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INFANT MORTALITY ALABAMA 2018 ALABAMA DEPARTMENT OF PUBLIC HEALTH CENTER FOR HEALTH STATISTICS December 11, 2019

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Page 1: INFANT MORTALITY ALABAMA 2018alabamapublichealth.gov/healthstats/assets/IM_18.pdf9.4 7.0 0.0 2.0 4.0 6.0 8.0 10.0 12.0 14.0 2009 2010 2011 2012 2013 2014* 2015* 2016* 2017* 2018* Percent

INFANT MORTALITYALABAMA 2018

ALABAMA DEPARTMENT OF PUBLIC HEALTHCENTER FOR HEALTH STATISTICS

December 11, 2019

Page 2: INFANT MORTALITY ALABAMA 2018alabamapublichealth.gov/healthstats/assets/IM_18.pdf9.4 7.0 0.0 2.0 4.0 6.0 8.0 10.0 12.0 14.0 2009 2010 2011 2012 2013 2014* 2015* 2016* 2017* 2018* Percent

INFANT MORTALITY RATESALABAMA, 2009-2018

2ADPH|CHS

8.28.7

8.1

8.9 8.6 8.78.3

9.1

7.47.0

0.0

1.0

2.0

3.0

4.0

5.0

6.0

7.0

8.0

9.0

10.0

2009 2010 2011 2012 2013 2014 2015 2016 2017 2018

Rate

(Per

1,0

00 L

ive

Birt

hs)

Page 3: INFANT MORTALITY ALABAMA 2018alabamapublichealth.gov/healthstats/assets/IM_18.pdf9.4 7.0 0.0 2.0 4.0 6.0 8.0 10.0 12.0 14.0 2009 2010 2011 2012 2013 2014* 2015* 2016* 2017* 2018* Percent

3

NUMBER OF INFANT DEATHS ALABAMA, 2009-2018

ADPH|CHS

513 522

481

519500

517494

537

435405

254 265242

253

266

238206

255 213

196

251 249234

261

227

267280 273

207

198

8 8 5 5 7 12 8 9 15 11

0

100

200

300

400

500

600

2009 2010 2011 2012 2013 2014 2015 2016 2017 2018

Num

ber o

f Inf

ant D

eath

s

Total White Black Other

Page 4: INFANT MORTALITY ALABAMA 2018alabamapublichealth.gov/healthstats/assets/IM_18.pdf9.4 7.0 0.0 2.0 4.0 6.0 8.0 10.0 12.0 14.0 2009 2010 2011 2012 2013 2014* 2015* 2016* 2017* 2018* Percent

41,963 40,193 39,770 38,637 38,604 39,488 39,632 39,241 38,728 38,149

18,88418,218 17,969 18,083 17,954 18,327 18,330 18,061 18,419 17,995

1,6291,568 1,583 1,661 1,604 1,717 1,689 1,788 1,789 1,610

0

10,000

20,000

30,000

40,000

50,000

60,000

70,000

2009 2010 2011 2012 2013 2014 2015 2016 2017 2018

Num

ber o

f Liv

e Bi

rths

Other Black White

4

NUMBER OF BIRTHS ALABAMA, 2009-2018

57,75459,979 59,322 58,381 58,162 59,532 59,09062,476

59,651

ADPH|CHS

58,936

Page 5: INFANT MORTALITY ALABAMA 2018alabamapublichealth.gov/healthstats/assets/IM_18.pdf9.4 7.0 0.0 2.0 4.0 6.0 8.0 10.0 12.0 14.0 2009 2010 2011 2012 2013 2014* 2015* 2016* 2017* 2018* Percent

INFANT MORTALITY RATESALABAMA, 2009-2018

5ADPH|CHS

8.28.7

8.18.9 8.6 8.7 8.3

9.1

7.4

7.0

6.16.6

6.16.5 6.9

6.05.2

6.5

5.5 5.1

13.3 13.713.0

14.4

12.6

14.615.3 15.1

11.2 11.0

4.9 5.1

3.2 3.0

4.4

7.0

4.7 5.0

8.4

6.8

0.0

2.0

4.0

6.0

8.0

10.0

12.0

14.0

16.0

18.0

2009 2010 2011 2012 2013 2014 2015 2016 2017 2018

Rate

(Per

1,0

00 L

ive

Birt

hs)

Total White Black Other

Page 6: INFANT MORTALITY ALABAMA 2018alabamapublichealth.gov/healthstats/assets/IM_18.pdf9.4 7.0 0.0 2.0 4.0 6.0 8.0 10.0 12.0 14.0 2009 2010 2011 2012 2013 2014* 2015* 2016* 2017* 2018* Percent

THREE-YEAR INFANT MORTALITY RATESALABAMA, 1996-1998 to 2016-2018

ADPH|CHS 6

10.19.8 9.8

9.5 9.3 9.1 8.9 8.9 9.09.5 9.5

9.28.8

8.38.6 8.5 8.7 8.5 8.7

8.37.8

0.0

2.0

4.0

6.0

8.0

10.0

12.096

-98

97-9

9

98-0

0

99-0

1

00-0

2

01-0

3

02-0

4

03-0

5

04-0

6

05-0

7

06-0

8

07-0

9

08-1

0

09-1

1

10-1

2

11-1

3

12-1

4

13-1

5

14-1

6

15-1

7

16-1

8

Rate

(Per

1,0

00 L

ive

Birt

hs)

Page 7: INFANT MORTALITY ALABAMA 2018alabamapublichealth.gov/healthstats/assets/IM_18.pdf9.4 7.0 0.0 2.0 4.0 6.0 8.0 10.0 12.0 14.0 2009 2010 2011 2012 2013 2014* 2015* 2016* 2017* 2018* Percent

INFANT MORTALITY RATESALABAMA AND UNITED STATES1, 1970-2018

7

1 2018 national data is provisional estimate.

