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Death Rates Table

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Death Rate Report for United States by HSA

All Cancer Sites, 2016-2020

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	149.4 (149.3, 149.6)	N/A	599,666	falling	-2.0 (-2.2, -1.8)
Kingman, KS - Harper, KS	No	290.6 (255.7, 329.4)	N/A	57	stable	-2.3 (-22.7, 23.6)
Pemiscot, MO	No	237.0 (208.1, 269.1)	N/A	51	stable	-0.1 (-0.6, 0.4)
Alpine, CA	No	235.3 (137.9, 389.3)	N/A	4	*	*
Floyd, KY - Johnson, KY	No	233.0 (219.0, 247.7)	N/A	220	falling	-0.5 (-0.8, -0.2)
Bolivar, MS - Leflore, MS	No	231.8 (218.8, 245.4)	N/A	249	stable	-0.3 (-0.5, 0.0)
Madison, LA	No	224.4 (188.6, 265.2)	N/A	29	falling	-1.3 (-2.1, -0.5)
Arkansas, AR - Monroe, AR	No	224.3 (202.4, 248.2)	N/A	82	falling	-0.5 (-1.0, -0.1)
Lewis, KY	No	223.4 (193.3, 257.3)	N/A	42	stable	-0.1 (-0.8, 0.5)
Yazoo, MS	No	222.3 (198.6, 248.1)	N/A	66	stable	-0.3 (-0.9, 0.4)
Laurel, KY - Whitley, KY	No	222.3 (212.6, 232.3)	N/A	412	stable	-0.2 (-0.5, 0.1)
Letcher, KY	No	220.5 (197.2, 246.2)	N/A	69	falling	-0.7 (-1.2, -0.2)
Scott, TN	No	219.4 (195.5, 245.6)	N/A	63	falling	-0.6 (-1.1, -0.1)
Harlan, KY - Bell, KY	No	218.8 (203.5, 234.9)	N/A	162	stable	-0.4 (-0.8, 0.0)
Lawrence, OH	No	217.5 (203.3, 232.5)	N/A	182	stable	1.1 (-0.1, 2.3)
Coahoma, MS - Tallahatchie, MS	No	217.0 (199.2, 235.9)	N/A	115	stable	-0.2 (-0.6, 0.2)
Pike, KY	No	215.0 (200.6, 230.2)	N/A	176	falling	-0.4 (-0.7, -0.1)
Washington, MS - Sharkey, MS	No	214.9 (198.4, 232.5)	N/A	135	falling	-0.5 (-0.8, -0.1)
Logan, WV - Mingo, WV	No	214.0 (199.5, 229.4)	N/A	175	falling	-0.9 (-1.3, -0.6)
Clinton, KY - Cumberland, KY	No	213.3 (188.3, 241.1)	N/A	55	stable	-0.1 (-0.9, 0.6)
Mississippi, AR	No	212.9 (194.4, 232.7)	N/A	102	falling	-0.5 (-1.0, -0.1)
Wilkinson, MS	No	212.0 (175.3, 254.7)	N/A	25	stable	-0.7 (-1.5, 0.2)
Montgomery, KY - Bath, KY	No	211.2 (193.4, 230.3)	N/A	107	falling	-0.5 (-1.0, -0.1)
Dunklin, MO	No	211.1 (191.0, 233.0)	N/A	85	stable	-0.4 (-0.9, 0.1)
Quitman, GA	No	209.3 (150.8, 290.8)	N/A	10	stable	-0.4 (-2.1, 1.4)
Okmulgee, OK - Okfuskee, OK	No	208.9 (193.6, 225.2)	N/A	144	stable	-0.2 (-0.5, 0.1)
Johnson, TN	No	208.4 (184.9, 234.7)	N/A	60	stable	0.0 (-0.7, 0.7)
Madison, MO	No	208.2 (179.1, 241.2)	N/A	38	falling	-0.9 (-1.4, -0.3)
Jackson, AR	No	208.0 (181.8, 237.3)	N/A	47	stable	0.3 (-0.4, 1.0)
Henry, TN - Carroll, TN	No	207.4 (195.7, 219.6)	N/A	253	falling	-0.3 (-0.6, -0.1)
Doniphan, KS	No	205.4 (168.9, 248.4)	N/A	23	stable	-0.4 (-1.3, 0.5)
Wichita, KS - Greeley, KS	No	205.3 (147.1, 280.4)	N/A	9	stable	0.5 (-1.0, 2.0)
Barren, KY - Hart, KY	No	205.0 (193.2, 217.5)	N/A	232	stable	-0.3 (-0.6, 0.0)
Ashley, AR - Chicot, AR	No	204.2 (185.7, 224.3)	N/A	94	falling	-0.6 (-1.1, -0.1)
Crittenden (West Memphis), AR - St. Francis, AR	No	203.2 (191.7, 215.3)	N/A	241	falling	-1.2 (-1.6, -0.9)
Le Flore, OK - Sequoyah, OK	No	202.8 (192.2, 213.9)	N/A	286	falling	-0.6 (-0.9, -0.3)
Warren, GA - Glascock, GA	No	202.7 (171.3, 239.0)	N/A	32	stable	0.2 (-0.7, 1.1)
Mason, KY - Fleming, KY	No	202.4 (185.1, 221.0)	N/A	106	falling	-0.5 (-0.8, -0.2)
Mercer, WV - McDowell, WV	No	202.3 (190.6, 214.7)	N/A	242	falling	-0.6 (-0.9, -0.3)
Pulaski, KY - Wayne, KY	No	202.1 (191.5, 213.2)	N/A	285	falling	-0.5 (-0.8, -0.3)
Jackson, OH - Gallia, OH	No	201.9 (190.3, 214.1)	N/A	237	falling	-0.7 (-1.0, -0.4)
Washington, GA - Jefferson, GA	No	201.8 (184.0, 221.1)	N/A	98	stable	-0.5 (-1.1, 0.1)
Dyer, TN - Lauderdale, TN	No	201.7 (188.5, 215.5)	N/A	182	falling	-0.6 (-1.0, -0.2)
Union, AR - Columbia, AR	No	201.3 (188.1, 215.2)	N/A	183	falling	-0.7 (-1.0, -0.4)
Adams, MS - Jefferson, MS	No	201.0 (185.5, 217.6)	N/A	131	falling	-0.7 (-1.0, -0.3)
McCurtain, OK	No	200.8 (181.9, 221.3)	N/A	87	falling	-0.7 (-1.1, -0.3)
Boyd, KY - Greenup, KY	No	200.8 (191.8, 210.1)	N/A	392	falling	-0.9 (-1.1, -0.6)
Russell, AL	No	200.1 (184.7, 216.5)	N/A	130	falling	-0.8 (-1.1, -0.4)
Fulton, KY	No	200.1 (159.9, 248.7)	N/A	18	falling	-0.7 (-1.4, -0.1)
Bourbon (Paris), KY - Nicholas, KY	No	199.0 (178.8, 221.0)	N/A	74	falling	-1.2 (-1.7, -0.7)
Saline, IL - Gallatin, IL	No	198.9 (182.5, 216.6)	N/A	116	falling	-0.7 (-1.1, -0.3)
Ouachita, AR - Dallas, AR	No	198.9 (180.7, 218.6)	N/A	95	stable	-0.5 (-1.1, 0.0)
Carroll, KY - Trimble, KY	No	198.8 (174.1, 226.3)	N/A	49	stable	-0.5 (-1.1, 0.1)
Rowan, KY - Morgan, KY	No	198.5 (182.9, 215.2)	N/A	125	stable	-0.2 (-0.8, 0.3)
St. Landry, LA - Evangeline, LA	No	197.9 (187.5, 208.8)	N/A	281	falling	-0.8 (-1.0, -0.5)
Concordia, LA - Tensas, LA	No	196.9 (175.4, 220.4)	N/A	65	falling	-0.8 (-1.4, -0.3)
Bedford, TN	No	196.6 (180.3, 214.1)	N/A	112	falling	-0.6 (-1.0, -0.1)
Taylor, KY - Adair, KY	No	196.6 (184.4, 209.4)	N/A	204	stable	-0.2 (-0.5, 0.1)
Jasper, GA	No	196.1 (168.1, 227.9)	N/A	37	stable	-0.8 (-1.6, 0.0)
Russell, KS	No	196.0 (158.1, 241.4)	N/A	22	stable	-0.5 (-1.6, 0.5)
Pearl River, MS	No	195.3 (180.9, 210.6)	N/A	146	falling	-0.8 (-1.1, -0.5)
Wise, VA - Lee, VA	No	194.8 (183.4, 206.9)	N/A	228	falling	-0.6 (-0.9, -0.3)
Lowndes, MS - Clay, MS	No	194.7 (183.0, 206.9)	N/A	218	falling	-0.6 (-0.9, -0.2)
Petersburg City, VA - Prince George, VA	No	194.3 (184.9, 204.1)	N/A	336	falling	-1.3 (-1.5, -1.0)
Dallas, AL - Marengo, AL	No	192.9 (180.8, 205.5)	N/A	205	falling	-1.0 (-1.3, -0.6)
Carter, OK - Marshall, OK	No	192.7 (181.4, 204.5)	N/A	228	falling	-0.5 (-0.8, -0.3)
Lawrence, TN - Wayne, TN	No	192.1 (179.6, 205.2)	N/A	183	falling	-0.7 (-1.0, -0.3)
Oglala Lakota, SD - Bennett, SD	No	192.0 (157.7, 231.0)	N/A	24	falling	-1.1 (-1.8, -0.4)
Cherokee, KS	No	191.8 (169.3, 216.8)	N/A	55	falling	-0.8 (-1.2, -0.3)
Phillips, AR	No	191.6 (167.5, 218.5)	N/A	48	falling	-1.4 (-1.9, -0.8)
Crawford, KS - Bourbon, KS	No	191.4 (177.9, 205.7)	N/A	157	stable	-0.4 (-0.8, 0.0)
Washington, OK - Nowata, OK	No	191.2 (178.3, 204.9)	N/A	173	rising	0.7 (0.1, 1.4)
Jefferson Davis, MS - Lawrence, MS	No	191.1 (170.0, 214.3)	N/A	64	falling	-0.6 (-1.0, -0.1)
Union, IL - Alexander, IL	No	190.8 (172.7, 210.6)	N/A	86	falling	-0.5 (-0.8, -0.1)
Escambia, AL - Conecuh, AL	No	190.5 (175.9, 206.1)	N/A	132	falling	-1.0 (-1.3, -0.7)
Pettis, MO - Saline, MO	No	190.5 (180.7, 200.7)	N/A	307	falling	-0.7 (-0.9, -0.4)
Montgomery (Clarksville), TN - Stewart, TN	No	190.5 (181.6, 199.7)	N/A	362	falling	-0.7 (-1.0, -0.4)
Nolan, TX - Mitchell, TX	No	190.3 (170.2, 212.2)	N/A	68	stable	-0.4 (-0.9, 0.0)
Beckham, OK - Roger Mills, OK	No	189.9 (168.4, 213.6)	N/A	58	stable	-0.5 (-1.1, 0.2)
Choctaw, OK	No	189.8 (164.8, 218.1)	N/A	43	stable	-0.1 (-0.7, 0.5)
Elbert, GA - Wilkes, GA	No	189.8 (171.8, 209.3)	N/A	88	falling	-0.9 (-1.3, -0.4)
Pontotoc, MS - Union, MS	No	189.7 (177.7, 202.4)	N/A	190	falling	-0.5 (-1.0, -0.1)
Pittsburg, OK - Pushmataha, OK	No	189.6 (177.4, 202.6)	N/A	187	falling	-0.7 (-1.0, -0.3)
Boyle, KY - Lincoln, KY	No	189.1 (179.4, 199.3)	N/A	293	falling	-0.7 (-1.0, -0.4)
Scioto, OH - Ross, OH	No	189.0 (181.2, 197.1)	N/A	459	falling	-0.8 (-1.1, -0.6)
Henderson (Henderson), KY - Union, KY	No	188.8 (175.1, 203.4)	N/A	148	falling	-0.7 (-1.1, -0.3)
Audrain, MO - Montgomery, MO	No	188.7 (173.9, 204.5)	N/A	126	falling	-0.6 (-1.1, -0.1)
Marion, IL - Washington, IL	No	188.5 (174.6, 203.4)	N/A	145	falling	-0.5 (-0.9, -0.1)
St. Mary, LA	No	188.4 (173.5, 204.4)	N/A	122	falling	-1.3 (-1.7, -0.8)
Lee, MS - Monroe, MS	No	188.4 (180.5, 196.5)	N/A	447	falling	-2.0 (-3.4, -0.7)
Hardin, KY - Meade, KY	No	188.4 (180.5, 196.5)	N/A	450	falling	-0.7 (-0.8, -0.5)
Accomack, VA - Northampton, VA	No	188.4 (174.1, 203.7)	N/A	145	falling	-1.1 (-1.4, -0.8)
Vermilion, IL - Edgar, IL	No	188.3 (178.0, 199.2)	N/A	260	falling	-0.6 (-0.9, -0.4)
Linn, MO	No	188.0 (160.1, 220.0)	N/A	35	stable	-0.5 (-1.1, 0.2)
Harrison (Biloxi), MS - Hancock, MS	No	187.9 (181.2, 194.9)	N/A	616	falling	-1.3 (-1.6, -1.0)
Polk, AR	No	187.9 (166.8, 211.4)	N/A	61	falling	-0.8 (-1.3, -0.2)
Todd, SD - Tripp, SD	No	187.9 (164.3, 214.1)	N/A	48	stable	-0.5 (-1.1, 0.0)
Madison (Jackson), TN - Gibson, TN	No	187.7 (181.2, 194.4)	N/A	660	falling	-0.6 (-0.8, -0.4)
Johnson, AR	No	187.7 (166.9, 210.5)	N/A	62	stable	-0.3 (-0.9, 0.3)
Wilson, KS	No	187.6 (155.3, 225.5)	N/A	25	stable	-0.1 (-0.9, 0.7)
Brunswick, VA - Greensville, VA	No	187.5 (170.1, 206.5)	N/A	88	falling	-1.4 (-2.0, -0.9)
Greene, TN - Cocke, TN	No	187.4 (177.8, 197.5)	N/A	303	falling	-0.7 (-1.1, -0.4)
Grenada, MS - Montgomery, MS	No	187.2 (171.6, 203.9)	N/A	113	stable	-0.3 (-0.7, 0.1)
Claiborne, TN	No	187.1 (169.1, 206.6)	N/A	85	falling	-0.7 (-1.2, -0.2)
Ouachita (Monroe), LA - Morehouse, LA	No	187.0 (180.0, 194.1)	N/A	568	falling	-0.9 (-1.2, -0.6)
Fountain, IN - Warren, IN	No	186.8 (167.6, 208.0)	N/A	71	falling	-0.9 (-1.5, -0.3)
Anderson, TX - Cherokee, TX	No	186.8 (177.7, 196.3)	N/A	322	stable	-2.4 (-8.8, 4.4)
Raleigh, WV - Fayette, WV	No	186.6 (178.4, 195.0)	N/A	426	falling	-0.7 (-0.9, -0.5)
Calcasieu (Lake Charles), LA - Vernon, LA	No	186.5 (180.3, 193.0)	N/A	694	falling	-1.0 (-1.2, -0.8)
Pontotoc, OK - Seminole, OK	No	186.3 (174.8, 198.5)	N/A	202	falling	-0.4 (-0.7, -0.1)
Cumberland, NJ	No	186.2 (177.2, 195.6)	N/A	329	falling	-0.9 (-1.0, -0.7)
Christian (Hopkinsville), KY - Hopkins, KY	No	186.1 (178.5, 194.0)	N/A	465	falling	-1.0 (-1.2, -0.7)
Warren, MS - Claiborne, MS	No	186.1 (171.6, 201.7)	N/A	128	falling	-1.0 (-1.3, -0.7)
Spalding (Griffin), GA - Butts, GA	No	185.9 (174.7, 197.6)	N/A	216	falling	-0.7 (-1.1, -0.3)
Jefferson (Pine Bluff), AR - Drew, AR	No	185.8 (176.6, 195.4)	N/A	321	falling	-0.9 (-1.1, -0.7)
Tazewell, VA - Buchanan, VA	No	185.8 (174.3, 198.1)	N/A	206	falling	-0.8 (-1.1, -0.5)
Decatur, GA - Seminole, GA	No	185.8 (170.0, 202.8)	N/A	106	falling	-0.9 (-1.3, -0.5)
Grady, OK - Caddo, OK	No	185.8 (174.2, 198.0)	N/A	198	stable	-0.2 (-0.6, 0.1)
Hardin, TN - McNairy, TN	No	185.8 (172.4, 200.1)	N/A	151	stable	-0.4 (-0.8, 0.0)
Putnam, TN - White, TN	No	185.8 (177.5, 194.3)	N/A	397	falling	-0.6 (-0.9, -0.3)
DeSoto, MS - Marshall, MS	No	185.7 (179.0, 192.5)	N/A	616	falling	-1.2 (-1.5, -0.9)
Craighead, AR - Greene, AR	No	185.3 (178.1, 192.7)	N/A	513	falling	-0.6 (-0.8, -0.4)
Highland, OH - Clinton, OH	No	185.2 (174.0, 197.1)	N/A	211	falling	-0.7 (-1.0, -0.3)
Kankakee (Kankakee), IL - Iroquois, IL	No	185.1 (176.2, 194.3)	N/A	342	falling	-0.9 (-1.2, -0.7)
