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Hawaii Mortality Rates.

Mortality in Hawaii

  • Hawaii Population: 1,415,872 (39th highest)
  • Population Density: 218.89 per square mile (12th most dense)
  • Median Age:  40.0 (14th oldest)
  • Deaths Per Year:  11,415
  • Annual Deaths Per 100,000: 803.6
  • Life Expectancy at Birth:  81
  • Fertility Rate (births per 1,000 women age 15-44):  63.9 (8th highest rate)

Leading Causes of Death in Hawaii

Cause of Death Deaths Per Year Deaths Per 100,000 National Rank
Heart Disease


2,503 120.3 49th


2,500 127.3 48th


807 37.1 25th
Accidents (includes vehicle accidents)


651 39.2 47th
Alzheimer’s Disease


471 19.1 45th
Chronic Lower Respiratory Diseases (e.g., emphysema, chronic bronchitis, asthma)


367 17.6 50th
Pneumonia + Flu


366 16.8 2nd


311 15.8 47th
Kidney Disease (nephritis, nephrosis, nephrotic syndrome)


220 10.8 33rd
Liver Disease / Cirrhosis


126 7.2 49th


116 6 42nd


224 15.5 28th
Drug Overdose


242 15.9 34th


35 2.5 46th

Population Growth and Mortality Rates

Hawaii’s 4.1% rate of growth between 2010 and 2019 lagged behind the overall U.S. rate of 6.3%—though Hawaii’s fertility rate is the nation’s 8th

At 803.6 per 100,000, Hawaii has the nation’s 8th lowest per capita death rate. When adjusted for age, Hawaii’s rate is the lowest. Hawaiians also enjoy the longest life expectancy at birth of any state, which is something that most life insurance companies can certainly appreciate.

Health Conditions

Hawaii is among the five lowest states in multiple health-related causes of death—including heart disease, cancer, chronic respiratory illnesses, diabetes, and liver disease.  Making it one of the “healthest” states in the United States.  For this reason, we here at IBUSA will often recommned many of the no medical exam life insurance policy options for those living in this state.

Statistical Standouts

Hawaii’s rate of death from pneumonia and flu is the nation’s 2nd highest (behind only Mississippi). In 2017, Hawaii’s flu death rate of 29.6 per 100,000 was the nation’s highest and more than doubled the national rate.

In 2019, Hawaii had the nation’s 2nd highest rate of deaths due to accidental choking (behind Connecticut).  Which is one reason why even the most healthiest of individuals might still want to consider the benefits behind purchasing an accidental death policy.


With 17 deaths per 100,000 in 2020 and 37 per 100,000 overall through July, 2021, Hawaii has the nation’s lowest COVID-19 death rate.


Hawaii’s rates of homicide and firearm mortality are 4th and 5th lowest among U.S. states, respectively.


Among western states, Hawaii is the 3rd safest state in which to drive (behind Utah and Washington State).


U.S. Dept of Ag., Economic Research Service, https://data.ers.usda.gov/reports.aspx?ID=17827 (citing U.S. Census Bureau, 2019).

Statista, Population Density in the U.S. by Federal States Including District of Columbia in 2020 (2020).

StatsAmerica (Ind. Bus. Research Center), Median Age in 2019.

CDC, Natl. Center for Health Statistics, State & Territorial Data (2018 – 2019).

CDC, Natl. Center for Health Statistics, Fertility Rates by State (2019).

Kaiser Family Foundation, Number of Deaths per 100,000 Population (2019).

CDC, Natl. Center for Health Statistics, Stats of the States (2021).

CDC, Natl. Center for Health Statistics, Provisional Death Rates for COVID-19 (2020).

New York Times, Coronavirus in the U.S.: Latest Map and Case Count (July 19, 2021).

Statista, Percentage of Adults with Obesity in the United States as of 2019 (2019).

Natl. Safety Council, Motor-Vehicle Deaths by State (2019).

Natl. Safety Council, State Overview Table: 2019 (preventable-injury-related death rates per 100,000 population by state of residence, United States, 2019).

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