The National Death Index (NDI) is a centralized database of death record information on file in state vital statistics offices. Working with these state offices, the National Center for Health Statistics (NCHS) established the NDI as a resource to aid epidemiologists and other health and medical investigators with their mortality ascertainment activities. Assists investigators in determining whether persons in their studies have died and, if so, provide the names of the states in which those deaths occurred, the dates of death, and the corresponding death certificate numbers. Investigators can then make arrangements with the appropriate state offices to obtain copies of death certificates or specific statistical information such as manner of death or educational level. Cause of death codes may also be obtained using the NDI Plus service. Records from 1979 through 2011 are currently available and contain a standard set of identifying information on each death. Death records are added to the NDI file annually, approximately 12 months after the end of a particular calendar year. 2012 should be available summer 2014. Early Release Program for 2013 is now available. The NDI service is available to investigators solely for statistical purposes in medical and health research. The service is not accessible to organizations or the general public for legal, administrative, or genealogy purposes.
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Data on causes of death (COD) provide information on mortality patterns and form a major element of public health information.
The COD data refer to the underlying cause which - according to the World Health Organisation (WHO) - is "the disease or injury which initiated the train of morbid events leading directly to death, or the circumstances of the accident or violence which produced the fatal injury".
The data are derived from the medical certificate of death, which is obligatory in the Member States. The information recorded in the death certificate is according to the rules specified by the WHO.
Data published in Eurostat's dissemination database are broken down by sex, 5-year age groups, cause of death and by residency and country of occurrence. For stillbirths and neonatal deaths additional breakdowns might include age of mother and parity.
Data are available for Member States, Iceland, Norway, Liechtenstein, Switzerland, United Kingdom, Serbia, Turkey, North Macedonia and Albania. Regional data (NUTS level 2) are available for all of the countries having NUTS2 regions except Albania.
Annual national data are available in Eurostat's dissemination database in absolute number, crude death rates and standardised death rates. At regional level the same is provided in form of 3-years averages (the average of year, year -1 and year -2). Annual crude and standardised death rates are also available at NUTS2 level. Monthly national data are available for 21 EU Member States from reference year 2019 and in 24 Member States from reference year 2022 in absolute numbers and standardised death rates.
The Mortality - Infant Deaths (from Linked Birth / Infant Death Records) online databases on CDC WONDER provide counts and rates for deaths of children under 1 year of age, occuring within the United States to U.S. residents. Information from death certificates has been linked to corresponding birth certificates. Data are available by county of mother's residence, child's age, underlying cause of death, sex, birth weight, birth plurality, birth order, gestational age at birth, period of prenatal care, maternal race and ethnicity, maternal age, maternal education and marital status. Data are available since 1995. The data are produced by the National Center for Health Statistics.
This dataset contains counts of deaths for California as a whole based on information entered on death certificates. Final counts are derived from static data and include out-of-state deaths to California residents, whereas provisional counts are derived from incomplete and dynamic data. Provisional counts are based on the records available when the data was retrieved and may not represent all deaths that occurred during the time period. Deaths involving injuries from external or environmental forces, such as accidents, homicide and suicide, often require additional investigation that tends to delay certification of the cause and manner of death. This can result in significant under-reporting of these deaths in provisional data.
The final data tables include both deaths that occurred in California regardless of the place of residence (by occurrence) and deaths to California residents (by residence), whereas the provisional data table only includes deaths that occurred in California regardless of the place of residence (by occurrence). The data are reported as totals, as well as stratified by age, gender, race-ethnicity, and death place type. Deaths due to all causes (ALL) and selected underlying cause of death categories are provided. See temporal coverage for more information on which combinations are available for which years.
