State Cancer Profiles

Interpretation of Incidence Rates Data

Incidence Rate Report for Texas by County

All Cancer Sites (All Stages^), 2017-2021

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

Sorted by Rate

Explanation of Column Headers

Objective - The objective of *** is from the Healthy People 2020 project done by the Centers for Disease Control and Prevention.

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 424.5 with a 95% confidence interval from 423.5 to 425.6 and 125,367 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -0.4 to 1.3.

US (SEER+NPCR)¹

• 2023 Rural-Urban Continuum Codes Φ : N/A
• Rate : The incidence rate is 444.4 with a 95% confidence interval from 444.1 to 444.7 and 1,744,459 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -0.5 with a 95% confidence interval from -0.7 to -0.3.

Polk County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 679.5 with a 95% confidence interval from 648.4 to 711.8 and 436 average annual cases over 2017-2021.
• CI*Rank ⋔ : 1 (1, 5)
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -3.1 to 2.5.

Stonewall County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 621.1 with a 95% confidence interval from 459.8 to 827.3 and 12 average annual cases over 2017-2021.
• CI*Rank ⋔ : 2 (1, 233)
• Recent Trend : The trend is stable because the trend is 2.0 with a 95% confidence interval from -1.3 to 5.5.

Hudspeth County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 585.8 with a 95% confidence interval from 464.4 to 729.5 and 16 average annual cases over 2017-2021.
• CI*Rank ⋔ : 3 (1, 206)
• Recent Trend : The trend is rising because the trend is 9.4 with a 95% confidence interval from 5.8 to 20.6.

Camp County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 568.8 with a 95% confidence interval from 515.2 to 626.8 and 91 average annual cases over 2017-2021.
• CI*Rank ⋔ : 4 (2, 63)
• Recent Trend : The trend is rising because the trend is 2.0 with a 95% confidence interval from 1.1 to 4.5.

Edwards County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 545.6 with a 95% confidence interval from 405.3 to 724.5 and 13 average annual cases over 2017-2021.
• CI*Rank ⋔ : 5 (1, 245)
• Recent Trend : The trend is rising because the trend is 12.3 with a 95% confidence interval from 6.0 to 30.2.

Delta County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 542.5 with a 95% confidence interval from 467.7 to 627.0 and 42 average annual cases over 2017-2021.
• CI*Rank ⋔ : 6 (1, 177)
• Recent Trend : The trend is rising because the trend is 1.6 with a 95% confidence interval from 0.1 to 3.3.

Armstrong County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 541.7 with a 95% confidence interval from 417.9 to 694.4 and 15 average annual cases over 2017-2021.
• CI*Rank ⋔ : 7 (1, 238)
• Recent Trend : The trend is rising because the trend is 2.6 with a 95% confidence interval from 0.4 to 5.0.

Martin County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 536.7 with a 95% confidence interval from 446.4 to 639.5 and 26 average annual cases over 2017-2021.
• CI*Rank ⋔ : 8 (1, 223)
• Recent Trend : The trend is stable because the trend is 1.2 with a 95% confidence interval from -1.8 to 4.3.

Baylor County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 529.8 with a 95% confidence interval from 440.7 to 633.7 and 28 average annual cases over 2017-2021.
• CI*Rank ⋔ : 9 (1, 212)
• Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -2.4 to 1.9.

Walker County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 529.7 with a 95% confidence interval from 507.5 to 552.7 and 442 average annual cases over 2017-2021.
• CI*Rank ⋔ : 10 (4, 43)
• Recent Trend : The trend is rising because the trend is 7.7 with a 95% confidence interval from 4.1 to 13.0.

Morris County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 527.1 with a 95% confidence interval from 477.6 to 580.7 and 93 average annual cases over 2017-2021.
• CI*Rank ⋔ : 11 (2, 124)
• Recent Trend : The trend is rising because the trend is 4.4 with a 95% confidence interval from 0.6 to 11.6.

Jasper County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 526.6 with a 95% confidence interval from 496.0 to 558.6 and 244 average annual cases over 2017-2021.
• CI*Rank ⋔ : 12 (3, 68)
• Recent Trend : The trend is rising because the trend is 0.7 with a 95% confidence interval from 0.1 to 1.4.

McCulloch County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 522.8 with a 95% confidence interval from 461.9 to 590.3 and 61 average annual cases over 2017-2021.
• CI*Rank ⋔ : 13 (2, 181)
• Recent Trend : The trend is stable because the trend is 0.7 with a 95% confidence interval from -0.5 to 1.9.

Foard County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 521.5 with a 95% confidence interval from 356.7 to 742.0 and 9 average annual cases over 2017-2021.
• CI*Rank ⋔ : 14 (1, 249)
• Recent Trend : The trend is stable because the trend is 3.9 with a 95% confidence interval from -0.9 to 8.8.

Fisher County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 513.5 with a 95% confidence interval from 421.7 to 620.5 and 27 average annual cases over 2017-2021.
• CI*Rank ⋔ : 15 (1, 231)
• Recent Trend : The trend is rising because the trend is 16.2 with a 95% confidence interval from 1.4 to 24.3.

Sterling County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 511.7 with a 95% confidence interval from 352.6 to 717.5 and 7 average annual cases over 2017-2021.
• CI*Rank ⋔ : 16 (1, 250)
• Recent Trend : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

Henderson County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 510.4 with a 95% confidence interval from 491.7 to 529.7 and 630 average annual cases over 2017-2021.
• CI*Rank ⋔ : 17 (8, 57)
• Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -0.7 to 0.6.

Cherokee County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 507.0 with a 95% confidence interval from 482.0 to 533.0 and 325 average annual cases over 2017-2021.
• CI*Rank ⋔ : 18 (6, 80)
• Recent Trend : The trend is rising because the trend is 0.9 with a 95% confidence interval from 0.3 to 1.4.

Crockett County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 505.3 with a 95% confidence interval from 408.7 to 619.4 and 20 average annual cases over 2017-2021.
• CI*Rank ⋔ : 19 (1, 241)
• Recent Trend : The trend is stable because the trend is 1.2 with a 95% confidence interval from -1.7 to 4.0.

Palo Pinto County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 503.2 with a 95% confidence interval from 470.5 to 537.7 and 195 average annual cases over 2017-2021.
• CI*Rank ⋔ : 20 (4, 118)
• Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -0.7 to 0.9.

Marion County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 503.1 with a 95% confidence interval from 451.5 to 560.0 and 84 average annual cases over 2017-2021.
• CI*Rank ⋔ : 21 (3, 167)
• Recent Trend : The trend is stable because the trend is 5.3 with a 95% confidence interval from -5.0 to 15.7.

Chambers County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 502.9 with a 95% confidence interval from 472.9 to 534.2 and 224 average annual cases over 2017-2021.
• CI*Rank ⋔ : 22 (6, 109)
• Recent Trend : The trend is rising because the trend is 4.4 with a 95% confidence interval from 2.1 to 7.4.

Franklin County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 501.4 with a 95% confidence interval from 448.2 to 559.7 and 73 average annual cases over 2017-2021.
• CI*Rank ⋔ : 23 (2, 176)
• Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -1.4 to 1.4.

Panola County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 498.5 with a 95% confidence interval from 462.5 to 536.7 and 154 average annual cases over 2017-2021.
• CI*Rank ⋔ : 24 (5, 146)
• Recent Trend : The trend is stable because the trend is 3.5 with a 95% confidence interval from -0.3 to 9.8.

Hill County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 498.3 with a 95% confidence interval from 469.8 to 528.2 and 253 average annual cases over 2017-2021.
• CI*Rank ⋔ : 25 (7, 110)
• Recent Trend : The trend is rising because the trend is 2.8 with a 95% confidence interval from 0.1 to 8.5.

Gregg County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 498.3 with a 95% confidence interval from 481.7 to 515.4 and 713 average annual cases over 2017-2021.
• CI*Rank ⋔ : 26 (12, 73)
• Recent Trend : The trend is stable because the trend is -2.9 with a 95% confidence interval from -5.8 to 0.7.

Parker County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 498.2 with a 95% confidence interval from 483.0 to 513.8 and 866 average annual cases over 2017-2021.
• CI*Rank ⋔ : 27 (12, 65)
• Recent Trend : The trend is stable because the trend is 1.4 with a 95% confidence interval from -0.3 to 4.5.

Fannin County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 498.1 with a 95% confidence interval from 469.3 to 528.3 and 235 average annual cases over 2017-2021.
• CI*Rank ⋔ : 28 (6, 114)
• Recent Trend : The trend is stable because the trend is 0.5 with a 95% confidence interval from -0.1 to 1.2.

