In 2022, the infant mortality rate in the United States was 5.4 out of every 1,000 live births. This is a significant decrease from 1960, when infant mortality was at around 26 deaths out of every 1,000 live births. What is infant mortality? The infant mortality rate is the number of deaths of babies under the age of one per 1,000 live births. There are many causes for infant mortality, which include birth defects, low birth weight, pregnancy complications, and sudden infant death syndrome. In order to decrease the high rates of infant mortality, there needs to be an increase in education and medicine so babies and mothers can receive the proper treatment needed. Maternal mortality is also related to infant mortality. If mothers can attend more prenatal visits and have more access to healthcare facilities, maternal mortality can decrease, and babies have a better chance of surviving in their first year. Worldwide infant mortality rates Infant mortality rates vary worldwide; however, some areas are more affected than others. Afghanistan suffered from the highest infant mortality rate in 2024, and the following 19 countries all came from Africa, with the exception of Pakistan. On the other hand, Slovenia had the lowest infant mortality rate that year. High infant mortality rates can be attributed to lack of sanitation, technological advancements, and proper natal care. In the United States, Massachusetts had the lowest infant mortality rate, while Mississippi had the highest in 2022. Overall, the number of neonatal and post neonatal deaths in the United States has been steadily decreasing since 1995.

Historical chart and dataset showing U.S. infant mortality rate by year from 1950 to 2025.

In 2022, the state of Mississippi had the highest infant mortality rate in the United States, with around 9.11 deaths per 1,000 live births. Infant mortality is the death of an infant before the age of one. The countries with the lowest infant mortality rates worldwide are Slovenia, Singapore, and Iceland. The countries with the highest infant mortality rates include Afghanistan, Somalia, and the Central African Republic. Causes of infant mortality Rates and causes of infant mortality are different depending on the country and region. However, the leading causes of neonatal deaths include preterm birth complications, intrapartum-related events, and sepsis. The leading causes of death among children aged 1 to 59 months are pneumonia, diarrhea, and injury. In the United States The infant mortality rate in the United States has decreased over the past few decades, reaching a low of 5.4 deaths per 1,000 live births in 2021. The most common causes of infant death in the United States are congenital malformations, low birth weight, and sudden infant death syndrome. In 2022, congenital malformations accounted for around 108 infant deaths per 100,000 live births.

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.

The infant mortality rate in the United States, for children under the age of one (twelve months), was 60 deaths per thousand births in 1935. Approximately six percent of children born in 1935 did not survive past their first birthday. Over the course of the next 85 years, this number has dropped significantly, and the rate has reached its lowest point ever in the period between 2015 and 2020, at six deaths per thousand births. Figures have been below ten since the 1990s.

Infant Mortality Rate by Maternal Race/Ethnicity for New York City, 2007-2016 Counts of infant deaths (age <1 year) are based on NYC death certificates. The rate is calculated using the counts of infant deaths as the numerator and the count of live births from NYC birth certificates as the denominator.

Graph and download economic data for Infant Mortality Rate for the United States (SPDYNIMRTINUSA) from 1960 to 2023 about mortality, infant, rate, and USA.

The average for 2021 based on 187 countries was 20 deaths per 1000 live births. The highest value was in Sierra Leone: 78 deaths per 1000 live births and the lowest value was in San Marino: 1 deaths per 1000 live births. The indicator is available from 1960 to 2022. Below is a chart for all countries where data are available.

United States US: Mortality Rate: Under-5: Female: per 1000 Live Births data was reported at 5.900 Ratio in 2016. This records a decrease from the previous number of 6.000 Ratio for 2015. United States US: Mortality Rate: Under-5: Female: per 1000 Live Births data is updated yearly, averaging 6.600 Ratio from Dec 1990 (Median) to 2016, with 5 observations. The data reached an all-time high of 9.900 Ratio in 1990 and a record low of 5.900 Ratio in 2016. United States US: Mortality Rate: Under-5: Female: per 1000 Live Births data remains active status in CEIC and is reported by World Bank. The data is categorized under Global Database’s USA – Table US.World Bank: Health Statistics. Under-five mortality rate, female is the probability per 1,000 that a newborn female baby will die before reaching age five, if subject to female age-specific mortality rates of the specified year.; ; Estimates Developed by the UN Inter-agency Group for Child Mortality Estimation (UNICEF, WHO, World Bank, UN DESA Population Division) at www.childmortality.org.; Weighted Average; Given that data on the incidence and prevalence of diseases are frequently unavailable, mortality rates are often used to identify vulnerable populations. Moreover, they are among the indicators most frequently used to compare socioeconomic development across countries. Under-five mortality rates are higher for boys than for girls in countries in which parental gender preferences are insignificant. Under-five mortality captures the effect of gender discrimination better than infant mortality does, as malnutrition and medical interventions have more significant impacts to this age group. Where female under-five mortality is higher, girls are likely to have less access to resources than boys.

