{"main_topic":"health","sub_topic":"oasis","topic":"deaths_by_cause_detailed","key":"health/oasis/deaths_by_cause_detailed","version":"1.0.0","year_min":2000,"year_max":2025,"year_gaps":[],"update_frequency":"annual","detail_levels":["counties","states"],"default_detail":"counties","path_template":"health/deaths_by_cause_detailed/year={year}/{detail}.parquet","grain":["year","county_fips","tract_geoid","demographic","cause"],"title":"Deaths by Cause (OASIS Detailed Causes, Nested)","summary":"Age-adjusted and crude death rates and deaths by OASIS detailed cause (15 cause groups and the causes within them), race and ethnicity, and sex, Georgia and its counties, 2000-2025 (DPH OASIS).","description":"Deaths of Georgia residents by underlying cause, OASIS detailed causes, nested: Georgia DPH OASIS's Detailed list of 15 cause groups (ICD-10 chapters such as cancers or major cardiovascular diseases) and the 68 specific causes listed within them, plus the all-causes total. Groups contain their causes, so causes never add up. Georgia and each of its 159 counties, 2000-2025, overall, by race and ethnicity and by sex: the age-adjusted death rate per 100,000 (key metric), the crude death rate per 100,000, the number of deaths and the population. Use it to look up one cause, such as lung cancer, stroke, falls, unintentional poisoning or substance use disorders. To rank leading causes use the NCHS rankable list (deaths_by_cause_nchs_rankable) or Georgia's rankable list (deaths_by_cause_georgia_rankable), whose categories do not overlap; all three count the same deaths, so never add across them.","explorer":true,"search_aliases":{"en":["cause of death","mortality by cause","death rates by cause","people dying","lung cancer deaths","heart disease deaths","stroke deaths","diabetes deaths","COVID-19 deaths","substance use deaths"],"es":["causa de muerte","causas de muerte","mortalidad por causa","defunciones por causa","muertes por cáncer","enfermedad del corazón","derrame cerebral","muertes por diabetes","muertes por COVID-19","enfermedades infecciosas"]},"source":"Georgia Department of Public Health, Office of Health Indicators for Planning (OHIP), OASIS Data Table Tool, Mortality (OASIS Detailed Causes); population: OASIS population module (Census Bureau estimates as OASIS publishes them)","source_url":"https://oasis.state.ga.us/dtt/mortality","endpoint":"/api/v1/health/deaths_by_cause_detailed","columns":[{"name":"year","type":"integer","role":"year","nullable":false,"label":"Year","short_description":"","description":"Calendar year of death, 2000-2025.","valid_values":null,"example":2024,"unit":null,"value_min":null,"value_max":null,"null_meaning":null,"key_metric_grain_contributor":false,"metric_component":null},{"name":"county_fips","type":"string","role":"fk_county","nullable":true,"label":"County FIPS","short_description":"","description":"5-digit FIPS of the decedent's county of residence (FK to the counties dimension); NULL on Georgia's statewide row.","valid_values":null,"example":"13067","unit":null,"value_min":null,"value_max":null,"null_meaning":null,"key_metric_grain_contributor":false,"metric_component":null},{"name":"tract_geoid","type":"string","role":"fk_tract","nullable":true,"label":"Tract GEOID","short_description":"","description":"Always NULL: state and county rows only.","valid_values":null,"example":null,"unit":null,"value_min":null,"value_max":null,"null_meaning":null,"key_metric_grain_contributor":false,"metric_component":null},{"name":"demographic","type":"string","role":"fk_demographic","nullable":false,"label":"Demographic","short_description":"","description":"The group: all; race groups hispanic (any race) and non-Hispanic white, black, asian, native_american (American Indian or Alaska Native), pacific_islander (Native Hawaiian or Other Pacific Islander) and multiracial, plus race_unknown (our calculation: all minus those seven; unknown ethnicity, or non-Hispanic of unknown race); gender male and female. The race groups add up to all (except in the county-years the race mask NULLs), and so do male and