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Death Rates Table

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Death Rate Report for United States by HSA

All Cancer Sites, 2018-2022

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

Sorted by CI*Rank
Health Service Area
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Met Healthy People Objective of 122.7?
Age-Adjusted Death Rate
deaths per 100,000
(95% Confidence Interval)
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CI*Rank ⋔
(95% Confidence Interval)
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Average Annual Count
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Recent Trend
Recent 5-Year Trend in Death Rates
(95% Confidence Interval)
 sort by trend descending
United States No 146.0 (145.8, 146.2) N/A 602,955 falling falling trend -1.5 (-1.6, -1.4)
Accomack, VA - Northampton, VA No 169.4 (156.3, 183.5) N/A 138 falling falling trend -3.6 (-9.9, -1.6)
Ada (Boise City), ID - Canyon, ID No 136.6 (133.1, 140.0) N/A 1,249 falling falling trend -1.2 (-1.4, -0.9)
Adair, MO - Sullivan, MO No 174.4 (160.0, 189.9) N/A 113 stable stable trend -0.3 (-0.7, 0.1)
Adams, IL - Pike, IL No 174.5 (163.8, 185.8) N/A 213 falling falling trend -1.1 (-1.5, -0.8)
Adams, MS - Jefferson, MS No 191.2 (175.9, 207.7) N/A 123 falling falling trend -0.7 (-1.1, -0.3)
Adams, NE - Clay, NE No 161.2 (147.3, 176.2) N/A 106 falling falling trend -0.9 (-1.2, -0.5)
Aiken, SC - Edgefield, SC No 155.2 (148.9, 161.7) N/A 482 falling falling trend -1.3 (-1.6, -1.0)
Alachua (Gainesville), FL - Columbia, FL No 176.8 (172.3, 181.4) N/A 1,221 falling falling trend -2.1 (-3.7, -1.2)
Alamance, NC No 173.3 (165.5, 181.4) N/A 384 falling falling trend -0.8 (-1.0, -0.5)
Alameda (Oakland), CA - Contra Costa, CA Yes 122.5 (120.8, 124.2) N/A 4,082 falling falling trend -2.1 (-2.3, -2.0)
Alamosa, CO - Rio Grande, CO No 134.2 (121.4, 148.2) N/A 86 falling falling trend -0.8 (-1.2, -0.4)
Albany (Albany), NY - Rensselaer, NY No 146.6 (142.3, 151.0) N/A 927 falling falling trend -1.7 (-2.5, -1.5)
Albany, WY - Carbon, WY Yes 121.0 (107.7, 135.7) N/A 63 falling falling trend -1.8 (-2.4, -1.3)
Albemarle, VA - Charlottesville City, VA No 142.0 (137.4, 146.7) N/A 764 falling falling trend -1.9 (-3.5, -1.5)
Alcorn, MS - Tishomingo, MS No 182.5 (168.9, 197.0) N/A 138 falling falling trend -0.7 (-1.1, -0.3)
Allamakee, IA No 151.9 (128.5, 178.9) N/A 34 stable stable trend -0.8 (-1.7, 0.1)
Allegany (Cumberland), MD - Garrett, MD No 149.6 (140.8, 158.9) N/A 228 falling falling trend -1.1 (-1.4, -0.9)
Alleghany Cnty & Clifton Forge Cty, VA - Covington City, VA No 175.4 (157.5, 195.1) N/A 77 falling falling trend -0.9 (-1.3, -0.5)
Alleghany, NC No 145.2 (123.3, 171.4) N/A 32 falling falling trend -2.0 (-7.4, -1.2)
Allegheny (Pittsburgh), PA - Westmoreland, PA No 152.8 (150.9, 154.8) N/A 4,897 falling falling trend -1.7 (-1.9, -1.5)
Allen (Fort Wayne), IN - Noble, IN No 162.9 (158.6, 167.3) N/A 1,130 falling falling trend -1.1 (-2.5, -1.0)
Allen (Lima), OH - Auglaize, OH No 163.7 (157.9, 169.7) N/A 632 falling falling trend -0.9 (-1.1, -0.7)
Alpena, MI - Presque Isle, MI No 176.5 (165.3, 188.4) N/A 215 stable stable trend -0.1 (-0.8, 3.3)
Alpine, CA No 187.9 (108.9, 316.4) N/A 4
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Anchorage (Anchorage), AK - Matanuska-Susitna Borough, AK No 151.5 (146.5, 156.6) N/A 778 falling falling trend -1.4 (-1.5, -1.2)
Anderson (Oak Ridge), TN - Roane, TN No 177.0 (170.5, 183.7) N/A 593 falling falling trend -1.3 (-4.2, -0.9)
Anderson, TX - Cherokee, TX No 187.5 (178.3, 197.1) N/A 320 falling falling trend -1.6 (-2.5, -1.3)
Androscoggin (Lewiston), ME - Oxford, ME No 165.2 (158.5, 172.1) N/A 493 falling falling trend -1.2 (-1.4, -1.0)
Angelina, TX - Walker, TX No 172.9 (165.9, 180.2) N/A 480 falling falling trend -1.0 (-1.2, -0.7)
Apache, AZ No 125.3 (114.1, 137.4) N/A 96 stable stable trend -0.5 (-1.0, 0.0)
Appanoose, IA - Davis, IA No 169.9 (149.8, 192.3) N/A 56 stable stable trend 0.0 (-0.8, 0.8)
Arkansas, AR - Monroe, AR No 218.0 (196.5, 241.5) N/A 80 falling falling trend -0.5 (-0.9, -0.1)
Aroostook, ME No 161.7 (151.4, 172.7) N/A 198 falling falling trend -1.0 (-1.3, -0.7)
Ashland, WI - Sawyer, WI No 143.9 (133.8, 154.6) N/A 168 falling falling trend -1.4 (-1.8, -1.0)
Ashley, AR - Chicot, AR No 206.2 (187.3, 226.7) N/A 93 stable stable trend -0.5 (-1.0, 0.1)
Asotin, WA - Garfield, WA No 137.2 (121.3, 155.0) N/A 59 falling falling trend -1.7 (-2.3, -0.9)
Atchison, KS No 162.6 (138.5, 190.0) N/A 34 falling falling trend -0.9 (-1.6, -0.2)
Atchison, MO - Holt, MO No 172.2 (144.4, 204.9) N/A 30 stable stable trend -0.3 (-1.0, 0.5)
Atlantic (Atlantic City), NJ - Cape May, NJ No 154.9 (150.2, 159.8) N/A 877 falling falling trend -2.1 (-3.5, -1.7)
Audrain, MO - Montgomery, MO No 181.6 (166.9, 197.3) N/A 119 falling falling trend -0.6 (-1.1, -0.1)
Augusta, VA - Staunton City, VA No 155.9 (149.0, 163.1) N/A 403 falling falling trend -1.1 (-1.4, -0.8)
Baca, CO No 203.4 (154.6, 266.2) N/A 13 stable stable trend -0.3 (-1.5, 0.9)
Baldwin, GA No 158.8 (143.7, 175.3) N/A 85 falling falling trend -0.8 (-1.2, -0.3)
Baltimore, MD - Baltimore City, MD No 152.3 (150.4, 154.3) N/A 4,925 falling falling trend -1.9 (-3.1, -1.8)
Bannock, ID - Bingham, ID No 144.2 (136.1, 152.8) N/A 242 falling falling trend -0.7 (-1.0, -0.4)
Barber, KS No 180.5 (135.7, 237.7) N/A 12 stable stable trend -0.9 (-2.0, 0.0)
Barren, KY - Hart, KY No 196.9 (185.3, 209.0) N/A 226 falling falling trend -0.4 (-0.6, -0.1)