Halifax with South Boston City, VA - Mecklenburg, VA	No	185.1 (174.4, 196.4)	N/A	247	falling	-0.9 (-1.2, -0.6)
Jackson, OK - Greer, OK	No	184.4 (165.9, 204.5)	N/A	74	stable	0.0 (-0.4, 0.4)
Upson, GA - Lamar, GA	No	184.3 (171.3, 198.2)	N/A	155	falling	-0.6 (-0.9, -0.2)
Jasper (Joplin), MO - Newton, MO	No	184.2 (176.9, 191.7)	N/A	494	falling	-0.7 (-1.0, -0.5)
Lincoln, MS - Copiah, MS	No	184.0 (170.8, 198.1)	N/A	150	falling	-0.8 (-1.2, -0.5)
Marion, AL - Fayette, AL	No	184.0 (169.8, 199.2)	N/A	131	stable	-0.4 (-0.8, 0.0)
Warren, KY - Logan, KY	No	184.0 (176.5, 191.7)	N/A	471	falling	-0.9 (-1.1, -0.7)
Berkeley, WV - Jefferson, WV	No	183.9 (176.5, 191.5)	N/A	497	falling	-0.9 (-1.2, -0.7)
Cabell (Huntington), WV - Wayne, WV	No	183.8 (175.6, 192.3)	N/A	398	falling	-1.0 (-1.2, -0.8)
Logan, OH	No	183.7 (168.7, 199.8)	N/A	116	falling	-8.0 (-15.2, -0.1)
Robeson, NC - Columbus, NC	No	183.7 (177.1, 190.5)	N/A	613	falling	-1.1 (-1.4, -0.9)
Crawford, IL - Lawrence, IL	No	183.3 (166.6, 201.4)	N/A	91	falling	-0.6 (-0.9, -0.2)
Baca, CO	No	183.3 (138.3, 242.0)	N/A	13	stable	-0.5 (-1.7, 0.8)
Comanche (Lawton), OK - Kiowa, OK	No	183.0 (173.4, 193.0)	N/A	281	falling	-0.7 (-1.0, -0.4)
Wichita (Wichita Falls), TX - Montague, TX	No	182.9 (175.4, 190.7)	N/A	467	falling	-0.9 (-1.1, -0.7)
Columbiana, OH	No	182.9 (173.2, 193.1)	N/A	283	falling	-0.8 (-1.1, -0.6)
Alleghany Cnty & Clifton Forge Cty, VA - Covington City, VA	No	182.8 (164.3, 203.3)	N/A	78	falling	-0.9 (-1.3, -0.5)
Grant, IN - Miami, IN	No	182.8 (174.0, 191.9)	N/A	346	falling	-0.6 (-0.8, -0.4)
Winn, LA	No	182.7 (156.5, 212.4)	N/A	36	falling	-1.0 (-1.6, -0.3)
Harrison, WV - Upshur, WV	No	182.6 (174.3, 191.4)	N/A	375	falling	-1.1 (-1.3, -0.9)
Talladega, AL - Clay, AL	No	182.5 (172.6, 192.9)	N/A	269	falling	-0.8 (-1.0, -0.5)
Clark (Jeffersonville), IN - Scott, IN	No	182.5 (173.4, 192.0)	N/A	314	falling	-1.3 (-1.6, -1.0)
Washburn, WI - Burnett, WI	No	182.5 (166.6, 199.9)	N/A	109	falling	-0.7 (-1.2, -0.2)
Stephens, OK - Jefferson, OK	No	182.5 (168.4, 197.6)	N/A	132	falling	-0.7 (-1.2, -0.2)
Grant, KS - Stanton, KS	No	182.3 (146.8, 224.0)	N/A	19	stable	-0.7 (-1.7, 0.4)
Alachua (Gainesville), FL - Columbia, FL	No	182.2 (177.6, 187.0)	N/A	1,210	falling	-2.8 (-4.3, -1.2)
Lamar, TX - Red River, TX	No	182.1 (170.0, 194.8)	N/A	180	falling	-0.8 (-1.1, -0.5)
Tift, GA - Ben Hill, GA	No	182.0 (169.7, 195.0)	N/A	169	stable	-2.4 (-4.7, 0.0)
Vigo (Terre Haute), IN - Clay, IN	No	181.9 (174.3, 189.9)	N/A	442	falling	-0.8 (-1.1, -0.6)
Madison, KY - Rockcastle, KY	No	181.9 (172.4, 191.8)	N/A	286	falling	-0.9 (-1.3, -0.5)
Newton (Covington), GA	No	181.8 (170.5, 193.6)	N/A	204	falling	-0.8 (-1.2, -0.4)
Jefferson (Steubenville), OH - Harrison, OH	No	181.7 (171.0, 192.9)	N/A	233	falling	-1.1 (-1.4, -0.8)
Lawrence, IN - Orange, IN	No	181.6 (169.5, 194.5)	N/A	173	falling	-0.6 (-0.8, -0.4)
Coos, OR - Curry, OR	No	181.6 (172.0, 191.7)	N/A	304	falling	-0.9 (-1.1, -0.7)
Howell, MO - Oregon, MO	No	181.6 (169.0, 195.0)	N/A	162	falling	-0.8 (-1.1, -0.4)
Emmet, IA	No	181.4 (149.9, 218.4)	N/A	27	stable	-0.2 (-1.0, 0.7)
Essex, VT	No	181.4 (147.7, 223.0)	N/A	21	falling	-1.3 (-2.2, -0.3)
Franklin, KY - Anderson, KY	No	181.3 (169.9, 193.4)	N/A	196	falling	-1.1 (-1.4, -0.7)
Baxter, AR - Marion, AR	No	181.2 (169.2, 194.0)	N/A	211	falling	-0.7 (-1.0, -0.4)
Roscommon, MI - Otsego, MI	No	181.2 (169.5, 193.6)	N/A	206	falling	-0.5 (-0.8, -0.2)
Wayne, GA - Appling, GA	No	181.1 (166.0, 197.3)	N/A	110	falling	-0.7 (-1.1, -0.2)
La Salle, IL - Livingston, IL	No	181.1 (173.8, 188.6)	N/A	497	falling	-0.7 (-0.9, -0.6)
Ware, GA - Pierce, GA	No	181.0 (168.8, 193.9)	N/A	169	falling	-0.8 (-1.2, -0.5)
Klamath, OR - Lake, OR	No	181.0 (169.7, 192.9)	N/A	205	falling	-0.7 (-1.0, -0.5)
Terrebonne (Houma), LA - Lafourche, LA	No	180.9 (173.8, 188.3)	N/A	503	falling	-1.0 (-1.2, -0.8)
Henry, VA - Patrick, VA	No	180.8 (170.5, 191.7)	N/A	248	stable	-0.3 (-0.5, 0.0)
Lamar, AL	No	180.8 (155.5, 209.5)	N/A	39	falling	-1.1 (-1.7, -0.5)
Jackson (Pascagoula), MS - George, MS	No	180.6 (172.1, 189.4)	N/A	358	falling	-1.2 (-1.5, -0.9)
Cape Girardeau, MO - Butler, MO	No	180.4 (174.4, 186.5)	N/A	715	falling	-2.7 (-4.0, -1.3)
Wood (Parkersburg), WV - Jackson, WV	No	180.3 (172.6, 188.3)	N/A	433	falling	-0.7 (-0.8, -0.5)
Caswell, NC	No	180.3 (160.9, 201.8)	N/A	66	falling	-1.0 (-1.5, -0.5)
Red Willow, NE - Hitchcock, NE	No	180.2 (154.2, 209.8)	N/A	39	stable	-0.6 (-1.2, 0.1)
Coffee, TN - Franklin, TN	No	180.0 (170.7, 189.8)	N/A	292	falling	-0.9 (-1.2, -0.7)
McCracken, KY - Graves, KY	No	179.7 (172.4, 187.3)	N/A	479	falling	-0.8 (-1.0, -0.6)
Onslow, NC - Craven, NC	No	179.6 (173.9, 185.4)	N/A	801	falling	-1.0 (-1.2, -0.8)
Macoupin, IL - Montgomery, IL	No	179.5 (168.3, 191.4)	N/A	203	falling	-0.9 (-1.1, -0.6)
Alcorn, MS - Tishomingo, MS	No	179.3 (166.0, 193.6)	N/A	140	falling	-0.8 (-1.2, -0.5)
Howard (Kokomo), IN - Cass, IN	No	179.3 (170.7, 188.3)	N/A	344	falling	-0.9 (-1.1, -0.6)
Daviess (Owensboro), KY - Ohio, KY	No	179.1 (170.5, 188.1)	N/A	334	falling	-1.0 (-1.3, -0.7)
Lincoln, LA - Union, LA	No	179.0 (168.4, 190.2)	N/A	224	falling	-1.1 (-1.4, -0.8)
Sullivan (Kingsport), TN - Hawkins, TN	No	178.9 (172.4, 185.7)	N/A	595	falling	-0.7 (-0.9, -0.4)
Delaware (Muncie), IN - Randolph, IN	No	178.7 (170.4, 187.4)	N/A	361	falling	-0.8 (-1.0, -0.5)
Morgan, IL - Greene, IL	No	178.7 (165.2, 193.1)	N/A	137	falling	-0.6 (-1.0, -0.3)
Tangipahoa, LA - St. Helena, LA	No	178.6 (169.3, 188.3)	N/A	291	falling	-1.4 (-1.6, -1.1)
Clark (Springfield), OH - Champaign, OH	No	178.5 (170.9, 186.3)	N/A	439	falling	-0.9 (-1.1, -0.7)
Alpena, MI - Presque Isle, MI	No	178.5 (167.2, 190.5)	N/A	215	falling	-0.9 (-1.2, -0.6)
Montgomery, IA - Adams, IA	No	178.3 (153.3, 206.9)	N/A	40	falling	-0.6 (-1.1, -0.1)
McDowell, NC	No	178.2 (163.9, 193.6)	N/A	121	stable	-0.2 (-0.6, 0.3)
Floyd, GA - Bartow, GA	No	178.2 (172.2, 184.3)	N/A	700	falling	-1.1 (-1.3, -0.9)
Calhoun (Anniston), AL - Cleburne, AL	No	178.1 (169.1, 187.5)	N/A	307	falling	-1.6 (-1.9, -1.3)
White, IL - Hamilton, IL	No	178.0 (158.5, 199.7)	N/A	64	stable	-0.4 (-1.0, 0.2)
Harrison, KY - Robertson, KY	No	177.8 (156.6, 201.4)	N/A	53	stable	-0.6 (-1.2, 0.0)
Washington, VA - Smyth, VA	No	177.7 (170.0, 185.6)	N/A	432	falling	-0.7 (-1.0, -0.5)
Lucas (Toledo), OH - Wood, OH	No	177.6 (173.4, 181.8)	N/A	1,454	falling	-0.9 (-1.0, -0.8)
Nash, NC - Halifax, NC	No	177.6 (170.9, 184.5)	N/A	563	falling	-1.1 (-1.3, -1.0)
Mohave, AZ	No	177.5 (171.4, 183.8)	N/A	761	falling	-1.0 (-1.2, -0.8)
Weakley, TN - Obion, TN	No	177.3 (165.0, 190.3)	N/A	162	falling	-2.4 (-3.8, -1.0)
Jackson (Jackson), MI - Lenawee, MI	No	177.2 (171.8, 182.8)	N/A	841	falling	-0.8 (-1.0, -0.7)
Thomas, GA - Mitchell, GA	No	177.1 (166.4, 188.3)	N/A	215	falling	-1.0 (-1.3, -0.7)
Carroll, VA - Grayson, VA	No	177.1 (164.6, 190.4)	N/A	160	falling	-0.4 (-0.8, -0.1)
Texas, OK - Cimarron, OK	No	176.9 (152.7, 203.8)	N/A	39	rising	2.1 (0.2, 4.1)
Bay (Bay City), MI - Iosco, MI	No	176.9 (169.7, 184.3)	N/A	505	falling	-1.0 (-1.1, -0.8)
Anderson (Oak Ridge), TN - Roane, TN	No	176.4 (170.0, 183.1)	N/A	594	falling	-1.8 (-2.6, -1.0)
Navarro, TX - Freestone, TX	No	176.4 (164.2, 189.4)	N/A	161	falling	-0.8 (-1.2, -0.3)
La Porte, IN - Starke, IN	No	176.4 (167.6, 185.6)	N/A	318	falling	-1.0 (-1.2, -0.7)
Rutland, VT	No	176.4 (164.2, 189.4)	N/A	167	falling	-0.6 (-0.8, -0.4)
Polk, MN	No	176.2 (158.5, 195.5)	N/A	78	stable	0.3 (-11.5, 13.8)
Custer, OK - Washita, OK	No	176.0 (158.8, 194.5)	N/A	81	stable	-0.2 (-0.6, 0.3)
Sumter, SC - Clarendon, SC	No	175.9 (167.8, 184.4)	N/A	370	falling	-1.5 (-2.0, -1.1)
Dearborn, IN - Jefferson (Madison), IN	No	175.9 (166.9, 185.2)	N/A	303	falling	-0.8 (-1.1, -0.6)
Mason, WV	No	175.8 (157.8, 195.6)	N/A	73	falling	-1.4 (-1.9, -0.9)
Wayne, IN - Fayette, IN	No	175.7 (165.7, 186.2)	N/A	243	falling	-2.3 (-3.3, -1.2)
Juneau, WI - Adams, WI	No	175.7 (162.5, 189.9)	N/A	142	falling	-0.8 (-1.1, -0.5)
Strafford (Rochester), NH	No	175.7 (166.1, 185.6)	N/A	266	falling	-1.1 (-1.4, -0.8)
Maury, TN - Giles, TN	No	175.5 (167.6, 183.7)	N/A	388	falling	-1.5 (-2.0, -1.0)
Stephens, GA - Hart, GA	No	175.5 (164.3, 187.4)	N/A	192	falling	-0.4 (-0.8, -0.1)
Bulloch, GA - Emanuel, GA	No	175.4 (165.2, 186.0)	N/A	232	falling	-0.9 (-1.1, -0.6)
Uvalde, TX	No	175.2 (155.3, 197.2)	N/A	58	falling	-1.1 (-1.7, -0.4)
Franklin, IN	No	175.2 (154.5, 198.3)	N/A	54	stable	-0.4 (-1.0, 0.2)
Muskogee, OK - Wagoner, OK	No	175.2 (168.5, 182.1)	N/A	541	falling	-1.7 (-2.5, -0.9)
Wyandotte (Kansas City), KS - Leavenworth, KS	No	175.0 (167.7, 182.6)	N/A	450	falling	-1.1 (-1.4, -0.9)
Penobscot (Bangor), ME - Hancock, ME	No	174.8 (168.8, 181.0)	N/A	685	falling	-1.3 (-1.5, -1.1)
Kanawha (Charleston), WV - Putnam, WV	No	174.8 (169.2, 180.5)	N/A	782	falling	-1.5 (-1.7, -1.3)
Rapides (Alexandria), LA - Avoyelles, LA	No	174.8 (168.0, 181.7)	N/A	527	falling	-1.2 (-1.4, -0.9)
Laurens, SC - Greenwood, SC	No	174.7 (167.7, 182.0)	N/A	491	falling	-0.9 (-1.1, -0.7)
Caddo (Shreveport), LA - Bossier, LA	No	174.7 (170.0, 179.4)	N/A	1,125	falling	-1.4 (-1.6, -1.2)
Washington, PA - Fayette, PA	No	174.6 (169.7, 179.7)	N/A	1,007	falling	-0.9 (-1.1, -0.7)
Bowie (Texarkana), TX	No	174.6 (163.9, 185.8)	N/A	207	falling	-1.2 (-1.5, -0.9)
Boyd, NE	No	174.6 (110.1, 270.1)	N/A	7	stable	0.1 (-1.1, 1.3)
Marion, SC - Dillon, SC	No	174.5 (161.6, 188.3)	N/A	145	falling	-1.2 (-1.6, -0.8)
Lee (Auburn), AL - Elmore, AL	No	174.5 (168.1, 181.1)	N/A	587	falling	-1.0 (-1.2, -0.7)
Lincoln, OR - Tillamook, OR	No	174.5 (164.0, 185.6)	N/A	241	falling	-0.9 (-1.2, -0.6)
Adair, MO - Sullivan, MO	No	174.4 (159.9, 189.9)	N/A	113	stable	-0.4 (-0.7, 0.0)
Orangeburg, SC - Bamberg, SC	No	174.3 (165.5, 183.6)	N/A	316	falling	-0.9 (-1.1, -0.7)
Hamblen (Morristown), TN - Jefferson, TN	No	174.3 (166.3, 182.7)	N/A	371	falling	-1.9 (-2.7, -1.2)
Forrest, MS - Lamar, MS	No	174.1 (166.0, 182.6)	N/A	353	falling	-1.5 (-1.9, -1.0)
Morgan (Decatur), AL - Lawrence, AL	No	174.1 (165.9, 182.6)	N/A	352	falling	-1.1 (-1.5, -0.7)
Marinette, WI - Florence, WI	No	174.0 (160.6, 188.5)	N/A	136	falling	-0.8 (-1.2, -0.4)
Carroll, GA - Haralson, GA	No	174.0 (164.8, 183.5)	N/A	281	falling	-4.0 (-7.0, -0.8)
Cheyenne, NE - Kimball, NE	No	173.9 (149.7, 201.4)	N/A	40	stable	-0.7 (-1.5, 0.1)
