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Death Rates Table

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Death Rate Report for United States by HSA

All Cancer Sites, 2019-2023

All Races (includes Hispanic), Both Sexes, All Ages

Sorted by Recentaapc

Health Service Area	Met Healthy People Objective of 122.7?	Age-Adjusted Death Rate † deaths per 100,000 (95% Confidence Interval)	CI*Rank ⋔ (95% Confidence Interval)	Average Annual Count	Recent Trend	Recent 5-Year Trend ‡ in Death Rates (95% Confidence Interval)
United States	No	145.4 (145.2, 145.6)	N/A	605,771	falling	-1.3 (-1.5, -1.2)
Polk, AR	No	151.7 (132.6, 173.2)	N/A	48	falling	-14.3 (-23.7, -4.9)
Malheur, OR	No	144.9 (128.3, 163.2)	N/A	57	falling	-11.7 (-18.2, -1.4)
Dallas, AL - Marengo, AL	No	153.0 (142.4, 164.3)	N/A	165	falling	-7.8 (-17.8, -2.2)
Chaffee, CO - Lake, CO	Yes	108.6 (94.2, 124.9)	N/A	44	falling	-7.2 (-22.0, -2.1)
Scott, TN	No	182.3 (160.4, 206.6)	N/A	52	falling	-6.9 (-17.3, -1.6)
Davison, SD - Charles Mix, SD	No	131.5 (119.5, 144.4)	N/A	96	falling	-6.6 (-14.8, -1.7)
Grand, UT	Yes	118.5 (93.4, 148.8)	N/A	16	falling	-6.3 (-15.0, -2.3)
Union, AR - Columbia, AR	No	186.4 (173.6, 200.0)	N/A	165	falling	-5.8 (-10.5, -1.0)
Morgan (Decatur), AL - Lawrence, AL	No	158.7 (151.0, 166.7)	N/A	336	falling	-5.0 (-8.6, -1.3)
Jackson, OH - Gallia, OH	No	185.4 (174.2, 197.2)	N/A	215	falling	-4.9 (-9.7, -0.7)
Kootenai, ID - Bonner, ID	No	143.9 (138.4, 149.5)	N/A	554	falling	-4.6 (-6.7, -3.2)
Washington, OK - Nowata, OK	No	181.3 (168.7, 194.7)	N/A	163	falling	-4.2 (-7.6, -0.4)
Hinds (Jackson), MS - Rankin, MS	No	165.5 (161.3, 169.8)	N/A	1,198	falling	-4.0 (-5.6, -2.1)
Charleston (Charleston), SC - Berkeley, SC	No	147.6 (144.2, 151.0)	N/A	1,537	falling	-3.8 (-6.0, -1.9)
Westchester (Yonkers), NY - Dutchess, NY	Yes	119.1 (117.0, 121.2)	N/A	2,630	falling	-3.6 (-5.3, -2.2)
Cleveland (Norman), OK - McClain, OK	No	153.7 (148.4, 159.2)	N/A	658	falling	-3.5 (-7.7, -0.8)
Montgomery (Dayton), OH - Greene, OH	No	158.8 (155.4, 162.3)	N/A	1,716	falling	-3.4 (-5.0, -1.5)
Rutherford (Murfreesboro), TN - Warren, TN	No	168.3 (162.6, 174.2)	N/A	699	falling	-3.3 (-5.7, -0.9)
Anderson, TX - Cherokee, TX	No	183.0 (173.9, 192.5)	N/A	311	stable	-3.2 (-7.1, 0.2)
Kings (New York), NY - Queens, NY	Yes	106.7 (105.8, 107.6)	N/A	11,113	falling	-3.2 (-3.7, -2.9)
Wasco, OR - Hood River, OR	No	139.8 (128.1, 152.4)	N/A	110	falling	-3.2 (-8.6, -1.4)
Essex (Newark), NJ - Middlesex, NJ	Yes	118.0 (116.2, 119.7)	N/A	3,648	falling	-3.1 (-4.5, -2.6)
Gogebic, MI - Ontonagon, MI	No	144.5 (127.9, 163.5)	N/A	63	falling	-3.1 (-10.8, -1.8)
Alameda (Oakland), CA - Contra Costa, CA	Yes	121.4 (119.7, 123.1)	N/A	4,062	falling	-2.9 (-3.7, -2.1)
Clark (Las Vegas), NV - Nye, NV	No	146.1 (144.0, 148.2)	N/A	3,981	falling	-2.6 (-3.6, -2.0)
Lafayette, MS - Calhoun, MS	No	161.2 (149.7, 173.5)	N/A	151	falling	-2.6 (-7.6, -1.3)
Hillsborough (Tampa), FL - Pinellas, FL	No	144.1 (142.5, 145.6)	N/A	6,920	falling	-2.5 (-3.1, -1.9)
Wake (Raleigh), NC - Johnston, NC	No	133.0 (130.4, 135.7)	N/A	2,044	falling	-2.5 (-3.6, -2.1)
Bergen, NJ - Hudson (Jersey City), NJ	Yes	116.4 (114.6, 118.3)	N/A	3,062	falling	-2.4 (-2.6, -2.3)
Cook (Chicago), IL - DuPage, IL	No	139.5 (138.4, 140.7)	N/A	11,864	falling	-2.4 (-3.0, -2.2)
Newport, RI	Yes	121.8 (113.8, 130.3)	N/A	184	falling	-2.4 (-2.8, -2.0)
Adams, MS - Jefferson, MS	No	186.0 (171.0, 202.1)	N/A	123	falling	-2.3 (-6.4, -0.6)
Cuyahoga (Cleveland), OH - Lake, OH	No	156.1 (153.8, 158.4)	N/A	3,759	falling	-2.3 (-3.8, -1.6)
District of Columbia	No	144.7 (140.6, 148.9)	N/A	971	falling	-2.3 (-2.5, -2.1)
Grant, ND	Yes	120.6 (78.3, 186.2)	N/A	6	stable	-2.3 (-5.5, 0.5)
Horry, SC - Georgetown, SC	No	158.2 (153.9, 162.7)	N/A	1,151	falling	-2.3 (-4.2, -1.3)
Mason, KY - Fleming, KY	No	194.7 (178.0, 212.6)	N/A	106	falling	-2.3 (-7.4, -0.7)
Onondaga (Syracuse), NY - Oswego, NY	No	144.5 (140.9, 148.1)	N/A	1,309	falling	-2.3 (-5.6, -1.7)
Philadelphia (Philadelphia), PA - Montgomery, PA	No	146.0 (144.5, 147.5)	N/A	7,798	falling	-2.3 (-2.9, -2.1)
Rockland, NY	Yes	109.9 (105.3, 114.6)	N/A	448	falling	-2.3 (-2.7, -2.0)
Shelby (Memphis), TN - Tipton, TN	No	165.4 (161.9, 168.8)	N/A	1,877	falling	-2.3 (-3.8, -1.8)
Tuscaloosa (Tuscaloosa), AL - Pickens, AL	No	143.6 (137.5, 149.9)	N/A	436	falling	-2.3 (-2.5, -2.0)
Cabarrus (Concord), NC - Rowan, NC	No	155.1 (150.3, 160.1)	N/A	807	falling	-2.2 (-4.5, -1.4)
Cobb (Marietta), GA	No	133.4 (129.7, 137.2)	N/A	1,029	falling	-2.2 (-3.6, -1.6)
Elko, NV - Lander, NV	No	126.8 (114.3, 140.3)	N/A	80	falling	-2.2 (-3.1, -1.2)
Essex (Lynn), MA	No	131.2 (128.1, 134.3)	N/A	1,430	falling	-2.2 (-2.4, -2.1)
Jefferson (Birmingham), AL - Shelby, AL	No	154.8 (152.0, 157.6)	N/A	2,480	falling	-2.2 (-3.8, -1.5)
Lake (Gary), IN - Porter, IN	No	156.2 (152.6, 159.9)	N/A	1,466	falling	-2.2 (-3.4, -1.8)
Middlesex, MA - Suffolk (Boston), MA	No	131.3 (129.9, 132.8)	N/A	6,647	falling	-2.2 (-2.2, -2.1)
Morris (Parsippany-Troy Hills Township), NJ - Sussex, NJ	No	125.1 (121.8, 128.4)	N/A	1,126	falling	-2.2 (-2.4, -2.0)
Pike, KY	No	201.3 (187.4, 216.1)	N/A	165	falling	-2.2 (-5.8, -1.2)
Rockingham, NH	No	136.7 (131.8, 141.8)	N/A	622	falling	-2.2 (-2.5, -1.9)
San Francisco (San Francisco), CA - San Mateo, CA	Yes	112.8 (110.7, 114.8)	N/A	2,361	falling	-2.2 (-2.3, -2.1)
Frederick, MD	No	125.0 (119.5, 130.7)	N/A	406	falling	-2.1 (-2.6, -1.6)
Inyo, CA - Mono, CA	Yes	108.1 (95.0, 122.6)	N/A	53	falling	-2.1 (-3.1, -1.2)
Kent, MD	No	142.5 (124.4, 163.1)	N/A	51	falling	-2.1 (-3.5, -0.9)
Lauderdale (Florence), AL - Colbert, AL	No	157.0 (150.5, 163.7)	N/A	471	falling	-2.1 (-5.7, -1.4)
Lawrence, SD	No	126.9 (111.5, 144.1)	N/A	53	falling	-2.1 (-4.8, -1.5)
Orleans (New Orleans), LA - Jefferson, LA	No	152.9 (149.7, 156.1)	N/A	1,890	falling	-2.1 (-2.4, -2.0)
Pike, PA	No	128.6 (118.7, 139.4)	N/A	132	falling	-2.1 (-2.8, -1.4)
Shasta (Redding), CA - Trinity, CA	No	154.7 (148.4, 161.1)	N/A	495	falling	-2.1 (-6.9, -1.3)
Smith (Tyler), TX - Henderson, TX	No	166.7 (162.0, 171.5)	N/A	1,007	stable	-2.1 (-6.6, 2.3)
Suffolk, NY - Nassau, NY	No	124.4 (122.8, 126.0)	N/A	4,944	falling	-2.1 (-2.2, -2.0)
Dubois, IN	No	143.8 (130.0, 158.7)	N/A	83	falling	-2.0 (-5.3, -1.1)
Lassen, CA - Plumas, CA	No	136.9 (125.0, 149.8)	N/A	103	falling	-2.0 (-2.6, -1.4)
Livingston, MO - Carroll, MO	No	160.6 (142.0, 181.2)	N/A	57	falling	-2.0 (-7.8, -0.6)
Lowndes, GA - Brooks, GA	No	147.5 (140.0, 155.4)	N/A	299	falling	-2.0 (-2.3, -1.6)
Marin, CA	Yes	111.9 (107.4, 116.6)	N/A	491	falling	-2.0 (-2.3, -1.7)
Monmouth, NJ - Ocean (Brick Township), NJ	No	141.3 (138.9, 143.8)	N/A	2,753	falling	-2.0 (-2.2, -1.9)
Powell, MT	No	144.4 (113.5, 182.8)	N/A	15	falling	-2.0 (-3.7, -0.5)
Santa Clara (San Jose), CA - Monterey, CA	Yes	111.5 (109.7, 113.4)	N/A	3,020	falling	-2.0 (-2.3, -1.8)
St. Johns (St. Augustine), FL - Putnam, FL	No	139.5 (135.0, 144.0)	N/A	779	falling	-2.0 (-2.4, -1.7)
Teton, WY - Lincoln, WY	Yes	106.8 (95.6, 119.2)	N/A	70	falling	-2.0 (-3.1, -0.9)
Winnebago (Rockford), IL - Ogle, IL	No	162.2 (157.5, 167.0)	N/A	929	falling	-2.0 (-4.1, -1.2)
Accomack, VA - Northampton, VA	No	163.1 (150.4, 176.8)	N/A	135	falling	-1.9 (-2.5, -1.5)
Atlantic (Atlantic City), NJ - Cape May, NJ	No	152.2 (147.5, 157.0)	N/A	871	falling	-1.9 (-2.2, -1.7)
Brevard (Palm Bay), FL - Indian River, FL	No	153.0 (150.0, 156.1)	N/A	2,233	falling	-1.9 (-4.1, -1.3)
Camden (Camden), NJ - Burlington, NJ	No	150.4 (147.8, 153.0)	N/A	2,631	falling	-1.9 (-2.0, -1.7)
Cherry, NE	No	123.8 (91.7, 165.0)	N/A	10	stable	-1.9 (-4.3, 0.3)
Erie (Buffalo), NY - Monroe, NY	No	149.9 (147.9, 151.9)	N/A	4,402	falling	-1.9 (-3.3, -1.5)
Fairbanks North Star Borough, AK - Denali/Yukon-Koyukuk, AK	No	136.9 (126.1, 148.3)	N/A	136	falling	-1.9 (-2.7, -0.9)
Franklin (Columbus), OH - Delaware, OH	No	149.6 (146.9, 152.3)	N/A	2,531	falling	-1.9 (-2.0, -1.7)
Hunterdon, NJ - Warren (Phillipsburg), NJ	No	131.0 (125.6, 136.7)	N/A	464	falling	-1.9 (-2.2, -1.6)
Jackson, OK - Greer, OK	No	163.9 (146.4, 183.1)	N/A	65	falling	-1.9 (-9.6, -0.8)
Jasper (Joplin), MO - Newton, MO	No	175.9 (168.9, 183.2)	N/A	484	falling	-1.9 (-3.9, -1.1)
Mercer, NJ	No	131.1 (126.4, 136.0)	N/A	608	falling	-1.9 (-2.3, -1.6)
Montgomery, MD - Prince Georges, MD	Yes	122.5 (120.6, 124.4)	N/A	3,299	falling	-1.9 (-2.0, -1.8)
Nevada, CA - Sierra, CA	No	124.6 (117.4, 132.2)	N/A	253	falling	-1.9 (-2.4, -1.3)
Orange (Newburgh), NY - Sullivan, NY	No	143.0 (138.5, 147.6)	N/A	797	falling	-1.9 (-2.1, -1.7)
Quitman, GA	No	131.2 (87.1, 199.1)	N/A	6	stable	-1.9 (-4.6, 0.7)
Roberts, SD	No	142.5 (115.5, 174.6)	N/A	21	falling	-1.9 (-3.3, -0.7)
Stafford, VA - Spotsylvania, VA	No	148.7 (143.2, 154.3)	N/A	589	falling	-1.9 (-2.2, -1.6)
Travis (Austin), TX - Williamson, TX	Yes	121.2 (119.0, 123.4)	N/A	2,422	falling	-1.9 (-2.1, -1.7)
Washoe (Reno), NV - Carson City, NV	No	142.3 (138.8, 145.9)	N/A	1,358	falling	-1.9 (-2.1, -1.6)
Wayne (Detroit), MI - Oakland, MI	No	153.2 (151.6, 154.7)	N/A	7,702	falling	-1.9 (-2.9, -1.5)
Baltimore, MD - Baltimore City, MD	No	152.5 (150.5, 154.4)	N/A	4,918	falling	-1.8 (-2.0, -1.7)
Blaine, ID - Camas, ID	Yes	91.6 (78.2, 107.1)	N/A	36	falling	-1.8 (-3.1, -0.3)
Choctaw, OK	No	188.3 (162.4, 217.6)	N/A	40	falling	-1.8 (-7.1, -0.2)
Crawford, IA	No	139.0 (117.4, 163.7)	N/A	30	falling	-1.8 (-2.8, -0.8)
Cumberland (Portland), ME - Knox, ME	No	145.7 (141.5, 150.0)	N/A	954	falling	-1.8 (-2.0, -1.5)
Custer, MT - Fallon, MT	No	137.8 (119.9, 158.0)	N/A	45	falling	-1.8 (-3.0, -0.7)
Davidson (Nashville-Davidson), TN - Williamson, TN	No	153.9 (150.7, 157.1)	N/A	1,896	falling	-1.8 (-2.5, -1.7)
Denton (Denton), TX - Wise, TX	No	126.9 (123.6, 130.2)	N/A	1,231	falling	-1.8 (-2.0, -1.6)
Durham (Durham), NC - Granville, NC	No	150.8 (146.3, 155.5)	N/A	870	falling	-1.8 (-2.0, -1.5)
East Baton Rouge (Baton Rouge), LA - Livingston, LA	No	151.8 (148.2, 155.5)	N/A	1,410	falling	-1.8 (-2.0, -1.5)
Fairfield, CT	Yes	119.4 (116.6, 122.2)	N/A	1,481	falling	-1.8 (-2.2, -1.3)
Florence (Florence), SC - Darlington, SC	No	173.5 (167.7, 179.5)	N/A	706	falling	-1.8 (-4.8, -1.1)
Hamilton (Chattanooga), TN - Marion, TN	No	148.1 (143.5, 152.8)	N/A	830	falling	-1.8 (-2.1, -1.6)
Hancock, IL	No	136.4 (118.0, 157.4)	N/A	42	falling	-1.8 (-3.0, -0.7)
Kauai, HI	No	122.8 (113.4, 132.8)	N/A	136	falling	-1.8 (-2.4, -1.3)
Manatee, FL	No	124.0 (120.4, 127.8)	N/A	1,003	falling	-1.8 (-2.0, -1.6)