Barron, WI - Rusk, WI No 161.3 (150.1, 173.3) N/A 165 falling falling trend -0.8 (-1.0, -0.5)
Bartholomew, IN - Jackson, IN No 170.9 (163.4, 178.8) N/A 395 falling falling trend -1.2 (-2.6, -0.9)
Barton, KS - Pawnee, KS No 164.6 (149.4, 181.2) N/A 94 stable stable trend -0.4 (-0.9, 0.0)
Baxter, AR - Marion, AR No 178.1 (166.4, 190.6) N/A 211 falling falling trend -0.8 (-1.0, -0.5)
Bay (Bay City), MI - Iosco, MI No 177.1 (170.0, 184.5) N/A 509 falling falling trend -0.9 (-1.1, -0.7)
Bay (Panama City), FL - Jackson, FL No 169.9 (164.3, 175.7) N/A 730 falling falling trend -1.2 (-1.5, -0.8)
Beadle, SD - Hand, SD No 141.1 (124.1, 160.0) N/A 55 falling falling trend -1.0 (-1.7, -0.4)
Beaufort, SC - Jasper, SC No 126.8 (121.5, 132.3) N/A 487 falling falling trend -2.0 (-3.0, -1.6)
Beaver, OK Yes 118.4 (86.3, 160.5) N/A 9 falling falling trend -1.8 (-3.2, -0.6)
Beckham, OK - Roger Mills, OK No 185.4 (164.2, 208.8) N/A 57 stable stable trend -0.4 (-1.0, 0.2)
Bedford, TN No 184.3 (168.6, 201.2) N/A 106 stable stable trend -0.6 (-1.1, 0.0)
Bee, TX - Karnes, TX No 169.6 (153.1, 187.3) N/A 79 stable stable trend 0.1 (-0.8, 5.1)
Bell (Killeen), TX - Coryell, TX No 163.4 (158.2, 168.7) N/A 768 falling falling trend -1.3 (-1.6, -0.7)
Belmont, OH - Monroe, OH No 168.0 (157.7, 179.0) N/A 209 falling falling trend -1.1 (-1.4, -0.8)
Beltrami, MN - Clearwater, MN No 147.0 (134.1, 160.8) N/A 101 falling falling trend -1.0 (-1.3, -0.5)
Bennington, VT No 160.4 (146.0, 176.1) N/A 100 falling falling trend -1.1 (-1.5, -0.8)
Benton (Kennewick), WA - Franklin, WA No 143.3 (137.3, 149.5) N/A 444 falling falling trend -1.7 (-3.1, -1.4)
Bergen, NJ - Hudson (Jersey City), NJ Yes 119.7 (117.8, 121.6) N/A 3,127 falling falling trend -2.4 (-2.6, -2.3)
Berkeley, WV - Jefferson, WV No 184.9 (177.6, 192.3) N/A 520 falling falling trend -0.9 (-1.1, -0.6)
Berks, PA No 148.0 (143.5, 152.6) N/A 849 falling falling trend -1.1 (-1.3, -1.0)
Berkshire (Pittsfield), MA No 143.6 (136.4, 151.1) N/A 324 falling falling trend -1.5 (-1.8, -1.2)
Bernalillo (Albuquerque), NM - Sandoval, NM No 132.3 (129.3, 135.2) N/A 1,626 falling falling trend -1.2 (-1.4, -1.1)
Berrien (Benton Harbor), MI - Van Buren, MI No 164.0 (158.4, 169.8) N/A 680 falling falling trend -1.0 (-1.2, -0.8)
Bexar (San Antonio), TX - Guadalupe, TX No 142.0 (139.8, 144.1) N/A 3,516 falling falling trend -1.3 (-1.4, -1.2)
Bibb (Macon), GA - Houston, GA No 155.3 (150.7, 160.1) N/A 873 falling falling trend -1.3 (-1.5, -1.1)
Big Stone, MN - Traverse, MN No 180.9 (150.3, 217.1) N/A 29 stable stable trend 7.1 (-0.7, 19.5)
Black Hawk (Waterloo), IA - Bremer, IA No 148.6 (142.4, 155.0) N/A 451 falling falling trend -1.1 (-1.4, -0.9)
Blaine, ID - Camas, ID Yes 91.3 (77.6, 107.1) N/A 34 falling falling trend -2.1 (-2.9, -1.1)
Blue Earth, MN - Nicollet, MN No 141.9 (133.7, 150.5) N/A 232 falling falling trend -1.1 (-1.4, -0.8)
Bolivar, MS - Leflore, MS No 231.3 (218.4, 244.8) N/A 251 stable stable trend -0.3 (-0.5, 0.0)
Bonneville, ID - Madison, ID No 128.0 (121.2, 135.0) N/A 279 falling falling trend -1.0 (-1.3, -0.7)
Boone (Columbia), MO - Randolph, MO No 162.9 (156.4, 169.7) N/A 481 falling falling trend -1.0 (-1.2, -0.7)
Boone, AR - Carroll, AR No 170.3 (160.1, 181.1) N/A 223 falling falling trend -0.8 (-1.1, -0.5)
Boone, IN No 158.0 (145.6, 171.3) N/A 123 falling falling trend -1.2 (-1.5, -0.8)
Boulder, CO - Broomfield, CO Yes 113.5 (109.0, 118.0) N/A 511 falling falling trend -1.6 (-1.8, -1.4)
Bourbon (Paris), KY - Nicholas, KY No 188.9 (169.9, 209.6) N/A 75 falling falling trend -1.2 (-1.7, -0.7)
Bowie (Texarkana), TX No 180.3 (169.5, 191.7) N/A 214 falling falling trend -1.0 (-1.4, -0.6)
Bowman, ND - Hettinger, ND No 139.8 (112.0, 173.5) N/A 20 falling falling trend -1.4 (-2.5, -0.5)
Boyd, KY - Greenup, KY No 192.5 (183.8, 201.5) N/A 386 falling falling trend -1.2 (-3.6, -0.9)
Boyd, NE No 162.1 (106.3, 247.9) N/A 7 stable stable trend 0.1 (-1.1, 1.2)
Boyle, KY - Lincoln, KY No 188.5 (178.7, 198.6) N/A 294 falling falling trend -1.1 (-4.4, -0.7)
Bradford, PA - Susquehanna, PA No 157.8 (149.4, 166.8) N/A 277 falling falling trend -1.1 (-2.1, -0.8)
Bradley, TN - Polk, TN No 173.3 (164.3, 182.7) N/A 290 falling falling trend -1.0 (-1.3, -0.6)
Brazoria (Lake Jackson), TX - Wharton, TX No 158.0 (152.8, 163.4) N/A 729 stable stable trend -0.6 (-1.2, 1.2)
Brazos (Bryan), TX - Washington, TX No 140.2 (134.4, 146.2) N/A 456 falling falling trend -1.5 (-1.7, -1.3)
Brevard (Palm Bay), FL - Indian River, FL No 152.2 (149.2, 155.3) N/A 2,186 stable stable trend -0.2 (-2.2, 1.2)
Brewster, TX - Presidio, TX Yes 98.8 (82.8, 117.5) N/A 30 falling falling trend -1.9 (-2.7, -1.1)
Bristol (New Bedford), MA No 152.8 (148.8, 156.9) N/A 1,166 stable stable trend 0.5 (-1.5, 1.8)
Brookings, SD - Kingsbury, SD No 138.2 (122.4, 155.5) N/A 59 falling falling trend -0.9 (-1.4, -0.4)
Broome (Binghamton), NY - Tioga, NY No 147.6 (141.9, 153.5) N/A 549 stable stable trend 1.8 (-1.6, 4.0)
Brown (Green Bay), WI - Oconto, WI No 142.2 (137.3, 147.2) N/A 664 falling falling trend -1.1 (-1.2, -0.9)
Brown, MN - Renville, MN No 153.8 (141.9, 166.5) N/A 137 falling falling trend -0.7 (-1.1, -0.3)
Brown, SD - Spink, SD No 132.5 (122.0, 143.7) N/A 129 falling falling trend -1.2 (-1.6, -0.8)
Brown, TX - Coleman, TX No 178.9 (166.3, 192.4) N/A 159 falling falling trend -0.6 (-1.0, -0.2)
Brunswick, VA - Greensville, VA No 187.2 (169.9, 206.0) N/A 89 falling falling trend -1.3 (-1.9, -0.8)
