State Cancer Profiles

Interpretation of Incidence Rates Data

Incidence Rate Report for Texas by County

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

All Races (includes Hispanic), Female, All Ages

Sorted by Count

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 394.5 with a 95% confidence interval from 393.1 to 395.9 and 60,886 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.4 with a 95% confidence interval from 0.0 to 1.2.

US (SEER+NPCR)¹

• 2023 Rural-Urban Continuum Codes Φ : N/A
• Rate : The incidence rate is 421.1 with a 95% confidence interval from 420.7 to 421.5 and 856,144 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -1.2 to 0.1.

Harris County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 376.3 with a 95% confidence interval from 372.7 to 379.9 and 8,685 average annual cases over 2017-2021.
• CI*Rank ⋔ : 187 (159, 195)
• Recent Trend : The trend is stable because the trend is 0.9 with a 95% confidence interval from -1.0 to 2.1.

Dallas County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 406.3 with a 95% confidence interval from 401.4 to 411.3 and 5,300 average annual cases over 2017-2021.
• CI*Rank ⋔ : 125 (97, 147)
• Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -0.3 to 0.1.

Tarrant County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 407.7 with a 95% confidence interval from 402.3 to 413.2 and 4,442 average annual cases over 2017-2021.
• CI*Rank ⋔ : 121 (90, 149)
• Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -0.4 to 0.0.

Bexar County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 394.7 with a 95% confidence interval from 389.2 to 400.2 and 4,125 average annual cases over 2017-2021.
• CI*Rank ⋔ : 149 (121, 170)
• Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -0.2 to 0.3.

Travis County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 386.3 with a 95% confidence interval from 379.1 to 393.7 and 2,302 average annual cases over 2017-2021.
• CI*Rank ⋔ : 174 (132, 186)
• Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -2.0 to 2.5.

Collin County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 382.8 with a 95% confidence interval from 375.3 to 390.4 and 2,056 average annual cases over 2017-2021.
• CI*Rank ⋔ : 178 (138, 190)
• Recent Trend : The trend is falling because the trend is -0.5 with a 95% confidence interval from -0.7 to -0.3.

Denton County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 394.1 with a 95% confidence interval from 385.7 to 402.6 and 1,760 average annual cases over 2017-2021.
• CI*Rank ⋔ : 153 (114, 176)
• Recent Trend : The trend is falling because the trend is -0.4 with a 95% confidence interval from -0.6 to -0.1.

El Paso County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 370.5 with a 95% confidence interval from 362.5 to 378.6 and 1,687 average annual cases over 2017-2021.
• CI*Rank ⋔ : 196 (158, 204)
• Recent Trend : The trend is rising because the trend is 0.8 with a 95% confidence interval from 0.3 to 2.5.

Fort Bend County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 372.8 with a 95% confidence interval from 364.2 to 381.4 and 1,547 average annual cases over 2017-2021.
• CI*Rank ⋔ : 193 (155, 203)
• Recent Trend : The trend is stable because the trend is 0.9 with a 95% confidence interval from -0.3 to 2.5.

Hidalgo County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 337.1 with a 95% confidence interval from 329.1 to 345.2 and 1,370 average annual cases over 2017-2021.
• CI*Rank ⋔ : 219 (197, 224)
• Recent Trend : The trend is rising because the trend is 3.0 with a 95% confidence interval from 0.5 to 4.3.

Montgomery County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 389.9 with a 95% confidence interval from 380.3 to 399.6 and 1,313 average annual cases over 2017-2021.
• CI*Rank ⋔ : 171 (119, 185)
• Recent Trend : The trend is rising because the trend is 2.7 with a 95% confidence interval from 0.3 to 4.1.

Williamson County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 413.0 with a 95% confidence interval from 402.9 to 423.2 and 1,308 average annual cases over 2017-2021.
• CI*Rank ⋔ : 106 (70, 147)
• Recent Trend : The trend is falling because the trend is -3.4 with a 95% confidence interval from -4.8 to -2.6.

Galveston County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 411.1 with a 95% confidence interval from 398.5 to 424.0 and 848 average annual cases over 2017-2021.
• CI*Rank ⋔ : 113 (62, 160)
• Recent Trend : The trend is rising because the trend is 4.6 with a 95% confidence interval from 0.4 to 8.4.

Bell County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 444.9 with a 95% confidence interval from 430.9 to 459.3 and 784 average annual cases over 2017-2021.
• CI*Rank ⋔ : 43 (25, 97)
• Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -1.5 to 0.3.

Brazoria County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 403.0 with a 95% confidence interval from 390.1 to 416.1 and 769 average annual cases over 2017-2021.
• CI*Rank ⋔ : 133 (80, 174)
• Recent Trend : The trend is stable because the trend is 3.1 with a 95% confidence interval from -0.7 to 5.4.

Cameron County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 332.5 with a 95% confidence interval from 321.7 to 343.5 and 751 average annual cases over 2017-2021.
• CI*Rank ⋔ : 223 (197, 228)
• Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -0.2 to 0.5.

Nueces County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 360.9 with a 95% confidence interval from 349.0 to 373.1 and 737 average annual cases over 2017-2021.
• CI*Rank ⋔ : 204 (166, 214)
• Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -3.9 to 2.3.

McLennan County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 423.8 with a 95% confidence interval from 408.6 to 439.4 and 626 average annual cases over 2017-2021.
• CI*Rank ⋔ : 82 (42, 144)
• Recent Trend : The trend is rising because the trend is 1.7 with a 95% confidence interval from 0.1 to 5.6.

Smith County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 419.8 with a 95% confidence interval from 404.6 to 435.4 and 622 average annual cases over 2017-2021.
• CI*Rank ⋔ : 91 (46, 149)
• Recent Trend : The trend is stable because the trend is -2.8 with a 95% confidence interval from -5.8 to 0.5.

Lubbock County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 388.4 with a 95% confidence interval from 374.5 to 402.8 and 614 average annual cases over 2017-2021.
• CI*Rank ⋔ : 172 (98, 197)
• Recent Trend : The trend is stable because the trend is -1.5 with a 95% confidence interval from -3.2 to 0.2.

Jefferson County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 373.4 with a 95% confidence interval from 359.3 to 388.0 and 561 average annual cases over 2017-2021.
• CI*Rank ⋔ : 192 (133, 210)
• Recent Trend : The trend is stable because the trend is 0.8 with a 95% confidence interval from -0.5 to 3.6.

Hays County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 399.8 with a 95% confidence interval from 383.1 to 417.1 and 451 average annual cases over 2017-2021.
• CI*Rank ⋔ : 141 (72, 187)
• Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -0.7 to 0.6.

Ellis County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 427.0 with a 95% confidence interval from 409.0 to 445.6 and 440 average annual cases over 2017-2021.
• CI*Rank ⋔ : 77 (33, 148)
• Recent Trend : The trend is falling because the trend is -2.0 with a 95% confidence interval from -4.4 to -0.1.

Johnson County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 432.2 with a 95% confidence interval from 413.9 to 451.1 and 437 average annual cases over 2017-2021.
• CI*Rank ⋔ : 62 (29, 141)
• Recent Trend : The trend is rising because the trend is 1.1 with a 95% confidence interval from 0.1 to 4.1.

Comal County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 392.0 with a 95% confidence interval from 374.4 to 410.3 and 411 average annual cases over 2017-2021.
• CI*Rank ⋔ : 162 (82, 196)
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -0.8 to 0.2.

Parker County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 463.7 with a 95% confidence interval from 443.2 to 485.0 and 407 average annual cases over 2017-2021.
• CI*Rank ⋔ : 25 (11, 77)
• Recent Trend : The trend is stable because the trend is 0.4 with a 95% confidence interval from -0.2 to 1.0.

Webb County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 323.5 with a 95% confidence interval from 309.1 to 338.4 and 387 average annual cases over 2017-2021.
• CI*Rank ⋔ : 226 (198, 232)
• Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -0.3 to 0.9.

Guadalupe County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 390.4 with a 95% confidence interval from 372.8 to 408.7 and 381 average annual cases over 2017-2021.
• CI*Rank ⋔ : 168 (83, 200)
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -0.7 to 0.0.