McIntosh, ND - Logan, ND	No	132.3 (95.0, 181.8)	N/A	11	falling	-1.8 (-3.7, -0.2)
Mecklenburg (Charlotte), NC - Union, NC	No	134.2 (131.3, 137.1)	N/A	1,767	falling	-1.8 (-1.9, -1.6)
Routt, CO - Moffat, CO	Yes	112.7 (98.7, 128.2)	N/A	51	falling	-1.8 (-2.8, -0.8)
St. Tammany (Slidell), LA - Washington, LA	No	155.9 (150.4, 161.6)	N/A	637	falling	-1.8 (-2.0, -1.5)
Weston, WY	No	168.7 (134.3, 210.6)	N/A	17	falling	-1.8 (-3.3, -0.3)
Ashland, WI - Sawyer, WI	No	148.9 (138.7, 159.8)	N/A	175	falling	-1.7 (-2.4, -1.0)
Beaufort, SC - Jasper, SC	No	128.3 (123.0, 133.8)	N/A	505	falling	-1.7 (-2.1, -1.4)
Beaver, OK	No	136.3 (101.2, 181.3)	N/A	10	stable	-1.7 (-4.0, 0.4)
Boulder, CO - Broomfield, CO	Yes	111.5 (107.2, 116.0)	N/A	512	falling	-1.7 (-2.0, -1.4)
Bowman, ND - Hettinger, ND	No	136.6 (108.6, 170.6)	N/A	20	falling	-1.7 (-3.5, -0.1)
Chatham (Savannah), GA - Liberty, GA	No	153.9 (149.3, 158.7)	N/A	877	falling	-1.7 (-2.0, -1.4)
Columbia, NY - Greene, NY	No	154.5 (146.4, 163.1)	N/A	291	falling	-1.7 (-2.2, -1.2)
Fairfax, VA - Arlington, VA	Yes	108.1 (106.1, 110.2)	N/A	2,212	falling	-1.7 (-2.1, -0.7)
Fergus, MT - Petroleum, MT	No	141.3 (119.5, 166.9)	N/A	30	falling	-1.7 (-2.8, -0.7)
Fulton (Atlanta), GA - DeKalb, GA	No	137.1 (135.1, 139.1)	N/A	3,954	falling	-1.7 (-1.8, -1.5)
Galveston, TX	No	161.5 (155.9, 167.3)	N/A	662	falling	-1.7 (-2.0, -1.4)
Harris (Houston), TX - Fort Bend, TX	No	134.3 (132.9, 135.7)	N/A	8,041	falling	-1.7 (-1.9, -1.0)
Hertford, NC - Bertie, NC	No	168.7 (157.0, 181.2)	N/A	170	falling	-1.7 (-2.3, -1.1)
Kenton (Covington), KY - Campbell, KY	No	162.2 (157.2, 167.3)	N/A	842	falling	-1.7 (-2.0, -1.5)
Ketchikan Gateway Borough, AK - Wrangell-Petersburg Cen, AK	No	167.7 (147.8, 189.8)	N/A	56	falling	-1.7 (-2.9, -0.3)
Lee (Cape Coral), FL - Collier, FL	Yes	115.8 (113.8, 117.9)	N/A	2,902	falling	-1.7 (-1.8, -1.6)
Lemhi, ID	No	137.2 (111.6, 168.8)	N/A	22	falling	-1.7 (-3.1, -0.3)
Logan, OH	No	166.1 (151.8, 181.5)	N/A	105	falling	-1.7 (-6.9, -1.0)
Maricopa (Phoenix), AZ - Pinal, AZ	No	130.3 (129.0, 131.5)	N/A	8,822	falling	-1.7 (-2.2, -1.4)
Multnomah (Portland), OR - Washington, OR	No	139.9 (137.7, 142.2)	N/A	3,119	falling	-1.7 (-1.8, -1.6)
New Haven (New Haven), CT - Litchfield, CT	No	138.2 (135.7, 140.7)	N/A	2,416	falling	-1.7 (-1.9, -1.5)
Palm Beach (West Palm Beach), FL - St. Lucie, FL	No	125.2 (123.5, 126.9)	N/A	4,719	falling	-1.7 (-1.8, -1.6)
Park, WY - Big Horn, WY	No	133.2 (120.7, 146.9)	N/A	91	falling	-1.7 (-2.3, -1.1)
Queen Annes, MD - Talbot, MD	No	152.5 (145.5, 159.7)	N/A	382	falling	-1.7 (-2.0, -1.4)
Santa Cruz, CA	Yes	122.0 (116.6, 127.5)	N/A	416	falling	-1.7 (-2.1, -1.2)
Santa Fe (Santa Fe), NM - Rio Arriba, NM	Yes	112.7 (108.0, 117.6)	N/A	483	falling	-1.7 (-2.8, -1.4)
Stark, ND - Dunn, ND	No	128.1 (113.3, 144.2)	N/A	58	falling	-1.7 (-2.7, -0.8)
Walker, GA - Catoosa, GA	No	159.4 (151.8, 167.4)	N/A	339	falling	-1.7 (-1.9, -1.4)
Albany (Albany), NY - Rensselaer, NY	No	145.6 (141.3, 149.9)	N/A	921	falling	-1.6 (-1.9, -1.3)
Allegheny (Pittsburgh), PA - Westmoreland, PA	No	151.9 (149.9, 153.8)	N/A	4,847	falling	-1.6 (-2.0, -1.5)
Berkshire (Pittsfield), MA	No	144.7 (137.5, 152.3)	N/A	326	falling	-1.6 (-2.0, -1.2)
Cape Girardeau, MO - Butler, MO	No	180.2 (174.2, 186.5)	N/A	698	falling	-1.6 (-4.5, -0.8)
Cascade (Great Falls), MT - Glacier, MT	No	145.2 (137.1, 153.6)	N/A	254	falling	-1.6 (-2.0, -1.1)
Champaign (Champaign), IL - Coles, IL	No	147.4 (141.5, 153.5)	N/A	487	falling	-1.6 (-1.9, -1.2)
Cherokee, NC - Clay, NC	No	142.3 (130.2, 155.5)	N/A	120	falling	-1.6 (-2.0, -1.2)
Denver (Denver), CO - Jefferson, CO	No	125.7 (123.9, 127.6)	N/A	3,803	falling	-1.6 (-1.8, -1.5)
Deschutes, OR - Crook, OR	No	128.2 (123.0, 133.6)	N/A	485	falling	-1.6 (-1.9, -1.2)
Duval (Jacksonville), FL - Clay, FL	No	162.2 (159.3, 165.1)	N/A	2,606	falling	-1.6 (-1.8, -1.4)
Erath, TX - Comanche, TX	No	139.8 (127.2, 153.2)	N/A	96	falling	-1.6 (-2.3, -1.0)
Flathead, MT - Lincoln, MT	No	142.3 (134.6, 150.4)	N/A	274	falling	-1.6 (-2.1, -1.0)
Franklin, KY - Anderson, KY	No	160.9 (150.4, 171.9)	N/A	185	falling	-1.6 (-2.3, -1.0)
Glynn, GA - Camden, GA	No	157.1 (150.1, 164.4)	N/A	402	falling	-1.6 (-2.2, -1.1)
Hamilton (Cincinnati), OH - Butler, OH	No	156.8 (154.3, 159.2)	N/A	3,313	falling	-1.6 (-1.7, -1.5)
Hamilton, IN - Madison (Anderson), IN	No	140.1 (135.6, 144.7)	N/A	762	falling	-1.6 (-1.9, -1.3)
Hartford (Hartford), CT - Tolland, CT	No	135.2 (132.6, 137.8)	N/A	2,108	falling	-1.6 (-1.8, -1.4)
Hennepin (Minneapolis), MN - Anoka, MN	No	136.2 (134.2, 138.4)	N/A	3,379	falling	-1.6 (-1.7, -1.4)
Hillsborough (Manchester), NH - Merrimack, NH	No	145.1 (141.6, 148.6)	N/A	1,400	falling	-1.6 (-1.8, -1.4)
Jackson (Kansas City), MO - Clay, MO	No	156.6 (153.8, 159.5)	N/A	2,506	falling	-1.6 (-2.7, -1.4)
Kanawha (Charleston), WV - Putnam, WV	No	167.2 (161.7, 172.8)	N/A	759	falling	-1.6 (-1.8, -1.4)
King (Seattle), WA - Snohomish, WA	No	133.7 (132.1, 135.4)	N/A	5,398	falling	-1.6 (-1.8, -1.5)
Madison (Huntsville), AL - Limestone, AL	No	146.5 (142.4, 150.8)	N/A	994	falling	-1.6 (-1.8, -1.4)
Madison, LA	No	189.9 (155.9, 229.5)	N/A	23	stable	-1.6 (-3.5, 0.0)
Maury, TN - Giles, TN	No	169.3 (161.9, 177.1)	N/A	406	falling	-1.6 (-2.0, -1.4)
Mendocino, CA	No	147.8 (138.7, 157.5)	N/A	215	falling	-1.6 (-2.2, -1.1)
Mesa, CO - Garfield, CO	No	122.8 (117.7, 128.1)	N/A	459	falling	-1.6 (-2.0, -1.3)
Miami-Dade (Miami), FL - Broward, FL	No	125.5 (124.2, 126.7)	N/A	7,896	falling	-1.6 (-1.7, -1.5)
Morgan, GA - Greene, GA	No	143.7 (130.6, 158.0)	N/A	97	falling	-1.6 (-2.4, -0.7)
Natrona (Casper), WY - Converse, WY	No	141.6 (131.8, 152.0)	N/A	163	falling	-1.6 (-2.0, -1.1)
Orange (Chapel Hill), NC - Harnett, NC	No	143.0 (138.4, 147.8)	N/A	756	falling	-1.6 (-2.0, -1.3)
Polk (Des Moines), IA - Dallas, IA	No	152.5 (148.8, 156.3)	N/A	1,341	falling	-1.6 (-3.0, -1.3)
Providence (Providence), RI - Kent, RI	No	144.3 (141.3, 147.2)	N/A	1,949	falling	-1.6 (-1.8, -1.5)
Ramsey (St. Paul), MN - Dakota, MN	No	137.4 (134.7, 140.1)	N/A	2,114	falling	-1.6 (-1.8, -1.5)
Rice, MN	No	143.6 (132.0, 156.1)	N/A	116	falling	-1.6 (-2.0, -1.2)
Richmond (South Augusta), GA - Columbia, GA	No	161.9 (156.8, 167.2)	N/A	792	falling	-1.6 (-1.9, -1.4)
Roseau, MN - Lake of the Woods, MN	No	132.7 (114.2, 153.7)	N/A	38	falling	-1.6 (-2.9, -0.4)
Stanislaus (Modesto), CA - Merced, CA	No	150.3 (146.8, 153.8)	N/A	1,446	falling	-1.6 (-2.5, -1.2)
Tompkins, NY - Cortland, NY	No	133.9 (126.2, 142.0)	N/A	237	falling	-1.6 (-2.0, -1.2)
Wheatland, MT - Meagher, MT	No	130.9 (93.5, 181.2)	N/A	9	stable	-1.6 (-4.4, 1.0)
Winn, LA	No	183.4 (156.4, 214.1)	N/A	34	falling	-1.6 (-3.0, -0.4)
Winneshiek, IA	Yes	120.9 (103.8, 140.5)	N/A	39	falling	-1.6 (-2.5, -0.7)
Worcester (Worcester), MA - Franklin, MA	No	142.5 (139.4, 145.6)	N/A	1,717	falling	-1.6 (-1.9, -1.4)
Aiken, SC - Edgefield, SC	No	154.2 (147.9, 160.6)	N/A	484	falling	-1.5 (-1.9, -1.0)
Albemarle, VA - Charlottesville City, VA	No	144.4 (139.8, 149.1)	N/A	783	falling	-1.5 (-1.8, -1.3)
Brazos (Bryan), TX - Washington, TX	No	142.4 (136.7, 148.4)	N/A	472	falling	-1.5 (-1.8, -1.2)
Burleigh (Bismarck), ND - Morton, ND	No	131.2 (124.4, 138.3)	N/A	293	falling	-1.5 (-2.1, -0.9)
Campbell, WY - Crook, WY	No	146.7 (131.5, 163.2)	N/A	77	falling	-1.5 (-2.6, -0.2)
Cass (Fargo), ND - Richland, ND	No	135.6 (129.2, 142.2)	N/A	353	falling	-1.5 (-1.8, -1.1)
Chittenden (Burlington), VT - Franklin, VT	No	143.1 (137.4, 149.1)	N/A	484	falling	-1.5 (-1.7, -1.2)
Dallas (Dallas), TX - Collin, TX	No	139.5 (137.8, 141.2)	N/A	5,592	falling	-1.5 (-1.8, -0.7)
Greenville (Greenville), SC - Anderson, SC	No	146.4 (143.3, 149.5)	N/A	1,790	falling	-1.5 (-1.7, -1.2)
Hampden (Springfield), MA - Hampshire, MA	No	146.3 (142.5, 150.1)	N/A	1,215	falling	-1.5 (-1.8, -1.2)
Henrico (Richmond), VA - Chesterfield, VA	No	152.1 (149.4, 154.8)	N/A	2,554	falling	-1.5 (-3.1, -0.3)
Henry, GA - Forsyth, GA	No	140.1 (136.5, 143.7)	N/A	1,246	falling	-1.5 (-1.8, -1.2)
Kane (Aurora), IL - DeKalb, IL	No	141.6 (137.9, 145.4)	N/A	1,139	falling	-1.5 (-2.6, -1.2)
La Porte, IN - Starke, IN	No	164.0 (155.7, 172.6)	N/A	312	falling	-1.5 (-2.0, -1.1)
Lamar, AL	No	170.3 (146.1, 198.0)	N/A	37	falling	-1.5 (-2.1, -0.8)
Lancaster, PA	No	138.4 (134.6, 142.2)	N/A	1,094	falling	-1.5 (-1.8, -1.3)
Lewis and Clark, MT - Jefferson, MT	No	147.3 (137.7, 157.4)	N/A	191	falling	-1.5 (-2.1, -0.9)
Los Angeles (Los Angeles), CA	No	128.8 (127.9, 129.8)	N/A	14,454	falling	-1.5 (-1.5, -1.4)
Mobile (Mobile), AL - Baldwin, AL	No	159.4 (155.8, 163.1)	N/A	1,539	falling	-1.5 (-1.8, -1.3)
Montgomery, KS - Chautauqua, KS	No	165.2 (150.2, 181.4)	N/A	95	falling	-1.5 (-2.3, -0.7)
New Castle (Wilmington), DE	No	154.1 (150.0, 158.3)	N/A	1,100	falling	-1.5 (-1.7, -1.3)
Newport News City, VA - Hampton City, VA	No	155.2 (151.1, 159.5)	N/A	1,100	falling	-1.5 (-1.8, -1.2)
Ontario (Geneva), NY - Wayne, NY	No	148.3 (142.8, 154.0)	N/A	583	falling	-1.5 (-1.8, -1.1)
Orange (Orlando), FL - Volusia, FL	No	141.5 (139.9, 143.1)	N/A	6,390	falling	-1.5 (-1.6, -1.4)
Orange, CA	No	124.1 (122.5, 125.7)	N/A	4,736	falling	-1.5 (-1.6, -1.4)
Pierce, WA	No	155.0 (151.5, 158.6)	N/A	1,545	falling	-1.5 (-1.7, -1.3)
Puerto Rico	Yes	99.2 (98.0, 100.5)	N/A	5,258	falling	-1.5 (-3.0, -0.1)
San Diego (San Diego), CA - Imperial, CA	No	134.9 (133.3, 136.6)	N/A	5,296	falling	-1.5 (-1.6, -1.4)
Scott (Davenport), IA - Muscatine, IA	No	150.7 (144.2, 157.4)	N/A	423	falling	-1.5 (-2.0, -1.0)
Sheridan, WY - Johnson, WY	No	132.6 (119.9, 146.3)	N/A	86	falling	-1.5 (-2.1, -0.9)
Sioux, IA	Yes	107.7 (94.3, 122.6)	N/A	48	falling	-1.5 (-2.3, -0.8)
Solano (Vallejo), CA - Napa, CA	No	148.1 (144.4, 151.9)	N/A	1,288	falling	-1.5 (-1.8, -1.3)
Sonoma (Santa Rosa), CA	No	141.4 (137.4, 145.5)	N/A	1,003	falling	-1.5 (-1.8, -1.2)
St. Charles (St. Charles), MO - Lincoln, MO	No	143.5 (139.3, 147.9)	N/A	894	falling	-1.5 (-1.8, -1.2)
St. Croix, WI - Pierce, WI	No	139.5 (131.2, 148.3)	N/A	218	falling	-1.5 (-1.9, -1.0)
St. Lawrence, NY - Jefferson, NY	No	162.4 (156.0, 169.0)	N/A	506	falling	-1.5 (-2.0, -1.1)
Washtenaw, MI - Livingston, MI	No	138.0 (134.0, 142.1)	N/A	936	falling	-1.5 (-1.7, -1.3)
Wicomico, MD - Worcester, MD	No	164.6 (157.5, 172.0)	N/A	430	falling	-1.5 (-1.8, -1.1)
Wilkinson, MS	No	183.7 (149.7, 224.0)	N/A	21	falling	-1.5 (-2.9, -0.2)
Wyandotte (Kansas City), KS - Leavenworth, KS	No	168.0 (160.9, 175.3)	N/A	447	falling	-1.5 (-2.0, -1.1)
