Dear Danielle
Here are the Populations Estimates Program (PEP) US Census components of change (births, deaths, and migration) by county.
The csv file is currently blocked. You can read the pdf data dictionary.
https://www2.census.gov/programs-surveys/popest/datasets/2020-2024/counties/totals/co-est2024-alldata.csv
https://www2.census.gov/programs-surveys/popest/technical-documentation/file-layouts/2020-2024/CO-EST2024-ALLDATA.pdf
Dave
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David Dorer
Dorer Community Service Foundation
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Original Message:
Sent: 10-11-2025 04:06 PM
From: Danielle Walters
Subject: Age Adjusted Death Rates at the County level
Thank you so much for your response and assistance. This is very helpful to me and good to know. It seems clear that with some effort and appropriate access that county level analysis is possible.
Danielle Walters, MPH
At the intersection of health and community development.
A New Jersey Certified WBE and SBE"A leader is best when people barely know he exists, when his work is done, his aim fulfilled, they will say: we did it ourselves...." - Lao Tzu
Original Message:
Sent: 10/11/2025 2:12:00 PM
From: David Dorer
Subject: RE: Age Adjusted Death Rates at the County level
Dear Danielle,
I took a look and the NCHS mortality vital stats dataset that I referenced and it only goes to the state level. The SEER database has county level all cause mortality data. You need this to calculate relative survival. You need to sign a data use agreement to access the SEER data. I don't think that you can access the data for commercial use without special permission.
Dave Dorer
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David Dorer
Dorer Community Service Foundation
Original Message:
Sent: 10-10-2025 06:26 PM
From: Danielle Walters
Subject: Age Adjusted Death Rates at the County level
Hello all,
Within the last year, CDC Wonder stopped providing age-adjusted death rates at the county level. This is what is posted as the reason on CDC Wonder:
- Standard age-adjusted rates (calculated with standard populations) are only available for Ten-Year Age Groups.
- Age-adjusted rates are not available at the county level for analysis of mortality by Single Race, including analysis of Urbanization categories for counties, because the populations are weighted to the 10-year age groups, and county-level population estimates are not available for the "<1 year" and "1-4 years" age categories.
However, some states, particularly those more densely populated, have published multi-year (ex: 2020-2023) age-adjusted death rates for the leading causes of death, including stratified rates by race when the population is large enough. My questions are.
- Is it a resource/staffing issue that allows some states to make these calculations and not others?
- Are there other factors (ex: population density, local demographic data collection, use of other age proxys, etc.) that allow this to be possible in some places and not others?
- Does CDC Wonder's description of the Census changes imply that age-adjusting death rates will not be reliable below the state level analysis during this 10 year period?
Any and all insights are greatly appreciated.
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Danielle Walters
www.35thStreetConsulting.com
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