Dementia is a broad term applied to a number of symptoms related to severe cognitive decline. These symptoms include impaired memory, reduced social abilities, and limited ability to think. According to the Mayo Clinic, over 55 million people worldwide suffer from dementia — and for as many as 70% of them, dementia is a byproduct of Alzheimer’s disease.
Alzheimer’s is a progressive, degenerative disease with no known cure. The disease causes damage to neurons that are essential for everyday tasks, such as thinking, walking, and talking. While some level of cognitive decline is a normal part of aging, the dramatic deterioration associated with Alzheimer’s is not. The latest estimates from the Mayo Clinic indicate that as many as 6.9 million Americans age 65 and up are currently living with Alzheimer’s disease.
Alzheimer’s is considered a fatal condition as many of its complications can ultimately result in death. Currently, Alzheimer’s is the seventh leading cause of death among adults in the United States. Common factors driving Alzheimer’s fatalities include pneumonia due to impaired swallowing, poor nutrition, dehydration, falls, and impacted bodily functions such as breathing and heart rate regulation.
According to the Centers for Disease Control and Prevention, more than 110,000 Americans with Alzheimer’s have died each year since 2015 — and over the last 10 years of available data, deaths associated with the disease have climbed by 22% nationwide.
Using data from the CDC, 24/7 Wall St. identified the states where Alzheimer’s deaths are surging. States are ranked by the relative change in the number of Alzheimer’s deaths reported in 2014 and 2023, the most recent 10-year period of available data. All supplemental state-level Alzheimer’s data is also from the CDC. Additional data on median age by state are one-year estimates from the U.S. Census Bureau’s American Community Survey. Only states in which the number of Alzheimer’s deaths increased by at least 10% between 2014 and 2023 were considered in this analysis.
Among the 37 states on this list, the annual number of deaths of Americans diagnosed with Alzheimer’s increased by anywhere from 13.2% to 116.2% between 2014 and 2023.
While the exact causes of Alzheimer’s disease are unknown, risk factors include genetics, heavy alcohol use, insufficient sleep, head injuries, and air pollution. The strongest established risk factor, however, is age. In many states on this list, the increase in Alzheimer’s deaths may be linked to aging populations. Between 2014 and 2023, the median age across the U.S. increased by about 1.5 years. In just over half of the states on this list, the median age climbed by at least as much as it did nationwide during the same period.
Despite the increase in Alzheimer’s-related deaths, many of the states on this list do not have particularly high Alzheimer’s mortality rates. Hawaii, for example, reported a 68% increase in Alzheimer’s deaths in the last 10 years — but with 21.7 deaths for every 100,000 people, the state still has the eighth lowest Alzheimer’s mortality rate in the country. However, nine of the 10 states with the highest Alzheimer’s death rates also appear on this list.
These are the states where Alzheimer’s deaths are surging.
Why It Matters
Alzheimer’s is a progressive disease impacting an estimated 6.9 million Americans. The disease is characterized by deterioration of the brain. While certain treatments can meaningfully slow its progression, a cure has not yet been discovered. As the U.S. population ages, more Americans are at elevated risk of developing Alzheimer’s, and in certain states, the Alzheimer’s death rate has surged in the last 10 years.
