0 0.3 0.0 0.3 4.1 3.2 14.2 84.4 38.0 11.7 5,894 44,362 17 608 489 137 825 37 788 12,128 9,673 38,360 269,844 120,859 37,961 1.9 14.4 * 0.2 0.2 0.0 0.3 0.0 0.3 3.9 3.1 12.4 87.4 39.1 12.3 1.8 13.4 * 0.2 0.1 0.0 0.3 0.0 0.3 4.2 3.2 11.7 81.1 38.0 12.1 34,677 11.1 10.9 35,332 11.4 11.3 952 0.3 0.3 1,029 0.3 0.3 1,647 85,502 26,631 851 3,555 2,621 0.5 27.4 8.5 0.3 1.1 0.8 0.5 26.2 7.8 0.3 1.1 0.8 1,600 82,898 26,009 606 3,782 2,782 0.5 26.8 8.4 0.2 1.2 0.9 0.5 25.9 7.9 0.2 1.2 0.9 National Vital Statistics Reports, Vol. 61, No. 6, October 10, 2012 [Data are based on a continuous file of records received from the states. Rates per 100,000 population. Age-adjusted rates are per 100,000 U.S. standard population; see Technical Notes. For explanation of asterisks (*) preceding cause-of-death codes; see Technical Notes. Figures for 2011 are based on weighted data rounded to the nearest individual, so categories may not add to totals or subtotals] 18 Table 2. Deaths, death rates, and age-adjusted death rates for 113 selected causes, Injury by firearms, Drug-induced deaths, Alcohol-induced deaths, Injury at work, and Enterocolitis due to Clostridium difficile: United States, final 2010 and preliminary 2011—Con. Table 2. Deaths, death rates, and age-adjusted death rates for 113 selected causes, Injury by firearms, Drug-induced deaths, Alcohol-induced deaths, Injury at work, and Enterocolitis due to Clostridium difficile: United States, final 2010 and preliminary 2011—Con. [Data are based on a continuous file of records received from the states. Rates per 100,000 population. Age-adjusted rates are per 100,000 U.S. standard population; see Technical Notes. For explanation of asterisks (*) preceding cause-of-death codes; see Technical Notes. Figures for 2011 are based on weighted data rounded to the nearest individual, so categories may not add to totals or subtotals] 2011 Cause of death (based on the International Classification of Diseases, Tenth Revision, 2008 Edition, 2009) Accidental poisoning and exposure to noxious substances . . . . . . . . . . . . . . . . . . . . . . . (X40–X49) Other and unspecified nontransport accidents and their sequelae . . . . . . . . . . . . (W20–W31,W35–W64, W75–W99,X10–X39,X50–X59,Y86)9 Intentional self-harm (suicide) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (*U03,X60–X84,Y87.0) Intentional self-harm (suicide) by discharge of firearms. . . . . . . . . . . . . . . . . . . . . . . . . . . (X72–X74) Intentional self-harm (suicide) by other and unspecified means and their sequelae . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (*U03,X60–X71,X75–X84,Y87.0) Assault (homicide). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (*U01–*U02,X85–Y09,Y87.1) Assault (homicide) by discharge of firearms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (*U01.4,X93–X95) Assault (homicide) by other and unspecified means and their sequelae . . . . . . . . . . . . . . (*U01.0–*U01.3, *U01.5–*U01.9,*U02,X85–X92,X96–Y09,Y87.1) Legal intervention . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Y35,Y89.0) Events of undetermined intent. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Y10–Y34,Y87.2,Y89.9) Discharge of firearms, undetermined intent. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Y22–Y24) Other and unspecified events of undetermined intent and their sequelae . . . (Y10–Y21,Y25–Y34,Y87.2,Y89.9) Operations of war and their sequelae . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Y36,Y89.1) Complications of medical and surgical care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Y40–Y84,Y88) Number Rate Age-adjusted rate Number Rate Age-adjusted rate 33,554 10.8 10.7 33,041 10.7 10.6 18,289 38,285 19,766 5.9 12.3 6.3 5.5 12.0 6.1 16,678 38,364 19,392 5.4 12.4 6.3 5.2 12.1 6.1 18,519 15,953 11,101 5.9 5.1 3.6 5.9 5.2 3.6 18,972 16,259 11,078 6.1 5.3 3.6 6.0 5.3 3.6 4,852 258 4,446 222 4,224 9 2,580 1.6 0.1 1.4 0.1 1.4 * 0.8 1.6 0.1 1.4 0.1 1.3 * 0.8 5,181 412 4,908 252 4,656 9 2,490 1.7 0.1 1.6 0.1 1.5 * 0.8 1.7 0.1 1.6 0.1 1.5 * 0.8 32,163 10.3 10.1 31,672 10.3 10.1 40,239 26,256 4,160 7,994 12.9 8.4 1.7 2.6 12.8 7.6 1.6 2.4 40,393 25,692 4,157 7,298 13.1 8.3 1.7 2.4 12.9 7.6 1.7 2.2 0.0 Quantity more than zero but less than 0.05. * Figure does not meet standards of reliability or precision; see Technical Notes. – Quantity zero. 1 New ICD–10 code B17.9 (Acute viral hepatitis, unspecified) was added to the category in 2011; see Technical Notes. 2 New ICD–10 code G21.4 (Vascular parkinsonism) was added to the category in 2011; see Technical Notes. 3 New ICD–10 code I72.5 (Aneurysm and dissection of other precerebral arteres) was added to the category in 2011; see Technical Notes. 4 New ICD–10 code J12.3 (Human metapneumovirus pneumonia) was added to the category in 2011; see Technical Notes. 5 New ICD–10 code J21.1 (Acute brochiolitis due to human metapneumovirus) was added to the category in 2011; see Technical Notes. 6 New subcategories replace previous ones for K35 (Acute appendicitis) in 2011; see Technical Notes. 7 New subcategories replace previous ones for N18 (Chronic kidney disease) in 2011. Changes affect comparability with previous year’s data; see Techinical Notes. 8 New ICD–10 codes O14.2 (HELLP syndrome), O43.2 (Morbidly adherent placenta) were added to the category and new ICD–10 subcategories were introduced for the existing O96 (Death from any obstetric cause occurring during pregnancy but less than one year after delivery) and O97 (Death from sequelae of direct obstetric causes); see Technical Notes. 9 New ICD–10 subcategories were introduced for the existing X34 (Victim of earthquake); see Technical Notes. 10 Included in selected categories above. 11 Injury at work is described in Technical Notes. 12 Included in ‘‘Certain other intestinal infections (A04,A07–A09)’’ shown above; see Technical Notes. 19 NOTES: For certain causes of death such as unintentional injuries, homicides, suicides, and respiratory diseases, preliminary and final data differ because of the truncated nature of the preliminary file. Data are subject to sampling or random variation. For information regarding the calculation of standard errors and further discussion of the variability of the data, see Technical Notes. National Vital Statistics Reports, Vol. 61, No. 6, October 10, 2012 Injury by firearms . . . . . . . . . . . . . . . . . . . . . . . (*U01.4,W32–W34,X72–X74,X93–X95,Y22–Y24,Y35.0)10 Drug-induced deaths . . . . . . . . . . . . . . . .(D52.1,D59.0,D59.2,D61.1,D64.2,E06.4,E16.0,E23.1,E24.2,E27.3, E66.1,F11.0–F11.5,F11.7–F11.9,F12.0–F12.5,F12.7–F12.9,F13.0–F13.5,F13.7–F13.9,F14.0–F14.5, F14.7–F14.9,F15.0–F15.5,F15.7–F15.9,F16.0–F16.5,F16.7–F16.9,F17.0,F17.3–F17.5,F17.7–F17.9, F18.0–F18.5,F18.7–18.9,F19.0–F19.5,F19.7–F19.9,G21.1,G24.0,G25.1,G25.4,G25.6,G44.4, G62.0,G72.0,I95.2,J70.2–J70.4,K85.3,L10.5,L27.0–L27.1,M10.2,M32.0,M80.4,M81.4,M83.5,M87.1, R50.2,R78.1–R78.5,X40–X44,X60–X64,X85,Y10–14)10 Alcohol-induced deaths . . . . (E24.4,F10,G31.2,G62.1,G72.1,I42.6,K29.2,K70,K85.2,K86.0,R78.0,X45,X65,Y15)10 Injury at work11 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Enterocolitis due to Clostridium difficile . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (A04.7)12 2010 20 National Vital Statistics Reports, Vol. 61, No. 6, October 10, 2012 Table 3. Deaths, death rates, and age-adjusted death rates: United States, and each state and territory, final 2010 and preliminary 2011 [By place of residence. Data are based on a continuous file of records received from the states. Rates are per 100,000 population. Age-adjusted rates are per 100,000 U.S. standard population; see Technical Notes. Figures for 2011 are based on weighted data rounded to the nearest individual, so categories may not add to totals] 2011 Area Number 1 United States . . . . . . . . . . . . . . . . Rate 2010 Age-adjusted rate Number Rate Age-adjusted rate 2,513,171 806.6 740.6 2,468,435 799.5 747.0 Alabama . . . . . . . Alaska . . . . . . . . Arizona . . . . . . . . Arkansas . . . . . . . California. . . . . . . Colorado . . . . . . . Connecticut . . . . . Delaware. . . . . . . District of Columbia Florida . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48,683 3,849 48,381 29,632 238,993 32,563 29,548 7,840 4,589 173,961 1,013.7 532.6 746.3 1,008.6 634.1 636.4 825.2 864.3 742.6 912.8 933.7 747.9 688.9 894.6 638.8 677.8 660.9 763.4 756.0 677.1 48,038 3,728 46,762 28,916 234,012 31,465 28,692 7,706 4,672 173,791 1,005.0 524.9 731.6 991.7 628.2 625.6 802.8 858.2 776.4 924.4 939.7 771.5 693.1 892.7 646.7 682.7 652.9 769.9 792.4 701.1 Georgia . Hawaii . . Idaho . . . Illinois . . Indiana . . Iowa . . . Kansas . . Kentucky . Louisiana. Maine. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70,401 9,921 12,026 101,898 58,195 28,184 25,119 42,624 40,680 13,031 717.3 721.6 758.7 791.8 893.0 920.4 874.8 975.5 889.2 981.1 806.2 584.8 744.9 737.3 825.0 722.7 767.2 910.3 882.1 749.5 71,263 9,617 11,429 99,931 56,743 27,745 24,502 41,983 40,667 12,750 735.6 707.0 729.1 778.8 875.2 910.8 858.8 967.5 897.1 959.8 845.4 589.6 731.6 736.9 820.6 721.7 762.2 915.0 903.8 749.6 Maryland . . . . . Massachusetts . Michigan . . . . . Minnesota . . . . Mississippi . . . . Missouri . . . . . Montana . . . . . Nebraska. . . . . Nevada. . . . . . New Hampshire. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43,750 53,699 89,496 39,822 29,278 55,813 9,117 15,477 20,340 10,821 750.6 815.2 906.2 745.1 983.0 928.6 913.3 839.9 746.9 820.9 715.9 676.1 784.2 659.2 956.2 811.4 760.7 719.8 789.6 710.0 43,325 52,583 88,021 38,972 28,965 55,281 8,827 15,171 19,623 10,201 750.4 803.1 890.6 734.8 976.1 923.1 892.1 830.7 726.6 774.9 728.6 675.0 786.2 661.5 962.0 819.5 754.7 717.8 795.4 690.4 New Jersey . . New Mexico . . New York . . . North Carolina. North Dakota . Ohio . . . . . . Oklahoma . . . Oregon . . . . . Pennsylvania . Rhode Island . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70,553 16,434 148,903 79,875 5,964 111,444 37,142 32,786 128,290 9,585 799.8 789.3 765.0 827.2 872.0 965.3 979.6 846.8 1,006.8 911.7 690.6 748.0 664.2 790.8 697.3 822.0 910.1 724.1 776.1 707.6 69,495 15,931 146,432 78,773 5,944 108,711 36,529 31,890 124,596 9,579 790.4 773.7 755.7 826.1 883.7 942.3 973.8 832.4 980.9 910.1 691.1 749.0 665.5 804.9 704.3 815.7 915.5 723.1 765.9 721.7 South Carolina South Dakota . Tennessee . . . Texas . . . . . . Utah . . . . . . Vermont . . . . Virginia . . . . . Washington . . West Virginia . Wisconsin . . . Wyoming . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42,093 7,313 60,544 168,643 15,265 5,434 60,807 49,692 21,868 48,419 4,387 899.6 887.4 945.5 656.8 541.8 867.5 751.0 727.6 1,178.6 847.7 772.1 839.9 720.4 879.1 751.6 699.0 711.0 741.6 690.4 953.3 721.3 754.6 41,614 7,100 59,578 166,527 14,776 5,380 59,032 48,146 21,275 47,308 4,438 899.7 872.0 938.8 662.3 534.6 859.8 737.8 716.0 1,148.1 831.9 787.4 854.8 715.1 890.8 772.3 703.2 718.7 741.6 692.3 933.6 719.0 778.8 Puerto Rico . . . . Virgin Islands . . . Guam. . . . . . . . American Samoa . Northern Marianas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29,641 -- 825 276 -- 799.7 -- 516.9 500.0 -- 708.7 -- 756.1 1,090.3 -- 29,153 715 857 224 174 783.3 672.8 537.5 403.8 325.1 712.8 663.2 810.6 932.9 863.3 - - - Data not available. 1 Excludes data for Puerto Rico, Virgin Islands, Guam, American Samoa, and Northern Marianas. NOTE: Data are subject to sampling or random variation. For information regarding the calculation of standard errors and further discussion of the variability of the data, see Technical Notes. National Vital Statistics Reports, Vol. 61, No. 6, October 10, 2012 21 Table 4. Infant deaths and infant mortality rates, by age, race, and Hispanic origin: United States, final 2010 and preliminary 2011 [Data are based on the continuous file of records received from the states. Rates per 1,000 live births. Figures for 2011 are based on weighted data rounded to the nearest individual, so categories may not add to totals. Race and Hispanic origin are reported separately on both the birth and death certificate. Rates for Hispanic origin should be interpreted with caution because of the inconsistencies between reporting Hispanic origin on birth and death certificates; see Technical Notes. Race categories are consistent with the 1977 Office of Management and Budget (OMB) standards. Multiple-race data were reported for deaths by 38 states and District of Columbia in 2011, and by 37 states and the District of Columbia in 2010, and were reported for births, by 40 states and District of Columbia in 2011, and by 38 states and the District of Columbia in 2010; see Technical Notes. The multiple-race data for these states were bridged to the single-race categories of the 1977 OMB standards for comparability with other states; see Technical Notes] 2011 2010 Age, race, and Hispanic origin Number Rate Number Rate All races1 Under 1 year . . . . . . . . . . . . . . . . Under 28 days . . . . . . . . . . . . . . 28 days–11 months . . . . . . . . . . . 23,910 15,954 7,956 6.05 4.04 2.01 24,586 16,188 8,398 6.15 4.05 2.10 15,438 10,422 5,016 5.11 3.45 1.66 15,954 10,612 5,342 5.20 3.46 1.74 10,872 7,191 3,681 5.05 3.34 1.71 11,025 7,212 3,813 5.10 3.34 1.76 7,234 4,719 2,515 11.42 7.45 3.97 7,401 4,769 2,632 11.63 7.49 4.14 4,806 3,353 1,453 5.27 3.68 1.59 5,170 3,524 1,646 5.47 3.73 1.74 Total white Under 1 year . . . . . . . . . . . . . . . . Under 28 days . . . . . . . . . . . . . . 28 days–11 months . . . . . . . . . . . Non-Hispanic white Under 1 year . . . . . . . . . . . . . . . . Under 28 days . . . . . . . . . . . . . . 28 days–11 months . . . . . . . . . . . Total black Under 1 year . . . . . . . . . . . . . . . . Under 28 days . . . . . . . . . . . . . . 28 days–11 months . . . . . . . . . . . Hispanic2 Under 1 year . . . . . . . . . . . . . . . . Under 28 days . . . . . . . . . . . . . . 28 days–11 months . . . . . . . . . . . 1 2 Includes races other than white and black. Includes all persons of Hispanic origin of any race; see Technical Notes. NOTES: Data are subject to sampling or random variation. For information regarding the calculation of standard errors and further discussion of the variability of the data, see Technical Notes. Although the infant mortality rate is the preferred indicator of the risk of dying during the first year of life, another measure of infant mortality, the infant death rate, is shown elsewhere in this report. The two measures typically are similar, yet they can differ because the denominators used for these measures are different. For more information on these measures of risk, see ‘‘Infant mortality’’ section in the Technical Notes. 22 Table 5. Infant deaths and infant mortality rates for 130 selected causes: United States, final 2010 and preliminary 2011 2011 Cause of death (based on the International Classification of Diseases, Tenth Revision, 2008 Edition, 2009) All causes Certain infectious and parasitic diseases . . . . . . Certain intestinal infectious diseases . . . . . . . Diarrhea and gastroenteritis of infectious origin . Tuberculosis . . . . . . . . . . . . . . . . . . . . . . Tetanus. . . . . . . . . . . . . . . . . . . . . . . . . Diphtheria . . . . . . . . . . . . . . . . . . . . . . . Whooping cough . . . . . . . . . . . . . . . . . . . Meningococcal infection . . . . . . . . . . . . . . . Septicemia. . . . . . . . . . . . . . . . . . . . . . . Congenital syphilis . . . . . . . . . . . . . . . . . . Gonococcal infection . . . . . . . . . . . . . . . . . Viral diseases . . . . . . . . . . . . . . . . . . . . . Acute poliomyelitis . . . . . . . . . . . . . . . . . Varicella (chickenpox) . . . . . . . . . . . . . . . Measles . . . . . . . . . . . . . . . . . . . . . . . Human immunodeficiency virus (HIV) disease Mumps . . . . . . . . . . . . . . . . . . . . . . . Other and unspecified viral diseases . . . . . . Candidiasis . . . . . . . . . . . . . . . . . . . . . . Malaria . . . . . . . . . . . . . . . . . . . . . . . . . Pneumocystosis. . . . . . . . . . . . . . . . . . . . All other and unspecified infectious and parasitic 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .(A00–B99) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (A00–A08) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (A09) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (A16–A19) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (A33,A35) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (A36) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (A37) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (A39) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (A40–A41) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (A50) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (A54) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .(A80–B34)1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (A80) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (B01) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (B05) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (B20–B24) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (B26) . . . . . . . . . .(A81–B00,B02–B04,B06–B19,B25,B27–B34)1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (B37) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (B50–B54) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (B59) diseases . . . . . . . . . . . . . . . . (A20–A32,A38,A42–A49, A51–A53,A55–A79,B35–B36,B38–B49,B55–B58,B60–B99) Neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (C00–D48) Malignant neoplasms. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (C00–C97) Hodgkin’s disease and non-Hodgkin’s lymphomas . . . . . . . . . . . . . . . . . . . . . . . . . . . . (C81–C85) Leukemia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (C91–C95) Other and unspecified malignant neoplasms . . . . . . . . . . . . . . . . . . . (C00–C80,C88,C90,C96–C97) In situ neoplasms, benign neoplasms and neoplasms of uncertain or unknown behavior. . . . . . . (D00–D48) Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (D50–D89) Anemias . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (D50–D64) Hemorrhagic conditions and other diseases of blood and blood-forming organs . . . . . . . . . . . . (D65–D76) Certain disorders involving the immune mechanism. . . . . . . . . . . . . . . . . . . . . . . . . . . . . (D80–D89) Endocrine, nutritional and metabolic diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (E00–E88) Short stature, not elsewhere classified . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (E34.3) Nutritional deficiencies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (E40–E64) Cystic fibrosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (E84) Volume depletion, disorders of fluid, electrolyte and acid-base balance . . . . . . . . . . . . . . . . . (E86–E87) All other endocrine, nutritional and metabolic diseases . . . . . . . . . . . . . . . . . . . (E00–E32,E34.0–E34.2, E34.4–E34.9,E65–E83,E85,E88) Diseases of the nervous system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (G00–G98)2 Meningitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (G00,G03) Infantile spinal muscular atrophy, type I (Werdnig-Hoffman) . . . . . . . . . . . . . . . . . . . . . . . . . . (G12.0) See footnotes at end of table. 2010 Number Rate Number Rate 23,907 604.7 24,586 614.7 552 3 257 2 – – 8 6 173 2 – 68 – – – 3 – 65 2 – 2 14.0 * 6.5 * * * * * 4.4 * * 1.7 * * * * * 1.6 * * * 696 7 316 – – – 25 11 215 2 – 92 – – – – – 92 6 – – 17.4 * 7.9 * * * 0.6 * 5.4 * * 2.3 * * * * * 2.3 * * * 29 128 71 2 23 47 57 0.7 3.2 1.8 * 0.6 1.2 1.4 22 110 62 2 25 35 48 0.6 2.8 1.6 * 0.6 0.9 1.2 94 12 63 19 177 2 12 4 40 2.4 * 1.6 * 4.5 * * * 1.0 95 15 60 20 188 2 3 5 48 2.4 * 1.5 0.5 4.7 * * * 1.2 118 314 56 – 3.0 7.9 1.4 * 130 345 58 4 3.3 8.6 1.5 * National Vital Statistics Reports, Vol. 61, No. 6, October 10, 2012 [Data are based on a continuous file of records from the states. Rates per 100,000 live births. For explanation of asterisks (*) preceding cause-of-death codes, see Technical Notes. Figures for 2011 are based on weighted data rounded to the nearest individual, so categories may not add to totals or subtotals] Table 5. Infant deaths and infant mortality rates for 130 selected causes: United States, final 2010 and preliminary 2011—Con. [Data are based on a continuous file of records from the states. Rates per 100,000 live births. For explanation of asterisks (*) preceding cause-of-death codes, see Technical Notes. Figures for 2011 are based on weighted data rounded to the nearest individual, so categories may not add to totals or subtotals] 2011 Cause of death (based on the International Classification of Diseases, Tenth Revision, 2008 Edition, 2009) See footnotes at end of table. Number Rate Number Rate 6 46 * 1.2 3 39 * 1.0 206 3 496 94 9 88 16 130 159 548 9 181 25 157 37 17 4 8 292 188 37 49 102 87 66 20 11,846 2,887 85 5.2 * 12.5 2.4 * 2.2 * 3.3 4.0 13.9 * 4.6 0.6 4.0 0.9 * * * 7.4 4.8 0.9 1.2 2.6 2.2 1.7 0.5 299.6 73.0 2.1 241 3 507 90 14 79 18 130 176 574 15 195 16 179 27 25 6 18 288 204 29 51 124 126 100 26 12,008 2,920 85 6.0 * 12.7 2.3 * 2.0 * 3.3 4.4 14.4 * 4.9 * 4.5 0.7 0.6 * * 7.2 5.1 0.7 1.3 3.1 3.2 2.5 0.7 300.2 73.0 2.1 72 1,578 433 800 168 177 992 456 38 495 2 120 40 1.8 39.9 11.0 20.2 4.2 4.5 25.1 11.5 1.0 12.5 * 3.0 1.0 87 1,561 431 781 163 186 1,030 492 39 497 2 110 47 2.2 39.0 10.8 19.5 4.1 4.7 25.8 12.3 1.0 12.4 * 2.8 1.2 National Vital Statistics Reports, Vol. 61, No. 6, October 10, 2012 Infantile cerebral palsy. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (G80) Anoxic brain damage, not elsewhere classified . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (G93.1) Other diseases of nervous system. . . . . . . . . . . . (G04,G06–G11,G12.1–G12.9,G20–G72,G81–G92,G93.0, G93.2–G93.9,G95–G98)2 Diseases of the ear and mastoid process . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (H60–H93) Diseases of the circulatory system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .(I00–I99)3 Pulmonary heart disease and diseases of pulmonary circulation . . . . . . . . . . . . . . . . . . . . . . (I26–I28) Pericarditis, endocarditis and myocarditis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (I30,I33,I40) Cardiomyopathy. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .(I42) Cardiac arrest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .(I46) Cerebrovascular diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (I60–I69) All other diseases of circulatory system. . . . . . . . . . . . . . . (I00–I25,I31,I34–I38,I44–I45,I47–I51,I70–I99)3 Diseases of the respiratory system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (J00–J98,U04)4,5 Acute upper respiratory infections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .(J00–J06) Influenza and pneumonia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (J09–J18)4 Influenza . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .(J09–J11) Pneumonia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (J12–J18)4 Acute bronchitis and acute bronchiolitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (J20–J21)5 Bronchitis, chronic and unspecified . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .(J40–J42) Asthma. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .(J45–J46) Pneumonitis due to solids and liquids . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (J69) Other and unspecified diseases of respiratory system . . . . . . (J22,J30–J39,J43–J44,J47–J68,J70–J98,U04) Diseases of the digestive system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .(K00–K92)6 Gastritis, duodenitis, and noninfective enteritis and colitis . . . . . . . . . . . . . . . . . . . . . . (K29,K50–K55) Hernia of abdominal cavity and intestinal obstruction without hernia . . . . . . . . . . . . . . . . (K40–K46,K56) All other and unspecified diseases of digestive system. . . . . . . . . . . . . . . (K00–K28,K30–K38,K57–K92)6 Diseases of the genitourinary system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (N00–N95)7 Renal failure and other disorders of kidney . . . . . . . . . . . . . . . . . . . . . . . . . . . (N17–N19,N25,N27)7 Other and unspecified diseases of genitourinary system . . . . . . . . . . . (N00–N15,N20–N23,N26,N28–N95) Certain conditions originating in the perinatal period. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (P00–P96) Newborn affected by maternal factors and by complications of pregnancy, labor and delivery . . . . (P00–P04) Newborn affected by maternal hypertensive disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . (P00.0) Newborn affected by other maternal conditions which may be unrelated to present pregnancy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (P00.1–P00.9) Newborn affected by maternal complications of pregnancy . . . . . . . . . . . . . . . . . . . . . . . . . . (P01) Newborn affected by incompetent cervix . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (P01.0) Newborn affected by premature rupture of membranes . . . . . . . . . . . . . . . . . . . . . . . . . . (P01.1) Newborn affected by multiple pregnancy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (P01.5) Newborn affected by other maternal complications of pregnancy . . . . . . . . (P01.2–P01.4,P01.6–P01.9) Newborn affected by complications of placenta, cord and membranes . . . . . . . . . . . . . . . . . . . (P02) Newborn affected by complications involving placenta . . . . . . . . . . . . . . . . . . . . . . (P02.0–P02.3) Newborn affected by complications involving cord . . . . . . . . . . . . . . . . . . . . . . . . . (P02.4–P02.6) Newborn affected by chorioamnionitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (P02.7) Newborn affected by other and unspecified abnormalities of membranes . . . . . . . . . . . (P02.8–P02.9) Newborn affected by other complications of labor and delivery. . . . . . . . . . . . . . . . . . . . . . . . (P03) Newborn affected by noxious influences transmitted via placenta or breast milk . . . . . . . . . . . . . (P04) 2010 23 24 Table 5. Infant deaths and infant mortality rates for 130 selected causes: United States, final 2010 and preliminary 2011—Con. 2011 2010 Cause of death (based on the International Classification of Diseases, Tenth Revision, 2008 Edition, 2009) Number Rate Number Rate Disorders related to length of gestation and fetal malnutrition . . . . . . . . . . . . . . . . . . . . . . . (P05–P08) Slow fetal growth and fetal malnutrition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (P05) Disorders related to short gestation and low birth weight, not elsewhere classified . . . . . . . . . . . . (P07) Extremely low birth weight or extreme immaturity . . . . . . . . . . . . . . . . . . . . . . . . . (P07.0,P07.2) Other low birth weight or preterm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (P07.1,P07.3) Disorders related to long gestation and high birth weight . . . . . . . . . . . . . . . . . . . . . . . . . . . (P08) Birth trauma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (P10–P15) Intrauterine hypoxia and birth asphyxia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (P20–P21) Intrauterine hypoxia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (P20) Birth asphyxia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (P21) Respiratory distress of newborn . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (P22) Other respiratory conditions originating in the perinatal period . . . . . . . . . . . . . . . . . . . . . . (P23–P28) Congenital pneumonia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (P23) Neonatal aspiration syndromes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (P24) Interstitial emphysema and related conditions originating in the perinatal period . . . . . . . . . . . . . (P25) Pulmonary hemorrhage originating in the perinatal period. . . . . . . . . . . . . . . . . . . . . . . . . . . (P26) Chronic respiratory disease originating in the perinatal period . . . . . . . . . . . . . . . . . . . . . . . . (P27) Atelectasis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (P28.0–P28.1) All other respiratory conditions originating in the perinatal period . . . . . . . . . . . . . . . . . (P28.2–P28.9) Infections specific to the perinatal period . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (P35–P39) Bacterial sepsis of newborn . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (P36) Omphalitis of newborn with or without mild hemorrhage. . . . . . . . . . . . . . . . . . . . . . . . . . . . (P38) All other infections specific to the perinatal period . . . . . . . . . . . . . . . . . . . . . . . . . . (P35,P37,P39) Hemorrhagic and hematological disorders of newborn . . . . . . . . . . . . . . . . . . . . . . . . . . . (P50–P61) Neonatal hemorrhage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (P50–P52,P54) Hemorrhagic disease of newborn . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (P53) Hemolytic disease of newborn due to isoimmunization and other perinatal jaundice . . . . . . . . (P55–P59) Hematological disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (P60–P61) Syndrome of infant of a diabetic mother and neonatal diabetes mellitus . . . . . . . . . . . . . . (P70.0–P70.2) Necrotizing enterocolitis of newborn . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (P77) Hydrops fetalis not due to hemolytic disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (P83.2) Other perinatal conditions . . . . . . . . . . . . . . . . . . . . (P29,P70.3–P76,P78–P81,P83.0–P83.1,P83.3–P96) Congenital malformations, deformations and chromosomal abnormalities. . . . . . . . . . . . . . . . . . (Q00–Q99) Anencephaly and similar malformations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Q00) Congenital hydrocephalus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Q03) Spina bifida . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Q05) Other congenital malformations of nervous system . . . . . . . . . . . . . . . . . . . . (Q01–Q02,Q04,Q06–Q07) Congenital malformations of heart . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Q20–Q24) Other congenital malformations of circulatory system . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Q25–Q28) Congenital malformations of respiratory system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Q30–Q34) Congenital malformations of digestive system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Q35–Q45) Congenital malformations of genitourinary system. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Q50–Q64) Congenital malformations and deformations of musculoskeletal system, limbs and integument . . . (Q65–Q85) Down’s syndrome. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Q90) Edward’s syndrome . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .(Q91.0–Q91.3) Patau’s syndrome . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .(Q91.4–Q91.7) Other congenital malformations and deformations . . . . . . . . . . . . . . . . . . . . . . . . (Q10–Q18,Q86–Q89) 4,195 78 4,116 3,169 948 – 20 308 119 189 514 802 68 47 86 167 105 260 70 717 526 4 187 541 444 – 16 80 8 386 170 1,298 4,984 276 84 19 299 1,173 179 366 63 462 534 87 472 251 534 106.1 2.0 104.1 80.2 24.0 * 0.5 7.8 3.0 4.8 13.0 20.3 1.7 1.2 2.2 4.2 2.7 6.6 1.8 18.1 13.3 * 4.7 13.7 11.2 * * 2.0 * 9.8 4.3 32.8 126.1 7.0 2.1 * 7.6 29.7 4.5 9.3 1.6 11.7 13.5 2.2 11.9 6.3 13.5 4,233 85 4,148 3,176 972 – 19 314 136 178 514 812 71 51 106 167 106 248 63 745 583 1 161 556 469 1 7 79 3 472 150 1,270 5,107 293 105 15 318 1,148 176 399 88 457 577 85 470 244 542 105.8 2.1 103.7 79.4 24.3 * * 7.9 3.4 4.5 12.9 20.3 1.8 1.3 2.7 4.2 2.7 6.2 1.6 18.6 14.6 * 4.0 13.9 11.7 * * 2.0 * 11.8 3.8 31.8 127.7 7.3 2.6 * 8.0 28.7 4.4 10.0 2.2 11.4 14.4 2.1 11.8 6.1 13.6 See footnotes at end of table. National Vital Statistics Reports, Vol. 61, No. 6, October 10, 2012 [Data are based on a continuous file of records from the states. Rates per 100,000 live births. For explanation of asterisks (*) preceding cause-of-death codes, see Technical Notes. Figures for 2011 are based on weighted data rounded to the nearest individual, so categories may not add to totals or subtotals] Table 5. Infant deaths and infant mortality rates for 130 selected causes: United States, final 2010 and preliminary 2011—Con. [Data are based on a continuous file of records from the states. Rates per 100,000 live births. For explanation of asterisks (*) preceding cause-of-death codes, see Technical Notes. Figures for 2011 are based on weighted data rounded to the nearest individual, so categories may not add to totals or subtotals] 2011 Cause of death (based on the International Classification of Diseases, Tenth Revision, 2008 Edition, 2009) Number Rate Number Rate 185 3,053 1,711 4.7 77.2 43.3 190 3,052 2,063 4.8 76.3 51.6 1,341 19 1,420 1,089 93 33.9 * 35.9 27.5 2.4 989 20 1,551 1,110 81 24.7 0.5 38.8 27.8 2.0 92 2.3 79 2.0 1 9 2 47 479 305 * * * 1.2 12.1 7.7 2 10 – 39 629 218 * * * 1.0 15.7 5.5 52 19 16 66 256 21 6 78 1.3 * * 1.7 6.5 0.5 * 2.0 58 21 6 48 311 15 11 82 1.5 0.5 * 1.2 7.8 * * 2.1 151 17 59 3.8 * 1.5 203 22 108 5.1 0.6 2.7 * Figure does not meet standards of reliability or precision; see Technical Notes. – Quantity zero. 1 New ICD–code B17.9 (Acute viral hepatitis, unspecified) was added to the category in 2011; see Technical Notes. 2 New ICD–10 code G21.4 (Vascular parkinsonism) was added to the category in 2011; see Technical Notes. 3 New ICD–10 code I72.5 (Aneurysm and dissection of other precerebral arteres) was added to the category in 2011; see Technical Notes. 4 New ICD–10 code J12.3 (Human metapneumovirus pneumonia) was added to the category in 2011; see Technical Notes. 5 New ICD–10 code J21.1 (Acute brochiolitis due to human metapneumovirus) was added to the category in 2011; see Technical Notes. 6 New subcategories replaced previous ones for K35 (Acute appendicitis) in 2011; see Technical Notes. 7 New subcategories replaced previous ones for N18 (Chronic kidney disease) in 2011. Changes affect comparability with previous year’s data; see Technical Notes. 8 New ICD–10 subcategories were introduced for the existing X34 (Victim of earthquake); see Technical Notes. NOTES: For certain causes of death such as unintentional injuries, homicides, sudden infant death syndrome, and respiratory diseases, preliminary and final data differ because of the truncated nature of the preliminary file. Data are subject to sampling or random variation. For information regarding the calculation of standard errors and further discussion of the variability of the data, see Technical Notes. Although the infant mortality rate is the preferred indicator of the risk of dying during the first year of life, another measure of infant mortality, the infant death rate, is shown elsewhere in this report. The two measures typically are similar, yet they can differ because the denominators used for these measures are different. For more information on these measures of risk, see ‘‘Infant mortality’’ section in the Technical Notes. National Vital Statistics Reports, Vol. 61, No. 6, October 10, 2012 Other chromosomal abnormalities, not elsewhere classified . . . . . . . . . . . . . . . . . . . . . . . . (Q92–Q99) Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified . . . . . . . . (R00–R99) Sudden infant death syndrome . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (R95) Other symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (R00–R53,R55–R94,R96–R99) All other diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (residual) External causes of mortality . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (*U01,V01–Y84)8 Accidents (unintentional injuries) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .(V01–X59)8 Transport accidents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (V01–V99) Motor vehicle accidents . . . . . . . (V02–V04,V09.0,V09.2,V12–V14,V19.0–V19.2,V19.4–V19.6,V20–V79, V80.3–V80.5,V81.0–V81.1,V82.0–V82.1,V83–V86,V87.0–V87.8, V88.0–V88.8,V89.0,V89.2) Other and unspecified transport accidents . . . . . . . . . . . (V01,V05–V06,V09.1,V09.3–V09.9,V10–V11, V15–V18,V19.3,V19.8–V19.9,V80.0–V80.2,V80.6–V80.9,V81.2–V81.9,V82.2–V82.9, V87.9,V88.9,V89.1,V89.3,V89.9,V90–V99) Falls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (W00–W19) Accidental discharge of firearms. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (W32–W34) Accidental drowning and submersion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (W65–W74) Accidental suffocation and strangulation in bed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (W75) Other accidental suffocation and strangulation . . . . . . . . . . . . . . . . . . . . . . . (W76–W77,W81–W84) Accidental inhalation and ingestion of food or other objects causing obstruction of respiratory tract . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (W78–W80) Accidents caused by exposure to smoke, fire and flames. . . . . . . . . . . . . . . . . . . . . . . . (X00–X09) Accidental poisoning and exposure to noxious substances . . . . . . . . . . . . . . . . . . . . . . . (X40–X49) Other and unspecified accidents . . . . . . . . . . . . (W20–W31,W35–W64,W85–W99,X10–X39,X50–X59)8 Assault (homicide) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (*U01,X85–Y09) Assault (homicide) by hanging, strangulation and suffocation. . . . . . . . . . . . . . . . . . . . . . . . . (X91) Assault (homicide) by discharge of firearms . . . . . . . . . . . . . . . . . . . . . . . . . . . . (*U01.4,X93–X95) Neglect, abandonment and other maltreatment syndromes . . . . . . . . . . . . . . . . . . . . . . . (Y06–Y07) Assault (homicide) by other and unspecified means . . . . . . . . . . . . . . . . . . . . . . . . (*U01.0–*U01.3, *U01.5–*U01.9,X85–X90,X92,X96–X99,Y00–Y05,Y08–Y09) Complications of medical and surgical care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Y40–Y84) Other external causes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Y10–Y36) 2010 25 26 National Vital Statistics Reports, Vol. 61, No. 6, October 10, 2012 Table 6. Expectation of life at selected ages, by race, Hispanic origin, race for non-Hispanic population, and sex: United States, final 2010 and preliminary 2011 [Data are based on a continuous file of records from the states. Calculations of life expectancy employ populations estimated as of July 1 for 2011 and April 1 for 2010; see Technical Notes. Race categories are consistent with the 1977 Office of Management and Budget (OMB) standards. Multiple-race data were reported by 38 states and the District of Columbia in 2011 and by 37 states and the District of Columbia in 2010; see Technical Notes. The multiple-race data for these states were bridged to the single-race categories of the 1977 OMB standards for comparability with other states; see Technical Notes. 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 Technical Notes. The methodology used to produce life expectancies adjusts for misclassification for Hispanic and for race and ethnicity for the non-Hispanic populations (see ‘‘Life tables’’ in Technical Notes). Adjustments do not account for other sources of error such as return migration (37)] Both sexes Age in years, and race Male Female 2011 2010 2011 2010 2011 2010 1 All races and origins 0 .. 1 .. 5 .. 10 . . 15 . . 20 . . 25 . . 30 . . 35 . . 40 . . 45 . . 50 . . 55 . . 60 . . 65 . . 70 . . 75 . . 80 . . 85 . . 90 . . 95 . . 100 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 .. 1 .. 5 .. 10 . . 15 . . 20 . . 25 . . 30 . . 35 . . 40 . . 45 . . 50 . . 55 . . 60 . . 65 . . 70 . . 75 . . 80 . . 85 . . 90 . . 95 . . 100 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 78.7 78.2 74.3 69.3 64.4 59.5 54.8 50.0 45.3 40.6 36.0 31.5 27.2 23.1 19.2 15.5 12.1 9.1 6.5 4.6 3.2 2.3 78.7 78.1 74.2 69.3 64.3 59.5 54.7 50.0 45.2 40.5 35.9 31.4 27.2 23.1 19.1 15.5 12.1 9.1 6.5 4.6 3.2 2.3 76.3 75.8 71.9 66.9 62.0 57.2 52.5 47.9 43.2 38.6 34.0 29.6 25.5 21.5 17.8 14.3 11.0 8.2 5.9 4.1 2.9 2.1 76.2 75.7 71.8 66.8 61.9 57.1 52.4 47.8 43.1 38.5 33.9 29.6 25.4 21.5 17.7 14.2 11.0 8.2 5.8 4.1 2.9 2.1 81.1 80.5 76.6 71.6 66.7 61.8 56.9 52.0 47.2 42.5 37.8 33.2 28.8 24.5 20.4 16.5 12.9 9.7 6.9 4.8 3.3 2.3 81.0 80.5 76.6 71.6 66.6 61.7 56.9 52.0 47.2 42.4 37.7 33.2 28.8 24.5 20.3 16.5 12.9 9.7 6.9 4.8 3.3 2.3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 79.0 78.4 74.4 69.5 64.5 59.7 54.9 50.2 45.4 40.7 36.1 31.6 27.3 23.2 19.2 15.5 12.1 9.1 6.5 4.5 3.2 2.3 78.9 78.4 74.4 69.5 64.5 59.7 54.9 50.1 45.4 40.7 36.0 31.6 27.3 23.1 19.2 15.5 12.1 9.0 6.5 4.5 3.2 2.3 76.6 76.0 72.1 67.1 62.2 57.4 52.7 48.0 43.4 38.7 34.2 29.8 25.6 21.6 17.8 14.3 11.0 8.2 5.8 4.0 2.8 2.0 76.5 76.0 72.1 67.1 62.1 57.3 52.7 48.0 43.3 38.7 34.1 29.7 25.5 21.6 17.8 14.2 11.0 8.2 5.8 4.0 2.8 2.0 81.3 80.7 76.7 71.8 66.8 61.9 57.0 52.2 47.4 42.6 37.9 33.3 28.9 24.5 20.4 16.5 12.9 9.6 6.9 4.8 3.3 2.3 81.3 80.7 76.7 71.8 66.8 61.9 57.0 52.2 47.4 42.6 37.9 33.3 28.8 24.5 20.3 16.4 12.8 9.6 6.9 4.8 3.3 2.3 White . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . See footnotes at end of table. National Vital Statistics Reports, Vol. 61, No. 6, October 10, 2012 27 Table 6. Expectation of life at selected ages, by race, Hispanic origin, race for non-Hispanic population, and sex: United States, final 2010 and preliminary 2011—Con. [Data are based on a continuous file of records from the states. Calculations of life expectancy employ populations estimated as of July 1 for 2011 and April 1 for 2010; see Technical Notes. Race categories are consistent with the 1977 Office of Management and Budget (OMB) standards. Multiple-race data were reported by 38 states and the District of Columbia in 2011 and by 37 states and the District of Columbia in 2010; see Technical Notes. The multiple-race data for these states were bridged to the single-race categories of the 1977 OMB standards for comparability with other states; see Technical Notes. 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 Technical Notes. The methodology used to produce life expectancies adjusts for misclassification for Hispanic and for race and ethnicity for the non-Hispanic populations (see ‘‘Life tables’’ in Technical Notes). Adjustments do not account for other sources of error such as return migration (37)] Both sexes Age in years, and race Male Female 2011 2010 2011 2010 2011 2010 Non-Hispanic white 0 .. 1 .. 5 .. 10 . . 15 . . 20 . . 25 . . 30 . . 35 . . 40 . . 45 . . 50 . . 55 . . 60 . . 65 . . 70 . . 75 . . 80 . . 85 . . 90 . . 95 . . 100 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 .. 1 .. 5 .. 10 . . 15 . . 20 . . 25 . . 30 . . 35 . . 40 . . 45 . . 50 . . 55 . . 60 . . 65 . . 70 . . 75 . . 80 . . 85 . . 90 . . 95 . . 100 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 78.8 78.2 74.3 69.3 64.3 59.5 54.7 50.0 45.3 40.6 36.0 31.5 27.2 23.1 19.2 15.4 12.1 9.0 6.5 4.5 3.2 2.3 78.8 78.2 74.3 69.3 64.4 59.5 54.7 50.0 45.3 40.6 36.0 31.5 27.2 23.1 19.1 15.4 12.0 9.0 6.5 4.5 3.2 2.3 76.4 75.8 71.9 67.0 62.0 57.2 52.6 47.9 43.2 38.6 34.1 29.7 25.6 21.6 17.8 14.2 11.0 8.2 5.8 4.0 2.8 2.0 76.4 75.8 71.9 67.0 62.0 57.2 52.5 47.9 43.2 38.6 34.0 29.7 25.5 21.5 17.7 14.2 11.0 8.1 5.8 4.0 2.8 2.1 81.1 80.5 76.5 71.6 66.6 61.7 56.8 52.0 47.2 42.4 37.8 33.2 28.8 24.5 20.3 16.4 12.8 9.6 6.9 4.8 3.3 2.3 81.1 80.5 76.6 71.6 66.6 61.7 56.9 52.0 47.2 42.5 37.8 33.2 28.8 24.4 20.3 16.4 12.8 9.6 6.9 4.8 3.3 2.3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75.3 75.2 71.3 66.3 61.4 56.6 51.9 47.3 42.6 38.0 33.6 29.3 25.2 21.5 18.0 14.7 11.7 9.0 6.8 5.0 3.7 2.8 75.1 75.0 71.1 66.1 61.2 56.4 51.7 47.1 42.4 37.8 33.4 29.1 25.1 21.3 17.8 14.6 11.6 9.0 6.8 5.0 3.7 2.8 72.1 72.0 68.2 63.2 58.3 53.6 49.0 44.5 40.0 35.5 31.0 26.8 22.9 19.3 16.1 13.1 10.3 7.9 5.9 4.4 3.3 2.5 71.8 71.8 67.9 62.9 58.0 53.3 48.8 44.3 39.7 35.2 30.8 26.6 22.7 19.2 15.9 12.9 10.2 7.8 5.9 4.4 3.3 2.5 78.2 78.0 74.1 69.1 64.2 59.3 54.4 49.6 44.9 40.2 35.7 31.3 27.1 23.2 19.4 15.8 12.5 9.6 7.2 5.3 3.8 2.8 78.0 77.8 73.9 69.0 64.0 59.1 54.3 49.5 44.7 40.1 35.5 31.1 27.0 23.0 19.3 15.8 12.5 9.6 7.1 5.2 3.8 2.8 Black . