Incidence Rate Report for Texas by County "Bladder (Late Stage^), 2016-2020" "All Races (includes Hispanic), Both Sexes, All Ages" Sorted by CI*Rank County, FIPS,"Age-Adjusted Incidence Rate([rate note]) - cases per 100,000","Lower 95% Confidence Interval","Upper 95% Confidence Interval","CI*Rank([rank note])","Lower CI (CI*Rank)","Upper CI (CI*Rank)",Average Annual Count,Percent of Cases with Late Stage "Texas(3)",48000,1.9 ,1.8, 1.9,N/A , 43 , 49,532,12.7 "US (SEER+NPCR)(1)",00000,2.3 ,2.3, 2.4,N/A , N/A , N/A,9202,12.4 "Hidalgo County(7)",48215,1 ,0.7, 1.4,33 , 24 , 33,8,9.4 "Cameron County(7)",48061,1.1 ,0.7, 1.7,32 , 18 , 33,5,10.6 "Nueces County(7)",48355,1.2 ,0.8, 1.8,31 , 15 , 33,5,8.4 "McLennan County(7)",48309,1.3 ,0.8, 2,30 , 12 , 33,4,9.8 "El Paso County(7)",48141,1.3 ,1, 1.8,29 , 16 , 33,11,12.5 "Fort Bend County(7)",48157,1.3 ,1, 1.8,28 , 15 , 33,10,10.7 "Montgomery County(7)",48339,1.5 ,1.1, 2,27 , 12 , 33,10,9.9 "Jefferson County(7)",48245,1.5 ,1, 2.3,26 , 9 , 33,5,10.5 "Collin County(7)",48085,1.5 ,1.2, 2,25 , 13 , 33,14,10.0 "Bexar County(7)",48029,1.6 ,1.3, 1.8,24 , 15 , 31,30,12.8 "Galveston County(7)",48167,1.7 ,1.2, 2.5,23 , 7 , 33,7,11.6 "Lubbock County(7)",48303,1.8 ,1.1, 2.6,22 , 6 , 33,5,12.2 "Harris County(7)",48201,1.8 ,1.6, 2,21 , 13 , 26,74,14.1 "Williamson County(7)",48491,1.8 ,1.3, 2.4,20 , 8 , 32,10,10.7 "Travis County(7)",48453,1.9 ,1.5, 2.3,19 , 9 , 30,18,12.5 "Brazoria County(7)",48039,1.9 ,1.3, 2.6,18 , 6 , 32,7,12.9 "Dallas County(7)",48113,1.9 ,1.6, 2.2,17 , 11 , 26,42,12.9 "Comal County(7)",48091,1.9 ,1.2, 3,16 , 5 , 33,4,12.4 "Denton County(7)",48121,2.1 ,1.7, 2.7,15 , 5 , 26,15,12.1 "Parker County(7)",48367,2.3 ,1.3, 3.6,14 , 2 , 33,4,11.3 "Hays County(7)",48209,2.3 ,1.4, 3.5,13 , 2 , 32,4,14.8 "Bell County(7)",48027,2.3 ,1.6, 3.2,12 , 3 , 29,7,13.6 "Johnson County(7)",48251,2.3 ,1.5, 3.6,11 , 2 , 32,5,12.2 "Ellis County(7)",48139,2.4 ,1.5, 3.7,10 , 2 , 32,5,14.5 "Tarrant County(7)",48439,2.5 ,2.2, 2.8,9 , 5 , 16,47,15.4 "Hunt County(7)",48231,2.7 ,1.5, 4.5,8 , 1 , 32,3,14.5 "Taylor County(7)",48441,2.9 ,1.8, 4.3,7 , 1 , 29,5,17.8 "Smith County(7)",48423,2.9 ,2.1, 3.9,6 , 2 , 23,8,15.3 "Bastrop County(7)",48021,3.1 ,1.7, 5.1,5 , 1 , 31,3,19.5 "Kaufman County(7)",48257,3.5 ,2.1, 5.4,4 , 1 , 25,4,15.3 "Henderson County(7)",48213,3.5 ,2.1, 5.6,3 , 1 , 27,4,15.3 "Wichita County(7)",48485,3.6 ,2.3, 5.3,2 , 1 , 19,5,16.4 "Van Zandt County(7)",48467,5.6 ,3.4, 8.7,1 , 1 , 11,4,22.4 "Anderson County(7)",48001,* ,*, *,* , * , *,3 or fewer,* "Andrews County(7)",48003,* ,*, *,* , * , *,3 or fewer,* "Angelina County(7)",48005,* ,*, *,* , * , *,3 or fewer,* "Aransas County(7)",48007,* ,*, *,* , * , *,3 or fewer,* "Archer County(7)",48009,* ,*, *,* , * , *,3 or fewer,* "Armstrong County(7)",48011,* ,*, *,* , * , *,3 or fewer,* "Atascosa County(7)",48013,* ,*, *,* , * , *,3 or fewer,* "Austin County(7)",48015,* ,*, *,* , * , *,3 