ALABAMA

UNITED STATES

ADPH|CHS

7.0

5.7

0.0

5.0

10.0

15.0

20.0

25.0

30.0

1970 1975 1980 1985 1990 1995 2000 2005 2010 2015 2018

Rate

(Per

1,0

00 L

ive

Birt

hs)

Page 8: INFANT MORTALITY ALABAMA 2018alabamapublichealth.gov/healthstats/assets/IM_18.pdf9.4 7.0 0.0 2.0 4.0 6.0 8.0 10.0 12.0 14.0 2009 2010 2011 2012 2013 2014* 2015* 2016* 2017* 2018* Percent

INFANT MORTALITY BY COUNTY OF RESIDENCEALABAMA, 2018

8

Rate (Per 1,000 Live Births)Number

ADPH|CHS

Page 9: INFANT MORTALITY ALABAMA 2018alabamapublichealth.gov/healthstats/assets/IM_18.pdf9.4 7.0 0.0 2.0 4.0 6.0 8.0 10.0 12.0 14.0 2009 2010 2011 2012 2013 2014* 2015* 2016* 2017* 2018* Percent

PERCENT OF BIRTHS AT 37 - 40 WEEKS GESTATION ALABAMA, 2009-2018

9.8 10.0 9.4 9.5 9.2 9.4 9.6 10.4 10.6 11.3

23.221.6 19.9

18.5

16.4 15.6 15.8

16.2 16.4 16.7

35.1 36.0

38.640.7

42.7 43.7 43.6 42.9 42.6 41.8

15.9 16.016.8 16.1

16.6 16.0 15.9

15.2 15.1 14.8

0.0

5.0

10.0

15.0

20.0

25.0

30.0

35.0

40.0

45.0

50.0

2009 2010 2011 2012 2013 2014 2015 2016 2017 2018

Perc

ent o

f All

Live

Birt

hs

37 weeks 38 weeks 39 weeks 40 weeks

ADPH|CHS 9

Page 10: INFANT MORTALITY ALABAMA 2018alabamapublichealth.gov/healthstats/assets/IM_18.pdf9.4 7.0 0.0 2.0 4.0 6.0 8.0 10.0 12.0 14.0 2009 2010 2011 2012 2013 2014* 2015* 2016* 2017* 2018* Percent

PERCENT OF BIRTHS LESS THAN 37 WEEKS GESTATION ALABAMA, 2009-2018

10ADPH|CHS

12.5 12.511.9 11.9 11.8 11.7 11.7 12.0 12.0

12.5

0.0

2.0

4.0

6.0

8.0

10.0

12.0

14.0

2009 2010 2011 2012 2013 2014 2015 2016 2017 2018

Perc

ent o

f All

Live

Birt

hs

Page 11: INFANT MORTALITY ALABAMA 2018alabamapublichealth.gov/healthstats/assets/IM_18.pdf9.4 7.0 0.0 2.0 4.0 6.0 8.0 10.0 12.0 14.0 2009 2010 2011 2012 2013 2014* 2015* 2016* 2017* 2018* Percent

PERCENT OF LOW WEIGHT BIRTHS*ALABAMA, 2009-2018

11ADPH|CHS

10.4 10.310.0 10.1 10.0 10.1

10.4 10.3 10.310.7

0.0

2.0

4.0

6.0

8.0

10.0

12.0

2009 2010 2011 2012 2013 2014 2015 2016 2017 2018

Perc

ent o

f All

Live

Birt

hs

*Low birth weight is weight at birth under 2,500 grams.

Page 12: INFANT MORTALITY ALABAMA 2018alabamapublichealth.gov/healthstats/assets/IM_18.pdf9.4 7.0 0.0 2.0 4.0 6.0 8.0 10.0 12.0 14.0 2009 2010 2011 2012 2013 2014* 2015* 2016* 2017* 2018* Percent

12

NUMBER OF PRETERM BIRTHS* BY BIRTH WEIGHTALABAMA, 2016 - 2018

ADPH|CHS

162

481 517

1,073

2,026

123

426561

1,075

2,046

129

395543

1,107

2,111

0

500

1,000

1,500

2,000

2,500

<500 500-999 1,000-1,499 1,500-1,999 2,000-2,499

Num

ber o

f Liv

e Bi

rths

Birth Weight (grams)

2016 2017 2018

*Preterm birth is a live birth occurring before the 37th week of gestation.

