State Cancer Profiles

Interpretation of Incidence Rates Data

Incidence Rate Report for Texas by County

All Cancer Sites (All Stages^), 2018-2022

All Races (includes Hispanic), Both Sexes, Ages 50+

Sorted by CI*Rank

Explanation of Column Headers
Incidence Rate (95% Confidence Interval) - The incidence rate is based upon 100,000 people and is an annual rate (or average annual rate) based on the time period indicated. Rates are age-adjusted by 5-year age groups to the 2000 U.S. standard million population.

Recent Trends - This is an interpretation of the AAPC/APC:

• Rising when 95% confidence interval of AAPC/APC is above 0.
• Stable when 95% confidence interval of AAPC/APC includes 0.
• Falling when 95% confidence interval of AAPC/APC is below 0.

AAPC/APC (95% Confidence Interval) - the change in rate over time

• Average Annual Percent Change - AAPCs are based upon APCs that were calculated by Joinpoint Regression Program
• Annual Percent Change - APCs calculated in SEER*Stat.

Other Notes

• Larger confidence intervals indicate less stability of the data. This is often due to low counts that are not quite low enough to be suppressed.
• Data is currently being suppressed if there are fewer than 16 counts for the time period.

Line by Line Interpretation of the Report

Texas⁷

• 2023 Rural-Urban Continuum Codes Φ : N/A
• Rate : The incidence rate is 1,298.4 with a 95% confidence interval from 1,294.9 to 1,301.8 and 111,216 average annual cases over 2018-2022.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -1.5 to 0.1.

US (SEER+NPCR)¹

• 2023 Rural-Urban Continuum Codes Φ : N/A
• Rate : The incidence rate is 1,350.7 with a 95% confidence interval from 1,349.8 to 1,351.7 and 1,608,177 average annual cases over 2018-2022.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is because the trend is -1.2 with a 95% confidence interval from -1.8 to -0.7.

Polk County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,177.4 with a 95% confidence interval from 2,071.3 to 2,287.7 and 408 average annual cases over 2018-2022.
• CI*Rank ⋔ : 1 (1, 4)
• Recent Trend : The trend is because the trend is -1.8 with a 95% confidence interval from -4.5 to 1.0.

Hudspeth County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,007.6 with a 95% confidence interval from 1,590.4 to 2,503.0 and 16 average annual cases over 2018-2022.
• CI*Rank ⋔ : 2 (1, 147)
• Recent Trend : The trend is because the trend is 14.1 with a 95% confidence interval from 8.4 to 29.0.

McMullen County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,847.6 with a 95% confidence interval from 1,220.3 to 2,685.3 and 6 average annual cases over 2018-2022.
• CI*Rank ⋔ : 3 (1, 250)
• Recent Trend :

Edwards County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,733.9 with a 95% confidence interval from 1,309.1 to 2,253.5 and 13 average annual cases over 2018-2022.
• CI*Rank ⋔ : 4 (1, 239)
• Recent Trend : The trend is because the trend is 12.7 with a 95% confidence interval from 6.8 to 35.9.

Baylor County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,719.6 with a 95% confidence interval from 1,441.4 to 2,035.6 and 28 average annual cases over 2018-2022.
• CI*Rank ⋔ : 5 (1, 184)
• Recent Trend : The trend is because the trend is 0.5 with a 95% confidence interval from -1.7 to 2.9.

Motley County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,710.0 with a 95% confidence interval from 1,194.3 to 2,362.2 and 9 average annual cases over 2018-2022.
• CI*Rank ⋔ : 6 (1, 247)
• Recent Trend : The trend is because the trend is 0.1 with a 95% confidence interval from -3.6 to 3.7.

Camp County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,662.2 with a 95% confidence interval from 1,500.9 to 1,836.3 and 81 average annual cases over 2018-2022.
• CI*Rank ⋔ : 7 (2, 97)
• Recent Trend : The trend is because the trend is 1.8 with a 95% confidence interval from -2.1 to 6.9.

Morris County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,607.0 with a 95% confidence interval from 1,454.4 to 1,771.5 and 86 average annual cases over 2018-2022.
• CI*Rank ⋔ : 8 (2, 122)
• Recent Trend : The trend is because the trend is 2.9 with a 95% confidence interval from 0.5 to 10.5.

Stonewall County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,603.5 with a 95% confidence interval from 1,177.7 to 2,132.2 and 10 average annual cases over 2018-2022.
• CI*Rank ⋔ : 9 (1, 246)
• Recent Trend : The trend is because the trend is 1.5 with a 95% confidence interval from -2.2 to 5.6.

Armstrong County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,600.3 with a 95% confidence interval from 1,218.3 to 2,065.3 and 13 average annual cases over 2018-2022.
• CI*Rank ⋔ : 10 (1, 242)
• Recent Trend : The trend is because the trend is 2.5 with a 95% confidence interval from 0.2 to 5.2.

Real County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,595.9 with a 95% confidence interval from 1,327.8 to 1,903.7 and 27 average annual cases over 2018-2022.
• CI*Rank ⋔ : 11 (2, 217)
• Recent Trend : The trend is because the trend is 6.1 with a 95% confidence interval from 3.5 to 11.4.

Henderson County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,590.4 with a 95% confidence interval from 1,532.7 to 1,649.7 and 601 average annual cases over 2018-2022.
• CI*Rank ⋔ : 12 (6, 46)
• Recent Trend : The trend is because the trend is 1.1 with a 95% confidence interval from 0.3 to 3.6.

Cochran County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,597.0 with a 95% confidence interval from 1,245.1 to 2,017.9 and 14 average annual cases over 2018-2022.
• CI*Rank ⋔ : 13 (1, 242)
• Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -3.1 to 2.9.

Rains County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,582.3 with a 95% confidence interval from 1,441.4 to 1,733.8 and 99 average annual cases over 2018-2022.
• CI*Rank ⋔ : 14 (3, 130)
• Recent Trend : The trend is because the trend is 4.9 with a 95% confidence interval from 0.9 to 9.2.

Cherokee County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,582.9 with a 95% confidence interval from 1,503.1 to 1,665.9 and 303 average annual cases over 2018-2022.
• CI*Rank ⋔ : 15 (5, 69)
• Recent Trend : The trend is because the trend is 0.8 with a 95% confidence interval from 0.4 to 1.3.

Briscoe County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,573.1 with a 95% confidence interval from 1,188.3 to 2,045.2 and 11 average annual cases over 2018-2022.
• CI*Rank ⋔ : 16 (1, 246)
• Recent Trend : The trend is because the trend is 1.0 with a 95% confidence interval from -1.5 to 3.8.

Fannin County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,571.0 with a 95% confidence interval from 1,478.8 to 1,667.5 and 222 average annual cases over 2018-2022.
• CI*Rank ⋔ : 17 (4, 82)
• Recent Trend : The trend is because the trend is 0.3 with a 95% confidence interval from -0.4 to 1.2.

Crockett County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,579.2 with a 95% confidence interval from 1,267.1 to 1,945.6 and 19 average annual cases over 2018-2022.
• CI*Rank ⋔ : 18 (2, 234)
• Recent Trend : The trend is because the trend is 0.9 with a 95% confidence interval from -2.0 to 3.9.

Jasper County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,561.5 with a 95% confidence interval from 1,469.1 to 1,658.3 and 221 average annual cases over 2018-2022.
• CI*Rank ⋔ : 19 (5, 88)
• Recent Trend : The trend is because the trend is 0.7 with a 95% confidence interval from -0.1 to 1.5.

Walker County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,559.6 with a 95% confidence interval from 1,487.9 to 1,633.9 and 369 average annual cases over 2018-2022.
• CI*Rank ⋔ : 20 (5, 74)
• Recent Trend : The trend is because the trend is 3.8 with a 95% confidence interval from 1.4 to 8.2.

McCulloch County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,552.2 with a 95% confidence interval from 1,370.3 to 1,751.7 and 55 average annual cases over 2018-2022.
• CI*Rank ⋔ : 21 (3, 176)
• Recent Trend : The trend is because the trend is 0.7 with a 95% confidence interval from -0.5 to 2.0.

Wood County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,550.4 with a 95% confidence interval from 1,479.0 to 1,624.4 and 381 average annual cases over 2018-2022.
• CI*Rank ⋔ : 22 (7, 76)
• Recent Trend : The trend is because the trend is 1.9 with a 95% confidence interval from 0.9 to 5.3.

Wichita County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,540.5 with a 95% confidence interval from 1,487.0 to 1,595.3 and 651 average annual cases over 2018-2022.
• CI*Rank ⋔ : 23 (9, 66)
• Recent Trend : The trend is because the trend is 1.3 with a 95% confidence interval from 0.0 to 2.1.

Panola County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,539.6 with a 95% confidence interval from 1,425.5 to 1,660.5 and 141 average annual cases over 2018-2022.
• CI*Rank ⋔ : 24 (4, 131)
• Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -0.8 to 0.8.

Runnels County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,533.7 with a 95% confidence interval from 1,370.4 to 1,711.1 and 66 average annual cases over 2018-2022.
• CI*Rank ⋔ : 25 (4, 178)
• Recent Trend : The trend is because the trend is 0.5 with a 95% confidence interval from -0.8 to 2.0.

Montague County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,530.3 with a 95% confidence interval from 1,417.2 to 1,650.2 and 140 average annual cases over 2018-2022.
• CI*Rank ⋔ : 26 (5, 134)
• Recent Trend : The trend is because the trend is 0.1 with a 95% confidence interval from -2.5 to 3.1.