or fewer,* "Bailey County(7)",48017,* ,*, *,* , * , *,3 or fewer,* "Bandera County(7)",48019,* ,*, *,* , * , *,3 or fewer,* "Baylor County(7)",48023,* ,*, *,* , * , *,3 or fewer,* "Bee County(7)",48025,* ,*, *,* , * , *,3 or fewer,* "Blanco County(7)",48031,* ,*, *,* , * , *,3 or fewer,* "Borden County(7)",48033,* ,*, *,* , * , *,3 or fewer,* "Bosque County(7)",48035,* ,*, *,* , * , *,3 or fewer,* "Bowie County(7)",48037,* ,*, *,* , * , *,3 or fewer,* "Brazos County(7)",48041,* ,*, *,* , * , *,3 or fewer,* "Brewster County(7)",48043,* ,*, *,* , * , *,3 or fewer,* "Briscoe County(7)",48045,* ,*, *,* , * , *,3 or fewer,* "Brooks County(7)",48047,* ,*, *,* , * , *,3 or fewer,* "Brown County(7)",48049,* ,*, *,* , * , *,3 or fewer,* "Burleson County(7)",48051,* ,*, *,* , * , *,3 or fewer,* "Burnet County(7)",48053,* ,*, *,* , * , *,3 or fewer,* "Caldwell County(7)",48055,* ,*, *,* , * , *,3 or fewer,* "Calhoun County(7)",48057,* ,*, *,* , * , *,3 or fewer,* "Callahan County(7)",48059,* ,*, *,* , * , *,3 or fewer,* "Camp County(7)",48063,* ,*, *,* , * , *,3 or fewer,* "Carson County(7)",48065,* ,*, *,* , * , *,3 or fewer,* "Cass County(7)",48067,* ,*, *,* , * , *,3 or fewer,* "Castro County(7)",48069,* ,*, *,* , * , *,3 or fewer,* "Chambers County(7)",48071,* ,*, *,* , * , *,3 or fewer,* "Cherokee County(7)",48073,* ,*, *,* , * , *,3 or fewer,* "Childress County(7)",48075,* ,*, *,* , * , *,3 or fewer,* "Clay County(7)",48077,* ,*, *,* , * , *,3 or fewer,* "Cochran County(7)",48079,* ,*, *,* , * , *,3 or fewer,* "Coke County(7)",48081,* ,*, *,* , * , *,3 or fewer,* "Coleman County(7)",48083,* ,*, *,* , * , *,3 or fewer,* "Collingsworth County(7)",48087,* ,*, *,* , * , *,3 or fewer,* "Colorado County(7)",48089,* ,*, *,* , * , *,3 or fewer,* "Comanche County(7)",48093,* ,*, *,* , * , *,3 or fewer,* "Concho County(7)",48095,* ,*, *,* , * , *,3 or fewer,* "Cooke County(7)",48097,* ,*, *,* , * , *,3 or fewer,* "Coryell County(7)",48099,* ,*, *,* , * , *,3 or fewer,* "Cottle County(7)",48101,* ,*, *,* , * , *,3 or fewer,* "Crane County(7)",48103,* ,*, *,* , * , *,3 or fewer,* "Crockett County(7)",48105,* ,*, *,* , * , *,3 or fewer,* "Crosby County(7)",48107,* ,*, *,* , * , *,3 or fewer,* "Culberson County(7)",48109,* ,*, *,* , * , *,3 or fewer,* "Dallam County(7)",48111,* ,*, *,* , * , *,3 or fewer,* "Dawson County(7)",48115,* ,*, *,* , * , *,3 or fewer,* "DeWitt County(7)",48123,* ,*, *,* , * , *,3 or fewer,* "Deaf Smith County(7)",48117,* ,*, *,* , * , *,3 or fewer,* "Delta County(7)",48119,* ,*, *,* , * , *,3 or fewer,* "Dickens County(7)",48125,* ,*, *,* , * , *,3 or fewer,* "Dimmit County(7)",48127,* ,*, *,* , * , *,3 or fewer,* "Donley County(7)",48129,* ,*, *,* , * , *,3 or fewer,* "Duval County(7)",48131,* ,*, *,* , * , *,3 or fewer,* "Eastland County(7)",48133,* ,*, *,* , * , *,3 or fewer,* "Ector County(7)",48135,* ,*, *,* , * , *,3 or fewer,* "Edwards