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Incidence Rates Table

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Incidence Rate Report for United States by County

All Cancer Sites (All Stages^), 2016-2020

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

Sorted by Rate
County	Age-Adjusted Incidence Rate^† cases per 100,000 (95% Confidence Interval)	CI*Rank⋔ (95% Confidence Interval)	Average Annual Count	Recent Trend	Recent 5-Year Trend^‡ in Incidence Rates (95% Confidence Interval)
US (SEER+NPCR) ¹	442.3 (442.0, 442.6)	N/A	1,698,328	stable	-0.3 (-0.6, 0.1)
Union County, Florida ⁶	1,237.4 (1,165.6, 1,312.8)	N/A	237	stable	0.6 (-0.5, 1.9)
Palo Alto County, Iowa ⁷	658.1 (591.1, 731.1)	N/A	82	rising	4.8 (0.2, 15.4)
Treasure County, Montana ⁶	652.2 (401.0, 1,007.4)	N/A	7	stable	-1.1 (-5.6, 3.3)
Polk County, Texas ⁷	633.6 (604.6, 663.7)	N/A	425	rising	2.2 (1.2, 4.2)
Floyd County, Kentucky ⁷	616.8 (584.3, 650.7)	N/A	295	stable	1.5 (-1.8, 5.3)
Logan County, Nebraska ⁶	609.8 (406.0, 888.8)	N/A	7	*	*
Lawrence County, Arkansas ⁶	599.8 (553.6, 649.0)	N/A	136	rising	4.6 (1.6, 12.1)
Powell County, Kentucky ⁷	597.4 (541.0, 658.3)	N/A	88	stable	0.8 (-0.3, 1.9)
Blaine County, Nebraska ⁶	595.9 (349.1, 972.0)	N/A	4	stable	3.2 (-1.1, 8.9)
Golden Valley County, Montana ⁶	589.6 (416.1, 829.2)	N/A	9	stable	0.1 (-3.3, 3.7)
Lincoln County, Kentucky ⁷	584.7 (546.7, 624.8)	N/A	189	rising	0.7 (0.3, 1.1)
Logan County, West Virginia ⁶	583.8 (551.2, 617.9)	N/A	268	stable	0.6 (-0.3, 1.5)
Lowndes County, Alabama ⁶	583.5 (524.1, 648.3)	N/A	79	stable	1.7 (0.0, 3.5)
Mercer County, Kentucky ⁷	581.5 (542.0, 623.3)	N/A	175	stable	0.8 (-0.2, 1.9)
Perry County, Kentucky ⁷	578.1 (541.1, 617.2)	N/A	196	stable	0.5 (-0.4, 1.5)
Fleming County, Kentucky ⁷	576.0 (527.2, 628.3)	N/A	110	stable	0.4 (-0.8, 1.7)
Grant County, Kentucky ⁷	575.7 (535.7, 618.1)	N/A	162	rising	0.7 (0.1, 1.4)
Pickens County, Georgia ⁷	575.3 (543.4, 608.8)	N/A	277	rising	1.1 (0.3, 2.1)
Adams County, Wisconsin ⁶	575.1 (536.9, 615.9)	N/A	219	stable	0.0 (-0.8, 0.9)
Owsley County, Kentucky ⁷	574.9 (490.0, 671.5)	N/A	36	stable	0.2 (-2.0, 2.6)
Bath County, Kentucky ⁷	574.8 (521.2, 632.6)	N/A	90	stable	-0.4 (-5.3, 0.6)
Lee County, Kentucky ⁷	574.7 (506.2, 650.6)	N/A	56	stable	0.1 (-1.7, 1.9)
Lee County, Georgia ⁷	573.6 (535.2, 614.0)	N/A	179	rising	1.3 (0.3, 2.6)
Monroe County, Kentucky ⁷	572.4 (515.9, 633.8)	N/A	82	rising	2.4 (1.1, 3.7)
Yukon-Koyukuk Census Area, Alaska ⁶	569.0 (481.1, 668.5)	N/A	34	stable	1.0 (-2.0, 4.5)
Livingston County, Kentucky ⁷	568.9 (510.4, 633.0)	N/A	79	stable	0.4 (-0.8, 1.6)
Scott County, Illinois ⁷	568.6 (488.7, 658.9)	N/A	40	stable	1.3 (-0.1, 2.8)
Taylor County, Kentucky ⁷	568.1 (530.4, 607.9)	N/A	184	stable	-3.5 (-8.8, 1.4)
Cass County, Iowa ⁷	567.8 (518.4, 621.0)	N/A	113	rising	0.9 (0.1, 1.7)
Menard County, Illinois ⁷	567.2 (516.1, 622.4)	N/A	99	stable	0.3 (-0.5, 1.2)
Clay County, Kentucky ⁷	566.4 (523.8, 611.6)	N/A	138	stable	-1.0 (-4.6, 0.3)
McDuffie County, Georgia ⁷	566.3 (525.6, 609.6)	N/A	156	stable	1.0 (-0.1, 2.1)
Pleasants County, West Virginia ⁶	566.2 (501.3, 638.1)	N/A	58	stable	0.3 (-1.2, 2.0)
Knox County, Kentucky ⁷	566.2 (532.6, 601.5)	N/A	224	stable	0.5 (-0.4, 1.3)
Lawrence County, Kentucky ⁷	565.7 (518.8, 615.9)	N/A	116	stable	0.8 (0.0, 1.6)
Marion County, Illinois ⁷	565.4 (535.4, 596.8)	N/A	290	stable	0.2 (-0.4, 0.8)
Hitchcock County, Nebraska ⁶	563.9 (457.2, 690.4)	N/A	24	stable	0.6 (-1.8, 2.9)
Jefferson County, New York ⁷	562.7 (543.2, 582.7)	N/A	658	stable	2.0 (-0.8, 5.0)
Trousdale County, Tennessee ⁶	561.5 (499.9, 628.7)	N/A	64	rising	1.4 (0.2, 2.8)
Bryan County, Georgia ⁷	561.0 (525.9, 597.8)	N/A	199	stable	0.8 (0.0, 1.7)
Iberville Parish, Louisiana ⁷	560.3 (527.4, 594.8)	N/A	227	stable	3.3 (-0.2, 6.0)
Stonewall County, Texas ⁷	560.2 (412.3, 749.4)	N/A	11	stable	1.7 (-1.6, 5.3)
Lewis County, West Virginia ⁶	560.2 (516.2, 607.3)	N/A	129	stable	0.4 (-1.3, 2.1)
Harlan County, Kentucky ⁷	559.5 (523.7, 597.2)	N/A	200	stable	0.7 (-0.2, 1.6)
Aurora County, South Dakota ⁶	559.4 (454.8, 682.8)	N/A	23	stable	1.9 (-0.3, 4.3)
Cape May County, New Jersey ⁷	559.0 (541.0, 577.4)	N/A	900	stable	-0.4 (-4.2, 0.8)
McCook County, South Dakota ⁶	558.8 (482.1, 645.0)	N/A	41	stable	0.9 (-0.5, 2.3)
Greeley County, Nebraska ⁶	557.8 (440.4, 699.2)	N/A	20	stable	0.4 (-2.6, 3.4)
Adair County, Kentucky ⁷	557.4 (515.5, 602.1)	N/A	143	stable	0.5 (-0.3, 1.5)
Montgomery County, Missouri ⁶	557.1 (504.1, 614.7)	N/A	90	stable	0.5 (-0.8, 1.8)
Butler County, Kentucky ⁷	557.1 (505.7, 612.6)	N/A	93	stable	0.5 (-0.7, 1.8)
Morgan County, Illinois ⁷	556.7 (526.0, 588.8)	N/A	266	rising	0.8 (0.2, 1.5)
Nassau County, Florida ⁶	555.9 (536.8, 575.5)	N/A	725	stable	0.4 (-0.4, 1.4)
Burnett County, Wisconsin ⁶	555.6 (513.2, 601.2)	N/A	161	stable	1.0 (-0.4, 2.4)
Christian County, Illinois ⁷	555.4 (524.5, 587.9)	N/A	260	stable	0.0 (-0.5, 0.4)
Bracken County, Kentucky ⁷	555.3 (492.2, 624.8)	N/A	60	stable	0.7 (-1.0, 2.5)
Clay County, South Dakota ⁶	554.9 (495.0, 620.0)	N/A	67	rising	4.1 (2.0, 10.3)
Montgomery County, Iowa ⁷	554.8 (498.6, 616.0)	N/A	82	rising	0.8 (0.2, 1.4)
Woodruff County, Arkansas ⁶	554.5 (484.2, 633.0)	N/A	53	stable	1.5 (-0.6, 3.8)
Cherokee County, Iowa ⁷	554.3 (502.0, 611.2)	N/A	98	rising	12.1 (0.9, 19.3)
Logan County, Illinois ⁷	554.1 (520.3, 589.6)	N/A	212	stable	0.6 (-0.1, 1.3)
Terrell County, Georgia ⁷	554.0 (493.6, 620.4)	N/A	67	stable	-0.8 (-2.1, 0.5)
Potter County, South Dakota ⁶	554.0 (429.3, 705.9)	N/A	20	stable	1.7 (-1.8, 5.1)
Lawrence County, Ohio ⁶	553.5 (530.1, 577.8)	N/A	449	stable	0.3 (-0.8, 1.5)
Poinsett County, Arkansas ⁶	553.2 (515.8, 592.8)	N/A	172	stable	1.0 (0.0, 2.1)
Niagara County, New York ⁷	552.7 (540.2, 565.4)	N/A	1,628	rising	1.0 (0.1, 2.8)
Greene County, Iowa ⁷	551.6 (493.6, 615.2)	N/A	75	rising	1.2 (0.2, 2.2)
Cumberland County, Kentucky ⁷	550.9 (482.4, 627.2)	N/A	54	stable	0.6 (-1.4, 2.6)
Montour County, Pennsylvania ⁶	550.5 (508.7, 595.2)	N/A	145	stable	0.7 (-0.3, 1.7)
Russell County, Kentucky ⁷	550.4 (508.0, 595.8)	N/A	137	stable	0.5 (-0.6, 1.7)
Johnson County, Kentucky ⁷	549.9 (511.9, 590.2)	N/A	167	stable	0.6 (-0.1, 1.4)
Musselshell County, Montana ⁶	549.7 (469.8, 641.1)	N/A	44	rising	8.2 (4.0, 15.7)
Piscataquis County, Maine ⁶	549.5 (508.2, 593.7)	N/A	162	stable	2.2 (-2.1, 8.1)
Clay County, Illinois ⁷	548.6 (500.8, 600.3)	N/A	106	stable	0.6 (-0.5, 1.7)
Orleans County, New York ⁷	548.4 (519.9, 578.1)	N/A	300	stable	0.6 (-0.2, 1.4)
Turner County, Georgia ⁷	548.2 (484.3, 618.6)	N/A	57	stable	0.7 (-1.1, 2.6)
Haakon County, South Dakota ⁶	548.2 (424.9, 700.3)	N/A	17	rising	17.0 (9.5, 22.6)
East Carroll Parish, Louisiana ⁷	547.9 (476.6, 627.3)	N/A	44	stable	1.0 (-0.4, 2.4)
Pike County, Kentucky ⁷	547.3 (523.7, 571.8)	N/A	440	stable	0.3 (-0.2, 0.8)
Cerro Gordo County, Iowa ⁷	547.2 (520.1, 575.5)	N/A	349	rising	0.7 (0.3, 1.1)
Jefferson County, Arkansas ⁶	547.2 (524.7, 570.4)	N/A	482	rising	1.0 (0.4, 1.6)
McLean County, Kentucky ⁷	546.6 (489.0, 609.7)	N/A	71	stable	0.6 (-0.3, 1.5)
Macon County, Illinois ⁷	546.0 (528.5, 564.1)	N/A	802	stable	-0.1 (-0.5, 0.2)
Crenshaw County, Alabama ⁶	545.8 (497.2, 598.1)	N/A	102	rising	3.9 (1.4, 9.7)
Mississippi County, Missouri ⁶	545.7 (497.3, 597.8)	N/A	97	stable	0.4 (-0.9, 1.9)
Prairie County, Montana ⁶	545.6 (375.2, 773.4)	N/A	9	stable	-0.2 (-3.3, 2.8)
Breathitt County, Kentucky ⁷	545.3 (494.6, 600.1)	N/A	92	stable	1.1 (-0.5, 2.8)
Grundy County, Illinois ⁷	545.1 (517.8, 573.5)	N/A	310	stable	0.1 (-0.6, 0.7)
St. Landry Parish, Louisiana ⁷	544.8 (523.7, 566.5)	N/A	542	rising	0.7 (0.2, 1.3)
Whitley County, Kentucky ⁷	544.1 (512.5, 577.2)	N/A	234	stable	0.5 (-0.1, 1.2)
Owen County, Kentucky ⁷	543.9 (489.5, 603.1)	N/A	80	stable	0.6 (-0.6, 1.9)
Buffalo County, South Dakota ⁶	543.9 (388.6, 739.0)	N/A	9	stable	1.0 (-2.6, 5.3)
Rosebud County, Montana ⁶	543.4 (479.6, 613.6)	N/A	58	stable	0.7 (-0.6, 2.1)
Pike County, Illinois ⁷	543.4 (499.1, 591.0)	N/A	122	stable	1.7 (-0.2, 6.3)
Marion County, Kentucky ⁷	543.2 (500.7, 588.5)	N/A	129	stable	0.9 (-0.1, 2.1)
Franklin County, Iowa ⁷	542.8 (488.2, 602.4)	N/A	82	rising	0.9 (0.4, 1.5)
Estill County, Kentucky ⁷	542.3 (495.2, 593.0)	N/A	106	stable	0.5 (-0.7, 1.6)
Searcy County, Arkansas ⁶	541.9 (481.8, 608.4)	N/A	70	rising	1.6 (0.4, 3.0)
Foard County, Texas ⁷	541.5 (367.5, 771.7)	N/A	9	rising	4.2 (0.3, 8.3)
Pocahontas County, Iowa ⁷	541.5 (475.5, 615.1)	N/A	58	stable	0.1 (-0.6, 0.6)
Onslow County, North Carolina ⁶	540.4 (523.5, 557.7)	N/A	813	stable	0.5 (-0.1, 1.2)
Oswego County, New York ⁷	540.3 (523.1, 558.0)	N/A	805	stable	-0.2 (-0.6, 0.2)
Houston County, Tennessee ⁶	540.2 (480.0, 606.5)	N/A	64	rising	2.2 (0.7, 3.8)
Sangamon County, Illinois ⁷	539.8 (526.7, 553.2)	N/A	1,385	stable	0.2 (-0.3, 0.7)
Hernando County, Florida ⁶	539.6 (527.3, 552.2)	N/A	1,766	falling	-1.6 (-3.1, -0.7)
Grenada County, Mississippi ⁶	539.2 (499.4, 581.4)	N/A	146	stable	0.6 (-0.5, 1.7)
Harrison County, Kentucky ⁷	539.1 (497.6, 583.4)	N/A	135	stable	0.2 (-0.5, 0.9)
Desha County, Arkansas ⁶	539.0 (485.9, 596.6)	N/A	83	rising	12.0 (0.4, 23.0)
Sharp County, Arkansas ⁶	538.9 (497.4, 583.3)	N/A	151	stable	1.0 (-0.4, 2.5)
Tishomingo County, Mississippi ⁶	538.5 (498.7, 580.8)	N/A	148	stable	3.5 (0.0, 8.1)
Wolfe County, Kentucky ⁷	538.5 (473.3, 610.8)	N/A	54	stable	-0.9 (-2.3, 0.6)
Shelby County, Illinois ⁷	538.3 (501.0, 578.0)	N/A	176	stable	1.0 (-0.1, 2.3)
Kingsbury County, South Dakota ⁶	538.0 (464.7, 621.2)	N/A	43	stable	0.9 (-1.3, 3.3)
Carter County, Kentucky ⁷	537.6 (503.2, 573.8)	N/A	196	stable	0.7 (-0.6, 3.4)
Humphreys County, Tennessee ⁶	537.5 (497.0, 580.8)	N/A	142	stable	-0.6 (-1.8, 0.7)
Lincoln County, West Virginia ⁶	537.2 (498.2, 578.6)	N/A	154	stable	-0.6 (-1.7, 0.4)
Webster County, West Virginia ⁶	537.1 (477.0, 603.4)	N/A	68	stable	1.1 (-1.2, 3.5)
Cortland County, New York ⁷	537.0 (509.8, 565.5)	N/A	311	stable	0.3 (-0.3, 0.9)
McLean County, North Dakota ⁶	536.6 (480.4, 598.1)	N/A	79	stable	0.5 (-0.9, 1.9)
Faulk County, South Dakota ⁶	536.5 (423.0, 673.5)	N/A	19	stable	1.7 (-0.4, 4.1)
Logan County, Kentucky ⁷	536.2 (501.6, 572.8)	N/A	191	stable	0.1 (-0.7, 1.0)
Jasper County, Georgia ⁷	536.1 (488.8, 587.2)	N/A	102	*	*
Minnehaha County, South Dakota ⁶	535.9 (521.1, 551.1)	N/A	1,064	stable	0.0 (-0.6, 0.6)
Grayson County, Kentucky ⁷	535.6 (500.4, 572.8)	N/A	185	stable	0.5 (-0.6, 1.7)
Rockcastle County, Kentucky ⁷	535.6 (491.8, 582.4)	N/A	120	stable	0.5 (-0.3, 1.4)
Calhoun County, Iowa ⁷	535.4 (479.0, 597.1)	N/A	77	rising	0.8 (0.2, 1.5)
Hart County, Kentucky ⁷	534.8 (492.4, 580.0)	N/A	127	stable	0.9 (-0.3, 2.1)
Dewey County, South Dakota ⁶	534.6 (443.8, 638.0)	N/A	26	stable	0.3 (-2.3, 3.2)
Monroe County, Arkansas ⁶	534.5 (469.3, 607.2)	N/A	57	stable	0.3 (-1.3, 1.8)
Swain County, North Carolina ⁶	534.5 (488.0, 584.5)	N/A	105	stable	-0.6 (-9.0, 2.1)
Mercer County, Illinois ⁷	534.4 (490.2, 581.9)	N/A	120	stable	0.7 (-0.3, 1.8)
Henry County, Kentucky ⁷	534.4 (489.7, 582.3)	N/A	114	stable	-0.1 (-0.9, 0.8)
Macoupin County, Illinois ⁷	534.2 (508.4, 561.1)	N/A	352	stable	0.2 (-0.3, 0.8)
Drew County, Arkansas ⁶	534.1 (491.3, 579.8)	N/A	124	stable	0.9 (-0.4, 2.4)
Erie County, New York ⁷	534.0 (528.0, 540.1)	N/A	6,499	stable	-0.3 (-0.9, 0.1)
Gloucester County, New Jersey ⁷	533.7 (522.8, 544.8)	N/A	1,930	stable	-0.2 (-0.5, 0.2)
Sumter County, Georgia ⁷	532.9 (498.8, 568.9)	N/A	194	stable	0.6 (-0.3, 1.5)
Ocean County, New Jersey ⁷	532.8 (525.6, 540.0)	N/A	4,817	stable	1.5 (-0.1, 2.5)
Washington County, Ohio ⁶	532.7 (510.4, 555.9)	N/A	474	stable	0.1 (-0.5, 0.8)
Covington County, Mississippi ⁶	532.4 (490.4, 577.1)	N/A	125	rising	5.8 (0.8, 9.8)
Boyd County, Kentucky ⁷	532.2 (506.7, 558.8)	N/A	351	stable	0.2 (-1.2, 3.1)
Grand Isle County, Vermont ⁶	532.1 (465.7, 606.3)	N/A	56	stable	0.7 (-1.3, 3.0)
Montgomery County, Kentucky ⁷	531.4 (496.7, 568.0)	N/A	182	stable	0.5 (-0.2, 1.3)
Meigs County, Tennessee ⁶	531.3 (481.0, 585.9)	N/A	92	stable	1.5 (-3.5, 2.9)
Emmet County, Iowa ⁷	531.1 (474.4, 593.3)	N/A	73	stable	0.5 (-0.2, 1.2)
Madison County, Missouri ⁶	531.0 (481.4, 584.8)	N/A	90	stable	0.1 (-1.1, 1.3)
Macon County, Tennessee ⁶	530.8 (493.2, 570.7)	N/A	156	stable	0.7 (-0.3, 1.8)
Tyrrell County, North Carolina ⁶	530.6 (444.5, 630.0)	N/A	30	rising	2.7 (0.7, 4.9)
Roane County, West Virginia ⁶	530.5 (484.2, 580.4)	N/A	109	stable	0.2 (-1.3, 1.7)
Green County, Kentucky ⁷	530.0 (477.3, 587.3)	N/A	82	rising	1.6 (0.6, 2.5)
Vilas County, Wisconsin ⁶	529.8 (495.3, 566.6)	N/A	233	falling	-2.9 (-11.1, -0.5)
Pendleton County, Kentucky ⁷	528.9 (481.1, 580.5)	N/A	98	stable	0.3 (-0.4, 1.2)
Ford County, Illinois ⁷	528.8 (479.8, 581.7)	N/A	95	stable	-0.1 (-1.3, 1.1)
Morehouse Parish, Louisiana ⁷	528.8 (493.0, 566.6)	N/A	179	stable	0.4 (-0.4, 1.1)
Jones County, South Dakota ⁶	528.5 (368.5, 747.5)	N/A	8	stable	-0.7 (-5.0, 3.8)
Bureau County, Illinois ⁷	528.4 (498.2, 560.0)	N/A	258	stable	0.1 (-0.7, 0.9)
Union County, South Dakota ⁶	528.1 (482.7, 576.8)	N/A	107	stable	-0.9 (-6.1, 1.3)
Oldham County, Kentucky ⁷	528.0 (503.9, 553.0)	N/A	387	stable	2.7 (-0.4, 4.7)
Monroe County, Iowa ⁷	527.8 (466.5, 595.8)	N/A	58	stable	0.2 (-3.9, 1.5)
Robertson County, Kentucky ⁷	527.8 (407.8, 674.3)	N/A	16	stable	1.4 (-1.7, 4.8)
Metcalfe County, Kentucky ⁷	527.7 (473.5, 587.0)	N/A	74	stable	0.8 (-0.3, 1.9)
Wyoming County, New York ⁷	527.5 (499.6, 556.7)	N/A	286	stable	0.1 (-0.7, 0.8)
Delaware County, Iowa ⁷	527.2 (484.3, 573.1)	N/A	126	rising	0.7 (0.1, 1.3)
Chautauqua County, New York ⁷	527.1 (511.4, 543.2)	N/A	951	stable	-1.0 (-2.8, 0.9)
Mason County, Illinois ⁷	527.0 (481.7, 576.0)	N/A	110	stable	-0.6 (-1.4, 0.2)
Decatur County, Iowa ⁷	527.0 (462.0, 599.0)	N/A	54	stable	0.7 (0.0, 1.4)
Yalobusha County, Mississippi ⁶	526.9 (477.9, 580.0)	N/A	94	rising	8.0 (3.8, 11.8)
Schuyler County, New York ⁷	526.9 (486.4, 570.2)	N/A	141	stable	0.1 (-0.7, 1.0)
Schuylkill County, Pennsylvania ⁶	526.8 (512.4, 541.6)	N/A	1,096	rising	2.4 (0.3, 3.7)
Spencer County, Kentucky ⁷	526.5 (483.2, 572.9)	N/A	121	stable	0.2 (-0.7, 1.2)
Appanoose County, Iowa ⁷	526.4 (479.7, 577.1)	N/A	105	stable	0.5 (-0.3, 1.2)
Monmouth County, New Jersey ⁷	526.4 (519.2, 533.7)	N/A	4,389	rising	1.0 (0.1, 2.1)
Nantucket County, Massachusetts ⁷	526.4 (471.5, 586.1)	N/A	71	stable	-1.0 (-2.7, 0.9)
Penobscot County, Maine ⁶	526.2 (511.6, 541.1)	N/A	1,077	rising	1.6 (0.6, 2.9)
Hancock County, Tennessee ⁶	526.0 (459.3, 600.7)	N/A	50	stable	1.0 (-5.7, 3.4)
Boone County, West Virginia ⁶	525.8 (488.4, 565.6)	N/A	165	stable	0.6 (-0.6, 1.8)
Montgomery County, New York ⁷	525.6 (500.3, 552.0)	N/A	351	stable	3.3 (-0.1, 6.0)
Broadwater County, Montana ⁶	525.6 (458.3, 601.2)	N/A	51	stable	0.6 (-1.4, 3.0)
Chattahoochee County, Georgia ⁷	525.6 (433.6, 629.7)	N/A	25	stable	1.0 (-1.5, 3.9)
Granville County, North Carolina ⁶	525.5 (502.3, 549.5)	N/A	415	stable	-0.6 (-4.8, 1.5)
DeKalb County, Illinois ⁷	525.4 (505.4, 546.0)	N/A	546	stable	0.5 (0.0, 1.0)
Mercer County, North Dakota ⁶	525.3 (464.3, 592.8)	N/A	61	stable	1.4 (-0.6, 3.6)
Seneca County, New York ⁷	525.2 (494.8, 557.1)	N/A	246	stable	-0.3 (-0.8, 0.3)
Hardin County, Kentucky ⁷	525.1 (506.7, 543.9)	N/A	646	stable	-0.2 (-0.6, 0.3)
Citrus County, Florida ⁶	524.9 (511.0, 539.1)	N/A	1,612	rising	0.8 (0.1, 1.6)
Towns County, Georgia ⁷	524.8 (476.5, 577.8)	N/A	126	stable	-0.3 (-4.4, 0.8)
Adams County, Ohio ⁶	524.8 (491.0, 560.4)	N/A	193	rising	1.0 (0.1, 1.9)
Nelson County, Kentucky ⁷	524.7 (497.1, 553.5)	N/A	289	stable	-0.3 (-1.2, 0.6)
Worth County, Iowa ⁷	524.3 (461.0, 594.5)	N/A	55	stable	0.6 (-0.4, 1.6)
Habersham County, Georgia ⁷	523.9 (497.1, 551.8)	N/A	305	rising	0.9 (0.3, 1.7)
Marion County, Missouri ⁶	523.8 (489.6, 559.8)	N/A	189	stable	0.6 (-0.3, 1.5)
Elbert County, Georgia ⁷	523.6 (483.9, 566.0)	N/A	143	stable	0.9 (-0.1, 1.9)
Warren County, Illinois ⁷	523.6 (479.9, 570.4)	N/A	118	stable	-0.2 (-1.7, 1.2)
St. Francois County, Missouri ⁶	523.4 (501.3, 546.4)	N/A	436	stable	-0.5 (-2.3, 1.3)
Wayne County, West Virginia ⁶	522.5 (495.1, 551.1)	N/A	301	rising	3.6 (0.6, 9.6)
Powell County, Montana ⁶	522.5 (460.1, 592.3)	N/A	54	stable	0.6 (-1.1, 2.4)
Nicholas County, Kentucky ⁷	522.3 (456.6, 595.4)	N/A	48	stable	0.9 (-0.7, 2.6)
Fulton County, New York ⁷	522.2 (498.6, 546.8)	N/A	399	stable	0.1 (-0.5, 0.8)
Suffolk County, New York ⁷	522.0 (517.3, 526.7)	N/A	9,997	falling	-0.5 (-1.7, -0.3)
Boone County, Nebraska ⁶	521.8 (449.1, 604.3)	N/A	44	stable	0.3 (-1.5, 2.1)
Wapello County, Iowa ⁷	521.7 (491.7, 553.2)	N/A	242	stable	0.4 (0.0, 0.8)
Harrison County, Iowa ⁷	521.5 (475.3, 571.3)	N/A	103	stable	0.4 (-0.2, 1.0)
Langlade County, Wisconsin ⁶	521.4 (483.3, 562.2)	N/A	164	stable	1.9 (-0.6, 6.5)
Allegany County, Maryland ⁶	521.4 (500.9, 542.7)	N/A	524	stable	0.4 (-0.3, 1.2)
Letcher County, Kentucky ⁷	520.9 (483.4, 560.7)	N/A	159	stable	-0.1 (-0.8, 0.7)
Marion County, Florida ⁶	520.8 (511.9, 529.8)	N/A	3,273	stable	-0.4 (-0.8, 0.1)
Carlisle County, Kentucky ⁷	520.6 (443.3, 608.6)	N/A	36	stable	0.5 (-1.2, 2.1)
Arkansas County, Arkansas ⁶	520.5 (479.4, 564.4)	N/A	128	rising	1.0 (0.2, 1.9)
Yellowstone County, Montana ⁶	519.9 (505.4, 534.7)	N/A	1,038	stable	-0.4 (-3.1, 2.2)
Walker County, Alabama ⁶	519.6 (497.5, 542.5)	N/A	454	rising	0.5 (0.2, 0.8)
Mingo County, West Virginia ⁶	519.5 (483.1, 558.0)	N/A	170	stable	0.0 (-1.3, 1.4)
Burlington County, New Jersey ⁷	519.4 (510.9, 528.0)	N/A	3,025	stable	-0.3 (-0.6, 0.1)
Greene County, Illinois ⁷	519.1 (472.4, 569.6)	N/A	97	stable	0.0 (-0.9, 0.9)
Walker County, Texas ⁷	519.0 (496.3, 542.5)	N/A	407	rising	8.1 (2.6, 11.3)
Barren County, Kentucky ⁷	518.8 (492.0, 546.8)	N/A	297	stable	0.6 (-0.1, 1.3)
Warren County, Georgia ⁷	518.8 (447.5, 599.6)	N/A	43	*	*
Franklin County, Nebraska ⁶	518.5 (423.5, 631.4)	N/A	26	rising	9.8 (2.0, 25.1)
Marion County, Iowa ⁷	518.4 (487.5, 550.9)	N/A	224	rising	0.7 (0.3, 1.1)
Coahoma County, Mississippi ⁶	518.3 (478.9, 560.2)	N/A	137	rising	2.6 (1.1, 4.4)
Albany County, New York ⁷	518.2 (507.6, 528.8)	N/A	1,986	stable	0.2 (-0.1, 0.6)
Campbell County, Kentucky ⁷	518.1 (499.0, 537.8)	N/A	593	stable	-0.2 (-0.7, 0.3)
Chemung County, New York ⁷	518.1 (498.9, 537.9)	N/A	595	stable	-0.2 (-0.9, 0.5)
Twiggs County, Georgia ⁷	518.1 (458.4, 584.3)	N/A	65	stable	0.6 (-1.1, 2.5)
McDowell County, North Carolina ⁶	518.0 (492.9, 544.2)	N/A	347	stable	0.6 (-0.1, 1.4)
Tunica County, Mississippi ⁶	518.0 (455.0, 587.3)	N/A	52	stable	1.1 (-0.3, 2.6)
Washington County, Illinois ⁷	517.7 (471.4, 567.7)	N/A	102	stable	-0.1 (-1.3, 1.2)
Lee County, Iowa ⁷	517.7 (488.1, 548.7)	N/A	253	stable	0.4 (-0.1, 0.8)
Randolph County, Arkansas ⁶	517.7 (476.6, 561.5)	N/A	127	rising	4.0 (1.6, 10.4)
Alexander County, Illinois ⁷	517.7 (451.2, 592.4)	N/A	50	stable	-0.3 (-2.4, 1.7)
Camden County, New Jersey ⁷	517.6 (509.4, 525.9)	N/A	3,187	stable	-0.3 (-0.7, 0.2)
Ontario County, New York ⁷	517.5 (501.0, 534.5)	N/A	817	stable	0.2 (-0.2, 0.6)
Carroll County, Tennessee ⁶	517.5 (484.9, 551.8)	N/A	205	rising	1.1 (0.3, 2.0)
Richmond County, New York ⁷	517.4 (509.0, 525.9)	N/A	3,042	stable	0.1 (-0.1, 0.3)
Delta County, Texas ⁷	517.2 (443.7, 600.4)	N/A	40	stable	1.6 (-0.1, 3.6)
Brule County, South Dakota ⁶	517.1 (439.5, 605.1)	N/A	35	stable	-0.1 (-3.3, 3.4)
Clinch County, Georgia ⁷	517.0 (447.4, 594.9)	N/A	42	stable	0.2 (-1.1, 1.5)
Washington County, Maine ⁶	517.0 (487.5, 547.9)	N/A	269	stable	0.3 (-1.7, 4.9)
Marshall County, Illinois ⁷	516.9 (467.2, 571.1)	N/A	91	stable	0.1 (-1.0, 1.2)
Chickasaw County, Mississippi ⁶	516.9 (474.0, 562.8)	N/A	113	stable	0.8 (-0.9, 2.5)
St. James Parish, Louisiana ⁷	516.8 (477.8, 558.4)	N/A	142	stable	0.9 (0.0, 1.8)
Rensselaer County, New York ⁷	516.7 (502.4, 531.3)	N/A	1,058	falling	-0.9 (-2.5, -0.5)
Pulaski County, Illinois ⁷	516.6 (445.7, 596.9)	N/A	43	stable	1.3 (-0.1, 2.7)
Crawford County, Missouri ⁶	516.6 (481.0, 554.3)	N/A	173	stable	0.2 (-0.7, 1.2)
Lewis County, Kentucky ⁷	516.6 (468.8, 568.2)	N/A	94	stable	0.9 (0.0, 2.0)
Dodge County, Nebraska ⁶	516.6 (486.6, 547.9)	N/A	245	stable	-0.4 (-1.4, 0.6)
Stanly County, North Carolina ⁶	516.6 (494.2, 539.8)	N/A	431	stable	-0.2 (-1.3, 0.5)
Kenton County, Kentucky ⁷	516.5 (501.7, 531.6)	N/A	984	rising	1.5 (0.6, 3.1)
Burke County, Georgia ⁷	516.5 (477.8, 557.6)	N/A	143	stable	0.5 (-0.4, 1.4)
Bullitt County, Kentucky ⁷	516.4 (496.0, 537.5)	N/A	513	stable	0.0 (-0.5, 0.7)
Barrow County, Georgia ⁷	516.2 (494.3, 538.8)	N/A	438	stable	0.3 (-0.5, 1.2)
Benton County, Tennessee ⁶	516.1 (474.9, 560.5)	N/A	131	stable	1.1 (-0.1, 2.3)
Keokuk County, Iowa ⁷	516.0 (461.0, 576.2)	N/A	74	stable	0.1 (-0.7, 0.9)
Humphreys County, Mississippi ⁶	515.9 (453.4, 585.1)	N/A	53	stable	-1.4 (-6.0, 0.2)
Effingham County, Georgia ⁷	515.9 (490.4, 542.5)	N/A	327	stable	0.6 (-0.1, 1.5)
Franklin Parish, Louisiana ⁷	515.7 (475.6, 558.5)	N/A	132	stable	0.7 (-0.1, 1.6)
Warren County, New York ⁷	515.7 (494.8, 537.3)	N/A	515	stable	0.0 (-0.9, 0.9)
Cass County, Illinois ⁷	515.5 (465.9, 569.2)	N/A	84	stable	0.8 (-0.4, 2.0)
Lake and Peninsula Borough, Alaska ⁶	515.4 (355.1, 721.5)	N/A	7	*	*
Vermilion County, Illinois ⁷	515.4 (495.4, 536.1)	N/A	542	stable	0.0 (-0.6, 0.7)
Wayne County, New York ⁷	515.3 (496.9, 534.2)	N/A	650	stable	0.0 (-0.6, 0.6)
Butts County, Georgia ⁷	515.2 (478.8, 553.9)	N/A	155	stable	0.3 (-0.6, 1.3)
Scott County, Missouri ⁶	515.2 (486.7, 545.0)	N/A	260	stable	0.5 (0.0, 1.1)
Greenup County, Kentucky ⁷	515.0 (486.1, 545.3)	N/A	260	stable	-0.1 (-1.0, 0.8)
Fallon County, Montana ⁶	515.0 (413.0, 635.9)	N/A	19	stable	0.6 (-2.5, 3.8)
Boone County, Iowa ⁷	514.7 (480.8, 550.6)	N/A	185	rising	2.5 (0.4, 8.0)
Pulaski County, Kentucky ⁷	514.7 (492.9, 537.2)	N/A	454	stable	-0.2 (-0.5, 0.2)
Jefferson County, Ohio ⁶	514.4 (493.1, 536.4)	N/A	501	rising	2.3 (0.4, 6.0)
Jackson County, Ohio ⁶	514.1 (482.8, 547.1)	N/A	214	stable	0.8 (-0.2, 1.8)
Cross County, Arkansas ⁶	514.1 (470.8, 560.5)	N/A	111	rising	1.3 (0.1, 2.7)
Marshall County, Kentucky ⁷	514.0 (483.9, 545.8)	N/A	240	stable	0.1 (-0.7, 1.0)
Tama County, Iowa ⁷	514.0 (471.5, 559.6)	N/A	121	stable	0.4 (-0.1, 0.9)
Marshall County, Tennessee ⁶	514.0 (483.0, 546.5)	N/A	218	stable	0.3 (-0.4, 1.1)
Shoshone County, Idaho ⁷	513.9 (466.0, 565.9)	N/A	100	stable	-0.5 (-1.3, 0.4)
Somerset County, Maryland ⁶	513.9 (478.2, 551.7)	N/A	164	stable	-0.1 (-1.3, 1.2)
Cayuga County, New York ⁷	513.8 (494.0, 534.2)	N/A	555	stable	0.0 (-0.6, 0.6)
Benton County, Iowa ⁷	513.3 (478.8, 549.9)	N/A	178	rising	5.9 (0.2, 9.6)
Lamar County, Georgia ⁷	513.2 (471.7, 557.6)	N/A	121	stable	-0.1 (-1.1, 1.0)
Daviess County, Kentucky ⁷	513.1 (495.1, 531.6)	N/A	651	stable	0.2 (-0.4, 0.8)
Fulton County, Kentucky ⁷	513.0 (443.3, 591.4)	N/A	44	stable	0.4 (-0.7, 1.5)
Franklin County, Illinois ⁷	512.8 (485.4, 541.4)	N/A	285	stable	0.1 (-0.8, 1.0)
Jackson County, Iowa ⁷	512.6 (473.2, 554.7)	N/A	143	stable	0.3 (-0.3, 0.8)
Genesee County, New York ⁷	512.6 (489.7, 536.3)	N/A	411	stable	-0.4 (-0.8, 0.1)
Rhea County, Tennessee ⁶	512.4 (482.1, 544.3)	N/A	228	falling	-1.4 (-5.6, -0.5)
Northampton County, Pennsylvania ⁶	512.4 (502.3, 522.7)	N/A	2,123	falling	-0.8 (-1.6, -0.3)
Clay County, Arkansas ⁶	512.3 (468.9, 559.1)	N/A	112	rising	1.7 (0.5, 2.9)
Sussex County, New Jersey ⁷	512.0 (497.0, 527.3)	N/A	979	falling	-0.5 (-0.9, -0.1)
Cherokee County, Georgia ⁷	512.0 (499.9, 524.2)	N/A	1,466	stable	0.3 (-0.2, 0.8)
Black Hawk County, Iowa ⁷	511.8 (495.5, 528.5)	N/A	801	stable	0.1 (-2.5, 1.6)
Vernon Parish, Louisiana ⁷	511.8 (482.5, 542.4)	N/A	235	rising	0.9 (0.1, 1.8)
Gallia County, Ohio ⁶	511.6 (479.7, 545.3)	N/A	207	stable	0.5 (-0.6, 1.8)
Colleton County, South Carolina ⁶	511.6 (483.4, 541.2)	N/A	272	stable	0.9 (-0.1, 4.0)
Muscatine County, Iowa ⁷	511.6 (483.9, 540.5)	N/A	272	stable	0.2 (-0.2, 0.7)
Clark County, Kentucky ⁷	511.4 (481.9, 542.4)	N/A	239	stable	0.1 (-0.9, 1.2)
Wayne County, Georgia ⁷	511.2 (478.2, 545.9)	N/A	186	stable	0.1 (-0.9, 1.2)
Lenoir County, North Carolina ⁶	511.2 (488.0, 535.3)	N/A	404	stable	3.6 (-1.1, 7.3)
Elmore County, Idaho ⁷	511.2 (473.3, 551.3)	N/A	143	stable	5.5 (-0.1, 9.9)
Wicomico County, Maryland ⁶	511.1 (492.7, 530.0)	N/A	623	stable	0.2 (-0.6, 1.0)
Luzerne County, Pennsylvania ⁶	511.1 (501.3, 521.0)	N/A	2,272	stable	0.1 (-0.2, 0.4)
Stephens County, Georgia ⁷	511.0 (476.6, 547.4)	N/A	180	stable	0.5 (-0.3, 1.2)
Onondaga County, New York ⁷	510.9 (502.5, 519.4)	N/A	3,019	stable	0.2 (-0.9, 1.6)
Pike County, Georgia ⁷	510.8 (469.6, 555.0)	N/A	118	stable	0.7 (-0.1, 1.7)
Greene County, New York ⁷	510.7 (486.3, 536.2)	N/A	370	stable	-0.5 (-1.1, 0.2)
Shelby County, Missouri ⁶	510.7 (441.5, 588.6)	N/A	44	stable	0.0 (-1.1, 1.1)
Montgomery County, Illinois ⁷	510.6 (478.5, 544.4)	N/A	206	stable	-0.2 (-1.0, 0.7)
St. Martin Parish, Louisiana ⁷	510.5 (485.5, 536.5)	N/A	332	stable	0.0 (-0.8, 0.8)
Latimer County, Oklahoma ⁶	510.4 (457.5, 568.2)	N/A	76	rising	6.4 (0.9, 18.4)
Salem County, New Jersey ⁷	510.2 (488.1, 533.1)	N/A	436	stable	0.0 (-0.4, 0.5)
Stoddard County, Missouri ⁶	510.0 (478.4, 543.3)	N/A	209	stable	0.8 (-0.3, 1.9)
McHenry County, North Dakota ⁶	509.9 (441.0, 587.7)	N/A	43	stable	0.8 (-1.4, 3.0)
Pike County, Ohio ⁶	509.9 (476.7, 545.0)	N/A	188	rising	1.4 (0.4, 2.6)
Leslie County, Kentucky ⁷	509.9 (456.3, 568.5)	N/A	71	falling	-2.6 (-12.1, -0.1)
Glenn County, California ⁷	509.8 (475.3, 546.2)	N/A	170	stable	0.2 (-0.6, 1.1)
Quitman County, Mississippi ⁶	509.8 (444.2, 582.8)	N/A	46	stable	1.6 (-0.1, 3.5)
Ida County, Iowa ⁷	509.7 (444.5, 582.4)	N/A	51	rising	0.8 (0.1, 1.6)
De Soto Parish, Louisiana ⁷	509.5 (476.0, 544.9)	N/A	184	stable	-0.2 (-1.1, 0.6)
Saline County, Nebraska ⁶	509.3 (460.2, 562.4)	N/A	82	stable	0.5 (-0.4, 1.4)
Iroquois County, Illinois ⁷	509.3 (477.1, 543.3)	N/A	209	stable	0.4 (-0.4, 1.3)
Price County, Wisconsin ⁶	509.3 (465.4, 556.9)	N/A	120	stable	0.4 (-1.3, 2.1)
Cameron County, Pennsylvania ⁶	509.1 (434.3, 595.5)	N/A	42	stable	-1.2 (-8.8, 0.7)
Campbell County, Tennessee ⁶	509.1 (482.3, 537.1)	N/A	294	stable	-0.1 (-6.6, 2.8)
Cecil County, Maryland ⁶	509.0 (490.9, 527.6)	N/A	647	stable	0.1 (-2.3, 0.6)
Brooks County, Georgia ⁷	508.6 (464.2, 556.4)	N/A	109	stable	0.8 (-0.5, 2.1)
Bourbon County, Kentucky ⁷	508.5 (470.4, 549.2)	N/A	140	stable	-0.4 (-1.3, 0.6)
Garrard County, Kentucky ⁷	508.4 (466.8, 553.0)	N/A	120	falling	-1.0 (-2.4, -0.1)
Ben Hill County, Georgia ⁷	508.3 (464.8, 555.1)	N/A	107	stable	-1.1 (-2.2, 0.1)
Adams County, Iowa ⁷	508.2 (422.1, 608.8)	N/A	29	rising	1.2 (0.3, 2.1)
Clinton County, Iowa ⁷	508.2 (482.9, 534.7)	N/A	331	stable	0.1 (-0.2, 0.5)
Ouachita Parish, Louisiana ⁷	508.2 (493.1, 523.7)	N/A	892	stable	1.8 (-0.5, 4.9)
Duval County, Florida ⁶	508.1 (501.9, 514.4)	N/A	5,418	falling	-1.8 (-4.0, -0.4)
Chenango County, New York ⁷	508.1 (483.2, 534.1)	N/A	349	stable	0.3 (-0.4, 1.1)
Lake County, Florida ⁶	508.0 (499.3, 516.9)	N/A	3,060	stable	-0.3 (-0.7, 0.2)
Brown County, Illinois ⁷	508.0 (437.9, 586.7)	N/A	38	stable	1.0 (-1.1, 3.3)
Cleveland County, North Carolina ⁶	507.9 (490.2, 526.1)	N/A	672	rising	0.7 (0.1, 1.2)
Iowa County, Iowa ⁷	507.8 (465.1, 553.8)	N/A	114	stable	0.2 (-0.6, 1.0)
Newton County, Georgia ⁷	507.8 (489.3, 526.9)	N/A	596	stable	0.1 (-0.4, 0.7)
Martin County, Kentucky ⁷	507.8 (455.8, 564.6)	N/A	74	stable	0.4 (-0.8, 1.7)
Hancock County, Maine ⁶	507.8 (485.3, 531.2)	N/A	454	falling	-1.0 (-1.8, -0.2)
Tift County, Georgia ⁷	507.8 (478.6, 538.3)	N/A	236	stable	0.8 (-0.1, 1.8)
Foster County, North Dakota ⁶	507.7 (415.7, 615.9)	N/A	25	stable	0.8 (-2.0, 3.8)
Clinton County, Kentucky ⁷	507.7 (454.8, 565.5)	N/A	73	stable	0.9 (-1.1, 3.1)
Broome County, New York ⁷	507.6 (494.7, 520.8)	N/A	1,312	stable	0.0 (-0.4, 0.4)
Warren County, New Jersey ⁷	507.5 (490.6, 524.8)	N/A	740	stable	-0.4 (-1.0, 0.1)
Cabell County, West Virginia ⁶	507.5 (489.1, 526.4)	N/A	620	stable	0.1 (-0.5, 0.7)
Muskingum County, Ohio ⁶	507.4 (488.3, 527.2)	N/A	570	stable	0.3 (-0.5, 1.2)
Harford County, Maryland ⁶	507.3 (496.0, 518.8)	N/A	1,618	stable	0.2 (-0.1, 0.7)
Dickinson County, Iowa ⁷	507.3 (468.0, 549.4)	N/A	149	stable	0.4 (-0.1, 1.0)
Elmore County, Alabama ⁶	507.2 (487.0, 528.1)	N/A	501	stable	0.6 (-0.1, 1.3)
Thayer County, Nebraska ⁶	507.2 (429.4, 596.1)	N/A	38	stable	1.3 (-0.6, 3.1)
Jones County, Georgia ⁷	507.2 (474.2, 542.0)	N/A	188	stable	1.0 (0.0, 2.2)
Haywood County, Tennessee ⁶	507.2 (465.8, 551.5)	N/A	122	rising	1.9 (0.6, 3.3)
Cleburne County, Arkansas ⁶	507.1 (474.3, 541.9)	N/A	215	stable	0.3 (-0.6, 1.3)
Ross County, Ohio ⁶	507.1 (487.0, 527.8)	N/A	507	stable	0.6 (-0.4, 1.6)
McCracken County, Kentucky ⁷	507.1 (485.8, 529.1)	N/A	465	stable	0.7 (-0.3, 3.0)
Jefferson County, Kentucky ⁷	507.1 (500.5, 513.8)	N/A	4,755	falling	-0.3 (-0.5, -0.2)
Yates County, New York ⁷	507.0 (472.3, 543.9)	N/A	180	stable	-0.1 (-0.8, 0.6)
Wetzel County, West Virginia ⁶	506.9 (464.0, 553.1)	N/A	117	stable	-0.7 (-2.3, 0.9)
Monroe County, New York ⁷	506.8 (500.3, 513.5)	N/A	4,830	stable	0.0 (-0.3, 0.2)
Camp County, Texas ⁷	506.8 (457.3, 560.4)	N/A	85	stable	1.4 (-3.5, 6.5)
Hickman County, Tennessee ⁶	506.7 (471.9, 543.6)	N/A	166	stable	0.6 (-0.9, 2.2)
Clay County, Iowa ⁷	506.6 (464.4, 551.8)	N/A	119	stable	0.1 (-0.5, 0.6)
Monona County, Iowa ⁷	506.4 (451.0, 567.7)	N/A	72	stable	0.4 (-0.3, 1.1)
Ringgold County, Iowa ⁷	506.4 (435.9, 586.9)	N/A	42	stable	0.5 (-0.6, 1.5)
Nome Census Area, Alaska ⁶	506.4 (424.7, 597.9)	N/A	34	stable	0.6 (-2.4, 3.9)
Haywood County, North Carolina ⁶	506.3 (485.5, 527.9)	N/A	512	rising	0.8 (0.1, 1.7)
Marion County, Tennessee ⁶	506.3 (474.5, 540.0)	N/A	206	stable	0.3 (-0.8, 1.5)
Saratoga County, New York ⁷	506.3 (494.8, 518.0)	N/A	1,570	stable	-0.2 (-0.6, 0.1)
Sevier County, Tennessee ⁶	506.1 (488.6, 524.1)	N/A	693	stable	-0.2 (-2.3, 0.4)
Burt County, Nebraska ⁶	506.1 (441.5, 578.6)	N/A	52	stable	0.5 (-1.0, 2.1)
Woodbury County, Iowa ⁷	506.0 (487.5, 525.1)	N/A	590	stable	0.0 (-0.3, 0.4)
Strafford County, New Hampshire ⁶	506.0 (489.6, 522.8)	N/A	768	stable	-0.3 (-1.0, 0.5)
Lewis County, Tennessee ⁶	505.9 (458.0, 557.8)	N/A	90	stable	0.7 (-0.5, 2.1)
Columbia County, Pennsylvania ⁶	505.8 (484.2, 528.2)	N/A	454	stable	0.2 (-0.4, 0.8)
Northumberland County, Pennsylvania ⁶	505.7 (488.2, 523.8)	N/A	690	stable	0.4 (0.0, 0.7)
Jefferson County, Georgia ⁷	505.7 (462.1, 552.6)	N/A	105	*	*
Washington County, New York ⁷	505.5 (483.9, 528.0)	N/A	443	stable	-0.2 (-0.8, 0.4)
Fulton County, Illinois ⁷	505.5 (476.9, 535.5)	N/A	252	stable	0.0 (-1.0, 0.9)
Jefferson County, Mississippi ⁶	505.2 (440.2, 577.7)	N/A	47	stable	0.9 (-2.4, 4.7)
Kent County, Rhode Island ⁶	504.9 (491.4, 518.6)	N/A	1,163	stable	-0.3 (-0.5, 0.0)
Harrison County, West Virginia ⁶	504.8 (484.0, 526.4)	N/A	474	stable	-0.1 (-0.7, 0.5)
Iron County, Missouri ⁶	504.8 (453.1, 561.3)	N/A	78	stable	0.6 (-0.8, 2.1)
Fayette County, West Virginia ⁶	504.8 (478.7, 532.0)	N/A	312	stable	0.3 (-0.2, 0.9)
Saline County, Illinois ⁷	504.6 (470.0, 541.4)	N/A	170	stable	0.2 (-0.6, 0.9)
Livingston County, Illinois ⁷	504.6 (475.8, 534.9)	N/A	247	stable	0.2 (-0.5, 0.9)
Marion County, West Virginia ⁶	504.6 (481.1, 529.0)	N/A	377	stable	0.3 (-0.2, 0.8)
Greene County, Pennsylvania ⁶	504.6 (475.8, 534.8)	N/A	250	stable	0.3 (-0.4, 1.0)
Hamilton County, New York ⁷	504.5 (429.5, 592.6)	N/A	45	stable	-0.8 (-2.1, 0.4)
Clark County, Arkansas ⁶	504.4 (465.1, 546.3)	N/A	132	rising	3.5 (1.5, 8.6)
Spalding County, Georgia ⁷	504.4 (482.6, 527.0)	N/A	431	stable	-1.1 (-7.0, 1.2)
Page County, Iowa ⁷	504.3 (462.7, 549.0)	N/A	120	stable	-0.4 (-9.0, 0.8)
Kay County, Oklahoma ⁶	504.2 (477.7, 531.9)	N/A	295	stable	2.5 (-0.1, 6.6)
Leflore County, Mississippi ⁶	504.1 (468.8, 541.5)	N/A	160	stable	-0.8 (-5.0, 0.7)
Peoria County, Illinois ⁷	504.1 (490.7, 517.8)	N/A	1,139	stable	-0.4 (-0.8, 0.0)
Iberia Parish, Louisiana ⁷	504.0 (482.1, 526.7)	N/A	422	stable	-0.2 (-0.9, 0.5)
Racine County, Wisconsin ⁶	504.0 (491.2, 517.1)	N/A	1,251	stable	0.4 (0.0, 1.0)
Cumberland County, New Jersey ⁷	504.0 (489.0, 519.3)	N/A	891	stable	0.1 (-0.3, 0.5)
Kanawha County, West Virginia ⁶	503.9 (491.1, 517.0)	N/A	1,299	stable	-0.2 (-0.7, 0.4)
Worcester County, Maryland ⁶	503.7 (481.0, 527.4)	N/A	460	stable	0.6 (-0.3, 1.6)
Wyoming County, West Virginia ⁶	503.6 (466.3, 543.4)	N/A	152	rising	3.3 (0.2, 8.3)
Indian River County, Florida ⁶	503.5 (490.5, 516.9)	N/A	1,558	rising	1.4 (0.5, 3.6)
Okmulgee County, Oklahoma ⁶	503.5 (475.1, 533.3)	N/A	254	stable	0.5 (-0.4, 1.4)
Madison County, Georgia ⁷	503.3 (471.2, 537.2)	N/A	195	stable	0.2 (-0.6, 1.1)
Wheatland County, Montana ⁶	503.2 (397.3, 633.2)	N/A	18	rising	15.0 (2.5, 31.4)
Carroll County, Kentucky ⁷	503.0 (448.7, 562.4)	N/A	66	stable	-0.3 (-1.3, 0.8)
Furnas County, Nebraska ⁶	503.0 (427.1, 589.9)	N/A	38	stable	0.9 (-1.1, 2.9)
Oneida County, New York ⁷	502.8 (491.2, 514.6)	N/A	1,549	stable	-0.3 (-0.6, 0.0)
Marinette County, Wisconsin ⁶	502.8 (477.1, 529.8)	N/A	333	stable	0.6 (-0.3, 1.6)
Williamson County, Illinois ⁷	502.8 (481.6, 524.7)	N/A	453	stable	-2.5 (-5.9, 0.4)
Haralson County, Georgia ⁷	502.7 (469.9, 537.3)	N/A	183	stable	0.5 (-0.2, 1.2)
Jones County, North Carolina ⁶	502.6 (449.1, 561.4)	N/A	75	stable	0.3 (-1.3, 1.9)
Chester County, Tennessee ⁶	502.4 (460.0, 547.9)	N/A	109	rising	2.1 (0.9, 3.5)
Rolette County, North Dakota ⁶	502.3 (449.7, 559.4)	N/A	72	stable	-0.4 (-2.3, 1.5)
Butler County, Iowa ⁷	502.3 (458.9, 549.2)	N/A	111	rising	1.4 (0.4, 5.6)
Huron County, Ohio ⁶	502.0 (478.7, 526.2)	N/A	374	stable	0.5 (-0.1, 1.2)
Vinton County, Ohio ⁶	502.0 (454.5, 553.5)	N/A	89	stable	0.1 (-1.4, 1.8)
Sawyer County, Wisconsin ⁶	501.9 (461.3, 545.5)	N/A	141	stable	-0.1 (-8.3, 2.1)
Natchitoches Parish, Louisiana ⁷	501.9 (472.2, 532.9)	N/A	230	stable	0.4 (-0.2, 1.0)
Iron County, Wisconsin ⁶	501.8 (438.3, 574.7)	N/A	57	stable	-0.7 (-2.8, 1.4)
Howard County, Iowa ⁷	501.7 (445.8, 563.3)	N/A	66	stable	0.4 (-0.7, 1.4)
Sunflower County, Mississippi ⁶	501.7 (464.9, 540.7)	N/A	144	rising	2.0 (0.8, 3.2)
Floyd County, Iowa ⁷	501.6 (459.1, 547.4)	N/A	116	stable	0.4 (-0.3, 1.1)
Tazewell County, Illinois ⁷	501.6 (486.6, 517.0)	N/A	897	stable	-0.4 (-0.8, 0.0)
Franklin County, Georgia ⁷	501.6 (465.4, 539.9)	N/A	155	stable	1.1 (-0.2, 2.4)
Mississippi County, Arkansas ⁶	501.5 (472.6, 531.7)	N/A	238	stable	2.9 (-1.4, 8.1)
Jasper County, Missouri ⁶	501.2 (484.4, 518.5)	N/A	701	stable	0.8 (0.0, 1.6)
Oglethorpe County, Georgia ⁷	501.2 (457.2, 548.6)	N/A	103	stable	0.6 (-0.1, 1.5)
Belknap County, New Hampshire ⁶	501.2 (480.1, 523.0)	N/A	484	stable	-0.5 (-0.9, 0.0)
Levy County, Florida ⁶	501.1 (475.1, 528.2)	N/A	331	stable	-1.2 (-6.7, 0.4)
Linn County, Iowa ⁷	501.0 (488.8, 513.4)	N/A	1,346	rising	1.6 (0.5, 3.3)
Ottawa County, Oklahoma ⁶	500.8 (469.0, 534.3)	N/A	200	stable	0.4 (-0.6, 1.4)
Jefferson County, Montana ⁶	500.8 (452.9, 553.1)	N/A	95	stable	1.0 (-1.1, 3.5)
Jefferson Davis Parish, Louisiana ⁷	500.8 (468.9, 534.4)	N/A	194	stable	0.2 (-0.6, 1.0)
Clinton County, New York ⁷	500.7 (481.0, 521.1)	N/A	521	stable	-0.2 (-0.8, 0.5)
Holmes County, Mississippi ⁶	500.6 (456.8, 547.7)	N/A	102	stable	-0.4 (-2.0, 1.2)
Terrebonne Parish, Louisiana ⁷	500.5 (482.9, 518.6)	N/A	640	rising	0.6 (0.3, 1.0)
Acadia Parish, Louisiana ⁷	500.5 (477.4, 524.5)	N/A	370	stable	0.2 (-0.2, 0.6)
Lonoke County, Arkansas ⁶	500.5 (478.4, 523.2)	N/A	402	rising	0.5 (0.1, 1.1)
Putnam County, West Virginia ⁶	500.4 (477.3, 524.4)	N/A	375	stable	-0.4 (-1.1, 0.3)
Mason County, Kentucky ⁷	500.4 (458.7, 545.0)	N/A	114	falling	-2.2 (-10.3, -0.2)
Hardeman County, Tennessee ⁶	500.3 (466.5, 536.1)	N/A	171	stable	0.5 (-3.1, 1.6)
Lafayette County, Wisconsin ⁶	500.2 (457.0, 546.6)	N/A	111	stable	0.7 (-1.0, 2.4)
Dickson County, Tennessee ⁶	500.2 (475.7, 525.7)	N/A	329	stable	0.6 (-0.1, 1.3)
Hamilton County, Nebraska ⁶	500.0 (443.8, 561.9)	N/A	63	rising	7.6 (0.3, 13.3)
Pasco County, Florida ⁶	499.9 (492.7, 507.2)	N/A	4,036	stable	-0.5 (-1.0, 0.0)
Clay County, West Virginia ⁶	499.8 (443.8, 561.6)	N/A	64	stable	-0.7 (-2.0, 0.6)
Taylor County, West Virginia ⁶	499.7 (458.6, 543.8)	N/A	119	rising	3.6 (0.1, 9.6)
Webster County, Nebraska ⁶	499.7 (416.0, 597.7)	N/A	28	stable	-0.2 (-2.2, 1.7)
Perry County, Illinois ⁷	499.6 (461.8, 539.9)	N/A	138	stable	0.6 (-0.6, 1.8)
Des Moines County, Iowa ⁷	499.5 (472.7, 527.5)	N/A	284	stable	0.3 (-0.1, 0.8)
Monroe County, Mississippi ⁶	499.4 (470.6, 529.7)	N/A	243	stable	0.5 (-0.7, 1.7)
Volusia County, Florida ⁶	499.4 (492.4, 506.6)	N/A	4,416	stable	-0.8 (-2.5, 0.3)
Nassau County, New York ⁷	499.4 (494.6, 504.2)	N/A	8,934	falling	-0.6 (-1.9, -0.2)
Anderson County, Kentucky ⁷	499.4 (462.1, 539.0)	N/A	139	stable	-0.7 (-1.6, 0.3)
