Deaths: Preliminary Data for 2004

8/15/2019 Deaths: Preliminary Data for 2004

1/50

Volume54,Number19 June28,2006Deaths:PreliminaryData for2004byArialdiM.Minio,M.P.H.;MelonieP.Heron,Ph.D.;andBettyL.Smith,B.S.Ed.,DivisionofVitalStatistics

AbstractObjectivesThis report presents preliminary U.S. data on

deaths, death rates, life expectancy, leading causes of death, andinfantmortalityfortheyear2004byselectedcharacteristicssuchasage,sex, race,andHispanicorigin.

MethodsData in this report are based on a large number ofdeathscomprisingapproximately91percentof thedemographic fileand90percentof themedicalfile foralldeaths in theUnitedStatesin2004.Therecordsareweightedto independentcontrolcountsfor2004. For certain causes of death such as unintentional injuries,homicides, suicides, and respiratory diseases, preliminary and finaldata differ because of the truncated nature of the preliminary file.Comparisonsaremadewith2003 finaldata.

ResultsThe age-adjusted death rate for the United Statesdecreasedfrom832.7deathsper100,000populationin2003to801.0deaths per 100,000 population in 2004. Age-adjusted death ratesdecreasedbetween2003and2004forthefollowingmajorcausesofdeath:Diseasesofheart,Malignantneoplasms,Cerebrovasculardiseases, Chronic lower respiratory diseases, Accidents (unintentionalinjuries), Diabetes mellitus, Influenza and pneumonia, Septicemia,Chronicliverdiseaseandcirrhosis,andPneumonitisduetosolidsandliquids. Rates increased between 2003 and 2004 for the following:AlzheimersdiseaseandEssential(primary)hypertensionandhypertensiverenaldisease.Lifeexpectancyatbirthroseby0.4year toarecordhighof77.9years.Introduction

This report presents preliminary mortality data based on vitalrecords for a substantial proportion of deaths occurring in 2004.Trends

shown

in

preliminary

reports

for

19952003

deaths,

for

most

measures,wereconfirmedbyfinalstatisticsforeachyear(19)(seeTechnicalNotesTablesIIand III fordata from200103).

SourcesandMethodsDatasources

Preliminary data in this report are based on records of deathsthat occurred in calendar year 2004 and were received and processedbytheCentersforDiseaseControlandPreventionsNationalCenterforHealthStatistics(NCHS)asofSeptember12,2005.Aftercomparisonwithindependentcontrolcountsofthenumberofdeathsfor 2004 that were received from state vital statistics offices,demographicinformationwasavailableforanestimated90percentofinfantdeaths(under1yearofage)andabout91percentofdeathstopersons aged 1 year and over (TableI). Medical or cause-of-deathinformation was processed separately and was available for anestimated 90percent of infant deaths and 90percent of deaths topersonsaged1yearandover.

Toproducethepreliminaryestimatesshowninthisreport,recordswereweightedusingindependentcontrolcountsofinfantdeathsanddeathsaged1yearandoverfor2004receivedinthestatevitalstatisticsoffices. Two separate sets of weights were applied to the death

AcknowledgmentsThis reportwas prepared in theDivision of VitalStatistics (DVS) under thegeneraldirectionofCharlesJ.Rothwell,Director,DVS;RobertN.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. Robert N.Anderson and Sherry Murphy of MSB and David W. Justice of the DataAcquisition and Evaluation Branch (DAEB) contributed to the TechnicalNotes.DavidP.Johnson,JalehMousavi,JordanSacks,ManjuSharma,andCharles Royer of SPSRB provided computer programming support andproducedstatistical tables.ThomasD.DunnofSPSRBmanagedpopulationdataandprovidedcontentreview.StevenJ.SteimelandDavidP.JohnsonofSPSRBprepared themortality file.StaffofMSBprovidedcontentand tablereview.RegistrationMethodsstaffandstaffofDAEBprovidedconsultationtostatevitalstatisticsofficesregardingcollectionofthedeathcertificatedataonwhich this report is based. This report was edited by Demarius V. Miller,Office of Information Services, Information Design and Publishing Staff andtypeset by Jacqueline M. Davis of CoCHIS/NCHM/Division of CreativeServices.


2/50

2 NationalVitalStatisticsReports,Vol.54,No.19,June28,2006recordsonesetforthedemographicinformation,andonesetforthemedical information. This results in slight inconsistencies betweencomparabledemographicdatafromthemortalitydemographictablesandthemedicaltablesshowingcausesofdeath(seesectionNatureandsourcesofdataintheTechnicalNotes).Preliminaryestimatesaresubject tosamplingvariationaswellasrandomvariation.

Theproportionofrecordsprocessedbyeachstate isshown inTableIintheTechnicalNotes.Changesindeathratesbetween2003and2004anddifferencesindeathratesacrossdemographicgroupsfor 2004 were tested for statistical significance. Unless otherwisespecified,reporteddifferencesindeathratesarestatisticallysignificant.Detailed informationonthenature,sources,andqualificationsofthepreliminarydata isgiven in the TechnicalNotes.

Causeofdeathisnotalwaysavailablewhenthepreliminarydataaresent toNCHS,but isavailable laterfor finaldataprocessing.Asaresult,estimatesbasedonpreliminarymortalitydatamaydifferfromstatistics from the final mortality data. Such differences may affectcertaincausesofdeathwherethecauseispendinginvestigation,suchas for Assault (homicide), Intentional self-harm (suicide), Accidents(unintentionalinjuries),andSuddeninfantdeathsyndrome(SIDS),orconditionsthatarehighlyseasonal,suchasInfluenzaandpneumoniaand Chronic lower respiratory diseases (see section Nonsamplingerrorin the TechnicalNotes).

In addition to national and state estimates of total deaths anddeathrates,thisreportincludespreliminarystatisticsonlifeexpectancy,infantmortality,andcausesofdeath.Dataareshownforthefollowingraceandethnicgroups:white,non-Hispanicwhite,black,non-Hispanicblack, American Indian or Alaska Native (AIAN), Asian or PacificIslander (API), and Hispanic populations. Tabulations by race andethnicgrouparebasedontheraceandethnicgroupreportedforthedecedent.RaceandHispanicoriginarereportedasseparateitemsonthedeathcertificate.DeathratesforAIAN,API,andtoalesserextent,forHispanicsareknowntobetoolowbecauseofreportingproblems(seesection RaceandHispanicoriginin the TechnicalNotes).

Age-adjusteddeathratesarebetter indicatorsthancrudedeathratesforshowingchangesintheriskofdeathovertimewhentheagedistributionofthepopulation ischangingandforcomparingthemortalityofsubgroupsof thepopulation thathavedifferentagecompositions.Allage-adjusteddeathratesarestandardizedtotheyear2000population (see section Computing rates and percentages in theTechnicalNotes).Twomeasuresof infantmortalityareshown, theinfant death rate and the infant mortality rate (see section Infantmortality in the Technical Notes). These measures typically aresimilaralthoughtheycandifferbecausethedenominatoroftheinfantdeathrateincludesacombinationofinfantsbornthepreviousyearwhohave not reached their first birthday and infants born before thereferencedateforthepopulationestimate,whereasthedenominatorofthe infantmortalityrate isallbirthsoccurringduring thereferenceyear. For example, the preliminary numberof livebirths for2004 isabout1.0percentgreaterthantheinfantpopulationin2004.Aninfantmortality rate isabetter indicatorof theriskofdyingduring the firstyearof life.

Thisreportincludesdatafor12areas(California,Idaho,Michigan,Montana,NewHampshire,NewJersey,NewYorkCity,NewYorkState,Oklahoma,SouthDakota,Washington,andWyoming),which implementedthe2003revisionoftheU.S.StandardCertificateofDeathby

2004, and the remaining states and the District of Columbia thatcollectedandreporteddeathdatain2004basedonthe1989revisionof the U.S. Standard Certificate of Death. The 2003 revision isdescribedindetailelsewhere(10,11).Inthisreport,reviseddataarecombinedwithunrevisedbutcomparabledata.Moredetailsonproceduresusedtocombinerevisedwithunreviseddataonracearegivenin the TechnicalNotes.

The populations used to calculate death rates were producedunderacollaborativearrangementwiththeU.S.CensusBureauandarebasedonthe2000censuscounts.Exceptfor15states(California,Hawaii,Idaho,Maine,Michigan,Minnesota,Montana,NewHampshire,NewJersey,NewYork,Oklahoma,SouthDakota,Washington,Wisconsin,andWyoming),thedeathcertificatedatabyrace(thenumeratorsfordeathrates)arecurrentlyincompatiblewiththepopulationdatacollectedinthe2000census(thedenominatorsfortherates).Inordertoproducenationaldeathratesfor2003and2004,itwasnecessarytobridgetheincompatiblereportedpopulationdatatobeconsistentwith the1977OfficeofManagementandBudget (OMB)single racecategories (12), that is, to bridge multiple-race categories back tosingle-racecategoriesandreportthedataforAsianpersonsandNativeHawaiiansorotherPacificIslandersasacombinedcategory,APIs,andtoreflectageasof thecensus referencedate (13).Theproceduresusedtoproducethe bridgedpopulationsaredescribed inseparatepublications (14,15).As the remaining 35 states and the District ofColumbiagraduallybegintocollectdataonraceaccordingtothe1997OMBguidelines (16), it is expected thatuseof the bridgedpopulationscanbediscontinued.

Readersshould keep in mind that the population data used tocompile the death rates by race shown in this report are based onspecialestimationprocedures.Theyarenot truecounts.This is thecaseevenforthe2000populationsthatarebasedonthe2000census.The estimation procedures used to develop these populations aresubjecttoerror.Smallerpopulationgroupsareaffectedmuchmorethanlargerpopulationsby thismeasurementerror,especiallyAIANs(14).ResultsTrends innumbersandrates

Thepreliminarynumberofdeaths intheUnitedStatesfor2004was 2,398,343, representing a decrease of 49,945 from the 2003total. The crude death rate of 816.7 per 100,000 population was3.0percent less than the rate of 841.9 per 100,000 in 2003. Theestimatedage-adjusteddeathrate,whichaccountsforchangesintheagedistributionofthepopulation,reachedarecord lowof801.0per100,000 U.S. standard population, 3.8percent lower than the 2003rateof832.7(TablesAand1)(4).Theage-adjusteddeathrateintheUnited States has generally trended downward since 1900 withoccasional increasesusuallyduetooutbreaksof influenza,themostrecent being from 1998 to 1999 (17,18). From 2003 to 2004,age-adjusteddeathratesdecreasedby3.9percentformalesandby3.7percentforfemales.Allthesex,race,andHispanicorigingroupsdescribed in this report showed significant decreases in the age-adjusteddeathratebetween2003and2004.Therelativemagnitudeof thesechangesbysexand raceandHispanicorigin (Table1) are as follows.


3/50

3NationalVitalStatisticsReports,Vol.54,No.19,June28,2006TableA.Deaths,ageadjusteddeathrates,and lifeexpectancyatbirth,byraceandsex;and infantdeathsandmortalityratesbyrace:UnitedStates, final2003andpreliminary2004[Dataarebasedonacontinuous fileofrecords received from thestates.Figures for2004arebasedonweighteddata rounded to thenearest individual,socategoriesmaynotadd to totals]

All races1,2 White2 Black2Measureandsex 2004 2003 2004 2003 2004 2003

Alldeaths

. . . . . . . . . . . . . . . . . .