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . See footnotes at end of table. 28 National Vital Statistics Reports, Vol. 61, No. 6, October 10, 2012 Table 6. Expectation of life at selected ages, by race, Hispanic origin, race for non-Hispanic population, and sex: United States, final 2010 and preliminary 2011—Con. [Data are based on a continuous file of records from the states. Calculations of life expectancy employ populations estimated as of July 1 for 2011 and April 1 for 2010; see Technical Notes. Race categories are consistent with the 1977 Office of Management and Budget (OMB) standards. Multiple-race data were reported by 38 states and the District of Columbia in 2011 and by 37 states and the District of Columbia in 2010; see Technical Notes. The multiple-race data for these states were bridged to the single-race categories of the 1977 OMB standards for comparability with other states; see Technical Notes. 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 Technical Notes. The methodology used to produce life expectancies adjusts for misclassification for Hispanic and for race and ethnicity for the non-Hispanic populations (see ‘‘Life tables’’ in Technical Notes). Adjustments do not account for other sources of error such as return migration (37)] Both sexes Age in years, and race Male Female 2011 2010 2011 2010 2011 2010 Non-Hispanic black 0 .. 1 .. 5 .. 10 . . 15 . . 20 . . 25 . . 30 . . 35 . . 40 . . 45 . . 50 . . 55 . . 60 . . 65 . . 70 . . 75 . . 80 . . 85 . . 90 . . 95 . . 100 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 .. 1 .. 5 .. 10 . . 15 . . 20 . . 25 . . 30 . . 35 . . 40 . . 45 . . 50 . . 55 . . 60 . . 65 . . 70 . . 75 . . 80 . . 85 . . 90 . . 95 . . 100 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 74.8 74.7 70.9 65.9 61.0 56.2 51.5 46.9 42.3 37.7 33.3 29.0 25.0 21.3 17.8 14.6 11.6 9.0 6.7 5.1 3.8 2.9 74.7 74.6 70.7 65.8 60.8 56.0 51.4 46.7 42.1 37.6 33.1 28.8 24.9 21.2 17.7 14.5 11.6 8.9 6.7 5.0 3.8 2.9 71.6 71.5 67.7 62.7 57.8 53.1 48.6 44.1 39.6 35.1 30.7 26.5 22.7 19.2 16.0 13.0 10.2 7.8 5.9 4.4 3.3 2.5 71.4 71.3 67.5 62.5 57.6 52.9 48.4 43.9 39.4 34.9 30.5 26.3 22.5 19.0 15.8 12.8 10.1 7.8 5.9 4.4 3.3 2.6 77.8 77.6 73.8 68.8 63.9 59.0 54.1 49.3 44.6 40.0 35.4 31.1 26.9 23.0 19.2 15.7 12.5 9.6 7.1 5.2 3.8 2.8 77.7 77.5 73.6 68.7 63.7 58.8 54.0 49.2 44.5 39.8 35.3 31.0 26.8 22.9 19.1 15.7 12.5 9.6 7.1 5.2 3.8 2.8 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81.4 80.9 77.0 72.0 67.0 62.2 57.3 52.5 47.7 42.9 38.2 33.6 29.2 24.9 20.8 16.9 13.3 10.0 7.2 5.0 3.5 2.5 81.2 80.7 76.7 71.8 66.8 62.0 57.1 52.3 47.5 42.7 38.0 33.5 29.0 24.7 20.6 16.8 13.2 9.9 7.1 5.0 3.5 2.4 78.9 78.3 74.4 69.4 64.5 59.6 54.9 50.2 45.4 40.7 36.1 31.5 27.2 23.1 19.1 15.4 12.0 8.9 6.3 4.4 3.1 2.2 78.5 78.0 74.0 69.1 64.1 59.3 54.6 49.8 45.1 40.4 35.7 31.2 26.9 22.8 18.8 15.1 11.7 8.7 6.1 4.2 2.9 2.1 83.7 83.1 79.2 74.2 69.3 64.3 59.4 54.5 49.6 44.8 40.0 35.3 30.7 26.2 21.9 17.8 14.0 10.5 7.5 5.2 3.5 2.4 83.8 83.2 79.2 74.3 69.3 64.4 59.5 54.6 49.7 44.8 40.0 35.3 30.8 26.3 22.0 18.0 14.1 10.7 7.7 5.4 3.7 2.6 Hispanic 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Includes races other than white and black. NOTE: Data are subject to sampling or random variation. National Vital Statistics Reports, Vol. 61, No. 6, October 10, 2012 29 Table 7. Deaths and death rates for the 10 leading causes of death in specified age groups: United States, preliminary 2011 [Data are based on a continuous file of records received from the states. Rates are per 100,000 population in specified group. For explanation of asterisks (*) preceding cause-of-death codes, see Technical Notes. Figures for 2011 are based on weighted data rounded to the nearest individual, so categories may not add to totals or subtotals] Rank1 Cause of death (based on the International Classification of Diseases, Tenth Revision, 2008 Edition, 2009) and age Number Rate ... All ages2 All causes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,512,873 806.5 596,339 575,313 143,382 128,931 122,777 191.4 184.6 46.0 41.4 39.4 34,676 11.1 88,101 84,691 73,282 53,667 45,731 38,285 650,475 28.3 27.2 23.5 17.2 14.7 12.3 208.8 4,214 26.1 1,346 8.3 416 2.6 930 483 370 352 158 96 59 44 43 43 1,220 5.8 3.0 2.3 2.2 1.0 0.6 0.4 0.3 0.3 0.3 7.5 1 2 3 4 5 ... 6 7 8 9 10 ... Diseases of heart . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (I00–I09,I11,I13,I20–I51) Malignant neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (C00–C97) Chronic lower respiratory diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .(J40–J47) Cerebrovascular diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (I60–I69) Accidents (unintentional injuries) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (V01–X59,Y85–Y86)3 Motor vehicle accidents . . (V02–V04,V09.0,V09.2,V12–V14,V19.0–V19.2,V19.4–V19.6,V20–V79,V80.3–V80.5, V81.0–V81.1,V82.0–V82.1,V83–V86,V87.0–V87.8,V88.0–V88.8,V89.0,V89.2) All other accidents . . (V01,V05–V06,V09.1,V09.3–V09.9,V10–V12,V15–V18,V19.3,V19.8–V19.9,V80.0–V80.2, V80.6–V80.9,V81.2–V81.9,V82.2–V82.9,V87.9,V88.9,V89.1,V89.3,V89.9,V90–V99,W00–X59,Y85–Y86)3 Alzheimer’s disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (G30) Diabetes mellitus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (E10–E14) Influenza and pneumonia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (J09–J18)4 Nephritis, nephrotic syndrome and nephrosis . . . . . . . . . . . . . . . . . . . . .(N00–N07,N17–N19,N25–N27)5 Intentional self-harm (suicide) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (*U03,X60–X84,Y87.0) All other causes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (residual) ... All causes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... 1–4 years 1 ... 3 2 3 4 5 6 7 8 9 9 ... Accidents (unintentional injuries) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (V01–X59,Y85–Y86) Motor vehicle accidents . . (V02–V04,V09.0,V09.2,V12–V14,V19.0–V19.2,V19.4–V19.6,V20–V79,V80.3–V80.5, V81.0–V81.1,V82.0–V82.1,V83–V86,V87.0–V87.8,V88.0–V88.8,V89.0,V89.2) All other accidents . . (V01,V05–V06,V09.1,V09.3–V09.9,V10–V12,V15–V18,V19.3,V19.8–V19.9,V80.0–V80.2, V80.6–V80.9,V81.2–V81.9,V82.2–V82.9,V87.9,V88.9,V89.1,V89.3,V89.9,V90–V99,W00–X59,Y85–Y86)3 Congenital malformations, deformations and chromosomal abnormalities . . . . . . . . . . . . . . . . . (Q00–Q99) Assault (homicide) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (*U01–*U02,X85–Y09,Y87.1) Malignant neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (C00–C97) Diseases of heart . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (I00–I09,I11,I13,I20–I51) Influenza and pneumonia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (J09–J18)4 Septicemia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (A40–A41) Chronic lower respiratory diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .(J40–J47) In situ neoplasms, benign neoplasms and neoplasms of uncertain or unknown behavior . . . . . . . . (D00–D48) Cerebrovascular diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (I60–I69) All other causes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (residual) ... 5–14 years All causes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... 1 ... ... 2 3 4 5 6 7 8 9 10 ... Accidents (unintentional injuries) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (V01–X59,Y85–Y86)3 Motor vehicle accidents . . (V02–V04,V09.0,V09.2,V12–V14,V19.0–V19.2,V19.4–V19.6,V20–V79,V80.3–V80.5, V81.0–V81.1,V82.0–V82.1,V83–V86,V87.0–V87.8,V88.0–V88.8,V89.0,V89.2) All other accidents . . (V01,V05–V06,V09.1,V09.3–V09.9,V10–V12,V15–V18,V19.3,V19.8–V19.9,V80.0–V80.2, V80.6–V80.9,V81.2–V81.9,V82.2–V82.9,V87.9,V88.9,V89.1,V89.3,V89.9,V90–V99,W00–X59,Y85–Y86)3 Malignant neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (C00–C97) Congenital malformations, deformations and chromosomal abnormalities . . . . . . . . . . . . . . . . . (Q00–Q99) Intentional self harm (suicide) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (*U03,X60–X84,Y87.0) Assault (homicide) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (*U01–*U02,X85–Y09,Y87.1) Diseases of heart . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (I00–I09,I11,I13,I20–I51) Chronic lower respiratory diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .(J40–J47) Influenza and pneumonia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (J09–J18)4 Cerebrovascular diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (I60–I69) In situ neoplasms, benign neoplasms and neoplasms of uncertain or unknown behavior . . . . . . . . (D00–D48) All other causes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (residual) See footnotes at end of table. 5,395 13.1 1,613 3.9 867 2.1 746 865 356 281 269 185 134 112 83 72 1,425 1.8 2.1 0.9 0.7 0.7 0.5 0.3 0.3 0.2 0.2 3.5 30 National Vital Statistics Reports, Vol. 61, No. 6, October 10, 2012 Table 7. Deaths and death rates for the 10 leading causes of death in specified age groups: United States, preliminary 2011—Con. [Data are based on a continuous file of records received from the states. Rates are per 100,000 population in specified group. For explanation of asterisks (*) preceding cause-of-death codes, see Technical Notes. Figures for 2011 are based on weighted data rounded to the nearest individual, so categories may not add to totals or subtotals] Rank1 Cause of death (based on the International Classification of Diseases, Tenth Revision, 2008 Edition, 2009) and age ... 15–24 years All causes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Number 2 3 4 5 6 7 8 9 10 ... Accidents (unintentional injuries) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (V01–X59,Y85–Y86)3 Motor vehicle accidents . . (V02–V04,V09.0,V09.2,V12–V14,V19.0–V19.2,V19.4–V19.6,V20–V79,V80.3–V80.5, V81.0–V81.1,V82.0–V82.1,V83–V86,V87.0–V87.8,V88.0–V88.8,V89.0,V89.2) All other accidents . . (V01,V05–V06,V09.1,V09.3–V09.9,V10–V12,V15–V18,V19.3,V19.8–V19.9,V80.0–V80.2, V80.6–V80.9,V81.2–V81.9,V82.2–V82.9,V87.9,V88.9,V89.1,V89.3,V89.9,V90–V99,W00–X59,Y85–Y86)3 Intentional self harm (suicide) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (*U03,X60–X84,Y87.0) Assault (homicide) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (*U01–*U02,X85–Y09,Y87.1) Malignant neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (C00–C97) Diseases of heart . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (I00–I09,I11,I13,I20–I51) Congenital malformations, deformations and chromosomal abnormalities . . . . . . . . . . . . . . . . . (Q00–Q99) Influenza and pneumonia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (J09–J18)4 Cerebrovascular diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (I60–I69) Pregnancy, childbirth and the puerperium . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (O00–O99) Chronic lower respiratory diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .(J40–J47) All other causes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (residual) ... 25–44 years All causes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 ... ... 1 ... 3 2 3 4 5 6 7 8 9 10 ... Accidents (unintentional injuries) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (V01–X59,Y85–Y86) Motor vehicle accidents . . (V02–V04,V09.0,V09.2,V12–V14,V19.0–V19.2,V19.4–V19.6,V20–V79,V80.3–V80.5, V81.0–V81.1,V82.0–V82.1,V83–V86,V87.0–V87.8,V88.0–V88.8,V89.0,V89.2) All other accidents . . (V01,V05–V06,V09.1,V09.3–V09.9,V10–V12,V15–V18,V19.3,V19.8–V19.9,V80.0–V80.2, V80.6–V80.9,V81.2–V81.9,V82.2–V82.9,V87.9,V88.9,V89.1,V89.3,V89.9,V90–V99,W00–X59,Y85–Y86)3 Malignant neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (C00–C97) Diseases of heart . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (I00–I09,I11,I13,I20–I51) Intentional self harm (suicide) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (*U03,X60–X84,Y87.0) Assault (homicide) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (*U01–*U02,X85–Y09,Y87.1) Chronic liver disease and cirrhosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (K70,K73–K74) Diabetes mellitus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (E10–E14) Human immunodeficiency virus (HIV) disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (B20–B24) Cerebrovascular diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (I60–I69) Influenza and pneumonia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (J09–J18)4 All other causes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (residual) ... 45–64 years All causes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... 1 2 3 ... ... 4 5 6 7 8 9 10 ... Malignant neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (C00–C97) Diseases of heart . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (I00–I09,I11,I13,I20–I51) Accidents (unintentional injuries) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (V01–X59,Y85–Y86)3 Motor vehicle accidents . . (V02–V04,V09.0,V09.2,V12–V14,V19.0–V19.2,V19.4–V19.6,V20–V79,V80.3–V80.5, V81.0–V81.1,V82.0–V82.1,V83–V86,V87.0–V87.8,V88.0–V88.8,V89.0,V89.2) All other accidents . . (V01,V05–V06,V09.1,V09.3–V09.9,V10–V12,V15–V18,V19.3,V19.8–V19.9,V80.0–V80.2, V80.6–V80.9,V81.2–V81.9,V82.2–V82.9,V87.9,V88.9,V89.1,V89.3,V89.9,V90–V99,W00–X59,Y85–Y86)3 Chronic lower respiratory diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .(J40–J47) Chronic liver disease and cirrhosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (K70,K73–K74) Diabetes mellitus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (E10–E14) Cerebrovascular diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (I60–I69) Intentional self harm (suicide) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (*U03,X60–X84,Y87.0) Septicemia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (A40–A41) Nephritis, nephrotic syndrome and nephrosis . . . . . . . . . . . . . . . . . . . . .(N00–N07,N17–N19,N25–N27)5 All other causes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (residual) See footnotes at end of table. Rate 29,605 67.6 12,032 27.5 6,984 15.9 5,048 4,688 4,508 1,609 948 429 213 186 166 160 4,666 11.5 10.7 10.3 3.7 2.2 1.0 0.5 0.4 0.4 0.4 10.7 113,341 137.5 29,424 35.7 10,181 12.4 19,243 15,210 13,479 12,269 6,639 2,919 2,474 2,262 2,245 1,341 25,079 23.3 18.5 16.4 14.9 8.1 3.5 3.0 2.7 2.7 1.6 30.4 505,730 610.9 161,072 105,013 34,621 194.6 126.9 41.8 9,701 11.7 24,920 19,646 19,551 18,548 16,848 14,852 7,365 6,758 101,456 30.1 23.7 23.6 22.4 20.4 17.9 8.9 8.2 122.6 National Vital Statistics Reports, Vol. 61, No. 6, October 10, 2012 31 Table 7. Deaths and death rates for the 10 leading causes of death in specified age groups: United States, preliminary 2011—Con. [Data are based on a continuous file of records received from the states. Rates are per 100,000 population in specified group. For explanation of asterisks (*) preceding cause-of-death codes, see Technical Notes. Figures for 2011 are based on weighted data rounded to the nearest individual, so categories may not add to totals or subtotals] Rank1 Cause of death (based on the International Classification of Diseases, Tenth Revision, 2008 Edition, 2009) and age ... All causes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2 3 4 5 6 7 8 ... Diseases of heart . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (I00–I09,I11,I13,I20–I51) Malignant neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (C00–C97) Chronic lower respiratory diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .(J40–J47) Cerebrovascular diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (I60–I69) Alzheimer’s disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (G30) Diabetes mellitus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (E10–E14) Influenza and pneumonia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (J09–J18)4 Accidents (unintentional injuries) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (V01–X59,Y85–Y86)3 Motor vehicle accidents . . (V02–V04,V09.0,V09.2,V12–V14,V19.0–V19.2,V19.4–V19.6,V20–V79,V80.3–V80.5, V81.0–V81.1,V82.0–V82.1,V83–V86,V87.0–V87.8,V88.0–V88.8,V89.0,V89.2) All other accidents . . (V01,V05–V06,V09.1,V09.3–V09.9,V10–V12,V15–V18,V19.3,V19.8–V19.9,V80.0–V80.2, V80.6–V80.9,V81.2–V81.9,V82.2–V82.9,V87.9,V88.9,V89.1,V89.3,V89.9,V90–V99,W00–X59,Y85–Y86)3 Nephritis, nephrotic syndrome and nephrosis . . . . . . . . . . . . . . . . . . . . .(N00–N07,N17–N19,N25–N27)5 Septicemia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (A40–A41) All other causes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (residual) Number Rate 1,830,553 4,422.3 476,220 396,126 122,381 109,393 83,746 52,068 45,321 42,635 1,150.5 957.0 295.6 264.3 202.3 125.8 109.5 103.0 6,432 15.5 36,203 37,927 26,596 438,140 87.5 91.6 64.3 1,058.5 65 years and over ... 9 10 ... . . . Category not applicable. 1 Rank based on number of deaths; see Technical Notes. 2 Includes deaths under age 1 year. 3 New ICD–10 subcategories were introduced for the existing X34 (Victim of earthquake); see Technical Notes. 4 New ICD–10 code J12.3 (Human metapneumovirus pneumonia) was added to the category in 2011; see Technical Notes. 5 New subcategories replaced previous ones for N18 (Chronic kidney disease) in 2011. Changes affect comparability with previous year’s data; see Technical Notes. NOTES: For certain causes of death such as unintentional injuries, homicides, suicides, and respiratory diseases, preliminary and final data differ because of the truncated nature of the preliminary file. Data are subject to sampling or random variation. For information regarding the calculation of standard errors and further discussion of the variability of the data, see Technical Notes. 32 National Vital Statistics Reports, Vol. 61, No. 6, October 10, 2012 Table 8. Infant deaths and infant mortality rates for the 10 leading causes of infant death, by race and Hispanic origin: United States, preliminary 2011 [Data are based on a continuous file of records received from the states. Rates are per 100,000 live births. Figures are based on weighted data rounded to the nearest individual, so categories may not add to totals or subtotals. Race and Hispanic origin are reported separately on both the birth and death certificate. Rates for Hispanic origin should be interpreted with caution because of inconsistencies between reporting Hispanic origin on birth and death certificates; see Technical Notes. Race categories are consistent with the 1977 Office of Management and Budget (OMB) standards. Multiple-race data were reported for deaths by 38 states and District of Columbia and for births by 40 states and District of Columbia; see Technical Notes. The multiple-race data for these states were bridged to the single-race categories of the 1977 OMB standards for comparability with other states; see Technical Notes. Data for persons of Hispanic origin are included in the data for each race group, according to the decedent’s reported race; see Technical Notes] Cause of death (based on the International Classification of Diseases, Tenth Revision, 2008 Edition, 2009), race, and Hispanic origin Rank1 Number Rate 23,907 604.7 4,984 4,116 1,711 1,578 1,089 992 526 514 496 444 7,457 126.1 104.1 43.3 39.9 27.5 25.1 13.3 13.0 12.5 11.2 188.6 2 All races ... All causes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2 3 4 5 6 7 8 9 10 ... Congenital malformations, deformations and chromosomal abnormalities . . . . . . Disorders related to short gestation and low birth weight, not elsewhere classified Sudden infant death syndrome . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Newborn affected by maternal complications of pregnancy . . . . . . . . . . . . . . Accidents (unintentional injuries) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Newborn affected by complications of placenta, cord and membranes . . . . . . . Bacterial sepsis of newborn . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Respiratory distress of newborn . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Diseases of the circulatory system . . . . . . . . . . . . . . . . . . . . . . . . . . . . Neonatal hemorrhage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . All other causes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Q00–Q99) . . . . . . (P07) . . . . . . (R95) . . . . . . (P01) . . .(V01–X59)3 . . . . . . (P02) . . . . . . (P36) . . . . . . (P22) . . . . (I00–I99) (P50–P52,P54) . . . . (residual) Total white ... All causes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2 3 4 5 6 7 8 9 10 ... Congenital malformations, deformations and chromosomal abnormalities . . . . . . Disorders related to short gestation and low birth weight, not elsewhere classified Sudden infant death syndrome . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Newborn affected by maternal complications of pregnancy . . . . . . . . . . . . . . Accidents (unintentional injuries) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Newborn affected by complications of placenta, cord and membranes . . . . . . . Respiratory distress of newborn . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Bacterial sepsis of newborn . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Diseases of the circulatory system . . . . . . . . . . . . . . . . . . . . . . . . . . . . Neonatal hemorrhage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . All other causes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15,451 511.7 3,732 2,330 1,126 962 678 642 341 326 317 315 4,682 123.6 77.2 37.3 31.9 22.5 21.3 11.3 10.8 10.5 10.4 155.0 ... All causes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2 3 4 5 6 7 8 8 10 ... Congenital malformations, deformations and chromosomal abnormalities . . . . . . Disorders related to short gestation and low birth weight, not elsewhere classified Sudden infant death syndrome . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Newborn affected by maternal complications of pregnancy . . . . . . . . . . . . . . Accidents (unintentional injuries) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Newborn affected by complications of placenta, cord and membranes . . . . . . . Respiratory distress of newborn . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Neonatal hemorrhage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Bacterial sepsis of newborn . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Diseases of the circulatory system . . . . . . . . . . . . . . . . . . . . . . . . . . . . All other causes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10,883 506.0 2,496 1,577 904 645 550 456 243 227 227 220 3,338 116.0 73.3 42.0 30.0 25.6 21.2 11.3 10.6 10.6 10.2 155.2 ... All causes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2 3 4 5 6 7 8 9 10 ... 7,221 1,139.8 Disorders related to short gestation and low birth weight, not elsewhere classified Congenital malformations, deformations and chromosomal abnormalities . . . . . . Newborn affected by maternal complications of pregnancy . . . . . . . . . . . . . . Sudden infant death syndrome . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Accidents (unintentional injuries) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Newborn affected by complications of placenta, cord and membranes . . . . . . . Bacterial sepsis of newborn . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Diseases of the circulatory system . . . . . . . . . . . . . . . . . . . . . . . . . . . . Necrotizing enterocolitis of newborn . . . . . . . . . . . . . . . . . . . . . . . . . . . . Respiratory distress of newborn . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . All other causes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,576 994 535 517 355 314 178 152 150 148 2,302 248.8 156.9 84.4 81.6 56.0 49.6 28.1 24.0 23.7 23.4 363.4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Q00–Q99) . . . . . . (P07) . . . . . . (R95) . . . . . . (P01) . . .(V01–X59)3 . . . . . . (P02) . . . . . . (P22) . . . . . . (P36) . . . . (I00–I99) (P50–P52,P54) . . . . (residual) Non–Hispanic white . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Q00–Q99) . . . . . . (P07) . . . . . . (R95) . . . . . . (P01) . . .(V01–X59)3 . . . . . . (P02) . . . . . . (P22) (P50–P52,P54) . . . . . . (P36) . . . . (I00–I99) . . . . (residual) Total black See footnotes at end of table. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (P07) . (Q00–Q99) . . . . (P01) . . . . (R95) .(V01–X59)3 . . . . (P02) . . . . (P36) . . (I00–I99) . . . . (P77) . . . . (P22) . . (residual) National Vital Statistics Reports, Vol. 61, No. 6, October 10, 2012 33 Table 8. Infant deaths and infant mortality rates for the 10 leading causes of infant death, by race and Hispanic origin: United States, preliminary 2011—Con. [Data are based on a continuous file of records received from the states. Rates are per 100,000 live births. Figures are based on weighted data rounded to the nearest individual, so categories may not add to totals or subtotals. Race and Hispanic origin are reported separately on both the birth and death certificate. Rates for Hispanic origin should be interpreted with caution because of inconsistencies between reporting Hispanic origin on birth and death certificates; see Technical Notes. Race categories are consistent with the 1977 Office of Management and Budget (OMB) standards. Multiple-race data were reported for deaths by 38 states and District of Columbia and for births by 40 states and District of Columbia; see Technical Notes. The multiple-race data for these states were bridged to the single-race categories of the 1977 OMB standards for comparability with other states; see Technical Notes. Data for persons of Hispanic origin are included in the data for each race group, according to the decedent’s reported race; see Technical Notes] Rank1 Cause of death (based on the International Classification of Diseases, Tenth Revision, 2008 Edition, 2009), race, and Hispanic origin Number Rate 4 ... Hispanic All causes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4,804 526.6 1 2 3 4 5 6 7 8 9 10 ... Congenital malformations, deformations and chromosomal abnormalities . . . . . . Disorders related to short gestation and low birth weight, not elsewhere classified Newborn affected by maternal complications of pregnancy . . . . . . . . . . . . . . Sudden infant death syndrome . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Newborn affected by complications of placenta, cord and membranes . . . . . . . Accidents (unintentional injuries) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Bacterial sepsis of newborn . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Diseases of the circulatory system . . . . . . . . . . . . . . . . . . . . . . . . . . . . Respiratory distress of newborn . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Neonatal hemorrhage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . All other causes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,282 784 330 239 193 142 106 105 99 94 1,430 140.5 85.9 36.2 26.2 21.2 15.6 11.6 11.5 10.9 10.3 156.7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Q00–Q99) . . . . . . (P07) . . . . . . (P01) . . . . . . (R95) . . . . . . (P02) . . .(V01–X59)3 . . . . . . (P36) . . . . (I00–I99) . . . . . . (P22) (P50–P52,P54) . . . . (residual) . . . Category not applicable. 1 Rank based on number of deaths; see Technical Notes. 2 Includes races other than white and black. 3 New ICD–10 subcategories were introduced for the existing X34 (Victim of earthquake); see Technical Notes. 4 Includes all persons of Hispanic origin of any race; see Technical Notes. NOTE: For certain causes of death such as unintentional injuries, homicides, sudden infant death syndrome, and respiratory diseases, preliminary and final data differ because of the truncated nature of the preliminary file. Data are subject to sampling or random variation. For information regarding the calculation of standard errors and further discussion of the variability of the data, see Technical Notes. Although the infant mortality rate is the preferred indicator of the risk of dying during the first year of life, another measure of infant mortality, the infant death rate, is shown elsewhere in the report. The two measures typically are similar, yet they can differ because the denominators used for these measures are different. 34 National Vital Statistics Reports, Vol. 61, No. 6, October 10, 2012 Technical Notes Nature and sources of data Preliminary mortality data for 2011 are based on a continuous receipt and processing of statistical records by the Centers for Disease Control and Prevention’s National Center for Health Statis tics (NCHS) through June 12, 2012. NCHS received the data from the states’ vital registration systems through the Vital Statistics Cooperative Program. Demographic information for the United States was available in calendar year 2011 for an estimated 98.9 percent of infant decedents and 99.4 percent of decedents aged 1 year and over. Medical information for the United States was available in calendar year 2011 for an estimated 97.3 percent of infant decedents and 98.1 percent of decedents aged 1 year and over. In this report, U.S. totals include only events occurring within the 50 states and the District of Columbia (D.C.). Data for Puerto Rico, the Virgin Islands, Guam, American Samoa, and the Northern Marianas included in tables showing data by state are not included in U.S. totals. Additional information on 2010 final data is available elsewhere (3). For 2011, individual records of infant deaths (deaths under age 1 year) and deaths of persons aged 1 year and over are weighted (when necessary) to independent counts of deaths occurring in each state. These state-specific counts serve as control totals and are the basis for the record weights in the preliminary file. If the number of records in the preliminary file is greater than the count received from the state, the state-specific number of records in the preliminary file is used instead and the weight is set at 1.0. For this report, two separate files are processed. The medical file, or cause of death file, contains records that include both demographic and medical information used to generate tables showing cause of death. The demographic file, which includes records from the medical file as well as additional records containing demographic information only, is used to generate tables showing mortality by demographic characteristics only. A state-specific weight is computed for each file by dividing the state control total by the number of records in the pre liminary sample. Each record is assigned two weights, a state-specific weight and a U.S. weight. State weights are used for state-specific tabulations and U.S. weights are used for national tabulations. For the medical file, the state weight makes the death counts comparable with those in the demographic file. The U.S. weight combines two factors: one to make the medical file counts for the individual record’s state comparable with those for the demographic file, and one to compensate for any states not represented in the file. This second factor is equivalent to 0 if all states are represented in the file. Thus, when all states are represented in the preliminary files, the state and U.S. weights are the same. Because there are two separate files, each with two separate sets of weights, slight inconsistencies may occur between the demographic and medical tables in this report. Table I shows the percent complete ness of the preliminary files by place of occurrence for the United States and each state. The percent completeness is obtained by dividing the number of records in the preliminary files by the control total and multiplying by 100. Although data by place of occurrence are used to compute the weights, all data in this report are tabulated by place of residence. For selected variables in the mortality files, unknown or not stated values are imputed. The percentage not stated was less than 0.3 per cent for all variables discussed in this report. Detailed information on how the file addresses not stated values for specific variables (race, Hispanic origin, sex, and age) may be found in ‘‘Technical Appendix, Vital Statistics of the United States: Mortality, 1999’’ (18). 2003 revision of U.S. Standard Certificate of Death This report includes data for D.C. and 36 states [Arizona, Arkansas, California, Connecticut, Delaware, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Maine, Michigan, Minne sota, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York (including New York City), North Dakota, Ohio, Oklahoma, Oregon, Rhode Island, South Carolina, South Dakota, Texas, Utah, Vermont, Washington, and Wyoming] that implemented the 2003 revision of the U.S. Standard Certificate of Death by 2011, and the remaining 14 states that collected and reported death data in 2011 based on the 1989 revision of the U.S. Standard Certificate of Death. Minnesota implemented the 2003 revision of the U.S. Standard Certificate of Death in March 2011, so a portion of this state’s data for 2011 was reported using the 1989 revision. The 2003 revision is described in detail elsewhere (19,20). Because the items presented in this report appear largely comparable despite changes to item wording and format in the 2003 revision, data from both groups of states are combined. Race and Hispanic origin The 2003 revision of the U.S. Standard Certificate of Death allows the reporting of more than one race (multiple races) (19). This change was implemented to reflect the increasing diversity of the population of the United States, to be consistent with the decennial census, and to reflect standards issued in 1997 by the Office of Management and Budget (OMB). OMB standards mandate the collection of more than one race for federal data (see ‘‘Population denominators’’) (21). In addition, the new certificate is compliant with the OMB-mandated minimum set of five races to be reported for federal data. These are white, black or African American, American Indian or Alaska Native (AIAN), Asian, and Native Hawaiian or Other Pacific Islander (NHOPI). For 2011 mortality data, multiple races were reported on the revised death certificates of Arizona, Arkansas, California, Connecticut, Delaware, District of Columbia, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Maine, Michigan, Minnesota, Missouri, Mon tana, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York (including New York City), North Dakota, Ohio, Oklahoma, Oregon, Rhode Island, South Carolina, South Dakota, Texas, Utah, Vermont, Washington, and Wyoming. Multiple races were also reported on the unrevised certificates of Hawaii and Wisconsin. Data from the vital records of the remaining 12 states are based on the 1989 revision of the U.S. Standard Certificate of Death, which follows the 1977 OMB standards, allowing only a single race to be reported (20,22). In addition, these 12 states report a minimum set of four races as stipulated in the 1977 standards. These are white, black or African American, AIAN, and Asian or Pacific Islander (API). According to the 2010 final mortality file, 0.4 percent of deaths were reported to persons of more than one race. To provide uniformity and comparability of data during the tran sition period, before all or most of the data become available in the new multiple race format, it is necessary to adjust the data for those National Vital Statistics Reports, Vol. 61, No. 6, October 10, 2012 Table I. Total count of records and percent completeness of preliminary files of infant deaths and deaths to those aged 1 year and over: United States, each state and territory, preliminary 2011 [By place of occurrence] Infant deaths (under age 1 year) Deaths to those aged 1 year and over Percent completeness Count of records Area Demographic file Percent completeness Medical file Count of records Demographic file Medical file United States1 . . . . Alabama . . . . . . . Alaska. . . . . . . . . Arizona . . . . . . . . Arkansas . . . . . . . California . . . . . . . Colorado . . . . . . . Connecticut. . . . . . Delaware . . . . . . . District of Columbia . Florida. . . . . . . . . 23,988 98.9 97.3 2,494,230 99.4 98.1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 477 40 514 276 2,417 395 183 107 157 1,397 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 97.5 100.0 94.9 100.0 100.0 98.4 94.4 98.1 100.0 47,405 3,716 48,686 28,878 238,102 32,653 29,466 7,791 5,419 174,153 100.0 100.0 100.0 100.0 100.0 100.0 99.9 100.0 99.9 100.0 100.0 97.6 100.0 98.7 100.0 100.0 93.7 96.7 99.9 100.0 Georgia . . Hawaii. . . Idaho . . . Illinois . . . Indiana . . Iowa . . . . Kansas . . Kentucky . Louisiana . Maine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 863 94 101 1,004 629 167 217 310 465 80 99.8 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 92.2 100.0 100.0 99.9 100.0 100.0 100.0 96.5 100.0 98.8 69,774 9,863 11,745 98,085 58,195 27,907 24,084 41,896 40,293 12,830 100.0 99.9 100.0 100.0 100.0 100.0 100.0 99.9 99.6 97.0 97.6 99.9 100.0 100.0 100.0 100.0 100.0 97.6 99.6 96.3 Maryland . . . . . . . . . . . . . . . . . Massachusetts . . . . . . . . . . . . . . Michigan . . . . . . . . . . . . . . . . . Minnesota . . . . . . . . . . . . . . . . Mississippi . . . . . . . . . . . . . . . . Missouri. . . . . . . . . . . . . . . . . . Montana . . . . . . . . . . . . . . . . . Nebraska . . . . . . . . . . . . . . . . . Nevada . . . . . . . . . . . . . . . . . . New Hampshire . . . . . . . . . . . . . New Jersey. . . . . . . . . . . . . . . . New Mexico . . . . . . . . . . . . . . . New York . . . . . . . . . . . . . . . . . New York excluding New York City New York City . . . . . . . . . . . . . North Carolina . . . . . . . . . . . . . . North Dakota. . . . . . . . . . . . . . . Ohio . . . . . . . . . . . . . . . . . . . . Oklahoma. . . . . . . . . . . . . . . . . Oregon . . . . . . . . . . . . . . . . . . Pennsylvania . . . . . . . . . . . . . . . Rhode Island. . . . . . . . . . . . . . . South Carolina . . . . . . . . . . . . . . South Dakota . . . . . . . . . . . . . . Tennessee . . . . . . . . . . . . . . . . Texas . . . . . . . . . . . . . . . . . . . Utah . . . . . . . . . . . . . . . . . . . . Vermont. . . . . . . . . . . . . . . . . . Virginia . . . . . . . . . . . . . . . . . . Washington. . . . . . . . . . . . . . . . West Virginia . . . . . . . . . . . . . . . Wisconsin. . . . . . . . . . . . . . . . . Wyoming . . . . . . . . . . . . . . . . . Puerto Rico. . . . . . . . . . . . . . . . Virgin Islands. . . . . . . . . . . . . . . Guam . . . . . . . . . . . . . . . . . . . American Samoa . . . . . . . . . . . . Northern Marianas. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 438 338 780 347 329 569 62 149 197 43 477 128 1,220 642 578 876 59 1,139 360 215 993 80 402 78 680 2,187 303 28 667 389 135 405 22 355 11 42 6 4 100.0 99.1 78.7 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 99.9 100.0 99.8 100.0 100.0 99.7 98.1 100.0 91.0 98.8 99.8 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 0.0 100.0 100.0 0.0 100.0 84.6 72.4 97.7 97.0 99.3 100.0 99.3 97.0 97.7 96.6 100.0 97.6 98.8 96.4 100.0 100.0 99.0 80.6 100.0 91.0 98.8 99.0 100.0 100.0 99.5 100.0 100.0 100.0 100.0 83.7 100.0 100.0 96.1 0.0 100.0 100.0 0.0 43,164 54,376 87,507 39,546 28,283 57,225 9,030 15,531 20,874 10,574 68,960 15,850 146,741 94,530 52,211 79,792 6,466 110,440 35,911 32,534 128,252 9,662 40,763 7,340 63,137 168,665 15,415 5,326 59,489 49,370 21,257 47,688 4,121 29,447 717 799 273 157 100.0 99.9 86.7 100.0 100.0 99.8 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 99.0 100.0 97.6 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 99.9 0.0 100.0 94.9 0.0 100.0 93.3 81.1 99.2 99.5 99.0 100.0 100.0 99.7 96.8 96.8 100.0 97.8 97.9 97.6 100.0 100.0 100.0 88.1 100.0 99.0 100.0 93.1 100.0 100.0 98.3 100.0 100.0 100.0 99.6 83.5 100.0 99.8 97.3 0.0 100.0 94.9 0.0 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .............. 0.0 Quantity more than zero but less than 0.05. 1 Excludes data for Puerto Rico, Virgin Islands, Guam, American Samoa, and Northern Marianas. NOTE: Percent completeness equals 100 times the number of records in preliminary file divided by the count of records. 35 36 National Vital Statistics Reports, Vol. 61, No. 6, October 10, 2012 states reporting multiple race by ‘‘bridging’’ the multiple-race informa tion reported for decedents to a single race. The bridging procedure used for mortality numerators is similar to the procedure used to bridge multiracial population estimates (see ‘‘Population denominators’’) (23,24). Multiracial decedents are imputed to a single race (either white, black, AIAN, or API) according to the combination of races, Hispanic origin, sex, and age indicated on the death certificate. The imputation procedure is described in detail at http://www.cdc.gov/nchs/data/dvs/ Multiple_race_docu_5-10-04.pdf. Because race and Hispanic origin are reported separately on the death certificate, data shown by race include persons of Hispanic or 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 group—white, black, AIAN, and API—according to the decedent’s race as reported on the death certificate. Data shown for Hispanic persons include all persons of Hispanic origin of any race. Mortality data on the Hispanic origin population are based on deaths in all states. Death rates for Hispanic, AIAN, and API persons should be interpreted with caution because of inconsistencies in reporting race on death certificates compared with such reporting on censuses, surveys, and birth cer tificates. Studies have shown underreporting on death certificates of AIAN, API, and Hispanic decedents, as well as undercounts of these groups in censuses (4–6). Injury at work 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. The item is on the death certificate of all states. Number of deaths, crude death rates, and age-adjusted death rates for injury at work for those aged 15 and over, excluding age not stated, are shown in Table 2. Age-adjusted death rates presented in this report for injury at work were computed using age-specific death rates and the U.S. standard population based on year 2000 standard for ages 15 years and over, excluding age not stated (Table V). If the estimated ‘‘employed’’ population aged 15 and over had been used instead in the denominator, higher death rates would have resulted, especially for population groups with lower employment rates. See ‘‘Computing rates and percentages.’’ The number of deaths from injury at work from the National Vital Statistics System is generally about 10 percent less than the counts in the Census of Fatal Occupational Injuries (http://www.bls.gov/iif/) between 1993 and 2011. The Census of Fatal Occupational Injuries uses multiple source documents, while the National Vital Statistics System uses the death certificate only. Cause-of-death classification Mortality statistics are compiled in accordance with World Health Organization (WHO) regulations specifying that member nations classify and code causes of death in accordance with the current revision of the International Statistical Classification of Diseases, and Related Health Problems (ICD). The ICD provides the basic guidance used in virtually all countries to code and classify causes of death. It provides not only disease, injury, and poisoning categories but also the rules used to select the single underlying cause of death for tabulation from the several diagnoses that may be reported on a single death certificate, as well as definitions, tabulation lists, the format of the death certificate, and regulations on the use of the classification. Causes of death for data presented in this report were coded according to ICD guidelines which are described in annual issues of part 2a of the NCHS Instruction Manual (25). Effective with deaths occurring in 1999, the United States began using the Tenth Revision of the ICD (ICD–10) (26–27). For earlier years, causes of death were classified according to the revisions then in use (3). An innovation in ICD–10 is that the classification is updated between revisions (27). Changes associated with these updates are discussed in the Technical Notes of each annual report (1–3,8,16). Beginning with data for 2001, NCHS introduced categories *U01–*U03 for classifying and coding deaths due to acts of terrorism. The asterisks before the category codes indicate that they are not part of ICD–10. Deaths classified to the terrorism categories are included in the categories Assault (homicide) and Intentional self-harm (suicide) for the 113 causes-of-death list (Table 2) and Assault (homicide) in the 130 causes-of-infant death list (Table 5). Additional information on the new terrorism categories can be found at http://www.cdc.gov/nchs/ icd/terrorism_code.htm. No deaths occurring in 2010 and 2011 were classified to the terrorism categories. Enterocolitis due to Clostridium difficile (C. difficile)—Due to growing concerns about the number of deaths from Enterocolitis due to Clostridium difficile (ICD–10 code A04.7), beginning in 2006, C. difficile deaths are included separately as a rankable cause of death in tables showing data for 113 selected causes of death (Table 2). Codes for drug-induced deaths—The list of codes included in drug-induced causes was expanded in data years 2003 and 2006 to be more comprehensive. The following ICD–10 codes comprise the list of drug-induced codes: D52.1, D59.0, D59.2, D61.1, D64.2, E06.4, E16.0, E23.1, E24.2, E27.3, E66.1, F11.0–F11.5, F11.7–F11.9, F12.0–F12.5, F12.7–F12.9, F13.0–F13.5, F13.7–F13.9, F14.0–F14.5, F14.7–F14.9, F15.0–F15.5, F15.7–F15.9, F16.0–F16.5, F16.7–F16.9, F17.0, F17.3–F17.5, F17.7–F17.9, F18.0–F18.5, F18.7–18.9, F19.0–F19.5, F19.7–F19.9, G21.1, G24.0, G25.1, G25.4, G25.6, G44.4, G62.0, G72.0, I95.2, J70.2–J70.4, K85.3, L10.5, L27.0–L27.1, M10.2, M32.0, M80.4, M81.4, M83.5, M87.1, R50.2, R78.1–R78.5, X40–X44, X60–X64, X85, and Y10–14. Codes for alcohol-induced deaths—The list of codes included in alcohol-induced causes was expanded in data years 2003 and 2006 to be more comprehensive. The following ICD–10 codes comprise the list of alcohol-induced codes: E24.4, F10, G31.2, G62.1, G72.1, I42.6, K29.2, K70, K85.2, K86.0, R78.0, X45, X65, and Y15. Recently deleted and added codes—Rules governing coding and classifying the causes of death sometimes require modifications as part of the updating process of ICD–10; this includes adding and deleting codes (3). Each modification may be done for a different reason. For example, subcategories were created for existing code X34 (Victim of earthquake) to provide detail, specifically in response to a desire to distinguish victims of events such as the 2004 Indian Ocean tsunami from other kinds of earthquake-related events. Changes to N18 were made to reflect a more contemporary classification scheme for Chronic kidney disease that incorporated diagnosed stages of the disease. Additional detail on the updates can be found at http:// www.who.int/classifications/icd/icd10updates/en/index.html. These changes may affect comparability of data between years for selected causes of death. With the mentioned examples, statistics for victims National Vital Statistics Reports, Vol. 61, No. 6, October 10, 2012 of earthquake were not affected by changes in the codes but the statistics on kidney and renal conditions were. The impact on kidney and renal conditions is discussed below. Codes deleted in 2011—Beginning with data for 2011, NCHS deleted six WHO ICD–10 codes (28): H54.7, Unspecified visual loss; K35.0, Acute appendicitis with generalized peritonitis; K35.1, Acute appendicitis with peritoneal abscess; K35.9, Acute appendicitis, unspecified; N18.0, End stage renal diseases; and N18.8, Other chronic renal failure. Codes added in 2011—Beginning with data for 2011, NCHS added 39 new WHO ICD–10 codes (28): B17.9, Acute viral hepatitis, unspeci fied; D68.5, Primary thrombophilia; D68.6, Other thrombophilia; D89.3, Immune reconstitution syndrome; E88.3, Tumor lysis syndrome; G14, Postpolio syndrome; G21.4, Vascular parkinsonism; H54.9, Unspeci fied visual impairment (binocular); I72.5, Aneurysm and dissection of other precerebral arteries; J12.3, Human metapneumovirus pneu monia; J21.1, Acute bronchiolitis due to human metapneumovirus; K12.3, Oral mucositis (ulcerative); K35.2, Acute appendicitis with gen eralized peritonitis; K35.3, Acute appendicitis with localized peritonitis; K35.8, Acute appendicitis, other and unspecified; L89.0, Stage I decu bitus ulcer and pressure area; L89.1, Stage II decubitus ulcer; L89.2, Stage III decubitus ulcer; L89.3, Stage IV decubitus ulcer; L89.9, Decubitus ulcer and pressure area, unspecified; N18.1, Chronic kidney disease, stage 1; N18.2, Chronic kidney disease, stage 2; N18.3, Chronic kidney disease, stage 3; N18.4, Chronic kidney disease, stage 4; N18.5, Chronic kidney disease, stage 5; N42.3, Dysplasia of pros tate; O14.2, HELLP syndrome; O43.2, Morbidly adherent placenta; O96.0, Death from direct obstetric cause; O96.1, Death from indirect obstetric cause; O96.9, Death from unspecified obstetric cause; O97.0, Death from sequelae of direct obstetric cause; O97.1, Death from sequelae of indirect obstetric cause; O97.9, Death from sequelae of obstetric cause, unspecified; O98.7, Human immunodeficiency (HIV) disease complicating pregnancy, childbirth and the puerperium; X34.0, Victim of cataclysmic earth movements caused by earthquake; X34.1, Victim of tsunami; X34.8, Victim of other specified effects of earthquake; and X34.9, Victim of unspecified effect of earthquake. Changes in list of 113 selected causes of death—The following codes are included in the list of 113 selected causes of death (Table 2). Deaths classified to code B17.9 are included in the category Viral hepatitis; D68.5, D68.6, D89.3, E83.3, G14, H54.9, K12.3, L89.0, L89.1, L89.2, L89.3, L89.9, and N42 in the Residual category; G21.4 in the category Parkinson’s disease; I72.5 in the category Other diseases of arteries, arterioles and capillaries; J12.3 in the category Pneumonia; J21.1 in the category Acute bronchitis and bronchiolitis; K35.2, K35.3, and K35.8 in the category Diseases of appendix; N18.1, N18.2, N18.3, N18.4, and N18.5 in the category Renal failure; O14.2, O43.2, O96.0, O96.1, O96.9, O97.0, O97.1, O97.9, and O98.7 in the category Other complications of pregnancy, childbirth and puerperium; X34.0, X34.1, X34.8, and X34.9 in the category Other and unspecified nontransport accidents and their sequelae (28). Changes in list of 130 selected causes of infant death—The following codes are included in the list of 130 selected causes of infant death (Table 5). Deaths classified to code B17.9 are included in the category Other and unspecified viral diseases; D68.5 and D68.6 in the category Hemorrhagic conditions and other diseases of blood and blood-forming organs; D89.3 in the category Certain disorders involving the immune mechanism; E88.3 in the category All other endocrine, 37 nutritional and metabolic diseases; G21.4 in the category Other dis eases of nervous system; H54.9, L89.0–L89.3, and L89.9 in the Residual category; I72.5 in the category All other diseases of circulatory system; J12.3 in the category Pneumonia; J21.1 in the category Acute bronchitis and acute bronchiolitis; K12.3, K35.2, K35.3, and K35.8 in the category All other and unspecified diseases of digestive system; N18.1–N18.5 in the category Renal failure and other disorders of kidney; N42.3 in the category Other and unspecified diseases of genitourinary system; and X34.0, X34.1, X34.8, and X34.9 in the category Other and unspecified accidents. Additional information on these new categories can be found at http://www.cdc.gov/nchs/data/ dvs/Part9InstructionManual2011.pdf (28). Changes to classification affecting renal failure—In 2011, the implementation of changes in coding rules had an impact on Nephritis, nephrotic syndrome and nephrosis (ICD–10 codes N00–N07, N17–N19, and N25–N27) and therefore, changes in mortality statistics for this condition must be interpreted with caution. Renal failure (N17–N19) is a component condition of the larger category Nephritis, nephrotic syndrome and nephrosis. The changes associate renal failure with other diseases such as diabetes, wasting, and paralyzing con ditions in more cases than in the past. For instance, both diabetes and kidney conditions were reported on about 2 percent of death certificates in 2010 and 2011. Compared with 2010, the percentage of these with an underlying cause of Nepritis, nephrotic syndrome and nephrosis decreased while the percentage with an underlying cause of Diabetes mellitus increased in 2011, especially diabetes mellitus with renal complications (data not shown). Nonsampling error Causes of death in this report are subject to nonsampling error. This is because the preliminary file is processed before a full year’s worth of data are available. The file is thus subject to the seasonality of certain causes of death that may not be equally distributed throughout the year. It is known, for example, that external causes such as unintentional injuries occur disproportionately during the summer months, and that fatal respiratory conditions are more prevalent during the winter months. Accordingly, the truncated nature of the preliminary file may systematically overemphasize or underem phasize causes with pronounced seasonality, particularly when these deaths cluster at the end of the year. However, in years where the preliminary file completeness is more than 90 percent, it is unlikely that seasonality is a major factor; the 2011 preliminary file is more than 98 percent complete. Furthermore, for some deaths, especially those subject to medi colegal investigation such as unintentional injuries, homicides, suicides, and sudden infant death syndrome (SIDS), the final cause may not be available at the time the preliminary file is processed. In those cases, the causes of death may be reported in the preliminary file as unknown or pending investigation and coded to the category Other ill-defined and unspecified causes of mortality (ICD–10 code R99), a subcategory of Symptoms, signs, and abnormal clinical and laboratory findings, not elsewhere classified (ICD–10 codes R00–R99). In the final data, some of the deaths of unknown cause in the preliminary file will be reassigned to specific causes if further, more specific cause-of-death information is provided. 38 National Vital Statistics Reports, Vol. 61, No. 6, October 10, 2012 A quantitative assessment of the degree of the nonsampling error can be made by comparing final data and preliminary data for the same year. A comparison of such data for the selected 113 causes of death for the total U.S. population from 2008–2010 indicates that preliminary estimates for some causes of death are sometimes underestimated and sometimes overestimated in the preliminary file (Table II). Thus, the number of deaths for unintentional injuries (V01–X59, Y85–Y86) was underestimated in the preliminary file by 0.6 percent in 2008, 0.7 per cent in 2009, and 2.3 percent in 2010. Similar undercounts occurred for suicide (*U03, X60–X84, Y87.0) with preliminary underestimates of 0.3 percent in 2008, 1.0 percent in 2009, and 1.5 percent in 2010. Likewise, homicide (*U01–*U02, X85–Y09, Y87.1) showed a 1.2 per cent underestimate in the preliminary file in 2009 and 2010, but a 0.1 overestimate in 2008. Comparisons showing nonsampling error in preliminary estimates for causes of infant death are shown in Table III, where Disorders related to short gestation and low birth weight, not elsewhere classified (P07) was underestimated by 0.4 percent in 2008, 1.7 percent in 2009, and 0.4 percent in 2010. Unintentional injuries (V01–X59) and SIDS (R95) were underestimated in the preliminary data for each of the three years from 2008–2010 with unintentional injuries being underestimated between 1.2 percent and 6.0 percent, and SIDS between 2.6 percent and 8.4 percent (Table III). Tabulation lists and cause-of-death ranking Tabulation lists for ICD–10 are published in the ‘‘NCHS Instruc tion Manual, Part 9, ICD–10 Cause-of-Death Lists for Tabulating Mortality Statistics, Updated March 2011’’ (28). For this report, two tabulation lists are used: the List of 113 Selected Causes of Death used for deaths of all ages, and the List of 130 Selected Causes of Infant Death used for infants. Modifications in the lists reflecting changes in ICD codes are footnoted in the report tables. These lists are also used to rank leading causes of death for the two population groups (29). For the List of 113 Selected Causes of Death, the group titles Major cardiovascular diseases (ICD–10 codes I00–I78) and Symptoms, signs, and abnormal clinical and laboratory findings, not elsewhere classified (ICD–10 codes R00–R99) are not ranked. In addition, category titles that begin with the words ‘‘Other’’ and ‘‘All other’’ are not ranked to determine the leading causes of death. When one of the titles that represents a subtotal is ranked [for example, Tuberculosis (ICD–10 codes A16–A19)], its component parts are not ranked [in this case, Respiratory tuberculosis (ICD–10 code A16) and Other tuberculosis (ICD–10 codes A17–A19)]. For the List of 130 Selected Causes of Infant Death, the same ranking procedures are used, except that the category Major cardiovascular diseases is not on the list. Infant mortality The infant mortality rate is 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 preliminary number of infant deaths that occurred during 2011 by the number of live births for the same period and are presented as rates per 1,000 or per 100,000 live births. For preliminary birth figures used in the denominator for infant mortality rates, see ‘‘Births: Preliminary Data for 2011’’ (15). In contrast to infant mortality rates based on live births, infant death rates are based on the estimated population under age 1 year (Table 1). Infant death rates that appear in tabulations of age-specific death rates in this report are calculated by dividing the number of infant deaths in 2011 by the estimated population of persons under age 1 on July 1, 2011, and are presented as rates per 100,000 population in this age group. Because of differences in their denominators, infant death rates may differ from infant mortality rates. Information on infant deaths can also be obtained from a file where the infant’s death certificate is linked to the birth certificate. The linked birth/infant death data set (linked file) is a better source of data for infant deaths and mortality rates by race and ethnicity because the race of the mother as reported by the mother on the birth certificate is used in both the numerator and denominator of the infant mortality rate. In contrast, for infant deaths and mortality rates in this report, race information for the denominator is the race of the mother as reported on the birth certificate, but the race information for the numerator is the race of the infant decedent as reported on the death certificate. Race information reported on the birth certificate is considered to be more accurate than that on the death certificate, because the race of each parent is usually reported on the birth certificate by the mother at the time of delivery, whereas on the death certificate, the race of the deceased infant is reported by the funeral director based on information provided by an informant or by observation. This difference in the method of reporting race data has a larger impact for races other than white and black and can lead to differences in race-specific infant mortality rates between the two data sources (13). Life tables The period life table provides a measure of the effect of current 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. Beginning with final data for 1997, complete life tables by single years through age 100 have been constructed for the preliminary report (30). Beginning with the 2008 life tables, the methodology used to construct life tables was revised from methods used in earlier reports (30–35). The most recent revised methodology is described in greater detail in ‘‘United States Life Tables, 2008’’ (7). NCHS began producing life tables for the 2006 data year 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 certificates (36,37). Previously, NCHS produced annual life tables by race including the white and black populations but had not produced life tables for other racial or ethnic groups. The methods that adjust for misclassi fication are applied to the production of the life tables, but not to the death rates shown in this report. The life expectancy data shown in this report for the 2006–2009 data year have been updated using intercensal population estimates and may differ from those published previously (1,2,8). Population denominators The rates in this report for 2011 use population estimates as of July 1, 2011. The rates for 2010 use population enumerated based on the 2010 census as of April 1, 2010. These population estimates Table II. Ratios of preliminary to final reported numbers of deaths from 113 selected causes: United States, 2008–2010 [For explanation of asterisk preceding cause-of-death codes, see Technical Notes] Cause of death (based on the International Classification of Diseases, Tenth Revision, 2008 Edition, 2009) Preliminary number of deaths 2010 Final number of deaths 2010 All causes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,465,932 28 3 10,248 569 424 145 26 3 79 34,843 27 – 9 2 7,554 8,352 9 See footnotes at end of table. Preliminary number of deaths 2009 Final number of deaths 2009 2,468,435 0.9990 2,436,652 28 3 10,276 569 423 146 26 3 79 34,812 28 – 9 2 7,564 8,369 10 1.0000 1.0000 0.9973 1.0000 1.0024 0.9932 1.0000 1.0000 1.0000 1.0009 0.9643 ... 1.0000 1.0000 0.9987 0.9980 0.9000 26 11 10,242 547 422 126 15 5 97 35,587 33 – 2 2 7,652 9,424 4 5,808 573,855 8,447 14,417 11,372 52,540 20,275 36,817 3,687 158,135 9,145 41,360 3,922 8,405 14,516 28,541 13,195 14,707 5,805 574,743 8,474 14,490 11,390 52,622 20,305 36,888 3,691 158,318 9,154 41,435 3,939 8,402 14,572 28,561 13,219 14,731 1.0005 0.9985 0.9968 0.9950 0.9984 0.9984 0.9985 0.9981 0.9989 0.9988 0.9990 0.9982 0.9957 1.0004 0.9962 0.9993 0.9982 0.9984 14,119 55,489 1,228 20,274 22,499 11,420 14,164 55,590 1,231 20,294 22,569 11,428 0.9968 0.9982 0.9976 0.9990 0.9969 0.9993 Ratio of preliminary to final 2009 Preliminary number of deaths 2008 Final number of deaths 2008 Ratio of preliminary to final 2008 2,437,163 0.9998 2,472,699 2,471,984 1.0003 26 4 10,251 529 405 124 15 5 99 35,639 34 – 2 2 7,694 9,406 3 1.0000 2.7500 0.9991 1.0340 1.0420 1.0161 1.0000 1.0000 0.9798 0.9985 0.9706 ... 1.0000 1.0000 0.9945 1.0019 1.3333 43 6 7,883 590 452 138 20 3 102 35,961 34 – 2 – 7,631 10,295 5 44 6 7,876 585 449 136 20 3 102 35,927 34 – 2 – 7,629 10,285 5 0.9773 1.0000 1.0009 1.0085 1.0067 1.0147 1.0000 1.0000 1.0000 1.0009 1.0000 ... 1.0000 ... 1.0003 1.0010 1.0000 5,842 568,668 7,913 13,916 11,139 52,462 19,311 35,872 3,633 158,105 9,254 41,115 3,909 7,636 14,513 28,154 13,027 14,315 5,849 567,628 7,922 13,908 11,185 52,394 19,352 35,628 3,631 158,158 9,199 41,078 3,909 7,713 14,436 28,088 12,995 14,201 0.9988 1.0018 0.9989 1.0006 0.9959 1.0013 0.9979 1.0068 1.0006 0.9997 1.0060 1.0009 1.0000 0.9900 1.0053 1.0023 1.0025 1.0080 5,933 566,137 8,031 13,739 11,381 53,337 18,243 35,267 3,759 158,873 8,643 41,049 4,018 7,682 14,373 28,517 12,915 14,053 5,914 565,469 8,019 13,714 11,352 53,321 18,213 35,236 3,760 158,656 8,623 41,026 4,008 7,675 14,362 28,472 12,895 14,036 1.0032 1.0012 1.0015 1.0018 1.0026 1.0003 1.0016 1.0009 0.9997 1.0014 1.0023 1.0006 1.0025 1.0009 1.0008 1.0016 1.0016 1.0012 14,192 55,462 1,265 20,361 22,697 11,072 14,176 55,406 1,250 20,389 22,606 11,094 1.0011 1.0010 1.0120 0.9986 1.0040 0.9980 13,739 54,998 1,170 20,374 22,357 11,038 13,724 54,954 1,171 20,369 22,335 11,020 1.0011 1.0008 0.9991 1.0002 1.0010 1.0016 National Vital Statistics Reports, Vol. 61, No. 6, October 10, 2012 Salmonella infections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (A01–A02) Shigellosis and amebiasis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (A03,A06) Certain other intestinal infections . . . . . . . . . . . . . . . . . . . . . . . . . . (A04,A07–A09)1 Tuberculosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (A16–A19) Respiratory tuberculosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (A16) Other tuberculosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (A17–A19) Whooping cough . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (A37) Scarlet fever and erysipelas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (A38,A46) Meningococcal infection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (A39) Septicemia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (A40–A41) Syphilis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (A50–A53) Acute poliomyelitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (A80) Arthropod-borne viral encephalitis. . . . . . . . . . . . . . . . . . . . . . . . . (A83–A84,A85.2) Measles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (B05) Viral hepatitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (B15–B19)2 Human immunodeficiency virus (HIV) disease . . . . . . . . . . . . . . . . . . . . . (B20–B24) Malaria . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (B50–B54) Other and unspecified infectious and parasitic diseases and their sequelae . . . . .(A00,A05, A20–A36,A42–A44,A48–A49,A54–A79,A81–A82,A85.0–A85.1,A85.8,A86–B04,B06–B09, B25–B49,B55–B99) Malignant neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (C00–C97) Malignant neoplasms of lip, oral cavity and pharynx . . . . . . . . . . . . . . . . (C00–C14) Malignant neoplasm of esophagus. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (C15) Malignant neoplasm of stomach . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (C16) Malignant neoplasms of colon, rectum and anus . . . . . . . . . . . . . . . . . . (C18–C21) 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 . . . . . . . . . . . . . . . . (C33–C34) 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 . . . . . . . . (C54–C55) Malignant neoplasm of ovary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (C56) Malignant neoplasm of prostate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (C61) Malignant neoplasms of kidney and renal pelvis. . . . . . . . . . . . . . . . . . . (C64–C65) Malignant neoplasm of bladder. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (C67) Malignant neoplasms of meninges, brain and other parts of central nervous system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (C70–C72) Malignant neoplasms of lymphoid, hematopoietic and related tissue . . . . . . . (C81–C96) Hodgkin’s disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (C81) Non-Hodgkin’s lymphoma. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (C82–C85) Leukemia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (C91–C95) Multiple myeloma and immunoproliferative neoplasms . . . . . . . . . . . . . . (C88,C90) Ratio of preliminary to final 2010 39 40 Table II. Ratios of preliminary to final reported numbers of deaths from 113 selected causes: United States, 2008–2010—Con. [For explanation of asterisk preceding cause-of-death codes, see Technical Notes] Other and unspecified malignant neoplasms of lymphoid, hematopoietic and related tissue. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (C96) All other and unspecified malignant neoplasms . . . . . . . . . . (C17,C23–C24,C26–C31, C37–C41,C44–C49,C51–C52,C57–C60,C62–C63,C66,C68–C69,C73–C80,C97) In situ neoplasms, benign neoplasms and neoplasms of uncertain or unknown behavior . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (D00–D48) Anemias . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (D50–D64) Diabetes mellitus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (E10–E14) Nutritional deficiencies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (E40–E64) Malnutrition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (E40–E46) Other nutritional deficiencies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (E50–E64) Meningitis. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (G00,G03) Parkinson’s disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (G20–G21)3 Alzheimer’s disease. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (G30) Major cardiovascular diseases. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (I00–I78) Diseases of heart. . . . . . . . . . . . . . . . . . . . . . . . . . . . . (I00–I09,I11,I13,I20–I51) Acute rheumatic fever and chronic rheumatic heart diseases. . . . . . . . . . . (I00–I09) Hypertensive heart disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (I11) Hypertensive heart and renal disease . . . . . . . . . . . . . . . . . . . . . . . . . . .(I13) Ischemic heart diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (I20–I25) Acute myocardial infarction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (I21–I22) Other acute ischemic heart diseases . . . . . . . . . . . . . . . . . . . . . . . . . .(I24) Other forms of chronic ischemic heart disease. . . . . . . . . . . . . . . . . . (I20,I25) Atherosclerotic cardiovascular disease, so described . . . . . . . . . . . . . . .(I25.0) All other forms of chronic ischemic heart disease. . . . . . . . . . . (I20,I25.1–I25.9) Other heart diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (I26–I51) Acute and subacute endocarditis . . . . . . . . . . . . . . . . . . . . . . . . . . . . .(I33) Diseases of pericardium and acute myocarditis . . . . . . . . . . . . . . . (I30–I31,I40) Heart failure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .(I50) All other forms of heart disease . . . . . . . . . . . . . . (I26–I28,I34–I38,I42–I49,I51) Essential hypertension and hypertensive renal disease. . . . . . . . . . . . . . (I10,I12,I15) Cerebrovascular diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (I60–I69) Atherosclerosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .(I70) Other diseases of circulatory system . . . . . . . . . . . . . . . . . . . . . . . . . .(I71–I78)4 Aortic aneurysm and dissection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .(I71) Other diseases of arteries, arterioles and capillaries . . . . . . . . . . . . . . . .(I72–I78)4 Other disorders of circulatory system . . . . . . . . . . . . . . . . . . . . . . . . . . . (I80–I99) Influenza and pneumonia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (J09–J18)5,6 Influenza . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (J09–J11)5 Pneumonia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (J12–J18)6 Other acute lower respiratory infections . . . . . . . . . . . . . . . . . . . . . . (J20–J22,U04)7 Acute bronchitis and bronchiolitis . . . . . . . . . . . . . . . . . . . . . . . . . . . (J20–J21)7 Unspecified acute lower respiratory infection . . . . . . . . . . . . . . . . . . . . . .(J22,U04) Chronic lower respiratory diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . .(J40–J47) Bronchitis, chronic and unspecified . . . . . . . . . . . . . . . . . . . . . . . . . . .(J40–J42) Emphysema . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (J43) See footnotes at end of table. Final number of deaths 2010 Ratio of preliminary to final 2010 Preliminary number of deaths 2009 Final number of deaths 2009 Ratio of preliminary to final 2009 Preliminary number of deaths 2008 Final number of deaths 2008 Ratio of preliminary to final 2008 68 68 1.0000 66 67 0.9851 59 59 1.0000 64,765 64,798 0.9995 64,738 64,249 1.0076 63,519 63,423 1.0015 14,892 4,842 68,905 2,931 2,772 158 605 21,963 83,308 777,548 595,444 2,992 33,275 2,790 378,270 121,885 4,149 252,237 56,848 195,388 178,117 1,097 757 57,696 118,567 26,577 129,180 7,213 19,134 10,397 8,737 4,191 50,003 494 49,510 212 175 36 137,789 621 10,021 14,917 4,852 69,071 2,948 2,790 158 608 22,032 83,494 780,213 597,689 2,987 33,678 2,807 379,559 122,071 4,170 253,318 57,438 195,880 178,658 1,103 776 57,757 119,022 26,634 129,476 7,230 19,184 10,431 8,753 4,241 50,097 500 49,597 213 177 36 138,080 620 10,034 0.9983 0.9979 0.9976 0.9942 0.9935 1.0000 0.9951 0.9969 0.9978 0.9966 0.9962 1.0017 0.9880 0.9939 0.9966 0.9985 0.9950 0.9957 0.9897 0.9975 0.9970 0.9946 0.9755 0.9989 0.9962 0.9979 0.9977 0.9976 0.9974 0.9967 0.9982 0.9882 0.9981 0.9880 0.9982 0.9953 0.9887 1.0000 0.9979 1.0016 0.9987 14,616 4,652 68,504 2,836 2,672 164 648 20,552 78,889 779,367 598,607 3,251 33,029 2,880 385,723 125,361 3,953 256,408 56,731 199,677 173,725 1,164 837 56,752 114,971 25,651 128,603 7,341 19,165 10,581 8,584 4,044 53,582 2,808 50,774 263 226 38 137,082 636 10,916 14,605 4,686 68,705 2,850 2,680 170 649 20,565 79,003 780,624 599,413 3,234 33,157 2,871 386,324 125,464 4,001 256,859 57,043 199,816 173,827 1,167 847 56,410 115,403 25,734 128,842 7,377 19,258 10,597 8,661 4,118 53,692 2,918 50,774 272 234 38 137,353 639 10,878 1.0008 0.9927 0.9971 0.9951 0.9970 0.9647 0.9985 0.9994 0.9986 0.9984 0.9987 1.0053 0.9961 1.0031 0.9984 0.9992 0.9880 0.9982 0.9945 0.9993 0.9994 0.9974 0.9882 1.0061 0.9963 0.9968 0.9981 0.9951 0.9952 0.9985 0.9911 0.9820 0.9980 0.9623 1.0000 0.9669 0.9658 1.0000 0.9980 0.9953 1.0035 14,481 5,033 70,601 2,981 2,767 214 633 20,507 82,476 804,899 617,527 3,149 32,374 2,867 405,019 133,723 4,233 267,063 58,517 208,545 174,118 1,179 829 57,215 114,895 25,823 133,750 7,846 19,952 11,088 8,864 4,034 56,335 1,721 54,614 285 235 50 141,075 733 12,459 14,470 5,018 70,553 2,976 2,760 216 633 20,483 82,435 804,483 616,828 3,141 32,391 2,872 405,309 133,958 4,252 267,099 58,625 208,474 173,115 1,180 827 56,830 114,278 25,742 134,148 7,836 19,929 11,079 8,850 4,042 56,284 1,722 54,562 284 235 49 141,090 731 12,448 1.0008 1.0030 1.0007 1.0017 1.0025 0.9907 1.0000 1.0012 1.0005 1.0005 1.0011 1.0025 0.9995 0.9983 0.9993 0.9982 0.9955 0.9999 0.9982 1.0003 1.0058 0.9992 1.0024 1.0068 1.0054 1.0031 0.9970 1.0013 1.0012 1.0008 1.0016 0.9980 1.0009 0.9994 1.0010 1.0035 1.0000 1.0204 0.9999 1.0027 1.0009 National Vital Statistics Reports, Vol. 61, No. 6, October 10, 2012 Cause of death (based on the International Classification of Diseases, Tenth Revision, 2008 Edition, 2009) Preliminary number of deaths 2010 Table II. Ratios of preliminary to final reported numbers of deaths from 113 selected causes: United States, 2008–2010—Con. [For explanation of asterisk preceding cause-of-death codes, see Technical Notes] Cause of death (based on the International Classification of Diseases, Tenth Revision, 2008 Edition, 2009) See footnotes at end of table. Final number of deaths 2010 Ratio of preliminary to final 2010 Preliminary number of deaths 2009 Final number of deaths 2009 Ratio of preliminary to final 2009 Preliminary number of deaths 2008 Final number of deaths 2008 Ratio of preliminary to final 2008 3,355 123,792 850 17,001 31,144 2,956 415 1,830 31,802 15,950 15,852 3,335 50,472 203 3,404 124,022 845 17,011 31,187 2,977 415 1,832 31,903 15,990 15,913 3,332 50,476 203 0.9856 0.9981 1.0059 0.9994 0.9986 0.9929 1.0000 0.9989 0.9968 0.9975 0.9962 1.0009 0.9999 1.0000 3,345 122,185 843 15,928 30,655 2,937 428 1,821 30,444 15,107 15,338 3,286 48,714 163 3,388 122,448 841 15,948 30,530 2,956 426 1,801 30,558 15,183 15,375 3,300 48,935 159 0.9873 0.9979 1.0024 0.9987 1.0041 0.9936 1.0047 1.0111 0.9963 0.9950 0.9976 0.9958 0.9955 1.0252 3,395 124,489 905 16,622 30,000 3,070 420 1,682 29,963 14,859 15,104 3,425 48,283 165 3,397 124,514 908 16,608 29,925 3,073 418 1,674 29,963 14,864 15,099 3,417 48,237 160 0.9994 0.9998 0.9967 1.0008 1.0025 0.9990 1.0048 1.0048 1.0000 0.9997 1.0003 1.0023 1.0010 1.0313 5,863 44,388 17 602 487 136 824 40 784 12,053 9,587 5,894 44,362 17 608 489 137 825 37 788 12,128 9,673 0.9947 1.0006 1.0000 0.9901 0.9959 0.9927 0.9988 1.0811 0.9949 0.9938 0.9911 4,897 43,628 25 602 438 138 873 34 839 13,114 9,927 4,909 43,840 27 604 446 134 960 34 926 13,116 9,883 0.9976 0.9952 0.9259 0.9967 0.9821 1.0299 0.9094 1.0000 0.9060 0.9998 1.0045 4,120 43,965 33 629 504 133 774 34 739 13,889 10,284 4,109 43,935 33 627 502 136 795 34 761 13,933 10,288 1.0027 1.0007 1.0000 1.0032 1.0040 0.9779 0.9736 1.0000 0.9711 0.9968 0.9996 45,383 269,028 118,043 37,661 38,360 269,844 120,859 37,961 1.1831 0.9970 0.9767 0.9921 43,076 252,241 117,176 39,057 39,829 252,818 118,021 39,031 1.0815 0.9977 0.9928 1.0007 38,455 252,706 121,207 42,742 38,522 252,490 121,902 42,709 0.9983 1.0009 0.9943 1.0008 35,080 35,332 0.9929 36,284 36,216 1.0019 39,831 39,790 1.0010 1,017 1,029 0.9883 991 1,033 0.9593 1,146 1,140 1.0053 1,564 80,382 25,903 600 3,696 2,737 30,781 1,600 82,898 26,009 606 3,782 2,782 33,041 0.9775 0.9696 0.9959 0.9901 0.9773 0.9838 0.9316 1,782 78,118 24,834 588 3,539 2,751 30,504 1,782 78,990 24,792 554 3,517 2,756 31,758 1.0000 0.9890 1.0017 1.0614 1.0063 0.9982 0.9605 1,765 78,465 24,062 587 3,549 2,907 30,306 1,779 79,193 24,013 592 3,548 2,912 31,116 0.9921 0.9908 1.0020 0.9916 1.0003 0.9983 0.9740 National Vital Statistics Reports, Vol. 61, No. 6, October 10, 2012 Asthma. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (J45–J46) Other chronic lower respiratory diseases . . . . . . . . . . . . . . . . . . . . . . . . (J44,J47) Pneumoconioses and chemical effects. . . . . . . . . . . . . . . . . . . . . . . . (J60–J66,J68) Pneumonitis due to solids and liquids . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (J69) Other diseases of respiratory system . . . . . . . . . . . . . (J00–J06,J30–J39,J67,J70–J98) Peptic ulcer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (K25–K28) Diseases of appendix. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .(K35–K38)8 Hernia. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (K40–K46) Chronic liver disease and cirrhosis . . . . . . . . . . . . . . . . . . . . . . . . . (K70,K73–K74) Alcoholic liver disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (K70) Other chronic liver disease and cirrhosis . . . . . . . . . . . . . . . . . . . . . . . (K73–K74) Cholelithiasis and other disorders of gallbladder . . . . . . . . . . . . . . . . . . . . (K80–K82) Nephritis, nephrotic syndrome and nephrosis . . . . . . . . . .(N00–N07,N17–N19,N25–N27)9 Acute and rapidly progressive nephritic and nephrotic syndrome . . . . . . (N00–N01,N04) Chronic glomerulonephritis, nephrosis and nephropathy not specified as acute or chronic, and renal sclerosis unspecified . . . . . . . . . . . . . . . . . . . (N02–N03,N05–N07,N26) Renal failure. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (N17–N19)9 Other disorders of kidney . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (N25,N27) Infections of kidney . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (N10–N12,N13.6,N15.1) Hyperplasia of prostate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (N40) Inflammatory diseases of female pelvic organs . . . . . . . . . . . . . . . . . . . . . (N70–N76) Pregnancy, childbirth and the puerperium . . . . . . . . . . . . . . . . . . . . . . . (O00–O99)10 Pregnancy with abortive outcome . . . . . . . . . . . . . . . . . . . . . . . . . . . (O00–O07) Other complications of pregnancy, childbirth and the puerperium . . . . . . . . (O10–O99)10 Certain conditions originating in the perinatal period. . . . . . . . . . . . . . . . . . (P00–P96) Congenital malformations, deformations and chromosomal abnormalities. . . . . . (Q00–Q99) Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (R00–R99) All other diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (residual) Accidents (unintentional injuries) . . . . . . . . . . . . . . . . . . . . . . . (V01–X59,Y85–Y86) Transport accidents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (V01–V99,Y85) Motor vehicle accidents. . . . . . . . . . . (V02–V04,V09.0,V09.2,V12–V14,V19.0–V19.2, V19.4–V19.6,V20–V79,V80.3–V80.5,V81.0–V81.1,V82.0–V82.1,V83–V86, V87.0–V87.8,V88.0–V88.8,V89.0,V89.2) Other land transport accidents. . . . . . . . (V01,V05–V06,V09.1,V09.3–V09.9,V10–V11, V15–V18,V19.3,V19.8–V19.9,V80.0–V80.2,V80.6–V80.9, V81.2–V81.9,V82.2–V82.9,V87.9,V88.9,V89.1,V89.3,V89.9) Water, air and space, and other and unspecified transport accidents and their sequelae. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (V90–V99,Y85) Nontransport accidents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (W00–X59,Y86)11 Falls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (W00–W19) Accidental discharge of firearms. . . . . . . . . . . . . . . . . . . . . . . . . . (W32–W34) Accidental drowning and submersion . . . . . . . . . . . . . . . . . . . . . . . (W65–W74) Accidental exposure to smoke, fire and flames . . . . . . . . . . . . . . . . . . (X00–X09) Accidental poisoning and exposure to noxious substances . . . . . . . . . . . (X40–X49) Preliminary number of deaths 2010 41 42 Table II. Ratios of preliminary to final reported numbers of deaths from 113 selected causes: United States, 2008–2010—Con. [For explanation of asterisk preceding cause-of-death codes, see Technical Notes] Other and unspecified nontransport accidents and their sequelae. . . . . . . . . . . (W20–W31,W35–W64,W75–W99,X10–X39,X50–X59,Y86)11 Intentional self-harm (suicide) . . . . . . . . . . . . . . . . . . . . . . . . (*U03,X60–X84,Y87.0) Intentional self-harm (suicide) by discharge of firearms. . . . . . . . . . . . . . . (X72–X74) Intentional self-harm (suicide) by other and unspecified means and their sequelae . . . . . . . . . . . . . . . . . . . . . . . . . . . . (*U03,X60–X71,X75–X84,Y87.0) Assault (homicide). . . . . . . . . . . . . . . . . . . . . . . . . . . (*U01–*U02,X85–Y09,Y87.1) Assault (homicide) by discharge of firearms . . . . . . . . . . . . . . . . . (*U01.4,X93–X95) Assault (homicide) by other and unspecified means and their sequelae . . . . . . . . . . (*U01.0–*U01.3,*U01.5–*U01.9,*U02,X85–X92,X96–Y09,Y87.1) Legal intervention . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Y35,Y89.0) Events of undetermined intent. . . . . . . . . . . . . . . . . . . . . . . (Y10–Y34,Y87.2,Y89.9) Discharge of firearms, undetermined intent. . . . . . . . . . . . . . . . . . . . . . (Y22–Y24) Other and unspecified events of undetermined intent and their sequelae . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Y10–Y21,Y25–Y34,Y87.2,Y89.9) Operations of war and their sequelae . . . . . . . . . . . . . . . . . . . . . . . . . (Y36,Y89.1) Complications of medical and surgical care . . . . . . . . . . . . . . . . . . . . (Y40–Y84,Y88) Final number of deaths 2010 Ratio of preliminary to final 2010 Preliminary number of deaths 2009 Final number of deaths 2009 Ratio of preliminary to final 2009 Preliminary number of deaths 2008 Final number of deaths 2008 Ratio of preliminary to final 2008 16,664 37,793 19,308 16,678 38,364 19,392 0.9992 0.9851 0.9957 15,902 36,547 18,689 15,613 36,909 18,735 1.0185 0.9902 0.9975 17,054 35,933 18,251 17,012 36,035 18,223 1.0025 0.9972 1.0015 18,485 16,065 11,015 18,972 16,259 11,078 0.9743 0.9881 0.9943 17,859 16,591 11,406 18,174 16,799 11,493 0.9827 0.9876 0.9924 17,681 17,837 12,209 17,812 17,826 12,179 0.9926 1.0006 1.0025 5,050 409 4,629 246 5,181 412 4,908 252 0.9747 0.9927 0.9432 0.9762 5,185 372 4,730 230 5,306 395 5,005 232 0.9772 0.9418 0.9451 0.9914 5,628 380 4,979 276 5,647 381 5,051 273 0.9966 0.9974 0.9857 1.0110 4,383 9 2,475 4,656 9 2,490 0.9414 1.0000 0.9940 4,500 25 2,550 4,773 25 2,616 0.9428 1.0000 0.9748 4,703 31 2,602 4,778 31 2,590 0.9843 1.0000 1.0046 – Quantity zero. . . . Category not applicable. 1 Expanded ICD–10 code A09 (Diarrhea and gastroenteritis of infectious origin) was added to the category in 2009; see Technical Notes. 2 New ICD–code B17.9 (Acute viral hepatitis, unspecified) was added to the category in 2011; see Technical Notes. 3 New ICD–10 code G21.4 (Vascular parkinsonism) was added to the category in 2011; see Technical Notes. 4 New ICD–10 code I72.5 (Aneurysm and dissection of other precerebral arteres) was added to the category in 2011; see Technical Notes. 5 Expanded ICD–10 code J09 (Influenza due to certain identified influenza virus) was added to the category in 2009; see Technical Notes. 6 New ICD–10 code J12.3 (Human metapneumovirus pneumonia) was added to the category in 2011; see Technical Notes. 7 New ICD–10 code J21.1 (Acute brochiolitis due to human metapneumovirus) was added to the category in 2011; see Technical Notes. 8 New subcategories replaced previous ones for K35 (Acute appendicitis) in 2011; see Technical Notes. 9 New subcategories replaced previous ones for N18 (Chronic kidney disease) in 2011; see Technical Notes. 10 New ICD–10 codes O14.2 (HELLP syndrome) and O43.2 (Morbidly adherent placenta) were added to the category, and new ICD–10 subcategories were introduced for the existing O96 (Death from any obstetric cause occurring during pregnancy but less than one year after delivery) and O97 (Death from sequelae of direct obstetric causes); see Technical Notes. 11 New ICD–10 subcategories were introduced for the existing X34 (Victim of earthquake); see Technical Notes. SOURCE: CDC/NCHS, National Vital Statistics System. National Vital Statistics Reports, Vol. 61, No. 6, October 10, 2012 Cause of death (based on the International Classification of Diseases, Tenth Revision, 2008 Edition, 2009) Preliminary number of deaths 2010 Table III. Ratios of preliminary to final reported numbers of deaths from 130 selected causes of infant death: United States, 2008–2010 [For explanation of asterisks preceding cause-of-death codes, see Technical Notes] Cause of death (based on the International Classification of Diseases, Tenth Revision, 2008 Edition, 2009) Preliminary number of deaths 2010 Final number of deaths 2010 All causes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24,548 707 5 318 1 – 1 25 11 224 2 – 92 – – – – – 92 5 – – See footnotes at end of table. Preliminary number of deaths 2009 Final number of deaths 2009 Ratio of preliminary to final 2009 Preliminary number of deaths 2008 Final number of deaths 2008 24,586 0.9985 26,526 696 7 316 – – – 25 11 215 2 – 92 – – – – – 92 6 – – 1.0158 0.7143 1.0063 ... ... ... 1.0000 1.0000 1.0419 1.0000 ... 1.0000 ... ... ... ... ... 1.0000 0.8333 ... ... 735 11 328 1 – – 15 10 234 – – 98 – – – 1 – 97 8 1 – 22 110 62 2 25 35 22 110 62 2 25 35 1.0000 1.0000 1.0000 1.0000 1.0000 1.0000 49 48 99 19 Ratio of preliminary to final 2008 26,412 1.0043 28,029 28,059 0.9989 730 11 331 1 – – 15 11 221 – – 99 – – – 1 – 98 11 1 – 1.0068 1.0000 0.9909 1.0000 ... ... 1.0000 0.9091 1.0588 ... ... 0.9899 ... ... ... 1.0000 ... 0.9898 0.7273 1.0000 ... 485 12 – – – – 18 9 293 – – 102 – – – – – 102 7 – 3 478 12 – – – – 18 9 289 – – 102 – – – – – 102 7 – 3 1.0146 1.0000 ... ... ... ... 1.0000 1.0000 1.0138 ... ... 1.0000 ... ... ... ... ... 1.0000 1.0000 ... 1.0000 27 148 87 – 28 60 29 136 74 – 27 47 0.9310 1.0882 1.1757 ... 