Vol. 42, No. 7 ● February 2, 1994.

r—

Monthly VitalStatistics ReDort

-~Provisional Data From the CENTERS FOR DISEASE CONTROL AND PREVENTION/National Center for Health Statistics

Births, Marriages, Divorces, and Deaths for July 1993

Mortality SurveillanceSystempages 4-7

Malignant neoplasms of trachea,bronchus, and lung:

65 years and over by sex andrace

State Mapspages 8 and 9

Malignant neoplasms ofrespiratory and intrathoracicorgans by sex

Due to the availability of populationestimates that are based on the results ofthe 1990 census enumeration, provisionalrates for 1992 have been recomputed topermit a valid comparison with the 1993provisional rates. Provisional birth, mar-riage, divorce, and death rates, along withestimated death rates based on the Cur-rent Mortality Sample for 1992 have beenrecomputed, using revised populationestimates based on the 1990 enumeratedpopulation. Therefore, all rates shown for1992 are comparable with those for 1993.

Births

According to provisional reports, anestimated 357,000 births occurred in the

United States during July 1993. This wasa l-percent increase from the provisionalnumber reported for the same month ofthe previous year (352,000). The birthrate, 16.3 live births per 1,000 popula-tion, was the same as the rate for JuIy1992. The fertility rate, 71.2 live birthsper 1,000 women aged 15-44 years, was1 percent higher than the comparable ratefor July 1992 (70.5). The seasonallyadjusted fertility rate (68.4) was also 1percent higher than the comparable ratefor July 1992 (67.8).

During the first 7 months of 1993, anestimated 2,333,000 births occurred, a2-percent decrease from the 2,375,000reported for the first 7 months of 1992.The birth rate declined by 3 percent from

Provisional Vital Statistics for the United States

[Rates for Infant deaths are deaths under 1 year per 1,000 live births fertility rates are live births per 1,000 women aged 15+4 yearq all other rates per 1,000 totalpopulation. Data are subject to monthly reporting varfatio~ see Technical notes]

July January-July 12 months ending with July

Number Rate Number Rate Number Rate

Item 1993 1992 1993 1992 1993 1992 1993 1992 1993 1992 1993 1992

Live births . . . . . . . . . . . . . 357,ooo 352,000 16.3 16.3 2,333,000 2,375,000 15.6 16.0Fertility rate . . . . . . . . . . .

4,043,000 4,107,00071.2 70.5

15.7 16.2

Deaths . . . . . . . . . . . . . . . 184:00668.0

180:000 8.4 8.369.2 68.5

1,344;oilo 1,294:000 9.0 8.769.6

2,227:000 2,179:000Infant deaths . . . . . . . . . . 2,800

8.7 8.62,800 7.6 8.1 19,900 20,500 8.5 8.6 33,600

Natural increase . . . . . . . . . 173,00035,000 8.4 8.6

172,000 989,000 1,081,000 7.3 1,816,000Marriages . . . . . . . . . . . . . 236,000 228,000 lti lU

1,928,000 7.0 7.61,295,000 1,313,000 E 8.6 2,343,000

Divorces . . . . . . . . . . . . . . 103,0002,366,000 9.1 9.3

109,000 4.7 5.1 697,000 715,000 4.7 4.8 1,196,000 1,206,000 4.7 4.7

Population base(inmillions) . . . . . . . . . . . . . . . . . 257.9 255.1 . . . . . . . . . . . . . . . . . . 256.7 253.9

NOTEFigures include all revisions reCe!ved from the States. Twelve-month figures for the current year reflect revisions received for previous months, end figures for eedier yeare may dfler fromthose previously published. Rates for 1s92 ~except infant mortality) have been recomputed based on revissd population eatimate~ see Technkd notes. /

. .

# sswlcgt.ti@ %

~

U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES6

( ‘“Public Health Service

>

Centers for Disease Controland Prevention++3

cm%-m! National Center for Health Statistics CENTERS FOR DIS13SE CONl_130L

viANO PREVENTION

2~ Monthly Vital Statistics Report ● Vol. 42, No. 7 ● February 2, 1994 ~~

16.0 in 1992 to 15.6 in 1993. The fertility

rate for the first 7 months of 1993 was68.0,2 pereent lower than the rate for thesame period of 1992 (69.2).

An estimated 4,043,000 live birthsoccurred in the 12-month period endingwith July 1993, a decline of 2 percentfrom the 4,107,000 births reported for thesame period a year earlier. The birth rateof 15.7 was 3 percent lower than the rateof 16.2 for the preeeding 12 months. Thefertility rate for the most recent 12-monthperiod was 68.5,2 percent lower than therate for the 12 months ending with July1992 (69.6). These lower rates continuethe generally downward trend obsemedsince early 1991.

Natural increase

As a result of natural increase, theexcess of births over deaths, an estimated173,000 people, or 7.9 persons per 1,000population, were added to the populationduring July 1993.

For the 12-month period ending withJuly 1993, 1,816,000 persons were addedto the population. This represents a rateof natural increase of 7.0, 8 percent lowerthan the rate of 7.6 for the preceding12-month period. The decline in the rateof natural increase is due to a decrease inthe birth rate and a rise in the death rate.

Marriages

The estimated number of marriagesperformed in July 1993 was 236,000, a4-percent increase over the number forJuly a year ago (228,000). The marriagerate for July 1993 (10.8 per 1,000 popu-lation) was 3 percent higher than for thesame month of the previous year (10.5).

Despite the increase in the number ofmarriages for July, the cumulativenumber of marriages for January-Julywas 1 percent lower in 1993 (1,295,000)than the cumulative number of marriagesin 1992 (1,313,000). The marriage ratefor the 7-month period was 1 percentlower in 1993 (8.7) than in 1992 (8.8).

There were 2,343,000 marriages per-formed during the 12 months ending withJuly 1993, 1 percent fewer than for thesame period a year earlier (2,368,000).The marriage rate for the most recent12-month period (9.1) was 2 percentlower than the rate for the 12 monthsending with July 1992 (9.3).

181~18

I 1992 —17

J14

1-I 1 I I I

AM JJAS

117

16

15

14

-r.*CION

Provisional birth rates per 1,000 population by month: United States, 19g2-93

7511 4-m~th moving averageIt

70

65

60

%,11

II I

j,)

\ II1‘ II

p#\

;111 /‘t 1

/ II

L[

,/

,/,1

,/,1

v

1Monthly

-1’

data

11’

,!

o 11111111111 11111111111 II 111111111111111111111 111111111111 1JFMAMJJASON OJFMAMJJASONOJ FMAMJJASON DJFMAMJJASONDJ FM AM JJASON1

1989 1990 1881 1882 1993

Provisional seasonally adjusted fertility rates per 1,000 women aged 15-44 years:United States, 1989-93

75

70

65

60

/#

o

20] 20

11993-

16 1992 —

1

16

12 -

~ ~~ 1 J

12

8 -~8

4 - 4

0JFMAMJJ ASOND

o

Provisional marriage rates per 1,000 population by month: United States, 1992-93

Monthly Vital Statistics Report ● Vol. 42, No. 7 ● February 2, 1994 ~3

Divorces

The provisional number of divorcesgranted in July 1993 totaled 103,000,compared with 109,000 in July 1992. Thedivorce rate per 1,000 population for themonth dropped from 5.1 in 1992 to 4.7 in1993.

For the first 7 months of 1993 therewere 697,000 divorces granted, 3 percentfewer than for the same period of theprevious year (715,000).The divorceratefor the 7-monthperiod dropped2 percent,from 4.8 in 1992 to 4.7 in 1993.

For the 12 months ending with July1993 an estimated 1,196,000 divorceswere granted, 10,000 fewer than for thesame period a year earlier (1,206,000).Despite the drop in the number, thedivorce rate for the 12-month period was4.7 for both years.

Deaths

For July 1993 there were an esti-mated 184,000 deaths in the UnitedStates. The death rate was 8.4 deaths per1,000 population, 1 percent higher thanthe rate for July a year earlier. Among the184,000 deaths for July 1993 were 2,800deaths at ages under 1 year.

According to provisional statisticsthere were 1,344,000 deaths during thefirst 7 months of 1993, 4 percent higherthan the number estimated for January–July 1992 (1,294,000), The death rate, 9.0per 1,000 population, was 3 percenthigher than the January-July 1992 rate of8.7. Among the 1,344,000 deaths for thefirst 7 months of 1993 were 19,900deaths at ages under 1 year, yielding aninfant mortality rate of 8.5 per 1,000 livebirths, compared with a rate of 8.6 for thefirst 7 months of 1992. The change in theinfant mortality rate was not statisticallysignificant,

The death rate for the 12 monthsending with July 1993 was 8.7 deaths per1,000 population, 1 percent higher thanthe rate of 8.6 for the comparable12-month period a year earlier. The infantmortality rate for this 12-month periodwas 8.4 per 1,000 live births, 2 percentlower than the rate of 8.6 for the 12months ending with July 1992,.

CurrentMortalitySample,12 monthsending with June 1993—The provisionaldeath rate for the 12 months ending with

11

10

9

8

I

J

7

10

1993 ~

1992 —

~,’

JFMAMJJ ASOND

1

10

9

8

7

0

Provisional death rates per 1,000 population by month: United States, 1992-93

‘0”0~’””o

!8.5 ~

8.0

7.5

7.0

6.5

“+

1993 ~1992 —

Tly

AM JJ ASO ND

9.5

9.0

8.5

8.0

7.5

7.0

6.5./o

Provisional infant mortality rates per 1,000 iive births by month: United States, 1992-93

17.0

16.5

16.0

15.5

15.0

0

16.5

16.0

11115.5

15.0

4 4 41111111111,,1111111111,/11 11111111111111111111111111 1111111 10

lFMAMJJASO NDJFMAMJ JASON DJFMAMJ JASON OJFMAMJ JASONDJFMAMJJASOND

1969 1990 1991 1992 1993

Provisional birth rates per 1,000 population for successive 12-month periods ending withmonth indicated: United States 1989-93

4~ Monthly Vital Statistics Report ● Vol. 42, No. 7 c February 2, 1994 ~~

June 1993 was 866.5 deaths per 100,000population, 1 percent higher than the rateof 858.4 for the 12-month period endingwith June 1992. The provisional age-adjusted death rate for the 12-monthperiod ending with June 1993 was 508.6deaths per 100,000 U.S. standard millionpopulation, compared with a rate of 510.0for the comparable period a year earlier.The change in the age-adjusted death ratewas not statistically significant. Age-adjusted death rates control for changesand variations in the age composition ofthe population therefore they are betterindicators than crude rates for showingchanges in mortality risk over time andfor showing differences between race-sexgroups within the population. Among therace-sex groups, the estimated age-adjusted death rates decreased for whitemales but increased for black females. Byage, the death rate for the total populationdecreased for the age groups 15–24 yearsand 55-64 years.

Among the major causes of death theestimated death rate increased betweenthe two successive 12-month periods forChronic obstructive pulmonary diseasesand Human immunodeficiency virusinfection. The death rate decreasedbetween the two successive 12-monthperiods for Accidents and adverse effectsand Homicide and legal intervention.

The infant mortality rate for the 12months ending with June 1993 was 844.6per 100,000 live births, 2 percent lowerthan the rate of 862.2 for the same perioda year earlier. For infants under 28 days,the 12-month rate ending with June 1993was 529.3, compared with a rate of 542.1for the 12-month period a year earlier.The infant mortality rate for infants 28days to 11 months was 315.2, comparedwith a rate of 320.0 for the 12-monthperiod a year earlier. The changes in themortality rate for infants under 28 daysand for those 28 days to 11 months werenot statistically significant.

Mortality Surveillance System

Discussed this month are recenttrends in death rates for Malignant neo-plasms of trachea, bronchus, and lung forthe black and white populations by sexfor ages 65 years and over. In this issue,final mortality data are analyzed for data

10.0

9.8

9.6

9.4

9.2

9,0

8.8

0

1989 1990 1991 1992 1!993

10.0

9.8

9.6

9.4

9.2

9.0

8.8

0

Provisional marriage rates per 1,000 population for successive 12-month periods endingwith month indicsted: United States, 1989-93

5.2

15.2

5.0t -1

5.0

:~~~q-,,,,,f

o 0JFMAMJJ AS ON OJFMAMJ JASON DJFMAMJ JASON DJFMAMJ JASONDJFMAMJJASOND

1989 1990 1991 1992 1993

Provisional divorce ratea per 1,000 population for successive 12-month i)eriods endingwith month indicated: United Statea, 1986-93

‘“2~”29.0

t 19.0

:~~jqf,,,,,~

o 0JFMAMJJ ASONDJFMAMJ JASONDJ FMAMJJASON DJFMAMJ JASON DJFM,iMJJASONO

1989 1990 1991 1992 1993

Provisional death rates per 1,000 population for successive 12-month periods ending withmonth indicated: United States, 1989-93

Monthly Vital Statistics Report ● Vol. 42, No. 7 ● February 2, 1994 ~5

year 1990 and provisional data fromJanuary 1984-December 1992.

