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National Vital Statistics Report, Volume 59, Number 4

1. 26 27 28 29 30 31 32 33 34 35 36 37 38 39 National Vital Statistics Reports Vol 59 No 4 12 Arias E United States life tables 2006 National vital statistics reports vol 58 no 21 Hyattsville MD National Center for Health Statistics 2010 Available from http www cdc gov nchs data nvsr nvsr58 nvsr58_ 21 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 online 2001 Available from http www cdc gov nchs data mortab aadr7998s pdf Suneshine 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 cdc gov ncidod dh df infDis Cdiff_ CCJMO2 _06 pdf Redelings MD Sorvillo F Mascola L Increase in Clostridium difficile related mortality rates United States 1999 2004 Emerging Infectious Diseases online series 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 stats Hyattsville MD National Center for Health Statistics Available from http www cdc gov nchs products pubs pubd hestats infantmort infantmort htm Mathews T MacDorman M Infant mortality statistics from the 2006 period linked birth infant dea
2. SOURCE COCNCHS Nabonal Vital Sasic Sysiem Martalty National Vital Statistics Reports Vol 59 No 4 32 Figure 2 Life expectancy at birth by race and sex United States 1975 2007 final and 2008 2009 preliminary 85 White female 80 i All races both sexes e TS Fi TA White male D 55 Black male 60 ig a 0 1975 1980 1585 1990 1995 2000 2005 2009 Year SOURCE CDONCHS Naiona Vital Siaisto System Mortalty National Vital Statistics Reports Vol 59 No 4 33 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 preliminary 2008 and 2009 Data are based on a continuous file of records received fromthe 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 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 w hite and black should be interpreted with caution because of inconsistencies betw een reporting Hispanic origin and race on death certificates and on censuses and surveys see Technical Notes Race categories are consistent w ith the 1977 Office of Management and Budget OMB standards Multiple race data w ere reported
3. Based on the International Classification of Diseases eaths deaths tofinal deaths deaths tofinal deaths deaths to final Tenth Revision Second Edition 2004 2007 2007 2007 2006 2006 2006 2005 2005 2005 Pneumoconioses and chemical effects J60 J66 J68 907 915 0 9913 923 924 0 9989 999 1 007 0 9921 Pneumonitis due to solids and liquids J69 17 302 16 988 1 0185 16 961 16 887 1 0044 17 351 17 279 1 0042 Other diseases of respiratory system J00 J06 J30 J39 J67 J70 J98 28 773 28 508 1 0093 27 676 27 644 1 0012 27 065 27 056 1 0003 Peptic ulcer K25 K28 3 000 3 045 0 9852 3 286 3 323 0 9889 3 453 3 478 0 9928 Diseases of appendix K35 K38 413 426 0 9695 429 424 1 0118 434 439 0 9886 Hernia K40 K46 1 663 1 698 0 9794 1 738 1 744 0 9966 1 629 1 639 0 9939 Chronic liver disease and cirrhosis K70 K73 K74 28 504 29 165 0 9773 27 299 27 555 0 9907 27 393 27 530 0 9950 Alcoholic liver disease K70 13 891 14 406 0 9643 12 925 13 050 0 9904 12 865 12 928 0 9951 Other chronic liver disease and cirrhosis K73 K74 14 613 14 759 0 9901 14 374 14 505 0 9910 14 529 14 602 0 9950 Cholelithiasis and other disorders of gallbladder K80 K82 3 178 3 237 0 9818 3 123 3 114 1 0029 3 062 3 072 0 9967 Nephritis nephrotic syndrome and nephrosis N00 N07 N17 N19 N25 N27 46 095 46 448 0 9924 44 791 45 344 0 9878 43 679 43 901 0 9949 Acute and rapidly progressive nephritic and nephrotic syndrome NO0 N01 N04 191 206 0 9272 135 138 0 9783 137 137 1 0000 Chro
4. Gonococcal infection A54 x Viral diseases A80 B34 98 2 4 102 24 Acute poliomyelitis A80 p 2 Varicella chickenpox B01 S Measles B05 s Human immunodeficiency virus HIV disease B20 B24 1 bi Mumps B26 al Other and unspecified viral diseases A81 B00 B02 B04 B06 B19 B25 B27 B34 97 2 3 102 2 4 Candidiasis B37 8 i 7 i Malaria B50 B54 1 s Pneumocystosis B59 s 3 bi 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 27 0 7 40 0 9 Neoplasms C00 D48 148 3 6 128 3 0 Malignant neoplasms C00 C97 87 21 68 1 6 Hodgkin s disease and non Hodgkin s lymphomas C81 C85 1 i Leukemia C91 C95 28 0 7 27 0 6 Other and unspecified malignant neoplasms C00 C80 C88 C90 C96 C97 60 1 5 39 0 9 In situ neoplasms benign neoplasms and neoplasms of uncertain or unknown behavior D00 D48 61 1 5 60 1 4 Diseases of the blood and blood forming organs and certain disorders involving the immune mechanism D50 D89 89 2 2 81 1 9 Anemias D50 D64 12 15 Hemorrhagic conditions and other diseases of blood and blood forming organs D65 D76 62 1 5 56 1 3 Certain disorders involving the immune mechanism D80 D89 14 s 9 x Endocrine nutritional and metabolic diseases E00 E88 209 5 1 247 5 8 Short stature not elsewhere classified E34 3 3 m 9 Nutritional deficiencies E40 E64 3 ii 9 i Cystic fibrosis E84 7 id 4 i Volume depl
5. In April 2009 the new influenza A H1N1 virus was determined to be a cause of influenza illness in the United States 41 In 2009 1 486 deaths were classified to ICD 10 code JO9 National Vital Statistics Reports Vol 59 No 4 19 Non sampling error Causes of death in this report are subject to non sampling error This is because the preliminary file is processed before a full year s worth of data is 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 under emphasize 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 Furthermore for some deaths especially those subject to medico legal 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 invest
6. Malignant neoplasms Chronic lower respiratory diseases Cerebrovascular diseases Accidents unintentional injuries Alzheimer s disease Diabetes mellitus Influenza and pneumonia Septicemia and Assault homicide Life expectancy increased by 0 2 year from 78 0 years in 2008 to 78 2 in 2009 Keywords death rates life expectancy vital statistics preliminary National Vital Statistics Reports Vol 59 No 4 3 Introduction This report presents preliminary mortality data for the United States based on vital records for a substantial proportion of deaths occurring in 2009 Statistics in preliminary reports are generally considered reliable past analyses reveal that most statistics shown in preliminary reports for 1995 2007 were confirmed by the final statistics for each of those years 1 13 Data Sources and Methods Preliminary data in this report are based on records of deaths that occurred in calendar year 2009 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 November 5 2010 Estimates of the level of completeness of preliminary data for each state are shown in Table see Technical Notes Detailed information on the nature sources and qualifications of the preliminary data are given in Technical Notes The preliminary data for 2009 for Georgia were incomplete therefore additional review o
7. the true rate For age adjusted death rates R the 95 percent confidence interval may be computed as follows 6 Lower limit R 1 96 p ER 100 7 Upper limit r 1 96 p ESER where Tlw R 1 CLANEK TOO E AXN R 8 RSE R 100 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 R age specific rate for the i age group w i age specific U S standard population such that 2w 1 000000 see Computing rates and percentages X the estimated number of deaths for the i age group N total count of deaths from Table for each i 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 for infant deaths use the percent completeness for the demographic or medical file as appropriate for deaths under age 1 year for all age National Vital Statistics Reports Vol 59 No 4 27 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 R and R the following z test may be used to define a significance test statistic Ri R2 pe RSECRIY 4 paf RSECR2 100 l 100 The two ta
8. 0 1 4 15 9 0 1 1 4 14 5 0 0 0 2 0 2 0 0 0 3 0 0 0 2 4 6 3 4 12 6 83 1 39 9 14 1 13 1 0 4 0 6 25 8 Age adjusted rate 40 7 1 3 80 6 17 6 63 0 52 6 0 4 0 3 17 0 34 9 7 7 40 6 2 3 6 1 3 4 2 7 1 2 17 0 0 5 16 4 0 1 0 1 0 0 44 0 0 2 3 9 1 0 38 8 0 3 5 0 9 3 0 9 0 1 0 5 9 2 4 5 4 6 1 0 14 8 0 0 1 2 13 5 0 0 0 2 0 1 0 0 0 3 0 0 0 2 4 4 3 3 11 7 76 4 38 6 13 9 12 9 0 4 0 6 24 7 National Vital Statistics Reports Vol 59 No 4 43 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 preliminary 2008 and 2009 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 are based on weighted data rounded to the nearest individual so categories may not add to totals or subtotals 2009 2008 Age Age Cause of death Based on the nternational adjusted adjusted Classification of Diseases Tenth Revision Second Edition 2004 Number Rate rate Number Rate rate Falls W00 W 19 24 834 8 1 75 24 062 7 9 7 3 Accidental discharge of firearms W32 W34 588 0 2 0 2 587 0
9. 1 9 1 8 5 933 2 0 1 8 Malignant neoplasms C00 C97 568 668 185 2 173 6 566 137 186 2 175 5 Malignant neoplasms of lip oral cavity and pharynx C00 C14 7 913 2 6 2 4 8 031 2 6 2 4 Malignant neoplasm of esophagus C15 13 916 4 5 4 2 13 739 4 5 4 2 Malignant neoplasm of stomach C16 11 139 3 6 3 4 11 381 8 7 3 5 Malignant neoplasms of colon rectum and anus C18 C21 52 462 17 1 16 0 53 337 17 5 16 5 Malignant neoplasms of liver and intrahepatic bile ducts C22 19 311 6 3 5 8 18 243 6 0 5 6 Malignant neoplasm of pancreas C25 35 872 11 7 10 9 35 267 11 6 10 9 Malignant neoplasm of larynx C32 3 633 1 2 4A 3 759 1 2 1 2 Malignant neoplasms of trachea bronchus and lung C33 C34 158 105 51 5 48 4 158 873 52 3 49 6 Malignant melanoma of skin C43 9 254 3 0 2 8 8 643 2 8 2 7 Malignant neoplasm of breast C50 41 115 13 4 12 5 41 049 13 5 12 6 Malignant neoplasm of cervix uteri C53 3 909 1 3 1 2 4 018 1 3 1 3 Malignant neoplasms of corpus uteri and uterus part unspecified C54 C55 7 636 2 5 2 3 7 682 2 5 2 4 Malignant neoplasm of ovary C56 14 513 47 4 4 14 373 4 7 4 4 Malignant neoplasm of prostate C61 28 154 9 2 8 6 28 517 9 4 8 8 Malignant neoplasms of kidney and renal pelvis C64 C65 13 027 4 2 3 9 12 915 4 2 4 0 Malignant neoplasm of bladder C67 14 315 47 4 4 14 053 4 6 4 3 Malignant neoplasms of meninges brain and other parts of central nervous system C70 C72 14 192 46 4 4 13 739 4 5 4 3 Malignant neoplasms of lymphoid hematopoietic a
10. 2 0 2 Accidental drowning and submersion W65 W74 3 539 1 2 1 1 3 549 ta 1 2 Accidental exposure to smoke fire and flames X00 X09 2 751 0 9 0 8 2 907 1 0 0 9 Accidental poisoning and exposure to noxious substances X40 X49 30 504 9 9 9 9 30 306 10 0 9 9 Other and unspecified nontransport accidents and their sequelae W20 W31 W35 W64 W75 W99 X10 X39 X50 X59 Y86 15 902 5 2 4 9 17 054 5 6 5 3 Intentional self harm suicide U03 X60 X84 Y 87 0 36 547 11 9 11 7 35 933 11 8 11 6 Intentional self harm suicide by discharge of firearms X72 X74 18 689 6 1 5 9 18 251 6 0 5 8 Intentional self harm suicide by other and unspecified means and their sequelae U03 X60 X71 X75 X84 Y87 0 17 859 5 8 5 8 17 681 5 8 5 7 Assault homicide U01 U02 X85 Y09 Y87 1 16 591 5 4 5 5 17 837 5 9 5 9 Assault homicide by discharge of firearms U01 4 X93 X95 11 406 3 7 3 8 12 209 4 0 4 0 Assault homicide by other and unspecified means and their sequelae U01 0 U01 3 U01 5 U01 9 U02 X85 X92 X96 Y 09 87 1 5 185 1 7 1 7 5 628 1 9 1 8 Legal intervention Y35 Y89 0 372 0 1 0 1 380 0 1 0 1 Events of undetermined intent Y 10 Y34 Y87 2 Y89 9 4 730 1 5 1 5 4 979 1 6 1 6 Discharge of firearms undetermined intent Y22 Y24 230 0 1 0 1 276 0 1 0 1 Other and unspecified events of undetermined intent and their sequelae Y10 Y21 Y25 Y 34 Y87 2 Y89 9 4 500 1 5 1 5 4 703 1 5 1 5 Operations of war and their sequelae Y36 Y89 1 25 0 0 0 0 31 0 0 0 0 Complicati
11. 200 000 0 2 0 2 0 2 0 2 0 3 0 3 500 000 0 1 0 1 0 1 0 2 0 2 0 2 1 000 000 0 1 0 1 0 1 0 1 0 1 0 1 2 000 000 0 1 0 1 0 1 0 1 0 1 0 1 4 000 000 0 1 0 1 0 1 0 1 0 1 0 1
12. 28 797 822 5 691 4 Delaware 7 535 851 3 753 6 7 623 873 1 780 8 District of Columbia 4 761 794 0 801 5 5 139 868 3 849 9 Florida 169 843 916 2 673 4 170 668 931 2 679 0 Georgia 69 942 722 1 835 4 Hawaii 9 916 765 6 619 8 9 475 735 5 589 0 Idaho 11 097 717 9 721 2 10 942 718 1 721 7 Illinois 99 994 774 5 743 0 103 615 803 1 772 0 Indiana 55 956 871 2 815 5 56 743 889 8 835 1 lowa 27 553 916 0 724 8 28 533 950 3 744 0 Kansas 24 014 851 9 759 9 24 969 891 1 784 7 Kentucky 41 350 958 5 897 8 41 280 966 9 901 2 Louisiana 40 246 895 9 887 5 41 217 934 5 922 0 Maine 12 575 953 9 755 9 12 531 951 9 764 1 Maryland 43 907 770 4 763 8 43 885 779 0 771 6 Massachusetts 52 375 794 3 681 0 53 521 823 7 705 9 Michigan 86 472 867 3 786 1 88 418 883 9 811 7 Minnesota 37 845 718 6 651 7 38 487 737 2 675 2 Mississippi 28 282 958 1 926 3 28 980 986 2 950 0 Missouri 54 251 906 1 804 4 56 566 956 9 847 0 Montana 8 723 894 7 757 3 8 903 920 3 785 9 Nebraska 14 811 824 4 716 1 15 455 866 6 741 1 Nevada 19 224 727 3 786 3 20 790 799 6 868 2 New Hampshire 10 088 761 6 676 5 10 268 780 4 712 5 New Jersey 68 277 784 1 694 8 69 993 806 1 716 8 New Mexico 15 662 779 3 740 3 15 996 806 1 758 2 New York 146 161 748 0 665 5 148 660 762 7 675 8 North Carolina 77 121 822 1 800 7 77 277 837 9 825 6 North Dakota 5 915 914 4 719 3 5 870 915 1 713 0 Ohio 107 156 928 3 813 5 109 749 955 5 844 0 Oklahoma 35 598 965 5 890 5 37 061 1 017 5 932 2 Oregon 31 635 826 9 733 1
13. 437 1 0275 599 598 1 0017 Congenital malformations of digestive system Q35 Q45 129 132 0 9773 109 108 1 0093 103 105 0 9810 Congenital malformations of genitourinary system Q50 Q64 495 514 0 9630 523 518 1 0097 377 375 1 0053 Congenital malformations and deformations of musculoskeletal system limbs and integument Q65 Q85 608 623 0 9759 627 619 1 0129 552 558 0 9892 Down s syndrome Q90 78 82 0 9512 93 97 0 9588 123 123 1 0000 Edward s syndrome Q91 0 Q91 3 547 525 1 0419 518 509 1 0177 413 405 1 0198 Patau s syndrome Q91 4 Q91 7 302 295 1 0237 327 322 1 0155 314 310 1 0129 Other congenital malformations and deformations Q10 Q18 Q86 Q89 575 552 1 0417 523 538 0 9721 519 526 0 9867 Other chromosomal abnormalities not elsewhere classified Q92 Q99 216 209 1 0335 200 202 0 9901 190 191 0 9948 Symptoms signs and abnormal clinical and laboratory findings not elsewhere classified R00 R99 4 162 3 617 1 1507 3 749 3 462 1 0829 3 760 3 589 1 0476 Sudden infant death syndrome R95 2 118 2 453 0 8634 2 145 2 323 0 9234 2 107 2 230 0 9448 Other symptoms signs and abnormal clinical and laboratory findings not elsewhere classified R00 R53 R55 R94 R96 R99 2 044 1 164 1 7560 1 604 1 139 1 4083 1 653 1 359 1 2163 All other diseases Residual 27 16 1 6875 42 25 1 6800 19 15 1 2667 National Vital Statistics Reports Vol 59 No 4 67 Table Ill Ratios of preliminary to final reported numbers of deaths from 130 selected causes of infant death Unit
14. 463 108 0 4 733 111 3 Extremely low birth weight or extreme immaturity P07 0 P07 2 3 399 82 3 3 636 85 5 Other low birth weight or preterm P07 1 P07 3 1 064 25 8 1 097 25 8 Disorders related to long gestation and high birth weight P08 X i Birth trauma P10 P15 17 z 18 Intrauterine hypoxia and birth asphyxia P20 P21 342 8 3 382 9 0 Intrauterine hypoxia P20 139 3 4 144 3 4 Birth asphyxia P21 203 4 9 238 5 6 Respiratory distress of newborn P22 587 14 2 625 14 7 Other respiratory conditions originating in the perinatal period P23 P28 964 23 3 1 102 25 9 Congenital pneumonia P23 101 2 4 74 AZ Neonatal aspiration syndromes P24 40 1 0 58 1 4 Interstitial emphysema and related conditions originating in the perinatal period P25 113 2 7 121 2 8 Pulmonary hemorrhage originating in the perinatal period P26 162 3 9 199 4 7 Chronic respiratory disease originating in the perinatal period P27 180 4 4 239 5 6 Atelectasis P28 0 P28 1 297 7 2 334 7 9 All other respiratory conditions originating in the perinatal period P28 2 P28 9 72 1 7 77 1 8 Infections specific to the perinatal period P35 P39 858 20 8 896 21 1 Bacterial sepsis of newborn P36 682 16 5 696 16 4 Omphalitis of newborn with or without mild hemorrhage P38 4 i 2 All other infections specific to the perinatal period P35 P37 P39 172 4 2 198 4 7 Hemorrhagic and hematological disorders of newborn P50 P61 644 15 6 642 15 1 Neonatal hemorrhage P50 P52 P54 537 13 0
15. 53 7 53 9 30 46 3 46 5 43 3 43 5 49 0 49 1 35 41 7 41 8 38 8 39 0 44 2 44 3 40 37 1 37 3 34 3 34 5 39 6 39 6 45 32 7 32 8 30 0 30 1 35 0 35 1 50 28 5 28 6 25 8 26 0 30 7 30 8 55 24 5 24 6 22 0 22 2 26 6 26 7 60 20 9 20 9 18 6 18 7 22 7 22 7 65 17 5 17 5 15 5 15 5 18 9 18 9 70 14 3 14 3 12 6 12 6 15 4 15 4 75 11 3 11 3 9 9 10 0 12 2 12 2 80 8 8 8 8 7 7 7 8 9 4 9 5 85 6 7 6 8 5 9 6 0 7 1 7 1 90 5 0 5 1 4 4 4 6 5 2 5 3 95 3 7 3 8 3 3 3 5 3 8 3 8 100 27 2 8 2 5 2 6 2 7 2 8 Life expectancies for 2008 have been updated and may differ from those previously published see Technical Notes Includes races other than white and black NOTE Data are subject to sampling or random variation National Vital Statistics Reports Vol 59 No 4 52 Table 7 Deaths and death rates for the 10 leading causes of death in specified age groups United States preliminary 2009 Data are based on a continuous file of records received fromthe states Rates are per 100 000 population in specified group For explanation of asterisks preceding cause of death codes see Technical Notes Figures are based on weighted data rounded to the nearest individual so categories may not add to totals or subtotals Cause of death Based on the International Rank Classification of Diseases Tenth Revision Second Edition 2004 and age Number nate All ages oe All causes 2 436 652 793 7 1 Diseases of heart 100 109 111 113 120 151 598 607 195 0 2 Mali
16. 531 28 033 Infant mortality rate 6 42 6 59 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 Arkansas California Connecticut Delaware F 2009 2 085 305 1 036 938 1 048 367 732 2 875 9 618 2 78 6 76 2 80 9 16 897 5 32 White F 2008 2 120 961 1 046 532 1 074 429 750 6 889 5 637 1 78 4 75 9 80 8 18 162 5 54 r 2009 286 928 146 319 140 609 923 9 1 148 0 767 7 74 3 70 9 77 4 8 356 12 71 Black r 2008 289 306 147 275 142 031 935 6 1 151 3 779 0 74 3 70 9 77 4 8 513 12 68 District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Kansas Maine Michigan Minnesota Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Dakota Ohio Oklahoma Oregon Rhode Island South Carolina South Dakota Texas Utah Vermont Washington Wisconsin and Wyoming in 2009 and 2008 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 3Age adjusted death rates are per 100 000 U S standard population based on the year 2000 standard Life expectancies for 2008 have been updated and may differ from those previously published see Technical notes SInfant mortality rates a
17. 748 1 385 6 65 74 years 51 943 2 649 5 51 810 2 734 4 75 84 years 57 585 5 190 9 59 172 5 652 7 85 years and over 49 371 13 467 3 50 315 12 071 2 Not stated 53 als 30 Age adjusted rate we 923 9 Ta 935 6 Black male All ages 146 319 745 9 147 275 763 4 Under 1 year 4 724 1 303 5 4 728 1 293 2 1 4 years 577 40 8 654 47 8 5 14 years 756 23 1 769 23 6 15 24 years 5 100 144 3 5 522 159 4 25 34 years 6 238 213 2 6 378 225 4 35 44 years 8 957 343 4 9 201 348 0 45 54 years 20 296 801 0 20 703 828 2 55 64 years 29 918 1 820 1 28 686 1 827 7 65 74 years 28 095 3 429 3 28 001 3 541 4 75 84 years 26 147 6 394 9 27 094 7 107 5 85 years and over 15 477 15 448 7 15 518 12 538 0 Not stated 34 wren 20 Age adjusted rate NE 1 148 0 n 1 151 3 Black female All ages 140 609 657 5 142 031 674 0 Under 1 year 3 632 1 044 5 3 785 1 083 5 1 4 years 491 36 0 477 36 1 5 14 years 544 17 2 518 16 4 15 24 years 1 649 48 0 1 701 50 4 25 34 years 2 972 97 7 2 909 97 6 35 44 years 6 183 211 2 6 596 221 7 45 54 years 15 151 513 4 15 290 525 5 55 64 years 20 786 1 017 6 20 062 1 029 5 65 74 years 23 848 2 089 8 23 809 2 156 4 75 84 years 31 438 4 488 2 32 077 4 819 3 85 years and over 33 894 12 722 2 34 797 11 874 0 Not stated 20 ER 10 Age adjusted rate in 767 7 oe 779 0 National Vital Statistics Reports Vol 59 No 4 37 Table 1 Deaths and death rates by age sex race and Hispanic origin and age adjusted death rates by sex race and Hispanic orig
18. 9 0 7778 13 13 1 0000 Cardiomyopathy 142 117 120 0 9750 109 115 0 9478 82 82 1 0000 Cardiac arrest 146 34 29 1 1724 14 15 0 9333 23 24 0 9583 Cerebrovascular diseases 160 169 136 132 1 0303 145 142 1 0211 127 126 1 0079 National Vital Statistics Reports Vol 59 No 4 65 Table Ill Ratios of preliminary to final reported numbers of deaths from 130 selected causes of infant death United States 2005 2007 For explanation of asterisks preceding cause of death codes see Technical Notes Preliminary Final Ratio of Preliminary Final Ratio of Preliminary Final Ratio of number of number of preliminary number of number of preliminary number of number of preliminary Cause of death Based on the International Classification of Diseases deaths deaths to final deaths deaths to final deaths deaths to final Tenth Revision Second Edition 2004 2007 2007 2007 2006 2006 2006 2005 2005 2005 All other diseases of circulatory system 100 125 131 134 138 144 145 147 151 170 199 212 222 0 9550 181 181 1 0000 181 186 0 9731 Diseases of the respiratory system J00 J98 U04 641 640 1 0016 644 692 0 9306 650 669 0 9716 Acute upper respiratory infections J00 J06 15 14 1 0714 11 11 1 0000 10 10 1 0000 Influenza and pneumonia J09 J18 218 222 0 9820 244 263 0 9278 255 265 0 9623 Influenza JO9 J11 9 13 0 6923 17 18 0 9444 17 19 0 8947 Pneumonia J12 J18 209 209 1 0000 228 245 0 9306 238 246 0 9675 Acute bronchitis and acute bronchio