York (Rock Hill), SC - Chester, SC	No	159.1 (153.2, 165.2)	N/A	584	falling	-1.5 (-1.9, -1.1)
Anchorage (Anchorage), AK - Matanuska-Susitna Borough, AK	No	151.0 (146.0, 156.1)	N/A	790	falling	-1.4 (-1.7, -1.1)
Bernalillo (Albuquerque), NM - Sandoval, NM	No	130.5 (127.6, 133.4)	N/A	1,637	falling	-1.4 (-1.5, -1.2)
Bibb (Macon), GA - Houston, GA	No	156.0 (151.3, 160.8)	N/A	881	falling	-1.4 (-1.7, -1.1)
Boone, IN	No	151.1 (139.2, 163.8)	N/A	122	falling	-1.4 (-2.0, -0.7)
Brookings, SD - Kingsbury, SD	No	139.4 (123.7, 156.6)	N/A	60	falling	-1.4 (-2.0, -0.8)
Calcasieu (Lake Charles), LA - Vernon, LA	No	171.6 (165.7, 177.7)	N/A	663	falling	-1.4 (-1.7, -1.1)
Centre (State College), PA - Clearfield, PA	No	144.1 (138.6, 149.8)	N/A	537	falling	-1.4 (-3.5, -1.1)
Cherokee, GA - Douglas, GA	No	145.5 (141.1, 149.9)	N/A	943	falling	-1.4 (-1.6, -1.1)
Claiborne, TN	No	193.6 (175.4, 213.3)	N/A	89	falling	-1.4 (-2.2, -0.6)
Clark, WA - Cowlitz, WA	No	159.1 (155.0, 163.3)	N/A	1,206	falling	-1.4 (-1.6, -1.1)
Clarke (Athens), GA - Barrow, GA	No	153.4 (147.9, 159.1)	N/A	615	falling	-1.4 (-1.7, -1.2)
Dickey, ND - LaMoure, ND	No	130.2 (104.4, 161.2)	N/A	20	stable	-1.4 (-3.1, 0.1)
Douglas, WI	No	163.8 (149.6, 179.1)	N/A	104	falling	-1.4 (-1.9, -0.8)
Dubuque (Dubuque), IA - Jackson, IA	No	142.8 (134.6, 151.3)	N/A	242	falling	-1.4 (-1.6, -1.1)
Fayette (Lexington-Fayette), KY - Jessamine, KY	No	168.3 (163.9, 172.8)	N/A	1,158	falling	-1.4 (-1.6, -1.1)
Garland, AR - Hot Spring, AR	No	161.4 (154.5, 168.6)	N/A	440	falling	-1.4 (-4.9, -1.0)
Gilmer, GA - Fannin, GA	No	150.8 (139.6, 162.9)	N/A	158	falling	-1.4 (-2.0, -0.8)
Harford, MD - Cecil, MD	No	155.4 (150.2, 160.7)	N/A	720	falling	-1.4 (-1.6, -1.2)
Hill, MT - Blaine, MT	No	153.0 (135.2, 172.6)	N/A	57	falling	-1.4 (-2.6, -0.3)
Jefferson (Beaumont), TX - Orange, TX	No	166.7 (161.9, 171.6)	N/A	953	falling	-1.4 (-1.6, -1.1)
Johnson (Overland Park), KS - Douglas, KS	No	131.7 (128.3, 135.1)	N/A	1,202	falling	-1.4 (-1.5, -1.2)
Juneau City and Borough, AK - Sitka City and Borough, AK	No	139.4 (125.2, 154.8)	N/A	77	stable	-1.4 (-2.7, 0.1)
Kern, CA	No	146.2 (142.4, 150.0)	N/A	1,193	falling	-1.4 (-1.7, -1.1)
Klickitat, WA - Skamania, WA	No	145.2 (131.3, 160.5)	N/A	86	falling	-1.4 (-2.3, -0.5)
La Plata, CO - Montezuma, CO	Yes	115.2 (107.2, 123.7)	N/A	170	falling	-1.4 (-1.8, -0.9)
Larimer, CO	Yes	119.2 (114.5, 124.0)	N/A	509	falling	-1.4 (-1.8, -1.1)
Lee (Auburn), AL - Elmore, AL	No	162.0 (156.1, 168.0)	N/A	610	falling	-1.4 (-1.8, -1.0)
Lee, MS - Monroe, MS	No	188.6 (180.7, 196.8)	N/A	442	falling	-1.4 (-2.1, -0.3)
Lehigh (Allentown), PA - Northampton, PA	No	148.4 (145.4, 151.5)	N/A	1,917	falling	-1.4 (-1.5, -1.2)
Linn (Cedar Rapids), IA - Johnson, IA	No	134.1 (129.9, 138.3)	N/A	821	stable	-1.4 (-3.6, 0.2)
Lorain (Lorain), OH - Erie, OH	No	159.2 (155.0, 163.4)	N/A	1,162	falling	-1.4 (-1.5, -1.2)
Milwaukee (Milwaukee), WI - Waukesha, WI	No	148.8 (146.4, 151.3)	N/A	2,893	falling	-1.4 (-1.6, -1.3)
Missoula, MT - Ravalli, MT	No	140.2 (134.2, 146.5)	N/A	440	falling	-1.4 (-1.9, -0.8)
Mohave, AZ	No	170.1 (164.3, 176.2)	N/A	777	falling	-1.4 (-2.8, -1.1)
Muscogee (Columbus), GA - Harris, GA	No	164.8 (158.4, 171.4)	N/A	521	falling	-1.4 (-1.8, -0.9)
OBrien, IA - Osceola, IA	No	149.8 (130.6, 171.2)	N/A	48	falling	-1.4 (-2.5, -0.4)
Otsego, NY - Chenango, NY	No	152.1 (145.5, 158.9)	N/A	444	falling	-1.4 (-1.8, -1.0)
Pasquotank, NC - Dare, NC	No	159.1 (149.9, 168.7)	N/A	243	falling	-1.4 (-1.9, -1.0)
Penobscot (Bangor), ME - Hancock, ME	No	167.5 (161.7, 173.5)	N/A	678	falling	-1.4 (-1.7, -1.1)
Pima (Tucson), AZ - Cochise, AZ	No	134.2 (131.8, 136.7)	N/A	2,532	falling	-1.4 (-1.6, -1.3)
Richland, MT - Dawson, MT	No	146.9 (128.1, 167.9)	N/A	46	falling	-1.4 (-2.5, -0.4)
San Bernardino, CA - Riverside (Riverside), CA	No	143.0 (141.5, 144.6)	N/A	6,980	falling	-1.4 (-1.5, -1.3)
San Joaquin (Stockton), CA - Calaveras, CA	No	142.9 (139.5, 146.4)	N/A	1,388	falling	-1.4 (-1.6, -1.2)
San Miguel, NM - Mora, NM	No	124.4 (111.8, 138.3)	N/A	78	falling	-1.4 (-2.3, -0.4)
Saratoga, NY - Schenectady (Schenectady), NY	No	147.7 (143.7, 151.7)	N/A	1,121	falling	-1.4 (-1.6, -1.2)
Spartanburg (Spartanburg), SC - Cherokee, SC	No	166.2 (161.2, 171.3)	N/A	866	falling	-1.4 (-1.7, -1.2)
St. Louis, MO - St. Louis City, MO	No	159.5 (157.1, 161.9)	N/A	3,643	falling	-1.4 (-1.5, -1.2)
Stevens, KS	No	131.0 (93.0, 179.8)	N/A	8	stable	-1.4 (-4.1, 1.3)
Sumner (Hendersonville), TN - Wilson, TN	No	161.2 (156.1, 166.4)	N/A	792	falling	-1.4 (-1.7, -1.1)
Sumter, SC - Clarendon, SC	No	177.6 (169.4, 186.2)	N/A	372	falling	-1.4 (-1.8, -0.9)
Sutter (Yuba City), CA - Yuba, CA	No	145.9 (138.8, 153.2)	N/A	332	falling	-1.4 (-1.9, -1.0)
Thomas, GA - Mitchell, GA	No	171.0 (160.7, 181.8)	N/A	216	falling	-1.4 (-1.7, -1.2)
Wichita, KS - Greeley, KS	No	159.3 (108.7, 226.6)	N/A	7	stable	-1.4 (-4.4, 1.2)
Will (Joliet), IL - Grundy, IL	No	153.9 (150.0, 157.8)	N/A	1,249	falling	-1.4 (-1.6, -1.2)
Williams, ND - McKenzie, ND	No	126.9 (112.4, 142.6)	N/A	59	falling	-1.4 (-2.3, -0.6)
York, ME	No	155.8 (149.7, 162.2)	N/A	514	falling	-1.4 (-1.7, -1.1)
Ada (Boise City), ID - Canyon, ID	No	136.7 (133.3, 140.1)	N/A	1,283	falling	-1.3 (-1.6, -1.0)
Allegany (Cumberland), MD - Garrett, MD	No	149.0 (140.2, 158.3)	N/A	226	falling	-1.3 (-1.7, -0.9)
Androscoggin (Lewiston), ME - Oxford, ME	No	160.5 (154.0, 167.3)	N/A	483	falling	-1.3 (-1.6, -1.0)
Asotin, WA - Garfield, WA	No	140.2 (124.2, 158.0)	N/A	61	falling	-1.3 (-2.4, -0.3)
Atchison, KS	No	158.9 (134.8, 186.3)	N/A	33	falling	-1.3 (-2.3, -0.4)
Barber, KS	No	185.9 (139.5, 245.0)	N/A	12	stable	-1.3 (-3.2, 0.3)
Bell (Killeen), TX - Coryell, TX	No	162.0 (156.8, 167.2)	N/A	783	falling	-1.3 (-1.5, -1.1)
Brewster, TX - Presidio, TX	Yes	101.1 (84.5, 120.4)	N/A	29	stable	-1.3 (-2.7, 0.0)
Bristol (New Bedford), MA	No	152.0 (148.0, 156.0)	N/A	1,159	stable	-1.3 (-3.3, 0.2)
Buffalo, NE - Dawson, NE	No	138.1 (128.7, 148.1)	N/A	165	falling	-1.3 (-1.6, -0.9)
Buncombe (Asheville), NC - Henderson, NC	No	142.0 (138.3, 145.9)	N/A	1,174	falling	-1.3 (-1.6, -1.1)
Caddo (Shreveport), LA - Bossier, LA	No	172.9 (168.2, 177.6)	N/A	1,105	falling	-1.3 (-1.5, -1.0)
Carroll, IA - Sac, IA	No	139.7 (126.9, 153.6)	N/A	95	falling	-1.3 (-2.2, -0.4)
Chambers, AL - Randolph, AL	No	164.4 (152.0, 177.6)	N/A	139	falling	-1.3 (-1.9, -0.6)
Cheshire, NH	No	148.8 (138.9, 159.4)	N/A	178	falling	-1.3 (-2.0, -0.5)
Clark (Springfield), OH - Champaign, OH	No	170.0 (162.7, 177.6)	N/A	427	falling	-1.3 (-1.5, -1.0)
Colquitt, GA	No	158.3 (143.5, 174.2)	N/A	86	falling	-1.3 (-1.8, -0.8)
Coweta, GA - Troup (La Grange), GA	No	153.4 (147.0, 160.0)	N/A	459	falling	-1.3 (-1.8, -0.7)
Dauphin (Harrisburg), PA - Cumberland, PA	No	148.5 (145.1, 152.0)	N/A	1,512	falling	-1.3 (-1.5, -1.1)
Decatur, GA - Seminole, GA	No	169.2 (154.7, 184.8)	N/A	105	falling	-1.3 (-2.0, -0.7)
Fairfield (Lancaster), OH - Athens, OH	No	164.5 (158.2, 171.1)	N/A	535	falling	-1.3 (-1.6, -1.1)
Floyd (New Albany), IN - Harrison, IN	No	168.1 (160.2, 176.4)	N/A	355	falling	-1.3 (-1.7, -0.9)
Fremont, CO - Custer, CO	No	141.8 (130.5, 154.0)	N/A	125	falling	-1.3 (-1.9, -0.7)
Gaines, TX - Andrews, TX	No	152.4 (133.1, 173.5)	N/A	47	falling	-1.3 (-2.5, -0.2)
Genesee (Flint), MI - Lapeer, MI	No	164.9 (160.5, 169.5)	N/A	1,116	falling	-1.3 (-1.6, -1.0)
Grafton, NH - Sullivan, NH	No	146.9 (139.5, 154.7)	N/A	317	falling	-1.3 (-1.9, -0.8)
Grant, NM - Hidalgo, NM	No	139.2 (126.0, 153.7)	N/A	98	falling	-1.3 (-2.2, -0.4)
Hall, GA - Habersham, GA	No	146.3 (141.7, 151.1)	N/A	806	falling	-1.3 (-1.6, -1.0)
Hancock (Weirton), WV - Brooke, WV	No	165.2 (152.8, 178.4)	N/A	143	falling	-1.3 (-1.8, -0.8)
Harrison (Marshall), TX - Cass, TX	No	163.2 (154.1, 172.9)	N/A	250	falling	-1.3 (-1.8, -0.8)
Henderson, IL	No	151.9 (122.0, 189.2)	N/A	19	stable	-1.3 (-3.1, 0.3)
Honolulu (Honolulu), HI - Maui, HI	Yes	119.3 (116.9, 121.7)	N/A	1,989	falling	-1.3 (-1.4, -1.1)
Houston (Dothan), AL - Dale, AL	No	162.1 (156.3, 168.0)	N/A	618	falling	-1.3 (-1.6, -1.0)
Iredell (Statesville), NC - Alexander, NC	No	150.4 (144.1, 157.0)	N/A	438	falling	-1.3 (-1.6, -0.9)
Jefferson (Louisville), KY - Bullitt, KY	No	164.8 (161.7, 167.9)	N/A	2,220	falling	-1.3 (-1.6, -0.1)
Latah, ID	No	129.1 (113.8, 145.8)	N/A	54	stable	-1.3 (-2.6, 0.1)
Lauderdale, MS - Neshoba, MS	No	161.4 (153.3, 169.7)	N/A	317	falling	-1.3 (-1.7, -0.9)
Lee, IA	No	164.8 (149.1, 181.8)	N/A	86	falling	-1.3 (-2.3, -0.4)
Marion (Indianapolis), IN - Johnson, IN	No	170.1 (167.2, 173.1)	N/A	2,697	falling	-1.3 (-1.4, -1.2)
Marion (Salem), OR - Yamhill, OR	No	150.4 (146.2, 154.7)	N/A	1,012	falling	-1.3 (-1.5, -1.1)
Mc Kean, PA - Potter, PA	No	164.1 (152.5, 176.5)	N/A	159	falling	-1.3 (-1.9, -0.7)
Monroe (Bloomington), IN - Greene, IN	No	160.0 (152.9, 167.4)	N/A	399	falling	-1.3 (-1.6, -0.9)
Montgomery (Montgomery), AL - Autauga, AL	No	165.5 (160.4, 170.8)	N/A	812	falling	-1.3 (-1.6, -1.1)
New Hanover (Wilmington), NC - Brunswick, NC	No	152.5 (148.2, 156.9)	N/A	1,039	falling	-1.3 (-1.6, -0.9)
Nueces (Corpus Christi), TX - San Patricio, TX	No	148.4 (144.2, 152.7)	N/A	972	falling	-1.3 (-1.7, -1.0)
Osceola, FL	No	144.8 (139.6, 150.1)	N/A	604	falling	-1.3 (-1.7, -0.9)
Outagamie (Appleton), WI - Waupaca, WI	No	149.6 (143.5, 156.0)	N/A	467	falling	-1.3 (-1.6, -1.0)
Page, IA - Fremont, IA	No	153.9 (137.9, 171.5)	N/A	72	falling	-1.3 (-2.3, -0.3)
Pennington (Rapid City), SD - Meade, SD	No	156.4 (149.1, 164.1)	N/A	368	falling	-1.3 (-1.7, -0.8)
Pike, MS - Marion, MS	No	170.5 (160.3, 181.3)	N/A	218	falling	-1.3 (-1.8, -0.8)
Pulaski (Little Rock), AR - Faulkner, AR	No	157.4 (153.9, 161.1)	N/A	1,534	falling	-1.3 (-1.6, -1.1)
San Juan, NM	No	131.5 (123.1, 140.3)	N/A	190	falling	-1.3 (-2.0, -0.6)
Sangamon (Springfield), IL - Christian, IL	No	160.5 (155.2, 165.9)	N/A	724	falling	-1.3 (-1.6, -1.0)
Santa Barbara (Santa Barbara), CA - San Luis Obispo, CA	No	128.9 (125.6, 132.2)	N/A	1,236	falling	-1.3 (-1.5, -1.0)
St. Clair (Belleville), IL - Clinton, IL	No	160.1 (154.8, 165.4)	N/A	744	stable	-1.3 (-1.8, 0.1)
St. Louis (Duluth), MN - Itasca, MN	No	152.5 (147.7, 157.5)	N/A	809	falling	-1.3 (-1.6, -1.0)
Story, IA - Boone, IA	No	138.7 (131.4, 146.4)	N/A	283	falling	-1.3 (-1.6, -0.9)
Strafford (Rochester), NH	No	160.6 (151.9, 169.8)	N/A	263	falling	-1.3 (-1.7, -0.9)
Stutsman, ND - Wells, ND	No	140.8 (125.3, 158.0)	N/A	64	falling	-1.3 (-2.2, -0.5)
