This dataset of U.S. mortality trends since 1900 highlights the differences in age-adjusted death rates and life expectancy at birth by race and sex. Age-adjusted death rates (deaths per 100,000) after 1998 are calculated based on the 2000 U.S. standard population. Populations used for computing death rates for 2011–2017 are postcensal estimates based on the 2010 census, estimated as of July 1, 2010. Rates for census years are based on populations enumerated in the corresponding censuses. Rates for noncensus years between 2000 and 2010 are revised using updated intercensal population estimates and may differ from rates previously published. Data on age-adjusted death rates prior to 1999 are taken from historical data (see References below). Life expectancy data are available up to 2017. Due to changes in categories of race used in publications, data are not available for the black population consistently before 1968, and not at all before 1960. More information on historical data on age-adjusted death rates is available at https://www.cdc.gov/nchs/nvss/mortality/hist293.htm. SOURCES CDC/NCHS, National Vital Statistics System, historical data, 1900-1998 (see https://www.cdc.gov/nchs/nvss/mortality_historical_data.htm); CDC/NCHS, National Vital Statistics System, mortality data (see http://www.cdc.gov/nchs/deaths.htm); and CDC WONDER (see http://wonder.cdc.gov). REFERENCES National Center for Health Statistics, Data Warehouse. Comparability of cause-of-death between ICD revisions. 2008. Available from: http://www.cdc.gov/nchs/nvss/mortality/comparability_icd.htm. National Center for Health Statistics. Vital statistics data available. Mortality multiple cause files. Hyattsville, MD: National Center for Health Statistics. Available from: https://www.cdc.gov/nchs/data_access/vitalstatsonline.htm. Kochanek KD, Murphy SL, Xu JQ, Arias E. Deaths: Final data for 2017. National Vital Statistics Reports; vol 68 no 9. Hyattsville, MD: National Center for Health Statistics. 2019. Available from: https://www.cdc.gov/nchs/data/nvsr/nvsr68/nvsr68_09-508.pdf. Arias E, Xu JQ. United States life tables, 2017. National Vital Statistics Reports; vol 68 no 7. Hyattsville, MD: National Center for Health Statistics. 2019. Available from: https://www.cdc.gov/nchs/data/nvsr/nvsr68/nvsr68_07-508.pdf. National Center for Health Statistics. Historical Data, 1900-1998. 2009. Available from: https://www.cdc.gov/nchs/nvss/mortality_historical_data.htm.

The dataset presents life expectancy at birth estimates based on annual complete period life tables for each of the 50 states and the District of Columbia (D.C.) in 2020 for the total, male and female populations.

Life table data for "Bounce backs amid continued losses: Life expectancy changes since COVID-19"

cc-by Jonas Schöley, José Manuel Aburto, Ilya Kashnitsky, Maxi S. Kniffka, Luyin Zhang, Hannaliis Jaadla, Jennifer B. Dowd, and Ridhi Kashyap. "Bounce backs amid continued losses: Life expectancy changes since COVID-19".

These are CSV files of life tables over the years 2015 through 2021 across 29 countries analyzed in the paper "Bounce backs amid continued losses: Life expectancy changes since COVID-19".

40-lifetables.csv

Life table statistics 2015 through 2021 by sex, region and quarter with uncertainty quantiles based on Poisson replication of death counts. Actual life tables and expected life tables (under the assumption of pre-COVID mortality trend continuation) are provided.

30-lt_input.csv

Life table input data.

id: unique row identifier

region_iso: iso3166-2 region codes

sex: Male, Female, Total

year: iso year

age_start: start of age group

age_width: width of age group, Inf for age_start 100, otherwise 1

nweeks_year: number of weeks in that year, 52 or 53

death_total: number of deaths by any cause

population_py: person-years of exposure (adjusted for leap-weeks and missing weeks in input data on all cause deaths)

death_total_nweeksmiss: number of weeks in the raw input data with at least one missing death count for this region-sex-year stratum. missings are counted when the week is implicitly missing from the input data or if any NAs are encounted in this week or if age groups are implicitly missing for this week in the input data (e.g. 40-45, 50-55)

death_total_minnageraw: the minimum number of age-groups in the raw input data within this region-sex-year stratum

