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Death Rates Table

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Death Rate Report for Missouri by County

All Cancer Sites, 2019-2023

All Races (includes Hispanic), Female, All Ages

Sorted by Recentaapc

County
 sort alphabetically by name ascending
2023 Rural-Urban Continuum Codes Φ
 sort by rural urban descending
Met Healthy People Objective of 122.7?
Age-Adjusted Death Rate
deaths per 100,000
(95% Confidence Interval)
 sort by rate descending
CI*Rank ⋔
(95% Confidence Interval)
 sort by CI rank descending
Average Annual Count
 sort by count descending
Recent Trend
Recent 5-Year Trend in Death Rates
(95% Confidence Interval)
 sort by trend descending
Missouri N/A No 139.5 (137.9, 141.1) N/A 6,117 falling falling trend -1.0 (-1.1, -0.9)
United States N/A No 126.3 (126.1, 126.6) N/A 287,034 falling falling trend -1.1 (-1.2, -1.0)
Montgomery County Rural No 149.8 (115.5, 192.8) 48 (4, 113) 14 falling falling trend -14.3 (-30.3, -0.1)
Newton County Urban No 153.6 (137.0, 171.9) 43 (13, 94) 66 falling falling trend -7.2 (-12.4, -1.7)
Cape Girardeau County Urban Yes 120.5 (107.7, 134.5) 106 (62, 113) 69 falling falling trend -4.2 (-10.5, -1.4)
Scott County Rural No 138.1 (118.8, 159.9) 76 (20, 110) 39 stable stable trend -3.7 (-7.2, 1.0)
Johnson County Rural No 131.8 (113.2, 152.7) 91 (30, 112) 37 falling falling trend -3.6 (-12.8, -1.5)
Howard County Urban Yes 114.7 (82.5, 157.2) 111 (16, 114) 8 falling falling trend -3.3 (-5.0, -1.8)
St. Louis City Urban No 142.6 (134.7, 150.8) 65 (40, 90) 262 falling falling trend -2.8 (-7.0, -2.0)
Maries County Rural No 145.6 (107.5, 195.5) 58 (3, 114) 10 falling falling trend -2.5 (-5.1, -0.1)
Shelby County Rural No 134.3 (93.3, 191.5) 85 (3, 114) 7 falling falling trend -2.5 (-4.5, -0.7)
Platte County Urban Yes 106.7 (96.0, 118.4) 114 (90, 114) 74 falling falling trend -2.1 (-3.0, -1.1)
Cole County Urban Yes 118.4 (105.5, 132.7) 109 (66, 114) 65 falling falling trend -2.0 (-2.9, -1.2)
Dallas County Urban No 125.9 (99.9, 157.5) 98 (22, 114) 17 falling falling trend -1.9 (-3.1, -0.7)
Sullivan County Rural Yes 121.5 (80.9, 179.4) 103 (5, 114) 5 stable stable trend -1.9 (-4.6, 0.5)
Boone County Urban Yes 119.8 (110.2, 130.0) 107 (73, 112) 120 falling falling trend -1.7 (-2.5, -1.0)
Marion County Rural No 144.8 (121.8, 171.2) 60 (14, 111) 30 falling falling trend -1.7 (-3.1, -0.4)
Mississippi County Rural No 143.4 (109.3, 186.0) 64 (5, 114) 13 stable stable trend -1.7 (-3.9, 0.2)
Carter County Rural No 139.6 (93.1, 205.0) 72 (1, 114) 6 stable stable trend -1.6 (-4.3, 1.0)
Daviess County Rural No 127.2 (88.6, 178.4) 94 (6, 114) 8 stable stable trend -1.6 (-4.1, 0.7)
Andrew County Urban No 146.0 (118.8, 178.6) 57 (6, 112) 20 stable stable trend -1.5 (-3.8, 0.7)
St. Charles County Urban Yes 120.9 (115.0, 126.9) 105 (83, 111) 336 falling falling trend -1.5 (-2.0, -0.9)
Clay County Urban No 136.0 (127.9, 144.5) 82 (50, 99) 216 falling falling trend -1.4 (-1.9, -0.9)
