More seniors are dying after falls, leading the Centers for Disease Control and Prevention to ask doctors and other caregivers to broach the topic more often.

The agency noted in its most recent Morbidity and Mortality Weekly Report that 30,000 Americans 65 and older died due to falling in 2016. That’s up from roughly 18,000 in 2007.

The increase was seen among both men and women, across most racial groups and was “substantial” in 30 states and the District of Columbia. Not one state saw a decline, investigators found.