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Death Rate Report for Missouri by County

All Cancer Sites, 2019-2023

All Races (includes Hispanic), Both Sexes, Ages 50+

Sorted by CI*Rank

County
 sort alphabetically by name ascending
2023 Rural-Urban Continuum Codes Φ
 sort by rural urban descending
Met Healthy People Objective of 122.7?
Age-Adjusted Death Rate
deaths per 100,000
(95% Confidence Interval)
 sort by rate descending
CI*Rank ⋔
(95% Confidence Interval)
 sort by CI rank descending
Average Annual Count
 sort by count descending
Recent Trend
Recent 5-Year Trend in Death Rates
(95% Confidence Interval)
 sort by trend descending
Missouri N/A No 546.0 (541.7, 550.4) N/A 12,464 falling falling trend -1.1 (-1.2, -1.0)
United States N/A No 488.7 (488.1, 489.2) N/A 576,743 falling falling trend -1.5 (-1.7, -1.3)
New Madrid County Rural No 819.7 (724.2, 924.4) 1 (1, 24) 54 stable stable trend 0.5 (-0.6, 1.5)
Shannon County Rural No 804.2 (669.3, 958.7) 2 (1, 65) 26 stable stable trend 4.2 (-0.1, 14.3)
Ripley County Rural No 796.4 (683.2, 923.2) 3 (1, 47) 36 stable stable trend 0.7 (-0.4, 1.8)
Gentry County Rural No 779.3 (631.0, 952.2) 4 (1, 82) 19 rising rising trend 8.6 (0.8, 20.9)
Washington County Rural No 762.0 (680.2, 851.1) 5 (1, 38) 67 stable stable trend -0.3 (-1.3, 0.7)
Atchison County Rural No 729.8 (588.1, 895.4) 6 (1, 100) 19 stable stable trend 0.1 (-2.1, 2.3)
Oregon County Rural No 727.0 (612.5, 856.9) 7 (1, 80) 29 stable stable trend 0.4 (-1.0, 1.9)
Carter County Rural No 724.1 (573.3, 903.0) 8 (1, 107) 16 stable stable trend -0.7 (-2.0, 0.6)
Iron County Rural No 711.1 (603.2, 833.0) 9 (1, 85) 31 stable stable trend -0.7 (-1.8, 0.4)
Randolph County Rural No 709.3 (632.8, 792.6) 10 (1, 62) 63 stable stable trend -0.3 (-1.1, 0.5)
Pemiscot County Rural No 703.0 (609.0, 807.5) 11 (1, 82) 41 stable stable trend 0.1 (-1.1, 1.3)
St. Francois County Rural No 700.9 (654.2, 750.1) 12 (3, 43) 171 stable stable trend 0.1 (-3.6, 3.6)
Dunklin County Rural No 700.8 (631.9, 775.2) 13 (2, 57) 77 stable stable trend -0.6 (-1.4, 0.2)
Madison County Rural No 700.7 (601.8, 811.4) 14 (1, 81) 36 stable stable trend 0.0 (-1.0, 1.0)
Dent County Rural No 699.5 (610.9, 797.4) 15 (1, 79) 46 stable stable trend 10.1 (-0.4, 17.7)
Ozark County Rural No 691.9 (588.8, 808.3) 16 (1, 86) 34 stable stable trend -0.8 (-2.0, 0.4)
Ray County Urban No 691.8 (617.6, 772.4) 17 (2, 72) 65 stable stable trend -0.2 (-1.3, 0.9)
Montgomery County Rural No 674.3 (574.6, 786.3) 18 (1, 98) 33 stable stable trend -0.9 (-2.0, 0.2)
Butler County Rural No 673.9 (619.0, 732.5) 19 (4, 59) 113 stable stable trend -0.5 (-1.2, 0.2)
Wayne County Rural No 671.6 (578.9, 775.2) 20 (2, 90) 38 falling falling trend -1.8 (-9.4, -0.4)
Stoddard County Rural No 662.4 (599.0, 730.7) 21 (3, 76) 81 stable stable trend -0.5 (-1.4, 0.5)
McDonald County Rural No 661.0 (580.4, 749.6) 22 (2, 88) 51 stable stable trend -0.5 (-1.7, 0.8)
Laclede County Rural No 660.7 (600.7, 725.0) 23 (5, 70) 91 stable stable trend -0.3 (-1.0, 0.6)
St. Clair County Rural No 653.6 (556.8, 762.7) 24 (2, 105) 33 stable stable trend 1.5 (-1.0, 10.6)