Bryan, OK - Atoka, OK No 179.3 (166.1, 193.4) N/A 142 falling falling trend -0.8 (-1.1, -0.5)
Buchanan (St. Joseph), MO - Nodaway, MO No 172.3 (164.1, 180.8) N/A 349 falling falling trend -0.7 (-1.0, -0.4)
Buffalo, NE - Dawson, NE No 139.1 (129.5, 149.2) N/A 165 falling falling trend -1.1 (-1.3, -0.8)
Bulloch, GA - Emanuel, GA No 169.4 (159.5, 179.6) N/A 233 falling falling trend -0.8 (-1.1, -0.5)
Buncombe (Asheville), NC - Henderson, NC No 140.9 (137.2, 144.7) N/A 1,164 falling falling trend -1.3 (-1.5, -1.1)
Burleigh (Bismarck), ND - Morton, ND No 133.4 (126.5, 140.7) N/A 293 falling falling trend -1.3 (-1.7, -1.0)
Butler, AL No 168.8 (147.1, 193.0) N/A 47 falling falling trend -0.8 (-1.4, -0.1)
Butte (Chico), CA - Tehama, CA No 171.2 (165.4, 177.2) N/A 699 falling falling trend -1.1 (-1.4, -0.8)
Cabarrus (Concord), NC - Rowan, NC No 153.7 (148.9, 158.7) N/A 796 falling falling trend -2.4 (-4.6, -1.4)
Cabell (Huntington), WV - Wayne, WV No 187.9 (179.6, 196.4) N/A 412 falling falling trend -0.9 (-1.2, -0.7)
Cache, UT Yes 112.1 (102.9, 121.9) N/A 112 falling falling trend -0.7 (-1.2, -0.2)
Caddo (Shreveport), LA - Bossier, LA No 175.2 (170.6, 180.0) N/A 1,124 falling falling trend -1.3 (-1.5, -1.2)
Calcasieu (Lake Charles), LA - Vernon, LA No 171.6 (165.7, 177.6) N/A 663 falling falling trend -1.4 (-3.2, -1.1)
Caledonia, VT - Orleans, VT No 159.7 (149.7, 170.4) N/A 201 falling falling trend -0.9 (-1.2, -0.6)
Calhoun (Anniston), AL - Cleburne, AL No 175.3 (166.4, 184.6) N/A 307 falling falling trend -1.5 (-2.1, -1.3)
Calhoun (Battle Creek), MI - Barry, MI No 172.8 (165.6, 180.2) N/A 459 falling falling trend -0.9 (-1.2, -0.6)
Calloway, KY No 198.5 (180.4, 218.0) N/A 92 stable stable trend 0.0 (-0.3, 0.4)
Cambria, PA - Blair (Altoona), PA No 158.6 (154.0, 163.3) N/A 971 falling falling trend -0.9 (-1.1, -0.7)
Camden (Camden), NJ - Burlington, NJ No 151.2 (148.5, 153.8) N/A 2,631 falling falling trend -2.0 (-2.2, -1.8)
Camden, MO No 158.7 (146.1, 172.4) N/A 136 falling falling trend -0.7 (-1.1, -0.2)
Cameron (Brownsville), TX - Willacy, TX No 125.9 (121.3, 130.6) N/A 576 stable stable trend 3.0 (-0.8, 5.2)
Campbell, WY - Crook, WY No 149.5 (134.1, 166.1) N/A 78 falling falling trend -1.2 (-1.8, -0.4)
Cape Girardeau, MO - Butler, MO No 184.3 (178.1, 190.6) N/A 714 falling falling trend -1.6 (-4.3, -0.7)
Carbon, UT - Emery, UT No 144.4 (127.1, 163.4) N/A 54 falling falling trend -0.7 (-1.2, -0.1)
Carroll, GA - Haralson, GA No 168.8 (159.9, 178.2) N/A 276 falling falling trend -2.7 (-6.5, -1.0)
Carroll, IA - Sac, IA No 140.4 (127.5, 154.5) N/A 96 falling falling trend -4.8 (-11.1, -0.9)
Carroll, KY - Trimble, KY No 199.1 (174.6, 226.3) N/A 50 stable stable trend -0.5 (-1.1, 0.1)
Carroll, VA - Grayson, VA No 172.6 (160.3, 185.9) N/A 155 stable stable trend -0.4 (-0.7, 0.0)
Carter, OK - Marshall, OK No 198.0 (186.4, 210.3) N/A 225 falling falling trend -0.4 (-0.6, -0.1)
Cascade (Great Falls), MT - Glacier, MT No 148.1 (139.9, 156.6) N/A 257 falling falling trend -1.2 (-1.5, -1.0)
Cass (Fargo), ND - Richland, ND No 133.5 (127.1, 140.1) N/A 344 falling falling trend -1.4 (-1.7, -1.2)
Cassia, ID - Minidoka, ID No 133.8 (119.9, 148.9) N/A 70 falling falling trend -1.3 (-1.8, -0.7)
Caswell, NC No 173.0 (154.0, 194.2) N/A 64 falling falling trend -1.0 (-1.5, -0.5)
Catawba (Hickory), NC - Burke, NC No 162.2 (157.0, 167.6) N/A 768 falling falling trend -1.4 (-2.4, -1.1)
Cattaraugus, NY - Allegany, NY No 155.4 (147.1, 164.1) N/A 279 stable stable trend -0.9 (-1.4, 0.6)
Cedar, NE - Knox, NE No 135.9 (116.1, 158.5) N/A 39 stable stable trend -0.7 (-1.4, 0.1)
Centre (State College), PA - Clearfield, PA No 144.6 (139.1, 150.4) N/A 538 falling falling trend -1.1 (-1.2, -0.9)
Cerro Gordo, IA - Kossuth, IA No 141.4 (132.9, 150.3) N/A 228 falling falling trend -1.1 (-1.4, -0.9)
Chaffee, CO - Lake, CO Yes 110.0 (95.6, 126.3) N/A 45 falling falling trend -1.4 (-2.4, -0.2)
Chambers, AL - Randolph, AL No 159.7 (147.5, 172.7) N/A 136 falling falling trend -2.2 (-5.5, -1.2)
Champaign (Champaign), IL - Coles, IL No 145.6 (139.7, 151.6) N/A 484 falling falling trend -1.5 (-1.9, -1.3)
Charleston (Charleston), SC - Berkeley, SC No 149.4 (146.0, 152.9) N/A 1,533 falling falling trend -3.4 (-4.9, -1.7)
Chase, NE - Dundy, NE No 137.2 (106.2, 176.0) N/A 15 stable stable trend -0.5 (-1.6, 0.7)
Chatham (Savannah), GA - Liberty, GA No 150.9 (146.4, 155.6) N/A 849 falling falling trend -2.0 (-2.4, -1.7)
Chautauqua, NY No 154.9 (146.8, 163.3) N/A 299 falling falling trend -0.9 (-1.2, -0.7)
Chaves, NM - Eddy, NM No 140.4 (131.8, 149.4) N/A 205 falling falling trend -1.7 (-2.7, -1.3)
Cherokee, GA - Douglas, GA No 145.2 (140.8, 149.6) N/A 923 falling falling trend -1.4 (-1.5, -1.1)
Cherokee, KS No 190.2 (167.4, 215.5) N/A 53 falling falling trend -0.7 (-1.1, -0.2)
Cherokee, NC - Clay, NC No 144.6 (132.3, 158.0) N/A 119 falling falling trend -1.4 (-3.8, -1.0)
Cherry, NE No 132.0 (98.9, 174.3) N/A 12 stable stable trend -1.0 (-2.2, 0.1)
Cheshire, NH No 148.6 (138.6, 159.2) N/A 176 falling falling trend -1.2 (-1.7, -0.8)
Cheyenne, KS - Rawlins, KS No 144.9 (110.5, 188.9) N/A 14 stable stable trend -0.1 (-1.2, 0.9)
Cheyenne, NE - Kimball, NE No 164.5 (140.9, 191.5) N/A 38 stable stable trend -0.7 (-1.5, 0.1)
Childress, TX - Hall, TX No 150.8 (124.3, 182.0) N/A 24 falling falling trend -1.0 (-1.9, -0.2)
Chippewa, MI - Emmet, MI No 163.5 (155.8, 171.6) N/A 364 falling falling trend -0.9 (-1.1, -0.7)