Age-adjusteddeathrate3 . . . . . . . . .

Male . . . . . . . . . . . . . . . . . . . . Female . . . . . . . . . . . . . . . . . .

Lifeexpectancyatbirth4. . . . . . . . . . Male . . . . . . . . . . . . . . . . . . . . Female . . . . . . . . . . . . . . . . . .

2,398,343

801.0955.1680.1

77.975.280.4

2,448,288

832.7994.3706.2

77.574.880.1

2,059,949

787.4937.4668.6

78.375.780.8

2,103,714

817.0973.9693.1

78.075.380.5

284,877

1,019.31,258.4

849.673.369.876.5

291,300

1,065.91,319.1

885.672.769.076.1

All infantdeaths . . . . . . . . . . . . . . Infantmortalityrate5 . . . . . . . . . . . . 27,8386.76 28,0256.85 18,2405.65 18,4405.72 8,35913.65 8,40214.011Includesracesother thanwhiteandblack.2Racecategoriesareconsistentwith the1977OfficeofManagementandBudget(OMB)standards.California,Hawaii, Idaho,Maine,Michigan,Minnesota,Montana,NewHampshire,NewJersey,NewYork,Oklahoma,SouthDakota,Washington,Wisconsin,andWyomingreportedmultiple-racedata in2004.Themultiple-racedata for thesestateswerebridged to thesingleracecategoriesof the1977OMBstandards forcomparabilitywith theotherstates;see TechnicalNotes.3Age-adjusteddeathratesareper100,000U.S.standardpopulation,basedon theyear2000standard;see TechnicalNotes.4Lifeexpectancyatbirthstated inyears.5Infantmortalityratesaredeathsunder1yearper1,000 livebirths inspecifiedgroup.

Decreases inage-adjusteddeathrates:Whitemales (3.7percent)White females(3.5percent)Non-Hispanicwhitemales (3.5percent)Non-Hispanicwhite females (3.2percent)Blackmales(4.6percent)Black females(4.1percent)Non-Hispanicblackmales (4.4percent)Non-Hispanicblack females (3.9percent)American IndianorAlaskaNative(AIAN)males (5.9percent)AIAN females (5.9percent)AsianorPacific Islander(API)males(5.1percent)API females(3.5percent)Hispanicmales (6.1percent)Hispanic females(6.3percent)

Among the major race and Hispanic origin groups, the lowestmortalitywas reported for theAPIpopulation (44percent lower thanthenon-Hispanicwhitepopulation), theHispanicpopulation (27percent lower than the non-Hispanic white population), and the AIANpopulation(19percentlowerthanthenon-Hispanicwhitepopulation).In contrast, the age-adjusted death rate for the non-Hispanic blackpopulationwas30percenthigherthanthatforthenon-Hispanicwhitepopulation (Table1). However, mortality for races other than whiteand black may be, in some cases, seriously understated due tounderreporting for some race groups and Hispanic origin on deathcertificates(1921).Statisticallysignificantdecreasesinmortalitybetween2003and2004wereregisteredacrossallagegroupsexcept514years,asfollows:Under1year(2.5percentseealsosectionon Infantmortality)14years (4.8percent)514years(2.4percentdecrease,notsignificant)1524years (2.8percent)

2534years (3.0percent)3544years (5.2percent)4554years (2.3percent)5564years (3.7percent)6574years (4.0percent)7584years (3.2percent)85yearsandover (4.8percent)

Thedeath rate for Under1yearshownabove isbasedonapopulation estimate and is different from the infant mortality rate,whichisbasedonlivebirths(seediscussiononinfantmortalityratesinsectionon Infantmortality).

Thepreliminaryestimateof lifeexpectancyatbirth for the totalpopulationin2004reachedarecordhighof77.9years.Thisrepresentsanincreaseof0.4yearrelativeto2003(seeTablesAand6).Record-highlifeexpectancieswerereachedforwhitemales(75.7years)andblackmales(69.8years),aswellasforwhitefemales(80.8years)andblack females (76.5 years). The gap between male and female lifeexpectancywas5.2yearsin2004,downfrom5.3yearsin2003,and5.4 years in 2002. The difference between male and female lifeexpectancyatbirthhasbeengenerallydecreasingsinceitspeakof7.8years in1979(22).Lifeexpectancyformales increasedby0.4year,reachingarecord75.2years.Femalelifeexpectancyincreasedby0.3year,increasingfrom80.1yearsto80.4yearsbetween2003and2004.

Bystateofresidence,Hawaiihadthelowestmortalityin2004withan age-adjusted death rate of 623.6 deaths per 100,000 standardpopulation.MortalitywashighestforMississippi,withanage-adjusteddeathrateof998.2per100,000standardpopulation.Causesofdeath

The15 leadingcausesofdeath in2004(TableB)remainedthesame as in 2003 with the exception of two causes that exchangedranks. Alzheimers disease, the eighth leading cause in 2003,became theseventh leading cause in 2004,whereas Influenza and


4/50

4 NationalVitalStatisticsReports,Vol.54,No.19,June28,2006TableB.Deathsanddeathrates for2004andageadjusteddeathratesandpercentagechanges inageadjustedratesfrom2003 to2004 for the15 leadingcausesofdeath in2004:UnitedStates,final2003andpreliminary2004[Dataarebasedonacontinuous fileofrecords received from thestates.Ratesareper100,000population;age-adjusted ratesper100,000U.S.standardpopulationbasedon theyear2000standard;see TechnicalNotes.Forexplanationofasterisks (*)precedingcause-of-deathcodes,see TechnicalNotes.Figures for2004arebasedonweighteddatarounded to thenearest individual,socategoriesmaynotadd to totals]

Age-adjusteddeath rateCauseofdeath(Basedon the International Death Percent

Rank1

Classificationof

Diseases,

Tenth

Revision,

1992)

Number

rate

2004

2003

change

... Allcauses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,398,365 816.7 801.1 832.7 3.81 Diseasesofheart . . . . . . . . . . . . . . . . . . . . . . (I00I09,I11,I13,I20I51) 654,092 222.7 217.5 232.3 6.42 Malignantneoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . (C00C97) 550,270 187.4 184.6 190.1 2.93 Cerebrovasculardiseases . . . . . . . . . . . . . . . . . . . . . . . . . . . (I60I69) 150,147 51.1 50.0 53.5 6.54 Chronic lower respiratorydiseases . . . . . . . . . . . . . . . . . . . . (J40J47) 123,884 42.2 41.8 43.3 3.55 Accidents (unintentional injuries) . . . . . . . . . . . . . . . . (V01X59,Y85Y86) 108,694 37.0 36.6 37.3 1.96 Diabetesmellitus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (E10E14) 72,815 24.8 24.4 25.3 3.67 Alzheimersdisease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (G30) 65,829 22.4 21.7 21.4 1.48 Influenzaandpneumonia . . . . . . . . . . . . . . . . . . . . . . . . . . (J10J18) 61,472 20.9 20.4 22.0 7.39 Nephritis,nephroticsyndromeandnephrosis . .(N00N07,N17N19,N25N27) 42,762 14.6 14.3 14.4 0.7

10 Septicemia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (A40A41) 33,464 11.4 11.2 11.6 3.411 Intentionalself-harm (suicide) . . . . . . . . . . . . . . . . (*U03,X60X84,Y87.0) 31,647 10.8 10.7 10.8 0.912 Chronic liverdiseaseandcirrhosis . . . . . . . . . . . . . . . . . (K70,K73K74) 26,549 9.0 8.8 9.3 5.413 Essential(primary)hypertensionandhypertensive renaldisease . . . . (I10,I12) 22,953 7.8 7.6 7.4 2.714 Parkinsonsdisease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (G20G21) 18,018 6.1 6.1 6.2 1.615 Pneumonitisdue tosolidsand liquids . . . . . . . . . . . . . . . . . . . . . . (J69) 16,959 5.8 5.6 5.9 5.1... Allothercauses. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 418,810 142.6 ... ... ...

. . . Categorynotapplicable.1Rankbasedonnumberofdeaths;see TechnicalNotes.

pneumonia, the seventh leading cause in 2003, became the eighthleadingcausein2004.The15leadingcausesofdeathin2004wereas follows:1)Diseasesofheart;2)Malignantneoplasms;3)Cerebrovasculardiseases;4)Chronic lower respiratorydiseases;5)Accidents (unintentional injuries);6)Diabetesmellitus;7)Alzheimersdisease;8) Influenzaandpneumonia;9)Nephritis,nephroticsyndromeandnephrosis;10)Septicemia;11) Intentionalself-harm(suicide);12)Chronic liverdiseaseandcirrhosis;13)Essential(primary)hypertensionandhypertensiverenaldisease;14)Parkinsonsdisease;and15)Pneumonitisdue tosolidsand liquids.

Theage-adjusteddeath ratedeclinedsignificantly for10of the15 leading causes of death. From 2003 to 2004, the preliminaryage-adjusteddeathratefortheleadingcauseofdeath,Diseasesofheart, decreased by 6.4percent. The age-adjusted death rate forMalignantneoplasms decreasedby2.9percent (seeTablesBand2). Deaths from these two diseases combined accounted for morethan 1.2 million deaths, 50percent of all deaths in 2004. Althoughheartdiseasemortalityhasexhibitedadownward trendsince1950,cancermortalityhasdeclinedonlysince1990.

Thepreliminaryage-adjusteddeathratealsodecreasedbetween2003 and 2004 for Influenza andpneumonia (7.3percent),Cere-brovascular disease (6.5percent), Chronic liver disease and

cirrhosis (5.4percent), Pneumonitis due to solids and liquids(5.1percent),Diabetesmellitus(3.6percent),Chroniclowerrespi-ratorydiseases (3.5percent),Septicemia (3.4percent), andAcci-dents (unintentional injuries) (1.9percent). Although there weredeclinesinthedeathratesforkidneydisease,suicide,andParkinsonsdisease, thesedeclineswerenotstatisticallysignificant.

AlthoughHuman immunodeficiencyvirus (HIV)diseasewasnot

among

the

15

leading

causes

of

death,

itis

still

amajor

public

health

concern. The preliminary age-adjusted death rate for HIV diseasedeclinedsignificantlyby6.4percentbetween2003and2004(Table2).From 1987 to 1994,HIVdisease mortality increased an averageof16percent annually. In 1995, the rate for this disease reached aplateau,notdifferingsignificantlyfromthe1994rate.Subsequently,therate decreased an average of 33percent from 1995 to 1998, and3percentfrom1999to2002.HIVdiseaseiscurrentlythesixthleadingcauseofdeathforallracescombinedfortheagegroup2544years.It is also the 9th leading cause of death for the age group 1524yearsanupwardmovementintheleading-causerankingsrelativetoits2003positionof10thplace for thisgroup(Table7). In2004,HIVdiseaseexited the listof top10 leadingcausesofdeath for theagegroup4564years.Increasesoccurred forEssentialhypertensionandhyperten-siverenaldisease(2.7percent)andAlzheimersdisease(1.4percent).The lattermoved fromeighth toseventhplace in the leading-cause list.