County(7)",48137,* ,*, *,* , * , *,3 or fewer,* "Erath County(7)",48143,* ,*, *,* , * , *,3 or fewer,* "Falls County(7)",48145,* ,*, *,* , * , *,3 or fewer,* "Fannin County(7)",48147,* ,*, *,* , * , *,3 or fewer,* "Fayette County(7)",48149,* ,*, *,* , * , *,3 or fewer,* "Fisher County(7)",48151,* ,*, *,* , * , *,3 or fewer,* "Floyd County(7)",48153,* ,*, *,* , * , *,3 or fewer,* "Foard County(7)",48155,* ,*, *,* , * , *,3 or fewer,* "Franklin County(7)",48159,* ,*, *,* , * , *,3 or fewer,* "Freestone County(7)",48161,* ,*, *,* , * , *,3 or fewer,* "Frio County(7)",48163,* ,*, *,* , * , *,3 or fewer,* "Gaines County(7)",48165,* ,*, *,* , * , *,3 or fewer,* "Garza County(7)",48169,* ,*, *,* , * , *,3 or fewer,* "Gillespie County(7)",48171,* ,*, *,* , * , *,3 or fewer,* "Glasscock County(7)",48173,* ,*, *,* , * , *,3 or fewer,* "Goliad County(7)",48175,* ,*, *,* , * , *,3 or fewer,* "Gonzales County(7)",48177,* ,*, *,* , * , *,3 or fewer,* "Gray County(7)",48179,* ,*, *,* , * , *,3 or fewer,* "Grayson County(7)",48181,* ,*, *,* , * , *,3 or fewer,* "Gregg County(7)",48183,* ,*, *,* , * , *,3 or fewer,* "Grimes County(7)",48185,* ,*, *,* , * , *,3 or fewer,* "Guadalupe County(7)",48187,* ,*, *,* , * , *,3 or fewer,* "Hale County(7)",48189,* ,*, *,* , * , *,3 or fewer,* "Hall County(7)",48191,* ,*, *,* , * , *,3 or fewer,* "Hamilton County(7)",48193,* ,*, *,* , * , *,3 or fewer,* "Hansford County(7)",48195,* ,*, *,* , * , *,3 or fewer,* "Hardeman County(7)",48197,* ,*, *,* , * , *,3 or fewer,* "Hardin County(7)",48199,* ,*, *,* , * , *,3 or fewer,* "Harrison County(7)",48203,* ,*, *,* , * , *,3 or fewer,* "Hartley County(7)",48205,* ,*, *,* , * , *,3 or fewer,* "Haskell County(7)",48207,* ,*, *,* , * , *,3 or fewer,* "Hemphill County(7)",48211,* ,*, *,* , * , *,3 or fewer,* "Hill County(7)",48217,* ,*, *,* , * , *,3 or fewer,* "Hockley County(7)",48219,* ,*, *,* , * , *,3 or fewer,* "Hood County(7)",48221,* ,*, *,* , * , *,3 or fewer,* "Hopkins County(7)",48223,* ,*, *,* , * , *,3 or fewer,* "Houston County(7)",48225,* ,*, *,* , * , *,3 or fewer,* "Howard County(7)",48227,* ,*, *,* , * , *,3 or fewer,* "Hudspeth County(7)",48229,* ,*, *,* , * , *,3 or fewer,* "Hutchinson County(7)",48233,* ,*, *,* , * , *,3 or fewer,* "Irion County(7)",48235,* ,*, *,* , * , *,3 or fewer,* "Jack County(7)",48237,* ,*, *,* , * , *,3 or fewer,* "Jackson County(7)",48239,* ,*, *,* , * , *,3 or fewer,* "Jasper County(7)",48241,* ,*, *,* , * , *,3 or fewer,* "Jeff Davis County(7)",48243,* ,*, *,* , * , *,3 or fewer,* "Jim Hogg County(7)",48247,* ,*, *,* , * , *,3 or fewer,* "Jim Wells County(7)",48249,* ,*, *,* , * , *,3 or fewer,* "Jones County(7)",48253,* ,*, *,* , * , *,3 or fewer,* "Karnes County(7)",48255,* ,*, *,* , * , *,3 or fewer,* "Kendall County(7)",48259,* ,*, *,* , * , *,3 or fewer,* "Kenedy County(7)",48261,* ,*, *,* , * , *,3 or fewer,* "Kent