INFANT MORTALITY

ALABAMA 2018

ALABAMA DEPARTMENT OF PUBLIC HEALTH

CENTER FOR HEALTH STATISTICS
December 11, 2019
 INFANT MORTALITY RATES
ALABAMA, 2009-2018
10.0
8.9 9.1
9.0 8.7 8.6 8.7
8.2 8.1 8.3
8.0 7.4
Rate (Per 1,000 Live Births)

7.0
7.0

6.0

5.0

4.0

3.0

2.0

1.0

0.0
2009 2010 2011 2012 2013 2014 2015 2016 2017 2018

ADPH|CHS 2
 NUMBER OF INFANT DEATHS
ALABAMA, 2009-2018
600 Total White Black Other
537
513 522 519 517
500 494
481
500
Number of Infant Deaths

435
405
400

280 273
300 265 261 266 267
254
242
213 198
251 249 253 255
238
200 234 227
206 207 196

100

8 8 7 12 8 9 15 11
5 5
0
2009 2010 2011 2012 2013 2014 2015 2016 2017 2018

ADPH|CHS 3
 NUMBER OF BIRTHS
ALABAMA, 2009-2018
70,000
62,476
59,979 59,322 58,381 58,162 59,532 59,651 59,090 58,936
60,000
1,629 57,754
1,568 1,583 1,717 1,689 1,788 1,789
1,661 1,604 1,610
Number of Live Births

18,884
50,000 18,218 17,969 18,327 18,330 18,061
18,083 17,954 18,419 17,995

40,000

30,000

20,000 41,963 40,193 39,770 39,632

38,637 38,604 39,488 39,241 38,728 38,149

10,000

0
2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
Other Black White

ADPH|CHS 4
 INFANT MORTALITY RATES
ALABAMA, 2009-2018
Total White Black Other
18.0

16.0 15.3 15.1

14.4 14.6
13.7
Rate (Per 1,000 Live Births)

14.0 13.3 13.0

12.6

12.0 11.2 11.0

10.0 9.1 8.4

8.7 8.9 8.6 8.7
8.2 8.1 8.3
7.0
8.0 6.9 7.0
6.6 6.5 6.5
6.1 6.1
7.4
6.0 5.2 6.8
6.0
5.1 5.0 5.5
4.0 4.9 4.7 5.1
4.4

2.0 3.2 3.0

0.0
2009 2010 2011 2012 2013 2014 2015 2016 2017 2018

ADPH|CHS 5
 THREE-YEAR INFANT MORTALITY RATES
ALABAMA, 1996-1998 to 2016-2018
12.0

10.1
9.8 9.8
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

6.0

4.0

2.0

0.0
96-98
97-99
98-00
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
ADPH|CHS 6
 INFANT MORTALITY RATES
ALABAMA AND UNITED STATES1, 1970-2018
30.0

25.0
Rate (Per 1,000 Live Births)

20.0 ALABAMA

15.0

10.0
7.0
UNITED STATES
5.0
5.7

0.0
1970 1975 1980 1985 1990 1995 2000 2005 2010 2015 2018

1 2018 national data is provisional estimate.

ADPH|CHS 7
INFANT MORTALITY BY COUNTY OF RESIDENCE
ALABAMA, 2018
Number Rate (Per 1,000 Live Births)

ADPH|CHS 8
 PERCENT OF BIRTHS AT 37 - 40 WEEKS GESTATION
ALABAMA, 2009-2018
50.0
37 weeks 38 weeks 39 weeks 40 weeks
43.7 43.6
45.0 42.7 42.9 42.6 41.8
40.7
38.6
40.0
Percent of All Live Births

36.0
35.1
35.0

30.0

25.0 23.2
21.6 19.9

20.0 18.5 16.6 16.0 15.9 16.7

16.2 16.4

15.0 16.8 16.1 16.4

15.9 16.0 15.6 15.8 15.2 14.8
15.1
10.0 11.3
10.0 10.4 10.6
9.8 9.4 9.5 9.2 9.4 9.6
5.0