Summit (Akron), OH - Portage, OH	No	156.4 (153.2, 159.6)	N/A	1,900	falling	-1.3 (-1.4, -1.2)
Sussex, DE - Kent, DE	No	159.4 (154.9, 163.9)	N/A	1,107	falling	-1.3 (-1.6, -1.0)
Tarrant (Fort Worth), TX - Johnson, TX	No	147.7 (145.6, 149.9)	N/A	3,715	falling	-1.3 (-2.2, -0.6)
Tippecanoe (Lafayette), IN - Clinton, IN	No	159.2 (152.7, 166.0)	N/A	463	falling	-1.3 (-1.6, -0.9)
Ventura, CA	No	130.8 (127.7, 133.9)	N/A	1,380	falling	-1.3 (-1.6, -0.9)
Virginia Beach City, VA - Norfolk City, VA	No	161.7 (158.6, 164.8)	N/A	2,171	falling	-1.3 (-1.5, -0.5)
Walworth, WI - Jefferson, WI	No	146.5 (139.8, 153.5)	N/A	380	falling	-1.3 (-1.7, -0.9)
Washington (Hagerstown), MD	No	159.7 (152.0, 167.7)	N/A	335	falling	-1.3 (-1.7, -0.9)
Weld, CO - Morgan, CO	No	133.0 (127.7, 138.4)	N/A	507	falling	-1.3 (-1.6, -0.9)
Whatcom, WA	No	140.6 (134.5, 147.0)	N/A	409	falling	-1.3 (-1.8, -0.7)
Whitfield, GA - Murray, GA	No	170.0 (161.1, 179.3)	N/A	281	falling	-1.3 (-1.8, -0.8)
Winnebago (Oshkosh), WI - Fond du Lac, WI	No	149.9 (145.3, 154.6)	N/A	850	falling	-1.3 (-1.5, -1.1)
Baldwin, GA	No	155.1 (140.0, 171.4)	N/A	83	falling	-1.2 (-1.8, -0.5)
Berks, PA	No	146.5 (142.0, 151.1)	N/A	842	falling	-1.2 (-1.5, -1.0)
Bexar (San Antonio), TX - Guadalupe, TX	No	139.9 (137.8, 142.0)	N/A	3,544	falling	-1.2 (-1.4, -1.1)
Boone (Columbia), MO - Randolph, MO	No	158.9 (152.4, 165.5)	N/A	475	falling	-1.2 (-1.6, -0.8)
Caswell, NC	No	166.9 (148.3, 187.7)	N/A	62	falling	-1.2 (-1.9, -0.5)
Clay, IA - Dickinson, IA	No	142.3 (129.9, 155.6)	N/A	108	falling	-1.2 (-1.8, -0.6)
Coffee, TN - Franklin, TN	No	169.5 (160.7, 178.8)	N/A	289	falling	-1.2 (-1.6, -0.7)
Concordia, LA - Tensas, LA	No	191.3 (169.2, 215.7)	N/A	59	falling	-1.2 (-2.2, -0.4)
Crawford, PA	No	162.7 (152.8, 173.2)	N/A	213	falling	-1.2 (-1.6, -0.8)
Cumberland, NJ	No	169.8 (161.3, 178.6)	N/A	309	falling	-1.2 (-1.6, -0.9)
Dane (Madison), WI - Sauk, WI	No	141.6 (138.2, 145.1)	N/A	1,341	falling	-1.2 (-1.4, -1.0)
Dougherty (Albany), GA - Lee, GA	No	172.0 (164.3, 180.1)	N/A	389	falling	-1.2 (-1.7, -0.8)
Douglas (Omaha), NE - Sarpy, NE	No	153.6 (150.0, 157.2)	N/A	1,491	falling	-1.2 (-1.5, -1.0)
Escambia (Pensacola), FL - Okaloosa, FL	No	165.9 (162.3, 169.6)	N/A	1,702	falling	-1.2 (-1.3, -1.0)
Forrest, MS - Lamar, MS	No	166.9 (159.1, 175.0)	N/A	352	falling	-1.2 (-1.7, -0.7)
Grand Forks (Grand Forks), ND - Walsh, ND	No	143.8 (134.0, 154.1)	N/A	170	falling	-1.2 (-1.8, -0.6)
Hawaii, HI	No	134.4 (128.5, 140.5)	N/A	428	falling	-1.2 (-1.6, -0.8)
Jackson (Medford), OR - Josephine, OR	No	158.0 (153.0, 163.2)	N/A	813	falling	-1.2 (-1.5, -0.9)
Kalamazoo (Kalamazoo), MI - St. Joseph, MI	No	156.4 (150.7, 162.1)	N/A	605	falling	-1.2 (-1.5, -0.9)
Knox (Knoxville), TN - Blount, TN	No	161.1 (157.8, 164.4)	N/A	1,984	falling	-1.2 (-1.4, -1.0)
Lackawanna (Scranton), PA - Wayne, PA	No	161.7 (156.2, 167.5)	N/A	668	falling	-1.2 (-1.5, -0.8)
Lea, NM	No	154.3 (140.9, 168.7)	N/A	101	falling	-1.2 (-1.7, -0.6)
Lewis, WA - Pacific, WA	No	169.1 (160.2, 178.5)	N/A	293	falling	-1.2 (-1.8, -0.7)
Logan, WV - Mingo, WV	No	199.5 (185.5, 214.4)	N/A	164	falling	-1.2 (-1.9, -0.5)
Marshall, IA - Tama, IA	No	157.4 (145.0, 170.5)	N/A	126	falling	-1.2 (-1.9, -0.5)
Mercer, PA	No	159.5 (151.0, 168.5)	N/A	286	falling	-1.2 (-1.6, -0.8)
Monroe, MI	No	167.0 (159.2, 175.1)	N/A	364	falling	-1.2 (-1.5, -0.8)
Navarro, TX - Freestone, TX	No	176.8 (164.7, 189.5)	N/A	166	falling	-1.2 (-2.1, -0.4)
Ohio (Wheeling), WV - Marshall, WV	No	167.4 (158.0, 177.2)	N/A	258	falling	-1.2 (-1.5, -0.8)
Olmsted (Rochester), MN - Winona, MN	No	137.6 (132.8, 142.6)	N/A	651	falling	-1.2 (-1.6, -0.9)
Oneida (Utica), NY - Madison, NY	No	152.0 (147.2, 156.9)	N/A	794	falling	-1.2 (-1.4, -0.9)
Petersburg City, VA - Prince George, VA	No	193.6 (184.2, 203.3)	N/A	339	falling	-1.2 (-1.7, -0.8)
Phillips, AR	No	214.3 (187.2, 244.6)	N/A	49	falling	-1.2 (-2.1, -0.3)
Platte, NE - Boone, NE	No	144.9 (131.2, 159.9)	N/A	86	falling	-1.2 (-2.1, -0.2)
Polk (Lakeland), FL - Highlands, FL	No	145.9 (142.9, 148.9)	N/A	1,961	falling	-1.2 (-1.4, -0.9)
Polk, NC	No	138.6 (120.5, 159.2)	N/A	57	falling	-1.2 (-2.2, -0.3)
Pope, AR - Yell, AR	No	166.7 (155.7, 178.4)	N/A	176	falling	-1.2 (-1.8, -0.7)
Prince William (Dale City), VA - Fauquier, VA	No	132.1 (127.7, 136.6)	N/A	733	stable	-1.2 (-2.0, 0.9)
Racine (Racine), WI - Kenosha, WI	No	155.9 (150.6, 161.2)	N/A	709	falling	-1.2 (-1.5, -0.9)
Rapides (Alexandria), LA - Avoyelles, LA	No	173.5 (166.7, 180.5)	N/A	509	falling	-1.2 (-1.6, -0.9)
Sarasota (Sarasota), FL - Charlotte, FL	No	130.7 (127.9, 133.6)	N/A	2,215	falling	-1.2 (-1.5, -0.9)
Sedgwick (Wichita), KS - Butler, KS	No	158.2 (154.3, 162.1)	N/A	1,326	falling	-1.2 (-1.4, -1.0)
Sheboygan (Sheboygan), WI - Manitowoc, WI	No	139.3 (133.7, 145.0)	N/A	497	falling	-1.2 (-1.6, -0.8)
Spokane (Spokane), WA - Stevens, WA	No	153.0 (149.2, 156.9)	N/A	1,268	falling	-1.2 (-1.4, -1.0)
Tangipahoa, LA - St. Helena, LA	No	185.9 (176.4, 195.7)	N/A	310	falling	-1.2 (-1.6, -0.8)
Tift, GA - Ben Hill, GA	No	165.7 (154.3, 177.7)	N/A	162	falling	-1.2 (-1.7, -0.8)
Uinta, WY	No	137.9 (116.4, 162.2)	N/A	31	stable	-1.2 (-2.3, 0.1)
Vernon, MO - Cedar, MO	No	170.9 (154.8, 188.3)	N/A	89	falling	-1.2 (-1.9, -0.6)
Ward, ND - Bottineau, ND	No	138.3 (128.4, 148.8)	N/A	150	falling	-1.2 (-1.9, -0.4)
Washington (Fayetteville), AR - Benton, AR	No	147.4 (142.9, 152.1)	N/A	827	falling	-1.2 (-1.4, -1.0)
White, IL - Hamilton, IL	No	169.9 (150.6, 191.4)	N/A	61	stable	-1.2 (-2.5, 0.0)
Williamson, IL - Jackson, IL	No	173.3 (165.8, 181.0)	N/A	423	falling	-1.2 (-1.5, -0.9)
Windham, VT	No	155.6 (142.6, 169.7)	N/A	117	falling	-1.2 (-1.7, -0.7)
Yancey, NC - Avery, NC	No	156.5 (144.8, 169.1)	N/A	140	falling	-1.2 (-1.6, -0.7)
Yankton, SD - Clay, SD	No	138.6 (126.5, 151.7)	N/A	103	falling	-1.2 (-1.9, -0.6)
Yellowstone (Billings), MT - Big Horn, MT	No	146.4 (140.1, 153.0)	N/A	420	falling	-1.2 (-1.6, -0.9)
Adams, IL - Pike, IL	No	168.6 (158.1, 179.7)	N/A	205	falling	-1.1 (-1.8, -0.5)
Albany, WY - Carbon, WY	No	126.7 (113.1, 141.6)	N/A	67	stable	-1.1 (-2.0, 3.0)
Allamakee, IA	No	153.6 (129.9, 180.7)	N/A	33	stable	-1.1 (-2.4, 0.2)
Allen (Lima), OH - Auglaize, OH	No	160.8 (155.1, 166.8)	N/A	622	falling	-1.1 (-1.3, -0.8)
Aroostook, ME	No	166.9 (156.4, 178.0)	N/A	204	falling	-1.1 (-1.8, -0.5)
Augusta, VA - Staunton City, VA	No	155.9 (149.0, 163.2)	N/A	402	falling	-1.1 (-1.5, -0.8)
Bartholomew, IN - Jackson, IN	No	171.9 (164.3, 179.8)	N/A	396	falling	-1.1 (-1.5, -0.7)
Bay (Panama City), FL - Jackson, FL	No	171.9 (166.3, 177.7)	N/A	738	falling	-1.1 (-1.6, -0.5)
Belmont, OH - Monroe, OH	No	170.0 (159.5, 181.1)	N/A	210	falling	-1.1 (-1.6, -0.7)
Beltrami, MN - Clearwater, MN	No	149.3 (136.4, 163.1)	N/A	104	falling	-1.1 (-1.7, -0.5)
Bourbon (Paris), KY - Nicholas, KY	No	186.2 (167.2, 206.9)	N/A	73	falling	-1.1 (-2.1, -0.1)
Boyd, KY - Greenup, KY	No	196.2 (187.4, 205.3)	N/A	391	falling	-1.1 (-1.5, -0.7)
Butler, AL	No	169.5 (147.9, 193.8)	N/A	47	falling	-1.1 (-2.1, -0.1)
Cheyenne, NE - Kimball, NE	No	157.7 (135.0, 183.7)	N/A	38	stable	-1.1 (-2.4, 0.1)
Childress, TX - Hall, TX	No	163.6 (136.1, 195.7)	N/A	25	stable	-1.1 (-2.5, 0.1)
Clallam, WA - Jefferson, WA	No	146.5 (139.2, 154.1)	N/A	358	falling	-1.1 (-1.6, -0.7)
Cole, MO - Callaway, MO	No	160.9 (154.4, 167.5)	N/A	490	falling	-1.1 (-1.4, -0.9)
Comal, TX	No	140.3 (133.2, 147.6)	N/A	319	falling	-1.1 (-1.5, -0.6)
Cumberland, TN - Fentress, TN	No	161.5 (152.8, 170.8)	N/A	291	falling	-1.1 (-1.4, -0.7)
Dakota, NE - Thurston, NE	No	157.9 (139.9, 177.5)	N/A	58	falling	-1.1 (-1.9, -0.3)
Daviess (Owensboro), KY - Ohio, KY	No	179.7 (171.1, 188.6)	N/A	340	falling	-1.1 (-1.6, -0.6)
Delaware, OK	No	158.6 (145.1, 173.3)	N/A	112	falling	-1.1 (-2.0, -0.3)
Dona Ana (Las Cruces), NM - Luna, NM	No	136.9 (131.2, 142.9)	N/A	449	falling	-1.1 (-1.4, -0.7)
Eau Claire (Eau Claire), WI - Chippewa, WI	No	141.4 (135.4, 147.6)	N/A	440	falling	-1.1 (-1.5, -0.6)
El Paso (Colorado Springs), CO - Teller, CO	No	137.1 (133.4, 140.8)	N/A	1,110	falling	-1.1 (-1.3, -0.8)
Erie (Erie), PA - Warren, PA	No	164.3 (158.8, 169.9)	N/A	728	falling	-1.1 (-1.4, -0.9)
Floyd, KY - Johnson, KY	No	215.5 (202.0, 229.8)	N/A	204	falling	-1.1 (-1.7, -0.6)
Forsyth (Winston-Salem), NC - Surry, NC	No	163.4 (159.4, 167.6)	N/A	1,274	falling	-1.1 (-1.3, -0.9)
Frederick, VA - Shenandoah, VA	No	166.6 (160.1, 173.4)	N/A	510	falling	-1.1 (-1.4, -0.8)
Fresno (Fresno), CA - Kings, CA	No	138.9 (136.0, 141.9)	N/A	1,780	falling	-1.1 (-1.3, -0.9)
Gallatin and Yellowstone National Park, MT - Madison, MT	Yes	117.6 (109.2, 126.5)	N/A	153	falling	-1.1 (-1.9, -0.2)
Gaston (Gastonia), NC - Cleveland, NC	No	167.4 (162.9, 172.1)	N/A	1,093	falling	-1.1 (-1.3, -0.9)
Grant, WA - Chelan, WA	No	151.3 (145.4, 157.3)	N/A	522	falling	-1.1 (-1.4, -0.8)
Greene, TN - Cocke, TN	No	191.3 (181.6, 201.4)	N/A	316	falling	-1.1 (-1.6, -0.5)
Hall, NE - Hamilton, NE	No	140.5 (130.6, 150.9)	N/A	157	falling	-1.1 (-1.6, -0.6)
Hamblen (Morristown), TN - Jefferson, TN	No	181.4 (173.2, 189.8)	N/A	392	falling	-1.1 (-1.6, -0.6)
Harrison (Biloxi), MS - Hancock, MS	No	182.0 (175.5, 188.7)	N/A	629	falling	-1.1 (-1.4, -0.8)
Hays (San Marcos), TX - Caldwell, TX	No	138.2 (131.9, 144.8)	N/A	382	falling	-1.1 (-1.5, -0.6)
Henry, MO - Bates, MO	No	171.5 (158.2, 185.7)	N/A	132	falling	-1.1 (-1.6, -0.6)
Jackson, WI	No	157.4 (137.8, 179.3)	N/A	48	falling	-1.1 (-2.0, -0.2)
Juneau, WI - Adams, WI	No	170.1 (157.3, 183.9)	N/A	144	falling	-1.1 (-1.7, -0.6)
Kerr, TX - Gillespie, TX	No	147.4 (139.4, 155.7)	N/A	304	falling	-1.1 (-1.5, -0.7)
Lancaster (Lincoln), NE - Gage, NE	No	145.9 (140.9, 151.1)	N/A	657	falling	-1.1 (-1.4, -0.7)
Lancaster, SC - Kershaw, SC	No	162.7 (155.4, 170.4)	N/A	390	falling	-1.1 (-1.7, -0.6)
Leon (Tallahassee), FL - Gadsden, FL	No	153.9 (149.1, 158.8)	N/A	821	stable	-1.1 (-1.6, 0.7)
Licking (Newark), OH - Knox, OH	No	163.3 (156.9, 170.0)	N/A	511	falling	-1.1 (-1.3, -0.8)
Lincoln, LA - Union, LA	No	181.0 (170.3, 192.2)	N/A	226	falling	-1.1 (-1.7, -0.4)
Lincoln, TN	No	180.3 (163.7, 198.2)	N/A	92	falling	-1.1 (-2.0, -0.3)
Madison, NE - Wayne, NE	No	133.2 (122.1, 145.1)	N/A	114	falling	-1.1 (-1.7, -0.6)
Marion, OH - Crawford, OH	No	165.5 (158.9, 172.2)	N/A	497	falling	-1.1 (-1.5, -0.8)
Marion, SC - Dillon, SC	No	204.0 (189.6, 219.4)	N/A	158	falling	-1.1 (-2.0, -0.2)
Massac, IL - Johnson, IL	No	165.5 (148.1, 184.6)	N/A	69	falling	-1.1 (-2.1, -0.2)
