EU regions (NUTS 2) by death rate from external causes (age-standardised)

Nord-Est had the highest death rate from external causes (age-standardised) of 237 regions in 2021, at 108.6 per 100,000 people. Community of Madrid had the lowest, at 23 per 100,000 people. The median was 49.2 per 100,000 people and the figure for the European Union (27) was 48.1 per 100,000 people. Source: Eurostat, European Commission.

Highest108.6Nord-Est

Lowest23Community of Madrid

Median49.2237 regions

European Union (27)48.1History

Top 40 regions, 2021

per 100,000 people. Source: Eurostat, Causes of death, standardised death rate by NUTS 2 region of residence, [object Object], ICD-10 V01-Y89 (hlth_cd_asdr2). Retrieved 2026-10-12.

Full ranking

Rank	Regions	2021 per 100,000 people	Change on 2020
1	Nord-Est	108.6	+49.3 pts
2	Vzhodna Slovenija	93.2	+4.4 pts
3	Mayotte	85.9	+22.6 pts
4	Prov. Namur	83.5	+0.1 pts
5	Vidurio ir vakarų Lietuvos regionas	83.4	-4.1 pts
6	Prov. Liège	82.5	+6.7 pts
7	Sostinės regionas	81.7	-2.8 pts
8	Latvija	80.2	+6 pts
9	Zahodna Slovenija	80.1	+4.8 pts
10	Centru	79.9	+33.9 pts
11	Panonska Hrvatska	78.6	+0.3 pts
12	Mazowiecki regionalny	77.3	+2.6 pts
13	Prov. Luxembourg (BE)	77.2	+2.2 pts
14	Lubelskie	76.6	+10.3 pts
15	Prov. Hainaut	75.5	-1.3 pts
16	Guadeloupe	73.8	+9.2 pts
17	Eesti	71.9	+0.7 pts
18	Sjeverna Hrvatska	70.1	+7.5 pts
19	Guyane	69.7	+11.5 pts
20	Mellersta Norrland	69.6	+4.4 pts
21	Pohjois- ja Itä-Suomi	69.1	+4.8 pts
22	Łódzkie	69	+6.6 pts
23	Basse-Normandie	68.8	+3.5 pts
24	Bretagne	68.3	+1.8 pts
25	Sud-Muntenia	68.1	+23.6 pts
26	Limousin	67.2	+6 pts
27	Warmińsko-mazurskie	66.8	+10.1 pts
28	Leipzig	66.6	-0.8 pts
29	Jadranska Hrvatska	66.3	+5.1 pts
30	Hamburg	65.4	+5.1 pts
31	Pomorskie	65.3	+7.4 pts
32	Poitou-Charentes	64.9	+0.2 pts
33	Dél-Alföld	64.8	+2.3 pts
34	Franche-Comté	63.9	-0.5 pts
35	Střední Morava	63.9	+0.9 pts
36	Noord-Holland	63.2	+3.5 pts
37	Kärnten	62.9	+9 pts
38	Zachodniopomorskie	62.5	+11.5 pts
39	Opolskie	61.9	+8 pts
40	Tirol	61.6	+5.3 pts
41	Nord-Pas de Calais	61.4	+0.6 pts
42	Nord-Vest	61.2	+18.4 pts
43	Dresden	61.1	+1.8 pts
44	Auvergne	61	+1.6 pts
44	Lubuskie	61	+11.5 pts
46	Észak-Magyarország	60.6	-2.8 pts
47	Övre Norrland	60.5	+0.2 pts
48	Podlaskie	60.4	-0.2 pts
49	Etelä-Suomi	60	+6 pts
50	Śląskie	59.9	+2.1 pts
51	Warszawski stołeczny	58.7	+15.6 pts
52	Região Autónoma dos Açores	58.6	+10.3 pts
53	Algarve	58.4	+3.5 pts
54	Bourgogne	58.1	-0.2 pts
55	Champagne-Ardenne	58	+0.9 pts
56	Stredné Slovensko	58	-0.2 pts
57	Moravskoslezsko	57.9	-6 pts
58	Brandenburg	57.9	+5.1 pts
59	Haute-Normandie	57.9	0 pts
60	Drenthe	57.8	-0.4 pts
61	Východné Slovensko	57.7	+0.2 pts
