INFANT MORTALITY

ALABAMA 2021

ALABAMA DEPARTMENT OF PUBLIC HEALTH

CENTER FOR HEALTH STATISTICS
November 17, 2022
 INFANT MORTALITY RATES
ALABAMA, 2012-2021

10.0
8.9 9.1
9.0 8.6 8.7
8.3
Rate (Per 1,000 Live Births)

8.0 7.7 7.6

7.4
7.0 7.0
7.0

6.0

5.0

4.0

3.0

2.0

1.0

0.0
2012 2013 2014 2015 2016 2017 2018 2019 2020 2021

ADPH|CHS 2
 NUMBER OF INFANT DEATHS
ALABAMA, 2012-2021
600
Total White Black Other

500 537
519 517
500
Number of Infant Deaths

494
449 443
400 435
405 404
280 273
300 261 266 267
225
213 199 226
253 255 198
200 227 238
206 207 196 214 206
196

100

5 7 12 8 9 15 11 10 9 11
0
2012 2013 2014 2015 2016 2017 2018 2019 2020 2021

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 NUMBER OF BIRTHS
ALABAMA, 2012-2021
70,000

60,000 58,381 58,162 59,532 59,651 59,090 58,936 57,754 58,615 57,643 58,040
1,661 1,717 1,689 1,788 1,789 1,921
1,604 1,610 1,868 2,139
Number of Live Births

50,000 18,327 18,330

18,083 17,954 18,061 18,419 17,995 18,709 17,031
18,283

40,000

30,000

20,000 38,637 38,604 39,488 39,632 39,241 38,728 38,149 37,985 37,492 38,870

10,000

0
2012 2013 2014 2015 2016 2017 2018 2019 2020 2021

Other Black White

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 INFANT MORTALITY RATES
ALABAMA, 2012-2021
Total White Black Other
18.0

16.0 15.3 15.1

14.4 14.6
Rate (Per 1,000 Live Births)

14.0 12.6
12.0 12.1
12.0 11.2 11.0 10.9

10.0 8.9 8.7

9.1
8.6 8.3 8.4 7.7
6.8 7.6
8.0 6.9 7.0 7.0
6.5 6.5
7.4 5.6 5.8
6.0 5.2 7.0 5.2
6.0
5.5 5.1
4.0 5.0 5.2 4.8 5.1
4.7
4.4
2.0 3.0

0.0
2012 2013 2014 2015 2016 2017 2018 2019 2020 2021

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 THREE-YEAR INFANT MORTALITY RATES
ALABAMA, 1999-2001 to 2019-2021
12.0

10.0 9.5 9.3 9.5 9.5

Rate (Per 1,000 Live Births)

9.1 8.9 8.9 9.0 9.2

8.8 8.6 8.5 8.7 8.5 8.7
8.3 8.3
7.8
8.0 7.4 7.2 7.4

6.0

4.0

2.0

0.0

18-20
19-21
99-01
00-02
01-03
02-04
03-05
04-06
05-07
06-08
07-09
08-10
09-11
10-12
11-13
12-14
13-15
14-16
15-17
16-18
17-19
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 INFANT MORTALITY RATES
ALABAMA AND UNITED STATES1, 1970-2021
30.0
Rate (Per 1,000 Live Births)

25.0

20.0 ALABAMA

15.0

10.0
7.6
UNITED STATES 5.5
5.0

0.0
1970 1975 1980 1985 1990 1995 2000 2005 2010 2015 2021

1 2021 national data is provisional number for the 12-month period ending with 2021 Q4.

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INFANT MORTALITY BY COUNTY OF RESIDENCE
ALABAMA, 2021
Number Rate (Per 1,000 Live Births)

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 PERCENT OF BIRTHS AT 37 - 40 WEEKS GESTATION
ALABAMA, 2012-2021
50.0 37 weeks 38 weeks 39 weeks 40 weeks
43.7 43.6 42.9 43.1
45.0 42.7 42.6 41.8 42.3 41.8
40.7
40.0
Percent of All Live Births

35.0

30.0

25.0

20.0 18.5 16.6 16.0 17.5 17.9

15.9 16.4 16.7 17.2
16.2
15.0 13.5 12.5 12.9
16.1 16.4 15.6 15.8 15.2 15.1 14.8
10.0 11.9 12.3 12.1
10.4 10.6 11.3
9.5 9.2 9.4 9.6
5.0

