A national surveillance record

Four systems. Fifty-one jurisdictions. Every source shown.

How the United States counts abortion, cancer, overdose deaths and maternal deaths — the legal basis, what gets collected, and who is missing from each national number. Four surveillance systems in one schema, so the comparison can be checked rather than asserted.

A Publication of Born Between 2 Generals, LLC
4
Surveillance systems
51
Jurisdictions
0
Verified facts
0
Still to research
Read this first

The Method

Every value carries a verification level. Nothing is estimated or inferred — a record that can't show its work is worth nothing the moment it's challenged.

Verified · primary

Checked against the actual statute. The strongest claim available.

Verified · secondary

From a dated Guttmacher, CDC or ACOG compilation.

Pending

Not yet researched. An open question, never a finding.

Not applicable

No mandate exists, so the field has no answer.

Before you rank anything: a jurisdiction missing from a federal count is not a place where the thing doesn't happen — it is a place without data. Absence measures visibility, not incidence. And pending means we haven't checked yet; it does not mean the answer is no.
What we're comparing

The Four Systems

Each of these counts a different thing, on a different legal basis, with a different degree of completeness. Setting them side by side is what makes the gap legible.

The core question

The Comparison

For every jurisdiction: is reporting required? Cancer and death registration are mandatory everywhere. Abortion is the column that varies — and maternal review is less universal than it's usually described.

CodeJurisdictionCancerDeath registrationMaternal reviewAbortion

required   partial   not required   pending research

All 51 jurisdictions

The Atlas

Sort any column. Click any row to open that jurisdiction's full file — every field across all four systems, each with its source.

CodeJurisdiction Abortion mandateReports to CDC Data levelStatute Record complete

Showing 51 of 51 jurisdictions.

What has changed

The Ledger

The Atlas is a snapshot. The Ledger is the record of motion — every dated, sourced change to how these systems count. Green moved toward completeness; red moved away.

Research progress

Coverage

What's verified and what's open, field by field. Where a national total is published, this checks our count against it — a mismatch means a jurisdiction is miscoded.

Show your work

The Source Registry

Every source this database draws on, dated. Each cell points back to one of these.

Take it with you

The Data

This record runs on open data. These files are the exact dataset the page reads — no hidden layer.

🧬 The Reporting Files database

All 51 jurisdictions across four systems, every value with its verification level, source and note.

📋 Atlas table

Every jurisdiction and field as a flat CSV.

📈 The Ledger

Every dated, sourced entry — what changed, when, and which direction.

The Reporting Files · A Publication of Born Between 2 Generals, LLC
Sources: Guttmacher Institute (Abortion Reporting Requirements, April 2026; State Bans, June 2026) · CDC (Abortion Surveillance 2022; U.S. Cancer Statistics; Maternal Mortality Review Committees) · ACOG · Congress.gov · state codes as cited.

This record concerns aggregate statistical reporting — counts and characteristics, never individual patients. Reporting to the CDC is voluntary for abortion and the non-reporting set can change year to year; every figure here is a floor, not a census. Incidence data and health-outcome data are different questions: counting cases more completely does not by itself measure health effects. Always verify against primary sources before citing. Nothing here is legal or medical advice; this publication is for research, advocacy, and public awareness on health-data policy.