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Incidence Rates Table

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Incidence Rate Report for Texas by County

Childhood (Ages <20, All Sites) (All Stages^), 2018-2022

All Races (includes Hispanic), Both Sexes

Sorted by Recentaapc

County
sort alphabetically by name ascending 		2023 Rural-Urban Continuum Codes Φ
sort by rural urban descending 		Age-Adjusted Incidence Rate †
cases per 100,000
(95% Confidence Interval)
sort by rate descending 		CI*Rank ⋔
(95% Confidence Interval)
sort by CI rank descending 		Average Annual Count
sort by count descending 		Recent Trend
 Recent 5-Year Trend ‡ in Incidence Rates
(95% Confidence Interval)
sort by trend ascending
Texas 7 N/A 17.5 (17.0, 18.0) N/A 1,076 stable stable trend -0.1 (-1.4, 0.4)
US (SEER+NPCR) 1 N/A 18.4 (18.3, 18.6) N/A 15,285 falling falling trend -1.0 (-1.6, -0.5)
Ector County 7 Urban 24.5 (18.2, 32.2) 13 (2, 57) 10 rising rising trend 16.1 (3.2, 31.4)
Johnson County 7 Urban 15.0 (10.0, 21.5) 36 (4, 62) 6 rising rising trend 2.4 (0.3, 5.2)
Midland County 7 Urban 18.6 (13.2, 25.5) 11 (1, 58) 8 rising rising trend 2.1 (0.1, 4.8)
Webb County 7 Urban 15.7 (11.9, 20.4) 49 (10, 62) 11 rising rising trend 2.1 (0.8, 3.8)
Grayson County 7 Urban 15.4 (9.6, 23.6) 20 (2, 62) 4 stable stable trend 1.9 (-0.9, 5.5)
Guadalupe County 7 Urban 21.2 (15.0, 29.1) 12 (1, 58) 8 stable stable trend 1.6 (-0.6, 4.6)
Bastrop County 7 Urban 17.1 (10.1, 27.2) 25 (2, 62) 4 stable stable trend 1.5 (-1.2, 5.1)
Denton County 7 Urban 20.1 (17.3, 23.3) 16 (5, 40) 36 stable stable trend 1.5 (0.0, 3.5)
Victoria County 7 Urban 17.8 (10.3, 28.4) 4 (1, 60) 3 stable stable trend 1.5 (-1.7, 5.2)
Gregg County 7 Urban 19.4 (12.7, 28.4) 21 (2, 62) 5 stable stable trend 1.4 (-1.5, 4.9)
Liberty County 7 Urban 16.3 (9.7, 25.8) 60 (6, 62) 4 stable stable trend 1.0 (-2.1, 5.1)
Brazoria County 7 Urban 19.1 (15.0, 23.9) 26 (7, 59) 15 stable stable trend 0.9 (-0.6, 2.7)
Lubbock County 7 Urban 17.9 (13.5, 23.3) 53 (12, 62) 11 stable stable trend 0.9 (-0.9, 3.0)
El Paso County 7 Urban 20.6 (17.8, 23.7) 17 (5, 42) 39 stable stable trend 0.8 (-0.6, 2.4)
Dallas County 7 Urban 17.1 (15.6, 18.7) 42 (21, 53) 96 rising rising trend 0.7 (0.1, 1.4)
Potter County 7 Urban 19.7 (12.8, 28.8) 24 (2, 62) 5 stable stable trend 0.7 (-2.6, 4.5)
Jefferson County 7 Urban 17.2 (12.6, 23.0) 40 (6, 62) 9 stable stable trend 0.6 (-1.7, 3.1)
Parker County 7 Urban 15.4 (9.9, 23.0) 38 (4, 62) 5 stable stable trend 0.6 (-2.7, 4.8)
Tarrant County 7 Urban 17.2 (15.5, 19.0) 37 (17, 52) 77 stable stable trend 0.6 (-0.1, 1.3)
Comal County 7 Urban 13.9 (8.6, 21.4) 56 (7, 62) 4 stable stable trend 0.5 (-2.2, 4.2)
Travis County 7 Urban 18.8 (16.4, 21.5) 22 (8, 47) 42 stable stable trend 0.5 (-0.3, 1.4)
Bell County 7 Urban 15.7 (12.2, 19.9) 39 (8, 60) 14 stable stable trend 0.4 (-2.4, 3.7)
Galveston County 7 Urban 17.5 (13.3, 22.5) 45 (9, 61) 12 stable stable trend 0.4 (-2.0, 3.2)
McLennan County 7 Urban 18.6 (13.8, 24.6) 27 (5, 60) 10 stable stable trend 0.4 (-2.3, 3.5)
Brazos County 7 Urban 15.8 (10.8, 22.3) 62 (18, 62) 6 stable stable trend 0.3 (-1.6, 2.5)
Collin County 7 Urban 19.4 (16.9, 22.2) 35 (12, 55) 43 stable stable trend 0.3 (-0.8, 1.6)
Fort Bend County 7 Urban 18.1 (15.5, 21.1) 33 (12, 55) 33 stable stable trend 0.3 (-0.5, 1.4)
Smith County 7 Urban 19.7 (14.5, 26.2) 51 (8, 62) 9 stable stable trend 0.3 (-1.5, 2.3)
Cameron County 7 Urban 16.3 (13.0, 20.2) 44 (11, 60) 16 stable stable trend 0.1 (-1.7, 2.0)
Wichita County 7 Urban 16.9 (10.4, 25.8) 47 (5, 62) 4 stable stable trend 0.1 (-3.6, 3.9)
Bexar County 7 Urban 17.9 (16.1, 19.8) 31 (16, 51) 75 stable stable trend 0.0 (-0.9, 1.0)
Randall County 7 Urban 17.3 (11.0, 25.7) 32 (3, 62) 5 stable stable trend -0.3 (-2.4, 2.2)
Montgomery County 7 Urban 19.6 (16.4, 23.3) 29 (10, 57) 27 stable stable trend -0.4 (-1.8, 1.1)
Taylor County 7 Urban 16.9 (10.9, 24.9) 48 (5, 62) 5 stable stable trend -0.4 (-2.5, 1.8)
Hidalgo County 7 Urban 16.9 (14.6, 19.5) 41 (16, 57) 39 stable stable trend -0.5 (-1.8, 0.9)
Kaufman County 7 Urban 17.0 (11.5, 24.3) 55 (7, 62) 6 stable stable trend -0.5 (-2.8, 2.5)
Bowie County 7 Urban 18.4 (10.7, 29.5) 59 (4, 62) 3 stable stable trend -0.6 (-4.9, 3.7)
Williamson County 7 Urban 16.6 (13.6, 20.2) 50 (16, 61) 21 stable stable trend -0.8 (-2.3, 1.0)
Hays County 7 Urban 17.2 (12.3, 23.4) 30 (5, 61) 8 stable stable trend -1.0 (-3.1, 1.7)
Nueces County 7 Urban 16.2 (12.3, 21.0) 58 (16, 62) 11 stable stable trend -1.0 (-2.8, 0.9)
Tom Green County 7 Urban 19.9 (12.7, 29.6) 46 (4, 62) 5 stable stable trend -1.6 (-5.8, 2.7)
Harris County 7 Urban 16.3 (15.3, 17.5) 52 (32, 57) 170 falling falling trend -2.3 (-3.9, -1.2)
Ellis County 7 Urban 16.3 (11.3, 22.8) 34 (5, 61) 7 falling falling trend -13.1 (-19.3, -4.8)
Hunt County 7 Urban 30.8 (21.0, 43.8) 5 (1, 60) 6
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Nacogdoches County 7 Rural 26.7 (15.6, 42.8) 3 (1, 62) 3
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Rockwall County 7 Urban 21.2 (13.5, 31.6) 9 (1, 60) 5
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Anderson County 7 Rural
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3 or fewer
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Andrews County 7 Rural
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3 or fewer
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Angelina County 7 Rural
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3 or fewer
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Aransas County 7 Urban
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3 or fewer
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Archer County 7 Urban
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3 or fewer
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Armstrong County 7 Urban
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3 or fewer
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Atascosa County 7 Urban
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3 or fewer
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Austin County 7 Urban
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3 or fewer
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Bailey County 7 Rural
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3 or fewer
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Bandera County 7 Urban
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3 or fewer
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Baylor County 7 Rural
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3 or fewer
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Bee County 7 Rural
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3 or fewer
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Blanco County 7 Rural
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3 or fewer
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Borden County 7 Rural
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3 or fewer
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Bosque County 7 Urban
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3 or fewer
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Brewster County 7 Rural
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3 or fewer
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Briscoe County 7 Rural
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3 or fewer
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Brooks County 7 Rural
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3 or fewer
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Brown County 7 Rural
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3 or fewer
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Burleson County 7 Urban
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3 or fewer
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Burnet County 7 Rural
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3 or fewer
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Caldwell County 7 Urban
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3 or fewer
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Calhoun County 7 Rural
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3 or fewer
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Callahan County 7 Urban
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3 or fewer
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Camp County 7 Rural
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3 or fewer
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Carson County 7 Urban
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3 or fewer