female.","valid_values":["all","asian","black","female","hispanic","male","multiracial","native_american","pacific_islander","race_unknown","white"],"example":"all","unit":null,"value_min":null,"value_max":null,"null_meaning":null,"key_metric_grain_contributor":true,"metric_component":null},{"name":"cause","type":"string","role":"categorical","nullable":false,"label":"Cause","short_description":"OASIS detailed cause of death (nested)","description":"Underlying cause of death in OASIS's Detailed list, nested: all (every death, OASIS's All Causes), then 15 groups, each containing the causes listed after it (68 in all). infectious_and_parasitic_diseases (A00-B99, and COVID-19 from 2020) contains septicemia (OASIS: Blood Poisoning), hiv_disease (OASIS: HIV/AIDS), tuberculosis (OASIS: TB), meningococcal_infection (OASIS: Meningitis, but its codes are A39 only; bacterial and other meningitis (G00-G03) is in other_nervous_system_diseases, and viral meningitis (A87) in infectious_and_parasitic_diseases with no listed cause), covid_19; cancers (malignant neoplasms, C00-C97) contains oral_cancer (lip, oral cavity and pharynx), esophageal_cancer (OASIS: Throat Cancer, C15), stomach_cancer, colorectal_cancer (OASIS: Colon Cancer; colon, rectum and anus), liver_cancer, pancreatic_cancer, lung_cancer (trachea, bronchus and lung), melanoma (OASIS: Skin Cancer, C43 only), breast_cancer, cervical_cancer, uterine_cancer (corpus uteri and uterus, part unspecified), ovarian_cancer, prostate_cancer, testicular_cancer, bladder_cancer, kidney_cancer (kidney and renal pelvis), brain_cancer (brain, meninges and central nervous system), hodgkin_lymphoma (OASIS: Lymph Cancer (Hodgkin's Disease), C81 only; no non-Hodgkin lymphoma), leukemia; anemias (OASIS: Blood Diseases (Anemias), D50-D64) contains sickle_cell_anemia (D57.0-D57.3, D57.8 and D58.2: sickle-cell disease and sickle-cell trait); endocrine_nutritional_and_metabolic_diseases contains diabetes, other_endocrine_nutritional_and_metabolic_diseases (OASIS: All other ...); mental_and_behavioral_disorders contains substance_use_disorders (OASIS: Disorders Related to Drug Use, F10-F19: mental and behavioral disorders due to alcohol and other drug use, not overdoses), other_mental_and_behavioral_disorders (OASIS: All other ..., including vascular and unspecified dementia); nervous_system_diseases contains alzheimers_disease, parkinsons_disease, other_nervous_system_diseases (OASIS: All other ...); major_cardiovascular_diseases (I00-I78) contains hypertension (OASIS: High Blood Pressure (Hypertension), I10, I12 and I1A.0), rheumatic_heart_disease (OASIS: Rheumatic Fever and Heart Diseases, I00-I09), hypertensive_heart_disease (I11), ischemic_heart_disease (OASIS: Obstructive Heart Disease (incl. Heart Attack), I20-I25, including heart attacks), stroke (I60-I69), atherosclerosis (OASIS: Hardening of the Arteries, I70), aortic_aneurysm_and_dissection, hypertensive_heart_and_chronic_kidney_disease (I13), other_arterial_diseases (OASIS: All other Other Diseases of Circulatory System, I72-I78); respiratory_diseases contains influenza (OASIS: Flu), pneumonia, bronchitis (J40-J42: chronic and unspecified bronchitis; acute bronchitis (J20-J21) is only in respiratory_diseases), emphysema, asthma, other_chronic_lower_respiratory_diseases (OASIS: All other Chronic Lower Respiratory Diseases, J44 and J47); digestive_diseases (OASIS: Digestive System Diseases, K00-K93) contains alcoholic_liver_disease, other_chronic_liver_disease_and_cirrhosis (OASIS: All other ..., K73-K74); genitourinary_diseases (OASIS: Reproductive and Urinary System Diseases, N00-N99) contains kidney_diseases, kidney_infections, other_genitourinary_diseases (OASIS: All other ...); musculoskeletal_diseases (OASIS: Bone and Muscle Diseases, M00-M99) (no causes listed in it); perinatal_conditions (OASIS: Fetal and Infant Conditions, P00-P96) contains prematurity_and_low_birth_weight (OASIS: Prematurity, P07), lack_of_oxygen_to_the_fetus, respiratory_distress_syndrome, perinatal_infections (OASIS: Birth-Related Infections, P35-P39); birth_defects (Q00-Q99) contains nervous_system_malformations (OASIS: Neural Tube Defects, but its codes are Q00-Q07: every congenital malformation of the nervous system (spina bifida, anencephaly and encephalocele, and also microcephaly, hydrocephalus and other brain and spinal cord malformations)); sids (sudden infant death syndrome, R95) (no causes listed