State Cancer Profiles

Interpretation of Death Rates Data

Death Rate Report by State

Childhood (Ages <20, All Sites), 2019-2023

All Races (includes Hispanic), Both Sexes

Sorted by Rate

Explanation of Column Headers

Death Rate (95% Confidence Interval) - The death rate is based upon 100,000 people and is for 5 year(s). Rates are age-adjusted by 5-year age groups to the 2000 U.S. standard million population (the Healthy People 2020 goals are based on rates adjusted using different methods but the differences should be minimal).

Recent Trends - This is an interpretation of the AAPC:

• Rising when 95% confidence interval of average annual percent change is above 0.
• Stable when 95% confidence interval of average annual percent change includes 0.
• Falling when 95% confidence interval of average annual percent change is below 0.

AAPC (95% Confidence Interval) - The Average Annual Percent Change is the change in rate over time. These AAPCs are based upon APCs that were calculated by Joinpoint Regression Program

Other Notes

• Larger confidence intervals indicate less stability of the data. This is often due to low counts that are not quite low enough to be suppressed.
• Data is currently being suppressed if there are fewer than 16 counts for the time period.

Line by Line Interpretation of the Report

United States

• Met Healthy People Objective of ***? : ***
• Rate : The death rate is 2.1 with a 95% confidence interval from 2.1 to 2.2 and 1,745 average annual counts over 2019-2023.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.4 with a 95% confidence interval from -1.2 to 2.8.

Hawaii

• Met Healthy People Objective of ***? : ***
• Rate : The death rate is 1.5 with a 95% confidence interval from 0.9 to 2.2 and 4 average annual counts over 2019-2023.
• CI*Rank ⋔ : 49 (6, 49)
• Recent Trend :

South Dakota

• Met Healthy People Objective of ***? : ***
• Rate : The death rate is 1.6 with a 95% confidence interval from 0.9 to 2.4 and 3 average annual counts over 2019-2023.
• CI*Rank ⋔ : 48 (2, 49)
• Recent Trend :

Puerto Rico

• Met Healthy People Objective of ***? : ***
• Rate : The death rate is 1.6 with a 95% confidence interval from 1.2 to 2.1 and 10 average annual counts over 2019-2023.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -5.8 with a 95% confidence interval from -20.2 to 11.1.

Kansas

• Met Healthy People Objective of ***? : ***
• Rate : The death rate is 1.6 with a 95% confidence interval from 1.3 to 2.1 and 13 average annual counts over 2019-2023.
• CI*Rank ⋔ : 47 (9, 49)
• Recent Trend :

Nevada

• Met Healthy People Objective of ***? : ***
• Rate : The death rate is 1.7 with a 95% confidence interval from 1.3 to 2.1 and 12 average annual counts over 2019-2023.
• CI*Rank ⋔ : 46 (8, 49)
• Recent Trend :

Massachusetts

• Met Healthy People Objective of ***? : ***
• Rate : The death rate is 1.7 with a 95% confidence interval from 1.4 to 2.0 and 26 average annual counts over 2019-2023.
• CI*Rank ⋔ : 45 (22, 49)
• Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -2.8 to -0.4.

Missouri

• Met Healthy People Objective of ***? : ***
• Rate : The death rate is 1.8 with a 95% confidence interval from 1.5 to 2.1 and 27 average annual counts over 2019-2023.
• CI*Rank ⋔ : 44 (14, 49)
• Recent Trend : The trend is falling because the trend is -1.7 with a 95% confidence interval from -3.2 to -0.3.

Delaware

• Met Healthy People Objective of ***? : ***
• Rate : The death rate is 1.8 with a 95% confidence interval from 1.1 to 2.7 and 4 average annual counts over 2019-2023.
• CI*Rank ⋔ : 43 (1, 49)
• Recent Trend :

Colorado

• Met Healthy People Objective of ***? : ***
• Rate : The death rate is 1.8 with a 95% confidence interval from 1.5 to 2.1 and 25 average annual counts over 2019-2023.
• CI*Rank ⋔ : 42 (11, 49)
• Recent Trend : The trend is falling because the trend is -1.6 with a 95% confidence interval from -3.1 to -0.2.

Minnesota

• Met Healthy People Objective of ***? : ***
• Rate : The death rate is 1.8 with a 95% confidence interval from 1.5 to 2.2 and 26 average annual counts over 2019-2023.
• CI*Rank ⋔ : 41 (10, 49)
• Recent Trend : The trend is falling because the trend is -1.3 with a 95% confidence interval from -2.3 to -0.4.