Chittenden (Burlington), VT - Franklin, VT No 145.9 (140.0, 151.9) N/A 486 falling falling trend -1.4 (-1.6, -1.3)
Choctaw, AL - Sumter, AL No 163.5 (144.9, 184.1) N/A 61 falling falling trend -1.2 (-1.7, -0.7)
Choctaw, OK No 189.1 (163.2, 218.5) N/A 40 stable stable trend -0.2 (-0.9, 0.6)
Christian (Hopkinsville), KY - Hopkins, KY No 185.7 (178.1, 193.5) N/A 467 falling falling trend -0.9 (-1.1, -0.6)
Claiborne, LA No 180.7 (155.2, 209.8) N/A 39 stable stable trend 10.7 (-0.3, 17.3)
Claiborne, TN No 194.7 (176.3, 214.6) N/A 88 falling falling trend -1.4 (-6.8, -0.6)
Clallam, WA - Jefferson, WA No 151.3 (143.8, 159.2) N/A 362 falling falling trend -1.1 (-1.4, -0.9)
Clark (Jeffersonville), IN - Scott, IN No 180.1 (171.3, 189.3) N/A 326 falling falling trend -1.3 (-1.5, -1.0)
Clark (Las Vegas), NV - Nye, NV No 147.8 (145.7, 149.9) N/A 3,928 falling falling trend -3.1 (-5.0, -1.5)
Clark (Springfield), OH - Champaign, OH No 171.5 (164.2, 179.2) N/A 430 falling falling trend -1.2 (-3.3, -0.9)
Clark, IL No 183.6 (158.7, 211.7) N/A 41 stable stable trend -0.1 (-0.8, 0.6)
Clark, MO No 150.0 (117.9, 189.5) N/A 16 stable stable trend -1.0 (-2.2, 0.2)
Clark, WA - Cowlitz, WA No 156.3 (152.3, 160.5) N/A 1,177 falling falling trend -1.6 (-2.0, -1.4)
Clarke (Athens), GA - Barrow, GA No 155.3 (149.8, 161.1) N/A 607 falling falling trend -1.4 (-1.8, -1.0)
Clay, IA - Dickinson, IA No 144.2 (131.7, 157.7) N/A 109 falling falling trend -0.9 (-1.3, -0.6)
Clay, KS No 158.1 (129.3, 192.8) N/A 22 stable stable trend -0.5 (-1.3, 0.4)
Clay, MN - Becker, MN No 148.3 (139.6, 157.5) N/A 225 falling falling trend -0.8 (-1.1, -0.5)
Clayton, IA - Delaware, IA No 154.7 (140.0, 170.8) N/A 89 falling falling trend -0.9 (-1.2, -0.5)
Cleveland (Norman), OK - McClain, OK No 159.7 (154.2, 165.3) N/A 669 falling falling trend -0.7 (-0.9, -0.5)
Clinton, IA No 170.5 (156.7, 185.4) N/A 118 falling falling trend -0.9 (-1.3, -0.5)
Clinton, KY - Cumberland, KY No 239.4 (211.7, 270.2) N/A 57 stable stable trend 0.2 (-0.6, 1.1)
Clinton, NY - Franklin, NY No 164.0 (156.6, 171.6) N/A 398 falling falling trend -1.2 (-1.4, -0.9)
Cloud, KS - Republic, KS No 178.1 (152.7, 207.1) N/A 40 stable stable trend 0.0 (-0.8, 0.8)
Coahoma, MS - Tallahatchie, MS No 229.1 (210.2, 249.4) N/A 114 stable stable trend -0.1 (-0.5, 0.3)
Cobb (Marietta), GA No 133.8 (130.1, 137.7) N/A 1,025 falling falling trend -1.7 (-2.8, -1.4)
Codington, SD - Grant, SD No 144.6 (132.3, 157.9) N/A 108 falling falling trend -1.0 (-1.3, -0.6)
Coffee, GA - Jeff Davis, GA No 179.1 (165.5, 193.6) N/A 133 falling falling trend -0.9 (-1.4, -0.3)
Coffee, TN - Franklin, TN No 168.1 (159.2, 177.3) N/A 284 falling falling trend -1.0 (-1.9, -0.8)
Cole, MO - Callaway, MO No 162.4 (155.9, 169.1) N/A 491 falling falling trend -1.1 (-1.4, -0.9)
Colfax, NM Yes 122.1 (102.2, 145.9) N/A 29 falling falling trend -1.2 (-1.9, -0.5)
Collingsworth, TX No 157.8 (101.7, 235.6) N/A 5 stable stable trend -0.6 (-1.9, 0.5)
Colquitt, GA No 159.9 (145.0, 176.0) N/A 86 falling falling trend -1.1 (-1.4, -0.8)
Columbia, NY - Greene, NY No 156.0 (147.8, 164.6) N/A 291 falling falling trend -1.4 (-1.6, -1.1)
Columbiana, OH No 172.7 (163.4, 182.6) N/A 271 falling falling trend -0.8 (-1.1, -0.6)
Comal, TX No 142.0 (134.8, 149.5) N/A 310 falling falling trend -1.2 (-1.5, -0.8)
Comanche (Lawton), OK - Kiowa, OK No 185.2 (175.6, 195.3) N/A 287 falling falling trend -0.9 (-2.7, -0.6)
Concordia, LA - Tensas, LA No 191.3 (169.4, 215.4) N/A 61 falling falling trend -0.8 (-1.3, -0.3)
Cook (Chicago), IL - DuPage, IL No 140.6 (139.4, 141.7) N/A 11,944 falling falling trend -2.6 (-3.3, -2.2)
Coos, NH No 162.8 (147.6, 179.6) N/A 92 falling falling trend -1.3 (-1.9, -0.8)
Coos, OR - Curry, OR No 179.6 (170.2, 189.6) N/A 310 falling falling trend -0.9 (-1.1, -0.7)
Coweta, GA - Troup (La Grange), GA No 154.4 (148.0, 161.1) N/A 454 falling falling trend -1.3 (-1.6, -1.0)
Craighead, AR - Greene, AR No 186.2 (179.0, 193.6) N/A 519 falling falling trend -0.5 (-0.7, -0.3)
Crawford, IA No 127.3 (106.6, 151.0) N/A 28 falling falling trend -1.2 (-1.9, -0.4)
Crawford, IL - Lawrence, IL No 185.9 (168.9, 204.3) N/A 91 falling falling trend -0.5 (-0.9, -0.1)
Crawford, KS - Bourbon, KS No 178.3 (165.3, 192.1) N/A 147 stable stable trend -0.4 (-0.8, 0.0)
Crawford, PA No 159.9 (150.0, 170.3) N/A 209 falling falling trend -1.6 (-3.0, -1.1)
Crawford, WI No 165.7 (143.6, 190.7) N/A 45 falling falling trend -0.7 (-1.2, -0.1)
Crittenden (West Memphis), AR - St. Francis, AR No 205.2 (193.5, 217.4) N/A 241 falling falling trend -1.1 (-1.8, -0.8)
Crow Wing, MN - Cass, MN No 153.4 (146.4, 160.7) N/A 400 falling falling trend -0.9 (-1.2, -0.7)
Cumberland (Fayetteville), NC - Sampson, NC No 175.4 (169.5, 181.4) N/A 705 falling falling trend -1.0 (-1.2, -0.8)
Cumberland (Portland), ME - Knox, ME No 145.6 (141.4, 150.0) N/A 941 falling falling trend -1.6 (-1.8, -1.4)
Cumberland, NJ No 168.1 (159.8, 176.9) N/A 310 falling falling trend -5.2 (-8.4, -1.2)
Cumberland, TN - Fentress, TN No 160.3 (151.5, 169.5) N/A 284 falling falling trend -1.0 (-1.3, -0.6)
Currituck, NC No 144.0 (126.2, 163.8) N/A 53 falling falling trend -2.1 (-2.6, -1.5)
Curry, NM - Roosevelt, NM No 152.7 (141.3, 164.9) N/A 136 falling falling trend -0.9 (-1.3, -0.5)
Custer, MT - Fallon, MT No 154.0 (134.6, 175.7) N/A 49 falling falling trend -1.3 (-1.9, -0.7)
Custer, NE - Valley, NE No 138.1 (119.8, 158.8) N/A 47 falling falling trend -0.7 (-1.3, -0.2)
Custer, OK - Washita, OK No 165.1 (148.5, 183.1) N/A 76 falling falling trend -0.8 (-5.9, -0.3)