Grayson County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 405.3 with a 95% confidence interval from 386.2 to 425.1 and 369 average annual cases over 2017-2021.
• CI*Rank ⋔ : 128 (53, 183)
• Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -0.4 to 0.6.

Gregg County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 456.3 with a 95% confidence interval from 434.3 to 479.1 and 348 average annual cases over 2017-2021.
• CI*Rank ⋔ : 28 (12, 102)
• Recent Trend : The trend is falling because the trend is -2.9 with a 95% confidence interval from -5.3 to -0.9.

Wichita County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 457.3 with a 95% confidence interval from 434.9 to 480.6 and 340 average annual cases over 2017-2021.
• CI*Rank ⋔ : 27 (11, 106)
• Recent Trend : The trend is stable because the trend is -1.5 with a 95% confidence interval from -5.1 to 0.5.

Brazos County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 364.6 with a 95% confidence interval from 347.0 to 382.8 and 335 average annual cases over 2017-2021.
• CI*Rank ⋔ : 202 (140, 218)
• Recent Trend : The trend is falling because the trend is -0.9 with a 95% confidence interval from -1.4 to -0.4.

Randall County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 408.5 with a 95% confidence interval from 388.6 to 429.2 and 335 average annual cases over 2017-2021.
• CI*Rank ⋔ : 119 (47, 180)
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -0.8 to 0.3.

Taylor County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 420.3 with a 95% confidence interval from 399.5 to 441.9 and 331 average annual cases over 2017-2021.
• CI*Rank ⋔ : 90 (35, 166)
• Recent Trend : The trend is stable because the trend is 0.6 with a 95% confidence interval from 0.0 to 2.2.

Ector County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 440.0 with a 95% confidence interval from 418.0 to 462.8 and 309 average annual cases over 2017-2021.
• CI*Rank ⋔ : 52 (19, 133)
• Recent Trend : The trend is stable because the trend is 1.6 with a 95% confidence interval from -0.3 to 5.8.

Kaufman County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 429.8 with a 95% confidence interval from 408.2 to 452.2 and 308 average annual cases over 2017-2021.
• CI*Rank ⋔ : 69 (23, 153)
• Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -0.3 to 1.0.

Tom Green County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 430.7 with a 95% confidence interval from 408.4 to 453.8 and 305 average annual cases over 2017-2021.
• CI*Rank ⋔ : 67 (24, 147)
• Recent Trend : The trend is stable because the trend is 0.7 with a 95% confidence interval from -0.1 to 1.4.

Midland County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 393.5 with a 95% confidence interval from 373.5 to 414.4 and 302 average annual cases over 2017-2021.
• CI*Rank ⋔ : 157 (74, 198)
• Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -1.8 to 0.2.

Henderson County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 455.3 with a 95% confidence interval from 430.2 to 481.7 and 285 average annual cases over 2017-2021.
• CI*Rank ⋔ : 29 (10, 107)
• Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -0.4 to 1.1.

Potter County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 430.9 with a 95% confidence interval from 407.6 to 455.3 and 269 average annual cases over 2017-2021.
• CI*Rank ⋔ : 66 (21, 160)
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -0.8 to 0.2.

Bowie County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 418.6 with a 95% confidence interval from 394.8 to 443.4 and 251 average annual cases over 2017-2021.
• CI*Rank ⋔ : 94 (31, 176)
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -1.0 to 0.5.

Hunt County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 403.3 with a 95% confidence interval from 380.5 to 427.1 and 249 average annual cases over 2017-2021.
• CI*Rank ⋔ : 132 (52, 195)
• Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -0.9 to 0.9.

Rockwall County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 423.8 with a 95% confidence interval from 399.9 to 448.9 and 242 average annual cases over 2017-2021.
• CI*Rank ⋔ : 81 (27, 169)
• Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -0.2 to 0.8.

Victoria County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 418.3 with a 95% confidence interval from 393.7 to 444.0 and 233 average annual cases over 2017-2021.
• CI*Rank ⋔ : 95 (29, 178)
• Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -0.9 to 0.8.

Bastrop County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 411.6 with a 95% confidence interval from 387.1 to 437.4 and 227 average annual cases over 2017-2021.
• CI*Rank ⋔ : 111 (33, 185)
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -1.0 to 0.6.

Orange County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 429.0 with a 95% confidence interval from 403.5 to 455.7 and 225 average annual cases over 2017-2021.
• CI*Rank ⋔ : 70 (19, 160)
• Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -1.3 to 0.0.

Angelina County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 400.8 with a 95% confidence interval from 376.5 to 426.3 and 216 average annual cases over 2017-2021.
• CI*Rank ⋔ : 138 (50, 199)
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -1.4 to 0.8.

Hood County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 434.9 with a 95% confidence interval from 406.5 to 464.9 and 213 average annual cases over 2017-2021.
• CI*Rank ⋔ : 57 (16, 165)
• Recent Trend : The trend is rising because the trend is 1.9 with a 95% confidence interval from 0.3 to 5.6.

Liberty County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 411.3 with a 95% confidence interval from 385.6 to 438.4 and 198 average annual cases over 2017-2021.
• CI*Rank ⋔ : 112 (37, 188)
• Recent Trend : The trend is stable because the trend is 0.4 with a 95% confidence interval from -0.6 to 1.3.

Polk County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 618.1 with a 95% confidence interval from 575.2 to 663.6 and 187 average annual cases over 2017-2021.
• CI*Rank ⋔ : 3 (1, 9)
• Recent Trend : The trend is rising because the trend is 3.4 with a 95% confidence interval from 1.4 to 8.8.

Van Zandt County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 441.0 with a 95% confidence interval from 411.4 to 472.4 and 185 average annual cases over 2017-2021.
• CI*Rank ⋔ : 47 (13, 152)
• Recent Trend : The trend is rising because the trend is 0.8 with a 95% confidence interval from 0.1 to 1.6.

Kerr County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 410.0 with a 95% confidence interval from 379.6 to 442.3 and 181 average annual cases over 2017-2021.
• CI*Rank ⋔ : 117 (29, 200)
• Recent Trend : The trend is stable because the trend is 0.4 with a 95% confidence interval from -0.5 to 1.3.

Wise County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 445.2 with a 95% confidence interval from 415.7 to 476.3 and 179 average annual cases over 2017-2021.
• CI*Rank ⋔ : 42 (13, 148)
• Recent Trend : The trend is rising because the trend is 1.6 with a 95% confidence interval from 0.7 to 2.7.

Harrison County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 405.6 with a 95% confidence interval from 378.4 to 434.4 and 178 average annual cases over 2017-2021.
• CI*Rank ⋔ : 126 (39, 199)
• Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -0.5 to 0.8.

Coryell County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 428.7 with a 95% confidence interval from 399.8 to 459.0 and 167 average annual cases over 2017-2021.
• CI*Rank ⋔ : 71 (19, 171)
• Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -0.6 to 1.4.

San Patricio County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 413.2 with a 95% confidence interval from 384.5 to 443.6 and 160 average annual cases over 2017-2021.
• CI*Rank ⋔ : 105 (27, 195)
• Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -0.8 to 0.8.

Wood County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 419.2 with a 95% confidence interval from 386.5 to 454.2 and 160 average annual cases over 2017-2021.
• CI*Rank ⋔ : 93 (20, 190)
• Recent Trend : The trend is rising because the trend is 1.3 with a 95% confidence interval from 0.5 to 2.2.

Lamar County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 450.1 with a 95% confidence interval from 417.4 to 484.8 and 157 average annual cases over 2017-2021.
• CI*Rank ⋔ : 33 (8, 154)
• Recent Trend : The trend is stable because the trend is 0.6 with a 95% confidence interval from -0.2 to 1.3.

Burnet County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 393.8 with a 95% confidence interval from 363.5 to 426.3 and 148 average annual cases over 2017-2021.
• CI*Rank ⋔ : 156 (49, 212)
• Recent Trend : The trend is stable because the trend is 0.6 with a 95% confidence interval from -4.7 to 5.8.

Hardin County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 412.5 with a 95% confidence interval from 382.2 to 444.7 and 147 average annual cases over 2017-2021.
• CI*Rank ⋔ : 109 (28, 198)
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -1.0 to 0.3.