Johnson County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,530.6 with a 95% confidence interval from 1,484.5 to 1,577.9 and 878 average annual cases over 2018-2022.
• CI*Rank ⋔ : 27 (11, 68)
• Recent Trend : The trend is because the trend is 1.1 with a 95% confidence interval from 0.4 to 2.5.

Borden County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,533.5 with a 95% confidence interval from 955.6 to 2,322.2 and 4 average annual cases over 2018-2022.
• CI*Rank ⋔ : 28 (1, 251)
• Recent Trend :

Liberty County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,526.1 with a 95% confidence interval from 1,457.9 to 1,596.8 and 405 average annual cases over 2018-2022.
• CI*Rank ⋔ : 29 (8, 83)
• Recent Trend : The trend is because the trend is 1.2 with a 95% confidence interval from 0.1 to 5.2.

Delta County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,531.8 with a 95% confidence interval from 1,312.0 to 1,778.6 and 36 average annual cases over 2018-2022.
• CI*Rank ⋔ : 30 (2, 213)
• Recent Trend : The trend is because the trend is 1.5 with a 95% confidence interval from 0.1 to 3.1.

Clay County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,522.0 with a 95% confidence interval from 1,367.8 to 1,688.9 and 75 average annual cases over 2018-2022.
• CI*Rank ⋔ : 31 (4, 181)
• Recent Trend : The trend is because the trend is 0.3 with a 95% confidence interval from -0.5 to 1.2.

Parker County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,517.9 with a 95% confidence interval from 1,470.0 to 1,566.9 and 803 average annual cases over 2018-2022.
• CI*Rank ⋔ : 32 (13, 75)
• Recent Trend : The trend is because the trend is -2.4 with a 95% confidence interval from -4.6 to 0.1.

Palo Pinto County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,513.6 with a 95% confidence interval from 1,414.8 to 1,617.7 and 182 average annual cases over 2018-2022.
• CI*Rank ⋔ : 33 (7, 131)
• Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -1.0 to 0.8.

Chambers County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,509.5 with a 95% confidence interval from 1,413.0 to 1,611.0 and 196 average annual cases over 2018-2022.
• CI*Rank ⋔ : 34 (7, 126)
• Recent Trend : The trend is because the trend is 2.0 with a 95% confidence interval from -0.8 to 7.6.

Upshur County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,507.4 with a 95% confidence interval from 1,423.1 to 1,595.4 and 249 average annual cases over 2018-2022.
• CI*Rank ⋔ : 35 (8, 112)
• Recent Trend : The trend is because the trend is 0.6 with a 95% confidence interval from 0.0 to 3.2.

Leon County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,508.6 with a 95% confidence interval from 1,385.2 to 1,640.1 and 118 average annual cases over 2018-2022.
• CI*Rank ⋔ : 36 (5, 159)
• Recent Trend : The trend is because the trend is 2.0 with a 95% confidence interval from 0.2 to 7.3.

Hill County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,507.4 with a 95% confidence interval from 1,420.8 to 1,598.0 and 234 average annual cases over 2018-2022.
• CI*Rank ⋔ : 37 (8, 113)
• Recent Trend : The trend is because the trend is -2.2 with a 95% confidence interval from -5.4 to 2.2.

San Jacinto County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,506.5 with a 95% confidence interval from 1,409.4 to 1,608.7 and 190 average annual cases over 2018-2022.
• CI*Rank ⋔ : 38 (6, 133)
• Recent Trend : The trend is because the trend is 0.2 with a 95% confidence interval from -0.4 to 0.8.

Cass County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,503.0 with a 95% confidence interval from 1,409.7 to 1,601.0 and 199 average annual cases over 2018-2022.
• CI*Rank ⋔ : 39 (7, 126)
• Recent Trend : The trend is because the trend is 0.7 with a 95% confidence interval from 0.2 to 1.2.

Gregg County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,499.8 with a 95% confidence interval from 1,447.3 to 1,553.7 and 635 average annual cases over 2018-2022.
• CI*Rank ⋔ : 40 (14, 88)
• Recent Trend : The trend is because the trend is 0.6 with a 95% confidence interval from -0.5 to 3.9.

Martin County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,481.6 with a 95% confidence interval from 1,203.7 to 1,805.6 and 21 average annual cases over 2018-2022.
• CI*Rank ⋔ : 41 (2, 238)
• Recent Trend : The trend is because the trend is 0.3 with a 95% confidence interval from -2.2 to 3.2.

Swisher County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,489.6 with a 95% confidence interval from 1,282.2 to 1,720.8 and 38 average annual cases over 2018-2022.
• CI*Rank ⋔ : 42 (3, 220)
• Recent Trend : The trend is because the trend is 0.8 with a 95% confidence interval from -0.9 to 2.6.

Tyler County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,488.7 with a 95% confidence interval from 1,375.8 to 1,608.5 and 134 average annual cases over 2018-2022.
• CI*Rank ⋔ : 43 (6, 162)
• Recent Trend : The trend is because the trend is 3.4 with a 95% confidence interval from -0.3 to 9.7.

Lampasas County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,487.2 with a 95% confidence interval from 1,376.8 to 1,604.1 and 140 average annual cases over 2018-2022.
• CI*Rank ⋔ : 44 (7, 163)
• Recent Trend : The trend is because the trend is 0.6 with a 95% confidence interval from -0.3 to 1.8.

Lamar County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,484.1 with a 95% confidence interval from 1,408.9 to 1,562.3 and 298 average annual cases over 2018-2022.
• CI*Rank ⋔ : 45 (11, 118)
• Recent Trend : The trend is because the trend is -0.4 with a 95% confidence interval from -1.0 to 0.2.

Bell County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,481.9 with a 95% confidence interval from 1,446.9 to 1,517.5 and 1,419 average annual cases over 2018-2022.
• CI*Rank ⋔ : 46 (25, 85)
• Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -0.5 to 0.0.

Aransas County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,478.6 with a 95% confidence interval from 1,384.3 to 1,577.8 and 197 average annual cases over 2018-2022.
• CI*Rank ⋔ : 47 (9, 144)
• Recent Trend : The trend is because the trend is 0.7 with a 95% confidence interval from -1.2 to 6.2.

Cooke County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,476.6 with a 95% confidence interval from 1,393.6 to 1,563.4 and 245 average annual cases over 2018-2022.
• CI*Rank ⋔ : 48 (11, 131)
• Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -1.0 to 0.6.

Wheeler County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,475.7 with a 95% confidence interval from 1,246.5 to 1,735.4 and 31 average annual cases over 2018-2022.
• CI*Rank ⋔ : 49 (3, 231)
• Recent Trend : The trend is because the trend is 0.4 with a 95% confidence interval from -1.2 to 2.1.

Burleson County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,475.9 with a 95% confidence interval from 1,356.7 to 1,603.0 and 119 average annual cases over 2018-2022.
• CI*Rank ⋔ : 50 (6, 177)
• Recent Trend : The trend is because the trend is 0.6 with a 95% confidence interval from -0.4 to 1.7.

Bosque County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,467.2 with a 95% confidence interval from 1,357.2 to 1,583.8 and 138 average annual cases over 2018-2022.
• CI*Rank ⋔ : 51 (6, 172)
• Recent Trend : The trend is because the trend is 1.7 with a 95% confidence interval from 0.4 to 6.5.

Milam County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,467.5 with a 95% confidence interval from 1,365.6 to 1,575.0 and 160 average annual cases over 2018-2022.
• CI*Rank ⋔ : 52 (10, 158)
• Recent Trend : The trend is because the trend is 0.1 with a 95% confidence interval from -0.4 to 0.8.

Wise County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,465.0 with a 95% confidence interval from 1,395.5 to 1,537.2 and 354 average annual cases over 2018-2022.
• CI*Rank ⋔ : 53 (16, 138)
• Recent Trend : The trend is because the trend is -3.7 with a 95% confidence interval from -7.8 to 1.1.

Young County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,465.4 with a 95% confidence interval from 1,343.2 to 1,595.8 and 110 average annual cases over 2018-2022.
• CI*Rank ⋔ : 54 (8, 174)
• Recent Trend : The trend is because the trend is 3.5 with a 95% confidence interval from -0.1 to 9.9.

Marion County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,456.1 with a 95% confidence interval from 1,309.0 to 1,615.3 and 76 average annual cases over 2018-2022.
• CI*Rank ⋔ : 55 (6, 202)
• Recent Trend : The trend is because the trend is 0.4 with a 95% confidence interval from -0.6 to 1.6.

Smith County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,453.9 with a 95% confidence interval from 1,417.3 to 1,491.2 and 1,225 average annual cases over 2018-2022.
• CI*Rank ⋔ : 56 (33, 103)
• Recent Trend : The trend is because the trend is 0.7 with a 95% confidence interval from -0.2 to 3.0.

Mitchell County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,453.9 with a 95% confidence interval from 1,257.3 to 1,672.7 and 40 average annual cases over 2018-2022.
• CI*Rank ⋔ : 57 (4, 217)
• Recent Trend : The trend is because the trend is 0.5 with a 95% confidence interval from -1.1 to 2.0.

Newton County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,450.7 with a 95% confidence interval from 1,313.9 to 1,598.0 and 85 average annual cases over 2018-2022.
• CI*Rank ⋔ : 58 (7, 183)
• Recent Trend : The trend is because the trend is 1.3 with a 95% confidence interval from 0.5 to 2.2.