37. Pennsylvania
- 10-year change in number of Alzheimer’s disease deaths: +13.2% (+459)
- Alzheimer’s disease deaths by year: 3,945 in 2023, 3,486 in 2014
- Median age of state population by year: 41.1 years in 2023, 40.7 years in 2014
- Alzheimer’s disease mortality rate in 2023: 21.0 per 100,000 people (7th lowest of the 50 states)
- Alzheimer’s disease mortality rate in 2014: 18.3 per 100,000 people (7th lowest of the 50 states)
- Total Alzheimer’s disease deaths, 2014-2023: 40,719 (8th most of the 50 states)
36. New Jersey
- 10-year change in number of Alzheimer’s disease deaths: +13.4% (+262)
- Alzheimer’s disease deaths by year: 2,224 in 2023, 1,962 in 2014
- Median age of state population by year: 40.4 years in 2023, 39.4 years in 2014
- Alzheimer’s disease mortality rate in 2023: 18.5 per 100,000 people (5th lowest of the 50 states)
- Alzheimer’s disease mortality rate in 2014: 17.4 per 100,000 people (6th lowest of the 50 states)
- Total Alzheimer’s disease deaths, 2014-2023: 24,445 (17th most of the 50 states)
35. Vermont
- 10-year change in number of Alzheimer’s disease deaths: +15.0% (+40)
- Alzheimer’s disease deaths by year: 306 in 2023, 266 in 2014
- Median age of state population by year: 43.7 years in 2023, 42.8 years in 2014
- Alzheimer’s disease mortality rate in 2023: 33.2 per 100,000 people (16th highest of the 50 states)
- Alzheimer’s disease mortality rate in 2014: 31.9 per 100,000 people (11th highest of the 50 states)
- Total Alzheimer’s disease deaths, 2014-2023: 3,144 (4th fewest of the 50 states)
34. Louisiana
- 10-year change in number of Alzheimer’s disease deaths: +15.7% (+262)
- Alzheimer’s disease deaths by year: 1,932 in 2023, 1,670 in 2014
- Median age of state population by year: 38.7 years in 2023, 36.1 years in 2014
- Alzheimer’s disease mortality rate in 2023: 37.2 per 100,000 people (7th highest of the 50 states)
- Alzheimer’s disease mortality rate in 2014: 36.0 per 100,000 people (6th highest of the 50 states)
- Total Alzheimer’s disease deaths, 2014-2023: 20,999 (22nd most of the 50 states)
33. New York
- 10-year change in number of Alzheimer’s disease deaths: +16.9% (+446)
- Alzheimer’s disease deaths by year: 3,085 in 2023, 2,639 in 2014
- Median age of state population by year: 40.2 years in 2023, 38.2 years in 2014
- Alzheimer’s disease mortality rate in 2023: 11.3 per 100,000 people (the lowest of the 50 states)
- Alzheimer’s disease mortality rate in 2014: 10.7 per 100,000 people (the lowest of the 50 states)
- Total Alzheimer’s disease deaths, 2014-2023: 33,985 (11th most of the 50 states)
32. Illinois
- 10-year change in number of Alzheimer’s disease deaths: +18.0% (+588)
- Alzheimer’s disease deaths by year: 3,854 in 2023, 3,266 in 2014
- Median age of state population by year: 39.5 years in 2023, 37.5 years in 2014
- Alzheimer’s disease mortality rate in 2023: 24.6 per 100,000 people (15th lowest of the 50 states)
- Alzheimer’s disease mortality rate in 2014: 21.9 per 100,000 people (16th lowest of the 50 states)
- Total Alzheimer’s disease deaths, 2014-2023: 39,460 (9th most of the 50 states)
31. South Carolina
- 10-year change in number of Alzheimer’s disease deaths: +18.3% (+354)
- Alzheimer’s disease deaths by year: 2,292 in 2023, 1,938 in 2014
- Median age of state population by year: 40.5 years in 2023, 38.8 years in 2014
- Alzheimer’s disease mortality rate in 2023: 35.1 per 100,000 people (12th highest of the 50 states)
- Alzheimer’s disease mortality rate in 2014: 37.4 per 100,000 people (3rd highest of the 50 states)
- Total Alzheimer’s disease deaths, 2014-2023: 24,075 (19th most of the 50 states)
30. Rhode Island
- 10-year change in number of Alzheimer’s disease deaths: +18.9% (+76)
- Alzheimer’s disease deaths by year: 479 in 2023, 403 in 2014
- Median age of state population by year: 40.8 years in 2023, 39.8 years in 2014
