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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 Rate

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	146.0 (145.8, 146.2)	N/A	602,955	falling	-1.5 (-1.6, -1.4)
Kingman, KS - Harper, KS	No	307.7 (272.2, 347.0)	N/A	60	rising	9.5 (2.8, 26.2)
Yazoo, MS	No	241.8 (216.6, 269.2)	N/A	69	stable	-0.1 (-0.7, 0.6)
Clinton, KY - Cumberland, KY	No	239.4 (211.7, 270.2)	N/A	57	stable	0.2 (-0.6, 1.1)
Bolivar, MS - Leflore, MS	No	231.3 (218.4, 244.8)	N/A	251	stable	-0.3 (-0.5, 0.0)
Harlan, KY - Bell, KY	No	231.1 (215.2, 247.9)	N/A	167	stable	-0.3 (-0.7, 0.1)
Coahoma, MS - Tallahatchie, MS	No	229.1 (210.2, 249.4)	N/A	114	stable	-0.1 (-0.5, 0.3)
Lawrence, OH	No	227.7 (213.0, 243.3)	N/A	186	rising	1.4 (0.5, 3.1)
Lewis, KY	No	224.6 (194.0, 259.0)	N/A	41	stable	-0.2 (-0.8, 0.5)
McCurtain, OK	No	218.2 (197.8, 240.2)	N/A	88	stable	-0.4 (-0.9, 0.0)
Arkansas, AR - Monroe, AR	No	218.0 (196.5, 241.5)	N/A	80	falling	-0.5 (-0.9, -0.1)
Floyd, KY - Johnson, KY	No	217.1 (203.5, 231.3)	N/A	206	falling	-1.3 (-4.6, -0.7)
Washington, MS - Sharkey, MS	No	216.7 (200.1, 234.3)	N/A	137	falling	-0.5 (-0.9, -0.1)
Dunklin, MO	No	215.4 (194.5, 238.0)	N/A	82	stable	-0.4 (-0.9, 0.1)
Le Flore, OK - Sequoyah, OK	No	215.3 (204.2, 227.0)	N/A	291	stable	-0.3 (-0.6, 0.0)
Okmulgee, OK - Okfuskee, OK	No	214.1 (198.3, 231.1)	N/A	140	stable	0.0 (-0.3, 0.3)
Laurel, KY - Whitley, KY	No	213.9 (204.4, 223.7)	N/A	401	stable	-0.2 (-0.5, 0.1)
Fulton, KY	No	213.6 (171.7, 263.5)	N/A	20	stable	-0.7 (-1.4, 0.0)
Pemiscot, MO	No	213.0 (185.1, 244.3)	N/A	44	stable	-0.2 (-0.8, 0.4)
Logan, WV - Mingo, WV	No	211.5 (197.0, 226.8)	N/A	173	falling	-0.9 (-1.3, -0.6)
Mississippi, AR	No	209.2 (190.6, 229.2)	N/A	98	falling	-0.6 (-1.0, -0.1)
Phillips, AR	No	209.2 (183.0, 238.4)	N/A	49	falling	-1.2 (-1.8, -0.6)
Madison, MO	No	208.3 (179.4, 241.0)	N/A	39	falling	-0.9 (-1.4, -0.3)
Ashley, AR - Chicot, AR	No	206.2 (187.3, 226.7)	N/A	93	stable	-0.5 (-1.0, 0.1)
Wise, VA - Lee, VA	No	206.1 (194.1, 218.7)	N/A	233	falling	-0.4 (-0.7, -0.1)
Russell, KS	No	205.9 (166.2, 253.3)	N/A	22	stable	-0.3 (-1.5, 0.9)
Crittenden (West Memphis), AR - St. Francis, AR	No	205.2 (193.5, 217.4)	N/A	241	falling	-1.1 (-1.8, -0.8)
Baca, CO	No	203.4 (154.6, 266.2)	N/A	13	stable	-0.3 (-1.5, 0.9)
Montgomery, KY - Bath, KY	No	203.1 (185.8, 221.7)	N/A	105	stable	-0.6 (-1.1, 0.0)
Taylor, KY - Adair, KY	No	201.9 (189.5, 214.8)	N/A	212	stable	-0.2 (-0.5, 0.1)
Letcher, KY	No	201.1 (178.6, 226.1)	N/A	63	falling	-0.7 (-1.4, -0.1)
Mason, WV	No	201.1 (181.5, 222.6)	N/A	81	falling	-1.1 (-1.6, -0.6)
Johnson, TN	No	201.1 (177.9, 226.9)	N/A	59	stable	-0.1 (-1.0, 0.8)
St. Landry, LA - Evangeline, LA	No	200.6 (190.1, 211.6)	N/A	285	falling	-0.7 (-1.0, -0.5)
Howell, MO - Oregon, MO	No	200.5 (186.8, 215.1)	N/A	167	falling	-0.5 (-0.8, -0.1)
Pike, KY	No	200.5 (186.7, 215.1)	N/A	167	falling	-2.2 (-5.5, -1.0)
Mason, KY - Fleming, KY	No	200.3 (183.2, 218.7)	N/A	107	falling	-0.5 (-0.8, -0.2)
Nolan, TX - Mitchell, TX	No	199.5 (178.8, 222.0)	N/A	71	stable	-0.3 (-0.8, 0.1)
Carroll, KY - Trimble, KY	No	199.1 (174.6, 226.3)	N/A	50	stable	-0.5 (-1.1, 0.1)
Ouachita, AR - Dallas, AR	No	199.1 (180.3, 219.5)	N/A	90	stable	-0.5 (-1.0, 0.1)
Madison, LA	No	198.6 (164.2, 238.4)	N/A	25	falling	-1.3 (-2.3, -0.4)
Calloway, KY	No	198.5 (180.4, 218.0)	N/A	92	stable	0.0 (-0.3, 0.4)
Pittsburg, OK - Pushmataha, OK	No	198.3 (185.7, 211.6)	N/A	194	falling	-0.5 (-0.8, -0.2)
Carter, OK - Marshall, OK	No	198.0 (186.4, 210.3)	N/A	225	falling	-0.4 (-0.6, -0.1)
Pulaski, KY - Wayne, KY	No	197.8 (187.4, 208.8)	N/A	282	falling	-0.6 (-0.8, -0.3)
Dyer, TN - Lauderdale, TN	No	197.7 (184.7, 211.5)	N/A	177	falling	-0.5 (-0.8, -0.1)
Wilkinson, MS	No	197.6 (161.8, 239.7)	N/A	23	falling	-0.9 (-1.7, -0.1)
Marion, SC - Dillon, SC	No	197.0 (182.9, 212.0)	N/A	155	falling	-0.8 (-1.3, -0.4)
Henry, TN - Carroll, TN	No	197.0 (185.5, 209.0)	N/A	238	falling	-4.8 (-9.0, -0.6)
Barren, KY - Hart, KY	No	196.9 (185.3, 209.0)	N/A	226	falling	-0.4 (-0.6, -0.1)
Elbert, GA - Wilkes, GA	No	196.8 (178.4, 216.9)	N/A	91	falling	-0.7 (-1.3, -0.2)
Jackson, AR	No	196.6 (171.0, 225.3)	N/A	44	stable	0.1 (-0.6, 0.9)
Oglala Lakota, SD - Bennett, SD	No	196.6 (162.0, 236.1)	N/A	25	falling	-1.0 (-1.7, -0.3)
Scioto, OH - Ross, OH	No	196.6 (188.6, 204.9)	N/A	470	falling	-0.7 (-1.0, -0.4)
Stephens, OK - Jefferson, OK	No	194.9 (180.2, 210.6)	N/A	139	falling	-0.5 (-3.3, -0.1)
Claiborne, TN	No	194.7 (176.3, 214.6)	N/A	88	falling	-1.4 (-6.8, -0.6)
Mercer, WV - McDowell, WV	No	194.2 (182.8, 206.2)	N/A	236	falling	-0.7 (-1.1, -0.4)
Washington, GA - Jefferson, GA	No	194.0 (176.3, 213.2)	N/A	92	falling	-1.0 (-7.3, -0.2)
Pearl River, MS	No	194.0 (180.0, 208.9)	N/A	152	falling	-0.7 (-1.1, -0.4)
Jackson, OH - Gallia, OH	No	194.0 (182.5, 206.0)	N/A	226	falling	-0.7 (-1.0, -0.4)
McDowell, NC	No	194.0 (179.0, 210.0)	N/A	131	stable	0.0 (-0.4, 0.4)
Wayne, GA - Appling, GA	No	193.8 (178.2, 210.5)	N/A	118	stable	-0.5 (-0.9, 0.1)
Vermilion, IL - Edgar, IL	No	193.3 (182.8, 204.4)	N/A	264	falling	-0.5 (-0.8, -0.3)
Petersburg City, VA - Prince George, VA	No	193.1 (183.9, 202.8)	N/A	341	falling	-1.2 (-1.5, -0.9)
Robeson, NC - Columbus, NC	No	193.1 (186.1, 200.4)	N/A	592	falling	-0.6 (-0.9, -0.4)
Lamar, TX - Red River, TX	No	192.6 (180.1, 205.8)	N/A	189	falling	-0.8 (-1.1, -0.4)
Rowan, KY - Morgan, KY	No	192.6 (177.4, 208.8)	N/A	124	stable	-0.2 (-0.8, 0.4)
Boyd, KY - Greenup, KY	No	192.5 (183.8, 201.5)	N/A	386	falling	-1.2 (-3.6, -0.9)
Putnam, TN - White, TN	No	192.3 (183.8, 201.0)	N/A	409	falling	-0.5 (-0.7, -0.2)
Union, AR - Columbia, AR	No	192.1 (179.2, 205.8)	N/A	172	falling	-0.7 (-0.9, -0.5)
Russell, AL	No	191.4 (176.5, 207.2)	N/A	129	falling	-1.3 (-5.5, -0.8)
Pontotoc, OK - Seminole, OK	No	191.4 (179.6, 203.7)	N/A	205	stable	-0.3 (-0.6, 0.0)
Pontotoc, MS - Union, MS	No	191.3 (179.1, 204.2)	N/A	188	stable	1.3 (-0.1, 7.2)
Concordia, LA - Tensas, LA	No	191.3 (169.4, 215.4)	N/A	61	falling	-0.8 (-1.3, -0.3)
Adams, MS - Jefferson, MS	No	191.2 (175.9, 207.7)	N/A	123	falling	-0.7 (-1.1, -0.3)
Grady, OK - Caddo, OK	No	191.0 (179.0, 203.7)	N/A	195	falling	-6.4 (-10.5, -0.3)
Jefferson Davis, MS - Lawrence, MS	No	190.8 (169.7, 214.1)	N/A	64	falling	-0.6 (-1.1, -0.1)
Grenada, MS - Montgomery, MS	No	190.8 (175.1, 207.6)	N/A	117	falling	-1.1 (-5.1, -0.4)
Union, IL - Alexander, IL	No	190.3 (172.2, 210.0)	N/A	88	falling	-0.6 (-1.0, -0.2)
Cherokee, KS	No	190.2 (167.4, 215.5)	N/A	53	falling	-0.7 (-1.1, -0.2)
Hardin, KY - Meade, KY	No	190.2 (182.3, 198.2)	N/A	467	falling	-0.6 (-0.8, -0.4)
Fountain, IN - Warren, IN	No	190.0 (170.6, 211.2)	N/A	72	falling	-0.8 (-1.5, -0.2)
Highland, OH - Clinton, OH	No	189.9 (178.6, 201.8)	N/A	221	falling	-0.6 (-1.0, -0.3)
Scott, TN	No	189.8 (167.5, 214.4)	N/A	54	falling	-13.9 (-20.9, -6.9)
Madison (Jackson), TN - Gibson, TN	No	189.3 (182.8, 196.0)	N/A	670	falling	-0.6 (-0.8, -0.3)
Lee, MS - Monroe, MS	No	189.2 (181.2, 197.4)	N/A	441	stable	-1.5 (-2.3, 0.1)
Choctaw, OK	No	189.1 (163.2, 218.5)	N/A	40	stable	-0.2 (-0.9, 0.6)
Bourbon (Paris), KY - Nicholas, KY	No	188.9 (169.9, 209.6)	N/A	75	falling	-1.2 (-1.7, -0.7)
Leon, TX - Madison, TX	No	188.8 (170.2, 209.1)	N/A	80	falling	-0.9 (-1.4, -0.4)
Pettis, MO - Saline, MO	No	188.7 (179.0, 198.7)	N/A	308	falling	-0.7 (-0.9, -0.4)
Rolette, ND - Pierce, ND	No	188.5 (163.4, 216.4)	N/A	43	stable	-0.7 (-1.5, 0.0)
Boyle, KY - Lincoln, KY	No	188.5 (178.7, 198.6)	N/A	294	falling	-1.1 (-4.4, -0.7)
Grant, IN - Miami, IN	No	188.0 (179.2, 197.2)	N/A	361	falling	-0.6 (-0.8, -0.3)
Alpine, CA	No	187.9 (108.9, 316.4)	N/A	4	*	*
Cabell (Huntington), WV - Wayne, WV	No	187.9 (179.6, 196.4)	N/A	412	falling	-0.9 (-1.2, -0.7)
Doniphan, KS	No	187.7 (152.0, 230.2)	N/A	20	stable	-0.4 (-1.2, 0.5)
Marion, IL - Washington, IL	No	187.7 (173.8, 202.5)	N/A	144	stable	-0.4 (-0.8, 0.0)
Anderson, TX - Cherokee, TX	No	187.5 (178.3, 197.1)	N/A	320	falling	-1.6 (-2.5, -1.3)
Warren, MS - Claiborne, MS	No	187.3 (172.7, 202.9)	N/A	129	falling	-0.9 (-1.2, -0.6)
Brunswick, VA - Greensville, VA	No	187.2 (169.9, 206.0)	N/A	89	falling	-1.3 (-1.9, -0.8)
Lawrence, IN - Orange, IN	No	187.1 (174.7, 200.2)	N/A	178	falling	-0.5 (-0.7, -0.3)
Randolph, WV - Barbour, WV	No	187.1 (174.3, 200.6)	N/A	173	falling	-0.6 (-1.0, -0.2)
Henderson (Henderson), KY - Union, KY	No	186.9 (173.3, 201.4)	N/A	148	falling	-0.7 (-1.0, -0.3)
Spalding (Griffin), GA - Butts, GA	No	186.7 (175.7, 198.3)	N/A	224	falling	-0.6 (-1.0, -0.1)
Harrison, WV - Upshur, WV	No	186.6 (178.1, 195.5)	N/A	375	falling	-1.0 (-1.4, -0.8)
DeSoto, MS - Marshall, MS	No	186.4 (179.8, 193.2)	N/A	624	falling	-1.0 (-2.0, -0.8)
Craighead, AR - Greene, AR	No	186.2 (179.0, 193.6)	N/A	519	falling	-0.5 (-0.7, -0.3)
Crawford, IL - Lawrence, IL	No	185.9 (168.9, 204.3)	N/A	91	falling	-0.5 (-0.9, -0.1)
Jefferson (Steubenville), OH - Harrison, OH	No	185.8 (174.9, 197.3)	N/A	232	falling	-1.0 (-1.3, -0.7)
Christian (Hopkinsville), KY - Hopkins, KY	No	185.7 (178.1, 193.5)	N/A	467	falling	-0.9 (-1.1, -0.6)
Jackson (Pascagoula), MS - George, MS	No	185.6 (177.1, 194.4)	N/A	379	falling	-1.1 (-1.4, -0.8)
Washington, OK - Nowata, OK	No	185.5 (172.7, 199.0)	N/A	167	stable	-0.3 (-0.7, 0.1)
Beckham, OK - Roger Mills, OK	No	185.4 (164.2, 208.8)	N/A	57	stable	-0.4 (-1.0, 0.2)
Comanche (Lawton), OK - Kiowa, OK	No	185.2 (175.6, 195.3)	N/A	287	falling	-0.9 (-2.7, -0.6)
Greene, TN - Cocke, TN	No	185.1 (175.6, 194.9)	N/A	306	falling	-1.3 (-4.6, -0.7)
Winn, LA	No	184.9 (158.1, 215.3)	N/A	35	falling	-1.2 (-2.0, -0.4)
Berkeley, WV - Jefferson, WV	No	184.9 (177.6, 192.3)	N/A	520	falling	-0.9 (-1.1, -0.6)
Escambia, AL - Conecuh, AL	No	184.8 (170.4, 200.3)	N/A	128	falling	-1.2 (-5.1, -0.7)
Tazewell, VA - Buchanan, VA	No	184.7 (173.1, 197.1)	N/A	201	falling	-0.7 (-1.0, -0.4)
Wood (Parkersburg), WV - Jackson, WV	No	184.7 (176.8, 192.9)	N/A	435	falling	-0.6 (-0.8, -0.3)
Jackson, CO	No	184.5 (111.6, 299.1)	N/A	4	*	*
Stephens, GA - Hart, GA	No	184.4 (173.1, 196.4)	N/A	210	stable	-0.4 (-0.7, 0.0)
Palo Pinto, TX - Jack, TX	No	184.4 (167.9, 202.2)	N/A	97	stable	5.3 (-1.1, 10.5)
Bedford, TN	No	184.3 (168.6, 201.2)	N/A	106	stable	-0.6 (-1.1, 0.0)
Morgan, IL - Greene, IL	No	184.3 (170.5, 199.1)	N/A	139	falling	-0.5 (-0.8, -0.2)
Cape Girardeau, MO - Butler, MO	No	184.3 (178.1, 190.6)	N/A	714	falling	-1.6 (-4.3, -0.7)
Linn, MO	No	183.7 (156.2, 215.4)	N/A	34	stable	-0.4 (-1.2, 0.3)
