UNIFIED
NATIONS

Every life matters. The work is urgent.

OUR GREAT WORK
IS NOT OVER.

Zero suicide. Zero needless suffering. Zero poverty.
Every country still has work to do.

Find the work we can do now ↓
Next death · average-rate clock10.20seconds remaining in this repeating cycle

One death every 10.2 seconds on average.

EVERY LIFE COUNTSAverage-rate illustration
Not a live report
Next suicide · average-rate clock10:54.55minutes:seconds remaining in this repeating cycle

One death every 654.55 seconds on average.

EVERY LIFE COUNTSAverage-rate illustration
Not a live report
Published average intervals; enable JavaScript for repeating countdowns.

United States · WHO 2023 · 1/1 countries. Annual totals ÷ seconds in the source year set the rate. These are illustrative averages, not real-time death reports or predictions. The death clock includes all causes, including deaths that cannot currently be prevented. Sources & calculation ↗

World dashboard / United States

North America · UN member

United StatesUSAA healthier future.

United States’s health dashboard connects the latest available evidence with a shared horizon: zero suicide, zero needless suffering, zero poverty, and longer healthy lives.

Also searchable as USA, America, United States of America, US.

North-star health score · v23.9 / 100

12/12 core measures · 2021–2024

Life expectancy78.9

Years · 2024

Healthy life expectancy64.6

Years · 2023

Indicator coverage48 / 52

Dated numerical series · 1 source-context notes.

Inspect United States’s score components

Version 2 is a deliberately demanding editorial measure of distance to the north stars, not an official WHO/UN index or the percentage of people who are healthy. Strong services cannot cancel out ongoing suicide, health loss, or extreme poverty. At least 9 of 12 core measures and all three recent zero-harm inputs are required. Missing inputs suppress the final score, rather than implying success. Health loss is a proxy broader than avoidable suffering; the $3.00/day measure covers extreme poverty, not every form of deprivation. Lower scores under this new method are a recalibration, not evidence of deterioration.

MeasureYearValueFoundation component score
Life expectancy202478.972.2
Under-five mortality20246.593.5
Maternal mortality20231796.6
Suicide mortality202115.637.5
Premature chronic-disease mortality202113.760.9
Tuberculosis incidence20243.299.4
Child stunting20223.892.4
Essential health-service coverage20238888
DTP immunization20249494
Safely managed drinking water202497.697.6
Safely managed sanitation20249797
Fine-particle air pollution2023796.4
Zero suicide

14.03 deaths per 100,000 people · 2023

Score multiplier ×0.263
Zero needless suffering

0.369 DALYs per person; health-loss proxy · 2023

Score multiplier ×0.213
Zero poverty

1.1 % below $3.00/day (2021 PPP); extreme-poverty proxy · 2024

Score multiplier ×0.82

A deliberately demanding measure of distance to the goals. Version 2 changes the method, not the underlying observations. Health loss is not all needless suffering; the poverty input measures extreme poverty. See the formula and limits ↗

Explore 52 indicators ↓The action agenda ↗

The human stakes

More life.
Less suffering.

Choose a reduction in the measured annual burden. This is a transparent scenario, not a forecast that completing a checklist will deliver it.

0%50%100% theoretical ceiling
Annual deaths avoided773.1K

Of 3.1M deaths in the covered population.

Years of life restored17M

Years lost to premature mortality (YLL).

Health loss diminished14.7M

Disability-weighted years (YLD), a health-loss measure.

Healthy life-years reclaimed31.7M

YLL + YLD = DALYs. 395.9K equivalent 80-year healthy lifetimes.

United States · 2023

WHO modeled all-cause estimates; same release and reference year. These four measures overlap and must not be added. DALYs quantify health loss, not every form of suffering. An equivalent lifetime is a unit conversion, not a person saved. All-cause deaths include deaths that cannot currently be prevented; 100% is an arithmetic ceiling.

See the calculation and its limits ↗

United States · the evidence

The trends.
The north stars.

Mint traces measured observations. Gold marks numerical goals. Lines connect available observations, which can be years apart. Non-numerical goals are explained in each card. Historical figures, model caveats and source-backed status notes stay visible. A gap is an invitation to improve measurement.

52 indicators

outcomes2024

Life expectancy

78.9 years
91.874.6GOAL 9020002024
North star

90 years of life, with health and dignity

Unified Nations aspirational north star

Expected lifespan at birth under the year’s mortality patterns.

Source, limitations & data

Period measure, not a prediction for an individual. National averages conceal inequalities.

World Bank World Development Indicators; original producers named in source metadata · SP.DYN.LE00.IN ↗

Life expectancy observations for United States
Yearyears
202478.9
202378.4
202277.4
202176.3
202077
201978.8
201878.6
201778.5
201678.5
201578.7
201478.8
201378.7
201278.7
201178.6
201078.5
200978.4
200878
200778
200677.7
200577.5
200477.5
200377
200276.9
200176.8
200076.6
burden2023

Healthy life expectancy

64.6 years
82.261GOAL 8020002023
North star

80 years lived in full health

Unified Nations aspirational north star

Expected years lived in full health at birth under current mortality and morbidity patterns.

Source, limitations & data

Modeled HALE estimates incorporate severity weights. This is not a measure of happiness or all suffering.