- Alzheimer’s disease mortality rate in 2023: 31.1 per 100,000 people (24th highest of the 50 states)
- Alzheimer’s disease mortality rate in 2014: 25.9 per 100,000 people (24th lowest of the 50 states)
- Total Alzheimer’s disease deaths, 2014-2023: 4,539 (8th fewest of the 50 states)
29. Ohio
- 10-year change in number of Alzheimer’s disease deaths: +19.0% (+775)
- Alzheimer’s disease deaths by year: 4,858 in 2023, 4,083 in 2014
- Median age of state population by year: 39.9 years in 2023, 39.4 years in 2014
- Alzheimer’s disease mortality rate in 2023: 32.3 per 100,000 people (18th highest of the 50 states)
- Alzheimer’s disease mortality rate in 2014: 27.7 per 100,000 people (21st highest of the 50 states)
- Total Alzheimer’s disease deaths, 2014-2023: 50,212 (4th most of the 50 states)
28. Oklahoma
- 10-year change in number of Alzheimer’s disease deaths: +20.8% (+255)
- Alzheimer’s disease deaths by year: 1,482 in 2023, 1,227 in 2014
- Median age of state population by year: 37.1 years in 2023, 36.2 years in 2014
- Alzheimer’s disease mortality rate in 2023: 32.3 per 100,000 people (18th highest of the 50 states)
- Alzheimer’s disease mortality rate in 2014: 28.9 per 100,000 people (19th highest of the 50 states)
- Total Alzheimer’s disease deaths, 2014-2023: 16,073 (24th fewest of the 50 states)
27. Michigan
- 10-year change in number of Alzheimer’s disease deaths: +21.3% (+713)
- Alzheimer’s disease deaths by year: 4,062 in 2023, 3,349 in 2014
- Median age of state population by year: 40.5 years in 2023, 39.6 years in 2014
- Alzheimer’s disease mortality rate in 2023: 32.1 per 100,000 people (20th highest of the 50 states)
- Alzheimer’s disease mortality rate in 2014: 27.0 per 100,000 people (24th highest of the 50 states)
- Total Alzheimer’s disease deaths, 2014-2023: 42,062 (5th most of the 50 states)
26. Wyoming
- 10-year change in number of Alzheimer’s disease deaths: +22.2% (+36)
- Alzheimer’s disease deaths by year: 198 in 2023, 162 in 2014
- Median age of state population by year: 39.3 years in 2023, 36.6 years in 2014
- Alzheimer’s disease mortality rate in 2023: 28.0 per 100,000 people (23rd lowest of the 50 states)
- Alzheimer’s disease mortality rate in 2014: 26.6 per 100,000 people (25th lowest of the 50 states)
- Total Alzheimer’s disease deaths, 2014-2023: 2,051 (2nd fewest of the 50 states)
25. Missouri
- 10-year change in number of Alzheimer’s disease deaths: +22.6% (+464)
- Alzheimer’s disease deaths by year: 2,517 in 2023, 2,053 in 2014
- Median age of state population by year: 39.3 years in 2023, 38.5 years in 2014
- Alzheimer’s disease mortality rate in 2023: 31.8 per 100,000 people (22nd highest of the 50 states)
- Alzheimer’s disease mortality rate in 2014: 27.4 per 100,000 people (22nd highest of the 50 states)
- Total Alzheimer’s disease deaths, 2014-2023: 25,023 (15th most of the 50 states)
24. Alabama
- 10-year change in number of Alzheimer’s disease deaths: +24.1% (+455)
- Alzheimer’s disease deaths by year: 2,340 in 2023, 1,885 in 2014
- Median age of state population by year: 39.6 years in 2023, 38.6 years in 2014
- Alzheimer’s disease mortality rate in 2023: 37.4 per 100,000 people (6th highest of the 50 states)
- Alzheimer’s disease mortality rate in 2014: 35.3 per 100,000 people (7th highest of the 50 states)
- Total Alzheimer’s disease deaths, 2014-2023: 25,325 (14th most of the 50 states)
23. Maryland
- 10-year change in number of Alzheimer’s disease deaths: +24.2% (+226)
- Alzheimer’s disease deaths by year: 1,160 in 2023, 934 in 2014
- Median age of state population by year: 39.8 years in 2023, 38.3 years in 2014
- Alzheimer’s disease mortality rate in 2023: 15.4 per 100,000 people (2nd lowest of the 50 states)
- Alzheimer’s disease mortality rate in 2014: 14.5 per 100,000 people (2nd lowest of the 50 states)