62	Wielkopolskie	57.7	+10.8 pts
63	Kujawsko-pomorskie	57.6	-1.8 pts
64	Sud-Est	57.4	+6.8 pts
65	Észak-Alföld	57.2	+4.3 pts
66	Gelderland	56.8	+1.6 pts
67	Lorraine	56.7	+0.1 pts
68	Limburg (NL)	56.6	+1.1 pts
69	Oberösterreich	56.4	+3.3 pts
70	Pays de la Loire	56.1	-1 pts
71	Corse	56	+11.2 pts
72	Świętokrzyskie	56	-6 pts
73	Provence-Alpes-Côte d’Azur	56	+3 pts
74	Severozápad	55.8	-7.9 pts
75	Salzburg	55.7	-5.9 pts
76	Picardie	55.7	-1.9 pts
77	Centre - Val de Loire	55.7	+0.7 pts
78	Prov. Limburg (BE)	55.6	+4.2 pts
79	Languedoc-Roussillon	55.6	+0.9 pts
80	Prov. Antwerpen	55.3	+3.5 pts
81	Flevoland	55.2	+0.7 pts
82	Niederösterreich	55.1	-0 pts
83	Chemnitz	55.1	+0.2 pts
84	Alsace	54.9	+0.9 pts
85	Prov. West-Vlaanderen	54.9	+0.6 pts
86	Nyugat-Dunántúl	54.2	+1.5 pts
87	Niederbayern	54.1	+2.1 pts
88	Prov. Oost-Vlaanderen	54	-1.7 pts
89	Länsi-Suomi	53.8	-3.4 pts
90	Západné Slovensko	53.8	-4.6 pts
91	Groningen	53.3	-0.3 pts
92	Noord-Brabant	53.3	-2.4 pts
93	Severozapaden	53.1	+1.6 pts
94	Grad Zagreb	53.1	-3.1 pts
95	Norra Mellansverige	52.8	+2.7 pts
96	Koblenz	52.8	+8.4 pts
97	Freiburg	52.6	+2 pts
98	Közép-Dunántúl	52.1	-0.8 pts
99	Région de Bruxelles-Capitale/ Brussels Hoofdstedelijk Gewest	51.7	-3.1 pts
100	Tübingen	51.7	+1.8 pts
101	Midi-Pyrénées	51.4	+1.9 pts
102	La Réunion	51.4	-6 pts
103	Martinique	51.3	+0.5 pts
104	Friesland (NL)	51.3	-1.4 pts
104	Severovýchod	51.3	-2.2 pts
106	Aquitaine	51.3	+0.8 pts
107	Dél-Dunántúl	51.2	-5.9 pts
108	Região Autónoma da Madeira	51.1	-0.8 pts
109	Bratislavský kraj	51	+3.1 pts
110	Prov. Brabant wallon	51	-17.9 pts
111	Rhône-Alpes	50.9	-0.4 pts
112	Jihozápad	50.6	-5.1 pts
113	Oberfranken	49.8	+2.1 pts
114	Schleswig-Holstein	49.7	-3.5 pts
115	Overijssel	49.6	-3.6 pts
116	Jihovýchod	49.6	-3.4 pts
117	Dolnośląskie	49.3	-7.3 pts
118	Östra Mellansverige	49.3	+1.1 pts
119	Prov. Vlaams-Brabant	49.2	-1 pts
120	Steiermark	49.1	-7.8 pts
121	Podkarpackie	49	-2.2 pts
122	Pest	49	-2.7 pts
123	Helsinki-Uusimaa	48.6	-3.2 pts
124	Oberpfalz	48.6	+0.5 pts
125	Oberbayern	48.4	-0.7 pts
126	Střední Čechy	48.4	-4.5 pts
127	Berlin	48	+0.4 pts
128	Burgenland	48	-1.4 pts
129	Mittelfranken	48	-0.8 pts
130	Saarland	47.7	+2.7 pts
131	Stuttgart	47.6	+2.4 pts
132	Sachsen-Anhalt	47.5	+0.1 pts
133	Praha	46.9	-1.7 pts
134	Västsverige	46.8	-0 pts
135	Småland med öarna	46.8	+1.1 pts
136	Schwaben	46.7	-1.6 pts
137	Sud-Vest Oltenia	46.6	-0 pts
138	Vorarlberg	46	-10.6 pts
139	Sydsverige	45.7	-1 pts
140	Zeeland	45.6	+3 pts
141	Trier	45.2	+2 pts
142	Unterfranken	45.2	-1.3 pts
143	Kentriki Makedonia	45	+6.5 pts
144	Wien	44.8	-3.5 pts
145	Ionia Nisia	44.6	+5.5 pts
146	Kassel	44.6	+0.7 pts
147	Mecklenburg-Vorpommern	44.5	-3.5 pts
