Regions of Germany (NUTS 2) by death rate from external causes (age-standardised)

Leipzig had the highest death rate from external causes (age-standardised) of 38 regions in 2019, at 72.1 per 100,000 people. Hannover had the lowest, at 31.3 per 100,000 people. The median was 45.7 per 100,000 people and the figure for Germany was 45.8 per 100,000 people. Source: Eurostat, European Commission.

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Highest72.1Leipzig
Lowest31.3Hannover
Median45.738 regions
Germany45.8History

All regions, 2019

Leipzig: 72.1 per 100,000 peopleLeipzig72.1Hamburg: 60.1 per 100,000 peopleHamburg60.1Chemnitz: 59.7 per 100,000 peopleChemnitz59.7Dresden: 59.2 per 100,000 peopleDresden59.2Schleswig-Holstein: 54.7 per 100,000 peopleSchleswig-Holstein54.7Freiburg: 52.2 per 100,000 peopleFreiburg52.2Oberpfalz: 51.8 per 100,000 peopleOberpfalz51.8Oberbayern: 51.3 per 100,000 peopleOberbayern51.3Niederbayern: 51.3 per 100,000 peopleNiederbayern51.3Brandenburg: 49.9 per 100,000 peopleBrandenburg49.9Thüringen: 49.8 per 100,000 peopleThüringen49.8Schwaben: 49.6 per 100,000 peopleSchwaben49.6Tübingen: 48.8 per 100,000 peopleTübingen48.8Sachsen-Anhalt: 48.1 per 100,000 peopleSachsen-Anhalt48.1Stuttgart: 47.6 per 100,000 peopleStuttgart47.6Oberfranken: 47.2 per 100,000 peopleOberfranken47.2Mittelfranken: 46.7 per 100,000 peopleMittelfranken46.7Mecklenburg-Vorpommern: 46 per 100,000 peopleMecklenburg-Vorpommern46Karlsruhe: 45.9 per 100,000 peopleKarlsruhe45.9Gießen: 45.5 per 100,000 peopleGießen45.5Trier: 45 per 100,000 peopleTrier45Unterfranken: 44.8 per 100,000 peopleUnterfranken44.8Kassel: 44.5 per 100,000 peopleKassel44.5Koblenz: 44.1 per 100,000 peopleKoblenz44.1Saarland: 43 per 100,000 peopleSaarland43Rheinhessen-Pfalz: 43 per 100,000 peopleRheinhessen-Pfalz43Berlin: 42.3 per 100,000 peopleBerlin42.3Darmstadt: 42.2 per 100,000 peopleDarmstadt42.2Braunschweig: 40.6 per 100,000 peopleBraunschweig40.6Lüneburg: 39.7 per 100,000 peopleLüneburg39.7Köln: 38.6 per 100,000 peopleKöln38.6Bremen: 38.2 per 100,000 peopleBremen38.2Detmold: 37.7 per 100,000 peopleDetmold37.7Weser-Ems: 37.1 per 100,000 peopleWeser-Ems37.1Münster: 37.1 per 100,000 peopleMünster37.1Düsseldorf: 37 per 100,000 peopleDüsseldorf37Arnsberg: 36.8 per 100,000 peopleArnsberg36.8Hannover: 31.3 per 100,000 peopleHannover31.3Leipzig: 72.1 per 100,000 peopleLeipzig72.1Hamburg: 60.1 per 100,000 peopleHamburg60.1Chemnitz: 59.7 per 100,000 peopleChemnitz59.7Dresden: 59.2 per 100,000 peopleDresden59.2Schleswig-Holstein: 54.7 per 100,000 peopleSchleswig-Holstein54.7Freiburg: 52.2 per 100,000 peopleFreiburg52.2Oberpfalz: 51.8 per 100,000 peopleOberpfalz51.8Oberbayern: 51.3 per 100,000 peopleOberbayern51.3Niederbayern: 51.3 per 100,000 peopleNiederbayern51.3Brandenburg: 49.9 per 100,000 peopleBrandenburg49.9Thüringen: 49.8 per 100,000 peopleThüringen49.8Schwaben: 49.6 per 100,000 peopleSchwaben49.6Tübingen: 48.8 per 100,000 peopleTübingen48.8Sachsen-Anhalt: 48.1 per 100,000 peopleSachsen-Anhalt48.1Stuttgart: 47.6 per 100,000 peopleStuttgart47.6Oberfranken: 47.2 per 100,000 peopleOberfranken47.2Mittelfranken: 46.7 per 100,000 peopleMittelfranken46.7Mecklenburg-Vorpommern: 46 per 100,000 peopleMecklenburg-Vorpommern46Karlsruhe: 45.9 per 100,000 peopleKarlsruhe45.9Gießen: 45.5 per 100,000 peopleGießen45.5Trier: 45 per 100,000 peopleTrier45Unterfranken: 44.8 per 100,000 peopleUnterfranken44.8Kassel: 44.5 per 100,000 peopleKassel44.5Koblenz: 44.1 per 100,000 peopleKoblenz44.1Saarland: 43 per 100,000 peopleSaarland43Rheinhessen-Pfalz: 43 per 100,000 peopleRheinhessen-Pfalz43Berlin: 42.3 per 100,000 peopleBerlin42.3Darmstadt: 42.2 per 100,000 peopleDarmstadt42.2Braunschweig: 40.6 per 100,000 peopleBraunschweig40.6Lüneburg: 39.7 per 100,000 peopleLüneburg39.7Köln: 38.6 per 100,000 peopleKöln38.6Bremen: 38.2 per 100,000 peopleBremen38.2Detmold: 37.7 per 100,000 peopleDetmold37.7Weser-Ems: 37.1 per 100,000 peopleWeser-Ems37.1Münster: 37.1 per 100,000 peopleMünster37.1Düsseldorf: 37 per 100,000 peopleDüsseldorf37Arnsberg: 36.8 per 100,000 peopleArnsberg36.8Hannover: 31.3 per 100,000 peopleHannover31.3
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

