National Center for Health Statistics

National Vital Statistics Systemrsquos Response toCOVID-19

Paul D Sutton PhD Deputy Director Division of Vital Statistics

National Committee on Vital and Health Statistics

June 17-18 2020

27

COVID-19 Response Timeline February

26 Decision made to develop certification guidance for COVID-19 deaths

March

4 Preliminary Guidance for Certifying COVID-19 Deaths Released

17-20 NCHSCause of Death Coding System Updated

25 Launched COVID-19 Death Data and Reporting Guidance httpswwwcdcgovnchsnvsscovid-19htm

Prioritized manual coding of cause of death for jurisdictions with reported high volume of COVID-19 deaths

27

COVID-19 Response Timeline February

26 Decision made to develop certification guidance for COVID-19 deaths

March

4 Preliminary Guidance for Certifying COVID-19 Deaths Released

17-20 NCHSCause of Death Coding System Updated

25 Launched COVID-19 Death Data and Reporting Guidance httpswwwcdcgovnchsnvsscovid-19htm

Prioritized manual coding of cause of death for jurisdictions with reported high volume of COVID-19 deaths

COVID-19 Response Timeline ndash continued April

2 Final Guidance for Certifying COVID-19 Deaths Released

3 First Provisional COVID-19 Death Counts Released httpswwwcdcgovnchsnvssvsrrcovid19indexhtm

16 Clinician Outreach and Communication Activity (COCA) webinar on Guidance for Certifying Deaths Due to Coronavirus Disease 2019 (COVID-19) httpsemergencycdcgovcocacalls2020callinfo_041620asp

29 Excess Deaths Associated with COVID-19 Visualization Released

May

Redesigned Provisional COVID-19 Death Counts 1

Guidance for Certifying COVID-19 Deaths

httpswwwcdcgovnchsdatanvssvsrgvsrg03-508pdf

Guidance for Certifying COVID-19 Deaths Key Points

If COVIDndash19 played a role in the death it should be mentioned on the death certificate

Normally abbreviations and acronyms are discouraged but COVIDndash19 is unambiguous and is acceptable

Include pre-existing conditions that complicated death in Part 2 of the death certificate

It is acceptable to report COVIDndash19 on a death certificate as ldquoprobablerdquo or ldquopresumedrdquo ndash certifiers should use their best clinical judgement in determining if a COVIDndash19 infection was likely

Guidance for Certifying COVID-19 Deaths Example 1

Guidance for Certifying COVID-19 Deaths Example 2

COVID-19 Cause of Death Coding ICD-10 Code

U071 -- COVID-19

Excludes Coronavirus infection unspecified site (B342) Severe acute respiratorysyndrome [SARS] unspecified (U049)

The WHO has provided a second code U072 for clinical or epidemiologicaldiagnosis of COVID-19 where a laboratory confirmation is inconclusive or notavailable Because laboratory test results are not typically reported on deathcertificates in the US NCHS is not planning to implement U072 for mortalitystatistics

The underlying cause depends upon what and where conditions are reported on the death certificate However the rules for coding and selection of the underlyingcause of death are expected to result in COVID-19 being the underlying causemore often than not

COVID-19 Cause of Death Coding Coding Process

Coding systems not set up to code COVID-19 or to accept U071 Establish coding rules Initially all COVID-19 records had to be manually coded Managing manual coding

ndash Prioritization ndash Increase manual coding capacity

Systems modified to automatically code some COVID-19 deaths Adjust coding rules

Provisional COVID-19 Death Counts by Week (as of June 15 2020)

Table continued on next slide

Week ending date in which the death occurred

All Deaths involving COVID-19 (U071)1

Deaths from All Causes

Percent of

Expecte d

Deaths2

Deaths involving Pneumonia with or without COVID-19 excluding Influenza deaths

(J120ndashJ189)3

Deaths involving

COVID-19 and Pneumonia excluding Influenza (U071 and J120ndashJ189)3

All Deaths involving Influenza with or without

COVID-19 or Pneumonia (J09ndashJ11) includes

COVID-19 or Pneumonia 4

Deaths involving Pneumonia Influenza or COVID-19 (U071 or J09ndashJ189)5

Total Deaths 100303 1134398 102 110865 43574 6406 173072

212020 1 57829 97 3741 0 476 4218

282020 1 58359 98 3729 0 514 4244

2152020 0 57708 98 3755 0 544 4299

2222020 4 57804 100 3633 1 557 4193

2292020 5 58180 101 3755 3 636 4393

372020 32 58444 101 3887 16 619 4521

3142020 52 57329 100 3874 27 608 4506

3212020 547 57949 102 4454 245 540 5290

3282020 3037 61878 111 6024 1371 438 8078

Provisional COVID-19 Death Counts by Week - continued (as of June 15 2020)