Clark, IL	No	183.6 (158.7, 211.7)	N/A	41	stable	-0.1 (-0.8, 0.6)
Johnson, AR	No	183.4 (162.6, 206.2)	N/A	59	stable	-0.2 (-0.7, 0.4)
Weakley, TN - Obion, TN	No	183.3 (170.8, 196.7)	N/A	166	falling	-1.4 (-5.4, -0.5)
Upson, GA - Lamar, GA	No	183.1 (170.2, 196.8)	N/A	157	falling	-0.6 (-0.9, -0.2)
Ware, GA - Pierce, GA	No	182.9 (170.7, 195.9)	N/A	172	falling	-0.8 (-1.1, -0.4)
Madison, KY - Rockcastle, KY	No	182.9 (173.5, 192.8)	N/A	293	falling	-0.8 (-1.2, -0.3)
McCracken, KY - Graves, KY	No	182.8 (175.5, 190.4)	N/A	493	falling	-0.7 (-0.9, -0.4)
Lowndes, MS - Clay, MS	No	182.7 (171.4, 194.6)	N/A	205	falling	-0.6 (-0.9, -0.2)
Alcorn, MS - Tishomingo, MS	No	182.5 (168.9, 197.0)	N/A	138	falling	-0.7 (-1.1, -0.3)
Lincoln, LA - Union, LA	No	182.4 (171.7, 193.6)	N/A	230	falling	-1.0 (-1.4, -0.7)
Nemaha, NE	No	182.3 (145.7, 226.2)	N/A	19	stable	0.0 (-1.0, 1.0)
Lincoln, MS - Copiah, MS	No	181.9 (168.8, 195.7)	N/A	151	falling	-0.9 (-1.3, -0.5)
Wayne, IN - Fayette, IN	No	181.7 (171.5, 192.3)	N/A	251	stable	3.1 (-1.5, 6.1)
Lawrence, TN - Wayne, TN	No	181.6 (169.6, 194.4)	N/A	174	falling	-0.7 (-1.1, -0.3)
Audrain, MO - Montgomery, MO	No	181.6 (166.9, 197.3)	N/A	119	falling	-0.6 (-1.1, -0.1)
Marion, AL - Fayette, AL	No	181.5 (167.4, 196.6)	N/A	129	stable	-0.4 (-0.8, 0.0)
Muskogee, OK - Wagoner, OK	No	181.2 (174.4, 188.2)	N/A	557	falling	-0.6 (-0.8, -0.4)
Wichita (Wichita Falls), TX - Montague, TX	No	181.1 (173.6, 188.9)	N/A	455	falling	-0.8 (-1.0, -0.6)
Harrison (Biloxi), MS - Hancock, MS	No	181.1 (174.6, 187.8)	N/A	621	falling	-1.3 (-1.9, -1.0)
Harrison, KY - Robertson, KY	No	180.9 (159.8, 204.4)	N/A	55	stable	-0.7 (-1.3, 0.1)
Big Stone, MN - Traverse, MN	No	180.9 (150.3, 217.1)	N/A	29	stable	7.1 (-0.7, 19.5)
Raleigh, WV - Fayette, WV	No	180.8 (172.8, 189.1)	N/A	415	falling	-0.7 (-1.0, -0.5)
Claiborne, LA	No	180.7 (155.2, 209.8)	N/A	39	stable	10.7 (-0.3, 17.3)
Vigo (Terre Haute), IN - Clay, IN	No	180.6 (172.9, 188.5)	N/A	439	falling	-1.1 (-2.8, -0.9)
Barber, KS	No	180.5 (135.7, 237.7)	N/A	12	stable	-0.9 (-2.0, 0.0)
Floyd, GA - Bartow, GA	No	180.5 (174.5, 186.6)	N/A	724	falling	-1.0 (-1.2, -0.8)
Bowie (Texarkana), TX	No	180.3 (169.5, 191.7)	N/A	214	falling	-1.0 (-1.4, -0.6)
Clark (Jeffersonville), IN - Scott, IN	No	180.1 (171.3, 189.3)	N/A	326	falling	-1.3 (-1.5, -1.0)
Halifax with South Boston City, VA - Mecklenburg, VA	No	179.8 (169.3, 190.9)	N/A	241	falling	-0.9 (-1.2, -0.6)
Tangipahoa, LA - St. Helena, LA	No	179.7 (170.4, 189.3)	N/A	298	falling	-1.3 (-1.5, -1.0)
Coos, OR - Curry, OR	No	179.6 (170.2, 189.6)	N/A	310	falling	-0.9 (-1.1, -0.7)
Greenbrier, WV - Monroe, WV	No	179.5 (165.8, 194.3)	N/A	138	falling	-0.7 (-1.0, -0.4)
Bryan, OK - Atoka, OK	No	179.3 (166.1, 193.4)	N/A	142	falling	-0.8 (-1.1, -0.5)
Henry, VA - Patrick, VA	No	179.3 (168.9, 190.2)	N/A	248	stable	-0.3 (-0.6, 0.0)
Coffee, GA - Jeff Davis, GA	No	179.1 (165.5, 193.6)	N/A	133	falling	-0.9 (-1.4, -0.3)
Pendleton, WV	No	179.1 (145.0, 221.1)	N/A	22	stable	-0.5 (-1.7, 0.8)
Warren, KY - Logan, KY	No	179.1 (171.8, 186.6)	N/A	471	falling	-0.9 (-1.2, -0.7)
Sullivan (Kingsport), TN - Hawkins, TN	No	179.0 (172.5, 185.8)	N/A	602	falling	-0.6 (-0.8, -0.4)
Brown, TX - Coleman, TX	No	178.9 (166.3, 192.4)	N/A	159	falling	-0.6 (-1.0, -0.2)
Saline, IL - Gallatin, IL	No	178.8 (163.5, 195.3)	N/A	107	falling	-0.8 (-1.3, -0.4)
Kay (Ponca City), OK - Osage, OK	No	178.8 (168.4, 189.7)	N/A	234	falling	-0.4 (-0.7, -0.1)
Grayson (Sherman), TX - Fannin, TX	No	178.6 (170.8, 186.7)	N/A	412	falling	-0.8 (-1.0, -0.6)
Wilson, KS	No	178.5 (147.4, 215.3)	N/A	25	stable	-0.2 (-1.1, 0.6)
Jackson, OK - Greer, OK	No	178.4 (160.0, 198.4)	N/A	71	stable	-0.1 (-0.5, 0.3)
Warren, GA - Glascock, GA	No	178.4 (149.2, 212.6)	N/A	28	stable	0.0 (-1.0, 1.1)
Crawford, KS - Bourbon, KS	No	178.3 (165.3, 192.1)	N/A	147	stable	-0.4 (-0.8, 0.0)
Montgomery (Clarksville), TN - Stewart, TN	No	178.2 (169.9, 186.9)	N/A	365	falling	-1.1 (-4.1, -0.6)
Orangeburg, SC - Bamberg, SC	No	178.2 (169.2, 187.7)	N/A	315	falling	-0.8 (-1.0, -0.6)
Cloud, KS - Republic, KS	No	178.1 (152.7, 207.1)	N/A	40	stable	0.0 (-0.8, 0.8)
Jefferson (Pine Bluff), AR - Drew, AR	No	178.1 (169.1, 187.6)	N/A	302	falling	-0.9 (-1.1, -0.7)
Baxter, AR - Marion, AR	No	178.1 (166.4, 190.6)	N/A	211	falling	-0.8 (-1.0, -0.5)
Wayne, NC - Lenoir, NC	No	177.9 (171.3, 184.7)	N/A	577	falling	-1.1 (-1.3, -0.9)
Jasper (Joplin), MO - Newton, MO	No	177.8 (170.7, 185.2)	N/A	488	falling	-0.8 (-1.0, -0.5)
Payne, OK - Pawnee, OK	No	177.8 (167.0, 189.2)	N/A	209	falling	-0.5 (-0.8, -0.2)
Delaware (Muncie), IN - Randolph, IN	No	177.7 (169.4, 186.5)	N/A	354	falling	-0.7 (-1.0, -0.5)
Labette, KS - Neosho, KS	No	177.6 (164.1, 192.0)	N/A	138	stable	-0.4 (-0.9, 0.0)
Nacogdoches, TX - Shelby, TX	No	177.5 (167.6, 187.9)	N/A	252	falling	-0.9 (-1.2, -0.7)
Washington, VA - Smyth, VA	No	177.4 (169.7, 185.4)	N/A	433	falling	-0.7 (-0.9, -0.5)
Montgomery, KS - Chautauqua, KS	No	177.2 (161.7, 194.1)	N/A	102	falling	-1.3 (-5.6, -0.7)
Del Norte, CA	No	177.2 (158.3, 198.0)	N/A	68	falling	-1.2 (-1.8, -0.6)
Ector (Odessa), TX - Reeves, TX	No	177.1 (168.0, 186.7)	N/A	291	falling	-0.9 (-1.1, -0.6)
Bay (Bay City), MI - Iosco, MI	No	177.1 (170.0, 184.5)	N/A	509	falling	-0.9 (-1.1, -0.7)
Anderson (Oak Ridge), TN - Roane, TN	No	177.0 (170.5, 183.7)	N/A	593	falling	-1.3 (-4.2, -0.9)
Steuben, NY - Chemung (Elmira), NY	No	176.9 (169.9, 184.1)	N/A	512	stable	1.6 (-1.1, 3.6)
Talladega, AL - Clay, AL	No	176.9 (167.2, 187.0)	N/A	267	falling	-0.8 (-1.1, -0.5)
Alachua (Gainesville), FL - Columbia, FL	No	176.8 (172.3, 181.4)	N/A	1,221	falling	-2.1 (-3.7, -1.2)
Daviess (Owensboro), KY - Ohio, KY	No	176.7 (168.2, 185.6)	N/A	336	falling	-1.0 (-1.3, -0.7)
Ouachita (Monroe), LA - Morehouse, LA	No	176.7 (170.1, 183.6)	N/A	553	falling	-1.3 (-2.5, -1.1)
La Salle, IL - Livingston, IL	No	176.6 (169.5, 184.0)	N/A	488	falling	-0.8 (-0.9, -0.6)
Terrebonne (Houma), LA - Lafourche, LA	No	176.5 (169.4, 183.8)	N/A	490	falling	-1.0 (-1.2, -0.7)
Alpena, MI - Presque Isle, MI	No	176.5 (165.3, 188.4)	N/A	215	stable	-0.1 (-0.8, 3.3)
Nash, NC - Halifax, NC	No	176.5 (169.7, 183.4)	N/A	553	falling	-1.0 (-1.2, -0.9)
Sumter, SC - Clarendon, SC	No	176.4 (168.2, 184.9)	N/A	368	falling	-1.4 (-2.5, -1.0)
Kankakee (Kankakee), IL - Iroquois, IL	No	176.3 (167.6, 185.3)	N/A	325	falling	-0.9 (-1.2, -0.6)
Knox, IL - Warren, IL	No	176.2 (164.5, 188.7)	N/A	180	falling	-0.7 (-1.1, -0.4)
Roscommon, MI - Otsego, MI	No	176.2 (164.8, 188.4)	N/A	201	falling	-0.5 (-0.8, -0.2)
Klamath, OR - Lake, OR	No	176.0 (165.1, 187.5)	N/A	207	falling	-0.7 (-1.0, -0.5)
Pittsylvania (Danville), VA - Danville City, VA	No	176.0 (166.7, 185.8)	N/A	290	stable	3.1 (-1.0, 6.1)
Howard, IA	No	175.9 (146.3, 210.6)	N/A	27	stable	-0.3 (-1.1, 0.6)
Miller, AR - Hempstead, AR	No	175.9 (166.6, 185.6)	N/A	279	falling	-1.7 (-5.6, -1.0)
Dearborn, IN - Jefferson (Madison), IN	No	175.8 (167.0, 185.1)	N/A	311	falling	-1.0 (-2.3, -0.8)
Emmet, IA	No	175.7 (145.2, 211.4)	N/A	27	stable	-0.1 (-0.9, 0.6)
Jefferson, IL - Wayne, IL	No	175.4 (162.4, 189.3)	N/A	140	falling	-0.7 (-1.1, -0.3)
Cumberland (Fayetteville), NC - Sampson, NC	No	175.4 (169.5, 181.4)	N/A	705	falling	-1.0 (-1.2, -0.8)
Alleghany Cnty & Clifton Forge Cty, VA - Covington City, VA	No	175.4 (157.5, 195.1)	N/A	77	falling	-0.9 (-1.3, -0.5)
Macoupin, IL - Montgomery, IL	No	175.3 (164.2, 187.1)	N/A	198	falling	-0.8 (-1.1, -0.6)
Uvalde, TX	No	175.3 (154.6, 198.2)	N/A	53	falling	-0.9 (-1.5, -0.2)
Calhoun (Anniston), AL - Cleburne, AL	No	175.3 (166.4, 184.6)	N/A	307	falling	-1.5 (-2.1, -1.3)
Dimmit, TX	No	175.3 (140.7, 216.3)	N/A	18	rising	13.6 (0.2, 24.9)
Caddo (Shreveport), LA - Bossier, LA	No	175.2 (170.6, 180.0)	N/A	1,124	falling	-1.3 (-1.5, -1.2)
Titus, TX - Morris, TX	No	175.1 (162.5, 188.6)	N/A	149	falling	-1.0 (-1.5, -0.6)
Todd, SD - Tripp, SD	No	175.0 (151.6, 201.1)	N/A	43	stable	-0.5 (-1.1, 0.1)
Onslow, NC - Craven, NC	No	174.8 (169.3, 180.4)	N/A	806	falling	-1.0 (-1.1, -0.8)
Wichita, KS - Greeley, KS	No	174.6 (120.8, 245.3)	N/A	8	stable	0.0 (-1.5, 1.4)
Adams, IL - Pike, IL	No	174.5 (163.8, 185.8)	N/A	213	falling	-1.1 (-1.5, -0.8)
Adair, MO - Sullivan, MO	No	174.4 (160.0, 189.9)	N/A	113	stable	-0.3 (-0.7, 0.1)
Houghton, MI - Baraga, MI	No	174.4 (159.9, 190.0)	N/A	113	falling	-0.8 (-1.2, -0.5)
Hamblen (Morristown), TN - Jefferson, TN	No	174.0 (166.1, 182.3)	N/A	378	falling	-1.4 (-4.1, -0.9)
Howard (Kokomo), IN - Cass, IN	No	173.8 (165.5, 182.6)	N/A	339	falling	-0.9 (-1.1, -0.6)
Florence (Florence), SC - Darlington, SC	No	173.8 (168.0, 179.8)	N/A	706	falling	-1.5 (-2.2, -1.2)
Washington, OH	No	173.7 (161.6, 186.7)	N/A	162	falling	-0.6 (-0.9, -0.3)
St. Mary, LA	No	173.7 (159.5, 189.0)	N/A	116	falling	-1.3 (-1.7, -0.9)
Garfield (Enid), OK - Kingfisher, OK	No	173.5 (163.9, 183.6)	N/A	254	stable	-0.2 (-0.4, 0.0)
Independence, AR - Sharp, AR	No	173.5 (163.9, 183.6)	N/A	263	falling	-0.9 (-3.3, -0.6)
Laurens, GA - Toombs, GA	No	173.5 (165.1, 182.4)	N/A	325	falling	-0.9 (-1.2, -0.6)
Franklin, IN	No	173.4 (152.8, 196.2)	N/A	55	stable	-0.4 (-1.0, 0.3)
Bradley, TN - Polk, TN	No	173.3 (164.3, 182.7)	N/A	290	falling	-1.0 (-1.3, -0.6)
Muskingum, OH - Guernsey, OH	No	173.3 (166.8, 180.1)	N/A	559	falling	-1.8 (-4.0, -1.1)
Alamance, NC	No	173.3 (165.5, 181.4)	N/A	384	falling	-0.8 (-1.0, -0.5)
Gregg (Longview), TX - Rusk, TX	No	173.2 (166.5, 180.1)	N/A	527	falling	-1.2 (-1.4, -1.0)
Henry, MO - Bates, MO	No	173.2 (159.8, 187.6)	N/A	133	falling	-2.3 (-6.9, -0.9)
Hardin, TN - McNairy, TN	No	173.2 (160.4, 186.9)	N/A	144	falling	-1.3 (-4.6, -0.6)
Caswell, NC	No	173.0 (154.0, 194.2)	N/A	64	falling	-1.0 (-1.5, -0.5)
Angelina, TX - Walker, TX	No	172.9 (165.9, 180.2)	N/A	480	falling	-1.0 (-1.2, -0.7)
Muskegon (Muskegon), MI - Newaygo, MI	No	172.9 (166.9, 179.0)	N/A	679	falling	-0.8 (-0.9, -0.6)
Rapides (Alexandria), LA - Avoyelles, LA	No	172.9 (166.1, 179.8)	N/A	512	falling	-1.1 (-1.3, -0.8)
Calhoun (Battle Creek), MI - Barry, MI	No	172.8 (165.6, 180.2)	N/A	459	falling	-0.9 (-1.2, -0.6)
Columbiana, OH	No	172.7 (163.4, 182.6)	N/A	271	falling	-0.8 (-1.1, -0.6)
Grant, OR	No	172.6 (141.7, 210.3)	N/A	26	stable	7.5 (-1.8, 21.5)
Carroll, VA - Grayson, VA	No	172.6 (160.3, 185.9)	N/A	155	stable	-0.4 (-0.7, 0.0)
Polk, AR	No	172.5 (151.9, 195.6)	N/A	55	falling	-12.7 (-21.7, -1.8)
Mohave, AZ	No	172.5 (166.6, 178.7)	N/A	769	falling	-1.4 (-3.4, -1.0)
Knox, IN - Daviess, IN	No	172.5 (162.0, 183.5)	N/A	211	falling	-0.8 (-1.1, -0.5)
