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. 2021 Oct 22;137(6):1118–1125. doi: 10.1177/00333549211047235

Table 1.

Age-adjusted natural disaster and extreme weather mortality rates by race and ethnicity, United States, 1999-2018 a

Disaster type (ICD-10 code) b No. of deaths c Age-adjusted mortality rate per 100 000 population (95% CI)c Age-adjusted mortality rate ratio
Non-Hispanic White
 All hazard types 18 466 0.38 (0.38-0.39) Reference
 Exposure to excessive natural heat (X30) 4890 0.10 (0.09-0.10)
 Exposure to excessive natural cold (X31) 9641 0.19 (0.19-0.20)
 Exposure to sunlight (X32) 14 Unreliable
 Victim of lightning (X33) 546 0
 Victim of earthquake (X34) <10 Suppressed
 Victim of volcanic eruption (X35) <10 Suppressed
 Victim of avalanche, landslide, and other earth movements (X36) 599 0
 Victim of cataclysmic storm (X37) 2046 0.04 (0.04-0.04)
 Victim of flood (X38) 350 0
 Exposure to other and unspecified forces of nature (X39) 371 0
Non-Hispanic Black
 All hazard types 4714 0.71 (0.69-0.73) 1.87
 Exposure to excessive natural heat (X30) 1574 0.24 (0.22-0.25)
 Exposure to excessive natural cold (X31) 2348 0.37 (0.36-0.39)
 Exposure to sunlight (X32) <10 Suppressed
 Victim of lightning (X33) 49 0
 Victim of earthquake (X34) <10 Suppressed
 Victim of volcanic eruption (X35) <10 Suppressed
 Victim of avalanche, landslide, and other earth movements (X36) <10 Suppressed
 Victim of cataclysmic storm (X37) 632 0.07 (0.06-0.07)
 Victim of flood (X38) 47 0
 Exposure to other and unspecified forces of nature (X39) 55 0.01 (0-0.01)
Hispanic
 All hazard types 2226 0.30 (0.29-0.31) 0.79
 Exposure to excessive natural heat (X30) 1115 0.15 (0.14-0.16)
 Exposure to excessive natural cold (X31) 682 0.11 (0.10-0.12)
 Exposure to sunlight (X32) <10 Suppressed
 Victim of lightning (X33) 134 0
 Victim of earthquake (X34) <10 Suppressed
 Victim of volcanic eruption (X35) <10 Suppressed
 Victim of avalanche, landslide, and other earth movements (X36) 19 Unreliable
 Victim of cataclysmic storm (X37) 124 0.01 (0-0.01)
 Victim of flood (X38) 63 0
 Exposure to other and unspecified forces of nature (X39) 86 0
Non-Hispanic Asian
 All hazard types 309 0.11 (0.10-0.12) 0.29
 Exposure to excessive natural heat (X30) 127 0.03 (0.03-0.04)
 Exposure to excessive natural cold (X31) 125 0.04 (0.03-0.04)
 Exposure to sunlight (X32) <10 Suppressed
 Victim of lightning (X33) <10 Suppressed
 Victim of earthquake (X34) <10 Suppressed
 Victim of volcanic eruption (X35) <10 Suppressed
 Victim of avalanche, landslide, and other earth movements (X36) <10 Suppressed
 Victim of cataclysmic storm (X37) 23 0
 Victim of flood (X38) 12 Unreliable
 Exposure to other and unspecified forces of nature (X39) 10 Unreliable
Non-Hispanic American Indian/Alaska Native
 All hazard types 1252 2.79 (2.62-2.95) 7.34
 Exposure to excessive natural heat (X30) 178 0.41 (0.35-0.48)
 Exposure to excessive natural cold (X31) 987 2.20 (2.06-2.35)
 Exposure to sunlight (X32) <10 Suppressed
 Victim of lightning (X33) 17 Unreliable
 Victim of earthquake (X34) <10 Suppressed
 Victim of volcanic eruption (X35) <10 Suppressed
 Victim of avalanche, landslide, and other earth movements (X36) <10 Suppressed
 Victim of cataclysmic storm (X37) 17 Unreliable
 Victim of flood (X38) 11 Unreliable
 Exposure to other and unspecified forces of nature (X39) 36 0.09 (0.06-0.12)
Totald 27 335 0.40 (0.40-0.41)

Abbreviation: ICD-10, International Classification of Diseases, Tenth Revision.

aData source: Centers for Disease Control and Prevention. 43

bData source: World Health Organization. 44

cMortality counts and rates are suppressed if based on <10 deaths. Mortality rates are statistically unreliable if based on <20 deaths.

dTotal death count due to natural disasters and extreme weather includes 368 people with unspecified race and/or ethnicity.