Week ending date in which the death occurred

All Deaths involving COVID-19 (U071)1

Deaths from All Causes

Percent of

Expecte d

Deaths2

Deaths involving Pneumonia with or without COVID-19 excluding Influenza deaths

(J120ndashJ189)3

Deaths involving

COVID-19 and Pneumonia excluding Influenza (U071 and J120ndashJ189)3

All Deaths involving Influenza with or without

COVID-19 or Pneumonia (J09ndashJ11) includes

COVID-19 or Pneumonia 4

Deaths involving Pneumonia Influenza or COVID-19 (U071 or J09ndashJ189)5

442020 9468 70329 126 9576 4531 460 14750

4112020 15631 76702 138 11645 7007 465 20397

4182020 16229 73869 137 10890 6947 258 20246

4252020 13962 69677 129 9579 5992 142 17595

522020 11428 64281 120 8064 4857 57 14673

592020 10311 61572 117 7236 4383 45 13200

5162020 8163 57665 110 6071 3409 18 10841

5232020 5834 52287 100 4929 2498 15 8280

5302020 4077 45178 87 3701 1631 7 6154

662020 1355 29768 56 1894 575 6 2680

6132020 166 7590 15 428 81 1 514

See httpswwwcdcgovnchsnvssvsrrcovid19indexhtm for latest data and technical notes

Guidance for Certifying COVID-19 Deaths Example 1

Guidance for Certifying COVID-19 Deaths Example 2

COVID-19 Cause of Death Coding ICD-10 Code

U071 -- COVID-19

Excludes Coronavirus infection unspecified site (B342) Severe acute respiratorysyndrome [SARS] unspecified (U049)

The WHO has provided a second code U072 for clinical or epidemiologicaldiagnosis of COVID-19 where a laboratory confirmation is inconclusive or notavailable Because laboratory test results are not typically reported on deathcertificates in the US NCHS is not planning to implement U072 for mortalitystatistics

The underlying cause depends upon what and where conditions are reported on the death certificate However the rules for coding and selection of the underlyingcause of death are expected to result in COVID-19 being the underlying causemore often than not

COVID-19 Cause of Death Coding Coding Process

Coding systems not set up to code COVID-19 or to accept U071 Establish coding rules Initially all COVID-19 records had to be manually coded Managing manual coding

ndash Prioritization ndash Increase manual coding capacity

Systems modified to automatically code some COVID-19 deaths Adjust coding rules

Provisional COVID-19 Death Counts by Week (as of June 15 2020)

Table continued on next slide

Week ending date in which the death occurred

All Deaths involving COVID-19 (U071)1

Deaths from All Causes

Percent of

Expecte d

Deaths2

Deaths involving Pneumonia with or without COVID-19 excluding Influenza deaths

(J120ndashJ189)3

Deaths involving

COVID-19 and Pneumonia excluding Influenza (U071 and J120ndashJ189)3

All Deaths involving Influenza with or without

COVID-19 or Pneumonia (J09ndashJ11) includes

COVID-19 or Pneumonia 4

Deaths involving Pneumonia Influenza or COVID-19 (U071 or J09ndashJ189)5

Total Deaths 100303 1134398 102 110865 43574 6406 173072

212020 1 57829 97 3741 0 476 4218

282020 1 58359 98 3729 0 514 4244

2152020 0 57708 98 3755 0 544 4299

2222020 4 57804 100 3633 1 557 4193

2292020 5 58180 101 3755 3 636 4393

372020 32 58444 101 3887 16 619 4521

3142020 52 57329 100 3874 27 608 4506

3212020 547 57949 102 4454 245 540 5290

3282020 3037 61878 111 6024 1371 438 8078

Provisional COVID-19 Death Counts by Week - continued (as of June 15 2020)