In 1990, Malignant neoplasms of tra-chea, bronchus, and lung, a major causeof cancer mortality, accounted for 92,733deaths, or 6 percent of all deaths and 27percent of all cancer mortality for personsaged 65 years and over. Among blackwomen aged 65 years and over, Malig-nant neoplasms of trachea, bronchus, andlung accounted for 2,397 deaths, or 3percent of all deaths and 17 percent of allcancer deaths for these women andamong white women, 30,238 deaths, or 4percent of all deaths and 21 percent of allcancer deaths for this age-race-sex group.Among black men aged 65 years andover, Malignant neoplasms of trachea,bronchus, and lung accounted for 5,711deaths or 9 percent of all deaths and 30percent of all cancer deaths for these menand among white men, 53,446 deaths or 8percent of all deaths and 33 percent of allcancer deaths for this age-race-sex group.

Based on 1990 final data, the deathrate for Malignant neoplasms of trachea,bronchus, and lung for black men aged65 years and over was 1.3 times the ratefor white men and 3.8 times ‘the rate forblack women in this age group; for whitewomen aged 65 years and over, the ratewas 1.2 times the rate for black women inthis age group. The rate for white menwas 2.6 times the rate for white women.Trends based on provisional data forMalignant neoplasms of trachea, bron-chus, and lung for these demographicgroups are presented in the MortalitySurveillance System charts and accompa-nying text that follow.

‘“”’~’””’

:~~,o 0

JFMAMJJASON DJFMAMJ JASON DJFMAMJ JASON DJFMAMJ JASON DJFMAMJJASOND

198s 19s0 1991 19s2 19ea

Provisional infant mortality rates per 1,000 live births for successive 12-month periodsending with month indicated: United States, 1988-93

6 Monthly Vital Statistics Report l Vol. 42, No. 7 l February 2, 1994

Mortality Surveillance System charts

[Observed and fitted provisional monthly death rates and 95percent prediction intervals. Model fitted using death rates for January 19&l-December 1991; projected for January 1992-December 1992. See Technical notes]

Trends in mortality from Malignant neoplasms of trachea, bronchus, and lung are presented in the charts below. Slowing the rise of mortality from lung cancer (excluding trachea and bronchus) is addressed in He&thy People 2000 (objectives 3.2 and 16.2) (1).

f?S!2J Mcdd proj=td - 400 l

For the modeled period, provisional death rates increased

. For the projection period, observed provisional monthly death rates,

- 300 except for 2 months, fell within 95percent prediction intervals.

0 i 1985 1988 1987 1988 1989 1990 1991 1992

Provisional death rates per 100,000 black females 95 years and over for Malignant neoplasms of trachea, bronchus, and lung by month: United States, 19E5-92

400

300

200

100

0

l-

c

1

-f

li

200

100

0

400 l For the modeled period, provisional death rates increased.

. For the projection period, observed provisional monthly death rates,

300 except for 1 month, fell within 95percent prediction intervals.

zoo

100

1

Provisional death rates per 100,000 white females 65 years and over for Malignant MOplsSmS of trachea, bronchus, and lung by month: United States, 1995-92

Monthly Vital Statistics Report l Vol. 42, No. 7 l February 2, 1994 7

Mortality Surveillance System charts-Con.

[Observed and fitted provisional monthly death rates and 95percent prediction intervals. Model fitted using death rates for January 1984-December 1991; projected for January 1992-December 1992. See Technical notes]

Trends in mortality from Malignant neoplasms of trachea, bronchus, and lung are presented in the charts below. Slowing the rise of mortality from lung cancer (excluding trachea and bronchus) is addressed in Healthy People 2000 (objectives 3.2 and 16.2) (1).

kiE!l Model projected +

1985 1986 1987 1988 1989 1990 1991 1992

Provisional death rates per 100,000 black males 65 years and over for Malignant neoplasms of trachea, bronchus, and lung by month: United States, 1995-92

800 m Model projected 800

1985 1986 1987 1986 1989 1990 1991 1992

- 600

500

400

300

200

800

700

700

600

500

400

300

200

0

. For the modeled period, provisional death rates increased through 1988 and then leveled off.

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

. For the modeled period, provisional death rates increased slightly since 1987.

. For the projection period, observed provisional monthly death rates fell within 95percent prediction inter- vals.

Provisional death rates per 100,000 white males 65 years and over for Malignant neoplasms of trachea, bronchus, and lung by month: United States, 199592

8 Monthly Vital Statistics Report l Vol. 42, No. 7 l February 2, 1994

Final 3-year total number of deaths and average annual age-adjusted death rates and 95-percent confidence limits for Malignant neoplasms of respiratory and intrathoracic organs for males: United States and each State, 1988-90 [Data are final by State of residence]

Rate significantly higher than US.:

10 highest rates

Other than 10 highest rates

Rate not significantly different from US.

Rate significantly lower than US.:

Other than 10 lowest rates

10 lowest rates

NOTE “Slgnlflcantly” refers to StatIStICal slgnlflcance at the 0 05 level

Area

Deaths, Age-adjusted 95percent confidence

Ib a.. 3-year total

(final) rate

(final)

Deaths, Age-adjusted 95-percent confidence

rate limits ,,,,n, 3

3-year total Lower Upper Area (final) (final) Lower

- 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 ..........

279,737 60.7 60.5 60.9

1,571 t64.6 61.3 67.9 1,072 tt56.1 52.7 59.5

594 58.3 53.5 63.1 6,424 t t55.5 54.1 56.9 1,255 61.1 57.6 64.6 3,388 tt51.2 49.4 53.0

18,974 tt55.4 54.6 56.2 9,024 tt58.7 57.5 59.9

15,533 60.7 59.7 61.7

13,551 tt65.8 64.7 66.9 7,052 t t‘3.6 67.2 70.4

13,024 tt62.3 61.2 63.4 10,155 60.4 59.2 61.6

4,842 tt49.9 48.4 51.4

3,758 tt45.7 44.2 47.2 3,479 tt57.2 55.2 59.2 6,962 tt68.4 66.7 70.1

620 tt46.0 42.1 49.9 679 tt45.6 42.0 49.2

1,745 tt54.4 51.7 57.1 2,873 t57.9 55.7 60.1

869 tt69.5 64.8 74.2 5,423 t t68.0 66.2 69.8

805 tt76.7 71.3 82.1 6,910 tt67.9 66.3 69.5

South Atlantidon. 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 ..........

2,885 tt75.2 72.3 78.1 8,444 tt72.2 70.6 73.8 4,248 tt73.6 71.4 75.8 7,306 tt74.8 73.1 76.5

19,653 t61.9 60.9 62.9

5,736 tt84.3 82.1 86.5 7,056 tt7a.7 76.8 80.6 5,633 tt75.6 73.6 77.6 3,532 tt77.2 74.6 79.8

3,839 tt70.0 76.2 81.4 5,532 tt79.1 77.0 81.2 4,184 tt68.2 66.1 70.3

16,405 61.6 60.6 62.6

807 tt47.6 44.2 51 .o 810 tt43.4 40.3 46.5 362 tt44.6 39.9 49.3

2,225 tt41.4 39.7 43.1 1,049 tt39.7 37.2 42.2 3,613 tt50.0 48.3 51.7

643 tt26.4 24.3 28.5 1,346 61.9 58.6 65.2

4,776 tt53.7 52.1 55.3 3,357 tt57.0 55.0 59.0

24,618 tt50.2 49.6 50.8 279 56.1 49.2 63.0 817 tt39.6 36.8 42.4

NOTE: Data are final. Rates per 100,CKM US. standard million population: see Technical notes. The symbols t and tt denote statistical signiiicance 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.

Monthly Vital Statistics Report l Vol. 42, No. 7 l February 2, 1994 9

Final 3-year total number of deaths and average annual age-adjusted death rates and 95-percent confidence limits for Malignant neoplasms of respiratory and intrathoracic organs for females: United States and each State, 1988-90 [Data are final by State of residence]

0 NOTE at the

Rate significantly higher than U.S.:

10 highest rates

Other than 10 highest rates

Rate not significantly different from U.S.

Rate significantly lower than U.S.

Other than 10 lowest rates

10 lowest rates

“SIg”lfIca”tly” refers to StatIStCal slgnlflcance 0.05 level

Area

Deaths, Age-adjusted 95-percent confidence

limits Deaths,

3-year total Age-adjusted

95-percent confidence

rate rate limits

3-year total (final) (final) Lower Upper Area (final) (final) Lower Upper

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 ..........

147,183 25.5 25.4 25.6

872 tt29.6 27.4 651 t28.0 25.7 271 t22.1 19.2

4,006 26.3 25.4 698 25.7 23.5

2,105 25.3 24.1

31.8 30.3 25.0 27.2 27.9 26.5

11,343 25.0 24.5 25.5 5,280 t26.5 25.7 27.3 8,067 tt23.9 23.3 24.5

7,107 tt27.1 26.4 27.8 3,468 t26.7 25.7 27.7 6,866 26.0 25.3 26.7 5,376 26.1 25.4 26.8 2,414 tt21.2 20.3 22.1

1,986 t t20.5 19.5 21.5 1,537 t t20.8 19.6 22.0 3,402 t26.5 25.5 27.5

268 tt18.5 16.0 21 .o 310 tt18.7 16.3 21 .l 824 tt21 .a 20.1 23.5

1,349 tt22.6 21.2 24.0

469 tt31.4 28.4 34.4 3,049 tt29.7 28.6 30.8

411 27.6 24.7 30.5 3,342 25.7 24.8 26.6

South AtlantioCon. 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 .........

1,420 tt29.1 27.4 30.8 3,415 tt22.7 21.9 23.5 1,700 tt22.6 21.5 23.7 3,010 tt23.5 22.6 24.4

10,803 tt27.8 27.2 28.4

2,691 t t32.0 30.7 33.3 2,878 25.5 24.5 26.5 2,176 tt22.2 21.2 23.2 1,410 t23.a 22.4 25.2

1,604 26.7 25.2 28.2 2,587 tt28.5 27.3 29.7 2,093 tt27.7 26.4 29.0 8,196 tt24.5 23.9 25.1

455 24.8 22.3 27.3 450 t t22.0 19.8 24.2 195 t t20.a 17.7 23.9

1,264 tt19.6 18.5 20.7 596 tt19.3 17.7 20.9

2,049 tt24.0 22.9 25.1 281 tt10.0 8.7 11.3 816 tt34.6 32.1 37.1

2,987 t t2e.5 27.4 29.6 2,020 tt29.7 28.3 31.1

16,082 t t26.8 26.4 27.2 154 28.4 23.9 32.9 380 tt17.0 15.2 18.8

NOTE: Data a”3 fi”Cd. Rates per 100,000 U.S. standard million population; see Technical notes. The symbols t and tt denote st&.tic& significance of the difference between me U.S. and ~~~~ r&S at the 0 05 and 0.01 ISWIS, respectiiely. For method of computation of rates, conhdence limits, and tests of statistical significance, see Technical notes,

lo~ Monthly Vital Statistics Report ● Vol. 42, No. 7 ● February 2, 1994 ~~

Symbols..- Data not available

. . . Category not applicable

— Quantity zero

0.0 Quantii more than zero but lessthan 0.05

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

Monthly Vital Statistics Report ● Vol. 42, No. 7 ● February 2, 1994 ~

Table 1. Provisional number of live births, marriages, deaths, infant deaths, and ratea, by month: United States, January 1992-July 199

[Data are provisional and are subjact to monthly reporting variatio~ see Technical notes]

tive births Marriages Deaths Infant deaths

Rate per 1,000 women agad 15-44 years

Rate per Rate per Rate per1,000

Rate pe

PeriodSeasonal

{1,000 1,000 1,000

Number population Una@rsted a@iusted Number population Number population Number live birthI

1992January .,, ,, . . . . . . . ..334.ooo 15.6 66.9 70.4 112,000 5.2Februa~ . . . . . . . . . . . . ..3o4.ooo

207,000 9.6 3,200 9.415.1 e5.i 66.6 166,000 8.2

March . . . . . . . . . . . . . ..360.00o 16.7165,000 9.2 2,900

72.09.1

73.4 145,000 6.7flaJ1. . . . . . . . . . . . . . ...330.000

195,000 9.1 3,200 9.2t5.e e8.3 70.0 175,000 181,000 8.7

361,000 16.72,800

72.28.5

IzJun~::::::::::::::::w3,000

73.2 231,000 175,000 8.1 2,800 8.016.0 88.9 e7.8 256,000 12.3

LhJly. . . . . . . . . . . . . . ...352.000172,000 6.2 2,700 8.2

18.3 70.5 67.8 228,000 10.5August ., . . . . . . . . . . . ..35o.ooo

180,000 8.3 2,800 8.116.2 70.1 66.3 242,000 11.2 172,000 7.9

September . . . . . . . . . . . . 357,ooo2,700 7.9

17.0 73.7 69.0 227,000Ootober . . . . . . . . . . . . ..345.ooo

10.8 169,000 8.1 2,700 8.015.9 69.1 69.3 221,000 10.2

November. . . . . . . . . . . . . K12,00018i ,000 8.3

15.8 66.62,900 8.2

70.7 174,000 8.3December . . . . . . . . . . . . . 325,000

175,000 8.3 2,700 8.115.0 65.0 66.6 184,000 8.5 186,000 8.6 2,900 8.8

1993January . . . . . . . . . . . ...325.000 14.9 64.7 68.1 103,000 4.8Februa~ . . . . . . . . . . . . ..3O8.ooo 15.6

198,000 9.168.0

2,900 8.569.6 154,000 7.9

March . . . . . . . . . . . . . ..3eo.ooo187,000 9.5 2,700 8.7

16.5 71.7 73.1Awil,. . . . . . . . . . . . . ...328.000

157,000 7.215.5

217,000 10.067.5

3,100 8.769.1 174,000 8.3

May. . . . . . . . . . . . . . . ..w5.ooo196,000 9.3 2,900 8.8

15,3 66.8 67.7 221,000 10.1June . . . . . . . . . . . . . . ..32l.ooo

185,000 8.5 2,900 8.815.2 66.1 65.1 250,000 11.8

July . . . . . . . . . . . . . . . ..357.ooo178,000 8.4 2,800 8.3

16.3 71.2 68.4 236,000 toe 184,000 e.4 2,800 7.8

l~emswod ofseasond adjusment, develop@ bytie U.3, Bureau of WaCensus, iSdescnMin~e X-7l Vatimtofthe Census Method // SeasonalAqustient PrWm, TechniWPaPar N15 (1967 ravislon),

NO’fE Ffgures induda all revisions racaivad from the states and, therefore, may dfler from thoas previously published. Rates for le92 (except infant mortelii) have been recomputed baaed onrevlsad population eslfmateq see Tecfmiaal notes.

