Rank, number of deaths, percentage of deaths, and age-specific mortality rates for the leading causes of death, by age group and sex, 2000 to most recent year.

In the United States in 2021, the death rate was highest among those aged 85 and over, with about 17,190.5 men and 14,914.5 women per 100,000 of the population passing away. For all ages, the death rate was at 1,118.2 per 100,000 of the population for males, and 970.8 per 100,000 of the population for women. The death rate Death rates generally are counted as the number of deaths per 1,000 or 100,000 of the population and include both deaths of natural and unnatural causes. The death rate in the United States had pretty much held steady since 1990 until it started to increase over the last decade, with the highest death rates recorded in recent years. While the birth rate in the United States has been decreasing, it is still currently higher than the death rate. Causes of death There are a myriad number of causes of death in the United States, but the most recent data shows the top three leading causes of death to be heart disease, cancers, and accidents. Heart disease was also the leading cause of death worldwide.

Leading causes of injury death (by percentage) by sex, race/ethnicity, age; trends if available. Source: Santa Clara County Public Health Department, VRBIS, 2007-2016. Data as of 05/26/2017.METADATA:Notes (String): Lists table title, notes and sourcesYear (Numeric): Year of dataCategory (String): Lists the category representing the data: Santa Clara County is for total population, sex: Male and Female, race/ethnicity: African American, Asian/Pacific Islander, Latino and White (non-Hispanic White only); age categories as follows: <1, 1 to 14, 15 to 24, 25 to 44, 45 to 64, 65 and older.Causes of injury death (String): Leading causes of injury deathPercent (Numeric): Percentage is the number of injury deaths from specified cause per 100 deaths in a year

Since the 1950s, the suicide rate in the United States has been significantly higher among men than women. In 2022, the suicide rate among men was almost four times higher than that of women. However, the rate of suicide for both men and women has increased gradually over the past couple of decades. Facts on suicide in the United States In 2022, the rate of suicide death in the United States was around 14 per 100,000 population. The suicide rate in the U.S. has generally increased since the year 2000, with the highest rates ever recorded in the years 2018 and 2022. In the United States, death rates from suicide are highest among those aged 45 to 64 years and lowest among younger adults aged 15 to 24. The states with the highest rates of suicide are Montana, Alaska, and Wyoming, while New Jersey and Massachusetts have the lowest rates. Suicide among men In 2023, around 4.5 percent of men in the United States reported having serious thoughts of suicide in the past year. Although this rate is lower than that of women, men still have a higher rate of suicide death than women. One reason for this may have to do with the method of suicide. Although firearms account for the largest share of suicide deaths among both men and women, firearms account for almost 60 percent of all suicides among men and just 35 percent among women. Suffocation and poisoning are the other most common methods of suicide among women, with the chances of surviving a suicide attempt from these methods being much higher than surviving an attempt by firearm. The age group with the highest rate of suicide death among men is by far those aged 75 years and over.

US Death Rates by Age and Cause

Study why are people dying

About this dataset

Data on death rates in the United States in by age and cause of death. At the bottom of the table, some of the columns are a little out of whack but if you download the file, you should be able to make out all the numbers and information

How to use the dataset

Looking at death rates in the United States can be a sobering experience, but it can also be a helpful way to see where our country needs to focus its efforts in terms of public health. This dataset contains information on death rates in the United States in 2014, by age and cause of death. This can be used to help identify which age groups are most at risk for certain causes of death, and what factors may contribute to those risks

Research Ideas

• Find out what age group is dying the most and why.
• Compare death rates from different causes of death.
• Find out which states have the highest death rates

Acknowledgements

License

Unknown License - Please check the dataset description for more information.

Columns

File: 2014 Death Rates by Age & Cause.csv | Column name | Description | |:-------------------------------------|:------------------------------------------------------------------------------------------------------------------------------------------| | Cause of death (based on ICD–10) | The cause of death that the row represents. This is given as a code based on the International Classification of Diseases (ICD). (String) | | All ages1 | The number of deaths due to the given cause in the given age group.(Integer) | | Under 1 year2 | The number of deaths due to the given cause in the given age group.(Integer) | | 1–4 | The number of deaths due to the given cause in the given age group.(Integer) | | 5–14 | The number of deaths due to the given cause in the given age group.(Integer) | | 15–24 | The number of deaths due to the given cause in the given age group.(Integer) | | 25–34 | The number of deaths due to the given cause in the given age group.(Integer) | | 35–44 | The number of deaths due to the given cause in the given age group.(Integer) | | 45–54 | The number of deaths due to the given cause in the given age group.(Integer) | | 55–64 | The number of deaths due to the given cause in the given age group.(Integer) | | 65–74 | The number of deaths due to the given cause in the given age group.(Integer) | | 75–84 | The number of deaths due to the given cause in the given age group.(Integer) | | 85 and over | The number of deaths due to the given cause in the given age group.(Integer) |

Number of deaths and mortality rates, by age group, sex, and place of residence, 1991 to most recent year.

