Death Rates Table
County
|
Met Healthy People Objective of ***? |
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)
|
|---|---|---|---|---|---|---|
| Texas | *** | 10.3 (10.1, 10.5) | N/A | 2,865 |
stable 
|
0.1 (0.0, 0.2) |
| United States | *** | 11.1 (11.0, 11.1) | N/A | 43,836 |
rising 
|
0.3 (0.2, 0.3) |
| Hockley County | *** | 22.1 (14.6, 32.2) | 1 (1, 75) | 6 |
|
|
| Young County | *** | 18.0 (10.9, 28.3) | 2 (1, 112) | 4 |
|
|
| Uvalde County | *** | 16.2 (10.6, 23.8) | 3 (1, 104) | 5 |
|
|
| Kleberg County | *** | 15.2 (9.6, 22.9) | 4 (1, 112) | 5 |
|
|
| Panola County | *** | 15.1 (9.6, 22.8) | 5 (1, 113) | 5 |
stable
|
0.0 (-1.8, 1.7) |
| Hutchinson County | *** | 14.4 (8.7, 22.7) | 6 (1, 115) | 4 |
|
|
| Orange County | *** | 14.4 (11.2, 18.2) | 7 (1, 86) | 15 |
stable
|
0.8 (-0.4, 2.0) |
| Wilson County | *** | 14.2 (10.2, 19.2) | 8 (1, 106) | 9 |
|
|
| Llano County | *** | 14.0 (7.9, 23.5) | 9 (1, 115) | 6 |
stable
|
0.1 (-2.0, 2.2) |
| Hill County | *** | 14.0 (9.8, 19.6) | 10 (1, 108) | 8 |
stable
|
-0.2 (-2.0, 1.5) |
| Bowie County | *** | 13.7 (10.9, 17.1) | 11 (2, 94) | 16 |
stable
|
0.2 (-1.2, 1.6) |
| Anderson County | *** | 13.6 (9.9, 18.3) | 12 (1, 106) | 9 |
stable
|
0.1 (-1.5, 1.7) |
| Cherokee County | *** | 13.6 (9.9, 18.3) | 13 (1, 106) | 9 |
stable
|
24.4 (-2.4, 58.6) |
| Grayson County | *** | 13.5 (11.2, 16.3) | 14 (2, 77) | 24 |
stable
|
0.6 (-0.6, 1.7) |
| Limestone County | *** | 13.4 (8.4, 20.7) | 15 (1, 115) | 5 |
|
|
| Johnson County | *** | 13.3 (11.0, 15.9) | 16 (3, 82) | 24 |
stable
|
0.8 (-0.5, 2.1) |
| Victoria County | *** | 13.1 (10.2, 16.6) | 17 (2, 96) | 14 |
stable
|
0.9 (-0.5, 2.3) |
| Navarro County | *** | 13.1 (9.3, 18.0) | 18 (2, 112) | 8 |
rising
|
2.7 (0.7, 4.7) |
| Polk County | *** | 12.9 (9.2, 17.9) | 19 (1, 111) | 9 |
stable
|
0.7 (-0.9, 2.4) |
| Gray County | *** | 12.8 (7.7, 20.4) | 20 (1, 115) | 4 |
|
|
| Potter County | *** | 12.8 (10.0, 16.1) | 21 (2, 99) | 15 |
stable
|
-0.2 (-1.6, 1.3) |
| Colorado County | *** | 12.6 (7.4, 20.3) | 22 (1, 115) | 4 |
stable
|
0.2 (-2.3, 2.7) |
| Comal County | *** | 12.5 (10.3, 15.1) | 23 (5, 92) | 23 |
stable
|
1.0 (-0.1, 2.2) |
| Kaufman County | *** | 12.4 (9.6, 15.6) | 24 (3, 100) | 15 |
stable
|
0.0 (-1.4, 1.5) |
| Wharton County | *** | 12.1 (8.3, 17.2) | 25 (2, 113) | 7 |
stable
|
-0.8 (-2.5, 0.9) |
| Hardin County | *** | 12.1 (8.8, 16.3) | 26 (2, 110) | 9 |
stable
|
0.2 (-1.5, 2.0) |
| Coryell County | *** | 12.1 (8.4, 16.7) | 27 (2, 112) | 7 |
|
|
| Howard County | *** | 11.9 (7.6, 17.9) | 28 (1, 115) | 5 |
stable
|
-0.1 (-1.9, 1.8) |
| Cass County | *** | 11.9 (7.9, 17.6) | 29 (1, 113) | 6 |
stable
|
-0.3 (-1.8, 1.2) |
| San Patricio County | *** | 11.8 (8.5, 16.0) | 30 (2, 112) | 9 |
stable
|
-0.7 (-2.1, 0.8) |
| Fannin County | *** | 11.8 (7.7, 17.4) | 31 (2, 115) | 6 |
stable
|
1.1 (-0.8, 3.1) |
| Galveston County | *** | 11.8 (10.2, 13.5) | 32 (10, 84) | 43 |
stable
|
0.3 (-0.8, 1.4) |
| Jasper County | *** | 11.6 (7.8, 16.9) | 33 (2, 114) | 6 |
stable
|
0.7 (-1.3, 2.8) |
| Trinity County | *** | 11.6 (6.5, 20.4) | 34 (1, 115) | 3 |
|
|
| Angelina County | *** | 11.5 (8.8, 14.9) | 35 (4, 109) | 12 |
stable
|
-0.5 (-1.9, 0.9) |
| Bosque County | *** | 11.5 (6.7, 19.2) | 36 (1, 115) | 4 |
|
|
| Lavaca County | *** | 11.5 (6.9, 18.6) | 37 (1, 115) | 4 |
|
|
| Parker County | *** | 11.5 (9.2, 14.1) | 38 (6, 105) | 19 |
stable
|
-0.5 (-1.8, 0.8) |
| Brazoria County | *** | 11.5 (9.9, 13.2) | 39 (10, 93) | 39 |
stable
|
0.4 (-0.5, 1.3) |
| Wise County | *** | 11.4 (8.3, 15.5) | 40 (3, 113) | 9 |
stable
|
-0.2 (-2.1, 1.7) |
| Rusk County | *** | 11.4 (8.1, 15.8) | 41 (3, 114) | 8 |
stable
|
-0.7 (-2.2, 0.9) |
| Nacogdoches County | *** | 11.4 (8.1, 15.7) | 42 (3, 113) | 8 |
stable
|
-1.7 (-3.6, 0.2) |
| Bexar County | *** | 11.4 (10.7, 12.1) | 43 (23, 67) | 210 |
rising
|
0.4 (0.1, 0.8) |
| Jefferson County | *** | 11.4 (9.7, 13.3) | 44 (11, 97) | 33 |
falling 
|
-0.8 (-1.4, -0.2) |
| Caldwell County | *** | 11.3 (7.3, 16.8) | 45 (2, 115) | 5 |
|
|
| Leon County | *** | 11.3 (6.5, 19.2) | 46 (1, 115) | 3 |
|
|
| McLennan County | *** | 11.1 (9.4, 13.0) | 47 (11, 98) | 31 |
stable
|
0.8 (0.0, 1.6) |
| Bee County | *** | 11.1 (6.4, 17.8) | 48 (2, 115) | 3 |
|
|
| Lamar County | *** | 11.1 (7.8, 15.4) | 49 (3, 114) | 8 |
stable
|
11.7 (-5.8, 32.4) |
| Medina County | *** | 11.0 (7.6, 15.5) | 50 (3, 114) | 7 |
stable
|
0.5 (-1.5, 2.7) |
| Bastrop County | *** | 10.9 (8.1, 14.5) | 51 (4, 113) | 11 |
stable
|
0.9 (-0.6, 2.5) |
| Guadalupe County | *** | 10.9 (8.8, 13.4) | 52 (9, 107) | 19 |
stable
|
0.4 (-1.1, 1.9) |
| Wichita County | *** | 10.9 (8.7, 13.6) | 53 (8, 109) | 16 |