New Mexico

• Met Healthy People Objective of ***? : ***
• Rate : The death rate is 1.8 with a 95% confidence interval from 1.3 to 2.4 and 9 average annual counts over 2019-2023.
• CI*Rank ⋔ : 40 (2, 49)
• Recent Trend :

Montana

• Met Healthy People Objective of ***? : ***
• Rate : The death rate is 1.8 with a 95% confidence interval from 1.2 to 2.7 and 4 average annual counts over 2019-2023.
• CI*Rank ⋔ : 39 (1, 49)
• Recent Trend :

New Jersey

• Met Healthy People Objective of ***? : ***
• Rate : The death rate is 1.9 with a 95% confidence interval from 1.6 to 2.1 and 42 average annual counts over 2019-2023.
• CI*Rank ⋔ : 38 (12, 48)
• Recent Trend : The trend is falling because the trend is -1.7 with a 95% confidence interval from -2.7 to -0.8.

Louisiana

• Met Healthy People Objective of ***? : ***
• Rate : The death rate is 1.9 with a 95% confidence interval from 1.6 to 2.3 and 22 average annual counts over 2019-2023.
• CI*Rank ⋔ : 37 (5, 48)
• Recent Trend :

Alabama

• Met Healthy People Objective of ***? : ***
• Rate : The death rate is 1.9 with a 95% confidence interval from 1.6 to 2.3 and 24 average annual counts over 2019-2023.
• CI*Rank ⋔ : 36 (5, 48)
• Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -2.4 to 0.2.

Kentucky

• Met Healthy People Objective of ***? : ***
• Rate : The death rate is 1.9 with a 95% confidence interval from 1.6 to 2.3 and 22 average annual counts over 2019-2023.
• CI*Rank ⋔ : 35 (4, 48)
• Recent Trend : The trend is falling because the trend is -1.1 with a 95% confidence interval from -2.1 to -0.1.

Michigan

• Met Healthy People Objective of ***? : ***
• Rate : The death rate is 1.9 with a 95% confidence interval from 1.7 to 2.2 and 47 average annual counts over 2019-2023.
• CI*Rank ⋔ : 34 (9, 47)
• Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -2.2 to -0.8.

Tennessee

• Met Healthy People Objective of ***? : ***
• Rate : The death rate is 2.0 with a 95% confidence interval from 1.7 to 2.3 and 35 average annual counts over 2019-2023.
• CI*Rank ⋔ : 33 (4, 46)
• Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -2.4 to -0.5.

North Dakota

• Met Healthy People Objective of ***? : ***
• Rate : The death rate is 2.0 with a 95% confidence interval from 1.2 to 3.1 and 4 average annual counts over 2019-2023.
• CI*Rank ⋔ : 32 (1, 49)
• Recent Trend :

New Hampshire

• Met Healthy People Objective of ***? : ***
• Rate : The death rate is 2.0 with a 95% confidence interval from 1.4 to 2.9 and 6 average annual counts over 2019-2023.
• CI*Rank ⋔ : 31 (1, 49)
• Recent Trend :

South Carolina

• Met Healthy People Objective of ***? : ***
• Rate : The death rate is 2.0 with a 95% confidence interval from 1.7 to 2.4 and 26 average annual counts over 2019-2023.
• CI*Rank ⋔ : 30 (3, 47)
• Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -2.9 to 0.8.

Illinois

• Met Healthy People Objective of ***? : ***
• Rate : The death rate is 2.1 with a 95% confidence interval from 1.8 to 2.3 and 64 average annual counts over 2019-2023.
• CI*Rank ⋔ : 29 (6, 43)
• Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -2.3 to -0.7.

Idaho

• Met Healthy People Objective of ***? : ***
• Rate : The death rate is 2.1 with a 95% confidence interval from 1.6 to 2.7 and 11 average annual counts over 2019-2023.
• CI*Rank ⋔ : 28 (1, 49)
• Recent Trend : The trend is stable because the trend is -1.3 with a 95% confidence interval from -3.9 to 1.3.

Arkansas

• Met Healthy People Objective of ***? : ***
• Rate : The death rate is 2.1 with a 95% confidence interval from 1.7 to 2.6 and 16 average annual counts over 2019-2023.
• CI*Rank ⋔ : 27 (1, 48)
• Recent Trend : The trend is falling because the trend is -1.8 with a 95% confidence interval from -3.6 to -0.2.

