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Deaths: Final Data for 1998. 106 pp.
(PHS) 2000-1120. View/download PDF 622 KB
Firearm deaths for children and teens
dropped significantly between 1997 and 1998 according to a new mortality report released
today by the U.S. Department of Health and Human Services. The report shows 3,792 children
and adolescents under age 20 died in 1998 from firearms, down 10 percent from 4,223 in
1997, and down 35 percent from the high of 5,833 in 1994. This translates into a drop from
16 deaths per day in 1994 to 10 deaths per day in 1998. The new statistics were published
in a report, "Deaths: Final Data for 1998," released by the Centers for Disease
Control and Prevention, National Center for Health Statistics (CDC, NCHS).
"Each day, 10 children and teens
are killed by firearms, and that is 10 too many," said HHS Secretary Donna E.
Shalala. "However, it is significant that the number is down 35 percent from
4
years ago. This indicates that violence prevention efforts are showing results. But we all
know how far we still have to go to protect our young people from gun deaths and
injuries."
Overall, 30,708 people died of firearms
in 1998, a 5-percent drop from 1997 and a 22-percent drop from the high of 39,595 in 1993.
The age-adjusted death rate from firearms was 11.3 deaths per 100,000 population in 1998,
a 7.4-percent drop from 12.2 in 1997 and down sharply from the high of 15.6 in 1993.
"Firearm deaths are preventable
and we must continue to work tirelessly to avoid these deaths," said CDC Director
Jeffrey P. Koplan, M.D., M.P.H.
The report is based on death
certificates completed by physicians, medical examiners, and coroners, and reported to
State vital statistics offices. Some of the other findings in the report include:
Life expectancy at birth increased to a record
high of 76.7 years in 1998, up from 76.5 in 1997. A 15-year old in 1998 could expect to
live to be 77.5 years, a full year longer than a 15-year old in 1993. The difference in
life expectancy between the white and African-American populations was unchanged from 1997
with the white population living 6 years longer than African Americans.
The infant mortality rate remained unchanged in
1998, at 7.2 infant deaths per 1,000 live births. Rates for African-American infants
continued to be more than twice those of white infants.
Death rates decreased for 8 of the 15 leading
causes of death. Among the 15 leading causes of death, the largest decline in age-adjusted
death rates was for atherosclerosis, which dropped 9.5 percent in 1998. Homicide dropped
nearly 9 percent, while Alzheimers disease mortality dropped nearly 4 percent.
Mortality from stroke, heart disease, and chronic liver disease dropped by approximately 3
percent each, while suicide mortality dropped nearly 2 percent and cancer mortality
dropped 1.6 percent. In addition, mortality from HIV infection declined nearly 21 percent
between 1997 and 1998.
Mortality levels varied by race. Age-adjusted
death rates for the African-American population exceeded those of the white population by
53 percent, a narrowing from about 55 percent in 1997. Among leading causes of death, the
largest race differential was for homicide, which was nearly 6 times higher for
African Americans than for the white population. The next highest race differential was for hypertension,
with a rate nearly 4 times higher for African Americans than for white
persons. Conversely, African Americans had lower rates for three leading causes of death lung disease,
suicide, and Alzheimers.
Death rates for Hispanics decreased from 1997 to
1998, with rates for Mexican Americans and Puerto Ricans decreasing. The decrease was not
significant for Cuban Americans. Seven of 10 leading causes of death among Hispanics were
also leading killers for the non-Hispanic population. Homicide, chronic liver disease, and
perinatal conditions were leading causes of death for Hispanics, but not for the total
non-Hispanic population.
Racial and ethnic health disparities
are the focus of an initiative launched by President Clinton and the
Department of Health and Human Services (DHHS) in February 1998. The
Departments goal is to eliminate disparities experienced by racial and ethnic
minority populations in six key areas of health by 2010: infant mortality, diabetes,
cardiovascular disease, cancer, HIV/AIDS and childhood and adult immunizations. DHHS
is
providing leadership in this effort through research, expanded and improved service
delivery programs, and expanded prevention strategies.