stable
|
-0.2 (-1.5, 1.1) |
| Hopkins County | *** | 10.9 (7.2, 16.1) | 54 (3, 115) | 5 |
stable
|
-1.0 (-3.0, 1.0) |
| Dallas County | *** | 10.9 (10.3, 11.6) | 55 (31, 75) | 243 |
stable
|
-0.2 (-0.5, 0.1) |
| Jim Wells County | *** | 10.9 (7.1, 16.1) | 56 (3, 115) | 5 |
stable
|
0.4 (-1.8, 2.6) |
| Tarrant County | *** | 10.8 (10.1, 11.5) | 57 (30, 80) | 204 |
stable
|
-0.1 (-0.5, 0.2) |
| Ector County | *** | 10.8 (8.4, 13.7) | 58 (7, 111) | 14 |
stable
|
1.1 (-0.6, 2.9) |
| Van Zandt County | *** | 10.6 (7.6, 14.5) | 59 (6, 114) | 9 |
stable
|
0.6 (-1.0, 2.2) |
| Montague County | *** | 10.6 (6.1, 17.7) | 60 (1, 115) | 3 |
|
|
| Aransas County | *** | 10.5 (6.9, 16.2) | 61 (3, 115) | 5 |
stable
|
-0.2 (-1.9, 1.5) |
| Gregg County | *** | 10.5 (8.2, 13.2) | 62 (9, 111) | 15 |
stable
|
-0.9 (-1.8, 0.1) |
| Lubbock County | *** | 10.4 (8.8, 12.2) | 63 (18, 105) | 31 |
stable
|
-0.1 (-1.0, 0.9) |
| Kerr County | *** | 10.4 (7.7, 14.0) | 64 (7, 114) | 11 |
stable
|
0.2 (-1.3, 1.7) |
| Titus County | *** | 10.3 (6.1, 16.5) | 65 (2, 115) | 4 |
|
|
| Fort Bend County | *** | 10.3 (9.2, 11.5) | 66 (28, 99) | 66 |
stable
|
0.2 (-0.5, 0.9) |
| Hunt County | *** | 10.3 (7.8, 13.4) | 67 (8, 113) | 12 |
stable
|
-0.6 (-1.8, 0.6) |
| Bandera County | *** | 10.2 (6.5, 16.5) | 68 (3, 115) | 5 |
|
|
| Ellis County | *** | 10.2 (8.2, 12.6) | 69 (12, 111) | 18 |
stable
|
-0.2 (-1.7, 1.3) |
| Williamson County | *** | 10.1 (8.9, 11.5) | 70 (28, 101) | 52 |
stable
|
-0.1 (-1.0, 0.8) |
| Cooke County | *** | 10.1 (6.8, 14.7) | 71 (5, 115) | 6 |
stable
|
0.6 (-1.6, 2.9) |
| Harris County | *** | 10.0 (9.6, 10.5) | 72 (48, 88) | 392 |
stable
|
-0.3 (-0.5, 0.0) |
| Liberty County | *** | 10.0 (7.1, 13.6) | 73 (6, 115) | 8 |
falling
|
-1.2 (-2.3, -0.2) |
| Tom Green County | *** | 10.0 (7.7, 12.7) | 74 (12, 113) | 13 |
stable
|
0.0 (-1.4, 1.4) |
| Nueces County | *** | 9.9 (8.6, 11.4) | 75 (27, 106) | 40 |
falling
|
-0.9 (-1.6, -0.1) |
| Bell County | *** | 9.8 (8.3, 11.6) | 76 (23, 108) | 30 |
stable
|
-0.7 (-1.3, 0.0) |
| Austin County | *** | 9.8 (6.1, 15.3) | 77 (3, 115) | 4 |
|
|
| Montgomery County | *** | 9.8 (8.7, 11.1) | 78 (35, 104) | 58 |
stable
|
-0.2 (-0.9, 0.5) |
| Matagorda County | *** | 9.8 (6.2, 14.9) | 79 (4, 115) | 5 |
|
|
| El Paso County | *** | 9.8 (8.8, 10.8) | 80 (39, 102) | 78 |
stable
|
-0.3 (-0.9, 0.3) |
| Upshur County | *** | 9.8 (6.4, 14.4) | 81 (5, 115) | 6 |
falling
|
-2.4 (-3.8, -1.0) |
| Walker County | *** | 9.7 (6.7, 13.7) | 82 (6, 115) | 7 |
stable
|
-1.6 (-3.2, 0.1) |
| Henderson County | *** | 9.7 (7.4, 12.5) | 83 (15, 113) | 13 |
falling
|
-1.1 (-2.1, -0.1) |
| Collin County | *** | 9.6 (8.7, 10.7) | 84 (43, 103) | 81 |
stable
|
0.1 (-0.7, 1.0) |
| Travis County | *** | 9.6 (8.7, 10.6) | 85 (45, 103) | 92 |
falling
|
-0.7 (-1.3, -0.1) |
| Webb County | *** | 9.6 (7.7, 11.6) | 86 (22, 112) | 20 |
stable
|
-0.4 (-1.7, 0.9) |
| Wood County | *** | 9.5 (6.8, 13.3) | 87 (12, 115) | 8 |
stable
|
-0.4 (-2.0, 1.2) |
| Denton County | *** | 9.5 (8.4, 10.6) | 88 (42, 105) | 64 |
stable
|
0.1 (-0.7, 0.9) |
| Randall County | *** | 9.5 (7.4, 12.0) | 89 (17, 114) | 15 |
stable
|
0.2 (-1.0, 1.3) |
| San Jacinto County | *** | 9.4 (5.7, 15.1) | 90 (3, 115) | 4 |
|
|
| Smith County | *** | 9.3 (7.8, 11.1) | 91 (31, 111) | 27 |
falling
|
-1.2 (-2.3, -0.1) |
| Harrison County | *** | 9.3 (6.6, 12.8) | 92 (11, 115) | 8 |
stable
|
-1.4 (-3.0, 0.4) |
| Waller County | *** | 9.3 (5.8, 14.1) | 93 (5, 115) | 5 |
stable
|
-1.4 (-3.6, 0.8) |
| Hays County | *** | 9.2 (7.2, 11.4) | 94 (25, 114) | 16 |
stable
|
-0.4 (-1.8, 1.1) |
| Hood County | *** | 9.0 (6.6, 12.2) | 95 (18, 115) | 10 |
stable
|
-1.3 (-3.0, 0.4) |
| Hale County | *** | 9.0 (5.2, 14.5) | 96 (4, 115) | 3 |
|
|
| Taylor County | *** | 8.9 (6.9, 11.4) | 97 (23, 115) | 14 |
stable
|
-0.9 (-1.7, 0.0) |
| Erath County | *** | 8.9 (5.4, 14.0) | 98 (5, 115) | 4 |
stable
|
1.8 (-0.8, 4.4) |
| Kendall County | *** | 8.9 (5.8, 13.2) | 99 (8, 115) | 5 |
|
|
| Atascosa County | *** | 8.9 (5.7, 13.2) | 100 (9, 115) | 5 |
|
|
| Palo Pinto County | *** | 8.9 (5.1, 14.5) | 101 (5, 115) | 4 |
|
|
| Burnet County | *** | 8.8 (5.7, 13.1) | 102 (8, 115) | 6 |
stable
|
-0.3 (-2.1, 1.5) |
| Midland County | *** | 8.6 (6.6, 11.0) | 103 (28, 115) | 13 |
stable
|
0.4 (-0.8, 1.7) |
| Rockwall County | *** | 8.4 (5.9, 11.6) | 104 (17, 115) | 8 |
|
|
| Houston County | *** | 8.4 (4.8, 14.3) | 105 (7, 115) | 3 |
|
|
| Washington County | *** | 8.2 (5.3, 12.5) | 106 (13, 115) | 5 |
stable
|
-0.8 (-2.7, 1.0) |
| Cameron County | *** | 8.2 (7.0, 9.5) | 107 (60, 114) | 35 |
stable
|
0.3 (-0.6, 1.2) |