Bradley, TN - Polk, TN	No	173.9 (164.8, 183.3)	N/A	284	falling	-1.0 (-1.3, -0.7)
Henry, MO - Bates, MO	No	173.6 (160.3, 187.9)	N/A	134	falling	-0.7 (-1.1, -0.4)
Angelina, TX - Walker, TX	No	173.4 (166.3, 180.6)	N/A	479	falling	-1.1 (-1.3, -0.8)
Kennebec, ME - Somerset, ME	No	173.4 (166.8, 180.1)	N/A	559	falling	-1.2 (-1.4, -1.0)
Chambers, AL - Randolph, AL	No	173.3 (160.5, 187.1)	N/A	143	falling	-0.8 (-1.1, -0.5)
Marion, MO - Pike, MO	No	173.3 (161.4, 186.0)	N/A	163	falling	-0.6 (-0.9, -0.4)
Hinds (Jackson), MS - Rankin, MS	No	173.3 (168.9, 177.8)	N/A	1,211	falling	-1.5 (-1.8, -1.2)
Richland (Mansfield), OH - Ashland, OH	No	173.3 (165.9, 180.9)	N/A	438	falling	-0.8 (-1.0, -0.6)
Knox, IL - Warren, IL	No	173.3 (161.6, 185.6)	N/A	177	falling	-0.8 (-1.2, -0.4)
Wicomico, MD - Worcester, MD	No	173.2 (165.9, 180.8)	N/A	445	falling	-1.4 (-1.6, -1.2)
St. Clair (Port Huron), MI - Sanilac, MI	No	173.2 (166.3, 180.4)	N/A	502	falling	-1.1 (-1.3, -0.9)
Laurens, GA - Toombs, GA	No	172.9 (164.6, 181.7)	N/A	329	falling	-1.1 (-1.4, -0.8)
Wexford, MI - Osceola, MI	No	172.9 (162.6, 183.8)	N/A	225	falling	-0.9 (-1.2, -0.5)
Hancock, IN - Henry (New Castle), IN	No	172.8 (163.8, 182.3)	N/A	282	falling	-0.7 (-1.0, -0.4)
Knox, IN - Daviess, IN	No	172.8 (162.3, 183.8)	N/A	212	falling	-0.8 (-1.1, -0.5)
Floyd (New Albany), IN - Harrison, IN	No	172.8 (164.5, 181.3)	N/A	348	falling	-1.1 (-1.3, -0.8)
Steuben, NY - Chemung (Elmira), NY	No	172.8 (165.8, 179.9)	N/A	498	falling	-1.1 (-1.2, -0.9)
Leon, TX - Madison, TX	No	172.6 (155.6, 191.1)	N/A	80	falling	-1.2 (-1.6, -0.7)
Peoria (Peoria), IL - Tazewell, IL	No	172.5 (167.3, 177.8)	N/A	887	falling	-0.9 (-1.1, -0.8)
Tulsa (Tulsa), OK - Rogers, OK	No	172.5 (168.9, 176.1)	N/A	1,827	falling	-1.2 (-1.4, -1.0)
Jackson, CO	No	172.4 (103.9, 280.7)	N/A	4	*	*
Androscoggin (Lewiston), ME - Oxford, ME	No	172.4 (165.5, 179.6)	N/A	490	falling	-1.1 (-1.3, -1.0)
Muskegon (Muskegon), MI - Newaygo, MI	No	172.4 (166.4, 178.6)	N/A	659	falling	-0.8 (-1.0, -0.7)
Huntington, IN - Adams, IN	No	172.3 (163.1, 182.0)	N/A	272	falling	-0.5 (-0.8, -0.3)
Oklahoma (Oklahoma City), OK - Canadian, OK	No	172.2 (168.8, 175.6)	N/A	2,045	falling	-0.8 (-0.9, -0.8)
Grayson (Sherman), TX - Fannin, TX	No	172.1 (164.4, 180.1)	N/A	392	falling	-0.9 (-1.1, -0.7)
Ohio (Wheeling), WV - Marshall, WV	No	172.1 (162.6, 182.1)	N/A	266	falling	-1.1 (-1.3, -0.9)
Cumberland (Fayetteville), NC - Sampson, NC	No	172.1 (166.3, 178.0)	N/A	688	falling	-1.2 (-1.3, -1.0)
Perry, IN	No	172.0 (150.2, 196.5)	N/A	46	stable	-0.6 (-1.3, 0.2)
Marion, OH - Crawford, OH	No	172.0 (165.2, 179.0)	N/A	497	falling	-1.0 (-1.3, -0.8)
Kay (Ponca City), OK - Osage, OK	No	172.0 (161.8, 182.7)	N/A	226	falling	-0.5 (-0.8, -0.2)
Fayette (Lexington-Fayette), KY - Jessamine, KY	No	172.0 (167.5, 176.6)	N/A	1,144	falling	-3.4 (-5.3, -1.4)
Gregg (Longview), TX - Rusk, TX	No	171.9 (165.3, 178.8)	N/A	523	falling	-1.3 (-1.5, -1.1)
Lewis, WA - Pacific, WA	No	171.9 (162.8, 181.4)	N/A	287	falling	-0.9 (-1.2, -0.6)
Florence (Florence), SC - Darlington, SC	No	171.8 (166.1, 177.8)	N/A	704	falling	-2.3 (-3.1, -1.6)
Randolph, WV - Barbour, WV	No	171.8 (159.8, 184.6)	N/A	164	falling	-0.9 (-1.2, -0.5)
Independence, AR - Sharp, AR	No	171.8 (162.2, 181.9)	N/A	260	falling	-0.8 (-1.1, -0.5)
Atchison, KS	No	171.8 (147.1, 199.7)	N/A	36	falling	-0.7 (-1.3, -0.1)
Muskingum, OH - Guernsey, OH	No	171.7 (165.2, 178.4)	N/A	554	falling	-2.6 (-4.0, -1.3)
Houghton, MI - Baraga, MI	No	171.6 (157.2, 187.2)	N/A	110	falling	-0.9 (-1.2, -0.5)
White, AR - Cleburne, AR	No	171.5 (162.3, 181.2)	N/A	268	stable	-5.2 (-10.6, 0.4)
Wapello, IA - Mahaska, IA	No	171.4 (161.7, 181.6)	N/A	250	falling	-0.6 (-0.8, -0.3)
Sebastian (Fort Smith), AR - Crawford, AR	No	171.2 (164.6, 178.0)	N/A	531	falling	-1.8 (-2.5, -1.0)
Genesee (Flint), MI - Lapeer, MI	No	171.2 (166.7, 175.8)	N/A	1,142	falling	-1.7 (-2.4, -1.1)
Galveston, TX	No	171.2 (165.2, 177.3)	N/A	649	falling	-1.4 (-1.6, -1.2)
Rutherford (Murfreesboro), TN - Warren, TN	No	171.1 (165.2, 177.2)	N/A	667	falling	-1.0 (-1.2, -0.8)
Schuylkill, PA - Northumberland, PA	No	171.1 (166.0, 176.4)	N/A	878	falling	-0.9 (-1.1, -0.8)
Pittsylvania (Danville), VA - Danville City, VA	No	171.0 (161.7, 180.7)	N/A	276	falling	-1.0 (-1.3, -0.7)
Titus, TX - Morris, TX	No	170.9 (158.6, 184.0)	N/A	150	falling	-1.3 (-1.7, -0.8)
Dakota, NE - Thurston, NE	No	170.8 (152.1, 191.3)	N/A	63	falling	-0.7 (-1.1, -0.3)
Del Norte, CA	No	170.7 (152.0, 191.3)	N/A	64	falling	-1.3 (-1.9, -0.8)
Spartanburg (Spartanburg), SC - Cherokee, SC	No	170.6 (165.4, 175.9)	N/A	845	falling	-1.7 (-2.0, -1.3)
Miller, AR - Hempstead, AR	No	170.5 (161.5, 179.9)	N/A	281	falling	-2.6 (-3.7, -1.4)
Siskiyou, CA	No	170.5 (156.9, 185.3)	N/A	129	falling	-0.9 (-1.3, -0.5)
Calhoun (Battle Creek), MI - Barry, MI	No	170.5 (163.4, 177.9)	N/A	450	falling	-1.0 (-1.2, -0.7)
Defiance, OH - Williams, OH	No	170.4 (161.6, 179.7)	N/A	290	falling	-0.8 (-0.9, -0.6)
Labette, KS - Neosho, KS	No	170.4 (157.2, 184.6)	N/A	132	stable	-0.4 (-0.8, 0.0)
Colquitt, GA	No	170.4 (154.9, 187.1)	N/A	91	falling	-1.0 (-1.3, -0.7)
Pike, MS - Marion, MS	No	170.3 (160.1, 181.1)	N/A	217	falling	-0.8 (-1.1, -0.4)
Bennington, VT	No	170.1 (155.0, 186.6)	N/A	101	falling	-1.0 (-1.4, -0.6)
Payne, OK - Pawnee, OK	No	170.0 (159.4, 181.1)	N/A	199	falling	-0.6 (-0.9, -0.3)
Montgomery, KS - Chautauqua, KS	No	170.0 (154.8, 186.4)	N/A	99	falling	-1.7 (-2.4, -0.9)
Washington, OH	No	170.0 (158.0, 182.7)	N/A	159	falling	-0.7 (-1.0, -0.3)
Lee, IA	No	169.9 (154.0, 187.2)	N/A	88	falling	-1.2 (-1.7, -0.8)
Marion (Indianapolis), IN - Johnson, IN	No	169.8 (166.9, 172.8)	N/A	2,619	falling	-1.5 (-1.7, -1.3)
Bryan, OK - Atoka, OK	No	169.8 (157.1, 183.3)	N/A	138	falling	-1.0 (-1.4, -0.7)
Shelby (Memphis), TN - Tipton, TN	No	169.8 (166.3, 173.3)	N/A	1,924	falling	-2.8 (-3.5, -2.1)
Montgomery (Montgomery), AL - Autauga, AL	No	169.8 (164.5, 175.2)	N/A	800	falling	-1.2 (-1.4, -1.1)
Lincoln, TN	No	169.8 (153.6, 187.3)	N/A	85	falling	-1.2 (-1.7, -0.7)
Monroe, MI	No	169.7 (161.6, 178.1)	N/A	347	falling	-1.1 (-1.3, -0.9)
Pulaski, MO - Phelps, MO	No	169.7 (159.6, 180.2)	N/A	219	falling	-1.0 (-1.3, -0.6)
Muscogee (Columbus), GA - Harris, GA	No	169.5 (162.9, 176.4)	N/A	513	falling	-1.2 (-1.4, -1.0)
Midland (Midland), MI - Isabella, MI	No	169.3 (162.4, 176.4)	N/A	479	stable	1.5 (-0.6, 3.7)
Duval (Jacksonville), FL - Clay, FL	No	169.3 (166.2, 172.3)	N/A	2,481	falling	-1.7 (-2.0, -1.5)
Jefferson, IL - Wayne, IL	No	169.2 (156.4, 182.8)	N/A	135	falling	-0.8 (-1.1, -0.4)
Lawrence, PA	No	169.1 (159.3, 179.4)	N/A	240	falling	-0.9 (-1.2, -0.7)
Alamance, NC	No	169.0 (161.2, 177.1)	N/A	366	falling	-0.8 (-1.1, -0.6)
Elk, PA	No	169.0 (153.1, 186.4)	N/A	88	falling	-1.0 (-1.4, -0.7)
Erie (Erie), PA - Warren, PA	No	168.9 (163.3, 174.6)	N/A	741	falling	-0.9 (-1.1, -0.8)
Garfield (Enid), OK - Kingfisher, OK	No	168.9 (159.4, 178.8)	N/A	251	falling	-0.3 (-0.5, -0.1)
Gaston (Gastonia), NC - Cleveland, NC	No	168.6 (164.0, 173.3)	N/A	1,055	falling	-1.3 (-1.5, -1.0)
Sumter, GA - Crisp, GA	No	168.5 (157.9, 179.6)	N/A	199	falling	-1.2 (-1.5, -0.9)
Douglas, WI	No	168.5 (153.6, 184.5)	N/A	100	falling	-1.5 (-1.8, -1.2)
Washington (Johnson City), TN - Carter, TN	No	168.4 (161.7, 175.4)	N/A	496	falling	-1.2 (-1.3, -1.0)
Mercer, PA	No	168.4 (159.7, 177.5)	N/A	303	falling	-0.8 (-1.0, -0.5)
Geary, KS - Dickinson, KS	No	168.4 (153.9, 183.9)	N/A	104	falling	-0.6 (-1.1, -0.2)
Buchanan (St. Joseph), MO - Nodaway, MO	No	168.3 (160.3, 176.6)	N/A	345	falling	-3.4 (-5.5, -1.3)
Humboldt, CA	No	168.3 (159.5, 177.4)	N/A	297	falling	-1.3 (-1.6, -1.1)
Vernon, MO - Cedar, MO	No	168.2 (152.5, 185.3)	N/A	90	falling	-0.6 (-1.1, -0.1)
Etowah (Gadsden), AL - Marshall, AL	No	168.2 (162.5, 174.1)	N/A	677	falling	-1.7 (-2.1, -1.3)
Dougherty (Albany), GA - Lee, GA	No	168.2 (160.5, 176.2)	N/A	373	falling	-1.1 (-1.4, -0.9)
Nemaha, NE	No	168.2 (133.1, 210.7)	N/A	17	stable	0.0 (-0.9, 1.0)
Malheur, OR	No	168.1 (149.8, 188.2)	N/A	64	stable	-0.4 (-1.0, 0.2)
Rolette, ND - Pierce, ND	No	168.1 (145.6, 193.3)	N/A	42	falling	-1.1 (-1.7, -0.4)
Brown, TX - Coleman, TX	No	168.1 (155.9, 181.0)	N/A	151	falling	-0.8 (-1.2, -0.4)
Bartholomew, IN - Jackson, IN	No	168.0 (160.4, 175.9)	N/A	380	falling	-1.4 (-1.7, -1.0)
Jefferson (Louisville), KY - Bullitt, KY	No	167.9 (164.8, 171.2)	N/A	2,204	falling	-1.8 (-2.0, -1.6)
Madison (Alton), IL - Jersey, IL	No	167.8 (162.2, 173.6)	N/A	707	falling	-1.0 (-1.1, -0.8)
Lackawanna (Scranton), PA - Wayne, PA	No	167.8 (162.0, 173.7)	N/A	677	falling	-1.0 (-1.3, -0.8)
Oneida, WI - Vilas, WI	No	167.7 (157.7, 178.4)	N/A	235	falling	-1.0 (-1.3, -0.6)
Pottawattamie (Council Bluffs), IA - Harrison, IA	No	167.7 (159.9, 175.8)	N/A	367	falling	-0.8 (-1.0, -0.6)
Jackson, WI	No	167.7 (147.1, 190.6)	N/A	50	falling	-1.2 (-1.7, -0.7)
Winnebago (Rockford), IL - Ogle, IL	No	167.7 (162.8, 172.6)	N/A	947	falling	-0.9 (-1.0, -0.7)
Bay (Panama City), FL - Jackson, FL	No	167.6 (162.0, 173.4)	N/A	704	falling	-1.5 (-1.9, -1.1)
Custer, MT - Fallon, MT	No	167.6 (147.0, 190.7)	N/A	51	falling	-1.2 (-1.8, -0.5)
Montgomery (Dayton), OH - Greene, OH	No	167.6 (164.0, 171.2)	N/A	1,795	falling	-1.2 (-1.3, -1.0)
Boone, AR - Carroll, AR	No	167.5 (157.4, 178.1)	N/A	219	falling	-0.9 (-1.2, -0.6)
St. Joseph (South Bend), IN - Marshall, IN	No	167.5 (161.9, 173.1)	N/A	734	falling	-1.0 (-1.1, -0.9)
Lucas, IA - Wayne, IA	No	167.4 (144.6, 193.4)	N/A	42	falling	-0.7 (-1.2, -0.1)
Saline, KS - Ellsworth, KS	No	167.4 (155.8, 179.6)	N/A	165	falling	-0.5 (-0.9, -0.1)
Kenton (Covington), KY - Campbell, KY	No	167.3 (162.1, 172.6)	N/A	828	falling	-2.0 (-2.3, -1.6)
Macon (Decatur), IL - Shelby, IL	No	167.2 (159.7, 175.0)	N/A	396	falling	-0.9 (-1.1, -0.7)
Coffee, GA - Jeff Davis, GA	No	167.2 (154.0, 181.3)	N/A	124	falling	-1.1 (-1.6, -0.7)
Greenbrier, WV - Monroe, WV	No	167.2 (154.4, 180.9)	N/A	135	falling	-0.9 (-1.3, -0.6)
Mobile (Mobile), AL - Baldwin, AL	No	167.1 (163.3, 171.0)	N/A	1,539	falling	-2.1 (-2.7, -1.4)
Williamson, IL - Jackson, IL	No	167.1 (159.8, 174.6)	N/A	416	falling	-2.8 (-4.0, -1.5)
Sangamon (Springfield), IL - Christian, IL	No	167.1 (161.6, 172.7)	N/A	749	falling	-3.3 (-5.7, -0.8)
Taylor (Abilene), TX - Jones, TX	No	167.0 (159.9, 174.4)	N/A	432	falling	-0.9 (-1.1, -0.7)