County(7)",48263,* ,*, *,* , * , *,3 or fewer,* "Kerr County(7)",48265,* ,*, *,* , * , *,3 or fewer,* "Kimble County(7)",48267,* ,*, *,* , * , *,3 or fewer,* "King County(7)",48269,* ,*, *,* , * , *,3 or fewer,* "Kinney County(7)",48271,* ,*, *,* , * , *,3 or fewer,* "Kleberg County(7)",48273,* ,*, *,* , * , *,3 or fewer,* "Knox County(7)",48275,* ,*, *,* , * , *,3 or fewer,* "La Salle County(7)",48283,* ,*, *,* , * , *,3 or fewer,* "Lamar County(7)",48277,* ,*, *,* , * , *,3 or fewer,* "Lamb County(7)",48279,* ,*, *,* , * , *,3 or fewer,* "Lampasas County(7)",48281,* ,*, *,* , * , *,3 or fewer,* "Lavaca County(7)",48285,* ,*, *,* , * , *,3 or fewer,* "Lee County(7)",48287,* ,*, *,* , * , *,3 or fewer,* "Leon County(7)",48289,* ,*, *,* , * , *,3 or fewer,* "Liberty County(7)",48291,* ,*, *,* , * , *,3 or fewer,* "Limestone County(7)",48293,* ,*, *,* , * , *,3 or fewer,* "Lipscomb County(7)",48295,* ,*, *,* , * , *,3 or fewer,* "Live Oak County(7)",48297,* ,*, *,* , * , *,3 or fewer,* "Llano County(7)",48299,* ,*, *,* , * , *,3 or fewer,* "Loving County(7)",48301,* ,*, *,* , * , *,3 or fewer,* "Lynn County(7)",48305,* ,*, *,* , * , *,3 or fewer,* "Madison County(7)",48313,* ,*, *,* , * , *,3 or fewer,* "Marion County(7)",48315,* ,*, *,* , * , *,3 or fewer,* "Martin County(7)",48317,* ,*, *,* , * , *,3 or fewer,* "Mason County(7)",48319,* ,*, *,* , * , *,3 or fewer,* "Matagorda County(7)",48321,* ,*, *,* , * , *,3 or fewer,* "Maverick County(7)",48323,* ,*, *,* , * , *,3 or fewer,* "McCulloch County(7)",48307,* ,*, *,* , * , *,3 or fewer,* "McMullen County(7)",48311,* ,*, *,* , * , *,3 or fewer,* "Medina County(7)",48325,* ,*, *,* , * , *,3 or fewer,* "Menard County(7)",48327,* ,*, *,* , * , *,3 or fewer,* "Midland County(7)",48329,* ,*, *,* , * , *,3 or fewer,* "Milam County(7)",48331,* ,*, *,* , * , *,3 or fewer,* "Mills County(7)",48333,* ,*, *,* , * , *,3 or fewer,* "Mitchell County(7)",48335,* ,*, *,* , * , *,3 or fewer,* "Montague County(7)",48337,* ,*, *,* , * , *,3 or fewer,* "Moore County(7)",48341,* ,*, *,* , * , *,3 or fewer,* "Morris County(7)",48343,* ,*, *,* , * , *,3 or fewer,* "Motley County(7)",48345,* ,*, *,* , * , *,3 or fewer,* "Nacogdoches County(7)",48347,* ,*, *,* , * , *,3 or fewer,* "Navarro County(7)",48349,* ,*, *,* , * , *,3 or fewer,* "Newton County(7)",48351,* ,*, *,* , * , *,3 or fewer,* "Nolan County(7)",48353,* ,*, *,* , * , *,3 or fewer,* "Ochiltree County(7)",48357,* ,*, *,* , * , *,3 or fewer,* "Oldham County(7)",48359,* ,*, *,* , * , *,3 or fewer,* "Orange County(7)",48361,* ,*, *,* , * , *,3 or fewer,* "Palo Pinto County(7)",48363,* ,*, *,* , * , *,3 or fewer,* "Panola County(7)",48365,* ,*, *,* , * , *,3 or fewer,* "Parmer County(7)",48369,* ,*, *,* , * , *,3 or fewer,* "Pecos County(7)",48371,* ,*, *,* , * , *,3 or fewer,* "Polk County(7)",48373,* ,*, *,* , * , *,3 or fewer,* "Potter County(7)",48375,* ,*, *,* , * , *,3 or