0.0
2009 2010 2011 2012 2013 2014 2015 2016 2017 2018

ADPH|CHS 9
PERCENT OF BIRTHS LESS THAN 37 WEEKS GESTATION
ALABAMA, 2009-2018
14.0
12.5 12.5 12.5
11.9 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
2009 2010 2011 2012 2013 2014 2015 2016 2017 2018

ADPH|CHS 10
 PERCENT OF LOW WEIGHT BIRTHS*
ALABAMA, 2009-2018
12.0
10.7
10.4 10.3 10.4 10.3 10.3
10.0 10.1 10.0 10.1
10.0
Percent of All Live Births

8.0

6.0

4.0

2.0

0.0
2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
*Low birth weight is weight at birth under 2,500 grams.

ADPH|CHS 11
 NUMBER OF PRETERM BIRTHS* BY BIRTH WEIGHT
ALABAMA, 2016 - 2018
2,500
2016 2017 2018
2,111
2,026 2,046
2,000
Number of Live Births

1,500

1,073 1,075 1,107

1,000

517 561 543

481
500 426 395

162 123 129

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.

ADPH|CHS 12
 NUMBER OF INFANT DEATHS WITH PRETERM BIRTHS
BY RACE OF INFANT AND BIRTH WEIGHT
ALABAMA, 2017 vs. 2018
2017 2018
90
White Black 90 White Black

80 80

69
70 70

Number of Infant Deaths

Number of Infant Deaths

61
60 60

50 50
43 42
40 40
35
31 30
30 28 30
22
20 16 20
14
10 10 10 12 12 12
9 9 10
10 10

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, 2016 - 2018
140 140 128
128 140 128
120 120 120 111111
111
Infant Deaths
Deaths

104104
102 102 102 104
100 100 100

80 80 80
of Infant

70 70
70 64
6464
60
60 60
Number of

40 32
26
34
40 40 25 25 25
Number

223232 20 22 3434
20 25 25 2525
22
22 20
25
25 22
22
26
26
20
20 20
0
0 <500 500-999 1,000-1,499 1,500-1,999 2,000-2,499
0
<500
<500 500-999
500-999 1,000-1,499
1,000-1,499 1,500-1,999
1,500-1,999 2,000-2,499
2,000-2,499
2016 2016 2017
2017 2018 2018

Birth Weight (grams)

ADPH|CHS 14
 PERCENT OF BIRTHS TO TEENAGERS (AGES 10-19)
ALABAMA, 2009-2018
16.0

14.0 13.4
12.4
Percent of All Live Births

12.0 11.3
10.7

10.0 9.3
8.5
8.0
8.0 7.7
7.3
6.9

6.0

4.0

2.0

0.0
2009 2010 2011 2012 2013 2014 2015 2016 2017 2018

ADPH|CHS 15
PERCENT OF BIRTHS TO TEENAGERS BY RACE (AGES 10-19)
ALABAMA, 2016 - 2018

12.0 2016 2017 2018

9.9
10.0
Percent of All Live Births

8.9 8.8

8.0 7.7
7.3
6.7 6.6 6.9
6.0
6.0 5.3 5.2
4.2
4.0

2.0

0.0
White Black Other Total

ADPH|CHS 16
 NUMBER OF BIRTHS TO TEENAGERS (AGES 10-19)
ALABAMA, 2009-2018
9,000 8,365
Total White Black Other
8,000 7,446

7,000 6,697
6,236
Number of Teen Births

6,000 5,420
5,084
4,769 4,790
5,000 4,526
4,196 4,285
3,961
3,799
4,000 3,546
3,194 3,075
2,876
3,000 3,471 2,642 2,569
3,139 2,288
2,812
2,609
2,000
2,145
1,944 1,842 1,789
1,640 1,590
1,000
125 111 86 81 81 65 72 95 76 83