Lincoln, TN	No	172.3 (156.2, 189.9)	N/A	88	falling	-1.0 (-1.6, -0.3)
Lucas (Toledo), OH - Wood, OH	No	172.3 (168.2, 176.4)	N/A	1,427	falling	-0.9 (-1.0, -0.8)
Buchanan (St. Joseph), MO - Nodaway, MO	No	172.3 (164.1, 180.8)	N/A	349	falling	-0.7 (-1.0, -0.4)
Midland (Midland), MI - Isabella, MI	No	172.2 (165.3, 179.5)	N/A	488	falling	-0.8 (-1.1, -0.6)
Atchison, MO - Holt, MO	No	172.2 (144.4, 204.9)	N/A	30	stable	-0.3 (-1.0, 0.5)
Richland, IL - Clay, IL	No	172.0 (157.9, 187.1)	N/A	117	falling	-0.7 (-1.0, -0.4)
Lincoln, OR - Tillamook, OR	No	171.9 (161.7, 182.6)	N/A	250	falling	-0.9 (-1.2, -0.5)
Sebastian (Fort Smith), AR - Crawford, AR	No	171.8 (165.2, 178.6)	N/A	534	falling	-1.3 (-4.0, -0.9)
Humboldt, CA	No	171.8 (163.0, 180.9)	N/A	311	falling	-1.2 (-1.5, -0.9)
Red Willow, NE - Hitchcock, NE	No	171.8 (146.9, 200.2)	N/A	38	stable	-0.6 (-1.2, 0.1)
Williamson, IL - Jackson, IL	No	171.7 (164.2, 179.4)	N/A	420	falling	-1.2 (-2.7, -1.0)
Lewis, WA - Pacific, WA	No	171.6 (162.7, 181.0)	N/A	298	falling	-0.9 (-1.2, -0.6)
Union, NM	No	171.6 (126.2, 229.9)	N/A	10	stable	-1.0 (-2.2, 0.3)
Calcasieu (Lake Charles), LA - Vernon, LA	No	171.6 (165.7, 177.6)	N/A	663	falling	-1.4 (-3.2, -1.1)
Clark (Springfield), OH - Champaign, OH	No	171.5 (164.2, 179.2)	N/A	430	falling	-1.2 (-3.3, -0.9)
Grundy, MO - Mercer, MO	No	171.5 (146.8, 199.9)	N/A	37	stable	-0.4 (-1.2, 0.5)
Wexford, MI - Osceola, MI	No	171.4 (161.1, 182.3)	N/A	223	falling	-0.9 (-1.3, -0.4)
Marion, MO - Pike, MO	No	171.3 (159.4, 184.0)	N/A	160	falling	-1.2 (-4.6, -0.7)
Navarro, TX - Freestone, TX	No	171.3 (159.4, 183.9)	N/A	162	falling	-0.9 (-1.3, -0.4)
Forrest, MS - Lamar, MS	No	171.3 (163.3, 179.5)	N/A	358	falling	-1.3 (-4.6, -0.9)
Butte (Chico), CA - Tehama, CA	No	171.2 (165.4, 177.2)	N/A	699	falling	-1.1 (-1.4, -0.8)
Lafayette (Lafayette), LA - Iberia, LA	No	171.1 (166.1, 176.2)	N/A	942	falling	-1.7 (-2.3, -1.4)
Sheridan, MT - Daniels, MT	No	171.0 (134.9, 216.2)	N/A	17	falling	-1.0 (-2.0, -0.1)
Bartholomew, IN - Jackson, IN	No	170.9 (163.4, 178.8)	N/A	395	falling	-1.2 (-2.6, -0.9)
Tift, GA - Ben Hill, GA	No	170.9 (159.3, 183.2)	N/A	167	falling	-0.7 (-1.0, -0.4)
Oklahoma (Oklahoma City), OK - Canadian, OK	No	170.9 (167.5, 174.3)	N/A	2,071	falling	-0.8 (-0.9, -0.7)
Laurens, SC - Greenwood, SC	No	170.9 (163.9, 178.1)	N/A	480	falling	-0.9 (-1.1, -0.6)
Huntington, IN - Adams, IN	No	170.8 (161.6, 180.4)	N/A	273	falling	-0.5 (-0.7, -0.2)
Washington, PA - Fayette, PA	No	170.7 (165.8, 175.7)	N/A	990	falling	-0.9 (-1.1, -0.7)
Geary, KS - Dickinson, KS	No	170.7 (156.2, 186.2)	N/A	106	falling	-0.7 (-1.1, -0.2)
Hancock, IN - Henry (New Castle), IN	No	170.7 (161.9, 179.9)	N/A	292	falling	-0.7 (-0.9, -0.4)
Clinton, IA	No	170.5 (156.7, 185.4)	N/A	118	falling	-0.9 (-1.3, -0.5)
Boone, AR - Carroll, AR	No	170.3 (160.1, 181.1)	N/A	223	falling	-0.8 (-1.1, -0.5)
Lamar, AL	No	170.3 (146.2, 197.8)	N/A	38	falling	-1.1 (-2.4, -0.6)
Floyd (New Albany), IN - Harrison, IN	No	170.2 (162.2, 178.6)	N/A	358	falling	-1.1 (-1.3, -0.8)
Madison (Alton), IL - Jersey, IL	No	170.0 (164.4, 175.8)	N/A	717	falling	-0.9 (-1.1, -0.7)
St. Clair (Port Huron), MI - Sanilac, MI	No	169.9 (163.1, 177.0)	N/A	503	falling	-1.0 (-1.2, -0.8)
Appanoose, IA - Davis, IA	No	169.9 (149.8, 192.3)	N/A	56	stable	0.0 (-0.8, 0.8)
Bay (Panama City), FL - Jackson, FL	No	169.9 (164.3, 175.7)	N/A	730	falling	-1.2 (-1.5, -0.8)
Thomas, GA - Mitchell, GA	No	169.9 (159.7, 180.7)	N/A	215	falling	-1.5 (-3.4, -1.1)
Etowah (Gadsden), AL - Marshall, AL	No	169.8 (164.0, 175.7)	N/A	691	falling	-1.4 (-2.0, -1.0)
Kennebec, ME - Somerset, ME	No	169.7 (163.3, 176.4)	N/A	565	falling	-1.1 (-1.3, -0.9)
Goshen, WY - Niobrara, WY	No	169.7 (146.4, 196.2)	N/A	41	stable	-0.4 (-1.1, 0.3)
Decatur, GA - Seminole, GA	No	169.7 (155.2, 185.3)	N/A	106	falling	-1.2 (-1.5, -0.8)
Rutherford (Murfreesboro), TN - Warren, TN	No	169.6 (163.9, 175.5)	N/A	697	falling	-1.0 (-1.1, -0.8)
Wapello, IA - Mahaska, IA	No	169.6 (159.9, 179.8)	N/A	243	falling	-0.5 (-0.8, -0.3)
Bee, TX - Karnes, TX	No	169.6 (153.1, 187.3)	N/A	79	stable	0.1 (-0.8, 5.1)
Newton (Covington), GA	No	169.6 (158.8, 180.8)	N/A	197	falling	-0.9 (-1.2, -0.4)
Dougherty (Albany), GA - Lee, GA	No	169.6 (161.9, 177.6)	N/A	382	falling	-1.1 (-1.3, -0.8)
Accomack, VA - Northampton, VA	No	169.4 (156.3, 183.5)	N/A	138	falling	-3.6 (-9.9, -1.6)
Bulloch, GA - Emanuel, GA	No	169.4 (159.5, 179.6)	N/A	233	falling	-0.8 (-1.1, -0.5)
Penobscot (Bangor), ME - Hancock, ME	No	169.3 (163.4, 175.3)	N/A	680	falling	-1.3 (-1.5, -1.2)
Whitfield, GA - Murray, GA	No	169.2 (160.3, 178.6)	N/A	275	falling	-1.0 (-1.3, -0.8)
Jackson (Jackson), MI - Lenawee, MI	No	169.2 (164.0, 174.6)	N/A	828	falling	-0.9 (-1.0, -0.7)
Maury, TN - Giles, TN	No	169.2 (161.6, 177.0)	N/A	397	falling	-1.5 (-3.8, -1.1)
Peoria (Peoria), IL - Tazewell, IL	No	169.1 (164.0, 174.3)	N/A	875	falling	-0.9 (-1.1, -0.8)
Polk, MN	No	169.0 (151.9, 187.7)	N/A	76	falling	-1.0 (-1.6, -0.5)
White, AR - Cleburne, AR	No	168.9 (159.8, 178.6)	N/A	263	falling	-0.9 (-1.2, -0.6)
Genesee (Flint), MI - Lapeer, MI	No	168.9 (164.4, 173.4)	N/A	1,142	falling	-1.5 (-3.4, -1.1)
Carroll, GA - Haralson, GA	No	168.8 (159.9, 178.2)	N/A	276	falling	-2.7 (-6.5, -1.0)
Juneau, WI - Adams, WI	No	168.8 (156.1, 182.6)	N/A	142	falling	-1.3 (-4.0, -0.9)
Butler, AL	No	168.8 (147.1, 193.0)	N/A	47	falling	-0.8 (-1.4, -0.1)
Logan, OH	No	168.7 (154.4, 184.1)	N/A	109	falling	-4.4 (-9.9, -1.1)
Defiance, OH - Williams, OH	No	168.6 (159.9, 177.7)	N/A	293	falling	-0.8 (-1.0, -0.6)
Hinds (Jackson), MS - Rankin, MS	No	168.5 (164.2, 172.9)	N/A	1,212	falling	-1.5 (-1.8, -1.3)
Tulsa (Tulsa), OK - Rogers, OK	No	168.4 (164.9, 172.0)	N/A	1,834	falling	-1.2 (-2.2, -1.0)
Terry, TX - Yoakum, TX	No	168.4 (144.1, 195.7)	N/A	35	stable	-0.2 (-1.1, 0.6)
Venango, PA - Clarion, PA	No	168.3 (158.9, 178.3)	N/A	256	falling	-0.7 (-1.0, -0.4)
Essex, VT	No	168.2 (136.1, 208.4)	N/A	20	falling	-1.5 (-2.4, -0.4)
Jones, MS - Wayne, MS	No	168.2 (159.0, 177.8)	N/A	263	falling	-1.0 (-1.3, -0.6)
Cumberland, NJ	No	168.1 (159.8, 176.9)	N/A	310	falling	-5.2 (-8.4, -1.2)
Coffee, TN - Franklin, TN	No	168.1 (159.2, 177.3)	N/A	284	falling	-1.0 (-1.9, -0.8)
Belmont, OH - Monroe, OH	No	168.0 (157.7, 179.0)	N/A	209	falling	-1.1 (-1.4, -0.8)
Marion (Indianapolis), IN - Johnson, IN	No	168.0 (165.1, 171.0)	N/A	2,667	falling	-1.4 (-1.8, -1.3)
Pike, MS - Marion, MS	No	167.9 (157.8, 178.7)	N/A	215	falling	-1.9 (-5.4, -1.0)
Kanawha (Charleston), WV - Putnam, WV	No	167.9 (162.5, 173.5)	N/A	765	falling	-2.0 (-3.5, -1.6)
Ohio (Wheeling), WV - Marshall, WV	No	167.8 (158.5, 177.6)	N/A	261	falling	-1.1 (-1.3, -0.9)
Macon (Decatur), IL - Shelby, IL	No	167.7 (160.2, 175.5)	N/A	397	falling	-0.8 (-1.0, -0.6)
Lawrence, PA	No	167.6 (157.9, 177.9)	N/A	239	falling	-0.9 (-1.1, -0.7)
Whiteside, IL - Carroll, IL	No	167.5 (156.8, 178.9)	N/A	193	falling	-0.6 (-1.0, -0.3)
Douglas, WI	No	167.4 (152.9, 183.1)	N/A	104	falling	-1.5 (-1.8, -1.1)
Platte, WY	No	167.3 (139.5, 200.6)	N/A	27	stable	7.3 (-1.6, 18.4)
Wabash, IL	No	167.3 (140.1, 198.9)	N/A	30	falling	-1.2 (-1.9, -0.6)
Marion (Ocala), FL - Citrus, FL	No	167.3 (163.5, 171.2)	N/A	1,797	stable	1.2 (-1.0, 3.0)
La Porte, IN - Starke, IN	No	167.2 (158.8, 175.9)	N/A	314	falling	-2.4 (-6.5, -1.2)
St. Joseph (South Bend), IN - Marshall, IN	No	167.0 (161.5, 172.6)	N/A	743	falling	-1.0 (-1.1, -0.8)
Fayette (Lexington-Fayette), KY - Jessamine, KY	No	166.9 (162.5, 171.4)	N/A	1,145	falling	-2.4 (-4.8, -1.3)
Washington (Johnson City), TN - Carter, TN	No	166.9 (160.3, 173.7)	N/A	507	falling	-1.1 (-1.3, -1.0)
Richland (Mansfield), OH - Ashland, OH	No	166.8 (159.7, 174.3)	N/A	431	falling	-0.8 (-1.0, -0.6)
McLennan (Waco), TX - Hill, TX	No	166.7 (161.3, 172.2)	N/A	752	falling	-1.2 (-1.5, -1.1)
Sweetwater, WY	No	166.7 (149.2, 185.7)	N/A	72	stable	-0.5 (-1.0, 0.1)
Dakota, NE - Thurston, NE	No	166.6 (148.2, 186.7)	N/A	62	falling	-0.7 (-1.1, -0.2)
Sumter, GA - Crisp, GA	No	166.6 (155.7, 178.0)	N/A	186	falling	-1.0 (-1.4, -0.6)
Pipestone, MN - Rock, MN	No	166.5 (146.0, 189.5)	N/A	50	stable	-0.4 (-1.2, 0.3)
Washburn, WI - Burnett, WI	No	166.4 (151.9, 182.3)	N/A	110	falling	-1.0 (-1.5, -0.5)
Pulaski, MO - Phelps, MO	No	166.2 (156.3, 176.5)	N/A	218	falling	-1.0 (-1.3, -0.6)
Massac, IL - Johnson, IL	No	166.0 (148.6, 185.2)	N/A	70	falling	-1.0 (-1.5, -0.5)
Spartanburg (Spartanburg), SC - Cherokee, SC	No	166.0 (161.0, 171.2)	N/A	856	falling	-1.5 (-2.0, -1.2)
Vernon, MO - Cedar, MO	No	165.9 (150.1, 183.2)	N/A	87	falling	-1.7 (-5.6, -0.9)
Franklin, KY - Anderson, KY	No	165.9 (155.3, 177.2)	N/A	189	falling	-1.2 (-1.6, -0.8)
Lee (Auburn), AL - Elmore, AL	No	165.9 (159.9, 172.0)	N/A	611	falling	-2.1 (-4.7, -1.1)
Monroe, MI	No	165.9 (158.1, 174.0)	N/A	358	falling	-1.1 (-1.3, -0.8)
Gaston (Gastonia), NC - Cleveland, NC	No	165.7 (161.2, 170.3)	N/A	1,073	falling	-1.2 (-1.5, -1.0)
Mineral, WV - Hardy, WV	No	165.7 (153.0, 179.2)	N/A	137	falling	-0.9 (-1.3, -0.4)
Crawford, WI	No	165.7 (143.6, 190.7)	N/A	45	falling	-0.7 (-1.2, -0.1)
Hancock (Weirton), WV - Brooke, WV	No	165.6 (153.4, 178.8)	N/A	146	falling	-1.1 (-1.4, -0.8)
Wicomico, MD - Worcester, MD	No	165.6 (158.5, 173.0)	N/A	433	falling	-1.4 (-1.7, -1.2)
Pope, AR - Yell, AR	No	165.6 (154.6, 177.2)	N/A	174	falling	-1.4 (-5.1, -0.8)
Muscogee (Columbus), GA - Harris, GA	No	165.6 (159.1, 172.2)	N/A	519	falling	-1.2 (-1.4, -1.0)
Weston, WY	No	165.6 (132.1, 206.4)	N/A	18	falling	-1.1 (-2.1, -0.1)
Siskiyou, CA	No	165.5 (151.9, 180.2)	N/A	126	falling	-1.0 (-1.3, -0.6)
Fairfield (Lancaster), OH - Athens, OH	No	165.4 (159.1, 172.0)	N/A	531	falling	-1.4 (-2.6, -1.1)
Hertford, NC - Bertie, NC	No	165.4 (153.9, 177.6)	N/A	169	falling	-1.5 (-1.8, -1.1)
White, IL - Hamilton, IL	No	165.3 (146.6, 186.2)	N/A	61	stable	-0.6 (-1.2, 0.1)
Lyon, KS - Coffey, KS	No	165.3 (151.2, 180.4)	N/A	108	falling	-0.7 (-1.2, -0.2)
Seward, KS - Morton, KS	No	165.3 (142.3, 190.8)	N/A	38	falling	-0.8 (-1.4, -0.2)
Isanti (Cambridge), MN - Mille Lacs, MN	No	165.3 (154.6, 176.5)	N/A	187	falling	-0.7 (-1.1, -0.2)
Androscoggin (Lewiston), ME - Oxford, ME	No	165.2 (158.5, 172.1)	N/A	493	falling	-1.2 (-1.4, -1.0)
Taylor (Abilene), TX - Jones, TX	No	165.2 (158.1, 172.5)	N/A	431	falling	-0.9 (-1.1, -0.7)
Custer, OK - Washita, OK	No	165.1 (148.5, 183.1)	N/A	76	falling	-0.8 (-5.9, -0.3)
Dallas, AL - Marengo, AL	No	165.1 (154.0, 176.8)	N/A	179	falling	-11.6 (-16.9, -7.9)