RankRegions2019
per 100,000 people
Change on 2018
1Leipzig72.1+8.7 pts
2Hamburg60.1-1.2 pts
3Chemnitz59.7-4.4 pts
4Dresden59.2-0.9 pts
5Schleswig-Holstein54.7-2.2 pts
6Freiburg52.2-1.9 pts
7Oberpfalz51.8+5.8 pts
8Oberbayern51.3-0.4 pts
9Niederbayern51.3+3.8 pts
10Brandenburg49.9+3.5 pts
11Thüringen49.8-6.2 pts
12Schwaben49.6+3.2 pts
13Tübingen48.8-2 pts
14Sachsen-Anhalt48.1+0.4 pts
15Stuttgart47.6-1.2 pts
16Oberfranken47.2-4.4 pts
17Mittelfranken46.7-2.4 pts
18Mecklenburg-Vorpommern46-4.2 pts
19Karlsruhe45.9-0.5 pts
20Gießen45.5-1.3 pts
21Trier45+1.8 pts
22Unterfranken44.8-1.1 pts
23Kassel44.5-1 pts
24Koblenz44.1-0.1 pts
25Saarland43+2.2 pts
26Rheinhessen-Pfalz43+0.9 pts
27Berlin42.3-0.8 pts
28Darmstadt42.2-1.1 pts
29Braunschweig40.6+0.3 pts
30Lüneburg39.7-1.5 pts
31Köln38.6-3.7 pts
32Bremen38.2+5 pts
33Detmold37.7-1.9 pts
34Weser-Ems37.1+1.7 pts
35Münster37.1-1.2 pts
36Düsseldorf37+1.1 pts
37Arnsberg36.8-1.8 pts
38Hannover31.3+0.5 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. 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) (Regions of Germany (NUTS 2) by death rate from external causes (age-standardised), 2019) [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), Regions of Germany (NUTS 2) by death rate from external causes (age-standardised), 2019. 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/germany-regions?period=2019. 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). Regions of Germany (NUTS 2) by death rate from external causes (age-standardised), 2019. 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/germany-regions?period=2019.

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), Regions of Germany (NUTS 2) by death rate from external causes (age-standardised), 2019 [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/germany-regions?period=2019 (Accessed: 12 October 2026).

BibTeX
@misc{eurostat_regions_of_germany_nuts_2019,
  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): Regions of Germany (NUTS 2) by death rate from external causes (age-standardised), 2019}},
  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/germany-regions?period=2019. 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): Regions of Germany (NUTS 2) by death rate from external causes (age-standardised), 2019
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/germany-regions?period=2019
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/external-causes-death-rate/germany-regions?period=2019.
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)?

Leipzig, with 72.1 per 100,000 people in 2019, according to Eurostat, European Commission.

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

Hannover, with 31.3 per 100,000 people in 2019.

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.

Death rate from external causes (age-standardised): other rankings

Regions of Germany (NUTS 2): more rankings