0
2009 2010 2011 2012 2013 2014 2015 2016 2017 2018

ADPH|CHS 17
 PERCENT OF BIRTHS WITH A BIRTH INTERVAL
LESS THAN 2 YEARS, ALABAMA, 2009-2018
30.0

25.2 24.8 24.9 25.2

25.0 24.1 23.9
23.0 22.5 23.0
22.3
Percent of All Live Births

20.0

15.0

10.0

5.0

0.0
2009 2010 2011 2012 2013 2014 2015 2016 2017 2018

ADPH|CHS 18
PERCENT OF BIRTHS WITH ADEQUATE PRENATAL CARE1
ALABAMA, 2009-2018
90.0

80.0 76.2 75.0 75.3 74.5

72.8 73.0 74.1 74.3 74.1
71.6
70.0
Percent of All Live Births

60.0

50.0

40.0

30.0

20.0

10.0

0.0
2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
1Adequacy of care includes both adequate plus and adequate as measured by the Kotelchuck index. Percentage calculation excludes
unknown status.

ADPH|CHS 19
 PERCENT OF BIRTHS WITH NO PRENATAL CARE
ALABAMA, 2009-2018

2.5 2.4
2.2
2.1
2.0 1.9 1.9
2.0
Percent of All Live Births

1.8 1.8
1.6
1.5
1.5

1.0

0.5

0.0
2009 2010 2011 2012 2013 2014 2015 2016 2017 2018

ADPH|CHS 20
 PERCENT OF BIRTHS WITH MATERNAL SMOKING
ALABAMA, 2009-2018
12.0
1.2 11.2
11.1
10.6 10.7 10.8 10.7
10.4
10.1
1 9.6
10.0 1
Births

8.7
LiveBirths

8.0
0.8
PercentofofAllAllLive

6.0
0.6

4.0
0.4
Percent

2.0
0.2

0.0 0
2009 2010 2011 2012 2013 2014* 2015* 2016* 2017* 2018*
*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 21
 PERCENT OF BIRTHS WITH MATERNAL SMOKING
BY AGE OF MOTHER
ALABAMA, 2009-2018
14.0
TEENS (AGES 10-19)
12.0
9.4
Percent of All Live Births

10.0
ADULTS (AGES 20+)
8.0

6.0
7.0

4.0

2.0

0.0
2009 2010 2011 2012 2013 2014* 2015* 2016* 2017* 2018*
*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
 LEADING CAUSES OF INFANT DEATHS
ALABAMA, 2018

 Top four 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)
• Bacterial sepsis of newborn (P36)
• Four leading causes accounted for 50% of infant
deaths.
 Top two leading causes of infant deaths were
same for US in 2017 and accounted for 39.3% (in
AL) and 37.3% (in US) of infant deaths.
ADPH|CHS 23
 LEADING CAUSES OF INFANT DEATHS
ALABAMA, 2018
Percent of Total Infant
Number of Infant Deaths
Deaths
AL AL US1
Leading Causes of Infant Deaths White Black Other Total
(2018) (2017) (2017)
Congenital malformations, deformations, and abnormalities
48 32 1 81 20.0 20.9 20.5
(Q00-Q99)
Disorders related to short gestation and LBW, not elsewhere
30 46 2 78 19.3 13.6 16.8
classified (P07)
Bacterial sepsis of newborn (P36) 13 9 0 22 5.4 3.0 2.7

Sudden infant death syndrome (R95) 13 8 1 22 5.4 9.0 6.1

Unintentional injuries (V01-X59) 3 9 1 13 3.2 3.0 5.9

Diseases of the circulatory system (I00-I99) 8 4 1 13 3.2 2.1 2.0

Newborn affected by maternal complications of pregnancy
4 7 0 11 2.7 3.0 6.4
(P01)
1 Most current national data is for year 2017.

