This paper outlines the development of U.S. national vital statistics
based on the local registration of vital events in the United States d
uring the twentieth century, including the organization of the Nationa
l Vital Statistics System. Current data developments and selected publ
ications of the National Center for Health Statistics are presented as
they relate to vital statistics. The paper concludes with an overview
of ongoing efforts at the local, state, and federal levels to improve
the timeliness and quality of vital statistics through the redesign a
nd automation of data collection, processing, and dissemination system
s.