Orange County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,451.2 with a 95% confidence interval from 1,389.7 to 1,514.7 and 434 average annual cases over 2018-2022.
• CI*Rank ⋔ : 59 (22, 128)
• Recent Trend : The trend is because the trend is 0.4 with a 95% confidence interval from -1.1 to 4.0.

Coke County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,453.2 with a 95% confidence interval from 1,202.9 to 1,740.4 and 25 average annual cases over 2018-2022.
• CI*Rank ⋔ : 60 (3, 238)
• Recent Trend : The trend is because the trend is 1.9 with a 95% confidence interval from -0.3 to 4.3.

Kaufman County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,446.1 with a 95% confidence interval from 1,391.3 to 1,502.6 and 566 average annual cases over 2018-2022.
• CI*Rank ⋔ : 61 (24, 120)
• Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -0.6 to 0.1.

Grayson County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,441.8 with a 95% confidence interval from 1,395.4 to 1,489.4 and 756 average annual cases over 2018-2022.
• CI*Rank ⋔ : 62 (31, 121)
• Recent Trend : The trend is because the trend is -0.4 with a 95% confidence interval from -0.7 to 0.0.

Coleman County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,445.8 with a 95% confidence interval from 1,279.1 to 1,628.6 and 58 average annual cases over 2018-2022.
• CI*Rank ⋔ : 63 (5, 219)
• Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -1.1 to 1.2.

Zavala County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,439.1 with a 95% confidence interval from 1,251.1 to 1,647.9 and 43 average annual cases over 2018-2022.
• CI*Rank ⋔ : 64 (4, 234)
• Recent Trend : The trend is because the trend is 1.7 with a 95% confidence interval from 0.4 to 3.1.

Rusk County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,441.3 with a 95% confidence interval from 1,365.4 to 1,520.3 and 280 average annual cases over 2018-2022.
• CI*Rank ⋔ : 65 (19, 154)
• Recent Trend : The trend is because the trend is 0.3 with a 95% confidence interval from -0.1 to 0.8.

Oldham County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,438.0 with a 95% confidence interval from 1,042.2 to 1,938.1 and 9 average annual cases over 2018-2022.
• CI*Rank ⋔ : 66 (1, 250)
• Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -2.3 to 2.7.

Freestone County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,439.7 with a 95% confidence interval from 1,324.1 to 1,562.8 and 118 average annual cases over 2018-2022.
• CI*Rank ⋔ : 67 (10, 182)
• Recent Trend : The trend is because the trend is 0.2 with a 95% confidence interval from -0.6 to 1.1.

Hunt County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,431.0 with a 95% confidence interval from 1,375.0 to 1,488.6 and 511 average annual cases over 2018-2022.
• CI*Rank ⋔ : 68 (30, 137)
• Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -0.8 to 0.4.

Knox County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,435.7 with a 95% confidence interval from 1,168.7 to 1,746.3 and 21 average annual cases over 2018-2022.
• CI*Rank ⋔ : 69 (2, 242)
• Recent Trend : The trend is because the trend is 0.6 with a 95% confidence interval from -1.1 to 2.5.

Hardin County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,427.8 with a 95% confidence interval from 1,354.7 to 1,503.8 and 296 average annual cases over 2018-2022.
• CI*Rank ⋔ : 70 (23, 153)
• Recent Trend : The trend is because the trend is 0.9 with a 95% confidence interval from -1.2 to 5.5.

Galveston County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,424.9 with a 95% confidence interval from 1,393.8 to 1,456.6 and 1,693 average annual cases over 2018-2022.
• CI*Rank ⋔ : 71 (46, 114)
• Recent Trend : The trend is because the trend is -0.4 with a 95% confidence interval from -2.5 to 1.7.

Dawson County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,423.1 with a 95% confidence interval from 1,257.0 to 1,605.3 and 54 average annual cases over 2018-2022.
• CI*Rank ⋔ : 72 (6, 219)
• Recent Trend : The trend is because the trend is 0.1 with a 95% confidence interval from -0.5 to 0.7.

Coryell County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,423.2 with a 95% confidence interval from 1,348.6 to 1,500.9 and 282 average annual cases over 2018-2022.
• CI*Rank ⋔ : 73 (24, 160)
• Recent Trend : The trend is because the trend is -0.8 with a 95% confidence interval from -1.2 to -0.2.

Harrison County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,423.9 with a 95% confidence interval from 1,358.1 to 1,492.2 and 366 average annual cases over 2018-2022.
• CI*Rank ⋔ : 74 (27, 150)
• Recent Trend : The trend is because the trend is -0.6 with a 95% confidence interval from -1.1 to 0.0.

Madison County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,422.6 with a 95% confidence interval from 1,267.4 to 1,591.7 and 62 average annual cases over 2018-2022.
• CI*Rank ⋔ : 75 (7, 212)
• Recent Trend : The trend is because the trend is 0.3 with a 95% confidence interval from -0.5 to 1.1.

Grimes County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,420.5 with a 95% confidence interval from 1,323.1 to 1,523.3 and 166 average annual cases over 2018-2022.
• CI*Rank ⋔ : 76 (16, 180)
• Recent Trend : The trend is because the trend is 2.6 with a 95% confidence interval from 0.9 to 6.8.

Titus County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,419.9 with a 95% confidence interval from 1,316.3 to 1,529.7 and 143 average annual cases over 2018-2022.
• CI*Rank ⋔ : 77 (14, 187)
• Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -1.2 to 0.8.

Hood County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,418.5 with a 95% confidence interval from 1,358.1 to 1,480.9 and 441 average annual cases over 2018-2022.
• CI*Rank ⋔ : 78 (32, 147)
• Recent Trend : The trend is because the trend is -2.6 with a 95% confidence interval from -5.2 to -0.7.

Ellis County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,418.2 with a 95% confidence interval from 1,373.8 to 1,463.8 and 821 average annual cases over 2018-2022.
• CI*Rank ⋔ : 79 (44, 131)
• Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -0.7 to 0.4.

Potter County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,417.5 with a 95% confidence interval from 1,362.0 to 1,474.6 and 508 average annual cases over 2018-2022.
• CI*Rank ⋔ : 80 (33, 145)
• Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -1.2 to -0.2.

Tom Green County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,417.4 with a 95% confidence interval from 1,365.5 to 1,470.8 and 580 average annual cases over 2018-2022.
• CI*Rank ⋔ : 81 (37, 140)
• Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -0.5 to 0.7.

Lavaca County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,417.9 with a 95% confidence interval from 1,309.3 to 1,533.1 and 133 average annual cases over 2018-2022.
• CI*Rank ⋔ : 82 (12, 191)
• Recent Trend : The trend is because the trend is 2.1 with a 95% confidence interval from -0.9 to 8.4.

Bowie County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,413.1 with a 95% confidence interval from 1,356.2 to 1,471.8 and 477 average annual cases over 2018-2022.
• CI*Rank ⋔ : 83 (35, 147)
• Recent Trend : The trend is because the trend is 1.6 with a 95% confidence interval from 0.1 to 4.2.

Gonzales County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,411.8 with a 95% confidence interval from 1,289.7 to 1,542.4 and 101 average annual cases over 2018-2022.
• CI*Rank ⋔ : 84 (11, 196)
• Recent Trend : The trend is because the trend is 3.0 with a 95% confidence interval from 0.1 to 10.2.

Eastland County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,408.8 with a 95% confidence interval from 1,292.9 to 1,532.4 and 114 average annual cases over 2018-2022.
• CI*Rank ⋔ : 85 (12, 200)
• Recent Trend : The trend is because the trend is 0.2 with a 95% confidence interval from -0.5 to 1.0.

Reagan County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,421.0 with a 95% confidence interval from 1,066.8 to 1,856.2 and 12 average annual cases over 2018-2022.
• CI*Rank ⋔ : 86 (2, 249)
• Recent Trend : The trend is because the trend is 0.6 with a 95% confidence interval from -1.5 to 2.8.

Franklin County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,407.8 with a 95% confidence interval from 1,256.1 to 1,573.0 and 66 average annual cases over 2018-2022.
• CI*Rank ⋔ : 87 (8, 220)
• Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -1.9 to 0.7.

Hutchinson County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,406.7 with a 95% confidence interval from 1,287.7 to 1,533.9 and 108 average annual cases over 2018-2022.
• CI*Rank ⋔ : 88 (11, 198)
• Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -1.0 to 0.8.

Bee County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,403.9 with a 95% confidence interval from 1,292.6 to 1,522.2 and 120 average annual cases over 2018-2022.
• CI*Rank ⋔ : 89 (16, 201)
• Recent Trend : The trend is because the trend is 1.7 with a 95% confidence interval from 0.9 to 3.6.

Van Zandt County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,403.2 with a 95% confidence interval from 1,338.2 to 1,470.7 and 361 average annual cases over 2018-2022.
• CI*Rank ⋔ : 90 (32, 157)
• Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -0.6 to 0.5.

Red River County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,403.1 with a 95% confidence interval from 1,268.7 to 1,548.0 and 83 average annual cases over 2018-2022.
• CI*Rank ⋔ : 91 (9, 213)
• Recent Trend : The trend is because the trend is -0.6 with a 95% confidence interval from -1.4 to 0.3.