World Health Organization · WHOSIS_000002 ↗

Healthy life expectancy observations for United States
Yearyears
202364.6
202264
202163.2
202063.8
201965.3
201865.3
201765.2
201665.3
201565.4
201465.5
201365.6
201265.7
201165.6
201065.7
200965.5
200865.3
200765.2
200665.1
200564.9
200464.9
200364.7
200264.6
200164.5
200064.5
outcomes2024

Under-five mortality

6.5 per 1,000 live births
9.50GOAL 020002024
North star

Zero preventable child deaths

Unified Nations aspirational north star

SDG 2030: at most 25 per 1,000 · Interim target ↗

Probability of dying before age five, per 1,000 live births.

Source, limitations & data

Modeled UN inter-agency estimate. Infant and neonatal deaths are included; never add these counts.

World Bank World Development Indicators; original producers named in source metadata · SH.DYN.MORT ↗

Under-five mortality observations for United States
Yearper 1,000 live births
20246.5
20236.5
20226.5
20216.5
20206.5
20196.5
20186.5
20176.6
20166.7
20156.8
20146.8
20136.9
20127
20117.2
20107.3
20097.5
20087.6
20077.7
20067.9
20058
20048.1
20038.1
20028.2
20018.3
20008.4
outcomes2024

Infant mortality

5.5 per 1,000 live births
80GOAL 020002024
North star

Zero preventable infant deaths

Unified Nations aspirational north star

Probability of dying before age one, per 1,000 live births.

Source, limitations & data

A subset of under-five mortality; not additive with child or neonatal deaths.

World Bank World Development Indicators; original producers named in source metadata · SP.DYN.IMRT.IN ↗

Infant mortality observations for United States
Yearper 1,000 live births
20245.5
20235.5
20225.5
20215.5
20205.5
20195.5
20185.6
20175.6
20165.7
20155.8
20145.8
20135.9
20126
20116.1
20106.2
20096.4
20086.5
20076.6
20066.7
20056.8
20046.8
20036.9
20027
20017
20007.1
outcomes2024

Neonatal mortality

3.7 per 1,000 live births
5.30GOAL 020002024
North star

Zero preventable newborn deaths

Unified Nations aspirational north star

SDG 2030: at most 12 per 1,000 · Interim target ↗

Deaths in the first 28 days of life per 1,000 live births.

Source, limitations & data

A subset of infant and under-five mortality; these are overlapping categories.

World Bank World Development Indicators; original producers named in source metadata · SH.DYN.NMRT ↗

Neonatal mortality observations for United States
Yearper 1,000 live births
20243.7
20233.6
20223.5
20213.5
20203.6
20193.7
20183.8
20173.8
20163.8
20153.9
20144
20134
20124.1
20114.1
20104.1
20094.1
20084.2
20074.3
20064.4
20054.5
20044.5
20034.6
20024.7
20014.7
20004.6
outcomes2023

Maternal mortality

17 per 100,000 live births
350GOAL 020002023
North star

Zero preventable maternal deaths

Unified Nations aspirational north star

SDG 2030 global ratio: below 70 · Interim target ↗

Maternal deaths per 100,000 live births.

Source, limitations & data

Modeled estimate with uncertainty. The denominator is births, not total population.

World Bank World Development Indicators; original producers named in source metadata · SH.STA.MMRT ↗

Maternal mortality observations for United States
Yearper 100,000 live births
202317
202220
202131
202022
201918
201818
201718
201618
201517
201417
201316
201216
201115
201015
200915
200814
200713
200613
200513
200413
200313
200213
200113
200012
outcomes2021

Suicide mortality

15.6 per 100,000 people
17.70GOAL 020002021
North star

Zero suicide deaths

Unified Nations aspirational north star

Estimated suicide deaths in a year per 100,000 population.

Source, limitations & data

WHO modeled crude rate, not age-standardized. Reporting and classification differ; lower reported rates can reflect undercounting.

World Bank World Development Indicators; original producers named in source metadata · SH.STA.SUIC.P5 ↗

Suicide mortality observations for United States
Yearper 100,000 people
202115.6
202015
201915.1
201815.4
201715.2
201614.6
201514.4
201414.1
201313.7
201213.7
201113.4
201013.2
200912.8
200812.7
200712.3
200612
200511.8
200411.9
200311.8
200211.9
200111.6
200011.2
outcomes2019

Road-traffic mortality

12.7 per 100,000 people
18.30GOAL 020002019
North star

Zero deaths and serious injuries on the roads

Unified Nations aspirational north star

Estimated annual deaths from road-traffic injuries per 100,000 population.

Source, limitations & data

Population-based WHO rate, not deaths per distance travelled.

World Bank World Development Indicators; original producers named in source metadata · SH.STA.TRAF.P5 ↗

Road-traffic mortality observations for United States
Yearper 100,000 people
201912.7
201812.6
201712.8
201612.9
201512.1
201411.3
201311.4
201211.9
201111.6
201011.7
200912.1
200813.4
200714.9
200615.6
200515.7
200415.8
200316
200216.2
200115.7
200015.7
outcomes2023

Intentional homicide

5.8 per 100,000 people
7.70GOAL 020002023
North star

Zero intentional homicides

Unified Nations aspirational north star

Victims of intentional homicide per 100,000 people.

