State Cancer Profiles

Interpretation of Incidence Rates Data

Incidence Rate Report for Texas by County

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

White Non-Hispanic, Both Sexes, All Ages

Sorted by Recentaapc

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 459.8 with a 95% confidence interval from 458.3 to 461.3 and 75,743 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -1.8 to 0.1.

US (SEER+NPCR) § ¹

• 2023 Rural-Urban Continuum Codes Φ : N/A
• Rate : The incidence rate is 463.1 with a 95% confidence interval from 462.7 to 463.4 and 1,300,948 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -0.4 with a 95% confidence interval from -0.5 to -0.2.

Edwards County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 713.6 with a 95% confidence interval from 438.5 to 1,123.6 and 9 average annual cases over 2017-2021.
• CI*Rank ⋔ : 3 (1, 240)
• Recent Trend : The trend is rising because the trend is 33.7 with a 95% confidence interval from 11.5 to 69.4.

Oldham County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 508.5 with a 95% confidence interval from 366.4 to 693.1 and 9 average annual cases over 2017-2021.
• CI*Rank ⋔ : 46 (1, 243)
• Recent Trend : The trend is rising because the trend is 27.8 with a 95% confidence interval from 6.5 to 50.9.

La Salle County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 472.4 with a 95% confidence interval from 323.9 to 685.0 and 7 average annual cases over 2017-2021.
• CI*Rank ⋔ : 113 (2, 246)
• Recent Trend : The trend is stable because the trend is 19.7 with a 95% confidence interval from -3.1 to 59.1.

Kinney County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 529.5 with a 95% confidence interval from 386.5 to 731.1 and 14 average annual cases over 2017-2021.
• CI*Rank ⋔ : 26 (1, 240)
• Recent Trend : The trend is rising because the trend is 12.5 with a 95% confidence interval from 1.8 to 42.6.

Real County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 517.3 with a 95% confidence interval from 406.3 to 659.4 and 21 average annual cases over 2017-2021.
• CI*Rank ⋔ : 38 (3, 233)
• Recent Trend : The trend is rising because the trend is 9.0 with a 95% confidence interval from 4.4 to 18.3.

Martin County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 602.5 with a 95% confidence interval from 479.7 to 748.0 and 18 average annual cases over 2017-2021.
• CI*Rank ⋔ : 9 (1, 224)
• Recent Trend : The trend is stable because the trend is 8.8 with a 95% confidence interval from -1.4 to 39.2.

Walker County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 498.4 with a 95% confidence interval from 472.1 to 525.9 and 286 average annual cases over 2017-2021.
• CI*Rank ⋔ : 63 (23, 146)
• Recent Trend : The trend is rising because the trend is 8.6 with a 95% confidence interval from 2.0 to 12.2.

Howard County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 455.1 with a 95% confidence interval from 415.5 to 497.7 and 104 average annual cases over 2017-2021.
• CI*Rank ⋔ : 148 (32, 225)
• Recent Trend : The trend is stable because the trend is 6.5 with a 95% confidence interval from -1.3 to 11.6.

Mason County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 400.6 with a 95% confidence interval from 314.7 to 507.4 and 22 average annual cases over 2017-2021.
• CI*Rank ⋔ : 220 (13, 245)
• Recent Trend : The trend is stable because the trend is 6.4 with a 95% confidence interval from -0.3 to 22.2.

Morris County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 575.8 with a 95% confidence interval from 514.3 to 643.8 and 75 average annual cases over 2017-2021.
• CI*Rank ⋔ : 13 (4, 126)
• Recent Trend : The trend is rising because the trend is 6.2 with a 95% confidence interval from 2.5 to 14.3.

Gonzales County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 527.1 with a 95% confidence interval from 468.2 to 592.3 and 73 average annual cases over 2017-2021.
• CI*Rank ⋔ : 28 (9, 203)
• Recent Trend : The trend is rising because the trend is 6.0 with a 95% confidence interval from 0.8 to 16.9.

Maverick County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 693.5 with a 95% confidence interval from 531.7 to 891.0 and 13 average annual cases over 2017-2021.
• CI*Rank ⋔ : 6 (1, 202)
• Recent Trend : The trend is rising because the trend is 5.5 with a 95% confidence interval from 2.4 to 9.8.

Nacogdoches County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 413.1 with a 95% confidence interval from 387.3 to 440.4 and 216 average annual cases over 2017-2021.
• CI*Rank ⋔ : 213 (127, 229)
• Recent Trend : The trend is rising because the trend is 5.5 with a 95% confidence interval from 0.6 to 8.4.

Carson County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 426.4 with a 95% confidence interval from 357.6 to 505.8 and 30 average annual cases over 2017-2021.
• CI*Rank ⋔ : 199 (18, 240)
• Recent Trend : The trend is rising because the trend is 5.0 with a 95% confidence interval from 0.2 to 18.0.

Archer County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 456.2 with a 95% confidence interval from 399.9 to 519.1 and 54 average annual cases over 2017-2021.
• CI*Rank ⋔ : 146 (19, 233)
• Recent Trend : The trend is rising because the trend is 4.6 with a 95% confidence interval from 1.6 to 12.8.

Foard County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 586.1 with a 95% confidence interval from 375.7 to 879.4 and 8 average annual cases over 2017-2021.
• CI*Rank ⋔ : 11 (1, 246)
• Recent Trend : The trend is rising because the trend is 4.6 with a 95% confidence interval from 0.3 to 9.0.

Chambers County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 537.8 with a 95% confidence interval from 502.5 to 575.0 and 183 average annual cases over 2017-2021.
• CI*Rank ⋔ : 25 (11, 108)
• Recent Trend : The trend is rising because the trend is 4.4 with a 95% confidence interval from 0.9 to 10.4.

Hall County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 429.4 with a 95% confidence interval from 317.5 to 579.7 and 13 average annual cases over 2017-2021.
• CI*Rank ⋔ : 196 (6, 246)
• Recent Trend : The trend is stable because the trend is 4.2 with a 95% confidence interval from -0.3 to 18.2.

Dimmit County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 544.0 with a 95% confidence interval from 373.2 to 775.9 and 7 average annual cases over 2017-2021.
• CI*Rank ⋔ : 21 (1, 245)
• Recent Trend : The trend is rising because the trend is 3.6 with a 95% confidence interval from 0.1 to 7.2.

Titus County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 507.2 with a 95% confidence interval from 463.5 to 554.5 and 114 average annual cases over 2017-2021.
• CI*Rank ⋔ : 49 (12, 183)
• Recent Trend : The trend is rising because the trend is 3.5 with a 95% confidence interval from 0.3 to 10.4.

Gillespie County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 463.5 with a 95% confidence interval from 428.7 to 501.0 and 195 average annual cases over 2017-2021.
• CI*Rank ⋔ : 128 (31, 214)
• Recent Trend : The trend is stable because the trend is 3.3 with a 95% confidence interval from -0.4 to 9.7.

Armstrong County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 581.2 with a 95% confidence interval from 445.3 to 750.6 and 15 average annual cases over 2017-2021.
• CI*Rank ⋔ : 12 (1, 235)
• Recent Trend : The trend is rising because the trend is 3.1 with a 95% confidence interval from 1.1 to 5.3.

Uvalde County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 475.3 with a 95% confidence interval from 414.5 to 543.9 and 54 average annual cases over 2017-2021.
• CI*Rank ⋔ : 104 (13, 227)
• Recent Trend : The trend is stable because the trend is 3.1 with a 95% confidence interval from -1.0 to 13.1.

Camp County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 621.9 with a 95% confidence interval from 552.0 to 699.2 and 70 average annual cases over 2017-2021.
• CI*Rank ⋔ : 7 (2, 57)
• Recent Trend : The trend is rising because the trend is 3.0 with a 95% confidence interval from 1.9 to 5.8.

Wilson County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 454.4 with a 95% confidence interval from 423.8 to 486.8 and 178 average annual cases over 2017-2021.
• CI*Rank ⋔ : 149 (38, 215)
• Recent Trend : The trend is rising because the trend is 3.0 with a 95% confidence interval from 0.6 to 8.3.

Bandera County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 452.4 with a 95% confidence interval from 414.8 to 493.3 and 145 average annual cases over 2017-2021.
• CI*Rank ⋔ : 152 (38, 225)
• Recent Trend : The trend is stable because the trend is 2.9 with a 95% confidence interval from -0.1 to 8.7.