Mc Kean, PA - Potter, PA	No	164.9 (153.3, 177.3)	N/A	161	falling	-1.1 (-1.5, -0.7)
Rutland, VT	No	164.7 (153.2, 177.0)	N/A	165	falling	-0.8 (-1.0, -0.5)
Marion, OH - Crawford, OH	No	164.7 (158.1, 171.4)	N/A	491	falling	-1.0 (-1.3, -0.8)
Smith (Tyler), TX - Henderson, TX	No	164.6 (159.9, 169.5)	N/A	980	rising	3.1 (1.6, 6.1)
Barton, KS - Pawnee, KS	No	164.6 (149.4, 181.2)	N/A	94	stable	-0.4 (-0.9, 0.0)
Morgan (Decatur), AL - Lawrence, AL	No	164.6 (156.8, 172.7)	N/A	348	falling	-1.2 (-1.9, -0.9)
Cheyenne, NE - Kimball, NE	No	164.5 (140.9, 191.5)	N/A	38	stable	-0.7 (-1.5, 0.1)
Wilkes, NC	No	164.5 (153.5, 176.2)	N/A	176	falling	-0.8 (-2.9, -0.5)
Frederick, VA - Shenandoah, VA	No	164.3 (157.8, 171.0)	N/A	501	falling	-1.2 (-1.4, -1.0)
Montgomery (Montgomery), AL - Autauga, AL	No	164.1 (159.0, 169.4)	N/A	800	falling	-1.2 (-1.4, -1.0)
Erie (Erie), PA - Warren, PA	No	164.1 (158.6, 169.7)	N/A	728	falling	-0.9 (-1.1, -0.7)
Berrien (Benton Harbor), MI - Van Buren, MI	No	164.0 (158.4, 169.8)	N/A	680	falling	-1.0 (-1.2, -0.8)
Clinton, NY - Franklin, NY	No	164.0 (156.6, 171.6)	N/A	398	falling	-1.2 (-1.4, -0.9)
Pottawattamie (Council Bluffs), IA - Harrison, IA	No	163.9 (156.2, 172.0)	N/A	359	falling	-0.8 (-1.0, -0.6)
Mercer, PA	No	163.9 (155.3, 172.8)	N/A	297	falling	-0.8 (-1.1, -0.6)
Vanderburgh (Evansville), IN - Warrick, IN	No	163.8 (158.4, 169.5)	N/A	708	falling	-1.3 (-4.1, -0.7)
Schuylkill, PA - Northumberland, PA	No	163.8 (158.8, 169.0)	N/A	846	falling	-1.0 (-1.1, -0.8)
Duval (Jacksonville), FL - Clay, FL	No	163.8 (160.9, 166.7)	N/A	2,581	falling	-1.7 (-2.3, -1.5)
Moore, NC - Richmond, NC	No	163.7 (157.3, 170.4)	N/A	513	falling	-1.1 (-1.3, -0.8)
Allen (Lima), OH - Auglaize, OH	No	163.7 (157.9, 169.7)	N/A	632	falling	-0.9 (-1.1, -0.7)
Richland (Columbia), SC - Lexington, SC	No	163.5 (159.7, 167.4)	N/A	1,436	falling	-1.2 (-1.4, -1.1)
Richmond (South Augusta), GA - Columbia, GA	No	163.5 (158.3, 168.8)	N/A	786	falling	-1.7 (-2.6, -1.4)
Chippewa, MI - Emmet, MI	No	163.5 (155.8, 171.6)	N/A	364	falling	-0.9 (-1.1, -0.7)
Choctaw, AL - Sumter, AL	No	163.5 (144.9, 184.1)	N/A	61	falling	-1.2 (-1.7, -0.7)
Houston (Dothan), AL - Dale, AL	No	163.5 (157.6, 169.5)	N/A	621	falling	-1.5 (-2.8, -1.1)
Richardson, NE - Pawnee, NE	No	163.5 (137.3, 194.2)	N/A	32	stable	-0.6 (-1.3, 0.1)
Bell (Killeen), TX - Coryell, TX	No	163.4 (158.2, 168.7)	N/A	768	falling	-1.3 (-1.6, -0.7)
Jefferson (Beaumont), TX - Orange, TX	No	163.4 (158.6, 168.2)	N/A	938	falling	-1.4 (-1.6, -1.2)
Escambia (Pensacola), FL - Okaloosa, FL	No	163.4 (159.8, 167.0)	N/A	1,669	falling	-1.3 (-1.5, -1.2)
Wyandotte (Kansas City), KS - Leavenworth, KS	No	163.3 (156.4, 170.5)	N/A	439	falling	-2.6 (-6.8, -1.5)
Mifflin, PA - Huntingdon, PA	No	163.2 (154.7, 172.1)	N/A	291	stable	-0.5 (-1.0, 0.9)
Lycoming (Williamsport), PA - Clinton, PA	No	163.2 (155.5, 171.1)	N/A	362	falling	-0.9 (-1.1, -0.7)
Shelby (Memphis), TN - Tipton, TN	No	163.1 (159.8, 166.6)	N/A	1,872	falling	-2.8 (-3.8, -2.2)
Montgomery, IA - Adams, IA	No	163.1 (139.7, 190.1)	N/A	37	falling	-0.8 (-1.3, -0.3)
Jefferson (Louisville), KY - Bullitt, KY	No	163.1 (160.0, 166.2)	N/A	2,204	falling	-1.7 (-1.9, -1.6)
Scurry, TX	No	163.1 (138.3, 191.1)	N/A	31	falling	-1.2 (-2.1, -0.6)
Shawano, WI - Langlade, WI	No	163.0 (151.9, 174.9)	N/A	169	falling	-0.7 (-1.0, -0.3)
Boone (Columbia), MO - Randolph, MO	No	162.9 (156.4, 169.7)	N/A	481	falling	-1.0 (-1.2, -0.7)
Allen (Fort Wayne), IN - Noble, IN	No	162.9 (158.6, 167.3)	N/A	1,130	falling	-1.1 (-2.5, -1.0)
Tioga, PA	No	162.9 (148.8, 178.2)	N/A	107	falling	-0.9 (-1.4, -0.4)
Strafford (Rochester), NH	No	162.9 (153.9, 172.2)	N/A	261	falling	-1.2 (-1.5, -0.9)
Pitt, NC - Beaufort, NC	No	162.9 (156.6, 169.4)	N/A	532	falling	-1.4 (-1.7, -1.1)
Coos, NH	No	162.8 (147.6, 179.6)	N/A	92	falling	-1.3 (-1.9, -0.8)
Garland, AR - Hot Spring, AR	No	162.7 (155.8, 170.0)	N/A	444	falling	-1.4 (-2.2, -0.3)
Atchison, KS	No	162.6 (138.5, 190.0)	N/A	34	falling	-0.9 (-1.6, -0.2)
Fulton, NY - Montgomery (Amsterdam), NY	No	162.5 (153.3, 172.2)	N/A	244	falling	-1.1 (-1.5, -0.8)
Pennington, MN - Marshall, MN	No	162.4 (146.2, 180.3)	N/A	79	stable	6.6 (-0.8, 12.1)
Harrison (Marshall), TX - Cass, TX	No	162.4 (153.3, 172.0)	N/A	251	falling	-1.3 (-2.3, -1.0)
Cole, MO - Callaway, MO	No	162.4 (155.9, 169.1)	N/A	491	falling	-1.1 (-1.4, -0.9)
Fremont, WY - Washakie, WY	No	162.3 (149.3, 176.3)	N/A	123	falling	-0.9 (-1.4, -0.3)
White Pine, NV	No	162.3 (132.2, 198.0)	N/A	21	stable	-0.5 (-1.6, 0.8)
Lee, IA	No	162.2 (146.8, 179.1)	N/A	86	falling	-1.4 (-7.3, -0.4)
Quitman, GA	No	162.2 (113.6, 234.3)	N/A	8	stable	-0.8 (-2.6, 1.3)
Forsyth (Winston-Salem), NC - Surry, NC	No	162.2 (158.2, 166.4)	N/A	1,260	falling	-1.2 (-1.6, -1.0)
Catawba (Hickory), NC - Burke, NC	No	162.2 (157.0, 167.6)	N/A	768	falling	-1.4 (-2.4, -1.1)
Miami (Piqua), OH - Shelby, OH	No	162.2 (154.5, 170.2)	N/A	348	falling	-0.9 (-1.1, -0.7)
Boyd, NE	No	162.1 (106.3, 247.9)	N/A	7	stable	0.1 (-1.1, 1.2)
Luzerne (Wilkes-Barre), PA - Columbia, PA	No	162.0 (157.5, 166.7)	N/A	999	falling	-0.9 (-1.1, -0.8)
Lipscomb, TX	No	162.0 (111.0, 231.0)	N/A	7	falling	-1.6 (-3.2, -0.2)
Licking (Newark), OH - Knox, OH	No	162.0 (155.6, 168.6)	N/A	506	falling	-1.2 (-1.4, -1.1)
Victoria (Victoria), TX - Calhoun, TX	No	161.9 (154.7, 169.3)	N/A	399	falling	-0.8 (-1.1, -0.6)
Lucas, IA - Wayne, IA	No	161.8 (139.5, 187.2)	N/A	40	falling	-0.8 (-1.3, -0.2)
Wilbarger, TX - Hardeman, TX	No	161.8 (139.8, 186.6)	N/A	41	stable	-0.6 (-1.3, 0.0)
Aroostook, ME	No	161.7 (151.4, 172.7)	N/A	198	falling	-1.0 (-1.3, -0.7)
Delaware, OK	No	161.7 (148.0, 176.6)	N/A	114	falling	-1.0 (-1.5, -0.5)
Sumner (Hendersonville), TN - Wilson, TN	No	161.7 (156.5, 166.9)	N/A	782	stable	-0.9 (-1.6, 0.6)
Winnebago (Rockford), IL - Ogle, IL	No	161.7 (157.0, 166.5)	N/A	932	falling	-2.0 (-4.5, -1.1)
Mobile (Mobile), AL - Baldwin, AL	No	161.6 (158.0, 165.4)	N/A	1,544	falling	-2.3 (-3.6, -1.7)
Lackawanna (Scranton), PA - Wayne, PA	No	161.6 (156.0, 167.4)	N/A	665	falling	-1.1 (-1.3, -0.8)
Sangamon (Springfield), IL - Christian, IL	No	161.6 (156.3, 167.1)	N/A	731	falling	-2.8 (-5.7, -1.5)
Hancock, OH - Seneca, OH	No	161.6 (153.1, 170.4)	N/A	285	falling	-0.7 (-1.0, -0.4)
Jasper, GA	No	161.5 (136.9, 189.7)	N/A	32	falling	-1.0 (-1.7, -0.1)
Lauderdale (Florence), AL - Colbert, AL	No	161.5 (154.9, 168.3)	N/A	483	falling	-2.1 (-4.6, -1.3)
Pueblo (Pueblo), CO - Las Animas, CO	No	161.5 (154.6, 168.6)	N/A	438	falling	-0.6 (-0.8, -0.3)
Marinette, WI - Florence, WI	No	161.4 (148.6, 175.2)	N/A	132	falling	-0.8 (-1.2, -0.5)
Lane (Eugene), OR - Douglas, OR	No	161.4 (157.2, 165.7)	N/A	1,199	falling	-1.0 (-1.1, -0.8)
Lea, NM	No	161.4 (147.6, 176.0)	N/A	106	falling	-1.3 (-1.7, -0.9)
Barron, WI - Rusk, WI	No	161.3 (150.1, 173.3)	N/A	165	falling	-0.8 (-1.0, -0.5)
Walker, GA - Catoosa, GA	No	161.3 (153.6, 169.3)	N/A	341	falling	-1.7 (-2.9, -1.3)
Knox (Knoxville), TN - Blount, TN	No	161.2 (158.0, 164.5)	N/A	1,970	falling	-1.3 (-1.7, -1.1)
Montgomery (Dayton), OH - Greene, OH	No	161.2 (157.8, 164.7)	N/A	1,747	falling	-3.4 (-5.2, -1.3)
Adams, NE - Clay, NE	No	161.2 (147.3, 176.2)	N/A	106	falling	-0.9 (-1.2, -0.5)
Greene (Springfield), MO - Christian, MO	No	161.2 (157.5, 164.9)	N/A	1,536	stable	-0.6 (-1.2, 0.9)
Virginia Beach City, VA - Norfolk City, VA	No	161.2 (158.1, 164.3)	N/A	2,151	falling	-1.7 (-2.5, -1.6)
Pratt, KS - Kiowa, KS	No	161.2 (137.2, 188.7)	N/A	35	stable	-0.4 (-1.3, 0.4)
Lancaster, SC - Kershaw, SC	No	161.1 (153.8, 168.8)	N/A	379	falling	-1.2 (-1.4, -0.8)
Saginaw (Saginaw), MI - Tuscola, MI	No	161.1 (155.5, 166.8)	N/A	667	falling	-1.0 (-1.2, -0.9)
St. Clair (Belleville), IL - Clinton, IL	No	161.1 (155.8, 166.4)	N/A	751	falling	-1.4 (-1.5, -1.2)
Galveston, TX	No	161.0 (155.3, 166.8)	N/A	644	falling	-2.0 (-4.5, -1.5)
Lubbock (Lubbock), TX - Hockley, TX	No	160.9 (155.3, 166.7)	N/A	637	falling	-0.8 (-1.0, -0.6)
Roanoke City, VA - Roanoke, VA	No	160.8 (156.9, 164.7)	N/A	1,403	falling	-1.0 (-1.1, -0.8)
Montgomery, IN	No	160.7 (145.4, 177.4)	N/A	84	falling	-1.2 (-1.9, -0.8)
Kenton (Covington), KY - Campbell, KY	No	160.7 (155.7, 165.8)	N/A	826	falling	-1.9 (-2.5, -1.7)
Oktibbeha, MS - Winston, MS	No	160.6 (149.4, 172.6)	N/A	160	falling	-0.9 (-1.2, -0.5)
Livingston, MO - Carroll, MO	No	160.6 (142.0, 181.4)	N/A	57	stable	-0.4 (-0.9, 0.1)
Stark (Canton), OH - Wayne, OH	No	160.5 (156.7, 164.3)	N/A	1,485	falling	-0.9 (-1.0, -0.8)
Guthrie, IA - Greene, IA	No	160.4 (140.6, 182.7)	N/A	52	stable	-0.3 (-0.8, 0.2)
Union, OR - Baker, OR	No	160.4 (147.8, 174.0)	N/A	132	falling	-1.0 (-1.4, -0.5)
Guilford (Greensboro), NC - Davidson, NC	No	160.4 (157.2, 163.7)	N/A	1,933	falling	-1.0 (-1.2, -0.9)
Bennington, VT	No	160.4 (146.0, 176.1)	N/A	100	falling	-1.1 (-1.5, -0.8)
St. Lawrence, NY - Jefferson, NY	No	160.4 (154.0, 166.9)	N/A	502	falling	-1.5 (-2.1, -1.3)
Rock Island (Moline), IL - Henry, IL	No	160.3 (154.0, 166.8)	N/A	509	falling	-1.0 (-1.2, -0.8)
Ketchikan Gateway Borough, AK - Wrangell-Petersburg Cen, AK	No	160.3 (140.7, 182.0)	N/A	53	falling	-1.2 (-1.9, -0.4)
Cumberland, TN - Fentress, TN	No	160.3 (151.5, 169.5)	N/A	284	falling	-1.0 (-1.3, -0.6)
Washington (Hagerstown), MD	No	160.2 (152.6, 168.2)	N/A	337	falling	-1.2 (-1.4, -1.0)
Lafayette, MS - Calhoun, MS	No	160.1 (148.6, 172.4)	N/A	149	falling	-3.3 (-9.8, -1.1)
Monongalia, WV - Marion, WV	No	160.1 (153.1, 167.3)	N/A	411	falling	-1.1 (-1.4, -0.8)
Marquette, MI - Delta, MI	No	160.1 (152.0, 168.5)	N/A	319	falling	-0.9 (-1.1, -0.6)
Colquitt, GA	No	159.9 (145.0, 176.0)	N/A	86	falling	-1.1 (-1.4, -0.8)
Crawford, PA	No	159.9 (150.0, 170.3)	N/A	209	falling	-1.6 (-3.0, -1.1)
St. Louis, MO - St. Louis City, MO	No	159.7 (157.4, 162.1)	N/A	3,662	falling	-1.5 (-2.2, -1.3)
Caledonia, VT - Orleans, VT	No	159.7 (149.7, 170.4)	N/A	201	falling	-0.9 (-1.2, -0.6)
Chambers, AL - Randolph, AL	No	159.7 (147.5, 172.7)	N/A	136	falling	-2.2 (-5.5, -1.2)
Horry, SC - Georgetown, SC	No	159.7 (155.3, 164.2)	N/A	1,122	falling	-2.4 (-4.2, -1.1)
Cleveland (Norman), OK - McClain, OK	No	159.7 (154.2, 165.3)	N/A	669	falling	-0.7 (-0.9, -0.5)
Lorain (Lorain), OH - Erie, OH	No	159.5 (155.3, 163.8)	N/A	1,158	falling	-2.0 (-3.2, -1.5)
Perry, IN	No	159.5 (138.3, 183.3)	N/A	43	stable	-0.8 (-1.6, 0.1)
Glynn, GA - Camden, GA	No	159.4 (152.3, 166.8)	N/A	400	falling	-1.4 (-1.7, -1.2)
Hill, MT - Blaine, MT	No	159.4 (141.2, 179.4)	N/A	59	falling	-1.0 (-1.6, -0.4)