1.0370 1.2766 40 128 68 1 27 39 38 131 70 1 27 42 1.0526 0.9771 0.9714 1.0000 1.0000 0.9286 1.0208 61 62 0.9839 60 61 0.9836 95 15 1.0421 1.2667 89 12 92 13 0.9674 0.9231 81 15 80 15 1.0125 1.0000 60 20 186 2 2 5 49 60 20 188 2 3 5 48 1.0000 1.0000 0.9894 1.0000 0.6667 1.0000 1.0208 62 14 209 3 3 7 45 64 15 196 2 3 7 46 0.9688 0.9333 1.0663 1.5000 1.0000 1.0000 0.9783 56 9 247 9 9 4 80 56 9 248 9 10 4 78 1.0000 1.0000 0.9960 1.0000 0.9000 1.0000 1.0256 128 338 130 345 0.9846 0.9797 151 340 138 354 1.0942 0.9605 145 414 147 415 0.9864 0.9976 National Vital Statistics Reports, Vol. 61, No. 6, October 10, 2012 Certain infectious and parasitic diseases . . . . . . . . . . . . . . . . . . . . . . . (A00–B99)1,2 Certain intestinal infectious diseases . . . . . . . . . . . . . . . . . . . . . . . . . (A00–A08) Diarrhea and gastroenteritis of infectious origin . . . . . . . . . . . . . . . . . . . . . .(A09)1 Tuberculosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (A16–A19) Tetanus. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (A33,A35) Diphtheria . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (A36) Whooping cough . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (A37) Meningococcal infection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (A39) Septicemia. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (A40–A41) Congenital syphilis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (A50) Gonococcal infection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (A54) Viral diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .(A80–B34)2 Acute poliomyelitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (A80) Varicella (chickenpox) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (B01) Measles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (B05) Human immunodeficiency virus (HIV) disease . . . . . . . . . . . . . . . . . . (B20–B24) Mumps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (B26) Other and unspecified viral diseases . . . .(A81–B00,B02–B04,B06–B19,B25,B27–B34)2 Candidiasis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (B37) Malaria . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (B50–B54) Pneumocystosis. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (B59) All other and unspecified infectious and parasitic diseases . . . . . . . . . (A20–A32,A38, A42–A49,A51–A53,A55–A79,B35–B36,B38–B49,B55–B58,B60–B99) Neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (C00–D48) Malignant neoplasms. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (C00–C97) Hodgkin’s disease and non-Hodgkin’s lymphomas . . . . . . . . . . . . . . . . (C81–C85) Leukemia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (C91–C95) Other and unspecified malignant neoplasms . . . . . . . (C00–C80,C88–C90,C96–C97) In situ neoplasms, benign neoplasms and neoplasms of uncertain or unknown behavior . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (D00–D48) Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (D50–D89) Anemias . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (D50–D64) Hemorrhagic conditions and other diseases of blood and blood-forming organs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (D65–D76) Certain disorders involving the immune mechanism. . . . . . . . . . . . . . . . . (D80–D89) Endocrine, nutritional and metabolic diseases . . . . . . . . . . . . . . . . . . . . . (E00–E88) Short stature, not elsewhere classified . . . . . . . . . . . . . . . . . . . . . . . . . . (E34.3) Nutritional deficiencies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (E40–E64) Cystic fibrosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (E84) Volume depletion, disorders of fluid, electrolyte and acid-base balance . . . . . (E86–E87) All other endocrine, nutritional and metabolic diseases . . . . . . . (E00–E32,E34.0–E34.2, E34.4–E34.9,E65–E83,E85,E88) Diseases of the nervous system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (G00–G98) Ratio of preliminary to final 2010 43 44 Table III. Ratios of preliminary to final reported numbers of deaths from 130 selected causes of infant death: United States, 2008–2010—Con. [For explanation of asterisks preceding cause-of-death codes, see Technical Notes] Meningitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (G00,G03) Infantile spinal muscular atrophy, type I (Werdnig-Hoffman) . . . . . . . . . . . . . . (G12.0) Infantile cerebral palsy. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (G80) Anoxic brain damage, not elsewhere classified . . . . . . . . . . . . . . . . . . . . . (G93.1) Other diseases of nervous system. . . . . . . . . . (G04,G06–G11,G12.1–G12.9,G20–G72, G81–G92,G93.0,G93.2–G93.9,G95–G98)3 Diseases of the ear and mastoid process . . . . . . . . . . . . . . . . . . . . . . . . (H60–H93) Diseases of the circulatory system . . . . . . . . . . . . . . . . . . . . . . . . . . . . .(I00–I99)4 Pulmonary heart disease and diseases of pulmonary circulation . . . . . . . . . . (I26–I28) Pericarditis, endocarditis and myocarditis . . . . . . . . . . . . . . . . . . . . . . (I30,I33,I40) Cardiomyopathy. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .(I42) Cardiac arrest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (I46) Cerebrovascular diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (I60–I69) All other diseases of circulatory system. . . (I00–I25,I31,I34–I38,I44–I45,I47–I51,I70–I99)4 Diseases of the respiratory system . . . . . . . . . . . . . . . . . . . . . . . .(J00–J98,U04)5,6,7 Acute upper respiratory infections . . . . . . . . . . . . . . . . . . . . . . . . . . . .(J00–J06) Influenza and pneumonia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (J09–J18)5,6 Influenza . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (J09–J11)5 Pneumonia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (J12–J18)6 Acute bronchitis and acute bronchiolitis . . . . . . . . . . . . . . . . . . . . . . . . (J20–J21)7 Bronchitis, chronic and unspecified . . . . . . . . . . . . . . . . . . . . . . . . . . .(J40–J42) Asthma. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .(J45–J46) Pneumonitis due to solids and liquids . . . . . . . . . . . . . . . . . . . . . . . . . . . . (J69) Other and unspecified diseases of respiratory system . . . . . . . . . . . . . (J22,J30–J39, J43–J44,J47–J68,J70–J98,U04) Diseases of the digestive system . . . . . . . . . . . . . . . . . . . . . . . . . . . . .(K00–K92)8 Gastritis, duodenitis, and noninfective enteritis and colitis . . . . . . . . . . (K29,K50–K55) Hernia of abdominal cavity and intestinal obstruction without hernia . . . . (K40–K46,K56) All other and unspecified diseases of digestive system. . . (K00–K28,K30–K38,K57–K92)8 Diseases of the genitourinary system . . . . . . . . . . . . . . . . . . . . . . . . . (N00–N98)9 Renal failure and other disorders of kidney . . . . . . . . . . . . . . . (N17–N19,N25,N27)9 Other and unspecified diseases of genitourinary system . . . . . . . . (N00–N15,N20–N23, N26,N28–N98) Certain conditions originating in the perinatal period. . . . . . . . . . . . . . . . . . (P00–P96) Newborn affected by maternal factors and by complications of pregnancy, labor and delivery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (P00–P04) Newborn affected by maternal hypertensive disorders . . . . . . . . . . . . . . . . (P00.0) Newborn affected by other maternal conditions which may be unrelated to present pregnancy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (P00.1–P00.9) Newborn affected by maternal complications of pregnancy . . . . . . . . . . . . . . (P01) Newborn affected by incompetent cervix . . . . . . . . . . . . . . . . . . . . . . (P01.0) Newborn affected by premature rupture of membranes . . . . . . . . . . . . . . (P01.1) Newborn affected by multiple pregnancy . . . . . . . . . . . . . . . . . . . . . . (P01.5) Newborn affected by other maternal complications of pregnancy . . . . . . . . . . . . . . . . . . . . . . . . . . . (P01.2–P01.4,P01.6–P01.9) See footnotes at end of table. Final number of deaths 2010 Ratio of preliminary to final 2010 Preliminary number of deaths 2009 Final number of deaths 2009 Ratio of preliminary to final 2009 Preliminary number of deaths 2008 Final number of deaths 2008 Ratio of preliminary to final 2008 59 4 3 36 58 4 3 39 1.0172 1.0000 1.0000 0.9231 59 13 7 38 62 13 8 38 0.9516 1.0000 0.8750 1.0000 67 5 8 51 68 5 8 56 0.9853 1.0000 1.0000 0.9107 236 3 499 88 12 77 18 130 174 564 13 188 16 171 27 23 6 18 241 3 507 90 14 79 18 130 176 574 15 195 16 179 27 25 6 18 0.9793 1.0000 0.9842 0.9778 0.8571 0.9747 1.0000 1.0000 0.9886 0.9826 0.8667 0.9641 1.0000 0.9553 1.0000 0.9200 1.0000 1.0000 223 2 565 105 16 110 27 129 177 584 10 238 28 210 46 13 4 6 233 2 581 112 15 111 28 147 168 595 12 251 43 208 46 13 6 7 0.9571 1.0000 0.9725 0.9375 1.0667 0.9910 0.9643 0.8776 1.0536 0.9815 0.8333 0.9482 0.6512 1.0096 1.0000 1.0000 0.6667 0.8571 283 6 590 88 19 114 25 144 201 578 12 225 16 208 43 22 6 10 278 6 594 88 18 115 25 141 207 578 12 226 16 210 43 23 6 11 1.0180 1.0000 0.9933 1.0000 1.0556 0.9913 1.0000 1.0213 0.9710 1.0000 1.0000 0.9956 1.0000 0.9905 1.0000 0.9565 1.0000 0.9091 289 201 28 50 122 126 98 288 204 29 51 124 126 100 1.0035 0.9853 0.9655 0.9804 0.9839 1.0000 0.9800 267 229 33 50 147 124 103 260 220 31 49 140 127 105 1.0269 1.0409 1.0645 1.0204 1.0500 0.9764 0.9810 260 578 355 47 175 172 140 257 579 354 46 179 169 139 1.0117 0.9983 1.0028 1.0217 0.9777 1.0178 1.0072 28 11,924 26 12,008 1.0769 0.9930 21 12,981 22 12,999 0.9545 0.9986 32 13,738 30 13,800 1.0667 0.9955 2,909 83 2,920 85 0.9962 0.9765 2,914 82 2,980 83 0.9779 0.9880 3,153 84 3,168 85 0.9953 0.9882 87 1,555 430 776 164 87 1,561 431 781 163 1.0000 0.9962 0.9977 0.9936 1.0061 90 1,586 423 778 198 94 1,608 430 774 206 0.9574 0.9863 0.9837 1.0052 0.9612 89 1,764 447 840 257 88 1,765 446 841 257 1.0114 0.9994 1.0022 0.9988 1.0000 186 186 1.0000 187 198 0.9444 220 221 0.9955 National Vital Statistics Reports, Vol. 61, No. 6, October 10, 2012 Cause of death (based on the International Classification of Diseases, Tenth Revision, 2008 Edition, 2009) Preliminary number of deaths 2010 Table III. Ratios of preliminary to final reported numbers of deaths from 130 selected causes of infant death: United States, 2008–2010—Con. [For explanation of asterisks preceding cause-of-death codes, see Technical Notes] Cause of death (based on the International Classification of Diseases, Tenth Revision, 2008 Edition, 2009) See footnotes at end of table. Final number of deaths 2010 Ratio of preliminary to final 2010 Preliminary number of deaths 2009 Final number of deaths 2009 Ratio of preliminary to final 2009 Preliminary number of deaths 2008 Final number of deaths 2008 Ratio of preliminary to final 2008 1,030 491 39 498 1,030 492 39 497 1.0000 0.9980 1.0000 1.0020 1,022 498 40 483 1,064 522 41 500 0.9605 0.9540 0.9756 0.9660 1,073 531 55 486 1,080 539 55 485 0.9935 0.9852 1.0000 1.0021 2 108 45 4,215 85 2 110 47 4,233 85 1.0000 0.9818 0.9574 0.9957 1.0000 1 109 26 4,568 106 1 98 33 4,625 87 1.0000 1.1122 0.7879 0.9877 1.2184 1 95 48 4,816 83 1 99 51 4,836 82 1.0000 0.9596 0.9412 0.9959 1.0122 4,130 3,158 972 – 19 311 134 177 496 802 70 49 4,148 3,176 972 – 19 314 136 178 514 812 71 51 0.9957 0.9943 1.0000 ... 1.0000 0.9904 0.9853 0.9944 0.9650 0.9877 0.9859 0.9608 4,463 3,399 1,064 – 17 342 139 203 587 964 101 40 4,538 3,467 1,071 – 16 316 119 197 595 956 95 44 0.9835 0.9804 0.9935 ... 1.0625 1.0823 1.1681 1.0305 0.9866 1.0084 1.0632 0.9091 4,733 3,636 1,097 – 18 382 144 238 625 1,102 74 58 4,754 3,645 1,109 – 18 385 143 242 630 1,099 73 58 0.9956 0.9975 0.9892 ... 1.0000 0.9922 1.0070 0.9835 0.9921 1.0027 1.0137 1.0000 104 166 107 249 56 733 569 1 163 555 467 1 106 167 106 248 63 745 583 1 161 556 469 1 0.9811 0.9940 1.0094 1.0040 0.8889 0.9839 0.9760 1.0000 1.0124 0.9982 0.9957 1.0000 113 162 180 297 72 858 682 4 172 644 537 1 113 159 183 283 79 832 652 4 176 624 517 1 1.0000 1.0189 0.9836 1.0495 0.9114 1.0313 1.0460 1.0000 0.9773 1.0321 1.0387 1.0000 121 199 239 334 77 896 696 2 198 642 551 2 122 196 237 334 79 903 700 2 201 648 556 2 0.9918 1.0153 1.0084 1.0000 0.9747 0.9922 0.9943 1.0000 0.9851 0.9907 0.9910 1.0000 7 79 3 470 149 1,263 5,077 295 7 79 3 472 150 1,270 5,107 293 1.0000 1.0000 1.0000 0.9958 0.9933 0.9945 0.9941 1.0068 14 91 11 505 185 1,385 5,358 318 15 91 11 484 193 1,367 5,319 324 0.9333 1.0000 1.0000 1.0434 0.9585 1.0132 1.0073 0.9815 10 78 11 547 170 1,375 5,647 340 10 80 11 549 169 1,384 5,638 338 1.0000 0.9750 1.0000 0.9964 1.0059 0.9935 1.0016 1.0059 National Vital Statistics Reports, Vol. 61, No. 6, October 10, 2012 Newborn affected by complications of placenta, cord and membranes. . . . . . . . . (P02) Newborn affected by complications involving placenta . . . . . . . . . . . . (P02.0–P02.3) Newborn affected by complications involving cord . . . . . . . . . . . . . . (P02.4–P02.6) Newborn affected by chorioamnionitis . . . . . . . . . . . . . . . . . . . . . . . . . (P02.7) Newborn affected by other and unspecified abnormalities of membranes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (P02.8–P02.9) Newborn affected by other complications of labor and delivery . . . . . . . . . . . . . (P03) Newborn affected by noxious influences transmitted via placenta or breast milk . . . (P04) Disorders related to length of gestation and fetal malnutrition . . . . . . . . . . . (P05–P08) Slow fetal growth and fetal malnutrition . . . . . . . . . . . . . . . . . . . . . . . . . (P05) Disorders related to short gestation and low birth weight, not elsewhere classified . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (P07) Extremely low birth weight or extreme immaturity . . . . . . . . . . . . . (P07.0,P07.2) Other low birth weight or preterm . . . . . . . . . . . . . . . . . . . . . . (P07.1,P07.3) Disorders related to long gestation and high birth weight . . . . . . . . . . . . . . . (P08) Birth trauma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (P10–P15) Intrauterine hypoxia and birth asphyxia . . . . . . . . . . . . . . . . . . . . . . . . (P20–P21) Intrauterine hypoxia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (P20) Birth asphyxia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (P21) Respiratory distress of newborn . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (P22) Other respiratory conditions originating in the perinatal period . . . . . . . . . . (P23–P28) Congenital pneumonia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (P23) Neonatal aspiration syndromes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (P24) Interstitial emphysema and related conditions originating in the perinatal period . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (P25) Pulmonary hemorrhage originating in the perinatal period. . . . . . . . . . . . . . . (P26) Chronic respiratory disease originating in the perinatal period . . . . . . . . . . . . (P27) Atelectasis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (P28.0–P28.1) All other respiratory conditions originating in the perinatal period . . . . . (P28.2–P28.9) Infections specific to the perinatal period . . . . . . . . . . . . . . . . . . . . . . . (P35–P39) Bacterial sepsis of newborn . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (P36) Omphalitis of newborn with or without mild hemorrhage. . . . . . . . . . . . . . . . (P38) All other infections specific to the perinatal period . . . . . . . . . . . . . . (P35,P37,P39) Hemorrhagic and hematological disorders of newborn . . . . . . . . . . . . . . . (P50–P61) Neonatal hemorrhage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (P50–P52,P54) Hemorrhagic disease of newborn . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (P53) Hemolytic disease of newborn due to isoimmunization and other perinatal jaundice . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (P55–P59) Hematological disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (P60–P61) Syndrome of infant of a diabetic mother and neonatal diabetes mellitus . . (P70.0–P70.2) Necrotizing enterocolitis of newborn . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (P77) Hydrops fetalis not due to hemolytic disease . . . . . . . . . . . . . . . . . . . . . . (P83.2) Other perinatal conditions . . . . . . . . (P29,P70.3–P76,P78–P81,P83.0–P83.1,P83.3–P96) Congenital malformations, deformations and chromosomal abnormalities. . . . . . (Q00–Q99) Anencephaly and similar malformations . . . . . . . . . . . . . . . . . . . . . . . . . . . (Q00) Preliminary number of deaths 2010 45 46 Table III. Ratios of preliminary to final reported numbers of deaths from 130 selected causes of infant death: United States, 2008–2010—Con. [For explanation of asterisks preceding cause-of-death codes, see Technical Notes] Congenital hydrocephalus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Q03) Spina bifida . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Q05) Other congenital malformations of nervous system . . . . . . . . (Q01–Q02,Q04,Q06–Q07) Congenital malformations of heart . . . . . . . . . . . . . . . . . . . . . . . . . . . (Q20–Q24) Other congenital malformations of circulatory system . . . . . . . . . . . . . . . . (Q25–Q28) Congenital malformations of respiratory system . . . . . . . . . . . . . . . . . . . (Q30–Q34) Congenital malformations of digestive system . . . . . . . . . . . . . . . . . . . . (Q35–Q45) Congenital malformations of genitourinary system. . . . . . . . . . . . . . . . . . (Q50–Q64) Congenital malformations and deformations of musculoskeletal system, limbs and integument . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Q65–Q85) Down’s syndrome. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Q90) Edward’s syndrome . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .(Q91.0–Q91.3) Patau’s syndrome . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .(Q91.4–Q91.7) Other congenital malformations and deformations . . . . . . . . . . . . (Q10–Q18,Q86–Q89) Other chromosomal abnormalities, not elsewhere classified . . . . . . . . . . . . (Q92–Q99) Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (R00–R99) Sudden infant death syndrome . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (R95) Other symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified . . . . . . . . . . . . . . . . . . . . (R00–R53,R55–R94,R96–R99) All other diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (residual) External causes of mortality . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (*U01,V01–Y84) Accidents (unintentional injuries) . . . . . . . . . . . . . . . . . . . . . . . . . . . (V01–X59)10 Transport accidents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (V01–V99) Motor vehicle accidents . . . . . . . . . . . . . . . . . (V02–V04,V09.0,V09.2,V12–V14, V19.0–V19.2,V19.4–V19.6,V20–V79,V80.3–V80.5,V81.0–V81.1, V82.0–V82.1,V83–V86,V87.0–V87.8,V88.0–V88.8,V89.0,V89.2) Other and unspecified transport accidents . . . . . . . . . . . . .(V01,V05–V06,V09.1, V09.3–V09.9,V10–V11,V15–V18,V19.3,V19.8–V19.9,V80.0–V80.2,V80.6–V80.9, V81.2–V81.9,V82.2–V82.9,V87.9,V88.9,V89.1,V89.3,V89.9,V90–V99) Falls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (W00–W19) Accidental discharge of firearms. . . . . . . . . . . . . . . . . . . . . . . . . . (W32–W34) Accidental drowning and submersion . . . . . . . . . . . . . . . . . . . . . . . (W65–W74) Accidental suffocation and strangulation in bed . . . . . . . . . . . . . . . . . . . . . (W75) Other accidental suffocation and strangulation . . . . . . . . . . . (W76–W77,W81–W84) Accidental inhalation and ingestion of food or other objects causing obstruction of respiratory tract . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (W78–W80) Accidents caused by exposure to smoke, fire and flames. . . . . . . . . . . . (X00–X09) Accidental poisoning and exposure to noxious substances . . . . . . . . . . . (X40–X49) Other and unspecified accidents . . . . . . . . . . . . . . . . . . . . . . . . . (W20–W31, W35–W64,W85–W99,X10–X39,X50–X59)10 See footnotes at end of table. Final number of deaths 2010 Ratio of preliminary to final 2010 Preliminary number of deaths 2009 Final number of deaths 2009 Ratio of preliminary to final 2009 Preliminary number of deaths 2008 Final number of deaths 2008 Ratio of preliminary to final 2008 105 14 320 1,131 175 395 88 454 105 15 318 1,148 176 399 88 457 1.0000 0.9333 1.0063 0.9852 0.9943 0.9900 1.0000 0.9934 114 21 321 1,232 181 387 66 488 105 23 328 1,226 187 390 67 500 1.0857 0.9130 0.9787 1.0049 0.9679 0.9923 0.9851 0.9760 104 22 356 1,307 219 378 85 516 106 23 355 1,305 222 371 83 515 0.9811 0.9565 1.0028 1.0015 0.9865 1.0189 1.0241 1.0019 573 85 470 245 537 191 577 85 470 244 542 190 0.9931 1.0000 1.0000 1.0041 0.9908 1.0053 583 80 530 247 575 214 545 86 499 250 592 197 1.0697 0.9302 1.0621 0.9880 0.9713 1.0863 665 87 556 278 535 200 664 88 554 275 538 201 1.0015 0.9886 1.0036 1.0109 0.9944 0.9950 3,243 1,890 3,052 2,063 1.0626 0.9161 3,510 2,168 3,420 2,226 1.0263 0.9739 3,582 2,292 3,546 2,353 1.0102 0.9741 1,353 22 1,448 1,043 80 989 20 1,551 1110 81 1.3680 1.1000 0.9336 0.9396 0.9877 1,342 31 1,620 1,158 108 1,194 14 1,627 1181 97 1.1240 2.2143 0.9957 0.9805 1.1134 1,290 34 1,750 1,299 105 1,193 24 1,773 1,315 104 1.0813 1.4167 0.9870 0.9878 1.0096 78 79 0.9873 106 95 1.1158 104 103 1.0097 2 11 – 36 586 206 2 10 – 39 629 218 1.0000 1.1000 ... 0.9231 0.9316 0.9450 2 28 – 41 638 192 2 19 1 45 665 188 1.0000 1.4737 ... 0.9111 0.9594 1.0213 1 19 – 37 730 249 1 13 – 41 736 260 1.0000 1.4615 ... 