Volume 49, Number 11 October 12, 2001 Deaths: Leading Causes for 1999 by Robert N. Anderson, Ph.D. Division of Vital Statistics Abstract Objectives—This report presents final 1999 data on the 10 leading causes of death in the United States by age, race, sex, and Hispanic origin. Leading causes of infant, neonatal, and postneonatal death are also presented. This report supplements the annual report of final mortality statistics and responds to an increasing volume of requests by data users for leading-cause tables with more age and race detail than previously published. Methods—Data in this report are based on information from all death certificates filed in the 50 States and the District of Columbia in 1999. Causes of death classified by the International Statistical Classification of Diseases and Related Health Problems, Tenth Revision (ICD–10) are ranked according to the number of deaths assigned to rankable causes. Age categories used to present leading causes of death in this report represent a substantial expansion from the age categories previously used to present leading-cause data in the annual report of final mortality statistics. Results—In 1999 the 10 leading causes of death were (in rank order) Diseases of heart; Malignant neoplasms; Cerebrovascular diseases; Chronic lower respiratory diseases; Accidents; Diabetes mellitus; Influenza and pneumonia; Alzheimer’s disease; Nephritis, nephrotic syndrome, and nephrosis; and Septicemia and accounted for nearly 80 percent of all deaths occurring in the United States. Differences in the rankings are evident by age, sex, race, and Hispanic origin. Leading causes of infant death for 1999 were (in rank order) Congenital malformations, deformations and chromosomal abnormalities; Disorders related to short gestation and low birthweight, not elsewhere classified; Sudden infant death syndrome; Newborn affected by maternal complications of pregnancy; Respiratory distress of newborn; Introduction Ranking causes of death is a popular method of presenting mortality statistics. Leading cause-of-death data have been published since 1952 (beginning with 1949 mortality data) when official tabulations ranking causes of death were first introduced (1). Those that use this method should be aware of its inherent limitations. Ranking causes of death is to some extent an arbitrary procedure. The rank order of any particular cause of death will depend on the list of causes from which selection is made, and on the rules applied in making the selection. Different cause lists and different ranking rules will typically produce different leading causes of death. Recognizing the need for a consistent ranking procedure to be used by State health departments and the National Office of Vital Statistics, in 1951 the Public Health Conference on Records and Statistics recommended that State and Federal agencies responsible for identifying diseases of public health importance adopt a uniform ranking procedure using a standard list of causes of death (2). The procedures implemented in 1952 are essentially the same as those used currently by the Centers for Disease Control and Prevention’s National Center for Health Statistics (NCHS); however, the cause-of-death lists have been expanded and altered over time with each subsequent revision of the International Classification of Diseases (ICD). Cause-of-death ranking is a useful tool for illustrating the relative burden of cause-specific mortality. However, it should be used with a clear understanding of what the rankings mean. Literally, the rankings denote the most frequently occurring causes of death among those Newborn affected by complications of placenta, cord, and Accidents; Bacterial sepsis of newborn; Diseases of the system; and Atelectasis. Important variation in the leading infant death is noted for the neonatal and postneonatal Keywords: deaths c mortality c leading causes of death statistics Acknowledgments This report was prepared in the Division of Vital Statistics under the general direction of Harry M. Rosenberg, Special Assistant and James A. Weed, Acting Chief, Mortality Statistics Branch. Sherry L. Murphy of the Mortality Statistics Branch contributed to the Technical notes. Donna L. Hoyert of the Mortality Statistics Branch and Thomas D. Dunn of the Systems, Programming, and Statistical Resources Branch provided content and table review. Registration Methods staff and staff of the Data Acquisition and Evaluation Branch provided consultation to State vital statistics offices regarding collection of the death certificate data on which this report is based. This report was edited by Demarius V. Miller and typeset by Jacqueline M. Davis of the Publications Branch, Division of Data Services. 2 National Vital Statistics Report, Vol. 49, No. 11, October 12, 2001 causes eligible to be ranked. The rankings do not necessarily denote the causes of death of greatest public health importance. Some causes of death of public health import are excluded from the ranking procedure. For example, Malignant neoplasms of the trachea, bronchus, and lung (lung cancer) and Motor vehicle accidents are not rankable causes of death (see below Procedures for ranking causes of death) though they can be identified using the standard mortality tabulation lists. Were they included in the rankings, both causes would be placed among the 10 leading causes of death—lung cancer would rank third and Motor vehicle accidents would rank eighth. However, each of these is subsumed in broader rankable categories, namely, Malignant neoplasmsandAccidents(unintentionalinjuries),respectively.Althoughnot perfectly suitable in all circumstances, the current framework provides a rankable list of causes of death that has broad appeal to and acceptance in the general public health community. This report presents final 1999 data on leading causes of death in the United States by age, race, sex, and Hispanic origin. These data accompany the release of final national mortality statistics for 1999 that are presented in a separate report (3). This report responds to an increasing volume of requests by data users for leading-cause tables with more age and race detail than previously published. For the first time, leading causes of death are shown for an expanded set of age categories and for the American Indian and Asian and Pacific Islander populations. Further age detail beyond that published in this report is provided in tables published on the NCHS Web site (http://www.cdc.gov/nchs). Also presented in this report is the procedure used by NCHS to rank causes of death along with tables showing causes that are designated as rankable. Data and methods Data Data in this report are based on information from all death certificates filed in the 50 States and the District of Columbia in 1999. Death certificates are completed by funeral directors, attending physicians, medical examiners, and coroners. Cause-of-death statistics for 1999 presented in this report are classified in accordance with the International Statistical Classification of Diseases and Related Health Problems, Tenth Revision (ICD–10) (4). Statistics for 1998 are classified in accordance with the Ninth Revision of the ICD (ICD–9) (5). A discussion of cause-of-death classification and comparability between 1999 and 1998 mortality data is provided in the Technical notes. Procedures for ranking causes of death The procedures used by NCHS for ranking causes of death are consistent with the recommendations of the 1951 Public Health Conference on Records and Statistics (2). Causes are ranked according to the number of deaths assigned to rankable causes. The number of deaths is used as the ranking criteria because it most accurately reflects the frequency of cause-specific mortality. Although crude death rates could technically be used as a ranking criteria—the population denominator of the rate is constant across all cause-of-death categories—they are less than ideal. Crude death rates are typically expressed per 100,000 population and are often rounded to one decimal place, reducing the precision of the ranking criteria. This is especially problematic when ranking causes of death for small population subgroups or geographic areas as it may be impossible to differentiate the ranks for several causes. Age-adjusted death rates should never be used to rank causes of death. The numerical value of the age-adjusted death rate depends on the population age distribution used to standardize the rate (6). Thus, rankings based on age-adjusted death rates will tend to vary depending on which standard is used. For example, when the standard age distribution gives more weight to the older population, the rank of causes of death that primarily affect the older population tend to be higher and the rank of causes that primarily affect the younger population tend to be lower. The original cause list from which rankable causes of death were selected according to the recommendations of the 1951 Conference was the List of 64 selected causes of death prepared for use with the Sixth Revision of the ICD (2). With each subsequent revision of the ICD, the cause list from which rankable causes are selected has changed to reflect the improved classification system. Developed for use with ICD–10, the List of 113 selected causes of death (7) shown in table A is used to select 50 rankable causes (denoted by the symbol #) from which the leading causes presented in tables 1 and 2 are derived. The selection of the 50 rankable causes from the List of 113 selected causes of death was guided by some basic principles. As in the past, vaguely defined categories were summarily excluded from selection as rankable causes. These included the category Symptoms, signs, and abnormal clinical and laboratory findings, not elsewhere classified and all categories beginning with the words ‘‘other,’’ ‘‘all other,’’ ‘‘certain other,’’ or ‘‘unspecified.’’ Among the remaining cause-of-death categories, decisions were made to select as rankable the causes of death considered most useful from a public health perspective, with the following condition: the rankable causes must be mutually exclusive. If a category representing a subtotal (such as Tuberculosis or Malignant neoplasms) is selected as a rankable cause, its component parts are not selected as rankable. Efforts were also made to maintain historical continuity where possible. Beginning with 1980 mortality data, NCHS introduced a separate ranking procedure for infant causes of death using a specialized list of infant causes. This was done to include in the rankings causes specific to infancy (especially the perinatal period—the period beginning shortly before and ending shortly after birth) that would otherwise be excluded. The ICD–10 List of 130 selected causes of infant death (7) (table B) is used to select 71 rankable causes of infant death from which the rankings in tables 3 and 4 are derived. The same principles for selecting the rankable causes from the List of 113 selected causes of death guided the selection of rankable causes from the infant cause list. Age groupings Leading causes of death for those aged 1 year and over are presented in tables 1 and 2 for the following age categories: 1–4, 5–9, 10–14, 15–19, 20–24, 25–34, 35–44, 45–54, 55–64, 65 and over, 65–74, 75–84, and 85 and over. These age categories respond to increasing requests from data users for more age detail and represent a substantial expansion from the age categories previously used to present leading-cause data (1–4, 5–14, 15–24, 25–44, 45–64, 65 and over) (8). Leading causes by further age detail along with the previously used age categories are published on the NCHS Web site (http://www.cdc.gov/nchs). Tables 3 and 4 that present data National Vital Statistics Report, Vol. 49, No. 11, October 12, 2001 3 Table A. List of 113 selected causes of death Number Cause of death (Tenth Revision, International Classification of Diseases, 1992) 1# Salmonellainfections .......................................................................(A01–A02) 2# Shigellosisandamebiasis..................................................................... (A03,A06) 3 Certainotherintestinalinfections ............................................................. (A04,A07–A09) # Tuberculosis.............................................................................(A16–A19) 4 Respiratorytuberculosis .......................................................................(A16) 5 Othertuberculosis ........................................................................(A17–A19) 6# Whoopingcough .............................................................................(A37) 7# Scarletfeveranderysipelas ................................................................... (A38,A46) 8# Meningococcalinfection .........................................................................(A39) 9# Septicemia .............................................................................(A40–A41) 10# Syphilis ...............................................................................(A50–A53) 11# Acutepoliomyelitis ............................................................................(A80) 12# Arthropod-borneviralencephalitis ............................................................ (A83–A84,A85.2) 13# Measles ..................................................................................(B05) 14# Viralhepatitis ............................................................................(B15–B19) 15# Humanimmunodeficiencyvirus(HIV)disease .........................................................(B20–B24) 16# Malaria................................................................................(B50–B54) 17 Other and unspecified infectious and parasitic diseases and their sequelae ...........(A00,A05,A20–A36,A42–A44,A48–A49,A54–A79,A81–A82, A85.0–A85.1,A85.8,A86–B04,B06–B09,B25–B49,B55–B99) # Malignantneoplasms .......................................................................(C00–C97) 18 Malignantneoplasmsoflip,oralcavityandpharynx....................................................(C00–C14) 19 Malignantneoplasmofesophagus .................................................................(C15) 20 Malignantneoplasmofstomach...................................................................(C16) 21 Malignantneoplasmsofcolon,rectumandanus ......................................................(C18–C21) 22 Malignantneoplasmsofliverandintrahepaticbileducts ....................................................(C22) 23 Malignantneoplasmofpancreas ..................................................................(C25) 24 Malignantneoplasmoflarynx ....................................................................(C32) 25 Malignantneoplasmsoftrachea,bronchusandlung ...................................................(C33–C34) 26 Malignantmelanomaofskin .....................................................................(C43) 27 Malignantneoplasmofbreast ....................................................................(C50) 28 Malignantneoplasmofcervixuteri .................................................................(C53) 29 Malignantneoplasmsofcorpusuterianduterus,partunspecified............................................(C54–C55) 30 Malignantneoplasmofovary ....................................................................(C56) 31 Malignantneoplasmofprostate ...................................................................(C61) 32 Malignantneoplasmsofkidneyandrenalpelvis ......................................................(C64–C65) 33 Malignantneoplasmofbladder ...................................................................(C67) 34 Malignantneoplasmsofmeninges,brainandotherpartsofcentralnervoussystem.................................(C70–C72) Malignantneoplasmsoflymphoid,hematopoieticandrelatedtissue ..........................................(C81–C96) 35 Hodgkin’sdisease .........................................................................(C81) 36 Non-Hodgkin’slymphoma ..................................................................(C82–C85) 37 Leukemia ...........................................................................(C91–C95) 38 Multiplemyelomaandimmunoproliferativeneoplasms ................................................. (C88,C90) 39 Other and unspecified malignant neoplasms of lymphoid, hematopoietic and related tissue .............................. (C96) 40 All other and unspecified malignant neoplasms .............. (C17,C23–C24,C26–C31,C37–C41,C44–C49,C51–C52,C57–C60,C62–C63,C66, C68–C69,C73–C80,C97) 41# In situ neoplasms, benign neoplasms and neoplasms of uncertain or unknown behavior ................................ (D00–D48) 42# Anemias ...............................................................................(D50–D64) 43# Diabetesmellitus ..........................................................................(E10–E14) # Nutritionaldeficiencies.......................................................................(E40–E64) 44 Malnutrition ............................................................................(E40–E46) 45 Othernutritionaldeficiencies ..................................................................(E50–E64) 46# Meningitis ..............................................................................(G00,G03) 47# Parkinson’sdisease ........................................................................(G20–G21) 48# Alzheimer’sdisease ...........................................................................(G30) Majorcardiovasculardiseases ...................................................................(I00–I78) # Diseasesofheart ................................................................(I00–I09,I11,I13,I20–I51) 49 Acuterheumaticfeverandchronicrheumaticheartdiseases ..............................................(I00–I09) 50 Hypertensiveheartdisease .....................................................................(I11) 51 Hypertensiveheartandrenaldisease ...............................................................(I13) Ischemicheartdiseases ....................................................................(I20–I25) 52 Acutemyocardialinfarction .................................................................(I21–I22) 53 Otheracuteischemicheartdiseases ..............................................................(I24) Otherformsofchronicischemicheartdisease ..................................................... (I20,I25) 54 Atheroscleroticcardiovasculardisease,sodescribed ..................................................(I25.0) 55 Allotherformsofchronicischemicheartdisease ..............................................(I20,I25.1–I25.9) Otherheartdiseases ......................................................................(I26–I51) 56 Acuteandsubacuteendocarditis ................................................................(I33) 57 Diseasesofpericardiumandacutemyocarditis ...................................................(I30–I31,I40) 58 Heartfailure ............................................................................(I50) See note at end of table. 4 National Vital Statistics Report, Vol. 49, No. 11, October 12, 2001 Table A. List of 113 selected causes of death—Con. Number Cause of death (Tenth Revision, International Classification of Diseases, 1992) 59 Allotherformsofheartdisease ................................................... (I26–I28,I34–I38,I42–I49,I51) 60# Essential(primary)hypertensionandhypertensiverenaldisease ............................................. (I10,I12) 61# Cerebrovasculardiseases ....................................................................(I60–I69) 62# Atherosclerosis..............................................................................(I70) Otherdiseasesofcirculatorysystem ..............................................................(I71–I78) 63# Aorticaneurysmanddissection ..................................................................(I71) 64 Otherdiseasesofarteries,arteriolesandcapillaries ...................................................(I72–I78) 65 Otherdisordersofcirculatorysystem ...............................................................(I80–I99) # Influenzaandpneumonia ......................................................................(J10–J18) 66 Influenza ..............................................................................(J10–J11) 67 Pneumonia .............................................................................(J12–J18) Otheracutelowerrespiratoryinfections .............................................................(J20–J22) 68# Acutebronchitisandbronchiolitis ................................................................(J20–J21) 69 Unspecifiedacutelowerrespiratoryinfection ........................................................... (J22) # Chroniclowerrespiratorydiseases ................................................................(J40–J47) 70 Bronchitis,chronicandunspecified ...............................................................(J40–J42) 71 Emphysema .............................................................................. (J43) 72 Asthma ...............................................................................(J45–J46) 73 Otherchroniclowerrespiratorydiseases ...........................................................(J44,J47) 74# Pneumoconiosesandchemicaleffects ...........................................................(J60–J66,J68) 75# Pneumonitisduetosolidsandliquids................................................................. (J69) 76 Otherdiseasesofrespiratorysystem ................................................. (J00–J06,J30–J39,J67,J70–J98) 77# Pepticulcer .............................................................................(K25–K28) 78# Diseasesofappendix .......................................................................(K35–K38) 79# Hernia ................................................................................(K40–K46) # Chronicliverdiseaseandcirrhosis ............................................................ (K70,K73–K74) 80 Alcoholicliverdisease ........................................................................(K70) 81 Otherchronicliverdiseaseandcirrhosis ..........................................................(K73–K74) 82# Cholelithiasisandotherdisordersofgallbladder .......................................................(K80–K82) # Nephritis,nephroticsyndromeandnephrosis .............................................(N00–N07,N17–N19,N25–N27) 83 Acuteandrapidlyprogressivenephriticandnephroticsyndrome .........................................(N00–N01,N04) 84 Chronic glomerulonephritis, nephrosis and nephropathy not specified as acute or chronic, and renal sclerosis unspecified . . (N02–N03,N05–N07,N26) 85 Renalfailure ...........................................................................(N17–N19) 86 Otherdisordersofkidney ................................................................... (N25,N27) 87# Infectionsofkidney ................................................................(N10–N12,N13.6,N15.1) 88# Hyperplasiaofprostate .........................................................................(N40) 89# Inflammatorydiseasesoffemalepelvicorgans ........................................................(N70–N76) # Pregnancy,childbirthandthepuerperium ...........................................................(O00–O99) 90 Pregnancywithabortiveoutcome...............................................................(O00–O07) 91 Othercomplicationsofpregnancy,childbirthandthepuerperium ............................................(O10–O99) 92# Certainconditionsoriginatingintheperinatalperiod .....................................................(P00–P96) 93# Congenitalmalformations,deformationsandchromosomalabnormalities .........................................(Q00–Q99) 94 Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified ............................... (R00–R99) 95 Allotherdiseases ...................................................................(Residual)(Residual) # Accidents(unintentionalinjuries) ........................................................... (V01–X59,Y85–Y86) Transportaccidents .................................................................... (V01–V99,Y85) 96 Motor vehicle accidents ........ (V02–V04,V09.0,V09.2,V12–V14,V19.0–V19.2,V19.4–V19.6,V20–V79,V80.3–V80.5,V81.0–V81.1,V82.0–V82.1, V83–V86,V87.0–V87.8,V88.0–V88.8,V89.0,V89.2) 97 Other land transport accidents . . . (V01,V05–V06,V09.1,V09.3–V09.9,V10–V11,V15–V18,V19.3,V19.8–V19.9,V80.0–V80.2,V80.6–V80.9,V81.2–V81. 9,V82.2–V82.9,V87.9,V88.9,V89.1,V89.3,V89.9) 98 Water, air and space, and other and unspecified transport accidents and their sequelae .......................... (V90–V99,Y85) Nontransportaccidents ..................................................................(W00–X59,Y86) 99 Falls ............................................................................. (W00–W19) 100 Accidentaldischargeoffirearms ............................................................. (W32–W34) 101 Accidentaldrowningandsubmersion .......................................................... (W65–W74) 102 Accidentalexposuretosmoke,fireandflames .....................................................(X00–X09) 103 Accidentalpoisoningandexposuretonoxioussubstances ..............................................(X40–X49) 104 Other and unspecified nontransport accidents and their sequelae ..............(W20–W31,W35–W64,W75–W99,X10–X39,X50–X59,Y86) # Intentionalself-harm(suicide) .............................................................. (X60–X84,Y87.0) 105 Intentionalself-harm(suicide)bydischargeoffirearms ..................................................(X72–X74) 106 Intentional self-harm (suicide) by other and unspecified means and their sequelae .........................(X60–X71,X75–X84,Y87.0) # Assault(homicide) ..................................................................... (X85–Y09,Y87.1) 107 Assault(homicide)bydischargeoffirearms.........................................................(X93–X95) 108 Assault (homicide) by other and unspecified means and their sequelae ...............................(X85–X92,X96–Y09,Y87.1) 109# Legalintervention ........................................................................ (Y35,Y89.0) Eventsofundeterminedintent .......................................................... (Y10–Y34,Y87.2,Y89.9) 110 Dischargeoffirearms,undeterminedintent .........................................................(Y22–Y24) 111 Other and unspecified events of undetermined intent and their sequelae .......................... (Y10–Y21,Y25–Y34,Y87.2,Y89.9) 112# Operationsofwarandtheirsequelae............................................................. (Y36,Y89.1) 113# Complicationsofmedicalandsurgicalcare ....................................................... (Y40–Y84,Y88) NOTE: The causes designated by # are ranked to determine leading causes of death for specified population groups. National Vital Statistics Report, Vol. 49, No. 11, October 12, 2001 5 Table B. List of 130 selected causes of infant death Number Cause of death (Tenth Revision, International Classification of Diseases, 1992) Certaininfectiousandparasiticdiseases ............................................................(A00–B99) 1 Certainintestinalinfectiousdiseases .............................................................(A00–A08) 2# Diarrheaandgastroenteritisofinfectiousorigin..........................................................(A09) 3# Tuberculosis ...........................................................................(A16–A19) 4# Tetanus .............................................................................. (A33,A35) 5# Diptheria ................................................................................(A36) 6# Whoopingcough............................................................................(A37) 7# Meningococcalinfection .......................................................................(A39) 8# Septicemia ............................................................................(A40–A41) 9# Congenitalsyphillis ..........................................................................(A50) 10# Gonococcalinfection .........................................................................(A54) Viraldiseases ..........................................................................(A80–B34) 11# Acutepoliomyelitis .........................................................................(A80) 12# Varicella(chickenpox)........................................................................(B01) 13# Measles ...............................................................................(B05) 14# Humanimmunodeficiencyvirus(HIV)disease ......................................................(B20–B24) 15# Mumps ................................................................................(B26) 16 Otherandunspecifiedviraldiseases .......................................(A81–B00,B02–B04,B06–B19,B25,B27–B34) 17# Candidiasis ...............................................................................(B37) 18# Malaria ..............................................................................(B50–B54) 19# Pneumocystosis ............................................................................(B59) 20 All other and unspecified infectious and parasitic diseases ..... (A20–A32,A38,A42–A49,A51–A53,A55–A79,B35–B36,B38–B49,B55–B58,B60–B99) Neoplasms .............................................................................(C00–D48) # Malignantneoplasms ......................................................................(C00–C97) 21 Hodgkin’sdiseaseandnon-Hodgkin’slymphomas ...................................................(C81–C85) 22 Leukemia ...........................................................................(C91–C95) 23 Otherandunspecifiedmalignantneoplasms ...........................................(C00–C80,C88–C90,C96–C97) 24# In situ neoplasms, benign neoplasms and neoplasms of uncertain or unknown behavior .............................. (D00–D48) # Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism ..................... (D50–D89) 25 Anemias .............................................................................(D50–D64) 26 Otherdiseasesofbloodandblood-formingorgans ....................................................(D65–D76) 27 Certaindisordersinvolvingtheimmunemechanism ....................................................(D80–D89) Endocrine,nutritionalandmetabolicdiseases .........................................................(E00–E88) 28# Shortstature,notelsewhereclassified ..............................................................(E34.3) 29# Malnutritionandothernutritionaldeficiencies ........................................................(E40–E64) 30# Cysticfibrosis .............................................................................(E84) 31# Volumedepletion,disordersoffluid,electrolyteandacid–basebalance ........................................(E86–E87) 32 All other endocrine, nutritional and metabolic diseases ....................... (E00–E32,E34.0–E34.2,E34.4–E34.9,E65–E83,E85,E88) Diseasesofthenervoussystem .................................................................(G00–G98) 33# Meningitis.............................................................................(G00,G03) 34# Infantilespinalmuscularatrophy,typeI(Werdnig-Hoffman) .................................................(G12.0) 35# Infantilecerebralpalsy ........................................................................(G80) 36# Anoxicbraindamage,notelsewhereclassified .........................................................(G93.1) 37 Other diseases of nervous system .................... (G04,G06–G11,G12.1–G12.9,G20–G72,G81–G92,G93.0,G93.2–G93.9,G95–G98) 38# Diseasesoftheearandmastoidprocess ...........................................................(H60–H93) # Diseasesofthecirculatorysystem ................................................................(I00–I99) 39 Pulmonaryheartdiseaseanddiseasesofpulmonarycirculation..............................................(I26–I28) 40 Pericarditis,endocarditisandmyocarditis ......................................................... (I30,I33,I40) 41 Cardiomyopathy .............................................................................(I42) 42 Cardiacarrest ..............................................................................(I46) 43 Cerebrovasculardiseases ....................................................................(I60–I69) 44 All other diseases of circulatory system ....................................... (I00–I25,I31,I34–I38,I44–I45,I47–I51,I70–I99) Diseasesoftherespiratorysystem ................................................................(J00–J98) 45# Acuteupperrespiratoryinfections................................................................(J00–J06) # Influenzaandpneumonia.....................................................................(J10–J18) 46 Influenza .............................................................................(J10–J11) 47 Pneumonia............................................................................(J12–J18) 48# Acutebronchitisandacutebronchiolitis ............................................................(J20–J21) 49# Bronchitis,chronicandunspecified ...............................................................(J40–J42) 50# Asthma ...............................................................................(J45–J46) 51# Pneumonitisduetosolidsandliquids ............................................................... (J69) 52 Other and unspecified diseases of respiratory system ................................. (J22,J30–J39,J43–J44,J47–J68,J70–J98) Diseasesofthedigestivesystem ................................................................(K00–K92) 53# Gastritis,duodenitis,andnoninfectiveenteritisandcolitis.............................................. (K29,K50–K55) 54# Herniaofabdominalcavityandintestinalobstructionwithouthernia ....................................... (K40–K46,K56) 55 Allotherandunspecifieddiseasesofdigestivesystem .......................................(K00–K28,K30–K38,K57–K92) Diseasesofthegenitourinarysystem ..............................................................(N00–N98) 56# Renalfailureandotherdisordersofkidney ................................................... (N17–N19,N25,N27) 57 Other and unspecified diseases of genitourinary system .................................. (N00–N15,N20–N23,N26,N28–N98) Certainconditionsoriginatingintheperinatalperiod .....................................................(P00–P96) See note at end of table. 6 National Vital Statistics Report, Vol. 49, No. 11, October 12, 2001 Table B. List of 130 selected causes of infant death—Con. Number Cause of death (Tenth Revision, International Classification of Diseases, 1992) Newborn affected by maternal factors and by complications of pregnancy, labor and delivery ........................... (P00–P04) 58# Newbornaffectedbymaternalhypertensivedisorders ...................................................(P00.0) 59# Newborn affected by other maternal conditions which may be unrelated to present pregnancy ....................... (P00.1–P00.9) # Newbornaffectedbymaternalcomplicationsofpregnancy .................................................(P01) 60 Newbornaffectedbyincompetentcervix ..........................................................(P01.0) 61 Newbornaffectedbyprematureruptureofmembranes .................................................(P01.1) 62 Newbornaffectedbymultiplepregnancy ..........................................................(P01.5) 63 Newborn affected by other maternal complications of pregnancy ................................ (P01.2–P01.4,P01.6–P01.9) # Newbornaffectedbycomplicationsofplacenta,cordandmembranes...........................................(P02) 64 Newbornaffectedbycomplicationsinvolvingplacenta ..............................................(P02.0–P02.3) 65 Newbornaffectedbycomplicationsinvolvingcord ................................................(P02.4–P02.6) 66 Newbornaffectedbychorioamnionitis ...........................................................(P02.7) 67 Newbornaffectedbyotherandunspecifiedabnormalitiesofmembranes...................................(P02.8–P02.9) 68# Newbornaffectedbyothercomplicationsoflaboranddelivery ...............................................(P03) 69# Newbornaffectedbynoxiousinfluencestransmittedviaplacentaorbreastmilk .....................................(P04) Disordersrelatedtolengthofgestationandfetalmalnutrition ..............................................(P05–P08) 70# Slowfetalgrowthandfetalmalnutrition .............................................................(P05) # Disordersrelatedtoshortgestationandlowbirthweight,notelsewhereclassified ...................................(P07) 71 Extremelylowbirthweightorextremeimmaturity ................................................ (P07.0,P07.2) 72 Otherlowbirthweightorpreterm .......................................................... (P07.1,P07.3) 73# Disordersrelatedtolonggestationandhighbirthweight ..................................................(P08) 74# Birthtrauma ...........................................................................(P10–P15) # Intrauterinehypoxiaandbirthasphyxia ...........................................................(P20–P21) 75 Intrauterinehypoxia ........................................................................(P20) 76 Birthasphyxia ............................................................................(P21) 77# Respiratorydistressofnewborn...................................................................(P22) Otherrespiratoryconditionsoriginatingintheperinatalperiod ..............................................(P23–P28) 78# Congenitalpneumonia .......................................................................(P23) 79# Neonatalaspirationsyndromes ..................................................................(P24) 80# Interstitialemphysemaandrelatedconditionsoriginatingintheperinatalperiod .....................................(P25) 81# Pulmonaryhemorrhageoriginatingintheperinatalperiod ..................................................(P26) 82# Chronicrespiratorydiseaseoriginatingintheperinatalperiod................................................(P27) 83# Atelectasis .........................................................................(P28.0–P28.1) 84 Allotherrespiratoryconditionsoriginatingintheperinatalperiod .........................................(P28.2–P28.9) Infectionsspecifictotheperinatalperiod ..........................................................(P35–P39) 85# Bacterialsepsisofnewborn....................................................................(P36) 86# Omphalitisofnewbornwithorwithoutmildhemorrhage ...................................................(P38) 87 Allotherinfectionsspecifictotheperinatalperiod .................................................(P35,P37,P39) Hemorrhagicand hematologicaldisordersofnewborn ................................................... (P50–P61) 88# Neonatalhemorrhage ................................................................. (P50–P52,P54) 89# Hemorrhagicdiseaseofnewborn ................................................................(P53) 90# Hemolytic disease of newborn due to isoimmunization and other perinatal jaundice ................................ (P55–P59) 91# Hematologicaldisorders ...................................................................(P60–P61) 92# Syndromeofinfantofadiabeticmotherandneonataldiabetesmellitus ......................................(P70.0–P70.2) 93# Necrotizingenterocolitisofnewborn ................................................................(P77) 94# Hydropsfetalisnotduetohemolyticdisease ..........................................................(P83.2) 95 Otherperinatalconditions ...........................................(P29,P70.3–P76,P78–P81,P83.0–P83.1,P83.3–P96) # Congenitalmalformations,deformationsandchromosomalabnormalities .........................................(Q00–Q99) 96 Anencephalyandsimilarmalformations ..............................................................(Q00) 97 Congenitalhydrocephalus ......................................................................(Q03) 98 Spinabifida...............................................................................(Q05) 99 Othercongenitalmalformationsofnervoussystem ...........................................(Q01–Q02,Q04,Q06–Q07) 100 Congenitalmalformationsofheart ..............................................................(Q20–Q24) 101 Othercongenitalmalformationsofcirculatorysystem ...................................................(Q25–Q28) 102 Congenitalmalformationsofrespiratorysystem ......................................................(Q30–Q34) 103 Congenitalmalformationsofdigestivesystem........................................................(Q35–Q45) 104 Congenitalmalformationsofgenitourinarysystem .....................................................(Q50–Q64) 105 Congenital malformations and deformations of musculoskeletal system, limbs and integument ........................... (Q65–Q85) 106 Down’ssyndrome ...........................................................................(Q90) 107 Edward’ssyndrome .....................................................................(Q91.0–Q91.3) 108 Patau’ssyndrome ......................................................................(Q91.4–Q91.7) 109 Othercongenitalmalformationsanddeformations ...............................................(Q10–Q18,Q86–Q89) 110 Otherchromosomalabnormalities,notelsewhereclassified ...............................................(Q92–Q99) Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified ............................... (R00–R99) 111# Suddeninfantdeathsyndrome ...................................................................(R95) 112 Other symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified .............. (R00–R53,R55–594,R96–R99) 113 Allotherdiseases ............................................................. (F01–F99,H00–H57,L00–M99) Externalcausesofmortality ...................................................................(V01–Y89) # Accidents(unintentionalinjuries) ...............................................................(V01–X59) See note at end of table. National Vital Statistics Report, Vol. 49, No. 11, October 12, 2001 7 Table B. List of 130 selected causes of infant death—Con. Number Cause of death (Tenth Revision, International Classification of Diseases, 1992) Transportaccidents ...................................................................... (V01–V99) 114 Motor vehicle accidents . .(V02–V04,V09.0,V09.2,V12–V14,V19.0–V19.2,V19.4–V19.6,V20–V79,V80.3–V80.5,V81.0–V81.1,V82.0–V82.1,V83–V86, V87.0–V87.8,V88.0–V88.8,V89.0,V89.2) 115 Other and unspecified transport accidents . . (V01,V05–V06,V09.1,V09.3–V09.9,V10–V11,V15–V18,V19.3,V19.8,V19.9,V80.0–V80.2,V80.6–V80.9, V81.2–V81.9,V82.2–V82.9,V87.9,V88.9,V89.1, V89.3,V89.9,V90–V99) 116 Falls ............................................................................. (W00–W19) 117 Accidentaldischargeoffirearms ............................................................. (W32–W34) 118 Accidentaldrowningandsubmersion .......................................................... (W65–W74) 119 Accidentalsuffocationandstrangulationinbed ........................................................(W75) 120 Otheraccidentalsuffocationandstrangulation ...............................................(W76–W77,W81–W84) 121 Accidental inhalation and ingestion of food or other objects causing obstruction of respiratory tract ..................... (W78–W80) 122 Accidentscausedbyexposuretosmoke,fireandflames ...............................................(X00–X09) 123 Accidentalpoisoningandexposuretonoxioussubstances ..............................................(X40–X49) 124 Other and unspecified accidents ..................................... (W20–W31,W35–W64,W85–W99,X10–X39,X50–X59) # Assault(homicide)....................................................................(X85–Y09,Y87.1) 125 Assault(homicide)byhanging,strangulationandsuffocation ................................................(X91) 126 Assault(homicide)bydischargeoffirearms .......................................................(X93–X95) 127 Neglect,abandonmentandothermaltreatmentsyndromes ..............................................(Y06–Y07) 128 Assault (homicide) by other and unspecified means .......................... (X85–X90,X92,X96–X99,Y00–Y05,Y08–Y09,Y87.1) 129# Complicationsofmedicalandsurgicalcare .........................................................(Y40–Y84) 130 Otherexternalcausesandtheirsequelae .................................................... (X60–X84,Y10–Y36) NOTE: The causes designated by # are ranked to determine leading causes of infant death for specified population groups. for infants (under 1 year) also show leading causes of death for the age subcategories neonatal (under 28 days) and postneonatal (28 days to 11 months). The age grouping used when ranking causes of death can have an impact on the rankings assigned to any particular age (9). For example, in 1999 the rankings for the 10 leading causes of death for a 45-year old male are slightly different depending on whether one uses the age group 45–49, 45–54, or 45–64 years. To illustrate, the category Chronic lower respiratory disease (CLRD) is not ranked among the 10 leading causes for 45–49 year-old men, but is ninth for men 45–54 years old and seventh for men 45–64 years old. Viral hepatitis is ranked tenth for men 45–49, but is not ranked in the top 10 for the other two age groups. Each aggregation of age results in a different understanding of the relative importance of CLRD and Viral hepatitis for those at or near age 45. These differences can have important program implications. Results In 1999 the 10 leading causes of death accounted for nearly 80 percent of all deaths occurring in the United States (table C). The top two causes, Diseases of heart (heart disease) and Malignant neoplasms (cancer) accounted for a little more than half (53.3 per-cent) of all deaths in 1999. Cerebrovascular diseases (stroke) was ranked third, followed by Chronic lower respiratory diseases (CLRD) and Accidents (unintentional injuries), which were ranked fourth and fifth, respectively. Rounding out the top 10 were Diabetes mellitus (6th), Influenza and pneumonia (7th), Alzheimer’s disease (8th), Nephritis, nephrotic syndrome, and nephrosis (kidney disease) (9th), and Septicemia (10th). The positioning of the top five leading causes remained unchanged from 1998 to 1999 (the ICD–9 title Chronic obstructive pulmonary diseases is comparable to the ICD–10 title Chronic lower respiratory diseases). Influenza and pneumonia and Diabetes mellitus, ranked sixth and seventh respectively in 1998, switched rankings between 1998 and 1999. Alzheimer’s disease and Septicemia, previously not ranked among the 10 leading causes in 1998, became the 8th and 10th leading causes in 1999. Kidney disease remained the 9th leading cause of death. Suicide and Chronic liver disease and cirrhosis, despite changing only slightly between 1998 and 1999, dropped out of the top 10 during this period as the result of large increases in deaths due to Alzheimer’s disease, kidney disease, and Septicemia. Changes in the number of deaths by cause from 1998 to 1999 can be explained by two factors. First, due to the introduction of ICD–10 beginning with 1999 mortality data, some changes occurred in cause-of-death titles and groupings and in the rules for selecting the under-lying cause of death (see Technical notes) (10). Mortality data for 1998 were classified according to ICD–9 (5). The second factor is actual changes in mortality levels between 1998 and 1999. Table D compares leading causes for 1998 with leading causes based on 1998 comparability-modified counts and estimates the impact of ICD–10 on the leading causes of death for 1998. The comparability-modified data approximate the pattern that would occur if the 1998 data were classified by ICD–10. The modified counts for causes of death are calculated by multiplying the 1998 count by cause-specific comparability ratios (see Technical notes) (3,10). The ranking of the top five leading causes are unaffected by the introduction of ICD–10. However, ICD–10 does have a substantial impactontherankingsforleadingcauses6–10andistheprimaryfactor responsible for changes in the ranking of these causes from 1998 to 1999. A comparison between leading causes based on comparability-modified 1998 data (table D) and 1999 leading causes (table C) shows almost identical rankings. A change in the rules for selecting the underlying cause of death is primarily responsible for the large decrease in deaths and resulting drop in ranking from 1998 to 1999 for Influenza and pneumonia (see Technical notes) (3,10). The increases in deaths for Alzheimer’s disease and kidney disease and the substantial increase in ranking for Alzheimer’s disease were primarily due to an ICD–10-related classification change. A change in the rules for selecting underlying cause of death also resulted in an increase in deaths due to Septicemia. However, the comparability-modified 1998 data show Suicide ranked 10th (Septicemia is ranked 123456789 10 123456789 10123456789 10123456789 10 8 National Vital Statistics Report, Vol. 49, No. 11, October 12, 2001 Table C. Deaths and percent of total deaths for the 10 leading causes of death: United States, 1998 and 1999 Percent of Rank1 Cause of death and year Deaths total deaths 19992 . . . All causes ..................................................... 2,391,399 100.0 Diseases of heart ................. ................ (I00-I09,I11,I13,I20–I51) 725,192 30.3 Malignant neoplasms ........................................ (C00–C97) 549,838 23.0 Cerebrovascular diseases ....................................... (I60–I69) 167,366 7.0 Chronic lower respiratory diseases ................................ (J40–J47) 124,181 5.2 Accidents (unintentional injuries) ............................ (V01–X59,Y85–Y86) 97,860 4.1 Diabetes mellitus ........................................... (E10–E14) 68,399 2.9 Influenza and pneumonia ...................................... (J10–J18) 63,730 2.7 Alzheimer’s disease ............................................ (G30) 44,536 1.9 Nephritis, nephrotic syndrome and nephrosis .............. (N00–N07,N17–N19,N25–N27) 35,525 1.5 Septicemia .............................................. (A40–A41) 30,680 1.3 . . . All other causes ........................................... (Residual) 484,092 20.2 19983 . . . All causes ..................................................... 2,337,256 100.0 Diseases of heart .................................. (390–398,402,404–429) 724,859 31.0 Malignant neoplasms, including neoplasms of lymphatic and hematopoietic tissues .... (140–208) 541,532 23.2 Cerebrovascular diseases ...................................... (430–438) 158,448 6.8 Chronic obstructive pulmonary diseases and allied conditions ................ (490–496) 112,584 4.8 Accidents and adverse effects ................................. (E800–E949) 97,835 4.2 Pneumonia and influenza ...................................... (480–487) 91,871 3.9 Diabetes mellitus .............................................. (250) 64,751 2.8 Suicide ............................................... (E950–E959) 30,575 1.3 Nephritis, nephrotic syndrome and nephrosis .......................... (580–589) 26,182 1.1 Chronic liver disease and cirrhosis ................................... (571) 25,192 1.1 ... Allothercauses ...........................................(Residual) 463,427 19.8 . . . Category not applicable.1Rank based on number of deaths.2Causes of death for 1999 based on the Tenth Revision, International Classification of Diseases, 1992; see Technical notes.3Causes of death for 1998 based on the Ninth Revision, International Classification of Diseases, 1975; see Technical notes.NOTE: See Technical notes for information on the comparability between data classified by ICD–9 and ICD–10 Table D. Deaths for the 10 leading causes of death: United States, 1999 and comparability-modified 1998 Rank1 Cause of death (Based on the Ninth Revision, International Classification of Diseases, 1975) and year Deaths 1998 . . . All causes ............................................................ 2,337,256 Diseases of heart ......................................... (390–398,402,404–429) 724,859 Malignant neoplasms, including neoplasms of lymphatic and hematopoietic tissues ........... (140–208) 541,532 Cerebrovascular diseases ............................................. (430–438) 158,448 Chronic obstructive pulmonary diseases and allied conditions ....................... (490–496) 112,584 Accidents and adverse effects .........................................(E800–E949) 97,835 Pneumonia and influenza ............................................. (480–487) 91,871 Diabetes mellitus ..................................................... (250) 64,751 Suicide .......................................................(E950–E959) 30,575 Nephritis, nephrotic syndrome and nephrosis ................................. (580–589) 26,182 Chronic liver disease and cirrhosis .......................................... (571) 25,192 . . . All other causes .................................................. (Residual) 463,427 1998 comparability modified2 . . . All causes ............................................................ 2,337,256 Diseases of heart ......................................... (390–398,402,404–429) 714,566 Malignant neoplasms, including neoplasms of lymphatic and hematopoietic tissues ........... (140–208) 545,130 Cerebrovascular diseases ............................................. (430–438) 167,765 Chronic obstructive pulmonary diseases and allied conditions ....................... (490–496) 117,966 Accidents and adverse effects .........................................(E800–E949) 100,819 Diabetes mellitus ..................................................... (250) 65,282 Pneumonia and influenza ............................................. (480–487) 64,144 Alzheimer’s disease .................................................. (331.0) 35,306 Nephritis, nephrotic syndrome and nephrosis ................................. (580–589) 32,256 Suicide .......................................................(E950–E959) 30,458 . . . All other causes .................................................. (Residual) 463,564 . . . Category not applicable.1Rank based on number of deaths.2Modified counts for causes of death calculated by multiplying the 1998 count by cause-specific comparability ratios; see Technical notes.National Vital Statistics Report, Vol. 49, No. 11, October 12, 2001 9 11th). The combination of increases in the mortality level for Septicemia and decreases for Suicide between 1998 and 1999 pushed Septicemia to rank 10th ahead of Suicide in 1999. Age differences Leading causes of death vary substantially by age. The leading cause of death for age groups from 1–4 to 25–34 is unintentional injuries (table 1). Assault (homicide) and Intentional self-harm (suicide) are also important causes of death in these age categories. Unintentional injuries, homicide, and suicide combined accounted for 75 percent of deaths for those aged 15–19 years, 72 percent of deaths for those aged 20–24 years, and 52 percent of deaths for those aged 25–34 years. Congenital malformations, deformations, and chromosomal abnormalities, Human immunodeficiency virus (HIV) disease and cancer were also typically ranked among the leading causes for the younger age groups. In the older age groups, mortality due to chronic diseases was most prevalent. Cancer and heart disease were the top two causes of death for ages 45–54 and older age groups and consistently account for more than half of all deaths in these age groups. Other prevalent chronic causes among the older age groups were stroke, CLRD, Diabetes mellitus, Alzheimer’s disease, kidney disease, and Chronic liver disease and cirrhosis. Unintentional injuries, Influenza and pneumonia, and Septicemia were also important causes of death for those in older age groups. Sex differences Table E contrasts leading causes of death for males and females. The top three causes for males and females—heart disease, cancer, and stroke—are exactly the same. The next four most prevalent causes are also the same, although not in exactly the same order. The rank of unintentional injuries is fourth for males and seventh for females. CLRD, Diabetes mellitus, and Influenza and pneumonia, which rank fifth, sixth, and seventh, respectively, for males, rank fourth, fifth, and sixth for females. Suicide and Chronic liver disease and cirrhosis were ranked eighth and ninth respectively for males, but were not ranked among the 10 leading causes for females. Alzheimer’s disease and Septicemia, ranked 8th and 10th, respectively, for females, were not ranked among the top 10 for males. Kidney disease was ranked 9th for females and 10th for males. Race differences Table F shows variation across race groups in the 10 leading causes of death. The four major race groups shown all share seven leading causes in common. Heart disease and cancer rank first and second for each of the four race groups. Stroke ranks third for the white, black, and Asian or Pacific Islander (API) populations, but ranks fifth for the American Indian population. CLRD, unintentional injuries, Influenza and pneumonia, and Diabetes mellitus also rank among the 10 leading causes of death for each race group. CLRD ranks fourth for the white population, sixth for the black and API populations, and seventh for the American Indian population. Unintentional injuries ranks third for the American Indian population, fourth for the black and API populations, and fifth for the white population. Influenza and pneumonia ranks 6th for the white population, 7th for the API population, 8th for the American Indian population and 10th for the black population. Diabetes mellitus is ranked fourth for the American Indian population, fifth for the black and API populations, and seventh for the white population. Other leading causes common to more than one race group include kidney disease, ranked 9th for the white, black, and API populations; suicide, ranked 8th for the API population, 9th for the American Indian population, and 10th for the white population; and homicide, ranked 8th for the black population and 10th for the American Indian population. For each of the four race groups, one of the 10 leading causes is exclusive to that group. For the American Indian population, Chronic liver disease and cirrhosis ranks sixth but is not ranked in the top 10 for the other three race groups. HIV disease ranks seventh for the black population, but is not among the leading causes for the other race groups. Alzheimer’s disease, ranked eighth for the white population, is not ranked among the 10 leading causes for the other race groups. Septicemia is ranked 10th for the API population, but not ranked in the top 10 for the other race groups. Hispanic origin Table G shows leading causes of death for the Hispanic, non-Hispanic white, and non-Hispanic black populations. Heart disease and cancer rank first and second for both the Hispanic and non-Hispanic populations. Unintentional injuries rank third for the Hispanic population, higher than the rank for the non-Hispanic white (fifth) and non-Hispanic black (fourth) populations. The fourth ranked cause for Hispanics is stroke, which is ranked third for the non-Hispanic populations. Diabetes mellitus is ranked fifth for both the Hispanic and non-Hispanic black populations, but seventh for the non-Hispanic white population. Chronic liver disease and cirrhosis, ranked sixth for the Hispanic population, is not ranked among the 10 leading causes for the non-Hispanic white and black populations. Homicide ranks seventh for the Hispanic population and eighth for the non-Hispanic black population. CLRD is ranked much lower for the Hispanic population (eighth) than for the non-Hispanic white (fourth) and non-Hispanic black (sixth) populations. Influenza and pneumonia is also ranked much lower for the Hispanic population (9th) than for the non-Hispanic white population (sixth), but higher than for the non-Hispanic black population (10th). The 10th ranked cause for the Hispanic population is Certain conditions originating in the perinatal period (perinatal conditions), a category consisting of diseases that primarily affect infants. The high ranking of perinatal conditions is largely a reflection of the relatively young age distribution of the Hispanic population. HIV disease (ranked 7th for the non-Hispanic black population), Alzheimer’s disease and suicide (ranked 8th and 10th, respectively, for the non-Hispanic white population) and kidney disease (ranked 9th for both the non-Hispanic white and black populations) are not ranked among the 10 leading causes of death for Hispanics. Leading causes of infant death The leading cause of infant death in 1999 was Congenital malformations, deformations, and chromosomal abnormalities (con-genital anomalies) that accounted for nearly one-fifth of all infant deaths (table H). Disorders related to short gestation and low birthweight, not elsewhere classified was ranked second, followed by Sudden infant death syndrome (SIDS) (third); Newborn affected by 123456789 10 10 National Vital Statistics Report, Vol. 49, No. 11, October 12, 2001 Table E. Deaths and percent of total deaths for leading causes of death by sex: United States, 1999 Males Females Cause of death (Based on the Tenth Revision, Percent of Percent of International Classification of Diseases, 1992) Rank1 Deaths total deaths Rank1 Deaths total deaths All causes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,175,460 100.0 . . . 