Evangeline Parish, Louisiana ⁷	499.4 (468.0, 532.3)	N/A	198	stable	0.1 (-0.6, 0.8)
Heard County, Georgia ⁷	499.4 (448.4, 554.9)	N/A	76	stable	0.3 (-0.7, 1.4)
Escambia County, Florida ⁶	499.3 (489.2, 509.7)	N/A	1,964	rising	0.6 (0.2, 2.1)
Madison County, Mississippi ⁶	499.3 (480.5, 518.7)	N/A	571	rising	2.7 (0.5, 5.4)
Carroll County, Maryland ⁶	499.2 (485.5, 513.1)	N/A	1,093	rising	0.9 (0.3, 2.3)
Union County, South Carolina ⁶	498.8 (466.3, 533.2)	N/A	195	stable	0.5 (-0.3, 1.3)
Jackson County, Colorado ⁶	498.6 (365.1, 672.0)	N/A	11	rising	20.7 (5.4, 41.7)
Gilmer County, Georgia ⁷	498.6 (469.2, 529.5)	N/A	255	rising	1.2 (0.3, 2.2)
Woodford County, Kentucky ⁷	498.5 (464.8, 534.2)	N/A	177	stable	-0.8 (-1.6, 0.0)
Guernsey County, Ohio ⁶	498.5 (471.0, 527.3)	N/A	269	stable	0.3 (-0.5, 1.1)
Parker County, Texas ⁷	498.4 (482.9, 514.3)	N/A	831	rising	4.0 (0.4, 6.0)
Highland County, Ohio ⁶	498.4 (471.8, 526.2)	N/A	283	stable	0.9 (0.0, 1.9)
Fremont County, Iowa ⁷	498.4 (435.9, 568.3)	N/A	53	stable	0.2 (-0.4, 0.9)
Livingston County, New York ⁷	498.3 (476.4, 521.1)	N/A	422	stable	0.9 (0.0, 3.4)
McPherson County, South Dakota ⁶	498.3 (391.4, 628.5)	N/A	19	stable	7.1 (-12.8, 28.4)
Plymouth County, Iowa ⁷	498.3 (463.4, 535.2)	N/A	166	stable	-0.1 (-0.5, 0.3)
Clarke County, Iowa ⁷	498.2 (440.5, 561.6)	N/A	59	stable	0.7 (-0.2, 1.6)
Effingham County, Illinois ⁷	498.2 (468.1, 529.7)	N/A	221	stable	0.0 (-0.7, 0.7)
Walton County, Georgia ⁷	498.1 (479.4, 517.3)	N/A	560	stable	0.7 (0.0, 2.6)
Ouachita County, Arkansas ⁶	498.0 (463.1, 535.0)	N/A	170	stable	3.2 (-5.1, 11.4)
Upshur County, West Virginia ⁶	497.8 (463.6, 534.1)	N/A	172	stable	-0.5 (-1.4, 0.5)
Brevard County, Florida ⁶	497.8 (491.0, 504.7)	N/A	4,745	stable	-0.3 (-0.7, 0.1)
Stark County, Illinois ⁷	497.8 (428.4, 576.5)	N/A	41	stable	-0.4 (-1.9, 1.1)
Graves County, Kentucky ⁷	497.8 (469.4, 527.5)	N/A	246	stable	0.2 (-0.9, 1.3)
Halifax County, North Carolina ⁶	497.5 (473.6, 522.3)	N/A	365	stable	0.2 (-3.1, 0.7)
Webster County, Iowa ⁷	497.2 (468.2, 527.6)	N/A	241	stable	-0.3 (-0.7, 0.1)
La Salle County, Illinois ⁷	497.2 (480.7, 514.1)	N/A	746	falling	-0.9 (-4.9, -0.2)
Sanborn County, South Dakota ⁶	497.1 (388.6, 628.6)	N/A	16	stable	-0.3 (-4.0, 3.3)
Pearl River County, Mississippi ⁶	496.9 (473.6, 521.2)	N/A	371	stable	0.0 (-0.9, 0.9)
Rowan County, North Carolina ⁶	496.9 (482.2, 512.0)	N/A	919	stable	-0.5 (-1.2, 0.2)
Chickasaw County, Iowa ⁷	496.9 (448.3, 549.8)	N/A	86	stable	0.5 (-0.2, 1.3)
Greene County, Georgia ⁷	496.8 (458.5, 537.9)	N/A	159	*	*
Washington County, Pennsylvania ⁶	496.7 (484.9, 508.7)	N/A	1,494	stable	-0.1 (-0.5, 0.3)
Randolph County, North Carolina ⁶	496.5 (481.9, 511.4)	N/A	942	stable	0.1 (-0.7, 0.5)
Gaston County, North Carolina ⁶	496.4 (484.5, 508.6)	N/A	1,370	stable	0.0 (-0.5, 0.6)
Ottawa County, Ohio ⁶	496.4 (470.8, 523.2)	N/A	336	stable	-0.2 (-0.8, 0.3)
Cattaraugus County, New York ⁷	496.4 (476.6, 516.8)	N/A	527	stable	-0.2 (-0.6, 0.3)
Adams County, Illinois ⁷	496.3 (475.0, 518.4)	N/A	452	stable	3.7 (0.0, 6.3)
Vermilion Parish, Louisiana ⁷	496.3 (473.0, 520.6)	N/A	356	stable	-0.1 (-0.8, 0.7)
Boyle County, Kentucky ⁷	496.2 (464.8, 529.3)	N/A	199	stable	0.3 (-0.4, 1.1)
O'Brien County, Iowa ⁷	496.1 (450.2, 545.8)	N/A	99	stable	0.0 (-0.7, 0.6)
Sequoyah County, Oklahoma ⁶	496.1 (469.2, 524.3)	N/A	271	rising	5.1 (1.0, 13.4)
Oconto County, Wisconsin ⁶	496.1 (468.7, 524.8)	N/A	277	stable	-0.1 (-0.9, 0.9)
Larue County, Kentucky ⁷	496.0 (450.5, 545.3)	N/A	93	stable	0.4 (-0.6, 1.5)
Flagler County, Florida ⁶	496.0 (480.8, 511.5)	N/A	1,047	stable	-0.5 (-1.2, 0.3)
Rock County, Wisconsin ⁶	495.8 (481.9, 510.1)	N/A	1,013	stable	0.3 (-0.3, 0.9)
Columbia County, New York ⁷	495.8 (474.9, 517.6)	N/A	483	stable	-0.1 (-0.5, 0.2)
Craven County, North Carolina ⁶	495.8 (478.3, 513.8)	N/A	669	stable	-0.5 (-1.1, 0.1)
Surry County, North Carolina ⁶	495.7 (476.2, 515.9)	N/A	519	stable	0.4 (-0.3, 1.2)
Itawamba County, Mississippi ⁶	495.7 (460.1, 533.5)	N/A	150	stable	-0.8 (-2.3, 0.7)
Marion County, Mississippi ⁶	495.6 (461.0, 532.3)	N/A	163	rising	1.0 (0.2, 1.9)
Madison County, Iowa ⁷	495.6 (452.8, 541.7)	N/A	103	stable	-0.2 (-6.3, 1.4)
Washington Parish, Louisiana ⁷	495.5 (469.7, 522.4)	N/A	299	stable	-0.4 (-1.1, 0.4)
East Feliciana Parish, Louisiana ⁷	495.4 (457.2, 536.1)	N/A	136	stable	-1.2 (-5.4, 0.2)
Scott County, Iowa ⁷	495.2 (481.6, 509.2)	N/A	1,048	stable	0.0 (-0.3, 0.3)
Jackson County, Kentucky ⁷	495.2 (448.0, 546.3)	N/A	87	stable	-2.3 (-12.6, 0.5)
Caldwell Parish, Louisiana ⁷	495.1 (441.6, 553.7)	N/A	66	stable	-0.4 (-1.7, 0.9)
Muscogee County, Georgia ⁷	495.1 (481.4, 509.0)	N/A	1,043	stable	0.2 (-0.5, 0.8)
Clay County, Florida ⁶	495.0 (482.6, 507.6)	N/A	1,289	stable	-2.8 (-6.7, 0.6)
Lackawanna County, Pennsylvania ⁶	494.9 (483.0, 507.0)	N/A	1,447	stable	-0.1 (-0.5, 0.3)
Hot Spring County, Arkansas ⁶	494.9 (465.5, 525.7)	N/A	226	rising	5.5 (1.6, 9.9)
Creek County, Oklahoma ⁶	494.8 (474.3, 516.1)	N/A	466	stable	-0.3 (-1.2, 0.7)
Kankakee County, Illinois ⁷	494.8 (477.7, 512.4)	N/A	674	stable	-0.5 (-1.0, 0.0)
Morris County, Texas ⁷	494.6 (446.9, 546.5)	N/A	90	stable	4.3 (-3.2, 11.9)
Tioga County, New York ⁷	494.6 (470.4, 519.9)	N/A	347	stable	-0.2 (-1.0, 0.6)
Morgan County, Georgia ⁷	494.6 (456.0, 535.9)	N/A	131	*	*
Clark County, Ohio ⁶	494.6 (479.6, 509.9)	N/A	905	stable	0.5 (-0.1, 1.1)
Lumpkin County, Georgia ⁷	494.5 (463.1, 527.6)	N/A	206	stable	-0.1 (-1.3, 1.3)
Monroe County, Ohio ⁶	494.4 (450.2, 542.2)	N/A	105	stable	0.9 (-0.7, 2.5)
Phillips County, Montana ⁶	494.3 (415.6, 585.5)	N/A	32	rising	1.5 (0.3, 5.0)
Douglas County, Illinois ⁷	494.2 (454.8, 536.3)	N/A	125	stable	-0.3 (-1.2, 0.6)
Hopkins County, Kentucky ⁷	494.2 (468.7, 520.9)	N/A	301	stable	-0.4 (-1.2, 0.3)
Person County, North Carolina ⁶	494.1 (467.3, 522.1)	N/A	281	stable	0.1 (-0.4, 0.8)
Maury County, Tennessee ⁶	494.1 (475.7, 513.0)	N/A	581	stable	0.2 (-0.6, 1.3)
Blair County, Pennsylvania ⁶	494.0 (478.8, 509.7)	N/A	878	stable	0.1 (-0.5, 0.7)
Kent County, Delaware ⁶	494.0 (480.7, 507.7)	N/A	1,102	falling	-1.2 (-2.0, -0.7)
Richland Parish, Louisiana ⁷	494.0 (455.1, 535.4)	N/A	128	stable	0.0 (-1.1, 1.2)
Christian County, Kentucky ⁷	493.9 (469.7, 519.1)	N/A	325	stable	4.2 (-0.3, 6.7)
Pierce County, Georgia ⁷	493.9 (453.7, 536.7)	N/A	117	stable	-0.3 (-1.3, 0.8)
Logan County, Arkansas ⁶	493.8 (458.1, 531.7)	N/A	153	rising	3.0 (0.5, 7.7)
Tallapoosa County, Alabama ⁶	493.5 (466.9, 521.4)	N/A	295	rising	0.9 (0.4, 1.3)
Franklin County, Missouri ⁶	493.5 (476.3, 511.1)	N/A	674	stable	-0.1 (-0.5, 0.4)
Clark County, South Dakota ⁶	493.3 (407.1, 593.8)	N/A	27	stable	1.5 (-1.0, 4.1)
Alamance County, North Carolina ⁶	493.3 (479.6, 507.3)	N/A	1,032	stable	0.1 (-0.3, 0.6)
Knox County, Ohio ⁶	493.2 (470.9, 516.4)	N/A	398	stable	0.0 (-0.8, 0.8)
Chambers County, Texas ⁷	493.2 (462.6, 525.2)	N/A	207	rising	5.6 (2.3, 9.5)
Hall County, Georgia ⁷	493.1 (480.2, 506.3)	N/A	1,140	stable	-0.1 (-0.4, 0.4)
Webster Parish, Louisiana ⁷	493.1 (466.0, 521.5)	N/A	266	falling	-0.7 (-1.2, -0.3)
Dunklin County, Missouri ⁶	493.1 (461.3, 526.7)	N/A	191	stable	0.7 (-0.2, 1.6)
Tyler County, West Virginia ⁶	493.1 (438.4, 553.5)	N/A	67	stable	0.6 (-5.1, 7.1)
Marion County, Ohio ⁶	493.0 (471.7, 515.1)	N/A	426	stable	-0.1 (-0.9, 0.8)
Laurel County, Kentucky ⁷	493.0 (470.4, 516.5)	N/A	376	falling	-4.5 (-8.6, -0.6)
St. Helena Parish, Louisiana ⁷	493.0 (440.2, 550.8)	N/A	70	stable	0.7 (-0.5, 2.0)
Mountrail County, North Dakota ⁶	493.0 (431.4, 560.7)	N/A	50	stable	0.6 (-1.8, 3.3)
Mercer County, Missouri ⁶	492.9 (408.2, 591.9)	N/A	27	stable	1.0 (-1.4, 3.6)
Gregg County, Texas ⁷	492.8 (476.3, 509.8)	N/A	704	rising	1.5 (0.2, 4.2)
Cherokee County, South Carolina ⁶	492.8 (469.4, 517.1)	N/A	354	stable	0.1 (-0.6, 0.8)
Clay County, Nebraska ⁶	492.7 (425.5, 568.2)	N/A	44	stable	-0.5 (-3.3, 2.2)
Lewis County, Missouri ⁶	492.6 (437.0, 553.7)	N/A	63	stable	-1.2 (-9.7, 0.7)
Schenectady County, New York ⁷	492.6 (478.4, 507.0)	N/A	982	stable	-0.1 (-0.6, 0.4)
Beauregard Parish, Louisiana ⁷	492.6 (463.1, 523.4)	N/A	219	stable	0.2 (-0.6, 1.0)
Washington County, Mississippi ⁶	492.6 (465.6, 520.7)	N/A	273	stable	0.3 (-2.4, 1.1)
Kenosha County, Wisconsin ⁶	492.5 (478.4, 507.0)	N/A	967	stable	0.1 (-0.3, 0.6)
Ohio County, West Virginia ⁶	492.5 (466.1, 520.2)	N/A	298	stable	2.8 (0.0, 6.5)
Polk County, Georgia ⁷	492.5 (465.1, 521.1)	N/A	253	falling	-1.0 (-2.1, -0.4)
Calcasieu Parish, Louisiana ⁷	492.4 (479.4, 505.7)	N/A	1,144	stable	1.7 (-0.4, 4.4)
Jackson County, Georgia ⁷	492.2 (470.3, 514.9)	N/A	395	stable	0.3 (-0.4, 1.1)
Wayne County, Kentucky ⁷	492.2 (454.9, 531.9)	N/A	144	stable	0.3 (-0.6, 1.2)
Coos County, New Hampshire ⁶	492.0 (463.5, 522.0)	N/A	255	rising	2.2 (0.6, 4.7)
Edmunds County, South Dakota ⁶	491.6 (408.6, 588.2)	N/A	28	rising	3.0 (0.2, 6.2)
Van Buren County, Arkansas ⁶	491.6 (452.6, 533.7)	N/A	139	rising	1.3 (0.4, 2.3)
Mills County, Iowa ⁷	491.6 (447.5, 539.2)	N/A	100	stable	0.2 (-0.5, 0.9)
Valley County, Montana ⁶	491.6 (430.3, 559.9)	N/A	54	stable	3.0 (-8.0, 15.3)
Lincoln County, North Carolina ⁶	491.6 (472.9, 510.9)	N/A	559	stable	0.1 (-0.5, 0.7)
Lincoln County, Wisconsin ⁶	491.6 (460.8, 524.1)	N/A	215	stable	-0.2 (-1.1, 0.8)
Greene County, Tennessee ⁶	491.5 (471.6, 512.1)	N/A	508	rising	0.8 (0.1, 1.7)
Worth County, Georgia ⁷	491.4 (453.6, 531.8)	N/A	137	stable	0.7 (-0.4, 1.9)
Mercer County, New Jersey ⁷	491.4 (482.0, 500.9)	N/A	2,165	falling	-0.5 (-0.7, -0.2)
Camden County, Georgia ⁷	491.4 (464.9, 518.9)	N/A	278	stable	-0.2 (-1.1, 0.9)
Herkimer County, New York ⁷	491.3 (469.8, 513.6)	N/A	437	stable	-0.2 (-0.6, 0.3)
Cleveland County, Arkansas ⁶	491.3 (433.9, 554.9)	N/A	58	stable	0.6 (-0.7, 2.0)
Pickens County, Alabama ⁶	491.2 (452.9, 532.1)	N/A	133	stable	0.4 (-0.7, 1.7)
Clallam County, Washington ⁷	491.2 (472.8, 510.2)	N/A	691	stable	-0.1 (-0.4, 0.3)
Pickaway County, Ohio ⁶	491.2 (468.0, 515.2)	N/A	350	stable	0.3 (-0.3, 1.0)
Anson County, North Carolina ⁶	491.1 (456.8, 527.5)	N/A	164	rising	1.6 (0.8, 2.6)
Meade County, Kentucky ⁷	491.1 (457.1, 527.0)	N/A	165	stable	0.1 (-0.8, 1.2)
Monroe County, Tennessee ⁶	491.0 (466.5, 516.5)	N/A	335	stable	0.6 (-0.7, 2.0)
Jefferson Davis County, Mississippi ⁶	490.9 (441.5, 544.8)	N/A	83	stable	0.2 (-1.1, 1.6)
Grant County, Arkansas ⁶	490.9 (451.4, 533.1)	N/A	120	stable	0.4 (-0.7, 1.6)
Emanuel County, Georgia ⁷	490.9 (453.4, 530.7)	N/A	134	stable	0.4 (-0.7, 1.6)
Gilmer County, West Virginia ⁶	490.8 (429.6, 558.9)	N/A	49	stable	0.8 (-0.6, 2.5)
St. Tammany Parish, Louisiana ⁷	490.8 (479.8, 502.0)	N/A	1,618	stable	-0.3 (-0.7, 0.1)
Lycoming County, Pennsylvania ⁶	490.7 (474.6, 507.3)	N/A	769	stable	-0.7 (-3.4, 0.0)
Hughes County, South Dakota ⁶	490.7 (448.8, 535.7)	N/A	109	stable	0.7 (-0.7, 2.3)
Calhoun County, Arkansas ⁶	490.6 (419.4, 571.9)	N/A	38	stable	1.8 (-1.0, 5.3)
Coke County, Texas ⁷	490.6 (402.4, 594.7)	N/A	27	stable	1.2 (-1.2, 3.8)
White County, Arkansas ⁶	490.5 (470.3, 511.3)	N/A	466	stable	0.6 (-0.1, 2.7)
Grundy County, Tennessee ⁶	490.5 (445.6, 539.1)	N/A	96	stable	0.5 (-0.7, 1.8)
Randolph County, West Virginia ⁶	490.5 (459.4, 523.3)	N/A	207	rising	3.5 (1.0, 8.7)
Sheridan County, North Dakota ⁶	490.5 (352.4, 673.7)	N/A	12	stable	-0.3 (-4.6, 4.1)
Green Lake County, Wisconsin ⁶	490.5 (453.2, 530.3)	N/A	144	stable	4.9 (-0.2, 10.7)
Chariton County, Missouri ⁶	490.5 (431.0, 556.7)	N/A	58	stable	0.1 (-1.1, 1.4)
Atlantic County, New Jersey ⁷	490.4 (479.8, 501.2)	N/A	1,755	falling	-0.7 (-1.0, -0.4)
Eddy County, North Dakota ⁶	490.4 (383.8, 620.7)	N/A	17	stable	0.0 (-4.3, 4.5)
Cass County, Nebraska ⁶	490.4 (456.3, 526.5)	N/A	168	stable	4.1 (0.0, 8.3)
Jefferson County, Illinois ⁷	490.3 (462.7, 519.4)	N/A	251	stable	0.1 (-0.6, 0.7)
St. Mary Parish, Louisiana ⁷	490.3 (465.5, 516.1)	N/A	312	stable	0.1 (-0.6, 0.8)
Mitchell County, Georgia ⁷	490.3 (453.5, 529.4)	N/A	137	stable	-0.6 (-1.5, 0.3)
Caswell County, North Carolina ⁶	490.2 (455.6, 527.0)	N/A	170	stable	-0.1 (-0.7, 0.7)
Lehigh County, Pennsylvania ⁶	490.1 (480.9, 499.5)	N/A	2,251	stable	-0.3 (-0.8, 0.1)
Morton County, North Dakota ⁶	490.1 (458.0, 524.0)	N/A	186	stable	0.8 (0.0, 1.7)
Columbia County, Florida ⁶	490.1 (469.7, 511.2)	N/A	470	stable	-2.1 (-4.4, 0.2)
Ascension Parish, Louisiana ⁷	490.1 (472.5, 508.2)	N/A	623	stable	2.4 (-0.2, 4.3)
Craighead County, Arkansas ⁶	490.1 (471.9, 508.8)	N/A	563	stable	0.7 (-3.7, 4.3)
Ogemaw County, Michigan ⁶	490.0 (455.0, 527.4)	N/A	180	stable	0.0 (-1.4, 1.5)
Lee County, Mississippi ⁶	490.0 (470.3, 510.3)	N/A	485	stable	0.5 (-0.8, 2.7)
Calhoun County, Illinois ⁷	489.9 (421.3, 568.5)	N/A	40	stable	-0.3 (-2.1, 1.5)
Thomas County, Georgia ⁷	489.8 (463.8, 517.0)	N/A	284	stable	-0.7 (-1.5, 0.1)
Bay County, Michigan ⁶	489.7 (473.2, 506.8)	N/A	728	stable	-0.1 (-1.1, 0.9)
Breckinridge County, Kentucky ⁷	489.5 (451.9, 529.7)	N/A	138	stable	0.2 (-0.7, 1.1)
Oneida County, Wisconsin ⁶	489.5 (462.7, 517.7)	N/A	304	falling	-1.1 (-5.2, -0.3)
Rockingham County, North Carolina ⁶	489.4 (472.1, 507.3)	N/A	660	stable	0.0 (-0.6, 0.6)
Walworth County, Wisconsin ⁶	489.2 (472.1, 506.8)	N/A	667	rising	2.6 (0.9, 4.9)
Madison County, Illinois ⁷	489.1 (478.4, 500.0)	N/A	1,681	stable	-0.1 (-0.4, 0.3)
Licking County, Ohio ⁶	489.1 (475.8, 502.7)	N/A	1,080	stable	0.2 (-0.6, 1.0)
Washington County, Iowa ⁷	489.1 (452.3, 528.1)	N/A	145	rising	0.6 (0.1, 1.1)
Mason County, Washington ⁷	489.0 (468.9, 510.0)	N/A	506	falling	-0.6 (-0.9, -0.3)
Moore County, North Carolina ⁶	489.0 (472.6, 505.9)	N/A	760	stable	-0.4 (-1.2, 0.5)
Pottawattamie County, Iowa ⁷	489.0 (470.9, 507.6)	N/A	590	stable	0.0 (-0.4, 0.4)
Dorchester County, Maryland ⁶	488.9 (459.6, 519.9)	N/A	233	stable	0.4 (-0.5, 1.3)
Union Parish, Louisiana ⁷	488.9 (453.1, 526.9)	N/A	156	rising	4.6 (1.1, 8.7)
St. Johns County, Florida ⁶	488.8 (478.3, 499.6)	N/A	1,768	stable	0.5 (-0.5, 3.4)
Fayette County, Ohio ⁶	488.8 (456.4, 523.1)	N/A	180	stable	1.1 (-0.2, 2.4)
Pulaski County, Missouri ⁶	488.7 (458.0, 520.9)	N/A	197	stable	-0.6 (-1.4, 0.2)
Hardin County, Iowa ⁷	488.7 (448.2, 532.1)	N/A	125	stable	0.3 (-0.3, 0.9)
Richardson County, Nebraska ⁶	488.2 (431.7, 551.0)	N/A	64	stable	-0.3 (-1.9, 1.4)
McDowell County, West Virginia ⁶	488.1 (449.3, 529.7)	N/A	134	stable	-0.2 (-1.7, 1.3)
Pike County, Mississippi ⁶	488.0 (460.0, 517.4)	N/A	240	stable	-0.6 (-1.5, 0.3)
Union County, Arkansas ⁶	488.0 (460.6, 516.8)	N/A	253	stable	0.8 (-0.1, 1.6)
Autauga County, Alabama ⁶	487.9 (464.1, 512.7)	N/A	327	stable	0.5 (-0.1, 1.2)
Paulding County, Georgia ⁷	487.8 (472.0, 504.0)	N/A	782	stable	-0.4 (-0.8, 0.2)
Roscommon County, Michigan ⁶	487.7 (455.2, 522.4)	N/A	238	stable	-0.6 (-1.8, 0.6)
Hardin County, Ohio ⁶	487.5 (455.5, 521.3)	N/A	183	stable	0.6 (-0.9, 2.1)
Washington County, Wisconsin ⁶	487.5 (472.8, 502.5)	N/A	899	stable	-0.1 (-0.5, 0.3)
Mason County, West Virginia ⁶	487.4 (455.5, 521.0)	N/A	193	stable	0.3 (-0.6, 1.3)
Forrest County, Mississippi ⁶	487.3 (465.4, 510.1)	N/A	384	stable	-0.5 (-2.7, 0.1)
Henderson County, Texas ⁷	487.3 (469.0, 506.2)	N/A	603	stable	-0.4 (-1.0, 0.3)
Panola County, Mississippi ⁶	487.3 (456.9, 519.3)	N/A	203	stable	-0.2 (-4.9, 1.6)
Davison County, South Dakota ⁶	487.3 (448.0, 529.2)	N/A	126	stable	0.9 (-1.0, 7.7)
Putnam County, Florida ⁶	487.2 (468.0, 507.0)	N/A	559	stable	-0.4 (-1.1, 0.3)
Craig County, Oklahoma ⁶	487.1 (443.4, 534.4)	N/A	97	stable	-0.5 (-1.8, 0.7)
Mayes County, Oklahoma ⁶	487.1 (460.1, 515.3)	N/A	264	rising	2.5 (0.1, 7.1)
Boone County, Kentucky ⁷	487.1 (470.7, 503.8)	N/A	709	stable	-0.2 (-0.5, 0.2)
Milwaukee County, Wisconsin ⁶	487.0 (480.9, 493.3)	N/A	5,001	falling	-0.4 (-1.2, -0.1)
Cook County, Georgia ⁷	486.9 (444.7, 532.2)	N/A	102	stable	0.4 (-0.7, 1.6)
Brown County, Ohio ⁶	486.9 (461.1, 513.8)	N/A	286	stable	0.0 (-0.5, 0.5)
Calhoun County, Mississippi ⁶	486.9 (442.0, 535.3)	N/A	94	stable	0.7 (-0.9, 2.4)
Union County, Illinois ⁷	486.9 (447.5, 529.1)	N/A	124	stable	0.9 (-0.1, 1.9)
Pushmataha County, Oklahoma ⁶	486.8 (436.7, 541.6)	N/A	80	stable	5.5 (-1.0, 18.3)
Montgomery County, Ohio ⁶	486.8 (479.2, 494.5)	N/A	3,360	rising	1.3 (0.8, 2.1)
Hutchinson County, South Dakota ⁶	486.7 (424.5, 556.1)	N/A	53	stable	0.4 (-2.0, 2.9)
Flathead County, Montana ⁶	486.6 (469.6, 504.2)	N/A	687	stable	-0.2 (-0.8, 0.4)
Lampasas County, Texas ⁷	486.6 (450.3, 525.3)	N/A	144	stable	0.5 (-0.6, 1.8)
West Baton Rouge Parish, Louisiana ⁷	486.6 (450.8, 524.4)	N/A	146	stable	-0.3 (-1.3, 0.8)
Jasper County, Illinois ⁷	486.5 (432.5, 545.9)	N/A	65	stable	0.2 (-1.6, 2.1)
Jersey County, Illinois ⁷	486.5 (450.6, 524.7)	N/A	147	stable	0.4 (-0.5, 1.3)
Bartow County, Georgia ⁷	486.3 (468.5, 504.7)	N/A	592	stable	-0.6 (-1.2, 0.2)
York County, Nebraska ⁶	486.3 (439.6, 536.9)	N/A	90	stable	0.6 (-0.3, 1.5)
Knox County, Maine ⁶	486.2 (460.7, 513.0)	N/A	321	stable	-0.4 (-1.2, 0.4)
McCreary County, Kentucky ⁷	486.1 (444.0, 531.4)	N/A	102	stable	-0.5 (-1.6, 0.7)
Rockingham County, New Hampshire ⁶	486.1 (476.3, 496.0)	N/A	2,068	falling	-0.9 (-1.1, -0.6)
Juneau County, Wisconsin ⁶	486.1 (454.6, 519.4)	N/A	193	stable	-0.1 (-0.8, 0.7)
Kalkaska County, Michigan ⁶	486.0 (446.1, 528.9)	N/A	123	falling	-2.1 (-9.0, -0.4)
Perry County, Mississippi ⁶	486.0 (437.3, 539.0)	N/A	78	stable	-0.2 (-1.4, 1.1)
Humboldt County, Iowa ⁷	486.0 (433.1, 544.2)	N/A	69	stable	0.1 (-0.6, 0.7)
Monroe County, Pennsylvania ⁶	486.0 (472.6, 499.7)	N/A	1,098	stable	0.8 (-0.3, 3.3)
White County, Georgia ⁷	485.9 (455.9, 517.6)	N/A	220	stable	-0.3 (-1.2, 0.9)
Trimble County, Kentucky ⁷	485.9 (428.0, 550.0)	N/A	55	stable	1.0 (-0.8, 3.0)
Nelson County, North Dakota ⁶	485.8 (399.9, 589.2)	N/A	27	stable	0.4 (-2.1, 3.0)
Franklin County, Texas ⁷	485.7 (434.7, 541.4)	N/A	75	stable	0.0 (-1.3, 1.3)
Calloway County, Kentucky ⁷	485.6 (456.7, 516.0)	N/A	227	stable	-0.3 (-1.4, 0.9)
Harrison County, Mississippi ⁶	485.6 (472.9, 498.6)	N/A	1,166	stable	-0.6 (-2.4, 0.0)
Bienville Parish, Louisiana ⁷	485.5 (440.8, 534.0)	N/A	94	stable	-0.1 (-1.4, 1.3)
Caldwell County, North Carolina ⁶	485.5 (467.2, 504.4)	N/A	574	stable	0.6 (-0.2, 1.4)
Madison County, Ohio ⁶	485.4 (459.2, 512.8)	N/A	265	stable	0.7 (-0.2, 1.7)
Greene County, Arkansas ⁶	485.4 (459.1, 512.8)	N/A	264	rising	2.3 (1.3, 4.2)
Wayne County, North Carolina ⁶	485.4 (469.3, 501.8)	N/A	736	stable	0.1 (-1.4, 0.6)
Washington County, Rhode Island ⁶	485.3 (470.1, 500.9)	N/A	893	falling	-1.0 (-3.3, -0.5)
Raleigh County, West Virginia ⁶	485.3 (465.8, 505.4)	N/A	512	stable	0.4 (-0.2, 1.1)
Waukesha County, Wisconsin ⁶	485.1 (476.6, 493.7)	N/A	2,686	rising	1.1 (0.2, 2.3)
Elk County, Pennsylvania ⁶	485.0 (455.1, 516.5)	N/A	225	falling	-4.2 (-7.5, -0.3)
Cambria County, Pennsylvania ⁶	484.9 (470.5, 499.7)	N/A	983	stable	-0.5 (-1.0, 0.0)
Marion County, Texas ⁷	484.9 (434.1, 540.9)	N/A	81	stable	0.1 (-1.5, 1.7)
Madison County, Kentucky ⁷	484.9 (465.1, 505.2)	N/A	476	falling	-0.6 (-1.2, -0.1)
Montgomery County, Mississippi ⁶	484.8 (433.8, 540.9)	N/A	72	stable	0.5 (-0.7, 1.6)
Woodford County, Illinois ⁷	484.8 (456.9, 514.1)	N/A	243	stable	-0.1 (-0.8, 0.6)
Big Horn County, Montana ⁶	484.8 (431.7, 542.7)	N/A	65	stable	0.8 (-1.1, 2.9)
Washington County, Kentucky ⁷	484.8 (436.4, 537.5)	N/A	78	stable	-2.4 (-8.1, 0.9)
Pamlico County, North Carolina ⁶	484.7 (439.8, 533.7)	N/A	111	stable	0.2 (-0.8, 1.2)
Plymouth County, Massachusetts ⁷	484.7 (477.1, 492.3)	N/A	3,402	falling	-0.8 (-1.3, -0.4)
Clare County, Michigan ⁶	484.6 (455.4, 515.4)	N/A	240	stable	-0.2 (-1.2, 0.7)
Douglas County, Nebraska ⁶	484.5 (476.5, 492.7)	N/A	2,869	rising	0.7 (0.1, 1.8)
Jefferson County, Washington ⁷	484.5 (457.0, 513.8)	N/A	340	falling	-0.5 (-0.8, -0.1)
Perry County, Ohio ⁶	484.5 (455.6, 514.9)	N/A	225	stable	0.3 (-0.2, 0.9)
Buchanan County, Iowa ⁷	484.5 (447.3, 524.2)	N/A	133	stable	-0.2 (-0.8, 0.3)
Morris County, New Jersey ⁷	484.4 (476.7, 492.3)	N/A	3,134	falling	-0.6 (-1.0, -0.2)
Alpena County, Michigan ⁶	484.3 (454.0, 516.3)	N/A	220	stable	-0.5 (-1.4, 0.3)
Baltimore City, Maryland ⁶	484.2 (476.6, 491.9)	N/A	3,289	stable	-0.3 (-0.7, 0.1)
Waldo County, Maine ⁶	484.2 (458.2, 511.6)	N/A	296	stable	3.1 (-0.3, 5.8)
Baldwin County, Georgia ⁷	484.2 (457.3, 512.3)	N/A	261	stable	0.2 (-0.7, 1.1)
Lincoln County, Missouri ⁶	484.2 (459.7, 509.7)	N/A	311	stable	-0.7 (-1.7, 0.4)
Allegany County, New York ⁷	484.1 (458.6, 510.8)	N/A	299	stable	-0.1 (-0.9, 0.8)
Hawkins County, Tennessee ⁶	484.0 (462.2, 506.7)	N/A	406	stable	-0.2 (-1.9, 0.6)
Simpson County, Kentucky ⁷	484.0 (443.9, 527.0)	N/A	114	falling	-1.8 (-3.1, -0.9)
Armstrong County, Pennsylvania ⁶	483.9 (463.7, 504.9)	N/A	485	stable	0.4 (-0.1, 0.9)
Bay County, Florida ⁶	483.9 (471.0, 497.1)	N/A	1,143	stable	-6.0 (-13.0, 0.1)
Barbour County, West Virginia ⁶	483.8 (441.9, 529.0)	N/A	108	stable	-0.1 (-0.8, 0.8)
Trempealeau County, Wisconsin ⁶	483.8 (452.4, 516.9)	N/A	189	stable	0.5 (-0.2, 1.3)
Randolph County, Illinois ⁷	483.8 (454.4, 514.8)	N/A	214	stable	0.2 (-0.6, 1.1)
Douglas County, South Dakota ⁶	483.8 (388.8, 597.3)	N/A	22	stable	0.6 (-1.9, 3.2)
Barnstable County, Massachusetts ⁷	483.7 (472.9, 494.8)	N/A	1,982	falling	-1.0 (-1.4, -0.7)
Davidson County, North Carolina ⁶	483.7 (470.5, 497.2)	N/A	1,087	stable	0.2 (-0.1, 0.6)
Baltimore County, Maryland ⁶	483.7 (477.6, 489.8)	N/A	5,134	stable	0.3 (0.0, 0.6)
Jessamine County, Kentucky ⁷	483.7 (459.0, 509.4)	N/A	302	stable	-0.3 (-0.8, 0.4)
Stewart County, Tennessee ⁶	483.7 (439.2, 531.8)	N/A	95	stable	-0.1 (-4.2, 0.8)
Forsyth County, Georgia ⁷	483.7 (471.0, 496.6)	N/A	1,157	stable	-0.2 (-0.5, 0.3)
Schuyler County, Illinois ⁷	483.6 (423.6, 550.9)	N/A	52	stable	1.0 (-0.2, 2.3)
Skagit County, Washington ⁷	483.6 (468.7, 498.9)	N/A	875	falling	-0.9 (-1.7, -0.4)
Pawnee County, Oklahoma ⁶	483.6 (442.5, 527.7)	N/A	110	stable	0.0 (-1.0, 1.1)
Hyde County, South Dakota ⁶	483.5 (351.8, 656.2)	N/A	11	stable	0.0 (-2.3, 2.5)
Sullivan County, New Hampshire ⁶	483.2 (458.5, 509.1)	N/A	320	stable	-0.3 (-0.9, 0.4)
Sullivan County, Pennsylvania ⁶	483.2 (420.5, 555.1)	N/A	55	stable	4.2 (-5.4, 11.2)
Pondera County, Montana ⁶	483.2 (412.5, 563.1)	N/A	39	stable	-1.4 (-3.2, 0.4)
Valley County, Nebraska ⁶	483.2 (407.3, 571.1)	N/A	33	stable	1.0 (-1.9, 4.1)
Clay County, Alabama ⁶	483.2 (438.3, 531.8)	N/A	93	stable	-0.2 (-1.3, 0.8)
Wyoming County, Pennsylvania ⁶	483.1 (451.3, 516.8)	N/A	194	falling	-1.1 (-1.9, -0.3)
Dixie County, Florida ⁶	483.0 (444.2, 524.8)	N/A	129	stable	-0.3 (-1.6, 1.1)
Iredell County, North Carolina ⁶	483.0 (469.8, 496.5)	N/A	1,068	stable	-0.4 (-1.3, 0.1)
Ward County, North Dakota ⁶	482.9 (459.3, 507.3)	N/A	331	rising	4.2 (0.9, 8.2)
Dukes County, Massachusetts ⁷	482.8 (444.8, 523.7)	N/A	139	stable	-1.0 (-1.9, 0.1)
Richmond County, North Carolina ⁶	482.7 (457.2, 509.3)	N/A	286	stable	-0.6 (-4.8, 1.0)
McCurtain County, Oklahoma ⁶	482.7 (452.5, 514.4)	N/A	204	stable	-0.2 (-1.5, 1.2)
Wilkinson County, Georgia ⁷	482.7 (427.5, 543.6)	N/A	61	stable	-0.1 (-1.6, 1.5)
Preble County, Ohio ⁶	482.5 (456.2, 510.1)	N/A	273	stable	0.4 (-0.5, 1.4)
Randolph County, Missouri ⁶	482.4 (447.7, 519.3)	N/A	148	stable	0.1 (-0.7, 1.0)
Wabash County, Illinois ⁷	482.4 (433.6, 535.7)	N/A	80	stable	-0.2 (-1.3, 1.0)
Cooke County, Texas ⁷	482.3 (455.3, 510.6)	N/A	259	stable	-0.2 (-1.1, 0.6)
Ozaukee County, Wisconsin ⁶	482.3 (464.5, 500.7)	N/A	610	stable	1.2 (-0.4, 3.6)
Dyer County, Tennessee ⁶	482.3 (454.0, 511.9)	N/A	230	rising	1.3 (0.5, 2.3)
Rutland County, Vermont ⁶	482.2 (460.9, 504.5)	N/A	438	stable	0.6 (-1.1, 2.6)
Hancock County, Illinois ⁷	482.2 (443.3, 524.1)	N/A	131	stable	0.1 (-0.9, 1.0)
Clinton County, Illinois ⁷	482.2 (454.2, 511.6)	N/A	235	stable	0.3 (-0.5, 1.2)
East Baton Rouge Parish, Louisiana ⁷	482.2 (473.2, 491.3)	N/A	2,342	stable	-0.2 (-0.6, 0.2)
Yancey County, North Carolina ⁶	482.2 (444.7, 522.4)	N/A	143	stable	2.7 (-1.4, 8.7)
Richmond County, Georgia ⁷	482.1 (468.9, 495.6)	N/A	1,082	stable	-0.2 (-0.7, 0.3)
Lamar County, Alabama ⁶	482.0 (437.7, 529.9)	N/A	97	stable	0.7 (-1.0, 2.5)
Cheatham County, Tennessee ⁶	481.9 (453.6, 511.6)	N/A	237	stable	-1.3 (-7.8, 0.3)
Seneca County, Ohio ⁶	481.9 (458.7, 506.0)	N/A	353	stable	-0.1 (-0.8, 0.6)
Wayne County, Iowa ⁷	481.9 (417.2, 554.6)	N/A	46	stable	-0.2 (-1.4, 0.8)
Henry County, Illinois ⁷	481.9 (458.2, 506.6)	N/A	340	stable	-0.2 (-0.7, 0.3)
Smith County, Tennessee ⁶	481.9 (443.3, 523.0)	N/A	124	stable	-0.5 (-7.1, 1.0)
Carter County, Montana ⁶	481.9 (352.7, 654.5)	N/A	10	stable	3.5 (-1.2, 9.9)
Medina County, Ohio ⁶	481.8 (469.0, 494.8)	N/A	1,150	stable	-0.1 (-0.5, 0.3)
Union County, Mississippi ⁶	481.5 (448.7, 516.1)	N/A	167	stable	0.5 (-0.4, 1.5)
Bond County, Illinois ⁷	481.5 (440.4, 525.7)	N/A	109	stable	-0.8 (-1.7, 0.1)
Wood County, West Virginia ⁶	481.4 (463.4, 500.1)	N/A	584	falling	-0.6 (-0.9, -0.2)
Union County, Iowa ⁷	481.4 (433.9, 533.1)	N/A	83	stable	-0.1 (-0.6, 0.4)
Venango County, Pennsylvania ⁶	481.4 (458.4, 505.4)	N/A	382	stable	-0.2 (-0.7, 0.4)
Cabarrus County, North Carolina ⁶	481.4 (468.6, 494.5)	N/A	1,104	stable	1.9 (-0.4, 3.5)
Santa Rosa County, Florida ⁶	481.4 (468.2, 494.9)	N/A	1,069	stable	0.1 (-0.5, 0.8)
Morgan County, Kentucky ⁷	481.4 (434.4, 532.4)	N/A	82	stable	1.3 (0.0, 2.6)
Hancock County, West Virginia ⁶	481.4 (451.5, 512.9)	N/A	220	falling	-1.1 (-1.7, -0.5)
York County, Maine ⁶	481.3 (469.7, 493.1)	N/A	1,456	falling	-0.7 (-1.0, -0.4)
Otsego County, New York ⁷	481.3 (459.1, 504.4)	N/A	410	stable	-0.1 (-0.7, 0.4)
Barron County, Wisconsin ⁶	481.3 (456.9, 506.7)	N/A	330	stable	0.9 (0.0, 1.9)
Butler County, Missouri ⁶	481.2 (455.3, 508.4)	N/A	276	stable	-0.2 (-1.1, 0.7)
Ogle County, Illinois ⁷	481.2 (457.6, 505.8)	N/A	335	stable	1.4 (0.0, 4.5)
Custer County, Montana ⁶	481.2 (432.4, 534.3)	N/A	78	stable	-1.2 (-2.5, 0.1)
Pontotoc County, Oklahoma ⁶	481.2 (452.7, 511.0)	N/A	223	stable	-0.5 (-1.4, 0.4)
White County, Tennessee ⁶	481.1 (449.4, 514.7)	N/A	185	stable	0.0 (-1.2, 1.3)
Franklin County, Kentucky ⁷	480.9 (456.8, 506.0)	N/A	319	stable	-0.7 (-1.4, 0.0)
Kitsap County, Washington ⁷	480.9 (470.2, 491.8)	N/A	1,668	stable	0.0 (-0.2, 0.1)
Lee County, North Carolina ⁶	480.9 (458.5, 504.1)	N/A	367	stable	-0.3 (-1.1, 0.5)
Murray County, Georgia ⁷	480.9 (452.4, 510.7)	N/A	224	stable	0.8 (-1.6, 3.4)
Manitowoc County, Wisconsin ⁶	480.8 (462.2, 500.0)	N/A	562	stable	0.0 (-0.6, 0.6)
Cheshire County, New Hampshire ⁶	480.8 (461.3, 500.9)	N/A	516	stable	-0.2 (-1.0, 0.6)
New Madrid County, Missouri ⁶	480.6 (441.1, 523.1)	N/A	116	stable	-0.2 (-1.4, 0.9)
Warren County, Pennsylvania ⁶	480.6 (454.7, 507.7)	N/A	298	stable	-0.7 (-1.7, 0.4)
Grays Harbor County, Washington ⁷	480.6 (461.7, 500.1)	N/A	544	falling	-0.5 (-0.7, -0.2)
Bell County, Texas ⁷	480.3 (469.4, 491.4)	N/A	1,535	stable	-0.2 (-0.5, 0.1)
Erie County, Pennsylvania ⁶	480.2 (469.7, 491.0)	N/A	1,708	stable	-0.3 (-0.6, 0.0)
Hancock County, Mississippi ⁶	480.0 (455.7, 505.4)	N/A	323	stable	0.3 (-1.0, 1.9)
Kendall County, Illinois ⁷	479.9 (461.7, 498.6)	N/A	559	falling	-3.1 (-5.3, -0.3)
Harnett County, North Carolina ⁶	479.9 (463.3, 496.9)	N/A	659	stable	0.1 (-0.4, 0.7)
Merrimack County, New Hampshire ⁶	479.9 (466.0, 494.1)	N/A	980	falling	-1.6 (-3.4, -0.7)
Rowan County, Kentucky ⁷	479.8 (441.4, 520.7)	N/A	122	falling	-1.6 (-5.8, -0.4)
Lewis and Clark County, Montana ⁶	479.7 (458.9, 501.3)	N/A	443	stable	-0.3 (-1.0, 0.5)
Jasper County, Texas ⁷	479.7 (451.4, 509.5)	N/A	235	stable	0.1 (-0.6, 0.8)
Crockett County, Tennessee ⁶	479.7 (435.3, 527.7)	N/A	91	rising	1.4 (0.3, 2.7)
Henry County, Tennessee ⁶	479.7 (451.9, 509.0)	N/A	248	stable	0.3 (-4.8, 1.6)
Ohio County, Kentucky ⁷	479.7 (444.8, 516.7)	N/A	149	falling	-2.9 (-7.6, -0.7)
Livingston Parish, Louisiana ⁷	479.6 (463.8, 495.9)	N/A	726	stable	2.7 (0.0, 4.6)
Tipton County, Tennessee ⁶	479.6 (456.7, 503.5)	N/A	346	stable	-0.3 (-1.5, 0.6)
Johnston County, North Carolina ⁶	479.6 (466.5, 493.0)	N/A	1,077	stable	0.3 (-0.1, 0.7)
Piatt County, Illinois ⁷	479.5 (438.3, 523.9)	N/A	109	stable	0.0 (-1.0, 0.9)
Lake County, Ohio ⁶	479.5 (468.5, 490.8)	N/A	1,573	stable	0.1 (-0.3, 0.6)
Crawford County, Georgia ⁷	479.4 (432.6, 530.4)	N/A	86	falling	-8.9 (-15.9, -0.7)
Blount County, Tennessee ⁶	479.4 (464.9, 494.2)	N/A	902	falling	-0.8 (-1.6, -0.3)
St. Charles Parish, Louisiana ⁷	479.3 (454.0, 505.8)	N/A	287	stable	-0.1 (-0.9, 0.7)
Caddo Parish, Louisiana ⁷	479.3 (468.1, 490.8)	N/A	1,472	stable	0.9 (-0.9, 3.3)
Silver Bow County, Montana ⁶	479.1 (450.0, 509.8)	N/A	225	stable	-0.5 (-1.5, 0.5)
Bucks County, Pennsylvania ⁶	479.1 (472.4, 485.9)	N/A	4,211	falling	-0.5 (-0.7, -0.3)
Putnam County, New York ⁷	479.1 (461.9, 496.7)	N/A	637	falling	-0.9 (-1.3, -0.6)
Thurston County, Nebraska ⁶	479.1 (405.7, 561.6)	N/A	32	stable	-0.8 (-2.9, 1.3)
Knott County, Kentucky ⁷	479.0 (435.3, 526.3)	N/A	97	stable	0.3 (-0.9, 1.4)
Coryell County, Texas ⁷	479.0 (455.0, 503.9)	N/A	309	stable	-0.2 (-0.8, 0.3)
Roger Mills County, Oklahoma ⁶	479.0 (390.0, 583.3)	N/A	23	stable	-0.2 (-3.0, 2.7)
Codington County, South Dakota ⁶	479.0 (447.0, 512.8)	N/A	178	stable	0.1 (-0.7, 1.0)
Grant County, Wisconsin ⁶	478.9 (454.1, 504.9)	N/A	305	stable	0.3 (-0.6, 0.9)
Walthall County, Mississippi ⁶	478.8 (434.8, 526.4)	N/A	95	stable	1.3 (-0.6, 3.5)
Georgetown County, South Carolina ⁶	478.8 (458.2, 500.2)	N/A	512	stable	0.0 (-0.6, 0.7)
Queen Annes County, Maryland ⁶	478.8 (454.9, 503.6)	N/A	332	stable	1.6 (-1.1, 6.6)
Chattooga County, Georgia ⁷	478.7 (444.5, 515.0)	N/A	154	rising	0.7 (0.1, 1.3)
Calhoun County, Alabama ⁶	478.7 (462.4, 495.4)	N/A	704	rising	3.1 (1.4, 5.3)
Meigs County, Ohio ⁶	478.6 (444.2, 515.2)	N/A	156	stable	0.6 (0.0, 1.2)
Island County, Washington ⁷	478.6 (460.6, 497.2)	N/A	633	stable	0.5 (-1.2, 3.9)
Carbon County, Pennsylvania ⁶	478.6 (458.3, 499.6)	N/A	463	stable	-0.4 (-1.2, 0.4)
Champaign County, Ohio ⁶	478.5 (451.6, 506.7)	N/A	254	stable	0.4 (-0.4, 1.3)
Henry County, Georgia ⁷	478.5 (465.6, 491.6)	N/A	1,135	stable	-0.3 (-0.6, 0.1)
Franklin County, New York ⁷	478.3 (454.2, 503.4)	N/A	312	stable	2.1 (-0.2, 5.5)
Gladwin County, Michigan ⁶	478.2 (447.1, 511.3)	N/A	213	stable	4.1 (-0.9, 7.9)
Kiowa County, Oklahoma ⁶	478.2 (421.3, 541.2)	N/A	57	stable	-0.1 (-1.5, 1.4)
Hillsborough County, Florida ⁶	478.1 (473.3, 483.0)	N/A	7,791	stable	0.2 (-0.6, 1.4)
Yazoo County, Mississippi ⁶	478.1 (443.4, 515.0)	N/A	144	stable	0.0 (-0.7, 0.7)
Washington County, Idaho ⁷	478.1 (429.3, 531.8)	N/A	81	stable	-0.5 (-1.9, 0.9)
Muhlenberg County, Kentucky ⁷	478.1 (448.4, 509.4)	N/A	205	stable	-0.2 (-0.9, 0.4)
Beaver County, Pennsylvania ⁶	478.1 (465.2, 491.2)	N/A	1,178	stable	-0.1 (-0.4, 0.2)
Cheyenne County, Colorado ⁶	478.1 (357.0, 629.8)	N/A	12	stable	1.7 (-1.5, 5.2)
Avoyelles Parish, Louisiana ⁷	478.0 (450.9, 506.3)	N/A	245	stable	-0.2 (-1.0, 0.5)
Assumption Parish, Louisiana ⁷	478.0 (442.2, 516.0)	N/A	142	stable	-0.4 (-1.1, 0.5)
Sullivan County, Tennessee ⁶	477.9 (464.8, 491.2)	N/A	1,122	stable	-0.1 (-1.7, 0.3)
Lorain County, Ohio ⁶	477.9 (468.1, 487.8)	N/A	1,963	rising	1.1 (0.1, 2.5)
Gasconade County, Missouri ⁶	477.9 (436.4, 522.6)	N/A	111	stable	-1.1 (-7.0, 1.5)
West Carroll Parish, Louisiana ⁷	477.8 (427.7, 532.5)	N/A	71	stable	-0.4 (-2.2, 1.4)
Forest County, Wisconsin ⁶	477.6 (425.0, 535.7)	N/A	70	stable	0.3 (-1.1, 1.8)
Cuyahoga County, Ohio ⁶	477.6 (472.7, 482.5)	N/A	7,893	stable	-0.3 (-2.4, 0.4)
Lawrence County, Mississippi ⁶	477.5 (429.6, 529.6)	N/A	79	stable	-1.4 (-2.7, 0.0)
Richland County, Illinois ⁷	477.5 (435.9, 522.2)	N/A	107	stable	0.1 (-1.3, 1.5)
Cherokee County, Texas ⁷	477.4 (453.5, 502.3)	N/A	315	stable	0.6 (0.0, 1.1)
Jackson County, Arkansas ⁶	477.4 (436.6, 521.3)	N/A	107	stable	-0.2 (-1.4, 0.9)
Bolivar County, Mississippi ⁶	477.3 (445.5, 510.9)	N/A	180	stable	-1.4 (-9.1, 2.0)
Harding County, New Mexico ⁷	477.3 (279.0, 794.1)	N/A	6	rising	2.8 (0.2, 5.6)
Hinds County, Mississippi ⁶	477.3 (465.3, 489.6)	N/A	1,268	falling	-0.9 (-1.3, -0.4)
Claiborne Parish, Louisiana ⁷	477.2 (435.6, 522.0)	N/A	104	stable	-0.2 (-1.2, 0.8)
Grundy County, Iowa ⁷	477.1 (431.3, 527.0)	N/A	87	stable	0.1 (-0.7, 1.0)
Lanier County, Georgia ⁷	477.1 (421.7, 537.9)	N/A	57	stable	-0.6 (-1.9, 0.9)
McClain County, Oklahoma ⁶	477.1 (449.0, 506.5)	N/A	225	stable	-0.9 (-1.7, 0.0)
Robertson County, Tennessee ⁶	477.0 (455.8, 498.9)	N/A	404	stable	-0.1 (-0.5, 0.3)
Clarke County, Alabama ⁶	476.9 (442.9, 513.1)	N/A	158	stable	3.8 (-0.1, 6.4)
Williamsburg County, South Carolina ⁶	476.9 (447.1, 508.4)	N/A	213	stable	0.0 (-0.7, 0.8)
Pinellas County, Florida ⁶	476.9 (471.8, 482.1)	N/A	7,624	stable	-0.1 (-0.4, 0.2)
Sioux County, Iowa ⁷	476.8 (445.9, 509.3)	N/A	191	stable	-0.1 (-0.6, 0.4)
Lawrence County, Illinois ⁷	476.8 (434.9, 521.9)	N/A	99	stable	-0.2 (-1.1, 0.8)
Menifee County, Kentucky ⁷	476.7 (413.6, 547.8)	N/A	46	falling	-2.6 (-13.7, -0.7)
Crawford County, Wisconsin ⁶	476.7 (436.0, 520.4)	N/A	118	stable	-0.7 (-1.9, 0.5)
Allen Parish, Louisiana ⁷	476.6 (441.7, 513.7)	N/A	142	stable	0.8 (-0.5, 2.1)
Roosevelt County, Montana ⁶	476.6 (416.7, 542.6)	N/A	50	stable	-0.4 (-2.4, 1.5)
Moultrie County, Illinois ⁷	476.6 (432.2, 524.5)	N/A	92	stable	-0.2 (-1.6, 1.3)
Pontotoc County, Mississippi ⁶	476.5 (445.1, 509.7)	N/A	177	stable	-0.5 (-3.7, 1.2)
Carroll County, Illinois ⁷	476.5 (434.1, 522.5)	N/A	110	stable	-0.3 (-1.5, 0.9)
Obion County, Tennessee ⁶	476.5 (446.9, 507.8)	N/A	208	stable	0.8 (-0.5, 2.1)
Morgan County, Alabama ⁶	476.5 (460.7, 492.7)	N/A	730	stable	-1.5 (-5.3, 0.7)
Wakulla County, Florida ⁶	476.5 (445.7, 508.9)	N/A	192	stable	0.4 (-0.4, 1.2)
Garland County, Arkansas ⁶	476.4 (460.1, 493.2)	N/A	735	stable	0.5 (-2.4, 3.1)
Polk County, Iowa ⁷	476.4 (467.8, 485.1)	N/A	2,434	stable	-0.1 (-0.3, 0.1)
Aransas County, Texas ⁷	476.4 (444.8, 509.9)	N/A	205	stable	1.9 (-2.1, 7.8)
Payette County, Idaho ⁷	476.4 (441.5, 513.4)	N/A	147	stable	0.3 (-1.2, 1.8)
Davie County, North Carolina ⁶	476.3 (451.2, 502.6)	N/A	297	falling	-1.9 (-5.7, -0.2)
Steuben County, New York ⁷	476.3 (459.2, 494.0)	N/A	638	stable	-0.6 (-1.2, 0.0)
Lyon County, Kentucky ⁷	476.3 (421.1, 537.9)	N/A	64	stable	0.6 (-0.8, 2.1)
Fannin County, Georgia ⁷	476.3 (445.7, 508.8)	N/A	228	rising	1.0 (0.2, 1.9)
Wilcox County, Alabama ⁶	476.2 (425.2, 532.1)	N/A	70	stable	-0.1 (-1.3, 1.1)
Carroll County, Georgia ⁷	476.2 (459.1, 493.8)	N/A	611	stable	0.3 (0.0, 0.7)
Lawrence County, Tennessee ⁶	476.2 (450.7, 502.9)	N/A	274	stable	0.1 (-0.6, 0.8)
Dougherty County, Georgia ⁷	476.2 (457.2, 495.7)	N/A	507	stable	-0.5 (-1.1, 0.2)
Houston County, Georgia ⁷	476.2 (461.0, 491.7)	N/A	779	rising	1.6 (0.3, 3.9)
Pierce County, Washington ⁷	476.2 (469.9, 482.5)	N/A	4,659	falling	-1.0 (-1.5, -0.6)
Jefferson County, Tennessee ⁶	476.1 (453.5, 499.6)	N/A	367	stable	0.0 (-3.5, 0.9)
Chelan County, Washington ⁶	476.1 (456.6, 496.3)	N/A	490	stable	0.1 (-0.7, 0.9)
Lyon County, Iowa ⁷	476.0 (426.5, 529.9)	N/A	74	stable	0.3 (-0.3, 0.8)
Marshall County, Iowa ⁷	476.0 (449.0, 504.2)	N/A	250	stable	-0.1 (-0.4, 0.2)
Richland County, North Dakota ⁶	475.9 (432.6, 522.6)	N/A	100	stable	-0.3 (-2.1, 1.4)
Union County, Tennessee ⁶	475.9 (438.1, 516.4)	N/A	127	stable	-2.0 (-9.1, 0.0)
Franklin County, Arkansas ⁶	475.9 (436.2, 518.4)	N/A	115	stable	0.4 (-0.8, 1.6)
Southeast Fairbanks Census Area, Alaska ⁶	475.9 (404.7, 556.1)	N/A	36	stable	3.2 (-13.5, 21.2)
Union County, North Carolina ⁶	475.9 (463.6, 488.4)	N/A	1,203	stable	0.3 (-0.2, 1.0)
Grant Parish, Louisiana ⁷	475.9 (438.3, 515.9)	N/A	123	stable	0.1 (-0.9, 1.3)
Jackson Parish, Louisiana ⁷	475.8 (433.6, 521.3)	N/A	102	stable	-0.2 (-1.3, 1.0)
Monroe County, Missouri ⁶	475.8 (421.6, 535.8)	N/A	64	stable	1.0 (-0.5, 2.6)
Richland County, Ohio ⁶	475.7 (460.5, 491.4)	N/A	793	rising	1.5 (0.4, 3.6)
Somerset County, Pennsylvania ⁶	475.7 (456.8, 495.2)	N/A	537	stable	-0.3 (-0.9, 0.2)
Ashland County, Ohio ⁶	475.7 (452.4, 499.9)	N/A	340	rising	1.0 (0.1, 1.9)
Lincoln County, Nebraska ⁶	475.7 (447.6, 505.2)	N/A	233	stable	0.4 (-0.3, 1.0)
De Witt County, Illinois ⁷	475.6 (434.3, 520.2)	N/A	105	stable	0.2 (-0.8, 1.2)
Gilchrist County, Florida ⁶	475.6 (435.9, 518.3)	N/A	119	stable	0.2 (-0.9, 1.5)
Bremer County, Iowa ⁷	475.6 (441.9, 511.3)	N/A	160	stable	-0.2 (-0.7, 0.4)
Allegheny County, Pennsylvania ⁶	475.6 (470.7, 480.5)	N/A	7,869	stable	-0.9 (-2.0, 0.1)
Palo Pinto County, Texas ⁷	475.6 (444.0, 508.9)	N/A	188	stable	-0.3 (-1.3, 0.7)
Renville County, North Dakota ⁶	475.6 (370.7, 603.2)	N/A	16	stable	1.4 (-1.2, 4.3)
Sarasota County, Florida ⁶	475.5 (467.8, 483.3)	N/A	4,300	stable	0.7 (-0.1, 1.5)
Thurston County, Washington ⁷	475.4 (465.0, 486.0)	N/A	1,695	falling	-0.9 (-1.6, -0.3)
