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Respiratory illness cases fell 72.6 percent in 2023

December 05, 2025

In 2023 there were 100,200 total recordable cases of non-fatal respiratory illnesses across all industries in the private sector—a 72.6 percent decrease from 2022. Of those respiratory illness cases, 68.4 percent (68,500 cases) were recorded in the health care and social assistance industry. Among all industry sectors in 2023, health care and social assistance had the highest incidence rate for respiratory illnesses at 44.1 cases per 10,000 full-time equivalent (FTE) workers, over four times the national rate of 9.5 cases per 10,000 FTE workers.

 Incidence rates (per 10,000 full-time equivalent workers) of respiratory illnesses by industry, private industry, 2019–2023
Year All Industry Health care and social assistance Retail trade Transportation and warehousing Manufacturing Accommodation and food services

2019

1.1 2.3 0.8 1.7 1.0 0.5

2020

44.0 209.8 19.6 10.7 29.1 13.6

2021

27.8 99.2 37.5 17.8 21.3 13.6

2022

35.8 134.8 67.3 21.9 17.9 15.0

2023

9.5 44.1 9.1 2.9 2.7 3.3

When reviewing state-level data for the private health care and social assistance industry, 35 states had reductions in their incidence rates of respiratory illnesses, and none had an increase. West Virginia experienced a large incidence rate decline, falling over 200 cases per 10,000 FTE workers in 2023.

Respiratory illness rates in private health care and social assistance, 2019 to 2023, annual data

Cases per 10,000 full-time workers

2023
Occupational injuries and illness rates in private health care and social assistance, 2019 to 2023 (per 10,000 full-time equivalent workers)
State 2019 2020 2021 2022 2023

All US

2.3 209.8 99.2 134.8 44.1

Alabama

1.1 230 130.5 205.3 54.5

Alaska

4.3 187.6 165.3 117.5 32.6

Arizona

3.9 118.6 105.7 53.3 N/A

Arkansas

N/A 309 134.4 230.2 78.7

California

4.2 231.5 121.1 219.2 83.8

Colorado

N/A N/A N/A 132.3 N/A

Connecticut

1.9 268.4 117.7 206.7 77.8

Deleware

N/A 125.5 51.4 125.8 25.9

District of Columbia

N/A 177 37.2 26.5 6.3

Georgia

N/A N/A N/A N/A N/A

Hawaii

N/A 145.3 18.8 20.7 11.7

Illinois

4.3 354.6 128.4 203.5 52.7

Indiana

6.1 276.6 72.8 86.7 17.4

Iowa

1.9 280.3 74.4 146.1 91.8

Kansas

1.7 157.1 60.3 74.9 24.4

Kentucky

1.1 284.6 158.3 296.6 86.5

Louisiana

1.6 108.5 73.5 47.8 1.0

Maine

2.7 119.6 114.4 229.3 127.1

Maryland

1.4 161.2 126.5 59.0 15.2

Massachusetts

2.8 259.3 91.9 215.8 53.9

Michigan

1.5 474.9 175.1 126.6 41.9

Minnesota

1.0 305 166.8 278.1 60.6

Missouri

2.1 236.8 80.2 144.1 41.3

Montana

N/A 92.2 56.8 60.6 18.0

Nebraska

3.8 160.9 41.1 66.2 5.3

Nevada

4.3 155.7 97.9 81.6 34.0

New Jersey

2.8 407.1 114.7 96.7 29.8

New Mexico

N/A 148.4 64.9 58.0 N/A

New York

1.1 190.1 105.2 118.7 48.9

North Carolina

0.9 114.4 71.7 155.7 46.8

Ohio

1.4 237.7 87.3 181.3 83.3

Oklahoma

N/A 195.2 69.8 157.6 48.7

Oregon

2.5 84.1 76.9 101.9 49.6

Pennsylvania

2.2 191.5 95.2 116.6 32.7

South Carolina

1.5 143.9 53.0 122.3 13.7

Tennessee

5.4 204.3 81.9 91.0 26.2

Texas

1.9 125.1 53.1 55.2 31.5

Utah

N/A 110.3 30.5 15.8 2.9

Vermont

N/A 24.6 41.9 167.3 56.6

Virginia

1.0 126 77.8 117.1 39.1

Washington

1.3 136.7 98.1 215.3 80.5

West Virginia

N/A 205.1 165.8 365.1 117.7

Wisconsin

1.1 86.8 31.7 41.1 11.5

Wyoming

N/A 130.8 91.3 105.3 22.1

These data are from the Injuries, Illnesses, and Fatalities program. To learn more about injuries and illnesses in the workplace, see “Employer-reported Workplace Injuries and Illnesses —2023.” We also have more charts on nonfatal work injuries and illnesses.

SUGGESTED CITATION

Bureau of Labor Statistics, U.S. Department of Labor, The Economics Daily, Respiratory illness cases fell 72.6 percent in 2023 at https://www.bls.gov/opub/ted/2025/respiratory-illness-cases-fell-72-6-percent-in-2023.htm (visited December 06, 2025).

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