Franklin, PA - Fulton, PA	No	159.2 (152.2, 166.5)	N/A	404	falling	-0.8 (-1.1, -0.6)
Elk, PA	No	159.2 (143.8, 176.0)	N/A	84	falling	-1.1 (-1.5, -0.7)
Laramie (Cheyenne), WY	No	159.1 (149.1, 169.7)	N/A	196	falling	-1.1 (-1.6, -0.6)
York (Rock Hill), SC - Chester, SC	No	159.1 (153.2, 165.2)	N/A	571	falling	-1.9 (-4.2, -1.3)
Tippecanoe (Lafayette), IN - Clinton, IN	No	159.0 (152.5, 165.8)	N/A	462	falling	-1.1 (-1.3, -0.8)
Sedgwick (Wichita), KS - Butler, KS	No	159.0 (155.1, 163.0)	N/A	1,328	falling	-0.9 (-1.1, -0.4)
Monroe (Bloomington), IN - Greene, IN	No	158.9 (151.8, 166.3)	N/A	394	falling	-1.3 (-2.1, -1.0)
Sussex, DE - Kent, DE	No	158.8 (154.4, 163.4)	N/A	1,085	falling	-1.4 (-1.6, -1.2)
Dewey, SD - Walworth, SD	No	158.8 (136.7, 183.8)	N/A	39	falling	-0.9 (-1.4, -0.3)
Baldwin, GA	No	158.8 (143.7, 175.3)	N/A	85	falling	-0.8 (-1.2, -0.3)
Roosevelt, MT - Valley, MT	No	158.8 (135.8, 184.8)	N/A	36	falling	-1.2 (-2.0, -0.4)
Camden, MO	No	158.7 (146.1, 172.4)	N/A	136	falling	-0.7 (-1.1, -0.2)
Jackson (Medford), OR - Josephine, OR	No	158.7 (153.7, 163.9)	N/A	814	falling	-1.0 (-1.2, -0.8)
Lincoln, NE - Keith, NE	No	158.7 (145.9, 172.5)	N/A	120	falling	-0.6 (-1.0, -0.2)
Yakima (Yakima), WA - Kittitas, WA	No	158.7 (152.5, 165.0)	N/A	517	falling	-0.8 (-1.0, -0.6)
Cambria, PA - Blair (Altoona), PA	No	158.6 (154.0, 163.3)	N/A	971	falling	-0.9 (-1.1, -0.7)
Goodhue, MN	No	158.6 (145.4, 172.8)	N/A	113	falling	-0.7 (-1.1, -0.3)
Polk, WI	No	158.6 (145.4, 172.7)	N/A	114	falling	-1.0 (-1.4, -0.6)
Lauderdale, MS - Neshoba, MS	No	158.5 (150.5, 166.8)	N/A	309	falling	-1.5 (-4.5, -1.1)
Tom Green (San Angelo), TX - Runnels, TX	No	158.4 (150.7, 166.5)	N/A	326	falling	-1.0 (-1.3, -0.7)
Effingham, IL - Fayette, IL	No	158.4 (145.8, 171.8)	N/A	123	falling	-1.0 (-1.3, -0.7)
Linn, OR - Benton, OR	No	158.3 (151.8, 165.2)	N/A	458	falling	-0.8 (-1.0, -0.5)
Des Moines, IA - Henry, IA	No	158.2 (146.5, 170.8)	N/A	140	falling	-0.8 (-1.1, -0.4)
Malheur, OR	No	158.2 (140.8, 177.3)	N/A	62	stable	0.6 (-0.5, 6.8)
Cuyahoga (Cleveland), OH - Lake, OH	No	158.2 (155.9, 160.5)	N/A	3,818	falling	-1.6 (-2.0, -1.4)
Clay, KS	No	158.1 (129.3, 192.8)	N/A	22	stable	-0.5 (-1.3, 0.4)
Brazoria (Lake Jackson), TX - Wharton, TX	No	158.0 (152.8, 163.4)	N/A	729	stable	-0.6 (-1.2, 1.2)
Boone, IN	No	158.0 (145.6, 171.3)	N/A	123	falling	-1.2 (-1.5, -0.8)
Yancey, NC - Avery, NC	No	158.0 (146.1, 170.7)	N/A	141	falling	-0.7 (-1.0, -0.4)
Howard, TX - Glasscock, TX	No	157.9 (140.1, 177.5)	N/A	59	falling	-1.0 (-1.6, -0.5)
Floyd, IA - Chickasaw, IA	No	157.9 (141.0, 176.5)	N/A	69	falling	-0.8 (-1.3, -0.3)
Bradford, PA - Susquehanna, PA	No	157.8 (149.4, 166.8)	N/A	277	falling	-1.1 (-2.1, -0.8)
Newport News City, VA - Hampton City, VA	No	157.8 (153.6, 162.1)	N/A	1,112	falling	-1.5 (-1.7, -1.4)
Summit (Akron), OH - Portage, OH	No	157.8 (154.6, 161.1)	N/A	1,905	falling	-1.3 (-2.4, -1.2)
Collingsworth, TX	No	157.8 (101.7, 235.6)	N/A	5	stable	-0.6 (-1.9, 0.5)
Marshall, IA - Tama, IA	No	157.8 (145.3, 171.0)	N/A	125	falling	-1.0 (-1.4, -0.6)
Kent (Grand Rapids), MI - Ionia, MI	No	157.7 (154.2, 161.4)	N/A	1,562	falling	-1.0 (-1.1, -0.8)
Phillips, KS - Norton, KS	No	157.6 (134.4, 184.3)	N/A	37	falling	-1.1 (-1.7, -0.5)
Otero, CO - Prowers, CO	No	157.3 (143.1, 172.6)	N/A	95	falling	-0.7 (-1.2, -0.2)
Minnehaha (Sioux Falls), SD - Lincoln, SD	No	157.1 (151.1, 163.4)	N/A	537	falling	-1.0 (-2.4, -0.8)
Gray, TX - Wheeler, TX	No	157.1 (139.8, 176.0)	N/A	62	falling	-0.7 (-1.3, -0.2)
Hamilton (Cincinnati), OH - Butler, OH	No	157.0 (154.6, 159.5)	N/A	3,314	falling	-1.7 (-1.8, -1.6)
Rock (Janesville), WI - Green, WI	No	156.9 (150.4, 163.6)	N/A	457	falling	-1.0 (-1.2, -0.7)
Lake (Gary), IN - Porter, IN	No	156.8 (153.1, 160.5)	N/A	1,462	falling	-1.9 (-2.2, -1.7)
York, ME	No	156.6 (150.4, 163.1)	N/A	509	falling	-1.3 (-1.5, -1.1)
Woodbury (Sioux City), IA - Plymouth, IA	No	156.6 (149.3, 164.2)	N/A	366	falling	-0.8 (-1.1, -0.6)
Otsego, NY - Chenango, NY	No	156.5 (149.9, 163.4)	N/A	456	falling	-1.2 (-1.4, -1.0)
Oneida, WI - Vilas, WI	No	156.5 (147.1, 166.5)	N/A	234	falling	-1.1 (-1.4, -0.8)
Clark, WA - Cowlitz, WA	No	156.3 (152.3, 160.5)	N/A	1,177	falling	-1.6 (-2.0, -1.4)
Jackson (Kansas City), MO - Clay, MO	No	156.3 (153.5, 159.1)	N/A	2,488	falling	-1.7 (-2.3, -1.4)
Taney, MO	No	156.2 (144.2, 169.0)	N/A	135	falling	-1.2 (-1.7, -0.7)
Kalamazoo (Kalamazoo), MI - St. Joseph, MI	No	156.1 (150.5, 161.9)	N/A	600	falling	-1.1 (-1.3, -0.9)
Columbia, NY - Greene, NY	No	156.0 (147.8, 164.6)	N/A	291	falling	-1.4 (-1.6, -1.1)
Pennington (Rapid City), SD - Meade, SD	No	156.0 (148.6, 163.6)	N/A	362	falling	-1.1 (-1.4, -0.7)
Augusta, VA - Staunton City, VA	No	155.9 (149.0, 163.1)	N/A	403	falling	-1.1 (-1.4, -0.8)
Shawnee (Topeka), KS - Riley, KS	No	155.9 (150.6, 161.4)	N/A	682	falling	-0.8 (-1.0, -0.6)
Elkhart (Elkhart), IN - Kosciusko, IN	No	155.9 (150.0, 162.0)	N/A	537	falling	-0.8 (-1.0, -0.6)
Pulaski (Little Rock), AR - Faulkner, AR	No	155.9 (152.3, 159.5)	N/A	1,514	falling	-1.7 (-3.2, -1.3)
Marshall, KS - Washington, KS	No	155.7 (134.2, 180.2)	N/A	41	stable	-0.5 (-1.1, 0.0)
Thurston (Olympia), WA - Grays Harbor, WA	No	155.6 (151.1, 160.3)	N/A	942	stable	0.6 (-1.6, 1.9)
Martin, MN	No	155.6 (136.6, 177.0)	N/A	55	stable	-0.5 (-1.2, 0.2)
Umatilla, OR - Morrow, OR	No	155.6 (145.1, 166.6)	N/A	170	falling	-1.0 (-1.4, -0.6)
Racine (Racine), WI - Kenosha, WI	No	155.6 (150.4, 160.9)	N/A	706	falling	-4.0 (-6.4, -1.4)
Stephenson, IL - Jo Daviess, IL	No	155.6 (145.0, 166.9)	N/A	182	falling	-0.9 (-1.2, -0.6)
Putnam, GA - Hancock, GA	No	155.5 (139.8, 172.7)	N/A	80	falling	-1.1 (-1.6, -0.6)
Cattaraugus, NY - Allegany, NY	No	155.4 (147.1, 164.1)	N/A	279	stable	-0.9 (-1.4, 0.6)
Dickinson, MI - Menominee, MI	No	155.3 (144.6, 166.8)	N/A	172	falling	-1.0 (-1.3, -0.7)
Clarke (Athens), GA - Barrow, GA	No	155.3 (149.8, 161.1)	N/A	607	falling	-1.4 (-1.8, -1.0)
Ingham (Lansing), MI - Eaton, MI	No	155.3 (151.0, 159.8)	N/A	1,015	falling	-1.0 (-1.2, -0.8)
Bibb (Macon), GA - Houston, GA	No	155.3 (150.7, 160.1)	N/A	873	falling	-1.3 (-1.5, -1.1)
Jefferson (Birmingham), AL - Shelby, AL	No	155.3 (152.5, 158.1)	N/A	2,490	falling	-1.7 (-2.1, -1.5)
Aiken, SC - Edgefield, SC	No	155.2 (148.9, 161.7)	N/A	482	falling	-1.3 (-1.6, -1.0)
Atlantic (Atlantic City), NJ - Cape May, NJ	No	154.9 (150.2, 159.8)	N/A	877	falling	-2.1 (-3.5, -1.7)
Chautauqua, NY	No	154.9 (146.8, 163.3)	N/A	299	falling	-0.9 (-1.2, -0.7)
Clayton, IA - Delaware, IA	No	154.7 (140.0, 170.8)	N/A	89	falling	-0.9 (-1.2, -0.5)
Harford, MD - Cecil, MD	No	154.7 (149.6, 160.0)	N/A	713	falling	-1.5 (-3.0, -1.4)
Wayne (Detroit), MI - Oakland, MI	No	154.7 (153.1, 156.3)	N/A	7,757	falling	-1.8 (-2.4, -1.5)
Will (Joliet), IL - Grundy, IL	No	154.7 (150.8, 158.7)	N/A	1,243	falling	-1.5 (-1.8, -1.3)
Pasquotank, NC - Dare, NC	No	154.7 (145.6, 164.2)	N/A	233	falling	-1.3 (-1.6, -1.0)
Payette, ID - Washington, ID	No	154.5 (140.7, 169.6)	N/A	97	falling	-1.1 (-1.5, -0.7)
Shasta (Redding), CA - Trinity, CA	No	154.5 (148.3, 161.0)	N/A	496	falling	-2.8 (-7.0, -1.4)
Coweta, GA - Troup (La Grange), GA	No	154.4 (148.0, 161.1)	N/A	454	falling	-1.3 (-1.6, -1.0)
Otoe, NE - Johnson, NE	No	154.1 (134.9, 175.6)	N/A	49	falling	-0.8 (-1.5, -0.2)
Montgomery, VA - Pulaski, VA	No	154.1 (147.0, 161.5)	N/A	365	falling	-1.2 (-1.4, -1.1)
Hughes, SD - Stanley, SD	No	154.1 (136.6, 173.3)	N/A	59	falling	-0.8 (-1.4, -0.2)
Jackson, NC - Macon, NC	No	154.0 (145.3, 163.2)	N/A	253	falling	-0.8 (-1.1, -0.6)
Rabun, GA	No	154.0 (134.4, 176.5)	N/A	50	falling	-1.1 (-1.7, -0.5)
New Castle (Wilmington), DE	No	154.0 (149.9, 158.2)	N/A	1,088	falling	-1.6 (-1.8, -1.5)
Custer, MT - Fallon, MT	No	154.0 (134.6, 175.7)	N/A	49	falling	-1.3 (-1.9, -0.7)
Saline, KS - Ellsworth, KS	No	153.9 (143.0, 165.6)	N/A	156	falling	-0.6 (-0.9, -0.2)
Orleans (New Orleans), LA - Jefferson, LA	No	153.9 (150.7, 157.1)	N/A	1,903	falling	-2.2 (-2.5, -2.0)
Brown, MN - Renville, MN	No	153.8 (141.9, 166.5)	N/A	137	falling	-0.7 (-1.1, -0.3)
Jackson, WI	No	153.7 (134.3, 175.5)	N/A	47	falling	-1.3 (-1.8, -0.7)
Cabarrus (Concord), NC - Rowan, NC	No	153.7 (148.9, 158.7)	N/A	796	falling	-2.4 (-4.6, -1.4)
Grand Forks (Grand Forks), ND - Walsh, ND	No	153.6 (143.4, 164.3)	N/A	181	falling	-1.3 (-1.7, -0.9)
Ramsey, ND - Benson, ND	No	153.5 (133.1, 176.4)	N/A	44	falling	-1.8 (-8.3, -0.6)
Roberts, SD	No	153.4 (125.4, 186.5)	N/A	22	falling	-1.2 (-2.0, -0.3)
Freeborn, MN - Faribault, MN	No	153.4 (140.6, 167.2)	N/A	117	falling	-0.5 (-0.8, -0.2)
Crow Wing, MN - Cass, MN	No	153.4 (146.4, 160.7)	N/A	400	falling	-0.9 (-1.2, -0.7)
Mitchell, IA	No	153.3 (128.0, 183.1)	N/A	28	falling	-0.9 (-1.7, -0.1)
Potter (Amarillo), TX - Randall, TX	No	153.3 (147.8, 159.0)	N/A	605	falling	-1.1 (-1.2, -0.9)
Spokane (Spokane), WA - Stevens, WA	No	153.3 (149.4, 157.2)	N/A	1,256	falling	-1.1 (-1.2, -0.9)
Polk (Des Moines), IA - Dallas, IA	No	152.9 (149.2, 156.7)	N/A	1,334	falling	-1.7 (-3.1, -1.2)
Lemhi, ID	No	152.9 (125.8, 186.2)	N/A	25	stable	-0.9 (-1.8, 0.1)
Gilmer, GA - Fannin, GA	No	152.8 (141.5, 165.0)	N/A	159	falling	-1.3 (-1.7, -1.0)
Bristol (New Bedford), MA	No	152.8 (148.8, 156.9)	N/A	1,166	stable	0.5 (-1.5, 1.8)
Allegheny (Pittsburgh), PA - Westmoreland, PA	No	152.8 (150.9, 154.8)	N/A	4,897	falling	-1.7 (-1.9, -1.5)
Pierce, WA	No	152.8 (149.3, 156.3)	N/A	1,512	falling	-1.6 (-2.0, -1.4)
McLean (Bloomington), IL - Woodford, IL	No	152.8 (146.0, 159.8)	N/A	396	falling	-1.0 (-1.2, -0.9)
Leon (Tallahassee), FL - Gadsden, FL	No	152.7 (147.9, 157.7)	N/A	799	falling	-1.5 (-1.7, -1.3)
Curry, NM - Roosevelt, NM	No	152.7 (141.3, 164.9)	N/A	136	falling	-0.9 (-1.3, -0.5)
Windham, VT	No	152.7 (139.8, 166.7)	N/A	114	falling	-1.4 (-1.8, -1.0)
St. Tammany (Slidell), LA - Washington, LA	No	152.6 (147.2, 158.2)	N/A	623	falling	-1.9 (-2.5, -1.6)
Webster, IA - Humboldt, IA	No	152.5 (140.3, 165.6)	N/A	125	falling	-1.1 (-1.5, -0.7)
Gaines, TX - Andrews, TX	No	152.4 (132.9, 173.8)	N/A	46	falling	-0.9 (-1.4, -0.4)
Baltimore, MD - Baltimore City, MD	No	152.3 (150.4, 154.3)	N/A	4,925	falling	-1.9 (-3.1, -1.8)
Brevard (Palm Bay), FL - Indian River, FL	No	152.2 (149.2, 155.3)	N/A	2,186	stable	-0.2 (-2.2, 1.2)
Nez Perce, ID - Idaho, ID	No	152.2 (142.2, 162.8)	N/A	185	falling	-0.8 (-1.1, -0.3)
Lowndes, GA - Brooks, GA	No	152.1 (144.4, 160.1)	N/A	304	falling	-2.0 (-4.1, -1.6)
Reno, KS - Rice, KS	No	152.0 (141.5, 163.1)	N/A	168	falling	-0.6 (-1.1, -0.2)
Allamakee, IA	No	151.9 (128.5, 178.9)	N/A	34	stable	-0.8 (-1.7, 0.1)