Galveston County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 480.3 with a 95% confidence interval from 468.1 to 492.7 and 1,292 average annual cases over 2017-2021.
• CI*Rank ⋔ : 95 (60, 141)
• Recent Trend : The trend is rising because the trend is 2.9 with a 95% confidence interval from 0.5 to 6.2.

Marion County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 520.3 with a 95% confidence interval from 458.6 to 589.5 and 65 average annual cases over 2017-2021.
• CI*Rank ⋔ : 34 (9, 210)
• Recent Trend : The trend is stable because the trend is 2.9 with a 95% confidence interval from -0.6 to 11.7.

Reagan County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 571.2 with a 95% confidence interval from 379.4 to 835.5 and 7 average annual cases over 2017-2021.
• CI*Rank ⋔ : 14 (1, 245)
• Recent Trend : The trend is stable because the trend is 2.8 with a 95% confidence interval from -2.1 to 7.4.

Zavala County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 481.1 with a 95% confidence interval from 292.7 to 778.2 and 4 average annual cases over 2017-2021.
• CI*Rank ⋔ : 91 (1, 247)
• Recent Trend : The trend is stable because the trend is 2.5 with a 95% confidence interval from -1.1 to 5.7.

Bosque County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 500.6 with a 95% confidence interval from 457.6 to 547.1 and 128 average annual cases over 2017-2021.
• CI*Rank ⋔ : 59 (15, 197)
• Recent Trend : The trend is rising because the trend is 2.4 with a 95% confidence interval from 0.4 to 8.0.

Brazos County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 419.2 with a 95% confidence interval from 402.5 to 436.5 and 498 average annual cases over 2017-2021.
• CI*Rank ⋔ : 208 (145, 221)
• Recent Trend : The trend is rising because the trend is 2.4 with a 95% confidence interval from 0.1 to 5.7.

Crockett County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 756.5 with a 95% confidence interval from 558.5 to 1,014.6 and 11 average annual cases over 2017-2021.
• CI*Rank ⋔ : 2 (1, 191)
• Recent Trend : The trend is stable because the trend is 2.3 with a 95% confidence interval from -0.2 to 4.9.

Wichita County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 521.4 with a 95% confidence interval from 501.8 to 541.6 and 582 average annual cases over 2017-2021.
• CI*Rank ⋔ : 32 (18, 89)
• Recent Trend : The trend is rising because the trend is 2.1 with a 95% confidence interval from 0.9 to 4.3.

Stonewall County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 621.1 with a 95% confidence interval from 439.4 to 865.8 and 10 average annual cases over 2017-2021.
• CI*Rank ⋔ : 8 (1, 236)
• Recent Trend : The trend is stable because the trend is 1.9 with a 95% confidence interval from -2.2 to 6.0.

Wood County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 489.1 with a 95% confidence interval from 463.5 to 515.9 and 351 average annual cases over 2017-2021.
• CI*Rank ⋔ : 77 (26, 167)
• Recent Trend : The trend is rising because the trend is 1.9 with a 95% confidence interval from 0.4 to 5.9.

Blanco County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 448.3 with a 95% confidence interval from 399.4 to 503.2 and 78 average annual cases over 2017-2021.
• CI*Rank ⋔ : 160 (27, 231)
• Recent Trend : The trend is rising because the trend is 1.7 with a 95% confidence interval from 0.1 to 6.9.

Delta County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 569.9 with a 95% confidence interval from 487.1 to 664.5 and 38 average annual cases over 2017-2021.
• CI*Rank ⋔ : 15 (3, 203)
• Recent Trend : The trend is rising because the trend is 1.7 with a 95% confidence interval from 0.5 to 3.0.

Hill County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 508.5 with a 95% confidence interval from 476.2 to 542.8 and 216 average annual cases over 2017-2021.
• CI*Rank ⋔ : 45 (16, 147)
• Recent Trend : The trend is stable because the trend is 1.7 with a 95% confidence interval from -0.1 to 7.0.

Pecos County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 471.9 with a 95% confidence interval from 390.6 to 567.1 and 25 average annual cases over 2017-2021.
• CI*Rank ⋔ : 115 (7, 238)
• Recent Trend : The trend is stable because the trend is 1.7 with a 95% confidence interval from -0.2 to 3.6.

Sabine County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 484.3 with a 95% confidence interval from 430.9 to 543.8 and 82 average annual cases over 2017-2021.
• CI*Rank ⋔ : 89 (15, 219)
• Recent Trend : The trend is stable because the trend is 1.7 with a 95% confidence interval from 0.0 to 3.3.

Newton County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 460.7 with a 95% confidence interval from 410.1 to 516.7 and 69 average annual cases over 2017-2021.
• CI*Rank ⋔ : 137 (19, 226)
• Recent Trend : The trend is rising because the trend is 1.6 with a 95% confidence interval from 0.6 to 2.7.

Briscoe County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 497.9 with a 95% confidence interval from 348.7 to 703.1 and 9 average annual cases over 2017-2021.
• CI*Rank ⋔ : 64 (1, 244)
• Recent Trend : The trend is stable because the trend is 1.5 with a 95% confidence interval from -2.5 to 5.3.

Fisher County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 497.8 with a 95% confidence interval from 389.3 to 630.0 and 19 average annual cases over 2017-2021.
• CI*Rank ⋔ : 65 (3, 238)
• Recent Trend : The trend is stable because the trend is 1.5 with a 95% confidence interval from -0.6 to 3.3.

Glasscock County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 510.1 with a 95% confidence interval from 306.5 to 804.0 and 4 average annual cases over 2017-2021.
• CI*Rank ⋔ : 43 (1, 247)
• Recent Trend : The trend is stable because the trend is 1.5 with a 95% confidence interval from -3.2 to 6.4.

Hays County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 460.7 with a 95% confidence interval from 444.6 to 477.2 and 675 average annual cases over 2017-2021.
• CI*Rank ⋔ : 138 (81, 187)
• Recent Trend : The trend is stable because the trend is 1.5 with a 95% confidence interval from -0.6 to 5.4.

Upshur County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 494.1 with a 95% confidence interval from 464.6 to 525.2 and 231 average annual cases over 2017-2021.
• CI*Rank ⋔ : 70 (17, 176)
• Recent Trend : The trend is rising because the trend is 1.5 with a 95% confidence interval from 0.2 to 4.8.

Bee County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 451.5 with a 95% confidence interval from 401.0 to 507.5 and 61 average annual cases over 2017-2021.
• CI*Rank ⋔ : 153 (24, 230)
• Recent Trend : The trend is stable because the trend is 1.4 with a 95% confidence interval from -0.4 to 7.1.

Cherokee County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 542.0 with a 95% confidence interval from 511.1 to 574.4 and 262 average annual cases over 2017-2021.
• CI*Rank ⋔ : 23 (10, 83)
• Recent Trend : The trend is rising because the trend is 1.4 with a 95% confidence interval from 0.8 to 2.0.

Knox County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 552.8 with a 95% confidence interval from 424.5 to 710.7 and 17 average annual cases over 2017-2021.
• CI*Rank ⋔ : 18 (1, 235)
• Recent Trend : The trend is stable because the trend is 1.4 with a 95% confidence interval from -1.7 to 4.3.

Trinity County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 496.6 with a 95% confidence interval from 447.5 to 550.6 and 98 average annual cases over 2017-2021.
• CI*Rank ⋔ : 66 (11, 201)
• Recent Trend : The trend is rising because the trend is 1.4 with a 95% confidence interval from 0.5 to 2.4.

Brazoria County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 494.8 with a 95% confidence interval from 481.4 to 508.6 and 1,086 average annual cases over 2017-2021.
• CI*Rank ⋔ : 69 (38, 115)
• Recent Trend : The trend is stable because the trend is 1.3 with a 95% confidence interval from 0.0 to 3.7.

Liberty County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 506.7 with a 95% confidence interval from 482.6 to 531.8 and 356 average annual cases over 2017-2021.
• CI*Rank ⋔ : 50 (20, 128)
• Recent Trend : The trend is stable because the trend is 1.3 with a 95% confidence interval from -0.5 to 5.9.

Somervell County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 503.4 with a 95% confidence interval from 442.2 to 571.9 and 56 average annual cases over 2017-2021.
• CI*Rank ⋔ : 56 (9, 213)
• Recent Trend : The trend is stable because the trend is 1.3 with a 95% confidence interval from -0.6 to 3.4.

