The National NNHLA Audit (NNHLA) determines whether the care received by people diagnosed with non-Hodgkin lymphoma in England and Wales is consistent with current recommended practice and provides information to support healthcare providers, commissioners and regulators in helping improve care. The NNHLA reports a set of process and outcome measures that cover important aspects of the care pathway for people diagnosed with non-Hodgkin lymphoma.

This first State of the Nation report provides an overview of the pattern of care and outcomes for people diagnosed with non-Hodgkin lymphoma between January 2020 to December 2021 in England, and January 2022 to December 2022 in Wales.

The National Kidney Cancer Audit (NKCA) aims to evaluate the patterns of care and outcomes for people with kidney cancer in England and Wales, using routinely collected data and to support services to improve their care quality.

This State of the Nation report aims to help NHS organisations to benchmark their kidney cancer care against measurable standards, to identify unwarranted variation in measures of processes and outcomes, and to describe national levels and patterns of these measures in England and Wales.

The performance indicators include people diagnosed with kidney cancer between January 2017 to December 2021 in England using the National Cancer Registration Dataset (NCRD), and January 2022 to December 2022 in Wales. It reports on eight performance indicators for England and four for Wales outlined in the NKCA Quality Improvement Plan 2024. The report also describes the national picture and variation between NHS trusts in England/Health Boards in Wales.

For the national picture sections, we use the most recently available data in England from the Rapid Cancer Registration Dataset (RCRD) reporting on people diagnosed between 1st January 2019 and 30th September 2023, and in Wales between 1st January 2022 and 31st December 2022.

The National Ovarian Cancer Audit (NOCA) aims to evaluate the patterns of care and outcomes for women with ovarian cancer in England and Wales, and to support services to improve the quality of care for these women.

This State of the Nation report publishes information on the care received by 5,735 women diagnosed with ovarian cancer in England in 2021 and by 293 women diagnosed in Wales in 2022.

The aim of the National Audit of Primary Breast Cancer (NAoPri) is to evaluate the patterns of care and outcomes for people with primary breast cancer in England and Wales, and to support services to improve the quality of care for these patients. This work builds on that of the National Audit of Breast Cancer in Older Patients (NABCOP ) but has been expanded to include younger people and men with breast cancer.

This State of the Nation report (SotN) publishes information on the care received by people diagnosed with primary breast cancer during 2019-21 in England and Wales. It is the audit’s first annual assessment of NHS breast services and shares examples of good practice as well as highlighting where care needs to improve. The SotN report includes performance indicators outlined in the NAoPri Quality Improvement Plan (QIP) . The QIP also sets out the audit scope, care pathway and five quality improvement (QI) goals.

Findings in the SotN report lead to five recommendations highlighting where improvements in care are needed. These recommendations are aligned to the QI goals of the NAoPri.

A Data Viewer provides results for individual organisations enabling regional and national comparisons to support local QI, in addition to an Action Plan Template to support MDT discussions.

The audit uses information that is routinely collected by the NHS. For people treated within English NHS hospitals, the data are routinely collated, maintained and quality-assured by the National Disease Registration Service (NDRS), which is part of NHS England. For people treated in Wales, the data were provided by the Wales Cancer Network (WCN) in Public Health Wales, from the Cancer Network Information System Cymru (CaNISC) electronic patient record system. A Methodology Document provides information on the data and methods used in this report.