Knox County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 497.2 with a 95% confidence interval from 403.8 to 606.9 and 22 average annual cases over 2017-2021.
• CI*Rank ⋔ : 29 (1, 238)
• Recent Trend : The trend is stable because the trend is 1.3 with a 95% confidence interval from -1.0 to 3.5.

Dickens County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 496.5 with a 95% confidence interval from 372.6 to 652.3 and 13 average annual cases over 2017-2021.
• CI*Rank ⋔ : 30 (1, 245)
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -2.9 to 2.1.

Real County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 495.1 with a 95% confidence interval from 405.7 to 602.6 and 26 average annual cases over 2017-2021.
• CI*Rank ⋔ : 31 (1, 232)
• Recent Trend : The trend is rising because the trend is 8.8 with a 95% confidence interval from 5.2 to 14.8.

Wichita County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 494.9 with a 95% confidence interval from 478.4 to 511.8 and 717 average annual cases over 2017-2021.
• CI*Rank ⋔ : 32 (12, 76)
• Recent Trend : The trend is stable because the trend is 0.7 with a 95% confidence interval from -2.1 to 2.2.

Lampasas County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 493.3 with a 95% confidence interval from 457.0 to 532.1 and 149 average annual cases over 2017-2021.
• CI*Rank ⋔ : 33 (5, 149)
• Recent Trend : The trend is stable because the trend is 0.7 with a 95% confidence interval from -0.2 to 1.8.

Upshur County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 491.1 with a 95% confidence interval from 463.9 to 519.5 and 266 average annual cases over 2017-2021.
• CI*Rank ⋔ : 34 (9, 117)
• Recent Trend : The trend is stable because the trend is 1.5 with a 95% confidence interval from 0.0 to 5.3.

Runnels County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 490.0 with a 95% confidence interval from 436.9 to 548.3 and 68 average annual cases over 2017-2021.
• CI*Rank ⋔ : 35 (3, 200)
• Recent Trend : The trend is stable because the trend is 0.5 with a 95% confidence interval from -0.7 to 1.7.

Montague County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 488.8 with a 95% confidence interval from 451.9 to 528.2 and 146 average annual cases over 2017-2021.
• CI*Rank ⋔ : 36 (6, 152)
• Recent Trend : The trend is stable because the trend is 0.6 with a 95% confidence interval from 0.0 to 1.1.

Coke County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 487.6 with a 95% confidence interval from 398.0 to 593.6 and 26 average annual cases over 2017-2021.
• CI*Rank ⋔ : 37 (2, 238)
• Recent Trend : The trend is stable because the trend is 1.2 with a 95% confidence interval from -0.9 to 3.3.

Cooke County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 486.1 with a 95% confidence interval from 459.4 to 514.2 and 269 average annual cases over 2017-2021.
• CI*Rank ⋔ : 38 (10, 129)
• Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -0.9 to 0.6.

Cass County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 485.8 with a 95% confidence interval from 455.2 to 518.2 and 210 average annual cases over 2017-2021.
• CI*Rank ⋔ : 39 (10, 139)
• Recent Trend : The trend is rising because the trend is 1.0 with a 95% confidence interval from 0.3 to 1.7.

Wise County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 484.7 with a 95% confidence interval from 462.8 to 507.4 and 391 average annual cases over 2017-2021.
• CI*Rank ⋔ : 40 (13, 111)
• Recent Trend : The trend is rising because the trend is 1.1 with a 95% confidence interval from 0.3 to 2.0.

McMullen County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 484.2 with a 95% confidence interval from 309.5 to 744.8 and 5 average annual cases over 2017-2021.
• CI*Rank ⋔ : 41 (1, 251)
• Recent Trend : The trend is stable because the trend is 1.9 with a 95% confidence interval from -2.7 to 7.6.

Bell County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 483.0 with a 95% confidence interval from 472.2 to 493.9 and 1,595 average annual cases over 2017-2021.
• CI*Rank ⋔ : 42 (25, 80)
• Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -0.5 to 0.0.

Lamar County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 482.9 with a 95% confidence interval from 458.8 to 507.9 and 326 average annual cases over 2017-2021.
• CI*Rank ⋔ : 43 (11, 135)
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -1.0 to 0.3.

Aransas County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 482.8 with a 95% confidence interval from 450.4 to 517.2 and 203 average annual cases over 2017-2021.
• CI*Rank ⋔ : 44 (9, 149)
• Recent Trend : The trend is stable because the trend is 1.8 with a 95% confidence interval from -1.4 to 8.4.

Sutton County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 482.6 with a 95% confidence interval from 392.4 to 588.5 and 22 average annual cases over 2017-2021.
• CI*Rank ⋔ : 45 (2, 239)
• Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -2.3 to 2.8.

Wood County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 480.5 with a 95% confidence interval from 456.9 to 505.2 and 378 average annual cases over 2017-2021.
• CI*Rank ⋔ : 46 (14, 138)
• Recent Trend : The trend is rising because the trend is 1.7 with a 95% confidence interval from 0.4 to 5.2.

Hopkins County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 480.2 with a 95% confidence interval from 451.9 to 510.0 and 229 average annual cases over 2017-2021.
• CI*Rank ⋔ : 47 (11, 143)
• Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -1.0 to 1.0.

Johnson County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 478.6 with a 95% confidence interval from 464.7 to 492.9 and 935 average annual cases over 2017-2021.
• CI*Rank ⋔ : 48 (25, 98)
• Recent Trend : The trend is rising because the trend is 0.8 with a 95% confidence interval from 0.1 to 3.0.

Swisher County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 477.4 with a 95% confidence interval from 412.8 to 549.6 and 41 average annual cases over 2017-2021.
• CI*Rank ⋔ : 49 (3, 225)
• Recent Trend : The trend is stable because the trend is 0.5 with a 95% confidence interval from -0.9 to 1.9.

Rains County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 476.7 with a 95% confidence interval from 432.0 to 525.5 and 96 average annual cases over 2017-2021.
• CI*Rank ⋔ : 50 (7, 199)
• Recent Trend : The trend is stable because the trend is 0.9 with a 95% confidence interval from -0.1 to 1.9.

Dawson County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 476.0 with a 95% confidence interval from 423.9 to 532.8 and 62 average annual cases over 2017-2021.
• CI*Rank ⋔ : 51 (4, 206)
• Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -0.8 to 1.4.

Matagorda County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 475.4 with a 95% confidence interval from 446.3 to 506.0 and 215 average annual cases over 2017-2021.
• CI*Rank ⋔ : 52 (9, 159)
• Recent Trend : The trend is stable because the trend is 2.0 with a 95% confidence interval from -0.3 to 7.8.

Burleson County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 474.8 with a 95% confidence interval from 435.4 to 517.1 and 122 average annual cases over 2017-2021.
• CI*Rank ⋔ : 53 (8, 183)
• Recent Trend : The trend is stable because the trend is 0.8 with a 95% confidence interval from -0.6 to 2.2.

San Jacinto County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 474.4 with a 95% confidence interval from 443.1 to 507.5 and 197 average annual cases over 2017-2021.
• CI*Rank ⋔ : 54 (12, 165)
• Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -0.5 to 0.9.

Hood County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 474.3 with a 95% confidence interval from 453.6 to 495.8 and 465 average annual cases over 2017-2021.
• CI*Rank ⋔ : 55 (19, 132)
• Recent Trend : The trend is stable because the trend is -2.7 with a 95% confidence interval from -5.5 to 0.4.

Uvalde County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 473.7 with a 95% confidence interval from 437.3 to 512.4 and 132 average annual cases over 2017-2021.
• CI*Rank ⋔ : 56 (6, 175)
• Recent Trend : The trend is rising because the trend is 3.0 with a 95% confidence interval from 1.4 to 7.6.

Red River County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 473.7 with a 95% confidence interval from 428.4 to 523.2 and 92 average annual cases over 2017-2021.
• CI*Rank ⋔ : 57 (6, 205)
• Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -1.4 to 0.4.

Sabine County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 473.5 with a 95% confidence interval from 424.6 to 527.6 and 89 average annual cases over 2017-2021.
• CI*Rank ⋔ : 58 (5, 204)
• Recent Trend : The trend is stable because the trend is 1.5 with a 95% confidence interval from -0.5 to 3.6.

Liberty County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 472.4 with a 95% confidence interval from 452.4 to 493.1 and 444 average annual cases over 2017-2021.
• CI*Rank ⋔ : 59 (19, 135)
• Recent Trend : The trend is stable because the trend is 1.0 with a 95% confidence interval from -4.4 to 6.0.

Clay County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 470.3 with a 95% confidence interval from 420.8 to 524.9 and 75 average annual cases over 2017-2021.
• CI*Rank ⋔ : 60 (7, 212)
• Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -0.7 to 1.1.