Cherokee County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 450.0 with a 95% confidence interval from 416.2 to 485.9 and 144 average annual cases over 2017-2021.
• CI*Rank ⋔ : 34 (8, 151)
• Recent Trend : The trend is rising because the trend is 1.2 with a 95% confidence interval from 0.6 to 1.8.

Rusk County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 439.9 with a 95% confidence interval from 406.6 to 475.3 and 141 average annual cases over 2017-2021.
• CI*Rank ⋔ : 53 (12, 165)
• Recent Trend : The trend is rising because the trend is 2.8 with a 95% confidence interval from 0.8 to 7.6.

Walker County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 401.6 with a 95% confidence interval from 370.8 to 434.3 and 140 average annual cases over 2017-2021.
• CI*Rank ⋔ : 136 (36, 205)
• Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -0.6 to 1.0.

Navarro County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 410.9 with a 95% confidence interval from 379.1 to 444.8 and 134 average annual cases over 2017-2021.
• CI*Rank ⋔ : 114 (28, 200)
• Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -0.7 to 0.8.

Anderson County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 431.3 with a 95% confidence interval from 397.6 to 467.3 and 133 average annual cases over 2017-2021.
• CI*Rank ⋔ : 65 (16, 188)
• Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -1.9 to 2.2.

Nacogdoches County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 359.0 with a 95% confidence interval from 330.9 to 388.8 and 131 average annual cases over 2017-2021.
• CI*Rank ⋔ : 205 (110, 227)
• Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -2.1 to 0.1.

Kendall County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 409.8 with a 95% confidence interval from 376.9 to 445.1 and 127 average annual cases over 2017-2021.
• CI*Rank ⋔ : 118 (26, 203)
• Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -1.0 to 1.5.

Cooke County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 445.3 with a 95% confidence interval from 409.3 to 483.7 and 125 average annual cases over 2017-2021.
• CI*Rank ⋔ : 41 (8, 161)
• Recent Trend : The trend is stable because the trend is 0.4 with a 95% confidence interval from -0.7 to 1.4.

Medina County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 399.6 with a 95% confidence interval from 367.6 to 433.8 and 125 average annual cases over 2017-2021.
• CI*Rank ⋔ : 142 (35, 209)
• Recent Trend : The trend is rising because the trend is 2.1 with a 95% confidence interval from 1.2 to 5.2.

Wilson County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 402.0 with a 95% confidence interval from 369.4 to 436.8 and 120 average annual cases over 2017-2021.
• CI*Rank ⋔ : 135 (35, 207)
• Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -1.0 to 1.6.

Upshur County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 442.7 with a 95% confidence interval from 406.0 to 482.0 and 120 average annual cases over 2017-2021.
• CI*Rank ⋔ : 45 (9, 172)
• Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -0.8 to 1.0.

Starr County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 381.8 with a 95% confidence interval from 351.5 to 414.0 and 119 average annual cases over 2017-2021.
• CI*Rank ⋔ : 180 (59, 219)
• Recent Trend : The trend is rising because the trend is 2.4 with a 95% confidence interval from 1.0 to 4.1.

Hill County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 473.1 with a 95% confidence interval from 433.2 to 515.9 and 118 average annual cases over 2017-2021.
• CI*Rank ⋔ : 19 (5, 122)
• Recent Trend : The trend is stable because the trend is 0.6 with a 95% confidence interval from -0.9 to 2.1.

Waller County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 431.6 with a 95% confidence interval from 395.2 to 470.4 and 110 average annual cases over 2017-2021.
• CI*Rank ⋔ : 64 (12, 186)
• Recent Trend : The trend is stable because the trend is 0.6 with a 95% confidence interval from -0.4 to 1.7.

Jasper County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 478.0 with a 95% confidence interval from 436.2 to 523.0 and 109 average annual cases over 2017-2021.
• CI*Rank ⋔ : 14 (5, 127)
• Recent Trend : The trend is rising because the trend is 1.2 with a 95% confidence interval from 0.2 to 2.3.

Atascosa County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 394.5 with a 95% confidence interval from 361.2 to 430.0 and 108 average annual cases over 2017-2021.
• CI*Rank ⋔ : 152 (40, 213)
• Recent Trend : The trend is stable because the trend is 4.4 with a 95% confidence interval from -1.0 to 9.7.

Fannin County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 480.2 with a 95% confidence interval from 438.5 to 525.0 and 108 average annual cases over 2017-2021.
• CI*Rank ⋔ : 11 (4, 114)
• Recent Trend : The trend is rising because the trend is 1.3 with a 95% confidence interval from 0.5 to 2.2.

Hopkins County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 449.1 with a 95% confidence interval from 410.3 to 490.8 and 108 average annual cases over 2017-2021.
• CI*Rank ⋔ : 36 (8, 163)
• Recent Trend : The trend is stable because the trend is 0.5 with a 95% confidence interval from -0.6 to 1.5.

Maverick County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 372.2 with a 95% confidence interval from 340.7 to 405.9 and 105 average annual cases over 2017-2021.
• CI*Rank ⋔ : 194 (71, 224)
• Recent Trend : The trend is rising because the trend is 2.0 with a 95% confidence interval from 0.3 to 6.3.

Brown County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 380.6 with a 95% confidence interval from 346.3 to 417.5 and 102 average annual cases over 2017-2021.
• CI*Rank ⋔ : 182 (49, 224)
• Recent Trend : The trend is falling because the trend is -0.9 with a 95% confidence interval from -1.8 to -0.1.

Val Verde County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 414.2 with a 95% confidence interval from 378.2 to 452.8 and 102 average annual cases over 2017-2021.
• CI*Rank ⋔ : 103 (18, 202)
• Recent Trend : The trend is stable because the trend is -2.8 with a 95% confidence interval from -6.9 to 0.1.

Washington County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 385.3 with a 95% confidence interval from 349.0 to 424.6 and 100 average annual cases over 2017-2021.
• CI*Rank ⋔ : 175 (42, 220)
• Recent Trend : The trend is stable because the trend is 2.7 with a 95% confidence interval from -2.0 to 11.1.

Wharton County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 368.5 with a 95% confidence interval from 335.4 to 404.1 and 99 average annual cases over 2017-2021.
• CI*Rank ⋔ : 199 (78, 228)
• Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -1.1 to 0.8.

Gillespie County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 423.7 with a 95% confidence interval from 380.8 to 470.6 and 99 average annual cases over 2017-2021.
• CI*Rank ⋔ : 83 (12, 198)
• Recent Trend : The trend is stable because the trend is 9.6 with a 95% confidence interval from -0.1 to 15.4.

Cass County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 435.3 with a 95% confidence interval from 394.4 to 479.6 and 96 average annual cases over 2017-2021.
• CI*Rank ⋔ : 56 (11, 190)
• Recent Trend : The trend is rising because the trend is 1.9 with a 95% confidence interval from 0.7 to 3.1.

Chambers County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 426.0 with a 95% confidence interval from 388.1 to 466.5 and 96 average annual cases over 2017-2021.
• CI*Rank ⋔ : 79 (14, 198)
• Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -1.2 to 1.0.

Palo Pinto County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 479.9 with a 95% confidence interval from 434.9 to 528.5 and 94 average annual cases over 2017-2021.
• CI*Rank ⋔ : 12 (4, 135)
• Recent Trend : The trend is rising because the trend is 1.3 with a 95% confidence interval from 0.3 to 2.4.

Jim Wells County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 412.8 with a 95% confidence interval from 375.1 to 453.2 and 93 average annual cases over 2017-2021.
• CI*Rank ⋔ : 107 (20, 207)
• Recent Trend : The trend is stable because the trend is 0.8 with a 95% confidence interval from -0.3 to 2.0.

Caldwell County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 343.8 with a 95% confidence interval from 312.6 to 377.4 and 93 average annual cases over 2017-2021.
• CI*Rank ⋔ : 214 (124, 232)
• Recent Trend : The trend is falling because the trend is -1.3 with a 95% confidence interval from -2.1 to -0.6.

Matagorda County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 412.6 with a 95% confidence interval from 374.3 to 453.8 and 93 average annual cases over 2017-2021.
• CI*Rank ⋔ : 108 (18, 211)
• Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -1.0 to 0.7.