Mahoning (Youngstown), OH - Trumbull, OH	No	151.9 (147.6, 156.3)	N/A	1,027	falling	-2.4 (-3.6, -1.8)
Scott (Davenport), IA - Muscatine, IA	No	151.9 (145.4, 158.6)	N/A	423	falling	-2.5 (-6.3, -1.2)
Phelps, NE - Furnas, NE	No	151.9 (131.4, 175.1)	N/A	44	stable	-0.3 (-1.1, 0.4)
Stanislaus (Modesto), CA - Merced, CA	No	151.8 (148.3, 155.4)	N/A	1,451	falling	-1.6 (-3.0, -0.8)
St. Louis (Duluth), MN - Itasca, MN	No	151.8 (146.9, 156.7)	N/A	801	falling	-2.2 (-5.2, -1.2)
Queen Annes, MD - Talbot, MD	No	151.6 (144.7, 158.8)	N/A	380	falling	-1.6 (-1.8, -1.4)
York (York), PA - Adams, PA	No	151.6 (147.7, 155.6)	N/A	1,190	falling	-1.1 (-1.2, -1.0)
Lewis and Clark, MT - Jefferson, MT	No	151.5 (141.7, 161.8)	N/A	193	falling	-1.3 (-1.6, -0.9)
Anchorage (Anchorage), AK - Matanuska-Susitna Borough, AK	No	151.5 (146.5, 156.6)	N/A	778	falling	-1.4 (-1.5, -1.2)
Nueces (Corpus Christi), TX - San Patricio, TX	No	151.4 (147.1, 155.8)	N/A	973	falling	-1.3 (-1.5, -1.1)
Clallam, WA - Jefferson, WA	No	151.3 (143.8, 159.2)	N/A	362	falling	-1.1 (-1.4, -0.9)
Henrico (Richmond), VA - Chesterfield, VA	No	151.3 (148.6, 154.0)	N/A	2,523	falling	-1.8 (-2.1, -1.7)
Durham (Durham), NC - Granville, NC	No	151.3 (146.7, 156.0)	N/A	863	falling	-2.0 (-2.4, -1.7)
East Baton Rouge (Baton Rouge), LA - Livingston, LA	No	151.3 (147.7, 154.9)	N/A	1,402	falling	-2.0 (-3.1, -1.7)
New Hanover (Wilmington), NC - Brunswick, NC	No	151.3 (146.9, 155.7)	N/A	1,008	falling	-1.3 (-1.5, -1.1)
Camden (Camden), NJ - Burlington, NJ	No	151.2 (148.5, 153.8)	N/A	2,631	falling	-2.0 (-2.2, -1.8)
Davidson (Nashville-Davidson), TN - Williamson, TN	No	151.1 (148.0, 154.3)	N/A	1,879	falling	-2.1 (-2.3, -1.9)
Oneida (Utica), NY - Madison, NY	No	151.0 (146.2, 156.0)	N/A	791	falling	-1.2 (-1.4, -1.1)
Erie (Buffalo), NY - Monroe, NY	No	151.0 (149.0, 153.1)	N/A	4,438	falling	-2.1 (-2.9, -1.5)
Chatham (Savannah), GA - Liberty, GA	No	150.9 (146.4, 155.6)	N/A	849	falling	-2.0 (-2.4, -1.7)
Lyon, MN - Lincoln, MN	No	150.9 (134.4, 169.0)	N/A	66	falling	-0.8 (-1.4, -0.3)
Childress, TX - Hall, TX	No	150.8 (124.3, 182.0)	N/A	24	falling	-1.0 (-1.9, -0.2)
Grant, WA - Chelan, WA	No	150.7 (144.8, 156.9)	N/A	511	falling	-1.0 (-1.1, -0.8)
Douglas (Omaha), NE - Sarpy, NE	No	150.4 (146.9, 154.0)	N/A	1,461	falling	-2.0 (-3.0, -1.5)
Tulare, CA	No	150.2 (144.9, 155.5)	N/A	639	stable	1.3 (-1.0, 3.7)
District of Columbia	No	150.0 (145.9, 154.3)	N/A	1,005	falling	-2.2 (-3.4, -2.1)
Kerr, TX - Gillespie, TX	No	150.0 (142.0, 158.4)	N/A	304	falling	-1.0 (-1.2, -0.7)
Clark, MO	No	150.0 (117.9, 189.5)	N/A	16	stable	-1.0 (-2.2, 0.2)
Rockingham, VA - Harrisonburg City, VA	No	150.0 (142.4, 157.9)	N/A	304	falling	-0.8 (-1.0, -0.6)
Lehigh (Allentown), PA - Northampton, PA	No	149.9 (146.9, 153.0)	N/A	1,917	falling	-1.4 (-2.0, -1.2)
Milwaukee (Milwaukee), WI - Waukesha, WI	No	149.9 (147.4, 152.4)	N/A	2,911	falling	-1.6 (-1.9, -1.4)
Allegany (Cumberland), MD - Garrett, MD	No	149.6 (140.8, 158.9)	N/A	228	falling	-1.1 (-1.4, -0.9)
Sutter (Yuba City), CA - Yuba, CA	No	149.6 (142.4, 157.0)	N/A	338	falling	-1.4 (-1.6, -1.1)
Marion (Salem), OR - Yamhill, OR	No	149.6 (145.4, 153.9)	N/A	1,001	falling	-1.4 (-1.8, -1.2)
Ford, KS - Gray, KS	No	149.5 (134.7, 165.6)	N/A	77	falling	-1.0 (-1.6, -0.5)
Campbell, WY - Crook, WY	No	149.5 (134.1, 166.1)	N/A	78	falling	-1.2 (-1.8, -0.4)
Grant, KS - Stanton, KS	No	149.5 (118.0, 187.0)	N/A	16	stable	-1.0 (-2.0, 0.1)
Charleston (Charleston), SC - Berkeley, SC	No	149.4 (146.0, 152.9)	N/A	1,533	falling	-3.4 (-4.9, -1.7)
Mitchell, KS - Osborne, KS	No	149.4 (126.4, 176.1)	N/A	34	falling	-0.8 (-1.4, -0.1)
Silver Bow, MT - Deer Lodge, MT	No	149.3 (137.3, 162.2)	N/A	122	falling	-1.7 (-4.6, -1.2)
Lyon, IA	No	149.2 (123.6, 179.0)	N/A	26	falling	-1.3 (-2.2, -0.4)
Winnebago (Oshkosh), WI - Fond du Lac, WI	No	149.1 (144.6, 153.8)	N/A	850	falling	-1.7 (-2.4, -1.3)
Woodward, OK - Dewey, OK	No	149.1 (133.0, 166.8)	N/A	64	falling	-1.3 (-3.7, -0.7)
Hamilton (Chattanooga), TN - Marion, TN	No	149.1 (144.5, 153.8)	N/A	834	falling	-1.9 (-2.3, -1.7)
Franklin (Columbus), OH - Delaware, OH	No	148.9 (146.3, 151.6)	N/A	2,506	falling	-2.0 (-2.3, -1.8)
Hale, TX - Castro, TX	No	148.9 (134.1, 164.8)	N/A	77	falling	-0.6 (-1.1, -0.2)
New London, CT	No	148.8 (143.2, 154.6)	N/A	560	falling	-1.2 (-1.5, -1.0)
Fayette, TX - Colorado, TX	No	148.8 (136.2, 162.4)	N/A	114	falling	-1.1 (-1.5, -0.6)
Cheshire, NH	No	148.6 (138.6, 159.2)	N/A	176	falling	-1.2 (-1.7, -0.8)
Solano (Vallejo), CA - Napa, CA	No	148.6 (144.9, 152.4)	N/A	1,288	falling	-1.4 (-1.6, -1.3)
Black Hawk (Waterloo), IA - Bremer, IA	No	148.6 (142.4, 155.0)	N/A	451	falling	-1.1 (-1.4, -0.9)
Tarrant (Fort Worth), TX - Johnson, TX	No	148.4 (146.2, 150.6)	N/A	3,671	falling	-1.4 (-1.5, -1.3)
Clay, MN - Becker, MN	No	148.3 (139.6, 157.5)	N/A	225	falling	-0.8 (-1.1, -0.5)
Texas, OK - Cimarron, OK	No	148.2 (126.9, 172.1)	N/A	36	falling	-0.8 (-1.5, -0.1)
Grand Traverse, MI - Manistee, MI	No	148.1 (142.1, 154.4)	N/A	501	falling	-1.3 (-1.5, -1.0)
Cascade (Great Falls), MT - Glacier, MT	No	148.1 (139.9, 156.6)	N/A	257	falling	-1.2 (-1.5, -1.0)
Iredell (Statesville), NC - Alexander, NC	No	148.0 (141.7, 154.6)	N/A	425	falling	-2.2 (-4.8, -1.1)
Berks, PA	No	148.0 (143.5, 152.6)	N/A	849	falling	-1.1 (-1.3, -1.0)
Clark (Las Vegas), NV - Nye, NV	No	147.8 (145.7, 149.9)	N/A	3,928	falling	-3.1 (-5.0, -1.5)
Kootenai, ID - Bonner, ID	No	147.8 (142.2, 153.6)	N/A	555	falling	-5.1 (-7.4, -3.4)
Whitman, WA	No	147.7 (131.0, 166.0)	N/A	59	stable	7.9 (-0.4, 13.5)
Washington (Fayetteville), AR - Benton, AR	No	147.7 (143.1, 152.3)	N/A	817	falling	-1.9 (-3.7, -1.2)
Hall, GA - Habersham, GA	No	147.6 (143.0, 152.4)	N/A	793	falling	-1.0 (-1.2, -0.7)
Ontario (Geneva), NY - Wayne, NY	No	147.6 (142.1, 153.3)	N/A	578	falling	-1.4 (-1.6, -1.2)
Broome (Binghamton), NY - Tioga, NY	No	147.6 (141.9, 153.5)	N/A	549	stable	1.8 (-1.6, 4.0)
Wheatland, MT - Meagher, MT	No	147.5 (106.5, 202.0)	N/A	10	stable	-0.9 (-2.2, 0.5)
Stafford, VA - Spotsylvania, VA	No	147.5 (142.0, 153.2)	N/A	576	falling	-2.0 (-2.9, -1.7)
La Crosse (La Crosse), WI - Monroe, WI	No	147.4 (141.2, 153.8)	N/A	447	falling	-1.0 (-1.2, -0.7)
Walworth, WI - Jefferson, WI	No	147.3 (140.5, 154.3)	N/A	380	falling	-1.3 (-1.5, -1.0)
Page, IA - Fremont, IA	No	147.3 (131.7, 164.4)	N/A	70	falling	-0.7 (-1.2, -0.2)
Platte, NE - Boone, NE	No	147.2 (133.3, 162.2)	N/A	88	stable	-0.6 (-1.2, 0.0)
Hampden (Springfield), MA - Hampshire, MA	No	147.1 (143.3, 150.9)	N/A	1,213	falling	-2.1 (-4.2, -1.5)
Philadelphia (Philadelphia), PA - Montgomery, PA	No	147.0 (145.5, 148.5)	N/A	7,813	falling	-2.4 (-3.2, -2.2)
Osceola, FL	No	147.0 (141.7, 152.5)	N/A	591	falling	-1.2 (-1.4, -0.9)
Beltrami, MN - Clearwater, MN	No	147.0 (134.1, 160.8)	N/A	101	falling	-1.0 (-1.3, -0.5)
Dauphin (Harrisburg), PA - Cumberland, PA	No	147.0 (143.6, 150.4)	N/A	1,487	falling	-1.3 (-1.4, -1.1)
Saratoga, NY - Schenectady (Schenectady), NY	No	146.9 (143.0, 150.9)	N/A	1,116	falling	-1.5 (-2.0, -1.4)
Hillsborough (Tampa), FL - Pinellas, FL	No	146.8 (145.3, 148.4)	N/A	6,941	falling	-2.7 (-3.2, -1.9)
Outagamie (Appleton), WI - Waupaca, WI	No	146.7 (140.6, 152.9)	N/A	458	falling	-1.3 (-1.5, -1.0)
Albany (Albany), NY - Rensselaer, NY	No	146.6 (142.3, 151.0)	N/A	927	falling	-1.7 (-2.5, -1.5)
OBrien, IA - Osceola, IA	No	146.3 (127.5, 167.6)	N/A	49	stable	-0.7 (-1.4, 0.0)
Stearns (St. Cloud), MN - Benton, MN	No	146.2 (140.5, 152.0)	N/A	528	falling	-1.0 (-1.1, -0.8)
Madison (Huntsville), AL - Limestone, AL	No	146.1 (141.9, 150.3)	N/A	982	falling	-2.0 (-3.0, -1.5)
Chittenden (Burlington), VT - Franklin, VT	No	145.9 (140.0, 151.9)	N/A	486	falling	-1.4 (-1.6, -1.3)
Ness, KS	No	145.8 (100.9, 209.5)	N/A	8	stable	0.1 (-1.4, 1.5)
Henderson, IL	No	145.8 (115.5, 183.7)	N/A	18	falling	-1.1 (-2.1, -0.2)
Polk (Lakeland), FL - Highlands, FL	No	145.7 (142.7, 148.7)	N/A	1,921	falling	-1.3 (-2.3, -1.1)
Cumberland (Portland), ME - Knox, ME	No	145.6 (141.4, 150.0)	N/A	941	falling	-1.6 (-1.8, -1.4)
Greenville (Greenville), SC - Anderson, SC	No	145.6 (142.5, 148.8)	N/A	1,758	falling	-1.8 (-2.3, -1.5)
Champaign (Champaign), IL - Coles, IL	No	145.6 (139.7, 151.6)	N/A	484	falling	-1.5 (-1.9, -1.3)
Kern, CA	No	145.5 (141.7, 149.4)	N/A	1,176	falling	-1.3 (-1.5, -1.2)
Lancaster (Lincoln), NE - Gage, NE	No	145.5 (140.4, 150.7)	N/A	651	falling	-1.1 (-1.3, -0.9)
Morgan, GA - Greene, GA	No	145.5 (132.2, 160.0)	N/A	96	falling	-1.2 (-1.8, -0.6)
Yellowstone (Billings), MT - Big Horn, MT	No	145.5 (139.1, 152.1)	N/A	413	falling	-1.3 (-1.5, -1.1)
Midland (Midland), TX - Pecos, TX	No	145.3 (137.1, 153.9)	N/A	246	falling	-1.1 (-1.4, -0.8)
San Joaquin (Stockton), CA - Calaveras, CA	No	145.3 (141.9, 148.8)	N/A	1,388	falling	-2.1 (-3.7, -1.3)
Onondaga (Syracuse), NY - Oswego, NY	No	145.2 (141.7, 148.9)	N/A	1,314	falling	-2.6 (-4.3, -2.0)
Alleghany, NC	No	145.2 (123.3, 171.4)	N/A	32	falling	-2.0 (-7.4, -1.2)
Cherokee, GA - Douglas, GA	No	145.2 (140.8, 149.6)	N/A	923	falling	-1.4 (-1.5, -1.1)
Dubuque (Dubuque), IA - Jackson, IA	No	145.1 (136.9, 153.8)	N/A	245	falling	-1.5 (-1.9, -1.3)
Cheyenne, KS - Rawlins, KS	No	144.9 (110.5, 188.9)	N/A	14	stable	-0.1 (-1.2, 0.9)
Powell, MT	No	144.8 (113.7, 183.3)	N/A	15	falling	-1.6 (-2.5, -0.7)
Providence (Providence), RI - Kent, RI	No	144.7 (141.8, 147.7)	N/A	1,948	falling	-1.7 (-1.9, -1.6)
Walla Walla, WA - Columbia, WA	No	144.7 (133.7, 156.5)	N/A	137	falling	-0.8 (-1.2, -0.4)
Grafton, NH - Sullivan, NH	No	144.7 (137.3, 152.4)	N/A	310	falling	-1.7 (-2.0, -1.4)
York, NE - Polk, NE	No	144.7 (125.7, 166.1)	N/A	45	stable	-0.4 (-1.0, 0.1)
Centre (State College), PA - Clearfield, PA	No	144.6 (139.1, 150.4)	N/A	538	falling	-1.1 (-1.2, -0.9)
Ottawa (Holland), MI - Allegan, MI	No	144.6 (139.9, 149.5)	N/A	725	falling	-0.9 (-1.1, -0.7)
Codington, SD - Grant, SD	No	144.6 (132.3, 157.9)	N/A	108	falling	-1.0 (-1.3, -0.6)
Cherokee, NC - Clay, NC	No	144.6 (132.3, 158.0)	N/A	119	falling	-1.4 (-3.8, -1.0)
Mendocino, CA	No	144.5 (135.4, 154.1)	N/A	207	falling	-1.6 (-1.8, -1.3)
Erath, TX - Comanche, TX	No	144.5 (131.6, 158.3)	N/A	98	falling	-1.2 (-1.6, -0.8)
San Bernardino, CA - Riverside (Riverside), CA	No	144.4 (142.9, 145.9)	N/A	6,926	falling	-1.4 (-1.6, -1.3)
Portage, WI	No	144.4 (133.1, 156.4)	N/A	127	falling	-1.1 (-1.5, -0.7)
Carbon, UT - Emery, UT	No	144.4 (127.1, 163.4)	N/A	54	falling	-0.7 (-1.2, -0.1)
