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Death Rate Report for United States by County

All Cancer Sites, 2018-2022

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

Sorted by CI*Rank

County	2023 Rural-Urban Continuum Codes Φ	Met Healthy People Objective of 122.7?	Age-Adjusted Death Rate † deaths per 100,000 (95% Confidence Interval)	CI*Rank ⋔ (95% Confidence Interval)	Average Annual Count	Recent Trend	Recent 5-Year Trend ‡ in Death Rates (95% Confidence Interval)
United States	N/A	No	146.0 (145.8, 146.2)	N/A	602,955	falling	-1.5 (-1.6, -1.4)
Abbeville County, South Carolina	Rural	No	171.4 (152.6, 192.2)	N/A	65	falling	-0.7 (-1.2, -0.1)
Acadia Parish, Louisiana	Urban	No	196.8 (182.0, 212.5)	N/A	137	falling	-0.9 (-1.3, -0.6)
Accomack County, Virginia	Rural	No	171.5 (156.1, 188.3)	N/A	100	falling	-3.3 (-8.4, -1.5)
Ada County, Idaho	Urban	No	131.8 (127.5, 136.2)	N/A	739	falling	-1.4 (-1.6, -1.1)
Adair County, Iowa	Rural	No	147.2 (117.7, 183.2)	N/A	19	stable	-0.1 (-0.9, 0.6)
Adair County, Kentucky	Rural	No	195.9 (171.8, 222.8)	N/A	51	stable	-0.6 (-1.3, 0.1)
Adair County, Missouri	Rural	No	167.9 (147.4, 190.7)	N/A	49	stable	-0.6 (-1.2, 0.0)
Adair County, Oklahoma	Rural	No	200.7 (175.8, 228.2)	N/A	49	falling	-0.7 (-1.2, -0.2)
Adams County, Colorado ⁸	Urban	No	138.3 (133.3, 143.5)	N/A	611	falling	-1.8 (-2.2, -1.3)
Adams County, Idaho	Rural	No	146.6 (111.5, 193.7)	N/A	14	falling	-1.7 (-3.0, -0.2)
Adams County, Illinois	Rural	No	169.9 (158.2, 182.4)	N/A	167	falling	-1.4 (-1.8, -1.0)
Adams County, Indiana	Rural	No	162.0 (145.0, 180.6)	N/A	70	stable	-0.3 (-0.9, 0.3)
Adams County, Iowa	Rural	Yes	116.0 (81.0, 164.8)	N/A	8	stable	-1.1 (-2.4, 0.0)
Adams County, Mississippi	Rural	No	198.1 (179.1, 218.8)	N/A	85	falling	-0.6 (-1.0, -0.2)
Adams County, Nebraska	Rural	No	153.0 (136.5, 171.1)	N/A	66	falling	-0.9 (-1.3, -0.5)
Adams County, North Dakota	Rural	No	140.7 (86.6, 221.3)	N/A	6	falling	-1.4 (-2.8, -0.1)
Adams County, Ohio	Rural	No	241.9 (219.4, 266.3)	N/A	90	stable	-0.3 (-0.9, 0.3)
Adams County, Pennsylvania	Urban	No	140.9 (132.5, 149.8)	N/A	223	falling	-1.3 (-1.6, -0.9)
Adams County, Washington	Rural	No	136.8 (112.8, 164.1)	N/A	24	falling	-1.8 (-2.5, -1.0)
Adams County, Wisconsin	Rural	No	167.2 (148.5, 188.3)	N/A	70	falling	-0.8 (-1.3, -0.2)
Addison County, Vermont	Rural	No	136.8 (123.0, 151.9)	N/A	78	falling	-1.5 (-2.0, -1.0)
Aiken County, South Carolina	Urban	No	154.1 (147.0, 161.4)	N/A	377	falling	-1.3 (-1.6, -1.0)
Aitkin County, Minnesota	Rural	No	150.1 (130.2, 173.2)	N/A	53	falling	-1.2 (-1.8, -0.6)
Alachua County, Florida	Urban	No	148.5 (142.3, 154.9)	N/A	448	falling	-2.4 (-4.2, -1.7)
Alamance County, North Carolina	Urban	No	173.3 (165.5, 181.4)	N/A	384	falling	-0.8 (-1.0, -0.5)
Alameda County, California	Urban	Yes	119.7 (117.5, 121.9)	N/A	2,259	falling	-2.2 (-2.7, -2.1)
Alamosa County, Colorado	Rural	No	124.9 (102.5, 150.9)	N/A	22	falling	-0.8 (-1.4, -0.1)
Albany County, New York	Urban	No	141.8 (136.6, 147.1)	N/A	593	falling	-1.5 (-3.3, -1.3)
Albany County, Wyoming	Rural	No	126.0 (108.9, 144.9)	N/A	42	falling	-1.9 (-2.5, -1.3)
Albemarle County, Virginia	Urban	Yes	114.2 (106.8, 121.9)	N/A	189	falling	-2.6 (-6.0, -1.8)
Alcona County, Michigan	Rural	No	185.8 (160.0, 216.9)	N/A	45	falling	-0.7 (-1.2, -0.2)
Alcorn County, Mississippi	Rural	No	167.8 (151.3, 185.6)	N/A	79	falling	-0.8 (-1.3, -0.3)
Alexander County, Illinois	Urban	No	240.6 (196.1, 294.3)	N/A	22	stable	-0.4 (-1.5, 0.5)
Alexander County, North Carolina	Urban	No	160.4 (145.5, 176.7)	N/A	88	falling	-0.7 (-1.1, -0.2)
Alexandria City, Virginia	Urban	Yes	116.5 (108.7, 124.6)	N/A	176	falling	-2.5 (-2.8, -2.1)
Alfalfa County, Oklahoma	Rural	No	181.8 (142.4, 230.3)	N/A	15	stable	0.0 (-1.1, 1.1)
Alger County, Michigan	Rural	No	144.9 (118.1, 177.4)	N/A	22	falling	-1.1 (-1.9, -0.3)
Allamakee County, Iowa	Rural	No	151.9 (128.5, 178.9)	N/A	34	stable	-0.8 (-1.7, 0.1)
Allegan County, Michigan	Rural	No	161.6 (152.4, 171.2)	N/A	247	falling	-1.0 (-1.3, -0.6)