1,215,939 100.0 Diseases of heart . . . . . . . . . . . . . . . . . . . . . . (I00–I09,I11,I13,I20–I51) 351,617 29.9 1 373,575 30.7 Malignant neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (C00–C97) 285,832 24.3 2 264,006 21.7 Cerebrovascular diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . (I60–I69) 64,485 5.5 3 102,881 8.5 Accidents (unintentional injuries) . . . . . . . . . . . . . . . . (V01–X59,Y85–Y86) 63,535 5.4 7 34,325 2.8 Chronic lower respiratory diseases . . . . . . . . . . . . . . . . . . . . (J40–J47) 62,415 5.3 4 61,766 5.1 Diabetes mellitus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (E10–E14) 31,150 2.7 5 37,249 3.1 Influenza and pneumonia . . . . . . . . . . . . . . . . . . . . . . . . . . (J10–J18) 27,718 2.4 6 36,012 3.0 Intentional self-harm (suicide) . . . . . . . . . . . . . . . . . . . (X60–X84,Y87.0) 23,458 2.0 . . . 5,741 0.5 Chronic liver disease and cirrhosis . . . . . . . . . . . . . . . . . . (K70,K73–K74) 17,115 1.5 . . . 9,144 0.8 Nephritis, nephrotic syndrome and nephrosis . . . (N00–N07,N17–N19,N25–N27) 17,016 1.4 9 18,509 1.5 Alzheimer’s disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (G30) . . . 13,391 1.1 8 31,145 2.6 Septicemia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (A40–A41) . . . 13,395 1.1 10 17,285 1.4 . . . Category not applicable. 1Rank based on number of deaths. Table F. Deaths and percent of total deaths for leading causes of death by race: United States, 1999 [Data for races other than white and black should be interpreted with caution because of inconsistencies between the reporting of race on death certificates and on censuses and surveys; see Technical notes] White Black American Indian Asian or Pacific Islander Cause of death (Based on the Tenth Revision, International Classification of Diseases, 1992) Rank1 Deaths Percent of total deaths Rank1 Deaths Percent of total deaths Rank1 Deaths Percent of total deaths Rank1 Deaths Percent of total deaths All causes . . . . . . . . . . . . . . . . . . . . . . . . . 2,061,348 100.0 . . . 285,064 100.0 . . . 11,312 100.0 . . . 33,675 100.0 Diseases of heart . . . . (I 00–I09,I11,I13,I20–I51) 1 635,118 30.8 1 78,574 27.6 1 2,404 21.3 1 9,096 27.0 Malignant neoplasms . . . . . . . . . .(C00–C97) 2 477,238 23.2 2 61,951 21.7 2 1,836 16.2 2 8,813 26.2 Cerebrovascular diseases . . . . . . . . (I 60–I69) 3 144,827 7.0 3 18,884 6.6 5 546 4.8 3 3,109 9.2 Chronic lower respiratory diseases . . (J40–J47) 4 114,735 5.6 6 7,915 2.8 7 406 3.6 6 1,125 3.3 Accidents (unintentional injuries) . . . . . . . . . . . (V01–X59,Y85–Y86) 5 82,245 4.0 4 12,728 4.5 3 1,327 11.7 4 1,560 4.6 Influenza and pneumonia . . . . . . . (J10–J18) 6 56,694 2.8 10 5,876 2.1 8 315 2.8 7 845 2.5 Diabetes mellitus . . . . . . . . . . . (E10–E14) 7 54,599 2.6 5 11,927 4.2 4 725 6.4 5 1,148 3.4 Alzheimer’s disease . . . . . . . . . . . . . (G30) 8 41,877 2.0 . . . 2,342 0.8 . . . 86 0.8 . . . 231 0.7 Nephritis, nephrotic syndrome and nephrosis . . . (N00–N07,N17–N19,N25–N27) 9 28,041 1.4 9 6,711 2.4 . . . 194 1.7 9 579 1.7 Intentional self-harm (suicide) . . . . . . . . . . . . (X60–X84,Y87.0) 10 26,300 1.3 . . . 1,950 0.7 9 291 2.6 8 658 2.0 Septicemia . . . . . . . . . . . . . . . (A 40–A41) . . . 24,287 1.2 . . . 5,826 2.0 . . . 169 1.5 10 398 1.2 Chronic liver disease and cirrhosis . . . . . . . . . . . . . (K70,K73–K74) . . . 22,620 1.1 . . . 2,833 1.0 6 513 4.5 . . . 293 0.9 Assault (homicide). . . . . . . (X85–Y09,Y87.1) . . . 8,628 0.4 8 7,648 2.7 10 253 2.2 . . . 360 1.1 Human immunodeficiency virus (HIV) disease . . . . . . . . . . . . . . . . (B20–B24) . . . 6,752 0.3 7 7,893 2.8 . . . 68 0.6 . . . 89 0.3 . . . Category not applicable. 1Rank based on number of deaths. maternal complications of pregnancy (4th); Respiratory distress of newborn (5th); Newborn affected by complications of placenta, cord and membranes (6th); unintentional injuries (7th); Bacterial sepsis of newborn (8th); Diseases of the circulatory system (9th); and Atelectasis (10th). In all, the 10 leading causes of infant death accounted for about 68 percent of all infant deaths. From 1998 to 1999, the six most prevalent causes of infant death did not change (cause-of-death titles did change in some instances due to the implementation of ICD–10; see Technical notes). Unintentional injuries rose in the ranking from eighth in 1998 to seventh in 1999 despite remaining unchanged in terms of the number of deaths. Infections specific to the perinatal period, which ranked seventh in 1998, is not a rankable cause of infant death under the ICD–10 rubric. Its subcategories, however, are designated as rankable. One of these subcategories is Bacterial sepsis of newborn, which is ranked eighth in 1999. Intrauterine hypoxia and birth asphyxia and Pneumonia and influenza, ranked 9th and 10th in 1998, dropped out of the top 10 in 1999 because with the introduction of ICD–10, Diseases of the circulatory system and Atelectasis as rankable causes of infant death each exceed Intrauterine hypoxia and birth asphyxia and Pneumonia and influenza in terms of number of deaths. Neonatal and Postneonatal mortality Stark differences are evident when comparing leading causes of death in the neonatal (less than 28 days after birth) and postneonatal 123456789 10 123456789 10123456 789 10 National Vital Statistics Report, Vol. 49, No. 11, October 12, 2001 11 Table G. Deaths and percent of total deaths for leading causes of death by Hispanic origin and race for non-Hispanic population: United States, 1999 [Race and Hispanic origin are reported separately on the death certificate. Persons of Hispanic origin may be of any race. Data for Hispanic origin should be interpreted with caution; see Technical notes] Hispanic White, non-Hispanic Black, non-Hispanic Cause of death (Based on the Tenth Revision, Percent of Percent of Percent of International Classification of Diseases, 1992) Rank1 Deaths total deaths Rank1 Deaths total deaths Rank1 Deaths total deaths All causes .......................................... . . . 103,740 100.0 . . . 1,953,197 100.0 . . . 281,979 100.0 Diseases of heart ....................... (I00–I09,I11,I13,I20–I51) 25,866 24.9 1 607,704 31.1 1 77,713 27.6 Malignant neoplasms .............................. (C00–C97) 20,233 19.5 2 456,315 23.4 2 61,409 21.8 Accidents (unintentional injuries) ................. (V01–X59,Y85–Y86) 8,650 8.3 5 73,326 3.8 4 12,533 4.4 Cerebrovascular diseases ............................ (I60–I69) 5,907 5.7 3 138,716 7.1 3 18,731 6.6 Diabetes mellitus ................................ (E10–E14) 5,182 5.0 7 49,347 2.5 5 11,830 4.2 Chronic liver disease and cirrhosis ................... (K70,K73–K74) 2,972 2.9 . . . 19,602 1.0 . . . 2,793 1.0 Assault (homicide) ........................... (X85–Y09,Y87.1) 2,864 2.8 . . . 5,748 0.3 8 7,536 2.7 Chronic lower respiratory diseases ...................... (J40–J47) 2,859 2.8 4 111,620 5.7 6 7,840 2.8 Influenza and pneumonia ............................(J10–J18) 2,246 2.2 6 54,280 2.8 10 5,794 2.1 Certain conditions originating in the perinatal period............ (P00–P96) 2,153 2.1 . . . 6,384 0.3 . . . 5,000 1.8 Human immunodeficiency virus (HIV) disease ............... (B20–B24) . . . 1,958 1.9 . . . 4,744 0.2 7 7,751 2.7 Intentional self-harm (suicide) ..................... (X60–X84,Y87.0) . . . 1,695 1.6 10 24,534 1.3 . . . 1,924 0.7 Nephritis, nephrotic syndrome and nephrosis .... (N00–N07,N17–N19,N25–N27) . . . 1,584 1.5 9 26,418 1.4 9 6,659 2.4 Alzheimer’s disease ................................. (G30) . . . 981 0.9 8 40,835 2.1 . . . 2,325 0.8 . . . Category not applicable. 1Rank based on number of deaths. Table H. Deaths and percent of total deaths for the 10 leading causes of infant death: United States, 1998–99 Percent of Rank1 Cause of death and year Deaths total deaths 19992 . . . All causes ..................................................... 27,937 100.0 Congenital malformations, deformations and chromosomal abnormalities.......... (Q00–Q99) 5,473 19.6 Disorders related to short gestation and low birth weight, not elsewhere classified....... (P07) 4,392 15.7 Sudden infant death syndrome ...................................... (R95) 2,648 9.5 Newborn affected by maternal complications of pregnancy ..................... (P01) 1,399 5.0 Respiratory distress of newborn ..................................... (P22) 1,110 4.0 Newborn affected by complications of placenta, cord and membranes .............. (P02) 1,025 3.7 Accidents (unintentional injuries) .................................. (V01–X59) 845 3.0 Bacterial sepsis of newborn ....................................... (P36) 691 2.5 Diseases of the circulatory system ................................. (I00–I99) 667 2.4 Atelectasis ............................................ (P28.0–P28.1) 647 2.3 . . . All other causes ........................................... (Residual) 9,040 32.4 19983 . . . All causes ..................................................... 28,371 100.0 Congenital anomalies ......................................... (740–759) 6,212 21.9 Disorders relating to short gestation and unspecified low birth weight ............... (765) 4,101 14.5 Sudden infant death syndrome ..................................... (798.0) 2,822 9.9 Newborn affected by maternal complications of pregnancy ...................... (761) 1,343 4.7 Respiratory distress syndrome ...................................... (769) 1,295 4.6 Newborn affected by complications of placenta, cord and membranes ............... (762) 961 3.4 Infections specific to the perinatal period ................................ (771) 815 2.9 Accidents and adverse effects.................................. (E800–E949) 845 3.0 Intrauterine hypoxia and birth asphyxia ................................. (768) 461 1.6 Pneumonia and influenza ...................................... (480–487) 441 1.6 . . . All other causes ........................................... (Residual) 9,075 32.0 . . . Category not applicable. 1Rank based on number of deaths. 2Causes of death for 1999 based on the Tenth Revision, International Classification of Diseases, 1992; see Technical notes. 3Causes of death for 1998 based on the Ninth Revision, International Classification of Diseases, 1975; see Technical notes. NOTE: See Technical notes for information on the comparability between data classified by ICD–9 and ICD–10. (between 28 days and 11 months after birth) periods (table J). Disorders related to short gestation and low birthweight, not else-where classified is the leading cause of neonatal death. In contrast, SIDS is the leading cause in the postneonatal period. Congenital anomalies, although top ranked for infant mortality overall, ranks second for both neonates and postneonates. The remaining leading causes of neonatal death are characterized by conditions occurring in the perinatal period, while in the postneonatal period, the remaining 123456789 1012 34567 12 National Vital Statistics Report, Vol. 49, No. 11, October 12, 2001 Table J. Deaths and percent of total deaths for the 10 leading causes of neonatal and postneonatal death: United States, 1999 [Neonatal deaths are those occurring less than 28 days after birth. Postneonatal deaths are those occurring between 28 days and 11 months after birth.] Cause of death (Based on the Tenth Revision, Percent of Rank1 International Classification of Diseases, 1992) Deaths total deaths Neonatal . . . All causes ..................................................... 18,728 100.0 Disorders related to short gestation and low birthweight, not elsewhere classified ....... (P07) 4,320 23.1 Congenital malformations, deformations and chromosomal abnormalities ..........(Q00–Q99) 3,892 20.8 Newborn affected by maternal complications of pregnancy ..................... (P01) 1,391 7.4 Respiratory distress of newborn ..................................... (P22) 1,050 5.6 Newborn affected by complications of placenta, cord and membranes .............. (P02) 1,010 5.4 Bacterial sepsis of newborn ....................................... (P36) 662 3.5 Atelectasis ............................................. (P28.0–P28.1) 638 3.4 Intrauterine hypoxia and birth asphyxia .............................. (P20–P21) 572 3.1 Neonatal hemorrhage ..................................... (P50–P52,P54) 496 2.6 Necrotizing enterocolitis of newborn ................................... (P77) 361 1.9 . . . All other causes ........................................... (Residual) 4,336 23.2 Postneonatal . . . All causes ..................................................... 9,209 100.0 Sudden infant death syndrome ...................................... (R95) 2,440 26.5 Congenital malformations, deformations and chromosomal abnormalities ..........(Q00–Q99) 1,581 17.2 Accidents (unintentional injuries) .................................. (V01–X59) 743 8.1 Diseases of the circulatory system ................................. (I00–I99) 399 4.3 Influenza and pneumonia ...................................... (J10–J18) 288 3.1 Septicemia .............................................. (A40–A41) 283 3.1 Chronic respiratory disease originating in the perinatal period ................... (P27) 272 3.0 7 Assault (homicide) ...................................... (X85–Y09,Y87.1) 272 3.0 9 Gastritis, duodenitis, and noninfective enteritis and colitis ................ (K29,K50–K55) 224 2.4 10 Meningitis ............................................... (G00,G03) 88 1.0 . . . All other causes ........................................... (Residual) 2,619 28.4 . . . Category not applicable. 1Rank based on number of deaths. leading causes are more characterized by conditions prevalent among the general population, including unintentional injuries (third), Influenza and pneumonia (fifth), Septicemia (sixth) and homicide (seventh). Discussion This report presents leading causes of death in the United States by age, race, sex, and Hispanic origin, and for the infant, neonatal and postneonatal periods. Cause-of-death ranking is a popular method of presenting mortality statistics and is a useful tool for illustrating the relative burden of cause-specific mortality, but it must be used cautiously with a clear understanding of the limitations underlying the method. When comparing rankings across groups or over time, one should be mindful of the age distribution of the populations being compared. Leading causes of death for populations with younger age distributions will tend to show higher rankings for causes of death that are prevalent among the young, such as homicide, unintentional injuries, and HIV infection. Leading causes for older populations will tend to show higher rankings for causes that are more prevalent among the elderly, such as Alzheimer’s disease, heart disease, cancer, and stroke. Consideration should also be given to the effects of random variation on cause-of-death rankings. When the number of events is small (perhaps less than 100 deaths), estimates of mortality risk are more subject to random fluctuations (see Technical notes). This is less problematic when analyzing the relative ranking of causes of death because the observed frequency of deaths for any particular cause is fixed for any given group in any given year, and the ranking is based on that fixed value. Nevertheless, when comparing rankings based on small numbers of deaths between groups or over time, it is important to be aware that differences in relative rankings may be attributable to random variability. Because the rank order of any particular cause of death will depend on the list of causes from which selection is made and on the rules applied in making the selection, a clearly defined, uniform method for ranking causes of death is vital to maintain consistency in the reporting of leading causes by Federal and State agencies. The standard method and cause-lists described in this and other publications (1–3,7) provides this needed structure. References 1. National Office of Vital Statistics. Leading causes of death: United States and each State, 1949. Vital Statistics—Special Reports, National Summaries; vol 36, no 20. Washington, DC: Public Health Service. 1952. 2. National Office of Vital Statistics. Summary Report of the Third Annual Meeting of the Public Health Conference on Records and Statistics. 1951. 3. Hoyert DL, et al. Deaths: Final data for 1999. National Vital Statistics Reports; vol 49, no 7. Hyattsville, Maryland: National Center for Health Statistics. 2001. 4. World Health Organization. International Statistical Classification of Diseases and Related Health Problems, Tenth Revision. Geneva: World Health Organization. 1992. National Vital Statistics Report, Vol. 49, No. 11, October 12, 2001 13 5. World Health Organization. Manual of the International Statistical Classification of Diseases, Injuries, and Causes of Death, 1975. Geneva: World Health Organization. 1977. 6. Anderson RN, Rosenberg HM. Age standardization of death rates: Implementation of the year 2000 standard. National Vital Statistics Reports; vol 47, no 3. Hyattsville, Maryland: National Center for Health Statistics. 1998. 7. National Center for Health Statistics. ICD–10 Cause-of-death lists for tabulating mortality statistics, effective 1999. NCHS instruction manual, part 9. Hyattsville, Maryland: National Center for Health Statistics. 1997. 8. Murphy SL. Deaths: final data for 1998. National Vital Statistics Reports; vol 48, no 11. Hyattsville, Maryland: National Center for Health Statistics. 2000. 9. Gardner P, Rosenberg HM, Wilson RW. Leading causes of death by age, sex, race, and Hispanic origin: United States, 1992. Vital Health Stat 20(29). Hyattsville, Maryland: National Center for Health Statistics. 1996. 10. Anderson RN, Miniño AM, Hoyert DL, Rosenberg HM. Comparability of cause of death between ICD–9 and ICD–10: preliminary estimates. National Vital Statistics Reports; vol 49, no 2. Hyattsville, Maryland: National Center for Health Statistics. 2001. 11. Tolson GC, Barnes JM, Gay GA, Kowaleski JL. The 1989 revision of the U.S. standard certificates and reports. National Center for Health Statistics. Vital Health Stat 4(28). 1991. 12. National Center for Health Statistics. Technical appendix. Vital Statistics of the United States, 1989, vol II, mortality, part A. Washington: Public Health Service. 1993. 13. Klebba AJ, Scott JH. Estimates of selected comparability ratios based on dual coding of 1976 death certificates by the Eighth and Ninth Revisions of the International Classification of Diseases. Monthly vital statistics report; vol 28 no 11, supp. Hyattsville, Maryland: Public Health Service. 1980. 14. Klebba AJ, Dolman AB. Comparability of mortality statistics for the Seventh and Eighth Revisions of the International Classification of Diseases, United States. National Center for Health Statistics. Vital Health Stat 2(66). 1975. 15. National Center for Health Statistics. Comparability of mortality statistics for the Sixth and Seventh Revisions, United States, 1958. Vital Statistics—Special reports; vol 51 no 4. Washington, DC: Public Health Service. 1965. 16. National Center for Health Statistics. Vital statistics, instructions for classifying the underlying cause of death. NCHS instruction manual; part 2a. Hyattsville, Maryland: Public Health Service. Published annually. 17. National Center for Health Statistics. Vital statistics, instructions for classifying multiple causes of death. NCHS instruction manual; part 2b. Hyattsville, Maryland: Public Health Service. Published annually. 18. National Center for Health Statistics. Vital statistics, nonindexed terms, standard abbreviations, and State geographic codes used in mortality data classification. NCHS instruction manual; part 2e. Hyattsville, Maryland: Public Health Service. Published annually. 19. National Center for Health Statistics. Vital statistics, ICD–9 ACME decision tables for classifying underlying causes of death. NCHS instruction manual; part 2c. Hyattsville, Maryland: Public Health Service. Published annually. 20. National Center for Health Statistics. Vital statistics, data entry instructions for the mortality medical indexing, classification, and retrieval system (MICAR). NCHS instruction manual; part 2g. Hyattsville, Maryland: Public Health Service. Published annually. 21. National Center for Health Statistics. Vital statistics, dictionary of valid terms for the mortality medical indexing, classification, and retrieval system (MICAR). NCHS instruction manual; part 2h. Hyattsville, Maryland: Public Health Service. Published annually. 22. Chamblee RF, Evans MC. TRANSAX, the NCHS system for producing multiple cause-of-death statistics, 1968–78. National Center for Health Statistics. Vital Health Stat 1(20). 1986. 23. Israel RA, Rosenberg HM, Curtin LR. Analytical potential for multiple cause-of-death data. Am J Epidemiol 124(2): 161–79. 1986. 24. National Center for Health Statistics. Public use data file documentation: Multiple cause of death for ICD–9, 1998 data. Hyattsville, Maryland: Public Health Service. 2000. 25. Rosenberg HM, Maurer JD, Sorlie PD, Johnson NJ, et al. Quality of death rates by race and Hispanic origin: A summary of current research, 1999. National Center for Health Statistics. Vital Health Stat 2(128). 1999. 26. Sorlie PD, Rogot E, Johnson NJ. Validity of demographic characteristics on the death certificate. Epidemiology 3(2):181–4. 1992. 27. Poe GS, Powell-Griner E, McLaughlin JK, et al. Comparability of the death certificate and the 1986 national mortality followback survey. National Center for Health Statistics. Vital Health Stat 2(118). 1993. 28. Hogan H. The 1990 post-enumeration survey: Operations and results. J Am Stat Assoc 48(423):1047–60. 1993. 29. National Center for Health Statistics. Technical appendix. Vital statistics of the United States, 1989, vol I, natality. Washington: Public Health Service. 1992. 30. Hoyert DL. Effect on mortality rates of the 1989 changes in tabulating race. National Center for Health Statistics. Vital Health Stat 20(25). 1994. 31. Mathews TJ, Curtin SC, MacDorman, MF. Infant mortality statistics from the 1998 period linked birth/infant death data set. National vital statistics reports; vol 48 no 12. Hyattsville, Maryland: National Center for Health Statistics. 2000 32. U.S. Bureau of the Census. Unpublished census file NESTV99. Consistent with populations published in: U.S. population estimates, by age, sex, race, and Hispanic origin: 1990 to 1999. Washington, DC. 2000. 33. National Center for Health Statistics. Technical appendix. Vital Statistics of the United States, 1990, vol II, mortality, part A. Washington: Public Health Service. 1994. 34. Ventura SJ, Martin JA, Curtin SC, et al. Births: Final data for 1999. National vital statistics reports; vol 49 no 1. Hyattsville, Maryland: National Center for Health Statistics. 2001. List of detailed tables 1. Deaths, percent of total deaths, and death rates for the 10 leading causes of death in selected age groups, by race and sex: United States,1999................................... 14 2. Deaths, percent of total deaths, and death rates for the 10 leading causes of death in selected age groups, by Hispanic origin, race for non-Hispanic population, and sex: United States, 1999 .... 50 3. Infant, neonatal, and postneonatal deaths, percent of total deaths, and mortality rates for the 10 leading causes of infant death by raceandsex:UnitedStates,1999 .................... 71 4. Infant, neonatal, and postneonatal deaths, percent of total deaths, and mortality rates for the 10 leading causes of infant death by Hispanic origin, race for non-Hispanic population, and sex: United States,1999................................... 79 Table1.Deaths,percentoftotaldeaths,anddeathratesforthe10leadingcausesofdeathinselectedagegroups,by race andsex:UnitedStates,1999 [Rates per100,000populationinspecifiedgroup.Dataforracesotherthanwhiteandblackshouldbeinterpretedwithcautionbecauseofinconsistencies betweenreporting race ondeathcertificatesandoncensusesandsurveys;seeTechnicalnotes] Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),race,sex,andageNumber2 Percent of total deaths2 Rate2 All races,bothsexes,10–14years . ..Allcauses....................4,121 100.0 21.1 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 1,63239.68.3 2 Malignantneoplasms . . . . . . . .(C00–C97) 50312.22.6 3 Assault(homicide)......(X85–Y09,Y87.1) 2466.01.3 4 Intentionalself-harm (suicide)...........(X60–X84,Y87.0) 2425.91.2 5 Congenitalmalformations,deformationsand chromosomal abnormalities. . . .(Q00–Q99) 2215.41.1 6 Diseasesofheart..(I00–I09,I11,I13,I20–I51)1613.90.8 7 Chroniclowerrespiratory diseases...............(J40–J47) 902.20.5 8 Influenzaandpneumonia . . . . . (J10–J18) 471.10.2 9 Cerebrovasculardiseases......(I60–I69) 390.90.2 10 Insituneoplasms,benignneoplasmsand neoplasms ofuncertainorunknown behavior. . . . . . . . . . . . . . .(D00–D48) 370.90.2 . ..Allothercauses...........(Residual) 90321.94.6 All races,bothsexes,15–19years . ..Allcauses....................13,778 100.0 69.8 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 6,68848.533.9 2 Assault(homicide)......(X85–Y09,Y87.1) 2,09315.210.6 3 Intentionalself-harm (suicide)...........(X60–X84,Y87.0) 1,61511.78.2 4 Malignantneoplasms . . . . . . . .(C00–C97) 7455.43.8 5 Diseasesofheart..(I00–I09,I11,I13,I20–I51)4633.42.3 6 Congenitalmalformations,deformationsand chromosomal abnormalities. . . .(Q00–Q99) 2221.61.1 7 Chroniclowerrespiratory diseases...............(J40–J47) 1070.80.5 8 Influenzaandpneumonia . . . . . (J10–J18) 730.50.4 9 Cerebrovasculardiseases......(I60–I69) 670.50.3 10 Insituneoplasms,benignneoplasmsand neoplasms ofuncertainorunknown behavior. . . . . . . . . . . . . . .(D00–D48) 520.40.3 . ..Allothercauses...........(Residual) 1,65312.08.4 All races,bothsexes,20–24years . ..Allcauses....................16,878 100.0 93.6 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 6,96841.338.7 2 Assault(homicide)......(X85–Y09,Y87.1) 2,90517.216.1 3 Intentionalself-harm (suicide)...........(X60–X84,Y87.0) 2,28613.512.7 4 Malignantneoplasms . . . . . . . .(C00–C97) 9795.85.4 5 Diseasesofheart..(I00–I09,I11,I13,I20–I51)6063.63.4 6 Congenitalmalformations,deformationsand chromosomal abnormalities. . . .(Q00–Q99) 2121.31.2 7 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 1671.00.9 8 Cerebrovasculardiseases......(I60–I69) 1150.70.6 9 Influenzaandpneumonia . . . . . (J10–J18) 1060.60.6 10 Diabetesmellitus . . . . . . . . . . (E10–E14) 1040.60.6 . ..Allothercauses...........(Residual) 2,43014.413.5 Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),race,sex,andageNumber2 Percent of total deaths2 Rate2 All races,bothsexes,allages3 . ..Allcauses....................2,391,399 100.0877.0 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)725,19230.3265.9 2 Malignantneoplasms . . . . . . . .(C00–C97) 549,83823.0201.6 3 Cerebrovasculardiseases......(I60–I69) 167,3667.061.4 4 Chroniclowerrespiratory diseases...............(J40–J47) 124,1815.245.5 5 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 97,8604.135.9 6 Diabetesmellitus . . . . . . . . . (E10–E14) 68,3992.925.1 7 Influenzaandpneumonia . . . . . (J10–J18) 63,7302.723.4 8 Alzheimer’sdisease............(G30) 44,5361.916.3 9 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)35,5251.513.0 10Septicemia.............(A40–A41) 30,6801.311.3 . ..Allothercauses...........(Residual) 484,09220.2177.5 All races,bothsexes,1–4years . ..Allcauses....................5,249 100.0 34.7 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 1,89836.212.6 2 Congenitalmalformations,deformationsand chromosomal abnormalities...(Q00–Q99)54910.53.6 3 Malignantneoplasms . . . . . . . .(C00–C97) 4188.02.8 4 Assault(homicide)......(X85–Y09,Y87.1) 3767.22.5 5 Diseasesofheart..(I00–I09,I11,I13,I20–I51)1833.51.2 6 Influenzaandpneumonia . . . . . (J10–J18) 1302.50.9 7 Certainconditionsoriginatinginthe perinatalperiod...........(P00–P96) 921.80.6 8 Septicemia..............(A40–A41) 871.70.6 9 Insituneoplasms,benignneoplasmsand neoplasms ofuncertainorunknown behavior. . . . . . . . . . . . . . .(D00–D48) 631.20.4 10 Chroniclowerrespiratory diseases...............(J40–J47) 541.00.4 . ..Allothercauses...........(Residual) 1,39926.79.3 All races,bothsexes,5–9years . ..Allcauses....................3,474 100.0 17.4 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 1,45942.07.3 2 Malignantneoplasms . . . . . . . .(C00–C97) 50914.72.6 3 Congenitalmalformations,deformationsand chromosomal abnormalities. . . .(Q00–Q99) 2076.01.0 4 Assault(homicide)......(X85–Y09,Y87.1) 1865.40.9 5 Diseasesofheart..(I00–I09,I11,I13,I20–I51)1163.30.6 6 Insituneoplasms,benignneoplasmsand neoplasms ofuncertainorunknown behavior. . . . . . . . . . . . . . .(D00–D48) 641.80.3 7 Chroniclowerrespiratory diseases...............(J40–J47) 491.40.2 8 Septicemia..............(A40–A41) 471.40.2 9 Influenzaandpneumonia . . . . . (J10–J18) 461.30.2 10 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 381.10.2 . ..Allothercauses...........(Residual) 75321.73.8 See footnotesatendoftable. 14 National VitalStatisticsReport,Vol.49,No.11,October12,2001Table1.Deaths,percentoftotaldeaths,anddeathratesforthe10leadingcausesofdeathinselectedagegroups,by race andsex:UnitedStates,1999—Con. [Rates per100,000populationinspecifiedgroup.Dataforracesotherthanwhiteandblackshouldbeinterpretedwithcautionbecauseofinconsistencies betweenreporting race ondeathcertificatesandoncensusesandsurveys;seeTechnicalnotes] Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),race,sex,andageNumber2 Percent of total deaths2 Rate2 All races,bothsexes,25–34years . ..Allcauses....................41,066 100.0 108.3 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 11,89029.031.3 2 Intentionalself-harm (suicide)...........(X60–X84,Y87.0) 5,10612.413.5 3 Assault(homicide)......(X85–Y09,Y87.1) 4,23110.311.2 4 Malignantneoplasms . . . . . . . .(C00–C97) 4,0059.810.6 5 Diseasesofheart..(I00–I09,I11,I13,I20–I51)3,0667.58.1 6 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 2,7296.67.2 7 Diabetesmellitus . . . . . . . . . . (E10–E14) 5821.41.5 8 Cerebrovasculardiseases......(I60–I69) 5801.41.5 9 Congenitalmalformations,deformationsand chromosomal abnormalities. . . .(Q00–Q99) 4651.11.2 10 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . (K70,K73–K74) 4071.01.1 . ..Allothercauses...........(Residual) 8,00519.521.1 All races,bothsexes,35–44years . ..Allcauses....................89,256 100.0 199.2 1 Malignantneoplasms . . . . . . . .(C00–C97) 16,73218.737.3 2 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 15,23117.134.0 3 Diseasesofheart..(I00–I09,I11,I13,I20–I51)13,60015.230.3 4 Intentionalself-harm (suicide)...........(X60–X84,Y87.0) 6,4667.214.4 5 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 6,2327.013.9 6 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . (K70,K73–K74) 3,3023.77.4 7 Assault(homicide)......(X85–Y09,Y87.1) 3,2063.67.2 8 Cerebrovasculardiseases......(I60–I69) 2,5742.95.7 9 Diabetesmellitus . . . . . . . . . . (E10–E14) 1,9422.24.3 10 Influenzaandpneumonia . . . . . (J10–J18) 1,0631.22.4 . ..Allothercauses...........(Residual) 18,90821.242.2 All races,bothsexes,45–54years . ..Allcauses.................... 152,974 100.0427.3 1 Malignantneoplasms . . . . . . . .(C00–C97) 46,68130.5130.4 2 Diseasesofheart..(I00–I09,I11,I13,I20–I51)34,99422.997.7 3 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 11,6397.632.5 4 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . . (K70,K73–K74) 6,3684.217.8 5 Cerebrovasculardiseases......(I60–I69) 5,5633.615.5 6 Intentionalself-harm (suicide)...........(X60–X84,Y87.0) 5,0813.314.2 7 Diabetesmellitus . . . . . . . . . . (E10–E14) 4,7353.113.2 8 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 3,9072.610.9 9 Chroniclowerrespiratorydiseases(J40–J47)3,1102.08.7 10 Influenzaandpneumonia . . . . . (J10–J18) 1,6971.14.7 . ..Allothercauses...........(Residual) 29,19919.181.6 See footnotesatendoftable. Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),race,sex,andageNumber2 Percent of total deaths2 Rate2 All races,bothsexes,55–64years . ..Allcauses.................... 238,979 100.01,021.8 1 Malignantneoplasms . . . . . . . . (C00-C97) 89,06737.3380.8 2 Diseasesofheart..(I00–I09,I11,I13,I20–I51)64,16726.9274.3 3 Chroniclowerrespiratorydiseases(J40–J47)11,2974.748.3 4 Cerebrovasculardiseases......(I60–I69) 9,6524.041.3 5 Diabetesmellitus . . . . . . . . . . (E10–E14) 9,0973.838.9 6 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 7,2853.031.1 7 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . (K70,K73–K74) 5,6372.424.1 8 Intentionalself-harm (suicide)...........(X60–X84,Y87.0) 2,8961.212.4 9 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)2,8641.212.2 10Septicemia..............(A40–A41) 2,7141.111.6 . ..Allothercauses...........(Residual) 34,30314.4146.7 All races,bothsexes,65yearsandover . ..Allcauses....................1,797,331 100.05,203.6 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)607,26533.81,758.12 2 Malignantneoplasms . . . . . . . .(C00–C97) 390,12221.71,129.53 3 Cerebrovasculardiseases......(I60–I69) 148,5998.3430.2 4 Chroniclowerrespiratorydiseases(J40–J47)108,1126.0313.0 5 Influenzaandpneumonia . . . . . (J10–J18) 57,2823.2165.8 6 Diabetesmellitus . . . . . . . . . . (E10–E14) 51,8432.9150.1 7 Alzheimer’sdisease............(G30) 44,0202.4127.4 8 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 32,2191.893.3 9 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)29,9381.786.7 10Septicemia..............(A40–A41) 24,6261.471.3 . ..Allothercauses...........(Residual) 303,30516.9878.1 . ..Allraces,bothsexes,65–74years . ..Allcauses.................... 452,600 100.02,484.3 1 Malignantneoplasms . . . . . . . .(C00–C97) 152,33833.7836.2 2 Diseasesofheart..(I00–I09,I11,I13,I20–I51)129,25328.6709.5 3 Chroniclowerrespiratorydiseases(J40–J47)32,6447.2179.2 4 Cerebrovasculardiseases......(I60–I69) 24,0925.3132.2 5 Diabetesmellitus . . . . . . . . . . (E10–E14) 16,9083.792.8 6 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 8,2081.845.1 7 Influenzaandpneumonia . . . . . (J10–J18) 6,8611.537.7 8 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)6,8411.537.6 9 Septicemia..............(A40–A41) 5,7501.331.6 10 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . (K70,K73–K74) 5,6421.231.0 . ..Allothercauses...........(Residual) 64,06314.2351.6 National VitalStatisticsReport,Vol.49,No.11,October12,2001 15Table1.Deaths,percentoftotaldeaths,anddeathratesforthe10leadingcausesofdeathinselectedagegroups,by race andsex:UnitedStates,1999—Con. [Rates per100,000populationinspecifiedgroup.Dataforracesotherthanwhiteandblackshouldbeinterpretedwithcautionbecauseofinconsistencies betweenreporting race ondeathcertificatesandoncensusesandsurveys;seeTechnicalnotes] Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),race,sex,andageNumber2 Percent of total deaths2 Rate2 All races,bothsexes,75–84years . ..Allcauses.................... 698,590 100.05,751.3 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)226,15232.41,861.8 2 Malignantneoplasms . . . . . . . .(C00–C97) 162,77023.31,340.0 3 Cerebrovasculardiseases......(I60–I69) 57,4278.2472.8 4 Chroniclowerrespiratorydiseases(J40–J47)48,6357.0400.4 5 Diabetesmellitus . . . . . . . . . . (E10–E14) 21,7573.1179.1 6 Influenzaandpneumonia . . . . . (J10–J18) 19,1922.7158.0 7 Alzheimer’sdisease............(G30) 15,8362.3130.4 8 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 12,2821.8101.1 9 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)11,9271.798.2 10Septicemia..............(A40–A41) 9,7101.479.9 . ..Allothercauses...........(Residual) 112,90216.2929.5 All races,bothsexes,85yearsandover . ..Allcauses.................... 646,141 100.015,476.1 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)251,86039.06,032.5 2 Malignantneoplasms . . . . . . . .(C00–C97) 75,01411.61,796.7 3 Cerebrovasculardiseases......(I60–I69) 67,08010.41,606.7 4 Influenzaandpneumonia . . . . . (J10–J18) 31,2294.8748.0 5 Chroniclowerrespiratory diseases...............(J40–J47) 26,8334.2642.7 6 Alzheimer’sdisease............(G30) 24,9803.9598.3 7 Diabetesmellitus . . . . . . . . . . (E10–E14) 13,1782.0315.6 8 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 11,7291.8280.9 9 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)11,1701.7267.5 10Septicemia..............(A40–A41) 9,1661.4219.5 . ..Allothercauses...........(Residual) 123,90219.22,967.7 All races,male,allages3 . ..Allcauses....................1,175,460 100.0882.0 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)351,61729.9263.8 2 Malignantneoplasms . . . . . . . .(C00–C97) 285,83224.3214.5 3 Cerebrovasculardiseases......(I60–I69) 64,4855.548.4 4 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 63,5355.447.7 5 Chroniclowerrespiratorydiseases(J40–J47)62,4155.346.8 6 Diabetesmellitus . . . . . . . . . . (E10–E14) 31,1502.723.4 7 Influenzaandpneumonia . . . . . (J10–J18) 27,7182.420.8 8 Intentionalself-harm (suicide)...........(X60–X84,Y87.0) 23,4582.017.6 9 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . (K70,K73–K74) 17,1151.512.8 10 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)17,0161.412.8 . ..Allothercauses...........(Residual) 231,11919.7173.4 See footnotesatendoftable. Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),race,sex,andageNumber2 Percent of total deaths2 Rate2 All races,male,1–4years . ..Allcauses....................2,975 100.0 38.5 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 1,12737.914.6 2 Congenitalmalformations,deformationsand chromosomal abnormalities. . . .(Q00–Q99) 31010.44.0 3 Malignantneoplasms . . . . . . . .(C00–C97) 2277.62.9 4 Assault(homicide)......(X85–Y09,Y87.1) 1946.52.5 5 Diseasesofheart..(I00–I09,I11,I13,I20–I51)1043.51.3 6 Influenzaandpneumonia . . . . . (J10–J18) 662.20.9 7 Certainconditionsoriginatinginthe perinatalperiod...........(P00–P96) 561.90.7 8 Septicemia..............(A40–A41) 481.60.6 9 Insituneoplasms,benignneoplasms and neoplasmsofuncertainor unknown behavior . . . . . . . .(D00–D48) 331.10.4 10 Chroniclowerrespiratorydiseases(J40–J47)301.00.4 . ..Allothercauses...........(Residual) 78026.210.1 All races,male,5–9years . ..Allcauses....................1,964 100.0 19.2 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 89745.78.8 2 Malignantneoplasms . . . . . . . .(C00–C97) 27914.22.7 3 Congenitalmalformations,deformationsand chromosomal abnormalities. . . .(Q00–Q99) 1025.21.0 4 Assault(homicide)......(X85–Y09,Y87.1) 954.80.9 5 Diseasesofheart..(I00–I09,I11,I13,I20–I51)663.40.6 6 Insituneoplasms,benignneoplasms and neoplasmsofuncertainor unknown behavior . . . . . . . .(D00–D48) 301.50.3 7 Chroniclowerrespiratory diseases...............(J40–J47) 291.50.3 8 Influenzaandpneumonia . . . . . (J10–J18) 271.40.3 9 Septicemia..............(A40–A41) 221.10.2 10 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 201.00.2 . ..Allothercauses...........(Residual) 39720.23.9 All races,male,10–14years . ..Allcauses....................2,528 100.0 25.3 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 1,07742.610.8 2 Malignantneoplasms . . . . . . . .(C00–C97) 27610.92.8 3 Intentionalself-harm (suicide)...........(X60–X84,Y87.0) 1927.61.9 4 Assault(homicide)......(X85–Y09,Y87.1) 1556.11.5 5 Congenitalmalformations,deformationsand chromosomal abnormalities. . . .(Q00–Q99) 1134.51.1 6 Diseasesofheart..(I00–I09,I11,I13,I20–I51)913.60.9 7 Chroniclowerrespiratory diseases...............(J40–J47) 642.50.6 8 Influenzaandpneumonia . . . . . (J10–J18) 261.00.3 9 Insituneoplasms,benignneoplasms and neoplasmsofuncertainor unknown behavior . . . . . . . .(D00–D48) 190.8* 10Cerebrovasculardiseases......(I60–I69) 170.7* . ..Allothercauses...........(Residual) 49819.75.0 16 National VitalStatisticsReport,Vol.49,No.11,October12,2001Table1.Deaths,percentoftotaldeaths,anddeathratesforthe10leadingcausesofdeathinselectedagegroups,by race andsex:UnitedStates,1999—Con. [Rates per100,000populationinspecifiedgroup.Dataforracesotherthanwhiteandblackshouldbeinterpretedwithcautionbecauseofinconsistencies betweenreporting race ondeathcertificatesandoncensusesandsurveys;seeTechnicalnotes] Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),race,sex,andageNumber2 Percent of total deaths2 Rate2 All races,male,15–19years . ..Allcauses....................9,780 100.0 96.3 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 4,62447.345.6 2 Assault(homicide)......(X85–Y09,Y87.1) 1,74817.917.2 3 Intentionalself-harm (suicide)...........(X60–X84,Y87.0) 1,34713.813.3 4 Malignantneoplasms . . . . . . . .(C00–C97) 4484.64.4 5 Diseasesofheart..(I00–I09,I11,I13,I20–I51)2973.02.9 6 Congenitalmalformations,deformationsand chromosomal abnormalities. . . .(Q00–Q99) 1391.41.4 7 Chroniclowerrespiratory diseases...............(J40–J47) 600.60.6 8 Cerebrovasculardiseases......(I60–I69) 360.40.4 9 Influenzaandpneumonia . . . . . (J10–J18) 340.30.3 10 Insituneoplasms,benignneoplasmsand neoplasms ofuncertainorunknown behavior . . . . . . . . . . . . . .(D00–D48) 260.30.3 . ..Allothercauses...........(Residual) 1,02110.410.1 All races,male,20–24years . ..Allcauses....................12,634 100.0 137.6 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 5,41642.959.0 2 Assault(homicide)......(X85–Y09,Y87.1) 2,44319.326.6 3 Intentionalself-harm (suicide)...........(X60–X84,Y87.0) 1,97915.721.6 4 Malignantneoplasms . . . . . . . .(C00–C97) 5754.66.3 5 Diseasesofheart..(I00–I09,I11,I13,I20–I51)3672.94.0 6 Congenitalmalformations,deformationsand chromosomal abnormalities. . . .(Q00–Q99) 1231.01.3 7 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 800.60.9 8 Chroniclowerrespiratory diseases...............(J40–J47) 630.50.7 9 Cerebrovasculardiseases......(I60–I69) 590.50.6 10 Influenzaandpneumonia . . . . . (J10–J18) 560.40.6 . ..Allothercauses...........(Residual) 1,47311.716.0 All races,male,25–34years . ..Allcauses....................28,276 100.0 150.2 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 9,09732.248.3 2 Intentionalself-harm (suicide)...........(X60–X84,Y87.0) 4,19414.822.3 3 Assault(homicide)......(X85–Y09,Y87.1) 3,34611.817.8 4 Diseasesofheart..(I00–I09,I11,I13,I20–I51)1,9887.010.6 5 Malignantneoplasms . . . . . . . .(C00–C97) 1,9596.910.4 6 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 1,9146.810.2 7 Diabetesmellitus . . . . . . . . . . (E10–E14) 3191.11.7 8 Cerebrovasculardiseases......(I60–I69) 2991.11.6 9 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . (K70,K73–K74) 2570.91.4 10 Congenitalmalformations,deformationsand chromosomal abnormalities. . . .(Q00–Q99) 2420.91.3 . ..Allothercauses...........(Residual) 4,66116.524.8 See footnotesatendoftable. Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),race,sex,andageNumber2 Percent of total deaths2 Rate2 All races,male,35–44years . ..Allcauses....................57,118 100.0 256.7 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 11,24819.750.5 2 Diseasesofheart..(I00–I09,I11,I13,I20–I51)9,64016.943.3 3 Malignantneoplasms . . . . . . . .(C00–C97) 7,47113.133.6 4 Intentionalself-harm (suicide)...........(X60–X84,Y87.0) 5,0198.822.6 5 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 4,7068.221.1 6 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . (K70,K73–K74) 2,3144.110.4 7 Assault(homicide)......(X85–Y09,Y87.1) 2,3074.010.4 8 Cerebrovasculardiseases......(I60–I69) 1,3082.35.9 9 Diabetesmellitus . . . . . . . . . . (E10–E14) 1,1392.05.1 10 Influenzaandpneumonia . . . . . (J10–J18) 5921.02.7 . ..Allothercauses...........(Residual) 11,37419.951.1 All races,male,45–54years . ..Allcauses....................95,659 100.0 546.7 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)25,48926.6145.7 2 Malignantneoplasms . . . . . . . .(C00–C97) 23,63424.7135.1 3 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 8,6029.049.2 4 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . (K70,K73–K74) 4,8295.027.6 5 Intentionalself-harm (suicide)...........(X60–X84,Y87.0) 3,8544.022.0 6 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 3,1343.317.9 7 Cerebrovasculardiseases......(I60–I69) 2,9963.117.1 8 Diabetesmellitus . . . . . . . . . . (E10–E14) 2,7912.915.9 9 Chroniclowerrespiratory diseases...............(J40–J47) 1,5511.68.9 10Assault(homicide)......(X85–Y09,Y87.1) 1,2291.37.0 . ..Allothercauses...........(Residual) 17,55018.3100.3 All races,male,55–64years . ..Allcauses.................... 142,724 100.01,280.0 1 Malignantneoplasms . . . . . . . .(C00–C97) 48,83334.2437.9 2 Diseasesofheart..(I00–I09,I11,I13,I20–I51)43,66230.6391.6 3 Chroniclowerrespiratory diseases...............(J40–J47) 5,9584.253.4 4 Cerebrovasculardiseases......(I60–I69) 5,3053.747.6 5 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 5,0153.545.0 6 Diabetesmellitus . . . . . . . . . . (E10–E14) 4,8563.443.5 7 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . (K70,K73–K74) 3,9432.835.4 8 Intentionalself-harm (suicide)...........(X60–X84,Y87.0) 2,2551.620.2 9 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)1,5301.113.7 10 Influenzaandpneumonia . . . . . (J10–J18) 1,4621.013.1 . ..Allothercauses...........(Residual) 19,90513.9178.5 National VitalStatisticsReport,Vol.49,No.11,October12,2001 17Table1.Deaths,percentoftotaldeaths,anddeathratesforthe10leadingcausesofdeathinselectedagegroups,by race andsex:UnitedStates,1999—Con. [Rates per100,000populationinspecifiedgroup.Dataforracesotherthanwhiteandblackshouldbeinterpretedwithcautionbecauseofinconsistencies betweenreporting race ondeathcertificatesandoncensusesandsurveys;seeTechnicalnotes] Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),race,sex,andageNumber2 Percent of total deaths2 Rate2 All races,male,65yearsandover . ..Allcauses.................... 805,879 100.05,631.6 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)269,60633.51,884.0 2 Malignantneoplasms . . . . . . . .(C00–C97) 202,08825.11,412.2 3 Cerebrovasculardiseases......(I60–I69) 54,3606.7379.9 4 Chroniclowerrespiratory diseases...............(J40–J47) 54,0766.7377.9 5 Influenzaandpneumonia . . . . . (J10–J18) 24,0273.0167.9 6 Diabetesmellitus . . . . . . . . . . (E10–E14) 21,9432.7153.3 7 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 15,8442.0110.7 8 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)13,9631.797.6 9 Alzheimer’sdisease............(G30) 13,1371.691.8 10Septicemia..............(A40–A41) 10,1311.370.8 . ..Allothercauses...........(Residual) 126,70415.7885.4 All races,male,65–74years . ..Allcauses.................... 254,920 100.03,109.3 1 Malignantneoplasms . . . . . . . .(C00–C97) 84,54433.21,031.2 2 Diseasesofheart..(I00–I09,I11,I13,I20–I51)78,83630.9961.6 3 Chroniclowerrespiratory diseases...............(J40–J47) 17,4776.9213.2 4 Cerebrovasculardiseases......(I60–I69) 12,2204.8149.0 5 Diabetesmellitus . . . . . . . . . . (E10–E14) 8,2793.2101.0 6 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 4,9922.060.9 7 Influenzaandpneumonia . . . . . (J10–J18) 3,8931.547.5 8 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)3,5041.442.7 9 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . . (K70,K73–K74) 3,4541.442.1 10Septicemia..............(A40–A41) 2,9191.135.6 . ..Allothercauses...........(Residual) 34,80213.7424.5 All races,male,75–84years . ..Allcauses.................... 340,970 100.06,999.8 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)112,47033.02,308.9 2 Malignantneoplasms . . . . . . . .(C00–C97) 85,06024.91,746.2 3 Chroniclowerrespiratory diseases...............(J40–J47) 24,7057.2507.2 4 Cerebrovasculardiseases......(I60–I69) 24,0887.1494.5 5 Diabetesmellitus . . . . . . . . . . (E10–E14) 9,5392.8195.8 6 Influenzaandpneumonia . . . . . (J10–J18) 9,4582.8194.2 7 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 6,3721.9130.8 8 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)6,0311.8123.8 9 Alzheimer’sdisease............(G30) 5,9041.7121.2 10Septicemia..............(A40–A41) 4,4261.390.9 . ..Allothercauses...........(Residual) 52,91715.51,086.3 See footnotesatendoftable. Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),race,sex,andageNumber2 Percent of total deaths2 Rate2 All races,male,85yearsandover . ..Allcauses.................... 209,989 100.016,931.3 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)78,30037.36,313.3 2 Malignantneoplasms . . . . . . . .(C00–C97) 32,48415.52,619.2 3 Cerebrovasculardiseases......(I60–I69) 18,0528.61,455.5 4 Chroniclowerrespiratory diseases...............(J40–J47) 11,8945.7959.0 5 Influenzaandpneumonia . . . . . (J10–J18) 10,6765.1860.8 6 Alzheimer’sdisease............(G30) 5,7962.8467.3 7 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 4,4802.1361.2 8 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)4,4282.1357.0 9 Diabetesmellitus . . . . . . . . . . (E10–E14) 4,1252.0332.6 10 Pneumonitisduetosolidsandliquids.(J69)3,0831.5248.6 . ..Allothercauses...........(Residual) 36,67117.52,956.8 All races,female,allages3 . ..Allcauses....................1,215,939 100.0872.2 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)373,57530.7268.0 2 Malignantneoplasms . . . . . . . .(C00–C97) 264,00621.7189.4 3 Cerebrovasculardiseases......(I60–I69) 102,8818.573.8 4 Chroniclowerrespiratory diseases...............(J40–J47) 61,7665.144.3 5 Diabetesmellitus . . . . . . . . . . (E10–E14) 37,2493.126.7 6 Influenzaandpneumonia . . . . . (J10–J18) 36,0123.025.8 7 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 34,3252.824.6 8 Alzheimer’sdisease............(G30) 31,1452.622.3 9 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)18,5091.513.3 10Septicemia..............(A40–A41) 17,2851.412.4 . ..Allothercauses...........(Residual) 239,18619.7171.6 All races,female,1–4years . ..Allcauses....................2,274 100.0 30.8 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 77133.910.4 2 Congenitalmalformations,deformationsand chromosomal abnormalities. . . .(Q00–Q99) 23910.53.2 3 Malignantneoplasms . . . . . . . .(C00–C97) 1918.42.6 4 Assault(homicide)......(X85–Y09,Y87.1) 1828.02.5 5 Diseasesofheart..(I00–I09,I11,I13,I20–I51)793.51.1 6 Influenzaandpneumonia . . . . . (J10–J18) 642.80.9 7 Septicemia..............(A40–A41) 391.70.5 8 Certainconditionsoriginatinginthe perinatalperiod...........(P00–P96) 361.60.5 9 Insituneoplasms,benignneoplasms and neoplasmsofuncertainor unknown behavior . . . . . . . . .(D00–D48) 301.30.4 10Cerebrovasculardiseases......(I60–I69) 241.10.3 10 Chroniclowerrespiratory diseases...............(J40–J47) 241.10.3 . ..Allothercauses...........(Residual) 59526.28.0 18 National VitalStatisticsReport,Vol.49,No.11,October12,2001Table1.Deaths,percentoftotaldeaths,anddeathratesforthe10leadingcausesofdeathinselectedagegroups,by race andsex:UnitedStates,1999—Con. [Rates per100,000populationinspecifiedgroup.Dataforracesotherthanwhiteandblackshouldbeinterpretedwithcautionbecauseofinconsistencies betweenreporting race ondeathcertificatesandoncensusesandsurveys;seeTechnicalnotes] Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),race,sex,andageNumber2 Percent of total deaths2 Rate2 All races,female,5–9years . ..Allcauses....................1,510 100.0 15.5 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 56237.25.8 2 Malignantneoplasms . . . . . . . .(C00–C97) 23015.22.4 3 Congenitalmalformations,deformationsand chromosomal abnormalities. . . .(Q00–Q99) 1057.01.1 4 Assault(homicide)......(X85–Y09,Y87.1) 916.00.9 5 Diseasesofheart..(I00–I09,I11,I13,I20–I51)503.30.5 6 Insituneoplasms,benignneoplasms and neoplasmsofuncertainor unknown behavior . . . . . . . . .(D00–D48) 342.30.3 7 Septicemia..............(A40–A41) 251.70.3 8 Chroniclowerrespiratory diseases...............(J40–J47) 201.30.2 9 Influenzaandpneumonia . . . . . (J10–J18) 191.3* 10 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 181.2* . ..Allothercauses...........(Residual) 35623.63.7 All races,female,10–14years . ..Allcauses....................1,593 100.0 16.7 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 55534.85.8 2 Malignantneoplasms . . . . . . . .(C00–C97) 22714.22.4 3 Congenitalmalformations,deformationsand chromosomal abnormalities. . . .(Q00–Q99) 1086.81.1 4 Assault(homicide)......(X85–Y09,Y87.1) 915.71.0 5 Diseasesofheart..(I00–I09,I11,I13,I20–I51)704.40.7 6 Intentionalself-harm (suicide)...........(X60–X84,Y87.0) 503.10.5 7 Chroniclowerrespiratory diseases...............(J40–J47) 261.60.3 8 Cerebrovasculardiseases......(I60–I69) 221.40.2 9 Influenzaandpneumonia . . . . . (J10–J18) 211.30.2 10 Insituneoplasms,benignneoplasms and neoplasmsofuncertainor unknown behavior . . . . . . . . .(D00–D48) 181.1* . ..Allothercauses...........(Residual) 40525.44.2 All races,female,15–19years . ..Allcauses....................3,998 100.0 41.7 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 2,06451.621.5 2 Assault(homicide)......(X85–Y09,Y87.1) 3458.63.6 3 Malignantneoplasms . . . . . . . .(C00–C97) 2977.43.1 4 Intentionalself-harm (suicide)...........(X60–X84,Y87.0) 2686.72.8 5 Diseasesofheart..(I00–I09,I11,I13,I20–I51)1664.21.7 6 Congenitalmalformations,deformationsand chromosomal abnormalities. . . .(Q00–Q99) 832.10.9 7 Chroniclowerrespiratory diseases...............(J40–J47) 471.20.5 8 Influenzaandpneumonia . . . . . (J10–J18) 391.00.4 9 Pregnancy,childbirthandthe puerperium . . . . . . . . . . . . .(O00–O99) 330.80.3 10Cerebrovasculardiseases......(I60–I69) 310.80.3 . ..Allothercauses...........(Residual) 62515.66.5 See footnotesatendoftable. Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),race,sex,andageNumber2 Percent of total deaths2 Rate2 All races,female,20–24years . ..Allcauses....................4,244 100.0 48.0 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 1,55236.617.6 2 Assault(homicide)......(X85–Y09,Y87.1) 46210.95.2 3 Malignantneoplasms . . . . . . . .(C00–C97) 4049.54.6 4 Intentionalself-harm (suicide)...........(X60–X84,Y87.0) 3077.23.5 5 Diseasesofheart..(I00–I09,I11,I13,I20–I51)2395.62.7 6 Congenitalmalformations,deformationsand chromosomal abnormalities. . . .(Q00–Q99) 892.11.0 7 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 872.01.0 8 Pregnancy,childbirthandthe puerperium . . . . . . . . . . . . .(O00–O99) 641.50.7 9 Cerebrovasculardiseases......(I60–I69) 561.30.6 10 Influenzaandpneumonia . . . . . (J10–J18) 501.20.6 . ..Allothercauses...........(Residual) 93422.010.6 All races,female,25–34years . ..Allcauses12,790100.066.9 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 2,79321.814.6 2 Malignantneoplasms . . . . . . . .(C00–C97) 2,04616.010.7 3 Diseasesofheart..(I00–I09,I11,I13,I20–I51)1,0788.45.6 4 Intentionalself-harm (suicide)...........(X60–X84,Y87.0) 9127.14.8 5 Assault(homicide)......(X85–Y09,Y87.1) 8856.94.6 6 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 8156.44.3 7 Cerebrovasculardiseases......(I60–I69) 2812.21.5 8 Diabetesmellitus . . . . . . . . . . (E10–E14) 2632.11.4 9 Congenitalmalformations,deformationsand chromosomal abnormalities. . . .(Q00–Q99) 2231.71.2 10 Pregnancy,childbirthandthe puerperium . . . . . . . . . . . . .(O00–O99) 1811.40.9 . ..Allothercauses...........(Residual) 3,31325.917.3 All races,female,35–44years . ..Allcauses32,138100.0142.5 1 Malignantneoplasms . . . . . . . .(C00–C97) 9,26128.841.1 2 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 3,98312.417.7 3 Diseasesofheart..(I00–I09,I11,I13,I20–I51)3,96012.317.6 4 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 1,5264.76.8 5 Intentionalself-harm (suicide)...........(X60–X84,Y87.0) 1,4474.56.4 6 Cerebrovasculardiseases......(I60–I69) 1,2663.95.6 7 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . . (K70,K73–K74) 9883.14.4 8 Assault(homicide)......(X85–Y09,Y87.1) 8992.84.0 9 Diabetesmellitus . . . . . . . . . . (E10–E14) 8032.53.6 10 Chroniclowerrespiratory diseases...............(J40–J47) 4801.52.1 . ..Allothercauses...........(Residual) 7,52523.433.4 National VitalStatisticsReport,Vol.49,No.11,October12,2001 19Table1.Deaths,percentoftotaldeaths,anddeathratesforthe10leadingcausesofdeathinselectedagegroups,by race andsex:UnitedStates,1999—Con. [Rates per100,000populationinspecifiedgroup.Dataforracesotherthanwhiteandblackshouldbeinterpretedwithcautionbecauseofinconsistencies betweenreporting race ondeathcertificatesandoncensusesandsurveys;seeTechnicalnotes] Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),race,sex,andageNumber2 Percent of total deaths2 Rate2 All races,female,45–54years . ..Allcauses....................57,315 100.0 313.1 1 Malignantneoplasms . . . . . . . .(C00–C97) 23,04740.2125.9 2 Diseasesofheart..(I00–I09,I11,I13,I20–I51)9,50516.651.9 3 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 3,0375.316.6 4 Cerebrovasculardiseases......(I60–I69) 2,5674.514.0 5 Diabetesmellitus . . . . . . . . . . (E10–E14) 1,9443.410.6 6 Chroniclowerrespiratory diseases...............(J40–J47) 1,5592.78.5 7 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . . (K70,K73–K74) 1,5392.78.4 8 Intentionalself-harm (suicide)...........(X60–X84,Y87.0) 1,2272.16.7 9 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 7731.34.2 10Septicemia..............(A40–A41) 7661.34.2 . ..Allothercauses...........(Residual) 11,35119.862.0 All races,female,55–64years . ..Allcauses....................96,255 100.0 786.5 1 Malignantneoplasms . . . . . . . .(C00–C97) 40,23441.8328.7 2 Diseasesofheart..(I00–I09,I11,I13,I20–I51)20,50521.3167.5 3 Chroniclowerrespiratory diseases...............(J40–J47) 5,3395.543.6 4 Cerebrovasculardiseases......(I60–I69) 4,3474.535.5 5 Diabetesmellitus . . . . . . . . . . (E10–E14) 4,2414.434.7 6 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 2,2702.418.5 7 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . . (K70,K73–K74) 1,6941.813.8 8 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)1,3341.410.9 9 Septicemia..............(A40–A41) 1,3021.410.6 10 Influenzaandpneumonia . . . . . (J10–J18) 1,1631.29.5 . ..Allothercauses...........(Residual) 13,82614.4113.0 All races,female,65yearsandover . ..Allcauses.................... 991,452 100.04,900.9 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)337,65934.11,669.1 2 Malignantneoplasms . . . . . . . .(C00–C97) 188,03419.0929.5 3 Cerebrovasculardiseases......(I60–I69) 94,2399.5465.8 4 Chroniclowerrespiratory diseases...............(J40–J47) 54,0365.5267.1 5 Influenzaandpneumonia . . . . . (J10–J18) 33,2553.4164.4 6 Alzheimer’sdisease............(G30) 30,8833.1152.7 7 Diabetesmellitus . . . . . . . . . . (E10–E14) 29,9003.0147.8 8 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 16,3751.780.9 9 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)15,9751.679.0 10Septicemia..............(A40–A41) 14,4951.571.7 . ..Allothercauses...........(Residual) 176,60117.8873.0 See footnotesatendoftable. Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),race,sex,andageNumber2 Percent of total deaths2 Rate2 All races,female,65–74years . ..Allcauses.................... 197,680 100.01,972.9 1 Malignantneoplasms . . . . . . . .(C00–C97) 67,79434.3676.6 2 Diseasesofheart..(I00–I09,I11,I13,I20–I51)50,41725.5503.2 3 Chroniclowerrespiratory diseases...............(J40–J47) 15,1677.7151.4 4 Cerebrovasculardiseases......