ADPH|CHS 24
ADPH|CHS 25
 TOTAL RESIDENT INFANT DEATHS AND INFANT MORTALITY RATES* BY COUNTY OF RESIDENCE
ALABAMA, 2016, 2017, 2018, AND 2016-2018 COMBINED
2016 2017 2018 2016-2018
COUNTY NUMBER RATE NUMBER RATE NUMBER RATE
COUNTY NUMBER RATE
TOTAL 537 9.1 435 7.4 405 7.0 TOTAL 1,377 7.8
AUTAUGA 6 9.0 4 6.0 4 6.6 AUTAUGA 14 7.2
BALDWIN 11 4.9 15 6.5 10 4.4 BALDWIN 36 5.2
BARBOUR 3 10.8 1 3.6 3 11.6 BARBOUR 7 8.6
BIBB 5 18.3 3 12.1 0 0.0 BIBB 8 10.4
BLOUNT 6 8.4 9 13.6 6 8.9 BLOUNT 21 10.2
BULLOCK 2 14.3 1 9.5 2 16.5 BULLOCK 5 13.7
BUTLER 3 13.0 2 8.4 3 14.4 BUTLER 8 11.8
CALHOUN 17 12.5 5 3.7 8 6.3 CALHOUN 30 7.6
CHAMBERS 4 10.9 5 13.3 4 11.1 CHAMBERS 13 11.8
CHEROKEE 1 4.2 2 9.3 5 21.5 CHEROKEE 8 11.7
CHILTON 1 1.9 4 7.1 3 5.5 CHILTON 8 4.9
CHOCTAW 3 21.0 0 0.0 4 28.0 CHOCTAW 7 16.8
CLARKE 4 14.7 3 10.6 2 7.4 CLARKE 9 10.9
CLAY 1 7.9 0 0.0 0 0.0 CLAY 1 2.3
CLEBURNE 1 6.5 1 5.2 1 5.5 CLEBURNE 3 5.7
COFFEE 3 4.5 4 6.3 0 0.0 COFFEE 7 3.7
COLBERT 7 11.5 3 4.8 3 4.7 COLBERT 13 7.0
CONECUH 0 0.0 0 0.0 2 15.3 CONECUH 2 5.2
COOSA 1 12.2 2 19.8 2 23.5 COOSA 5 18.7
COVINGTON 6 13.3 5 11.2 1 2.5 COVINGTON 12 9.3
CRENSHAW 0 0.0 0 0.0 0 0.0 CRENSHAW 0 0.0
CULLMAN 7 7.2 7 6.9 3 3.1 CULLMAN 17 5.7
DALE 6 8.8 6 9.3 5 7.6 DALE 17 8.6
DALLAS 5 10.1 3 6.1 0 0.0 DALLAS 8 5.6
DEKALB 7 8.1 6 7.4 7 8.5 DEKALB 20 8.0
ELMORE 10 11.1 3 3.2 8 8.6 ELMORE 21 7.6
ESCAMBIA 5 10.8 5 11.6 3 6.9 ESCAMBIA 13 9.8
ETOWAH 13 10.7 7 5.8 6 5.0 ETOWAH 26 7.2
FAYETTE 1 6.3 1 5.5 0 0.0 FAYETTE 2 3.9
FRANKLIN 2 4.6 1 2.2 2 4.6 FRANKLIN 5 3.8
GENEVA 4 13.9 1 3.4 0 0.0 GENEVA 5 5.8
GREENE 0 0.0 0 0.0 0 0.0 GREENE 0 0.0
HALE 0 0.0 4 19.8 0 0.0 HALE 4 7.0
HENRY 0 0.0 1 5.2 1 6.5 HENRY 2 3.8
HOUSTON 14 10.5 18 13.9 14 10.2 HOUSTON 46 11.5
JACKSON 6 10.2 2 3.4 2 3.5 JACKSON 10 5.7
JEFFERSON 89 10.3 91 10.5 69 8.2 JEFFERSON 249 9.7
LAMAR 1 7.5 2 13.6 0 0.0 LAMAR 3 6.6
