CDC Releases Map of Most Distinct Causes of Death in U.S.

The Centers for Disease Control and Prevention has released a list of most distinct causes of death in every state in the U.S. The list shows which diseases had the most elevated impact on mortality in that state, compared to the national average.

Main Findings

The resulting map depicts a variety of distinctive causes of death based on a wide range of number of deaths, from 15,000 deaths from HIV in Florida to 679 deaths from tuberculosis in Texas to 22 deaths from syphilis in Louisiana. The largest number of deaths mapped were the 37,292 deaths in Michigan from “atherosclerotic cardiovascular disease, so described”; the fewest, the 11 deaths in Montana from “acute and rapidly progressive nephritic and nephrotic syndrome.” The state-specific percentage of total deaths mapped ranged from 1.8% (Delaware; atherosclerotic cardiovascular disease, so described) to 0.0005% (Illinois, other disorders of kidney).

Some of the findings make intuitive sense (influenza in some northern states, pneumoconioses in coal-mining states, air and water accidents in Alaska and Idaho), while the explanations for others are less immediately apparent (septicemia in New Jersey, deaths by legal intervention in 3 Western states). The highly variable use of codes beginning with “other” between states is also apparent. For example, Oklahoma accounted for 24% of the deaths attributable to “other acute ischemic heart diseases” in the country despite having only slightly more than 1% of the population, resulting in a standardized mortality rate ratio of 19.4 for this cause of death, the highest on the map. The highest standardized mortality rate ratio after Oklahoma was 12.4 for pneumoconioses in West Virginia.

A limitation of this map is that it depicts only 1 distinctive cause of death for each state. All of these were significantly higher than the national rate, but there were many others also significantly higher than the national rate that were not mapped. The map is also predisposed to showing rare causes of death — for 22 of the states, the total number of deaths mapped was under 100. Using broader cause-of-death categories or requiring a higher threshold for the number of deaths would result in a different map. These limitations are characteristic of maps generally and are why these maps are best regarded as snapshots and not comprehensive statistical summaries.