Page 13: INFANT MORTALITY ALABAMA 2018alabamapublichealth.gov/healthstats/assets/IM_18.pdf9.4 7.0 0.0 2.0 4.0 6.0 8.0 10.0 12.0 14.0 2009 2010 2011 2012 2013 2014* 2015* 2016* 2017* 2018* Percent

13

NUMBER OF INFANT DEATHS WITH PRETERM BIRTHS BY RACE OF INFANT AND BIRTH WEIGHT

ALABAMA, 2017 vs. 2018

ADPH|CHS

2017 2018

Birth Weight (grams)Birth Weight (grams)

3128

1410

16

69

43

9 10 10

0

10

20

30

40

50

60

70

80

90

<500 500-999 1,000-1,499 1,500-1,999 2,000-2,499

Num

ber o

f Inf

ant D

eath

s

White Black

42

30

12 12

22

61

35

912 10

0

10

20

30

40

50

60

70

80

90

<500 500-999 1,000-1,499 1,500-1,999 2,000-2,499

Num

ber o

f Inf

ant D

eath

s

White Black

*Above graphs exclude racial groups other than White and Black.

Page 14: INFANT MORTALITY ALABAMA 2018alabamapublichealth.gov/healthstats/assets/IM_18.pdf9.4 7.0 0.0 2.0 4.0 6.0 8.0 10.0 12.0 14.0 2009 2010 2011 2012 2013 2014* 2015* 2016* 2017* 2018* Percent

14

NUMBER OF INFANT DEATHSWITH PRETERM BIRTHS BY BIRTH WEIGHT

ALABAMA, 2016 - 2018

ADPH|CHS

Birth Weight (grams)

128

111

2532

22

102

70

2520

26

104

64

22 2534

0

20

40

60

80

100

120

140

<500 500-999 1,000-1,499 1,500-1,999 2,000-2,499

2016 2017 2018

128

111

2532

22

102

70

25 2026

104

64

22 2534

0

20

40

60

80

100

120

140

<500 500-999 1,000-1,499 1,500-1,999 2,000-2,499

Num

ber o

f Inf

ant D

eath

s

128

111

2532

22

102

70

2520

26

104

64

22 2534

0

20

40

60

80

100

120

140

<500 500-999 1,000-1,499 1,500-1,999 2,000-2,499

Num

ber o

f Inf

ant D

eath

s

2016 2017 2018

Page 15: INFANT MORTALITY ALABAMA 2018alabamapublichealth.gov/healthstats/assets/IM_18.pdf9.4 7.0 0.0 2.0 4.0 6.0 8.0 10.0 12.0 14.0 2009 2010 2011 2012 2013 2014* 2015* 2016* 2017* 2018* Percent

PERCENT OF BIRTHS TO TEENAGERS (AGES 10-19)ALABAMA, 2009-2018

15ADPH|CHS

13.412.4

11.310.7

9.38.5

8.0 7.7 7.36.9

0.0

2.0

4.0

6.0

8.0

10.0

12.0

14.0

16.0

2009 2010 2011 2012 2013 2014 2015 2016 2017 2018

Perc

ent o

f All

Live

Birt

hs

Page 16: INFANT MORTALITY ALABAMA 2018alabamapublichealth.gov/healthstats/assets/IM_18.pdf9.4 7.0 0.0 2.0 4.0 6.0 8.0 10.0 12.0 14.0 2009 2010 2011 2012 2013 2014* 2015* 2016* 2017* 2018* Percent

PERCENT OF BIRTHS TO TEENAGERS BY RACE (AGES 10-19)ALABAMA, 2016 - 2018

16ADPH|CHS

6.7

9.9

5.3

7.7

6.6

8.9

4.2

7.3

6.0

8.8

5.2

6.9

0.0

2.0

4.0

6.0

8.0

10.0

12.0

White Black Other Total

Perc

ent o

f All

Live

Birt

hs

2016 2017 2018

Page 17: INFANT MORTALITY ALABAMA 2018alabamapublichealth.gov/healthstats/assets/IM_18.pdf9.4 7.0 0.0 2.0 4.0 6.0 8.0 10.0 12.0 14.0 2009 2010 2011 2012 2013 2014* 2015* 2016* 2017* 2018* Percent

17

NUMBER OF BIRTHS TO TEENAGERS (AGES 10-19) ALABAMA, 2009-2018

ADPH|CHS

8,365

7,446

6,697

6,236

5,4205,084

4,7904,526

4,2853,961

4,769

4,1963,799

3,5463,194 3,075

2,8762,642 2,569

2,2883,471

3,1392,812

2,609

2,1451,944 1,842 1,789 1,640 1,590

125 111 86 81 81 65 72 95 76 83

0

1,000

2,000

3,000

4,000

5,000

6,000

7,000

8,000

9,000

2009 2010 2011 2012 2013 2014 2015 2016 2017 2018

Num

ber o

f Tee

n Bi

rths

Total White Black Other

Page 18: INFANT MORTALITY ALABAMA 2018alabamapublichealth.gov/healthstats/assets/IM_18.pdf9.4 7.0 0.0 2.0 4.0 6.0 8.0 10.0 12.0 14.0 2009 2010 2011 2012 2013 2014* 2015* 2016* 2017* 2018* Percent