LAUDERDALE 7 7.7 3 3.5 5 5.4 LAUDERDALE 15 5.6
LAWRENCE 3 7.8 3 7.9 3 8.8 LAWRENCE 9 8.2
LEE 11 5.8 16 8.4 16 8.9 LEE 43 7.7
LIMESTONE 6 5.9 5 5.0 4 4.0 LIMESTONE 15 5.0
LOWNDES 0 0.0 0 0.0 2 16.4 LOWNDES 2 5.3
MACON 2 10.8 1 5.5 1 5.6 MACON 4 7.3
MADISON 35 8.3 20 4.7 28 6.6 MADISON 83 6.5
MARENGO 1 4.1 3 12.7 0 0.0 MARENGO 4 5.9
MARION 5 16.5 1 3.5 5 15.7 MARION 11 12.1
MARSHALL 11 7.9 5 3.5 3 2.2 MARSHALL 19 4.5
MOBILE 57 10.4 38 6.8 50 9.0 MOBILE 145 8.7
MONROE 3 13.9 2 9.0 2 10.4 MONROE 7 11.1
MONTGOMERY 35 11.2 19 6.0 29 9.2 MONTGOMERY 83 8.8
MORGAN 8 5.4 6 4.2 4 2.8 MORGAN 18 4.2
PERRY 3 25.6 0 0.0 1 11.0 PERRY 4 12.8
PICKENS 7 30.3 2 9.5 0 0.0 PICKENS 9 13.6
PIKE 2 5.4 1 2.9 2 5.5 PIKE 5 4.6
RANDOLPH 0 0.0 3 10.8 1 4.0 RANDOLPH 4 5.2
RUSSELL 8 10.0 11 13.4 4 5.1 RUSSELL 23 9.6
ST CLAIR 11 10.4 9 8.7 2 2.1 ST CLAIR 22 7.2
SHELBY 14 5.9 17 7.4 15 6.7 SHELBY 46 6.6
SUMTER 1 7.5 0 0.0 2 14.3 SUMTER 3 7.4
TALLADEGA 5 5.7 7 8.2 5 5.7 TALLADEGA 17 6.5
TALLAPOOSA 5 10.8 2 5.1 4 10.2 TALLAPOOSA 11 8.8
TUSCALOOSA 33 12.7 24 9.5 19 7.9 TUSCALOOSA 76 10.1
WALKER 3 3.8 7 9.3 11 14.3 WALKER 21 9.0
WASHINGTON 3 16.7 1 6.5 1 5.4 WASHINGTON 5 9.7
WILCOX 0 0.0 0 0.0 1 7.7 WILCOX 1 2.4
WINSTON 3 12.3 2 7.9 2 8.3 WINSTON 7 9.5
*Rate is per 1,000 live births.
 WHITE RESIDENT INFANT DEATHS AND INFANT MORTALITY RATES* BY COUNTY OF RESIDENCE
ALABAMA, 2016, 2017, 2018, AND 2016-2018 COMBINED
2016 2017 2018 2016-2018
COUNTY NUMBER RATE NUMBER RATE NUMBER RATE
COUNTY NUMBER RATE
TOTAL 255 6.5 213 5.5 196 5.1 TOTAL 664 5.7
AUTAUGA 2 4.1 3 5.9 2 4.5 AUTAUGA 7 4.9
BALDWIN 9 4.7 12 6.0 10 5.1 BALDWIN 31 5.3
BARBOUR 1 8.4 0 0.0 0 0.0 BARBOUR 1 3.0
BIBB 1 4.7 3 14.6 0 0.0 BIBB 4 6.4
BLOUNT 5 7.1 9 13.8 6 9.1 BLOUNT 20 9.9
BULLOCK 0 0.0 0 0.0 0 0.0 BULLOCK 0 0.0
BUTLER 0 0.0 1 8.7 1 10.4 BUTLER 2 6.4
CALHOUN 8 8.0 4 4.2 2 2.2 CALHOUN 14 4.9