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Cass County 7 Rural
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3 or fewer
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Castro County 7 Rural
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3 or fewer
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Chambers County 7 Urban
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3 or fewer
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Cherokee County 7 Rural
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3 or fewer
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Childress County 7 Rural
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3 or fewer
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Clay County 7 Urban
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3 or fewer
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Cochran County 7 Urban
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3 or fewer
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Coke County 7 Rural
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3 or fewer
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Coleman County 7 Rural
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3 or fewer
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Collingsworth County 7 Rural
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3 or fewer
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Colorado County 7 Rural
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3 or fewer
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Comanche County 7 Rural
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3 or fewer
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Concho County 7 Rural
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3 or fewer
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Cooke County 7 Rural
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3 or fewer
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Coryell County 7 Urban
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3 or fewer
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Cottle County 7 Rural
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3 or fewer
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Crane County 7 Rural
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3 or fewer
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Crockett County 7 Rural
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3 or fewer
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Crosby County 7 Urban
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3 or fewer
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Culberson County 7 Rural
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3 or fewer
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Dallam County 7 Rural
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3 or fewer
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Dawson County 7 Rural
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3 or fewer
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DeWitt County 7 Rural
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3 or fewer
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Deaf Smith County 7 Rural
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3 or fewer
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Delta County 7 Rural
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3 or fewer
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Dickens County 7 Rural
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3 or fewer
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Dimmit County 7 Rural
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3 or fewer
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Donley County 7 Rural
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3 or fewer
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Duval County 7 Rural
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3 or fewer
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Eastland County 7 Rural
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3 or fewer
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Edwards County 7 Rural
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3 or fewer
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Erath County 7 Rural
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3 or fewer
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Falls County 7 Urban
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3 or fewer
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Fannin County 7 Rural
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3 or fewer
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Fayette County 7 Rural
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3 or fewer
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Fisher County 7 Rural
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3 or fewer
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Floyd County 7 Rural
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3 or fewer
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Foard County 7 Rural
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3 or fewer
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Franklin County 7 Rural
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3 or fewer
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Freestone County 7 Rural
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3 or fewer
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Frio County 7 Rural
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3 or fewer
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Gaines County 7 Rural
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3 or fewer
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Garza County 7 Urban
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3 or fewer
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Gillespie County 7 Rural
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3 or fewer
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Glasscock County 7 Rural
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3 or fewer
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Goliad County 7 Urban
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3 or fewer
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Gonzales County 7 Rural
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3 or fewer
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Gray County 7 Rural
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3 or fewer
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Grimes County 7 Rural
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3 or fewer
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Hale County 7 Rural
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3 or fewer
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Hall County 7 Rural
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3 or fewer
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Hamilton County 7 Rural
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3 or fewer
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Hansford County 7 Rural
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3 or fewer
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Hardeman County 7 Rural
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3 or fewer
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Hardin County 7 Urban
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3 or fewer
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Harrison County 7 Urban
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3 or fewer
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Hartley County 7 Rural
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3 or fewer
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Haskell County 7 Rural
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3 or fewer
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Hemphill County 7 Rural
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3 or fewer
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Henderson County 7 Rural
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3 or fewer
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Hill County 7 Rural
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3 or fewer
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Hockley County 7 Urban
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3 or fewer