McLean (Bloomington), IL - Woodford, IL	No	151.7 (144.9, 158.7)	N/A	394	falling	-1.1 (-1.3, -0.8)
Montgomery (Clarksville), TN - Stewart, TN	No	174.0 (165.8, 182.5)	N/A	365	falling	-1.1 (-1.6, -0.5)
Montgomery, IN	No	158.7 (143.3, 175.4)	N/A	82	falling	-1.1 (-1.7, -0.4)
Oklahoma (Oklahoma City), OK - Canadian, OK	No	171.0 (167.7, 174.4)	N/A	2,079	falling	-1.1 (-1.9, -0.8)
Otero, CO - Prowers, CO	No	153.8 (139.9, 168.9)	N/A	93	falling	-1.1 (-1.9, -0.3)
Ouachita (Monroe), LA - Morehouse, LA	No	172.8 (166.2, 179.6)	N/A	537	falling	-1.1 (-1.4, -0.8)
Payette, ID - Washington, ID	No	150.0 (136.5, 164.6)	N/A	97	falling	-1.1 (-1.8, -0.3)
Potter (Amarillo), TX - Randall, TX	No	154.0 (148.5, 159.6)	N/A	611	falling	-1.1 (-1.3, -0.8)
Putnam, GA - Hancock, GA	No	154.5 (139.0, 171.6)	N/A	80	falling	-1.1 (-1.9, -0.3)
Richardson, NE - Pawnee, NE	No	170.5 (143.4, 202.2)	N/A	32	falling	-1.1 (-2.2, -0.1)
Richland (Columbia), SC - Lexington, SC	No	164.9 (161.1, 168.9)	N/A	1,463	falling	-1.1 (-1.4, -0.9)
Rock (Janesville), WI - Green, WI	No	157.0 (150.4, 163.7)	N/A	458	falling	-1.1 (-1.5, -0.8)
Rolette, ND - Pierce, ND	No	182.3 (157.7, 209.9)	N/A	41	stable	-1.1 (-2.3, 0.0)
Sebastian (Fort Smith), AR - Crawford, AR	No	174.8 (168.2, 181.6)	N/A	547	falling	-1.1 (-1.4, -0.8)
Silver Bow, MT - Deer Lodge, MT	No	144.2 (132.5, 156.7)	N/A	119	stable	-1.1 (-6.9, 3.4)
Taylor (Abilene), TX - Jones, TX	No	165.1 (158.0, 172.3)	N/A	433	falling	-1.1 (-1.4, -0.9)
Terrebonne (Houma), LA - Lafourche, LA	No	176.1 (169.0, 183.4)	N/A	486	falling	-1.1 (-1.5, -0.7)
Tioga, PA	No	163.9 (149.7, 179.3)	N/A	107	falling	-1.1 (-2.0, -0.2)
Tulsa (Tulsa), OK - Rogers, OK	No	167.2 (163.7, 170.7)	N/A	1,817	falling	-1.1 (-1.3, -0.9)
Walla Walla, WA - Columbia, WA	No	145.1 (134.1, 156.8)	N/A	139	falling	-1.1 (-1.6, -0.5)
Warren, KY - Logan, KY	No	180.4 (173.1, 188.0)	N/A	477	falling	-1.1 (-1.5, -0.7)
Washburn, WI - Burnett, WI	No	167.8 (153.1, 183.9)	N/A	110	falling	-1.1 (-1.9, -0.3)
Washington (Johnson City), TN - Carter, TN	No	167.7 (161.1, 174.5)	N/A	512	falling	-1.1 (-1.3, -1.0)
Washington, PA - Fayette, PA	No	168.4 (163.6, 173.4)	N/A	977	falling	-1.1 (-1.4, -0.7)
Washington, VT - Windsor, VT	No	145.8 (138.8, 153.2)	N/A	345	falling	-1.1 (-1.6, -0.6)
Wayne, IN - Fayette, IN	No	181.0 (170.8, 191.7)	N/A	249	falling	-1.1 (-1.6, -0.7)
Webster, IA - Humboldt, IA	No	157.3 (144.8, 170.7)	N/A	127	falling	-1.1 (-1.8, -0.4)
Woodward, OK - Dewey, OK	No	153.6 (137.1, 171.6)	N/A	65	falling	-1.1 (-1.9, -0.4)
Alachua (Gainesville), FL - Columbia, FL	No	178.4 (173.8, 183.0)	N/A	1,248	falling	-1.0 (-1.2, -0.8)
Alleghany Cnty & Clifton Forge Cty, VA - Covington City, VA	No	168.6 (151.3, 187.7)	N/A	74	falling	-1.0 (-1.8, -0.3)
Allen (Fort Wayne), IN - Noble, IN	No	161.6 (157.3, 165.9)	N/A	1,131	falling	-1.0 (-1.2, -0.7)
Anderson (Oak Ridge), TN - Roane, TN	No	179.2 (172.7, 185.9)	N/A	606	falling	-1.0 (-1.3, -0.7)
Black Hawk (Waterloo), IA - Bremer, IA	No	150.4 (144.2, 156.9)	N/A	454	falling	-1.0 (-1.3, -0.6)
Boyle, KY - Lincoln, KY	No	185.8 (176.2, 195.9)	N/A	290	falling	-1.0 (-1.4, -0.6)
Bradford, PA - Susquehanna, PA	No	156.3 (147.8, 165.1)	N/A	274	falling	-1.0 (-1.4, -0.7)
Brown (Green Bay), WI - Oconto, WI	No	142.0 (137.1, 147.1)	N/A	668	falling	-1.0 (-1.3, -0.7)
Brown, SD - Spink, SD	No	132.6 (122.1, 143.8)	N/A	128	falling	-1.0 (-1.6, -0.4)
Brown, TX - Coleman, TX	No	173.6 (161.1, 186.8)	N/A	154	falling	-1.0 (-1.6, -0.4)
Calhoun (Battle Creek), MI - Barry, MI	No	171.7 (164.6, 179.2)	N/A	455	falling	-1.0 (-1.4, -0.5)
Cambria, PA - Blair (Altoona), PA	No	160.4 (155.8, 165.1)	N/A	976	falling	-1.0 (-1.3, -0.8)
Carroll, GA - Haralson, GA	No	171.3 (162.3, 180.6)	N/A	284	falling	-1.0 (-1.5, -0.6)
Catawba (Hickory), NC - Burke, NC	No	167.0 (161.7, 172.4)	N/A	792	falling	-1.0 (-1.2, -0.8)
Chautauqua, NY	No	157.2 (149.1, 165.7)	N/A	299	falling	-1.0 (-1.4, -0.6)
Christian (Hopkinsville), KY - Hopkins, KY	No	184.8 (177.1, 192.6)	N/A	464	falling	-1.0 (-1.3, -0.8)
Clay, MN - Becker, MN	No	148.0 (139.3, 157.1)	N/A	225	falling	-1.0 (-1.4, -0.6)
Clinton, NY - Franklin, NY	No	165.2 (157.8, 172.9)	N/A	398	falling	-1.0 (-1.4, -0.7)
Codington, SD - Grant, SD	No	148.6 (136.1, 161.9)	N/A	111	falling	-1.0 (-1.4, -0.5)
Comanche (Lawton), OK - Kiowa, OK	No	179.4 (170.0, 189.3)	N/A	280	falling	-1.0 (-1.4, -0.6)
Crawford, WI	No	175.8 (153.3, 201.4)	N/A	48	falling	-1.0 (-1.9, -0.1)
Crittenden (West Memphis), AR - St. Francis, AR	No	204.1 (192.4, 216.3)	N/A	240	falling	-1.0 (-1.4, -0.5)
Dearborn, IN - Jefferson (Madison), IN	No	174.6 (165.8, 183.8)	N/A	311	falling	-1.0 (-1.4, -0.7)
Essex, VT	No	169.1 (136.9, 209.2)	N/A	20	stable	-1.0 (-2.6, 0.8)
Etowah (Gadsden), AL - Marshall, AL	No	172.0 (166.2, 178.0)	N/A	696	falling	-1.0 (-1.2, -0.8)
Finney, KS - Scott, KS	No	138.4 (124.8, 153.1)	N/A	78	falling	-1.0 (-1.8, -0.2)
Floyd, GA - Bartow, GA	No	176.5 (170.6, 182.5)	N/A	715	falling	-1.0 (-1.3, -0.7)
Grand Traverse, MI - Manistee, MI	No	147.6 (141.6, 153.8)	N/A	504	falling	-1.0 (-1.2, -0.7)
Grenada, MS - Montgomery, MS	No	186.4 (170.9, 203.1)	N/A	113	falling	-1.0 (-1.5, -0.5)
Guilford (Greensboro), NC - Davidson, NC	No	160.9 (157.6, 164.2)	N/A	1,941	falling	-1.0 (-1.2, -0.7)
Hardin, TN - McNairy, TN	No	177.7 (164.7, 191.7)	N/A	147	falling	-1.0 (-1.7, -0.3)
Jefferson (Steubenville), OH - Harrison, OH	No	184.0 (173.0, 195.5)	N/A	228	falling	-1.0 (-1.5, -0.6)
Jones, MS - Wayne, MS	No	175.5 (166.0, 185.3)	N/A	273	falling	-1.0 (-1.6, -0.4)
Kankakee (Kankakee), IL - Iroquois, IL	No	175.1 (166.4, 184.1)	N/A	320	falling	-1.0 (-1.7, -0.4)
La Crosse (La Crosse), WI - Monroe, WI	No	151.3 (145.0, 157.8)	N/A	456	falling	-1.0 (-1.5, -0.5)
La Salle, IL - Livingston, IL	No	173.0 (165.9, 180.3)	N/A	477	falling	-1.0 (-1.3, -0.7)
Lane (Eugene), OR - Douglas, OR	No	161.2 (157.0, 165.5)	N/A	1,202	falling	-1.0 (-1.3, -0.7)
Lawrence, PA	No	160.0 (150.5, 170.1)	N/A	228	falling	-1.0 (-1.5, -0.6)
Lincoln, NE - Keith, NE	No	156.6 (143.9, 170.3)	N/A	117	falling	-1.0 (-1.7, -0.3)
Linn, OR - Benton, OR	No	156.6 (150.1, 163.4)	N/A	457	falling	-1.0 (-1.4, -0.5)
Logan, CO - Phillips, CO	No	140.3 (124.3, 158.1)	N/A	59	falling	-1.0 (-2.0, -0.1)
Lucas (Toledo), OH - Wood, OH	No	170.8 (166.7, 174.9)	N/A	1,422	falling	-1.0 (-1.2, -0.8)
Lycoming (Williamsport), PA - Clinton, PA	No	160.2 (152.6, 168.1)	N/A	353	falling	-1.0 (-1.3, -0.6)
Madison (Alton), IL - Jersey, IL	No	169.2 (163.6, 175.0)	N/A	707	falling	-1.0 (-1.3, -0.7)
Madison, KY - Rockcastle, KY	No	189.3 (179.7, 199.3)	N/A	306	falling	-1.0 (-2.0, -0.5)
Marquette, MI - Delta, MI	No	157.8 (149.8, 166.2)	N/A	315	falling	-1.0 (-1.4, -0.5)
Miller, AR - Hempstead, AR	No	178.1 (168.7, 187.9)	N/A	281	falling	-1.0 (-1.7, -0.5)
Montrose, CO - Delta, CO	No	132.8 (124.8, 141.3)	N/A	222	falling	-1.0 (-1.5, -0.6)
Muskingum, OH - Guernsey, OH	No	178.1 (171.5, 185.0)	N/A	576	falling	-1.0 (-1.4, -0.6)
Nash, NC - Halifax, NC	No	177.3 (170.5, 184.3)	N/A	554	falling	-1.0 (-1.2, -0.8)
Navajo, AZ	No	139.4 (130.6, 148.7)	N/A	203	falling	-1.0 (-1.8, -0.2)
Oktibbeha, MS - Winston, MS	No	162.9 (151.5, 174.9)	N/A	160	falling	-1.0 (-1.6, -0.4)
Oneida, WI - Vilas, WI	No	160.4 (151.0, 170.4)	N/A	241	falling	-1.0 (-1.5, -0.5)
Peoria (Peoria), IL - Tazewell, IL	No	172.2 (167.0, 177.5)	N/A	886	falling	-1.0 (-1.3, -0.7)
Platte, WY	No	164.3 (136.9, 197.0)	N/A	27	stable	-1.0 (-2.7, 0.7)
Pottawattamie (Council Bluffs), IA - Harrison, IA	No	164.1 (156.4, 172.1)	N/A	360	falling	-1.0 (-1.4, -0.7)
Pulaski, MO - Phelps, MO	No	174.7 (164.6, 185.3)	N/A	231	falling	-1.0 (-1.6, -0.4)
Ramsey, ND - Benson, ND	No	154.5 (133.9, 177.6)	N/A	44	falling	-1.0 (-2.0, -0.1)
Rockingham, VA - Harrisonburg City, VA	No	150.4 (142.8, 158.3)	N/A	305	falling	-1.0 (-1.3, -0.7)
Russell, AL	No	200.7 (185.5, 216.8)	N/A	136	falling	-1.0 (-1.6, -0.4)
Salt Lake (Salt Lake City), UT - Tooele, UT	Yes	121.7 (118.8, 124.5)	N/A	1,481	falling	-1.0 (-1.2, -0.7)
Scotts Bluff, NE - Box Butte, NE	No	147.1 (135.1, 159.9)	N/A	120	falling	-1.0 (-1.6, -0.5)
Sheridan, MT - Daniels, MT	No	159.3 (124.8, 202.8)	N/A	15	stable	-1.0 (-2.7, 0.5)
St. Clair (Port Huron), MI - Sanilac, MI	No	169.4 (162.6, 176.4)	N/A	506	falling	-1.0 (-1.2, -0.7)
Stearns (St. Cloud), MN - Benton, MN	No	146.5 (140.8, 152.3)	N/A	531	falling	-1.0 (-1.3, -0.7)
Talladega, AL - Clay, AL	No	173.3 (163.8, 183.3)	N/A	264	falling	-1.0 (-1.4, -0.6)
Twin Falls, ID - Jerome, ID	No	145.0 (136.7, 153.7)	N/A	235	falling	-1.0 (-1.6, -0.5)
Umatilla, OR - Morrow, OR	No	159.7 (149.1, 170.9)	N/A	174	falling	-1.0 (-1.7, -0.4)
Vigo (Terre Haute), IN - Clay, IN	No	181.5 (173.9, 189.5)	N/A	442	falling	-1.0 (-1.4, -0.7)
Wabash, IL	No	174.9 (146.9, 207.3)	N/A	30	stable	-1.0 (-2.1, 0.0)
Ware, GA - Pierce, GA	No	181.2 (169.1, 194.1)	N/A	171	falling	-1.0 (-1.6, -0.5)
Washington, GA - Jefferson, GA	No	186.7 (169.2, 205.6)	N/A	88	falling	-1.0 (-2.0, -0.1)
Watauga, NC - Ashe, NC	No	141.2 (131.2, 151.8)	N/A	160	falling	-1.0 (-1.7, -0.3)
Wayne, NC - Lenoir, NC	No	178.9 (172.3, 185.7)	N/A	579	falling	-1.0 (-1.4, -0.6)
Wilkes, NC	No	161.9 (151.0, 173.6)	N/A	173	falling	-1.0 (-1.5, -0.5)
Woodbury (Sioux City), IA - Plymouth, IA	No	152.8 (145.5, 160.2)	N/A	353	falling	-1.0 (-1.4, -0.6)
York (York), PA - Adams, PA	No	153.8 (149.9, 157.9)	N/A	1,216	falling	-1.0 (-1.2, -0.8)
Alamance, NC	No	170.9 (163.2, 178.9)	N/A	381	falling	-0.9 (-1.3, -0.5)
Alcorn, MS - Tishomingo, MS	No	180.0 (166.5, 194.5)	N/A	136	falling	-0.9 (-1.5, -0.3)
Berkeley, WV - Jefferson, WV	No	185.8 (178.5, 193.3)	N/A	530	falling	-0.9 (-1.3, -0.5)
Berrien (Benton Harbor), MI - Van Buren, MI	No	162.4 (156.8, 168.2)	N/A	674	falling	-0.9 (-1.3, -0.6)
Bonneville, ID - Madison, ID	No	129.9 (123.1, 136.9)	N/A	288	falling	-0.9 (-1.3, -0.5)
Bradley, TN - Polk, TN	No	175.6 (166.6, 185.1)	N/A	294	falling	-0.9 (-1.3, -0.4)
Brown, MN - Renville, MN	No	159.8 (147.7, 172.7)	N/A	142	falling	-0.9 (-1.7, -0.2)
Butte (Chico), CA - Tehama, CA	No	168.7 (162.9, 174.7)	N/A	673	falling	-0.9 (-1.2, -0.5)
Coffee, GA - Jeff Davis, GA	No	181.4 (167.8, 195.9)	N/A	137	falling	-0.9 (-1.7, -0.1)
Columbiana, OH	No	172.3 (163.0, 182.1)	N/A	272	falling	-0.9 (-1.4, -0.4)
Coos, NH	No	163.3 (148.1, 180.0)	N/A	93	stable	-0.9 (-1.9, 0.1)
Coos, OR - Curry, OR	No	181.9 (172.3, 192.0)	N/A	313	falling	-0.9 (-1.4, -0.5)
Crow Wing, MN - Cass, MN	No	151.2 (144.3, 158.4)	N/A	400	falling	-0.9 (-1.3, -0.5)
Cumberland (Fayetteville), NC - Sampson, NC	No	177.0 (171.1, 183.0)	N/A	713	falling	-0.9 (-1.2, -0.6)
