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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 Count
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)
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United States No 146.0 (145.8, 146.2) N/A 602,955 falling falling trend -1.5 (-1.6, -1.4)
Los Angeles (Los Angeles), CA No 130.3 (129.4, 131.3) N/A 14,510 falling falling trend -1.5 (-1.6, -1.5)
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)
Kings (New York), NY - Queens, NY Yes 110.4 (109.4, 111.3) N/A 11,410 falling falling trend -3.9 (-4.4, -3.5)
Maricopa (Phoenix), AZ - Pinal, AZ No 132.2 (130.9, 133.5) N/A 8,700 falling falling trend -1.4 (-1.4, -1.3)
Miami-Dade (Miami), FL - Broward, FL No 126.8 (125.6, 128.1) N/A 7,925 falling falling trend -1.7 (-1.7, -1.6)
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)
Philadelphia (Philadelphia), PA - Montgomery, PA No 147.0 (145.5, 148.5) N/A 7,813 falling falling trend -2.4 (-3.2, -2.2)
Wayne (Detroit), MI - Oakland, MI No 154.7 (153.1, 156.3) N/A 7,757 falling falling trend -1.8 (-2.4, -1.5)
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)
San Bernardino, CA - Riverside (Riverside), CA No 144.4 (142.9, 145.9) N/A 6,926 falling falling trend -1.4 (-1.6, -1.3)
Middlesex, MA - Suffolk (Boston), MA No 132.8 (131.3, 134.2) N/A 6,676 falling falling trend -2.2 (-2.4, -2.1)
Orange (Orlando), FL - Volusia, FL No 142.5 (140.9, 144.1) N/A 6,295 falling falling trend -1.5 (-2.0, -1.4)
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)
King (Seattle), WA - Snohomish, WA No 133.5 (131.9, 135.1) N/A 5,348 falling falling trend -1.8 (-2.0, -1.6)
San Diego (San Diego), CA - Imperial, CA No 135.4 (133.8, 137.1) N/A 5,275 falling falling trend -1.5 (-2.2, -1.4)
Puerto Rico Yes 100.7 (99.5, 102.0) N/A 5,197 falling falling trend -1.8 (-3.2, -0.3)
Suffolk, NY - Nassau, NY No 125.2 (123.6, 126.8) N/A 5,000 falling falling trend -2.4 (-3.5, -2.1)
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)
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)
Orange, CA No 125.0 (123.4, 126.6) N/A 4,741 falling falling trend -1.5 (-1.6, -1.5)
Palm Beach (West Palm Beach), FL - St. Lucie, FL No 126.2 (124.5, 128.0) N/A 4,682 falling falling trend -2.1 (-3.3, -1.6)
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)
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)
Sacramento (Sacramento), CA - Placer, CA No 140.3 (138.3, 142.3) N/A 4,036 falling falling trend -1.6 (-1.9, -1.4)
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)
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)
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)
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)
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)
Tarrant (Fort Worth), TX - Johnson, TX No 148.4 (146.2, 150.6) N/A 3,671 falling falling trend -1.4 (-1.5, -1.3)
St. Louis, MO - St. Louis City, MO No 159.7 (157.4, 162.1) N/A 3,662 falling falling trend -1.5 (-2.2, -1.3)
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)
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)
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)
Montgomery, MD - Prince Georges, MD No 123.4 (121.5, 125.4) N/A 3,292 falling falling trend -1.9 (-2.0, -1.8)
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)
Multnomah (Portland), OR - Washington, OR No 139.9 (137.7, 142.2) N/A 3,099 falling falling trend -1.8 (-1.9, -1.7)
Santa Clara (San Jose), CA - Monterey, CA Yes 112.0 (110.2, 113.8) N/A 3,023 falling falling trend -2.2 (-3.4, -1.8)