Baxter County, Arkansas ⁶	475.4 (451.3, 500.6)	N/A	379	falling	-1.1 (-1.6, -0.6)
Dubuque County, Iowa ⁷	475.3 (457.6, 493.6)	N/A	588	stable	-0.1 (-0.4, 1.3)
Audrain County, Missouri ⁶	475.3 (441.6, 511.0)	N/A	156	stable	-0.8 (-1.7, 0.2)
Clatsop County, Oregon ⁶	475.2 (449.0, 502.7)	N/A	283	stable	0.1 (-0.6, 0.9)
Shasta County, California ⁷	475.2 (462.7, 488.0)	N/A	1,218	stable	-0.3 (-0.8, 0.1)
Day County, South Dakota ⁶	475.1 (406.9, 552.9)	N/A	43	stable	-0.1 (-1.9, 1.7)
Orange County, New York ⁷	475.1 (465.7, 484.7)	N/A	2,024	falling	-1.6 (-3.5, -0.5)
Mercer County, West Virginia ⁶	474.9 (453.5, 497.1)	N/A	415	stable	-1.1 (-5.9, 0.1)
Butte County, California ⁷	474.9 (463.0, 486.9)	N/A	1,347	falling	-0.5 (-0.9, -0.1)
Nicholas County, West Virginia ⁶	474.8 (442.2, 509.5)	N/A	178	stable	-0.3 (-1.1, 0.6)
Gibson County, Tennessee ⁶	474.8 (450.8, 499.9)	N/A	308	stable	0.6 (-0.1, 1.4)
Hamlin County, South Dakota ⁶	474.8 (402.9, 556.0)	N/A	33	stable	1.3 (-0.4, 3.0)
Hunterdon County, New Jersey ⁷	474.7 (459.6, 490.3)	N/A	836	stable	-0.2 (-0.7, 0.3)
Sandusky County, Ohio ⁶	474.5 (452.6, 497.3)	N/A	382	stable	0.0 (-0.7, 0.8)
Scott County, Tennessee ⁶	474.5 (437.9, 513.5)	N/A	131	falling	-3.0 (-12.1, -0.3)
Berks County, Pennsylvania ⁶	474.4 (465.9, 483.0)	N/A	2,540	stable	-0.2 (-0.5, 0.1)
Scioto County, Ohio ⁶	474.4 (454.7, 494.7)	N/A	469	stable	-0.3 (-1.0, 0.5)
Antelope County, Nebraska ⁶	474.4 (408.4, 548.8)	N/A	45	rising	10.4 (1.4, 18.2)
Perry County, Pennsylvania ⁶	474.3 (449.5, 500.2)	N/A	298	stable	-0.2 (-0.8, 0.4)
Jefferson County, Pennsylvania ⁶	474.3 (449.4, 500.4)	N/A	302	stable	0.0 (-0.7, 0.6)
Martin County, Texas ⁷	474.2 (394.1, 565.6)	N/A	26	rising	14.4 (0.2, 33.5)
Hocking County, Ohio ⁶	474.1 (442.8, 507.1)	N/A	186	stable	0.3 (-0.8, 1.6)
Duchesne County, Utah ⁷	474.0 (430.4, 520.9)	N/A	90	stable	0.5 (0.0, 1.1)
Toombs County, Georgia ⁷	474.0 (440.5, 509.5)	N/A	155	stable	-0.2 (-1.3, 1.0)
Wilkinson County, Mississippi ⁶	474.0 (418.0, 536.0)	N/A	55	stable	0.7 (-2.0, 3.5)
West Feliciana Parish, Louisiana ⁷	474.0 (431.3, 520.3)	N/A	95	stable	0.1 (-1.1, 1.5)
Jackson County, West Virginia ⁶	473.9 (443.9, 505.7)	N/A	200	stable	-0.3 (-1.1, 0.4)
Athens County, Ohio ⁶	473.9 (449.8, 499.0)	N/A	311	stable	-0.5 (-1.3, 0.3)
Grand Forks County, North Dakota ⁶	473.8 (450.2, 498.4)	N/A	323	stable	-0.4 (-1.0, 0.3)
Mifflin County, Pennsylvania ⁶	473.8 (449.6, 499.0)	N/A	321	stable	0.1 (-0.8, 1.0)
Bossier Parish, Louisiana ⁷	473.8 (457.5, 490.4)	N/A	666	stable	-0.5 (-1.0, 0.0)
Jasper County, Mississippi ⁶	473.8 (432.1, 518.5)	N/A	106	stable	0.2 (-1.2, 1.6)
Fannin County, Texas ⁷	473.7 (445.5, 503.4)	N/A	224	stable	0.2 (-0.5, 1.0)
Madison County, North Carolina ⁶	473.7 (439.2, 510.5)	N/A	155	stable	-0.2 (-1.3, 1.0)
Lawrence County, Pennsylvania ⁶	473.7 (456.0, 491.9)	N/A	614	stable	-0.5 (-1.3, 0.3)
Sargent County, North Dakota ⁶	473.6 (392.5, 568.1)	N/A	28	stable	-0.7 (-3.2, 1.9)
Guilford County, North Carolina ⁶	473.5 (465.7, 481.4)	N/A	2,950	falling	-0.8 (-2.4, -0.3)
Claiborne County, Tennessee ⁶	473.5 (444.4, 504.2)	N/A	216	falling	-5.0 (-9.6, -0.3)
Chester County, South Carolina ⁶	473.5 (444.0, 504.5)	N/A	208	stable	-0.1 (-0.7, 0.5)
Ashley County, Arkansas ⁶	473.4 (437.0, 512.2)	N/A	136	stable	0.7 (-0.7, 2.2)
Snohomish County, Washington ⁷	473.4 (466.8, 480.0)	N/A	4,263	falling	-0.7 (-1.3, -0.4)
Lewis County, New York ⁷	473.3 (440.6, 508.0)	N/A	171	stable	-0.2 (-1.3, 0.8)
Nuckolls County, Nebraska ⁶	473.3 (398.9, 559.8)	N/A	35	stable	-0.4 (-2.6, 1.9)
Whiteside County, Illinois ⁷	473.3 (451.5, 496.0)	N/A	388	stable	-0.1 (-0.9, 0.6)
Madison County, New York ⁷	473.2 (453.1, 494.1)	N/A	457	falling	-1.5 (-4.4, -0.8)
Knox County, Illinois ⁷	473.2 (449.8, 497.6)	N/A	342	stable	-0.2 (-0.7, 0.4)
Sarpy County, Nebraska ⁶	473.2 (458.8, 487.9)	N/A	855	stable	-0.5 (-1.0, 0.2)
Will County, Illinois ⁷	473.1 (466.0, 480.3)	N/A	3,542	falling	-0.4 (-0.7, -0.1)
Clinton County, Ohio ⁶	473.1 (446.8, 500.7)	N/A	257	stable	1.7 (-0.1, 5.5)
Crittenden County, Kentucky ⁷	473.1 (419.6, 532.3)	N/A	62	stable	0.0 (-1.3, 1.5)
Brown County, South Dakota ⁶	473.1 (444.9, 502.6)	N/A	228	stable	0.4 (-0.5, 1.3)
Polk County, Florida ⁶	473.1 (466.7, 479.5)	N/A	4,591	falling	-0.9 (-1.3, -0.5)
Lincoln County, Montana ⁶	473.0 (438.0, 510.6)	N/A	172	stable	0.2 (-0.8, 1.3)
Bristol County, Massachusetts ⁷	473.0 (465.7, 480.3)	N/A	3,432	falling	-0.5 (-0.9, -0.1)
Polk County, Tennessee ⁶	473.0 (433.8, 515.1)	N/A	118	falling	-2.1 (-9.6, -0.1)
Boone County, Arkansas ⁶	472.9 (446.2, 501.0)	N/A	254	stable	0.2 (-0.7, 1.1)
Plaquemines Parish, Louisiana ⁷	472.9 (435.3, 512.9)	N/A	121	stable	-0.2 (-1.4, 0.9)
Weakley County, Tennessee ⁶	472.9 (443.2, 504.2)	N/A	204	stable	0.5 (-3.8, 1.5)
Saginaw County, Michigan ⁶	472.8 (460.6, 485.3)	N/A	1,238	rising	0.9 (0.1, 2.7)
Gallatin County, Kentucky ⁷	472.8 (413.2, 539.0)	N/A	50	stable	0.4 (-1.5, 2.5)
Mitchell County, Iowa ⁷	472.8 (420.7, 529.9)	N/A	70	stable	0.0 (-0.9, 0.8)
Washington County, Maryland ⁶	472.7 (458.8, 486.9)	N/A	919	stable	-0.2 (-0.7, 0.4)
Mercer County, Pennsylvania ⁶	472.7 (457.1, 488.6)	N/A	784	falling	-1.0 (-3.0, -0.5)
Gordon County, Georgia ⁷	472.4 (449.1, 496.6)	N/A	321	stable	-0.2 (-0.7, 0.4)
Hettinger County, North Dakota ⁶	472.4 (375.5, 589.6)	N/A	19	stable	1.6 (-1.2, 4.5)
Prentiss County, Mississippi ⁶	472.3 (438.6, 508.2)	N/A	154	falling	-2.6 (-5.6, -0.8)
Pike County, Pennsylvania ⁶	472.3 (450.7, 494.9)	N/A	413	stable	-0.7 (-1.4, 0.1)
Upson County, Georgia ⁷	472.3 (440.2, 506.3)	N/A	172	stable	0.5 (-0.3, 1.4)
Crook County, Oregon ⁶	472.3 (439.4, 507.3)	N/A	182	stable	0.7 (-0.2, 1.7)
Edmonson County, Kentucky ⁷	472.3 (426.1, 522.6)	N/A	84	stable	-0.5 (-4.6, 0.1)
Nowata County, Oklahoma ⁶	472.3 (422.0, 527.4)	N/A	70	stable	0.0 (-1.3, 1.5)
Wichita County, Texas ⁷	472.2 (456.3, 488.5)	N/A	700	rising	2.1 (1.2, 3.3)
Cass County, North Dakota ⁶	472.2 (457.4, 487.3)	N/A	817	falling	-0.9 (-1.3, -0.4)
Tulsa County, Oklahoma ⁶	472.2 (465.0, 479.4)	N/A	3,417	stable	-0.1 (-0.9, 1.6)
Fayette County, Iowa ⁷	472.1 (435.3, 511.6)	N/A	138	stable	0.1 (-0.4, 0.5)
Miner County, South Dakota ⁶	472.1 (359.7, 610.7)	N/A	15	stable	0.3 (-2.9, 3.5)
Lamar County, Texas ⁷	472.1 (448.4, 496.9)	N/A	319	stable	-0.2 (-0.9, 0.6)
St. Lawrence County, New York ⁷	472.1 (455.6, 489.0)	N/A	665	falling	-0.9 (-1.4, -0.3)
Warren County, Tennessee ⁶	471.9 (445.5, 499.6)	N/A	252	rising	0.6 (0.1, 1.8)
Cape Girardeau County, Missouri ⁶	471.9 (451.9, 492.6)	N/A	448	stable	0.5 (-0.4, 1.6)
McMinn County, Tennessee ⁶	471.9 (449.4, 495.3)	N/A	358	stable	0.8 (0.0, 1.7)
Highlands County, Florida ⁶	471.9 (455.9, 488.3)	N/A	969	stable	-0.1 (-0.7, 0.6)
Morgan County, Missouri ⁶	471.8 (435.8, 510.3)	N/A	150	falling	-6.6 (-10.3, -3.0)
Belmont County, Ohio ⁶	471.8 (451.7, 492.6)	N/A	461	stable	-0.6 (-1.9, 0.7)
Crawford County, Illinois ⁷	471.8 (434.6, 511.6)	N/A	126	stable	-0.1 (-1.1, 1.0)
Washington County, Georgia ⁷	471.8 (434.7, 511.3)	N/A	128	*	*
Cumberland County, Illinois ⁷	471.8 (420.8, 527.6)	N/A	69	stable	-0.5 (-1.7, 0.7)
Greenbrier County, West Virginia ⁶	471.8 (444.3, 500.7)	N/A	251	falling	-1.3 (-5.2, -0.2)
Wheeler County, Oregon ⁶	471.5 (344.0, 643.2)	N/A	13	stable	0.6 (-2.4, 3.8)
Hamilton County, Ohio ⁶	471.4 (465.1, 477.8)	N/A	4,535	stable	1.1 (-0.2, 2.2)
Muskogee County, Oklahoma ⁶	471.4 (450.4, 493.2)	N/A	402	stable	-0.5 (-1.2, 0.3)
Lee County, Illinois ⁷	471.4 (443.3, 500.9)	N/A	229	stable	-0.5 (-1.0, 0.1)
Tangipahoa Parish, Louisiana ⁷	471.3 (455.4, 487.6)	N/A	710	stable	-0.3 (-0.6, 0.1)
Door County, Wisconsin ⁶	471.3 (441.9, 502.5)	N/A	246	stable	-0.5 (-1.4, 0.4)
Laurens County, South Carolina ⁶	471.3 (450.7, 492.7)	N/A	424	stable	0.0 (-0.5, 0.5)
Coshocton County, Ohio ⁶	471.2 (443.5, 500.3)	N/A	236	stable	0.0 (-1.1, 1.1)
Henderson County, Kentucky ⁷	471.2 (446.1, 497.5)	N/A	283	stable	-0.2 (-0.7, 0.3)
Brown County, Wisconsin ⁶	471.2 (460.1, 482.6)	N/A	1,433	stable	-0.3 (-0.7, 0.1)
Otoe County, Nebraska ⁶	471.1 (429.0, 516.6)	N/A	102	stable	0.0 (-1.8, 1.8)
Clayton County, Georgia ⁷	471.1 (458.4, 484.2)	N/A	1,189	stable	0.3 (0.0, 0.6)
Grainger County, Tennessee ⁶	471.1 (437.3, 507.1)	N/A	160	stable	-0.4 (-1.3, 0.6)
Ashland County, Wisconsin ⁶	471.1 (429.7, 515.8)	N/A	105	stable	-1.5 (-9.2, 1.1)
Mahaska County, Iowa ⁷	471.1 (435.2, 509.3)	N/A	137	stable	-0.1 (-0.6, 0.3)
Rutherford County, North Carolina ⁶	471.1 (451.2, 491.7)	N/A	469	stable	-0.2 (-0.6, 0.2)
Bibb County, Alabama ⁶	471.0 (435.1, 509.3)	N/A	132	stable	0.3 (-0.8, 1.5)
Johnson County, Arkansas ⁶	470.9 (437.3, 506.5)	N/A	154	rising	1.0 (0.1, 2.1)
Spink County, South Dakota ⁶	470.8 (407.1, 542.4)	N/A	45	stable	-0.2 (-2.1, 1.7)
Coffee County, Georgia ⁷	470.8 (442.9, 499.9)	N/A	222	rising	1.4 (0.4, 4.3)
Early County, Georgia ⁷	470.7 (418.6, 528.0)	N/A	64	stable	1.0 (-0.8, 2.9)
Vernon County, Wisconsin ⁶	470.7 (440.8, 502.4)	N/A	204	stable	-0.3 (-1.5, 0.9)
Sac County, Iowa ⁷	470.7 (418.9, 527.7)	N/A	72	stable	-1.0 (-6.3, 0.0)
Bradford County, Pennsylvania ⁶	470.6 (449.4, 492.6)	N/A	418	stable	-0.5 (-1.1, 0.1)
Kingfisher County, Oklahoma ⁶	470.6 (426.9, 517.8)	N/A	90	stable	-0.4 (-1.2, 0.5)
Talbot County, Maryland ⁶	470.5 (444.6, 497.7)	N/A	314	stable	-0.2 (-1.0, 0.7)
Pickens County, South Carolina ⁶	470.5 (454.6, 486.8)	N/A	706	stable	-0.1 (-0.5, 0.4)
Faulkner County, Arkansas ⁶	470.4 (453.3, 488.0)	N/A	593	stable	1.2 (-0.2, 4.3)
Fayette County, Kentucky ⁷	470.4 (459.9, 481.0)	N/A	1,604	falling	-0.9 (-1.2, -0.6)
Potter County, Texas ⁷	470.2 (452.8, 488.1)	N/A	570	stable	2.7 (-0.1, 4.6)
Worcester County, Massachusetts ⁷	470.1 (464.0, 476.3)	N/A	4,805	stable	-0.1 (-0.3, 0.2)
Casey County, Kentucky ⁷	470.1 (429.2, 514.1)	N/A	105	stable	-0.2 (-1.2, 0.8)
Saunders County, Nebraska ⁶	470.1 (433.9, 508.7)	N/A	136	stable	0.2 (-0.6, 1.2)
Windsor County, Vermont ⁶	470.0 (448.1, 492.7)	N/A	405	stable	-0.5 (-1.1, 0.2)
Johnson County, Texas ⁷	470.0 (456.0, 484.3)	N/A	898	stable	0.6 (-0.4, 3.5)
St. Clair County, Michigan ⁶	470.0 (456.7, 483.5)	N/A	1,043	stable	1.1 (-1.9, 4.9)
Johnson County, Iowa ⁷	469.9 (453.5, 486.8)	N/A	653	falling	-0.5 (-1.8, -0.1)
Cedar County, Iowa ⁷	469.9 (431.5, 511.1)	N/A	122	stable	-0.6 (-3.4, 0.2)
Brooke County, West Virginia ⁶	469.9 (436.2, 505.9)	N/A	164	stable	-0.3 (-1.2, 0.6)
Martin County, North Carolina ⁶	469.9 (436.7, 505.3)	N/A	170	stable	0.2 (-0.6, 1.0)
Lucas County, Ohio ⁶	469.9 (461.4, 478.5)	N/A	2,492	stable	1.1 (-0.3, 2.3)
Somerset County, Maine ⁶	469.8 (447.1, 493.4)	N/A	359	falling	-0.8 (-1.6, -0.1)
Wexford County, Michigan ⁶	469.7 (440.9, 500.1)	N/A	217	stable	-0.4 (-1.3, 0.5)
Wilkes County, Georgia ⁷	469.7 (419.3, 525.2)	N/A	73	stable	0.0 (-1.1, 1.1)
Upshur County, Texas ⁷	469.6 (443.4, 497.1)	N/A	260	stable	1.1 (-0.5, 5.3)
Henry County, Iowa ⁷	469.5 (432.0, 509.6)	N/A	125	stable	0.3 (-0.3, 0.8)
Sanders County, Montana ⁶	469.5 (423.5, 520.0)	N/A	106	stable	0.0 (-1.4, 1.5)
Bradley County, Arkansas ⁶	469.4 (419.7, 523.8)	N/A	69	rising	1.5 (0.2, 3.0)
Stokes County, North Carolina ⁶	469.3 (445.4, 494.3)	N/A	321	falling	-2.9 (-6.0, -0.2)
Hancock County, Iowa ⁷	469.3 (420.1, 523.3)	N/A	77	stable	-0.7 (-4.7, 0.3)
McCone County, Montana ⁶	469.3 (340.1, 634.3)	N/A	12	stable	-1.0 (-4.5, 2.5)
Cass County, Texas ⁷	469.3 (439.5, 500.7)	N/A	209	stable	0.7 (-0.2, 1.6)
Lincoln County, Georgia ⁷	469.3 (414.3, 530.6)	N/A	62	rising	2.9 (0.5, 10.0)
Troup County, Georgia ⁷	469.1 (447.8, 491.3)	N/A	382	stable	-0.1 (-0.7, 0.5)
Grand Traverse County, Michigan ⁶	469.1 (451.9, 486.9)	N/A	613	stable	-0.6 (-1.1, 0.0)
Okanogan County, Washington ⁶	469.1 (443.8, 495.5)	N/A	295	stable	0.1 (-0.6, 0.8)
Andrew County, Missouri ⁶	469.0 (429.7, 511.1)	N/A	113	stable	0.7 (-0.4, 2.0)
Ste. Genevieve County, Missouri ⁶	468.9 (430.2, 510.5)	N/A	120	rising	1.2 (0.2, 2.4)
Pike County, Missouri ⁶	468.9 (429.9, 510.8)	N/A	112	stable	0.0 (-1.4, 1.4)
Pottawatomie County, Oklahoma ⁶	468.9 (448.4, 490.1)	N/A	412	stable	3.7 (-0.4, 6.4)
Dallas County, Alabama ⁶	468.8 (440.9, 498.0)	N/A	234	stable	0.3 (-0.7, 1.5)
Shelby County, Iowa ⁷	468.7 (421.6, 520.4)	N/A	84	rising	0.7 (0.1, 1.3)
Jefferson Parish, Louisiana ⁷	468.7 (460.5, 477.1)	N/A	2,607	stable	0.0 (-0.4, 0.4)
Perry County, Missouri ⁶	468.6 (431.2, 508.6)	N/A	123	stable	0.7 (-0.3, 1.8)
Saline County, Arkansas ⁶	468.6 (453.1, 484.5)	N/A	729	stable	-0.1 (-0.4, 0.3)
Adams County, Nebraska ⁶	468.5 (437.8, 500.8)	N/A	190	stable	-0.1 (-1.1, 0.8)
Carroll County, New Hampshire ⁶	468.5 (446.0, 491.9)	N/A	418	falling	-0.8 (-4.2, -0.1)
Crawford County, Pennsylvania ⁶	468.4 (450.6, 486.9)	N/A	576	stable	-0.5 (-1.3, 0.3)
Montague County, Texas ⁷	468.4 (432.1, 507.2)	N/A	138	stable	0.3 (-0.3, 0.9)
Delaware County, New York ⁷	468.4 (444.3, 493.7)	N/A	339	stable	-0.3 (-0.9, 0.2)
Beaver County, Utah ⁷	468.2 (396.0, 549.8)	N/A	32	stable	0.7 (-0.5, 2.0)
Buncombe County, North Carolina ⁶	468.2 (457.9, 478.6)	N/A	1,700	stable	-0.3 (-0.7, 0.1)
Jefferson County, Missouri ⁶	468.2 (456.4, 480.2)	N/A	1,284	stable	-0.3 (-0.7, 0.2)
Lawrence County, Alabama ⁶	468.2 (439.2, 498.7)	N/A	211	stable	-0.3 (-1.0, 0.5)
Douglas County, Georgia ⁷	468.1 (452.0, 484.7)	N/A	689	stable	-0.4 (-0.8, 0.2)
Rockland County, New York ⁷	468.1 (458.2, 478.3)	N/A	1,767	falling	-1.3 (-2.1, -0.8)
Scott County, Kentucky ⁷	468.1 (442.6, 494.6)	N/A	268	stable	-0.2 (-0.8, 0.4)
Jo Daviess County, Illinois ⁷	468.1 (433.4, 505.1)	N/A	172	stable	-0.1 (-1.1, 0.9)
Hopkins County, Texas ⁷	468.0 (440.0, 497.5)	N/A	222	stable	-0.1 (-1.2, 1.1)
Madison County, Nebraska ⁶	467.9 (437.8, 499.7)	N/A	195	rising	3.1 (0.6, 7.9)
Osage County, Missouri ⁶	467.9 (422.5, 517.1)	N/A	83	rising	1.2 (0.2, 2.2)
Jones County, Iowa ⁷	467.9 (432.3, 505.9)	N/A	140	stable	-0.3 (-0.7, 0.2)
Fayette County, Illinois ⁷	467.9 (432.6, 505.5)	N/A	139	stable	-0.3 (-1.3, 0.7)
Bradford County, Florida ⁶	467.7 (436.0, 501.4)	N/A	170	stable	-0.1 (-1.8, 0.6)
Sampson County, North Carolina ⁶	467.6 (446.3, 489.8)	N/A	384	stable	0.5 (-0.3, 1.5)
Gratiot County, Michigan ⁶	467.6 (440.9, 495.5)	N/A	242	stable	0.0 (-1.0, 1.1)
Putnam County, Georgia ⁷	467.6 (433.3, 504.1)	N/A	163	*	*
Pulaski County, Arkansas ⁶	467.6 (458.6, 476.7)	N/A	2,178	stable	-0.3 (-0.6, 0.0)
Defiance County, Ohio ⁶	467.5 (440.3, 496.0)	N/A	239	stable	0.4 (-0.5, 1.4)
McCulloch County, Texas ⁷	467.3 (411.1, 529.8)	N/A	56	stable	0.0 (-1.3, 1.4)
Alexander County, North Carolina ⁶	467.3 (440.7, 495.3)	N/A	248	stable	0.3 (-0.5, 1.1)
St. Clair County, Illinois ⁷	467.3 (456.4, 478.4)	N/A	1,491	falling	-0.7 (-1.1, -0.4)
Bedford County, Pennsylvania ⁶	467.3 (444.2, 491.4)	N/A	349	stable	-0.3 (-1.3, 0.7)
Fond du Lac County, Wisconsin ⁶	467.2 (450.6, 484.3)	N/A	645	stable	-0.3 (-0.8, 0.3)
Louisa County, Iowa ⁷	467.1 (417.7, 521.2)	N/A	70	stable	-0.1 (-1.1, 0.9)
Van Zandt County, Texas ⁷	467.0 (445.1, 489.7)	N/A	374	stable	0.3 (-0.2, 0.9)
Tippah County, Mississippi ⁶	466.9 (430.5, 505.7)	N/A	128	stable	1.4 (0.0, 2.8)
Caldwell County, Kentucky ⁷	466.8 (421.7, 515.9)	N/A	86	stable	-0.7 (-1.3, 0.0)
Crawford County, Ohio ⁶	466.8 (441.6, 493.2)	N/A	279	stable	-0.3 (-7.2, 2.4)
Ripley County, Missouri ⁶	466.8 (422.8, 514.5)	N/A	91	stable	-1.1 (-11.6, 3.4)
Litchfield County, Connecticut ⁷	466.8 (454.7, 479.1)	N/A	1,288	falling	-0.8 (-1.6, -0.4)
Kossuth County, Iowa ⁷	466.8 (424.8, 512.1)	N/A	110	stable	0.1 (-0.5, 0.7)
Webster County, Georgia ⁷	466.7 (372.4, 581.3)	N/A	19	stable	20.5 (0.0, 38.6)
Schoharie County, New York ⁷	466.6 (437.9, 496.8)	N/A	223	stable	-0.4 (-1.1, 0.4)
Bibb County, Georgia ⁷	466.5 (452.1, 481.2)	N/A	845	falling	-4.5 (-7.0, -2.5)
McHenry County, Illinois ⁷	466.5 (456.3, 476.9)	N/A	1,700	rising	1.1 (0.2, 2.6)
York County, Pennsylvania ⁶	466.5 (458.4, 474.6)	N/A	2,719	falling	-0.6 (-0.9, -0.2)
Baylor County, Texas ⁷	466.4 (388.0, 558.6)	N/A	28	stable	-0.7 (-3.3, 1.9)
Columbiana County, Ohio ⁶	466.4 (450.1, 483.1)	N/A	688	stable	1.2 (-1.7, 4.1)
Monroe County, Georgia ⁷	466.3 (434.9, 499.7)	N/A	177	stable	0.0 (-1.0, 1.3)
Howard County, Nebraska ⁶	466.2 (403.5, 536.8)	N/A	43	stable	-1.3 (-2.6, 0.0)
Chambers County, Alabama ⁶	466.2 (437.7, 496.2)	N/A	218	stable	-1.1 (-5.3, 0.3)
Sabine Parish, Louisiana ⁷	466.2 (432.3, 502.3)	N/A	155	stable	-0.8 (-1.7, 0.0)
Burke County, North Carolina ⁶	466.2 (449.1, 483.8)	N/A	613	stable	0.2 (-0.5, 0.8)
Pope County, Arkansas ⁶	466.2 (444.2, 488.9)	N/A	354	stable	-0.1 (-1.2, 1.1)
Caroline County, Maryland ⁶	466.1 (436.8, 497.0)	N/A	199	stable	-0.2 (-1.0, 0.6)
Stillwater County, Montana ⁶	466.1 (415.2, 522.3)	N/A	71	stable	-0.1 (-1.4, 1.4)
Glacier County, Montana ⁶	466.0 (414.3, 522.3)	N/A	63	stable	-0.2 (-2.6, 2.3)
Tehama County, California ⁷	466.0 (445.3, 487.5)	N/A	413	falling	-0.6 (-1.0, -0.1)
Talladega County, Alabama ⁶	465.9 (446.9, 485.5)	N/A	488	stable	2.0 (-1.0, 6.1)
White County, Illinois ⁷	465.9 (422.3, 513.2)	N/A	94	stable	0.1 (-0.9, 1.1)
Hanson County, South Dakota ⁶	465.9 (356.9, 596.3)	N/A	16	stable	-11.0 (-24.4, 1.5)
Bergen County, New Jersey ⁷	465.8 (460.2, 471.4)	N/A	5,678	stable	-0.4 (-2.3, 1.2)
Orange County, Texas ⁷	465.7 (446.7, 485.4)	N/A	474	falling	-1.2 (-1.9, -0.5)
LaFourche Parish, Louisiana ⁷	465.7 (448.1, 483.8)	N/A	553	stable	-0.5 (-3.7, 1.2)
Harrison County, Ohio ⁶	465.7 (424.0, 510.8)	N/A	105	stable	-0.5 (-2.0, 0.9)
Brunswick County, North Carolina ⁶	465.6 (452.2, 479.5)	N/A	1,231	stable	-1.2 (-3.3, 0.6)
Ramsey County, North Dakota ⁶	465.6 (417.2, 518.5)	N/A	75	stable	-0.5 (-1.6, 0.7)
Sagadahoc County, Maine ⁶	465.6 (439.1, 493.5)	N/A	259	stable	4.4 (-2.3, 9.9)
Perry County, Tennessee ⁶	465.6 (409.1, 528.4)	N/A	55	stable	-1.4 (-8.9, 0.7)
Miami County, Ohio ⁶	465.5 (449.2, 482.4)	N/A	655	stable	0.1 (-0.6, 0.9)
Lake County, Montana ⁶	465.5 (436.0, 496.7)	N/A	212	stable	-0.1 (-0.9, 0.8)
Hill County, Texas ⁷	465.4 (438.1, 494.1)	N/A	240	rising	3.4 (0.1, 8.9)
Hutchinson County, Texas ⁷	465.4 (428.0, 505.2)	N/A	123	stable	-0.2 (-1.5, 1.0)
Windham County, Vermont ⁶	465.3 (440.2, 491.7)	N/A	302	stable	4.2 (-0.5, 8.3)
Waushara County, Wisconsin ⁶	465.3 (433.7, 499.0)	N/A	187	rising	7.8 (0.1, 13.4)
Conway County, Arkansas ⁶	465.3 (429.8, 503.1)	N/A	137	stable	0.0 (-1.1, 1.2)
Stone County, Mississippi ⁶	465.2 (424.8, 508.6)	N/A	105	stable	-0.8 (-1.5, 0.0)
Rapides Parish, Louisiana ⁷	465.2 (449.9, 480.8)	N/A	740	stable	-0.3 (-0.7, 0.1)
Pettis County, Missouri ⁶	465.1 (438.8, 492.7)	N/A	247	stable	-0.4 (-1.4, 0.6)
Washington County, Nebraska ⁶	465.1 (428.1, 504.7)	N/A	127	stable	0.2 (-0.9, 1.5)
Josephine County, Oregon ⁶	465.1 (448.2, 482.5)	N/A	686	stable	-0.4 (-1.0, 0.2)
Florence County, Wisconsin ⁶	465.0 (387.8, 555.7)	N/A	35	stable	0.9 (-0.6, 2.5)
Meriwether County, Georgia ⁷	465.0 (429.7, 502.7)	N/A	142	stable	0.9 (-0.3, 2.2)
Ashtabula County, Ohio ⁶	464.9 (448.2, 482.1)	N/A	633	falling	-1.1 (-3.8, -0.5)
Windham County, Connecticut ⁷	464.9 (449.1, 481.2)	N/A	699	stable	-0.1 (-0.4, 0.2)
Stephens County, Oklahoma ⁶	464.8 (439.7, 491.1)	N/A	281	stable	-0.4 (-0.9, 0.2)
Jasper County, Iowa ⁷	464.8 (437.7, 493.3)	N/A	236	stable	-0.1 (-0.6, 0.4)
Coffee County, Tennessee ⁶	464.8 (442.1, 488.3)	N/A	333	stable	0.3 (-0.6, 1.2)
Overton County, Tennessee ⁶	464.8 (430.7, 501.1)	N/A	149	falling	-4.7 (-9.8, -1.0)
Newton County, Mississippi ⁶	464.6 (427.1, 504.7)	N/A	119	stable	0.1 (-0.9, 1.1)
Jackson County, Wisconsin ⁶	464.6 (428.7, 503.0)	N/A	133	stable	-0.4 (-1.9, 1.2)
Lafayette Parish, Louisiana ⁷	464.6 (452.7, 476.8)	N/A	1,221	falling	-0.4 (-0.8, -0.1)
Sumner County, Tennessee ⁶	464.6 (451.9, 477.5)	N/A	1,064	falling	-0.4 (-1.0, -0.1)
Henderson County, North Carolina ⁶	464.6 (450.1, 479.4)	N/A	903	stable	-0.5 (-1.0, 0.2)
Gem County, Idaho ⁷	464.5 (427.2, 504.6)	N/A	128	stable	-2.9 (-9.0, 3.6)
Bullock County, Alabama ⁶	464.4 (411.4, 522.8)	N/A	59	stable	-0.9 (-2.8, 0.3)
Liberty County, Texas ⁷	464.4 (444.4, 485.1)	N/A	428	rising	3.0 (0.1, 7.4)
Rogers County, Oklahoma ⁶	464.4 (446.4, 482.9)	N/A	530	stable	0.2 (-0.5, 0.9)
Chatham County, North Carolina ⁶	464.3 (445.8, 483.4)	N/A	547	stable	0.0 (-0.5, 0.5)
Buchanan County, Missouri ⁶	464.3 (445.7, 483.5)	N/A	497	stable	0.0 (-0.7, 0.8)
Kaufman County, Texas ⁷	464.3 (447.4, 481.6)	N/A	601	stable	-0.2 (-0.6, 0.2)
Tucker County, West Virginia ⁶	464.2 (407.3, 528.4)	N/A	55	falling	-1.9 (-3.3, -0.6)
Buffalo County, Nebraska ⁶	464.2 (438.1, 491.5)	N/A	251	stable	2.8 (-0.1, 7.3)
Screven County, Georgia ⁷	464.2 (420.7, 511.3)	N/A	92	stable	0.6 (-0.1, 1.3)
Smith County, Texas ⁷	464.1 (452.6, 475.9)	N/A	1,295	stable	1.1 (-0.1, 3.2)
Cumberland County, North Carolina ⁶	464.1 (453.4, 474.9)	N/A	1,505	stable	0.0 (-0.3, 0.3)
Fentress County, Tennessee ⁶	464.1 (426.7, 504.2)	N/A	129	stable	-0.9 (-7.5, 0.9)
New Hanover County, North Carolina ⁶	464.0 (452.7, 475.5)	N/A	1,370	stable	0.0 (-0.4, 0.5)
Kennebec County, Maine ⁶	464.0 (449.2, 479.2)	N/A	820	falling	-0.9 (-1.4, -0.4)
Scott County, Mississippi ⁶	464.0 (431.1, 498.9)	N/A	154	falling	-1.5 (-4.7, -0.5)
Tallahatchie County, Mississippi ⁶	464.0 (417.6, 514.3)	N/A	76	rising	1.2 (0.1, 2.4)
Jefferson County, Oklahoma ⁶	463.9 (398.1, 538.4)	N/A	40	falling	-1.4 (-2.6, -0.2)
Jackson County, Illinois ⁷	463.9 (439.6, 489.2)	N/A	296	stable	-0.3 (-1.1, 0.5)
Warren County, Kentucky ⁷	463.9 (447.3, 480.9)	N/A	615	stable	-0.5 (-1.0, 0.1)
Fayette County, Georgia ⁷	463.8 (448.0, 480.1)	N/A	713	stable	-0.2 (-0.7, 0.3)
Erie County, Ohio ⁶	463.8 (445.1, 483.1)	N/A	524	stable	-0.1 (-0.8, 0.7)
Macon County, Missouri ⁶	463.7 (421.9, 508.9)	N/A	102	stable	-0.2 (-1.2, 0.8)
Clinton County, Pennsylvania ⁶	463.7 (436.4, 492.4)	N/A	236	stable	-0.4 (-1.6, 0.7)
Dixon County, Nebraska ⁶	463.7 (393.0, 544.0)	N/A	35	stable	-0.6 (-3.0, 1.7)
Carroll County, Iowa ⁷	463.7 (426.6, 503.3)	N/A	132	falling	-8.4 (-13.0, -3.3)
Berkeley County, West Virginia ⁶	463.6 (447.1, 480.6)	N/A	638	falling	-0.6 (-1.0, -0.1)
Carteret County, North Carolina ⁶	463.6 (444.8, 483.0)	N/A	540	falling	-1.0 (-1.4, -0.6)
Burleigh County, North Dakota ⁶	463.5 (445.4, 482.2)	N/A	524	stable	0.2 (-0.4, 0.8)
Fayette County, Tennessee ⁶	463.4 (438.4, 489.6)	N/A	290	stable	-0.7 (-2.2, 0.2)
Benzie County, Michigan ⁶	463.4 (425.9, 503.7)	N/A	139	stable	-0.3 (-1.2, 0.5)
Westchester County, New York ⁷	463.3 (457.9, 468.9)	N/A	5,767	falling	-0.8 (-1.8, -0.5)
Lowndes County, Mississippi ⁶	463.3 (440.5, 487.0)	N/A	329	stable	-0.2 (-1.3, 0.9)
Oscoda County, Michigan ⁶	463.2 (407.5, 525.5)	N/A	67	stable	-8.0 (-16.3, 0.9)
Berkshire County, Massachusetts ⁷	463.2 (449.1, 477.7)	N/A	936	stable	0.8 (-0.2, 3.0)
Noxubee County, Mississippi ⁶	463.2 (409.5, 522.1)	N/A	59	stable	0.5 (-1.7, 2.7)
Smith County, Mississippi ⁶	463.2 (421.8, 507.7)	N/A	101	rising	4.7 (0.8, 11.1)
Whatcom County, Washington ⁷	463.1 (451.5, 475.1)	N/A	1,284	stable	0.1 (-1.3, 2.4)
Kootenai County, Idaho ⁷	463.0 (449.8, 476.5)	N/A	1,004	falling	-0.6 (-1.0, -0.2)
Aroostook County, Maine ⁶	462.9 (443.8, 482.8)	N/A	509	falling	-0.9 (-1.3, -0.4)
Anne Arundel County, Maryland ⁶	462.8 (455.4, 470.3)	N/A	3,127	falling	-0.5 (-0.8, -0.1)
Stanley County, South Dakota ⁶	462.8 (372.9, 569.7)	N/A	20	stable	-1.7 (-3.8, 0.5)
Wood County, Ohio ⁶	462.7 (447.0, 478.9)	N/A	692	stable	0.4 (-0.3, 1.1)
Marshall County, Mississippi ⁶	462.7 (434.7, 492.2)	N/A	221	stable	0.8 (-0.1, 1.8)
Middlesex County, Connecticut ⁷	462.7 (450.0, 475.7)	N/A	1,111	falling	-0.7 (-1.8, -0.4)
Norfolk County, Massachusetts ⁷	462.7 (456.2, 469.2)	N/A	4,177	stable	-0.6 (-1.1, 0.8)
Rock Island County, Illinois ⁷	462.7 (448.6, 477.0)	N/A	896	falling	-0.6 (-1.0, -0.2)
Androscoggin County, Maine ⁶	462.6 (446.4, 479.4)	N/A	656	falling	-1.0 (-1.7, -0.3)
Clark County, Wisconsin ⁶	462.6 (433.1, 493.7)	N/A	197	falling	-0.9 (-2.3, -0.2)
New Haven County, Connecticut ⁷	462.6 (456.8, 468.5)	N/A	5,131	falling	-1.1 (-1.7, -0.8)
Banks County, Georgia ⁷	462.6 (424.1, 503.8)	N/A	114	stable	-0.6 (-4.5, 0.5)
St. Marys County, Maryland ⁶	462.5 (445.4, 480.2)	N/A	578	stable	0.0 (-0.7, 0.7)
Appling County, Georgia ⁷	462.5 (423.4, 504.4)	N/A	110	stable	2.3 (-0.4, 10.2)
Dallas County, Missouri ⁶	462.4 (422.7, 505.1)	N/A	112	stable	0.6 (-0.4, 1.8)
Glascock County, Georgia ⁷	462.4 (367.4, 575.9)	N/A	17	*	*
Canyon County, Idaho ⁷	462.4 (449.9, 475.1)	N/A	1,079	stable	-0.5 (-2.2, 0.0)
Liberty County, Georgia ⁷	462.4 (434.9, 491.1)	N/A	231	stable	-0.5 (-1.4, 0.6)
Claiborne County, Mississippi ⁶	462.4 (402.4, 528.9)	N/A	48	falling	-8.0 (-16.3, -2.8)
Kent County, Maryland ⁶	462.4 (426.6, 500.7)	N/A	154	stable	-0.1 (-1.2, 1.0)
Lowndes County, Georgia ⁷	462.3 (444.3, 480.8)	N/A	518	stable	-0.3 (-1.0, 0.4)
Cobb County, Georgia ⁷	462.2 (455.3, 469.2)	N/A	3,641	falling	-0.3 (-0.4, -0.1)
Magoffin County, Kentucky ⁷	462.2 (415.2, 513.4)	N/A	76	stable	-0.6 (-1.7, 0.6)
Miller County, Georgia ⁷	462.2 (394.8, 538.7)	N/A	38	stable	0.4 (-1.4, 2.2)
Sebastian County, Arkansas ⁶	462.1 (446.7, 478.0)	N/A	712	stable	0.5 (0.0, 1.1)
Philadelphia County, Pennsylvania ⁶	462.1 (457.4, 466.7)	N/A	7,939	falling	-1.9 (-3.1, -1.3)
Todd County, Kentucky ⁷	462.1 (413.6, 514.8)	N/A	70	stable	-7.7 (-18.7, 1.4)
Jefferson County, Nebraska ⁶	461.9 (403.1, 527.8)	N/A	52	stable	1.0 (-0.6, 2.6)
Snyder County, Pennsylvania ⁶	461.9 (435.9, 489.1)	N/A	254	stable	-0.3 (-1.4, 0.9)
Delaware County, Pennsylvania ⁶	461.9 (454.5, 469.3)	N/A	3,256	falling	-1.7 (-5.3, -0.9)
Cooper County, Missouri ⁶	461.8 (421.3, 505.4)	N/A	103	stable	0.3 (-0.6, 1.2)
Monroe County, Wisconsin ⁶	461.7 (436.8, 487.8)	N/A	274	stable	-0.3 (-1.0, 0.5)
Dutchess County, New York ⁷	461.6 (451.8, 471.6)	N/A	1,813	falling	-0.5 (-0.8, -0.2)
Cameron Parish, Louisiana ⁷	461.6 (398.8, 532.1)	N/A	42	stable	-0.5 (-1.9, 0.9)
Sequatchie County, Tennessee ⁶	461.6 (419.4, 507.1)	N/A	98	stable	-0.4 (-2.9, 0.9)
Wright County, Missouri ⁶	461.5 (423.3, 502.6)	N/A	117	stable	-0.5 (-1.4, 0.3)
Waupaca County, Wisconsin ⁶	461.5 (439.1, 485.0)	N/A	351	stable	-0.3 (-0.9, 0.3)
Allen County, Ohio ⁶	461.5 (444.7, 478.8)	N/A	613	stable	0.1 (-0.2, 0.4)
Merrick County, Nebraska ⁶	461.5 (404.1, 525.5)	N/A	51	stable	-9.7 (-20.0, 0.5)
Wise County, Texas ⁷	461.4 (440.1, 483.5)	N/A	374	rising	1.1 (0.3, 2.1)
Midland County, Michigan ⁶	461.4 (443.1, 480.3)	N/A	515	rising	4.6 (0.5, 8.8)
Wayne County, Michigan ⁶	461.4 (457.2, 465.7)	N/A	9,675	falling	-1.2 (-1.5, -1.0)
Hamblen County, Tennessee ⁶	461.3 (440.6, 482.8)	N/A	393	stable	0.0 (-0.9, 1.1)
Clinton County, Missouri ⁶	461.3 (424.7, 500.4)	N/A	126	stable	0.3 (-0.7, 1.3)
Fulton County, Ohio ⁶	461.1 (434.9, 488.6)	N/A	252	stable	0.5 (-0.5, 1.6)
Yuba County, California ⁷	461.1 (439.5, 483.6)	N/A	360	stable	3.9 (-0.6, 7.1)
Macomb County, Michigan ⁶	461.1 (455.3, 466.9)	N/A	5,189	falling	-0.9 (-1.2, -0.5)
Bonneville County, Idaho ⁷	461.0 (443.5, 479.0)	N/A	544	stable	0.5 (-0.1, 1.1)
Bennington County, Vermont ⁶	461.0 (434.3, 489.1)	N/A	257	falling	-1.2 (-1.8, -0.6)
Harrison County, Texas ⁷	461.0 (440.1, 482.7)	N/A	388	stable	2.7 (-1.2, 7.2)
Vance County, North Carolina ⁶	460.9 (435.7, 487.3)	N/A	274	stable	-0.5 (-1.1, 0.1)
Leelanau County, Michigan ⁶	460.9 (426.4, 498.0)	N/A	185	stable	-1.0 (-2.2, 0.2)
Caribou County, Idaho ⁷	460.9 (397.0, 532.5)	N/A	40	stable	0.5 (-1.5, 2.7)
Oglala Lakota/Shannon County, South Dakota ⁶	460.8 (398.3, 529.8)	N/A	45	stable	-1.0 (-3.1, 1.4)
Grant County, Oklahoma ⁶	460.8 (380.5, 553.8)	N/A	27	stable	0.5 (-1.5, 2.4)
Choctaw County, Oklahoma ⁶	460.7 (418.3, 506.6)	N/A	96	stable	0.5 (-1.7, 6.2)
Ware County, Georgia ⁷	460.7 (432.4, 490.4)	N/A	209	stable	0.0 (-0.7, 0.7)
Decatur County, Georgia ⁷	460.6 (427.7, 495.5)	N/A	153	stable	0.4 (-0.6, 1.4)
Emmons County, North Dakota ⁶	460.6 (377.0, 560.6)	N/A	27	stable	1.5 (-0.6, 3.7)
Franklin County, Vermont ⁶	460.5 (436.0, 486.1)	N/A	285	stable	0.5 (-0.6, 1.6)
Clermont County, Ohio ⁶	460.5 (448.5, 472.7)	N/A	1,191	falling	-0.5 (-0.8, -0.2)
Colbert County, Alabama ⁶	460.4 (438.3, 483.4)	N/A	354	stable	0.8 (0.0, 1.6)
Union County, Ohio ⁶	460.3 (435.9, 485.7)	N/A	280	stable	0.1 (-0.8, 1.1)
Sumter County, Alabama ⁶	460.2 (410.6, 514.5)	N/A	73	stable	0.4 (-5.2, 2.5)
Allen County, Kentucky ⁷	460.2 (423.8, 499.0)	N/A	126	stable	0.1 (-0.8, 1.1)
Suwannee County, Florida ⁶	460.1 (436.2, 485.2)	N/A	303	stable	-0.3 (-1.2, 0.7)
Bottineau County, North Dakota ⁶	460.1 (395.9, 532.7)	N/A	45	stable	-0.9 (-2.5, 0.8)
Loudon County, Tennessee ⁶	460.1 (438.6, 482.5)	N/A	416	stable	0.2 (-0.5, 0.9)
Brantley County, Georgia ⁷	460.1 (421.1, 501.8)	N/A	110	rising	2.3 (1.2, 3.7)
Shelby County, Kentucky ⁷	460.0 (435.2, 486.0)	N/A	271	stable	-0.1 (-0.9, 0.7)
Winneshiek County, Iowa ⁷	460.0 (422.4, 500.3)	N/A	130	stable	0.1 (-0.5, 0.8)
Hood County, Texas ⁷	459.9 (439.5, 481.1)	N/A	450	stable	3.3 (-0.1, 6.8)
Hartford County, Connecticut ⁷	459.8 (454.1, 465.5)	N/A	5,286	falling	-0.9 (-2.9, -0.4)
Sheboygan County, Wisconsin ⁶	459.8 (444.2, 475.8)	N/A	709	falling	-1.1 (-4.2, -0.4)
Franklin County, Ohio ⁶	459.8 (454.4, 465.1)	N/A	6,000	falling	-0.4 (-0.7, -0.1)
Marathon County, Wisconsin ⁶	459.7 (445.3, 474.6)	N/A	818	stable	0.2 (-0.8, 2.0)
Charles Mix County, South Dakota ⁶	459.7 (404.2, 521.0)	N/A	55	stable	-0.1 (-1.6, 1.4)
St. Louis County, Missouri ⁶	459.7 (454.3, 465.1)	N/A	6,038	falling	-0.6 (-0.9, -0.2)
Hillsborough County, New Hampshire ⁶	459.6 (451.1, 468.3)	N/A	2,375	falling	-0.7 (-1.1, -0.4)
Young County, Texas ⁷	459.6 (420.8, 501.3)	N/A	114	stable	3.7 (-0.9, 9.2)
Chippewa County, Wisconsin ⁶	459.6 (438.8, 481.2)	N/A	392	falling	-3.9 (-7.1, -0.9)
Cocke County, Tennessee ⁶	459.5 (433.0, 487.3)	N/A	249	stable	0.4 (-0.3, 1.2)
Rockdale County, Georgia ⁷	459.4 (440.6, 478.8)	N/A	483	stable	0.4 (-0.3, 3.2)
Massac County, Illinois ⁷	459.3 (416.5, 505.7)	N/A	93	stable	0.0 (-1.4, 1.4)
Jackson County, Mississippi ⁶	459.3 (444.9, 474.0)	N/A	814	stable	0.9 (-0.6, 4.1)
Van Buren County, Iowa ⁷	459.2 (400.6, 524.9)	N/A	49	stable	0.2 (-0.5, 1.0)
Armstrong County, Texas ⁷	459.2 (346.1, 601.5)	N/A	13	stable	2.0 (-0.5, 4.7)
New London County, Connecticut ⁷	459.1 (448.9, 469.5)	N/A	1,659	falling	-0.9 (-1.7, -0.6)
Marquette County, Wisconsin ⁶	459.1 (419.0, 502.5)	N/A	117	stable	-0.6 (-1.6, 0.5)
Bacon County, Georgia ⁷	459.1 (407.9, 515.1)	N/A	62	stable	0.4 (-1.3, 2.2)
Kleberg County, Texas ⁷	459.0 (424.4, 495.5)	N/A	136	stable	-0.3 (-1.5, 0.9)
Dallas County, Arkansas ⁶	458.9 (401.1, 523.8)	N/A	52	stable	0.4 (-1.2, 2.2)
Calhoun County, Michigan ⁶	458.9 (444.3, 473.8)	N/A	803	rising	4.9 (0.8, 9.6)
Lynn County, Texas ⁷	458.8 (389.1, 537.9)	N/A	33	rising	12.0 (3.7, 25.8)
Lucas County, Iowa ⁷	458.7 (403.8, 519.6)	N/A	58	stable	-0.2 (-0.9, 0.5)
Fayette County, Pennsylvania ⁶	458.7 (444.6, 473.2)	N/A	887	stable	-0.5 (-1.0, 0.0)
Milam County, Texas ⁷	458.6 (426.1, 493.0)	N/A	163	stable	-0.1 (-1.1, 0.9)
Fulton County, Arkansas ⁶	458.5 (413.6, 507.5)	N/A	94	stable	0.3 (-1.5, 2.2)
Lake County, Michigan ⁶	458.4 (414.1, 507.1)	N/A	102	stable	-1.1 (-2.7, 0.6)
Knox County, Tennessee ⁶	458.4 (450.3, 466.6)	N/A	2,551	falling	-0.9 (-1.4, -0.4)
Grant County, South Dakota ⁶	458.3 (400.5, 523.1)	N/A	50	stable	-0.3 (-2.0, 1.5)
Crittenden County, Arkansas ⁶	458.2 (432.4, 485.1)	N/A	249	rising	1.7 (0.4, 3.1)
Platte County, Nebraska ⁶	458.2 (428.3, 489.7)	N/A	189	stable	-0.4 (-1.3, 0.5)
Evans County, Georgia ⁷	458.1 (406.8, 514.5)	N/A	60	stable	-0.3 (-1.6, 0.9)
Comanche County, Oklahoma ⁶	458.1 (441.0, 475.7)	N/A	563	stable	0.2 (-0.4, 0.9)
Ulster County, New York ⁷	458.0 (445.8, 470.5)	N/A	1,169	falling	-0.7 (-1.1, -0.4)
Harrison County, Missouri ⁶	458.0 (402.7, 519.4)	N/A	57	stable	-0.2 (-1.8, 1.4)
Chicot County, Arkansas ⁶	457.9 (408.6, 512.1)	N/A	70	stable	1.2 (-0.6, 3.1)
Montgomery County, Tennessee ⁶	457.9 (443.1, 472.9)	N/A	780	stable	-0.1 (-1.9, 0.5)
Fulton County, Georgia ⁷	457.8 (451.9, 463.7)	N/A	4,830	falling	-0.8 (-1.1, -0.7)
Forsyth County, North Carolina ⁶	457.8 (448.9, 466.8)	N/A	2,106	falling	-1.2 (-2.9, -0.7)
Union County, Pennsylvania ⁶	457.7 (432.8, 483.7)	N/A	266	stable	-0.7 (-1.6, 0.1)
Colquitt County, Georgia ⁷	457.7 (431.8, 484.7)	N/A	243	stable	-0.7 (-1.4, 0.0)
Echols County, Georgia ⁷	457.6 (368.0, 562.5)	N/A	19	stable	-1.3 (-3.6, 1.2)
Morgan County, Ohio ⁶	457.6 (416.3, 502.2)	N/A	101	stable	-0.5 (-1.6, 0.6)
Pembina County, North Dakota ⁶	457.5 (397.9, 524.5)	N/A	51	stable	1.2 (-0.4, 2.9)
Preston County, West Virginia ⁶	457.5 (429.7, 486.7)	N/A	219	stable	0.3 (-0.6, 1.2)
Borden County, Texas ⁷	457.4 (281.8, 718.8)	N/A	5	*	*
Henderson County, Tennessee ⁶	457.4 (426.4, 490.2)	N/A	172	stable	0.5 (-0.5, 1.7)
Dawson County, Georgia ⁷	457.4 (425.4, 491.3)	N/A	168	stable	-0.5 (-1.6, 0.8)
Independence County, Arkansas ⁶	457.2 (429.9, 485.9)	N/A	221	stable	0.0 (-0.9, 1.0)
Etowah County, Alabama ⁶	457.1 (440.8, 473.9)	N/A	635	stable	-0.1 (-0.8, 0.7)
Floyd County, Georgia ⁷	457.0 (439.7, 474.9)	N/A	553	stable	-0.3 (-0.8, 0.3)
McNairy County, Tennessee ⁶	457.0 (425.5, 490.4)	N/A	170	stable	1.2 (0.0, 2.7)
Grayson County, Texas ⁷	457.0 (442.4, 471.9)	N/A	795	falling	-0.5 (-0.9, -0.1)
Anderson County, Tennessee ⁶	457.0 (438.4, 476.2)	N/A	497	falling	-1.7 (-4.2, -0.7)
Seminole County, Florida ⁶	456.9 (448.9, 465.1)	N/A	2,557	falling	-0.5 (-0.8, -0.1)
Mitchell County, North Carolina ⁶	456.9 (417.1, 500.0)	N/A	113	stable	0.5 (-0.5, 1.7)
Ada County, Idaho ⁷	456.9 (448.6, 465.4)	N/A	2,394	stable	0.4 (-0.3, 1.7)
Calvert County, Maryland ⁶	456.8 (438.8, 475.5)	N/A	517	stable	-0.6 (-1.2, 0.1)
Hill County, Montana ⁶	456.7 (412.2, 504.8)	N/A	83	falling	-1.3 (-2.4, -0.3)
Tate County, Mississippi ⁶	456.5 (424.5, 490.4)	N/A	161	stable	-0.6 (-4.3, 0.6)
Wood County, Texas ⁷	456.4 (433.5, 480.4)	N/A	361	stable	0.5 (-0.4, 1.4)
Sanilac County, Michigan ⁶	456.4 (431.2, 482.8)	N/A	280	stable	-0.2 (-1.1, 0.7)
Clearfield County, Pennsylvania ⁶	456.4 (438.5, 474.8)	N/A	531	stable	-0.7 (-1.4, 0.0)
Roane County, Tennessee ⁶	456.3 (435.0, 478.6)	N/A	387	falling	-1.0 (-4.8, -0.2)
Winnebago County, Wisconsin ⁶	456.3 (443.1, 469.9)	N/A	958	stable	-0.6 (-1.2, 0.0)
Henry County, Missouri ⁶	456.2 (422.0, 492.8)	N/A	148	falling	-8.2 (-14.5, -1.4)
Tuscarawas County, Ohio ⁶	456.2 (438.9, 474.1)	N/A	575	stable	0.2 (-0.4, 0.9)
St. Clair County, Alabama ⁶	456.2 (438.3, 474.7)	N/A	515	stable	-0.1 (-0.6, 0.5)
Macon County, North Carolina ⁶	456.2 (430.3, 483.5)	N/A	288	stable	-0.4 (-1.3, 0.6)
Macon County, Alabama ⁶	456.2 (417.1, 498.2)	N/A	115	stable	1.3 (-0.1, 2.8)
Crawford County, Arkansas ⁶	456.2 (434.9, 478.3)	N/A	364	rising	0.7 (0.1, 1.5)
Montgomery County, Pennsylvania ⁶	456.2 (450.3, 462.1)	N/A	4,979	falling	-1.0 (-2.4, -0.5)
Pointe Coupee Parish, Louisiana ⁷	456.1 (421.6, 493.0)	N/A	145	stable	0.8 (-1.1, 4.5)
Lancaster County, Pennsylvania ⁶	456.1 (448.8, 463.5)	N/A	3,185	stable	0.4 (-0.4, 1.5)
Pike County, Alabama ⁶	456.1 (424.8, 489.2)	N/A	167	stable	0.5 (-0.4, 1.4)
Dauphin County, Pennsylvania ⁶	455.9 (445.6, 466.4)	N/A	1,596	stable	-0.2 (-0.5, 0.2)
Webster County, Kentucky ⁷	455.9 (410.3, 505.5)	N/A	78	stable	-0.3 (-1.5, 0.9)
Cherokee County, North Carolina ⁶	455.9 (427.5, 486.0)	N/A	241	falling	-4.3 (-7.2, -2.2)
Fillmore County, Nebraska ⁶	455.9 (390.2, 530.8)	N/A	40	stable	-0.4 (-2.5, 1.8)
Benton County, Missouri ⁶	455.9 (421.3, 493.1)	N/A	170	stable	-0.9 (-2.6, 0.8)
Jackson County, Michigan ⁶	455.8 (442.5, 469.5)	N/A	950	stable	-0.7 (-1.6, 0.2)
Lee County, Texas ⁷	455.8 (416.5, 498.1)	N/A	107	stable	0.8 (-0.3, 2.0)
Benson County, North Dakota ⁶	455.8 (384.2, 536.7)	N/A	31	stable	-0.4 (-2.6, 1.7)
Mitchell County, Texas ⁷	455.7 (395.9, 522.4)	N/A	43	stable	1.0 (-1.2, 3.1)
Passaic County, New Jersey ⁷	455.7 (447.8, 463.8)	N/A	2,624	falling	-0.6 (-0.9, -0.2)
Sheridan County, Montana ⁶	455.7 (375.7, 550.4)	N/A	26	stable	1.3 (-0.8, 3.5)
St. Bernard Parish, Louisiana ⁷	455.7 (427.8, 484.9)	N/A	216	stable	-2.1 (-6.2, 1.8)
Guthrie County, Iowa ⁷	455.7 (407.1, 509.0)	N/A	74	stable	-0.2 (-0.8, 0.3)
Coweta County, Georgia ⁷	455.7 (440.8, 470.9)	N/A	757	stable	0.1 (-0.4, 0.6)
Franklin County, North Carolina ⁶	455.6 (435.4, 476.6)	N/A	407	stable	-0.1 (-0.6, 0.5)
Edgecombe County, North Carolina ⁶	455.6 (432.9, 479.3)	N/A	335	stable	-0.5 (-1.1, 0.1)
La Salle Parish, Louisiana ⁷	455.6 (412.3, 502.5)	N/A	85	stable	-0.6 (-1.4, 0.1)
Winnebago County, Illinois ⁷	455.6 (445.5, 465.8)	N/A	1,656	stable	-0.4 (-0.7, 0.0)
Wells County, North Dakota ⁶	455.6 (380.2, 544.2)	N/A	32	stable	0.4 (-1.1, 2.0)
Geauga County, Ohio ⁶	455.5 (438.6, 472.9)	N/A	614	stable	1.3 (-0.7, 4.0)
Oxford County, Maine ⁶	455.4 (434.6, 477.0)	N/A	410	stable	-0.7 (-1.6, 0.4)
Johnson County, Illinois ⁷	455.4 (411.7, 503.0)	N/A	85	falling	-1.0 (-2.0, -0.1)
Portage County, Ohio ⁶	455.4 (441.8, 469.2)	N/A	923	stable	-0.1 (-0.6, 0.5)
