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Investor Presentaiton

Underlying Causes of Death Top 10 Leading Causes of Death Border Counties Texas for 2020^ Cause of Death Total Death Rate Rank Total Death Rate Rank COVID-191 6,765 238.3 1 31,273 105.4 3 Diseases of heart 4,745 167.1 2 49,797 167.8 1 Malignant neoplasms 3,285 115.7 3 41,880 141.1 2 Alzheimer's disease 1,204 42.4 4 11,838 39.9 5 Diabetes mellitus 1,166 41.1 5 7,903 26.6 8 Accidents 870 30.6 6 12,600 42.5 Cerebrovascular diseases 837 29.5 7 11,570 39 6 Chronic liver disease and cirrhosis 673 23.7 8 4,898 16.5 9 Chronic lower respiratory disease 626 22 9 10,338 34.8 Nephritis, nephrotic syndrome and nephrosis 531 18.7 10 10 4,372 14.7 10 1 Count of COVID-19 Related Deaths as determined by visual inspection of Texas death certificates conducted by the Department of State Health Services Laboratory and Infectious Disease Services Division as of September 24, 2021. All other death totals in this report are calculated based on underlying cause ICD-10 codes assigned to the death record by the National Center for Health Statistics. CDR: Crude Death Rate per 100,000 populations. Population projections for 2020 provided by the Texas Demographics Center. ^Death data for 2020 are provisional. Provisional statistics are based on data that has not yet been finalized and may be incomplete and subject to change. 25
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