Rhode Island

• Met Healthy People Objective of ***? : ***
• Rate : The death rate is 2.1 with a 95% confidence interval from 1.3 to 3.1 and 5 average annual counts over 2019-2023.
• CI*Rank ⋔ : 26 (1, 49)
• Recent Trend :

Washington

• Met Healthy People Objective of ***? : ***
• Rate : The death rate is 2.1 with a 95% confidence interval from 1.8 to 2.4 and 38 average annual counts over 2019-2023.
• CI*Rank ⋔ : 25 (4, 44)
• Recent Trend : The trend is falling because the trend is -2.2 with a 95% confidence interval from -3.1 to -1.3.

Mississippi

• Met Healthy People Objective of ***? : ***
• Rate : The death rate is 2.1 with a 95% confidence interval from 1.7 to 2.6 and 16 average annual counts over 2019-2023.
• CI*Rank ⋔ : 24 (1, 48)
• Recent Trend :

Georgia

• Met Healthy People Objective of ***? : ***
• Rate : The death rate is 2.1 with a 95% confidence interval from 1.9 to 2.4 and 60 average annual counts over 2019-2023.
• CI*Rank ⋔ : 23 (4, 42)
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -1.4 to 0.1.

Pennsylvania

• Met Healthy People Objective of ***? : ***
• Rate : The death rate is 2.1 with a 95% confidence interval from 1.9 to 2.4 and 64 average annual counts over 2019-2023.
• CI*Rank ⋔ : 22 (4, 41)
• Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -2.6 to -0.5.

Utah

• Met Healthy People Objective of ***? : ***
• Rate : The death rate is 2.1 with a 95% confidence interval from 1.8 to 2.6 and 22 average annual counts over 2019-2023.
• CI*Rank ⋔ : 21 (1, 47)
• Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -2.2 to 0.9.

Florida

• Met Healthy People Objective of ***? : ***
• Rate : The death rate is 2.2 with a 95% confidence interval from 2.0 to 2.4 and 104 average annual counts over 2019-2023.
• CI*Rank ⋔ : 20 (4, 37)
• Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -7.6 to 7.2.

New York

• Met Healthy People Objective of ***? : ***
• Rate : The death rate is 2.2 with a 95% confidence interval from 2.0 to 2.4 and 100 average annual counts over 2019-2023.
• CI*Rank ⋔ : 19 (4, 38)
• Recent Trend : The trend is falling because the trend is -0.8 with a 95% confidence interval from -1.5 to -0.2.

Iowa

• Met Healthy People Objective of ***? : ***
• Rate : The death rate is 2.2 with a 95% confidence interval from 1.7 to 2.7 and 18 average annual counts over 2019-2023.
• CI*Rank ⋔ : 18 (1, 47)
• Recent Trend : The trend is falling because the trend is -1.8 with a 95% confidence interval from -3.6 to -0.3.

North Carolina

• Met Healthy People Objective of ***? : ***
• Rate : The death rate is 2.2 with a 95% confidence interval from 1.9 to 2.4 and 57 average annual counts over 2019-2023.
• CI*Rank ⋔ : 17 (3, 41)
• Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -1.4 to 0.3.

Ohio

• Met Healthy People Objective of ***? : ***
• Rate : The death rate is 2.2 with a 95% confidence interval from 1.9 to 2.4 and 63 average annual counts over 2019-2023.
• CI*Rank ⋔ : 16 (3, 39)
• Recent Trend : The trend is rising because the trend is 10.4 with a 95% confidence interval from 2.0 to 15.1.

Wisconsin

• Met Healthy People Objective of ***? : ***
• Rate : The death rate is 2.2 with a 95% confidence interval from 1.9 to 2.6 and 31 average annual counts over 2019-2023.
• CI*Rank ⋔ : 15 (2, 44)
• Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -2.5 to 0.1.

California

• Met Healthy People Objective of ***? : ***
• Rate : The death rate is 2.2 with a 95% confidence interval from 2.1 to 2.3 and 214 average annual counts over 2019-2023.
• CI*Rank ⋔ : 14 (6, 33)
• Recent Trend : The trend is falling because the trend is -2.0 with a 95% confidence interval from -2.4 to -1.6.

Oregon

• Met Healthy People Objective of ***? : ***
• Rate : The death rate is 2.2 with a 95% confidence interval from 1.8 to 2.7 and 21 average annual counts over 2019-2023.
• CI*Rank ⋔ : 13 (1, 46)
• Recent Trend : The trend is stable because the trend is 14.0 with a 95% confidence interval from -2.1 to 25.3.

