Causes of Death

Causes of Death

Exhibit 31: Selected Causes of Death, Age-Adjusted Rates per 100,000 Population, 2020

Condition New Castle County United

Delaware States

Major cardiovascular diseases Diseases of heart 225.0 225.2 223.0 152.9 159.6 168.2

Malignant neoplasms

149.9 151.1 144.1 All other diseases 113.5 102.2 96.7 Other and unspecified infectious and parasitic diseases and their sequelae 75.0 76.3 87.8 COVID-19 71.3 73.4 85.0 Ischemic heart diseases 71.1 65.2 91.8 Accidents (unintentional injuries) 70.2 70.9 57.6 Other heart diseases 65.1 60.8 56.5 Nontransport accidents 57.8 58.6 44.3 Cerebrovascular diseases 57.4 52.5 38.8 Other forms of chronic ischemic heart disease 56.7 65.2 64.4 Accidental poisoning and exposure to noxious substances 45.3 46.4 26.9 All other forms of heart disease 38.4 38.1 35.1 Malignant neoplasms of trachea, bronchus and lung 35.4 34.6 31.9 Alzheimer disease 34.6 35.1 32.4 All other forms of chronic ischemic heart disease 33.8 42.6 46.0 Chronic lower respiratory diseases 27.9 32.7 36.4 Other chronic lower respiratory diseases 27.9 30.1 33.4 Heart failure 25.6 21.8 20.7 Diabetes mellitus 24.0 23.8 24.8 Atherosclerotic cardiovascular disease 22.9 22.5 18.4 All other and unspecified malignant neoplasms 19.6 18.2 18.4 Nephritis, nephrotic syndrome and nephrosis 15.0 12.4 12.7

Source: Centers for Disease Control and Prevention, National Center for Health Statistics, Underlying Cause of Death, 2020.

Description Exhibit 31 provides age-adjusted mortality rates for selected causes of death. Light grey shading indicates rates above U.S. averages, dark grey shading indicates rates more than 50 percent above U.S. averages. Observations

• In New Castle County, rates for 15 out of 24 causes of death were above U.S. averages. • Rates for accidental poisoning and exposure to noxious substances were more than 50 percent above the national average.

Exhibit 32: Age-Adjusted Cancer Mortality Rates per 100,000 Population, 2015-2019

New Castle Type of Cancer Delaware United States County

All cancer sites Bladder Brain and other nervous system Breast (female) Cervix Colon and rectum Corpus and uterus, NOS Esophagus Kidney and renal pelvis Leukemia Liver and bile duct Lung and bronchus Melanoma of the skin Non-Hodgkin lymphoma Oral cavity and pharnyx Ovary Pancreas

161.3 161.5 152.4 5.3 5.4

4.2

4.1 4.0

4.4

21.3 21.3 19.9 2.2 2.3

2.2

13.3 13.1 13.4 6.1 6.0

5.0

4.1 3.1 3.9 3.6

3.9 3.6

6.5 6.6

6.1

7.7 6.7

6.6

39.4 41.1 36.7 2.1 2.7

2.2

5.5 2.7 5.5 2.4

5.3 2.5

6.0 6.5

6.5

12.9 12.2 11.1

Prostate Stomach

18.3 17.0 18.9 3.3 3.0

Source: Centers for Disease Control and Prevention, State Cancer Profiles.

2.9

Description Exhibit 32 provides age-adjusted mortality rates for selected forms of cancer in 2015-2019. Light grey shading indicates mortality rates that are higher than the U.S. average. Observations

• New Castle County had above average, overall cancer mortality rate than the U.S. • New Castle County had a higher mortality rate for 11 of 18 cancer types compared to U.S. averages.

Exhibit 33: Death due to Poisoning (including drug overdose) per 100,000, 2016-2020

Total Report Area

Population Five Year Total Deaths Crude Death Rate

AgeAdjusted Death Rate

New Castle County 559,280 1,212 43.3 43.5 Delaware 968,350 1,976 40.8 43.0 United States 326,747,554 389,651 23.9 24.0

Source: Centers for Disease Control and Prevention, National Vital Statistics System, Accessed via CDC WONDER.

Description Exhibit 33 provides mortality rates due to poisoning, including drug overdose, for 20162020. Dark grey shaded indicates rates more than 50 percent above U.S. rates. Observations

• New Castle County’s death due to poisoning rate was over 75 percent higher than that of the U.S.

Exhibit 34: Death due to Poisoning (including drug overdose) by Gender, per 100,000, 2016-2020

Source: Centers for Disease Control and Prevention, National Vital Statistics System, Accessed via CDC WONDER.

Description Exhibit 34 provides death due to poisoning, including drug overdose, by gender. Observations

• Deaths due to poisoning, including drug overdose, were more than double for males compared to females in both New Castle County and Delaware compared to the United States.

• New Castle County male deaths were almost four times that of U.S.-wide female deaths for poisoning.

Exhibit 35: Death due to Poisoning (including drug overdose) by Race/Ethnicity, per 100,000, 2016-2020

Source: Centers for Disease Control and Prevention, National Vital Statistics System, Accessed via CDC WONDER.

Description Exhibit 35 provides death due to poisoning, including drug overdose, by race and ethnicity. Observations

• Deaths due to poisoning, including drug overdose, were significantly higher for the

Non-Hispanic White population compared to Non-Hispanic Black and Hispanic or

Latino populations in both New Castle County and Delaware compared to the

United States.

• New Castle County deaths were almost double that of U.S.-wide deaths for the

Non-Hispanic White population.