Between2003and2004,thepreliminaryage-adjusteddeathratedeclinedby4.9percentforFirearminjuries,2.9percentforAlcoholinduceddeaths,and2.0percentforDruginduceddeaths(Table2).Theage-adjusteddeathrateforInjuryatworkdecreasedby4.5percentbetween2003and2004.


5/50

5NationalVitalStatisticsReports,Vol.54,No.19,June28,2006Forcertaincausesofdeathsuchasunintentionalinjuries,homi

cides, suicides, and respiratory diseases, preliminary and final datadifferbecauseof the truncatednatureof thepreliminary file.Infantmortality

The preliminary infant mortality rate for 2004 was 6.76 infantdeaths per 1,000 live births. The slight decrease of 1.3percentrelative to the rate in 2003 was not statistically significant (seeTablesA and 4). The neonatal mortality rate for 2004 decreasedsignificantly by 2.6percent relative to the rate in 2003. The mostdramatic decrease in neonatal mortality rate was observed for theblackpopulation (down4.6percent from2003;seeTable4).

The infantmortalityratehaseitherdecreasedorremainedleveleachsuccessiveyearbetween1958and2001(2,6,23).Theincreasein2002wasconcentratedamongneonates,andmostoftheincreasein the infant mortality rate that year was due to the change in thedistributionofbirthsbybirthweight,particularlyanincrease ininfantsbornweighing less than750grams(24).

The2004preliminary infantmortality rate forblack infantswas13.65infantdeathsper1,000livebirths,morethandoubletherateforwhite

infants

(Table

A).

Because

of

inconsistencies

in

the

reporting

of

someracegroupsandHispanicoriginonbirthanddeathcertificates,infantmortalityratesforsomegroupsarelikelytobeunderestimated(20,21).Thelinkedbirth/infantdeathdatasetprovidesabettersourceof data for infant deaths and mortality rates by maternal race andethnicity(25).

Althoughtheinfantmortalityrateisthepreferredindicatoroftherisk of dying during the first year of life, another measure of infantmortalityisalsoshowninthisreport;theinfantdeathrate(seesectionInfantmortalityintheTechnicalNotes).Thetwomeasurestypicallyaresimilaryet theycandifferbecause thedenominatorof the infantdeathrateincludesacombinationofinfantsbornthepreviousyearwhohave not reached their first birthday and infants born before thereferencedateforthepopulationestimate,whereasthedenominatoroftheinfantmortalityrateisallbirthsoccurringduringthereferenceyear.Forexample, thepreliminarynumberof livebirths for2004 isabout 1.0percent greater than the infant population in 2004. Thisdifferenceinthedenominatorsofthetwomeasuresofmortalityislargeenoughthatthedecreaseintheinfantmortalityratebetween2003and2004isnotstatisticallysignificant,whereasthedecreasemeasuredinthe infantdeathrate for thesameperiod is.The10 leadingcausesof infantmortality for2004were:

1)Congenitalmalformations,deformationsandchromosomalabnormalities;

2)Disorders related toshortgestationand lowbirthweight,notelsewhere

classified;

3)Sudden infantdeathsyndrome(SIDS);4)Newbornaffectedbymaternalcomplicationsofpregnancy;5)Newbornaffectedbycomplicationsofplacenta,cordand

membranes;6)Accidents(unintentional injuries);7)Respiratorydistressofnewborn;8)Bacterialsepsisofnewborn;9)Neonatalhemorrhage;and

10) Intrauterinehypoxiaandbirthasphyxia.Theonlydifferencesbetween the leadingcausesasshown for

2003(4)andthosefor2004concernthedroppingoffofDiseasesof

thecirculatorysystemfromthelist(itwaspreviouslythe10thleadingcause of infant death) and the incorporation of Intrauterine hypoxiaandbirthasphyxiatothe2004listasthe10thleadingcauseofinfantmortality.

Theinfantmortalityratedidnotchangesignificantlybetween2003and2004fortheleadingcauseofinfantmortality,Congenitalmalformations, deformations and chromosomal abnormalities. There was,however,asignificantdecreaseof4.0percentinthemortalityrateofthesecond leadingcauseof infantdeath,Disorders related toshortgestationandlowbirthweight,notelsewhereclassified(Tables5and8).Deaths from these twoconditionscombinedaccounted formorethan10,000deaths,37percentof infantdeaths in2004.

Amongtheleadingcausesofinfantdeath,asignificantdecreasein the infantmortality ratewasalsodocumented for the fifth leadingcause,Newbornaffectedbycomplicationsofplacenta,cordandmembranes.The ratedropped10.0percentbetween2003and2004.

Deathsdue toSIDS,currently the third leadingcauseof infantdeath, have been declining since 1988 (8). The slight decline of3.2percentinthemortalityrateofSIDSbetween2003and2004isnotstatistically significant. The general consensus concerning recentdeclinesinmortalityduetoSIDSisthattheymostlyreflectachangeinthewaySIDSisdiagnosedandreportedbymedicalexaminersandcoroners (26).

References1. AndersonR,KochanekK,MurphyS.Reportoffinalmortalitystatistics,

1995.Monthly vitalstatistics report;vol45no11supp 2.Hyattsville,MD:NationalCenter forHealthStatistics.1997.

2. AriasE,AndersonR,KungH,MurphyS,KochanekK.Deaths:Finaldatafor2001.Nationalvitalstatisticsreports;vol52no3.Hyattsville,MD:NationalCenter forHealthStatistics.2003.

3. HoyertD,AriasE,SmithB,MurphyS,KochanekK.Deaths:Finaldatafor1999.Nationalvitalstatisticsreports;vol49no8.Hyattsville,MD:NationalCenterforHealthStatistics.2001.Available from:http://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_08.pdf.

4. HoyertD,HeronM,MurphyS,KungH.Deaths:Finaldata for2003.Nationalvitalstatisticsreports;vol54no13.Hyattsville,MD:NationalCenter for HealthStatistics. 2006.Available from:http://www.cdc.gov/nchs/data/nvsr/nvsr54/nvsr54_13.pdf.

5. Hoyert D, Kochanek K, Murphy S. Deaths: Final data for 1997.Nationalvitalstatisticsreports;vol47no19.Hyattsville,MD:NationalCenter forHealthStatistics.1999.

6. Kochanek K,MurphyS,Anderson R,ScottC.Deaths: Final data for2002. National vital statistics reports; vol 53 no 5. Hyattsville, MD:NationalCenterforHealthStatistics.2004.Available from:http://www.cdc.gov/nchs/data/nvsr/nvsr53/nvsr53_05.pdf. 7. MinioA,AriasE,KochanekK,MurphyS,SmithB.Deaths:Finaldatafor2000.Nationalvitalstatisticsreports;vol50no15.Hyattsville,MD:NationalCenter forHealthStatistics.2002.

8. MurphyS.Deaths:Finaldatafor1998.Nationalvitalstatisticsreports;vol 48 no 11. Hyattsville, MD: National Center for Health Statistics.2000.

9. PetersK,KochanekK,MurphyS.Deaths:Finaldatafor1996.Nationalvitalstatisticsreports;vol47no9.Hyattsville,MD:NationalCenterforHealthStatistics.1998.