National Coastal Condition Assessment 2015 Datafiles for Report “National Coastal Condition Assessment: A Collaborative Survey of the Nation's Estuaries and Nearshore Great Lakes”: The National Coastal Condition Assessment (NCCA) is a statistical survey of the condition of our nation's estuaries and nearshore Great Lake waters. It is designed to provide information on the extent of coastal waters that support healthy biological condition and recreation, estimate how widespread major stressors are that impact estuarine and Great Lake nearshore water quality, and provide insight into whether these resources nationwide are getting cleaner. These datasets are archived (zipped) files comprised of chemical, physical and biological files used in developing the NCCA 2015 report. There is a zipped file for estuaries and one for Great Lakes. Sampling was conducted in the summer of 2015 at approximately 1000 sites in the conterminous United States. Sites were selected using a statistical survey (probabilistic) design. The files include water chemistry, profile data, benthic invertebrates, physical habitat, secchi/PAR data, sediment chemistry, sediment toxicity, contaminants in fish tissue, microcystins, etc. Users are encouraged to visit the NARS data webpage for updates to data files and data from other surveys. https://www.epa.gov/national-aquatic-resource-surveys/data-national-aquatic-resource-surveys Citation for the NCCA 2015 archived data: U.S. Environmental Protection Agency. National Aquatic Resource Surveys. National Coastal Condition Assessment 2015 Report. Great Lakes Archived Data OR Estuarine Archived Data. (INSERT data and metadata files used). Available from U.S. EPA web page: https://www.epa.gov/national-aquatic-resource-surveys/reports-and-data-national-coastal-condition-assessment-2015. DOI: 10.23719/1529844 EPA encourages users who are publishing subsets of the data (say as part of a journal article publication) to include the above citation. EPA also encourages users of the data to include the following acknowledgement: “The National Coastal Condition Assessment 2015 data were a result of the collective efforts of dedicated field crews, laboratory staff, data management and quality control staff, analysts and many others from EPA, states, tribes, federal agencies, universities, and other organizations. Please contact nars-hq@epa.gov with any questions.” Additional information: NCCA is part of the National Aquatic Resource Surveys, an EPA/State/Tribal partnership. The National Aquatic Resource Surveys (NARS) are statistical surveys designed to assess the status of and changes in quality of the nation’s coastal waters, lakes and reservoirs, rivers and streams, and wetlands. Using sample sites selected at random, these surveys provide a snapshot of the overall condition of the nation’s water. Because the surveys use standardized field and lab methods, we can compare results from different parts of the country and between years. Citation information for this dataset can be found in Data.gov's References section.

More than 39 million people and 14.2 million households span more than 163,000 square miles of Californian’s urban, suburban and rural communities. California has the fifth largest economy in the world and is the most populous state in the nation, with nation-leading diversity in race, ethnicity, language and socioeconomic conditions. These characteristics make California amazingly unique amongst all 50 states, but also present significant challenges to counting every person and every household, no matter the census year. A complete and accurate count of a state’s population in a decennial census is essential. The results of the 2020 Census will inform decisions about allocating hundreds of billions of dollars in federal funding to communities across the country for hospitals, fire departments, school lunch programs and other critical programs and services. The data collected by the United States Census Bureau (referred hereafter as U.S. Census Bureau) also determines the number of seats each state has in the U.S. House of Representatives and will be used to redraw State Assembly and Senate boundaries. California launched a comprehensive Complete Count Census 2020 Campaign (referred to hereafter as the Campaign) to support an accurate and complete count of Californians in the 2020 Census. Due to the state’s unique diversity and with insights from past censuses, the Campaign placed special emphasis on the hardest-tocount Californians and those least likely to participate in the census. The California Complete Count – Census 2020 Office (referred to hereafter as the Census Office) coordinated the State’s operations to complement work done nationally by the U.S. Census Bureau to reach those households most likely to be missed because of barriers, operational or motivational, preventing people from filling out the census. The Campaign, which began in 2017, included key phases, titled Educate, Motivate and Activate. Each of these phases were designed to make sure all Californians knew about the census, how to respond, their information was safe and their participation would help their communities for the next 10 years.

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.

Changelog:

Update September 20, 2021: Data and overview updated to reflect data used in the September 15 story Over Half of States Have Rolled Back Public Health Powers in Pandemic. It includes 303 state or local public health leaders who resigned, retired or were fired between April 1, 2020 and Sept. 12, 2021. Previous versions of this dataset reflected data used in the Dec. 2020 and April 2021 stories.

Overview

Across the U.S., state and local public health officials have found themselves at the center of a political storm as they combat the worst pandemic in a century. Amid a fractured federal response, the usually invisible army of workers charged with preventing the spread of infectious disease has become a public punching bag.