Frederick, VA - Shenandoah, VA	No	167.0 (160.3, 174.0)	N/A	486	falling	-1.2 (-1.4, -1.0)
Licking (Newark), OH - Knox, OH	No	166.8 (160.3, 173.5)	N/A	510	falling	-1.2 (-1.4, -1.1)
Delaware, OK	No	166.8 (153.0, 181.6)	N/A	121	falling	-1.1 (-1.5, -0.7)
Berrien (Benton Harbor), MI - Van Buren, MI	No	166.6 (160.9, 172.5)	N/A	681	falling	-1.1 (-1.3, -0.9)
Lyon, KS - Coffey, KS	No	166.6 (152.5, 181.7)	N/A	110	falling	-0.7 (-1.1, -0.3)
Richmond (South Augusta), GA - Columbia, GA	No	166.5 (161.2, 172.0)	N/A	766	falling	-1.8 (-2.2, -1.4)
Wayne, NC - Lenoir, NC	No	166.5 (160.3, 172.9)	N/A	575	falling	-1.3 (-1.5, -1.2)
Hancock, OH - Seneca, OH	No	166.4 (157.8, 175.4)	N/A	293	falling	-0.7 (-1.0, -0.4)
Hancock (Weirton), WV - Brooke, WV	No	166.4 (154.0, 179.6)	N/A	144	falling	-1.1 (-1.4, -0.8)
Pope, AR - Yell, AR	No	166.3 (155.4, 177.9)	N/A	176	falling	-4.0 (-6.0, -1.9)
Stark (Canton), OH - Wayne, OH	No	166.3 (162.5, 170.2)	N/A	1,529	falling	-0.9 (-1.0, -0.8)
Marion (Ocala), FL - Citrus, FL	No	166.1 (162.3, 170.1)	N/A	1,700	stable	1.1 (-2.1, 4.4)
Cuyahoga (Cleveland), OH - Lake, OH	No	166.1 (163.7, 168.5)	N/A	3,927	falling	-1.6 (-1.7, -1.4)
Walker, GA - Catoosa, GA	No	166.1 (158.2, 174.3)	N/A	348	falling	-1.1 (-1.4, -0.8)
Lafayette (Lafayette), LA - Iberia, LA	No	166.0 (161.1, 171.0)	N/A	914	falling	-2.1 (-2.5, -1.7)
Garland, AR - Hot Spring, AR	No	165.9 (158.9, 173.2)	N/A	453	falling	-1.8 (-3.4, -0.2)
Houston (Dothan), AL - Dale, AL	No	165.9 (160.0, 172.0)	N/A	617	falling	-1.7 (-2.1, -1.2)
Lycoming (Williamsport), PA - Clinton, PA	No	165.9 (158.2, 173.9)	N/A	368	falling	-0.9 (-1.1, -0.7)
Palo Pinto, TX - Jack, TX	No	165.7 (150.3, 182.5)	N/A	89	falling	-1.3 (-1.8, -0.9)
Crawford, PA	No	165.7 (155.6, 176.5)	N/A	212	falling	-1.3 (-1.8, -0.8)
Allen (Fort Wayne), IN - Noble, IN	No	165.7 (161.3, 170.2)	N/A	1,116	falling	-1.2 (-1.4, -1.0)
Mc Kean, PA - Potter, PA	No	165.7 (154.0, 178.1)	N/A	161	falling	-1.1 (-1.5, -0.7)
Virginia Beach City, VA - Norfolk City, VA	No	165.7 (162.5, 168.9)	N/A	2,133	falling	-1.7 (-1.9, -1.6)
Martin, MN	No	165.7 (145.9, 187.8)	N/A	58	stable	-0.5 (-1.2, 0.3)
Lake (Gary), IN - Porter, IN	No	165.6 (161.8, 169.5)	N/A	1,486	falling	-1.8 (-2.0, -1.6)
Livingston, MO - Carroll, MO	No	165.6 (146.9, 186.4)	N/A	60	stable	-0.4 (-1.0, 0.1)
Clark, IL	No	165.6 (142.5, 191.8)	N/A	39	stable	-0.3 (-0.9, 0.4)
Knox (Knoxville), TN - Blount, TN	No	165.6 (162.3, 169.0)	N/A	1,956	falling	-1.3 (-1.6, -1.1)
Coos, NH	No	165.5 (150.2, 182.4)	N/A	91	falling	-1.4 (-1.9, -0.8)
Nacogdoches, TX - Shelby, TX	No	165.4 (155.9, 175.4)	N/A	237	falling	-1.2 (-1.4, -0.9)
Atchison, MO - Holt, MO	No	165.3 (136.4, 199.6)	N/A	27	stable	-0.3 (-1.0, 0.4)
Ector (Odessa), TX - Reeves, TX	No	165.3 (156.6, 174.4)	N/A	281	falling	-1.1 (-1.4, -0.8)
Escambia (Pensacola), FL - Okaloosa, FL	No	165.3 (161.6, 169.0)	N/A	1,618	falling	-1.4 (-1.5, -1.2)
Adams, NE - Clay, NE	No	165.3 (151.2, 180.3)	N/A	111	falling	-0.9 (-1.2, -0.5)
Woodbury (Sioux City), IA - Plymouth, IA	No	165.1 (157.6, 172.9)	N/A	380	falling	-0.7 (-0.9, -0.5)
Whiteside, IL - Carroll, IL	No	165.1 (154.3, 176.5)	N/A	187	falling	-0.7 (-1.0, -0.4)
Bell (Killeen), TX - Coryell, TX	No	165.0 (159.6, 170.6)	N/A	722	falling	-1.4 (-1.6, -1.1)
Whitfield, GA - Murray, GA	No	165.0 (156.1, 174.3)	N/A	264	falling	-1.1 (-1.4, -0.8)
Calloway, KY	No	165.0 (148.9, 182.4)	N/A	81	stable	-0.4 (-0.8, 0.0)
Lauderdale (Florence), AL - Colbert, AL	No	164.9 (158.2, 171.8)	N/A	481	stable	-1.1 (-2.6, 0.3)
Massac, IL - Johnson, IL	No	164.7 (147.3, 183.9)	N/A	69	falling	-1.0 (-1.5, -0.5)
Lorain (Lorain), OH - Erie, OH	No	164.7 (160.4, 169.1)	N/A	1,159	falling	-2.2 (-3.0, -1.5)
Clinton, NY - Franklin, NY	No	164.7 (157.3, 172.4)	N/A	391	falling	-1.3 (-1.5, -1.0)
Hamilton (Cincinnati), OH - Butler, OH	No	164.5 (162.0, 167.1)	N/A	3,348	falling	-1.6 (-1.7, -1.5)
St. Lawrence, NY - Jefferson, NY	No	164.5 (158.0, 171.3)	N/A	492	falling	-1.3 (-1.5, -1.0)
Butte (Chico), CA - Tehama, CA	No	164.5 (158.9, 170.2)	N/A	697	falling	-1.3 (-1.5, -1.1)
McLennan (Waco), TX - Hill, TX	No	164.5 (159.0, 170.0)	N/A	722	falling	-1.3 (-1.5, -1.1)
Victoria (Victoria), TX - Calhoun, TX	No	164.5 (157.2, 172.0)	N/A	403	falling	-0.9 (-1.2, -0.7)
Cloud, KS - Republic, KS	No	164.4 (139.8, 192.7)	N/A	37	stable	-0.3 (-1.0, 0.4)
Fairfield (Lancaster), OH - Athens, OH	No	164.3 (157.9, 170.9)	N/A	514	falling	-1.3 (-1.5, -1.1)
Isanti (Cambridge), MN - Mille Lacs, MN	No	164.1 (153.4, 175.5)	N/A	181	falling	-0.7 (-1.1, -0.3)
Vanderburgh (Evansville), IN - Warrick, IN	No	164.1 (158.6, 169.8)	N/A	705	falling	-1.3 (-1.5, -1.1)
Fulton, NY - Montgomery (Amsterdam), NY	No	164.1 (154.7, 174.0)	N/A	243	falling	-1.2 (-1.5, -0.9)
Jefferson (Birmingham), AL - Shelby, AL	No	164.1 (161.2, 167.0)	N/A	2,523	falling	-1.6 (-1.9, -1.3)
Chippewa, MI - Emmet, MI	No	163.9 (156.1, 172.1)	N/A	357	falling	-1.0 (-1.2, -0.8)
Sumner (Hendersonville), TN - Wilson, TN	No	163.9 (158.6, 169.4)	N/A	749	falling	-1.8 (-2.3, -1.3)
Wilkes, NC	No	163.9 (152.9, 175.6)	N/A	175	falling	-0.6 (-1.0, -0.3)
Windham, VT	No	163.9 (149.6, 179.2)	N/A	109	falling	-1.3 (-1.7, -0.9)
Miami (Piqua), OH - Shelby, OH	No	163.8 (156.1, 172.0)	N/A	345	falling	-0.9 (-1.1, -0.7)
Venango, PA - Clarion, PA	No	163.5 (154.3, 173.2)	N/A	253	falling	-0.9 (-1.2, -0.5)
Cole, MO - Callaway, MO	No	163.4 (156.9, 170.1)	N/A	490	falling	-1.2 (-1.5, -1.0)
Boone, IN	No	163.3 (150.0, 177.6)	N/A	114	falling	-1.3 (-1.8, -0.9)
Cleveland (Norman), OK - McClain, OK	No	163.3 (157.6, 169.1)	N/A	646	falling	-0.7 (-0.9, -0.5)
Kootenai, ID - Bonner, ID	No	163.3 (157.1, 169.7)	N/A	559	falling	-5.5 (-9.6, -1.1)
Allen (Lima), OH - Auglaize, OH	No	163.3 (157.4, 169.3)	N/A	622	falling	-0.9 (-1.1, -0.7)
Adams, IL - Pike, IL	No	163.1 (152.9, 173.9)	N/A	205	falling	-1.3 (-1.6, -1.0)
Forsyth (Winston-Salem), NC - Surry, NC	No	163.0 (159.0, 167.2)	N/A	1,245	falling	-1.3 (-1.6, -1.1)
Choctaw, AL - Sumter, AL	No	163.0 (144.5, 183.6)	N/A	61	falling	-1.3 (-1.8, -0.8)
Lafayette, MS - Calhoun, MS	No	162.9 (151.1, 175.3)	N/A	149	falling	-0.9 (-1.3, -0.5)
Pratt, KS - Kiowa, KS	No	162.8 (139.2, 189.8)	N/A	37	stable	-0.4 (-1.1, 0.3)
Jefferson (Beaumont), TX - Orange, TX	No	162.6 (157.9, 167.4)	N/A	935	falling	-1.5 (-1.6, -1.3)
Luzerne (Wilkes-Barre), PA - Columbia, PA	No	162.6 (158.0, 167.3)	N/A	1,001	falling	-0.9 (-1.1, -0.8)
Barron, WI - Rusk, WI	No	162.5 (150.9, 174.9)	N/A	157	falling	-0.8 (-1.0, -0.5)
Grand Forks (Grand Forks), ND - Walsh, ND	No	162.4 (151.8, 173.6)	N/A	186	falling	-1.2 (-1.5, -0.8)
Harford, MD - Cecil, MD	No	162.4 (157.0, 167.9)	N/A	719	falling	-1.6 (-1.8, -1.4)
Polk, WI	No	162.3 (148.6, 177.1)	N/A	109	falling	-1.0 (-1.4, -0.6)
Rock Island (Moline), IL - Henry, IL	No	162.3 (155.9, 168.9)	N/A	510	falling	-1.0 (-1.2, -0.8)
Payette, ID - Washington, ID	No	162.1 (147.4, 178.2)	N/A	94	falling	-1.0 (-1.4, -0.6)
Atlantic (Atlantic City), NJ - Cape May, NJ	No	162.1 (157.2, 167.2)	N/A	874	falling	-2.0 (-2.4, -1.6)
Aroostook, ME	No	162.1 (151.5, 173.4)	N/A	190	falling	-1.0 (-1.3, -0.7)
Racine (Racine), WI - Kenosha, WI	No	162.1 (156.7, 167.6)	N/A	715	falling	-1.1 (-1.2, -0.9)
Clinton, IA	No	162.0 (148.6, 176.3)	N/A	114	falling	-1.0 (-1.4, -0.6)
Newport News City, VA - Hampton City, VA	No	161.9 (157.6, 166.3)	N/A	1,092	falling	-1.5 (-1.7, -1.4)
Richland (Columbia), SC - Lexington, SC	No	161.8 (158.0, 165.8)	N/A	1,385	falling	-1.4 (-1.5, -1.2)
Scurry, TX	No	161.8 (137.4, 189.4)	N/A	32	falling	-1.2 (-2.0, -0.5)
Pasquotank, NC - Dare, NC	No	161.8 (152.4, 171.7)	N/A	238	falling	-1.4 (-1.7, -1.1)
Sutter (Yuba City), CA - Yuba, CA	No	161.8 (154.2, 169.7)	N/A	349	falling	-1.3 (-1.6, -1.0)
Baldwin, GA	No	161.8 (146.7, 178.1)	N/A	89	falling	-0.8 (-1.2, -0.3)
Tioga, PA	No	161.7 (147.7, 177.0)	N/A	105	falling	-0.9 (-1.4, -0.4)
York, ME	No	161.7 (155.3, 168.4)	N/A	506	falling	-1.3 (-1.5, -1.1)
Washington (Hagerstown), MD	No	161.7 (153.8, 170.0)	N/A	324	falling	-1.2 (-1.4, -1.0)
St. Louis, MO - St. Louis City, MO	No	161.7 (159.3, 164.1)	N/A	3,681	falling	-1.6 (-1.9, -1.4)
St. Clair (Belleville), IL - Clinton, IL	No	161.7 (156.5, 167.0)	N/A	758	falling	-1.4 (-1.6, -1.2)
Chautauqua, NY	No	161.5 (153.3, 170.2)	N/A	308	falling	-1.0 (-1.2, -0.7)
Ashland, WI - Sawyer, WI	No	161.5 (150.3, 173.4)	N/A	171	falling	-1.1 (-1.5, -0.7)
Camden (Camden), NJ - Burlington, NJ	No	161.4 (158.6, 164.2)	N/A	2,689	falling	-1.9 (-2.1, -1.7)
Catawba (Hickory), NC - Burke, NC	No	161.3 (156.1, 166.7)	N/A	751	falling	-2.1 (-2.7, -1.5)
Sweetwater, WY	No	161.3 (143.7, 180.5)	N/A	67	falling	-0.6 (-1.2, -0.1)
Rock (Janesville), WI - Green, WI	No	161.3 (154.7, 168.2)	N/A	460	falling	-1.0 (-1.2, -0.7)
Horry, SC - Georgetown, SC	No	161.3 (156.7, 166.0)	N/A	1,056	falling	-1.1 (-1.3, -1.0)
Mifflin, PA - Huntingdon, PA	No	161.2 (152.9, 170.0)	N/A	292	falling	-0.8 (-1.1, -0.6)
Saginaw (Saginaw), MI - Tuscola, MI	No	161.1 (155.6, 166.9)	N/A	665	falling	-1.1 (-1.3, -0.9)
Sedgwick (Wichita), KS - Butler, KS	No	161.1 (157.1, 165.1)	N/A	1,317	falling	-0.9 (-1.2, -0.6)
Cumberland, TN - Fentress, TN	No	161.0 (152.1, 170.5)	N/A	273	falling	-1.0 (-1.3, -0.7)
Glynn, GA - Camden, GA	No	161.0 (153.8, 168.5)	N/A	394	falling	-1.5 (-1.8, -1.3)
Decatur, KS - Sheridan, KS	No	160.9 (125.1, 206.1)	N/A	17	stable	0.0 (-0.8, 0.8)
Lincoln, NE - Keith, NE	No	160.9 (147.7, 175.1)	N/A	118	falling	-0.6 (-1.0, -0.2)
Lauderdale, MS - Neshoba, MS	No	160.8 (152.8, 169.1)	N/A	319	falling	-1.1 (-1.4, -0.9)
Phelps, NE - Furnas, NE	No	160.8 (139.5, 184.8)	N/A	46	stable	-0.4 (-1.2, 0.4)
Barton, KS - Pawnee, KS	No	160.7 (146.0, 176.7)	N/A	95	stable	-0.4 (-0.8, 0.1)
Belmont, OH - Monroe, OH	No	160.7 (150.8, 171.3)	N/A	205	falling	-1.3 (-1.5, -1.0)
Brazoria (Lake Jackson), TX - Wharton, TX	No	160.7 (155.4, 166.1)	N/A	726	falling	-1.8 (-2.1, -1.5)
Greene (Springfield), MO - Christian, MO	No	160.7 (157.0, 164.4)	N/A	1,516	falling	-1.4 (-1.6, -1.2)
Scott (Davenport), IA - Muscatine, IA	No	160.6 (153.8, 167.7)	N/A	436	falling	-1.0 (-1.3, -0.7)
Des Moines, IA - Henry, IA	No	160.5 (148.7, 173.1)	N/A	144	falling	-0.8 (-1.2, -0.5)
Oktibbeha, MS - Winston, MS	No	160.3 (148.9, 172.4)	N/A	153	falling	-0.9 (-1.3, -0.6)
Guilford (Greensboro), NC - Davidson, NC	No	160.3 (157.0, 163.6)	N/A	1,897	falling	-1.1 (-1.2, -1.0)
Roanoke City, VA - Roanoke, VA	No	160.2 (156.4, 164.2)	N/A	1,374	falling	-1.1 (-1.2, -0.9)