Winn Parish, Louisiana ⁷	455.3 (412.4, 501.9)	N/A	87	stable	-0.7 (-2.2, 0.7)
Jones County, Mississippi ⁶	455.3 (434.7, 476.8)	N/A	388	stable	0.0 (-0.6, 0.6)
Gage County, Nebraska ⁶	455.3 (421.3, 491.6)	N/A	147	stable	0.5 (-0.4, 1.4)
Phelps County, Missouri ⁶	455.2 (428.9, 482.8)	N/A	240	stable	1.1 (-0.6, 5.1)
New Castle County, Delaware ⁶	455.2 (447.9, 462.6)	N/A	3,080	falling	-0.7 (-1.0, -0.4)
Alachua County, Florida ⁶	455.2 (443.8, 466.8)	N/A	1,283	falling	-0.7 (-1.2, -0.2)
Dickens County, Texas ⁷	455.2 (346.3, 589.9)	N/A	14	rising	21.4 (2.4, 36.3)
Bonner County, Idaho ⁷	455.1 (431.3, 480.1)	N/A	331	stable	-0.9 (-1.7, 0.0)
Orleans County, Vermont ⁶	455.1 (424.2, 487.8)	N/A	185	stable	-0.4 (-1.3, 0.5)
Scotland County, North Carolina ⁶	455.0 (426.7, 484.8)	N/A	207	falling	-2.1 (-9.0, -0.7)
Montmorency County, Michigan ⁶	455.0 (403.0, 513.0)	N/A	80	stable	-1.1 (-2.3, 0.0)
Douglas County, Wisconsin ⁶	454.9 (429.9, 481.1)	N/A	269	stable	-1.2 (-4.1, 0.3)
Butler County, Pennsylvania ⁶	454.9 (442.9, 467.2)	N/A	1,177	falling	-1.3 (-2.6, -0.7)
Mellette County, South Dakota ⁶	454.9 (334.6, 605.2)	N/A	10	stable	-0.3 (-3.6, 3.0)
Gadsden County, Florida ⁶	454.7 (430.4, 480.1)	N/A	280	stable	-0.5 (-1.4, 0.5)
Panola County, Texas ⁷	454.7 (420.8, 490.7)	N/A	145	stable	-0.4 (-1.1, 0.4)
Durham County, North Carolina ⁶	454.6 (444.1, 465.2)	N/A	1,521	falling	-0.7 (-1.1, -0.2)
Wood County, Wisconsin ⁶	454.6 (435.8, 474.0)	N/A	488	stable	-0.4 (-1.0, 0.3)
Prairie County, Arkansas ⁶	454.5 (401.0, 514.2)	N/A	59	stable	0.1 (-1.2, 1.5)
Boundary County, Idaho ⁷	454.4 (408.4, 504.6)	N/A	82	stable	-0.1 (-1.6, 1.6)
Angelina County, Texas ⁷	454.3 (436.0, 473.3)	N/A	482	falling	-1.2 (-1.7, -0.6)
Scott County, Arkansas ⁶	454.3 (405.0, 508.5)	N/A	67	rising	8.6 (0.7, 14.5)
Park County, Wyoming ⁶	454.2 (424.1, 486.2)	N/A	200	stable	0.0 (-1.3, 1.3)
Lapeer County, Michigan ⁶	454.2 (436.7, 472.4)	N/A	553	falling	-0.9 (-1.7, -0.1)
Adams County, Pennsylvania ⁶	454.2 (438.3, 470.7)	N/A	674	stable	-0.6 (-1.2, 0.0)
Lake County, Illinois ⁷	454.1 (447.4, 461.0)	N/A	3,635	falling	-0.7 (-1.0, -0.3)
Tompkins County, New York ⁷	454.1 (435.7, 473.1)	N/A	495	rising	4.2 (1.3, 6.3)
Wake County, North Carolina ⁶	453.9 (448.1, 459.8)	N/A	4,959	stable	-0.1 (-1.4, 1.3)
Carroll County, Mississippi ⁶	453.9 (405.7, 507.0)	N/A	73	stable	1.1 (-1.0, 3.6)
Simpson County, Mississippi ⁶	453.9 (422.0, 487.7)	N/A	161	stable	0.7 (-0.4, 1.8)
Livingston County, Missouri ⁶	453.8 (411.8, 499.2)	N/A	91	stable	-0.1 (-1.3, 1.1)
Montgomery County, Alabama ⁶	453.8 (442.0, 465.7)	N/A	1,190	stable	0.4 (0.0, 0.8)
Copiah County, Mississippi ⁶	453.6 (421.8, 487.2)	N/A	165	stable	1.5 (-0.4, 3.6)
Bastrop County, Texas ⁷	453.6 (434.6, 473.2)	N/A	466	stable	-0.5 (-1.3, 0.4)
Orange County, Vermont ⁶	453.5 (423.8, 485.0)	N/A	197	stable	-0.6 (-1.5, 0.4)
Bristol County, Rhode Island ⁶	453.5 (430.4, 477.7)	N/A	318	stable	-0.4 (-1.0, 0.3)
Stark County, Ohio ⁶	453.4 (444.9, 462.1)	N/A	2,331	stable	-0.3 (-0.8, 0.2)
Butler County, Alabama ⁶	453.4 (416.5, 493.0)	N/A	123	stable	0.5 (-1.0, 2.0)
Catahoula Parish, Louisiana ⁷	453.2 (401.3, 510.4)	N/A	59	falling	-6.4 (-11.3, -1.7)
Essex County, Massachusetts ⁷	453.1 (447.1, 459.2)	N/A	4,595	stable	-0.5 (-1.4, 0.8)
Anderson County, South Carolina ⁶	453.1 (441.3, 465.1)	N/A	1,190	falling	-0.7 (-1.1, -0.3)
Somerset County, New Jersey ⁷	453.0 (443.6, 462.5)	N/A	1,882	falling	-0.6 (-1.0, -0.3)
Catawba County, North Carolina ⁶	453.0 (439.8, 466.5)	N/A	949	stable	0.0 (-0.4, 0.5)
Wheeler County, Texas ⁷	453.0 (383.1, 532.9)	N/A	32	stable	0.3 (-1.9, 2.6)
Hardee County, Florida ⁶	453.0 (419.8, 488.1)	N/A	143	stable	0.6 (-0.5, 1.8)
Columbia County, Oregon ⁶	453.0 (430.5, 476.5)	N/A	331	stable	-0.6 (-1.4, 0.2)
Fisher County, Texas ⁷	453.0 (370.8, 549.3)	N/A	26	stable	0.2 (-1.4, 1.6)
Middlesex County, New Jersey ⁷	452.9 (446.9, 459.0)	N/A	4,432	falling	-0.7 (-0.9, -0.6)
Decatur County, Tennessee ⁶	452.9 (408.2, 501.8)	N/A	84	stable	0.4 (-0.3, 1.2)
Beckham County, Oklahoma ⁶	452.8 (415.0, 493.2)	N/A	111	stable	0.2 (-1.4, 5.3)
Morgan County, West Virginia ⁶	452.8 (416.2, 492.3)	N/A	129	stable	0.3 (-0.5, 1.2)
Okfuskee County, Oklahoma ⁶	452.7 (406.5, 503.0)	N/A	73	stable	-0.2 (-1.8, 1.3)
Worth County, Missouri ⁶	452.7 (340.9, 592.6)	N/A	14	stable	1.2 (-2.2, 4.8)
Callaway County, Missouri ⁶	452.6 (427.4, 479.0)	N/A	255	stable	-0.3 (-1.2, 0.7)
Cannon County, Tennessee ⁶	452.6 (409.8, 498.9)	N/A	88	stable	3.6 (-1.3, 7.3)
Essex County, New Jersey ⁷	452.5 (446.2, 458.9)	N/A	4,014	stable	-0.3 (-0.7, 1.4)
Marshall County, West Virginia ⁶	452.4 (423.9, 482.5)	N/A	212	stable	-0.1 (-0.8, 0.6)
St. John the Baptist Parish, Louisiana ⁷	452.4 (425.5, 480.7)	N/A	227	stable	-0.5 (-1.2, 0.2)
Hoke County, North Carolina ⁶	452.3 (424.9, 481.0)	N/A	224	stable	-0.8 (-1.7, 0.3)
Douglas County, Washington ⁶	452.3 (426.5, 479.3)	N/A	243	stable	-0.5 (-1.2, 0.3)
Nolan County, Texas ⁷	452.2 (409.3, 498.7)	N/A	86	stable	-0.5 (-1.6, 0.5)
Greenville County, South Carolina ⁶	452.1 (444.5, 459.9)	N/A	2,795	falling	-0.7 (-1.0, -0.3)
Lafayette County, Florida ⁶	452.0 (395.0, 515.4)	N/A	46	stable	1.2 (-1.0, 3.7)
Butler County, Ohio ⁶	452.0 (442.9, 461.2)	N/A	1,988	stable	-0.3 (-0.7, 0.2)
Walsh County, North Dakota ⁶	451.9 (404.6, 503.9)	N/A	74	stable	0.7 (-0.8, 2.2)
Ellis County, Texas ⁷	451.9 (438.1, 466.0)	N/A	854	stable	-0.3 (-0.6, 0.2)
Turner County, South Dakota ⁶	451.8 (396.0, 514.0)	N/A	53	stable	0.9 (-0.8, 2.8)
Clay County, Missouri ⁶	451.8 (440.5, 463.4)	N/A	1,252	falling	-1.4 (-4.3, -0.7)
Lincoln County, Mississippi ⁶	451.8 (423.4, 481.7)	N/A	199	stable	-0.2 (-1.4, 1.0)
Trinity County, Texas ⁷	451.8 (410.6, 496.4)	N/A	111	stable	-6.1 (-14.6, 1.2)
Logan County, Ohio ⁶	451.7 (427.2, 477.4)	N/A	274	stable	-0.4 (-1.3, 0.5)
Hardin County, Illinois ⁷	451.7 (376.9, 539.8)	N/A	31	stable	-0.9 (-2.5, 0.7)
Holt County, Missouri ⁶	451.6 (377.8, 537.4)	N/A	32	stable	0.3 (-2.5, 3.2)
Liberty County, Florida ⁶	451.6 (393.3, 516.6)	N/A	44	stable	-0.2 (-1.6, 1.5)
Spartanburg County, South Carolina ⁶	451.5 (441.9, 461.4)	N/A	1,735	falling	-0.5 (-0.9, -0.1)
Golden Valley County, North Dakota ⁶	451.5 (332.1, 602.9)	N/A	12	stable	-0.8 (-3.5, 2.0)
Columbia County, Wisconsin ⁶	451.4 (429.8, 474.0)	N/A	351	stable	-0.2 (-0.9, 0.5)
Alfalfa County, Oklahoma ⁶	451.4 (387.9, 523.5)	N/A	38	stable	0.4 (-2.1, 3.1)
Caledonia County, Vermont ⁶	451.3 (421.7, 482.6)	N/A	196	stable	2.6 (-1.1, 5.2)
Taylor County, Texas ⁷	451.2 (435.6, 467.2)	N/A	665	stable	0.5 (0.0, 1.5)
Tom Green County, Texas ⁷	451.2 (434.8, 468.0)	N/A	608	stable	-0.1 (-0.8, 0.7)
Glynn County, Georgia ⁷	451.1 (433.5, 469.3)	N/A	541	stable	-0.6 (-1.2, 0.0)
Barton County, Missouri ⁶	451.1 (403.7, 503.0)	N/A	74	stable	0.6 (-1.3, 2.7)
Hamilton County, Tennessee ⁶	451.0 (442.2, 460.0)	N/A	2,118	falling	-0.9 (-3.4, -0.4)
Fairfield County, Ohio ⁶	451.0 (437.3, 465.0)	N/A	859	stable	-0.3 (-0.8, 0.3)
Washington County, Oklahoma ⁶	450.9 (428.0, 474.8)	N/A	318	stable	-0.4 (-1.7, 0.8)
Fairfield County, Connecticut ⁷	450.8 (445.2, 456.4)	N/A	5,268	stable	-0.5 (-1.1, 0.5)
Orange County, North Carolina ⁶	450.8 (435.6, 466.3)	N/A	714	rising	1.0 (0.2, 2.5)
Charlotte County, Florida ⁶	450.8 (439.3, 462.6)	N/A	1,876	stable	0.2 (-0.6, 1.1)
Warren County, Iowa ⁷	450.8 (426.8, 475.8)	N/A	277	stable	-1.2 (-5.1, 0.2)
Lafayette County, Missouri ⁶	450.7 (422.3, 480.6)	N/A	202	stable	0.3 (-0.2, 0.9)
Clay County, Tennessee ⁶	450.7 (396.1, 511.7)	N/A	56	stable	-0.2 (-1.5, 1.2)
Clay County, Texas ⁷	450.5 (402.7, 503.2)	N/A	73	stable	0.6 (-0.2, 3.1)
Taylor County, Florida ⁶	450.5 (415.8, 487.4)	N/A	136	stable	-0.2 (-5.0, 3.4)
Lee County, Arkansas ⁶	450.4 (397.9, 508.6)	N/A	57	rising	1.6 (0.2, 3.0)
Laramie County, Wyoming ⁶	450.4 (433.0, 468.3)	N/A	536	stable	1.6 (-0.5, 5.2)
Cumberland County, Tennessee ⁶	450.3 (430.5, 471.0)	N/A	502	falling	-1.1 (-1.7, -0.5)
Barbour County, Alabama ⁶	450.2 (418.4, 484.0)	N/A	157	stable	0.0 (-1.0, 1.0)
Hardin County, Texas ⁷	450.2 (427.8, 473.5)	N/A	321	falling	-1.2 (-1.9, -0.4)
Osceola County, Florida ⁶	450.2 (440.6, 459.9)	N/A	1,731	stable	0.4 (-1.0, 2.5)
Cass County, Missouri ⁶	450.2 (433.8, 467.1)	N/A	598	stable	-0.1 (-0.6, 0.6)
Braxton County, West Virginia ⁶	450.0 (407.8, 496.0)	N/A	95	stable	0.6 (-0.9, 2.3)
Gallatin County, Illinois ⁷	450.0 (380.9, 529.5)	N/A	34	falling	-1.2 (-2.2, -0.3)
DeSoto County, Mississippi ⁶	450.0 (436.5, 463.8)	N/A	872	stable	0.6 (0.0, 1.3)
Warren County, North Carolina ⁶	450.0 (414.8, 487.7)	N/A	146	stable	-0.2 (-1.3, 0.9)
Tolland County, Connecticut ⁷	449.9 (435.8, 464.4)	N/A	827	falling	-0.9 (-2.6, -0.6)
Auglaize County, Ohio ⁶	449.9 (425.4, 475.6)	N/A	272	falling	-1.6 (-5.7, -0.4)
Jefferson County, West Virginia ⁶	449.9 (427.6, 473.1)	N/A	327	stable	0.4 (-1.3, 4.4)
Matagorda County, Texas ⁷	449.9 (421.8, 479.4)	N/A	206	rising	3.5 (0.6, 7.9)
Victoria County, Texas ⁷	449.8 (431.5, 468.7)	N/A	482	stable	1.0 (-0.3, 3.8)
Potter County, Pennsylvania ⁶	449.8 (411.1, 491.4)	N/A	119	stable	-0.3 (-1.7, 1.1)
Greene County, Ohio ⁶	449.7 (436.5, 463.2)	N/A	945	stable	-0.3 (-0.8, 0.2)
Webster County, Mississippi ⁶	449.7 (397.5, 507.3)	N/A	58	stable	-1.0 (-2.7, 0.7)
Mecklenburg County, North Carolina ⁶	449.7 (443.8, 455.5)	N/A	4,785	stable	0.6 (-0.8, 1.7)
Newaygo County, Michigan ⁶	449.5 (425.8, 474.3)	N/A	301	falling	-0.7 (-1.2, -0.1)
Pender County, North Carolina ⁶	449.4 (428.6, 471.1)	N/A	375	stable	-0.3 (-1.1, 0.6)
Red Willow County, Nebraska ⁶	449.4 (400.5, 502.9)	N/A	70	stable	7.2 (-2.4, 14.6)
York County, South Carolina ⁶	449.3 (438.6, 460.2)	N/A	1,406	falling	-0.8 (-1.4, -0.2)
Clayton County, Iowa ⁷	449.3 (411.9, 489.5)	N/A	125	stable	-0.3 (-0.7, 0.2)
Putnam County, Ohio ⁶	449.3 (420.8, 479.2)	N/A	200	stable	-0.1 (-1.0, 0.9)
Missaukee County, Michigan ⁶	449.2 (407.7, 494.2)	N/A	98	stable	-0.3 (-1.3, 0.7)
Carroll County, Ohio ⁶	449.2 (418.8, 481.5)	N/A	183	stable	-0.4 (-1.0, 0.3)
Newport County, Rhode Island ⁶	449.2 (432.0, 466.9)	N/A	573	falling	-1.1 (-1.4, -0.7)
Monongalia County, West Virginia ⁶	449.1 (430.6, 468.3)	N/A	470	stable	-0.3 (-1.1, 0.6)
Taylor County, Iowa ⁷	449.0 (387.0, 519.2)	N/A	42	stable	0.5 (-0.3, 1.2)
Bell County, Kentucky ⁷	449.0 (417.2, 482.7)	N/A	161	stable	-0.4 (-1.3, 0.5)
Le Flore County, Oklahoma ⁶	449.0 (425.2, 473.7)	N/A	286	rising	4.7 (0.8, 13.0)
Clearwater County, Idaho ⁷	448.9 (400.0, 503.5)	N/A	72	stable	-0.1 (-1.5, 1.4)
Lebanon County, Pennsylvania ⁶	448.8 (435.0, 463.0)	N/A	863	falling	-1.5 (-3.6, -0.6)
Marlboro County, South Carolina ⁶	448.8 (417.1, 482.5)	N/A	158	stable	-0.1 (-1.3, 1.1)
Providence County, Rhode Island ⁶	448.6 (441.7, 455.6)	N/A	3,383	falling	-0.8 (-1.3, -0.4)
Putnam County, Tennessee ⁶	448.5 (429.1, 468.6)	N/A	423	stable	-0.5 (-1.1, 0.0)
Oconee County, South Carolina ⁶	448.5 (430.6, 466.9)	N/A	548	falling	-1.0 (-1.7, -0.2)
Washington County, Tennessee ⁶	448.4 (433.9, 463.4)	N/A	767	stable	0.3 (-0.3, 0.7)
Rutherford County, Tennessee ⁶	448.4 (437.5, 459.5)	N/A	1,357	stable	-0.1 (-0.4, 0.3)
Cherokee County, Oklahoma ⁶	448.3 (423.6, 474.3)	N/A	261	stable	-0.4 (-1.2, 0.4)
Union County, Georgia ⁷	448.2 (418.0, 480.6)	N/A	223	stable	0.0 (-0.9, 1.1)
Nance County, Nebraska ⁶	448.2 (361.3, 551.1)	N/A	22	stable	0.7 (-2.0, 3.4)
DuPage County, Illinois ⁷	448.2 (442.6, 454.0)	N/A	5,021	falling	-0.5 (-0.7, -0.2)
Gallatin County, Montana ⁶	448.2 (430.0, 466.9)	N/A	492	stable	-0.1 (-0.9, 0.7)
Talbot County, Georgia ⁷	448.1 (387.8, 516.8)	N/A	47	stable	0.3 (-1.0, 1.8)
Hall County, Nebraska ⁶	448.0 (425.4, 471.5)	N/A	309	falling	-1.0 (-1.8, -0.3)
Warren County, Ohio ⁶	447.9 (436.5, 459.6)	N/A	1,213	stable	-0.3 (-0.9, 0.3)
Huntingdon County, Pennsylvania ⁶	447.9 (424.3, 472.7)	N/A	291	stable	0.3 (-0.6, 1.1)
Mercer County, Ohio ⁶	447.9 (421.5, 475.5)	N/A	237	stable	0.0 (-0.6, 0.6)
Laurens County, Georgia ⁷	447.8 (423.5, 473.3)	N/A	268	stable	0.0 (-0.5, 0.6)
Summit County, Ohio ⁶	447.8 (440.6, 455.1)	N/A	3,181	stable	0.4 (-0.1, 1.8)
Polk County, Nebraska ⁶	447.8 (376.6, 529.5)	N/A	33	stable	-0.2 (-2.0, 1.6)
Reynolds County, Missouri ⁶	447.7 (387.1, 516.5)	N/A	45	stable	-0.1 (-2.2, 2.0)
Hardin County, Tennessee ⁶	447.7 (417.1, 480.2)	N/A	178	stable	0.6 (-0.4, 1.6)
Franklin County, Tennessee ⁶	447.7 (422.7, 473.8)	N/A	264	stable	-1.1 (-4.2, 0.1)
Charles County, Maryland ⁶	447.6 (433.3, 462.2)	N/A	793	stable	-0.2 (-0.8, 0.4)
Somervell County, Texas ⁷	447.5 (393.6, 507.3)	N/A	54	stable	0.5 (-1.2, 2.5)
La Crosse County, Wisconsin ⁶	447.5 (431.5, 463.9)	N/A	635	stable	2.2 (0.0, 3.5)
Marion County, Oregon ⁶	447.5 (438.1, 457.0)	N/A	1,799	stable	-0.4 (-0.9, 0.0)
Perkins County, Nebraska ⁶	447.4 (355.0, 558.5)	N/A	19	stable	-1.8 (-6.0, 2.4)
St. Charles County, Missouri ⁶	447.4 (438.7, 456.2)	N/A	2,120	falling	-0.9 (-1.3, -0.5)
Barnes County, North Dakota ⁶	447.4 (398.4, 501.3)	N/A	70	stable	-1.2 (-2.4, 0.1)
Sullivan County, New York ⁷	447.4 (428.6, 466.8)	N/A	465	falling	-1.0 (-1.4, -0.7)
Summers County, West Virginia ⁶	447.3 (403.8, 494.9)	N/A	91	stable	1.5 (-0.3, 3.4)
Todd County, South Dakota ⁶	447.1 (373.9, 529.5)	N/A	29	stable	-0.5 (-2.9, 2.3)
Wayne County, Tennessee ⁶	447.1 (408.7, 488.5)	N/A	105	stable	-0.2 (-2.4, 0.8)
Robeson County, North Carolina ⁶	447.0 (431.7, 462.7)	N/A	686	stable	1.0 (-2.0, 3.7)
Henry County, Alabama ⁶	446.8 (409.5, 487.1)	N/A	117	stable	-0.8 (-1.6, 0.1)
Osceola County, Iowa ⁷	446.8 (385.4, 516.5)	N/A	42	stable	0.2 (-0.8, 1.3)
Morgan County, Tennessee ⁶	446.8 (412.1, 483.8)	N/A	131	falling	-1.7 (-2.5, -1.2)
Clay County, Mississippi ⁶	446.8 (410.1, 486.1)	N/A	118	stable	-0.8 (-2.1, 0.1)
Perry County, Alabama ⁶	446.7 (391.6, 507.9)	N/A	53	stable	0.3 (-1.7, 2.2)
Nevada County, Arkansas ⁶	446.6 (392.7, 506.5)	N/A	54	stable	0.6 (-1.0, 2.2)
Susquehanna County, Pennsylvania ⁶	446.5 (421.8, 472.5)	N/A	288	stable	-0.3 (-0.7, 0.2)
Union County, New Jersey ⁷	446.4 (438.9, 453.9)	N/A	2,875	falling	-1.0 (-1.2, -0.7)
Lamar County, Mississippi ⁶	446.4 (423.9, 469.8)	N/A	305	stable	-0.1 (-0.8, 0.7)
Wright County, Iowa ⁷	446.3 (400.8, 495.9)	N/A	84	stable	-0.5 (-1.4, 0.3)
Ketchikan Gateway Borough, Alaska ⁶	446.2 (400.1, 496.4)	N/A	75	stable	-0.9 (-2.6, 1.0)
Sherman County, Nebraska ⁶	446.1 (356.7, 553.6)	N/A	22	stable	-0.5 (-5.0, 4.0)
Monroe County, Illinois ⁷	446.1 (418.2, 475.4)	N/A	206	stable	-0.4 (-1.4, 0.6)
Bedford County, Tennessee ⁶	446.0 (421.5, 471.7)	N/A	258	stable	-0.3 (-5.8, 1.5)
Wirt County, West Virginia ⁶	446.0 (380.9, 520.2)	N/A	38	stable	-1.1 (-3.4, 1.3)
Dallas County, Iowa ⁷	445.9 (426.2, 466.3)	N/A	395	stable	-0.4 (-0.7, 0.0)
Clark County, Illinois ⁷	445.9 (405.3, 489.7)	N/A	97	stable	-0.4 (-1.5, 0.7)
Beadle County, South Dakota ⁶	445.9 (406.9, 487.8)	N/A	105	stable	-0.2 (-1.2, 0.9)
Van Buren County, Michigan ⁶	445.8 (426.7, 465.6)	N/A	450	stable	-0.6 (-1.2, 0.1)
Wilson County, Tennessee ⁶	445.8 (431.4, 460.6)	N/A	764	falling	-0.6 (-3.0, -0.1)
Lake County, California ⁷	445.8 (425.9, 466.5)	N/A	440	falling	-0.8 (-1.3, -0.4)
Meagher County, Montana ⁶	445.7 (339.4, 581.3)	N/A	15	stable	-1.0 (-4.2, 2.3)
Bertie County, North Carolina ⁶	445.6 (409.8, 484.1)	N/A	130	stable	-0.6 (-1.7, 0.5)
Summit County, Utah ⁷	445.6 (416.8, 475.9)	N/A	206	stable	-0.3 (-1.6, 0.6)
Scotts Bluff County, Nebraska ⁶	445.6 (417.8, 474.7)	N/A	213	stable	2.3 (-2.9, 9.6)
Story County, Iowa ⁷	445.5 (425.5, 466.2)	N/A	395	stable	0.0 (-0.3, 0.3)
Multnomah County, Oregon ⁶	445.5 (439.0, 451.9)	N/A	3,893	stable	-0.4 (-0.7, 0.0)
Jefferson County, Wisconsin ⁶	445.4 (427.3, 464.2)	N/A	486	stable	-0.3 (-1.1, 0.5)
Mecosta County, Michigan ⁶	445.4 (419.3, 472.9)	N/A	245	stable	-0.8 (-1.9, 0.3)
Whitfield County, Georgia ⁷	445.4 (428.1, 463.3)	N/A	512	stable	3.2 (-1.2, 8.1)
Washington County, Vermont ⁶	445.4 (424.3, 467.4)	N/A	365	falling	-0.9 (-1.5, -0.3)
Eaton County, Michigan ⁶	445.4 (429.6, 461.6)	N/A	658	stable	-0.8 (-1.6, 0.0)
Torrance County, New Mexico ⁷	445.2 (404.9, 488.9)	N/A	101	stable	0.7 (-0.1, 1.6)
Gwinnett County, Georgia ⁷	445.2 (438.6, 451.9)	N/A	3,834	stable	-0.1 (-0.2, 0.1)
San Luis Obispo County, California ⁷	445.2 (435.4, 455.2)	N/A	1,747	stable	1.2 (-0.5, 2.3)
Okeechobee County, Florida ⁶	445.2 (420.5, 471.0)	N/A	258	stable	0.3 (-3.6, 4.0)
Oakland County, Michigan ⁶	445.2 (440.4, 449.9)	N/A	7,167	falling	-1.1 (-1.4, -0.9)
Phillips County, Arkansas ⁶	445.0 (407.0, 485.7)	N/A	111	stable	0.4 (-6.2, 1.7)
Cumberland County, Maine ⁶	445.0 (435.4, 454.7)	N/A	1,770	falling	-1.2 (-1.5, -0.9)
Audubon County, Iowa ⁷	444.9 (383.0, 515.8)	N/A	42	stable	-0.3 (-1.0, 0.4)
Huron County, Michigan ⁶	444.9 (417.0, 474.5)	N/A	229	falling	-1.2 (-2.3, -0.1)
Peach County, Georgia ⁷	444.9 (412.4, 479.4)	N/A	150	stable	-0.6 (-1.8, 0.8)
Lauderdale County, Tennessee ⁶	444.9 (411.9, 479.8)	N/A	141	stable	-1.3 (-5.4, 0.3)
Sumter County, Florida ⁶	444.8 (429.6, 460.7)	N/A	1,639	falling	-0.8 (-1.3, -0.3)
Garden County, Nebraska ⁶	444.8 (341.2, 576.9)	N/A	16	rising	3.0 (0.7, 5.4)
Baldwin County, Alabama ⁶	444.8 (433.9, 455.9)	N/A	1,384	stable	0.1 (-0.4, 0.7)
Santa Cruz County, California ⁷	444.8 (434.2, 455.5)	N/A	1,481	rising	2.4 (0.1, 4.5)
Jackson County, Missouri ⁶	444.7 (438.1, 451.4)	N/A	3,624	falling	-0.6 (-2.5, -0.3)
Hamilton County, Iowa ⁷	444.6 (403.0, 489.7)	N/A	94	stable	-0.1 (-0.6, 0.4)
Tioga County, Pennsylvania ⁶	444.6 (420.0, 470.3)	N/A	276	stable	-6.1 (-14.7, 0.9)
Unicoi County, Tennessee ⁶	444.5 (407.6, 484.3)	N/A	122	stable	-4.3 (-8.4, 0.7)
Harris County, Georgia ⁷	444.4 (416.6, 473.7)	N/A	211	stable	0.4 (-0.4, 1.3)
Klamath County, Oregon ⁶	444.3 (424.5, 464.8)	N/A	429	stable	-0.4 (-1.0, 0.2)
Johnson County, Nebraska ⁶	444.3 (376.5, 522.1)	N/A	32	stable	0.3 (-2.3, 3.0)
Paulding County, Ohio ⁶	444.2 (407.2, 484.0)	N/A	114	stable	0.4 (-0.8, 1.7)
Frederick County, Maryland ⁶	444.1 (433.2, 455.2)	N/A	1,333	stable	0.2 (-1.0, 3.1)
Trigg County, Kentucky ⁷	444.1 (403.7, 487.8)	N/A	101	stable	-0.9 (-1.8, 0.1)
McCormick County, South Carolina ⁶	444.0 (397.6, 496.2)	N/A	88	stable	-0.1 (-1.2, 1.2)
Anchorage Borough, Alaska ⁶	444.0 (432.6, 455.7)	N/A	1,256	stable	1.0 (-0.8, 2.1)
Jefferson County, Alabama ⁶	444.0 (437.3, 450.8)	N/A	3,533	falling	-0.7 (-1.0, -0.3)
Linn County, Missouri ⁶	443.9 (398.9, 493.0)	N/A	80	stable	-0.1 (-1.7, 1.5)
Sauk County, Wisconsin ⁶	443.8 (423.4, 465.0)	N/A	383	stable	0.0 (-0.7, 0.7)
Clackamas County, Oregon ⁶	443.8 (435.6, 452.0)	N/A	2,418	stable	-0.2 (-0.5, 0.1)
Ballard County, Kentucky ⁷	443.6 (388.4, 505.3)	N/A	51	stable	-0.9 (-2.2, 0.4)
Dane County, Wisconsin ⁶	443.5 (435.6, 451.4)	N/A	2,562	falling	-0.5 (-0.9, -0.2)
Wilbarger County, Texas ⁷	443.4 (396.5, 494.7)	N/A	71	falling	-1.2 (-2.2, -0.3)
Putnam County, Missouri ⁶	443.4 (374.4, 522.9)	N/A	34	stable	1.5 (-1.4, 4.5)
Amite County, Mississippi ⁶	443.3 (400.1, 490.6)	N/A	90	stable	-0.5 (-1.8, 0.9)
Poweshiek County, Iowa ⁷	443.3 (405.6, 483.8)	N/A	116	stable	0.0 (-0.6, 0.6)
Chase County, Nebraska ⁶	443.1 (361.1, 539.2)	N/A	23	stable	0.9 (-1.7, 3.6)
Greene County, Alabama ⁶	443.1 (387.2, 505.4)	N/A	54	stable	0.4 (-1.7, 2.5)
Rabun County, Georgia ⁷	443.0 (406.3, 482.8)	N/A	130	stable	0.2 (-0.9, 1.3)
Wasco County, Oregon ⁶	443.0 (411.6, 476.2)	N/A	165	stable	5.2 (-0.4, 9.7)
Champaign County, Illinois ⁷	442.9 (429.8, 456.4)	N/A	915	stable	0.4 (-0.3, 2.2)
Monroe County, West Virginia ⁶	442.8 (399.5, 489.8)	N/A	91	stable	-0.1 (-1.1, 1.0)
Fayette County, Alabama ⁶	442.7 (403.9, 484.6)	N/A	106	stable	0.4 (-0.9, 1.8)
Burleson County, Texas ⁷	442.7 (405.7, 482.5)	N/A	119	stable	0.0 (-1.3, 1.4)
Hood River County, Oregon ⁶	442.7 (407.7, 480.1)	N/A	124	rising	4.0 (0.3, 8.4)
Blaine County, Idaho ⁷	442.7 (408.6, 479.0)	N/A	139	stable	0.1 (-1.2, 1.6)
Berrien County, Michigan ⁶	442.6 (429.6, 456.0)	N/A	953	falling	-1.3 (-1.8, -0.8)
Cuming County, Nebraska ⁶	442.6 (388.5, 502.6)	N/A	56	stable	-0.2 (-1.5, 1.2)
Woods County, Oklahoma ⁶	442.5 (386.8, 504.5)	N/A	49	stable	0.3 (-1.4, 2.2)
Alcorn County, Mississippi ⁶	442.5 (415.8, 470.6)	N/A	216	stable	1.2 (0.0, 4.1)
Payne County, Oklahoma ⁶	442.5 (421.0, 464.8)	N/A	335	stable	-0.7 (-1.9, 0.4)
Quitman County, Georgia ⁷	442.5 (350.8, 556.9)	N/A	20	stable	-0.4 (-3.6, 2.9)
Stephens County, Texas ⁷	442.5 (390.3, 500.2)	N/A	57	stable	-0.5 (-2.2, 1.1)
Columbus County, North Carolina ⁶	442.4 (421.1, 464.6)	N/A	349	stable	-0.2 (-0.8, 0.4)
Essex County, Vermont ⁶	442.4 (382.8, 510.3)	N/A	48	falling	-2.4 (-6.4, -1.0)
Petroleum County, Montana ⁶	442.3 (232.4, 801.6)	N/A	4	*	*
Sussex County, Delaware ⁶	442.3 (432.0, 452.8)	N/A	1,777	falling	-1.4 (-2.9, -0.9)
Blaine County, Oklahoma ⁶	442.3 (391.0, 499.0)	N/A	59	stable	0.0 (-1.2, 1.2)
Laclede County, Missouri ⁶	442.2 (414.7, 471.2)	N/A	206	stable	-0.7 (-1.4, 0.0)
Dodge County, Wisconsin ⁶	442.1 (424.9, 460.0)	N/A	527	stable	-0.6 (-1.0, 0.0)
Treutlen County, Georgia ⁷	442.1 (379.2, 512.8)	N/A	38	stable	0.6 (-0.8, 2.3)
Grimes County, Texas ⁷	442.0 (411.5, 474.4)	N/A	168	rising	4.9 (0.5, 10.4)
Marin County, California ⁷	442.0 (432.3, 451.9)	N/A	1,754	falling	-0.6 (-0.9, -0.4)
Montcalm County, Michigan ⁶	441.9 (421.3, 463.3)	N/A	368	rising	4.2 (1.7, 8.0)
Lake County, Tennessee ⁶	441.9 (382.0, 509.4)	N/A	40	rising	2.0 (0.2, 3.9)
Garvin County, Oklahoma ⁶	441.8 (410.1, 475.4)	N/A	154	stable	-0.8 (-2.0, 0.4)
McLennan County, Texas ⁷	441.8 (430.5, 453.3)	N/A	1,222	stable	1.6 (-0.2, 4.1)
Washington County, Missouri ⁶	441.7 (408.9, 476.5)	N/A	144	stable	-0.2 (-1.2, 0.8)
Stark County, North Dakota ⁶	441.6 (408.7, 476.5)	N/A	142	stable	0.4 (-0.5, 1.4)
Wayne County, Mississippi ⁶	441.6 (404.8, 481.1)	N/A	114	stable	0.4 (-0.5, 1.3)
Boone County, Missouri ⁶	441.6 (427.4, 456.2)	N/A	773	falling	-0.7 (-1.1, -0.2)
Kenai Peninsula Borough, Alaska ⁶	441.4 (419.2, 464.6)	N/A	339	falling	-0.9 (-1.7, -0.1)
Marion County, South Carolina ⁶	441.3 (412.5, 471.8)	N/A	192	stable	-0.3 (-1.2, 0.8)
Arenac County, Michigan ⁶	441.3 (402.2, 483.8)	N/A	112	stable	-0.9 (-2.6, 0.8)
Outagamie County, Wisconsin ⁶	441.3 (428.7, 454.2)	N/A	972	falling	-0.5 (-0.9, -0.1)
Alcona County, Michigan ⁶	441.3 (393.8, 494.4)	N/A	99	stable	-1.3 (-2.8, 0.0)
Brown County, Texas ⁷	441.3 (415.2, 468.7)	N/A	232	falling	-0.9 (-1.6, -0.2)
Marengo County, Alabama ⁶	441.3 (404.2, 481.0)	N/A	115	stable	-1.0 (-5.9, 0.2)
Avery County, North Carolina ⁶	441.2 (404.9, 480.3)	N/A	117	stable	0.4 (-0.7, 1.6)
Freestone County, Texas ⁷	441.2 (405.6, 479.3)	N/A	122	stable	-0.1 (-1.5, 1.4)
Clay County, North Carolina ⁶	441.1 (396.3, 490.7)	N/A	92	stable	0.3 (-1.7, 2.4)
Berrien County, Georgia ⁷	441.1 (404.1, 480.9)	N/A	111	stable	0.6 (-0.5, 1.6)
Wayne County, Illinois ⁷	441.1 (403.3, 481.9)	N/A	110	stable	-0.4 (-1.6, 0.9)
Nemaha County, Nebraska ⁶	441.1 (381.0, 508.7)	N/A	43	stable	0.0 (-13.9, 4.9)
Franklin County, Maine ⁶	441.0 (412.3, 471.4)	N/A	202	falling	-1.9 (-4.8, -0.2)
San Patricio County, Texas ⁷	440.9 (419.5, 463.1)	N/A	331	stable	0.1 (-5.4, 4.4)
Pope County, Illinois ⁷	440.8 (368.3, 526.9)	N/A	33	rising	2.7 (0.4, 5.3)
Johnson County, Missouri ⁶	440.7 (415.2, 467.4)	N/A	234	falling	-1.3 (-4.9, -0.2)
Grafton County, New Hampshire ⁶	440.6 (423.8, 458.0)	N/A	581	falling	-1.0 (-1.6, -0.4)
Lamoille County, Vermont ⁶	440.5 (408.2, 474.9)	N/A	146	falling	-1.7 (-2.8, -0.6)
Butte County, Idaho ⁷	440.5 (344.1, 558.2)	N/A	18	rising	4.4 (1.4, 9.5)
Boone County, Illinois ⁷	440.5 (417.4, 464.6)	N/A	283	stable	-0.3 (-0.9, 0.3)
Washington County, North Carolina ⁶	440.3 (395.8, 489.1)	N/A	87	stable	-0.2 (-1.7, 1.2)
Limestone County, Alabama ⁶	440.2 (423.0, 457.9)	N/A	519	stable	0.0 (-0.5, 0.7)
Phelps County, Nebraska ⁶	440.2 (387.6, 498.3)	N/A	56	stable	0.2 (-1.5, 2.0)
Polk County, Arkansas ⁶	440.1 (405.7, 477.0)	N/A	136	stable	1.0 (-0.2, 5.0)
Chatham County, Georgia ⁷	440.1 (429.9, 450.5)	N/A	1,483	stable	-0.2 (-0.6, 0.1)
Traill County, North Dakota ⁶	440.1 (383.7, 503.0)	N/A	49	stable	-9.1 (-23.1, 2.2)
Runnels County, Texas ⁷	440.0 (391.0, 493.9)	N/A	64	stable	-0.1 (-1.3, 1.1)
Gulf County, Florida ⁶	439.9 (401.4, 481.7)	N/A	105	stable	0.0 (-1.1, 1.2)
Red River County, Texas ⁷	439.9 (397.1, 486.8)	N/A	89	stable	-0.9 (-1.9, 0.0)
Chittenden County, Vermont ⁶	439.9 (426.2, 453.9)	N/A	833	falling	-0.8 (-1.2, -0.3)
Franklin County, Alabama ⁶	439.8 (410.3, 471.0)	N/A	171	stable	-0.1 (-0.7, 0.6)
Pittsburg County, Oklahoma ⁶	439.7 (415.3, 465.2)	N/A	264	stable	-0.3 (-1.2, 0.7)
Williamson County, Tennessee ⁶	439.7 (427.9, 451.7)	N/A	1,125	stable	-0.4 (-1.9, 0.1)
Franklin County, Mississippi ⁶	439.7 (384.4, 501.5)	N/A	50	stable	-0.1 (-1.9, 1.9)
Johnston County, Oklahoma ⁶	439.6 (391.0, 493.0)	N/A	65	stable	-0.6 (-2.5, 1.3)
Hunt County, Texas ⁷	439.6 (422.4, 457.3)	N/A	520	stable	-0.5 (-1.1, 0.1)
Williamson County, Texas ⁷	439.4 (431.6, 447.3)	N/A	2,505	rising	1.6 (0.3, 4.1)
Marion County, Arkansas ⁶	439.4 (403.1, 478.7)	N/A	138	stable	-0.2 (-1.6, 1.1)
Taliaferro County, Georgia ⁷	439.4 (332.4, 578.7)	N/A	13	*	*
Madison County, Tennessee ⁶	439.4 (422.6, 456.8)	N/A	549	stable	0.2 (-0.5, 1.0)
Bollinger County, Missouri ⁶	439.3 (394.0, 488.9)	N/A	77	stable	-0.2 (-1.9, 1.5)
Harper County, Oklahoma ⁶	439.3 (361.5, 530.8)	N/A	24	stable	-0.6 (-2.4, 1.2)
Harmon County, Oklahoma ⁶	439.3 (345.2, 553.2)	N/A	16	stable	0.8 (-1.1, 2.8)
Placer County, California ⁷	439.2 (431.1, 447.5)	N/A	2,371	falling	-2.2 (-4.0, -0.6)
Lake County, Oregon ⁶	439.1 (386.4, 498.0)	N/A	58	falling	-1.6 (-3.0, -0.2)
Rains County, Texas ⁷	439.0 (395.8, 486.2)	N/A	89	stable	0.4 (-0.6, 1.5)
Weston County, Wyoming ⁶	439.0 (380.3, 505.0)	N/A	45	stable	0.6 (-1.0, 2.4)
Florence County, South Carolina ⁶	438.8 (424.6, 453.4)	N/A	766	falling	-1.7 (-3.5, -0.8)
Cook County, Illinois ⁷	438.8 (436.4, 441.3)	N/A	25,975	stable	-0.4 (-0.7, 0.3)
Yankton County, South Dakota ⁶	438.7 (404.9, 474.8)	N/A	136	stable	-0.2 (-1.7, 1.5)
Jackson County, Alabama ⁶	438.7 (416.7, 461.7)	N/A	324	stable	0.6 (-0.4, 1.6)
Jackson County, Texas ⁷	438.7 (395.9, 485.1)	N/A	83	stable	-1.1 (-2.6, 0.4)
Jackson County, Oregon ⁶	438.7 (428.0, 449.6)	N/A	1,424	stable	0.0 (-0.6, 1.3)
DeKalb County, Georgia ⁷	438.7 (431.9, 445.5)	N/A	3,438	stable	-0.9 (-1.9, 0.4)
Chester County, Pennsylvania ⁶	438.7 (431.3, 446.1)	N/A	2,849	falling	-1.3 (-3.3, -0.8)
King County, Washington ⁷	438.6 (434.8, 442.5)	N/A	10,456	stable	0.0 (-0.9, 1.1)
Coles County, Illinois ⁷	438.6 (414.8, 463.5)	N/A	274	falling	-1.0 (-1.7, -0.3)
Giles County, Tennessee ⁶	438.6 (409.7, 469.1)	N/A	187	stable	-1.5 (-6.5, 0.0)
Mineral County, West Virginia ⁶	438.5 (408.1, 470.9)	N/A	171	falling	-1.0 (-1.6, -0.4)
Kiowa County, Colorado ⁶	438.5 (311.5, 605.4)	N/A	10	stable	0.6 (-2.7, 4.0)
Shelby County, Tennessee ⁶	438.5 (432.6, 444.4)	N/A	4,500	falling	-0.6 (-1.0, -0.2)
Bradley County, Tennessee ⁶	438.4 (422.4, 454.9)	N/A	593	stable	-0.9 (-6.6, 0.3)
Crawford County, Michigan ⁶	438.4 (398.2, 482.3)	N/A	106	stable	-1.1 (-2.3, 0.1)
Haskell County, Texas ⁷	438.4 (370.8, 515.7)	N/A	35	stable	0.0 (-2.1, 2.1)
Nodaway County, Missouri ⁶	438.4 (399.8, 479.8)	N/A	104	stable	0.0 (-1.0, 1.0)
Delta County, Michigan ⁶	438.3 (413.0, 465.0)	N/A	260	stable	-0.2 (-1.2, 0.9)
Dillon County, South Carolina ⁶	438.1 (408.2, 469.8)	N/A	171	stable	-0.3 (-1.3, 0.8)
Baker County, Florida ⁶	438.1 (405.9, 472.3)	N/A	142	stable	-1.0 (-1.8, 0.0)
Edgar County, Illinois ⁷	438.1 (400.4, 478.6)	N/A	113	stable	-0.7 (-1.7, 0.2)
Harlan County, Nebraska ⁶	438.0 (355.8, 536.0)	N/A	25	stable	-1.3 (-3.5, 0.9)
Tuscola County, Michigan ⁶	437.9 (416.2, 460.5)	N/A	339	stable	-0.8 (-1.4, 0.0)
Burnet County, Texas ⁷	437.8 (414.8, 461.8)	N/A	311	stable	-0.6 (-1.4, 0.2)
Webster County, Missouri ⁶	437.6 (410.5, 466.1)	N/A	203	stable	-0.2 (-0.9, 0.6)
Manistee County, Michigan ⁶	437.6 (406.7, 470.5)	N/A	180	falling	-1.2 (-2.3, -0.1)
Concordia Parish, Louisiana ⁷	437.5 (400.1, 477.6)	N/A	109	stable	-2.4 (-9.6, 0.2)
Gillespie County, Texas ⁷	437.5 (407.3, 469.6)	N/A	206	stable	4.3 (-0.6, 9.7)
Yadkin County, North Carolina ⁶	437.3 (411.5, 464.3)	N/A	234	stable	-0.2 (-1.1, 0.6)
Lee County, South Carolina ⁶	437.2 (398.6, 478.9)	N/A	103	stable	-0.6 (-2.5, 1.4)
McKean County, Pennsylvania ⁶	437.1 (411.9, 463.6)	N/A	248	falling	-0.9 (-1.7, -0.1)
McDonough County, Illinois ⁷	437.1 (405.8, 470.3)	N/A	161	falling	-7.9 (-12.6, -3.1)
Rusk County, Wisconsin ⁶	437.0 (396.0, 481.7)	N/A	100	stable	0.1 (-1.2, 1.5)
Neshoba County, Mississippi ⁶	437.0 (405.3, 470.6)	N/A	149	stable	0.1 (-0.7, 1.0)
Lafayette County, Arkansas ⁶	437.0 (379.4, 502.2)	N/A	48	stable	11.8 (-0.6, 22.8)
Dewey County, Oklahoma ⁶	436.9 (365.0, 519.7)	N/A	28	stable	-2.2 (-16.1, 2.5)
Hampden County, Massachusetts ⁷	436.8 (429.1, 444.7)	N/A	2,574	falling	-0.7 (-0.9, -0.4)
Grady County, Georgia ⁷	436.7 (403.9, 471.6)	N/A	141	stable	-0.8 (-1.9, 0.3)
Clarke County, Mississippi ⁶	436.7 (397.2, 479.4)	N/A	98	stable	-0.4 (-2.1, 1.3)
Galveston County, Texas ⁷	436.7 (427.1, 446.3)	N/A	1,697	rising	5.0 (2.5, 6.9)
Hart County, Georgia ⁷	436.6 (406.0, 469.1)	N/A	168	stable	0.0 (-0.8, 0.7)
Delaware County, Ohio ⁶	436.6 (424.2, 449.2)	N/A	993	falling	-0.9 (-1.3, -0.4)
Tripp County, South Dakota ⁶	436.5 (372.0, 510.1)	N/A	37	stable	-0.8 (-2.6, 0.9)
Bamberg County, South Carolina ⁶	436.5 (395.7, 480.8)	N/A	95	falling	-0.9 (-1.6, -0.2)
Carroll County, Arkansas ⁶	436.5 (407.1, 467.6)	N/A	190	rising	1.1 (0.1, 2.2)
Hickman County, Kentucky ⁷	436.4 (363.6, 521.0)	N/A	30	stable	0.2 (-1.6, 1.9)
Butler County, Nebraska ⁶	436.3 (381.4, 497.6)	N/A	50	stable	-0.1 (-1.5, 1.4)
Santa Barbara County, California ⁷	436.3 (427.9, 444.8)	N/A	2,186	stable	-0.3 (-0.6, 0.1)
Westmoreland County, Pennsylvania ⁶	436.3 (428.0, 444.7)	N/A	2,388	falling	-3.2 (-6.1, -0.5)
New York County, New York ⁷	436.2 (432.0, 440.5)	N/A	8,602	falling	-0.9 (-2.6, -0.6)
Attala County, Mississippi ⁶	436.2 (399.4, 475.7)	N/A	110	stable	0.4 (-1.0, 1.9)
Warren County, Missouri ⁶	435.9 (408.5, 464.9)	N/A	202	falling	-2.0 (-7.4, -0.1)
Juniata County, Pennsylvania ⁶	435.9 (404.0, 470.0)	N/A	151	rising	1.5 (0.6, 2.5)
Osceola County, Michigan ⁶	435.9 (403.7, 470.3)	N/A	151	falling	-1.6 (-2.8, -0.4)
Humboldt County, California ⁷	435.8 (421.4, 450.7)	N/A	755	falling	-1.0 (-1.5, -0.4)
Navarro County, Texas ⁷	435.8 (412.2, 460.5)	N/A	271	stable	-0.5 (-1.2, 0.2)
Bleckley County, Georgia ⁷	435.8 (390.4, 485.4)	N/A	71	stable	0.6 (-0.8, 2.2)
Sharkey County, Mississippi ⁶	435.7 (360.5, 523.2)	N/A	27	falling	-2.7 (-11.8, -0.3)
St. Louis City, Missouri ⁶	435.7 (425.5, 446.0)	N/A	1,502	falling	-2.1 (-5.8, -1.3)
Waller County, Texas ⁷	435.5 (409.5, 462.8)	N/A	222	rising	4.6 (0.4, 7.6)
Greenwood County, South Carolina ⁶	435.5 (416.1, 455.6)	N/A	406	stable	2.0 (-1.3, 4.6)
Miller County, Missouri ⁶	435.2 (403.4, 469.0)	N/A	150	stable	0.4 (-0.4, 1.4)
Rankin County, Mississippi ⁶	435.1 (421.4, 449.2)	N/A	790	falling	-1.4 (-3.2, -0.7)
Noble County, Oklahoma ⁶	435.1 (387.9, 486.8)	N/A	67	stable	-0.2 (-1.5, 1.2)
Amador County, California ⁷	435.0 (411.7, 459.6)	N/A	303	falling	-0.7 (-1.2, -0.1)
Rusk County, Texas ⁷	435.0 (412.7, 458.3)	N/A	296	stable	0.0 (-0.8, 0.9)
Manatee County, Florida ⁶	434.8 (427.1, 442.7)	N/A	2,947	falling	-1.6 (-2.7, -0.9)
Orangeburg County, South Carolina ⁶	434.7 (417.3, 452.7)	N/A	522	falling	-0.8 (-1.5, -0.2)
Garfield County, Nebraska ⁶	434.7 (331.8, 565.1)	N/A	15	stable	0.4 (-1.5, 2.4)
Nash County, North Carolina ⁶	434.6 (418.0, 451.8)	N/A	551	stable	-0.7 (-1.5, 0.0)
Madison Parish, Louisiana ⁷	434.6 (383.5, 490.7)	N/A	55	stable	0.6 (-1.5, 2.8)
Ector County, Texas ⁷	434.6 (418.8, 450.8)	N/A	599	falling	-0.9 (-1.4, -0.3)
Knox County, Texas ⁷	434.6 (352.8, 530.9)	N/A	22	stable	0.5 (-1.7, 2.8)
San Juan County, Washington ⁷	434.5 (399.9, 472.3)	N/A	154	stable	-0.1 (-0.7, 0.5)
Jerauld County, South Dakota ⁶	434.4 (326.4, 570.3)	N/A	15	stable	-1.5 (-6.2, 3.2)
St. Lucie County, Florida ⁶	434.4 (425.8, 443.2)	N/A	2,201	stable	-0.2 (-0.8, 0.5)
Calhoun County, Florida ⁶	434.4 (393.5, 478.7)	N/A	86	stable	1.0 (-0.2, 2.4)
Ray County, Missouri ⁶	434.2 (401.3, 469.3)	N/A	138	stable	-0.4 (-1.9, 1.3)
Kalamazoo County, Michigan ⁶	434.2 (423.3, 445.3)	N/A	1,281	falling	-1.3 (-2.1, -0.5)
Davidson County, Tennessee ⁶	434.1 (427.1, 441.2)	N/A	3,062	stable	-0.7 (-1.4, 0.5)
Greer County, Oklahoma ⁶	433.6 (367.3, 509.1)	N/A	32	stable	0.1 (-2.4, 2.7)
Polk County, Oregon ⁶	433.5 (415.3, 452.3)	N/A	457	falling	-0.7 (-1.2, -0.2)
Houston County, Alabama ⁶	433.4 (417.5, 449.9)	N/A	591	falling	-0.8 (-1.3, -0.2)
Uvalde County, Texas ⁷	433.4 (400.1, 468.8)	N/A	133	rising	3.5 (0.8, 9.8)
Cole County, Missouri ⁶	433.3 (414.2, 453.0)	N/A	411	falling	-1.0 (-4.1, -0.1)
Pemiscot County, Missouri ⁶	433.2 (392.4, 477.2)	N/A	89	stable	0.8 (-0.9, 2.6)
Lincoln County, South Dakota ⁶	433.2 (409.6, 457.7)	N/A	264	stable	-0.2 (-1.0, 0.7)
Crawford County, Iowa ⁷	433.1 (393.5, 475.9)	N/A	94	stable	-0.2 (-0.9, 0.6)
Lincoln County, Maine ⁶	433.1 (408.0, 459.6)	N/A	271	stable	-0.4 (-1.0, 0.8)
Hand County, South Dakota ⁶	433.1 (347.6, 535.4)	N/A	22	stable	1.9 (-0.8, 4.9)
Adams County, Mississippi ⁶	432.9 (404.6, 462.8)	N/A	189	stable	-1.5 (-6.8, 0.0)
Lincoln County, Oklahoma ⁶	432.7 (405.7, 461.1)	N/A	207	stable	0.7 (-0.6, 5.2)
Clarke County, Georgia ⁷	432.7 (415.1, 450.9)	N/A	478	falling	-5.0 (-7.7, -1.8)
Oklahoma County, Oklahoma ⁶	432.6 (426.2, 439.0)	N/A	3,683	falling	-1.0 (-1.3, -0.7)
Okaloosa County, Florida ⁶	432.6 (420.8, 444.6)	N/A	1,083	falling	-0.9 (-1.4, -0.5)
Haskell County, Oklahoma ⁶	432.6 (388.5, 480.7)	N/A	77	rising	5.9 (1.3, 11.7)
Shawano County, Wisconsin ⁶	432.5 (408.1, 458.2)	N/A	261	stable	-0.1 (-1.1, 1.0)
Canadian County, Oklahoma ⁶	432.5 (417.6, 447.9)	N/A	657	falling	-1.3 (-2.4, -0.1)
Martin County, Florida ⁶	432.4 (420.6, 444.6)	N/A	1,321	falling	-3.8 (-7.8, -1.6)
Menominee County, Wisconsin ⁶	432.4 (352.2, 525.9)	N/A	22	falling	-3.1 (-5.1, -0.9)
Caddo County, Oklahoma ⁶	432.2 (401.8, 464.4)	N/A	157	stable	-0.4 (-1.8, 1.1)
Dale County, Alabama ⁶	432.1 (408.5, 456.8)	N/A	265	stable	-0.1 (-1.0, 0.8)
Charleston County, South Carolina ⁶	432.1 (423.7, 440.6)	N/A	2,160	falling	-1.2 (-1.6, -0.8)
Hancock County, Kentucky ⁷	432.1 (378.2, 491.9)	N/A	49	rising	1.7 (0.2, 3.3)
Pasquotank County, North Carolina ⁶	432.0 (406.0, 459.3)	N/A	220	stable	-0.3 (-1.5, 1.0)
Leake County, Mississippi ⁶	431.9 (397.1, 469.1)	N/A	120	stable	-0.3 (-1.5, 0.9)
Mendocino County, California ⁷	431.7 (414.6, 449.4)	N/A	550	stable	-0.6 (-1.3, 0.2)
Portage County, Wisconsin ⁶	431.7 (411.5, 452.6)	N/A	371	stable	-0.7 (-1.7, 0.3)
Grundy County, Missouri ⁶	431.6 (380.3, 488.2)	N/A	59	stable	-0.3 (-2.1, 1.5)
Saline County, Missouri ⁶	431.4 (397.7, 467.4)	N/A	131	stable	0.0 (-7.5, 7.6)
Morrow County, Ohio ⁶	431.4 (404.4, 459.9)	N/A	204	stable	0.0 (-0.9, 1.1)
Kane County, Illinois ⁷	431.4 (423.7, 439.1)	N/A	2,533	falling	-0.8 (-1.1, -0.5)
Wilson County, North Carolina ⁶	431.3 (413.4, 449.8)	N/A	469	stable	-0.7 (-1.6, 0.2)
Cedar County, Nebraska ⁶	431.3 (377.2, 491.5)	N/A	55	stable	2.3 (-1.6, 12.5)
Twin Falls County, Idaho ⁷	431.2 (412.7, 450.4)	N/A	423	falling	-0.9 (-1.7, -0.1)
Yamhill County, Oregon ⁶	431.2 (415.2, 447.7)	N/A	577	stable	-0.6 (-1.2, 0.0)
Dawson County, Texas ⁷	431.1 (383.1, 483.6)	N/A	60	stable	-0.2 (-1.8, 1.4)
San Jacinto County, Texas ⁷	431.1 (401.9, 462.0)	N/A	187	stable	-0.3 (-1.1, 0.7)
Iosco County, Michigan ⁶	430.9 (400.9, 462.9)	N/A	200	stable	-0.9 (-1.9, 0.1)
Bingham County, Idaho ⁷	430.9 (404.7, 458.4)	N/A	212	stable	0.6 (-0.4, 1.6)
Bladen County, North Carolina ⁶	430.8 (403.8, 459.3)	N/A	216	stable	0.0 (-0.8, 0.8)
Griggs County, North Dakota ⁶	430.7 (335.2, 550.4)	N/A	18	stable	-1.8 (-5.2, 1.3)
Trumbull County, Ohio ⁶	430.7 (419.5, 442.1)	N/A	1,266	falling	-1.4 (-3.0, -1.0)
Cumberland County, Pennsylvania ⁶	430.7 (420.5, 441.1)	N/A	1,434	stable	-0.1 (-1.4, 1.5)
Leon County, Florida ⁶	430.7 (419.8, 441.7)	N/A	1,280	stable	-0.1 (-0.7, 1.8)
Kings County, New York ⁷	430.7 (427.2, 434.2)	N/A	12,019	stable	-0.7 (-1.5, 0.4)
Chippewa County, Michigan ⁶	430.7 (404.6, 458.1)	N/A	215	stable	-0.7 (-1.7, 0.5)
Pennington County, South Dakota ⁶	430.6 (414.8, 446.9)	N/A	620	stable	0.6 (-1.2, 3.7)
Montgomery County, North Carolina ⁶	430.6 (400.6, 462.5)	N/A	169	stable	0.2 (-0.8, 1.3)
Franklin County, Florida ⁶	430.6 (386.7, 478.8)	N/A	82	stable	-0.2 (-1.6, 1.4)
Newton County, Missouri ⁶	430.6 (409.5, 452.5)	N/A	334	stable	0.1 (-1.0, 1.1)
Red River Parish, Louisiana ⁷	430.3 (377.4, 489.2)	N/A	51	stable	-0.1 (-1.4, 1.3)
Bosque County, Texas ⁷	430.2 (394.9, 468.2)	N/A	129	stable	1.8 (-5.6, 8.6)
Chesterfield County, South Carolina ⁶	430.2 (406.5, 455.0)	N/A	266	stable	0.2 (-0.6, 1.0)
Randall County, Texas ⁷	430.2 (415.4, 445.4)	N/A	665	stable	2.6 (-0.3, 4.3)