Douglas County Rural No 652.9 (560.9, 755.9) 25 (2, 102) 37 stable stable trend 1.7 (-1.9, 13.4)
Crawford County Rural No 645.1 (574.8, 721.6) 26 (4, 87) 63 stable stable trend -0.1 (-0.9, 0.8)
Benton County Rural No 644.9 (579.6, 715.6) 27 (6, 85) 76 stable stable trend -0.7 (-1.7, 0.3)
Lawrence County Rural No 637.0 (580.5, 697.6) 28 (6, 83) 94 stable stable trend 1.8 (-0.2, 6.7)
Howell County Rural No 636.8 (582.8, 694.4) 29 (9, 77) 104 stable stable trend -0.2 (-0.9, 0.5)
Bollinger County Urban No 635.9 (535.4, 749.9) 30 (2, 109) 29 stable stable trend -0.1 (-1.1, 0.9)
Hickory County Rural No 632.5 (535.5, 741.8) 31 (3, 107) 33 stable stable trend -0.3 (-1.4, 0.9)
Reynolds County Rural No 631.1 (511.1, 771.2) 32 (1, 113) 19 falling falling trend -1.6 (-2.9, -0.3)
Pettis County Rural No 629.6 (574.8, 688.2) 33 (9, 83) 99 stable stable trend -0.6 (-1.4, 0.3)
Dallas County Urban No 628.2 (548.4, 716.4) 34 (4, 101) 46 stable stable trend -0.5 (-1.4, 0.4)
Macon County Rural No 624.6 (542.2, 716.1) 35 (4, 107) 42 stable stable trend 2.3 (-0.8, 13.1)
Linn County Rural No 624.5 (531.2, 729.5) 36 (3, 109) 32 stable stable trend -0.3 (-1.6, 1.0)
Morgan County Rural No 624.4 (556.4, 698.6) 37 (6, 94) 64 stable stable trend -0.6 (-1.5, 0.3)
Saline County Rural No 623.8 (551.5, 703.0) 38 (5, 98) 55 stable stable trend -0.5 (-1.8, 0.8)
Shelby County Rural No 620.9 (492.5, 772.9) 39 (1, 115) 16 stable stable trend -1.4 (-3.3, 0.3)
Buchanan County Urban No 619.7 (580.0, 661.4) 40 (16, 77) 186 stable stable trend -0.8 (-1.5, 0.0)
Maries County Rural No 618.3 (511.5, 741.1) 41 (3, 113) 24 stable stable trend -1.2 (-3.1, 0.8)
Pulaski County Rural No 615.8 (550.9, 686.3) 42 (9, 98) 68 stable stable trend -1.1 (-2.3, 0.1)
Barry County Rural No 612.2 (557.4, 671.0) 43 (12, 90) 94 stable stable trend -0.6 (-1.3, 0.1)
Mercer County Rural No 611.3 (448.7, 813.5) 44 (1, 115) 10 stable stable trend 0.1 (-2.0, 2.2)
Putnam County Rural No 610.7 (473.0, 776.5) 45 (1, 115) 13 stable stable trend -0.2 (-1.8, 1.4)
Lincoln County Urban No 609.6 (558.9, 663.6) 46 (12, 89) 114 stable stable trend -0.7 (-1.6, 0.3)
Mississippi County Rural No 609.4 (514.8, 716.6) 47 (4, 112) 29 stable stable trend -1.1 (-2.5, 0.3)
Adair County Rural No 607.6 (533.5, 689.0) 48 (7, 104) 49 stable stable trend -0.2 (-1.3, 0.9)
Grundy County Rural No 603.6 (502.8, 718.7) 49 (3, 112) 26 stable stable trend -0.9 (-2.9, 0.9)
DeKalb County Urban No 603.1 (505.1, 714.6) 50 (5, 113) 27 stable stable trend 4.4 (-0.5, 20.3)
Marion County Rural No 598.6 (534.8, 667.9) 51 (11, 103) 66 falling falling trend -0.9 (-1.8, -0.1)
Clinton County Urban No 598.4 (526.6, 677.4) 52 (10, 105) 51 stable stable trend -0.6 (-1.5, 0.3)
Miller County Rural No 595.5 (529.6, 667.3) 53 (11, 103) 61 stable stable trend -0.9 (-1.9, 0.0)
Wright County Rural No 595.3 (517.8, 681.1) 54 (10, 109) 44 stable stable trend -0.6 (-1.6, 0.4)
Jasper County Urban No 594.5 (561.4, 629.0) 55 (26, 84) 247 stable stable trend -0.3 (-0.8, 0.2)
Dade County Rural No 592.0 (486.4, 714.1) 56 (4, 115) 22 falling falling trend -1.2 (-2.4, -0.1)
