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Last week, the media again tried to ratchet up the public’s fear over covid-19 by labeling it more deadly than the 1918 flu epidemic. “COVID-19 Is Now the Deadliest Disease in U.S. History,” reads one headline from an NBC TV affiliate. Considering the realities of cancer and heart disease, that headline is absurdly false. Perhaps the author meant “communicable disease.” A TIME headline was at least arguably factual, declaring, “COVID-19 Is Now the Deadliest Pandemic in American History.” But even the TIME headline is only arguably true if stripped of all context. If we...

Key findings Data from the National Vital Statistics System, Mortality From 2009 through 2019, the rate of overdose deaths involving both cocaine and opioids increased at a faster pace than the rate of overdose deaths with cocaine but no opioids. In 2019, 76% of overdose deaths involving cocaine also involved an opioid; the percentage varied by region, from 83% in the Northeast to 63% in the West. From 2009 through 2016, the rate of overdose deaths involving psychostimulants but no opioids was higher than the rate for deaths involving both drugs; from 2017 through 2019, the pattern reversed w...

Summary The COVID-19 pandemic caused approximately 375,000 deaths in the United States during 2020. What is added by this report? The age-adjusted death rate increased by 15.9% in 2020. Overall death rates were highest among non-Hispanic Black persons and non-Hispanic American Indian or Alaska Native persons. COVID-19 was the third leading cause of death, and the COVID-19 death rate was highest among Hispanics. What are the implications for public health practice? Provisional death estimates provide an early indication of shifts in mortality trends. Timely and actionable data can guide public...