0.0
2012 2013 2014 2015 2016 2017 2018 2019 2020 2021

ADPH|CHS 9
PERCENT OF BIRTHS LESS THAN 37 WEEKS GESTATION
ALABAMA, 2012-2021
14.0
12.9 13.1
12.5 12.5
11.9 11.8 11.7 11.7 12.0 12.0
12.0
Percent of All Live Births

10.0

8.0

6.0

4.0

2.0

0.0
2012 2013 2014 2015 2016 2017 2018 2019 2020 2021

ADPH|CHS 10
 PERCENT OF LOW WEIGHT BIRTHS*
ALABAMA, 2012-2021
12.0
10.7 10.8
10.4 10.3 10.3 10.5 10.5
10.1 10.0 10.1
10.0
Percent of All Live Births

8.0

6.0

4.0

2.0

0.0
2012 2013 2014 2015 2016 2017 2018 2019 2020 2021
*Low birth weight is weight at birth under 2,500 grams.

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 NUMBER OF PRETERM BIRTHS* BY BIRTH WEIGHT
ALABAMA, 2019 - 2021
2,500
2019 2020 2021
2,099 2,133 2,151
2,000
Number of Live Births

1,500

1,140
1,067 1,075
1,000

561 569
513
500 383 407 403

149 110 123

0
<500 500-999 1,000-1,499 1,500-1,999 2,000-2,499
Birth Weight (grams)
*Preterm birth is a live birth occurring before the 37th week of gestation.

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 NUMBER OF INFANT DEATHS WITH PRETERM BIRTHS
BY RACE OF INFANT AND BIRTH WEIGHT
ALABAMA, 2020 vs. 2021
2020 2021
90 White Black 90 White Black

80 80

70 70
Number of Infant Deaths

Number of Infant Deaths

60 56 60

50
50 50
41
40 37 40
35
29
30 30 27
21
20 17 20 17
15 15
13
10 11 11
9 9 9
10 10
5

0 0
<500 500-999 1,000-1,499 1,500-1,999 2,000-2,499 <500 500-999 1,000-1,499 1,500-1,999 2,000-2,499
Birth Weight (grams) Birth Weight (grams)
*Above graphs exclude racial groups other than White and Black.

ADPH|CHS 13
 NUMBER OF INFANT DEATHS
WITH PRETERM BIRTHS BY BIRTH WEIGHT
ALABAMA, 2019 - 2021
140 2019 2020 2021
120
120
Number of Infant Deaths

100 91

78
80
69 69
64
60

40 34
26 26 28
24 24
20 19
20 16

0
<500 500-999 1,000-1,499 1,500-1,999 2,000-2,499
Birth Weight (grams)

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 INFANT DEATHS AND BIRTHS
BY PAYMENT SOURCE AT BIRTH
ALABAMA RESIDENTS, 2021

Infant Deaths Births

Self Pay
Self Pay All Other All Other
2%
4% 3% 3%

Private Medicaid
37% Medicaid Private 48%
57% 47%

Due to rounding in some numbers, percentage totals may be slightly higher or lower than 100%.

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 PERCENT OF BIRTHS TO TEENAGERS (AGES 10-19)
ALABAMA, 2012-2021
12.0
10.7

10.0 9.3
Percent of All Live Births

8.5
8.0
8.0 7.7
7.3
6.9 6.8 6.7
6.4
6.0

4.0

2.0

0.0
2012 2013 2014 2015 2016 2017 2018 2019 2020 2021

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PERCENT OF BIRTHS TO TEENAGERS (AGES 10-19) BY RACE
ALABAMA, 2019 - 2021
10.0 2019 2020 2021

9.0 8.7
8.5
8.3

8.0
Percent of Live Births

6.9 6.8 6.8

7.0 6.4
6.7
6.4
5.9 5.8
6.0 5.4

5.0
4.0
3.0
2.0
1.0
0.0
White Black Other Total

ADPH|CHS 17
 NUMBER OF BIRTHS TO TEENAGERS (AGES 10-19)
ALABAMA, 2012-2021
8,000
Total White Black Other
7,000
6,236