Webster, IA - Humboldt, IA	No	160.1 (147.5, 173.7)	N/A	127	falling	-0.9 (-1.3, -0.5)
Shasta (Redding), CA - Trinity, CA	No	160.0 (153.6, 166.8)	N/A	493	falling	-1.1 (-1.4, -0.9)
Codington, SD - Grant, SD	No	160.0 (146.9, 174.1)	N/A	115	falling	-0.8 (-1.1, -0.5)
Otero, CO - Prowers, CO	No	160.0 (145.8, 175.3)	N/A	97	falling	-0.8 (-1.3, -0.3)
Cabarrus (Concord), NC - Rowan, NC	No	160.0 (155.0, 165.1)	N/A	788	falling	-3.2 (-5.0, -1.3)
White Pine, NV	No	159.9 (130.1, 195.1)	N/A	21	stable	-0.3 (-1.3, 0.7)
Wilbarger, TX - Hardeman, TX	No	159.8 (137.9, 184.5)	N/A	41	falling	-0.7 (-1.3, -0.1)
Crow Wing, MN - Cass, MN	No	159.8 (152.5, 167.4)	N/A	399	falling	-0.9 (-1.1, -0.7)
Pennington (Rapid City), SD - Meade, SD	No	159.7 (152.2, 167.5)	N/A	363	falling	-1.1 (-1.4, -0.8)
Carroll, IA - Sac, IA	No	159.6 (145.6, 174.9)	N/A	106	falling	-0.6 (-1.0, -0.2)
Richardson, NE - Pawnee, NE	No	159.6 (133.6, 190.2)	N/A	32	stable	-0.5 (-1.2, 0.3)
Erie (Buffalo), NY - Monroe, NY	No	159.6 (157.5, 161.7)	N/A	4,543	falling	-1.3 (-1.3, -1.2)
York (Rock Hill), SC - Chester, SC	No	159.6 (153.5, 165.8)	N/A	552	falling	-2.3 (-3.0, -1.6)
Lane (Eugene), OR - Douglas, OR	No	159.6 (155.4, 163.9)	N/A	1,152	falling	-1.1 (-1.2, -0.9)
Summit (Akron), OH - Portage, OH	No	159.4 (156.2, 162.8)	N/A	1,890	falling	-1.2 (-1.3, -1.1)
Tom Green (San Angelo), TX - Runnels, TX	No	159.4 (151.6, 167.5)	N/A	327	falling	-1.1 (-1.4, -0.8)
Baltimore, MD - Baltimore City, MD	No	159.3 (157.3, 161.4)	N/A	4,984	falling	-1.8 (-1.9, -1.7)
Wayne (Detroit), MI - Oakland, MI	No	159.3 (157.7, 160.9)	N/A	7,803	falling	-1.9 (-2.3, -1.5)
Lea, NM	No	159.2 (145.4, 173.8)	N/A	102	falling	-1.3 (-1.7, -0.9)
Powell, MT	No	159.2 (126.2, 199.7)	N/A	17	falling	-1.4 (-2.3, -0.6)
Clarke (Athens), GA - Barrow, GA	No	159.2 (153.3, 165.1)	N/A	588	falling	-1.4 (-1.7, -1.1)
Marquette, MI - Delta, MI	No	159.1 (151.1, 167.6)	N/A	315	falling	-0.9 (-1.2, -0.7)
Harrison (Marshall), TX - Cass, TX	No	159.1 (150.1, 168.6)	N/A	244	falling	-1.6 (-2.1, -1.1)
Will (Joliet), IL - Grundy, IL	No	159.1 (155.0, 163.2)	N/A	1,222	falling	-1.4 (-1.7, -1.2)
Gogebic, MI - Ontonagon, MI	No	159.1 (141.8, 178.7)	N/A	68	falling	-1.1 (-1.6, -0.6)
Goshen, WY - Niobrara, WY	No	159.0 (137.1, 183.9)	N/A	41	stable	-0.5 (-1.1, 0.1)
Cambria, PA - Blair (Altoona), PA	No	158.9 (154.4, 163.7)	N/A	976	falling	-0.9 (-1.1, -0.8)
Campbell, WY - Crook, WY	No	158.9 (142.5, 176.6)	N/A	78	falling	-1.0 (-1.7, -0.3)
Butler, AL	No	158.9 (138.5, 181.9)	N/A	46	falling	-0.9 (-1.5, -0.4)
Cattaraugus, NY - Allegany, NY	No	158.9 (150.4, 167.8)	N/A	279	falling	-0.8 (-1.4, -0.2)
Bee, TX - Karnes, TX	No	158.9 (143.5, 175.5)	N/A	79	falling	-1.1 (-1.6, -0.6)
Jackson (Medford), OR - Josephine, OR	No	158.8 (153.7, 164.0)	N/A	800	falling	-2.0 (-3.1, -1.0)
New Castle (Wilmington), DE	No	158.8 (154.5, 163.2)	N/A	1,075	falling	-1.7 (-1.8, -1.6)
Claiborne, LA	No	158.8 (135.9, 184.8)	N/A	36	falling	-1.1 (-1.6, -0.6)
Minnehaha (Sioux Falls), SD - Lincoln, SD	No	158.7 (152.4, 165.1)	N/A	518	falling	-0.9 (-1.1, -0.7)
Shawnee (Topeka), KS - Riley, KS	No	158.6 (153.3, 164.2)	N/A	692	falling	-0.8 (-1.0, -0.7)
Richland, IL - Clay, IL	No	158.6 (145.2, 173.1)	N/A	110	falling	-0.9 (-1.2, -0.6)
Ontario (Geneva), NY - Wayne, NY	No	158.6 (152.9, 164.6)	N/A	604	falling	-1.3 (-1.5, -1.1)
Coweta, GA - Troup (La Grange), GA	No	158.6 (152.0, 165.4)	N/A	455	falling	-1.3 (-1.6, -1.0)
Bibb (Macon), GA - Houston, GA	No	158.6 (153.8, 163.5)	N/A	865	falling	-1.3 (-1.5, -1.1)
Aiken, SC - Edgefield, SC	No	158.6 (152.2, 165.2)	N/A	488	falling	-1.4 (-1.7, -1.1)
Caledonia, VT - Orleans, VT	No	158.4 (148.1, 169.3)	N/A	190	falling	-1.1 (-1.3, -0.8)
Jackson (Kansas City), MO - Clay, MO	No	158.4 (155.5, 161.3)	N/A	2,441	falling	-2.1 (-2.6, -1.5)
Pulaski (Little Rock), AR - Faulkner, AR	No	158.4 (154.7, 162.1)	N/A	1,494	falling	-3.5 (-5.4, -1.6)
Yancey, NC - Avery, NC	No	158.3 (146.2, 171.3)	N/A	136	falling	-0.7 (-1.0, -0.4)
Sussex, DE - Kent, DE	No	158.3 (153.8, 162.9)	N/A	1,030	falling	-1.5 (-1.7, -1.4)
Davidson (Nashville-Davidson), TN - Williamson, TN	No	158.2 (154.9, 161.5)	N/A	1,873	falling	-2.1 (-2.3, -1.9)
York (York), PA - Adams, PA	No	158.2 (154.1, 162.3)	N/A	1,193	falling	-1.1 (-1.2, -1.0)
Monongalia, WV - Marion, WV	No	158.1 (151.2, 165.3)	N/A	407	falling	-1.1 (-1.4, -0.8)
Dickinson, MI - Menominee, MI	No	158.1 (147.1, 169.8)	N/A	172	falling	-1.0 (-1.3, -0.7)
Franklin, PA - Fulton, PA	No	158.0 (151.0, 165.3)	N/A	396	falling	-0.9 (-1.2, -0.7)
Jackson, NC - Macon, NC	No	157.9 (149.0, 167.3)	N/A	255	falling	-0.8 (-1.1, -0.6)
Allegheny (Pittsburgh), PA - Westmoreland, PA	No	157.8 (155.8, 159.9)	N/A	4,952	falling	-1.7 (-1.8, -1.5)
St. Tammany (Slidell), LA - Washington, LA	No	157.8 (152.1, 163.7)	N/A	614	falling	-1.5 (-1.7, -1.3)
Fillmore, NE - Thayer, NE	No	157.8 (132.2, 187.9)	N/A	30	stable	-0.8 (-1.7, 0.1)
Boone (Columbia), MO - Randolph, MO	No	157.7 (151.1, 164.4)	N/A	455	falling	-1.1 (-1.3, -0.9)
Spokane (Spokane), WA - Stevens, WA	No	157.6 (153.6, 161.8)	N/A	1,218	falling	-1.1 (-1.2, -0.9)
Bradford, PA - Susquehanna, PA	No	157.6 (149.1, 166.6)	N/A	277	falling	-0.9 (-1.2, -0.7)
Clark, WA - Cowlitz, WA	No	157.5 (153.4, 161.8)	N/A	1,120	falling	-1.7 (-2.0, -1.4)
Umatilla, OR - Morrow, OR	No	157.5 (146.7, 168.9)	N/A	165	falling	-1.0 (-1.4, -0.7)
Hertford, NC - Bertie, NC	No	157.5 (146.6, 169.1)	N/A	169	falling	-2.9 (-3.9, -1.8)
Nez Perce, ID - Idaho, ID	No	157.5 (147.1, 168.4)	N/A	185	falling	-0.7 (-1.1, -0.3)
Gilmer, GA - Fannin, GA	No	157.4 (145.8, 169.7)	N/A	159	falling	-1.5 (-1.8, -1.1)
Smith (Tyler), TX - Henderson, TX	No	157.3 (152.7, 162.1)	N/A	912	rising	3.8 (1.1, 6.5)
Wabash, IL	No	157.3 (131.7, 187.1)	N/A	29	falling	-1.4 (-2.0, -0.7)
Orleans (New Orleans), LA - Jefferson, LA	No	157.2 (154.0, 160.5)	N/A	1,926	falling	-2.3 (-2.6, -2.1)
Appanoose, IA - Davis, IA	No	157.1 (138.4, 178.0)	N/A	54	stable	-0.1 (-0.9, 0.6)
Marshall, IA - Tama, IA	No	157.0 (144.7, 170.1)	N/A	127	falling	-1.1 (-1.4, -0.7)
Goodhue, MN	No	156.9 (143.6, 171.2)	N/A	109	falling	-0.8 (-1.2, -0.4)
Mahoning (Youngstown), OH - Trumbull, OH	No	156.8 (152.4, 161.3)	N/A	1,050	falling	-2.7 (-3.5, -1.9)
Mineral, WV - Hardy, WV	No	156.8 (144.5, 170.0)	N/A	128	falling	-1.0 (-1.4, -0.7)
Solano (Vallejo), CA - Napa, CA	No	156.6 (152.8, 160.6)	N/A	1,308	falling	-1.4 (-1.5, -1.2)
Yakima (Yakima), WA - Kittitas, WA	No	156.5 (150.4, 162.9)	N/A	504	falling	-0.9 (-1.1, -0.7)
Polk (Des Moines), IA - Dallas, IA	No	156.5 (152.6, 160.4)	N/A	1,309	falling	-1.9 (-2.6, -1.1)
Guthrie, IA - Greene, IA	No	156.4 (137.4, 177.8)	N/A	53	stable	-0.4 (-0.9, 0.1)
Moore, NC - Richmond, NC	No	156.4 (150.1, 162.8)	N/A	492	falling	-1.3 (-1.5, -1.1)
Potter (Amarillo), TX - Randall, TX	No	156.3 (150.7, 162.0)	N/A	604	falling	-1.1 (-1.3, -1.0)
Stanislaus (Modesto), CA - Merced, CA	No	156.2 (152.6, 159.9)	N/A	1,459	falling	-1.8 (-2.8, -0.8)
Marshall, KS - Washington, KS	No	156.1 (134.6, 180.8)	N/A	42	stable	-0.5 (-1.1, 0.1)
Grafton, NH - Sullivan, NH	No	156.1 (148.2, 164.3)	N/A	318	stable	0.6 (-1.6, 2.8)
Howard, IA	No	156.1 (128.2, 189.2)	N/A	23	stable	-0.6 (-1.4, 0.3)
Charleston (Charleston), SC - Berkeley, SC	No	156.0 (152.4, 159.6)	N/A	1,536	falling	-1.8 (-2.0, -1.6)
Oneida (Utica), NY - Madison, NY	No	155.9 (151.0, 161.0)	N/A	809	falling	-1.3 (-1.4, -1.1)
Thurston (Olympia), WA - Grays Harbor, WA	No	155.9 (151.3, 160.7)	N/A	900	falling	-1.8 (-2.1, -1.6)
Gray, TX - Wheeler, TX	No	155.9 (139.1, 174.3)	N/A	64	falling	-0.9 (-1.4, -0.5)
Monroe (Bloomington), IN - Greene, IN	No	155.9 (148.8, 163.2)	N/A	386	falling	-1.6 (-2.0, -1.2)
Durham (Durham), NC - Granville, NC	No	155.8 (151.1, 160.6)	N/A	867	falling	-2.1 (-2.4, -1.8)
Ingham (Lansing), MI - Eaton, MI	No	155.8 (151.4, 160.3)	N/A	1,008	falling	-1.1 (-1.2, -0.9)
Otsego, NY - Chenango, NY	No	155.8 (149.2, 162.7)	N/A	452	falling	-1.3 (-1.5, -1.0)
Madison (Huntsville), AL - Limestone, AL	No	155.8 (151.4, 160.3)	N/A	979	falling	-1.7 (-2.3, -1.1)
Linn, OR - Benton, OR	No	155.7 (149.0, 162.5)	N/A	436	falling	-0.8 (-1.1, -0.6)
Brown, MN - Renville, MN	No	155.6 (143.6, 168.5)	N/A	138	falling	-0.7 (-1.0, -0.3)
St. Louis (Duluth), MN - Itasca, MN	No	155.6 (150.7, 160.7)	N/A	801	falling	-3.8 (-6.5, -1.0)
Elkhart (Elkhart), IN - Kosciusko, IN	No	155.4 (149.4, 161.7)	N/A	517	falling	-0.9 (-1.1, -0.7)
Crawford, WI	No	155.4 (134.1, 179.7)	N/A	42	falling	-0.7 (-1.3, -0.1)
Shawano, WI - Langlade, WI	No	155.4 (144.6, 166.9)	N/A	161	falling	-0.9 (-1.2, -0.5)
Stephenson, IL - Jo Daviess, IL	No	155.3 (144.9, 166.4)	N/A	180	falling	-0.9 (-1.2, -0.5)
Davison, SD - Charles Mix, SD	No	155.3 (142.4, 169.2)	N/A	114	falling	-0.9 (-1.3, -0.5)
Franklin (Columbus), OH - Delaware, OH	No	155.2 (152.5, 158.0)	N/A	2,529	falling	-2.1 (-2.3, -1.9)
Saratoga, NY - Schenectady (Schenectady), NY	No	155.2 (151.1, 159.4)	N/A	1,133	falling	-1.3 (-1.4, -1.1)
Lancaster, SC - Kershaw, SC	No	155.2 (147.9, 162.8)	N/A	356	falling	-3.5 (-5.9, -1.0)
Iredell (Statesville), NC - Alexander, NC	No	155.2 (148.4, 162.1)	N/A	417	falling	-1.2 (-1.5, -1.0)
Augusta, VA - Staunton City, VA	No	155.2 (148.2, 162.4)	N/A	390	falling	-1.1 (-1.4, -0.9)
Freeborn, MN - Faribault, MN	No	155.1 (142.1, 169.2)	N/A	116	falling	-0.5 (-0.8, -0.2)
Tippecanoe (Lafayette), IN - Clinton, IN	No	155.1 (148.7, 161.8)	N/A	454	falling	-1.2 (-1.5, -0.9)
Columbia, NY - Greene, NY	No	155.1 (146.7, 163.8)	N/A	278	falling	-1.4 (-1.6, -1.1)
Henrico (Richmond), VA - Chesterfield, VA	No	155.0 (152.2, 157.8)	N/A	2,481	falling	-1.9 (-2.1, -1.8)
Platte, NE - Boone, NE	No	155.0 (140.5, 170.7)	N/A	90	stable	-0.4 (-0.9, 0.1)
Philadelphia (Philadelphia), PA - Montgomery, PA	No	154.9 (153.3, 156.4)	N/A	8,006	falling	-2.5 (-3.0, -2.0)
Pierce, WA	No	154.9 (151.3, 158.5)	N/A	1,474	falling	-1.8 (-2.1, -1.5)
Woodward, OK - Dewey, OK	No	154.9 (138.5, 172.7)	N/A	67	falling	-1.0 (-1.6, -0.5)
Poweshiek, IA	No	154.7 (134.3, 177.9)	N/A	45	falling	-0.7 (-1.2, -0.2)
East Baton Rouge (Baton Rouge), LA - Livingston, LA	No	154.7 (151.0, 158.5)	N/A	1,390	falling	-3.5 (-4.7, -2.2)
Brevard (Palm Bay), FL - Indian River, FL	No	154.7 (151.6, 157.8)	N/A	2,155	falling	-3.5 (-4.9, -2.0)
Montgomery, IN	No	154.7 (139.9, 170.7)	N/A	83	falling	-1.4 (-1.8, -1.0)
