The following dataset provides state-aggregated data for hospital utilization in a timeseries format dating back to January 1, 2020. These are derived from reports with facility-level granularity across three main sources: (1) HHS TeleTracking, (2) reporting provided directly to HHS Protect by state/territorial health departments on behalf of their healthcare facilities and (3) National Healthcare Safety Network (before July 15).



The file will be updated regularly and provides the latest values reported by each facility within the last four days for all time. This allows for a more comprehensive picture of the hospital utilization within a state by ensuring a hospital is represented, even if they miss a single day of reporting.



No statistical analysis is applied to account for non-response and/or to account for missing data.



The below table displays one value for each field (i.e., column). Sometimes, reports for a given facility will be provided to more than one reporting source: HHS TeleTracking, NHSN, and HHS Protect. When this occurs, to ensure that there are not duplicate reports, prioritization is applied to the numbers for each facility.

On April 30, 2021, this data set has had the following fields added:
previous_day_admission_adult_covid_confirmed_18-19
previous_day_admission_adult_covid_confirmed_18-19_coverage
previous_day_admission_adult_covid_confirmed_20-29_coverage
previous_day_admission_adult_covid_confirmed_30-39
previous_day_admission_adult_covid_confirmed_30-39_coverage
previous_day_admission_adult_covid_confirmed_40-49
previous_day_admission_adult_covid_confirmed_40-49_coverage
previous_day_admission_adult_covid_confirmed_40-49_coverage
previous_day_admission_adult_covid_confirmed_50-59
previous_day_admission_adult_covid_confirmed_50-59_coverage
previous_day_admission_adult_covid_confirmed_60-69
previous_day_admission_adult_covid_confirmed_60-69_coverage
previous_day_admission_adult_covid_confirmed_70-79
previous_day_admission_adult_covid_confirmed_70-79_coverage
previous_day_admission_adult_covid_confirmed_80+
previous_day_admission_adult_covid_confirmed_80+_coverage
previous_day_admission_adult_covid_confirmed_unknown
previous_day_admission_adult_covid_confirmed_unknown_coverage
previous_day_admission_adult_covid_suspected_18-19
previous_day_admission_adult_covid_suspected_18-19_coverage
previous_day_admission_adult_covid_suspected_20-29
previous_day_admission_adult_covid_suspected_20-29_coverage
previous_day_admission_adult_covid_suspected_30-39
previous_day_admission_adult_covid_suspected_30-39_coverage
previous_day_admission_adult_covid_suspected_40-49
previous_day_admission_adult_covid_suspected_40-49_coverage
previous_day_admission_adult_covid_suspected_50-59
previous_day_admission_adult_covid_suspected_50-59_coverage
previous_day_admission_adult_covid_suspected_60-69
previous_day_admission_adult_covid_suspected_60-69_coverage
previous_day_admission_adult_covid_suspected_70-79
previous_day_admission_adult_covid_suspected_70-79_coverage
previous_day_admission_adult_covid_suspected_80+
previous_day_admission_adult_covid_suspected_80+_coverage
previous_day_admission_adult_covid_suspected_unknown
previous_day_admission_adult_covid_suspected_unknown_coverage

On June 30, 2021, this data set has had the following fields added:
deaths_covid
deaths_covid_coverage

The following dataset provides state-aggregated data for hospital utilization in a timeseries format dating back to January 1, 2020. These are derived from reports with facility-level granularity across three main sources: (1) HHS TeleTracking, (2) reporting provided directly to HHS Protect by state/territorial health departments on behalf of their healthcare facilities and (3) National Healthcare Safety Network (before July 15).



The file will be updated regularly and provides the latest values reported by each facility within the last four days for all time. This allows for a more comprehensive picture of the hospital utilization within a state by ensuring a hospital is represented, even if they miss a single day of reporting.



No statistical analysis is applied to account for non-response and/or to account for missing data.