19. K52 3 are included in the Residual category of the list of 113 selected causes of death and in the category Gastritis duodenitis and noninfective enteritis and colitis in the list of 130 selected causes of infant death Deaths classified to codes R26 3 and R63 6 are included in the category Symptoms signs and abnormal clinical and laboratory findings not elsewhere classified in both the 113 and 130 cause lists Additional information on these new categories can be found at http www cdc gov nchs data dvs Part9IlnstructionManual2009 pdf 39 In 2009 the ICD 10 code A09 was expanded from a 3 digit code to two four digit codes A09 0 and A09 9 This expansion allowed for greater specificity and the result was an increase in the number of deaths classified to AO9 This directly affected the category Certain other intestinal infections in the list of 113 selected causes of death in Table 2 7 883 deaths in 2008 to 10 242 deaths in 2009 and the category Diarrhea and gastroenteritis of infectious origin in the list of 130 selected causes of infant death in Table 5 0 deaths in 2008 to 328 deaths in 2009 The effect of this change will be examined with final data In 2009 the title for the ICD 10 code JO9 was changed from Influenza due to identified avian influenza virus to Influenza due to certain identified influenza virus The reason for this change was to accommodate deaths from influenza A H1N1 virus in the ICD 10 code JO9 for the 2009 data year
20. 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 31 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
21. 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 2008 and 2009 were classified to the terrorism categories National Vital Statistics Reports Vol 59 No 4 18 Enterocolitis due to Clostridium difficile C difficile Due to growing concerns about the number of deaths from Enterocolitis due to Clostridium difficile CD 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 The number of deaths due to this cause decreased by 2 6 percent from 7 483 in 2008 to 7 285 in 2009 The age adjusted death rate for this cause decreased significantly by 4 3 percent from 2 3 per 100 000 standard population in 2008 to 2 2 in 2009 Codes for drug induced deaths The list of codes included in drug induced causes was expanded in data year 2003 to be more comprehensive The following 37 ICD 10 codes were added to the previous 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 G21 1 G24 0 G25 1 G25 4 G25 6 G44 4 G62 0 G72 0 195 2 J70 2 J70 3 J70 4 L10 5 L27 0 L27 1 M10 2 M
22. 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 reported for 1997 the life table methodology was changed from previous annual reports Previously U S life tables were abridged and constructed by reference to a standard table 43 In addition the age range for these life tables was limited to 5 year age groups ending with the age group 85 years and over For 1997 1999 mortality data a revised life table methodology was used to construct complete life tables by single years of age that extend to age 100 44 using a methodology similar to that of the decennial life tables 45 The advantages of the new methodology over the previous methodology are its comparability with decennial life table methodology greater accuracy and greater age detail A comparison of the two methods shows small differences in resulting values for life expectancy 44 Although the new method produces complete life tables that is life tables by single years of age life table data shown in this report are summarized in 5 year age groupings To calculate the probability of National Vital Statistics Reports Vol 59 No 4 21 dying at each age the revised methodology uses vital statistics death rates for ages under 85 years and mortality data from the Medicare program for ages 85 years and over Medicare data were used to model the probability o
23. so described 125 0 57 639 59 051 0 9761 59 734 61 030 0 9788 61 864 62 799 0 9851 All other forms of chronic ischemic heart disease 120 125 1 125 9 209 215 210 240 0 9951 219 254 219 001 1 0012 227 619 228 319 0 9969 Other heart diseases 126 151 175 413 172 748 1 0154 168 906 170 248 0 9921 170 099 170 585 0 9972 Acute and subacute endocarditis 133 1 206 1 225 0 9845 1 209 1 216 0 9942 1 203 1 209 0 9950 Diseases of pericardium and acute myocarditis I30 I31 140 843 867 0 9723 784 816 0 9608 836 864 0 9676 Heart failure 150 57 235 56 565 1 0118 60 315 60 337 0 9996 59 001 58 933 1 0012 All other forms of heart disease 26 128 134 138 142 149 151 116 129 114 091 1 0179 106 598 107 879 0 9881 109 059 109 579 0 9953 Essential hypertension and hypertensive renal disease 110 112 115 23 769 23 965 0 9918 23 985 23 855 1 0054 24 865 24 902 0 9985 Cerebrovascular diseases 160 169 133 990 135 952 0 9856 137 265 137 119 1 0011 143 497 143 579 0 9994 Atherosclerosis 170 8 223 8 232 0 9989 8 619 8 652 0 9962 11 833 11 841 0 9993 Other diseases of circulatory system 171 178 21 872 21 940 0 9969 22 435 22 484 0 9978 23 594 23 617 0 9990 Aortic aneurysm and dissection 171 12 887 12 986 0 9924 13 178 13 238 0 9955 13 811 13 843 0 9977 Other diseases of arteries arterioles and capillaries 172 178 8 985 8 954 1 0035 9 258 9 246 1 0013 9 783 9 774 1 0009 Other disorders of circulatory system 180 199 3 981 4 101 0 9707 3 941 3 995 0 9865 4 777 4 813
24. specified age groups United States preliminary 2009 8 Infant deaths and infant mortality rates for the 10 leading causes of infant death United States preliminary 2009 Acknowledgments This report was prepared in the Division of Vital Statistics DVS under the direction of Charles J Rothwell Director DVS Robert N Anderson Chief Mortality Statistics Branch MSB and Nicholas F Pace Chief Systems Programming and Statistical Resources Branch SPSRB Elizabeth Arias of MSB provided content related to life expectancy David W Justice of the Data Acquisition and Evaluation Branch DAEB contributed to the Technical Notes Jordan Sacks Annie Liu Candace Cosgrove Jaleh Mousavi and John Birken of SPSRB provided computer programming support and produced statistical tables Jaleh Mousavi of SPSRB prepared the mortality file Staff of the Mortality Medical Classification Branch MMCB processed the cause of death data for individual records Registration Methods staff and staff of DAEB provided consultation to state vital statistics offices regarding collection of the death certificate data on which this report is based Suggested citation Kochanek KD Xu JQ Murphy SL Mini o AM Kung HC Deaths Preliminary Data for 2009 National Vital Statistics Reports vol 59 no 4 Hyattsville MD National Center for Health Statistics 2011 National Vital Statistics Reports Vol 59 No 4 15 Technical Notes Nature and sources of dat
25. statistics reports vol 47 no 9 Hyattsville MD National Center for Health Statistics 1998 Available from http www cdc gov nchs data nvsr nvsr47 nvs47_09 pdf Hoyert DL Kochanek KD Murphy SL Deaths Final data for 1997 National vital statistics reports vol 47 no 19 Hyattsville MD National Center for Health Statistics 1999 Available from http www cdc gov nchs data nvsr nvsr47 nvs47_19 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 Hoyert DL Arias E Smith BL Murphy SL Kochanek KD Deaths Final data for 1999 National vital statistics reports vol 49 no 8 Hyattsville MD National Center for Health Statistics 2001 Available from http www cdc gov nchs data nvsr nvsr49 nvsr49_08 pdf Mini o AM Arias E Kochanek KD Murphy SL Smith BL Deaths Final data for 2000 National vital statistics reports vol 50 no 15 Hyattsville MD National Center for Health Statistics 2002 Available from http www cdc gov nchs data nvsr nvsr50 nvsr50_15 pdf Arias E Anderson RN Kung HC Murphy SL Kochanek KD Deaths Final data for 2001 National vital statistics reports vol 52 no 3 Hyattsville MD National Center for Health Statistics 2003 Available from http www cdc gov nchs data nvsr nvsr52 nvsr52_03 pdf Kochanek KD Murphy SL A
26. 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 2009 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 2009 32 In contrast to infant mortality rates based on live births infant death rates are based on the estimated population under 1 year of age 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 2009 by the estimated population of persons under age 1 on July 1 2009 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
27. the U S Standard Certificate of Death in a manner that is consistent with the population data collected in the 2000 census Four additional states Hawaii Maine Minnesota and Wisconsin that used the 1989 revision of the U S Standard Certificate of Death also reported multiple race data The remaining 16 states did not collect multiple race data in 2009 In order to produce national death rates for 2008 and 2009 for this report multiple race data from death certificates were bridged to be consistent with the 1977 Office of Management and Budget OMB single race categories 17 that is the multiple race categories were bridged back to single race categories Also data for Asian persons and Native Hawaiians or Other Pacific Islanders NHOPI were reported as the combined category API 18 The populations used to calculate death rates are also bridged to single race categories These populations are produced under a collaborative arrangement with the U S Census Bureau and are based National Vital Statistics Reports Vol 59 No 4 5 on year 2000 census counts The procedures used to produce the bridged populations are described in separate publications 19 20 As the remaining 16 reporting areas gradually begin to collect data on race according to the 1997 OMB standards 21 use of the bridged populations is expected to be discontinued Readers should keep in mind that the population data used to compile the death rates by race show
28. was underestimated 0 1 percent in 2005 overestimated by 0 1 percent in 2006 and was underestimated 3 6 percent in 2007 Unintentional injuries VO1 X59 and SIDS R95 were underestimated in the preliminary data for each of the three years 2005 2007 with unintentional injuries being underestimated between 1 3 percent and 3 7 percent and SIDS between 5 5 percent and 13 7 percent Table Ill Tabulation lists and cause of death ranking Tabulation lists for ICD 10 are published in the NCHS Instruction Manual Part 9 ICD 10 Cause of Death Lists for Tabulating Mortality Statistics Updated March 2009 40 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 42 For the List of 113 Selected Causes of Death the group titles Major cardiovascular diseases ICD 10 codes 100 178 and Symptoms signs and abnormal clinical and laboratory findings not elsewhere classified ICD 10 codes ROO R99 are not ranked In addition National Vital Statistics Reports Vol 59 No 4 20 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
29. 0 8 9 8 32 374 10 6 9 7 Hypertensive heart and renal disease 113 2 880 0 9 0 9 2 867 0 9 0 9 Ischemic heart diseases 120 125 385 723 125 6 115 9 405 019 133 2 122 6 National Vital Statistics Reports Vol 59 No 4 42 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 preliminary 2008 and 2009 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 are based on weighted data rounded to the nearest individual so categories may not add to totals or subtotals Cause of death Based on the nternational Classification of Diseases Tenth Revision Second Edition 2004 Acute myocardial infarction 121 122 Other acute ischemic heart diseases 124 Other forms of chronic ischemic heart disease 120 125 Atherosclerotic cardiovascular disease so described 125 0 All other forms of chronic ischemic heart disease I20 125 1 I25 9 Other heart diseases 126 151 Acute and subacute endocarditis 133 Diseases of pericardium and acute myocarditis I30 I31 140 Heart failure 150 All other forms of heart disease 126 128 134 138 142 149 151 E
30. 0 9925 Influenza and pneumonia J09 J18 52 847 52 717 1 0025 56 247 56 326 0 9986 62 804 63 001 0 9969 Influenza J09 J11 457 411 1 1119 860 849 1 0130 1 806 1 812 0 9967 Pneumonia J12 J18 52 389 52 306 1 0016 55 387 55 477 0 9984 60 998 61 189 0 9969 Other acute lower respiratory infections J20 J22 U04 268 255 1 0510 289 297 0 9731 403 404 0 9975 Acute bronchitis and bronchiolitis J20 J21 225 213 1 0563 203 214 0 9486 281 283 0 9929 Unspecified acute lower respiratory infection J22 U04 3 43 42 1 0238 86 83 1 0361 121 121 1 0000 Chronic lower respiratory diseases J40 J47 129 311 127 924 1 0108 124 614 124 583 1 0002 130 957 130 933 1 0002 Bronchitis chronic and unspecified J40 J42 704 667 1 0555 740 740 1 0000 860 866 0 9931 Emphysema J43 12 963 12 790 1 0135 12 570 12 551 1 0015 13 982 14 002 0 9986 Asthma J45 J46 3 355 3 447 0 9733 3 563 3 613 0 9862 3 857 3 884 0 9930 Other chronic lower respiratory diseases J44 J47 112 289 111 020 1 0114 107 741 107 679 1 0006 112 259 112 181 1 0007 National Vital Statistics Reports Vol 59 No 4 62 Table Il Ratios of preliminary to final reported numbers of deaths from 113 selected causes United States 2005 2007 For explanation of asterisk preceding cause of death codes see Technical Notes Preliminary Final Ratio of Preliminary Final Ratio of Preliminary Final Ratio of number of number of preliminary numberof number of preliminary number of number of preliminary Cause of death
31. 0000 2 2 1 0000 Mumps B26 s si ad Other and unspecified viral diseases A81 B00 B02 B04 B06 B19 B25 B27 B34 105 110 0 9545 109 113 0 9646 111 117 0 9487 Candidiasis B37 15 13 1 1538 15 15 1 0000 21 20 1 0500 Malaria B50 B54 Re fay ee Pneumocystosis B59 1 1 1 0000 1 af 2 2 1 0000 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 42 31 1 3548 38 38 1 0000 34 30 1 1333 Neoplasms C00 D48 149 131 1 1374 139 141 0 9858 141 134 1 0522 Malignant neoplasms C00 C97 92 72 1 2778 77 76 1 0132 78 75 1 0400 Hodgkin s disease and non Hodgkin s lymphomas C81 C85 6 2 3 0000 1 1 1 0000 1 1 1 0000 Leukemia C91 C95 20 21 0 9524 31 31 1 0000 22 22 1 0000 Other and unspecified malignant neoplasms C00 C80 C88 C90 C96 C97 66 49 1 3469 45 44 1 0227 54 52 1 0385 In situ neoplasms benign neoplasms and neoplasms of uncertain or unknown behavior D00 D48 57 59 0 9661 62 65 0 9538 63 59 1 0678 Diseases of the blood and blood forming organs and certain disorders involving the immune mechanism D50 D89 108 116 0 9310 104 102 1 0196 94 94 1 0000 Anemias D50 D64 16 17 0 9412 10 11 0 9091 19 19 1 0000 Hemorrhagic conditions and other diseases of blood and blood forming organs D65 D76 72 77 0 9351 63 62 1 0161 60 60 1 0000 Certain disorders involving the immune mechanism D80 D89 20 22 0 9091 31 29 1 0690 15 15 1 0000 Endocrine nutritional and meta
32. 009 2008 Age sex race and Hispanic origin Number Rate Number Rate Total API both sexes All ages 49 508 318 8 47 966 319 1 Under 1 year 895 383 2 953 423 6 1 4 years 147 15 5 165 18 8 5 14 years 228 10 9 206 10 6 15 24 years 752 37 1 722 37 1 25 34 years 1 048 40 4 1 125 45 0 35 44 years 1 908 73 7 1 772 68 0 45 54 years 3 841 181 4 3 725 177 7 55 64 years 6 317 419 3 6 124 421 6 65 74 years 8 485 1 035 3 8 455 1 070 8 75 84 years 12 692 2 860 5 12 426 2 868 2 85 years and over 13 185 8 072 4 12 291 7 958 5 Not stated 7 beats 3 Age adjusted rate hed 413 2 ashe 414 2 API male All ages 25 693 341 3 24 744 338 1 Under 1 year 481 402 0 536 464 2 1 4 years 90 18 6 79 17 5 5 14 years 122 11 5 123 12 4 15 24 years 503 48 6 500 50 1 25 34 years 665 52 7 679 55 0 35 44 years 1 190 94 8 1 114 87 7 45 54 years 2 385 236 9 2 220 223 0 55 64 years 3 715 536 9 3 558 530 4 65 74 years 4 807 1 283 4 4 724 1 313 4 75 84 years 6 237 3 445 0 6 136 3 500 0 85 years and over 5 494 9 208 1 5 073 8 742 2 Not stated 5 eae 2 Age adjusted rate sak 498 4 fies 493 4 API female All ages 23 815 297 7 23 222 301 0 Under 1 year 414 363 4 417 380 9 1 4 years 57 12 2 86 20 1 5 14 years 107 10 4 83 8 6 15 24 years 250 25 2 222 23 4 25 34 years 384 28 9 445 35 1 35 44 years 718 53 9 658 49 3 45 54 years 1 456 131 2 1 505 136 7 55 64 years 2 602 319 5 2 566 328 2 65 74 years 3 678 826 4 3 731 867 9 75 84 years 6 455 2 457 6 6 290 2 438 8 85 years
33. 01 4 55 64 years 7 283 472 1 7 085 480 2 65 74 years 9 725 1 132 7 9 586 1 160 9 75 84 years 15 472 3 048 3 15 555 3 147 9 85 years and over 16 199 7 728 8 16 780 8 343 4 Not stated 9 ee or Age adjusted rate 434 3 449 3 Category not applicable Quantity zero 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 SAIAN is American Indian or Alaska Native Includes deaths among Aleuts and Eskimos SAPlis Asian or Pacific Islander 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 National Vital Statistics Reports Vol 59 No 4 41 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 preliminary 2008 and 2009 Data are based on a continuous file of records received fromthe 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 caus
34. 15 24 years 6 586 99 5 7 096 109 1 25 34 years 9 007 159 5 9 130 166 2 35 44 years 14 871 282 8 15 600 291 9 45 54 years 34 993 663 0 35 605 683 5 55 64 years 50 046 1 403 3 48 289 1 418 6 65 74 years 51 302 2 697 2 51 303 2 791 6 75 84 years 56 768 5 259 4 58 551 5 753 3 85 years and over 48 770 13 716 8 49 823 12 259 9 Not stated 48 wuss 24 Age adjusted rate we 942 6 ang 956 6 Non Hispanic black male All ages 144 001 776 1 145 377 795 5 Under 1 year 4 542 1 394 6 4 542 1 379 5 1 4 years 561 44 2 624 50 4 5 14 years 733 24 0 752 24 6 15 24 years 4 980 148 5 5 428 164 8 25 34 years 6 090 220 5 6 252 234 2 35 44 years 8 788 355 1 9 080 361 5 45 54 years 20 002 821 2 20 450 850 4 55 64 years 29 496 1 857 5 28 378 1 871 3 65 74 years 27 734 3 494 6 27 702 3 617 3 75 84 years 25 755 6 485 2 26 797 7 243 7 85 years and over 15 290 15 824 9 15 358 12 760 9 Not stated 31 wes 14 Age adjusted rate TE 1 173 2 os 1 178 3 Non Hispanic black female All ages 138 693 683 0 140 582 701 6 Under 1 year 3 471 1 110 5 3 651 1 159 1 1 4 years 467 38 0 461 38 6 5 14 years 530 17 9 508 17 1 15 24 years 1 607 49 2 1 669 52 0 25 34 years 2 917 101 2 2 878 101 9 35 44 years 6 083 218 5 6 520 230 2 45 54 years 14 991 527 4 15 155 540 4 55 64 years 20 550 1 038 7 19 911 1 054 8 65 74 years 23 568 2 126 3 23 600 2 201 6 75 84 years 31 013 4 545 8 31 753 4 902 0 85 years and over 33 480 12 930 1 34 465 12 049 1 Not stated 17 oak 10 Age adjusted rate ee 7
35. 2 3 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 na V89 3 V89 9 V90 V99 W00 X59 Y85 Y 86 717 1 8 2 Malignant neoplasms C00 C97 893 2 2 3 Congenital malformations deformations and chromosomal abnormalities Q00 Q99 350 0 9 4 Assault homicide U01 U02 X85 Y09 Y87 1 319 0 8 5 Intentional self harm suicide U03 X60 X84 Y87 0 266 0 7 6 Influenza and pneumonia JO9 J18 230 0 6 7 Diseases of heart 100 109 11 1 113 120 151 200 0 5 8 Chronic lower respiratory diseases J40 J47 116 0 3 9 In situ neoplasms benign neoplasms and neoplasms of uncertain or unknown behavior DO0 D48 84 0 2 10 Cerebrovascular diseases I60 I69 69 0 2 All other causes Residual 1 434 3 5 15 24 years re All causes 30 252 70 2 1 Accidents unintentional injuries V01 X59 Y85 Y 86 12 351 28 7 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 7 648 17 8 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 sia V89 3 V89 9 V90 V99 W00 X59 Y85 Y 86 4 703 10 9 2 Assault homicide U01 U02 X85 Y09 Y87 1 4 820 11 2 3 Intentional self harm suicide U03 X60 X84 Y87 0 4 341 10 1 4 Malignant neoplasms C00 C97 1 659 3 9 5 Dise
36. 2 852 0 9853 2 568 2 556 1 0047 3 185 3 183 1 0006 Malnutrition E40 E46 2 600 2 644 0 9834 2 383 2 377 1 0025 3 004 3 003 1 0003 Other nutritional deficiencies E50 E64 210 208 1 0096 185 179 1 0335 181 180 1 0056 Meningitis G00 G03 626 655 0 9557 632 634 0 9968 652 669 0 9746 Parkinson s disease G20 G21 20 136 20 058 1 0039 19 660 19 566 1 0048 19 547 19 544 1 0002 Alzheimer s disease G30 74 944 74 632 1 0042 72 914 72 432 1 0067 71 696 71 599 1 0014 Major cardiovascular diseases 100 178 803 504 806 156 0 9967 821 494 823 746 0 9973 853 188 856 030 0 9967 Diseases of heart 100 109 11 1 113 120 I51 615 651 616 067 0 9993 629 191 631 636 0 9961 649 399 652 091 0 9959 Acute rheumatic fever and chronic rheumatic heart diseases 100 109 3 188 3 201 0 9959 3 257 3 257 1 0000 3 359 3 365 0 9982 Hypertensive heart disease I11 30 354 30 780 0 9862 29 217 29 788 0 9808 28 902 29 282 0 9870 Hypertensive heart and renal disease 113 2 954 2 987 0 9890 2 919 2 918 1 0003 3 148 3 172 0 9924 Ischemic heart diseases 120 125 403 741 406 351 0 9936 424 892 425 425 0 9987 443 891 445 687 0 9960 Acute myocardial infarction 121 122 132 841 132 968 0 9990 141 965 141 462 1 0036 150 852 151 004 0 9990 Other acute ischemic heart diseases 124 4 046 4 092 0 9888 3 938 3 932 1 0015 3 556 3 565 0 9975 Other forms of chronic ischemic heart disease 20 125 266 854 269 291 0 9910 278 988 280 031 0 9963 289 483 291 118 0 9944 Atherosclerotic cardiovascular disease