in it); external_causes (injuries of every intent, V00-Y97, including undetermined intent and complications of medical care) contains motor_vehicle_crashes (OASIS: Motor Vehicle Crashes (MVC)), falls, accidental_shooting, drowning, fire_and_smoke_exposure, unintentional_poisoning (OASIS: Poisoning, X40-X49: unintentional poisoning, mostly drug overdoses), suffocation, other_unintentional_injuries (OASIS: All Other Unintentional Injury), suicide (intentional self-harm), homicide (assault), legal_intervention. A group's listed causes never overlap and never add to more than the group; they add up to it exactly only in endocrine_nutritional_and_metabolic_diseases, mental_and_behavioral_disorders, nervous_system_diseases, genitourinary_diseases. The groups never overlap and add to no more than all (some deaths are in none of them). Never sum across causes. ICD-10 codes of each: https://oasis.state.ga.us/dtt/content/DefMort.html.","valid_values":["all","infectious_and_parasitic_diseases","septicemia","hiv_disease","tuberculosis","meningococcal_infection","covid_19","cancers","oral_cancer","esophageal_cancer","stomach_cancer","colorectal_cancer","liver_cancer","pancreatic_cancer","lung_cancer","melanoma","breast_cancer","cervical_cancer","uterine_cancer","ovarian_cancer","prostate_cancer","testicular_cancer","bladder_cancer","kidney_cancer","brain_cancer","hodgkin_lymphoma","leukemia","anemias","sickle_cell_anemia","endocrine_nutritional_and_metabolic_diseases","diabetes","other_endocrine_nutritional_and_metabolic_diseases","mental_and_behavioral_disorders","substance_use_disorders","other_mental_and_behavioral_disorders","nervous_system_diseases","alzheimers_disease","parkinsons_disease","other_nervous_system_diseases","major_cardiovascular_diseases","hypertension","rheumatic_heart_disease","hypertensive_heart_disease","ischemic_heart_disease","stroke","atherosclerosis","aortic_aneurysm_and_dissection","hypertensive_heart_and_chronic_kidney_disease","other_arterial_diseases","respiratory_diseases","influenza","pneumonia","bronchitis","emphysema","asthma","other_chronic_lower_respiratory_diseases","digestive_diseases","alcoholic_liver_disease","other_chronic_liver_disease_and_cirrhosis","genitourinary_diseases","kidney_diseases","kidney_infections","other_genitourinary_diseases","musculoskeletal_diseases","perinatal_conditions","prematurity_and_low_birth_weight","lack_of_oxygen_to_the_fetus","respiratory_distress_syndrome","perinatal_infections","birth_defects","nervous_system_malformations","sids","external_causes","motor_vehicle_crashes","falls","accidental_shooting","drowning","fire_and_smoke_exposure","unintentional_poisoning","suffocation","other_unintentional_injuries","suicide","homicide","legal_intervention"],"example":"all","unit":null,"value_min":null,"value_max":null,"null_meaning":null,"key_metric_grain_contributor":true,"metric_component":null},{"name":"age_adjusted_death_rate_per_100k","type":"number","role":"metric","nullable":true,"label":"Age Adjusted Death Rate per 100k","short_description":"Deaths per 100,000 residents, adjusted for age","description":"OASIS's age-adjusted death rate per 100,000 residents of the place and group (weighted by the year 2000 U.S. standard million): the fair comparison across places, groups and years with different age mixes. Never add or average it across rows. 0 where the group had no deaths; NULL where it has no residents in the place (num_population 0). Georgia 2024, all causes: 762.2. The highest, 7,872.0 (all, multiracial, county 13267, 2008: 8 deaths), is preserved as published: a small group's rate on few deaths.","valid_values":null,"example":null,"unit":"rate_per_population","value_min":null,"value_max":null,"null_meaning":"No rate: the population OASIS divides by is zero in one of the place and group's age groups, so a crude rate can exist where this one does not (code -2, 5,364 rows); the count exceeds the population OASIS divides by in one of the place and group's age groups (code -3, 19 rows); OASIS withholds rates based on 1-4 events (shown as * on OASIS) (code -5, 569,535 rows); no residents in the group (population 0) and no deaths, where OASIS shows 0: a rate on no population is undefined (our mask, 50,291 rows) (row counts are