Llano County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 400.2 with a 95% confidence interval from 354.5 to 451.3 and 86 average annual cases over 2017-2021.
• CI*Rank ⋔ : 140 (17, 221)
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -1.4 to 0.7.

Aransas County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 415.9 with a 95% confidence interval from 371.7 to 464.5 and 85 average annual cases over 2017-2021.
• CI*Rank ⋔ : 100 (15, 216)
• Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -2.0 to 0.5.

San Jacinto County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 413.4 with a 95% confidence interval from 371.5 to 459.1 and 82 average annual cases over 2017-2021.
• CI*Rank ⋔ : 104 (17, 213)
• Recent Trend : The trend is stable because the trend is 0.7 with a 95% confidence interval from -0.3 to 1.7.

Erath County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 351.7 with a 95% confidence interval from 316.6 to 389.7 and 79 average annual cases over 2017-2021.
• CI*Rank ⋔ : 212 (100, 231)
• Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -0.8 to 1.3.

Fayette County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 399.0 with a 95% confidence interval from 355.1 to 447.4 and 77 average annual cases over 2017-2021.
• CI*Rank ⋔ : 143 (21, 221)
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -1.6 to 0.8.

Grimes County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 440.4 with a 95% confidence interval from 394.6 to 490.4 and 76 average annual cases over 2017-2021.
• CI*Rank ⋔ : 51 (8, 199)
• Recent Trend : The trend is rising because the trend is 1.8 with a 95% confidence interval from 0.9 to 2.7.

Panola County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 470.1 with a 95% confidence interval from 421.2 to 523.7 and 74 average annual cases over 2017-2021.
• CI*Rank ⋔ : 21 (4, 164)
• Recent Trend : The trend is stable because the trend is 1.0 with a 95% confidence interval from -0.2 to 2.1.

Austin County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 354.6 with a 95% confidence interval from 316.8 to 395.9 and 72 average annual cases over 2017-2021.
• CI*Rank ⋔ : 210 (82, 231)
• Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -2.2 to 1.1.

Bandera County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 402.5 with a 95% confidence interval from 355.9 to 454.5 and 72 average annual cases over 2017-2021.
• CI*Rank ⋔ : 134 (15, 225)
• Recent Trend : The trend is rising because the trend is 3.5 with a 95% confidence interval from 0.1 to 10.0.

Milam County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 403.8 with a 95% confidence interval from 360.4 to 451.3 and 72 average annual cases over 2017-2021.
• CI*Rank ⋔ : 131 (17, 218)
• Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -0.9 to 1.6.

Bee County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 497.3 with a 95% confidence interval from 444.6 to 554.6 and 70 average annual cases over 2017-2021.
• CI*Rank ⋔ : 7 (3, 126)
• Recent Trend : The trend is stable because the trend is 5.8 with a 95% confidence interval from -6.2 to 16.8.

Lampasas County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 466.8 with a 95% confidence interval from 416.0 to 522.5 and 69 average annual cases over 2017-2021.
• CI*Rank ⋔ : 24 (4, 168)
• Recent Trend : The trend is rising because the trend is 1.9 with a 95% confidence interval from 0.6 to 3.3.

Titus County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 384.9 with a 95% confidence interval from 344.5 to 428.8 and 69 average annual cases over 2017-2021.
• CI*Rank ⋔ : 176 (34, 226)
• Recent Trend : The trend is stable because the trend is 10.3 with a 95% confidence interval from -0.6 to 18.4.

Lavaca County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 433.9 with a 95% confidence interval from 384.2 to 488.8 and 67 average annual cases over 2017-2021.
• CI*Rank ⋔ : 59 (6, 208)
• Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -1.8 to 2.2.

Uvalde County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 467.4 with a 95% confidence interval from 416.3 to 523.0 and 66 average annual cases over 2017-2021.
• CI*Rank ⋔ : 23 (5, 176)
• Recent Trend : The trend is rising because the trend is 1.6 with a 95% confidence interval from 0.4 to 2.8.

Howard County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 368.6 with a 95% confidence interval from 328.4 to 412.5 and 65 average annual cases over 2017-2021.
• CI*Rank ⋔ : 198 (53, 230)
• Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -2.1 to 0.1.

Montague County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 433.2 with a 95% confidence interval from 383.7 to 487.9 and 65 average annual cases over 2017-2021.
• CI*Rank ⋔ : 61 (8, 204)
• Recent Trend : The trend is stable because the trend is 1.0 with a 95% confidence interval from -0.1 to 2.1.

Limestone County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 419.3 with a 95% confidence interval from 371.4 to 472.0 and 64 average annual cases over 2017-2021.
• CI*Rank ⋔ : 92 (11, 210)
• Recent Trend : The trend is stable because the trend is 1.3 with a 95% confidence interval from -0.3 to 2.9.

Houston County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 414.5 with a 95% confidence interval from 365.6 to 468.6 and 64 average annual cases over 2017-2021.
• CI*Rank ⋔ : 102 (12, 217)
• Recent Trend : The trend is stable because the trend is 1.5 with a 95% confidence interval from -0.2 to 3.3.

Kleberg County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 422.0 with a 95% confidence interval from 375.6 to 472.4 and 64 average annual cases over 2017-2021.
• CI*Rank ⋔ : 87 (9, 209)
• Recent Trend : The trend is stable because the trend is 0.4 with a 95% confidence interval from -1.0 to 1.8.

Bosque County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 417.5 with a 95% confidence interval from 367.9 to 472.7 and 62 average annual cases over 2017-2021.
• CI*Rank ⋔ : 97 (9, 216)
• Recent Trend : The trend is stable because the trend is 1.2 with a 95% confidence interval from -0.1 to 2.6.

Tyler County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 427.6 with a 95% confidence interval from 375.4 to 485.6 and 60 average annual cases over 2017-2021.
• CI*Rank ⋔ : 74 (8, 213)
• Recent Trend : The trend is stable because the trend is 0.5 with a 95% confidence interval from -1.3 to 2.3.

Hale County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 333.6 with a 95% confidence interval from 296.0 to 374.8 and 59 average annual cases over 2017-2021.
• CI*Rank ⋔ : 222 (123, 236)
• Recent Trend : The trend is stable because the trend is -12.3 with a 95% confidence interval from -24.9 to 0.3.

Shelby County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 377.7 with a 95% confidence interval from 333.9 to 425.8 and 59 average annual cases over 2017-2021.
• CI*Rank ⋔ : 186 (36, 230)
• Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -1.0 to 1.1.

DeWitt County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 440.5 with a 95% confidence interval from 386.2 to 500.7 and 57 average annual cases over 2017-2021.
• CI*Rank ⋔ : 50 (5, 209)
• Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -1.3 to 1.1.

Burleson County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 451.9 with a 95% confidence interval from 396.9 to 513.0 and 57 average annual cases over 2017-2021.
• CI*Rank ⋔ : 31 (4, 200)
• Recent Trend : The trend is rising because the trend is 1.9 with a 95% confidence interval from 0.1 to 3.9.

Colorado County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 391.6 with a 95% confidence interval from 342.2 to 446.4 and 57 average annual cases over 2017-2021.
• CI*Rank ⋔ : 164 (17, 227)
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -1.7 to 1.0.

Calhoun County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 436.6 with a 95% confidence interval from 384.6 to 494.0 and 56 average annual cases over 2017-2021.
• CI*Rank ⋔ : 55 (7, 206)
• Recent Trend : The trend is stable because the trend is 0.5 with a 95% confidence interval from -0.7 to 1.8.

Hutchinson County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 422.9 with a 95% confidence interval from 371.6 to 479.5 and 54 average annual cases over 2017-2021.
• CI*Rank ⋔ : 86 (9, 213)
• Recent Trend : The trend is stable because the trend is 0.5 with a 95% confidence interval from -1.3 to 2.2.

Leon County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 427.6 with a 95% confidence interval from 372.7 to 489.1 and 53 average annual cases over 2017-2021.
• CI*Rank ⋔ : 75 (6, 213)
• Recent Trend : The trend is stable because the trend is 1.0 with a 95% confidence interval from -0.2 to 2.2.