PERCENT OF BIRTHS WITH A BIRTH INTERVAL LESS THAN 2 YEARS, ALABAMA, 2009-2018

18ADPH|CHS

25.224.1

23.0 22.3 22.5 23.023.9

24.8 24.9 25.2

0.0

5.0

10.0

15.0

20.0

25.0

30.0

2009 2010 2011 2012 2013 2014 2015 2016 2017 2018

Perc

ent o

f All

Live

Birt

hs

Page 19: INFANT MORTALITY ALABAMA 2018alabamapublichealth.gov/healthstats/assets/IM_18.pdf9.4 7.0 0.0 2.0 4.0 6.0 8.0 10.0 12.0 14.0 2009 2010 2011 2012 2013 2014* 2015* 2016* 2017* 2018* Percent

PERCENT OF BIRTHS WITH ADEQUATE PRENATAL CARE1

ALABAMA, 2009-2018

19

1Adequacy of care includes both adequate plus and adequate as measured by the Kotelchuck index. Percentage calculation excludes unknown status.

ADPH|CHS

72.8 73.0 71.674.1 76.2 75.0 75.3 74.5 74.3 74.1

0.0

10.0

20.0

30.0

40.0

50.0

60.0

70.0

80.0

90.0

2009 2010 2011 2012 2013 2014 2015 2016 2017 2018

Perc

ent o

f All

Live

Birt

hs

Page 20: INFANT MORTALITY ALABAMA 2018alabamapublichealth.gov/healthstats/assets/IM_18.pdf9.4 7.0 0.0 2.0 4.0 6.0 8.0 10.0 12.0 14.0 2009 2010 2011 2012 2013 2014* 2015* 2016* 2017* 2018* Percent

PERCENT OF BIRTHS WITH NO PRENATAL CAREALABAMA, 2009-2018

20ADPH|CHS

2.0 1.91.8

1.6 1.5

1.81.9

2.12.2

2.4

0.0

0.5

1.0

1.5

2.0

2.5

2009 2010 2011 2012 2013 2014 2015 2016 2017 2018

Perc

ent o

f All

Live

Birt

hs

Page 21: INFANT MORTALITY ALABAMA 2018alabamapublichealth.gov/healthstats/assets/IM_18.pdf9.4 7.0 0.0 2.0 4.0 6.0 8.0 10.0 12.0 14.0 2009 2010 2011 2012 2013 2014* 2015* 2016* 2017* 2018* Percent

PERCENT OF BIRTHS WITH MATERNAL SMOKINGALABAMA, 2009-2018

21ADPH|CHS

*Smoking question changed from “yes” or “no” during pregnancy to an indication for each trimester in 2014. For comparison, smoking in any trimester equaled smoking during pregnancy.

1

0

0.2

0.4

0.6

0.8

1

1.2

Perc

ent o

f All

Live

Birt

hs

11.1 11.210.6 10.7 10.8 10.7 10.4 10.1

9.68.7

0.0

2.0

4.0

6.0

8.0

10.0

12.0

2009 2010 2011 2012 2013 2014* 2015* 2016* 2017* 2018*

Perc

ent o

f All

Live

Birt

hs

Page 22: INFANT MORTALITY ALABAMA 2018alabamapublichealth.gov/healthstats/assets/IM_18.pdf9.4 7.0 0.0 2.0 4.0 6.0 8.0 10.0 12.0 14.0 2009 2010 2011 2012 2013 2014* 2015* 2016* 2017* 2018* Percent

9.4

7.0

0.0

2.0

4.0

6.0

8.0

10.0

12.0

14.0

2009 2010 2011 2012 2013 2014* 2015* 2016* 2017* 2018*

Perc

ent o

f All

Live

Birt

hs

PERCENT OF BIRTHS WITH MATERNAL SMOKING BY AGE OF MOTHER

ALABAMA, 2009-2018

22

TEENS (AGES 10-19)

ADULTS (AGES 20+)

*Smoking question changed from “yes” or “no” during pregnancy to an indication for each trimester in 2014. For comparison, smoking in any trimester equaled smoking during pregnancy.

ADPH|CHS

Page 23: INFANT MORTALITY ALABAMA 2018alabamapublichealth.gov/healthstats/assets/IM_18.pdf9.4 7.0 0.0 2.0 4.0 6.0 8.0 10.0 12.0 14.0 2009 2010 2011 2012 2013 2014* 2015* 2016* 2017* 2018* Percent

23

LEADING CAUSES OF INFANT DEATHSALABAMA, 2018

Top four leading causes of infant deaths• Congenital malformations, deformations and chromosomal

abnormalities (Q00-Q99)• Disorders related to short gestation and low birth weight, not

elsewhere classified (P07)• Sudden infant death syndrome (R95)• Bacterial sepsis of newborn (P36)

• Four leading causes accounted for 50% of infant deaths.

Top two leading causes of infant deaths were same for US in 2017 and accounted for 39.3% (in AL) and 37.3% (in US) of infant deaths.

