Age-adjusted death rates increased for seven leading causes and decreased for one (Sherry et al, 2018). Life expectancy at birth fell by 0.1 year between 2016 and 2017, largely because of increases in mortality from unintentional injuries, suicide, diabetes, and influenza and pneumonia, with unintentional injuries making the largest contribution. Age-adjusted death rates increased at ages 25-44 and 85+.