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Summary Narrative

Summary of Vital Statistics for Texas 2009

In 2003, HHS Secretary Tommy Thompson approved the revision to the U.S. Standard Certificates of Birth, Death, and Fetal Death and encouraged all states to adopt them. The process involved in this revision, as well as details of what was revised, can be found athttp://www.cdc.gov/nchs/nvss/vital_certificate_revisions.htm. Consequently, some of the data are not directly comparable with previous revisions.

In 2005, Texas adopted the new U.S. Standard Certificate of Live Birth. The new U.S. Standard Certificates of Death and Fetal Death were implemented in 2006 in Texas.

There were 401,599 live births to Texas residents in 2009, a decrease of 0.9 percent (3,643 fewer births) from 2008. The crude birth rate was 16.2 births per 1,000 population in 2009 compared 16.7 births per 1,000 in 2008.

The percentage of women receiving prenatal care in the first trimester was 58.6. This figure is not directly comparable to years prior to 2005 due to the implementation of a new birth certificate in Texas in 2005 (source: Technical Appendix from Vital Statistics of the United States, 2004. Natality in the Documentation of the Detail Natality Public Use File for 2004). In 2009, 99.2 percent of Texas resident births were delivered in a hospital. Physicians delivered 95.7 percent of infants born to Texas residents. The proportion of C-section deliveries increased from 34.6 percent in 2008 to 35.3 percent in 2009. 

Overall life expectancy for an infant born in Texas in 2009 was 77.9 years. A male infant born in 2009 could expect to live 75.5 years while a female infant could expect to live 80.3 years. Female infants had a higher life expectancy than male infants regardless of racial/ethnic group.

The number of deaths to Texas residents in 2009 was 162,792. This was a 0.8 percent decrease in total deaths over 2008, when there were 164,135. The 2009 crude death rate of 6.6 deaths per 1,000 estimated population was slightly lower than it was in 2008. The natural increase of the Texas population, the excess of resident births over resident deaths, was 238,807.

Starting with 1999 deaths, the Vital Statistics Unit implemented the Tenth Revision of the International Classification of Diseases (ICD-10). This change in the classification of causes of death explains the presence of new leading causes (like Alzheimer's disease) and may partially explain changes in other causes of death.

In 2009, heart disease claimed 38,008 lives and continued to be the leading cause of death, followed by cancer with 35,531 deaths. Accidents ranked third with 9,310 deaths, and cerebrovascular diseases ranked fourth with 9,118 deaths. The fifth leading cause of death was chronic lower respiratory diseases (formerly known as COPD), which accounted for 8,624 deaths. These five leading causes were responsible for 61.8 percent of Texas resident deaths in 2009.

Completing the ten leading causes of death were: Alzheimer's disease, 5,062 deaths; diabetes mellitus, 4,866 deaths; nephritis and related diseases, with 3,688 deaths; influenza and pneumonia, 3,380 deaths; and septicemia, 3,085 deaths. The ten leading causes together accounted for 74.1 percent of deaths to Texas residents.

The total number of infant deaths decreased from 2,478 in 2008 to 2,394 in 2009. The infant mortality rate also decreased, 6.1 in 2008 to 6.0 in 2009.

The number of fetal deaths decreased from 2,474 in 2008 to 2,270 in 2009. The fetal death ratio decreased from 6.1 in 2008 to 5.7 in 2009.

There were 172,395 marriages in 2009 compared to 177,030 marriages in 2008. The number of divorces increased from 79,438 in 2008 to 81,822 in 2009.


The birth, death, and fetal death tabulations provided in this report are for residents of Texas. Births and fetal deaths are classified by the mother's county and city of residence. Deaths are classified by the county and city of residence of the decedent. Marriages are reported by county in which the marriage license was issued and divorces are reported by county in which the divorce decree was granted. 

Births and deaths which occurred in Texas to residents of other states are excluded from these tabulations. Events which occurred to Texas residents, regardless of the place of occurrence, are included. A small percentage of Texas resident events occur in other states, and knowledge of these events is obtained through an interstate transcript exchange in cooperation with other states and the National Center for Health Statistics.

2009 Annual Report List of Tables and References

Annual Reports for Other Years

Center for Health Statistics

Last updated April 2, 2019