Allegany County, Maryland	Rural	No	158.1 (147.2, 169.7)	N/A	164	falling	-1.1 (-1.5, -0.8)
Allegany County, New York	Rural	No	157.7 (144.1, 172.4)	N/A	106	falling	-1.8 (-3.9, -1.4)
Alleghany County and Clifton Forge City, Virginia	Rural	No	165.9 (143.8, 191.2)	N/A	45	falling	-1.3 (-1.9, -0.6)
Alleghany County, North Carolina	Rural	No	145.2 (123.3, 171.4)	N/A	32	falling	-2.0 (-7.4, -1.2)
Allegheny County, Pennsylvania	Urban	No	152.6 (150.0, 155.2)	N/A	2,764	falling	-1.9 (-2.1, -1.7)
Allen County, Indiana	Urban	No	159.0 (153.7, 164.5)	N/A	701	falling	-1.3 (-3.1, -1.0)
Allen County, Kansas	Rural	No	169.1 (142.6, 199.7)	N/A	31	stable	-0.8 (-1.6, 0.0)
Allen County, Kentucky	Urban	No	175.5 (153.8, 199.7)	N/A	49	stable	-0.6 (-1.4, 0.2)
Allen County, Ohio	Urban	No	161.6 (152.0, 171.7)	N/A	222	falling	-5.6 (-9.9, -1.1)
Allen Parish, Louisiana	Rural	No	200.3 (176.3, 226.9)	N/A	51	stable	-0.7 (-1.7, 0.3)
Allendale County, South Carolina	Rural	No	186.2 (150.9, 228.1)	N/A	21	falling	-1.3 (-2.2, -0.4)
Alpena County, Michigan	Rural	No	179.0 (162.2, 197.4)	N/A	91	falling	-0.8 (-1.2, -0.4)
Alpine County, California	Rural	No	187.9 (108.9, 316.4)	N/A	4	*	*
Amador County, California	Rural	No	138.7 (126.9, 151.6)	N/A	108	falling	-1.4 (-1.9, -0.9)
Amelia County, Virginia	Urban	No	178.1 (152.3, 207.5)	N/A	36	falling	-1.1 (-1.8, -0.2)
Amherst County, Virginia	Urban	No	164.0 (148.0, 181.6)	N/A	81	falling	-1.4 (-2.0, -0.8)
Amite County, Mississippi	Rural	No	141.0 (119.3, 166.5)	N/A	32	falling	-2.2 (-4.9, -1.4)
Anchorage Borough, Alaska	Urban	No	149.7 (142.9, 156.8)	N/A	397	falling	-1.3 (-1.6, -0.9)
Anderson County, Kansas	Rural	No	188.8 (154.8, 229.2)	N/A	23	stable	-1.0 (-2.0, 0.0)
Anderson County, Kentucky	Rural	No	177.6 (156.2, 201.1)	N/A	52	stable	-0.5 (-1.3, 0.4)
Anderson County, South Carolina	Urban	No	156.8 (150.1, 163.7)	N/A	429	stable	-1.4 (-2.3, 1.1)
Anderson County, Tennessee	Urban	No	169.1 (158.4, 180.5)	N/A	192	falling	-0.9 (-1.3, -0.5)
Anderson County, Texas	Rural	No	218.8 (203.3, 235.3)	N/A	151	falling	-1.9 (-3.0, -1.2)
Andrew County, Missouri	Urban	No	169.4 (147.2, 194.4)	N/A	43	stable	-0.7 (-1.4, 0.1)
Andrews County, Texas	Rural	No	159.7 (131.5, 191.9)	N/A	23	stable	-0.9 (-1.8, 0.0)
Androscoggin County, Maine	Urban	No	164.0 (154.9, 173.7)	N/A	251	falling	-1.2 (-1.5, -0.9)
Angelina County, Texas	Rural	No	156.9 (146.3, 168.2)	N/A	166	falling	-1.3 (-1.6, -1.1)
Anne Arundel County, Maryland	Urban	No	142.6 (138.6, 146.7)	N/A	995	falling	-2.4 (-3.2, -2.0)
Anoka County, Minnesota	Urban	No	141.6 (136.4, 147.0)	N/A	580	falling	-1.2 (-1.5, -1.0)
Anson County, North Carolina	Urban	No	191.2 (169.4, 215.3)	N/A	60	stable	-0.4 (-0.9, 0.1)
Antelope County, Nebraska	Rural	No	124.3 (93.6, 163.3)	N/A	13	falling	-1.3 (-2.3, -0.3)
Antrim County, Michigan	Rural	No	147.6 (130.9, 166.5)	N/A	64	falling	-1.5 (-2.0, -1.0)
Apache County, Arizona	Rural	No	125.3 (114.1, 137.4)	N/A	96	stable	-0.5 (-1.0, 0.0)
Appanoose County, Iowa	Rural	No	168.1 (144.1, 195.9)	N/A	37	stable	-0.1 (-1.1, 1.0)
Appling County, Georgia	Rural	No	174.4 (151.1, 200.5)	N/A	42	falling	-0.9 (-1.6, -0.2)
Appomattox County, Virginia	Urban	No	151.2 (129.3, 176.1)	N/A	36	falling	-1.0 (-1.8, -0.1)
Aransas County, Texas	Urban	No	179.5 (160.4, 200.6)	N/A	78	falling	-1.0 (-1.5, -0.4)
Arapahoe County, Colorado	Urban	No	123.4 (119.6, 127.3)	N/A	837	falling	-1.4 (-1.6, -1.1)
Archer County, Texas	Urban	Yes	121.5 (96.5, 152.2)	N/A	17	falling	-1.4 (-2.3, -0.6)
Archuleta County, Colorado	Rural	Yes	102.1 (83.4, 124.7)	N/A	24	stable	-1.2 (-2.3, 0.1)
Arenac County, Michigan	Rural	No	175.0 (151.3, 202.2)	N/A	45	falling	-1.0 (-1.5, -0.4)
Arkansas County, Arkansas	Rural	No	221.7 (195.8, 250.4)	N/A	56	stable	-0.5 (-1.0, 0.0)
Arlington County, Virginia	Urban	Yes	107.2 (100.9, 113.8)	N/A	223	falling	-2.3 (-2.5, -2.1)
Armstrong County, Pennsylvania	Urban	No	160.9 (150.1, 172.4)	N/A	177	falling	-1.0 (-1.4, -0.7)
Armstrong County, Texas	Urban	No	135.2 (80.5, 219.5)	N/A	4	*	*
Aroostook County, Maine	Rural	No	161.7 (151.4, 172.7)	N/A	198	falling	-1.0 (-1.3, -0.7)
