Pneumonia & Influenza
ďťżTrends in Pneumonia and Influenza
Morbidity and Mortality
American Lung Association
Epidemiology and Statistics Unit
Research and Health Education Division
November 2015
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Introduction
This report includes tables, figures, and descriptions for data relating to influenza and pneumonia
mortality, hospitalization, vaccination, and economic costs, mostly specific to the United States.
Trends and current year demographic breakdowns are presented and data limitations discussed
when necessary. Comparisons of more, less, increasing, decreasing, or similar do not imply that
such differences are statistically significant. While the content strives for a balance between detail
and breadth, material is inevitably left out. Please contact the report authors for additional
information about any area for which you would like to know more.
Mortality1
Trends
There were 56,832 deaths due to pneumonia and influenza in 2013, which combined were the
eighth leading cause of death in the U.S.
While the ageŠ\adjusted death rate for pneumonia and influenza increased 9 percent from 2012 to
2013, it has decreased an average of 3.8 percent per year since 1999.
Pneumonia & Influenza ¨C AgeŠ\Adjusted Death Rates by Year
AgeŠ\Adjusted Rate per 100,000
25
20
15
10
Rate has decreased an average of 3.8% per year since 1999
5
0
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
Source: CDC. Wonder OnŠ\line Database, 1999Š\2013 data.
Pneumonia consistently accounts for the overwhelming majority of the combined pneumonia and
influenza deaths. In 2013, 53,282 people died from pneumonia and 3,550 people died from
influenza.
Sex
More women than men die from pneumonia and influenza. However, men are about 25 percent
more likely than women to die from these diseases (ageŠ\adjusted death rates of 18.6 and 13.9 per
100,000, respectively) as the female population in the U.S. is larger than the male population.
Ethnicity
In 2013, ageŠ\adjusted death rates for pneumonia and influenza were highest among American
Indians or Alaska Natives and lowest among Hispanics. Compared to whites, rates were:
?
?
?
?
8 percent higher among blacks
21 percent higher among American Indians or Alaska Natives
6 percent lower among Asians or Pacific Islanders
18 percent lower among Hispanics
Pneumonia & Influenza ¨C AgeŠ\Adjusted Death Rates by Sex & Ethnicity, 2013
19.2
18.6
15.9
15.8
17.1
15.0
13.9
13.1
Total
Male
Female
Source: CDC. Wonder OnŠ\line Database, 2013 data.
White
Black
American Asian/
Indian/
Pacific
Alaska Islander
Native
NonŠ\Hispanic
Hispanic
Pneumonia & Influenza - Number of Deaths & Age-Adjusted Death Rates by Sex & Ethnic Origin, 1999-2013 I,II
NonŠ\Hispanic
Total
Male
Female
White
Black
Cause of
Death
Number Rate Number Rate Number Rate Number Rate Number Rate
Pneumonia & Influenza
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
Pneumonia
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
Influenza
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
American Indian/
Alaska Native
Number
Rate
Asian/ Pacific
Islander
Hispanic
Number
Rate Number Rate
63,730
65,313
62,034
65,681
65,163
59,664
63,001
56,326
52,717
56,283
52,135
49,871
53,609
50,623
56,832
23.6
23.7
22.0
22.6
22.0
19.8
20.3
17.8
16.2
16.9
15.7
15.0
15.7
14.5
15.8
27,718
28,658
27,342
28,918
28,778
26,861
28,052
25,650
24,071
25,571
24,353
23,498
25,291
24,008
26,718
28.0
28.1
26.6
27.0
26.1
23.7
23.9
21.2
19.3
19.9
18.9
18.1
18.7
17.3
18.6
36,012
36,655
34,692
36,763
36,385
32,803
34,949
30,676
28,546
30,712
27,782
26,373
28,318
26,615
30,114
20.8
20.9
19.2
19.9
19.4
17.3