The leading causes of death among Black residents in the United States in 2023 included diseases of the heart, cancer, unintentional injuries, and stroke. The leading causes of death for African Americans generally reflect the leading causes of death for the entire United States population. However, a major exception is that death from assault or homicide is the seventh leading cause of death among African Americans but is not among the ten leading causes for the general population. Homicide among African Americans The homicide rate among African Americans has been higher than that of other races and ethnicities for many years. In 2023, around 9,284 Black people were murdered in the United States, compared to 7,289 white people. A majority of these homicides are committed with firearms, which are easily accessible in the United States. In 2023, around 13,350 Black people died by firearms. Cancer disparities There are also major disparities in access to health care and the impact of various diseases. For example, the incidence rate of cancer among African American males is the greatest among all ethnicities and races. Furthermore, although the incidence rate of cancer is lower among African American women than it is among white women, cancer death rates are still higher among African American women.

Among men in the United States, those aged 75 years and older have the highest death rate from suicide among all age groups. In 2023, the suicide death rate among men aged 75 years and older was 40.7 per 100,000 population. In comparison, the death rate from suicide among men aged 25 to 44 years was 29.8 per 100,000. Suicide is a significant problem in the United States, with rates increasing over the past decade. Suicide among men In the United States, the suicide rate among men is almost four times higher than that of women. In 2022, the rate of suicide among U.S. men was 23 per 100,000 population, the highest rate recorded over the past 70 years. Firearms account for the vast majority of suicide deaths among men, accounting for around 60 percent of male suicides in 2021. The reasons why U.S. men have higher rates of suicide than women are complex and not fully understood, but may have to do with the more violent means by which men carry out suicide and the stigma around seeking help for mental health issues. Suicide among women Although the suicide rate among women in the U.S. is significantly lower than that of men, the rate of suicide among women has increased over the past couple of decades. Among women, those aged 45 to 64 years have the highest death rates due to suicide, followed by women 25 to 44 years old. Interestingly, the share of women reporting serious thoughts of suicide in the past year is higher than that of men, with around 5.5 percent of U.S. women reporting such thoughts in 2023. Similarly to men, firearms account for most suicide deaths among women, however suffocation and poisoning account for a significant share of suicides among women. In 2021, around 35 percent of suicides among women were carried out by firearms, while suffocation and poisoning each accounted for around 28 percent of suicide deaths.

ABSTRACT CONTEXT AND OBJECTIVE: Chronic diseases are the main cause of death among adults and are responsible for most outpatient and hospital care expenses in Brazil. The objective here was to determine the prevalence of hypertension and diabetes and to analyze the associations with risk and protection factors among adults. DESIGN AND LOCAL: Cross-sectional study in a state capital in northeastern Brazil. METHODS: Data on adults of both sexes aged ≥ 45 years who were interviewed in the Vigitel telephone survey in 2014 were analyzed. Prevalence ratios were estimated using Poisson regression, to identify associated factors. RESULTS: Among women, the prevalence of hypertension was 48.4% and of diabetes, 12.7%; among men, the prevalences were 41.9% and 13.8%, respectively. Multivariate analysis showed that for women, age group ≥ 65 years, overweight, self-assessed poor health and dyslipidemia remained associated with higher prevalence of hypertension. For men, overweight and self-assessed poor health remained associated with higher prevalence of hypertension. Regarding diabetes, in the multivariate model for women, age group 55-64 years, schooling level between zero and four years and no regular consumption of beans remained associated with higher prevalence. For men, age groups 55-64 years and ≥ 65 years and being married or in a stable partnership were associated with higher prevalence of diabetes. CONCLUSIONS: The results indicated that the prevalences of hypertension and diabetes were high and that preventable factors were associated with this situation, thus providing support for public policies aimed towards coping with this.