totals over all years). race_unknown rows never have one (there is no population for unknown race or ethnicity). Never recompute a withheld rate from the counts. Also NULL on the race groups' rows (hispanic and the six non-Hispanic groups) of 52 county-years where race or ethnicity is unknown for more than 20% of the county-year's deaths (race_unknown / all on the topic's total): our mask, OASIS's own 20% threshold for missing items; the all, sex and race_unknown rows and the population are kept.","key_metric_grain_contributor":false,"metric_component":null},{"name":"death_rate_per_100k","type":"number","role":"metric","nullable":true,"label":"Death Rate per 100k","short_description":"","description":"OASIS's crude death rate: deaths per 100,000 residents of the place and group (num_deaths / num_population x 100,000). Combine places or groups as SUM(num_deaths) * 100000 / SUM(num_population), within one cause, over the rows with a num_deaths (race rows the race mask NULLs left out). 0 where the group had no deaths; NULL where it has no residents in the place (num_population 0). Georgia 2024, all causes: 864.7.","valid_values":null,"example":null,"unit":"rate_per_population","value_min":null,"value_max":null,"null_meaning":"No rate: the population OASIS divides by is zero (code -2, 25 rows); OASIS withholds rates based on 1-4 events (shown as * on OASIS) (code -5, 574,855 rows); no residents in the group (population 0) and no deaths, where OASIS shows 0: a rate on no population is undefined (our mask, 50,291 rows) (row counts are totals over all years). race_unknown rows never have one (there is no population for unknown race or ethnicity). Also NULL on the race groups' rows (hispanic and the six non-Hispanic groups) of 52 county-years where race or ethnicity is unknown for more than 20% of the county-year's deaths (race_unknown / all on the topic's total): our mask, OASIS's own 20% threshold for missing items; the all, sex and race_unknown rows and the population are kept.","key_metric_grain_contributor":false,"metric_component":null},{"name":"num_deaths","type":"integer","role":"metric","nullable":true,"label":"Number Deaths","short_description":"","description":"Deaths of residents of the place and group whose underlying cause is in the cause or group. OASIS publishes every count, however small; NULL only by the race mask. A group's count includes its listed causes, so never sum across causes. race_unknown is our subtraction from OASIS's counts. Georgia 2024, all causes: 96,886.","valid_values":null,"example":null,"unit":"count","value_min":null,"value_max":null,"null_meaning":"NULL on the race groups' rows (hispanic and the six non-Hispanic groups) of 52 county-years where race or ethnicity is unknown for more than 20% of the county-year's deaths (race_unknown / all on the topic's total): our mask, OASIS's own 20% threshold for missing items; the all, sex and race_unknown rows and the population are kept.","key_metric_grain_contributor":false,"metric_component":null},{"name":"num_population","type":"integer","role":"metric","nullable":true,"label":"Number Population","short_description":"","description":"OASIS's population of the place and group (all ages; OASIS's population module), the crude rate's denominator. The same on every cause row of a place and group, so never sum it across causes. 0 for a group with no residents in the place, whose rates are then NULL.","valid_values":null,"example":null,"unit":"count","value_min":null,"value_max":null,"null_meaning":"NULL only on race_unknown rows: OASIS has no population for unknown race or ethnicity.","key_metric_grain_contributor":false,"metric_component":null}],"key_metric":"age_adjusted_death_rate_per_100k","numeric_filter_columns":["age_adjusted_death_rate_per_100k","death_rate_per_100k","num_deaths","num_population"],"usage":"Look up one cause or group in a place and year, or follow it over time, with age_adjusted_death_rate_per_100k: it removes differences in age mix, and never adds or averages across rows. Causes nest, so never sum num_deaths or num_population across causes; for one cause, combine places or groups by adding the counts of the rows that have one: SUM(num_deaths) * 100000 / SUM(num_population) over rows where num_deaths