Ascension Parish, Louisiana	Urban	No	142.9 (133.3, 153.1)	N/A	177	falling	-2.0 (-2.3, -1.5)
Ashe County, North Carolina	Rural	No	150.8 (135.7, 167.6)	N/A	78	falling	-0.9 (-1.4, -0.4)
Ashland County, Ohio	Rural	No	159.4 (146.7, 173.0)	N/A	122	falling	-0.6 (-1.0, -0.2)
Ashland County, Wisconsin	Rural	No	161.1 (138.5, 186.9)	N/A	39	stable	-0.9 (-1.7, 0.0)
Ashley County, Arkansas	Rural	No	195.2 (172.5, 220.4)	N/A	57	falling	-0.7 (-1.3, -0.2)
Ashtabula County, Ohio	Urban	No	175.2 (165.2, 185.6)	N/A	246	falling	-1.6 (-5.3, -0.9)
Asotin County, Washington	Urban	No	137.8 (121.0, 156.7)	N/A	54	falling	-1.6 (-2.2, -0.9)
Assumption Parish, Louisiana	Urban	No	176.0 (154.4, 199.9)	N/A	51	falling	-1.3 (-1.9, -0.8)
Atascosa County, Texas	Urban	No	155.8 (141.3, 171.5)	N/A	86	falling	-0.9 (-1.4, -0.4)
Atchison County, Kansas	Rural	No	162.6 (138.5, 190.0)	N/A	34	falling	-0.9 (-1.6, -0.2)
Atchison County, Missouri	Rural	No	198.5 (158.2, 248.1)	N/A	18	stable	0.0 (-1.1, 1.1)
Athens County, Ohio	Rural	No	164.5 (150.4, 179.7)	N/A	106	falling	-1.4 (-1.8, -0.9)
Atkinson County, Georgia	Rural	No	215.0 (173.7, 263.3)	N/A	20	stable	-0.3 (-1.5, 1.1)
Atlantic County, New Jersey	Urban	No	154.3 (148.6, 160.1)	N/A	591	falling	-2.2 (-3.2, -1.8)
Atoka County, Oklahoma	Rural	No	191.7 (164.5, 222.6)	N/A	37	stable	0.3 (-0.5, 1.2)
Attala County, Mississippi	Rural	No	200.4 (176.1, 227.5)	N/A	51	stable	-0.2 (-0.9, 0.5)
Audrain County, Missouri	Rural	No	176.0 (156.1, 197.9)	N/A	59	stable	-0.5 (-1.1, 0.1)
Audubon County, Iowa	Rural	No	146.9 (113.9, 188.6)	N/A	15	stable	-0.8 (-2.3, 0.5)
Auglaize County, Ohio	Rural	No	168.2 (154.0, 183.5)	N/A	109	falling	-1.0 (-1.5, -0.5)
Augusta County, Virginia	Urban	No	135.8 (126.6, 145.6)	N/A	169	falling	-1.4 (-1.9, -0.9)
Aurora County, South Dakota	Rural	No	196.3 (140.6, 270.2)	N/A	9	stable	0.2 (-1.4, 1.7)
Austin County, Texas	Urban	No	144.3 (128.4, 161.8)	N/A	64	falling	-1.3 (-1.8, -0.7)
Autauga County, Alabama	Urban	No	151.6 (139.0, 165.0)	N/A	110	falling	-1.8 (-2.4, -1.2)
Avery County, North Carolina	Rural	No	134.9 (116.1, 156.6)	N/A	38	falling	-1.4 (-2.0, -0.7)
Avoyelles Parish, Louisiana	Rural	No	187.5 (170.9, 205.3)	N/A	98	falling	-1.8 (-7.1, -0.9)
Baca County, Colorado	Rural	No	203.4 (154.6, 266.2)	N/A	13	stable	-0.3 (-1.5, 0.9)
Bacon County, Georgia	Rural	No	188.9 (157.0, 225.6)	N/A	26	falling	-1.3 (-2.1, -0.5)
Bailey County, Texas	Rural	Yes	118.6 (86.5, 159.0)	N/A	9	falling	-1.6 (-3.0, -0.3)
Baker County, Florida	Urban	No	173.0 (152.6, 195.4)	N/A	54	falling	-1.5 (-2.1, -0.8)
Baker County, Georgia	Rural	No	146.1 (100.0, 210.3)	N/A	7	stable	-0.9 (-2.5, 0.8)
Baker County, Oregon	Rural	No	171.6 (149.6, 196.4)	N/A	50	stable	-0.7 (-1.4, 0.0)
Baldwin County, Alabama	Urban	No	145.9 (140.1, 151.9)	N/A	511	falling	-4.9 (-7.1, -1.9)
Baldwin County, Georgia	Rural	No	158.8 (143.7, 175.3)	N/A	85	falling	-0.8 (-1.2, -0.3)
Ballard County, Kentucky	Urban	No	170.3 (138.6, 208.4)	N/A	21	falling	-1.5 (-2.5, -0.5)
Baltimore City, Maryland	Urban	No	186.0 (181.3, 190.8)	N/A	1,245	falling	-1.7 (-1.9, -1.5)
Baltimore County, Maryland	Urban	No	151.8 (148.6, 155.2)	N/A	1,737	falling	-1.5 (-1.7, -1.4)
Bamberg County, South Carolina	Rural	No	196.8 (170.0, 227.5)	N/A	42	stable	-0.6 (-1.3, 0.2)
Bandera County, Texas	Urban	No	153.3 (136.0, 173.0)	N/A	63	falling	-1.1 (-1.7, -0.4)
Banks County, Georgia	Rural	No	169.9 (146.4, 196.3)	N/A	40	stable	-0.4 (-1.3, 0.7)
Bannock County, Idaho	Urban	No	153.1 (141.7, 165.2)	N/A	139	stable	-0.6 (-1.2, 0.0)
Baraga County, Michigan	Rural	No	198.8 (165.4, 238.2)	N/A	26	stable	-0.4 (-1.1, 0.4)
Barber County, Kansas	Rural	No	180.5 (135.7, 237.7)	N/A	12	stable	-0.9 (-2.0, 0.0)
Barbour County, Alabama	Rural	No	180.6 (161.2, 202.1)	N/A	65	falling	-1.1 (-1.8, -0.4)
Barbour County, West Virginia	Rural	No	202.4 (175.8, 232.3)	N/A	45	stable	-0.5 (-1.1, 0.2)
Barnes County, North Dakota	Rural	No	145.8 (121.1, 175.0)	N/A	27	falling	-1.0 (-1.9, -0.2)
Barnstable County, Massachusetts	Urban	No	130.2 (125.4, 135.2)	N/A	650	falling	-2.3 (-3.6, -1.9)