0.9024 0.9918 0.9577 53 20 6 58 21 6 0.9138 0.9524 1.0000 51 24 12 54 24 22 0.9444 1.0000 0.5455 60 19 11 62 20 11 0.9677 0.9500 1.0000 44 48 0.9167 64 66 0.9697 67 68 0.9853 National Vital Statistics Reports, Vol. 61, No. 6, October 10, 2012 Cause of death (based on the International Classification of Diseases, Tenth Revision, 2008 Edition, 2009) Preliminary number of deaths 2010 Table III. Ratios of preliminary to final reported numbers of deaths from 130 selected causes of infant death: United States, 2008–2010—Con. [For explanation of asterisks preceding cause-of-death codes, see Technical Notes] Cause of death (based on the International Classification of Diseases, Tenth Revision, 2008 Edition, 2009) Assault (homicide) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (*U01,X85–Y09) Assault (homicide) by hanging, strangulation and suffocation. . . . . . . . . . . . . (X91) Assault (homicide) by discharge of firearms . . . . . . . . . . . . . . . . (*U01.4,X93–X95) Neglect, abandonment and other maltreatment syndromes . . . . . . . . . . . (Y06–Y07) Assault (homicide) by other and unspecified means . . . . . . . . . . . . (*U01.0–*U01.3, *U01.5–*U01.9,X85–X90,X92,X96–X99,Y00–Y05,Y08–Y09) Complications of medical and surgical care . . . . . . . . . . . . . . . . . . . . . . . (Y40–Y84) Other external causes and their sequelae . . . . . . . . . . . . . . . . . . . . . . . . (Y10–Y36) Preliminary number of deaths 2010 Final number of deaths 2010 Ratio of preliminary to final 2010 Preliminary number of deaths 2009 Final number of deaths 2009 Ratio of preliminary to final 2009 Preliminary number of deaths 2008 Final number of deaths 2008 Ratio of preliminary to final 2008 291 14 11 85 311 15 11 82 0.9357 0.9333 1.0000 1.0366 327 23 24 88 317 26 11 97 1.0315 0.8846 2.1818 0.9072 337 31 8 99 340 32 9 98 0.9912 0.9688 0.8889 1.0102 181 19 95 203 22 108 0.8916 0.8636 0.8796 192 18 117 183 17 112 1.0492 1.0588 1.0446 199 23 91 201 24 94 0.9900 0.9583 0.9681 – Quantity zero. . . . Category not applicable. 1 Expanded ICD–10 code A09 (Diarrhea and gastroenteritis of infectious origin) was added to the category in 2009; see Technical Notes. 2 New ICD–code B17.9 (Acute viral hepatitis, unspecified) was added to the category in 2011; see Technical Notes. 3 New ICD–10 code G21.4 (Vascular parkinsonism) was added to the category in 2011; see Technical Notes. 4 New ICD–10 code I72.5 (Aneurysm and dissection of other precerebral arteres) was added to the category in 2011; see Technical Notes. 5 Expanded ICD–10 code J09 (Influenza due to certain identified influenza virus) was added to the category in 2009; see Technical Notes. 6 New ICD–10 code J12.3 (Human metapneumovirus pneumonia) was added to the category in 2011; see Technical Notes. 7 New ICD–10 code J21.1 (Acute brochiolitis due to human metapneumovirus) was added to the category in 2011; see Technical Notes. 8 New subcategories replaced previous ones for K35 (Acute appendicitis) in 2011; see Technical Notes. 9 New subcategories replaced previous ones for N18 (Chronic kidney disease) in 2011; see Technical Notes. 10 New ICD–10 subcategories were introduced for the existing X34 (Victim of earthquake), see Technical Notes. SOURCE: CDC/NCHS, National Vital Statistics System. National Vital Statistics Reports, Vol. 61, No. 6, October 10, 2012 47 48 National Vital Statistics Reports, Vol. 61, No. 6, October 10, 2012 are available on the NCHS website (14). The production of these population estimates is described in detail elsewhere (23). Rates for Puerto Rico, American Samoa, Guam, Northern Mariana Islands, and Virgin Islands in this report are based on population estimates as of July 1 for 2010 and 2011. These population estimates are available on the Census Bureau’s website at http:// www.census.gov/population/international/data/idb/region.php. The population estimates have been produced under a collab orative arrangement with the U.S. Census Bureau and are based on the 2010 census counts. Reflecting the new standards issued in 1997 by OMB, the 2010 census included an option for persons to report more than one race as appropriate for themselves and household members (21). In addition, the 1997 OMB standards called for reporting of Asian persons separately from NHOPI. In the 1977 OMB standards, data for API persons were collected as a single group (22). Death certificates for 12 states currently collect only one race in the same categories as specified in the 1977 OMB standards (see ‘‘2003 revision of U.S. Standard Certificate of Death’’). In addition, those death certificate data do not report Asian persons separately from NHOPI. Thus, for nearly one-quarter of the states, the death certificate data by race (numerators for death rates) are incompatible with population data collected in the 2010 census (the denominators for the rates). To produce national death rates for 2010 and 2011, the reported population data for multiple-race persons had to be ‘‘bridged’’ back to single-race categories. In addition, the census counts were modified to be consistent with the 1977 OMB racial categories; that is, to report the data for Asian persons and NHOPI as one combined category, API, and to reflect age as of the census reference date. The procedures used to produce the bridged populations are described in separate publi cations (23,24). Bridged data are anticipated to be used over the next few years for computing population-based rates. As more states collect data on race according to the 1997 OMB standards (21), use of the bridged populations is expected to be discontinued. Computing rates and percentages Death rates are on an annual basis per 100,000 estimated population residing in the specified area. Infant mortality rates are per 1,000 or per 100,000 live births. Age-adjusted death rates (R′) are used to compare relative mor tality 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 method; that is, by applying age-specific death rates (Ri) to the U.S. standard population (relative age distribution of year 2000 projected population of the United States); see the following formula for age-adjusted death rate, and the table of U.S. standard population (Table IV): R′ = O Psi R , Ps i i where Psi = standard population for age group i Ps = total U.S. standard population [all ages combined (Table IV)]. Age-adjusted death rates for injury at work were computed by applying the age-specific death rates to the U.S. standard population Table IV. United States year 2000 standard population Age Population All ages . . . . . . . . . . . . . . . . . . . Under 1 year . . . 1–4 years . . . . . 5–14 years . . . . 15–24 years . . . 25–34 years . . . 35–44 years . . . 45–54 years . . . 55–64 years . . . 65–74 years . . . 75–84 years . . . 85 years and over . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 274,633,642 3,794,901 15,191,619 39,976,619 38,076,743 37,233,437 44,659,185 37,030,152 23,961,506 18,135,514 12,314,793 4,259,173 for ages 15 and over. The year 2000 standard population used for computing age-adjusted rates and standard errors for injury at work is shown in Table V. Age-adjusted rates for Puerto Rico, American Samoa, Guam, Northern Mariana Islands, and Virgin Islands were computed by applying age-specific death rates to the U.S. standard population. The year 2000 standard population used for computing age-adjusted rates for the territories is shown in Table IV. Effective with 1999 data, the standard population was changed from 1940 to the year 2000 population in accordance with the new statistical policy promulgated by the Secretary of Health and Human Services in August 1998 (38). The transition in standard population is described in greater detail in ‘‘Deaths: Final Data for 2010’’ (3). 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 reported as non-Hispanic and white decedents with origin not stated. Likewise, rates for non-Hispanic black persons are based on the sum of all events to black decedents reported as non-Hispanic and black decedents with origin not stated. Hispanic origin is not imputed if it is not reported. Race not stated is imputed. For calculating death rates, deaths with age not stated are not distributed. The number of deaths with age not stated in 2011 was 132, approximately 0.005 percent of all deaths. For statistics shown in the body of tables throughout this report, an asterisk (*) indicates that the figure does not meet standards of reliability or precision. In this report, two sets of criteria determine whether a figure meets these standards: + Reporting for any particular variable is at least 80 percent com plete. In this report, no data were suppressed based on this criterion. Table V. United States year 2000 standard population for ages 15 and over Age Population 15 years and over . . . . . . . . . . . . . 15–24 years . . . 25–34 years . . . 35–44 years . . . 45–54 years . . . . 55–64 years . . . 65 years and over . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 215,670,503 38,076,743 37,233,437 44,659,185 37,030,152 23,961,506 34,709,480 National Vital Statistics Reports, Vol. 61, No. 6, October 10, 2012 + A rate or percentage is based on at least 20 deaths. Rates based on fewer than 20 deaths have a relative standard error (RSE) of about 23 percent or more and, therefore, are considered highly variable. For age-adjusted death rates, this criterion is applied to the sum of the age-specific deaths; however, some death rates (based on data files that are less than 100 percent complete and on 20–31 deaths) may have RSEs of 23 percent or more but are still shown instead of asterisks. As a result, caution should be exercised in analyzing rates based on 20–31 events. Additional information on random variation in numbers of events, rates, ratios, and percentages may be found in ‘‘Reliability of estimates.’’ Reliability of estimates 49 Even where the number of vital events in this report is 100 percent complete and not subject to sampling variability, it might be affected by random variation. Thus, when the number of events is small and the probability of such an event is small, considerable caution must be observed in interpreting the data. Such infrequent events may be assumed to follow a Poisson probability distribution. The first column of Table VI shows the estimated RSEs of a file that is nearly 100 percent complete. Data in a file that is less than 100 percent complete are affected by sampling variation as well as by random variation. The estimated RSEs in columns 2–6 of Table VI for various levels of file completeness are measures of the sampling errors and the random errors of the estimates. They do not include nonsampling error. The estimated RSEs in Table VI were computed using: Because the preliminary estimates of deaths in this report are based on files that may not be complete, they are subject to sampling variability. This concept is reflected in the fact that record weights are used to adjust record counts to independent control totals. The lack of completeness of the vital statistics files is due to delays in receiving and processing the death records. Although the proportion of records making up the preliminary file does not constitute a veritable random sample, for the sake of convenience the variability associated with this error (sampling variability) is treated as if it were from a random sample. Œ 1. RSE = 100 1 (1 – f) (N – X) + , X f X (N – (1/f)) where f = the sampling fraction or the percent of file completeness/100 from Table I. For mortality data based on deaths under 1 year of age, use f for ‘‘infant deaths’’ for either the demographic or medical file as appropriate. For mortality data based on all ages combined or any age group that is 1 Table VI. Relative standard errors for preliminary number of deaths by percentage of file completeness [Relative standard errors are expressed as a percentage of the estimate] Percent of file completeness Estimated number of deaths 100 95 100.0 44.7 31.6 22.4 18.3 15.8 14.1 12.9 12.0 11.2 10.5 10.0 7.1 5.8 5.0 4.5 4.1 3.8 3.5 3.3 3.2 2.2 1.4 1.0 0.7 0.4 0.3 0.2 0.1 0.1 0.1 0.1 102.6 45.9 32.4 22.9 18.7 16.2 14.5 13.2 12.3 11.5 10.8 10.3 7.3 5.9 5.1 4.6 4.2 3.9 3.6 3.4 3.2 2.3 1.5 1.0 0.7 0.5 0.3 0.2 0.1 0.1 0.1 0.1 90 80 70 60 119.5 53.5 37.8 26.7 21.8 18.9 16.9 15.4 14.3 13.4 12.6 12.0 8.5 6.9 6.0 5.3 4.9 4.5 4.2 4.0 3.8 2.7 1.7 1.2 0.8 0.5 0.4 0.3 0.2 0.1 0.1 0.1 129.1 57.7 40.8 28.9 23.6 20.4 18.3 16.7 15.4 14.4 13.6 12.9 9.1 7.5 6.5 5.8 5.3 4.9 4.6 4.3 4.1 2.9 1.8 1.3 0.9 0.6 0.4 0.3 0.2 0.1 0.1 0.1 Relative standard error (percent) 1 ..... 5 ..... 10 . . . . . 20 . . . . . 30 . . . . . 40 . . . . . 50 . . . . . 60 . . . . . 70 . . . . . 80 . . . . . 90 . . . . . 100 . . . . 200 . . . . 300 . . . . 400 . . . . 500 . . . . 600 . . . . 700 . . . . 800 . . . . 900 . . . . 1,000 . . . 2,000 . . . 5,000 . . . 10,000 . . 20,000 . . 50,000 . . 100,000 . 200,000 . 500,000 . 1,000,000 2,000,000 4,000,000 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 105.4 47.1 33.3 23.6 19.2 16.7 14.9 13.6 12.6 11.8 11.1 10.5 7.5 6.1 5.3 4.7 4.3 4.0 3.7 3.5 3.3 2.4 1.5 1.1 0.7 0.5 0.3 0.2 0.1 0.1 0.1 0.1 111.8 50.0 35.4 25.0 20.4 17.7 15.8 14.4 13.4 12.5 11.8 11.2 7.9 6.5 5.6 5.0 4.6 4.2 4.0 3.7 3.5 2.5 1.6 1.1 0.8 0.5 0.4 0.2 0.2 0.1 0.1 0.1 50 National Vital Statistics Reports, Vol. 61, No. 6, October 10, 2012 year and over, use f for ‘‘deaths 1 year of age and over’’ for either the demographic or medical files as appropriate. X = the estimated number of infant deaths or deaths. N = total count of infant deaths or deaths for the United States or any state. (NOTE: RSEs shown in Table VI are based on N = 4,000,000. If N is smaller, the RSEs may be slightly smaller than those shown.) RSEs may be used to compute 95 percent confidence intervals for the number of events (X), for a rate (R), or for a percentage (P) and to compute statistical tests concerning the equality of two rates (R1 and R2) or two percentages (P1 and P2). For the number of deaths, the 95 percent confidence interval may be computed as: ( ( 2. Lower limit: X1 – 1.96 c X1 c 3. Upper limit: X1 + 1.96 c X1 c ) ) RSE(X1) 100 RSE(X1) 100 . As a hypothetical example, assume the number of deaths, X1, is 70 from a file with 80 percent completeness. Then, 13.4 = 51.6 ( 100 ) 13.4 Upper limit: 70 + (1.96 c 70 c = 88.4 . 100 ) Lower limit: 70 – 1.96 c 70 c This means that the chances are 95 times out of 100 that the confidence interval (51.6–88.4) will cover the ‘‘true’’ number of deaths. For rates based on population estimates in the denominator, the 95 percent confidence interval may be computed as: ( ( 4. Lower limit: R1 – 1.96 c R1 c 5. Upper limit: R1 + 1.96 c R1 c ) ) 100 RSE(R1) 100 . ) 13.4 Upper limit: 20.0 + (1.96 c 20.0 c = 25.3 . 100 ) ( ∑ 13.4 = 14.7 100 This means that the chances are 95 times out of 100 that the confidence interval (14.7–25.3) will cover the ‘‘true’’ rate. For age-adjusted death rates, R’, the 95 percent confidence interval may be computed as: ) ( RSE(R′) 7. Upper limit: R ′ + (1.96 c R ′ c , 100 ) RSE(R′) 6. Lower limit: R ′ – 1.96 c R ′ c 100 1 + (1 – fi) (Ni – Xi) 2 2 i w i R i Xi 1 fi Xi Ni – fi ( ) ]} 8. RSE(R′) = 100 R′ where i = each age group where i = 1 for infant deaths, i = 2 for 1–4 years, i = 3 for 5–14 years, . . . and i = 11 for 85 years and over. Ri = age-specific rate for the i th age group. wi = i th age-specific U.S. standard population such that Σwi = 1.000000 (see ‘‘Computing rates and percentages’’). Xi = the estimated number of deaths for the i th age group. Ni = total count of deaths from Table I for each i th age group (for infant deaths, use the count of records as shown; for all age groups 1–4 through 85 years and over, use the count of records as shown for deaths 1 year and over). fi = percentage of file completeness/100 from Table I (for infant deaths, use the percent completeness for the demographic or medical file as appropriate for deaths under age 1 year; for all age groups 1–4 through 85 years and over, use the percent completeness for the demographic or medical file as appropriate for deaths at ages 1 year and over). For testing the equality of two rates, R1 and R2, the following z test may be used to define a significance test statistic: 9. z = R1 – R2 . Œ RSE(R1) 2 RSE(R2) 2 R 21 + R22 100 100 RSE(R1) As a hypothetical example, assume the death rate, R1, is 20.0, which is based on 70 deaths from a file with 80 percent complete ness. Then, Lower limit: 20.0 – 1.96 c 20.0 c !{ [ where ( ) ( ) The two-tailed 0.95 critical value for a z statistic is 1.96. Therefore, if ?z? ≥ 1.96, the difference is significant at the 0.05 level. If ?z? < 1.96, then the difference would be considered not statistically significant at the 0.05 level. As a hypothetical example, assume R1 is the same as the above example for the current 12-month period and that R2, 15.0, is based on 50 deaths occurring in the prior 12-month period (which implies that the file is approximately 100 percent complete for R2). The z test may be determined as: z = 20.0 –15.0 Œ 2 (20.0) 2 = 1.46 . 14.1 + (15.0) ( (13.4 100 ) 100 ) 2 2 Because ?z? < 1.96, there is no statistically significant difference between the two rates at the 0.05 level of significance. For rates or percentages based on denominators having random variation only or random and sampling variation, the RSE must take into account the variation in both the numerator and denominator. For example, for a rate, R3, based on the number of live births in the denominator, the RSE is computed as: National Vital Statistics Reports, Vol. 61, No. 6, October 10, 2012 Œ( RSE(D) 2 RSE(B) 2 + 100 100 , 10. RSE(R3) = 100 ) ( ) Œ( 21.8 2 2.5 2 = 21.9 + 100 100 RSE(R3) = 100 where ( The 95 percent confidence interval of R3 may be computed as: ( ( 11. Lower limit: R3 – 1.96 c R3 c 12. Upper limit: R3 + 1.96 c R3 c ) ( ) Lower limit: 15.0 – 1.96 c 15.0 c RSE(D) = RSE of the number of deaths, D RSE(B) = RSE of the number of births, B ) ) RSE(R3) 100 RSE(R3) 100 . As a hypothetical example, assume the infant mortality rate, R3, is 15.0, which is based on 30 infant deaths (D) from a file with 70 percent completeness and 2,000 live births (B) from a file with 80 percent completeness. Then, 51 ( Upper limit: 15.0 + 1.96 c 15.0 c ) 21.9 = 8.6 100 ) 21.9 = 21.4 . 100 This means that the chances are 95 times out of 100 that the confidence interval (8.6–21.4) will cover the ‘‘true’’ rate. The same formulas are applicable to a percentage (P1) that has variation in both the numerator and denominator. To compare the equality of two infant mortality rates or two percentages that have variation in the numerator and denominator, the above-mentioned z test may be used. U.S. DEPARTMENT OF HEALTH & HUMAN SERVICES MEDIA MAIL POSTAGE & FEES PAID CDC/NCHS PERMIT NO. G-284 Centers for Disease Control and Prevention National Center for Health Statistics 3311 Toledo Road Hyattsville, MD 20782 OFFICIAL BUSINESS PENALTY FOR PRIVATE USE, $300 National Vital Statistics Reports, Vol. 61, No. 6, October 10, 2012 Contents Acknowledgments Abstract. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Data Sources and Methods. . . . . . . . . . . . . . . . . . . . . . . . . . 1 Results . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 Trends in numbers and rates . . . . . . . . . . . . . . . . . . . . . . . 2 Causes of death . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Infant mortality . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 References. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 List of Detailed Tables . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Technical Notes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34 This report was prepared in the Division of Vital Statistics (DVS) under the direction of Charles J. Rothwell, Director, DVS and Robert N. Anderson, Chief, Mortality Statistics Branch (MSB). Elizabeth Arias of MSB provided content related to life expectancy. Staff of the Data Acquisition and Evaluation Branch carried out quality evaluation and acceptance procedures for the state data files on which this report is based. Staff of the Mortality Medical Classification Branch processed the cause-of-death data for individual records. Registration Methods staff provided consultation to state vital statistics offices regarding collection of the death certificate data on which this report is based. David P. Johnson and Jaleh Mousavi of the Systems, Programming, and Statistical Resources Branch (SPSRB) prepared the mortality file under the direction of Nicholas F. Pace, Chief, SPSRB. Suggested citation Copyright information Hoyert DL, Xu JQ. Deaths: Preliminary data for 2011. National vital statistics reports; vol 61 no 6. Hyattsville, MD: National Center for Health Statistics. 2012. 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, Ph.D., Director Jennifer H. Madans, Ph.D., Associate Director for Science Division of Vital Statistics Charles J. Rothwell, M.S., Director For e-mail updates on NCHS publication releases, subscribe online at: http://www.cdc.gov/nchs/govdelivery.htm. For questions or general information about NCHS: Tel: 1–800–232–4636 • E-mail: cdcinfo@cdc.gov • Internet: http://www.cdc.gov/nchs DHHS Publication No. (PHS) 2013–1120 • CS235970
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File Type : PDF File Type Extension : pdf MIME Type : application/pdf PDF Version : 1.6 Linearized : Yes Author : National Center for Statistics Create Date : 2013:01:02 10:31:33-05:00 Keywords : death rates, life expectancy, vital statistics, mortality Modify Date : 2013:01:09 10:24:40-05:00 Has XFA : No Language : en Tagged PDF : Yes XMP Toolkit : Adobe XMP Core 5.2-c001 63.139439, 2010/09/27-13:37:26 Creator Tool : XyEnterprise XPP 8.3C.1 SP #3 Metadata Date : 2013:01:09 10:24:40-05:00 Producer : Acrobat Distiller 10.1.4 (Windows) Format : application/pdf Title : National Vital Statistics Reports, Volume 61, Number 6, 10/10/2012 Description : Deaths: Preliminary Data for 2011 Creator : National Center for Statistics Subject : death rates, life expectancy, vital statistics, mortality Document ID : uuid:0fa32696-a277-41f6-be35-08d8e5f7e265 Instance ID : uuid:90d75bba-665b-434c-8016-d2107941f1c6 Page Layout : SinglePage Page Mode : UseOutlines Page Count : 52EXIF Metadata provided by EXIF.tools