Potter County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 469.3 with a 95% confidence interval from 452.2 to 487.0 and 584 average annual cases over 2017-2021.
• CI*Rank ⋔ : 61 (27, 126)
• Recent Trend : The trend is falling because the trend is -0.5 with a 95% confidence interval from -0.9 to -0.1.

Smith County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 469.3 with a 95% confidence interval from 457.8 to 481.1 and 1,322 average annual cases over 2017-2021.
• CI*Rank ⋔ : 62 (35, 110)
• Recent Trend : The trend is stable because the trend is 0.6 with a 95% confidence interval from -0.5 to 2.8.

Trinity County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 469.2 with a 95% confidence interval from 426.2 to 515.9 and 108 average annual cases over 2017-2021.
• CI*Rank ⋔ : 63 (8, 201)
• Recent Trend : The trend is rising because the trend is 1.0 with a 95% confidence interval from 0.1 to 2.0.

Leon County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 468.7 with a 95% confidence interval from 429.2 to 511.3 and 121 average annual cases over 2017-2021.
• CI*Rank ⋔ : 64 (8, 193)
• Recent Trend : The trend is stable because the trend is 0.4 with a 95% confidence interval from -0.2 to 1.1.

Bosque County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 468.6 with a 95% confidence interval from 431.6 to 508.3 and 139 average annual cases over 2017-2021.
• CI*Rank ⋔ : 65 (11, 185)
• Recent Trend : The trend is stable because the trend is 2.1 with a 95% confidence interval from -3.9 to 7.9.

Lynn County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 468.2 with a 95% confidence interval from 395.8 to 550.5 and 32 average annual cases over 2017-2021.
• CI*Rank ⋔ : 66 (3, 235)
• Recent Trend : The trend is stable because the trend is -6.5 with a 95% confidence interval from -14.5 to 4.9.

Young County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 468.2 with a 95% confidence interval from 428.9 to 510.3 and 116 average annual cases over 2017-2021.
• CI*Rank ⋔ : 67 (10, 199)
• Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -1.4 to 0.3.

Borden County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 467.6 with a 95% confidence interval from 280.5 to 749.9 and 4 average annual cases over 2017-2021.
• CI*Rank ⋔ : 68 (1, 251)
• Recent Trend : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

Orange County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 465.8 with a 95% confidence interval from 446.8 to 485.4 and 479 average annual cases over 2017-2021.
• CI*Rank ⋔ : 69 (27, 143)
• Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -1.8 to -0.6.

Waller County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 465.6 with a 95% confidence interval from 438.6 to 493.8 and 237 average annual cases over 2017-2021.
• CI*Rank ⋔ : 70 (21, 161)
• Recent Trend : The trend is rising because the trend is 1.8 with a 95% confidence interval from 0.1 to 6.0.

Nolan County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 465.3 with a 95% confidence interval from 421.7 to 512.4 and 88 average annual cases over 2017-2021.
• CI*Rank ⋔ : 71 (8, 203)
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -1.3 to 0.6.

Tyler County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 464.7 with a 95% confidence interval from 428.7 to 503.2 and 139 average annual cases over 2017-2021.
• CI*Rank ⋔ : 72 (11, 182)
• Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -1.0 to 1.0.

Reagan County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 464.5 with a 95% confidence interval from 357.2 to 592.8 and 14 average annual cases over 2017-2021.
• CI*Rank ⋔ : 73 (1, 249)
• Recent Trend : The trend is stable because the trend is 1.5 with a 95% confidence interval from -1.1 to 4.1.

Zavala County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 463.9 with a 95% confidence interval from 406.2 to 527.6 and 48 average annual cases over 2017-2021.
• CI*Rank ⋔ : 74 (4, 225)
• Recent Trend : The trend is rising because the trend is 4.1 with a 95% confidence interval from 1.8 to 12.1.

Haskell County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 463.5 with a 95% confidence interval from 393.4 to 543.6 and 36 average annual cases over 2017-2021.
• CI*Rank ⋔ : 75 (2, 237)
• Recent Trend : The trend is stable because the trend is 0.5 with a 95% confidence interval from -1.2 to 2.1.

Kaufman County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 463.5 with a 95% confidence interval from 447.0 to 480.4 and 632 average annual cases over 2017-2021.
• CI*Rank ⋔ : 76 (35, 139)
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -0.6 to 0.1.

Van Zandt County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 463.3 with a 95% confidence interval from 442.0 to 485.5 and 387 average annual cases over 2017-2021.
• CI*Rank ⋔ : 77 (20, 147)
• Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -0.2 to 0.8.

Hutchinson County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 463.2 with a 95% confidence interval from 425.5 to 503.4 and 120 average annual cases over 2017-2021.
• CI*Rank ⋔ : 78 (10, 201)
• Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -1.4 to 0.8.

Milam County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 463.1 with a 95% confidence interval from 430.5 to 497.7 and 165 average annual cases over 2017-2021.
• CI*Rank ⋔ : 79 (14, 179)
• Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -0.8 to 0.9.

Newton County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 462.8 with a 95% confidence interval from 417.9 to 511.7 and 88 average annual cases over 2017-2021.
• CI*Rank ⋔ : 80 (8, 214)
• Recent Trend : The trend is rising because the trend is 1.7 with a 95% confidence interval from 0.7 to 2.8.

Gillespie County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 462.5 with a 95% confidence interval from 431.6 to 495.2 and 218 average annual cases over 2017-2021.
• CI*Rank ⋔ : 81 (16, 190)
• Recent Trend : The trend is rising because the trend is 3.1 with a 95% confidence interval from 0.1 to 9.5.

Hardin County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 462.4 with a 95% confidence interval from 439.4 to 486.3 and 322 average annual cases over 2017-2021.
• CI*Rank ⋔ : 82 (22, 154)
• Recent Trend : The trend is falling because the trend is -0.9 with a 95% confidence interval from -1.6 to -0.3.

Grayson County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 461.9 with a 95% confidence interval from 447.3 to 476.9 and 810 average annual cases over 2017-2021.
• CI*Rank ⋔ : 83 (40, 134)
• Recent Trend : The trend is falling because the trend is -0.4 with a 95% confidence interval from -0.7 to -0.1.

Tom Green County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 459.6 with a 95% confidence interval from 443.2 to 476.4 and 629 average annual cases over 2017-2021.
• CI*Rank ⋔ : 84 (33, 141)
• Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -0.6 to 0.6.

Limestone County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 459.1 with a 95% confidence interval from 424.0 to 496.5 and 141 average annual cases over 2017-2021.
• CI*Rank ⋔ : 85 (15, 194)
• Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -1.4 to 1.0.

Somervell County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 458.9 with a 95% confidence interval from 405.5 to 518.1 and 58 average annual cases over 2017-2021.
• CI*Rank ⋔ : 86 (7, 227)
• Recent Trend : The trend is stable because the trend is 0.9 with a 95% confidence interval from -0.5 to 2.4.

Harrison County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 458.7 with a 95% confidence interval from 438.0 to 480.0 and 396 average annual cases over 2017-2021.
• CI*Rank ⋔ : 87 (33, 156)
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -1.3 to 0.0.

Schleicher County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 457.8 with a 95% confidence interval from 356.3 to 581.2 and 15 average annual cases over 2017-2021.
• CI*Rank ⋔ : 88 (2, 246)
• Recent Trend : The trend is stable because the trend is 0.5 with a 95% confidence interval from -1.5 to 2.4.

Angelina County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 456.9 with a 95% confidence interval from 438.3 to 476.0 and 478 average annual cases over 2017-2021.
• CI*Rank ⋔ : 89 (36, 156)
• Recent Trend : The trend is falling because the trend is -1.1 with a 95% confidence interval from -1.6 to -0.5.

Ector County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 456.8 with a 95% confidence interval from 440.4 to 473.6 and 619 average annual cases over 2017-2021.
• CI*Rank ⋔ : 90 (39, 150)
• Recent Trend : The trend is stable because the trend is 1.5 with a 95% confidence interval from -0.2 to 5.2.

Victoria County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 456.7 with a 95% confidence interval from 438.2 to 475.7 and 490 average annual cases over 2017-2021.
• CI*Rank ⋔ : 91 (37, 150)
• Recent Trend : The trend is falling because the trend is -0.7 with a 95% confidence interval from -1.2 to -0.2.

Coleman County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 456.5 with a 95% confidence interval from 403.3 to 515.9 and 62 average annual cases over 2017-2021.
• CI*Rank ⋔ : 92 (7, 227)
• Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -1.3 to 0.8.

Kimble County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 456.4 with a 95% confidence interval from 379.2 to 546.4 and 33 average annual cases over 2017-2021.
• CI*Rank ⋔ : 93 (3, 241)
• Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -2.0 to 1.8.