Wise County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 500.7 with a 95% confidence interval from 476.8 to 525.6 and 355 average annual cases over 2017-2021.
• CI*Rank ⋔ : 58 (23, 134)
• Recent Trend : The trend is rising because the trend is 1.2 with a 95% confidence interval from 0.3 to 2.2.

Deaf Smith County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 483.8 with a 95% confidence interval from 407.1 to 572.6 and 37 average annual cases over 2017-2021.
• CI*Rank ⋔ : 90 (8, 231)
• Recent Trend : The trend is stable because the trend is 1.1 with a 95% confidence interval from -0.3 to 2.4.

Gregg County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 518.6 with a 95% confidence interval from 498.0 to 539.8 and 534 average annual cases over 2017-2021.
• CI*Rank ⋔ : 37 (19, 100)
• Recent Trend : The trend is stable because the trend is 1.1 with a 95% confidence interval from -0.1 to 4.6.

Irion County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 456.3 with a 95% confidence interval from 321.1 to 641.8 and 8 average annual cases over 2017-2021.
• CI*Rank ⋔ : 144 (3, 246)
• Recent Trend : The trend is stable because the trend is 1.1 with a 95% confidence interval from -2.3 to 4.8.

Rains County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 499.8 with a 95% confidence interval from 451.4 to 552.9 and 92 average annual cases over 2017-2021.
• CI*Rank ⋔ : 60 (13, 198)
• Recent Trend : The trend is rising because the trend is 1.1 with a 95% confidence interval from 0.1 to 2.3.

Cass County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 485.2 with a 95% confidence interval from 451.0 to 521.7 and 171 average annual cases over 2017-2021.
• CI*Rank ⋔ : 86 (21, 195)
• Recent Trend : The trend is rising because the trend is 1.0 with a 95% confidence interval from 0.3 to 1.8.

Crosby County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 485.5 with a 95% confidence interval from 376.4 to 621.6 and 18 average annual cases over 2017-2021.
• CI*Rank ⋔ : 85 (5, 240)
• Recent Trend : The trend is stable because the trend is 1.0 with a 95% confidence interval from -1.0 to 3.0.

Mills County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 418.8 with a 95% confidence interval from 342.0 to 511.2 and 28 average annual cases over 2017-2021.
• CI*Rank ⋔ : 209 (17, 242)
• Recent Trend : The trend is stable because the trend is 1.0 with a 95% confidence interval from -1.5 to 3.5.

San Augustine County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 435.8 with a 95% confidence interval from 374.5 to 506.4 and 47 average annual cases over 2017-2021.
• CI*Rank ⋔ : 189 (24, 238)
• Recent Trend : The trend is stable because the trend is 1.0 with a 95% confidence interval from -0.4 to 2.4.

Callahan County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 445.7 with a 95% confidence interval from 401.0 to 494.7 and 82 average annual cases over 2017-2021.
• CI*Rank ⋔ : 165 (32, 229)
• Recent Trend : The trend is stable because the trend is 0.9 with a 95% confidence interval from -5.9 to 6.0.

Grimes County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 475.2 with a 95% confidence interval from 436.6 to 516.7 and 129 average annual cases over 2017-2021.
• CI*Rank ⋔ : 105 (25, 208)
• Recent Trend : The trend is stable because the trend is 0.9 with a 95% confidence interval from -0.1 to 2.0.

Lampasas County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 518.9 with a 95% confidence interval from 477.1 to 564.0 and 128 average annual cases over 2017-2021.
• CI*Rank ⋔ : 35 (11, 161)
• Recent Trend : The trend is stable because the trend is 0.9 with a 95% confidence interval from -0.2 to 2.0.

Live Oak County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 424.7 with a 95% confidence interval from 364.1 to 494.1 and 44 average annual cases over 2017-2021.
• CI*Rank ⋔ : 202 (27, 240)
• Recent Trend : The trend is stable because the trend is 0.9 with a 95% confidence interval from -1.0 to 2.9.

Mitchell County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 490.0 with a 95% confidence interval from 412.8 to 579.2 and 31 average annual cases over 2017-2021.
• CI*Rank ⋔ : 75 (7, 233)
• Recent Trend : The trend is stable because the trend is 0.9 with a 95% confidence interval from -1.6 to 3.2.

Parmer County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 372.9 with a 95% confidence interval from 302.1 to 458.8 and 22 average annual cases over 2017-2021.
• CI*Rank ⋔ : 233 (52, 245)
• Recent Trend : The trend is stable because the trend is 0.9 with a 95% confidence interval from -1.0 to 2.7.

Bexar County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 467.5 with a 95% confidence interval from 460.3 to 474.8 and 3,412 average annual cases over 2017-2021.
• CI*Rank ⋔ : 123 (87, 150)
• Recent Trend : The trend is stable because the trend is 0.8 with a 95% confidence interval from -0.6 to 3.4.

Burleson County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 499.0 with a 95% confidence interval from 451.0 to 551.5 and 96 average annual cases over 2017-2021.
• CI*Rank ⋔ : 62 (11, 204)
• Recent Trend : The trend is stable because the trend is 0.8 with a 95% confidence interval from -0.8 to 2.6.

Coke County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 508.0 with a 95% confidence interval from 400.7 to 638.6 and 22 average annual cases over 2017-2021.
• CI*Rank ⋔ : 47 (3, 238)
• Recent Trend : The trend is stable because the trend is 0.8 with a 95% confidence interval from -1.7 to 3.2.

Jasper County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 543.3 with a 95% confidence interval from 508.5 to 580.0 and 206 average annual cases over 2017-2021.
• CI*Rank ⋔ : 22 (10, 100)
• Recent Trend : The trend is stable because the trend is 0.8 with a 95% confidence interval from -0.1 to 1.7.

Montague County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 505.2 with a 95% confidence interval from 465.5 to 547.7 and 140 average annual cases over 2017-2021.
• CI*Rank ⋔ : 53 (14, 172)
• Recent Trend : The trend is rising because the trend is 0.8 with a 95% confidence interval from 0.1 to 1.4.

Smith County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 486.6 with a 95% confidence interval from 472.6 to 500.9 and 1,015 average annual cases over 2017-2021.
• CI*Rank ⋔ : 82 (48, 131)
• Recent Trend : The trend is stable because the trend is 0.8 with a 95% confidence interval from -0.3 to 3.4.

McLennan County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 461.1 with a 95% confidence interval from 447.2 to 475.4 and 910 average annual cases over 2017-2021.
• CI*Rank ⋔ : 135 (81, 181)
• Recent Trend : The trend is stable because the trend is 0.7 with a 95% confidence interval from -0.7 to 3.6.

Runnels County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 512.9 with a 95% confidence interval from 447.7 to 586.3 and 53 average annual cases over 2017-2021.
• CI*Rank ⋔ : 41 (8, 213)
• Recent Trend : The trend is stable because the trend is 0.7 with a 95% confidence interval from -0.5 to 1.7.

Zapata County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 423.6 with a 95% confidence interval from 228.2 to 746.1 and 6 average annual cases over 2017-2021.
• CI*Rank ⋔ : 204 (1, 247)
• Recent Trend : The trend is stable because the trend is 0.7 with a 95% confidence interval from -2.9 to 3.7.

Falls County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 459.9 with a 95% confidence interval from 409.8 to 515.5 and 70 average annual cases over 2017-2021.
• CI*Rank ⋔ : 140 (23, 226)
• Recent Trend : The trend is stable because the trend is 0.6 with a 95% confidence interval from -0.7 to 1.9.

Fannin County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 507.7 with a 95% confidence interval from 476.2 to 541.0 and 212 average annual cases over 2017-2021.
• CI*Rank ⋔ : 48 (18, 151)
• Recent Trend : The trend is stable because the trend is 0.6 with a 95% confidence interval from 0.0 to 1.2.

Haskell County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 476.3 with a 95% confidence interval from 394.9 to 572.7 and 29 average annual cases over 2017-2021.
• CI*Rank ⋔ : 102 (9, 236)
• Recent Trend : The trend is stable because the trend is 0.6 with a 95% confidence interval from -1.8 to 2.9.

Johnson County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 490.2 with a 95% confidence interval from 474.7 to 506.2 and 796 average annual cases over 2017-2021.
• CI*Rank ⋔ : 74 (41, 132)
• Recent Trend : The trend is stable because the trend is 0.6 with a 95% confidence interval from -0.4 to 3.2.