DeSoto, MS - Marshall, MS	No	189.0 (182.3, 195.9)	N/A	635	falling	-0.9 (-1.2, -0.6)
Delaware (Muncie), IN - Randolph, IN	No	178.1 (169.7, 186.8)	N/A	354	falling	-0.9 (-1.3, -0.6)
Dickinson, MI - Menominee, MI	No	153.5 (142.7, 164.9)	N/A	169	falling	-0.9 (-1.5, -0.4)
Douglas, MN - Pope, MN	No	139.6 (129.0, 151.0)	N/A	139	falling	-0.9 (-1.6, -0.3)
Effingham, IL - Fayette, IL	No	160.9 (148.2, 174.4)	N/A	124	falling	-0.9 (-1.4, -0.3)
Elkhart (Elkhart), IN - Kosciusko, IN	No	157.1 (151.1, 163.2)	N/A	537	falling	-0.9 (-1.2, -0.6)
Highland, OH - Clinton, OH	No	181.7 (170.7, 193.3)	N/A	213	falling	-0.9 (-1.5, -0.3)
Independence, AR - Sharp, AR	No	172.5 (162.9, 182.5)	N/A	262	falling	-0.9 (-1.3, -0.5)
Ingham (Lansing), MI - Eaton, MI	No	153.5 (149.2, 157.9)	N/A	1,011	falling	-0.9 (-1.1, -0.6)
Jackson (Jackson), MI - Lenawee, MI	No	168.3 (163.1, 173.7)	N/A	825	falling	-0.9 (-1.2, -0.7)
Jackson (Pascagoula), MS - George, MS	No	182.1 (173.7, 190.8)	N/A	375	falling	-0.9 (-1.3, -0.5)
Jackson, NC - Macon, NC	No	152.4 (143.6, 161.6)	N/A	249	falling	-0.9 (-1.2, -0.5)
Kandiyohi, MN - Chippewa, MN	No	144.4 (134.7, 154.6)	N/A	184	falling	-0.9 (-1.3, -0.5)
Kennebec, ME - Somerset, ME	No	174.0 (167.6, 180.7)	N/A	584	falling	-0.9 (-1.2, -0.6)
Kent (Grand Rapids), MI - Ionia, MI	No	157.4 (153.8, 161.0)	N/A	1,561	falling	-0.9 (-1.1, -0.6)
Letcher, KY	No	207.5 (184.5, 232.9)	N/A	65	stable	-0.9 (-2.1, 0.3)
Lincoln, MS - Copiah, MS	No	179.2 (166.2, 193.1)	N/A	149	falling	-0.9 (-1.4, -0.3)
Lucas, IA - Wayne, IA	No	158.7 (136.3, 184.1)	N/A	38	stable	-0.9 (-1.8, 0.0)
Luzerne (Wilkes-Barre), PA - Columbia, PA	No	165.1 (160.5, 169.8)	N/A	1,017	falling	-0.9 (-1.2, -0.7)
Lyon, KS - Coffey, KS	No	157.5 (143.7, 172.3)	N/A	102	falling	-0.9 (-1.7, -0.2)
Macon (Decatur), IL - Shelby, IL	No	172.4 (164.7, 180.3)	N/A	405	falling	-0.9 (-1.2, -0.6)
Marathon (Wausau), WI - Wood, WI	No	143.4 (138.3, 148.7)	N/A	619	falling	-0.9 (-1.3, -0.4)
Marinette, WI - Florence, WI	No	155.9 (143.4, 169.5)	N/A	127	falling	-0.9 (-1.6, -0.1)
Marion, MO - Pike, MO	No	173.7 (161.7, 186.5)	N/A	163	falling	-0.9 (-1.4, -0.5)
McKinley, NM	No	138.5 (126.2, 151.8)	N/A	96	falling	-0.9 (-1.6, -0.2)
Midland (Midland), MI - Isabella, MI	No	173.0 (166.1, 180.3)	N/A	493	falling	-0.9 (-1.4, -0.4)
Mineral, WV - Hardy, WV	No	162.1 (149.8, 175.4)	N/A	137	falling	-0.9 (-1.7, -0.1)
Minnehaha (Sioux Falls), SD - Lincoln, SD	No	159.7 (153.6, 166.0)	N/A	549	falling	-0.9 (-1.2, -0.7)
Monongalia, WV - Marion, WV	No	157.6 (150.7, 164.8)	N/A	407	stable	-0.9 (-2.0, 1.9)
Onslow, NC - Craven, NC	No	174.6 (169.2, 180.2)	N/A	816	falling	-0.9 (-1.2, -0.6)
Otter Tail, MN - Grant, MN	No	146.4 (136.0, 157.4)	N/A	167	falling	-0.9 (-1.7, -0.2)
Pearl River, MS	No	196.3 (182.3, 211.3)	N/A	154	falling	-0.9 (-1.4, -0.4)
Perry, IN	No	161.5 (140.3, 185.4)	N/A	43	stable	-0.9 (-2.1, 0.2)
Poweshiek, IA	No	139.4 (121.0, 160.4)	N/A	42	stable	-0.9 (-1.9, 0.0)
Reno, KS - Rice, KS	No	155.7 (145.1, 166.9)	N/A	172	falling	-0.9 (-1.5, -0.3)
Roanoke City, VA - Roanoke, VA	No	160.4 (156.5, 164.3)	N/A	1,398	falling	-0.9 (-1.2, -0.7)
Saline, IL - Gallatin, IL	No	181.2 (165.8, 197.9)	N/A	108	falling	-0.9 (-1.8, -0.1)
San Juan, UT	Yes	120.7 (97.1, 148.5)	N/A	18	stable	-0.9 (-2.7, 0.9)
Schuylkill, PA - Northumberland, PA	No	162.9 (157.9, 168.1)	N/A	835	falling	-0.9 (-1.3, -0.6)
Shawnee (Topeka), KS - Riley, KS	No	154.2 (148.9, 159.6)	N/A	676	falling	-0.9 (-1.3, -0.6)
Siskiyou, CA	No	172.5 (158.6, 187.6)	N/A	131	falling	-0.9 (-1.5, -0.3)
St. Joseph (South Bend), IN - Marshall, IN	No	169.5 (164.0, 175.1)	N/A	751	falling	-0.9 (-1.2, -0.7)
Stephenson, IL - Jo Daviess, IL	No	154.9 (144.3, 166.2)	N/A	180	falling	-0.9 (-1.4, -0.4)
Steuben, NY - Chemung (Elmira), NY	No	176.1 (169.1, 183.3)	N/A	506	falling	-0.9 (-1.2, -0.5)
Tom Green (San Angelo), TX - Runnels, TX	No	154.2 (146.6, 162.1)	N/A	321	falling	-0.9 (-1.4, -0.5)
Washington, OH	No	177.3 (165.0, 190.4)	N/A	165	falling	-0.9 (-1.4, -0.5)
White, AR - Cleburne, AR	No	168.2 (159.0, 177.9)	N/A	260	falling	-0.9 (-1.4, -0.4)
Whiteside, IL - Carroll, IL	No	171.6 (160.8, 183.1)	N/A	196	falling	-0.9 (-1.6, -0.3)
Adair, MO - Sullivan, MO	No	165.4 (151.4, 180.4)	N/A	107	falling	-0.8 (-1.6, -0.2)
Angelina, TX - Walker, TX	No	179.1 (171.9, 186.5)	N/A	497	falling	-0.8 (-1.2, -0.4)
Baxter, AR - Marion, AR	No	171.9 (160.7, 183.9)	N/A	207	falling	-0.8 (-1.3, -0.4)
Boone, AR - Carroll, AR	No	175.3 (165.0, 186.2)	N/A	231	falling	-0.8 (-1.3, -0.3)
Bulloch, GA - Emanuel, GA	No	169.5 (159.7, 179.7)	N/A	235	falling	-0.8 (-1.3, -0.4)
Caledonia, VT - Orleans, VT	No	164.0 (153.8, 174.8)	N/A	205	falling	-0.8 (-1.2, -0.4)
Cassia, ID - Minidoka, ID	No	142.3 (128.0, 157.9)	N/A	74	stable	-0.8 (-1.7, 0.1)
Cattaraugus, NY - Allegany, NY	No	155.0 (146.6, 163.8)	N/A	275	stable	-0.8 (-1.3, 0.5)
Choctaw, AL - Sumter, AL	No	157.0 (138.8, 177.3)	N/A	58	falling	-0.8 (-1.4, -0.1)
Clayton, IA - Delaware, IA	No	158.3 (143.4, 174.6)	N/A	91	falling	-0.8 (-1.4, -0.2)
Clinton, IA	No	167.6 (153.9, 182.3)	N/A	115	falling	-0.8 (-1.5, -0.1)
Collingsworth, TX	No	185.8 (124.6, 268.8)	N/A	6	stable	-0.8 (-3.3, 1.3)
Curry, NM - Roosevelt, NM	No	153.4 (141.8, 165.6)	N/A	135	falling	-0.8 (-1.3, -0.3)
Custer, OK - Washita, OK	No	159.3 (143.1, 177.0)	N/A	73	stable	-0.8 (-1.5, 0.0)
Davis, UT - Weber (Ogden), UT	No	123.5 (119.5, 127.5)	N/A	758	falling	-0.8 (-1.1, -0.5)
Des Moines, IA - Henry, IA	No	166.6 (154.5, 179.5)	N/A	147	falling	-0.8 (-1.6, -0.1)
Elk, PA	No	165.9 (150.1, 183.3)	N/A	86	falling	-0.8 (-1.4, -0.3)
Escambia, AL - Conecuh, AL	No	186.9 (172.3, 202.5)	N/A	129	falling	-0.8 (-1.3, -0.3)
Fayette, TX - Colorado, TX	No	153.7 (140.9, 167.4)	N/A	119	falling	-0.8 (-1.4, -0.1)
Fillmore, NE - Thayer, NE	No	154.9 (129.1, 185.2)	N/A	29	stable	-0.8 (-2.3, 0.7)
Ford, KS - Gray, KS	No	151.5 (136.4, 167.7)	N/A	77	stable	-0.8 (-1.6, 0.0)
Grant, KS - Stanton, KS	No	154.1 (122.2, 192.0)	N/A	16	stable	-0.8 (-2.4, 0.7)
Hardin, KY - Meade, KY	No	188.3 (180.5, 196.4)	N/A	463	falling	-0.8 (-1.1, -0.5)
Harrison, WV - Upshur, WV	No	189.3 (180.6, 198.3)	N/A	380	falling	-0.8 (-1.2, -0.4)
Jefferson (Pine Bluff), AR - Drew, AR	No	180.9 (171.7, 190.5)	N/A	302	falling	-0.8 (-1.3, -0.4)
Jefferson Davis, MS - Lawrence, MS	No	177.4 (157.0, 199.9)	N/A	60	stable	-0.8 (-1.8, 0.2)
Kay (Ponca City), OK - Osage, OK	No	174.4 (164.1, 185.2)	N/A	228	falling	-0.8 (-1.2, -0.3)
Labette, KS - Neosho, KS	No	176.8 (163.4, 191.2)	N/A	136	falling	-0.8 (-1.6, -0.1)
Lamar, TX - Red River, TX	No	192.2 (179.8, 205.3)	N/A	189	falling	-0.8 (-1.5, -0.1)
Lyon, MN - Lincoln, MN	No	154.8 (138.1, 173.2)	N/A	67	stable	-0.8 (-1.7, 0.0)
Macoupin, IL - Montgomery, IL	No	169.9 (159.0, 181.5)	N/A	191	falling	-0.8 (-1.3, -0.4)
Mercer, WV - McDowell, WV	No	191.3 (180.1, 203.2)	N/A	229	falling	-0.8 (-1.3, -0.3)
Miami (Piqua), OH - Shelby, OH	No	158.9 (151.3, 166.8)	N/A	342	falling	-0.8 (-1.2, -0.5)
Muskegon (Muskegon), MI - Newaygo, MI	No	173.9 (167.9, 180.0)	N/A	681	falling	-0.8 (-1.0, -0.6)
Nacogdoches, TX - Shelby, TX	No	178.6 (168.6, 189.0)	N/A	253	falling	-0.8 (-1.2, -0.4)
Newton (Covington), GA	No	169.4 (158.7, 180.6)	N/A	200	falling	-0.8 (-1.4, -0.2)
Nobles, MN - Cottonwood, MN	No	140.9 (129.2, 153.5)	N/A	113	falling	-0.8 (-1.3, -0.2)
Orangeburg, SC - Bamberg, SC	No	175.2 (166.3, 184.6)	N/A	313	falling	-0.8 (-1.1, -0.6)
Ottawa (Holland), MI - Allegan, MI	No	146.8 (142.1, 151.7)	N/A	747	falling	-0.8 (-1.2, -0.4)
Phillips, KS - Norton, KS	No	153.8 (131.0, 179.9)	N/A	36	stable	-0.8 (-1.8, 0.1)
Pitt, NC - Beaufort, NC	No	163.7 (157.5, 170.2)	N/A	541	stable	-0.8 (-1.4, 1.3)
Polk, WI	No	160.5 (147.3, 174.7)	N/A	115	falling	-0.8 (-1.4, -0.2)
Pulaski, KY - Wayne, KY	No	200.8 (190.4, 211.8)	N/A	290	falling	-0.8 (-1.1, -0.4)
Rabun, GA	No	166.1 (145.0, 190.2)	N/A	51	stable	-0.8 (-1.7, 0.2)
Rock Island (Moline), IL - Henry, IL	No	160.4 (154.1, 167.0)	N/A	507	falling	-0.8 (-1.2, -0.5)
Rutland, VT	No	162.7 (151.3, 174.9)	N/A	164	falling	-0.8 (-1.2, -0.4)
Shawano, WI - Langlade, WI	No	165.4 (154.2, 177.3)	N/A	172	falling	-0.8 (-1.3, -0.2)
Stark (Canton), OH - Wayne, OH	No	161.0 (157.3, 164.8)	N/A	1,483	falling	-0.8 (-1.1, -0.6)
Stephens, GA - Hart, GA	No	182.9 (171.6, 194.8)	N/A	209	falling	-0.8 (-1.3, -0.3)
Sullivan (Kingsport), TN - Hawkins, TN	No	183.4 (176.8, 190.2)	N/A	620	falling	-0.8 (-1.1, -0.4)
Upson, GA - Lamar, GA	No	183.5 (170.6, 197.2)	N/A	158	falling	-0.8 (-1.4, -0.2)
Vanderburgh (Evansville), IN - Warrick, IN	No	161.7 (156.3, 167.3)	N/A	700	stable	-0.8 (-1.5, 1.2)
Venango, PA - Clarion, PA	No	171.9 (162.2, 182.0)	N/A	258	falling	-0.8 (-1.3, -0.3)
Victoria (Victoria), TX - Calhoun, TX	No	162.2 (155.1, 169.6)	N/A	406	falling	-0.8 (-1.2, -0.3)
Warren, GA - Glascock, GA	No	176.0 (147.4, 209.5)	N/A	28	stable	-0.8 (-2.8, 1.2)
Warren, MS - Claiborne, MS	No	184.5 (170.0, 200.1)	N/A	127	falling	-0.8 (-1.3, -0.3)
Washington, MS - Sharkey, MS	No	217.5 (200.8, 235.3)	N/A	136	falling	-0.8 (-1.3, -0.3)
Washington, UT - Kane, UT	Yes	117.7 (112.0, 123.6)	N/A	357	falling	-0.8 (-1.4, -0.2)
Washington, VA - Smyth, VA	No	183.8 (175.9, 191.9)	N/A	448	falling	-0.8 (-1.1, -0.5)
Wilbarger, TX - Hardeman, TX	No	158.5 (136.6, 183.2)	N/A	39	stable	-0.8 (-2.0, 0.3)
Apache, AZ	No	132.0 (120.4, 144.4)	N/A	102	stable	-0.7 (-1.6, 0.3)
Ashley, AR - Chicot, AR	No	193.2 (174.9, 213.1)	N/A	87	stable	-0.7 (-1.7, 0.3)
Audrain, MO - Montgomery, MO	No	177.1 (162.7, 192.6)	N/A	117	stable	-0.7 (-1.5, 0.1)
Barron, WI - Rusk, WI	No	162.4 (151.1, 174.4)	N/A	165	falling	-0.7 (-1.0, -0.3)
Barton, KS - Pawnee, KS	No	162.2 (147.1, 178.6)	N/A	93	stable	-0.7 (-1.5, 0.0)
Bay (Bay City), MI - Iosco, MI	No	178.5 (171.3, 186.0)	N/A	510	falling	-0.7 (-1.0, -0.5)
Bedford, TN	No	187.2 (171.4, 204.2)	N/A	108	stable	-0.7 (-1.5, 0.1)
Brazoria (Lake Jackson), TX - Wharton, TX	No	157.3 (152.2, 162.5)	N/A	745	stable	-0.7 (-1.4, 1.9)
Cedar, NE - Knox, NE	No	144.5 (124.0, 167.9)	N/A	40	stable	-0.7 (-1.9, 0.4)
Chippewa, MI - Emmet, MI	No	164.2 (156.4, 172.3)	N/A	367	falling	-0.7 (-1.0, -0.4)
Custer, NE - Valley, NE	No	142.1 (123.2, 163.5)	N/A	46	stable	-0.7 (-1.6, 0.2)
Defiance, OH - Williams, OH	No	169.7 (161.0, 178.9)	N/A	295	falling	-0.7 (-1.0, -0.4)
Dewey, SD - Walworth, SD	No	160.4 (138.2, 185.5)	N/A	39	stable	-0.7 (-1.8, 0.3)
Fountain, IN - Warren, IN	No	190.3 (170.7, 211.7)	N/A	72	stable	-0.7 (-1.7, 0.3)