Milwaukee (Milwaukee), WI - Waukesha, WI No 149.9 (147.4, 152.4) N/A 2,911 falling falling trend -1.6 (-1.9, -1.4)
Lee (Cape Coral), FL - Collier, FL Yes 117.8 (115.7, 119.9) N/A 2,859 falling falling trend -1.6 (-1.7, -1.5)
Monmouth, NJ - Ocean (Brick Township), NJ No 141.3 (138.9, 143.7) N/A 2,761 falling falling trend -2.2 (-2.3, -2.0)
Westchester (Yonkers), NY - Dutchess, NY Yes 121.1 (119.1, 123.3) N/A 2,670 falling falling trend -3.0 (-4.3, -2.3)
Marion (Indianapolis), IN - Johnson, IN No 168.0 (165.1, 171.0) N/A 2,667 falling falling trend -1.4 (-1.8, -1.3)
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)
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)
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)
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)
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)
Pima (Tucson), AZ - Cochise, AZ No 136.2 (133.7, 138.7) N/A 2,489 falling falling trend -1.3 (-1.4, -1.2)
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)
New Haven (New Haven), CT - Litchfield, CT No 140.1 (137.5, 142.7) N/A 2,399 falling falling trend -1.8 (-2.5, -1.6)
San Francisco (San Francisco), CA - San Mateo, CA Yes 113.9 (111.8, 116.0) N/A 2,390 falling falling trend -2.3 (-2.6, -2.2)
Travis (Austin), TX - Williamson, TX No 123.1 (120.8, 125.4) N/A 2,383 falling falling trend -1.9 (-3.1, -1.8)
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)
Sarasota (Sarasota), FL - Charlotte, FL No 132.7 (129.8, 135.6) N/A 2,191 falling falling trend -1.2 (-1.3, -1.1)
Fairfax, VA - Arlington, VA Yes 108.9 (106.8, 110.9) N/A 2,188 falling falling trend -1.6 (-2.3, -0.4)
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)
Virginia Beach City, VA - Norfolk City, VA No 161.2 (158.1, 164.3) N/A 2,151 falling falling trend -1.7 (-2.5, -1.6)
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)
Ramsey (St. Paul), MN - Dakota, MN No 138.0 (135.3, 140.7) N/A 2,099 falling falling trend -1.7 (-1.9, -1.5)
Oklahoma (Oklahoma City), OK - Canadian, OK No 170.9 (167.5, 174.3) N/A 2,071 falling falling trend -0.8 (-0.9, -0.7)
Wake (Raleigh), NC - Johnston, NC No 134.6 (131.9, 137.3) N/A 2,026 falling falling trend -2.7 (-3.6, -2.3)
Knox (Knoxville), TN - Blount, TN No 161.2 (158.0, 164.5) N/A 1,970 falling falling trend -1.3 (-1.7, -1.1)
Honolulu (Honolulu), HI - Maui, HI Yes 119.9 (117.5, 122.4) N/A 1,967
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Providence (Providence), RI - Kent, RI No 144.7 (141.8, 147.7) N/A 1,948 falling falling trend -1.7 (-1.9, -1.6)
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)
Polk (Lakeland), FL - Highlands, FL No 145.7 (142.7, 148.7) N/A 1,921 falling falling trend -1.3 (-2.3, -1.1)
Lehigh (Allentown), PA - Northampton, PA No 149.9 (146.9, 153.0) N/A 1,917 falling falling trend -1.4 (-2.0, -1.2)
Summit (Akron), OH - Portage, OH No 157.8 (154.6, 161.1) N/A 1,905 falling falling trend -1.3 (-2.4, -1.2)
Orleans (New Orleans), LA - Jefferson, LA No 153.9 (150.7, 157.1) N/A 1,903 falling falling trend -2.2 (-2.5, -2.0)
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)
Shelby (Memphis), TN - Tipton, TN No 163.1 (159.8, 166.6) N/A 1,872 falling falling trend -2.8 (-3.8, -2.2)
Tulsa (Tulsa), OK - Rogers, OK No 168.4 (164.9, 172.0) N/A 1,834 falling falling trend -1.2 (-2.2, -1.0)
Marion (Ocala), FL - Citrus, FL No 167.3 (163.5, 171.2) N/A 1,797 stable stable trend 1.2 (-1.0, 3.0)
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)
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)