Black Hawk (Waterloo), IA - Bremer, IA	No	154.6 (148.3, 161.2)	N/A	473	falling	-1.1 (-1.4, -0.9)
McPherson, KS	No	154.6 (138.1, 172.7)	N/A	71	stable	-0.1 (-0.6, 0.4)
Kalamazoo (Kalamazoo), MI - St. Joseph, MI	No	154.4 (148.8, 160.2)	N/A	593	falling	-1.2 (-1.4, -0.9)
Berks, PA	No	154.3 (149.6, 159.1)	N/A	859	falling	-1.1 (-1.3, -1.0)
Kent (Grand Rapids), MI - Ionia, MI	No	154.3 (150.8, 157.9)	N/A	1,511	falling	-1.1 (-1.2, -1.0)
Clay, MN - Becker, MN	No	154.3 (145.2, 163.7)	N/A	228	falling	-0.7 (-1.0, -0.5)
Perkins, SD - Harding, SD	No	154.3 (115.6, 204.7)	N/A	12	stable	0.0 (-1.4, 1.4)
Pitt, NC - Beaufort, NC	No	154.2 (148.1, 160.4)	N/A	517	falling	-1.6 (-1.9, -1.4)
Douglas (Omaha), NE - Sarpy, NE	No	154.1 (150.5, 157.8)	N/A	1,438	falling	-2.1 (-2.8, -1.3)
Lubbock (Lubbock), TX - Hockley, TX	No	154.1 (148.6, 159.7)	N/A	615	falling	-1.0 (-1.2, -0.7)
Pipestone, MN - Rock, MN	No	154.1 (134.1, 176.6)	N/A	46	stable	-0.6 (-1.2, 0.0)
McLean (Bloomington), IL - Woodford, IL	No	154.1 (147.2, 161.2)	N/A	390	falling	-1.0 (-1.2, -0.9)
Floyd, IA - Chickasaw, IA	No	153.9 (137.5, 172.1)	N/A	68	falling	-1.0 (-1.4, -0.5)
Hill, MT - Blaine, MT	No	153.8 (136.0, 173.4)	N/A	58	falling	-1.1 (-1.6, -0.6)
La Crosse (La Crosse), WI - Monroe, WI	No	153.7 (147.3, 160.4)	N/A	447	falling	-1.0 (-1.2, -0.7)
Chatham (Savannah), GA - Liberty, GA	No	153.7 (148.9, 158.6)	N/A	818	falling	-2.1 (-2.4, -1.7)
Barber, KS	No	153.7 (115.1, 203.6)	N/A	12	falling	-1.1 (-2.1, -0.2)
St. Croix, WI - Pierce, WI	No	153.7 (144.6, 163.2)	N/A	223	falling	-0.9 (-1.2, -0.6)
Lehigh (Allentown), PA - Northampton, PA	No	153.6 (150.5, 156.8)	N/A	1,908	falling	-2.3 (-3.5, -1.1)
Albany (Albany), NY - Rensselaer, NY	No	153.5 (149.0, 158.1)	N/A	932	falling	-1.7 (-2.0, -1.4)
Lyon, MN - Lincoln, MN	No	153.3 (136.5, 171.7)	N/A	66	falling	-0.8 (-1.4, -0.2)
Clallam, WA - Jefferson, WA	No	153.3 (145.5, 161.5)	N/A	348	falling	-1.2 (-1.5, -0.9)
Otoe, NE - Johnson, NE	No	153.0 (133.8, 174.5)	N/A	49	falling	-1.0 (-1.6, -0.3)
Milwaukee (Milwaukee), WI - Waukesha, WI	No	153.0 (150.5, 155.5)	N/A	2,941	falling	-1.7 (-1.9, -1.5)
Walworth, WI - Jefferson, WI	No	152.9 (146.0, 160.2)	N/A	379	falling	-1.2 (-1.4, -1.0)
Lyon, IA	No	152.9 (126.7, 183.5)	N/A	26	falling	-1.2 (-2.1, -0.3)
Grundy, MO - Mercer, MO	No	152.9 (129.5, 179.9)	N/A	33	stable	-0.5 (-1.3, 0.2)
Hale, TX - Castro, TX	No	152.9 (138.2, 168.8)	N/A	81	falling	-0.6 (-1.0, -0.1)
Ramsey, ND - Benson, ND	No	152.9 (132.6, 175.6)	N/A	44	stable	-0.3 (-0.9, 0.3)
Providence (Providence), RI - Kent, RI	No	152.8 (149.7, 155.9)	N/A	1,968	falling	-1.6 (-1.7, -1.5)
Lowndes, GA - Brooks, GA	No	152.7 (145.0, 160.8)	N/A	300	falling	-1.5 (-1.8, -1.3)
Union, NM	No	152.7 (111.1, 206.9)	N/A	9	stable	-1.1 (-2.3, 0.1)
Cascade (Great Falls), MT - Glacier, MT	No	152.7 (144.2, 161.6)	N/A	255	falling	-1.2 (-1.5, -0.9)
Orange (Newburgh), NY - Sullivan, NY	No	152.7 (147.9, 157.5)	N/A	806	falling	-1.8 (-1.9, -1.6)
Bristol (New Bedford), MA	No	152.5 (148.5, 156.7)	N/A	1,137	falling	-1.6 (-1.8, -1.5)
Reno, KS - Rice, KS	No	152.5 (142.1, 163.5)	N/A	172	falling	-0.6 (-1.1, -0.2)
Winnebago (Oshkosh), WI - Fond du Lac, WI	No	152.5 (147.8, 157.2)	N/A	851	falling	-1.8 (-2.2, -1.3)
Cumberland (Portland), ME - Knox, ME	No	152.3 (147.9, 156.9)	N/A	926	falling	-1.5 (-1.7, -1.4)
Silver Bow, MT - Deer Lodge, MT	No	152.2 (140.0, 165.3)	N/A	121	falling	-1.8 (-2.5, -1.1)
Pueblo (Pueblo), CO - Las Animas, CO	No	152.2 (145.5, 159.1)	N/A	410	falling	-0.7 (-1.0, -0.5)
Leon (Tallahassee), FL - Gadsden, FL	No	152.2 (147.3, 157.2)	N/A	770	falling	-1.6 (-1.8, -1.4)
Jones, MS - Wayne, MS	No	152.1 (143.5, 161.1)	N/A	245	falling	-2.7 (-4.0, -1.4)
Onondaga (Syracuse), NY - Oswego, NY	No	152.1 (148.4, 155.9)	N/A	1,321	falling	-2.7 (-3.6, -1.8)
Kandiyohi, MN - Chippewa, MN	No	152.0 (141.9, 162.7)	N/A	188	falling	-1.0 (-1.2, -0.7)
Roosevelt, MT - Valley, MT	No	152.0 (129.6, 177.4)	N/A	35	falling	-1.2 (-2.0, -0.5)
Hampden (Springfield), MA - Hampshire, MA	No	152.0 (148.1, 155.9)	N/A	1,239	falling	-1.4 (-1.5, -1.2)
Tarrant (Fort Worth), TX - Johnson, TX	No	151.9 (149.6, 154.2)	N/A	3,622	falling	-1.5 (-1.6, -1.4)
Greenville (Greenville), SC - Anderson, SC	No	151.8 (148.6, 155.1)	N/A	1,765	falling	-1.9 (-2.3, -1.5)
Clark (Las Vegas), NV - Nye, NV	No	151.8 (149.7, 154.0)	N/A	3,899	falling	-1.7 (-1.8, -1.6)
Ketchikan Gateway Borough, AK - Wrangell-Petersburg Cen, AK	No	151.6 (132.3, 173.1)	N/A	49	falling	-1.3 (-2.0, -0.5)
Osceola, FL	No	151.6 (145.9, 157.4)	N/A	562	stable	1.8 (-1.2, 4.9)
Effingham, IL - Fayette, IL	No	151.5 (139.2, 164.7)	N/A	117	falling	-1.1 (-1.5, -0.8)
Marion (Salem), OR - Yamhill, OR	No	151.4 (147.2, 155.8)	N/A	991	falling	-1.5 (-1.8, -1.2)
Marathon (Wausau), WI - Wood, WI	No	151.4 (146.0, 156.9)	N/A	637	falling	-1.1 (-1.3, -0.9)
Clayton, IA - Delaware, IA	No	151.4 (136.7, 167.4)	N/A	85	falling	-0.9 (-1.3, -0.6)
Dauphin (Harrisburg), PA - Cumberland, PA	No	151.2 (147.7, 154.8)	N/A	1,481	falling	-1.3 (-1.4, -1.1)
Dewey, SD - Walworth, SD	No	151.2 (130.3, 174.7)	N/A	39	falling	-1.0 (-1.6, -0.4)
Childress, TX - Hall, TX	No	151.1 (124.5, 182.3)	N/A	24	falling	-0.9 (-1.7, -0.2)
Montgomery, VA - Pulaski, VA	No	151.1 (144.1, 158.4)	N/A	358	falling	-1.9 (-2.3, -1.5)
Anchorage (Anchorage), AK - Matanuska-Susitna Borough, AK	No	151.1 (146.0, 156.3)	N/A	747	falling	-1.4 (-1.7, -1.2)
Putnam, GA - Hancock, GA	No	151.0 (135.5, 168.2)	N/A	76	falling	-1.3 (-1.8, -0.8)
Twin Falls, ID - Jerome, ID	No	150.9 (142.2, 160.1)	N/A	227	falling	-0.9 (-1.2, -0.6)
Dawes, NE - Sheridan, NE	No	150.9 (128.5, 176.7)	N/A	36	falling	-0.9 (-1.5, -0.2)
Cheshire, NH	No	150.9 (140.6, 161.9)	N/A	169	falling	-1.3 (-1.8, -0.9)
Lewis and Clark, MT - Jefferson, MT	No	150.9 (140.9, 161.5)	N/A	184	falling	-1.3 (-1.7, -1.0)
Hughes, SD - Stanley, SD	No	150.8 (133.4, 170.0)	N/A	57	falling	-0.9 (-1.5, -0.2)
Washington, VT - Windsor, VT	No	150.8 (143.3, 158.5)	N/A	332	falling	-1.3 (-1.5, -1.0)
Curry, NM - Roosevelt, NM	No	150.7 (139.3, 162.9)	N/A	132	falling	-1.0 (-1.4, -0.7)
Worcester (Worcester), MA - Franklin, MA	No	150.7 (147.5, 154.0)	N/A	1,717	falling	-3.7 (-6.4, -0.8)
Morgan, GA - Greene, GA	No	150.7 (136.2, 166.5)	N/A	88	falling	-1.2 (-1.7, -0.6)
Roberts, SD	No	150.7 (122.7, 183.7)	N/A	22	falling	-1.2 (-2.0, -0.4)
Finney, KS - Scott, KS	No	150.7 (136.2, 166.2)	N/A	82	falling	-0.7 (-1.1, -0.3)
Fremont, WY - Washakie, WY	No	150.6 (138.1, 164.0)	N/A	114	falling	-1.0 (-1.5, -0.6)
Queen Annes, MD - Talbot, MD	No	150.6 (143.6, 157.9)	N/A	365	falling	-1.7 (-1.9, -1.4)
Chase, NE - Dundy, NE	No	150.5 (118.4, 190.1)	N/A	17	stable	-0.3 (-1.4, 0.7)
Big Stone, MN - Traverse, MN	No	150.5 (124.5, 182.0)	N/A	26	falling	-2.2 (-3.0, -1.3)
Ness, KS	No	150.4 (101.6, 218.6)	N/A	8	stable	-0.2 (-1.6, 1.2)
Hamilton (Chattanooga), TN - Marion, TN	No	150.4 (145.7, 155.2)	N/A	823	falling	-2.1 (-2.4, -1.8)
Rockingham, VA - Harrisonburg City, VA	No	150.2 (142.5, 158.2)	N/A	295	falling	-0.8 (-1.0, -0.6)
Yellowstone (Billings), MT - Big Horn, MT	No	150.0 (143.5, 156.9)	N/A	413	falling	-1.3 (-1.5, -1.1)
Grant, WA - Chelan, WA	No	150.0 (144.0, 156.2)	N/A	490	falling	-1.0 (-1.2, -0.8)
Broome (Binghamton), NY - Tioga, NY	No	150.0 (144.1, 156.1)	N/A	530	falling	-1.4 (-1.6, -1.3)
Union, OR - Baker, OR	No	149.9 (137.8, 163.0)	N/A	124	falling	-1.1 (-1.6, -0.6)
Cherokee, GA - Douglas, GA	No	149.9 (145.3, 154.5)	N/A	896	falling	-1.4 (-1.6, -1.2)
San Joaquin (Stockton), CA - Calaveras, CA	No	149.5 (146.0, 153.2)	N/A	1,371	falling	-1.2 (-1.3, -1.0)
District of Columbia	No	149.5 (145.4, 153.7)	N/A	1,031	falling	-2.4 (-2.5, -2.2)
Gaines, TX - Andrews, TX	No	149.4 (130.2, 170.5)	N/A	45	falling	-1.1 (-1.7, -0.5)
Nueces (Corpus Christi), TX - San Patricio, TX	No	149.3 (145.1, 153.7)	N/A	969	falling	-1.4 (-1.6, -1.3)
Cherokee, NC - Clay, NC	No	149.0 (136.0, 163.2)	N/A	115	falling	-1.3 (-1.7, -0.8)
Kerr, TX - Gillespie, TX	No	149.0 (141.1, 157.4)	N/A	303	falling	-1.1 (-1.3, -0.9)
Chaves, NM - Eddy, NM	No	148.9 (140.0, 158.3)	N/A	215	falling	-1.7 (-2.2, -1.1)
Washoe (Reno), NV - Carson City, NV	No	148.9 (145.2, 152.6)	N/A	1,320	falling	-2.2 (-2.6, -1.7)
Hillsborough (Tampa), FL - Pinellas, FL	No	148.9 (147.3, 150.5)	N/A	6,891	falling	-1.7 (-1.8, -1.6)
Kern, CA	No	148.8 (145.0, 152.8)	N/A	1,170	falling	-1.4 (-1.5, -1.2)
Monmouth, NJ - Ocean (Brick Township), NJ	No	148.8 (146.3, 151.4)	N/A	2,773	falling	-2.1 (-2.3, -1.9)
Allegany (Cumberland), MD - Garrett, MD	No	148.8 (140.1, 157.9)	N/A	231	falling	-1.2 (-1.4, -1.0)
Cook (Chicago), IL - DuPage, IL	No	148.7 (147.5, 149.9)	N/A	12,245	falling	-1.9 (-2.0, -1.8)
Chittenden (Burlington), VT - Franklin, VT	No	148.7 (142.6, 155.0)	N/A	471	falling	-1.5 (-1.7, -1.3)
Sheridan, MT - Daniels, MT	No	148.6 (115.2, 191.4)	N/A	15	falling	-1.3 (-2.3, -0.3)
Tuscaloosa (Tuscaloosa), AL - Pickens, AL	No	148.6 (142.2, 155.3)	N/A	416	falling	-2.4 (-2.9, -2.0)
Beltrami, MN - Clearwater, MN	No	148.6 (135.8, 162.4)	N/A	104	falling	-1.0 (-1.4, -0.6)
Stevens, KS	No	148.6 (108.8, 198.8)	N/A	10	stable	0.3 (-1.4, 2.1)
New London, CT	No	148.6 (143.0, 154.4)	N/A	555	falling	-1.7 (-2.1, -1.3)
Outagamie (Appleton), WI - Waupaca, WI	No	148.5 (142.3, 155.0)	N/A	445	falling	-1.3 (-1.5, -1.1)
Williams, ND - McKenzie, ND	No	148.4 (132.1, 166.2)	N/A	64	falling	-1.0 (-1.4, -0.6)
Rabun, GA	No	148.4 (129.2, 170.4)	N/A	47	falling	-1.2 (-1.8, -0.6)
Washington (Fayetteville), AR - Benton, AR	No	148.3 (143.6, 153.1)	N/A	777	falling	-2.3 (-3.3, -1.3)
Clay, IA - Dickinson, IA	No	148.2 (135.5, 162.0)	N/A	110	falling	-0.9 (-1.3, -0.5)
Walla Walla, WA - Columbia, WA	No	148.2 (136.8, 160.4)	N/A	134	falling	-0.8 (-1.2, -0.4)
Dubois, IN	No	148.1 (134.1, 163.3)	N/A	85	falling	-0.9 (-1.3, -0.4)
Stafford, VA - Spotsylvania, VA	No	147.9 (142.3, 153.7)	N/A	549	falling	-2.3 (-2.7, -1.9)
Hall, NE - Hamilton, NE	No	147.9 (137.8, 158.6)	N/A	165	falling	-1.1 (-1.4, -0.8)
Lancaster (Lincoln), NE - Gage, NE	No	147.8 (142.6, 153.2)	N/A	638	falling	-1.1 (-1.3, -0.9)
Grand, UT	No	147.7 (118.8, 182.0)	N/A	19	falling	-1.5 (-2.3, -0.6)
Wasco, OR - Hood River, OR	No	147.7 (135.3, 160.9)	N/A	111	falling	-1.1 (-1.5, -0.7)
Bowman, ND - Hettinger, ND	No	147.5 (120.6, 180.0)	N/A	24	falling	-1.3 (-2.1, -0.5)
Mendocino, CA	No	147.4 (137.9, 157.4)	N/A	196	falling	-1.5 (-1.8, -1.3)
Terry, TX - Yoakum, TX	No	147.3 (125.6, 171.9)	N/A	33	stable	-0.7 (-1.4, 0.0)