6,000
Number of Teen Births

5,420
5,084
4,790
5,000 4,526
4,285
3,961 4,002
3,837
3,700
4,000 3,546
3,194 3,075
2,876
3,000 2,642 2,569
2,288 2,253 2,183 2,112
2,609
2,000
2,145
1,944 1,842 1,789
1,640 1,590 1,626 1,525
1,000 1,442
81 81 65 72 95 76 83 123 129 146

0
2012 2013 2014 2015 2016 2017 2018 2019 2020 2021

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 PERCENT OF BIRTHS WITH A BIRTH INTERVAL
LESS THAN 2 YEARS, ALABAMA, 2012-2021
30.0

25.2 25.4 25.2 25.6

24.8 24.9
25.0 23.9
22.5 23.0
22.3
Percent of All Live Births

20.0

15.0

10.0

5.0

0.0
2012 2013 2014 2015 2016 2017 2018 2019 2020 2021

ADPH|CHS 19
PERCENT OF BIRTHS WITH ADEQUATE PRENATAL CARE1
ALABAMA, 2012-2021
90.0

80.0 76.2 75.0 75.3 74.5 74.8

74.1 74.3 74.1 73.3 73.3
Percent of All Live Births

70.0

60.0

50.0

40.0

30.0

20.0

10.0

0.0
2012 2013 2014 2015 2016 2017 2018 2019 2020 2021
1Adequacy of care includes both adequate plus and adequate as measured by the Kotelchuck index. Percentage calculation excludes unknown
status.

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 PERCENT OF BIRTHS WITH NO PRENATAL CARE
ALABAMA, 2012-2021

3.0
2.5 2.6
Percent of All Live Births

2.5 2.2
2.4
2.2
2.1
1.9
2.0 1.8
1.6 1.5
1.5

1.0

0.5

0.0
2012 2013 2014 2015 2016 2017 2018 2019 2020 2021

ADPH|CHS 21
 PERCENT OF BIRTHS WITH MATERNAL SMOKING
ALABAMA, 2012-2021
12.0
10.7 10.8 10.7
10.4
10.1
10.0 9.6
Percent of All Live Births

8.7
8.0
8.0 7.5

6.1
6.0

4.0

2.0

0.0
2012 2013 2014* 2015* 2016* 2017* 2018* 2019* 2020* 2021*
*Smoking question changed from “yes” or “no” during pregnancy to an indication for each trimester in 2014. For comparison, smoking in
any trimester equaled smoking during pregnancy.

ADPH|CHS 22
 PERCENT OF BIRTHS WITH MATERNAL SMOKING
BY AGE OF MOTHER
ALABAMA, 2012-2021
12.0
ADULTS (AGES 20+)

10.0
Percent of All Live Births

8.0 TEENAGERS (AGES 10-19)

6.3

6.0

4.0
4.2

2.0

0.0
2012 2013 2014* 2015* 2016* 2017* 2018* 2019* 2020* 2021*

*Smoking question changed from “yes” or “no” during pregnancy to an indication for each trimester in 2014. For comparison, smoking in
any trimester equaled smoking during pregnancy.

ADPH|CHS 23
INFANT DEATHS WITH PRETERM BIRTHS* BY AGE AT DEATH
ALABAMA RESIDENTS, 2019-2021

Percent of Infant
Infant Deaths with
All Infant Deaths Deaths with Preterm
Preterm Births*
Births*
Year 2019 2020 2021 2019 2020 2021 2019 2020 2021

Under 1 hour 66 45 37 72 48 39 91.7 93.8 94.9

Under 1 day 68 71 74 76 77 84 89.5 92.2 88.1

1 - 6 days 23 33 39 32 47 54 71.9 70.2 72.2

7 - 27 days 46 32 37 63 52 55 73.0 61.5 67.3

28 - 364 days 87 57 84 206 180 211 42.2 31.7 39.8

Total 290 238 271 449 404 443 64.6 58.9 61.2
*Infant death with preterm birth refers to the death of an infant before his/her first birthday who was born at less than 37 weeks of gestation.

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 INFANT MORTALITY RATES BY INFANT AGE
ALABAMA vs. UNITED STATES
Alabama
Change was not significant from 2020-2021 for the following indicators:

• Infant Mortality1 (7.0 to 7.6)

• Neonatal Mortality2 (3.9 to 4.0)
• Postneonatal Mortality3 (3.1 to 3.6)

United States US data based on quarterly provisional estimates.