Mecklenburg (Charlotte), NC - Union, NC No 134.4 (131.5, 137.3) N/A 1,754 falling falling trend -3.5 (-4.8, -1.9)
Montgomery (Dayton), OH - Greene, OH No 161.2 (157.8, 164.7) N/A 1,747 falling falling trend -3.4 (-5.2, -1.3)
Worcester (Worcester), MA - Franklin, MA No 142.1 (139.0, 145.3) N/A 1,701 falling falling trend -2.0 (-3.6, -1.6)
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)
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)
Kent (Grand Rapids), MI - Ionia, MI No 157.7 (154.2, 161.4) N/A 1,562 falling falling trend -1.0 (-1.1, -0.8)
Mobile (Mobile), AL - Baldwin, AL No 161.6 (158.0, 165.4) N/A 1,544 falling falling trend -2.3 (-3.6, -1.7)
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)
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)
Pulaski (Little Rock), AR - Faulkner, AR No 155.9 (152.3, 159.5) N/A 1,514 falling falling trend -1.7 (-3.2, -1.3)
Pierce, WA No 152.8 (149.3, 156.3) N/A 1,512 falling falling trend -1.6 (-2.0, -1.4)
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)
Fairfield, CT Yes 122.5 (119.7, 125.4) N/A 1,486 falling falling trend -1.7 (-1.9, -1.2)
Stark (Canton), OH - Wayne, OH No 160.5 (156.7, 164.3) N/A 1,485 falling falling trend -0.9 (-1.0, -0.8)
Lake (Gary), IN - Porter, IN No 156.8 (153.1, 160.5) N/A 1,462 falling falling trend -1.9 (-2.2, -1.7)
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)
Salt Lake (Salt Lake City), UT - Tooele, UT Yes 120.6 (117.8, 123.4) N/A 1,458 falling falling trend -1.1 (-1.3, -0.9)
Stanislaus (Modesto), CA - Merced, CA No 151.8 (148.3, 155.4) N/A 1,451 falling falling trend -1.6 (-3.0, -0.8)
Richland (Columbia), SC - Lexington, SC No 163.5 (159.7, 167.4) N/A 1,436 falling falling trend -1.2 (-1.4, -1.1)
Lucas (Toledo), OH - Wood, OH No 172.3 (168.2, 176.4) N/A 1,427 falling falling trend -0.9 (-1.0, -0.8)
Essex (Lynn), MA No 130.8 (127.7, 134.0) N/A 1,418 falling falling trend -2.4 (-2.6, -2.3)
Roanoke City, VA - Roanoke, VA No 160.8 (156.9, 164.7) N/A 1,403 falling falling trend -1.0 (-1.1, -0.8)
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)
San Joaquin (Stockton), CA - Calaveras, CA No 145.3 (141.9, 148.8) N/A 1,388 falling falling trend -2.1 (-3.7, -1.3)
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)
Ventura, CA No 128.9 (125.8, 132.0) N/A 1,347 falling falling trend -1.4 (-1.6, -1.2)
Washoe (Reno), NV - Carson City, NV No 142.1 (138.6, 145.6) N/A 1,338 falling falling trend -2.1 (-2.8, -1.8)
Polk (Des Moines), IA - Dallas, IA No 152.9 (149.2, 156.7) N/A 1,334 falling falling trend -1.7 (-3.1, -1.2)
Sedgwick (Wichita), KS - Butler, KS No 159.0 (155.1, 163.0) N/A 1,328 falling falling trend -0.9 (-1.1, -0.4)
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)
Onondaga (Syracuse), NY - Oswego, NY No 145.2 (141.7, 148.9) N/A 1,314 falling falling trend -2.6 (-4.3, -2.0)
Solano (Vallejo), CA - Napa, CA No 148.6 (144.9, 152.4) N/A 1,288 falling falling trend -1.4 (-1.6, -1.3)
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)
Spokane (Spokane), WA - Stevens, WA No 153.3 (149.4, 157.2) N/A 1,256 falling falling trend -1.1 (-1.2, -0.9)
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)
Will (Joliet), IL - Grundy, IL No 154.7 (150.8, 158.7) N/A 1,243 falling falling trend -1.5 (-1.8, -1.3)
Santa Barbara (Santa Barbara), CA - San Luis Obispo, CA No 129.3 (126.0, 132.6) N/A 1,234 falling falling trend -1.3 (-1.5, -1.2)
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)
Henry, GA - Forsyth, GA No 140.6 (137.0, 144.2) N/A 1,220 falling falling trend -1.6 (-3.2, -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)