death_total_maxnageraw: the maximum number of age-groups in the raw input data within this region-sex-year stratum

death_total_minopenageraw: the minimum age at the start of the open age group in the raw input data within this region-sex-year stratum

death_total_maxopenageraw: the maximum age at the start of the open age group in the raw input data within this region-sex-year stratum

death_total_source: source of the all-cause death data

death_total_prop_q1: observed proportion of deaths in first quarter of year

death_total_prop_q2: observed proportion of deaths in second quarter of year

death_total_prop_q3: observed proportion of deaths in third quarter of year

death_total_prop_q4: observed proportion of deaths in fourth quarter of year

death_expected_prop_q1: expected proportion of deaths in first quarter of year

death_expected_prop_q2: expected proportion of deaths in second quarter of year

death_expected_prop_q3: expected proportion of deaths in third quarter of year

death_expected_prop_q4: expected proportion of deaths in fourth quarter of year

population_midyear: midyear population (July 1st)

population_source: source of the population count/exposure data

death_covid: number of deaths due to covid

death_covid_date: number of deaths due to covid as of

death_covid_nageraw: the number of age groups in the covid input data

ex_wpp_estimate: life expectancy estimates from the World Population prospects for a five year period, merged at the midpoint year

ex_hmd_estimate: life expectancy estimates from the Human Mortality Database

nmx_hmd_estimate: death rate estimates from the Human Mortality Database

nmx_cntfc: Lee-Carter death rate projections based on trend in the years 2015 through 2019

Deaths

source:

STMF input data series (https://www.mortality.org/Public/STMF/Outputs/stmf.csv)

ONS for GB-EAW pre 2020

CDC for US pre 2020

STMF:

harmonized to single ages via pclm

pclm iterates over country, sex, year, and within-year age grouping pattern and converts irregular age groupings, which may vary by country, year and week into a regular age grouping of 0:110

smoothing parameters estimated via BIC grid search seperately for every pclm iteration

last age group set to [110,111)

ages 100:110+ are then summed into 100+ to be consistent with mid-year population information

deaths in unknown weeks are considered; deaths in unknown ages are not considered

ONS:

data already in single ages

ages 100:105+ are summed into 100+ to be consistent with mid-year population information

PCLM smoothing applied to for consistency reasons

CDC:

The CDC data comes in single ages 0:100 for the US. For 2020 we only have the STMF data in a much coarser age grouping, i.e. (0, 1, 5, 15, 25, 35, 45, 55, 65, 75, 85+). In order to calculate life-tables in a manner consistent with 2020, we summarise the pre 2020 US death counts into the 2020 age grouping and then apply the pclm ungrouping into single year ages, mirroring the approach to the 2020 data

Population

source:

for years 2000 to 2019: World Population Prospects 2019 single year-age population estimates 1950-2019

for year 2020: World Population Prospects 2019 single year-age population projections 2020-2100

mid-year population

mid-year population translated into exposures:

if a region reports annual deaths using the Gregorian calendar definition of a year (365 or 366 days long) set exposures equal to mid year population estimates

if a region reports annual deaths using the iso-week-year definition of a year (364 or 371 days long), and if there is a leap-week in that year, set exposures equal to 371/364*mid_year_population to account for the longer reporting period. in years without leap-weeks set exposures equal to mid year population estimates. further multiply by fraction of observed weeks on all weeks in a year.

COVID deaths

source: COVerAGE-DB (https://osf.io/mpwjq/)

the data base reports cumulative numbers of COVID deaths over days of a year, we extract the most up to date yearly total

External life expectancy estimates

source:

World Population Prospects (https://population.un.org/wpp/Download/Files/1_Indicators%20(Standard)/CSV_FILES/WPP2019_Life_Table_Medium.csv), estimates for the five year period 2015-2019

Human Mortality Database (https://mortality.org/), single year and age tables

NNDSS - TABLE 1R. Hepatitis C, perinatal infection to Influenza-associated pediatric mortality - 2020. In this Table, provisional cases* of notifiable diseases are displayed for United States, U.S. territories, and Non-U.S. residents.