(I60–I69) 11,8726.0118.5 5 Diabetesmellitus . . . . . . . . . . (E10–E14) 8,6294.486.1 6 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)3,3371.733.3 7 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 3,2161.632.1 8 Influenzaandpneumonia . . . . . (J10–J18) 2,9681.529.6 9 Septicemia..............(A40–A41) 2,8311.428.3 10 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . . (K70,K73–K74) 2,1881.121.8 . ..Allothercauses...........(Residual) 29,26114.8292.0 All races,female,75–84years . ..Allcauses.................... 357,620 100.04,915.4 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)113,68231.81,562.5 2 Malignantneoplasms . . . . . . . .(C00–C97) 77,71021.71,068.1 3 Cerebrovasculardiseases......(I60–I69) 33,3399.3458.2 4 Chroniclowerrespiratory diseases...............(J40–J47) 23,9306.7328.9 5 Diabetesmellitus . . . . . . . . . . (E10–E14) 12,2183.4167.9 6 Alzheimer’sdisease............(G30) 9,9322.8136.5 7 Influenzaandpneumonia . . . . . (J10–J18) 9,7342.7133.8 8 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 5,9101.781.2 9 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)5,8961.681.0 10Septicemia..............(A40–A41) 5,2841.572.6 . ..Allothercauses...........(Residual) 59,98516.8824.5 All races,female,85yearsandover . ..Allcauses.................... 436,152 100.014,861.2 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)173,56039.85,913.8 2 Cerebrovasculardiseases......(I60–I69) 49,02811.21,670.6 3 Malignantneoplasms . . . . . . . .(C00–C97) 42,5309.81,449.1 4 Influenzaandpneumonia . . . . . (J10–J18) 20,5534.7700.3 5 Alzheimer’sdisease............(G30) 19,1844.4653.7 6 Chroniclowerrespiratory diseases...............(J40–J47) 14,9393.4509.0 7 Diabetesmellitus . . . . . . . . . . (E10–E14) 9,0532.1308.5 8 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 7,2491.7247.0 9 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)6,7421.5229.7 10Septicemia..............(A40–A41) 6,3801.5217.4 . ..Allothercauses...........(Residual) 86,93419.92,962.1 20 National VitalStatisticsReport,Vol.49,No.11,October12,2001Table1.Deaths,percentoftotaldeaths,anddeathratesforthe10leadingcausesofdeathinselectedagegroups,by race andsex:UnitedStates,1999—Con. [Rates per100,000populationinspecifiedgroup.Dataforracesotherthanwhiteandblackshouldbeinterpretedwithcautionbecauseofinconsistencies betweenreporting race ondeathcertificatesandoncensusesandsurveys;seeTechnicalnotes] Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),race,sex,andageNumber2 Percent of total deaths2 Rate2 White, bothsexes,allages3 . ..Allcauses....................2,061,348 100.0917.7 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)635,11830.8282.8 2 Malignantneoplasms . . . . . . . .(C00–C97) 477,23823.2212.5 3 Cerebrovasculardiseases......(I60–I69) 144,8277.064.5 4 Chroniclowerrespiratory diseases...............(J40–J47) 114,7355.651.1 5 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 82,2454.036.6 6 Influenzaandpneumonia . . . . . (J10–J18) 56,6942.825.2 7 Diabetesmellitus . . . . . . . . . . (E10–E14) 54,5992.624.3 8 Alzheimer’sdisease............(G30) 41,8772.018.6 9 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)28,0411.412.5 10 Intentionalself-harm (suicide)...........(X60–X84,Y87.0) 26,3001.311.7 . ..Allothercauses...........(Residual) 399,67419.4177.9 White, bothsexes,1–4years . ..Allcauses....................3,690 100.0 30.7 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 1,37437.211.4 2 Congenitalmalformations,deformationsand chromosomal abnormalities. . . .(Q00–Q99) 38510.43.2 3 Malignantneoplasms . . . . . . . .(C00–C97) 3539.62.9 4 Assault(homicide)......(X85–Y09,Y87.1) 2085.61.7 5 Diseasesofheart..(I00–I09,I11,I13,I20–I51)1243.41.0 6 Influenzaandpneumonia . . . . . (J10–J18) 752.00.6 7 Septicemia..............(A40–A41) 601.60.5 8 Certainconditionsoriginatinginthe perinatalperiod...........(P00–P96) 561.50.5 9 Insituneoplasms,benignneoplasms and neoplasmsofuncertainor unknown behavior . . . . . . . . .(D00–D48) 481.30.4 10Cerebrovasculardiseases......(I60–I69) 340.90.3 . ..Allothercauses...........(Residual) 97326.48.1 White, bothsexes,5–9years . ..Allcauses....................2,450 100.0 15.6 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 1,01141.36.4 2 Malignantneoplasms . . . . . . . .(C00–C97) 39716.22.5 3 Congenitalmalformations,deformationsand chromosomal abnormalities. . . .(Q00–Q99) 1445.90.9 4 Assault(homicide)......(X85–Y09,Y87.1) 1064.30.7 5 Diseasesofheart..(I00–I09,I11,I13,I20–I51)833.40.5 6 Insituneoplasms,benignneoplasms and neoplasmsofuncertainor unknown behavior . . . . . . . . .(D00–D48) 522.10.3 7 Influenzaandpneumonia . . . . . (J10–J18) 361.50.2 8 Septicemia..............(A40–A41) 351.40.2 9 Chroniclowerrespiratory diseases...............(J40–J47) 291.20.2 10Cerebrovasculardiseases......(I60–I69) 230.90.1 . ..Allothercauses...........(Residual) 53421.83.4 See footnotesatendoftable. Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),race,sex,andageNumber2 Percent of total deaths2 Rate2 White, bothsexes,10–14years . ..Allcauses....................3,043 100.0 19.8 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 1,25941.48.2 2 Malignantneoplasms . . . . . . . .(C00–C97) 38312.62.5 3 Intentionalself-harm (suicide)...........(X60–X84,Y87.0) 2046.71.3 4 Congenitalmalformations,deformationsand chromosomal abnormalities. . . .(Q00–Q99) 1575.21.0 5 Assault(homicide)......(X85–Y09,Y87.1) 1555.11.0 6 Diseasesofheart..(I00–I09,I11,I13,I20–I51)1103.60.7 7 Chroniclowerrespiratory diseases...............(J40–J47) 421.40.3 8 Influenzaandpneumonia . . . . . (J10–J18) 361.20.2 9 Insituneoplasms,benignneoplasms and neoplasmsofuncertainor unknown behavior . . . . . . . . .(D00–D48) 321.10.2 10Cerebrovasculardiseases......(I60–I69) 260.90.2 . ..Allothercauses...........(Residual) 63921.04.2 White, bothsexes,15–19years . ..Allcauses....................10,355 100.0 66.2 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 5,64754.536.1 2 Intentionalself-harm (suicide)...........(X60–X84,Y87.0) 1,34413.08.6 3 Assault(homicide)......(X85–Y09,Y87.1) 8848.55.6 4 Malignantneoplasms . . . . . . . .(C00–C97) 5685.53.6 5 Diseasesofheart..(I00–I09,I11,I13,I20–I51)3213.12.1 6 Congenitalmalformations,deformationsand chromosomal abnormalities. . . .(Q00–Q99) 1701.61.1 7 Chroniclowerrespiratory diseases...............(J40–J47) 680.70.4 8 Influenzaandpneumonia . . . . . (J10–J18) 540.50.3 9 Cerebrovasculardiseases......(I60–I69) 460.40.3 10 Diabetesmellitus . . . . . . . . . . (E10–E14) 380.40.2 . ..Allothercauses...........(Residual) 1,21511.77.8 White, bothsexes,20–24years . ..Allcauses....................11,997 100.0 83.5 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 5,71747.739.8 2 Intentionalself-harm (suicide)...........(X60–X84,Y87.0) 1,87515.613.1 3 Assault(homicide)......(X85–Y09,Y87.1) 1,1809.88.2 4 Malignantneoplasms . . . . . . . .(C00–C97) 7596.35.3 5 Diseasesofheart..(I00–I09,I11,I13,I20–I51)3793.22.6 6 Congenitalmalformations,deformationsand chromosomal abnormalities. . . .(Q00–Q99) 1621.41.1 7 Cerebrovasculardiseases......(I60–I69) 890.70.6 8 Diabetesmellitus . . . . . . . . . . (E10–E14) 690.60.5 9 Influenzaandpneumonia . . . . . (J10–J18) 670.60.5 10 Chroniclowerrespiratory diseases...............(J40–J47) 570.50.4 . ..Allothercauses...........(Residual) 1,64313.711.4 National VitalStatisticsReport,Vol.49,No.11,October12,2001 21Table1.Deaths,percentoftotaldeaths,anddeathratesforthe10leadingcausesofdeathinselectedagegroups,by race andsex:UnitedStates,1999—Con. [Rates per100,000populationinspecifiedgroup.Dataforracesotherthanwhiteandblackshouldbeinterpretedwithcautionbecauseofinconsistencies betweenreporting race ondeathcertificatesandoncensusesandsurveys;seeTechnicalnotes] Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),race,sex,andageNumber2 Percent of total deaths2 Rate2 White, bothsexes,25–34years . ..Allcauses....................29,400 100.0 96.6 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 9,66132.931.7 2 Intentionalself-harm (suicide)...........(X60–X84,Y87.0) 4,34614.814.3 3 Malignantneoplasms . . . . . . . .(C00–C97) 3,14710.710.3 4 Diseasesofheart..(I00–I09,I11,I13,I20–I51)2,0487.06.7 5 Assault(homicide)......(X85–Y09,Y87.1) 1,9266.66.3 6 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 1,2024.13.9 7 Diabetesmellitus . . . . . . . . . . (E10–E14) 4091.41.3 8 Cerebrovasculardiseases......(I60–I69) 4021.41.3 9 Congenitalmalformations,deformationsand chromosomal abnormalities. . . .(Q00–Q99) 3861.31.3 10 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . . (K70,K73–K74) 3231.11.1 . ..Allothercauses...........(Residual) 5,55018.918.2 White, bothsexes,35–44years . ..Allcauses....................65,607 100.0 177.6 1 Malignantneoplasms . . . . . . . .(C00–C97) 13,06019.935.3 2 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 12,50019.133.8 3 Diseasesofheart..(I00–I09,I11,I13,I20–I51)9,71814.826.3 4 Intentionalself-harm (suicide)...........(X60–X84,Y87.0) 5,8608.915.9 5 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 2,9514.58.0 6 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . . (K70,K73–K74) 2,6764.17.2 7 Assault(homicide)......(X85–Y09,Y87.1) 1,7662.74.8 8 Cerebrovasculardiseases......(I60–I69) 1,6462.54.5 9 Diabetesmellitus . . . . . . . . . . (E10–E14) 1,3842.13.7 10 Influenzaandpneumonia . . . . . (J10–J18) 7141.11.9 . ..Allothercauses...........(Residual) 13,33220.336.1 White, bothsexes,45–54years . ..Allcauses....................117,011 100.0 386.8 1 Malignantneoplasms . . . . . . . .(C00–C97) 37,48932.0123.9 2 Diseasesofheart..(I00–I09,I11,I13,I20–I51)26,69322.888.2 3 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 9,3688.031.0 4 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . . (K70,K73–K74) 5,2304.517.3 5 Intentionalself-harm (suicide)...........(X60–X84,Y87.0) 4,7204.015.6 6 Cerebrovasculardiseases......(I60–I69) 3,6093.111.9 7 Diabetesmellitus . . . . . . . . . . (E10–E14) 3,3552.911.1 8 Chroniclowerrespiratory diseases...............(J40–J47) 2,4982.18.3 9 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 1,7651.55.8 10 Influenzaandpneumonia . . . . . (J10–J18) 1,2231.04.0 . ..Allothercauses...........(Residual) 21,06118.069.6 See footnotesatendoftable. Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),race,sex,andageNumber2 Percent of total deaths2 Rate2 White, bothsexes,55–64years . ..Allcauses.................... 193,582 100.0961.5 1 Malignantneoplasms . . . . . . . .(C00–C97) 74,56838.5370.4 2 Diseasesofheart..(I00–I09,I11,I13,I20–I51)51,27426.5254.7 3 Chroniclowerrespiratory diseases...............(J40–J47) 10,0565.249.9 4 Cerebrovasculardiseases......(I60–I69) 6,9403.634.5 5 Diabetesmellitus . . . . . . . . . . (E10–E14) 6,6093.432.8 6 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 5,9623.129.6 7 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . . (K70,K73–K74) 4,7602.523.6 8 Intentionalself-harm (suicide)...........(X60–X84,Y87.0) 2,6981.413.4 9 Influenzaandpneumonia . . . . . (J10–J18) 2,0591.110.2 10Septicemia..............(A40–A41) 1,9281.09.6 . ..Allothercauses...........(Residual) 26,72813.8132.8 White, bothsexes,65yearsandover . ..Allcauses....................1,605,875 100.05,231.3 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)543,98433.91,772.1 2 Malignantneoplasms . . . . . . . .(C00–C97) 346,45421.61,128.6 3 Cerebrovasculardiseases......(I60–I69) 131,9428.2429.8 4 Chroniclowerrespiratory diseases...............(J40–J47) 101,1516.3329.5 5 Influenzaandpneumonia . . . . . (J10–J18) 52,0223.2169.5 6 Diabetesmellitus . . . . . . . . . . (E10–E14) 42,7042.7139.1 7 Alzheimer’sdisease............(G30) 41,4052.6134.9 8 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 29,0951.894.8 9 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)24,6511.580.3 10Septicemia..............(A40–A41) 20,2021.365.8 . ..Allothercauses...........(Residual) 272,26517.0886.9 White, bothsexes,65–74years . ..Allcauses.................... 387,437 100.02,427.8 1 Malignantneoplasms . . . . . . . .(C00–C97) 132,70334.3831.5 2 Diseasesofheart..(I00–I09,I11,I13,I20–I51)109,57828.3686.6 3 Chroniclowerrespiratory diseases...............(J40–J47) 30,1117.8188.7 4 Cerebrovasculardiseases......(I60–I69) 19,5775.1122.7 5 Diabetesmellitus . . . . . . . . . . (E10–E14) 13,2303.482.9 6 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 7,0271.844.0 7 Influenzaandpneumonia . . . . . (J10–J18) 5,8321.536.5 8 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)5,0871.331.9 9 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . . (K70,K73–K74) 5,0731.331.8 10Septicemia..............(A40–A41) 4,4111.127.6 . ..Allothercauses...........(Residual) 54,80814.1343.4 22 National VitalStatisticsReport,Vol.49,No.11,October12,2001Table1.Deaths,percentoftotaldeaths,anddeathratesforthe10leadingcausesofdeathinselectedagegroups,by race andsex:UnitedStates,1999—Con. [Rates per100,000populationinspecifiedgroup.Dataforracesotherthanwhiteandblackshouldbeinterpretedwithcautionbecauseofinconsistencies betweenreporting race ondeathcertificatesandoncensusesandsurveys;seeTechnicalnotes] Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),race,sex,andageNumber2 Percent of total deaths2 Rate2 White, bothsexes,75–84years . ..Allcauses.................... 626,489 100.05,713.2 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)202,69232.41,848.4 2 Malignantneoplasms . . . . . . . .(C00–C97) 146,00923.31,331.5 3 Cerebrovasculardiseases......(I60–I69) 50,9178.1464.3 4 Chroniclowerrespiratory diseases...............(J40–J47) 45,6987.3416.7 5 Diabetesmellitus . . . . . . . . . . (E10–E14) 18,2172.9166.1 6 Influenzaandpneumonia . . . . . (J10–J18) 17,4052.8158.7 7 Alzheimer’sdisease............(G30) 14,8332.4135.3 8 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 11,1301.8101.5 9 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)9,9341.690.6 10Septicemia..............(A40–A41) 8,0351.373.3 . ..Allothercauses...........(Residual) 101,61916.2926.7 White, bothsexes,85yearsandover . ..Allcauses.................... 591,949 100.015,688.0 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)231,71439.16,140.9 2 Malignantneoplasms . . . . . . . .(C00–C97) 67,74211.41,795.3 3 Cerebrovasculardiseases......(I60–I69) 61,44810.41,628.5 4 Influenzaandpneumonia . . . . . (J10–J18) 28,7854.9762.9 5 Chroniclowerrespiratory diseases...............(J40–J47) 25,3424.3671.6 6 Alzheimer’sdisease............(G30) 23,6464.0626.7 7 Diabetesmellitus . . . . . . . . . . (E10–E14) 11,2571.9298.3 8 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 10,9381.8289.9 9 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)9,6301.6255.2 10 Atherosclerosis. . . . . . . . . . . . . . . (I70)7,8231.3 207.3 . ..Allothercauses...........(Residual) 113,62419.23,011.3 White, male,allages3 . ..Allcauses....................1,005,335 100.0911.2 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)307,58530.6278.8 2 Malignantneoplasms . . . . . . . .(C00–C97) 247,39624.6224.2 3 Chroniclowerrespiratory diseases...............(J40–J47) 57,0005.751.7 4 Cerebrovasculardiseases......(I60–I69) 54,8675.549.7 5 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 52,8985.347.9 6 Diabetesmellitus . . . . . . . . . . (E10–E14) 25,5452.523.2 7 Influenzaandpneumonia . . . . . (J10–J18) 24,2812.422.0 8 Intentionalself-harm (suicide)...........(X60–X84,Y87.0) 21,1072.119.1 9 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . . (K70,K73–K74) 14,7901.513.4 10 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)13,6321.412.4 . ..Allothercauses...........(Residual) 186,23418.5168.8 See footnotesatendoftable. Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),race,sex,andageNumber2 Percent of total deaths2 Rate2 White, male,1–4years . ..Allcauses....................2,084 100.0 33.9 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 81138.913.2 2 Congenitalmalformations,deformationsand chromosomal abnormalities. . . .(Q00–Q99) 21810.53.5 3 Malignantneoplasms . . . . . . . .(C00–C97) 1949.33.2 4 Assault(homicide)......(X85–Y09,Y87.1) 1085.21.8 5 Diseasesofheart..(I00–I09,I11,I13,I20–I51)743.61.2 6 Influenzaandpneumonia . . . . . (J10–J18) 331.60.5 7 Septicemia..............(A40–A41) 321.50.5 8 Certainconditionsoriginatinginthe perinatalperiod...........(P00–P96) 301.40.5 9 Insituneoplasms,benignneoplasms and neoplasmsofuncertainor unknown behavior . . . . . . . . .(D00–D48) 221.10.4 10 Meningitis. . . . . . . . . . . . . . . (G00,G03) 201.00.3 . ..Allothercauses...........(Residual) 54226.08.8 White, male,5–9years . ..Allcauses....................1,376 100.0 17.1 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 61144.47.6 2 Malignantneoplasms . . . . . . . .(C00–C97) 22416.32.8 3 Congenitalmalformations,deformationsand chromosomal abnormalities. . . .(Q00–Q99) 695.00.9 4 Assault(homicide)......(X85–Y09,Y87.1) 554.00.7 5 Diseasesofheart..(I00–I09,I11,I13,I20–I51)473.40.6 6 Insituneoplasms,benignneoplasms and neoplasmsofuncertainor unknown behavior . . . . . . . . .(D00–D48) 241.70.3 7 Influenzaandpneumonia . . . . . (J10–J18) 211.50.3 8 Septicemia..............(A40–A41) 181.3* 9 Cerebrovasculardiseases......(I60–I69) 161.2* 10 Chroniclowerrespiratory diseases...............(J40–J47) 151.1* . ..Allothercauses...........(Residual) 27620.13.4 White, male,10–14years . ..Allcauses....................1,852 100.0 23.5 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 82344.410.4 2 Malignantneoplasms . . . . . . . .(C00–C97) 21011.32.7 3 Intentionalself-harm (suicide)...........(X60–X84,Y87.0) 1628.72.1 4 Assault(homicide)......(X85–Y09,Y87.1) 935.01.2 5 Congenitalmalformations,deformationsand chromosomal abnormalities. . . .(Q00–Q99) 794.31.0 6 Diseasesofheart..(I00–I09,I11,I13,I20–I51)613.30.8 7 Chroniclowerrespiratory diseases...............(J40–J47) 301.60.4 8 Influenzaandpneumonia . . . . . (J10–J18) 211.10.3 9 Insituneoplasms,benignneoplasms and neoplasmsofuncertainor unknown behavior . . . . . . . . .(D00–D48) 160.9* 10Cerebrovasculardiseases......(I60–I69) 110.6* . ..Allothercauses...........(Residual) 34618.74.4 National VitalStatisticsReport,Vol.49,No.11,October12,2001 23Table1.Deaths,percentoftotaldeaths,anddeathratesforthe10leadingcausesofdeathinselectedagegroups,by race andsex:UnitedStates,1999—Con. [Rates per100,000populationinspecifiedgroup.Dataforracesotherthanwhiteandblackshouldbeinterpretedwithcautionbecauseofinconsistencies betweenreporting race ondeathcertificatesandoncensusesandsurveys;seeTechnicalnotes] Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),race,sex,andageNumber2 Percent of total deaths2 Rate2 White, male,15–19years . ..Allcauses....................7,222 100.0 89.5 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 3,86253.547.9 2 Intentionalself-harm (suicide)...........(X60–X84,Y87.0) 1,12215.513.9 3 Assault(homicide)......(X85–Y09,Y87.1) 7049.78.7 4 Malignantneoplasms . . . . . . . .(C00–C97) 3354.64.2 5 Diseasesofheart..(I00–I09,I11,I13,I20–I51)1982.72.5 6 Congenitalmalformations,deformationsand chromosomal abnormalities. . . .(Q00–Q99) 1091.51.4 7 Chroniclowerrespiratory diseases...............(J40–J47) 360.50.4 8 Cerebrovasculardiseases......(I60–I69) 280.40.3 9 Influenzaandpneumonia . . . . . (J10–J18) 260.40.3 10 Diabetesmellitus . . . . . . . . . . (E10–E14) 210.30.3 . ..Allothercauses...........(Residual) 78110.89.7 White, male,20–24years . ..Allcauses....................8,981 100.0 121.8 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 4,46549.760.6 2 Intentionalself-harm (suicide)...........(X60–X84,Y87.0) 1,62918.122.1 3 Assault(homicide)......(X85–Y09,Y87.1) 91810.212.5 4 Malignantneoplasms . . . . . . . .(C00–C97) 4495.06.1 5 Diseasesofheart..(I00–I09,I11,I13,I20–I51)2312.63.1 6 Congenitalmalformations,deformationsand chromosomal abnormalities. . . .(Q00–Q99) 951.11.3 7 Cerebrovasculardiseases......(I60–I69) 440.50.6 8 Diabetesmellitus . . . . . . . . . . (E10–E14) 380.40.5 9 Influenzaandpneumonia . . . . . (J10–J18) 360.40.5 10Septicemia..............(A40–A41) 350.40.5 . ..Allothercauses...........(Residual) 1,04111.614.1 White, male,25–34years . ..Allcauses....................20,549 100.0 134.5 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 7,44236.248.7 2 Intentionalself-harm (suicide)...........(X60–X84,Y87.0) 3,56717.423.4 3 Malignantneoplasms . . . . . . . .(C00–C97) 1,5617.610.2 4 Assault(homicide)......(X85–Y09,Y87.1) 1,4457.09.5 5 Diseasesofheart..(I00–I09,I11,I13,I20–I51)1,3766.79.0 6 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 9564.76.3 7 Diabetesmellitus . . . . . . . . . . (E10–E14) 2261.11.5 8 Cerebrovasculardiseases......(I60–I69) 2131.01.4 8 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . . (K70,K73–K74) 2131.01.4 10 Congenitalmalformations,deformationsand chromosomal abnormalities. . . .(Q00–Q99) 2021.01.3 . ..Allothercauses...........(Residual) 3,34816.321.9 See footnotesatendoftable. Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),race,sex,andageNumber2 Percent of total deaths2 Rate2 White, male,35–44years . ..Allcauses....................42,914 100.0 231.5 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 9,28821.650.1 2 Diseasesofheart..(I00–I09,I11,I13,I20–I51)7,18516.738.8 3 Malignantneoplasms . . . . . . . .(C00–C97) 5,93413.832.0 4 Intentionalself-harm (suicide)...........(X60–X84,Y87.0) 4,53510.624.5 5 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 2,4495.713.2 6 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . . (K70,K73–K74) 1,9064.410.3 7 Assault(homicide)......(X85–Y09,Y87.1) 1,2402.96.7 8 Cerebrovasculardiseases......(I60–I69) 8562.04.6 9 Diabetesmellitus . . . . . . . . . . (E10–E14) 8291.94.5 10 Viralhepatitis . . . . . . . . . . . . (B15–B19) 4191.02.3 . ..Allothercauses...........(Residual) 8,27319.344.6 White, male,45–54years . ..Allcauses....................73,908 100.0 494.2 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)20,14427.3134.7 2 Malignantneoplasms . . . . . . . .(C00–C97) 18,83925.5126.0 3 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 6,9199.446.3 4 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . . (K70,K73–K74) 4,0215.426.9 5 Intentionalself-harm (suicide)...........(X60–X84,Y87.0) 3,5734.823.9 6 Diabetesmellitus . . . . . . . . . . (E10–E14) 2,0552.813.7 7 Cerebrovasculardiseases......(I60–I69) 1,9492.613.0 8 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 1,5102.010.1 9 Chroniclowerrespiratory diseases...............(J40–J47) 1,2371.78.3 10 Viralhepatitis . . . . . . . . . . . . (B15–B19) 8721.25.8 . ..Allothercauses...........(Residual) 12,78917.385.5 White, male,55–64years . ..Allcauses....................116,537 100.0 1,200.2 1 Malignantneoplasms . . . . . . . .(C00–C97) 40,76835.0419.9 2 Diseasesofheart..(I00–I09,I11,I13,I20–I51)35,69530.6367.6 3 Chroniclowerrespiratory diseases...............(J40–J47) 5,2474.554.0 4 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 4,1003.542.2 5 Cerebrovasculardiseases......(I60–I69) 3,8433.339.6 6 Diabetesmellitus . . . . . . . . . . (E10–E14) 3,6843.237.9 7 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . . (K70,K73–K74) 3,3722.934.7 8 Intentionalself-harm (suicide)...........(X60–X84,Y87.0) 2,0991.821.6 9 Influenzaandpneumonia . . . . . (J10–J18) 1,1371.011.7 10 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)1,0430.910.7 . ..Allothercauses...........(Residual) 15,54913.3160.1 24 National VitalStatisticsReport,Vol.49,No.11,October12,2001Table1.Deaths,percentoftotaldeaths,anddeathratesforthe10leadingcausesofdeathinselectedagegroups,by race andsex:UnitedStates,1999—Con. [Rates per100,000populationinspecifiedgroup.Dataforracesotherthanwhiteandblackshouldbeinterpretedwithcautionbecauseofinconsistencies betweenreporting race ondeathcertificatesandoncensusesandsurveys;seeTechnicalnotes] Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),race,sex,andageNumber2 Percent of total deaths2 Rate2 White, male,65yearsandover . ..Allcauses.................... 719,502 100.05,633.5 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)242,36633.71,897.7 2 Malignantneoplasms . . . . . . . .(C00–C97) 178,84724.91,400.3 3 Chroniclowerrespiratory diseases...............(J40–J47) 50,0287.0391.7 4 Cerebrovasculardiseases......(I60–I69) 47,8486.7374.6 5 Influenzaandpneumonia . . . . . (J10–J18) 21,6293.0169.3 6 Diabetesmellitus . . . . . . . . . . (E10–E14) 18,6782.6146.2 7 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 14,1652.0110.9 8 Alzheimer’sdisease............(G30) 12,3511.796.7 9 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)11,7241.691.8 10Septicemia..............(A40–A41) 8,2881.264.9 . ..Allothercauses...........(Residual) 113,57815.8889.3 White, male,65–74years . ..Allcauses.................... 220,442 100.03,043.2 1 Malignantneoplasms . . . . . . . .(C00–C97) 73,67933.41,017.1 2 Diseasesofheart..(I00–I09,I11,I13,I20–I51)68,24731.0942.1 3 Chroniclowerrespiratory diseases...............(J40–J47) 15,9737.2220.5 4 Cerebrovasculardiseases......(I60–I69) 10,0004.5138.0 5 Diabetesmellitus . . . . . . . . . . (E10–E14) 6,7873.193.7 6 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 4,2671.958.9 7 Influenzaandpneumonia . . . . . (J10–J18) 3,2881.545.4 8 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . . (K70,K73–K74) 3,1141.443.0 9 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)2,7111.237.4 10 Aorticaneurysmanddissection . . . . . (I71)2,5251.134.9 . ..Allothercauses...........(Residual) 29,85113.5412.1 White, male,75–84years . ..Allcauses.................... 307,450 100.06,965.1 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)102,13933.22,313.9 2 Malignantneoplasms . . . . . . . .(C00–C97) 76,06624.71,723.2 3 Chroniclowerrespiratory diseases...............(J40–J47) 22,9447.5519.8 4 Cerebrovasculardiseases......(I60–I69) 21,4137.0485.1 5 Influenzaandpneumonia . . . . . (J10–J18) 8,5662.8194.1 6 Diabetesmellitus . . . . . . . . . . (E10–E14) 8,2932.7187.9 7 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 5,7581.9130.4 8 Alzheimer’sdisease............(G30) 5,5641.8126.0 9 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)5,1191.7116.0 10 Parkinson’sdisease. . . . . . . . .(G20–G21) 4,1231.393.4 . ..Allothercauses...........(Residual) 47,46515.41,075.3 See footnotesatendoftable. Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),race,sex,andageNumber2 Percent of total deaths2 Rate2 White, male,85yearsandover . ..Allcauses.................... 191,610 100.017,202.1 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)71,98037.66,462.1 2 Malignantneoplasms . . . . . . . .(C00–C97) 29,10215.22,612.7 3 Cerebrovasculardiseases......(I60–I69) 16,4358.61,475.5 4 Chroniclowerrespiratory diseases...............(J40–J47) 11,1115.8997.5 5 Influenzaandpneumonia . . . . . (J10–J18) 9,7755.1877.6 6 Alzheimer’sdisease............(G30) 5,4712.9491.2 7 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 4,1402.2371.7 8 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)3,8942.0349.6 9 Diabetesmellitus . . . . . . . . . . (E10–E14) 3,5981.9323.0 10 Pneumonitisduetosolidsand liquids...................(J69)2,8451.5 255.4 . ..Allothercauses...........(Residual) 33,25917.42,985.9 White, female,allages3 . ..Allcauses....................1,056,013 100.0924.1 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)327,53331.0286.6 2 Malignantneoplasms . . . . . . . .(C00–C97) 229,84221.8201.1 3 Cerebrovasculardiseases......(I60–I69) 89,9608.578.7 4 Chroniclowerrespiratory diseases...............(J40–J47) 57,7355.550.5 5 Influenzaandpneumonia . . . . . (J10–J18) 32,4133.128.4 6 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 29,3472.825.7 7 Alzheimer’sdisease............(G30) 29,2922.825.6 8 Diabetesmellitus . . . . . . . . . . (E10–E14) 29,0542.825.4 9 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)14,4091.412.6 10Septicemia..............(A40–A41) 13,7981.312.1 . ..Allothercauses...........(Residual) 202,63019.2177.3 White, female,1–4years . ..Allcauses....................1,606 100.0 27.4 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 56335.19.6 2 Congenitalmalformations,deformationsand chromosomal abnormalities. . . .(Q00–Q99) 16710.42.8 3 Malignantneoplasms . . . . . . . .(C00–C97) 1599.92.7 4 Assault(homicide)......(X85–Y09,Y87.1) 1006.21.7 5 Diseasesofheart..(I00–I09,I11,I13,I20–I51)503.10.9 6 Influenzaandpneumonia . . . . . (J10–J18) 422.60.7 7 Septicemia..............(A40–A41) 281.70.5 8 Insituneoplasms,benignneoplasms and neoplasmsofuncertainor unknown behavior . . . . . . . . .(D00–D48) 261.60.4 8 Certainconditionsoriginatinginthe perinatalperiod...........(P00–P96) 261.60.4 10Cerebrovasculardiseases......(I60–I69) 181.1* . ..Allothercauses...........(Residual) 42726.67.3 National VitalStatisticsReport,Vol.49,No.11,October12,2001 25Table1.Deaths,percentoftotaldeaths,anddeathratesforthe10leadingcausesofdeathinselectedagegroups,by race andsex:UnitedStates,1999—Con. [Rates per100,000populationinspecifiedgroup.Dataforracesotherthanwhiteandblackshouldbeinterpretedwithcautionbecauseofinconsistencies betweenreporting race ondeathcertificatesandoncensusesandsurveys;seeTechnicalnotes] Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),race,sex,andageNumber2 Percent of total deaths2 Rate2 White, female,5–9years . ..Allcauses....................1,074 100.0 14.0 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 40037.25.2 2 Malignantneoplasms . . . . . . . .(C00–C97) 17316.12.3 3 Congenitalmalformations,deformationsand chromosomal abnormalities. . . .(Q00–Q99) 757.01.0 4 Assault(homicide)......(X85–Y09,Y87.1) 514.70.7 5 Diseasesofheart..(I00–I09,I11,I13,I20–I51)363.40.5 6 Insituneoplasms,benignneoplasms and neoplasmsofuncertainor unknown behavior . . . . . . . . .(D00–D48) 282.60.4 7 Septicemia..............(A40–A41) 171.6* 8 Influenzaandpneumonia . . . . . (J10–J18) 151.4* 9 Chroniclowerrespiratory diseases...............(J40–J47) 141.3* 10 Certainconditionsoriginatinginthe perinatalperiod...........(P00–P96) 90.8* . ..Allothercauses...........(Residual) 25623.83.3 White, female,10–14years . ..Allcauses....................1,191 100.0 15.9 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 43636.65.8 2 Malignantneoplasms . . . . . . . .(C00–C97) 17314.52.3 3 Congenitalmalformations,deformationsand chromosomal abnormalities. . . .(Q00–Q99) 786.51.0 4 Assault(homicide)......(X85–Y09,Y87.1) 625.20.8 5 Diseasesofheart..(I00–I09,I11,I13,I20–I51)494.10.7 6 Intentionalself-harm (suicide)...........(X60–X84,Y87.0) 423.50.6 7 Insituneoplasms,benignneoplasms and neoplasmsofuncertainor unknown behavior . . . . . . . . .(D00–D48) 161.3* 8 Cerebrovasculardiseases......(I60–I69) 151.3* 8 Influenzaandpneumonia . . . . . (J10–J18) 151.3* 10 Chroniclowerrespiratory diseases...............(J40–J47) 121.0* . ..Allothercauses...........(Residual) 29324.63.9 White, female,15–19years . ..Allcauses....................3,133 100.0 41.3 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 1,78557.023.6 2 Malignantneoplasms . . . . . . . .(C00–C97) 2337.43.1 3 Intentionalself-harm (suicide)...........(X60–X84,Y87.0) 2227.12.9 4 Assault(homicide)......(X85–Y09,Y87.1) 1805.72.4 5 Diseasesofheart..(I00–I09,I11,I13,I20–I51)1233.91.6 6 Congenitalmalformations,deformationsand chromosomal abnormalities. . . .(Q00–Q99) 611.90.8 7 Chroniclowerrespiratory diseases...............(J40–J47) 321.00.4 8 Influenzaandpneumonia . . . . . (J10–J18) 280.90.4 9 Insituneoplasms,benignneoplasms and neoplasmsofuncertainor unknown behavior . . . . . . . . .(D00–D48) 200.60.3 10Cerebrovasculardiseases......(I60–I69) 180.6* . ..Allothercauses...........(Residual) 43113.85.7 See footnotesatendoftable. Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),race,sex,andageNumber2 Percent of total deaths2 Rate2 White, female,20–24years . ..Allcauses....................3,016 100.0 43.1 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 1,25241.517.9 2 Malignantneoplasms . . . . . . . .(C00–C97) 31010.34.4 3 Assault(homicide)......(X85–Y09,Y87.1) 2628.73.7 4 Intentionalself-harm (suicide)...........(X60–X84,Y87.0) 2468.23.5 5 Diseasesofheart..(I00–I09,I11,I13,I20–I51)1484.92.1 6 Congenitalmalformations,deformationsand chromosomal abnormalities. . . .(Q00–Q99) 672.21.0 7 Cerebrovasculardiseases......(I60–I69) 451.50.6 8 Diabetesmellitus . . . . . . . . . . (E10–E14) 311.00.4 8 Influenzaandpneumonia . . . . . (J10–J18) 311.00.4 8 Pregnancy,childbirthandthe puerperium . . . . . . . . . . . . .(O00–O99) 311.00.4 . ..Allothercauses...........(Residual) 59319.78.5 White, female,25–34years . ..Allcauses....................8,851 100.0 58.4 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 2,21925.114.6 2 Malignantneoplasms . . . . . . . .(C00–C97) 1,58617.910.5 3 Intentionalself-harm (suicide)...........(X60–X84,Y87.0) 7798.85.1 4 Diseasesofheart..(I00–I09,I11,I13,I20–I51)6727.64.4 5 Assault(homicide)......(X85–Y09,Y87.1) 4815.43.2 6 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 2462.81.6 7 Cerebrovasculardiseases......(I60–I69) 1892.11.2 8 Congenitalmalformations,deformationsand chromosomal abnormalities. . . .(Q00–Q99) 1842.11.2 9 Diabetesmellitus . . . . . . . . . . (E10–E14) 1832.11.2 10 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . . (K70,K73–K74) 1101.20.7 . ..Allothercauses...........(Residual) 2,20224.914.5 White, female,35–44years . ..Allcauses....................22,693 100.0 123.3 1 Malignantneoplasms . . . . . . . .(C00–C97) 7,12631.438.7 2 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 3,21214.217.5 3 Diseasesofheart..(I00–I09,I11,I13,I20–I51)2,53311.213.8 4 Intentionalself-harm (suicide)...........(X60–X84,Y87.0) 1,3255.87.2 5 Cerebrovasculardiseases......(I60–I69) 7903.54.3 6 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . . (K70,K73–K74) 7703.44.2 7 Diabetesmellitus . . . . . . . . . . (E10–E14) 5552.43.0 8 Assault(homicide)......(X85–Y09,Y87.1) 5262.32.9 9 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 5022.22.7 10 Chroniclowerrespiratory diseases...............(J40–J47) 3371.51.8 . ..Allothercauses...........(Residual) 5,01722.127.3 26 National VitalStatisticsReport,Vol.49,No.11,October12,2001Table1.Deaths,percentoftotaldeaths,anddeathratesforthe10leadingcausesofdeathinselectedagegroups,by race andsex:UnitedStates,1999—Con. [Rates per100,000populationinspecifiedgroup.Dataforracesotherthanwhiteandblackshouldbeinterpretedwithcautionbecauseofinconsistencies betweenreporting race ondeathcertificatesandoncensusesandsurveys;seeTechnicalnotes] Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),race,sex,andageNumber2 Percent of total deaths2 Rate2 White, female,45–54years . ..Allcauses....................43,103 100.0 281.8 1 Malignantneoplasms . . . . . . . .(C00–C97) 18,65043.3121.9 2 Diseasesofheart..(I00–I09,I11,I13,I20–I51)6,54915.242.8 3 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 2,4495.716.0 4 Cerebrovasculardiseases......(I60–I69) 1,6603.910.9 5 Diabetesmellitus . . . . . . . . . . (E10–E14) 1,3003.08.5 6 Chroniclowerrespiratory diseases...............(J40–J47) 1,2612.98.2 7 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . . (K70,K73–K74) 1,2092.87.9 8 Intentionalself-harm (suicide)...........(X60–X84,Y87.0) 1,1472.77.5 9 Septicemia..............(A40–A41) 5001.23.3 10 Influenzaandpneumonia . . . . . (J10–J18) 4731.13.1 . ..Allothercauses...........(Residual) 7,90518.351.7 White, female,55–64years . ..Allcauses....................77,045 100.0 739.1 1 Malignantneoplasms . . . . . . . .(C00–C97) 33,80043.9324.3 2 Diseasesofheart..(I00–I09,I11,I13,I20–I51)15,57920.2149.5 3 Chroniclowerrespiratory diseases...............(J40–J47) 4,8096.246.1 4 Cerebrovasculardiseases......(I60–I69) 3,0974.029.7 5 Diabetesmellitus . . . . . . . . . . (E10–E14) 2,9253.828.1 6 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 1,8622.417.9 7 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . . (K70,K73–K74) 1,3881.813.3 8 Septicemia..............(A40–A41) 9451.29.1 9 Influenzaandpneumonia . . . . . (J10–J18) 9221.28.8 10 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)8251.17.9 . ..Allothercauses...........(Residual) 10,89314.1104.5 White, female,65yearsandover . ..Allcauses.................... 886,373 100.04,944.7 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)301,61834.01,682.6 2 Malignantneoplasms . . . . . . . .(C00–C97) 167,60718.9935.0 3 Cerebrovasculardiseases......(I60–I69) 84,0949.5469.1 4 Chroniclowerrespiratory diseases...............(J40–J47) 51,1235.8285.2 5 Influenzaandpneumonia . . . . . (J10–J18) 30,3933.4169.5 6 Alzheimer’sdisease............(G30) 29,0543.3162.1 7 Diabetesmellitus . . . . . . . . . . (E10–E14) 24,0262.7134.0 8 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 14,9301.783.3 9 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)12,9271.572.1 10Septicemia..............(A40–A41) 11,9141.366.5 . ..Allothercauses...........(Residual) 158,68717.9885.2 See footnotesatendoftable. Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),race,sex,andageNumber2 Percent of total deaths2 Rate2 White, female,65–74years . ..Allcauses.................... 166,995 100.01,916.2 1 Malignantneoplasms . . . . . . . .(C00–C97) 59,02435.3677.3 2 Diseasesofheart..(I00–I09,I11,I13,I20–I51)41,33124.7474.3 3 Chroniclowerrespiratory diseases...............(J40–J47) 14,1388.5162.2 4 Cerebrovasculardiseases......(I60–I69) 9,5775.7109.9 5 Diabetesmellitus . . . . . . . . . . (E10–E14) 6,4433.973.9 6 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 2,7601.731.7 7 Influenzaandpneumonia . . . . . (J10–J18) 2,5441.529.2 8 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)2,3761.427.3 9 Septicemia..............(A40–A41) 2,1641.324.8 10 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . . (K70,K73–K74) 1,9591.222.5 . ..Allothercauses...........(Residual) 24,67914.8283.2 White, female,75–84years . ..Allcauses.................... 319,039 100.04,869.7 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)100,55331.51,534.8 2 Malignantneoplasms . . . . . . . .(C00–C97) 69,94321.91,067.6 3 Cerebrovasculardiseases......(I60–I69) 29,5049.2450.3 4 Chroniclowerrespiratory diseases...............(J40–J47) 22,7547.1347.3 5 Diabetesmellitus . . . . . . . . . . (E10–E14) 9,9243.1151.5 6 Alzheimer’sdisease............(G30) 9,2692.9141.5 7 Influenzaandpneumonia . . . . . (J10–J18) 8,8392.8134.9 8 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 5,3721.782.0 9 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)4,8151.573.5 10Septicemia..............(A40–A41) 4,3401.466.2 . ..Allothercauses...........(Residual) 53,72616.8820.1 White, female,85yearsandover . ..Allcauses.................... 400,339 100.015,053.8 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)159,73439.96,006.4 2 Cerebrovasculardiseases......(I60–I69) 45,01311.21,692.6 3 Malignantneoplasms . . . . . . . .(C00–C97) 38,6409.71,453.0 4 Influenzaandpneumonia . . . . . (J10–J18) 19,0104.7714.8 5 Alzheimer’sdisease............(G30) 18,1754.5683.4 6 Chroniclowerrespiratory diseases...............(J40–J47) 14,2313.6535.1 7 Diabetesmellitus . . . . . . . . . . (E10–E14) 7,6591.9288.0 8 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 6,7981.7255.6 9 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)5,7361.4215.7 10 Atherosclerosis. . . . . . . . . . . . . . . (I70)5,7321.4 215.5 . ..Allothercauses...........(Residual) 79,61119.92,993.6 National VitalStatisticsReport,Vol.49,No.11,October12,2001 27Table1.Deaths,percentoftotaldeaths,anddeathratesforthe10leadingcausesofdeathinselectedagegroups,by race andsex:UnitedStates,1999—Con. [Rates per100,000populationinspecifiedgroup.Dataforracesotherthanwhiteandblackshouldbeinterpretedwithcautionbecauseofinconsistencies betweenreporting race ondeathcertificatesandoncensusesandsurveys;seeTechnicalnotes] Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),race,sex,andageNumber2 Percent of total deaths2 Rate2 Black, bothsexes,allages3 . ..Allcauses.................... 285,064 100.0817.7 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)78,57427.6225.4 2 Malignantneoplasms . . . . . . . .(C00–C97) 61,95121.7177.7 3 Cerebrovasculardiseases......(I60–I69) 18,8846.654.2 4 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 12,7284.536.5 5 Diabetesmellitus . . . . . . . . . . (E10–E14) 11,9274.234.2 6 Chroniclowerrespiratory diseases...............(J40–J47) 7,9152.822.7 7 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 7,8932.822.6 8 Assault(homicide)......(X85–Y09,Y87.1) 7,6482.721.9 9 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)6,7112.419.3 10 Influenzaandpneumonia . . . . . (J10–J18) 5,8762.116.9 . ..Allothercauses...........(Residual) 64,95722.8186.3 Black, bothsexes,1–4years . ..Allcauses....................1,311 100.0 58.9 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 44133.619.8 2 Assault(homicide)......(X85–Y09,Y87.1) 15211.66.8 3 Congenitalmalformations,deformationsand chromosomal abnormalities. . . .(Q00–Q99) 13810.56.2 4 Diseasesofheart..(I00–I09,I11,I13,I20–I51)503.82.2 5 Malignantneoplasms . . . . . . . .(C00–C97) 493.72.2 6 Influenzaandpneumonia . . . . . (J10–J18) 433.31.9 7 Certainconditionsoriginatinginthe perinatalperiod...........(P00–P96) 292.21.3 8 Anemias . . . . . . . . . . . . . . .(D50–D64) 211.60.9 9 Chroniclowerrespiratory diseases...............(J40–J47) 181.4* 10Septicemia..............(A40–A41) 171.3* 10 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 171.3* . ..Allothercauses...........(Residual) 33625.615.1 Black, bothsexes,5–9years . ..Allcauses....................880 100.0 28.0 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 39645.012.6 2 Malignantneoplasms . . . . . . . .(C00–C97) 859.72.7 3 Assault(homicide)......(X85–Y09,Y87.1) 677.62.1 4 Congenitalmalformations,deformationsand chromosomal abnormalities. . . .(Q00–Q99) 505.71.6 5 Diseasesofheart..(I00–I09,I11,I13,I20–I51)323.61.0 6 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 263.00.8 7 Chroniclowerrespiratory diseases...............(J40–J47) 202.30.6 8 Anemias . . . . . . . . . . . . . . .(D50–D64) 171.9* 9 Insituneoplasms,benignneoplasms and neoplasmsofuncertainor unknown behavior . . . . . . . . .(D00–D48) 121.4* 10 Influenzaandpneumonia . . . . . (J10–J18) 80.9* . ..Allothercauses...........(Residual) 16719.05.3 See footnotesatendoftable. Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),race,sex,andageNumber2 Percent of total deaths2 Rate2 Black, bothsexes,10–14years . ..Allcauses....................909 100.0 29.4 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 31134.210.1 2 Malignantneoplasms . . . . . . . .(C00–C97) 9810.83.2 3 Assault(homicide)......(X85–Y09,Y87.1) 808.82.6 4 Congenitalmalformations,deformationsand chromosomal abnormalities. . . .(Q00–Q99) 566.21.8 5 Chroniclowerrespiratory diseases...............(J40–J47) 485.31.6 6 Diseasesofheart..(I00–I09,I11,I13,I20–I51)455.01.5 7 Intentionalself-harm (suicide)...........(X60–X84,Y87.0) 293.20.9 8 Anemias . . . . . . . . . . . . . . .(D50–D64) 161.8* 9 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 151.7* 10Cerebrovasculardiseases......(I60–I69) 121.3* . ..Allothercauses...........(Residual) 19921.96.4 Black, bothsexes,15–19years . ..Allcauses....................2,849 100.0 93.6 1 Assault(homicide)......(X85–Y09,Y87.1) 1,13139.737.2 2 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 77427.225.4 3 Intentionalself-harm (suicide)...........(X60–X84,Y87.0) 1796.35.9 4 Malignantneoplasms . . . . . . . .(C00–C97) 1394.94.6 5 Diseasesofheart..(I00–I09,I11,I13,I20–I51)1304.64.3 6 Congenitalmalformations,deformationsand chromosomal abnormalities. . . .(Q00–Q99) 431.51.4 7 Chroniclowerrespiratory diseases...............(J40–J47) 361.31.2 8 Anemias . . . . . . . . . . . . . . .(D50–D64) 230.80.8 9 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 210.70.7 10Cerebrovasculardiseases......(I60–I69) 180.6* 10 Pregnancy,childbirthandthe puerperium . . . . . . . . . . . . .(O00–O99) 180.6* . ..Allothercauses...........(Residual) 33711.811.1 Black, bothsexes,20–24years . ..Allcauses....................4,217 100.0 156.4 1 Assault(homicide)......(X85–Y09,Y87.1) 1,65039.161.2 2 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 94522.435.0 3 Intentionalself-harm (suicide)...........(X60–X84,Y87.0) 2916.910.8 4 Diseasesofheart..(I00–I09,I11,I13,I20–I51)2105.07.8 5 Malignantneoplasms . . . . . . . .(C00–C97) 1794.26.6 6 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 1122.74.2 7 Anemias . . . . . . . . . . . . . . .(D50–D64) 611.42.3 8 Chroniclowerrespiratory diseases...............(J40–J47) 421.01.6 9 Congenitalmalformations,deformationsand chromosomal abnormalities. . . .(Q00–Q99) 400.91.5 10 Influenzaandpneumonia . . . . . (J10–J18) 350.81.3 . ..Allothercauses...........(Residual) 65215.524.2 28 National VitalStatisticsReport,Vol.49,No.11,October12,2001Table1.Deaths,percentoftotaldeaths,anddeathratesforthe10leadingcausesofdeathinselectedagegroups,by race andsex:UnitedStates,1999—Con. [Rates per100,000populationinspecifiedgroup.Dataforracesotherthanwhiteandblackshouldbeinterpretedwithcautionbecauseofinconsistencies betweenreporting race ondeathcertificatesandoncensusesandsurveys;seeTechnicalnotes] Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),race,sex,andageNumber2 Percent of total deaths2 Rate2 Black, bothsexes,25–34years . ..Allcauses....................10,115 100.0 191.3 1 Assault(homicide)......(X85–Y09,Y87.1) 2,15721.340.8 2 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 1,76517.433.4 3 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 1,49714.828.3 4 Diseasesofheart..(I00–I09,I11,I13,I20–I51)9149.017.3 5 Malignantneoplasms . . . . . . . .(C00–C97) 6716.612.7 6 Intentionalself-harm (suicide)...........(X60–X84,Y87.0) 5035.09.5 7 Diabetesmellitus . . . . . . . . . . (E10–E14) 1621.63.1 8 Cerebrovasculardiseases......(I60–I69) 1501.52.8 9 Chroniclowerrespiratory diseases...............(J40–J47) 1441.42.7 10 Anemias . . . . . . . . . . . . . . .(D50–D64) 1401.42.6 . ..Allothercauses...........(Residual) 2,01219.938.1 Black, bothsexes,35–44years . ..Allcauses....................21,041 100.0 372.3 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)3,54616.962.7 2 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 3,20615.256.7 3 Malignantneoplasms . . . . . . . .(C00–C97) 3,08014.654.5 4 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 2,28510.940.4 5 Assault(homicide)......(X85–Y09,Y87.1) 1,3256.323.4 6 Cerebrovasculardiseases......(I60–I69) 8163.914.4 7 Diabetesmellitus . . . . . . . . . . (E10–E14) 5072.49.0 8 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . . (K70,K73–K74) 4572.28.1 9 Intentionalself-harm (suicide)...........(X60–X84,Y87.0) 4352.17.7 10 Influenzaandpneumonia . . . . . (J10–J18) 3121.55.5 . ..Allothercauses...........(Residual) 5,07224.189.7 Black, bothsexes,45–54years . ..Allcauses....................31,759 100.0 808.4 1 Malignantneoplasms . . . . . . . .(C00–C97) 7,83024.7199.3 2 Diseasesofheart..(I00–I09,I11,I13,I20–I51)7,52523.7191.5 3 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 2,1036.653.5 4 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 1,9396.149.4 5 Cerebrovasculardiseases......(I60–I69) 1,6835.342.8 6 Diabetesmellitus . . . . . . . . . . (E10–E14) 1,2313.931.3 7 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . . (K70,K73–K74) 9222.923.5 8 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)6171.915.7 9 Assault(homicide)......(X85–Y09,Y87.1) 5691.814.5 10 Chroniclowerrespiratory diseases...............(J40–J47) 5611.814.3 . ..Allothercauses...........(Residual) 6,77921.3172.6 See footnotesatendoftable. Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),race,sex,andageNumber2 Percent of total deaths2 Rate2 Black, bothsexes,55–64years . ..Allcauses....................39,476 100.0 1,683.3 1 Malignantneoplasms . . . . . . . .(C00–C97) 12,43331.5530.2 2 Diseasesofheart..(I00–I09,I11,I13,I20–I51)11,47529.1489.3 3 Cerebrovasculardiseases......(I60–I69) 2,2955.897.9 4 Diabetesmellitus . . . . . . . . . . (E10–E14) 2,1515.491.7 5 Chroniclowerrespiratory diseases...............(J40–J47) 1,0912.846.5 6 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 1,0662.745.5 7 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)8872.237.8 8 Septicemia..............(A40–A41) 7221.830.8 9 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . . (K70,K73–K74) 6991.829.8 10 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 6251.626.7 . ..Allothercauses...........(Residual) 6,03215.3257.2 Black, bothsexes,65yearsandover . ..Allcauses.................... 163,608 100.05,679.7 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)54,48833.31,891.6 2 Malignantneoplasms . . . . . . . .(C00–C97) 37,37522.81,297.5 3 Cerebrovasculardiseases......(I60–I69) 13,8458.5480.6 4 Diabetesmellitus . . . . . . . . . . (E10–E14) 7,8184.8271.4 5 Chroniclowerrespiratory diseases...............(J40–J47) 5,6723.5196.9 6 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)4,6972.9163.1 7 Influenzaandpneumonia . . . . . (J10–J18) 4,3062.6149.5 8 Septicemia..............(A40–A41) 4,0412.5140.3 9 Essential(primary)hypertensionand hypertensive renaldisease . . . . . (I10,I12)2,6241.691.1 10 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 2,5381.688.1 . ..Allothercauses...........(Residual) 26,20416.0909.7 Black, bothsexes,65–74years . ..Allcauses....................56,122 100.0 3,343.6 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)17,24030.71,027.1 2 Malignantneoplasms . . . . . . . .(C00–C97) 16,76429.9998.8 3 Cerebrovasculardiseases......(I60–I69) 3,8136.8227.2 4 Diabetesmellitus . . . . . . . . . . (E10–E14) 3,1375.6186.9 5 Chroniclowerrespiratory diseases...............(J40–J47) 2,1123.8125.8 6 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)1,5692.893.5 7 Septicemia..............(A40–A41) 1,2232.272.9 8 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 9511.756.7 9 Influenzaandpneumonia . . . . . (J10–J18) 8891.653.0 10 Essential(primary)hypertensionand hypertensive renaldisease . . . . . (I10,I12)7671.445.7 . ..Allothercauses...........(Residual) 7,65713.6456.2 National VitalStatisticsReport,Vol.49,No.11,October12,2001 29Table1.Deaths,percentoftotaldeaths,anddeathratesforthe10leadingcausesofdeathinselectedagegroups,by race andsex:UnitedStates,1999—Con. [Rates per100,000populationinspecifiedgroup.Dataforracesotherthanwhiteandblackshouldbeinterpretedwithcautionbecauseofinconsistencies betweenreporting race ondeathcertificatesandoncensusesandsurveys;seeTechnicalnotes] Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),race,sex,andageNumber2 Percent of total deaths2 Rate2 Black, bothsexes,75–84years . ..Allcauses....................61,201 100.0 6,883.6 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)20,03832.72,253.8 2 Malignantneoplasms . . . . . . . .(C00–C97) 14,31223.41,609.8 3 Cerebrovasculardiseases......(I60–I69) 5,3518.7601.9 4 Diabetesmellitus . . . . . . . . . . (E10–E14) 3,0224.9339.9 5 Chroniclowerrespiratory diseases...............(J40–J47) 2,3803.9267.7 6 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)1,7692.9199.0 7 Septicemia..............(A40–A41) 1,5252.5171.5 8 Influenzaandpneumonia . . . . . (J10–J18) 1,4262.3160.4 9 Essential(primary)hypertensionand hypertensive renaldisease . . . . . (I10,I12)1,0121.7113.8 10 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 9361.5105.3 . ..Allothercauses...........(Residual) 9,43015.41,060.6 Black, bothsexes,85yearsandover . ..Allcauses....................46,285 100.0 14,787.7 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)17,21037.25,498.5 2 Malignantneoplasms . . . . . . . .(C00–C97) 6,29913.62,012.5 3 Cerebrovasculardiseases......(I60–I69) 4,68110.11,495.5 4 Influenzaandpneumonia . . . . . (J10–J18) 1,9914.3636.1 5 Diabetesmellitus . . . . . . . . . . (E10–E14) 1,6593.6530.0 6 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)1,3592.9434.2 7 Septicemia..............(A40–A41) 1,2932.8413.1 8 Chroniclowerrespiratory diseases...............(J40–J47) 1,1802.5377.0 9 Alzheimer’sdisease............(G30) 1,1682.5373.2 10 Essential(primary)hypertensionand hypertensive renaldisease . . . . . (I10,I12)8451.8 270.0 . ..Allothercauses...........(Residual) 8,60018.62,747.6 Black, male,allages3 . ..Allcauses.................... 145,703 100.0880.0 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)37,57625.8226.9 2 Malignantneoplasms . . . . . . . .(C00–C97) 32,85022.5198.4 3 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 8,7736.053.0 4 Cerebrovasculardiseases......(I60–I69) 7,8945.447.7 5 Assault(homicide)......(X85–Y09,Y87.1) 6,2144.337.5 6 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 5,4933.833.2 7 Diabetesmellitus . . . . . . . . . . (E10–E14) 4,7593.328.7 8 Chroniclowerrespiratory diseases...............(J40–J47) 4,5003.127.2 9 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)3,0082.118.2 10 Certainconditionsoriginatinginthe perinatalperiod...........(P00–P96) 2,9072.017.6 . ..Allothercauses...........(Residual) 31,72921.8191.6 See footnotesatendoftable. Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),race,sex,andageNumber2 Percent of total deaths2 Rate2 Black, male,1–4years . ..Allcauses....................746 100.0 66.0 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 26635.723.5 2 Congenitalmalformations,deformationsand chromosomal abnormalities. . . .(Q00–Q99) 7910.67.0 3 Assault(homicide)......(X85–Y09,Y87.1) 7510.16.6 4 Diseasesofheart..(I00–I09,I11,I13,I20–I51)273.62.4 5 Malignantneoplasms . . . . . . . .(C00–C97) 263.52.3 6 Influenzaandpneumonia . . . . . (J10–J18) 253.42.2 7 Certainconditionsoriginatinginthe perinatalperiod...........(P00–P96) 192.5* 8 Chroniclowerrespiratory diseases...............(J40–J47) 131.7* 9 Septicemia..............(A40–A41) 111.5* 9 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 111.5* 9 Anemias . . . . . . . . . . . . . . .(D50–D64) 111.5* . ..Allothercauses...........(Residual) 18324.516.2 Black, male,5–9years . ..Allcauses....................519 100.0 32.5 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 25849.716.2 2 Malignantneoplasms . . . . . . . .(C00–C97) 417.92.6 3 Assault(homicide)......(X85–Y09,Y87.1) 366.92.3 4 Congenitalmalformations,deformationsand chromosomal abnormalities. . . .(Q00–Q99) 254.81.6 5 Diseasesofheart..(I00–I09,I11,I13,I20–I51)183.5* 6 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 142.7* 6 Chroniclowerrespiratory diseases...............(J40–J47) 142.7* 8 Anemias . . . . . . . . . . . . . . .(D50–D64) 71.3* 9 Insituneoplasms,benignneoplasms and neoplasmsofuncertainor unknown behavior . . . . . . . . .(D00–D48) 61.2* 10 Influenzaandpneumonia . . . . . (J10–J18) 51.0* . ..Allothercauses...........(Residual) 9518.35.9 Black, male,10–14years . ..Allcauses....................577 100.0 36.8 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 21437.113.6 2 Malignantneoplasms . . . . . . . .(C00–C97) 559.53.5 2 Assault(homicide)......(X85–Y09,Y87.1) 559.53.5 4 Chroniclowerrespiratory diseases...............(J40–J47) 345.92.2 5 Congenitalmalformations,deformationsand chromosomal abnormalities. . . .(Q00–Q99) 295.01.8 6 Diseasesofheart..(I00–I09,I11,I13,I20–I51)274.71.7 7 Intentionalself-harm (suicide)...........(X60–X84,Y87.0) 223.81.4 8 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 91.6* 8 Anemias . . . . . . . . . . . . . . .(D50–D64) 91.6* 10 Diabetesmellitus . . . . . . . . . . (E10–E14) 61.0* 10Cerebrovasculardiseases......(I60–I69) 61.0* . ..Allothercauses...........(Residual) 11119.27.1 30 National VitalStatisticsReport,Vol.49,No.11,October12,2001Table1.Deaths,percentoftotaldeaths,anddeathratesforthe10leadingcausesofdeathinselectedagegroups,by race andsex:UnitedStates,1999—Con. [Rates per100,000populationinspecifiedgroup.Dataforracesotherthanwhiteandblackshouldbeinterpretedwithcautionbecauseofinconsistencies betweenreporting race ondeathcertificatesandoncensusesandsurveys;seeTechnicalnotes] Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),race,sex,andageNumber2 Percent of total deaths2 Rate2 Black, male,15–19years . ..Allcauses....................2,157 100.0 139.3 1 Assault(homicide)......(X85–Y09,Y87.1) 97845.363.2 2 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 57426.637.1 3 Intentionalself-harm (suicide)...........(X60–X84,Y87.0) 1557.210.0 4 Diseasesofheart..(I00–I09,I11,I13,I20–I51)914.25.9 5 Malignantneoplasms . . . . . . . .(C00–C97) 874.05.6 6 Congenitalmalformations,deformationsand chromosomal abnormalities. . . .(Q00–Q99) 271.31.7 7 Chroniclowerrespiratory diseases...............(J40–J47) 231.11.5 8 Anemias . . . . . . . . . . . . . . .(D50–D64) 130.6* 9 Legalintervention . . . . . . . . . (Y35,Y89.0) 100.5* 10 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 80.4* 10 Insituneoplasms,benignneoplasms and neoplasmsofuncertainor unknown behavior . . . . . . . . .(D00–D48) 80.4* . ..Allothercauses...........(Residual) 1838.511.8 Black, male,20–24years . ..Allcauses....................3,191 100.0 239.3 1 Assault(homicide)......(X85–Y09,Y87.1) 1,47546.2110.6 2 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 72722.854.5 3 Intentionalself-harm (suicide)...........(X60–X84,Y87.0) 2598.119.4 4 Diseasesofheart..(I00–I09,I11,I13,I20–I51)1243.99.3 5 Malignantneoplasms . . . . . . . .(C00–C97) 973.07.3 6 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 461.43.4 7 Anemias . . . . . . . . . . . . . . .(D50–D64) 371.22.8 8 Chroniclowerrespiratory diseases...............(J40–J47) 290.92.2 9 Congenitalmalformations,deformationsand chromosomal abnormalities. . . .(Q00–Q99) 240.81.8 10 Legalintervention . . . . . . . . . (Y35,Y89.0) 220.71.6 . ..Allothercauses...........(Residual) 35111.026.3 Black, male,25–34years . ..Allcauses....................6,723 100.0 268.4 1 Assault(homicide)......(X85–Y09,Y87.1) 1,80026.871.8 2 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 1,33519.953.3 3 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 93513.937.3 4 Diseasesofheart..(I00–I09,I11,I13,I20–I51)5468.121.8 5 Intentionalself-harm (suicide)...........(X60–X84,Y87.0) 4366.517.4 6 Malignantneoplasms . . . . . . . .(C00–C97) 2974.411.9 7 Diabetesmellitus . . . . . . . . . . (E10–E14) 861.33.4 8 Anemias . . . . . . . . . . . . . . .(D50–D64) 731.12.9 9 Cerebrovasculardiseases......(I60–I69) 721.12.9 10 Chroniclowerrespiratory diseases...............(J40–J47) 691.02.8 . ..Allothercauses...........(Residual) 1,07416.042.9 See footnotesatendoftable. Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),race,sex,andageNumber2 Percent of total deaths2 Rate2 Black, male,35–44years . ..Allcauses....................12,567 100.0 473.6 1 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 2,19417.582.7 2 Diseasesofheart..(I00–I09,I11,I13,I20–I51)2,19317.582.6 3 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 1,66013.262.6 4 Malignantneoplasms . . . . . . . .(C00–C97) 1,26710.147.7 5 Assault(homicide)......(X85–Y09,Y87.1) 9967.937.5 6 Cerebrovasculardiseases......(I60–I69) 3933.114.8 7 Intentionalself-harm (suicide)...........(X60–X84,Y87.0) 3562.813.4 8 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . . (K70,K73–K74) 2962.411.2 9 Diabetesmellitus . . . . . . . . . . (E10–E14) 2772.210.4 10 Influenzaandpneumonia . . . . . (J10–J18) 1781.46.7 . ..Allothercauses...........(Residual) 2,75721.9103.9 Black, male,45–54years . ..Allcauses....................19,298 100.0 1,081.9 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)4,77424.7267.6 2 Malignantneoplasms . . . . . . . .(C00–C97) 4,14421.5232.3 3 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 1,5928.289.3 4 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 1,4717.682.5 5 Cerebrovasculardiseases......(I60–I69) 9104.751.0 6 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . . (K70,K73–K74) 6633.437.2 7 Diabetesmellitus . . . . . . . . . . (E10–E14) 6503.436.4 8 Assault(homicide)......(X85–Y09,Y87.1) 4392.324.6 9 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)3541.819.8 10 Chroniclowerrespiratory diseases...............(J40–J47) 2861.516.0 . ..Allothercauses...........(Residual) 4,01520.8225.1 Black, male,55–64years . ..Allcauses....................22,769 100.0 2,244.0 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)7,00430.8690.3 2 Malignantneoplasms . . . . . . . .(C00–C97) 6,99330.7689.2 3 Cerebrovasculardiseases......(I60–I69) 1,2515.5123.3 4 Diabetesmellitus . . . . . . . . . . (E10–E14) 9954.498.1 5 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 7553.374.4 6 Chroniclowerrespiratory diseases...............(J40–J47) 6292.862.0 7 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 4832.147.6 8 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . . (K70,K73–K74) 4602.045.3 9 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)4291.942.3 10Septicemia..............(A40–A41) 3941.738.8 . ..Allothercauses...........