CHAMBERS 2 10.6 1 5.1 3 14.9 CHAMBERS 6 10.2
CHEROKEE 0 0.0 2 9.7 5 23.1 CHEROKEE 7 10.9
CHILTON 1 2.2 3 5.9 2 4.3 CHILTON 6 4.2
CHOCTAW 1 15.2 0 0.0 1 11.4 CHOCTAW 2 8.8
CLARKE 1 7.8 0 0.0 0 0.0 CLARKE 1 2.6
CLAY 1 9.3 0 0.0 0 0.0 CLAY 1 2.8
CLEBURNE 1 6.8 1 5.4 1 5.7 CLEBURNE 3 5.9
COFFEE 1 2.0 3 6.3 0 0.0 COFFEE 4 2.9
COLBERT 5 10.1 1 2.0 3 5.7 COLBERT 9 5.9
CONECUH 0 0.0 0 0.0 0 0.0 CONECUH 0 0.0
COOSA 1 16.9 2 30.3 2 33.9 COOSA 5 27.2
COVINGTON 3 7.6 5 13.4 1 3.0 COVINGTON 9 8.2
CRENSHAW 0 0.0 0 0.0 0 0.0 CRENSHAW 0 0.0
CULLMAN 6 6.3 7 7.0 2 2.1 CULLMAN 15 5.2
DALE 3 6.0 2 4.2 5 10.3 DALE 10 6.8
DALLAS 1 10.1 0 0.0 0 0.0 DALLAS 1 3.6
DEKALB 6 7.3 6 7.7 7 8.9 DEKALB 19 8.0
ELMORE 6 9.0 2 2.7 4 5.6 ELMORE 12 5.7
ESCAMBIA 3 10.8 2 7.5 0 0.0 ESCAMBIA 5 6.1
ETOWAH 8 8.6 4 4.3 2 2.2 ETOWAH 14 5.0
FAYETTE 0 0.0 0 0.0 0 0.0 FAYETTE 0 0.0
FRANKLIN 1 2.4 1 2.3 2 4.9 FRANKLIN 4 3.1
GENEVA 3 11.9 0 0.0 0 0.0 GENEVA 3 4.0
GREENE 0 0.0 0 0.0 0 0.0 GREENE 0 0.0
HALE 0 0.0 1 14.5 0 0.0 HALE 1 4.9
HENRY 0 0.0 0 0.0 1 9.0 HENRY 1 2.6
HOUSTON 3 3.6 5 6.3 8 9.5 HOUSTON 16 6.4
JACKSON 6 11.1 2 3.7 2 3.8 JACKSON 10 6.2
JEFFERSON 24 5.3 28 6.3 22 5.0 JEFFERSON 74 5.5
LAMAR 1 8.4 2 15.5 0 0.0 LAMAR 3 7.5
LAUDERDALE 6 7.7 3 4.1 3 3.8 LAUDERDALE 12 5.2
LAWRENCE 3 8.8 2 5.8 3 9.9 LAWRENCE 8 8.1
LEE 5 3.9 8 6.1 7 5.7 LEE 20 5.2
LIMESTONE 4 4.5 3 3.5 3 3.4 LIMESTONE 10 3.8
LOWNDES 0 0.0 0 0.0 1 34.5 LOWNDES 1 12.0
MACON 0 0.0 0 0.0 0 0.0 MACON 0 0.0
MADISON 25 9.0 10 3.5 17 6.1 MADISON 52 6.2
MARENGO 0 0.0 0 0.0 0 0.0 MARENGO 0 0.0
MARION 5 17.6 1 3.8 5 16.5 MARION 11 12.9
MARSHALL 8 6.6 3 2.5 2 1.5 MARSHALL 13 3.5
MOBILE 21 7.0 15 5.0 18 6.2 MOBILE 54 6.1
MONROE 2 18.5 0 0.0 0 0.0 MONROE 2 6.3
MONTGOMERY 6 5.8 3 3.2 7 7.4 MONTGOMERY 16 5.5
MORGAN 3 2.5 3 2.6 2 1.7 MORGAN 8 2.3
PERRY 0 0.0 0 0.0 0 0.0 PERRY 0 0.0
PICKENS 6 46.2 0 0.0 0 0.0 PICKENS 6 17.7