Greene County Urban Yes 120.9 (114.2, 127.9) 104 (81, 110) 255 falling falling trend -1.4 (-1.9, -1.0)
Lewis County Rural No 133.7 (97.8, 180.1) 86 (6, 114) 10 stable stable trend -1.4 (-4.2, 1.1)
Henry County Rural No 131.6 (109.0, 158.5) 92 (22, 113) 26 stable stable trend -1.3 (-3.1, 0.5)
Jackson County Urban No 137.5 (132.7, 142.4) 79 (55, 91) 654 falling falling trend -1.3 (-1.6, -1.1)
Miller County Rural No 132.6 (109.7, 159.4) 87 (18, 113) 25 stable stable trend -1.3 (-2.9, 0.1)
Carroll County Rural Yes 119.8 (87.4, 163.2) 108 (17, 114) 9 stable stable trend -1.2 (-3.4, 0.9)
Cass County Urban No 132.1 (120.7, 144.4) 90 (47, 108) 103 falling falling trend -1.2 (-2.0, -0.5)
Jefferson County Urban No 149.5 (140.5, 158.9) 50 (29, 83) 220 falling falling trend -1.2 (-1.7, -0.7)
Monroe County Rural No 124.4 (90.1, 170.5) 101 (9, 114) 10 stable stable trend -1.2 (-3.5, 1.1)
Morgan County Rural No 145.1 (120.0, 174.8) 59 (10, 111) 26 stable stable trend -1.2 (-3.0, 0.5)
Pulaski County Rural No 157.3 (134.2, 183.3) 37 (6, 103) 33 stable stable trend -1.2 (-2.3, 0.0)
St. Louis County Urban No 132.2 (128.5, 136.0) 89 (68, 97) 1,035 falling falling trend -1.2 (-1.4, -1.0)
St. Clair County Rural No 140.4 (104.1, 187.7) 70 (4, 114) 11 stable stable trend -1.1 (-2.6, 0.2)
Taney County Rural No 137.5 (122.1, 154.6) 78 (33, 107) 62 falling falling trend -1.1 (-1.9, -0.2)
Wayne County Rural No 136.8 (106.3, 176.0) 80 (8, 114) 14 stable stable trend -1.1 (-3.1, 0.8)
Bates County Urban No 135.5 (107.3, 169.9) 84 (11, 114) 17 stable stable trend -1.0 (-3.4, 1.2)
Christian County Urban No 138.5 (125.2, 152.9) 74 (35, 105) 82 falling falling trend -1.0 (-1.7, -0.2)
Franklin County Urban No 138.8 (126.9, 151.7) 73 (36, 104) 107 falling falling trend -1.0 (-1.7, -0.2)
Knox County Rural Yes 112.5 (61.5, 193.7) 112 (2, 114) 3 stable stable trend -1.0 (-4.9, 2.4)
Reynolds County Rural No 149.4 (103.6, 212.6) 52 (1, 114) 7 stable stable trend -1.0 (-3.9, 1.9)
Dade County Rural No 157.7 (114.9, 214.2) 36 (1, 114) 10 stable stable trend -0.9 (-3.3, 1.3)
Dent County Rural No 180.2 (145.7, 221.7) 13 (1, 100) 21 stable stable trend -0.9 (-2.3, 0.4)
McDonald County Rural No 170.8 (141.2, 205.0) 22 (2, 99) 24 stable stable trend -0.9 (-3.0, 1.3)
Cedar County Rural No 153.0 (122.1, 190.6) 45 (4, 111) 19 stable stable trend -0.8 (-2.7, 1.0)
Nodaway County Rural No 127.9 (102.4, 158.6) 93 (21, 114) 19 stable stable trend -0.8 (-2.2, 0.6)
Phelps County Rural No 147.6 (128.0, 169.6) 55 (14, 105) 43 stable stable trend -0.8 (-2.2, 0.6)
Pike County Rural No 140.3 (112.1, 174.4) 71 (10, 114) 18 stable stable trend -0.8 (-2.9, 1.2)
Stone County Rural No 127.2 (108.2, 149.3) 95 (34, 113) 40 stable stable trend -0.8 (-2.0, 0.5)
Barry County Rural No 144.8 (124.7, 167.6) 61 (16, 108) 40 stable stable trend -0.7 (-1.7, 0.1)
Callaway County Urban No 150.3 (131.0, 172.1) 47 (15, 101) 45 stable stable trend -0.6 (-1.2, 0.1)
Cooper County Urban No 148.1 (117.0, 185.5) 54 (4, 112) 17 stable stable trend -0.6 (-2.3, 1.2)