(Residual) 3,37614.8332.7 National VitalStatisticsReport,Vol.49,No.11,October12,2001 31Table1.Deaths,percentoftotaldeaths,anddeathratesforthe10leadingcausesofdeathinselectedagegroups,by race andsex:UnitedStates,1999—Con. [Rates per100,000populationinspecifiedgroup.Dataforracesotherthanwhiteandblackshouldbeinterpretedwithcautionbecauseofinconsistencies betweenreporting race ondeathcertificatesandoncensusesandsurveys;seeTechnicalnotes] Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),race,sex,andageNumber2 Percent of total deaths2 Rate2 Black, male,65yearsandover . ..Allcauses....................72,201 100.0 6,373.4 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)22,68831.42,002.7 2 Malignantneoplasms . . . . . . . .(C00–C97) 19,83927.51,751.3 3 Cerebrovasculardiseases......(I60–I69) 5,2207.2460.8 4 Chroniclowerrespiratory diseases...............(J40–J47) 3,2674.5288.4 5 Diabetesmellitus . . . . . . . . . . (E10–E14) 2,7243.8240.5 6 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)1,9622.7173.2 7 Influenzaandpneumonia . . . . . (J10–J18) 1,9042.6168.1 8 Septicemia..............(A40–A41) 1,6572.3146.3 9 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 1,3581.9119.9 10 Essential(primary)hypertensionand hypertensive renaldisease . . . . . (I10,I12)9621.384.9 . ..Allothercauses...........(Residual) 10,62014.7937.5 Black, male,65–74years . ..Allcauses....................29,594 100.0 4,182.8 1 Malignantneoplasms . . . . . . . .(C00–C97) 9,31431.51,316.4 2 Diseasesofheart..(I00–I09,I11,I13,I20–I51)9,15530.91,294.0 3 Cerebrovasculardiseases......(I60–I69) 1,8686.3264.0 4 Diabetesmellitus . . . . . . . . . . (E10–E14) 1,2684.3179.2 5 Chroniclowerrespiratory diseases...............(J40–J47) 1,2554.2177.4 6 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)7002.498.9 7 Septicemia..............(A40–A41) 6142.186.8 8 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 6002.084.8 9 Influenzaandpneumonia . . . . . (J10–J18) 5231.873.9 10 Essential(primary)hypertensionand hypertensive renaldisease . . . . . (I10,I12)3491.249.3 . ..Allothercauses...........(Residual) 3,94813.3558.0 Black, male,75–84years . ..Allcauses....................27,839 100.0 8,352.6 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)8,53330.72,560.2 2 Malignantneoplasms . . . . . . . .(C00–C97) 7,67427.62,302.5 3 Cerebrovasculardiseases......(I60–I69) 2,1167.6634.9 4 Chroniclowerrespiratory diseases...............(J40–J47) 1,4135.1423.9 5 Diabetesmellitus . . . . . . . . . . (E10–E14) 1,0243.7307.2 6 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)8132.9243.9 7 Influenzaandpneumonia . . . . . (J10–J18) 6952.5208.5 8 Septicemia..............(A40–A41) 6562.4196.8 9 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 4881.8146.4 10 Essential(primary)hypertensionand hypertensive renaldisease . . . . . (I10,I12)3861.4115.8 . ..Allothercauses...........(Residual) 4,04114.51,212.4 See footnotesatendoftable. Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),race,sex,andageNumber2 Percent of total deaths2 Rate2 Black, male,85yearsandover . ..Allcauses....................14,768 100.0 16,047.8 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)5,00033.95,433.3 2 Malignantneoplasms . . . . . . . .(C00–C97) 2,85119.33,098.1 3 Cerebrovasculardiseases......(I60–I69) 1,2368.41,343.1 4 Influenzaandpneumonia . . . . . (J10–J18) 6864.6745.4 5 Chroniclowerrespiratory diseases...............(J40–J47) 5994.1650.9 6 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)4493.0487.9 7 Diabetesmellitus . . . . . . . . . . (E10–E14) 4322.9469.4 8 Septicemia..............(A40–A41) 3872.6420.5 9 Alzheimer’sdisease............(G30) 2711.8294.5 10 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 2701.8293.4 . ..Allothercauses...........(Residual) 2,58717.52,811.2 Black, female,allages3 . ..Allcauses.................... 139,361 100.0761.3 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)40,99829.4224.0 2 Malignantneoplasms . . . . . . . .(C00–C97) 29,10120.9159.0 3 Cerebrovasculardiseases......(I60–I69) 10,9907.960.0 4 Diabetesmellitus . . . . . . . . . . (E10–E14) 7,1685.139.2 5 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 3,9552.821.6 6 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)3,7032.720.2 7 Chroniclowerrespiratory diseases...............(J40–J47) 3,4152.518.7 8 Septicemia..............(A40–A41) 3,2032.317.5 9 Influenzaandpneumonia . . . . . (J10–J18) 3,0512.216.7 10 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 2,4001.713.1 . ..Allothercauses...........(Residual) 31,37722.5171.4 Black, female,1–4years . ..Allcauses....................565 100.0 51.5 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 17531.015.9 2 Assault(homicide)......(X85–Y09,Y87.1) 7713.67.0 3 Congenitalmalformations,deformationsand chromosomal abnormalities. . . .(Q00–Q99) 5910.45.4 4 Malignantneoplasms . . . . . . . .(C00–C97) 234.12.1 4 Diseasesofheart..(I00–I09,I11,I13,I20–I51)234.12.1 6 Influenzaandpneumonia . . . . . (J10–J18) 183.2* 7 Anemias . . . . . . . . . . . . . . .(D50–D64) 101.8* 7 Certainconditionsoriginatinginthe perinatalperiod...........(P00–P96) 101.8* 9 Complicationsofmedicalandsurgical care..............(Y40–Y84,Y88) 81.4* 10Septicemia..............(A40–A41) 61.1* 10 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 61.1* 10Cerebrovasculardiseases......(I60–I69) 61.1* . ..Allothercauses...........(Residual) 14425.513.1 32 National VitalStatisticsReport,Vol.49,No.11,October12,2001Table1.Deaths,percentoftotaldeaths,anddeathratesforthe10leadingcausesofdeathinselectedagegroups,by race andsex:UnitedStates,1999—Con. [Rates per100,000populationinspecifiedgroup.Dataforracesotherthanwhiteandblackshouldbeinterpretedwithcautionbecauseofinconsistencies betweenreporting race ondeathcertificatesandoncensusesandsurveys;seeTechnicalnotes] Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),race,sex,andageNumber2 Percent of total deaths2 Rate2 Black, female,5–9years . ..Allcauses....................361 100.0 23.3 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 13838.28.9 2 Malignantneoplasms . . . . . . . .(C00–C97) 4412.22.8 3 Assault(homicide)......(X85–Y09,Y87.1) 318.62.0 4 Congenitalmalformations,deformationsand chromosomal abnormalities. . . .(Q00–Q99) 256.91.6 5 Diseasesofheart..(I00–I09,I11,I13,I20–I51)143.9* 6 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 123.3* 7 Anemias . . . . . . . . . . . . . . .(D50–D64) 102.8* 8 Insituneoplasms,benignneoplasms and neoplasmsofuncertainor unknown behavior . . . . . . . . .(D00–D48) 61.7* 8 Chroniclowerrespiratory diseases...............(J40–J47) 61.7* 10Septicemia..............(A40–A41) 30.8* 10 Influenzaandpneumonia . . . . . (J10–J18) 30.8* . ..Allothercauses...........(Residual) 6919.14.5 Black, female,10–14years . ..Allcauses....................332 100.0 21.9 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 9729.26.4 2 Malignantneoplasms . . . . . . . .(C00–C97) 4313.02.8 3 Congenitalmalformations,deformationsand chromosomal abnormalities. . . .(Q00–Q99) 278.11.8 4 Assault(homicide)......(X85–Y09,Y87.1) 257.51.6 5 Diseasesofheart..(I00–I09,I11,I13,I20–I51)185.4* 6 Chroniclowerrespiratory diseases...............(J40–J47) 144.2* 7 Anemias . . . . . . . . . . . . . . .(D50–D64) 72.1* 7 Intentionalself-harm (suicide)...........(X60–X84,Y87.0) 72.1* 9 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 61.8* 9 Cerebrovasculardiseases......(I60–I69) 61.8* . ..Allothercauses...........(Residual) 8224.75.4 Black, female,15–19years . ..Allcauses....................692 100.0 46.3 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 20028.913.4 2 Assault(homicide)......(X85–Y09,Y87.1) 15322.110.2 3 Malignantneoplasms . . . . . . . .(C00–C97) 527.53.5 4 Diseasesofheart..(I00–I09,I11,I13,I20–I51)395.62.6 5 Intentionalself-harm (suicide)...........(X60–X84,Y87.0) 243.51.6 6 Pregnancy,childbirthandthe puerperium . . . . . . . . . . . . .(O00–O99) 182.6* 7 Congenitalmalformations,deformationsand chromosomal abnormalities. . . .(Q00–Q99) 162.3* 8 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 131.9* 8 Chroniclowerrespiratory diseases...............(J40–J47) 131.9* 10Cerebrovasculardiseases......(I60–I69) 111.6* . ..Allothercauses...........(Residual) 15322.110.2 See footnotesatendoftable. Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),race,sex,andageNumber2 Percent of total deaths2 Rate2 Black, female,20–24years . ..Allcauses....................1,026 100.0 75.3 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 21821.216.0 2 Assault(homicide)......(X85–Y09,Y87.1) 17517.112.8 3 Diseasesofheart..(I00–I09,I11,I13,I20–I51)868.46.3 4 Malignantneoplasms . . . . . . . .(C00–C97) 828.06.0 5 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 666.44.8 6 Intentionalself-harm (suicide)...........(X60–X84,Y87.0) 323.12.3 7 Pregnancy,childbirthandthe puerperium . . . . . . . . . . . . .(O00–O99) 292.82.1 8 Anemias . . . . . . . . . . . . . . .(D50–D64) 242.31.8 9 Influenzaandpneumonia . . . . . (J10–J18) 181.8* 10Septicemia..............(A40–A41) 171.7* . ..Allothercauses...........(Residual) 27927.220.5 Black, female,25–34years . ..Allcauses....................3,392 100.0 122.0 1 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 56216.620.2 2 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 43012.715.5 3 Malignantneoplasms . . . . . . . .(C00–C97) 37411.013.4 4 Diseasesofheart..(I00–I09,I11,I13,I20–I51)36810.813.2 5 Assault(homicide)......(X85–Y09,Y87.1) 35710.512.8 6 Cerebrovasculardiseases......(I60–I69) 782.32.8 7 Diabetesmellitus . . . . . . . . . . (E10–E14) 762.22.7 8 Chroniclowerrespiratory diseases...............(J40–J47) 752.22.7 9 Pregnancy,childbirthandthe puerperium . . . . . . . . . . . . .(O00–O99) 712.12.6 10 Anemias . . . . . . . . . . . . . . .(D50–D64) 672.02.4 10 Intentionalself-harm (suicide)...........(X60–X84,Y87.0) 672.02.4 . ..Allothercauses...........(Residual) 86725.631.2 Black, female,35–44years . ..Allcauses....................8,474 100.0 282.6 1 Malignantneoplasms . . . . . . . .(C00–C97) 1,81321.460.5 2 Diseasesofheart..(I00–I09,I11,I13,I20–I51)1,35316.045.1 3 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 1,01211.933.7 4 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 6257.420.8 5 Cerebrovasculardiseases......(I60–I69) 4235.014.1 6 Assault(homicide)......(X85–Y09,Y87.1) 3293.911.0 7 Diabetesmellitus . . . . . . . . . . (E10–E14) 2302.77.7 8 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . . (K70,K73–K74) 1611.95.4 9 Chroniclowerrespiratory diseases...............(J40–J47) 1381.64.6 10 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)1371.64.6 . ..Allothercauses...........(Residual) 2,25326.675.1 National VitalStatisticsReport,Vol.49,No.11,October12,2001 33Table1.Deaths,percentoftotaldeaths,anddeathratesforthe10leadingcausesofdeathinselectedagegroups,by race andsex:UnitedStates,1999—Con. [Rates per100,000populationinspecifiedgroup.Dataforracesotherthanwhiteandblackshouldbeinterpretedwithcautionbecauseofinconsistencies betweenreporting race ondeathcertificatesandoncensusesandsurveys;seeTechnicalnotes] Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),race,sex,andageNumber2 Percent of total deaths2 Rate2 Black, female,45–54years . ..Allcauses....................12,461 100.0 581.0 1 Malignantneoplasms . . . . . . . .(C00–C97) 3,68629.6171.9 2 Diseasesofheart..(I00–I09,I11,I13,I20–I51)2,75122.1128.3 3 Cerebrovasculardiseases......(I60–I69) 7736.236.0 4 Diabetesmellitus . . . . . . . . . . (E10–E14) 5814.727.1 5 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 5114.123.8 6 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 4683.821.8 7 Chroniclowerrespiratory diseases...............(J40–J47) 2752.212.8 8 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)2632.112.3 9 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . . (K70,K73–K74) 2592.112.1 10Septicemia..............(A40–A41) 2421.911.3 . ..Allothercauses...........(Residual) 2,65221.3123.6 Black, female,55–64years . ..Allcauses....................16,707 100.0 1,255.7 1 Malignantneoplasms . . . . . . . .(C00–C97) 5,44032.6408.9 2 Diseasesofheart..(I00–I09,I11,I13,I20–I51)4,47126.8336.1 3 Diabetesmellitus . . . . . . . . . . (E10–E14) 1,1566.986.9 4 Cerebrovasculardiseases......(I60–I69) 1,0446.278.5 5 Chroniclowerrespiratory diseases...............(J40–J47) 4622.834.7 6 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)4582.734.4 7 Septicemia..............(A40–A41) 3282.024.7 8 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 3111.923.4 9 Essential(primary)hypertensionand hypertensive renaldisease . . . . . (I10,I12)2521.518.9 10 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . . (K70,K73–K74) 2391.418.0 . ..Allothercauses...........(Residual) 2,54615.2191.4 Black, female,65yearsandover . ..Allcauses....................91,407 100.0 5,230.1 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)31,80034.81,819.5 2 Malignantneoplasms . . . . . . . .(C00–C97) 17,53619.21,003.4 3 Cerebrovasculardiseases......(I60–I69) 8,6259.4493.5 4 Diabetesmellitus . . . . . . . . . . (E10–E14) 5,0945.6291.5 5 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)2,7353.0156.5 6 Chroniclowerrespiratory diseases...............(J40–J47) 2,4052.6137.6 7 Influenzaandpneumonia . . . . . (J10–J18) 2,4022.6137.4 8 Septicemia..............(A40–A41) 2,3842.6136.4 9 Essential(primary)hypertensionand hypertensive renaldisease . . . . . (I10,I12)1,6621.895.1 10Alzheimer’sdisease............(G30) 1,6321.893.4 . ..Allothercauses...........(Residual) 15,13216.6865.8 See footnotesatendoftable. Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),race,sex,andageNumber2 Percent of total deaths2 Rate2 Black, female,65–74years . ..Allcauses....................26,528 100.0 2,732.1 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)8,08530.5832.7 2 Malignantneoplasms . . . . . . . .(C00–C97) 7,45028.1767.3 3 Cerebrovasculardiseases......(I60–I69) 1,9457.3200.3 4 Diabetesmellitus . . . . . . . . . . (E10–E14) 1,8697.0192.5 5 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)8693.389.5 6 Chroniclowerrespiratory diseases...............(J40–J47) 8573.288.3 7 Septicemia..............(A40–A41) 6092.362.7 8 Essential(primary)hypertensionand hypertensive renaldisease . . . . . (I10,I12)4181.643.0 9 Influenzaandpneumonia . . . . . (J10–J18) 3661.437.7 10 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 3511.336.1 . ..Allothercauses...........(Residual) 3,70914.0382.0 Black, female,75–84years . ..Allcauses....................33,362 100.0 6,002.7 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)11,50534.52,070.1 2 Malignantneoplasms . . . . . . . .(C00–C97) 6,63819.91,194.4 3 Cerebrovasculardiseases......(I60–I69) 3,2359.7582.1 4 Diabetesmellitus . . . . . . . . . . (E10–E14) 1,9986.0359.5 5 Chroniclowerrespiratory diseases...............(J40–J47) 9672.9174.0 6 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)9562.9172.0 7 Septicemia..............(A40–A41) 8692.6156.4 8 Influenzaandpneumonia . . . . . (J10–J18) 7312.2131.5 9 Essential(primary)hypertensionand hypertensive renaldisease . . . . . (I10,I12)6261.9112.6 10Alzheimer’sdisease............(G30) 5981.8107.6 . ..Allothercauses...........(Residual) 5,23915.7942.6 Black, female,85yearsandover . ..Allcauses....................31,517 100.0 14,262.9 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)12,21038.75,525.6 2 Malignantneoplasms . . . . . . . .(C00–C97) 3,44810.91,560.4 3 Cerebrovasculardiseases......(I60–I69) 3,44510.91,559.0 4 Influenzaandpneumonia . . . . . (J10–J18) 1,3054.1590.6 5 Diabetesmellitus . . . . . . . . . . (E10–E14) 1,2273.9555.3 6 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)9102.9411.8 7 Septicemia..............(A40–A41) 9062.9410.0 8 Alzheimer’sdisease............(G30) 8972.8405.9 9 Essential(primary)hypertensionand hypertensive renaldisease . . . . . (I10,I12)6182.0 279.7 10 Chroniclowerrespiratory diseases...............(J40–J47) 5811.8262.9 . ..Allothercauses...........(Residual) 5,97018.92,701.7 34 National VitalStatisticsReport,Vol.49,No.11,October12,2001Table1.Deaths,percentoftotaldeaths,anddeathratesforthe10leadingcausesofdeathinselectedagegroups,by race andsex:UnitedStates,1999—Con. [Rates per100,000populationinspecifiedgroup.Dataforracesotherthanwhiteandblackshouldbeinterpretedwithcautionbecauseofinconsistencies betweenreporting race ondeathcertificatesandoncensusesandsurveys;seeTechnicalnotes] Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),race,sex,andageNumber2 Percent of total deaths2 Rate2 American Indian,bothsexes, all ages3 . ..Allcauses....................11,312 100.0 471.8 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)2,40421.3100.3 2 Malignantneoplasms . . . . . . . .(C00–C97) 1,83616.276.6 3 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 1,32711.755.4 4 Diabetesmellitus . . . . . . . . . . (E10–E14) 7256.430.2 5 Cerebrovasculardiseases......(I60–I69) 5464.822.8 6 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . . (K70,K73–K74) 5134.521.4 7 Chroniclowerrespiratory diseases...............(J40–J47) 4063.616.9 8 Influenzaandpneumonia . . . . . (J10–J18) 3152.813.1 9 Intentionalself-harm (suicide)...........(X60–X84,Y87.0) 2912.612.1 10Assault(homicide)......(X85–Y09,Y87.1) 2532.210.6 . ..Allothercauses...........(Residual) 2,69623.8112.5 American Indian,bothsexes, 1–4 years . ..Allcauses....................82 100.0 51.4 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 3745.123.2 2 Assault(homicide)......(X85–Y09,Y87.1) 67.3* 3 Diseasesofheart..(I00–I09,I11,I13,I20–I51)56.1* 3 Congenitalmalformations,deformationsand chromosomal abnormalities. . . .(Q00–Q99) 56.1* 5 Malignantneoplasms . . . . . . . .(C00–C97) 44.9* 6 Influenzaandpneumonia . . . . . (J10–J18) 33.7* 7 Acutebronchitisandbronchiolitis.(J20–J21)22.4* 8 Septicemia..............(A40–A41) 11.2* . ..Allothercauses...........(Residual) 1923.2* American Indian,bothsexes, 5–9 years . ..Allcauses....................48 100.0 21.9 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 2552.111.4 2 Assault(homicide)......(X85–Y09,Y87.1) 510.4* 3 Congenitalmalformations,deformationsand chromosomal abnormalities. . . .(Q00–Q99) 36.3* 4 Septicemia..............(A40–A41) 24.2* 4 Malignantneoplasms . . . . . . . .(C00–C97) 24.2* 4 Certainconditionsoriginatinginthe perinatalperiod...........(P00–P96) 24.2* 7 Meningococcalinfection . . . . . . . . . (A39) 12.1* 7 Influenzaandpneumonia . . . . . (J10–J18) 12.1* 7 Acutebronchitisandbronchiolitis.(J20–J21)12.1* . ..Allothercauses...........(Residual) 612.5* See footnotesatendoftable. Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),race,sex,andageNumber2 Percent of total deaths2 Rate2 American Indian,bothsexes, 10–14 years . ..Allcauses....................57 100.0 22.9 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 2645.610.5 2 Malignantneoplasms . . . . . . . .(C00–C97) 47.0* 2 Assault(homicide)......(X85–Y09,Y87.1) 47.0* 4 Diseasesofheart..(I00–I09,I11,I13,I20–I51)35.3* 4 Congenitalmalformations,deformationsand chromosomal abnormalities. . . .(Q00–Q99) 35.3* 6 Influenzaandpneumonia . . . . . (J10–J18) 23.5* 6 Intentionalself-harm (suicide)...........(X60–X84,Y87.0) 23.5* 8 Septicemia..............(A40–A41) 11.8* 8 Cerebrovasculardiseases......(I60–I69) 11.8* 8 Aorticaneurysmanddissection . . . . . (I71)11.8* . ..Allothercauses...........(Residual) 1017.5* American Indian,bothsexes, 15–19 years . ..Allcauses....................245 100.0 104.4 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 13053.155.4 2 Intentionalself-harm (suicide)...........(X60–X84,Y87.0) 5221.222.2 3 Assault(homicide)......(X85–Y09,Y87.1) 2711.011.5 4 Malignantneoplasms . . . . . . . .(C00–C97) 41.6* 5 Congenitalmalformations,deformationsand chromosomal abnormalities. . . .(Q00–Q99) 31.2* 6 Diseasesofheart..(I00–I09,I11,I13,I20–I51)20.8* 7 Insituneoplasms,benignneoplasms and neoplasmsofuncertainor unknown behavior . . . . . . . . .(D00–D48) 10.4* 7 Anemias . . . . . . . . . . . . . . .(D50–D64) 10.4* 7 Influenzaandpneumonia . . . . . (J10–J18) 10.4* 7 Diseasesofappendix. . . . . . . . (K35–K38) 10.4* 7 Pregnancy,childbirthandthe puerperium . . . . . . . . . . . . .(O00–O99) 10.4* 7 Legalintervention . . . . . . . . . (Y35,Y89.0) 10.4* . ..Allothercauses...........(Residual) 218.68.9 American Indian,bothsexes, 20–24 years . ..Allcauses....................295 100.0 151.8 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 15953.981.8 2 Intentionalself-harm (suicide)...........(X60–X84,Y87.0) 4314.622.1 3 Assault(homicide)......(X85–Y09,Y87.1) 3311.217.0 4 Malignantneoplasms . . . . . . . .(C00–C97) 93.1* 5 Diseasesofheart..(I00–I09,I11,I13,I20–I51)72.4* 6 Septicemia..............(A40–A41) 41.4* 6 Influenzaandpneumonia . . . . . (J10–J18) 41.4* 6 Congenitalmalformations,deformationsand chromosomal abnormalities. . . .(Q00–Q99) 41.4* 9 Diabetesmellitus . . . . . . . . . . (E10–E14) 20.7* 9 Meningitis. . . . . . . . . . . . . . . (G00,G03) 20.7* 9 Pregnancy,childbirthandthe puerperium . . . . . . . . . . . . .(O00–O99) 20.7* . ..Allothercauses...........(Residual) 268.813.4 National VitalStatisticsReport,Vol.49,No.11,October12,2001 35Table1.Deaths,percentoftotaldeaths,anddeathratesforthe10leadingcausesofdeathinselectedagegroups,by race andsex:UnitedStates,1999—Con. [Rates per100,000populationinspecifiedgroup.Dataforracesotherthanwhiteandblackshouldbeinterpretedwithcautionbecauseofinconsistencies betweenreporting race ondeathcertificatesandoncensusesandsurveys;seeTechnicalnotes] Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),race,sex,andageNumber2 Percent of total deaths2 Rate2 American Indian,bothsexes, 25–34 years . ..Allcauses....................645 100.0 172.4 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 25038.866.8 2 Intentionalself-harm (suicide)...........(X60–X84,Y87.0) 9114.124.3 3 Assault(homicide)......(X85–Y09,Y87.1) 7311.319.5 4 Diseasesofheart..(I00–I09,I11,I13,I20–I51)304.78.0 5 Malignantneoplasms . . . . . . . .(C00–C97) 264.07.0 6 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . . (K70,K73–K74) 213.35.6 7 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 172.6* 8 Cerebrovasculardiseases......(I60–I69) 111.7* 9 Diabetesmellitus . . . . . . . . . . (E10–E14) 81.2* 10 Congenitalmalformations,deformationsand chromosomal abnormalities. . . .(Q00–Q99) 71.1* . ..Allothercauses...........(Residual) 11117.229.7 American Indian,bothsexes, 35–44 years . ..Allcauses....................1,027 100.0 286.3 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 25224.570.2 2 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . . (K70,K73–K74) 13513.137.6 3 Diseasesofheart..(I00–I09,I11,I13,I20–I51)10610.329.5 4 Malignantneoplasms . . . . . . . .(C00–C97) 858.323.7 5 Intentionalself-harm (suicide)...........(X60–X84,Y87.0) 494.813.7 6 Assault(homicide)......(X85–Y09,Y87.1) 444.312.3 7 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 343.39.5 8 Cerebrovasculardiseases......(I60–I69) 302.98.4 9 Diabetesmellitus . . . . . . . . . . (E10–E14) 292.88.1 10 Influenzaandpneumonia . . . . . (J10–J18) 201.95.6 . ..Allothercauses...........(Residual) 24323.767.7 American Indian,bothsexes, 45–54 years . ..Allcauses....................1,328 100.0 518.7 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)23117.490.2 2 Malignantneoplasms . . . . . . . .(C00–C97) 21716.384.8 3 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 16312.363.7 4 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . . (K70,K73–K74) 15811.961.7 5 Diabetesmellitus . . . . . . . . . . (E10–E14) 846.332.8 6 Cerebrovasculardiseases......(I60–I69) 403.015.6 7 Assault(homicide)......(X85–Y09,Y87.1) 332.512.9 8 Intentionalself-harm (suicide)...........(X60–X84,Y87.0) 312.312.1 9 Septicemia..............(A40–A41) 262.010.2 9 Influenzaandpneumonia . . . . . (J10–J18) 262.010.2 . ..Allothercauses...........(Residual) 31924.0124.6 See footnotesatendoftable. Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),race,sex,andageNumber2 Percent of total deaths2 Rate2 American Indian,bothsexes, 55–64 years . ..Allcauses....................1,674 100.0 1,130.2 1 Malignantneoplasms . . . . . . . .(C00–C97) 40624.3274.1 2 Diseasesofheart..(I00–I09,I11,I13,I20–I51)38523.0259.9 3 Diabetesmellitus . . . . . . . . . . (E10–E14) 1659.9111.4 4 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . . (K70,K73–K74) 1237.383.0 5 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 1056.370.9 6 Cerebrovasculardiseases......(I60–I69) 633.842.5 6 Chroniclowerrespiratory diseases...............(J40–J47) 633.842.5 8 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)362.224.3 9 Influenzaandpneumonia . . . . . (J10–J18) 301.820.3 10Septicemia..............(A40–A41) 291.719.6 . ..Allothercauses...........(Residual) 26916.1181.6 American Indian,bothsexes, 65 yearsandover . ..Allcauses....................5,567 100.0 3,448.6 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)1,62929.31,009.1 2 Malignantneoplasms . . . . . . . .(C00–C97) 1,07819.4667.8 3 Diabetesmellitus . . . . . . . . . . (E10–E14) 4377.8270.7 4 Cerebrovasculardiseases......(I60–I69) 3987.1246.6 5 Chroniclowerrespiratory diseases...............(J40–J47) 3115.6192.7 6 Influenzaandpneumonia . . . . . (J10–J18) 2153.9133.2 7 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 1673.0103.5 8 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)1292.379.9 9 Septicemia..............(A40–A41) 881.654.5 10Alzheimer’sdisease............(G30) 831.551.4 . ..Allothercauses...........(Residual) 1,03218.5639.3 American Indian,bothsexes, 65–74 years . ..Allcauses....................2,164 100.0 2,390.9 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)58427.0645.2 2 Malignantneoplasms . . . . . . . .(C00–C97) 53524.7591.1 3 Diabetesmellitus . . . . . . . . . . (E10–E14) 21910.1242.0 4 Chroniclowerrespiratory diseases...............(J40–J47) 1235.7135.9 5 Cerebrovasculardiseases......(I60–I69) 1054.9116.0 6 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 823.890.6 7 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . . (K70,K73–K74) 582.764.1 8 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)552.560.8 9 Influenzaandpneumonia . . . . . (J10–J18) 371.740.9 10Septicemia..............(A40–A41) 331.536.5 . ..Allothercauses...........(Residual) 33315.4367.9 36 National VitalStatisticsReport,Vol.49,No.11,October12,2001Table1.Deaths,percentoftotaldeaths,anddeathratesforthe10leadingcausesofdeathinselectedagegroups,by race andsex:UnitedStates,1999—Con. [Rates per100,000populationinspecifiedgroup.Dataforracesotherthanwhiteandblackshouldbeinterpretedwithcautionbecauseofinconsistencies betweenreporting race ondeathcertificatesandoncensusesandsurveys;seeTechnicalnotes] Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),race,sex,andageNumber2 Percent of total deaths2 Rate2 American Indian,bothsexes, 75–84 years . ..Allcauses....................2,064 100.0 4,084.4 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)61629.81,219.0 2 Malignantneoplasms . . . . . . . .(C00–C97) 40519.6801.4 3 Cerebrovasculardiseases......(I60–I69) 1668.0328.5 4 Diabetesmellitus . . . . . . . . . . (E10–E14) 1467.1288.9 5 Chroniclowerrespiratory diseases...............(J40–J47) 1396.7275.1 6 Influenzaandpneumonia . . . . . (J10–J18) 723.5142.5 7 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 592.9116.8 8 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)422.083.1 9 Septicemia..............(A40–A41) 321.663.3 10Alzheimer’sdisease............(G30) 291.457.4 . ..Allothercauses...........(Residual) 35817.3708.4 American Indian,bothsexes, 85 yearsandover . ..Allcauses....................1,339 100.0 6,569.8 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)42932.02,104.9 2 Malignantneoplasms . . . . . . . .(C00–C97) 13810.3677.1 3 Cerebrovasculardiseases......(I60–I69) 1279.5623.1 4 Influenzaandpneumonia . . . . . (J10–J18) 1067.9520.1 5 Diabetesmellitus . . . . . . . . . . (E10–E14) 725.4353.3 6 Chroniclowerrespiratory diseases...............(J40–J47) 493.7240.4 7 Alzheimer’sdisease............(G30) 413.1201.2 8 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)322.4157.0 9 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 261.9127.6 10Septicemia..............(A40–A41) 231.7112.9 . ..Allothercauses...........(Residual) 29622.11,452.3 American Indian,male,allages3 . ..Allcauses....................6,092 100.0 513.3 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)1,30221.4109.7 2 Malignantneoplasms . . . . . . . .(C00–C97) 94915.680.0 3 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 89014.675.0 4 Diabetesmellitus . . . . . . . . . . (E10–E14) 3235.327.2 5 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . . (K70,K73–K74) 2994.925.2 6 Cerebrovasculardiseases......(I60–I69) 2363.919.9 7 Intentionalself-harm (suicide)..........(X60–X84,Y87.0) 2333.819.6 8 Chroniclowerrespiratory diseases..............(J40–J47) 1973.216.6 9 Assault(homicide).....(X85–Y09,Y87.1) 1792.915.1 10 Influenzaandpneumonia . . . . . (J10–J18) 1472.412.4 . ..Allothercauses..........(Residual) 1,33721.9112.7 See footnotesatendoftable. Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),race,sex,andageNumber2 Percent of total deaths2 Rate2 American Indian,male,1–4years . ..Allcauses....................48 100.0 59.4 1 Accidents(unintentional injuries)........(V01–X59,Y85–Y86) 2450.029.7 2 Assault(homicide).....(X85–Y09,Y87.1) 48.3* 3 Influenzaandpneumonia . . . . . (J10–J18) 36.3* 3 Congenitalmalformations,deformationsand chromosomal abnormalities...(Q00–Q99)36.3* 5 Diseasesofheart..(I00–I09,I11,I13,I20–I51)24.2* 5 Acutebronchitisandbronchiolitis(J20–J21)24.2* 7 Malignantneoplasms . . . . . . .(C00–C97) 12.1* . ..Allothercauses...........(Residual) 918.8* American Indian,male,5–9years . ..Allcauses....................21 100.0 18.9 1 Accidents(unintentional injuries)........(V01–X59,Y85–Y86) 1257.1* 2 Congenitalmalformations,deformationsand chromosomal abnormalities...(Q00–Q99)29.5* 3 Meningococcalinfection . . . . . . . . . (A39) 14.8* 3 Malignantneoplasms . . . . . . .(C00–C97) 14.8* 3 Influenzaandpneumonia . . . . . (J10–J18) 14.8* 3 Certainconditionsoriginatinginthe perinatalperiod..........(P00–P96) 14.8* 3 Assault(homicide).....(X85–Y09,Y87.1) 14.8* . ..Allothercauses...........(Residual) 29.5* American Indian,male,10–14years . ..Allcauses....................34 100.0 26.9 1 Accidents(unintentional injuries)........(V01–X59,Y85–Y86) 1647.1* 2 Malignantneoplasms . . . . . . .(C00–C97) 411.8* 3 Assault(homicide).....(X85–Y09,Y87.1) 38.8* 4 Congenitalmalformations,deformationsand chromosomal abnormalities...(Q00–Q99)25.9* 4 Intentionalself–harm (suicide)..........(X60–X84,Y87.0) 25.9* 6 Diseasesofheart..(I00–I09,I11,I13,I20–I51)12.9* 6 Aorticaneurysmanddissection . . . . (I71)12.9* 6 Influenzaandpneumonia . . . . . (J10–J18) 12.9* . ..Allothercauses...........(Residual) 411.8* National VitalStatisticsReport,Vol.49,No.11,October12,2001 37Table1.Deaths,percentoftotaldeaths,anddeathratesforthe10leadingcausesofdeathinselectedagegroups,by race andsex:UnitedStates,1999—Con. [Rates per100,000populationinspecifiedgroup.Dataforracesotherthanwhiteandblackshouldbeinterpretedwithcautionbecauseofinconsistencies betweenreporting race ondeathcertificatesandoncensusesandsurveys;seeTechnicalnotes] Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),race,sex,andageNumber2 Percent of total deaths2 Rate2 American Indian,male,15–19years . ..Allcauses....................179 100.0 151.8 1 Accidents(unintentional injuries)........(V01–X59,Y85–Y86) 9553.180.6 2 Intentionalself–harm (suicide)..........(X60–X84,Y87.0) 4324.036.5 3 Assault(homicide).....(X85–Y09,Y87.1) 2212.318.7 4 Malignantneoplasms . . . . . . .(C00–C97) 10.6* 4 Insituneoplasms,benignneoplasms and neoplasmsofuncertainor unknown behavior . . . . . . . .(D00–D48) 10.6* 4 Anemias . . . . . . . . . . . . . . .(D50–D64) 10.6* 4 Diseasesofheart..(I00–I09,I11,I13,I20–I51)10.6* 4 Influenzaandpneumonia . . . . . (J10–J18) 10.6* 4 Diseasesofappendix . . . . . . . (K35–K38) 10.6* 4 Congenitalmalformations,deformationsand chromosomal abnormalities...(Q00–Q99)10.6* 4 Legalintervention . . . . . . . . (Y35,Y89.0) 10.6* . ..Allothercauses...........(Residual) 116.1* American Indian,male,20–24years . ..Allcauses....................217 100.0 221.7 1 Accidents(unintentional injuries)........(V01–X59,Y85–Y86) 11954.8121.6 2 Intentionalself–harm (suicide)..........(X60–X84,Y87.0) 3616.636.8 3 Assault(homicide).....(X85–Y09,Y87.1) 2310.623.5 4 Malignantneoplasms . . . . . . .(C00–C97) 62.8* 5 Diseasesofheart..(I00–I09,I11,I13,I20–I51)52.3* 6 Influenzaandpneumonia . . . . . (J10–J18) 31.4* 7 Septicemia.............(A40–A41) 20.9* 7 Diabetesmellitus . . . . . . . . . . (E10–E14) 20.9* 7 Meningitis . . . . . . . . . . . . . . (G00,G03) 20.9* 7 Congenitalmalformations,deformationsand chromosomal abnormalities...(Q00–Q99)20.9* . ..Allothercauses...........(Residual) 177.8* American Indian,male,25–34years . ..Allcauses....................418 100.0 218.5 1 Accidents(unintentional injuries)........(V01–X59,Y85–Y86) 16339.085.2 2 Intentionalself–harm (suicide)..........(X60–X84,Y87.0) 7217.237.6 3 Assault(homicide).....(X85–Y09,Y87.1) 5012.026.1 4 Malignantneoplasms . . . . . . .(C00–C97) 143.3* 4 Diseasesofheart..(I00–I09,I11,I13,I20–I51)143.3* 6 Humanimmunodeficiencyvirus(HIV) disease..............(B20–B24) 133.1* 7 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . (K70,K73–K74) 102.4* 8 Diabetesmellitus . . . . . . . . . . (E10–E14) 51.2* 8 Legalintervention . . . . . . . . (Y35,Y89.0) 51.2* 10Cerebrovasculardiseases......(I60–I69) 41.0* 10 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)41.0* . ..Allothercauses...........(Residual) 6415.333.5 See footnotesatendoftable. Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),race,sex,andageNumber2 Percent of total deaths2 Rate2 American Indian,male,35–44years . ..Allcauses....................645 100.0 362.1 1 Accidents(unintentional injuries)........(V01–X59,Y85–Y86) 16725.993.8 2 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . (K70,K73–K74) 8413.047.2 3 Diseasesofheart..(I00–I09,I11,I13,I20–I51)7511.642.1 4 Intentionalself–harm (suicide)..........(X60–X84,Y87.0) 385.921.3 5 Malignantneoplasms . . . . . . .(C00–C97) 355.419.6 6 Assault(homicide).....(X85–Y09,Y87.1) 304.716.8 7 Humanimmunodeficiencyvirus(HIV) disease..............(B20–B24) 274.215.2 8 Diabetesmellitus . . . . . . . . . . (E10–E14) 203.111.2 9 Cerebrovasculardiseases......(I60–I69) 152.3* 10 Influenzaandpneumonia . . . . . (J10–J18) 121.9* . ..Allothercauses...........(Residual) 14222.079.7 American Indian,male,45–54years . ..Allcauses....................845 100.0 683.1 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)16319.3131.8 2 Accidents(unintentional injuries)........(V01–X59,Y85–Y86) 12114.397.8 3 Malignantneoplasms . . . . . . .(C00–C97) 11313.491.4 4 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . (K70,K73–K74) 9911.780.0 5 Diabetesmellitus . . . . . . . . . . (E10–E14) 536.342.8 6 Intentionalself–harm (suicide)..........(X60–X84,Y87.0) 242.819.4 6 Assault(homicide).....(X85–Y09,Y87.1) 242.819.4 8 Cerebrovasculardiseases......(I60–I69) 212.517.0 9 Influenzaandpneumonia . . . . . (J10–J18) 172.0* 10Septicemia.............(A40–A41) 151.8* . ..Allothercauses...........(Residual) 19523.1157.6 American Indian,male,55–64years . ..Allcauses....................920 100.0 1,321.8 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)24126.2346.3 2 Malignantneoplasms . . . . . . .(C00–C97) 20522.3294.5 3 Diabetesmellitus . . . . . . . . . . (E10–E14) 788.5112.1 4 Accidents(unintentional injuries)........(V01–X59,Y85–Y86) 758.2107.8 5 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . (K70,K73–K74) 707.6100.6 6 Chroniclowerrespiratory diseases..............(J40–J47) 283.040.2 7 Cerebrovasculardiseases......(I60–I69) 262.837.4 8 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)171.8* 9 Septicemia.............(A40–A41) 131.4* 9 Influenzaandpneumonia . . . . . (J10–J18) 131.4* . ..Allothercauses...........(Residual) 15416.7221.3 38 National VitalStatisticsReport,Vol.49,No.11,October12,2001Table1.Deaths,percentoftotaldeaths,anddeathratesforthe10leadingcausesofdeathinselectedagegroups,by race andsex:UnitedStates,1999—Con. [Rates per100,000populationinspecifiedgroup.Dataforracesotherthanwhiteandblackshouldbeinterpretedwithcautionbecauseofinconsistencies betweenreporting race ondeathcertificatesandoncensusesandsurveys;seeTechnicalnotes] Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),race,sex,andageNumber2 Percent of total deaths2 Rate2 American Indian,male,65yearsandover . ..Allcauses....................2,584 100.0 3,776.0 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)79730.81,164.7 2 Malignantneoplasms . . . . . . .(C00–C97) 56922.0831.5 3 Cerebrovasculardiseases......(I60–I69) 1676.5244.0 4 Diabetesmellitus . . . . . . . . . . (E10–E14) 1656.4241.1 5 Chroniclowerrespiratory diseases..............(J40–J47) 1535.9223.6 6 Influenzaandpneumonia . . . . . (J10–J18) 913.5133.0 7 Accidents(unintentional injuries)........(V01–X59,Y85–Y86) 903.5131.5 8 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)431.762.8 9 Septicemia.............(A40–A41) 391.557.0 10 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . (K70,K73–K74) 361.452.6 . ..Allothercauses...........(Residual) 43416.8634.2 American Indian,male,65–74years . ..Allcauses....................1,148 100.0 2,816.8 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)35330.7866.1 2 Malignantneoplasms . . . . . . .(C00–C97) 29225.4716.5 3 Diabetesmellitus . . . . . . . . . . (E10–E14) 827.1201.2 4 Chroniclowerrespiratory diseases..............(J40–J47) 685.9166.8 5 Cerebrovasculardiseases......(I60–I69) 595.1144.8 6 Accidents(unintentional injuries)........(V01–X59,Y85–Y86) 514.4125.1 7 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . (K70,K73–K74) 282.468.7 8 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)232.056.4 9 Septicemia.............(A40–A41) 181.6* 10 Influenzaandpneumonia . . . . . (J10–J18) 161.4* . ..Allothercauses...........(Residual) 15813.8387.7 American Indian,male,75–84years . ..Allcauses....................987 100.0 4,653.0 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)30330.71,428.4 2 Malignantneoplasms . . . . . . .(C00–C97) 20821.1980.6 3 Cerebrovasculardiseases......(I60–I69) 757.6353.6 4 Chroniclowerrespiratory diseases..............(J40–J47) 636.4297.0 5 Diabetesmellitus . . . . . . . . . . (E10–E14) 626.3292.3 6 Influenzaandpneumonia . . . . . (J10–J18) 394.0183.9 7 Accidents(unintentional injuries)........(V01–X59,Y85–Y86) 292.9136.7 8 Septicemia.............(A40–A41) 141.4* 8 Parkinson’sdisease . . . . . . . .(G20–G21) 141.4* 10 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)121.2* . ..Allothercauses...........(Residual) 16817.0792.0 See footnotesatendoftable. Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),race,sex,andageNumber2 Percent of total deaths2 Rate2 American Indian,male,85yearsandover . ..Allcauses....................449 100.0 6,946.2 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)14131.42,181.3 2 Malignantneoplasms . . . . . . .(C00–C97) 6915.41,067.5 3 Influenzaandpneumonia . . . . . (J10–J18) 368.0556.9 4 Cerebrovasculardiseases......(I60–I69) 337.3510.5 5 Chroniclowerrespiratory diseases..............(J40–J47) 224.9340.3 6 Diabetesmellitus . . . . . . . . . . (E10–E14) 214.7324.9 7 Pneumonitisduetosolidsand liquids...................(J69)102.2* 7 Accidents(unintentional injuries)........(V01–X59,Y85–Y86) 102.2* 9 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)81.8* 10Septicemia.............(A40–A41) 71.6* 10 Essential(primary)hypertensionand hypertensive renaldisease . . . . (I10,I12)71.6* . ..Allothercauses...........(Residual) 8518.91,315.0 American Indian,female,allages3 . ..Allcauses....................5,220 100.0 431.2 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)1,10221.191.0 2 Malignantneoplasms . . . . . . .(C00–C97) 88717.073.3 3 Accidents(unintentional injuries)........(V01–X59,Y85–Y86) 4378.436.1 4 Diabetesmellitus . . . . . . . . . . (E10–E14) 4027.733.2 5 Cerebrovasculardiseases......(I60–I69) 3105.925.6 6 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . (K70,K73–K74) 2144.117.7 7 Chroniclowerrespiratory diseases..............(J40–J47) 2094.017.3 8 Influenzaandpneumonia . . . . . (J10–J18) 1683.213.9 9 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)1152.29.5 10Septicemia.............(A40–A41) 881.77.3 . ..Allothercauses...........(Residual) 1,28824.7106.4 American Indian,female,1–4years . ..Allcauses....................34 100.0 43.1 1 Accidents(unintentional injuries)........(V01–X59,Y85–Y86) 1338.2* 2 Malignantneoplasms . . . . . . .(C00–C97) 38.8* 2 Diseasesofheart..(I00–I09,I11,I13,I20–I51)38.8* 4 Congenitalmalformations,deformationsand chromosomal abnormalities...(Q00–Q99)25.9* 4 Assault(homicide).....(X85–Y09,Y87.1) 25.9* 6 Septicemia.............(A40–A41) 12.9* . ..Allothercauses...........(Residual) 1029.4* National VitalStatisticsReport,Vol.49,No.11,October12,2001 39Table1.Deaths,percentoftotaldeaths,anddeathratesforthe10leadingcausesofdeathinselectedagegroups,by race andsex:UnitedStates,1999—Con. [Rates per100,000populationinspecifiedgroup.Dataforracesotherthanwhiteandblackshouldbeinterpretedwithcautionbecauseofinconsistencies betweenreporting race ondeathcertificatesandoncensusesandsurveys;seeTechnicalnotes] Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),race,sex,andageNumber2 Percent of total deaths2 Rate2 American Indian,female,5–9years . ..Allcauses....................27 100.0 25.0 1 Accidents(unintentional injuries)........(V01–X59,Y85–Y86) 1348.1* 2 Assault(homicide).....(X85–Y09,Y87.1) 414.8* 3 Septicemia.............(A40–A41) 27.4* 4 Malignantneoplasms . . . . . . .(C00–C97) 13.7* 4 Acutebronchitisandbronchiolitis(J20–J21)13.7* 4 Certainconditionsoriginatinginthe perinatalperiod..........(P00–P96) 13.7* 4 Congenitalmalformations,deformationsand chromosomal abnormalities...(Q00–Q99)13.7* . ..Allothercauses...........(Residual) 414.8* American Indian,female,10–14years . ..Allcauses....................23 100.0 18.8 1 Accidents(unintentional injuries)........(V01–X59,Y85–Y86) 1043.5* 2 Diseasesofheart..(I00–I09,I11,I13,I20–I51)28.7* 3 Septicemia.............(A40–A41) 14.3* 3 Cerebrovasculardiseases......(I60–I69) 14.3* 3 Influenzaandpneumonia . . . . . (J10–J18) 14.3* 3 Congenitalmalformations,deformationsand chromosomal abnormalities...(Q00–Q99)14.3* 3 Assault(homicide).....(X85–Y09,Y87.1) 14.3* . ..Allothercauses...........(Residual) 626.1* American Indian,female,15–19years . ..Allcauses....................66 100.0 56.5 1 Accidents(unintentional injuries)........(V01–X59,Y85–Y86) 3553.030.0 2 Intentionalself–harm (suicide)..........(X60–X84,Y87.0) 913.6* 3 Assault(homicide).....(X85–Y09,Y87.1) 57.6* 4 Malignantneoplasms . . . . . . .(C00–C97) 34.5* 5 Congenitalmalformations,deformationsand chromosomal abnormalities...(Q00–Q99)23.0* 6 Diseasesofheart..(I00–I09,I11,I13,I20–I51)11.5* 6 Pregnancy,childbirthandthe puerperium . . . . . . . . . . . . .(O00–O99) 11.5* . ..Allothercauses...........(Residual) 1015.2* See footnotesatendoftable. Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),race,sex,andageNumber2 Percent of total deaths2 Rate2 American Indian,female,20–24years . ..Allcauses....................78 100.0 80.9 1 Accidents(unintentional injuries)........(V01–X59,Y85–Y86) 4051.341.5 2 Assault(homicide).....(X85–Y09,Y87.1) 1012.8* 3 Intentionalself–harm (suicide)..........(X60–X84,Y87.0) 79.0* 4 Malignantneoplasms . . . . . . .(C00–C97) 33.8* 5 Septicemia.............(A40–A41) 22.6* 5 Diseasesofheart..(I00–I09,I11,I13,I20–I51)22.6* 5 Pregnancy,childbirthandthe puerperium . . . . . . . . . . . . .(O00–O99) 22.6* 5 Congenitalmalformations,deformationsand chromosomal abnormalities...(Q00–Q99)22.6* 9 Influenzaandpneumonia . . . . . (J10–J18) 11.3* 9 Chroniclowerrespiratory diseases..............(J40–J47) 11.3* 9 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . (K70,K73–K74) 11.3* . ..Allothercauses...........(Residual) 79.0* American Indian,female,25–34years . ..Allcauses....................227 100.0 124.2 1 Accidents(unintentional injuries)........(V01–X59,Y85–Y86) 8738.347.6 2 Assault(homicide).....(X85–Y09,Y87.1) 2310.112.6 3 Intentionalself–harm (suicide)..........(X60–X84,Y87.0) 198.4* 4 Diseasesofheart..(I00–I09,I11,I13,I20–I51)167.0* 5 Malignantneoplasms . . . . . . .(C00–C97) 125.3* 6 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . (K70,K73–K74) 114.8* 7 Cerebrovasculardiseases......(I60–I69) 73.1* 8 Humanimmunodeficiencyvirus(HIV) disease..............(B20–B24) 41.8* 8 Congenitalmalformations,deformationsand chromosomal abnormalities...(Q00–Q99)41.8* 10 Diabetesmellitus . . . . . . . . . . (E10–E14) 31.3* 10 Influenzaandpneumonia . . . . . (J10–J18) 31.3* . ..Allothercauses...........(Residual) 3816.720.8 American Indian,female,35–44years . ..Allcauses....................382 100.0 211.5 1 Accidents(unintentional injuries)........(V01–X59,Y85–Y86) 8522.347.1 2 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . (K70,K73–K74) 5113.428.2 3 Malignantneoplasms . . . . . . .(C00–C97) 5013.127.7 4 Diseasesofheart..(I00–I09,I11,I13,I20–I51)318.117.2 5 Cerebrovasculardiseases......(I60–I69) 153.9* 6 Assault(homicide).....(X85–Y09,Y87.1) 143.7* 7 Intentionalself–harm (suicide)..........(X60–X84,Y87.0) 112.9* 8 Diabetesmellitus . . . . . . . . . . (E10–E14) 92.4* 9 Influenzaandpneumonia . . . . . (J10–J18) 82.1* 10 Humanimmunodeficiencyvirus(HIV) disease..............(B20–B24) 71.8* . ..Allothercauses...........(Residual) 10126.455.9 40 National VitalStatisticsReport,Vol.49,No.11,October12,2001Table1.Deaths,percentoftotaldeaths,anddeathratesforthe10leadingcausesofdeathinselectedagegroups,by race andsex:UnitedStates,1999—Con. [Rates per100,000populationinspecifiedgroup.Dataforracesotherthanwhiteandblackshouldbeinterpretedwithcautionbecauseofinconsistencies betweenreporting race ondeathcertificatesandoncensusesandsurveys;seeTechnicalnotes] Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),race,sex,andageNumber2 Percent of total deaths2 Rate2 American Indian,female,45–54years . ..Allcauses....................483 100.0 365.0 1 Malignantneoplasms . . . . . . .(C00–C97) 10421.578.6 2 Diseasesofheart..(I00–I09,I11,I13,I20–I51)6814.151.4 3 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . (K70,K73–K74) 5912.244.6 4 Accidents(unintentional injuries)........(V01–X59,Y85–Y86) 428.731.7 5 Diabetesmellitus . . . . . . . . . . (E10–E14) 316.423.4 6 Cerebrovasculardiseases......(I60–I69) 193.9* 7 Septicemia.............(A40–A41) 112.3* 8 Influenzaandpneumonia . . . . . (J10–J18) 91.9* 8 Chroniclowerrespiratory diseases..............(J40–J47) 91.9* 8 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)91.9* 8 Assault(homicide).....(X85–Y09,Y87.1) 91.9* . ..Allothercauses...........(Residual) 11323.485.4 American Indian,female,55–64years . ..Allcauses....................754 100.0 960.4 1 Malignantneoplasms . . . . . . .(C00–C97) 20126.7256.0 2 Diseasesofheart..(I00–I09,I11,I13,I20–I51)14419.1183.4 3 Diabetesmellitus . . . . . . . . . . (E10–E14) 8711.5110.8 4 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . (K70,K73–K74) 537.067.5 5 Cerebrovasculardiseases......(I60–I69) 374.947.1 6 Chroniclowerrespiratory diseases..............(J40–J47) 354.644.6 7 Accidents(unintentional injuries)........(V01–X59,Y85–Y86) 304.038.2 8 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)192.5* 9 Influenzaandpneumonia . . . . . (J10–J18) 172.3* 10Septicemia.............(A40–A41) 162.1* . ..Allothercauses...........(Residual) 11515.3146.5 American Indian,female, 65 yearsandover . ..Allcauses....................2,983 100.0 3,207.7 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)83227.9894.7 2 Malignantneoplasms . . . . . . .(C00–C97) 50917.1547.3 3 Diabetesmellitus . . . . . . . . . . (E10–E14) 2729.1292.5 4 Cerebrovasculardiseases......(I60–I69) 2317.7248.4 5 Chroniclowerrespiratory diseases..............(J40–J47) 1585.3169.9 6 Influenzaandpneumonia . . . . . (J10–J18) 1244.2133.3 7 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)862.992.5 8 Accidents(unintentional injuries)........(V01–X59,Y85–Y86) 772.682.8 9 Alzheimer’sdisease...........(G30) 612.065.6 10Septicemia.............(A40–A41) 491.652.7 . ..Allothercauses...........(Residual) 58419.6628.0 See footnotesatendoftable. Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),race,sex,andageNumber2 Percent of total deaths2 Rate2 American Indian,female,65–74years . ..Allcauses....................1,016 100.0 2,042.0 1 Malignantneoplasms . . . . . . .(C00–C97) 24323.9488.4 2 Diseasesofheart..(I00–I09,I11,I13,I20–I51)23122.7464.3 3 Diabetesmellitus . . . . . . . . . . (E10–E14) 13713.5275.3 4 Chroniclowerrespiratory diseases..............(J40–J47) 555.4110.5 5 Cerebrovasculardiseases......(I60–I69) 464.592.5 6 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)323.164.3 7 Accidents(unintentional injuries)........(V01–X59,Y85–Y86) 313.162.3 8 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . (K70,K73–K74) 303.060.3 9 Influenzaandpneumonia . . . . . (J10–J18) 212.142.2 10Septicemia.............(A40–A41) 151.5* . ..Allothercauses...........(Residual) 17517.2351.7 American Indian,female,75–84years . ..Allcauses....................1,077 100.0 3,673.0 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)31329.11,067.5 2 Malignantneoplasms . . . . . . .(C00–C97) 19718.3671.9 3 Cerebrovasculardiseases......(I60–I69) 918.4310.3 4 Diabetesmellitus . . . . . . . . . . (E10–E14) 847.8286.5 5 Chroniclowerrespiratory diseases..............(J40–J47) 767.1259.2 6 Influenzaandpneumonia . . . . . (J10–J18) 333.1112.5 7 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)302.8102.3 7 Accidents(unintentional injuries)........(V01–X59,Y85–Y86) 302.8102.3 9 Septicemia.............(A40–A41) 181.7* 9 Alzheimer’sdisease...........(G30) 181.7* . ..Allothercauses...........(Residual) 18717.4637.7 American Indian,female, 85 yearsandover . ..Allcauses....................890 100.0 6,395.1 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)28832.42,069.4 2 Cerebrovasculardiseases......(I60–I69) 9410.6675.4 3 Influenzaandpneumonia . . . . . (J10–J18) 707.9503.0 4 Malignantneoplasms . . . . . . .(C00–C97) 697.8495.8 5 Diabetesmellitus . . . . . . . . . . (E10–E14) 515.7366.5 6 Alzheimer’sdisease...........(G30) 353.9251.5 7 Chroniclowerrespiratory diseases..............(J40–J47) 273.0194.0 8 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)242.7172.5 9 Septicemia.............(A40–A41) 161.8* 9 Accidents(unintentional injuries)........(V01–X59,Y85–Y86) 161.8* . ..Allothercauses...........(Residual) 20022.51,437.1 National VitalStatisticsReport,Vol.49,No.11,October12,2001 41Table1.Deaths,percentoftotaldeaths,anddeathratesforthe10leadingcausesofdeathinselectedagegroups,by race andsex:UnitedStates,1999—Con. [Rates per100,000populationinspecifiedgroup.Dataforracesotherthanwhiteandblackshouldbeinterpretedwithcautionbecauseofinconsistencies betweenreporting race ondeathcertificatesandoncensusesandsurveys;seeTechnicalnotes] Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),race,sex,andageNumber2 Percent of total deaths2 Rate2 Asian orPacificIslander, both sexes,allages3 . ..Allcauses....................33,675 100.0 311.2 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)9,09627.084.1 2 Malignantneoplasms . . . . . . .(C00–C97) 8,81326.281.4 3 Cerebrovasculardiseases......(I60–I69) 3,1099.228.7 4 Accidents(unintentional injuries)........(V01–X59,Y85–Y86) 1,5604.614.4 5 Diabetesmellitus . . . . . . . . . . (E10–E14) 1,1483.410.6 6 Chroniclowerrespiratory diseases..............(J40–J47) 1,1253.310.4 7 Influenzaandpneumonia . . . . . (J10–J18) 8452.57.8 8 Intentionalself–harm (suicide)..........(X60–X84,Y87.0) 6582.06.1 9 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)5791.75.4 10Septicemia.............(A40–A41) 3981.23.7 . ..Allothercauses...........(Residual) 6,34418.858.6 Asian orPacificIslander, both sexes,1–4years . ..Allcauses....................166 100.0 23.0 1 Accidents(unintentional injuries)........(V01–X59,Y85–Y86) 4627.76.4 2 Congenitalmalformations,deformationsand chromosomal abnormalities...(Q00–Q99)2112.72.9 3 Malignantneoplasms . . . . . . .(C00–C97) 127.2* 4 Assault(homicide).....(X85–Y09,Y87.1) 106.0* 5 Septicemia.............(A40–A41) 95.4* 5 Influenzaandpneumonia . . . . . (J10–J18) 95.4* 7 Certainconditionsoriginatinginthe perinatalperiod..........(P00–P96) 74.2* 8 Chroniclowerrespiratory diseases..............(J40–J47) 53.0* 9 Diseasesofheart..(I00–I09,I11,I13,I20–I51)42.4* 10 Insituneoplasms,benignneoplasms and neoplasmsofuncertainor unknown behavior . . . . . . . .(D00–D48) 21.2* 10Cerebrovasculardiseases......(I60–I69) 21.2* 10 Acutebronchitisand bronchiolitis . . . . . . . . . . . . (J20–J21) 21.2* . ..Allothercauses...........(Residual) 3722.35.1 Asian orPacificIslander, both sexes,5–9years . ..Allcauses....................96 100.0 11.0 1 Accidents(unintentional injuries)........(V01–X59,Y85–Y86) 2728.13.1 2 Malignantneoplasms . . . . . . .(C00–C97) 2526.02.9 3 Congenitalmalformations,deformationsand chromosomal abnormalities...(Q00–Q99)1010.4* 4 Assault(homicide).....(X85–Y09,Y87.1) 88.3* 5 Septicemia.............(A40–A41) 33.1* 6 Certainconditionsoriginatinginthe perinatalperiod..........(P00–P96) 22.1* 7 Diseasesofheart..(I00–I09,I11,I13,I20–I51)11.0* 7 Influenzaandpneumonia . . . . . (J10–J18) 11.0* . ..Allothercauses...........(Residual) 1919.8* See footnotesatendoftable. Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),race,sex,andageNumber2 Percent of total deaths2 Rate2 Asian orPacificIslander,bothsexes, 10–14 years . ..Allcauses....................112 100.0 13.6 1 Accidents(unintentional injuries)........(V01–X59,Y85–Y86) 3632.14.4 2 Malignantneoplasms . . . . . . .(C00–C97) 1816.1* 3 Intentionalself–harm (suicide)..........(X60–X84,Y87.0) 76.3* 3 Assault(homicide).....(X85–Y09,Y87.1) 76.3* 5 Congenitalmalformations,deformationsand chromosomal abnormalities...(Q00–Q99)54.5* 6 Diseasesofheart..(I00–I09,I11,I13,I20–I51)32.7* 7 Septicemia.............(A40–A41) 21.8* 7 Influenzaandpneumonia . . . . . (J10–J18) 21.8* 9 Tuberculosis.............(A16–A19) 10.9* 9 Pneumonitisduetosolidsand liquids...................(J69)10.9* 9 Diseasesofappendix . . . . . . . (K35–K38) 10.9* 9 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)10.9* 9 Certainconditionsoriginatinginthe perinatalperiod..........(P00–P96) 10.9* . ..Allothercauses...........(Residual) 2724.13.3 Asian orPacificIslander,bothsexes, 15–19 years . ..Allcauses....................329 100.0 40.0 1 Accidents(unintentional injuries)........(V01–X59,Y85–Y86) 13741.616.7 2 Assault(homicide).....(X85–Y09,Y87.1) 5115.56.2 3 Intentionalself–harm (suicide)..........(X60–X84,Y87.0) 4012.24.9 4 Malignantneoplasms . . . . . . .(C00–C97) 3410.34.1 5 Diseasesofheart..(I00–I09,I11,I13,I20–I51)103.0* 6 Congenitalmalformations,deformationsand chromosomal abnormalities...(Q00–Q99)61.8* 7 Influenzaandpneumonia . . . . . (J10–J18) 41.2* 8 Cerebrovasculardiseases......(I60–I69) 30.9* 8 Chroniclowerrespiratory diseases..............(J40–J47) 30.9* 10 Meningococcalinfection . . . . . . . . . (A39) 10.3* 10Septicemia.............(A40–A41) 10.3* 10 Insituneoplasms,benignneoplasms and neoplasmsofuncertainor unknown behavior . . . . . . . .(D00–D48) 10.3* 10 Anemias . . . . . . . . . . . . . . .(D50–D64) 10.3* . ..Allothercauses...........(Residual) 3711.24.5 42 National VitalStatisticsReport,Vol.49,No.11,October12,2001Table1.Deaths,percentoftotaldeaths,anddeathratesforthe10leadingcausesofdeathinselectedagegroups,by race andsex:UnitedStates,1999—Con. [Rates per100,000populationinspecifiedgroup.Dataforracesotherthanwhiteandblackshouldbeinterpretedwithcautionbecauseofinconsistencies betweenreporting race ondeathcertificatesandoncensusesandsurveys;seeTechnicalnotes] Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),race,sex,andageNumber2 Percent of total deaths2 Rate2 Asian orPacificIslander,bothsexes, 20–24 years . ..Allcauses....................369 100.0 48.1 1 Accidents(unintentional injuries)........(V01–X59,Y85–Y86) 14739.819.2 2 Intentionalself–harm (suicide)..........(X60–X84,Y87.0) 7720.910.0 3 Assault(homicide).....(X85–Y09,Y87.1) 4211.45.5 4 Malignantneoplasms . . . . . . .(C00–C97) 328.74.2 5 Diseasesofheart..(I00–I09,I11,I13,I20–I51)102.7* 6 Congenitalmalformations,deformationsand chromosomal abnormalities...(Q00–Q99)61.6* 7 Septicemia.............(A40–A41) 41.1* 8 Legalintervention . . . . . . . . (Y35,Y89.0) 30.8* 9 Tuberculosis.............(A16–A19) 20.5* 9 Humanimmunodeficiencyvirus(HIV) disease..............(B20–B24) 20.5* 9 Diabetesmellitus . . . . . . . . . . (E10–E14) 20.5* 9 Cerebrovasculardiseases......(I60–I69) 20.5* 9 Chroniclowerrespiratory diseases..............(J40–J47) 20.5* 9 Pregnancy,childbirthandthe puerperium . . . . . . . . . . . . .(O00–O99) 20.5* . ..Allothercauses...........(Residual) 369.84.7 Asian orPacificIslander,bothsexes, 25–34 years . ..Allcauses....................906 100.0 49.1 1 Accidents(unintentional injuries)........(V01–X59,Y85–Y86) 21423.611.6 2 Intentionalself–harm (suicide)..........(X60–X84,Y87.0) 16618.39.0 3 Malignantneoplasms . . . . . . .(C00–C97) 16117.88.7 4 Assault(homicide).....(X85–Y09,Y87.1) 758.34.1 5 Diseasesofheart..(I00–I09,I11,I13,I20–I51)748.24.0 6 Cerebrovasculardiseases......(I60–I69) 171.9* 7 Insituneoplasms,benignneoplasms and neoplasmsofuncertainor unknown behavior . . . . . . . .(D00–D48) 161.8* 8 Humanimmunodeficiencyvirus(HIV) disease..............(B20–B24) 131.4* 9 Congenitalmalformations,deformationsand chromosomal abnormalities...(Q00–Q99)111.2* 10 Pregnancy,childbirthandthe puerperium . . . . . . . . . . . . .(O00–O99) 91.0* . ..Allothercauses...........(Residual) 15016.68.1 See footnotesatendoftable. Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),race,sex,andageNumber2 Percent of total deaths2 Rate2 Asian orPacificIslander,bothsexes, 35–44 years . ..Allcauses....................1,581 100.0 85.2 1 Malignantneoplasms . . . . . . .(C00–C97) 50732.127.3 2 Diseasesofheart..(I00–I09,I11,I13,I20–I51)23014.512.4 3 Accidents(unintentional injuries)........(V01–X59,Y85–Y86) 19412.310.5 4 Intentionalself–harm (suicide)..........(X60–X84,Y87.0) 1227.76.6 5 Cerebrovasculardiseases......(I60–I69) 825.24.4 6 Assault(homicide).....(X85–Y09,Y87.1) 714.53.8 7 Humanimmunodeficiencyvirus(HIV) disease..............(B20–B24) 412.62.2 8 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . (K70,K73–K74) 342.21.8 9 Viralhepatitis . . . . . . . . . . . . (B15–B19) 221.41.2 9 Diabetesmellitus . . . . . . . . . . (E10–E14) 221.41.2 . ..Allothercauses...........(Residual) 25616.213.8 Asian orPacificIslander,bothsexes, 45–54 years . ..Allcauses....................2,876 100.0 210.2 1 Malignantneoplasms . . . . . . .(C00–C97) 1,14539.883.7 2 Diseasesofheart..(I00–I09,I11,I13,I20–I51)54518.939.8 3 Cerebrovasculardiseases......(I60–I69) 2318.016.9 4 Accidents(unintentional injuries)........(V01–X59,Y85–Y86) 1695.912.4 5 Intentionalself–harm (suicide)..........(X60–X84,Y87.0) 1003.57.3 6 Diabetesmellitus . . . . . . . . . . (E10–E14) 652.34.8 7 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . (K70,K73–K74) 582.04.2 8 Assault(homicide).....(X85–Y09,Y87.1) 501.73.7 9 Viralhepatitis . . . . . . . . . . . . (B15–B19) 491.73.6 10 Chroniclowerrespiratory diseases..............(J40–J47) 321.12.3 . ..Allothercauses...........(Residual) 43215.031.6 Asian orPacificIslander,bothsexes, 55–64 years . ..Allcauses....................4,247 100.0 557.2 1 Malignantneoplasms . . . . . . .(C00–C97) 1,66039.1217.8 2 Diseasesofheart..(I00–I09,I11,I13,I20–I51)1,03324.3135.5 3 Cerebrovasculardiseases......(I60–I69) 3548.346.4 4 Diabetesmellitus . . . . . . . . . . (E10–E14) 1724.022.6 5 Accidents(unintentional injuries)........(V01–X59,Y85–Y86) 1523.619.9 6 Chroniclowerrespiratory diseases..............(J40–J47) 872.011.4 7 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)731.79.6 8 Viralhepatitis . . . . . . . . . . . . (B15–B19) 701.69.2 9 Intentionalself–harm (suicide)..........(X60–X84,Y87.0) 681.68.9 10 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . (K70,K73–K74) 551.37.2 . ..Allothercauses...........(Residual) 52312.368.6 National VitalStatisticsReport,Vol.49,No.11,October12,2001 43Table1.Deaths,percentoftotaldeaths,anddeathratesforthe10leadingcausesofdeathinselectedagegroups,by race andsex:UnitedStates,1999—Con. [Rates per100,000populationinspecifiedgroup.Dataforracesotherthanwhiteandblackshouldbeinterpretedwithcautionbecauseofinconsistencies betweenreporting race ondeathcertificatesandoncensusesandsurveys;seeTechnicalnotes] Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),race,sex,andageNumber2 Percent of total deaths2 Rate2 Asian orPacificIslander,bothsexes,65 years andover . ..Allcauses....................22,281 100.0 2,783.4 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)7,16432.2894.9 2 Malignantneoplasms . . . . . . .