The report describes environmental and occupational diseases and injuries which significantly contribute to the morbidity and mortality in Texas in the year of 1993. For the first time, the Epidemiology Division has examined deaths due to firearms and cocaine overdose, two exposures deeply rooted in the complexity of today's society. Potentially serious environmental exposures, such as lead paint from sandblasted municipal water towers were investigated to reduce the likelihood of human illness associated with those exposures.