Barnwell County, South Carolina	Rural	No	182.1 (159.9, 206.8)	N/A	52	falling	-0.5 (-0.9, -0.1)
Barren County, Kentucky	Rural	No	189.7 (174.0, 206.5)	N/A	112	stable	-0.5 (-1.0, 0.0)
Barron County, Wisconsin	Rural	No	164.0 (151.1, 177.9)	N/A	127	falling	-0.9 (-1.2, -0.6)
Barrow County, Georgia	Urban	No	172.8 (160.1, 186.2)	N/A	147	stable	-0.5 (-1.0, 0.2)
Barry County, Michigan	Urban	No	151.8 (139.9, 164.4)	N/A	129	falling	-1.0 (-1.4, -0.5)
Barry County, Missouri	Rural	No	179.0 (162.9, 196.5)	N/A	96	stable	-0.4 (-0.8, 0.1)
Bartholomew County, Indiana	Urban	No	164.0 (152.9, 175.7)	N/A	168	falling	-0.9 (-1.3, -0.5)
Barton County, Kansas	Rural	No	154.9 (136.9, 174.8)	N/A	59	stable	-0.6 (-1.3, 0.0)
Barton County, Missouri	Rural	No	154.0 (128.0, 184.2)	N/A	27	stable	-0.7 (-1.4, 0.1)
Bartow County, Georgia	Urban	No	177.7 (167.0, 188.9)	N/A	219	falling	-1.1 (-1.5, -0.6)
Bastrop County, Texas	Urban	No	145.1 (135.1, 155.7)	N/A	166	falling	-1.5 (-1.9, -1.0)
Bates County, Missouri	Urban	No	167.3 (143.5, 194.1)	N/A	38	falling	-1.0 (-1.6, -0.3)
Bath County, Kentucky	Rural	No	193.2 (164.1, 226.4)	N/A	33	falling	-3.5 (-11.5, -0.7)
Bath County, Virginia	Rural	No	171.8 (133.3, 222.1)	N/A	14	stable	-1.1 (-2.4, 0.2)
Baxter County, Arkansas	Rural	No	175.5 (162.0, 190.1)	N/A	152	falling	-0.7 (-1.0, -0.5)
Bay County, Florida	Urban	No	159.0 (151.9, 166.4)	N/A	395	falling	-1.6 (-2.1, -1.1)
Bay County, Michigan	Urban	No	168.7 (159.5, 178.4)	N/A	265	falling	-0.9 (-1.1, -0.7)
Bayfield County, Wisconsin	Rural	No	130.4 (111.8, 152.2)	N/A	41	falling	-2.1 (-2.8, -1.3)
Baylor County, Texas	Rural	No	244.5 (187.9, 315.4)	N/A	14	stable	-0.2 (-1.5, 1.0)
Beadle County, South Dakota	Rural	No	139.2 (119.3, 161.9)	N/A	37	falling	-1.2 (-1.9, -0.6)
Bear Lake County, Idaho	Rural	No	127.7 (97.0, 166.4)	N/A	12	stable	-1.2 (-2.4, 0.1)
Beaufort County, North Carolina	Rural	No	168.9 (155.5, 183.4)	N/A	127	falling	-1.0 (-1.4, -0.6)
Beaufort County, South Carolina	Urban	No	124.1 (118.5, 129.9)	N/A	423	falling	-1.6 (-3.3, -0.4)
Beauregard Parish, Louisiana	Rural	No	194.7 (176.3, 214.7)	N/A	85	stable	-0.6 (-1.1, 0.0)
Beaver County, Oklahoma	Rural	Yes	118.4 (86.3, 160.5)	N/A	9	falling	-1.8 (-3.2, -0.6)
Beaver County, Pennsylvania	Urban	No	158.0 (151.1, 165.1)	N/A	429	falling	-1.3 (-1.5, -1.1)
Beaver County, Utah	Rural	No	145.0 (105.8, 193.4)	N/A	10	stable	-1.0 (-2.3, 0.3)
Beaverhead County, Montana	Rural	No	128.8 (103.7, 159.3)	N/A	20	falling	-1.4 (-2.2, -0.4)
Becker County, Minnesota	Rural	No	144.7 (130.3, 160.5)	N/A	78	falling	-1.0 (-1.4, -0.5)
Beckham County, Oklahoma	Rural	No	190.9 (167.2, 217.1)	N/A	48	stable	-0.4 (-1.0, 0.2)
Bedford City and County, Virginia	Urban	No	158.2 (148.3, 168.8)	N/A	202	falling	-1.0 (-1.3, -0.6)
Bedford County, Pennsylvania	Rural	No	141.9 (130.2, 154.6)	N/A	115	falling	-0.9 (-1.5, -0.3)
Bedford County, Tennessee	Rural	No	184.3 (168.6, 201.2)	N/A	106	stable	-0.6 (-1.1, 0.0)
Bee County, Texas	Rural	No	163.9 (144.1, 185.6)	N/A	51	stable	0.3 (-1.0, 6.6)
Belknap County, New Hampshire	Rural	No	157.7 (146.7, 169.5)	N/A	165	falling	-1.5 (-1.8, -1.3)
Bell County, Kentucky	Rural	No	222.2 (200.1, 246.3)	N/A	78	falling	-0.7 (-1.2, -0.1)
Bell County, Texas	Urban	No	158.3 (152.2, 164.6)	N/A	523	falling	-1.5 (-1.8, -1.3)
Belmont County, Ohio	Urban	No	166.4 (155.1, 178.5)	N/A	171	falling	-1.2 (-1.5, -0.9)
Beltrami County, Minnesota	Rural	No	143.7 (129.6, 159.0)	N/A	81	falling	-1.1 (-1.5, -0.6)
Ben Hill County, Georgia	Rural	No	174.1 (150.1, 201.2)	N/A	40	stable	-0.8 (-1.6, 0.0)
Benewah County, Idaho	Rural	No	157.2 (129.2, 190.4)	N/A	24	falling	-5.4 (-15.9, -1.1)
Bennett County, South Dakota	Rural	No	149.1 (97.2, 219.3)	N/A	5	stable	-1.0 (-2.9, 1.1)
Bennington County, Vermont	Rural	No	160.4 (146.0, 176.1)	N/A	100	falling	-1.1 (-1.5, -0.8)
Benson County, North Dakota	Rural	No	180.6 (135.3, 236.4)	N/A	12	stable	0.8 (-0.5, 2.0)
Bent County, Colorado	Rural	Yes	120.6 (88.8, 162.0)	N/A	10	stable	-0.9 (-2.5, 0.7)
Benton County, Arkansas	Urban	No	145.8 (139.6, 152.1)	N/A	434	falling	-0.8 (-1.1, -0.6)