37. 3 286 48 714 163 4 897 43 628 25 602 438 138 873 34 839 13 114 9 927 43 076 252 241 117 176 39 057 36 284 991 1 782 78 118 2009 Rate 40 8 1 3 83 5 18 5 65 0 56 6 0 4 0 3 18 5 37 4 8 4 41 9 2 4 6 2 3 4 2 8 1 3 17 5 0 9 16 5 0 1 0 1 0 0 44 7 0 2 3 6 1 1 39 8 0 3 5 2 10 0 1 0 0 1 0 6 9 9 4 9 5 0 1 1 15 9 0 1 1 6 14 2 0 0 0 2 0 1 0 0 0 3 0 0 0 3 4 3 3 2 14 0 82 2 38 2 12 7 11 8 0 3 0 6 25 4 Age adjusted rate 37 8 1 2 76 9 17 0 60 0 52 2 0 4 0 2 16 9 34 7 7 7 38 9 2 2 5 8 3 3 2 6 1 2 16 2 0 9 15 3 0 1 0 1 0 0 42 2 0 2 3 4 1 0 37 6 0 3 4 8 9 4 0 9 0 1 0 5 9 2 4 5 4 6 1 0 14 8 0 0 1 5 13 3 0 0 0 2 0 1 0 0 0 3 0 0 0 3 4 2 3 2 13 1 75 8 37 0 12 6 11 7 0 3 0 6 24 5 Number 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 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 4 120 43 965 33 629 504 133 774 34 739 13 889 10 284 38 455 252 706 121 207 42 742 39 831 1 146 1 765 78 465 2008 Rate 44 0 1 4 87 8 19 2 68 6 57 3 0 4 0 3 18 8 37 8 8 5 44 0 2 6 6 6 3 6 2 9 1 3 18 5 0 6 18 0 0 1 0 1 0 0 46 4 0 2 4 1 1 4 40 9 0 3 5 5 9 9 1 0 0 1 0 6 9 9 4 9 5
38. 31 939 842 7 747 9 Pennsylvania 124 813 990 2 771 0 127 450 1 023 8 796 5 Rhode Island 9 387 891 3 716 8 9 740 926 9 749 6 South Carolina 40 313 883 8 815 2 40 305 899 7 839 7 South Dakota 6 922 852 1 689 1 7 080 880 4 708 4 Tennessee 58 301 926 0 867 4 58 882 947 4 889 7 Texas 163 266 658 8 754 4 165 197 679 1 777 3 Utah 14 141 507 8 658 8 13 991 511 3 656 9 Vermont 5 029 808 8 680 9 5 213 839 1 722 2 Virginia 58 660 744 2 749 4 59 093 760 6 762 6 Washington 48 263 724 2 709 7 48 603 742 1 723 3 West Virginia 21 381 1 174 9 949 6 21 549 1 187 6 958 1 Wisconsin 45 691 808 0 708 8 46 799 831 5 729 7 Wyoming 4 284 787 1 776 4 4 222 792 6 772 5 National Vital Statistics Reports Vol 59 No 4 45 Table 3 Deaths death rates and age adjusted death rates United States and each state and territory preliminary 2008 and 2009 By place of residence Data are based on a continuous file of records received fromthe states Rates are per 100 000 population Age adjusted rates are per 100 000 U S standard population see Technical Notes Figures are based on weighted data rounded to the nearest individual so categories may not add to totals 2008 2008 Age adjusted Age adjusted Area Number Rate rate Number Rate rate Puerto Rico 28 874 727 8 683 6 28 781 727 9 700 4 Virgin Islands 699 636 4 682 9 Guam 762 433 0 683 1 American Samoa 310 472 4 1 216 9 241 371 8 958 9 Northern Marianas 194 376 8 901 7 175 316 8 833 0 D
39. 32 0 M80 4 M81 4 M83 5 M87 1 R78 1 R78 2 R78 3 R78 4 and R78 5 In addition to expansion of the list in 2003 ICD codes K85 3 Drug induced acute pancreatitis and R50 2 Drug induced fever were added to the list of drug induced codes in 2006 Two deaths were assigned to K85 3 in 2008 no deaths were Classified to these two new codes in 2009 Codes for alcohol induced deaths The list of codes included in alcohol induced causes was expanded in data year 2003 to be more comprehensive Three ICD 10 codes were added to the previous list of alcohol induced codes E24 4 G72 1 and K86 0 Additionally K85 2 Alcohol induced acute pancreatitis was added to the list in 2006 In 2008 405 deaths were classified to K85 2 in 2009 400 deaths were classified to K85 2 Recently added codes Beginning with data for 2009 NCHS added five 5 new World Health Organization ICD 10 codes A09 0 Other and unspecified gastroenteritis and colitis of infectious origin A09 9 Gastroenteritis and colitis of unspecified origin K52 3 Indeterminate colitis R26 3 Immobility and R63 6 Insufficient intake of food and water due to self neglect Deaths classified to codes A09 0 and A09 9 are included in the category Certain other intestinal infections in the list of 113 selected causes of death Table 2 and in the category Diarrhea and gastroenteritis of infectious origin in the list of 130 selected causes of infant death Table 5 Deaths classified to the code
40. 5 598 618 0 9676 664 665 0 9985 Hemorrhagic disease of newborn P53 1 1 Hemolytic disease of newborn due to isoimmunization and other perinatal jaundice P55 P59 20 15 1 3333 10 13 0 7692 16 16 1 0000 Hematological disorders P60 P61 89 99 0 8990 99 93 1 0645 102 101 1 0099 Syndrome of infant of a diabetic mother and neonatal diabetes mellitus P70 0 P70 2 12 14 0 8571 16 12 1 3333 19 19 1 0000 Necrotizing enterocolitis of newborn P77 529 554 0 9549 528 530 0 9962 549 546 1 0055 Hydrops fetalis not due to hemolytic disease P83 2 195 177 1 1017 171 168 1 0179 168 165 1 0182 Other perinatal conditions P29 P70 3 P76 P78 P81 P83 0 P83 1 P83 3 P96 1 405 1 444 0 9730 1 385 1 400 0 9893 1 258 1 271 0 9898 Congenital malformations deformations and chromosomal abnormalities Q00 Q99 5 769 5 785 0 9972 5 827 5 819 1 0014 5 562 5 552 1 0018 Anencephaly and similar malformations Q00 306 321 0 9533 332 336 0 9881 313 313 1 0000 Congenital hydrocephalus Q03 92 93 0 9892 82 88 0 9318 92 90 1 0222 Spina bifida Q05 21 19 1 1053 24 23 1 0435 22 22 1 0000 Other congenital malformations of nervous system Q01 Q02 Q04 Q06 Q07 408 393 1 0382 389 390 0 9974 318 314 1 0127 Congenital malformations of heart Q20 Q24 1 345 1 363 0 9868 1 399 1 396 1 0021 1 378 1 377 1 0007 Other congenital malformations of circulatory system Q25 Q28 256 254 1 0079 232 236 0 9831 246 245 1 0041 Congenital malformations of respiratory system Q30 Q34 393 410 0 9585 449
41. 551 13 0 Hemorrhagic disease of newborn P53 1 2 A Hemolytic disease of newborn due to isoimmunization and other perinatal jaundice P55 P59 14 ii 10 ki Hematological disorders P60 P61 91 2 2 78 1 8 Syndrome of infant of a diabetic mother and neonatal diabetes mellitus P70 0 P70 2 11 i 11 Necrotizing enterocolitis of newborn P77 505 12 2 547 12 9 Hydrops fetalis not due to hemolytic disease P83 2 185 4 5 170 4 0 Other perinatal conditions P29 P70 3 P76 P78 P81 P83 0 P83 1 P83 3 P96 1 385 33 5 1 375 32 3 Congenital malformations deformations and chromosomal abnormalities Q00 Q99 5 358 129 7 5 647 132 8 Anencephaly and similar malformations Q00 318 7 7 340 8 0 Congenital hydrocephalus Q03 114 2 8 104 2 4 Spina bifida Q05 21 0 5 22 0 5 Other congenital malformations of nervous system Q01 Q02 Q04 Q06 Q07 321 7 8 356 8 4 Congenital malformations of heart Q20 Q24 1 232 29 8 1 307 30 7 Other congenital malformations of circulatory system Q25 Q28 181 4 4 219 5 2 Congenital malformations of respiratory system Q30 Q34 387 9 4 378 8 9 National Vital Statistics Reports Vol 59 No 4 49 Table 5 Infant deaths and infant mortality rates for 130 selected causes United States preliminary 2008 and 2009 Data are based on a continuous file of records fromthe states Rates per 100 000 live births For explanation of asterisks preceding cause of death codes see Technical Notes Figures are based on weighted data rounded to the
42. 60 X84 Y87 0 14 192 17 9 9 Influenza and pneumonia JO9 J18 7 069 8 9 10 Nephritis nephrotic syndrome and nephrosis NOO NO7 N17 N19 N25 N27 7 047 8 9 All other causes Residual 98 367 123 9 National Vital Statistics Reports Vol 59 No 4 55 Table 7 Deaths and death rates for the 10 leading causes of death in specified age groups United States preliminary 2009 Data are based on a continuous file of records received fromthe states Rates are per 100 000 population in specified group For explanation of asterisks preceding cause of death codes see Technical Notes Figures are based on weighted data rounded to the nearest individual so categories may not add to totals or subtotals Cause of death Based on the International Rank Classification of Diseases Tenth Revision Second Edition 2004 and age Number Rate 65 years and over Ste All causes 1 762 494 4 454 1 1 Diseases of heart l00 109 111 113 120 151 479 046 1 210 6 2 Malignant neoplasms C00 C97 391 855 990 3 3 Chronic lower respiratory diseases J40 J47 117 048 295 8 4 Cerebrovascular diseases I60 I69 109 055 275 6 5 Alzheimer s disease G30 78 058 197 3 6 Diabetes mellitus E10 E14 48 811 123 4 7 Influenza and pneumonia JO9 J18 43 433 109 8 8 Nephritis nephrotic syndrome and nephrosis NOO NO7 N17 N19 N25 N27 40 341 101 9 9 Accidents unintentional injuries V01 X59 Y85 Y 86 39 316 99 4 Motor vehicle accidents V02 V04 V09 0 V09 2 V12 V14 V19 0
43. 7 5 51 8 51 7 35 45 0 44 9 43 0 42 8 47 0 46 9 40 40 3 40 2 38 3 38 1 42 2 42 1 45 35 7 35 6 33 8 33 6 37 5 37 4 50 31 2 31 1 29 4 29 2 32 9 32 8 55 26 9 26 8 25 2 25 0 28 5 28 3 60 22 8 22 6 21 2 21 0 24 1 24 0 65 18 8 18 7 17 4 17 3 20 0 19 9 70 15 1 15 0 13 9 13 7 16 1 16 0 75 11 7 11 6 10 6 10 6 12 5 12 4 80 8 8 8 8 7 9 7 9 9 3 9 3 85 6 4 6 4 5 7 5 7 6 7 6 8 90 4 5 4 5 4 1 4 1 4 7 4 8 95 3 1 3 2 2 8 2 9 3 2 3 3 100 2 2 2 2 2 0 2 0 2 2 2 2 National Vital Statistics Reports Vol 59 No 4 51 Table 6 Expectation of life by age race and sex United States preliminary 2008 and 2009 Data are based on a continuous file of records fromthe states Calculations of life expectancy employ populations estimated as of July 1 for 2009 and 2008 see Technical Notes Race categories are consistent w ith the 1977 Office of Management and Budget OMB standards Multiple race data w ere reported by 34 states and the District of Columbia in 2009 and 2008 see Technical Notes The multiple race data for these states w ere bridged to the single race categories of the 1977 OMB standards for comparability w ith other states see Technical Notes Both sexes Male Female Age years and race 2009 2008 2009 2008 2009 2008 Black 0 74 3 74 3 70 9 70 9 77 4 77 4 1 74 2 74 3 70 9 71 0 77 2 77 4 5 70 3 70 5 67 0 67 1 73 3 73 5 10 65 4 65 5 62 1 62 2 68 4 68 5 15 60 5 60 6 57 1 57 2 63 5 63 6 20 55 7 55 8 52 4 52 6 58 6 58 7 25 51 0 51 1 47 9 48 0
44. 711 5 322 031 6 034 7 85 years and over 262 839 14 744 1 261 319 14 022 5 Not stated 206 nae 115 Age adjusted rate nice 888 2 TE 901 0 All races female All ages 1 219 635 784 0 1 246 297 808 6 Under 1 year 11 658 559 7 12 382 588 1 1 4 years 1 953 23 4 2 044 25 1 5 14 years 2 399 12 1 2 379 12 1 15 24 years 8 116 38 8 8 178 39 5 25 34 years 13 293 65 3 12 647 63 1 35 44 years 28 050 135 7 28 692 135 4 45 54 years 72 652 321 2 71 546 317 7 55 64 years 119 155 661 8 116 670 669 2 65 74 years 175 229 1 564 7 176 238 1 623 1 75 84 years 316 684 4 112 6 331 814 4 315 6 85 years and over 470 337 12 222 9 483 656 12 535 8 Not stated 109 E 51 Age adjusted rate Lad 625 4 643 7 National Vital Statistics Reports Vol 59 No 4 34 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 preliminary 2008 and 2009 Data are based on a continuous file of records received fromthe 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 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 w hite and black should be interpreted with caution because of inconsistencies betw e
45. 82 6 oe 796 1 National Vital Statistics Reports Vol 59 No 4 38 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 preliminary 2008 and 2009 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 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 w hite and black should be interpreted with caution because of inconsistencies betw een reporting Hispanic origin and race on death certificates and on censuses and surveys see Technical Notes Race categories are consistent w ith the 1977 Office of Management and Budget OMB standards Multiple race data w ere reported by 34 states and the District of Columbia in 2009 and 2008 see Technical Notes The multiple race data for these states w ere bridged to the single race categories of the 1977 OMB standards for comparability w ith 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 Uo o n a oo e Age sex race and Hispanic or
46. 87 9 V88 9 V89 1 na V89 3 V89 9 V90 V99 W00 X59 Y85 Y86 17 811 21 4 2 Malignant neoplasms C00 C97 16 236 19 5 3 Diseases of heart 100 109 11 1 113 120 151 14 053 16 9 4 Intentional self harm suicide U03 X60 X84 Y 87 0 11 871 14 3 5 Assault homicide U01 U02 X85 Y09 Y87 1 6 883 8 3 6 Human immunodeficiency virus HIV disease B20 B24 3 326 4 0 7 Chronic liver disease and cirrhosis K70 K73 K74 2 931 3 5 8 Cerebrovascular diseases I60 I69 2 432 2 9 9 Diabetes mellitus E10 E14 2 429 2 9 10 Influenza and pneumonia JO9 J18 2 052 2 5 All other causes Residual 25 773 31 0 45 64 years vad All causes 490 145 617 5 1 Malignant neoplasms C00 C97 157 544 198 5 2 Diseases of heart 100 109 111 113 120 151 103 704 130 6 3 Accidents unintentional injuries V01 X59 Y85 Y 86 32 357 40 8 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 9 818 12 4 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 ne V89 3 V89 9 V90 V99 W00 X59 Y85 Y 86 22 539 28 4 4 Chronic lower respiratory diseases J40 J47 18 651 23 5 5 Chronic liver disease and cirrhosis K70 K73 K74 17 499 22 0 6 Diabetes mellitus E10 E14 17 052 21 5 7 Cerebrovascular diseases I60 I69 16 663 21 0 8 Intentional self harm suicide U03 X
47. 88 0 V88 8 V89 0 V89 2 106 2 6 104 2 4 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 2 i 1 i Falls W00 W19 28 0 7 19 y Accidental discharge of firearms W32 W34 ii il Accidental drowning and submersion W65 W74 41 1 0 37 0 9 Accidental suffocation and strangulation in bed W75 638 15 4 730 17 2 Other accidental suffocation and strangulation W76 W77 W81 W84 192 4 6 249 5 9 Accidental inhalation and ingestion of food or other objects causing obstruction of respiratory tract W78 W80 51 1 2 60 1 4 Accidents caused by exposure to smoke fire and flames X00 X09 24 0 6 19 a Accidental poisoning and exposure to noxious substances X40 X49 12 b 11 A Other and unspecified accidents W20 W31 W35 W64 W85 W99 X10 X39 X50 X59 64 1 5 67 1 6 Assault homicide U01 X85 Y09 327 7 9 337 7 9 Assault homicide by hanging strangulation and suffocation X91 23 0 6 31 0 7 Assault homicide by discharge of firearms U01 4 X93 X95 24 0 6 8 is Neglect abandonment and other maltreatment syndromes Y06 Y07 88 2 1 99 2 3 Assault homicide by other and unspecified means U01 0 U01 3 U01 5 U01 9 X85 X90 X92 X96 X99 Y00 Y 05 Y08 Y09 192 4 6 199 4 7 Complications of medical and surgical care Y40 Y84 18 id 23 0 5 Other external causes Y10 Y36 117 2 8 91 2 1 Figure does not meet sta
48. C difficile deaths in 2008 22 In 2009 the number of deaths decreased to 7 285 The age adjusted death rate for this cause decreased from 2 3 deaths per 100 000 standard population in 2008 to 2 2 deaths per 100 000 standard population in 2009 4 3 percent In 2009 C difficile ranked as the 19th leading cause of death for the population aged 65 years and older Approximately 92 percent of deaths from C difficile occurred to people 65 years and older data not shown The preliminary age adjusted death rate for drug induced deaths declined by 1 6 percent from 12 3 in 2008 to 12 1 in 2009 However the final number of drug induced deaths in 2008 or 2009 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 The age adjusted death rate for injury at work declined 10 5 percent from 1 9 to 1 7 The observed decrease in the age adjusted death rate for alcohol induced deaths 1 4 percent was not significant Mortality from firearm injuries Table 2 decreased by 2 9 percent Infant mortality The preliminary infant mortality rate for 2009 was 6 42 infant deaths per 1 000 live births see Tables A and 4 This represents a decrease of 2 6 percent from the preliminary 2008 rate of 6 59 With the exception of 2002 and 2005 the infant mortality rate has statistically remained the same o
49. Ill Ratios of preliminary to final reported numbers of deaths from 130 selected causes of infant death United States 2005 2007 For explanation of asterisks preceding cause of death codes see Technical Notes Preliminary Final Ratio of Preliminary Final Ratio of Preliminary Final Ratio of number of number of preliminary number of number of preliminary number of number of preliminary Cause of death Based on the International Classification of Diseases eaths deaths tofinal deaths deaths to final deaths deaths to final Tenth Revision Second Edition 2004 2007 2007 2007 2006 2006 2006 2005 2005 2005 Chronic respiratory disease originating in the perinatal period P27 225 243 0 9259 262 258 1 0155 271 270 1 0037 Atelectasis P28 0 P28 1 354 366 0 9672 396 398 0 9950 379 377 1 0053 All other respiratory conditions originating in the perinatal period P28 2 P28 9 61 69 0 8841 69 69 1 0000 61 61 1 0000 Infections specific to the perinatal period P35 P39 1 039 1 057 0 9830 979 998 0 9810 1 033 1039 0 9942 Bacterial sepsis of newborn P36 790 820 0 9634 786 807 0 9740 834 834 1 0000 Omphalitis of newborn with or without mild hemorrhage P38 5 4 1 2500 a 6 6 1 0000 All other infections specific to the perinatal period P35 P37 P39 244 233 1 0472 193 191 1 0105 193 199 0 9698 Hemorrhagic and hematological disorders of newborn P50 P61 723 711 1 0169 708 725 0 9766 782 782 1 0000 Neonatal hemorrhage P50 P52 P54 614 597 1 028
50. N17 N19 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 000 099 Pregnancy with abortive outcome 000 007 Other complications of pregnancy childbirth and the puerperium 010 099 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 ROO 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 V 19 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 89 9 Water air and space and other and unspecified transport accidents and their sequelae V90 V99 Y85 Nontransport accidents W00 X59 Y86 Number 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 3 345 122 185 843 15 928 30 655 2 937 428 1 821 30 444 15 107 15 338
51. Note The RSEs shown in Table VII 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 R and R2 or two percentages P and P3 For the number of deaths the 95 percent confidence interval may be computed as 2 Lower limit X 1 96 x SEL 100 3 Upper limit xr 1 96 x SAK As a hypothetical example assume the number of deaths X4 is 70 from a file with 80 percent completeness Then Lower limit 70 1 9 70 4 51 6 Upper limit 70 1 96 70 za 88 4 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 R 1 96 ne SELB 100 5 Upper limit ri 1 96 a TR 100 National Vital Statistics Reports Vol 59 No 4 26 As a hypothetical example assume the death rate R4 is 20 0 which is based on 70 deaths from a file with 80 percent completeness Then Lower limit 20 0 1 96 20 0 4 14 7 Upper limit 20 0 1 96 20 0 A 29 3 This means that the chances are 95 times out of 100 that the confidence interval 14 7 25 3 will cover
52. Severe acute respiratory syndrome SARS unspecified was added to the category in 2007 New ICD 10 code J09 Influenza due to identified avian influenza virus was added to the category in 2007 SOURCE Preliminary and final data from the CDC NCHS National Vital Statistics System National Vital Statistics Reports Vol 59 No 4 68 Table VII Relative standard errors for preliminary number of deaths by percent of file completeness Relative standard errors are expressed as a percent of the estimate Estimated number Percent of file completeness jai 100 95 90 80 70 60 Relative standard error percent 1 100 0 102 6 105 4 111 8 119 5 129 1 5 44 7 45 9 47 1 50 0 53 5 57 7 10 31 6 32 4 33 3 35 4 37 8 40 8 20 22 4 22 9 23 6 25 0 26 7 28 9 30 18 3 18 7 19 2 20 4 21 8 23 6 40 15 8 16 2 16 7 17 7 18 9 20 4 50 14 1 14 5 14 9 15 8 16 9 18 3 60 12 9 13 2 13 6 14 4 15 4 16 7 70 12 0 12 3 12 6 13 4 14 3 15 4 80 11 2 11 5 11 8 12 5 13 4 14 4 90 10 5 10 8 11 1 11 8 12 6 13 6 100 10 0 10 3 10 5 11 2 12 0 12 9 200 7 1 7 3 7 5 7 9 8 5 9 1 300 5 8 5 9 6 1 6 5 6 9 7 5 400 5 0 5 1 5 3 5 6 6 0 6 5 500 4 5 4 6 4 7 5 0 5 3 5 8 600 4 1 4 2 4 3 4 6 4 9 5 3 700 3 8 3 9 4 0 4 2 4 5 4 9 800 3 5 3 6 3 7 4 0 4 2 4 6 900 3 3 3 4 3 5 3 7 4 0 4 3 1 000 3 2 3 2 3 3 3 5 3 8 4 1 2 000 2 2 2 3 2 4 2 5 2 7 2 9 5 000 1 4 1 5 1 5 1 6 1 7 1 8 10 000 1 0 1 0 1 1 1 1 1 2 1 3 20 000 0 7 0 7 0 7 0 8 0 8 0 9 50 000 0 4 0 5 0 5 0 5 0 5 0 6 100 000 0 3 0 3 0 3 0 4 0 4 0 4
53. 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 6 259 15 8 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 ae V89 3 V89 9 V90 V99 W00 X59 Y85 Y 86 33 057 83 5 10 Septicemia A40 A41 26 810 67 8 sn All other causes Residual 388 721 982 3 Category not applicable 1 Rank based on number of deaths see Technical Notes Includes deaths under 1 year of age 3 Expanded ICD 10 code J09 Influenza due to certain identified influenza virus w as added to the category in 2009 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 National Vital Statistics Reports Vol 59 No 4 56 Table 8 Infant deaths and infant mortality rates for the 10 leading causes of infant death United States preliminary 2009 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 total