The below table displays one value for each field (i.e., column). Sometimes, reports for a given facility will be provided to more than one reporting source: HHS TeleTracking, NHSN, and HHS Protect. When this occurs, to ensure that there are not duplicate reports, prioritization is applied to the numbers for each facility.

On April 30, 2021, this data set has had the following fields added:
previous_day_admission_adult_covid_confirmed_18-19
previous_day_admission_adult_covid_confirmed_18-19_coverage
previous_day_admission_adult_covid_confirmed_20-29_coverage
previous_day_admission_adult_covid_confirmed_30-39
previous_day_admission_adult_covid_confirmed_30-39_coverage
previous_day_admission_adult_covid_confirmed_40-49
previous_day_admission_adult_covid_confirmed_40-49_coverage
previous_day_admission_adult_covid_confirmed_40-49_coverage
previous_day_admission_adult_covid_confirmed_50-59
previous_day_admission_adult_covid_confirmed_50-59_coverage
previous_day_admission_adult_covid_confirmed_60-69
previous_day_admission_adult_covid_confirmed_60-69_coverage
previous_day_admission_adult_covid_confirmed_70-79
previous_day_admission_adult_covid_confirmed_70-79_coverage
previous_day_admission_adult_covid_confirmed_80+
previous_day_admission_adult_covid_confirmed_80+_coverage
previous_day_admission_adult_covid_confirmed_unknown
previous_day_admission_adult_covid_confirmed_unknown_coverage
previous_day_admission_adult_covid_suspected_18-19
previous_day_admission_adult_covid_suspected_18-19_coverage
previous_day_admission_adult_covid_suspected_20-29
previous_day_admission_adult_covid_suspected_20-29_coverage
previous_day_admission_adult_covid_suspected_30-39
previous_day_admission_adult_covid_suspected_30-39_coverage
previous_day_admission_adult_covid_suspected_40-49
previous_day_admission_adult_covid_suspected_40-49_coverage
previous_day_admission_adult_covid_suspected_50-59
previous_day_admission_adult_covid_suspected_50-59_coverage
previous_day_admission_adult_covid_suspected_60-69
previous_day_admission_adult_covid_suspected_60-69_coverage
previous_day_admission_adult_covid_suspected_70-79
previous_day_admission_adult_covid_suspected_70-79_coverage
previous_day_admission_adult_covid_suspected_80+
previous_day_admission_adult_covid_suspected_80+_coverage
previous_day_admission_adult_covid_suspected_unknown
previous_day_admission_adult_covid_suspected_unknown_coverage

On June 30, 2021, this data set has had the following fields added:
deaths_covid
deaths_covid_coverage

This dataset presents the age-adjusted death rates for the 10 leading causes of death in the United States beginning in 1999.

Data are based on information from all resident death certificates filed in the 50 states and the District of Columbia using demographic and medical characteristics. Age-adjusted death rates (per 100,000 population) are based on the 2000 U.S. standard population. Populations used for computing death rates after 2010 are postcensal estimates based on the 2010 census, estimated as of July 1, 2010. Rates for census years are based on populations enumerated in the corresponding censuses. Rates for non-census years before 2010 are revised using updated intercensal population estimates and may differ from rates previously published.

Causes of death classified by the International Classification of Diseases, Tenth Revision (ICD–10) are ranked according to the number of deaths assigned to rankable causes. Cause of death statistics are based on the underlying cause of death.

SOURCES
CDC/NCHS, National Vital Statistics System, mortality data (see http://www.cdc.gov/nchs/deaths.htm); and CDC WONDER (see http://wonder.cdc.gov).

REFERENCES

1. National Center for Health Statistics. Vital statistics data available. Mortality multiple cause files. Hyattsville, MD: National Center for Health Statistics. Available from: https://www.cdc.gov/nchs/data_access/vitalstatsonline.htm.

