@.caived 5- 20-93 ! Monthly Vital Statistics Rer=>ort · 2016. 1. 26. · @.caived 5- 20-93 1 Vol....

@.caived 5- 20-93

1 Vol. 41, No. 120 May 19, 1993

! Monthly Vital Statistics Rer=>ort Provisional Data From the CENTERS FOR DISEASE CONTROL AND PREVENTION/National Center for Health Statistics

Births, Marriages, Divorces, and Deaths for 1992

Mortality Surveillance System pages 4-7

Infant mortality, Neonatal mortality, Postneonatal

- mortality, and Sudden infant death syndrome

-

State Maps pages 8-9

Infant mortality and Postneonatal mortality

Provisional data for the United States for 1992 show that the birth rate per 1,000 population declined from the previous year, while the death rate remained steady. Between 1991 and 1992, a decrease was observed in the infant mortality rate per 1,000 live births. The marriage rate per 1,000 population decreased from the rate for 1991 and the divorce rate was unchanged.

Births

1992. This was a decrease of 5 percent from the provisional number of births reported for the previous December (342,000). The birth rate, 14.9 live births per 1,000 population, was 6 percent lower than the rate of 15.8 for December 1991. The fertility rate, 65.1 live births per 1,000 women aged’ 15-44 years, was 5 percent lower than the comparable rate for December 1991 (68.3). The seasonally adjusted fertility rate (66.8) also was 5 percent lower than the comparable rate a year earlier (70.1).

Ackording to provisional reports, An estimated 4,084,OOO live births an estimated 325,000 births occurred occurred in 1992, a decline of 1 per- in the United States during December cent from the 4,111,OOO births

Provislonal Vital Statistics for the United States

[RatES for infant deaths are infant deaths per 1,000 live births; fertility rates per 1,000 women aged 15-44 years: all other rates per 1,000 population. Data are subject to monthly reporting variation: see Technical notes]

Item

December January-December

Number Rate Number Rate

1992 1991 1992 1991 1992 1991 1992 1991 1990 1989

Live births, ............ 325,000 342,000 Fertility rate. ................

Deaths. .............. 186.000 191,000 Infant deaths .......... 2,900 2.900

Natural increase ......... 139,000 151,000 Marriages ............. 184,000 180,000 Divorces .............. 105,000 99,000

14.9 65.1

8.5 8.8

i::: 4.8

15.8 4,084,OOO 4,i 11,000 15.9 18.2 18.7 16.2 68.3 ...... 69.3 69.6 71 .I 68.8 a.8 2,177,OOO 2,165,OOO 8.5 a.5 8.6 a.7 8.8 34,400 36,500 8.5 a.9 9.1 9.7 7.0 1,907,000 1,948,OOO 7.4 7.7 a.1 7.5 8.3 2,362,OOO 2,371,OOO 9.2 9.4 9.8 9.7 4.8 1,215,ooo 1,187,OOO 4.7 4.7 4.7 4.7

NOTE: Figures Include all revisions received from the Stales. Cumulative figures for the current year reflect revisions received for previous months, and figures for earlier years may differ from those previously published.

U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Public Health Service

Centers for Disease Control and Prevention National Center for Health Statistics

CDC CENTERS FOR DISEASE CONTROL

AND PRWEN?lDN

2 Monthly Vital Statistics Report l Vol. 41, No. 12 l May 19, 1993 --

reported for the previous year. The birth rate of 15.9 was 2percent lower than the rate of 16.2 for 1991. The fertility rate for 1992 was 69.3, slightIy lower than the rate for 1991 (69.6). These lower rates continue the generally downward trend observed since early 1991.

Natural increase

As a result of natural increase, the excess of births over deaths, an estimated 139,000 people, or 6.4 persons per 1,000 population, were added to the population during December 1992.

During 1992, 1,907,OOO persons were added to the population. This represents a rate of natural increase of 7.4, 4 percent lower than the rate of 7.7 for 1991. The decline in the rate of natural increase is due entirely to a decrease in the birth rate because the death rate remained steady.

Marriages

Marriages performed in Dec- ember 1992 numbered 184,000, a 2-percent increase over the number for December a year earlier (180,000).S The marriage rate per 1,000 population for December was 8.4 in 1992, 1 percent higher than for the previous year (8.3).

The provisional number of marriages for January-December 1992 was 2,362,000, a slight decline from the previous year (2,371,OOO). Despite the small change in the number of marriages, the marriage rate for 1992 (9.2) was 2 percent lower than for 1991 (9.4) because of the increase in the population.

Divorces

Divorces granted in December 1992 numbered 105,000, 6 percent higher than for December of the previous year (99,000). The divorce rate per 1,000 population for December increased 4 percent from 1991 (4.6) to 1992 (4.8).

In 1992 there were 1,215,OOO divorces, a 2-percent increase over the number for 1991 . (1,187,OOO). The increase in the number of divorces

18 , 118

17

16

15

14

.

0 1 I I 1 I I I I I ‘IO J F M AeM J J A S 0 N D

Provisional birth rates per 1,000 population by month: United States, 1990-92

75

70

65

60

. .

0

4-month moving average, !-\

I”“““‘\ JFMAYJJASON

1988

I”“““‘! JFMAMJJASON

1989

‘Monthly dat

1111111111111111111111,111~,11111,,,~ IFMAMJJASONOJFMAWJJASONDJFMAMJJASONO

1990 1991 1992 Provisional seasonally adjusted fertilhy rates per 1,000 women aged 1544: Unlted States, 1989-92

2oh t

1992 e-0 16 1991 -

1990 ---

12

8

4

JFMAMJ

Provisional marriage rates per 1,000 population by month: Unlted States, 1990-92

20

16

Monthly Vital Statistics Report l Vol. 41, No. 12 l May 19, 1993 3

matched the increase in the population, so the divorce rate remained steady at 4.7.

Deaths

The provisional count of deaths estimated for the United States during 1992 totaled 2,177,000, about 12,000 more than in the previous year. The death rate of 8.5 per 1,000 population was the same as the rate for 1991. Approximately 34,400 of these deaths were to infants under 1 year of age. The infant mortality rate was 8.5 per 1,000 live births, 4 percent low,er than the rate of 8.9 for 1991.

Current Mortality Sample, 12 months ending with November 1992- The provisional death rate for the 12 months ending with November 1992 was 854.6 deaths per 100,000 population compared with a rate of 853.2 for the 12-month period ending with November 1991. The change in the death rate was not statistically signif-

- icant. The provisional age-adjusted death rate for the 1Zmonth period ending with November 1992 was 503.4 deaths per 100,000 population, 1 percent lower than the rate of 507.1 for the 1Zmonth period ending with November 1991. Age-adjusted death rates control for changes and varia- tions in the age composition of the population; therefore, they are better indicators than crude rates for showing changes in mortality risk over time and for showing differences between race-sex groups within the population. Among the race-sex groups, the estimated age-adjusted death rates decreased for white males and white females. By age, the death rate for the total population decreased for the age groups under 1 year and 85 years and over but increased for the age group 35-44 years.

Among the major causes of death, the estimated death rate increased between the two successive 1Zmonth

0

periods for Chronic obstructive pulmonary diseases and Human immunodeficiency virus infection. The death rate decreased between the two successive 1Zmonth periods for Motor vehicle accidents.

J F M A M J J A S 0 N D Provisional death rates per 1,000 population by month: United States, 1990-92

10.5 10.5 N % * 1992 M

10.0 - +, 1991 - 10.0

- 1990 1-1

9.5 - - 9.5

9.0 -

8.5 -

8.0 -

7.5 I I I I I I I I 7.5 J F M A hl J J A S 0 N D

Provisional infant mortality rates per 1,000 live births by month: United States, 1990-W

17.0

18.5

18.0

15.5

15.0

0 IIIII11,lI rllllllllllllllllllIIIlIIII~~IIII~~~~~~~~”~~~~

IFYAMJJAS0NDJFMAMJJASONDJFYAYJJASONDJFHA~JJASONDJFMA~JJASON

1988 1989 1990 1991 1992

17.0

16.5

16.0

15.5

15.0

. .

0 0

Provlsional birth rates per 1,000 population for successive 1 P-month periods ending with month indicated: United States, 1988-92

4 Monthly Vital Statistics Report 0 Vol. 41, No. 12 l May 19, 1993 --

The infant mortality rate for the 12 months ending with November 1992 was 845.5 per 100,000 live births, 6 percent lower than the rate of 897.3 for the same 12-month period a year earlier. For infants under 28 days, the 12-month rate ending with November 1992 was 532.9 compared with a rate of 560.8 for the 12-month period a year earlier. The infant mortality rate for infants 28 days to 11 months was 313.3 compared with a rate of 336.3 for the 12-month period a year earlier. The changes in the mortality rates for infants under 28 days and for those 28 days to 11 months were not statistically JFMAMJJASONOJFMAMJJASONDJFMAMJJASONDJFMAMJJASONOJFMAMJJASOND

1988 1989 1990 1991 1992 significant. Among causes of infant death, the infant mortality rate Provisional marriage rates per 1,000 population for successive la-month periods ending

with month indicated: United States, 1988-92 decreased between the two successive 1Zmonth periods for Disorders relating to short gestation and unspecified low birthweight.

Mortality Surveillance System

Discussed this month are recent trends in infant mortality rates (deaths to infants under 1 year of age per 100,000 live births), neonatal mortality rates (under 28 days), postneonatal mortality rates (28 days to 11 months), and trends in infant mortality rates for Sudden infant death syndrome. In this issue, final mortality data are analyzed for data year 1990 and provisional data from January 1982-April 1992.

In 1990, the latest year for which 1988 1989 1990 1991 1992

final mortality data are available, a Provisional divorce rates per 1,000 population for successive la-month periods endlng with month indicated: United States, 1988-92

total of 38,351 deaths occurred to infants under 1 year. Of these, 24,309 deaths or 63 percent of all infant deaths were to infants under 28 days and 14,042 deaths or 37 percent of all infant deaths were to infants 28 days to 11 months.

g’2 I~1 g’2 Based on 1990 final data, the

infant mortality rate was 922.3 infant deaths per 100,000 live births. The neonatal mortality rate was 584.6 per 100,000 live births, 1.7 times the postneonatal mortality rate of 337.7. Infant mortality rates, neonatal mortality rates, and postneonatal mortality rates have been generally decreasing since the early 1960’s.

In 1990, Sudden infant death syndrome accounted for 5,417 deaths, or 14 percent of all deaths to infants Provisional death rates per 1,000 population for successive ll-month perlods endlng with

month indicated: United States, 1988-92

Monthly Vital Statistics Report 0 Vol. 41, No. 12 l May 19, 1993 5

under 1 year and was the second leading cause of infant death (after Congenital anomalies) in that year.

Tren’ds based on provisional data for these age groups and cause of infant death are presented in the Mor- tality Surveillance System charts and accompanying text that follows.

‘OS I 10.0

9.5

8.5

8.0

1988 1989 1990 1991 1992

8.5

8.0

Provisional infant mortality rates per 1,000 live births for successive la-month periods ending with month indicated: United States, 1988-92

6 Monthly Vital Statistics Report l Vol. 41, No. 12 l May 19, 1993

Mortality Surveillance System Charts

[Observed and fitted provisional monthly death rates and 95-percent prediction intervals. Model fitted using death rates for January 1982-April 1991; projected for May 1991-April 1992. See Technical notes]

1600 Model projected

800

600

400

200

Ot,,,,,,,,,, 1985 1986 1987 1988 1989 1990 1991 1992

1600

1400

1200

1000

900

600

400

200

0

l For the modeled period, provisional infant mortality rates decreased.

l For the projection period, observed provisional monthly rates fell within 95-percent prediction intervals.

l Mortality shows a seasonal pattern with infant mortality rates higher in the winter.

Provisional infant mortality rates per 100,000 live births, by month: United States, 1985-92

1600 - - 1600 ’ Model projected

1400 - - 1400 0

1200 - - 1200

1000 - - 1000 l

800 800

600 600

400 400

200 200

0 0

1985 1986 1987 1988 1989 1990 1991 1992

For the modeled period, provisional neonatal mortality rates decreased. For the projection period, observed provisional monthly rates fell within 95-percent prediction intervals. Mortality shows a seasonal pattern with neonatal mortality rates higher in the early summer.

Provisional neonatal mortality rates per 100,000 live births, by month: United States, 1985-92

Monthly Vital Statistics Report 0 Vol. 41, No. 12 0 May 19, 1993 7

Mortality Surveillance System Charts- Con.

[Observed and fitted provisional monthly death rates and 95-percent prediction intervals. Model fitted using death rates for January 1982-April 1991; projected for May 1991-April 1992. See Technical notes]

1600-

1400-

1200-

1000 -

800 -

600 -

- 1600 l For the modeled period, provi-

I Model projected sional postneonatal mortality rates

- 1400 decreased slightly. l For the projection period, observed

- 1200 provisional monthly rates, except for one, fell within 95-percent pre-

- 1000 diction intervals. l Mortality shows a seasonal pattern

- 800 with postneonatal mortality rates higher in the winter.