12~ Monthly Wtal Statistics Repoti* Vol.42, No.7*Februa~2, l994 ~~

Table 2. Provisional number of live births and deaths: each division and State, July 1992 and 1993, and cumulative figures, 1991-93

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

Live births Deaths

July January-Jufy July January4uiy

Area 1993 1992 1993 1992 1991 1993 1992 1993 ‘1992 1991

New England . . . . . . . . . . . . . . . . . . . . . . .Maine . . . . . . . . . . . . . . . . . . . . . . . . . .New Hampshire . . . . . . . . . . . . . . . . . . . .Vermont . . . . . . . . . . . . . . . . . . . . . . . . .Massachusetts . . . . . . . . . . . . . . . . . . . . .RhodeIsland . . . . . . . . . . . . . . . . . . . . . .Connecticut . . . . . . . . . . . . . . . . . . . . . . .

MiddleAtlantic . . . . . . . . . . . . . . . . . . . . . .NewYork . . . . . . . . . . . . . . . . . . . . . . . .NewJersey . . . . . . . . . . . . . . . . . . . . . . .Pennsylvania . . . . . . . . . . . . . . . . . . . . . .

EastNorthCentral . . . . . . . . . . . . . . . . . . . .Ohio . . . . . . . . . . . . . . . . . . . . . . . . . . .Indiana . . . . . . . . . . . . . . . . . . . . . . . . . .Illinois . . . . . . . . . . . . . . . . . . . . . . . . . .Michigan . . . . . . . . . . . . . . . . . . . . . . . . .Wisconsin . . . . . . . . . . . . . . . . . . . . . . . .

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

.SouthAtlantic . . . . . . . . . . . . . . . . . . . . . . .Delaware . . . . . . . . . . . . . . . . . . . . . . . .Maryland . . . . . . . . . . . . . . . . . . . . . . . .OistrictofCoIumbia . . . . . . . . . . . . . . . . . .Virginia . . . . . . . . . . . . . . . . . . . . . . . . .WestVlrginia . . . . . . . . . . . . . . . . . . . . . .North Carolina . . . . . . . . . . . . . . . . . . . . .South Carolina . . . . . . . . . . . . . . . . . . . . .Georgia . . . . . . . . . . . . . . . . . . . . . . . . .Horida. . . . . . . . . . . . . . . . . . . . . . . . . .

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

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

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

Pacific . . . . . . . . . . . . . . . . . . . . . . . . . . .Washington . . . . . . . . . . . . . . . . . . . . . . .Oregon . . . . . . . . . . . . . . . . . . . . . . . . .Caliiornial . . . . . . . . . . . . . . . . . . . . . . .Alaska . . . . . . . . . . . . . . . . . . . . . . . . . .Hawaii. : . . . . . . . . . . . . . . . . . . . . . . . .

17,0021,0001,386

5838,4591,3384,236

51,73628,20810,54812,982

55,48412,8246,901

17,45512,189

6,095

21,4406,0942,8286,577

756860

1,9542,371

58,130876

6,682869

8,8221,9149,1745,5418,339

15,913

20,9554,8325,9816,4793,863

44,0463,3405,6273,455

31,624

21,1151,0181,406

6274,8462,2766,1622,9001,860

88,8157,8193,490

52,873911

1,722

16,6221,4801,276

9367,1161,2014,609

50,65625,76610,08314,767

60,48815,513

8,43417,39013,155

5,996

22,3765,9053,4756,045

7921,1111,7933,255

61,320972

7,186871

9,0012,2009,0635,247

10,56616,214

20,3864,9415,4765,7394,230

43,9633,1015,5304,549

30,783

21,339986

1,692679

4,7412,5894,5363,6082,508

54,4595,7483,832

42,402990

1,687

105,4178,5678,3894,333

51,5036,452

24,173

326,126163,908

66,57793,641

383,00294,59646,985

110,96086,74241,719

148,64337,78021,00844,4115,0796,341

13,30320,721

365,8266,165

42,4615,815

56,27313,13357,29631,69263,893

109,098

133,08930,21441,31337,65423,908

279,04319,92441,42526,426

191,268

145,2506,656

10,2133,829

32,50415,82542,04621,30012,877

415,20438,07924,431

335,6055,768

11,321

113,6489,2579,2904,685

54,2098,560

27,647

329,749167,30864,94297,499

386,10699,82748,947

111,13984,17042,023

153,48138,555

44;1925,2366,655

13,84022,417

393,2296,421

43,2325,938

57,72313,22059,63732,75765,597

108,704

133,61131,58541,42736,39024,209

283,37920,28743,78928,293

191,010

143,4046,890

10,2844,088

32,52416,24737,58422,57913,228

427,89540,14624,531

344,8966,775

11,547

113,0399,4579,5794,399

54,2508,628

26,726

336,731170,908

65,300100,523

382,97691,61949,423

111,07388,41342,450

152,17938,97619,96744,707

5,3746,536

14,15722,462

397,9176,684

46,4116,084

56,86713,40858,76133,14684,881

111,653

133,70431,95442,70934,45624,585

274,36119,75640,45927,714

186,432

142,1736,689

i0,1763,942

31,93515,77039,53220,40513,722

441,62643,73224,660

355,1066,483

11,445

9,4701,092

796356

4,282825

2,117

31,14714,7425,688

10,742

30,5577,8914,0568,2766,7373,597

13,2302,7802,3024,201

48a

1,::1,787

34,837461

3,419540

4,4521,6795,0572,4855,118

11,406

12,6582,9933,8563,5872,222

19,3402,2992,9312,672

11,438

8,428621676296

1,760783

2,613843836

24,2332,9692,176

18,308229553

10,054900649367

5,254734

2,150

30,21014,6855,294

10,231

30,3428,5694,0717,6596,5143,529

12,8152,7222,2013,924

502618

1,0781,770

32,161516

3,251603

3,977

;E2,3954,532

10,414

11,3252,8493,6632,7412,072

18,6131,9923,1452,483

10,993

8,812575673278

1,759731

3,092893611

25,8262,8101,817

20,437215547

70,3046,7255,1482,947

33,5905,822

16,072

2Z?,953104,057

43,33175,565

226,58159,84330,33762,07346,61125,717

101,39921,05717,45332,953

3,3983,9708,745

73,823

253,3163,831

25,3653,979

30,74111,95037,55716,42433,28888,383

92,37322,16226,99725,47015,744

141,37615,88724,84419,15281,493

65,1924,4174,6942,029

13,8207,070

20,7775,9176,268

170,88225,00615,474

124,8661,2494,287

68,8146,3794,7752,675

S2,7335,443

f6,609

2?3,114c18,79141,527

72,796

218,45258,9162!9,65359,27646,536:!4,071

94,36620,342f6,00928,741

3,3264,1408,689

73,119

240,273

3,476:!1 ,717

4,029:!9,135f2,422:)5,11 6$7,95531,71584,706

88,352;!1 ,052:!8,274:!4,056$4,970

137,014f5,047Z!4,026f8,12179,818

61,5284,1984,7261,930

T3,0776,889

f8,9445,7915,973

172,425

$4;705130,447

1,2264,008

66,0596,5124,9212,712

30,0855,525

16,304

212,81399,71540,81272,286

220,98357,96030,97860,62146,78224,614

94,41920,34914,42630,693

3,2003,9808,420

13,351

233,5263,397

21,3184,098

28,76311,86834,29117,67530,96281,154

64,42520,71526,92621,89514,889

132,92714,12923,22017,97677,600

59,2414,1514,5561,604

13,1226,576

17,9125,2845,836

176,78522,40914,798

134,3651,2523,941

1HgurSSincludsadjusmenwforv~”ng length of reportingpsriod~SSSTechni~ notes.

NOT13Figures include all rwisions received from the states. Cumulativefigures for the current year reflect revisions received for previous months, and figures for earlier years may dfler fromthese prw.ously published.

I

I

i

I

Monthly Vital Statistics Report ● Vol. 42, No. 7 ● February 2, 1994 ~13

Table 3. Provisional number of marriages and divorce= each division and State, July 1992 and 1993, and cumulative figures, 1991-93

[By State of occurrence. Number of events reported; eee Technical notes. Divorces include reported annulments]

Mamages Divorces

July Janerary4uiy July January-July

Area 1993 1992 1993 1992 1991 1993 1992 1993 1992 1991

New England . . . . . . . . . . . . . . . . . . . . . . .Maine . . . . . . . . . . . . . . . . . . . . . . . . . .New Hampshire . . . . . . . . . . . . . . . . . . . .Vermont . . . . . . . . . . . . . . . . . . . . . . . . .Massachusetts . . . . . . . . . . . . . . . . . . . . .RhodeIsland . . . . . . . . . . . . . . . . . . . . . .Conneoficut . . . . . . . . . . . . . . . . . . . . . . .

MlddleAtlanfic . . . . . . . . . . . . . . . . . . . . . .NewYork2 . . . . . . . . . . . . . . . . . . . . . . .New Jersey . . . . . . . . . . . . . . . . . . . . . . .Pennsylvania . . . . . . . . . . . . . . . . . . . . . .

EastNorthCentral . . . . . . . . . . . . . . . . . . . .Ohio . . . . . . . . . . . . . . . . . . . . . . . . . . .Indiana. . . . . . . . . . . . . . . . . . . . . . . . . .Illinois . . . . . . . . . . . . . . . . . . . . . . . . . .Michigan. . . . . . . . . . . . . . . . . . . . . . . . .Wisconsks.. . . . . . . . . . . . . . . . . . . . . . .

WestNorlhCentral . . . . . . . . . . . . . . . . . . .Minnesota . . . . . . . . . . . . . . . . . . . . . . . .lowa . . . . . . . . . . . . . . . . . . . . . . . . . . .Missouri . . . . . . . . . . . . . . . . . . . . . . . . .North Dakota . . . . . . . . . . . . . . . . . . . . . .South Dakota. . . . . . . . . . . . . . . . . . . . . .Nebraska . . . . . . . . . . . . . . . . . . . . . . . .Ksnsaa . . . . . . . . . . . . . . . . . . . . . . . . .

SouthAtlantic . . . . . . . . . . . . . . . . . . . . . . .Delaware . . . . . . . . . . . . . . . . . . . . . . . .Msryland . . . . . . . . . . . . . . . . . . . . . . . .DistrictofColumbia . . . . . . . . . . . . . . . . . .Virglnla . . . . . . . . . . . . . . . . . . . . . . . . .West Virginia . . . . . . . . . . . . . . . . . . . . . .NorIhCarotina . . . . . . . . . . . . . . . . . . . . .South Carolina . . . . . . . . . . . . . . . . . . . . .Georgia . . . . . . . . . . . . . . . . . . . . . . . . .Florida . . . . . . . . . . . . . . . . . . . . . . . . . .

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

WestSouth Central . . . . . . . . . . . . . . . . . . .Arkansas . . . . . . . . . . . . . . . . . . . . . . . .Louisiana . . . . . . . . . . . . . . . . . . . . . . . .Oklahoma . . . . . . . . . . . . . . . . . . . . . . . .Texae3. . . . . . . . . . . . . . . . . . . . . . . . . .

Mountain. . . . . . . . . . . . . . . . . . . . . . . . . .Montana . . . . . . . . . . . . . . . . . . . . . . . . .Idsho. . . . . . . . . . . . . . . . . . . . . . . . . . .Wyoming . . . . . . . . . . . . . . . . . . . . . . . .Colorado . . . . . . . . . . . . . . . . . . . . . . . .NewMexico4,5 . . . . . . . . . . . . . . . . . . . .Arizona2 . . . . . . . . . . . . . . . . . . . . . . . . .Utah . . . . . . . . . . . . . . . . . . . . . . . . . . .Nevada . . . . . . . . . . . . . . . . . . . . . . . . .