Source, limitations & data

UNODC-based estimates. Reporting and conflict-death definitions vary.

World Bank World Development Indicators; original producers named in source metadata · VC.IHR.PSRC.P5 ↗

Intentional homicide observations for United States
Yearper 100,000 people
20235.8
20226.5
20216.8
20206.4
20194.9
20184.9
20175.2
20165.3
20154.9
20144.4
20134.5
20124.7
20114.7
20104.7
20095
20085.4
20075.7
20065.8
20025.7
20016.7
20005.5
outcomes2021

Premature chronic-disease mortality

13.7 % probability ages 30–70
20.10GOAL 020002021
North star

End avoidable premature deaths from major chronic diseases

Unified Nations aspirational north star

Probability of dying between ages 30 and 70 from cardiovascular disease, cancer, diabetes or chronic respiratory disease.

Source, limitations & data

Not a death rate or all chronic diseases. Cannot multiply by population to produce annual deaths.

World Bank World Development Indicators; original producers named in source metadata · SH.DYN.NCOM.ZS ↗

Premature chronic-disease mortality observations for United States
Year% probability ages 30–70
202113.7
202013.6
201913.2
201813.5
201713.7
201613.9
201514
201413.9
201314
201214.2
201114.3
201014.5
200914.8
200815.1
200715.2
200615.6
200516
200416.3
200316.9
200217.2
200117.4
200017.8
burden2023

Healthy life-years lost

126,703,363 healthy life-years
153.7M0GOAL 020002023
North star

Minimize avoidable health loss; zero is an aspirational horizon

Unified Nations aspirational north star

DALYs combine years lost to premature mortality and severity-weighted years of nonfatal health loss.

Source, limitations & data

DALY = YLL + YLD. A burden baseline, not proof that all loss can be avoided; not an estimate of all human suffering.

World Health Organization, Global Health Estimates 2023 (2026 release) · GHE 2023 ↗

Healthy life-years lost observations for United States
Yearhealthy life-years
2023126,703,363
2022130,451,053
2021136,037,599
2020129,897,873
2019116,120,770
2015109,614,867
2010100,562,476
200093,904,568
burden2023

Life-years lost to premature death

67,837,564 life-years
89M0GOAL 020002023
North star

Minimize avoidable health loss; zero is an aspirational horizon

Unified Nations aspirational north star

WHO years of life lost (YLL) relative to its reference life table.

Source, limitations & data

Different from number of people dying; one death can account for many life-years.

World Health Organization, Global Health Estimates 2023 (2026 release) · GHE 2023 ↗

Life-years lost to premature death observations for United States
Yearlife-years
202367,837,564
202272,583,537
202178,744,297
202073,757,149
201962,103,086
201559,127,417
201054,324,548
200053,756,602
burden2023

Years of nonfatal health loss

58,865,799 healthy life-years
66.5M0GOAL 020002023
North star

Minimize avoidable health loss; zero is an aspirational horizon

Unified Nations aspirational north star

Severity-weighted years lived with disease or disability (YLD), adjusted for comorbidity by the source.

Source, limitations & data

A health-loss proxy, not a valuation of people with disabilities or a direct measure of distress, poverty, or all suffering.

World Health Organization, Global Health Estimates 2023 (2026 release) · GHE 2023 ↗

Years of nonfatal health loss observations for United States
Yearhealthy life-years
202358,865,799
202257,867,516
202157,293,302
202056,140,724
201954,017,684
201550,487,449
201046,237,928
200040,147,966
outcomes2023

All-cause deaths

3,092,432 deaths
3.6M2.3M20002023
North star

Prevent avoidable deaths and extend healthy life

Contextual north star; no universal numerical optimum

WHO estimated all-cause deaths in the reference year.

Source, limitations & data

Deaths are a baseline; no programme can be assumed to eliminate all mortality.

World Health Organization, Global Health Estimates 2023 (2026 release) · GHE 2023 ↗

All-cause deaths observations for United States
Yeardeaths
20233,092,432
20223,281,487
20213,465,957
20203,385,257
20192,856,265
20152,714,082
20102,470,954
20002,404,343
outcomes2023

Suicide deaths

48,180 deaths
55.4K0GOAL 020002023
North star

Zero suicide deaths

Unified Nations aspirational north star

WHO estimated deaths from intentional self-harm, both sexes and all ages.

Source, limitations & data

Modeled cause-specific estimate; reporting and classification can undercount suicide. Included in all-cause deaths; never add it again.

World Health Organization, Global Health Estimates 2023 (2026 release) · GHE 2023 ↗

Suicide deaths observations for United States
Yeardeaths
202348,180
202245,981
202143,576
202043,210
201948,992
201545,590
201039,796
200030,655
burden2023

Depressive-disorder health loss

2,967,850 healthy life-years
3.4M0GOAL 020002023
North star

Minimize avoidable health loss; zero is an aspirational horizon

Unified Nations aspirational north star

WHO severity-weighted years of nonfatal health loss from depressive disorders.

Source, limitations & data

Modeled YLD, not case counts or direct distress. Included in total YLD; do not add to the all-cause total.