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)
Lane (Eugene), OR - Douglas, OR No 161.4 (157.2, 165.7) N/A 1,199 falling falling trend -1.0 (-1.1, -0.8)
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)
York (York), PA - Adams, PA No 151.6 (147.7, 155.6) N/A 1,190 falling falling trend -1.1 (-1.2, -1.0)
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)
Clark, WA - Cowlitz, WA No 156.3 (152.3, 160.5) N/A 1,177 falling falling trend -1.6 (-2.0, -1.4)
Kern, CA No 145.5 (141.7, 149.4) N/A 1,176 falling falling trend -1.3 (-1.5, -1.2)
Bristol (New Bedford), MA No 152.8 (148.8, 156.9) N/A 1,166 stable stable trend 0.5 (-1.5, 1.8)
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)
Lorain (Lorain), OH - Erie, OH No 159.5 (155.3, 163.8) N/A 1,158 falling falling trend -2.0 (-3.2, -1.5)
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)
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)
Morris (Parsippany-Troy Hills Township), NJ - Sussex, NJ No 126.2 (122.9, 129.6) N/A 1,136 falling falling trend -2.3 (-2.7, -2.1)
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)
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)
Kane (Aurora), IL - DeKalb, IL No 141.1 (137.4, 144.9) N/A 1,123 falling falling trend -1.4 (-1.6, -1.2)
Horry, SC - Georgetown, SC No 159.7 (155.3, 164.2) N/A 1,122 falling falling trend -2.4 (-4.2, -1.1)
Saratoga, NY - Schenectady (Schenectady), NY No 146.9 (143.0, 150.9) N/A 1,116 falling falling trend -1.5 (-2.0, -1.4)
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)
Newport News City, VA - Hampton City, VA No 157.8 (153.6, 162.1) N/A 1,112 falling falling trend -1.5 (-1.7, -1.4)
Lancaster, PA No 140.0 (136.2, 143.9) N/A 1,094 falling falling trend -1.4 (-1.5, -1.2)
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)
New Castle (Wilmington), DE No 154.0 (149.9, 158.2) N/A 1,088 falling falling trend -1.6 (-1.8, -1.5)
Sussex, DE - Kent, DE No 158.8 (154.4, 163.4) N/A 1,085 falling falling trend -1.4 (-1.6, -1.2)
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)
Mahoning (Youngstown), OH - Trumbull, OH No 151.9 (147.6, 156.3) N/A 1,027 falling falling trend -2.4 (-3.6, -1.8)
Cobb (Marietta), GA No 133.8 (130.1, 137.7) N/A 1,025 falling falling trend -1.7 (-2.8, -1.4)
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)
New Hanover (Wilmington), NC - Brunswick, NC No 151.3 (146.9, 155.7) N/A 1,008 falling falling trend -1.3 (-1.5, -1.1)
District of Columbia No 150.0 (145.9, 154.3) N/A 1,005 falling falling trend -2.2 (-3.4, -2.1)
Marion (Salem), OR - Yamhill, OR No 149.6 (145.4, 153.9) N/A 1,001 falling falling trend -1.4 (-1.8, -1.2)
Luzerne (Wilkes-Barre), PA - Columbia, PA No 162.0 (157.5, 166.7) N/A 999 falling falling trend -0.9 (-1.1, -0.8)
Sonoma (Santa Rosa), CA No 139.6 (135.7, 143.7) N/A 995 falling falling trend -1.4 (-1.6, -1.2)
Washington, PA - Fayette, PA No 170.7 (165.8, 175.7) N/A 990 falling falling trend -0.9 (-1.1, -0.7)
Madison (Huntsville), AL - Limestone, AL No 146.1 (141.9, 150.3) N/A 982 falling falling trend -2.0 (-3.0, -1.5)
Manatee, FL No 123.9 (120.2, 127.7) N/A 981 falling falling trend -1.9 (-2.5, -1.7)
Smith (Tyler), TX - Henderson, TX No 164.6 (159.9, 169.5) N/A 980 rising rising trend 3.1 (1.6, 6.1)
Nueces (Corpus Christi), TX - San Patricio, TX No 151.4 (147.1, 155.8) N/A 973 falling falling trend -1.3 (-1.5, -1.1)
Cambria, PA - Blair (Altoona), PA No 158.6 (154.0, 163.3) N/A 971 falling falling trend -0.9 (-1.1, -0.7)