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

18,558

1,092287824

5,590765. . .

112,140.-.

4,8127,328

35,5519,2715,6448,8927,0844,660

15,4413,6862,6904,510

575863

1,5951,502

42,090470

4,010183

7,0341,3244,4615,4396,247

12,922

22,2985,8738,7685,1462,511

29,4853,4775,5633,204

17,221lw,290

9911,400

382---

1,3653,6722,518

11,962

16,5183,2772,872

..-699

1,670

9,4871,325

523731

4,289645

1,974

27,94816,1454,3767,427

34,7829,5775,2399,0426,3144,610

16,8713,4162,6474,676

600781

1,7722,777

41,589361

3,324211

6,4531,5784,4874,9628,300

11,913

17,7445,0197,3313,1392,255

27,5563,4865,8183,250

15,002

25,621917

1,974649

3,6171,4993,0412,318

11,60618,501

3,9912,062

. . .770

1,678

133,455

5,1822,9652,781

18,8333,674

..-

167,024-..

27,56639,458

180,96347,11627,85348,84335,43621,715

79,33616,50814,22324,9402,7144,121

_ 7,303- 9,527

254,1182,789

22,7341,409

38,9277,521

27,18030,77336,02786,758

108,16226,70743,81323,46714,155

169,09121,50020,01417,906

109,6711126,014

3,9017,1092,378

.-.7,518

24,04011,41871,650

142,385

17,04912,208

..-2,926

10,202

50,7225,5763,6782,658

!?2,9933,716

12,101

150,91280,76928,52841,615

186,30150,08327,84650,00336,08222,287

81,52716,66512,22725,6932,6924,1307,825

12,295

246,4112,710

22,1511,592

39,0627,088

28,33931,60631,19282,671

105,82028,40940,76623,33113,314

170,52020,99520,99919,006

109,518

142,3523,9048,3172,660

18,7927,918

21,16411,16666,431

148,08222,75611,571

---3,341

10,414

52,1244,9684,6552,654

23,1393,815

12,893

152,86983,98028,79940,110

192,96852,74227,51251,21739,22022,277

82,00417,26112,80926,2022,6194,1537,579

11,381

256,6642,963

22,3422,340

38,6956,870

28,46430,74042,05282,398

106,53327,92639,92325,07713,607

171,63522,66918,63719,104

111,025

140,4264,0397,4782,685

18,9327,760

21,8249,933

67,775

172,84227,73212,651

116,5543,551

10,154

13,320458415194

1,994259-..

9,2224,2651,7613,196

112,6394,839

.-.3,7272,6451,428

7,0431,590

8152,309

209241496

1,363

19,497349

1,51088

2,344670

3,1171,3463,0687,005

9,2492,0163,1222,5311,580

110,9461,183

. . .1,8707,693

16,163386450284

1,455846

2,126614---

16,780

4,7571,368

---175480

6,913447430320

4,300324

1,092

10,1724,5361,9743,660

113,5005,255

. . .4,0122,8381,395

6,1001,2871,0152,267

238254586455

22,197425

1,560200

2,800635

3,5211,0784,7257,253

8,1421,7852,7102,2701,377

1I 2,7731,666

. . .2,1628,925

16,775407508292

1,623996

2,169778---

14,2872,2271,251

---303506

119,5313,2462,7981,6079,8382,042

. . .

69,02131,23514,94922,837

186,173

29,720..-

25,65722,47710,319

45,35510,0266,284

15,6341,2871,6983,6126,816

137,5551,8469,730

97516,9045,646

20,7598,972

22,41650,307

56,30613,10419,53716,0767,589

183,32010,158

. . .12,70760,455

1443342,5313,9831,715

11,0025,969

14,5355,149

..-

126,523

15,1036,999

-..1,5062,913

27,9273,5173,5311,614

10,1052,1046,856

71,98232,79815,66123,523

188,921

31,102. . .

24,91922,23910,661

44,5748,8736,520

15,6471,3901,6943,8676,563

138,5032,003

10,3071,472

17,0735,477

21,5589,411

20,39350,809

56,73314,20619,45115,9829,092

186,94910,551

. . .14,91861,480

146,1632,5443,9281,862

11,3285,836

15,0105,655

---

i30,969

16,4759,072

---2,3403,062

26,202,952,961,448,731,978,11

71,4132,6615,5623,18

192,27

32,52.

26,1422,9710,62

46,518,797,56

15,781,251,533,797,78

136,491,709,241,15

16,225,73

19,668,50

25,2049,05

55,9412,6118,8616,308,15

179,8111,15

. .13,8754,78

143,012,523,661,87

11,024,96

14,064,90

-..

131,14

17,059,29

---1,952,83

I fi~ludss figurmfor State(s) shown below se not availabls.2Figuresfor msnfagas are marriage Iicsnaes issued for some cmmties.SngureisIrmkbadjustments for v~”ng length of reporting period%see Technical notes.4F[gureafor marriages ers marriage licenses issued.‘5flgureSfor divorces include estimatesfOrsonw counties.

NOTE Figures Include all revisions receivedfromtheStates.Cumulstivsfiguresfor ths current year reflect revisions received for previous months, and figures for earlier years may dtier fromthosa previously publlshad.

14~ Monthly Wal Statistics Report cVol. 42, No. 7 ● February 2, 1994 ~~

Table 4. Provisional number of deaths under 1 year and infant mortality rate= each division and State, 12 months ending with July 1992and 1993

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

12 months ending with July

1993 1992

Area Number Rate Number Rafe

New England. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Maine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .New Hampshire . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Vermont . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Massachusetts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .RhodeIsland . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Connecticut . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

MiddleAtlantic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .NewYork . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .NewJersey . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Pennsylvania . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

EastNotihCentral . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Ohio . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Indiana . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Illinois . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Michigan . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Wisconsin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

WestNorthCentral . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Minnesota . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .lowa . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Missouri. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .North Dakota . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .South Dakota . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Nebraska . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Kansas .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

SouthAtlantic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Delaware . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Maryland . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .DistrictofColumbia . . . . . . . . . . . . . . . . . . . . . . . . . . .Virginia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..WestVirginia . . . . . . . . . . . . . . . . . . . . .. . . . ... . ..~...North Carolina. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Soulh Carolina . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Georgia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Florida . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

WestSouth Central . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Arkansas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Louisiana . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Oklahoma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Texas2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

Pacific . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Washington . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Oregon . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .California2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Alaska. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Hawaii. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1889

917445

524i 35..-

4,9432,522

9971,424

6,0081,390

8251,8601,399

534

2,05546525169156

113169310

6,59093

678177949217

1,063535

1,1461,732

2,366477722637530

3,6073216e4429

2,373

1,873

1:71

411221554236141

14,#6---

3233,903

1$

16.3

6.15.06.26.19.2---

8.78.96.18.8

9.28.59.69.79.97.7

6.1

E9.16.4

10.37.56.7

9.8-8.7

9.017.69.99.8

10.6

lti9.0

10.19.19.8

lE

6.09.39.99.37.3

7.67.5

%7.57.97.86.56.4

16.7. . .

7.66.67.87.0

1,2701058551

575107347

4,9372,4101,0521,475

6,2641,457

7692,0021,494

542

2,17446830369460

108166333

6,592120682191824207

1,084621

l,i861,677

2,327440722687478

4,072344706455

2,567

1,92699

12747

424266579229155

5,375530293

4,335

IE

6.76.45.46.46.77,47.f

8.68.39.08,9

9.48.79.1

‘fo.310.07.6

%7.89.09.09.78.08,9

lti

1::8.5

1::10.810.78.8

10.0

1:;11.011,1

8.39.89<19.57.8

7.98,4

u7.69,38.86.16.9

7,27.36,97.27.46<6

1&~[u@~ figur= for 3t2t5 shOwn below as not available.

Zfigures include adjustment for varying length of reporting perfod$ see Technical nOteS.

NOIE Figures indude all revisions reoeivsd from the states. Figures for the current year reflect revisioes received for previous monthe, end figures for earlier years may dfler from thosepreviously publishad.

Monthly Vital Statistics Repoft ● Vol. 42, No. 7 ● February 2, 1994 ~15

Table 5. Provisional number of deaths and death rates, by age, race, and sex, and age-adjusted death ratea by race and sexUnited States, June 1992 and 1993, cumulative figures for 1992 and 1993, and 12 months ending with June 1992 and 1993

[Data are provisional, estimated from a 10-percent sample of deaths. Age-specific rates on an annual baeis per 100,000 population in specified grou~ age-adjustrates per 100,000 U.S. standard million population; see Technical notes. Due to rounding of estimatee, figures may not add to totals. For method of computation ainformation on standard errors of the estimates, see Technical notes]

June January4une 12 months ending with June

1993 1992 1993 1992 1993 1992

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

All racea, both sexes 1

Alleges . . . . . . . . . . . . 178,000

Under l year . . . . . . . . .k$yeare.. . . . . . . . . .

}3,870

5-14years . . . . . . . . . .15-24 years . . . . . . . . . 2,83025-34 yeara . . . . . . . . . 4,53035-44 yeara . . . . . . . . . 7,78045-54 yeara . . . . . . . . . 11,3805S84yeara . . . . . . . . . 19,53065-74 yeare . . . . . . . . . 39,21O75-64 yeara . . . . . . . . . 49,88085 yeara and over . . . . . 39,020Notetated . . . . . . . . . . 30

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

839.7 172,000 822.8 1,161,000

17,1003,6904,240

16,83028,91047,43066,200

124,270251,730329,270270,810

380

. . .

910.5

2871.847.423.293.1

138.6235.9470.8

1,198.52,726.66,192.3

16,290.3. . .

528.6

1,114,000

17,7003,6804,150

17,13027,67045,83062,360

125,250243,410315,560251,320

370

. . .

881.5

2891.147.823.095.3

130.7231.0465.0

1,202.52,661.06,044.0

15,674.3. . .

519.5

2,223,0.00

‘33,9006,8908,300

34,63058,68095,080

128,200241,930.484,200625,260505,270

610

. . .

866.5

2855.2,44.022.696.0

139.3235.4456.0

1,157.02,605.05,851.2

15,155.1. . .

508.6

2,178,000

35,2007,0408,760

36,74057,59090,950

121,440246,980478,040610,550483,260

980

858.

288445.24.

101.135.229.456.

1,178.2,602.95,836.4

15,050.. .

510.0

63.0 3,940 86.0

95.6131.4232.4484.3

1,135.92,558.35,611.64,068.5

2,9804,6307,470

10,00019,36038,21047,77037,410

100

100.6132.9228.8447.0

1,128.42,528.15,526.2

14,051.8. . .

491.3

1. . .

498.3

All races, male 1

Alleges . . . . . . . . . . . . 92,980

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

}2,430

6-14 years . . . . . . . . . .16-24 years . . . . . . . . . 2,16025-34 years . . . . . . . . . 3,37035-44 yeare . . . . . . . . . 5,34045-54 yeara . . . . . . . . . 7,18055-64 yeara . . . . . . . . . 12,14065-74 yeare . . . . . . . . . 22,o2o75-64 yeara . . . . . . . . . 25,32085 years and over . . . . . 13,000Notetated . . . . . . . . . . 30

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

899.3 88,440 867.6 594,220

9,8202,0902,440

12,56021,20032,74041,86075,410

143,990163,48088,370

260

. . .

954.8

2977.652.426.0

137.4203.1328.5609.0

1,534.03,535.98,069.2

19,020.1. . .

684.9

574,100

9,7002,0802,570

13,04020,58031,48039,70076,200

140,090155,17083,240

250

930.8

‘2955.453.027.6

141.8194.3321.8605.9

1,545.03,482.67,844.5

18,819.2. . .

676.3

1,142,510

18,8503,9005,000

26,14043,07065,62080,950

146,110276,550310,040185,730

560

912.3

2929.548.726.6

141.7204.3327.8589.0

1,474.23,375.07,623.3

17,801.3. . .

658.8

1,129,390

19,7103,9505,340

28,03042,33063,33077,280

150,650276,290301,460160,350

640

. . .

912.52967.

50.228.8

151.198.4322.6594.3

1,518.23,422.07,613.1

17,916.2. .

666.6

101.8 2,200 93.8

142.8195.3321.8625.2

1,488.8

2,2303,4505,0906,370

11,27022,26023,39012,100

60

147.3197.9314.7582.6

1,366.93,350.47,132.2

16,275.6. . .

634.6

3;255.77,500.6

16,754.9. . .

652.8 . . .

All races, female 1

Alleges . . . . . . . . . . . . 84,860

Under l year . . . . . . . . .Myeara . . . . . . . . . . .

}1,450

5-14years . . . . . . . . . .15-24 yeara . . . . . . . . . 6702E-34yeare . . . . . . . . . 1,1603544yeara . . . . . . . . . 2,44045-54 yaara . . . . . . . . . 4,20055-64 yeara . . . . . . . . . 7,40065-74 yeara . . . . . . . . . 17,19075-64 yeara . . . . . . . . . 24,33085 yeare and over . . . . . 26,020Notstated . . . . . . . . . . -

Ags-adjusted rate3. . . . . . . .