- 600

Provisional postneonatal mortality rates per 100,000 live births, by month: United States, i 985-92

I’1 - 400 l For the modeled period, provi-

Model projected sional mortality rates decreased. - 350 l For the projection period, observed

provisional monthly rates fell - 300 within 95-percent prediction

intervals. - 250 l Mortality shows a seasonal pattern

- 200 with rates higher in the winter.

1985 1986 1987 1988 1989 1990 1991 1992

Provislonal mortality rates per 100,000 live births for Sudden infant death syndrome, by month: United States, 1985-92

8 Monthly Vital Statistics Report o Vol. 41, No. 12 0 May 19, 1993

Final J-year total number of infant deaths and average annual infant mortality rates and 95-percent confidence limits: United States and each State, 1987-89

[Data are final by State of resldence]

10 lowest rates

NOTE: “Significantly” refers to statistical significance at the 0.05 level.

Area

Infant 95percent confidence Infant Infant deaths mortabty

95-percent confidence limits

3-year total infant deaths mortality

fate limits

rate 3-year total (final) (fIna/) Lower Upper Area (final) (final) Lower Wwer

United States

New England

116,973 994.7 989.0 1,000.4

Maine. New Hampshire Vermont Massachusetts Rhode Island Connecticut

Middle Atlantic

404 tt784.7 708.2 861.2 418 tt800.7 723.9 877 5 183 tt739.8 632.6 847.0

2,010 tt760.9 727.6 794.2 385 t894.5 805.1 983.9

1,270 tt879.0 830.7 927.3

New York New Jersey . Pennsylvania

East North Central

9,017 ttl,o68.1 3,368 t953.6 5,042 1 ,014.3

,046.l 1,090.l 921.4 985.8 986.3 1,042.3

Ohio. Indiana Illinois. Michigan. Wisconsin

West North Central

4,650 t964.1 2,544 t1,044.0 6,420 tt1,155.0 4,698 ttl.095.6 1,859 tt869.7

936.4 ,003.4 ,126.7 ,064.3 830.2

991.8 1,084.6 1 ,183.3 1,126.g

909.2

Minnesota . Iowa. Missouri North Dakota South Dakota. Nebraska . Kansas

South Atlantic

1,563 tt783.7 744.8 822.6 997 tt866.7 812.9 920.5

2,313 1,007.B 966.7 1,048.g 273 910.8 802.8 1,018.B 333 986.0 880.1 1,091.9 611 tt849.3 782.0 918.6

1,014 tt873.9 820.1 927.7

Delaware. 366 C-1,179.7 1,058.B 1,300.6 Maryland. 2,494 tt1,100.7 1,057.5 1.143.9 District of Columbia 712 ttZ188.3 2,027.6 2,349.0 Virginia. 2,859 1,020.l 982.7 1,057.5

South Atlantic-Con. West Virginia North Carolina South Carolina Georgia. Florida

East South Central Kentucky. . . Tennessee. . . Alabama Mississippi. .

West South Central Arkansas. Louisiana. . . Oklahoma . Texas

Mountain Montana . Idaho Wyoming. Colorado. New Mexico. Arizona. Utah. . . Nevada. .

Pacific Washington Oregon. ......... California. ........ Alaska .......... Hawaii ..........

625 940.8 867.0 3,483 tt1,1ss.o 1,148.5 2,083 tt1,260.6 1,206.5 3,995 ttl,253.5 1,214.6 5,700 tt1,031.9 1,005.i

1 ,014.6 1,227.5 1314.7

1,292.4 1,058.7

1,537 986.1 936.8 2,346 tt1,107.5 1,062.7 2,218 ttl,212.7 1 ,I 62.2 1,582 ttl,251.5 ,189.B

I,0354 1,152.3 1,263.2 1,313.2

1,096 1,038.B 977.3 2,518 tt1,141.3 1,096.7 1,292 tt905.6 856.2 8,301 tt909.2 889.6

1,100.3 1,185.g

955.0 928.8

356 999.6 895.8 1,103.4 457 961 .O 872.9 1,049.l 198 916.6 788.9 1,044.3

1,498 t938.9 889.5 984.3 724 tt886.5 821.9 951.1

1,858 t947.1 904.0 990.2 884 tt826.6 772.1 881.1 471 tt867.7 789.3 946.1

2,027 tt928.9 888.5 969.3 -_ 1,114 t928.1 873.6 982.6

13,988 tt870.7 856.3 885.1 358 1,035.4 928.1 1,142.7 463 tt812.1 738.1 886.1

NOTE: Data are funi. Rates are Infant (under 1 year) deaths per 100,000 llve births I” spafled group. The symbols t and tt denote statlstlcal slgnlflcance of the difference between the u S. and State rates at the 0.05 and 0.01 levels, respectwly. For method of computation of rates, confidence Ikmlts, and tests of statwcal stgmhcance, see Techmcal notes.

Monthly Vital Statistics Report l Vol. 41, No. 12 l May 19, 1993 9

Final 3-year total number of postneonatal deaths and average annual postneonatal mortality rates and 95-percent confidence limits: United States and each State, 1987-89

[Data are final by State of resldence]

Rate significantly higher than U.S.:

10 highest rates

Other than 10 highest rates

Rate not significantly different

Rate significantly lower than U.S.:

Other than 10 lowest rates

L- 10 lowest rates

NOTE: “Significantly” refers to statistical significance at the 0.05 level.

Area

p”~~~sata’ Post”eonata’ 9dpercent confidence mortality limits

J-year total rate (final) (final) Lower Upper Area

Postneonatal Posfneonatal g.3MPercent confidence deaths mortality limits

J-year total rate (final) (final) Lower Upper

42,488

142 145

66 613

98 363

2,054 1,101 1,561

United States ........

New England Maine. .......... New Hampshire .... Vermont ......... Massachusetts ..... Rhode Island ...... Connecticut

Middle Atlantic New York ........ New Jersey ....... Pennsylvania ......

East North Central Ohio. ........... Indiana. ......... Illinois. .......... Michigan. ........ Wisconsin ........

West North Central Minnesota ........ Iowa. ........... Missouri ......... North Dakota ...... South Dakota. ..... Nebraska ........ Kansas ..........

South Atlantic Delaware. ........ Maryland. ........ District of Columbia . Virginia. .........

1,726 974

2.248 1,540

749

635 367 886 121 164 264 424

100 809 192 929

361.3

tt275.8 tt277.8

tt266.8 tt232.0 tt227.7 tt251.2

tt338.1 tt311.9 tt314.0

357.9 tt399.7 tt404.4

359.1 350.4

tt318.4 t319.0

386.0 403.7

tt485.6 366.9 365.4

322.3 357.1

tt590.1 tt331.5

357.9 364.7

230.4 232.6 202.4 213.6 182.6 225.4

325.7 293.5 298.4

341 .o 374.6 387.7 341.2 325.3

321.2 323.0 331.2 250.4 272.8 277.0

350.5 330.3 329.6

374.8 424.8 421.1 377.0 375.5

343.2 351.6 411.4 475.6 559.9 411.2 400.2

385.5 381.7 673.6 352.8

293.6 286.4 360.6 331.8 411.3 322.6 330.6

259.1 332.5 506.6 310.2

South Atlantic-Con. West Virginia .... North Carolina ... South Carolina ... Georgia. ....... Florida ........

East South Central Kentucky. ...... Tennessee. ..... Alabama ....... Mississippi. .....

West South Central Arkansas. ...... Louisiana. ...... Oklahoma ...... Texas .........

Mountain Montana ....... Idaho ......... Wyoming. ...... Colorado. ...... New Mexico. .... Arizona. ....... Utah. ......... Nevada. .......

Pacific Washington ..... Oregon. ....... California. ...... Alaska ........ Hawaii ........

207 t311.6 269.2 1,177 tt401.5 378.6

711 tt430.3 398.7 1,363 tt427.7 405.0 2,000 362.1 346.2

629 tt403.6 372.1 871 tt411.2 383.9 745 tt407.3 378.1 590 tt466.7 429.0

452 ti428.4 388.9 897 t’t406.6 380.0 541 379.2 347.2

3,158 t345.9 333.8

182 tt511 .o 436.8 199 418.5 360.4

85 393.5 309.8 605 378.4 348.2 274 335.5 295.8 722 368.0 341.2 442 tt413.3 374.8 243 tt447.7 391.4

947 tt434.0 406.4 509 tt424.1 387.3

5,500 tt342.3 333.3 187 tt540.9 463.4 181 317.5 271.2

354.0 424.4 461.9 450.4 378.0

435.1 438.5 436.5 504.4

467.9 433.2 411.2 358.0

585.2 476.6 477.2 408.6 375.2 394.8 451.8 504.0

461.6 460.9 351.3 618.4 363.8

NOTE: Data are final. Rates ars postneonatal (28 days-l 1 months) deaths par 100,000 live births in specified group. The symbols t and tt denote statistical significance of the difference between the U.S. and State rates at the 0.05 and 0.01 levels, respectively. For method of computation of rates, confidence limits, and tests of statistical significance. see Technical notes.

lo~ Monthly Vital Statistics Report ● Voi. 41, No. 12 ● May 19, 1993 ~~

Symbols

--- Data not avaiiable

. . . Category not applicable

Quantity zero

0.0 Quantity more than zero but lessthan 0.05

* Figure does not meet standards ofreliability or precision (seeTechnical notes)

Monthly Vital Statistics Report ● Vol. 41, No. 12 ● May 19, 1993 ~.il

Table 1. Provisional number of live births, marriages, deaths, infant deaths, and rates, by month: United States, January 1991-December7992

[Data are provisional and are subject to monthly reporting variation; see Technicsl notes]

Live births Marriages Deaths Irdarrt deaths

Rate per 1,000 women 15-44 years

Rate per Rate per Rate per Rate per1,000 Seasonal/

Period t1,000 1,000 1,000

Number population Una~usted adjusted Number population Number population Number //ve births

1991:January, . . . . . . . . . . ...325.000February, . . . . . . . . . . . ..3l2.oooMarch, . . . . . . . . . . . . ..346.oooApril . . . . . . . . . . . . . . . ..34o.oooMay . . . . . . . . . . . . . . . ..355.oooJune ... ,, . . . . . . . . . ..342.oooJuly, ,.. , . . . . . . . . . . ..358.oooAugust . . . . . . . . . . . . ...346.000September . . . . . . . . . . . . 365,000October . . . . . . . . . . . . ..355.00QNovember. . . . . . . . . . . . . 324,000December. . . . . . , . . . . . . 342,000

1992:January, . . . . . . . . . . . . .February . . . . . . . . . . . . . .March . . . . . . . . . . . . . . .April . . . . . . . . . . . . . . . . .May . . . . . . . . . . . . . . . . .June . . . . . . . . . . . . . . . .July . . . . . . . . . . . . . . . . .August . . . . . . . . . . . . . . .September . . . . . . . . . . . .October . . . . . . . . . . . . . .November . . . . . . . . . . . . .December . . . . . . . . . . . . .

334,000304,000360,000330,000361,000333,000352,000350,000357,000345,000332,000325,000

15.216.116.116.416.516.416.616.117.516,415.515.6

15.515.016.615.816.715.916.216.116.915.915.714.9

65.068.969.070,270.970.471.469.175.370.966.868.3

66.965.172,068,472,369.070.670,273.669,266.865.1

66.570.570,371.971.969,368.765.370.571.168.770.1

70.566.773.470.173.367.967.966.469, t69.470.866.8

120,000151,000140,000186,000230,000258,000233,000253,000223,000221,000177,000180,000

112,000166,000145,000175,000231,000256,000228,000242,000227,000221,000174,000184,000

6.67,86.69.0

10.7!2.410.811.810.710.2

8.46.3

5.28.26.7

1::$12.210.511.210,610.28.38.4

195,000179,000191,000185,000183,000166,000178,000172,000165,000180,000176,000191,000

207,000185,000195,000181,000175,000172,000160,000172,000189,000181,000162,000186,000

9.19.28.96.98.56.18.38.07.98.48.48.8

9.69.19.08.68.18.28.37.98.08.36.68.5

3,3003,1003,2003,0003,3003,0003,0002,8002,9002,9003,0002,900

3,2002,9003,2002,8002,8002,7002,8002,7002,7002,9002,7002,900

9.69.69.4

E8,98.58.28.46.29.08.6

9.49.19,28.58.08.28,17.98.08.28.18.8

lThemethod ofseaaonal adjustment, developed bylhe U.S. Bureau ofths Census, isdescribed {n The X-11 Variant of the Census Method l/ Seasonal Adjustment Program, Technlml PaperNo. 15(1967 ravislon).

NOTE: Figures Includs all revisions received from the States and, thersfore, may differ from those previously published,

12~ Monthly Vital Statistics Report ● Vol. 41, No. 12 ● May 19, 1993 ~~

Table 2. Provisional number of live births and deaths: each division and State, December 1991 and 1992, and cumulative figures,1990-92

[Data are estimates by State of residencq see Technical notes]

Live bltis Deaths

December Janua~-December December January-December

Area 1992 1991 1992 1991 1990 1992 1991 1992 1991 1990

New England . . . . . . . . . . . . .Maine, . . . . . . . . . . . . . . . .New Hampshire . . . . . . . . . .Vermont . . . . . . . . . . . . . . .Massachusetts . . . . . . . . . . .Rhode island . . . . . . . . . . . .Connecticut . . . . . . . . . . . . .

