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  2. Weekly confirmed COVID-19 deaths Map of cumulative COVID-19 death rates by US state. The CDC publishes official numbers of COVID-19 cases in the United States. The CDC estimates that, between February 2020 and September 2021, only 1 in 1.3 COVID-19 deaths were attributed to COVID-19.

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    On March 31, 2021, this report was posted online as an MMWR Early Release.

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    During January–December 2020, the estimated 2020 age-adjusted death rate increased for the first time since 2017, with an increase of 15.9% compared with 2019, from 715.2 to 828.7 deaths per 100,000 population. COVID-19 was the underlying or a contributing cause of 377,883 deaths (91.5 deaths per 100,000). COVID-19 death rates were highest among males, older adults, and AI/AN and Hispanic persons. The highest numbers of overall deaths and COVID-19 deaths occurred during April and December. COVID-19 was the third leading underlying cause of death in 2020, replacing suicide as one of the top 10 leading causes of death (6).

    The findings in this report are subject to at least four limitations. First, data are provisional, and numbers and rates might change as additional information is received. Second, timeliness of death certificate submission can vary by jurisdiction. As a result, the national distribution of deaths might be affected by the distribution of deaths from jurisdictions reporting later, which might differ from those in the United States overall. Third, certain categories of race (i.e., AI/AN and Asian) and Hispanic ethnicity reported on death certificates might have been misclassified (7), possibly resulting in underestimates of death rates for some groups. Finally, the cause of death for certain persons might have been misclassified. Limited availability of testing for SARS-CoV-2, the virus that causes COVID-19, at the beginning of the COVID-19 pandemic might have resulted in an underestimation of COVID-19–associated deaths.

    This report provides an overview of provisional U.S. mortality data for 2020. Provisional death estimates can give researchers and policymakers an early indication of shifts in mortality trends and provide actionable information sooner than the final mortality data that are released approximately 11 months after the end of the data year. These data can guide public health policies and interventions aimed at reducing numbers of deaths that are directly or indirectly associated with the COVID-19 pandemic and among persons most affected, including those who are older, male, or from disproportionately affected racial/ethnic minority groups.

    Corresponding author: Farida B. Ahmad, fbahmad@cdc.gov.

    1National Center for Health Statistics, CDC.

    All authors have completed and submitted the International Committee of Medical Journal Editors form for disclosure of potential conflicts of interest. No potential conflicts of interest were disclosed.

    1.World Health Organization. International statistical classification of diseases and related health problems, tenth revision (ICD-10). 2008 ed. Geneva, Switzerland: World Health Organization; 2009. https://icd.who.int/browse10/2008/en

    2.National Center for Health Statistics. National Vital Statistics System. Instruction manual, part 2a: instructions for classifying underlying and multiple causes of death, ICD-10. Hyattsville, MD: US Department of Health and Human Services, CDC, National Center for Health Statistics; 2020. https://www.cdc.gov/nchs/nvss/instruction-manuals.htm

    3.CDC. Technical notes: provisional death counts for coronavirus disease (COVID-19). Hyattsville, MD: US Department of Health and Human Services, CDC, National Center for Health Statistics; 2021. https://www.cdc.gov/nchs/nvss/vsrr/covid19/tech_notes.htm

    4.Heron M. Deaths: leading causes for 2017. Natl Vital Stat Rep 2019;68:1–77. PMID:32501203

    5.US Census Bureau. National population by characteristics: 2010–2019. Washington, DC: US Census Bureau; 2021. https://www.census.gov/data/tables/time-series/demo/popest/2010s-national-detail.html

    6.Kochanek KD, Xu JQ, Arias E. Mortality in the United States, 2019. NCHS data brief, no. 395. Hyattsville, MD: US Department of Health and Human Services, CDC, National Center for Health Statistics; 2020. https://www.cdc.gov/nchs/products/databriefs/db395.htm

    • Farida B. Ahmad, Jodi A. Cisewski, Arialdi Miniño, Robert N. Anderson
    • 2021
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  5. As of June 16, 2022, the California Department of Public Health (CDPH) has reported 9,199,942 confirmed cumulative cases and 91,240 deaths in the state. This was the highest number of confirmed cases in the United States , but because the state has the highest population of any US state, it also had one of the lowest rankings (41st highest out ...

  6. March 26: Cases in Los Angeles County increased to 1,216 with 21 deaths, Santa Clara to 542 with 19 deaths, San Diego to 341 with 3 deaths, Orange to 256 with 1 death, San Francisco to 223 with 2 deaths, San Mateo to 195 cases, Alameda to 164 with 4 deaths, Riverside to 107 with 8 deaths, Contra Costa to 131, San Joaquin to 78, San Luis Obispo ...

  7. Description: CDC | Updated: Dec 31 2020. Total Number of COVID-19 Cases in the US Reported to the CDC, by State/Territory. Data Sources, References & Notes: Total cases are based on aggregate counts of COVID-19 cases reported by state and territorial jurisdictions to the Centers for Disease Control and Prevention (CDC) since January 29, 2020 ...

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