White

All agee . . . . . . . . . . . . 152,530

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

}2,620

5-i4years . . . . . . . . . .15-24 years, . . . . . . . . 2,02025-34 yeara . . . . . . . . . 3,30035-44 veara . . . . . . . . . 5.590

782.9 83,430 780.1 586,450

7,3001,6001,8004,0707,710

14,69024,34048,860

107,740185,800182,440

120

868.2

2760.642.320.246.674.0

145.0338.5896.2

2,068.15,036.2

15,231.2. . .

400.8

540,080

7,9701,6001,5804,0907,100

14,14022,65049,050

103,320160.390

834.4

2823.642.718.146.467.1

141.7330.1894.4

2,015.94,946.3

14,536,3. . .

391.7

1,080,630

15,0402,9903,3008,490

15,60029,46047,25095,820

207,660315,230339,540

250

822.9

2777.339.118.448.274.1

144.6328.7871.2

1,998.34,782.5

14,129.8. . .

385.5

1,048,170

15,5303,0903,4108,720

15,25027,62044,15096,330

201,750309,070322,910

330

. . .

806.9

2798.541.219.349.371.5

138.0324.2872.4

1,960.14,753.5

13,948.6. .

382.0

63.8 1,740 77.8

46.367.4

144,6349.7816.7

2,007.54,444.0

13,027.8

7401,1702,3803,6208,100

15,93024,38025,320

50

51.167.2

144.4316.4897.0

1,862.14,544.5

13,195.4 168;080130. . .

371.2

. . .373.5. . . . . .

664.9 148,100 849.3 1,000,140

11,3302,5703,100

11,51020,87033,77050,770

101,550216,030296,760249,640

250

. . .

941.6

2735.141.721.380.3

121.8200.8420.0

1,127.12,651.56,156.3

16,456.0. . .

500.4

961,290

11,3602,5603,130

11,98019,48033,04048,760

103,130211,990284,340231,270

260

1,910,620

22,0204,8106,020

24,11041,87068,37098,760

197,490419,520562,490464,560

580

910.4

2725.442.021.782.8

111.4199.2422.8

1,135.52,596,26,005.3

15,800.8. . .

492.8

893.3

2706.938.820.683.2

120.8202.2406.6

1,086.22,533.25,806.0

15,271.5. . .

460.5

1,877,150

22,7004,9206,460

26,07040,61065,98094,360

203,160415,610551,090445,240

730

885.42721,3

40.322,489.4

115.9198.0412.3

1,110.92,534.15,807.7

15,190.7. .

483.1

70.8 2,640 72.3

85.1116.5199.8

2,1603,3205,2508,020

15,96032,92043,13034,620

100

90.6115.6191.7416.6

1,067.72,441.05,501.7

14,245.0. . .

486.1

45-54 ~eara, . . . . . . . . 6;600 426.155-64 years . . . . . . . . . 15,920 1,086.365-74 years , , . . . . . . . 33,910 2,485.475-64 yeare . . . . . . . . . 44,810 5,585.985 yeara and over . . . . . 35,750 14,122.0Notstated . . . . . . . . . . 20 . . .

Age-adjusted rate3 . . . . . . . . 470.5 . . .

8ee footnotesat endof table.

16~ Monthly Vital Statistics Report ● Vol. 42, No. 7s February 2, 1994 ~~

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, June 1992 and 1993, cumulative figures for 1992 and 1993, and 12 months ending with June 1992 and 1993-Con.

[Data’ are provisional, estimated from a 10-percent sample of deaths. Age-specific rates on an annual basis per 100,000 population in specified grouw age-adjustedratas per 100,000 U.S. standard million population see Technical notes. Due to rounding of estimates, figures may not add to totals. For method of computation andinformation on standard errors of the estimates, sae Technicai notes]

June JanuaryJune 12 months end;ng with June

1993 1992 1993 1992 1993 1992—

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

White male

Alleges . . . . . . . . . . . . 78,910

Under lyaar . . . . . . . . .I-lyeare . . . . . . . . . . .

}1,620

5-14years . . . . . . . . . .15-24 year3 . . . . . . . . . 1,56025-34 years . . . . . . . . . 2,50035-44 year3 . . . . . . . . . 3,94045-54 years . . . . . . . . . 5,46055-64 yeara . . . . . . . . . 9,93066-74 yeare . . . . . . . . . 19,29076-64 years . . . . . . . . . 22,64065 years and over . . . . . 11,760Notstated . . . . . . . . . . 20

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

Whtie female

All ages . . . . . . . . . . . . 73,630

Under l year . . . . . . . . .l-4year3 . . . . . . . . . . .

}1,000

5-14year3 . . . . . . . . . .l&24years . . . . . . . . . 46025-34 years . . . . . . . . . 60035-44 years . . . . . . . . . 1,65046-54 year3 . . . . . . . . . 3,1405S64year3 . . . . . . . . . 5,99065-74 years . . . . . . . . . 14,63075-64 yeare . . . . . . . . . 21,96085 yeara and over . . . . . 23,990Notstated . . . . . . . . . . -

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

Black

Alleges . . . . . . . . . . . . 22,410

Under l year . . . . . . . . .l-4year3 . . . . . . . . . . .

}1,160

5-i4years . . . . . . . . . .16-24 yeare . . . . . . . . . 7402S34yeare . . . . . . . . . 1,08035-44 year3 . . . . . . . . . 2,00046-54 years . . . . . . . . . 2,51056-64 yeare . . . . . . . . . 3,17065-74 yeare . . . . . . . . . 4,67076-64 yeare . . . . . . . . . 4,25085 yeara and over . . . . . 2,620Notstated . . . . . . . . . . 10

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

Biack male

Alleges . . . . . . . . . . . . 12,550

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

}730

5-14years . . . . . . . . . .15-24 year3 . . . . . . . . . 56025-34 yeare . . . . . . . . . 77035-44 years . . . . . . . . . 1,31045-54 year3 . . . . . . . . . 1,54055-64 year3 . . . . . . . . . 1,97065-74 years . . . . . . . . . 2,52075-64 yeara . . . . . . . . . 2,09085 years and over . . . . . 1,050Notstated . . . . . . . . . . 10

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

490,080

6,1601,4601,9909,000

14,78023,34031,35063,320

122,540139,830

76,100180

. . .

471,210

5,2001,1001,1402,9804,6709,690

17,41039,60089,450144,510155,160

90

. . .

136,270

5,710950880

4,4807,370

11,27012,23019,92027,99027,58017,820

100

. . .

74,560

3,180510530

3,5505,1907,3507,520

11,67015,61013,3006,080

60

. . .

947.32766.8

46.726.7

121.0167.6281.1551.3

1,457.33,392.87,766.2

18,866.2. . .

640.8

875.02681.7

37.116.242.4

1%297.9840.5

1,964.24,917.1

14,634.7. . .

371.7

870.6

21,795.877.432.0

169.1266.8487.5880.0

1,867.33,628.36,958.1

15,155.4. . .

781.1

1,005.421,981.0

64.736.7

269.4388.7663.7

1,210.72,647.64,808.99,339.9

17,495.6. . .

1,064.4

927.9

2776.044.323.9

121.5179.4286.2525.9

1,388.53,289.47,574.3

17,914.4. . .

623.3

860.12634#8

33.117.042.961.0

118.0294.3ao6.2

1,930.34,716.6

14,261.7. . .

363.0

868.3

9W3,41O

‘12,7602,7804,050

“19,620:)0,37046,87060,460

124,640241,460212,920146,780

490

.,,

913,740

9,9402,1402,4306,450

‘10,44019,11033,900‘?8,320

174,140278,1702!28,460

240

,..

267,920

11,4701,7801,9809,470

15,05022,48024,330:39,330155,560~52,580:33,670

220. . .

147,280

6,300980

1,1707,500

10,68014,83015,14023,39030,86024,70011,520

140

,..

927.62790,8

44.427.2

131,1170,8281.0535.8

1,427.43,329.67,59147

18,189.6,.<

631.0

844.92646.4

36.017.345.559,9

114.8292.2820.6

1,803.44,719.5

14,051.8d.,

362.3

853,921,806,3

73.235,9

178.4272.7486,5890.2

1,933.63,593.86,605.5

14,268.9,..

770.9

991.12* ,982.6

79.74f .9

283.4409.9694.2

1,222.92,640.04,641.76,636.4

16,457,1,’.

1,042.5

912.6 75,452 882.9

82.2

130.8176.5263.9551.0

1,320.93,236.47,065.4

16,460.4. . .

603.5

817.0

62.5

47.453.5

118.4286.2635.2

1,809.44,541.8

13,393.3. . .

352.1

809.8

159.3

151.3252.4502.2770.4

1,624.03,645.96,298.3

12,920.7. . .

731.1

932.4

158.6

234.3370.0733.5

1,004.62,264.35,073.88,459.2

15,860.0. . .

976.1

506,960

6,4401,5001,6008,640

15,68023,98032,27062.440

973.6

2613.047.124.1

117.3181.1264.6540.8

1,446.23,453.88,028.2

19,136.1. . .

648.9

910.62650.3

35.318.341.061.2

116.6302.4633.7

2,011.65,000.9

15,429.1. . .

378.2

699.0

21,675.182.635.0

169.6263.2519.9970.0

1,966.53,814.57,145.4

15,340.1. . .

805.9

1,026.621,910.2

64.837.4

261.0381.0725.2

1,341.12,605.34,943.19,365.4

18,821.4. . .

1,072.4

12,4002,8203,600

18,08031,41048,47062,750

120,940241,640279,720150,660

360

. . .

937,780

9,6302,0002,4206,040

10,46019,90036,03076,540

177,880282,770313,900

200

. . .

277,100

85.3 1,540

128.0174.7261.0548.0

1,387.43,183.67,452.0

16,773.7

1,6002,5603,6205,2309,450

19,32021,04011,050

50

147;69080,340

160

.-.

493,180

4,8901,0701,3002,8705,1909,780

18,51039,11092,000

149,070169,300

90

. . .

142,710

5,3401,030

9804,4907,160

12,46013,92020,07029,87028,70018,560

130

. . .

77,270

3,080530540

3,4504,8908,0906,730

11,57016,01013,5406,720

100

. . .

. . .616.0

819.1 72,650

55.5 1,110

39.857.1

118.2307.2770.6

1,928.94,430.1

13,106.3

550760

1,6202,7906,510

13,60022,08023,570

50. . .350.2 . . .

848.9 20,970

10,7501,7901,9509,110

15,09024,22026,30039,32057,25055,48035,590

240

21,874.5

72,134.7

170.6275.0504.0918.9

1,914.33,634.96,866.3

14,646.1.!.

779.4

160.1 1,130

168.6239.6500.7

1,046.91,869.53,589.36,352.4

14,004.1

6601,1401,9301.760

4;6504,1302,510

10. . .770.6 . . . . . .

1,002.8 11,440 149,630 989.1

5,900 21,815.4

920 73.31,160 40.87,040 264.1

199.0 570

255.6361.3704.3

1,416.22,669.14,660.98,678.6

17,743.1

510790

1,3101,0401,6502,6701,990

91010

10,460 403.215,690 701.716,290 1,256.022,260 2,487.231,020 4,765.026,140 9,013.812,570 17,458.3

190 . . .

. . . 1,033.3

. . .1,054.2

Sse footnotesat snd of table.

,.Monthly Vital Statistics Report ● VOL42, No. 7 ● February 2, 1994 -17

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, June 1992 and 1993, cumulative figures for 1992 and 1993, and 12 months ending with June 1992 and 199~.

[Data are provisional, estimated from a 10-percant sample of deaths. Age-specific ratea on an annual basis per 100,000 population in specified grou~ age-adjus. rates per 100,000 U.S. standard million populatio~ see Technical notes. Due to rounding of estimates, figures may not add to totals. For method of computationinformation on standard errors of the estimates, see Technical notes]

June January-June 12 months ending with June

1993 1992 1993 1992 1993 1992

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

Black female

Allages . . . . . . . . . . . . 9,880

Under l year . . . . . . . . .Plyeare . . . . . . . . . . .

}430

5-14years . . . . . . . . . .15-24 yeare . . . . . . . . . 18025-34 year3, ,., . . . . . 31035-44 yeare . . . . . . . . . 69045-54 yeafe . . . . . . . . . 97055-64 yeare . . . . . . . . . 1,20085-74 yeare . . . . . . . . . 2,15075-64 yaare . . . . . . . . . 2,16085 years and over . . . . . 1,770Notstated . . . . . . . . . . -

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

710.2

120.3

81.9130.5323.3740.4

1,253.22,818.85,044.1

12,448.0. . .

554.1

9,530 899.4 65,440

2,260560 159.9 500

440150 68.8 1,040350 147.0 2,260620 301.4 4,370720 576.4 5,180

1,400 1,463.9 8,5001,970 2,629.5 13,8802,140 5,089.3 15,1701,600 11,688.6 11,630

— . . . 30

. . . 546.3 . . .

763.6

21,428.381.931.978.5

157.6341.1860.9

1,475.53,018.65,669.1

13,872.0. . .