Uvalde County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,402.4 with a 95% confidence interval from 1,289.6 to 1,522.3 and 118 average annual cases over 2018-2022.
• CI*Rank ⋔ : 92 (17, 195)
• Recent Trend : The trend is because the trend is 3.2 with a 95% confidence interval from 0.1 to 11.4.

Dimmit County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,405.5 with a 95% confidence interval from 1,217.6 to 1,614.1 and 41 average annual cases over 2018-2022.
• CI*Rank ⋔ : 93 (5, 230)
• Recent Trend : The trend is because the trend is 12.9 with a 95% confidence interval from 2.1 to 22.9.

Trinity County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,400.9 with a 95% confidence interval from 1,278.7 to 1,531.9 and 103 average annual cases over 2018-2022.
• CI*Rank ⋔ : 94 (13, 203)
• Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -4.0 to 0.3.

Callahan County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,400.5 with a 95% confidence interval from 1,268.7 to 1,542.5 and 86 average annual cases over 2018-2022.
• CI*Rank ⋔ : 95 (11, 210)
• Recent Trend : The trend is because the trend is 6.3 with a 95% confidence interval from 0.1 to 10.9.

Hopkins County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,399.1 with a 95% confidence interval from 1,313.1 to 1,489.2 and 202 average annual cases over 2018-2022.
• CI*Rank ⋔ : 96 (20, 182)
• Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -1.0 to 0.4.

Waller County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,398.7 with a 95% confidence interval from 1,313.0 to 1,488.5 and 211 average annual cases over 2018-2022.
• CI*Rank ⋔ : 97 (21, 185)
• Recent Trend : The trend is because the trend is 0.1 with a 95% confidence interval from -0.6 to 1.0.

Anderson County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,396.6 with a 95% confidence interval from 1,321.6 to 1,474.7 and 268 average annual cases over 2018-2022.
• CI*Rank ⋔ : 98 (29, 169)
• Recent Trend : The trend is because the trend is 0.8 with a 95% confidence interval from 0.1 to 3.3.

McLennan County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,394.9 with a 95% confidence interval from 1,358.8 to 1,431.7 and 1,167 average annual cases over 2018-2022.
• CI*Rank ⋔ : 99 (57, 139)
• Recent Trend : The trend is because the trend is 0.7 with a 95% confidence interval from -0.3 to 2.9.

Angelina County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,393.0 with a 95% confidence interval from 1,334.0 to 1,454.0 and 429 average annual cases over 2018-2022.
• CI*Rank ⋔ : 100 (45, 160)
• Recent Trend : The trend is because the trend is -1.1 with a 95% confidence interval from -1.7 to -0.6.

Sabine County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,391.3 with a 95% confidence interval from 1,253.5 to 1,540.2 and 82 average annual cases over 2018-2022.
• CI*Rank ⋔ : 101 (10, 219)
• Recent Trend : The trend is because the trend is -0.4 with a 95% confidence interval from -1.7 to 1.0.

Victoria County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,387.7 with a 95% confidence interval from 1,329.7 to 1,447.5 and 446 average annual cases over 2018-2022.
• CI*Rank ⋔ : 102 (44, 167)
• Recent Trend : The trend is because the trend is 0.7 with a 95% confidence interval from -0.4 to 3.1.

Nolan County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,383.4 with a 95% confidence interval from 1,247.8 to 1,529.8 and 78 average annual cases over 2018-2022.
• CI*Rank ⋔ : 103 (9, 215)
• Recent Trend : The trend is because the trend is -0.4 with a 95% confidence interval from -1.3 to 0.5.

Garza County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,382.9 with a 95% confidence interval from 1,126.0 to 1,681.0 and 21 average annual cases over 2018-2022.
• CI*Rank ⋔ : 104 (3, 242)
• Recent Trend : The trend is because the trend is 0.2 with a 95% confidence interval from -1.9 to 2.5.

Brazoria County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,381.6 with a 95% confidence interval from 1,349.3 to 1,414.5 and 1,479 average annual cases over 2018-2022.
• CI*Rank ⋔ : 105 (67, 141)
• Recent Trend : The trend is because the trend is 0.5 with a 95% confidence interval from -0.4 to 2.9.

Gray County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,381.3 with a 95% confidence interval from 1,264.3 to 1,506.3 and 104 average annual cases over 2018-2022.
• CI*Rank ⋔ : 106 (13, 208)
• Recent Trend : The trend is because the trend is -1.6 with a 95% confidence interval from -6.5 to 0.0.

Colorado County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,377.3 with a 95% confidence interval from 1,270.7 to 1,490.5 and 130 average annual cases over 2018-2022.
• CI*Rank ⋔ : 107 (15, 207)
• Recent Trend : The trend is because the trend is -0.4 with a 95% confidence interval from -1.3 to 0.6.

Matagorda County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,377.3 with a 95% confidence interval from 1,288.7 to 1,470.4 and 188 average annual cases over 2018-2022.
• CI*Rank ⋔ : 108 (30, 191)
• Recent Trend : The trend is because the trend is 0.5 with a 95% confidence interval from -0.9 to 4.8.

Donley County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,370.8 with a 95% confidence interval from 1,125.2 to 1,655.5 and 23 average annual cases over 2018-2022.
• CI*Rank ⋔ : 109 (4, 243)
• Recent Trend : The trend is because the trend is 14.3 with a 95% confidence interval from 0.4 to 24.9.

Blanco County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,371.2 with a 95% confidence interval from 1,240.5 to 1,512.3 and 87 average annual cases over 2018-2022.
• CI*Rank ⋔ : 110 (13, 213)
• Recent Trend : The trend is because the trend is -6.3 with a 95% confidence interval from -12.9 to 2.6.

Ector County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,371.0 with a 95% confidence interval from 1,317.2 to 1,426.4 and 519 average annual cases over 2018-2022.
• CI*Rank ⋔ : 111 (57, 164)
• Recent Trend : The trend is because the trend is 1.1 with a 95% confidence interval from -0.4 to 4.8.

DeWitt County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,366.6 with a 95% confidence interval from 1,254.4 to 1,486.0 and 113 average annual cases over 2018-2022.
• CI*Rank ⋔ : 112 (18, 211)
• Recent Trend : The trend is because the trend is -0.4 with a 95% confidence interval from -1.2 to 0.4.

Taylor County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,365.3 with a 95% confidence interval from 1,316.7 to 1,415.3 and 611 average annual cases over 2018-2022.
• CI*Rank ⋔ : 113 (58, 167)
• Recent Trend : The trend is because the trend is 0.4 with a 95% confidence interval from 0.0 to 1.9.

Yoakum County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,367.5 with a 95% confidence interval from 1,151.3 to 1,613.0 and 29 average annual cases over 2018-2022.
• CI*Rank ⋔ : 114 (6, 240)
• Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -2.1 to 2.0.

Robertson County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,362.7 with a 95% confidence interval from 1,242.1 to 1,491.9 and 97 average annual cases over 2018-2022.
• CI*Rank ⋔ : 115 (19, 211)
• Recent Trend : The trend is because the trend is 4.3 with a 95% confidence interval from -0.3 to 11.1.

Haskell County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,360.1 with a 95% confidence interval from 1,157.6 to 1,588.0 and 34 average annual cases over 2018-2022.
• CI*Rank ⋔ : 116 (5, 238)
• Recent Trend : The trend is because the trend is 0.3 with a 95% confidence interval from -1.1 to 1.7.

Randall County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,357.4 with a 95% confidence interval from 1,309.6 to 1,406.6 and 632 average annual cases over 2018-2022.
• CI*Rank ⋔ : 117 (65, 170)
• Recent Trend : The trend is because the trend is 0.5 with a 95% confidence interval from -0.6 to 3.4.

Sutton County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,362.2 with a 95% confidence interval from 1,098.7 to 1,670.3 and 19 average annual cases over 2018-2022.
• CI*Rank ⋔ : 118 (4, 245)
• Recent Trend : The trend is because the trend is -0.8 with a 95% confidence interval from -2.5 to 0.9.

Mason County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,354.2 with a 95% confidence interval from 1,134.1 to 1,604.4 and 30 average annual cases over 2018-2022.
• CI*Rank ⋔ : 119 (4, 239)
• Recent Trend : The trend is because the trend is 6.8 with a 95% confidence interval from 1.2 to 20.0.

Washington County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,354.0 with a 95% confidence interval from 1,272.5 to 1,439.3 and 217 average annual cases over 2018-2022.
• CI*Rank ⋔ : 120 (43, 202)
• Recent Trend : The trend is because the trend is 2.0 with a 95% confidence interval from -0.1 to 4.8.

Hays County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,353.6 with a 95% confidence interval from 1,311.7 to 1,396.5 and 863 average annual cases over 2018-2022.
• CI*Rank ⋔ : 121 (71, 167)
• Recent Trend : The trend is because the trend is 1.3 with a 95% confidence interval from -0.2 to 4.8.

Stephens County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,348.2 with a 95% confidence interval from 1,186.8 to 1,525.7 and 52 average annual cases over 2018-2022.
• CI*Rank ⋔ : 122 (12, 232)
• Recent Trend : The trend is because the trend is -0.5 with a 95% confidence interval from -1.8 to 1.0.

Hamilton County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,349.2 with a 95% confidence interval from 1,190.7 to 1,522.8 and 56 average annual cases over 2018-2022.
• CI*Rank ⋔ : 123 (11, 234)
• Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -1.4 to 1.1.