- Total Alzheimer’s disease deaths, 2014-2023: 11,179 (20th fewest of the 50 states)
22. North Carolina
- 10-year change in number of Alzheimer’s disease deaths: +24.5% (+796)
- Alzheimer’s disease deaths by year: 4,042 in 2023, 3,246 in 2014
- Median age of state population by year: 39.4 years in 2023, 38.3 years in 2014
- Alzheimer’s disease mortality rate in 2023: 32.4 per 100,000 people (17th highest of the 50 states)
- Alzheimer’s disease mortality rate in 2014: 30.5 per 100,000 people (15th highest of the 50 states)
- Total Alzheimer’s disease deaths, 2014-2023: 41,781 (6th most of the 50 states)
21. Wisconsin
- 10-year change in number of Alzheimer’s disease deaths: +25.2% (+473)
- Alzheimer’s disease deaths by year: 2,349 in 2023, 1,876 in 2014
- Median age of state population by year: 40.5 years in 2023, 39.2 years in 2014
- Alzheimer’s disease mortality rate in 2023: 31.2 per 100,000 people (23rd highest of the 50 states)
- Alzheimer’s disease mortality rate in 2014: 25.0 per 100,000 people (22nd lowest of the 50 states)
- Total Alzheimer’s disease deaths, 2014-2023: 23,166 (20th most of the 50 states)
20. Maine
- 10-year change in number of Alzheimer’s disease deaths: +25.8% (+112)
- Alzheimer’s disease deaths by year: 546 in 2023, 434 in 2014
- Median age of state population by year: 44.9 years in 2023, 44.1 years in 2014
- Alzheimer’s disease mortality rate in 2023: 25.4 per 100,000 people (17th lowest of the 50 states)
- Alzheimer’s disease mortality rate in 2014: 22.7 per 100,000 people (18th lowest of the 50 states)
- Total Alzheimer’s disease deaths, 2014-2023: 5,495 (11th fewest of the 50 states)
19. New Hampshire
- 10-year change in number of Alzheimer’s disease deaths: +26.0% (+103)
- Alzheimer’s disease deaths by year: 499 in 2023, 396 in 2014
- Median age of state population by year: 43.4 years in 2023, 42.5 years in 2014
- Alzheimer’s disease mortality rate in 2023: 25.7 per 100,000 people (18th lowest of the 50 states)
- Alzheimer’s disease mortality rate in 2014: 24.0 per 100,000 people (20th lowest of the 50 states)
- Total Alzheimer’s disease deaths, 2014-2023: 4,566 (9th fewest of the 50 states)
18. Arkansas
- 10-year change in number of Alzheimer’s disease deaths: +26.7% (+319)
- Alzheimer’s disease deaths by year: 1,512 in 2023, 1,193 in 2014
- Median age of state population by year: 38.9 years in 2023, 37.8 years in 2014
- Alzheimer’s disease mortality rate in 2023: 39.5 per 100,000 people (3rd highest of the 50 states)
- Alzheimer’s disease mortality rate in 2014: 34.8 per 100,000 people (9th highest of the 50 states)
- Total Alzheimer’s disease deaths, 2014-2023: 14,955 (22nd fewest of the 50 states)
17. California
- 10-year change in number of Alzheimer’s disease deaths: +26.8% (+3,391)
- Alzheimer’s disease deaths by year: 16,035 in 2023, 12,644 in 2014
- Median age of state population by year: 38.2 years in 2023, 36.0 years in 2014
- Alzheimer’s disease mortality rate in 2023: 35.3 per 100,000 people (11th highest of the 50 states)
- Alzheimer’s disease mortality rate in 2014: 30.9 per 100,000 people (14th highest of the 50 states)
- Total Alzheimer’s disease deaths, 2014-2023: 162,087 (the most of the 50 states)
16. Virginia
- 10-year change in number of Alzheimer’s disease deaths: +28.9% (+513)
- Alzheimer’s disease deaths by year: 2,288 in 2023, 1,775 in 2014
- Median age of state population by year: 39.3 years in 2023, 37.7 years in 2014
- Alzheimer’s disease mortality rate in 2023: 22.5 per 100,000 people (10th lowest of the 50 states)
- Alzheimer’s disease mortality rate in 2014: 20.8 per 100,000 people (13th lowest of the 50 states)
- Total Alzheimer’s disease deaths, 2014-2023: 24,440 (18th most of the 50 states)
15. Montana
- 10-year change in number of Alzheimer’s disease deaths: +30.8% (+78)