PIKE 2 10.3 1 5.2 1 5.4 PIKE 4 7.0
RANDOLPH 0 0.0 2 9.3 0 0.0 RANDOLPH 2 3.2
RUSSELL 3 7.2 4 10.0 0 0.0 RUSSELL 7 5.7
ST CLAIR 10 10.4 8 8.5 2 2.3 ST CLAIR 20 7.2
SHELBY 9 4.6 11 5.9 9 4.9 SHELBY 29 5.1
SUMTER 0 0.0 0 0.0 0 0.0 SUMTER 0 0.0
TALLADEGA 3 5.6 4 7.9 1 1.8 TALLADEGA 8 5.1
TALLAPOOSA 3 10.4 1 3.9 0 0.0 TALLAPOOSA 4 5.0
TUSCALOOSA 12 8.3 9 6.5 7 5.6 TUSCALOOSA 28 6.8
WALKER 1 1.4 7 10.4 11 15.1 WALKER 19 9.0
WASHINGTON 1 7.5 1 10.2 0 0.0 WASHINGTON 2 5.5
WILCOX 0 0.0 0 0.0 1 45.5 WILCOX 1 11.6
WINSTON 3 12.7 2 8.2 2 8.5 WINSTON 7 9.8
*Rate is per 1,000 live births.
 BLACK AND OTHER RESIDENT INFANT DEATHS AND INFANT MORTALITY RATES* BY COUNTY OF RESIDENCE
ALABAMA, 2016, 2017, 2018, AND 2016-2018 COMBINED
2016 2017 2018 2016-2018
COUNTY NUMBER RATE NUMBER RATE NUMBER RATE
COUNTY NUMBER RATE
TOTAL 282 14.2 222 11.0 209 10.7 TOTAL 713 12.0
AUTAUGA 4 22.5 1 6.3 2 12.4 AUTAUGA 7 14.1
BALDWIN 2 6.3 3 9.7 0 0.0 BALDWIN 5 5.2
BARBOUR 2 12.5 1 6.2 3 19.4 BARBOUR 6 12.6
BIBB 4 65.6 0 0.0 0 0.0 BIBB 4 27.2
BLOUNT 1 100.0 0 0.0 0 0.0 BLOUNT 1 28.6
BULLOCK 2 18.2 1 12.3 2 21.7 BULLOCK 5 17.7
BUTLER 3 23.1 1 8.1 2 17.7 BUTLER 6 16.3
CALHOUN 9 25.4 1 2.6 6 16.6 CALHOUN 16 14.5
CHAMBERS 2 11.2 4 22.5 1 6.3 CHAMBERS 7 13.6
CHEROKEE 1 66.7 0 0.0 0 0.0 CHEROKEE 1 25.0
CHILTON 0 0.0 1 16.9 1 13.3 CHILTON 2 10.4
CHOCTAW 2 26.0 0 0.0 3 54.5 CHOCTAW 5 26.2
CLARKE 3 20.7 3 20.7 2 13.4 CLARKE 8 18.2
CLAY 0 0.0 0 0.0 0 0.0 CLAY 0 0.0
CLEBURNE 0 0.0 0 0.0 0 0.0 CLEBURNE 0 0.0
COFFEE 2 11.8 1 6.0 0 0.0 COFFEE 3 6.2
COLBERT 2 17.7 2 15.7 0 0.0 COLBERT 4 11.5
CONECUH 0 0.0 0 0.0 2 34.5 CONECUH 2 10.8
COOSA 0 0.0 0 0.0 0 0.0 COOSA 0 0.0
COVINGTON 3 55.6 0 0.0 0 0.0 COVINGTON 3 15.4
CRENSHAW 0 0.0 0 0.0 0 0.0 CRENSHAW 0 0.0
CULLMAN 1 40.0 0 0.0 1 58.8 CULLMAN 2 31.3
DALE 3 16.5 4 24.4 0 0.0 DALE 7 13.4
DALLAS 4 10.1 3 7.5 0 0.0 DALLAS 7 6.1