Notice: Data from California published in week 29 for years 2019 and 2020 were incomplete when originally published on July 24, 2020. On August 4, 2020, incomplete case counts were replaced with a "U" indicating case counts are not available for specified time period.

Note: This table contains provisional cases of national notifiable diseases from the National Notifiable Diseases Surveillance System (NNDSS). NNDSS data from the 50 states, New York City, the District of Columbia and the U.S. territories are collated and published weekly on the NNDSS Data and Statistics web page (https://wwwn.cdc.gov/nndss/data-and-statistics.html). Cases reported by state health departments to CDC for weekly publication are provisional because of the time needed to complete case follow-up. Therefore, numbers presented in later weeks may reflect changes made to these counts as additional information becomes available. The national surveillance case definitions used to define a case are available on the NNDSS web site at https://wwwn.cdc.gov/nndss/. Information about the weekly provisional data and guides to interpreting data are available at: https://wwwn.cdc.gov/nndss/infectious-tables.html.

Footnotes: U: Unavailable — The reporting jurisdiction was unable to send the data to CDC or CDC was unable to process the data. -: No reported cases — The reporting jurisdiction did not submit any cases to CDC. N: Not reportable — The disease or condition was not reportable by law, statute, or regulation in the reporting jurisdiction. NN: Not nationally notifiable — This condition was not designated as being nationally notifiable. NP: Nationally notifiable but not published. NC: Not calculated — There is insufficient data available to support the calculation of this statistic. Cum: Cumulative year-to-date counts. Max: Maximum — Maximum case count during the previous 52 weeks. * Case counts for reporting years 2019 and 2020 are provisional and subject to change. Cases are assigned to the reporting jurisdiction submitting the case to NNDSS, if the case's country of usual residence is the U.S., a U.S. territory, unknown, or null (i.e. country not reported); otherwise, the case is assigned to the 'Non-U.S. Residents' category. Country of usual residence is currently not reported by all jurisdictions or for all conditions. For further information on interpretation of these data, see https://wwwn.cdc.gov/nndss/document/Users_guide_WONDER_tables_cleared_final.pdf. †Previous 52 week maximum and cumulative YTD are determined from periods of time when the condition was reportable in the jurisdiction (i.e., may be less than 52 weeks of data or incomplete YTD data). § Please refer to the CDC WONDER publication for weekly updates to the footnote for this condition.

Abstract

The Health Inequality Project uses big data to measure differences in life expectancy by income across areas and identify strategies to improve health outcomes for low-income Americans.

Section 7

This table reports life expectancy point estimates and standard errors for men and women at age 40 for each percentile of the national income distribution. Both race-adjusted and unadjusted estimates are reported.

Source

Section 13

This table reports life expectancy point estimates and standard errors for men and women at age 40 for each percentile of the national income distribution separately by year. Both race-adjusted and unadjusted estimates are reported.

Source

Section 6

This dataset was created on 2020-01-10 18:53:00.508 by merging multiple datasets together. The source datasets for this version were:

Commuting Zone Life Expectancy Estimates by year: CZ-level by-year life expectancy estimates for men and women, by income quartile

Commuting Zone Life Expectancy: Commuting zone (CZ)-level life expectancy estimates for men and women, by income quartile

Commuting Zone Life Expectancy Trends: CZ-level estimates of trends in life expectancy for men and women, by income quartile

Commuting Zone Characteristics: CZ-level characteristics

Commuting Zone Life Expectancy for larger populations: CZ-level life expectancy estimates for men and women, by income ventile

Section 15

This table reports life expectancy point estimates and standard errors for men and women at age 40 for each quartile of the national income distribution by state of residence and year. Both race-adjusted and unadjusted estimates are reported.

Source

Section 11

This table reports US mortality rates by gender, age, year and household income percentile. Household incomes are measured two years prior to the mortality rate for mortality rates at ages 40-63, and at age 61 for mortality rates at ages 64-76. The “lag” variable indicates the number of years between measurement of income and mortality.

Observations with 1 or 2 deaths have been masked: all mortality rates that reflect only 1 or 2 deaths have been recoded to reflect 3 deaths

Source

Section 3

This table reports coefficients and standard errors from regressions of life expectancy estimates for men and women at age 40 for each quartile of the national income distribution on calendar year by commuting zone of residence. Only the slope coefficient, representing the average increase or decrease in life expectancy per year, is reported. Trend estimates for both race-adjusted and unadjusted life expectancies are reported. Estimates are reported for the 100 largest CZs (populations greater than 590,000) only.