| Starr County | *** | 8.1 (5.1, 12.1) | 108 (11, 115) | 5 |
|
|
| Brown County | *** | 8.1 (5.2, 12.3) | 109 (16, 115) | 5 |
stable
|
-0.5 (-2.2, 1.3) |
| Chambers County | *** | 7.9 (4.4, 13.1) | 110 (6, 115) | 3 |
|
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| Hidalgo County | *** | 7.8 (6.9, 8.8) | 111 (79, 114) | 58 |
stable
|
0.2 (-0.5, 0.8) |
| Brazos County | *** | 7.6 (5.8, 9.7) | 112 (48, 115) | 12 |
stable
|
-0.6 (-2.0, 0.8) |
| Gillespie County | *** | 7.4 (4.5, 12.4) | 113 (14, 115) | 4 |
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| Maverick County | *** | 7.2 (4.3, 11.2) | 114 (21, 115) | 4 |
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| Val Verde County | *** | 6.0 (3.4, 9.8) | 115 (43, 115) | 3 |
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| Andrews County | *** |
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| Archer County | *** |
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| Armstrong County | *** |
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| Bailey County | *** |
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| Baylor County | *** |
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| Blanco County | *** |
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| Borden County | *** |
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| Brewster County | *** |
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| Briscoe County | *** |
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| Brooks County | *** |
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| Burleson County | *** |
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| Calhoun County | *** |
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| Callahan County | *** |
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| Camp County | *** |
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| Carson County | *** |
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| Castro County | *** |
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| Childress County | *** |
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| Clay County | *** |
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| Cochran County | *** |
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| Coke County | *** |
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| Coleman County | *** |
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| Collingsworth County | *** |
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| Comanche County | *** |
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| Concho County | *** |
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| Cottle County | *** |
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| Crane County | *** |
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| Crockett County | *** |
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| Crosby County | *** |
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| Culberson County | *** |
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| Dallam County | *** |
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| Dawson County | *** |
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| DeWitt County | *** |
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| Deaf Smith County | *** |
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| Delta County | *** |
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| Dickens County | *** |
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| Dimmit County | *** |
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| Donley County | *** |
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| Duval County | *** |
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| Eastland County | *** |
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| Edwards County | *** |
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| Falls County | *** |
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| Fayette County | *** |
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| Fisher County | *** |
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| Floyd County | *** |
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| Foard County | *** |
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| Franklin County | *** |
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| Freestone County | *** |
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| Frio County | *** |
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| Gaines County | *** |
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| Garza County | *** |