This is a source dataset for a Let's Get Healthy California indicator at https://letsgethealthy.ca.gov/. Infant Mortality is defined as the number of deaths in infants under one year of age per 1,000 live births. Infant mortality is often used as an indicator to measure the health and well-being of a community, because factors affecting the health of entire populations can also impact the mortality rate of infants. Although California’s infant mortality rate is better than the national average, there are significant disparities, with African American babies dying at more than twice the rate of other groups. Data are from the Birth Cohort Files. The infant mortality indicator computed from the birth cohort file comprises birth certificate information on all births that occur in a calendar year (denominator) plus death certificate information linked to the birth certificate for those infants who were born in that year but subsequently died within 12 months of birth (numerator). Studies of infant mortality that are based on information from death certificates alone have been found to underestimate infant death rates for infants of all race/ethnic groups and especially for certain race/ethnic groups, due to problems such as confusion about event registration requirements, incomplete data, and transfers of newborns from one facility to another for medical care. Note there is a separate data table "Infant Mortality by Race/Ethnicity" which is based on death records only, which is more timely but less accurate than the Birth Cohort File. Single year shown to provide state-level data and county totals for the most recent year. Numerator: Infants deaths (under age 1 year). Denominator: Live births occurring to California state residents. Multiple years aggregated to allow for stratification at the county level. For this indicator, race/ethnicity is based on the birth certificate information, which records the race/ethnicity of the mother. The mother can “decline to state”; this is considered to be a valid response. These responses are not displayed on the indicator visualization.

United States US: Mortality Rate: Infant: Male: per 1000 Live Births data was reported at 6.000 Ratio in 2017. This records a decrease from the previous number of 6.200 Ratio for 2015. United States US: Mortality Rate: Infant: Male: per 1000 Live Births data is updated yearly, averaging 6.800 Ratio from Dec 1990 (Median) to 2017, with 5 observations. The data reached an all-time high of 10.400 Ratio in 1990 and a record low of 6.000 Ratio in 2017. United States US: Mortality Rate: Infant: Male: per 1000 Live Births data remains active status in CEIC and is reported by World Bank. The data is categorized under Global Database’s United States – Table US.World Bank.WDI: Health Statistics. Infant mortality rate, male is the number of male infants dying before reaching one year of age, per 1,000 male live births in a given year.; ; Estimates developed by the UN Inter-agency Group for Child Mortality Estimation (UNICEF, WHO, World Bank, UN DESA Population Division) at www.childmortality.org.; Weighted average; Given that data on the incidence and prevalence of diseases are frequently unavailable, mortality rates are often used to identify vulnerable populations. Moreover, they are among the indicators most frequently used to compare socioeconomic development across countries. Under-five mortality rates are higher for boys than for girls in countries in which parental gender preferences are insignificant. Under-five mortality captures the effect of gender discrimination better than infant mortality does, as malnutrition and medical interventions have more significant impacts to this age group. Where female under-five mortality is higher, girls are likely to have less access to resources than boys.

The child mortality rate in the United States, for children under the age of five, was 462.9 deaths per thousand births in 1800. This means that for every thousand babies born in 1800, over 46 percent did not make it to their fifth birthday. Over the course of the next 220 years, this number has dropped drastically, and the rate has dropped to its lowest point ever in 2020 where it is just seven deaths per thousand births. Although the child mortality rate has decreased greatly over this 220 year period, there were two occasions where it increased; in the 1870s, as a result of the fourth cholera pandemic, smallpox outbreaks, and yellow fever, and in the late 1910s, due to the Spanish Flu pandemic.