fewer,* "Presidio County(7)",48377,* ,*, *,* , * , *,3 or fewer,* "Rains County(7)",48379,* ,*, *,* , * , *,3 or fewer,* "Randall County(7)",48381,* ,*, *,* , * , *,3 or fewer,* "Reagan County(7)",48383,* ,*, *,* , * , *,3 or fewer,* "Real County(7)",48385,* ,*, *,* , * , *,3 or fewer,* "Red River County(7)",48387,* ,*, *,* , * , *,3 or fewer,* "Reeves County(7)",48389,* ,*, *,* , * , *,3 or fewer,* "Refugio County(7)",48391,* ,*, *,* , * , *,3 or fewer,* "Roberts County(7)",48393,* ,*, *,* , * , *,3 or fewer,* "Robertson County(7)",48395,* ,*, *,* , * , *,3 or fewer,* "Rockwall County(7)",48397,* ,*, *,* , * , *,3 or fewer,* "Runnels County(7)",48399,* ,*, *,* , * , *,3 or fewer,* "Rusk County(7)",48401,* ,*, *,* , * , *,3 or fewer,* "Sabine County(7)",48403,* ,*, *,* , * , *,3 or fewer,* "San Augustine County(7)",48405,* ,*, *,* , * , *,3 or fewer,* "San Jacinto County(7)",48407,* ,*, *,* , * , *,3 or fewer,* "San Patricio County(7)",48409,* ,*, *,* , * , *,3 or fewer,* "San Saba County(7)",48411,* ,*, *,* , * , *,3 or fewer,* "Schleicher County(7)",48413,* ,*, *,* , * , *,3 or fewer,* "Scurry County(7)",48415,* ,*, *,* , * , *,3 or fewer,* "Shackelford County(7)",48417,* ,*, *,* , * , *,3 or fewer,* "Shelby County(7)",48419,* ,*, *,* , * , *,3 or fewer,* "Sherman County(7)",48421,* ,*, *,* , * , *,3 or fewer,* "Somervell County(7)",48425,* ,*, *,* , * , *,3 or fewer,* "Starr County(7)",48427,* ,*, *,* , * , *,3 or fewer,* "Stephens County(7)",48429,* ,*, *,* , * , *,3 or fewer,* "Sterling County(7)",48431,* ,*, *,* , * , *,3 or fewer,* "Stonewall County(7)",48433,* ,*, *,* , * , *,3 or fewer,* "Sutton County(7)",48435,* ,*, *,* , * , *,3 or fewer,* "Swisher County(7)",48437,* ,*, *,* , * , *,3 or fewer,* "Terrell County(7)",48443,* ,*, *,* , * , *,3 or fewer,* "Terry County(7)",48445,* ,*, *,* , * , *,3 or fewer,* "Throckmorton County(7)",48447,* ,*, *,* , * , *,3 or fewer,* "Titus County(7)",48449,* ,*, *,* , * , *,3 or fewer,* "Tom Green County(7)",48451,* ,*, *,* , * , *,3 or fewer,* "Trinity County(7)",48455,* ,*, *,* , * , *,3 or fewer,* "Tyler County(7)",48457,* ,*, *,* , * , *,3 or fewer,* "Upshur County(7)",48459,* ,*, *,* , * , *,3 or fewer,* "Upton County(7)",48461,* ,*, *,* , * , *,3 or fewer,* "Uvalde County(7)",48463,* ,*, *,* , * , *,3 or fewer,* "Val Verde County(7)",48465,* ,*, *,* , * , *,3 or fewer,* "Victoria County(7)",48469,* ,*, *,* , * , *,3 or fewer,* "Walker County(7)",48471,* ,*, *,* , * , *,3 or fewer,* "Waller County(7)",48473,* ,*, *,* , * , *,3 or fewer,* "Ward County(7)",48475,* ,*, *,* , * , *,3 or fewer,* "Washington County(7)",48477,* ,*, *,* , * , *,3 or fewer,* "Webb County(7)",48479,* ,*, *,* , * , *,3 or fewer,* "Wharton County(7)",48481,* ,*, *,* , * , *,3 or fewer,* "Wheeler County(7)",48483,* ,*, *,* , * , *,3 or fewer,* "Wilbarger County(7)",48487,* ,*, *,* , * , *,3 or fewer,* "Willacy County(7)",48489,* ,*, *,* , * , *,3 