Source

Section 9

This table reports life expectancy estimates at age 40 for Males and Females for all countries. Source: World Health Organization, accessed at: http://apps.who.int/gho/athena/

Source

Section 10

This table reports life expectancy point estimates and standard errors for men and women at age 40 for each quartile of the national income distribution by county of residence. Both race-adjusted and unadjusted estimates are reported. Estimates are reported for counties with populations larger than 25,000 only

Source

Section 2

This table reports life expectancy point estimates and standard errors for men and women at age 40 for each quartile of the national income distribution by commuting zone of residence and year. Both race-adjusted and unadjusted estimates are reported. Estimates are reported for the 100 largest CZs (populations greater than 590,000) only.

Source

Section 8

This table reports US population and death counts by age, year, and sex from various sources. Counts labelled “dm1” are derived from the Social Security Administration Data Master 1 file. Counts labelled “irs” are derived from tax data. Counts labelled “cdc” are derived from NCHS life tables.

Source

Section 12

This table reports numerous county characteristics, compiled from various sources. These characteristics are described in the county life expectancy table.

Two variables constructed by the Cen

Note: DPH is updating and streamlining the COVID-19 cases, deaths, and testing data. As of 6/27/2022, the data will be published in four tables instead of twelve.

The COVID-19 Cases, Deaths, and Tests by Day dataset contains cases and test data by date of sample submission. The death data are by date of death. This dataset is updated daily and contains information back to the beginning of the pandemic. The data can be found at https://data.ct.gov/Health-and-Human-Services/COVID-19-Cases-Deaths-and-Tests-by-Day/g9vi-2ahj.

The COVID-19 State Metrics dataset contains over 93 columns of data. This dataset is updated daily and currently contains information starting June 21, 2022 to the present. The data can be found at https://data.ct.gov/Health-and-Human-Services/COVID-19-State-Level-Data/qmgw-5kp6 .

The COVID-19 County Metrics dataset contains 25 columns of data. This dataset is updated daily and currently contains information starting June 16, 2022 to the present. The data can be found at https://data.ct.gov/Health-and-Human-Services/COVID-19-County-Level-Data/ujiq-dy22 .

The COVID-19 Town Metrics dataset contains 16 columns of data. This dataset is updated daily and currently contains information starting June 16, 2022 to the present. The data can be found at https://data.ct.gov/Health-and-Human-Services/COVID-19-Town-Level-Data/icxw-cada . To protect confidentiality, if a town has fewer than 5 cases or positive NAAT tests over the past 7 days, those data will be suppressed.

COVID-19 cases and associated deaths that have been reported among Connecticut residents, broken down by race and ethnicity. All data in this report are preliminary; data for previous dates will be updated as new reports are received and data errors are corrected. Deaths reported to the either the Office of the Chief Medical Examiner (OCME) or Department of Public Health (DPH) are included in the COVID-19 update.

The following data show the number of COVID-19 cases and associated deaths per 100,000 population by race and ethnicity. Crude rates represent the total cases or deaths per 100,000 people. Age-adjusted rates consider the age of the person at diagnosis or death when estimating the rate and use a standardized population to provide a fair comparison between population groups with different age distributions. Age-adjustment is important in Connecticut as the median age of among the non-Hispanic white population is 47 years, whereas it is 34 years among non-Hispanic blacks, and 29 years among Hispanics. Because most non-Hispanic white residents who died were over 75 years of age, the age-adjusted rates are lower than the unadjusted rates. In contrast, Hispanic residents who died tend to be younger than 75 years of age which results in higher age-adjusted rates.

The population data used to calculate rates is based on the CT DPH population statistics for 2019, which is available online here: https://portal.ct.gov/DPH/Health-Information-Systems--Reporting/Population/Population-Statistics. Prior to 5/10/2021, the population estimates from 2018 were used.

