In 2022, the leading causes of death for children aged one to four years in the United States were unintentional injuries and congenital malformations, deformations, and chromosomal abnormalities. At that time, around 31 percent of all deaths among these children were caused by unintentional injuries. Differences in causes of death among children by age Just as unintentional injuries are the leading cause of death among children aged one to four, it is also the leading cause of death for the age groups five to nine and 10 to 14. However, congenital malformations, deformations, and chromosomal abnormalities account for fewer deaths as children become older, while the share of deaths caused by cancer is higher among those aged five to nine and 10 to 14. In fact, cancer is the second leading cause of death among five to nine-year-olds, accounting for around 15 percent of all deaths. Sadly, the second leading cause of death among children aged 10 to 14 is intentional self-harm, with 13 percent of all deaths among those in this age group caused by suicide. Leading causes of death in the United States The leading causes of death in the United States are heart disease and malignant neoplasms. Together, these two diseases accounted for around 40 percent of all deaths in the United States in 2022. That year, COVID-19 was the fourth leading cause of death, with about six percent of all deaths caused by COVID-19. In 2022, the lifetime odds that the average person in the United States would die from heart disease was one in six, while the odds for cancer were one in seven and for COVID-19 one in 23.

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.

The leading causes of death among children aged 5 to 9 years in the United States in 2022 were unintentional injuries, cancer, and congenital malformations, deformations and chromosomal abnormalities. At that time, unintentional injuries accounted for around 28 percent of all deaths among this age group. Child abuse in the U.S. Sadly, assault or homicide, was the fourth leading cause of death among those aged 5 to 9 years in the United States in 2022, accounting for around 9.4 percent of all deaths. That year, there were around 113,259 cases of child abuse in the U.S. among children aged 6 to 9 years and 129,846 cases among children aged 2 to 5 years. In 2022, there were around 5.36 child deaths per day in the United States due to abuse and neglect. Suicide among children Assault or homicide was also among the top five leading causes of death among children aged 10 to 14 years, but perhaps even more troubling is that suicide is the second leading cause of death among this age group. As with younger children, unintentional injuries are the leading cause of death among those aged 10 to 14 years, however, suicide accounts for around 13 percent of all deaths among this age group. Comparatively, suicide is not among the ten-leading causes of death among children from the age 1 to 9 years.

Effective June 28, 2023, this dataset will no longer be updated. Similar data are accessible from CDC WONDER (https://wonder.cdc.gov/mcd-icd10-provisional.html).

Deaths involving coronavirus disease 2019 (COVID-19) with a focus on ages 0-18 years in the United States.

In 2023, about 5.39 children died each day of abuse and neglect in the United States. This is an increase from 1998, when about 3.13 children in the United States died each day due to abuse and neglect.

Over the last few years, gun violence in the United States has become an increasingly deadly public health crisis. In 2021, firearms were the leading cause of death for children and adolescents aged one to 19 years old for a second year in a row in the United States, with ***** deaths from firearms, which accounted for more deaths than car crashes and other diseases in that year. This is an increase from the previous year, when there were ***** deaths from firearms. Gun violence in the U.S. Along with a rise in gun-related deaths, the United States has been experiencing an overall increase in gun violence, including mass shootings, school shootings, and gun homicides. Not surprisingly, the United States has also reported in increase in gun sales, with the unit sales for firearms reaching a new high in recent years. A uniquely American problem Despite the rise of gun violence and gun-related deaths, guns remain easily accessible in the United States and gun control has become a divisive issue throughout the nation. However, gun control proponents often call attention to the uniquely American phenomenon of school shootings. Since 2018, the annual number of incidents involving firearms at K-12 schools in the U.S. reached over *** in each year, while similar incidents in other countries with strict gun laws are exceptionally rare.

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.

Canada CA: Number of Deaths Ages 5-14 Years data was reported at 385.000 Person in 2018. This records a decrease from the previous number of 401.000 Person for 2015. Canada CA: Number of Deaths Ages 5-14 Years data is updated yearly, averaging 408.000 Person from Dec 1990 (Median) to 2018, with 5 observations. The data reached an all-time high of 793.000 Person in 1990 and a record low of 385.000 Person in 2018. Canada CA: Number of Deaths Ages 5-14 Years data remains active status in CEIC and is reported by World Bank. The data is categorized under Global Database’s Canada – Table CA.World Bank.WDI: Social: Health Statistics. Number of deaths of children ages 5-14 years; ; Estimates developed by the UN Inter-agency Group for Child Mortality Estimation (UNICEF, WHO, World Bank, UN DESA Population Division) at www.childmortality.org.; Sum; Aggregate data for LIC, UMC, LMC, HIC are computed based on the groupings for the World Bank fiscal year in which the data was released by the UN Inter-agency Group for Child Mortality Estimation.