Change was not significant when comparing rates for the 12-month period ending with 2020 Q3 with rates
for the 12-month period ending with 2021 Q3 for the following indicators:

• Infant Mortality1 (5.46 to 5.45)

• Neonatal Mortality2 (3.60 to 3.52)
• Postneonatal Mortality3 (1.86 to 1.93)

https://www.cdc.gov./nchs/nvss/vsrr/infant-mortality-dashboard.htm
1 InfantMortality Rate is the number of deaths of infants in the first year of life per 1,000 live births.
2 NeonatalMortality Rate is the number of deaths of infants aged 0 to 27 days of life per 1,000 live births.
3 Postneonatal Mortality Rate is the number of deaths of infants aged 28 to 364 days of life per 1,000 live births.

ADPH|CHS 25
 LEADING CAUSES OF INFANT DEATHS
ALABAMA, 2021

▪ Three leading causes of infant deaths

• Congenital malformations, deformations and chromosomal
abnormalities (Q00-Q99)
• Disorders related to short gestation and low birth weight, not
elsewhere classified (P07)
• Sudden infant death syndrome (R95)
▪ Three leading causes of infant deaths accounted
for 39.1% of infant deaths.

ADPH|CHS 26
 LEADING CAUSES OF INFANT DEATHS
ALABAMA, 2021
Number of Infant Deaths Percent1
AL AL US2
Leading Causes of Infant Deaths White Black Other Total
(2021) (2020) (2020)
Congenital malformations, deformations, and abnormalities
45 23 1 69 15.6 15.8 20.6
(Q00-Q99)
Disorders related to short gestation and LBW, not elsewhere
28 36 1 65 14.7 17.1 16.0
classified (P07)
Sudden infant death syndrome (R95) 21 18 0 39 8.8 10.6 7.1
Newborn affected by maternal complications of pregnancy
11 6 0 17 3.8 3.0 5.7
(P01)
Diseases of the circulatory system (I00-I99) 9 7 0 16 3.6 2.7 2.0