10. 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.
http://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_08.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_08.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_08.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_08.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_08.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_08.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_08.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_08.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_08.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_08.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_08.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_08.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_08.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_08.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_08.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_08.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_08.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_08.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_08.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_08.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_08.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_08.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_08.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_08.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_08.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_08.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_08.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_08.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_08.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_08.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_08.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_08.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_08.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_08.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_08.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_08.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_08.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_08.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_08.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_08.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_08.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_08.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_08.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_08.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_08.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_08.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_08.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_08.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_08.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_08.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_08.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_08.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_08.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_08.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_08.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_08.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_08.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_08.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_08.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_08.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_08.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_08.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_08.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_08.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_08.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_08.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_08.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_08.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_08.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_08.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_08.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_08.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_08.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_08.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_08.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_08.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_08.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_08.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_08.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_08.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_08.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_08.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_08.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_08.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_08.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_08.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_08.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_08.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_08.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_08.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_08.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_08.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_08.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_08.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_08.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_08.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_08.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_08.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr54/nvsr54_13.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr54/nvsr54_13.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr54/nvsr54_13.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr54/nvsr54_13.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr54/nvsr54_13.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr54/nvsr54_13.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr54/nvsr54_13.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr54/nvsr54_13.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr54/nvsr54_13.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr54/nvsr54_13.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr54/nvsr54_13.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr54/nvsr54_13.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr54/nvsr54_13.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr54/nvsr54_13.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr54/nvsr54_13.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr54/nvsr54_13.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr54/nvsr54_13.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr54/nvsr54_13.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr54/nvsr54_13.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr54/nvsr54_13.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr54/nvsr54_13.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr54/nvsr54_13.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr54/nvsr54_13.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr54/nvsr54_13.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr54/nvsr54_13.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr54/nvsr54_13.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr54/nvsr54_13.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr54/nvsr54_13.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr54/nvsr54_13.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr54/nvsr54_13.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr54/nvsr54_13.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr54/nvsr54_13.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr54/nvsr54_13.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr54/nvsr54_13.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr54/nvsr54_13.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr54/nvsr54_13.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr54/nvsr54_13.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr54/nvsr54_13.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr54/nvsr54_13.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr54/nvsr54_13.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr54/nvsr54_13.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr54/nvsr54_13.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr54/nvsr54_13.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr54/nvsr54_13.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr54/nvsr54_13.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr54/nvsr54_13.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr54/nvsr54_13.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr54/nvsr54_13.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr54/nvsr54_13.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr54/nvsr54_13.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr54/nvsr54_13.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr54/nvsr54_13.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr54/nvsr54_13.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr54/nvsr54_13.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr54/nvsr54_13.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr54/nvsr54_13.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr54/nvsr54_13.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr54/nvsr54_13.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr54/nvsr54_13.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr54/nvsr54_13.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr54/nvsr54_13.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr54/nvsr54_13.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr53/nvsr53_05.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr53/nvsr53_05.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr53/nvsr53_05.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr53/nvsr53_05.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr53/nvsr53_05.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr53/nvsr53_05.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr53/nvsr53_05.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr53/nvsr53_05.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr53/nvsr53_05.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr53/nvsr53_05.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr53/nvsr53_05.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr53/nvsr53_05.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr53/nvsr53_05.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr53/nvsr53_05.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr53/nvsr53_05.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr53/nvsr53_05.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr53/nvsr53_05.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr53/nvsr53_05.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr53/nvsr53_05.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr53/nvsr53_05.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr53/nvsr53_05.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr53/nvsr53_05.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr53/nvsr53_05.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr53/nvsr53_05.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr53/nvsr53_05.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr53/nvsr53_05.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr53/nvsr53_05.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr53/nvsr53_05.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr53/nvsr53_05.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr53/nvsr53_05.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr53/nvsr53_05.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr53/nvsr53_05.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr53/nvsr53_05.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr53/nvsr53_05.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr53/nvsr53_05.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr53/nvsr53_05.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr53/nvsr53_05.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr53/nvsr53_05.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr53/nvsr53_05.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr53/nvsr53_05.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr53/nvsr53_05.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr53/nvsr53_05.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr53/nvsr53_05.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr53/nvsr53_05.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr53/nvsr53_05.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr53/nvsr53_05.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr53/nvsr53_05.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr53/nvsr53_05.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr53/nvsr53_05.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr53/nvsr53_05.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr53/nvsr53_05.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr53/nvsr53_05.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr53/nvsr53_05.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr53/nvsr53_05.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr53/nvsr53_05.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr53/nvsr53_05.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr53/nvsr53_05.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr53/nvsr53_05.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr53/nvsr53_05.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr53/nvsr53_05.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr53/nvsr53_05.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr53/nvsr53_05.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr53/nvsr53_05.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr53/nvsr53_05.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr53/nvsr53_05.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr53/nvsr53_05.pdfhttp://www.cdc.gov/nchs/data/dvs/DEATH11-03final-acc.pdfhttp://www.cdc.gov/nchs/data/dvs/DEATH11-03final-acc.pdfhttp://www.cdc.gov/nchs/data/dvs/DEATH11-03final-acc.pdfhttp://www.cdc.gov/nchs/data/dvs/DEATH11-03final-acc.pdfhttp://www.cdc.gov/nchs/data/dvs/DEATH11-03final-acc.pdfhttp://www.cdc.gov/nchs/data/dvs/DEATH11-03final-acc.pdfhttp://www.cdc.gov/nchs/data/dvs/DEATH11-03final-acc.pdfhttp://www.cdc.gov/nchs/data/dvs/DEATH11-03final-acc.pdfhttp://www.cdc.gov/nchs/data/dvs/DEATH11-03final-acc.pdfhttp://www.cdc.gov/nchs/data/dvs/DEATH11-03final-acc.pdfhttp://www.cdc.gov/nchs/data/dvs/DEATH11-03final-acc.pdfhttp://www.cdc.gov/nchs/data/dvs/DEATH11-03final-acc.pdfhttp://www.cdc.gov/nchs/data/dvs/DEATH11-03final-acc.pdfhttp://www.cdc.gov/nchs/data/dvs/DEATH11-03final-acc.pdfhttp://www.cdc.gov/nchs/data/dvs/DEATH11-03final-acc.pdfhttp://www.cdc.gov/nchs/data/dvs/DEATH11-03final-acc.pdfhttp://www.cdc.gov/nchs/data/dvs/DEATH11-03final-acc.pdfhttp://www.cdc.gov/nchs/data/dvs/DEATH11-03final-acc.pdfhttp://www.cdc.gov/nchs/data/dvs/DEATH11-03final-acc.pdfhttp://www.cdc.gov/nchs/data/dvs/DEATH11-03final-acc.pdfhttp://www.cdc.gov/nchs/data/dvs/DEATH11-03final-acc.pdfhttp://www.cdc.gov/nchs/data/dvs/DEATH11-03final-acc.pdfhttp://www.cdc.gov/nchs/data/dvs/DEATH11-03final-acc.pdfhttp://www.cdc.gov/nchs/data/dvs/DEATH11-03final-acc.pdfhttp://www.cdc.gov/nchs/data/dvs/DEATH11-03final-acc.pdfhttp://www.cdc.gov/nchs/data/dvs/DEATH11-03final-acc.pdfhttp://www.cdc.gov/nchs/data/dvs/DEATH11-03final-acc.pdfhttp://www.cdc.gov/nchs/data/dvs/DEATH11-03final-acc.pdfhttp://www.cdc.gov/nchs/data/dvs/DEATH11-03final-acc.pdfhttp://www.cdc.gov/nchs/data/dvs/DEATH11-03final-acc.pdfhttp://www.cdc.gov/nchs/data/dvs/DEATH11-03final-acc.pdfhttp://www.cdc.gov/nchs/data/dvs/DEATH11-03final-acc.pdfhttp://www.cdc.gov/nchs/data/dvs/DEATH11-03final-acc.pdfhttp://www.cdc.gov/nchs/data/dvs/DEATH11-03final-acc.pdfhttp://www.cdc.gov/nchs/data/dvs/DEATH11-03final-acc.pdfhttp://www.cdc.gov/nchs/data/dvs/DEATH11-03final-acc.pdfhttp://www.cdc.gov/nchs/data/dvs/DEATH11-03final-acc.pdfhttp://www.cdc.gov/nchs/data/dvs/DEATH11-03final-acc.pdfhttp://www.cdc.gov/nchs/data/dvs/DEATH11-03final-acc.pdfhttp://www.cdc.gov/nchs/data/dvs/DEATH11-03final-acc.pdfhttp://www.cdc.gov/nchs/data/dvs/DEATH11-03final-acc.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr53/nvsr53_05.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr54/nvsr54_13.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_08.pdf


6/50

6 NationalVitalStatisticsReports,Vol.54,No.19,June28,200611. National Center for Health Statistics. Reportof the panel to evaluate

the U.S. Standard Certificates. 2000. Available from: http://www.cdc.gov/nchs/data/dvs/panelreport_acc.pdf.

12. Office of Management and Budget. Race and ethnic standards forfederal statistics and administrative reporting. Statistical Policy Directive15.1977.

13. U.S. Census Bureau.Age, sex, race and Hispanic origin informationfrom the 1990 census: A comparison of census results with resultswhereageandracehavebeenmodified,1990.CPH-L-74Washington,DC.U.S.DepartmentofCommerce.1991.

14. IngramDD,WeedJ,ParkerJ,HamiltonB,SchenkerN,etal.UnitedStatescensus2000populationwithbridged racecategories.NationalCenter forHealthStatistics.VitalHealthStat2(135).2003.

15. Schenker N, Parker JD. From single-race reporting to multiple-racereporting:Using imputationmethodstobridgethetransition.StatMed22157187.2003.

16. OfficeofManagementandBudget.Revisionstothestandardsfortheclassification of federal data on race and ethnicity. Federal Register62FR5878258790. October 30, 1997. Available from: http://www.whitehouse.gov/omb/fedreg/ombdir15.html.

17. CDC. Update: Influenza activityUnited States, 199899 season.MMWR;vol48no9.Washington:PublicHealthService.1999.

18. CDC. Update: Influenza activityUnited States, 19992000 season.MMWR;vol49no9.Washington:PublicHealthService.2000.

19. Arias E. Quality of race and Hispanic origin reporting on deathcertificates in the United States. Presented at the 2004 NCHS DataUsers Conference. Washington: National Center for Health Statistics.Available from:http://www.cdc.gov/nchs/ppt/duc2004/arias.pps.2004.

20. RosenbergHM,MaurerJD,SorliePD,etal.Qualityofdeathratesbyrace and Hispanic origin: A summary of current research, 1999.NationalCenter forHealthStatistics.VitalHealthStat2(128).1999.

21. SorliePD,RogotE,JohnsonNJ.Validityofdemographiccharacteristicson thedeathcertificate.Epidemiology3(2):1814.1992.

22. AriasE.UnitedStateslifetables,2002.Nationalvitalstatisticsreports;vol 53 no 6. Hyattsville, MD: National Center for Health Statistics.2004.

23. National Center for Health Statistics. Vital statistics of the UnitedStates,1993,vol II,mortality,partA.Hyattsville,MD.2002.

24. MacDormanMF,MartinJA,MathewsTJ,etal.Explainingthe200102infant mortality increase: Data from the linked birth/infant death dataset. National vital statistics reports; vol 53 no 12. Hyattsville, MD:NationalCenter forHealthStatistics.2005.

25. Mathews TJ, Menacker F, MacDorman MF. Infant mortality statisticsfrom the 2002 period linked birth/infant death data set. National vitalstatistics reports; vol 53 no 10. Hyattsville, MD: National Center forHealthStatistics.2004.

26. Shapiro-MendozaC,TomashekK,AndersonR.Recentnationaltrendsin sudden, unexpected infant deaths: more evidence supporting achange inclassificationorreporting.AmJEpidemiol.Forthcoming.

27. NationalCenterforHealthStatistics.Technicalappendix.Vitalstatisticsof the United States: Mortality, 1999. Available from: http://www.cdc.gov/nchs/datawh/statab/pubd/ta.htm.

28. National Center for Health Statistics. Vital statistics, instructions forclassifying the underlying cause of death. NCHS instruction manual,part2a.Hyattsville,MD:PublicHealthService.Publishedannually.

29. World Health Organization. International Statistical Classification ofDiseases and Related Health Problems, Tenth Revision. Geneva:WorldHealthOrganization.1992.

30. World Health Organization. Manual of the International StatisticalClassification of Diseases, Injuries, and Causes of Death, NinthRevision.Geneva:WorldHealthOrganization.1977.

31. NationalCenter forHealthStatistics.ComparabilityofCauseofdeathbetween ICD revisions. Available from: http://www.cdc.gov/nchs/datawh/statab/unpubd/comp.htm#A%20guide%20to%20state%20implementation%20of%20ICD-10.

32. AndersonRN,MinioAM,HoyertDL,RosenbergHM.Comparabilityofcause of death between ICD9 and ICD10: Preliminary estimates.Nationalvitalstatistics reports; vol 49 no 2.Hyattsville, MD: NationalCenter forHealthStatistics.2001.

33. National Center for Health Statistics. ICD-10 Cause-of-death lists fortabulatingmortalitystatistics,updatedOctober2002.NCHSinstructionmanual,part9.Hyattsville,MD:PublicHealthService.2002.Availablefrom:http://www.cdc.gov/nchs/about/major/dvs/im.htm.

34. HeronMP,SmithBL.Deaths:Leadingcauses for2003.Nationalvitalstatisticsreports.Hyattsville,MD:NationalCenterforHealthStatistics.Forthcoming.

35. Hamilton BE, Martin JA, Ventura S, Sutton P, Menacker F. Births:Preliminarydatafor2004.Nationalvitalstatisticsreports;vol54no8.Hyattsville,MD:NationalCenter forHealthStatistics.2005.

36. MathewsTJ,MacDormanMF. Infantmortalitystatistics from the2003periodlinkedbirth/infantdeathdataset.Nationalvitalstatisticsreports;vol 54 no 16. Hyattsville, MD: National Center for Health Statistics.2006.

37. SirkenMG. Comparisonof two methods of constructing abridged lifetables by reference to a standard table. National Center for HealthStatistics.VitalHealthStat2(4).1966.

38. AndersonRN.Methodology forconstructingcompleteannualU.S. lifetables. National Center for Health Statistics. Vital Health Stat 2(129).1999.

39. National Center for Health Statistics. U.S. decennial life tables for198991,vol1no2,methodologyofthenationalandstatelifetables.Hyattsville,MD.1998.

40. KestenbaumB.AdescriptionoftheextremeagedpopulationbasedonimprovedMedicareenrollmentdata.Demography29:56580.1992.

41. National Center for Health Statistics. Bridged-race vintage 2003postcensalestimatesoftheresidentpopulationoftheUnitedStatesasof July 1, 2003, by age, sex, race, and Hispanic origin(pcen_v2003.txt). Prepared under a collaborative agreement with theU.S. Census Bureau. 2004. Available from: http://www.cdc.gov/nchs/about/major/dvs/popbridge/popbridge.htm.