Franklin, IN	No	172.9 (152.4, 195.6)	N/A	55	stable	-0.7 (-1.7, 0.3)
Fulton, NY - Montgomery (Amsterdam), NY	No	167.0 (157.6, 176.9)	N/A	248	falling	-0.7 (-1.3, -0.2)
Grady, OK - Caddo, OK	No	186.5 (174.6, 199.0)	N/A	191	falling	-0.7 (-1.3, -0.1)
Grayson (Sherman), TX - Fannin, TX	No	179.4 (171.6, 187.5)	N/A	415	falling	-0.7 (-1.1, -0.2)
Greenbrier, WV - Monroe, WV	No	180.6 (166.8, 195.3)	N/A	139	falling	-0.7 (-1.3, -0.1)
Grundy, MO - Mercer, MO	No	176.2 (150.8, 205.2)	N/A	37	stable	-0.7 (-2.1, 0.5)
Halifax with South Boston City, VA - Mecklenburg, VA	No	180.6 (170.1, 191.7)	N/A	244	falling	-0.7 (-1.2, -0.2)
Hancock, OH - Seneca, OH	No	162.0 (153.5, 170.8)	N/A	284	falling	-0.7 (-1.1, -0.2)
Henderson (Henderson), KY - Union, KY	No	186.8 (173.1, 201.3)	N/A	147	falling	-0.7 (-1.3, -0.1)
Henry, TN - Carroll, TN	No	195.0 (183.6, 207.0)	N/A	236	falling	-0.7 (-1.3, -0.1)
Hidalgo (Mcallen), TX - Starr, TX	Yes	116.6 (113.4, 119.9)	N/A	991	falling	-0.7 (-1.0, -0.4)
Hughes, SD - Stanley, SD	No	159.8 (142.1, 179.3)	N/A	61	stable	-0.7 (-1.7, 0.3)
Jefferson, IL - Wayne, IL	No	178.8 (165.5, 193.0)	N/A	140	falling	-0.7 (-1.1, -0.2)
Knox, IL - Warren, IL	No	180.0 (168.1, 192.5)	N/A	182	falling	-0.7 (-1.3, -0.1)
Lafayette (Lafayette), LA - Iberia, LA	No	172.5 (167.5, 177.6)	N/A	949	stable	-0.7 (-1.4, 0.9)
Laurens, SC - Greenwood, SC	No	171.9 (165.0, 179.2)	N/A	484	falling	-0.7 (-1.0, -0.4)
Lawrence, TN - Wayne, TN	No	179.4 (167.4, 192.2)	N/A	171	falling	-0.7 (-1.3, -0.1)
Lincoln, OR - Tillamook, OR	No	173.9 (163.8, 184.7)	N/A	256	falling	-0.7 (-1.3, -0.2)
Lipscomb, TX	No	144.8 (95.7, 212.3)	N/A	5	stable	-0.7 (-3.3, 1.8)
Lubbock (Lubbock), TX - Hockley, TX	No	160.2 (154.6, 165.9)	N/A	644	falling	-0.7 (-1.1, -0.4)
Marion, AL - Fayette, AL	No	176.1 (162.2, 191.0)	N/A	124	stable	-0.7 (-1.5, 0.1)
Mississippi, AR	No	211.1 (192.2, 231.3)	N/A	97	falling	-0.7 (-1.4, -0.1)
Mitchell, KS - Osborne, KS	No	150.7 (127.7, 177.5)	N/A	33	stable	-0.7 (-1.6, 0.1)
Muskogee, OK - Wagoner, OK	No	184.3 (177.4, 191.3)	N/A	572	falling	-0.7 (-1.0, -0.4)
New London, CT	No	149.3 (143.8, 155.0)	N/A	574	stable	-0.7 (-1.4, 1.3)
Nez Perce, ID - Idaho, ID	No	155.2 (145.1, 165.9)	N/A	190	stable	-0.7 (-1.5, 0.1)
Oglala Lakota, SD - Bennett, SD	No	202.9 (167.9, 242.7)	N/A	25	stable	-0.7 (-1.7, 0.3)
Otero, NM - Lincoln, NM	No	143.8 (134.3, 153.8)	N/A	182	stable	-0.7 (-1.2, 0.0)
Ouachita, AR - Dallas, AR	No	188.0 (169.6, 208.2)	N/A	83	stable	-0.7 (-1.8, 0.3)
Payne, OK - Pawnee, OK	No	175.3 (164.6, 186.6)	N/A	207	falling	-0.7 (-1.2, -0.2)
Pettis, MO - Saline, MO	No	186.9 (177.4, 197.0)	N/A	306	falling	-0.7 (-1.1, -0.3)
Pueblo (Pueblo), CO - Las Animas, CO	No	158.3 (151.5, 165.3)	N/A	436	falling	-0.7 (-1.2, -0.2)
Raleigh, WV - Fayette, WV	No	183.0 (174.9, 191.4)	N/A	416	falling	-0.7 (-1.1, -0.4)
Richland (Mansfield), OH - Ashland, OH	No	167.9 (160.7, 175.3)	N/A	433	falling	-0.7 (-1.0, -0.3)
Rowan, KY - Morgan, KY	No	194.3 (179.1, 210.5)	N/A	126	stable	-0.7 (-1.8, 0.5)
Scioto, OH - Ross, OH	No	192.5 (184.5, 200.7)	N/A	459	falling	-0.7 (-1.2, -0.3)
St. Landry, LA - Evangeline, LA	No	197.3 (186.8, 208.3)	N/A	279	falling	-0.7 (-1.3, -0.2)
St. Mary, LA	No	182.1 (167.4, 197.8)	N/A	119	stable	-0.7 (-1.4, 0.1)
Thomas, KS - Sherman, KS	No	135.9 (113.8, 161.3)	N/A	29	stable	-0.7 (-2.4, 0.9)
Whitman, WA	No	148.4 (131.6, 166.8)	N/A	58	stable	-0.7 (-1.6, 0.3)
Wichita (Wichita Falls), TX - Montague, TX	No	183.7 (176.2, 191.6)	N/A	462	falling	-0.7 (-1.1, -0.3)
Yakima (Yakima), WA - Kittitas, WA	No	157.3 (151.2, 163.6)	N/A	517	stable	-0.7 (-1.0, 0.0)
Yuma, AZ - La Paz, AZ	Yes	121.0 (115.5, 126.8)	N/A	403	falling	-0.7 (-1.1, -0.3)
Bannock, ID - Bingham, ID	No	141.1 (133.0, 149.5)	N/A	241	falling	-0.6 (-1.0, -0.2)
Bennington, VT	No	158.3 (144.0, 173.7)	N/A	100	stable	-0.6 (-2.0, 2.2)
Benton (Kennewick), WA - Franklin, WA	No	145.3 (139.3, 151.5)	N/A	454	stable	-0.6 (-1.8, 1.8)
Buchanan (St. Joseph), MO - Nodaway, MO	No	175.7 (167.5, 184.3)	N/A	355	falling	-0.6 (-1.1, -0.2)
Camden, MO	No	154.6 (142.0, 168.3)	N/A	131	stable	-0.6 (-1.2, 0.1)
Carroll, KY - Trimble, KY	No	186.5 (162.8, 212.9)	N/A	47	stable	-0.6 (-1.6, 0.4)
Carroll, VA - Grayson, VA	No	171.1 (158.8, 184.2)	N/A	155	stable	-0.6 (-1.2, 0.1)
Cherokee, KS	No	192.8 (169.7, 218.5)	N/A	53	stable	-0.6 (-1.3, 0.1)
Colfax, NM	Yes	121.4 (101.2, 145.5)	N/A	28	stable	-0.6 (-1.7, 0.5)
Craighead, AR - Greene, AR	No	189.7 (182.5, 197.2)	N/A	529	falling	-0.6 (-0.9, -0.3)
Dunklin, MO	No	218.0 (196.9, 241.0)	N/A	82	stable	-0.6 (-1.3, 0.1)
Franklin, PA - Fulton, PA	No	159.1 (152.1, 166.4)	N/A	401	stable	-0.6 (-1.2, 1.0)
Fremont, WY - Washakie, WY	No	163.8 (150.8, 177.7)	N/A	125	stable	-0.6 (-1.5, 0.3)
Geary, KS - Dickinson, KS	No	180.8 (165.8, 196.7)	N/A	112	stable	-0.6 (-1.3, 0.0)
Hale, TX - Castro, TX	No	147.1 (132.4, 163.0)	N/A	75	stable	-0.6 (-1.3, 0.1)
Hancock, IN - Henry (New Castle), IN	No	173.7 (164.9, 183.0)	N/A	299	falling	-0.6 (-1.1, -0.1)
Harlan, KY - Bell, KY	No	231.4 (215.4, 248.4)	N/A	165	stable	-0.6 (-1.4, 0.0)
Iron, UT - Beaver, UT	No	131.3 (118.3, 145.4)	N/A	79	stable	-0.6 (-1.9, 0.7)
Lewis, KY	No	215.1 (185.2, 248.7)	N/A	39	stable	-0.6 (-1.8, 0.7)
Madison (Jackson), TN - Gibson, TN	No	193.5 (186.9, 200.3)	N/A	684	falling	-0.6 (-1.0, -0.1)
Martin, MN	No	148.9 (130.5, 169.7)	N/A	52	stable	-0.6 (-1.6, 0.3)
Maverick, TX - Val Verde, TX	No	140.9 (131.0, 151.4)	N/A	152	stable	-0.6 (-1.2, 0.1)
McPherson, KS	No	144.4 (128.6, 161.8)	N/A	67	stable	-0.6 (-1.4, 0.1)
Mifflin, PA - Huntingdon, PA	No	164.2 (155.6, 173.1)	N/A	291	falling	-0.6 (-1.2, -0.2)
Otoe, NE - Johnson, NE	No	151.1 (132.1, 172.4)	N/A	48	stable	-0.6 (-1.6, 0.3)
Pipestone, MN - Rock, MN	No	171.6 (150.5, 195.2)	N/A	50	stable	-0.6 (-1.6, 0.4)
Pontotoc, OK - Seminole, OK	No	189.7 (178.0, 202.0)	N/A	204	falling	-0.6 (-1.1, -0.2)
Putnam, TN - White, TN	No	191.7 (183.3, 200.5)	N/A	410	falling	-0.6 (-1.1, -0.1)
Red Willow, NE - Hitchcock, NE	No	168.6 (143.7, 197.1)	N/A	36	stable	-0.6 (-1.5, 0.4)
Robeson, NC - Columbus, NC	No	191.7 (184.6, 199.0)	N/A	585	falling	-0.6 (-1.0, -0.3)
Saline, KS - Ellsworth, KS	No	149.6 (138.8, 161.0)	N/A	151	stable	-0.6 (-1.3, 0.1)
Scurry, TX	No	159.0 (134.6, 186.6)	N/A	30	stable	-0.6 (-1.8, 0.5)
Todd, SD - Tripp, SD	No	176.6 (153.1, 202.8)	N/A	43	stable	-0.6 (-1.6, 0.3)
Union, IL - Alexander, IL	No	197.6 (178.9, 218.0)	N/A	87	stable	-0.6 (-1.3, 0.1)
Union, OR - Baker, OR	No	161.2 (148.5, 174.8)	N/A	132	stable	-0.6 (-1.5, 0.2)
Wexford, MI - Osceola, MI	No	174.6 (164.2, 185.6)	N/A	225	stable	-0.6 (-1.3, 0.1)
Wise, VA - Lee, VA	No	213.1 (200.8, 226.0)	N/A	239	falling	-0.6 (-1.1, -0.1)
Adams, NE - Clay, NE	No	159.2 (145.3, 174.3)	N/A	103	stable	-0.5 (-1.1, 0.1)
Baca, CO	No	188.3 (143.5, 246.4)	N/A	12	stable	-0.5 (-2.6, 1.7)
Bolivar, MS - Leflore, MS	No	230.9 (217.9, 244.5)	N/A	248	falling	-0.5 (-0.8, -0.1)
Bryan, OK - Atoka, OK	No	180.1 (166.9, 194.1)	N/A	143	falling	-0.5 (-0.9, -0.1)
Crawford, IL - Lawrence, IL	No	174.7 (158.2, 192.7)	N/A	85	stable	-0.5 (-1.1, 0.1)
Decatur, KS - Sheridan, KS	Yes	117.6 (89.5, 154.6)	N/A	12	stable	-0.5 (-2.4, 1.4)
Dyer, TN - Lauderdale, TN	No	205.0 (191.7, 219.1)	N/A	182	stable	-0.5 (-1.1, 0.1)
Greene (Springfield), MO - Christian, MO	No	162.0 (158.4, 165.8)	N/A	1,550	stable	-0.5 (-1.0, 1.1)
Guthrie, IA - Greene, IA	No	160.7 (140.9, 183.0)	N/A	52	stable	-0.5 (-1.4, 0.3)
Houghton, MI - Baraga, MI	No	170.1 (155.9, 185.5)	N/A	111	stable	-0.5 (-1.1, 0.1)
Huntington, IN - Adams, IN	No	173.2 (163.9, 182.8)	N/A	276	falling	-0.5 (-0.8, -0.1)
Isanti (Cambridge), MN - Mille Lacs, MN	No	168.3 (157.6, 179.6)	N/A	193	stable	-0.5 (-1.0, 0.0)
Johnson, TN	No	188.7 (166.0, 214.0)	N/A	54	stable	-0.5 (-1.8, 0.9)
Laurel, KY - Whitley, KY	No	218.9 (209.3, 228.9)	N/A	409	stable	-0.5 (-1.0, 0.0)
Laurens, GA - Toombs, GA	No	173.0 (164.6, 181.9)	N/A	324	falling	-0.5 (-0.9, -0.1)
Lawrence, IN - Orange, IN	No	192.0 (179.4, 205.4)	N/A	182	falling	-0.5 (-0.9, -0.1)
Leon, TX - Madison, TX	No	188.2 (169.4, 208.7)	N/A	78	stable	-0.5 (-1.3, 0.4)
Lyon, IA	No	132.8 (108.9, 160.9)	N/A	23	stable	-0.5 (-2.2, 1.1)
Madison, MO	No	203.5 (174.9, 236.0)	N/A	37	stable	-0.5 (-1.5, 0.4)
Mason, WV	No	203.4 (183.5, 225.1)	N/A	81	stable	-0.5 (-1.2, 0.1)
Pennington, MN - Marshall, MN	No	164.3 (147.9, 182.3)	N/A	79	stable	-0.5 (-1.4, 0.4)
Perkins, SD - Harding, SD	No	139.3 (102.2, 188.2)	N/A	10	stable	-0.5 (-4.0, 2.7)
Portage, WI	No	153.8 (142.1, 166.2)	N/A	135	stable	-0.5 (-1.1, 0.2)
Sacramento (Sacramento), CA - Placer, CA	No	141.1 (139.1, 143.0)	N/A	4,108	stable	-0.5 (-1.1, 0.2)
Spalding (Griffin), GA - Butts, GA	No	186.4 (175.5, 197.9)	N/A	228	stable	-0.5 (-1.1, 0.2)
Wapello, IA - Mahaska, IA	No	167.5 (157.9, 177.7)	N/A	241	falling	-0.5 (-0.9, -0.1)
Wood (Parkersburg), WV - Jackson, WV	No	183.4 (175.5, 191.6)	N/A	429	falling	-0.5 (-0.9, -0.2)
Barren, KY - Hart, KY	No	203.1 (191.4, 215.5)	N/A	234	stable	-0.4 (-1.0, 0.2)
Blue Earth, MN - Nicollet, MN	No	140.6 (132.4, 149.2)	N/A	230	stable	-0.4 (-1.3, 2.4)
Carter, OK - Marshall, OK	No	200.6 (188.9, 212.9)	N/A	227	stable	-0.4 (-0.8, 0.0)
Clark, IL	No	171.2 (147.3, 198.3)	N/A	38	stable	-0.4 (-1.6, 0.8)
Clay, KS	No	144.8 (117.5, 177.7)	N/A	20	stable	-0.4 (-1.9, 1.1)
Dawes, NE - Sheridan, NE	No	146.4 (123.6, 172.7)	N/A	33	stable	-0.4 (-1.7, 0.9)
Ellis, KS - Rooks, KS	No	147.9 (134.1, 162.8)	N/A	89	stable	-0.4 (-1.1, 0.3)
Freeborn, MN - Faribault, MN	No	152.6 (139.8, 166.3)	N/A	115	stable	-0.4 (-0.9, 0.1)
Garfield (Enid), OK - Kingfisher, OK	No	175.8 (166.0, 186.0)	N/A	256	falling	-0.4 (-0.7, -0.2)
Grant, IN - Miami, IN	No	190.3 (181.4, 199.5)	N/A	362	stable	-0.4 (-0.7, 0.0)
Harrison, KY - Robertson, KY	No	183.2 (162.1, 206.6)	N/A	56	stable	-0.4 (-1.5, 0.7)
Howard (Kokomo), IN - Cass, IN	No	174.7 (166.3, 183.4)	N/A	339	stable	-0.4 (-0.8, 1.2)
Howard, IA	No	166.8 (137.6, 201.1)	N/A	24	stable	-0.4 (-1.8, 0.9)
Jackson, AR	No	205.0 (178.7, 234.4)	N/A	45	stable	-0.4 (-1.7, 0.8)
Jasper, GA	No	164.9 (140.1, 193.2)	N/A	33	stable	-0.4 (-1.8, 1.3)
Kingman, KS - Harper, KS	No	291.6 (256.8, 330.2)	N/A	55	stable	-0.4 (-12.8, 8.9)
Knox, IN - Daviess, IN	No	172.4 (161.9, 183.6)	N/A	209	stable	-0.4 (-0.8, 0.1)
Linn, MO	No	191.0 (162.5, 223.7)	N/A	34	stable	-0.4 (-1.9, 1.1)
Lowndes, MS - Clay, MS	No	182.0 (170.7, 194.0)	N/A	202	stable	-0.4 (-1.0, 0.2)
Marion, IL - Washington, IL	No	183.8 (169.9, 198.6)	N/A	138	stable	-0.4 (-0.9, 0.2)