Week ending date in which the death occurred

All Deaths involving COVID-19 (U071)1

Deaths from All Causes

Percent of

Expecte d

Deaths2

Deaths involving Pneumonia with or without COVID-19 excluding Influenza deaths

(J120ndashJ189)3

Deaths involving

COVID-19 and Pneumonia excluding Influenza (U071 and J120ndashJ189)3

All Deaths involving Influenza with or without

COVID-19 or Pneumonia (J09ndashJ11) includes

COVID-19 or Pneumonia 4

Deaths involving Pneumonia Influenza or COVID-19 (U071 or J09ndashJ189)5

442020 9468 70329 126 9576 4531 460 14750

4112020 15631 76702 138 11645 7007 465 20397

4182020 16229 73869 137 10890 6947 258 20246

4252020 13962 69677 129 9579 5992 142 17595

522020 11428 64281 120 8064 4857 57 14673

592020 10311 61572 117 7236 4383 45 13200

5162020 8163 57665 110 6071 3409 18 10841

5232020 5834 52287 100 4929 2498 15 8280

5302020 4077 45178 87 3701 1631 7 6154

662020 1355 29768 56 1894 575 6 2680

6132020 166 7590 15 428 81 1 514

See httpswwwcdcgovnchsnvssvsrrcovid19indexhtm for latest data and technical notes

Guidance for Certifying COVID-19 Deaths Example 2

COVID-19 Cause of Death Coding ICD-10 Code

U071 -- COVID-19

Excludes Coronavirus infection unspecified site (B342) Severe acute respiratorysyndrome [SARS] unspecified (U049)

The WHO has provided a second code U072 for clinical or epidemiologicaldiagnosis of COVID-19 where a laboratory confirmation is inconclusive or notavailable Because laboratory test results are not typically reported on deathcertificates in the US NCHS is not planning to implement U072 for mortalitystatistics

The underlying cause depends upon what and where conditions are reported on the death certificate However the rules for coding and selection of the underlyingcause of death are expected to result in COVID-19 being the underlying causemore often than not

COVID-19 Cause of Death Coding Coding Process

Coding systems not set up to code COVID-19 or to accept U071 Establish coding rules Initially all COVID-19 records had to be manually coded Managing manual coding

ndash Prioritization ndash Increase manual coding capacity

Systems modified to automatically code some COVID-19 deaths Adjust coding rules

Provisional COVID-19 Death Counts by Week (as of June 15 2020)

Table continued on next slide

Week ending date in which the death occurred

All Deaths involving COVID-19 (U071)1

Deaths from All Causes

Percent of

Expecte d

Deaths2

Deaths involving Pneumonia with or without COVID-19 excluding Influenza deaths

(J120ndashJ189)3

Deaths involving

COVID-19 and Pneumonia excluding Influenza (U071 and J120ndashJ189)3

All Deaths involving Influenza with or without

COVID-19 or Pneumonia (J09ndashJ11) includes

COVID-19 or Pneumonia 4

Deaths involving Pneumonia Influenza or COVID-19 (U071 or J09ndashJ189)5

Total Deaths 100303 1134398 102 110865 43574 6406 173072

212020 1 57829 97 3741 0 476 4218

282020 1 58359 98 3729 0 514 4244

2152020 0 57708 98 3755 0 544 4299

2222020 4 57804 100 3633 1 557 4193

2292020 5 58180 101 3755 3 636 4393

372020 32 58444 101 3887 16 619 4521

3142020 52 57329 100 3874 27 608 4506

3212020 547 57949 102 4454 245 540 5290

3282020 3037 61878 111 6024 1371 438 8078

Provisional COVID-19 Death Counts by Week - continued (as of June 15 2020)