42. National Center for Health Statistics. Bridged-race vintage 2004postcensal population estimates of the resident population of theUnited States for July 1, 2000July 1, 2004, by year, county,single-year of age, bridged-race, Hispanic origin, and sex(pcen_v2004.txt). Prepared under a collaborative agreement with theU.S. Census Bureau. 2005. Available from: http://www.cdc.gov/nchs/about/major/dvs/popbridge/popbridge.htm.

43. Anderson RN, Rosenberg HM. Age standardization of death rates:Implementation of the year 2000 standard. National vital statisticsreports; vol 47 no 3. Hyattsville, MD: National Center for HealthStatistics.1998.

ListofDetailedTables1. Deaths and death rates by age, sex, and race and Hispanic

origin, and age-adjusted death rates, by sex and race andHispanic origin: United States, final 2003 and preliminary2004 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

2. Deaths, death rates, and age-adjusted death rates for 113selected causes, Injury by firearms, Drug-induced deaths,Alcohol-induced deaths, and Injury at work: United States, final2003 and preliminary 2004 . . . . . . . . . . . . . . . . . . . . . . . . . 16
http://www.cdc.gov/nchs/data/dvs/panelreport_acc.pdfhttp://www.cdc.gov/nchs/data/dvs/panelreport_acc.pdfhttp://www.cdc.gov/nchs/data/dvs/panelreport_acc.pdfhttp://www.cdc.gov/nchs/data/dvs/panelreport_acc.pdfhttp://www.cdc.gov/nchs/data/dvs/panelreport_acc.pdfhttp://www.cdc.gov/nchs/data/dvs/panelreport_acc.pdfhttp://www.cdc.gov/nchs/data/dvs/panelreport_acc.pdfhttp://www.cdc.gov/nchs/data/dvs/panelreport_acc.pdfhttp://www.cdc.gov/nchs/data/dvs/panelreport_acc.pdfhttp://www.cdc.gov/nchs/data/dvs/panelreport_acc.pdfhttp://www.cdc.gov/nchs/data/dvs/panelreport_acc.pdfhttp://www.cdc.gov/nchs/data/dvs/panelreport_acc.pdfhttp://www.cdc.gov/nchs/data/dvs/panelreport_acc.pdfhttp://www.cdc.gov/nchs/data/dvs/panelreport_acc.pdfhttp://www.cdc.gov/nchs/data/dvs/panelreport_acc.pdfhttp://www.cdc.gov/nchs/data/dvs/panelreport_acc.pdfhttp://www.cdc.gov/nchs/data/dvs/panelreport_acc.pdfhttp://www.cdc.gov/nchs/data/dvs/panelreport_acc.pdfhttp://www.cdc.gov/nchs/data/dvs/panelreport_acc.pdfhttp://www.cdc.gov/nchs/data/dvs/panelreport_acc.pdfhttp://www.cdc.gov/nchs/data/dvs/panelreport_acc.pdfhttp://www.cdc.gov/nchs/data/dvs/panelreport_acc.pdfhttp://www.cdc.gov/nchs/data/dvs/panelreport_acc.pdfhttp://www.cdc.gov/nchs/data/dvs/panelreport_acc.pdfhttp://www.cdc.gov/nchs/data/dvs/panelreport_acc.pdfhttp://www.cdc.gov/nchs/data/dvs/panelreport_acc.pdfhttp://www.cdc.gov/nchs/data/dvs/panelreport_acc.pdfhttp://www.cdc.gov/nchs/data/dvs/panelreport_acc.pdfhttp://www.cdc.gov/nchs/data/dvs/panelreport_acc.pdfhttp://www.cdc.gov/nchs/data/dvs/panelreport_acc.pdfhttp://www.cdc.gov/nchs/data/dvs/panelreport_acc.pdfhttp://www.cdc.gov/nchs/data/dvs/panelreport_acc.pdfhttp://www.cdc.gov/nchs/data/dvs/panelreport_acc.pdfhttp://www.cdc.gov/nchs/data/dvs/panelreport_acc.pdfhttp://www.cdc.gov/nchs/data/dvs/panelreport_acc.pdfhttp://www.cdc.gov/nchs/data/dvs/panelreport_acc.pdfhttp://www.cdc.gov/nchs/data/dvs/panelreport_acc.pdfhttp://www.cdc.gov/nchs/data/dvs/panelreport_acc.pdfhttp://www.cdc.gov/nchs/data/dvs/panelreport_acc.pdfhttp://www.cdc.gov/nchs/data/dvs/panelreport_acc.pdfhttp://www.cdc.gov/nchs/data/dvs/panelreport_acc.pdfhttp://www.cdc.gov/nchs/data/dvs/panelreport_acc.pdfhttp://www.whitehouse.gov/omb/fedreg/ombdir15.htmlhttp://www.whitehouse.gov/omb/fedreg/ombdir15.htmlhttp://www.whitehouse.gov/omb/fedreg/ombdir15.htmlhttp://www.whitehouse.gov/omb/fedreg/ombdir15.htmlhttp://www.whitehouse.gov/omb/fedreg/ombdir15.htmlhttp://www.whitehouse.gov/omb/fedreg/ombdir15.htmlhttp://www.whitehouse.gov/omb/fedreg/ombdir15.htmlhttp://www.whitehouse.gov/omb/fedreg/ombdir15.htmlhttp://www.whitehouse.gov/omb/fedreg/ombdir15.htmlhttp://www.whitehouse.gov/omb/fedreg/ombdir15.htmlhttp://www.whitehouse.gov/omb/fedreg/ombdir15.htmlhttp://www.whitehouse.gov/omb/fedreg/ombdir15.htmlhttp://www.whitehouse.gov/omb/fedreg/ombdir15.htmlhttp://www.whitehouse.gov/omb/fedreg/ombdir15.htmlhttp://www.whitehouse.gov/omb/fedreg/ombdir15.htmlhttp://www.whitehouse.gov/omb/fedreg/ombdir15.htmlhttp://www.whitehouse.gov/omb/fedreg/ombdir15.htmlhttp://www.whitehouse.gov/omb/fedreg/ombdir15.htmlhttp://www.whitehouse.gov/omb/fedreg/ombdir15.htmlhttp://www.whitehouse.gov/omb/fedreg/ombdir15.htmlhttp://www.whitehouse.gov/omb/fedreg/ombdir15.htmlhttp://www.whitehouse.gov/omb/fedreg/ombdir15.htmlhttp://www.whitehouse.gov/omb/fedreg/ombdir15.htmlhttp://www.whitehouse.gov/omb/fedreg/ombdir15.htmlhttp://www.whitehouse.gov/omb/fedreg/ombdir15.htmlhttp://www.whitehouse.gov/omb/fedreg/ombdir15.htmlhttp://www.whitehouse.gov/omb/fedreg/ombdir15.htmlhttp://www.whitehouse.gov/omb/fedreg/ombdir15.htmlhttp://www.whitehouse.gov/omb/fedreg/ombdir15.htmlhttp://www.whitehouse.gov/omb/fedreg/ombdir15.htmlhttp://www.whitehouse.gov/omb/fedreg/ombdir15.htmlhttp://www.whitehouse.gov/omb/fedreg/ombdir15.htmlhttp://www.whitehouse.gov/omb/fedreg/ombdir15.htmlhttp://www.whitehouse.gov/omb/fedreg/ombdir15.htmlhttp://www.whitehouse.gov/omb/fedreg/ombdir15.htmlhttp://www.whitehouse.gov/omb/fedreg/ombdir15.htmlhttp://www.whitehouse.gov/omb/fedreg/ombdir15.htmlhttp://www.whitehouse.gov/omb/fedreg/ombdir15.htmlhttp://www.whitehouse.gov/omb/fedreg/ombdir15.htmlhttp://www.whitehouse.gov/omb/fedreg/ombdir15.htmlhttp://www.whitehouse.gov/omb/fedreg/ombdir15.htmlhttp://www.whitehouse.gov/omb/fedreg/ombdir15.htmlhttp://www.whitehouse.gov/omb/fedreg/ombdir15.htmlhttp://www.whitehouse.gov/omb/fedreg/ombdir15.htmlhttp://www.whitehouse.gov/omb/fedreg/ombdir15.htmlhttp://www.whitehouse.gov/omb/fedreg/ombdir15.htmlhttp://www.whitehouse.gov/omb/fedreg/ombdir15.htmlhttp://www.whitehouse.gov/omb/fedreg/ombdir15.htmlhttp://www.whitehouse.gov/omb/fedreg/ombdir15.htmlhttp://www.whitehouse.gov/omb/fedreg/ombdir15.htmlhttp://www.whitehouse.gov/omb/fedreg/ombdir15.htmlhttp://www.whitehouse.gov/omb/fedreg/ombdir15.htmlhttp://www.cdc.gov/nchs/ppt/duc2004/arias.ppshttp://www.cdc.gov/nchs/ppt/duc2004/arias.ppshttp://www.cdc.gov/nchs/ppt/duc2004/arias.ppshttp://www.cdc.gov/nchs/ppt/duc2004/arias.ppshttp://www.cdc.gov/nchs/ppt/duc2004/arias.ppshttp://www.cdc.gov/nchs/ppt/duc2004/arias.ppshttp://www.cdc.gov/nchs/ppt/duc2004/arias.ppshttp://www.cdc.gov/nchs/ppt/duc2004/arias.ppshttp://www.cdc.gov/nchs/ppt/duc2004/arias.ppshttp://www.cdc.gov/nchs/ppt/duc2004/arias.ppshttp://www.cdc.gov/nchs/ppt/duc2004/arias.ppshttp://www.cdc.gov/nchs/ppt/duc2004/arias.ppshttp://www.cdc.gov/nchs/ppt/duc2004/arias.ppshttp://www.cdc.gov/nchs/ppt/duc2004/arias.ppshttp://www.cdc.gov/nchs/ppt/duc2004/arias.ppshttp://www.cdc.gov/nchs/ppt/duc2004/arias.ppshttp://www.cdc.gov/nchs/ppt/duc2004/arias.ppshttp://www.cdc.gov/nchs/ppt/duc2004/arias.ppshttp://www.cdc.gov/nchs/ppt/duc2004/arias.ppshttp://www.cdc.gov/nchs/ppt/duc2004/arias.ppshttp://www.cdc.gov/nchs/ppt/duc2004/arias.ppshttp://www.cdc.gov/nchs/ppt/duc2004/arias.ppshttp://www.cdc.gov/nchs/ppt/duc2004/arias.ppshttp://www.cdc.gov/nchs/ppt/duc2004/arias.ppshttp://www.cdc.gov/nchs/ppt/duc2004/arias.ppshttp://www.cdc.gov/nchs/ppt/duc2004/arias.ppshttp://www.cdc.gov/nchs/ppt/duc2004/arias.ppshttp://www.cdc.gov/nchs/ppt/duc2004/arias.ppshttp://www.cdc.gov/nchs/ppt/duc2004/arias.ppshttp://www.cdc.gov/nchs/ppt/duc2004/arias.ppshttp://www.cdc.gov/nchs/ppt/duc2004/arias.ppshttp://www.cdc.gov/nchs/ppt/duc2004/arias.ppshttp://www.cdc.gov/nchs/ppt/duc2004/arias.ppshttp://www.cdc.gov/nchs/ppt/duc2004/arias.ppshttp://www.cdc.gov/nchs/ppt/duc2004/arias.ppshttp://www.cdc.gov/nchs/ppt/duc2004/arias.ppshttp://www.cdc.gov/nchs/ppt/duc2004/arias.ppshttp://www.cdc.gov/nchs/ppt/duc2004/arias.ppshttp://www.cdc.gov/nchs/ppt/duc2004/arias.ppshttp://www.cdc.gov/nchs/ppt/duc2004/arias.ppshttp://www.cdc.gov/nchs/ppt/duc2004/arias.ppshttp://www.cdc.gov/nchs/ppt/duc2004/arias.ppshttp://www.cdc.gov/nchs/ppt/duc2004/arias.ppshttp://www.cdc.gov/nchs/ppt/duc2004/arias.ppshttp://www.cdc.gov/nchs/ppt/duc2004/arias.ppshttp://www.cdc.gov/nchs/ppt/duc2004/arias.ppshttp://www.cdc.gov/nchs/ppt/duc2004/arias.ppshttp://www.cdc.gov/nchs/ppt/duc2004/arias.ppshttp://www.cdc.gov/nchs/ppt/duc2004/arias.ppshttp://www.cdc.gov/nchs/ppt/duc2004/arias.ppshttp://www.cdc.gov/nchs/ppt/duc2004/arias.ppshttp://www.cdc.gov/nchs/ppt/duc2004/arias.ppshttp://www.cdc.gov/nchs/datawh/statab/pubd/ta.htmhttp://www.cdc.gov/nchs/datawh/statab/pubd/ta.htmhttp://www.cdc.gov/nchs/datawh/statab/pubd/ta.htmhttp://www.cdc.gov/nchs/datawh/statab/pubd/ta.htmhttp://www.cdc.gov/nchs/datawh/statab/pubd/ta.htmhttp://www.cdc.gov/nchs/datawh/statab/pubd/ta.htmhttp://www.cdc.gov/nchs/datawh/statab/pubd/ta.htmhttp://www.cdc.gov/nchs/datawh/statab/pubd/ta.htmhttp://www.cdc.gov/nchs/datawh/statab/pubd/ta.htmhttp://www.cdc.gov/nchs/datawh/statab/pubd/ta.htmhttp://www.cdc.gov/nchs/datawh/statab/pubd/ta.htmhttp://www.cdc.gov/nchs/datawh/statab/pubd/ta.htmhttp://www.cdc.gov/nchs/datawh/statab/pubd/ta.htmhttp://www.cdc.gov/nchs/datawh/statab/pubd/ta.htmhttp://www.cdc.gov/nchs/datawh/statab/pubd/ta.htmhttp://www.cdc.gov/nchs/datawh/statab/pubd/ta.htmhttp://www.cdc.gov/nchs/datawh/statab/pubd/ta.htmhttp://www.cdc.gov/nchs/datawh/statab/pubd/ta.htmhttp://www.cdc.gov/nchs/datawh/statab/pubd/ta.htmhttp://www.cdc.gov/nchs/datawh/statab/pubd/ta.htmhttp://www.cdc.gov/nchs/datawh/statab/pubd/ta.htmhttp://www.cdc.gov/nchs/datawh/statab/pubd/ta.htmhttp://www.cdc.gov/nchs/datawh/statab/pubd/ta.htmhttp://www.cdc.gov/nchs/datawh/statab/pubd/ta.htmhttp://www.cdc.gov/nchs/datawh/statab/pubd/ta.htmhttp://www.cdc.gov/nchs/datawh/statab/pubd/ta.htmhttp://www.cdc.gov/nchs/datawh/statab/pubd/ta.htmhttp://www.cdc.gov/nchs/datawh/statab/pubd/ta.htmhttp://www.cdc.gov/nchs/datawh/statab/pubd/ta.htmhttp://www.cdc.gov/nchs/datawh/statab/pubd/ta.htmhttp://www.cdc.gov/nchs/datawh/statab/pubd/ta.htmhttp://www.cdc.gov/nchs/datawh/statab/pubd/ta.htmhttp://www.cdc.gov/nchs/datawh/statab/pubd/ta.htmhttp://www.cdc.gov/nchs/datawh/statab/pubd/ta.htmhttp://www.cdc.gov/nchs/datawh/statab/pubd/ta.htmhttp://www.cdc.gov/nchs/datawh/statab/pubd/ta.htmhttp://www.cdc.gov/nchs/datawh/statab/pubd/ta.htmhttp://www.cdc.gov/nchs/datawh/statab/pubd/ta.htmhttp://www.cdc.gov/nchs/datawh/statab/pubd/ta.htmhttp://www.cdc.gov/nchs/datawh/statab/pubd/ta.htmhttp://www.cdc.gov/nchs/datawh/statab/pubd/ta.htmhttp://www.cdc.gov/nchs/datawh/statab/unpubd/comp.htm#A%20guide%20