602.8

61,720

2,630

::930

2,1603,9204,7106,250

12,37014,28011,730

40

. . .

749.3

21,619.073.325.770.2

150.7316.4624.3

1,442.02,727.46,616.2

14,164.9. . .

573.1

127,470

4,850670790

2,0704,6306,540

10,01017,07028,23029,34023,020

50

. . .

759.4

21,530.071.028.577.4

160.0332.3639.8

1,472.82,838.75,664.1

13,462.0. . .

5e5.6

120,640

5,180810820

I ,9eo4,3607,6009,190

15,94024,87027,87022,150

80

. . .

7321,64

637

143061

1,3e2,715,46

13,34

56

1 hl~lud,ssracea other than whtie and black2Deeth retes undsr I year (baaed on population estimstes) diftsrfrom infant morfsdityrates (bseed on live blrthsh see tabls S fOr infant MOttSlii ratss.

3For method of computation, see Technical notes.

NOIE Figures include all rwisions.received’ from the States. Cumulative and 12-month figures for the current yaer reflect revisions received for previous months, and figures for earlier yeara mdiffer from those previously published. Rates for 1992 have been recomputed based on revised population estimate% sw Technical notes.

----- . . . . . . .. . . .. . . . . . . . . .. . .. . . . .. . . .. . . —.lame 6, Frovmlonal num~er or aeatns ana aeatn rates Tor 72 Selsctea causes and Human immunotreficiency virus infeCtiOn: United States, June 1992 and 1993, cumulativefigures 1992 and 1993, and 12 months ending with June 1992 and 1993

[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]

June Janr.rary4une 12 months ending with June

1993 1992 1993 1992 1993 1992

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

All causes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Shigellosisandamebiasis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...004.006Certainotherintestinalinfeofions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..007-oo9Tuberculosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...010-016

Tuberculosisofrespiratorysystem. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..oIc-012Othertuberculosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...013-018

Whoopingcough . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . ..o33Streptococcal sorethroat, scarlafina, anderysipelas. . . . . . . . . . . . . . . . . . . . . . . . . . . .034-035Meningococcal infection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...036Septicemia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...036Acutepoliomyelitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..o45Measles. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..o55Viral hepatitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..o7oSyphilis, . . . . . . . . . .A~otherinfectiousandpar;~~c.. “.................... . . . . . . . ...”.”.’

..090-097

diseasesl . . . . . .001W03,005,02W32,037, 03H41~042-*044,04H54, O5M66,O7l+88,O9&l39

Malignant neoplasms, including neoplasma oflymphatic andhematopoietic tissues. ., . . . ...140-208Malignant neoplasmsof iip,oralcavify, and pharynx. . . . . . . . . . . . . . . . . . . . . . . . ...140-149Malignant neoplasms ofdigestive organs and peritoneum . . . . . . . . . . . . . . . . . . . . ...150-159Malignant neoplasms ofrespiratory and intrathoracic organs. . . . . . . . . . . . , . . . . ., , ..160-165

.Malignantneoplasmofbreast.... . . . . . . . . . . . . . . . . . . . . . . . ... . .. 174 . . . ..174-I75Malignantneoplasmsofgenitalorgans . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..17%187Malignantneoplasmsofurinaryorgans . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...186-189Malignant neoplasms ofallother and unspecified sites . . . . . . . . . . . . . . . . . . .170-173,180-199Leukemia . . . . . . . . ., ...!,, ,. !.,.., . . . . . . . . . . . . . . . . . . . . . . . . . . . . .204-208Othermalignant neoplasms ofiymphatic and hematopoietictissues . . . . . . . . . . . . . . ...200-203

Benign neoplasms, carcinoma in situ, and neoplasms of uncertain behavior andofunspecifiednature . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...210-239

Diabetesmellitus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .25oNutritionaldeficiencies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...260-269Anemias . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...260-285Meningitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...320-322Majorcardiovasculardiseases... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...39&$48

Diseasesofheart, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...390-398.402.404-429Rheumaticfever andrheumatioheart disease . . . . . . . . . . . . . . . . . . . . . , . . . . ...390-398Hypertensiveheartdisease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..4o2Hypertensiveheartand renaldisease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..4o4Ischemicheartdisease ..,.... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..41o-4I4

Acute myocardialinfarction . . . . . . . . . . . . . . . . . . . . . . . . . . . ., . . . . . ..410 . . ..4IoOther acute andsubacuteforms ofischemic heart disease. . . . . . . . . . . . . . . . . . . . . ..41tAn inapectoris. .Ol#myocardal infa;ti&~&~dGtb;r.fG~m;.oi .............’....”’.. .“. ’....

.413

chronicischemicheartdisease, . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. + . . ...412.414Otherdiseasesofendocardium.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...424Allnthecfmmm nf @an+, +ieaoea.......... ....... ~. ----- ------ . , . . . . . . . . . . . . . . . \ . . . . . . . . . . . A<C AFX3 A?2C .4-

. . .-r , -.”,..-..

Hypertensionwithorwithoutrenaldisease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...401.403Cerebrovascular diseasea , . . . . . . . . . . . ., . , . . . . . . . . . . . . . . . . . . . . . . . . . . .430-438

Intracerebral and other intracranial hemorrhage 431-432. . . . . . . . . . . . . . . . . . . . . . . . . . . .Cerebmlthrombosis mdunspetified occlusion ofcerebmlafienes . . . . . . . . . . . . ..43Jl.o.@LgCerebralembdism . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .All other and late effects of cerebrovascular diseases . .. %. . . . . . . . . . . . ...430.433.432.

176,000 839.7 172,000 822.6 1,161,000 910.5 1,114,000 861.5 2,223,000 866.5*

66 *190 0,9150 0,740 *-*— *

*

1,4: 6.7-*-*

230 1,1*

3,780 17.8

41,950 196.1650 3.1

9,950 47.011,820 55.83,380 18.04,690 22.11,900 9.05,390 25.41,410 6.72,770 13.1

730 3.44,250 20.1

220 1.0370 1,7

73,4%’ 347.:57,780 272,9

430 2.01,970 9,3

190 0.938,110 179,917,740 83.8

300 1.470 *

20,000 94.41,070 5.0

18,020 75.6910 4.3

11,310 53.41,600 7.51,180 5.6

6,4% 40.;

*70 *80 *60 *20 *-*

*

1; *1,620 7.7

— *-*

130 0.820 *

3,070 14.7

42,120 201.6840 3.1

9,970 47.712,040 57.63,690 17.74,460 21.41,990 9.55,280 25.31,530 7,32,500 12.0

610 2,93,730 17.8

210 1,0390 1.9

*

71,7% 343.856,720 271.5

400 1.91,750 8.4

21037,840 18;:;18,310 87.7

300 1.480 *

19,150 91.71,220 5.6

1s,s6; 7s.2850 4.1

11,180 53.51,580 7.61,200 5.7

8,3~ 40.;

33087070017010

17;10,200

1,29020

21,890

262,5204,010

60,06076,12022,37030,44010,94032,5609,640

16,390

3,99028,520

1,6102,290

430489,900383,550

2,93012,4101,140

253,360117,160

1,490360

134,3407,400

i Cx3,si)o5,430

77,91011,4508,160

28058,010

*0.30.70.50.1

**

0.18.0

**

1.0*

17.0

205.93.1

47.159.717.523.98.6

25.5

1::