148	Peloponnisos	43.9	-2 pts
149	Gießen	43.7	+1 pts
150	Norte	43.6	-0.4 pts
151	Luxembourg	43.6	-1.9 pts
152	Karlsruhe	43.5	-0.9 pts
153	Severen tsentralen	43.1	-0 pts
154	Rheinhessen-Pfalz	42.6	+2.9 pts
155	Sardegna	42.3	+3 pts
156	Kriti	42.3	+7.4 pts
157	Budapest	42.2	+0.3 pts
158	Bremen	41.4	-3.1 pts
159	Abruzzo	41.2	+2.9 pts
160	Arnsberg	40.9	+2.6 pts
161	Darmstadt	40.5	-3.4 pts
162	Köln	40.4	+0.4 pts
163	Anatoliki Makedonia, Thraki	40.3	-0.8 pts
164	Galicia	40.2	+2.8 pts
165	Kýpros	40.1	-2.1 pts
166	Vest	40.1	-1.5 pts
167	Notio Aigaio	40	+0.7 pts
168	Midtjylland	39.9	-0.6 pts
169	Ile-de-France	39.6	-1.1 pts
170	Stockholm	39.4	-2.7 pts
171	Syddanmark	39.4	-0.1 pts
172	Severoiztochen	39.2	+1 pts
173	Attiki	39.1	+1.2 pts
174	Friuli-Venezia Giulia	38.8	+5.6 pts
175	Małopolskie	38.7	-1.2 pts
176	Provincia Autonoma di Bolzano/Bozen	38.7	+1.9 pts
177	Thüringen	38.6	+2.3 pts
178	Southern	38.6	-1.3 pts
179	Dytiki Elláda	38.5	+1 pts
180	Detmold	38.3	-1.4 pts
181	Thessalia	38.2	+2.3 pts
182	Sterea Elláda	38.1	+1.4 pts
183	Lüneburg	37.9	+0.3 pts
184	Nordjylland	37.8	-0.9 pts
185	Sjælland	37.6	+1.4 pts
186	Valle d’Aosta/Vallée d’Aoste	37.5	+1.4 pts
187	Asturias	37.5	+1.5 pts
188	Düsseldorf	37.4	+0.9 pts
189	Molise	37.3	+0.2 pts
190	Calabria	36.7	+1.6 pts
191	Navarre	36.3	+4.2 pts
192	La Rioja	36.3	+4.2 pts
193	Lazio	35.8	+1.3 pts
194	Münster	35.7	-0.2 pts
195	Liguria	35.7	+4.4 pts
196	Hovedstaden	35.5	-3.1 pts
197	Puglia	35.2	+4.9 pts
198	Emilia-Romagna	35	+1.3 pts
199	Basilicata	34.8	-0.7 pts
200	Castile and León	34.6	+1.6 pts
201	Sicilia	34.6	+0.9 pts
202	Toscana	34.5	+2.7 pts
203	Yugoiztochen	34.4	+0.9 pts
204	Canary Islands	34.3	+1.5 pts
205	Umbria	34.3	+0.9 pts
206	Marche	34.2	-0.7 pts
207	Veneto	34.2	+2.8 pts
208	Dytiki Makedonia	34.2	+2.2 pts
209	Braunschweig	34.1	-0.4 pts
210	Eastern and Midland	33.9	-1.7 pts
211	Northern and Western	33.7	-7.1 pts
212	Balearic Islands	33.6	+3.8 pts
213	Ceuta	33.6	+1.7 pts
214	Yuzhen tsentralen	33.3	+0.2 pts
215	Piemonte	33.2	+1.2 pts
216	Melilla	33.2	-3.2 pts
217	Åland	33.2	-1.6 pts
218	Bucureşti-Ilfov	33.1	-1.9 pts
219	Catalonia	33	+0.5 pts
220	Malta	32.9	+4 pts
221	Extremadura	32.4	+2.6 pts
222	Castilla-La Mancha	32.3	-4 pts
223	Provincia Autonoma di Trento	32.1	-7.9 pts
224	Ipeiros	32.1	-0.3 pts
225	Cantabria	32	+1.5 pts
226	Campania	31.9	+2.6 pts
227	Andalusia	31.8	+0.7 pts
228	Voreio Aigaio	31	+3 pts
229	Lombardia	30.8	-0 pts
230	Weser-Ems	30.7	-2 pts
231	Valencian Community	30.5	+1.1 pts
232	Hannover	30.2	+0.5 pts
233	Aragon	28.8	+3.5 pts
234	Yugozapaden	28.5	+0.8 pts
235	Region of Murcia	27.5	+2.1 pts
236	Basque Country	26.8	-2.1 pts
237	Community of Madrid	23	+0.3 pts

