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Health in District of Columbia, United States: official figures

Life expectancy at birth in the District of Columbia was 76.6 years in 2022, 20th shortest among the 50 states and DC (U.S.: 77.5 years), according to NCHS state life tables.

Life expectancy at birth
76.6 years
2022
Infant deaths per 1,000 live births
6.04
2024
Drug overdose deaths per 100,000
43.2
2024
Suicides per 100,000
5.7
2024
People without health insurance
4.5%
2024
Medicaid and CHIP enrollment
237,170
June 2026
Adults with obesity
25.5%
2024

How long do men and women live in the District of Columbia?

Women in the District of Columbia could expect to live 79.6 years and men 73.3 years at 2022 death rates, a gap of 6.3 years (U.S.: 80.2 for women, 74.8 for men).

Source: National Center for Health Statistics (CDC) · saved copy

Is life expectancy in the District of Columbia going up?

Life expectancy in the District of Columbia was 75.3 years in 2021, so the 2022 figure is up 1.3 years; nationally it rose from 76.4 to 77.5 years.

Source: National Center for Health Statistics (CDC) · saved copy

How long do people live after 65 in the District of Columbia?

A 65-year-old in the District of Columbia could expect to live another 18.7 years in 2022 (20.2 for women, 16.9 for men); 25th longest among the 50 states and DC (U.S.: 18.9).

Source: National Center for Health Statistics (CDC) · saved copy

What is the infant mortality rate in the District of Columbia?

46 babies died before their first birthday in the District of Columbia in 2024, an infant mortality rate of 6.04 per 1,000 live births; 20th highest among the 50 states and DC. In 2019 the rate was 4.96 (45 deaths).

Source: National Center for Health Statistics (CDC) · saved copy

How many people die of drug overdoses in the District of Columbia?

315 people died of drug overdoses in the District of Columbia in 2024, an age-adjusted rate of 43.2 per 100,000 people; 3rd highest among the 50 states and DC. The rate was 60.7 in 2023 (427 deaths) and 43.2 in 2019.

Source: National Center for Health Statistics (CDC) · saved copy

Are overdose deaths falling in the District of Columbia?

CDC provisional data count about 318 drug overdose deaths in the District of Columbia in the 12 months to May 2026, down 12.2% on the 12 months to May 2025 (362); nationally the count went from 75,094 to 66,478. These counts are predicted values that allow for deaths still being investigated.

Source: National Center for Health Statistics (CDC) · saved copy

How many overdose deaths in the District of Columbia involve fentanyl?

Synthetic opioids other than methadone, mainly fentanyl, were involved in 205 of the 317 reported overdose deaths in the District of Columbia in the 12 months to May 2026 (65%), and psychostimulants such as methamphetamine in 28 (9%). A death can involve more than one drug.

Source: National Center for Health Statistics (CDC) · saved copy

How many people die of heart disease in the District of Columbia?

Heart disease killed 1,085 people in the District of Columbia in 2024, an age-adjusted rate of 154.6 per 100,000; 23rd lowest among the 50 states and DC (2019: 169.5).

Source: National Center for Health Statistics (CDC) · saved copy

What is the cancer death rate in the District of Columbia?

Cancer caused 934 deaths in the District of Columbia in 2024, an age-adjusted rate of 132.2 per 100,000; 13th lowest among the 50 states and DC (2019: 148.0).

Source: National Center for Health Statistics (CDC) · saved copy

What is the suicide rate in the District of Columbia?

44 people in the District of Columbia died by suicide in 2024, an age-adjusted rate of 5.7 per 100,000; the lowest among the 50 states and DC. In 2019 the rate was 6.2 (44 deaths).

Source: National Center for Health Statistics (CDC) · saved copy

How many gun deaths are there in the District of Columbia?

Firearms were involved in 148 deaths in the District of Columbia in 2024, including suicides, homicides and accidents: an age-adjusted rate of 19.7 per 100,000, 10th highest among the 50 states and DC (2019: 18.3).

Source: National Center for Health Statistics (CDC) · saved copy

How many people in the District of Columbia have no health insurance?

4.5% of people in the District of Columbia, about 31,000, had no health insurance in 2024; joint 5th lowest among the 50 states and DC (U.S.: 8.2%). That is up 1.8 percentage points on 2023 (2.7%), according to the American Community Survey.

Source: U.S. Census Bureau · saved copy

How many children in the District of Columbia are uninsured?

2.7% of children under 19 in the District of Columbia were uninsured in 2024, against 5.7% of adults aged 19 to 64 (U.S.: 6.0% and 11.3%).

Source: U.S. Census Bureau · saved copy

How many people in the District of Columbia are on Medicaid?

19.1% of residents of the District of Columbia were covered only by Medicaid or another means-tested public plan in 2024, and 52.0% only by employer-based insurance (U.S.: 14.5% and 45.3%).