Navarro County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,347.0 with a 95% confidence interval from 1,272.9 to 1,424.4 and 254 average annual cases over 2018-2022.
• CI*Rank ⋔ : 124 (51, 195)
• Recent Trend : The trend is because the trend is -0.5 with a 95% confidence interval from -1.0 to 0.0.

Howard County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,345.7 with a 95% confidence interval from 1,244.8 to 1,452.7 and 138 average annual cases over 2018-2022.
• CI*Rank ⋔ : 125 (27, 209)
• Recent Trend : The trend is because the trend is -0.8 with a 95% confidence interval from -1.4 to -0.1.

Lubbock County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,345.2 with a 95% confidence interval from 1,310.5 to 1,380.6 and 1,177 average annual cases over 2018-2022.
• CI*Rank ⋔ : 126 (87, 166)
• Recent Trend : The trend is because the trend is 0.7 with a 95% confidence interval from -0.8 to 3.9.

Jones County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,343.7 with a 95% confidence interval from 1,220.7 to 1,475.7 and 89 average annual cases over 2018-2022.
• CI*Rank ⋔ : 127 (18, 218)
• Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -1.1 to 0.9.

Gillespie County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,340.8 with a 95% confidence interval from 1,255.8 to 1,430.1 and 206 average annual cases over 2018-2022.
• CI*Rank ⋔ : 128 (33, 203)
• Recent Trend : The trend is because the trend is 2.7 with a 95% confidence interval from 0.0 to 8.3.

Somervell County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,340.8 with a 95% confidence interval from 1,180.8 to 1,516.6 and 53 average annual cases over 2018-2022.
• CI*Rank ⋔ : 129 (10, 232)
• Recent Trend : The trend is because the trend is 0.3 with a 95% confidence interval from -1.1 to 2.1.

Tarrant County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,337.8 with a 95% confidence interval from 1,324.1 to 1,351.6 and 7,796 average annual cases over 2018-2022.
• CI*Rank ⋔ : 130 (111, 152)
• Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -0.8 to 0.8.

Hockley County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,336.5 with a 95% confidence interval from 1,217.1 to 1,464.7 and 95 average annual cases over 2018-2022.
• CI*Rank ⋔ : 131 (22, 221)
• Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -1.1 to 0.8.

Calhoun County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,336.7 with a 95% confidence interval from 1,223.6 to 1,457.5 and 106 average annual cases over 2018-2022.
• CI*Rank ⋔ : 132 (27, 213)
• Recent Trend : The trend is because the trend is -0.6 with a 95% confidence interval from -1.3 to 0.1.

Roberts County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,307.8 with a 95% confidence interval from 834.2 to 1,968.6 and 5 average annual cases over 2018-2022.
• CI*Rank ⋔ : 133 (1, 251)
• Recent Trend :

Jefferson County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,335.5 with a 95% confidence interval from 1,300.3 to 1,371.4 and 1,134 average annual cases over 2018-2022.
• CI*Rank ⋔ : 134 (91, 170)
• Recent Trend : The trend is because the trend is 1.4 with a 95% confidence interval from -0.4 to 4.3.

Lynn County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,337.7 with a 95% confidence interval from 1,119.7 to 1,586.2 and 27 average annual cases over 2018-2022.
• CI*Rank ⋔ : 135 (6, 242)
• Recent Trend : The trend is because the trend is -6.2 with a 95% confidence interval from -14.5 to -0.9.

Hardeman County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,333.3 with a 95% confidence interval from 1,091.0 to 1,614.1 and 22 average annual cases over 2018-2022.
• CI*Rank ⋔ : 136 (4, 244)
• Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -2.7 to 1.1.

Limestone County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,330.2 with a 95% confidence interval from 1,225.7 to 1,441.3 and 125 average annual cases over 2018-2022.
• CI*Rank ⋔ : 137 (33, 213)
• Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -1.3 to 0.7.

Kerr County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,329.4 with a 95% confidence interval from 1,268.2 to 1,392.8 and 385 average annual cases over 2018-2022.
• CI*Rank ⋔ : 138 (71, 195)
• Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -0.5 to 0.9.

Bastrop County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,327.9 with a 95% confidence interval from 1,271.4 to 1,386.2 and 447 average annual cases over 2018-2022.
• CI*Rank ⋔ : 139 (73, 188)
• Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -1.2 to -0.2.

San Patricio County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,327.2 with a 95% confidence interval from 1,259.9 to 1,397.1 and 301 average annual cases over 2018-2022.
• CI*Rank ⋔ : 140 (64, 197)
• Recent Trend : The trend is because the trend is 0.1 with a 95% confidence interval from -0.6 to 0.8.

Crosby County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,330.9 with a 95% confidence interval from 1,112.6 to 1,580.0 and 27 average annual cases over 2018-2022.
• CI*Rank ⋔ : 141 (7, 245)
• Recent Trend : The trend is because the trend is 0.5 with a 95% confidence interval from -1.0 to 1.9.

Andrews County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,326.3 with a 95% confidence interval from 1,175.2 to 1,491.5 and 59 average annual cases over 2018-2022.
• CI*Rank ⋔ : 142 (11, 232)
• Recent Trend : The trend is because the trend is -1.5 with a 95% confidence interval from -3.3 to 0.4.

Burnet County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,325.6 with a 95% confidence interval from 1,258.8 to 1,395.1 and 312 average annual cases over 2018-2022.
• CI*Rank ⋔ : 143 (63, 198)
• Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -1.1 to -0.2.

Jim Wells County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,322.9 with a 95% confidence interval from 1,234.9 to 1,415.6 and 173 average annual cases over 2018-2022.
• CI*Rank ⋔ : 144 (46, 208)
• Recent Trend : The trend is because the trend is 1.8 with a 95% confidence interval from 0.0 to 7.5.

Falls County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,324.0 with a 95% confidence interval from 1,203.0 to 1,453.9 and 90 average annual cases over 2018-2022.
• CI*Rank ⋔ : 145 (28, 224)
• Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -1.2 to 0.9.

Williamson County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,321.3 with a 95% confidence interval from 1,296.8 to 1,346.1 and 2,304 average annual cases over 2018-2022.
• CI*Rank ⋔ : 146 (111, 170)
• Recent Trend : The trend is because the trend is -4.5 with a 95% confidence interval from -5.6 to -3.0.

Brown County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,322.4 with a 95% confidence interval from 1,243.2 to 1,405.3 and 215 average annual cases over 2018-2022.
• CI*Rank ⋔ : 147 (56, 204)
• Recent Trend : The trend is because the trend is -0.9 with a 95% confidence interval from -1.5 to -0.4.

Rockwall County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,317.2 with a 95% confidence interval from 1,259.7 to 1,376.7 and 421 average annual cases over 2018-2022.
• CI*Rank ⋔ : 148 (84, 195)
• Recent Trend : The trend is because the trend is -0.4 with a 95% confidence interval from -1.0 to 0.4.

Archer County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,314.1 with a 95% confidence interval from 1,155.6 to 1,488.7 and 51 average annual cases over 2018-2022.
• CI*Rank ⋔ : 149 (15, 237)
• Recent Trend : The trend is because the trend is 1.5 with a 95% confidence interval from 0.4 to 2.7.

Houston County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,314.9 with a 95% confidence interval from 1,214.4 to 1,421.5 and 130 average annual cases over 2018-2022.
• CI*Rank ⋔ : 150 (41, 214)
• Recent Trend : The trend is because the trend is -3.7 with a 95% confidence interval from -8.0 to -1.6.

Caldwell County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,309.8 with a 95% confidence interval from 1,228.9 to 1,394.7 and 203 average annual cases over 2018-2022.
• CI*Rank ⋔ : 151 (66, 210)
• Recent Trend : The trend is because the trend is -1.0 with a 95% confidence interval from -1.7 to -0.1.

Upton County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,313.3 with a 95% confidence interval from 1,008.8 to 1,678.5 and 13 average annual cases over 2018-2022.
• CI*Rank ⋔ : 152 (3, 249)
• Recent Trend : The trend is because the trend is 5.2 with a 95% confidence interval from 1.6 to 17.1.

Montgomery County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,307.3 with a 95% confidence interval from 1,283.7 to 1,331.2 and 2,499 average annual cases over 2018-2022.
• CI*Rank ⋔ : 153 (121, 177)
• Recent Trend : The trend is because the trend is 0.6 with a 95% confidence interval from -1.0 to 3.2.

Dallas County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,306.3 with a 95% confidence interval from 1,293.8 to 1,318.8 and 8,979 average annual cases over 2018-2022.
• CI*Rank ⋔ : 154 (131, 170)
• Recent Trend : The trend is because the trend is 0.1 with a 95% confidence interval from -0.3 to 0.8.

Fisher County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,301.5 with a 95% confidence interval from 1,068.2 to 1,570.4 and 23 average annual cases over 2018-2022.
• CI*Rank ⋔ : 155 (5, 246)
• Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -1.6 to 1.4.

Jackson County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,300.6 with a 95% confidence interval from 1,172.3 to 1,439.0 and 78 average annual cases over 2018-2022.
• CI*Rank ⋔ : 156 (30, 229)
• Recent Trend : The trend is because the trend is -1.1 with a 95% confidence interval from -2.3 to 0.1.

Kendall County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,299.9 with a 95% confidence interval from 1,227.4 to 1,375.5 and 247 average annual cases over 2018-2022.
• CI*Rank ⋔ : 157 (75, 211)
• Recent Trend : The trend is because the trend is -0.4 with a 95% confidence interval from -1.0 to 0.4.