Gasconade County Rural No 138.2 (110.9, 171.9) 75 (10, 113) 18 stable stable trend -0.6 (-1.7, 0.6)
Harrison County Rural Yes 110.2 (76.9, 155.6) 113 (23, 114) 8 stable stable trend -0.6 (-3.5, 2.1)
Putnam County Rural No 123.5 (78.7, 190.4) 102 (2, 114) 5 stable stable trend -0.6 (-3.4, 2.2)
Saline County Rural No 161.8 (134.4, 193.7) 30 (4, 105) 26 stable stable trend -0.6 (-2.2, 0.9)
Ste. Genevieve County Rural No 143.5 (115.5, 177.1) 62 (7, 113) 19 stable stable trend -0.6 (-2.4, 1.2)
Caldwell County Urban No 132.2 (93.6, 183.1) 88 (4, 114) 8 stable stable trend -0.5 (-3.7, 2.6)
Camden County Rural No 126.4 (110.5, 144.5) 96 (45, 113) 53 stable stable trend -0.5 (-1.6, 0.7)
Howell County Rural No 150.9 (131.8, 172.4) 46 (11, 100) 47 stable stable trend -0.5 (-1.5, 0.5)
Iron County Rural No 193.4 (151.6, 245.3) 7 (1, 93) 15 stable stable trend -0.5 (-2.0, 0.9)
Lafayette County Urban No 155.7 (134.0, 180.4) 40 (8, 99) 39 stable stable trend -0.5 (-1.6, 0.7)
Pettis County Rural No 161.5 (141.3, 184.0) 31 (6, 91) 48 stable stable trend -0.5 (-1.5, 0.6)
Randolph County Rural No 169.1 (142.1, 200.3) 25 (3, 97) 28 stable stable trend -0.5 (-1.7, 0.8)
Adair County Rural No 138.0 (112.7, 167.8) 77 (12, 113) 21 stable stable trend -0.4 (-1.8, 1.0)
Buchanan County Urban No 171.0 (155.9, 187.3) 21 (7, 59) 99 stable stable trend -0.4 (-1.1, 0.3)
Butler County Rural No 164.1 (144.6, 185.9) 28 (5, 83) 53 stable stable trend -0.4 (-1.2, 0.4)
Jasper County Urban No 148.5 (136.6, 161.2) 53 (24, 89) 120 stable stable trend -0.4 (-1.0, 0.3)
Polk County Urban No 159.4 (136.4, 185.5) 34 (5, 97) 36 stable stable trend -0.4 (-2.2, 1.5)
Chariton County Rural No 142.1 (97.3, 202.1) 66 (2, 114) 8 stable stable trend -0.3 (-3.4, 2.6)
Dunklin County Rural No 177.3 (152.0, 205.9) 16 (2, 75) 37 stable stable trend -0.3 (-1.6, 0.9)
Lincoln County Urban No 166.6 (147.5, 187.6) 27 (6, 78) 58 stable stable trend -0.3 (-1.3, 0.8)
Mercer County Rural No 125.1 (73.0, 207.2) 99 (2, 114) 3 stable stable trend -0.3 (-3.7, 2.9)
Moniteau County Urban No 140.6 (109.8, 178.2) 69 (8, 113) 14 stable stable trend -0.3 (-2.6, 2.2)
Oregon County Rural No 176.9 (133.8, 231.5) 17 (1, 111) 12 stable stable trend -0.3 (-2.1, 1.4)
Ozark County Rural No 183.1 (142.6, 235.2) 11 (1, 103) 16 stable stable trend -0.3 (-1.8, 1.2)
Perry County Rural No 136.7 (110.2, 168.5) 81 (12, 113) 20 stable stable trend -0.3 (-2.4, 1.9)
Stoddard County Rural No 162.8 (139.4, 189.5) 29 (5, 97) 37 stable stable trend -0.3 (-2.1, 1.5)
Texas County Rural No 149.6 (125.7, 177.6) 49 (8, 108) 30 stable stable trend -0.3 (-1.4, 0.7)
Vernon County Rural No 154.7 (127.6, 186.6) 41 (5, 109) 24 stable stable trend -0.3 (-2.0, 1.5)
Warren County Urban No 159.0 (137.0, 183.7) 35 (6, 98) 40 stable stable trend -0.3 (-1.7, 1.3)
Benton County Rural No 178.0 (150.8, 210.3) 14 (2, 80) 36 stable stable trend -0.2 (-1.4, 1.1)
Clark County Rural No 135.9 (96.3, 190.4) 83 (3, 114) 7 stable stable trend -0.2 (-3.3, 2.9)