54. a Preliminary mortality data for 2009 are based on a continuous receipt and processing of statistical records by the National Center for Health Statistics NCHS through November 5 2010 NCHS received the data from the states vital registration systems through the Vital Statistics Cooperative Program Demographic information for the U S was available in calendar year 2009 for an estimated 97 4 percent of infant decedents and 98 5 percent of decedents aged 1 year and over Medical information for the U S was available in calendar year 2009 for an estimated 94 3 percent of infant decedents and 96 5 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 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 Information on reporting for the 2008 preliminary data are available elsewhere 22 For 2009 individual records of infant deaths deaths under 1 year of age and deaths of persons 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 prelimin
55. ana 662 100 0 99 7 55 889 100 0 99 7 lowa 161 100 0 100 0 27 208 100 0 100 0 Kansas 254 100 0 100 0 22 989 100 0 100 0 Kentucky 316 99 1 98 7 40 584 100 0 99 9 Louisiana 580 100 0 99 0 39 785 100 0 99 5 Maine 72 95 8 94 4 12 408 96 4 96 1 Maryland 484 100 0 100 0 43 163 100 0 100 0 Massachusetts 394 95 9 88 6 52 716 96 0 94 1 Michigan 889 99 9 99 9 84 375 100 0 100 0 Minnesota 343 100 0 97 7 37 506 100 0 97 7 Mississippi 378 100 0 100 0 27 331 100 0 100 0 Missouri 642 100 0 100 0 55 506 100 0 100 0 Montana 63 100 0 100 0 8 674 100 0 100 0 Nebraska 156 100 0 100 0 14 919 100 0 100 0 Nevada 219 99 5 83 6 19 651 100 0 96 3 New Hampshire 58 100 0 100 0 9 936 100 0 100 0 New Jersey 480 100 0 99 8 66 535 100 0 100 0 New Mexico 137 100 0 100 0 15 083 100 0 100 0 New York 1 335 100 0 100 0 144 041 100 0 100 0 New York excluding New York City 667 100 0 100 0 91 826 100 0 100 0 New York City 668 100 0 100 0 52 215 100 0 100 0 North Carolina 1 030 100 0 99 3 76 848 100 0 100 0 North Dakota 54 100 0 100 0 6 387 100 0 99 7 Ohio 1 160 99 7 99 0 106 085 100 0 99 8 Oklahoma 419 100 0 100 0 34 242 100 0 100 0 Oregon 243 99 6 99 6 31 381 99 1 99 1 Pennsylvania 1 118 100 0 98 9 124 879 100 0 100 0 Rhode Island 88 100 0 100 0 9 520 100 0 100 0 South Carolina 412 96 4 95 4 39 268 100 0 99 0 South Dakota 87 100 0 100 0 7 053 100 0 100 0 Tennessee 744 100 0 100 0 60 377 100 0 100 0 Texas 2 437 99 9 99 9 162 991 100 0 100 0 Utah 308 100 0 100 0 14 298 100 0 100 0 Ver
56. and over 7 691 7 418 7 7 218 7 486 9 Not stated 2 EE 1 Age adjusted rate ee 348 8 a 353 5 National Vital Statistics Reports Vol 59 No 4 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 preliminary 2008 and 2009 40 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 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 w hite and black should be interpreted w ith caution because of inconsistencies betw een reporting Hispanic origin and race on death certificates and on censuses and surveys see Technical Notes Race categories are consistent w ith the 1977 Office of Management and Budget OMB standards Multiple race data w ere reported by 34 states and the District of Columbia in 2009 and 2008 see Technical Notes The multiple race data for these states w ere bridged to the single race categories of the 1977 OMB standards for comparability w ith other states see Technical Notes Data for persons of Hispanic origin are included in the data for each race group according to the decede
57. ars 21 746 129 7 22 075 133 2 35 44 years 35 572 212 2 36 677 213 6 45 54 years 90 684 497 9 90 857 500 8 55 64 years 148 819 1 040 7 145 915 1 051 9 65 74 years 191 405 2 298 3 191 321 2 377 5 75 84 years 277 531 5 750 3 287 530 6 054 3 85 years and over 241 241 14 947 8 240 108 14 358 6 Not stated 160 93 Age adjusted rate 875 9 889 5 White female All ages 1 048 367 842 6 1 074 429 869 0 Under 1 year 7 441 469 0 8 011 496 8 1 4 years 1 369 21 5 1 430 22 8 5 14 years 1 690 11 0 1 733 11 4 15 24 years 6 014 37 1 6 081 37 8 25 34 years 9 687 61 6 9 049 58 2 35 44 years 20 669 127 7 20 949 125 8 45 54 years 55 124 300 7 53 978 295 2 55 64 years 94 737 632 0 93 037 639 2 65 74 years 146 479 1 536 9 147 496 1 595 1 75 84 years 277 480 4 144 6 292 128 4 344 1 85 years and over 427 594 12 357 2 440 501 12 769 4 Not stated 84 37 Age adjusted rate 618 2 637 1 National Vital Statistics Reports Vol 59 No 4 35 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 preliminary 2008 and 2009 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 are based on weighted data rounded to the nearest individual so categories may not add to totals Race and Hispanic origin are
58. ary 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 preliminary 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 ta
59. ases of heart I00 109 111 113 120 I51 1 010 2 3 6 Congenital malformations deformations and chromosomal abnormalities Q00 Q99 451 1 0 7 Influenza and pneumonia JO9 J18 410 1 0 8 Pregnancy childbirth and the puerperium 000 099 202 0 5 9 Cerebrovascular diseases I60 I69 198 0 5 10 Chronic lower respiratory diseases J40 J47 182 0 4 All other causes Residual 4 628 10 7 National Vital Statistics Reports Vol 59 No 4 54 Table 7 Deaths and death rates for the 10 leading causes of death in specified age groups United States preliminary 2009 Data are based on a continuous file of records received fromthe states Rates are per 100 000 population in specified group For explanation of asterisks preceding cause of death codes see Technical Notes Figures are based on weighted data rounded to the nearest individual so categories may not add to totals or subtotals Cause of death Based on the International Rank Classification of Diseases Tenth Revision Second Edition 2004 and age Mumogr nate 25 44 years wae All causes 116 830 140 6 1 Accidents unintentional injuries V01 X59 Y85 Y 86 28 844 34 7 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 11 033 13 3 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 V
60. ata not available Excludes data for Puerto Rico Virgin Islands Guam American Samoa and Northern Marianas Georgia data are not shown separately but are included in the U S total because the percent completeness did not meet the criterion of at least 75 percent of the state s demographic file for the 12 month period see Technical Notes For 2008 data for Nevada are based on the state of occurrence due to the lack of geographic code for the state 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 National Vital Statistics Reports Vol 59 No 4 46 Table 4 Infant deaths and infant mortality rates by age race and Hispanic origin United States preliminary 2008 and 2009 Data are based on the continuous file of records received from the states Rates per 1 000 live births Figures 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 w ith caution because of the inconsistencies betw een 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 w ere reported
61. aths 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 Postcensal estimates of the resident population of the United States for July 1 2000 July 1 2009 by year county age bridged race Hispanic origin and sex Vintage 2009 pcen_v2009_y09 txt Prepared under a collaborative agreement with the U S Census Bureau 2010 Available from http www cdc gov nchs nvss bridged_race data_documentation htm vintage2009 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 Race and ethnic standards for federal statistics and administrative reporting Statistical Policy Directive 15 1977 U S Census Bureau Age sex race and Hispanic origin information from the 1990 census A comparison of census results with results where age and race have been modified 1990 CPH L 74 Washington DC U S Department of Commerce 1991 Ingram DD Parker JD Schenker N Weed JA et al United States census 2000 population with brid
62. ational Vital Statistics Reports Vol 59 No 4 Table 5 Infant deaths and infant mortality rates for 130 selected causes United States preliminary 2008 and 2009 48 Data are based on a continuous file of records fromthe states Rates per 100 000 live births For explanation of asterisks preceding cause of death codes see Technical Notes Figures are based on weighted data rounded to the nearest individual so categories may not add to totals or subtotals Cause of death Based on the nternational 2009 2008 Classification of Diseases Tenth Revision Second Edition 2004 Number Rate Number Rate Other and unspecified diseases of respiratory system J22 J30 J39 J43 J44 J47 J68 J70 J98 U04 267 6 5 260 6 1 Diseases of the digestive system K00 K92 229 5 5 578 13 6 Gastritis duodenitis and noninfective enteritis and colitis K29 K50 K55 33 0 8 355 8 4 Hernia of abdominal cavity and intestinal obstruction without hernia K40 K46 K56 50 1 2 47 141 All other and unspecified diseases of digestive system KO0 K28 K30 K38 K57 K92 147 3 6 175 4 1 Diseases of the genitourinary system N00 N95 124 3 0 172 4 0 Renal failure and other disorders of kidney N17 N19 N25 N27 103 25 140 3 3 Other and unspecified diseases of genitourinary system NOO N15 N20 N23 N26 N28 N95 21 0 5 32 0 8 Certain conditions originating in the perinatal period P00 P96 12 981 314 2 13 738 323 2 Newborn affected by maternal factors and by complications of preg
63. bles in this report Table shows the percent completeness 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 Based on a criterion of at least 75 percent completeness of a state s demographic file for the 12 month period as a basis for providing state specific estimates the demographic mortality files for 2009 contained less than 71 1 percent of their records for Georgia Table therefore data for Georgia are included in the U S total but are not shown separately in Table 3 which shows deaths and death rates by state Since the preliminary data for 2009 for Georgia were incomplete additional review of the data was included to insure the 2009 estimates for the United States were accurate National Vital Statistics Reports Vol 59 No 4 16 For selected variables in the mortality files unknown or not stated values are imputed The percentage not stated was less than 1 8 percent for all variables discussed in this report Detailed information on reporting completeness and imputation procedures may be found in Technical Appendix Vital Statistics of the United States Mortality 1999 34 2003 revision of U S Standard Certificate of Dea
64. bolic diseases E00 E88 255 252 1 0119 200 207 0 9662 222 226 0 9823 Short stature not elsewhere classified E34 3 3 5 0 6000 8 11 0 7273 8 8 1 0000 Nutritional deficiencies E40 E64 4 7 0 5714 7 9 0 7778 5 5 1 0000 Cystic fibrosis E84 11 11 1 0000 10 11 0 9091 5 5 1 0000 Volume depletion disorders of fluid electrolyte and acid base balance E86 E87 62 60 1 0333 56 53 1 0566 65 63 1 0317 All other endocrine nutritional and metabolic diseases E00 E32 E34 0 E34 2 E34 4 E34 9 E65 E83 E85 E88 175 169 1 0355 118 123 0 9593 139 145 0 9586 Diseases of the nervous system G00 G98 424 413 1 0266 361 373 0 9678 348 354 0 9831 Meningitis GO0 G03 88 82 1 0732 57 61 0 9344 56 57 0 9825 Infantile spinal muscular atrophy type Werdnig Hoffman G12 0 15 13 1 1538 9 8 1 1250 15 15 1 0000 Infantile cerebral palsy G80 11 11 1 0000 8 7 1 1429 7 8 0 8750 Anoxic brain damage not elsewhere classified G93 1 53 64 0 8281 55 60 0 9167 40 42 0 9524 Other diseases of nervous system G04 G06 G11 G12 1 G12 9 G20 G72 G81 G92 G93 0 G93 2 G93 9 G95 G98 257 243 1 0576 232 237 0 9789 229 232 0 9871 Diseases of the ear and mastoid process H60 H93 3 3 1 0000 2 3 0 6667 7 7 1 0000 Diseases of the circulatory system 100 199 612 624 0 9808 539 543 0 9926 523 529 0 9887 Pulmonary heart disease and diseases of pulmonary circulation 126 128 96 100 0 9600 81 81 1 0000 98 98 1 0000 Pericarditis endocarditis and myocarditis 130 133 140 17 21 0 8095 7
65. by 34 states and the District of Columbia in 2009 and 2008 see Technical Notes The multiple race data for these states w ere bridged to the single race categories of the 1977 OMB standards for comparability w ith 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 2009 2008 Age sex race and Hispanic origin Number Rate Number Rate All races both sexes All ages 2 436 682 793 7 2 473 018 813 3 Under 1 year 26 531 622 6 28 033 649 9 1 4 years 4 460 26 2 4 747 28 4 5 14 years 5 643 13 9 5 663 14 1 15 24 years 30 410 70 6 32 208 75 7 25 34 years 42 443 102 1 42 309 103 4 35 44 years 74 548 179 5 76 409 179 8 45 54 years 187 267 420 0 186 643 420 6 55 64 years 303 101 871 3 296 269 879 5 65 74 years 400 969 1 928 5 401 750 1 996 5 75 84 years 627 819 4 775 1 653 845 5 019 9 85 years and over 733 176 13 021 1 744 976 13 020 0 Not stated 315 se 166 Age adjusted rate or 741 0 ii 758 7 All races male All ages 1 217 047 803 6 1 226 721 818 2 Under 1 year 14 873 682 7 15 651 708 9 1 4 years 2 507 28 8 2 703 31 7 5 14 years 3 244 15 6 3 284 16 0 15 24 years 22 294 100 7 24 030 109 9 25 34 years 29 150 137 3 29 662 141 9 35 44 years 46 498 222 9 47 717 223 9 45 54 years 114 615 521 6 115 098 526 7 55 64 years 183 945 1 096 1 179 599 1 105 2 65 74 years 225 740 2 353 1 225 512 2 434 0 75 84 years 311 135 5
66. cent decrease White females 3 0 percent decrease Non Hispanic white males 1 9 percent decrease Non Hispanic white females 3 3 percent decrease Black females 1 5 percent decrease Non Hispanic black females 1 7 percent decrease Hispanic males 2 6 percent decrease Hispanic females 3 3 percent decrease Among the major race and Hispanic origin groups the lowest mortality was reported for the API Hispanic and AIAN populations Compared with the non Hispanic white population preliminary age adjusted death rates were 44 5 percent lower for the API population 30 3 percent lower for the Hispanic population and 19 0 percent lower for the AIAN population In contrast the age adjusted death rate for the non Hispanic black population was 26 6 percent higher than that for the non Hispanic National Vital Statistics Reports Vol 59 No 4 6 white population Table 1 It is important to keep in mind however 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 23 25 Statistically significant decreases in mortality from 2008 to 2009 were registered for those under 1 year 1 4 years 15 24 years and across age groups ranging 55 84 years of age Other age groups did not experience significant change The magnitude of the significant changes in mortality by age group is Table 1 Under 1 year 4 2 percent
67. chnical Notes Sincluded in Certain other intestinal infections A04 A07 A09 show n above 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 National Vital Statistics Reports Vol 59 No 4 44 Table 3 Deaths death rates and age adjusted death rates United States and each state and territory preliminary 2008 and 2009 By place of residence Data are based on a continuous file of records received fromthe states Rates are per 100 000 population Age adjusted rates are per 100 000 U S standard population see Technical Notes Figures are based on weighted data rounded to the nearest individual so categories may not add to totals 2009 2008 Age adjusted Age adjusted Area Number Rate rate Number Rate rate United States 2 436 652 793 7 740 9 2 473 018 813 3 758 7 Alabama 47 428 1 007 2 920 3 47 712 1 023 4 930 3 Alaska 3 616 517 7 754 3 3 483 507 5 739 6 Arizona 45 839 695 0 652 9 45 610 701 7 650 6 Arkansas 28 669 992 2 874 4 29 310 1 026 5 899 2 California 232 767 629 8 652 2 234 229 637 2 658 8 Colorado 31 170 620 3 688 0 31 256 632 8 708 6 Connecticut 28 513 810 4 682 3
68. cified group Age adjusted rates are per 100 000 U S standard population see Technical Notes Figures 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 w hite and black should be interpreted with caution because of inconsistencies betw een reporting Hispanic origin and race on death certificates and on censuses and surveys see Technical Notes Race categories are consistent w ith the 1977 Office of Management and Budget OMB standards Multiple race data w ere reported by 34 states and the District of Columbia in 2009 and 2008 see Technical Notes The multiple race data for these states w ere bridged to the single race categories of the 1977 OMB standards for comparability w ith 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 2009 2008 Age sex race and Hispanic origin Number Rate Number Rate Total black both sexes All ages 286 928 699 8 289 306 716 7 Under 1 year 8 356 1 176 7 8 513 1 190 7 1 4 years 1 068 38 4 1 131 42 1 5 14 years 1 300 20 2 1 287 20 1 15 24 years 6 749 96 8 7 222 105 6 25 34 years 9 211 154 4 9 287 159 8 35 44 years 15 141 273 5 15 797 281 1 45 54 years 35 447 646 3 35 994 665 4 55 64 years 50 704 1 375 4 48
69. d indicator of the risk of dying during the first year of life another measure of infant mortality the infant death rate is shown elsew here 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 section Infant mortality in the Technical Notes National Vital Statistics Reports Vol 59 No 4 47 Table 5 Infant deaths and infant mortality rates for 130 selected causes United States preliminary 2008 and 2009 Data are based on a continuous file of records fromthe states Rates per 100 000 live births For explanation of asterisks preceding cause of death codes see Technical Notes Figures are based on weighted data rounded to the nearest individual so categories may not add to totals or subtotals Cause of death Based on the nternational 2009 2008 Classification of Diseases Tenth Revision Second Edition 2004 Number Rate Number Rate All causes 26 526 642 1 28 029 659 3 Certain infectious and parasitic diseases A00 B99 735 17 8 485 11 4 Certain intestinal infectious diseases A00 A08 11 ii 12 i Diarrhea and gastroenteritis of infectious origin A09 328 7 9 s Tuberculosis A16 A19 1 Tetanus A33 A35 h Diphtheria A36 ii 7 i Whooping cough A37 15 w 18 Meningococcal infection A39 10 ii 9 is Septicemia A40 A41 234 5 7 293 6 9 Congenital syphilis A50 2 p
70. d lung C33 C34 158 258 158 760 0 9968 158 525 158 664 0 9991 159 415 159 292 1 0008 Malignant melanoma of skin C43 8 499 8 461 1 0045 8 487 8 441 1 0054 8 368 8 345 1 0028 Malignant neoplasm of breast C50 40 514 40 970 0 9889 41 223 41 210 1 0003 41 471 41 491 0 9995 Malignant neoplasm of cervx uteri C53 3 942 4 021 0 9804 3 926 3 976 0 9874 3 914 3 924 0 9975 Malignant neoplasms of corpus uteri and uterus part unspecified C54 C55 7 319 7 456 0 9816 7 374 7 384 0 9986 7 070 7 096 0 9963 Malignant neoplasm of ovary C56 14 535 14 621 0 9941 14 906 14 857 1 0033 14 770 14 787 0 9989 Malignant neoplasm of prostate C61 28 823 29 093 0 9907 28 331 28 372 0 9986 28 916 28 905 1 0004 Malignant neoplasms of kidney and renal pelvis C64 C65 12 569 12 703 0 9895 12 376 12 379 0 9998 12 513 12 517 0 9997 Malignant neoplasm of bladder C67 13 827 13 843 0 9988 13 492 13 474 1 0013 13 258 13 253 1 0004 Malignant neoplasms of meninges brain and other parts of central nervous system C70 C72 13 172 13 234 0 9953 12 853 12 886 0 9974 13 149 13 152 0 9998 Malignant neoplasms of lymphoid hematopoietic and related tissue C81 C96 54 950 54 991 0 9993 55 241 55 045 1 0036 55 023 55 028 0 9999 Hodgkin s disease C81 1 251 1 271 0 9843 1 331 1 327 1 0030 1 272 1 272 1 0000 Non Hodgkin s lymphoma C82 C85 20 537 20 528 1 0004 20 663 20 594 1 0034 20 863 20 873 0 9995 Leukemia C91 C95 21 696 21 825 0 9941 22 022 21 944 1 0036 21 616 21 623 0 9997 Multiple mye
71. de by other and unspecified means and their sequelae U01 0 U01 3 U01 5 U01 9 U02 X85 X92 X96 Y 09 Y87 1 5 391 5 729 0 9410 5 520 5 782 0 9547 5 573 5 772 0 9655 Legal intervention Y35 Y89 0 371 412 0 9005 411 434 0 9470 377 414 0 9106 Events of undetermined intent Y10 Y34 Y87 2 Y89 9 4 888 5 381 0 9084 4 706 5 131 0 9172 4 423 4 742 0 9327 Discharge of firearms undetermined intent Y22 Y24 256 276 0 9275 214 220 0 9727 215 221 0 9729 Other and unspecified events of undetermined intent and their sequelae Y10 Y21 Y25 Y34 Y87 2 Y89 9 4 632 5 105 0 9073 4 492 4 911 0 9147 4 209 4 521 0 9310 Operations of war and their sequelae Y36 Y89 1 19 21 0 9048 30 28 1 0714 27 27 1 0000 Complications of medical and surgical care Y40 Y84 Y88 2 566 2 597 0 9881 2 492 2 521 0 9885 2 630 2 653 0 9913 Quantity zero Category not applicable New ICD 10 code J09 Influenza due to identified avian influenza virus was added to the category in 2007 New ICD 10 code U04 Severe acute respiratory syndrome SARS was added to the category in 2007 Cause of death title was changed in 2007 to reflect the addition of SARS ICD 10 code U04 SOURCE Preliminary and final data from CDC NCHS National Vital Statistics System National Vital Statistics Reports Vol 59 No 4 64 Table Ill Ratios of preliminary to final reported numbers of deaths from 130 selected causes of infant death United States 2005 2007 For explanation of asterisks prec