Middle Atlantic . . . . . . . . . . . .New York . . . . . . . . . . . . . .New Jersey . . . . . . . . . . . . .Pennsylvania . . . . . . . . . . . .

East North Central. . . . , , . . . .Ohio . . . . . . . . . . . . . . . . . .Indiana . . . . . . . . . . . . . . . .Illinois. . . . . . . . . . . . . . . . .Michigan . . . . . . . . . . . . . . .Wisconsin . . . . . . . . . . . . . .

WestNorthCentral. . . . . . . . . .Minnesota . . . . . . . . . . . . . .Iowa . . . . . . . . . . . . . . . . . .Missouri . . . . . . . . . . . . . . .Noflh Dakota . . . . . . . . . . . .South Dakota . . . . . . . . . . . .Nebraska . . . . . . . . . . . . . .Kansas . . . . . . . . . . . . . . . .

South Atlantic . . . . . . . . . . . . .Delaware . . . . . . . . . . . . . . .Maryland . . . . . . . . . . . . . . .DistrictofColumbia. . . . . . . .Virginia . . . . . . . . . . . . . . . .West Virginia . . . . . . . . . . . .North Carolina . . . . . . . . . . .South Carolina, . . . . . . . . . .Georgia . . . . . . . . . . . . . . . .Florida . . . . . . . . . . . . . . . .

EastSouth Central. ., . . . . . . .Kentucky . . . . . . . . . . . . . . .Tennessee. .,,.,......,..Alabama . . . . . . . . . . . . . . .Mississippi. . . . . . . . . . . . . .

WestSouthCentral . . . . . . . . .Arkansas. . . . . . . . . . . . . . .Louisiana . . . . . . . . . . . . . . .Oklahoma, . . . . . . . . . . . . .TexasZ . . . . . . . . . . . . . . . .

Mountain . . . . . . . . . . . . . . . .Montana . . . . . . . . . . . . . . .Idaho, . . . . . . . . . . . . . . . .Wyoming . . . . . . . . . . . . . . .Colorado . . . . . . . . . . . . . . .New Mexico . . . . . . . . . . . . .Arizona . . . . . . . . . . . . . . . .Utah . . . . . . . . . . . . . . . . . .Nevada . . . . . . . . . . . . . . . .

Pacific . . . . . . . . . . . . . . . . . .Washington . . . . . . . . . . . . .Oregon . . . . . . . . . . . . . . . .Caliiornia3 . . . . . . . . . . . . . .Alaska . . . . . . . . . . . . . . . .Hawaii . . . . . . . . . . . . . . . .

110,2022,3381,270

7204,4671,407

. . .

46,05521,67011,75412,431

53,26712,3486,341

17,24411,8825,452

18,6104,9663,1964,553

701936

1,7552,703

57,099886

6,779790

7,3461,5449,6514,6988,275

17,128

19,9524,3436,6984,8474,064

37,6392,6924,8503,823

26,274

16,126879

1,367542

4,2392,2574,9152,7511,176

150,130---

2,99644,535

1,0321,567

14,3031,6691,216

4655,0121,1814,760

44,52320,91211,55312,058

57,16314,290

6,28018,61911,710

6,064

22,4965,5193,3437,106

704613

1,7623,227

62,446886

10,293650

7,4791,4758,8765,4409,769

17,556

19,1354,4206,8734,4463,396

41,8992,8105,5713,637

29,881

20,102857

1,235597

3,6732,1795,3712,6423,148

62,1335,2663,725

50,2441,0611,837

1141,941

15,62315,7197,625

80,18514,789

..-

570,302285,568119,528165,206

654,226169,067

63,832192,463138,968

69,676

259,73765,47736,12075,437

8,93511,28123,00337,484

681,21310,90276,17310,05298,59322,123

103,04756,635

111,397192,291

234,46253,90674,04863,02143,487

479,42134,96771,74347,850

324,661

245,35211,55117,4756,623

54,56628,46366,69837,41122,345

1674,164---

41,606600,942

11,70619,910

189,54716,56116,0607,712

66,32114,59148,282

576,773292,400117,789168,584

662,427156,638

84,707193,987153,359

71,736

262,36867,02036,01177,991

9,07111,04223,93337,300

689,06811,17564,452

9,97196,61022,195

102,44257,742

110,024194,457

232,05254,91373,10460,51343,522

462,02434,58874,56247,312

325,562

243,40511,54417,2336,601

53,96626,16067,65635,07022,973

759,96675,73442,807

610,16611,24520,014

202,68916,90817,1998,282

93,22214,96352,315

596,179301,209124,082170,688

676,266164,61965,227

196,107159,34672,969

273,17568,37839,12781,157

9,51710,91224,01040,074

704,34811 ,2s283,66410,92899,94222,202

104,71559,075

112,899199,641

242,58757,79172,74768,20043,649

480,81536,10971,70447,250

325,752

243,12311,75616,594

6,96452,91328,65468,74936,21621,255

774,3277S,10644,408

619,75311,64720,413

9,6551,039

S09443

3,753904

2,707

31,71214,0136,601

11,096

33,1248,6674,4228,9717,1483,916

14,3143,0162,4924,185

502642

1,3002,177

134,949

5543,679

.-.

4,3491,7165,6402,5564,699

11,554

12,7102,9953,6923,5792,244

17,5702,1141,9752,919

10,562

8,907615722315

2,225614

2,447904665

22,8063,2532,772

16,044161576

9,5921,127

770339

3,986645

2,523

31,79214,040

6,24111,511

37,9819,9965,132

10,4707,6844,697

16,3433,2672,1876,409

543545

1,3672,025

36,049564

4,307534

4,6501,6675,4922,9654,472

11,398

13,0913,3254,0643,4392,263

17,7432,2523,5692,6399,283

8,296572662295

1,915730

2,453615856

22,2393,5092,420

15,591161556

116,21810,900

6,5554,732

54,2929,444

26,295

359,395164,669

71,201123,325

372,44999,60150,144

i 01,59079,30741,807

162,09434,90927,00250,447

5,7976,927

14,85222,160

1397,167

5,93737,806

.-.

49,54120,10759,47830,60953,268

140,401

147,41035,34147,14939,63025,290

224,22125,20237,44630,626

130,947

103,3017,1518,0633,333

22,52611,56130,659

9,90410,102

267,49537,27225,862

215,2272,2256,909

112,41110,9528,5134,541

51,3669,294

27,746

360,314166,79569,983

123,536

379,26299,10451,780

104,67779,97243,749

164,05535,27025,90653,461

5,6466,594

14,66522,6”11

396,6555,660

37,9826,961

49,15119,80153,90923,9835~,706

135,280

144,2843!5,2814!5,35133,02725,625

22 I ,79524,230313,29031),349

12i3,926

99,2467,0717,7693,167

22,334

1’1,11620,329

9,199!3,243

290,46237,68220,205

210,7352,1456,715

115,61611,160

8,4474,601

55,0929,380

26,935

361,378168,00470,446

122,928

374,19099,04949,940

103,47878,97942,744

163,76434,80226,22051,558

5,6576,394

14,7s522,348

394,6665,603 -

39,1327,518

48,37419,60257,53229,69152,617

134,499

147,31535,54445,22841,28925,254

216,82424,92236,63230,314

128,758

97,1626,9647,6033,246

21,54510,93426,653

9,3256,690

268,42536,52525,725

215,2382,1986,741

1E~~,u~~s figures for Stats(S) Sh~~ bel~~ as not available.

Zseginnjng with data for February 1991, figures include adjustments for va~ing length Of repofling period? Sea Technical notes.a~gures fOrall yaars include adjustments for vatying length of reporting periodq see Tachnical nOteS.

NOTE Figures include all revisions recehed from the States. Cumulative figuree for tha current year reflect revisions received for previous months, and figures for aarller yflars may differ from @

those previously published,

Monthly Vital Statistics Report ● Vol. 41, No. 12 ● May 19, 1993 ~13

Table 3. Provisional number of marriages and divorces: each division and State, December 1991 and 1992, and cumulative figures,1990-92

[By State of occurrence. Number of events reported; see Technical notes. Divorces Include reported annulments]

Marriages Divorces

December January-December Dacembar January-Decembar

Araa 1992 1991 1992 1991 1990 1992 1991 1992 1991 1990

New England . . . . . . . . . . . . .Maine . . . . . . . . . . . . . . . . .New Hampshire . . . . . . . . . .Vermont, . . . . . . . . . . . . . .Massachusetts . . . . . . . . . . .Rhode Island . . . . . . . . . . . .Connecticut . . . . . . . . . . . . .

Middle Atlantlc . . . . . . . . . . . .New York2 . . . . . . . . . . . . . .New Jersey, . . . . . . . . . . . .Pennsylvania . . . . . . . . . . . .

East North Central . . . . . . . . . .Ohio, . . . . . . . . . . . . . . . . .Indiana . . . . . . . . . . . . . . . .Illinois. ..,..........,..Michigan . . . . . . . . . . . . . . .Wisconsin . . . . . . . . . . . . . .

West North Central. . . . . . . . . ..Minnesota . . . . . . . . . . . . . .Iowa. . . . . . . . . . . . . . . . . .Missouri . . . . . . . . . . . . . . .North Dakota . . . . . . . . . . . .South Dakota . . . . . . . . . . . .Nebraska . . . . . . . . . . . . . .Kansas . . . . . . . . . . . . . . . .

South Atlantic . . . . . . . . . . . . .Delaware. . . . . . . . . . . . . . .Maryland . . . . . . . . . . . . . . .DlstrictofColumbia. ., . . . . .Vlrginla, . . . . . . . . . . . . . . .WestVlrginia o f . . . . . . . . . .North Carolina . . . . . . . . . . .South Carolina . . . . . . . . . . .Georgia. . . . . . . . . . . . . . . .Florida . . . . . . . . . . . . . . . .

EastSouthCentral. . . . . . . . . .Kentucky . . . . . . . . . . . . . . .Tennessee . . . . . . . . . . . . . .Alabama . . . . . . . . . . . . . . .Mississippi . . . . . . . . . . . . . .

WestSouthCentral . . , . . . . . .Arkansas . . . . . . . . . . . . . . .Louisiana. . . . . . . . . . . . . . .Oklahoma . . . . . . . . . . . . . .Texas. . . . . . . . . . . . . . . .

Mountain . . . . . . . . . . . . . . . .Montana . . . . . . . . . . . . . . .Idaho, . . . . . . . . . . . . . . . .Wyoming . . . . . . . . . . . . . . .Colorado . . . . . . . . . . . . . . .New Mexlco4,5, . . . . . . . . . .Arlzona2 . . . . . . . . . . . . . . .Utah, . . . . . . . . . . . . . . . . .Nevada . . . . . . . . . . . . . . . .

Pacific . . . . . . . . . . . . . . . . . .Washington . . . . . . . . . . . . .Oregon. . . . . . . . . . . . . . . .California . . . . . . . . . . . . . . .Alaska, . . . . . . . . . . . . . . .Hawall . . . . . . . . . . . . . . . .

16,156

871628492

3,779386. . .

21,15211,775

3,739

23,365

3,6747,0394,7451,702

9,7832,0141,6812,969

353556643

1,367

37,606309

4,0671,4605,779

7793,7894,2665,430

11,707

16,eo35,0646,1013,4692,169

23,6363,3402,4912,653

14,952116,362

566909504. . .

1,0073,7351,4438,218

14,815. . .

2,956. . .

4751,164

9,5131,509

667286

5,326379

1,344

23,55111,7663,9817,eo2

25,7637,6913,6227,9664,6181,644

10,5421,9241,5413,833

356505925

1,456

34,813324

3,405646

5,6621,1423,8424,3113,677

11,604

15,5993,6065,6e74,1342,272

23,7113,1923,7162,963

13,636

16,793500995457

2,5951,0623,7791,2498,156

16,9422,6912,290

. . .

4611,300

175,454

11,2156,8325,901

42,2197,267

. . .

292,003156,25255,32760,424

343,86692,15650,37293,50070,70037,136

148,73332,29922,0a645,428

4,6097,559

12,64721,703

436,1255,059

44,0833,973

69,69412,26446,20253,30463,417

136,129

164,06649,92270,90540,46622,773

287,49237,32635,36631,783

162,997

1210,0467,221

14,4574,900

. . .

12,96436,36619,695

114,223

‘47,677. . .

24,299. . .

5,73517,643

102,75211,077

9,6055,996

43,4297,496

24,947

297,201160,06655,63361,262

351,41197,36450,64992,06673,59337,719

149,92932,64823,79446,393

4,7197,406

12,69522,074

445,7865,340

44,3995,031

66,77112,56546,96S53,28970,517

136,866

1e2,0e547,28066,79042,65723,356

291,91738,05236,76232,602

164,501

243,5297,175

14,4064,625

33,61913,05637,39516,766

114,265lg7,a46

49,87324,266

. . .

6,03617,689

112,24011,77310,582

6,14447,822

8,11327,806

314,070169,26456,01266,794

364,50195,62754,29597,08276,13741,160

156,13433,69524,81349,251

4,7797,727

12,46423,385

455,4065,628

46,0814,716

71,25713,16652,07055,83764,359

142,292

165,47351,29166,59743,26324,322

292,85735,70341,16133,162

162,631

250,9077,025

14,9774,843

31,51213,17537,00719,012

123,356

334,42048,64225,211

236,6935,730

18,144

3,272522466256

1,221290515

10,7575,1012,1353,521

114,765

5,366. . .