Rates are standardized to the 2000 US Millions Standard population (data available here: https://seer.cancer.gov/stdpopulations/). Standardization was done using 19 age groups (0, 1-4, 5-9, 10-14, ..., 80-84, 85 years and older). More information about direct standardization for age adjustment is available here: https://www.cdc.gov/nchs/data/statnt/statnt06rv.pdf

Categories are mutually exclusive. The category “multiracial” includes people who answered ‘yes’ to more than one race category. Counts may not add up to total case counts as data on race and ethnicity may be missing. Age adjusted rates calculated only for groups with more than 20 deaths. Abbreviation: NH=Non-Hispanic.

Data on Connecticut deaths were obtained from the Connecticut Deaths Registry maintained by the DPH Office of Vital Records. Cause of death was determined by a death certifier (e.g., physician, APRN, medical examiner) using their best clinical judgment. Additionally, all COVID-19 deaths, including suspected or related, are required to be reported to OCME. On April 4, 2020, CT DPH and OCME released a joint memo to providers and facilities within Connecticut providing guidelines for certifying deaths due to COVID-19 that were consistent with the CDC’s guidelines and a reminder of the required reporting to OCME.25,26 As of July 1, 2021, OCME had reviewed every case reported and performed additional investigation on about one-third of reported deaths to better ascertain if COVID-19 did or did not cause or contribute to the death. Some of these investigations resulted in the OCME performing postmortem swabs for PCR testing on individuals whose deaths were suspected to be due to COVID-19, but antemortem diagnosis was unable to be made.31 The OCME issued or re-issued about 10% of COVID-19 death certificates and, when appropriate, removed COVID-19 from the death certificate. For standardization and tabulation of mortality statistics, written cause of death statements made by the certifiers on death certificates are sent to the National Center for Health Statistics (NCHS) at the CDC which assigns cause of death codes according to the International Causes of Disease 10th Revision (ICD-10) classification system.25,26 COVID-19 deaths in this report are defined as those for which the death certificate has an ICD-10 code of U07.1 as either a primary (underlying) or a contributing cause of death. More information on COVID-19 mortality can be found at the following link: https://portal.ct.gov/DPH/Health-Information-Systems--Reporting/Mortality/Mortality-Statistics

Data are subject to future revision as reporting changes.

Starting in July 2020, this dataset will be updated every weekday.

Additional notes: A delay in the data pull schedule occurred on 06/23/2020. Data from 06/22/2020 was processed on 06/23/2020 at 3:30 PM. The normal data cycle resumed with the data for 06/23/2020.

A network outage on 05/19/2020 resulted in a change in the data pull schedule. Data from 5/19/2020 was processed on 05/20/2020 at 12:00 PM. Data from 5/20/2020 was processed on 5/20/2020 8:30 PM. The normal data cycle resumed on 05/20/2020 with the 8:30 PM data pull. As a result of the network outage, the timestamp on the datasets on the Open Data Portal differ from the timestamp in DPH's daily PDF reports.

Starting 5/10/2021, the date field will represent the date this data was updated on data.ct.gov. Previously the date the data was pulled by DPH was listed, which typically coincided with the date before the data was published on data.ct.gov. This change was made to standardize the COVID-19 data sets on data.ct.gov.

Do file and dataset for dominance analysis on US age at death distributions (data sourced from CDC life tables).

Abstract: Diverging mortality trends at different ages motivate the monitoring of lifespan inequality alongside life expectancy. Conclusions are ambiguous when life expectancy and lifespan inequality move in the same direction or when inequality measures display inconsistent trends. We propose using non-parametric dominance analysis to obtain a robust ranking of age-at-death distributions. Application to United States period life tables for 2006-2021 reveals that, until 2014, more recent years generally dominate earlier years implying improvement if longer lifespans that are less unequally distributed are considered better. Improvements were more pronounced for non-Hispanic Blacks and Hispanics than for non-Hispanic Whites. Since 2014, for all subpopulations—particularly, Hispanics—earlier years often dominate more recent years indicating worsening age-at-death distributions if shorter and more unequal lifespans are considered worse. Dramatic deterioration of the distributions in 2020-21 during the COVID-19 pandemic is most evident for Hispanics.

