US Injury Trends: Falls Among Older Adults Keep Rising

Looking down a steep spiral staircase
File photo: a spiral staircase. Photo: Drew Tarvin via Wikimedia Commons, CC BY 2.0.
Mixed: falls up, roads downUpdated 4 October 2026

Trend summary

  • Unintentional injuries were the third leading cause of death in the US in 2025, with 184,265 deaths (NCHS provisional).
  • Within that total the trends point in different directions: road deaths are falling, but fall deaths among older adults keep rising.
  • The age-adjusted fall death rate for people aged 65+ rose 21% from 2018 to 2024, from 64.7 to 78.4 per 100,000 (CDC).
  • More than 14 million older adults, about one in four, report a fall each year.
184,265unintentional injury deaths, 2025
+21%older-adult fall death rate, 2018–2024
78.4fall deaths per 100,000 aged 65+, 2024
1 in 4older adults fall each year

What the numbers show

The CDC calls falls the leading cause of injury death among adults aged 65 and over. A QuickStats note in MMWR on 24 September 2026 put the 2024 fall death rate at 74.8 per 100,000 for older men and 66.6 for older women, rising steeply with age and highest at 85+.

At the same time, the motor-vehicle part of the injury total is shrinking (see road trends). The net result is an injury burden that is shifting toward the home and toward old age.

What is driving it

An ageing population explains part of the rise but not all of it, because rates are rising, not just counts. Explanations under study include more people taking several medicines that can cause dizziness, more older people living alone, and changes in how falls are recorded on death certificates. Strength and balance training, a medicine review and simple home changes such as grab bars and better lighting have the strongest evidence for prevention.

Recent cases

  • 24 September 2026: CDC publishes 2024 fall death rates by sex and age for adults 65 and over.

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.

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

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Photo list

An ambulance and fire engine on a city street at dusk
File photo: emergency vehicles at Columbus Circle, New York. Photo: Anthony Delanoix via Wikimedia Commons, CC0.
An icy, snow-covered pavement at night
File photo: an icy pavement. Winter surfaces are a classic fall hazard. Photo: Diego Torres Silvestre via Wikimedia Commons, CC BY 2.0.

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.