ADPH|CHS

Page 24: INFANT MORTALITY ALABAMA 2018alabamapublichealth.gov/healthstats/assets/IM_18.pdf9.4 7.0 0.0 2.0 4.0 6.0 8.0 10.0 12.0 14.0 2009 2010 2011 2012 2013 2014* 2015* 2016* 2017* 2018* Percent

LEADING CAUSES OF INFANT DEATHSALABAMA, 2018

ADPH|CHS 24

Number of Infant Deaths Percent of Total Infant Deaths

Leading Causes of Infant Deaths White Black Other Total AL (2018)

AL (2017)

US1

(2017)

Congenital malformations, deformations, and abnormalities (Q00-Q99) 48 32 1 81 20.0 20.9 20.5

Disorders related to short gestation and LBW, not elsewhere classified (P07) 30 46 2 78 19.3 13.6 16.8

Bacterial sepsis of newborn (P36) 13 9 0 22 5.4 3.0 2.7

Sudden infant death syndrome (R95) 13 8 1 22 5.4 9.0 6.1

Unintentional injuries (V01-X59) 3 9 1 13 3.2 3.0 5.9

Diseases of the circulatory system (I00-I99) 8 4 1 13 3.2 2.1 2.0

Newborn affected by maternal complications of pregnancy (P01) 4 7 0 11 2.7 3.0 6.4

1 Most current national data is for year 2017.

Page 25: INFANT MORTALITY ALABAMA 2018alabamapublichealth.gov/healthstats/assets/IM_18.pdf9.4 7.0 0.0 2.0 4.0 6.0 8.0 10.0 12.0 14.0 2009 2010 2011 2012 2013 2014* 2015* 2016* 2017* 2018* Percent

ADPH|CHS 25

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TOTAL 537 9.1 435 7.4 405 7.0 TOTAL 1,377 7.8AUTAUGA 6 9.0 4 6.0 4 6.6 AUTAUGA 14 7.2BALDWIN 11 4.9 15 6.5 10 4.4 BALDWIN 36 5.2BARBOUR 3 10.8 1 3.6 3 11.6 BARBOUR 7 8.6BIBB 5 18.3 3 12.1 0 0.0 BIBB 8 10.4BLOUNT 6 8.4 9 13.6 6 8.9 BLOUNT 21 10.2BULLOCK 2 14.3 1 9.5 2 16.5 BULLOCK 5 13.7BUTLER 3 13.0 2 8.4 3 14.4 BUTLER 8 11.8CALHOUN 17 12.5 5 3.7 8 6.3 CALHOUN 30 7.6CHAMBERS 4 10.9 5 13.3 4 11.1 CHAMBERS 13 11.8CHEROKEE 1 4.2 2 9.3 5 21.5 CHEROKEE 8 11.7CHILTON 1 1.9 4 7.1 3 5.5 CHILTON 8 4.9CHOCTAW 3 21.0 0 0.0 4 28.0 CHOCTAW 7 16.8CLARKE 4 14.7 3 10.6 2 7.4 CLARKE 9 10.9CLAY 1 7.9 0 0.0 0 0.0 CLAY 1 2.3CLEBURNE 1 6.5 1 5.2 1 5.5 CLEBURNE 3 5.7COFFEE 3 4.5 4 6.3 0 0.0 COFFEE 7 3.7COLBERT 7 11.5 3 4.8 3 4.7 COLBERT 13 7.0CONECUH 0 0.0 0 0.0 2 15.3 CONECUH 