484793,4701,450

6,6981,763

9441,992

163273540983

21,267307

1,56224e

3,082609

3,1241,4653,4007,250

8,9162,6323,1572,0621,065

19,899

1,496. . .

1,7346,669

15,013

365423291. . .

6252,209

900. . .

12,462

. . .

1,767. . .

332343

3,189529366179464229

1,420

10,1904,0042,0064,180

114,639

5,391. . .

4,0963,6911,661

6,4791,9901,0532,517

174263613

1,869

19,608320

1,830133

2,584853

2,9091,2992,3377,343

7,7421,6002,6532,554

93518,687

1,666.-.

1,6345,167

16,572

360611274

1,702679

2,175751. . .

14,3102,604

895. . .

362429

44,6745,6775,5202,955

16,6503,591

10,061

122,30767,03625,40539,864

1154,915

53,535. . .

43,61239,42418,344

77,69916,29510,95625,653

2,3052,9266,566

13,198

236,6663,400

17,5702,655

29,6559,667

36,15915,92039,56664,074

99,76624,18533,93927,00914,633

1140,812

18,405. . .

23,44796,860

lsg,zsp

4,2566,7003,227

. . .

9,73725,645

8,665. . .

124,595. . .

15,905. . .

3,6785,012

43,4775,8164,9272,716

13,5473,314

13,157

121,37655,61025,66640,062

1158,321

54,265

45,62439,77016,462

60,13215,96612,21226,620

2,1672,7726,496

13,697

233,3363,007

16,5762,290

28,16010,14633,76314,67741,97562,742

94,72022,29932,46227,06912,670

1146,80918,659

. . .

23,596106,354175,209

4,3656,5443,239

19,1056,749

24,7808,407

. . .

153,269

29,46515,263

. . .

3,3675,134

44,0065,2755,2792,61616,7613,754

10,301

121,59657,86323,61240,123

flsz,zgg

50,989.-.

44,25940,21917,832

76,91715,42111,06026,351

2,3262,6466,466

12,623

226,0742,985

16,0552,666

27,2669,656

34,01716,08035,67281,655

93,60921,79032,29525,26014,444

1I 36,425

16,765.-.

24,91994,741

87,0314,0938,6343,095

18,3857,652

25,0968,786

13,290

180,71326,77315,884

127,9672,9215,166

lExcludes figures for State(a) shown below ss nOt available.2Flgures for marrlagaa are marriage licenses issued fOr some COUntie5.

36eglnning with data for February lggl, figures Include adjustments for varying length OfrepOflin9 periode; SeeTechnical nOteS.4F[gures formsrrisges are marriaga licenses issued.5F[gures for divorces Include eStiMatea for some COUntiea.

NOTE Flguree Include ell revlelons receivsd from the Ststes. Cumulefive figures for the currant year reflect revlslona received for previous monlhe, and figures for earlier years may differ fromthose previously published.

14~ Monthly Vital Statistics Report ● Vol. 41, No. 12 ● May 19, 1993 ~~

Table 4. Provisional number of deaths under 1 year and infant mortality rates: each division and State, 12 months ending with December1991 and 1992

[Data are estimates by State of residence; see Technical notes. Infant mortality rates are deaths under 1 year per 1,000 live births in specified area]

12 months ending wr”thDecember

1992 1991

Area Number Rate Number Rate

New England . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Mains . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .NewHampshire . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Varmint . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Massachusetts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Rhode Island . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Connecticut, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

MiddleAtlantlc . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .New York. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .New Jersey . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Pennsylvania . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

EastNorth Central . . . . . . . . . . . . . . . . . . . . .’ . . . . . . . .Ohio. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Indiana . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Illinois . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Michigan . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Wisconsin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

WestNorthCentral, . . . . . . . . . . . . . . . . . . . . . . . . . . . .Minnesota . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Iowa . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Missouri . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .North Dakota..........,.. . . . . . . . . . . . . . . . . . .South Dakota . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Nebraska. , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Kansas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

South Atlantic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Delaware . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Maryland. ., ., ., .,, . . . . . . . . . . . . . . . . . . . . . . . .DlstrlctofColumbla . . . . . . . . . . . . . . . . . . . . . . . . . . .Virginia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .WestVirglnia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .North Carolina. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .South Carolina....,....,.. . . . . . . . . . . . . . . . . . .Georgia, ...,.........,.,.. . . . . . . . . . . . . . . . .Florida . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

EastSouthCentral, . . . . . . . . . . . . . . . . . . . . . . . . . . . .Kentucky . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Tennessee. , .,, ,, ...,,... . . . . . . . . . . . . . . . . . .Alabama .,, ,,, ., .,,,..... . . . . . . . . . . . . . . . . .Mlaslsslppl, ...,,,,,,,,,,,.. . . . . . . . . . . . . . . . .

WestSouth Central, . . . . . . . . . . . . . . . . . . . . . . . . . . . .Arkansas. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Louisiana, ,,, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Oklahoma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Texas. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Mountain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Montana ..,..,.,.,,.,.,,, . . . . . . . . . . . . . . . . .Idaho . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Wyoming. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Colorado, ,,, . .,, ,, .,.,,... . . . . . . . . . . . . . . . .New Mexico . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Arizona . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Utah . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Nevada . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Pacific, , .,, ., ., .,, . . . . . . . . . . . . . . . . . . . . . . . . .Washington . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Oregon . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Callfornias .,, .,, ,,, . . . . . . . . . . . . . . . . . . . . . . . .Alaska, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Hawaii, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1944

898552

601117. . .

4,8772,4191,0301,4286,1471,474

7981,9221,459

496

2,084458296660

1::154313

14,g5r.3

108..-----..202

1,052592

1,1631,743

2,362469705663505

3,973342667438

2,506

1,aao98

144

3%235566233146

14,706. . .306

4,166100132

16,7

5.75.46.66.67,9-..

8.68.58.68.6

9.48.7

IE10,57.1

6.07.07.89.0

1;6.78.4

19.6

9.7. . .. . .-..

1:;10.510.49.1

10.18.7

Iti11.6

6.39.69.69.27.7

7.76,58.28,87.36.38.56.26.617.0..-7.46.98.56.6

1,32410510547

591114362

5,2292,6291,0131,587

6,4051,500

7942,0061,521

584

2,279491279799

6299

177352

6,9a6142664199936199

1,123617

1,3641,722

2,332452709661490

4,054361716467

2,510

1,93786

15049

446239586210167

5,663564326

4,761101131

7.06.38.66.16,67.67.5

9,09,06.69,4

9.79.5

lE9.98.1

6,77.37.7

10.29.09.07.49.4

10.112,76.1

20.0

::11.010’712,46.9

10.0

E11,311.3

1::9.69,97.7

6.07.66.77.28.36.58.76.07.3

7.77.47,67.69.06,5

.

—

1Excludes figures for State(s) shown below as not available.2Beglnnlng with data for Februsry le91, figures include adjustments for varying length of reporting periodq See TechrrlcalflOteS.3Figures for all years include adjustments for varying length of reporting parlods See Tschnicalnotes. oNOTE Figures Include all revlalons racaived from the States. Figures for the current year reflect revleiona recalved for pravlous months, and figures for earllar years may ijlfler from thosepreviously publlehad.


Table 5. Provisional number of deaths and death rates, by age, race, and sex, and age-adjusted death rates by race and sex:United States, November 1991 and 1992, cumulative figures 1991 and 1992, and 12 months ending with November 1991 and 1992

[Data are provisional, estimated from a 10-percent sample of deaths. Rates on an annual basis per 100,000 estimated population in apeclfied group. Due to rounding ofestimates, figures may not add to totals. For method of computation and information on standard errors of the estimates, see Technical notes]

November January-November 12 months ending with November

1992 1991 1992 1991 1992 1991

Age, race, and sex Number Rate Number Rate Number Rate Number Rate Number Rate Number Rate

All racea, both sexes 1

Alleges . . . . . . . . . . . . 182,000

Under l year . . . . . . . . .14years, . . . . . . . . . .

}3,890

5-14years . . . . . . . . . .15-24 years . . . .. o... 3,19025-34 years . . . . . . . . . 4,74035-44 years . . . . . . . . . 7,61045-54 years , . . . . . . . . 10,53055-64 yeara , , ., . . . . . 19,64065-74 years , ., . . . . . . 40,20075-64 yeara . . . . . . . . . 51,46085 years and over . . . . . 40,190Notstated . . . . . . . . . . 40

Age-adjuated rate3. . . . . . . .

861.2 176,000 642.2

4,160 90.3

2,960 102,44,660 131,77,330 225.3

10,140 463.019,670 1,123,937,660 2,462.649,160 5,823.440,090 14,529.7

90 !.,

. . . 496.4

1,997,000

31,5006,5007,690

32,56053,05065,360

113,S60223,110437,600561,440443,970

720

. . .

852.12836.6

45.722,6

100,6135.2233.6451,6

1,147.52,542.35,897,3

14,0s7.0!..

502.0

1,973,000 851.6 2,1S9,000 854.8 2,161,000 853.2

33,5006,7007,990

34,36054,75060,130

109,250226,000437,260550,150432,450

650

. . .

2695,5

47.924.1

34,5007,0408,410

35,64057,63093,160

124,410245,120479,450615,900488,440

860

,,,

2842.245.322.6

101.0134.9233.4451,0

1,154842,549,75,922.7

14,132.5. . .

503.4

36,7007,1506,660

37,13059,97067,650

119,400247,320478,310602,100473,210

950

Z903,1

46.623.9

104.7136.1223.3456.3

1,159.52,667.15,917.4

14,396.4. . .

507.1

I S3.4

110,3135.7230.6456.4

1,140.52,598.65,975.7

13,933.4

105.9137,9223.5457,0

1,157.72,564.95,909!1

14,375.0. . .

506.7

.,.505.6 . . .

All races, male 1

Alleges . . . . . . . . . . . . 93,660

Under l year . . . . . . . . .l-4years. . . . . . . . . . .

}2,100

5-14years . . . . . . . . . .15-24 years . . . . . . . . . 2,41025-34 yeara . . . . . . . . . 3,4203544years . . . . . . . . . 5,21045-54 years . . . . . . . . . 6,56056-84 years , . . . . . . . . 11,570

905.8Zl,of3.4

48.228,4

157.3201.7310.2594.6

1,496.73,305.37,636.8

17,104.7,..

656.0

1,023,150

19,3203,5604,690

26,09039,89055,21069,130

136,660251,360271,090143,330

490

,,,

905.3 1,131,330

16,7004,0505,260

27,09042,58064,42078,990

146,550275,280304,360161,380

610

.,,

905.22693,9

50!926.0

151.4196.2325.6587.9

1,473,43,269,47,611,4

16,724.4. . .

650.6

1,118,910

21,1003,7705,290

28,23043,67060,25075,390

151,520275,170296,920166,650

560

909.3 91,650 899.8

2,340 99.2

2,280 154.63,300 165.54,970 306.56,570 616.4

11,600 1,397.422,510 3,272.424,700 7,631.213,540 17,562.5

50 . . .

. . . 647.0

1,031,100

17,1703,7504,670

24,87039,10058,91072,090

135,190250,990276,960146,710

500

,.,

901.22691+7

51.628.2

21,007,s

49.828.7

68.0

164.2195.3316.3583.6

1,400.3

151.7198.9324.9568.9

1,464.43,256.77,561.6

16,603.3,,,

646.1

158,6201.2311.2594.3

1,496.63,299.77,619.0

17,070.4.,.

657.6

—

●

65-74 years . . . . . . . . . 23,35075-S4 yeara . . . . . . . . . 25,630S5 yeara and over . . . . . 13,360Notstated, . . . . . . . . . 40

Age-adjusted rate3. . . . . . . .

3,367.77,709.2

16,463.8. . .

648.9 . . .

All races, female 1

Alleges . . . . . . . . . . . . 88,030

Under l year, ,, . . . . . .l-4years . . . . . . . . . . .

}1,780

5-14yeara .. n...,...15-24 years . . . . . . . . . 76025-34 years, . . . . . . . . 1,31035+4years . . . . . . . . . 2,40045-54 years . . . . . . . . . 3,97055-64 yeare . . . . . ..o. 6,26065-74 years . . . . . . . . . 16,65075-84 years . . . . . . . . . 25,84085 years and over . . . . . 26,840Notstated . . . . . . . . . . -


White

Alleges . . . . . . . . . . . . 156,740

Under l year . . . . . . . . .l-4years . . . . . . . . . . .

}2,510

5-14years . . . . . . . . . . .15-24 years . . . . . . . . . 2,32025-34 years . . . . . . . . . 3,2903544yeara a........ 5,61045-54 years . . . . . . . . . 6,36055-64 years , , , . . . . . . 16,23065-74 years , . . . . . . . . 35,21075-64 years . . . . . . . . . 46,28065 years and over ., . . . 36,930Notstated . . . . . . . . . . 20


Seefootnotesat endof table.

