Deaths Involving COVID-19, Pneumonia, Influenza Reported By Rural-Urban Commuting Areas,
Michigan Occurrences, January 1, 2020 to November 7, 2023P

January 1, 2023 to November 7, 2023P
Rural-Urban Commuting Area Group1 All Reported
COVID-19
Deaths to
Date1		 2023
COVID-19
Deaths		 Deaths
from
All Causes		 Percent of
Expected Deaths2		 Pneumonia3
Deaths 		Pneumonia &
COVID-194		 Influenza
Deaths5
Michigan 37,735 1,939 83,342 104 4,295 623 150
Urban/Metropolitan 31,654 1,633 69,053 104 3,555 509 126
Large Rural City/Town 2,489 133 6,410 102 329 54 12
Small Rural Town 1,559 73 3,373 95 180 25 3
Isolated Small Rural Town 1,612 92 4,011 107 208 33 8
Not Defined 421 8 495– 23 2 1
               

COVID-19 Related Deaths, Michigan Occurrences 2022P
Rural-Urban Commuting Area Group1 All Reported
COVID-19
Deaths to
Date1		 2021
COVID-19
Deaths		 Deaths
from
All Causes		 Percent of
Expected Deaths2		 Pneumonia3
Deaths 		Pneumonia &
COVID-194		 Influenza
Deaths5
Michigan 37,735 8,154 109,027 112 8,185 3,442 213
Urban/Metropolitan 31,654 6,753 89,445 111 6,805 2,873 179
Large Rural City/Town 2,489 591 8,318 110 599 243 18
Small Rural Town 1,559 353 4,805 113 351 140 2
Isolated Small Rural Town 1,612 353 4,993 111 335 143 9
Not Defined 421 104 1,466– 95 43 5
               

COVID-19 Related Deaths, Michigan Occurrences 2021
Rural-Urban Commuting Area Group1 All Reported
COVID-19
Deaths to
Date1		 2021
COVID-19
Deaths		 Deaths
from
All Causes		 Percent of
Expected Deaths2		 Pneumonia3
Deaths 		Pneumonia &
COVID-194		 Influenza
Deaths5
Michigan 37,735 15,020 116,064 120 13,113 8,411 26
Urban/Metropolitan 31,654 12,273 95,371 118 10,820 6,899 15
Large Rural City/Town 2,489 1,119 8,925 118 953 606 8
Small Rural Town 1,559 677 4,942 116 591 393 1
Isolated Small Rural Town 1,612 752 5,294 118 580 404 2
Not Defined 421 199 1,532– 169 109–
               

COVID-19 Related Deaths, Michigan Occurrences 2020
Rural-Urban Commuting Area Group1 All Reported
COVID-19
Deaths to
Date1		 2020
COVID-19
Deaths		 Deaths
from
All Causes		 Percent of
Expected Deaths2		 Pneumonia3
Deaths 		Pneumonia &
COVID-194		 Influenza
Deaths5
Michigan 37,735 12,622 115,574 119 11,596 6,234 284
Urban/Metropolitan 31,654 10,995 95,873 119 10,012 5,515 233
Large Rural City/Town 2,489 646 8,547 113 617 279 24
Small Rural Town 1,559 456 4,856 114 474 203 10
Isolated Small Rural Town 1,612 415 5,108 113 394 183 14
Not Defined 421 110 1,190– 99 54 3
               

 


Notes:

PDeaths reported to the Michigan Vital Records office may be delayed by 7 days. Verifying the cause of death, and processing the records from administrative records may further delay the reports of deaths for statistical purposes. The deaths shown in the deaths columns will be lower than the actual year-to-date total.

Most deaths occurring between October 21, 2023 and November 7, 2023 do not have a coded cause of death.

1This table uses rural-urban commuting area (RUCA) codes developed by the Economic Research Service, USDA. RUCA codes classify U.S. census tracts and zip codes using measures of population density, urbanization and daily commuting. For this table, the RUCA codes were grouped into broader categories often used for public health related projects (for more information, see WWAMI Rural Health Research Center.)

2COVID-19 deaths are those deaths coded as ICD-10 U07.1 as an underlying or related cause of death.

3Percent of expected deaths is the number of deaths for all causes for the current week compared to the average number across the same week in 2017–2019.

4Pneumonia deaths are those deaths coded ICD-10 codes J12.0-J18.9 as an underlying cause of death or a related cause of death, but excluding any mention of flu.

5The decedent was reported as having pneumonia and COVID-19 simulataneously.

6Influenza deaths are coded as J09-J11.
Source: Michigan 2020-2023 Death File, Extracted November 7, 2023 . Division for Vital Records & Health Statistics, Michigan Department of Health & Human Services.