Introduction: Generally, epidemiologic review began with death data. Long time is seen changes in causes of death. These changes indicate increasing causes of death from infective diseases to chronic diseases. Thus, death indicators are good instruments for determining of community health. And with it can suggest constructive and positive recommends reducing causes of death.

Methods: This descriptive study carried out on 5837 death existing data in Kashan city-Iran 1998-2002. Data gathering carried out with checklist from death certificates. Then data has coding and classified with international classification of diseases (ICD10) and in accordance with general condense death list number one. Their frequencies are reported in tables.

Results: Common causes of deaths were circulatory system diseases (44%), symptoms, signs and abnormal clinical and laboratory findings (16.6%), external causes of mortality (11.38%) and neoplasm (9.94%). Most deaths was up 65 years (54.5%) and under 1 years (12%). 53.8% of death was men and 42. 4% of them was women. 50% of cause of death had incomplete register and only 14% had continuum of causes of deaths.

Conclusion: Common causes of deaths had normal trend in last 5 years and current plan do not have any effect on reduce or control of that. Training people about effective factors on chronic diseases and training medical students in academic education are recommended.