72. death see Nature and sources of data in Technical Notes Preliminary estimates are subject to sampling variation as well as random variation Cause of death information is not always available when preliminary data are sent to NCHS but is available later for final data processing As a result estimates of cause of death based on preliminary mortality data may differ from statistics developed from the final mortality data see Tables II and III in Technical Notes Such differences may affect certain causes of death where the cause is pending investigation such as for Assault homicide Intentional self harm suicide Accidents unintentional injuries Drug induced deaths and Sudden infant death syndrome SIDS see Nonsampling error in Technical Notes This preliminary report includes national and state estimates of total deaths and death rates as well as statistics on life expectancy infant mortality and causes of death 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 Tabulations by race and ethnic National Vital Statistics Reports Vol 59 No 4 4 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 Death rates for AIAN API and to a lesser exte
73. decrease 1 4 years 7 7 percent decrease 15 24 years 6 7 percent decrease 55 64 years 0 9 percent decrease 65 74 years 3 4 percent decrease 75 84 years 4 9 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 Preliminary life expectancy data shown in this report for the 2008 data year have been updated and may differ from those previously published see Life Tables in Technical Notes Life expectancy data shown in this report for data years 2008 2009 are based on methodology that was revised in 2000 The revised methodology is similar to that developed for the 1999 2001 decennial life tables see Technical Notes The preliminary estimate of life expectancy at birth for the total population in 2009 is 78 2 years This represents an increase in life expectancy of 0 2 year relative to 2008 see Tables A and 6 Life expectancy for males increased 0 2 year from 75 5 in 2008 to 75 7 in 2009 Female life expectancy increased from 80 5 years to 80 6 years The difference between male and female life expectancy at birth has been generally decreasing since its peak of 7 8 years in 1979 26 The gap between male and female life expectancy was 4 9 years in 2009 The difference in life expectancy between the white and black populations in 2009 was 4 3 years a 0 2 year increase fro
74. e group i P total U S standard population all ages combined Table IV Table IV United States year 2000 standard population Age Population All AB CS ice viceces Basncceseciccedeeietates 274 633 642 Under 1 year 3 794 901 1 4 yeal Siis 15 191 619 5 14 VEAN Sinisira 39 976 619 15 24 VOOM vsccccecsicdcccecssnaccceeess 38 076 743 25 34 YOAMS cecesesesssssseseseeeees 37 233 437 Bia E E E N 44 659 185 45 54 Yea S eseria 37 030 152 55 64 Veal Siros eei iste 23 961 506 65 74 yea Serrie issar 18 135 514 75 84 Vea Siinai aias 12 314 793 85 years and OVEF ceeeeeeeeeeees 4 259 173 Age adjusted death rates for injury at work were computed by applying the age specific death rates to the U S standard population for ages 15 years 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 National Vital Statistics Reports Vol 59 No 4 23 Table V United States year 2000 standard population for ages 15 years and over Age Population 15 years ANd OVETS cccccsceeees 215 670 503 15 24 years eneren 38 076 743 25 34 years esenee 37 233 437 35 44 VOaMS ccsesesesesesescseeeeeeeees 44 659 185 45 54 yYeafS nnnsneeeeseeeneseeeeeeee 37 030 152 55 64 VOaNMS ccesecsssssstecaeeeeeeesens 23 961 506 65 years and OVEL ccceeeeeseees 34 709 480 Age adjusted rates for Puerto Rico Virgin Islands Guam A
75. e of death codes see Technical Notes Figures are based on weighted data rounded to the nearest individual so categories may not add to totals or subtotals 2009 2008 Age Age Cause of death Based on the International adjusted adjusted Classification of Diseases Tenth Revision Second Edition 2004 Number Rate rate Number Rate rate All causes 2 436 652 793 7 741 0 2 472 699 813 2 758 6 Salmonella infections A01 A02 26 0 0 0 0 43 0 0 0 0 Shigellosis and amebiasis A03 A06 11 y 6 gt Certain other intestinal infections A04 A07 A09 10 242 3 3 3 1 7 883 2 6 2 4 Tuberculosis A16 A19 547 0 2 0 2 590 0 2 0 2 Respiratory tuberculosis A16 422 0 1 0 1 452 0 1 0 1 Other tuberculosis A17 A19 126 0 0 0 0 138 0 0 0 0 Whooping cough A37 15 kil 20 0 0 0 0 Scarlet fever and erysipelas A38 A46 5 i i 3 k Meningococcal infection A39 97 0 0 0 0 102 0 0 0 0 Septicemia A40 A41 35 587 11 6 10 9 35 961 11 8 11 1 Syphilis A50 A53 33 0 0 0 0 34 0 0 0 0 Acute poliomyelitis A80 gi h Arthropod borne viral encephalitis A83 A84 A85 2 2 i 2 i Measles B05 2 H i ji s Viral hepatitis B15 B19 7 652 2 5 2 2 7 631 2 5 2 3 Human immunodeficiency virus HIV disease B20 B24 9 424 3 1 3 0 10 295 3 4 3 3 Malaria B50 B54 4 K 5 ii a 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 5 842
76. ed States 2005 2007 For explanation of asterisks preceding cause of death codes see Technical Notes Preliminary Final Ratio of Preliminary Final Ratio of Preliminary Final Ratio of number of number of preliminary number of number of preliminary number of number of preliminary Cause of death Based on the International Classification of Diseases deaths deaths to final deaths deaths tofinal deaths deaths to final Tenth Revision Second Edition 2004 2007 2007 2007 2006 2006 2006 2005 2005 2005 External causes of mortality U01 V01 Y84 1646 1 747 0 9422 1 510 1 598 0 9449 1 463 1 512 0 9676 Accidents unintentional injuries V01 X59 1 238 1 285 0 9634 1 119 1 147 0 9756 1 069 1083 0 9871 Transport accidents V01 V99 136 127 1 0709 136 142 0 9577 148 147 1 0068 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 2 133 124 1 0726 133 140 0 9500 147 146 1 0068 Other and unspecified transport accidents V01 V05 V06 V09 1 V09 3 V09 9 V10 V11 V15 V18 V19 3 V19 8 V 19 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 4 3 1 3333 2 2 1 0000 1 1 1 0000 Falls W00 W19 33 24 1 3750 22 23 0 9565 15 16 0 9375 Accidental discharge of firearms W32 W34 2 1 2 0000 A 1 1 1 0000 Accidental drowning and submersion W65 W74 54 57 0 9474 51 51 1 0000 64 64 1 0000 Accidental s
77. ed in 1997 by the Office of Management and Budget 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 2009 mortality data multiple races were reported on the revised death certificates of Arkansas California Connecticut Delaware District of Columbia Florida Georgia Idaho Illinois Indiana Kansas Michigan 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 Multiple races were also reported on the unrevised certificates of Hawaii Maine Minnesota and Wisconsin Data from the vital records of the remaining 16 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 16 17 In addition these 16 states report a minimum set of four races as stipulated in the 1977 standards These are white black or African American American Indian or Alaska Native AIAN and Asian or Pacific Islander API In order to provide uniformity and c
78. eding cause of death codes see Technical Notes Preliminary Final Ratio of Preliminary Final Ratio of Preliminary Final Ratio of number of number of preliminary number of number of preliminary number of number of preliminary Cause of death Based on the International Classification of Diseases deaths deaths to final deaths deaths to final deaths deaths to final Tenth Revision Second Edition 2004 2007 2007 2007 2006 2006 2006 2005 2005 2005 All causes 29 241 29 138 1 0035 28 609 28 527 1 0029 28 534 28 440 1 0033 Certain infectious and parasitic diseases A00 B99 484 482 1 0041 500 479 1 0438 528 530 0 9962 Certain intestinal infectious diseases A00 A08 20 13 1 5385 15 16 0 9375 8 9 0 8889 Diarrhea and gastroenteritis of infectious origin A09 a 2 1 2 0000 1 1 1 0000 Tuberculosis A16 A19 2 2 1 0000 1 a 2 2 1 0000 Tetanus A33 A35 af ii Diphtheria A36 te ih ist Whooping cough A37 8 8 1 0000 8 8 1 0000 28 28 1 0000 Meningococcal infection A39 9 Ti 0 8182 10 11 0 9091 17 17 1 0000 Septicemia A40 A41 271 283 0 9576 293 269 1 0892 301 302 0 9967 Congenital syphilis A50 4 5 0 8000 ist Gonococcal infection A54 wee s is Viral diseases A80 B34 112 115 0 9739 116 120 0 9667 113 119 0 9496 Acute poliomyelitis A80 as i Varicella chickenpox B01 7 ae ia Measles B05 wes k in Human immunodeficiency virus HIV disease B20 B24 7 5 1 4000 7 7 1
79. ee National Vital cud Statistics Reports __ Volume 59 Number 4 March 16 2011 Deaths Preliminary Data for 2009 by Kenneth D Kochanek M A Jiaquan Xu M D Sherry L Murphy B S Arialdi M Mini o MPH and Hsiang Ching Kung Ph D Division of Vital Statistics A reformatted typeset version of this report will replace the current version National Vital Statistics Reports Vol 59 No 4 1 Table of contents TNE f LE AB aaier E E E E RE 1 PISA Fane A E E E E E E 2 eiga olo 16 EEE ere rrr E EEE EE E E Perr ree ee E EE EE E EEE T E 3 D ta Sources and Metho iaca a a Ea EE a E a E E EEE ARR 3 PRE UMS E E deca pita E E dob ea tea epee tncoe a E E ae 5 Tenden MMI FM ES cass Scag nsdn a a tee Maes 5 Causes Crear A EEA AE E A ai Meee eI eo 6 WPS SSIIR NE RCA R E res ce ccc N Uc u aces tee cena E auc utered T are Ghassan set eunaans 8 Refere MES oranana EERE TEE ES a 10 List oPderailed tAE S siririn anaa AEEA aeons eae en a atone 14 SP OWE SUN M oe oe reece cee ae cece eave atin te ccleac Galeria ue Suu aeinn saves ame anau sae bans areesne acum eaveeacpeceeceaees 14 SBS STS UL AU arpia S R ans lean ele deena aides 14 Peat NOTE S a a ateaaeanads 15 Marre and sanee ro AAE TA 15 2003 revision of U S Standard Certificate of Deathis wscsssscrtaivasesacvnssvenavvareiasvvandecaivescdaivnosteastvesensarveadies 16 ea 19 glk E e E E E E A A EE EA AET T E rerrt terry 16 TREE 1 A A A EA E E EEA E A T E T es I7 Cause o deoi eas iCat errena e
80. en reporting Hispanic origin and race on death certificates and on censuses and surveys see Technical Notes Race categories are consistent w ith the 1977 Office of Management and Budget OMB standards Multiple race data w ere reported by 34 states and the District of Columbia in 2009 and 2008 see Technical Notes The multiple race data for these states w ere bridged to the single race categories of the 1977 OMB standards for comparability w ith 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 2009 2008 Age sex race and Hispanic origin Number Rate Number Rate Total white both sexes All ages 2 085 305 844 3 2 120 961 864 9 Under 1 year 16 897 520 4 18 162 549 8 1 4 years 3 159 24 2 3 350 26 0 5 14 years 4 000 12 7 4 072 13 0 15 24 years 22 237 66 4 23 627 71 2 25 34 years 31 433 96 8 31 123 96 9 35 44 years 56 241 170 7 57 627 170 4 45 54 years 145 807 399 0 144 834 397 6 55 64 years 243 556 831 6 238 951 840 6 65 74 years 337 884 1 891 9 338 817 1 959 2 75 84 years 555 011 4 817 2 579 658 5 051 9 85 years and over 668 835 13 181 2 680 608 13 288 2 Not stated 244 130 Age adjusted rate 732 2 750 6 White male All ages 1 036 938 846 1 1 046 532 860 6 Under 1 year 9 456 569 5 10 151 600 2 1 4 years 1 791 26 8 1 920 29 1 5 14 years 2 311 14 3 2 340 14 6 15 24 years 16 223 94 0 17 546 102 6 25 34 ye
81. encephalitis A83 A84 A85 2 2 3 0 6667 5 5 1 0000 6 6 1 0000 Measles B05 ies jik 1 1 1 0000 Viral hepatitis B15 B19 7 313 7 407 0 9873 6 021 7 250 0 8305 5 524 5 529 0 9991 Human immunodeficiency virus HIV disease B20 B24 11 061 11 295 0 9793 12 045 12 113 0 9944 12 456 12 543 0 9931 Malaria B50 B54 4 5 0 8000 9 9 1 0000 6 6 1 0000 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 5 774 5 825 0 9912 7 110 5 897 1 2057 7 695 7 727 0 9959 Malignant neoplasms C00 C97 560 187 562 875 0 9952 560 102 559 888 1 0004 559 300 559 312 1 0000 Malignant neoplasms of lip oral cavity and pharynx C00 C14 7 950 8 067 0 9855 7 727 7 720 1 0009 7 775 7 773 1 0003 Malignant neoplasm of esophagus C15 13 488 13 592 0 9923 13 674 13 686 0 9991 13 512 13 499 1 0010 Malignant neoplasm of stomach C16 11 308 11 388 0 9930 11 354 11 345 1 0008 11 473 11 514 0 9964 Malignant neoplasms of colon rectum and anus C18 C21 53 100 53 586 0 9909 53 465 53 549 0 9984 53 228 53 252 0 9995 Malignant neoplasms of liver and intrahepatic bile ducts C22 17 033 17 146 0 9934 16 447 16 525 0 9953 16 049 16 076 0 9983 Malignant neoplasm of pancreas C25 34 032 34 117 0 9975 33 437 33 454 0 9995 32 741 32 760 0 9994 Malignant neoplasm of larynx C32 3 680 3 634 1 0127 3 824 3 821 1 0008 3 790 3 797 0 9982 Malignant neoplasms of trachea bronchus an
82. etion disorders of fluid electrolyte and acid base balance E86 E87 45 ti 80 1 9 All other endocrine nutritional and metabolic diseases E00 E32 E34 0 E34 2 E34 4 E34 9 E65 E83 E85 E88 151 3 7 145 3 4 Diseases of the nervous system G00 G98 340 8 2 414 9 7 Meningitis G00 G03 59 1 4 67 1 6 Infantile spinal muscular atrophy type Werdnig Hoffman G12 0 13 s 5 Infantile cerebral palsy G80 7 4 8 s Anoxic brain damage not elsewhere classified G93 1 38 0 9 51 1 2 Other diseases of nervous system G04 G06 G11 G12 1 G12 9 G20 G72 G81 G92 G93 0 G93 2 G93 9 G95 G98 223 5 4 283 6 7 Diseases of the ear and mastoid process H60 H93 2 i 6 r Diseases of the circulatory system 100 199 565 13 7 590 13 9 Pulmonary heart disease and diseases of pulmonary circulation 126 128 105 2 5 88 2 1 Pericarditis endocarditis and myocarditis 130 133 140 16 ii 19 i Cardiomyopathy 142 110 2 7 114 2 7 Cardiac arrest 146 27 0 7 25 0 6 Cerebrovascular diseases 160 169 129 3 1 144 3 4 All other diseases of circulatory system l00 I25 131 134 138 144 145 147 151 170 199 177 4 3 201 4 7 Diseases of the respiratory system JO0 J98 U04 584 14 1 578 13 6 Acute upper respiratory infections J00 J06 10 b 12 i Influenza and pneumonia J09 J18 238 5 8 225 5 3 Influenza JO9 J11 28 0 7 16 t Pneumonia J12 J18 210 5 1 208 4 9 Acute bronchitis and acute bronchiolitis J20 J21 46 141 43 1 0 Bronchitis chronic and unspecified J40 J42 13 22 0 5 N
83. f dying at ages 85 years and over because the data on decedents age are shown to be significantly more reliable than vital statistics data at the oldest ages 46 The methodology for constructing life tables was revised once more starting with mortality data for the year 2000 Life table data shown in this report for years 2008 2009 Table 6 are based on this revised methodology Complete life tables by single years of age that extend to age 100 were constructed using a methodology similar to that developed for the 1999 2001 decennial life tables 47 To calculate the probability of dying at each age two major changes were made to the methodology 1 Probabilities for ages 66 100 years were based on blended vital statistics and Medicare probabilities of dying probabilities of death for ages 65 and under were based on vital statistics data as before and 2 Smoothing and extrapolation of death rates for ages 66 100 years was performed using a mathematical model 47 In the previous method Medicare probabilities were modeled for ages 85 years and over no blending or smoothing was done The newly revised methodology along with a more comprehensive description of the methodology was published in United States Life Tables 2005 48 The life expectancy data shown in this report for the 2008 data year have been updated and may differ from those published in the report Deaths Preliminary Data for 2008 22 The data were updated due to an error f
84. f the data was included to insure the 2009 estimates for the United States were accurate Each state vital statistics office reported to NCHS the number of deaths registered and processed for calendar year 2009 Those state counts were used as independent control counts for NCHS 2009 preliminary national mortality file A comparison of a the number of 2009 death records received from the states for processing by NCHS with b the state s independent control counts of the number of deaths in 2009 indicates that demographic information for the United States was available for an estimated 97 percent of infant deaths under age 1 year and 99 percent of deaths of persons aged 1 year and over occurring in calendar year 2009 see Table in Technical Notes Medical or cause of death information was processed separately and available for an estimated 94 percent of infant deaths and 97 percent of deaths of persons aged 1 year and over in 2009 To produce the preliminary estimates shown in this report 2009 records were weighted using 2009 state specific independent control counts of infant deaths and deaths of those aged 1 year and over received in state vital statistics offices Two separate sets of weights were applied to the death records one set for demographic information and another for medical information This results in inconsistencies between demographic data from the mortality demographic tables and the medical tables showing causes of
85. fe 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 National Vital Statistics Reports Vol 59 No 4 57 Additional Technical Notes Tables National Vital Statistics Reports Vol 59 No 4 58 Table 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 2009 By place of occurrence Infant deaths under 1 year of age Deaths to those aged 1 year and over Percent completeness Percent completeness Count of Demographic Medical Count of Demographic Medical Area records file file records file file United States 26 610 97 4 94 3 2 414 435 98 5 96 5 Alabama 522 100 0 100 0 46 311 100 0 100 0 Alaska 67 100 0 100 0 3 500 99 9 99 9 Arizona 552 100 0 93 5 45 899 100 0 98 6 Arkansas 297 100 0 100 0 28 111 100 0 100 0 California 2 621 93 7 93 7 230 778 94 3 94 3 Colorado 456 100 0 100 0 31 135 100 0 100 0 Connecticut 210 100 0 100 0 28 402 100 0 100 0 Delaware 103 100 0 100 0 7 468 100 0 100 0 District of Columbia 197 100 0 93 9 5 802 100 0 95 3 Florida 1 542 100 0 100 0 169 764 100 0 100 0 Georgia 1 164 59 8 7 2 68 977 71 3 12 9 Hawaii 116 100 0 100 0 9 829 100 0 100 0 Idaho 116 100 0 100 0 10 821 100 0 100 0 Illinois 1 138 99 7 98 4 95 972 99 9 99 9 Indi
86. for 2009 and 2008 see Technical Notes Race categories are consistent w ith the 1977 Office of Management and Budget OMB standards Multiple race data w ere reported by 34 states and the District of Columbia in 2009 and 2008 see Technical Notes The multiple race data for these states w ere bridged to the single race categories of the 1977 OMB standards for comparability w ith other states see Technical Notes Both sexes Male Female Age years and race 2009 2008 2009 2008 2009 2008 All races 0 78 2 78 0 75 7 75 5 80 6 80 5 1 77 7 77 6 75 3 75 1 80 0 80 0 5 73 8 73 7 71 4 71 2 76 1 76 1 10 68 8 68 7 66 4 66 2 71 2 71 1 15 63 9 63 8 61 5 61 3 66 2 66 1 20 59 0 58 9 56 7 56 5 61 3 61 2 25 54 3 54 2 52 0 51 9 56 4 56 4 30 49 5 49 4 47 3 47 2 51 6 51 5 35 44 8 44 7 42 7 42 6 46 8 46 7 40 40 1 40 0 38 0 37 9 42 0 41 9 45 35 5 35 4 33 5 33 4 37 3 37 2 50 31 1 31 0 29 1 29 0 32 8 32 7 55 26 8 26 7 25 0 24 9 28 4 28 3 60 22 7 22 6 21 1 20 9 24 1 24 0 65 18 8 18 7 17 3 17 2 20 0 19 9 70 15 1 15 0 13 8 13 7 16 1 16 0 75 11 7 11 7 10 7 10 6 12 5 12 5 80 8 8 8 8 8 0 7 9 9 4 9 4 85 6 4 6 5 5 8 5 8 6 8 6 8 90 4 6 4 6 4 1 4 1 4 8 4 8 95 3 2 3 2 2 9 2 9 3 3 3 3 100 2 2 2 3 2 0 2 1 2 2 2 3 White 0 78 6 78 4 76 2 75 9 80 9 80 8 1 78 0 77 8 75 6 75 4 80 3 80 2 5 74 1 73 9 71 7 71 5 76 3 76 3 10 69 1 68 9 66 8 66 5 71 4 71 3 15 64 1 64 0 61 8 61 6 66 4 66 3 20 59 3 59 2 57 0 56 8 61 5 61 4 25 54 5 54 4 52 3 52 2 56 6 56 6 30 49 8 49 6 47 6 4
87. for deaths by 34 states and the District of Columbia in 2009 and 2008 and were reported for births by 32 states and the District of Columbia in 2009 and by 30 states in 2008 see Technical Notes The multiple race data for these states w ere bridged to the single race categories of the 1977 OMB standards for comparability w ith other states see Technical Notes r 2009 i 2008 Age race and Hispanic origin Number Rate Number Rate All races Under 1 year 26 531 6 42 28 033 6 59 Under 28 days 17 298 4 19 18 154 4 27 28 days 11 months 9 233 2 24 9 879 2 32 Total white Under 1 year 16 897 5 32 18 162 5 54 Under 28 days 11 083 3 49 11 820 3 61 28 days 11 months 5 814 1 83 6 343 1 94 Non Hispanic white Under 1 year 11 658 5 27 12 545 5 52 Under 28 days 7 595 3 43 8 022 3 53 28 days 11 months 4 063 1 84 4 522 1 99 Total black Under 1 year 8 356 12 71 8 513 12 68 Under 28 days 5 393 8 20 5 483 8 17 28 days 11 months 2 964 4 51 3 030 4 51 Hispanic Under 1 year 5 436 5 44 5 891 5 67 Under 28 days 3 619 3 62 3 959 3 81 28 days 11 months 1 817 1 82 1 932 1 86 1 Includes races other than w hite 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 preferre