Cuyahoga (Cleveland), OH - Lake, OH No 158.2 (155.9, 160.5) N/A 3,818 falling falling trend -1.6 (-2.0, -1.4)
Dakota, NE - Thurston, NE No 166.6 (148.2, 186.7) N/A 62 falling falling trend -0.7 (-1.1, -0.2)
Dallas (Dallas), TX - Collin, TX No 140.0 (138.3, 141.7) N/A 5,504 falling falling trend -1.7 (-1.9, -1.7)
Dallas, AL - Marengo, AL No 165.1 (154.0, 176.8) N/A 179 falling falling trend -11.6 (-16.9, -7.9)
Dane (Madison), WI - Sauk, WI No 141.4 (137.9, 144.9) N/A 1,327 falling falling trend -1.5 (-2.7, -1.2)
Dauphin (Harrisburg), PA - Cumberland, PA No 147.0 (143.6, 150.4) N/A 1,487 falling falling trend -1.3 (-1.4, -1.1)
Davidson (Nashville-Davidson), TN - Williamson, TN No 151.1 (148.0, 154.3) N/A 1,879 falling falling trend -2.1 (-2.3, -1.9)
Daviess (Owensboro), KY - Ohio, KY No 176.7 (168.2, 185.6) N/A 336 falling falling trend -1.0 (-1.3, -0.7)
Davis, UT - Weber (Ogden), UT Yes 121.6 (117.7, 125.7) N/A 738 falling falling trend -0.9 (-1.1, -0.7)
Davison, SD - Charles Mix, SD No 143.1 (130.6, 156.5) N/A 105 falling falling trend -1.0 (-1.5, -0.5)
Dawes, NE - Sheridan, NE No 143.4 (121.1, 169.1) N/A 33 falling falling trend -0.9 (-1.6, -0.2)
DeSoto, MS - Marshall, MS No 186.4 (179.8, 193.2) N/A 624 falling falling trend -1.0 (-2.0, -0.8)
Deaf Smith, TX - Parmer, TX No 141.2 (122.2, 162.2) N/A 41 stable stable trend -0.3 (-1.1, 0.5)
Dearborn, IN - Jefferson (Madison), IN No 175.8 (167.0, 185.1) N/A 311 falling falling trend -1.0 (-2.3, -0.8)
Decatur, GA - Seminole, GA No 169.7 (155.2, 185.3) N/A 106 falling falling trend -1.2 (-1.5, -0.8)
Decatur, KS - Sheridan, KS No 125.1 (94.1, 165.7) N/A 13 stable stable trend -0.3 (-1.3, 0.7)
Defiance, OH - Williams, OH No 168.6 (159.9, 177.7) N/A 293 falling falling trend -0.8 (-1.0, -0.6)
Del Norte, CA No 177.2 (158.3, 198.0) N/A 68 falling falling trend -1.2 (-1.8, -0.6)
Delaware (Muncie), IN - Randolph, IN No 177.7 (169.4, 186.5) N/A 354 falling falling trend -0.7 (-1.0, -0.5)
Delaware, OK No 161.7 (148.0, 176.6) N/A 114 falling falling trend -1.0 (-1.5, -0.5)
Denton (Denton), TX - Wise, TX No 126.6 (123.3, 130.0) N/A 1,183 falling falling trend -2.1 (-3.2, -1.8)
Denver (Denver), CO - Jefferson, CO No 125.6 (123.8, 127.5) N/A 3,753 falling falling trend -1.7 (-2.1, -1.5)
Des Moines, IA - Henry, IA No 158.2 (146.5, 170.8) N/A 140 falling falling trend -0.8 (-1.1, -0.4)
Deschutes, OR - Crook, OR No 128.9 (123.6, 134.3) N/A 481 falling falling trend -1.5 (-1.8, -1.3)
Dewey, SD - Walworth, SD No 158.8 (136.7, 183.8) N/A 39 falling falling trend -0.9 (-1.4, -0.3)
Dickey, ND - LaMoure, ND No 123.0 (98.3, 153.0) N/A 19 falling falling trend -1.0 (-1.9, -0.2)
Dickinson, MI - Menominee, MI No 155.3 (144.6, 166.8) N/A 172 falling falling trend -1.0 (-1.3, -0.7)
Dimmit, TX No 175.3 (140.7, 216.3) N/A 18 rising rising trend 13.6 (0.2, 24.9)
District of Columbia No 150.0 (145.9, 154.3) N/A 1,005 falling falling trend -2.2 (-3.4, -2.1)
Dona Ana (Las Cruces), NM - Luna, NM No 139.1 (133.2, 145.1) N/A 447 falling falling trend -0.9 (-1.1, -0.7)
Doniphan, KS No 187.7 (152.0, 230.2) N/A 20 stable stable trend -0.4 (-1.2, 0.5)
Dougherty (Albany), GA - Lee, GA No 169.6 (161.9, 177.6) N/A 382 falling falling trend -1.1 (-1.3, -0.8)
Douglas (Omaha), NE - Sarpy, NE No 150.4 (146.9, 154.0) N/A 1,461 falling falling trend -2.0 (-3.0, -1.5)
Douglas, MN - Pope, MN No 140.6 (130.0, 152.1) N/A 141 falling falling trend -0.8 (-1.2, -0.4)
Douglas, WI No 167.4 (152.9, 183.1) N/A 104 falling falling trend -1.5 (-1.8, -1.1)
Dubois, IN No 143.0 (129.2, 157.9) N/A 83 falling falling trend -1.0 (-1.5, -0.4)
Dubuque (Dubuque), IA - Jackson, IA No 145.1 (136.9, 153.8) N/A 245 falling falling trend -1.5 (-1.9, -1.3)
Dunklin, MO No 215.4 (194.5, 238.0) N/A 82 stable stable trend -0.4 (-0.9, 0.1)
Durham (Durham), NC - Granville, NC No 151.3 (146.7, 156.0) N/A 863 falling falling trend -2.0 (-2.4, -1.7)
Duval (Jacksonville), FL - Clay, FL No 163.8 (160.9, 166.7) N/A 2,581 falling falling trend -1.7 (-2.3, -1.5)
Dyer, TN - Lauderdale, TN No 197.7 (184.7, 211.5) N/A 177 falling falling trend -0.5 (-0.8, -0.1)
East Baton Rouge (Baton Rouge), LA - Livingston, LA No 151.3 (147.7, 154.9) N/A 1,402 falling falling trend -2.0 (-3.1, -1.7)
Eau Claire (Eau Claire), WI - Chippewa, WI No 138.3 (132.3, 144.4) N/A 427 falling falling trend -1.2 (-1.4, -0.9)
Ector (Odessa), TX - Reeves, TX No 177.1 (168.0, 186.7) N/A 291 falling falling trend -0.9 (-1.1, -0.6)
Effingham, IL - Fayette, IL No 158.4 (145.8, 171.8) N/A 123 falling falling trend -1.0 (-1.3, -0.7)
El Paso (Colorado Springs), CO - Teller, CO No 136.6 (132.9, 140.3) N/A 1,089 falling falling trend -1.2 (-1.4, -1.0)
El Paso (El Paso), TX - Hudspeth, TX No 130.1 (126.7, 133.6) N/A 1,113 falling falling trend -1.3 (-1.5, -1.1)
Elbert, GA - Wilkes, GA No 196.8 (178.4, 216.9) N/A 91 falling falling trend -0.7 (-1.3, -0.2)
Elk, PA No 159.2 (143.8, 176.0) N/A 84 falling falling trend -1.1 (-1.5, -0.7)
Elkhart (Elkhart), IN - Kosciusko, IN No 155.9 (150.0, 162.0) N/A 537 falling falling trend -0.8 (-1.0, -0.6)
Elko, NV - Lander, NV No 125.9 (113.3, 139.6) N/A 77 falling falling trend -1.6 (-2.1, -0.9)
Ellis, KS - Rooks, KS No 143.2 (129.7, 157.9) N/A 88 falling falling trend -0.9 (-1.4, -0.5)
Emmet, IA No 175.7 (145.2, 211.4) N/A 27 stable stable trend -0.1 (-0.9, 0.6)
Erath, TX - Comanche, TX No 144.5 (131.6, 158.3) N/A 98 falling falling trend -1.2 (-1.6, -0.8)
Erie (Buffalo), NY - Monroe, NY No 151.0 (149.0, 153.1) N/A 4,438 falling falling trend -2.1 (-2.9, -1.5)