Leon County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 491.0 with a 95% confidence interval from 445.3 to 540.8 and 105 average annual cases over 2017-2021.
• CI*Rank ⋔ : 72 (14, 206)
• Recent Trend : The trend is stable because the trend is 0.6 with a 95% confidence interval from -0.2 to 1.3.

McCulloch County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 540.1 with a 95% confidence interval from 465.2 to 625.6 and 46 average annual cases over 2017-2021.
• CI*Rank ⋔ : 24 (5, 209)
• Recent Trend : The trend is stable because the trend is 0.6 with a 95% confidence interval from -0.7 to 1.9.

Travis County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 440.0 with a 95% confidence interval from 432.8 to 447.2 and 3,101 average annual cases over 2017-2021.
• CI*Rank ⋔ : 183 (142, 197)
• Recent Trend : The trend is stable because the trend is 0.6 with a 95% confidence interval from -0.4 to 2.2.

Upton County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 441.6 with a 95% confidence interval from 305.5 to 620.5 and 7 average annual cases over 2017-2021.
• CI*Rank ⋔ : 173 (3, 247)
• Recent Trend : The trend is stable because the trend is 0.6 with a 95% confidence interval from -2.3 to 3.3.

Bowie County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 456.7 with a 95% confidence interval from 435.9 to 478.3 and 392 average annual cases over 2017-2021.
• CI*Rank ⋔ : 143 (62, 201)
• Recent Trend : The trend is stable because the trend is 0.5 with a 95% confidence interval from -0.6 to 3.6.

Garza County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 393.5 with a 95% confidence interval from 306.1 to 502.9 and 15 average annual cases over 2017-2021.
• CI*Rank ⋔ : 225 (16, 246)
• Recent Trend : The trend is stable because the trend is 0.5 with a 95% confidence interval from -2.0 to 3.1.

Hansford County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 470.5 with a 95% confidence interval from 374.5 to 586.4 and 19 average annual cases over 2017-2021.
• CI*Rank ⋔ : 116 (6, 240)
• Recent Trend : The trend is stable because the trend is 0.5 with a 95% confidence interval from -1.3 to 2.2.

Jones County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 461.8 with a 95% confidence interval from 415.5 to 512.4 and 79 average annual cases over 2017-2021.
• CI*Rank ⋔ : 131 (22, 226)
• Recent Trend : The trend is stable because the trend is 0.5 with a 95% confidence interval from -0.4 to 1.4.

Karnes County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 445.1 with a 95% confidence interval from 380.1 to 520.1 and 37 average annual cases over 2017-2021.
• CI*Rank ⋔ : 167 (17, 236)
• Recent Trend : The trend is stable because the trend is 0.5 with a 95% confidence interval from -0.4 to 1.4.

Medina County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 440.2 with a 95% confidence interval from 407.8 to 474.9 and 155 average annual cases over 2017-2021.
• CI*Rank ⋔ : 182 (61, 225)
• Recent Trend : The trend is stable because the trend is 0.5 with a 95% confidence interval from -0.2 to 1.3.

Montgomery County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 439.7 with a 95% confidence interval from 431.3 to 448.2 and 2,250 average annual cases over 2017-2021.
• CI*Rank ⋔ : 184 (141, 199)
• Recent Trend : The trend is stable because the trend is 0.5 with a 95% confidence interval from -0.6 to 2.3.

Rusk County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 474.5 with a 95% confidence interval from 446.5 to 504.1 and 232 average annual cases over 2017-2021.
• CI*Rank ⋔ : 107 (36, 196)
• Recent Trend : The trend is stable because the trend is 0.5 with a 95% confidence interval from -0.3 to 1.4.

Waller County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 505.9 with a 95% confidence interval from 469.8 to 544.2 and 161 average annual cases over 2017-2021.
• CI*Rank ⋔ : 51 (15, 167)
• Recent Trend : The trend is stable because the trend is 0.5 with a 95% confidence interval from -0.3 to 1.4.

Dallas County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 469.2 with a 95% confidence interval from 463.2 to 475.3 and 5,087 average annual cases over 2017-2021.
• CI*Rank ⋔ : 121 (85, 146)
• Recent Trend : The trend is stable because the trend is 0.4 with a 95% confidence interval from -0.3 to 2.1.

Dawson County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 520.4 with a 95% confidence interval from 437.7 to 615.5 and 33 average annual cases over 2017-2021.
• CI*Rank ⋔ : 33 (3, 222)
• Recent Trend : The trend is stable because the trend is 0.4 with a 95% confidence interval from -1.2 to 1.9.

Floyd County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 446.3 with a 95% confidence interval from 336.7 to 585.3 and 16 average annual cases over 2017-2021.
• CI*Rank ⋔ : 162 (6, 245)
• Recent Trend : The trend is stable because the trend is 0.4 with a 95% confidence interval from -1.2 to 1.8.

Harris County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 443.4 with a 95% confidence interval from 438.9 to 447.8 and 8,184 average annual cases over 2017-2021.
• CI*Rank ⋔ : 169 (145, 185)
• Recent Trend : The trend is stable because the trend is 0.4 with a 95% confidence interval from -0.9 to 2.2.

Lee County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 441.5 with a 95% confidence interval from 396.5 to 490.9 and 81 average annual cases over 2017-2021.
• CI*Rank ⋔ : 174 (38, 231)
• Recent Trend : The trend is stable because the trend is 0.4 with a 95% confidence interval from -1.3 to 2.1.

Madison County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 432.3 with a 95% confidence interval from 378.2 to 493.1 and 49 average annual cases over 2017-2021.
• CI*Rank ⋔ : 192 (27, 236)
• Recent Trend : The trend is stable because the trend is 0.4 with a 95% confidence interval from -1.2 to 2.0.

Taylor County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 461.6 with a 95% confidence interval from 443.3 to 480.4 and 529 average annual cases over 2017-2021.
• CI*Rank ⋔ : 132 (70, 193)
• Recent Trend : The trend is stable because the trend is 0.4 with a 95% confidence interval from -0.2 to 2.1.

Tyler County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 480.4 with a 95% confidence interval from 440.3 to 523.6 and 126 average annual cases over 2017-2021.
• CI*Rank ⋔ : 94 (19, 209)
• Recent Trend : The trend is stable because the trend is 0.4 with a 95% confidence interval from -0.5 to 1.3.

Clay County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 485.2 with a 95% confidence interval from 432.4 to 543.5 and 72 average annual cases over 2017-2021.
• CI*Rank ⋔ : 87 (13, 221)
• Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -0.5 to 1.2.

Hopkins County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 501.4 with a 95% confidence interval from 469.0 to 535.7 and 198 average annual cases over 2017-2021.
• CI*Rank ⋔ : 57 (17, 165)
• Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -0.7 to 1.2.

Kleberg County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 486.2 with a 95% confidence interval from 418.0 to 563.0 and 40 average annual cases over 2017-2021.
• CI*Rank ⋔ : 84 (9, 229)
• Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -1.2 to 1.7.

Palo Pinto County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 514.6 with a 95% confidence interval from 478.3 to 553.2 and 173 average annual cases over 2017-2021.
• CI*Rank ⋔ : 40 (12, 151)
• Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -0.4 to 1.0.

Panola County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 496.0 with a 95% confidence interval from 455.4 to 539.5 and 122 average annual cases over 2017-2021.
• CI*Rank ⋔ : 67 (15, 193)
• Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -0.6 to 1.1.

San Patricio County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 503.8 with a 95% confidence interval from 470.9 to 538.6 and 192 average annual cases over 2017-2021.
• CI*Rank ⋔ : 54 (20, 168)
• Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -3.9 to 4.4.

Van Zandt County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 470.1 with a 95% confidence interval from 447.3 to 493.8 and 357 average annual cases over 2017-2021.
• CI*Rank ⋔ : 119 (48, 187)
• Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -0.3 to 0.8.

Willacy County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 305.5 with a 95% confidence interval from 223.6 to 417.4 and 12 average annual cases over 2017-2021.
• CI*Rank ⋔ : 242 (105, 247)
• Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -2.8 to 3.3.

Franklin County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 526.4 with a 95% confidence interval from 465.3 to 593.9 and 66 average annual cases over 2017-2021.
• CI*Rank ⋔ : 29 (5, 201)
• Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -1.8 to 2.0.