Eastland County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 405.5 with a 95% confidence interval from 353.6 to 463.5 and 52 average annual cases over 2017-2021.
• CI*Rank ⋔ : 127 (11, 224)
• Recent Trend : The trend is stable because the trend is 0.4 with a 95% confidence interval from -0.8 to 1.6.

Freestone County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 392.0 with a 95% confidence interval from 342.2 to 447.5 and 51 average annual cases over 2017-2021.
• CI*Rank ⋔ : 163 (16, 227)
• Recent Trend : The trend is stable because the trend is 0.6 with a 95% confidence interval from -1.0 to 2.4.

Gray County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 411.7 with a 95% confidence interval from 360.0 to 468.9 and 50 average annual cases over 2017-2021.
• CI*Rank ⋔ : 110 (10, 223)
• Recent Trend : The trend is falling because the trend is -1.8 with a 95% confidence interval from -2.9 to -0.9.

Gonzales County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 432.1 with a 95% confidence interval from 378.2 to 491.8 and 50 average annual cases over 2017-2021.
• CI*Rank ⋔ : 63 (6, 215)
• Recent Trend : The trend is stable because the trend is 1.2 with a 95% confidence interval from -0.3 to 2.7.

Hockley County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 391.2 with a 95% confidence interval from 342.3 to 445.2 and 49 average annual cases over 2017-2021.
• CI*Rank ⋔ : 165 (19, 226)
• Recent Trend : The trend is stable because the trend is 0.5 with a 95% confidence interval from -1.0 to 2.0.

Trinity County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 426.4 with a 95% confidence interval from 367.6 to 492.9 and 48 average annual cases over 2017-2021.
• CI*Rank ⋔ : 78 (5, 220)
• Recent Trend : The trend is rising because the trend is 2.1 with a 95% confidence interval from 0.8 to 3.5.

Young County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 394.6 with a 95% confidence interval from 343.1 to 452.1 and 48 average annual cases over 2017-2021.
• CI*Rank ⋔ : 150 (15, 228)
• Recent Trend : The trend is falling because the trend is -0.9 with a 95% confidence interval from -1.7 to -0.1.

Lee County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 408.3 with a 95% confidence interval from 355.6 to 467.1 and 48 average annual cases over 2017-2021.
• CI*Rank ⋔ : 120 (12, 222)
• Recent Trend : The trend is stable because the trend is 1.2 with a 95% confidence interval from -0.8 to 3.4.

Falls County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 374.9 with a 95% confidence interval from 326.0 to 429.5 and 44 average annual cases over 2017-2021.
• CI*Rank ⋔ : 188 (24, 230)
• Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -1.1 to 1.5.

Jones County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 454.2 with a 95% confidence interval from 391.3 to 524.7 and 43 average annual cases over 2017-2021.
• CI*Rank ⋔ : 30 (4, 204)
• Recent Trend : The trend is stable because the trend is 0.8 with a 95% confidence interval from -0.6 to 2.2.

Red River County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 433.9 with a 95% confidence interval from 371.3 to 505.4 and 41 average annual cases over 2017-2021.
• CI*Rank ⋔ : 60 (5, 216)
• Recent Trend : The trend is stable because the trend is 0.4 with a 95% confidence interval from -1.7 to 2.5.

Callahan County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 394.6 with a 95% confidence interval from 339.1 to 457.5 and 41 average annual cases over 2017-2021.
• CI*Rank ⋔ : 151 (14, 230)
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -1.6 to 0.8.

Morris County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 450.5 with a 95% confidence interval from 386.7 to 522.6 and 41 average annual cases over 2017-2021.
• CI*Rank ⋔ : 32 (4, 210)
• Recent Trend : The trend is rising because the trend is 3.5 with a 95% confidence interval from 1.3 to 9.8.

Rains County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 427.4 with a 95% confidence interval from 365.6 to 497.9 and 41 average annual cases over 2017-2021.
• CI*Rank ⋔ : 76 (6, 224)
• Recent Trend : The trend is stable because the trend is 1.1 with a 95% confidence interval from -0.3 to 2.6.

Nolan County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 428.4 with a 95% confidence interval from 369.2 to 494.8 and 41 average annual cases over 2017-2021.
• CI*Rank ⋔ : 72 (6, 219)
• Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -1.8 to 1.5.

Robertson County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 345.7 with a 95% confidence interval from 297.7 to 399.8 and 41 average annual cases over 2017-2021.
• CI*Rank ⋔ : 213 (63, 237)
• Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -1.9 to 0.4.

Moore County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 407.1 with a 95% confidence interval from 352.1 to 468.3 and 41 average annual cases over 2017-2021.
• CI*Rank ⋔ : 123 (11, 226)
• Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -2.6 to 0.6.

Comanche County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 390.1 with a 95% confidence interval from 333.3 to 454.8 and 40 average annual cases over 2017-2021.
• CI*Rank ⋔ : 169 (13, 232)
• Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -1.2 to 1.6.

Marion County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 489.7 with a 95% confidence interval from 416.2 to 574.4 and 39 average annual cases over 2017-2021.
• CI*Rank ⋔ : 9 (2, 200)
• Recent Trend : The trend is rising because the trend is 7.9 with a 95% confidence interval from 2.1 to 19.2.

Blanco County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 400.9 with a 95% confidence interval from 340.6 to 470.8 and 39 average annual cases over 2017-2021.
• CI*Rank ⋔ : 137 (11, 228)
• Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -1.6 to 1.6.

Newton County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 400.6 with a 95% confidence interval from 340.7 to 469.1 and 38 average annual cases over 2017-2021.
• CI*Rank ⋔ : 139 (9, 229)
• Recent Trend : The trend is rising because the trend is 2.1 with a 95% confidence interval from 0.5 to 4.0.

Jackson County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 392.8 with a 95% confidence interval from 335.1 to 457.7 and 37 average annual cases over 2017-2021.
• CI*Rank ⋔ : 160 (14, 232)
• Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -2.8 to 0.9.

Deaf Smith County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 395.4 with a 95% confidence interval from 339.0 to 458.3 and 37 average annual cases over 2017-2021.
• CI*Rank ⋔ : 147 (12, 230)
• Recent Trend : The trend is stable because the trend is 0.4 with a 95% confidence interval from -0.9 to 1.8.

Camp County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 447.1 with a 95% confidence interval from 380.6 to 522.2 and 36 average annual cases over 2017-2021.
• CI*Rank ⋔ : 37 (3, 220)
• Recent Trend : The trend is stable because the trend is 1.5 with a 95% confidence interval from -3.0 to 8.6.

Sabine County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 395.8 with a 95% confidence interval from 330.9 to 471.7 and 35 average annual cases over 2017-2021.
• CI*Rank ⋔ : 146 (9, 233)
• Recent Trend : The trend is rising because the trend is 2.7 with a 95% confidence interval from 0.2 to 5.4.

Franklin County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 474.9 with a 95% confidence interval from 400.6 to 559.8 and 34 average annual cases over 2017-2021.
• CI*Rank ⋔ : 17 (2, 203)
• Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -1.6 to 1.5.

Andrews County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 407.0 with a 95% confidence interval from 346.3 to 475.1 and 33 average annual cases over 2017-2021.
• CI*Rank ⋔ : 124 (9, 228)
• Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -2.7 to 0.3.

Frio County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 404.3 with a 95% confidence interval from 342.6 to 473.7 and 33 average annual cases over 2017-2021.
• CI*Rank ⋔ : 129 (7, 228)
• Recent Trend : The trend is stable because the trend is 1.1 with a 95% confidence interval from -0.5 to 2.7.

Wilbarger County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 395.2 with a 95% confidence interval from 333.6 to 465.3 and 33 average annual cases over 2017-2021.
• CI*Rank ⋔ : 148 (11, 231)
• Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -2.8 to 0.4.

Clay County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 417.6 with a 95% confidence interval from 349.2 to 496.7 and 31 average annual cases over 2017-2021.
• CI*Rank ⋔ : 96 (5, 227)
• Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -9.3 to 2.6.

Scurry County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 342.2 with a 95% confidence interval from 288.8 to 402.7 and 31 average annual cases over 2017-2021.
• CI*Rank ⋔ : 215 (46, 239)
• Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -2.6 to -0.4.

