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New record of 123 Georgia counties reported more deaths than births in 2021; statewide gap between births and deaths narrowest on record

The number of Georgia counties recording more deaths than births jumped again in 2021, due largely to a rising death toll that owed primarily to a combination of Covid-19 fatalities and lethal drug overdoses, according to data published Friday by the Georgia Department of Public Health (DPH).

The total number of Georgia’s 159 counties reporting more deaths than births rose to 123, up from 118 in 2020. That continued a trend that started about a decade ago. Up until 2010, the number of counties reporting more deaths than births had never reached 20, but since then — with a couple of exceptions — that number has climbed steadily. Pre-Covid, it appeared to have peaked at just under 80 counties in 2018 and ’19, then jumped to 118 in 2020, the first Covid year.

Statewide, the difference in the number of births and deaths narrowed to 11,618, the smallest gap ever recorded by DPH, as the chart at right illustrates. The total number of births actually ticked up slightly, but that gain was more than wiped out by the much bigger increase in deaths.

That gain took place almost entirely in TIGC’s Metro Atlanta region and on the Georgia coast, as this table shows.

Net Births by TIGC Region: 2019-2021
 201920202021
Metro Atlanta29,09221,05018,889
Coastal Georgia3,0991,9261,269
Middle Georgia3,734-787-2,881
North Georgia3,129-1,316-2,996
South Georgia1,555-1,608-2,693
Totals40,60919,26511,618
This table shows the difference between births and deaths for all five Trouble in God’s Country regions for the past three years. That difference has shrunk across the state, and a combination of Covid-19 and drug overdoses produced more deaths than births in predominantly rural areas of Middle, North, and South Georgia starting in 2019. The net gain in births was cut in half from 2019 to 2020, then nearly in half again in 2021. (Data Source: Georgia Department of Public Health)

While the counties reporting more deaths than births were mostly sparsely-populated rural counties, more than a half-dozen significant regional counties suffered more net deaths. Floyd and Walker counties, neighbors in northwest Georgia, reported the largest numbers of net deaths, 374 and 303, respectively. Other important regional population centers reporting more deaths than births included Bibb County (280), Glynn (261), Laurens (211), Thomas (192), and Dougherty (99).

Covid-19 claimed 15,790 Georgia lives in 2021, 14 percent of the state’s total deaths and an increase of 67.2 percent over 2020’s Covid death toll of 9,406. Fatal drug overdoses totaled 2,390, a 25.3 percent increase over 2020 and a 72 percent increase over 2019.

(c) Copyright Trouble in God’s Country 2022

One Comment Post a comment
  1. Bill Hendrick #

    Great story, Challie.

    August 15, 2022

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