Kerr County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 467.3 with a 95% confidence interval from 441.0 to 495.0 and 345 average annual cases over 2017-2021.
• CI*Rank ⋔ : 124 (46, 199)
• Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -0.3 to 1.6.

Sherman County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 307.9 with a 95% confidence interval from 209.0 to 444.1 and 7 average annual cases over 2017-2021.
• CI*Rank ⋔ : 241 (24, 248)
• Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -3.3 to 3.3.

Yoakum County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 486.9 with a 95% confidence interval from 377.2 to 620.6 and 16 average annual cases over 2017-2021.
• CI*Rank ⋔ : 81 (3, 242)
• Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -2.7 to 2.6.

Freestone County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 476.3 with a 95% confidence interval from 432.7 to 523.7 and 99 average annual cases over 2017-2021.
• CI*Rank ⋔ : 101 (21, 215)
• Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -1.0 to 1.2.

Henderson County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 527.5 with a 95% confidence interval from 506.6 to 549.2 and 566 average annual cases over 2017-2021.
• CI*Rank ⋔ : 27 (15, 83)
• Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -0.6 to 0.9.

Menard County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 418.0 with a 95% confidence interval from 297.2 to 591.3 and 12 average annual cases over 2017-2021.
• CI*Rank ⋔ : 211 (5, 247)
• Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -2.2 to 2.4.

Milam County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 489.4 with a 95% confidence interval from 449.2 to 532.8 and 131 average annual cases over 2017-2021.
• CI*Rank ⋔ : 76 (17, 198)
• Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -0.8 to 1.0.

Schleicher County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 475.6 with a 95% confidence interval from 324.8 to 681.3 and 9 average annual cases over 2017-2021.
• CI*Rank ⋔ : 103 (1, 246)
• Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -2.4 to 2.4.

Tom Green County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 488.5 with a 95% confidence interval from 467.2 to 510.6 and 444 average annual cases over 2017-2021.
• CI*Rank ⋔ : 80 (33, 151)
• Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -0.5 to 0.8.

Bailey County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 440.3 with a 95% confidence interval from 334.8 to 570.9 and 17 average annual cases over 2017-2021.
• CI*Rank ⋔ : 181 (8, 245)
• Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -2.6 to 2.2.

Bell County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 518.6 with a 95% confidence interval from 504.1 to 533.3 and 1,028 average annual cases over 2017-2021.
• CI*Rank ⋔ : 36 (22, 80)
• Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -0.3 to 0.4.

Coleman County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 479.4 with a 95% confidence interval from 419.9 to 547.2 and 56 average annual cases over 2017-2021.
• CI*Rank ⋔ : 96 (12, 229)
• Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -1.2 to 1.1.

Comanche County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 437.9 with a 95% confidence interval from 388.5 to 492.8 and 75 average annual cases over 2017-2021.
• CI*Rank ⋔ : 187 (34, 233)
• Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -1.2 to 1.1.

Cooke County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 505.4 with a 95% confidence interval from 475.7 to 536.6 and 245 average annual cases over 2017-2021.
• CI*Rank ⋔ : 52 (17, 160)
• Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -0.7 to 0.7.

Donley County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 407.7 with a 95% confidence interval from 323.6 to 511.6 and 19 average annual cases over 2017-2021.
• CI*Rank ⋔ : 216 (18, 244)
• Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -2.1 to 1.8.

Eastland County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 449.7 with a 95% confidence interval from 408.8 to 494.1 and 105 average annual cases over 2017-2021.
• CI*Rank ⋔ : 156 (35, 225)
• Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -0.8 to 0.8.

Erath County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 408.2 with a 95% confidence interval from 378.8 to 439.4 and 157 average annual cases over 2017-2021.
• CI*Rank ⋔ : 215 (115, 232)
• Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -0.8 to 0.8.

Limestone County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 477.7 with a 95% confidence interval from 433.6 to 525.7 and 107 average annual cases over 2017-2021.
• CI*Rank ⋔ : 98 (20, 217)
• Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -1.4 to 1.3.

Nolan County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 508.5 with a 95% confidence interval from 451.4 to 571.8 and 65 average annual cases over 2017-2021.
• CI*Rank ⋔ : 44 (9, 208)
• Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -1.2 to 1.1.

Shelby County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 449.6 with a 95% confidence interval from 409.9 to 492.6 and 105 average annual cases over 2017-2021.
• CI*Rank ⋔ : 158 (37, 225)
• Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -1.0 to 1.0.

Swisher County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 431.0 with a 95% confidence interval from 354.9 to 522.4 and 26 average annual cases over 2017-2021.
• CI*Rank ⋔ : 194 (16, 240)
• Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -1.3 to 1.2.

Atascosa County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 467.1 with a 95% confidence interval from 427.1 to 510.1 and 110 average annual cases over 2017-2021.
• CI*Rank ⋔ : 125 (26, 219)
• Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -1.1 to 0.9.

Baylor County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 567.7 with a 95% confidence interval from 467.1 to 686.5 and 26 average annual cases over 2017-2021.
• CI*Rank ⋔ : 16 (2, 217)
• Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -2.5 to 2.2.

Cottle County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 549.5 with a 95% confidence interval from 363.7 to 807.9 and 8 average annual cases over 2017-2021.
• CI*Rank ⋔ : 20 (1, 247)
• Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -3.3 to 2.7.

Hale County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 429.4 with a 95% confidence interval from 383.8 to 479.7 and 74 average annual cases over 2017-2021.
• CI*Rank ⋔ : 195 (43, 234)
• Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -1.3 to 0.8.

Hartley County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 379.9 with a 95% confidence interval from 308.1 to 465.5 and 21 average annual cases over 2017-2021.
• CI*Rank ⋔ : 228 (40, 246)
• Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -1.8 to 1.5.

Hunt County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 472.1 with a 95% confidence interval from 452.6 to 492.4 and 474 average annual cases over 2017-2021.
• CI*Rank ⋔ : 114 (54, 173)
• Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -0.6 to 0.5.

Jim Wells County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 426.6 with a 95% confidence interval from 369.3 to 491.3 and 45 average annual cases over 2017-2021.
• CI*Rank ⋔ : 198 (30, 239)
• Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -1.7 to 1.4.

Kaufman County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 479.2 with a 95% confidence interval from 459.8 to 499.3 and 486 average annual cases over 2017-2021.
• CI*Rank ⋔ : 97 (45, 166)
• Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -0.5 to 0.4.

Kimble County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 488.7 with a 95% confidence interval from 389.5 to 608.3 and 27 average annual cases over 2017-2021.
• CI*Rank ⋔ : 79 (5, 237)
• Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -2.0 to 1.6.

Lamb County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 453.8 with a 95% confidence interval from 386.8 to 530.8 and 40 average annual cases over 2017-2021.
• CI*Rank ⋔ : 150 (15, 235)
• Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -1.3 to 1.0.

Parker County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 512.4 with a 95% confidence interval from 496.1 to 529.1 and 806 average annual cases over 2017-2021.
• CI*Rank ⋔ : 42 (22, 94)
• Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -0.6 to 0.4.

Red River County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 477.0 with a 95% confidence interval from 424.9 to 534.8 and 73 average annual cases over 2017-2021.
• CI*Rank ⋔ : 100 (15, 222)
• Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -1.3 to 1.0.

Robertson County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 434.6 with a 95% confidence interval from 386.9 to 487.6 and 72 average annual cases over 2017-2021.
• CI*Rank ⋔ : 190 (33, 233)
• Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -1.1 to 0.9.

San Jacinto County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 484.3 with a 95% confidence interval from 448.9 to 522.3 and 166 average annual cases over 2017-2021.
• CI*Rank ⋔ : 88 (22, 201)
• Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -0.8 to 0.7.

Val Verde County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 552.7 with a 95% confidence interval from 483.7 to 629.6 and 53 average annual cases over 2017-2021.
• CI*Rank ⋔ : 19 (5, 181)
• Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -1.6 to 1.2.

Anderson County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 451.0 with a 95% confidence interval from 424.3 to 479.0 and 229 average annual cases over 2017-2021.
• CI*Rank ⋔ : 154 (64, 214)
• Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -1.3 to 0.8.

Cochran County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 382.4 with a 95% confidence interval from 261.2 to 560.6 and 7 average annual cases over 2017-2021.
• CI*Rank ⋔ : 227 (8, 247)
• Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -5.3 to 4.2.