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Hood County 7 Rural
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3 or fewer
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Hopkins County 7 Rural
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3 or fewer
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Houston County 7 Rural
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3 or fewer
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Howard County 7 Rural
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3 or fewer
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Hudspeth County 7 Urban
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3 or fewer
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Hutchinson County 7 Rural
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3 or fewer
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Irion County 7 Urban
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3 or fewer
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Jack County 7 Rural
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3 or fewer
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Jackson County 7 Rural
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3 or fewer
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Jasper County 7 Rural
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3 or fewer
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Jeff Davis County 7 Rural
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3 or fewer
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Jim Hogg County 7 Rural
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3 or fewer
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Jim Wells County 7 Rural
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3 or fewer
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Jones County 7 Urban
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3 or fewer
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Karnes County 7 Rural
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3 or fewer
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Kendall County 7 Urban
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3 or fewer
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Kenedy County 7 Rural
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3 or fewer
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Kent County 7 Rural
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3 or fewer
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Kerr County 7 Rural
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3 or fewer
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Kimble County 7 Rural
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3 or fewer
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King County 7 Rural
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3 or fewer
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Kinney County 7 Rural
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3 or fewer
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Kleberg County 7 Rural
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3 or fewer
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Knox County 7 Rural
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3 or fewer
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La Salle County 7 Rural
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3 or fewer
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Lamar County 7 Rural
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3 or fewer
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Lamb County 7 Rural
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3 or fewer
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Lampasas County 7 Urban
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3 or fewer
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Lavaca County 7 Rural
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3 or fewer
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Lee County 7 Rural
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3 or fewer
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Leon County 7 Rural
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3 or fewer
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Limestone County 7 Rural
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3 or fewer
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Lipscomb County 7 Rural
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3 or fewer
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Live Oak County 7 Rural
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3 or fewer
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Llano County 7 Rural
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3 or fewer
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Loving County 7 Rural
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3 or fewer
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Lynn County 7 Urban
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3 or fewer
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Madison County 7 Rural
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3 or fewer
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Marion County 7 Rural
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3 or fewer
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Martin County 7 Urban
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3 or fewer
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Mason County 7 Rural
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3 or fewer
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Matagorda County 7 Rural
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3 or fewer
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Maverick County 7 Urban
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3 or fewer
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McCulloch County 7 Rural
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3 or fewer
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McMullen County 7 Rural
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3 or fewer
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Medina County 7 Urban
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3 or fewer
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Menard County 7 Rural
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3 or fewer
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Milam County 7 Rural
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3 or fewer
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Mills County 7 Rural
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3 or fewer
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Mitchell County 7 Rural
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3 or fewer
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Montague County 7 Rural
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3 or fewer
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Moore County 7 Rural
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3 or fewer
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Morris County 7 Rural
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3 or fewer
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Motley County 7 Rural
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3 or fewer
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Navarro County 7 Rural
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3 or fewer
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Newton County 7 Rural
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3 or fewer
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Nolan County 7 Rural
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3 or fewer
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Ochiltree County 7 Rural
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3 or fewer
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Oldham County 7 Urban
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3 or fewer
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Orange County 7 Urban
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3 or fewer
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Palo Pinto County 7 Rural
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3 or fewer
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Panola County 7 Rural
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3 or fewer