Bowie County, Texas ⁷	430.2 (413.1, 447.8)	N/A	500	stable	1.9 (-1.2, 4.2)
Geneva County, Alabama ⁶	430.1 (399.7, 462.3)	N/A	162	falling	-1.3 (-5.4, -0.4)
Tarrant County, Texas ⁷	430.0 (425.9, 434.2)	N/A	8,693	falling	-0.8 (-1.0, -0.6)
Winnebago County, Iowa ⁷	430.0 (381.9, 483.1)	N/A	66	stable	0.7 (-0.1, 1.5)
Christian County, Missouri ⁶	430.0 (412.0, 448.6)	N/A	447	stable	1.5 (-1.4, 5.6)
Clinton County, Michigan ⁶	429.9 (411.4, 449.1)	N/A	431	stable	-0.5 (-1.5, 0.5)
Ritchie County, West Virginia ⁶	429.9 (381.4, 483.6)	N/A	65	stable	-0.7 (-1.7, 0.3)
Pitt County, North Carolina ⁶	429.8 (416.3, 443.7)	N/A	802	falling	-1.0 (-1.4, -0.6)
Marshall County, Alabama ⁶	429.7 (412.8, 447.1)	N/A	517	stable	-0.4 (-0.8, 0.1)
Pocahontas County, West Virginia ⁶	429.7 (379.0, 486.4)	N/A	62	stable	-0.4 (-2.3, 1.6)
Hughes County, Oklahoma ⁶	429.6 (385.8, 477.3)	N/A	74	stable	-0.7 (-2.1, 0.7)
Howard County, Missouri ⁶	429.4 (378.2, 486.1)	N/A	57	stable	-1.1 (-2.9, 0.6)
Lubbock County, Texas ⁷	429.4 (418.8, 440.3)	N/A	1,289	falling	-1.0 (-1.6, -0.4)
Sumter County, South Carolina ⁶	429.3 (413.0, 446.1)	N/A	553	stable	-0.5 (-1.3, 0.4)
Madison County, Alabama ⁶	429.3 (420.4, 438.3)	N/A	1,879	stable	-0.2 (-0.7, 0.4)
Stephenson County, Illinois ⁷	429.3 (406.0, 453.6)	N/A	292	stable	-0.2 (-0.7, 0.4)
Kewaunee County, Wisconsin ⁶	429.2 (395.0, 465.9)	N/A	128	stable	-0.1 (-0.7, 1.5)
Hancock County, Ohio ⁶	429.1 (410.3, 448.6)	N/A	417	stable	-0.1 (-0.8, 0.7)
Oconee County, Georgia ⁷	429.1 (402.1, 457.5)	N/A	198	falling	-6.1 (-10.9, -1.0)
Shiawassee County, Michigan ⁶	429.0 (409.6, 449.2)	N/A	399	stable	-0.9 (-1.9, 0.0)
Union County, Kentucky ⁷	429.0 (385.7, 476.0)	N/A	78	stable	-0.4 (-1.4, 0.7)
Lancaster County, Nebraska ⁶	428.8 (418.7, 439.2)	N/A	1,429	stable	0.6 (-0.5, 2.8)
Clarion County, Pennsylvania ⁶	428.7 (403.0, 455.7)	N/A	230	falling	-1.9 (-7.1, -0.9)
Abbeville County, South Carolina ⁶	428.6 (397.0, 462.2)	N/A	155	stable	-0.3 (-1.5, 1.0)
Nez Perce County, Idaho ⁷	428.5 (403.8, 454.4)	N/A	244	falling	-1.7 (-4.0, -0.8)
Tooele County, Utah ⁷	428.5 (404.0, 454.0)	N/A	244	stable	-0.1 (-0.5, 0.5)
Boise County, Idaho ⁷	428.5 (372.3, 492.2)	N/A	56	stable	-0.6 (-2.7, 1.7)
Brookings County, South Dakota ⁶	428.4 (396.0, 462.8)	N/A	137	stable	-0.4 (-1.7, 1.1)
Presque Isle County, Michigan ⁶	428.3 (384.6, 476.5)	N/A	100	falling	-1.6 (-3.2, -0.1)
Mobile County, Alabama ⁶	428.2 (420.0, 436.6)	N/A	2,174	stable	-0.7 (-2.3, 0.8)
Cullman County, Alabama ⁶	428.2 (410.4, 446.6)	N/A	470	stable	0.1 (-0.5, 0.8)
Anderson County, Texas ⁷	428.2 (406.1, 451.2)	N/A	289	stable	1.1 (-0.3, 5.7)
Bledsoe County, Tennessee ⁶	428.1 (388.8, 470.9)	N/A	92	stable	-1.3 (-3.5, 0.0)
Blount County, Alabama ⁶	428.1 (407.0, 450.2)	N/A	325	stable	0.0 (-0.9, 1.0)
Choctaw County, Mississippi ⁶	428.1 (376.3, 486.0)	N/A	53	rising	2.8 (0.9, 4.9)
Washtenaw County, Michigan ⁶	428.1 (418.8, 437.6)	N/A	1,685	falling	-1.4 (-2.1, -0.7)
Mineral County, Montana ⁶	428.0 (356.9, 511.7)	N/A	34	falling	-4.0 (-15.3, -0.8)
Lewis County, Idaho ⁷	428.0 (351.5, 518.5)	N/A	28	stable	-2.7 (-5.8, 0.0)
Sabine County, Texas ⁷	427.9 (383.0, 477.8)	N/A	85	stable	1.4 (-0.9, 3.9)
Tuscaloosa County, Alabama ⁶	427.9 (415.4, 440.7)	N/A	936	falling	-1.7 (-3.8, -1.1)
Addison County, Vermont ⁶	427.8 (401.5, 455.5)	N/A	223	falling	-1.2 (-2.3, -0.2)
Northampton County, North Carolina ⁶	427.7 (393.4, 464.5)	N/A	141	stable	-0.3 (-0.9, 0.4)
Sweet Grass County, Montana ⁶	427.7 (350.8, 518.8)	N/A	26	stable	0.5 (-1.7, 2.9)
Calhoun County, South Carolina ⁶	427.4 (387.6, 470.6)	N/A	97	stable	-0.6 (-2.2, 1.2)
Perry County, Arkansas ⁶	427.3 (379.3, 480.3)	N/A	63	stable	-0.4 (-1.7, 0.9)
Jackson County, South Dakota ⁶	427.3 (328.4, 546.1)	N/A	14	stable	-0.5 (-4.2, 3.5)
Mahoning County, Ohio ⁶	427.2 (416.8, 437.8)	N/A	1,428	falling	-1.1 (-1.8, -0.5)
Taney County, Missouri ⁶	427.2 (406.2, 449.1)	N/A	345	stable	0.0 (-0.8, 2.1)
Lauderdale County, Mississippi ⁶	427.0 (408.1, 446.6)	N/A	406	stable	-0.5 (-1.5, 0.5)
Orleans Parish, Louisiana ⁷	426.9 (418.2, 435.7)	N/A	1,965	falling	-1.3 (-2.6, -0.8)
Lexington County, South Carolina ⁶	426.8 (417.0, 436.7)	N/A	1,526	falling	-3.3 (-5.5, -1.6)
DeKalb County, Tennessee ⁶	426.8 (392.4, 463.6)	N/A	121	stable	-0.4 (-1.2, 0.4)
Ingham County, Michigan ⁶	426.7 (416.0, 437.6)	N/A	1,295	stable	-0.7 (-1.7, 0.4)
Jefferson County, Idaho ⁷	426.7 (391.7, 463.9)	N/A	116	stable	0.2 (-0.8, 1.3)
Teton County, Montana ⁶	426.6 (365.3, 496.4)	N/A	40	stable	-0.6 (-2.7, 1.6)
Winston County, Mississippi ⁶	426.6 (390.3, 465.7)	N/A	110	falling	-1.2 (-5.9, -0.4)
Middlesex County, Massachusetts ⁷	426.6 (422.4, 430.9)	N/A	8,136	falling	-1.4 (-4.1, -0.9)
Warren County, Mississippi ⁶	426.5 (402.1, 452.1)	N/A	246	stable	-0.7 (-1.4, 0.1)
Greene County, North Carolina ⁶	426.5 (391.4, 464.1)	N/A	116	stable	-0.7 (-1.9, 0.6)
Macon County, Georgia ⁷	426.4 (382.0, 475.0)	N/A	73	falling	-1.1 (-2.0, -0.1)
Deer Lodge County, Montana ⁶	426.4 (378.6, 479.6)	N/A	66	stable	-1.2 (-2.9, 0.6)
Wayne County, Missouri ⁶	426.3 (385.0, 471.6)	N/A	90	falling	-5.4 (-11.1, -1.2)
Van Wert County, Ohio ⁶	426.2 (396.6, 457.6)	N/A	165	stable	0.2 (-0.8, 1.3)
Benton County, Arkansas ⁶	426.2 (415.5, 437.1)	N/A	1,226	stable	0.6 (0.0, 1.4)
Lincoln Parish, Louisiana ⁷	426.1 (399.1, 454.5)	N/A	198	stable	-0.7 (-3.8, 0.0)
Lincoln County, Colorado ⁶	426.0 (360.9, 500.3)	N/A	31	rising	2.3 (0.5, 4.2)
Clarendon County, South Carolina ⁶	425.9 (399.8, 453.5)	N/A	228	stable	3.3 (-2.6, 7.8)
Cascade County, Montana ⁶	425.8 (407.7, 444.5)	N/A	458	falling	-0.8 (-1.4, -0.3)
Gregory County, South Dakota ⁶	425.6 (351.2, 512.7)	N/A	28	stable	0.5 (-2.9, 3.9)
McDonald County, Missouri ⁶	425.6 (391.1, 462.4)	N/A	119	stable	0.9 (-0.4, 2.5)
McLean County, Illinois ⁷	425.5 (411.7, 439.7)	N/A	754	falling	-1.2 (-3.5, -0.9)
Davis County, Iowa ⁷	425.5 (370.7, 486.3)	N/A	47	stable	-0.1 (-1.0, 0.7)
Cache County, Utah ⁷	425.5 (406.9, 444.6)	N/A	411	rising	4.3 (1.4, 8.8)
Dorchester County, South Carolina ⁶	425.4 (411.7, 439.5)	N/A	768	falling	-1.9 (-3.7, -1.5)
Juab County, Utah ⁷	425.2 (370.5, 485.5)	N/A	45	stable	0.6 (-0.5, 2.0)
Calhoun County, Georgia ⁷	424.9 (361.1, 497.6)	N/A	33	falling	-2.7 (-5.1, -0.5)
Randolph County, Georgia ⁷	424.9 (366.1, 491.4)	N/A	45	stable	0.1 (-2.1, 2.3)
Putnam County, Illinois ⁷	424.8 (364.7, 493.8)	N/A	40	falling	-1.5 (-3.0, -0.1)
Barry County, Michigan ⁶	424.8 (404.2, 446.2)	N/A	352	stable	3.7 (-0.4, 10.7)
Wharton County, Texas ⁷	424.7 (399.3, 451.3)	N/A	222	falling	-1.2 (-2.8, -0.6)
Hillsdale County, Michigan ⁶	424.6 (401.3, 449.1)	N/A	273	stable	-0.6 (-1.6, 0.3)
Dawson County, Montana ⁶	424.6 (370.2, 485.1)	N/A	49	stable	-1.4 (-2.7, 0.0)
Valley County, Idaho ⁷	424.5 (378.5, 475.4)	N/A	76	stable	-1.3 (-2.8, 0.3)
Beaufort County, North Carolina ⁶	424.4 (402.4, 447.6)	N/A	320	stable	1.6 (-1.4, 4.2)
Carter County, Oklahoma ⁶	424.4 (401.0, 448.9)	N/A	259	stable	-2.0 (-6.6, 0.0)
Newton County, Texas ⁷	424.3 (383.1, 469.3)	N/A	86	stable	-0.3 (-9.5, 1.7)
Moniteau County, Missouri ⁶	424.3 (383.1, 468.8)	N/A	80	stable	0.2 (-1.0, 1.5)
Sonoma County, California ⁷	424.2 (417.0, 431.4)	N/A	2,929	falling	-1.4 (-2.3, -1.0)
Wyandot County, Ohio ⁶	424.1 (390.7, 459.7)	N/A	129	stable	-0.6 (-1.6, 0.3)
Hays County, Texas ⁷	423.9 (410.9, 437.2)	N/A	865	rising	2.5 (0.9, 4.9)
Green County, Wisconsin ⁶	423.9 (397.9, 451.3)	N/A	215	stable	-0.2 (-0.9, 0.5)
Lee County, Florida ⁶	423.9 (418.3, 429.5)	N/A	5,538	stable	-0.5 (-1.0, 0.0)
Hamilton County, Texas ⁷	423.8 (371.1, 482.5)	N/A	56	stable	-0.1 (-1.5, 1.4)
Irwin County, Georgia ⁷	423.8 (372.6, 480.5)	N/A	52	stable	0.2 (-1.1, 1.7)
Tensas Parish, Louisiana ⁷	423.4 (351.6, 507.1)	N/A	30	rising	5.9 (1.4, 13.7)
Barry County, Missouri ⁶	423.3 (397.7, 450.3)	N/A	224	rising	4.4 (1.7, 9.8)
Coos County, Oregon ⁶	423.3 (404.6, 442.7)	N/A	462	falling	-1.3 (-1.7, -0.8)
Forest County, Pennsylvania ⁶	423.3 (359.8, 501.9)	N/A	48	stable	-0.4 (-2.4, 1.7)
Franklin County, Pennsylvania ⁶	423.2 (410.5, 436.3)	N/A	898	stable	0.6 (-0.9, 3.0)
Dent County, Missouri ⁶	423.2 (384.0, 465.7)	N/A	97	stable	-1.1 (-2.4, 0.2)
DeWitt County, Texas ⁷	423.0 (388.4, 460.2)	N/A	119	stable	-0.7 (-1.6, 0.2)
Kerr County, Texas ⁷	423.0 (401.8, 445.1)	N/A	375	stable	-0.4 (-3.0, 2.9)
Camas County, Idaho ⁷	423.0 (284.3, 616.8)	N/A	7	stable	0.6 (-1.7, 3.0)
Carbon County, Montana ⁶	423.0 (377.5, 473.4)	N/A	76	stable	-0.6 (-2.3, 1.2)
Ozark County, Missouri ⁶	423.0 (374.4, 477.2)	N/A	70	stable	0.1 (-1.3, 1.5)
Bronx County, New York ⁷	422.9 (418.2, 427.7)	N/A	6,325	falling	-0.8 (-2.3, -0.5)
Marion County, Alabama ⁶	422.9 (395.2, 452.2)	N/A	187	stable	-3.2 (-6.3, 0.4)
Van Buren County, Tennessee ⁶	422.8 (362.9, 491.3)	N/A	40	stable	0.9 (-1.6, 4.0)
Hoonah-Angoon Census Area, Alaska ⁶	422.8 (326.1, 544.8)	N/A	16	rising	17.2 (1.0, 37.5)
Yell County, Arkansas ⁶	422.7 (388.2, 459.6)	N/A	117	stable	-0.4 (-1.7, 0.9)
Dade County, Missouri ⁶	422.6 (367.1, 485.1)	N/A	49	stable	1.0 (-1.7, 9.4)
Brazoria County, Texas ⁷	422.6 (413.0, 432.3)	N/A	1,567	stable	1.9 (-0.9, 3.5)
Wayne County, Pennsylvania ⁶	422.5 (401.9, 444.0)	N/A	357	stable	-0.7 (-1.7, 0.4)
Lancaster County, South Carolina ⁶	422.5 (406.6, 438.9)	N/A	579	stable	-0.1 (-1.1, 1.2)
Wayne County, Ohio ⁶	422.4 (407.1, 438.0)	N/A	629	stable	-0.1 (-0.6, 0.4)
Honolulu County, Hawaii ⁷	422.3 (417.0, 427.7)	N/A	5,165	stable	-0.3 (-1.7, 0.0)
Lavaca County, Texas ⁷	422.3 (388.4, 458.8)	N/A	131	stable	-0.8 (-1.8, 0.2)
Stanislaus County, California ⁷	422.3 (414.6, 430.0)	N/A	2,390	stable	-0.2 (-0.5, 0.1)
Pike County, Arkansas ⁶	422.1 (375.4, 473.6)	N/A	64	stable	-0.1 (-1.7, 1.6)
Ventura County, California ⁷	422.0 (416.2, 427.9)	N/A	4,271	stable	-0.2 (-0.9, 1.1)
Prowers County, Colorado ⁶	422.0 (375.0, 473.4)	N/A	64	stable	-0.2 (-1.7, 1.2)
DeKalb County, Missouri ⁶	422.0 (376.1, 472.3)	N/A	64	stable	0.6 (-1.2, 2.6)
Greene County, Missouri ⁶	421.9 (412.0, 431.9)	N/A	1,464	falling	-0.9 (-1.3, -0.5)
Houston County, Texas ⁷	421.8 (390.6, 455.2)	N/A	147	falling	-6.8 (-13.3, -2.7)
Bayfield County, Wisconsin ⁶	421.7 (384.7, 462.1)	N/A	119	stable	0.6 (-0.5, 1.8)
Buena Vista County, Iowa ⁷	421.5 (383.9, 461.8)	N/A	101	falling	-0.7 (-1.3, -0.2)
Berkeley County, South Carolina ⁶	421.4 (409.6, 433.4)	N/A	1,038	falling	-0.8 (-1.1, -0.4)
Johnson County, Tennessee ⁶	421.3 (386.7, 458.7)	N/A	118	stable	1.1 (-0.6, 3.1)
Pueblo County, Colorado ⁶	421.3 (408.9, 434.1)	N/A	938	stable	0.5 (-0.9, 2.6)
Larimer County, Colorado ⁶	421.3 (412.1, 430.7)	N/A	1,706	rising	1.7 (1.0, 2.9)
Livingston County, Michigan ⁶	421.3 (409.6, 433.2)	N/A	1,069	falling	-1.3 (-1.9, -0.7)
Sweetwater County, Wyoming ⁶	421.2 (393.8, 449.9)	N/A	194	stable	0.1 (-0.8, 1.2)
Newberry County, South Carolina ⁶	421.1 (395.6, 447.9)	N/A	223	stable	-0.8 (-1.5, 0.0)
Carter County, Missouri ⁶	421.0 (358.8, 491.7)	N/A	36	falling	-4.0 (-9.3, -2.1)
Jefferson County, Texas ⁷	420.9 (410.1, 431.9)	N/A	1,216	stable	2.6 (-0.1, 4.6)
Tillman County, Oklahoma ⁶	420.7 (362.9, 485.7)	N/A	42	stable	0.1 (-1.4, 1.6)
Orange County, Florida ⁶	420.6 (415.7, 425.6)	N/A	5,824	falling	-1.1 (-1.3, -0.9)
Fall River County, South Dakota ⁶	420.6 (368.4, 480.2)	N/A	56	falling	-2.3 (-4.2, -0.5)
Henderson County, Illinois ⁷	420.6 (365.3, 483.2)	N/A	49	stable	0.0 (-1.4, 1.3)
Grady County, Oklahoma ⁶	420.5 (398.7, 443.3)	N/A	294	stable	-0.1 (-1.0, 0.8)
Matanuska-Susitna Borough, Alaska ⁶	420.4 (402.2, 439.3)	N/A	457	falling	-1.7 (-2.2, -1.1)
Cass County, Michigan ⁶	420.4 (398.7, 443.0)	N/A	318	stable	0.2 (-1.0, 1.5)
Columbia County, Georgia ⁷	420.3 (406.3, 434.8)	N/A	708	stable	-0.4 (-1.0, 0.2)
Iron County, Utah ⁷	420.3 (394.8, 447.1)	N/A	214	stable	0.1 (-0.4, 0.8)
Powder River County, Montana ⁶	420.3 (315.5, 556.6)	N/A	13	stable	0.3 (-3.0, 4.1)
Bee County, Texas ⁷	420.3 (389.2, 453.1)	N/A	138	rising	1.7 (0.4, 6.1)
Daviess County, Missouri ⁶	420.2 (366.2, 480.6)	N/A	49	stable	0.2 (-1.5, 1.9)
Bulloch County, Georgia ⁷	420.0 (398.5, 442.4)	N/A	301	stable	-0.3 (-0.9, 0.4)
Clark County, Missouri ⁶	419.8 (361.8, 485.4)	N/A	42	stable	1.1 (-0.8, 3.1)
Hale County, Alabama ⁶	419.8 (379.2, 463.8)	N/A	87	falling	-2.8 (-13.3, -0.3)
Garfield County, Oklahoma ⁶	419.6 (398.4, 441.8)	N/A	309	stable	-0.8 (-1.7, 0.1)
Palm Beach County, Florida ⁶	419.6 (415.6, 423.6)	N/A	9,759	falling	-3.7 (-5.6, -2.5)
Randolph County, Alabama ⁶	419.6 (387.3, 454.1)	N/A	138	stable	0.8 (-0.6, 2.3)
Winston County, Alabama ⁶	419.4 (388.2, 452.6)	N/A	150	falling	-1.6 (-3.1, -0.8)
Montgomery County, Arkansas ⁶	419.3 (370.1, 474.3)	N/A	65	stable	-0.3 (-2.2, 1.7)
Henry County, Ohio ⁶	419.3 (389.0, 451.5)	N/A	153	stable	0.0 (-0.9, 0.9)
Saluda County, South Carolina ⁶	419.3 (385.0, 456.1)	N/A	120	stable	-0.4 (-1.6, 0.9)
St. Francis County, Arkansas ⁶	419.2 (387.1, 453.5)	N/A	132	rising	3.9 (0.5, 12.0)
George County, Mississippi ⁶	419.2 (384.5, 456.3)	N/A	115	stable	1.2 (0.0, 2.6)
Yoakum County, Texas ⁷	419.0 (357.3, 488.2)	N/A	34	stable	-0.6 (-2.9, 1.8)
Allamakee County, Iowa ⁷	419.0 (377.9, 463.7)	N/A	88	stable	-0.2 (-1.2, 0.8)
Jackson County, Oklahoma ⁶	418.9 (384.6, 455.5)	N/A	115	falling	-1.7 (-6.5, -0.7)
Adair County, Iowa ⁷	418.9 (362.8, 482.1)	N/A	46	stable	0.4 (-0.4, 1.2)
Limestone County, Texas ⁷	418.7 (385.9, 453.8)	N/A	132	stable	-0.5 (-2.0, 1.1)
Fergus County, Montana ⁶	418.5 (373.5, 468.1)	N/A	74	stable	-1.6 (-3.6, 0.3)
San Diego County, California ⁷	418.5 (415.5, 421.5)	N/A	15,343	rising	1.1 (0.3, 1.7)
Keith County, Nebraska ⁶	418.4 (368.0, 474.9)	N/A	60	stable	0.0 (-2.4, 2.7)
Davis County, Utah ⁷	418.4 (408.0, 429.1)	N/A	1,262	stable	0.2 (0.0, 0.5)
Box Butte County, Nebraska ⁶	418.3 (368.7, 473.1)	N/A	59	stable	-0.2 (-1.2, 0.8)
Franklin County, Idaho ⁷	418.2 (371.3, 469.4)	N/A	60	stable	0.9 (-0.5, 2.5)
Ionia County, Michigan ⁶	418.1 (397.2, 439.9)	N/A	315	stable	-0.5 (-1.1, 0.1)
Dillingham Census Area, Alaska ⁶	418.0 (331.2, 520.0)	N/A	18	stable	0.2 (-3.1, 3.7)
Essex County, New York ⁷	418.0 (394.0, 443.3)	N/A	257	falling	-0.7 (-1.3, -0.1)
Washita County, Oklahoma ⁶	417.9 (370.1, 470.6)	N/A	60	stable	-1.4 (-2.8, 0.0)
Howell County, Missouri ⁶	417.7 (392.7, 443.9)	N/A	228	stable	-0.3 (-1.3, 0.9)
Indiana County, Pennsylvania ⁶	417.5 (399.9, 435.7)	N/A	474	falling	-0.9 (-1.4, -0.4)
Shelby County, Ohio ⁶	417.5 (393.9, 442.2)	N/A	251	stable	-0.6 (-1.5, 0.3)
Allegan County, Michigan ⁶	417.4 (402.3, 433.0)	N/A	619	stable	0.0 (-0.6, 0.6)
Monroe County, Florida ⁶	417.4 (400.2, 435.2)	N/A	499	stable	-0.9 (-1.9, 0.1)
Lawrence County, Missouri ⁶	417.3 (391.7, 444.3)	N/A	210	stable	-0.5 (-1.4, 0.4)
Missoula County, Montana ⁶	417.3 (401.6, 433.5)	N/A	569	falling	-0.8 (-1.3, -0.2)
Hardeman County, Texas ⁷	417.3 (341.9, 505.8)	N/A	24	stable	-0.9 (-2.8, 0.8)
Dallas County, Texas ⁷	417.1 (413.4, 420.8)	N/A	10,233	stable	-0.1 (-0.6, 1.0)
Darlington County, South Carolina ⁶	417.0 (397.7, 437.1)	N/A	382	stable	-0.4 (-1.0, 0.3)
Pierce County, North Dakota ⁶	416.9 (341.2, 505.9)	N/A	26	stable	-0.9 (-3.8, 2.0)
Washington County, Alabama ⁶	416.9 (378.3, 458.7)	N/A	93	stable	-1.4 (-8.7, 1.0)
Sutter County, California ⁷	416.8 (399.8, 434.4)	N/A	467	stable	3.7 (-0.1, 6.3)
Kane County, Utah ⁷	416.8 (362.2, 478.3)	N/A	49	stable	0.0 (-0.9, 1.1)
Covington County, Alabama ⁶	416.8 (391.5, 443.5)	N/A	224	stable	-5.9 (-14.1, 0.9)
Little River County, Arkansas ⁶	416.7 (374.3, 463.1)	N/A	76	stable	0.0 (-1.5, 1.7)
Dare County, North Carolina ⁶	416.6 (391.6, 443.0)	N/A	237	stable	-0.6 (-1.9, 0.9)
El Dorado County, California ⁷	416.6 (405.4, 428.1)	N/A	1,187	falling	-1.0 (-1.4, -0.5)
Coffee County, Alabama ⁶	416.6 (394.2, 439.9)	N/A	273	stable	0.1 (-0.6, 0.9)
Marshall County, Oklahoma ⁶	416.3 (379.3, 456.3)	N/A	103	stable	-0.5 (-1.6, 0.7)
Hockley County, Texas ⁷	416.3 (380.8, 454.2)	N/A	106	stable	-0.9 (-1.9, 0.1)
Emmet County, Michigan ⁶	416.2 (389.6, 444.3)	N/A	210	stable	-1.4 (-2.7, 0.0)
Tyler County, Texas ⁷	416.2 (383.3, 451.4)	N/A	134	stable	-0.6 (-1.8, 0.7)
McIntosh County, Oklahoma ⁶	416.0 (382.6, 451.9)	N/A	136	falling	-1.5 (-2.7, -0.2)
Cedar County, Missouri ⁶	416.0 (376.9, 458.4)	N/A	93	stable	-0.9 (-1.9, 0.0)
Antrim County, Michigan ⁶	415.9 (385.3, 448.7)	N/A	170	falling	-1.4 (-2.3, -0.5)
Park County, Montana ⁶	415.8 (379.8, 454.8)	N/A	112	stable	-0.6 (-2.0, 1.0)
Polk County, Wisconsin ⁶	415.7 (393.0, 439.5)	N/A	276	stable	0.7 (-0.3, 1.8)
Eastland County, Texas ⁷	415.6 (379.8, 454.2)	N/A	113	stable	-0.5 (-1.3, 0.3)
Schleicher County, Texas ⁷	415.6 (324.5, 526.0)	N/A	16	stable	-0.1 (-2.0, 1.8)
Solano County, California ⁷	415.6 (407.7, 423.6)	N/A	2,228	falling	-1.5 (-2.5, -1.0)
Idaho County, Idaho ⁷	415.5 (379.7, 454.4)	N/A	123	stable	0.7 (-0.2, 1.6)
Queens County, New York ⁷	415.5 (412.0, 419.0)	N/A	11,454	stable	0.6 (-0.2, 1.1)
Transylvania County, North Carolina ⁶	415.5 (391.0, 441.4)	N/A	271	stable	0.1 (-0.8, 1.0)
Escambia County, Alabama ⁶	415.2 (389.2, 442.5)	N/A	201	falling	-0.8 (-1.4, -0.3)
Miami-Dade County, Florida ⁶	415.1 (412.0, 418.3)	N/A	13,902	falling	-0.5 (-0.8, -0.1)
Lauderdale County, Alabama ⁶	415.1 (398.6, 432.1)	N/A	525	falling	-1.5 (-6.3, -0.5)
Wilkes County, North Carolina ⁶	415.0 (396.7, 434.1)	N/A	426	falling	-1.2 (-5.9, -0.4)
Bowman County, North Dakota ⁶	415.0 (328.8, 518.7)	N/A	19	stable	-0.9 (-5.3, 3.6)
Mesa County, Colorado ⁶	414.9 (402.0, 428.1)	N/A	856	stable	-0.4 (-1.1, 2.0)
Stone County, Arkansas ⁶	414.8 (374.4, 459.2)	N/A	94	stable	0.0 (-1.0, 1.1)
Madison County, Arkansas ⁶	414.8 (376.6, 456.2)	N/A	93	stable	0.2 (-1.2, 1.7)
Natrona County, Wyoming ⁶	414.8 (396.0, 434.2)	N/A	394	falling	-0.8 (-1.4, -0.1)
Kent County, Michigan ⁶	414.6 (407.7, 421.5)	N/A	2,930	falling	-2.1 (-5.5, -1.3)
Texas County, Oklahoma ⁶	414.5 (374.5, 457.6)	N/A	82	stable	0.4 (-0.8, 1.8)
Grant County, Washington ⁶	414.5 (396.6, 433.0)	N/A	421	stable	-0.5 (-1.2, 0.2)
Washington County, Arkansas ⁶	414.5 (402.5, 426.7)	N/A	933	falling	-3.8 (-6.8, -0.7)
DeSoto County, Florida ⁶	414.4 (389.4, 440.8)	N/A	224	stable	0.1 (-0.5, 0.7)
Custer County, Nebraska ⁶	414.4 (368.3, 465.2)	N/A	67	stable	-0.6 (-2.5, 1.2)
Sutton County, Texas ⁷	414.4 (334.5, 508.6)	N/A	20	stable	-0.2 (-3.2, 2.9)
Adair County, Oklahoma ⁶	414.3 (379.5, 451.5)	N/A	110	stable	-0.5 (-2.1, 1.3)
Northwest Arctic Borough, Alaska ⁶	414.2 (339.0, 500.2)	N/A	23	stable	1.2 (-0.5, 3.1)
Coleman County, Texas ⁷	414.1 (364.6, 469.5)	N/A	59	stable	-0.4 (-1.6, 0.7)
Kimble County, Texas ⁷	414.0 (342.9, 497.5)	N/A	31	stable	-0.7 (-2.8, 1.4)
Bon Homme County, South Dakota ⁶	413.9 (356.4, 478.9)	N/A	41	stable	-1.3 (-4.1, 1.5)
Chowan County, North Carolina ⁶	413.8 (374.9, 456.3)	N/A	96	stable	-0.3 (-1.8, 1.2)
Franklin County, Massachusetts ⁷	413.8 (395.7, 432.6)	N/A	452	falling	-0.7 (-1.3, -0.2)
Falls County, Texas ⁷	413.8 (376.7, 453.8)	N/A	96	stable	0.0 (-1.6, 1.6)
Colorado County, Texas ⁷	413.7 (380.3, 449.6)	N/A	130	stable	-1.1 (-2.3, 0.0)
Ashe County, North Carolina ⁶	413.7 (385.7, 443.5)	N/A	190	stable	-0.3 (-1.4, 0.9)
Polk County, North Carolina ⁶	413.5 (381.3, 448.3)	N/A	162	stable	0.3 (-1.0, 1.7)
Hancock County, Georgia ⁷	413.4 (364.1, 468.7)	N/A	57	*	*
Logan County, Oklahoma ⁶	413.4 (389.7, 438.2)	N/A	242	stable	-0.7 (-1.8, 0.5)
Richland County, South Carolina ⁶	413.3 (404.5, 422.3)	N/A	1,760	falling	-1.3 (-1.7, -1.0)
Weber County, Utah ⁷	413.3 (401.8, 425.0)	N/A	1,013	stable	0.0 (-1.2, 2.3)
Irion County, Texas ⁷	413.2 (299.0, 561.9)	N/A	10	stable	-0.4 (-4.3, 3.7)
Iowa County, Wisconsin ⁶	413.1 (380.9, 447.5)	N/A	134	stable	0.6 (-0.5, 1.8)
Hampshire County, West Virginia ⁶	413.1 (381.8, 446.5)	N/A	147	falling	-1.3 (-5.1, -0.3)
Jones County, Texas ⁷	413.0 (376.7, 452.1)	N/A	97	stable	-0.2 (-1.1, 0.7)
Miller County, Arkansas ⁶	412.9 (388.4, 438.6)	N/A	223	stable	-0.4 (-1.1, 0.4)
Minidoka County, Idaho ⁷	412.8 (376.7, 451.6)	N/A	102	stable	-0.5 (-1.3, 0.3)
Denton County, Texas ⁷	412.6 (406.1, 419.2)	N/A	3,301	stable	0.4 (-0.5, 1.7)
Williams County, Ohio ⁶	412.5 (387.0, 439.4)	N/A	210	stable	-0.8 (-1.7, 0.1)
Sacramento County, California ⁷	412.3 (407.9, 416.7)	N/A	7,022	falling	-1.3 (-1.8, -1.1)
Horry County, South Carolina ⁶	412.1 (403.8, 420.5)	N/A	2,241	falling	-4.5 (-6.4, -2.0)
Tuolumne County, California ⁷	412.0 (392.1, 432.8)	N/A	384	falling	-3.3 (-11.2, -1.3)
Broward County, Florida ⁶	412.0 (408.3, 415.7)	N/A	10,118	falling	-4.3 (-7.7, -1.3)
Briscoe County, Texas ⁷	411.9 (301.6, 556.3)	N/A	10	stable	0.2 (-3.5, 3.9)
Genesee County, Michigan ⁶	411.9 (403.9, 420.0)	N/A	2,182	falling	-2.3 (-4.0, -1.7)
Iron County, Michigan ⁶	411.9 (368.0, 460.5)	N/A	87	stable	-1.1 (-2.6, 0.5)
Ransom County, North Dakota ⁶	411.7 (347.7, 485.4)	N/A	33	stable	-1.6 (-3.9, 0.5)
Conecuh County, Alabama ⁶	411.7 (369.0, 458.5)	N/A	77	falling	-2.6 (-9.0, -0.7)
Cheboygan County, Michigan ⁶	411.7 (382.5, 442.8)	N/A	183	stable	-0.9 (-2.6, 0.9)
Dodge County, Georgia ⁷	411.6 (378.3, 447.4)	N/A	117	stable	-0.7 (-2.0, 0.6)
Rockwall County, Texas ⁷	411.6 (394.0, 429.7)	N/A	433	stable	-0.9 (-1.5, 0.0)
Kershaw County, South Carolina ⁶	411.5 (392.1, 431.7)	N/A	366	falling	-1.5 (-2.1, -0.8)
Centre County, Pennsylvania ⁶	411.5 (397.8, 425.6)	N/A	718	stable	-0.5 (-1.0, 0.2)
Gray County, Texas ⁷	411.5 (377.3, 448.1)	N/A	110	falling	-2.1 (-5.8, -1.3)
Calumet County, Wisconsin ⁶	411.4 (388.3, 435.7)	N/A	250	stable	-0.9 (-1.9, 0.3)
Mills County, Texas ⁷	411.2 (344.6, 488.9)	N/A	34	stable	0.4 (-2.3, 3.2)
Wagoner County, Oklahoma ⁶	411.1 (393.0, 429.8)	N/A	410	stable	-0.1 (-1.0, 0.9)
Washington County, Oregon ⁶	411.0 (403.8, 418.2)	N/A	2,616	falling	-0.5 (-0.7, -0.2)
Val Verde County, Texas ⁷	410.9 (385.9, 437.2)	N/A	205	stable	0.7 (-0.1, 3.2)
Deschutes County, Oregon ⁶	410.9 (399.6, 422.5)	N/A	1,094	falling	-1.2 (-1.8, -0.6)
Dade County, Georgia ⁷	410.8 (372.3, 452.6)	N/A	91	stable	-0.8 (-3.0, 1.6)
Johnson County, Georgia ⁷	410.7 (363.0, 463.6)	N/A	56	stable	1.0 (-0.5, 2.6)
Otsego County, Michigan ⁶	410.7 (379.7, 443.9)	N/A	146	falling	-1.0 (-1.9, -0.1)
Bear Lake County, Idaho ⁷	410.6 (347.3, 482.7)	N/A	34	stable	1.0 (-1.3, 3.6)
Branch County, Michigan ⁶	410.5 (386.8, 435.5)	N/A	239	stable	-0.9 (-1.9, 0.2)
Napa County, California ⁷	410.5 (397.3, 424.1)	N/A	776	falling	-2.6 (-4.0, -1.7)
Carbon County, Utah ⁷	410.4 (374.1, 449.5)	N/A	101	stable	0.0 (-0.7, 0.6)
Lyman County, South Dakota ⁶	410.4 (330.5, 504.7)	N/A	20	stable	-1.5 (-3.7, 0.7)
Love County, Oklahoma ⁶	410.3 (361.8, 464.0)	N/A	55	stable	-11.1 (-25.8, 3.3)
Boyd County, Nebraska ⁶	410.3 (305.3, 545.3)	N/A	14	stable	1.6 (-19.6, 23.4)
Owyhee County, Idaho ⁷	410.3 (363.9, 461.1)	N/A	62	falling	-1.7 (-3.2, -0.6)
Fremont County, Idaho ⁷	410.1 (366.1, 458.2)	N/A	67	stable	-0.3 (-1.6, 1.1)
Leon County, Texas ⁷	410.1 (374.6, 448.4)	N/A	116	stable	-0.4 (-1.0, 0.2)
Crook County, Wyoming ⁶	410.0 (356.2, 470.6)	N/A	47	stable	0.8 (-1.3, 3.3)
Jackson County, North Carolina ⁶	410.0 (385.3, 435.9)	N/A	233	stable	1.4 (-2.3, 5.7)
Caldwell County, Texas ⁷	409.9 (384.3, 436.7)	N/A	200	stable	4.3 (-0.9, 7.6)
Daggett County, Utah ⁷	409.8 (273.0, 603.3)	N/A	7	*	*
Carter County, Tennessee ⁶	409.8 (389.9, 430.5)	N/A	352	stable	0.0 (-3.7, 0.9)
Monroe County, Alabama ⁶	409.8 (376.2, 445.8)	N/A	122	falling	-2.5 (-7.1, -0.4)
Choctaw County, Alabama ⁶	409.7 (368.7, 454.6)	N/A	82	stable	-7.7 (-15.8, 0.9)
Chilton County, Alabama ⁶	409.7 (385.4, 435.1)	N/A	225	stable	-0.5 (-1.6, 0.6)
Duplin County, North Carolina ⁶	409.6 (389.1, 431.1)	N/A	322	stable	0.1 (-0.6, 0.8)
Crockett County, Texas ⁷	409.6 (328.0, 506.6)	N/A	18	stable	0.0 (-3.1, 3.1)
Calhoun County, Texas ⁷	409.4 (375.2, 446.1)	N/A	113	stable	-0.9 (-1.9, 0.0)
Gooding County, Idaho ⁷	409.3 (369.2, 452.9)	N/A	80	stable	-0.8 (-1.8, 0.2)
Buffalo County, Wisconsin ⁶	409.3 (369.2, 453.2)	N/A	85	stable	0.1 (-0.7, 0.8)
Adair County, Missouri ⁶	409.3 (374.0, 447.1)	N/A	108	stable	-0.3 (-1.6, 1.1)
Washington County, Utah ⁷	409.3 (397.0, 421.9)	N/A	964	stable	0.2 (0.0, 0.5)
Howard County, Maryland ⁶	409.1 (399.7, 418.7)	N/A	1,496	stable	2.2 (-0.8, 4.3)
Cleveland County, Oklahoma ⁶	409.0 (398.6, 419.6)	N/A	1,218	falling	-1.2 (-1.6, -0.6)
Douglas County, Oregon ⁶	409.0 (394.6, 423.8)	N/A	734	stable	-0.8 (-1.6, 0.0)
Holt County, Nebraska ⁶	408.9 (360.3, 462.8)	N/A	61	stable	-0.8 (-2.1, 0.4)
Suffolk County, Massachusetts ⁷	408.9 (402.5, 415.4)	N/A	3,210	falling	-2.3 (-3.3, -1.8)
Ralls County, Missouri ⁶	408.9 (362.6, 460.2)	N/A	64	stable	-0.3 (-1.8, 1.4)
Dona Ana County, New Mexico ⁷	408.9 (397.3, 420.8)	N/A	997	rising	0.8 (0.1, 3.0)
Benewah County, Idaho ⁷	408.8 (359.9, 463.3)	N/A	58	stable	-1.4 (-2.9, 0.1)
Moore County, Tennessee ⁶	408.7 (351.5, 473.8)	N/A	40	rising	1.6 (0.1, 3.3)
Seminole County, Georgia ⁷	408.7 (356.8, 466.7)	N/A	52	stable	-0.7 (-2.8, 1.5)
Callahan County, Texas ⁷	408.6 (368.2, 452.6)	N/A	83	stable	-0.6 (-1.9, 0.8)
Cleburne County, Alabama ⁶	408.5 (369.2, 451.2)	N/A	85	stable	0.0 (-1.8, 1.9)
Candler County, Georgia ⁷	408.5 (361.3, 460.6)	N/A	59	stable	0.3 (-1.6, 2.4)
Izard County, Arkansas ⁶	408.4 (369.7, 450.7)	N/A	93	stable	3.2 (-1.9, 6.9)
Kodiak Island Borough, Alaska ⁶	408.2 (356.4, 465.2)	N/A	53	stable	-1.5 (-3.4, 0.6)
Jim Wells County, Texas ⁷	408.1 (381.7, 435.8)	N/A	187	stable	1.8 (-0.3, 7.5)
Charlton County, Georgia ⁷	406.9 (362.9, 455.1)	N/A	64	stable	0.8 (-0.8, 2.7)
Weld County, Colorado ⁶	406.9 (396.7, 417.3)	N/A	1,280	stable	2.8 (0.0, 4.8)
District of Columbia ⁶	406.9 (400.0, 413.8)	N/A	2,822	falling	-1.4 (-2.1, -0.8)
Maui County, Hawaii ⁷	406.8 (394.5, 419.5)	N/A	896	stable	0.0 (-0.4, 0.3)
Bannock County, Idaho ⁷	406.8 (388.2, 426.2)	N/A	377	stable	-0.5 (-1.1, 0.0)
Comanche County, Texas ⁷	406.8 (366.2, 451.1)	N/A	86	falling	-1.1 (-6.0, -0.2)
Prince Georges County, Maryland ⁶	406.8 (401.1, 412.6)	N/A	4,111	stable	-0.3 (-0.7, 0.2)
Knox County, Nebraska ⁶	406.5 (353.4, 466.0)	N/A	52	stable	-0.8 (-3.0, 1.3)
Atkinson County, Georgia ⁷	406.4 (348.4, 471.4)	N/A	37	stable	-0.6 (-2.2, 1.2)
Hampshire County, Massachusetts ⁷	406.4 (393.3, 419.8)	N/A	809	falling	-1.2 (-1.6, -0.8)
Archer County, Texas ⁷	406.2 (355.7, 462.5)	N/A	52	rising	4.1 (0.8, 12.4)
Jerome County, Idaho ⁷	406.1 (370.2, 444.6)	N/A	98	stable	-1.1 (-2.4, 0.2)
Contra Costa County, California ⁷	405.9 (401.1, 410.8)	N/A	5,645	falling	-1.5 (-2.4, -1.1)
Hamilton County, Florida ⁶	405.9 (364.9, 450.6)	N/A	76	stable	0.7 (-1.2, 2.8)
Atchison County, Missouri ⁶	405.9 (341.4, 480.5)	N/A	33	stable	-0.6 (-2.6, 1.3)
Pacific County, Washington ⁶	405.7 (376.2, 437.4)	N/A	178	stable	-0.4 (-1.5, 0.7)
Lincoln County, Arkansas ⁶	405.6 (362.1, 453.3)	N/A	65	stable	0.6 (-1.5, 2.8)
San Joaquin County, California ⁷	405.6 (399.2, 412.1)	N/A	3,133	stable	0.2 (-0.2, 0.9)
Camden County, Missouri ⁶	405.5 (384.1, 427.9)	N/A	344	falling	-1.0 (-1.7, -0.2)
Walker County, Georgia ⁷	405.4 (386.8, 424.8)	N/A	379	stable	-1.0 (-2.5, 0.6)
Platte County, Missouri ⁶	405.4 (389.0, 422.4)	N/A	479	stable	-0.6 (-1.3, 0.2)
Travis County, Texas ⁷	405.4 (399.9, 411.0)	N/A	4,514	stable	1.0 (0.0, 3.2)
Sevier County, Utah ⁷	405.3 (370.1, 443.1)	N/A	103	stable	0.2 (-0.6, 1.1)
Edwards County, Illinois ⁷	405.1 (346.6, 471.5)	N/A	38	stable	-0.5 (-2.3, 1.2)
Washington County, Texas ⁷	405.1 (379.3, 432.2)	N/A	210	falling	-1.3 (-1.9, -0.6)
Kern County, California ⁷	405.0 (398.8, 411.4)	N/A	3,322	falling	-0.7 (-1.0, -0.3)
Hyde County, North Carolina ⁶	404.9 (341.4, 478.5)	N/A	32	stable	-1.1 (-4.3, 2.1)
Moody County, South Dakota ⁶	404.8 (344.3, 473.6)	N/A	36	stable	0.0 (-1.6, 1.8)
Ravalli County, Montana ⁶	404.6 (382.4, 428.0)	N/A	297	falling	-0.8 (-1.3, -0.2)
Dawson County, Nebraska ⁶	404.6 (371.3, 440.2)	N/A	115	stable	-0.4 (-1.7, 1.1)
Newton County, Arkansas ⁶	404.5 (353.7, 461.8)	N/A	55	rising	9.1 (0.2, 17.4)
Gonzales County, Texas ⁷	404.5 (369.4, 442.2)	N/A	103	stable	4.3 (-0.3, 10.0)
Hamilton County, Illinois ⁷	404.5 (352.9, 462.2)	N/A	49	stable	0.2 (-1.5, 2.0)
Wilcox County, Georgia ⁷	404.3 (353.4, 461.1)	N/A	47	stable	-0.1 (-1.5, 1.4)
Orange County, California ⁷	404.2 (401.3, 407.2)	N/A	14,854	stable	0.2 (-1.0, 1.1)
Linn County, Oregon ⁶	404.2 (390.3, 418.5)	N/A	686	falling	-1.4 (-4.0, -0.8)
Converse County, Wyoming ⁶	404.2 (361.8, 450.4)	N/A	71	stable	-1.2 (-2.6, 0.3)
Custer County, Oklahoma ⁶	403.9 (371.8, 438.2)	N/A	123	stable	-0.8 (-1.9, 0.3)
Jefferson County, Oregon ⁶	403.9 (372.1, 437.9)	N/A	131	stable	0.7 (-0.5, 2.2)
Cotton County, Oklahoma ⁶	403.9 (343.1, 473.4)	N/A	34	stable	0.4 (-1.3, 2.2)
Bryan County, Oklahoma ⁶	403.9 (380.7, 428.2)	N/A	240	falling	-1.1 (-1.7, -0.4)
Refugio County, Texas ⁷	403.8 (348.4, 466.4)	N/A	42	stable	-1.9 (-16.6, 3.1)
Morgan County, Utah ⁷	403.7 (352.0, 460.9)	N/A	45	stable	-0.3 (-1.3, 1.0)
Sandoval County, New Mexico ⁷	403.7 (390.4, 417.4)	N/A	753	stable	-0.3 (-0.7, 0.1)
Guadalupe County, Texas ⁷	403.5 (390.3, 417.1)	N/A	728	falling	-1.1 (-1.5, -0.7)
Wasatch County, Utah ⁷	403.2 (371.1, 437.3)	N/A	128	stable	-0.1 (-0.7, 0.7)
San Augustine County, Texas ⁷	403.1 (353.8, 458.4)	N/A	58	stable	-0.1 (-1.3, 1.0)
Texas County, Missouri ⁶	403.0 (373.1, 434.8)	N/A	149	stable	-0.7 (-1.6, 0.2)
Bates County, Missouri ⁶	402.9 (365.3, 443.6)	N/A	92	stable	-0.8 (-2.2, 0.6)
Taylor County, Georgia ⁷	402.8 (351.3, 460.6)	N/A	48	stable	-0.5 (-1.6, 0.8)
Fairbanks North Star, Alaska ⁶	402.7 (382.9, 423.2)	N/A	356	stable	3.4 (-1.8, 6.7)
Shelby County, Alabama ⁶	402.6 (391.5, 414.1)	N/A	1,032	falling	-0.8 (-1.3, -0.3)
Gentry County, Missouri ⁶	402.6 (343.0, 470.2)	N/A	36	stable	-0.3 (-2.2, 1.5)
Montgomery County, Texas ⁷	402.6 (395.4, 409.8)	N/A	2,547	stable	1.6 (-0.4, 3.0)
Sheridan County, Wyoming ⁶	402.5 (374.9, 431.8)	N/A	176	falling	-1.9 (-2.5, -1.3)
Teton County, Wyoming ⁶	402.5 (368.4, 439.0)	N/A	110	stable	-0.6 (-2.6, 1.8)
Nevada County, California ⁷	402.4 (387.6, 417.6)	N/A	694	falling	-1.3 (-1.9, -0.7)
Doddridge County, West Virginia ⁶	402.4 (352.8, 458.0)	N/A	51	rising	2.7 (0.9, 4.9)
Fremont County, Colorado ⁶	402.4 (381.0, 424.7)	N/A	291	falling	-1.7 (-3.2, -1.1)
Hale County, Texas ⁷	402.3 (372.9, 433.5)	N/A	142	stable	-0.5 (-1.8, 0.7)
Jefferson County, Colorado ⁶	402.1 (395.4, 408.9)	N/A	2,914	stable	-0.2 (-1.4, 1.1)
Collier County, Florida ⁶	402.0 (394.4, 409.7)	N/A	2,852	falling	-0.8 (-1.3, -0.3)
Lewis County, Washington ⁶	401.7 (384.6, 419.3)	N/A	463	falling	-1.4 (-1.8, -0.9)
Butte County, South Dakota ⁶	401.5 (354.5, 453.5)	N/A	59	stable	-0.8 (-2.1, 0.5)
Shelby County, Texas ⁷	401.5 (370.4, 434.6)	N/A	131	falling	-0.9 (-1.7, -0.1)
Kusilvak/Wade Hampton Census Area, Alaska ⁶	401.3 (316.1, 500.4)	N/A	18	stable	-1.6 (-5.2, 2.4)
Union County, Oregon ⁶	401.2 (370.8, 433.5)	N/A	147	stable	-1.1 (-2.5, 0.3)
Tattnall County, Georgia ⁷	401.2 (369.1, 435.4)	N/A	119	falling	-1.4 (-2.2, -0.6)
Mohave County, Arizona ⁶	401.2 (391.2, 411.4)	N/A	1,594	falling	-2.7 (-6.4, -1.3)
Phillips County, Colorado ⁶	401.1 (326.5, 488.5)	N/A	25	stable	-0.8 (-2.6, 0.9)
Catoosa County, Georgia ⁷	401.1 (382.2, 420.8)	N/A	353	stable	-0.7 (-2.1, 0.9)
Seminole County, Oklahoma ⁶	401.0 (369.6, 434.5)	N/A	129	falling	-1.2 (-1.8, -0.6)
Walworth County, South Dakota ⁶	401.0 (337.1, 474.5)	N/A	33	stable	-0.8 (-3.0, 1.3)
Deaf Smith County, Texas ⁷	400.7 (359.9, 444.8)	N/A	73	stable	0.2 (-1.0, 1.4)
St. Joseph County, Michigan ⁶	400.7 (380.3, 421.9)	N/A	315	falling	-1.0 (-1.6, -0.3)
Eau Claire County, Wisconsin ⁶	400.6 (384.2, 417.5)	N/A	479	stable	-4.8 (-9.4, 0.0)
Richland County, Wisconsin ⁶	400.6 (365.8, 438.1)	N/A	112	stable	-0.3 (-1.3, 0.7)
Jefferson County, Iowa ⁷	400.5 (364.2, 439.8)	N/A	109	stable	-0.2 (-1.0, 0.6)
Hansford County, Texas ⁷	400.3 (331.0, 480.2)	N/A	24	stable	-0.5 (-2.3, 1.3)
Delta County, Colorado ⁶	400.3 (373.4, 428.8)	N/A	202	stable	-0.2 (-1.0, 0.6)
Kearney County, Nebraska ⁶	400.2 (342.4, 465.7)	N/A	37	falling	-9.5 (-16.6, -0.7)
Latah County, Idaho ⁷	399.9 (371.8, 429.7)	N/A	161	stable	-0.2 (-1.2, 0.8)
Salt Lake County, Utah ⁷	399.8 (394.3, 405.4)	N/A	4,201	falling	-0.7 (-0.9, -0.5)
Albany County, Wyoming ⁶	399.8 (369.4, 432.1)	N/A	138	stable	-0.9 (-2.2, 0.6)
El Paso County, Texas ⁷	399.7 (393.5, 406.0)	N/A	3,277	stable	0.8 (-0.1, 2.9)
Deuel County, South Dakota ⁶	399.7 (329.4, 482.1)	N/A	25	stable	-1.5 (-3.7, 0.6)
Oktibbeha County, Mississippi ⁶	399.7 (372.6, 428.2)	N/A	171	stable	-1.2 (-10.9, 2.8)
Yakima County, Washington ⁶	399.5 (388.6, 410.7)	N/A	1,051	falling	-0.9 (-1.4, -0.3)
Coal County, Oklahoma ⁶	399.3 (333.9, 474.4)	N/A	30	falling	-2.1 (-3.8, -0.4)
Box Elder County, Utah ⁷	399.2 (375.5, 424.0)	N/A	219	stable	-0.3 (-0.8, 0.3)
Kidder County, North Dakota ⁶	399.2 (309.7, 510.0)	N/A	16	stable	1.1 (-2.2, 4.8)
Perquimans County, North Carolina ⁶	399.2 (360.6, 441.4)	N/A	95	stable	-1.0 (-2.2, 0.3)
Juneau Borough, Alaska ⁶	399.1 (368.6, 431.4)	N/A	143	stable	-0.9 (-2.2, 0.5)
Collin County, Texas ⁷	399.0 (393.3, 404.9)	N/A	3,874	falling	-1.3 (-3.2, -0.4)
Dakota County, Nebraska ⁶	398.8 (361.3, 439.2)	N/A	86	stable	0.1 (-1.5, 1.9)
Stone County, Missouri ⁶	398.8 (373.6, 425.7)	N/A	245	stable	-1.1 (-2.2, 0.0)
Chaffee County, Colorado ⁶	398.8 (365.9, 434.3)	N/A	130	stable	-0.3 (-1.3, 0.7)
Maverick County, Texas ⁷	398.8 (375.0, 423.7)	N/A	213	stable	0.7 (-4.1, 4.7)
Calaveras County, California ⁷	398.7 (377.3, 421.2)	N/A	327	stable	-0.6 (-1.2, 0.1)
Montgomery County, Georgia ⁷	398.6 (347.1, 456.1)	N/A	46	stable	-0.5 (-1.7, 0.9)
Garrett County, Maryland ⁶	398.3 (371.2, 427.2)	N/A	179	stable	-0.2 (-1.0, 0.6)
Taylor County, Wisconsin ⁶	398.3 (364.6, 434.5)	N/A	115	stable	-0.4 (-1.3, 0.6)
Hudson County, New Jersey ⁷	398.2 (391.4, 405.1)	N/A	2,679	stable	0.3 (-0.6, 2.1)
Yolo County, California ⁷	398.0 (385.8, 410.4)	N/A	846	falling	-0.8 (-1.3, -0.2)
Klickitat County, Washington ⁶	397.9 (367.0, 431.1)	N/A	143	stable	0.5 (-0.7, 2.0)
St. Clair County, Missouri ⁶	397.8 (350.8, 450.2)	N/A	64	stable	-0.9 (-2.8, 0.9)
El Paso County, Colorado ⁶	397.6 (391.0, 404.3)	N/A	2,903	falling	-1.7 (-5.0, -0.6)
Madison County, Idaho ⁷	397.6 (361.0, 436.8)	N/A	93	stable	0.4 (-1.0, 2.0)
Polk County, Missouri ⁶	397.6 (369.5, 427.3)	N/A	161	falling	-1.4 (-2.4, -0.4)
San Mateo County, California ⁷	397.6 (391.8, 403.4)	N/A	3,741	falling	-1.7 (-3.0, -0.2)
Big Horn County, Wyoming ⁶	397.4 (353.9, 445.4)	N/A	68	stable	-1.2 (-2.6, 0.2)
Adams County, Colorado ⁶	397.4 (389.1, 405.8)	N/A	1,859	falling	-0.9 (-1.3, -0.4)
Lake County, South Dakota ⁶	397.2 (353.8, 445.0)	N/A	74	falling	-2.3 (-3.8, -0.9)
Austin County, Texas ⁷	397.2 (369.3, 426.9)	N/A	165	falling	-1.3 (-2.3, -0.2)
Lafayette County, Mississippi ⁶	397.0 (372.9, 422.3)	N/A	212	stable	-0.4 (-1.8, 1.3)
Jenkins County, Georgia ⁷	397.0 (344.6, 455.4)	N/A	43	stable	-1.0 (-2.5, 0.7)
Terry County, Texas ⁷	396.7 (350.8, 447.0)	N/A	56	stable	-0.6 (-2.0, 0.8)
Luce County, Michigan ⁶	396.6 (340.1, 461.2)	N/A	38	stable	-1.5 (-3.5, 0.4)
Adams County, Idaho ⁷	396.4 (330.3, 475.2)	N/A	33	stable	-2.1 (-4.4, 0.4)
Sierra County, New Mexico ⁷	396.3 (352.2, 445.6)	N/A	90	stable	-0.6 (-1.2, 0.1)
Mason County, Michigan ⁶	396.3 (368.8, 425.6)	N/A	180	stable	7.6 (-1.3, 14.5)
Jeff Davis County, Georgia ⁷	396.2 (355.3, 440.7)	N/A	72	falling	-1.2 (-2.2, -0.2)
Knox County, Missouri ⁶	396.2 (323.7, 481.8)	N/A	23	stable	-1.2 (-2.9, 0.5)
Lenawee County, Michigan ⁶	396.1 (380.7, 412.1)	N/A	532	stable	-0.9 (-1.9, 0.1)
St. Croix County, Wisconsin ⁶	396.1 (378.6, 414.2)	N/A	410	rising	1.1 (0.2, 2.1)
Morrow County, Oregon ⁶	396.1 (349.5, 447.4)	N/A	56	stable	-1.1 (-2.7, 0.6)
Denver County, Colorado ⁶	396.0 (389.3, 402.9)	N/A	2,729	falling	-0.9 (-1.2, -0.6)
Titus County, Texas ⁷	396.0 (366.9, 426.8)	N/A	142	stable	-1.0 (-1.9, 0.0)
Atoka County, Oklahoma ⁶	395.8 (354.9, 440.4)	N/A	74	stable	-0.3 (-1.3, 0.7)
Seward County, Nebraska ⁶	395.8 (357.6, 437.2)	N/A	84	falling	-1.4 (-2.6, -0.3)
Brown County, Nebraska ⁶	395.7 (313.8, 495.2)	N/A	20	stable	-1.6 (-4.6, 1.3)
Reagan County, Texas ⁷	395.6 (305.6, 503.2)	N/A	14	stable	0.1 (-2.3, 2.7)
Tillamook County, Oregon ⁶	395.5 (366.9, 426.1)	N/A	174	stable	-0.8 (-1.6, 0.1)
Hawaii County, Hawaii ⁷	395.5 (384.6, 406.6)	N/A	1,148	stable	2.7 (-1.3, 5.6)
Carbon County, Wyoming ⁶	395.4 (354.4, 440.1)	N/A	74	stable	-0.4 (-2.1, 1.3)
Garfield County, Colorado ⁶	395.4 (373.1, 418.8)	N/A	254	stable	-0.8 (-1.6, 0.2)
Yavapai County, Arizona ⁶	395.3 (385.7, 405.2)	N/A	1,762	falling	-0.6 (-1.0, -0.2)
Blanco County, Texas ⁷	395.2 (354.6, 440.2)	N/A	82	stable	0.5 (-8.7, 8.5)
Curry County, Oregon ⁶	395.2 (365.4, 427.2)	N/A	186	stable	-1.1 (-2.3, 0.1)
Howard County, Texas ⁷	394.9 (367.0, 424.5)	N/A	154	falling	-1.6 (-2.3, -0.8)
Allendale County, South Carolina ⁶	394.9 (344.4, 451.4)	N/A	48	stable	-0.5 (-2.0, 0.9)