Rusk County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 456.4 with a 95% confidence interval from 433.1 to 480.7 and 302 average annual cases over 2017-2021.
• CI*Rank ⋔ : 94 (28, 171)
• Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -0.4 to 1.0.

Gonzales County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 455.3 with a 95% confidence interval from 416.6 to 496.7 and 108 average annual cases over 2017-2021.
• CI*Rank ⋔ : 95 (12, 208)
• Recent Trend : The trend is stable because the trend is 3.3 with a 95% confidence interval from 0.0 to 10.2.

McLennan County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 454.5 with a 95% confidence interval from 443.2 to 466.1 and 1,282 average annual cases over 2017-2021.
• CI*Rank ⋔ : 96 (56, 140)
• Recent Trend : The trend is stable because the trend is 1.3 with a 95% confidence interval from 0.0 to 3.3.

Galveston County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 454.5 with a 95% confidence interval from 444.9 to 464.2 and 1,818 average annual cases over 2017-2021.
• CI*Rank ⋔ : 97 (59, 133)
• Recent Trend : The trend is rising because the trend is 3.3 with a 95% confidence interval from 0.8 to 6.9.

Hunt County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 454.4 with a 95% confidence interval from 437.1 to 472.3 and 547 average annual cases over 2017-2021.
• CI*Rank ⋔ : 98 (41, 151)
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -0.8 to 0.3.

Grimes County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 453.3 with a 95% confidence interval from 422.5 to 485.9 and 173 average annual cases over 2017-2021.
• CI*Rank ⋔ : 99 (21, 202)
• Recent Trend : The trend is rising because the trend is 0.9 with a 95% confidence interval from 0.1 to 1.8.

Taylor County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 452.7 with a 95% confidence interval from 437.3 to 468.5 and 684 average annual cases over 2017-2021.
• CI*Rank ⋔ : 100 (48, 150)
• Recent Trend : The trend is stable because the trend is 0.4 with a 95% confidence interval from 0.0 to 1.2.

Briscoe County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 452.7 with a 95% confidence interval from 331.9 to 609.7 and 11 average annual cases over 2017-2021.
• CI*Rank ⋔ : 101 (1, 250)
• Recent Trend : The trend is stable because the trend is 1.0 with a 95% confidence interval from -1.7 to 4.0.

Yoakum County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 451.5 with a 95% confidence interval from 384.6 to 526.6 and 34 average annual cases over 2017-2021.
• CI*Rank ⋔ : 102 (4, 239)
• Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -2.2 to 2.1.

Ellis County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 451.1 with a 95% confidence interval from 437.5 to 464.9 and 886 average annual cases over 2017-2021.
• CI*Rank ⋔ : 103 (56, 152)
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -0.7 to 0.1.

Hardeman County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 450.4 with a 95% confidence interval from 368.4 to 547.0 and 24 average annual cases over 2017-2021.
• CI*Rank ⋔ : 104 (3, 243)
• Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -1.9 to 1.6.

Freestone County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 449.7 with a 95% confidence interval from 413.8 to 488.1 and 124 average annual cases over 2017-2021.
• CI*Rank ⋔ : 105 (16, 206)
• Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -1.1 to 1.3.

Coryell County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 449.2 with a 95% confidence interval from 427.0 to 472.2 and 318 average annual cases over 2017-2021.
• CI*Rank ⋔ : 106 (33, 183)
• Recent Trend : The trend is falling because the trend is -0.7 with a 95% confidence interval from -1.1 to -0.2.

Hamilton County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 448.4 with a 95% confidence interval from 393.9 to 509.2 and 59 average annual cases over 2017-2021.
• CI*Rank ⋔ : 107 (7, 232)
• Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -1.1 to 1.3.

Titus County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 448.2 with a 95% confidence interval from 416.5 to 481.7 and 154 average annual cases over 2017-2021.
• CI*Rank ⋔ : 108 (22, 200)
• Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -1.2 to 0.7.

Wheeler County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 447.6 with a 95% confidence interval from 378.3 to 527.1 and 32 average annual cases over 2017-2021.
• CI*Rank ⋔ : 109 (5, 241)
• Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -2.1 to 2.1.

Lavaca County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 447.2 with a 95% confidence interval from 412.3 to 484.4 and 139 average annual cases over 2017-2021.
• CI*Rank ⋔ : 110 (14, 215)
• Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -1.4 to 0.3.

Kerr County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 447.1 with a 95% confidence interval from 425.4 to 469.8 and 399 average annual cases over 2017-2021.
• CI*Rank ⋔ : 111 (36, 187)
• Recent Trend : The trend is rising because the trend is 1.9 with a 95% confidence interval from 0.1 to 6.0.

Burnet County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 445.8 with a 95% confidence interval from 423.0 to 469.7 and 328 average annual cases over 2017-2021.
• CI*Rank ⋔ : 112 (36, 187)
• Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -1.4 to 0.1.

Williamson County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 445.1 with a 95% confidence interval from 437.5 to 452.9 and 2,653 average annual cases over 2017-2021.
• CI*Rank ⋔ : 113 (82, 146)
• Recent Trend : The trend is falling because the trend is -3.3 with a 95% confidence interval from -4.8 to -2.4.

Brown County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 444.7 with a 95% confidence interval from 418.6 to 472.0 and 237 average annual cases over 2017-2021.
• CI*Rank ⋔ : 114 (33, 193)
• Recent Trend : The trend is falling because the trend is -0.8 with a 95% confidence interval from -1.4 to -0.3.

Brazoria County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 444.6 with a 95% confidence interval from 434.8 to 454.6 and 1,647 average annual cases over 2017-2021.
• CI*Rank ⋔ : 115 (76, 150)
• Recent Trend : The trend is stable because the trend is 1.0 with a 95% confidence interval from -0.3 to 3.6.

Bowie County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 444.5 with a 95% confidence interval from 427.1 to 462.5 and 514 average annual cases over 2017-2021.
• CI*Rank ⋔ : 116 (55, 171)
• Recent Trend : The trend is stable because the trend is 1.3 with a 95% confidence interval from -1.1 to 4.3.

San Patricio County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 444.1 with a 95% confidence interval from 422.8 to 466.2 and 340 average annual cases over 2017-2021.
• CI*Rank ⋔ : 117 (48, 183)
• Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -6.0 to 3.7.

Navarro County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 443.4 with a 95% confidence interval from 419.8 to 468.0 and 282 average annual cases over 2017-2021.
• CI*Rank ⋔ : 118 (34, 195)
• Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -1.1 to 0.1.

Randall County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 443.4 with a 95% confidence interval from 428.4 to 458.7 and 697 average annual cases over 2017-2021.
• CI*Rank ⋔ : 119 (60, 168)
• Recent Trend : The trend is falling because the trend is -0.7 with a 95% confidence interval from -1.1 to -0.2.

Oldham County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 442.1 with a 95% confidence interval from 324.2 to 592.8 and 10 average annual cases over 2017-2021.
• CI*Rank ⋔ : 120 (1, 250)
• Recent Trend : The trend is stable because the trend is 21.3 with a 95% confidence interval from -0.1 to 43.9.

Lubbock County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 442.0 with a 95% confidence interval from 431.2 to 453.0 and 1,323 average annual cases over 2017-2021.
• CI*Rank ⋔ : 121 (80, 159)
• Recent Trend : The trend is falling because the trend is -0.8 with a 95% confidence interval from -1.4 to -0.3.

Archer County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 441.6 with a 95% confidence interval from 388.6 to 500.6 and 56 average annual cases over 2017-2021.
• CI*Rank ⋔ : 122 (12, 234)
• Recent Trend : The trend is rising because the trend is 4.3 with a 95% confidence interval from 1.9 to 10.9.

Bee County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 441.3 with a 95% confidence interval from 408.7 to 475.9 and 138 average annual cases over 2017-2021.
• CI*Rank ⋔ : 123 (26, 211)
• Recent Trend : The trend is rising because the trend is 1.9 with a 95% confidence interval from 0.8 to 4.5.

Eastland County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 440.9 with a 95% confidence interval from 403.4 to 481.3 and 116 average annual cases over 2017-2021.
• CI*Rank ⋔ : 124 (21, 216)
• Recent Trend : The trend is stable because the trend is 0.7 with a 95% confidence interval from -0.5 to 4.0.

Kendall County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 440.7 with a 95% confidence interval from 416.4 to 466.1 and 265 average annual cases over 2017-2021.
• CI*Rank ⋔ : 125 (40, 194)
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -1.1 to 0.4.

DeWitt County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 440.6 with a 95% confidence interval from 404.8 to 478.8 and 121 average annual cases over 2017-2021.
• CI*Rank ⋔ : 126 (27, 218)
• Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -1.3 to 0.3.