601.4

2787.045.319.050.874.2

13s.3329.0S54.O

1,971.24,654.9

13,346.9

850,300

14,2103,1503,1006,290

14,76024,S1040,12067,340

165,660279,070269,120

350

800.52777,6

46.219.151.774,4

137.7327s0850.7

1,971.64,851.5

13,331.4. . .

1,057,360 806.9

2769.339.317.449.171,3

142.6321.1665,9

1,965.84,S66.3

13,117.0. . .

1,039,690

15,6303,3603,3708,eoo

16,10027,41044,01095,600

203,150305,160316,370

380

SI 5.s 84,350 7s7.5 966,320

14,3302,7402,6307,720

13,95026,47041,76067,920

166,610264,480297,270

220

805.62776.9

39.617.346.471.3

143.6322.9S60.9

1,963.24,856.8

13,105.3. . .

380.4

15,7302,9603,130

1,s30 81.4

700 46.61,360 77.82,360 143.73,580 316.58,070 877.2

15,370 1,606.224,460 4,700.026,540 13,354.1

40 . . .

. . . 373.4

76.2

54.875.2

144.3335.5904.3

1,974.04,666.8

12,947.7,,,

387.5

6,55015,25026,74045,43096,570

204,170311,520325,040

250 . . ..,. 362.0 . . . 381.1 . . . 382.5

1,718,190

20,0604,5305,690

22,84037,41062,0806s,860

162,860360,460504,930407,920

510

. . .

677.5267g.o

40.221.267,S

114,9200.6409,4

1,086.32,494.55,875,7

14,316,2,,.

476.7

1,704,240

21,6604,6005,810

25,03039,16056,570S5,640

166,660360,270497,000398,670

710

677.92736.9

41.421.995.4

116.5192.2416.6

1,100.92,510,65,906.2

14,647.6,,,

462.9

1,S82,300 680.0 1,665,470

24,3104,9206,350

26,96042,76064,15093,720

204,700415,990

879.22756..5

40.521.994.1

11s.3192.3416.4

1,104.82,512.95,916.1

14,683.0. . .

463.8

890.6 152,290 670.02666.s

39,622,0204,9002,810 76,6

2,250 95.93,290 111.45,350 193.88,090 429.5

16,030 1,055.932,710 2,396.444,650 5,653.937,050 14,S42.8

70 . . .

,,! 473.4

67.96,200

25,01040,63067,74096,660

200,960416,510553,830447,030

610

21,166.0

114.3200.5407,9

1,093.12,499,65,900.0

14,364.7

99.61i3.7201.1421,0

1,079.32,571.65,955.2

14,168.1543;990436,620

790,.,477.9

. . .462.9 .!. ,., 0.,

16~ Monthly Vitai Statistics Report ● Voi. 41, No. 12 ● May 19, 1993 ~~

Table 5. Provisional number of deaths and death rates, by age, race, and sex, and age-adjusted death rates by race anc[sex:United States, November 1991 and 1992, cumulative figures 1991 and 1992, and 12 months ending with November 199’1 and 1992-Con.

[Data are provisional, estimated from a 10-percent sample of deaths. Ratee on an annual basis per 100,000 estimated population in specified grotlp, Due to rounding ofestimates, figures may not add to totals. For method of computation and information on standard errors of the estimates, see Technical notes]


1992 7991 1992 1991 1992 1991

Age, race, and sex Number Rate Number Rate Number Rate Number Rate Number Rate Number Rate

White male

Allagea . . . . . . . . . . . . 80,190

Under l year . . . . . . . . .l-4yeara . . . . . . . . . . .

}1,430

5-14years .. c.......15-24 yeara .,...,,.. 1,74025-34 years, .,..,.,. 2,4503644years . . . . . . . . . 4,00045-54 yeare .,...,... 5,21055-64 years . . . . . . . . . 9,6206%74 years . . . . . . . . . 20,63075-34 years , ., ., ., , , 23,06085 years and over , , , , , 12,030Notstated’ . . . . . . . . . . 20

Age-adjusted rate3 , , . . . . . .

White female

Alleges . . . . . . . . . . . . 76,550

Under l year, ...,....l~years . . . . . . . . . . .

}1,080

5-14years . . . . . . . . . .15-24 years . . . . . . . . . 57025-34 years,...,,,., 8303644years ...,..... 1,62045-54 years . . . . . . . . . 3,15055-64 years .,...,... 6,6006&74yeara . . . , . . . . , 14,58075-34 years , . . . . . . ., 23,22065 years and over . . . . . 24,900Notstated . . . . . . . . . . -

Age-adjusted rates. . . . . . . .

Black

Alleges . . . . . . . . . . . . 22,22o

Under lyeer. ..,...,.14yeare . . . . . . . . . . .

11,200

5-14years, .,...,,,,15-24 years.,..,.,,. 77025-34 years . . . . . . . . . 1,3303H4years ...,..,., 1,64045-54 years, . . . . . . . . 1,96056-84 years,....,,,. 3,26065-74 years . . . . . . . . . 4,45075-34 years, . . . . . . . . 4,56085 years and over , , , , . 2,840Notstated . . . . . . . . . . 20

Age-adjusted rates . . . . . . . .

Black male

Allagee . . . . . . . . . . . . 11,880

Under l year . . . . . . . . .14years . . . . . . . . . . .

}600

5-14yeare . . . . . . . . . .1524years . . . . . . . . . 59025-34 years,....,,,. 8703544years .,.,..... 1,15045-54 years . . . . . . . . . 1,20055-84 years.,.,..,.. 1,70065-74 yeera . . . . . . . . . 2,45075-34 years . . . . . . . . . 2,22085 years and over . . . . . 1,050Notstated . . . . . . . . . . 20

Age-adjusted rate3 . . , . . . . .

Ssefootnotssst end of tsble,

929.4

75.4

147.2167,4265,a532.6

1,338.63,349.17,662.5

16,621.3.,.

622.1

853.2

60.0

49.958.1

116.6312.7841.S

1,936.04,86a.3

13,225,1,..

367.0

834.8

161.6

175.9290,0464.8S26.3

1,801.33,208.67,024.2

12,691.6. . .

734.8

936.4

158.7

271.0400,2659.9

1,134.02,071.94,081.19,088.6

16,012,5. . .

937.7

78,600

1,610

1,7002,2403,7505,2609,4ao

19,56022,51012,650

40

. . .

73,490

1,210

5401,0501,6002,3306,550

13,15022,13024,400

30

. . .

21,520

1,220

6901,2201,6001,8203,2904,7304,0s02,650

10

. . .

11,730

650

530920

1,1101,1501,9502,7201,930

74010

. . .

919.0

a5.6

142.7150.1271.1567.5

1,306.73,191.s7,701.7

16,366.1. . .

617.5

622.9

67.7

46.771.9

116.2295.8826.3

1,746.34,703.a

13,500.1. . .

356.1

620,9

187.8

158,1264,2490,7799.1

1,829.43,473.06,360.5

12,306.0. . .

729.4

941.8

175.6

245.1421.1660.7

1,132.02,389.24,609.1S,041,7

11,542,7. . .

962.0

878,490

11,0502,6ao3,620

17,28028,17043,69056,670

112,230219,500249,220133,820

350

. . .

839,710

9,0301,8502,0705,5609,230

18,19032,20070,650

160,970255,710274,100

160

. . .

247,940

10,2501,6601,690a,470

14,08020,98022,29035,95050,75049,68031,730

200

. . .

134,710

5,530890

1,0606,6309,830

13,62013,69020,51027,98024,02010,820

140

. . .

915.5Z729.1

46,626.2130,5171,2282.9530.4

1,393.73,201.67,536.9

16,973,9. . .

616.4

641.02626.2

33.7I e.o43,557.4

118.0292.2804.6

1,917.24,838.8

13,300,0,,.

360.5

840.621,625.4

72.431.9

173,5274.3503.1e56.1

1,787,53,307,36,935.1

12,944.1. . .

741.5

960.621 ,732+3

75.938.9

273,8404.2711.3

1,160.42,249.64,199.16,860,5

14,948,6. . .

970.5

875,340

12,7102,5103,570

18,63028,83040,91054,560

115,510220,240245,720131,550

400

. . .

9,1702,0902,2406,200

10,33017,67031,06071,170

160,030251,290267,320

310

. . .

240,700

10,6601,8601,8508,360

13,98019,61021,27035,46050,94047,08029,520

110

. . .

131,150

6,0ao940

1,1606,5109,920

13,02013,17021,01027,54021,a70

9,88090

.?!

920.92837.9

44.026.2

141,4172.7268,2539.5

1,426.73,241.97,648.0

17,538.1.,.

627.2

836.5

2638.738.317.34s.063.1

116.2297.6803.3

1,916.04,633.6

13,546.6.,.

363.8

831.421,732.1

84.535.4

171.6272.1488.6850.0

1,778.13,391.36,671.6

12,583.4. . .

738.6

954.221 ,940+6

83.043.5

271.0408,4710.2

i ,lao.o2,321,14,240.08,251.6

14,086,8.,.

969,4

963,540

12,1202,8803,920

18,66030,49047,96061,900

123,290240,550273,940147,160

440

. . .

918,750

9,9002,0202,2806,140

10,14019,76034,96077,660

175,970279,680299,860

170

. . .

272,110

11,1301,7901,6809,250

15,44022,88024,57039,34055,92054,91034,750

240

. . .

148,170

5,950960

1,1607,200

10,83014;93015,19022,50030,66026,41012,010

160

. . .

919.22735,9

45,626.0

130.7169.6283.2529.4

1,401.83,212.07,586.3

17,091.8,..

616.4

842.32633<o

33.716.044,057.7

117.3290.1609.9

1,918.14,645.6

13,321,2. . .

361,1

844.621,622.4

71.932.5

173,6275.6501.6864.2

1,79i.43,336.56,986,0

12,966.4. . .

745.2

967.421,70g<e

75.739,4

272.3408.27~3.7

1,197.02,259.04,244.88,952,5

15,202S,..

977.s

957,600

14,0902,6603,900

20,29031,53044,61059,470

126,520240,980269,200144,110

440

,,,

907,670

10,2202,2602,4506,680

11,24019,54034,24078,760

175,010274,790292,710

350

,.,

262,590

11,4101,9701,9709,130

15,42021,42023,18038,53055,86051,50032,060

130

‘,.

143,320

6,440990

1,2207,170

10,99014,26014,41022,73030,36023,93010,720

110

,,.

922.02855,0

42,726,2

13945172,6267,1539.9

1,430<13,245,57,687,3

17,595,8‘.,

627.9

836.22653,0

36,117.447,362,9

117.3300.9807.e

1,917,14,837.0

13,576.5. . .

365,0

829.721,703,0

61,634.7

172,1274,2468,6650,3

1,766.23,401.96,662.4

f 2,474,7,,,

737.8

953.6

21,894.180,642.2

273,1413,6710.9

1,165.02,298,34,276<16,251,7

13,922,1,,.

969.7●


Table 5. Provisional number of deaths and death rates, by age, race, and sex, and age-adjusted death rates by race and sex,_United States, Novembar 1991 and 1992, cumulative figures 1991 and 1992, and 12 months ending with November 1991 and 1992-Con.

[Data are provisional, estimated from a 10-percent sample of deaths. Rates on an annual basis per 100,000 estimated population In specified group. Due to rounding ofestimates, figures may not add to totals. For method of computation and information on standard errors of the estimates, see Technical notes]


1992 1991 1992 1991 1992 1991

Aae. race. and sex Number Rate Number Rate Number Rate Number Rate Number Rate Number Rate

Black female

Alleges . . . . . . . . . . . . 10,360 742.2 9,790 711.4 113,220 731.9 109,550 720,3 123,940 733.3 119,270 717.5

\ Under l year . . . . . . . . . 4,720 21,522.0 4,590 21,517.4

}

5,180 21,532,5 4,970 21,506.1

l-4years . . . . . . . . . . . 600 164.6 570 159.6 780 66.9 920 84.2 630 67.9 980 82.85-14years . . . . . . . . . . 630 24.2 700 27.4 720 25.4 750 26.915-24 years . . . . . . . . . 180 81.8 180 72.6 1,630 74.6 1,650 74.6 2,050 78.5 1,950 72.625-34 years . . . . . . . . . 460 190.7 300 123,3 4,250 157.4 4,050 150.1 4,600 155.9 4,430 149.4

,35-44 years . . . . . . . . . 690 336.2 690 347.0 7,360 326.2 6,590 302.6 7,950 322.0 7,170 301.445-54 years . . . . . . . . . 760 578.4 670 531.1 8,600 596.2 8,100 585.7 9,380 595.9 8,770 580.855-64 years, . . . . . . . . 1,550 1,566.7 1,330 1,354.1 15,440 1,403.9 14,450 1,325.9 16,640 1,403.3 15,810 1,326.665-74 years . . . . . . . . . 1,990 2,539.5 2,010 2,604.4 22,770 2,618.9 23,390 2,742.5 25,060 2,640.7 25,510 2,737.175-64 years . . . . . . . . . 2,340 5,778.9 2,150 5,382.4 25,660 5,759.2 25,220 5,714.0 28,510 5,806.5 27,570 6,706.185 years and over . . . . . 1,780 11,251.6 1,900 12;563.4 20,910 12,099.5 19,650 11,932.0 22,730 12,026.5 21,340 11,855.6Notatated . . . . . . . . . . - . . . - . . . 60 . . . 20 . . . 80 . . . 20 . . .