(C00–C97) 5,21523.4651.5 3 Cerebrovasculardiseases......(I60–I69) 2,41410.8301.6 4 Chroniclowerrespiratory diseases..............(J40–J47) 9784.4122.2 5 Diabetesmellitus . . . . . . . . . . (E10–E14) 8844.0110.4 6 Influenzaandpneumonia . . . . . (J10–J18) 7393.392.3 7 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)4612.157.6 8 Accidents(unintentional injuries)........(V01–X59,Y85–Y86) 4191.952.3 9 Septicemia.............(A40–A41) 2951.336.9 9 Essential(primary)hypertensionand hypertensive renaldisease . . . . (I10,I12)2951.336.9 . ..Allothercauses...........(Residual) 3,41715.3426.9 Asian orPacificIslander,bothsexes, 65–74 years . ..Allcauses....................6,877 100.0 1,401.7 1 Malignantneoplasms . . . . . . .(C00–C97) 2,33634.0476.1 2 Diseasesofheart..(I00–I09,I11,I13,I20–I51)1,85126.9377.3 3 Cerebrovasculardiseases......(I60–I69) 5978.7121.7 4 Diabetesmellitus . . . . . . . . . . (E10–E14) 3224.765.6 5 Chroniclowerrespiratory diseases..............(J40–J47) 2984.360.7 6 Accidents(unintentional injuries)........(V01–X59,Y85–Y86) 1482.230.2 7 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)1301.926.5 8 Influenzaandpneumonia . . . . . (J10–J18) 1031.521.0 9 Septicemia.............(A40–A41) 831.216.9 10 Essential(primary)hypertensionand hypertensive renaldisease . . . . (I10,I12)731.114.9 10 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . (K70,K73–K74) 731.114.9 . ..Allothercauses...........(Residual) 86312.5175.9 Asian orPacificIslander,bothsexes, 75–84 years . ..Allcauses....................8,836 100.0 3,659.7 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)2,80631.81,162.2 2 Malignantneoplasms . . . . . . .(C00–C97) 2,04423.1846.6 3 Cerebrovasculardiseases......(I60–I69) 99311.2411.3 4 Chroniclowerrespiratory diseases..............(J40–J47) 4184.7173.1 5 Diabetesmellitus . . . . . . . . . . (E10–E14) 3724.2154.1 6 Influenzaandpneumonia . . . . . (J10–J18) 2893.3119.7 7 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)1822.175.4 8 Accidents(unintentional injuries)........(V01–X59,Y85–Y86) 1571.865.0 9 Septicemia.............(A40–A41) 1181.348.9 10 Essential(primary)hypertensionand hypertensive renaldisease . . . . (I10,I12)1171.348.5 . ..Allothercauses...........(Residual) 1,34015.2555.0 See footnotesatendoftable. Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),race,sex,andageNumber2 Percent of total deaths2 Rate2 Asian orPacificIslander,bothsexes,85 years andover . ..Allcauses....................6,568 100.0 9,596.9 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)2,50738.23,663.1 2 Malignantneoplasms . . . . . . .(C00–C97) 83512.71,220.1 3 Cerebrovasculardiseases......(I60–I69) 82412.51,204.0 4 Influenzaandpneumonia . . . . . (J10–J18) 3475.3507.0 5 Chroniclowerrespiratory diseases..............(J40–J47) 2624.0382.8 6 Diabetesmellitus . . . . . . . . . . (E10–E14) 1902.9277.6 7 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)1492.3217.7 8 Alzheimer’sdisease...........(G30) 1251.9182.6 9 Accidents(unintentional injuries)........(V01–X59,Y85–Y86) 1141.7166.6 10 Essential(primary)hypertensionand hypertensive renaldisease . . . . (I10,I12)1051.6 153.4 . ..Allothercauses...........(Residual) 1,11016.91,621.9 Asian orPacificIslander, male, allages3 . ..Allcauses....................18,330 100.0 352.7 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)5,15428.199.2 2 Malignantneoplasms . . . . . . .(C00–C97) 4,63725.389.2 3 Cerebrovasculardiseases......(I60–I69) 1,4888.128.6 4 Accidents(unintentional injuries)........(V01–X59,Y85–Y86) 9745.318.7 5 Chroniclowerrespiratory diseases..............(J40–J47) 7183.913.8 6 Diabetesmellitus . . . . . . . . . . (E10–E14) 5232.910.1 7 Intentionalself–harm (suicide)..........(X60–X84,Y87.0) 4672.59.0 8 Influenzaandpneumonia . . . . . (J10–J18) 4652.58.9 9 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)2971.65.7 10Assault(homicide).....(X85–Y09,Y87.1) 2301.34.4 . ..Allothercauses...........(Residual) 3,37718.465.0 Asian orPacificIslander, male, 1–4years . ..Allcauses....................97 100.0 26.6 1 Accidents(unintentional injuries)........(V01–X59,Y85–Y86) 2626.87.1 2 Congenitalmalformations,deformationsand chromosomal abnormalities...(Q00–Q99)1010.3* 3 Certainconditionsoriginatinginthe perinatalperiod..........(P00–P96) 77.2* 3 Assault(homicide).....(X85–Y09,Y87.1) 77.2* 5 Malignantneoplasms . . . . . . .(C00–C97) 66.2* 6 Septicemia.............(A40–A41) 55.2* 6 Influenzaandpneumonia . . . . . (J10–J18) 55.2* 8 Chroniclowerrespiratory diseases..............(J40–J47) 33.1* 9 Cerebrovasculardiseases......(I60–I69) 22.1* 9 Acutebronchitisand bronchiolitis . . . . . . . . . . . . (J20–J21) 22.1* . ..Allothercauses...........(Residual) 2424.76.6 44 National VitalStatisticsReport,Vol.49,No.11,October12,2001Table1.Deaths,percentoftotaldeaths,anddeathratesforthe10leadingcausesofdeathinselectedagegroups,by race andsex:UnitedStates,1999—Con. [Rates per100,000populationinspecifiedgroup.Dataforracesotherthanwhiteandblackshouldbeinterpretedwithcautionbecauseofinconsistencies betweenreporting race ondeathcertificatesandoncensusesandsurveys;seeTechnicalnotes] Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),race,sex,andageNumber2 Percent of total deaths2 Rate2 Asian orPacificIslander, male, 5–9years . ..Allcauses....................48 100.0 10.6 1 Accidents(unintentional injuries)........(V01–X59,Y85–Y86) 1633.3* 2 Malignantneoplasms . . . . . . .(C00–C97) 1327.1* 3 Congenitalmalformations,deformationsand chromosomal abnormalities...(Q00–Q99)612.5* 4 Assault(homicide).....(X85–Y09,Y87.1) 36.3* 5 Diseasesofheart..(I00–I09,I11,I13,I20–I51)12.1* 5 Certainconditionsoriginatinginthe perinatalperiod..........(P00–P96) 12.1* . ..Allothercauses...........(Residual) 816.7* Asian orPacificIslander, male, 10–14years . ..Allcauses....................65 100.0 15.4 1 Accidents(unintentional injuries)........(V01–X59,Y85–Y86) 2436.95.7 2 Malignantneoplasms . . . . . . .(C00–C97) 710.8* 3 Intentionalself–harm (suicide)..........(X60–X84,Y87.0) 69.2* 4 Assault(homicide).....(X85–Y09,Y87.1) 46.2* 5 Congenitalmalformations,deformationsand chromosomal abnormalities...(Q00–Q99)34.6* 6 Diseasesofheart..(I00–I09,I11,I13,I20–I51)23.1* 7 Tuberculosis.............(A16–A19) 11.5* 7 Septicemia.............(A40–A41) 11.5* 7 Influenzaandpneumonia . . . . . (J10–J18) 11.5* 7 Diseasesofappendix . . . . . . . (K35–K38) 11.5* 7 Certainconditionsoriginatinginthe perinatalperiod..........(P00–P96) 11.5* . ..Allothercauses...........(Residual) 1421.5* Asian orPacificIslander, male, 15–19years . ..Allcauses....................222 100.0 53.4 1 Accidents(unintentional injuries)........(V01–X59,Y85–Y86) 9341.922.4 2 Assault(homicide).....(X85–Y09,Y87.1) 4419.810.6 3 Intentionalself–harm (suicide)..........(X60–X84,Y87.0) 2712.26.5 4 Malignantneoplasms . . . . . . .(C00–C97) 2511.36.0 5 Diseasesofheart..(I00–I09,I11,I13,I20–I51)73.2* 6 Congenitalmalformations,deformationsand chromosomal abnormalities...(Q00–Q99)20.9* 7 Anemias . . . . . . . . . . . . . . .(D50–D64) 10.5* 7 Cerebrovasculardiseases......(I60–I69) 10.5* 7 Influenzaandpneumonia . . . . . (J10–J18) 10.5* 7 Chroniclowerrespiratory diseases..............(J40–J47) 10.5* . ..Allothercauses...........(Residual) 209.04.8 See footnotesatendoftable. Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),race,sex,andageNumber2 Percent of total deaths2 Rate2 Asian orPacificIslander, male, 20–24years . ..Allcauses....................245 100.0 64.5 1 Accidents(unintentional injuries)........(V01–X59,Y85–Y86) 10542.927.6 2 Intentionalself–harm (suicide)..........(X60–X84,Y87.0) 5522.414.5 3 Assault(homicide).....(X85–Y09,Y87.1) 2711.07.1 4 Malignantneoplasms . . . . . . .(C00–C97) 239.46.1 5 Diseasesofheart..(I00–I09,I11,I13,I20–I51)72.9* 6 Legalintervention . . . . . . . . (Y35,Y89.0) 31.2* 7 Septicemia.............(A40–A41) 20.8* 7 Cerebrovasculardiseases......(I60–I69) 20.8* 7 Chroniclowerrespiratory diseases..............(J40–J47) 20.8* 7 Congenitalmalformations,deformationsand chromosomal abnormalities...(Q00–Q99)20.8* . ..Allothercauses...........(Residual) 176.9* Asian orPacificIslander, male, 25–34years . ..Allcauses....................586 100.0 68.4 1 Accidents(unintentional injuries)........(V01–X59,Y85–Y86) 15726.818.3 2 Intentionalself–harm (suicide)..........(X60–X84,Y87.0) 11920.313.9 3 Malignantneoplasms . . . . . . .(C00–C97) 8714.810.2 4 Diseasesofheart..(I00–I09,I11,I13,I20–I51)528.96.1 5 Assault(homicide).....(X85–Y09,Y87.1) 518.76.0 6 Humanimmunodeficiencyvirus(HIV) disease..............(B20–B24) 101.7* 6 Cerebrovasculardiseases......(I60–I69) 101.7* 8 Insituneoplasms,benignneoplasms and neoplasmsofuncertainor unknown behavior . . . . . . . .(D00–D48) 81.4* 9 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . (K70,K73–K74) 61.0* 10 Congenitalmalformations,deformationsand chromosomal abnormalities...(Q00–Q99)50.9* . ..Allothercauses...........(Residual) 8113.89.5 Asian orPacificIslander, male, 35–44years . ..Allcauses....................992 100.0 112.4 1 Malignantneoplasms . . . . . . .(C00–C97) 23523.726.6 2 Diseasesofheart..(I00–I09,I11,I13,I20–I51)18718.921.2 3 Accidents(unintentional injuries)........(V01–X59,Y85–Y86) 13313.415.1 4 Intentionalself–harm (suicide)..........(X60–X84,Y87.0) 909.110.2 5 Cerebrovasculardiseases......(I60–I69) 444.45.0 6 Assault(homicide).....(X85–Y09,Y87.1) 414.14.6 7 Humanimmunodeficiencyvirus(HIV) disease..............(B20–B24) 363.64.1 8 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . (K70,K73–K74) 282.83.2 9 Viralhepatitis . . . . . . . . . . . . (B15–B19) 171.7* 10 Diabetesmellitus . . . . . . . . . . (E10–E14) 131.3* . ..Allothercauses...........(Residual) 16816.919.0 National VitalStatisticsReport,Vol.49,No.11,October12,2001 45Table1.Deaths,percentoftotaldeaths,anddeathratesforthe10leadingcausesofdeathinselectedagegroups,by race andsex:UnitedStates,1999—Con. [Rates per100,000populationinspecifiedgroup.Dataforracesotherthanwhiteandblackshouldbeinterpretedwithcautionbecauseofinconsistencies betweenreporting race ondeathcertificatesandoncensusesandsurveys;seeTechnicalnotes] Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),race,sex,andageNumber2 Percent of total deaths2 Rate2 Asian orPacificIslander, male, 45–54years . ..Allcauses....................1,608 100.0 252.2 1 Malignantneoplasms . . . . . . .(C00–C97) 53833.584.4 2 Diseasesofheart..(I00–I09,I11,I13,I20–I51)40825.464.0 3 Cerebrovasculardiseases......(I60–I69) 1167.218.2 4 Accidents(unintentional injuries)........(V01–X59,Y85–Y86) 915.714.3 5 Intentionalself–harm (suicide)..........(X60–X84,Y87.0) 704.411.0 6 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . (K70,K73–K74) 462.97.2 7 Viralhepatitis . . . . . . . . . . . . (B15–B19) 372.35.8 8 Diabetesmellitus . . . . . . . . . . (E10–E14) 332.15.2 9 Assault(homicide).....(X85–Y09,Y87.1) 291.84.5 10 Humanimmunodeficiencyvirus(HIV) disease..............(B20–B24) 211.33.3 . ..Allothercauses...........(Residual) 21913.634.4 Asian orPacificIslander, male, 55–64years . ..Allcauses....................2,498 100.0 701.6 1 Malignantneoplasms . . . . . . .(C00–C97) 86734.7243.5 2 Diseasesofheart..(I00–I09,I11,I13,I20–I51)72228.9202.8 3 Cerebrovasculardiseases......(I60–I69) 1857.452.0 4 Diabetesmellitus . . . . . . . . . . (E10–E14) 994.027.8 5 Accidents(unintentional injuries)........(V01–X59,Y85–Y86) 853.423.9 6 Chroniclowerrespiratory diseases..............(J40–J47) 542.215.2 7 Intentionalself–harm (suicide)..........(X60–X84,Y87.0) 522.114.6 8 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . (K70,K73–K74) 411.611.5 8 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)411.611.5 10 Viralhepatitis . . . . . . . . . . . . (B15–B19) 391.611.0 . ..Allothercauses...........(Residual) 31312.587.9 Asian orPacificIslander, male, 65yearsandover . ..Allcauses....................11,592 100.0 3,440.1 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)3,75532.41,114.3 2 Malignantneoplasms . . . . . . .(C00–C97) 2,83324.4840.7 3 Cerebrovasculardiseases......(I60–I69) 1,1259.7333.9 4 Chroniclowerrespiratory diseases..............(J40–J47) 6285.4186.4 5 Influenzaandpneumonia . . . . . (J10–J18) 4033.5119.6 6 Diabetesmellitus . . . . . . . . . . (E10–E14) 3763.2111.6 7 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)2342.069.4 8 Accidents(unintentional injuries)........(V01–X59,Y85–Y86) 2312.068.6 9 Septicemia.............(A40–A41) 1471.343.6 10 Essential(primary)hypertensionand hypertensive renaldisease . . . . (I10,I12)1241.136.8 . ..Allothercauses...........(Residual) 1,73615.0515.2 See footnotesatendoftable. Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),race,sex,andageNumber2 Percent of total deaths2 Rate2 Asian orPacificIslander, male, 65–74years . ..Allcauses....................3,736 100.0 1,808.0 1 Malignantneoplasms . . . . . . .(C00–C97) 1,25933.7609.3 2 Diseasesofheart..(I00–I09,I11,I13,I20–I51)1,08128.9523.1 3 Cerebrovasculardiseases......(I60–I69) 2937.8141.8 4 Chroniclowerrespiratory diseases..............(J40–J47) 1814.887.6 5 Diabetesmellitus . . . . . . . . . . (E10–E14) 1423.868.7 6 Accidents(unintentional injuries)........(V01–X59,Y85–Y86) 742.035.8 7 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)701.933.9 8 Influenzaandpneumonia . . . . . (J10–J18) 661.831.9 9 Septicemia.............(A40–A41) 401.119.4 10 Essential(primary)hypertensionand hypertensive renaldisease . . . . (I10,I12)361.017.4 . ..Allothercauses...........(Residual) 49413.2239.1 Asian orPacificIslander, male, 75–84years . ..Allcauses....................4,694 100.0 4,581.6 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)1,49531.81,459.2 2 Malignantneoplasms . . . . . . .(C00–C97) 1,11223.71,085.4 3 Cerebrovasculardiseases......(I60–I69) 48410.3472.4 4 Chroniclowerrespiratory diseases..............(J40–J47) 2856.1278.2 5 Diabetesmellitus . . . . . . . . . . (E10–E14) 1603.4156.2 6 Influenzaandpneumonia . . . . . (J10–J18) 1583.4154.2 7 Accidents(unintentional injuries)........(V01–X59,Y85–Y86) 972.194.7 8 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)871.984.9 9 Septicemia.............(A40–A41) 611.359.5 10 Aorticaneurysmanddissection . . . . (I71)591.357.6 . ..Allothercauses...........(Residual) 69614.8679.3 Asian orPacificIslander, male, 85yearsandover . ..Allcauses....................3,162 100.0 11,343.5 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)1,17937.34,229.6 2 Malignantneoplasms . . . . . . .(C00–C97) 46214.61,657.4 3 Cerebrovasculardiseases......(I60–I69) 34811.01,248.4 4 Influenzaandpneumonia . . . . . (J10–J18) 1795.7642.2 5 Chroniclowerrespiratory diseases..............(J40–J47) 1625.1581.2 6 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)772.4276.2 7 Diabetesmellitus . . . . . . . . . . (E10–E14) 742.3265.5 8 Accidents(unintentional injuries)........(V01–X59,Y85–Y86) 601.9215.2 9 Alzheimer’sdisease...........(G30) 481.5172.2 10Septicemia.............(A40–A41) 461.5165.0 . ..Allothercauses...........(Residual) 52716.71,890.6 46 National VitalStatisticsReport,Vol.49,No.11,October12,2001Table1.Deaths,percentoftotaldeaths,anddeathratesforthe10leadingcausesofdeathinselectedagegroups,by race andsex:UnitedStates,1999—Con. [Rates per100,000populationinspecifiedgroup.Dataforracesotherthanwhiteandblackshouldbeinterpretedwithcautionbecauseofinconsistencies betweenreporting race ondeathcertificatesandoncensusesandsurveys;seeTechnicalnotes] Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),race,sex,andageNumber2 Percent of total deaths2 Rate2 Asian orPacificIslander, female, allages3 . ..Allcauses....................15,345 100.0 272.8 1 Malignantneoplasms . . . . . . .(C00–C97) 4,17627.274.3 2 Diseasesofheart..(I00–I09,I11,I13,I20–I51)3,94225.770.1 3 Cerebrovasculardiseases......(I60–I69) 1,62110.628.8 4 Diabetesmellitus . . . . . . . . . . (E10–E14) 6254.111.1 5 Accidents(unintentional injuries)........(V01–X59,Y85–Y86) 5863.810.4 6 Chroniclowerrespiratory diseases..............(J40–J47) 4072.77.2 7 Influenzaandpneumonia . . . . . (J10–J18) 3802.56.8 8 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)2821.85.0 9 Essential(primary)hypertensionand hypertensive renaldisease . . . . (I10,I12)1971.33.5 10Septicemia.............(A40–A41) 1961.33.5 . ..Allothercauses...........(Residual) 2,93319.152.2 Asian orPacificIslander, female, 1–4years . ..Allcauses....................69 100.0 19.4 1 Accidents(unintentional injuries)........(V01–X59,Y85–Y86) 2029.05.6 2 Congenitalmalformations,deformationsand chromosomal abnormalities...(Q00–Q99)1115.9* 3 Malignantneoplasms . . . . . . .(C00–C97) 68.7* 4 Septicemia.............(A40–A41) 45.8* 4 Influenzaandpneumonia . . . . . (J10–J18) 45.8* 6 Diseasesofheart..(I00–I09,I11,I13,I20–I51)34.3* 6 Assault(homicide).....(X85–Y09,Y87.1) 34.3* 8 Chroniclowerrespiratory diseases..............(J40–J47) 22.9* 9 Insituneoplasms,benignneoplasms and neoplasmsofuncertainor unknown behavior . . . . . . . .(D00–D48) 11.4* 9 Meningitis . . . . . . . . . . . . . . (G00,G03) 11.4* 9 Essential(primary)hypertensionand hypertensive renaldisease . . . . (I10,I12)11.4* . ..Allothercauses...........(Residual) 1318.8* Asian orPacificIslander, female, 5–9years . ..Allcauses....................48 100.0 11.3 1 Malignantneoplasms . . . . . . .(C00–C97) 1225.0* 2 Accidents(unintentional injuries)........(V01–X59,Y85–Y86) 1122.9* 3 Assault(homicide).....(X85–Y09,Y87.1) 510.4* 4 Congenitalmalformations,deformationsand chromosomal abnormalities...(Q00–Q99)48.3* 5 Septicemia.............(A40–A41) 36.3* 6 Influenzaandpneumonia . . . . . (J10–J18) 12.1* 6 Certainconditionsoriginatinginthe perinatalperiod..........(P00–P96) 12.1* . ..Allothercauses...........(Residual) 1122.9* See footnotesatendoftable. Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),race,sex,andageNumber2 Percent of total deaths2 Rate2 Asian orPacificIslander, female, 10–14years . ..Allcauses....................47 100.0 11.7 1 Accidents(unintentional injuries)........(V01–X59,Y85–Y86) 1225.5* 2 Malignantneoplasms . . . . . . .(C00–C97) 1123.4* 3 Assault(homicide).....(X85–Y09,Y87.1) 36.4* 4 Congenitalmalformations,deformationsand chromosomal abnormalities...(Q00–Q99)24.3* 5 Septicemia.............(A40–A41) 12.1* 5 Diseasesofheart..(I00–I09,I11,I13,I20–I51)12.1* 5 Influenzaandpneumonia . . . . . (J10–J18) 12.1* 5 Pneumonitisduetosolidsand liquids...................(J69)12.1* 5 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)12.1* 5 Intentionalself–harm (suicide)..........(X60–X84,Y87.0) 12.1* . ..Allothercauses...........(Residual) 1327.7* Asian orPacificIslander, female, 15–19years . ..Allcauses....................107 100.0 26.3 1 Accidents(unintentional injuries)........(V01–X59,Y85–Y86) 4441.110.8 2 Intentionalself–harm (suicide)..........(X60–X84,Y87.0) 1312.1* 3 Malignantneoplasms . . . . . . .(C00–C97) 98.4* 4 Assault(homicide).....(X85–Y09,Y87.1) 76.5* 5 Congenitalmalformations,deformationsand chromosomal abnormalities...(Q00–Q99)43.7* 6 Diseasesofheart..(I00–I09,I11,I13,I20–I51)32.8* 6 Influenzaandpneumonia . . . . . (J10–J18) 32.8* 8 Cerebrovasculardiseases......(I60–I69) 21.9* 8 Chroniclowerrespiratory diseases..............(J40–J47) 21.9* 10 Meningococcalinfection . . . . . . . . . (A39) 10.9* 10Septicemia.............(A40–A41) 10.9* 10 Insituneoplasms,benignneoplasms and neoplasmsofuncertainor unknown behavior . . . . . . . .(D00–D48) 10.9* . ..Allothercauses...........(Residual) 1715.9* Asian orPacificIslander, female, 20–24years . ..Allcauses....................124 100.0 32.0 1 Accidents(unintentional injuries)........(V01–X59,Y85–Y86) 4233.910.8 2 Intentionalself–harm (suicide)..........(X60–X84,Y87.0) 2217.75.7 3 Assault(homicide).....(X85–Y09,Y87.1) 1512.1* 4 Malignantneoplasms . . . . . . .(C00–C97) 97.3* 5 Congenitalmalformations,deformationsand chromosomal abnormalities...(Q00–Q99)43.2* 6 Diseasesofheart..(I00–I09,I11,I13,I20–I51)32.4* 7 Tuberculosis.............(A16–A19) 21.6* 7 Septicemia.............(A40–A41) 21.6* 7 Diabetesmellitus . . . . . . . . . . (E10–E14) 21.6* 7 Pregnancy,childbirthandthe puerperium . . . . . . . . . . . . .(O00–O99) 21.6* . ..Allothercauses...........(Residual) 2116.95.4 National VitalStatisticsReport,Vol.49,No.11,October12,2001 47Table1.Deaths,percentoftotaldeaths,anddeathratesforthe10leadingcausesofdeathinselectedagegroups,by race andsex:UnitedStates,1999—Con. [Rates per100,000populationinspecifiedgroup.Dataforracesotherthanwhiteandblackshouldbeinterpretedwithcautionbecauseofinconsistencies betweenreporting race ondeathcertificatesandoncensusesandsurveys;seeTechnicalnotes] Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),race,sex,andageNumber2 Percent of total deaths2 Rate2 Asian orPacificIslander, female, 25–34years . ..Allcauses....................320 100.0 32.4 1 Malignantneoplasms . . . . . . .(C00–C97) 7423.17.5 2 Accidents(unintentional injuries)........(V01–X59,Y85–Y86) 5717.85.8 3 Intentionalself–harm (suicide)..........(X60–X84,Y87.0) 4714.74.8 4 Assault(homicide).....(X85–Y09,Y87.1) 247.52.4 5 Diseasesofheart..(I00–I09,I11,I13,I20–I51)226.92.2 6 Pregnancy,childbirthandthe puerperium . . . . . . . . . . . . .(O00–O99) 92.8* 7 Insituneoplasms,benignneoplasms and neoplasmsofuncertainor unknown behavior . . . . . . . .(D00–D48) 82.5* 8 Cerebrovasculardiseases......(I60–I69) 72.2* 9 Congenitalmalformations,deformationsand chromosomal abnormalities...(Q00–Q99)61.9* 10 Chroniclowerrespiratory diseases..............(J40–J47) 41.3* 10 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)41.3* . ..Allothercauses...........(Residual) 5818.15.9 Asian orPacificIslander, female, 35–44years . ..Allcauses....................589 100.0 60.6 1 Malignantneoplasms . . . . . . .(C00–C97) 27246.228.0 2 Accidents(unintentional injuries)........(V01–X59,Y85–Y86) 6110.46.3 3 Diseasesofheart..(I00–I09,I11,I13,I20–I51)437.34.4 4 Cerebrovasculardiseases......(I60–I69) 386.53.9 5 Intentionalself–harm (suicide)..........(X60–X84,Y87.0) 325.43.3 6 Assault(homicide).....(X85–Y09,Y87.1) 305.13.1 7 Diabetesmellitus . . . . . . . . . . (E10–E14) 91.5* 8 Pregnancy,childbirthandthe puerperium . . . . . . . . . . . . .(O00–O99) 71.2* 9 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . (K70,K73–K74) 61.0* 10 Viralhepatitis . . . . . . . . . . . . (B15–B19) 50.8* 10 Humanimmunodeficiencyvirus(HIV) disease..............(B20–B24) 50.8* 10 Influenzaandpneumonia . . . . . (J10–J18) 50.8* . ..Allothercauses...........(Residual) 7612.97.8 See footnotesatendoftable. Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),race,sex,andageNumber2 Percent of total deaths2 Rate2 Asian orPacificIslander, female, 45–54years . ..Allcauses....................1,268 100.0 173.5 1 Malignantneoplasms . . . . . . .(C00–C97) 60747.983.1 2 Diseasesofheart..(I00–I09,I11,I13,I20–I51)13710.818.7 3 Cerebrovasculardiseases......(I60–I69) 1159.115.7 4 Accidents(unintentional injuries)........(V01–X59,Y85–Y86) 786.210.7 5 Diabetesmellitus . . . . . . . . . . (E10–E14) 322.54.4 6 Intentionalself–harm (suicide)..........(X60–X84,Y87.0) 302.44.1 7 Assault(homicide).....(X85–Y09,Y87.1) 211.72.9 8 Chroniclowerrespiratory diseases..............(J40–J47) 141.1* 9 Septicemia.............(A40–A41) 131.0* 10 Viralhepatitis . . . . . . . . . . . . (B15–B19) 120.9* 10 Essential(primary)hypertensionand hypertensive renaldisease . . . . (I10,I12)120.9* 10 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . (K70,K73–K74) 120.9* . ..Allothercauses...........(Residual) 18514.625.3 Asian orPacificIslander, female, 55–64years . ..Allcauses....................1,749 100.0 430.6 1 Malignantneoplasms . . . . . . .(C00–C97) 79345.3195.2 2 Diseasesofheart..(I00–I09,I11,I13,I20–I51)31117.876.6 3 Cerebrovasculardiseases......(I60–I69) 1699.741.6 4 Diabetesmellitus . . . . . . . . . . (E10–E14) 734.218.0 5 Accidents(unintentional injuries)........(V01–X59,Y85–Y86) 673.816.5 6 Chroniclowerrespiratory diseases..............(J40–J47) 331.98.1 7 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)321.87.9 8 Viralhepatitis . . . . . . . . . . . . (B15–B19) 311.87.6 9 Intentionalself–harm (suicide)..........(X60–X84,Y87.0) 160.9* 10 Influenzaandpneumonia . . . . . (J10–J18) 150.9* . ..Allothercauses...........(Residual) 20911.951.5 48 National VitalStatisticsReport,Vol.49,No.11,October12,2001Table1.Deaths,percentoftotaldeaths,anddeathratesforthe10leadingcausesofdeathinselectedagegroups,by race andsex:UnitedStates,1999—Con. [Rates per100,000populationinspecifiedgroup.Dataforracesotherthanwhiteandblackshouldbeinterpretedwithcautionbecauseofinconsistencies betweenreporting race ondeathcertificatesandoncensusesandsurveys;seeTechnicalnotes] Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),race,sex,andageNumber2 Percent of total deaths2 Rate2 Asian orPacificIslander, female, 65yearsandover . ..Allcauses....................10,689 100.0 2,306.0 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)3,40931.9735.4 2 Malignantneoplasms . . . . . . .(C00–C97) 2,38222.3513.9 3 Cerebrovasculardiseases......(I60–I69) 1,28912.1278.1 4 Diabetesmellitus . . . . . . . . . . (E10–E14) 5084.8109.6 5 Chroniclowerrespiratory diseases..............(J40–J47) 3503.375.5 6 Influenzaandpneumonia . . . . . (J10–J18) 3363.172.5 7 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)2272.149.0 8 Accidents(unintentional injuries)........(V01–X59,Y85–Y86) 1881.840.6 9 Essential(primary)hypertensionand hypertensive renaldisease . . . . (I10,I12)1711.636.9 10Septicemia.............(A40–A41) 1481.431.9 . ..Allothercauses...........(Residual) 1,68115.7362.7 Asian orPacificIslander, female, 65–74years . ..Allcauses....................3,141 100.0 1,106.1 1 Malignantneoplasms . . . . . . .(C00–C97) 1,07734.3379.3 2 Diseasesofheart..(I00–I09,I11,I13,I20–I51)77024.5271.2 3 Cerebrovasculardiseases......(I60–I69) 3049.7107.1 4 Diabetesmellitus . . . . . . . . . . (E10–E14) 1805.763.4 5 Chroniclowerrespiratory diseases..............(J40–J47) 1173.741.2 6 Accidents(unintentional injuries)........(V01–X59,Y85–Y86) 742.426.1 7 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)601.921.1 8 Septicemia.............(A40–A41) 431.415.1 9 Viralhepatitis . . . . . . . . . . . . (B15–B19) 401.314.1 10 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . (K70,K73–K74) 381.213.4 . ..Allothercauses...........(Residual) 43813.9154.2 Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),race,sex,andageNumber2 Percent of total deaths2 Rate2 Asian orPacificIslander, female, 75–84years . ..Allcauses....................4,142 100.0 2,980.1 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)1,31131.7943.2 2 Malignantneoplasms . . . . . . .(C00–C97) 93222.5670.6 3 Cerebrovasculardiseases......(I60–I69) 50912.3366.2 4 Diabetesmellitus . . . . . . . . . . (E10–E14) 2125.1152.5 5 Chroniclowerrespiratory diseases..............(J40–J47) 1333.295.7 6 Influenzaandpneumonia . . . . . (J10–J18) 1313.294.3 7 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)952.368.4 8 Essential(primary)hypertensionand hypertensive renaldisease . . . . (I10,I12)691.749.6 9 Accidents(unintentional injuries)........(V01–X59,Y85–Y86) 601.443.2 10Septicemia.............(A40–A41) 571.441.0 . ..Allothercauses...........(Residual) 63315.3455.4 Asian orPacificIslander, female, 85yearsandover . ..Allcauses....................3,406 100.0 8,396.6 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)1,32839.03,273.8 2 Cerebrovasculardiseases......(I60–I69) 47614.01,173.5 3 Malignantneoplasms . . . . . . .(C00–C97) 37311.0919.5 4 Influenzaandpneumonia . . . . . (J10–J18) 1684.9414.2 5 Diabetesmellitus . . . . . . . . . . (E10–E14) 1163.4286.0 6 Chroniclowerrespiratory diseases..............(J40–J47) 1002.9246.5 7 Alzheimer’sdisease...........(G30) 772.3189.8 8 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)722.1177.5 9 Essential(primary)hypertensionand hypertensive renaldisease . . . . (I10,I12)651.9 160.2 10 Accidents(unintentional injuries)........(V01–X59,Y85–Y86) 541.6133.1 . ..Allothercauses...........(Residual) 57716.91,422.4 . ..Categorynotapplicable. * Figuredoesnotmeetstandardsofreliabilityorprecision;seeTechnicalnotes. 1Rank basedonnumberofdeaths 2Figures foragenotstatedareincludedin‘‘Allages’’butnotdistributedamongagegroups. 3Includes deathsfor‘‘Under1year.’’ National VitalStatisticsReport,Vol.49,No.11,October12,2001 49Table2.Deaths,percentoftotaldeaths,anddeathratesforthe10leadingcausesofdeathinselectedagegroups,by Hispanic origin,racefornon-Hispanicpopulation,andsex:UnitedStates,1999 [Rates per100,000populationinspecifiedgroup.RaceandHispanicoriginarereportedseparatelyonthedeathcertificate.PersonsofHispanicorigin maybeofanyrace. Data forHispanicpersonsarenottabulatedbyrace,datafornon-Hispanicpersonsaretabulatedbyrace] Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),Hispanicorigin, sex, andageNumber2 Percent of total deaths2 Rate2 Hispanic, bothsexes,10–14years . ..Allcauses....................550 100.0 20.1 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 19234.97.0 2 Malignantneoplasms . . . . . . . .(C00–C97) 8916.23.2 3 Assault(homicide)......(X85–Y09,Y87.1) 6010.92.2 4 Intentionalself-harm (suicide)...........(X60–X84,Y87.0) 305.51.1 5 Congenitalmalformations,deformationsand chromosomal abnormalities...(Q00–Q99)264.70.9 6 Diseasesofheart..(I00–I09,I11,I13,I20–I51)183.3* 7 Chroniclowerrespiratory diseases...............(J40–J47) 112.0* 8 Insituneoplasms,benignneoplasmsand neoplasms ofuncertainorunknown behavior. . . . . . . . . . . . . . .(D00–D48) 61.1* 9 Cerebrovasculardiseases......(I60–I69) 50.9* 9 Influenzaandpneumonia . . . . . (J10–J18) 50.9* 9 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)50.9* . ..Allothercauses...........(Residual) 10318.73.8 Hispanic, bothsexes,15–19years . ..Allcauses....................1,871 100.0 67.3 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 80042.828.8 2 Assault(homicide)......(X85–Y09,Y87.1) 48225.817.3 3 Intentionalself-harm (suicide)...........(X60–X84,Y87.0) 1759.46.3 4 Malignantneoplasms . . . . . . . .(C00–C97) 945.03.4 5 Diseasesofheart..(I00–I09,I11,I13,I20–I51)522.81.9 6 Congenitalmalformations,deformationsand chromosomal abnormalities...(Q00–Q99)271.41.0 7 Cerebrovasculardiseases......(I60–I69) 100.5* 7 Influenzaandpneumonia . . . . . (J10–J18) 100.5* 9 Chroniclowerrespiratory diseases...............(J40–J47) 80.4* 10 Insituneoplasms,benignneoplasmsand neoplasms ofuncertainorunknown behavior. . . . . . . . . . . . . . .(D00–D48) 70.4* . ..Allothercauses...........(Residual) 20611.07.4 Hispanic, bothsexes,20–24years . ..Allcauses....................2,634 100.0 97.9 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 1,14643.542.6 2 Assault(homicide)......(X85–Y09,Y87.1) 63724.223.7 3 Intentionalself-harm (suicide)...........(X60–X84,Y87.0) 2168.28.0 4 Malignantneoplasms . . . . . . . .(C00–C97) 1656.36.1 5 Diseasesofheart..(I00–I09,I11,I13,I20–I51)642.42.4 6 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 291.11.1 6 Congenitalmalformations,deformationsand chromosomal abnormalities...(Q00–Q99)291.11.1 8 Cerebrovasculardiseases......(I60–I69) 220.80.8 9 Influenzaandpneumonia . . . . . (J10–J18) 150.6* 10 Pregnancy,childbirthandthe puerperium. . . . . . . . . . . . (O00–O99) 130.5* . ..Allothercauses...........(Residual) 29811.311.1 Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),Hispanicorigin, sex, andageNumber2 Percent of total deaths2 Rate2 Hispanic, bothsexes,allages3 . ..Allcauses.................... 103,740 100.0331.0 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)25,86624.982.5 2 Malignantneoplasms . . . . . . . .(C00–C97) 20,23319.564.6 3 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 8,6508.327.6 4 Cerebrovasculardiseases......(I60–I69) 5,9075.718.8 5 Diabetesmellitus . . . . . . . . . . (E10–E14) 5,1825.016.5 6 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . (K70,K73–K74) 2,9722.99.5 7 Assault(homicide)......(X85–Y09,Y87.1) 2,8642.89.1 8 Chroniclowerrespiratory diseases...............(J40–J47) 2,8592.89.1 9 Influenzaandpneumonia . . . . . (J10–J18) 2,2462.27.2 10 Certainconditionsoriginatinginthe perinatalperiod...........(P00–P96) 2,1532.16.9 . ..Allothercauses...........(Residual) 24,80823.979.2 Hispanic, bothsexes,1–4years . ..Allcauses....................882 100.0 32.1 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 34138.712.4 2 Congenitalmalformations,deformationsand chromosomal abnormalities. . . .(Q00–Q99) 10111.53.7 3 Malignantneoplasms . . . . . . . .(C00–C97) 728.22.6 4 Assault(homicide)......(X85–Y09,Y87.1) 525.91.9 5 Diseasesofheart..(I00–I09,I11,I13,I20–I51)333.71.2 6 Certainconditionsoriginatinginthe perinatalperiod...........(P00–P96) 182.0* 7 Influenzaandpneumonia . . . . . (J10–J18) 171.9* 8 Septicemia..............(A40–A41) 141.6* 9 Insituneoplasms,benignneoplasmsand neoplasms ofuncertainorunknown behavior . . . . . . . . . . . . . .(D00–D48) 121.4* 10 Chroniclowerrespiratory diseases...............(J40–J47) 80.9* . ..Allothercauses...........(Residual) 21424.37.8 Hispanic, bothsexes,5–9years . ..Allcauses....................464 100.0 14.3 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 17036.65.2 2 Malignantneoplasms . . . . . . . .(C00–C97) 8718.82.7 3 Congenitalmalformations,deformationsand chromosomal abnormalities. . . .(Q00–Q99) 316.71.0 4 Assault(homicide)......(X85–Y09,Y87.1) 296.30.9 5 Diseasesofheart..(I00–I09,I11,I13,I20–I51)183.9* 6 Insituneoplasms,benignneoplasmsand neoplasms ofuncertainorunknown behavior . . . . . . . . . . . . . .(D00–D48) 112.4* 7 Chroniclowerrespiratory diseases...............(J40–J47) 71.5* 8 Septicemia..............(A40–A41) 61.3* 9 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 51.1* 9 Influenzaandpneumonia . . . . . (J10–J18) 51.1* 9 Diseasesofappendix. . . . . . . . (K35–K38) 51.1* . ..Allothercauses...........(Residual) 9019.42.8 See footnotesatendoftable. 50 National VitalStatisticsReport,Vol.49,No.11,October12,2001Table2.Deaths,percentoftotaldeaths,anddeathratesforthe10leadingcausesofdeathinselectedagegroups,by Hispanic origin,racefornon-Hispanicpopulation,andsex:UnitedStates,1999—Con. [Rates per100,000populationinspecifiedgroup.RaceandHispanicoriginarereportedseparatelyonthedeathcertificate.PersonsofHispanicorigin maybeofanyrace. Data forHispanicpersonsarenottabulatedbyrace,datafornon-Hispanicpersonsaretabulatedbyrace] Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),Hispanicorigin, sex, andageNumber2 Percent of total deaths2 Rate2 Hispanic, bothsexes,25–34years . ..Allcauses....................5,397 100.0 103.2 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 1,79033.234.2 2 Assault(homicide)......(X85–Y09,Y87.1) 80114.815.3 3 Malignantneoplasms . . . . . . . .(C00–C97) 4668.68.9 4 Intentionalself-harm (suicide)...........(X60–X84,Y87.0) 4237.88.1 5 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 4077.57.8 6 Diseasesofheart..(I00–I09,I11,I13,I20–I51)2865.35.5 7 Cerebrovasculardiseases......(I60–I69) 1021.92.0 8 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . . (K70,K73–K74) 801.51.5 9 Congenitalmalformations,deformationsand chromosomal abnormalities...(Q00–Q99)541.01.0 10 Diabetesmellitus . . . . . . . . . . (E10–E14) 430.80.8 . ..Allothercauses...........(Residual) 94517.518.1 Hispanic, bothsexes,35–44years . ..Allcauses....................7,798 100.0 164.2 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 1,60720.633.8 2 Malignantneoplasms . . . . . . . .(C00–C97) 1,20415.425.4 3 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 85511.018.0 4 Diseasesofheart..(I00–I09,I11,I13,I20–I51)7619.816.0 5 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . (K70,K73–K74) 5186.610.9 6 Assault(homicide)......(X85–Y09,Y87.1) 4325.59.1 7 Intentionalself-harm (suicide)..........(X60–X84,Y87.0) 3694.77.8 8 Cerebrovasculardiseases......(I60–I69) 2413.15.1 9 Diabetesmellitus . . . . . . . . . . (E10–E14) 1572.03.3 10 Viralhepatitis . . . . . . . . . . . . (B15–B19) 1041.32.2 . ..Allothercauses...........(Residual) 1,55019.932.6 Hispanic, bothsexes,45–54years . ..Allcauses....................9,876 100.0 338.8 1 Malignantneoplasms . . . . . . . .(C00–C97) 2,51625.586.3 2 Diseasesofheart..(I00–I09,I11,I13,I20–I51)1,80618.362.0 3 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 9269.431.8 4 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . (K70,K73–K74) 7878.027.0 5 Cerebrovasculardiseases......(I60–I69) 4644.715.9 6 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 4554.615.6 7 Diabetesmellitus . . . . . . . . . . (E10–E14) 4134.214.2 8 Intentionalself-harm (suicide)..........(X60–X84,Y87.0) 2102.17.2 9 Viralhepatitis . . . . . . . . . . . . (B15–B19) 2032.17.0 10Assault(homicide)......(X85–Y09,Y87.1) 1972.06.8 . ..Allothercauses...........(Residual) 1,89919.265.2 See footnotesatendoftable. Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),Hispanicorigin, sex, andageNumber2 Percent of total deaths2 Rate2 Hispanic, bothsexes,55–64years . ..Allcauses....................12,319 100.0 733.7 1 Malignantneoplasms . . . . . . . .(C00–C97) 3,68629.9219.5 2 Diseasesofheart..(I00–I09,I11,I13,I20–I51)3,15525.6187.9 3 Diabetesmellitus . . . . . . . . . . (E10–E14) 9277.555.2 4 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . (K70,K73–K74) 6385.238.0 5 Cerebrovasculardiseases......(I60–I69) 6175.036.7 6 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 4663.827.8 7 Chroniclowerrespiratory diseases...............(J40–J47) 2391.914.2 8 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)2301.913.7 9 Influenzaandpneumonia . . . . . (J10–J18) 1551.39.2 10 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 1371.18.2 . ..Allothercauses...........(Residual) 2,06916.8123.2 Hispanic, bothsexes,65yearsandover . ..Allcauses....................57,471 100.0 3,114.4 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)19,57134.11,060.6 2 Malignantneoplasms . . . . . . . .(C00–C97) 11,83820.6641.5 3 Cerebrovasculardiseases......(I60–I69) 4,4197.7239.5 4 Diabetesmellitus . . . . . . . . . . (E10–E14) 3,6246.3196.4 5 Chroniclowerrespiratory diseases...............(J40–J47) 2,3484.1127.2 6 Influenzaandpneumonia . . . . . (J10–J18) 1,7733.196.1 7 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)1,1262.061.0 8 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 1,0341.856.0 9 Alzheimer’sdisease............(G30) 9631.752.2 10 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . (K70,K73–K74) 9411.651.0 . ..Allothercauses...........(Residual) 9,83417.1532.9 Hispanic, bothsexes,65–74years . ..Allcauses....................19,201 100.0 1,742.8 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)5,55728.9504.4 2 Malignantneoplasms . . . . . . . .(C00–C97) 5,39428.1489.6 3 Diabetesmellitus . . . . . . . . . . (E10–E14) 1,5518.1140.8 4 Cerebrovasculardiseases......(I60–I69) 1,2116.3109.9 5 Chroniclowerrespiratory diseases...............(J40–J47) 6493.458.9 6 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . (K70,K73–K74) 5833.052.9 7 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 4402.339.9 8 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)3691.933.5 9 Influenzaandpneumonia . . . . . (J10–J18) 3281.729.8 10Septicemia..............(A40–A41) 2651.424.1 . ..Allothercauses...........(Residual) 2,85414.9259.0 National VitalStatisticsReport,Vol.49,No.11,October12,2001 51Table2.Deaths,percentoftotaldeaths,anddeathratesforthe10leadingcausesofdeathinselectedagegroups,by Hispanic origin,racefornon-Hispanicpopulation,andsex:UnitedStates,1999—Con. [Rates per100,000populationinspecifiedgroup.RaceandHispanicoriginarereportedseparatelyonthedeathcertificate.PersonsofHispanicorigin maybeofanyrace. Data forHispanicpersonsarenottabulatedbyrace,datafornon-Hispanicpersonsaretabulatedbyrace] Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),Hispanicorigin, sex, andageNumber2 Percent of total deaths2 Rate2 Hispanic, bothsexes,75–84years . ..Allcauses....................20,912 100.0 3,771.8 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)7,04633.71,270.8 2 Malignantneoplasms . . . . . . . .(C00–C97) 4,44921.3802.4 3 Cerebrovasculardiseases......(I60–I69) 1,6728.0301.6 4 Diabetesmellitus . . . . . . . . . . (E10–E14) 1,3696.5246.9 5 Chroniclowerrespiratory diseases...............(J40–J47) 9354.5168.6 6 Influenzaandpneumonia . . . . . (J10–J18) 5692.7102.6 7 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)4262.076.8 8 Alzheimer’sdisease............(G30) 3621.765.3 9 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 3341.660.2 10Septicemia..............(A40–A41) 2961.453.4 . ..Allothercauses...........(Residual) 3,45416.5623.0 Hispanic, bothsexes,85yearsandover . ..Allcauses....................17,358 100.0 9,175.7 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)6,96840.13,683.4 2 Malignantneoplasms . . . . . . . .(C00–C97) 1,99511.51,054.6 3 Cerebrovasculardiseases......(I60–I69) 1,5368.8812.0 4 Influenzaandpneumonia . . . . . (J10–J18) 8765.0463.1 5 Chroniclowerrespiratory diseases...............(J40–J47) 7644.4403.9 6 Diabetesmellitus . . . . . . . . . . (E10–E14) 7044.1372.1 7 Alzheimer’sdisease............(G30) 5012.9264.8 8 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)3311.9175.0 9 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 2601.5137.4 10Septicemia..............(A40–A41) 2571.5135.9 . ..Allothercauses...........(Residual) 3,16618.21,673.6 Hispanic, male,allages3 . ..Allcauses....................57,991 100.0 367.9 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)13,55423.486.0 2 Malignantneoplasms . . . . . . . .(C00–C97) 10,66818.467.7 3 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 6,57811.341.7 4 Cerebrovasculardiseases......(I60–I69) 2,8094.817.8 5 Assault(homicide)......(X85–Y09,Y87.1) 2,3994.115.2 6 Diabetesmellitus . . . . . . . . . . (E10–E14) 2,3354.014.8 7 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . (K70,K73–K74) 2,1433.713.6 8 Chroniclowerrespiratory diseases...............(J40–J47) 1,5472.79.8 9 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 1,5252.69.7 10 Intentionalself-harm (suicide)..........(X60–X84,Y87.0) 1,4302.59.1 . ..Allothercauses...........(Residual) 13,00322.482.5 See footnotesatendoftable. Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),Hispanicorigin, sex, andageNumber2 Percent of total deaths2 Rate2 Hispanic, male,1–4years . ..Allcauses....................481 100.0 34.3 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 19741.014.1 2 Congenitalmalformations,deformationsand chromosomal abnormalities. . . .(Q00–Q99) 6313.14.5 3 Malignantneoplasms . . . . . . . .(C00–C97) 347.12.4 4 Assault(homicide)......(X85–Y09,Y87.1) 255.21.8 5 Diseasesofheart..(I00–I09,I11,I13,I20–I51)204.21.4 6 Influenzaandpneumonia . . . . . (J10–J18) 102.1* 7 Septicemia..............(A40–A41) 81.7* 8 Meningitis. . . . . . . . . . . . . . . (G00,G03) 51.0* 8 Certainconditionsoriginatinginthe perinatalperiod...........(P00–P96) 51.0* 10 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 40.8* 10 Insituneoplasms,benignneoplasmsand neoplasms ofuncertainorunknown behavior . . . . . . . . . . . . . .(D00–D48) 40.8* 10 Anemias . . . . . . . . . . . . . . .(D50–D64) 40.8* . ..Allothercauses...........(Residual) 10221.27.3 Hispanic, male,5–9years . ..Allcauses....................266 100.0 16.1 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 10740.26.5 2 Malignantneoplasms . . . . . . . .(C00–C97) 4516.92.7 3 Congenitalmalformations,deformationsand chromosomal abnormalities. . . .(Q00–Q99) 166.0* 3 Assault(homicide)......(X85–Y09,Y87.1) 166.0* 5 Diseasesofheart..(I00–I09,I11,I13,I20–I51)114.1* 6 Insituneoplasms,benignneoplasmsand neoplasms ofuncertainorunknown behavior . . . . . . . . . . . . . .(D00–D48) 51.9* 7 Influenzaandpneumonia . . . . . (J10–J18) 41.5* 8 Septicemia..............(A40–A41) 31.1* 8 Cerebrovasculardiseases......(I60–I69) 31.1* 8 Chroniclowerrespiratory diseases...............(J40–J47) 31.1* 8 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)31.1* . ..Allothercauses...........(Residual) 5018.83.0 Hispanic, male,10–14years . ..Allcauses....................326 100.0 23.3 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 12036.88.6 2 Malignantneoplasms . . . . . . . .(C00–C97) 4714.43.4 3 Assault(homicide)......(X85–Y09,Y87.1) 4313.23.1 4 Intentionalself-harm (suicide)..........(X60–X84,Y87.0) 216.41.5 5 Congenitalmalformations,deformationsand chromosomal abnormalities. . . .(Q00–Q99) 134.0* 6 Diseasesofheart..(I00–I09,I11,I13,I20–I51)123.7* 7 Chroniclowerrespiratory diseases...............(J40–J47) 82.5* 8 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)41.2* 9 Insituneoplasms,benignneoplasmsand neoplasms ofuncertainorunknown behavior . . . . . . . . . . . . . .(D00–D48) 30.9* 9 Cerebrovasculardiseases......(I60–I69) 30.9* . ..Allothercauses...........(Residual) 5216.03.7 52 National VitalStatisticsReport,Vol.49,No.11,October12,2001Table2.Deaths,percentoftotaldeaths,anddeathratesforthe10leadingcausesofdeathinselectedagegroups,by Hispanic origin,racefornon-Hispanicpopulation,andsex:UnitedStates,1999—Con. [Rates per100,000populationinspecifiedgroup.RaceandHispanicoriginarereportedseparatelyonthedeathcertificate.PersonsofHispanicorigin maybeofanyrace. Data forHispanicpersonsarenottabulatedbyrace,datafornon-Hispanicpersonsaretabulatedbyrace] Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),Hispanicorigin, sex, andageNumber2 Percent of total deaths2 Rate2 Hispanic, male,15–19years . ..Allcauses....................1,432 100.0 99.1 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 60842.542.1 2 Assault(homicide)......(X85–Y09,Y87.1) 42529.729.4 3 Intentionalself-harm (suicide)..........(X60–X84,Y87.0) 14610.210.1 4 Malignantneoplasms . . . . . . . .(C00–C97) 553.83.8 5 Diseasesofheart..(I00–I09,I11,I13,I20–I51)312.22.1 6 Congenitalmalformations,deformationsand chromosomal abnormalities. . . .(Q00–Q99) 171.2* 7 Cerebrovasculardiseases......(I60–I69) 70.5* 8 Insituneoplasms,benignneoplasmsand neoplasms ofuncertainorunknown behavior . . . . . . . . . . . . . .(D00–D48) 50.3* 8 Influenzaandpneumonia . . . . . (J10–J18) 50.3* 8 Legalintervention . . . . . . . . . (Y35,Y89.0) 50.3* . ..Allothercauses...........(Residual) 1288.98.9 Hispanic, male,20–24years . ..Allcauses....................2,115 100.0 151.6 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 96745.769.3 2 Assault(homicide)......(X85–Y09,Y87.1) 56526.740.5 3 Intentionalself-harm (suicide)..........(X60–X84,Y87.0) 1929.113.8 4 Malignantneoplasms . . . . . . . .(C00–C97) 1034.97.4 5 Diseasesofheart..(I00–I09,I11,I13,I20–I51)422.03.0 6 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 170.8* 7 Cerebrovasculardiseases......(I60–I69) 140.7* 8 Congenitalmalformations,deformationsand chromosomal abnormalities. . . .(Q00–Q99) 130.6* 9 Diabetesmellitus . . . . . . . . . . (E10–E14) 80.4* 9 Legalintervention . . . . . . . . . (Y35,Y89.0) 80.4* . ..Allothercauses...........(Residual) 1868.813.3 Hispanic, male,25–34years . ..Allcauses....................4,084 100.0 151.6 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 1,49436.655.4 2 Assault(homicide)......(X85–Y09,Y87.1) 69817.125.9 3 Intentionalself-harm (suicide)..........(X60–X84,Y87.0) 3648.913.5 4 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 3147.711.7 5 Malignantneoplasms . . . . . . . .(C00–C97) 2225.48.2 6 Diseasesofheart..(I00–I09,I11,I13,I20–I51)2195.48.1 7 Cerebrovasculardiseases......(I60–I69) 621.52.3 7 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . (K70,K73–K74) 621.52.3 9 Congenitalmalformations,deformationsand chromosomal abnormalities. . . .(Q00–Q99) 250.60.9 10 Legalintervention . . . . . . . . . (Y35,Y89.0) 230.60.9 . ..Allothercauses...........(Residual) 60114.722.3 See footnotesatendoftable. Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),Hispanicorigin, sex, andageNumber2 Percent of total deaths2 Rate2 Hispanic, male,35–44years . ..Allcauses....................5,476 100.0 226.0 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 1,30723.953.9 2 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 66612.227.5 3 Diseasesofheart..(I00–I09,I11,I13,I20–I51)57210.423.6 4 Malignantneoplasms . . . . . . . .(C00–C97) 5049.220.8 5 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . (K70,K73–K74) 4217.717.4 6 Assault(homicide)......(X85–Y09,Y87.1) 3546.514.6 7 Intentionalself-harm (suicide)..........(X60–X84,Y87.0) 3075.612.7 8 Cerebrovasculardiseases......(I60–I69) 1462.76.0 9 Viralhepatitis . . . . . . . . . . . . (B15–B19) 841.53.5 9 Diabetesmellitus . . . . . . . . . . (E10–E14) 841.53.5 . ..Allothercauses...........(Residual) 1,03118.842.5 Hispanic, male,45–54years . ..Allcauses....................6,497 100.0 456.3 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)1,34820.794.7 2 Malignantneoplasms . . . . . . . .(C00–C97) 1,23719.086.9 3 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 73411.351.5 4 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . (K70,K73–K74) 64710.045.4 5 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 3545.424.9 6 Cerebrovasculardiseases......(I60–I69) 2854.420.0 7 Diabetesmellitus . . . . . . . . . . (E10–E14) 2523.917.7 8 Intentionalself-harm (suicide)..........(X60–X84,Y87.0) 1692.611.9 9 Viralhepatitis . . . . . . . . . . . . (B15–B19) 1532.410.7 10Assault(homicide)......(X85–Y09,Y87.1) 1502.310.5 . ..Allothercauses...........(Residual) 1,16818.082.0 Hispanic, male,55–64years . ..Allcauses....................7,490 100.0 962.6 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)2,09127.9268.7 2 Malignantneoplasms . . . . . . . .(C00–C97) 2,06027.5264.7 3 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . (K70,K73–K74) 4816.461.8 4 Diabetesmellitus . . . . . . . . . . (E10–E14) 4806.461.7 5 Cerebrovasculardiseases......(I60–I69) 3544.745.5 6 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 3344.542.9 7 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)1371.817.6 8 Chroniclowerrespiratory diseases...............(J40–J47) 1351.817.3 9 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 1181.615.2 10 Intentionalself-harm (suicide)..........(X60–X84,Y87.0) 941.312.1 . ..Allothercauses...........(Residual) 1,20616.1155.0 National VitalStatisticsReport,Vol.49,No.11,October12,2001 53Table2.Deaths,percentoftotaldeaths,anddeathratesforthe10leadingcausesofdeathinselectedagegroups,by Hispanic origin,racefornon-Hispanicpopulation,andsex:UnitedStates,1999—Con. [Rates per100,000populationinspecifiedgroup.RaceandHispanicoriginarereportedseparatelyonthedeathcertificate.PersonsofHispanicorigin maybeofanyrace. Data forHispanicpersonsarenottabulatedbyrace,datafornon-Hispanicpersonsaretabulatedbyrace] Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),Hispanicorigin, sex, andageNumber2 Percent of total deaths2 Rate2 Hispanic, male,65yearsandover . ..Allcauses....................27,353 100.0 3,518.7 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)9,16233.51,178.6 2 Malignantneoplasms . . . . . . . .(C00–C97) 6,35023.2816.9 3 Cerebrovasculardiseases......(I60–I69) 1,9267.0247.8 4 Diabetesmellitus . . . . . . . . . . (E10–E14) 1,4885.4191.4 5 Chroniclowerrespiratory diseases...............(J40–J47) 1,2844.7165.2 6 Influenzaandpneumonia . . . . . (J10–J18) 8052.9103.6 7 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 5902.275.9 8 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)5462.070.2 9 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . (K70,K73–K74) 5271.967.8 10Septicemia..............(A40–A41) 3621.346.6 . ..Allothercauses...........(Residual) 4,31315.8554.8 Hispanic, male,65–74years . ..Allcauses....................10,783 100.0 2,219.4 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)3,35531.1690.6 2 Malignantneoplasms . . . . . . . .(C00–C97) 3,04528.2626.7 3 Diabetesmellitus . . . . . . . . . . (E10–E14) 7096.6145.9 4 Cerebrovasculardiseases......(I60–I69) 6415.9131.9 5 Chroniclowerrespiratory diseases...............(J40–J47) 3733.576.8 6 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . (K70,K73–K74) 3603.374.1 7 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 2882.759.3 8 Influenzaandpneumonia . . . . . (J10–J18) 1871.738.5 9 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)1781.736.6 10Septicemia..............(A40–A41) 1341.227.6 . ..Allothercauses...........(Residual) 1,51314.0311.4 Hispanic, male,75–84years . ..Allcauses....................10,317 100.0 4,525.1 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)3,48333.81,527.7 2 Malignantneoplasms . . . . . . . .(C00–C97) 2,40323.31,054.0 3 Cerebrovasculardiseases......(I60–I69) 7587.3332.5 4 Diabetesmellitus . . . . . . . . . . (E10–E14) 5625.4246.5 5 Chroniclowerrespiratory diseases...............(J40–J47) 5235.1229.4 6 Influenzaandpneumonia . . . . . (J10–J18) 2842.8124.6 7 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)2122.193.0 8 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 1821.879.8 9 Septicemia..............(A40–A41) 1441.463.2 10 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . (K70,K73–K74) 1361.359.7 . ..Allothercauses...........(Residual) 1,63015.8714.9 See footnotesatendoftable. Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),Hispanicorigin, sex, andageNumber2 Percent of total deaths2 Rate2 Hispanic, male,85yearsandover . ..Allcauses....................6,253 100.0 9,842.3 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)2,32437.23,658.0 2 Malignantneoplasms . . . . . . . .(C00–C97) 90214.41,419.8 3 Cerebrovasculardiseases......(I60–I69) 5278.4829.5 4 Chroniclowerrespiratory diseases...............(J40–J47) 3886.2610.7 5 Influenzaandpneumonia . . . . . (J10–J18) 3345.3525.7 6 Diabetesmellitus . . . . . . . . . . (E10–E14) 2173.5341.6 7 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)1562.5245.5 8 Alzheimer’sdisease............(G30) 1292.1203.0 9 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 1201.9188.9 10Septicemia..............(A40–A41) 841.3132.2 . ..Allothercauses...........(Residual) 1,07217.11,687.3 Hispanic, female,allages3 . ..Allcauses....................45,749 100.0 293.7 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)12,31226.979.0 2 Malignantneoplasms . . . . . . . .(C00–C97) 9,56520.961.4 3 Cerebrovasculardiseases......(I60–I69) 3,0986.819.9 4 Diabetesmellitus . . . . . . . . . . (E10–E14) 2,8476.218.3 5 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 2,0724.513.3 6 Chroniclowerrespiratory diseases...............(J40–J47) 1,3122.98.4 7 Influenzaandpneumonia . . . . . (J10–J18) 1,1542.57.4 8 Certainconditionsoriginatinginthe perinatalperiod...........(P00–P96) 9612.16.2 9 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . (K70,K73–K74) 8291.85.3 10 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)7701.74.9 . ..Allothercauses...........(Residual) 10,82923.769.5 Hispanic, female,1–4years . ..Allcauses....................401 100.0 29.8 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 14435.910.7 2 Malignantneoplasms . . . . . . . .(C00–C97) 389.52.8 2 Congenitalmalformations,deformationsand chromosomal abnormalities. . . .(Q00–Q99) 389.52.8 4 Assault(homicide)......(X85–Y09,Y87.1) 276.72.0 5 Diseasesofheart..(I00–I09,I11,I13,I20–I51)133.2* 5 Certainconditionsoriginatinginthe perinatalperiod...........(P00–P96) 133.2* 7 Insituneoplasms,benignneoplasmsand neoplasms ofuncertainorunknown behavior . . . . . . . . . . . . . .(D00–D48) 82.0* 8 Influenzaandpneumonia . . . . . (J10–J18) 71.7* 9 Septicemia..............(A40–A41) 61.5* 9 Cerebrovasculardiseases......(I60–I69) 61.5* . ..Allothercauses...........(Residual) 10125.27.5 54 National VitalStatisticsReport,Vol.49,No.11,October12,2001Table2.Deaths,percentoftotaldeaths,anddeathratesforthe10leadingcausesofdeathinselectedagegroups,by Hispanic origin,racefornon-Hispanicpopulation,andsex:UnitedStates,1999—Con. [Rates per100,000populationinspecifiedgroup.RaceandHispanicoriginarereportedseparatelyonthedeathcertificate.PersonsofHispanicorigin maybeofanyrace. Data forHispanicpersonsarenottabulatedbyrace,datafornon-Hispanicpersonsaretabulatedbyrace] Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),Hispanicorigin, sex, andageNumber2 Percent of total deaths2 Rate2 Hispanic, female,5–9years . ..Allcauses....................198 100.0 12.5 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 6331.84.0 2 Malignantneoplasms . . . . . . . .(C00–C97) 4221.22.6 3 Congenitalmalformations,deformationsand chromosomal abnormalities. . . .(Q00–Q99) 157.6* 4 Assault(homicide)......(X85–Y09,Y87.1) 136.6* 5 Diseasesofheart..(I00–I09,I11,I13,I20–I51)73.5* 6 Insituneoplasms,benignneoplasmsand neoplasms ofuncertainorunknown behavior . . . . . . . . . . . . . .(D00–D48) 63.0* 7 Chroniclowerrespiratory diseases...............(J40–J47) 42.0* 8 Septicemia..............(A40–A41) 31.5* 8 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 31.5* 8 Diseasesofappendix. . . . . . . . (K35–K38) 31.5* . ..Allothercauses...........(Residual) 3919.72.5 Hispanic, female,10–14years . ..Allcauses....................224 100.0 16.7 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 7232.15.4 2 Malignantneoplasms . . . . . . . .(C00–C97) 4218.83.1 3 Assault(homicide)......(X85–Y09,Y87.1) 177.6* 4 Congenitalmalformations,deformationsand chromosomal abnormalities. . . .(Q00–Q99) 135.8* 5 Intentionalself-harm (suicide)..........(X60–X84,Y87.0) 94.0* 6 Diseasesofheart..(I00–I09,I11,I13,I20–I51)62.7* 7 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 31.3* 7 Insituneoplasms,benignneoplasmsand neoplasms ofuncertainorunknown behavior . . . . . . . . . . . . . .(D00–D48) 31.3* 7 Influenzaandpneumonia . . . . . (J10–J18) 31.3* 7 Chroniclowerrespiratory diseases...............(J40–J47) 31.3* . ..Allothercauses...........(Residual) 5323.74.0 Hispanic, female,15–19years . ..Allcauses....................439 100.0 32.9 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 19243.714.4 2 Assault(homicide)......(X85–Y09,Y87.1) 5713.04.3 3 Malignantneoplasms . . . . . . . .(C00–C97) 398.92.9 4 Intentionalself-harm (suicide)..........(X60–X84,Y87.0) 296.62.2 5 Diseasesofheart..(I00–I09,I11,I13,I20–I51)214.81.6 6 Congenitalmalformations,deformationsand chromosomal abnormalities. . . .(Q00–Q99) 102.3* 7 Pregnancy,childbirthandthe puerperium. . . . . . ......(O00–O99) 61.4* 8 Influenzaandpneumonia . . . . . (J10–J18) 51.1* 9 Chroniclowerrespiratory diseases...............(J40–J47) 40.9* 10 Meningitis. . . . . . . . . . . . . . . (G00,G03) 30.7* 10Cerebrovasculardiseases......(I60–I69) 30.7* . ..Allothercauses...........(Residual) 7015.95.2 See footnotesatendoftable. Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),Hispanicorigin, sex, andageNumber2 Percent of total deaths2 Rate2 Hispanic, female,20–24years . ..Allcauses....................519 100.0 40.1 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 17934.513.8 2 Assault(homicide)......(X85–Y09,Y87.1) 7213.95.6 3 Malignantneoplasms . . . . . . . .(C00–C97) 6211.94.8 4 Intentionalself-harm (suicide)..........(X60–X84,Y87.0) 244.61.9 5 Diseasesofheart..(I00–I09,I11,I13,I20–I51)224.21.7 6 Congenitalmalformations,deformationsand chromosomal abnormalities. . . .(Q00–Q99) 163.1* 7 Pregnancy,childbirthandthe puerperium. . . . . . ......(O00–O99) 132.5* 8 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 122.3* 9 Influenzaandpneumonia . . . . . (J10–J18) 91.7* 10Cerebrovasculardiseases......(I60–I69) 81.5* . ..Allothercauses...........(Residual) 10219.77.9 Hispanic, female,25–34years . ..Allcauses....................1,313 100.0 51.8 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 29622.511.7 2 Malignantneoplasms . . . . . . . .(C00–C97) 24418.69.6 3 Assault(homicide)......(X85–Y09,Y87.1) 1037.84.1 4 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 937.13.7 5 Diseasesofheart..(I00–I09,I11,I13,I20–I51)675.12.6 6 Intentionalself-harm (suicide)..........(X60–X84,Y87.0) 594.52.3 7 Cerebrovasculardiseases......(I60–I69) 403.01.6 8 Congenitalmalformations,deformationsand chromosomal abnormalities. . . .(Q00–Q99) 292.21.1 9 Pregnancy,childbirthandthe puerperium. . . . . . ......(O00–O99) 262.01.0 10 Diabetesmellitus . . . . . . . . . . (E10–E14) 221.70.9 . ..Allothercauses...........(Residual) 33425.413.2 Hispanic, female,35–44years . ..Allcauses....................2,322 100.0 99.9 1 Malignantneoplasms . . . . . . . .(C00–C97) 70030.130.1 2 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 30012.912.9 3 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 1898.18.1 3 Diseasesofheart..(I00–I09,I11,I13,I20–I51)1898.18.1 5 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . (K70,K73–K74) 974.24.2 6 Cerebrovasculardiseases......(I60–I69) 954.14.1 7 Assault(homicide)......