World Health Organization, Global Health Estimates 2023 (2026 release) · GHE 2023 ↗

Depressive-disorder health loss observations for United States
Yearhealthy life-years
20232,967,850
20222,836,385
20212,920,159
20202,946,207
20192,431,881
20152,380,004
20102,239,382
20001,743,664
burden2023

Anxiety-disorder health loss

2,978,480 healthy life-years
3.4M0GOAL 020002023
North star

Minimize avoidable health loss; zero is an aspirational horizon

Unified Nations aspirational north star

WHO severity-weighted years of nonfatal health loss from anxiety disorders.

Source, limitations & data

Modeled YLD, not case counts. Included in total YLD; do not add to the all-cause total.

World Health Organization, Global Health Estimates 2023 (2026 release) · GHE 2023 ↗

Anxiety-disorder health loss observations for United States
Yearhealthy life-years
20232,978,480
20222,580,977
20212,492,601
20202,467,092
20192,010,969
20151,977,794
20102,036,759
20002,205,507
burden2023

Alcohol-disorder health loss

935,426 healthy life-years
1.1M0GOAL 020002023
North star

Minimize avoidable health loss; zero is an aspirational horizon

Unified Nations aspirational north star

WHO severity-weighted years of nonfatal health loss from alcohol use disorders.

Source, limitations & data

Modeled YLD. Alcohol-related injuries and other disease burdens sit in other categories; included in total YLD.

World Health Organization, Global Health Estimates 2023 (2026 release) · GHE 2023 ↗

Alcohol-disorder health loss observations for United States
Yearhealthy life-years
2023935,426
2022927,470
2021873,662
2020825,015
2019823,591
2015807,477
2010762,544
2000659,355
burden2023

Drug-disorder health loss

3,467,126 healthy life-years
3.9M0GOAL 020002023
North star

Minimize avoidable health loss; zero is an aspirational horizon

Unified Nations aspirational north star

WHO severity-weighted years of nonfatal health loss from drug use disorders.

Source, limitations & data

Modeled YLD, not overdose deaths. Included in total YLD; do not add to the all-cause total.

World Health Organization, Global Health Estimates 2023 (2026 release) · GHE 2023 ↗

Drug-disorder health loss observations for United States
Yearhealthy life-years
20233,467,126
20223,460,431
20213,400,428
20203,301,518
20193,153,665
20152,153,387
20101,370,770
2000824,459
disease2024

Tuberculosis incidence

3.2 per 100,000 people
8.70GOAL 020002024
North star

End tuberculosis

Unified Nations aspirational north star

Estimated new and relapsed tuberculosis cases per 100,000 population.

Source, limitations & data

WHO modeled incidence includes uncertainty; not the number of reported diagnoses.

World Bank World Development Indicators; original producers named in source metadata · SH.TBS.INCD ↗

Tuberculosis incidence observations for United States
Yearper 100,000 people
20243.2
20233.1
20222.6
20212.6
20202.4
20192.9
20183
20173
20163.1
20153.3
20143.3
20133.4
20123.8
20114.1
20104.4
20094.6
20085.2
20075.5
20065.8
20056
20046.3
20036.6
20026.8
20017.4
20007.7
diseaseDATA GAP

New HIV infections

— per 1,000 uninfected ages 15–49
○

No matching rate for uninfected adults ages 15–49 was found. All-age rates and reported diagnoses use different measures.

North star

Zero new HIV infections

Unified Nations aspirational north star

New HIV infections among uninfected adults ages 15–49.

Source, limitations & data

Denominator is uninfected adults in this age group, not the whole population.

World Bank World Development Indicators; original producers named in source metadata · SH.HIV.INCD.ZS ↗

Coverage reviewed 2026-10-06. See the source audit and remaining gaps ↗

New HIV infections observations for United States
Yearper 1,000 uninfected ages 15–49
diseaseSOURCE CONTEXT

Malaria incidence

— per 1,000 at risk
○

No applicable national at-risk incidence rate was found. Non-relevant source zeros and malaria-free status are not treated as numerical incidence estimates.

North star

End malaria

Unified Nations aspirational north star

Estimated new malaria cases per 1,000 people at risk.

Source, limitations & data

At-risk population differs from total population. No observation is not zero or proof of elimination.

World Bank World Development Indicators; original producers named in source metadata · SH.MLR.INCD.P3 ↗

Coverage reviewed 2026-10-06. See the source audit and remaining gaps ↗

Malaria incidence observations for United States
Yearper 1,000 at risk
disease2024

Diabetes prevalence

13.7 % ages 20–79
14.38.820112024
North star

Prevent avoidable diabetes and support everyone living with it

Contextual north star; no universal numerical optimum

Share of adults ages 20–79 living with diabetes.

Source, limitations & data

A modeled prevalence estimate; diagnosis, treatment, and control matter alongside prevention.

World Bank World Development Indicators; original producers named in source metadata · SH.STA.DIAB.ZS ↗

Diabetes prevalence observations for United States
Year% ages 20–79
202413.7
20119.4
disease2024

Tobacco use

15.8 % adults 15+
43.60GOAL 020002024
North star

A tobacco-free future

Unified Nations aspirational north star

Age-standardized prevalence of current tobacco use in adults.

Source, limitations & data

Includes smoked and smokeless tobacco as defined by the source; a modeled estimate.

