US Chronic Disease Trends: Death Rates at a Record Low

A clinician measuring blood pressure with a cuff and stethoscope
A blood pressure check. High blood pressure is a leading driver of heart disease and stroke. Photo: Jesse K. Alwin, U.S. Marine Corps via Wikimedia Commons, public domain.
Death rate fallingUpdated 4 October 2026

Trend summary

  • The common long-term diseases still do most of the killing in the US, but death rates from them are falling.
  • Provisional data show 3,094,593 deaths in 2025 and an age-adjusted death rate of 689.2 per 100,000, down 4.6% and a record low (NCHS).
  • Heart disease (694,708 deaths) and cancer (622,832) remain the top two causes by a wide margin.
  • Three in four American adults live with at least one chronic condition, and more than half have two or more (CDC).
689.2deaths per 100,000, 2025 (age-adjusted)
−4.6%change from 2024
694,708heart disease deaths, 2025
622,832cancer deaths, 2025

What the numbers show

The NCHS provisional report published in July 2026 found that death rates fell for every age group and for both men and women in 2025. Heart disease and cancer stayed first and second; unintentional injuries were third (184,265 deaths).

Behind the deaths is a much larger burden of illness. The CDC says three in four adults have at least one chronic condition, rising to more than 90% of those aged 65 and over, and that chronic diseases are leading drivers of the nation’s $5.3 trillion annual health spending.

What is driving it

The long fall in heart disease deaths reflects better control of blood pressure and cholesterol, less smoking and faster treatment of heart attacks. The pressure in the other direction comes from obesity and diabetes, and from an ageing population. CDC lists four behaviours behind most preventable chronic disease: smoking, poor diet, physical inactivity and excessive drinking.

Recent cases

  • July 2026: NCHS reports the lowest US death rate on record, while influenza and pneumonia move up to eighth place.

Press releases and official reports, 2023–2026

Five key releases a year for the last four years, newest first. Most are from federal agencies; a few news reports are included where they are the clearest public record of an event. Releases from 2007–2022 are in the expandable list after 2023.

2026

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View 20 years of major chronic disease press releases (2007–2026)80 more from 2007–2022, five a year, newest first

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Photo list

Cardiologists performing a catheter procedure in a cardiac lab
File photo: a cardiac catheterisation procedure, Naval Medical Center San Diego, 2020. Photo: Navy Medicine via Wikimedia Commons, public domain.
A market stall piled with fresh vegetables
File photo: fresh vegetables. Diet is one of four behaviours CDC links to most preventable chronic disease. Photo: Pixel.la via Wikimedia Commons, CC0.

How this page is built. Figures come from the official statistical releases linked above; where agencies publish preliminary numbers we say so, because they are revised. Photos are public-domain or Creative Commons images credited in each caption; file photos are illustrative and are not from the events described unless the caption says so. This page tracks trends and is not personal safety, medical, legal or financial advice.