2. Murphy SL, Xu JQ, Kochanek KD, Curtin SC, and Arias E. Deaths: Final data for 2015. National vital statistics reports; vol 66. no. 6. Hyattsville, MD: National Center for Health Statistics. 2017. Available from: https://www.cdc.gov/nchs/data/nvsr/nvsr66/nvsr66_06.pdf.

The following dataset provides facility-level data for hospital utilization aggregated on a weekly basis (Friday to Thursday). These are derived from reports with facility-level granularity across two main sources: (1) HHS TeleTracking, and (2) reporting provided directly to HHS Protect by state/territorial health departments on behalf of their healthcare facilities.

The hospital population includes all hospitals registered with Centers for Medicare & Medicaid Services (CMS) as of June 1, 2020. It includes non-CMS hospitals that have reported since July 15, 2020. It does not include psychiatric, rehabilitation, Indian Health Service (IHS) facilities, U.S. Department of Veterans Affairs (VA) facilities, Defense Health Agency (DHA) facilities, and religious non-medical facilities.

For a given entry, the term “collection_week” signifies the start of the period that is aggregated. For example, a “collection_week” of 2020-11-20 means the average/sum/coverage of the elements captured from that given facility starting and including Friday, November 20, 2020, and ending and including reports for Thursday, November 26, 2020.

Reported elements include an append of either “_coverage”, “_sum”, or “_avg”.

• A “_coverage” append denotes how many times the facility reported that element during that collection week.


• A “_sum” append denotes the sum of the reports provided for that facility for that element during that collection week.


• A “_avg” append is the average of the reports provided for that facility for that element during that collection week.

The file will be updated weekly. No statistical analysis is applied to impute non-response. For averages, calculations are based on the number of values collected for a given hospital in that collection week. Suppression is applied to the file for sums and averages less than four (4). In these cases, the field will be replaced with “-999,999”.

This data is preliminary and subject to change as more data become available. Data is available starting on July 31, 2020.

Sometimes, reports for a given facility will be provided to both HHS TeleTracking and HHS Protect. When this occurs, to ensure that there are not duplicate reports, deduplication is applied according to prioritization rules within HHS Protect.

For influenza fields listed in the file, the current HHS guidance marks these fields as optional. As a result, coverage of these elements are varied.

Note:
Reporting of new COVID-19 Case Surveillance data will be discontinued July 1, 2024, to align with the process of removing SARS-CoV-2 infections (COVID-19 cases) from the list of nationally notifiable diseases. Although these data will continue to be publicly available, the dataset will no longer be updated.

Authorizations to collect certain public health data expired at the end of the U.S. public health emergency declaration on May 11, 2023. The following jurisdictions discontinued COVID-19 case notifications to CDC: Iowa (11/8/21), Kansas (5/12/23), Kentucky (1/1/24), Louisiana (10/31/23), New Hampshire (5/23/23), and Oklahoma (5/2/23). Please note that these jurisdictions will not routinely send new case data after the dates indicated. As of 7/13/23, case notifications from Oregon will only include pediatric cases resulting in death.

This case surveillance public use dataset has 19 elements for all COVID-19 cases shared with CDC and includes demographics, geography (county and state of residence), any exposure history, disease severity indicators and outcomes, and presence of any underlying medical conditions and risk behaviors.

Currently, CDC provides the public with three versions of COVID-19 case surveillance line-listed data: this 19 data element dataset with geography, a 12 data element public use dataset, and a 33 data element restricted access dataset.