Hidalgo (Mcallen), TX - Starr, TX Yes 115.7 (112.4, 119.0) N/A 957 falling falling trend -0.8 (-1.0, -0.6)
Lafayette (Lafayette), LA - Iberia, LA No 171.1 (166.1, 176.2) N/A 942 falling falling trend -1.7 (-2.3, -1.4)
Thurston (Olympia), WA - Grays Harbor, WA No 155.6 (151.1, 160.3) N/A 942 stable stable trend 0.6 (-1.6, 1.9)
Cumberland (Portland), ME - Knox, ME No 145.6 (141.4, 150.0) N/A 941 falling falling trend -1.6 (-1.8, -1.4)
Jefferson (Beaumont), TX - Orange, TX No 163.4 (158.6, 168.2) N/A 938 falling falling trend -1.4 (-1.6, -1.2)
Winnebago (Rockford), IL - Ogle, IL No 161.7 (157.0, 166.5) N/A 932 falling falling trend -2.0 (-4.5, -1.1)
Albany (Albany), NY - Rensselaer, NY No 146.6 (142.3, 151.0) N/A 927 falling falling trend -1.7 (-2.5, -1.5)
Washtenaw, MI - Livingston, MI No 139.1 (135.1, 143.3) N/A 926 falling falling trend -1.5 (-1.7, -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)
St. Charles (St. Charles), MO - Lincoln, MO No 144.2 (139.9, 148.6) N/A 886 falling falling trend -1.6 (-3.3, -1.4)
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)
Peoria (Peoria), IL - Tazewell, IL No 169.1 (164.0, 174.3) N/A 875 falling falling trend -0.9 (-1.1, -0.8)
Bibb (Macon), GA - Houston, GA No 155.3 (150.7, 160.1) N/A 873 falling falling trend -1.3 (-1.5, -1.1)
Durham (Durham), NC - Granville, NC No 151.3 (146.7, 156.0) N/A 863 falling falling trend -2.0 (-2.4, -1.7)
Spartanburg (Spartanburg), SC - Cherokee, SC No 166.0 (161.0, 171.2) N/A 856 falling falling trend -1.5 (-2.0, -1.2)
Winnebago (Oshkosh), WI - Fond du Lac, WI No 149.1 (144.6, 153.8) N/A 850 falling falling trend -1.7 (-2.4, -1.3)
Chatham (Savannah), GA - Liberty, GA No 150.9 (146.4, 155.6) N/A 849 falling falling trend -2.0 (-2.4, -1.7)
Berks, PA No 148.0 (143.5, 152.6) N/A 849 falling falling trend -1.1 (-1.3, -1.0)
Schuylkill, PA - Northumberland, PA No 163.8 (158.8, 169.0) N/A 846 falling falling trend -1.0 (-1.1, -0.8)
Hamilton (Chattanooga), TN - Marion, TN No 149.1 (144.5, 153.8) N/A 834 falling falling trend -1.9 (-2.3, -1.7)
Jackson (Jackson), MI - Lenawee, MI No 169.2 (164.0, 174.6) N/A 828 falling falling trend -0.9 (-1.0, -0.7)
Kenton (Covington), KY - Campbell, KY No 160.7 (155.7, 165.8) N/A 826 falling falling trend -1.9 (-2.5, -1.7)
Linn (Cedar Rapids), IA - Johnson, IA No 136.0 (131.8, 140.3) N/A 824 falling falling trend -4.1 (-6.4, -2.4)
Washington (Fayetteville), AR - Benton, AR No 147.7 (143.1, 152.3) N/A 817 falling falling trend -1.9 (-3.7, -1.2)
Jackson (Medford), OR - Josephine, OR No 158.7 (153.7, 163.9) N/A 814 falling falling trend -1.0 (-1.2, -0.8)
Onslow, NC - Craven, NC No 174.8 (169.3, 180.4) N/A 806 falling falling trend -1.0 (-1.1, -0.8)
St. Louis (Duluth), MN - Itasca, MN No 151.8 (146.9, 156.7) N/A 801 falling falling trend -2.2 (-5.2, -1.2)
Montgomery (Montgomery), AL - Autauga, AL No 164.1 (159.0, 169.4) N/A 800 falling falling trend -1.2 (-1.4, -1.0)
Leon (Tallahassee), FL - Gadsden, FL No 152.7 (147.9, 157.7) N/A 799 falling falling trend -1.5 (-1.7, -1.3)
Cabarrus (Concord), NC - Rowan, NC No 153.7 (148.9, 158.7) N/A 796 falling falling trend -2.4 (-4.6, -1.4)
Hall, GA - Habersham, GA No 147.6 (143.0, 152.4) N/A 793 falling falling trend -1.0 (-1.2, -0.7)
Orange (Newburgh), NY - Sullivan, NY No 142.9 (138.4, 147.6) N/A 792 falling falling trend -1.9 (-3.7, -1.7)
Oneida (Utica), NY - Madison, NY No 151.0 (146.2, 156.0) N/A 791 falling falling trend -1.2 (-1.4, -1.1)
Richmond (South Augusta), GA - Columbia, GA No 163.5 (158.3, 168.8) N/A 786 falling falling trend -1.7 (-2.6, -1.4)