Washington County Rural No 186.6 (156.3, 221.6) 9 (1, 71) 28 stable stable trend -0.2 (-1.9, 1.5)
Ray County Urban No 181.6 (153.7, 213.8) 12 (1, 79) 31 stable stable trend -0.1 (-1.5, 1.5)
Atchison County Rural No 161.2 (111.3, 230.8) 32 (1, 114) 7 stable stable trend 0.0 (-3.5, 3.3)
Audrain County Rural No 140.6 (117.6, 167.3) 68 (14, 112) 27 stable stable trend 0.0 (-1.3, 1.2)
Osage County Urban No 124.9 (92.1, 166.1) 100 (9, 114) 10 stable stable trend 0.0 (-1.4, 1.6)
Barton County Rural No 126.2 (93.9, 167.3) 97 (9, 114) 11 stable stable trend 0.1 (-2.0, 2.3)
Clinton County Urban No 170.2 (141.2, 204.0) 23 (2, 98) 25 stable stable trend 0.1 (-1.6, 1.8)
St. Francois County Rural No 176.3 (159.0, 195.3) 18 (3, 58) 79 stable stable trend 0.1 (-0.8, 1.0)
Bollinger County Urban No 156.3 (119.5, 202.4) 38 (2, 112) 13 stable stable trend 0.2 (-1.7, 2.1)
Lawrence County Rural No 171.3 (149.2, 196.0) 20 (3, 79) 45 stable stable trend 0.2 (-0.8, 1.3)
Livingston County Rural No 146.2 (116.1, 182.5) 56 (6, 113) 17 stable stable trend 0.2 (-1.3, 1.8)
Crawford County Rural No 168.0 (141.0, 199.2) 26 (3, 96) 30 stable stable trend 0.3 (-1.1, 1.7)
Linn County Rural No 175.0 (136.1, 222.5) 19 (1, 105) 16 stable stable trend 0.3 (-2.1, 2.7)
Webster County Urban No 141.1 (120.5, 164.5) 67 (18, 110) 34 stable stable trend 0.3 (-0.8, 1.6)
Ralls County Rural No 149.4 (113.8, 194.7) 51 (3, 114) 13 stable stable trend 0.4 (-1.8, 2.9)
Scotland County Rural No 156.1 (100.9, 233.7) 39 (1, 114) 5 stable stable trend 0.4 (-3.0, 3.7)
Shannon County Rural No 209.0 (156.7, 276.0) 3 (1, 94) 12 stable stable trend 0.4 (-2.1, 2.9)
Wright County Rural No 153.6 (124.6, 188.0) 44 (5, 111) 21 stable stable trend 0.4 (-1.3, 2.1)
Madison County Rural No 209.0 (168.8, 257.2) 4 (1, 69) 20 stable stable trend 0.5 (-1.1, 2.2)
New Madrid County Rural No 200.2 (166.7, 239.4) 6 (1, 57) 26 stable stable trend 0.5 (-0.7, 1.8)
Hickory County Rural No 169.7 (128.1, 223.9) 24 (1, 112) 14 stable stable trend 0.6 (-1.6, 2.8)
Gentry County Rural No 214.9 (157.4, 288.5) 2 (1, 97) 10 stable stable trend 0.7 (-0.9, 2.4)
Pemiscot County Rural No 201.0 (164.1, 244.2) 5 (1, 72) 22 stable stable trend 1.3 (-0.2, 2.9)
Schuyler County Rural No 154.6 (94.7, 241.6) 42 (1, 114) 4 stable stable trend 1.3 (-1.1, 3.8)
Ripley County Rural No 235.3 (186.9, 293.5) 1 (1, 38) 18 rising rising trend 1.9 (0.1, 3.8)
DeKalb County Urban No 143.5 (106.8, 190.6) 63 (2, 114) 11 stable stable trend 2.4 (-1.3, 19.2)
Laclede County Rural No 186.8 (163.4, 212.9) 8 (1, 53) 48 rising rising trend 2.8 (0.2, 12.8)
Macon County Rural No 186.4 (151.1, 228.4) 10 (1, 88) 22 stable stable trend 3.3 (-9.6, 18.5)
Douglas County Rural No 177.3 (141.8, 221.1) 15 (1, 103) 18 stable stable trend 4.6 (-0.3, 20.8)
Grundy County Rural No 160.6 (121.8, 209.5) 33 (1, 113) 13 rising rising trend 12.3 (0.1, 28.9)
Holt County Rural Yes 117.8 (75.4, 183.7) 110 (5, 114) 5
*
*
Worth County Rural ***
*
*
3 or fewer
*
*

