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State Profile

South Dakota

Population (2023): 919,318 thousand

South Dakota’s public health outcomes and emergency preparedness betters some states but falls behind others. According to TFAH’s 2024 Ready or Not: Protecting the Public’s Health from Diseases, Disasters, and Bioterrorism report, the state placed in the low performance tier for public health emergency preparedness. Deaths within the state due to drug misuse, alcohol, or suicide outpace the country as a whole. Based on 2022 data, the percentage of adults with obesity and hypertension rank lower than the U.S. median. In addition, the rates of diabetes rank higher than the U.S. median.

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South Dakota at a glance


Alcohol-related deaths (per 100,000), 2021


Drug-related deaths (per 100,000), 2021


Suicide deaths (per 100,000), 2021


Deaths related to alcohol, drugs, or suicide (per 100,000), 2021


Percent of adults who have obesity, 2022


Percent of children age 10-17 who have obesity, 2020-21


Percent of adults who have diabetes, 2022


Percent of adults who have hypertension, 2022

Low Tier

Public health emergency preparedness performance tier (High, Middle, Low), 2023


Percent of population (age 6 months or older) who received seasonal flu vaccination, 2022-23

Data in Detail

Spotlight On

South Dakota


The Impact of Chronic Underfunding on America’s Public Health System: Trends, Risks, and Recommendations, 2023

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