Sumner (Hendersonville), TN - Wilson, TN No 161.7 (156.5, 166.9) N/A 782 stable stable trend -0.9 (-1.6, 0.6)
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)
Mohave, AZ No 172.5 (166.6, 178.7) N/A 769 falling falling trend -1.4 (-3.4, -1.0)
Catawba (Hickory), NC - Burke, NC No 162.2 (157.0, 167.6) N/A 768 falling falling trend -1.4 (-2.4, -1.1)
Bell (Killeen), TX - Coryell, TX No 163.4 (158.2, 168.7) N/A 768 falling falling trend -1.3 (-1.6, -0.7)
Kanawha (Charleston), WV - Putnam, WV No 167.9 (162.5, 173.5) N/A 765 falling falling trend -2.0 (-3.5, -1.6)
Albemarle, VA - Charlottesville City, VA No 142.0 (137.4, 146.7) N/A 764 falling falling trend -1.9 (-3.5, -1.5)
St. Johns (St. Augustine), FL - Putnam, FL No 140.8 (136.2, 145.5) N/A 758 falling falling trend -2.1 (-4.6, -1.7)
McLennan (Waco), TX - Hill, TX No 166.7 (161.3, 172.2) N/A 752 falling falling trend -1.2 (-1.5, -1.1)
St. Clair (Belleville), IL - Clinton, IL No 161.1 (155.8, 166.4) N/A 751 falling falling trend -1.4 (-1.5, -1.2)
St. Joseph (South Bend), IN - Marshall, IN No 167.0 (161.5, 172.6) N/A 743 falling falling trend -1.0 (-1.1, -0.8)
Hamilton, IN - Madison (Anderson), IN No 138.6 (134.1, 143.2) N/A 739 falling falling trend -1.5 (-1.7, -1.3)
Davis, UT - Weber (Ogden), UT Yes 121.6 (117.7, 125.7) N/A 738 falling falling trend -0.9 (-1.1, -0.7)
Sangamon (Springfield), IL - Christian, IL No 161.6 (156.3, 167.1) N/A 731 falling falling trend -2.8 (-5.7, -1.5)
Orange (Chapel Hill), NC - Harnett, NC No 140.0 (135.5, 144.7) N/A 730 falling falling trend -1.8 (-4.2, -1.5)
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)
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)
Erie (Erie), PA - Warren, PA No 164.1 (158.6, 169.7) N/A 728 falling falling trend -0.9 (-1.1, -0.7)
Ottawa (Holland), MI - Allegan, MI No 144.6 (139.9, 149.5) N/A 725 falling falling trend -0.9 (-1.1, -0.7)
Floyd, GA - Bartow, GA No 180.5 (174.5, 186.6) N/A 724 falling falling trend -1.0 (-1.2, -0.8)
Madison (Alton), IL - Jersey, IL No 170.0 (164.4, 175.8) N/A 717 falling falling trend -0.9 (-1.1, -0.7)
Prince William (Dale City), VA - Fauquier, VA No 130.4 (126.0, 134.9) N/A 714 falling falling trend -2.1 (-2.3, -1.9)
Cape Girardeau, MO - Butler, MO No 184.3 (178.1, 190.6) N/A 714 falling falling trend -1.6 (-4.3, -0.7)
Harford, MD - Cecil, MD No 154.7 (149.6, 160.0) N/A 713 falling falling trend -1.5 (-3.0, -1.4)
Vanderburgh (Evansville), IN - Warrick, IN No 163.8 (158.4, 169.5) N/A 708 falling falling trend -1.3 (-4.1, -0.7)
Racine (Racine), WI - Kenosha, WI No 155.6 (150.4, 160.9) N/A 706 falling falling trend -4.0 (-6.4, -1.4)
Florence (Florence), SC - Darlington, SC No 173.8 (168.0, 179.8) N/A 706 falling falling trend -1.5 (-2.2, -1.2)
Cumberland (Fayetteville), NC - Sampson, NC No 175.4 (169.5, 181.4) N/A 705 falling falling trend -1.0 (-1.2, -0.8)
Butte (Chico), CA - Tehama, CA No 171.2 (165.4, 177.2) N/A 699 falling falling trend -1.1 (-1.4, -0.8)
Rutherford (Murfreesboro), TN - Warren, TN No 169.6 (163.9, 175.5) N/A 697 falling falling trend -1.0 (-1.1, -0.8)
Etowah (Gadsden), AL - Marshall, AL No 169.8 (164.0, 175.7) N/A 691 falling falling trend -1.4 (-2.0, -1.0)
Shawnee (Topeka), KS - Riley, KS No 155.9 (150.6, 161.4) N/A 682 falling falling trend -0.8 (-1.0, -0.6)
Penobscot (Bangor), ME - Hancock, ME No 169.3 (163.4, 175.3) N/A 680 falling falling trend -1.3 (-1.5, -1.2)
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)
Muskegon (Muskegon), MI - Newaygo, MI No 172.9 (166.9, 179.0) N/A 679 falling falling trend -0.8 (-0.9, -0.6)
