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John E. Sutherland, MD
Southern Illinois University School of Medicine Springfield

Victoria W. Persky, MD; Jacob A. Brody, MD
University of Illinois School of Public Health Chicago

JAMA. 1991;265(17):2190.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

In Reply.—

Dr Doege's letter appropriately focuses on the impact of injuries as an important portion of the total mortality in the United States. He also points out that for age-adjusted mortality rates it is the third leading cause of deaths with a rate of 35.5 per 100 000, ahead of cerebrovascular disease with a rate of 30.4 per 100 000. As Dr Doege states, the decline in age-adjusted injury rates has been impressive and reflects major advances in prevention of both motor vehicle and non-motor vehicle accidents. Trends in age-adjusted death rates control for changes in the age composition of the population.

The proportionate mortality rates published in our article have been calculated from the crude death rate. They are a more accurate reflection of the total burden of disease on society. In 1986, the total deaths of 2 105 361 included 159 643 deaths due to cerebrovascular disease . . . [Full Text PDF of this Article]

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