to%20state%20implementation%20of%20ICD-10http://www.cdc.gov/nchs/datawh/statab/unpubd/comp.htm#A%20guide%20to%20state%20implementation%20of%20ICD-10http://www.cdc.gov/nchs/datawh/statab/unpubd/comp.htm#A%20guide%20to%20state%20implementation%20of%20ICD-10http://www.cdc.gov/nchs/datawh/statab/unpubd/comp.htm#A%20guide%20to%20state%20implementation%20of%20ICD-10http://www.cdc.gov/nchs/datawh/statab/unpubd/comp.htm#A%20guide%20to%20state%20implementation%20of%20ICD-10http://www.cdc.gov/nchs/datawh/statab/unpubd/comp.htm#A%20guide%20to%20state%20implementation%20of%20ICD-10http://www.cdc.gov/nchs/datawh/statab/unpubd/comp.htm#A%20guide%20to%20state%20implementation%20of%20ICD-10http://www.cdc.gov/nchs/datawh/statab/unpubd/comp.htm#A%20guide%20to%20state%20implementation%20of%20ICD-10http://www.cdc.gov/nchs/datawh/statab/unpubd/comp.htm#A%20guide%20to%20state%20implementation%20of%20ICD-10http://www.cdc.gov/nchs/datawh/statab/unpubd/comp.htm#A%20guide%20to%20state%20implementation%20of%20ICD-10http://www.cdc.gov/nchs/datawh/statab/unpubd/comp.htm#A%20guide%20to%20state%20implementation%20of%20ICD-10http://www.cdc.gov/nchs/datawh/statab/unpubd/comp.htm#A%20guide%20to%20state%20implementation%20of%20ICD-10http://www.cdc.gov/nchs/datawh/statab/unpubd/comp.htm#A%20guide%20to%20state%20implementation%20of%20ICD-10http://www.cdc.gov/nchs/datawh/statab/unpubd/comp.htm#A%20guide%20to%20state%20implementation%20of%20ICD-10http://www.cdc.gov/nchs/datawh/statab/unpubd/comp.htm#A%20guide%20to%20state%20implementation%20of%20ICD-10http://www.cdc.gov/nchs/datawh/statab/unpubd/comp.htm#A%20guide%20to%20state%20implementation%20of%20ICD-10http://www.cdc.gov/nchs/datawh/statab/unpubd/comp.htm#A%20guide%20to%20state%20implementation%20of%20ICD-10http://www.cdc.gov/nchs/datawh/statab/unpubd/comp.htm#A%20guide%20to%20state%20implementation%20of%20ICD-10http://www.cdc.gov/nchs/datawh/statab/unpubd/comp.htm#A%20guide%20to%20state%20implementation%20of%20ICD-10http://www.cdc.gov/nchs/datawh/statab/unpubd/comp.htm#A%20guide%20to%20state%20implementation%20of%20ICD-10http://www.cdc.gov/nchs/datawh/statab/unpubd/comp.htm#A%20guide%20to%20state%20implementation%20of%20ICD-10http://www.cdc.gov/nchs/datawh/statab/unpubd/comp.htm#A%20guide%20to%20state%20implementation%20of%20ICD-10http://www.cdc.gov/nchs/datawh/statab/unpubd/comp.htm#A%20guide%20to%20state%20implementation%20of%20ICD-10http://www.cdc.gov/nchs/datawh/statab/unpubd/comp.htm#A%20guide%20to%20state%20implementation%20of%20ICD-10http://www.cdc.gov/nchs/datawh/statab/unpubd/comp.htm#A%20guide%20to%20state%20implementation%20of%20ICD-10http://www.cdc.gov/nchs/datawh/statab/unpubd/comp.htm#A%20guide%20to%20state%20implementation%20of%20ICD-10http://www.cdc.gov/nchs/datawh/statab/unpubd/comp.htm#A%20guide%20to%20state%20implementation%20of%20ICD-10http://www.cdc.gov/nchs/datawh/statab/unpubd/comp.htm#A%20guide%20to%20state%20implementation%20of%20ICD-10http://www.cdc.gov/nchs/datawh/statab/unpubd/comp.htm#A%20guide%20to%20state%20implementation%20of%20ICD-10http://www.cdc.gov/nchs/datawh/statab/unpubd/comp.htm#A%20guide%20to%20state%20implementation%20of%20ICD-10http://www.cdc.gov/nchs/datawh/statab/unpubd/comp.htm#A%20guide%20to%20state%20implementation%20of%20ICD-10http://www.cdc.gov/nchs/datawh/statab/unpubd/comp.htm#A%20guide%20to%20state%20implementation%20of%20ICD-10http://www.cdc.gov/nchs/datawh/statab/unpubd/comp.htm#A%20guide%20to%20state%20implementation%20of%20ICD-10http://www.cdc.gov/nchs/datawh/statab/unpubd/comp.htm#A%20guide%20to%20state%20implementation%20of%20ICD-10http://www.cdc.gov/nchs/datawh/statab/unpubd/comp.htm#A%20guide%20to%20state%20implementation%20of%20ICD-10http://www.cdc.gov/nchs/datawh/statab/unpubd/comp.htm#A%20guide%20to%20state%20implementation%20of%20ICD-10http://www.cdc.gov/nchs/datawh/statab/unpubd/comp.htm#A%20guide%20to%20state%20implementation%20of%20ICD-10http://www.cdc.gov/nchs/datawh/statab/unpubd/comp.htm#A%20guide%20to%20state%20implementation%20of%20ICD-10http://www.cdc.gov/nchs/datawh/statab/unpubd/comp.htm#A%20guide%20to%20state%20implementation%20of%20ICD-10http://www.cdc.gov/nchs/about/major/dvs/im.htmhttp://www.cdc.gov/nchs/about/major/dvs/im.htmhttp://www.cdc.gov/nchs/about/major/dvs/im.htmhttp://www.cdc.gov/nchs/about/major/dvs/im.htmhttp://www.cdc.gov/nchs/about/major/dvs/im.htmhttp://www.cdc.gov/nchs/about/major/dvs/im.htmhttp://www.cdc.gov/nchs/about/major/dvs/im.htmhttp://www.cdc.gov/nchs/about/major/dvs/im.htmhttp://www.cdc.gov/nchs/about/major/dvs/im.htmhttp://www.cdc.gov/nchs/about/major/dvs/im.htmhttp://www.cdc.gov/nchs/about/major/dvs/im.htmhttp://www.cdc.gov/nchs/about/major/dvs/im.htmhttp://www.cdc.gov/nchs/about/major/dvs/im.htmhttp://www.cdc.gov/nchs/about/major/dvs/im.htmhttp://www.cdc.gov/nchs/about/major/dvs/im.htmhttp://www.cdc.gov/nchs/about/major/dvs/im.htmhttp://www.cdc.gov/nchs/about/major/dvs/im.htmhttp://www.cdc.gov/nchs/about/major/dvs/im.htmhttp://www.cdc.gov/nchs/about/major/dvs/im.htmhttp://www.cdc.gov/nchs/about/major/dvs/im.htmhttp://www.cdc.gov/nchs/about/major/dvs/im.htmhttp://www.cdc.gov/nchs/about/major/dvs/im.htmhttp://www.cdc.gov/nchs/about/major/dvs/im.htmhttp://www.cdc.gov/nchs/about/major/dvs/im.htmhttp://www.cdc.gov/nchs/about/major/dvs/im.htmhttp://www.cdc.gov/nchs/about/major/dvs/im.htmhttp://www.cdc.gov/nchs/about/major/dvs/im.htmhttp://www.cdc.gov/nchs/about/major/dvs/im.htmhttp://www.cdc.gov/nchs/about/major/dvs/im.htmhttp://www.cdc.gov/nchs/about/major/dvs/im.htmhttp://www.cdc.gov/nchs/about/major/dvs/im.htmhttp://www.cdc.gov/nchs/about/major/dvs/im.htmhttp://www.cdc.gov/nchs/about/major/dvs/im.htmhttp://www.cdc.gov/nchs/about/major/dvs/im.htmhttp://www.cdc.gov/nchs/about/major/dvs/im.htmhttp://www.cdc.gov/nchs/about/major/dvs/im.htmhttp://www.cdc.gov/nchs/about/major/dvs/im.htmhttp://www.cdc.gov/nchs/about/major/dvs/im.htmhttp://www.cdc.gov/nchs/about/major/dvs/im.htmhttp://www.cdc.gov/nchs/about/major/dvs/im.htmhttp://www.cdc.gov/nchs/about/major/dvs/im.htmhttp://www.cdc.gov/nchs/about/major/dvs/im.htmhttp://www.cdc.gov/nchs/about/major/dvs/im.htmhttp://www.cdc.gov/nchs/about/major/dvs/im.htmhttp://www.cdc.gov/nchs/about/major/dvs/im.htmhttp://www.cdc.gov/nchs/about/major/dvs/im.htmhttp://www.cdc.gov/nchs/about/major/dvs/im.htmhttp://www.cdc.gov/nchs/about/major/dvs/im.htmhttp://www.cdc.gov/nchs/about/major/dvs/im.htmhttp://www.cdc.gov/nchs/about/major/dvs/im.htmhttp://www.cdc.gov/nchs/about/major/dvs/im.htmhttp://www.cdc.gov/nchs/about/major/dvs/im.htmhttp://www.cdc.gov/nchs/about/major/dvs/im.htmhttp://www.cdc.gov/nchs/about/major/dvs/im.htmhttp://www.cdc.gov/nchs/about/major/dvs/im.htmhttp://www.cdc.gov/nchs/about/major/dvs/im.htmhttp://www.cdc.gov/nchs/about/major/dvs/im.htmhttp://www.cdc.gov/nchs/about/major/dvs/popbridge/popbridge.htmhttp://www.cdc.gov/nchs/about/major/dvs/popbridge/popbridge.htmhttp://www.cdc.gov/nchs/about/major/dvs/popbridge/popbridge.htmhttp://www.cdc.gov/nchs/about/major/dvs/popbridge/popbridge.htmhttp://www.cdc.gov/nchs/about/major/dvs/popbridge/popbridge.htmhttp://www.cdc.gov/nchs/about/major/dvs/popbridge/popbridge.htmhttp://www.cdc.gov/nchs/about/major/dvs/popbridge/popbridge.htmhttp://www.cdc.gov/nchs/about/major/dvs/popbridge/popbridge.htmhttp://www.cdc.gov/nchs/about/major/dvs/popbridge/popbridge.htmhttp://www.cdc.gov/nchs/about/major/dvs/popbridge/popbridge.htmhttp://www.cdc.gov/nchs/about/major/dvs/popbridge/popbridge.htmhttp://www.cdc.gov/nchs/about/major/dvs/popbridge/popbridge.htmhttp://www.cdc.gov/nchs/about/major/dvs/popbridge/popbridge.htmhttp://www.cdc.gov/nchs/about/major/dvs/popbridge/popbridge.htmhttp://www.cdc.gov/nchs/about/major/dvs/popbridge/popbridge.htmhttp://www.cdc.gov/nchs/about/major/dvs/popbridge/popbridge.htmhttp://www.cdc.gov/nchs/about/major/dvs/popbridge/popbridge.htmhttp://www.cdc.gov/nchs/about/major/dvs/popbridge/popbridge.htmhttp://www.cdc.gov/nchs/about/major/dvs/popbridge/popbridge.htmhttp://www.cdc.gov/nchs/about/major/dvs/popbridge/popbridge.htmhttp://www.cdc.gov/nchs/about/major/dvs/popbridge/popbridge.htmhttp://www.cdc.gov/nchs/about/major/dvs/popbridge/popbridge.htmhttp://www.cdc.gov/nchs/about/major/dvs/popbridge/popbridge.htmhttp://www.cdc.gov/nchs/about/major/dvs/popbridge/popbridge.htmhttp://www.cdc.gov/nchs/about/major/dvs/popbridge/popbridge.htmhttp://www.cdc.gov/nchs/about/major/dvs/popbridge/popbridge.htmhttp://www.cdc.gov/nchs/about/major/dvs/popbridge/popbridge.htmhttp://www.cdc.gov/nchs/about/major/dvs/popbridge/popbridge.htmhttp://www.cdc.gov/nchs/about/major/dvs/popbridge/popbridge.htmhttp://www.cdc.gov/nchs/about/major/dvs/popbridge/popbridge.htmhttp://www.cdc.gov/nchs/about/major/dvs/popbridge/popbridge.htmhttp://www.cdc.gov/nchs/about/major/dvs/popbridge/popbridge.htmhttp://www.cdc.gov/nchs/about/major/dvs/popbridge/popbridge.htmhttp://www.cdc.gov/nchs/about/major/dvs/popbridge/popbridge.htmhttp://www.cdc.gov/nchs/about/major/dvs/popbridge/popbridge.htmhttp://www.cdc.gov/nchs/about/major/dvs/popbridge/popbridge.htmhttp://www.cdc.gov/nchs/about/major/dvs/popbridge/popbridge.htmhttp://www.cdc.gov/nchs/about/major/dvs/popbridge/popbridge.htmhttp://www.cdc.gov/nchs/about/major/dvs/popbridge/popbridge.htmhttp://www.cdc.gov/nchs/about/major/dvs/popbridge/popbridge.htmhttp://www.cdc.gov/nchs/about/major/dvs/popbridge/popbridge.htmhttp://www.cdc.gov/nchs/about/major/dvs/popbridge/popbridge.htmhttp://www.cdc.gov/nchs/about/major/dvs/popbridge/popbridge.htmhttp://www.cdc.gov/nchs/about/major/dvs/popbridge/popbridge.htmhttp://www.cdc.gov/nchs/about/major/dvs/popbridge/popbridge.htmhttp://www.cdc.gov/nchs/about/major/dvs/popbridge/popbridge.htmhttp://www.cdc.gov/nchs/about/major/dvs/popbridge/popbridge.htmhttp://www.cdc.gov/nchs/about/major/dvs/popbridge/popbridge.htmhttp://www.cdc.gov/nchs/about/major/dvs/popbridge/popbridge.htmhttp://www.cdc.gov/nchs/about/major/dvs/popbridge/popbridge.htmhttp://www.cdc.gov/nchs/datawh/statab/pubd/ta.htmhttp://www.cdc.gov/nchs/about/major/dvs/popbridge/popbridge.htmhttp://www.cdc.gov/nchs/about/major/dvs/popbridge/popbridge.htmhttp://www.cdc.gov/nchs/ppt/duc2004/arias.ppshttp://www.whitehouse.gov/omb/fedreg/ombdir15.htmlhttp://www.cdc.gov/nchs/about/major/dvs/im.htmhttp://www.cdc.gov/nchs/datawh/statab/unpubd/comp.htm#A%20guide%20to%20state%20implementation%20of%20ICD-10http://www.cdc.gov/nchs/data/dvs/panelreport_acc.pdf


