Resident deaths over the eleven-year period for which the underlying cause of death was given on the death certificate as heart disease.
This category of "heart disease" is one of the National Center for Health Statistics' standard categories for ranking the leading causes of death. Major subcategories of heart disease include congestive heart failure and ischemic heart disease, which includes acute myocardial infarction ("heart attack"). Other kinds of heart disease include rheumatic heart disease, hypertensive heart disease, pulmonary embolism, various valve disorders, cardiomyopathy, and atrial fibrillation.
International Classification of Diseases (ICD-10) codes: I00-I09.9, I11-I11.9, I13-I13.9, and I20-I51.9.
Cancer (Malignant Neoplasms)
Resident deaths over the eleven-year period for which the underlying cause of death was given on the death certificate as a malignant neoplasm (cancer). This includes leukemia and cancers of various organs, but excludes benign neoplasms, carcinoma in situ and neoplasms of uncertain behavior.
International Classification of Diseases (ICD-10) codes C00-C97.
Lung Cancer
Resident deaths for which the underlying cause of death was given on the death certificate as malignant neoplasm (cancer) of the trachea, bronchus, and/or lung.
This set of criteria is from the National Center for Health Statistics. Counts in the Chronic Disease Comparisons Profile use a definition from the National Cancer Institute's Surveillance, Epidemiology, and End Results (SEER) program; their criteria omit cancer of the trachea (C33).
International Classification of Diseases (ICD-10) codes C33-C34.9.
Breast Cancer
Resident deaths for which the underlying cause of death was given on the death certificate as breast cancer. This includes deaths to both male and female residents. Rates based on females alone are available from the Women's Health Profile and the Death MICA.
International Classification of Diseases (ICD-10) codes: C50-C50.9.
Colorectal Cancer
Resident deaths for which the underlying cause of death was given on the death certificate as a malignant neoplasm (cancer) of the colon, rectum, or anus.
International Classification of Diseases (ICD-10) codes: C18 - C21.8. This grouping is used by the National Center for Health Statistics and is the same as the "Malignant neoplasm of colon/rectum/anus" subcategory under Cancer in the Death MICA.
A similar but slightly different category used by the National Cancer Institute's Surveillance, Epidemiology, and End Results (SEER) program is Colon and Rectum Cancer," which can be found in the Chronic Disease Comparisons Profile. The differences are that this NCHS definition includes cancers of the anus but does not include those of the "intestinal tract, part unspecified." The two differences approximately offset each other in statewide data, but for counties and cities, the difference can be in either direction.
Chronic Lower Respiratory Disease
Resident deaths over the eleven-year period for which the underlying cause of death was given on the death certificate as chronic obstructive pulmonary disease and allied conditions.
Included are: bronchitis (unless it is specified as acute bronchitis), emphysema, asthma, bronchiectasis, and chronic airway obstruction not elsewhere classified. The vast majority of the deaths in this category are attributed to "Chronic airway obstruction not elsewhere classified."
International Classification of Diseases (ICD-10) codes J40-J47.
Stroke/Other Cerebrovascular Disease
Resident deaths over the eleven-year period for which the underlying cause of death was given on the death certificate as cerebrovascular disease (stroke), whether due to bleeding or to blockage of arteries in the brain. Also includes deaths due to late effects of strokes.
International Classification of Diseases (ICD-10) codes I60-I69.8.
Unintentional Injury
The total number of resident deaths over the eleven-year period for which the underlying cause of death was given on the death certificate as unintentional injury or poisoning. For Missouri residents, accidental poisonings (mostly due to drugs) are the most common cause of unintentional injury death, followed by motor vehicle crashes and falls.
Injuries and poisonings not included are those due to medical complications, those classified as homicide or suicide, those due to war, and those for which the intent it is undetermined whether the injury was accidentally or purposely inflicted.
International Classification of Diseases (ICD-10) codes V01-X59.9, Y85-Y86.9.
Accidental Poisoning
Resident deaths for which the underlying cause of death was given on the death certificate as accidental poisoning. This is the same as the sum of "Accidental poisoning and exposure to noxious substances" and "Accidental overdose by non-drug substances" subcategories under "Accidents (unintentional injuries)" in the Death MICA. This category includes not only drugs and alcohol but also carbon monoxide and other toxic substances.
International Classification of Diseases (ICD-10) codes X40 – X49.9
Motor Vehicle Accidents
The total number of resident deaths over the eleven-year period for which the underlying cause of death was given on the death certificate as any accident involving one or more motor vehicles.