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| Glasscock County | *** |
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| Goliad County | *** |
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| Gonzales County | *** |
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| Grimes County | *** |
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| Hall County | *** |
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| Hamilton County | *** |
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| Hansford County | *** |
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| Hardeman County | *** |
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| Hartley County | *** |
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| Haskell County | *** |
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| Hemphill County | *** |
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| Hudspeth County | *** |
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| Irion County | *** |
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| Jack County | *** |
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| Jackson County | *** |
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| Jeff Davis County | *** |
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| Jim Hogg County | *** |
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| Jones County | *** |
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| Karnes County | *** |
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| Kenedy County | *** |
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| Kent County | *** |
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| Kimble County | *** |
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| King County | *** |
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| Kinney County | *** |
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| Knox County | *** |
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| La Salle County | *** |
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| Lamb County | *** |
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| Lampasas County | *** |
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| Lee County | *** |
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| Lipscomb County | *** |
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| Live Oak County | *** |
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| Loving County | *** |
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| Lynn County | *** |
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| Madison County | *** |
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| Marion County | *** |
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| Martin County | *** |
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| Mason County | *** |
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| McCulloch County | *** |
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| McMullen County | *** |
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| Menard County | *** |
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| Milam County | *** |
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| Mills County | *** |
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| Mitchell County | *** |
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| Moore County | *** |
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| Morris County | *** |
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| Motley County | *** |
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| Newton County | *** |
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| Nolan County | *** |
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| Ochiltree County | *** |
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| Oldham County | *** |
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| Parmer County | *** |
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| Pecos County | *** |
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| Presidio County | *** |
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| Rains County | *** |
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| Reagan County | *** |
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| Real County | *** |
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| Red River County | *** |
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| Reeves County | *** |
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| Refugio County | *** |
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| Roberts County | *** |