World Bank World Development Indicators; original producers named in source metadata · SH.PRV.SMOK ↗

Tobacco use observations for United States
Year% adults 15+
202415.8
202316.4
202217
202018.3
201522
201026.5
200729.7
200531.9
200038.6
disease2020

Alcohol consumption

9.9 litres pure alcohol per adult 15+
108.920002020
North star

Minimize alcohol-related harm

Contextual north star; no universal numerical optimum

Annual total alcohol consumption per person age 15+.

Source, limitations & data

WHO modeled/projected estimate includes recorded and estimated unrecorded consumption, adjusted for tourism; not a measure of distribution or dependence.

World Bank World Development Indicators; original producers named in source metadata · SH.ALC.PCAP.LI ↗

Alcohol consumption observations for United States
Yearlitres pure alcohol per adult 15+
20209.9
20199.6
20189.6
20179.6
20169.5
20159.5
20149.5
20139.5
20129.5
20119.4
20109.3
20099.4
20089.4
20079.4
20069.4
20059.3
20049.2
20039.2
20029.1
20019.1
20009.1
disease2022

Child stunting

3.8 % children under 5
4.30GOAL 020002022
North star

Zero child stunting

Unified Nations aspirational north star

Children under five with low height for age relative to the WHO growth standard.

Source, limitations & data

Survey and modeled series vary; reflects cumulative deprivation, not every cause of poor nutrition.

World Bank World Development Indicators; original producers named in source metadata · SH.STA.STNT.ZS ↗

Child stunting observations for United States
Year% children under 5
20223.8
20183.4
20163.5
20142.4
20122.2
20102.8
20082.3
20063.1
20042.9
20023.1
20003.2
disease2022

Child wasting

0.1 % children under 5
10GOAL 020002022
North star

Zero child wasting

Unified Nations aspirational north star

Children under five with low weight for height relative to the WHO growth standard.

Source, limitations & data

Sparse household surveys; a national observation can miss local or seasonal emergencies.

World Bank World Development Indicators; original producers named in source metadata · SH.STA.WAST.ZS ↗

Child wasting observations for United States
Year% children under 5
20220.1
20180.1
20160.4
20140.3
20120.3
20100.1
20080.6
20060.9
20040.7
20020.3
20000.5
disease2023

Undernourishment

2.5 % of population
2.80GOAL 020012023
North star

Zero hunger

Unified Nations aspirational north star

Share of people with insufficient dietary energy intake.

Source, limitations & data

FAO modeled estimate; values below 2.5% may be censored in source presentation.

World Bank World Development Indicators; original producers named in source metadata · SN.ITK.DEFC.ZS ↗

Undernourishment observations for United States
Year% of population
20232.5
20222.5
20212.5
20202.5
20192.5
20182.5
20172.5
20162.5
20152.5
20142.5
20132.5
20122.5
20112.5
20102.5
20092.5
20082.5
20072.5
20062.5
20052.5
20042.5
20032.5
20022.5
20012.5
care2023

Essential health-service coverage

88 index 0–100
102.776.3GOAL 10020002023
North star

Universal access to essential health services

Unified Nations aspirational north star

Universal health coverage service coverage index across essential health services.

Source, limitations & data

A tracer-service index, not a claim that every person receives care or financial protection.

World Bank World Development Indicators; original producers named in source metadata · SH_UHC_SCI ↗

Essential health-service coverage observations for United States
Yearindex 0–100
202388
202288
202187
202087
201987
201887
201787
201687
201587
201486
201386
201286
201185
201084
200984
200883
200783
200683
200582
200481
200381
200280
200179
200079
care2024

DTP immunization

94 % children ages 12–23 months
100.992.1GOAL 10020002024
North star

Every child protected by routine vaccination

Unified Nations aspirational north star

Share of children ages 12–23 months receiving three doses of DTP vaccine.

Source, limitations & data

Coverage does not measure every vaccine, timeliness, or equitable access.

World Bank World Development Indicators; original producers named in source metadata · SH.IMM.IDPT ↗

DTP immunization observations for United States
Year% children ages 12–23 months
202494
202394
202294
202194
202093
201994
201894
201794
201695
201595
201495
201394
201294
201196
201095
200995
200896
200796
200696
200596
200496
200396
200294
200194
200094
care2024

Measles immunization

92 % children ages 12–23 months
101.388.7GOAL 10020002024
North star

Every child protected against measles

Unified Nations aspirational north star

Share of children ages 12–23 months receiving a measles vaccine.

Source, limitations & data

One vaccine-dose indicator, not proof of community immunity or complete schedules.

World Bank World Development Indicators; original producers named in source metadata · SH.IMM.MEAS ↗

Measles immunization observations for United States
Year% children ages 12–23 months
202492
202392
202292
202192
202091
201990
201892
201791
201692
201592
201492
201392
201291
201192
201092
200990
200892
200792
200692
200592
200493
200393
200291
200191
200091
care2020

Skilled birth attendance

99.1 % of births
100.298.3GOAL 10020002020
North star

Every birth supported by skilled, respectful care

Unified Nations aspirational north star

Births attended by skilled health personnel.

Source, limitations & data

Presence of a skilled attendant does not establish quality, emergency access, or respectful care.