Week ending date in which the death occurred

All Deaths involving COVID-19 (U071)1

Deaths from All Causes

Percent of

Expecte d

Deaths2

Deaths involving Pneumonia with or without COVID-19 excluding Influenza deaths

(J120ndashJ189)3

Deaths involving

COVID-19 and Pneumonia excluding Influenza (U071 and J120ndashJ189)3

All Deaths involving Influenza with or without

COVID-19 or Pneumonia (J09ndashJ11) includes

COVID-19 or Pneumonia 4

Deaths involving Pneumonia Influenza or COVID-19 (U071 or J09ndashJ189)5

442020 9468 70329 126 9576 4531 460 14750

4112020 15631 76702 138 11645 7007 465 20397

4182020 16229 73869 137 10890 6947 258 20246

4252020 13962 69677 129 9579 5992 142 17595

522020 11428 64281 120 8064 4857 57 14673

592020 10311 61572 117 7236 4383 45 13200

5162020 8163 57665 110 6071 3409 18 10841

5232020 5834 52287 100 4929 2498 15 8280

5302020 4077 45178 87 3701 1631 7 6154

662020 1355 29768 56 1894 575 6 2680

6132020 166 7590 15 428 81 1 514

See httpswwwcdcgovnchsnvssvsrrcovid19indexhtm for latest data and technical notes

COVID-19 Cause of Death Coding ICD-10 Code

U071 -- COVID-19

Excludes Coronavirus infection unspecified site (B342) Severe acute respiratorysyndrome [SARS] unspecified (U049)

The WHO has provided a second code U072 for clinical or epidemiologicaldiagnosis of COVID-19 where a laboratory confirmation is inconclusive or notavailable Because laboratory test results are not typically reported on deathcertificates in the US NCHS is not planning to implement U072 for mortalitystatistics

The underlying cause depends upon what and where conditions are reported on the death certificate However the rules for coding and selection of the underlyingcause of death are expected to result in COVID-19 being the underlying causemore often than not

COVID-19 Cause of Death Coding Coding Process

Coding systems not set up to code COVID-19 or to accept U071 Establish coding rules Initially all COVID-19 records had to be manually coded Managing manual coding

ndash Prioritization ndash Increase manual coding capacity

Systems modified to automatically code some COVID-19 deaths Adjust coding rules

Provisional COVID-19 Death Counts by Week (as of June 15 2020)

Table continued on next slide

Week ending date in which the death occurred

All Deaths involving COVID-19 (U071)1

Deaths from All Causes

Percent of

Expecte d

Deaths2

Deaths involving Pneumonia with or without COVID-19 excluding Influenza deaths

(J120ndashJ189)3

Deaths involving

COVID-19 and Pneumonia excluding Influenza (U071 and J120ndashJ189)3

All Deaths involving Influenza with or without

COVID-19 or Pneumonia (J09ndashJ11) includes

COVID-19 or Pneumonia 4

Deaths involving Pneumonia Influenza or COVID-19 (U071 or J09ndashJ189)5

Total Deaths 100303 1134398 102 110865 43574 6406 173072

212020 1 57829 97 3741 0 476 4218

282020 1 58359 98 3729 0 514 4244

2152020 0 57708 98 3755 0 544 4299

2222020 4 57804 100 3633 1 557 4193

2292020 5 58180 101 3755 3 636 4393

372020 32 58444 101 3887 16 619 4521

3142020 52 57329 100 3874 27 608 4506

3212020 547 57949 102 4454 245 540 5290

3282020 3037 61878 111 6024 1371 438 8078

Provisional COVID-19 Death Counts by Week - continued (as of June 15 2020)

Week ending date in which the death occurred

All Deaths involving COVID-19 (U071)1

Deaths from All Causes

Percent of

Expecte d

Deaths2

Deaths involving Pneumonia with or without COVID-19 excluding Influenza deaths

(J120ndashJ189)3

Deaths involving

COVID-19 and Pneumonia excluding Influenza (U071 and J120ndashJ189)3

All Deaths involving Influenza with or without

COVID-19 or Pneumonia (J09ndashJ11) includes

COVID-19 or Pneumonia 4

Deaths involving Pneumonia Influenza or COVID-19 (U071 or J09ndashJ189)5

442020 9468 70329 126 9576 4531 460 14750

4112020 15631 76702 138 11645 7007 465 20397

4182020 16229 73869 137 10890 6947 258 20246

4252020 13962 69677 129 9579 5992 142 17595

522020 11428 64281 120 8064 4857 57 14673

592020 10311 61572 117 7236 4383 45 13200

5162020 8163 57665 110 6071 3409 18 10841

5232020 5834 52287 100 4929 2498 15 8280

5302020 4077 45178 87 3701 1631 7 6154

662020 1355 29768 56 1894 575 6 2680

6132020 166 7590 15 428 81 1 514

See httpswwwcdcgovnchsnvssvsrrcovid19indexhtm for latest data and technical notes