It is only in the past two centuries where demographics and the development of human populations has emerged as a subject in its own right, as industrialization and improvements in medicine gave way to exponential growth of the world's population. There are very few known demographic studies conducted before the 1800s, which means that modern scholars have had to use a variety of documents from centuries gone by, along with archeological and anthropological studies, to try and gain a better understanding of the world's demographic development. Genealogical records One such method is the study of genealogical records from the past; luckily, there are many genealogies relating to European families that date back as far as medieval times. Unfortunately, however, all of these studies relate to families in the upper and elite classes; this is not entirely representative of the overall population as these families had a much higher standard of living and were less susceptible to famine or malnutrition than the average person (although elites were more likely to die during times of war). Nonetheless, there is much to be learned from this data. Impact of the Black Death In the centuries between 1200 and 1745, English male aristocrats who made it to their 21st birthday were generally expected to live to an age between 62 and 72 years old. The only century where life expectancy among this group was much lower was in the 1300s, where the Black Death caused life expectancy among adult English noblemen to drop to just 45 years. Experts assume that the pre-plague population of England was somewhere between four and seven million people in the thirteenth century, and just two million in the fourteenth century, meaning that Britain lost at least half of its population due to the plague. Although the plague only peaked in England for approximately eighteen months, between 1348 and 1350, it devastated the entire population, and further outbreaks in the following decades caused life expectancy in the decade to drop further. The bubonic plague did return to England sporadically until the mid-seventeenth century, although life expectancy among English male aristocrats rose again in the centuries following the worst outbreak, and even peaked at more than 71 years in the first half of the sixteenth century.

Since 1789, the United States has had 45 different men serve as president, of which five are still alive today. At 78 years and two months, Joe Biden became the oldest man to ascend to the presidency for the first time in 2021, however Donald Trump was older when he re-entered the White House, at 78 years and seven months. Eight presidents have died while in office, including four who were assassinated by gunshot, and four who died of natural causes. The president who died at the youngest age was John F. Kennedy, who was assassinated at 46 years old in Texas in 1963; Kennedy was also the youngest man ever elected to the office of president. The longest living president in history is Jimmy Carter, who celebrated his 100th birthday in just before his death in 2024. The youngest currently-living president is Barack Obama, who turned 63 in August 2024. Coincidentally, presidents Clinton, Bush Jr., and Trump were all born within 66 days of one another, between June and August 1946. George Washington The U.S.' first president, George Washington, died after developing a severe inflammation of the throat, which modern scholars suspect to have been epiglottitis. However, many suspect that it was the treatments used to treat this illness that ultimately led to his death. After spending a prolonged period in cold and wet weather, Washington fell ill and ordered his doctor to let one pint of blood from his body. As his condition deteriorated, his doctors removed a further four pints in an attempt to cure him (the average human has between eight and twelve pints of blood in their body). Washington passed away within two days of his first symptoms showing, leading many to believe that this was due to medical malpractice and not due to the inflammation in his throat. Bloodletting was one of the most common and accepted medical practices from ancient Egyptian and Greek times until the nineteenth century, when doctors began to realize how ineffective it was; today, it is only used to treat extremely rare conditions, and its general practice is heavily discouraged. Zachary Taylor Another rare and disputed cause of death for a U.S. president was that of Zachary Taylor, who died sixteen months into his first term in office. Taylor had been celebrating the Fourth of July in the nation's capital in 1850, where he began to experience stomach cramps after eating copious amounts of cherries, other fruits, and iced milk. As his condition worsened, he drank a large amount of water in an attempt to alleviate his symptoms, but to no avail. Taylor died of gastroenteritis five days later, after being treated with a heavy dose of drugs and bloodletting. The most commonly accepted theories for his illness are that the ice used in the milk and the water consumed afterwards were contaminated with cholera, and that this was further exacerbated by the large amounts of acid in his system from eating so much fruit. There are some suggestions that recovery was feasible, but the actions of his doctors had made this impossible. Additionally, there have been conspiracy theories suggesting that Taylor was poisoned by pro-slavery secessionists from the Southern States, although there appears to be no evidence to back this up.

