The County Health Rankings model of population health
Explore guides and tools for improving health
Key findings from the last three years of County Health Rankings and other national reports.
Project updates, commentaries, events and news about health across the nation from the County Health Rankings & Roadmaps team.
Injury Deaths is the number of deaths from intentional and unintentional injuries per 100,000 population. Deaths included are those with an underlying cause of injury (ICD-10 codes *U01-*U03, V01-Y36, Y85-Y87, Y89).
Injuries are one of the leading causes of death with unintentional injuries the 5th leading cause and intentional injuries the 10th leading cause of US mortality in 2010. The leading causes of death among unintentional injuries, respectively are: motor vehicle traffic, poisoning, and falls. Among intentional injuries the leading causes of death, respectively are: suicide firearm, homicide firearm, and suicide suffocation. Unintentional injuries are a substantial contributor to premature death. Among the following age groups unintentional injuries were the leading cause of death in 2010: 1-4, 5-9, 10-14, 15-24, 25-34, 35-44. Injuries account for 17% of all emergency department visits and falls account for over 1/3 of those visits.
This measure is being used to estimate the overall risk of injury in a county. Ideally, we would include injury hospitalizations and ER visits due to injuries, but this data is not available nationwide. The overall burden of injuries is not captured by the injury mortality rate. Injuries that are not fatal have large costs due to emergency room visits and time off work.
The Compressed Mortality File (CMF) is a county-level national mortality and population database spanning the years 1968-2010. Compressed Mortality data are updated annually. The number of deaths, crude death rates or age-adjusted death rates can be obtained by place of residence (total U.S., Census region, Census division, state, and county), age group, race (years 1968-1998: White, Black, and Other; years 1999-present: American Indian or Alaska Native, Asian or Pacific Islander, Black or African American, and White), Hispanic origin (years 1968-1998: not available; years 1999-present: Hispanic or Latino, not Hispanic or Latino, Not Stated), gender, year of death, and underlying cause of death (years 1968-1978: 4 digit ICD-8 codes and 69 cause-of-death recode; years 1979-1998: 4-digit ICD-9 codes and 72 cause-of-death recode; years 1999-present: 4-digit ICD-10 codes and 113 cause-of-death recode), and urbanization level of residence for years 1999-present (per the 2006 NCHS urban-rural classification scheme for counties).
Injury death rates are available on CDC WONDER, and can be calculated within counties by gender or race.
 Centers for Disease Control and Prevention. Deaths and mortality. Centers for Disease Control and Prevention Web Site. http://www.cdc.gov/nchs/fastats/deaths.htm. Updated April 5, 2013. Accessed February 6, 2014.
 Centers for Disease Control and Prevention. Ten leading causes of death and injury. Centers for Disease Control and Prevention Web Site. http://www.cdc.gov/injury/wisqars/leadingcauses.html. Updated August 8, 2013. Accessed February 6, 2014.
 Villaveces A, Mutter R, Owens PL, Barrett, ML. Causes of Injuries Treated in the Emergency Department, 2010. AHRQ. 2013;SB156:1-8.
Explore the Rankings Data