Colorado County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 437.3 with a 95% confidence interval from 393.5 to 485.7 and 97 average annual cases over 2017-2021.
• CI*Rank ⋔ : 188 (46, 229)
• Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -1.4 to 0.9.

DeWitt County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 455.9 with a 95% confidence interval from 409.3 to 507.0 and 84 average annual cases over 2017-2021.
• CI*Rank ⋔ : 147 (25, 225)
• Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -1.0 to 0.5.

Ellis County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 472.5 with a 95% confidence interval from 456.2 to 489.3 and 674 average annual cases over 2017-2021.
• CI*Rank ⋔ : 112 (57, 165)
• Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -0.6 to 0.3.

Hamilton County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 442.4 with a 95% confidence interval from 385.9 to 506.2 and 55 average annual cases over 2017-2021.
• CI*Rank ⋔ : 170 (22, 233)
• Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -1.6 to 1.2.

Hardeman County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 463.7 with a 95% confidence interval from 368.9 to 580.1 and 20 average annual cases over 2017-2021.
• CI*Rank ⋔ : 127 (6, 243)
• Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -1.5 to 1.0.

Hutchinson County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 495.2 with a 95% confidence interval from 451.1 to 542.7 and 104 average annual cases over 2017-2021.
• CI*Rank ⋔ : 68 (13, 199)
• Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -1.3 to 0.8.

Lamar County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 480.4 with a 95% confidence interval from 453.9 to 508.2 and 273 average annual cases over 2017-2021.
• CI*Rank ⋔ : 93 (29, 185)
• Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -0.9 to 0.4.

Matagorda County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 503.6 with a 95% confidence interval from 462.4 to 548.0 and 136 average annual cases over 2017-2021.
• CI*Rank ⋔ : 55 (13, 189)
• Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -1.1 to 0.7.

Calhoun County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 470.2 with a 95% confidence interval from 418.5 to 527.9 and 74 average annual cases over 2017-2021.
• CI*Rank ⋔ : 118 (18, 223)
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -1.1 to 0.5.

Dallam County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 486.6 with a 95% confidence interval from 391.5 to 598.2 and 19 average annual cases over 2017-2021.
• CI*Rank ⋔ : 83 (6, 239)
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -2.7 to 1.9.

Navarro County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 473.4 with a 95% confidence interval from 443.8 to 504.8 and 218 average annual cases over 2017-2021.
• CI*Rank ⋔ : 108 (31, 196)
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -1.1 to 0.5.

Stephens County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 450.5 with a 95% confidence interval from 391.9 to 516.8 and 49 average annual cases over 2017-2021.
• CI*Rank ⋔ : 155 (18, 234)
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -2.0 to 1.2.

Ward County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 480.9 with a 95% confidence interval from 400.0 to 574.0 and 27 average annual cases over 2017-2021.
• CI*Rank ⋔ : 92 (7, 235)
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -2.1 to 1.3.

Cameron County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 400.8 with a 95% confidence interval from 376.8 to 426.2 and 317 average annual cases over 2017-2021.
• CI*Rank ⋔ : 219 (156, 234)
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -0.9 to 0.0.

Crane County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 440.8 with a 95% confidence interval from 315.4 to 604.9 and 9 average annual cases over 2017-2021.
• CI*Rank ⋔ : 179 (4, 247)
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -3.6 to 2.2.

Dickens County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 490.8 with a 95% confidence interval from 343.9 to 689.7 and 10 average annual cases over 2017-2021.
• CI*Rank ⋔ : 73 (2, 246)
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -2.9 to 1.8.

Goliad County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 460.2 with a 95% confidence interval from 385.0 to 548.4 and 33 average annual cases over 2017-2021.
• CI*Rank ⋔ : 139 (10, 238)
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -1.9 to 1.1.

Grayson County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 466.8 with a 95% confidence interval from 450.9 to 483.3 and 708 average annual cases over 2017-2021.
• CI*Rank ⋔ : 126 (64, 182)
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -0.7 to 0.0.

Kendall County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 456.3 with a 95% confidence interval from 428.2 to 485.9 and 227 average annual cases over 2017-2021.
• CI*Rank ⋔ : 145 (49, 210)
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -1.1 to 0.4.

Potter County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 521.6 with a 95% confidence interval from 498.0 to 546.2 and 403 average annual cases over 2017-2021.
• CI*Rank ⋔ : 31 (16, 99)
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -0.9 to 0.1.

Refugio County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 440.7 with a 95% confidence interval from 348.6 to 553.2 and 21 average annual cases over 2017-2021.
• CI*Rank ⋔ : 180 (9, 243)
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -2.6 to 1.5.

Rockwall County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 441.1 with a 95% confidence interval from 421.2 to 461.9 and 385 average annual cases over 2017-2021.
• CI*Rank ⋔ : 176 (98, 211)
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -1.0 to 0.2.

Coryell County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 473.4 with a 95% confidence interval from 446.7 to 501.3 and 242 average annual cases over 2017-2021.
• CI*Rank ⋔ : 110 (35, 192)
• Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -0.9 to 0.0.

Ector County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 499.7 with a 95% confidence interval from 474.6 to 525.8 and 320 average annual cases over 2017-2021.
• CI*Rank ⋔ : 61 (22, 146)
• Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -1.1 to 0.1.

Harrison County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 477.3 with a 95% confidence interval from 452.4 to 503.4 and 298 average annual cases over 2017-2021.
• CI*Rank ⋔ : 99 (40, 189)
• Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -1.2 to 0.2.

Lavaca County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 446.2 with a 95% confidence interval from 407.8 to 487.9 and 118 average annual cases over 2017-2021.
• CI*Rank ⋔ : 164 (39, 227)
• Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -1.5 to 0.5.

Wharton County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 438.7 with a 95% confidence interval from 403.7 to 476.4 and 135 average annual cases over 2017-2021.
• CI*Rank ⋔ : 185 (58, 226)
• Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -1.1 to 1.8.

Young County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 473.3 with a 95% confidence interval from 430.3 to 519.9 and 103 average annual cases over 2017-2021.
• CI*Rank ⋔ : 111 (23, 217)
• Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -1.5 to 0.5.

Brown County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 456.9 with a 95% confidence interval from 426.9 to 488.8 and 200 average annual cases over 2017-2021.
• CI*Rank ⋔ : 142 (32, 212)
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -1.4 to 0.0.

Burnet County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 461.6 with a 95% confidence interval from 435.4 to 489.2 and 293 average annual cases over 2017-2021.
• CI*Rank ⋔ : 133 (52, 202)
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -1.4 to 0.1.

Fayette County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 423.3 with a 95% confidence interval from 388.1 to 461.5 and 145 average annual cases over 2017-2021.
• CI*Rank ⋔ : 205 (83, 230)
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -1.4 to 0.1.

Gaines County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 328.9 with a 95% confidence interval from 279.6 to 384.0 and 33 average annual cases over 2017-2021.
• CI*Rank ⋔ : 239 (179, 247)
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -2.3 to 1.1.

Randall County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 449.6 with a 95% confidence interval from 433.0 to 466.8 and 598 average annual cases over 2017-2021.
• CI*Rank ⋔ : 157 (96, 200)
• Recent Trend : The trend is falling because the trend is -0.6 with a 95% confidence interval from -1.1 to -0.1.

Sutton County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 561.5 with a 95% confidence interval from 402.4 to 770.9 and 11 average annual cases over 2017-2021.
• CI*Rank ⋔ : 17 (1, 241)
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -3.3 to 1.9.

Tarrant County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 463.1 with a 95% confidence interval from 457.7 to 468.6 and 5,848 average annual cases over 2017-2021.
• CI*Rank ⋔ : 129 (102, 154)
• Recent Trend : The trend is falling because the trend is -0.6 with a 95% confidence interval from -0.8 to -0.4.

Childress County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 457.0 with a 95% confidence interval from 378.7 to 548.5 and 27 average annual cases over 2017-2021.
• CI*Rank ⋔ : 141 (12, 240)
• Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -2.4 to 0.8.

Denton County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 444.4 with a 95% confidence interval from 436.7 to 452.3 and 2,653 average annual cases over 2017-2021.
• CI*Rank ⋔ : 168 (133, 194)
• Recent Trend : The trend is falling because the trend is -0.7 with a 95% confidence interval from -1.1 to -0.3.