Colusa County, California ⁷	394.6 (358.9, 433.1)	N/A	94	stable	0.3 (-1.3, 2.0)
Frontier County, Nebraska ⁶	394.6 (308.9, 500.2)	N/A	17	stable	-1.8 (-4.3, 0.6)
Deuel County, Nebraska ⁶	394.5 (297.2, 520.2)	N/A	12	stable	-0.6 (-4.0, 2.8)
Benton County, Mississippi ⁶	394.4 (342.5, 452.6)	N/A	44	stable	-0.2 (-2.8, 2.5)
Swisher County, Texas ⁷	394.3 (337.5, 458.4)	N/A	36	stable	-0.6 (-1.8, 0.6)
Grand County, Utah ⁷	394.3 (345.3, 448.8)	N/A	52	stable	-0.5 (-1.7, 0.8)
Wilson County, Texas ⁷	394.3 (371.7, 418.0)	N/A	242	stable	-0.6 (-1.6, 0.6)
Harris County, Texas ⁷	393.9 (391.2, 396.6)	N/A	16,988	stable	1.0 (-0.3, 2.0)
San Bernardino County, California ⁷	393.8 (390.0, 397.7)	N/A	8,326	falling	-0.8 (-1.0, -0.6)
Grant County, Nebraska ⁶	393.8 (218.1, 667.6)	N/A	4	stable	-1.7 (-7.3, 4.1)
Clay County, Georgia ⁷	393.7 (310.7, 495.1)	N/A	19	stable	0.4 (-2.6, 3.7)
Watauga County, North Carolina ⁶	393.7 (371.0, 417.4)	N/A	250	falling	-1.3 (-2.0, -0.5)
Jefferson County, Florida ⁶	393.6 (355.9, 434.9)	N/A	90	stable	-0.6 (-1.6, 0.5)
Douglas County, Colorado ⁶	393.6 (384.0, 403.3)	N/A	1,400	falling	-1.2 (-1.7, -0.4)
Comal County, Texas ⁷	393.3 (380.5, 406.4)	N/A	778	falling	-1.2 (-1.7, -0.6)
Hertford County, North Carolina ⁶	393.2 (362.2, 426.4)	N/A	132	stable	-1.2 (-2.5, 0.1)
Rock County, Nebraska ⁶	393.2 (283.4, 541.6)	N/A	10	stable	-1.7 (-5.4, 2.1)
Childress County, Texas ⁷	393.1 (332.1, 462.5)	N/A	31	stable	-0.8 (-2.6, 0.9)
Fulton County, Pennsylvania ⁶	393.1 (355.5, 434.1)	N/A	87	falling	-6.3 (-11.9, -2.5)
Starr County, Texas ⁷	392.9 (370.1, 416.7)	N/A	224	rising	2.0 (0.6, 3.5)
Barnwell County, South Carolina ⁶	392.6 (359.6, 428.0)	N/A	113	stable	-0.9 (-2.2, 0.5)
Platte County, Wyoming ⁶	392.6 (344.5, 446.5)	N/A	57	stable	-1.4 (-2.8, 0.0)
Kemper County, Mississippi ⁶	392.4 (344.3, 445.9)	N/A	53	stable	-0.9 (-2.2, 0.4)
Greene County, Mississippi ⁶	392.2 (349.6, 438.9)	N/A	63	stable	-0.1 (-2.3, 2.5)
Floyd County, Texas ⁷	391.8 (327.8, 465.2)	N/A	29	stable	-0.4 (-1.9, 1.1)
Ottawa County, Michigan ⁶	391.5 (381.7, 401.5)	N/A	1,270	falling	-1.2 (-1.8, -0.6)
Pulaski County, Georgia ⁷	391.5 (348.0, 439.6)	N/A	65	stable	0.1 (-1.3, 1.5)
Dundy County, Nebraska ⁶	391.5 (296.3, 515.3)	N/A	12	stable	-0.5 (-3.7, 2.8)
Monroe County, Michigan ⁶	391.3 (378.7, 404.2)	N/A	796	stable	-0.9 (-2.4, 0.8)
Menominee County, Michigan ⁶	391.1 (361.2, 423.3)	N/A	149	stable	1.0 (-2.3, 4.8)
Los Alamos County, New Mexico ⁷	391.1 (355.9, 429.0)	N/A	97	falling	-0.9 (-1.4, -0.3)
Cottle County, Texas ⁷	390.8 (276.4, 544.3)	N/A	8	stable	-1.8 (-4.6, 0.5)
Goliad County, Texas ⁷	390.7 (338.0, 450.2)	N/A	46	stable	-1.2 (-2.4, 0.0)
Madison County, Texas ⁷	390.7 (348.5, 436.7)	N/A	64	stable	-0.3 (-1.6, 1.0)
Lamb County, Texas ⁷	390.6 (347.2, 438.2)	N/A	62	stable	-0.5 (-1.5, 0.5)
Calhoun County, West Virginia ⁶	390.6 (337.9, 450.4)	N/A	46	stable	-1.0 (-2.5, 0.6)
Scurry County, Texas ⁷	390.4 (351.2, 432.8)	N/A	75	stable	-0.9 (-2.1, 0.3)
Motley County, Texas ⁷	390.3 (272.3, 554.6)	N/A	9	stable	-2.2 (-6.3, 1.6)
Broomfield County, Colorado ⁶	390.3 (370.5, 410.9)	N/A	300	stable	-0.9 (-1.6, 0.0)
Montrose County, Colorado ⁶	390.2 (367.3, 414.4)	N/A	250	stable	0.6 (-0.7, 3.5)
Coosa County, Alabama ⁶	390.2 (345.1, 440.2)	N/A	64	stable	-0.6 (-2.9, 1.7)
Pima County, Arizona ⁶	389.9 (385.1, 394.8)	N/A	5,454	falling	-0.6 (-0.9, -0.3)
Oregon County, Missouri ⁶	389.9 (344.2, 440.5)	N/A	62	stable	1.1 (-1.0, 3.4)
Ward County, Texas ⁷	389.8 (341.0, 443.7)	N/A	48	stable	-0.9 (-2.4, 0.7)
Pawnee County, Nebraska ⁶	389.8 (299.0, 502.2)	N/A	17	falling	-8.9 (-28.1, -0.3)
Hampton County, South Carolina ⁶	389.8 (355.3, 426.9)	N/A	101	falling	-2.3 (-8.1, -1.1)
Bexar County, Texas ⁷	389.6 (385.7, 393.6)	N/A	7,585	stable	0.2 (-0.8, 1.8)
Riverside County, California ⁷	389.6 (386.2, 393.0)	N/A	10,550	falling	-0.8 (-1.0, -0.7)
McIntosh County, North Dakota ⁶	389.5 (303.7, 497.0)	N/A	20	stable	0.4 (-1.8, 2.6)
Erath County, Texas ⁷	389.3 (363.1, 416.9)	N/A	174	stable	-0.2 (-0.9, 0.5)
Fresno County, California ⁷	389.1 (383.4, 394.8)	N/A	3,754	falling	-0.7 (-0.9, -0.4)
Otero County, New Mexico ⁷	389.0 (369.5, 409.3)	N/A	319	stable	0.0 (-0.4, 0.4)
Inyo County, California ⁷	388.3 (353.9, 425.6)	N/A	109	stable	-0.5 (-1.7, 0.7)
Cochise County, Arizona ⁶	388.0 (374.5, 401.8)	N/A	722	stable	-0.5 (-1.0, 0.0)
DeBaca County, New Mexico ⁷	387.9 (293.8, 511.3)	N/A	13	stable	0.7 (-1.3, 2.7)
Arapahoe County, Colorado ⁶	387.9 (381.1, 394.7)	N/A	2,684	stable	0.0 (-1.0, 0.9)
Darke County, Ohio ⁶	387.8 (366.7, 409.9)	N/A	276	falling	-3.6 (-8.2, -0.8)
Marquette County, Michigan ⁶	387.5 (368.6, 407.2)	N/A	350	falling	-1.4 (-2.0, -0.7)
Lemhi County, Idaho ⁷	387.4 (340.6, 440.5)	N/A	62	stable	-0.5 (-2.1, 1.2)
Grant County, West Virginia ⁶	387.4 (344.9, 434.2)	N/A	69	stable	0.1 (-1.2, 1.5)
Madera County, California ⁷	387.3 (373.8, 401.2)	N/A	645	stable	-0.5 (-1.0, 0.1)
Medina County, Texas ⁷	387.3 (365.3, 410.2)	N/A	247	stable	1.0 (0.0, 4.7)
Cherokee County, Alabama ⁶	387.2 (358.6, 417.8)	N/A	157	stable	-0.3 (-1.5, 0.9)
Otero County, Colorado ⁶	387.1 (352.0, 425.0)	N/A	98	falling	-1.5 (-2.8, -0.1)
Woodward County, Oklahoma ⁶	387.0 (352.0, 424.5)	N/A	93	stable	-1.1 (-2.4, 0.1)
Utah County, Utah ⁷	386.8 (378.2, 395.5)	N/A	1,634	stable	-0.5 (-1.6, 0.2)
Lincoln County, Oregon ⁶	386.7 (366.4, 408.0)	N/A	350	falling	-1.4 (-1.9, -0.9)
Cowlitz County, Washington ⁶	386.7 (372.0, 401.8)	N/A	571	falling	-7.4 (-11.7, -3.4)
Isabella County, Michigan ⁶	386.6 (365.3, 408.8)	N/A	264	falling	-1.7 (-2.4, -0.9)
Baker County, Georgia ⁷	386.5 (308.3, 481.5)	N/A	19	stable	0.6 (-2.3, 3.9)
Major County, Oklahoma ⁶	386.5 (332.8, 447.0)	N/A	41	stable	-0.9 (-2.7, 0.8)
Columbia County, Washington ⁶	386.4 (315.5, 470.7)	N/A	27	stable	-1.1 (-3.1, 0.9)
Sterling County, Texas ⁷	386.4 (253.8, 564.9)	N/A	6	*	*
Sheridan County, Nebraska ⁶	386.3 (322.4, 460.5)	N/A	33	stable	0.9 (-5.5, 9.4)
Guadalupe County, New Mexico ⁷	386.3 (316.8, 467.9)	N/A	23	stable	-0.5 (-1.8, 0.8)
Lincoln County, Idaho ⁷	386.3 (316.2, 467.6)	N/A	22	stable	0.4 (-1.0, 2.0)
Carson County, Texas ⁷	386.2 (325.9, 455.5)	N/A	32	stable	4.5 (-2.3, 20.3)
Robertson County, Texas ⁷	386.2 (350.2, 425.2)	N/A	92	stable	5.9 (-1.0, 11.2)
Stewart County, Georgia ⁷	386.1 (322.2, 460.1)	N/A	27	stable	-13.0 (-26.9, 0.4)
Hendry County, Florida ⁶	385.9 (360.2, 412.9)	N/A	172	stable	-0.8 (-1.8, 0.3)
Schuyler County, Missouri ⁶	385.9 (316.5, 466.9)	N/A	24	stable	2.2 (-0.4, 9.3)
Luna County, New Mexico ⁷	385.7 (354.2, 419.4)	N/A	125	stable	0.3 (-0.4, 1.0)
Denali, Alaska ⁶	385.6 (244.2, 574.3)	N/A	8	stable	-2.4 (-9.6, 5.8)
Campbell County, Wyoming ⁶	385.3 (357.9, 414.2)	N/A	173	stable	-0.9 (-2.4, 0.8)
Carroll County, Missouri ⁶	385.1 (337.8, 438.1)	N/A	52	stable	-0.5 (-2.5, 1.5)
Custer County, Idaho ⁷	385.1 (320.8, 461.7)	N/A	31	stable	-1.0 (-2.6, 0.7)
Mariposa County, California ⁷	385.1 (351.9, 421.2)	N/A	122	falling	-1.2 (-2.1, -0.4)
Montgomery County, Maryland ⁶	385.0 (380.0, 390.0)	N/A	4,844	stable	1.6 (-0.7, 3.2)
Valencia County, New Mexico ⁷	384.8 (367.0, 403.3)	N/A	377	falling	-0.5 (-0.9, -0.1)
Columbia County, Arkansas ⁶	384.4 (351.5, 419.7)	N/A	109	stable	-0.6 (-1.8, 0.7)
Osage County, Oklahoma ⁶	384.4 (362.9, 406.9)	N/A	262	stable	-0.2 (-1.2, 0.8)
Brazos County, Texas ⁷	384.3 (371.1, 397.9)	N/A	667	stable	1.0 (-1.2, 2.7)
Boulder County, Colorado ⁶	384.2 (375.0, 393.6)	N/A	1,392	stable	1.4 (-1.2, 3.3)
Hardy County, West Virginia ⁶	384.2 (343.6, 428.6)	N/A	74	stable	-0.6 (-2.0, 1.0)
Cassia County, Idaho ⁷	384.2 (350.1, 420.7)	N/A	97	stable	0.1 (-1.2, 1.5)
Petersburg Census Area, Alaska ⁶	384.0 (303.7, 481.1)	N/A	18	stable	0.3 (-30.7, 44.0)
Charlevoix County, Michigan ⁶	384.0 (355.4, 414.5)	N/A	161	stable	-1.2 (-2.4, 0.1)
Williams County, North Dakota ⁶	383.9 (352.4, 417.5)	N/A	119	stable	-1.4 (-10.7, 1.5)
Fairfield County, South Carolina ⁶	383.9 (353.7, 416.4)	N/A	137	falling	-5.9 (-9.4, -1.8)
Fayette County, Texas ⁷	383.6 (354.9, 414.3)	N/A	160	falling	-1.4 (-2.1, -0.7)
Hempstead County, Arkansas ⁶	383.2 (350.8, 417.9)	N/A	111	stable	-1.0 (-2.2, 0.1)
Murray County, Oklahoma ⁶	383.2 (343.3, 426.8)	N/A	73	stable	-1.1 (-2.4, 0.3)
Quay County, New Mexico ⁷	383.2 (334.9, 437.5)	N/A	53	falling	-1.8 (-8.5, -0.2)
Meade County, South Dakota ⁶	383.1 (352.5, 415.8)	N/A	125	falling	-1.3 (-2.1, -0.4)
Elliott County, Kentucky ⁷	383.0 (330.1, 442.7)	N/A	40	stable	-0.7 (-2.3, 1.1)
Cheyenne County, Nebraska ⁶	382.7 (335.2, 435.6)	N/A	51	stable	-0.5 (-2.3, 1.3)
Crisp County, Georgia ⁷	382.4 (350.7, 416.4)	N/A	117	stable	-0.3 (-1.6, 1.1)
Bernalillo County, New Mexico ⁷	382.4 (376.3, 388.6)	N/A	3,145	falling	-0.9 (-1.3, -0.6)
Winkler County, Texas ⁷	382.3 (321.1, 451.5)	N/A	29	falling	-1.6 (-3.2, -0.2)
Delaware County, Oklahoma ⁶	381.6 (359.3, 405.1)	N/A	260	stable	-0.4 (-1.4, 0.6)
Baca County, Colorado ⁶	381.1 (309.4, 467.1)	N/A	23	stable	-0.3 (-2.6, 1.8)
Lawrence County, South Dakota ⁶	381.1 (351.9, 412.3)	N/A	146	falling	-1.4 (-2.5, -0.3)
Ellis County, Oklahoma ⁶	381.1 (310.1, 465.2)	N/A	23	stable	-0.6 (-3.3, 2.1)
Teller County, Colorado ⁶	381.0 (350.3, 414.0)	N/A	147	falling	-1.7 (-2.8, -0.5)
Crane County, Texas ⁷	380.9 (303.5, 471.8)	N/A	17	falling	-1.9 (-3.6, -0.3)
Nueces County, Texas ⁷	380.9 (372.2, 389.7)	N/A	1,541	falling	-1.4 (-1.8, -1.1)
Kendall County, Texas ⁷	380.5 (358.3, 403.8)	N/A	237	falling	-1.2 (-2.0, -0.3)
Lincoln County, Wyoming ⁶	380.3 (344.8, 418.6)	N/A	94	stable	-1.0 (-2.2, 0.3)
Menard County, Texas ⁷	380.3 (292.4, 493.4)	N/A	16	stable	-0.3 (-3.1, 2.6)
Maricopa County, Arizona ⁶	380.2 (377.8, 382.7)	N/A	19,166	falling	-1.1 (-2.0, -0.8)
Socorro County, New Mexico ⁷	380.2 (343.0, 420.5)	N/A	85	stable	0.1 (-0.4, 0.8)
Grant County, North Dakota ⁶	380.1 (292.0, 491.5)	N/A	16	stable	0.1 (-3.4, 3.6)
San Francisco County, California ⁷	380.0 (374.6, 385.4)	N/A	3,968	falling	-1.6 (-2.0, -1.4)
Lipscomb County, Texas ⁷	379.8 (294.5, 482.8)	N/A	15	stable	-1.8 (-4.2, 0.4)
Jackson County, Tennessee ⁶	379.7 (338.9, 424.7)	N/A	72	stable	-2.0 (-10.5, 0.9)
Merced County, California ⁷	379.7 (368.8, 390.7)	N/A	960	falling	-1.0 (-1.3, -0.6)
Aiken County, South Carolina ⁶	379.4 (367.8, 391.2)	N/A	890	falling	-5.6 (-9.6, -3.1)
Atascosa County, Texas ⁷	379.3 (356.4, 403.2)	N/A	213	stable	4.4 (-0.8, 8.0)
Monterey County, California ⁷	379.2 (371.1, 387.4)	N/A	1,731	falling	-0.8 (-1.2, -0.4)
Hot Springs County, Wyoming ⁶	379.1 (313.3, 456.5)	N/A	29	stable	-1.4 (-3.2, 0.3)
Roberts County, South Dakota ⁶	379.1 (331.2, 432.3)	N/A	52	stable	0.5 (-1.2, 2.3)
Trinity County, California ⁷	378.8 (339.3, 422.4)	N/A	85	falling	-1.2 (-2.2, -0.2)
Washburn County, Wisconsin ⁶	378.7 (343.1, 417.5)	N/A	103	stable	0.7 (-0.9, 2.5)
Santa Clara County, California ⁷	378.6 (374.9, 382.4)	N/A	7,969	stable	-0.2 (-1.1, 0.8)
Dallam County, Texas ⁷	378.5 (313.6, 452.6)	N/A	25	stable	-2.2 (-4.7, 0.3)
Johnson County, Wyoming ⁶	378.0 (329.2, 433.0)	N/A	51	stable	-0.1 (-2.3, 2.2)
San Benito County, California ⁷	378.0 (356.6, 400.4)	N/A	244	stable	-0.8 (-1.5, 0.0)
Sully County, South Dakota ⁶	377.8 (253.0, 546.2)	N/A	7	stable	0.3 (-4.6, 5.2)
Walton County, Florida ⁶	377.4 (360.0, 395.6)	N/A	388	falling	-1.0 (-1.8, -0.1)
Vernon County, Missouri ⁶	377.3 (345.1, 412.1)	N/A	109	stable	-0.7 (-2.1, 0.7)
Umatilla County, Oregon ⁶	377.3 (359.2, 396.2)	N/A	339	stable	-0.7 (-1.6, 0.2)
Fremont County, Wyoming ⁶	377.1 (352.6, 403.0)	N/A	194	falling	-0.9 (-1.6, -0.1)
Fort Bend County, Texas ⁷	377.1 (370.7, 383.6)	N/A	2,908	stable	1.1 (-0.4, 2.1)
Colfax County, Nebraska ⁶	377.0 (326.8, 432.8)	N/A	42	stable	-0.4 (-2.3, 1.4)
Clark County, Washington ⁶	377.0 (369.7, 384.5)	N/A	2,119	falling	-4.7 (-7.0, -3.1)
Pickett County, Tennessee ⁶	377.0 (317.1, 447.1)	N/A	34	stable	-0.5 (-2.8, 1.9)
Llano County, Texas ⁷	376.7 (346.3, 409.7)	N/A	167	falling	-1.4 (-2.3, -0.5)
Moffat County, Colorado ⁶	376.6 (332.5, 425.1)	N/A	58	falling	-2.4 (-3.8, -1.0)
Pierce County, Nebraska ⁶	376.6 (321.8, 438.7)	N/A	37	stable	-1.3 (-4.0, 1.5)
Russell County, Alabama ⁶	376.5 (355.4, 398.6)	N/A	250	stable	-0.3 (-2.3, 1.9)
Dickinson County, Michigan ⁶	376.4 (347.4, 407.5)	N/A	145	stable	-0.7 (-2.2, 0.8)
Moore County, Texas ⁷	376.0 (338.0, 417.1)	N/A	74	falling	-1.4 (-2.2, -0.6)
Schoolcraft County, Michigan ⁶	375.6 (329.6, 427.7)	N/A	56	stable	-1.4 (-2.7, 0.0)
Jasper County, South Carolina ⁶	375.5 (348.3, 404.5)	N/A	159	falling	-6.5 (-9.6, -2.6)
Live Oak County, Texas ⁷	375.5 (333.7, 421.4)	N/A	65	stable	-0.3 (-2.2, 1.8)
Nacogdoches County, Texas ⁷	375.0 (354.5, 396.5)	N/A	266	stable	2.1 (-3.2, 6.4)
Marion County, Georgia ⁷	374.9 (326.5, 429.3)	N/A	48	stable	-1.5 (-3.4, 0.5)
Judith Basin County, Montana ⁶	374.8 (273.4, 506.0)	N/A	11	stable	-1.3 (-3.8, 1.1)
Upton County, Texas ⁷	374.7 (291.1, 474.7)	N/A	14	rising	10.4 (0.7, 27.6)
McIntosh County, Georgia ⁷	374.3 (337.8, 414.4)	N/A	93	falling	-7.5 (-10.4, -4.1)
Sherman County, Oregon ⁶	374.1 (275.8, 502.2)	N/A	11	stable	0.2 (-3.8, 4.6)
Valdez-Cordova Census Area, Alaska ⁶	373.9 (318.6, 436.1)	N/A	39	falling	-2.4 (-4.1, -0.5)
Morgan County, Colorado ⁶	373.8 (344.3, 405.2)	N/A	125	stable	-0.9 (-1.9, 0.2)
Kauai County, Hawaii ⁷	373.4 (355.9, 391.7)	N/A	375	falling	-0.6 (-1.1, -0.1)
Benton County, Washington ⁶	373.2 (361.8, 385.0)	N/A	848	falling	-5.0 (-8.2, -1.3)
Washington County, Florida ⁶	373.2 (343.6, 404.8)	N/A	125	stable	-7.1 (-19.0, 3.0)
Greenlee County, Arizona ⁶	372.6 (319.2, 432.3)	N/A	36	stable	-1.3 (-3.3, 0.9)
Madison County, Montana ⁶	372.6 (326.7, 424.5)	N/A	60	stable	-0.6 (-1.7, 0.6)
Stutsman County, North Dakota ⁶	372.4 (339.3, 407.9)	N/A	104	falling	-5.1 (-13.4, -2.0)
Plumas County, California ⁷	372.1 (339.8, 407.2)	N/A	128	falling	-1.0 (-1.9, -0.1)
Karnes County, Texas ⁷	372.0 (331.4, 416.3)	N/A	63	stable	-0.8 (-2.2, 0.7)
Alameda County, California ⁷	371.5 (367.5, 375.5)	N/A	6,890	falling	-1.4 (-2.6, -1.0)
Cavalier County, North Dakota ⁶	371.5 (299.3, 458.0)	N/A	24	stable	-1.0 (-3.2, 1.2)
Toole County, Montana ⁶	371.5 (304.6, 449.5)	N/A	24	falling	-2.6 (-5.2, -0.1)
Eddy County, New Mexico ⁷	371.3 (350.0, 393.6)	N/A	239	falling	-0.7 (-1.1, -0.2)
Rio Blanco County, Colorado ⁶	371.1 (310.8, 440.1)	N/A	29	stable	-1.6 (-3.3, 0.1)
Sioux County, North Dakota ⁶	370.9 (280.2, 480.3)	N/A	12	stable	-0.3 (-4.8, 4.7)
Mackinac County, Michigan ⁶	370.8 (329.7, 416.8)	N/A	73	stable	-1.3 (-2.7, 0.2)
DeKalb County, Alabama ⁶	370.4 (352.4, 389.1)	N/A	336	falling	-1.3 (-2.7, -0.7)
Caldwell County, Missouri ⁶	370.4 (322.7, 423.6)	N/A	48	falling	-6.0 (-19.5, -1.7)
Cibola County, New Mexico ⁷	370.1 (340.2, 402.0)	N/A	119	stable	-0.2 (-0.8, 0.5)
Alger County, Michigan ⁶	369.6 (326.1, 418.6)	N/A	59	stable	-3.2 (-15.5, 1.7)
Union County, New Mexico ⁷	369.5 (298.3, 454.0)	N/A	21	rising	9.7 (2.5, 27.4)
Uinta County, Wyoming ⁶	368.8 (332.4, 408.1)	N/A	83	stable	0.8 (-0.8, 2.5)
Spokane County, Washington ⁶	368.6 (361.7, 375.7)	N/A	2,288	falling	-4.2 (-8.6, -2.3)
Midland County, Texas ⁷	368.5 (354.7, 382.7)	N/A	568	falling	-1.9 (-4.9, -1.3)
Howard County, Arkansas ⁶	368.2 (326.6, 413.9)	N/A	62	falling	-1.5 (-2.5, -0.5)
Wibaux County, Montana ⁶	368.0 (243.9, 546.0)	N/A	6	stable	-2.8 (-5.9, 0.3)
Los Angeles County, California ⁷	367.9 (366.3, 369.5)	N/A	40,485	falling	-0.9 (-1.4, -0.2)
Millard County, Utah ⁷	367.8 (325.3, 414.5)	N/A	59	stable	0.5 (-0.1, 1.2)
Wallowa County, Oregon ⁶	367.6 (315.0, 427.8)	N/A	46	falling	-3.6 (-16.6, -1.0)
Bethel Census Area, Alaska ⁶	367.5 (316.9, 423.5)	N/A	48	stable	-1.6 (-4.4, 1.5)
Imperial County, California ⁷	367.4 (354.8, 380.2)	N/A	667	stable	-0.5 (-0.9, 0.0)
North Slope Borough, Alaska ⁶	366.8 (293.0, 451.8)	N/A	24	stable	-1.1 (-5.3, 3.7)
Lea County, New Mexico ⁷	366.1 (345.2, 387.9)	N/A	238	stable	-0.6 (-1.2, 0.0)
Bandera County, Texas ⁷	365.8 (336.9, 397.0)	N/A	150	stable	2.0 (-0.5, 6.0)
Muskegon County, Michigan ⁶	365.3 (353.7, 377.2)	N/A	811	falling	-1.9 (-2.7, -1.2)
Prince of Wales-Hyder Census Area, Alaska ⁶	365.3 (305.6, 434.1)	N/A	31	stable	-4.5 (-23.5, 20.1)
Richland County, Montana ⁶	365.2 (318.7, 416.7)	N/A	47	stable	-0.2 (-2.5, 2.4)
Tulare County, California ⁷	365.0 (356.8, 373.3)	N/A	1,566	falling	-1.0 (-1.3, -0.6)
Oneida County, Idaho ⁷	364.9 (293.9, 448.7)	N/A	21	stable	-0.8 (-2.7, 1.2)
Steele County, North Dakota ⁶	364.9 (268.2, 489.8)	N/A	11	stable	1.2 (-2.3, 5.0)
Shannon County, Missouri ⁶	364.9 (316.7, 419.2)	N/A	46	stable	-0.5 (-2.3, 1.3)
Ochiltree County, Texas ⁷	364.7 (311.1, 424.8)	N/A	35	stable	-1.3 (-3.8, 1.1)
Beaufort County, South Carolina ⁶	364.6 (354.2, 375.2)	N/A	1,160	falling	-5.9 (-8.2, -3.7)
Kings County, California ⁷	364.5 (350.0, 379.5)	N/A	488	falling	-0.9 (-1.3, -0.5)
Dunn County, Wisconsin ⁶	364.5 (341.1, 389.2)	N/A	193	stable	-0.5 (-1.5, 0.7)
Huerfano County, Colorado ⁶	364.2 (312.5, 423.9)	N/A	48	falling	-2.4 (-4.7, -0.3)
Uintah County, Utah ⁷	363.8 (334.4, 395.0)	N/A	119	stable	0.1 (-0.4, 0.7)
Kimball County, Nebraska ⁶	363.2 (290.9, 450.3)	N/A	20	stable	-1.8 (-4.0, 0.3)
Blaine County, Montana ⁶	363.0 (303.5, 431.1)	N/A	28	stable	-1.4 (-4.0, 1.2)
Beaver County, Oklahoma ⁶	363.0 (302.8, 432.8)	N/A	27	stable	1.3 (-9.1, 12.9)
Piute County, Utah ⁷	362.7 (245.4, 522.2)	N/A	8	stable	0.5 (-1.3, 2.4)
Las Animas County, Colorado ⁶	362.2 (324.4, 403.6)	N/A	81	stable	-0.4 (-8.5, 1.6)
Madison County, Florida ⁶	361.1 (328.7, 396.2)	N/A	98	stable	-0.7 (-2.6, 1.3)
Yuma County, Arizona ⁶	361.0 (350.3, 372.0)	N/A	946	stable	0.0 (-0.6, 0.7)
Alleghany County, North Carolina ⁶	360.3 (322.5, 402.3)	N/A	75	falling	-9.0 (-16.1, -1.9)
Elbert County, Colorado ⁶	360.1 (329.8, 392.6)	N/A	124	falling	-1.4 (-2.3, -0.4)
Ouray County, Colorado ⁶	360.0 (298.2, 433.8)	N/A	31	stable	-0.1 (-2.2, 2.2)
Lincoln County, Tennessee ⁶	359.9 (335.4, 385.9)	N/A	173	falling	-2.6 (-5.3, -0.8)
Cherry County, Nebraska ⁶	359.5 (301.6, 426.3)	N/A	31	stable	-1.2 (-3.6, 1.2)
Bennett County, South Dakota ⁶	359.4 (273.1, 464.4)	N/A	13	stable	-0.9 (-4.7, 3.0)
Edgefield County, South Carolina ⁶	359.4 (331.8, 388.9)	N/A	135	stable	-1.2 (-2.5, 0.3)
Lee County, Alabama ⁶	359.2 (345.8, 373.0)	N/A	572	stable	-0.3 (-0.9, 0.5)
Pecos County, Texas ⁷	359.0 (319.0, 402.7)	N/A	59	stable	0.0 (-1.7, 1.8)
Long County, Georgia ⁷	358.7 (316.7, 404.6)	N/A	59	stable	-1.0 (-2.6, 0.9)
Dickey County, North Dakota ⁶	358.5 (295.6, 432.0)	N/A	26	falling	-26.9 (-42.1, -17.1)
Beaverhead County, Montana ⁶	358.5 (312.9, 409.7)	N/A	51	stable	-1.4 (-3.0, 0.3)
Dooly County, Georgia ⁷	358.5 (320.1, 400.7)	N/A	69	stable	-1.4 (-2.9, 0.1)
Granite County, Montana ⁶	358.4 (286.7, 447.2)	N/A	23	stable	-0.7 (-4.2, 3.1)
Graham County, North Carolina ⁶	358.2 (312.9, 409.3)	N/A	50	stable	-1.1 (-20.1, 6.4)
Schley County, Georgia ⁷	358.1 (295.0, 431.6)	N/A	24	stable	-0.9 (-2.3, 0.8)
Zapata County, Texas ⁷	357.9 (314.0, 406.1)	N/A	49	stable	0.3 (-1.4, 2.0)
Sitka Borough, Alaska ⁶	357.8 (306.7, 415.4)	N/A	38	stable	-1.6 (-3.5, 0.5)
Power County, Idaho ⁷	357.6 (302.6, 420.1)	N/A	32	stable	1.0 (-0.7, 2.8)
Crosby County, Texas ⁷	357.4 (296.0, 428.2)	N/A	26	stable	0.4 (-1.2, 2.1)
Gunnison County, Colorado ⁶	357.4 (316.8, 401.7)	N/A	63	falling	-2.4 (-4.6, -0.1)
Bailey County, Texas ⁷	357.3 (298.4, 424.6)	N/A	27	stable	-1.2 (-3.1, 0.7)
Alamosa County, Colorado ⁶	357.3 (316.7, 401.7)	N/A	60	stable	-1.6 (-14.5, 3.1)
Cameron County, Texas ⁷	357.0 (348.9, 365.2)	N/A	1,528	falling	-0.9 (-2.4, -0.6)
Morrill County, Nebraska ⁶	356.3 (290.6, 433.4)	N/A	23	stable	-1.1 (-3.5, 1.2)
Hickory County, Missouri ⁶	356.2 (312.0, 406.2)	N/A	65	stable	-0.7 (-2.4, 1.0)
Kittitas County, Washington ⁶	355.9 (333.3, 379.8)	N/A	200	stable	-1.3 (-2.6, 0.0)
Glades County, Florida ⁶	355.8 (320.3, 395.0)	N/A	85	stable	-1.6 (-3.1, 0.1)
Teton County, Idaho ⁷	355.8 (307.3, 409.8)	N/A	44	stable	-1.5 (-3.2, 0.7)
Brooks County, Texas ⁷	355.3 (298.1, 420.5)	N/A	30	stable	0.4 (-1.7, 2.6)
Emery County, Utah ⁷	354.2 (307.6, 406.2)	N/A	45	stable	0.2 (-0.8, 1.3)
Grant County, Oregon ⁶	353.7 (303.9, 410.7)	N/A	47	stable	-1.0 (-2.9, 0.8)
Rich County, Utah ⁷	353.6 (263.5, 466.7)	N/A	11	stable	-0.8 (-2.9, 1.7)
Zavala County, Texas ⁷	353.3 (307.1, 404.5)	N/A	44	stable	0.4 (-0.8, 1.6)
Sedgwick County, Colorado ⁶	353.3 (270.4, 458.6)	N/A	15	stable	-1.6 (-4.8, 1.5)
LaMoure County, North Dakota ⁶	353.2 (285.1, 434.5)	N/A	24	stable	-1.7 (-3.8, 0.2)
Sullivan County, Missouri ⁶	353.1 (297.5, 417.1)	N/A	31	stable	-1.3 (-3.3, 0.6)
Skamania County, Washington ⁶	353.0 (312.0, 398.4)	N/A	63	stable	-0.5 (-2.3, 1.4)
Routt County, Colorado ⁶	353.0 (321.9, 386.4)	N/A	109	stable	-1.8 (-3.4, 0.3)
Wahkiakum County, Washington ⁶	352.5 (286.5, 432.1)	N/A	28	falling	-11.8 (-20.6, -2.1)
Siskiyou County, California ⁷	352.5 (331.6, 374.5)	N/A	255	falling	-2.6 (-5.5, -1.7)
Duval County, Texas ⁷	352.3 (307.8, 401.5)	N/A	48	stable	0.5 (-1.2, 6.9)
Puerto Rico ⁶	351.7 (349.0, 354.4)	N/A	14,350	stable	0.0 (-1.3, 1.4)
Walla Walla County, Washington ⁶	351.5 (332.3, 371.6)	N/A	272	falling	-8.7 (-14.7, -3.3)
Wayne County, Nebraska ⁶	351.4 (300.9, 408.2)	N/A	38	stable	-1.6 (-4.1, 0.9)
Cochran County, Texas ⁷	351.1 (269.0, 452.0)	N/A	13	stable	-1.2 (-4.5, 1.9)
Washington County, Colorado ⁶	351.0 (288.1, 424.7)	N/A	24	stable	-1.2 (-4.5, 2.0)
Navajo County, Arizona ⁶	350.9 (336.4, 365.9)	N/A	488	stable	-0.1 (-0.5, 0.3)
Kent County, Texas ⁷	350.9 (210.0, 568.5)	N/A	5	falling	-5.3 (-10.6, -0.9)
Liberty County, Montana ⁶	350.9 (262.7, 461.6)	N/A	12	falling	-2.8 (-5.3, -0.5)
Hall County, Texas ⁷	350.7 (275.9, 442.6)	N/A	17	stable	-0.6 (-3.5, 2.2)
Curry County, New Mexico ⁷	350.3 (326.8, 375.1)	N/A	171	stable	-0.5 (-1.0, 0.0)
Oceana County, Michigan ⁶	350.2 (323.0, 379.4)	N/A	136	falling	-1.6 (-3.0, -0.2)
Pepin County, Wisconsin ⁶	349.7 (300.5, 405.7)	N/A	40	stable	-1.4 (-3.8, 1.0)
Wrangell Borough, Alaska ⁶	349.6 (264.3, 457.4)	N/A	14	stable	-4.0 (-28.7, 28.2)
Franklin County, Washington ⁶	349.2 (330.1, 369.2)	N/A	265	falling	-1.5 (-2.5, -0.5)
Santa Fe County, New Mexico ⁷	349.2 (337.8, 361.0)	N/A	830	rising	4.6 (1.6, 7.7)
Dimmit County, Texas ⁷	348.8 (300.5, 402.8)	N/A	40	stable	0.6 (-1.2, 2.5)
Burke County, North Dakota ⁶	348.8 (260.3, 461.5)	N/A	11	stable	-1.6 (-5.0, 1.9)
San Miguel County, Colorado ⁶	348.6 (286.8, 419.6)	N/A	30	stable	-2.4 (-5.7, 1.9)
Roosevelt County, New Mexico ⁷	348.2 (311.4, 388.4)	N/A	68	falling	-2.3 (-8.4, -0.9)
Malheur County, Oregon ⁶	347.1 (320.0, 376.0)	N/A	127	stable	-1.8 (-3.8, 0.1)
Willacy County, Texas ⁷	346.7 (312.5, 383.7)	N/A	77	stable	0.1 (-1.3, 1.6)
Lassen County, California ⁷	346.7 (319.0, 376.2)	N/A	122	stable	0.3 (-0.8, 1.6)
Benton County, Oregon ⁶	346.5 (330.1, 363.6)	N/A	367	falling	-1.7 (-2.4, -0.9)
Frio County, Texas ⁷	346.5 (309.0, 387.1)	N/A	64	stable	-0.4 (-1.7, 1.0)
Pinal County, Arizona ⁶	346.0 (339.2, 353.0)	N/A	2,108	falling	-0.8 (-1.2, -0.3)
La Plata County, Colorado ⁶	345.3 (325.6, 366.0)	N/A	256	falling	-1.7 (-2.6, -0.8)
Maries County, Missouri ⁶	344.6 (300.5, 394.2)	N/A	47	stable	-0.3 (-2.1, 1.6)
Lane County, Oregon ⁶	344.4 (336.9, 352.1)	N/A	1,753	falling	-2.0 (-2.4, -1.5)
Wayne County, Utah ⁷	344.2 (263.0, 445.4)	N/A	14	stable	-0.6 (-2.4, 1.3)
Garfield County, Washington ⁶	344.1 (259.1, 452.7)	N/A	13	stable	-1.4 (-4.5, 1.5)
Custer County, South Dakota ⁶	344.1 (301.0, 393.3)	N/A	60	stable	-1.7 (-3.7, 0.5)
Hidalgo County, Texas ⁷	344.0 (338.1, 350.0)	N/A	2,612	stable	1.4 (-0.9, 3.2)
Adams County, Washington ⁶	343.4 (304.9, 385.3)	N/A	60	stable	-1.1 (-2.5, 0.4)
La Salle County, Texas ⁷	343.3 (285.8, 409.2)	N/A	26	stable	-2.1 (-5.0, 1.1)
Camden County, North Carolina ⁶	343.1 (299.1, 392.1)	N/A	46	falling	-2.4 (-4.3, -0.4)
Garza County, Texas ⁷	343.0 (279.5, 416.8)	N/A	21	stable	-0.7 (-3.2, 1.9)
Jack County, Texas ⁷	341.8 (294.3, 395.2)	N/A	39	stable	-1.3 (-3.2, 0.5)
Pierce County, Wisconsin ⁶	341.8 (317.9, 367.1)	N/A	163	stable	0.7 (-0.3, 2.0)
Donley County, Texas ⁷	341.5 (267.5, 431.8)	N/A	18	stable	-1.1 (-3.0, 0.7)
Sevier County, Arkansas ⁶	341.2 (304.2, 381.5)	N/A	64	stable	-0.9 (-2.3, 0.4)
Keya Paha County, Nebraska ⁶	340.9 (185.9, 584.1)	N/A	4	stable	2.3 (-7.1, 11.9)
Edwards County, Texas ⁷	340.7 (240.3, 472.0)	N/A	10	stable	5.5 (-0.6, 26.9)
Del Norte County, California ⁷	340.6 (313.6, 369.4)	N/A	127	falling	-1.7 (-2.7, -0.7)
Andrews County, Texas ⁷	340.5 (300.7, 383.9)	N/A	55	falling	-2.5 (-3.8, -1.2)
Chaves County, New Mexico ⁷	339.7 (320.9, 359.5)	N/A	256	falling	-2.5 (-5.9, -1.5)
Towner County, North Dakota ⁶	339.5 (258.9, 443.7)	N/A	13	stable	-1.8 (-5.3, 1.7)
Garfield County, Utah ⁷	339.3 (277.5, 411.9)	N/A	24	stable	-0.6 (-2.3, 1.3)
Parmer County, Texas ⁷	338.7 (289.8, 393.6)	N/A	35	stable	0.1 (-1.6, 1.8)
Castro County, Texas ⁷	338.5 (282.7, 402.0)	N/A	28	falling	-2.4 (-4.7, -0.2)
Baraga County, Michigan ⁶	337.9 (292.8, 389.1)	N/A	44	falling	-1.6 (-3.0, -0.1)
Gaines County, Texas ⁷	337.4 (298.0, 380.2)	N/A	56	stable	-1.1 (-2.3, 0.2)
Rio Grande County, Colorado ⁶	337.3 (295.9, 383.4)	N/A	54	stable	-1.1 (-2.7, 0.4)
Bristol Bay Borough, Alaska ⁶	337.2 (197.2, 547.8)	N/A	4	stable	-1.1 (-5.9, 4.5)
Noble County, Ohio ⁶	336.2 (298.8, 377.5)	N/A	81	stable	-1.2 (-2.4, 0.0)
Coconino County, Arizona ⁶	336.1 (322.2, 350.5)	N/A	475	falling	-0.8 (-1.3, -0.2)
Washakie County, Wyoming ⁶	336.0 (289.2, 389.1)	N/A	41	falling	-3.8 (-15.8, -1.0)
Kinney County, Texas ⁷	335.6 (267.7, 417.4)	N/A	20	stable	-0.8 (-3.8, 2.1)
Shackelford County, Texas ⁷	335.6 (261.6, 425.8)	N/A	16	stable	-4.7 (-29.6, 3.8)
Chouteau County, Montana ⁶	335.0 (279.3, 399.7)	N/A	28	stable	-1.7 (-3.5, 0.1)
Lincoln County, Washington ⁶	334.9 (295.0, 379.6)	N/A	61	falling	-1.9 (-3.3, -0.6)
Logan County, Colorado ⁶	334.8 (304.4, 367.7)	N/A	94	falling	-2.5 (-8.5, -0.4)
Ontonagon County, Michigan ⁶	332.9 (285.6, 390.3)	N/A	46	stable	-1.1 (-2.8, 0.7)
Gogebic County, Michigan ⁶	332.5 (298.8, 369.5)	N/A	85	stable	0.0 (-3.1, 3.2)
Yuma County, Colorado ⁶	332.0 (287.4, 381.9)	N/A	43	stable	-1.5 (-3.7, 0.6)
Graham County, Arizona ⁶	332.0 (306.9, 358.5)	N/A	134	falling	-6.8 (-13.5, -1.5)
Webb County, Texas ⁷	331.8 (321.0, 342.8)	N/A	745	falling	-0.7 (-1.1, -0.4)
Holmes County, Ohio ⁶	331.7 (308.2, 356.6)	N/A	153	falling	-5.1 (-10.8, -2.0)
Harney County, Oregon ⁶	330.7 (281.9, 386.5)	N/A	38	falling	-2.3 (-3.6, -1.1)
Stevens County, Washington ⁶	330.4 (309.9, 352.0)	N/A	233	falling	-2.1 (-3.2, -1.1)
Skagway Municipality, Alaska ⁶	330.1 (200.2, 519.3)	N/A	4	stable	-4.0 (-26.4, 21.3)
Terrell County, Texas ⁷	329.6 (182.3, 558.5)	N/A	4	*	*
Goshen County, Wyoming ⁶	329.6 (292.9, 370.2)	N/A	66	stable	-1.9 (-3.8, 0.1)
Jim Hogg County, Texas ⁷	329.4 (264.7, 405.3)	N/A	19	falling	-2.8 (-12.3, -0.8)
Brewster County, Texas ⁷	329.1 (284.2, 379.7)	N/A	44	stable	-1.4 (-3.3, 0.5)
Real County, Texas ⁷	327.7 (261.5, 409.2)	N/A	21	rising	4.3 (0.9, 10.1)
Jackson County, Florida ⁶	327.2 (307.4, 348.2)	N/A	215	stable	-3.7 (-6.9, 0.2)
Bent County, Colorado ⁶	326.0 (269.8, 391.8)	N/A	25	stable	-1.3 (-2.8, 0.2)
Lincoln County, New Mexico ⁷	325.7 (297.6, 356.2)	N/A	123	stable	-0.9 (-2.3, 3.0)
Taos County, New Mexico ⁷	325.1 (301.8, 350.0)	N/A	177	falling	-0.8 (-1.3, -0.2)
Dawes County, Nebraska ⁶	324.4 (276.5, 379.0)	N/A	36	stable	-0.7 (-2.4, 1.1)
Telfair County, Georgia ⁷	324.3 (290.4, 361.5)	N/A	69	stable	-0.6 (-1.8, 0.7)
Divide County, North Dakota ⁶	324.1 (245.7, 425.0)	N/A	13	stable	-0.6 (-4.6, 3.1)
Pend Oreille County, Washington ⁶	323.9 (288.0, 363.7)	N/A	75	falling	-2.9 (-5.0, -1.0)
Sanpete County, Utah ⁷	323.5 (295.4, 353.5)	N/A	102	falling	-2.7 (-11.0, -1.1)
Mason County, Texas ⁷	323.0 (261.3, 397.2)	N/A	24	stable	-2.2 (-5.0, 0.4)
Santa Cruz County, Arizona ⁶	321.2 (300.2, 343.3)	N/A	188	stable	0.4 (-6.8, 6.7)
Reeves County, Texas ⁷	321.0 (281.1, 364.9)	N/A	47	falling	-1.9 (-2.9, -0.8)
Gila County, Arizona ⁶	320.7 (302.5, 339.9)	N/A	307	falling	-1.3 (-2.3, -0.2)
Perkins County, South Dakota ⁶	320.4 (246.7, 412.4)	N/A	15	falling	-5.9 (-21.3, -1.2)
Hartley County, Texas ⁷	319.5 (260.8, 388.1)	N/A	21	falling	-14.9 (-22.5, -9.6)
San Juan County, New Mexico ⁷	319.3 (305.9, 333.1)	N/A	451	falling	-0.7 (-1.0, -0.3)
San Saba County, Texas ⁷	318.1 (265.3, 379.5)	N/A	30	falling	-1.8 (-3.6, -0.2)
Marshall County, South Dakota ⁶	317.6 (259.8, 385.8)	N/A	24	stable	-0.5 (-3.7, 2.7)
Wheeler County, Georgia ⁷	317.1 (267.3, 374.0)	N/A	29	stable	1.4 (-1.2, 4.7)
Hidalgo County, New Mexico ⁷	316.3 (254.3, 390.6)	N/A	20	stable	0.9 (-0.3, 2.2)
Kit Carson County, Colorado ⁶	316.1 (265.0, 374.7)	N/A	30	falling	-1.9 (-3.8, -0.1)
Park County, Colorado ⁶	315.1 (280.9, 352.7)	N/A	86	falling	-2.4 (-4.3, -0.3)
Mora County, New Mexico ⁷	315.0 (250.6, 392.5)	N/A	23	stable	-0.6 (-1.8, 0.7)
Houghton County, Michigan ⁶	314.6 (290.2, 340.7)	N/A	136	falling	-1.8 (-3.4, -0.3)
Gosper County, Nebraska ⁶	313.3 (227.9, 425.1)	N/A	10	falling	-5.4 (-8.5, -3.3)
McKenzie County, North Dakota ⁶	313.2 (266.4, 365.4)	N/A	35	stable	-0.9 (-2.5, 1.0)
San Miguel County, New Mexico ⁷	312.1 (286.5, 339.7)	N/A	126	stable	-0.4 (-1.0, 0.2)
McMullen County, Texas ⁷	311.9 (196.5, 494.5)	N/A	5	stable	0.5 (-5.1, 7.3)
Douglas County, Missouri ⁶	311.7 (277.5, 349.5)	N/A	70	stable	2.2 (-1.7, 11.8)
Currituck County, North Carolina ⁶	311.3 (285.2, 339.3)	N/A	115	falling	-8.7 (-16.3, -2.6)
Daniels County, Montana ⁶	311.0 (227.3, 424.6)	N/A	10	stable	-0.7 (-4.3, 3.0)
Rio Arriba County, New Mexico ⁷	310.9 (289.3, 333.7)	N/A	168	falling	-1.7 (-4.9, -0.9)
Modoc County, California ⁷	310.6 (266.1, 361.2)	N/A	44	stable	-1.4 (-3.4, 0.5)
La Paz County, Arizona ⁶	308.3 (278.8, 340.6)	N/A	129	stable	-0.1 (-1.3, 1.1)
Wheeler County, Nebraska ⁶	308.0 (185.6, 501.0)	N/A	4	stable	-2.1 (-8.8, 4.8)
Sierra County, California ⁷	307.7 (238.6, 395.3)	N/A	18	stable	-2.5 (-20.3, 2.2)
Pendleton County, West Virginia ⁶	307.3 (262.1, 359.8)	N/A	39	falling	-15.2 (-30.7, -1.5)
Eagle County, Colorado ⁶	307.2 (285.3, 330.4)	N/A	172	stable	-1.3 (-2.9, 2.0)
Roberts County, Texas ⁷	306.1 (186.3, 488.3)	N/A	4	*	*
Grant County, New Mexico ⁷	305.9 (281.5, 332.2)	N/A	144	falling	-1.2 (-1.9, -0.6)
Hemphill County, Texas ⁷	305.9 (234.8, 392.3)	N/A	13	falling	-3.9 (-6.1, -2.0)
Issaquena County, Mississippi ⁶	304.6 (200.6, 457.3)	N/A	6	stable	-6.5 (-21.5, 0.0)
McKinley County, New Mexico ⁷	304.1 (285.9, 323.2)	N/A	218	stable	-0.1 (-0.5, 0.2)
Pitkin County, Colorado ⁶	303.5 (272.6, 337.4)	N/A	79	falling	-2.2 (-3.4, -0.9)
Hudspeth County, Texas ⁷	300.9 (235.1, 379.7)	N/A	15	stable	1.3 (-0.8, 3.7)
Clark County, Idaho ⁷	300.6 (168.4, 500.8)	N/A	3	*	*
Harding County, South Dakota ⁶	299.0 (187.8, 456.0)	N/A	5	stable	-1.9 (-8.8, 5.0)
San Juan County, Utah ⁷	298.6 (261.1, 340.0)	N/A	48	stable	1.0 (-0.2, 2.5)
Collingsworth County, Texas ⁷	297.8 (225.8, 387.6)	N/A	12	stable	-1.5 (-4.3, 1.1)
Concho County, Texas ⁷	297.7 (228.8, 384.0)	N/A	14	falling	-15.8 (-27.1, -0.2)
Oldham County, Texas ⁷	297.2 (208.5, 414.0)	N/A	8	stable	-2.7 (-5.8, 0.3)
Dunn County, North Dakota ⁶	296.6 (234.0, 371.8)	N/A	17	falling	-2.2 (-4.3, -0.1)
Montezuma County, Colorado ⁶	295.8 (270.6, 322.9)	N/A	116	falling	-3.0 (-4.4, -1.6)
Clear Creek County, Colorado ⁶	293.7 (252.9, 340.2)	N/A	45	falling	-14.2 (-22.7, -5.6)
Lake County, Colorado ⁶	293.0 (241.7, 352.3)	N/A	25	falling	-3.5 (-10.0, -1.3)
Asotin County, Washington ⁶	292.6 (266.2, 321.2)	N/A	104	falling	-2.6 (-4.9, -0.3)
Dolores County, Colorado ⁶	292.5 (212.0, 399.7)	N/A	10	stable	-0.4 (-4.5, 4.0)
Gilliam County, Oregon ⁶	292.1 (205.7, 408.6)	N/A	10	stable	-3.1 (-6.7, 0.2)
Niobrara County, Wyoming ⁶	291.2 (215.1, 389.1)	N/A	11	stable	-2.0 (-5.7, 1.6)
Grand County, Colorado ⁶	290.8 (255.7, 329.7)	N/A	61	stable	-1.4 (-2.9, 0.2)
Sublette County, Wyoming ⁶	290.4 (248.8, 337.5)	N/A	38	stable	-2.5 (-5.4, 0.6)
Scotland County, Missouri ⁶	289.5 (232.2, 357.7)	N/A	19	stable	-2.4 (-6.0, 1.1)
Culberson County, Texas ⁷	287.0 (199.4, 401.4)	N/A	8	stable	5.3 (-3.3, 25.0)
Aleutians West Census Area, Alaska ⁶	286.2 (177.0, 429.2)	N/A	10	stable	11.0 (-2.2, 54.8)
Glasscock County, Texas ⁷	284.9 (179.1, 432.4)	N/A	5	stable	-0.6 (-4.6, 3.9)
Ferry County, Washington ⁶	283.7 (241.1, 333.2)	N/A	38	falling	-3.5 (-6.1, -1.1)
Adams County, North Dakota ⁶	283.1 (208.1, 381.6)	N/A	12	falling	-15.3 (-26.2, -3.6)
Costilla County, Colorado ⁶	282.6 (220.0, 360.0)	N/A	18	falling	-2.8 (-5.5, -0.1)
Oliver County, North Dakota ⁶	282.5 (193.8, 401.6)	N/A	8	stable	-1.6 (-6.4, 3.2)
Cimarron County, Oklahoma ⁶	282.4 (196.0, 396.1)	N/A	9	stable	-1.7 (-4.5, 0.7)
Baker County, Oregon ⁶	282.4 (251.7, 316.2)	N/A	76	falling	-21.3 (-33.9, -9.6)
Gates County, North Carolina ⁶	279.1 (243.0, 319.7)	N/A	49	stable	-1.8 (-4.1, 0.5)
Throckmorton County, Texas ⁷	278.5 (196.0, 394.8)	N/A	8	falling	-5.2 (-15.4, -1.2)
Archuleta County, Colorado ⁶	277.5 (244.0, 315.0)	N/A	64	falling	-6.5 (-19.4, -2.8)
Crowley County, Colorado ⁶	277.4 (222.1, 343.8)	N/A	18	falling	-2.9 (-5.0, -0.8)
Logan County, North Dakota ⁶	277.3 (192.9, 391.1)	N/A	9	stable	-2.1 (-6.0, 1.3)
Colfax County, New Mexico ⁷	276.6 (242.1, 315.4)	N/A	57	falling	-7.9 (-12.6, -4.6)
Custer County, Colorado ⁶	275.7 (224.7, 338.6)	N/A	29	falling	-9.2 (-20.0, -5.3)
Apache County, Arizona ⁶	275.1 (258.8, 292.2)	N/A	226	stable	0.1 (-0.6, 0.9)
Summit County, Colorado ⁶	274.1 (247.6, 302.7)	N/A	96	stable	11.1 (-0.3, 19.2)
Haines Borough, Alaska ⁶	273.7 (199.3, 370.8)	N/A	11	stable	-3.9 (-7.9, 0.0)
Ziebach County, South Dakota ⁶	273.3 (188.6, 382.9)	N/A	7	stable	0.9 (-5.8, 8.8)
Campbell County, South Dakota ⁶	271.7 (174.7, 414.0)	N/A	7	stable	1.2 (-3.3, 5.7)
Alpine County, California ⁷	271.7 (154.2, 450.9)	N/A	4	*	*
Garfield County, Montana ⁶	268.4 (169.3, 411.2)	N/A	5	stable	-1.6 (-7.8, 4.7)
Holmes County, Florida ⁶	267.2 (239.5, 297.5)	N/A	73	rising	2.1 (0.3, 4.3)
Presidio County, Texas ⁷	262.2 (215.0, 317.2)	N/A	25	stable	-1.6 (-4.4, 1.1)
Conejos County, Colorado ⁶	257.5 (215.4, 306.1)	N/A	29	stable	-1.5 (-3.7, 0.8)
Stanton County, Nebraska ⁶	256.5 (207.1, 314.8)	N/A	20	falling	-4.3 (-8.0, -1.0)
Gilpin County, Colorado ⁶	253.9 (202.0, 316.8)	N/A	22	falling	-5.7 (-9.1, -2.2)
Catron County, New Mexico ⁷	253.0 (195.9, 329.3)	N/A	22	stable	-5.1 (-11.4, 2.4)
Mono County, California ⁷	250.6 (217.8, 287.4)	N/A	47	stable	-1.2 (-3.4, 1.3)
Saguache County, Colorado ⁶	249.9 (205.8, 302.1)	N/A	28	falling	-17.8 (-27.4, -10.5)
Sherman County, Texas ⁷	248.3 (178.8, 336.7)	N/A	9	stable	-0.6 (-4.0, 2.8)
Corson County, South Dakota ⁶	247.0 (179.3, 331.6)	N/A	10	stable	0.2 (-5.5, 6.5)
Hooker County, Nebraska ⁶	246.3 (144.1, 431.4)	N/A	4	stable	-3.2 (-7.3, 1.2)
Whitman County, Washington ⁶	244.8 (223.0, 268.1)	N/A	99	falling	-3.7 (-5.2, -2.3)
Keweenaw County, Michigan ⁶	240.0 (171.7, 336.7)	N/A	12	stable	-1.2 (-4.9, 2.7)
Mineral County, Colorado ⁶	235.4 (139.5, 412.7)	N/A	4	stable	-0.3 (-7.8, 7.8)
Sioux County, Nebraska ⁶	192.0 (97.5, 345.1)	N/A	3	*	*
Jeff Davis County, Texas ⁷	174.4 (121.0, 272.2)	N/A	9	stable	-3.0 (-6.6, 0.7)
Aleutians East Borough, Alaska ⁶	138.9 (77.5, 232.3)	N/A	5	*	*
Accomack County, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Adams County, Indiana ⁶	data not available	N/A	data not available	data not available	data not available
Aitkin County, Minnesota ⁶	data not available	N/A	data not available	data not available	data not available
Albemarle County, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Alexandria City, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Alleghany County and Clifton Forge City, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Allen County, Indiana ⁶	data not available	N/A	data not available	data not available	data not available
Allen County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Amelia County, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Amherst County, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Anderson County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Anoka County, Minnesota ⁶	data not available	N/A	data not available	data not available	data not available
Appomattox County, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Arlington County, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Arthur County, Nebraska ⁶	*	*	3 or fewer	*	*
Atchison County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Augusta County, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Banner County, Nebraska ⁶	*	*	3 or fewer	*	*
Barber County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Bartholomew County, Indiana ⁶	data not available	N/A	data not available	data not available	data not available
Barton County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Bath County, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Becker County, Minnesota ⁶	data not available	N/A	data not available	data not available	data not available