United States US: Number of Deaths Ages 5-9 Years data was reported at 2,476.000 Person in 2019. This records a decrease from the previous number of 2,507.000 Person for 2018. United States US: Number of Deaths Ages 5-9 Years data is updated yearly, averaging 2,876.000 Person from Dec 1990 (Median) to 2019, with 30 observations. The data reached an all-time high of 3,971.000 Person in 1990 and a record low of 2,390.000 Person in 2012. United States US: Number of Deaths Ages 5-9 Years 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. Number of deaths of children ages 5-9 years; ; Estimates developed by the UN Inter-agency Group for Child Mortality Estimation (UNICEF, WHO, World Bank, UN DESA Population Division) at www.childmortality.org.; Sum; Aggregate data for LIC, UMC, LMC, HIC are computed based on the groupings for the World Bank fiscal year in which the data was released by the UN Inter-agency Group for Child Mortality Estimation.

Data for CDC’s COVID Data Tracker site on Rates of COVID-19 Cases and Deaths by Vaccination Status. Click 'More' for important dataset description and footnotes

Dataset and data visualization details: These data were posted on October 21, 2022, archived on November 18, 2022, and revised on February 22, 2023. These data reflect cases among persons with a positive specimen collection date through September 24, 2022, and deaths among persons with a positive specimen collection date through September 3, 2022.

Vaccination status: A person vaccinated with a primary series had SARS-CoV-2 RNA or antigen detected on a respiratory specimen collected ≥14 days after verifiably completing the primary series of an FDA-authorized or approved COVID-19 vaccine. An unvaccinated person had SARS-CoV-2 RNA or antigen detected on a respiratory specimen and has not been verified to have received COVID-19 vaccine. Excluded were partially vaccinated people who received at least one FDA-authorized vaccine dose but did not complete a primary series ≥14 days before collection of a specimen where SARS-CoV-2 RNA or antigen was detected. Additional or booster dose: A person vaccinated with a primary series and an additional or booster dose had SARS-CoV-2 RNA or antigen detected on a respiratory specimen collected ≥14 days after receipt of an additional or booster dose of any COVID-19 vaccine on or after August 13, 2021. For people ages 18 years and older, data are graphed starting the week including September 24, 2021, when a COVID-19 booster dose was first recommended by CDC for adults 65+ years old and people in certain populations and high risk occupational and institutional settings. For people ages 12-17 years, data are graphed starting the week of December 26, 2021, 2 weeks after the first recommendation for a booster dose for adolescents ages 16-17 years. For people ages 5-11 years, data are included starting the week of June 5, 2022, 2 weeks after the first recommendation for a booster dose for children aged 5-11 years. For people ages 50 years and older, data on second booster doses are graphed starting the week including March 29, 2022, when the recommendation was made for second boosters. Vertical lines represent dates when changes occurred in U.S. policy for COVID-19 vaccination (details provided above). Reporting is by primary series vaccine type rather than additional or booster dose vaccine type. The booster dose vaccine type may be different than the primary series vaccine type. ** Because data on the immune status of cases and associated deaths are unavailable, an additional dose in an immunocompromised person cannot be distinguished from a booster dose. This is a relevant consideration because vaccines can be less effective in this group. Deaths: A COVID-19–associated death occurred in a person with a documented COVID-19 diagnosis who died; health department staff reviewed to make a determination using vital records, public health investigation, or other data sources. Rates of COVID-19 deaths by vaccination status are reported based on when the patient was tested for COVID-19, not the date they died. Deaths usually occur up to 30 days after COVID-19 diagnosis. Participating jurisdictions: Currently, these 31 health departments that regularly link their case surveillance to immunization information system data are included in these incidence rate estimates: Alabama, Arizona, Arkansas, California, Colorado, Connecticut, District of Columbia, Florida, Georgia, Idaho, Indiana, Kansas, Kentucky, Louisiana, Massachusetts, Michigan, Minnesota, Nebraska, New Jersey, New Mexico, New York, New York City (New York), North Carolina, Philadelphia (Pennsylvania), Rhode Island, South Dakota, Tennessee, Texas, Utah, Washington, and West Virginia; 30 jurisdictions also report deaths among vaccinated and unvaccinated people. These jurisdictions represent 72% of the total U.S. population and all ten of the Health and Human Services Regions. Data on cases among people who received additional or booster doses were reported from 31 jurisdictions; 30 jurisdictions also reported data on deaths among people who received one or more additional or booster dose; 28 jurisdictions reported cases among people who received two or more additional or booster doses; and 26 jurisdictions reported deaths among people who received two or more additional or booster doses. This list will be updated as more jurisdictions participate. Incidence rate estimates: Weekly age-specific incidence rates by vaccination status were calculated as the number of cases or deaths divided by the number of people vaccinated with a primary series, overall or with/without a booster dose (cumulative) or unvaccinated (obtained by subtracting the cumulative number of people vaccinated with a primary series and partially vaccinated people from the 2019 U.S. intercensal population estimates) and multiplied by 100,000. Overall incidence rates were age-standardized using the 2000 U.S. Census standard population. To estimate population counts for ages 6 months through 1 year, half of the single-year population counts for ages 0 through 1 year were used. All rates are plotted by positive specimen collection date to reflect when incident infections occurred. For the primary series analysis, age-standardized rates include ages 12 years and older from April 4, 2021 through December 4, 2021, ages 5 years and older from December 5, 2021 through July 30, 2022 and ages 6 months and older from July 31, 2022 onwards. For the booster dose analysis, age-standardized rates include ages 18 years and older from September 19, 2021 through December 25, 2021, ages 12 years and older from December 26, 2021, and ages 5 years and older from June 5, 2022 onwards. Small numbers could contribute to less precision when calculating death rates among some groups. Continuity correction: A continuity correction has been applied to the denominators by capping the percent population coverage at 95%. To do this, we assumed that at least 5% of each age group would always be unvaccinated in each jurisdiction. Adding this correction ensures that there is always a reasonable denominator for the unvaccinated population that would prevent incidence and death rates from growing unrealistically large due to potential overestimates of vaccination coverage. Incidence rate ratios (IRRs): IRRs for the past one month were calculated by dividing the average weekly incidence rates among unvaccinated people by that among people vaccinated with a primary series either overall or with a booster dose. Publications: Scobie HM, Johnson AG, Suthar AB, et al. Monitoring Incidence of COVID-19 Cases, Hospitalizations, and Deaths, by Vaccination Status — 13 U.S. Jurisdictions, April 4–July 17, 2021. MMWR Morb Mortal Wkly Rep 2021;70:1284–1290. Johnson AG, Amin AB, Ali AR, et al. COVID-19 Incidence and Death Rates Among Unvaccinated and Fully Vaccinated Adults with and Without Booster Doses During Periods of Delta and Omicron Variant Emergence — 25 U.S. Jurisdictions, April 4–December 25, 2021. MMWR Morb Mortal Wkly Rep 2022;71:132–138. Johnson AG, Linde L, Ali AR, et al. COVID-19 Incidence and Mortality Among Unvaccinated and Vaccinated Persons Aged ≥12 Years by Receipt of Bivalent Booster Doses and Time Since Vaccination — 24 U.S. Jurisdictions, October 3, 2021–December 24, 2022. MMWR Morb Mortal Wkly Rep 2023;72:145–152. Johnson AG, Linde L, Payne AB, et al. Notes from the Field: Comparison of COVID-19 Mortality Rates Among Adults Aged ≥65 Years Who Were Unvaccinated and Those Who Received a Bivalent Booster Dose Within the Preceding 6 Months — 20 U.S. Jurisdictions, September 18, 2022–April 1, 2023. MMWR Morb Mortal Wkly Rep 2023;72:667–669.