Age-adjusted rate3 . . . . . . . . 574.3 . . . 540.9 . . . 559.4 . . . 553.6 . . . 580.8 . . . 551.7

1Includes races other than white and black.2Death ~aIeS under 1 year (baSsd on popu[a~ion eStimatss) ~ffsr from infsnt Moflafity rates (based on fiV8 births); see table 6 for infant morfahfy rates.

3For method of computation, see Technicalnotaa.

NOTEFlguraaincludeall revisionsrecaivedfrom the States. Cumulative and 12-monlh figuraa for tha current yaar raflact revialona recelvsd for prsvioua months, and figures for earlier yearsmay differ from thoss pravioualy published. Data include adjusfmenls for the Diatricf of Columbia, which la not Included in tha aampla for November 1992, and for Maryland, which Is not IncludedIn the aamplaa for October and Novsmbar 1992.

I aDle b. Provlslonai num~er 01 aeatns antr death rates for 72 selected causes and Human immunodeticiency virus infection: United States, November 1991 and 1992,cumulative figures 1991 and 1992, and 12 months ending with November 1991 and 1992

[Data are provisional, estimated from a 10-percent sample of deaths. Rates on an annual basis per 100,000 estimated population. Due to rounding of estimates, figures may not add to totals. For method of computationand information on standard errors of the estimates, see Technical notes. For explanation of the asterisk preceding cause-of-death codes, see Technical notes]


1992 1991 1992 1991 1992 1991

Cause of death (Ninth Revision /nternationa/ C/assificetion of Diseases, 1975) Number Rate Number Rate Number Rate Number Rate Number Rate Number Rate

All causes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 182,000 861.2 176,000 842.2 1,997,000 852.1 1,973,000 851.6 2,189,000 854.6 2,161,000 853.2

SMgellosis andamebiasis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..004.OO6Certain other intestinal infections . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..” . . . . . . . . ..007-oo9Tuberculosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..oIo-oI8

Tuberculosis ofrespiratorysystem. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..o1o-oI2Othertubsrculosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...013-018

Whooping Cough . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..o33

Streptococcal aorethroat, scarlatina, anderyaipelae. . . . . . . . . . . . . . . . . . . . . . . . . ...034-035Meningococcal infection, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...036Septicemia, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...038Acutepoliomyetitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..o45

Measles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..o55Viralhepatitis . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..o7o

-*60 *

190 0.9170 0.620 ●

-*-*

30 ●

1,470 7.0-*-*

210 1.0-*

70100

7030

—

********

7.6***●

7001,2801,010

27010

22018,190

1,69070

*0.30.50.40.1

**

0.17.8

●

*

0.7*

20610

1,4901,110

380

10250

17.580

*0.30.60.50.2

**

0.17.6

**

0.70.0

7501,4201,110

31010

23020,030

*0.30.60.40.1

**

0.17.6

**

0.7*

20640

1,6001,160

410

10280

19,2601020

1,790140

*0.30.60.50.2

**

0.17.6

*

101,590

9010

2,690

42,750560

9,98012,6603,3204,7601,6005,0701,9102,690

1020

1,690

*0.70.1

1,92070syphilis. . . . . . . . . . . .

Allotherinfectiousand oar~~fic” ““””””””””””””””””””” ““”””””””’”””””””..090-097 130

31,920

472,6806,860

109,910135,600

40,91054,46019,10058,66016,14028,790

diseasesl. . . . . .00{-O03,005,02H32,037, 03%041,*042-*044, 046W54,056466,07 l466,O98-l39

Malignant neoplaems, includng neoplasms of&mphatic andhematopoietic tissues . . . . . ...140-206Matignantneoplasms ofiip,oralcavity, and pharynx . . . . . . . . . . . . . . . . . . . . . . . ...140-149Malignantneoplasmsofdigestive organs and peritoneum. . . . . . . . . . . . . . . . . . . . ...150-159Matignantneoplasms ofrespiratoryand intrathoracic organs . . . . . . . . . . . . . . . . . . ...160-165Matignantneoplasmofbreast.... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...174-175Malignantneoplasmsofgenitalorgans. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..l7g.-l87Matignantneoplasmsofurinatyorgans. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...188-169Malignant neoplasms ofallother and unspecified sites. . . . . . . . . . . . . . . . ...170-173.190-199Leukemia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..2o4-2o8Other mati nantneoplasms oflymphafic andhematopoietic tissues. . . . . . . . . . . . . . ...200-203

YBenign neop asms, carcinoma in situ, and neoplasms of uncertain behavior andofunspecified nature . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..2l23g3g

Diabetesmeltitus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..25oNutritionaldeticiencies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...260-269Anemias . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...260-265Meningitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...32&322Majorcardiovascr.rlardiseases. . . . . . . . . . . . ., ..,... . . . . . . . . . . . . . . . . . . . . . .39fJ-446

Diseasesofheart . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...390-396.402.404-429Rheumatic feverand rheumatic heart disease . . . . . . . . . . . . . . . . . . . . . . . . . . . ..3g0-3g6Hypertensive heartdisease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...402Hypertensive heartandrenaldisease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..404 .4o4Ischemlcheartdisease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...410-414

Acutemyocardialinfarction.... . . . . . . . . . . . . . . . . . . . . . ., . . . . . . . . . . . . . . ..4IoOtheracute andsubacuteformsofischemic heartdisease . . . . . . . . . . . . . . . . . . . . ..41IAnginapectoris: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..4I3Old myocardial infarction and other forms of

chronicischemicheartdisease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...412.414CihS?d;SS5S3SCfSGdSZiti?tiX..... . . . . . . . . . . . . . . . . . . . . . . . . . .........=.~~~

Allotherformsofheartdisease. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..415.-423.42~29Hypertensionwith orwithoutrenal disease. . . . . . . . . . . 4QI,403. . . . . . . . . . . . .. . . . . . . . . .Cerebrovasculardiseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...430-438

Intmcerebraland otherintracranialhemorrhage . . . . . . . . . . . . . . . . . . . . . . . . . ...431-432Cerebdthrombosis andunspecifed occlusion ofcerebmlatieties. . . . . . . . . . . ...434.0.434.9Cerebrat embotism . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .434.1Allotherandlate effects ofcarebrovascular diseases . . . . . . . . . . . . . . . . . . .430.433,43+6

3,150 14.9

44,010 208.7650 3.1

10,010 47.513,000 61.6

3,860 18.34,970 23.61,960 9.45,350 25.41,760 6.32,430 11.5

12.6

204.42.7

47.760.515.922.8

7.624.2

9.113.6

35,250

478,1507,270

111,570139,130

40,75054,23020,57057,72017,75029,160

15.0

204.03.1

47,659.417,423.1

8.824.6

7.612.4

13.6

204.03.0

47.456.517.723.5

8.225,4

7.612.4

36,340

521,7107,940

121,620152,07044,22059,02022,38063,16019,20031,900

15.0

203.83.1

47,659,417.323.1

2Z7.5

12,5

34,760

515,1807,400

120,380146,04044,56059,25020,90063,92019,53031,220

13.7

2W.42.9

47,556.517.623.4

6.325.2

lU

660 3,13,860 18,3

290 1.430 1.6

50 ●

76,720 363.760,100 264.9

500 2.41,940 9.2

160 0.840,240 190.819,230 91.2

190 0.980 *

6204,300

320290

9073,91057,790

4701,520

17038,37019,110

27040

18,960t;zou

16,050650

12,0101,7501,340

8,8:

3.020.5

1.51,4

*

353.3276.3

2.27.30.8

163.491.3

1.3*

6,62046,110

2,8203,610

670635,900658,730

5,41020,010

2,110436,600210,240

2,630940

224,79013,670

176,9408,810

131,39019,14014,010

62097,630

2.919.7.1.2

1.50.3

356.7261.1

2.38.50.9

187.289.7

1.10.4

7,12045,230

2,8503,740

670827,950

3.119.5

1.2

7,56050,750

3,1304,010

730916,730722,770

5,92021,930

2,280481,070230,690

2,6701,030

3.019.6

1.21.60.3

358.1282.3

2.38.60.9

187.990.2

1.10.4

7,71049,650

3,0504,190

740908,100714,750

5,99021,350

2,060477,760233,610

3,190850

3.019.6

1.21.70.3

358,6282.2

2.48.4

16::92.3

1.30.3

1.60.3

357.3651,510

5,49019,500

1,870435,230212,560

2,810600

281.22.48.40.8

187.691.7

1.20.3

20,730 98.3~27u ---

15,960 7:.:910 4.3

12,290 58.31,630 8.71,330 6.3

40”9.100 43.1

90.65.7

76.73.1

57.48.46.4

*

42.3

95.9.-

7;.:3.8

56.16.26.00.3

41.6

219,030i .2.440

94.5-.

7Z3.3

56.36.06.90.3

41.1

246,260. . ---14, Iau

196,6109,660

143,65021,00015.440

670106,550

96.25.6

76.93.8

56.18.26.00.3

41.6

239,910i 3,&U

194,1408,550

142,89020,30017,340

710104,530

94.75.3

76.73.4

56.46.06.80.3

41.3

176:9907,720

130,52018,56016,010

84095,310

Atherosclerosis. ...... _ ................. _ ........ _ ......... _ ....... .440 Other diseases of arteries, arterioles, and capillaries .............. _ .......... ~1-448

Acute bronchitis and bronchiolitis. ......................................... -466 Pneumonia and influenza. ................... _ ....................... .480-487

Pneumonia. .................................................. .480486 Influenza. ....................................................... .487

Chronic obstructive pulmonary diseases and allied conditions. .................... .490-496 Bronchitis, chronic and unspecified. ................................... .490491 Emphysema. ..................................................... .492 Asthma..........................................................49 3 Other chronic obstructive pulmonary diseases and allied conditions. ............... .494-496

Ulcer of stomach and duodenum. ...................................... 531-533 Appendicitis. ................................................... .540-X3 Hernia of abdominal cavity and intestinal obstruction without

mention of hernia ............................................. Chronic liver disease and cirrhosis

.%X-553,560 ......................................... ~71

Cholelithiasis and other disorders of gallbladder ............................. .574-575 Nephritis and nephrotic syndrome, and nephrosis ............................ 580-589

Acute glomerulonephritis and nephrotic syndrome. .......................... .580-581 Chronic glomerulonephritis, nephritis and nephropathy, not specified as

acute or chronic, and renal sclerosis, unspecified. ....................... .582-583,587 Renal failure, disorders resulting from impaired renal function, and

small kidney of unknown cause. ............................... .584-586.588-589 infections of kidney .................................................. 590 Hyperplasia of prostate ................................................ 600

Complications of pregnancy, childbirth, and the puerperium ...................... .630-676 Pregnancy with abortive outcome ..................................... .630-638 Other complications of pregnancy, childbirth, and the puerperium. ................ .640-676

Congenital anomalies. ............................................. .740-759 Certain conditions originating in the perinatal period. .......................... .760-779

Birth trauma, intrauterine hypoxia, birth asphyxia, and respiratory distress syndrome. ...................................... .767-769

Other conditions originating in the perinatal period. .................... .760-766,77&779 Symptoms, signs, and ill-defined conditions. ............................... .789-799 All other diseases ................................................ .Residual

Accidents and adverse effects ....................................... .E800-E949 Motor vehicle accidents ......................................... .E810-E825 All other accidents and adverse effects ........................ .E800-E807,E826-E949

Suicide ..................................................... .E950-E959 Homicide and legal intervention. ..................................... .E960-E978 All other external causes .......................................... .E980-E999

1,410 2,010

40 5,980 5,980

14.870 22,090

7,440 270

1,290 340

5,530

510 IO

6.7 9.5

*

28.4 28.4

*

35.3 1.3 6.1 1.6

26.2

2.4 *

1,290 6.2 2,170 10.4

40 l

5,670 27.1 5,610 26.8

60 * 6,390 30.5

260 1.2 1,360 6.5

290 1.4 4,470 21.4

420 2.0 40 *

15,530 6.7 22,680 9.8

450 70,180 69,050

1,120 83,690

3,530 15,200

4,300 60,670

5,400 260

6.3 9.4

0.2 29.9 29.5

0.5 35.7

1.5 6.5 1.8

25.9

2.3 0.1

540 67,650 67,030

620 60,380

3,340 14,750 3.990

58,290

5,540 460

0.2 29.2 28.9

0.3 34.7

1.4 6.4 1.7

25.2

2.4 0.2

16,390 6.4 17,120 24,260 9.5 24,790

490 0.2 550 77.450 30.3 74,320 75,960 29.7 73,660

1,490 0.6 660 92,070 36.0 87.620

3,930 1.5 3,700 16,970 6.6 15,840

4,810 1.9 4,360 66,360 25.9 63,710

5,980 2.3 5,970 290 0.1 480

500 2.4 400 1.9 5,340 2.3 5,240 2.3 5,890 2.3 5,640 2,070 9.8 1,950 9.3 22.730 9.7 22,450 9.7 24,980 9.8 24,840

180 0.8 170 0.8 2,780 1.2 2.760 1.2 3,030 1.2 3,010 1,620 8.6 2,130 10.2 20,850 8.9 20,700 8.9 23,020 9.0 22,750