IntroductionOptimal management of critically ill HIV-positive patients during hospitalization and after discharge is not fully understood. This study describes patient characteristics and outcomes of critically ill HIV-positive patients hospitalized in Conakry, Guinea between August 2017 and April 2018 at discharge and 6 months post-discharge.MethodsWe carried out a retrospective observational cohort study using routine clinical data. Analytic statistics were used to describe characteristics and outcomes.Results401 patients were hospitalized during the study period, 230 (57%) were female, median age was 36 (IQR: 28–45). At admission, 229 patients (57%) were on ART, median CD4 was 64 cells/mm3, 166 (41%) had a VL >1000 copies/ml, and 97 (24%) had interrupted treatment. 143 (36%) patients died during hospitalisation. Tuberculosis was the major cause of death for 102 (71%) patients. Of 194 patients that were followed after hospitalization a further 57 (29%) were lost-to-follow-up (LTFU) and 35 (18%) died, 31 (89%) of which had a TB diagnosis. Of all patients who survived a first hospitalisation, 194 (46%) were re-hospitalised at least once more. Amongst those LTFU, 34 (59%) occurred immediately after hospital discharge.ConclusionOutcomes for critically ill HIV-positive patients in our cohort were poor. We estimate that 1-in-3 patients remained alive and in care 6 months after their hospital admission. This study shows the burden of disease on a contemporary cohort of patients with advanced HIV in a low prevalence, resource limited setting and identifies multiple challenges in their care both during hospitalisation as well as during and after re-transitioning to ambulatory care.

Abstract

The 1999 Nigeria Demographic and Health Survey (NDHS) is a nationally representative survey of 8,199 women age 15-49 and 3,082 men age 15-64, designed to provide information on levels and trends of fetility, family planning practice, maternal and child health, infant and child mortality, and maternal mortality, as well as awareness of HIV/AIDS and other sexually transmitted diseases (STDs) and female circumcision. Fieldwork for the survey took place between March and May 1999.

OBJECTIVES

The main objective of the 1999 Nigeria Demographic and Health Survey (NDHS) is to provide up-to-date information on reality and childhood mortality levels; nuptiality; fertility preferences; awareness, approval, and use of family planning methods; breastfeeding practices; nutrition levels; and maternal and child health. This information is intended to assist policymakers and administrators in evaluating and designing programmes and strategies for improving health and family planning services in Nigeria.

MAIN RESULTS

Fertility

The total fertility rate during the five years before the survey is 5.2 births per woman. This shows a drop from the level of 6.0 births per woman as reported in the 1990 NDHS and 5.4 from the 1994 Sentinel Survey. The total fertility rate may, however be higher due to evidence that some births were probably omitted in the data. Fertility is substantially higher in the Northeast and Northwest regions and lower in the Southeast, Southwest, and Central regions. Fertility rates are also lower for more educated women.

Childbearing begins early in Nigeria, with about half of women 25 years and above becoming mothers before reaching the age of 20. The median age at first birth is 20.

The level of teenage childbearing has declined somewhat, with the proportion of girls age 15-19 who have either given birth or are pregnant with their first child declining from 28 percent in 1990 to 22 percent in 1999.

Teenage childbearing is higher in rural than urban areas and for those with no education than those with education.

The data from the survey indicate that there is a strong desire for children and a preference for large families with 66 percent of married women and 71 percent of married men indicating a desire to have more children. Even among those with six or more children, 30 percent of married women and 55 percent of married men want to have more children. This indicates a decline for women from the 35 percent reported in the 1990 NDHS. Overall, women report a mean ideal number of children of 6.2, compared with 7.8 children for men.

Despite the increasing level of contraceptive use, the 1999 NDHS data show that unplanned pregnancies are common, with almost one in five births reported to be unplanned. Most of these (16 percent of births) are mistimed (wanted later), while 3 percent were unwanted at all.

Family Planning

Knowledge about family planning methods is increasing in Nigeria, with about 65 percent of all women and 82 percent of all men having heard of at least one method of contraception.

Among women, the pill is the best known method (53 percent) while among men, the condom is the best known method (70 percent). Radio is a main source of information about family planning, with 35 percent of women and 61 percent of men reporting that they heard a family planning message on the radio in the few months before interview. The proportions of women and men who have seen a television message are 23 and 40 percent, respectively. Only 17 percent of women had seen a family planning message in the print media.