2 5.2COOSA 1 12.2 2 19.8 2 23.5 COOSA 5 18.7COVINGTON 6 13.3 5 11.2 1 2.5 COVINGTON 12 9.3CRENSHAW 0 0.0 0 0.0 0 0.0 CRENSHAW 0 0.0CULLMAN 7 7.2 7 6.9 3 3.1 CULLMAN 17 5.7DALE 6 8.8 6 9.3 5 7.6 DALE 17 8.6DALLAS 5 10.1 3 6.1 0 0.0 DALLAS 8 5.6DEKALB 7 8.1 6 7.4 7 8.5 DEKALB 20 8.0ELMORE 10 11.1 3 3.2 8 8.6 ELMORE 21 7.6ESCAMBIA 5 10.8 5 11.6 3 6.9 ESCAMBIA 13 9.8ETOWAH 13 10.7 7 5.8 6 5.0 ETOWAH 26 7.2FAYETTE 1 6.3 1 5.5 0 0.0 FAYETTE 2 3.9FRANKLIN 2 4.6 1 2.2 2 4.6 FRANKLIN 5 3.8GENEVA 4 13.9 1 3.4 0 0.0 GENEVA 5 5.8GREENE 0 0.0 0 0.0 0 0.0 GREENE 0 0.0HALE 0 0.0 4 19.8 0 0.0 HALE 4 7.0HENRY 0 0.0 1 5.2 1 6.5 HENRY 2 3.8HOUSTON 14 10.5 18 13.9 14 10.2 HOUSTON 46 11.5JACKSON 6 10.2 2 3.4 2 3.5 JACKSON 10 5.7JEFFERSON 89 10.3 91 10.5 69 8.2 JEFFERSON 249 9.7LAMAR 1 7.5 2 13.6 0 0.0 LAMAR 3 6.6LAUDERDALE 7 7.7 3 3.5 5 5.4 LAUDERDALE 15 5.6LAWRENCE 3 7.8 3 7.9 3 8.8 LAWRENCE 9 8.2LEE 11 5.8 16 8.4 16 8.9 LEE 43 7.7LIMESTONE 6 5.9 5 5.0 4 4.0 LIMESTONE 15 5.0LOWNDES 0 0.0 0 0.0 2 16.4 LOWNDES 2 5.3MACON 2 10.8 1 5.5 1 5.6 MACON 4 7.3MADISON 35 8.3 20 4.7 28 6.6 MADISON 83 6.5MARENGO 1 4.1 3 12.7 0 0.0 MARENGO 4 5.9MARION 5 16.5 1 3.5 5 15.7 MARION 11 12.1MARSHALL 11 7.9 5 3.5 3 2.2 MARSHALL 19 4.5MOBILE 57 10.4 38 6.8 50 9.0 MOBILE 145 8.7MONROE 3 13.9 2 9.0 2 10.4 MONROE 7 11.1MONTGOMERY 35 11.2 19 6.0 29 9.2 MONTGOMERY 83 8.8MORGAN 8 5.4 6 4.2 4 2.8 MORGAN 18 4.2PERRY 3 25.6 0 0.0 1 11.0 PERRY 4 12.8PICKENS 7 30.3 2 9.5 0 0.0 PICKENS 9 13.6PIKE 2 5.4 1 2.9 2 5.5 PIKE 5 4.6RANDOLPH 0 0.0 3 10.8 1 4.0 RANDOLPH 4 5.2RUSSELL 8 10.0 11 13.4 4 5.1 RUSSELL 23 9.6ST CLAIR 11 10.4 9 8.7 2 2.1 ST CLAIR 22 7.2SHELBY 14 5.9 17 7.4 15 6.7 SHELBY 46 6.6SUMTER 1 7.5 0 0.0 2 14.3 SUMTER 3 7.4TALLADEGA 5 5.7 7 8.2 5 5.7 TALLADEGA 17 6.5TALLAPOOSA 5 10.8 2 5.1 4 10.2 TALLAPOOSA 11 8.8TUSCALOOSA 33 12.7 24 9.5 19 7.9 TUSCALOOSA 76 10.1WALKER 3 3.8 7 9.3 11 14.3 WALKER 21 9.0WASHINGTON 3 16.7 1 6.5 1 5.4 WASHINGTON 5 9.7WILCOX 0 0.0 0 0.0 1 7.7 WILCOX 1 2.4WINSTON 3 12.3 2 7.9 2 8.3 WINSTON 7 9.5