Jim Wells County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 438.9 with a 95% confidence interval from 411.0 to 468.2 and 193 average annual cases over 2017-2021.
• CI*Rank ⋔ : 127 (35, 203)
• Recent Trend : The trend is stable because the trend is 1.9 with a 95% confidence interval from -0.5 to 8.0.

Tarrant County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 438.2 with a 95% confidence interval from 434.0 to 442.4 and 8,939 average annual cases over 2017-2021.
• CI*Rank ⋔ : 128 (107, 150)
• Recent Trend : The trend is falling because the trend is -0.7 with a 95% confidence interval from -0.9 to -0.5.

Blanco County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 438.2 with a 95% confidence interval from 394.7 to 486.0 and 88 average annual cases over 2017-2021.
• CI*Rank ⋔ : 129 (17, 226)
• Recent Trend : The trend is stable because the trend is 0.9 with a 95% confidence interval from -7.6 to 7.0.

Colorado County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 437.6 with a 95% confidence interval from 402.4 to 475.2 and 132 average annual cases over 2017-2021.
• CI*Rank ⋔ : 130 (27, 215)
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -1.7 to 0.5.

Hockley County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 437.1 with a 95% confidence interval from 399.8 to 477.1 and 105 average annual cases over 2017-2021.
• CI*Rank ⋔ : 131 (21, 217)
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -1.5 to 0.3.

Hays County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 437.0 with a 95% confidence interval from 424.1 to 450.2 and 939 average annual cases over 2017-2021.
• CI*Rank ⋔ : 132 (78, 174)
• Recent Trend : The trend is rising because the trend is 1.6 with a 95% confidence interval from 0.2 to 4.1.

Falls County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 436.6 with a 95% confidence interval from 398.3 to 477.9 and 100 average annual cases over 2017-2021.
• CI*Rank ⋔ : 133 (17, 220)
• Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -1.1 to 1.5.

Bastrop County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 433.9 with a 95% confidence interval from 416.1 to 452.2 and 486 average annual cases over 2017-2021.
• CI*Rank ⋔ : 134 (64, 187)
• Recent Trend : The trend is falling because the trend is -0.8 with a 95% confidence interval from -1.4 to -0.1.

Mitchell County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 432.6 with a 95% confidence interval from 375.3 to 496.5 and 42 average annual cases over 2017-2021.
• CI*Rank ⋔ : 135 (10, 238)
• Recent Trend : The trend is stable because the trend is 0.6 with a 95% confidence interval from -1.5 to 2.5.

Anderson County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 432.2 with a 95% confidence interval from 410.2 to 455.2 and 295 average annual cases over 2017-2021.
• CI*Rank ⋔ : 136 (54, 204)
• Recent Trend : The trend is stable because the trend is 0.9 with a 95% confidence interval from -3.1 to 5.3.

Lee County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 432.2 with a 95% confidence interval from 394.2 to 473.2 and 103 average annual cases over 2017-2021.
• CI*Rank ⋔ : 137 (23, 221)
• Recent Trend : The trend is stable because the trend is -9.3 with a 95% confidence interval from -21.2 to 1.7.

San Augustine County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 432.2 with a 95% confidence interval from 380.1 to 490.5 and 60 average annual cases over 2017-2021.
• CI*Rank ⋔ : 138 (12, 235)
• Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -0.7 to 1.3.

Howard County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 432.1 with a 95% confidence interval from 402.2 to 463.7 and 161 average annual cases over 2017-2021.
• CI*Rank ⋔ : 139 (38, 214)
• Recent Trend : The trend is falling because the trend is -1.0 with a 95% confidence interval from -1.8 to -0.3.

Calhoun County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 431.2 with a 95% confidence interval from 395.4 to 469.6 and 115 average annual cases over 2017-2021.
• CI*Rank ⋔ : 140 (29, 222)
• Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -1.4 to 0.4.

Callahan County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 430.6 with a 95% confidence interval from 389.0 to 475.8 and 87 average annual cases over 2017-2021.
• CI*Rank ⋔ : 141 (21, 232)
• Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -1.2 to 0.9.

Bandera County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 430.3 with a 95% confidence interval from 398.0 to 465.1 and 164 average annual cases over 2017-2021.
• CI*Rank ⋔ : 142 (42, 218)
• Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -4.0 to 2.5.

Val Verde County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 430.3 with a 95% confidence interval from 404.2 to 457.7 and 207 average annual cases over 2017-2021.
• CI*Rank ⋔ : 143 (52, 210)
• Recent Trend : The trend is rising because the trend is 0.9 with a 95% confidence interval from 0.2 to 2.7.

Robertson County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 429.9 with a 95% confidence interval from 391.7 to 471.1 and 101 average annual cases over 2017-2021.
• CI*Rank ⋔ : 144 (26, 222)
• Recent Trend : The trend is stable because the trend is 5.8 with a 95% confidence interval from 0.0 to 12.2.

Rockwall County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 429.7 with a 95% confidence interval from 412.0 to 448.0 and 467 average annual cases over 2017-2021.
• CI*Rank ⋔ : 145 (78, 196)
• Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -1.0 to 0.3.

Dallas County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 429.5 with a 95% confidence interval from 425.7 to 433.3 and 10,481 average annual cases over 2017-2021.
• CI*Rank ⋔ : 146 (125, 163)
• Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -0.5 to 1.2.

Hansford County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 428.9 with a 95% confidence interval from 355.3 to 513.3 and 25 average annual cases over 2017-2021.
• CI*Rank ⋔ : 147 (4, 245)
• Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -1.6 to 1.6.

Goliad County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 428.7 with a 95% confidence interval from 371.7 to 492.8 and 47 average annual cases over 2017-2021.
• CI*Rank ⋔ : 148 (9, 239)
• Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -1.7 to 0.7.

Duval County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 427.8 with a 95% confidence interval from 375.7 to 485.3 and 51 average annual cases over 2017-2021.
• CI*Rank ⋔ : 149 (10, 237)
• Recent Trend : The trend is rising because the trend is 3.3 with a 95% confidence interval from 0.7 to 11.2.

Gray County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 427.3 with a 95% confidence interval from 391.7 to 465.3 and 110 average annual cases over 2017-2021.
• CI*Rank ⋔ : 150 (27, 225)
• Recent Trend : The trend is falling because the trend is -2.0 with a 95% confidence interval from -5.1 to -1.2.

Karnes County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 425.2 with a 95% confidence interval from 379.9 to 474.6 and 66 average annual cases over 2017-2021.
• CI*Rank ⋔ : 151 (20, 235)
• Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -1.4 to 1.0.

Dimmit County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 424.9 with a 95% confidence interval from 368.3 to 487.9 and 43 average annual cases over 2017-2021.
• CI*Rank ⋔ : 152 (12, 241)
• Recent Trend : The trend is rising because the trend is 2.2 with a 95% confidence interval from 0.4 to 4.1.

Jones County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 424.4 with a 95% confidence interval from 387.3 to 464.3 and 98 average annual cases over 2017-2021.
• CI*Rank ⋔ : 153 (31, 228)
• Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -0.8 to 0.8.

Cottle County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 423.5 with a 95% confidence interval from 299.4 to 588.7 and 9 average annual cases over 2017-2021.
• CI*Rank ⋔ : 154 (2, 250)
• Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -3.7 to 1.7.

Stephens County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 423.5 with a 95% confidence interval from 372.4 to 480.1 and 54 average annual cases over 2017-2021.
• CI*Rank ⋔ : 155 (16, 236)
• Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -2.3 to 0.8.

Wharton County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 422.9 with a 95% confidence interval from 397.4 to 449.6 and 220 average annual cases over 2017-2021.
• CI*Rank ⋔ : 156 (64, 214)
• Recent Trend : The trend is falling because the trend is -1.0 with a 95% confidence interval from -2.2 to -0.5.

Kleberg County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 421.9 with a 95% confidence interval from 388.9 to 457.0 and 125 average annual cases over 2017-2021.
• CI*Rank ⋔ : 157 (48, 227)
• Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -1.7 to 0.4.

Denton County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 421.8 with a 95% confidence interval from 415.4 to 428.4 and 3,521 average annual cases over 2017-2021.
• CI*Rank ⋔ : 158 (132, 182)
• Recent Trend : The trend is falling because the trend is -1.6 with a 95% confidence interval from -2.6 to -0.7.

Wilson County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 421.2 with a 95% confidence interval from 397.6 to 445.8 and 255 average annual cases over 2017-2021.
• CI*Rank ⋔ : 159 (66, 216)
• Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -1.1 to 0.9.

Montgomery County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 420.9 with a 95% confidence interval from 413.7 to 428.3 and 2,733 average annual cases over 2017-2021.
• CI*Rank ⋔ : 160 (133, 187)
• Recent Trend : The trend is stable because the trend is 0.7 with a 95% confidence interval from -1.1 to 3.1.