The contraceptive prevalence rate in Nigeria has also increased, with 15 percent of married women and 32 percent of married men now using some method of family planning. The use of modem methods is lower at 9 percent for married women and 14 percent for men. Although traditional contraceptive methods are not actively promoted, their use is relatively high with about 6 percent of married women and 17 percent of married men reporting that they are using periodic abstinence or withdrawal. In 1990, only 6 percent of married women were using any method, with only 4 percent using a modern method.

There are significant differentials in levels of family planning use. Urban women and men are much more likely to be using a method than rural respondents. Current use among married women is higher in the Southwest regions (26 percent), Southeast (24 percent), and Central (18 percent) regions than in the Northwest and Northeast (3 percent each). The largest differences occur by educational attainment. Only 6 percent of married women with no education are using a method of contraception, compared with 45 percent of those with more than secondary school.

Users of modern contraception are almost as likely to obtain their methods from government as private sources. Forty-three percent of users obtain their methods from the public sector--mostly government hospitals and health centres--while 43 percent use private medical sources such as pharmacies and private hospitals and clinics; 8 percent get their methods from other private sources like friends, relatives, shops and non-governmental organisations.

Maternal Health

The results of the survey show that antenatal care is not uncommon in Nigeria, with mothers receiving antenatal check-ups from either a doctor, nurse or midwife for two out of three births in the three years preceding the survey. However, the content of antenatal care visits appears to be lacking in at least one respect: survey data indicate deficiencies in tetanus toxoid coverage during pregnancy. Mothers reported receiving the recommended two doses of tetanus toxoid for only 44 percent of births and one dose for I 1 percent of births. Almost 40 percent of births occurred without the benefit of a tetanus vaccination.

In Nigeria, home deliveries are still very common, with almost three in five births delivered at home. Compared with 1990, the proportion of home deliveries has declined, with more births now taking place in health facilities. Increasing the proportion of births occurring in facilities is important since they can be attended by medically trained personnel which can result in fewer maternal deaths and delivery complications. Currently, 42 percent of births are attended by doctors, nurses or midwives.

The 1999 NDHS data show that about one in four Nigerian women age 15-49 reported being circumcised. The practice of female genital cutting is more prevalent in the south and central parts of the country and is almost non-existent in the north.

Child Health

The 1999 NDHS data indicate a decline in childhood vaccination coverage, with the proportion of children fully immunised dropping from 30 percent of children age 12-23 months in 1990 to only 17 percent in 1999. Only a little over half of young children receive the BCG vaccine and the first doses of DPT and polio vaccines. Almost 40 percent of children have not received any vaccination.

Diarrhoea and respiratory illness are common causes of childhood death. In the two weeks before the survey, 11 percent of children under three years of age were ill with acute respiratory infections (ARI) and 15 percent had diarrhoea. Half of children with ARI and 37,percent of those with diarrhoea were taken to a health facility for treatment. Of all the children with diarrhoea, 34 percent were given fluid prepared from packets of oral rehydralion salts (ORS) and 38 percent received a home-made sugar-salt solution.

The infant mortality rate for the five-year period before the survey (early 1994 to early 1999) is 75 per thousand live births. The under-five mortality is 140 deaths per 1,000 births, which means that one in seven children born in Nigeria dies before reaching his/her fifth birthday. However, both these figures are probably considerably higher in reality since an in-depth examination of the data from the birth histories reported by women in the NDHS shows evidence of omission of births and deaths. For this reason, the dramatic decline observed in childhood mortality between the 1990 and 1999 NDHS surveys needs to be viewed with considerably skepticism. Based on the reported birth history information, the infant mortality rate fell from 87 to 75 deaths per 1,000 births, while the under-five mortality rate dropped from 192 to 140.

Problems with the overall levels of reported mortality are unlikely to severely affect differentials in childhood mortality. As expected, mother's level of education has a major effect on infant and child mortality. Whereas the lowest infant mortality rate was reported among children of mothers with post- secondary education (41 per thousand live births), the corresponding figure among infants of mothers with no schooling is 77 per thousand live births.

Data were also collected in the NDHS on the availability of various health services. The data indicate that the vast majority of Nigerian households live within five kilometres of a health facility, with health centres being the closest, followed by clinics and hospitals.

Breasffeeding and Nutrition

Breastfeeding is widely practiced in Nigeria, with 96 percent of children being breastfed. The median duration of breastfeeding is 19 months. Although it is recommended that children be exclusively breastfed with no supplements for the first 4 to 6 months, only 20 percent of children 0-3 months are exclusively breasffed, as are 8 percent of children 4-6 months. Two-thirds of children 4-6 months are being given supplements in addition to breast milk.