Other periods

About this ranking

Deaths from [object Object] (ICD-10 V01 to Y89) per 100,000 inhabitants, age-standardised to the revised European Standard Population of 2013. Both sexes, all ages, by place of residence (Eurostat causes of death statistics).

Age standardisation removes the effect of different age structures, so EU countries and regions can be compared with each other. US age-adjusted rates use the 2000 US standard population and are not comparable with these. Death certification and cause coding differ between countries, and Eurostat flags some values as following a different definition. Eurostat publishes these rates about two and a half years after the reference year.

Every value in the ranking comes from the same publisher and the same period, so the regions are compared on one definition. 7 regions with data in other periods have no value for 2021 and are left out rather than filled from another source. Equal values share a rank.

How to cite

Eurostat. Causes of death, standardised death rate by NUTS 2 region of residence, [object Object], ICD-10 V01-Y89 (hlth_cd_asdr2). https://ec.europa.eu/eurostat/databrowser/view/hlth_cd_asdr2/default/table. Retrieved 2026-10-12.

Citation styles

The publisher is the author. Invokely is named only as the place the figures were read, where a style asks for it.

APA 7

Eurostat, European Commission. (2026). Causes of death, standardised death rate by NUTS 2 region of residence, [object Object], ICD-10 V01-Y89 (hlth_cd_asdr2) (EU regions (NUTS 2) by death rate from external causes (age-standardised), 2021) [Data set]. Retrieved October 12, 2026, from https://ec.europa.eu/eurostat/databrowser/view/hlth_cd_asdr2/default/table

MLA 9

Causes of death, standardised death rate by NUTS 2 region of residence, [object Object], ICD-10 V01-Y89 (hlth_cd_asdr2), EU regions (NUTS 2) by death rate from external causes (age-standardised), 2021. Eurostat, European Commission, 8 June 2026, https://ec.europa.eu/eurostat/databrowser/view/hlth_cd_asdr2/default/table. Invokely, https://invokely.ai/rankings/external-causes-death-rate/eu-regions?period=2021. Accessed 12 Oct. 2026.