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.

India IN: Number of Deaths Ages 5-9 Years data was reported at 67,196.000 Person in 2019. This records a decrease from the previous number of 72,012.000 Person for 2018. India IN: Number of Deaths Ages 5-9 Years data is updated yearly, averaging 180,128.000 Person from Dec 1990 (Median) to 2019, with 30 observations. The data reached an all-time high of 310,340.000 Person in 1990 and a record low of 67,196.000 Person in 2019. India IN: Number of Deaths Ages 5-9 Years data remains active status in CEIC and is reported by World Bank. The data is categorized under Global Database’s India – Table IN.World Bank.WDI: Health Statistics. Number of deaths of children ages 5-9 years; ; Estimates developed by the UN Inter-agency Group for Child Mortality Estimation (UNICEF, WHO, World Bank, UN DESA Population Division) at www.childmortality.org.; Sum; Aggregate data for LIC, UMC, LMC, HIC are computed based on the groupings for the World Bank fiscal year in which the data was released by the UN Inter-agency Group for Child Mortality Estimation.

Number of infant deaths and infant mortality rates, by age group (neonatal and post-neonatal), 1991 to most recent year.

United States US: Probability of Dying at Age 5-14 Years: per 1000 Children Age 5 data was reported at 1.300 Ratio in 2016. This stayed constant from the previous number of 1.300 Ratio for 2015. United States US: Probability of Dying at Age 5-14 Years: per 1000 Children Age 5 data is updated yearly, averaging 1.300 Ratio from Dec 1990 (Median) to 2016, with 5 observations. The data reached an all-time high of 2.400 Ratio in 1990 and a record low of 1.300 Ratio in 2016. United States US: Probability of Dying at Age 5-14 Years: per 1000 Children Age 5 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. Probability of dying between age 5-14 years of age expressed per 1,000 children aged 5, if subject to 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;

In 2023, about 1,968 children died due to abuse or maltreatment in the United States. This is a slight decrease from the previous year, when 2,010 children died due to abuse or maltreatment across the country.