(X85–Y09,Y87.1) 783.43.4 8 Diabetesmellitus . . . . . . . . . . (E10–E14) 733.13.1 9 Intentionalself-harm (suicide)..........(X60–X84,Y87.0) 622.72.7 10 Chroniclowerrespiratory diseases...............(J40–J47) 431.91.8 . ..Allothercauses...........(Residual) 49621.421.3 National VitalStatisticsReport,Vol.49,No.11,October12,2001 55Table2.Deaths,percentoftotaldeaths,anddeathratesforthe10leadingcausesofdeathinselectedagegroups,by Hispanic origin,racefornon-Hispanicpopulation,andsex:UnitedStates,1999—Con. [Rates per100,000populationinspecifiedgroup.RaceandHispanicoriginarereportedseparatelyonthedeathcertificate.PersonsofHispanicorigin maybeofanyrace. Data forHispanicpersonsarenottabulatedbyrace,datafornon-Hispanicpersonsaretabulatedbyrace] Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),Hispanicorigin, sex, andageNumber2 Percent of total deaths2 Rate2 Hispanic, female,45–54years . ..Allcauses....................3,379 100.0 226.7 1 Malignantneoplasms . . . . . . . .(C00–C97) 1,27937.985.8 2 Diseasesofheart..(I00–I09,I11,I13,I20–I51)45813.630.7 3 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 1925.712.9 4 Cerebrovasculardiseases......(I60–I69) 1795.312.0 5 Diabetesmellitus . . . . . . . . . . (E10–E14) 1614.810.8 6 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . (K70,K73–K74) 1404.19.4 7 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 1013.06.8 8 Chroniclowerrespiratory diseases...............(J40–J47) 631.94.2 9 Viralhepatitis . . . . . . . . . . . . (B15–B19) 501.53.4 10Assault(homicide)......(X85–Y09,Y87.1) 471.43.2 . ..Allothercauses...........(Residual) 70921.047.6 Hispanic, female,55–64years . ..Allcauses....................4,829 100.0 536.0 1 Malignantneoplasms . . . . . . . .(C00–C97) 1,62633.7180.5 2 Diseasesofheart..(I00–I09,I11,I13,I20–I51)1,06422.0118.1 3 Diabetesmellitus . . . . . . . . . . (E10–E14) 4479.349.6 4 Cerebrovasculardiseases......(I60–I69) 2635.429.2 5 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . (K70,K73–K74) 1573.317.4 6 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 1322.714.7 7 Chroniclowerrespiratory diseases...............(J40–J47) 1042.211.5 8 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)931.910.3 9 Influenzaandpneumonia . . . . . (J10–J18) 751.68.3 10Septicemia..............(A40–A41) 531.15.9 . ..Allothercauses...........(Residual) 81516.990.5 Hispanic, female,65yearsandover . ..Allcauses....................30,118 100.0 2,820.1 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)10,40934.6974.7 2 Malignantneoplasms . . . . . . . .(C00–C97) 5,48818.2513.9 3 Cerebrovasculardiseases......(I60–I69) 2,4938.3233.4 4 Diabetesmellitus . . . . . . . . . . (E10–E14) 2,1367.1200.0 5 Chroniclowerrespiratory diseases...............(J40–J47) 1,0643.599.6 6 Influenzaandpneumonia . . . . . (J10–J18) 9683.290.6 7 Alzheimer’sdisease............(G30) 6552.261.3 8 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)5801.954.3 9 Septicemia..............(A40–A41) 4561.542.7 10 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 4441.541.6 . ..Allothercauses...........(Residual) 5,42518.0508.0 See footnotesatendoftable. Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),Hispanicorigin, sex, andageNumber2 Percent of total deaths2 Rate2 Hispanic, female,65–74years . ..Allcauses....................8,418 100.0 1,366.8 1 Malignantneoplasms . . . . . . . .(C00–C97) 2,34927.9381.4 2 Diseasesofheart..(I00–I09,I11,I13,I20–I51)2,20226.2357.5 3 Diabetesmellitus . . . . . . . . . . (E10–E14) 84210.0136.7 4 Cerebrovasculardiseases......(I60–I69) 5706.892.6 5 Chroniclowerrespiratory diseases...............(J40–J47) 2763.344.8 6 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . (K70,K73–K74) 2232.636.2 7 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)1912.331.0 8 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 1521.824.7 9 Influenzaandpneumonia . . . . . (J10–J18) 1411.722.9 10Septicemia..............(A40–A41) 1311.621.3 . ..Allothercauses...........(Residual) 1,34115.9217.7 Hispanic, female,75–84years . ..Allcauses....................10,595 100.0 3,245.6 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)3,56333.61,091.5 2 Malignantneoplasms . . . . . . . .(C00–C97) 2,04619.3626.8 3 Cerebrovasculardiseases......(I60–I69) 9148.6280.0 4 Diabetesmellitus . . . . . . . . . . (E10–E14) 8077.6247.2 5 Chroniclowerrespiratory diseases...............(J40–J47) 4123.9126.2 6 Influenzaandpneumonia . . . . . (J10–J18) 2852.787.3 7 Alzheimer’sdisease............(G30) 2342.271.7 8 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)2142.065.6 9 Septicemia..............(A40–A41) 1521.446.6 9 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 1521.446.6 . ..Allothercauses...........(Residual) 1,81617.1556.3 Hispanic, female,85yearsandover . ..Allcauses....................11,105 100.0 8,838.7 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)4,64441.83,696.2 2 Malignantneoplasms . . . . . . . .(C00–C97) 1,0939.8869.9 3 Cerebrovasculardiseases......(I60–I69) 1,0099.1803.1 4 Influenzaandpneumonia . . . . . (J10–J18) 5424.9431.4 5 Diabetesmellitus . . . . . . . . . . (E10–E14) 4874.4387.6 6 Chroniclowerrespiratory diseases...............(J40–J47) 3763.4299.3 7 Alzheimer’sdisease............(G30) 3723.3296.1 8 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)1751.6139.3 9 Septicemia..............(A40–A41) 1731.6137.7 10 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 1401.3111.4 . ..Allothercauses...........(Residual) 2,09418.91,666.7 56 National VitalStatisticsReport,Vol.49,No.11,October12,2001Table2.Deaths,percentoftotaldeaths,anddeathratesforthe10leadingcausesofdeathinselectedagegroups,by Hispanic origin,racefornon-Hispanicpopulation,andsex:UnitedStates,1999—Con. [Rates per100,000populationinspecifiedgroup.RaceandHispanicoriginarereportedseparatelyonthedeathcertificate.PersonsofHispanicorigin maybeofanyrace. Data forHispanicpersonsarenottabulatedbyrace,datafornon-Hispanicpersonsaretabulatedbyrace] Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),Hispanicorigin, sex, andageNumber2 Percent of total deaths2 Rate2 White, non–Hispanic,bothsexes,allages3 . ..Allcauses....................1,953,197 100.0996.3 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)607,70431.1310.0 2 Malignantneoplasms . . . . . . . .(C00–C97) 456,31523.4232.8 3 Cerebrovasculardiseases......(I60–I69) 138,7167.170.8 4 Chroniclowerrespiratory diseases...............(J40–J47) 111,6205.756.9 5 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 73,3263.837.4 6 Influenzaandpneumonia . . . . . (J10–J18) 54,2802.827.7 7 Diabetesmellitus . . . . . . . . . . (E10–E14) 49,3472.525.2 8 Alzheimer’sdisease............(G30) 40,8352.120.8 9 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)26,4181.413.5 10 Intentionalself-harm (suicide)..........(X60–X84,Y87.0) 24,5341.312.5 . ..Allothercauses...........(Residual) 370,10218.9188.8 White, non-Hispanic,bothsexes, 1–4 years . ..Allcauses....................2,819 100.0 29.7 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 1,04237.011.0 2 Congenitalmalformations,deformationsand chromosomal abnormalities. . . .(Q00–Q99) 28410.13.0 3 Malignantneoplasms . . . . . . . .(C00–C97) 28110.03.0 4 Assault(homicide)......(X85–Y09,Y87.1) 1565.51.6 5 Diseasesofheart..(I00–I09,I11,I13,I20–I51)923.31.0 6 Influenzaandpneumonia . . . . . (J10–J18) 582.10.6 7 Septicemia..............(A40–A41) 471.70.5 8 Certainconditionsoriginatinginthe perinatalperiod...........(P00–P96) 371.30.4 9 Insituneoplasms,benignneoplasmsand neoplasms ofuncertainorunknown behavior . . . . . . . . . . . . . .(D00–D48) 361.30.4 10Cerebrovasculardiseases......(I60–I69) 271.00.3 . ..Allothercauses...........(Residual) 75926.98.0 White, non-Hispanic,bothsexes, 5–9 years . ..Allcauses....................1,990 100.0 15.6 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 84342.46.6 2 Malignantneoplasms . . . . . . . .(C00–C97) 31115.62.4 3 Congenitalmalformations,deformationsand chromosomal abnormalities. . . .(Q00–Q99) 1135.70.9 4 Assault(homicide)......(X85–Y09,Y87.1) 783.90.6 5 Diseasesofheart..(I00–I09,I11,I13,I20–I51)653.30.5 6 Insituneoplasms,benignneoplasmsand neoplasms ofuncertainorunknown behavior . . . . . . . . . . . . . .(D00–D48) 402.00.3 7 Influenzaandpneumonia . . . . . (J10–J18) 311.60.2 8 Septicemia..............(A40–A41) 291.50.2 9 Chroniclowerrespiratory diseases...............(J40–J47) 231.20.2 10Cerebrovasculardiseases......(I60–I69) 191.0* . ..Allothercauses...........(Residual) 43822.03.4 See footnotesatendoftable. Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),Hispanicorigin, sex, andageNumber2 Percent of total deaths2 Rate2 White, non-Hispanic,bothsexes, 10–14 years . ..Allcauses....................2,498 100.0 19.3 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 1,06542.68.2 2 Malignantneoplasms . . . . . . . .(C00–C97) 29711.92.3 3 Intentionalself-harm (suicide)..........(X60–X84,Y87.0) 1736.91.3 4 Congenitalmalformations,deformationsand chromosomal abnormalities. . . .(Q00–Q99) 1315.21.0 5 Assault(homicide)......(X85–Y09,Y87.1) 983.90.8 6 Diseasesofheart..(I00–I09,I11,I13,I20–I51)913.60.7 7 Chroniclowerrespiratory diseases...............(J40–J47) 321.30.2 8 Influenzaandpneumonia . . . . . (J10–J18) 311.20.2 9 Insituneoplasms,benignneoplasmsand neoplasms ofuncertainorunknown behavior . . . . . . . . . . . . . .(D00–D48) 261.00.2 10Cerebrovasculardiseases......(I60–I69) 210.80.2 . ..Allothercauses...........(Residual) 53321.34.1 White, non-Hispanic,bothsexes, 15–19 years . ..Allcauses....................8,490 100.0 64.7 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 4,84057.036.9 2 Intentionalself-harm (suicide)..........(X60–X84,Y87.0) 1,16913.88.9 3 Malignantneoplasms . . . . . . . .(C00–C97) 4765.63.6 4 Assault(homicide)......(X85–Y09,Y87.1) 4094.83.1 5 Diseasesofheart..(I00–I09,I11,I13,I20–I51)2693.22.1 6 Congenitalmalformations,deformationsand chromosomal abnormalities. . . .(Q00–Q99) 1441.71.1 7 Chroniclowerrespiratory diseases...............(J40–J47) 600.70.5 8 Influenzaandpneumonia . . . . . (J10–J18) 440.50.3 9 Cerebrovasculardiseases......(I60–I69) 370.40.3 10 Diabetesmellitus . . . . . . . . . . (E10–E14) 360.40.3 . ..Allothercauses...........(Residual) 1,00611.87.7 White, non-Hispanic,bothsexes, 20–24 years . ..Allcauses....................9,378 100.0 78.8 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 4,57048.738.4 2 Intentionalself-harm (suicide)..........(X60–X84,Y87.0) 1,66117.714.0 3 Malignantneoplasms . . . . . . . .(C00–C97) 5946.35.0 4 Assault(homicide)......(X85–Y09,Y87.1) 5535.94.6 5 Diseasesofheart..(I00–I09,I11,I13,I20–I51)3163.42.7 6 Congenitalmalformations,deformationsand chromosomal abnormalities. . . .(Q00–Q99) 1331.41.1 7 Cerebrovasculardiseases......(I60–I69) 680.70.6 8 Diabetesmellitus . . . . . . . . . . (E10–E14) 580.60.5 9 Influenzaandpneumonia . . . . . (J10–J18) 510.50.4 10Septicemia..............(A40–A41) 500.50.4 10 Chroniclowerrespiratory diseases...............(J40–J47) 500.50.4 . ..Allothercauses...........(Residual) 1,27413.610.7 National VitalStatisticsReport,Vol.49,No.11,October12,2001 57Table2.Deaths,percentoftotaldeaths,anddeathratesforthe10leadingcausesofdeathinselectedagegroups,by Hispanic origin,racefornon-Hispanicpopulation,andsex:UnitedStates,1999—Con. [Rates per100,000populationinspecifiedgroup.RaceandHispanicoriginarereportedseparatelyonthedeathcertificate.PersonsofHispanicorigin maybeofanyrace. Data forHispanicpersonsarenottabulatedbyrace,datafornon-Hispanicpersonsaretabulatedbyrace] Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),Hispanicorigin, sex, andageNumber2 Percent of total deaths2 Rate2 White, non-Hispanic,bothsexes, 25–34 years . ..Allcauses....................23,986 100.0 93.4 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 7,85532.730.6 2 Intentionalself-harm (suicide)..........(X60–X84,Y87.0) 3,92716.415.3 3 Malignantneoplasms . . . . . . . .(C00–C97) 2,68211.210.4 4 Diseasesofheart..(I00–I09,I11,I13,I20–I51)1,7557.36.8 5 Assault(homicide)......(X85–Y09,Y87.1) 1,1354.74.4 6 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 7943.33.1 7 Diabetesmellitus . . . . . . . . . . (E10–E14) 3631.51.4 8 Congenitalmalformations,deformationsand chromosomal abnormalities. . . .(Q00–Q99) 3341.41.3 9 Cerebrovasculardiseases......(I60–I69) 3011.31.2 10 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . (K70,K73–K74) 2431.00.9 . ..Allothercauses...........(Residual) 4,59719.217.9 White, non-Hispanic,bothsexes, 35–44 years . ..Allcauses....................57,630 100.0 176.6 1 Malignantneoplasms . . . . . . . .(C00–C97) 11,84820.636.3 2 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 10,84418.833.2 3 Diseasesofheart..(I00–I09,I11,I13,I20–I51)8,93615.527.4 4 Intentionalself-harm (suicide)..........(X60–X84,Y87.0) 5,4699.516.8 5 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . (K70,K73–K74) 2,1483.76.6 6 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 2,0823.66.4 7 Cerebrovasculardiseases......(I60–I69) 1,4062.44.3 8 Assault(homicide)......(X85–Y09,Y87.1) 1,3272.34.1 9 Diabetesmellitus . . . . . . . . . . (E10–E14) 1,2312.13.8 10 Influenzaandpneumonia . . . . . (J10–J18) 6371.12.0 . ..Allothercauses...........(Residual) 11,70220.335.9 White, non-Hispanic,bothsexes, 45–54 years . ..Allcauses.................... 106,808 100.0387.0 1 Malignantneoplasms . . . . . . . .(C00–C97) 34,94432.7126.6 2 Diseasesofheart..(I00–I09,I11,I13,I20–I51)24,82323.289.9 3 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 8,3927.930.4 4 Intentionalself-harm (suicide)..........(X60–X84,Y87.0) 4,4874.216.3 5 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . (K70,K73–K74) 4,4304.116.1 6 Cerebrovasculardiseases......(I60–I69) 3,1432.911.4 7 Diabetesmellitus . . . . . . . . . . (E10–E14) 2,9402.810.7 8 Chroniclowerrespiratory diseases...............(J40–J47) 2,3722.28.6 9 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 1,2861.24.7 10 Influenzaandpneumonia . . . . . (J10–J18) 1,1091.04.0 . ..Allothercauses...........(Residual) 18,88217.768.4 See footnotesatendoftable. Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),Hispanicorigin, sex, andageNumber2 Percent of total deaths2 Rate2 White, non-Hispanic,bothsexes, 55–64 years . ..Allcauses.................... 180,793 100.0972.1 1 Malignantneoplasms . . . . . . . .(C00–C97) 70,78839.2380.6 2 Diseasesofheart..(I00–I09,I11,I13,I20–I51)47,95026.5257.8 3 Chroniclowerrespiratory diseases...............(J40–J47) 9,7865.452.6 4 Cerebrovasculardiseases......(I60–I69) 6,3113.533.9 5 Diabetesmellitus . . . . . . . . . . (E10–E14) 5,6743.130.5 6 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 5,4553.029.3 7 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . (K70,K73–K74) 4,1172.322.1 8 Intentionalself-harm (suicide)..........(X60–X84,Y87.0) 2,5801.413.9 9 Influenzaandpneumonia . . . . . (J10–J18) 1,8941.010.2 10Septicemia..............(A40–A41) 1,7921.09.6 . ..Allothercauses...........(Residual) 24,44613.5131.4 White, non-Hispanic,bothsexes, 65 yearsandover . ..Allcauses....................1,545,161 100.05,329.8 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)523,13033.91,804.5 2 Malignantneoplasms . . . . . . . .(C00–C97) 334,05021.61,152.3 3 Cerebrovasculardiseases......(I60–I69) 127,3288.2439.2 4 Chroniclowerrespiratory diseases...............(J40–J47) 98,5836.4340.0 5 Influenzaandpneumonia . . . . . (J10–J18) 50,1043.2172.8 6 Alzheimer’sdisease............(G30) 40,3802.6139.3 7 Diabetesmellitus . . . . . . . . . . (E10–E14) 39,0182.5134.6 8 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 27,9721.896.5 9 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)23,4901.581.0 10Septicemia..............(A40–A41) 19,3361.366.7 . ..Allothercauses...........(Residual) 261,77016.9902.9 White, non-Hispanic,bothsexes, 65–74 years . ..Allcauses.................... 367,490 100.02,458.9 1 Malignantneoplasms . . . . . . . .(C00–C97) 127,11934.6850.6 2 Diseasesofheart..(I00–I09,I11,I13,I20–I51)103,75028.2694.2 3 Chroniclowerrespiratory diseases...............(J40–J47) 29,4008.0196.7 4 Cerebrovasculardiseases......(I60–I69) 18,3325.0122.7 5 Diabetesmellitus . . . . . . . . . . (E10–E14) 11,6643.278.0 6 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 6,5681.843.9 7 Influenzaandpneumonia . . . . . (J10–J18) 5,4811.536.7 8 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)4,7181.331.6 9 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . (K70,K73–K74) 4,4821.230.0 10Septicemia..............(A40–A41) 4,1401.127.7 . ..Allothercauses...........(Residual) 51,83614.1346.8 58 National VitalStatisticsReport,Vol.49,No.11,October12,2001Table2.Deaths,percentoftotaldeaths,anddeathratesforthe10leadingcausesofdeathinselectedagegroups,by Hispanic origin,racefornon-Hispanicpopulation,andsex:UnitedStates,1999—Con. [Rates per100,000populationinspecifiedgroup.RaceandHispanicoriginarereportedseparatelyonthedeathcertificate.PersonsofHispanicorigin maybeofanyrace. Data forHispanicpersonsarenottabulatedbyrace,datafornon-Hispanicpersonsaretabulatedbyrace] Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),Hispanicorigin, sex, andageNumber2 Percent of total deaths2 Rate2 White, non-Hispanic,bothsexes, 75–84 years . ..Allcauses.................... 604,344 100.05,783.1 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)195,18732.31,867.8 2 Malignantneoplasms . . . . . . . .(C00–C97) 141,29523.41,352.1 3 Cerebrovasculardiseases......(I60–I69) 49,1788.1470.6 4 Chroniclowerrespiratory diseases...............(J40–J47) 44,6627.4427.4 5 Diabetesmellitus . . . . . . . . . . (E10–E14) 16,8212.8161.0 6 Influenzaandpneumonia . . . . . (J10–J18) 16,7852.8160.6 7 Alzheimer’sdisease............(G30) 14,4532.4138.3 8 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 10,7571.8102.9 9 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)9,5041.690.9 10Septicemia..............(A40–A41) 7,7171.373.8 . ..Allothercauses...........(Residual) 97,98516.2937.6 White, non-Hispanic,bothsexes, 85 yearsandover . ..Allcauses.................... 573,327 100.015,945.8 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)224,19339.16,235.4 2 Malignantneoplasms . . . . . . . .(C00–C97) 65,63611.41,825.5 3 Cerebrovasculardiseases......(I60–I69) 59,81810.41,663.7 4 Influenzaandpneumonia . . . . . (J10–J18) 27,8384.9774.2 5 Chroniclowerrespiratory diseases...............(J40–J47) 24,5214.3682.0 6 Alzheimer’sdisease............(G30) 23,1064.0642.6 7 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 10,6471.9296.1 8 Diabetesmellitus . . . . . . . . . . (E10–E14) 10,5331.8293.0 9 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)9,2681.6257.8 10 Atherosclerosis. . . . . . . . . . . . . . . (I70)7,6171.3211.8 . ..Allothercauses...........(Residual) 110,15019.23,063.6 White, non-Hispanic,male,allages3 . ..Allcauses.................... 944,913 100.0984.7 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)293,20631.0305.5 2 Malignantneoplasms . . . . . . . .(C00–C97) 236,38425.0246.3 3 Chroniclowerrespiratory diseases...............(J40–J47) 55,3145.957.6 4 Cerebrovasculardiseases......(I60–I69) 51,9685.554.2 5 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 46,1134.948.1 6 Diabetesmellitus . . . . . . . . . . (E10–E14) 23,1772.524.2 7 Influenzaandpneumonia . . . . . (J10–J18) 23,0972.424.1 8 Intentionalself-harm (suicide)..........(X60–X84,Y87.0) 19,6202.120.4 9 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)12,7931.413.3 10 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . (K70,K73–K74) 12,6131.313.1 . ..Allothercauses...........(Residual) 170,62818.1177.8 See footnotesatendoftable. Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),Hispanicorigin, sex, andageNumber2 Percent of total deaths2 Rate2 White, non-Hispanic,male,1–4years . ..Allcauses....................1,605 100.0 32.9 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 61738.412.7 2 Malignantneoplasms . . . . . . . .(C00–C97) 16010.03.3 3 Congenitalmalformations,deformationsand chromosomal abnormalities. . . .(Q00–Q99) 1549.63.2 4 Assault(homicide)......(X85–Y09,Y87.1) 835.21.7 5 Diseasesofheart..(I00–I09,I11,I13,I20–I51)553.41.1 6 Septicemia..............(A40–A41) 251.60.5 7 Certainconditionsoriginatinginthe perinatalperiod...........(P00–P96) 241.50.5 8 Influenzaandpneumonia . . . . . (J10–J18) 221.40.5 9 Insituneoplasms,benignneoplasmsand neoplasms ofuncertainorunknown behavior . . . . . . . . . . . . . .(D00–D48) 181.1* 10 Meningococcalinfection . . . . . . . . . (A39) 150.9* 10 Meningitis. . . . . . . . . . . . . . . (G00,G03) 150.9* 10Cerebrovasculardiseases......(I60–I69) 150.9* . ..Allothercauses...........(Residual) 40225.08.2 White, non-Hispanic,male,5–9years . ..Allcauses....................1,115 100.0 17.0 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 50545.37.7 2 Malignantneoplasms . . . . . . . .(C00–C97) 18016.12.8 3 Congenitalmalformations,deformationsand chromosomal abnormalities. . . .(Q00–Q99) 534.80.8 4 Assault(homicide)......(X85–Y09,Y87.1) 413.70.6 5 Diseasesofheart..(I00–I09,I11,I13,I20–I51)363.20.6 6 Insituneoplasms,benignneoplasmsand neoplasms ofuncertainorunknown behavior . . . . . . . . . . . . . .(D00–D48) 191.7* 7 Influenzaandpneumonia . . . . . (J10–J18) 171.5* 8 Septicemia..............(A40–A41) 151.3* 9 Cerebrovasculardiseases......(I60–I69) 131.2* 9 Chroniclowerrespiratory diseases...............(J40–J47) 131.2* . ..Allothercauses...........(Residual) 22320.03.4 White, non-Hispanic,male,10–14years . ..Allcauses....................1,528 100.0 23.1 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 70045.810.6 2 Malignantneoplasms . . . . . . . .(C00–C97) 16510.82.5 3 Intentionalself-harm (suicide)..........(X60–X84,Y87.0) 1409.22.1 4 Congenitalmalformations,deformationsand chromosomal abnormalities. . . .(Q00–Q99) 664.31.0 5 Assault(homicide)......(X85–Y09,Y87.1) 523.40.8 6 Diseasesofheart..(I00–I09,I11,I13,I20–I51)483.10.7 7 Chroniclowerrespiratory diseases...............(J40–J47) 231.50.3 8 Influenzaandpneumonia . . . . . (J10–J18) 191.2* 9 Insituneoplasms,benignneoplasmsand neoplasms ofuncertainorunknown behavior . . . . . . . . . . . . . .(D00–D48) 130.9* 10Septicemia..............(A40–A41) 90.6* . ..Allothercauses...........(Residual) 29319.24.4 National VitalStatisticsReport,Vol.49,No.11,October12,2001 59Table2.Deaths,percentoftotaldeaths,anddeathratesforthe10leadingcausesofdeathinselectedagegroups,by Hispanic origin,racefornon-Hispanicpopulation,andsex:UnitedStates,1999—Con. [Rates per100,000populationinspecifiedgroup.RaceandHispanicoriginarereportedseparatelyonthedeathcertificate.PersonsofHispanicorigin maybeofanyrace. Data forHispanicpersonsarenottabulatedbyrace,datafornon-Hispanicpersonsaretabulatedbyrace] Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),Hispanicorigin, sex, andageNumber2 Percent of total deaths2 Rate2 White, non-Hispanic,male,15–19years . ..Allcauses....................5,799 100.0 85.9 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 3,25056.048.1 2 Intentionalself-harm (suicide)..........(X60–X84,Y87.0) 97816.914.5 3 Malignantneoplasms . . . . . . . .(C00–C97) 2834.94.2 3 Assault(homicide)......(X85–Y09,Y87.1) 2834.94.2 5 Diseasesofheart..(I00–I09,I11,I13,I20–I51)1672.92.5 6 Congenitalmalformations,deformationsand chromosomal abnormalities. . . .(Q00–Q99) 931.61.4 7 Chroniclowerrespiratory diseases...............(J40–J47) 320.60.5 8 Diabetesmellitus . . . . . . . . . . (E10–E14) 210.40.3 8 Cerebrovasculardiseases......(I60–I69) 210.40.3 8 Influenzaandpneumonia . . . . . (J10–J18) 210.40.3 . ..Allothercauses...........(Residual) 65011.29.6 White, non-Hispanic,male,20–24years . ..Allcauses....................6,878 100.0 112.9 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 3,49950.957.4 2 Intentionalself-harm (suicide)..........(X60–X84,Y87.0) 1,43820.923.6 3 Assault(homicide)......(X85–Y09,Y87.1) 3615.25.9 4 Malignantneoplasms . . . . . . . .(C00–C97) 3465.05.7 5 Diseasesofheart..(I00–I09,I11,I13,I20–I51)1902.83.1 6 Congenitalmalformations,deformationsand chromosomal abnormalities. . . .(Q00–Q99) 821.21.3 7 Septicemia..............(A40–A41) 330.50.5 8 Diabetesmellitus . . . . . . . . . . (E10–E14) 310.50.5 9 Cerebrovasculardiseases......(I60–I69) 300.40.5 9 Influenzaandpneumonia . . . . . (J10–J18) 300.40.5 . ..Allothercauses...........(Residual) 83812.213.8 White, non-Hispanic,male,25–34years . ..Allcauses....................16,449 100.0 128.4 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 5,93236.146.3 2 Intentionalself-harm (suicide)..........(X60–X84,Y87.0) 3,20519.525.0 3 Malignantneoplasms . . . . . . . .(C00–C97) 1,3418.210.5 4 Diseasesofheart..(I00–I09,I11,I13,I20–I51)1,1527.09.0 5 Assault(homicide)......(X85–Y09,Y87.1) 7534.65.9 6 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 6433.95.0 7 Diabetesmellitus . . . . . . . . . . (E10–E14) 2031.21.6 8 Congenitalmalformations,deformationsand chromosomal abnormalities. . . .(Q00–Q99) 1781.11.4 9 Cerebrovasculardiseases......(I60–I69) 1510.91.2 9 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . (K70,K73–K74) 1510.91.2 . ..Allothercauses...........(Residual) 2,74016.721.4 See footnotesatendoftable. Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),Hispanicorigin, sex, andageNumber2 Percent of total deaths2 Rate2 White, non-Hispanic,male,35–44years . ..Allcauses....................37,291 100.0 228.2 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 7,94921.348.6 2 Diseasesofheart..(I00–I09,I11,I13,I20–I51)6,59017.740.3 3 Malignantneoplasms . . . . . . . .(C00–C97) 5,42514.533.2 4 Intentionalself-harm (suicide)..........(X60–X84,Y87.0) 4,21011.325.8 5 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 1,7684.710.8 6 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . (K70,K73–K74) 1,4784.09.0 7 Assault(homicide)......(X85–Y09,Y87.1) 8812.45.4 8 Diabetesmellitus . . . . . . . . . . (E10–E14) 7472.04.6 9 Cerebrovasculardiseases......(I60–I69) 7121.94.4 10 Influenzaandpneumonia . . . . . (J10–J18) 3340.92.0 . ..Allothercauses...........(Residual) 7,19719.344.0 White, non-Hispanic,male,45–54years . ..Allcauses....................67,151 100.0 491.6 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)18,74727.9137.2 2 Malignantneoplasms . . . . . . . .(C00–C97) 17,58826.2128.8 3 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 6,1429.145.0 4 Intentionalself-harm (suicide)..........(X60–X84,Y87.0) 3,3885.024.8 5 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . (K70,K73–K74) 3,3655.024.6 6 Diabetesmellitus . . . . . . . . . . (E10–E14) 1,8012.713.2 7 Cerebrovasculardiseases......(I60–I69) 1,6622.512.2 8 Chroniclowerrespiratory diseases...............(J40–J47) 1,1741.78.6 9 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 1,1361.78.3 10 Viralhepatitis . . . . . . . . . . . . (B15–B19) 7171.15.2 . ..Allothercauses...........(Residual) 11,43117.083.7 White, non-Hispanic,male,55–64years . ..Allcauses.................... 108,692 100.01,208.0 1 Malignantneoplasms . . . . . . . .(C00–C97) 38,65835.6429.6 2 Diseasesofheart..(I00–I09,I11,I13,I20–I51)33,46630.8371.9 3 Chroniclowerrespiratory diseases...............(J40–J47) 5,0914.756.6 4 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 3,7303.441.5 5 Cerebrovasculardiseases......(I60–I69) 3,4793.238.7 6 Diabetesmellitus . . . . . . . . . . (E10–E14) 3,2002.935.6 7 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . (K70,K73–K74) 2,8852.732.1 8 Intentionalself-harm (suicide)..........(X60–X84,Y87.0) 2,0011.822.2 9 Influenzaandpneumonia . . . . . (J10–J18) 1,0491.011.7 10 Aorticaneurysmanddissection . . . . . (I71)9280.910.3 . ..Allothercauses...........(Residual) 14,20513.1157.9 60 National VitalStatisticsReport,Vol.49,No.11,October12,2001Table2.Deaths,percentoftotaldeaths,anddeathratesforthe10leadingcausesofdeathinselectedagegroups,by Hispanic origin,racefornon-Hispanicpopulation,andsex:UnitedStates,1999—Con. [Rates per100,000populationinspecifiedgroup.RaceandHispanicoriginarereportedseparatelyonthedeathcertificate.PersonsofHispanicorigin maybeofanyrace. Data forHispanicpersonsarenottabulatedbyrace,datafornon-Hispanicpersonsaretabulatedbyrace] Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),Hispanicorigin, sex, andageNumber2 Percent of total deaths2 Rate2 White, non-Hispanic,male, 65 yearsandover . ..Allcauses.................... 690,621 100.05,730.3 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)232,59733.71,929.9 2 Malignantneoplasms . . . . . . . .(C00–C97) 172,21424.91,428.9 3 Chroniclowerrespiratory diseases...............(J40–J47) 48,6317.0403.5 4 Cerebrovasculardiseases......(I60–I69) 45,8416.6380.4 5 Influenzaandpneumonia . . . . . (J10–J18) 20,7523.0172.2 6 Diabetesmellitus . . . . . . . . . . (E10–E14) 17,1622.5142.4 7 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 13,5192.0112.2 8 Alzheimer’sdisease............(G30) 12,0251.799.8 9 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)11,1601.692.6 10Septicemia..............(A40–A41) 7,9061.165.6 . ..Allothercauses...........(Residual) 108,81415.8902.9 White, non-Hispanic,male,65–74years . ..Allcauses.................... 209,155 100.03,077.6 1 Malignantneoplasms . . . . . . . .(C00–C97) 70,51833.71,037.6 2 Diseasesofheart..(I00–I09,I11,I13,I20–I51)64,69930.9952.0 3 Chroniclowerrespiratory diseases...............(J40–J47) 15,5597.4228.9 4 Cerebrovasculardiseases......(I60–I69) 9,3374.5137.4 5 Diabetesmellitus . . . . . . . . . . (E10–E14) 6,0662.989.3 6 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 3,9621.958.3 7 Influenzaandpneumonia . . . . . (J10–J18) 3,0871.545.4 8 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . (K70,K73–K74) 2,7461.340.4 9 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)2,5321.237.3 10 Aorticaneurysmanddissection . . . . . (I71)2,4511.236.1 . ..Allothercauses...........(Residual) 28,19813.5414.9 White, non-Hispanic,male,75–84years . ..Allcauses.................... 296,528 100.07,057.5 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)98,42233.22,342.5 2 Malignantneoplasms . . . . . . . .(C00–C97) 73,53524.81,750.2 3 Chroniclowerrespiratory diseases...............(J40–J47) 22,3777.5532.6 4 Cerebrovasculardiseases......(I60–I69) 20,6187.0490.7 5 Influenzaandpneumonia . . . . . (J10–J18) 8,2552.8196.5 6 Diabetesmellitus . . . . . . . . . . (E10–E14) 7,7222.6183.8 7 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 5,5511.9132.1 8 Alzheimer’sdisease............(G30) 5,4321.8129.3 9 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)4,9071.7116.8 10 Parkinson’sdisease. . . . . . . . .(G20–G21) 4,0051.495.3 . ..Allothercauses...........(Residual) 45,70415.41,087.8 See footnotesatendoftable. Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),Hispanicorigin, sex, andageNumber2 Percent of total deaths2 Rate2 White, non-Hispanic,male, 85 yearsandover . ..Allcauses.................... 184,938 100.017,539.1 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)69,47637.66,589.0 2 Malignantneoplasms . . . . . . . .(C00–C97) 28,16115.22,670.7 3 Cerebrovasculardiseases......(I60–I69) 15,8868.61,506.6 4 Chroniclowerrespiratory diseases...............(J40–J47) 10,6955.81,014.3 5 Influenzaandpneumonia . . . . . (J10–J18) 9,4105.1892.4 6 Alzheimer’sdisease............(G30) 5,3302.9505.5 7 Accidents(unintentional injuries).......... V01–X59,Y85–Y86 4,0062.2379.9 8 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)3,7212.0352.9 9 Diabetesmellitus . . . . . . . . . . (E10–E14) 3,3741.8320.0 10 Pneumonitisduetosolidsand liquids...................(J69)2,7671.5 262.4 . ..Allothercauses...........(Residual) 32,11217.43,045.4 White, non-Hispanic,female,allages3 . ..Allcauses....................1,008,284 100.01,007.4 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)314,49831.2314.2 2 Malignantneoplasms . . . . . . . .(C00–C97) 219,93121.8219.7 3 Cerebrovasculardiseases......(I60–I69) 86,7488.686.7 4 Chroniclowerrespiratory diseases...............(J40–J47) 56,3065.656.3 5 Influenzaandpneumonia . . . . . (J10–J18) 31,1833.131.2 6 Alzheimer’sdisease............(G30) 28,5822.828.6 7 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 27,2132.727.2 8 Diabetesmellitus . . . . . . . . . . (E10–E14) 26,1702.626.1 9 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)13,6251.413.6 10Septicemia..............(A40–A41) 13,1601.313.1 . ..Allothercauses...........(Residual) 190,86818.9190.7 White, non-Hispanic,female,1–4years . ..Allcauses....................1,214 100.0 26.2 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 42535.09.2 2 Congenitalmalformations,deformationsand chromosomal abnormalities...(Q00–Q99)13010.72.8 3 Malignantneoplasms . . . . . . . .(C00–C97) 12110.02.6 4 Assault(homicide)......(X85–Y09,Y87.1) 736.01.6 5 Diseasesofheart..(I00–I09,I11,I13,I20–I51)373.00.8 6 Influenzaandpneumonia . . . . . (J10–J18) 363.00.8 7 Septicemia..............(A40–A41) 221.80.5 8 Insituneoplasms,benignneoplasmsand neoplasms ofuncertainorunknown behavior. . . . . . . . . . . . . . .(D00–D48) 181.5* 9 Certainconditionsoriginatinginthe perinatalperiod...........(P00–P96) 131.1* 10Cerebrovasculardiseases......(I60–I69) 121.0* 10 Chroniclowerrespiratory diseases...............(J40–J47) 121.0* . ..Allothercauses...........(Residual) 31525.96.8 National VitalStatisticsReport,Vol.49,No.11,October12,2001 61Table2.Deaths,percentoftotaldeaths,anddeathratesforthe10leadingcausesofdeathinselectedagegroups,by Hispanic origin,racefornon-Hispanicpopulation,andsex:UnitedStates,1999—Con. [Rates per100,000populationinspecifiedgroup.RaceandHispanicoriginarereportedseparatelyonthedeathcertificate.PersonsofHispanicorigin maybeofanyrace. Data forHispanicpersonsarenottabulatedbyrace,datafornon-Hispanicpersonsaretabulatedbyrace] Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),Hispanicorigin, sex, andageNumber2 Percent of total deaths2 Rate2 White, non-Hispanic,female,5–9years . ..Allcauses....................875 100.0 14.1 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 33838.65.4 2 Malignantneoplasms . . . . . . . .(C00–C97) 13115.02.1 3 Congenitalmalformations,deformationsand chromosomal abnormalities...(Q00–Q99)606.91.0 4 Assault(homicide)......(X85–Y09,Y87.1) 374.20.6 5 Diseasesofheart..(I00–I09,I11,I13,I20–I51)293.30.5 6 Insituneoplasms,benignneoplasmsand neoplasms ofuncertainorunknown behavior. . . . . . . . . . . . . . .(D00–D48) 212.40.3 7 Septicemia..............(A40–A41) 141.6* 7 Influenzaandpneumonia . . . . . (J10–J18) 141.6* 9 Chroniclowerrespiratory diseases...............(J40–J47) 101.1* 10 Certainconditionsoriginatinginthe perinatalperiod...........(P00–P96) 91.0* . ..Allothercauses...........(Residual) 21224.23.4 White, non-Hispanic,female,10–14years . ..Allcauses....................970 100.0 15.4 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 36537.65.8 2 Malignantneoplasms . . . . . . . .(C00–C97) 13213.62.1 3 Congenitalmalformations,deformationsand chromosomal abnormalities...(Q00–Q99)656.71.0 4 Assault(homicide)......(X85–Y09,Y87.1) 464.70.7 5 Diseasesofheart..(I00–I09,I11,I13,I20–I51)434.40.7 6 Intentionalself-harm (suicide)...........(X60–X84,Y87.0) 333.40.5 7 Insituneoplasms,benignneoplasmsand neoplasms ofuncertainorunknown behavior. . . . . . . . . . . . . . .(D00–D48) 131.3* 7 Cerebrovasculardiseases......(I60–I69) 131.3* 9 Influenzaandpneumonia . . . . . (J10–J18) 121.2* 10Septicemia..............(A40–A41) 90.9* 10 Chroniclowerrespiratory diseases...............(J40–J47) 90.9* . ..Allothercauses...........(Residual) 23023.73.7 White, non-Hispanic,female,15–19years . ..Allcauses....................2,691 100.0 42.3 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 1,59059.125.0 2 Malignantneoplasms . . . . . . . .(C00–C97) 1937.23.0 3 Intentionalself-harm (suicide)...........(X60–X84,Y87.0) 1917.13.0 4 Assault(homicide)......(X85–Y09,Y87.1) 1264.72.0 5 Diseasesofheart..(I00–I09,I11,I13,I20–I51)1023.81.6 6 Congenitalmalformations,deformationsand chromosomal abnormalities...(Q00–Q99)511.90.8 7 Chroniclowerrespiratory diseases...............(J40–J47) 281.00.4 8 Influenzaandpneumonia . . . . . (J10–J18) 230.90.4 9 Insituneoplasms,benignneoplasmsand neoplasms ofuncertainorunknown behavior. . . . . . . . . . . . . . .(D00–D48) 180.7* 10Cerebrovasculardiseases......(I60–I69) 160.6* . ..Allothercauses...........(Residual) 35313.15.5 See footnotesatendoftable. Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),Hispanicorigin, sex, andageNumber2 Percent of total deaths2 Rate2 White, non-Hispanic,female,20–24years . ..Allcauses....................2,500 100.0 43.0 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 1,07142.818.4 2 Malignantneoplasms . . . . . . . .(C00–C97) 2489.94.3 3 Intentionalself-harm (suicide)...........(X60–X84,Y87.0) 2238.93.8 4 Assault(homicide)......(X85–Y09,Y87.1) 1927.73.3 5 Diseasesofheart..(I00–I09,I11,I13,I20–I51)1265.02.2 6 Congenitalmalformations,deformationsand chromosomal abnormalities...(Q00–Q99)512.00.9 7 Cerebrovasculardiseases......(I60–I69) 381.50.7 8 Diabetesmellitus . . . . . . . . . . (E10–E14) 271.10.5 9 Chroniclowerrespiratory diseases...............(J40–J47) 230.90.4 10 Influenzaandpneumonia . . . . . (J10–J18) 210.80.4 . ..Allothercauses...........(Residual) 48019.28.3 White, non-Hispanic,female,25–34years . ..Allcauses....................7,537 100.0 58.6 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 1,92325.515.0 2 Malignantneoplasms . . . . . . . .(C00–C97) 1,34117.810.4 3 Intentionalself-harm (suicide)...........(X60–X84,Y87.0) 7229.65.6 4 Diseasesofheart..(I00–I09,I11,I13,I20–I51)6038.04.7 5 Assault(homicide)......(X85–Y09,Y87.1) 3825.13.0 6 Diabetesmellitus . . . . . . . . . . (E10–E14) 1602.11.2 7 Congenitalmalformations,deformationsand chromosomal abnormalities...(Q00–Q99)1562.11.2 8 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 1512.01.2 9 Cerebrovasculardiseases......(I60–I69) 1502.01.2 10 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . . (K70,K73–K74) 921.20.7 . ..Allothercauses...........(Residual) 1,85724.614.4 White, non-Hispanic,female,35–44years . ..Allcauses....................20,339 100.0 124.8 1 Malignantneoplasms . . . . . . . .(C00–C97) 6,42331.639.4 2 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 2,89514.217.8 3 Diseasesofheart..(I00–I09,I11,I13,I20–I51)2,34611.514.4 4 Intentionalself-harm (suicide)...........(X60–X84,Y87.0) 1,2596.27.7 5 Cerebrovasculardiseases......(I60–I69) 6943.44.3 6 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . . (K70,K73–K74) 6703.34.1 7 Diabetesmellitus . . . . . . . . . . (E10–E14) 4842.43.0 8 Assault(homicide)......(X85–Y09,Y87.1) 4462.22.7 9 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 3141.51.9 10 Influenzaandpneumonia . . . . . (J10–J18) 3031.51.9 . ..Allothercauses...........(Residual) 4,50522.127.6 62 National VitalStatisticsReport,Vol.49,No.11,October12,2001Table2.Deaths,percentoftotaldeaths,anddeathratesforthe10leadingcausesofdeathinselectedagegroups,by Hispanic origin,racefornon-Hispanicpopulation,andsex:UnitedStates,1999—Con. [Rates per100,000populationinspecifiedgroup.RaceandHispanicoriginarereportedseparatelyonthedeathcertificate.PersonsofHispanicorigin maybeofanyrace. Data forHispanicpersonsarenottabulatedbyrace,datafornon-Hispanicpersonsaretabulatedbyrace] Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),Hispanicorigin, sex, andageNumber2 Percent of total deaths2 Rate2 White, non-Hispanic,female,45–54years . ..Allcauses....................39,657 100.0 284.5 1 Malignantneoplasms . . . . . . . .(C00–C97) 17,35643.8124.5 2 Diseasesofheart..(I00–I09,I11,I13,I20–I51)6,07615.343.6 3 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 2,2505.716.1 4 Cerebrovasculardiseases......(I60–I69) 1,4813.710.6 5 Chroniclowerrespiratory diseases...............(J40–J47) 1,1983.08.6 6 Diabetesmellitus . . . . . . . . . . (E10–E14) 1,1392.98.2 7 Intentionalself-harm (suicide)...........(X60–X84,Y87.0) 1,0992.87.9 8 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . . (K70,K73–K74) 1,0652.77.6 9 Septicemia..............(A40–A41) 4641.23.3 10 Influenzaandpneumonia . . . . . (J10–J18) 4391.13.1 . ..Allothercauses...........(Residual) 7,09017.950.9 White, non-Hispanic,female,55–64years . ..Allcauses....................72,101 100.0 751.0 1 Malignantneoplasms . . . . . . . .(C00–C97) 32,13044.6334.7 2 Diseasesofheart..(I00–I09,I11,I13,I20–I51)14,48420.1150.9 3 Chroniclowerrespiratory diseases...............(J40–J47) 4,6956.548.9 4 Cerebrovasculardiseases......(I60–I69) 2,8323.929.5 5 Diabetesmellitus . . . . . . . . . . (E10–E14) 2,4743.425.8 6 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 1,7252.418.0 7 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . . (K70,K73–K74) 1,2321.712.8 8 Septicemia..............(A40–A41) 8881.29.2 9 Influenzaandpneumonia . . . . . (J10–J18) 8451.28.8 10 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)7331.07.6 . ..Allothercauses...........(Residual) 10,06314.0104.8 White, non-Hispanic,female, 65 yearsandover . ..Allcauses.................... 854,540 100.05,044.8 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)290,53334.01,715.2 2 Malignantneoplasms . . . . . . . .(C00–C97) 161,83618.9955.4 3 Cerebrovasculardiseases......(I60–I69) 81,4879.5481.1 4 Chroniclowerrespiratory diseases...............(J40–J47) 49,9525.8294.9 5 Influenzaandpneumonia . . . . . (J10–J18) 29,3523.4173.3 6 Alzheimer’sdisease............(G30) 28,3553.3167.4 7 Diabetesmellitus . . . . . . . . . . (E10–E14) 21,8562.6129.0 8 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 14,4531.785.3 9 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)12,3301.472.8 10Septicemia..............(A40–A41) 11,4301.367.5 . ..Allothercauses...........(Residual) 152,95617.9903.0 See footnotesatendoftable. Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),Hispanicorigin, sex, andageNumber2 Percent of total deaths2 Rate2 White, non-Hispanic,female,65–74years . ..Allcauses.................... 158,335 100.01,942.9 1 Malignantneoplasms . . . . . . . .(C00–C97) 56,60135.7694.6 2 Diseasesofheart..(I00–I09,I11,I13,I20–I51)39,05124.7479.2 3 Chroniclowerrespiratory diseases...............(J40–J47) 13,8418.7169.8 4 Cerebrovasculardiseases......(I60–I69) 8,9955.7110.4 5 Diabetesmellitus . . . . . . . . . . (E10–E14) 5,5983.568.7 6 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 2,6061.632.0 7 Influenzaandpneumonia . . . . . (J10–J18) 2,3941.529.4 8 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)2,1861.426.8 9 Septicemia..............(A40–A41) 2,0291.324.9 10 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . . (K70,K73–K74) 1,7361.121.3 . ..Allothercauses...........(Residual) 23,29814.7285.9 White, non-Hispanic,female,75–84years . ..Allcauses.................... 307,816 100.04,926.2 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)96,76531.41,548.6 2 Malignantneoplasms . . . . . . . .(C00–C97) 67,76022.01,084.4 3 Cerebrovasculardiseases......(I60–I69) 28,5609.3457.1 4 Chroniclowerrespiratory diseases...............(J40–J47) 22,2857.2356.6 5 Diabetesmellitus . . . . . . . . . . (E10–E14) 9,0993.0145.6 6 Alzheimer’sdisease............(G30) 9,0212.9144.4 7 Influenzaandpneumonia . . . . . (J10–J18) 8,5302.8136.5 8 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 5,2061.783.3 9 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)4,5971.573.6 10Septicemia..............(A40–A41) 4,1791.466.9 . ..Allothercauses...........(Residual) 51,81416.8829.2 White, non-Hispanic,female, 85 yearsandover . ..Allcauses.................... 388,389 100.015,284.6 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)154,71739.86,088.7 2 Cerebrovasculardiseases......(I60–I69) 43,93211.31,728.9 3 Malignantneoplasms . . . . . . . .(C00–C97) 37,4759.61,474.8 4 Influenzaandpneumonia . . . . . (J10–J18) 18,4284.7725.2 5 Alzheimer’sdisease............(G30) 17,7764.6699.6 6 Chroniclowerrespiratory diseases...............(J40–J47) 13,8263.6544.1 7 Diabetesmellitus . . . . . . . . . . (E10–E14) 7,1591.8281.7 8 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 6,6411.7261.3 9 Atherosclerosis. . . . . . . . . . . . . . . (I70)5,6031.4 220.5 10 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)5,5471.4218.3 . ..Allothercauses...........(Residual) 77,28519.93,041.5 National VitalStatisticsReport,Vol.49,No.11,October12,2001 63Table2.Deaths,percentoftotaldeaths,anddeathratesforthe10leadingcausesofdeathinselectedagegroups,by Hispanic origin,racefornon-Hispanicpopulation,andsex:UnitedStates,1999—Con. [Rates per100,000populationinspecifiedgroup.RaceandHispanicoriginarereportedseparatelyonthedeathcertificate.PersonsofHispanicorigin maybeofanyrace. Data forHispanicpersonsarenottabulatedbyrace,datafornon-Hispanicpersonsaretabulatedbyrace] Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),Hispanicorigin, sex, andageNumber2 Percent of total deaths2 Rate2 Black, non-Hispanic,bothsexes, all ages3 . ..Allcauses.................... 281,979 100.0852.1 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)77,71327.6234.8 2 Malignantneoplasms . . . . . . . .(C00–C97) 61,40921.8185.6 3 Cerebrovasculardiseases......(I60–I69) 18,7316.656.6 4 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 12,5334.437.9 5 Diabetesmellitus . . . . . . . . . . (E10–E14) 11,8304.235.7 6 Chroniclowerrespiratory diseases...............(J40–J47) 7,8402.823.7 7 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 7,7512.723.4 8 Assault(homicide)......(X85–Y09,Y87.1) 7,5362.722.8 9 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)6,6592.420.1 10 Influenzaandpneumonia . . . . . (J10–J18) 5,7942.117.5 . ..Allothercauses...........(Residual) 64,18322.8194.0 Black, non-Hispanic,bothsexes, 1–4 years . ..Allcauses....................1,283 100.0 61.8 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 42833.420.6 2 Assault(homicide)......(X85–Y09,Y87.1) 15111.87.3 3 Congenitalmalformations,deformationsand chromosomal abnormalities...(Q00–Q99)13710.76.6 4 Diseasesofheart..(I00–I09,I11,I13,I20–I51)493.82.4 5 Malignantneoplasms . . . . . . . .(C00–C97) 473.72.3 6 Influenzaandpneumonia . . . . . (J10–J18) 403.11.9 7 Certainconditionsoriginatinginthe perinatalperiod...........(P00–P96) 292.31.4 8 Anemias . . . . . . . . . . . . . . .(D50–D64) 201.61.0 9 Chroniclowerrespiratory diseases...............(J40–J47) 181.4* 10 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 171.3* . ..Allothercauses...........(Residual) 34727.016.7 Black, non-Hispanic,bothsexes, 5–9 years . ..Allcauses....................869 100.0 29.3 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 39245.113.2 2 Malignantneoplasms . . . . . . . .(C00–C97) 849.72.8 3 Assault(homicide)......(X85–Y09,Y87.1) 657.52.2 4 Congenitalmalformations,deformationsand chromosomal abnormalities...(Q00–Q99)495.61.7 5 Diseasesofheart..(I00–I09,I11,I13,I20–I51)323.71.1 6 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 263.00.9 7 Chroniclowerrespiratory diseases...............(J40–J47) 192.2* 8 Anemias . . . . . . . . . . . . . . .(D50–D64) 172.0* 9 Insituneoplasms,benignneoplasmsand neoplasms ofuncertainorunknown behavior. . . . . . . . . . . . . . .(D00–D48) 121.4* 10 Influenzaandpneumonia . . . . . (J10–J18) 80.9* . ..Allothercauses...........(Residual) 16519.05.6 See footnotesatendoftable. Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),Hispanicorigin, sex, andageNumber2 Percent of total deaths2 Rate2 Black, non-Hispanic,bothsexes, 10–14 years . ..Allcauses....................902 100.0 30.8 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 30934.310.6 2 Malignantneoplasms . . . . . . . .(C00–C97) 9510.53.2 3 Assault(homicide)......(X85–Y09,Y87.1) 808.92.7 4 Congenitalmalformations,deformationsand chromosomal abnormalities...(Q00–Q99)566.21.9 5 Chroniclowerrespiratory diseases...............(J40–J47) 475.21.6 6 Diseasesofheart..(I00–I09,I11,I13,I20–I51)455.01.5 7 Intentionalself-harm (suicide)...........(X60–X84,Y87.0) 293.21.0 8 Anemias . . . . . . . . . . . . . . .(D50–D64) 161.8* 9 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 151.7* 10Cerebrovasculardiseases......(I60–I69) 121.3* . ..Allothercauses...........(Residual) 19822.06.8 Black, non-Hispanic,bothsexes, 15–19 years . ..Allcauses....................2,813 100.0 97.3 1 Assault(homicide)......(X85–Y09,Y87.1) 1,11739.738.6 2 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 76427.226.4 3 Intentionalself-harm (suicide)...........(X60–X84,Y87.0) 1766.36.1 4 Malignantneoplasms . . . . . . . .(C00–C97) 1364.84.7 5 Diseasesofheart..(I00–I09,I11,I13,I20–I51)1284.64.4 6 Congenitalmalformations,deformationsand chromosomal abnormalities...(Q00–Q99)421.51.5 7 Chroniclowerrespiratory diseases...............(J40–J47) 361.31.2 8 Anemias . . . . . . . . . . . . . . .(D50–D64) 230.80.8 9 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 210.70.7 10Cerebrovasculardiseases......(I60–I69) 180.6* 10 Pregnancy,childbirthandthe puerperium. . . . . . ......(O00–O99) 180.6* . ..Allothercauses...........(Residual) 33411.911.6 Black, non-Hispanic,bothsexes, 20–24 years . ..Allcauses....................4,167 100.0 163.0 1 Assault(homicide)......(X85–Y09,Y87.1) 1,63539.264.0 2 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 93022.336.4 3 Intentionalself-harm (suicide)...........(X60–X84,Y87.0) 2876.911.2 4 Diseasesofheart..(I00–I09,I11,I13,I20–I51)2085.08.1 5 Malignantneoplasms . . . . . . . .(C00–C97) 1784.37.0 6 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 1092.64.3 7 Anemias . . . . . . . . . . . . . . .(D50–D64) 611.52.4 8 Chroniclowerrespiratory diseases...............(J40–J47) 421.01.6 9 Congenitalmalformations,deformationsand chromosomal abnormalities...(Q00–Q99)401.01.6 10 Influenzaandpneumonia . . . . . (J10–J18) 350.81.4 . ..Allothercauses...........(Residual) 64215.425.1 64 National VitalStatisticsReport,Vol.49,No.11,October12,2001Table2.Deaths,percentoftotaldeaths,anddeathratesforthe10leadingcausesofdeathinselectedagegroups,by Hispanic origin,racefornon-Hispanicpopulation,andsex:UnitedStates,1999—Con. [Rates per100,000populationinspecifiedgroup.RaceandHispanicoriginarereportedseparatelyonthedeathcertificate.PersonsofHispanicorigin maybeofanyrace. Data forHispanicpersonsarenottabulatedbyrace,datafornon-Hispanicpersonsaretabulatedbyrace] Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),Hispanicorigin, sex, andageNumber2 Percent of total deaths2 Rate2 Black, non-Hispanic,bothsexes, 25–34 years . ..Allcauses....................9,992 100.0 200.0 1 Assault(homicide)......(X85–Y09,Y87.1) 2,12221.242.5 2 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 1,73817.434.8 3 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 1,47914.829.6 4 Diseasesofheart..(I00–I09,I11,I13,I20–I51)9139.118.3 5 Malignantneoplasms . . . . . . . .(C00–C97) 6606.613.2 6 Intentionalself-harm (suicide)...........(X60–X84,Y87.0) 4975.09.9 7 Diabetesmellitus . . . . . . . . . . (E10–E14) 1601.63.2 8 Cerebrovasculardiseases......(I60–I69) 1491.53.0 9 Chroniclowerrespiratory diseases...............(J40–J47) 1401.42.8 10 Anemias . . . . . . . . . . . . . . .(D50–D64) 1391.42.8 . ..Allothercauses...........(Residual) 1,99520.039.9 Black, non-Hispanic,bothsexes, 35–44 years . ..Allcauses....................20,770 100.0 387.0 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)3,50616.965.3 2 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 3,15415.258.8 3 Malignantneoplasms . . . . . . . .(C00–C97) 3,04914.756.8 4 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 2,24510.841.8 5 Assault(homicide)......(X85–Y09,Y87.1) 1,3056.324.3 6 Cerebrovasculardiseases......(I60–I69) 8083.915.1 7 Diabetesmellitus . . . . . . . . . . (E10–E14) 5022.49.4 8 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . . (K70,K73–K74) 4532.28.4 9 Intentionalself-harm (suicide)...........(X60–X84,Y87.0) 4302.18.0 10 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)3101.55.8 . ..Allothercauses...........(Residual) 5,00824.193.3 Black, non-Hispanic,bothsexes, 45–54 years . ..Allcauses....................31,377 100.0 835.2 1 Malignantneoplasms . . . . . . . .(C00–C97) 7,74924.7206.3 2 Diseasesofheart..(I00–I09,I11,I13,I20–I51)7,44823.7198.2 3 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 2,0576.654.8 4 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 1,9036.150.7 5 Cerebrovasculardiseases......(I60–I69) 1,6625.344.2 6 Diabetesmellitus . . . . . . . . . . (E10–E14) 1,2193.932.4 7 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . . (K70,K73–K74) 9052.924.1 8 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)6152.016.4 9 Assault(homicide)......(X85–Y09,Y87.1) 5571.814.8 10 Chroniclowerrespiratory diseases...............(J40–J47) 5561.814.8 . ..Allothercauses...........(Residual) 6,70621.4178.5 See footnotesatendoftable. Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),Hispanicorigin, sex, andageNumber2 Percent of total deaths2 Rate2 Black, non-Hispanic,bothsexes, 55–64 years . ..Allcauses....................39,063 100.0 1,736.7 1 Malignantneoplasms . . . . . . . .(C00–C97) 12,32231.5547.8 2 Diseasesofheart..(I00–I09,I11,I13,I20–I51)11,34629.0504.4 3 Cerebrovasculardiseases......(I60–I69) 2,2695.8100.9 4 Diabetesmellitus . . . . . . . . . . (E10–E14) 2,1365.595.0 5 Chroniclowerrespiratory diseases...............(J40–J47) 1,0852.848.2 6 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 1,0472.746.5 7 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)8792.339.1 8 Septicemia..............(A40–A41) 7161.831.8 9 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . . (K70,K73–K74) 6911.830.7 10 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 6131.627.3 . ..Allothercauses...........(Residual) 5,95915.3264.9 Black, non-Hispanic,bothsexes, 65 yearsandover . ..Allcauses.................... 162,096 100.05,817.9 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)53,88333.21,934.0 2 Malignantneoplasms . . . . . . . .(C00–C97) 37,07722.91,330.8 3 Cerebrovasculardiseases......(I60–I69) 13,7508.5493.5 4 Diabetesmellitus . . . . . . . . . . (E10–E14) 7,7574.8278.4 5 Chroniclowerrespiratory diseases...............(J40–J47) 5,6203.5201.7 6 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)4,6552.9167.1 7 Influenzaandpneumonia . . . . . (J10–J18) 4,2532.6152.6 8 Septicemia..............(A40–A41) 4,0062.5143.8 9 Essential(primary)hypertensionand hypertensive renaldisease . . . . (I10,I12)2,6121.693.7 10 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 2,5141.690.2 . ..Allothercauses...........(Residual) 25,96916.0932.1 Black, non-Hispanic,bothsexes, 65–74 years . ..Allcauses....................55,567 100.0 3,434.7 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)17,01930.61,052.0 2 Malignantneoplasms . . . . . . . .(C00–C97) 16,62529.91,027.6 3 Cerebrovasculardiseases......(I60–I69) 3,7926.8234.4 4 Diabetesmellitus . . . . . . . . . . (E10–E14) 3,1205.6192.9 5 Chroniclowerrespiratory diseases...............(J40–J47) 2,0903.8129.2 6 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)1,5542.896.1 7 Septicemia..............(A40–A41) 1,2122.274.9 8 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 9431.758.3 9 Influenzaandpneumonia . . . . . (J10–J18) 8801.654.4 10 Essential(primary)hypertensionand hypertensive renaldisease . . . . (I10,I12)7641.447.2 . ..Allothercauses...........(Residual) 7,56813.6467.8 National VitalStatisticsReport,Vol.49,No.11,October12,2001 65Table2.Deaths,percentoftotaldeaths,anddeathratesforthe10leadingcausesofdeathinselectedagegroups,by Hispanic origin,racefornon-Hispanicpopulation,andsex:UnitedStates,1999—Con. [Rates per100,000populationinspecifiedgroup.RaceandHispanicoriginarereportedseparatelyonthedeathcertificate.PersonsofHispanicorigin maybeofanyrace. Data forHispanicpersonsarenottabulatedbyrace,datafornon-Hispanicpersonsaretabulatedbyrace] Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),Hispanicorigin, sex, andageNumber2 Percent of total deaths2 Rate2 Black, non-Hispanic,bothsexes, 75–84 years . ..Allcauses....................60,634 100.0 7,028.4 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)19,80832.72,296.0 2 Malignantneoplasms . . . . . . . .(C00–C97) 14,19223.41,645.1 3 Cerebrovasculardiseases......(I60–I69) 5,3148.8616.0 4 Diabetesmellitus . . . . . . . . . . (E10–E14) 2,9954.9347.2 5 Chroniclowerrespiratory diseases...............(J40–J47) 2,3643.9274.0 6 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)1,7502.9202.9 7 Septicemia..............(A40–A41) 1,5132.5175.4 8 Influenzaandpneumonia . . . . . (J10–J18) 1,4102.3163.4 9 Essential(primary)hypertensionand hypertensive renaldisease . . . . . (I10,I12)1,0061.7116.6 10 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 9251.5107.2 . ..Allothercauses...........(Residual) 9,35715.41,084.6 Black, non-Hispanic,bothsexes, 85 yearsandover . ..Allcauses....................45,895 100.0 15,015.8 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)17,05637.25,580.3 2 Malignantneoplasms . . . . . . . .(C00–C97) 6,26013.62,048.1 3 Cerebrovasculardiseases......(I60–I69) 4,64410.11,519.4 4 Influenzaandpneumonia . . . . . (J10–J18) 1,9634.3642.2 5 Diabetesmellitus . . . . . . . . . . (E10–E14) 1,6423.6537.2 6 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)1,3512.9442.0 7 Septicemia..............(A40–A41) 1,2812.8419.1 8 Chroniclowerrespiratory diseases...............(J40–J47) 1,1662.5381.5 9 Alzheimer’sdisease............(G30) 1,1592.5379.2 10 Essential(primary)hypertensionand hypertensive renaldisease . . . . (I10,I12)8421.8 275.5 . ..Allothercauses...........(Residual) 8,53118.62,791.1 Black, non-Hispanic,male,allages3 . ..Allcauses.................... 143,883 100.0918.0 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)37,07725.8236.6 2 Malignantneoplasms . . . . . . . .(C00–C97) 32,54222.6207.6 3 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 8,6296.055.1 4 Cerebrovasculardiseases......(I60–I69) 7,8235.449.9 5 Assault(homicide)......(X85–Y09,Y87.1) 6,1314.339.1 6 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 5,3773.734.3 7 Diabetesmellitus . . . . . . . . . . (E10–E14) 4,7183.330.1 8 Chroniclowerrespiratory diseases...............(J40–J47) 4,4523.128.4 9 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)2,9842.119.0 10 Certainconditionsoriginatinginthe perinatalperiod...........(P00–P96) 2,8182.018.0 . ..Allothercauses...........(Residual) 31,33221.8199.9 See footnotesatendoftable. Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),Hispanicorigin, sex, andageNumber2 Percent of total deaths2 Rate2 Black, non-Hispanic,male,1–4years . ..Allcauses....................734 100.0 69.8 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 26035.424.7 2 Congenitalmalformations,deformationsand chromosomal abnormalities...(Q00–Q99)7910.87.5 3 Assault(homicide)......(X85–Y09,Y87.1) 7410.17.0 4 Diseasesofheart..(I00–I09,I11,I13,I20–I51)273.72.6 5 Influenzaandpneumonia . . . . . (J10–J18) 253.42.4 6 Malignantneoplasms . . . . . . . .(C00–C97) 243.32.3 7 Certainconditionsoriginatinginthe perinatalperiod...........(P00–P96) 192.6* 8 Chroniclowerrespiratory diseases...............(J40–J47) 131.8* 9 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 111.5* 9 Anemias . . . . . . . . . . . . . . .(D50–D64) 111.5* . ..Allothercauses...........(Residual) 19126.018.2 Black, non-Hispanic,male,5–9years . ..Allcauses....................508 100.0 33.8 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 25450.016.9 2 Malignantneoplasms . . . . . . . .(C00–C97) 407.92.7 3 Assault(homicide)......(X85–Y09,Y87.1) 346.72.3 4 Congenitalmalformations,deformationsand chromosomal abnormalities...(Q00–Q99)244.71.6 5 Diseasesofheart..(I00–I09,I11,I13,I20–I51)183.5* 6 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 142.8* 7 Chroniclowerrespiratory diseases...............(J40–J47) 132.6* 8 Anemias . . . . . . . . . . . . . . .(D50–D64) 71.4* 9 Insituneoplasms,benignneoplasmsand neoplasms ofuncertainorunknown behavior. . . . . . . . . . . . . . .(D00–D48) 61.2* 10 Influenzaandpneumonia . . . . . (J10–J18) 51.0* . ..Allothercauses...........(Residual) 9318.36.2 Black, non-Hispanic,male,10–14years . ..Allcauses....................573 100.0 38.6 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 21337.214.3 2 Assault(homicide)......(X85–Y09,Y87.1) 559.63.7 3 Malignantneoplasms . . . . . . . .(C00–C97) 549.43.6 4 Chroniclowerrespiratory diseases...............(J40–J47) 335.82.2 5 Congenitalmalformations,deformationsand chromosomal abnormalities...(Q00–Q99)295.12.0 6 Diseasesofheart..(I00–I09,I11,I13,I20–I51)274.71.8 7 Intentionalself-harm (suicide)...........(X60–X84,Y87.0) 223.81.5 8 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 91.6* 8 Anemias . . . . . . . . . . . . . . .(D50–D64) 91.6* 10Cerebrovasculardiseases......(I60–I69) 61.0* . ..Allothercauses...........