The National Institutes of Health (NIH) report that, from 2011-2018, deaths more than quadrupled among non-Hispanic American Indians and Alaska Natives from 4.5 to 20.9 per 100,000 people. The U.S. average for people aged 25 – 54 increased from 1.3 to 7.3 per 100,000 people during that time period.