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Parmer County 7 Rural
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3 or fewer
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Pecos County 7 Rural
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3 or fewer
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Polk County 7 Rural
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3 or fewer
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Presidio County 7 Rural
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3 or fewer
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Rains County 7 Rural
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3 or fewer
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Reagan County 7 Rural
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3 or fewer
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Real County 7 Rural
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3 or fewer
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Red River County 7 Rural
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3 or fewer
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Reeves County 7 Rural
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3 or fewer
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Refugio County 7 Rural
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3 or fewer
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Roberts County 7 Rural
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3 or fewer
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Robertson County 7 Urban
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3 or fewer
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Runnels County 7 Rural
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3 or fewer
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Rusk County 7 Urban
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3 or fewer
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Sabine County 7 Rural
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3 or fewer
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San Augustine County 7 Rural
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3 or fewer
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San Jacinto County 7 Urban
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3 or fewer
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San Patricio County 7 Urban
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3 or fewer
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San Saba County 7 Rural
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3 or fewer
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Schleicher County 7 Rural
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3 or fewer
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Scurry County 7 Rural
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3 or fewer
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Shackelford County 7 Rural
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3 or fewer
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Shelby County 7 Rural
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3 or fewer
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Sherman County 7 Rural
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3 or fewer
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Somervell County 7 Rural
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3 or fewer
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Starr County 7 Rural
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3 or fewer
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Stephens County 7 Rural
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3 or fewer
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Sterling County 7 Rural
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3 or fewer
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Stonewall County 7 Rural
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3 or fewer
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Sutton County 7 Rural
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3 or fewer
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Swisher County 7 Rural
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3 or fewer
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Terrell County 7 Rural
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3 or fewer
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Terry County 7 Rural
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3 or fewer
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Throckmorton County 7 Rural
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3 or fewer
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Titus County 7 Rural
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3 or fewer
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Trinity County 7 Rural
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3 or fewer
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Tyler County 7 Rural
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3 or fewer
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Upshur County 7 Urban
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3 or fewer
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Upton County 7 Rural
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3 or fewer
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Uvalde County 7 Rural
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3 or fewer
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Val Verde County 7 Rural
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3 or fewer
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Van Zandt County 7 Rural
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3 or fewer
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Walker County 7 Rural
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3 or fewer
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Waller County 7 Urban
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3 or fewer
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Ward County 7 Rural
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3 or fewer
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Washington County 7 Rural
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3 or fewer
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Wharton County 7 Rural
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3 or fewer
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Wheeler County 7 Rural
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3 or fewer
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Wilbarger County 7 Rural
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3 or fewer
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Willacy County 7 Rural
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3 or fewer
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Wilson County 7 Urban
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3 or fewer
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Winkler County 7 Rural
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3 or fewer
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Wise County 7 Urban
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3 or fewer
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Wood County 7 Rural
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3 or fewer
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Yoakum County 7 Rural
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3 or fewer
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Young County 7 Rural
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3 or fewer
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Zapata County 7 Rural
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3 or fewer
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Zavala County 7 Rural
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3 or fewer
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Notes:
Created by statecancerprofiles.cancer.gov on 03/11/2026 7:49 pm.

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

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


† 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.

When displaying county information, the CI*Rank for the state is not shown because it's not comparable. To see the state CI*Rank please view the statistics at the US By State level.

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.

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