(Residual) 11620.27.8 66 National VitalStatisticsReport,Vol.49,No.11,October12,2001Table2.Deaths,percentoftotaldeaths,anddeathratesforthe10leadingcausesofdeathinselectedagegroups,by Hispanic origin,racefornon-Hispanicpopulation,andsex:UnitedStates,1999—Con. [Rates per100,000populationinspecifiedgroup.RaceandHispanicoriginarereportedseparatelyonthedeathcertificate.PersonsofHispanicorigin maybeofanyrace. Data forHispanicpersonsarenottabulatedbyrace,datafornon-Hispanicpersonsaretabulatedbyrace] Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),Hispanicorigin, sex, andageNumber2 Percent of total deaths2 Rate2 Black, non-Hispanic,male,15–19years . ..Allcauses....................2,133 100.0 145.2 1 Assault(homicide)......(X85–Y09,Y87.1) 96945.466.0 2 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 56826.638.7 3 Intentionalself-harm (suicide)...........(X60–X84,Y87.0) 1527.110.3 4 Diseasesofheart..(I00–I09,I11,I13,I20–I51)904.26.1 5 Malignantneoplasms . . . . . . . .(C00–C97) 843.95.7 6 Congenitalmalformations,deformationsand chromosomal abnormalities...(Q00–Q99)261.21.8 7 Chroniclowerrespiratory diseases...............(J40–J47) 231.11.6 8 Anemias . . . . . . . . . . . . . . .(D50–D64) 130.6* 9 Legalintervention . . . . . . . . . (Y35,Y89.0) 100.5* 10 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 80.4* 10 Insituneoplasms,benignneoplasmsand neoplasms ofuncertainorunknown behavior. . . . . . . . . . . . . . .(D00–D48) 80.4* . ..Allothercauses...........(Residual) 1828.512.4 Black, non-Hispanic,male,20–24years . ..Allcauses....................3,153 100.0 249.7 1 Assault(homicide)......(X85–Y09,Y87.1) 1,46446.4115.9 2 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 71322.656.5 3 Intentionalself-harm (suicide)...........(X60–X84,Y87.0) 2568.120.3 4 Diseasesofheart..(I00–I09,I11,I13,I20–I51)1223.99.7 5 Malignantneoplasms . . . . . . . .(C00–C97) 973.17.7 6 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 441.43.5 7 Anemias . . . . . . . . . . . . . . .(D50–D64) 371.22.9 8 Chroniclowerrespiratory diseases...............(J40–J47) 290.92.3 9 Congenitalmalformations,deformationsand chromosomal abnormalities...(Q00–Q99)240.81.9 10 Legalintervention . . . . . . . . . (Y35,Y89.0) 210.71.7 . ..Allothercauses...........(Residual) 34611.027.4 Black, non-Hispanic,male,25–34years . ..Allcauses....................6,633 100.0 281.0 1 Assault(homicide)......(X85–Y09,Y87.1) 1,77126.775.0 2 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 1,31319.855.6 3 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 91913.938.9 4 Diseasesofheart..(I00–I09,I11,I13,I20–I51)5468.223.1 5 Intentionalself-harm (suicide)...........(X60–X84,Y87.0) 4326.518.3 6 Malignantneoplasms . . . . . . . .(C00–C97) 2944.412.5 7 Diabetesmellitus . . . . . . . . . . (E10–E14) 851.33.6 8 Anemias . . . . . . . . . . . . . . .(D50–D64) 721.13.0 8 Cerebrovasculardiseases......(I60–I69) 721.13.0 10 Chroniclowerrespiratory diseases...............(J40–J47) 671.02.8 . ..Allothercauses...........(Residual) 1,06216.045.0 See footnotesatendoftable. Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),Hispanicorigin, sex, andageNumber2 Percent of total deaths2 Rate2 Black, non-Hispanic,male,35–44years . ..Allcauses....................12,384 100.0 493.8 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)2,16517.586.3 2 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 2,15717.486.0 3 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 1,62813.164.9 4 Malignantneoplasms . . . . . . . .(C00–C97) 1,25510.150.0 5 Assault(homicide)......(X85–Y09,Y87.1) 9807.939.1 6 Cerebrovasculardiseases......(I60–I69) 3873.115.4 7 Intentionalself-harm (suicide)...........(X60–X84,Y87.0) 3532.914.1 8 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . . (K70,K73–K74) 2932.411.7 9 Diabetesmellitus . . . . . . . . . . (E10–E14) 2762.211.0 10 Influenzaandpneumonia . . . . . (J10–J18) 1731.46.9 10 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)1731.46.9 . ..Allothercauses...........(Residual) 2,54420.5101.4 Black, non-Hispanic,male,45–54years . ..Allcauses....................19,026 100.0 1,119.2 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)4,71624.8277.4 2 Malignantneoplasms . . . . . . . .(C00–C97) 4,09821.5241.1 3 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 1,5528.291.3 4 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 1,4417.684.8 5 Cerebrovasculardiseases......(I60–I69) 9004.752.9 6 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . . (K70,K73–K74) 6493.438.2 7 Diabetesmellitus . . . . . . . . . . (E10–E14) 6413.437.7 8 Assault(homicide)......(X85–Y09,Y87.1) 4312.325.4 9 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)3531.920.8 10 Chroniclowerrespiratory diseases...............(J40–J47) 2841.516.7 . ..Allothercauses...........(Residual) 3,96120.8233.0 Black, non-Hispanic,male,55–64years . ..Allcauses....................22,493 100.0 2,316.1 1 Malignantneoplasms . . . . . . . .(C00–C97) 6,93330.8713.9 2 Diseasesofheart..(I00–I09,I11,I13,I20–I51)6,90730.7711.2 3 Cerebrovasculardiseases......(I60–I69) 1,2355.5127.2 4 Diabetesmellitus . . . . . . . . . . (E10–E14) 9864.4101.5 5 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 7423.376.4 6 Chroniclowerrespiratory diseases...............(J40–J47) 6242.864.3 7 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 4712.148.5 8 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . . (K70,K73–K74) 4532.046.6 9 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)4261.943.9 10Septicemia..............(A40–A41) 3921.740.4 . ..Allothercauses...........(Residual) 3,32414.8342.3 National VitalStatisticsReport,Vol.49,No.11,October12,2001 67Table2.Deaths,percentoftotaldeaths,anddeathratesforthe10leadingcausesofdeathinselectedagegroups,by Hispanic origin,racefornon-Hispanicpopulation,andsex:UnitedStates,1999—Con. [Rates per100,000populationinspecifiedgroup.RaceandHispanicoriginarereportedseparatelyonthedeathcertificate.PersonsofHispanicorigin maybeofanyrace. Data forHispanicpersonsarenottabulatedbyrace,datafornon-Hispanicpersonsaretabulatedbyrace] Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),Hispanicorigin, sex, andageNumber2 Percent of total deaths2 Rate2 Black, non-Hispanic,male, 65 yearsandover . ..Allcauses....................71,439 100.0 6,530.3 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)22,37731.32,045.5 2 Malignantneoplasms . . . . . . . .(C00–C97) 19,65927.51,797.1 3 Cerebrovasculardiseases......(I60–I69) 5,1827.3473.7 4 Chroniclowerrespiratory diseases...............(J40–J47) 3,2354.5295.7 5 Diabetesmellitus . . . . . . . . . . (E10–E14) 2,7043.8247.2 6 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)1,9422.7177.5 7 Influenzaandpneumonia . . . . . (J10–J18) 1,8822.6172.0 8 Septicemia..............(A40–A41) 1,6372.3149.6 9 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 1,3471.9123.1 10 Essential(primary)hypertensionand hypertensive renaldisease . . . . (I10,I12)9551.387.3 . ..Allothercauses...........(Residual) 10,51914.7961.6 Black, non-Hispanic,male,65–74years . ..Allcauses....................29,259 100.0 4,294.4 1 Malignantneoplasms . . . . . . . .(C00–C97) 9,22831.51,354.4 2 Diseasesofheart..(I00–I09,I11,I13,I20–I51)9,01630.81,323.3 3 Cerebrovasculardiseases......(I60–I69) 1,8576.3272.6 4 Diabetesmellitus . . . . . . . . . . (E10–E14) 1,2624.3185.2 5 Chroniclowerrespiratory diseases...............(J40–J47) 1,2384.2181.7 6 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)6912.4101.4 7 Septicemia..............(A40–A41) 6092.189.4 8 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 5962.087.5 9 Influenzaandpneumonia . . . . . (J10–J18) 5181.876.0 10 Essential(primary)hypertensionand hypertensive renaldisease . . . . (I10,I12)3481.251.1 . ..Allothercauses...........(Residual) 3,89613.3571.8 Black, non-Hispanic,male,75–84years . ..Allcauses....................27,552 100.0 8,530.3 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)8,41630.52,605.7 2 Malignantneoplasms . . . . . . . .(C00–C97) 7,60327.62,353.9 3 Cerebrovasculardiseases......(I60–I69) 2,1007.6650.2 4 Chroniclowerrespiratory diseases...............(J40–J47) 1,4025.1434.1 5 Diabetesmellitus . . . . . . . . . . (E10–E14) 1,0163.7314.6 6 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)8032.9248.6 7 Influenzaandpneumonia . . . . . (J10–J18) 6882.5213.0 8 Septicemia..............(A40–A41) 6482.4200.6 9 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 4831.8149.5 10 Essential(primary)hypertensionand hypertensive renaldisease . . . . (I10,I12)3811.4118.0 . ..Allothercauses...........(Residual) 4,01214.61,242.1 See footnotesatendoftable. Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),Hispanicorigin, sex, andageNumber2 Percent of total deaths2 Rate2 Black, non-Hispanic,male, 85 yearsandover . ..Allcauses....................14,628 100.0 16,321.0 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)4,94533.85,517.3 2 Malignantneoplasms . . . . . . . .(C00–C97) 2,82819.33,155.3 3 Cerebrovasculardiseases......(I60–I69) 1,2258.41,366.8 4 Influenzaandpneumonia . . . . . (J10–J18) 6764.6754.2 5 Chroniclowerrespiratory diseases...............(J40–J47) 5954.1663.9 6 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)4483.1499.8 7 Diabetesmellitus . . . . . . . . . . (E10–E14) 4262.9475.3 8 Septicemia..............(A40–A41) 3802.6424.0 9 Alzheimer’sdisease............(G30) 2701.8301.2 10 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 2681.8299.0 . ..Allothercauses...........(Residual) 2,56717.52,864.1 Black, non-Hispanic,female,allages3 . ..Allcauses.................... 138,096 100.0792.8 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)40,63629.4233.3 2 Malignantneoplasms . . . . . . . .(C00–C97) 28,86720.9165.7 3 Cerebrovasculardiseases......(I60–I69) 10,9087.962.6 4 Diabetesmellitus . . . . . . . . . . (E10–E14) 7,1125.240.8 5 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 3,9042.822.4 6 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)3,6752.721.1 7 Chroniclowerrespiratory diseases...............(J40–J47) 3,3882.519.5 8 Septicemia..............(A40–A41) 3,1782.318.2 9 Influenzaandpneumonia . . . . . (J10–J18) 3,0082.217.3 10 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 2,3741.713.6 . ..Allothercauses...........(Residual) 31,04622.5178.2 Black, non-Hispanic,female,1–4years . ..Allcauses....................549 100.0 53.7 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 16830.616.4 2 Assault(homicide)......(X85–Y09,Y87.1) 7714.07.5 3 Congenitalmalformations,deformationsand chromosomal abnormalities...(Q00–Q99)5810.65.7 4 Malignantneoplasms . . . . . . . .(C00–C97) 234.22.2 5 Diseasesofheart..(I00–I09,I11,I13,I20–I51)224.02.2 6 Influenzaandpneumonia . . . . . (J10–J18) 152.7* 7 Certainconditionsoriginatinginthe perinatalperiod...........(P00–P96) 101.8* 8 Anemias . . . . . . . . . . . . . . .(D50–D64) 91.6* 9 Complicationsofmedicaland surgicalcare.........(Y40–Y84,Y88) 71.3* 10Septicemia..............(A40–A41) 61.1* 10 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 61.1* 10Cerebrovasculardiseases......(I60–I69) 61.1* . ..Allothercauses...........(Residual) 14225.913.9 68 National VitalStatisticsReport,Vol.49,No.11,October12,2001Table2.Deaths,percentoftotaldeaths,anddeathratesforthe10leadingcausesofdeathinselectedagegroups,by Hispanic origin,racefornon-Hispanicpopulation,andsex:UnitedStates,1999—Con. [Rates per100,000populationinspecifiedgroup.RaceandHispanicoriginarereportedseparatelyonthedeathcertificate.PersonsofHispanicorigin maybeofanyrace. Data forHispanicpersonsarenottabulatedbyrace,datafornon-Hispanicpersonsaretabulatedbyrace] Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),Hispanicorigin, sex, andageNumber2 Percent of total deaths2 Rate2 Black, non-Hispanic,female,5–9years . ..Allcauses....................361 100.0 24.8 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 13838.29.5 2 Malignantneoplasms . . . . . . . .(C00–C97) 4412.23.0 3 Assault(homicide)......(X85–Y09,Y87.1) 318.62.1 4 Congenitalmalformations,deformationsand chromosomal abnormalities...(Q00–Q99)256.91.7 5 Diseasesofheart..(I00–I09,I11,I13,I20–I51)143.9* 6 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 123.3* 7 Anemias . . . . . . . . . . . . . . .(D50–D64) 102.8* 8 Insituneoplasms,benignneoplasmsand neoplasms ofuncertainorunknown behavior. . . . . . . . . . . . . . .(D00–D48) 61.7* 8 Chroniclowerrespiratory diseases...............(J40–J47) 61.7* 10Septicemia..............(A40–A41) 30.8* 10 Influenzaandpneumonia . . . . . (J10–J18) 30.8* . ..Allothercauses...........(Residual) 6919.14.7 Black, non-Hispanic,female,10–14years . ..Allcauses....................329 100.0 22.8 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 9629.26.7 2 Malignantneoplasms . . . . . . . .(C00–C97) 4112.52.8 3 Congenitalmalformations,deformationsand chromosomal abnormalities...(Q00–Q99)278.21.9 4 Assault(homicide)......(X85–Y09,Y87.1) 257.61.7 5 Diseasesofheart..(I00–I09,I11,I13,I20–I51)185.5* 6 Chroniclowerrespiratory diseases...............(J40–J47) 144.3* 7 Anemias . . . . . . . . . . . . . . .(D50–D64) 72.1* 7 Intentionalself-harm (suicide)...........(X60–X84,Y87.0) 72.1* 9 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 61.8* 9 Cerebrovasculardiseases......(I60–I69) 61.8* . ..Allothercauses...........(Residual) 8224.95.7 Black, non-Hispanic,female,15–19years . ..Allcauses....................680 100.0 47.8 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 19628.813.8 2 Assault(homicide)......(X85–Y09,Y87.1) 14821.810.4 3 Malignantneoplasms . . . . . . . .(C00–C97) 527.63.7 4 Diseasesofheart..(I00–I09,I11,I13,I20–I51)385.62.7 5 Intentionalself-harm (suicide)...........(X60–X84,Y87.0) 243.51.7 6 Pregnancy,childbirthandthe puerperium. . . . . . ......(O00–O99) 182.6* 7 Congenitalmalformations,deformationsand chromosomal abnormalities...(Q00–Q99)162.4* 8 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 131.9* 8 Chroniclowerrespiratory diseases...............(J40–J47) 131.9* 10Cerebrovasculardiseases......(I60–I69) 111.6* . ..Allothercauses...........(Residual) 15122.210.6 See footnotesatendoftable. Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),Hispanicorigin, sex, andageNumber2 Percent of total deaths2 Rate2 Black, non-Hispanic,female,20–24years . ..Allcauses....................1,014 100.0 78.4 1 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 21721.416.8 2 Assault(homicide)......(X85–Y09,Y87.1) 17116.913.2 3 Diseasesofheart..(I00–I09,I11,I13,I20–I51)868.56.7 4 Malignantneoplasms . . . . . . . .(C00–C97) 818.06.3 5 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 656.45.0 6 Intentionalself-harm (suicide)...........(X60–X84,Y87.0) 313.12.4 7 Pregnancy,childbirthandthe puerperium. . . . . . ......(O00–O99) 282.82.2 8 Anemias . . . . . . . . . . . . . . .(D50–D64) 242.41.9 9 Influenzaandpneumonia . . . . . (J10–J18) 181.8* 10Septicemia..............(A40–A41) 161.6* 10 Diabetesmellitus . . . . . . . . . . (E10–E14) 161.6* 10 Congenitalmalformations,deformationsand chromosomal abnormalities...(Q00–Q99)161.6* . ..Allothercauses...........(Residual) 24524.218.9 Black, non-Hispanic,female,25–34years . ..Allcauses....................3,359 100.0 127.4 1 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 56016.721.2 2 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 42512.716.1 3 Diseasesofheart..(I00–I09,I11,I13,I20–I51)36710.913.9 4 Malignantneoplasms . . . . . . . .(C00–C97) 36610.913.9 5 Assault(homicide)......(X85–Y09,Y87.1) 35110.413.3 6 Cerebrovasculardiseases......(I60–I69) 772.32.9 7 Diabetesmellitus . . . . . . . . . . (E10–E14) 752.22.8 8 Chroniclowerrespiratory diseases...............(J40–J47) 732.22.8 9 Pregnancy,childbirthandthe puerperium. . . . . . ......(O00–O99) 702.12.7 10 Anemias . . . . . . . . . . . . . . .(D50–D64) 672.02.5 . ..Allothercauses...........(Residual) 92827.635.2 Black, non-Hispanic,female,35–44years . ..Allcauses....................8,386 100.0 293.4 1 Malignantneoplasms . . . . . . . .(C00–C97) 1,79421.462.8 2 Diseasesofheart..(I00–I09,I11,I13,I20–I51)1,34116.046.9 3 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 99711.934.9 4 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 6177.421.6 5 Cerebrovasculardiseases......(I60–I69) 4215.014.7 6 Assault(homicide)......(X85–Y09,Y87.1) 3253.911.4 7 Diabetesmellitus . . . . . . . . . . (E10–E14) 2262.77.9 8 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . . (K70,K73–K74) 1601.95.6 9 Chroniclowerrespiratory diseases...............(J40–J47) 1371.64.8 9 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)1371.64.8 . ..Allothercauses...........(Residual) 2,23126.678.0 National VitalStatisticsReport,Vol.49,No.11,October12,2001 69Table2.Deaths,percentoftotaldeaths,anddeathratesforthe10leadingcausesofdeathinselectedagegroups,by Hispanic origin,racefornon-Hispanicpopulation,andsex:UnitedStates,1999—Con. [Rates per100,000populationinspecifiedgroup.RaceandHispanicoriginarereportedseparatelyonthedeathcertificate.PersonsofHispanicorigin maybeofanyrace. Data forHispanicpersonsarenottabulatedbyrace,datafornon-Hispanicpersonsaretabulatedbyrace] Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),Hispanicorigin, sex, andageNumber2 Percent of total deaths2 Rate2 Black, non-Hispanic,female,45–54years . ..Allcauses....................12,351 100.0 600.4 1 Malignantneoplasms . . . . . . . .(C00–C97) 3,65129.6177.5 2 Diseasesofheart..(I00–I09,I11,I13,I20–I51)2,73222.1132.8 3 Cerebrovasculardiseases......(I60–I69) 7626.237.0 4 Diabetesmellitus . . . . . . . . . . (E10–E14) 5784.728.1 5 Humanimmunodeficiencyvirus(HIV) disease...............(B20–B24) 5054.124.5 6 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 4623.722.5 7 Chroniclowerrespiratory diseases...............(J40–J47) 2722.213.2 8 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)2622.112.7 9 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . . (K70,K73–K74) 2562.112.4 10Septicemia..............(A40–A41) 2391.911.6 . ..Allothercauses...........(Residual) 2,63221.3127.9 Black, non-Hispanic,female,55–64years . ..Allcauses....................16,570 100.0 1,296.5 1 Malignantneoplasms . . . . . . . .(C00–C97) 5,38932.5421.6 2 Diseasesofheart..(I00–I09,I11,I13,I20–I51)4,43926.8347.3 3 Diabetesmellitus . . . . . . . . . . (E10–E14) 1,1506.990.0 4 Cerebrovasculardiseases......(I60–I69) 1,0346.280.9 5 Chroniclowerrespiratory diseases...............(J40–J47) 4612.836.1 6 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)4532.735.4 7 Septicemia..............(A40–A41) 3242.025.4 8 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 3051.823.9 9 Essential(primary)hypertensionand hypertensive renaldisease . . . . (I10,I12)2501.519.6 10 Chronicliverdiseaseand cirrhosis . . . . . . . . . . . . (K70,K73–K74) 2381.418.6 . ..Allothercauses...........(Residual) 2,52715.3197.7 Black, non-Hispanic,female, 65 yearsandover . ..Allcauses....................90,657 100.0 5,357.4 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)31,50634.81,861.9 2 Malignantneoplasms . . . . . . . .(C00–C97) 17,41819.21,029.3 3 Cerebrovasculardiseases......(I60–I69) 8,5689.5506.3 4 Diabetesmellitus . . . . . . . . . . (E10–E14) 5,0535.6298.6 5 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)2,7133.0160.3 6 Chroniclowerrespiratory diseases...............(J40–J47) 2,3852.6140.9 7 Influenzaandpneumonia . . . . . (J10–J18) 2,3712.6140.1 8 Septicemia..............(A40–A41) 2,3692.6140.0 9 Essential(primary)hypertensionand hypertensive renaldisease . . . . (I10,I12)1,6571.897.9 10Alzheimer’sdisease............(G30) 1,6191.895.7 . ..Allothercauses...........(Residual) 14,99816.5886.3 Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),Hispanicorigin, sex, andageNumber2 Percent of total deaths2 Rate2 Black, non-Hispanic,female,65–74years . ..Allcauses....................26,308 100.0 2,809.3 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)8,00330.4854.6 2 Malignantneoplasms . . . . . . . .(C00–C97) 7,39728.1789.9 3 Cerebrovasculardiseases......(I60–I69) 1,9357.4206.6 4 Diabetesmellitus . . . . . . . . . . (E10–E14) 1,8587.1198.4 5 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)8633.392.2 6 Chroniclowerrespiratory diseases...............(J40–J47) 8523.291.0 7 Septicemia..............(A40–A41) 6032.364.4 8 Essential(primary)hypertensionand hypertensive renaldisease . . . . (I10,I12)4161.644.4 9 Influenzaandpneumonia . . . . . (J10–J18) 3621.438.7 10 Accidents(unintentional injuries).........(V01–X59,Y85–Y86) 3471.337.1 . ..Allothercauses...........(Residual) 3,67214.0392.1 Black, non-Hispanic,female,75–84years . ..Allcauses....................33,082 100.0 6,129.6 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)11,39234.42,110.8 2 Malignantneoplasms . . . . . . . .(C00–C97) 6,58919.91,220.8 3 Cerebrovasculardiseases......(I60–I69) 3,2149.7595.5 4 Diabetesmellitus . . . . . . . . . . (E10–E14) 1,9796.0366.7 5 Chroniclowerrespiratory diseases...............(J40–J47) 9622.9178.2 6 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)9472.9175.5 7 Septicemia..............(A40–A41) 8652.6160.3 8 Influenzaandpneumonia . . . . . (J10–J18) 7222.2133.8 9 Essential(primary)hypertensionand hypertensive renaldisease . . . . (I10,I12)6251.9115.8 10Alzheimer’sdisease............(G30) 5931.8109.9 . ..Allothercauses...........(Residual) 5,19415.7962.4 Black, non-Hispanic,female,85yearsand over . ..Allcauses....................31,267 100.0 14,474.3 1 Diseasesofheart..(I00–I09,I11,I13,I20–I51)12,11138.75,606.5 2 Malignantneoplasms . . . . . . . .(C00–C97) 3,43211.01,588.8 3 Cerebrovasculardiseases......(I60–I69) 3,41910.91,582.7 4 Influenzaandpneumonia . . . . . (J10–J18) 1,2874.1595.8 5 Diabetesmellitus . . . . . . . . . . (E10–E14) 1,2163.9562.9 6 Nephritis,nephroticsyndromeand nephrosis ..(N00–N07,N17–N19,N25–N27)9032.9418.0 7 Septicemia..............(A40–A41) 9012.9417.1 8 Alzheimer’sdisease............(G30) 8892.8411.5 9 Essential(primary)hypertensionand hypertensive renaldisease . . . . (I10,I12)6162.0 285.2 10 Chroniclowerrespiratory diseases...............(J40–J47) 5711.8264.3 . ..Allothercauses...........(Residual) 5,92218.92,741.4 . ..Categorynotapplicable. * Figuredoesnotmeetstandardsofreliabilityorprecision;seeTechnicalnotes. 1Rank basedonnumberofdeaths. 2Figures foragenotstatedareincludedin‘‘Allages’’butnotdistributedamongagegroups. 3Includes deathsfor‘‘Under1year.’’ 70 National VitalStatisticsReport,Vol.49,No.11,October12,2001Table3.Infant,neonatal,andpostneonataldeaths,percentoftotaldeaths,andmortalityratesforthe10leading causes ofinfantdeathbyraceandsex:UnitedStates,1999 [Rates areinfant(under1year),neonatal(under28days),andpostneonatal(28days–11months)deathsper100,000livebirthsinspecifiedgroup.Data forracesotherthan white andblackshouldbeinterpretedwithcaution.Deathsbasedonraceofdecedent;livebirthsbasedonraceofmother;seeTechnicalnotes] Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),race,andsexNumber Percent of total deaths Mortality rate Infants, white,bothsexes . ..Allcauses......................18,067 100.0 576.8 1 Congenitalmalformations,deformationsand chromosomal abnormalities . . . . (Q00–Q99) 4,21123.3134.4 2 Disordersrelatedtoshortgestationand low birthweight,notelsewhere classified . . . . . . . . . . . . . . . . . . .(P07) 2,36613.175.5 3 Suddeninfantdeathsyndrome . . . . . . .(R95) 1,7119.554.6 4 Newbornaffectedbymaternal complications ofpregnancy . . . . . . . .(P01) 8594.827.4 5 Respiratorydistressofnewborn . . . . . .(P22) 7043.922.5 6 Newbornaffectedbycomplicationsof placenta, cordandmembranes . . . . . .(P02) 6333.520.2 7 Accidents(unintentionalinjuries)...(V01–X59)5623.117.9 8 Diseasesofthecirculatorysystem..(I00–I99)4522.514.4 9 Atelectasis.............(P28.0–P28.1) 4512.514.4 10 Intrauterinehypoxiaandbirth asphyxia . . . . . . . . . . . . . . . .(P20–P21) 4292.413.7 . ..Allothercauses............(Residual) 5,68931.5181.6 Infants, white,male . ..Allcauses......................10,197 100.0 635.1 1 Congenitalmalformations,deformationsand chromosomal abnormalities . . . . (Q00–Q99) 2,24022.0139.5 2 Disordersrelatedtoshortgestationand low birthweight,notelsewhere classified . . . . . . . . . . . . . . . . . . .(P07) 1,31712.982.0 3 Suddeninfantdeathsyndrome . . . . . . .(R95) 1,0139.963.1 4 Newbornaffectedbymaternal complications ofpregnancy . . . . . . . .(P01) 4894.830.5 5 Respiratorydistressofnewborn . . . . . .(P22) 4054.025.2 6 Accidents(unintentional injuries).................(V01–X59) 3333.320.7 7 Newbornaffectedbycomplicationsof placenta, cordandmembranes . . . . . .(P02) 3283.220.4 8 Atelectasis.............(P28.0–P28.1) 2862.817.8 9 Diseasesofthecirculatorysystem..(I00–I99)2432.415.1 10 Bacterialsepsisofnewborn . . . . . . . .(P36) 2302.314.3 . ..Allothercauses............(Residual) 3,31332.5206.3 Infants, white,female . ..Allcauses......................7,870 100.0 515.4 1 Congenitalmalformations,deformationsand chromosomal abnormalities . . . . (Q00–Q99) 1,97125.0129.1 2 Disordersrelatedtoshortgestationand low birthweight,notelsewhere classified . . . . . . . . . . . . . . . . . . .(P07) 1,04913.368.7 3 Suddeninfantdeathsyndrome . . . . . . .(R95) 6988.945.7 4 Newbornaffectedbymaternal complications ofpregnancy . . . . . . . .(P01) 3704.724.2 5 Newbornaffectedbycomplicationsof placenta, cordandmembranes . . . . . .(P02) 3053.920.0 6 Respiratorydistressofnewborn . . . . . .(P22) 2993.819.6 7 Accidents(unintentionalinjuries)...(V01–X59)2292.915.0 8 Diseasesofthecirculatorysystem..(I00–I99)2092.713.7 9 Intrauterinehypoxiaandbirth asphyxia . . . . . . . . . . . . . . . .(P20–P21) 2002.513.1 10 Bacterialsepsisofnewborn . . . . . . . .(P36) 1872.412.2 . ..Allothercauses............(Residual) 2,35329.9154.1 Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),race,andsexNumber Percent of total deaths Mortality rate Infants, allraces,bothsexes . ..Allcauses......................27,937 100.0 705.6 1 Congenitalmalformations,deformationsand chromosomal abnormalities . . . . (Q00–Q99) 5,47319.6138.2 2 Disordersrelatedtoshortgestationand low birthweight,notelsewhere classified . . . . . . . . . . . . . . . . . . .(P07) 4,39215.7110.9 3 Suddeninfantdeathsyndrome . . . . . . .(R95) 2,6489.566.9 4 Newbornaffectedbymaternal complications ofpregnancy . . . . . . . .(P01) 1,3995.035.3 5 Respiratorydistressofnewborn . . . . . .(P22) 1,1104.028.0 6 Newbornaffectedbycomplicationsof placenta, cordandmembranes . . . . . .(P02) 1,0253.725.9 7 Accidents(unintentionalinjuries)...(V01–X59)8453.021.3 8 Bacterialsepsisofnewborn . . . . . . . .(P36) 6912.517.5 9 Diseasesofthecirculatorysystem..(I00–I99)6672.416.8 10Atelectasis.............(P28.0–P28.1) 6472.316.3 . ..Allothercauses............(Residual) 9,04032.4228.3 Infants, allraces,male . ..Allcauses......................15,646 100.0 771.9 1 Congenitalmalformations,deformationsand chromosomal abnormalities . . . . (Q00–Q99) 2,87518.4141.8 2 Disordersrelatedtoshortgestationand low birthweight,notelsewhere classified . . . . . . . . . . . . . . . . . . .(P07) 2,45515.7121.1 3 Suddeninfantdeathsyndrome . . . . . . .(R95) 1,5539.976.6 4 Newbornaffectedbymaternal complications ofpregnancy . . . . . . . .(P01) 7915.139.0 5 Respiratorydistressofnewborn . . . . . .(P22) 6554.232.3 6 Newbornaffectedbycomplicationsof placenta, cordandmembranes . . . . . .(P02) 5333.426.3 7 Accidents(unintentionalinjuries)...(V01–X59)4943.224.4 8 Bacterialsepsisofnewborn . . . . . . . .(P36) 3972.519.6 9 Atelectasis.............(P28.0–P28.1) 3922.519.3 10 Diseasesofthecirculatorysystem..(I00–I99)3602.317.8 . ..Allothercauses............(Residual) 5,14132.9253.6 Infants, allraces,female . ..Allcauses......................12,291 100.0 636.0 1 Congenitalmalformations,deformationsand chromosomal abnormalities . . . . (Q00–Q99) 2,59821.1134.4 2 Disordersrelatedtoshortgestationand low birthweight,notelsewhere classified . . . . . . . . . . . . . . . . . . .(P07) 1,93715.8100.2 3 Suddeninfantdeathsyndrome . . . . . . .(R95) 1,0958.956.7 4 Newbornaffectedbymaternal complications ofpregnancy . . . . . . . .(P01) 6084.931.5 5 Newbornaffectedbycomplicationsof placenta, cordandmembranes . . . . . .(P02) 4924.025.5 6 Respiratorydistressofnewborn . . . . . .(P22) 4553.723.5 7 Accidents(unintentionalinjuries)...(V01–X59)3512.918.2 8 Diseasesofthecirculatorysystem..(I00–I99)3072.515.9 9 Bacterialsepsisofnewborn . . . . . . . .(P36) 2942.415.2 10 Intrauterinehypoxiaandbirth asphyxia . . . . . . . . . . . . . . . .(P20–P21) 2782.314.4 . ..Allothercauses............(Residual) 3,87631.5200.6 See footnotesatendoftable. National VitalStatisticsReport,Vol.49,No.11,October12,2001 71Table3.Infant,neonatal,andpostneonataldeaths,percentoftotaldeaths,andmortalityratesforthe10leading causes ofinfantdeathbyraceandsex:UnitedStates,1999—Con. [Rates areinfant(under1year),neonatal(under28days),andpostneonatal(28days–11months)deathsper100,000livebirthsinspecifiedgroup.Data forracesotherthan white andblackshouldbeinterpretedwithcaution.Deathsbasedonraceofdecedent;livebirthsbasedonraceofmother;seeTechnicalnotes] Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),race,andsexNumber Percent of total deaths Mortality rate Infants, black,bothsexes . ..Allcauses......................8,822 100.0 1,455.8 1 Disordersrelatedtoshortgestationand low birthweight,notelsewhere classified . . . . . . . . . . . . . . . . . . .(P07) 1,89821.5313.2 2 Congenitalmalformations,deformationsand chromosomal abnormalities . . . . (Q00–Q99) 1,02511.6169.2 3 Suddeninfantdeathsyndrome . . . . . . .(R95) 8399.5138.5 4 Newbornaffectedbymaternal complications ofpregnancy . . . . . . . .(P01) 4965.681.9 5 Respiratorydistressofnewborn . . . . . .(P22) 3754.361.9 6 Newbornaffectedbycomplications of placenta,cordandmembranes...(P02)3584.159.1 7 Bacterialsepsisofnewborn . . . . . . . .(P36) 2532.941.8 8 Accidents(unintentionalinjuries)...(V01–X59)2522.941.6 9 Atelectasis.............(P28.0–P28.1) 1822.130.0 10 Diseasesofthecirculatorysystem..(I00–I99)1812.129.9 . ..Allothercauses............(Residual) 2,96333.6489.0 Infants, black,male . ..Allcauses......................4,897 100.0 1,591.6 1 Disordersrelatedtoshortgestationand low birthweight,notelsewhere classified . . . . . . . . . . . . . . . . . . .(P07) 1,06821.8347.1 2 Congenitalmalformations,deformationsand chromosomal abnormalities . . . . (Q00–Q99) 53110.8172.6 3 Suddeninfantdeathsyndrome . . . . . . .(R95) 4779.7155.0 4 Newbornaffectedbymaternal complications ofpregnancy . . . . . . . .(P01) 2845.892.3 5 Respiratorydistressofnewborn . . . . . .(P22) 2334.875.7 6 Newbornaffectedbycomplications of placenta,cordandmembranes . . . .(P02) 1873.860.8 7 Bacterialsepsisofnewborn . . . . . . . .(P36) 1563.250.7 8 Accidents(unintentionalinjuries)...(V01–X59)1412.945.8 9 Necrotizingenterocolitisofnewborn . . . .(P77) 1022.133.2 10Atelectasis.............(P28.0–P28.1) 992.032.2 . ..Allothercauses............(Residual) 1,61933.1526.2 Infants, black,female . ..Allcauses......................3,925 100.0 1,315.8 1 Disordersrelatedtoshortgestationand low birthweight,notelsewhere classified . . . . . . . . . . . . . . . . . . .(P07) 83021.1278.2 2 Congenitalmalformations,deformationsand chromosomal abnormalities . . . . (Q00–Q99) 49412.6165.6 3 Suddeninfantdeathsyndrome . . . . . . .(R95) 3629.2121.4 4 Newbornaffectedbymaternal complications ofpregnancy . . . . . . . .(P01) 2125.471.1 5 Newbornaffectedbycomplications of placenta,cordandmembranes . . . .(P02) 1714.457.3 6 Respiratorydistressofnewborn . . . . . .(P22) 1423.647.6 7 Accidents(unintentionalinjuries)...(V01–X59)1112.837.2 8 Bacterialsepsisofnewborn . . . . . . . .(P36) 972.532.5 9 Diseasesofthecirculatorysystem..(I00–I99)842.128.2 10Atelectasis.............(P28.0–P28.1) 832.127.8 . ..Allothercauses............(Residual) 1,33934.1448.9 See footnotesatendoftable. Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),race,andsexNumber Percent of total deaths Mortality rate Infants, AmericanIndian,bothsexes . ..Allcauses......................343 100.0 853.9 1 Congenitalmalformations,deformationsand chromosomal abnormalities . . . . (Q00–Q99) 6719.5166.8 2 Suddeninfantdeathsyndrome . . . . . . .(R95) 4814.0119.5 3 Disordersrelatedtoshortgestationand low birthweight,notelsewhere classified . . . . . . . . . . . . . . . . . . .(P07) 3710.892.1 4 Accidents(unintentionalinjuries)...(V01–X59)133.8* 5 Necrotizingenterocolitisofnewborn . . . .(P77) 113.2* 6 Newbornaffectedbymaternal complications ofpregnancy . . . . . . . .(P01) 102.9* 6 Intrauterinehypoxiaandbirth asphyxia . . . . . . . . . . . . . . . .(P20–P21) 102.9* 6 Respiratorydistressofnewborn . . . . . .(P22) 102.9* 9 Influenzaandpneumonia . . . . . . . (J10–J18) 92.6* 9 Newbornaffectedbycomplications of placenta,cordandmembranes . . . .(P02) 92.6* 9 Neonatalhemorrhage . . . . . . (P50–P52,P54) 92.6* . ..Allothercauses............(Residual) 11032.1273.8 Infants, AmericanIndian,male . ..Allcauses......................180 100.0 883.7 1 Suddeninfantdeathsyndrome . . . . . . .(R95) 2916.1142.4 2 Congenitalmalformations,deformationsand chromosomal abnormalities . . . . (Q00–Q99) 2815.6137.5 3 Disordersrelatedtoshortgestationand low birthweight,notelsewhere classified . . . . . . . . . . . . . . . . . . .(P07) 1910.6* 4 Respiratorydistressofnewborn . . . . . .(P22) 84.4* 4 Accidents(unintentionalinjuries)...(V01–X59)84.4* 6 Necrotizingenterocolitisofnewborn . . . .(P77) 63.3* 7 Diseasesofthecirculatorysystem..(I00–I99)52.8* 7 Intrauterinehypoxiaandbirth asphyxia . . . . . . . . . . . . . . . .(P20–P21) 52.8* 7 Bacterialsepsisofnewborn . . . . . . . .(P36) 52.8* 10 Influenzaandpneumonia . . . . . . . (J10–J18) 42.2* 10 Newbornaffectedbymaternalcomplications of pregnancy . . . . . . . . . . . . . . . .(P01) 42.2* 10 Neonatalhemorrhage . . . . . . (P50–P52,P54) 42.2* . ..Allothercauses............(Residual) 5530.6270.0 Infants, AmericanIndian,female . ..Allcauses......................163 100.0 823.2 1 Congenitalmalformations,deformationsand chromosomal abnormalities . . . . (Q00–Q99) 3923.9197.0 2 Suddeninfantdeathsyndrome . . . . . . .(R95) 1911.7* 3 Disordersrelatedtoshortgestationand low birthweight,notelsewhere classified . . . . . . . . . . . . . . . . . . .(P07) 1811.0* 4 Newbornaffectedbymaternal complications ofpregnancy . . . . . . . .(P01) 63.7* 4 Newbornaffectedbycomplications of placenta,cordandmembranes . . . .(P02) 63.7* 6 Influenzaandpneumonia . . . . . . . (J10–J18) 53.1* 6 Intrauterinehypoxiaandbirth asphyxia . . . . . . . . . . . . . . . .(P20–P21) 53.1* 6 Neonatalhemorrhage . . . . . . (P50–P52,P54) 53.1* 6 Necrotizingenterocolitisofnewborn . . . .(P77) 53.1* 6 Accidents(unintentionalinjuries)...(V01–X59)53.1* . ..Allothercauses............(Residual) 5030.7252.5 72 National VitalStatisticsReport,Vol.49,No.11,October12,2001Table3.Infant,neonatal,andpostneonataldeaths,percentoftotaldeaths,andmortalityratesforthe10leading causes ofinfantdeathbyraceandsex:UnitedStates,1999—Con. [Rates areinfant(under1year),neonatal(under28days),andpostneonatal(28days–11months)deathsper100,000livebirthsinspecifiedgroup.Data forracesotherthan white andblackshouldbeinterpretedwithcaution.Deathsbasedonraceofdecedent;livebirthsbasedonraceofmother;seeTechnicalnotes] Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),race,andsexNumber Percent of total deaths Mortality rate Infants, AsianorPacificIslander, both sexes . ..Allcauses......................705 100.0 390.0 1 Congenitalmalformations,deformationsand chromosomal abnormalities . . . . (Q00–Q99) 17024.194.0 2 Disordersrelatedtoshortgestationand low birthweight,notelsewhere classified . . . . . . . . . . . . . . . . . . .(P07) 9112.950.3 3 Suddeninfantdeathsyndrome . . . . . . .(R95) 507.127.7 4 Newbornaffectedbymaternal complications ofpregnancy . . . . . . . .(P01) 344.818.8 5 Diseasesofthecirculatorysystem..(I00–I99)263.714.4 6 Newbornaffectedbycomplications of placenta,cordandmembranes . . . .(P02) 253.513.8 7 Respiratorydistressofnewborn . . . . . .(P22) 213.011.6 8 Accidents(unintentionalinjuries)...(V01–X59)182.6* 9 Intrauterinehypoxiaandbirth asphyxia . . . . . . . . . . . . . . . .(P20–P21) 172.4* 10 Neonatalhemorrhage . . . . . . (P50–P52,P54) 162.3* . ..Allothercauses............(Residual) 23733.6131.1 Infants, AsianorPacificIslander,male . ..Allcauses......................372 100.0 399.1 1 Congenitalmalformations,deformationsand chromosomal abnormalities . . . . (Q00–Q99) 7620.481.5 2 Disordersrelatedtoshortgestationand low birthweight,notelsewhere classified . . . . . . . . . . . . . . . . . . .(P07) 5113.754.7 3 Suddeninfantdeathsyndrome . . . . . . .(R95) 349.136.5 4 Diseasesofthecirculatorysystem..(I00–I99)154.0* 4 Newbornaffectedbycomplications of placenta,cordandmembranes . . . .(P02) 154.0* 6 Newbornaffectedbymaternalcomplications of pregnancy . . . . . . . . . . . . . . . .(P01) 143.8* 7 Accidents(unintentionalinjuries)...(V01–X59)123.2* 8 Intrauterinehypoxiaandbirth asphyxia . . . . . . . . . . . . . . . .(P20–P21) 113.0* 8 Neonatalhemorrhage . . . . . . (P50–P52,P54) 113.0* 10 Respiratorydistressofnewborn . . . . . .(P22) 92.4* . ..Allothercauses............(Residual) 12433.3133.0 Infants, AsianorPacificIslander,female . ..Allcauses......................333 100.0 380.3 1 Congenitalmalformations,deformationsand chromosomal abnormalities . . . . (Q00–Q99) 9428.2107.3 2 Disordersrelatedtoshortgestationand low birthweight,notelsewhere classified . . . . . . . . . . . . . . . . . . .(P07) 4012.045.7 3 Newbornaffectedbymaternalcomplications of pregnancy . . . . . . . . . . . . . . . .(P01) 206.022.8 4 Suddeninfantdeathsyndrome . . . . . . .(R95) 164.8* 5 Respiratorydistressofnewborn . . . . . .(P22) 123.6* 6 Diseasesofthecirculatorysystem..(I00–I99)113.3* 7 Newbornaffectedbycomplications of placenta,cordandmembranes . . . .(P02) 103.0* 8 Bacterialsepsisofnewborn . . . . . . . .(P36) 82.4* 9 Influenzaandpneumonia . . . . . . . (J10–J18) 61.8* 9 Intrauterinehypoxiaandbirth asphyxia . . . . . . . . . . . . . . . .(P20–P21) 61.8* 9 Accidents(unintentionalinjuries)...(V01–X59)61.8* . ..Allothercauses............(Residual) 10431.2118.8 See footnotesatendoftable. Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),race,andsexNumber Percent of total deaths Mortality rate Neonates, allraces,bothsexes . ..Allcauses......................18,728 100.0 473.0 1 Disordersrelatedtoshortgestationand low birthweight,notelsewhere classified . . . . . . . . . . . . . . . . . . .(P07) 4,32023.1109.1 2 Congenitalmalformations,deformationsand chromosomal abnormalities . . . . (Q00–Q99) 3,89220.898.3 3 Newbornaffectedbymaternal complications ofpregnancy . . . . . . . .(P01) 1,3917.435.1 4 Respiratorydistressofnewborn . . . . . .(P22) 1,0505.626.5 5 Newbornaffectedbycomplications of placenta,cordandmembranes . . . .(P02) 1,0105.425.5 6 Bacterialsepsisofnewborn . . . . . . . .(P36) 6623.516.7 7 Atelectasis.............(P28.0–P28.1) 6383.416.1 8 Intrauterinehypoxiaandbirth asphyxia . . . . . . . . . . . . . . . .(P20–P21) 5723.114.4 9 Neonatalhemorrhage . . . . . . (P50–P52,P54) 4962.612.5 10 Necrotizingenterocolitisofnewborn . . . .(P77) 3611.99.1 . ..Allothercauses............(Residual) 4,33623.2109.5 Neonates, allraces,male . ..Allcauses......................10,355 100.0 510.9 1 Disordersrelatedtoshortgestationand low birthweight,notelsewhere classified . . . . . . . . . . . . . . . . . . .(P07) 2,41423.3119.1 2 Congenitalmalformations,deformationsand chromosomal abnormalities . . . . (Q00–Q99) 2,06119.9101.7 3 Newbornaffectedbymaternalcomplications of pregnancy . . . . . . . . . . . . . . . .(P01) 7847.638.7 4 Respiratorydistressofnewborn . . . . . .(P22) 6135.930.2 5 Newbornaffectedbycomplications of placenta,cordandmembranes . . . .(P02) 5245.125.9 6 Atelectasis.............(P28.0–P28.1) 3863.719.0 7 Bacterialsepsisofnewborn . . . . . . . .(P36) 3783.718.6 8 Intrauterinehypoxiaandbirth asphyxia . . . . . . . . . . . . . . . .(P20–P21) 3143.015.5 9 Neonatalhemorrhage . . . . . . (P50–P52,P54) 3032.914.9 10 Necrotizingenterocolitisofnewborn . . . .(P77) 2132.110.5 . ..Allothercauses............(Residual) 2,36522.8116.7 Neonates, allraces,female . ..Allcauses......................8,373 100.0 433.3 1 Disordersrelatedtoshortgestationand low birthweight,notelsewhere classified . . . . . . . . . . . . . . . . . . .(P07) 1,90622.898.6 2 Congenitalmalformations,deformationsand chromosomal abnormalities . . . . (Q00–Q99) 1,83121.994.7 3 Newbornaffectedbymaternalcomplications of pregnancy . . . . . . . . . . . . . . . .(P01) 6077.231.4 4 Newbornaffectedbycomplications of placenta,cordandmembranes . . . .(P02) 4865.825.1 5 Respiratorydistressofnewborn . . . . . .(P22) 4375.222.6 6 Bacterialsepsisofnewborn . . . . . . . .(P36) 2843.414.7 7 Intrauterinehypoxiaandbirth asphyxia . . . . . . . . . . . . . . . .(P20–P21) 2583.113.4 8 Atelectasis.............(P28.0–P28.1) 2523.013.0 9 Neonatalhemorrhage . . . . . . (P50–P52,P54) 1932.310.0 10 Necrotizingenterocolitisofnewborn . . . .(P77) 1481.87.7 . ..Allothercauses............(Residual) 1,97123.5102.0 National VitalStatisticsReport,Vol.49,No.11,October12,2001 73Table3.Infant,neonatal,andpostneonataldeaths,percentoftotaldeaths,andmortalityratesforthe10leading causes ofinfantdeathbyraceandsex:UnitedStates,1999—Con. [Rates areinfant(under1year),neonatal(under28days),andpostneonatal(28days–11months)deathsper100,000livebirthsinspecifiedgroup.Data forracesotherthan white andblackshouldbeinterpretedwithcaution.Deathsbasedonraceofdecedent;livebirthsbasedonraceofmother;seeTechnicalnotes] Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),race,andsexNumber Percent of total deaths Mortality rate Neonates, white,bothsexes . ..Allcauses......................12,164 100.0 388.3 1 Congenitalmalformations,deformationsand chromosomal abnormalities . . . . (Q00–Q99) 3,06725.297.9 2 Disordersrelatedtoshortgestationand low birthweight,notelsewhere classified . . . . . . . . . . . . . . . . . . .(P07) 2,32919.174.3 3 Newbornaffectedbymaternal complications ofpregnancy . . . . . . . .(P01) 8567.027.3 4 Respiratorydistressofnewborn . . . . . .(P22) 6655.521.2 5 Newbornaffectedbycomplications of placenta,cordandmembranes . . . .(P02) 6265.120.0 6 Atelectasis.............(P28.0–P28.1) 4443.714.2 7 Bacterialsepsisofnewborn . . . . . . . .(P36) 4033.312.9 8 Intrauterinehypoxiaandbirth asphyxia . . . . . . . . . . . . . . . .(P20–P21) 4013.312.8 9 Neonatalhemorrhage . . . . . . (P50–P52,P54) 3472.911.1 10 Diseasesofthecirculatorysystem..(I00–I99)1891.66.0 . ..Allothercauses............(Residual) 2,83723.390.6 Neonates, white,male . ..Allcauses......................6,734 100.0 419.4 1 Congenitalmalformations,deformationsand chromosomal abnormalities . . . . (Q00–Q99) 1,63424.3101.8 2 Disordersrelatedtoshortgestationand low birthweight,notelsewhere classified . . . . . . . . . . . . . . . . . . .(P07) 1,29519.280.7 3 Newbornaffectedbymaternal complications ofpregnancy . . . . . . . .(P01) 4867.230.3 4 Respiratorydistressofnewborn . . . . . .(P22) 3775.623.5 5 Newbornaffectedbycomplications of placenta,cordandmembranes . . . .(P02) 3244.820.2 6 Atelectasis.............(P28.0–P28.1) 2814.217.5 7 Bacterialsepsisofnewborn . . . . . . . .(P36) 2213.313.8 8 Neonatalhemorrhage . . . . . . (P50–P52,P54) 2163.213.5 9 Intrauterinehypoxiaandbirth asphyxia . . . . . . . . . . . . . . . .(P20–P21) 2143.213.3 10 Necrotizingenterocolitisofnewborn . . . .(P77) 1141.77.1 . ..Allothercauses............(Residual) 1,57223.397.9 Neonates, white,female . ..Allcauses......................5,430 100.0 355.6 1 Congenitalmalformations,deformationsand chromosomal abnormalities . . . . (Q00–Q99) 1,43326.493.9 2 Disordersrelatedtoshortgestationand low birthweight,notelsewhere classified . . . . . . . . . . . . . . . . . . .(P07) 1,03419.067.7 3 Newbornaffectedbymaternal complications ofpregnancy . . . . . . . .(P01) 3706.824.2 4 Newbornaffectedbycomplications of placenta,cordandmembranes . . . .(P02) 3025.619.8 5 Respiratorydistressofnewborn . . . . . .(P22) 2885.318.9 6 Intrauterinehypoxiaandbirth asphyxia . . . . . . . . . . . . . . . .(P20–P21) 1873.412.2 7 Bacterialsepsisofnewborn . . . . . . . .(P36) 1823.411.9 8 Atelectasis.............(P28.0–P28.1) 1633.010.7 9 Neonatalhemorrhage . . . . . . (P50–P52,P54) 1312.48.6 10 Diseasesofthecirculatorysystem..(I00–I99)861.65.6 . ..Allothercauses............(Residual) 1,25423.182.1 See footnotesatendoftable. Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),race,andsexNumber Percent of total deaths Mortality rate Neonates, black,bothsexes . ..Allcauses......................5,920 100.0 976.9 1 Disordersrelatedtoshortgestationand low birthweight,notelsewhere classified . . . . . . . . . . . . . . . . . . .(P07) 1,86631.5307.9 2 Congenitalmalformations,deformationsand chromosomal abnormalities . . . . (Q00–Q99) 66111.2109.1 3 Newbornaffectedbymaternal complications ofpregnancy . . . . . . . .(P01) 4918.381.0 4 Respiratorydistressofnewborn . . . . . .(P22) 3566.058.7 5 Newbornaffectedbycomplications of placenta,cordandmembranes . . . .(P02) 3505.957.8 6 Bacterialsepsisofnewborn . . . . . . . .(P36) 2394.039.4 7 Atelectasis.............(P28.0–P28.1) 1803.029.7 8 Necrotizingenterocolitisofnewborn . . . .(P77) 1612.726.6 9 Intrauterinehypoxiaandbirth asphyxia . . . . . . . . . . . . . . . .(P20–P21) 1462.524.1 10 Neonatalhemorrhage . . . . . . (P50–P52,P54) 1252.120.6 . ..Allothercauses............(Residual) 1,34522.7222.0 Neonates, black,male . ..Allcauses......................3,297 100.0 1,071.6 1 Disordersrelatedtoshortgestationand low birthweight,notelsewhere classified . . . . . . . . . . . . . . . . . . .(P07) 1,05131.9341.6 2 Congenitalmalformations,deformationsand chromosomal abnormalities . . . . (Q00–Q99) 35710.8116.0 3 Newbornaffectedbymaternal complications ofpregnancy . . . . . . . .(P01) 2808.591.0 4 Respiratorydistressofnewborn . . . . . .(P22) 2216.771.8 5 Newbornaffectedbycomplications of placenta,cordandmembranes . . . .(P02) 1825.559.2 6 Bacterialsepsisofnewborn . . . . . . . .(P36) 1464.447.5 7 Atelectasis.............(P28.0–P28.1) 983.031.9 8 Necrotizingenterocolitisofnewborn . . . .(P77) 922.829.9 9 Intrauterinehypoxiaandbirth asphyxia . . . . . . . . . . . . . . . .(P20–P21) 852.627.6 10 Neonatalhemorrhage . . . . . . (P50–P52,P54) 732.223.7 . ..Allothercauses............(Residual) 71221.6231.4 Neonates, black,female . ..Allcauses......................2,623 100.0 879.3 1 Disordersrelatedtoshortgestationand low birthweight,notelsewhere classified . . . . . . . . . . . . . . . . . . .(P07) 81531.1273.2 2 Congenitalmalformations,deformationsand chromosomal abnormalities . . . . (Q00–Q99) 30411.6101.9 3 Newbornaffectedbymaternal complications ofpregnancy . . . . . . . .(P01) 2118.070.7 4 Newbornaffectedbycomplications of placenta,cordandmembranes . . . .(P02) 1686.456.3 5 Respiratorydistressofnewborn . . . . . .(P22) 1355.145.3 6 Bacterialsepsisofnewborn . . . . . . . .(P36) 933.531.2 7 Atelectasis.............(P28.0–P28.1) 823.127.5 8 Necrotizingenterocolitisofnewborn . . . .(P77) 692.623.1 9 Intrauterinehypoxiaandbirth asphyxia . . . . . . . . . . . . . . . .(P20–P21) 612.320.4 10 Neonatalhemorrhage . . . . . . (P50–P52,P54) 522.017.4 . ..Allothercauses............(Residual) 63324.1212.2 74 National VitalStatisticsReport,Vol.49,No.11,October12,2001Table3.Infant,neonatal,andpostneonataldeaths,percentoftotaldeaths,andmortalityratesforthe10leading causes ofinfantdeathbyraceandsex:UnitedStates,1999—Con. [Rates areinfant(under1year),neonatal(under28days),andpostneonatal(28days–11months)deathsper100,000livebirthsinspecifiedgroup.Data forracesotherthan white andblackshouldbeinterpretedwithcaution.Deathsbasedonraceofdecedent;livebirthsbasedonraceofmother;seeTechnicalnotes] Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),race,andsexNumber Percent of total deaths Mortality rate Neonates, AmericanIndian, both sexes . ..Allcauses.......................190 100.0 473.0 1 Congenitalmalformations,deformationsand chromosomal abnormalities . . . . . (Q00–Q99) 4724.7117.0 2 Disordersrelatedtoshortgestationand low birthweight,notelsewhere classified . . . . . . . . . . . . . . . . . . . .(P07) 3719.592.1 3 Newbornaffectedbymaternalcomplications of pregnancy . . . . . . . . . . . . . . . . .(P01) 105.3* 3 Respiratorydistressofnewborn . . . . . . .(P22) 105.3* 5 Newbornaffectedbycomplications of placenta,cordandmembranes . . . . .(P02) 94.7* 5 Neonatalhemorrhage . . . . . . .(P50–P52,P54) 94.7* 5 Necrotizingenterocolitisofnewborn . . . . .(P77) 94.7* 8 Intrauterinehypoxiaandbirthasphyxia..(P20–P21)84.2* 9 Bacterialsepsisofnewborn . . . . . . . . .(P36) 63.2* 10Atelectasis..............(P28.0–P28.1) 42.1* . ..Allothercauses.............(Residual) 4121.6102.1 Neonates, AmericanIndian,male . ..Allcauses.......................88 100.0 432.0 1 Disordersrelatedtoshortgestationand low birthweight,notelsewhere classified . . . . . . . . . . . . . . . . . . . .(P07) 1921.6* 2 Congenitalmalformations,deformationsand chromosomal abnormalities . . . . . (Q00–Q99) 1719.3* 3 Respiratorydistressofnewborn . . . . . . .(P22) 89.1* 4 Bacterialsepsisofnewborn . . . . . . . . .(P36) 55.7* 4 Necrotizingenterocolitisofnewborn . . . . .(P77) 55.7* 6 Newbornaffectedbymaternalcomplications of pregnancy . . . . . . . . . . . . . . . . .(P01) 44.5* 6 Intrauterinehypoxiaandbirthasphyxia..(P20–P21)44.5* 6 Neonatalhemorrhage . . . . . . .(P50–P52,P54) 44.5* 9 Newbornaffectedbycomplications of placenta,cordandmembranes . . . . .(P02) 33.4* 10 Newbornaffectedbyothercomplications of laboranddelivery . . . . . . . . . . . . .(P03) 22.3* 10Atelectasis..............(P28.0–P28.1) 22.3* . ..Allothercauses.............(Residual) 1517.0* Neonates, AmericanIndian,female . ..Allcauses.......................102 100.0 515.2 1 Congenitalmalformations,deformationsand chromosomal abnormalities . . . . . (Q00–Q99) 3029.4151.5 2 Disordersrelatedtoshortgestationand low birthweight,notelsewhere classified . . . . . . . . . . . . . . . . . . . .(P07) 1817.6* 3 Newbornaffectedbymaternalcomplications of pregnancy . . . . . . . . . . . . . . . . .(P01) 65.9* 3 Newbornaffectedbycomplications of placenta,cordandmembranes . . . . .(P02) 65.9* 5 Neonatalhemorrhage . . . . . . .(P50–P52,P54) 54.9* 6 Intrauterinehypoxiaandbirthasphyxia..(P20–P21)43.9* 6 Necrotizingenterocolitisofnewborn . . . . .(P77) 43.9* 8 Diseasesofthecirculatorysystem..(I00–I99)22.0* 8 Respiratorydistressofnewborn . . . . . . .(P22) 22.0* 8 Neonatalaspirationsyndromes . . . . . . . .(P24) 22.0* 8 Atelectasis..............(P28.0–P28.1) 22.0* 8 Suddeninfantdeathsyndrome . . . . . . . (R95) 22.0* . ..Allothercauses.............(Residual) 1918.6* See footnotesatendoftable. Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),race,andsexNumber Percent of total deaths Mortality rate Neonates, AsianorPacificIslander, both sexes . ..Allcauses.......................454 100.0 251.1 1 Congenitalmalformations,deformationsand chromosomal abnormalities . . . . . (Q00–Q99) 11725.864.7 2 Disordersrelatedtoshortgestationand low birthweight,notelsewhere classified . . . . . . . . . . . . . . . . . . . (P07) 8819.448.7 3 Newbornaffectedbymaternalcomplications of pregnancy . . . . . . . . . . . . . . . . (P01) 347.518.8 4 Newbornaffectedbycomplications of placenta,cordandmembranes . . . . (P02) 255.513.8 5 Respiratorydistressofnewborn . . . . . . (P22) 194.2* 6 Intrauterinehypoxiaandbirthasphyxia..(P20–P21)173.7* 7 Neonatalhemorrhage . . . . . . .(P50–P52,P54) 153.3* 8 Bacterialsepsisofnewborn . . . . . . . . (P36) 143.1* 9 Atelectasis..............(P28.0–P28.1) 102.2* 10 Diseasesofthecirculatorysystem..(I00–I99)81.8* . ..Allothercauses.............(Residual) 10723.659.2 Neonates, AsianorPacificIslander,male . ..Allcauses.......................236 100.0 253.2 1 Congenitalmalformations,deformationsand chromosomal abnormalities . . . . . (Q00–Q99) 5322.556.9 2 Disordersrelatedtoshortgestationand low birthweight,notelsewhere classified . . . . . . . . . . . . . . . . . . . (P07) 4920.852.6 3 Newbornaffectedbycomplications of placenta,cordandmembranes . . . . (P02) 156.4* 4 Newbornaffectedbymaternalcomplications of pregnancy . . . . . . . . . . . . . . . . (P01) 145.9* 5 Intrauterinehypoxiaandbirthasphyxia..(P20–P21)114.7* 6 Neonatalhemorrhage . . . . . . .(P50–P52,P54) 104.2* 7 Respiratorydistressofnewborn . . . . . . (P22) 73.0* 8 Bacterialsepsisofnewborn . . . . . . . . (P36) 62.5* 9 Diseasesofthecirculatorysystem..(I00–I99)52.1* 9 Atelectasis..............(P28.0–P28.1) 52.1* 9 Hematologicaldisorders . . . . . . . . (P60–P61) 52.1* . ..Allothercauses.............(Residual) 5623.760.1 Neonates, AsianorPacificIslander,female . ..Allcauses.......................218 100.0 249.0 1 Congenitalmalformations,deformationsand chromosomal abnormalities . . . . . (Q00–Q99) 6429.473.1 2 Disordersrelatedtoshortgestationand low birthweight,notelsewhere classified . . . . . . . . . . . . . . . . . . . (P07) 3917.944.5 3 Newbornaffectedbymaternalcomplications of pregnancy . . . . . . . . . . . . . . . . (P01) 209.222.8 4 Respiratorydistressofnewborn . . . . . . (P22) 125.5* 5 Newbornaffectedbycomplications of placenta,cordandmembranes . . . . (P02) 104.6* 6 Bacterialsepsisofnewborn . . . . . . . . (P36) 83.7* 7 Intrauterinehypoxiaandbirthasphyxia..(P20–P21)62.8* 8 Atelectasis..............(P28.0–P28.1) 52.3* 8 Neonatalhemorrhage . . . . . . .(P50–P52,P54) 52.3* 10 Diseasesofthecirculatorysystem..(I00–I99)31.4* 10 Interstitialemphysemaandrelatedconditions originatingintheperinatalperiod.....(P25) 31.4* 10 Necrotizingenterocolitisofnewborn . . . . (P77) 31.4* 10 Hydropsfetalisnotduetohemolytic disease...................(P83.2) 31.4* . ..Allothercauses.............(Residual) 3717.042.3 National VitalStatisticsReport,Vol.49,No.11,October12,2001 75Table3.Infant,neonatal,andpostneonataldeaths,percentoftotaldeaths,andmortalityratesforthe10leading causes ofinfantdeathbyraceandsex:UnitedStates,1999—Con. [Rates areinfant(under1year),neonatal(under28days),andpostneonatal(28days–11months)deathsper100,000livebirthsinspecifiedgroup.Data forracesotherthan white andblackshouldbeinterpretedwithcaution.Deathsbasedonraceofdecedent;livebirthsbasedonraceofmother;seeTechnicalnotes] Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),race,andsexNumber Percent of total deaths Mortality rate Postneonates, white,bothsexes . ..Allcauses......................5,903 100.0 188.4 1 Suddeninfantdeathsyndrome . . . . . . .(R95) 1,56626.550.0 2 Congenitalmalformations,deformationsand chromosomal abnormalities . . . . (Q00–Q99) 1,14419.436.5 3 Accidents(unintentionalinjuries)...(V01–X59)4798.115.3 4 Diseasesofthecirculatorysystem..(I00–I99)2634.58.4 5 Influenzaandpneumonia . . . . . . . (J10–J18) 1672.85.3 6 Septicemia...............(A40–A41) 1642.85.2 6 Assault(homicide)...........(X85–Y09) 1642.85.2 8 Chronicrespiratorydiseaseoriginating intheperinatalperiod...........(P27) 1572.75.0 9 Gastritis,duodenitis,andnoninfective enteritis andcolitis . . . . . . . (K29,K50–K55) 1272.24.1 10 Meningitis . . . . . . . . . . . . . . . .(G00,G03) 520.91.7 . ..Allothercauses............(Residual) 1,62027.451.7 Postneonates, white,male . ..Allcauses......................3,463 100.0 215.7 1 Suddeninfantdeathsyndrome . . . . . . .(R95) 93126.958.0 2 Congenitalmalformations,deformationsand chromosomal abnormalities . . . . (Q00–Q99) 60617.537.7 3 Accidents(unintentionalinjuries)...(V01–X59)2878.317.9 4 Diseasesofthecirculatorysystem..(I00–I99)1404.08.7 5 Septicemia...............(A40–A41) 1063.16.6 6 Assault(homicide)...........(X85–Y09) 1012.96.3 7 Chronicrespiratorydiseaseoriginating intheperinatalperiod...........(P27) 1002.96.2 8 Influenzaandpneumonia . . . . . . . (J10–J18) 932.75.8 9 Gastritis,duodenitis,andnoninfective enteritis andcolitis . . . . . . . (K29,K50–K55) 842.45.2 10 Meningitis . . . . . . . . . . . . . . . .(G00,G03) 371.12.3 . ..Allothercauses............(Residual) 97828.260.9 Postneonates, white,female . ..Allcauses......................2,440 100.0 159.8 1 Suddeninfantdeathsyndrome . . . . . . .(R95) 63526.041.6 2 Congenitalmalformations,deformationsand chromosomal abnormalities . . . . (Q00–Q99) 53822.035.2 3 Accidents(unintentionalinjuries)...(V01–X59)1927.912.6 4 Diseasesofthecirculatorysystem..(I00–I99)1235.08.1 5 Influenzaandpneumonia . . . . . . . (J10–J18) 743.04.8 6 Assault(homicide)...........(X85–Y09) 632.64.1 7 Septicemia...............(A40–A41) 582.43.8 8 Chronicrespiratorydiseaseoriginating intheperinatalperiod...........(P27) 572.33.7 9 Gastritis,duodenitis,andnoninfective enteritis andcolitis . . . . . . . (K29,K50–K55) 431.82.8 10 Malignantneoplasms . . . . . . . . .(C00–C97) 180.7* . ..Allothercauses............(Residual) 63926.241.8 Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),race,andsexNumber Percent of total deaths Mortality rate Postneonates, allraces,bothsexes . ..Allcauses......................9,209 100.0 232.6 1 Suddeninfantdeathsyndrome . . . . . . .(R95) 2,44026.561.6 2 Congenitalmalformations,deformationsand chromosomal abnormalities . . . . (Q00–Q99) 1,58117.239.9 3 Accidents(unintentionalinjuries)...(V01–X59)7438.118.8 4 Diseasesofthecirculatorysystem..(I00–I99)3994.310.1 5 Influenzaandpneumonia . . . . . . . (J10–J18) 2883.17.3 6 Septicemia...............(A40–A41) 2833.17.1 7 Chronicrespiratorydiseaseoriginating intheperinatalperiod...........(P27) 2723.06.9 7 Assault(homicide)...........(X85–Y09) 2723.06.9 9 Gastritis,duodenitis,andnoninfective enteritis andcolitis . . . . . . . (K29,K50–K55) 2242.45.7 10 Meningitis . . . . . . . . . . . . . . . .(G00,G03) 881.02.2 . ..Allothercauses............(Residual) 2,61928.466.1 Postneonates, allraces,male . ..Allcauses......................5,291 100.0 261.0 1 Suddeninfantdeathsyndrome . . . . . . .(R95) 1,44127.271.1 2 Congenitalmalformations,deformationsand chromosomal abnormalities . . . . (Q00–Q99) 81415.440.2 3 Accidents(unintentionalinjuries)...(V01–X59)4368.221.5 4 Diseasesofthecirculatorysystem..(I00–I99)2134.010.5 5 Septicemia...............(A40–A41) 1753.38.6 6 Chronicrespiratorydiseaseoriginating intheperinatalperiod...........(P27) 1673.28.2 7 Assault(homicide)...........(X85–Y09) 1562.97.7 8 Influenzaandpneumonia . . . . . . . (J10–J18) 1552.97.6 9 Gastritis,duodenitis,andnoninfective enteritis andcolitis . . . . . . . (K29,K50–K55) 1432.77.1 10 Diseasesofthebloodandblood-forming organs andcertaindisordersinvolving the immunemechanism . . . . . . .(D50–D89) 470.92.3 10 Meningitis . . . . . . . . . . . . . . . .(G00,G03) 470.92.3 . ..Allothercauses............(Residual) 1,49728.373.9 Postneonates, allraces,female . ..Allcauses......................3,918 100.0 202.7 1 Suddeninfantdeathsyndrome . . . . . . .(R95) 99925.551.7 2 Congenitalmalformations,deformationsand chromosomal abnormalities . . . . (Q00–Q99) 76719.639.7 3 Accidents(unintentionalinjuries)...(V01–X59)3077.815.9 4 Diseasesofthecirculatorysystem..(I00–I99)1864.79.6 5 Influenzaandpneumonia . . . . . . . (J10–J18) 1333.46.9 6 Assault(homicide)...........(X85–Y09) 1163.06.0 7 Septicemia...............(A40–A41) 1082.85.6 8 Chronicrespiratorydiseaseoriginating intheperinatalperiod...........(P27) 1052.75.4 9 Gastritis,duodenitis,andnoninfective enteritis andcolitis . . . . . . . (K29,K50–K55) 812.14.2 10 Meningitis . . . . . . . . . . . . . . . .(G00,G03) 411.02.1 . ..Allothercauses............(Residual) 1,07527.455.6 See footnotesatendoftable. 76 National VitalStatisticsReport,Vol.49,No.11,October12,2001Table3.Infant,neonatal,andpostneonataldeaths,percentoftotaldeaths,andmortalityratesforthe10leading causes ofinfantdeathbyraceandsex:UnitedStates,1999—Con. [Rates areinfant(under1year),neonatal(under28days),andpostneonatal(28days–11months)deathsper100,000livebirthsinspecifiedgroup.Data forracesotherthan white andblackshouldbeinterpretedwithcaution.Deathsbasedonraceofdecedent;livebirthsbasedonraceofmother;seeTechnicalnotes] Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationofDiseases, 1992), race,andsexNumber Percent of total deaths Mortality rate Postneonates, black,bothsexes . ..Allcauses.......................2,902 100.0 478.9 1 Suddeninfantdeathsyndrome . . . . . . . (R95) 78226.9129.0 2 Congenitalmalformations,deformationsand chromosomal abnormalities . . . . . (Q00–Q99) 36412.560.1 3 Accidents(unintentionalinjuries)...(V01–X59)2348.138.6 4 Diseasesofthecirculatorysystem..(I00–I99)1133.918.6 5 Chronicrespiratorydiseaseoriginating intheperinatalperiod...........(P27) 1083.717.8 6 Septicemia...............(A40–A41) 1073.717.7 7 Influenzaandpneumonia . . . . . . . .(J10–J18) 1043.617.2 8 Assault(homicide)...........(X85–Y09) 973.316.0 9 Gastritis,duodenitis,andnoninfective enteritis andcolitis . . . . . . . .(K29,K50–K55) 883.014.5 10 Disordersrelatedtoshortgestationand low birthweight,notelsewhere classified . . . . . . . . . . . . . . . . . . . (P07) 321.15.3 . ..Allothercauses.............(Residual) 87330.1144.1 Postneonates, black,male . ..Allcauses.......................1,600 100.0 520.0 1 Suddeninfantdeathsyndrome . . . . . . . (R95) 45028.1146.3 2 Congenitalmalformations,deformationsand chromosomal abnormalities . . . . . (Q00–Q99) 17410.956.6 3 Accidents(unintentionalinjuries)...