or fewer,* "Wilson County(7)",48493,* ,*, *,* , * , *,3 or fewer,* "Winkler County(7)",48495,* ,*, *,* , * , *,3 or fewer,* "Wise County(7)",48497,* ,*, *,* , * , *,3 or fewer,* "Wood County(7)",48499,* ,*, *,* , * , *,3 or fewer,* "Yoakum County(7)",48501,* ,*, *,* , * , *,3 or fewer,* "Young County(7)",48503,* ,*, *,* , * , *,3 or fewer,* "Zapata County(7)",48505,* ,*, *,* , * , *,3 or fewer,* "Zavala County(7)",48507,* ,*, *,* , * , *,3 or fewer,* Created by statecancerprofiles.cancer.gov on 03/28/2024 11:15 am. State Cancer Registries may provide more current or more local data. Trend Rising when 95% confidence interval of average annual percent change is above 0. Stable when 95% confidence interval of average annual percent change includes 0. Falling when 95% confidence interval of average annual percent change is below 0. "[rate note] Incidence rates (cases per 100,000 population per year) are age-adjusted to the 2000 US standard population [http://www.seer.cancer.gov/stdpopulations/stdpop.19ages.html] (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 [https://seer.cancer.gov/popdata/] by NCI. The US Population Data File [https://seer.cancer.gov/popdata/] is used for SEER and NPCR incidence rates." Rates are computed using cancers classified as malignant based on ICD-O-3. For more information see malignant.html. "^ Late Stage is defined as cases determined to be regional or distant. Due to changes in stage coding, Combined Summary Stage (2004+) is used for data from Surveillance, Epidemiology, and End Results (SEER) databases and Merged Summary Stage is used for data from National Program of Cancer Registries [ https://www.cdc.gov/cancer/npcr/index.htm ] databases. Due to the increased complexity with staging, other staging variables maybe used if necessary." "[rank note]Results presented with the CI*Rank statistics help show the usefulness of ranks. For example, ranks for relatively rare diseases or less populated areas may be essentially meaningless because of their large variability, but ranks for more common diseases in densely populated regions can be very useful. More information about methodology can be found on the CI*Rank website." "* Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3)." "1 Source: National Program of Cancer Registries [ https://www.cdc.gov/cancer/npcr/index.htm ] and Surveillance, Epidemiology, and End Results [ http://seer.cancer.gov ] SEER*Stat Database - United States Department of Health and Human Services, Centers for Disease Control and Prevention and National Cancer Institute. Based on the 2022 submission." 3 Source: SEER November 2022 submission. State Cancer Registry also receives funding from CDC's National Program of Cancer Registries. 7 Source: SEER November 2022 submission. Data for the United States does not include data from Nevada. Data for the United States does not include Puerto Rico.