- Alzheimer’s disease deaths by year: 331 in 2023, 253 in 2014
- Median age of state population by year: 40.6 years in 2023, 39.6 years in 2014
- Alzheimer’s disease mortality rate in 2023: 22.1 per 100,000 people (9th lowest of the 50 states)
- Alzheimer’s disease mortality rate in 2014: 19.2 per 100,000 people (12th lowest of the 50 states)
- Total Alzheimer’s disease deaths, 2014-2023: 3,121 (3rd fewest of the 50 states)
14. Nevada
- 10-year change in number of Alzheimer’s disease deaths: +31.5% (+191)
- Alzheimer’s disease deaths by year: 797 in 2023, 606 in 2014
- Median age of state population by year: 39.4 years in 2023, 37.4 years in 2014
- Alzheimer’s disease mortality rate in 2023: 23.1 per 100,000 people (13th lowest of the 50 states)
- Alzheimer’s disease mortality rate in 2014: 23.8 per 100,000 people (19th lowest of the 50 states)
- Total Alzheimer’s disease deaths, 2014-2023: 7,734 (16th fewest of the 50 states)
13. Colorado
- 10-year change in number of Alzheimer’s disease deaths: +34.1% (+465)
- Alzheimer’s disease deaths by year: 1,829 in 2023, 1,364 in 2014
- Median age of state population by year: 37.9 years in 2023, 36.3 years in 2014
- Alzheimer’s disease mortality rate in 2023: 30.6 per 100,000 people (25th highest of the 50 states)
- Alzheimer’s disease mortality rate in 2014: 27.4 per 100,000 people (22nd highest of the 50 states)
- Total Alzheimer’s disease deaths, 2014-2023: 17,841 (24th most of the 50 states)
12. Oregon
- 10-year change in number of Alzheimer’s disease deaths: +38.1% (+538)
- Alzheimer’s disease deaths by year: 1,949 in 2023, 1,411 in 2014
- Median age of state population by year: 40.7 years in 2023, 39.3 years in 2014
- Alzheimer’s disease mortality rate in 2023: 36.2 per 100,000 people (9th highest of the 50 states)
- Alzheimer’s disease mortality rate in 2014: 28.5 per 100,000 people (20th highest of the 50 states)
- Total Alzheimer’s disease deaths, 2014-2023: 18,593 (23rd most of the 50 states)
11. Nebraska
- 10-year change in number of Alzheimer’s disease deaths: +40.2% (+207)
- Alzheimer’s disease deaths by year: 722 in 2023, 515 in 2014
- Median age of state population by year: 37.4 years in 2023, 36.2 years in 2014
- Alzheimer’s disease mortality rate in 2023: 29.8 per 100,000 people (24th lowest of the 50 states)
- Alzheimer’s disease mortality rate in 2014: 21.9 per 100,000 people (16th lowest of the 50 states)
- Total Alzheimer’s disease deaths, 2014-2023: 6,859 (14th fewest of the 50 states)
10. New Mexico
- 10-year change in number of Alzheimer’s disease deaths: +43.0% (+190)
- Alzheimer’s disease deaths by year: 632 in 2023, 442 in 2014
- Median age of state population by year: 39.9 years in 2023, 37.2 years in 2014
- Alzheimer’s disease mortality rate in 2023: 22.8 per 100,000 people (12th lowest of the 50 states)
- Alzheimer’s disease mortality rate in 2014: 18.9 per 100,000 people (10th lowest of the 50 states)
- Total Alzheimer’s disease deaths, 2014-2023: 5,958 (12th fewest of the 50 states)
9. Minnesota
- 10-year change in number of Alzheimer’s disease deaths: +44.7% (+728)
- Alzheimer’s disease deaths by year: 2,356 in 2023, 1,628 in 2014
- Median age of state population by year: 39.1 years in 2023, 37.8 years in 2014
- Alzheimer’s disease mortality rate in 2023: 32.0 per 100,000 people (21st highest of the 50 states)
- Alzheimer’s disease mortality rate in 2014: 24.2 per 100,000 people (21st lowest of the 50 states)
- Total Alzheimer’s disease deaths, 2014-2023: 22,650 (21st most of the 50 states)
8. Texas
- 10-year change in number of Alzheimer’s disease deaths: +47.2% (+3,197)
- Alzheimer’s disease deaths by year: 9,969 in 2023, 6,772 in 2014
- Median age of state population by year: 35.9 years in 2023, 34.3 years in 2014
- Alzheimer’s disease mortality rate in 2023: 36.8 per 100,000 people (8th highest of the 50 states)