Source: U.S. Census Bureau · saved copy

How many people are on Medicaid in the District of Columbia?

237,170 people were enrolled in Medicaid and CHIP in the District of Columbia in June 2026 (preliminary state data reported to CMS), down 8.8% on June 2025 (260,002); across the 50 states and DC the total was 73.17 million.

Source: Centers for Medicare & Medicaid Services · saved copy

How much has Medicaid enrollment in the District of Columbia changed since the pandemic?

In March 2023, the last month before states resumed removing people who no longer qualified after the pandemic, the District of Columbia had 296,412 Medicaid and CHIP enrollees, so enrollment has fallen 20.0% since then (50 states and DC: down 22.5%).

Source: Centers for Medicare & Medicaid Services · saved copy

How many children are on Medicaid in the District of Columbia?

Children made up 92,351 of the Medicaid and CHIP enrollees in the District of Columbia in June 2026 (39%), and adults enrolled in Medicaid numbered 144,819. The District of Columbia has expanded Medicaid to low-income adults under the Affordable Care Act.

Source: Centers for Medicare & Medicaid Services · saved copy

What is the obesity rate in the District of Columbia?

25.5% of adults in the District of Columbia had obesity (a body mass index of 30 or more) in the 2024 CDC Behavioral Risk Factor Surveillance System survey; 2nd lowest among the 49 states and DC with data. In 2015 the figure was 22.1%; the median across the states and DC was 34.2% in 2024.

Source: Centers for Disease Control and Prevention · saved copy

How many people smoke in the District of Columbia?

8.5% of adults in the District of Columbia smoked cigarettes in 2024 (6th lowest among the 49 states and DC with data; state median 11.6%), down from 16.0% in 2015. 4.8% used e-cigarettes.

Source: Centers for Disease Control and Prevention · saved copy

How many people have diabetes in the District of Columbia?

8.4% of adults in the District of Columbia had been told by a doctor they have diabetes, and 12.7% described their health as fair or poor, in 2024; the diabetes share is 2nd lowest among the 49 states and DC with data (state medians: 12.0% and 18.6%).

Source: Centers for Disease Control and Prevention · saved copy

How many people in the District of Columbia cannot afford to see a doctor?

In 2024, 13.9% of adults in the District of Columbia said they had done no physical activity or exercise outside work in the past month, and 8.7% said that in the past year they had needed to see a doctor but could not because of the cost (state medians: 21.8% and 11.5%).

Source: Centers for Disease Control and Prevention · saved copy

How common is depression in the District of Columbia?

25.3% of adults in the District of Columbia reported binge drinking in 2024, and 22.4% had ever been told they have a depressive disorder (state medians: 15.5% and 22.0%).

Source: Centers for Disease Control and Prevention · saved copy

How District of Columbia compares with other federal districts

Life expectancy at birth (2022)

District of Columbia ranks 32 of 51, highest first. NCHS state life tables

RankRegionLife expectancy at birth
29Wyoming76.8 years
30Arizona76.7 years
31Maine76.6 years
32District of Columbia76.6 years
33Kansas76.5 years
34Delaware76.5 years
35Nevada76.4 years
Source: National Center for Health Statistics (CDC) · saved copy

Life expectancy at age 65 (2022)

District of Columbia ranks 30 of 51, highest first. Further years of life expected at 65

RankRegionLife expectancy at age 65
27Iowa18.7 years
28New Mexico18.7 years
29Maine18.7 years
30District of Columbia18.7 years
31Alaska18.6 years
32Virginia18.5 years
33Wyoming18.5 years
Source: National Center for Health Statistics (CDC) · saved copy

Infant deaths per 1,000 live births (2024)

District of Columbia ranks 20 of 51, highest first. NCHS Stats of the States

RankRegionInfant deaths per 1,000 live births
17Indiana6.33
18North Carolina6.24
19Montana6.18
20District of Columbia6.04
21Virginia5.95
22North Dakota5.92
23Wisconsin5.91
Source: National Center for Health Statistics (CDC) · saved copy

Drug overdose deaths per 100,000 (age-adjusted) (2024)

District of Columbia ranks 3 of 51, highest first. NCHS Stats of the States

RankRegionDrug overdose deaths per 100,000 (age-adjusted)
1West Virginia48.9
2Alaska45.1
3District of Columbia43.2
4Washington37.6
5New Mexico37.1
6Nevada35.9
7Tennessee35.2
Source: National Center for Health Statistics (CDC) · saved copy

Drug overdose deaths, 12 months to May 2026 (provisional) (2025-2026)

District of Columbia ranks 39 of 51, highest first. Predicted provisional counts

RankRegionDrug overdose deaths, 12 months to May 2026 (provisional)
36Arkansas374
37Iowa362
38Maine354
39District of Columbia318
40Hawaii295
41Alaska292
42Idaho265
Source: National Center for Health Statistics (CDC) · saved copy