is not NULL is their crude death rate (pooled_rates), which equals death_rate_per_100k wherever OASIS publishes that rate. Never compute it for a single row: where OASIS withholds a rate (1-4 deaths), that would rebuild what OASIS withholds. Race rows the race mask NULLs (county-years with over 20% of deaths of unknown race or ethnicity) are left out of both sums, so a race group pooled over counties in those years is not Georgia's: use Georgia's own row. Compare causes only within one level: the 15 groups with each other, or the causes listed in one group; for leading causes use deaths_by_cause_nchs_rankable or deaths_by_cause_georgia_rankable. Pin demographic = 'all' and cause = 'all' for totals. Those two topics count the same deaths: never add figures across them. Read directly with DuckDB over Parquet.","limitations":"Deaths by OASIS detailed cause (nested) and county of residence. Causes nest: each of the 15 groups contains the causes listed in it and all is every death, so never add causes together. The NCHS and Georgia rankable topics count the same deaths: never add across them. OASIS withholds rates on 1-4 deaths (NULL). race_unknown is our count, with no rate. Race groups are NULL in 52 county-years (2000-2006) with over 20% unknown race or ethnicity; small groups' series break before 2015, not trends. Age-adjusted rates are OASIS's: weighted averages of age-specific rates with the year 2000 U.S. standard million as weights, so places and groups with different age mixes compare fairly; they never add or average across rows. OASIS publishes every count, however small, and withholds rates based on 1-4 events (NULL here); the platform adds no small-cell suppression of its own and never recomputes a withheld rate. A group with no residents in a place (num_population 0) has no rate (NULL): OASIS shows 0 there, but a rate on no population is undefined and would rank as the lowest (our mask; the count stays 0 unless the race mask NULLs it). 60% of rows with at least one death have no age-adjusted rate, mostly 1-4 deaths in small counties, small groups and rare causes. Within a group the listed causes never overlap but need not add up to it: they do exactly only in endocrine_nutritional_and_metabolic_diseases, mental_and_behavioral_disorders, nervous_system_diseases, genitourinary_diseases; elsewhere the rest of the group is in no listed cause (heart failure in major_cardiovascular_diseases, undetermined-intent injuries and complications of medical care in external_causes). The 15 groups never overlap either, and some deaths are in none of them (ill-defined and unknown causes, skin diseases, pregnancy, diseases of veins, in situ and benign neoplasms): 1,706 to 5,034 of Georgia's deaths a year, 2000-2025. That number jumps for one year in 2008 (5,034), 2012 (4,646), 2015 (4,551), against about 2,500 to 3,300 in the years around them, probably deaths whose cause was still pending or unknown (our reading); the NCHS and Georgia rankable topics' all_other_causes jump with it. OASIS's labels are kept in the cause description, but some codes say what the label hides: meningococcal_infection is OASIS's Meningitis (A39 only); nervous_system_malformations is OASIS's Neural Tube Defects (Q00-Q07, every malformation of the nervous system, not only neural tube defects); substance_use_disorders (OASIS: Disorders Related to Drug Use) counts deaths from alcohol and drug use disorders, not overdoses, which are in unintentional_poisoning, suicide and homicide or, when the intent is undetermined, only in external_causes; covid_19 is 0 before 2020 and counted inside infectious_and_parasitic_diseases. Dementia deaths moved between causes in 2014-2016 (our reading: a change in how they were coded, not in how many people died): Georgia's alzheimers_disease nearly doubled, from 2,042 in 2013 to 4,017 in 2016, while other_mental_and_behavioral_disorders, mostly unspecified dementia, fell from 4,626 to 2,716, so their sum barely changed (6,668 and 6,733); their groups shift with them (mental_and_behavioral_disorders 4,925 to 3,062, nervous_system_diseases 3,888 to 6,694), so don't read these series across 2014-2016 as trends. From 2014 on, dementia deaths also moved into senile degeneration of the brain (G31.1, in