Bedford City and County, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Beltrami County, Minnesota ⁶	data not available	N/A	data not available	data not available	data not available
Benton County, Indiana ⁶	data not available	N/A	data not available	data not available	data not available
Benton County, Minnesota ⁶	data not available	N/A	data not available	data not available	data not available
Big Stone County, Minnesota ⁶	data not available	N/A	data not available	data not available	data not available
Billings County, North Dakota ⁶	*	*	3 or fewer	*	*
Blackford County, Indiana ⁶	data not available	N/A	data not available	data not available	data not available
Bland County, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Blue Earth County, Minnesota ⁶	data not available	N/A	data not available	data not available	data not available
Boone County, Indiana ⁶	data not available	N/A	data not available	data not available	data not available
Botetourt County, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Bourbon County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Bristol City, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Brown County, Indiana ⁶	data not available	N/A	data not available	data not available	data not available
Brown County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Brown County, Minnesota ⁶	data not available	N/A	data not available	data not available	data not available
Brunswick County, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Buchanan County, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Buckingham County, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Buena Vista City, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Butler County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Campbell County, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Carlton County, Minnesota ⁶	data not available	N/A	data not available	data not available	data not available
Caroline County, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Carroll County, Indiana ⁶	data not available	N/A	data not available	data not available	data not available
Carroll County, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Carson City, Nevada ⁶	data not available	N/A	data not available	data not available	data not available
Carver County, Minnesota ⁶	data not available	N/A	data not available	data not available	data not available
Cass County, Indiana ⁶	data not available	N/A	data not available	data not available	data not available
Cass County, Minnesota ⁶	data not available	N/A	data not available	data not available	data not available
Charles City County, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Charlotte County, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Charlottesville City, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Chase County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Chautauqua County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Cherokee County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Chesapeake City, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Chesterfield County, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Cheyenne County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Chippewa County, Minnesota ⁶	data not available	N/A	data not available	data not available	data not available
Chisago County, Minnesota ⁶	data not available	N/A	data not available	data not available	data not available
Churchill County, Nevada ⁶	data not available	N/A	data not available	data not available	data not available
Clark County, Indiana ⁶	data not available	N/A	data not available	data not available	data not available
Clark County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Clark County, Nevada ⁶	data not available	N/A	data not available	data not available	data not available
Clarke County, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Clay County, Indiana ⁶	data not available	N/A	data not available	data not available	data not available
Clay County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Clay County, Minnesota ⁶	data not available	N/A	data not available	data not available	data not available
Clearwater County, Minnesota ⁶	data not available	N/A	data not available	data not available	data not available
Clinton County, Indiana ⁶	data not available	N/A	data not available	data not available	data not available
Cloud County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Coffey County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Colonial Heights City, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Comanche County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Cook County, Minnesota ⁶	data not available	N/A	data not available	data not available	data not available
Cottonwood County, Minnesota ⁶	data not available	N/A	data not available	data not available	data not available
Covington City, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Cowley County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Craig County, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Crawford County, Indiana ⁶	data not available	N/A	data not available	data not available	data not available
Crawford County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Crow Wing County, Minnesota ⁶	data not available	N/A	data not available	data not available	data not available
Culpeper County, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Cumberland County, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Dakota County, Minnesota ⁶	data not available	N/A	data not available	data not available	data not available
Danville City, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Daviess County, Indiana ⁶	data not available	N/A	data not available	data not available	data not available
DeKalb County, Indiana ⁶	data not available	N/A	data not available	data not available	data not available
Dearborn County, Indiana ⁶	data not available	N/A	data not available	data not available	data not available
Decatur County, Indiana ⁶	data not available	N/A	data not available	data not available	data not available
Decatur County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Delaware County, Indiana ⁶	data not available	N/A	data not available	data not available	data not available
Dickenson County, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Dickinson County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Dinwiddie County, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Dodge County, Minnesota ⁶	data not available	N/A	data not available	data not available	data not available
Doniphan County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Douglas County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Douglas County, Minnesota ⁶	data not available	N/A	data not available	data not available	data not available
Douglas County, Nevada ⁶	data not available	N/A	data not available	data not available	data not available
Dubois County, Indiana ⁶	data not available	N/A	data not available	data not available	data not available
Edwards County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Elk County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Elkhart County, Indiana ⁶	data not available	N/A	data not available	data not available	data not available
Elko County, Nevada ⁶	data not available	N/A	data not available	data not available	data not available
Ellis County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Ellsworth County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Emporia City, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Esmeralda County, Nevada ⁶	data not available	N/A	data not available	data not available	data not available
Essex County, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Eureka County, Nevada ⁶	data not available	N/A	data not available	data not available	data not available
Fairfax City, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Fairfax County, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Falls Church City, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Faribault County, Minnesota ⁶	data not available	N/A	data not available	data not available	data not available
Fauquier County, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Fayette County, Indiana ⁶	data not available	N/A	data not available	data not available	data not available
Fillmore County, Minnesota ⁶	data not available	N/A	data not available	data not available	data not available
Finney County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Floyd County, Indiana ⁶	data not available	N/A	data not available	data not available	data not available
Floyd County, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Fluvanna County, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Ford County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Fountain County, Indiana ⁶	data not available	N/A	data not available	data not available	data not available
Franklin City, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Franklin County, Indiana ⁶	data not available	N/A	data not available	data not available	data not available
Franklin County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Franklin County, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Frederick County, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Fredericksburg City, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Freeborn County, Minnesota ⁶	data not available	N/A	data not available	data not available	data not available
Fulton County, Indiana ⁶	data not available	N/A	data not available	data not available	data not available
Galax City, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Geary County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Gibson County, Indiana ⁶	data not available	N/A	data not available	data not available	data not available
Giles County, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Gloucester County, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Goochland County, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Goodhue County, Minnesota ⁶	data not available	N/A	data not available	data not available	data not available
Gove County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Graham County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Grant County, Indiana ⁶	data not available	N/A	data not available	data not available	data not available
Grant County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Grant County, Minnesota ⁶	data not available	N/A	data not available	data not available	data not available
Gray County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Grayson County, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Greeley County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Greene County, Indiana ⁶	data not available	N/A	data not available	data not available	data not available
Greene County, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Greensville County, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Greenwood County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Halifax County with South Boston City, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Hamilton County, Indiana ⁶	data not available	N/A	data not available	data not available	data not available
Hamilton County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Hampton City, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Hancock County, Indiana ⁶	data not available	N/A	data not available	data not available	data not available
Hanover County, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Harper County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Harrison County, Indiana ⁶	data not available	N/A	data not available	data not available	data not available
Harrisonburg City, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Harvey County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Haskell County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Hayes County, Nebraska ⁶	*	*	3 or fewer	*	*
Hendricks County, Indiana ⁶	data not available	N/A	data not available	data not available	data not available
Hennepin County, Minnesota ⁶	data not available	N/A	data not available	data not available	data not available
Henrico County, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Henry County, Indiana ⁶	data not available	N/A	data not available	data not available	data not available
Henry County, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Highland County, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Hinsdale County, Colorado ⁶	*	*	3 or fewer	*	*
Hodgeman County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Hopewell City, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Houston County, Minnesota ⁶	data not available	N/A	data not available	data not available	data not available
Howard County, Indiana ⁶	data not available	N/A	data not available	data not available	data not available
Hubbard County, Minnesota ⁶	data not available	N/A	data not available	data not available	data not available
Humboldt County, Nevada ⁶	data not available	N/A	data not available	data not available	data not available
Huntington County, Indiana ⁶	data not available	N/A	data not available	data not available	data not available
Isanti County, Minnesota ⁶	data not available	N/A	data not available	data not available	data not available
Isle of Wight County, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Itasca County, Minnesota ⁶	data not available	N/A	data not available	data not available	data not available
Jackson County, Indiana ⁶	data not available	N/A	data not available	data not available	data not available
Jackson County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Jackson County, Minnesota ⁶	data not available	N/A	data not available	data not available	data not available
James City County, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Jasper County, Indiana ⁶	data not available	N/A	data not available	data not available	data not available
Jay County, Indiana ⁶	data not available	N/A	data not available	data not available	data not available
Jefferson County, Indiana ⁶	data not available	N/A	data not available	data not available	data not available
Jefferson County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Jennings County, Indiana ⁶	data not available	N/A	data not available	data not available	data not available
Jewell County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Johnson County, Indiana ⁶	data not available	N/A	data not available	data not available	data not available
Johnson County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Kalawao County, Hawaii ⁷	*	*	3 or fewer	*	*
Kanabec County, Minnesota ⁶	data not available	N/A	data not available	data not available	data not available
Kandiyohi County, Minnesota ⁶	data not available	N/A	data not available	data not available	data not available
Kearny County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Kenedy County, Texas ⁷	*	*	3 or fewer	*	*
King County, Texas ⁷	*	*	3 or fewer	*	*
King George County, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
King William County, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
King and Queen County, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Kingman County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Kiowa County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Kittson County, Minnesota ⁶	data not available	N/A	data not available	data not available	data not available
Knox County, Indiana ⁶	data not available	N/A	data not available	data not available	data not available
Koochiching County, Minnesota ⁶	data not available	N/A	data not available	data not available	data not available
Kosciusko County, Indiana ⁶	data not available	N/A	data not available	data not available	data not available
LaGrange County, Indiana ⁶	data not available	N/A	data not available	data not available	data not available
LaPorte County, Indiana ⁶	data not available	N/A	data not available	data not available	data not available
Labette County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Lac qui Parle County, Minnesota ⁶	data not available	N/A	data not available	data not available	data not available
Lake County, Indiana ⁶	data not available	N/A	data not available	data not available	data not available
Lake County, Minnesota ⁶	data not available	N/A	data not available	data not available	data not available
Lake of the Woods County, Minnesota ⁶	data not available	N/A	data not available	data not available	data not available
Lancaster County, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Lander County, Nevada ⁶	data not available	N/A	data not available	data not available	data not available
Lane County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Lawrence County, Indiana ⁶	data not available	N/A	data not available	data not available	data not available
Le Sueur County, Minnesota ⁶	data not available	N/A	data not available	data not available	data not available
Leavenworth County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Lee County, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Lexington City, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Lincoln County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Lincoln County, Minnesota ⁶	data not available	N/A	data not available	data not available	data not available
Lincoln County, Nevada ⁶	data not available	N/A	data not available	data not available	data not available
Linn County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Logan County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Loudoun County, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Louisa County, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Loup County, Nebraska ⁶	*	*	3 or fewer	*	*
Loving County, Texas ⁷	*	*	3 or fewer	*	*
Lunenburg County, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Lynchburg City, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Lyon County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Lyon County, Minnesota ⁶	data not available	N/A	data not available	data not available	data not available
Lyon County, Nevada ⁶	data not available	N/A	data not available	data not available	data not available
Madison County, Indiana ⁶	data not available	N/A	data not available	data not available	data not available
Madison County, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Mahnomen County, Minnesota ⁶	data not available	N/A	data not available	data not available	data not available
Manassas City, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Manassas Park City, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Marion County, Indiana ⁶	data not available	N/A	data not available	data not available	data not available
Marion County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Marshall County, Indiana ⁶	data not available	N/A	data not available	data not available	data not available
Marshall County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Marshall County, Minnesota ⁶	data not available	N/A	data not available	data not available	data not available
Martin County, Indiana ⁶	data not available	N/A	data not available	data not available	data not available
Martin County, Minnesota ⁶	data not available	N/A	data not available	data not available	data not available
Martinsville City, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Mathews County, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
McLeod County, Minnesota ⁶	data not available	N/A	data not available	data not available	data not available
McPherson County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
McPherson County, Nebraska ⁶	*	*	3 or fewer	*	*
Meade County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Mecklenburg County, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Meeker County, Minnesota ⁶	data not available	N/A	data not available	data not available	data not available
Miami County, Indiana ⁶	data not available	N/A	data not available	data not available	data not available
Miami County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Middlesex County, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Mille Lacs County, Minnesota ⁶	data not available	N/A	data not available	data not available	data not available
Mineral County, Nevada ⁶	data not available	N/A	data not available	data not available	data not available
Mitchell County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Monroe County, Indiana ⁶	data not available	N/A	data not available	data not available	data not available
Montgomery County, Indiana ⁶	data not available	N/A	data not available	data not available	data not available
Montgomery County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Montgomery County, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Morgan County, Indiana ⁶	data not available	N/A	data not available	data not available	data not available
Morris County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Morrison County, Minnesota ⁶	data not available	N/A	data not available	data not available	data not available
Morton County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Mower County, Minnesota ⁶	data not available	N/A	data not available	data not available	data not available
Murray County, Minnesota ⁶	data not available	N/A	data not available	data not available	data not available
Nelson County, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Nemaha County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Neosho County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Ness County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
New Kent County, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Newport News City, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Newton County, Indiana ⁶	data not available	N/A	data not available	data not available	data not available
Nicollet County, Minnesota ⁶	data not available	N/A	data not available	data not available	data not available
Noble County, Indiana ⁶	data not available	N/A	data not available	data not available	data not available
Nobles County, Minnesota ⁶	data not available	N/A	data not available	data not available	data not available
Norfolk City, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Norman County, Minnesota ⁶	data not available	N/A	data not available	data not available	data not available
Northampton County, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Northumberland County, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Norton City, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Norton County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Nottoway County, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Nye County, Nevada ⁶	data not available	N/A	data not available	data not available	data not available
Ohio County, Indiana ⁶	data not available	N/A	data not available	data not available	data not available
Olmsted County, Minnesota ⁶	data not available	N/A	data not available	data not available	data not available
Orange County, Indiana ⁶	data not available	N/A	data not available	data not available	data not available
Orange County, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Osage County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Osborne County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Ottawa County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Otter Tail County, Minnesota ⁶	data not available	N/A	data not available	data not available	data not available
Owen County, Indiana ⁶	data not available	N/A	data not available	data not available	data not available
Page County, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Parke County, Indiana ⁶	data not available	N/A	data not available	data not available	data not available
Patrick County, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Pawnee County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Pennington County, Minnesota ⁶	data not available	N/A	data not available	data not available	data not available
Perry County, Indiana ⁶	data not available	N/A	data not available	data not available	data not available
Pershing County, Nevada ⁶	data not available	N/A	data not available	data not available	data not available
Petersburg City, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Phillips County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Pike County, Indiana ⁶	data not available	N/A	data not available	data not available	data not available
Pine County, Minnesota ⁶	data not available	N/A	data not available	data not available	data not available
Pipestone County, Minnesota ⁶	data not available	N/A	data not available	data not available	data not available
Pittsylvania County, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Polk County, Minnesota ⁶	data not available	N/A	data not available	data not available	data not available
Pope County, Minnesota ⁶	data not available	N/A	data not available	data not available	data not available
Poquoson City, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Porter County, Indiana ⁶	data not available	N/A	data not available	data not available	data not available
Portsmouth City, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Posey County, Indiana ⁶	data not available	N/A	data not available	data not available	data not available
Pottawatomie County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Powhatan County, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Pratt County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Prince Edward County, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Prince George County, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Prince William County, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Pulaski County, Indiana ⁶	data not available	N/A	data not available	data not available	data not available
Pulaski County, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Putnam County, Indiana ⁶	data not available	N/A	data not available	data not available	data not available
Radford City, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Ramsey County, Minnesota ⁶	data not available	N/A	data not available	data not available	data not available
Randolph County, Indiana ⁶	data not available	N/A	data not available	data not available	data not available
Rappahannock County, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Rawlins County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Red Lake County, Minnesota ⁶	data not available	N/A	data not available	data not available	data not available
Redwood County, Minnesota ⁶	data not available	N/A	data not available	data not available	data not available
Reno County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Renville County, Minnesota ⁶	data not available	N/A	data not available	data not available	data not available
Republic County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Rice County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Rice County, Minnesota ⁶	data not available	N/A	data not available	data not available	data not available
Richmond City, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Richmond County, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Riley County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Ripley County, Indiana ⁶	data not available	N/A	data not available	data not available	data not available
Roanoke City, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Roanoke County, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Rock County, Minnesota ⁶	data not available	N/A	data not available	data not available	data not available
Rockbridge County, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Rockingham County, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Rooks County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Roseau County, Minnesota ⁶	data not available	N/A	data not available	data not available	data not available
Rush County, Indiana ⁶	data not available	N/A	data not available	data not available	data not available
Rush County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Russell County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Russell County, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Salem City, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Saline County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
San Juan County, Colorado ⁶	*	*	3 or fewer	*	*
Scott County, Indiana ⁶	data not available	N/A	data not available	data not available	data not available
Scott County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Scott County, Minnesota ⁶	data not available	N/A	data not available	data not available	data not available
Scott County, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Sedgwick County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Seward County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Shawnee County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Shelby County, Indiana ⁶	data not available	N/A	data not available	data not available	data not available
Shenandoah County, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Sherburne County, Minnesota ⁶	data not available	N/A	data not available	data not available	data not available
Sheridan County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Sherman County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Sibley County, Minnesota ⁶	data not available	N/A	data not available	data not available	data not available
Slope County, North Dakota ⁶	*	*	3 or fewer	*	*
Smith County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Smyth County, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Southampton County, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Spencer County, Indiana ⁶	data not available	N/A	data not available	data not available	data not available
Spotsylvania County, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
St. Joseph County, Indiana ⁶	data not available	N/A	data not available	data not available	data not available
St. Louis County, Minnesota ⁶	data not available	N/A	data not available	data not available	data not available
Stafford County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Stafford County, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Stanton County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Starke County, Indiana ⁶	data not available	N/A	data not available	data not available	data not available
Staunton City, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Stearns County, Minnesota ⁶	data not available	N/A	data not available	data not available	data not available
Steele County, Minnesota ⁶	data not available	N/A	data not available	data not available	data not available
Steuben County, Indiana ⁶	data not available	N/A	data not available	data not available	data not available
Stevens County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Stevens County, Minnesota ⁶	data not available	N/A	data not available	data not available	data not available
Storey County, Nevada ⁶	data not available	N/A	data not available	data not available	data not available
Suffolk City, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Sullivan County, Indiana ⁶	data not available	N/A	data not available	data not available	data not available
Sumner County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Surry County, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Sussex County, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Swift County, Minnesota ⁶	data not available	N/A	data not available	data not available	data not available
Switzerland County, Indiana ⁶	data not available	N/A	data not available	data not available	data not available
Tazewell County, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Thomas County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Thomas County, Nebraska ⁶	*	*	3 or fewer	*	*
Tippecanoe County, Indiana ⁶	data not available	N/A	data not available	data not available	data not available
Tipton County, Indiana ⁶	data not available	N/A	data not available	data not available	data not available
Todd County, Minnesota ⁶	data not available	N/A	data not available	data not available	data not available
Traverse County, Minnesota ⁶	data not available	N/A	data not available	data not available	data not available
Trego County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Union County, Indiana ⁶	data not available	N/A	data not available	data not available	data not available
Vanderburgh County, Indiana ⁶	data not available	N/A	data not available	data not available	data not available
Vermillion County, Indiana ⁶	data not available	N/A	data not available	data not available	data not available
Vigo County, Indiana ⁶	data not available	N/A	data not available	data not available	data not available
Virginia Beach City, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Wabash County, Indiana ⁶	data not available	N/A	data not available	data not available	data not available
Wabasha County, Minnesota ⁶	data not available	N/A	data not available	data not available	data not available
Wabaunsee County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Wadena County, Minnesota ⁶	data not available	N/A	data not available	data not available	data not available
Wallace County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Warren County, Indiana ⁶	data not available	N/A	data not available	data not available	data not available
Warren County, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Warrick County, Indiana ⁶	data not available	N/A	data not available	data not available	data not available
Waseca County, Minnesota ⁶	data not available	N/A	data not available	data not available	data not available
Washington County, Indiana ⁶	data not available	N/A	data not available	data not available	data not available
Washington County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Washington County, Minnesota ⁶	data not available	N/A	data not available	data not available	data not available
Washington County, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Washoe County, Nevada ⁶	data not available	N/A	data not available	data not available	data not available
Watonwan County, Minnesota ⁶	data not available	N/A	data not available	data not available	data not available
Wayne County, Indiana ⁶	data not available	N/A	data not available	data not available	data not available
Waynesboro City, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Wells County, Indiana ⁶	data not available	N/A	data not available	data not available	data not available
Westmoreland County, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
White County, Indiana ⁶	data not available	N/A	data not available	data not available	data not available
White Pine County, Nevada ⁶	data not available	N/A	data not available	data not available	data not available
Whitley County, Indiana ⁶	data not available	N/A	data not available	data not available	data not available
Wichita County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Wilkin County, Minnesota ⁶	data not available	N/A	data not available	data not available	data not available
Williamsburg City, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Wilson County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Winchester City, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Winona County, Minnesota ⁶	data not available	N/A	data not available	data not available	data not available
Wise County, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Woodson County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Wright County, Minnesota ⁶	data not available	N/A	data not available	data not available	data not available
Wyandotte County, Kansas ⁶	data not available	N/A	data not available	data not available	data not available
Wythe County, Virginia ⁶	data not available	N/A	data not available	data not available	data not available
Yakutat City and Borough, Alaska ⁶	*	*	3 or fewer	*	*
Yellow Medicine County, Minnesota ⁶	data not available	N/A	data not available	data not available	data not available
York County, Virginia ⁶	data not available	N/A	data not available	data not available	data not available