Heart disease deaths per 100,000 (age-adjusted) (2024)

District of Columbia ranks 29 of 51, highest first. NCHS Stats of the States

RankRegionHeart disease deaths per 100,000 (age-adjusted)
26Wyoming156.2
27North Carolina155.5
28New Mexico155.5
29District of Columbia154.6
30Illinois153.2
31Nebraska152.7
32Virginia151.7
Source: National Center for Health Statistics (CDC) · saved copy

Cancer deaths per 100,000 (age-adjusted) (2024)

District of Columbia ranks 39 of 51, highest first. NCHS Stats of the States

RankRegionCancer deaths per 100,000 (age-adjusted)
36Minnesota135.6
37Idaho135.2
38Florida132.7
39District of Columbia132.2
40North Dakota130.8
41Rhode Island129.9
42Arizona127.3
Source: National Center for Health Statistics (CDC) · saved copy

Suicides per 100,000 (age-adjusted) (2024)

District of Columbia ranks 51 of 51, highest first. NCHS Stats of the States

RankRegionSuicides per 100,000 (age-adjusted)
45Maryland9.7
46California9.6
47Rhode Island8.9
48Massachusetts8.3
49New York8.1
50New Jersey6.7
51District of Columbia5.7
Source: National Center for Health Statistics (CDC) · saved copy

Firearm deaths per 100,000 (age-adjusted) (2024)

District of Columbia ranks 10 of 51, highest first. NCHS Stats of the States

RankRegionFirearm deaths per 100,000 (age-adjusted)
7Arkansas20.6
8Montana20.2
9Tennessee19.8
10District of Columbia19.7
11Missouri19.6
12South Carolina19.5
13Oklahoma19.1
Source: National Center for Health Statistics (CDC) · saved copy

People without health insurance (2024)

District of Columbia ranks 48 of 51, highest first. American Community Survey, civilian noninstitutionalized population

RankRegionPeople without health insurance
45New York5.0%
46Rhode Island4.6%
47New Hampshire4.5%
48District of Columbia4.5%
49Vermont4.2%
50Hawaii3.5%
51Massachusetts2.8%
Source: U.S. Census Bureau · saved copy

Children under 19 without health insurance (2024)

District of Columbia ranks 47 of 51, highest first. American Community Survey

RankRegionChildren under 19 without health insurance
44West Virginia2.8%
45New York2.7%
46Oregon2.7%
47District of Columbia2.7%
48Connecticut2.6%
49Vermont2.6%
50New Hampshire2.3%
Source: U.S. Census Bureau · saved copy

Medicaid and CHIP enrollment, June 2026 (2026-06)

District of Columbia ranks 43 of 51, highest first. CMS performance indicator data (preliminary)

RankRegionMedicaid and CHIP enrollment, June 2026
40Utah321,779
41Idaho307,060
42Rhode Island283,863
43District of Columbia237,170
44Delaware234,783
45Alaska206,739
46Montana205,414
Source: Centers for Medicare & Medicaid Services · saved copy

Change in Medicaid and CHIP enrollment since March 2023 (2023-03 to 2026-06)

District of Columbia ranks 15 of 51, highest first. March 2023 was the last month of pandemic continuous enrollment

RankRegionChange in Medicaid and CHIP enrollment since March 2023
12Maryland-18.9%
13Minnesota-19.5%
14Virginia-19.8%
15District of Columbia-20.0%
16Nevada-20.6%
17Pennsylvania-20.8%
18Iowa-21.8%
Source: Centers for Medicare & Medicaid Services · saved copy

Adults with obesity (BMI 30 or more) (2024)

District of Columbia ranks 49 of 50, highest first. BRFSS 2024, crude prevalence; Tennessee did not report for 2024

RankRegionAdults with obesity (BMI 30 or more)
44California29.1%
45Vermont29.0%
46New Jersey27.7%
47Massachusetts27.0%
48Hawaii27.0%
49District of Columbia25.5%
50Colorado25.0%
Source: Centers for Disease Control and Prevention · saved copy

Adults who currently smoke cigarettes (2024)

District of Columbia ranks 45 of 50, highest first. BRFSS 2024, crude prevalence

RankRegionAdults who currently smoke cigarettes
42Connecticut9.0%
43Massachusetts8.8%
44New Jersey8.6%
45District of Columbia8.5%
46Hawaii8.1%
47Washington7.9%
48Maryland7.8%
Source: Centers for Disease Control and Prevention · saved copy

Adults ever told they have diabetes (2024)

District of Columbia ranks 49 of 50, highest first. BRFSS 2024, crude prevalence

RankRegionAdults ever told they have diabetes
44Alaska9.4%
45Idaho9.3%
46Vermont8.9%
47Montana8.7%
48Utah8.7%
49District of Columbia8.4%
50Colorado8.4%
Source: Centers for Disease Control and Prevention · saved copy

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