COVID-19 Cause of Death Coding Coding Process

Coding systems not set up to code COVID-19 or to accept U071 Establish coding rules Initially all COVID-19 records had to be manually coded Managing manual coding

ndash Prioritization ndash Increase manual coding capacity

Systems modified to automatically code some COVID-19 deaths Adjust coding rules

Provisional COVID-19 Death Counts by Week (as of June 15 2020)

Table continued on next slide

Week ending date in which the death occurred

All Deaths involving COVID-19 (U071)1

Deaths from All Causes

Percent of

Expecte d

Deaths2

Deaths involving Pneumonia with or without COVID-19 excluding Influenza deaths

(J120ndashJ189)3

Deaths involving

COVID-19 and Pneumonia excluding Influenza (U071 and J120ndashJ189)3

All Deaths involving Influenza with or without

COVID-19 or Pneumonia (J09ndashJ11) includes

COVID-19 or Pneumonia 4

Deaths involving Pneumonia Influenza or COVID-19 (U071 or J09ndashJ189)5

Total Deaths 100303 1134398 102 110865 43574 6406 173072

212020 1 57829 97 3741 0 476 4218

282020 1 58359 98 3729 0 514 4244

2152020 0 57708 98 3755 0 544 4299

2222020 4 57804 100 3633 1 557 4193

2292020 5 58180 101 3755 3 636 4393

372020 32 58444 101 3887 16 619 4521

3142020 52 57329 100 3874 27 608 4506

3212020 547 57949 102 4454 245 540 5290

3282020 3037 61878 111 6024 1371 438 8078

Provisional COVID-19 Death Counts by Week - continued (as of June 15 2020)

Week ending date in which the death occurred

All Deaths involving COVID-19 (U071)1

Deaths from All Causes

Percent of

Expecte d

Deaths2

Deaths involving Pneumonia with or without COVID-19 excluding Influenza deaths

(J120ndashJ189)3

Deaths involving

COVID-19 and Pneumonia excluding Influenza (U071 and J120ndashJ189)3

All Deaths involving Influenza with or without

COVID-19 or Pneumonia (J09ndashJ11) includes

COVID-19 or Pneumonia 4

Deaths involving Pneumonia Influenza or COVID-19 (U071 or J09ndashJ189)5

442020 9468 70329 126 9576 4531 460 14750

4112020 15631 76702 138 11645 7007 465 20397

4182020 16229 73869 137 10890 6947 258 20246

4252020 13962 69677 129 9579 5992 142 17595

522020 11428 64281 120 8064 4857 57 14673

592020 10311 61572 117 7236 4383 45 13200

5162020 8163 57665 110 6071 3409 18 10841

5232020 5834 52287 100 4929 2498 15 8280

5302020 4077 45178 87 3701 1631 7 6154

662020 1355 29768 56 1894 575 6 2680

6132020 166 7590 15 428 81 1 514

See httpswwwcdcgovnchsnvssvsrrcovid19indexhtm for latest data and technical notes

Provisional COVID-19 Death Counts by Week (as of June 15 2020)

Table continued on next slide

Week ending date in which the death occurred

All Deaths involving COVID-19 (U071)1

Deaths from All Causes

Percent of

Expecte d

Deaths2

Deaths involving Pneumonia with or without COVID-19 excluding Influenza deaths

(J120ndashJ189)3

Deaths involving

COVID-19 and Pneumonia excluding Influenza (U071 and J120ndashJ189)3

All Deaths involving Influenza with or without

COVID-19 or Pneumonia (J09ndashJ11) includes

COVID-19 or Pneumonia 4

Deaths involving Pneumonia Influenza or COVID-19 (U071 or J09ndashJ189)5

Total Deaths 100303 1134398 102 110865 43574 6406 173072

212020 1 57829 97 3741 0 476 4218

282020 1 58359 98 3729 0 514 4244

2152020 0 57708 98 3755 0 544 4299

2222020 4 57804 100 3633 1 557 4193

2292020 5 58180 101 3755 3 636 4393

372020 32 58444 101 3887 16 619 4521

3142020 52 57329 100 3874 27 608 4506

3212020 547 57949 102 4454 245 540 5290

3282020 3037 61878 111 6024 1371 438 8078

Provisional COVID-19 Death Counts by Week - continued (as of June 15 2020)