In the midst of the coronavirus pandemic, at least 303 state or local public health leaders in 41 states have resigned, retired or been fired since April 1, 2020, according to an ongoing investigation by The Associated Press and KHN.

According to experts, that is the largest exodus of public health leaders in American history.

Many left due to political blowback or pandemic pressure, as they became the target of groups that have coalesced around a common goal — fighting and even threatening officials over mask orders and well-established public health activities like quarantines and contact tracing. Some left to take higher profile positions, or due to health concerns. Others were fired for poor performance. Dozens retired. An untold number of lower level staffers have also left.

The result is a further erosion of the nation’s already fragile public health infrastructure, which KHN and the AP documented beginning in 2020 in the Underfunded and Under Threat project.

Findings

The AP and KHN found that:

• One in five Americans live in a community that has lost its local public health department leader during the pandemic
• Top public health officials in 28 states have left state-level departments ## Using this data To filter for data specific to your state, use this query

To get total numbers of exits by state, broken down by state and local departments, use this query

Methodology

KHN and AP counted how many state and local public health leaders have left their jobs between April 1, 2020 and Sept. 12, 2021.

The government tasks public health workers with improving the health of the general population, through their work to encourage healthy living and prevent infectious disease. To that end, public health officials do everything from inspecting water and food safety to testing the nation’s babies for metabolic diseases and contact tracing cases of syphilis.

Many parts of the country have a health officer and a health director/administrator by statute. The analysis counted both of those positions if they existed. For state-level departments, the count tracks people in the top and second-highest-ranking job.

The analysis includes exits of top department officials regardless of reason, because no matter the reason, each left a vacancy at the top of a health agency during the pandemic. Reasons for departures include political pressure, health concerns and poor performance. Others left to take higher profile positions or to retire. Some departments had multiple top officials exit over the course of the pandemic; each is included in the analysis.

Reporters compiled the exit list by reaching out to public health associations and experts in every state and interviewing hundreds of public health employees. They also received information from the National Association of City and County Health Officials, and combed news reports and records.

Public health departments can be found at multiple levels of government. Each state has a department that handles these tasks, but most states also have local departments that either operate under local or state control. The population served by each local health department is calculated using the U.S. Census Bureau 2019 Population Estimates based on each department’s jurisdiction.

KHN and the AP have worked since the spring on a series of stories documenting the funding, staffing and problems around public health. A previous data distribution detailed a decade's worth of cuts to state and local spending and staffing on public health. That data can be found here.

Attribution

Findings and the data should be cited as: "According to a KHN and Associated Press report."

Is Data Missing?

If you know of a public health official in your state or area who has left that position between April 1, 2020 and Sept. 12, 2021 and isn't currently in our dataset, please contact authors Anna Maria Barry-Jester annab@kff.org, Hannah Recht hrecht@kff.org, Michelle Smith mrsmith@ap.org and Lauren Weber laurenw@kff.org.

As of March 10, 2023, the state with the highest rate of COVID-19 cases was Rhode Island followed by Alaska. Around 103.9 million cases have been reported across the United States, with the states of California, Texas, and Florida reporting the highest numbers of infections.

From an epidemic to a pandemic The World Health Organization declared the COVID-19 outbreak as a pandemic on March 11, 2020. The term pandemic refers to multiple outbreaks of an infectious illness threatening multiple parts of the world at the same time; when the transmission is this widespread, it can no longer be traced back to the country where it originated. The number of COVID-19 cases worldwide is roughly 683 million, and it has affected almost every country in the world.