Unintentional injuries (V01-X59) 8 7 1 16 3.6 6.4 6.1

Bacterial sepsis of newborn (P36) 6 6 0 12 2.7 4.7 2.8

1 Percent of total infant deaths
2 Most current national data is for year 2020.

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 TOTAL RESIDENT INFANT DEATHS AND INFANT MORTALITY RATES* BY COUNTY OF RESIDENCE
ALABAMA, 2019, 2020, 2021, AND 2019-2021 COMBINED
COUNTY OF 2019 2020 2021 COUNTY OF 2019-2021
RESIDENCE NUMBER RATE NUMBER RATE NUMBER RATE RESIDENCE NUMBER RATE
Total 449 7.7 404 7.0 443 7.6 Total 1,296 7.4
Autauga 3 4.5 3 4.2 7 10.1 Autauga 13 6.3
Baldwin 12 5.2 10 4.4 17 6.8 Baldwin 39 5.5
Barbour 3 10.8 3 10.8 2 7.3 Barbour 8 9.6
Bibb 5 20.3 0 0.0 3 13.0 Bibb 8 10.9
Blount 1 1.6 4 6.2 8 11.6 Blount 13 6.6
Bullock 0 0.0 1 8.8 3 28.3 Bullock 4 11.2
Butler 1 4.5 1 4.5 1 4.6 Butler 3 4.5
Calhoun 9 6.5 4 3.2 14 10.5 Calhoun 27 6.8
Chambers 2 5.3 4 10.5 4 10.1 Chambers 10 8.7
Cherokee 2 8.2 0 0.0 3 11.8 Cherokee 5 6.8
Chilton 3 5.1 0 0.0 3 5.6 Chilton 6 3.5
Choctaw 0 0.0 0 0.0 1 7.6 Choctaw 1 2.4
Clarke 0 0.0 5 17.3 1 3.6 Clarke 6 6.9
Clay 1 6.7 1 6.3 0 0.0 Clay 2 4.4
Cleburne 2 12.9 1 6.1 1 5.6 Cleburne 4 8.0
Coffee 3 4.5 3 4.2 4 6.1 Coffee 10 4.9
Colbert 3 4.8 9 14.0 5 7.7 Colbert 17 8.9
Conecuh 3 21.1 2 17.9 1 7.4 Conecuh 6 15.4
Coosa 2 26.3 1 11.6 0 0.0 Coosa 3 11.8
Covington 2 4.8 3 7.0 2 4.7 Covington 7 5.5
Crenshaw 0 0.0 1 6.4 1 6.5 Crenshaw 2 4.3
Cullman 5 5.2 5 5.2 5 4.9 Cullman 15 5.1
Dale 6 9.0 5 7.4 3 4.3 Dale 14 6.9
Dallas 3 6.5 2 4.3 4 9.1 Dallas 9 6.6
DeKalb 8 10.0 6 7.6 2 2.4 DeKalb 16 6.6
Elmore 11 11.6 5 5.6 7 7.4 Elmore 23 8.3
Escambia 3 6.7 4 9.1 4 9.4 Escambia 11 8.4
Etowah 7 5.7 7 6.0 7 6.2 Etowah 21 5.9