Benton County, Indiana	Urban	No	183.1 (150.0, 222.0)	N/A	22	stable	-0.3 (-1.2, 0.6)
Benton County, Iowa	Urban	No	141.8 (124.6, 160.8)	N/A	53	falling	-1.4 (-1.9, -0.9)
Benton County, Minnesota	Urban	No	153.8 (137.7, 171.3)	N/A	70	falling	-1.4 (-2.0, -0.8)
Benton County, Mississippi	Urban	No	153.5 (120.5, 193.6)	N/A	16	falling	-2.3 (-14.3, -0.7)
Benton County, Missouri	Rural	No	193.2 (173.2, 215.6)	N/A	79	falling	-1.1 (-1.6, -0.6)
Benton County, Oregon	Urban	No	124.0 (114.8, 133.7)	N/A	143	falling	-1.1 (-1.5, -0.6)
Benton County, Tennessee	Rural	No	210.3 (184.6, 239.0)	N/A	54	stable	-8.5 (-18.1, 0.2)
Benton County, Washington	Urban	No	146.4 (139.5, 153.6)	N/A	346	falling	-1.2 (-1.5, -0.9)
Benzie County, Michigan	Urban	No	145.0 (125.5, 167.4)	N/A	47	falling	-1.4 (-2.1, -0.6)
Bergen County, New Jersey	Urban	Yes	120.1 (117.4, 122.8)	N/A	1,572	falling	-2.3 (-3.0, -2.2)
Berkeley County, South Carolina	Urban	No	150.9 (143.8, 158.1)	N/A	371	falling	-1.7 (-1.9, -1.4)
Berkeley County, West Virginia	Urban	No	189.3 (178.8, 200.2)	N/A	264	falling	-1.0 (-1.3, -0.6)
Berks County, Pennsylvania	Urban	No	148.0 (143.5, 152.6)	N/A	849	falling	-1.1 (-1.3, -1.0)
Berkshire County, Massachusetts	Urban	No	143.6 (136.4, 151.1)	N/A	324	falling	-1.5 (-1.8, -1.2)
Bernalillo County, New Mexico	Urban	No	131.6 (128.1, 135.2)	N/A	1,116	falling	-1.3 (-1.4, -1.1)
Berrien County, Georgia	Rural	No	174.3 (151.5, 199.9)	N/A	43	falling	-1.3 (-1.8, -0.7)
Berrien County, Michigan	Urban	No	162.0 (154.5, 169.7)	N/A	373	falling	-1.1 (-1.4, -0.8)
Bertie County, North Carolina	Rural	No	180.1 (157.6, 205.5)	N/A	52	falling	-1.7 (-2.3, -1.0)
Bethel Census Area, Alaska	Rural	No	176.5 (138.6, 220.4)	N/A	20	stable	-0.7 (-1.7, 0.5)
Bexar County, Texas	Urban	No	140.6 (138.2, 143.1)	N/A	2,721	falling	-1.3 (-1.4, -1.2)
Bibb County, Alabama	Urban	No	170.1 (149.2, 193.2)	N/A	49	falling	-1.1 (-1.6, -0.5)
Bibb County, Georgia	Urban	No	155.1 (147.1, 163.4)	N/A	293	falling	-2.7 (-7.4, -1.4)
Bienville Parish, Louisiana	Rural	No	192.5 (165.1, 223.7)	N/A	39	falling	-0.7 (-1.5, -0.1)
Big Horn County, Montana	Rural	No	170.5 (139.0, 206.9)	N/A	22	falling	-1.7 (-2.7, -0.8)
Big Horn County, Wyoming	Rural	No	151.1 (125.8, 180.6)	N/A	27	falling	-0.8 (-1.5, -0.1)
Big Stone County, Minnesota	Rural	No	171.8 (132.4, 221.2)	N/A	16	falling	-1.4 (-2.3, -0.6)
Bingham County, Idaho	Rural	No	140.6 (126.2, 156.2)	N/A	72	falling	-0.8 (-1.3, -0.3)
Black Hawk County, Iowa	Urban	No	151.5 (143.0, 160.4)	N/A	250	falling	-1.2 (-1.5, -1.0)
Blackford County, Indiana	Rural	No	198.5 (170.9, 230.0)	N/A	38	stable	-0.6 (-1.2, 0.0)
Bladen County, North Carolina	Rural	No	175.8 (158.6, 194.7)	N/A	84	falling	-1.0 (-1.6, -0.3)
Blaine County, Idaho	Rural	Yes	88.3 (74.6, 104.2)	N/A	31	falling	-2.4 (-3.2, -1.5)
Blaine County, Montana	Rural	No	143.7 (108.2, 187.5)	N/A	12	stable	-1.2 (-2.6, 0.2)
Blaine County, Oklahoma	Rural	No	216.9 (180.4, 259.4)	N/A	27	stable	-0.1 (-0.9, 0.7)
Blair County, Pennsylvania	Urban	No	164.3 (155.9, 173.0)	N/A	307	falling	-1.5 (-2.6, -1.1)
Blanco County, Texas	Rural	No	171.5 (146.2, 201.0)	N/A	36	stable	0.0 (-0.8, 1.0)
Bland County, Virginia	Rural	No	139.9 (109.2, 178.8)	N/A	15	stable	-0.9 (-2.3, 0.7)
Bleckley County, Georgia	Rural	No	157.4 (131.5, 187.4)	N/A	27	falling	-1.6 (-2.5, -0.6)
Bledsoe County, Tennessee	Rural	No	127.9 (107.4, 151.9)	N/A	29	falling	-1.6 (-2.4, -0.6)
Blount County, Alabama	Urban	No	169.9 (157.2, 183.4)	N/A	138	falling	-1.0 (-1.4, -0.5)
Blount County, Tennessee	Urban	No	155.6 (147.8, 163.7)	N/A	317	falling	-1.3 (-3.9, -1.0)
Blue Earth County, Minnesota	Urban	No	138.6 (126.7, 151.3)	N/A	104	falling	-1.2 (-1.6, -0.8)
Boise County, Idaho	Urban	Yes	96.0 (72.7, 126.6)	N/A	14	falling	-2.1 (-3.1, -0.9)
Bolivar County, Mississippi	Rural	No	225.5 (204.0, 248.7)	N/A	85	stable	-0.5 (-1.0, 0.0)
Bollinger County, Missouri	Urban	No	166.3 (138.7, 198.6)	N/A	27	stable	-0.5 (-1.3, 0.3)
Bon Homme County, South Dakota	Rural	No	146.8 (115.2, 185.6)	N/A	16	stable	-0.1 (-1.5, 1.4)
Bond County, Illinois	Urban	No	164.1 (140.9, 190.4)	N/A	38	falling	-1.0 (-1.9, -0.2)