Infant mortality rates in the United States reveal significant disparities among racial and ethnic groups. In 2023, Black mothers faced the highest rate at nearly 11 deaths per 1,000 live births, more than double the rate for white mothers. This stark contrast persists despite overall improvements in healthcare and highlights the need for targeted interventions to address these inequalities. Birth rates and fertility trends While infant mortality rates vary, birth rates also differ across ethnicities. Native Hawaiian and Pacific Islander women had the highest fertility rate in 2022, with about 2,237.5 births per 1,000 women, far exceeding the national average of 1,656.5. In 2023, this group maintained the highest birth rate at 79 births per 1,000 women. Asian women, by contrast, had a much lower birth rate of around 50 per thousand women. These differences in fertility rates can impact overall population growth and demographic shifts within the United States. Hispanic birth trends and fertility decline The Hispanic population in the United States has experienced significant changes in birth trends over recent decades. In 2021, 885,916 babies were born to Hispanic mothers, with a birth rate of 14.1 per 1,000 of the Hispanic population. This represents a slight increase from the previous year. However, the fertility rate among Hispanic women has declined dramatically since 1990, dropping from 108 children per 1,000 women aged 15-44 to 63.4 in 2021. This decline aligns with broader trends of decreasing fertility rates in more industrialized nations.

This dataset of U.S. mortality trends since 1900 highlights childhood mortality rates by age group for age at death. 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). Age groups for childhood death rates are based on age at death. 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.

Rates are infants (under 1 year) and neonatal (under 28 days) deaths per 1,000 live births.

https://www.cdc.gov/nchs/data-visualization/mortality-trends/

This map shows the infant mortality rate and total number of infant deaths. This is shown by county, state, and country from the 2022 County Health Rankings. The national average is 5.7 deaths per 1,000.The data comes from the County Health Rankings 2022 layer. The County Health Rankings, a collaboration between the Robert Wood Johnson Foundation and the University of Wisconsin Population Health Institute, measure the health of nearly all counties in the nation and rank them within states. "By ranking the health of nearly every county in the nation, County Health Rankings & Roadmaps (CHR&R) illustrates how where we live affects how well and how long we live. CHR&R also shows what each of us can do to create healthier places to live, learn, work, and play – for everyone."Counties are ranked within their state on both health outcomes and health factors. Counties with a lower (better) health outcomes ranking than health factors ranking may see the health of their county decline in the future, as factors today can result in outcomes later. Conversely, counties with a lower (better) factors ranking than outcomes ranking may see the health of their county improve in the future.

This data collection consists of three data files, which can be used to determine infant mortality rates. The first file provides linked records of live births and deaths of children born in the United States in 1989 (residents and nonresidents). This file is referred to as the "Numerator" file. The second file consists of live births in the United States in 1989 and is referred to as the "Denominator-Plus" file. Variables include year of birth, state and county of birth, characteristics of the infant (age, sex, race, birth weight, gestation), characteristics of the mother (origin, race, age, education, marital status, state of birth), characteristics of the father (origin, race, age, education), pregnancy items (prenatal care, live births), and medical data. Beginning in 1989, a number of items were added to the U.S. Standard Certificate of Birth. These changes and/or additions led to the redesign of the linked file record layout for this series and to other changes in the linked file. In addition, variables from the numerator file have been added to the denominator file to facilitate processing, and this file is now called the "Denominator-Plus" file. The additional variables include age at death, underlying cause of death, autopsy, and place of accident. Other new variables added are infant death identification number, exact age at death, day of birth and death, and month of birth and death. The third file, the "Unlinked" file, consists of infant death records that could not be linked to their corresponding birth records.

The USA: Infant deaths per 1000 live births: The latest value from 2022 is 5 deaths per 1000 live births, unchanged from 5 deaths per 1000 live births in 2021. In comparison, the world average is 19 deaths per 1000 live births, based on data from 187 countries. Historically, the average for the USA from 1960 to 2022 is 12 deaths per 1000 live births. The minimum value, 5 deaths per 1000 live births, was reached in 2021 while the maximum of 26 deaths per 1000 live births was recorded in 1960.

This topic is no longer available in the NCHS Data Query System (DQS). Search, visualize, and download other estimates from over 120 health topics with DQS, available from: https://www.cdc.gov/nchs/dataquery/index.htm. Data on on average annual infant mortality rates in the United States and U.S. dependent areas, by race and Hispanic origin of mother, state, and territory. Data are from Health, United States. SOURCE: National Center for Health Statistics, National Vital Statistics System, Linked Birth/Infant Death Data Set.

In 2023, congenital malformations accounted for the largest portion of infant deaths in the United States. That year, there were around *** infant deaths from congenital malformations per 100,000 live births. The leading five causes of infant death in the U.S. were the same from 2019 to 2023.