Bannock, ID - Bingham, ID	No	144.2 (136.1, 152.8)	N/A	242	falling	-0.7 (-1.0, -0.4)
Clay, IA - Dickinson, IA	No	144.2 (131.7, 157.7)	N/A	109	falling	-0.9 (-1.3, -0.6)
St. Charles (St. Charles), MO - Lincoln, MO	No	144.2 (139.9, 148.6)	N/A	886	falling	-1.6 (-3.3, -1.4)
Currituck, NC	No	144.0 (126.2, 163.8)	N/A	53	falling	-2.1 (-2.6, -1.5)
Marathon (Wausau), WI - Wood, WI	No	144.0 (138.8, 149.3)	N/A	626	falling	-1.1 (-1.3, -0.9)
Hillsborough (Manchester), NH - Merrimack, NH	No	143.9 (140.4, 147.4)	N/A	1,371	falling	-1.5 (-1.7, -1.3)
Ashland, WI - Sawyer, WI	No	143.9 (133.8, 154.6)	N/A	168	falling	-1.4 (-1.8, -1.0)
Rice, MN	No	143.9 (132.2, 156.3)	N/A	117	falling	-1.3 (-1.9, -1.0)
Otter Tail, MN - Grant, MN	No	143.6 (133.4, 154.6)	N/A	164	falling	-0.9 (-1.3, -0.5)
Tuscaloosa (Tuscaloosa), AL - Pickens, AL	No	143.6 (137.5, 149.9)	N/A	434	falling	-2.4 (-3.0, -2.0)
Berkshire (Pittsfield), MA	No	143.6 (136.4, 151.1)	N/A	324	falling	-1.5 (-1.8, -1.2)
Holt, NE - Brown, NE	No	143.5 (121.8, 168.5)	N/A	36	falling	-0.9 (-1.5, -0.3)
Otero, NM - Lincoln, NM	No	143.5 (134.1, 153.5)	N/A	182	falling	-0.7 (-1.1, -0.3)
Scotts Bluff, NE - Box Butte, NE	No	143.4 (131.5, 156.2)	N/A	115	falling	-0.9 (-1.3, -0.6)
Dawes, NE - Sheridan, NE	No	143.4 (121.1, 169.1)	N/A	33	falling	-0.9 (-1.6, -0.2)
Benton (Kennewick), WA - Franklin, WA	No	143.3 (137.3, 149.5)	N/A	444	falling	-1.7 (-3.1, -1.4)
Ellis, KS - Rooks, KS	No	143.2 (129.7, 157.9)	N/A	88	falling	-0.9 (-1.4, -0.5)
Twin Falls, ID - Jerome, ID	No	143.1 (134.8, 151.8)	N/A	226	falling	-1.0 (-1.3, -0.6)
Davison, SD - Charles Mix, SD	No	143.1 (130.6, 156.5)	N/A	105	falling	-1.0 (-1.5, -0.5)
McKinley, NM	No	143.0 (130.4, 156.5)	N/A	99	falling	-0.7 (-1.1, -0.2)
Dubois, IN	No	143.0 (129.2, 157.9)	N/A	83	falling	-1.0 (-1.5, -0.4)
Orange (Newburgh), NY - Sullivan, NY	No	142.9 (138.4, 147.6)	N/A	792	falling	-1.9 (-3.7, -1.7)
Fillmore, NE - Thayer, NE	No	142.9 (118.9, 171.5)	N/A	28	stable	-0.7 (-1.6, 0.2)
Natrona (Casper), WY - Converse, WY	No	142.7 (132.8, 153.1)	N/A	163	falling	-1.5 (-1.8, -1.2)
Uinta, WY	No	142.6 (120.5, 167.6)	N/A	32	stable	9.4 (-1.6, 16.4)
Polk, NC	No	142.6 (124.2, 163.6)	N/A	59	falling	-1.3 (-1.8, -0.7)
Orange (Orlando), FL - Volusia, FL	No	142.5 (140.9, 144.1)	N/A	6,295	falling	-1.5 (-2.0, -1.4)
Brown (Green Bay), WI - Oconto, WI	No	142.2 (137.3, 147.2)	N/A	664	falling	-1.1 (-1.2, -0.9)
Worcester (Worcester), MA - Franklin, MA	No	142.1 (139.0, 145.3)	N/A	1,701	falling	-2.0 (-3.6, -1.6)
Washoe (Reno), NV - Carson City, NV	No	142.1 (138.6, 145.6)	N/A	1,338	falling	-2.1 (-2.8, -1.8)
Comal, TX	No	142.0 (134.8, 149.5)	N/A	310	falling	-1.2 (-1.5, -0.8)
Albemarle, VA - Charlottesville City, VA	No	142.0 (137.4, 146.7)	N/A	764	falling	-1.9 (-3.5, -1.5)
Stevens, KS	No	142.0 (102.8, 191.9)	N/A	9	stable	0.2 (-1.5, 2.0)
Bexar (San Antonio), TX - Guadalupe, TX	No	142.0 (139.8, 144.1)	N/A	3,516	falling	-1.3 (-1.4, -1.2)
Kandiyohi, MN - Chippewa, MN	No	141.9 (132.4, 152.1)	N/A	181	falling	-1.0 (-1.3, -0.8)
Washington, VT - Windsor, VT	No	141.9 (135.0, 149.2)	N/A	334	falling	-1.4 (-1.6, -1.1)
Blue Earth, MN - Nicollet, MN	No	141.9 (133.7, 150.5)	N/A	232	falling	-1.1 (-1.4, -0.8)
Klickitat, WA - Skamania, WA	No	141.9 (128.1, 157.0)	N/A	84	falling	-1.5 (-2.0, -0.9)
Wasco, OR - Hood River, OR	No	141.5 (129.7, 154.3)	N/A	111	falling	-1.2 (-1.5, -0.8)
St. Croix, WI - Pierce, WI	No	141.5 (133.0, 150.4)	N/A	219	falling	-1.1 (-1.4, -0.7)
Hall, NE - Hamilton, NE	No	141.4 (131.6, 151.9)	N/A	159	falling	-1.2 (-1.5, -0.9)
Dane (Madison), WI - Sauk, WI	No	141.4 (137.9, 144.9)	N/A	1,327	falling	-1.5 (-2.7, -1.2)
Cerro Gordo, IA - Kossuth, IA	No	141.4 (132.9, 150.3)	N/A	228	falling	-1.1 (-1.4, -0.9)
Gogebic, MI - Ontonagon, MI	No	141.3 (125.1, 159.7)	N/A	62	falling	-1.3 (-1.9, -0.8)
Monmouth, NJ - Ocean (Brick Township), NJ	No	141.3 (138.9, 143.7)	N/A	2,761	falling	-2.2 (-2.3, -2.0)
Deaf Smith, TX - Parmer, TX	No	141.2 (122.2, 162.2)	N/A	41	stable	-0.3 (-1.1, 0.5)
Richland, MT - Dawson, MT	No	141.2 (122.7, 161.9)	N/A	44	falling	-1.1 (-1.7, -0.5)
Kane (Aurora), IL - DeKalb, IL	No	141.1 (137.4, 144.9)	N/A	1,123	falling	-1.4 (-1.6, -1.2)
Beadle, SD - Hand, SD	No	141.1 (124.1, 160.0)	N/A	55	falling	-1.0 (-1.7, -0.4)
Maverick, TX - Val Verde, TX	No	141.0 (131.1, 151.5)	N/A	151	falling	-0.9 (-1.2, -0.5)
Hays (San Marcos), TX - Caldwell, TX	No	141.0 (134.5, 147.8)	N/A	370	falling	-1.4 (-1.7, -1.1)
Buncombe (Asheville), NC - Henderson, NC	No	140.9 (137.2, 144.7)	N/A	1,164	falling	-1.3 (-1.5, -1.1)
Nobles, MN - Cottonwood, MN	No	140.9 (129.1, 153.5)	N/A	115	falling	-0.7 (-1.1, -0.4)
Fremont, CO - Custer, CO	No	140.8 (129.5, 153.0)	N/A	123	falling	-1.0 (-1.4, -0.6)
St. Johns (St. Augustine), FL - Putnam, FL	No	140.8 (136.2, 145.5)	N/A	758	falling	-2.1 (-4.6, -1.7)
Douglas, MN - Pope, MN	No	140.6 (130.0, 152.1)	N/A	141	falling	-0.8 (-1.2, -0.4)
Henry, GA - Forsyth, GA	No	140.6 (137.0, 144.2)	N/A	1,220	falling	-1.6 (-3.2, -1.3)
Cook (Chicago), IL - DuPage, IL	No	140.6 (139.4, 141.7)	N/A	11,944	falling	-2.6 (-3.3, -2.2)
Carroll, IA - Sac, IA	No	140.4 (127.5, 154.5)	N/A	96	falling	-4.8 (-11.1, -0.9)
Story, IA - Boone, IA	No	140.4 (133.0, 148.1)	N/A	289	falling	-1.3 (-2.1, -1.0)
Chaves, NM - Eddy, NM	No	140.4 (131.8, 149.4)	N/A	205	falling	-1.7 (-2.7, -1.3)
Juneau City and Borough, AK - Sitka City and Borough, AK	No	140.4 (126.0, 155.9)	N/A	77	falling	-1.3 (-2.1, -0.4)
Sacramento (Sacramento), CA - Placer, CA	No	140.3 (138.3, 142.3)	N/A	4,036	falling	-1.6 (-1.9, -1.4)
Brazos (Bryan), TX - Washington, TX	No	140.2 (134.4, 146.2)	N/A	456	falling	-1.5 (-1.7, -1.3)
New Haven (New Haven), CT - Litchfield, CT	No	140.1 (137.5, 142.7)	N/A	2,399	falling	-1.8 (-2.5, -1.6)
Orange (Chapel Hill), NC - Harnett, NC	No	140.0 (135.5, 144.7)	N/A	730	falling	-1.8 (-4.2, -1.5)
Dallas (Dallas), TX - Collin, TX	No	140.0 (138.3, 141.7)	N/A	5,504	falling	-1.7 (-1.9, -1.7)
Lancaster, PA	No	140.0 (136.2, 143.9)	N/A	1,094	falling	-1.4 (-1.5, -1.2)
Navajo, AZ	No	139.9 (131.0, 149.3)	N/A	198	falling	-1.0 (-1.3, -0.6)
Finney, KS - Scott, KS	No	139.9 (126.3, 154.7)	N/A	79	falling	-0.9 (-1.3, -0.5)
Multnomah (Portland), OR - Washington, OR	No	139.9 (137.7, 142.2)	N/A	3,099	falling	-1.8 (-1.9, -1.7)
Bowman, ND - Hettinger, ND	No	139.8 (112.0, 173.5)	N/A	20	falling	-1.4 (-2.5, -0.5)
Sonoma (Santa Rosa), CA	No	139.6 (135.7, 143.7)	N/A	995	falling	-1.4 (-1.6, -1.2)
Flathead, MT - Lincoln, MT	No	139.5 (131.8, 147.6)	N/A	263	falling	-1.5 (-1.9, -1.2)
Washtenaw, MI - Livingston, MI	No	139.1 (135.1, 143.3)	N/A	926	falling	-1.5 (-1.7, -1.3)
Buffalo, NE - Dawson, NE	No	139.1 (129.5, 149.2)	N/A	165	falling	-1.1 (-1.3, -0.8)
Fresno (Fresno), CA - Kings, CA	No	139.1 (136.2, 142.1)	N/A	1,769	falling	-1.2 (-1.3, -1.1)
Dona Ana (Las Cruces), NM - Luna, NM	No	139.1 (133.2, 145.1)	N/A	447	falling	-0.9 (-1.1, -0.7)
Houston, MN	No	139.0 (120.1, 160.6)	N/A	42	falling	-1.1 (-1.6, -0.6)
Park, MT - Sweet Grass, MT	No	139.0 (121.6, 158.6)	N/A	50	falling	-0.9 (-1.6, -0.2)
Latah, ID	No	138.8 (122.8, 156.4)	N/A	57	stable	-0.7 (-1.3, 0.0)
Whatcom, WA	No	138.6 (132.5, 145.0)	N/A	399	falling	-1.2 (-1.5, -0.8)
Hamilton, IN - Madison (Anderson), IN	No	138.6 (134.1, 143.2)	N/A	739	falling	-1.5 (-1.7, -1.3)
Eau Claire (Eau Claire), WI - Chippewa, WI	No	138.3 (132.3, 144.4)	N/A	427	falling	-1.2 (-1.4, -0.9)
Brookings, SD - Kingsbury, SD	No	138.2 (122.4, 155.5)	N/A	59	falling	-0.9 (-1.4, -0.4)
Custer, NE - Valley, NE	No	138.1 (119.8, 158.8)	N/A	47	falling	-0.7 (-1.3, -0.2)
Sheboygan (Sheboygan), WI - Manitowoc, WI	No	138.1 (132.5, 143.8)	N/A	492	falling	-2.5 (-5.6, -1.2)
Ramsey (St. Paul), MN - Dakota, MN	No	138.0 (135.3, 140.7)	N/A	2,099	falling	-1.7 (-1.9, -1.5)
Hartford (Hartford), CT - Tolland, CT	No	137.8 (135.1, 140.5)	N/A	2,112	falling	-1.6 (-1.7, -1.5)
Watauga, NC - Ashe, NC	No	137.6 (127.8, 148.0)	N/A	157	falling	-1.1 (-1.5, -0.7)
Fergus, MT - Petroleum, MT	No	137.5 (115.6, 163.2)	N/A	30	falling	-1.8 (-2.7, -1.1)
Missoula, MT - Ravalli, MT	No	137.4 (131.5, 143.6)	N/A	426	falling	-1.6 (-4.7, -1.1)
Chase, NE - Dundy, NE	No	137.2 (106.2, 176.0)	N/A	15	stable	-0.5 (-1.6, 0.7)
Asotin, WA - Garfield, WA	No	137.2 (121.3, 155.0)	N/A	59	falling	-1.7 (-2.3, -0.9)
McPherson, KS	No	137.1 (121.9, 154.0)	N/A	65	stable	-0.3 (-0.8, 0.2)
Kent, MD	No	137.1 (119.8, 156.8)	N/A	51	falling	-2.1 (-2.7, -1.4)
Grant, NM - Hidalgo, NM	No	137.0 (124.1, 151.2)	N/A	97	falling	-1.2 (-1.8, -0.6)
Rockingham, NH	No	136.8 (131.8, 141.9)	N/A	610	falling	-2.5 (-3.8, -2.0)
Hawaii, HI	No	136.7 (130.6, 143.0)	N/A	420	*	*
El Paso (Colorado Springs), CO - Teller, CO	No	136.6 (132.9, 140.3)	N/A	1,089	falling	-1.2 (-1.4, -1.0)
Ada (Boise City), ID - Canyon, ID	No	136.6 (133.1, 140.0)	N/A	1,249	falling	-1.2 (-1.4, -0.9)
Olmsted (Rochester), MN - Winona, MN	No	136.3 (131.6, 141.3)	N/A	641	falling	-1.3 (-1.5, -1.1)
Lassen, CA - Plumas, CA	No	136.3 (124.4, 149.2)	N/A	103	falling	-1.7 (-2.1, -1.3)
Tompkins, NY - Cortland, NY	No	136.3 (128.5, 144.4)	N/A	240	falling	-1.4 (-1.7, -1.2)
Logan, CO - Phillips, CO	No	136.3 (120.4, 153.8)	N/A	58	falling	-0.9 (-1.4, -0.4)
Webb (Laredo), TX - Zapata, TX	No	136.2 (129.5, 143.2)	N/A	318	falling	-0.4 (-0.7, -0.1)
Pima (Tucson), AZ - Cochise, AZ	No	136.2 (133.7, 138.7)	N/A	2,489	falling	-1.3 (-1.4, -1.2)
Hennepin (Minneapolis), MN - Anoka, MN	No	136.0 (133.9, 138.1)	N/A	3,338	falling	-1.6 (-1.9, -1.5)
Linn (Cedar Rapids), IA - Johnson, IA	No	136.0 (131.8, 140.3)	N/A	824	falling	-4.1 (-6.4, -2.4)
Yankton, SD - Clay, SD	No	135.9 (124.0, 148.8)	N/A	102	falling	-1.1 (-1.5, -0.6)
Cedar, NE - Knox, NE	No	135.9 (116.1, 158.5)	N/A	39	stable	-0.7 (-1.4, 0.1)
Fulton (Atlanta), GA - DeKalb, GA	No	135.7 (133.7, 137.7)	N/A	3,882	falling	-1.7 (-1.8, -1.6)
Harris (Houston), TX - Fort Bend, TX	No	135.6 (134.2, 137.0)	N/A	7,923	falling	-1.9 (-2.0, -1.8)
San Diego (San Diego), CA - Imperial, CA	No	135.4 (133.8, 137.1)	N/A	5,275	falling	-1.5 (-2.2, -1.4)
Stutsman, ND - Wells, ND	No	135.4 (120.2, 152.3)	N/A	62	falling	-1.3 (-1.8, -0.8)
Poweshiek, IA	No	135.3 (116.7, 156.5)	N/A	41	falling	-0.9 (-1.5, -0.3)
Wake (Raleigh), NC - Johnston, NC	No	134.6 (131.9, 137.3)	N/A	2,026	falling	-2.7 (-3.6, -2.3)
Mecklenburg (Charlotte), NC - Union, NC	No	134.4 (131.5, 137.3)	N/A	1,754	falling	-3.5 (-4.8, -1.9)
Alamosa, CO - Rio Grande, CO	No	134.2 (121.4, 148.2)	N/A	86	falling	-0.8 (-1.2, -0.4)
Lawrence, SD	No	134.1 (118.0, 152.1)	N/A	55	falling	-1.2 (-1.7, -0.7)