Analysis of ‘NNDSS - TABLE 1R. Hepatitis C, perinatal infection to Influenza-associated pediatric mortality’ provided by Analyst-2 (analyst-2.ai), based on source dataset retrieved from https://catalog.data.gov/dataset/22ca582e-0fdf-469f-a416-a4655ccd000c on 30 September 2021.

--- Dataset description provided by original source is as follows ---

NNDSS - TABLE 1R. Hepatitis C, perinatal infection to Influenza-associated pediatric mortality - 2021. In this Table, provisional cases* of notifiable diseases are displayed for United States, U.S. territories, and Non-U.S. residents.

Notice: Due to data processing issues at CDC, data for the following jurisdictions may be incomplete for week 7: Alaska, Arizona, California, Connecticut, Delaware, Florida, Hawaii, Louisiana, Maryland, Michigan, Missouri, North Dakota, New Hampshire, New York City, Oregon, Pennsylvania, and Rhode Island.

Note: This table contains provisional cases of national notifiable diseases from the National Notifiable Diseases Surveillance System (NNDSS). NNDSS data from the 50 states, New York City, the District of Columbia and the U.S. territories are collated and published weekly on the NNDSS Data and Statistics web page (https://wwwn.cdc.gov/nndss/data-and-statistics.html). Cases reported by state health departments to CDC for weekly publication are provisional because of the time needed to complete case follow-up. Therefore, numbers presented in later weeks may reflect changes made to these counts as additional information becomes available. The national surveillance case definitions used to define a case are available on the NNDSS web site at https://wwwn.cdc.gov/nndss/. Information about the weekly provisional data and guides to interpreting data are available at: https://wwwn.cdc.gov/nndss/infectious-tables.html.

Footnotes: U: Unavailable — The reporting jurisdiction was unable to send the data to CDC or CDC was unable to process the data. -: No reported cases — The reporting jurisdiction did not submit any cases to CDC. N: Not reportable — The disease or condition was not reportable by law, statute, or regulation in the reporting jurisdiction. NN: Not nationally notifiable — This condition was not designated as being nationally notifiable. NP: Nationally notifiable but not published. NC: Not calculated — There is insufficient data available to support the calculation of this statistic. Cum: Cumulative year-to-date counts. Max: Maximum — Maximum case count during the previous 52 weeks. * Case counts for reporting years 2020 and 2021 are provisional and subject to change. Cases are assigned to the reporting jurisdiction submitting the case to NNDSS, if the case's country of usual residence is the U.S., a U.S. territory, unknown, or null (i.e. country not reported); otherwise, the case is assigned to the 'Non-U.S. Residents' category. Country of usual residence is currently not reported by all jurisdictions or for all conditions. For further information on interpretation of these data, see https://wwwn.cdc.gov/nndss/document/Users_guide_WONDER_tables_cleared_final.pdf. †Previous 52 week maximum and cumulative YTD are determined from periods of time when the condition was reportable in the jurisdiction (i.e., may be less than 52 weeks of data or incomplete YTD data). § Please refer to the CDC WONDER publication for weekly updates to the footnote for this condition.

