Similar to the rate of overall deaths, the age-adjusted COVID-19–associated death rate among males (115.0) was higher than that among females (72.5).Īge-adjusted death rates differed by race/ethnicity. COVID-19 death rates were lowest among children aged 1–4 years (0.2) and 5–14 years (0.2) and highest among those aged ≥85 years (1,797.8). Death rates were lowest among persons aged 5–14 years (13.6) and highest among persons aged ≥85 years (15,007.4) age-adjusted death rates were higher among males (990.5) than among females (689.2).ĭuring 2020, COVID-19 was listed as the underlying or contributing cause of 377,883 deaths (91.5 per 100,000 population). The highest overall numbers of deaths occurred during the weeks ending April 11, 2020, (78,917) and Decem(80,656) ( Figure 1). The age-adjusted rate was 828.7 deaths per 100,000 population, an increase of 15.9% from 715.2 in 2019. In 2020, approximately 3,358,814 deaths occurred in the United States ( Table). Age-adjusted death rates for 2020 were also compared with those from 2019 ( 6). Age-adjusted death rates were calculated for deaths by sex and race/ethnicity, and crude death rates were calculated by age. Census Bureau population estimates (July 1, 2020) were used to calculate estimated death rates per 100,000 standard population ( 5). To describe the trend in deaths during 2020, the number of deaths from all causes and from COVID-19 were calculated for each week. § Age was unknown for 86 (<0.01%) decedents, and race/ethnicity was unknown for 9,135 (0.27%). territories and foreign countries were excluded. Deaths that occurred in the United States among residents of U.S. Leading underlying causes of death were calculated and ranked ( 4). COVID-19 was the underlying cause of approximately 91% (345,323) of COVID-19–associated deaths during 2020 ( 3). Numbers and rates of COVID-19 deaths include deaths for which COVID-19 was listed on the death certificate as a confirmed or presumed underlying cause of death or contributing cause of death (ICD-10 code U07.1). Causes of death were coded according to the International Classification of Diseases, Tenth Revision (ICD-10), which describes disease classification and the designation of underlying cause of death ( 1, 2). The numbers and rates of overall deaths and COVID-19 deaths were assessed by age, sex, and race/ethnicity (categorized as Hispanic, non-Hispanic White, Black, non-Hispanic Asian, non-Hispanic AI/AN, non-Hispanic Native Hawaiian or other Pacific Islander, non-Hispanic multiracial, and unknown). residents in the United States during January–December 2020. Provisional death estimates provide an early indication of shifts in mortality trends and can guide public health policies and interventions aimed at reducing numbers of deaths that are directly or indirectly associated with the COVID-19 pandemic.ĬDC analyzed provisional NVSS death certificate data for deaths occurring among U.S. COVID-19 was the third leading cause of death in 2020, after heart disease and cancer. COVID-19 death rates were highest among adults aged ≥85 years, AI/AN and Hispanic persons, and males. The highest age-adjusted death rates by age, race/ethnicity, and sex occurred among adults aged ≥85 years, non-Hispanic Black or African American (Black) and non-Hispanic American Indian or Alaska Native (AI/AN) persons, and males. COVID-19 was reported as the underlying cause of death or a contributing cause of death for an estimated 377,883 (11.3%) of those deaths (91.5 deaths per 100,000). From 2019 to 2020, the estimated age-adjusted death rate increased by 15.9%, from 715.2 to 828.7 deaths per 100,000 population. In 2020, approximately 3,358,814 deaths † occurred in the United States. mortality data for 2020, including the first ranking of leading causes of death. mortality data.* This report presents an overview of provisional U.S. As a result of improvements in timeliness and the pressing need for updated, quality data during the global COVID-19 pandemic, NVSS expanded provisional data releases to produce near real-time U.S. Daily totals reported by CDC COVID-19 case surveillance are timely but can underestimate numbers of deaths because of incomplete or delayed reporting. Because of the time needed to investigate certain causes of death and to process and review data, final annual mortality data for a given year are typically released 11 months after the end of the calendar year. CDC’s National Vital Statistics System (NVSS) collects and reports annual mortality statistics using data from U.S.
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