Notes:
Created by statecancerprofiles.cancer.gov on 06/01/2024 5:58 am.

Alaska Census Area Name Change: please note that Wade Hampton Census Area, AK (FIPS code=02270) was renamed effective July 1, 2015, and the new name is Kusilvak Census Area (FIPS Code=02158). This website will use Kusilvak/Wade Hampton until the next incidence/mortality data release.

South Dakota County Name Change: please note that Shannon County, SD (FIPS code=46113) was renamed effective May 1, 2015, and the new name is Oglala Lakota County (FIPS Code=46102). This website will use Oglala Lakota/Shannon until the next incidence/mortality data release.

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.

† Incidence rates (cases per 100,000 population per year) are age-adjusted to the 2000 US standard population (19 age groups: <1, 1-4, 5-9, ... , 80-84, 85+). Rates are for invasive cancer only (except for bladder cancer which is invasive and in situ) or unless otherwise specified. Rates calculated using SEER*Stat. Population counts for denominators are based on Census populations as modified by NCI. The US Population Data File is used for SEER and NPCR incidence rates.
‡ Incidence data come 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 area for additional information.

Rates and trends are computed using different standards for malignancy. For more information see malignant.html.

^ All Stages refers to any stage in the Surveillance, Epidemiology, and End Results (SEER) summary stage.
⋔ 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.

* 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).
Data not available for this combination of data selections.

¹ Source: National Program of Cancer Registries and Surveillance, Epidemiology, and End Results SEER*Stat Database - United States Department of Health and Human Services, Centers for Disease Control and Prevention and National Cancer Institute. Based on the 2022 submission.
⁶ Source: National Program of Cancer Registries SEER*Stat Database - United States Department of Health and Human Services, Centers for Disease Control and Prevention (based on the 2022 submission).
⁷ Source: SEER November 2022 submission.
⁸ Source: Incidence data provided by the SEER Program. AAPCs are calculated by the Joinpoint Regression Program and are based on APCs. Data are age-adjusted to the 2000 US standard population (19 age groups: <1, 1-4, 5-9, ... , 80-84,85+). Rates are for invasive cancer only (except for bladder cancer which is invasive and in situ) or unless otherwise specified. Population counts for denominators are based on Census populations as modifed by NCI. The US Population Data File is used with SEER November 2022 data.
Data not available for this combination of geography, cancer site, age, and race/ethnicity.

Data for the United States does not include data from Nevada.
Data for the United States does not include Puerto Rico.

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