Fayette 2 10.2 3 17.8 1 5.3 Fayette 6 10.8
Franklin 2 4.7 0 0.0 1 2.3 Franklin 3 2.4
Geneva 4 14.8 2 6.9 1 3.5 Geneva 7 8.2
Greene 2 23.3 2 18.5 0 0.0 Greene 4 13.9
Hale 4 20.7 0 0.0 2 9.7 Hale 6 10.3
Henry 3 16.8 2 12.4 0 0.0 Henry 5 9.8
Houston 10 7.5 15 11.2 10 7.5 Houston 35 8.7
Jackson 5 9.2 1 1.9 3 5.3 Jackson 9 5.5
Jefferson 85 10.0 58 7.3 71 8.8 Jefferson 214 8.8
Lamar 1 8.2 1 6.2 2 12.7 Lamar 4 9.1
Lauderdale 5 5.2 4 4.5 6 6.4 Lauderdale 15 5.4
Lawrence 0 0.0 1 3.0 3 7.5 Lawrence 4 3.7
Lee 8 4.2 11 6.0 14 7.4 Lee 33 5.9
Limestone 7 7.1 4 3.5 5 4.2 Limestone 16 4.8
Lowndes 2 13.9 2 17.4 3 22.1 Lowndes 7 17.7
Macon 2 12.9 1 5.4 2 11.1 Macon 5 9.6
Madison 30 7.0 28 6.5 25 5.8 Madison 83 6.4
Marengo 5 21.8 0 0.0 3 13.1 Marengo 8 11.6
Marion 2 5.8 4 12.5 1 3.2 Marion 7 7.1
Marshall 8 5.6 10 6.8 10 6.7 Marshall 28 6.4
Mobile 37 6.9 43 8.1 46 9.0 Mobile 126 8.0
Monroe 2 8.5 3 14.8 2 8.3 Monroe 7 10.3
Montgomery 32 10.1 28 8.9 31 10.1 Montgomery 91 9.7
Morgan 9 6.3 12 8.2 13 9.3 Morgan 34 7.9
Perry 1 9.4 1 8.9 1 11.9 Perry 3 9.9
Pickens 2 10.7 2 11.2 1 5.7 Pickens 5 9.2
Pike 4 10.4 2 5.6 2 5.8 Pike 8 7.3
Randolph 4 16.4 2 7.8 0 0.0 Randolph 6 8.0
Russell 8 9.7 7 9.1 5 6.2 Russell 20 8.3
St Clair 5 4.9 6 6.1 5 4.9 St Clair 16 5.3
Shelby 9 4.1 10 4.5 10 4.4 Shelby 29 4.3
Sumter 1 7.5 1 7.5 1 7.6 Sumter 3 7.5
Talladega 7 8.1 12 12.9 10 11.6 Talladega 29 10.9
Tallapoosa 2 5.0 6 15.0 1 2.4 Tallapoosa 9 7.4
Tuscaloosa 29 11.0 20 7.8 28 11.5 Tuscaloosa 77 10.1
Walker 7 8.8 7 9.7 5 6.6 Walker 19 8.3
Washington 0 0.0 3 16.0 3 16.2 Washington 6 11.0
Wilcox 0 0.0 0 0.0 1 8.5 Wilcox 1 2.5
Winston 3 13.6 0 0.0 2 9.3 Winston 5 7.5
*Rate is per 1,000 live births.

