Deaths Involving COVID-19, Pneumonia, Influenza Reported By Rural-Urban Commuting Areas,
Michigan Occurrences, January 1, 2020 to October 17, 2025P

January 1, 2025 to October 17, 2025P
Rural-Urban Commuting Area Group1 All Reported
COVID-19
Deaths to
Date1		 2025
COVID-19
Deaths		 Deaths
from
All Causes		 Pneumonia3
Deaths 		Pneumonia &
COVID-194		 Influenza
Deaths5
Michigan 33,352 407 75,516 836 250 439
Urban/Metropolitan 27,938 317 62,250 712 198 341
Large Rural City/Town 2,194 42 5,826 60 24 35
Small Rural Town 1,384 21 3,153 31 13 31
Isolated Small Rural Town 1,453 23 3,859 30 14 31
Not Defined 383 4 428 3 1 1
             

COVID-19 Related Deaths, Michigan Occurrences 2024P
Rural-Urban Commuting Area Group1 All Reported
COVID-19
Deaths to
Date1		 2024
COVID-19
Deaths		 Deaths
from
All Causes		 Pneumonia3
Deaths 		Pneumonia &
COVID-194		 Influenza
Deaths5
Michigan 33,352 953 101,508 1,161 574 225
Urban/Metropolitan 27,938 757 83,044 965 459 173
Large Rural City/Town 2,194 76 7,672 97 45 25
Small Rural Town 1,384 56 4,519 47 30 14
Isolated Small Rural Town 1,453 52 4,917 33 29 8
Not Defined 383 12 1,356 19 11 5
             

COVID-19 Related Deaths, Michigan Occurrences 2023
Rural-Urban Commuting Area Group1 All Reported
COVID-19
Deaths to
Date1		 2023
COVID-19
Deaths		 Deaths
from
All Causes		 Pneumonia3
Deaths 		Pneumonia &
COVID-194		 Influenza
Deaths5
Michigan 33,352 1,603 101,985 1,210 911 133
Urban/Metropolitan 27,938 1,303 83,405 1,014 738 113
Large Rural City/Town 2,194 132 7,903 73 79 8
Small Rural Town 1,384 71 4,491 43 40 5
Isolated Small Rural Town 1,453 80 4,701 61 45 6
Not Defined 383 17 1,485 19 9 1
             

COVID-19 Related Deaths, Michigan Occurrences 2022
Rural-Urban Commuting Area Group1 All Reported
COVID-19
Deaths to
Date1		 2022
COVID-19
Deaths		 Deaths
from
All Causes		 Pneumonia3
Deaths 		Pneumonia &
COVID-194		 Influenza
Deaths5
Michigan 33,352 5,847 109,053 1,259 3,442 153
Urban/Metropolitan 27,938 4,887 89,468 1,072 2,873 128
Large Rural City/Town 2,194 401 8,318 83 243 13
Small Rural Town 1,384 238 4,805 42 140 2
Isolated Small Rural Town 1,453 249 4,993 49 143 7
Not Defined 383 72 1,469 13 43 3
             

COVID-19 Related Deaths, Michigan Occurrences 2021
Rural-Urban Commuting Area Group1 All Reported
COVID-19
Deaths to
Date1		 2021
COVID-19
Deaths		 Deaths
from
All Causes		 Pneumonia3
Deaths 		Pneumonia &
COVID-194		 Influenza
Deaths5
Michigan 33,352 13,310 116,064 1,290 8,411 14
Urban/Metropolitan 27,938 10,898 95,334 1,092 6,894 9
Large Rural City/Town 2,194 972 8,946 90 604 4
Small Rural Town 1,384 589 4,971 52 395–
Isolated Small Rural Town 1,453 671 5,285 44 407 1
Not Defined 383 180 1,528 12 111–
             

COVID-19 Related Deaths, Michigan Occurrences 2020
Rural-Urban Commuting Area Group1 All Reported
COVID-19
Deaths to
Date1		 2020
COVID-19
Deaths		 Deaths
from
All Causes		 Pneumonia3
Deaths 		Pneumonia &
COVID-194		 Influenza
Deaths5
Michigan 33,352 11,232 115,574 1,643 6,234 211
Urban/Metropolitan 27,938 9,776 95,873 1,428 5,515 174
Large Rural City/Town 2,194 571 8,547 88 279 18
Small Rural Town 1,384 409 4,856 59 203 8
Isolated Small Rural Town 1,453 378 5,108 56 183 10
Not Defined 383 98 1,190 12 54 1
             

 


Notes:

PDeaths reported to the Michigan Vital Records office may be delayed by 7 days. Verifying the cause of death, and processing the records from administrative records may further delay the reports of deaths for statistical purposes. The deaths shown in the deaths columns will be lower than the actual year-to-date total.

Most deaths occurring between September 27, 2025 and October 17, 2025 do not have a coded cause of death.

1This table uses rural-urban commuting area (RUCA) codes developed by the Economic Research Service, USDA. RUCA codes classify U.S. census tracts and zip codes using measures of population density, urbanization and daily commuting. For this table, the RUCA codes were grouped into broader categories often used for public health related projects (for more information, see WWAMI Rural Health Research Center.)

2COVID-19 deaths are those deaths coded as ICD-10 U07.1 as an underlying or related cause of death.

3Percent of expected deaths is the number of deaths for all causes for the current week compared to the average number across the same week in 2017–2019.

4Pneumonia deaths are those deaths coded ICD-10 codes J12.0-J18.9 as an underlying cause of death or a related cause of death, but excluding any mention of flu.

5The decedent was reported as having pneumonia and COVID-19 simulataneously.

6Influenza deaths are coded as J09-J11.
Source: Michigan 2020-2025 Death File, Extracted October 17, 2025 . Division for Vital Records & Health Statistics, Michigan Department of Health & Human Services.