The symptoms and those who are most at risk Most people who contract the virus will suffer only mild symptoms, such as a cough, a cold, or a high temperature. However, in more severe cases, the infection can cause breathing difficulties and even pneumonia. Those at higher risk include older persons and people with pre-existing medical conditions, including diabetes, heart disease, and lung disease. Those aged 85 years and older have accounted for around 27 percent of all COVID deaths in the United States, although this age group makes up just two percent of the total population

The National Lakes Assessment (NLA) is a statistical survey of the condition of our nation's lakes, ponds, and reservoirs. It is designed to provide information on the extent of lakes that support healthy biological condition and recreation, estimate how widespread major stressors are that impact lake quality, and provide insight into whether lakes nationwide are getting cleaner. This dataset is an archived (zipped) file comprised of chemical, physical and biological files used in developing the NLA 2017 report. Sampling was conducted in the summer of 2017 at approximately 1000 sites in the conterminous U.S. Sites were selected using a statistical survey (probabilistic) design. The files include water chemistry, profile data, benthic macroinvertebrates, physical habitat, landscape metrics, phytoplankton data, secchi depth, data, tropic status, zooplankton, etc. Users are encouraged to visit the NARS data webpage for updates to data files (e.g., for example updated zooplankton files) and data from other surveys. https://www.epa.gov/national-aquatic-resource-surveys/data-national-aquatic-resource-surveys Citation for the NLA 2017 archived data: U.S. Environmental Protection Agency. National Aquatic Resource Surveys. National Lakes Assessment 2017 Report. Archived Data. (INSERT data and metadata files used). Available from U.S. EPA web page: https://www.epa.gov/national-aquatic-resource-surveys/reports-and-data-national-lakes-assessment-2017. DOI: 10.23719/1529585 EPA encourages users who are publishing subsets of the data (say as part of a journal article publication) to include the above citation. EPA also encourages users of the data to include the following acknowledgement: “The National Lakes Assessment 2017 data were a result of the collective efforts of dedicated field crews, laboratory staff, data management and quality control staff, analysts and many others from EPA, states, tribes, federal agencies, universities, and other organizations. Please contact nars-hq@epa.gov with any questions.” Additional information: NLA is part of the National Aquatic Resource Surveys, an EPA/State/Tribal partnership. The National Aquatic Resource Surveys (NARS) are statistical surveys designed to assess the status of and changes in quality of the nation’s coastal waters, lakes and reservoirs, rivers and streams, and wetlands. Using sample sites selected at random, these surveys provide a snapshot of the overall condition of the nation’s water. Because the surveys use standardized field and lab methods, we can compare results from different parts of the country and between years. Citation information for this dataset can be found in Data.gov's References section.

Nonemployer Statistics for Economics: National Ocean Watch (ENOW NES) contains annual time-series data for over 400 coastal counties, 30 coastal states, and the nation, derived from the United States Census Bureau. ENOW NES data report the number of nonemployer establishments and gross receipts, within the six sectors of the ocean and Great Lakes economy, .

Graph and download economic data for All Employees, Government (USGOVT) from Jan 1939 to Feb 2025 about establishment survey, government, employment, and USA.

According to reports conducted between December 2022 and February 2023 and June to August 2023, the number of cyber incidents targeting government organizations worldwide increased by 60 thousand, reaching 100 thousand in the latest measured period. Between March and May 2023, the number of recorded incidents was 55 thousand.

Graph and download economic data for Personal Taxes: State and Local Income Taxes by Quintiles of Income Before Taxes: Incomplete Income Reports (CXUSTATETAXLB01A2M) from 1984 to 2003 about state & local, tax, government, personal, income, and USA.

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.

United States Data

Data on cumulative coronavirus cases and deaths can be found in two files for states and counties.

Each row of data reports cumulative counts based on our best reporting up to the moment we publish an update. We do our best to revise earlier entries in the data when we receive new information.

Both files contain FIPS codes, a standard geographic identifier, to make it easier for an analyst to combine this data with other data sets like a map file or population data.

State-Level Data

State-level data can be found in the us-states.csv file.

date,state,fips,cases,deaths
2020-01-21,Washington,53,1,0
...

County-Level Data

County-level data can be found in the us-counties.csv file.

date,county,state,fips,cases,deaths
2020-01-21,Snohomish,Washington,53061,1,0
...

In some cases, the geographies where cases are reported do not map to standard county boundaries. See the list of geographic exceptions for more detail on these.