Hillsborough (Manchester), NH - Merrimack, NH	No	147.3 (143.7, 151.0)	N/A	1,348	falling	-1.5 (-1.7, -1.4)
Whatcom, WA	No	147.3 (140.9, 154.0)	N/A	412	falling	-1.2 (-1.5, -0.9)
Douglas, MN - Pope, MN	No	147.3 (136.1, 159.4)	N/A	140	falling	-0.6 (-1.0, -0.3)
Mitchell, KS - Osborne, KS	No	147.3 (124.5, 173.8)	N/A	34	stable	-0.7 (-1.4, 0.0)
Henderson, IL	No	147.0 (115.7, 185.9)	N/A	18	falling	-1.3 (-2.2, -0.5)
Mitchell, IA	No	147.0 (122.1, 176.3)	N/A	27	falling	-1.2 (-1.9, -0.5)
Nobles, MN - Cottonwood, MN	No	146.9 (134.9, 159.8)	N/A	119	falling	-0.7 (-1.0, -0.3)
Sheboygan (Sheboygan), WI - Manitowoc, WI	No	146.7 (140.8, 152.7)	N/A	497	falling	-1.1 (-1.2, -0.9)
St. Johns (St. Augustine), FL - Putnam, FL	No	146.7 (141.8, 151.7)	N/A	725	falling	-1.8 (-2.0, -1.5)
Grand Traverse, MI - Manistee, MI	No	146.7 (140.6, 152.9)	N/A	483	falling	-1.3 (-1.5, -1.1)
Taney, MO	No	146.7 (135.1, 159.1)	N/A	126	falling	-1.4 (-1.8, -1.0)
Brown (Green Bay), WI - Oconto, WI	No	146.6 (141.5, 151.8)	N/A	652	falling	-1.0 (-1.2, -0.9)
Orange (Orlando), FL - Volusia, FL	No	146.2 (144.6, 147.9)	N/A	6,121	falling	-1.5 (-1.6, -1.5)
Howard, TX - Glasscock, TX	No	146.2 (129.7, 164.3)	N/A	59	falling	-1.3 (-1.8, -0.8)
Richland, MT - Dawson, MT	No	146.0 (126.8, 167.6)	N/A	44	falling	-1.0 (-1.6, -0.5)
Seward, KS - Morton, KS	No	146.0 (124.4, 170.2)	N/A	34	falling	-1.1 (-1.7, -0.4)
Ford, KS - Gray, KS	No	145.9 (131.2, 161.8)	N/A	75	falling	-1.2 (-1.7, -0.8)
Laramie (Cheyenne), WY	No	145.8 (136.1, 156.1)	N/A	174	falling	-1.5 (-1.9, -1.1)
Weston, WY	No	145.8 (114.5, 184.3)	N/A	16	falling	-1.4 (-2.4, -0.4)
Ellis, KS - Rooks, KS	No	145.7 (132.1, 160.5)	N/A	91	falling	-1.0 (-1.4, -0.5)
Camden, MO	No	145.7 (133.9, 158.5)	N/A	130	falling	-1.1 (-1.5, -0.7)
Orange (Chapel Hill), NC - Harnett, NC	No	145.7 (140.9, 150.6)	N/A	717	falling	-1.6 (-1.8, -1.4)
New Hanover (Wilmington), NC - Brunswick, NC	No	145.6 (141.3, 150.0)	N/A	949	falling	-1.6 (-1.8, -1.4)
St. Charles (St. Charles), MO - Lincoln, MO	No	145.5 (141.1, 150.1)	N/A	849	falling	-1.8 (-2.2, -1.5)
Linn (Cedar Rapids), IA - Johnson, IA	No	145.5 (141.1, 150.1)	N/A	845	falling	-4.8 (-8.9, -0.5)
Klickitat, WA - Skamania, WA	No	145.5 (131.1, 161.4)	N/A	82	falling	-1.5 (-2.0, -1.0)
McKinley, NM	No	145.4 (132.7, 159.0)	N/A	100	falling	-0.7 (-1.2, -0.2)
Hays (San Marcos), TX - Caldwell, TX	No	145.3 (138.3, 152.5)	N/A	343	falling	-1.4 (-1.7, -1.1)
Park, MT - Sweet Grass, MT	No	145.2 (126.9, 165.9)	N/A	49	falling	-0.9 (-1.6, -0.3)
Lassen, CA - Plumas, CA	No	145.2 (132.5, 158.9)	N/A	102	falling	-1.7 (-2.1, -1.3)
Berkshire (Pittsfield), MA	No	145.2 (137.8, 152.9)	N/A	317	falling	-1.5 (-1.7, -1.2)
Dubuque (Dubuque), IA - Jackson, IA	No	145.2 (136.8, 154.0)	N/A	236	falling	-2.8 (-4.0, -1.6)
Rockingham, NH	No	145.1 (139.9, 150.6)	N/A	606	falling	-2.5 (-3.1, -1.9)
Grant, OR	No	145.1 (116.9, 180.3)	N/A	22	stable	11.6 (-6.5, 33.0)
Tompkins, NY - Cortland, NY	No	145.1 (136.9, 153.7)	N/A	246	falling	-1.3 (-1.6, -1.1)
Stearns (St. Cloud), MN - Benton, MN	No	145.1 (139.4, 150.9)	N/A	519	falling	-1.1 (-1.2, -0.9)
Story, IA - Boone, IA	No	145.1 (137.5, 153.0)	N/A	294	falling	-1.0 (-1.2, -0.7)
Hall, GA - Habersham, GA	No	145.1 (140.4, 149.9)	N/A	755	falling	-1.1 (-1.3, -0.8)
Albemarle, VA - Charlottesville City, VA	No	145.0 (140.3, 149.9)	N/A	746	falling	-1.4 (-1.6, -1.2)
Lancaster, PA	No	144.9 (140.9, 148.9)	N/A	1,085	falling	-1.3 (-1.5, -1.2)
Bannock, ID - Bingham, ID	No	144.9 (136.6, 153.5)	N/A	239	falling	-0.7 (-1.0, -0.4)
Maverick, TX - Val Verde, TX	No	144.7 (134.8, 155.0)	N/A	162	falling	-1.0 (-1.3, -0.7)
Midland (Midland), TX - Pecos, TX	No	144.6 (136.6, 152.9)	N/A	255	falling	-1.3 (-1.6, -1.0)
Polk (Lakeland), FL - Highlands, FL	No	144.6 (141.5, 147.6)	N/A	1,868	falling	-2.8 (-4.2, -1.5)
Rice, MN	No	144.4 (132.7, 157.0)	N/A	115	falling	-1.4 (-1.8, -1.0)
Scotts Bluff, NE - Box Butte, NE	No	144.4 (132.4, 157.3)	N/A	116	falling	-0.9 (-1.3, -0.5)
Pennington, MN - Marshall, MN	No	144.4 (129.3, 160.9)	N/A	72	falling	-1.0 (-1.4, -0.5)
Champaign (Champaign), IL - Coles, IL	No	144.4 (138.5, 150.4)	N/A	485	falling	-1.7 (-2.0, -1.4)
OBrien, IA - Osceola, IA	No	144.2 (125.7, 165.0)	N/A	49	stable	-0.6 (-1.3, 0.1)
Cerro Gordo, IA - Kossuth, IA	No	144.2 (135.6, 153.3)	N/A	230	falling	-1.1 (-1.3, -0.9)
Fremont, CO - Custer, CO	No	144.2 (132.6, 156.6)	N/A	122	falling	-1.0 (-1.4, -0.6)
Centre (State College), PA - Clearfield, PA	No	144.1 (138.6, 149.8)	N/A	533	falling	-1.1 (-1.3, -1.0)
Eau Claire (Eau Claire), WI - Chippewa, WI	No	144.0 (137.8, 150.5)	N/A	425	falling	-1.1 (-1.3, -0.9)
Lemhi, ID	No	143.8 (117.4, 176.5)	N/A	24	falling	-1.0 (-1.9, -0.1)
Buncombe (Asheville), NC - Henderson, NC	No	143.6 (139.8, 147.6)	N/A	1,147	falling	-1.4 (-1.5, -1.2)
Phillips, KS - Norton, KS	No	143.6 (121.9, 168.8)	N/A	36	falling	-1.3 (-2.0, -0.7)
San Bernardino, CA - Riverside (Riverside), CA	No	143.6 (142.0, 145.1)	N/A	6,797	falling	-1.6 (-1.8, -1.5)
Ottawa (Holland), MI - Allegan, MI	No	143.5 (138.6, 148.4)	N/A	686	falling	-1.0 (-1.2, -0.8)
Sacramento (Sacramento), CA - Placer, CA	No	143.3 (141.2, 145.3)	N/A	3,958	falling	-1.7 (-1.8, -1.5)
Dane (Madison), WI - Sauk, WI	No	143.2 (139.7, 146.9)	N/A	1,282	falling	-1.6 (-2.1, -1.2)
Ada (Boise City), ID - Canyon, ID	No	143.1 (139.4, 146.9)	N/A	1,195	falling	-1.1 (-1.3, -0.9)
Logan, CO - Phillips, CO	No	143.1 (126.9, 161.0)	N/A	61	falling	-0.8 (-1.3, -0.4)
Washtenaw, MI - Livingston, MI	No	143.0 (138.7, 147.3)	N/A	907	falling	-1.5 (-1.6, -1.3)
Stutsman, ND - Wells, ND	No	142.9 (126.9, 160.5)	N/A	64	falling	-1.1 (-1.5, -0.6)
Deaf Smith, TX - Parmer, TX	No	142.8 (123.8, 164.0)	N/A	41	stable	-0.3 (-1.1, 0.4)
Multnomah (Portland), OR - Washington, OR	No	142.8 (140.5, 145.2)	N/A	3,052	falling	-2.0 (-2.1, -1.8)
Tulare, CA	No	142.8 (137.7, 148.1)	N/A	598	falling	-1.2 (-1.4, -1.0)
Alleghany, NC	No	142.6 (120.4, 168.9)	N/A	31	falling	-2.4 (-3.2, -1.5)
Cheyenne, KS - Rawlins, KS	No	142.4 (108.7, 185.9)	N/A	14	stable	0.1 (-0.8, 1.0)
Buffalo, NE - Dawson, NE	No	142.4 (132.6, 152.8)	N/A	164	falling	-1.1 (-1.3, -0.8)
Kane (Aurora), IL - DeKalb, IL	No	142.4 (138.6, 146.3)	N/A	1,105	falling	-1.5 (-1.6, -1.3)
Benton (Kennewick), WA - Franklin, WA	No	142.3 (136.2, 148.7)	N/A	419	falling	-2.0 (-2.4, -1.6)
Asotin, WA - Garfield, WA	No	142.3 (126.3, 160.2)	N/A	62	falling	-1.6 (-2.1, -1.0)
Bexar (San Antonio), TX - Guadalupe, TX	No	142.2 (140.0, 144.4)	N/A	3,445	falling	-1.4 (-1.5, -1.3)
Missoula, MT - Ravalli, MT	No	142.2 (136.0, 148.6)	N/A	423	falling	-1.2 (-1.4, -0.9)
Dallas (Dallas), TX - Collin, TX	No	142.2 (140.4, 143.9)	N/A	5,400	falling	-1.8 (-1.9, -1.8)
Mercer, NJ	No	142.0 (137.0, 147.1)	N/A	640	falling	-1.8 (-2.0, -1.6)
Henry, GA - Forsyth, GA	No	141.9 (138.2, 145.8)	N/A	1,139	falling	-1.3 (-1.5, -1.1)
Otero, NM - Lincoln, NM	No	141.9 (132.5, 151.8)	N/A	178	falling	-0.8 (-1.2, -0.4)
Hamilton, IN - Madison (Anderson), IN	No	141.5 (136.8, 146.4)	N/A	704	falling	-2.4 (-3.3, -1.6)
New Haven (New Haven), CT - Litchfield, CT	No	141.5 (138.9, 144.1)	N/A	2,412	falling	-2.0 (-2.3, -1.7)
Ramsey (St. Paul), MN - Dakota, MN	No	141.4 (138.7, 144.3)	N/A	2,053	falling	-1.7 (-1.8, -1.6)
Newport, RI	No	141.3 (132.1, 151.1)	N/A	189	falling	-1.8 (-2.1, -1.5)
Blue Earth, MN - Nicollet, MN	No	141.2 (132.9, 150.0)	N/A	224	falling	-1.2 (-1.4, -0.9)
Beadle, SD - Hand, SD	No	141.2 (123.8, 160.5)	N/A	53	falling	-1.2 (-1.9, -0.6)
El Paso (Colorado Springs), CO - Teller, CO	No	141.0 (137.1, 144.9)	N/A	1,069	falling	-1.3 (-1.4, -1.1)
Fresno (Fresno), CA - Kings, CA	No	140.7 (137.8, 143.7)	N/A	1,758	falling	-1.2 (-1.3, -1.1)
Thomas, KS - Sherman, KS	No	140.3 (118.2, 165.7)	N/A	31	falling	-1.0 (-1.7, -0.3)
Hunterdon, NJ - Warren (Phillipsburg), NJ	No	140.2 (134.4, 146.3)	N/A	463	falling	-1.6 (-1.8, -1.4)
Hancock, IL	No	140.2 (121.3, 161.8)	N/A	43	falling	-1.5 (-2.1, -0.9)
Middlesex, MA - Suffolk (Boston), MA	No	140.0 (138.5, 141.5)	N/A	6,801	falling	-2.2 (-2.3, -2.1)
Currituck, NC	No	140.0 (122.5, 159.5)	N/A	50	falling	-2.2 (-2.8, -1.6)
Hennepin (Minneapolis), MN - Anoka, MN	No	140.0 (137.8, 142.2)	N/A	3,291	falling	-1.7 (-1.8, -1.5)
Flathead, MT - Lincoln, MT	No	139.8 (131.8, 148.2)	N/A	248	falling	-1.6 (-1.9, -1.2)
Brazos (Bryan), TX - Washington, TX	No	139.8 (133.9, 145.8)	N/A	442	falling	-1.6 (-1.8, -1.3)
Allamakee, IA	No	139.8 (117.4, 165.7)	N/A	31	stable	-0.8 (-1.7, 0.2)
Sheridan, WY - Johnson, WY	No	139.6 (126.2, 154.3)	N/A	85	falling	-1.4 (-1.9, -0.9)
Comal, TX	No	139.6 (132.1, 147.4)	N/A	277	falling	-1.3 (-1.6, -0.9)
Cass (Fargo), ND - Richland, ND	No	139.5 (132.9, 146.5)	N/A	348	falling	-1.4 (-1.7, -1.2)
Grant, NM - Hidalgo, NM	No	139.5 (126.1, 154.2)	N/A	94	falling	-1.1 (-1.6, -0.6)
Kent, MD	No	139.5 (122.5, 158.9)	N/A	52	falling	-2.1 (-2.7, -1.5)
Page, IA - Fremont, IA	No	139.4 (124.2, 156.2)	N/A	67	falling	-0.8 (-1.3, -0.3)
Natrona (Casper), WY - Converse, WY	No	139.3 (129.5, 149.7)	N/A	158	falling	-1.7 (-2.0, -1.3)
Pendleton, WV	No	139.2 (112.5, 172.7)	N/A	20	falling	-1.2 (-2.2, -0.1)
Frederick, MD	No	139.0 (133.0, 145.3)	N/A	410	falling	-1.6 (-1.9, -1.4)
Wake (Raleigh), NC - Johnston, NC	No	138.6 (135.8, 141.4)	N/A	1,973	falling	-3.0 (-3.7, -2.2)
Wheatland, MT - Meagher, MT	No	138.5 (99.7, 190.6)	N/A	10	stable	-0.8 (-2.2, 0.6)
Clay, KS	No	138.5 (110.7, 172.3)	N/A	19	stable	-0.6 (-1.4, 0.3)
Pike, PA	No	138.4 (127.6, 150.2)	N/A	128	falling	-1.6 (-2.2, -1.1)
Fulton (Atlanta), GA - DeKalb, GA	No	138.4 (136.4, 140.5)	N/A	3,776	falling	-2.0 (-2.2, -1.8)
Hartford (Hartford), CT - Tolland, CT	No	138.3 (135.6, 141.0)	N/A	2,129	falling	-1.8 (-1.9, -1.6)
Otter Tail, MN - Grant, MN	No	138.2 (128.1, 149.1)	N/A	155	falling	-1.0 (-1.4, -0.7)
Harris (Houston), TX - Fort Bend, TX	No	138.2 (136.8, 139.6)	N/A	7,735	falling	-2.3 (-2.8, -1.9)
Dona Ana (Las Cruces), NM - Luna, NM	No	137.6 (131.7, 143.7)	N/A	431	falling	-0.9 (-1.1, -0.7)
Custer, NE - Valley, NE	No	137.6 (119.8, 157.8)	N/A	49	falling	-0.9 (-1.4, -0.3)
Hawaii, HI	No	137.5 (131.4, 144.0)	N/A	413	*	*
Essex (Lynn), MA	No	137.5 (134.2, 140.8)	N/A	1,439	falling	-2.4 (-2.6, -2.3)
Sonoma (Santa Rosa), CA	No	137.5 (133.5, 141.5)	N/A	978	falling	-2.3 (-2.8, -1.8)
Portage, WI	No	137.4 (126.4, 149.2)	N/A	120	falling	-1.2 (-1.6, -0.8)