7/50

7NationalVitalStatisticsReports,Vol.54,No.19,June28,20063. Deaths,deathrates,andage-adjusteddeathrates:UnitedStates,

andeachstateand territory, final2003andpreliminary2004 .. 204. Infant deaths and infant mortality rates, by age and race and

Hispanic origin: United States, final 2003 and preliminary2004 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

5. Infantdeathsand infantmortality rates for130selectedcauses:UnitedStates, final2003andpreliminary2004 . . . . . . . . . . . 22

6. Expectationoflifebyage,race,andsex:UnitedStates,final2003and preliminary 2004 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26 7. Deaths and death rates for the 10 leading causes of death inspecifiedagegroups:UnitedStates,preliminary2004 . . . . . . . 28

8. Infantdeathsand infantmortalityratesforthe10 leadingcausesof infant death, by race and Hispanic origin: United States,preliminary 2004 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31


8/50

8 NationalVitalStatisticsReports,Vol.54,No.19,June28,2006Table1.Deathsanddeathratesbyage,sex,andraceandHispanicorigin,andage-adjusteddeathrates,bysexandraceandHispanicorigin:UnitedStates, final2003andpreliminary2004[Dataarebasedonacontinuous fileofrecords received from thestates.Age-specificratesareper100,000population inspecifiedgroup.Age-adjustedratesareper100,000U.S.standardpopulation;see TechnicalNotes.Thenumberofdeathsanddeath rates forHispanicoriginandspecifiedracesother thanwhiteandblackshouldbeinterpretedwithcautionbecauseof inconsistenciesbetweenreportingHispanicoriginandraceondeathcertificatesandcensusesandsurveys;see TechnicalNotes.Racecategoriesareconsistentwith the1977OfficeofManagementandBudgetguidelines.Figures for2004arebasedonweighteddata rounded to thenearest individual,socategoriesmaynotadd to totals]

2004 2003Age, race,andsex Number Rate Number Rate

All races,bothsexesAllages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,398,343 816.7 2,448,288 841.9Under1year1. . . . . . . . . . . . . . . . . . . . . . . . . . . . 27,838 682.8 28,025 700.014years . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4,801 30.0 4,965 31.5514years . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6,756 16.6 6,954 17.01524years . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33,020 79.2 33,568 81.52534years . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40,244 100.5 41,300 103.63544years . . . . . . . . . . . . . . . . . . . . . . . . . . . . 84,310 191.1 89,461 201.64554years . . . . . . . . . . . . . . . . . . . . . . . . . . . . 176,105 423.1 176,781 433.25564years . . . . . . . . . . . . . . . . . . . . . . . . . . . . 263,413 905.9 262,519 940.96574years . . . . . . . . . . . . . . . . . . . . . . . . . . . . 399,841 2,165.6 413,497 2,255.07584years . . . . . . . . . . . . . . . . . . . . . . . . . . . . 686,293 5,291.0 703,024 5,463.185yearsandover . . . . . . . . . . . . . . . . . . . . . . . . . 675,296 13,896.0 687,852 14,593.3Notstated . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 426 . . . 342 . . . Age-adjustedrate2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . 801.0 ... 832.7