88. ged 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 1571 87 2003 Office of Management and Budget Revisions to the standards for the classification of federal data on race and ethnicity Federal Register Notice 62 FR58782 58790 October 30 1997 Minifio AM Xu JQ Kochanek KD Deaths Preliminary Data for 2008 National Vital Statistics Reports vol 59 no 2 Hyattsville MD National Center for Health Statistics 2010 Available from http www cdc gov nchs data nvsr nvsr59 nvsr59_02 pdf Sorlie PD Rogot E Johnson NJ Validity of demographic characteristics on the death certificate Epidemiology 3 2 181 4 1992 Rosenberg HM Maurer JD Sorlie PD Johnson NJ et al Quality of death rates by race and Hispanic origin A summary of current research 1999 National Center for Health Statistics Vital Health Stat 2 128 1999 Available from http www cdc gov nchs data series sr_02 srO2 128 pdf Arias E Schauman WS Eschbach K Sorlie PD et al The validity of race and Hispanic origin reporting on death certificates in the United States National Center for Health Statistics Vital Health Stat 2 148 1 23 2008 Available from http www cdc gov nchs data series sr_02 sr02_148 pdf
89. gnant neoplasms C00 C97 568 668 185 2 3 Chronic lower respiratory diseases J40 J47 137 082 44 7 4 Cerebrovascular diseases I60 I69 128 603 41 9 5 Accidents unintentional injuries V01 X59 Y85 Y 86 117 176 38 2 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 36 284 11 8 All other accidents V01 V05 V06 VO9 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 ies V89 3 V89 9 V90 V99 W00 X59 Y85 Y 86 80 892 26 3 6 Alzheimer s disease G30 78 889 25 7 7 Diabetes mellitus E10 E14 68 504 22 3 8 Influenza and pneumonia JO9 J18 53 582 17 5 9 Nephritis nephrotic syndrome and nephrosis NOO NO7 N17 N19 N25 N27 48 714 15 9 10 Intentional self harm Suicide U03 X60 X84 Y87 0 36 547 11 9 All other causes Residual 600 280 195 5 1 4 years ss All causes 4 448 26 1 1 Accidents unintentional injuries VO1 X59 Y85 Y 86 1 446 8 5 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 2 462 2 7 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 ies V89 3 V89 9 V90 V99 W00 X59 Y85 Y86 984 5 8 2 Congenital malformations deformations a
90. heir sequelae W20 W31 W35 W64 W75 W99 X10 X39 X50 X59 Y 86 16 961 17 043 0 9952 17 586 17 503 1 0047 18 409 18 526 0 9937 National Vital Statistics Reports Vol 59 No 4 63 Table Il Ratios of preliminary to final reported numbers of deaths from 113 selected causes United States 2005 2007 For explanation of asterisk preceding cause of death codes see Technical Notes Preliminary Final Ratio of Preliminary Final Ratio of Preliminary Final Ratio of number of number of preliminary number of number of preliminary number of number of preliminary Cause of death Based on the International Classification of Diseases eaths deaths tofinal deaths deaths tofinal deaths deaths to final Tenth Revision Second Edition 2004 2007 2007 2007 2006 2006 2006 2005 2005 2005 Intentional self harm suicide U03 X60 X84 Y87 0 33 185 34 598 0 9592 32 185 33 300 0 9665 31 769 32 637 0 9734 Intentional self harm suicide by discharge of firearms X72 X74 17 348 17 352 0 9998 16 650 16 883 0 9862 16 932 17 002 0 9959 Intentional self harm suicide by other and unspecified means and heir sequelae U03 X60 X71 X75 X84 Y87 0 15 837 17 246 0 9183 15 535 16 417 0 9463 14 838 15 635 0 9490 Assault homicide U01 U02 X85 Y09 Y87 1 17 520 18 361 0 9542 18 029 18 573 0 9707 17 694 18 124 0 9763 Assault homicide by discharge of firearms U01 4 X93 X95 12 129 12 632 0 9602 12 509 12 791 0 9780 12 121 12 352 0 9813 Assault homici
91. here were no differences in ranking among the leading causes of infant death between 2008 22 and 2009 Table 8 The infant mortality rate decreased for 2 of 10 leading causes of death from 2008 to 2009 Tables 5 and 8 The infant mortality rate for Newborn affected by maternal complications of pregnancy the fourth leading cause of death decreased by 7 5 percent Tables 5 and 8 The infant mortality rate for Accidents unintentional injuries the fifth leading cause of death decreased by 8 5 percent Deaths due to SIDS currently the third leading cause of infant death have been declining since 1988 4 22 The observed decrease in SIDS from 53 9 to 52 5 is not statistically significant 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 primarily a change in the way SIDS is diagnosed and reported by medical examiners and coroners 33 National Vital Statistics Reports Vol 59 No 4 10 References 10 11 12 Anderson RN Kochanek KD Murphy SL Report of final mortality statistics 1995 Monthly vital statistics report vol 45 no 11 supp 2 Hyattsville MD National Center for Health Statistics 1997 Available from http www cdc gov nchs data mvsr supp mv45_11s2 pdf Peters KD Kochanek KD Murphy SL Deaths Final data for 1996 National vital
92. igation 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 ROO 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 A quantitative assessment of the degree of the non sampling 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 2005 2007 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 was underestimated in the preliminary file by 2 5 percent in 2005 3 2 percent in 2006 and 5 4 percent in 2007 Similar undercounts occurred for suicide with preliminary underestimates of 2 7 percent in 2005 3 3 percent in 2006 and 4 1 percent in 2007 Likewise homicide showed a 2 4 percent underestimate in the preliminary file in 2005 2 9 percent in 2006 and 4 6 percent in 2007 Comparisons showing non sampling error in preliminary estimates for causes of infant death are shown in Table Ill where Disorders related to short gestation and low birth weight not elsewhere classified PO7
93. igin Number Rate Number Rate Total AIAN both sexes All ages 14 941 426 8 14 785 432 1 Under 1 year 383 541 7 405 582 0 1 4 years 85 31 5 100 38 9 5 14 years 114 20 2 97 17 5 15 24 years 671 110 1 636 105 5 25 34 years 751 141 7 774 151 0 35 44 years 1 258 278 4 1 214 266 9 45 54 years 2 172 485 8 2 090 477 0 55 64 years 2 523 827 2 2 446 847 0 65 74 years 2 656 1 738 0 2 668 1 844 7 75 84 years 2 531 3 447 8 2 589 3 646 9 85 years and over 1 786 6 722 6 1 762 6 155 5 Not stated 11 heats 3 Age adjusted rate Bag 603 2 sha 610 3 AIAN male All ages 8 097 462 4 8 170 478 0 Under 1 year 213 592 5 234 659 7 1 4 years 50 36 5 50 38 4 5 14 years 56 19 6 52 18 5 15 24 years 468 150 5 462 150 7 25 34 years 501 182 1 530 199 0 35 44 years 779 338 3 725 315 0 45 54 years 1 251 574 0 1 318 618 3 55 64 years 1 494 1 022 7 1 440 1 039 3 65 74 years 1 433 2 009 3 1 466 2 172 8 75 84 years 1 219 3 907 6 1 271 4 156 7 85 years and over 626 7 002 2 621 6 503 3 Not stated 8 doe Age adjusted rate hed 696 7 E 717 8 AIAN female All ages 6 843 391 2 6 615 386 3 Under 1 year 170 489 1 170 498 3 1 4 years 35 26 3 50 39 5 5 14 years 58 21 0 45 16 5 15 24 years 203 68 0 174 58 7 25 34 years 250 98 0 244 99 1 35 44 years 479 216 1 488 217 2 45 54 years 921 401 9 772 343 2 55 64 years 1 029 647 5 1 006 669 6 65 74 years 1 223 1 500 6 1 202 1 557 9 75 84 years 1 312 3 108 0 1 319 3 263 7 85 years and over 1 159 6 575 1 1 141 5 981 3 N
94. iled 0 95 critical value for a z statistic is 1 96 Therefore if z 21 96 the difference is significant at the 0 05 level If z lt 1 96 then the difference would be considered not statistically significant at the 0 05 level 9 z As a hypothetical example assume R is the same as the above example for the current 12 month period and that R 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 follows z 20 0 15 0 zija 1347 141 jeo 4 15 0 Because z lt 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 RSE D i i 10 RSE R 100 ed 100 100 where RSE D RSE of the number of deaths D RSE B RSE of the number of births B The 95 percent confidence interval of R may be computed as follows RSE R 11 Lower limit 1 96 R3 R3 T00 National Vital Statistics Reports Vol 59 No 4 28 100 As a hypothetical example assume the infant mortality rate R3 is 15 0 which is based o
95. in United States preliminary 2008 and 2009 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 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 w hite and black should be interpreted with caution because of inconsistencies betw een 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 w ere reported by 34 states and the District of Columbia in 2009 and 2008 see Technical Notes The multiple race data for these states w ere bridged to the single race categories of the 1977 OMB standards for comparability w ith 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 2009 2008 Age sex race and Hispanic origin Number Rate Number Rate Non Hispanic black both sexes All ages 282 694 727 4 285 959 746 4 Under 1 year 8 012 1 255 3 8 193 1 271 8 1 4 years 1 028 41 2 1 085 44 6 5 14 years 1 263 21 0 1 260 20 9
96. ispanic white male All ages 954 633 961 2 969 419 978 4 Under 1 year 6 547 566 8 7 044 596 3 1 4 years 1 257 26 9 1 367 29 3 5 14 years 1 677 14 0 1 811 15 1 15 24 years 12 249 91 3 13 578 100 8 25 34 years 17 068 136 0 17 348 140 6 35 44 years 29 709 224 8 30 831 225 5 45 54 years 80 296 510 2 81 342 515 9 55 64 years 136 173 1 052 0 134 286 1 067 2 65 74 years 177 944 2 322 4 178 750 2 413 2 75 84 years 261 433 5 832 5 272 518 6 167 3 85 years and over 230 211 15 295 4 230 484 14 721 1 Not stated 67 ia 58 Age adjusted rate TE 891 7 re 908 6 Non Hispanic white female All ages 981 295 954 2 1 011 780 985 6 Under 1 year 5 111 463 8 5 500 488 9 1 4 years 922 20 8 1 012 22 8 5 14 years 1 179 10 4 1 271 11 1 15 24 years 4 822 37 9 4 993 39 1 25 34 years 7 986 64 9 7 520 62 0 35 44 years 17 797 135 4 18 278 134 3 45 54 years 49 612 310 3 49 112 306 6 55 64 years 87 078 642 5 85 961 652 3 65 74 years 136 222 1 561 5 137 944 1 628 4 75 84 years 260 915 4 197 8 276 614 4 420 4 85 years and over 409 596 12 557 5 423 543 12 996 7 Not stated 55 he 30 Age adjusted rate oe 629 1 es 650 9 National Vital Statistics Reports Vol 59 No 4 36 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 preliminary 2008 and 2009 Data are based on a continuous file of records received from the states Age specific rates are per 100 000 population in spe
97. istical Classification of Diseases Injuries and Causes of Death Ninth Revision Geneva World Health Organization 1977 Anderson RN Mini o AM Hoyert DL Rosenberg HM Comparability of cause of death between ICD 9 and ICD 10 Preliminary estimates National vital statistics reports vol 49 no 2 40 41 42 43 44 45 46 47 48 49 50 National Vital Statistics Reports Vol 59 No 4 13 Hyattsville MD National Center for Health Statistics 2001 Available from http www cdc gov nchs data nvsr nvsr49 nvsr49 _02 pdf National Center for Health Statistics ICD 10 Cause of death lists for tabulating mortality statistics updated March 2009 NCHS instruction manual part 9 Hyattsville MD Public Health Service 2009 Available from http www cdc gov nchs nvss instruction manuals htm Centers for Disease Control and Prevention Use of Influenza A H1N1 2009 Monovalent Vaccine Recommendations of the Advisory Committee on Immunization Practices ACIP 2009 MMWR 58 RR10 1 8 Washington DC Public Health Service 2009 Heron M Deaths Leading causes for 2006 National vital statistics reports vol 58 no 14 Hyattsville MD National Center for Health Statistics 2007 Available from http www cdc gov nchs data nvsr nvsr58 nvsr58 14 pdf Sirken M Comparison of two methods of constructing abridged life tables by reference to a standard table National Center for Health Statistic
98. ith 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 35 Effective with deaths occurring in 1999 the United States began using the Tenth Revision of the ICD ICD 10 36 In 2004 the Second Edition of ICD 10 was adopted 37 During 1979 1998 causes of death were coded and classified according to the Ninth Revision ICD 9 38 The change from ICD 9 to ICD 10 resulted in discontinuities for selected cause of death trends These discontinuities are measured using comparability ratios derived from a comparability study 39 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
99. litis J20 J21 44 45 0 9778 45 52 0 8654 48 50 0 9600 Bronchitis chronic and unspecified J40 J42 23 24 0 9583 19 19 1 0000 22 25 0 8800 Asthma J45 J46 5 4 1 2500 5 6 0 8333 3 4 0 7500 Pneumonitis due to solids and liquids J69 11 10 1 1000 9 11 0 8182 17 17 1 0000 Other and unspecified diseases of respiratory system J22 J30 J39 J43 J44 J47 J68 J70 J98 U04 324 321 1 0093 311 330 0 9424 294 298 0 9866 Diseases of the digestive system K00 K92 650 677 0 9601 588 582 1 0103 630 626 1 0064 Gastritis duodenitis and noninfective enteritis and colitis K29 K50 K55 394 413 0 9540 326 323 1 0093 344 341 1 0088 Hernia of abdominal cavity and intestinal obstruction without hernia K40 K46 K56 68 68 1 0000 70 67 1 0448 76 77 0 9870 All other and unspecified diseases of digestive system K00 K28 K30 K38 K57 K92 189 196 0 9643 192 192 1 0000 209 208 1 0048 Diseases of the genitourinary system NO0 N98 169 169 1 0000 181 180 1 0056 181 180 1 0056 Renal failure and other disorders of kidney N17 N19 N25 N27 137 138 0 9928 159 154 1 0325 152 151 1 0066 Other and unspecified diseases of genitourinary system NO0 N15 N20 N23 N26 N28 N98 32 31 1 0323 22 26 0 8462 29 29 1 0000 Certain conditions originating in the perinatal period P00 P96 14 141 14 466 0 9775 14 223 14 321 0 9932 14 405 14 423 0 9988 Newborn affected by maternal factors and by complications of pregnancy labor and delivery P00 P04 3 280 3 274 1 0018 3 125 3 150 0 9921 3 230 3 228 1 0006 Newbor
100. loma and immunoproliferative neoplasms C88 C90 11 420 11 307 1 0100 11 153 11 111 1 0038 11 213 11 200 1 0012 Other and unspecified malignant neoplasms of lymphoid hematopoietic and related tissue C96 47 60 0 7833 71 69 1 0290 60 60 1 0000 National Vital Statistics Reports Vol 59 No 4 61 Table II Ratios of preliminary to final reported numbers of deaths from 113 selected causes United States 2005 2007 For explanation of asterisk preceding cause of death codes see Technical Notes Preliminary Final Ratio of Preliminary Final Ratio of Preliminary Final Ratio of number of number of preliminary numberof number of preliminary number of number of preliminary Cause of death Based on the International Classification of Diseases deaths deaths tofinal deaths deaths to final deaths deaths to final Tenth Revision Second Edition 2004 2007 2007 2007 2006 2006 2006 2005 2005 2005 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 63 186 63 192 0 9999 63 441 63 100 1 0054 62 865 62 851 1 0002 In situ neoplasms benign neoplasms and neoplasms of uncertain or unknown behavior D00 D48 14 151 14 204 0 9963 14 101 14 122 0 9985 13 732 13 710 1 0016 Anemias D50 D64 4 848 4 829 1 0039 4 007 3 996 1 0028 4 611 4 624 0 9972 Diabetes mellitus E10 E14 70 905 71 382 0 9933 72 507 72 449 1 0008 74 817 75 119 0 9960 Nutritional deficiencies E40 E64 2 810
101. m the 2008 gap between the two races 22 White females have the highest life expectancy Figure 2 followed by in order black females white males and black males Figure 2 also shows that this pattern has not changed from 1975 through 2009 even though life expectancy for all groups has generally increased over this time period By state of residence Hawaii had the lowest mortality in 2009 with an age adjusted death rate of 619 8 deaths per 100 000 standard population Table 3 Mortality was highest in West Virginia with an age adjusted death rate of 949 6 per 100 000 standard population Causes of death The 15 leading causes of death in 2009 remained the same as in 2008 with the exception of two causes that exchanged ranks Intentional self harm suicide the eleventh leading cause of death in 2008 became the tenth leading cause of death in 2009 whereas Septicemia the tenth leading cause in 2008 became the eleventh leading cause of death in 2009 National Vital Statistics Reports Vol 59 No 4 7 The 15 leading causes of death in 2009 Table B were as follows 1 Diseases of heart 2 Malignant neoplasms 3 Chronic lower respiratory diseases 4 Cerebrovascular diseases 5 Accidents unintentional injuries 6 Alzheimer s disease 7 Diabetes mellitus 8 Influenza and pneumonia 9 Nephritis nephrotic syndrome and nephrosis 10 Intentional self harm suicide 11 Septicemia 12 Chronic liver disease and cirrhosis 13 E
102. merican Samoa and Northern Marianas were computed by applying age specific death rates to the U S standard population Age groups for 75 years and over were combined because population counts were unavailable by age group for ages over 79 years The year 2000 standard population used for computing age adjusted rates and standard errors for the territories is shown in Table VI Table VI United States year 2000 standard population for the territories Age Population AIVAB CS ines cccsccestesdecectce scadeestesieeace 274 633 642 Under 1 year cccccccsesssssceeeeeeees 3 794 901 VHA yea Seriene ees anaiai 15 191 619 5 14 VOaMS cccceseseeceeseeseeeeeeeeeees 39 976 619 15 24 YO AMS ie ciccseccccnswesscacceseetacetes 38 076 743 25 34 VOaAMS ccseseseseseseseeeeeeeeeeeees 37 233 437 35 44 VOAMS ccecsessssseceeeeeeeeeeeesees 44 659 185 5 54 yal Seriearen ina 37 030 152 55 64 VOaMS ccccseecsceseseeeeeeeeeeeees 23 961 506 65 74 VEINS iaieiiea 18 135 514 75 years and OVer ssssessseeeeeeeen 16 573 966 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 50 The new population standard affects levels of mortality and to some extent trends and group comparisons Of particular note are the effects on race comparison of mortality see Age Standardizatio
103. mitted via placenta or breast milk P04 55 63 0 8730 58 61 0 9508 44 50 0 8800 Disorders related to length of gestation and fetal malnutrition P05 P08 4 782 4 961 0 9639 4 943 4 940 1 0006 4 793 4 798 0 9990 Slow fetal growth and fetal malnutrition P05 105 104 1 0096 102 99 1 0303 84 83 1 0120 Disorders related to short gestation and low birth weight not elsewhere classified P07 4 678 4 857 0 9631 4 841 4 841 1 0000 4 709 4 714 0 9989 Extremely low birth weight or extreme immaturity P07 0 P07 2 3 573 3 706 0 9641 3 678 3 683 0 9986 3 644 3 645 0 9997 Other low birth weight or preterm P07 1 P07 3 1 104 1 151 0 9592 1 163 1 158 1 0043 1 064 1 069 0 9953 Disorders related to long gestation and high birth weight P08 a ist 1 1 1 0000 Birth trauma P10 P15 14 12 1 1667 23 22 1 0455 25 26 0 9615 Intrauterine hypoxia and birth asphyxia P20 P21 349 356 0 9803 344 344 1 0000 522 529 0 9868 Intrauterine hypoxia P20 108 106 1 0189 109 109 1 0000 116 119 0 9748 Birth asphyxia P21 241 250 0 9640 236 235 1 0043 406 410 0 9902 Respiratory distress of newborn P22 735 789 0 9316 801 825 0 9709 861 860 1 0012 Other respiratory conditions originating in the perinatal period P23 P28 1 077 1 117 0 9642 1 199 1 207 0 9934 1 163 1 160 1 0026 Congenital pneumonia P23 102 103 0 9903 89 104 0 8558 103 104 0 9904 Neonatal aspiration syndromes P24 50 51 0 9804 49 50 0 9800 45 46 0 9783 National Vital Statistics Reports Vol 59 No 4 66 Table
104. mont 29 100 0 100 0 4 955 100 0 100 0 Virginia 694 100 0 99 7 57 285 100 0 100 0 Washington 447 100 0 100 0 47 897 100 0 100 0 National Vital Statistics Reports Vol 59 No 4 59 Table 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 2009 By place of occurrence Infant deaths under 1 year of age Percent completeness Count of Area records West Virginia 164 Wisconsin 427 Wyoming 25 Puerto Rico 356 Virgin Islands 8 Guam 36 American Samoa 15 Northern Marianas 2 0 0 Quantity more than zero but less than 0 05 Excludes data for Puerto Rico Virgin Islands Guam American Samoa and Northern Marianas Demographic file 100 0 100 0 100 0 96 9 0 0 0 0 100 0 100 0 Medical file 78 7 100 0 100 0 96 9 0 0 0 0 100 0 100 0 Deaths to those aged 1 year and over Count of records 20 855 45 085 3 962 28 636 690 813 298 194 NOTE Percent completeness equals 100 times the number of records in preliminary file divided by the count of records 100 0 100 0 100 0 96 8 0 0 0 0 100 0 100 0 Percent completeness Demographic file Medical file 80 2 100 0 100 0 96 8 0 0 0 0 100 0 99 0 National Vital Statistics Reports Vol 59 No 4 60 Table II Ratios of preliminary to final reported numbers of deaths from 113 selected ca
105. n 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 IEO NDSA RSE R 100 2 21 9 Rs 2 2 Lower limit 15 0 1 96 15 0 a 8 6 Upper limit 15 0 1 96 15 0 Li 214 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 P 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 Text tables Figures and Report tables National Vital Statistics Reports Vol 59 No 4 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 preliminary 2008 and 2009 29 Data are based on a continuous file of records received from the states Figures are based on weighted data rounded to the nearest individual so categories may not add to totals Allraces Measure and sex 2009 2008 All deaths 2 436 682 2 473 018 Male 1 217 047 1 226 721 Female 1 219 635 1 246 297 Age adjusted death rate 741 0 758 7 Male 888 2 901 0 Female 625 4 643 7 Life expectancy at birth in years 78 2 78 0 Male 75 7 75 5 Female 80 6 80 5 All infant deaths 26