World Bank World Development Indicators; original producers named in source metadata · SH.STA.BRTC.ZS ↗

Skilled birth attendance observations for United States
Year% of births
202099.1
201999
201899.1
201799.1
201699.1
201599.1
201498.5
201399.2
201299.3
201199.3
201099.4
200999.3
200899.3
200799.3
200699.4
200599.4
200499.3
200399.3
200299.5
200199.4
200099.4
care2024

Adolescent birth rate

12.4 births per 1,000 women ages 15–19
52.17.920002024
North star

Prevent unintended adolescent pregnancy and support young parents

Contextual north star; no universal numerical optimum

Births per 1,000 women ages 15–19.

Source, limitations & data

Births alone do not establish intention or agency; reproductive choice and access to care matter.

World Bank World Development Indicators; original producers named in source metadata · SP.ADO.TFRT ↗

Adolescent birth rate observations for United States
Yearbirths per 1,000 women ages 15–19
202412.4
202313.1
202213.6
202113.7
202014.7
201916.2
201817.2
201718.5
201620.1
201522
201424.2
201326.5
201229.4
201131.7
201034.9
200938.1
200840.1
200740.8
200640.3
200539.5
200440.2
200341
200242.6
200145
200047.5
care2023

Current health expenditure

16.7 % of GDP
19.311.720002023
North star

Affordable, effective care with fair financial protection

Contextual north star; no universal numerical optimum

Current health expenditure as a share of GDP.

Source, limitations & data

More spending is not automatically better outcomes; excludes capital expenditure.

World Bank World Development Indicators; original producers named in source metadata · SH.XPD.CHEX.GD.ZS ↗

Current health expenditure observations for United States
Year% of GDP
202316.7
202216.5
202117.4
202018.5
201916.5
201816.5
201716.6
201616.7
201516.4
201416.1
201316
201216.1
201116.1
201016.2
200916.2
200815.2
200714.9
200614.7
200514.6
200414.6
200314.5
200214
200113.2
200012.5
care2023

Out-of-pocket health costs

10.9 % of health expenditure
15.89.420002023
North star

No one pushed into hardship by the cost of care

Contextual north star; no universal numerical optimum

Out-of-pocket spending as a share of current health expenditure.

Source, limitations & data

Not the share of household income spent on health, and not a direct catastrophic-spending measure.

World Bank World Development Indicators; original producers named in source metadata · SH.XPD.OOPC.CH.ZS ↗

Out-of-pocket health costs observations for United States
Year% of health expenditure
202310.9
202211
202110.7
202010.1
201911.3
201811.3
201711.3
201611.6
201511.8
201412
201312.3
201212.3
201112.3
201012.4
200912.6
200813.4
200713.6
200613.7
200513.9
200414
200314.2
200214.3
200114.4
200015.1
care2022

Physician availability

3.7 per 1,000 people
3.82.420002022
North star

Timely access to qualified health professionals

Contextual north star; no universal numerical optimum

Number of physicians per 1,000 population.

Source, limitations & data

Counts can combine practicing or registered staff depending on country; distribution and quality matter.

World Bank World Development Indicators; original producers named in source metadata · SH.MED.PHYS.ZS ↗

Physician availability observations for United States
Yearper 1,000 people
20223.7
20213.6
20203.5
20193.5
20182.5
20042.7
20002.6
care2022

Nurses & midwives

13.4 per 1,000 people
13.89.720002022
North star

Adequate nursing and midwifery care everywhere

Contextual north star; no universal numerical optimum

Nursing and midwifery personnel per 1,000 population.

Source, limitations & data

Country reporting and occupational coverage differ; national density conceals shortages.

World Bank World Development Indicators; original producers named in source metadata · SH.MED.NUMW.P3 ↗

Nurses & midwives observations for United States
Yearper 1,000 people
202213.4
202113
202012.3
201913
201811.6
201711.6
201611.5
201511.2
201411.1
201311
201211
201111
201010.9
200910.8
200810.7
200710.6
200610.5
200510.4
200410.3
200310.1
200210.2
200110.2
200010.2
environment2024

Safely managed drinking water

97.6 % of population
100.694.8GOAL 10020052024
North star

Safe drinking water for everyone

Unified Nations aspirational north star

People using drinking water that is on premises, available when needed, and free from contamination.

Source, limitations & data

WHO/UNICEF JMP estimate. Missing safely managed data must not be substituted silently with basic access.

World Bank World Development Indicators; original producers named in source metadata · SH.H2O.SMDW.ZS ↗

Safely managed drinking water observations for United States
Year% of population
202497.6
202397.6
202297.5
202197.3
202097.2
201997
201896.9
201796.7
201696.5
201596.4
201496.2
201396.1
201295.9
201195.7
201095.6
200995.4
200895.4
200795.4
200695.4
200595.4
environment2024

Safely managed sanitation

97 % of population
100.496.2GOAL 10020002024
North star

Safe sanitation for everyone

Unified Nations aspirational north star

People using improved, unshared sanitation with safe disposal or treatment of excreta.

Source, limitations & data

WHO/UNICEF JMP estimate. Basic sanitation is a separate, less stringent measure.