Bonner County, Idaho	Rural	No	134.5 (122.8, 147.2)	N/A	109	falling	-6.8 (-12.3, -3.4)
Bonneville County, Idaho	Urban	No	131.8 (122.8, 141.2)	N/A	165	falling	-1.0 (-1.4, -0.5)
Boone County, Arkansas	Rural	No	168.7 (153.6, 185.0)	N/A	96	falling	-0.7 (-1.1, -0.4)
Boone County, Illinois	Urban	No	147.1 (134.1, 161.0)	N/A	98	falling	-1.2 (-1.7, -0.7)
Boone County, Indiana	Urban	No	158.0 (145.6, 171.3)	N/A	123	falling	-1.2 (-1.5, -0.8)
Boone County, Iowa	Urban	No	164.2 (145.7, 184.6)	N/A	61	stable	-0.5 (-0.9, 0.0)
Boone County, Kentucky	Urban	No	138.9 (130.4, 147.9)	N/A	208	falling	-2.5 (-4.8, -1.9)
Boone County, Missouri	Urban	No	149.3 (141.3, 157.7)	N/A	269	falling	-1.3 (-1.6, -0.9)
Boone County, Nebraska	Rural	No	135.2 (104.9, 173.9)	N/A	14	stable	-0.3 (-1.5, 0.8)
Boone County, West Virginia	Urban	No	194.4 (172.9, 218.2)	N/A	65	falling	-1.5 (-2.2, -1.0)
Bosque County, Texas	Urban	No	191.2 (169.6, 215.4)	N/A	62	falling	-0.5 (-0.9, -0.1)
Bossier Parish, Louisiana	Urban	No	161.3 (152.2, 170.9)	N/A	238	stable	-0.7 (-1.7, 2.8)
Botetourt County, Virginia	Urban	No	143.5 (129.5, 158.9)	N/A	81	stable	5.7 (-1.2, 10.7)
Bottineau County, North Dakota	Rural	No	135.5 (105.1, 173.6)	N/A	15	stable	-1.0 (-2.4, 0.3)
Boulder County, Colorado ⁸	Urban	Yes	114.5 (109.6, 119.6)	N/A	422	falling	-1.7 (-2.2, -1.1)
Boundary County, Idaho	Rural	No	155.3 (130.4, 184.2)	N/A	31	stable	-0.9 (-1.8, 0.2)
Bourbon County, Kansas	Rural	No	155.9 (131.4, 183.9)	N/A	31	stable	-0.6 (-1.4, 0.2)
Bourbon County, Kentucky	Urban	No	189.4 (167.5, 213.6)	N/A	56	falling	-1.3 (-2.0, -0.6)
Bowie County, Texas	Urban	No	180.3 (169.5, 191.7)	N/A	214	falling	-1.0 (-1.4, -0.6)
Bowman County, North Dakota	Rural	No	137.3 (93.9, 197.9)	N/A	7	stable	-1.1 (-2.4, 0.3)
Box Butte County, Nebraska	Rural	No	154.0 (126.5, 186.3)	N/A	24	stable	-0.7 (-1.7, 0.3)
Box Elder County, Utah	Rural	No	130.8 (117.6, 144.9)	N/A	74	stable	-0.6 (-1.2, 0.1)
Boyd County, Kentucky	Urban	No	182.9 (168.7, 198.2)	N/A	128	falling	-1.6 (-3.4, -1.2)
Boyd County, Nebraska	Rural	No	162.1 (106.3, 247.9)	N/A	7	stable	0.1 (-1.1, 1.2)
Boyle County, Kentucky	Rural	No	172.6 (155.0, 191.8)	N/A	73	falling	-1.2 (-1.9, -0.6)
Bracken County, Kentucky	Urban	No	179.1 (144.2, 220.4)	N/A	19	stable	-0.9 (-1.9, 0.2)
Bradford County, Florida	Rural	No	172.7 (154.3, 192.8)	N/A	66	falling	-1.4 (-1.9, -0.8)
Bradford County, Pennsylvania	Rural	No	148.7 (137.7, 160.6)	N/A	142	falling	-3.3 (-8.5, -1.1)
Bradley County, Arkansas	Rural	No	155.8 (127.4, 189.3)	N/A	22	falling	-0.8 (-1.6, -0.1)
Bradley County, Tennessee	Urban	No	167.6 (158.0, 177.7)	N/A	236	falling	-1.0 (-1.3, -0.6)
Branch County, Michigan	Rural	No	164.1 (149.7, 179.6)	N/A	101	falling	-0.8 (-1.3, -0.3)
Brantley County, Georgia	Urban	No	203.0 (177.0, 231.9)	N/A	47	stable	-0.4 (-1.1, 0.4)
Braxton County, West Virginia	Rural	No	170.0 (145.3, 198.6)	N/A	36	stable	-1.0 (-1.9, 0.0)
Brazoria County, Texas	Urban	No	155.3 (149.5, 161.3)	N/A	558	falling	-1.5 (-1.8, -1.3)
Brazos County, Texas	Urban	No	126.9 (119.3, 134.7)	N/A	219	falling	-1.7 (-2.0, -1.4)
Breathitt County, Kentucky	Rural	No	211.5 (181.3, 245.7)	N/A	38	stable	-0.7 (-1.6, 0.2)
Breckinridge County, Kentucky	Rural	No	196.1 (173.7, 220.9)	N/A	59	falling	-1.1 (-1.5, -0.6)
Bremer County, Iowa	Urban	No	140.8 (123.3, 160.2)	N/A	50	stable	0.4 (-3.0, 4.5)
Brevard County, Florida	Urban	No	152.6 (149.2, 156.2)	N/A	1,632	stable	0.4 (-1.9, 1.9)
Brewster County, Texas	Rural	Yes	102.5 (80.4, 130.0)	N/A	16	falling	-1.6 (-2.6, -0.7)
Briscoe County, Texas	Rural	No	140.4 (82.1, 235.3)	N/A	4	*	*
Bristol City, Virginia	Urban	No	165.2 (143.7, 189.4)	N/A	45	stable	5.2 (-5.1, 13.4)
Bristol County, Massachusetts	Urban	No	152.8 (148.8, 156.9)	N/A	1,166	stable	0.5 (-1.5, 1.8)
Bristol County, Rhode Island	Urban	No	128.6 (117.4, 140.8)	N/A	102	falling	-1.8 (-2.3, -1.2)
Broadwater County, Montana	Urban	Yes	116.1 (88.0, 151.7)	N/A	13	falling	-2.4 (-3.7, -1.0)
Bronx County, New York	Urban	No	122.8 (120.3, 125.3)	N/A	1,896	falling	-4.5 (-6.5, -3.3)