- Alzheimer’s disease mortality rate in 2014: 30.0 per 100,000 people (16th highest of the 50 states)
- Total Alzheimer’s disease deaths, 2014-2023: 96,970 (2nd most of the 50 states)
7. Mississippi
- 10-year change in number of Alzheimer’s disease deaths: +56.6% (+622)
- Alzheimer’s disease deaths by year: 1,720 in 2023, 1,098 in 2014
- Median age of state population by year: 39.3 years in 2023, 36.7 years in 2014
- Alzheimer’s disease mortality rate in 2023: 49.8 per 100,000 people (the highest of the 50 states)
- Alzheimer’s disease mortality rate in 2014: 35.2 per 100,000 people (8th highest of the 50 states)
- Total Alzheimer’s disease deaths, 2014-2023: 15,931 (23rd fewest of the 50 states)
6. Georgia
- 10-year change in number of Alzheimer’s disease deaths: +57.3% (+1,529)
- Alzheimer’s disease deaths by year: 4,199 in 2023, 2,670 in 2014
- Median age of state population by year: 37.9 years in 2023, 36.1 years in 2014
- Alzheimer’s disease mortality rate in 2023: 38.9 per 100,000 people (4th highest of the 50 states)
- Alzheimer’s disease mortality rate in 2014: 31.7 per 100,000 people (12th highest of the 50 states)
- Total Alzheimer’s disease deaths, 2014-2023: 41,007 (7th most of the 50 states)
5. Hawaii
- 10-year change in number of Alzheimer’s disease deaths: +68.1% (+222)
- Alzheimer’s disease deaths by year: 548 in 2023, 326 in 2014
- Median age of state population by year: 41.4 years in 2023, 38.1 years in 2014
- Alzheimer’s disease mortality rate in 2023: 21.7 per 100,000 people (8th lowest of the 50 states)
- Alzheimer’s disease mortality rate in 2014: 15.0 per 100,000 people (3rd lowest of the 50 states)
- Total Alzheimer’s disease deaths, 2014-2023: 4,866 (10th fewest of the 50 states)
4. Delaware
- 10-year change in number of Alzheimer’s disease deaths: +77.7% (+146)
- Alzheimer’s disease deaths by year: 334 in 2023, 188 in 2014
- Median age of state population by year: 42.0 years in 2023, 39.6 years in 2014
- Alzheimer’s disease mortality rate in 2023: 24.2 per 100,000 people (14th lowest of the 50 states)
- Alzheimer’s disease mortality rate in 2014: 16.6 per 100,000 people (4th lowest of the 50 states)
- Total Alzheimer’s disease deaths, 2014-2023: 3,533 (5th fewest of the 50 states)
3. Utah
- 10-year change in number of Alzheimer’s disease deaths: +80.1% (+468)
- Alzheimer’s disease deaths by year: 1,052 in 2023, 584 in 2014
- Median age of state population by year: 32.3 years in 2023, 30.5 years in 2014
- Alzheimer’s disease mortality rate in 2023: 40.3 per 100,000 people (2nd highest of the 50 states)
- Alzheimer’s disease mortality rate in 2014: 26.7 per 100,000 people (25th highest of the 50 states)
- Total Alzheimer’s disease deaths, 2014-2023: 9,612 (18th fewest of the 50 states)
2. Idaho
- 10-year change in number of Alzheimer’s disease deaths: +106.1% (+399)
- Alzheimer’s disease deaths by year: 775 in 2023, 376 in 2014
- Median age of state population by year: 37.8 years in 2023, 35.9 years in 2014
- Alzheimer’s disease mortality rate in 2023: 35.6 per 100,000 people (10th highest of the 50 states)
- Alzheimer’s disease mortality rate in 2014: 22.4 per 100,000 people (17th lowest of the 50 states)
- Total Alzheimer’s disease deaths, 2014-2023: 6,684 (13th fewest of the 50 states)
1. Alaska
- 10-year change in number of Alzheimer’s disease deaths: +116.2% (+79)
- Alzheimer’s disease deaths by year: 147 in 2023, 68 in 2014
- Median age of state population by year: 36.5 years in 2023, 33.3 years in 2014
- Alzheimer’s disease mortality rate in 2023: 27.1 per 100,000 people (20th lowest of the 50 states)
- Alzheimer’s disease mortality rate in 2014: 17.2 per 100,000 people (5th lowest of the 50 states)
- Total Alzheimer’s disease deaths, 2014-2023: 1,203 (the fewest of the 50 states)
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