Erie (Erie), PA - Warren, PA No 164.1 (158.6, 169.7) N/A 728 falling falling trend -0.9 (-1.1, -0.7)
Escambia (Pensacola), FL - Okaloosa, FL No 163.4 (159.8, 167.0) N/A 1,669 falling falling trend -1.3 (-1.5, -1.2)
Escambia, AL - Conecuh, AL No 184.8 (170.4, 200.3) N/A 128 falling falling trend -1.2 (-5.1, -0.7)
Essex (Lynn), MA No 130.8 (127.7, 134.0) N/A 1,418 falling falling trend -2.4 (-2.6, -2.3)
Essex (Newark), NJ - Middlesex, NJ Yes 119.9 (118.2, 121.7) N/A 3,702 falling falling trend -3.4 (-4.7, -2.7)
Essex, VT No 168.2 (136.1, 208.4) N/A 20 falling falling trend -1.5 (-2.4, -0.4)
Etowah (Gadsden), AL - Marshall, AL No 169.8 (164.0, 175.7) N/A 691 falling falling trend -1.4 (-2.0, -1.0)
Fairbanks North Star Borough, AK - Denali/Yukon-Koyukuk, AK No 132.5 (121.8, 143.8) N/A 130 falling falling trend -1.5 (-2.0, -0.9)
Fairfax, VA - Arlington, VA Yes 108.9 (106.8, 110.9) N/A 2,188 falling falling trend -1.6 (-2.3, -0.4)
Fairfield (Lancaster), OH - Athens, OH No 165.4 (159.1, 172.0) N/A 531 falling falling trend -1.4 (-2.6, -1.1)
Fairfield, CT Yes 122.5 (119.7, 125.4) N/A 1,486 falling falling trend -1.7 (-1.9, -1.2)
Fayette (Lexington-Fayette), KY - Jessamine, KY No 166.9 (162.5, 171.4) N/A 1,145 falling falling trend -2.4 (-4.8, -1.3)
Fayette, TX - Colorado, TX No 148.8 (136.2, 162.4) N/A 114 falling falling trend -1.1 (-1.5, -0.6)
Fergus, MT - Petroleum, MT No 137.5 (115.6, 163.2) N/A 30 falling falling trend -1.8 (-2.7, -1.1)
Fillmore, NE - Thayer, NE No 142.9 (118.9, 171.5) N/A 28 stable stable trend -0.7 (-1.6, 0.2)
Finney, KS - Scott, KS No 139.9 (126.3, 154.7) N/A 79 falling falling trend -0.9 (-1.3, -0.5)
Flathead, MT - Lincoln, MT No 139.5 (131.8, 147.6) N/A 263 falling falling trend -1.5 (-1.9, -1.2)
Florence (Florence), SC - Darlington, SC No 173.8 (168.0, 179.8) N/A 706 falling falling trend -1.5 (-2.2, -1.2)
Floyd (New Albany), IN - Harrison, IN No 170.2 (162.2, 178.6) N/A 358 falling falling trend -1.1 (-1.3, -0.8)
Floyd, GA - Bartow, GA No 180.5 (174.5, 186.6) N/A 724 falling falling trend -1.0 (-1.2, -0.8)
Floyd, IA - Chickasaw, IA No 157.9 (141.0, 176.5) N/A 69 falling falling trend -0.8 (-1.3, -0.3)
Floyd, KY - Johnson, KY No 217.1 (203.5, 231.3) N/A 206 falling falling trend -1.3 (-4.6, -0.7)
Ford, KS - Gray, KS No 149.5 (134.7, 165.6) N/A 77 falling falling trend -1.0 (-1.6, -0.5)
Forrest, MS - Lamar, MS No 171.3 (163.3, 179.5) N/A 358 falling falling trend -1.3 (-4.6, -0.9)
Forsyth (Winston-Salem), NC - Surry, NC No 162.2 (158.2, 166.4) N/A 1,260 falling falling trend -1.2 (-1.6, -1.0)
Fountain, IN - Warren, IN No 190.0 (170.6, 211.2) N/A 72 falling falling trend -0.8 (-1.5, -0.2)
Franklin (Columbus), OH - Delaware, OH No 148.9 (146.3, 151.6) N/A 2,506 falling falling trend -2.0 (-2.3, -1.8)
Franklin, ID - Bear Lake, ID No 123.8 (104.6, 145.5) N/A 31 stable stable trend -0.7 (-1.5, 0.2)
Franklin, IN No 173.4 (152.8, 196.2) N/A 55 stable stable trend -0.4 (-1.0, 0.3)
Franklin, KY - Anderson, KY No 165.9 (155.3, 177.2) N/A 189 falling falling trend -1.2 (-1.6, -0.8)
Franklin, PA - Fulton, PA No 159.2 (152.2, 166.5) N/A 404 falling falling trend -0.8 (-1.1, -0.6)
Frederick, MD No 127.1 (121.5, 132.8) N/A 407 falling falling trend -2.3 (-5.0, -1.8)
Frederick, VA - Shenandoah, VA No 164.3 (157.8, 171.0) N/A 501 falling falling trend -1.2 (-1.4, -1.0)
Freeborn, MN - Faribault, MN No 153.4 (140.6, 167.2) N/A 117 falling falling trend -0.5 (-0.8, -0.2)
Fremont, CO - Custer, CO No 140.8 (129.5, 153.0) N/A 123 falling falling trend -1.0 (-1.4, -0.6)
Fremont, WY - Washakie, WY No 162.3 (149.3, 176.3) N/A 123 falling falling trend -0.9 (-1.4, -0.3)
Fresno (Fresno), CA - Kings, CA No 139.1 (136.2, 142.1) N/A 1,769 falling falling trend -1.2 (-1.3, -1.1)
Fulton (Atlanta), GA - DeKalb, GA No 135.7 (133.7, 137.7) N/A 3,882 falling falling trend -1.7 (-1.8, -1.6)
Fulton, KY No 213.6 (171.7, 263.5) N/A 20 stable stable trend -0.7 (-1.4, 0.0)
Fulton, NY - Montgomery (Amsterdam), NY No 162.5 (153.3, 172.2) N/A 244 falling falling trend -1.1 (-1.5, -0.8)
Gaines, TX - Andrews, TX No 152.4 (132.9, 173.8) N/A 46 falling falling trend -0.9 (-1.4, -0.4)
Gallatin and Yellowstone National Park, MT - Madison, MT Yes 117.0 (108.5, 126.0) N/A 149 falling falling trend -1.5 (-2.0, -0.9)
Galveston, TX No 161.0 (155.3, 166.8) N/A 644 falling falling trend -2.0 (-4.5, -1.5)
Garfield (Enid), OK - Kingfisher, OK No 173.5 (163.9, 183.6) N/A 254 stable stable trend -0.2 (-0.4, 0.0)
Garland, AR - Hot Spring, AR No 162.7 (155.8, 170.0) N/A 444 falling falling trend -1.4 (-2.2, -0.3)
Gaston (Gastonia), NC - Cleveland, NC No 165.7 (161.2, 170.3) N/A 1,073 falling falling trend -1.2 (-1.5, -1.0)
Geary, KS - Dickinson, KS No 170.7 (156.2, 186.2) N/A 106 falling falling trend -0.7 (-1.1, -0.2)
Genesee (Flint), MI - Lapeer, MI No 168.9 (164.4, 173.4) N/A 1,142 falling falling trend -1.5 (-3.4, -1.1)
Gilmer, GA - Fannin, GA No 152.8 (141.5, 165.0) N/A 159 falling falling trend -1.3 (-1.7, -1.0)
Glynn, GA - Camden, GA No 159.4 (152.3, 166.8) N/A 400 falling falling trend -1.4 (-1.7, -1.2)
Gogebic, MI - Ontonagon, MI No 141.3 (125.1, 159.7) N/A 62 falling falling trend -1.3 (-1.9, -0.8)
Goodhue, MN No 158.6 (145.4, 172.8) N/A 113 falling falling trend -0.7 (-1.1, -0.3)
Goshen, WY - Niobrara, WY No 169.7 (146.4, 196.2) N/A 41 stable stable trend -0.4 (-1.1, 0.3)
Grady, OK - Caddo, OK No 191.0 (179.0, 203.7) N/A 195 falling falling trend -6.4 (-10.5, -0.3)