The cause of death categories are based solely on the underlying cause of death as coded by the International Classification of Diseases. The underlying cause of death is defined by the World Health Organization (WHO) as "the disease or injury which initiated the train of events leading directly to death, or the circumstances of the accident or violence which produced the fatal injury." It is a single value assigned to each death based on the details as entered on the death certificate. When more than one cause is listed, the order in which they are listed can affect which cause is coded as the underlying cause. This means that similar events could be coded with different underlying causes of death depending on variations in how they were entered. Consequently, while underlying cause of death provides a convenient comparison between cause of death categories, it may not capture the full impact of each cause of death as it does not always take into account all conditions contributing to the death.
This dataset contains counts of deaths for California counties based on information entered on death certificates. Final counts are derived from static data and include out-of-state deaths to California residents, whereas provisional counts are derived from incomplete and dynamic data. Provisional counts are based on the records available when the data was retrieved and may not represent all deaths that occurred during the time period. Deaths involving injuries from external or environmental forces, such as accidents, homicide and suicide, often require additional investigation that tends to delay certification of the cause and manner of death. This can result in significant under-reporting of these deaths in provisional data. The final data tables include both deaths that occurred in each California county regardless of the place of residence (by occurrence) and deaths to residents of each California county (by residence), whereas the provisional data table only includes deaths that occurred in each county regardless of the place of residence (by occurrence). The data are reported as totals, as well as stratified by age, gender, race-ethnicity, and death place type. Deaths due to all causes (ALL) and selected underlying cause of death categories are provided. See temporal coverage for more information on which combinations are available for which years. The cause of death categories are based solely on the underlying cause of death as coded by the International Classification of Diseases. The underlying cause of death is defined by the World Health Organization (WHO) as "the disease or injury which initiated the train of events leading directly to death, or the circumstances of the accident or violence which produced the fatal injury." It is a single value assigned to each death based on the details as entered on the death certificate. When more than one cause is listed, the order in which they are listed can affect which cause is coded as the underlying cause. This means that similar events could be coded with different underlying causes of death depending on variations in how they were entered. Consequently, while underlying cause of death provides a convenient comparison between cause of death categories, it may not capture the full impact of each cause of death as it does not always take into account all conditions contributing to the death.
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In April 2020 Eurostat set up an exceptional data collection on total weekly deaths, in order to support the policy and research efforts related to Covid-19. With this data collection, Eurostat's target was to provide quickly statistics that show the changing situation of the total number of weekly deaths from early 2020 onwards.
The available data on the total weekly deaths are transmitted by the National Statistical Institutes to Eurostat on voluntary basis. Data are collected cross classified by sex, 5-year age-groups and NUTS3 region (NUTS2021). The age breakdown by 5-year age group is the most significant and should be considered by the reporting countries as the main option; when that is not possible, data may be provided with less granularity. Similar with the regional structure, data granularity varies with the country.
Eurostat requested from the National Statistical Institutes the transmission of a back time series of weekly deaths for as many year as possible, recommending as starting point the year 2000. Shorter time series, imposed by data availability, are transmitted by some countries. A long enough time series is necessary for temporal comparisons and statistical modelling.
A note on Ireland: Data from Ireland were not included in the first phase of the weekly deaths data collection: official timely data were not available because deaths can be registered up to three months after the date of death. Because of the COVID-19 pandemic, the Central Statistics Office of Ireland began to explore experimental ways of obtaining up-to-date mortality data, finding a strong correlation between death notices published on RIP.ie and official mortality statistics. Recently, CSO Ireland started publishing a time series covering the period from October 2019 until the most recent weeks, using death notices (see CSO website). For the purpose of this release, Eurostat compared the new 2020-2021 web-scraped series with a 2016-2019 baseline established using official data. CSO is periodically assessing the quality of these data.
The purpose of Eurostat’s online tables in the folder Weekly deaths - special data collection (demomwk) is to make available to users information on the weekly number of deaths disaggregated by sex, 5 years age group and NUTS3 regions over the last 20 years, depending on the availability in each country covered in Eurostat demographic statistics data collections. In order to ensure the highest timeliness possible, data are made available as reported by the countries, and work is ongoing in order to improve data quality and user friendliness.