Audrain County Rural No 591.2 (523.9, 664.9) 57 (11, 106) 57 falling falling trend -1.1 (-4.8, -0.1)
Andrew County Urban No 590.7 (514.1, 675.5) 58 (7, 110) 43 stable stable trend -1.0 (-2.3, 0.3)
Texas County Rural No 589.3 (526.1, 658.0) 59 (14, 104) 65 stable stable trend -0.3 (-1.2, 0.7)
Jefferson County Urban No 589.1 (564.2, 614.7) 60 (36, 81) 458 falling falling trend -1.3 (-1.6, -0.9)
Henry County Rural No 587.5 (522.6, 658.3) 61 (14, 108) 61 falling falling trend -2.7 (-9.8, -1.1)
Ralls County Rural No 586.6 (493.9, 692.2) 62 (6, 114) 29 stable stable trend -0.5 (-1.7, 0.8)
Lafayette County Urban No 583.7 (526.8, 645.2) 63 (17, 104) 78 stable stable trend -0.7 (-1.5, 0.1)
Newton County Urban No 582.6 (539.3, 628.5) 64 (26, 96) 136 stable stable trend -0.6 (-1.3, 0.1)
Vernon County Rural No 582.4 (510.2, 662.0) 65 (11, 111) 48 stable stable trend -0.7 (-1.9, 0.4)
Livingston County Rural No 579.5 (495.6, 673.4) 66 (8, 115) 35 stable stable trend -1.8 (-10.9, 0.0)
Johnson County Rural No 579.1 (525.3, 636.9) 67 (22, 107) 88 stable stable trend -0.8 (-1.6, 0.0)
Moniteau County Urban No 577.4 (490.5, 675.4) 68 (8, 113) 31 stable stable trend -0.6 (-2.2, 1.1)
Knox County Rural No 571.5 (421.3, 758.9) 69 (1, 115) 9 stable stable trend -1.3 (-4.0, 0.9)
Chariton County Rural No 570.4 (465.7, 692.1) 70 (4, 115) 22 stable stable trend -0.5 (-1.6, 0.7)
Schuyler County Rural No 569.9 (412.8, 766.6) 71 (1, 115) 9 stable stable trend -1.0 (-3.1, 1.0)
Harrison County Rural No 566.5 (461.6, 688.3) 72 (6, 115) 21 stable stable trend -0.4 (-1.6, 0.7)
Pike County Rural No 563.2 (485.9, 649.4) 73 (12, 113) 38 stable stable trend -0.7 (-1.3, 0.0)
Scott County Rural No 561.9 (508.4, 619.5) 74 (26, 108) 82 falling falling trend -1.2 (-1.9, -0.5)
Webster County Urban No 560.8 (504.1, 622.1) 75 (26, 109) 73 stable stable trend -0.2 (-1.2, 0.9)
Callaway County Urban No 560.2 (509.3, 614.8) 76 (26, 108) 92 stable stable trend -0.8 (-1.6, 0.1)
Taney County Rural No 557.6 (516.1, 601.6) 77 (36, 102) 138 falling falling trend -1.1 (-1.8, -0.3)
St. Louis City Urban No 556.0 (534.1, 578.5) 78 (53, 93) 523 falling falling trend -2.5 (-2.8, -2.2)
Gasconade County Rural No 550.2 (474.8, 634.3) 79 (17, 115) 39 falling falling trend -1.0 (-2.0, -0.1)
Sullivan County Rural No 547.0 (426.3, 691.5) 80 (4, 115) 14 stable stable trend -1.0 (-2.7, 0.6)
Franklin County Urban No 545.7 (513.8, 579.0) 81 (50, 104) 226 falling falling trend -1.3 (-1.9, -0.6)
Lewis County Rural No 541.9 (443.9, 655.2) 82 (8, 115) 21 falling falling trend -1.8 (-3.6, -0.1)
Cedar County Rural No 539.8 (464.2, 624.4) 83 (19, 115) 37 falling falling trend -1.6 (-2.9, -0.4)
Ste. Genevieve County Rural No 536.4 (465.3, 615.4) 84 (26, 115) 42 stable stable trend -0.6 (-1.4, 0.3)
Phelps County Rural No 535.6 (485.8, 589.0) 85 (40, 112) 87 stable stable trend -1.0 (-2.0, 0.0)
Perry County Rural No 535.5 (465.7, 612.7) 86 (26, 115) 43 stable stable trend -1.0 (-2.5, 0.5)
Warren County Urban No 534.0 (480.0, 592.4) 87 (35, 113) 74 stable stable trend -0.9 (-1.7, 0.0)
Clark County Rural No 531.1 (421.0, 661.7) 88 (8, 115) 16 stable stable trend 6.4 (-3.6, 20.1)