Sheridan, WY - Johnson, WY	No	134.1 (121.2, 148.2)	N/A	84	falling	-1.4 (-1.8, -0.9)
Weld, CO - Morgan, CO	No	134.0 (128.7, 139.5)	N/A	498	falling	-1.1 (-1.3, -0.9)
Cobb (Marietta), GA	No	133.8 (130.1, 137.7)	N/A	1,025	falling	-1.7 (-2.8, -1.4)
Cassia, ID - Minidoka, ID	No	133.8 (119.9, 148.9)	N/A	70	falling	-1.3 (-1.8, -0.7)
Cass (Fargo), ND - Richland, ND	No	133.5 (127.1, 140.1)	N/A	344	falling	-1.4 (-1.7, -1.2)
King (Seattle), WA - Snohomish, WA	No	133.5 (131.9, 135.1)	N/A	5,348	falling	-1.8 (-2.0, -1.6)
Burleigh (Bismarck), ND - Morton, ND	No	133.4 (126.5, 140.7)	N/A	293	falling	-1.3 (-1.7, -1.0)
Madison, NE - Wayne, NE	No	133.4 (122.3, 145.3)	N/A	114	falling	-1.0 (-1.4, -0.6)
Hunterdon, NJ - Warren (Phillipsburg), NJ	No	133.3 (127.8, 139.0)	N/A	467	falling	-1.7 (-1.8, -1.5)
Park, WY - Big Horn, WY	No	133.1 (120.5, 146.9)	N/A	90	falling	-1.3 (-1.7, -0.8)
McIntosh, ND - Logan, ND	No	133.1 (96.7, 181.7)	N/A	13	falling	-2.4 (-12.0, -1.2)
Perkins, SD - Harding, SD	No	133.0 (97.6, 180.1)	N/A	10	stable	-0.5 (-2.2, 1.3)
Grand, UT	No	132.8 (106.2, 164.9)	N/A	18	falling	-1.7 (-2.6, -0.7)
Hancock, IL	No	132.8 (114.7, 153.6)	N/A	41	falling	-1.6 (-2.2, -1.1)
Middlesex, MA - Suffolk (Boston), MA	No	132.8 (131.3, 134.2)	N/A	6,676	falling	-2.2 (-2.4, -2.1)
Sarasota (Sarasota), FL - Charlotte, FL	No	132.7 (129.8, 135.6)	N/A	2,191	falling	-1.2 (-1.3, -1.1)
Johnson (Overland Park), KS - Douglas, KS	No	132.6 (129.2, 136.1)	N/A	1,198	falling	-1.3 (-1.4, -1.1)
Fairbanks North Star Borough, AK - Denali/Yukon-Koyukuk, AK	No	132.5 (121.8, 143.8)	N/A	130	falling	-1.5 (-2.0, -0.9)
Brown, SD - Spink, SD	No	132.5 (122.0, 143.7)	N/A	129	falling	-1.2 (-1.6, -0.8)
Ward, ND - Bottineau, ND	No	132.4 (122.7, 142.8)	N/A	143	falling	-1.3 (-1.7, -1.0)
Pike, PA	No	132.4 (122.3, 143.4)	N/A	135	falling	-1.7 (-2.2, -1.1)
Bernalillo (Albuquerque), NM - Sandoval, NM	No	132.3 (129.3, 135.2)	N/A	1,626	falling	-1.2 (-1.4, -1.1)
Maricopa (Phoenix), AZ - Pinal, AZ	No	132.2 (130.9, 133.5)	N/A	8,700	falling	-1.4 (-1.4, -1.3)
Cherry, NE	No	132.0 (98.9, 174.3)	N/A	12	stable	-1.0 (-2.2, 0.1)
San Juan, NM	No	131.6 (123.1, 140.5)	N/A	187	falling	-1.3 (-1.7, -0.9)
Roseau, MN - Lake of the Woods, MN	No	131.3 (112.8, 152.4)	N/A	38	falling	-1.4 (-2.0, -0.8)
San Miguel, NM - Mora, NM	No	131.1 (117.9, 145.6)	N/A	79	falling	-0.8 (-1.4, -0.3)
Williams, ND - McKenzie, ND	No	131.1 (116.2, 147.2)	N/A	60	falling	-1.3 (-1.8, -0.8)
Essex (Lynn), MA	No	130.8 (127.7, 134.0)	N/A	1,418	falling	-2.4 (-2.6, -2.3)
Prince William (Dale City), VA - Fauquier, VA	No	130.4 (126.0, 134.9)	N/A	714	falling	-2.1 (-2.3, -1.9)
Los Angeles (Los Angeles), CA	No	130.3 (129.4, 131.3)	N/A	14,510	falling	-1.5 (-1.6, -1.5)
El Paso (El Paso), TX - Hudspeth, TX	No	130.1 (126.7, 133.6)	N/A	1,113	falling	-1.3 (-1.5, -1.1)
Montrose, CO - Delta, CO	No	129.6 (121.6, 138.1)	N/A	214	falling	-1.1 (-1.4, -0.7)
Santa Barbara (Santa Barbara), CA - San Luis Obispo, CA	No	129.3 (126.0, 132.6)	N/A	1,234	falling	-1.3 (-1.5, -1.2)
Stark, ND - Dunn, ND	No	129.0 (114.1, 145.2)	N/A	59	falling	-1.1 (-1.7, -0.6)
Mercer, NJ	No	128.9 (124.3, 133.7)	N/A	607	falling	-2.1 (-3.6, -1.9)
Deschutes, OR - Crook, OR	No	128.9 (123.6, 134.3)	N/A	481	falling	-1.5 (-1.8, -1.3)
Ventura, CA	No	128.9 (125.8, 132.0)	N/A	1,347	falling	-1.4 (-1.6, -1.2)
San Juan, UT	No	128.7 (104.2, 157.3)	N/A	20	stable	-0.3 (-1.4, 1.0)
Iron, UT - Beaver, UT	No	128.1 (115.0, 142.2)	N/A	75	falling	-0.9 (-1.5, -0.1)
Bonneville, ID - Madison, ID	No	128.0 (121.2, 135.0)	N/A	279	falling	-1.0 (-1.3, -0.7)
Crawford, IA	No	127.3 (106.6, 151.0)	N/A	28	falling	-1.2 (-1.9, -0.4)
Frederick, MD	No	127.1 (121.5, 132.8)	N/A	407	falling	-2.3 (-5.0, -1.8)
Santa Cruz, CA	No	126.9 (121.4, 132.5)	N/A	427	falling	-1.5 (-1.8, -1.2)
Miami-Dade (Miami), FL - Broward, FL	No	126.8 (125.6, 128.1)	N/A	7,925	falling	-1.7 (-1.7, -1.6)
Beaufort, SC - Jasper, SC	No	126.8 (121.5, 132.3)	N/A	487	falling	-2.0 (-3.0, -1.6)
Denton (Denton), TX - Wise, TX	No	126.6 (123.3, 130.0)	N/A	1,183	falling	-2.1 (-3.2, -1.8)
Yuma, AZ - La Paz, AZ	No	126.3 (120.5, 132.3)	N/A	403	stable	-0.5 (-0.9, 0.3)
Thomas, KS - Sherman, KS	No	126.3 (105.6, 150.2)	N/A	28	falling	-1.1 (-1.9, -0.4)
Nevada, CA - Sierra, CA	No	126.3 (118.9, 134.1)	N/A	251	falling	-1.8 (-2.1, -1.4)
Palm Beach (West Palm Beach), FL - St. Lucie, FL	No	126.2 (124.5, 128.0)	N/A	4,682	falling	-2.1 (-3.3, -1.6)
Morris (Parsippany-Troy Hills Township), NJ - Sussex, NJ	No	126.2 (122.9, 129.6)	N/A	1,136	falling	-2.3 (-2.7, -2.1)
Elko, NV - Lander, NV	No	125.9 (113.3, 139.6)	N/A	77	falling	-1.6 (-2.1, -0.9)
Cameron (Brownsville), TX - Willacy, TX	No	125.9 (121.3, 130.6)	N/A	576	stable	3.0 (-0.8, 5.2)
Denver (Denver), CO - Jefferson, CO	No	125.6 (123.8, 127.5)	N/A	3,753	falling	-1.7 (-2.1, -1.5)
Apache, AZ	No	125.3 (114.1, 137.4)	N/A	96	stable	-0.5 (-1.0, 0.0)
Newport, RI	No	125.2 (117.0, 134.0)	N/A	186	falling	-2.2 (-4.9, -1.9)
Suffolk, NY - Nassau, NY	No	125.2 (123.6, 126.8)	N/A	5,000	falling	-2.4 (-3.5, -2.1)
Decatur, KS - Sheridan, KS	No	125.1 (94.1, 165.7)	N/A	13	stable	-0.3 (-1.3, 0.7)
Orange, CA	No	125.0 (123.4, 126.6)	N/A	4,741	falling	-1.5 (-1.6, -1.5)
Manatee, FL	No	123.9 (120.2, 127.7)	N/A	981	falling	-1.9 (-2.5, -1.7)
Franklin, ID - Bear Lake, ID	No	123.8 (104.6, 145.5)	N/A	31	stable	-0.7 (-1.5, 0.2)
Montgomery, MD - Prince Georges, MD	No	123.4 (121.5, 125.4)	N/A	3,292	falling	-1.9 (-2.0, -1.8)
Travis (Austin), TX - Williamson, TX	No	123.1 (120.8, 125.4)	N/A	2,383	falling	-1.9 (-3.1, -1.8)
Dickey, ND - LaMoure, ND	No	123.0 (98.3, 153.0)	N/A	19	falling	-1.0 (-1.9, -0.2)
Fairfield, CT	Yes	122.5 (119.7, 125.4)	N/A	1,486	falling	-1.7 (-1.9, -1.2)
Alameda (Oakland), CA - Contra Costa, CA	Yes	122.5 (120.8, 124.2)	N/A	4,082	falling	-2.1 (-2.3, -2.0)
Kauai, HI	Yes	122.4 (113.0, 132.5)	N/A	133	*	*
Colfax, NM	Yes	122.1 (102.2, 145.9)	N/A	29	falling	-1.2 (-1.9, -0.5)
Davis, UT - Weber (Ogden), UT	Yes	121.6 (117.7, 125.7)	N/A	738	falling	-0.9 (-1.1, -0.7)
Westchester (Yonkers), NY - Dutchess, NY	Yes	121.1 (119.1, 123.3)	N/A	2,670	falling	-3.0 (-4.3, -2.3)
Albany, WY - Carbon, WY	Yes	121.0 (107.7, 135.7)	N/A	63	falling	-1.8 (-2.4, -1.3)
Salt Lake (Salt Lake City), UT - Tooele, UT	Yes	120.6 (117.8, 123.4)	N/A	1,458	falling	-1.1 (-1.3, -0.9)
Essex (Newark), NJ - Middlesex, NJ	Yes	119.9 (118.2, 121.7)	N/A	3,702	falling	-3.4 (-4.7, -2.7)
Honolulu (Honolulu), HI - Maui, HI	Yes	119.9 (117.5, 122.4)	N/A	1,967	*	*
Larimer, CO	Yes	119.9 (115.1, 124.7)	N/A	504	falling	-1.3 (-1.5, -1.1)
Bergen, NJ - Hudson (Jersey City), NJ	Yes	119.7 (117.8, 121.6)	N/A	3,127	falling	-2.4 (-2.6, -2.3)
Mesa, CO - Garfield, CO	Yes	119.2 (114.1, 124.4)	N/A	439	falling	-1.7 (-2.0, -1.5)
Utah (Provo), UT - Sanpete, UT	Yes	118.6 (114.3, 123.1)	N/A	584	falling	-0.7 (-0.9, -0.5)
Beaver, OK	Yes	118.4 (86.3, 160.5)	N/A	9	falling	-1.8 (-3.2, -0.6)
Lee (Cape Coral), FL - Collier, FL	Yes	117.8 (115.7, 119.9)	N/A	2,859	falling	-1.6 (-1.7, -1.5)
Gallatin and Yellowstone National Park, MT - Madison, MT	Yes	117.0 (108.5, 126.0)	N/A	149	falling	-1.5 (-2.0, -0.9)
Hidalgo (Mcallen), TX - Starr, TX	Yes	115.7 (112.4, 119.0)	N/A	957	falling	-0.8 (-1.0, -0.6)
Santa Fe (Santa Fe), NM - Rio Arriba, NM	Yes	115.0 (110.3, 120.0)	N/A	477	falling	-1.4 (-1.5, -1.1)
La Plata, CO - Montezuma, CO	Yes	115.0 (107.0, 123.6)	N/A	165	falling	-1.6 (-1.8, -1.3)
Washington, UT - Kane, UT	Yes	114.8 (109.1, 120.7)	N/A	339	falling	-1.1 (-1.4, -0.7)
Routt, CO - Moffat, CO	Yes	114.2 (99.9, 130.1)	N/A	51	falling	-1.7 (-2.3, -1.1)
San Francisco (San Francisco), CA - San Mateo, CA	Yes	113.9 (111.8, 116.0)	N/A	2,390	falling	-2.3 (-2.6, -2.2)
Boulder, CO - Broomfield, CO	Yes	113.5 (109.0, 118.0)	N/A	511	falling	-1.6 (-1.8, -1.4)
Rockland, NY	Yes	112.9 (108.3, 117.7)	N/A	463	falling	-2.4 (-4.0, -2.0)
Cache, UT	Yes	112.1 (102.9, 121.9)	N/A	112	falling	-0.7 (-1.2, -0.2)
Santa Clara (San Jose), CA - Monterey, CA	Yes	112.0 (110.2, 113.8)	N/A	3,023	falling	-2.2 (-3.4, -1.8)
Winneshiek, IA	Yes	111.7 (95.6, 130.2)	N/A	37	falling	-1.5 (-2.1, -0.9)
Marin, CA	Yes	111.1 (106.6, 115.7)	N/A	492	falling	-2.2 (-2.4, -1.9)
Kings (New York), NY - Queens, NY	Yes	110.4 (109.4, 111.3)	N/A	11,410	falling	-3.9 (-4.4, -3.5)
Chaffee, CO - Lake, CO	Yes	110.0 (95.6, 126.3)	N/A	45	falling	-1.4 (-2.4, -0.2)
Fairfax, VA - Arlington, VA	Yes	108.9 (106.8, 110.9)	N/A	2,188	falling	-1.6 (-2.3, -0.4)
Teton, WY - Lincoln, WY	Yes	107.4 (95.9, 120.0)	N/A	68	falling	-2.1 (-2.8, -1.4)
Sioux, IA	Yes	106.5 (93.2, 121.3)	N/A	49	falling	-1.3 (-1.7, -0.8)
Grant, ND	Yes	105.3 (66.6, 167.9)	N/A	5	stable	-1.4 (-3.0, 0.0)
Inyo, CA - Mono, CA	Yes	101.8 (89.2, 116.0)	N/A	50	falling	-2.1 (-2.6, -1.6)
Puerto Rico	Yes	100.7 (99.5, 102.0)	N/A	5,197	falling	-1.8 (-3.2, -0.3)
Brewster, TX - Presidio, TX	Yes	98.8 (82.8, 117.5)	N/A	30	falling	-1.9 (-2.7, -1.1)
Blaine, ID - Camas, ID	Yes	91.3 (77.6, 107.1)	N/A	34	falling	-2.1 (-2.9, -1.1)
Daggett, UT	*******	*	*	3 or fewer	*	*

Notes:
Created by statecancerprofiles.cancer.gov on 05/20/2025 5:56 pm.

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

Trend
Rising when 95% confidence interval of average annual percent change is above 0.
Stable when 95% confidence interval of average annual percent change includes 0.
Falling when 95% confidence interval of average annual percent change is below 0.

† Death data provided by the National Vital Statistics System public use data file. Death rates calculated by the National Cancer Institute using SEER*Stat. Death rates are age-adjusted to the 2000 US standard population (19 age groups: <1, 1-4, 5-9, ... , 80-84, 85+). 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 at http://statecancerprofiles.cancer.gov/hsa.php . 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. 2013 Rural-Urban Continuum Codes will be used for Connecticut counties.

* 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).

Please note that the data comes from different sources. Due to different years of data availability, most of the trends are AAPCs based on APCs but some are APCs calculated in SEER*Stat. Please refer to the source for each graph for additional information.

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, 2018-2022All Races (includes Hispanic), Both Sexes, All AgesSorted by Rate

Death Rate Report for United States by HSA

All Cancer Sites, 2018-2022

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

Sorted by Rate