*Rate is per 1,000 live births.

2018RATE NUMBER RATE

2016-2018COUNTY COUNTYNUMBER RATE NUMBER RATE NUMBER2016 2017

ALABAMA, 2016, 2017, 2018, AND 2016-2018 COMBINED

TOTAL RESIDENT INFANT DEATHS AND INFANT MORTALITY RATES* BY COUNTY OF RESIDENCE

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TOTAL 255 6.5 213 5.5 196 5.1 TOTAL 664 5.7AUTAUGA 2 4.1 3 5.9 2 4.5 AUTAUGA 7 4.9BALDWIN 9 4.7 12 6.0 10 5.1 BALDWIN 31 5.3BARBOUR 1 8.4 0 0.0 0 0.0 BARBOUR 1 3.0BIBB 1 4.7 3 14.6 0 0.0 BIBB 4 6.4BLOUNT 5 7.1 9 13.8 6 9.1 BLOUNT 20 9.9BULLOCK 0 0.0 0 0.0 0 0.0 BULLOCK 0 0.0BUTLER 0 0.0 1 8.7 1 10.4 BUTLER 2 6.4CALHOUN 8 8.0 4 4.2 2 2.2 CALHOUN 14 4.9CHAMBERS 2 10.6 1 5.1 3 14.9 CHAMBERS 6 10.2CHEROKEE 0 0.0 2 9.7 5 23.1 CHEROKEE 7 10.9CHILTON 1 2.2 3 5.9 2 4.3 CHILTON 6 4.2CHOCTAW 1 15.2 0 0.0 1 11.4 CHOCTAW 2 8.8CLARKE 1 7.8 0 0.0 0 0.0 CLARKE 1 2.6CLAY 1 9.3 0 0.0 0 0.0 CLAY 1 2.8CLEBURNE 1 6.8 1 5.4 1 5.7 CLEBURNE 3 5.9COFFEE 1 2.0 3 6.3 0 0.0 COFFEE 4 2.9COLBERT 5 10.1 1 2.0 3 5.7 COLBERT 9 5.9CONECUH 0 0.0 0 0.0 0 0.0 CONECUH 0 0.0COOSA 1 16.9 2 30.3 2 33.9 COOSA 5 27.2COVINGTON 3 7.6 5 13.4 1 3.0 COVINGTON 9 8.2CRENSHAW 0 0.0 0 0.0 0 0.0 CRENSHAW 0 0.0CULLMAN 6 6.3 7 7.0 2 2.1 CULLMAN 15 5.2DALE 3 6.0 2 4.2 5 10.3 DALE 10 6.8DALLAS 1 10.1 0 0.0 0 0.0 DALLAS 1 3.6DEKALB 6 7.3 6 7.7 7 8.9 DEKALB 19 8.0ELMORE 6 9.0 2 2.7 4 5.6 ELMORE 12 5.7ESCAMBIA 3 10.8 2 7.5 0 0.0 ESCAMBIA 5 6.1ETOWAH 8 8.6 4 4.3 2 2.2 ETOWAH 14 5.0FAYETTE 0 0.0 0 0.0 0 0.0 FAYETTE 0 0.0FRANKLIN 1 2.4 1 2.3 2 4.9 FRANKLIN 4 3.1GENEVA 3 11.9 0 0.0 0 0.0 GENEVA 3 4.0GREENE 0 0.0 0 0.0 0 0.0 GREENE 0 0.0HALE 0 0.0 1 14.5 0 0.0 HALE 1 4.9HENRY 0 0.0 0 0.0 1 9.0 HENRY 1 2.6HOUSTON 3 3.6 5 6.3 8 9.5 HOUSTON 16 6.4JACKSON 6 11.1 2 3.7 2 3.8 JACKSON 10 6.2JEFFERSON 24 5.3 28 6.3 22 5.0 JEFFERSON 74 5.5LAMAR 1 8.4 2 15.5 0 0.0 LAMAR 3 7.5LAUDERDALE 6 7.7 3 4.1 3 3.8 LAUDERDALE 12 5.2LAWRENCE 3 8.8 2 5.8 3 9.9 LAWRENCE 8 8.1LEE 5 3.9 8 6.1 7 5.7 LEE 20 5.2LIMESTONE 4 4.5 3 3.5 3 3.4 LIMESTONE 10 3.8LOWNDES 0 0.0 0 0.0 1 34.5 LOWNDES 1 12.0MACON 0 0.0 0 0.0 0 0.0 MACON 0 0.0MADISON 25 9.0 10 3.5 17 6.1 MADISON 52 6.2MARENGO 0 0.0 0 0.0 0 0.0 MARENGO 0 0.0MARION 5 17.6 1 3.8 5 16.5 MARION 11 12.9MARSHALL 8 6.6 3 2.5 2 1.5 MARSHALL 13 3.5MOBILE 21 7.0 15 5.0 18 6.2 MOBILE 54 6.1MONROE 2 18.5 0 0.0 0 0.0 MONROE 2 6.3MONTGOMERY 6 5.8 3 3.2 7 7.4 MONTGOMERY 16 5.5MORGAN 3 2.5 3 2.6 2 1.7 MORGAN 8 2.3PERRY 0 0.0 0 0.0 0 0.0 PERRY 0 0.0PICKENS 6 46.2 0 0.0 0 0.0 PICKENS 6 17.7PIKE 2 10.3 1 5.2 1 5.4 PIKE 4 7.0RANDOLPH 0 0.0 2 9.3 0 0.0 RANDOLPH 2 3.2RUSSELL 3 7.2 4 10.0 0 0.0 RUSSELL 7 5.7ST CLAIR 10 10.4 8 8.5 2 2.3 ST CLAIR 20 7.2SHELBY 9 4.6 11 5.9 9 4.9 SHELBY 29 5.1SUMTER 0 0.0 0 0.0 0 0.0 SUMTER 0 0.0TALLADEGA 3 5.6 4 7.9 1 1.8 TALLADEGA 8 5.1TALLAPOOSA 3 10.4 1 3.9 0 0.0 TALLAPOOSA 4 5.0TUSCALOOSA 12 8.3 9 6.5 7 5.6 TUSCALOOSA 28 6.8WALKER 1 1.4 7 10.4 11 15.1 WALKER 19 9.0WASHINGTON 1 7.5 1 10.2 0 0.0 WASHINGTON 2 5.5WILCOX 0 0.0 0 0.0 1 45.5 WILCOX 1 11.6WINSTON 3 12.7 2 8.2 2 8.5 WINSTON 7 9.8

*Rate is per 1,000 live births.