Kimble County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,296.1 with a 95% confidence interval from 1,084.3 to 1,536.9 and 31 average annual cases over 2018-2022.
• CI*Rank ⋔ : 158 (7, 244)
• Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -2.2 to 1.0.

Shelby County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,295.8 with a 95% confidence interval from 1,192.4 to 1,406.0 and 119 average annual cases over 2018-2022.
• CI*Rank ⋔ : 159 (44, 221)
• Recent Trend : The trend is because the trend is -0.6 with a 95% confidence interval from -1.2 to 0.1.

Bandera County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,294.4 with a 95% confidence interval from 1,202.2 to 1,392.0 and 159 average annual cases over 2018-2022.
• CI*Rank ⋔ : 160 (56, 218)
• Recent Trend : The trend is because the trend is 1.6 with a 95% confidence interval from -0.3 to 6.7.

Wharton County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,292.8 with a 95% confidence interval from 1,213.3 to 1,376.2 and 203 average annual cases over 2018-2022.
• CI*Rank ⋔ : 161 (70, 214)
• Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -1.2 to -0.1.

Goliad County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,292.9 with a 95% confidence interval from 1,127.1 to 1,476.7 and 46 average annual cases over 2018-2022.
• CI*Rank ⋔ : 162 (17, 238)
• Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -1.7 to 0.4.

San Augustine County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,292.4 with a 95% confidence interval from 1,142.3 to 1,456.9 and 56 average annual cases over 2018-2022.
• CI*Rank ⋔ : 163 (21, 237)
• Recent Trend : The trend is because the trend is 0.2 with a 95% confidence interval from -0.6 to 1.1.

Duval County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,290.6 with a 95% confidence interval from 1,126.3 to 1,471.9 and 46 average annual cases over 2018-2022.
• CI*Rank ⋔ : 164 (15, 240)
• Recent Trend : The trend is because the trend is 3.1 with a 95% confidence interval from 1.1 to 9.8.

Llano County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,288.9 with a 95% confidence interval from 1,200.1 to 1,382.5 and 184 average annual cases over 2018-2022.
• CI*Rank ⋔ : 165 (64, 217)
• Recent Trend : The trend is because the trend is -0.6 with a 95% confidence interval from -1.5 to 0.3.

Lee County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,288.8 with a 95% confidence interval from 1,172.8 to 1,413.4 and 95 average annual cases over 2018-2022.
• CI*Rank ⋔ : 166 (45, 227)
• Recent Trend : The trend is because the trend is 0.1 with a 95% confidence interval from -1.2 to 1.6.

Wilson County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,285.0 with a 95% confidence interval from 1,211.7 to 1,361.6 and 240 average annual cases over 2018-2022.
• CI*Rank ⋔ : 167 (83, 213)
• Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -1.1 to 0.9.

Denton County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,282.9 with a 95% confidence interval from 1,261.6 to 1,304.3 and 3,071 average annual cases over 2018-2022.
• CI*Rank ⋔ : 168 (138, 186)
• Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -0.7 to 0.9.

Scurry County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,285.0 with a 95% confidence interval from 1,153.2 to 1,427.7 and 71 average annual cases over 2018-2022.
• CI*Rank ⋔ : 169 (31, 232)
• Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -2.0 to 0.6.

Travis County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,281.6 with a 95% confidence interval from 1,263.1 to 1,300.3 and 4,037 average annual cases over 2018-2022.
• CI*Rank ⋔ : 170 (141, 185)
• Recent Trend : The trend is because the trend is 0.7 with a 95% confidence interval from 0.0 to 1.7.

Comanche County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,278.1 with a 95% confidence interval from 1,154.8 to 1,411.0 and 82 average annual cases over 2018-2022.
• CI*Rank ⋔ : 171 (39, 229)
• Recent Trend : The trend is because the trend is 6.1 with a 95% confidence interval from 0.1 to 10.8.

Brazos County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,270.7 with a 95% confidence interval from 1,225.8 to 1,316.9 and 630 average annual cases over 2018-2022.
• CI*Rank ⋔ : 172 (116, 204)
• Recent Trend : The trend is because the trend is -1.1 with a 95% confidence interval from -1.4 to -0.7.

Refugio County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,271.4 with a 95% confidence interval from 1,094.2 to 1,469.2 and 38 average annual cases over 2018-2022.
• CI*Rank ⋔ : 173 (16, 244)
• Recent Trend : The trend is because the trend is -1.0 with a 95% confidence interval from -2.2 to 0.3.

Reeves County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,266.9 with a 95% confidence interval from 1,103.8 to 1,447.4 and 44 average annual cases over 2018-2022.
• CI*Rank ⋔ : 174 (16, 241)
• Recent Trend : The trend is because the trend is -0.5 with a 95% confidence interval from -1.6 to 0.6.

Guadalupe County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,265.8 with a 95% confidence interval from 1,223.8 to 1,308.9 and 708 average annual cases over 2018-2022.
• CI*Rank ⋔ : 175 (128, 206)
• Recent Trend : The trend is because the trend is -1.0 with a 95% confidence interval from -1.3 to -0.6.

Karnes County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,267.4 with a 95% confidence interval from 1,122.4 to 1,425.9 and 57 average annual cases over 2018-2022.
• CI*Rank ⋔ : 176 (30, 238)
• Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -1.3 to 1.0.

Comal County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,265.4 with a 95% confidence interval from 1,226.1 to 1,305.7 and 829 average annual cases over 2018-2022.
• CI*Rank ⋔ : 177 (131, 203)
• Recent Trend : The trend is because the trend is -0.9 with a 95% confidence interval from -1.4 to -0.3.

Irion County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,265.7 with a 95% confidence interval from 909.0 to 1,716.5 and 9 average annual cases over 2018-2022.
• CI*Rank ⋔ : 178 (3, 251)
• Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -2.7 to 3.3.

Sterling County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,249.0 with a 95% confidence interval from 808.0 to 1,841.3 and 5 average annual cases over 2018-2022.
• CI*Rank ⋔ : 179 (2, 251)
• Recent Trend :

Atascosa County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,259.6 with a 95% confidence interval from 1,182.2 to 1,340.8 and 203 average annual cases over 2018-2022.
• CI*Rank ⋔ : 180 (90, 222)
• Recent Trend : The trend is because the trend is -0.5 with a 95% confidence interval from -1.1 to 0.3.

Maverick County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,258.5 with a 95% confidence interval from 1,178.6 to 1,342.4 and 189 average annual cases over 2018-2022.
• CI*Rank ⋔ : 181 (92, 221)
• Recent Trend : The trend is because the trend is -1.5 with a 95% confidence interval from -6.6 to 3.3.

Glasscock County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,257.5 with a 95% confidence interval from 781.1 to 1,914.6 and 4 average annual cases over 2018-2022.
• CI*Rank ⋔ : 182 (1, 251)
• Recent Trend : The trend is because the trend is 0.9 with a 95% confidence interval from -3.0 to 5.9.

San Saba County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,255.6 with a 95% confidence interval from 1,064.7 to 1,471.0 and 33 average annual cases over 2018-2022.
• CI*Rank ⋔ : 183 (10, 243)
• Recent Trend : The trend is because the trend is 3.5 with a 95% confidence interval from -0.7 to 15.1.

Dickens County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,257.6 with a 95% confidence interval from 944.9 to 1,643.7 and 12 average annual cases over 2018-2022.
• CI*Rank ⋔ : 184 (4, 251)
• Recent Trend : The trend is because the trend is -0.4 with a 95% confidence interval from -2.7 to 1.8.

Collin County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,251.5 with a 95% confidence interval from 1,232.6 to 1,270.7 and 3,577 average annual cases over 2018-2022.
• CI*Rank ⋔ : 185 (158, 199)
• Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -0.7 to 1.1.

Brooks County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,247.8 with a 95% confidence interval from 1,054.0 to 1,466.9 and 30 average annual cases over 2018-2022.
• CI*Rank ⋔ : 186 (15, 246)
• Recent Trend : The trend is because the trend is 0.9 with a 95% confidence interval from -0.7 to 2.5.

Nacogdoches County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,242.2 with a 95% confidence interval from 1,174.3 to 1,313.0 and 261 average annual cases over 2018-2022.
• CI*Rank ⋔ : 187 (111, 219)
• Recent Trend : The trend is because the trend is 2.5 with a 95% confidence interval from -1.7 to 6.9.

Val Verde County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,240.7 with a 95% confidence interval from 1,158.9 to 1,326.8 and 172 average annual cases over 2018-2022.
• CI*Rank ⋔ : 188 (101, 227)
• Recent Trend : The trend is because the trend is 0.6 with a 95% confidence interval from -0.3 to 3.2.

Wilbarger County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,239.3 with a 95% confidence interval from 1,101.9 to 1,388.9 and 62 average annual cases over 2018-2022.
• CI*Rank ⋔ : 189 (43, 240)
• Recent Trend : The trend is because the trend is -1.5 with a 95% confidence interval from -2.3 to -0.8.

Bexar County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,238.5 with a 95% confidence interval from 1,225.3 to 1,251.8 and 6,986 average annual cases over 2018-2022.
• CI*Rank ⋔ : 190 (169, 201)
• Recent Trend : The trend is because the trend is 0.3 with a 95% confidence interval from -0.3 to 1.6.

Harris County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,234.0 with a 95% confidence interval from 1,225.0 to 1,243.2 and 15,235 average annual cases over 2018-2022.
• CI*Rank ⋔ : 191 (172, 201)
• Recent Trend : The trend is because the trend is -0.9 with a 95% confidence interval from -1.8 to 0.1.