Algeria DZ: Number of Death: Under-5 data was reported at 20,295.000 Person in 2023. This records a decrease from the previous number of 21,138.000 Person for 2022. Algeria DZ: Number of Death: Under-5 data is updated yearly, averaging 38,838.000 Person from Dec 1960 (Median) to 2023, with 64 observations. The data reached an all-time high of 148,273.000 Person in 1970 and a record low of 20,295.000 Person in 2023. Algeria DZ: Number of Death: Under-5 data remains active status in CEIC and is reported by World Bank. The data is categorized under Global Database’s Algeria – Table DZ.World Bank.WDI: Social: Health Statistics. Number of children dying before reaching age five.;Estimates developed by the UN Inter-agency Group for Child Mortality Estimation (UNICEF, WHO, World Bank, UN DESA Population Division) at www.childmortality.org.;Sum;Aggregate data for LIC, UMC, LMC, HIC are computed based on the groupings for the World Bank fiscal year in which the data was released by the UN Inter-agency Group for Child Mortality Estimation.

Nepal NP: Number of Deaths Ages 5-9 Years data was reported at 1,675.000 Person in 2019. This records a decrease from the previous number of 1,748.000 Person for 2018. Nepal NP: Number of Deaths Ages 5-9 Years data is updated yearly, averaging 4,333.000 Person from Dec 1990 (Median) to 2019, with 30 observations. The data reached an all-time high of 10,265.000 Person in 1990 and a record low of 1,675.000 Person in 2019. Nepal NP: Number of Deaths Ages 5-9 Years data remains active status in CEIC and is reported by World Bank. The data is categorized under Global Database’s Nepal – Table NP.World Bank.WDI: Health Statistics. Number of deaths of children ages 5-9 years; ; Estimates developed by the UN Inter-agency Group for Child Mortality Estimation (UNICEF, WHO, World Bank, UN DESA Population Division) at www.childmortality.org.; Sum; Aggregate data for LIC, UMC, LMC, HIC are computed based on the groupings for the World Bank fiscal year in which the data was released by the UN Inter-agency Group for Child Mortality Estimation.

Greece GR: Number of Deaths Ages 5-14 Years data was reported at 114.000 Person in 2017. This records a decrease from the previous number of 118.000 Person for 2015. Greece GR: Number of Deaths Ages 5-14 Years data is updated yearly, averaging 128.000 Person from Dec 1990 (Median) to 2017, with 5 observations. The data reached an all-time high of 276.000 Person in 1990 and a record low of 114.000 Person in 2017. Greece GR: Number of Deaths Ages 5-14 Years data remains active status in CEIC and is reported by World Bank. The data is categorized under Global Database’s Greece – Table GR.World Bank.WDI: Health Statistics. Number of deaths of children ages 5-14 years; ; Estimates developed by the UN Inter-agency Group for Child Mortality Estimation (UNICEF, WHO, World Bank, UN DESA Population Division) at www.childmortality.org.; Sum;

Analysis of ‘NCHS - Childhood Mortality Rates’ provided by Analyst-2 (analyst-2.ai), based on source dataset retrieved from https://catalog.data.gov/dataset/4fac8ca5-81eb-485a-8766-bb3d8c03db36 on 27 January 2022.

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

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

1. 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.

2. 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.

3. 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.

4. 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.

5. National Center for Health Statistics. Historical Data, 1900-1998. 2009. Available from: https://www.cdc.gov/nchs/nvss/mortality_historical_data.htm.

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

Germany DE: Number of Deaths Ages 5-14 Years data was reported at 535.000 Person in 2018. This records a decrease from the previous number of 577.000 Person for 2015. Germany DE: Number of Deaths Ages 5-14 Years data is updated yearly, averaging 692.000 Person from Dec 1990 (Median) to 2018, with 5 observations. The data reached an all-time high of 1,597.000 Person in 1990 and a record low of 535.000 Person in 2018. Germany DE: Number of Deaths Ages 5-14 Years data remains active status in CEIC and is reported by World Bank. The data is categorized under Global Database’s Germany – Table DE.World Bank.WDI: Social: Health Statistics. Number of deaths of children ages 5-14 years; ; Estimates developed by the UN Inter-agency Group for Child Mortality Estimation (UNICEF, WHO, World Bank, UN DESA Population Division) at www.childmortality.org.; Sum; Aggregate data for LIC, UMC, LMC, HIC are computed based on the groupings for the World Bank fiscal year in which the data was released by the UN Inter-agency Group for Child Mortality Estimation.