2016NUMBER RATE NUMBER RATE NUMBER RATE COUNTY NUMBER RATE

2018 2016-2018COUNTY 2017

WHITE RESIDENT INFANT DEATHS AND INFANT MORTALITY RATES* BY COUNTY OF RESIDENCE

ALABAMA, 2016, 2017, 2018, AND 2016-2018 COMBINED

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TOTAL 282 14.2 222 11.0 209 10.7 TOTAL 713 12.0AUTAUGA 4 22.5 1 6.3 2 12.4 AUTAUGA 7 14.1BALDWIN 2 6.3 3 9.7 0 0.0 BALDWIN 5 5.2BARBOUR 2 12.5 1 6.2 3 19.4 BARBOUR 6 12.6BIBB 4 65.6 0 0.0 0 0.0 BIBB 4 27.2BLOUNT 1 100.0 0 0.0 0 0.0 BLOUNT 1 28.6BULLOCK 2 18.2 1 12.3 2 21.7 BULLOCK 5 17.7BUTLER 3 23.1 1 8.1 2 17.7 BUTLER 6 16.3CALHOUN 9 25.4 1 2.6 6 16.6 CALHOUN 16 14.5CHAMBERS 2 11.2 4 22.5 1 6.3 CHAMBERS 7 13.6CHEROKEE 1 66.7 0 0.0 0 0.0 CHEROKEE 1 25.0CHILTON 0 0.0 1 16.9 1 13.3 CHILTON 2 10.4CHOCTAW 2 26.0 0 0.0 3 54.5 CHOCTAW 5 26.2CLARKE 3 20.7 3 20.7 2 13.4 CLARKE 8 18.2CLAY 0 0.0 0 0.0 0 0.0 CLAY 0 0.0CLEBURNE 0 0.0 0 0.0 0 0.0 CLEBURNE 0 0.0COFFEE 2 11.8 1 6.0 0 0.0 COFFEE 3 6.2COLBERT 2 17.7 2 15.7 0 0.0 COLBERT 4 11.5CONECUH 0 0.0 0 0.0 2 34.5 CONECUH 2 10.8COOSA 0 0.0 0 0.0 0 0.0 COOSA 0 0.0COVINGTON 3 55.6 0 0.0 0 0.0 COVINGTON 3 15.4CRENSHAW 0 0.0 0 0.0 0 0.0 CRENSHAW 0 0.0CULLMAN 1 40.0 0 0.0 1 58.8 CULLMAN 2 31.3DALE 3 16.5 4 24.4 0 0.0 DALE 7 13.4DALLAS 4 10.1 3 7.5 0 0.0 DALLAS 7 6.1DEKALB 1 19.2 0 0.0 0 0.0 DEKALB 1 8.3ELMORE 4 17.4 1 4.5 4 18.4 ELMORE 9 13.5ESCAMBIA 2 10.9 3 18.3 3 18.8 ESCAMBIA 8 15.7ETOWAH 5 17.4 3 10.5 4 15.0 ETOWAH 12 14.3FAYETTE 1 32.3 1 55.6 0 0.0 FAYETTE 2 24.7FRANKLIN 1 71.4 0 0.0 0 0.0 FRANKLIN 1 18.9GENEVA 1 29.4 1 26.3 0 0.0 GENEVA 2 20.4GREENE 0 0.0 0 0.0 0 0.0 GREENE 0 0.0HALE 0 0.0 3 22.6 0 0.0 HALE 3 8.2HENRY 0 0.0 1 21.7 0 0.0 HENRY 1 7.2HOUSTON 11 22.5 13 26.1 6 11.4 HOUSTON 30 19.8JACKSON 0 0.0 0 0.0 0 0.0 JACKSON 0 0.0JEFFERSON 65 15.9 63 14.9 47 11.6 JEFFERSON 175 14.1LAMAR 0 0.0 0 0.0 0 0.0 LAMAR 0 0.0LAUDERDALE 1 7.9 0 0.0 2 15.4 LAUDERDALE 3 7.9LAWRENCE 0 0.0 1 27.0 0 0.0 LAWRENCE 1 8.5LEE 6 9.8 8 13.6 9 15.5 LEE 23 12.9LIMESTONE 2 15.3 2 13.2 1 7.4 LIMESTONE 5 12.0LOWNDES 0 0.0 0 0.0 1 10.8 LOWNDES 1 3.4MACON 2 13.2 1 7.0 1 7.0 MACON 4 9.2MADISON 10 6.9 10 7.0 11 7.5 MADISON 31 7.2MARENGO 1 7.6 3 21.4 0 0.0 MARENGO 4 10.3MARION 0 0.0 0 0.0 0 0.0 MARION 0 0.0MARSHALL 3 16.8 2 9.1 1 11.6 MARSHALL 6 12.4MOBILE 36 14.4 23 8.8 32 12.1 MOBILE 91 11.7MONROE 1 9.3 2 17.7 2 21.3 MONROE 5 15.9MONTGOMERY 29 13.8 16 7.2 22 10.0 MONTGOMERY 67 10.3MORGAN 5 17.7 3 11.5 2 7.6 MORGAN 10 12.4PERRY 3 33.7 0 0.0 1 15.4 PERRY 4 17.0PICKENS 1 9.9 2 17.2 0 0.0 PICKENS 3 9.3PIKE 0 0.0 0 0.0 1 5.7 PIKE 1 2.0RANDOLPH 0 0.0 1 16.4 1 21.7 RANDOLPH 2 13.3RUSSELL 5 13.1 7 16.8 4 10.9 RUSSELL 16 13.7ST CLAIR 1 10.3 1 10.2 0 0.0 ST CLAIR 2 6.8SHELBY 5 12.0 6 14.3 6 14.3 SHELBY 17 13.5SUMTER 1 9.7 0 0.0 2 18.5 SUMTER 3 9.6TALLADEGA 2 5.8 3 8.5 4 12.2 TALLADEGA 9 8.8TALLAPOOSA 2 11.6 1 7.2 4 30.8 TALLAPOOSA 7 15.8TUSCALOOSA 21 18.5 15 13.1 12 10.5 TUSCALOOSA 48 14.0WALKER 2 23.0 0 0.0 0 0.0 WALKER 2 9.3WASHINGTON 2 42.6 0 0.0 1 20.0 WASHINGTON 3 19.7WILCOX 0 0.0 0 0.0 0 0.0 WILCOX 0 0.0WINSTON 0 0.0 0 0.0 0 0.0 WINSTON 0 0.0

2016-20182016 2017

BLACK AND OTHER RESIDENT INFANT DEATHS AND INFANT MORTALITY RATES* BY COUNTY OF RESIDENCE

ALABAMA, 2016, 2017, 2018, AND 2016-2018 COMBINED

*Rate is per 1,000 live births.

COUNTY COUNTYNUMBER RATE NUMBER RATE NUMBER RATE NUMBER RATE2018