Week ending date in which the death occurred

All Deaths involving COVID-19 (U071)1

Deaths from All Causes

Percent of

Expecte d

Deaths2

Deaths involving Pneumonia with or without COVID-19 excluding Influenza deaths

(J120ndashJ189)3

Deaths involving

COVID-19 and Pneumonia excluding Influenza (U071 and J120ndashJ189)3

All Deaths involving Influenza with or without

COVID-19 or Pneumonia (J09ndashJ11) includes

COVID-19 or Pneumonia 4

Deaths involving Pneumonia Influenza or COVID-19 (U071 or J09ndashJ189)5

442020 9468 70329 126 9576 4531 460 14750

4112020 15631 76702 138 11645 7007 465 20397

4182020 16229 73869 137 10890 6947 258 20246

4252020 13962 69677 129 9579 5992 142 17595

522020 11428 64281 120 8064 4857 57 14673

592020 10311 61572 117 7236 4383 45 13200

5162020 8163 57665 110 6071 3409 18 10841

5232020 5834 52287 100 4929 2498 15 8280

5302020 4077 45178 87 3701 1631 7 6154

662020 1355 29768 56 1894 575 6 2680

6132020 166 7590 15 428 81 1 514

See httpswwwcdcgovnchsnvssvsrrcovid19indexhtm for latest data and technical notes

Provisional COVID-19 Death Counts by Week - continued (as of June 15 2020)

Week ending date in which the death occurred

All Deaths involving COVID-19 (U071)1

Deaths from All Causes

Percent of

Expecte d

Deaths2

Deaths involving Pneumonia with or without COVID-19 excluding Influenza deaths

(J120ndashJ189)3

Deaths involving

COVID-19 and Pneumonia excluding Influenza (U071 and J120ndashJ189)3

All Deaths involving Influenza with or without

COVID-19 or Pneumonia (J09ndashJ11) includes

COVID-19 or Pneumonia 4

Deaths involving Pneumonia Influenza or COVID-19 (U071 or J09ndashJ189)5

442020 9468 70329 126 9576 4531 460 14750

4112020 15631 76702 138 11645 7007 465 20397

4182020 16229 73869 137 10890 6947 258 20246

4252020 13962 69677 129 9579 5992 142 17595

522020 11428 64281 120 8064 4857 57 14673

592020 10311 61572 117 7236 4383 45 13200

5162020 8163 57665 110 6071 3409 18 10841

5232020 5834 52287 100 4929 2498 15 8280

5302020 4077 45178 87 3701 1631 7 6154

662020 1355 29768 56 1894 575 6 2680

6132020 166 7590 15 428 81 1 514

See httpswwwcdcgovnchsnvssvsrrcovid19indexhtm for latest data and technical notes

Provisional COVID-19 Death Counts Understandingthe Numbers

Things to know about the data Provisional counts are not final and are subject to change Provisional data are not yet complete Death counts should not be compared across jurisdictions

Why these numbers are different Death certificates take time to be completed States report at different rates It takes extra time to code COVID-19 deaths Other reporting systems use different definitions or methods for counting

deaths

httpswwwcdcgovnchsnvsscovid-19htmunderstanding-the-numbers httpswwwcdcgovnchsnvsscovid-19htmunderstanding-death-data-quality

Provisional COVID-19 Death Counts Demographic andGeographic Detail Tabulated Data (counts andor percentages) COVID-19 Pneumonia and Influenza Other Causes of Death (with and without COVID-19)

Demographic Detail Sex Age RaceHispanic origin

Geographic Detail National Jurisdictionstate

Counts 1-9 suppressed County

Provisional COVID-19 Death Counts Race and Hispanic Origin Data as of June 10 2020

State Indicator

Non-Hispanic

White

Non-Hispanic Black or African

American

Non-Hispanic

American Indian or

Alaska Native2

Non-Hispanic Asian3

Hispanic or Latino Other4

United States

Count of COVID-19 deaths 50935 21993 543 4962 15751 1424 Distribution of COVID-19 deaths () 533 230 06 52 165 15 Weighted distribution of population () 422 175 03 109 273 19 Unweighted distribution of population () 604 125 07 57 183 24