Runnels County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 459.2 with a 95% confidence interval from 384.9 to 544.5 and 31 average annual cases over 2017-2021.
• CI*Rank ⋔ : 26 (3, 219)
• Recent Trend : The trend is stable because the trend is 1.3 with a 95% confidence interval from -0.7 to 3.4.

Willacy County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 289.5 with a 95% confidence interval from 243.6 to 341.5 and 31 average annual cases over 2017-2021.
• CI*Rank ⋔ : 235 (169, 241)
• Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -1.7 to 2.3.

Dawson County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 446.8 with a 95% confidence interval from 375.5 to 528.2 and 30 average annual cases over 2017-2021.
• CI*Rank ⋔ : 38 (3, 222)
• Recent Trend : The trend is stable because the trend is 0.7 with a 95% confidence interval from -1.0 to 2.3.

Live Oak County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 440.8 with a 95% confidence interval from 367.1 to 525.8 and 30 average annual cases over 2017-2021.
• CI*Rank ⋔ : 48 (3, 227)
• Recent Trend : The trend is stable because the trend is 1.5 with a 95% confidence interval from -0.5 to 3.5.

Karnes County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 415.9 with a 95% confidence interval from 348.6 to 492.8 and 30 average annual cases over 2017-2021.
• CI*Rank ⋔ : 99 (5, 230)
• Recent Trend : The trend is stable because the trend is 0.5 with a 95% confidence interval from -1.3 to 2.3.

Hamilton County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 439.8 with a 95% confidence interval from 364.4 to 528.0 and 30 average annual cases over 2017-2021.
• CI*Rank ⋔ : 54 (3, 224)
• Recent Trend : The trend is stable because the trend is 1.0 with a 95% confidence interval from -0.3 to 2.5.

Madison County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 393.5 with a 95% confidence interval from 330.0 to 466.3 and 29 average annual cases over 2017-2021.
• CI*Rank ⋔ : 159 (9, 234)
• Recent Trend : The trend is stable because the trend is 1.0 with a 95% confidence interval from -0.5 to 2.6.

Lamb County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 367.7 with a 95% confidence interval from 307.3 to 436.8 and 29 average annual cases over 2017-2021.
• CI*Rank ⋔ : 200 (20, 236)
• Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -1.4 to 1.0.

McCulloch County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 506.6 with a 95% confidence interval from 420.4 to 606.9 and 29 average annual cases over 2017-2021.
• CI*Rank ⋔ : 6 (1, 192)
• Recent Trend : The trend is stable because the trend is 1.1 with a 95% confidence interval from -1.4 to 3.6.

Pecos County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 393.5 with a 95% confidence interval from 330.3 to 465.5 and 28 average annual cases over 2017-2021.
• CI*Rank ⋔ : 158 (10, 233)
• Recent Trend : The trend is stable because the trend is 0.8 with a 95% confidence interval from -1.6 to 3.1.

Somervell County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 440.6 with a 95% confidence interval from 367.3 to 525.5 and 28 average annual cases over 2017-2021.
• CI*Rank ⋔ : 49 (3, 223)
• Recent Trend : The trend is stable because the trend is 1.7 with a 95% confidence interval from -0.4 to 4.2.

Coleman County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 415.8 with a 95% confidence interval from 343.4 to 501.5 and 28 average annual cases over 2017-2021.
• CI*Rank ⋔ : 101 (5, 232)
• Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -1.7 to 1.8.

San Augustine County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 374.5 with a 95% confidence interval from 306.0 to 456.2 and 26 average annual cases over 2017-2021.
• CI*Rank ⋔ : 189 (9, 237)
• Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -2.0 to 1.7.

Zavala County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 467.7 with a 95% confidence interval from 387.5 to 559.7 and 25 average annual cases over 2017-2021.
• CI*Rank ⋔ : 22 (2, 216)
• Recent Trend : The trend is rising because the trend is 2.9 with a 95% confidence interval from 0.8 to 5.2.

Ward County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 416.2 with a 95% confidence interval from 344.4 to 498.5 and 25 average annual cases over 2017-2021.
• CI*Rank ⋔ : 98 (4, 231)
• Recent Trend : The trend is stable because the trend is 0.9 with a 95% confidence interval from -0.9 to 2.7.

Gaines County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 283.3 with a 95% confidence interval from 233.9 to 339.5 and 24 average annual cases over 2017-2021.
• CI*Rank ⋔ : 236 (160, 242)
• Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -2.8 to 0.7.

Archer County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 383.1 with a 95% confidence interval from 313.0 to 465.5 and 24 average annual cases over 2017-2021.
• CI*Rank ⋔ : 177 (6, 235)
• Recent Trend : The trend is stable because the trend is 0.7 with a 95% confidence interval from -1.3 to 2.9.

Stephens County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 391.1 with a 95% confidence interval from 318.6 to 476.1 and 24 average annual cases over 2017-2021.
• CI*Rank ⋔ : 166 (7, 238)
• Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -3.7 to 2.1.

Reeves County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 390.9 with a 95% confidence interval from 322.0 to 470.3 and 24 average annual cases over 2017-2021.
• CI*Rank ⋔ : 167 (10, 236)
• Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -1.9 to 1.9.

Duval County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 387.8 with a 95% confidence interval from 317.0 to 470.2 and 23 average annual cases over 2017-2021.
• CI*Rank ⋔ : 173 (7, 235)
• Recent Trend : The trend is stable because the trend is 5.3 with a 95% confidence interval from -7.9 to 24.4.

Terry County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 330.3 with a 95% confidence interval from 270.3 to 400.0 and 23 average annual cases over 2017-2021.
• CI*Rank ⋔ : 224 (53, 241)
• Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -2.8 to 1.0.

Goliad County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 390.0 with a 95% confidence interval from 312.9 to 482.2 and 21 average annual cases over 2017-2021.
• CI*Rank ⋔ : 170 (6, 237)
• Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -18.6 to 3.5.

Zapata County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 298.0 with a 95% confidence interval from 242.3 to 362.6 and 20 average annual cases over 2017-2021.
• CI*Rank ⋔ : 233 (111, 241)
• Recent Trend : The trend is stable because the trend is 0.4 with a 95% confidence interval from -1.7 to 2.6.

Dimmit County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 381.9 with a 95% confidence interval from 308.3 to 468.3 and 20 average annual cases over 2017-2021.
• CI*Rank ⋔ : 179 (8, 238)
• Recent Trend : The trend is rising because the trend is 2.5 with a 95% confidence interval from 0.1 to 5.3.

Mitchell County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 424.8 with a 95% confidence interval from 339.9 to 525.7 and 19 average annual cases over 2017-2021.
• CI*Rank ⋔ : 80 (4, 233)
• Recent Trend : The trend is stable because the trend is 1.3 with a 95% confidence interval from -1.0 to 3.6.

Swisher County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 420.8 with a 95% confidence interval from 333.6 to 525.0 and 18 average annual cases over 2017-2021.
• CI*Rank ⋔ : 89 (3, 235)
• Recent Trend : The trend is rising because the trend is 12.7 with a 95% confidence interval from 2.7 to 23.8.

Refugio County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 364.6 with a 95% confidence interval from 286.2 to 459.1 and 18 average annual cases over 2017-2021.
• CI*Rank ⋔ : 203 (6, 240)
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -2.2 to 1.5.

Brewster County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 261.3 with a 95% confidence interval from 205.1 to 329.4 and 17 average annual cases over 2017-2021.
• CI*Rank ⋔ : 238 (193, 243)
• Recent Trend : The trend is stable because the trend is -1.4 with a 95% confidence interval from -4.3 to 1.3.

Ochiltree County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 355.7 with a 95% confidence interval from 283.5 to 440.4 and 17 average annual cases over 2017-2021.
• CI*Rank ⋔ : 209 (16, 240)
• Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -5.1 to 2.6.

Delta County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 474.4 with a 95% confidence interval from 372.1 to 597.9 and 17 average annual cases over 2017-2021.
• CI*Rank ⋔ : 18 (1, 228)
• Recent Trend : The trend is stable because the trend is 1.6 with a 95% confidence interval from -0.4 to 3.6.