Starting in 2025, the weekly deaths data is collected on a quarterly basis. The database updates are expected by mid-June (release of monthly data for 1st quarter of the year), mid-September (2nd quarter), mid-December (3rd quarter), and mid-February (4th quarter).
Find data on deaths of Massachusetts residents. Information is obtained from death certificates received by the Registry of Vital Records and Statistics.
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Every year the CDC releases the country’s most detailed report on death in the United States under the National Vital Statistics Systems. This mortality dataset is a record of every death in the country for 2005 through 2015, including detailed information about causes of death and the demographic background of the deceased.
It's been said that "statistics are human beings with the tears wiped off." This is especially true with this dataset. Each death record represents somebody's loved one, often connected with a lifetime of memories and sometimes tragically too short.
Putting the sensitive nature of the topic aside, analyzing mortality data is essential to understanding the complex circumstances of death across the country. The US Government uses this data to determine life expectancy and understand how death in the U.S. differs from the rest of the world. Whether you’re looking for macro trends or analyzing unique circumstances, we challenge you to use this dataset to find your own answers to one of life’s great mysteries.
This dataset is a collection of CSV files each containing one year's worth of data and paired JSON files containing the code mappings, plus an ICD 10 code set. The CSVs were reformatted from their original fixed-width file formats using information extracted from the CDC's PDF manuals using this script. Please note that this process may have introduced errors as the text extracted from the pdf is not a perfect match. If you have any questions or find errors in the preparation process, please leave a note in the forums. We hope to publish additional years of data using this method soon.
A more detailed overview of the data can be found here. You'll find that the fields are consistent within this time window, but some of data codes change every few years. For example, the 113_cause_recode entry 069 only covers ICD codes (I10,I12) in 2005, but by 2015 it covers (I10,I12,I15). When I post data from years prior to 2005, expect some of the fields themselves to change as well.
All data comes from the CDC’s National Vital Statistics Systems, with the exception of the Icd10Code, which are sourced from the World Health Organization.
A database providing detailed mortality and population data to those interested in the history of human longevity. For each country, the database includes calculated death rates and life tables by age, time, and sex, along with all of the raw data (vital statistics, census counts, population estimates) used in computing these quantities. Data are presented in a variety of formats with regard to age groups and time periods. The main goal of the database is to document the longevity revolution of the modern era and to facilitate research into its causes and consequences. New data series is continually added to this collection. However, the database is limited by design to populations where death registration and census data are virtually complete, since this type of information is required for the uniform method used to reconstruct historical data series. As a result, the countries and areas included are relatively wealthy and for the most part highly industrialized. The database replaces an earlier NIA-funded project, known as the Berkeley Mortality Database. * Dates of Study: 1751-present * Study Features: Longitudinal, International * Sample Size: 37 countries or areas
The Human Mortality Database (HMD) was created to provide detailed mortality and population data to researchers, students, journalists, policy analysts, and others interested in the history of human longevity. The project began as an outgrowth of earlier projects in the Department of Demography at the University of California, Berkeley, USA, and at the Max Planck Institute for Demographic Research in Rostock, Germany (see history). It is the work of two teams of researchers in the USA and Germany (see research teams), with the help of financial backers and scientific collaborators from around the world (see acknowledgements).
The French Institute for Demographic Studies (INED) has also supported the further development of the database in recent years.
The Detailed Mortality - Underlying Cause of Death data on CDC WONDER are county-level national mortality and population data spanning the years 1999-2009. Data are based on death certificates for U.S. residents. Each death certificate contains a single underlying cause of death, and demographic data. The number of deaths, crude death rates, age-adjusted death rates, standard errors and 95% confidence intervals for death rates can be obtained by place of residence (total U.S., region, state, and county), age group (including infants and single-year-of-age cohorts), race (4 groups), Hispanic ethnicity, sex, year of death, and cause-of-death (4-digit ICD-10 code or group of codes, injury intent and mechanism categories, or drug and alcohol related causes), year, month and week day of death, place of death and whether an autopsy was performed. The data are produced by the National Center for Health Statistics.
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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.