other_nervous_system_diseases here, whose deaths rose from 1,215 in 2013 to 5,849 in 2025): 5 Georgia deaths in 2013, 3,947 in 2025 (dementia_deaths), while alzheimers_disease's age-adjusted death rate fell from 47.8 (2018) to 30.9 (2025) and unspecified dementia fell too; the three together held steady, so this is probably coding as well (our reading): don't read alzheimers_disease or other_nervous_system_diseases as a trend after 2013. Race groups follow the platform convention from OASIS's race x ethnicity cross: hispanic is Hispanic of any race; white, black, asian, native_american (American Indian or Alaska Native), pacific_islander (Native Hawaiian or Other Pacific Islander) and multiracial are non-Hispanic. race_unknown is our calculation, the total minus those seven (unknown ethnicity, or non-Hispanic of unknown race), so the race groups add up to all wherever the race mask (below) leaves them; it has no population and so no rate. Hispanic ethnicity is under-reported on death certificates, so hispanic counts and rates may be low. The smaller race groups' series break in ways that look like changes in how race was recorded, not in mortality (our reading): Georgia's multiracial deaths were 0-16 a year in 2000-2007, then 253 in 2008, 8 in 2009 and 325 in 2012; native_american's age-adjusted rate fell from 1,227.8 (2005) to 89.3 (2008); asian deaths went 404, 191, 417 in 2005-2007; and 1,027-1,960 deaths a year in 2000-2006 are race_unknown (mostly unknown ethnicity), against at most 371 since, so the non-Hispanic groups are undercounted then. Multiracial rates stay far below every other group's (Georgia 2024, all causes: 102.2 against 762.2 for all races), probably because death certificates record more than one race far less often than population estimates do (our reading): don't compare them with other groups, and don't read the small groups' changes before 2015 as trends. Where race or ethnicity is unknown for more than 20% of a place-year's deaths (race_unknown / all), the race groups' counts and rates for that place and year are NULL (our mask, OASIS's own 20% threshold for missing items): each group's count would miss its share of the unknowns, so its rate runs low and its trend follows the recording, not the group. The all, sex and race_unknown rows are kept, so the unknown share stays visible. It applies to 52 county-years (10 counties, 2000-2006, never Georgia), on every cause: in those years a race group's county deaths can add up to less than Georgia's race row, which counts every county. num_population is OASIS's own population (its population module) for the place, year and group, the denominator of every crude rate (num_deaths / num_population x 100,000 reproduces each published crude rate); the race groups' populations add to all, as do male and female. Deaths are placed by county of residence as OASIS geocodes it, so about 4% land in a different county than in the federal NCHS files. 2025, the newest year, was added to OASIS on 2026-07-29; OASIS marks no year provisional. Counties add up to Georgia, except a race group's deaths in a year the race mask NULLs some of its county rows. Not served: OASIS's SES-vulnerability rows (its SES 'rates' divide by the whole place's population), age and education breakdowns, and the significance-flag and percent measures. tract_geoid is always NULL.","null_semantics":{"suppressed_to_null":true,"zero_is_real":true},"available_years":[2000,2001,2002,2003,2004,2005,2006,2007,2008,2009,2010,2011,2012,2013,2014,2015,2016,2017,2018,2019,2020,2021,2022,2023,2024,2025],"schema_hash":"b00318e4832fe3b9674fbf349e53ca4f6c3218adc5441d39e6e1ca1dba1c739b","tags":["health","georgia department of public health, office of health indicators for planning","deaths_by_cause_detailed"],"granularity_description":"One row per year, county_fips, tract_geoid, demographic, cause (geography columns are NULL at higher aggregation levels).","example_queries":[{"description":"Latest year (2025), counties detail","query":"SELECT * FROM deaths_by_cause_detailed WHERE year = 2025 LIMIT 100"},{"description":"Filter by cause = all","query":"SELECT * FROM deaths_by_cause_detailed WHERE cause = 'all' AND year = 2025 LIMIT 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