Jack County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 354.1 with a 95% confidence interval from 279.2 to 444.0 and 17 average annual cases over 2017-2021.
• CI*Rank ⋔ : 211 (13, 240)
• Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -2.0 to 2.5.

Parmer County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 301.8 with a 95% confidence interval from 239.2 to 376.3 and 17 average annual cases over 2017-2021.
• CI*Rank ⋔ : 232 (74, 242)
• Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -2.3 to 2.2.

Brooks County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 394.0 with a 95% confidence interval from 308.2 to 496.8 and 16 average annual cases over 2017-2021.
• CI*Rank ⋔ : 155 (4, 239)
• Recent Trend : The trend is stable because the trend is 2.5 with a 95% confidence interval from -0.2 to 5.2.

Childress County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 429.9 with a 95% confidence interval from 335.7 to 543.8 and 16 average annual cases over 2017-2021.
• CI*Rank ⋔ : 68 (2, 235)
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -2.7 to 1.8.

Haskell County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 477.9 with a 95% confidence interval from 367.4 to 612.5 and 16 average annual cases over 2017-2021.
• CI*Rank ⋔ : 15 (1, 230)
• Recent Trend : The trend is stable because the trend is 1.0 with a 95% confidence interval from -1.5 to 3.3.

San Saba County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 421.7 with a 95% confidence interval from 323.1 to 542.8 and 16 average annual cases over 2017-2021.
• CI*Rank ⋔ : 88 (3, 236)
• Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -4.2 to 3.7.

Kimble County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 442.3 with a 95% confidence interval from 333.1 to 578.8 and 15 average annual cases over 2017-2021.
• CI*Rank ⋔ : 46 (1, 237)
• Recent Trend : The trend is stable because the trend is 0.5 with a 95% confidence interval from -2.3 to 3.0.

Carson County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 397.7 with a 95% confidence interval from 307.3 to 507.9 and 15 average annual cases over 2017-2021.
• CI*Rank ⋔ : 145 (4, 238)
• Recent Trend : The trend is stable because the trend is 6.4 with a 95% confidence interval from -0.5 to 26.4.

Lynn County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 446.8 with a 95% confidence interval from 346.5 to 568.0 and 15 average annual cases over 2017-2021.
• CI*Rank ⋔ : 39 (2, 235)
• Recent Trend : The trend is stable because the trend is 2.0 with a 95% confidence interval from -0.7 to 4.8.

Castro County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 379.7 with a 95% confidence interval from 292.0 to 484.9 and 14 average annual cases over 2017-2021.
• CI*Rank ⋔ : 184 (6, 240)
• Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -2.5 to 2.8.

Crosby County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 398.4 with a 95% confidence interval from 305.8 to 511.8 and 14 average annual cases over 2017-2021.
• CI*Rank ⋔ : 144 (4, 239)
• Recent Trend : The trend is stable because the trend is 2.1 with a 95% confidence interval from -0.1 to 4.5.

Yoakum County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 369.1 with a 95% confidence interval from 285.5 to 469.1 and 14 average annual cases over 2017-2021.
• CI*Rank ⋔ : 197 (6, 240)
• Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -3.1 to 2.6.

Dallam County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 428.0 with a 95% confidence interval from 331.1 to 543.9 and 14 average annual cases over 2017-2021.
• CI*Rank ⋔ : 73 (2, 237)
• Recent Trend : The trend is stable because the trend is -1.3 with a 95% confidence interval from -4.4 to 1.7.

Wheeler County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 373.8 with a 95% confidence interval from 285.6 to 483.0 and 13 average annual cases over 2017-2021.
• CI*Rank ⋔ : 191 (6, 240)
• Recent Trend : The trend is stable because the trend is 0.7 with a 95% confidence interval from -3.1 to 4.6.

La Salle County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 379.1 with a 95% confidence interval from 290.0 to 488.0 and 13 average annual cases over 2017-2021.
• CI*Rank ⋔ : 185 (5, 239)
• Recent Trend : The trend is stable because the trend is 9.2 with a 95% confidence interval from -2.6 to 35.3.

Floyd County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 366.5 with a 95% confidence interval from 278.4 to 474.9 and 13 average annual cases over 2017-2021.
• CI*Rank ⋔ : 201 (7, 241)
• Recent Trend : The trend is stable because the trend is 0.7 with a 95% confidence interval from -2.7 to 3.7.

Mills County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 339.5 with a 95% confidence interval from 249.9 to 455.3 and 13 average annual cases over 2017-2021.
• CI*Rank ⋔ : 217 (8, 242)
• Recent Trend : The trend is stable because the trend is 1.3 with a 95% confidence interval from -2.2 to 4.6.

Martin County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 496.7 with a 95% confidence interval from 378.4 to 640.1 and 12 average annual cases over 2017-2021.
• CI*Rank ⋔ : 8 (1, 229)
• Recent Trend : The trend is stable because the trend is 1.7 with a 95% confidence interval from -2.0 to 5.8.

Baylor County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 423.1 with a 95% confidence interval from 315.7 to 560.5 and 12 average annual cases over 2017-2021.
• CI*Rank ⋔ : 85 (2, 238)
• Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -2.3 to 1.8.

Fisher County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 487.2 with a 95% confidence interval from 356.9 to 650.6 and 12 average annual cases over 2017-2021.
• CI*Rank ⋔ : 10 (1, 234)
• Recent Trend : The trend is rising because the trend is 2.5 with a 95% confidence interval from 0.7 to 4.3.

Bailey County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 306.2 with a 95% confidence interval from 231.5 to 397.6 and 12 average annual cases over 2017-2021.
• CI*Rank ⋔ : 230 (38, 242)
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -4.1 to 2.7.

Winkler County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 314.1 with a 95% confidence interval from 238.2 to 406.6 and 12 average annual cases over 2017-2021.
• CI*Rank ⋔ : 227 (19, 242)
• Recent Trend : The trend is stable because the trend is -1.4 with a 95% confidence interval from -3.6 to 0.6.

Coke County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 477.7 with a 95% confidence interval from 348.1 to 643.0 and 12 average annual cases over 2017-2021.
• CI*Rank ⋔ : 16 (1, 235)
• Recent Trend : The trend is stable because the trend is 1.9 with a 95% confidence interval from -1.6 to 5.3.

Mason County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 355.7 with a 95% confidence interval from 258.4 to 483.0 and 12 average annual cases over 2017-2021.
• CI*Rank ⋔ : 208 (5, 241)
• Recent Trend : The trend is stable because the trend is 0.7 with a 95% confidence interval from -1.6 to 3.0.

Hardeman County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 410.5 with a 95% confidence interval from 297.2 to 555.8 and 10 average annual cases over 2017-2021.
• CI*Rank ⋔ : 115 (2, 240)
• Recent Trend : The trend is stable because the trend is -1.2 with a 95% confidence interval from -3.8 to 1.0.

Presidio County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 257.0 with a 95% confidence interval from 187.3 to 345.3 and 10 average annual cases over 2017-2021.
• CI*Rank ⋔ : 240 (149, 243)
• Recent Trend : The trend is rising because the trend is 10.1 with a 95% confidence interval from 5.2 to 23.2.

Real County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 407.4 with a 95% confidence interval from 290.5 to 565.2 and 10 average annual cases over 2017-2021.
• CI*Rank ⋔ : 122 (1, 241)
• Recent Trend : The trend is rising because the trend is 6.5 with a 95% confidence interval from 3.0 to 11.9.

Hansford County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 340.6 with a 95% confidence interval from 250.4 to 453.2 and 10 average annual cases over 2017-2021.
• CI*Rank ⋔ : 216 (7, 242)
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -2.5 to 1.6.

Crockett County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 479.2 with a 95% confidence interval from 349.9 to 644.2 and 10 average annual cases over 2017-2021.
• CI*Rank ⋔ : 13 (1, 237)
• Recent Trend : The trend is stable because the trend is 2.2 with a 95% confidence interval from -1.4 to 6.1.

Hartley County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 336.1 with a 95% confidence interval from 245.0 to 451.6 and 10 average annual cases over 2017-2021.
• CI*Rank ⋔ : 220 (6, 242)
• Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -2.7 to 2.6.