(V01–X59)1308.142.3 4 Chronicrespiratorydiseaseoriginating intheperinatalperiod...........(P27) 633.920.5 5 Septicemia...............(A40–A41) 613.819.8 6 Diseasesofthecirculatorysystem..(I00–I99)593.719.2 7 Influenzaandpneumonia . . . . . . . .(J10–J18) 533.317.2 8 Gastritis,duodenitis,andnoninfective enteritis andcolitis . . . . . . . .(K29,K50–K55) 503.116.3 8 Assault(homicide)...........(X85–Y09) 503.116.3 10 Diseasesofthebloodandblood-forming organs andcertaindisordersinvolving the immunemechanism . . . . . . . (D50–D89) 181.1* . ..Allothercauses.............(Residual) 49230.8159.9 Postneonates, black,female . ..Allcauses.......................1,302 100.0 436.5 1 Suddeninfantdeathsyndrome . . . . . . . (R95) 33225.5111.3 2 Congenitalmalformations,deformationsand chromosomal abnormalities . . . . . (Q00–Q99) 19014.663.7 3 Accidents(unintentionalinjuries)...(V01–X59)1048.034.9 4 Diseasesofthecirculatorysystem..(I00–I99)544.118.1 5 Influenzaandpneumonia . . . . . . . .(J10–J18) 513.917.1 6 Assault(homicide)...........(X85–Y09) 473.615.8 7 Septicemia...............(A40–A41) 463.515.4 8 Chronicrespiratorydiseaseoriginating intheperinatalperiod...........(P27) 453.515.1 9 Gastritis,duodenitis,andnoninfective enteritis andcolitis . . . . . . . .(K29,K50–K55) 382.912.7 10 Meningitis . . . . . . . . . . . . . . . . (G00,G03) 231.87.7 . ..Allothercauses.............(Residual) 37228.6124.7 See footnotesatendoftable. Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationofDiseases, 1992), race,andsexNumber Percent of total deaths Mortality rate Postneonates, AmericanIndian,bothsexes . ..Allcauses.......................153 100.0 380.9 1 Suddeninfantdeathsyndrome . . . . . . . (R95) 4630.1114.5 2 Congenitalmalformations,deformationsand chromosomal abnormalities . . . . . (Q00–Q99) 2013.149.8 3 Accidents(unintentionalinjuries)...(V01–X59)127.8* 4 Influenzaandpneumonia . . . . . . . .(J10–J18) 85.2* 5 Diseasesofthecirculatorysystem..(I00–I99)53.3* 5 Assault(homicide)...........(X85–Y09) 53.3* 7 Septicemia...............(A40–A41) 32.0* 7 Gastritis,duodenitis,andnoninfective enteritis andcolitis . . . . . . . .(K29,K50–K55) 32.0* 7 Chronicrespiratorydiseaseoriginating intheperinatalperiod...........(P27) 32.0* 10 Diseasesofthebloodandblood-forming organs andcertaindisordersinvolving the immunemechanism . . . . . . . (D50–D89) 21.3* 10 Volumedepletion,disordersoffluid, electrolyte andacid–basebalance . . . .(E86–E87) 21.3* 10 Meningitis . . . . . . . . . . . . . . . . (G00,G03) 21.3* 10Intrauterinehypoxiaandbirthasphyxia..(P20–P21)21.3* 10 Necrotizingenterocolitisofnewborn . . . . (P77) 21.3* . ..Allothercauses.............(Residual) 3824.894.6 Postneonates, AmericanIndian,male . ..Allcauses.......................92 100.0 451.6 1 Suddeninfantdeathsyndrome . . . . . . . (R95) 2931.5142.4 2 Congenitalmalformations,deformationsand chromosomal abnormalities . . . . . (Q00–Q99) 1112.0* 3 Accidents(unintentionalinjuries) . . . . .(V01–X59) 77.6* 4 Diseasesofthecirculatorysystem . . . . .(I00–I99) 44.3* 4 Influenzaandpneumonia . . . . . . . .(J10–J18) 44.3* 6 Septicemia...............(A40–A41) 33.3* 6 Gastritis,duodenitis,andnoninfective enteritis andcolitis . . . . . . . .(K29,K50–K55) 33.3* 6 Assault(homicide)...........(X85–Y09) 33.3* 9 Diseasesofthebloodandblood-forming organs andcertaindisordersinvolving the immunemechanism . . . . . . . (D50–D89) 22.2* 9 Chronicrespiratorydiseaseoriginating intheperinatalperiod...........(P27) 22.2* . ..Allothercauses.............(Residual) 2426.1117.8 Postneonates, AmericanIndian,female . ..Allcauses.......................61 100.0 308.1 1 Suddeninfantdeathsyndrome . . . . . . . (R95) 1727.9* 2 Congenitalmalformations,deformationsand chromosomal abnormalities . . . . . (Q00–Q99) 914.8* 3 Accidents(unintentionalinjuries) . . . . .(V01–X59) 58.2* 4 Influenzaandpneumonia . . . . . . . .(J10–J18) 46.6* 5 Assault(homicide)...........(X85–Y09) 23.3* 6 Malignantneoplasms . . . . . . . . . (C00–C97) 11.6* 6 Volumedepletion,disordersoffluid, electrolyte andacid–basebalance . . . .(E86–E87) 11.6* 6 Meningitis . . . . . . . . . . . . . . . . (G00,G03) 11.6* 6 Diseasesofthecirculatorysystem . . . . .(I00–I99) 11.6* 6 Bronchitis,chronicandunspecified..(J40–J42)11.6* 6 Herniaofabdominalcavityandintestinal obstruction withouthernia . . . .(K40–K46,K56) 11.6* 6 Intrauterinehypoxiaandbirthasphyxia..(P20–P21)11.6* 6 Chronicrespiratorydiseaseoriginating intheperinatalperiod...........(P27) 11.6* 6 Bacterialsepsisofnewborn . . . . . . . . (P36) 11.6* 6 Necrotizingenterocolitisofnewborn . . . . (P77) 11.6* . ..Allothercauses.............(Residual) 1423.0* National VitalStatisticsReport,Vol.49,No.11,October12,2001 77Table3.Infant,neonatal,andpostneonataldeaths,percentoftotaldeaths,andmortalityratesforthe10leading causes ofinfantdeathbyraceandsex:UnitedStates,1999—Con. [Rates areinfant(under1year),neonatal(under28days),andpostneonatal(28days–11months)deathsper100,000livebirthsinspecifiedgroup.Data forracesotherthan white andblackshouldbeinterpretedwithcaution.Deathsbasedonraceofdecedent;livebirthsbasedonraceofmother;seeTechnicalnotes] Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),race,andsexNumber Percent of total deaths Mortality rate Postneonates, AsianorPacificIslander, both sexes . ..Allcauses......................251 100.0 138.8 1 Congenitalmalformations,deformationsand chromosomal abnormalities . . . . (Q00–Q99) 5321.129.3 2 Suddeninfantdeathsyndrome . . . . . . .(R95) 4618.325.4 3 Diseasesofthecirculatorysystem..(I00–I99)187.2* 3 Accidents(unintentionalinjuries)...(V01–X59)187.2* 5 Septicemia...............(A40–A41) 93.6* 5 Influenzaandpneumonia . . . . . . . (J10–J18) 93.6* 7 Gastritis,duodenitis,andnoninfective enteritis andcolitis . . . . . . . (K29,K50–K55) 62.4* 7 Assault(homicide)...........(X85–Y09) 62.4* 9 Anoxicbraindamage,notelsewhere classified . . . . . . . . . . . . . . . . . (G93.1) 41.6* 9 Chronicrespiratorydiseaseoriginating intheperinatalperiod...........(P27) 41.6* . ..Allothercauses............(Residual) 7831.143.1 Postneonates, AsianorPacificIslander,male . ..Allcauses......................136 100.0 145.9 1 Suddeninfantdeathsyndrome . . . . . . .(R95) 3122.833.3 2 Congenitalmalformations,deformationsand chromosomal abnormalities . . . . (Q00–Q99) 2316.924.7 3 Accidents(unintentionalinjuries)...(V01–X59)128.8* 4 Diseasesofthecirculatorysystem..(I00–I99)107.4* 5 Gastritis,duodenitis,andnoninfective enteritis andcolitis . . . . . . . (K29,K50–K55) 64.4* 6 Septicemia...............(A40–A41) 53.7* 6 Influenzaandpneumonia . . . . . . . (J10–J18) 53.7* 8 Malignantneoplasms . . . . . . . . .(C00–C97) 21.5* 8 Disordersrelatedtoshortgestationand low birthweight,notelsewhere classified . . . . . . . . . . . . . . . . . . .(P07) 21.5* 8 Respiratorydistressofnewborn . . . . . .(P22) 21.5* 8 Chronicrespiratorydiseaseoriginating intheperinatalperiod...........(P27) 21.5* 8 Assault(homicide)...........(X85–Y09) 21.5* . ..Allothercauses............(Residual) 3425.036.5 Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),race,andsexNumber Percent of total deaths Mortality rat e Postneonates, AsianorPacificIslander,female . ..Allcauses......................115 100.0 131.3 1 Congenitalmalformations,deformationsand chromosomal abnormalities . . . . (Q00–Q99) 3026.134.3 2 Suddeninfantdeathsyndrome . . . . . . .(R95) 1513.0* 3 Diseasesofthecirculatorysystem..(I00–I99)87.0* 4 Accidents(unintentionalinjuries)...(V01–X59)65.2* 5 Septicemia...............(A40–A41) 43.5* 5 Influenzaandpneumonia . . . . . . . (J10–J18) 43.5* 5 Assault(homicide)...........(X85–Y09) 43.5* 8 Anoxicbraindamage,notelsewhere classified . . . . . . . . . . . . . . . . . (G93.1) 32.6* 9 Diseasesofthebloodandblood-forming organs andcertaindisordersinvolvingthe immune mechanism . . . . . . . . .(D50–D89) 21.7* 9 Meningitis . . . . . . . . . . . . . . . .(G00,G03) 21.7* 9 Renalfailureandotherdisordersof kidney . . . . . . . . . . . (N17–N19,N25,N27) 21.7* 9 Chronicrespiratorydiseaseoriginating intheperinatalperiod...........(P27) 21.7* . ..Allothercauses............(Residual) 3328.737.7 . ..Categorynotapplicable. * Figuredoesnotmeetstandardsofreliabilityorprecision;seeTechnicalnotes. 1Rank basedonnumberofdeaths. 78 National VitalStatisticsReport,Vol.49,No.11,October12,2001Table4.Infant,neonatal,andpostneonataldeaths,percentoftotaldeaths,andmortalityratesforthe10leading causes ofinfantdeathbyHispanicorigin,racesfornon-Hispanicpopulation,andsex:UnitedStates,1999 [Rates areinfant(under1year),neonatal(under28days),andpostneonatal(28days–11months)deathsper100,000livebirthsinspecifiedgroup.Race andHispanicorigin are reportedseparatelyonthedeathcertificate.PersonsofHispanicoriginmaybeofanyrace.DataforHispanicpersonsarenottabulatedseparately byrace,datafor non-Hispanic personsaretabulatedbyrace.DataforHispanicoriginshouldbeinterpretedwithcautionbecauseofinconsistenciesbetweenreporting Hispanicoriginonbirth and deathcertificates;seeTechnicalnotes.NationallinkedfilesshouldbeusedtomeasureinfantmortalityforspecificHispanicsubgroups] Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),Hispanicorigin,andsexNumber Percent of total deaths Mortality rate Infants, white,non-Hispanic,bothsexes . ..Allcauses......................13,553 100.0 577.6 1 Congenitalmalformations,deformationsand chromosomal abnormalities. . . . . (Q00–Q99) 3,12723.1133.3 2 Disordersrelatedtoshortgestationand low birthweight,notelsewhere classified . . . . . . . . . . . . . . . . . . .(P07) 1,69212.572.1 3 Suddeninfantdeathsyndrome . . . . . . .(R95) 1,40310.459.8 4 Newbornaffectedbymaternal complications ofpregnancy. . . . . . . . .(P01) 6865.129.2 5 Respiratorydistressofnewborn. . . . . . .(P22) 5143.821.9 6 Newbornaffectedbycomplicationsof placenta, cordandmembranes . . . . . .(P02) 4903.620.9 7 Accidents(unintentionalinjuries)...(V01–X59)4353.218.5 8 Diseasesofthecirculatorysystem...(I00–I99)3412.514.5 9 Intrauterinehypoxiaandbirth asphyxia . . . . . . . . . . . . . . . .(P20–P21) 3392.514.4 10Atelectasis.............(P28.0–P28.1) 3352.514.3 . ..Allothercauses.............(Residual) 4,19130.9178.6 Infants, white,non-Hispanic,male . ..Allcauses......................7,718 100.0 640.8 1 Congenitalmalformations,deformationsand chromosomal abnormalities. . . . . (Q00–Q99) 1,69321.9140.6 2 Disordersrelatedtoshortgestationand low birthweight,notelsewhere classified . . . . . . . . . . . . . . . . . . .(P07) 93912.278.0 3 Suddeninfantdeathsyndrome . . . . . . .(R95) 83710.869.5 4 Newbornaffectedbymaternal complications ofpregnancy. . . . . . . . .(P01) 3905.132.4 5 Respiratorydistressofnewborn. . . . . . .(P22) 2973.824.7 6 Newbornaffectedbycomplicationsof placenta, cordandmembranes . . . . . .(P02) 2643.421.9 7 Accidents(unintentionalinjuries)...(V01–X59)2583.321.4 8 Atelectasis.............(P28.0–P28.1) 2182.818.1 9 Diseasesofthecirculatorysystem...(I00–I99)1982.616.4 10 Intrauterinehypoxiaandbirth asphyxia . . . . . . . . . . . . . . . .(P20–P21) 1842.415.3 . ..Allothercauses.............(Residual) 2,44031.6202.6 Infants, white,non-Hispanic,female . ..Allcauses......................5,835 100.0 511.0 1 Congenitalmalformations,deformationsand chromosomal abnormalities. . . . . (Q00–Q99) 1,43424.6125.6 2 Disordersrelatedtoshortgestationand low birthweight,notelsewhere classified . . . . . . . . . . . . . . . . . . .(P07) 75312.965.9 3 Suddeninfantdeathsyndrome . . . . . . .(R95) 5669.749.6 4 Newbornaffectedbymaternal complications ofpregnancy. . . . . . . . .(P01) 2965.125.9 5 Newbornaffectedbycomplicationsof placenta, cordandmembranes . . . . . .(P02) 2263.919.8 6 Respiratorydistressofnewborn. . . . . . .(P22) 2173.719.0 7 Accidents(unintentionalinjuries)...(V01–X59)1773.015.5 8 Intrauterinehypoxiaandbirth asphyxia . . . . . . . . . . . . . . . .(P20–P21) 1552.713.6 9 Bacterialsepsisofnewborn . . . . . . . . .(P36) 1442.512.6 10 Diseasesofthecirculatorysystem...(I00–I99)1432.512.5 . ..Allothercauses.............(Residual) 1,72429.5151.0 Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),Hispanicorigin,andsexNumber Percent of total deaths Mortality rate Infants, Hispanic,bothsexes . ..Allcauses......................4,412 100.0 577.2 1 Congenitalmalformations,deformationsand chromosomal abnormalities. . . . . (Q00–Q99) 1,07224.3140.3 2 Disordersrelatedtoshortgestationand low birthweight,notelsewhere classified . . . . . . . . . . . . . . . . . . .(P07) 64214.684.0 3 Suddeninfantdeathsyndrome . . . . . . .(R95) 3127.140.8 4 Respiratorydistressofnewborn. . . . . . .(P22) 1774.023.2 5 Newbornaffectedbymaternal complications ofpregnancy. . . . . . . . .(P01) 1713.922.4 6 Accidents(unintentionalinjuries)...(V01–X59)1343.017.5 7 Newbornaffectedbycomplicationsof placenta, cordandmembranes . . . . . .(P02) 1272.916.6 8 Diseasesofthecirculatorysystem...(I00–I99)1172.715.3 9 Atelectasis.............(P28.0–P28.1) 1072.414.0 10 Bacterialsepsisofnewborn . . . . . . . . .(P36) 1012.313.2 . ..Allothercauses.............(Residual) 1,45232.9190.0 Infants, Hispanic,male . ..Allcauses......................2,411 100.0 618.4 1 Congenitalmalformations,deformationsand chromosomal abnormalities. . . . . (Q00–Q99) 53422.1137.0 2 Disordersrelatedtoshortgestationand low birthweight,notelsewhere classified . . . . . . . . . . . . . . . . . . .(P07) 36014.992.3 3 Suddeninfantdeathsyndrome . . . . . . .(R95) 1777.345.4 4 Respiratorydistressofnewborn. . . . . . .(P22) 1024.226.2 5 Newbornaffectedbymaternal complications ofpregnancy. . . . . . . . .(P01) 964.024.6 6 Accidents(unintentionalinjuries)...(V01–X59)803.320.5 7 Atelectasis.............(P28.0–P28.1) 622.615.9 7 Bacterialsepsisofnewborn . . . . . . . . .(P36) 622.615.9 9 Newbornaffectedbycomplicationsof placenta, cordandmembranes . . . . . .(P02) 572.414.6 10 Diseasesofthecirculatorysystem...(I00–I99)492.012.6 10 Neonatalhemorrhage. . . . . . . (P50–P52,P54) 492.012.6 . ..Allothercauses.............(Residual) 78332.5200.8 Infants, Hispanic,female . ..Allcauses......................2,001 100.0 534.4 1 Congenitalmalformations,deformationsand chromosomal abnormalities. . . . . (Q00–Q99) 53826.9143.7 2 Disordersrelatedtoshortgestationand low birthweight,notelsewhere classified . . . . . . . . . . . . . . . . . . .(P07) 28214.175.3 3 Suddeninfantdeathsyndrome . . . . . . .(R95) 1356.736.1 4 Newbornaffectedbymaternal complications ofpregnancy. . . . . . . . .(P01) 753.720.0 4 Respiratorydistressofnewborn. . . . . . .(P22) 753.720.0 6 Newbornaffectedbycomplicationsof placenta, cordandmembranes . . . . . .(P02) 703.518.7 7 Diseasesofthecirculatorysystem...(I00–I99)683.418.2 8 Accidents(unintentionalinjuries)...(V01–X59)542.714.4 9 Intrauterinehypoxiaandbirth asphyxia . . . . . . . . . . . . . . . .(P20–P21) 452.212.0 9 Atelectasis.............(P28.0–P28.1) 452.212.0 . ..Allothercauses.............(Residual) 61430.7164.0 See footnotesatendoftable. National VitalStatisticsReport,Vol.49,No.11,October12,2001 79Table4.Infant,neonatal,andpostneonataldeaths,percentoftotaldeaths,andmortalityratesforthe10leading causes ofinfantdeathbyHispanicorigin,racesfornon-Hispanicpopulation,andsex:UnitedStates,1999—Con. [Rates areinfant(under1year),neonatal(under28days),andpostneonatal(28days–11months)deathsper100,000livebirthsinspecifiedgroup.Race andHispanicorigin are reportedseparatelyonthedeathcertificate.PersonsofHispanicoriginmaybeofanyrace.DataforHispanicpersonsarenottabulatedseparately byrace,datafor non-Hispanic personsaretabulatedbyrace.DataforHispanicoriginshouldbeinterpretedwithcautionbecauseofinconsistenciesbetweenreporting Hispanicoriginonbirth and deathcertificates;seeTechnicalnotes.NationallinkedfilesshouldbeusedtomeasureinfantmortalityforspecificHispanicsubgroups] Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),Hispanicorigin,andsexNumber Percent of total deaths Mortality rate Infants, black,non-Hispanic,bothsexes . ..Allcauses......................8,589 100.0 1,458.3 1 Disordersrelatedtoshortgestationand low birthweight,notelsewhere classified . . . . . . . . . . . . . . . . . . .(P07) 1,83621.4311.7 2 Congenitalmalformations,deformationsand chromosomal abnormalities. . . . . (Q00–Q99) 99411.6168.8 3 Suddeninfantdeathsyndrome . . . . . . .(R95) 8279.6140.4 4 Newbornaffectedbymaternal complications ofpregnancy. . . . . . . . .(P01) 4865.782.5 5 Respiratorydistressofnewborn. . . . . . .(P22) 3624.261.5 6 Newbornaffectedbycomplicationsof placenta, cordandmembranes . . . . . .(P02) 3494.159.3 7 Accidents(unintentionalinjuries)...(V01–X59)2512.942.6 8 Bacterialsepsisofnewborn . . . . . . . . .(P36) 2492.942.3 9 Atelectasis.............(P28.0–P28.1) 1792.130.4 10 Diseasesofthecirculatorysystem...(I00–I99)1752.029.7 . ..Allothercauses.............(Residual) 2,88133.5489.1 Infants, black,non-Hispanic,male . ..Allcauses......................4,765 100.0 1,593.2 1 Disordersrelatedtoshortgestationand low birthweight,notelsewhere classified . . . . . . . . . . . . . . . . . . .(P07) 1,03321.7345.4 2 Congenitalmalformations,deformationsand chromosomal abnormalities. . . . . (Q00–Q99) 51810.9173.2 3 Suddeninfantdeathsyndrome . . . . . . .(R95) 4709.9157.1 4 Newbornaffectedbymaternal complications ofpregnancy. . . . . . . . .(P01) 2785.892.9 5 Respiratorydistressofnewborn. . . . . . .(P22) 2254.775.2 6 Newbornaffectedbycomplicationsof placenta, cordandmembranes . . . . . .(P02) 1803.860.2 7 Bacterialsepsisofnewborn . . . . . . . . .(P36) 1523.250.8 8 Accidents(unintentionalinjuries)...(V01–X59)1402.946.8 9 Necrotizingenterocolitisofnewborn . . . .(P77) 982.132.8 10Atelectasis.............(P28.0–P28.1) 972.032.4 . ..Allothercauses.............(Residual) 1,57433.0526.3 Infants, black,non-Hispanic,female . ..Allcauses......................3,824 100.0 1,319.1 1 Disordersrelatedtoshortgestationand low birthweight,notelsewhere classified . . . . . . . . . . . . . . . . . . .(P07) 80321.0277.0 2 Congenitalmalformations,deformationsand chromosomal abnormalities. . . . . (Q00–Q99) 47612.4164.2 3 Suddeninfantdeathsyndrome . . . . . . .(R95) 3579.3123.1 4 Newbornaffectedbymaternal complications ofpregnancy. . . . . . . . .(P01) 2085.471.8 5 Newbornaffectedbycomplicationsof placenta, cordandmembranes . . . . . .(P02) 1694.458.3 6 Respiratorydistressofnewborn. . . . . . .(P22) 1373.647.3 7 Accidents(unintentionalinjuries)...(V01–X59)1112.938.3 8 Bacterialsepsisofnewborn . . . . . . . . .(P36) 972.533.5 9 Atelectasis.............(P28.0–P28.1) 822.128.3 10 Diseasesofthecirculatorysystem...(I00–I99)812.127.9 . ..Allothercauses.............(Residual) 1,30334.1449.5 See footnotesatendoftable. Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),Hispanicorigin,andsexNumber Percent of total deaths Mortality rate Neonates, Hispanic,bothsexes . ..Allcauses......................2,986 100.0 390.7 1 Congenitalmalformations,deformationsand chromosomal abnormalities. . . . . (Q00–Q99) 76025.599.4 2 Disordersrelatedtoshortgestationand low birthweight,notelsewhere classified . . . . . . . . . . . . . . . . . . .(P07) 63121.182.6 3 Newbornaffectedbymaternal complications ofpregnancy. . . . . . . . .(P01) 1695.722.1 4 Respiratorydistressofnewborn. . . . . . .(P22) 1645.521.5 5 Newbornaffectedbycomplicationsof placenta, cordandmembranes . . . . . .(P02) 1274.316.6 6 Atelectasis.............(P28.0–P28.1) 1073.614.0 7 Bacterialsepsisofnewborn . . . . . . . . .(P36) 983.312.8 8 Neonatalhemorrhage. . . . . . . (P50–P52,P54) 913.011.9 9 Intrauterinehypoxiaandbirth asphyxia . . . . . . . . . . . . . . . .(P20–P21) 792.610.3 10 Necrotizingenterocolitisofnewborn . . . .(P77) 581.97.6 . ..Allothercauses.............(Residual) 70223.591.8 Neonates, Hispanic,male . ..Allcauses......................1,619 100.0 415.3 1 Congenitalmalformations,deformationsand chromosomal abnormalities. . . . . (Q00–Q99) 38123.597.7 2 Disordersrelatedtoshortgestationand low birthweight,notelsewhere classified . . . . . . . . . . . . . . . . . . .(P07) 35321.890.5 3 Newbornaffectedbymaternal complications ofpregnancy. . . . . . . . .(P01) 945.824.1 4 Respiratorydistressofnewborn. . . . . . .(P22) 935.723.9 5 Atelectasis.............(P28.0–P28.1) 623.815.9 6 Bacterialsepsisofnewborn . . . . . . . . .(P36) 603.715.4 7 Newbornaffectedbycomplicationsof placenta, cordandmembranes . . . . . .(P02) 573.514.6 8 Neonatalhemorrhage. . . . . . . (P50–P52,P54) 483.012.3 9 Intrauterinehypoxiaandbirth asphyxia . . . . . . . . . . . . . . . .(P20–P21) 392.410.0 10 Pulmonaryhemorrhageoriginating intheperinatalperiod............(P26) 332.08.5 . ..Allothercauses.............(Residual) 39924.6102.3 Neonates, Hispanic,female . ..Allcauses......................1,367 100.0 365.1 1 Congenitalmalformations,deformationsand chromosomal abnormalities. . . . . (Q00–Q99) 37927.7101.2 2 Disordersrelatedtoshortgestationand low birthweight,notelsewhere classified . . . . . . . . . . . . . . . . . . .(P07) 27820.374.2 3 Newbornaffectedbymaternal complications ofpregnancy. . . . . . . . .(P01) 755.520.0 4 Respiratorydistressofnewborn. . . . . . .(P22) 715.219.0 5 Newbornaffectedbycomplicationsof placenta, cordandmembranes . . . . . .(P02) 705.118.7 6 Atelectasis.............(P28.0–P28.1) 453.312.0 7 Neonatalhemorrhage. . . . . . . (P50–P52,P54) 433.111.5 8 Intrauterinehypoxiaandbirth asphyxia . . . . . . . . . . . . . . . .(P20–P21) 402.910.7 9 Bacterialsepsisofnewborn . . . . . . . . .(P36) 382.810.1 10 Necrotizingenterocolitisofnewborn . . . .(P77) 282.07.5 . ..Allothercauses.............(Residual) 30021.980.1 80 National VitalStatisticsReport,Vol.49,No.11,October12,2001Table4.Infant,neonatal,andpostneonataldeaths,percentoftotaldeaths,andmortalityratesforthe10leading causes ofinfantdeathbyHispanicorigin,racesfornon-Hispanicpopulation,andsex:UnitedStates,1999—Con. [Rates areinfant(under1year),neonatal(under28days),andpostneonatal(28days–11months)deathsper100,000livebirthsinspecifiedgroup.Race andHispanicorigin are reportedseparatelyonthedeathcertificate.PersonsofHispanicoriginmaybeofanyrace.DataforHispanicpersonsarenottabulatedseparately byrace,datafor non-Hispanic personsaretabulatedbyrace.DataforHispanicoriginshouldbeinterpretedwithcautionbecauseofinconsistenciesbetweenreporting Hispanicoriginonbirth and deathcertificates;seeTechnicalnotes.NationallinkedfilesshouldbeusedtomeasureinfantmortalityforspecificHispanicsubgroups] Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),Hispanicorigin,andsexNumber Percent of total deaths Mortality rate Neonates, white,non-Hispanic,bothsexes . ..Allcauses......................9,054 100.0 385.9 1 Congenitalmalformations,deformationsand chromosomal abnormalities. . . . . (Q00–Q99) 2,29625.497.8 2 Disordersrelatedtoshortgestationand low birthweight,notelsewhere classified . . . . . . . . . . . . . . . . . . .(P07) 1,66618.471.0 3 Newbornaffectedbymaternal complications ofpregnancy. . . . . . . . .(P01) 6857.629.2 4 Respiratorydistressofnewborn. . . . . . .(P22) 4885.420.8 5 Newbornaffectedbycomplicationsof placenta, cordandmembranes . . . . . .(P02) 4845.320.6 6 Atelectasis.............(P28.0–P28.1) 3293.614.0 7 Intrauterinehypoxiaandbirth asphyxia . . . . . . . . . . . . . . . .(P20–P21) 3233.613.8 8 Bacterialsepsisofnewborn . . . . . . . . .(P36) 2993.312.7 9 Neonatalhemorrhage. . . . . . . (P50–P52,P54) 2562.810.9 10 Diseasesofthecirculatorysystem...(I00–I99)1461.66.2 . ..Allothercauses.............(Residual) 2,08223.088.7 Neonates, white,non-Hispanic,male . ..Allcauses......................5,036 100.0 418.1 1 Congenitalmalformations,deformationsand chromosomal abnormalities. . . . . (Q00–Q99) 1,23924.6102.9 2 Disordersrelatedtoshortgestationand low birthweight,notelsewhere classified . . . . . . . . . . . . . . . . . . .(P07) 92418.376.7 3 Newbornaffectedbymaternal complications ofpregnancy. . . . . . . . .(P01) 3897.732.3 4 Respiratorydistressofnewborn. . . . . . .(P22) 2785.523.1 5 Newbornaffectedbycomplicationsof placenta, cordandmembranes . . . . . .(P02) 2615.221.7 6 Atelectasis.............(P28.0–P28.1) 2144.217.8 7 Intrauterinehypoxiaandbirth asphyxia . . . . . . . . . . . . . . . .(P20–P21) 1743.514.4 8 Neonatalhemorrhage. . . . . . . (P50–P52,P54) 1663.313.8 9 Bacterialsepsisofnewborn . . . . . . . . .(P36) 1593.213.2 10 Necrotizingenterocolitisofnewborn . . . .(P77) 851.77.1 . ..Allothercauses.............(Residual) 1,14722.895.2 Neonates, white,non-Hispanic,female . ..Allcauses......................4,018 100.0 351.9 1 Congenitalmalformations,deformationsand chromosomal abnormalities. . . . . (Q00–Q99) 1,05726.392.6 2 Disordersrelatedtoshortgestationand low birthweight,notelsewhere classified . . . . . . . . . . . . . . . . . . .(P07) 74218.565.0 3 Newbornaffectedbymaternal complications ofpregnancy. . . . . . . . .(P01) 2967.425.9 4 Newbornaffectedbycomplicationsof placenta, cordandmembranes . . . . . .(P02) 2235.619.5 5 Respiratorydistressofnewborn. . . . . . .(P22) 2105.218.4 6 Intrauterinehypoxiaandbirth asphyxia . . . . . . . . . . . . . . . .(P20–P21) 1493.713.0 7 Bacterialsepsisofnewborn . . . . . . . . .(P36) 1403.512.3 8 Atelectasis.............(P28.0–P28.1) 1152.910.1 9 Neonatalhemorrhage. . . . . . . (P50–P52,P54) 902.27.9 10 Diseasesofthecirculatorysystem...(I00–I99)651.65.7 . ..Allothercauses.............(Residual) 93123.281.5 See footnotesatendoftable. Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),Hispanicorigin,andsexNumber Percent of total deaths Mortality rate Neonates, black,non-Hispanic,bothsexes . ..Allcauses......................5,739 100.0 974.4 1 Disordersrelatedtoshortgestationand low birthweight,notelsewhere classified . . . . . . . . . . . . . . . . . . .(P07) 1,80431.4306.3 2 Congenitalmalformations,deformationsand chromosomal abnormalities. . . . . (Q00–Q99) 64011.2108.7 3 Newbornaffectedbymaternal complications ofpregnancy. . . . . . . . .(P01) 4818.481.7 4 Respiratorydistressofnewborn. . . . . . .(P22) 3436.058.2 5 Newbornaffectedbycomplicationsof placenta, cordandmembranes . . . . . .(P02) 3415.957.9 6 Bacterialsepsisofnewborn . . . . . . . . .(P36) 2354.139.9 7 Atelectasis.............(P28.0–P28.1) 1773.130.1 8 Necrotizingenterocolitisofnewborn . . . .(P77) 1552.726.3 9 Intrauterinehypoxiaandbirth asphyxia . . . . . . . . . . . . . . . .(P20–P21) 1412.523.9 10 Neonatalhemorrhage. . . . . . . (P50–P52,P54) 1212.120.5 . ..Allothercauses.............(Residual) 1,30122.7220.9 Neonates, black,non-Hispanic,male . ..Allcauses......................3,193 100.0 1,067.6 1 Disordersrelatedtoshortgestationand low birthweight,notelsewhere classified . . . . . . . . . . . . . . . . . . .(P07) 1,01631.8339.7 2 Congenitalmalformations,deformationsand chromosomal abnormalities. . . . . (Q00–Q99) 34810.9116.4 3 Newbornaffectedbymaternal complications ofpregnancy. . . . . . . . .(P01) 2748.691.6 4 Respiratorydistressofnewborn. . . . . . .(P22) 2136.771.2 5 Newbornaffectedbycomplicationsof placenta, cordandmembranes . . . . . .(P02) 1755.558.5 6 Bacterialsepsisofnewborn . . . . . . . . .(P36) 1424.447.5 7 Atelectasis.............(P28.0–P28.1) 963.032.1 8 Necrotizingenterocolitisofnewborn . . . .(P77) 882.829.4 9 Intrauterinehypoxiaandbirth asphyxia . . . . . . . . . . . . . . . .(P20–P21) 832.627.8 10 Neonatalhemorrhage. . . . . . . (P50–P52,P54) 732.324.4 . ..Allothercauses.............(Residual) 68521.5229.0 Neonates, black,non-Hispanic,female . ..Allcauses......................2,546 100.0 878.3 1 Disordersrelatedtoshortgestationand low birthweight,notelsewhere classified . . . . . . . . . . . . . . . . . . .(P07) 78831.0271.8 2 Congenitalmalformations,deformationsand chromosomal abnormalities. . . . . (Q00–Q99) 29211.5100.7 3 Newbornaffectedbymaternal complications ofpregnancy. . . . . . . . .(P01) 2078.171.4 4 Newbornaffectedbycomplicationsof placenta, cordandmembranes . . . . . .(P02) 1666.557.3 5 Respiratorydistressofnewborn. . . . . . .(P22) 1305.144.8 6 Bacterialsepsisofnewborn . . . . . . . . .(P36) 933.732.1 7 Atelectasis.............(P28.0–P28.1) 813.227.9 8 Necrotizingenterocolitisofnewborn . . . .(P77) 672.623.1 9 Intrauterinehypoxiaandbirth asphyxia . . . . . . . . . . . . . . . .(P20–P21) 582.320.0 10 Neonatalhemorrhage. . . . . . . (P50–P52,P54) 481.916.6 . ..Allothercauses.............(Residual) 61624.2212.5 National VitalStatisticsReport,Vol.49,No.11,October12,2001 81Table4.Infant,neonatal,andpostneonataldeaths,percentoftotaldeaths,andmortalityratesforthe10leading causes ofinfantdeathbyHispanicorigin,racesfornon-Hispanicpopulation,andsex:UnitedStates,1999—Con. [Rates areinfant(under1year),neonatal(under28days),andpostneonatal(28days–11months)deathsper100,000livebirthsinspecifiedgroup.Race andHispanicorigin are reportedseparatelyonthedeathcertificate.PersonsofHispanicoriginmaybeofanyrace.DataforHispanicpersonsarenottabulatedseparately byrace,datafor non-Hispanic personsaretabulatedbyrace.DataforHispanicoriginshouldbeinterpretedwithcautionbecauseofinconsistenciesbetweenreporting Hispanicoriginonbirth and deathcertificates;seeTechnicalnotes.NationallinkedfilesshouldbeusedtomeasureinfantmortalityforspecificHispanicsubgroups] Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),Hispanicorigin,andsexNumber Percent of total deaths Mortality rate Postneonates, Hispanic,bothsexes . ..Allcauses......................1,426 100.0 186.6 1 Congenitalmalformations,deformationsand chromosomal abnormalities. . . . . (Q00–Q99) 31221.940.8 2 Suddeninfantdeathsyndrome . . . . . . .(R95) 28620.137.4 3 Accidents(unintentional injuries).................(V01–X59) 1168.115.2 4 Diseasesofthecirculatorysystem...(I00–I99)725.09.4 5 Influenzaandpneumonia . . . . . . . (J10–J18) 574.07.5 6 Gastritis,duodenitis,andnoninfective enteritis andcolitis. . . . . . . . (K29,K50–K55) 503.56.5 7 Assault(homicide)............(X85–Y09) 463.26.0 8 Septicemia................(A40–A41) 433.05.6 9 Chronicrespiratorydiseaseoriginating intheperinatalperiod............(P27) 282.03.7 10 Diseasesofthebloodandblood-forming organs andcertaindisordersinvolvingthe immune mechanism . . . . . . . . . .(D50–D89) 161.1* . ..Allothercauses.............(Residual) 40028.152.3 Postneonates, Hispanic,male . ..Allcauses......................792 100.0 203.1 1 Suddeninfantdeathsyndrome . . . . . . .(R95) 16120.341.3 2 Congenitalmalformations,deformationsand chromosomal abnormalities. . . . . (Q00–Q99) 15319.339.2 3 Accidents(unintentional injuries).................(V01–X59) 719.018.2 4 Gastritis,duodenitis,andnoninfective enteritis andcolitis. . . . . . . . (K29,K50–K55) 394.910.0 5 Influenzaandpneumonia . . . . . . . (J10–J18) 354.49.0 6 Septicemia................(A40–A41) 273.46.9 7 Diseasesofthecirculatorysystem...(I00–I99)263.36.7 8 Assault(homicide)............(X85–Y09) 232.95.9 9 Chronicrespiratorydiseaseoriginating intheperinatalperiod............(P27) 172.1* 10 Meningitis. . . . . . . . . . . . . . . . .(G00,G03) 111.4* . ..Allothercauses.............(Residual) 22928.958.7 Postneonates, Hispanic,female . ..Allcauses......................634 100.0 169.3 1 Congenitalmalformations,deformationsand chromosomal abnormalities. . . . . (Q00–Q99) 15925.142.5 2 Suddeninfantdeathsyndrome . . . . . . .(R95) 12519.733.4 3 Diseasesofthecirculatorysystem...(I00–I99)467.312.3 4 Accidents(unintentional injuries).................(V01–X59) 457.112.0 5 Assault(homicide)............(X85–Y09) 233.66.1 6 Influenzaandpneumonia . . . . . . . (J10–J18) 223.55.9 7 Septicemia................(A40–A41) 162.5* 8 Gastritis,duodenitis,andnoninfective enteritis andcolitis. . . . . . . . (K29,K50–K55) 111.7* 8 Chronicrespiratorydiseaseoriginating intheperinatalperiod............(P27) 111.7* 10 Diseasesofthebloodandblood-forming organs andcertaindisordersinvolvingthe immune mechanism . . . . . . . . . .(D50–D89) 81.3* . ..Allothercauses.............(Residual) 16826.544.9 See footnotesatendoftable. Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),Hispanicorigin,andsexNumber Percent of total deaths Mortality rate Postneonates, white,non-Hispanic,bothsexes . ..Allcauses......................4,499 100.0 191.7 1 Suddeninfantdeathsyndrome . . . . . . .(R95) 1,28528.654.8 2 Congenitalmalformations,deformationsand chromosomal abnormalities. . . . . (Q00–Q99) 83118.535.4 3 Accidents(unintentional injuries).................(V01–X59) 3718.215.8 4 Diseasesofthecirculatorysystem...(I00–I99)1954.38.3 5 Chronicrespiratorydiseaseoriginating intheperinatalperiod............(P27) 1282.85.5 6 Septicemia................(A40–A41) 1212.75.2 7 Assault(homicide)............(X85–Y09) 1192.65.1 8 Influenzaandpneumonia . . . . . . . (J10–J18) 1112.54.7 9 Gastritis,duodenitis,andnoninfective enteritis andcolitis. . . . . . . . (K29,K50–K55) 771.73.3 10 Meningitis. . . . . . . . . . . . . . . . .(G00,G03) 370.81.6 10 Renalfailureandotherdisordersof kidney . . . . . . . . . . . (N17–N19,N25,N27) 370.81.6 . ..Allothercauses.............(Residual) 1,18726.450.6 Postneonates, white,non-Hispanic,male . ..Allcauses......................2,682 100.0 222.7 1 Suddeninfantdeathsyndrome . . . . . . .(R95) 77128.764.0 2 Congenitalmalformations,deformationsand chromosomal abnormalities. . . . . (Q00–Q99) 45416.937.7 3 Accidents(unintentional injuries).................(V01–X59) 2218.218.3 4 Diseasesofthecirculatorysystem...(I00–I99)1174.49.7 5 Chronicrespiratorydiseaseoriginating intheperinatalperiod............(P27) 833.16.9 6 Septicemia................(A40–A41) 792.96.6 6 Assault(homicide)............(X85–Y09) 792.96.6 8 Influenzaandpneumonia . . . . . . . (J10–J18) 592.24.9 9 Gastritis,duodenitis,andnoninfective enteritis andcolitis. . . . . . . . (K29,K50–K55) 441.63.7 10 Meningitis. . . . . . . . . . . . . . . . .(G00,G03) 261.02.2 . ..Allothercauses.............(Residual) 74927.962.2 Postneonates, white,non-Hispanic,female . ..Allcauses......................1,817 100.0 159.1 1 Suddeninfantdeathsyndrome . . . . . . .(R95) 51428.345.0 2 Congenitalmalformations,deformationsand chromosomal abnormalities. . . . . (Q00–Q99) 37720.733.0 3 Accidents(unintentional injuries).................(V01–X59) 1508.313.1 4 Diseasesofthecirculatorysystem...(I00–I99)784.36.8 5 Influenzaandpneumonia . . . . . . . (J10–J18) 522.94.6 6 Chronicrespiratorydiseaseoriginating intheperinatalperiod............(P27) 452.53.9 7 Septicemia................(A40–A41) 422.33.7 8 Assault(homicide)............(X85–Y09) 402.23.5 9 Gastritis,duodenitis,andnoninfective enteritis andcolitis. . . . . . . . (K29,K50–K55) 331.82.9 10 Malignantneoplasms . . . . . . . . . .(C00–C97) 140.8* 10 Renalfailureandotherdisordersof kidney . . . . . . . . . . . (N17–N19,N25,N27) 140.8* . ..Allothercauses.............(Residual) 45825.240.1 82 National VitalStatisticsReport,Vol.49,No.11,October12,2001Table4.Infant,neonatal,andpostneonataldeaths,percentoftotaldeaths,andmortalityratesforthe10leading causes ofinfantdeathbyHispanicorigin,racesfornon-Hispanicpopulation,andsex:UnitedStates,1999—Con. [Rates areinfant(under1year),neonatal(under28days),andpostneonatal(28days–11months)deathsper100,000livebirthsinspecifiedgroup.Race andHispanicorigin are reportedseparatelyonthedeathcertificate.PersonsofHispanicoriginmaybeofanyrace.DataforHispanicpersonsarenottabulatedseparately byrace,datafor non-Hispanic personsaretabulatedbyrace.DataforHispanicoriginshouldbeinterpretedwithcautionbecauseofinconsistenciesbetweenreporting Hispanicoriginonbirth and deathcertificates;seeTechnicalnotes.NationallinkedfilesshouldbeusedtomeasureinfantmortalityforspecificHispanicsubgroups] Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),Hispanicorigin,andsexNumber Percent of total deaths Mortality rate Postneonates, black,non-Hispanic,bothsexes . ..Allcauses......................2,850 100.0 483.9 1 Suddeninfantdeathsyndrome . . . . . . .(R95) 77127.1130.9 2 Congenitalmalformations,deformationsand chromosomal abnormalities. . . . . (Q00–Q99) 35412.460.1 3 Accidents(unintentionalinjuries)...(V01–X59)2338.239.6 4 Diseasesofthecirculatorysystem...(I00–I99)1103.918.7 5 Chronicrespiratorydiseaseoriginating intheperinatalperiod............(P27) 1073.818.2 6 Septicemia................(A40–A41) 1063.718.0 7 Influenzaandpneumonia . . . . . . . (J10–J18) 1033.617.5 8 Assault(homicide)............(X85–Y09) 953.316.1 9 Gastritis,duodenitis,andnoninfective enteritis andcolitis. . . . . . . . (K29,K50–K55) 842.914.3 10 Disordersrelatedtoshortgestationand low birthweight,notelsewhere classified . . . . . . . . . . . . . . . . . . .(P07) 321.15.4 . ..Allothercauses.............(Residual) 85530.0145.2 Postneonates, black,non-Hispanic,male . ..Allcauses......................1,572 100.0 525.6 1 Suddeninfantdeathsyndrome . . . . . . .(R95) 44428.2148.5 2 Congenitalmalformations,deformationsand chromosomal abnormalities. . . . . (Q00–Q99) 17010.856.8 3 Accidents(unintentionalinjuries)...(V01–X59)1298.243.1 4 Chronicrespiratorydiseaseoriginating intheperinatalperiod............(P27) 623.920.7 5 Septicemia................(A40–A41) 603.820.1 6 Diseasesofthecirculatorysystem...(I00–I99)573.619.1 7 Influenzaandpneumonia . . . . . . . (J10–J18) 533.417.7 8 Assault(homicide)............(X85–Y09) 493.116.4 9 Gastritis,duodenitis,andnoninfective enteritis andcolitis. . . . . . . . (K29,K50–K55) 483.116.0 10 Disordersrelatedtoshortgestationand low birthweight,notelsewhere classified . . . . . . . . . . . . . . . . . . .(P07) 171.1* . ..Allothercauses.............(Residual) 48330.7161.5 Rank1 Cause ofdeath(Basedonthe Tenth Revision, InternationalClassificationof Diseases, 1992),Hispanicorigin,andsexNumber Percent of total deaths Mortality rate Postneonates, black,non-Hispanic,female . ..Allcauses......................1,278 100.0 440.9 1 Suddeninfantdeathsyndrome . . . . . . .(R95) 32725.6112.8 2 Congenitalmalformations,deformationsand chromosomal abnormalities. . . . . (Q00–Q99) 18414.463.5 3 Accidents(unintentionalinjuries)...(V01–X59)1048.135.9 4 Diseasesofthecirculatorysystem...(I00–I99)534.118.3 5 Influenzaandpneumonia . . . . . . . (J10–J18) 503.917.2 6 Septicemia................(A40–A41) 463.615.9 6 Assault(homicide)............(X85–Y09) 463.615.9 8 Chronicrespiratorydiseaseoriginating intheperinatalperiod............(P27) 453.515.5 9 Gastritis,duodenitis,andnoninfective enteritis andcolitis. . . . . . . . (K29,K50–K55) 362.812.4 10 Meningitis. . . . . . . . . . . . . . . . .(G00,G03) 211.67.2 . ..Allothercauses.............(Residual) 36628.6126.3 . ..Categorynotapplicable. * Figuredoesnotmeetstandardsofreliabilityorprecision;seeTechnicalnotes. 1Rank basedonnumberofdeaths. National VitalStatisticsReport,Vol.49,No.11,October12,2001 8384 National Vital Statistics Report, Vol. 49, No. 11, October 12, 2001 Technical notes Nature and sources of data Data in this report are based on information from all death certificates filed in the 50 States and the District of Columbia. The U.S. Standard Certificate of Death—which is used as a model by the States—was last revised in 1989; for additional details see the 1989 revision of the U.S. standard certificates and reports (11) and Technical Appendix of Vital Statistics of the United States, 1989, Volume II, Mortality, part A (12). Information from death certificates are coded by the States and provided to the National Center for Health Statistics (NCHS) through the Vital Statistics Cooperative Program (VSCP) and from copies of the original certificates received by NCHS from the State registration offices. In 1999 all the States and the District of Columbia participated in this program and submitted part or all of the mortality data for 1999 in electronic data files to NCHS. All States provided precoded medical (cause-of-death) data to NCHS except Arizona, Illinois, Kentucky, Missouri, New Jersey, Ohio, West Virginia, New York City, and the District of Columbia. For 1999 all States submitted precoded demographic data for all deaths. Cause-of-death classification The mortality statistics presented here were compiled in accordance with the World Health Organization (WHO) regulations, which specify that member nations classify and code causes of death in accordance with the current revision of the International Statistical Classification of Diseases and Related Health Problems, Tenth Revision (ICD–10). The International Classification of Diseases (ICD) provides the basic guidance used in virtually all countries to code and classify causes of death. Effective with deaths occurring in 1999, the United States began using the 10th revision of this classification, (ICD–10) (4); during the period 1979–98, causes were coded and classified according to the 9th revision (ICD–9) (5). For earlier years causes of death were classified according to the revisions then in use—1968–78, eighth revision, adapted for use in the United States; 1958–67, seventh revision; and 1949–57, sixth revision. One of the efforts to maintain the tradition of progress in the classification of diseases has been the practice, begun in 1900, to revise about every 10 to 20 years what is now the ICD. Each of these revisions has produced some break in the comparability of cause-of-death statistics. ICD–10 has many changes from ICD–9, including considerably greater detail, shifts of inclusion terms and titles from one category, section, or chapter to another; regroupings of diseases; new titles and sections; and modifications in coding rules (10). As a result, serious breaks occur in comparability for a number of causes of death. Measures of this discontinuity are essential to the interpretation of mortality trends. Ratios of comparability between ICD–9 and ICD–10 have been computed for this purpose and are presented in a separate report (10). Comparability ratios measuring discontinuities between previous revisions of the ICD have also been published (13–15). The ICD not only details disease classification but also provides definitions, tabulation lists, the format of the death certificate, and the rules for coding cause of death. Cause-of-death data presented in this publication were coded by procedures outlined in annual issues of the NCHS Instruction Manual (16–18). The manual includes rules for selecting the underlying cause of death for tabulation purposes, definitions, tabulation lists, and regulations on the use of the classification. Before data for 1968, mortality medical data were based on manual coding of an underlying cause of death for each certificate in accordance with WHO rules. Effective with data year 1968, NCHS converted to computerized coding of the underlying cause and manual coding of all causes (multiple causes) on the death certificate. In this system, called ‘‘Automated Classification of Medical Entities’’ (ACME) (19), multiple cause codes serve as inputs to the computer software that employs WHO rules to select the underlying cause. Many States have implemented ACME and provide multiple cause and underlying cause data to NCHS in electronic form; for those States that have not, NCHS coded the mortality medical data using ACME. The ACME system is used to select the underlying cause of death on all death certificates in the United States. In addition, NCHS has developed two computer systems as inputs to ACME. Beginning with 1990 data, the Mortality Medical Indexing, Classification, and Retrieval system (MICAR) (20,21), was introduced to automate coding multiple causes of death. In addition, MICAR provides more detailed information on the conditions reported on death certificates than is available through the ICD code structure. Then, beginning with data year 1993, SuperMICAR, an enhancement of the MICAR system, was introduced. SuperMICAR allows for literal entry of the multiple cause-of-death text as reported by the certifier. This information is then automatically processed by the MICAR and ACME computer systems. Records that cannot be automatically processed by MICAR or SuperMICAR are manually multiple-cause coded and then further processed through ACME. In this report tabulations of cause-of-death statistics are based solely on the underlying cause of death. The underlying cause is defined by WHO as the disease or injury that initiated the train of events leading directly to death, or the circumstances of the accident or violence which produced the fatal injury (4). It is selected from the conditions entered by the physician in the cause-of-death section of the death certificate. When more than one cause or condition is entered by the physician, the underlying cause is determined by the sequence of conditions on the certificate, provisions of the ICD, and associated selection rules and modifications. Generally, more medical information is reported on death certificates than is directly reflected in the under-lying cause of death. This is captured in NCHS multiple cause-of-death statistics (22–24). Race and Hispanic origin Race and Hispanic origin are reported separately on the death certificate. Therefore, data shown by race include persons of His-panic or non-Hispanic origin, and data for Hispanic origin include persons of any race. In this report, unless otherwise specified, deaths of Hispanic origin are included in the totals for each race group—white, black, American Indian, and API—according to the decedent’s race as reported on the death certificate. Data shown for Hispanic persons include all persons of Hispanic origin of any race. Mortality data for the Hispanic-origin population are based on deaths to residents of all 50 States and the District of Columbia. Data year 1997 was the first year that mortality data for the Hispanic population were available for the entire United States. Quality of race and Hispanic origin data—Death rates for Hispanic, American Indian, and API persons should be interpreted with caution National Vital Statistics Report, Vol. 49, No. 11, October 12, 2001 85 because of inconsistencies in reporting race on the death certificate as compared with race on censuses, surveys, and birth certificates. Studies have shown underreporting on death certificates of American Indians,API,andHispanicdecedents;andundercountsofthesegroups in the censuses (25,26). A number of studies have been conducted on the reliability of race reported on the death certificate by comparing race on the death certificate with that reported on another data collection instrument, such as the census or a survey. Differences may arise because of differences in who provides race information on the compared records. Race information on the death certificate is reported by the funeral director as provided by an informant or in the absence of an informant, on the basis of observation. In contrast, race on the census or on the Current Population Survey (CPS) is obtained while the individual is alive and is self-reported or reported by another member of the household familiar with the individual and, therefore, may be considered more valid. A high level of agreement between the death certificate and the census or survey report is essential to assure unbiased death rates by race. Studies (26,27) show that a person self-reported as American Indian or Asian on census or survey records was sometimes reported as white on the death certificate. The net effect of misclassification is an underestimation of deaths and death rates for races other than white and black. In addition, undercoverage of minority groups in the census and resultant population estimates, introduces biases into death rates by race (25,28). Estimates of the approximate effect of the combined bias due to race misclassification on death certificates and underenumeration on the 1990 census are as follows: white, –1.0 percent; black, –5.0; American Indian, +20.6; Asian or Pacific Islander, +10.7 (25). The National Longitudinal Mortality Study (NLMS) examined the reliability of Hispanic origin reported on 43,520 death certificates with that reported on a total of 12 Current Population Surveys conducted by the U.S. Bureau of the Census for the years 1979–85 (25). In this study, agreement—on a record-by-record basis—was 89.7 percent for any report of Hispanic origin. The ratio of deaths for CPS divided by deaths for death certificate was 1.07 indicating net underreporting of Hispanic origin on death certificates of 7 percent as compared with self-reports on the surveys. Death rates for the Hispanic-origin population are also affected by undercoverage of this population group in the census and resultant population estimates; the estimated net correction, taking into account both sources of bias, is 1.6 percent (25,28). Other races and race not stated—Beginning in 1992 all records coded as ‘‘Other races’’ (0.02 percent of the total deaths in 1999) were assigned to the specified race of the previous record. Records for which race was unknown, not stated, or not classifiable (0.10 percent) were assigned the racial designation of the previous record. Infant mortality rates—For 1989–99, as in previous years, infant deaths continue to be tabulated by the race of the decedent. However, beginning with the 1989 data year, the method of tabulating live births by race was changed from race of parents to race of mother as stated on the birth certificate. This change affects infant mortality rates because live births are the denominators of these rates (29,30). Quantitatively, the change in the basis for tabulating live births by race results in more white births and fewer black births and births of other races. Consequently, infant and maternal mortality rates under the new tabulating procedure tend to be about 2 percent lower for white infants and about 5 percent higher for black infants than when they are computed by the previous method of tabulating live births by race of parents. Rates for most other minority races also are higher when computed by race of mother (12,30). Infant mortality rates for specified race are in error because of reporting problems that affect the classification of race on the birth and death certificates for the same infant. Infant mortality rates by specified race are more accurate when based on the linked file of infant deaths and live births (31). The linked file computes infant mortality rates using the race of the mother from the birth certificate in both the numerator and denominator. Race information on the birth certificate is considered to be more accurate than that on the death certificate because, on the birth certificate, race is generally reported by the mother at the time of delivery. Estimates of reporting errors have been made by comparing rates based on the linked files with those in which the race of infant death is based on information from the death certificate (12,25). Infant mortality rates for the Hispanic-origin population are based on numbers of resident infant deaths reported to be of Hispanic origin and numbers of resident live births by Hispanic origin of mother for the United States. In computing infant mortality rates, deaths and live births of unknown origin are not distributed among the specified Hispanic and non-Hispanic groups. The percent of infant deaths of unknown origin was 1.4 and the percent of live births to mothers of unknown origin was 1.2 for the United States for 1999. Infant mortality rates by Hispanic origin are more accurate when based on linked files of infant deaths and live births (31). Computation of rates and population bases Rates in this report (except for infant mortality rates) are crude death rates presented per 100,000 estimated population in a specified group. Population estimates represent the population at risk of dying in a specified group. The populations used for computing death rates (furnished by the U.S. Bureau of the Census) in this report are estimates as of July 1, 1999 (32) and based on 1990 census level counts. Census level counts by race were modified to be consistent with U.S. Office of Management and Budget categories and historical categories for death data (33). Population estimates by race, sex, and the age categories presented in this report are shown in table I. Population estimates by Hispanic origin, race for the non-Hispanic population, and sex and age are shown in table II. Infant mortality rates are the most commonly used index for measuring the risk of dying during the first year of life. Infant mortality rates use the number of live births to approximate the population at risk of dying before the first birthday. They are calculated by dividing the number of infant deaths in a calendar year by the number of live births registered for the same period and are presented as rates per 100,000 live births. Neonatal and postneonatal mortality rates are also calculated using live births in the denominator. For final birth figures used in the denominator for infant mortality rates, see ‘‘Births: Final Data for 1999’’ (34). Random variation The mortality data presented in this report are not subject to sampling error. However, mortality data, even based on complete counts, may be affected by random variation. When the number of Table I. Estimated population by age, race, and sex: United States, July 1, 1999 86 All races White Black American Indian Asian or Pacific Islander Age Total Male Female Total Male Female Total Male Female Total Male Female Total Male Female Total ............ 272,690,813 133,276,559 139,414,254 224,610,797 110,336,291 114,274,506 34,862,169 16,557,186 18,304,983 2,397,426 1,186,745 1,210,681 10,820,421 5,196,337 5,624,084 Less than 1 year .... 3,819,903 1,952,133 1,867,770 3,027,180 1,549,389 1,477,791 568,772 289,078 279,694 42,542 21,442 21,100 181,409 92,224 89,185 1–4 years......... 15,122,239 7,730,542 7,391,697 12,015,456 6,155,680 5,859,776 2,226,888 1,129,687 1,097,201 159,576 80,755 78,821 720,319 364,420 355,899 5–9 years......... 19,946,746 10,207,957 9,738,789 15,706,268 8,047,451 7,658,817 3,145,614 1,597,522 1,548,092 219,430 111,364 108,066 875,434 451,620 423,814 10–14 years ....... 19,548,484 10,011,707 9,536,777 15,388,526 7,892,905 7,495,621 3,087,258 1,569,095 1,518,163 248,536 126,289 122,247 824,164 423,418 400,746 15–19 years ....... 19,747,923 10,150,997 9,596,926 15,647,637 8,069,271 7,578,366 3,043,767 1,548,256 1,495,511 234,657 117,925 116,732 821,862 415,545 406,317 20–24 years ....... 18,025,589 9,183,052 8,842,537 14,367,068 7,371,872 6,995,196 2,696,655 1,333,366 1,363,289 194,322 97,858 96,464 767,544 379,956 387,588 25–34 years ....... 37,935,812 18,826,288 19,109,524 30,431,393 15,273,321 15,158,072 5,286,663 2,505,284 2,781,379 374,047 191,269 182,778 1,843,709 856,414 987,295 35–44 years ....... 44,812,649 22,254,316 22,558,333 36,946,545 18,540,240 18,406,305 5,652,358 2,653,695 2,998,663 358,769 178,119 180,650 1,854,977 882,262 972,715 45–54 years ....... 35,802,358 17,499,088 18,303,270 30,249,529 14,954,220 15,295,309 3,928,525 1,783,710 2,144,815 256,008 123,692 132,316 1,368,296 637,466 730,830 55–64 years ....... 23,389,085 11,150,407 12,238,678 20,133,661 9,710,115 10,423,546 2,345,099 1,014,648 1,330,451 148,113 69,600 78,513 762,212 356,044 406,168 65 years and over.... 34,540,025 14,310,072 20,229,953 30,697,534 12,771,827 17,925,707 2,880,570 1,132,845 1,747,725 161,426 68,432 92,994 800,495 336,968 463,527 65–74 years ....... 18,218,248 8,198,696 10,019,552 15,958,629 7,243,777 8,714,852 1,678,493 707,523 970,970 90,511 40,756 49,755 490,615 206,640 283,975 75–84 years ....... 12,146,695 4,871,134 7,275,561 10,965,640 4,414,172 6,551,468 889,080 333,297 555,783 50,534 21,212 29,322 241,441 102,453 138,988 85 years and over.... 4,175,082 1,240,242 2,934,840 3,773,265 1,113,878 2,659,387 312,997 92,025 220,972 20,381 6,464 13,917 68,439 27,875 40,564 SOURCE: U.S. Bureau of the Census. Table II. Estimated population by age, Hispanic origin, race for non-Hispanic population, and sex: United States, July 1, 1999 National Vital Statistics Report, Vol. 49, No. 11, October 12, 2001 All origins Hispanic Non-Hispanic White Non-Hispanic Black Age Total Male Female Total Male Female Total Male Female Total Male Female Total ............ 272,690,813 133,276,559 139,414,254 31,337,122 15,761,482 15,575,640 196,049,435 95,962,078 100,087,357 33,092,421 15,674,061 17,418,360 Less than 1 year .... 3,819,903 1,952,133 1,867,770 721,512 367,921 353,591 2,366,679 1,212,566 1,154,113 528,998 268,703 260,295 1–4 years......... 15,122,239 7,730,542 7,391,697 2,745,592 1,401,915 1,343,677 9,504,144 4,873,532 4,630,612 2,074,442 1,051,488 1,022,954 5–9 years......... 19,946,746 10,207,957 9,738,789 3,243,040 1,654,620 1,588,420 12,748,940 6,539,640 6,209,300 2,961,201 1,502,658 1,458,543 10–14 years ....... 19,548,484 10,011,707 9,536,777 2,739,391 1,400,143 1,339,248 12,913,252 6,628,299 6,284,953 2,925,762 1,485,854 1,439,908 15–19 years ....... 19,747,923 10,150,997 9,596,926 2,780,366 1,445,082 1,335,284 13,116,918 6,752,531 6,364,387 2,890,618 1,469,084 1,421,534 20–24 years ....... 18,025,589 9,183,052 8,842,537 2,689,820 1,394,818 1,295,002 11,902,736 6,090,958 5,811,778 2,555,750 1,262,660 1,293,090 25–34 years ....... 37,935,812 18,826,288 19,109,524 5,230,158 2,694,451 2,535,707 25,667,510 12,814,074 12,853,436 4,996,802 2,360,779 2,636,023 35–44 years ....... 44,812,649 22,254,316 22,558,333 4,748,233 2,423,106 2,325,127 32,639,085 16,340,919 16,298,166 5,366,455 2,507,844 2,858,611 45–54 years ....... 35,802,358 17,499,088 18,303,270 2,914,659 1,423,934 1,490,725 27,600,770 13,659,878 13,940,892 3,757,029 1,699,892 2,057,137 55–64 years ....... 23,389,085 11,150,407 12,238,678 1,679,018 778,122 900,896 18,598,446 8,997,645 9,600,801 2,249,225 971,145 1,278,080 65 years and over.... 34,540,025 14,310,072 20,229,953 1,845,333 777,370 1,067,963 28,990,955 12,052,036 16,938,919 2,786,139 1,093,954 1,692,185 65–74 years ....... 18,218,248 8,198,696 10,019,552 1,101,725 485,843 615,882 14,945,250 6,795,984 8,149,266 1,617,791 681,337 936,454 75–84 years ....... 12,146,695 4,871,134 7,275,561 554,435 227,995 326,440 10,450,224 4,201,620 6,248,604 862,703 322,990 539,713 85 years and over.... 4,175,082 1,240,242 2,934,840 189,173 63,532 125,641 3,595,481 1,054,432 2,541,049 305,645 89,627 216,018 SOURCE: U.S. Bureau of the Census. National Vital Statistics Report, Vol. 49, No. 11, October 12, 2001 87 events is small (perhaps less than 100) and the probability of such an event is small, caution must be observed when interpreting mortality data. This is less problematic when analyzing the relative ranking of causes of death because the observed frequency of deaths for any particular cause is fixed for any given group in any given year, and the ranking is based on that fixed value. Nevertheless, when comparing rankings based on small numbers of deaths between groups or over time, it is important to be aware that differences in relative rankings may be attributable to random variability (see reference 3 for a more detailed discussion of random variation and formulas for calculating standard errors for death rates and infant mortality rates). 88 National Vital Statistics Report, Vol. 49, No. 11, October 12, 2001 Contents Abstract....................................... 1 Introduction .................................... 1 Dataandmethods................................ 2 Data ....................................... 2 Proceduresforrankingcausesofdeath................ 2 Agegroupings................................. 2 Results....................................... 7 Agedifferences................................ 9 Sexdifferences ................................ 9 Racedifferences ............................... 9 Hispanicorigin................................. 9 Leadingcausesofinfantdeath...................... 9 Neonatalandpostneonatalmortality.................. 10 Discussion.................................... 12 References.................................... 12 Listofdetailedtables............................. 13 Technicalnotes ................................ 84 DEPARTMENT OFHEALTH & HUMAN SERVICESCenters for Disease Control and PreventionNational Center for Health Statistics6525 Belcrest RoadHyattsville, Maryland 20782-2003DHHS Publication No. (PHS) 2002–1120 PRS 01-0594 (10/2001) OFFICIAL BUSINESSPENALTY FOR PRIVATE USE, $300Suggested citation Anderson, RN. Deaths: Leading causes for 1999. National vital statistics reports; vol 49 no 11. Hyattsville, Maryland: National Center for Health Statistics. 2001. National Center for Health Statistics Director, Edward J. Sondik, Ph.D. Deputy Director, Jack R. Anderson Division of Vital Statistics Director, Mary Anne FreedmanTo receive this publication regularly, contact the National Center for HealthStatistics by calling 301-458-4636. E-mail: nchsquery@cdc.govInternet: www.cdc.gov/nchsCopyright information All material appearing in this report is in the public domain and may be reproduced or copied without permission; citation as to source, however, is appreciated. MEDIA MAIL POSTAGE & FEES PAID CDC/NCHS PERMIT NO. G-284