Guadalupe County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 446.2 with a 95% confidence interval from 428.7 to 464.3 and 517 average annual cases over 2017-2021.
• CI*Rank ⋔ : 163 (96, 204)
• Recent Trend : The trend is falling because the trend is -0.7 with a 95% confidence interval from -1.1 to -0.2.

Terry County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 396.4 with a 95% confidence interval from 329.8 to 473.9 and 29 average annual cases over 2017-2021.
• CI*Rank ⋔ : 223 (25, 243)
• Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -1.8 to 0.3.

Victoria County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 469.9 with a 95% confidence interval from 444.7 to 496.3 and 294 average annual cases over 2017-2021.
• CI*Rank ⋔ : 120 (40, 194)
• Recent Trend : The trend is falling because the trend is -0.8 with a 95% confidence interval from -1.3 to -0.3.

Bastrop County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 452.5 with a 95% confidence interval from 429.9 to 476.1 and 351 average annual cases over 2017-2021.
• CI*Rank ⋔ : 151 (70, 207)
• Recent Trend : The trend is falling because the trend is -0.9 with a 95% confidence interval from -1.6 to -0.1.

Comal County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 431.8 with a 95% confidence interval from 416.6 to 447.5 and 698 average annual cases over 2017-2021.
• CI*Rank ⋔ : 193 (134, 212)
• Recent Trend : The trend is falling because the trend is -0.9 with a 95% confidence interval from -1.7 to -0.1.

El Paso County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 425.6 with a 95% confidence interval from 409.4 to 442.3 and 561 average annual cases over 2017-2021.
• CI*Rank ⋔ : 201 (143, 220)
• Recent Trend : The trend is falling because the trend is -0.9 with a 95% confidence interval from -1.3 to -0.6.

Hardin County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 461.5 with a 95% confidence interval from 437.3 to 486.8 and 290 average annual cases over 2017-2021.
• CI*Rank ⋔ : 134 (51, 199)
• Recent Trend : The trend is falling because the trend is -0.9 with a 95% confidence interval from -1.5 to -0.3.

Hidalgo County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 383.4 with a 95% confidence interval from 363.5 to 404.3 and 437 average annual cases over 2017-2021.
• CI*Rank ⋔ : 226 (194, 235)
• Recent Trend : The trend is falling because the trend is -0.9 with a 95% confidence interval from -1.5 to -0.4.

Jack County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 378.9 with a 95% confidence interval from 323.8 to 441.9 and 36 average annual cases over 2017-2021.
• CI*Rank ⋔ : 229 (72, 243)
• Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -2.5 to 0.7.

Lubbock County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 441.0 with a 95% confidence interval from 427.5 to 454.8 and 870 average annual cases over 2017-2021.
• CI*Rank ⋔ : 178 (119, 202)
• Recent Trend : The trend is falling because the trend is -0.9 with a 95% confidence interval from -1.5 to -0.3.

Motley County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 394.8 with a 95% confidence interval from 263.0 to 596.6 and 7 average annual cases over 2017-2021.
• CI*Rank ⋔ : 224 (6, 247)
• Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -4.8 to 2.5.

Scurry County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 400.3 with a 95% confidence interval from 351.0 to 455.3 and 52 average annual cases over 2017-2021.
• CI*Rank ⋔ : 221 (78, 239)
• Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -2.0 to 0.1.

Brewster County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 356.2 with a 95% confidence interval from 293.1 to 431.3 and 31 average annual cases over 2017-2021.
• CI*Rank ⋔ : 234 (78, 246)
• Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -3.3 to 1.3.

Collin County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 434.2 with a 95% confidence interval from 427.1 to 441.4 and 2,990 average annual cases over 2017-2021.
• CI*Rank ⋔ : 191 (153, 202)
• Recent Trend : The trend is falling because the trend is -1.0 with a 95% confidence interval from -2.9 to -0.6.

Moore County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 426.1 with a 95% confidence interval from 368.2 to 491.3 and 44 average annual cases over 2017-2021.
• CI*Rank ⋔ : 200 (23, 238)
• Recent Trend : The trend is falling because the trend is -1.0 with a 95% confidence interval from -2.1 to -0.1.

Washington County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 441.4 with a 95% confidence interval from 409.4 to 475.6 and 179 average annual cases over 2017-2021.
• CI*Rank ⋔ : 175 (66, 221)
• Recent Trend : The trend is falling because the trend is -1.0 with a 95% confidence interval from -1.8 to -0.2.

Aransas County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 491.8 with a 95% confidence interval from 453.3 to 533.6 and 167 average annual cases over 2017-2021.
• CI*Rank ⋔ : 71 (16, 193)
• Recent Trend : The trend is falling because the trend is -1.1 with a 95% confidence interval from -2.1 to -0.1.

Fort Bend County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 449.1 with a 95% confidence interval from 438.4 to 460.1 and 1,430 average annual cases over 2017-2021.
• CI*Rank ⋔ : 159 (113, 189)
• Recent Trend : The trend is falling because the trend is -1.1 with a 95% confidence interval from -1.5 to -0.8.

Jefferson County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 442.2 with a 95% confidence interval from 426.6 to 458.3 and 679 average annual cases over 2017-2021.
• CI*Rank ⋔ : 171 (110, 206)
• Recent Trend : The trend is falling because the trend is -1.1 with a 95% confidence interval from -1.8 to -0.5.

Llano County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 420.9 with a 95% confidence interval from 386.4 to 458.5 and 173 average annual cases over 2017-2021.
• CI*Rank ⋔ : 207 (83, 232)
• Recent Trend : The trend is falling because the trend is -1.1 with a 95% confidence interval from -2.0 to -0.2.

Midland County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 421.4 with a 95% confidence interval from 401.6 to 442.0 and 371 average annual cases over 2017-2021.
• CI*Rank ⋔ : 206 (132, 222)
• Recent Trend : The trend is falling because the trend is -1.1 with a 95% confidence interval from -1.7 to -0.4.

Wilbarger County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 460.8 with a 95% confidence interval from 401.9 to 526.9 and 53 average annual cases over 2017-2021.
• CI*Rank ⋔ : 136 (16, 231)
• Recent Trend : The trend is falling because the trend is -1.1 with a 95% confidence interval from -2.2 to -0.1.

Austin County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 415.0 with a 95% confidence interval from 381.1 to 451.5 and 133 average annual cases over 2017-2021.
• CI*Rank ⋔ : 212 (106, 233)
• Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -2.1 to -0.2.

Caldwell County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 445.3 with a 95% confidence interval from 410.2 to 483.1 and 130 average annual cases over 2017-2021.
• CI*Rank ⋔ : 166 (58, 223)
• Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -2.0 to -0.4.

Castro County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 354.7 with a 95% confidence interval from 265.0 to 468.9 and 14 average annual cases over 2017-2021.
• CI*Rank ⋔ : 235 (25, 247)
• Recent Trend : The trend is stable because the trend is -1.2 with a 95% confidence interval from -3.8 to 1.0.

Hockley County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 441.1 with a 95% confidence interval from 392.3 to 495.0 and 67 average annual cases over 2017-2021.
• CI*Rank ⋔ : 177 (33, 232)
• Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -2.3 to -0.1.

Orange County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 474.8 with a 95% confidence interval from 454.1 to 496.2 and 421 average annual cases over 2017-2021.
• CI*Rank ⋔ : 106 (48, 177)
• Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -1.7 to -0.6.

Frio County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 373.3 with a 95% confidence interval from 288.0 to 478.8 and 15 average annual cases over 2017-2021.
• CI*Rank ⋔ : 232 (24, 247)
• Recent Trend : The trend is stable because the trend is -1.3 with a 95% confidence interval from -3.2 to 0.5.

Winkler County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 403.6 with a 95% confidence interval from 314.5 to 512.7 and 15 average annual cases over 2017-2021.
• CI*Rank ⋔ : 217 (17, 246)
• Recent Trend : The trend is stable because the trend is -1.3 with a 95% confidence interval from -3.7 to 0.8.

Gray County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 462.1 with a 95% confidence interval from 419.0 to 508.8 and 93 average annual cases over 2017-2021.
• CI*Rank ⋔ : 130 (26, 220)
• Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -6.9 to -0.6.

Jackson County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 411.8 with a 95% confidence interval from 362.5 to 466.7 and 59 average annual cases over 2017-2021.
• CI*Rank ⋔ : 214 (61, 238)
• Recent Trend : The trend is stable because the trend is -1.5 with a 95% confidence interval from -3.1 to 0.0.