Notes:
Created by statecancerprofiles.cancer.gov on 03/21/2026 4:38 am.

State Cancer Registries may provide more current or more local data.

Trend
Rising when 95% confidence interval of average annual percent change is above 0.
Stable when 95% confidence interval of average annual percent change includes 0.
Falling when 95% confidence interval of average annual percent change is below 0.


† Death data provided by the National Vital Statistics System public use data file. Death rates calculated by the National Cancer Institute using SEER*Stat. Death rates are age-adjusted to the 2000 US standard population (20 age groups: <1, 1-4, 5-9, ... , 80-84, 85-89, 90+).

The Healthy People 2030 goals are based on rates adjusted using different methods but the differences should be minimal.

Population counts for denominators are based on Census populations as modified by NCI.

The US Population Data File is used with mortality data.

‡ The Average Annual Percent Change (AAPC) is based on the APCs calculated by Joinpoint. Due to data availability issues, the time period used in the calculation of the joinpoint regression model may differ for selected counties.

⋔ Results presented with the CI*Rank statistics help show the usefulness of ranks. For example, ranks for relatively rare diseases or less populated areas may be essentially meaningless because of their large variability, but ranks for more common diseases in densely populated regions can be very useful. More information about methodology can be found on the CI*Rank website.

When displaying county information, the CI*Rank for the state is not shown because it's not comparable. To see the state CI*Rank please view the statistics at the US By State level.

Healthy People 2030 Objectives provided by the Centers for Disease Control and Prevention.

Φ Rural–urban county classifications are based on the 2023 USDA Rural–Urban Continuum Codes (except for Connecticut Counties which use 2013 codes). State-level cancer rates for rural areas are calculated using cancer cases registered exclusively in rural counties, while state-level cancer rates for urban areas are calculated using cases registered exclusively in urban counties.

* Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category.

If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

Data for United States does not include Puerto Rico.

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