Jackson County Urban No 530.8 (517.6, 544.2) 89 (72, 99) 1,275 falling falling trend -1.6 (-1.9, -1.4)
Christian County Urban No 529.1 (493.0, 567.2) 90 (56, 108) 164 stable stable trend 0.5 (-0.9, 4.8)
Polk County Urban No 527.5 (471.6, 588.2) 91 (36, 114) 66 stable stable trend -1.1 (-2.2, 0.1)
Caldwell County Urban No 522.6 (423.4, 638.1) 92 (14, 115) 19 stable stable trend -0.6 (-2.3, 1.1)
Monroe County Rural No 518.2 (424.8, 626.4) 93 (20, 115) 22 stable stable trend -0.6 (-2.0, 0.9)
Worth County Rural No 517.4 (342.3, 753.2) 94 (1, 115) 6 stable stable trend 0.1 (-3.2, 3.5)
Camden County Rural No 515.0 (474.4, 558.3) 95 (57, 113) 127 stable stable trend -0.4 (-1.0, 0.4)
Cass County Urban No 515.0 (484.1, 547.2) 96 (64, 110) 212 falling falling trend -1.3 (-1.8, -0.7)
Cooper County Urban No 513.8 (439.4, 597.1) 97 (28, 115) 35 stable stable trend -0.9 (-1.9, 0.0)
Clay County Urban No 513.1 (490.9, 536.1) 98 (73, 108) 414 falling falling trend -1.5 (-1.8, -1.2)
Daviess County Rural No 509.3 (408.0, 628.4) 99 (10, 115) 18 stable stable trend -1.4 (-3.2, 0.3)
Carroll County Rural No 509.2 (413.5, 620.6) 100 (16, 115) 20 stable stable trend -0.6 (-2.4, 1.2)
Bates County Urban No 506.5 (431.8, 590.4) 101 (32, 115) 33 falling falling trend -7.2 (-19.4, -1.8)
Osage County Urban No 506.3 (420.6, 604.3) 102 (22, 115) 25 stable stable trend 0.2 (-1.0, 4.7)
St. Louis County Urban No 500.3 (490.3, 510.4) 103 (88, 107) 1,960 falling falling trend -1.3 (-1.5, -1.1)
Scotland County Rural No 496.8 (362.3, 665.5) 104 (7, 115) 9 stable stable trend -1.7 (-3.8, 0.2)
Greene County Urban No 494.4 (475.6, 513.8) 105 (85, 111) 529 falling falling trend -1.4 (-1.7, -1.2)
Howard County Urban No 493.3 (399.5, 602.5) 106 (18, 115) 19 falling falling trend -1.7 (-3.2, -0.3)
Barton County Rural No 492.2 (408.7, 587.9) 107 (29, 115) 25 falling falling trend -4.2 (-8.3, -2.2)
Boone County Urban No 487.7 (460.6, 516.0) 108 (82, 114) 251 falling falling trend -1.5 (-2.0, -1.0)
Cape Girardeau County Urban No 477.3 (442.7, 513.9) 109 (80, 115) 144 falling falling trend -3.8 (-10.0, -1.5)
St. Charles County Urban No 472.4 (456.3, 488.9) 110 (96, 114) 671 falling falling trend -1.6 (-1.9, -1.2)
Nodaway County Rural No 472.2 (406.0, 546.3) 111 (53, 115) 37 stable stable trend -0.7 (-2.1, 0.6)
Stone County Rural No 461.7 (417.4, 509.5) 112 (77, 115) 87 falling falling trend -1.1 (-2.0, -0.2)
Cole County Urban No 461.6 (426.7, 498.6) 113 (89, 115) 133 falling falling trend -6.7 (-11.1, -2.1)
Holt County Rural No 461.5 (343.7, 607.2) 114 (21, 115) 10 stable stable trend -1.0 (-12.3, 1.7)
Platte County Urban No 446.6 (415.8, 479.2) 115 (96, 115) 160 falling falling trend -1.8 (-2.3, -1.3)

Notes:
Created by statecancerprofiles.cancer.gov on 03/21/2026 11:47 pm.

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

† 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+).

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

The US Population Data File is used with mortality data.

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

Data for United States does not include Puerto Rico.

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