Jefferson County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 420.6 with a 95% confidence interval from 409.9 to 431.4 and 1,243 average annual cases over 2017-2021.
• CI*Rank ⋔ : 161 (125, 193)
• Recent Trend : The trend is stable because the trend is 0.9 with a 95% confidence interval from -1.4 to 4.5.

Houston County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 420.4 with a 95% confidence interval from 388.8 to 454.2 and 141 average annual cases over 2017-2021.
• CI*Rank ⋔ : 162 (52, 225)
• Recent Trend : The trend is falling because the trend is -5.5 with a 95% confidence interval from -11.3 to -2.9.

Washington County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 420.1 with a 95% confidence interval from 394.0 to 447.6 and 220 average annual cases over 2017-2021.
• CI*Rank ⋔ : 163 (70, 217)
• Recent Trend : The trend is falling because the trend is -1.1 with a 95% confidence interval from -1.7 to -0.5.

Atascosa County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 419.6 with a 95% confidence interval from 395.2 to 445.2 and 229 average annual cases over 2017-2021.
• CI*Rank ⋔ : 164 (65, 217)
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -0.9 to 0.5.

Travis County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 419.0 with a 95% confidence interval from 413.4 to 424.6 and 4,761 average annual cases over 2017-2021.
• CI*Rank ⋔ : 165 (139, 182)
• Recent Trend : The trend is rising because the trend is 0.8 with a 95% confidence interval from 0.1 to 2.0.

Carson County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 418.9 with a 95% confidence interval from 354.9 to 492.0 and 34 average annual cases over 2017-2021.
• CI*Rank ⋔ : 166 (10, 246)
• Recent Trend : The trend is stable because the trend is 5.3 with a 95% confidence interval from -0.3 to 20.2.

Madison County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 417.2 with a 95% confidence interval from 372.1 to 466.4 and 64 average annual cases over 2017-2021.
• CI*Rank ⋔ : 167 (24, 238)
• Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -0.8 to 1.3.

Glasscock County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 417.0 with a 95% confidence interval from 259.1 to 633.9 and 5 average annual cases over 2017-2021.
• CI*Rank ⋔ : 168 (1, 251)
• Recent Trend : The trend is stable because the trend is 1.1 with a 95% confidence interval from -2.5 to 5.1.

Llano County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 416.9 with a 95% confidence interval from 384.9 to 451.5 and 184 average annual cases over 2017-2021.
• CI*Rank ⋔ : 169 (57, 224)
• Recent Trend : The trend is falling because the trend is -1.0 with a 95% confidence interval from -1.8 to -0.3.

Cochran County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 416.0 with a 95% confidence interval from 321.2 to 531.7 and 13 average annual cases over 2017-2021.
• CI*Rank ⋔ : 170 (3, 249)
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -3.6 to 2.0.

Wilbarger County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 415.7 with a 95% confidence interval from 371.2 to 464.4 and 68 average annual cases over 2017-2021.
• CI*Rank ⋔ : 171 (30, 237)
• Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -2.4 to -0.7.

Shelby County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 415.1 with a 95% confidence interval from 382.9 to 449.4 and 130 average annual cases over 2017-2021.
• CI*Rank ⋔ : 172 (59, 226)
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -1.3 to 0.2.

Dallam County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 415.0 with a 95% confidence interval from 346.4 to 492.8 and 27 average annual cases over 2017-2021.
• CI*Rank ⋔ : 173 (10, 245)
• Recent Trend : The trend is stable because the trend is -1.4 with a 95% confidence interval from -4.0 to 1.0.

Crosby County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 413.3 with a 95% confidence interval from 346.0 to 490.7 and 28 average annual cases over 2017-2021.
• CI*Rank ⋔ : 174 (7, 245)
• Recent Trend : The trend is stable because the trend is 1.0 with a 95% confidence interval from -0.1 to 2.2.

Jackson County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 412.9 with a 95% confidence interval from 371.9 to 457.5 and 81 average annual cases over 2017-2021.
• CI*Rank ⋔ : 175 (43, 235)
• Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -2.4 to 0.1.

Fayette County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 412.6 with a 95% confidence interval from 382.4 to 444.8 and 167 average annual cases over 2017-2021.
• CI*Rank ⋔ : 176 (65, 226)
• Recent Trend : The trend is stable because the trend is 1.3 with a 95% confidence interval from -0.2 to 4.5.

Maverick County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 411.5 with a 95% confidence interval from 387.3 to 436.9 and 219 average annual cases over 2017-2021.
• CI*Rank ⋔ : 177 (73, 220)
• Recent Trend : The trend is stable because the trend is 3.2 with a 95% confidence interval from -0.7 to 8.9.

Comal County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 409.2 with a 95% confidence interval from 396.5 to 422.3 and 849 average annual cases over 2017-2021.
• CI*Rank ⋔ : 178 (136, 211)
• Recent Trend : The trend is falling because the trend is -1.0 with a 95% confidence interval from -1.6 to -0.4.

Irion County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 409.2 with a 95% confidence interval from 297.2 to 555.8 and 10 average annual cases over 2017-2021.
• CI*Rank ⋔ : 179 (2, 251)
• Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -4.1 to 4.5.

Refugio County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 409.0 with a 95% confidence interval from 351.7 to 473.9 and 41 average annual cases over 2017-2021.
• CI*Rank ⋔ : 180 (17, 244)
• Recent Trend : The trend is stable because the trend is -1.8 with a 95% confidence interval from -18.5 to 2.1.

Collin County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 408.2 with a 95% confidence interval from 402.5 to 414.0 and 4,092 average annual cases over 2017-2021.
• CI*Rank ⋔ : 181 (158, 200)
• Recent Trend : The trend is falling because the trend is -0.9 with a 95% confidence interval from -1.1 to -0.6.

Medina County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 408.2 with a 95% confidence interval from 385.5 to 431.9 and 257 average annual cases over 2017-2021.
• CI*Rank ⋔ : 182 (103, 222)
• Recent Trend : The trend is rising because the trend is 1.2 with a 95% confidence interval from 0.3 to 4.0.

Bexar County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 408.2 with a 95% confidence interval from 404.1 to 412.3 and 7,988 average annual cases over 2017-2021.
• CI*Rank ⋔ : 183 (162, 198)
• Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -0.6 to 1.5.

Guadalupe County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 407.7 with a 95% confidence interval from 394.7 to 421.0 and 767 average annual cases over 2017-2021.
• CI*Rank ⋔ : 184 (133, 211)
• Recent Trend : The trend is falling because the trend is -1.1 with a 95% confidence interval from -1.4 to -0.7.

Brazos County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 406.8 with a 95% confidence interval from 393.2 to 420.7 and 709 average annual cases over 2017-2021.
• CI*Rank ⋔ : 185 (135, 212)
• Recent Trend : The trend is stable because the trend is 1.1 with a 95% confidence interval from -0.4 to 3.1.

Childress County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 406.4 with a 95% confidence interval from 344.0 to 477.3 and 32 average annual cases over 2017-2021.
• CI*Rank ⋔ : 186 (11, 245)
• Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -2.2 to 0.7.

La Salle County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 406.3 with a 95% confidence interval from 341.1 to 480.5 and 28 average annual cases over 2017-2021.
• CI*Rank ⋔ : 187 (12, 246)
• Recent Trend : The trend is stable because the trend is 6.0 with a 95% confidence interval from -10.4 to 26.2.

Caldwell County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 404.9 with a 95% confidence interval from 380.4 to 430.5 and 214 average annual cases over 2017-2021.
• CI*Rank ⋔ : 188 (93, 227)
• Recent Trend : The trend is falling because the trend is -1.1 with a 95% confidence interval from -1.7 to -0.5.

Upton County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 404.2 with a 95% confidence interval from 312.4 to 514.4 and 14 average annual cases over 2017-2021.
• CI*Rank ⋔ : 189 (4, 250)
• Recent Trend : The trend is stable because the trend is 4.0 with a 95% confidence interval from -19.3 to 25.3.

Harris County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 404.0 with a 95% confidence interval from 401.3 to 406.8 and 17,610 average annual cases over 2017-2021.
• CI*Rank ⋔ : 190 (169, 202)
• Recent Trend : The trend is stable because the trend is 0.4 with a 95% confidence interval from -0.8 to 2.2.

Scurry County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 403.7 with a 95% confidence interval from 363.8 to 446.8 and 77 average annual cases over 2017-2021.
• CI*Rank ⋔ : 191 (49, 238)
• Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -1.9 to 0.2.