Grafton, NH - Sullivan, NH No 144.7 (137.3, 152.4) N/A 310 falling falling trend -1.7 (-2.0, -1.4)
Grand Forks (Grand Forks), ND - Walsh, ND No 153.6 (143.4, 164.3) N/A 181 falling falling trend -1.3 (-1.7, -0.9)
Grand Traverse, MI - Manistee, MI No 148.1 (142.1, 154.4) N/A 501 falling falling trend -1.3 (-1.5, -1.0)
Grand, UT No 132.8 (106.2, 164.9) N/A 18 falling falling trend -1.7 (-2.6, -0.7)
Grant, IN - Miami, IN No 188.0 (179.2, 197.2) N/A 361 falling falling trend -0.6 (-0.8, -0.3)
Grant, KS - Stanton, KS No 149.5 (118.0, 187.0) N/A 16 stable stable trend -1.0 (-2.0, 0.1)
Grant, ND Yes 105.3 (66.6, 167.9) N/A 5 stable stable trend -1.4 (-3.0, 0.0)
Grant, NM - Hidalgo, NM No 137.0 (124.1, 151.2) N/A 97 falling falling trend -1.2 (-1.8, -0.6)
Grant, OR No 172.6 (141.7, 210.3) N/A 26 stable stable trend 7.5 (-1.8, 21.5)
Grant, WA - Chelan, WA No 150.7 (144.8, 156.9) N/A 511 falling falling trend -1.0 (-1.1, -0.8)
Gray, TX - Wheeler, TX No 157.1 (139.8, 176.0) N/A 62 falling falling trend -0.7 (-1.3, -0.2)
Grayson (Sherman), TX - Fannin, TX No 178.6 (170.8, 186.7) N/A 412 falling falling trend -0.8 (-1.0, -0.6)
Greenbrier, WV - Monroe, WV No 179.5 (165.8, 194.3) N/A 138 falling falling trend -0.7 (-1.0, -0.4)
Greene (Springfield), MO - Christian, MO No 161.2 (157.5, 164.9) N/A 1,536 stable stable trend -0.6 (-1.2, 0.9)
Greene, TN - Cocke, TN No 185.1 (175.6, 194.9) N/A 306 falling falling trend -1.3 (-4.6, -0.7)
Greenville (Greenville), SC - Anderson, SC No 145.6 (142.5, 148.8) N/A 1,758 falling falling trend -1.8 (-2.3, -1.5)
Gregg (Longview), TX - Rusk, TX No 173.2 (166.5, 180.1) N/A 527 falling falling trend -1.2 (-1.4, -1.0)
Grenada, MS - Montgomery, MS No 190.8 (175.1, 207.6) N/A 117 falling falling trend -1.1 (-5.1, -0.4)
Grundy, MO - Mercer, MO No 171.5 (146.8, 199.9) N/A 37 stable stable trend -0.4 (-1.2, 0.5)
Guilford (Greensboro), NC - Davidson, NC No 160.4 (157.2, 163.7) N/A 1,933 falling falling trend -1.0 (-1.2, -0.9)
Guthrie, IA - Greene, IA No 160.4 (140.6, 182.7) N/A 52 stable stable trend -0.3 (-0.8, 0.2)
Hale, TX - Castro, TX No 148.9 (134.1, 164.8) N/A 77 falling falling trend -0.6 (-1.1, -0.2)
Halifax with South Boston City, VA - Mecklenburg, VA No 179.8 (169.3, 190.9) N/A 241 falling falling trend -0.9 (-1.2, -0.6)
Hall, GA - Habersham, GA No 147.6 (143.0, 152.4) N/A 793 falling falling trend -1.0 (-1.2, -0.7)
Hall, NE - Hamilton, NE No 141.4 (131.6, 151.9) N/A 159 falling falling trend -1.2 (-1.5, -0.9)
Hamblen (Morristown), TN - Jefferson, TN No 174.0 (166.1, 182.3) N/A 378 falling falling trend -1.4 (-4.1, -0.9)
Hamilton (Chattanooga), TN - Marion, TN No 149.1 (144.5, 153.8) N/A 834 falling falling trend -1.9 (-2.3, -1.7)
Hamilton (Cincinnati), OH - Butler, OH No 157.0 (154.6, 159.5) N/A 3,314 falling falling trend -1.7 (-1.8, -1.6)
Hamilton, IN - Madison (Anderson), IN No 138.6 (134.1, 143.2) N/A 739 falling falling trend -1.5 (-1.7, -1.3)
Hampden (Springfield), MA - Hampshire, MA No 147.1 (143.3, 150.9) N/A 1,213 falling falling trend -2.1 (-4.2, -1.5)
Hancock (Weirton), WV - Brooke, WV No 165.6 (153.4, 178.8) N/A 146 falling falling trend -1.1 (-1.4, -0.8)
Hancock, IL No 132.8 (114.7, 153.6) N/A 41 falling falling trend -1.6 (-2.2, -1.1)
Hancock, IN - Henry (New Castle), IN No 170.7 (161.9, 179.9) N/A 292 falling falling trend -0.7 (-0.9, -0.4)
Hancock, OH - Seneca, OH No 161.6 (153.1, 170.4) N/A 285 falling falling trend -0.7 (-1.0, -0.4)
Hardin, KY - Meade, KY No 190.2 (182.3, 198.2) N/A 467 falling falling trend -0.6 (-0.8, -0.4)
Hardin, TN - McNairy, TN No 173.2 (160.4, 186.9) N/A 144 falling falling trend -1.3 (-4.6, -0.6)
Harford, MD - Cecil, MD No 154.7 (149.6, 160.0) N/A 713 falling falling trend -1.5 (-3.0, -1.4)
Harlan, KY - Bell, KY No 231.1 (215.2, 247.9) N/A 167 stable stable trend -0.3 (-0.7, 0.1)
Harris (Houston), TX - Fort Bend, TX No 135.6 (134.2, 137.0) N/A 7,923 falling falling trend -1.9 (-2.0, -1.8)
Harrison (Biloxi), MS - Hancock, MS No 181.1 (174.6, 187.8) N/A 621 falling falling trend -1.3 (-1.9, -1.0)
Harrison (Marshall), TX - Cass, TX No 162.4 (153.3, 172.0) N/A 251 falling falling trend -1.3 (-2.3, -1.0)
Harrison, KY - Robertson, KY No 180.9 (159.8, 204.4) N/A 55 stable stable trend -0.7 (-1.3, 0.1)
Harrison, WV - Upshur, WV No 186.6 (178.1, 195.5) N/A 375 falling falling trend -1.0 (-1.4, -0.8)
Hartford (Hartford), CT - Tolland, CT No 137.8 (135.1, 140.5) N/A 2,112 falling falling trend -1.6 (-1.7, -1.5)
Hawaii, HI No 136.7 (130.6, 143.0) N/A 420
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Hays (San Marcos), TX - Caldwell, TX No 141.0 (134.5, 147.8) N/A 370 falling falling trend -1.4 (-1.7, -1.1)
Henderson (Henderson), KY - Union, KY No 186.9 (173.3, 201.4) N/A 148 falling falling trend -0.7 (-1.0, -0.3)
Henderson, IL No 145.8 (115.5, 183.7) N/A 18 falling falling trend -1.1 (-2.1, -0.2)
Hennepin (Minneapolis), MN - Anoka, MN No 136.0 (133.9, 138.1) N/A 3,338 falling falling trend -1.6 (-1.9, -1.5)
Henrico (Richmond), VA - Chesterfield, VA No 151.3 (148.6, 154.0) N/A 2,523 falling falling trend -1.8 (-2.1, -1.7)
Henry, GA - Forsyth, GA No 140.6 (137.0, 144.2) N/A 1,220 falling falling trend -1.6 (-3.2, -1.3)
Henry, MO - Bates, MO No 173.2 (159.8, 187.6) N/A 133 falling falling trend -2.3 (-6.9, -0.9)
Henry, TN - Carroll, TN No 197.0 (185.5, 209.0) N/A 238 falling falling trend -4.8 (-9.0, -0.6)
Henry, VA - Patrick, VA No 179.3 (168.9, 190.2) N/A 248 stable stable trend -0.3 (-0.6, 0.0)
Hertford, NC - Bertie, NC No 165.4 (153.9, 177.6) N/A 169 falling falling trend -1.5 (-1.8, -1.1)