The number of deaths attributed to "Motor Vehicle Traffic" on the Unintentional Injury Profile is slightly smaller than this number because it includes only those accidents which took place on a public street or highway.
International Classification of Diseases (ICD-10) codes: V02 -V04.9, V09.0, V09.2, V12 -V14.9, V19.0-V19.2, V19.4-V19.6, V20 -V79.9, V80.3-V80.5, V81.0-V81.1, V82.0-V82.1, V83 -V86.9, V87.0-V87.8, V88.0-V88.8, V89.0, V89.2.
Alzheimer's Disease
The total number of resident deaths over the eleven-year period for which the underlying cause of death was given on the death certificate as Alzheimer's disease.
International Classification of Diseases (ICD-10) code G30-G30.9.
Diabetes Mellitus
Resident deaths over the eleven-year period for which the underlying cause of death was given on the death certificate as diabetes, whether Type I, Type II or unspecified.
International Classification of Diseases (ICD-10) codes E10-E14.9.
Pneumonia and Influenza
Resident deaths over the eleven-year period for which the underlying cause of death was given on the death certificate as pneumonia or influenza. This includes viral and bacterial pneumonia, bronchopneumonia, and influenza with or without pneumonia or other respiratory manifestations.
Pneumonia and influenza are grouped together because of the difficulty of separating them. For example, some cases of influenza lead to pneumonia and are attributed to the pneumonia when the underlying cause is really influenza.
Caution: These counts and rates are not comparable to those prior to 1999. The transition from ICD-9 to ICD-10 effective January 1, 1999 involved changes in the rules for selecting the single underlying cause of death for persons who died of multiple causes. The pneumonia and influenza category is one of the causes most seriously affected by the change. Nationally, the number of deaths attributed to this cause under the new system was estimated to be about 70 percent of the number which would have been attributed to it prior to the change in classification.
International Classification of Diseases (ICD-10) codes J09-J18.9.
Kidney Disease (Nephritis and Nephrosis)
The total number of resident deaths over the eleven-year period for which the underlying cause of death was given on the death certificate as nephritis, nephrosis, or nephrotic syndrome. Most of the deaths in this category are attributed to chronic renal failure, or to renal failure, unspecified whether chronic or acute.
International Classification of Diseases (ICD-10) codes N00-N07.9, N17-N19, and N25-N27.9.
Suicide
The total number of resident deaths over the eleven-year period for which the underlying cause of death was given on the death certificate as suicide or intentional self-inflicted injury. Delayed effects of self-inflicted injury are also included.
International Classification of Diseases (ICD-10) codes U03-U03.9, X60-X84.9, Y87.0.
Septicemia
The total number of resident deaths over the eleven-year period for which the underlying cause of death was given as septicemia (infection of the blood). The organism causing the infection is rarely specified on the death certificate.
International Classification of Diseases (ICD-10) codes A40-A41.9.
Chronic Liver Disease and Cirrhosis
The total number of resident deaths over the eleven-year period for which the underlying cause of death was given as cirrhosis of the liver or chronic liver disease.
International Classification of Diseases (ICD-10) codes K70-K70.9, K73-K74.9.
Other Causes of Interest
Tobacco-Related
The total number of resident deaths over the eleven-year period which were attributable to smoking.
Tobacco-related deaths are calculated based on a question on the death certificate: "Did tobacco use contribute to death?". The medical certifier has the option to mark one of several checkboxes: Yes, Probably, No, or Unknown.
The Count displayed on the profile includes the responses of "Yes" and "Probably". The rate is per 100 deaths, which results in a percent of deaths that are tobacco related.
All Injuries and Poisonings
The total number of resident deaths over the eleven-year period for which the underlying cause of death was given on the death certificate as any injury or poisoning. That is, it is a count of deaths not attributed to diseases.
This includes deaths due to homicide, suicide, and accidents, as well as injuries for which the intent is undetermined. Also included are late effects of injuries and of war.
International Classification of Diseases (ICD-10) codes U0-Y89.9.
Homicide
Resident deaths during the eleven-year period for which the deceased was intentionally assaulted or killed by another. Delayed effects of assault are also included.
International Classification of Diseases (ICD-10) codes U01-U02, X85-Y09.9, Y87.1.
Alcohol-Induced Deaths
The total number of resident deaths over the eleven-year period for which the underlying cause of death given on the death certificate was related to alcohol use.
Deaths are included if attributed to dependence, nondependent use, accidental poisoning, or suicide. In addition, alcoholic polyneuropathy, cardiomyopathy, and gastritis are included, as are chronic liver disease and cirrhosis when specified as due to alcohol.