Comanche County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 403.1 with a 95% confidence interval from 362.8 to 447.1 and 84 average annual cases over 2017-2021.
• CI*Rank ⋔ : 192 (50, 238)
• Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -4.5 to -0.4.

Live Oak County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 401.8 with a 95% confidence interval from 356.7 to 451.4 and 63 average annual cases over 2017-2021.
• CI*Rank ⋔ : 193 (41, 239)
• Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -1.3 to 1.9.

Austin County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 401.8 with a 95% confidence interval from 373.8 to 431.5 and 168 average annual cases over 2017-2021.
• CI*Rank ⋔ : 194 (94, 230)
• Recent Trend : The trend is falling because the trend is -1.3 with a 95% confidence interval from -2.2 to -0.3.

Mills County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 401.7 with a 95% confidence interval from 333.0 to 482.4 and 31 average annual cases over 2017-2021.
• CI*Rank ⋔ : 195 (14, 247)
• Recent Trend : The trend is stable because the trend is 0.7 with a 95% confidence interval from -1.9 to 3.4.

Shackelford County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 400.1 with a 95% confidence interval from 316.8 to 500.5 and 18 average annual cases over 2017-2021.
• CI*Rank ⋔ : 196 (8, 249)
• Recent Trend : The trend is stable because the trend is -1.9 with a 95% confidence interval from -4.7 to 0.7.

Kinney County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 400.0 with a 95% confidence interval from 321.2 to 494.7 and 20 average annual cases over 2017-2021.
• CI*Rank ⋔ : 197 (8, 249)
• Recent Trend : The trend is stable because the trend is 0.6 with a 95% confidence interval from -2.0 to 3.1.

Hall County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 399.3 with a 95% confidence interval from 313.8 to 503.6 and 18 average annual cases over 2017-2021.
• CI*Rank ⋔ : 198 (5, 250)
• Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -2.9 to 2.3.

Floyd County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 397.8 with a 95% confidence interval from 331.5 to 474.1 and 27 average annual cases over 2017-2021.
• CI*Rank ⋔ : 199 (16, 248)
• Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -1.5 to 1.1.

Brooks County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 396.5 with a 95% confidence interval from 335.1 to 466.1 and 32 average annual cases over 2017-2021.
• CI*Rank ⋔ : 200 (20, 246)
• Recent Trend : The trend is stable because the trend is 0.6 with a 95% confidence interval from -1.4 to 2.5.

Mason County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 396.4 with a 95% confidence interval from 324.2 to 482.2 and 27 average annual cases over 2017-2021.
• CI*Rank ⋔ : 201 (14, 248)
• Recent Trend : The trend is stable because the trend is 6.4 with a 95% confidence interval from -1.0 to 23.3.

Ward County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 395.8 with a 95% confidence interval from 345.5 to 451.3 and 46 average annual cases over 2017-2021.
• CI*Rank ⋔ : 202 (38, 244)
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -1.8 to 0.5.

Midland County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 394.6 with a 95% confidence interval from 380.0 to 409.6 and 584 average annual cases over 2017-2021.
• CI*Rank ⋔ : 203 (156, 223)
• Recent Trend : The trend is falling because the trend is -1.6 with a 95% confidence interval from -4.4 to -1.0.

Fort Bend County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 394.6 with a 95% confidence interval from 388.1 to 401.2 and 3,113 average annual cases over 2017-2021.
• CI*Rank ⋔ : 204 (177, 216)
• Recent Trend : The trend is stable because the trend is 0.4 with a 95% confidence interval from -0.8 to 2.4.

Nacogdoches County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 393.1 with a 95% confidence interval from 372.0 to 415.0 and 279 average annual cases over 2017-2021.
• CI*Rank ⋔ : 205 (143, 229)
• Recent Trend : The trend is stable because the trend is 5.0 with a 95% confidence interval from -1.8 to 9.6.

Erath County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 392.2 with a 95% confidence interval from 365.9 to 419.9 and 175 average annual cases over 2017-2021.
• CI*Rank ⋔ : 206 (121, 234)
• Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -0.8 to 0.5.

Motley County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 391.4 with a 95% confidence interval from 275.4 to 554.8 and 9 average annual cases over 2017-2021.
• CI*Rank ⋔ : 207 (2, 251)
• Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -3.8 to 1.4.

Terry County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 390.6 with a 95% confidence interval from 344.2 to 441.6 and 53 average annual cases over 2017-2021.
• CI*Rank ⋔ : 208 (51, 245)
• Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -2.3 to 0.6.

Starr County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 389.4 with a 95% confidence interval from 366.9 to 412.9 and 227 average annual cases over 2017-2021.
• CI*Rank ⋔ : 209 (142, 233)
• Recent Trend : The trend is rising because the trend is 1.7 with a 95% confidence interval from 0.4 to 3.1.

Lamb County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 387.6 with a 95% confidence interval from 344.5 to 434.8 and 62 average annual cases over 2017-2021.
• CI*Rank ⋔ : 210 (71, 243)
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -1.3 to 0.4.

El Paso County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 387.5 with a 95% confidence interval from 381.5 to 393.6 and 3,273 average annual cases over 2017-2021.
• CI*Rank ⋔ : 211 (187, 222)
• Recent Trend : The trend is falling because the trend is -3.3 with a 95% confidence interval from -6.2 to -0.4.

Moore County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 386.1 with a 95% confidence interval from 348.0 to 427.2 and 78 average annual cases over 2017-2021.
• CI*Rank ⋔ : 212 (89, 242)
• Recent Trend : The trend is falling because the trend is -1.3 with a 95% confidence interval from -2.1 to -0.5.

Donley County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 385.0 with a 95% confidence interval from 309.7 to 476.0 and 21 average annual cases over 2017-2021.
• CI*Rank ⋔ : 213 (12, 249)
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -2.5 to 1.6.

Deaf Smith County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 384.3 with a 95% confidence interval from 344.4 to 427.5 and 70 average annual cases over 2017-2021.
• CI*Rank ⋔ : 214 (87, 242)
• Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -1.3 to 1.1.

Andrews County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 384.2 with a 95% confidence interval from 341.6 to 430.6 and 62 average annual cases over 2017-2021.
• CI*Rank ⋔ : 215 (71, 245)
• Recent Trend : The trend is falling because the trend is -1.8 with a 95% confidence interval from -3.1 to -0.5.

Nueces County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 383.6 with a 95% confidence interval from 374.8 to 392.5 and 1,516 average annual cases over 2017-2021.
• CI*Rank ⋔ : 216 (186, 227)
• Recent Trend : The trend is falling because the trend is -1.3 with a 95% confidence interval from -1.7 to -0.9.

Frio County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 382.3 with a 95% confidence interval from 341.6 to 426.5 and 66 average annual cases over 2017-2021.
• CI*Rank ⋔ : 217 (70, 243)
• Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -0.9 to 1.3.

Hale County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 381.3 with a 95% confidence interval from 352.5 to 411.7 and 134 average annual cases over 2017-2021.
• CI*Rank ⋔ : 218 (136, 239)
• Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -1.9 to 0.3.

San Saba County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 379.5 with a 95% confidence interval from 319.2 to 449.0 and 33 average annual cases over 2017-2021.
• CI*Rank ⋔ : 219 (24, 248)
• Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -2.7 to 0.9.

Hemphill County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 377.4 with a 95% confidence interval from 294.3 to 477.5 and 15 average annual cases over 2017-2021.
• CI*Rank ⋔ : 220 (8, 250)
• Recent Trend : The trend is falling because the trend is -2.2 with a 95% confidence interval from -4.1 to -0.3.

Hartley County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 376.7 with a 95% confidence interval from 312.5 to 450.8 and 24 average annual cases over 2017-2021.
• CI*Rank ⋔ : 221 (24, 249)
• Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -1.2 to 2.0.

Reeves County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 374.4 with a 95% confidence interval from 329.2 to 424.1 and 50 average annual cases over 2017-2021.
• CI*Rank ⋔ : 222 (70, 245)
• Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -2.1 to 0.1.

Jack County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 372.4 with a 95% confidence interval from 321.5 to 429.5 and 40 average annual cases over 2017-2021.
• CI*Rank ⋔ : 223 (68, 247)
• Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -2.5 to 0.9.

Lipscomb County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 370.9 with a 95% confidence interval from 287.7 to 472.1 and 15 average annual cases over 2017-2021.
• CI*Rank ⋔ : 224 (11, 250)
• Recent Trend : The trend is stable because the trend is -1.6 with a 95% confidence interval from -4.0 to 0.5.

Roberts County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 370.7 with a 95% confidence interval from 236.4 to 568.7 and 5 average annual cases over 2017-2021.
• CI*Rank ⋔ : 225 (2, 251)
• Recent Trend : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

Jim Hogg County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 370.6 with a 95% confidence interval from 300.5 to 452.4 and 21 average annual cases over 2017-2021.
• CI*Rank ⋔ : 226 (22, 250)
• Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -2.9 to 1.0.

