In the latest state comparison from the National Center for Health Statistics (NCHS), Alaska’s 2024 age-adjusted accidental-death rate was 91.4 deaths per 100,000 people, and West Virginia’s was 87.6. The figures are not enough to establish a complete ranking of the highest-rate states: the available CDC table excerpt shows these two values but not the full state list.
What the latest state figures show
The current NCHS comparison uses final 2024 mortality data and defines the measure as deaths from accidents, or unintentional injuries, per 100,000 population. Rates are age-adjusted. The table’s ranking convention, where a ranking is shown, is highest rate to lowest rate.
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| State | 2024 age-adjusted rate | Recorded deaths |
|---|---|---|
| Alaska | 91.4 per 100,000 | 675 |
| West Virginia | 87.6 per 100,000 | 1,681 |
These are the two state values exposed in the available NCHS table excerpt; they should not be presented as a verified top-two order or as a complete top-five list. The full state ranking is not established by those figures alone. NCHS Accident Mortality: Stats of the States
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What “accidental death rate” means
In this CDC comparison, “accidents” is a mortality category for unintentional injuries. It counts deaths, not all accidents, injuries, crashes, or other nonfatal events. The rate expresses deaths per 100,000 people and is adjusted for differences in population age distribution.
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Age adjustment makes state rates more comparable when populations have different age structures; it does not explain why rates differ. NCHS cautions that state comparisons do not account for other state-specific population characteristics that may affect death rates. A state’s rate is therefore a descriptive population measure, not an explanation of cause or an estimate of any one person’s risk. NCHS Accident Mortality: Stats of the States
Why rate and death count are different
Alaska’s 91.4 rate is higher than West Virginia’s 87.6, while Alaska recorded fewer deaths: 675 compared with West Virginia’s 1,681. The rate enables a population-standardized comparison; the count is the number of recorded deaths. A state with more residents can have more deaths even if its rate is lower, so neither figure can stand in for the other.
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How to read a state ranking carefully
- Check the year and measure. The figures here are from 2024 and refer to age-adjusted deaths per 100,000 from unintentional injuries.
- Do not infer a complete order from partial figures. The two displayed rates do not verify the positions of other states or a top-five sequence.
- Allow for uncertainty. CDC warns that rates and rankings may be unreliable when death counts are small. A close-looking rank should not be treated as a meaningful difference without considering uncertainty.
- Do not infer a cause or policy effect. The overall rate alone cannot show what explains a state’s result or establish that a particular policy or behavior caused it.
CDC WONDER mortality records can be analyzed by state, year, underlying cause, injury intent, mechanism, and demographic characteristics, with death counts, crude and age-adjusted rates, confidence intervals, and standard errors. To investigate a particular type of injury, use a consistent year, geography, and rate definition rather than substituting a narrower measure—such as motor-vehicle deaths or overdoses—for the overall unintentional-injury category. CDC WONDER Data Summary Descriptions
National context
Unintentional injuries remained among the three leading causes of death nationally in 2024, according to NCHS. That national context does not explain the differences between individual states. NCHS, Mortality in the United States, 2024
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