All races,maleAllages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,179,995 816.4 1,201,964 840.3Under1year1. . . . . . . . . . . . . . . . . . . . . . . . . . . . 15,690 752.4 15,902 777.414years . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,635 32.2 2,826 35.1514years . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3,934 18.9 4,150 19.81524years . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24,260 113.2 24,670 116.52534years . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27,904 137.2 28,602 141.43544years . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52,867 239.9 56,435 255.04554years . . . . . . . . . . . . . . . . . . . . . . . . . . . . 110,257 539.1 110,682 552.25564years . . . . . . . . . . . . . . . . . . . . . . . . . . . . 156,968 1,121.2 156,461 1,165.56574years . . . . . . . . . . . . . . . . . . . . . . . . . . . . 223,079 2,647.0 231,421 2,771.77584years . . . . . . . . . . . . . . . . . . . . . . . . . . . . 334,415 6,408.6 342,332 6,641.885yearsandover . . . . . . . . . . . . . . . . . . . . . . . . . 227,684 15,099.7 228,212 15,794.0Notstated . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 302 . . . 271 . . . Age-adjustedrate2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . 955.1 ... 994.3

All races, femaleAllages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,218,348 817.0 1,246,324 843.4Under1year1. . . . . . . . . . . . . . . . . . . . . . . . . . . . 12,149 610.0 12,123 619.114years . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,166 27.7 2,139 27.8514years . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,822 14.2 2,804 14.01524years . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8,760 43.2 8,898 44.42534years . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12,340 62.7 12,698 64.63544years . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31,443 142.4 33,026 148.54554years . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65,847 311.1 66,099 318.45564years . . . . . . . . . . . . . . . . . . . . . . . . . . . . 106,446 705.9 106,058 732.76574years . . . . . . . . . . . . . . . . . . . . . . . . . . . . 176,762 1,761.3 182,076 1,823.07584years . . . . . . . . . . . . . . . . . . . . . . . . . . . . 351,878 4,538.8 360,692 4,675.585yearsandover . . . . . . . . . . . . . . . . . . . . . . . . . 447,612 13,354.5 459,640 14,062.5Notstated . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 124 . . . 71 . . . Age-adjustedrate2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . 680.1 ... 706.2See footnotesatendof table.


9/50

9NationalVitalStatisticsReports,Vol.54,No.19,June28,2006Table1.Deathsanddeathratesbyage,sex,andraceandHispanicorigin,andage-adjusteddeathrates,bysexandraceandHispanicorigin:UnitedStates, final2003andpreliminary2004Con.[Dataarebasedonacontinuous fileofrecords received from thestates.Age-specificratesareper100,000population inspecifiedgroup.Age-adjustedratesareper100,000U.S.standardpopulation;see TechnicalNotes.Thenumberofdeathsanddeath rates forHispanicoriginandspecifiedracesother thanwhiteandblackshouldbeinterpretedwithcautionbecauseof inconsistenciesbetweenreportingHispanicoriginandraceondeathcertificatesandcensusesandsurveys;see TechnicalNotes.Racecategoriesareconsistentwith the1977OfficeofManagementandBudgetguidelines.Figures for2004arebasedonweighteddata rounded to thenearest individual,socategoriesmaynotadd to totals]


Totalwhite3,bothsexesAllages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,059,949 864.6 2,103,714 890.1Under1year1. . . . . . . . . . . . . . . . . . . . . . . . . . . . 18,240 574.3 18,440 591.314years . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3,377 27.1 3,509 28.5514years . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4,851 15.3 5,031 15.81524years . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24,791 75.7 24,976 77.12534years . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28,818 91.5 29,689 94.33544years . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63,259 177.6 66,748 185.74554years . . . . . . . . . . . . . . . . . . . . . . . . . . . . 134,793 391.3 134,512 397.55564years . . . . . . . . . . . . . . . . . . . . . . . . . . . . 213,420 860.4 212,821 892.26574years . . . . . . . . . . . . . . . . . . . . . . . . . . . . 338,816 2,123.9 350,549 2,207.07584years . . . . . . . . . . . . . . . . . . . . . . . . . . . . 612,138 5,294.2 627,452 5,457.885yearsandover . . . . . . . . . . . . . . . . . . . . . . . . . 617,115 14,087.2 629,695 14,792.3Notstated . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 331 . . . 292 . . . Age-adjustedrate2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . 787.4 ... 817.0

White3 maleAllages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,007,294 854.3 1,025,650 877.6Under1year1. . . . . . . . . . . . . . . . . . . . . . . . . . . . 10,313 634.5 10,500 658.714years . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,857 29.1 1,981 31.5514years . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,862 17.6 3,008 18.41524years . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18,112 107.2 18,219 108.92534years . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20,239 124.9 20,814 128.83544years . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40,588 225.6 43,083 237.64554years . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85,682 500.6 85,587 509.25564years . . . . . . . . . . . . . . . . . . . . . . . . . . . . 127,976 1,061.0 127,752 1,102.36574years . . . . . . . . . . . . . . . . . . . . . . . . . . . . 190,519 2,589.4 197,853 2,707.37584years . . . . . . . . . . . . . . . . . . . . . . . . . . . . 300,346 6,406.2 307,050 6,620.685yearsandover . . . . . . . . . . . . . . . . . . . . . . . . . 208,562 15,322.2 209,575 16,037.9Notstated . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 236 . . . 228 . . . Age-adjustedrate2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . 937.4 ... 973.9

White3 femaleAllages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,052,656 874.6 1,078,064 902.3Under1year1. . . . . . . . . . . . . . . . . . . . . . . . . . . . 7,927 511.1 7,940 520.714years . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,520 25.0 1,528 25.5514years . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,989 12.9 2,023 13.11524years . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6,679 42.2 6,757 43.22534years . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8,578 56.1 8,875 58.03544years . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22,671 128.6 23,665 132.94554years . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49,111 283.4 48,925 287.25564years . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85,444 670.6 85,069 693.76574years . . . . . . . . . . . . . . . . . . . . . . . . . . . . 148,296 1,725.4 152,696 1,780.67584years . . . . . . . . . . . . . . . . . . . . . . . . . . . . 311,792 4,535.8 320,402 4,671.685yearsandover . . . . . . . . . . . . . . . . . . . . . . . . . 408,553 13,530.5 420,120 14,240.6Notstated . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 95 . . . 64 . . . Age-adjustedrate2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . 668.6 ... 693.1See footnotesatendof table.


10/50

10 NationalVitalStatisticsReports,Vol.54,No.19,June28,2006Table1.Deathsanddeathratesbyage,sex,andraceandHispanicorigin,andage-adjusteddeathrates,bysexandraceandHispanicorigin:UnitedStates, final2003andpreliminary2004Con.[Dataarebasedonacontinuous fileofrecords received from thestates.Age-specificratesareper100,000population inspecifiedgroup.Age-adjustedratesareper100,000U.S.standardpopulation;see TechnicalNotes.Thenumberofdeathsanddeath rates forHispanicoriginandspecifiedracesother thanwhiteandblackshouldbeinterpretedwithcautionbecauseof inconsistenciesbetweenreportingHispanicoriginandraceondeathcertificatesandcensusesandsurveys;see TechnicalNotes.Racecategoriesareconsistentwith the1977OfficeofManagementandBudgetguidelines.Figures for2004arebasedonweighteddata rounded to thenearest individual,socategoriesmaynotadd to totals]


Non-Hispanicwhite,bothsexesAllages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,937,440 969.8 1,979,465 993.6Under1year1. . . . . . . . . . . . . . . . . . . . . . . . . . . . 13,073 565.6 13,223 576.514years . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,470 26.9 2,539 27.6514years . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3,803 15.5 3,884 15.61524years . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19,626 75.0 19,640 75.82534years . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23,076 94.6 23,557 95.83544years . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55,008 184.1 58,095 190.94554years . . . . . . . . . . . . . . . . . . . . . . . . . . . . 122,245 398.3 121,832 402.35564years . . . . . . . . . . . . . . . . . . . . . . . . . . . . 198,288 872.7 197,598 902.46574years . . . . . . . . . . . . . . . . . . . . . . . . . . . . 318,192 2,156.4 329,570 2,237.27584years . . . . . . . . . . . . . . . . . . . . . . . . . . . . 584,872 5,359.3 600,563 5,515.485yearsandover . . . . . . . . . . . . . . . . . . . . . . . . . 596,619 14,268.5 608,843 14,944.8Notstated . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 168 . . . 121 . . . Age-adjustedrate2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . 798.6 ... 826.1

Non-HispanicwhitemaleAllages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 938,800 958.1 956,194 979.1Under1year1. . . . . . . . . . . . . . . . . . . . . . . . . . . . 7,446 629.1 7,591 647.214years . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,356 28.8 1,423 30.2514years . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,256 17.9 2,319 18.11524years . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13,944 104.2 14,022 105.92534years . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15,885 129.1 16,097 129.93544years . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34,836 232.9 37,123 243.84554years . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77,246 507.2 77,106 513.25564years . . . . . . . . . . . . . . . . . . . . . . . . . . . . 118,692 1,072.1 118,383 1,110.56574years . . . . . . . . . . . . . . . . . . . . . . . . . . . . 179,056 2,624.0 186,112 2,738.57584years . . . . . . . . . . . . . . . . . . . . . . . . . . . . 286,737 6,483.7 293,774 6,692.285yearsandover . . . . . . . . . . . . . . . . . . . . . . . . . 201,249 15,558.2 202,148 16,234.4Notstated . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 97 . . . 96 . . . Age-adjustedrate2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . 949.9 ... 984.0

Non-Hispanicwhite femaleAllages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 998,640 981.1 1,023,271 1,007.6Under1year1. . . . . . . . . . . . . . . . . . . . . . . . . . . . 5,627 498.9 5,632 502.514years . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,114 24.9 1,116 24.9514years . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,547 12.9 1,565 12.91524years . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5,682 44.5 5,618 44.32534years . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7,191 59.5 7,460 61.23544years . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20,172 135.2 20,972 138.04554years . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44,999 291.0 44,726 293.15564years . . . . . . . . . . . . . . . . . . . . . . . . . . . . 79,596 683.1 79,215 705.06574years . . . . . . . . . . . . . . . . . . . . . . . . . . . . 139,136 1,754.2 143,458 1,807.97584years . . . . . . . . . . . . . . . . . . . . . . . . . . . . 298,135 4,593.1 306,789 4,720.585yearsandover . . . . . . . . . . . . . . . . . . . . . . . . . 395,370 13,690.8 406,695 14,377.2Notstated . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72 . . . 25 . . . Age-adjustedrate2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . 679.3 ... 702.1See footnotesatendof table.


11/50

NationalVitalStatisticsReports,Vol.54,No.19,June28,2006 11Table1.Deathsanddeathratesbyage,sex,andraceandHispanicorigin,andage-adjusteddeathrates,bysexandraceandHispanicorigin:UnitedStates, final2003andpreliminary2004Con.[Dataarebasedo

Documents

Deaths: Preliminary Data for 2004