Brooke County, West Virginia	Urban	No	162.5 (144.2, 183.0)	N/A	62	falling	-1.1 (-1.6, -0.6)
Brookings County, South Dakota	Rural	No	138.8 (121.1, 158.3)	N/A	47	falling	-0.8 (-1.4, -0.1)
Brooks County, Georgia	Urban	No	160.1 (137.2, 186.2)	N/A	38	stable	-0.7 (-1.5, 0.1)
Brooks County, Texas	Rural	No	172.7 (134.6, 218.6)	N/A	15	stable	-0.5 (-1.7, 0.7)
Broome County, New York	Urban	No	149.1 (142.6, 155.7)	N/A	440	falling	-1.4 (-1.6, -1.1)
Broomfield County, Colorado ⁸	Urban	Yes	108.9 (99.0, 119.6)	N/A	90	falling	-4.9 (-8.2, -3.2)
Broward County, Florida	Urban	No	131.0 (129.0, 133.0)	N/A	3,408	falling	-2.3 (-3.5, -1.7)
Brown County, Illinois	Rural	No	149.4 (112.5, 195.3)	N/A	11	stable	-0.8 (-2.2, 0.7)
Brown County, Indiana	Urban	No	154.5 (132.9, 179.2)	N/A	41	falling	-1.5 (-5.3, -0.7)
Brown County, Kansas	Rural	No	198.3 (165.7, 236.3)	N/A	28	stable	0.3 (-0.7, 1.4)
Brown County, Minnesota	Rural	No	164.7 (146.6, 184.6)	N/A	68	stable	-0.5 (-1.0, 0.0)
Brown County, Nebraska	Rural	No	150.5 (104.0, 215.0)	N/A	8	stable	-0.9 (-2.3, 0.3)
Brown County, Ohio	Urban	No	190.7 (175.1, 207.3)	N/A	116	falling	-0.8 (-1.2, -0.4)
Brown County, South Dakota	Rural	No	138.1 (123.6, 153.9)	N/A	71	falling	-1.0 (-1.6, -0.5)
Brown County, Texas	Rural	No	168.8 (153.6, 185.3)	N/A	95	falling	-0.9 (-1.3, -0.5)
Brown County, Wisconsin	Urban	No	144.1 (138.1, 150.3)	N/A	451	falling	-1.0 (-1.2, -0.8)
Brule County, South Dakota	Rural	Yes	113.5 (81.3, 155.7)	N/A	10	falling	-1.6 (-3.0, -0.2)
Brunswick County, North Carolina	Urban	No	153.2 (146.1, 160.8)	N/A	423	falling	-1.3 (-1.5, -1.0)
Brunswick County, Virginia	Rural	No	184.3 (160.8, 210.7)	N/A	47	falling	-1.7 (-2.4, -1.1)
Bryan County, Georgia	Urban	No	174.8 (156.0, 195.1)	N/A	67	falling	-1.3 (-1.9, -0.6)
Bryan County, Oklahoma	Rural	No	175.3 (160.3, 191.3)	N/A	105	falling	-1.2 (-1.7, -0.7)
Buchanan County, Iowa	Rural	No	159.6 (138.9, 182.9)	N/A	44	falling	-1.2 (-1.8, -0.6)
Buchanan County, Missouri	Urban	No	175.9 (164.7, 187.8)	N/A	188	falling	-0.8 (-1.2, -0.4)
Buchanan County, Virginia	Rural	No	190.4 (169.5, 213.7)	N/A	64	stable	-0.5 (-1.0, 0.1)
Buckingham County, Virginia	Rural	No	161.3 (139.3, 186.1)	N/A	40	falling	-1.1 (-2.0, -0.2)
Bucks County, Pennsylvania	Urban	No	141.9 (138.5, 145.4)	N/A	1,355	falling	-1.7 (-1.8, -1.5)
Buena Vista City, Virginia	Rural	No	176.2 (138.7, 221.7)	N/A	16	falling	-1.6 (-2.6, -0.6)
Buena Vista County, Iowa	Rural	No	132.7 (112.9, 155.1)	N/A	35	falling	-1.2 (-2.0, -0.5)
Buffalo County, Nebraska	Rural	No	139.9 (126.4, 154.5)	N/A	82	falling	-0.9 (-1.5, -0.3)
Buffalo County, South Dakota	Rural	No	237.6 (131.4, 389.4)	N/A	3	*	*
Buffalo County, Wisconsin	Rural	No	130.1 (109.3, 154.5)	N/A	29	falling	-1.4 (-2.2, -0.7)
Bullitt County, Kentucky	Urban	No	151.4 (140.6, 162.8)	N/A	154	falling	-1.6 (-2.0, -1.2)
Bulloch County, Georgia	Rural	No	155.0 (142.2, 168.6)	N/A	113	falling	-0.9 (-1.3, -0.5)
Bullock County, Alabama	Rural	No	138.2 (111.0, 170.5)	N/A	19	falling	-9.7 (-22.2, -1.6)
Buncombe County, North Carolina	Urban	No	135.3 (130.1, 140.6)	N/A	541	falling	-1.6 (-1.8, -1.4)
Bureau County, Illinois	Rural	No	162.0 (147.0, 178.4)	N/A	90	falling	-1.5 (-5.5, -0.9)
Burke County, Georgia	Urban	No	150.0 (130.4, 171.9)	N/A	45	falling	-4.1 (-10.1, -2.2)
Burke County, North Carolina	Urban	No	162.1 (152.4, 172.3)	N/A	220	falling	-0.7 (-1.0, -0.4)
Burke County, North Dakota	Rural	No	153.7 (96.2, 236.6)	N/A	5	falling	-1.7 (-3.3, -0.3)
Burleigh County, North Dakota	Urban	No	129.2 (120.3, 138.6)	N/A	166	falling	-1.3 (-1.8, -0.7)
Burleson County, Texas	Urban	No	177.7 (155.1, 203.1)	N/A	49	falling	-1.0 (-1.5, -0.5)
Burlington County, New Jersey	Urban	No	142.2 (138.0, 146.6)	N/A	896	falling	-1.9 (-3.5, -1.7)
Burnet County, Texas	Rural	No	146.2 (134.2, 159.2)	N/A	119	falling	-1.6 (-2.0, -1.2)
Burnett County, Wisconsin	Rural	No	149.9 (131.5, 171.2)	N/A	53	falling	-1.2 (-1.7, -0.6)
Burt County, Nebraska	Rural	No	160.1 (126.4, 201.4)	N/A	18	stable	-0.5 (-1.4, 0.3)
Butler County, Alabama	Rural	No	168.8 (147.1, 193.0)	N/A	47	falling	-0.8 (-1.4, -0.1)