Polk County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 699.8 with a 95% confidence interval from 664.6 to 736.5 and 377 average annual cases over 2017-2021.
• CI*Rank ⋔ : 5 (1, 13)
• Recent Trend : The trend is stable because the trend is -1.5 with a 95% confidence interval from -4.5 to 1.6.

San Saba County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 377.7 with a 95% confidence interval from 308.7 to 461.0 and 27 average annual cases over 2017-2021.
• CI*Rank ⋔ : 231 (34, 245)
• Recent Trend : The trend is stable because the trend is -1.5 with a 95% confidence interval from -3.5 to 0.2.

Andrews County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 438.2 with a 95% confidence interval from 376.5 to 507.6 and 38 average annual cases over 2017-2021.
• CI*Rank ⋔ : 186 (18, 238)
• Recent Trend : The trend is stable because the trend is -1.6 with a 95% confidence interval from -3.3 to 0.0.

Angelina County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 470.4 with a 95% confidence interval from 448.2 to 493.5 and 366 average annual cases over 2017-2021.
• CI*Rank ⋔ : 117 (54, 193)
• Recent Trend : The trend is falling because the trend is -1.6 with a 95% confidence interval from -7.7 to -0.4.

Lipscomb County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 397.2 with a 95% confidence interval from 295.9 to 527.6 and 13 average annual cases over 2017-2021.
• CI*Rank ⋔ : 222 (11, 247)
• Recent Trend : The trend is stable because the trend is -1.6 with a 95% confidence interval from -4.5 to 0.7.

Ochiltree County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 345.8 with a 95% confidence interval from 281.6 to 422.0 and 23 average annual cases over 2017-2021.
• CI*Rank ⋔ : 237 (100, 247)
• Recent Trend : The trend is stable because the trend is -1.6 with a 95% confidence interval from -4.2 to 0.7.

Hemphill County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 427.9 with a 95% confidence interval from 326.1 to 554.8 and 13 average annual cases over 2017-2021.
• CI*Rank ⋔ : 197 (8, 245)
• Recent Trend : The trend is stable because the trend is -1.8 with a 95% confidence interval from -4.1 to 0.4.

Shackelford County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 402.4 with a 95% confidence interval from 313.8 to 511.3 and 16 average annual cases over 2017-2021.
• CI*Rank ⋔ : 218 (14, 246)
• Recent Trend : The trend is stable because the trend is -1.8 with a 95% confidence interval from -4.6 to 0.8.

Collingsworth County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 322.4 with a 95% confidence interval from 230.3 to 447.7 and 9 average annual cases over 2017-2021.
• CI*Rank ⋔ : 240 (33, 247)
• Recent Trend : The trend is stable because the trend is -2.0 with a 95% confidence interval from -4.4 to 0.1.

Reeves County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 345.4 with a 95% confidence interval from 255.5 to 459.0 and 10 average annual cases over 2017-2021.
• CI*Rank ⋔ : 238 (35, 247)
• Recent Trend : The trend is falling because the trend is -2.0 with a 95% confidence interval from -4.2 to -0.1.

Jeff Davis County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 229.3 with a 95% confidence interval from 129.4 to 452.5 and 7 average annual cases over 2017-2021.
• CI*Rank ⋔ : 247 (15, 248)
• Recent Trend : The trend is stable because the trend is -2.3 with a 95% confidence interval from -5.8 to 1.2.

Hood County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 488.8 with a 95% confidence interval from 466.3 to 512.2 and 439 average annual cases over 2017-2021.
• CI*Rank ⋔ : 78 (33, 153)
• Recent Trend : The trend is stable because the trend is -2.4 with a 95% confidence interval from -5.7 to 0.6.

Presidio County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 229.5 with a 95% confidence interval from 132.4 to 399.8 and 4 average annual cases over 2017-2021.
• CI*Rank ⋔ : 246 (112, 248)
• Recent Trend : The trend is stable because the trend is -2.9 with a 95% confidence interval from -7.8 to 1.3.

Nueces County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 441.9 with a 95% confidence interval from 426.2 to 458.1 and 672 average annual cases over 2017-2021.
• CI*Rank ⋔ : 172 (110, 206)
• Recent Trend : The trend is falling because the trend is -3.6 with a 95% confidence interval from -7.5 to -0.9.

Williamson County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 473.4 with a 95% confidence interval from 464.1 to 482.9 and 2,051 average annual cases over 2017-2021.
• CI*Rank ⋔ : 109 (72, 142)
• Recent Trend : The trend is falling because the trend is -3.7 with a 95% confidence interval from -5.0 to -2.6.

Kent County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 418.2 with a 95% confidence interval from 250.6 to 684.0 and 5 average annual cases over 2017-2021.
• CI*Rank ⋔ : 210 (2, 247)
• Recent Trend : The trend is falling because the trend is -4.5 with a 95% confidence interval from -9.4 to -0.6.

Houston County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 447.7 with a 95% confidence interval from 407.3 to 491.7 and 109 average annual cases over 2017-2021.
• CI*Rank ⋔ : 161 (37, 227)
• Recent Trend : The trend is falling because the trend is -5.5 with a 95% confidence interval from -12.8 to -2.5.

Webb County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 281.9 with a 95% confidence interval from 240.6 to 328.9 and 38 average annual cases over 2017-2021.
• CI*Rank ⋔ : 244 (226, 247)
• Recent Trend : The trend is falling because the trend is -5.5 with a 95% confidence interval from -17.4 to -2.8.

Throckmorton County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 293.0 with a 95% confidence interval from 202.6 to 425.0 and 8 average annual cases over 2017-2021.
• CI*Rank ⋔ : 243 (81, 248)
• Recent Trend : The trend is falling because the trend is -5.7 with a 95% confidence interval from -13.9 to -2.1.

Lynn County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 423.6 with a 95% confidence interval from 337.0 to 528.2 and 18 average annual cases over 2017-2021.
• CI*Rank ⋔ : 203 (13, 243)
• Recent Trend : The trend is stable because the trend is -9.7 with a 95% confidence interval from -19.7 to 7.5.

Concho County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 270.5 with a 95% confidence interval from 192.3 to 383.4 and 10 average annual cases over 2017-2021.
• CI*Rank ⋔ : 245 (174, 248)
• Recent Trend : The trend is falling because the trend is -11.5 with a 95% confidence interval from -26.9 to -4.6.

Wheeler County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 468.5 with a 95% confidence interval from 388.4 to 562.9 and 28 average annual cases over 2017-2021.
• CI*Rank ⋔ : 122 (10, 236)
• Recent Trend : The trend is falling because the trend is -16.3 with a 95% confidence interval from -25.2 to -2.0.

Borden County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 524.4 with a 95% confidence interval from 302.0 to 872.0 and 4 average annual cases over 2017-2021.
• CI*Rank ⋔ : 30 (1, 248)
• 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).

Culberson County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 516.1 with a 95% confidence interval from 282.1 to 890.0 and 4 average annual cases over 2017-2021.
• CI*Rank ⋔ : 39 (1, 247)
• 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).

Duval County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 347.7 with a 95% confidence interval from 217.8 to 539.5 and 5 average annual cases over 2017-2021.
• CI*Rank ⋔ : 236 (5, 248)
• 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).

Hudspeth County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 825.1 with a 95% confidence interval from 535.5 to 1,248.8 and 6 average annual cases over 2017-2021.
• CI*Rank ⋔ : 1 (1, 240)
• 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).

Roberts County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 378.3 with a 95% confidence interval from 238.8 to 589.1 and 5 average annual cases over 2017-2021.
• CI*Rank ⋔ : 230 (6, 248)
• 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).

Starr County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 117.7 with a 95% confidence interval from 64.3 to 200.3 and 3 average annual cases over 2017-2021.
• CI*Rank ⋔ : 248 (245, 248)
• 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).

Sterling County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 595.2 with a 95% confidence interval from 382.5 to 886.7 and 5 average annual cases over 2017-2021.
• CI*Rank ⋔ : 10 (1, 246)
• 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).

Terrell County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 712.0 with a 95% confidence interval from 349.6 to 1,343.1 and 4 average annual cases over 2017-2021.
• CI*Rank ⋔ : 4 (1, 248)
• 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).

Brooks 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).

Jim Hogg 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).

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).

McMullen 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 07/14/2025 6:52 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.