Foard County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,233.6 with a 95% confidence interval from 856.3 to 1,719.6 and 7 average annual cases over 2018-2022.
• CI*Rank ⋔ : 192 (2, 251)
• Recent Trend : The trend is because the trend is 1.7 with a 95% confidence interval from -1.7 to 5.4.

Erath County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,232.6 with a 95% confidence interval from 1,148.4 to 1,321.2 and 165 average annual cases over 2018-2022.
• CI*Rank ⋔ : 193 (97, 230)
• Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -0.8 to 0.4.

Schleicher County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,232.7 with a 95% confidence interval from 950.0 to 1,576.5 and 13 average annual cases over 2018-2022.
• CI*Rank ⋔ : 194 (5, 250)
• Recent Trend : The trend is because the trend is 0.2 with a 95% confidence interval from -1.4 to 2.0.

Menard County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,232.2 with a 95% confidence interval from 965.9 to 1,551.9 and 16 average annual cases over 2018-2022.
• CI*Rank ⋔ : 195 (5, 249)
• Recent Trend : The trend is because the trend is 0.5 with a 95% confidence interval from -2.0 to 3.4.

Fayette County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,222.0 with a 95% confidence interval from 1,135.5 to 1,313.4 and 158 average annual cases over 2018-2022.
• CI*Rank ⋔ : 196 (110, 232)
• Recent Trend : The trend is because the trend is 1.0 with a 95% confidence interval from -0.3 to 4.6.

Medina County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,213.3 with a 95% confidence interval from 1,143.2 to 1,286.6 and 232 average annual cases over 2018-2022.
• CI*Rank ⋔ : 197 (127, 229)
• Recent Trend : The trend is because the trend is 0.5 with a 95% confidence interval from -0.2 to 2.8.

Deaf Smith County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,209.2 with a 95% confidence interval from 1,076.9 to 1,353.2 and 63 average annual cases over 2018-2022.
• CI*Rank ⋔ : 198 (62, 241)
• Recent Trend : The trend is because the trend is 0.1 with a 95% confidence interval from -1.1 to 1.4.

Midland County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,201.1 with a 95% confidence interval from 1,153.2 to 1,250.4 and 506 average annual cases over 2018-2022.
• CI*Rank ⋔ : 199 (160, 225)
• Recent Trend : The trend is because the trend is -1.3 with a 95% confidence interval from -1.9 to -0.6.

Live Oak County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,198.4 with a 95% confidence interval from 1,059.6 to 1,350.3 and 56 average annual cases over 2018-2022.
• CI*Rank ⋔ : 200 (51, 243)
• Recent Trend : The trend is because the trend is 0.7 with a 95% confidence interval from -1.1 to 2.6.

Hansford County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,196.3 with a 95% confidence interval from 971.3 to 1,457.3 and 20 average annual cases over 2018-2022.
• CI*Rank ⋔ : 201 (10, 248)
• Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -2.3 to 2.0.

Dallam County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,204.6 with a 95% confidence interval from 981.4 to 1,463.4 and 21 average annual cases over 2018-2022.
• CI*Rank ⋔ : 202 (19, 249)
• Recent Trend : The trend is because the trend is -1.9 with a 95% confidence interval from -4.0 to 0.1.

Fort Bend County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,192.4 with a 95% confidence interval from 1,171.4 to 1,213.7 and 2,739 average annual cases over 2018-2022.
• CI*Rank ⋔ : 203 (184, 218)
• Recent Trend : The trend is because the trend is -1.5 with a 95% confidence interval from -2.7 to -0.1.

Childress County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,190.5 with a 95% confidence interval from 997.2 to 1,410.7 and 28 average annual cases over 2018-2022.
• CI*Rank ⋔ : 204 (24, 247)
• Recent Trend : The trend is because the trend is -1.1 with a 95% confidence interval from -2.5 to 0.3.

Lamb County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,191.6 with a 95% confidence interval from 1,054.1 to 1,342.0 and 56 average annual cases over 2018-2022.
• CI*Rank ⋔ : 205 (64, 243)
• Recent Trend : The trend is because the trend is -0.5 with a 95% confidence interval from -1.5 to 0.4.

La Salle County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,186.8 with a 95% confidence interval from 984.7 to 1,418.2 and 25 average annual cases over 2018-2022.
• CI*Rank ⋔ : 206 (14, 248)
• Recent Trend : The trend is because the trend is 4.1 with a 95% confidence interval from -1.9 to 22.0.

Kleberg County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,187.2 with a 95% confidence interval from 1,086.2 to 1,295.2 and 103 average annual cases over 2018-2022.
• CI*Rank ⋔ : 207 (111, 239)
• Recent Trend : The trend is because the trend is -9.0 with a 95% confidence interval from -17.1 to -0.9.

Starr County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,181.8 with a 95% confidence interval from 1,108.1 to 1,259.2 and 194 average annual cases over 2018-2022.
• CI*Rank ⋔ : 208 (139, 236)
• Recent Trend : The trend is because the trend is 1.2 with a 95% confidence interval from 0.1 to 2.5.

Floyd County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,177.1 with a 95% confidence interval from 975.1 to 1,408.3 and 25 average annual cases over 2018-2022.
• CI*Rank ⋔ : 209 (21, 248)
• Recent Trend : The trend is because the trend is -0.6 with a 95% confidence interval from -2.1 to 0.8.

Hemphill County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,180.2 with a 95% confidence interval from 912.3 to 1,502.1 and 14 average annual cases over 2018-2022.
• CI*Rank ⋔ : 210 (6, 251)
• Recent Trend : The trend is because the trend is 0.4 with a 95% confidence interval from -1.3 to 2.2.

Shackelford County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,172.9 with a 95% confidence interval from 927.7 to 1,464.3 and 16 average annual cases over 2018-2022.
• CI*Rank ⋔ : 211 (12, 250)
• Recent Trend : The trend is because the trend is 13.1 with a 95% confidence interval from -0.5 to 26.1.

Jack County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,175.6 with a 95% confidence interval from 1,010.3 to 1,360.7 and 37 average annual cases over 2018-2022.
• CI*Rank ⋔ : 212 (54, 246)
• Recent Trend : The trend is because the trend is -1.0 with a 95% confidence interval from -2.3 to 0.4.

Hale County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,172.3 with a 95% confidence interval from 1,079.1 to 1,271.5 and 119 average annual cases over 2018-2022.
• CI*Rank ⋔ : 213 (131, 240)
• Recent Trend : The trend is because the trend is -1.0 with a 95% confidence interval from -2.2 to 0.1.

Austin County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,171.0 with a 95% confidence interval from 1,087.3 to 1,259.5 and 152 average annual cases over 2018-2022.
• CI*Rank ⋔ : 214 (146, 238)
• Recent Trend : The trend is because the trend is -1.3 with a 95% confidence interval from -2.0 to -0.6.

Lipscomb County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,187.9 with a 95% confidence interval from 917.7 to 1,512.0 and 14 average annual cases over 2018-2022.
• CI*Rank ⋔ : 215 (6, 251)
• Recent Trend : The trend is because the trend is -1.8 with a 95% confidence interval from -4.3 to 0.6.

Carson County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,165.0 with a 95% confidence interval from 979.9 to 1,375.6 and 29 average annual cases over 2018-2022.
• CI*Rank ⋔ : 216 (37, 248)
• Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -2.3 to 1.0.

Mills County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,167.9 with a 95% confidence interval from 977.5 to 1,384.5 and 29 average annual cases over 2018-2022.
• CI*Rank ⋔ : 217 (30, 248)
• Recent Trend : The trend is because the trend is -0.4 with a 95% confidence interval from -2.3 to 1.6.

Terry County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,161.6 with a 95% confidence interval from 1,013.2 to 1,325.8 and 45 average annual cases over 2018-2022.
• CI*Rank ⋔ : 218 (59, 246)
• Recent Trend : The trend is because the trend is -1.0 with a 95% confidence interval from -2.1 to 0.2.

Pecos County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,160.4 with a 95% confidence interval from 1,020.8 to 1,314.0 and 51 average annual cases over 2018-2022.
• CI*Rank ⋔ : 219 (78, 245)
• Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -1.3 to 1.4.

El Paso County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,144.0 with a 95% confidence interval from 1,124.8 to 1,163.4 and 2,786 average annual cases over 2018-2022.
• CI*Rank ⋔ : 220 (200, 229)
• Recent Trend : The trend is because the trend is -4.1 with a 95% confidence interval from -6.5 to -2.4.

Frio County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,137.6 with a 95% confidence interval from 1,004.1 to 1,284.0 and 53 average annual cases over 2018-2022.
• CI*Rank ⋔ : 221 (101, 247)
• Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -1.0 to 1.1.

Moore County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,126.6 with a 95% confidence interval from 1,003.6 to 1,260.6 and 64 average annual cases over 2018-2022.
• CI*Rank ⋔ : 222 (136, 245)
• Recent Trend : The trend is because the trend is -1.5 with a 95% confidence interval from -2.5 to -0.6.

Bailey County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,124.8 with a 95% confidence interval from 932.1 to 1,345.7 and 24 average annual cases over 2018-2022.
• CI*Rank ⋔ : 223 (44, 250)
• Recent Trend : The trend is because the trend is -1.1 with a 95% confidence interval from -2.6 to 0.4.