Chicago (author-date)

Eurostat, European Commission. 2026. Causes of death, standardised death rate by NUTS 2 region of residence, [object Object], ICD-10 V01-Y89 (hlth_cd_asdr2). EU regions (NUTS 2) by death rate from external causes (age-standardised), 2021. Dataset. Accessed October 12, 2026. https://ec.europa.eu/eurostat/databrowser/view/hlth_cd_asdr2/default/table. Also distributed by Invokely, https://invokely.ai/rankings/external-causes-death-rate/eu-regions?period=2021.

Harvard

Eurostat, European Commission (2026) Causes of death, standardised death rate by NUTS 2 region of residence, [object Object], ICD-10 V01-Y89 (hlth_cd_asdr2), EU regions (NUTS 2) by death rate from external causes (age-standardised), 2021 [Dataset]. Available at: https://ec.europa.eu/eurostat/databrowser/view/hlth_cd_asdr2/default/table, via Invokely: https://invokely.ai/rankings/external-causes-death-rate/eu-regions?period=2021 (Accessed: 12 October 2026).

BibTeX

@misc{eurostat_eu_regions_nuts_2_2021,
  author = {{Eurostat, European Commission}},
  title = {{Causes of death, standardised death rate by NUTS 2 region of residence, [object Object], ICD-10 V01-Y89 (hlth\_cd\_asdr2): EU regions (NUTS 2) by death rate from external causes (age-standardised), 2021}},
  year = {2026},
  howpublished = {Data set},
  url = {https://ec.europa.eu/eurostat/databrowser/view/hlth_cd_asdr2/default/table},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/external-causes-death-rate/eu-regions?period=2021. Publisher attribution: Eurostat. Causes of death, standardised death rate by NUTS 2 region of residence, [object Object], ICD-10 V01-Y89 (hlth\_cd\_asdr2). https://ec.europa.eu/eurostat/databrowser/view/hlth\_cd\_asdr2/default/table. Retrieved 2026-10-12.},
}

RIS

TY  - DATA
AU  - Eurostat, European Commission
TI  - Causes of death, standardised death rate by NUTS 2 region of residence, [object Object], ICD-10 V01-Y89 (hlth_cd_asdr2): EU regions (NUTS 2) by death rate from external causes (age-standardised), 2021
PY  - 2026
DA  - 2026/06/08
PB  - Eurostat, European Commission
DB  - Invokely
UR  - https://ec.europa.eu/eurostat/databrowser/view/hlth_cd_asdr2/default/table
L2  - https://invokely.ai/rankings/external-causes-death-rate/eu-regions?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/external-causes-death-rate/eu-regions?period=2021.
N1  - Publisher attribution: Eurostat. Causes of death, standardised death rate by NUTS 2 region of residence, [object Object], ICD-10 V01-Y89 (hlth_cd_asdr2). https://ec.europa.eu/eurostat/databrowser/view/hlth_cd_asdr2/default/table. Retrieved 2026-10-12.
ER  -

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Questions

Which region has the highest death rate from external causes (age-standardised)?

Nord-Est, with 108.6 per 100,000 people in 2021, according to Eurostat, European Commission.

Which region has the lowest death rate from external causes (age-standardised)?

Community of Madrid, with 23 per 100,000 people in 2021.

Where does this ranking come from?

Every value comes from one source and one period, so the places are comparable: Eurostat, European Commission, Causes of death, standardised death rate by NUTS 2 region of residence, [object Object], ICD-10 V01-Y89 (hlth_cd_asdr2). Retrieved 2026-10-12. 7 regions have no value for 2021 and are not ranked.