106. n affected by maternal hypertensive disorders P00 0 96 89 1 0787 85 84 1 0119 89 88 1 0114 Newborn affected by other maternal conditions which may be unrelated to present pregnancy P00 1 P00 9 99 91 1 0879 68 80 0 8500 69 70 0 9857 Newborn affected by maternal complications of pregnancy P01 1 770 1 769 1 0006 1 694 1 683 1 0065 1 786 1 776 1 0056 Newborn affected by incompetent cervix P01 0 505 488 1 0348 444 444 1 0000 498 496 1 0040 Newborn affected by premature rupture of membranes P01 1 852 851 1 0012 830 824 1 0073 842 837 1 0060 Newborn affected by multiple pregnancy P01 5 222 238 0 9328 213 214 0 9953 256 255 1 0039 Newborn affected by other maternal complications of pregnancy P01 2 P01 4 P01 6 P01 9 191 192 0 9948 207 201 1 0299 189 188 1 0053 Newborn affected by complications of placenta cord and membranes P02 1 139 1 135 1 0035 1 123 1 140 0 9851 1 111 1 110 1 0009 Newborn affected by complications involving placenta P02 0 P02 3 586 579 1 0121 561 563 0 9964 586 585 1 0017 Newborn affected by complications involving cord P02 4 P02 6 46 43 1 0698 54 54 1 0000 50 50 1 0000 Newborn affected by chorioamnionitis P02 7 503 511 0 9843 507 522 0 9713 471 471 1 0000 Newborn affected by other and unspecified abnormalities of membranes P02 8 P02 9 4 2 2 0000 1 1 1 0000 4 4 1 0000 Newborn affected by other complications of labor and delivery P03 120 127 0 9449 97 102 0 9510 131 134 0 9776 Newborn affected by noxious influences trans
107. n in this report are based on special estimation procedures They are not true counts The estimation procedures used to develop these populations are subject to error Smaller population groups are affected much more than larger populations by this measurement error especially the AIAN population 19 Previous preliminary death reports have compared preliminary data from the current data year with final data from the previous year 1 13 Since the final data for 2008 are not yet available all comparisons in this report are between the 2008 preliminary data 22 and the 2009 preliminary data Results Trends in numbers and rates The preliminary number of deaths in the United States for 2009 was 2 436 682 Tables A and 1 The crude death rate of 793 7 per 100 000 population was 2 4 percent less than the rate of 813 3 per 100 000 in 2008 The estimated age adjusted death rate which accounts for changes in the age distribution of the population reached a record low of 741 0 per 100 000 U S standard population 2 3 percent lower than the 2008 rate of 758 7 Tables A and 1 22 Figure 1 illustrates the general pattern of decline in both crude and age adjusted death rates from 1980 through 2009 The age adjusted death rate decreased from 2008 to 2009 by 2 8 percent for females and 1 4 percent for males The relative magnitudes of significant changes in age adjusted death rates by sex race and Hispanic origin Table 1 are White males 1 5 per
108. n of Death Rates Implementation of the Year 2000 Standard 50 Beginning with 2003 data the traditional standard million population along with corresponding standard weights to six decimal places were replaced by the projected year 2000 population age distribution The effect of the change is negligible and does not significantly affect comparability with age adjusted rates calculated using the previous method 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 National Vital Statistics Reports Vol 59 No 4 24 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 For calculating death rates deaths with age not stated are not distributed The number of deaths with age not stated in 2009 was 315 approximately 0 01 percent of all deaths For statistics shown on 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 complete In this report no data were sup
109. nancy labor and delivery P00 P04 2 914 70 5 3 153 74 2 Newborn affected by maternal hypertensive disorders P00 0 82 2 0 84 2 0 Newborn affected by other maternal conditions which may be unrelated to present pregnancy P00 1 P 00 9 90 2 2 89 24 Newborn affected by maternal complications of pregnancy P01 1 586 38 4 1 764 41 5 Newborn affected by incompetent cervix P01 0 423 10 2 447 10 5 Newborn affected by premature rupture of membranes P01 1 778 18 8 840 19 8 Newborn affected by multiple pregnancy P01 5 198 4 8 257 6 0 Newborn affected by other maternal complications of pregnancy P01 2 P01 4 P01 6 P01 9 187 4 5 220 5 2 Newborn affected by complications of placenta cord and membranes P02 1 022 24 7 1 073 25 2 Newborn affected by complications involving placenta P02 0 P02 3 498 12 1 531 12 5 Newborn affected by complications involving cord P02 4 P02 6 40 1 0 55 1 3 Newborn affected by chorioamnionitis P02 7 483 11 7 486 11 4 Newborn affected by other and unspecified abnormalities of membranes P02 8 P02 9 1 1 y Newborn affected by other complications of labor and delivery P03 109 2 6 95 22 Newborn affected by noxious influences transmitted via placenta or breast milk P04 26 0 6 48 ii Disorders related to length of gestation and fetal malnutrition P05 P08 4 568 110 6 4 816 113 3 Slow fetal growth and fetal malnutrition P05 106 2 6 83 2 0 Disorders related to short gestation and low birth weight not elsewhere classified P07 4
110. nchanged from 2008 to 2009 Human immunodeficiency virus HIV disease was not among the 15 leading causes of death in 2009 The preliminary age adjusted death rate for HIV disease declined by 9 1 percent from 2008 to 2009 National Vital Statistics Reports Vol 59 No 4 8 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 27 and 5 1 percent per year from 1999 through 2008 22 For all races combined in the age group 15 24 years HIV disease was the 12th leading cause of death in 2009 decreasing by two positions relative to its rank as 10th leading cause for 15 24 year olds in 2008 HIV disease remained the 6th leading cause of death for the age group 25 44 years unchanged in rank from 2008 Among decedents aged 45 64 years HIV disease dropped from 12th leading cause in 2008 to 13th leading cause Enterocolitis due to Clostridium difficile C difficile a predominantly antibiotic associated inflammation of the intestines caused by C difficile a gram positive anaerobic spore forming bacillus is of growing concern 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 28 29 In 1999 793 deaths were due to C difficile compared with 7 483
111. nd 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 certificates Studies have shown under reporting on death certificates of AIAN API and Hispanic decedents as well as undercounts of these groups in censuses 23 25 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 years 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 years 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 Cause of death classification Mortality statistics are compiled in accordance with World Health Organization regulations specifying that member nations classify and code causes of death in accordance w
112. nd chromosomal abnormalities Q00 Q99 485 2 8 3 Assault homicide U01 U02 X85 Y09 Y87 1 385 2 3 4 Malignant neoplasms C00 C97 349 2 0 5 Diseases of heart l00 109 11 1 113 120 I51 154 0 9 6 Influenza and pneumonia JO9 J18 132 0 8 7 Septicemia A40 A41 70 0 4 8 Chronic lower respiratory diseases J40 J47 60 0 4 9 Certain conditions originating in the perinatal period P00 P96 58 0 3 10 In situ neoplasms benign neoplasms and neoplasms of uncertain or unknown behavior D00 D48 51 0 3 All other causes Residual 1 258 7 4 National Vital Statistics Reports Vol 59 No 4 53 Table 7 Deaths and death rates for the 10 leading causes of death in specified age groups United States preliminary 2009 Data are based on a continuous file of records received fromthe states Rates are per 100 000 population in specified group For explanation of asterisks preceding cause of death codes see Technical Notes Figures are based on weighted data rounded to the nearest individual so categories may not add to totals or subtotals Cause of death Based on the nternational Rank Classification of Diseases Tenth Revision Second Edition 2004 and age Number Rate 5 14 years ie All causes 5 628 13 9 1 Accidents unintentional injuries VO1 X59 Y85 Y 86 1 667 4 1 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 2 950
113. nd related tissue C81 C96 55 462 18 1 17 1 54 998 18 1 17 2 Hodgkin s disease C81 1 265 0 4 0 4 1 170 0 4 0 4 Non Hodgkin s lymphoma C82 C85 20 361 6 6 6 3 20 374 6 7 6 3 Leukemia C91 C95 22 697 7 4 7 0 22 357 7 4 7 0 Multiple myeloma and immunoproliferative neoplasms C88 C90 11 072 3 6 3 4 11 038 3 6 3 4 Other and unspecified malignant neoplasms of lymphoid hematopoietic and related tissue C96 66 0 0 0 0 59 0 0 0 0 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 64 738 21 1 19 8 63 519 20 9 19 7 In situ neoplasms benign neoplasms and neoplasms of uncertain or unknown behavior D00 D48 14 616 48 4 5 14 481 4 8 4 5 Anemias D50 D64 4 652 1 5 1 4 5 033 1 7 1 5 Diabetes mellitus E10 E14 68 504 22 3 20 9 70 601 23 2 21 8 Nutritional deficiencies E40 E64 2 836 0 9 0 8 2 981 1 0 0 9 Malnutrition E40 E46 2 672 0 9 0 8 2 767 0 9 0 8 Other nutritional deficiencies E50 E64 164 0 1 0 0 214 0 1 0 1 Meningitis G00 G03 648 0 2 0 2 633 0 2 0 2 Parkinson s disease G20 G21 20 552 6 7 6 4 20 507 6 7 6 4 Alzheimer s disease G30 78 889 25 7 23 4 82 476 27 1 24 4 Major cardiovascular diseases 100 178 779 367 253 9 234 4 804 899 264 7 243 6 Diseases of heart 100 I09 11 1 113 120 151 598 607 195 0 179 8 617 527 203 1 186 7 Acute rheumatic fever and chronic rheumatic heart diseases 100 109 3 251 14 1 0 3 149 1 0 1 0 Hypertensive heart disease 111 33 029 1
114. ndards of reliability or precision see Technical Notes Quantity zero Expanded ICD 10 code A09 Diarrhea and gastroenteritis of infectious origin w as added to the category in 2009 see Technical Notes Expanded ICD 10 code J09 Influenza due to certain identified influenza virus w as added to the category in 2009 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 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 show n elsew here 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 section Infant mortality in the Technical Notes National Vital Statistics Reports Vol 59 No 4 50 Table 6 Expectation of life by age race and sex United States preliminary 2008 and 2009 Data are based on a continuous file of records fromthe states Calculations of life expectancy employ populations estimated as of July 1
115. nderson RN Scott C Deaths Final data for 2002 National vital statistics reports vol 53 no 5 Hyattsville MD National Center for Health Statistics 2004 Available from http www cdc gov nchs data nvsr nvsr53 nvsr53_05 pdf Hoyert DL Heron MP Murphy SL Kung HC Deaths Final data for 2003 National vital statistics reports vol 54 no 13 Hyattsville MD National Center for Health Statistics 2006 Available from http www cdc gov nchs data nvsr nvsr54 nvsr54_13 pdf Minifio AM Heron MP Murphy SL Kochanek KD Deaths Final data for 2004 National vital statistics reports vol 55 no 19 Hyattsville MD National Center for Health Statistics 2007 Available from http www cdc gov nchs data nvsr nvsr55 nvsr55_19 pdf Kung HC Hoyert DL Xu J Murphy SL Deaths Final data for 2005 National vital statistics reports vol 56 no 10 Hyattsville MD National Center for Health Statistics 2008 Available from http www cdc gov nchs data nvsr nvsr56 nvsr56_10 pdf Heron MP Hoyert DL Murphy SL Xu JQ Kochanek KD Tejada Vera B Deaths Final data for 2006 National vital statistics reports vol 57 no 14 Hyattsville MD National Center for Health Statistics 2009 Available from http www cdc gov nchs data nvsr nvsr57 nvsr57_14 pdf 13 14 15 16 17 18 19 20 21 22 23 24 25 National Vital Statistics Reports Vol 59 No 4 11 Xu J Kochanek KD Murphy SL Tejada Vera B De
116. nearest individual so categories may not add to totals or subtotals Cause of death Based on the nternational 2009 2008 Classification of Diseases Tenth Revision Second Edition 2004 Number Rate Number Rate Congenital malformations of digestive system Q35 Q45 66 1 6 85 2 0 Congenital malformations of genitourinary system Q50 Q64 488 11 8 516 12 1 Congenital malformations and deformations of musculoskeletal system limbs and integument Q65 Q85 583 14 1 665 15 6 Down s syndrome Q90 80 1 9 87 2 0 Edward s syndrome Q91 0 Q91 3 530 12 8 556 13 1 Patau s syndrome Q91 4 Q91 7 247 6 0 278 6 5 Other congenital malformations and deformations Q10 Q18 Q86 Q89 575 13 9 535 12 6 Other chromosomal abnormalities not elsewhere classified Q92 Q99 214 5 2 200 4 7 Symptoms signs and abnormal clinical and laboratory findings not elsewhere classified ROO R99 3 510 85 0 3 582 84 3 Sudden infant death syndrome R95 2 168 52 5 2 292 53 9 Other symptoms signs and abnormal clinical and laboratory findings not elsewhere classified RO0 R53 R55 R94 R96 R99 1 342 32 5 1 290 30 3 All other diseases Residual 31 0 8 34 0 8 External causes of mortality U01 V01 Y84 1 620 39 2 1 750 41 2 Accidents unintentional injuries V01 X59 1 158 28 0 1 299 30 6 Transport accidents V01 V99 108 2 6 105 2 5 Motor vehicle accidents V02 V04 V09 0 V09 2 V12 V14 V19 0 V19 2 V19 4 V 19 6 V20 V79 V80 3 V80 5 V81 0 V81 1 V82 0 V82 1 V83 V86 V87 0 V87 8 V
117. nic glomerulonephritis nephrosis and nephropathy not specified as acute or chronic and renal sclerosis unspecified N02 N03 N05 N07 N26 2 821 2 958 0 9537 1 365 1 841 0 7414 588 867 0 6782 Renal failure N17 N19 43 064 43 263 0 9954 43 270 43 344 0 9983 42 925 42 868 1 0013 Other disorders of kidney N25 N27 19 21 0 9048 20 21 0 9524 29 29 1 0000 Infections of kidney N10 N12 N13 6 N15 1 612 628 0 9745 661 673 0 9822 767 767 1 0000 Hyperplasia of prostate N40 498 491 1 0143 518 514 1 0078 527 525 1 0038 Inflammatory diseases of female pelvic organs N70 N76 100 116 0 8621 113 112 1 0089 120 120 1 0000 Pregnancy childbirth and the puerperium 000 099 762 769 0 9909 787 760 1 0355 678 760 0 8921 Pregnancy with abortive outcome 000 007 28 31 0 9032 21 26 0 8077 32 33 0 9697 Other complications of pregnancy childbirth and the puerperium 010 099 734 738 0 9946 765 734 1 0422 646 727 0 8886 Certain conditions originating in the perinatal period P00 P96 14 293 14 599 0 9790 14 384 14 442 0 9960 14 539 14 549 0 9993 Congenital malformations deformations and chromosomal abnormalities Q00 Q99 10 277 10 421 0 9862 10 434 10 489 0 9948 10 349 10 410 0 9941 Symptoms signs and abnormal clinical and laboratory findings not elsewhere classified R00 R99 49 960 33 500 1 4913 40 759 31 725 1 2848 40 962 31 999 1 2801 All other diseases Residual 237 037 238 192 0 9952 236 614 237 421 0 9966 217 020 217 632 0 9972 Accidents unintentional injurie
118. nt Hispanic populations are known to be too low because of reporting problems see Race and Hispanic origin in Technical Notes Changes in death rates from 2008 to 2009 were tested for statistical significance Differences in death rates across demographic groups but occurring in 2009 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 population see Computing rates and percentages in Technical Notes Two measures of infant mortality are shown the infant death rate and the infant mortality rate see Infant mortality in Technical Notes These measures typically are similar although they can differ because they have different denominators The denominator of the 2009 infant death rate is the estimated population under age 1 year on the reference date of July 1 2009 14 This estimated population includes a combination of infants born in 2008 who had not reached their first birthday by July 1 2009 and infants born in 2009 before July 1 In contrast the denominator of the 2009 infant mo
119. nt 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 VII 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 VII for various levels of file completeness are measures of the sampling errors and the random errors of the estimates They do not include non sampling error The estimated RSEs in Table VII were computed using this formula 1 1 f N X no 1 RSE 100 National Vital Statistics Reports Vol 59 No 4 25 where f the sampling fraction or the percent of file completeness 100 from Table 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 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
120. nt s reported race see Technical Notes F F 2009 2008 Age sex race and Hispanic origin Number Rate Number Rate Hispanic both sexes All ages 140 533 290 2 140 103 298 4 Under 1 year 5 436 492 1 5 891 531 5 1 4 years 1 014 23 2 1 030 24 6 5 14 years 1 164 13 1 1 019 12 1 15 24 years 5 145 65 0 5 202 69 2 25 34 years 6 303 77 1 6 408 78 3 35 44 years 8 554 121 1 8 644 123 3 45 54 years 15 150 293 2 14 428 289 6 55 64 years 19 129 638 8 18 602 651 8 65 74 years 22 242 1 419 8 22 092 1 467 3 75 84 years 30 240 3 474 4 30 492 3 619 5 85 years and over 26 129 8 062 6 26 283 8 390 9 Not stated 26 ashe 11 fos Age adjusted rate 519 0 536 0 Hispanic male All ages 77 491 309 3 77 261 318 5 Under 1 year 2 996 531 2 3 279 578 5 1 4 years 546 24 4 588 27 5 5 14 years 646 14 3 548 12 7 15 24 years 3 944 94 9 4 076 103 8 25 34 years 4 636 102 9 4 848 107 4 35 44 years 5 737 151 7 5 934 159 1 45 54 years 9 908 374 0 9 513 374 3 55 64 years 11 846 816 0 11 518 835 5 65 74 years 12 517 1 768 0 12 506 1 839 4 75 84 years 14 769 4 070 7 14 938 4 288 9 85 years and over 9 930 8 673 7 9 502 8 475 4 Not stated 17 Ns 11 Kas Age adjusted rate 618 0 634 8 Hispanic female All ages 63 043 269 8 62 842 277 0 Under 1 year 2 440 451 3 2 612 482 3 1 4 years 468 21 8 442 21 6 5 14 years 519 12 0 471 11 4 15 24 years 1 201 31 9 1 126 31 4 25 34 years 1 667 45 4 1 561 42 6 35 44 years 2 817 85 8 2 710 82 6 45 54 years 5 242 208 1 4 915 2
121. omparability of data during the transition period before all or most of the data becomes available in the new multiple race format it is necessary to adjust the data for those states reporting multiple race by bridging the multiple race information 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 19 20 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 National Vital Statistics Reports Vol 59 No 4 17 Since 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 a
122. ons of medical and surgical care Y40 Y84 Y88 2 550 08 08 2 602 0 9 0 8 Injury by firearms U01 4 W32 W34 X72 X74 X93 X95 Y 22 Y 24 Y35 0 31 228 10 2 10 0 31 651 10 4 10 3 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 0 195 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 Y 10 14 37 485 12 2 12 1 37 777 12 4 12 3 Alcohol induced deaths E24 4 F10 G31 2 G62 1 G72 1 142 6 K29 2 K70 K85 2 K86 0 R78 0 X45 X65 15 24 263 79 7 3 24 081 7 9 7 4 Injury at work 4 108 17 1 7 4 689 1 9 1 9 Enterocolitis due to Clostridium difficile A04 7 7 285 2 4 2 2 7 483 2 5 2 3 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 Expanded ICD 10 code A09 Diarrhea and gastroenteritis of infectious origin was added to the category in 2009 see Technical Notes Expanded ICD 10 code J09 Influenza due to certain identified influenza virus was added to the category in 2009 see Technical Notes included in selected categories above Injury at work is described in Te
123. ot stated 3 er 3 Age adjusted rate ibs 520 2 515 0 National Vital Statistics Reports Vol 59 No 4 39 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 preliminary 2008 and 2009 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 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 w hite and black should be interpreted with caution because of inconsistencies betw een reporting Hispanic origin and race on death certificates and on censuses and surveys see Technical Notes Race categories are consistent w ith the 1977 Office of Management and Budget OMB standards Multiple race data w ere reported by 34 states and the District of Columbia in 2009 and 2008 see Technical Notes The multiple race data for these states w ere bridged to the single race categories of the 1977 OMB standards for comparability w ith 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 2
124. ound in the original population data during the tabulation of the life tables for the 2008 report Population denominators The rates in this report use population estimates based on the 2000 census and are estimated as of July 1 2008 and July 1 2009 These population estimates are available on the NCHS website 14 49 The population estimates have been produced under a collaborative arrangement with the U S Census Bureau and are based on the 2000 census counts Reflecting the new standards issued in 1997 by the Office of Management and Budget OMB the 2000 census included an option for persons to report more than one race as appropriate for themselves and household members 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 17 Death certificates for 16 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 Asians separately from NHOPI Thus for nearly one third of the states the death certificate data by race numerators for death rates are incompatible with population data collected in the 2000 census the denominators for the rates In order to produce national death rates for 2008 and 2009 the reported population data for multiple race person