10 * 30 * 260 0.1 260 0.1 300 0.1 270

100 * 160 0.8 1,330 0.6 1,290 0.5 1,500 0.6 1,400

1,700 80 20

20

8.1 1.940 9.3 19,250 8.2 19,150 a.3 21,210 8.3 21,070 l 100 * 1,000 0.4 1,130 0.5 1,120 0.4 1,170 * 30 * 320 0.1 330 0.1 330 0.1 360

0.1 *

20 950

1;300

*

l

*

4.5 6.2

20. * 220 - * 30

20 * 190 890 4.2 11.390

1,260 6.0 14,480

-0.1 4.9 6.2

250 0.1 270 0.1 270 60 * 30 l 60

190 0.1 240 0.1 210 10,820 4.7 12,350 4.8 11,990 15,390 6.6 15,630 6.1 16,690

240 1,060 2,880

14,970

7,310 3,870 3,510 2,290 2,130

150

1.1 5.0

13.7 71.0

230 1.1 2,940 1,030 4.9 11,540 3,010 14.4 32,500

14,770 70.6 163,450

7,100 33.9 78,540 3,460 16.5 38,290 3,640 17.4 40,250 2,470 11.8 26,500 2,380 11.4 23,890

100 * 1,930

1.3 4.9

13.9 69.7

34.6 18.1 16.6 10.8 10.1

0.7

33.5 16.3 17.2 11.3 10.2

0.8

3.140 12,240 31,540

159,600

81,930 40,580 41,350 26,860 24,180

1,720

1.3 5.3

13.6 68.9

35.3 17.5 17.8 11.6 10.4

0.7

3,050 12,580 36,040

180,040

85,500 41,690 43,810 28,740 25,930

2,110

33.4 16.3 17.1 11.2 10.1

0.8

3,510 13,190 34,840

174,810

89,260 44.380 44,880 28,740 26,180

1,950

6.8 9.8

0.2 29.3 . 29.1

0.3 34.6

1.5 6.3 1.7

25.2

2.4 0.2

2.2

9.8 5 1.2 9.0

2 5

0.1 < <

0.6 3

8.3 22 0.5 2 0.1 g

0.1 *

2

0.1 p 4.7 6.6

3 =L

1.4 . 5.2 o<

13.8 - 69.0 f

._

35.2 17.5 -2 * 17.7 - 11.3 ;s 10.3

0.8 2 n!

Y Human immunodeficiency virus infectio+. . . . . . . . . . . . . . . . . _ . . . . . . . . . . . . . . .*042-*044 2,610 12.4 2,110 10.1 29,130 12.4 26,190 11.3 31.770 12.4 28,540 11.3 -L

0 ‘Includes data for deaths due to Human immunodeficiency virus infection (category numbers *C&-*044) shown separately below: see Technical notes. 21ncluded in All other i?fectious and parasitic diseases shown above. ;;f

NOTE: Figures include all revisions received from the States. Cumulative and 12lnonth figures for Ihe current year reflect revisions received for previous months, and figures for earlier years may diier from those previously published. Data include iti

adjusrments for the Dlsbict of Columbia, which is not included in the sample for November 1992, and for Maryland. which is not included in the samples for October and November 1992.

--

Table 7. Provisional number of deaths and death rates for 16 selected subcategories of Malignant neoplasms, including neoplasms of lymphatic and hematopoietic tissues:United States, November 1991 and 1992, cumulative figures 1991 and 1992, and 12 months ending with November 1991 and 1992

[Data are provisional, estimated from a 10-percent sample of deaths. Rates on an annual basis per 100,000 estimated population. Due to rounding of estimates, figures may not add to totals. For method of computationand information on standard errora of the estimates, see Technical notes]


1992 1991 1992 1991 1992 1991

Cause of death (Ninth Revision International Classification of Diseases, 1975) Number Rate Number Rate Number Rate Number Rate Number Rate Number Rate

Mafignant neoplasms, including neoplasms of lymphatic and hematopoietic tissues 1 . . . . . . .140-208 44,010 208.7 42,750 204.4 478,150 204.0 472,680 204.0 521,710 203.8 515,180 203.4Malignant neoplasm of esophagus. . . . . . . . . . . . . . . . . .’ . . . . . . . . . . . . . . . . . . . . . ..I5o 780 3.7 740 3.5Malignant neoplasm of stomach . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..15 I

9,740 4.1 9,070 3.9 10,520 4.1 9,730 3.6910 4.3 1,230 5.9

Malignant neoplasms of colon, rectum, rectosigmoid junction, and anus . . . . . . . . . . . . ..153,154 4,91011,910 5.1 13,250 5.7 13,050 5.1

23.3 4,69014,450 5.7

Malignant neoplasm of pancreas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...157 2,33022.4 52,460 22.4 50,860 21.9 57,250

11.022.4 55,900 22.1

2,040Malignant neoplasms of trachea, bronchus, and lung . . . . . . . . . . . . . . . . . . . . . . , . . . . , .162 12,550

9.7 23,800 10.1 23,300 10.0 25,970 10.1 25,380 10.059.5 12,220

Malignant melanoma of skin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..I7258.4 134,590 57.4 130,840 56.5 147,040 57.4 142,690 56.4

480 2.3 530 2.5Malignant neoplasm ofcewix uteri... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...180

6,360 2.7 6,520 2.8 6,900 2.7410 1.9

7,030 2.8360 1.7

Malignant neoplasms of bodyofuterus andofuterus, paflunspecified. . . . . . . . . . . . ...179.1823,970 1.7 4,290 1.8

560 2.64,330 1.7 4,690 1.9

460 2.2Malignant neoplasm of ovary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..183.o 1,210 5.7

6,040 2.6 5,310 2.3 6,430 2.5 5,790 2,3980

Malignant neoplasm of prostate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...185 2,64o4.7 11,590 4.9 12,050 5,2 12,640 4.9

12.5 2,76013,010 5.1

Malignant neoplasm of bladder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...18813.2 30,960 13,2 31,040 13,4 33,850 13.2 33,860 13.4

950 4.5 790 3.8Malignant neoplasms of Wdneyand other andunspecifled uflna~ organs. . . . . . ., . , . . . . ..189 1,030 4.9

10,110 4.3 9,360 4.0 11,040 4.3 10,270 4.1610 3.9

Malignant neoplasms of brain andother andunspecified patisof nervous system . . . . . . ..191,192 1,200 5.710,450 4.4 9,720 4.2 11,340 4.4 10,620 4.2

1,150 5.5Hodgftin’s disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...201

9,810 4.2 10,500 4.5 10,810 4.2100

11,310 4,5

Malignant lymphoma other than Hodgfdn’s disease . . . . . . . . . . . . . . . . . . . . . . . . . . .200,202 I,5i’o 7.;180 0.9 1,480 0.6 1,590 0.7 1,640 0.6 1,700 0,7

1,880 9.0Multiple myeloma andother immunoprotiferative neoplasms. . . . . . . . . . . . . . . . . . . . . . ...203

18,940 8.1 18,680 8.0 20,640 8.1 20,280 6.0760 3.8 820 3.9 8,730 3.7 6,520 3.7 9,620 3.8 9,240 3.6

1Includesfigures for subcategories not shown below.

NOTE Figures include all rwisions reseked from the Slates, Cumulative and 12.month figures for the curent year reflect revisions received for previous months, and figures for earlier yeara may difer from those previously published. Data includeadjustments for the District of Columbn, which is not included in the sample for November 1W2, and for Maryland, tiich is not included in the samples for October and November 1992.

Table 8. Provisional number ofdeathsunderl year andinfant moRali~rates, byageand for10 selected causes: United States, November 1991 and 1992, cumulative figures1991 and 1992, and 12 months ending with November 1991 and 1992

[Data are provisional, estimated from a 10-percent sampfe of deaths. Rates on an annual basis per 100,000 five births. Due to rounding of estimates, figures may not add to totals. For mathod of computation andinformation on standard errors of the estimates, see Technical notes]


1992 1991 1992 1991 1992 1991

Age and cause of death (Ninth Revision International Classification of Diseases, lg75) Number Rate Number Rate Number Rate Number Rate Number Rate Number Rate

Total, under l year, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Under 28 days. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .28daysto 11 months . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Certain gastrointestinal diseases. . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . .008-00g,w5,555-558Pneumonia and influenza . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...480...487CnoQenita( ao.omties . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...740-759~sorders relating toshoti gestation andunspecified lowtitihweight. , . . . . . . . . . . . . . . . . . ..7658hth trauma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...767lntfauterine hypoxia and bhthasph~ia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...768Respiratory distress syndrome . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .769Other conditions originating in the perirtatel period . . . . . . . . . . . . . . . . . . . .760-764,766,770-779Sudden infant death syndrome..,.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..798.o~[othercauses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . - . . . . . . . . . . .. Residual

2,700 810.2 3,000 899.6 31,500 843.2 33,500 890.8 34,500 845.5 36,700 897.3

1,660 499,8 1,820 552.8 20,060 537.8 21,060 559.5 21,690 532.9 22,960 560.81,030 310.1 1,150 349.3 11,410 305.6 12,470 331.3 12,750 313.3 13,770 336.3

* 30 * 300 8.0 300 8.0 32040 ‘

320 7.870 ● 590 15.8 560 15,4 620 1?2 620 15.1

500 150.6 560 170.1 5,820 182.7 7,020 186.5 7,380 181.3250

7,610 190.875.3 240 72.9 3,460 92.7 4,160 110.5 3,780 92.9 4,450

*tir~.i

10 * 160 4.3 130 3.5 190 140 3.450 ‘ 60 * 610 16.3 710 18.9 620 lZ

190750 18.3

57.2 150 45.6 2,120 56.8 2,240 59.5 2,180 53.6 2,540 620790 237.9 780 236.9 7,910 211.9 8,000 212.5 8,590 211.0410

8,640123.5

211.0390 118.4 3,730 99.9 3,910 103.9 4,240 104.2

4404,380 107.0

132.5 670 203.5 5,800 155.3 6,480 172.2 6,500 159.7 7,080 172.9

NOE FQurea incfudeall revisions receti~ frc-m the Wtes. cumulative and 12.rnonUr figures for the current yex reflect revisie”s receiti f@r previcus mcmfhs. and figures fQr earfim years may dffer frcsn !hcse previously publiihed. Dam includeadiu$~ments fQr the ~sticf Qf Co!umb& which is not included in the aanrp!afQrNovemberIWZ and fgr !.~fsnd, ti:~ is “ot incfuded in tJte ~p!es for October ad November lWZ

--– . . ..=-. _..-..._.=. . . . . . . .. ..

Monthly Vitai Statistics Report ● Vol. 41, No, 12 ● May 19, 1993 ~ 2“

Technical notes

Nature and sources of data

Data in this report are provisionalunless otherwise specified and includeonly events occurring within theUnited States, Mortality data excludefetal deaths.

Beginning with the January 1991issue, birth, death, and infant deathfigures for all years shown in tables 2and 4 for each State are estimates byState of residence. These estimates arederived by applying adjustment ratiosto the actual counts of certificates forall events occurring in the State andreceived in registration offices during al-month period regardless of date ofthe event. The adjustment ratios foreach data year representthe observedrelationship between final State occur-rence and residence figures for the 3most recent years for which final datawere available, expressed as a singleratio for each State. As in previousyears, monthly State marriage anddivorce figures represent the actualcount of all events occurring in theState (State of occurrence) that werereceived in the registration officesduring the l-month period. Beforethe January 1991 issue, provisionaldata for all events were by State ofoccurrence. Delay in the receipt ofcertificates in a registration office mayresult in a low State figure for a givenmonth followed by a high figure for themonth(s) in which the delayed recordsare received. Data for previous monthsand cumulative data include revisedfigures received from the States.

Figures for births, deaths, andinfant deaths for all years for Cali-fornia shown in tables 2 and 4 containadjustments for varying length of Statereporting periods. Beginning with datafor February 1991, figures for Texasfor all events shown in tables 2-4 areUISO adjusted for varying length ofState reporting periods, Before Feb---

●ruary 1991, data for Texas werereported for monthly periods. The fig-ures for both States are adjusted bythe ratio between the number of days

. in the data month and the number ofdays in the State reporting period. Theadjusted figures for California and

Texas shown in tables 2-4 are includedin the US, totals.

Beginning with data for January1991, US, totals for births, deaths, andinfant deaths are based on the Stateestimates by State of residence(described above) and, therefore, ineffect, exclude events to nonresidentsof the United States. Events to nonres-idents of the United States areincluded in all marriage and divorcefigures for all years and in the U.S.birth, death, and infant death figuresfor 1990 and previous years. The effectof excluding events to nonresidentsfrom the US, totals is small.

Provisional totals for the UnitedStates include estimates for State datashown as not available. Provisionaltotals for births and marriages for theentire United States include adjust-ments for observed differencesbetween provisional and final monthlyfigures.

Divorce figures include reportedannulments. The monthly nationaldivorce estimate is obtained by multi-plying the total for the reporting areasby the ratio observed between themost recent final annual divorce totalfor the United States and the provi-sional total for the reporting areascombined.

