What the 2017 CLRD Record Shows

In 2017, CDC WONDER classified 160,201 deaths under ICD-10 code J40-J47 (CLRD) across 51 US states and territories, with age-adjusted rates ranging from 19.0 per 100,000 in Hawaii to 66.7 per 100,000 in Arkansas - a 47.7-point spread. The national average settled at 43.8 per 100,000 with a median of 44.2, and the 3.5x gap between extremes reflects how clrd mortality concentrates geographically rather than distributing evenly across the population.

The top-rate cluster, led by Arkansas, Oklahoma, Kentucky - typically shares a recognizable pattern: higher prevalence of upstream risk factors, limited preventive-care infrastructure in rural areas, and uneven specialist access. The bottom-rate cluster - Hawaii, District of Columbia, New Jersey - tends to combine broader insurance coverage, stronger primary-care networks, and earlier detection pathways. Because rates are age-adjusted to the year 2000 US standard population, the gap is not an artifact of older populations in higher-rate states, it reflects real differences in underlying exposure, healthcare delivery, and socioeconomic conditions that persist across the 19-year CDC WONDER record (1999–2017).

For researchers, public-health planners, and individual readers, the practical read of the 2017 CLRD record is comparative: states above the 43.8 national average face elevated mortality burden relative to the country overall, while those below it show better outcomes on this specific cause, though a single-cause ranking does not capture a state's total health picture. These figures describe population-level mortality rates from a specific ICD-10 classification and are not a substitute for medical advice; individual risk depends on personal health history, behaviors, and access to care. Consult a qualified healthcare professional about diagnosis, treatment, or prevention decisions. Data source: CDC National Center for Health Statistics, CDC WONDER Underlying Cause of Death (ICD-10 code J40-J47).