Numbers and rates* of deaths with hepatitis B virus infection listed as a cause of death among residents, by state or jurisdiction — United States, 2016-2020

Numbers and rates* of deaths with hepatitis B virus infection listed as a cause of death† among residents, by state or jurisdiction — United States, 2016-2020

Numbers and rates* of deaths with hepatitis B virus infection listed as a cause of death† among residents, by state or jurisdiction — United States, 2016-2020
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Source: CDC, National Center for Health Statistics, Multiple Cause of Death 1999–2020 on CDC WONDER Online Database. Data are from the 2016–2020 Multiple Cause of Death files and are based on information from all death certificates filed in the vital records offices of the 50 states and the District of Columbia through the Vital Statistics Cooperative Program. Deaths of nonresidents (e.g., nonresident aliens, nationals living abroad, residents of Puerto Rico, Guam, the Virgin Islands, and other US territories) and fetal deaths are excluded. Numbers are slightly lower than previously reported for 2015–2016 because of NCHS standards that restrict displayed data to US residents. Accessed at CDC WONDER on January 13, 2022. CDC WONDER data set documentation and technical methods can be accessed here.

* Rates are age-adjusted per 100,000 US standard population during 2000 by using the following age group distribution (in years): <1, 1–4, 5–14, 15–24, 25–34, 35–44, 45–54, 55–64, 65–74, 75–84, and ≥85. For age-adjusted death rates, the age-specific death rate is rounded to 1 decimal place before proceeding to the next step in the calculation of age-adjusted death rates for NCHS Multiple Cause of Death on CDC WONDER. This rounding step might affect the precision of rates calculated for small numbers of deaths. Missing data are not included.

† Cause of death is defined as one of the multiple causes of death and is based on the International Classification of Diseases, 10th Rev. (ICD-10) codes B16, B17.0, B18.0, B18.1 (hepatitis B).

UR§ Unreliable rate: Rates where death counts were <20 were not displayed because of the instability associated with those rates.

S¶ Suppressed: Subnational data representing <10 deaths (0–9) are suppressed or CDC WONDER did not have the functionality to calculate rates.

Hepatitis B is associated with premature death, elevated rates of death from all causes, and elevated rates of death from liver-related causes, including hepatocellular carcinoma. Among jurisdictions with death rates available, the highest hepatitis B-associated death rate was observed in Kentucky (0.83 deaths per 100,000 population).  In total, 12 states had hepatitis B-associated death rates higher than the national rate (0.45 deaths per 100,000 population). Four states with the highest number of deaths reported (California, Texas, New York, and Florida) accounted for 42% of all hepatitis B-associated deaths reported during 2020.

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