Randonz variation – Although thecounts in this report are not subject tosampling variability (except the Cur-rent Mortality Sample, see below),they may be affected by random varia-tion. When the number of events issmall and the probability of such anevent is small, considerable cautionmust be observed in interpreting thedata. Such infrequent events may beassumed to follow a Poisson proba-bility distribution. For this distributiona simple approximation maybe used toestimate the random variation, asfollows:

If N is the number of events in thepopulation and R is the correspondingrate, the chances are 19 in 20 that

1. N-2fland N+ 2fl

covers the “true” number ofevents.

2. R–2 > and R+2~

flfl

covers the “true” rate.

If the rate RI corresponding to N,events is compared with the rate R2corresponding to Nz events, the dif-ference between the two rates may beregarded as statistically significant atthe 0.05 level if it exceeds

Additional information on randomvariation in numbers of events, rates,and ratios may be found in the tech-nical appendixes of Vital Statistics ofthe United States, 1988, Volumes I andII.

Rates

Rates are on an annual basis and,except for infant mortality rates, areper 1,000 or 100,000 estimated popula-tion residing in the United States. Thepopulations used for computing theserates are furnished by the US. Bureauof the Census. The population esti-mates are based on the 1980 Census ofPopulation and do not reflect theresults of the 1990 census enumera-tion. Monthly rates are based on pop-ulations estimated for the specificmonth. Year-to-date rates are aver-ages of the monthly rates weighted bythe number of days in each respectivemonth. Rates for 12-month periods arethe sum of events for the period perpopulation estimated at the midpointof the period.

Infant mortality rates are infantdeaths for the specified period(monthly, year-to-date, 12-monthperiod) per 1,000 or 100,000 livebirths. Births used for computingmonthly and year-to-date infant mor-tality rates are adjusted for monthlyvariation in the number of births;births used to compute 12-month ratesdo not contain this adjustment. Birthsused for computing infant mortalityrates are not corrected for observeddifferences between provisional andfinal monthly figures as described insection on Nature and sources of data.Because monthly infant mortality ratesare based on relatively few events, theyare highly variable. Therefore, com-parisons between monthly infant

22 ~ Monthly Vital Statistics Report ● Vol. 41, No. 12 s.May 19, 1993 ~~

mortality rates should be interpretedcautiously see section on Randomvariation.

The age-adjusted rates presentedin this report are computed by thedirect method, that is, by applying theage-specific death rates to the stan-dard population distributed by age.Age groups shown in table 5 were usedto compute the age-adjusted ratesshown in that table, The age-adjustedrates upon which the State maps arebased were computed from age-specific rates in 10-year age groups. Inboth instances the total population asenumerated in 1940 was selected asthe standard. It is important not tocompare age-adjusted death rates withcrude rates.

Current Mortality Sample ,

.The Current Mortality Sample(CMS) is a 10-percent systematicsample of death certificates drawneach month after the certificates arecounted in the State registrationoffices. Deaths and death rates by age,race, sex, and cause are based on thesample. Because of the additional timerequired to select and process the cer-tificates, data based on the CMS arepublished 1 month after publication ofthe U.S. and State counts. Completeinformation concerning the underlyingcause of death is sometimes not avail-able when the sample is drawn. As aresult, estimates based on samplecounts for certain causes are biased,Correction for bias is shown in theannual summary (issue No. 13 in thisseries) for each year.

Estimated numbers of deaths anddeath rates based on the sample wereproportionately adjusted to be consis-tent with estimates based on the countof death certificates received in Stateregistration offices.

HW infection– Beginning withdata for 1987, NCHS introduced cate-gory numbers “042–’044 for classifyingand coding human immunodeficiencyvirus infection (HIV infection), for-merly referred to as human T-cellIyrnphotropic virus-111/lymphadenop-athy-associated virus (HTLV-IIIUV)infection. The asterisk before the cat-egory numbers indicates that thesecodes are not t)art of the Ninth.

Revision of the International Classifi-cation of Diseases. Deaths classified tothese categories are included in Allother infectious and parasitic diseasesin the List of 72 Selected Causes ofDeath as well as shown separately atthe bottom of table 6.

Sampling variability– Because theestimates of deaths and death ratespresented in this report (with theexception of total deaths and deathsunder 1 year) are based on a sample ofdeath certificates, they are subject tosampling variability. The estimated rel-ative standard error shown in the tableis a measure of the sampling error ofthe estimated number of deaths (or ofthe estimated death rate) expressed asa percent of the estimate. The firstcolumn refers to monthly estimates;the second to annual; cumulative year-to-date totals will be between the two.

The chances are about 2 of 3 thatthe percent difference between an esti-mate and the result of a completecount is less than the percent shown.The chances are about 19 of 20 thatthe percent difference is less thantwice the percent shown, Figuresbased on 100 or fewer estimateddeaths have relative standard errors of30 percent or more and are, therefore,considered unreliable. Rates based on100 or fewer estimated deaths are indi-cated by an “*”.

Relative standard errors for estimatednumbers of deaths from the CurrentMortality Sample expressed as a percent ofthe estimate

Relative stsndard errorof estimate (as percent)

170,000 2,000,000estimated estimated

Estimated number deaths deathsof deaths each month each year

lo..................... 94,9 94.920 . . . . . . . . . . . . . . . . . ..$. 67.1 67.150 . . . . . . . . . . . . . . . . . . . . . 42.4 42.4100 . . . . . . . . . . . . . . . . . . . . 30.0 30.0200 . . . . . . . . . . . . . . . . . . . . 21.2 21.2600 . . . . . . . . . . . . . . . . . . . . 13.4 13.41,000.................. 9.5 9.52,000.................. 6.7 6,75,000 . ..!! . . . . . . . . . . . . . 4.2 4.210,000 . . . . . . . . . . . . . . . . . 2.9 3.020,000 . . . . . . . . . . . . . . . . . 2.0 2.150,000 . . . . . . . . . . . . . . . . . 1,3lM,0000.,,,..,....... ;: 0.9200,000 !.!. !., !....... . . . 0.6500,000 . . . . . . . . . . . . . . . . . . 0.41,000,000 . . . . . . . . . . . . . . . . 0.2

Unless otherwise specified, com-parisons made in the text betweendeath rates based on the CMS werestatistically significant at the 0.05 levelof significance. Lack of comment inthe text about any two rates does notmean that the differt:nce was testedand found not to be significant at thislevel.

Mortality SurveillartceSystem-TheMortality Surveillance System chartsare based entirely on monthly provi-sional data from th(: CMS. Wheresample size permits, age-race-sex com-parisons are made for the causes ofdeath. Where sample :size is too small,only age-sex comparisons are made. Atime series regression model of thefollowing form was used:

Y(t) = Ao+A1t+A2t*+-c Cos (2nt/12)+S sin (2rIt/12)-1-Et

where

Y(t) =

t=

A. =

Al =

Az =

C,s =

e, =

monthly death rate attime t

month number

coefficient, which, togetherwith C determines theY-intercept

coefficient oft

coefficient of t2

coefficients of the har-monic terms

error terms, assumed to beindependent and normallydistributed with means Oand constant variances,

and cos (2nt /12) and sin (2nt /12) are12-month period harmonic functions.

The coefficients of this model wereestimated using provisional monthlydeath rates from January 1982 throughthe month that is 12, months beforethe latest month shown in the chart.The graph of the estimated equationand 95-percent prediction intervals isshown from January 1985 through themonth that is 12 months before thelatest month shown in the chart; thegraph for the subsequent 12 months isprojected (l). Symbols in each chartrepresent actual monthly death ratesbased on the CMS. In some cases thedata are transformed by the natural

I

—

Monthly Vital Statistics Report. Vol. 41, No. 12. May 19, 1993

logarithm before fitting the model. Forgraphical purposes the data are trans-formed back to rates by the inverse ofthe natural logarithm. This procedurehas the advantage of avoiding negativeprediction intervals for the model. Themodels, parameter estimates, and sta-tistical tests for lack of fit are availableupon request for the charts publishedin the Mortality Surveillance System.Time series regression models havepreviously been used to describetrends in mortality data (2-4). A list ofcause-of-death topics is presented inthe table on the back of this report.

State Maps

Unlike other data presented inthis report, the State maps are basedon final instead of provisional data.The infant mortality rates used to pro-duce the first State map were com-puted by using 3-year total numbers ofinfant deaths and live births for1987-89. The assignment of the Statesinto the given shadings on the mapswas carried out in two steps: a) deter-mining whether the State infant mor-tality rate differed significantly fromthe corresponding U.S. rate at the 0.05level of significance; b) then groupingthe State rates found to be significantlydifferent from the U.S. rate into thefour categories: 10 highest State ratesof those significantly greater than theU.S. rate, remaining State rates signif-icantly greater than the U.S. rate, 10lowest State rates of those significantlylower than the U.S. rate, andremaining State rates significantlylower than the U.S. rate. Infant mor-tality rates and the corresponding95-percent confidence intervals areshown in the table. The symbols “T”and “tT’> shown in the table are used

to denote State rates that differ signif-icantly from the U.S. rate at the 0.05and 0.01 levels of significance, respec-tively. Different procedures were usedto determine tests of statistical signifi-cance and confidence intervals,depending on the number of infantdeaths,

For 50 infant deaths or more, thestandard normal Z statistic was used toperform the significance test:

z =(r, –ru,)/~ s ‘(r,) +s2(ru,)where

r~ = infant mortalityrate for 1987–89for the givenState per 100,000live births

rus = infant mortalityrate for 1987-89 forthe United Statesper 100,000 livebirths

S2(r.) = r: I D, = estimated vari-ance of the infantmortality rate for1987–89 for theState

S2(rU,) =r~s / D., = estimated vari-ance of infant

,. mortality rate for1987-89 for theUnited States

Ds = number of infantdeaths for theState for 1987-89

Du, = number of infantdeaths for theUnited States for1987-89.

The variance of the infant mortalityrates was computed under the

assumption

~ 23

of no variance for livebirths ‘and a Poisson probability distri-bution for infant deaths. The95-percent confidence limits were esti-mated as follows:

Lower limit = rs -1,96 ● S (r,)andUpper limit = rs + 1.96 ● S(rS)

For 1-49 infant deaths, the lowerand upper 95-percent confidence limitswere estimated as described elsewhere(5). The difference between the Stateand U.S. infant mortality rates wasdetermined to be statistically signif-icant at the 0.05 or 0.01 level if theirrespective 95-percent or 99-percentconfidence limits did not overlap.

To produce the second State map,postneonatal mortality rates instead ofinfant mortali~ rates were used.Except for the substitution of infantdeaths with postneonatal deaths, all ofthe above procedures used in pro-ducing the first State map also apply inproducing the second State map.

References

1. Ostle B. Statistics in research. Second edi-tion. The Iowa State University Press, Ames,Iowa, 159-221.1963.

2. Lui KJ, Kendal AP. Impact of influenza epi-demim on mortality in the United States fromOctober 1972 to May 1985. Am J Public Health77(6): 712-16.1987.

3. Sefiing RE. Methods for current statisticalanalysis of excess pneumonia-influenza deaths,Public Health Rep 78(6): 494-506.1963.

4. Shumway RH. Applied statistical time seriesanalysis. Prentice-Hall Press. Englewood Cliffs,New Jersey. 1988.

5. Haenszel W, Loveland DB, Sirken MG. Lungcancer mortality as related to residence andsmoking histories. 1. White Males. JNCI2S:947-1001. 1962.

I

●

24 ~ Monthly Vital Statistics Report ● Vol. 41, No. 12 ● May 19, 1993 ~~

Mortality Sur

MVSR issue

Vol. 41 No. 1

Vol. 41 No. 2

Vol. 41 No. 3

Vol. 41 No. 4

Vol. 41 No, 5

vol.41 No. 6

Vol. 41 No. 7

Vol.41 No. 8

Vol. 41 No. 9

Vol. 41 No. 10

Vol. 41 No. 11

Vol. 41 No. 12

illance System chart topics

Cause-of-death chart topics

Human immunodeficiency virus infection

Cerebrovaacular diseases

Chronic obstructive pulmona~ diseases and allied conditions

Oiabetes melliius

Oiseaaea of heatt

Malignant neoplasms including neoplasms of lymphatic and hematopoietic tissues

Malignant neoplasma of trachea, bronchus, and lung

Malignant neoplasm of prostate, Malignant neoplasm of breast

Malignant neoplasms of digestiie organs and peritoneum

Suicide

Accidents and adverse effects, Homicide and legal intervention

Infant mortall~, Neonatal mortality, Postneonatal mortality, and Sudden Infant deathsyndrome

.

“w

Suggested citation Copyright information National Center for Health Statistics

National Center for Health Statistics. Births, All material appearing in this report is in the Directormarriages, divorces, and deaths for 1992. public domain and may be reproduced or Manning Feinleib, M.D., Dr, P,H,Monthly vital statistics report; VOI41 no 12. copied without permission; citation as toHyattsville, Maryland: Public Health Service. source, however, is appreciated.

Acting Deputy t)irector

1993. Jack R, Anderson

U.S. DEPARTMENTOF HEALTHAND HUMAN SERVICESPublic Health ServiceCenters for Disease Control and “PreventionNational Center for Health Statistics6525 Belcrest RoadHyatfaville, Maryland 20782

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To receive the Monthly Vital Statistics Reportregularly, contact the National Center for HealthStatistics by calling 301-436-6500

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