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| Robertson County | *** |
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| Runnels County | *** |
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| Sabine County | *** |
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| San Augustine County | *** |
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| San Saba County | *** |
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| Schleicher County | *** |
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| Scurry County | *** |
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| Shackelford County | *** |
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| Shelby County | *** |
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| Sherman County | *** |
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| Somervell County | *** |
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| Stephens County | *** |
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| Sterling County | *** |
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| Stonewall County | *** |
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| Sutton County | *** |
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| Swisher County | *** |
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| Terrell County | *** |
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| Terry County | *** |
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| Throckmorton County | *** |
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| Tyler County | *** |
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| Upton County | *** |
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| Ward County | *** |
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| Wheeler County | *** |
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| Wilbarger County | *** |
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| Willacy County | *** |
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| Winkler County | *** |
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| Yoakum County | *** |
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| Zapata County | *** |
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| Zavala County | *** |
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Notes:
Created by statecancerprofiles.cancer.gov on 08/16/2022 3:10 pm.
State Cancer Registries may provide more current or more local data.
† Death data provided by the National Vital Statistics System public use data file. Death rates calculated by the National Cancer Institute using SEER*Stat. Death rates are age-adjusted to the 2000 US standard population (19 age groups: <1, 1-4, 5-9, ... , 80-84, 85+). The Healthy People 2020 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 1969-2018 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.
*** No Healthy People 2020 Objective for this cancer.
Healthy People 2020 Objectives provided by the Centers for Disease Control and Prevention.
* 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.
Interpret Rankings provides insight into interpreting cancer incidence statistics. When the population size for a denominator is small, the rates may be unstable. A rate is unstable when a small change in the numerator (e.g., only one or two additional cases) has a dramatic effect on the calculated rate.
Data for United States does not include Puerto Rico.
When displaying county information, the CI*Rank for the state is not shown because it's not comparable. To see the state CI*Rank please view the statistics at the US By State level.
Created by statecancerprofiles.cancer.gov on 08/16/2022 3:10 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.
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 2020 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 1969-2018 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.
*** No Healthy People 2020 Objective for this cancer.
Healthy People 2020 Objectives provided by the Centers for Disease Control and Prevention.
* 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.
Interpret Rankings provides insight into interpreting cancer incidence statistics. When the population size for a denominator is small, the rates may be unstable. A rate is unstable when a small change in the numerator (e.g., only one or two additional cases) has a dramatic effect on the calculated rate.
Data for United States does not include Puerto Rico.
When displaying county information, the CI*Rank for the state is not shown because it's not comparable. To see the state CI*Rank please view the statistics at the US By State level.