DEKALB 1 19.2 0 0.0 0 0.0 DEKALB 1 8.3
ELMORE 4 17.4 1 4.5 4 18.4 ELMORE 9 13.5
ESCAMBIA 2 10.9 3 18.3 3 18.8 ESCAMBIA 8 15.7
ETOWAH 5 17.4 3 10.5 4 15.0 ETOWAH 12 14.3
FAYETTE 1 32.3 1 55.6 0 0.0 FAYETTE 2 24.7
FRANKLIN 1 71.4 0 0.0 0 0.0 FRANKLIN 1 18.9
GENEVA 1 29.4 1 26.3 0 0.0 GENEVA 2 20.4
GREENE 0 0.0 0 0.0 0 0.0 GREENE 0 0.0
HALE 0 0.0 3 22.6 0 0.0 HALE 3 8.2
HENRY 0 0.0 1 21.7 0 0.0 HENRY 1 7.2
HOUSTON 11 22.5 13 26.1 6 11.4 HOUSTON 30 19.8
JACKSON 0 0.0 0 0.0 0 0.0 JACKSON 0 0.0
JEFFERSON 65 15.9 63 14.9 47 11.6 JEFFERSON 175 14.1
LAMAR 0 0.0 0 0.0 0 0.0 LAMAR 0 0.0
LAUDERDALE 1 7.9 0 0.0 2 15.4 LAUDERDALE 3 7.9
LAWRENCE 0 0.0 1 27.0 0 0.0 LAWRENCE 1 8.5
LEE 6 9.8 8 13.6 9 15.5 LEE 23 12.9
LIMESTONE 2 15.3 2 13.2 1 7.4 LIMESTONE 5 12.0
LOWNDES 0 0.0 0 0.0 1 10.8 LOWNDES 1 3.4
MACON 2 13.2 1 7.0 1 7.0 MACON 4 9.2
MADISON 10 6.9 10 7.0 11 7.5 MADISON 31 7.2
MARENGO 1 7.6 3 21.4 0 0.0 MARENGO 4 10.3
MARION 0 0.0 0 0.0 0 0.0 MARION 0 0.0
MARSHALL 3 16.8 2 9.1 1 11.6 MARSHALL 6 12.4
MOBILE 36 14.4 23 8.8 32 12.1 MOBILE 91 11.7
MONROE 1 9.3 2 17.7 2 21.3 MONROE 5 15.9
MONTGOMERY 29 13.8 16 7.2 22 10.0 MONTGOMERY 67 10.3
MORGAN 5 17.7 3 11.5 2 7.6 MORGAN 10 12.4
PERRY 3 33.7 0 0.0 1 15.4 PERRY 4 17.0
PICKENS 1 9.9 2 17.2 0 0.0 PICKENS 3 9.3
PIKE 0 0.0 0 0.0 1 5.7 PIKE 1 2.0
RANDOLPH 0 0.0 1 16.4 1 21.7 RANDOLPH 2 13.3
RUSSELL 5 13.1 7 16.8 4 10.9 RUSSELL 16 13.7
ST CLAIR 1 10.3 1 10.2 0 0.0 ST CLAIR 2 6.8
SHELBY 5 12.0 6 14.3 6 14.3 SHELBY 17 13.5
SUMTER 1 9.7 0 0.0 2 18.5 SUMTER 3 9.6
TALLADEGA 2 5.8 3 8.5 4 12.2 TALLADEGA 9 8.8
TALLAPOOSA 2 11.6 1 7.2 4 30.8 TALLAPOOSA 7 15.8
TUSCALOOSA 21 18.5 15 13.1 12 10.5 TUSCALOOSA 48 14.0
WALKER 2 23.0 0 0.0 0 0.0 WALKER 2 9.3
WASHINGTON 2 42.6 0 0.0 1 20.0 WASHINGTON 3 19.7
WILCOX 0 0.0 0 0.0 0 0.0 WILCOX 0 0.0
WINSTON 0 0.0 0 0.0 0 0.0 WINSTON 0 0.0
*Rate is per 1,000 live births.