Connecticut

• Met Healthy People Objective of ***? : ***
• Rate : The death rate is 2.2 with a 95% confidence interval from 1.8 to 2.7 and 18 average annual counts over 2019-2023.
• CI*Rank ⋔ : 12 (1, 46)
• Recent Trend : The trend is stable because the trend is 3.6 with a 95% confidence interval from -0.5 to 19.1.

West Virginia

• Met Healthy People Objective of ***? : ***
• Rate : The death rate is 2.2 with a 95% confidence interval from 1.6 to 3.0 and 9 average annual counts over 2019-2023.
• CI*Rank ⋔ : 11 (1, 49)
• Recent Trend :

Oklahoma

• Met Healthy People Objective of ***? : ***
• Rate : The death rate is 2.3 with a 95% confidence interval from 1.9 to 2.7 and 24 average annual counts over 2019-2023.
• CI*Rank ⋔ : 10 (1, 44)
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -1.7 to 0.5.

Texas

• Met Healthy People Objective of ***? : ***
• Rate : The death rate is 2.3 with a 95% confidence interval from 2.1 to 2.4 and 188 average annual counts over 2019-2023.
• CI*Rank ⋔ : 9 (3, 29)
• Recent Trend : The trend is stable because the trend is 3.4 with a 95% confidence interval from -1.8 to 7.0.

Virginia

• Met Healthy People Objective of ***? : ***
• Rate : The death rate is 2.3 with a 95% confidence interval from 2.0 to 2.6 and 49 average annual counts over 2019-2023.
• CI*Rank ⋔ : 8 (1, 36)
• Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -2.2 to 0.2.

Wyoming

• Met Healthy People Objective of ***? : ***
• Rate : The death rate is 2.3 with a 95% confidence interval from 1.4 to 3.8 and 3 average annual counts over 2019-2023.
• CI*Rank ⋔ : 7 (1, 49)
• Recent Trend :

Indiana

• Met Healthy People Objective of ***? : ***
• Rate : The death rate is 2.3 with a 95% confidence interval from 2.0 to 2.7 and 42 average annual counts over 2019-2023.
• CI*Rank ⋔ : 6 (1, 36)
• Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -2.4 to 0.5.

Maryland

• Met Healthy People Objective of ***? : ***
• Rate : The death rate is 2.4 with a 95% confidence interval from 2.0 to 2.7 and 36 average annual counts over 2019-2023.
• CI*Rank ⋔ : 5 (1, 37)
• Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -2.5 to 0.4.

Arizona

• Met Healthy People Objective of ***? : ***
• Rate : The death rate is 2.4 with a 95% confidence interval from 2.1 to 2.7 and 43 average annual counts over 2019-2023.
• CI*Rank ⋔ : 4 (1, 36)
• Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -2.1 to -0.3.

Nebraska

• Met Healthy People Objective of ***? : ***
• Rate : The death rate is 2.5 with a 95% confidence interval from 2.0 to 3.2 and 13 average annual counts over 2019-2023.
• CI*Rank ⋔ : 3 (1, 45)
• Recent Trend :

Maine

• Met Healthy People Objective of ***? : ***
• Rate : The death rate is 2.6 with a 95% confidence interval from 1.9 to 3.6 and 7 average annual counts over 2019-2023.
• CI*Rank ⋔ : 2 (1, 47)
• Recent Trend :

Alaska

• Met Healthy People Objective of ***? : ***
• Rate : The death rate is 2.8 with a 95% confidence interval from 1.9 to 4.1 and 5 average annual counts over 2019-2023.
• CI*Rank ⋔ : 1 (1, 48)
• Recent Trend :

District of Columbia

• Met Healthy People Objective of ***? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Vermont

• Met Healthy People Objective of ***? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Notes:
Created by statecancerprofiles.cancer.gov on 03/23/2026 7:48 am.

State Cancer Registries may provide more current or more local data.

† Death data provided by the National Vital Statistics System public use data file. Death rates calculated by the National Cancer Institute using SEER*Stat. Death rates are age-adjusted to the 2000 US standard population (20 age groups: <1, 1-4, 5-9, ... , 80-84, 85-89, 90+).

Population counts for denominators are based on Census populations as modified by NCI.

The US Population Data File is used with mortality data.

* Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category.

If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

Data for United States does not include Puerto Rico.