--- Original source retains full ownership of the source dataset ---

Note: DPH is updating and streamlining the COVID-19 cases, deaths, and testing data. As of 6/27/2022, the data will be published in four tables instead of twelve. The COVID-19 Cases, Deaths, and Tests by Day dataset contains cases and test data by date of sample submission. The death data are by date of death. This dataset is updated daily and contains information back to the beginning of the pandemic. The data can be found at https://data.ct.gov/Health-and-Human-Services/COVID-19-Cases-Deaths-and-Tests-by-Day/g9vi-2ahj. The COVID-19 State Metrics dataset contains over 93 columns of data. This dataset is updated daily and currently contains information starting June 21, 2022 to the present. The data can be found at https://data.ct.gov/Health-and-Human-Services/COVID-19-State-Level-Data/qmgw-5kp6 . The COVID-19 County Metrics dataset contains 25 columns of data. This dataset is updated daily and currently contains information starting June 16, 2022 to the present. The data can be found at https://data.ct.gov/Health-and-Human-Services/COVID-19-County-Level-Data/ujiq-dy22 . The COVID-19 Town Metrics dataset contains 16 columns of data. This dataset is updated daily and currently contains information starting June 16, 2022 to the present. The data can be found at https://data.ct.gov/Health-and-Human-Services/COVID-19-Town-Level-Data/icxw-cada . To protect confidentiality, if a town has fewer than 5 cases or positive NAAT tests over the past 7 days, those data will be suppressed. COVID-19 tests, cases, and associated deaths that have been reported among Connecticut residents. All data in this report are preliminary; data for previous dates will be updated as new reports are received and data errors are corrected. Hospitalization data were collected by the Connecticut Hospital Association and reflect the number of patients currently hospitalized with laboratory-confirmed COVID-19. Deaths reported to the either the Office of the Chief Medical Examiner (OCME) or Department of Public Health (DPH) are included in the daily COVID-19 update. Data on Connecticut deaths were obtained from the Connecticut Deaths Registry maintained by the DPH Office of Vital Records. Cause of death was determined by a death certifier (e.g., physician, APRN, medical examiner) using their best clinical judgment. Additionally, all COVID-19 deaths, including suspected or related, are required to be reported to OCME. On April 4, 2020, CT DPH and OCME released a joint memo to providers and facilities within Connecticut providing guidelines for certifying deaths due to COVID-19 that were consistent with the CDC’s guidelines and a reminder of the required reporting to OCME.25,26 As of July 1, 2021, OCME had reviewed every case reported and performed additional investigation on about one-third of reported deaths to better ascertain if COVID-19 did or did not cause or contribute to the death. Some of these investigations resulted in the OCME performing postmortem swabs for PCR testing on individuals whose deaths were suspected to be due to COVID-19, but antemortem diagnosis was unable to be made.31 The OCME issued or re-issued about 10% of COVID-19 death certificates and, when appropriate, removed COVID-19 from the death certificate. For standardization and tabulation of mortality statistics, written cause of death statements made by the certifiers on death certificates are sent to the National Center for Health Statistics (NCHS) at the CDC which assigns cause of death codes according to the International Causes of Disease 10th Revision (ICD-10) classification system.25,26 COVID-19 deaths in this report are defined as those for which the death certificate has an ICD-10 code of U07.1 as either a primary (underlying) or a contributing cause of death. More information on COVID-19 mortality can be found at the following link: https://portal.ct.gov/DPH/Health-Information-Systems--Reporting/Mortality/Mortality-Statistics Data are reported daily, with

Between the beginning of January 2020 and June 14, 2023, of the 1,134,641 deaths caused by COVID-19 in the United States, around 307,169 had occurred among those aged 85 years and older. This statistic shows the number of coronavirus disease 2019 (COVID-19) deaths in the U.S. from January 2020 to June 2023, by age.

The burden of influenza in the United States can vary from year to year depending on which viruses are circulating, how many people receive an influenza vaccination, and how effective the vaccination is in that particular year. During the 2023-2024 flu season, around 28,000 people lost their lives to the disease. Although most people recover from influenza without needing medical care, the disease can be deadly among young children, the elderly, and those with weakened immune systems or chronic illnesses. Deaths due to influenza Even though most people recover from influenza without medical care, influenza and pneumonia can be deadly, especially for older people and those with certain preexisting conditions. Influenza is a common cause of pneumonia and although most cases of influenza do not develop into pneumonia, those that do are often more severe and more deadly. Deaths due to influenza are most common among the elderly, with a mortality rate of around 32 per 100,000 population during the 2023-2024 flu season. In comparison, the mortality rate for those aged 50 to 64 years was 9.1 per 100,000 population. Flu vaccinations The most effective way to prevent influenza is to receive an annual influenza vaccination. These vaccines have proven to be safe and are usually cheap and easily accessible. Nevertheless, every year a large share of the population in the United States still fails to get vaccinated against influenza. For example, in the 2022-2023 flu season, only 35 percent of those aged 18 to 49 years received a flu vaccination. Unsurprisingly, children and the elderly are the most likely to get vaccinated. It is estimated that during the 2022-2023 flu season, vaccinations prevented over 929 thousand influenza cases among children aged 6 months to 4 years.

Age-standardised mortality rates for deaths involving coronavirus (COVID-19), non-COVID-19 deaths and all deaths by vaccination status, broken down by age group.