Crane County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 369.9 with a 95% confidence interval from 293.1 to 460.4 and 16 average annual cases over 2017-2021.
• CI*Rank ⋔ : 227 (15, 251)
• Recent Trend : The trend is falling because the trend is -1.8 with a 95% confidence interval from -3.4 to -0.4.

Garza County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 369.5 with a 95% confidence interval from 301.2 to 448.9 and 21 average annual cases over 2017-2021.
• CI*Rank ⋔ : 228 (14, 250)
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -2.8 to 2.0.

Terrell County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 369.2 with a 95% confidence interval from 215.5 to 605.8 and 5 average annual cases over 2017-2021.
• CI*Rank ⋔ : 229 (1, 251)
• Recent Trend : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

Zapata County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 365.7 with a 95% confidence interval from 320.8 to 414.9 and 49 average annual cases over 2017-2021.
• CI*Rank ⋔ : 230 (95, 247)
• Recent Trend : The trend is stable because the trend is 0.4 with a 95% confidence interval from -1.0 to 1.9.

Cameron County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 364.6 with a 95% confidence interval from 356.5 to 372.9 and 1,551 average annual cases over 2017-2021.
• CI*Rank ⋔ : 231 (207, 236)
• Recent Trend : The trend is falling because the trend is -0.4 with a 95% confidence interval from -0.7 to -0.1.

Hidalgo County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 361.7 with a 95% confidence interval from 355.6 to 367.8 and 2,756 average annual cases over 2017-2021.
• CI*Rank ⋔ : 232 (211, 236)
• Recent Trend : The trend is rising because the trend is 2.3 with a 95% confidence interval from 0.4 to 4.5.

Pecos County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 360.2 with a 95% confidence interval from 319.3 to 404.9 and 57 average annual cases over 2017-2021.
• CI*Rank ⋔ : 233 (116, 247)
• Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -1.4 to 1.8.

Menard County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 357.7 with a 95% confidence interval from 270.8 to 471.2 and 15 average annual cases over 2017-2021.
• CI*Rank ⋔ : 234 (10, 251)
• Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -3.1 to 2.9.

Winkler County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 357.0 with a 95% confidence interval from 298.4 to 423.7 and 27 average annual cases over 2017-2021.
• CI*Rank ⋔ : 235 (67, 250)
• Recent Trend : The trend is falling because the trend is -1.9 with a 95% confidence interval from -3.4 to -0.5.

Webb County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 354.7 with a 95% confidence interval from 343.4 to 366.2 and 776 average annual cases over 2017-2021.
• CI*Rank ⋔ : 236 (212, 240)
• Recent Trend : The trend is stable because the trend is 0.8 with a 95% confidence interval from -0.2 to 3.1.

Bailey County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 346.2 with a 95% confidence interval from 288.9 to 411.6 and 27 average annual cases over 2017-2021.
• CI*Rank ⋔ : 237 (58, 250)
• Recent Trend : The trend is stable because the trend is -1.3 with a 95% confidence interval from -3.2 to 0.5.

Kent County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 342.9 with a 95% confidence interval from 209.3 to 549.2 and 5 average annual cases over 2017-2021.
• CI*Rank ⋔ : 238 (2, 251)
• Recent Trend : The trend is falling because the trend is -5.0 with a 95% confidence interval from -9.2 to -1.6.

Castro County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 338.6 with a 95% confidence interval from 282.3 to 402.9 and 28 average annual cases over 2017-2021.
• CI*Rank ⋔ : 239 (94, 251)
• Recent Trend : The trend is falling because the trend is -2.1 with a 95% confidence interval from -4.1 to -0.3.

Ochiltree County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 334.3 with a 95% confidence interval from 283.9 to 390.9 and 33 average annual cases over 2017-2021.
• CI*Rank ⋔ : 240 (134, 250)
• Recent Trend : The trend is falling because the trend is -5.0 with a 95% confidence interval from -32.0 to -1.2.

Gaines County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 334.0 with a 95% confidence interval from 294.9 to 376.6 and 56 average annual cases over 2017-2021.
• CI*Rank ⋔ : 241 (181, 250)
• Recent Trend : The trend is stable because the trend is -1.2 with a 95% confidence interval from -2.4 to 0.1.

Willacy County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 334.0 with a 95% confidence interval from 299.9 to 370.9 and 72 average annual cases over 2017-2021.
• CI*Rank ⋔ : 242 (197, 249)
• Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -1.2 to 1.5.

Culberson County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 332.0 with a 95% confidence interval from 236.3 to 454.8 and 9 average annual cases over 2017-2021.
• CI*Rank ⋔ : 243 (8, 251)
• Recent Trend : The trend is rising because the trend is 8.9 with a 95% confidence interval from 1.1 to 28.7.

Parmer County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 325.3 with a 95% confidence interval from 278.5 to 377.9 and 36 average annual cases over 2017-2021.
• CI*Rank ⋔ : 244 (156, 250)
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -1.7 to 1.1.

Collingsworth County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 299.7 with a 95% confidence interval from 222.9 to 396.8 and 11 average annual cases over 2017-2021.
• CI*Rank ⋔ : 245 (53, 251)
• Recent Trend : The trend is stable because the trend is -1.4 with a 95% confidence interval from -4.2 to 1.0.

Presidio County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 293.0 with a 95% confidence interval from 240.7 to 353.9 and 25 average annual cases over 2017-2021.
• CI*Rank ⋔ : 246 (199, 251)
• Recent Trend : The trend is stable because the trend is 6.9 with a 95% confidence interval from -1.3 to 24.5.

Sherman County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 292.9 with a 95% confidence interval from 214.4 to 391.7 and 10 average annual cases over 2017-2021.
• CI*Rank ⋔ : 247 (110, 251)
• Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -2.9 to 2.6.

Brewster County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 292.7 with a 95% confidence interval from 252.5 to 338.2 and 43 average annual cases over 2017-2021.
• CI*Rank ⋔ : 248 (218, 251)
• Recent Trend : The trend is falling because the trend is -1.7 with a 95% confidence interval from -3.3 to -0.1.

Concho County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 272.6 with a 95% confidence interval from 208.2 to 353.2 and 14 average annual cases over 2017-2021.
• CI*Rank ⋔ : 249 (193, 251)
• Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -3.2 to 1.3.

Throckmorton County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 272.4 with a 95% confidence interval from 189.6 to 389.4 and 8 average annual cases over 2017-2021.
• CI*Rank ⋔ : 250 (85, 251)
• Recent Trend : The trend is falling because the trend is -5.6 with a 95% confidence interval from -13.1 to -2.1.

Jeff Davis County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 208.0 with a 95% confidence interval from 145.4 to 319.9 and 10 average annual cases over 2017-2021.
• CI*Rank ⋔ : 251 (214, 251)
• Recent Trend : The trend is stable because the trend is -2.5 with a 95% confidence interval from -5.1 to 0.0.

Kenedy County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).
• CI*Rank ⋔ : *
• Recent Trend : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

King County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).
• CI*Rank ⋔ : *
• Recent Trend : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

Loving County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).
• CI*Rank ⋔ : *
• Recent Trend : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

Notes:
Created by statecancerprofiles.cancer.gov on 07/08/2025 12:48 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 (19 age groups: <1, 1-4, 5-9, ... , 80-84, 85+). Rates are for invasive cancer only (except for bladder cancer which is invasive and in situ) or unless otherwise specified. Rates calculated using SEER*Stat. Population counts for denominators are based on Census populations as modified by NCI. The US Population Data File is used for SEER and NPCR incidence rates.
‡ Incidence data come from different sources. 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 in the Surveillance, Epidemiology, and End Results (SEER) Summary/Historic Combined Summary Stage (2004+).
⋔ Results presented with the CI*Rank statistics help show the usefulness of ranks. For example, ranks for relatively rare diseases or less populated areas may be essentially meaningless because of their large variability, but ranks for more common diseases in densely populated regions can be very useful. More information about methodology can be found on the CI*Rank website.

Φ Rural-Urban Continuum Codes provided by the USDA.
* Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).
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 2023 submission.
⁷ Source: SEER November 2023 submission.
⁸ Source: Incidence data provided by the SEER Program. AAPCs are calculated by the Joinpoint Regression Program and are based on APCs. Data are age-adjusted to the 2000 US standard population (19 age groups: <1, 1-4, 5-9, ... , 80-84,85+). Rates are for invasive cancer only (except for bladder cancer which is invasive and in situ) or unless otherwise specified. Population counts for denominators are based on Census populations as modified by NCI. The US Population Data File is used with SEER November 2023 data.

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