World Bank World Development Indicators; original producers named in source metadata · SH.STA.SMSS.ZS ↗

Safely managed sanitation observations for United States
Year% of population
202497
202397
202297
202197
202097
201996.9
201896.9
201796.9
201696.9
201596.9
201496.9
201396.9
201296.9
201196.9
201096.9
200996.9
200896.9
200796.9
200696.8
200596.8
200496.8
200396.7
200296.7
200196.7
200096.7
environmentDATA GAP

Handwashing facilities

— % of population
○

No national estimate meeting this definition was found. Basic access, urban-only and rural-only coverage are separate measures.

North star

Soap, water, and hygiene access for everyone

Unified Nations aspirational north star

People with a handwashing facility with soap and water at home.

Source, limitations & data

Limited survey coverage; presence does not establish consistent use.

World Bank World Development Indicators; original producers named in source metadata · SH.STA.HYGN.ZS ↗

Coverage reviewed 2026-10-06. See the source audit and remaining gaps ↗

Handwashing facilities observations for United States
Year% of population
environment2023

Fine-particle air pollution

7 µg/m³
15.73.8GOAL 520002023
North star

WHO guideline: annual PM2.5 at most 5 µg/m³

WHO air-quality guideline · Target source ↗

Population-weighted annual mean exposure to fine particulate matter (PM2.5).

Source, limitations & data

Modeled national exposure. Local hotspots and personal exposure differ.

World Bank World Development Indicators; original producers named in source metadata · EN.ATM.PM25.MC.M3 ↗

Fine-particle air pollution observations for United States
Yearµg/m³
20237
20227.4
20218.2
20207.7
20197.3
20187.8
20177.7
20167.4
20158.1
20148.4
20138.4
20128.7
20119.4
20109.3
20099.4
200810.3
200710.9
200611.7
200513.3
200412.6
200313.3
200213.6
200113.7
200014.5
environment2023

Clean cooking access

100 % of population
106.393.4GOAL 10020002023
North star

Clean cooking without harmful household smoke

Unified Nations aspirational north star

People with access to clean fuels and technologies for cooking.

Source, limitations & data

Primary reliance as defined by WHO; access does not guarantee affordability or exclusive use.

World Bank World Development Indicators; original producers named in source metadata · EG.CFT.ACCS.ZS ↗

Clean cooking access observations for United States
Year% of population
2023100
2022100
2021100
2020100
2019100
2018100
2017100
2016100
2015100
2014100
2013100
2012100
2011100
2010100
2009100
2008100
2007100
2006100
2005100
2004100
2003100
2002100
2001100
2000100
environment2024

Electricity access

100 % of population
106.393.4GOAL 10020002024
North star

Reliable, affordable electricity for everyone

Unified Nations aspirational north star

Share of people with access to electricity.

Source, limitations & data

Connection alone does not measure reliability, affordability or clean generation.

World Bank World Development Indicators; original producers named in source metadata · EG.ELC.ACCS.ZS ↗

Electricity access observations for United States
Year% of population
2024100
2023100
2022100
2021100
2020100
2019100
2018100
2017100
2016100
2015100
2014100
2013100
2012100
2011100
2010100
2009100
2008100
2007100
2006100
2005100
2004100
2003100
2002100
2001100
2000100
opportunity2024

Extreme poverty

1.1 % of population
1.60GOAL 020002024
North star

Zero extreme poverty

Unified Nations aspirational north star

People living on less than $3.00 a day at 2021 purchasing-power-parity prices.

Source, limitations & data

Survey-based; line and PPP base change across releases. The source metadata gives the exact current definition.

World Bank World Development Indicators; original producers named in source metadata · SI.POV.DDAY ↗

Extreme poverty observations for United States
Year% of population
20241.1
20231.2
20221.4
20210.3
20200.4
20191
20181.1
20171.3
20161.2
20151.2
20141.3
20131.1
20121.1
20111.1
20101.1
20091
20081.1
20071
20061.1
20051
20041.1
20031
20020.9
20010.9
20000.8
opportunity2025

Unemployment

4.2 % of labor force
10.42.920002025
North star

Decent work for everyone who wants it

Contextual north star; no universal numerical optimum

People without work who are available and seeking work; ILO modeled estimate.

Source, limitations & data

Excludes people outside the labor force and does not establish job quality.

World Bank World Development Indicators; original producers named in source metadata · SL.UEM.TOTL.ZS ↗

Unemployment observations for United States
Year% of labor force
20254.2
20244
20233.6
20223.7
20215.3
20208.1
20193.7
20183.9
20174.4
20164.9
20155.3
20146.2
20137.4
20128.1
20118.9
20109.6
20099.3
20085.8
20074.6
20064.6
20055.1
20045.5
20036
20025.8
20014.7
20004
opportunity2025

Employment-to-population ratio

59.1 % ages 15+
64.455.720002025
North star

Dignified, fairly paid work and genuine choice

Contextual north star; no universal numerical optimum

Share of people age 15+ who are employed; ILO modeled estimate.

Source, limitations & data

Age structure, education and unpaid care affect the rate. 100% employment is not an appropriate universal goal.