Count of COVID-19-associated deaths by date of death. Deaths reported to either the OCME or DPH are included in the COVID-19 data. COVID-19-associated deaths include persons who tested positive for COVID-19 around the time of death and persons who were not tested for COVID-19 whose death certificate lists COVID-19 disease as a cause of death or a significant condition contributing to death.
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
Note the counts in this dataset may vary from the death counts in the other COVID-19-related datasets published on data.ct.gov, where deaths are counted on the date reported rather than the date of death.
Starting in July 2020, this dataset will be updated every weekday. Data are subject to future revision as reporting changes.
This dataset presents the age-adjusted death rates for the 10 leading causes of death in the United States beginning in 1999. Data are based on information from all resident death certificates filed in the 50 states and the District of Columbia using demographic and medical characteristics. Age-adjusted death rates (per 100,000 population) are based on the 2000 U.S. standard population. Populations used for computing death rates after 2010 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 non-census years before 2010 are revised using updated intercensal population estimates and may differ from rates previously published. Causes of death classified by the International Classification of Diseases, Tenth Revision (ICD–10) are ranked according to the number of deaths assigned to rankable causes. Cause of death statistics are based on the underlying cause of death. SOURCES 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. 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. Murphy SL, Xu JQ, Kochanek KD, Curtin SC, and Arias E. Deaths: Final data for 2015. National vital statistics reports; vol 66. no. 6. Hyattsville, MD: National Center for Health Statistics. 2017. Available from: https://www.cdc.gov/nchs/data/nvsr/nvsr66/nvsr66_06.pdf.
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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.
Death statistics (i) Number of Deaths for Different Sexes and Crude Death Rate for the Period from 1981 to 2023 (ii) Age-standardised Death Rate (Overall and by Sex) for the Period from 1981 to 2023 (iii) Age-specific Death Rate for Year 2013 and 2023 (iv) Death Rates by Leading Causes of Death for the Period from 2001 to 2023 (v) Number of Deaths by Leading Causes of Death for the Period from 2001 to 2023 (vi) Age-standardised Death Rates by Leading Causes of Death for the Period from 2001 to 2023 (vii) Late Foetal Mortality Rate for the Period from 1981 to 2023 (viii) Perinatal Mortality Rate for the Period from 1981 to 2023 (ix) Neonatal Mortality Rate for the Period from 1981 to 2023 (x) Infant Mortality Rate for the Period from 1981 to 2023 (xi) Number of Maternal Deaths for the Period from 1981 to 2023 (xii) Maternal Mortality Ratio for the Period from 1981 to 2023
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United States Excess Deaths: Above Expected: Alabama data was reported at 0.000 Number in 30 Oct 2021. This stayed constant from the previous number of 0.000 Number for 23 Oct 2021. United States Excess Deaths: Above Expected: Alabama data is updated weekly, averaging 0.000 Number from Jan 2017 (Median) to 30 Oct 2021, with 251 observations. The data reached an all-time high of 679.000 Number in 11 Sep 2021 and a record low of 0.000 Number in 30 Oct 2021. United States Excess Deaths: Above Expected: Alabama data remains active status in CEIC and is reported by Centers for Disease Control and Prevention. The data is categorized under Global Database’s United States – Table US.G010: Number of Excess Deaths: by States: All Causes (Discontinued).
