Abstract:OBJECTIVE To master the death of noninfectious chronic diseases(NCDS) in Tongjiang County of Sichuan Province and provide scientific basis for making health policy. METHODS According to the monitoring data of death in Tongjiang County in 2019, use ICD-10 to classify data, indicators such as mortality rate and constituent ratio were used to analysis. RESULTS The crude mortality rate of NCDs in Tongjiang County was 588.40/105 (standardized mortality rate was 499.08/105), accounting for 89.54% of the total death rate, male´s was higher than that of female´s(x2=19.67，P＜0.01). Among them, the crude mortality rate of major NCDs was 540.01/105 (standardized mortality rate was 456.96/105), and increased with age (P<0.01), the top five death diseases were cerebrovascular diseases, ischemic heart diseases, COPD diseases, hypertension and complications, lung cancer, accounting for 78.35% of the major NCDs. The premature mortality rate of major NCDs was 13.32%, male´s (16.61%) was 1.69 times higher than that of female´s (9.83%), the top five diseases of premature death were cerebrovascular diseases, ischemic heart diseases, COPD diseases, lung cancer and liver cancer, accounting for 70.52% of the major NCDs. CONCLUSION The situation of NCDs in Tongjiang County is not optimistic, we should take effective measures such as improving the prevention and control system of NCDs, practicing healthy lifestyle, and providing personalized interventions to ensure the health of residents.