ADPH|CHS 28
 WHITE RESIDENT INFANT DEATHS AND INFANT MORTALITY RATES* BY COUNTY OF RESIDENCE
ALABAMA, 2019, 2020, 2021, AND 2019-2021 COMBINED
COUNTY OF 2019 2020 2021 COUNTY OF 2019-2021
RESIDENCE NUMBER RATE NUMBER RATE NUMBER RATE RESIDENCE NUMBER RATE
Total 214 5.6 196 5.2 226 5.8 Total 636 5.6
Autauga 3 6.1 1 2.0 4 7.8 Autauga 8 5.3
Baldwin 9 4.5 8 4.0 11 5.1 Total 28 4.6
Barbour 1 8.6 1 9.7 0 0.0 Barbour 2 5.8
Bibb 4 20.5 0 0.0 1 5.6 Bibb 5 8.9
Blount 0 0.0 4 6.4 7 10.6 Blount 11 5.7
Bullock 0 0.0 1 31.3 0 0.0 Bullock 1 13.2
Butler 0 0.0 0 0.0 1 9.7 Butler 1 3.6
Calhoun 5 5.0 3 3.3 8 8.2 Calhoun 16 5.5
Chambers 2 9.9 2 8.4 4 16.1 Chambers 8 11.6
Cherokee 2 8.5 0 0.0 3 12.5 Cherokee 5 7.2
Chilton 2 3.8 0 0.0 3 6.4 Chilton 5 3.3
Choctaw 0 0.0 0 0.0 1 12.3 Choctaw 1 4.0
Clarke 0 0.0 2 14.4 1 7.9 Clarke 3 6.9
Clay 0 0.0 1 7.8 0 0.0 Clay 1 2.7
Cleburne 2 13.2 1 6.4 1 5.9 Cleburne 4 8.4
Coffee 3 6.1 2 3.7 3 6.1 Coffee 8 5.2
Colbert 3 6.2 2 3.9 3 5.6 Colbert 8 5.2
Conecuh 0 0.0 2 42.6 1 17.5 Conecuh 3 17.4
Coosa 1 17.2 0 0.0 0 0.0 Coosa 1 5.1
Covington 2 5.7 2 5.9 2 5.6 Covington 6 5.7
Crenshaw 0 0.0 0 0.0 1 8.8 Crenshaw 1 3.1
Cullman 5 5.3 5 5.3 4 4.0 Cullman 14 4.9
Dale 4 8.5 4 8.2 2 4.1 Dale 10 6.9
Dallas 1 10.0 0 0.0 0 0.0 Dallas 1 3.4
DeKalb 6 8.3 6 8.6 2 2.8 DeKalb 14 6.6
Elmore 6 9.0 2 3.0 4 5.6 Elmore 12 5.9
Escambia 1 3.4 2 7.8 3 10.9 Escambia 6 7.3
Etowah 5 5.4 6 6.9 3 3.4 Etowah 14 5.3
Fayette 2 11.2 2 14.0 1 6.2 Fayette 5 10.4
Franklin 2 5.3 0 0.0 1 2.6 Franklin 3 2.7
Geneva 4 17.1 2 7.9 0 0.0 Geneva 6 8.0
Greene 0 0.0 0 0.0 0 0.0 Greene 0 0.0
Hale 0 0.0 0 0.0 1 11.2 Hale 1 4.4
Henry 1 7.4 1 8.8 0 0.0 Henry 2 5.6
Houston 2 2.5 7 8.8 3 3.6 Houston 12 5.0
Jackson 5 10.2 0 0.0 3 5.7 Jackson 8 5.3
Jefferson 32 7.3 15 3.6 24 5.5 Jefferson 71 5.5
Lamar 0 0.0 1 6.7 2 14.2 Lamar 3 7.5
Lauderdale 3 3.7 4 5.4 4 5.0 Lauderdale 11 4.7
Lawrence 0 0.0 1 3.3 3 8.5 Lawrence 4 4.1
Lee 3 2.4 5 4.1 6 4.4 Lee 14 3.6
Limestone 5 5.8 3 3.1 5 4.9 Limestone 13 4.6
Lowndes 0 0.0 2 105.3 1 40.0 Lowndes 3 44.1
Macon 0 0.0 0 0.0 0 0.0 Macon 0 0.0
Madison 13 4.7 11 3.8 13 4.3 Madison 37 4.3
Marengo 1 9.1 0 0.0 1 9.6 Marengo 2 6.7
Marion 2 6.0 4 13.1 1 3.4 Marion 7 7.5
Marshall 7 6.0 9 7.9 10 8.9 Marshall 26 7.6
Mobile 12 4.4 19 7.0 25 8.9 Mobile 56 6.8
Monroe 0 0.0 0 0.0 1 9.2 Monroe 1 3.1
Montgomery 3 3.4 4 4.7 6 6.3 Montgomery 13 4.9
Morgan 5 4.2 9 7.6 5 4.3 Morgan 19 5.4
Perry 0 0.0 0 0.0 0 0.0 Perry 0 0.0
Pickens 2 21.3 1 12.8 1 9.5 Pickens 4 14.4
Pike 1 5.2 1 5.2 1 5.6 Pike 3 5.3
Randolph 4 21.1 1 4.8 0 0.0 Randolph 5 8.3
Russell 2 4.7 2 5.2 2 4.4 Russell 6 4.7
St Clair 3 3.3 4 4.6 4 4.4 St Clair 11 4.1
Shelby 8 4.4 6 3.3 5 2.7 Shelby 19 3.4
Sumter 0 0.0 0 0.0 0 0.0 Sumter 0 0.0
Talladega 4 7.3 4 7.4 5 9.3 Talladega 13 8.0
Tallapoosa 0 0.0 5 20.8 0 0.0 Tallapoosa 5 6.6
Tuscaloosa 12 8.6 7 5.0 11 8.5 Tuscaloosa 30 7.3
Walker 6 8.3 7 10.6 5 7.2 Walker 18 8.7
Washington 0 0.0 2 15.7 1 7.7 Washington 3 8.0
Wilcox 0 0.0 0 0.0 0 0.0 Wilcox 0 0.0
Winston 3 13.8 0 0.0 2 9.5 Winston 5 7.6
*Rate is per 1,000 live births.