Github Repository

This dataset contains COVID-19 data for the United States of America made available by The New York Times on github at https://github.com/nytimes/covid-19-data

The worksheets include data for all sub-ICB locations and GP practices in England within the May 2022 extraction of NDA data (January to June 2022 data). These data are provisional and have been subject to fewer data quality and validation checks than data included in final NDA publications. Data for Local Health Boards (LHB) in Wales and specialist diabetes services in England are not included in the quarterly publications. Their 2022-23 data (for the full audit period January 2022 to March 2023) will be extracted as part of the final NDA 2022-23 collection and reported in the NDA 2022-23 full audit period data release and state of the nation report, scheduled for late 2023 and summer 2024 respectively. Disclosure control has been applied to mitigate the risk of patient identification. Zeros are reported, and all numbers are rounded to the nearest 5, unless the number is 1 to 7, in which case it is rounded to ‘5’. This allows for more granular data to be made available, and also for data for all GP practices to be made available.

Graph and download economic data for Time Deposits, Reporting Member Banks, Federal Reserve System for United States (M1479CUSM027NNBR) from Jul 1946 to Feb 1953 about deposits, banks, depository institutions, and USA.

In 1991, the U.S. Geological Survey (USGS) began a study of more than 50 major river basins across the Nation as part of the National Water-Quality Assessment (NAWQA) project of the National Water-Quality Program. One of the major goals of the NAWQA project is to determine how water-quality conditions change over time. To support that goal, long-term consistent and comparable monitoring has been conducted on streams and rivers throughout the Nation. Outside of the NAWQA project, the USGS and other Federal, State, and local agencies also have collected long-term water-quality data to support their own assessments of changing water-quality conditions. Data from these multiple sources have been combined to support one of the most comprehensive assessments conducted to date of water-quality trends in the United States. Ultimately, these data will provide insight into how natural features and human activities have contributed to water-quality changes over time in Nation’s streams and rivers. This USGS data release contains all of the input and output files necessary to reproduce the results of the Seasonal Kendall trend tests described in the associated U.S. Geological Survey Scientific Investigations Report (http://dx.doi.org/10.3133/sir20175006). Data preparation for input to the model is also fully described in the above-mentioned report.

After over two years of public reporting, the State Profile Report will no longer be produced and distributed after February 2023. The final release was on February 23, 2023. We want to thank everyone who contributed to the design, production, and review of this report and we hope that it provided insight into the data trends throughout the COVID-19 pandemic. Data about COVID-19 will continue to be updated at CDC’s COVID Data Tracker.

The State Profile Report (SPR) is generated by the Data Strategy and Execution Workgroup in the Joint Coordination Cell, in collaboration with the White House. It is managed by an interagency team with representatives from multiple agencies and offices (including the United States Department of Health and Human Services (HHS), the Centers for Disease Control and Prevention, the HHS Assistant Secretary for Preparedness and Response, and the Indian Health Service). The SPR provides easily interpretable information on key indicators for each state, down to the county level.

It is a weekly snapshot in time that:

• Focuses on recent outcomes in the last seven days and changes relative to the month prior
• Provides additional contextual information at the county level for each state, and includes national level information
• Supports rapid visual interpretation of results with color thresholds

The worksheets include data for all ICBs and GP practices in England within the August 2023 extraction of NDA data (January to June 2023 data). These data undergo further validation processes at the end of each audit year when data from specialist services are added in, at which point the data are considered to comprise the full annual dataset to be used in the annual NDA publications. Data for Local Health Boards (LHBs) in Wales and specialist diabetes services in England are not included in the quarterly publications. Their 2022-23 data (for the full audit period January 2022 to March 2023) will be reported in the full audit period data release and state of the nation report, scheduled for late 2023 and summer 2024 respectively. Disclosure control has been applied to mitigate the risk of patient identification. Zeros are reported, and all numbers are rounded to the nearest 5, unless the number is 1 to 7, in which case it is rounded to ‘5’. This allows for more granular data to be made available, and also for data for all GP practices to be made available. Percentages where the denominator is less than or equal to 20 are not reliable and have therefore not been calculated in this release.