125. pneumonia J09 J18 53 582 17 5 16 2 17 0 4 7 9 Nephritis nephrotic syndrome and nephrosis N00 N07 N17 N19 N25 N27 48 714 15 9 14 8 14 8 0 0 10 intentional self harm suicide U03 X60 X84 Y87 0 36 547 11 9 11 7 11 6 0 9 11 Septicemia A40 A41 35 587 11 6 10 9 11 1 1 8 12 Chronic liver disease and cirrhosis K70 K73 K74 30 444 9 9 9 2 9 2 0 0 13 Essential hypertension and hypertensive renal disease 110 12 15 25 651 8 4 7 7 7 7 0 0 14 Parkinson s disease G20 G21 20 552 6 7 6 4 6 4 0 0 15 Assault homicide U01 U02 X85 Y09 87 1 16 591 5 4 5 5 5 9 6 8 All other causes Residual 471 455 153 6 Category not applicable Rank based on number of deaths For unintentional injuries suicides and homicides preliminary and final data may differ significantly because of the truncated nature of the preliminary file 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 National Vital Statistics Reports Vol 59 No 4 31 Figure 1 Crude and age adjusted death rates United States 1990 27007 final and rai preliminary 4 000 OS 900 800 700 Rate per 100 000 population j EEE a a a g 1980 19865 1990 1995 2000 2005 2009 Year NOTE Crude deaih raies on an annual tasks are per 100 000 population age adiusiad raies are per 100 000 U S standard popuiaiian sse Technical Noles
126. pressed based on this criterion 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 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 Even where the number of vital events in this report is 100 perce
127. r EE E AEE AAEE EEEE O EEE EAER RAE RRE 17 Homs sampe enO aae a eee ee 19 Tabulation lists and cause of death ranking iiss sce cates ocebeie Miettinen die eee les 19 A RN rece EE A AE aah Vo irae ain SA E AEE E A E a aide AE E E E A E 20 Lite tables paninira E SAE RRi 20 Popin on erom a ONS a et es eh ee es er es ae as Mera 21 C mputing rates and percentages ssssicrisrincesasrieassriceesanrncarssinemsanr tea sania san NAER 22 Ralaolhiy Di esmae a A N AEA 24 Text tables Figures and Report tabl S ssisririsisesriiiirrsriireriiirrnriisirenria ana 29 Additional Technical Notes Table Surenin drea nn E RA R EE EAEE ETR 57 National Vital Statistics Reports Vol 59 No 4 Abstract Objectives This report presents preliminary U S data on deaths death rates life expectancy leading causes of death and infant mortality for 2009 by selected characteristics such as age sex race and Hispanic origin Methods Data in this report are based on death records comprising more than 96 percent of the demographic and medical files for all deaths in the United States in 2009 The records are weighted to independent control counts for 2009 Comparisons are made with 2008 preliminary data Results The age adjusted death rate decreased from 758 7 deaths per 100 000 population in 2008 to 741 0 deaths per 100 000 population in 2009 From 2008 to 2009 age adjusted death rates decreased significantly for 10 of the 15 leading causes of death Diseases of heart
128. r decreased significantly each successive year from 1958 through 2009 22 30 The neonatal i e infants aged less than 28 days mortality rate decreased 1 9 percent from 4 27 per 1 000 live births in 2008 to 4 19 per 1 000 live births in 2009 but the decrease was not significant The postneonatal i e infants aged 28 days 11 months mortality rate decreased by 3 4 percent between 2008 and 2009 The 2009 preliminary infant mortality rate for black infants was 12 71 infant deaths per 1 000 live births compared with 12 68 per 1 000 live births in 2008 but the observed increase was not significant The infant mortality rate for white infants decreased in 2009 by 4 0 percent from 5 54 infant deaths per 1 000 live births in 2008 to 5 32 in 2009 The mortality rate for black infants was 2 4 times the rate for white infants See 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 25 The linked birth infant death data set provides a better source of data for infant deaths and mortality rates by maternal race and ethnicity 31 National Vital Statistics Reports Vol 59 No 4 9 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
129. re deaths under 1 year per 1 000 live births in specified group National Vital Statistics Reports Vol 59 No 4 30 Table B Deaths and death rates for 2009 and age adjusted death rates and percent changes in age adjusted rates from 2008 to 2009 for the 15 leading causes of death United States preliminary 2008 and 2009 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 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 Death Percent Rank of Diseases Tenth Revision Second Edition 2004 Number rate 2009 2008 change All causes 2 436 652 793 7 741 0 758 6 2 3 1 Diseases of heart 100 109 1 1 13 120 151 598 607 195 0 179 8 186 7 3 7 2 Malignant neoplasms C00 C97 568 668 185 2 173 6 175 5 1 1 3 Chronic lower respiratory diseases J40 J47 137 082 44 7 42 2 44 0 4 1 4 Cerebrovascular diseases 160 169 128 603 41 9 38 9 40 6 4 2 5 Accidents unintentional injuries V01 X59 Y85 Y86 117 176 38 2 37 0 38 6 4 1 6 Alzheimer s disease G30 78 889 25 7 23 4 24 4 4 1 7 Diabetes mellitus E10 E14 68 504 22 3 20 9 21 8 4 1 8 influenza and
130. reported separately on the death certificate Data for Hispanic origin and specified races other than w hite and black should be interpreted with caution because of inconsistencies betw een 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 w ere reported by 34 states and the District of Columbia in 2009 and 2008 see Technical Notes The multiple race data for these states w ere bridged to the single race categories of the 1977 OMB standards for comparability w ith 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 ee a se Age sex race and Hispanic origin Number Rate Number Rate Non Hispanic white both sexes All ages 1 935 927 957 6 1 981 198 982 0 Under 1 year 11 658 516 5 12 545 544 0 1 4 years 2 179 23 9 2 380 26 2 5 14 years 2 857 12 2 3 082 13 2 15 24 years 17 072 65 3 18 570 70 7 25 34 years 25 054 100 8 24 868 101 6 35 44 years 47 507 180 2 49 109 180 0 45 54 years 129 908 409 4 130 455 410 4 55 64 years 223 250 842 6 220 247 854 9 65 74 years 314 166 1 917 3 316 695 1 994 5 75 84 years 522 348 4 882 7 549 133 5 143 4 85 years and over 639 807 13 422 0 654 028 13 556 3 Not stated 123 ii 88 Age adjusted rate E 744 7 ani 766 2 Non H
131. rtality rate is all live births occurring in 2009 The infant mortality rate is a better indicator of the risk of dying during the first year of life than the infant death rate This report includes data for 30 states and the District of Columbia Arkansas California Connecticut Delaware Florida Georgia Idaho Illinois Indiana Kansas Michigan Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Dakota Ohio Oklahoma Oregon Rhode Island South Carolina South Dakota Texas Utah Vermont Washington and Wyoming that had implemented the 2003 revision of the U S Standard Certificate of Death by 2009 and for the remaining 20 states that collected and reported death data in 2009 based on the 1989 revision of the U S Standard Certificate of Death The 2003 revision is described in detail elsewhere 15 16 In this report revised data are combined with unrevised but comparable data More details on procedures used to combine revised with unrevised data on race are given in Technical Notes Because the 2000 U S Census allowed for selection of multiple races death certificate data by race i e the numerators for death rates are not wholly compatible with the population data collected in this census Data from the census are necessary to produce denominators for computing death rates Multiple race data were collected in 2009 by the 30 states and the District of Columbia that used the 2003 revision of
132. s V01 X59 Y85 Y86 117 075 123 706 0 9464 117 748 121 599 0 9683 114 876 117 809 0 9751 Transport accidents V01 V99 Y85 45 832 46 844 0 9784 47 601 48 412 0 9832 48 140 48 441 0 9938 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 43 098 43 945 0 9807 44 572 45 316 0 9836 45 053 45 343 0 9936 Other land transport accidents V01 V05 V06 V09 1 V09 3 V09 9 V10 V11 V15 V18 V19 3 V19 8 V 19 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 1 017 1 083 0 9391 1 177 1 181 0 9966 1 251 1 241 1 0081 Water air and space and other and unspecified transport accidents and their sequelae V90 V99 Y85 1 716 1 816 0 9449 1 852 1 915 0 9671 1 837 1 857 0 9892 Nontransport accidents W00 X59 Y86 71 244 76 862 0 9269 70 147 73 187 0 9585 66 736 69 368 0 9621 Falls W00 W19 22 736 22 631 1 0046 20 533 20 823 0 9861 19 488 19 656 0 9915 Accidental discharge of firearms W32 W34 721 613 1 1762 777 642 1 2103 810 789 1 0266 Accidental drowning and submersion W65 W74 3 237 3 443 0 9402 3 483 3 579 0 9732 3 468 3 582 0 9682 Accidental exposure to smoke fire and flames X00 X09 3 276 3 286 0 9970 3 066 3 109 0 9862 3 144 3 197 0 9834 Accidental poisoning and exposure to noxious substances X40 X49 24 313 29 846 0 8146 24 702 27 531 0 8972 21 416 23 618 0 9068 Other and unspecified nontransport accidents and t
133. s Vital Health Stat 2 4 1966 Available from www cdc gov nchs data series sr_02 srO2 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 www cdc gov nchs data series sr_O2 sr02_ 129 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 www cdc gov nchs data lifetables life89 1 2 pdf Kestenbaum B A description of the extreme aged population based on improved Medicare enrollment data Demography 29 565 80 1992 Wei R Curtin LR Arias E Anderson RN U S 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 National Center for Health Statistics Postcensal estimates of the resident population of the United States for July 1 2000 July 1 2008 by year county age bridged race Hispanic origin and sex Vintage 2008 pcen_v2008_
134. s 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 publications 19 20 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 National Vital Statistics Reports Vol 59 No 4 22 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 mortality risks among groups and over time However they should be viewed as relative indexes rather than as actual measures of mortality risk They were computed by the direct method that is by applying age specific death rates R 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 J ER i s where P standard population for ag
135. s or subtotals Cause of death Based on the International Classification of Diseases 1 Bank Tenth Revision Second Edition 2004 Number Rate ae All causes 26 526 642 1 1 Congenital malformations deformations and chromosomal abnormalities Q00 Q99 5 358 129 7 2 Disorders related to short gestation and low birth weight not elsewhere classified P07 4 463 108 0 3 Sudden infant death syndrome R95 2 168 52 5 4 Newborn affected by maternal complications of pregnancy P01 1 586 38 4 5 Accidents unintentional injuries V01 X59 1 158 28 0 6 Newborn affected by complications of placenta cord and membranes P02 1 022 24 7 7 Bacterial sepsis of newborn P36 682 16 5 8 Respiratory distress of newborn P22 587 14 2 9 Diseases of the circulatory system 100 199 565 13 7 10 Neonatal hemorrhage P50 P52 P54 537 13 0 All other causes Residual 8 400 203 3 Category not applicable 1 Rank based on number of deaths see Technical Notes NOTE For certain causes of death such as unintentional injuries homicides suicides and sudden infant death syndrome 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 li
136. similar these two rates vary based on differences in their denominators The denominator of the 2009 infant death rate is the estimated population under 1 year of age as of the reference date July 1 2009 14 This population estimate includes a combination of infants born in 2008 who had not reached their first birthday before July 1 2009 and infants born in 2009 before July 1 2009 In contrast the denominator of the 2009 infant mortality rate is all live births occurring during 2009 32 For example the preliminary number of live births for 2009 n 4 131 019 is 3 1 percent lower than the midyear infant population in 2009 n 4 261 494 Therefore the infant mortality rate for 2009 642 1 deaths per 100 000 live births is higher than the infant death rate for 2009 622 6 deaths per 100 000 population For 2009 both the infant mortality rate and the infant death rate decreased significantly from 2008 The 10 leading causes of infant mortality for 2009 were 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 4 Newborn affected by maternal complications of pregnancy 5 Accidents unintentional injuries 6 Newborn affected by complications of placenta cord and membranes 7 Bacterial sepsis of newborn 8 Respiratory distress of newborn 9 Diseases of the circulatory system 10 Neonatal hemorrhage T
137. ssential hypertension and hypertensive renal disease 110 112 115 Cerebrovascular diseases 160 169 Atherosclerosis I70 Other diseases of circulatory system I71 I78 Aortic aneurysm and dissection 171 Other diseases of arteries arterioles and capillaries 172 178 Other disorders of circulatory system 180 199 Influenza and pneumonia J09 J18 Influenza J09 J11 Pneumonia J12 J18 Other acute lower respiratory infections J20 J22 U04 Acute bronchitis and bronchiolitis J20 J21 Other and unspecified acute lower respiratory infections J22 U04 Chronic lower respiratory diseases J40 J47 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 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 NOO NO7 N17 N19 N25 N27 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
138. ssential hypertension and hypertensive renal disease 14 Parkinson s disease 15 Assault homicide From 2008 to 2009 the age adjusted death rate declined significantly for 10 of the 15 leading causes of death The preliminary age adjusted death rate for the leading cause of death Diseases of heart decreased by 3 7 percent The age adjusted death rate for Malignant neoplasms decreased by 1 1 percent see Tables B and 2 Deaths from these two diseases combined accounted for 48 percent of deaths in the United States in 2009 Although heart disease mortality has exhibited a downward trend since 1950 cancer mortality began to decline only in the early 1990s 10 22 The preliminary age adjusted death rate also decreased significantly for Chronic lower respiratory diseases 4 1 percent and Cerebrovascular diseases 4 2 percent Other leading causes of death that showed significant decreases in 2009 relative to 2008 were Accidents unintentional injuries 4 1 percent Alzheimer s disease 4 1 percent Diabetes mellitus 4 1 percent Influenza and pneumonia 4 7 percent Septicemia 1 8 percent and Assault homicide 6 8 percent The observed increase in the age adjusted death rate for Intentional self harm suicide was not significant The age adjusted death rates for Nephritis nephrotic syndrome and nephrosis Chronic liver disease and cirrhosis Essential hypertension and hypertensive renal disease and Parkinson s disease remained u
139. th Between 2008 and 2009 there were no changes in the number of states implementing the 2003 revision of the U S Standard Certificate of Death In this report the 30 states and the District of Columbia that implemented the 2003 revision are as follows Arkansas California Connecticut Delaware Florida Georgia Idaho Illinois Indiana Kansas Michigan 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 Vermont implemented the 2003 revision of the U S Standard Certificate of Death in July of 2008 so a portion of their data for 2008 is based on the 1989 revision of the certificate The remaining 20 states collected and reported death data in 2009 based on the 1989 revision of the U S Standard Certificate of Death The 2003 revision is described in detail elsewhere 15 16 Since 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 15 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 issu
140. th data set National vital statistics reports vol 58 no 17 Hyattsville MD National Center for Health Statistics 2010 Available from http www cdc gov nchs data nvsr nvsr58 nvsr58_17 pdf Hamilton BE Martin JA Ventura SJ Births Preliminary data for 2009 National vital statistics reports vol 59 no 3 Hyattsville MD National Center for Health Statistics 2010 Available from http www cdc gov nchs data nvsr nvsr59 nvsr59_03 pdf Shapiro Mendoza C Tomashek K Anderson R 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 Technical appendix Vital statistics of the United States Mortality 1999 Available from http www cdc gov nchs datawh statab pubd ta htm National Center for Health Statistics 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 Second Edition Geneva World Health Organization 2004 World Health Organization Manual of the International Stat
141. uffocation and strangulation in bed W75 628 669 0 9387 559 588 0 9507 504 514 0 9805 Other accidental suffocation and strangulation W76 W77 W81 W84 203 220 0 9227 193 193 1 0000 181 186 0 9731 Accidental inhalation and ingestion of food or other objects causing obstruction of respiratory tract W78 W80 62 70 0 8857 64 62 1 0323 45 48 0 9375 Accidents caused by exposure to smoke fire and flames X00 X09 38 38 1 0000 27 27 1 0000 34 34 1 0000 Accidental poisoning and exposure to noxious substances X40 X49 16 19 0 8421 15 16 0 9375 20 20 1 0000 Other and unspecified accidents W20 W31 W35 W64 W85 W99 X10 X39 X50 X59 66 60 1 1000 51 45 1 1333 56 53 1 0566 Assault homicide U01 X85 Y09 322 352 0 9148 292 336 0 8690 281 306 0 9183 Assault homicide by hanging strangulation and suffocation X91 32 30 1 0667 23 34 0 6765 24 27 0 8889 Assault homicide by discharge of firearms U01 4 X93 X95 13 15 0 8667 6 6 1 0000 7 6 1 1667 Neglect abandonment and other maltreatment syndromes Y06 Y07 74 86 0 8605 67 75 0 8933 93 99 0 9394 Assault homicide by other and unspecified means U01 0 U01 3 U01 5 U01 9 X85 X90 X92 X96 X99 Y00 Y05 Y08 Y 09 203 221 0 9186 195 221 0 8824 157 174 0 9023 Complications of medical and surgical care Y40 Y84 24 22 1 0909 21 23 0 9130 20 19 1 0526 Other external causes and their sequelae Y10 Y36 62 88 0 7045 78 92 0 8478 94 104 0 9038 Quantity zero Category not applicable New ICD 10 code U04
142. uses United States 2005 2007 For explanation of asterisk preceding cause of death codes see Technical Notes Preliminary Final Ratio of Preliminary Final Ratio of Preliminary Final Ratio of number of number of preliminary number of number of preliminary number of number of preliminary Cause of death Based on the International Classification of Diseases deaths deaths tofinal deaths deaths tofinal deaths deaths to final Tenth Revision Second Edition 2004 2007 2007 2007 2006 2006 2006 2005 2005 2005 All causes 2 424 059 2 423 712 1 0001 2 425 901 2 426 264 0 9999 2 447 910 2 448 017 1 0000 Salmonella infections A01 A02 30 30 1 0000 33 34 0 9706 30 30 1 0000 Shigellosis and amebiasis A03 A06 4 4 1 0000 4 6 0 6667 9 10 0 9000 Certain other intestinal infections A04 A07 A09 6 822 6 758 1 0095 6 671 6 639 1 0048 5 694 5 667 1 0048 Tuberculosis A16 A19 54 554 0 9765 644 652 0 9877 646 648 0 9969 Respiratory tuberculosis A16 410 424 0 9670 485 490 0 9898 477 480 0 9938 Other tuberculosis A17 A19 131 130 1 0077 159 162 0 9815 169 168 1 0060 Whooping cough A37 11 9 1 2222 9 9 1 0000 32 31 1 0323 Scarlet fever and erysipelas A38 A46 3 3 1 0000 2 2 1 0000 3 3 1 0000 Meningococcal infection A39 73 87 0 8391 103 105 0 9810 119 123 0 9675 Septicemia A40 A41 34 851 34 828 1 0007 34 031 34 234 0 9941 34 142 34 136 1 0002 Syphilis A50 A53 50 42 1 1905 35 38 0 9211 46 47 0 9787 Acute poliomyelitis A80 sf 7 4 i Arthropod borne viral
143. y0508 txt Prepared under a collaborative agreement with the U S Census Bureau 2009 Available from http www cdc gov nchs nvss bridged_race data_documentation htm 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 www cdc gov nchs data nvsr nvsr47 nvs47_03 pdf National Vital Statistics Reports Vol 59 No 4 14 List of detailed tables 1 Deaths and death rates by age sex and race and Hispanic origin and age adjusted death rates by sex race and Hispanic origin United States preliminary 2008 and 2009 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 preliminary 2008 and 2009 3 Deaths death rates and age adjusted death rates United States and each state and territory preliminary 2008 and 2009 4 Infant deaths and infant mortality rates by age race and Hispanic origin United States preliminary 2008 and 2009 5 Infant deaths and infant mortality rates for 130 selected causes United States preliminary 2008 and 2009 6 Expectation of life by age race and sex United States preliminary 2008 and 2009 7 Deaths and death rates for the 10 leading causes of death in

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