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Deaths in the last half of the year 2019 in the United States. For the first half of the year, see 2019 deaths in the United States, January–June.
In 2019, the 10 leading causes of death (heart disease, cancer, unintentional injuries, chronic lower respiratory diseases, stroke, Alzheimer disease, diabetes, kidney disease, influenza and pneumonia, and suicide) remained the same as in 2018, although two causes exchanged ranks
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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
Mar 9, 2022 · In comparison, 2,854,838 people died in 2019, meaning at least 572,000 more people died in 2020 than 2019 according to preliminary estimates. Using the estimate of the 2020 population from the Census Bureau, the death rate in 2020 was 10.4 deaths per 1,000, the highest death rate since 1943.
Jan 8, 2021 · Deaths in the United States in 2020 already have surpassed 2019. While the post has the correct number of deaths for 2019, it incorrectly concludes that only 2,835,533 U.S. deaths occurred...
- AZ Fact Check
Dec 22, 2020 · In 2019, a total of 2,854,838 resident deaths were registered in the United States—15,633 more deaths than in 2018. From 2018 to 2019, the age-adjusted death rate for the total population decreased 1.2%, and life expectancy at birth increased 0.1 year.
This report presents final 2019 U.S. mortality data on deaths and death rates by demographic and medical characteristics. These data provide information on mortality patterns among U.S. residents by variables such as sex, age, race and Hispanic origin, and cause of death.
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