Not all deaths due to alcohol use are included in this count. Some of those not captured here are: alcohol-related motor vehicle accidents, falls, or fires, homicides and suicides committed under the influence of alcohol, and deaths of infants due to the mother's alcohol use.
For alcohol-induced deaths, the International Classification of Diseases (ICD-10) codes are E24.4, F10.1-F10.9, G31.2, G62.1, G72.1, I42.6, K29.2, K70 -K70.9, K85.2, K86.0, R78.0, X45 -X45.9, X65 -X65.9, and Y15-Y15.9.
The selection of International Classification of Diseases (ICD-10) codes for this category is taken from standard codes for drug-induced deaths and alcohol-induced deaths from the National Center for Health Statistics. They can be found in "Deaths: Final Data for 2014," National Vital Statistics Reports, Vol. 65, Number 4, June 30, 2016. F10.0 is no longer a valid code for mortality (effective 2007).
Drug-Induced Deaths
The total number of resident deaths over the eleven-year period for which the underlying cause of death given on the death certificate was related to drug use. Deaths are included if attributed to dependence, nondependent use, accidental poisoning, or suicide.
Not all deaths due to substance use are included in this count. Some of those not captured here are: drug-related motor vehicle accidents, falls, or fires; homicides and suicides committed under the influence of drugs; and deaths of infants due to the mother's drug use.
The selection of International Classification of Diseases (ICD-10) codes for this category is based on a list of codes for drug-induced deaths and alcohol-induced deaths from the National Center for Health Statistics (NCHS). It can be found in National Vital Statistics Reports, Vol. 65, Number 4, June 30, 2016. Although a large number of possible drug-induced diseases are included in the list, the vast majority of drug-induced are due to accidental poisoning by overdose or by interaction of drugs (X40-X44.9).
Effective 2009, the NCHS no longer considers the following codes valid for underlying cause of death: F11.0, F12.0, F13.0, F14.0, F15.0, F16.0, F17.0, F18.0 and F19.0.
International Classification of Diseases (ICD-10) codes: D52.1, D59.0, D59.2, D61.1, D64.2, E06.4, E16.0, E23.1, E24.2, E27.3, E66.1, F11.1-F11.5, F11.7-F11.9, F12.1-F12.5, F12.7-F12.9, F13.1-F13.5, F13.7-F13.9, F14.1-F14.5, F14.7-F14.9, F15.1-F15.5, F15.7-F15.9, F16.1-F16.5, F16.7-F16.9, F17.1, F17.3-F17.5, F17.7-F17.9, F18.1-F18.5, F18.7-F18.9, F19.1-F19.5, F19.7-F19.9, G21.1, G24.0, G25.1, G25.4, G25.6, G44.4, G62.0, G72.0, I95.2, J70.2, J70.3, J70.4, K85.3, L10.5, L27.0, L27.1, M10.2, M32.0, M80.4, M81.4, M83.5, M87.1, R50.2, R78.1-R78.5, X40-X44.9, X60-X64.9, X85-X85.9, and Y10-Y14.9.
Accidental Drug Overdose
The total number of resident deaths over the eleven-year period for which the underlying cause of death was given on the death certificate as accidental poisoning and exposure to noxious substances.
International Classification of Diseases (ICD-10) codes: X40-X44.9.
Homicide Drug Overdose
The total number of resident deaths over the eleven-year period for which the underlying cause of death was given on the death certificate as Assault (homicide) by drug overdose.
International Classification of Diseases (ICD-10) codes: X85-X85.9.
Suicide Drug Overdose
The total number of resident deaths over the eleven-year period for which the underlying cause of death was given on the death certificate as intentional self-harm (suicide) by drug overdose.
Internal Classification of Diseases (ICD-10) codes: X60-X64.9.
Undetermined Drug Overdose
The total number of resident deaths over the eleven-year period for which the underlying cause of death was given on the death certificate as a drug overdose death of undetermined intent.
Internal Classification of Diseases (ICD-10) codes: Y10-Y14.9.
Injury by Firearms
This includes all resident deaths during the eleven-year period for which the underlying cause of death given on the death certificate was attributed to a firearm, whether the intent was homicide, suicide, accident, undetermined or legal intervention.
International Classification of Diseases (ICD-10) codes U01.4, W32-W34.9, X72 -X74.9, X93 -X95.9, Y22 -Y24.9 and Y35.0.
This definition in ICD-10 terms can be found in "Deaths: Final Data for 2014," National Vital Statistics Reports, Vol. 65, Number.4, June 30, 2016 and in other NCHS publications.