"Figure 4: Those born in the 1960s and 1970s, ""Generation X"", have had higher rates of drug misuse death over time","" "Age-specific mortality rates for deaths related to drug misuse, by age group, England and Wales, registered between 1993 and 2019","" "","" "Notes","1. Age-specific mortality rates per million people. 2. Cause of death was defined using the International Classification of Diseases, Ninth Revision (ICD-9) for the years 1993 to 2000 and Tenth Revision (ICD-10) from 2001 onwards. More details can be found in the [Quality and Methodology Information](https://www.ons.gov.uk/peoplepopulationandcommunity/birthsdeathsandmarriages/deaths/methodologies/deathsrelatedtodrugpoisoninginenglandandwalesqmi). 3. Figures are for deaths registered, rather than deaths occurring in each calendar year. More details can be found in [Section 8: Death registration delays](https://www.ons.gov.uk/peoplepopulationandcommunity/birthsdeathsandmarriages/deaths/bulletins/deathsrelatedtodrugpoisoninginenglandandwales/2019registrations#death-registration-delays). 4. Figures for England and Wales include deaths of non-residents." "Unit","Age-specific rate per million people" "","" "Year of death registration","Under 20 ","20–29 ","30–39 ","40–49 ","50–69 ","70 and over" "1993","3.9","34.7","28.5","16.5","9.5","15.3" "1994","4.8","43.6","35.0","19.9","9.5","12.8" "1995","5.2","53.4","41.4","21.2","8.9","11.5" "1996","5.5","61.6","44.4","22.7","7.2","11.4" "1997","6.9","76.8","44.0","27.2","9.0","10.0" "1998","7.5","77.7","58.5","34.4","7.8","9.4" "1999","7.1","83.9","72.9","32.8","10.2","12.8" "2000","5.7","78.1","71.3","42.8","10.8","9.7" "2001","5.8","91.1","77.7","46.3","11.3","13.4" "2002","5.4","85.4","70.6","34.3","13.2","10.0" "2003","4.0","65.2","68.2","34.9","10.8","10.2" "2004","3.4","63.7","71.8","37.0","15.1","10.8" "2005","3.2","58.7","81.7","44.3","15.8","9.4" "2006","3.7","57.5","75.7","43.7","16.5","9.3" "2007","3.0","60.5","86.1","52.8","16.8","8.4" "2008","4.2","58.1","91.0","65.6","20.4","9.1" "2009","3.1","56.2","88.2","64.6","21.8","9.8" "2010","2.9","45.7","89.9","57.6","23.5","12.9" "2011","2.5","36.3","69.5","63.8","23.9","11.7" "2012","1.9","30.5","67.5","62.6","23.0","9.6" "2013","2.2","40.5","81.8","70.5","26.6","11.9" "2014","2.4","40.5","87.9","88.4","33.3","12.2" "2015","2.7","39.8","98.4","95.1","40.1","11.5" "2016","2.2","43.7","97.5","108.0","39.4","10.7" "2017","2.2","39.6","87.3","102.8","42.0","12.5" "2018","3.6","49.9","98.9","125.7","46.8","11.2" "2019","2.9","41.6","96.6","120.2","52.9","12.4"