Hidalgo (Mcallen), TX - Starr, TX Yes 115.7 (112.4, 119.0) N/A 957 falling falling trend -0.8 (-1.0, -0.6)
Highland, OH - Clinton, OH No 189.9 (178.6, 201.8) N/A 221 falling falling trend -0.6 (-1.0, -0.3)
Hill, MT - Blaine, MT No 159.4 (141.2, 179.4) N/A 59 falling falling trend -1.0 (-1.6, -0.4)
Hillsborough (Manchester), NH - Merrimack, NH No 143.9 (140.4, 147.4) N/A 1,371 falling falling trend -1.5 (-1.7, -1.3)
Hillsborough (Tampa), FL - Pinellas, FL No 146.8 (145.3, 148.4) N/A 6,941 falling falling trend -2.7 (-3.2, -1.9)
Hinds (Jackson), MS - Rankin, MS No 168.5 (164.2, 172.9) N/A 1,212 falling falling trend -1.5 (-1.8, -1.3)
Holt, NE - Brown, NE No 143.5 (121.8, 168.5) N/A 36 falling falling trend -0.9 (-1.5, -0.3)
Honolulu (Honolulu), HI - Maui, HI Yes 119.9 (117.5, 122.4) N/A 1,967
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Horry, SC - Georgetown, SC No 159.7 (155.3, 164.2) N/A 1,122 falling falling trend -2.4 (-4.2, -1.1)
Houghton, MI - Baraga, MI No 174.4 (159.9, 190.0) N/A 113 falling falling trend -0.8 (-1.2, -0.5)
Houston (Dothan), AL - Dale, AL No 163.5 (157.6, 169.5) N/A 621 falling falling trend -1.5 (-2.8, -1.1)
Houston, MN No 139.0 (120.1, 160.6) N/A 42 falling falling trend -1.1 (-1.6, -0.6)
Howard (Kokomo), IN - Cass, IN No 173.8 (165.5, 182.6) N/A 339 falling falling trend -0.9 (-1.1, -0.6)
Howard, IA No 175.9 (146.3, 210.6) N/A 27 stable stable trend -0.3 (-1.1, 0.6)
Howard, TX - Glasscock, TX No 157.9 (140.1, 177.5) N/A 59 falling falling trend -1.0 (-1.6, -0.5)
Howell, MO - Oregon, MO No 200.5 (186.8, 215.1) N/A 167 falling falling trend -0.5 (-0.8, -0.1)
Hughes, SD - Stanley, SD No 154.1 (136.6, 173.3) N/A 59 falling falling trend -0.8 (-1.4, -0.2)
Humboldt, CA No 171.8 (163.0, 180.9) N/A 311 falling falling trend -1.2 (-1.5, -0.9)
Hunterdon, NJ - Warren (Phillipsburg), NJ No 133.3 (127.8, 139.0) N/A 467 falling falling trend -1.7 (-1.8, -1.5)
Huntington, IN - Adams, IN No 170.8 (161.6, 180.4) N/A 273 falling falling trend -0.5 (-0.7, -0.2)
Independence, AR - Sharp, AR No 173.5 (163.9, 183.6) N/A 263 falling falling trend -0.9 (-3.3, -0.6)
Ingham (Lansing), MI - Eaton, MI No 155.3 (151.0, 159.8) N/A 1,015 falling falling trend -1.0 (-1.2, -0.8)
Inyo, CA - Mono, CA Yes 101.8 (89.2, 116.0) N/A 50 falling falling trend -2.1 (-2.6, -1.6)
Iredell (Statesville), NC - Alexander, NC No 148.0 (141.7, 154.6) N/A 425 falling falling trend -2.2 (-4.8, -1.1)
Iron, UT - Beaver, UT No 128.1 (115.0, 142.2) N/A 75 falling falling trend -0.9 (-1.5, -0.1)
Isanti (Cambridge), MN - Mille Lacs, MN No 165.3 (154.6, 176.5) N/A 187 falling falling trend -0.7 (-1.1, -0.2)
Jackson (Jackson), MI - Lenawee, MI No 169.2 (164.0, 174.6) N/A 828 falling falling trend -0.9 (-1.0, -0.7)
Jackson (Kansas City), MO - Clay, MO No 156.3 (153.5, 159.1) N/A 2,488 falling falling trend -1.7 (-2.3, -1.4)
Jackson (Medford), OR - Josephine, OR No 158.7 (153.7, 163.9) N/A 814 falling falling trend -1.0 (-1.2, -0.8)
Jackson (Pascagoula), MS - George, MS No 185.6 (177.1, 194.4) N/A 379 falling falling trend -1.1 (-1.4, -0.8)
Jackson, AR No 196.6 (171.0, 225.3) N/A 44 stable stable trend 0.1 (-0.6, 0.9)
Jackson, CO No 184.5 (111.6, 299.1) N/A 4
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Jackson, NC - Macon, NC No 154.0 (145.3, 163.2) N/A 253 falling falling trend -0.8 (-1.1, -0.6)
Jackson, OH - Gallia, OH No 194.0 (182.5, 206.0) N/A 226 falling falling trend -0.7 (-1.0, -0.4)
Jackson, OK - Greer, OK No 178.4 (160.0, 198.4) N/A 71 stable stable trend -0.1 (-0.5, 0.3)
Jackson, WI No 153.7 (134.3, 175.5) N/A 47 falling falling trend -1.3 (-1.8, -0.7)
Jasper (Joplin), MO - Newton, MO No 177.8 (170.7, 185.2) N/A 488 falling falling trend -0.8 (-1.0, -0.5)
Jasper, GA No 161.5 (136.9, 189.7) N/A 32 falling falling trend -1.0 (-1.7, -0.1)
Jefferson (Beaumont), TX - Orange, TX No 163.4 (158.6, 168.2) N/A 938 falling falling trend -1.4 (-1.6, -1.2)
Jefferson (Birmingham), AL - Shelby, AL No 155.3 (152.5, 158.1) N/A 2,490 falling falling trend -1.7 (-2.1, -1.5)
Jefferson (Louisville), KY - Bullitt, KY No 163.1 (160.0, 166.2) N/A 2,204 falling falling trend -1.7 (-1.9, -1.6)
Jefferson (Pine Bluff), AR - Drew, AR No 178.1 (169.1, 187.6) N/A 302 falling falling trend -0.9 (-1.1, -0.7)
Jefferson (Steubenville), OH - Harrison, OH No 185.8 (174.9, 197.3) N/A 232 falling falling trend -1.0 (-1.3, -0.7)
Jefferson Davis, MS - Lawrence, MS No 190.8 (169.7, 214.1) N/A 64 falling falling trend -0.6 (-1.1, -0.1)
Jefferson, IL - Wayne, IL No 175.4 (162.4, 189.3) N/A 140 falling falling trend -0.7 (-1.1, -0.3)
Johnson (Overland Park), KS - Douglas, KS No 132.6 (129.2, 136.1) N/A 1,198 falling falling trend -1.3 (-1.4, -1.1)
Johnson, AR No 183.4 (162.6, 206.2) N/A 59 stable stable trend -0.2 (-0.7, 0.4)
Johnson, TN No 201.1 (177.9, 226.9) N/A 59 stable stable trend -0.1 (-1.0, 0.8)
Jones, MS - Wayne, MS No 168.2 (159.0, 177.8) N/A 263 falling falling trend -1.0 (-1.3, -0.6)
Juneau City and Borough, AK - Sitka City and Borough, AK No 140.4 (126.0, 155.9) N/A 77 falling falling trend -1.3 (-2.1, -0.4)
Juneau, WI - Adams, WI No 168.8 (156.1, 182.6) N/A 142 falling falling trend -1.3 (-4.0, -0.9)
Kalamazoo (Kalamazoo), MI - St. Joseph, MI No 156.1 (150.5, 161.9) N/A 600 falling falling trend -1.1 (-1.3, -0.9)
Kanawha (Charleston), WV - Putnam, WV No 167.9 (162.5, 173.5) N/A 765 falling falling trend -2.0 (-3.5, -1.6)
Kandiyohi, MN - Chippewa, MN No 141.9 (132.4, 152.1) N/A 181 falling falling trend -1.0 (-1.3, -0.8)