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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

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

Notes:
Created by statecancerprofiles.cancer.gov on 03/31/2026 2:55 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.

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 Name

Death Rate Report for United States by HSA

All Cancer Sites, 2019-2023

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

Sorted by Name