World Bank World Development Indicators; original producers named in source metadata · SL.EMP.TOTL.SP.ZS ↗

Employment-to-population ratio observations for United States
Year% ages 15+
202559.1
202459.5
202359.8
202259.5
202158.2
202056.6
201960.5
201860.2
201759.8
201659.4
201559
201458.6
201358.1
201258
201157.6
201057.6
200958.4
200861.2
200762
200662.2
200561.7
200461.4
200361.3
200261.8
200162.7
200063.5
opportunity2025

Income per person

76,931 international dollars, constant 2021 PPP
79.8K52.2K20002025
North star

Shared prosperity within ecological limits

Contextual north star; no universal numerical optimum

GDP per person adjusted for purchasing power and inflation.

Source, limitations & data

Not household income, wealth or wellbeing; the current PPP base is specified in source metadata.

World Bank World Development Indicators; original producers named in source metadata · NY.GDP.PCAP.PP.KD ↗

Income per person observations for United States
Yearinternational dollars, constant 2021 PPP
202576,931
202475,698
202374,352
202272,829
202171,441
202067,407
201969,121
201867,728
201766,164
201665,026
201564,368
201463,027
201361,967
201261,142
201160,253
201059,797
200958,722
200860,806
200761,314
200660,684
200559,612
200458,139
200356,505
200255,443
200155,024
200055,046
opportunity2024

Income inequality

41.8 Gini index 0–100
42.239.420002024
North star

Fair opportunity and less harmful inequality

Contextual north star; no universal numerical optimum

Distribution of income or consumption within a country.

Source, limitations & data

Income and consumption surveys are not interchangeable; sparse survey years are shown honestly.

World Bank World Development Indicators; original producers named in source metadata · SI.POV.GINI ↗

Income inequality observations for United States
YearGini index 0–100
202441.8
202341.8
202241.7
202139.7
202040
201941.9
201841.8
201741.4
201641.3
201541.5
201441.7
201340.9
201241.2
201141.2
201040.2
200940.9
200841.1
200741.1
200641.7
200541.3
200440.5
200340.8
200240.4
200140.6
200040.1
opportunity2022

Primary-school completion

95.7 % of relevant age group
101.895GOAL 10020172022
North star

Every child completes quality primary education

Unified Nations aspirational north star

Completion rate for primary education.

Source, limitations & data

Gross enrollment-based ratios can exceed 100%; completion does not directly measure learning.

World Bank World Development Indicators; original producers named in source metadata · SE.PRM.CMPT.ZS ↗

Primary-school completion observations for United States
Year% of relevant age group
202295.7
2021101.1
2020100.9
2019100.5
2018100.1
201798.8
opportunityDATA GAP

Adult literacy

— % adults 15+
○

No national rate for all adults ages 15+ was found. Youth-only, female-only and reading-proficiency tests are different measures.

North star

Literacy for every adult

Unified Nations aspirational north star

Adults who can read and write a short simple statement about everyday life.

Source, limitations & data

Sparse census or survey observations; national definitions and self-report can vary.

World Bank World Development Indicators; original producers named in source metadata · SE.ADT.LITR.ZS ↗

Coverage reviewed 2026-10-06. See the source audit and remaining gaps ↗

Adult literacy observations for United States
Year% adults 15+
opportunity2024

Internet use

94.7 % of population
107.435.7GOAL 10020002024
North star

Meaningful digital access for everyone

Unified Nations aspirational north star

People using the internet.

Source, limitations & data

Access does not establish affordability, safety, speed or digital literacy.

World Bank World Development Indicators; original producers named in source metadata · IT.NET.USER.ZS ↗

Internet use observations for United States
Year% of population
202494.7
202393.5
202292.7
202191.3
202090.3
201989.4
201888.5
201787.3
201685.5
201574.6
201473
201371.4
201274.7
201169.7
201071.7
200971
200874
200775
200668.9
200568
200464.8
200361.7
200258.8
200149.1
200043.1
opportunity2022

Birth registration

100 % children under 5
106.393.4GOAL 10020092022
North star

Every child counted and legally recognized

Unified Nations aspirational north star

Children under five whose births have been registered with a civil authority.

Source, limitations & data

Survey or administrative coverage may differ; registration does not establish complete vital statistics.

World Bank World Development Indicators; original producers named in source metadata · SP.REG.BRTH.ZS ↗

Birth registration observations for United States
Year% children under 5
2022100
2017100
2013100
2009100

A starting agenda for United States

Turn the goals
into work.

This is a public-health agenda to adapt with local communities and professionals. Completion alone does not establish a quantified effect.

Prevent avoidable deaths

Protect life at every stage.

  • Expand timely, respectful maternal and newborn care.
  • Close gaps in routine vaccination and disease prevention.
  • Strengthen suicide prevention, mental-health care, and follow-up.
  • Reduce road injuries, violence, and avoidable chronic-disease deaths.
WHO suicide-prevention evidence ↗
Reduce health loss

Make effective care reachable.

  • Improve access to primary care and essential medicines.
  • Detect and treat disease earlier.
  • Provide rehabilitation, pain relief, and disability support.
  • Protect households from harmful health-care costs.
WHO universal health coverage ↗
Build healthy conditions

Support the foundations of life.

  • Deliver safe water, sanitation, hygiene, and clean cooking.
  • Reduce harmful air pollution and child malnutrition.
  • Expand quality education, decent work, and social protection.
  • Publish results and identify who is still being left behind.
International development goals ↗

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