17.9
15.5
14.2
15.0
13.7
13.0
13.6
12.5
13.9
54,280
55,135
51,952
55,419
54,617
49,456
52,431
46,419
43,219
45,779
41,859
40,122
43,206
40,452
45,262
23.7
23.7
21.7
22.6
22.0
17.1
20.4
17.8
16.2
16.9
15.6
14.9
15.7
14.4
15.9
5,794
5,920
5,686
5,803
5,798
5,620
5,716
5,242
5,091
5,396
5,039
4,821
5,082
4,922
5,473
26.1
26.4
24.3
24.3
23.6
19.9
22.1
19.9
18.8
19.3
18.0
17.0
17.1
16.1
17.1
308
279
305
286
382
277
341
261
270
363
345
316
337
294
350
30.6
24.7
26.9
25.9
31.6
23.1
27.7
19.9
19.5
24.4
21.5
20.5
20.2
16.9
19.2
836
1,106
1,160
1,149
1,245
1,228
1,316
1,327
1,316
1,485
1,496
1,511
1,629
1,717
1,983
16.3
19.8
19.4
18.2
18.4
17.1
16.9
16.1
15.0
15.7
14.8
14.5
14.3
14.1
15.0
2,246
2,625
2,722
2,824
2,948
2,912
3,085
2,966
2,735
3,176
3,292
2,966
3,205
3,046
3,565
15.6
17.0
20.5
19.2
18.4
19.6
16.8
15.0
13.1
14.0
13.3
13.5
13.5
12.0
13.1
62,065
63,548
61,777
64,954
63,371
58,564
61,189
55,477
52,306
54,562
50,774
49,597
52,294
49,530
53,282
22.9
23.0
21.9
22.4
21.4
19.4
19.7
17.5
16.1
16.4
15.3
14.9
15.3
14.1
14.8
27,116
27,994
27,241
28,629
28,079
26,440
27,395
25,288
23,884
24,881
23,646
23,365
24,722
23,535
25,107
27.4
27.5
26.5
26.7
25.5
23.3
23.3
20.9
19.2
19.3
18.4
18.0
18.3
17.0
17.5
34,949
35,554
34,536
36,325
35,292
32,124
33,794
30,189
28,422
29,681
27,128
26,232
27,572
25,995
28,175
20.2
20.2
19.1
19.6
18.8
16.9
17.3
15.3
14.1
14.4
13.3
12.9
13.3
12.2
13.0
52,758
53,522
51,736
54,756
53,039
48,452
50,777
45,670
42,877
44,257
40,905
39,925
42,143
39,528
42,304
23.0
23.0
21.6
22.4
21.4
17.0
19.7
17.5
16.1
16.3
15.2
14.8
15.2
14.0
14.8
5,729
5,839
5,666
5,773
5,703
5,570
5,649
5,202
5,065
5,315
4,908
4,788
4,976
4,853
5,221
25.8
26.0
24.3
24.2
23.2
19.5
21.8
19.7
18.7
19.0
17.7
16.9
16.8
15.9
16.3
303
275
302
281
366
274
330
258
266
348
311
313
318
284
325
30.2
24.3
26.8
25.5
30.4
22.8
26.7
19.7
19.2
23.4
20.0
20.4
19.2
16.4
18.0
816
1,088
1,155
1,143
1,220
1,214
1,296
1,311
1,310
1,459
1,444
1,503
1,592
1,701
1,894
15.9
19.5
19.4
18.1
18.1
17.0
16.7
16.0
15.0
15.5
14.4
14.4
14.0
13.9
14.3
2,201
2,578
2,709
2,805
2,873
2,886
3,030
2,927
2,703
3,103
3,106
2,933
3,118
2,974
3,345
15.3
16.7
20.4
19.2
18.1
19.2
16.6
14.9
13.0
13.7
12.9
13.4
13.2
11.8
12.4
1,665
1,765
257
727
1,792
1,100
1,812
849
411
1,721
1,361
274
1,315
1,093
3,550
0.6
0.6
0.1
0.2
0.6
0.4
0.6
0.3
0.1
0.5
0.4
0.1
0.4
0.3
1.0
602
664
101
289
699
421
657
362
187
690
707
133
569
473
1,611
0.6
0.6
0.1
0.3
0.6
0.4
0.6
0.3
0.1
0.5
0.5
0.1
0.4
0.3
1.1
1,063
1,101
156
438
1,093
679
1,155
487
224
1,031
654
141
746
620
1,939
0.6
0.6
0.1
0.2
0.6
0.4
0.6
0.2
0.1
0.5
0.4
0.1
0.4
0.3
0.9
1,522
1,613
216
663
1,578
1,004
1,654
749
342
1,522
954
197
1,063
924
2,958
0.6
0.7
0.1
0.3
0.7
0.1
0.6
0.3
0.1
0.6
0.4
0.1
0.4
0.3
1.1
65
81
20
30
95
50
67
40
26
81
131
33
106
69
252
0.3
0.4
0.1
0.1
0.3
0.5
0.2
0.1
0.1
0.3
0.4
0.1
0.3
0.2
0.7
5
4
3
5
16
3
11
3
4
15
34
3
19
10
25
*
*
*
*
*
*
*
*
*
*
1.5
*
*
*
1.2
20
18
5
6
25
14
20
16
6
26
52
8
37
16
89
0.3
*
*
*
0.3
*
0.2
*
*
0.2
0.4
*
0.3
*
0.6
45
47
13
19
75
26
55
39
32
73
186
33
87
72
220
0.3
0.3
*
*
0.3
0.4
0.2
0.1
0.1
0.2
0.5
0.1
0.3
0.2
0.7
Source: Centers for Disease Control and Prevention, National Center for Health Statistics. CDC Wonder On-line Database, compiled from Compressed Mortality File
1999-2013 Series 20 No. 2S, 2014.
Notes:
I. Rates are age-adjusted to the 2000 U.S. standard population and per 100,000 population.
II. Deaths are coded by the 10th revision of International Classification of Diseases, codes J10-J11 for influenza and J12-J18 for pneumonia.
* Rate does not meet standard of reliability or precision.
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