The following apply to the public use datasets and the restricted access dataset:

• Data elements can be found on the COVID-19 case report form located at www.cdc.gov/coronavirus/2019-ncov/downloads/pui-form.pdf.
• Data are considered provisional by CDC and are subject to change until the data are reconciled and verified with the state and territorial data providers.
• Some data are suppressed to protect individual privacy.
• Datasets will include all cases with the earliest date available in each record (date received by CDC or date related to illness/specimen collection) at least 14 days prior to the creation of the current datasets. This 14-day lag allows case reporting to be stabilized and ensure that time-dependent outcome data are accurately captured.
• Datasets are updated monthly.
• Datasets are created using CDC’s Policy on Public Health Research and Nonresearch Data Management and Access and include protections designed to protect individual privacy.
• For more information about data collection and reporting, please see https://www.cdc.gov/coronavirus/2019-ncov/covid-data/about-us-cases-deaths.html.
• For more information about the COVID-19 case surveillance data, please see https://www.cdc.gov/coronavirus/2019-ncov/covid-data/faq-surveillance.html
  

The COVID-19 case surveillance database includes individual-level data reported to U.S. states and autonomous reporting entities, including New York City and the District of Columbia (D.C.), as well as U.S. territories and affiliates. On April 5, 2020, COVID-19 was added to the Nationally Notifiable Condition List and classified as “immediately notifiable, urgent (within 24 hours)” by a Council of State and Territorial Epidemiologists (CSTE) Interim Position Statement (

This dataset includes estimates of U.S. life expectancy at birth by state and census tract for the period 2010-2015 (1). Estimates were produced for 65,662 census tracts, covering the District of Columbia (D.C.) and all states, excluding Maine and Wisconsin, representing 88.7% of all U.S. census tracts (see notes). These estimates are the result of the collaborative project, “U.S. Small-area Life Expectancy Estimates Project (USALEEP),” between the National Center for Health Statistics (NCHS), the National Association for Public Health Statistics and Information Systems (NAPHSIS), and the Robert Wood Johnson Foundation (RWJF) (2).

The dataset presents life expectancy at birth estimates based on annual complete period life tables for each of the 50 states and the District of Columbia (D.C.)
in 2019 for the total, male and female populations.

The dataset presents life expectancy at birth estimates based on annual complete period life tables for each of the 50 states and the District of Columbia (D.C.)
in 2020 for the total, male and female populations.

This dataset describes drug poisoning deaths at the U.S. and state level by selected demographic characteristics, and includes age-adjusted death rates for drug poisoning from 1999 to 2015.

Deaths are classified using the International Classification of Diseases, Tenth Revision (ICD–10). Drug-poisoning deaths are defined as having ICD–10 underlying cause-of-death codes X40–X44 (unintentional), X60–X64 (suicide), X85 (homicide), or Y10–Y14 (undetermined intent).

Estimates are based on the National Vital Statistics System multiple cause-of-death mortality files (1). Age-adjusted death rates (deaths per 100,000 U.S. standard population for 2000) are calculated using the direct method. Populations used for computing death rates for 2011–2015 are postcensal estimates based on the 2010 U.S. census. Rates for census years are based on populations enumerated in the corresponding censuses. Rates for noncensus years before 2010 are revised using updated intercensal population estimates and may differ from rates previously published.

Estimate does not meet standards of reliability or precision. Death rates are flagged as “Unreliable” in the chart when the rate is calculated with a numerator of 20 or less.

Death rates for some states and years may be low due to a high number of unresolved pending cases or misclassification of ICD–10 codes for unintentional poisoning as R99, “Other ill-defined and unspecified causes of mortality” (2). For example, this issue is known to affect New Jersey in 2009 and West Virginia in 2005 and 2009 but also may affect other years and other states. Estimates should be interpreted with caution.

Smoothed county age-adjusted death rates (deaths per 100,000 population) were obtained according to methods described elsewhere (3–5). Briefly, two-stage hierarchical models were used to generate empirical Bayes estimates of county age-adjusted death rates due to drug poisoning for each year during 1999–2015. These annual county-level estimates “borrow strength” across counties to generate stable estimates of death rates where data are sparse due to small population size (3,5). Estimates are unavailable for Broomfield County, Colo., and Denali County, Alaska, before 2003 (6,7). Additionally, Bedford City, Virginia was added to Bedford County in 2015 and no longer appears in the mortality file in 2015. County boundaries are consistent with the vintage 2005-2007 bridged-race population file geographies (6).