Madison (Jackson), TN - Gibson, TN No 189.3 (182.8, 196.0) N/A 670 falling falling trend -0.6 (-0.8, -0.3)
Cleveland (Norman), OK - McClain, OK No 159.7 (154.2, 165.3) N/A 669 falling falling trend -0.7 (-0.9, -0.5)
Saginaw (Saginaw), MI - Tuscola, MI No 161.1 (155.5, 166.8) N/A 667 falling falling trend -1.0 (-1.2, -0.9)
Lackawanna (Scranton), PA - Wayne, PA No 161.6 (156.0, 167.4) N/A 665 falling falling trend -1.1 (-1.3, -0.8)
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)
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)
Lancaster (Lincoln), NE - Gage, NE No 145.5 (140.4, 150.7) N/A 651 falling falling trend -1.1 (-1.3, -0.9)
Galveston, TX No 161.0 (155.3, 166.8) N/A 644 falling falling trend -2.0 (-4.5, -1.5)
Olmsted (Rochester), MN - Winona, MN No 136.3 (131.6, 141.3) N/A 641 falling falling trend -1.3 (-1.5, -1.1)
Tulare, CA No 150.2 (144.9, 155.5) N/A 639 stable stable trend 1.3 (-1.0, 3.7)
Lubbock (Lubbock), TX - Hockley, TX No 160.9 (155.3, 166.7) N/A 637 falling falling trend -0.8 (-1.0, -0.6)
Allen (Lima), OH - Auglaize, OH No 163.7 (157.9, 169.7) N/A 632 falling falling trend -0.9 (-1.1, -0.7)
Marathon (Wausau), WI - Wood, WI No 144.0 (138.8, 149.3) N/A 626 falling falling trend -1.1 (-1.3, -0.9)
DeSoto, MS - Marshall, MS No 186.4 (179.8, 193.2) N/A 624 falling falling trend -1.0 (-2.0, -0.8)
St. Tammany (Slidell), LA - Washington, LA No 152.6 (147.2, 158.2) N/A 623 falling falling trend -1.9 (-2.5, -1.6)
Houston (Dothan), AL - Dale, AL No 163.5 (157.6, 169.5) N/A 621 falling falling trend -1.5 (-2.8, -1.1)
Harrison (Biloxi), MS - Hancock, MS No 181.1 (174.6, 187.8) N/A 621 falling falling trend -1.3 (-1.9, -1.0)
Lee (Auburn), AL - Elmore, AL No 165.9 (159.9, 172.0) N/A 611 falling falling trend -2.1 (-4.7, -1.1)
Rockingham, NH No 136.8 (131.8, 141.9) N/A 610 falling falling trend -2.5 (-3.8, -2.0)
Clarke (Athens), GA - Barrow, GA No 155.3 (149.8, 161.1) N/A 607 falling falling trend -1.4 (-1.8, -1.0)
Mercer, NJ No 128.9 (124.3, 133.7) N/A 607 falling falling trend -2.1 (-3.6, -1.9)
Potter (Amarillo), TX - Randall, TX No 153.3 (147.8, 159.0) N/A 605 falling falling trend -1.1 (-1.2, -0.9)
Sullivan (Kingsport), TN - Hawkins, TN No 179.0 (172.5, 185.8) N/A 602 falling falling trend -0.6 (-0.8, -0.4)
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)
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)
Robeson, NC - Columbus, NC No 193.1 (186.1, 200.4) N/A 592 falling falling trend -0.6 (-0.9, -0.4)
Osceola, FL No 147.0 (141.7, 152.5) N/A 591 falling falling trend -1.2 (-1.4, -0.9)
Utah (Provo), UT - Sanpete, UT Yes 118.6 (114.3, 123.1) N/A 584 falling falling trend -0.7 (-0.9, -0.5)
Ontario (Geneva), NY - Wayne, NY No 147.6 (142.1, 153.3) N/A 578 falling falling trend -1.4 (-1.6, -1.2)
Wayne, NC - Lenoir, NC No 177.9 (171.3, 184.7) N/A 577 falling falling trend -1.1 (-1.3, -0.9)
Cameron (Brownsville), TX - Willacy, TX No 125.9 (121.3, 130.6) N/A 576 stable stable trend 3.0 (-0.8, 5.2)
Stafford, VA - Spotsylvania, VA No 147.5 (142.0, 153.2) N/A 576 falling falling trend -2.0 (-2.9, -1.7)
York (Rock Hill), SC - Chester, SC No 159.1 (153.2, 165.2) N/A 571 falling falling trend -1.9 (-4.2, -1.3)
Kennebec, ME - Somerset, ME No 169.7 (163.3, 176.4) N/A 565 falling falling trend -1.1 (-1.3, -0.9)
New London, CT No 148.8 (143.2, 154.6) N/A 560 falling falling trend -1.2 (-1.5, -1.0)
Muskingum, OH - Guernsey, OH No 173.3 (166.8, 180.1) N/A 559 falling falling trend -1.8 (-4.0, -1.1)