McCracken, KY - Graves, KY	No	184.8 (177.4, 192.4)	N/A	498	stable	-0.4 (-0.9, 0.0)
Montgomery, KY - Bath, KY	No	200.1 (182.9, 218.6)	N/A	104	stable	-0.4 (-1.3, 0.5)
Morgan, IL - Greene, IL	No	181.9 (168.2, 196.5)	N/A	138	stable	-0.4 (-1.4, 2.3)
Nolan, TX - Mitchell, TX	No	190.0 (170.1, 211.9)	N/A	68	stable	-0.4 (-1.4, 0.5)
Pittsburg, OK - Pushmataha, OK	No	200.4 (187.7, 213.8)	N/A	194	stable	-0.4 (-0.9, 0.1)
Polk, MN	No	160.7 (144.0, 178.9)	N/A	71	stable	-0.4 (-1.4, 0.7)
Pratt, KS - Kiowa, KS	No	155.7 (132.0, 182.9)	N/A	33	stable	-0.4 (-2.0, 1.1)
Roscommon, MI - Otsego, MI	No	177.6 (166.1, 189.9)	N/A	203	stable	-0.4 (-0.8, 0.1)
Stephens, OK - Jefferson, OK	No	189.3 (174.9, 204.7)	N/A	135	stable	-0.4 (-0.9, 0.0)
Sweetwater, WY	No	162.3 (145.3, 180.8)	N/A	72	stable	-0.4 (-1.3, 0.6)
Tazewell, VA - Buchanan, VA	No	187.2 (175.4, 199.7)	N/A	202	stable	-0.4 (-0.8, 0.0)
Vermilion, IL - Edgar, IL	No	199.7 (188.8, 211.1)	N/A	269	stable	-0.4 (-0.9, 0.1)
White Pine, NV	No	145.7 (117.4, 179.7)	N/A	19	stable	-0.4 (-2.4, 1.7)
Alleghany, NC	No	155.0 (131.0, 183.3)	N/A	33	stable	-0.3 (-10.8, 8.9)
Coahoma, MS - Tallahatchie, MS	No	225.1 (206.3, 245.3)	N/A	111	stable	-0.3 (-0.9, 0.3)
Deaf Smith, TX - Parmer, TX	No	147.8 (128.4, 169.3)	N/A	42	stable	-0.3 (-1.6, 1.0)
Goodhue, MN	No	160.0 (146.8, 174.3)	N/A	113	stable	-0.3 (-0.9, 0.2)
Gray, TX - Wheeler, TX	No	168.0 (150.1, 187.6)	N/A	65	stable	-0.3 (-1.1, 0.5)
Holt, NE - Brown, NE	No	147.7 (125.8, 172.8)	N/A	37	stable	-0.3 (-1.3, 0.7)
Houston, MN	No	145.1 (125.5, 167.2)	N/A	43	stable	-0.3 (-1.3, 0.7)
Howard, TX - Glasscock, TX	No	172.7 (153.7, 193.4)	N/A	62	stable	-0.3 (-1.3, 0.5)
Howell, MO - Oregon, MO	No	199.1 (185.5, 213.6)	N/A	166	stable	-0.3 (-0.8, 0.3)
Le Flore, OK - Sequoyah, OK	No	214.0 (202.8, 225.6)	N/A	289	stable	-0.3 (-1.0, 0.3)
Marshall, KS - Washington, KS	No	151.0 (129.6, 175.3)	N/A	39	stable	-0.3 (-1.3, 0.7)
Midland (Midland), TX - Pecos, TX	No	140.8 (132.9, 149.2)	N/A	244	stable	-0.3 (-1.1, 2.8)
Montgomery, IA - Adams, IA	No	155.1 (132.2, 181.5)	N/A	35	stable	-0.3 (-1.3, 0.7)
Sumter, GA - Crisp, GA	No	170.1 (159.1, 181.6)	N/A	190	stable	-0.3 (-1.6, 2.6)
Appanoose, IA - Davis, IA	No	157.5 (137.9, 179.3)	N/A	51	stable	-0.2 (-1.6, 1.1)
Beckham, OK - Roger Mills, OK	No	182.2 (161.1, 205.3)	N/A	56	stable	-0.2 (-1.2, 0.8)
Chase, NE - Dundy, NE	No	126.0 (97.3, 162.2)	N/A	14	stable	-0.2 (-2.2, 1.7)
Cheyenne, KS - Rawlins, KS	No	162.2 (124.1, 210.0)	N/A	14	stable	-0.2 (-2.1, 1.6)
Crawford, KS - Bourbon, KS	No	183.2 (170.0, 197.3)	N/A	150	stable	-0.2 (-1.0, 0.5)
Floyd, IA - Chickasaw, IA	No	163.4 (146.2, 182.4)	N/A	71	stable	-0.2 (-0.9, 0.6)
Henry, VA - Patrick, VA	No	183.6 (173.1, 194.7)	N/A	251	stable	-0.2 (-0.7, 0.2)
Johnson, AR	No	187.2 (166.4, 210.2)	N/A	61	stable	-0.2 (-1.1, 0.7)
McCurtain, OK	No	216.9 (196.5, 239.1)	N/A	86	stable	-0.2 (-0.8, 0.4)
McLennan (Waco), TX - Hill, TX	No	165.6 (160.2, 171.1)	N/A	757	stable	-0.2 (-1.4, 1.9)
Park, MT - Sweet Grass, MT	No	142.3 (124.8, 162.0)	N/A	51	stable	-0.2 (-9.5, 7.9)
Pemiscot, MO	No	211.6 (183.6, 243.0)	N/A	43	stable	-0.2 (-1.5, 0.9)
Seward, KS - Morton, KS	No	169.7 (146.2, 195.8)	N/A	38	stable	-0.2 (-1.2, 0.8)
Taylor, KY - Adair, KY	No	205.7 (193.3, 218.9)	N/A	215	stable	-0.2 (-0.6, 0.2)
York, NE - Polk, NE	No	150.4 (131.1, 172.3)	N/A	46	stable	-0.2 (-1.2, 0.7)
Clark (Jeffersonville), IN - Scott, IN	No	180.5 (171.7, 189.7)	N/A	329	stable	-0.1 (-1.5, 3.5)
Doniphan, KS	No	187.8 (151.2, 231.2)	N/A	19	stable	-0.1 (-1.5, 1.3)
Emmet, IA	No	180.3 (149.4, 216.4)	N/A	27	stable	-0.1 (-1.4, 1.2)
Goshen, WY - Niobrara, WY	No	165.9 (143.2, 191.9)	N/A	41	stable	-0.1 (-1.8, 1.5)
Humboldt, CA	No	175.3 (166.4, 184.5)	N/A	315	stable	-0.1 (-1.0, 3.2)
McDowell, NC	No	187.3 (172.7, 202.9)	N/A	128	stable	-0.1 (-0.8, 0.6)
Mitchell, IA	No	153.0 (127.3, 183.3)	N/A	27	stable	-0.1 (-1.3, 1.2)
Uvalde, TX	No	178.5 (157.6, 201.6)	N/A	54	stable	-0.1 (-1.5, 1.3)
Wayne, GA - Appling, GA	No	190.4 (174.9, 207.0)	N/A	116	stable	-0.1 (-0.8, 0.7)
Alpena, MI - Presque Isle, MI	No	177.1 (165.9, 189.1)	N/A	216	stable	0.0 (-0.9, 2.2)
Arkansas, AR - Monroe, AR	No	214.2 (192.6, 237.8)	N/A	76	stable	0.0 (-0.7, 0.6)
Bee, TX - Karnes, TX	No	164.0 (147.8, 181.5)	N/A	76	stable	0.0 (-0.7, 0.7)
Fulton, KY	No	221.6 (178.8, 272.5)	N/A	20	stable	0.0 (-1.3, 1.3)
Phelps, NE - Furnas, NE	No	150.7 (130.3, 173.9)	N/A	42	stable	0.0 (-1.2, 1.3)
Texas, OK - Cimarron, OK	No	159.6 (137.1, 184.7)	N/A	37	stable	0.0 (-1.2, 1.2)
Webb (Laredo), TX - Zapata, TX	No	137.2 (130.5, 144.1)	N/A	325	stable	0.0 (-0.5, 0.6)
Atchison, MO - Holt, MO	No	177.3 (149.2, 210.3)	N/A	30	stable	0.1 (-1.4, 1.5)
Bowie (Texarkana), TX	No	185.6 (174.6, 197.2)	N/A	219	stable	0.1 (-0.9, 3.8)
Gregg (Longview), TX - Rusk, TX	No	177.2 (170.5, 184.2)	N/A	539	stable	0.1 (-1.1, 2.8)
Ness, KS	No	146.9 (102.9, 208.9)	N/A	7	stable	0.1 (-2.4, 2.3)
Union, NM	No	189.6 (142.1, 249.8)	N/A	11	stable	0.1 (-1.7, 2.0)
Calloway, KY	No	204.8 (186.3, 224.8)	N/A	94	stable	0.2 (-0.3, 0.7)
Mahoning (Youngstown), OH - Trumbull, OH	No	155.0 (150.6, 159.4)	N/A	1,040	stable	0.2 (-2.3, 2.6)
Carbon, UT - Emery, UT	No	147.6 (130.1, 166.8)	N/A	55	stable	0.3 (-2.1, 5.5)
Montgomery, VA - Pulaski, VA	No	156.8 (149.6, 164.3)	N/A	369	stable	0.3 (-1.4, 2.5)
Okmulgee, OK - Okfuskee, OK	No	222.4 (206.1, 239.7)	N/A	145	stable	0.3 (-0.2, 0.9)
Titus, TX - Morris, TX	No	175.4 (162.9, 188.7)	N/A	152	stable	0.3 (-0.9, 4.9)
Wilson, KS	No	176.8 (145.8, 213.5)	N/A	24	stable	0.3 (-1.1, 1.6)
Yazoo, MS	No	217.3 (193.6, 243.2)	N/A	63	stable	0.3 (-0.8, 1.4)
Cerro Gordo, IA - Kossuth, IA	No	144.5 (135.9, 153.6)	N/A	232	stable	0.4 (-1.2, 3.3)
Klamath, OR - Lake, OR	No	176.6 (165.6, 188.2)	N/A	208	stable	0.4 (-0.8, 3.8)
Terry, TX - Yoakum, TX	No	164.3 (140.1, 191.5)	N/A	33	stable	0.4 (-1.1, 1.9)
Tulare, CA	No	148.1 (142.9, 153.4)	N/A	639	stable	0.4 (-1.3, 3.4)
Cabell (Huntington), WV - Wayne, WV	No	190.8 (182.5, 199.5)	N/A	418	stable	0.5 (-0.9, 3.1)
Cache, UT	Yes	113.2 (104.1, 123.0)	N/A	115	stable	0.5 (-0.9, 5.4)
Moore, NC - Richmond, NC	No	167.6 (161.2, 174.3)	N/A	531	stable	0.5 (-0.8, 3.5)
El Paso (El Paso), TX - Hudspeth, TX	No	132.0 (128.6, 135.6)	N/A	1,140	stable	0.6 (-1.4, 2.9)
Randolph, WV - Barbour, WV	No	186.0 (173.4, 199.5)	N/A	173	stable	0.6 (-0.4, 4.8)
Russell, KS	No	193.4 (154.8, 239.7)	N/A	21	stable	0.6 (-1.2, 2.4)
Clinton, KY - Cumberland, KY	No	253.9 (225.2, 285.7)	N/A	60	stable	0.7 (-0.4, 1.7)
Franklin, ID - Bear Lake, ID	No	132.3 (112.5, 154.7)	N/A	33	stable	0.7 (-0.4, 2.0)
Nemaha, NE	No	188.5 (150.5, 233.9)	N/A	18	stable	0.7 (-1.0, 2.5)
Boyd, NE	No	160.3 (110.6, 238.9)	N/A	6	stable	0.8 (-1.6, 3.3)
Brunswick, VA - Greensville, VA	No	194.9 (177.0, 214.4)	N/A	91	stable	0.8 (-1.6, 9.0)
Marion (Ocala), FL - Citrus, FL	No	169.9 (166.1, 173.8)	N/A	1,860	stable	0.8 (-0.1, 2.2)
Roosevelt, MT - Valley, MT	No	174.5 (150.4, 201.5)	N/A	40	stable	0.8 (-8.1, 12.3)
Thurston (Olympia), WA - Grays Harbor, WA	No	159.1 (154.5, 163.8)	N/A	971	stable	0.9 (-1.4, 2.3)
Cloud, KS - Republic, KS	No	189.6 (162.8, 220.0)	N/A	41	stable	1.0 (-0.3, 2.2)
Lawrence, OH	No	226.8 (212.0, 242.5)	N/A	183	rising	1.0 (0.3, 2.3)
Pendleton, WV	No	184.9 (149.9, 227.8)	N/A	22	stable	1.0 (-1.1, 3.1)
Laramie (Cheyenne), WY	No	160.2 (150.2, 170.7)	N/A	199	stable	1.1 (-1.7, 8.0)
Pontotoc, MS - Union, MS	No	195.1 (182.7, 208.1)	N/A	192	rising	1.4 (0.3, 6.7)
Saginaw (Saginaw), MI - Tuscola, MI	No	164.3 (158.6, 170.1)	N/A	679	stable	1.5 (-1.3, 3.4)
Utah (Provo), UT - Sanpete, UT	Yes	122.1 (117.8, 126.7)	N/A	609	stable	1.5 (-0.6, 2.8)
Dimmit, TX	No	200.0 (162.7, 243.7)	N/A	20	rising	1.6 (0.4, 2.9)
Del Norte, CA	No	183.5 (164.2, 204.7)	N/A	70	stable	1.8 (-1.4, 8.0)
Broome (Binghamton), NY - Tioga, NY	No	150.1 (144.3, 156.0)	N/A	556	stable	2.6 (-1.3, 4.9)
Ector (Odessa), TX - Reeves, TX	No	184.6 (175.3, 194.4)	N/A	305	stable	2.7 (-0.9, 7.0)
Pittsylvania (Danville), VA - Danville City, VA	No	185.8 (176.2, 195.9)	N/A	303	stable	2.8 (-0.3, 6.3)
Cameron (Brownsville), TX - Willacy, TX	No	126.8 (122.2, 131.5)	N/A	590	stable	3.0 (-0.8, 5.6)
Currituck, NC	No	152.1 (134.0, 172.2)	N/A	57	stable	3.0 (-0.4, 8.9)
Elbert, GA - Wilkes, GA	No	208.7 (189.5, 229.5)	N/A	95	stable	3.0 (-0.7, 9.6)
Calhoun (Anniston), AL - Cleburne, AL	No	178.6 (169.6, 188.0)	N/A	312	stable	3.4 (-1.0, 6.1)
Chaves, NM - Eddy, NM	No	146.0 (137.1, 155.2)	N/A	212	stable	3.9 (-1.5, 6.8)
Palo Pinto, TX - Jack, TX	No	194.6 (177.6, 213.0)	N/A	102	stable	3.9 (-0.7, 11.2)
Big Stone, MN - Traverse, MN	No	180.7 (149.7, 217.4)	N/A	28	stable	4.1 (-0.3, 15.9)
Richland, IL - Clay, IL	No	176.6 (162.3, 191.9)	N/A	120	stable	4.1 (-0.8, 8.0)
Taney, MO	No	166.7 (154.3, 180.0)	N/A	143	stable	4.1 (-1.4, 8.0)
Grant, OR	No	158.3 (129.2, 193.8)	N/A	24	stable	4.4 (-2.1, 22.1)
Clark, MO	No	151.3 (119.7, 190.0)	N/A	16	stable	4.6 (-5.0, 17.6)
Weakley, TN - Obion, TN	No	192.2 (179.3, 205.9)	N/A	173	rising	5.2 (0.2, 8.6)
Alamosa, CO - Rio Grande, CO	No	143.3 (129.9, 157.7)	N/A	91	stable	6.0 (-1.0, 11.0)
Claiborne, LA	No	191.5 (165.3, 221.1)	N/A	41	rising	11.1 (0.9, 18.4)
Beadle, SD - Hand, SD	No	164.7 (146.0, 185.4)	N/A	61	stable	11.5 (-0.1, 19.0)
Alpine, CA	No	187.7 (113.1, 309.7)	N/A	4	*	*
Jackson, CO	No	162.4 (95.6, 271.6)	N/A	3	*	*
Daggett, UT	*******	*	*	3 or fewer	*	*

Notes:
Created by statecancerprofiles.cancer.gov on 03/24/2026 9:53 pm.

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.

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

Health Service Areas are a single county or cluster of contiguous counties which are relatively self-contained with respect to hospital care. For more detailed information, please see the Health Service Area information page. Puerto Rico is being treated as a Health Service Area for this data presentation.

Note: This website still uses Connecticut counties instead of planning regions for consistency of geographies across data topics. If/when all data sources have new planning regions, then this website will switch to using them.

* 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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State Cancer Profiles

Death Rates Table

Death Rate Report for United States by HSAAll Cancer Sites, 2019-2023All Races (includes Hispanic), Both Sexes, All AgesSorted by Recentaapc

Death Rate Report for United States by HSA

All Cancer Sites, 2019-2023

All Races (includes Hispanic), Both Sexes, All Ages

Sorted by Recentaapc