Yankton, SD - Clay, SD	No	137.4 (125.1, 150.6)	N/A	99	falling	-1.1 (-1.5, -0.7)
Ward, ND - Bottineau, ND	No	137.4 (127.3, 148.0)	N/A	144	falling	-1.3 (-1.6, -0.9)
Weld, CO - Morgan, CO	No	137.2 (131.7, 142.9)	N/A	488	falling	-1.1 (-1.3, -0.9)
Olmsted (Rochester), MN - Winona, MN	No	137.2 (132.3, 142.2)	N/A	627	falling	-1.4 (-1.6, -1.2)
Mecklenburg (Charlotte), NC - Union, NC	No	137.1 (134.2, 140.1)	N/A	1,736	falling	-1.8 (-1.9, -1.7)
Carbon, UT - Emery, UT	No	137.0 (120.5, 155.3)	N/A	52	falling	-0.9 (-1.5, -0.4)
Platte, WY	No	136.8 (111.9, 167.2)	N/A	22	falling	-1.7 (-2.5, -1.0)
Cobb (Marietta), GA	No	136.8 (132.9, 140.8)	N/A	994	falling	-3.2 (-4.7, -1.6)
York, NE - Polk, NE	No	136.7 (118.0, 158.0)	N/A	41	stable	-0.5 (-1.1, 0.1)
Cassia, ID - Minidoka, ID	No	136.7 (122.5, 152.1)	N/A	70	falling	-1.2 (-1.7, -0.7)
Erath, TX - Comanche, TX	No	136.7 (124.2, 150.1)	N/A	93	falling	-2.7 (-3.9, -1.6)
San Diego (San Diego), CA - Imperial, CA	No	136.5 (134.8, 138.2)	N/A	5,264	falling	-1.9 (-2.1, -1.7)
San Miguel, NM - Mora, NM	No	136.4 (122.9, 151.3)	N/A	81	falling	-0.8 (-1.3, -0.2)
Holt, NE - Brown, NE	No	136.2 (115.4, 160.2)	N/A	36	falling	-1.1 (-1.6, -0.5)
Brown, SD - Spink, SD	No	136.0 (125.2, 147.5)	N/A	130	falling	-1.3 (-1.6, -0.9)
Fayette, TX - Colorado, TX	No	135.9 (124.2, 148.6)	N/A	109	falling	-1.4 (-1.8, -0.9)
Montrose, CO - Delta, CO	No	135.6 (127.3, 144.4)	N/A	215	falling	-1.1 (-1.4, -0.7)
Brookings, SD - Kingsbury, SD	No	135.5 (119.7, 152.9)	N/A	56	falling	-0.9 (-1.5, -0.4)
Crawford, IA	No	135.4 (114.6, 159.2)	N/A	31	falling	-1.1 (-1.8, -0.4)
King (Seattle), WA - Snohomish, WA	No	135.3 (133.7, 137.0)	N/A	5,261	falling	-2.2 (-2.5, -1.9)
Iron, UT - Beaver, UT	No	135.3 (121.5, 150.2)	N/A	74	falling	-0.9 (-1.5, -0.2)
Burleigh (Bismarck), ND - Morton, ND	No	135.2 (128.0, 142.7)	N/A	282	falling	-1.3 (-1.6, -1.0)
Bernalillo (Albuquerque), NM - Sandoval, NM	No	135.1 (132.1, 138.2)	N/A	1,619	falling	-1.3 (-1.4, -1.1)
Pima (Tucson), AZ - Cochise, AZ	No	135.1 (132.6, 137.6)	N/A	2,416	falling	-1.4 (-1.5, -1.3)
Morris (Parsippany-Troy Hills Township), NJ - Sussex, NJ	No	134.8 (131.3, 138.4)	N/A	1,159	falling	-2.2 (-2.5, -1.9)
San Juan, NM	No	134.5 (125.9, 143.5)	N/A	190	falling	-1.4 (-1.8, -1.0)
Fairbanks North Star Borough, AK - Denali/Yukon-Koyukuk, AK	No	134.3 (123.3, 146.1)	N/A	127	falling	-1.5 (-2.1, -1.0)
Nevada, CA - Sierra, CA	No	134.3 (126.5, 142.6)	N/A	254	falling	-1.7 (-2.0, -1.4)
Sarasota (Sarasota), FL - Charlotte, FL	No	134.3 (131.3, 137.3)	N/A	2,126	falling	-1.2 (-1.4, -1.1)
Watauga, NC - Ashe, NC	No	133.5 (123.9, 143.7)	N/A	153	falling	-1.2 (-1.6, -0.8)
Los Angeles (Los Angeles), CA	No	133.3 (132.4, 134.3)	N/A	14,616	falling	-1.5 (-1.6, -1.5)
Deschutes, OR - Crook, OR	No	133.1 (127.6, 138.8)	N/A	471	falling	-1.5 (-1.8, -1.3)
Johnson (Overland Park), KS - Douglas, KS	No	132.9 (129.4, 136.4)	N/A	1,161	falling	-1.3 (-1.5, -1.2)
Madison, NE - Wayne, NE	No	132.5 (121.4, 144.4)	N/A	113	falling	-1.0 (-1.3, -0.6)
Suffolk, NY - Nassau, NY	No	132.0 (130.4, 133.7)	N/A	5,106	falling	-2.0 (-2.1, -1.9)
Prince William (Dale City), VA - Fauquier, VA	No	131.9 (127.4, 136.6)	N/A	683	falling	-2.4 (-2.6, -2.2)
Santa Barbara (Santa Barbara), CA - San Luis Obispo, CA	No	131.8 (128.4, 135.2)	N/A	1,235	falling	-1.4 (-1.5, -1.2)
Bonneville, ID - Madison, ID	No	131.7 (124.6, 139.0)	N/A	271	falling	-0.9 (-1.3, -0.6)
McIntosh, ND - Logan, ND	No	131.5 (95.8, 179.3)	N/A	13	falling	-1.8 (-3.0, -0.7)
Roseau, MN - Lake of the Woods, MN	No	131.4 (112.7, 152.8)	N/A	37	falling	-1.4 (-2.0, -0.8)
Denton (Denton), TX - Wise, TX	No	131.3 (127.8, 135.0)	N/A	1,120	falling	-1.9 (-2.2, -1.7)
Montgomery, MD - Prince Georges, MD	No	131.2 (129.2, 133.3)	N/A	3,305	falling	-1.9 (-1.9, -1.8)
El Paso (El Paso), TX - Hudspeth, TX	No	131.2 (127.7, 134.8)	N/A	1,079	falling	-1.4 (-1.5, -1.2)
Alamosa, CO - Rio Grande, CO	No	131.1 (118.4, 144.9)	N/A	83	falling	-0.9 (-1.2, -0.5)
Park, WY - Big Horn, WY	No	130.7 (118.0, 144.7)	N/A	85	falling	-1.4 (-1.8, -0.9)
Ventura, CA	No	130.7 (127.6, 133.9)	N/A	1,337	falling	-1.5 (-1.6, -1.3)
Essex (Newark), NJ - Middlesex, NJ	No	130.7 (128.8, 132.6)	N/A	3,843	falling	-3.7 (-5.5, -2.0)
Lawrence, SD	No	130.4 (114.1, 148.7)	N/A	51	falling	-1.3 (-1.8, -0.7)
Miami-Dade (Miami), FL - Broward, FL	No	130.3 (129.0, 131.6)	N/A	7,997	falling	-2.6 (-3.8, -1.4)
Elko, NV - Lander, NV	No	130.3 (117.0, 144.7)	N/A	74	falling	-1.7 (-2.3, -1.1)
Stark, ND - Dunn, ND	No	130.3 (115.2, 146.8)	N/A	58	falling	-1.1 (-1.7, -0.6)
Maricopa (Phoenix), AZ - Pinal, AZ	No	130.2 (129.0, 131.5)	N/A	8,393	falling	-2.3 (-2.9, -1.7)
Cedar, NE - Knox, NE	No	129.8 (111.0, 151.4)	N/A	39	falling	-0.8 (-1.4, -0.1)
Latah, ID	No	129.6 (114.1, 146.7)	N/A	53	falling	-0.7 (-1.3, -0.1)
Westchester (Yonkers), NY - Dutchess, NY	No	129.1 (126.9, 131.3)	N/A	2,740	falling	-2.1 (-2.2, -2.0)
Dimmit, TX	No	128.9 (101.3, 162.0)	N/A	16	falling	-1.3 (-2.1, -0.4)
Fergus, MT - Petroleum, MT	No	128.7 (107.2, 154.2)	N/A	27	falling	-1.9 (-2.6, -1.2)
Navajo, AZ	No	128.6 (120.1, 137.6)	N/A	181	falling	-1.4 (-1.7, -1.0)
Houston, MN	No	128.2 (109.8, 149.2)	N/A	38	falling	-1.3 (-1.8, -0.8)
Palm Beach (West Palm Beach), FL - St. Lucie, FL	No	128.1 (126.4, 129.9)	N/A	4,634	falling	-2.6 (-3.3, -1.9)
Denver (Denver), CO - Jefferson, CO	No	128.1 (126.2, 130.0)	N/A	3,715	falling	-1.9 (-2.1, -1.6)
Bergen, NJ - Hudson (Jersey City), NJ	No	127.8 (125.8, 129.8)	N/A	3,215	falling	-2.3 (-2.4, -2.2)
Uinta, WY	No	127.5 (106.5, 151.5)	N/A	29	falling	-1.9 (-2.6, -1.2)
Travis (Austin), TX - Williamson, TX	No	127.5 (125.1, 129.9)	N/A	2,280	falling	-1.9 (-2.0, -1.8)
Alameda (Oakland), CA - Contra Costa, CA	No	127.3 (125.6, 129.1)	N/A	4,110	falling	-2.1 (-2.3, -2.0)
Orange, CA	No	127.1 (125.5, 128.8)	N/A	4,707	falling	-1.6 (-1.7, -1.5)
Colfax, NM	No	126.9 (105.8, 152.0)	N/A	29	falling	-1.1 (-1.8, -0.4)
Dickey, ND - LaMoure, ND	No	126.9 (102.1, 156.9)	N/A	21	falling	-1.2 (-2.1, -0.3)
Whitman, WA	No	126.8 (111.4, 143.7)	N/A	51	falling	-1.2 (-1.7, -0.6)
Kauai, HI	No	126.3 (116.4, 136.9)	N/A	131	*	*
Webb (Laredo), TX - Zapata, TX	No	126.0 (119.6, 132.7)	N/A	296	falling	-0.8 (-1.1, -0.5)
Salt Lake (Salt Lake City), UT - Tooele, UT	No	125.6 (122.7, 128.6)	N/A	1,448	falling	-1.1 (-1.3, -0.9)
Collingsworth, TX	No	125.4 (78.8, 191.3)	N/A	5	stable	-1.2 (-2.6, 0.2)
Juneau City and Borough, AK - Sitka City and Borough, AK	No	125.0 (111.1, 140.1)	N/A	66	falling	-1.5 (-2.2, -0.7)
Santa Cruz, CA	No	124.8 (119.3, 130.6)	N/A	410	falling	-1.6 (-1.9, -1.3)
Clark, MO	No	124.6 (95.9, 160.6)	N/A	14	stable	-1.1 (-2.3, 0.1)
Polk, NC	No	124.6 (108.9, 142.7)	N/A	55	falling	-1.5 (-2.0, -1.0)
Kings (New York), NY - Queens, NY	No	123.5 (122.5, 124.5)	N/A	12,095	falling	-4.5 (-5.4, -3.7)
Honolulu (Honolulu), HI - Maui, HI	No	123.4 (120.9, 126.0)	N/A	1,912	*	*
Fairfield, CT	No	122.9 (120.1, 125.8)	N/A	1,487	falling	-2.3 (-2.5, -2.1)
Manatee, FL	No	122.8 (119.1, 126.7)	N/A	920	falling	-2.1 (-2.3, -1.9)
Beaufort, SC - Jasper, SC	No	122.7 (117.5, 128.2)	N/A	462	falling	-2.4 (-2.9, -2.0)
Larimer, CO	Yes	122.5 (117.6, 127.5)	N/A	495	falling	-1.4 (-1.7, -1.2)
Beaver, OK	Yes	122.0 (88.8, 165.1)	N/A	9	falling	-1.9 (-3.1, -0.7)
Cherry, NE	Yes	121.8 (91.2, 160.9)	N/A	12	falling	-1.2 (-2.2, -0.1)
Gallatin and Yellowstone National Park, MT - Madison, MT	Yes	121.3 (112.3, 130.8)	N/A	142	falling	-1.6 (-2.1, -1.1)
Mesa, CO - Garfield, CO	Yes	120.7 (115.5, 126.1)	N/A	430	falling	-1.8 (-2.1, -1.6)
Franklin, ID - Bear Lake, ID	Yes	120.1 (100.6, 142.4)	N/A	28	falling	-0.9 (-1.7, -0.1)
Rockland, NY	Yes	120.0 (115.1, 125.0)	N/A	476	falling	-2.3 (-2.4, -2.1)
Lipscomb, TX	Yes	119.8 (77.6, 178.7)	N/A	5	falling	-2.7 (-4.0, -1.3)
Boulder, CO - Broomfield, CO	Yes	118.9 (114.3, 123.8)	N/A	506	falling	-1.5 (-1.7, -1.4)
Davis, UT - Weber (Ogden), UT	Yes	118.0 (114.0, 122.1)	N/A	687	falling	-1.0 (-1.2, -0.8)
Cameron (Brownsville), TX - Willacy, TX	Yes	117.9 (113.5, 122.5)	N/A	538	falling	-1.1 (-1.4, -0.9)
San Francisco (San Francisco), CA - San Mateo, CA	Yes	117.9 (115.8, 120.0)	N/A	2,437	falling	-2.5 (-2.8, -2.3)
Utah (Provo), UT - Sanpete, UT	Yes	117.3 (112.9, 121.8)	N/A	550	falling	-0.8 (-1.0, -0.6)
Albany, WY - Carbon, WY	Yes	116.4 (103.2, 130.8)	N/A	61	falling	-2.2 (-2.7, -1.6)
Lee (Cape Coral), FL - Collier, FL	Yes	116.3 (114.2, 118.4)	N/A	2,730	falling	-2.7 (-3.7, -1.7)
Santa Fe (Santa Fe), NM - Rio Arriba, NM	Yes	115.8 (110.9, 121.0)	N/A	444	falling	-1.4 (-1.6, -1.2)
Yuma, AZ - La Paz, AZ	Yes	115.8 (110.5, 121.4)	N/A	390	falling	-0.9 (-1.4, -0.5)
Chaffee, CO - Lake, CO	Yes	115.2 (100.6, 131.7)	N/A	48	falling	-1.4 (-2.2, -0.5)
La Plata, CO - Montezuma, CO	Yes	115.2 (107.0, 124.0)	N/A	159	falling	-1.7 (-2.0, -1.4)
Santa Clara (San Jose), CA - Monterey, CA	Yes	115.1 (113.2, 117.0)	N/A	3,023	falling	-2.6 (-3.2, -1.9)
Inyo, CA - Mono, CA	Yes	113.8 (100.2, 129.0)	N/A	54	falling	-2.0 (-2.5, -1.5)
Apache, AZ	Yes	113.7 (103.4, 124.7)	N/A	94	falling	-0.9 (-1.4, -0.3)
Winneshiek, IA	Yes	113.6 (97.1, 132.7)	N/A	37	falling	-1.5 (-2.2, -0.9)
Hidalgo (Mcallen), TX - Starr, TX	Yes	113.3 (110.1, 116.7)	N/A	917	falling	-0.9 (-1.1, -0.8)
Sioux, IA	Yes	113.2 (99.1, 128.8)	N/A	50	falling	-1.2 (-1.6, -0.7)
Routt, CO - Moffat, CO	Yes	113.0 (98.4, 129.1)	N/A	48	falling	-1.7 (-2.4, -1.1)
Marin, CA	Yes	111.7 (107.2, 116.4)	N/A	480	falling	-2.2 (-2.4, -2.0)
Cache, UT	Yes	111.4 (101.9, 121.5)	N/A	103	falling	-0.8 (-1.3, -0.4)
Fairfax, VA - Arlington, VA	Yes	110.4 (108.3, 112.5)	N/A	2,127	falling	-2.5 (-2.7, -2.3)
Washington, UT - Kane, UT	Yes	110.4 (104.6, 116.3)	N/A	305	falling	-1.3 (-1.6, -1.0)
San Juan, UT	Yes	109.1 (87.1, 135.0)	N/A	18	stable	-0.6 (-1.7, 0.5)
Puerto Rico	Yes	105.5 (104.1, 106.8)	N/A	5,147	falling	-2.0 (-3.1, -0.8)
Blaine, ID - Camas, ID	Yes	105.4 (89.2, 123.9)	N/A	33	falling	-1.9 (-2.7, -1.0)
Grant, ND	Yes	105.0 (67.6, 165.3)	N/A	5	stable	-1.2 (-2.7, 0.2)
Teton, WY - Lincoln, WY	Yes	97.7 (86.7, 109.7)	N/A	61	falling	-2.3 (-3.0, -1.6)
Brewster, TX - Presidio, TX	Yes	92.5 (77.6, 110.0)	N/A	29	falling	-2.2 (-2.9, -1.5)
Daggett, UT	*******	*	*	3 or fewer	*	*

Notes:
Created by statecancerprofiles.cancer.gov on 05/05/2024 1:58 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.
* 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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