A database based on a random sample of the noninstitutionalized population of the United States, developed for the purpose of studying the effects of demographic and socio-economic characteristics on differentials in mortality rates. It consists of data from 26 U.S. Current Population Surveys (CPS) cohorts, annual Social and Economic Supplements, and the 1980 Census cohort, combined with death certificate information to identify mortality status and cause of death covering the time interval, 1979 to 1998. The Current Population Surveys are March Supplements selected from the time period from March 1973 to March 1998. The NLMS routinely links geographical and demographic information from Census Bureau surveys and censuses to the NLMS database, and other available sources upon request. The Census Bureau and CMS have approved the linkage protocol and data acquisition is currently underway. The plan for the NLMS is to link information on mortality to the NLMS every two years from 1998 through 2006 with research on the resulting database to continue, at least, through 2009. The NLMS will continue to incorporate data from the yearly Annual Social and Economic Supplement into the study as the data become available. Based on the expected size of the Annual Social and Economic Supplements to be conducted, the expected number of deaths to be added to the NLMS through the updating process will increase the mortality content of the study to nearly 500,000 cases out of a total number of approximately 3.3 million records. This effort would also include expanding the NLMS population base by incorporating new March Supplement Current Population Survey data into the study as they become available. Linkages to the SEER and CMS datasets are also available. Data Availability: Due to the confidential nature of the data used in the NLMS, the public use dataset consists of a reduced number of CPS cohorts with a fixed follow-up period of five years. NIA does not make the data available directly. Research access to the entire NLMS database can be obtained through the NIA program contact listed. Interested investigators should email the NIA contact and send in a one page prospectus of the proposed project. NIA will approve projects based on their relevance to NIA/BSR''s areas of emphasis. Approved projects are then assigned to NLMS statisticians at the Census Bureau who work directly with the researcher to interface with the database. A modified version of the public use data files is available also through the Census restricted Data Centers. However, since the database is quite complex, many investigators have found that the most efficient way to access it is through the Census programmers. * Dates of Study: 1973-2009 * Study Features: Longitudinal * Sample Size: ~3.3 Million Link: *ICPSR: http://www.icpsr.umich.edu/icpsrweb/ICPSR/studies/00134
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The WHO mortality data was transformed into a corpus of mortality data in a standard relational database format that allows for easy data mining. The set includes corresponding population data, calculated mortality rates and an ICD-code reference table encompassing all years of ICD registration. The database can be downloaded and imported into a relational database or be combined with other epidemiological or demographic data. The easy of access of these data for researchers may be of great benefit to the research into global trends and causes of death.
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aIncludes all ICD-10 codes not assigned to one of the other categories; examples include diabetes mellitus, all gastrointestinal diseases, hematologic diseases, etc.bIncludes 333 deaths that did not have death certificate information because they were identified from Social Security records, but not from the national death index (NDI), plus a small number of individuals identified from the NDI whose death certificate data were insufficient to assign a cause of death.cOne subject in the comparator group developed MS post-entry into the study.MS, multiple sclerosis.
The New York Times is releasing a series of data files with cumulative counts of coronavirus cases in the United States, at the state and county level, over time. We are compiling this time series data from state and local governments and health departments in an attempt to provide a complete record of the ongoing outbreak.
Since late January, The Times has tracked cases of coronavirus in real time as they were identified after testing. Because of the widespread shortage of testing, however, the data is necessarily limited in the picture it presents of the outbreak.
We have used this data to power our maps and reporting tracking the outbreak, and it is now being made available to the public in response to requests from researchers, scientists and government officials who would like access to the data to better understand the outbreak.
The data begins with the first reported coronavirus case in Washington State on Jan. 21, 2020. We will publish regular updates to the data in this repository.
The National Death Index (NDI) is a centralized database of death record information on file in state vital statistics offices. Working with these state offices, the National Center for Health Statistics (NCHS) established the NDI as a resource to aid epidemiologists and other health and medical investigators with their mortality ascertainment activities. Assists investigators in determining whether persons in their studies have died and, if so, provide the names of the states in which those deaths occurred, the dates of death, and the corresponding death certificate numbers. Investigators can then make arrangements with the appropriate state offices to obtain copies of death certificates or specific statistical information such as manner of death or educational level. Cause of death codes may also be obtained using the NDI Plus service. Records from 1979 through 2011 are currently available and contain a standard set of identifying information on each death. Death records are added to the NDI file annually, approximately 12 months after the end of a particular calendar year. 2012 should be available summer 2014. Early Release Program for 2013 is now available. The NDI service is available to investigators solely for statistical purposes in medical and health research. The service is not accessible to organizations or the general public for legal, administrative, or genealogy purposes.