Abstract: Objective To understand the death model and its change among inhabitants of Henan province.Methods Three sets of retrospective death survey data were used.Results The crude death rates for the three death survey in 1974-1976,1990-1992 and 2004-2005 was 779.9/100,000,611.1/100,000 and 610.1/100,000,respectively.The death level showed a decrease trend.The crude death rate of cardiovascular and cerebrovascular diseases were ranked to the top five death causes and the crude death rate of infectious diseases was excluded from the top five death causes.Conclusion The decrease of death level in population of Henan relates to decreased mortality of young age people and infectious diseases.The mortality of malignancy,heart disease and cerebrovascular disease show a ascending trend.Respiratory system disease and infectious disease present a decrease trend.