ADPH|CHS 29
 BLACK AND OTHER RESIDENT INFANT DEATHS AND INFANT MORTALITY RATES* BY COUNTY OF RESIDENCE
ALABAMA, 2019, 2020, 2021, AND 2019-2021 COMBINED
COUNTY OF 2019 2020 2021 COUNTY OF 2019-2021
RESIDENCE NUMBER RATE NUMBER RATE NUMBER RATE RESIDENCE NUMBER RATE
Total 235 11.4 208 10.3 217 11.3 Total 660 11.0
Autauga 0 0.0 2 9.5 3 16.7 Autauga 5 8.8
Baldwin 3 8.7 2 6.4 6 16.7 Total 11 10.8
Barbour 2 12.4 2 11.4 2 13.5 Barbour 6 12.4
Bibb 1 19.6 0 0.0 2 37.7 Bibb 3 17.6
Blount 1 62.5 0 0.0 1 37.0 Blount 2 31.3
Bullock 0 0.0 0 0.0 3 35.3 Bullock 3 10.7
Butler 1 7.3 1 7.4 0 0.0 Butler 2 5.2
Calhoun 4 10.4 1 2.9 6 17.0 Calhoun 11 10.2
Chambers 0 0.0 2 14.0 0 0.0 Chambers 2 4.3
Cherokee 0 0.0 0 0.0 0 0.0 Cherokee 0 0.0
Chilton 1 16.9 0 0.0 0 0.0 Chilton 1 5.4
Choctaw 0 0.0 0 0.0 0 0.0 Choctaw 0 0.0
Clarke 0 0.0 3 20.0 0 0.0 Clarke 3 6.8
Clay 1 41.7 0 0.0 0 0.0 Clay 1 11.8
Cleburne 0 0.0 0 0.0 0 0.0 Cleburne 0 0.0
Coffee 0 0.0 1 6.0 1 6.1 Coffee 2 4.0
Colbert 0 0.0 7 55.6 2 18.5 Colbert 9 23.6
Conecuh 3 40.5 0 0.0 0 0.0 Conecuh 3 13.8
Coosa 1 55.6 1 50.0 0 0.0 Coosa 2 34.5
Covington 0 0.0 1 10.8 0 0.0 Covington 1 4.3
Crenshaw 0 0.0 1 21.3 0 0.0 Crenshaw 1 7.1
Cullman 0 0.0 0 0.0 1 45.5 Cullman 1 14.7
Dale 2 10.0 1 5.3 1 4.8 Dale 4 6.7
Dallas 2 5.5 2 5.5 4 11.5 Dallas 8 7.4
DeKalb 2 27.4 0 0.0 0 0.0 DeKalb 2 6.9
Elmore 5 18.1 3 13.5 3 12.6 Elmore 11 14.9
Escambia 2 12.8 2 11.0 1 6.6 Escambia 5 10.2
Etowah 2 6.4 1 3.3 4 15.3 Etowah 7 8.0
Fayette 0 0.0 1 38.5 0 0.0 Fayette 1 14.3
Franklin 0 0.0 0 0.0 0 0.0 Franklin 0 0.0
Geneva 0 0.0 0 0.0 1 34.5 Geneva 1 9.6
Greene 2 25.3 2 21.1 0 0.0 Greene 4 15.6
Hale 4 32.0 0 0.0 1 8.5 Hale 5 14.1
Henry 2 45.5 1 20.8 0 0.0 Henry 3 19.4
Houston 8 15.1 8 14.7 7 13.9 Houston 23 14.6
Jackson 0 0.0 1 33.3 0 0.0 Jackson 1 8.2
Jefferson 53 12.9 43 11.5 47 12.7 Jefferson 143 12.4
Lamar 1 83.3 0 0.0 0 0.0 Lamar 1 25.0
Lauderdale 2 13.5 0 0.0 2 14.8 Lauderdale 4 9.2
Lawrence 0 0.0 0 0.0 0 0.0 Lawrence 0 0.0
Lee 5 8.1 6 9.8 8 14.8 Lee 19 10.7
Limestone 2 17.4 1 5.7 0 0.0 Limestone 3 6.6
Lowndes 2 16.7 0 0.0 2 18.0 Lowndes 4 12.2
Macon 2 14.9 1 6.6 2 14.2 Macon 5 11.7
Madison 17 11.3 17 11.8 12 9.0 Madison 46 10.8
Marengo 4 33.6 0 0.0 2 16.0 Marengo 6 15.2
Marion 0 0.0 0 0.0 0 0.0 Marion 0 0.0
Marshall 1 4.0 1 3.0 0 0.0 Marshall 2 2.1
Mobile 25 9.5 24 9.3 21 9.2 Mobile 70 9.3
Monroe 2 16.8 3 29.7 1 7.6 Monroe 6 17.1
Montgomery 29 12.7 24 10.5 25 11.8 Montgomery 78 11.7
Morgan 4 15.9 3 10.8 8 34.0 Morgan 15 19.6
Perry 1 11.0 1 11.6 1 13.7 Perry 3 12.0
Pickens 0 0.0 1 10.0 0 0.0 Pickens 1 3.8
Pike 3 15.5 1 6.0 1 6.0 Pike 5 9.5
Randolph 0 0.0 1 20.0 0 0.0 Randolph 1 6.8
Russell 6 15.0 5 12.9 3 8.5 Russell 14 12.3
St Clair 2 16.3 2 17.4 1 8.2 St Clair 5 13.9
Shelby 1 2.5 4 10.3 5 11.5 Shelby 10 8.2
Sumter 1 9.3 1 9.9 1 9.8 Sumter 3 9.6
Talladega 3 9.5 8 20.5 5 15.3 Talladega 16 15.5
Tallapoosa 2 13.2 1 6.3 1 6.8 Tallapoosa 4 8.7
Tuscaloosa 17 13.8 13 11.0 17 14.8 Tuscaloosa 47 13.2
Walker 1 13.0 0 0.0 0 0.0 Walker 1 5.0
Washington 0 0.0 1 16.7 2 36.4 Washington 3 17.4
Wilcox 0 0.0 0 0.0 1 10.6 Wilcox 1 3.3
Winston 0 0.0 0 0.0 0 0.0 Winston 0 0.0
*Rate is per 1,000 live births.

ADPH|CHS 30