Cottle County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,099.8 with a 95% confidence interval from 775.6 to 1,524.7 and 8 average annual cases over 2018-2022.
• CI*Rank ⋔ : 224 (5, 251)
• Recent Trend : The trend is because the trend is -1.3 with a 95% confidence interval from -4.1 to 1.2.

Collingsworth County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,122.0 with a 95% confidence interval from 848.5 to 1,458.1 and 12 average annual cases over 2018-2022.
• CI*Rank ⋔ : 225 (10, 251)
• Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -2.8 to 2.6.

Hall County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,121.0 with a 95% confidence interval from 885.9 to 1,400.4 and 16 average annual cases over 2018-2022.
• CI*Rank ⋔ : 226 (17, 251)
• Recent Trend : The trend is because the trend is -1.1 with a 95% confidence interval from -2.9 to 0.7.

Ward County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,120.2 with a 95% confidence interval from 963.9 to 1,294.5 and 38 average annual cases over 2018-2022.
• CI*Rank ⋔ : 227 (91, 249)
• Recent Trend : The trend is because the trend is -1.4 with a 95% confidence interval from -2.7 to -0.1.

Nueces County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,114.7 with a 95% confidence interval from 1,087.4 to 1,142.4 and 1,316 average annual cases over 2018-2022.
• CI*Rank ⋔ : 228 (206, 236)
• Recent Trend : The trend is because the trend is -1.5 with a 95% confidence interval from -1.8 to -1.1.

Cameron County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,111.0 with a 95% confidence interval from 1,084.8 to 1,137.7 and 1,389 average annual cases over 2018-2022.
• CI*Rank ⋔ : 229 (206, 237)
• Recent Trend : The trend is because the trend is -0.6 with a 95% confidence interval from -0.8 to -0.3.

Zapata County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,107.3 with a 95% confidence interval from 963.8 to 1,266.3 and 43 average annual cases over 2018-2022.
• CI*Rank ⋔ : 230 (98, 248)
• Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -1.2 to 1.0.

Ochiltree County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,113.2 with a 95% confidence interval from 942.8 to 1,306.1 and 32 average annual cases over 2018-2022.
• CI*Rank ⋔ : 231 (86, 249)
• Recent Trend : The trend is because the trend is -1.7 with a 95% confidence interval from -3.8 to 0.5.

Jim Hogg County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,106.8 with a 95% confidence interval from 886.6 to 1,365.1 and 18 average annual cases over 2018-2022.
• CI*Rank ⋔ : 232 (33, 250)
• Recent Trend : The trend is because the trend is 5.9 with a 95% confidence interval from 0.0 to 14.9.

Willacy County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,102.4 with a 95% confidence interval from 988.3 to 1,226.0 and 69 average annual cases over 2018-2022.
• CI*Rank ⋔ : 233 (131, 247)
• Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -1.3 to 1.1.

Hidalgo County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,088.1 with a 95% confidence interval from 1,068.5 to 1,107.9 and 2,371 average annual cases over 2018-2022.
• CI*Rank ⋔ : 234 (215, 239)
• Recent Trend : The trend is because the trend is 1.4 with a 95% confidence interval from 0.3 to 3.4.

Webb County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,080.0 with a 95% confidence interval from 1,042.8 to 1,118.3 and 658 average annual cases over 2018-2022.
• CI*Rank ⋔ : 235 (210, 241)
• Recent Trend : The trend is because the trend is 0.6 with a 95% confidence interval from -0.2 to 2.8.

Kent County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,070.5 with a 95% confidence interval from 640.8 to 1,678.4 and 4 average annual cases over 2018-2022.
• CI*Rank ⋔ : 236 (2, 251)
• Recent Trend : The trend is because the trend is -1.1 with a 95% confidence interval from -4.3 to 2.0.

Hartley County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,046.1 with a 95% confidence interval from 845.8 to 1,279.5 and 19 average annual cases over 2018-2022.
• CI*Rank ⋔ : 237 (59, 251)
• Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -1.9 to 1.8.

Winkler County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,047.3 with a 95% confidence interval from 859.4 to 1,264.9 and 23 average annual cases over 2018-2022.
• CI*Rank ⋔ : 238 (101, 251)
• Recent Trend : The trend is because the trend is -2.4 with a 95% confidence interval from -3.8 to -1.0.

Kinney County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,044.8 with a 95% confidence interval from 829.9 to 1,300.3 and 17 average annual cases over 2018-2022.
• CI*Rank ⋔ : 239 (45, 251)
• Recent Trend : The trend is because the trend is -0.4 with a 95% confidence interval from -2.6 to 2.0.

Gaines County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,039.8 with a 95% confidence interval from 909.3 to 1,183.7 and 49 average annual cases over 2018-2022.
• CI*Rank ⋔ : 240 (168, 249)
• Recent Trend : The trend is because the trend is -1.2 with a 95% confidence interval from -2.5 to 0.2.

Crane County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,035.7 with a 95% confidence interval from 797.6 to 1,321.9 and 13 average annual cases over 2018-2022.
• CI*Rank ⋔ : 241 (49, 251)
• Recent Trend : The trend is because the trend is -2.1 with a 95% confidence interval from -3.7 to -0.4.

Concho County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,020.7 with a 95% confidence interval from 796.0 to 1,289.7 and 14 average annual cases over 2018-2022.
• CI*Rank ⋔ : 242 (53, 251)
• Recent Trend : The trend is because the trend is 0.6 with a 95% confidence interval from -1.5 to 3.0.

Sherman County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,017.4 with a 95% confidence interval from 747.7 to 1,351.3 and 10 average annual cases over 2018-2022.
• CI*Rank ⋔ : 243 (18, 251)
• Recent Trend : The trend is because the trend is -0.6 with a 95% confidence interval from -3.0 to 1.9.

Castro County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 996.6 with a 95% confidence interval from 827.5 to 1,190.0 and 26 average annual cases over 2018-2022.
• CI*Rank ⋔ : 244 (151, 251)
• Recent Trend : The trend is because the trend is -2.3 with a 95% confidence interval from -4.0 to -0.7.

Parmer County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 969.7 with a 95% confidence interval from 821.2 to 1,137.3 and 31 average annual cases over 2018-2022.
• CI*Rank ⋔ : 245 (171, 251)
• Recent Trend : The trend is because the trend is -0.5 with a 95% confidence interval from -2.0 to 1.1.

Terrell County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 881.2 with a 95% confidence interval from 490.7 to 1,458.8 and 4 average annual cases over 2018-2022.
• CI*Rank ⋔ : 246 (5, 251)
• Recent Trend :

Brewster County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 895.0 with a 95% confidence interval from 771.2 to 1,033.4 and 40 average annual cases over 2018-2022.
• CI*Rank ⋔ : 247 (221, 251)
• Recent Trend : The trend is because the trend is -1.6 with a 95% confidence interval from -3.0 to -0.1.

Culberson County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 880.6 with a 95% confidence interval from 626.6 to 1,202.7 and 8 average annual cases over 2018-2022.
• CI*Rank ⋔ : 248 (79, 251)
• Recent Trend : The trend is because the trend is 17.0 with a 95% confidence interval from -1.2 to 31.8.

Presidio County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 853.0 with a 95% confidence interval from 696.5 to 1,034.0 and 23 average annual cases over 2018-2022.
• CI*Rank ⋔ : 249 (214, 251)
• Recent Trend : The trend is because the trend is 5.2 with a 95% confidence interval from -1.8 to 22.4.

Throckmorton County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 824.7 with a 95% confidence interval from 575.8 to 1,150.4 and 7 average annual cases over 2018-2022.
• CI*Rank ⋔ : 250 (118, 251)
• Recent Trend : The trend is because the trend is -5.0 with a 95% confidence interval from -17.6 to -1.3.

Jeff Davis County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 765.4 with a 95% confidence interval from 570.9 to 1,007.2 and 12 average annual cases over 2018-2022.
• CI*Rank ⋔ : 251 (209, 251)
• Recent Trend :

Kenedy County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

King County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Loving County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Notes:
Created by statecancerprofiles.cancer.gov on 03/20/2026 4:46 pm.

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



† Incidence rates (cases per 100,000 population per year) are age-adjusted to the 2000 US standard population (SEER areas use 20 age groups and NPCR areas use 19 age groups). 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. The Average Annual Percent Change (AAPC) is based on the APCs calculated by Joinpoint. Due to data availability issues, the time period used in the calculation of the joinpoint regression model may differ for selected counties.

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

^ All Stages refers to any stage. Due to changes in stage coding, Combined Summary Stage with Expanded Regional Codes (2004+) is used for data from Surveillance, Epidemiology, and End Results (SEER) databases and Merged Summary Stage is used for data from National Program of Cancer Registries databases. Due to the increased complexity with staging, other staging variables maybe used if necessary.

⋔ 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. The rates used in CI*Rank are all age-adjusted to the 2000 US standard population using 19 age groups for SEER and NPCR areas. More information about methodology can be found on the CI*Rank website.

Φ Rural–urban county classifications are based on the 2023 USDA Rural–Urban Continuum Codes (except for Connecticut Counties which use 2013 codes). State-level cancer rates for rural areas are calculated using cancer cases registered exclusively in rural counties, while state-level cancer rates for urban areas are calculated using cases registered exclusively in urban counties.

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 2024 submission.

⁷ Source: SEER November 2024 submission.

* 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.

Data for United States does not include Puerto Rico.