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To address elevated mortality rates and historically entrenched racial inequities in mortality rates, the United States needs targeted efforts at all levels of government. However, few or no all-cause mortality data are available at the local level to motivate and guide city-level actions for health equity within the country's biggest cities. To provide city-level data on all-cause mortality rates and racial inequities within cities and to determine whether these measures changed during the past decade. This cross-sectional study used m