In the NDHS, interviewers weighed and measured children under three born to women who were interviewed. Unfortunately, data were either missing or implausible for more than half of these children. Of the half with plausible data, 46 percent of children under 3 are classified as stunted (low height-for-age), 12 percent are wasted (low

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.

In England and Wales, the definition of suicide is a death with an underlying cause of intentional self-harm or an injury or poisoning with undetermined intent. In 2023, the age group with the highest rate of suicide was for those aged 50 to 54 years at 16 deaths per 100,000. The age groups 45 to 49 years with 15.9 deaths per 100,000 population had the second highest highest rate of suicides in the UK. Gender difference in suicides The suicide rate among men in England and Wales in 2023 was around three times higher than for women, the figures being 17.4 per 100,000 population for men compared to 5.7 for women. Although among both genders, the suicide rate increased in 2023 compared to 2022. Mental health in the UK Over 53 thousand people in England were detained under the Mental Health Act in the period 2020/21. Alongside this, there has also been an increase in the number of workers in Great Britain suffering from stress, depression or anxiety. In 2022/23, around 875 thousand workers reported to be suffering from these work-related issues.

BackgroundThere is little systematic assessment of how total health expenditure is distributed across diseases and comorbidities. The objective of this study was to use statistical methods to disaggregate all publicly funded health expenditure by disease and comorbidities in order to answer three research questions: (1) What is health expenditure by disease phase for noncommunicable diseases (NCDs) in New Zealand? (2) Is the cost of having two NCDs more or less than that expected given the independent costs of each NCD? (3) How is total health spending disaggregated by NCDs across age and by sex?Methods and findingsWe used linked data for all adult New Zealanders for publicly funded events, including hospitalisation, outpatient, pharmaceutical, laboratory testing, and primary care from 1 July 2007 to 30 June 2014. These data include 18.9 million person-years and $26.4 billion in spending (US$ 2016). We used case definition algorithms to identify if a person had any of six NCDs (cancer, cardiovascular disease [CVD], diabetes, musculoskeletal, neurological, and a chronic lung/liver/kidney [LLK] disease). Indicator variables were used to identify the presence of any of the 15 possible comorbidity pairings of these six NCDs. Regression was used to estimate excess annual health expenditure per person. Cause deletion methods were used to estimate total population expenditure by disease. A majority (59%) of health expenditure was attributable to NCDs. Expenditure due to diseases was generally highest in the year of diagnosis and year of death. A person having two diseases simultaneously generally had greater health expenditure than the expected sum of having the diseases separately, for all 15 comorbidity pairs except the CVD-cancer pair. For example, a 60–64-year-old female with none of the six NCDs had $633 per annum expenditure. If she had both CVD and chronic LLK, additional expenditure for CVD separately was $6,443/$839/$9,225 for the first year of diagnosis/prevalent years/last year of life if dying of CVD; additional expenditure for chronic LLK separately was $6,443/$1,291/$9,051; and the additional comorbidity expenditure of having both CVD and LLK was $2,456 (95% confidence interval [CI] $2,238–$2,674). The pattern was similar for males (e.g., additional comorbidity expenditure for a 60–64-year-old male with CVD and chronic LLK was $2,498 [95% CI $2,264–$2,632]). In addition to this, the excess comorbidity costs for a person with two diseases was greater at younger ages, e.g., excess expenditure for 45–49-year-old males with CVD and chronic LLK was 10 times higher than for 75–79-year-old males and six times higher for females. At the population level, 23.8% of total health expenditure was attributable to higher costs of having one of the 15 comorbidity pairs over and above the six NCDs separately; of the remaining expenditure, CVD accounted for 18.7%, followed by musculoskeletal (16.2%), neurological (14.4%), cancer (14.1%), chronic LLK disease (7.4%), and diabetes (5.5%). Major limitations included incomplete linkage to all costed events (although these were largely non-NCD events) and missing private expenditure.ConclusionsThe costs of having two NCDs simultaneously is typically superadditive, and more so for younger adults. Neurological and musculoskeletal diseases contributed the largest health system costs, in accord with burden of disease studies finding that they contribute large morbidity. Just as burden of disease methodology has advanced the understanding of disease burden, there is a need to create disease-based costing studies that facilitate the disaggregation of health budgets at a national level.