3.122.4

1.31.60.3

384.3300.9

2.39.7

10.9

198.791.9

z

105.45.8

*.4

4.361.19.06.40.2

45.5

-*410 0.3620 0.5500 0.4130 0.1

**

11; 0.110,390 8.2

**

930 0.760 *

18,690 14.9

257,780 203.93,870 3.1

60,150 47.675,230 59.522,540 17.829,150 23.111,270 8.931,070 24.69,160 7.2

15,360 12.1

3,710 2.926,270 20.8

1,550 1.21,960

410 :::471,910 373.3372,410 294.8

3,070 2.411,150 6.81,110 0.9

247,900 196.1119,990 94.9

1,550 1.2500 0.4

125,860 99.67,940 6.3

10:,2ss X).14,680 3.7

73,950 58.510,720 8.57,720 6.1

350 0.355,170 43.6

6701,6101,270

34020

29019,730

2,30030

41,760

525,2708,180

121,520152,34044,03060,01021,90064,62019,71032,990

7,71052,470

3,1704,300

750930,110730,110

5,84023,6102,330

463,370226,460

2,790860

253,23014,400

~~~,~~~

10,400147,28021,75015,780

620109,130

*0.30.60.50.1

**

0.17.7

**

0.9*

16.3

204.73.2

47.459.417.223.48.5

25,2

IX

3,020.5

1.21.70.3

362.5284,6

2.39.20.9

186.488.3

U

98.75.6

-10nr u.-

5:;8.56.2

4X

2,178,000 858.4

71;1,4101,060

350

2i:20,090

1,9::140

37,020

516,6307,520

120,490150,42044,27056,94021,41063,05019,11031,410

7,62050,7003,1504,230

740913,490719,520

5,66021,5202,060

479,370233,140

3,090940

242,20014,280

~~.,yJ~

8,720143,47020,88015,520

106,;:

*0.30.60.40.1

**

0.17.9

**

0.70.1

14.6

203,73.0

47.559.317.523.2

6.424.9

7.512.4

3,020.0

1,21.7

36;;263.6

2.28.50.8

189.091.9

;:

95.55.6

7’7.53.4

56.68.26.10.3

42.0

Atherosclerosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...440Otherdiseaeesofarteriea,arterfoles, andcapillaries. . . . . . . . . . . . . . . . . . . . . . . . . ..441+w

Acutebronchtisandbronchioliis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .466Pneumoniaandirrfluenza . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..48~87

Pneumonia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...480-468hlfkleIX?S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...467

Chronic obstructive pulmonary diseases andalliedcondtions . . . . . . . . . . . . . . . . . . . . ..49~96Bronchtis, chronicand unspecified . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...490-491Emphysema . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..4g2Asthma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...493OtherchronicobsVucfivep ulmonarydiseasesand allied conditions . . . . . . . . . . . . . . ...494-496

Ulcerofefomachandduodenum . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...531-533Appendicitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..54M43Hernia of abdominal cavity and intestinal obstruction withoutmentionofhernia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..550+53.560

Chronic liverdiseaseand cirrtmsis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...571Choleliihiasis andothercfisordemofgallbladder. . . . . . . . . . . . . . . . . . . . . . . . . . . . ...574-575Nephritis and nephritic syndrome, andnephrosis. . . . . . . . . . . . . . . . . . . . . . . . . . . . ..580-589

Acufeglomerulonephritis andnephrotic syndrome. . . . . . . . . . . . . . . . . . . . . . . . . . ..580-581Chronic glomerulonephriis, nephritis and nephropathy, not specified as

acute orchronicr and renalaclerosis, unspecified. . . . . . . . . . . . . . . . . . . . . . ...582-583.587Renal failure, disorders resuithrg from impaired renaI function, andsmall kidneyofunknowncause . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...584-586.58*589

Infecfionaofkidney . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...590Hyperplesiaofprostate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ., . . . . . . . . . . . . . . . . ..6oo

Complications ofpregnancy, childbhth, andthepuerpetium. . . . . . . . . . . . . . . . . . . . . ...630-676Pregnancywithabortiveoutcome . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...630-636~hercomphcations ofpregnancy, cMldtitih, andthepuerpetium. . . . . . . . . . . . . . . . ...640-676

Congenitalanomalies . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . ..74G759Certain conditions originatinginthe perinatal period . . ., . . . . . . . . . . . . . . . . . . . . . . ..760-779

Sirth trauma, intrauterine hypoxia, birth asphyxia, andrespiratorydistress syndrome. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..767-76g

Other conditions originating intheperinatal period. . . . . . . . . . . . . . . . . . . ...760-766.770-779Symptoms,signs, andili+fefrned conditions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..78&7ggAllotherdiseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..Residual

Accidentsandadverse effects. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..E8o&Eg4gMotorvehicleaccidents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..E81o-E825Allotheraccidentsand adverse effects . . . . . . . . . . . . . . . . . . . . . . . . .E800-E807,E826-E949

Suicide . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..0. .E95WE959Homicideandlegalintervention.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..EgEg78g78Allotherextemalcauses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..E98&E999

1,3302,140

505,5305,500

308,470

2101,520

5106,230

47040

5501,660

1502,000

40

160

1,8005060

10

6::1,180

210980

3,16014,610

7,4103,4703,9402,4102,060

140

1:*

26.126.0

*

40.0

?22.4

29.4

2,2*

2.67.80.79.4

*

0.8

8.5**

***

4.15.6

1.0

1::69.9

35.016.418.611.4

E

1,2301,790

5,2%5,190

107,210

3001,300

4105,210

47050

3901,840

2501,790

30

140

1,6209030

1,00;1,300

2701,0302,530

14,020

7,1703,6703,5002,2802,190

150

5.98.6

*

24.924.6

*

34.51.46.22.0

24.9

2,2*

1.98.61.28.6

*

0.7

7.7●

*

***

4.66.2

1.3

1;67.1

34.317.616.810.910.50.7

9,01014,000

37044,81044,130

68055,5402,010

10,0202,740

40,770

2,990260

2,62012,1001,360

13,380160

830

12,390500240

16030

1305,7607,620

1,4406,180

20,400100,900

40,03018,18021,65014,60011,6501,300

7.111.0

0.335.234.6

0.543.6

1.67.92.1

32.0

2.30.2

2.29.51.1

10.50.1

0.6

E0.2

0.1*

::6.0

::16.079.2

31.414.317.111.59.11.0

8,22012,650

28042,83041,750

1,08050,3802,2808,6602,840

36,600

3,030200

2,84012,1301,580

11,910180

860

10,860530170

6010

6,2}7,760

1,5406,220

18,00092,220

40,64019,13021,51014,47012,900

960

6.510.0

0.233.933.0

3:1.67.02.1

29,0

2.40.1

2.29.61.39.40.1

0.7

8.60.40.1

***

5.06.1

1,2

IE73.0

32.115.117.011.410.20.6

16,91025,420

59077,64077,090

74096,240

3,62017,7604,750

70,090

5,730360

5,86024,840

2,77024,410

250

1,460

22,6901,030

400

360

3;11,93015,480

3,06012,41037,960

187,570

83,76040,09043,67028,84024,540

2,450

a0.2

30.330.0

3E1.46.91.9

27.3

2.20.1

2.39.71.19.50.1

0.6

6.80.40.2

0.1*

0.14.76.0

1.2

lx73.1

32.615.617.011.29.61.0

16,46025,310

54076,02074,470

1,55090,6103,930

16,6004,850

65,230

5,850370

5,74024,4403,050

23,430310

1,540

21,5601,040

300

23020

21012,02015,790

2,96012,83036,060

176,670

87,50042,67044,83028,78026,940

1,940

10.0

3;:29.4

0.635.7

1.58.51.9

25.7

2.30.1

2.39.61.29.20.1

0.6

8.50.40.1

0.1*

0.14.76.2

14.270.5

34.516.817.711.310.60.8

Human immunodeficiencyvirus infection2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

—s

.*042-*044 3,230 15.2 2,580 12.3 18,000 14.1 15,590 12.3 34,710 13.5 30,580 12.1 $“m

1 fn~[udss datifor deatisdue to Human immuntieficiency vimsinfecUon (catego~numkrs *M2-*W) shoMSeparatelY bSIOW; See TeChfli=lfl0teS. A2(n~lud&f in All other infectious and parssitic diSeaaSS shown SbOVe. o

NOTE Figures include all retisiona recekd from the States Cumrdstive snd 12-month figures for the current year reflect revialona received for previous months, and figures for earlier yesra may differ from those previously published. Rates for 1992g

have been recomputed bssed on revised population eafimate~ see Technical notes.

Table 7. Provisional number of deaths and death rates for 16 selected subcategories of Malignant neoplasms, Including neoplaams of lymphatic and hematopoietic tissues:United States, June 1992 and 1993, cumulative figures 1992 and 1993, and 12 months ending with June 1992 and 1893

[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 computation andinformation on standard errors of the estimates, eee Technical notes]

June January4une 12 months ending with June

1993 1992 1993 1992 1993 1992

Cause of death (Ninth Revision International Claesir7cationof Diseases, 1975) Number Rate Number Rate Number Rate Number Rate Numbar Rate Number Rate

Malignant neoplasma, including naoplasms of Jrmphatic and hamatopoietic tissuesl . . . . . . ..140-208 41,950 198.1 42,120 201.6 262,520 205.9 257,760 203.9 525,270 204.7 516,630 203.7Malignant neoplasm of esophagus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...150 770 3.6 950 4.5 4,S1O 3.8 5,200 4.1 10,210 4.0 9,790 3.9Malignant neoplasm of stomach . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...151 1,170 1,180 6,750 5.3 6,540 5.2 13,170 5.1 13,650 5.5MaKgnant neoplasms ofcolon, redum, redosigmoid juntion, and anus. . . . . . . . . . . . . ..153.154 4,760 2% 4,320 2; 27,630 21.7 28,600 22.6 56,210 21.9 56,720 22.4Malignant neoplasm of pancreas. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...157 2,030 9.6 2,200 10.5 13,100 10.3 12,560 9.9 26,370 10.3 25,210 9.9Malignant neoplasms oftrachea, bronchus, and lung. . . . . . . . . . . . . . . . . . . . . . . . . . ...162 11,480 54.2 11,680 55,9 73,820 57.9 72,900 57.7 147,440 57.5 145,460 57.3Malignant melanoma ofskln . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...172 470 2.2 540 2.6 3,240 2.5 3,290 2.6 6,700 2.6 6,660 2.6Malignantneoplasmofcervixuteri. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...180 310 1.5 350 1.7 2,260 1.8 2,030 1.6 4,500 1.8Malignant neoplasms of bodyoftiams andofuterus, patiunapecifled . . . . . . . . . . . . ...179.182

4,170 1.6460 2.3 460 2.2 3,010 2.4 3,200 2.5 6,200 2.4 6,060 2.4

Malignantneoplasmofovaty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...183.0 1,070 960 6,230 12,990 12,930Malignantneoplasmofprostate... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...165 2,670 lR 2,550 1;; 1%0 1?: 16,720 1?2 34,640 1:: 33,630 1::Malignantneoplasmofbladder..... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...168 890 4.2 980 4.7 5,470 4,3 5,660 4.5 10,800 4.2 10,720 4.2Malignant neoplasms ofkldney andother andunspecified utina~ organs . . . . . . . . . . . . . ...189 1,O1O 4.8 1,010 4.6 5,470 4.3 5,590 4.4 11,100 4.3 10,700 4.2Malignant neoplasms of brain andother andunapecified patisof newous system . . . . . ...191.192 1,1OO 5.2 900 4.3 5,640 4.4 5,170 4.1 11,070 4.3 11,170 4.4Hodgkin’sdisease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...201 160 0.6 230 1.1 850 0.7 810 0.6 1,670 0.7 1,700 0.7Malignant lymphomaotherthan Hodgkin’sdisease. . . . . . . . . . . . . . . . . . . . . . . . . ...200.202 1,750 8.3 1,600 7.6 10,480 8.2 9,860 7.8 21,360 8.3 20,150 7.9Multiple myeloma andother immunoproliferative neoplasms. . . . . . . . . . . . . . . . . . . . . . ...203 860 4.1 670 3.2 5,060 4.0 4,690 3.7 9,960 3.9 9,560 3.6

1Includesfigures for subcatsgorles not shown below.

NOTE Figures Includs all ravisions received from the Statss. Cumulative and 12-month”figures for the current year reflact revisions received for previous months, and figures for earlier years may differ from thoss previously published, Rates for 1992 havebeen recomputed based on rsvised population estlmateq see Technical notes.

Table 8. Provisional number of deaths under 1 year and infant mortality rates, by age and for 10 selected causes: United States, June 1992 and 1993, cumulative figures 1992 and1993, and 12 months ending with June 1992 and 1993

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

June JanuaryJune 12 months ending with June

1993 1992 1993 1992 1993 1992

Ageandcause ofdeath (Ninth Revision lntemational Classifimtion of Diseases, 1975) Number Rate Number Rate Number Rate Number Rate Number Rate Number Rate

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

Under28days, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .26daystolt months. , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Certain gastrointestinal diseases. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .006-009,535,555-558Pneumonia andinfluenza. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..48~67Congenitalanomalies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...,..........740-759~sordem relating toshoti gestation mdunspedfled low Mfihweight . . . . . . . . . . . . . . . . . . ...7658irthtrauma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...767lntrsuterinehypoxiaandbirthasph~”a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...766Respiratorydistresa syndrome . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...769Otherconditionsoriginating intheperinatal period. . . . . . . . . . . . . . . . . . . ..76G764.766.770-779Suddeninfantdeathsyndrome... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...798.0Allothercauses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..Residual

2,600 834.3 2,700 823.9 17,100 865.2 17,700 874.2 33,900 844.6 35,200 662.2

1,660 532.3 1,740 534.9 10,410 526.3 10,970 542.9 21,240 529.3 22,160 542.1960 304.2 940 269.0 6,700 336.7 6,700 331.6 12,650 315.2 13,060 320.0

10 * 80 * 90 L 200 9.9 230 32050 * ● 310 15.7 330 16.3 590 Iz 550 12:

490 155.3 6% 184.5 3,300 166.8330

3,770 166.6 7,020 174.9104.6

7,440 182.0270 83.0 2,010 101.6 1,640 91.1 3,960 98.7 3,940 96.4

* 40 * * 90 * 140 1606; * 20 * 3: 16.7 270 13.4 750 Iti 600 lE

150 47.5 2io 64.6 1,020 51.6 1,140 56.4 2,130 53.1 2,120 51.9630 199.6 740 227.5 4,070 205.8 4,280 211.8 8,310 207.1340

8,710 213.1107.7 220 67.6 2,370 119.6 2,220 109.9 4,340 108.2 4,320 105.7

580 16S.8 490 150.6 3,640 179.0 3,520 174.2 6,420 160.0 7,060 172.7

NOIE Figures include all revisions received frumthe States. Cumula6ve and 12-monthfigurss for the currant year reflect revisions receivedfor previousmonths, end figures for earlier years may differ from those prOtiQUS~ published.

Monthly Vital Statistics Report ● Vol. 42, No. 7 ● February 2, 1994 ~

Technical notes

Nature and sources of data

Data in this report are provisionalunless otherwise specified and includeonly events occurring within the UnitedStates. Mortality data exclude fetaldeaths.

Birth, death, and infant death figuresin tables 2 and 4 for each State areestimates by State of residence. Theseestimates are derived by applying adjust-ment ratios to the actual counts of certifi-cates for all events occurring in the Stateand received in registration offices duringa l-month period regardless of date of theevent. The adjustment ratios for each datayear represent the observed relationshipbetween final State occurrence and resi-dence figures for the 3 most recent yearsfor which final data were available,expressed as a single ratio for each State.As in previous years, monthly State mar-riage and divorce figures represent theactual count of all events occurring in theState (State of occurrence) that werereceived in the registration offices duringthe l-month period. Delay in the receiptof certificates 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 revised fig-ures received from the States.

Figures for births, deaths, and infantdeaths for California in tables 2 and 4contain adjustments for varying length ofState reporting periods. Beginning withdata for February 1991, figures for Texasfor all events in tables 2-4 also areadjusted for varying length of Statereporting periods, Before Februa@ 1991data for Texas were reported for monthlyperiods. The figures for both States areadjusted by the ratio betsveen the numberof days in the data month and the numberof days in the State reporting period. Theadjusted figures are included in the U.S.totals.

Beginning with data for January1991, U.S. totals for births, deaths, andinfant deaths are based on the State esti-mates by State of residence and, there-fore, in effect, exclude events tononresidents of the United States. Eventsto nonresidents of the United States are

included in all marriage and divorce fig-ures. The effect of excluding events tononresidents from the U.S. totals is small.

Provisional totals for the UnitedStates include estimates for State datashown as not available. Provisional totalsfor births and marriages for the entireUnited States include adjustments forobserved differences between provisionaland final monthly fi~res.