Muskogee, OK - Wagoner, OK No 181.2 (174.4, 188.2) N/A 557 falling falling trend -0.6 (-0.8, -0.4)
Kootenai, ID - Bonner, ID No 147.8 (142.2, 153.6) N/A 555 falling falling trend -5.1 (-7.4, -3.4)
Nash, NC - Halifax, NC No 176.5 (169.7, 183.4) N/A 553 falling falling trend -1.0 (-1.2, -0.9)
Ouachita (Monroe), LA - Morehouse, LA No 176.7 (170.1, 183.6) N/A 553 falling falling trend -1.3 (-2.5, -1.1)
Broome (Binghamton), NY - Tioga, NY No 147.6 (141.9, 153.5) N/A 549 stable stable trend 1.8 (-1.6, 4.0)
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)
Elkhart (Elkhart), IN - Kosciusko, IN No 155.9 (150.0, 162.0) N/A 537 falling falling trend -0.8 (-1.0, -0.6)
Minnehaha (Sioux Falls), SD - Lincoln, SD No 157.1 (151.1, 163.4) N/A 537 falling falling trend -1.0 (-2.4, -0.8)
Sebastian (Fort Smith), AR - Crawford, AR No 171.8 (165.2, 178.6) N/A 534 falling falling trend -1.3 (-4.0, -0.9)
Pitt, NC - Beaufort, NC No 162.9 (156.6, 169.4) N/A 532 falling falling trend -1.4 (-1.7, -1.1)
Fairfield (Lancaster), OH - Athens, OH No 165.4 (159.1, 172.0) N/A 531 falling falling trend -1.4 (-2.6, -1.1)
Stearns (St. Cloud), MN - Benton, MN No 146.2 (140.5, 152.0) N/A 528 falling falling trend -1.0 (-1.1, -0.8)
Gregg (Longview), TX - Rusk, TX No 173.2 (166.5, 180.1) N/A 527 falling falling trend -1.2 (-1.4, -1.0)
Berkeley, WV - Jefferson, WV No 184.9 (177.6, 192.3) N/A 520 falling falling trend -0.9 (-1.1, -0.6)
Craighead, AR - Greene, AR No 186.2 (179.0, 193.6) N/A 519 falling falling trend -0.5 (-0.7, -0.3)
Muscogee (Columbus), GA - Harris, GA No 165.6 (159.1, 172.2) N/A 519 falling falling trend -1.2 (-1.4, -1.0)
Yakima (Yakima), WA - Kittitas, WA No 158.7 (152.5, 165.0) N/A 517 falling falling trend -0.8 (-1.0, -0.6)
Moore, NC - Richmond, NC No 163.7 (157.3, 170.4) N/A 513 falling falling trend -1.1 (-1.3, -0.8)
Steuben, NY - Chemung (Elmira), NY No 176.9 (169.9, 184.1) N/A 512 stable stable trend 1.6 (-1.1, 3.6)
Rapides (Alexandria), LA - Avoyelles, LA No 172.9 (166.1, 179.8) N/A 512 falling falling trend -1.1 (-1.3, -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)
Grant, WA - Chelan, WA No 150.7 (144.8, 156.9) N/A 511 falling falling trend -1.0 (-1.1, -0.8)
York, ME No 156.6 (150.4, 163.1) N/A 509 falling falling trend -1.3 (-1.5, -1.1)
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)
Rock Island (Moline), IL - Henry, IL No 160.3 (154.0, 166.8) N/A 509 falling falling trend -1.0 (-1.2, -0.8)
Washington (Johnson City), TN - Carter, TN No 166.9 (160.3, 173.7) N/A 507 falling falling trend -1.1 (-1.3, -1.0)
Licking (Newark), OH - Knox, OH No 162.0 (155.6, 168.6) N/A 506 falling falling trend -1.2 (-1.4, -1.1)
Larimer, CO Yes 119.9 (115.1, 124.7) N/A 504 falling falling trend -1.3 (-1.5, -1.1)
St. Clair (Port Huron), MI - Sanilac, MI No 169.9 (163.1, 177.0) N/A 503 falling falling trend -1.0 (-1.2, -0.8)
St. Lawrence, NY - Jefferson, NY No 160.4 (154.0, 166.9) N/A 502 falling falling trend -1.5 (-2.1, -1.3)
Frederick, VA - Shenandoah, VA No 164.3 (157.8, 171.0) N/A 501 falling falling trend -1.2 (-1.4, -1.0)
Grand Traverse, MI - Manistee, MI No 148.1 (142.1, 154.4) N/A 501 falling falling trend -1.3 (-1.5, -1.0)
Weld, CO - Morgan, CO No 134.0 (128.7, 139.5) N/A 498 falling falling trend -1.1 (-1.3, -0.9)
Shasta (Redding), CA - Trinity, CA No 154.5 (148.3, 161.0) N/A 496 falling falling trend -2.8 (-7.0, -1.4)
McCracken, KY - Graves, KY No 182.8 (175.5, 190.4) N/A 493 falling falling trend -0.7 (-0.9, -0.4)
Androscoggin (Lewiston), ME - Oxford, ME No 165.2 (158.5, 172.1) N/A 493 falling falling trend -1.2 (-1.4, -1.0)