Kinney County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 423.4 with a 95% confidence interval from 296.6 to 591.4 and 10 average annual cases over 2017-2021.
• CI*Rank ⋔ : 84 (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).

Jim Hogg County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 334.5 with a 95% confidence interval from 241.1 to 452.9 and 9 average annual cases over 2017-2021.
• CI*Rank ⋔ : 221 (10, 242)
• Recent Trend : The trend is stable because the trend is 0.5 with a 95% confidence interval from -3.2 to 4.1.

Knox County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 410.3 with a 95% confidence interval from 288.4 to 567.6 and 9 average annual cases over 2017-2021.
• CI*Rank ⋔ : 116 (1, 241)
• Recent Trend : The trend is stable because the trend is 1.3 with a 95% confidence interval from -1.5 to 4.1.

Crane County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 380.3 with a 95% confidence interval from 273.7 to 514.2 and 9 average annual cases over 2017-2021.
• CI*Rank ⋔ : 183 (3, 242)
• Recent Trend : The trend is stable because the trend is -1.7 with a 95% confidence interval from -5.1 to 1.5.

Donley County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 306.5 with a 95% confidence interval from 214.8 to 431.3 and 9 average annual cases over 2017-2021.
• CI*Rank ⋔ : 228 (19, 243)
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -3.5 to 2.5.

Shackelford County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 374.0 with a 95% confidence interval from 263.3 to 519.9 and 9 average annual cases over 2017-2021.
• CI*Rank ⋔ : 190 (3, 242)
• Recent Trend : The trend is stable because the trend is 22.3 with a 95% confidence interval from -3.1 to 44.0.

Garza County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 306.2 with a 95% confidence interval from 218.6 to 420.2 and 8 average annual cases over 2017-2021.
• CI*Rank ⋔ : 229 (16, 243)
• Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -2.8 to 3.0.

Hall County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 356.3 with a 95% confidence interval from 246.6 to 504.6 and 8 average annual cases over 2017-2021.
• CI*Rank ⋔ : 207 (4, 242)
• Recent Trend : The trend is stable because the trend is 1.9 with a 95% confidence interval from -1.7 to 5.4.

Hudspeth County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 685.6 with a 95% confidence interval from 486.1 to 939.6 and 8 average annual cases over 2017-2021.
• CI*Rank ⋔ : 1 (1, 221)
• 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).

Menard County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 372.1 with a 95% confidence interval from 251.3 to 549.8 and 7 average annual cases over 2017-2021.
• CI*Rank ⋔ : 195 (2, 242)
• Recent Trend : The trend is stable because the trend is 0.4 with a 95% confidence interval from -5.1 to 6.3.

Schleicher County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 434.7 with a 95% confidence interval from 301.0 to 612.4 and 7 average annual cases over 2017-2021.
• CI*Rank ⋔ : 58 (1, 241)
• Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -3.5 to 4.0.

Armstrong County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 515.5 with a 95% confidence interval from 345.1 to 746.7 and 7 average annual cases over 2017-2021.
• CI*Rank ⋔ : 5 (1, 239)
• Recent Trend : The trend is rising because the trend is 4.3 with a 95% confidence interval from 0.6 to 8.5.

Reagan County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 443.6 with a 95% confidence interval from 301.1 to 629.5 and 7 average annual cases over 2017-2021.
• CI*Rank ⋔ : 44 (1, 241)
• Recent Trend : The trend is stable because the trend is 1.5 with a 95% confidence interval from -2.8 to 5.9.

Sutton County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 295.4 with a 95% confidence interval from 197.6 to 427.4 and 7 average annual cases over 2017-2021.
• CI*Rank ⋔ : 234 (18, 243)
• Recent Trend : The trend is stable because the trend is -1.2 with a 95% confidence interval from -4.6 to 1.8.

Upton County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 404.1 with a 95% confidence interval from 275.1 to 572.0 and 7 average annual cases over 2017-2021.
• CI*Rank ⋔ : 130 (1, 242)
• 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).

Cochran County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 381.2 with a 95% confidence interval from 257.2 to 548.3 and 6 average annual cases over 2017-2021.
• CI*Rank ⋔ : 181 (2, 242)
• Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -3.8 to 2.1.

Concho County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 272.7 with a 95% confidence interval from 172.4 to 413.1 and 6 average annual cases over 2017-2021.
• CI*Rank ⋔ : 237 (10, 243)
• Recent Trend : The trend is stable because the trend is 0.9 with a 95% confidence interval from -2.4 to 4.4.

Lipscomb County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 357.9 with a 95% confidence interval from 233.0 to 525.5 and 6 average annual cases over 2017-2021.
• CI*Rank ⋔ : 206 (2, 243)
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -4.3 to 3.2.

Stonewall County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 626.1 with a 95% confidence interval from 398.4 to 951.5 and 6 average annual cases over 2017-2021.
• CI*Rank ⋔ : 2 (1, 239)
• 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).

Dickens County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 449.6 with a 95% confidence interval from 282.3 to 687.1 and 6 average annual cases over 2017-2021.
• CI*Rank ⋔ : 35 (1, 242)
• Recent Trend : The trend is stable because the trend is -1.8 with a 95% confidence interval from -6.4 to 2.3.

Hemphill County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 304.8 with a 95% confidence interval from 201.7 to 443.3 and 6 average annual cases over 2017-2021.
• CI*Rank ⋔ : 231 (9, 243)
• Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -4.2 to 2.0.

Sherman County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 338.2 with a 95% confidence interval from 217.7 to 502.8 and 5 average annual cases over 2017-2021.
• CI*Rank ⋔ : 218 (4, 243)
• Recent Trend : The trend is stable because the trend is 2.2 with a 95% confidence interval from -1.6 to 6.3.

Irion County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 472.4 with a 95% confidence interval from 297.5 to 724.3 and 5 average annual cases over 2017-2021.
• CI*Rank ⋔ : 20 (1, 242)
• 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).

Edwards County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 392.2 with a 95% confidence interval from 229.8 to 642.0 and 4 average annual cases over 2017-2021.
• CI*Rank ⋔ : 161 (1, 243)
• Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -4.2 to 4.4.

Foard County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 520.4 with a 95% confidence interval from 293.4 to 859.6 and 4 average annual cases over 2017-2021.
• CI*Rank ⋔ : 4 (1, 242)
• 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).

Cottle County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 394.0 with a 95% confidence interval from 227.7 to 647.3 and 4 average annual cases over 2017-2021.
• CI*Rank ⋔ : 154 (1, 243)
• Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -5.4 to 3.5.

Culberson County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 258.0 with a 95% confidence interval from 147.4 to 423.6 and 4 average annual cases over 2017-2021.
• CI*Rank ⋔ : 239 (11, 243)
• 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).

Oldham County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 325.8 with a 95% confidence interval from 193.9 to 525.9 and 4 average annual cases over 2017-2021.
• CI*Rank ⋔ : 225 (3, 243)
• Recent Trend : The trend is stable because the trend is 0.4 with a 95% confidence interval from -4.3 to 5.2.

Jeff Davis County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 129.6 with a 95% confidence interval from 75.3 to 304.6 and 4 average annual cases over 2017-2021.
• CI*Rank ⋔ : 243 (151, 243)
• 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).

Collingsworth County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 171.4 with a 95% confidence interval from 96.6 to 287.4 and 3 average annual cases over 2017-2021.
• CI*Rank ⋔ : 242 (212, 243)
• Recent Trend : The trend is falling because the trend is -22.2 with a 95% confidence interval from -57.1 to -2.3.

Throckmorton County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 255.3 with a 95% confidence interval from 140.3 to 449.1 and 3 average annual cases over 2017-2021.
• CI*Rank ⋔ : 241 (7, 243)
• Recent Trend : The trend is falling because the trend is -7.8 with a 95% confidence interval from -22.3 to -3.3.

Sterling County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 446.1 with a 95% confidence interval from 246.6 to 742.0 and 3 average annual cases over 2017-2021.
• CI*Rank ⋔ : 40 (1, 243)
• 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).

Borden 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).

Briscoe 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).

Glasscock 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).

Kent 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).

Motley 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).

Roberts 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).

Terrell 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 01/17/2025 1:35 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.