Divorce figures include reportedannulments. The monthly nationaldivorce estimate is obtained by multi-plying the total for the reporting areas bythe ratio observed between the mostrecent final annual divorce total for theUnited States and the provisional total forthe reporting areas combined.

Random variation-Although thecounts in this report are not subject tosampling variability (except the CurrentMortality Sample), they may be affectedby random variation. When the numberof events is small and the probability ofsuch an event is small, considerable cau-tion must be observed in interpreting thedata. Such infrequent events may beassumed to follow a Poisson probabilitydistribution. For this distribution a simpleapproximation may be used to estimatethe random variation, as follows:

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

L N– 2~and N +2~

covers the “true” number ofevents.

covers the “true” rate.

If the rate RI corresponding to NIevents is compared with the rate Rz cor-responding to N2 events, the differencebetween the two rates may be regarded asstatistically significant at the 0.05 level ifit exceeds

Additional information on randomvariation in numbers of events, rates, andratios may be found in the technical

appendixes of Vital Statistics ofUnited States, 1988, Volumes I and II.

Rates

Rates are on an annual basis anexcept for infant mortality rates, are p1,000 or 100,000 estimated populatiresiding in the United States. The poplations used for computing these rates afurnished by the U.S. Bureau of tCensus. The population bases usedcompute rates for 1992 and 1993 webased on the 1990 Census enumeratio(not adjusted for undercount) comparabto those used for 1990 and 1991 findata. Population bases were not the samas those used for the Monthly Wtal Statitics Report for each month from Januathrough December 1992 therefore, trates may not be the same as those prevously published. Monthly rates are bason populations estimated for the specifmonth. Year-to-date rates are averagesmonthly rates that have been weightedthe number of days in the correspondinmonths. Rates for 12-month periods athe sum of events for the period ppopulation estimated at the midpointthe period.

Infant mortality rates are deatunder 1 year of age for the specifiperiod (monthly, year-to-date,12-month period) per 1,000 or 100,00live births. Births used for computinmonthly and year-to-date infant mortalirates are adjusted for monthly variationthe number of births. Births used to compute 12-month rates do not contain thadjustment. Births used for computininfant mortality rates are not corrected fobserved differences between provisionand final monthly figures as describeearlier in Nature and sources of datBecause monthly infant mortality ratare based on relatively few events, theare highly variable. Therefore, comparsons of monthly infant mortality rateshould be interpreted cautiously; seRandom variation.

Age-adjusted death rates are usedmake comparisons of relative mortalitrisks across groups and over time. However, they should be viewed as construcor indexes rather than as direct or actumeasures of mortality risk. Statisticallthey are weighted averages of the agspecific death rates, where the weigh

22 ~ Monthly Vital Statistics Report” Vol. 42, No. 7s February 2,1994 ~~

represent the fixed population proportionsby age. See chapter 5 of an earlier report(2). The age-adjusted death rates pre-sented in this report were computed bythe direct method, that is, by applyingage-specific death rates to the U.S. stan-dard million population (3). See alsochapter 10 of an earlier report (2). Agegroups in table 5 of this report were usedto compute the age-adjusted rates shownin that table. The age-adjusted death rateson which the State maps are based andthat are shown with the State maps werecomputed from average annual age-specific death rates in 10-year age groupsfor the specified 3-year period. Theaverage annual age-specific death rateswere computed by dividing the numberof deaths in an age group for the 3-yearperiod by three times the population inthat age group estimated at the midpointof the period (4). It is important not tocompare age-adjusted rates with cruderates.

Current Mortality Sample

The Current Mortality Sample(CMS) is a 10-percent systematic sampleof death certificates drawn each monthafter the certificates are counted in theState registration offices. Deaths anddeath rates by age, race, sex, and causeare based on the sample. Because of theadditional time required to select andprocess the certificates, data based on theCMS are published 1 month after publi-cation of the U.S. and State counts. Com-plete information concerning theunderlying cause of death is sometimesnot available when the sample is drawn.As a result, estimates based on samplecounts for certain causes are biased. Cor-rection for bias is shown in the annualsummary (issue No. 13 in this series) foreach year.

Estimated numbers of deaths anddeath rates based on the sample wereproportionately adjusted to be consistentwith estimates based on the count ofdeath certificates received in State regis-tration offices.

HIV infection—Beginning with datafor 1987, the National Center for HealthStatistics introduced category numbers*042–*044 for classifyi~g and codinghuman immunodeficiency virus (HIV)infection. The asterisk before the cat-egory numbers indicates that these codes

are not part of the Ninth Revision of theInternational Classification of Diseases.Deaths classified to these categories areincluded in All other infectious and para-sitic diseases in the List of 72 SelectedCauses of Death and are also shownseparately at the bottom of table 6.

Sampling variability-Because theestimates of deaths and death rates pre-sented in this report (with the exceptionof total deaths and deaths under 1 year)are based on a sample of death certifi-cates, they are subject to sampling vari-ability. The estimated relative standarderror in the following table is a measureof the sampling error of the estimatednumber of deaths (or of the estimateddeath rate) expressed as a percent of theestimate. The first column refers tomonthly estimat~ the second to annual;cumulative year-to-date totals fallbetween the two.

The chances are about 2 in 3 that thepercent difference between an estimateand the result of a complete count is lessthan the percent shown. The chances areabout 19 in 20 that the percent differenceis less than twice the percent shown. Afigure based on 100 or fewer estimateddeaths has a relative standard error of30 percent or more and is, therefore, con-sidered unreliable. A rate based on 100 orfewer estimated deaths has been replacedby an asterisk.

Unless otherwise specified, compari-sons made in the text between death rates

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

Relative standard errorof estimate (as percent)

170,000 2,000,000estimated est;mated

Estimated number deaths deathsof deaths each month each year

lo .. . . . .. . . . . . . 94.920. . . . . . . . . . . . . 67.150 . . . . . .. .. . .. . 42.4100 . . . . . . . . . .. . 30.0200 . . . . . . .. . . . . 21.2500 . . . . .. . . . . . . 13.41,000. . . . . . . . . . . 9.52,000 . . . . . . . . . . . 6.75,000 . . . . . . . . . . . 4.210,000 . . . . . . . .. . 2.920,000 . . . . . . . .. . 2.050,000 . . . . . . . .. . 1.1100,000 . . . . . . .. . 0.6200,000 . . . . . . .. . ...500,000 . . . . . . .. . ...1,000,000. . . . . .. . ...

94.967.142.430.021.213.49.56.74,23.02.11.30.90.60.40.2

based on the CMS were statistically sig-nificant at the 0.05 level (of significance,Lack of comment in the text about anytwo rates does not mean that the differ-ence was tested and found not to besignificant at this level.

Mortality Surveillatice System —The Mortality Surveillance System(MSS) charts are based entirely onmonthly provisional data from the CMS,Where sample size permits, age-race-sexcomparisons are made for the causes ofdeath. Where sample siz(>is too small,only age-sex comparisons are made, Atime series regression model of the fol-lowing form was used:

y(t)=Ao+A1t+Azt2+CCOS (z~t /12)+S sin (2nt /12)+q

where

Y(t) =t

A. :

Al =AZ =

C,s =

q =

monthly deat;h rate at time tmonth numbercoefficient, “v{hi&h,togetherwith C determines theY-interceptcoefficient oftcoefficient of Pcoefficients of the harmonictermserror terms, assumed to beindependent and normallydistributed with means Oandconstant variances,

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

The coefficients of this model wereestimated using provisional monthlydeath rates fi-om January 1984 throughthe month that is 12 months prior to thelatest month shown in the chart. Thegraph of the estimated equation and95-percent prediction intervals is shownfrom January 1985 through the monththat is 12 months prior to the latest monthshown in the chati, the graph for thesubsequent 12 months is projected (5).Symbols in each chart represent actualmonthly death rates based on the CMS,In some cases, the data are converted bythe natural logarithm before fitting themodel. For graphical purposes, the dataare converted back to rates by the inverseof the natural logarithm. This procedurehas the advantage of avoiding negativeprediction intervals for the model. Themodels, parameter estimates, andstatistical tests for lack of fit are availableon request for the charts published in

Monthly Vital Statistics Report cVol. 42, No. 7 ● February 2, 1994 ~ 23

the MSS. Time series regression modelshave been used previously to describetrends in mortality data (6-8). A list ofMSS cause-of-death topics and compa-rable Healthy People 2000 (1) objectivesis presented on the back of this report.

State maps

Unlike other data presented in thisreport, the State maps are based on finalinstead of provisional data. The age-adjusted death rates used to produce theState maps were computed by using a3-year total number of deaths for1988-90 and the 1989 population esti-mated as of July 1, 1989 (4). Assigningthe States into the given categories on themaps was carried out in two steps: a)determining whether the State age-adjusted death rate differed significantlyfrom the corresponding U.S. rate at the0.05 level of significance; b) thengrouping the State rates found to be sig-nificantly different from the U.S. rate intothe four categories: 10 highest State ratesof those significantly greater than theU.S. rate, remaining State rates signifi-cantly greater than the U.S. rate, 10lowest State rates of those significantlylower than the U.S. rate, and remainingState rates significantly lower than theUS. rate, Age-adjusted death rates andthe corresponding 95-percent cofidenceintervals are shown in the tables. Thesymbols “~” and “1~” in the tables areused to denote State rates that differsignificantly from the U.S. rate at the0,05 and 0.01 levels of significance,respectively. Different procedures wereused to determine tests of statisticalsignificance and confidence intervals,depending on the number of deaths.

For 50 deaths or more, the standardnormal Z statistic was used to perform thesignificance testi

z=(R:-RJ.)/<s2(R;)+s2(R;s)

R ‘u. = age-adjusted rate for1988-90 for the UnitedStates per 100,000 stan-dard population

S2(R’J = estimated variance of theage-adjusted death ratefor 1988-90 for the State

S2 (R’u,) = estimated variance of theage-adjusted death ratefor 1988-90 for theUnited States

The variance of the age-adjusted deathrate was computed in terms of the vari-ances of age-specific death rates (9)under the assumption that the age-specificdeath rates are binomial proportions (10).The 95-percent confidence limits wereestimated as follows:

Lower limit =R~– 1.96 ● S(R’,)

and

Upper limit =R’. + 1.96” S(R’J

For 1-49 deaths, the lower andupper 95-percent confidence limits wereestimated as described elsewhere (11).The difference between the State andU.S. age-adjusted rates was determined tobe statistically significant at the 0.05 or0.01 level if the rates’ respective95-percent or 99-percent confidencelimits did not overlap.

For zero deaths, the following teststatistic (A) was used to perform thesignificance test:

~ = @l %@) “ p.(.)]/ 100,000where

MX(us) = age-specillc death rate per100,000 population in theXti age group for the Unitedstates

P,(,) = population in the Xti agegroup for the given State

n = number of age groups= 11.

The difference between the State andU.S. age-adjusted rates was determined to

be statistically significant at 0.05 level i

3.00 S ~ <4.61. The difference betweenthe State and U.S. age-adjusted rates wadetermined to be statistically significanat 0.01 level if X 2 4.61 (12). For zerodeaths, confidence limits for the ageadjusted death rates are not applicable.

References

1. U.S. Department of Health and Human ServicesHealthy People 2000 National health promotioand disease prevention objectives. WashingtorPublic Health Service. 1991.

2. Feirdeib M, Zarate AO, eds. Remnsiderirrg agadjustment procedures: Workshop proceedingsNational Center for Health Statistics. Vitrd HealthStat 4(29). 1992.

3. Grove RD, Hetzel AM. Vhal Statistics Rates inthe United Statea, 1940-1960. WashingtonNational Center for Health Statistics. 1968.

4. U.S. Bureau of the census. State population andhousehold eatimatcs, with age, sex, and cornponentof change, 1989. Current population report> seriesP-25, no 1058. Washington: U.S. Department oCommerce. 1990.

5. Ostle B. Statistics in research. Second editionThe Iowa State University Press. Ames, Iowa159-221.1963.

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

7. Serfting RE. Methods for current statisticalsrrslyais of excess pneumonia-influenza deathsPublic Health Rep 78(6}494-506. 1963.

8. Shumway RH. Applied statistical time seriesanalysis. Prentice-Hall Press. Englewood CliffsNew Jersey. 1988.

9. Chiang CL. Standard error of the age-adjuateddeath rate, Vital Statistics-Special Reports. 47(9)National Office of Vital Statistics. WashingtonPublic’Health Service. 1961.

10. Seal HL. Mortality data and the binomial prob-ability law. Skand. Actuar. 33:188-216.1949.

11. Haenszel W, Loveland DB, Sirken MG. Lungcancer mortality as related to residence andsmoking histories. I. White Males. JNCI28947-1001.1962.

12. Louis TA. Confidence intervals for a binomialparameter after observing no successes, TheAmerican Statistician 35(3):154. 19S1.

whereR’. = age-adjusted rate for

1988-90 for the givenState per 100,000 %an-dard population ‘U.S. Govmmant Printing Offlca 1SS4 — SO1-0WSOO14

24 ~ Monthly Vital Statistics Repoft ● Vol. 42, No. 7 ● Februafy 2,1994 ~~

Mortality Sur

MVSR issue

Vol.41 No. 8

Vol. 41 No. 9

Vol. 41 No. 10

Vol. 41 No. 11

Vol. 41 No. 12

Vol. 42 No. 1

Vol.42 No. 2

Vol. 42 No. 3

Vet.42 No. 4

Vol.42 No. 5

vol.42 No. 6

Vol. 42 No. 7

Illance System topics

Cause-of-death Heslfhy People 2000Objecfive Number

Malignant neoplasm of prostate, Malignant neoplasm of breast

Malignant neoplasms of digestive organs and peritoneum

Suicide

Accidents and adverse effects, Homicide and legal intervention

Infant mortality, Neonatal mortalii, Poslrveonatalmortalii,

and Sudden infant death syndrome

Human immunodeficiency virus infection

Cerebrovascular diseases

Chronic obstrucfiie pulmonary diseases and allied conditions

Diabetes mellitus

Diseases of heart

Malignant neoplasms including neoplasms of lymphaticand hematopoietic tissues

Malionant neoolasms of trachea. bronchus. and tuna

(1), 16.3

16.5

6.1 (7.2)

9.1,7.1

14.1

(9

15.2

3.3

.17.9

1.1 (2.1, 3.1, 15.1)

2.2 (16.1)

3.2 (16.2)

lNO Healthy people 2000 objective exists that addresaes mortelii from MeIignsm flsoplaam OfPm-e.2N0 Heefthy people 2000 objacfiie exists that addresses mortalityfromthiscause.Sss ChapterIe fOrobiactives related toHuman immunodeficiencyvirus inf@”on.

NOTE The csuae-ofdeath categories used in HeeffhyPeople2000 objective(s) may differ from those used In NCHS MortalityTabulation Lists.

—

.

‘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 July public domain and may be reproduced or Manning Feinleib, M.[)., Dr. P.H,1993. Monthly vital statistics reporC VOI 42 copied withaut permission; citation as to

no 7. Hyattsville, Maryland: Public Health source, however, is appreciated. Deputy Director

Service. 1993. Jack R. Anderson

U.S. DEPARTMENT OF HEALTH ANDHUMAN SERVICES

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