New York City

Count of COVID-19 deaths 5008 5423 - 1771 5498 930 Distribution of COVID-19 deaths () 269 291 - 95 295 50 Weighted distribution of population () 308 233 02 154 285 18 Unweighted distribution of population () 321 220 02 147 292 18

See httpswwwcdcgovnchsnvssvsrrcovid_weeklyindexhtm for latest data and technical notes

Provisional COVID-19 Death Counts Race and Hispanic Origin Data as of June 10 2020

State Indicator

Non-Hispanic

White

Non-Hispanic Black or African

American

Non-Hispanic

American Indian or

Alaska Native2

Non-Hispanic Asian3

Hispanic or Latino Other4

United States

Count of COVID-19 deaths 50935 21993 543 4962 15751 1424 Distribution of COVID-19 deaths () 533 230 06 52 165 15 Weighted distribution of population () 422 175 03 109 273 19 Unweighted distribution of population () 604 125 07 57 183 24

New York City

Count of COVID-19 deaths 5008 5423 - 1771 5498 930 Distribution of COVID-19 deaths () 269 291 - 95 295 50 Weighted distribution of population () 308 233 02 154 285 18 Unweighted distribution of population () 321 220 02 147 292 18

See httpswwwcdcgovnchsnvssvsrrcovid_weeklyindexhtm for latest data and technical notes

Available from httpswwwcdcgovcoronavirus2019-ncovcovid-datadata-visualizationhtm

Provisional COVID-19 Death Counts Where to Find Them Webpages COVID-19 Data from the National Center for Health Statistics

httpswwwcdcgovnchscovid19indexhtm

COVID-19 Death Data and Resources (including links to certification guidance) httpswwwcdcgovnchsnvsscovid-19htm

Provisional Death Counts for Coronavirus Disease (COVID-19)httpswwwcdcgovnchsnvssvsrrcovid19httpswwwcdcgovnchsnvssvsrrcovid_weeklyindexhtm

Download and API Access All data is simultaneously posted on datacdcgov

ndash Export in a variety of formats ndash API for automated access

Provisional COVID-19 Death Counts Modeling andVisualizations

Excess Deaths Associated with COVID-19 - Visualization httpswwwcdcgovnchsnvssvsrrcovid19excess_deathshtm

United States

Weekly number of deaths comparing excess deaths includingexcluding COVI D-19

8000

+ indicates observed count above t hreshold

bull Predicted number of deaths from all causes incl uding COVI D-19

Pr edicted number of deaths from all causes excluding COVID-19

- threshold for excess deat hs

i ZOOO middot111t

o IIIIIIIIIIIIIIIIIHIIIIIIIIIIIIIIIIIIIIIIIIIIIIIHIIIHHHIIIHIIIIIHIIIHHHIIIIIIIIIIIIHIIIIIIIIIIIIIHIIIIIIIIIIHHl1HIIIHHIIIIHIIIIIIIHHHIIIIIIIHHHII llhi1 Jan 1 17 Apr 1 17 Jul 1 17 Oct 1 17 Jan 1 18 Apr 1 18 Jul 1 18 Oct 1 18 Jan 1 19 Apr 1 19 Ju l 1 19 Oct 1 19 Jan 1 20 Apr 1 20

New York City

• National Vital Statistics Systemrsquos Response to COVID-19
• COVID-19 Response Timeline
• COVID-19 Response Timeline ndash continued
• Guidance for Certifying COVID-19 Deaths
• Guidance for Certifying COVID-19 Deaths Key Points
• Guidance for Certifying COVID-19 Deaths Example 1
• Guidance for Certifying COVID-19 Deaths Example 2
• COVID-19 Cause of Death Coding ICD-10 Code
• COVID-19 Cause of Death Coding Coding Process
• Provisional COVID-19 Death Counts by Week(as of June 15 2020)
• Provisional COVID-19 Death Counts by Week - continued(as of June 15 2020)
• Provisional COVID-19 Death Counts Understanding the Numbers
• Provisional COVID-19 Death Counts Demographic and Geographic Detail
• Provisional COVID-19 Death Counts Race and Hispanic Origin
• Slide Number 15
• Provisional COVID-19 Death Counts Where to Find Them
• Provisional COVID-19 Death Counts Modeling and Visualizations
• Slide Number 18