Butler County, Iowa	Rural	No	148.1 (125.9, 173.7)	N/A	35	falling	-1.2 (-1.9, -0.6)
Butler County, Kansas	Urban	No	159.8 (147.5, 172.9)	N/A	131	falling	-0.6 (-0.9, -0.2)
Butler County, Kentucky	Urban	No	227.9 (196.0, 263.9)	N/A	38	stable	-0.6 (-1.3, 0.1)
Butler County, Missouri	Rural	No	206.8 (190.6, 224.2)	N/A	124	falling	-0.6 (-1.0, -0.2)
Butler County, Nebraska	Rural	No	178.9 (146.2, 217.6)	N/A	23	stable	2.3 (-1.1, 16.7)
Butler County, Ohio	Urban	No	157.0 (151.8, 162.4)	N/A	714	falling	-1.8 (-2.1, -1.5)
Butler County, Pennsylvania	Urban	No	151.2 (144.7, 157.9)	N/A	431	falling	-1.4 (-3.5, -1.1)
Butte County, California	Urban	No	171.1 (164.1, 178.3)	N/A	478	falling	-1.0 (-1.3, -0.7)
Butte County, Idaho	Urban	No	185.0 (126.2, 265.1)	N/A	7	stable	-0.7 (-2.2, 0.7)
Butte County, South Dakota	Rural	No	178.9 (149.1, 213.6)	N/A	27	stable	-0.5 (-1.7, 0.9)
Butts County, Georgia	Urban	No	190.3 (168.7, 214.2)	N/A	58	stable	-0.5 (-1.1, 0.4)
Cabarrus County, North Carolina	Urban	No	139.3 (132.5, 146.3)	N/A	327	falling	-2.2 (-3.2, -1.7)
Cabell County, West Virginia	Urban	No	180.7 (170.2, 191.7)	N/A	235	falling	-1.0 (-1.2, -0.7)
Cache County, Utah	Urban	Yes	112.1 (102.9, 121.9)	N/A	112	falling	-0.7 (-1.2, -0.2)
Caddo County, Oklahoma	Rural	No	233.5 (210.4, 258.5)	N/A	76	stable	0.4 (-0.3, 1.1)
Caddo Parish, Louisiana	Urban	No	175.7 (169.0, 182.6)	N/A	551	falling	-1.5 (-3.3, -1.1)
Calaveras County, California	Rural	No	143.5 (131.6, 156.4)	N/A	125	falling	-1.3 (-1.7, -0.9)
Calcasieu Parish, Louisiana	Urban	No	162.1 (154.9, 169.5)	N/A	399	falling	-1.4 (-1.7, -1.2)
Caldwell County, Kentucky	Rural	No	170.5 (145.0, 199.9)	N/A	33	falling	-4.1 (-14.3, -1.3)
Caldwell County, Missouri	Urban	No	163.3 (131.7, 200.9)	N/A	20	stable	-0.1 (-1.1, 1.0)
Caldwell County, North Carolina	Urban	No	178.2 (167.4, 189.6)	N/A	214	falling	-0.7 (-1.0, -0.3)
Caldwell County, Texas	Urban	No	158.6 (143.5, 174.8)	N/A	84	falling	-1.3 (-1.8, -0.7)
Caldwell Parish, Louisiana	Rural	No	147.6 (119.1, 181.5)	N/A	19	falling	-4.2 (-18.7, -1.8)
Caledonia County, Vermont	Rural	No	161.7 (145.1, 179.9)	N/A	75	falling	-0.8 (-1.3, -0.3)
Calhoun County, Alabama	Urban	No	175.8 (166.3, 185.8)	N/A	269	falling	-1.5 (-4.1, -1.2)
Calhoun County, Arkansas	Rural	No	217.4 (171.7, 273.7)	N/A	17	stable	0.0 (-1.0, 1.0)
Calhoun County, Florida	Rural	No	183.0 (157.4, 212.2)	N/A	37	stable	-0.7 (-1.6, 0.2)
Calhoun County, Georgia	Rural	No	171.4 (130.0, 222.9)	N/A	12	stable	-1.3 (-2.7, 0.2)
Calhoun County, Illinois	Urban	No	176.2 (136.3, 227.1)	N/A	14	stable	-0.8 (-1.9, 0.3)
Calhoun County, Iowa	Rural	No	145.7 (119.0, 177.4)	N/A	24	stable	-0.7 (-1.4, 0.0)
Calhoun County, Michigan	Urban	No	183.9 (174.9, 193.2)	N/A	329	falling	-0.8 (-1.0, -0.5)
Calhoun County, Mississippi	Rural	No	175.5 (148.9, 206.1)	N/A	33	stable	0.0 (-0.8, 0.9)
Calhoun County, South Carolina	Urban	No	166.6 (143.6, 193.0)	N/A	40	stable	-0.4 (-1.3, 0.5)
Calhoun County, Texas	Rural	No	169.3 (147.8, 193.3)	N/A	47	falling	-1.0 (-1.6, -0.3)
Calhoun County, West Virginia	Rural	No	197.8 (160.1, 243.6)	N/A	21	stable	-0.7 (-1.7, 0.3)
Callahan County, Texas	Urban	No	160.9 (136.9, 188.4)	N/A	34	stable	-0.5 (-1.3, 0.4)
Callaway County, Missouri	Urban	No	172.6 (157.4, 189.0)	N/A	99	falling	-0.8 (-1.2, -0.4)
Calloway County, Kentucky	Rural	No	198.5 (180.4, 218.0)	N/A	92	stable	0.0 (-0.3, 0.4)
Calumet County, Wisconsin	Urban	No	124.9 (112.6, 138.2)	N/A	79	falling	-1.4 (-2.2, -0.7)
Calvert County, Maryland	Urban	No	155.5 (145.3, 166.3)	N/A	179	falling	-1.6 (-2.0, -1.2)
Cambria County, Pennsylvania	Urban	No	163.6 (155.9, 171.7)	N/A	364	falling	-0.9 (-1.2, -0.7)
Camden County, Georgia	Rural	No	165.1 (150.0, 181.3)	N/A	95	falling	-1.4 (-1.9, -0.6)
Camden County, Missouri	Rural	No	158.7 (146.1, 172.4)	N/A	136	falling	-0.7 (-1.1, -0.2)
Camden County, New Jersey	Urban	No	155.3 (150.9, 159.7)	N/A	999	falling	-1.9 (-2.1, -1.7)
Camden County, North Carolina	Urban	No	164.7 (134.4, 200.3)	N/A	22	stable	11.6 (-1.2, 21.3)
Cameron County, Pennsylvania	Rural	No	171.2 (132.9, 220.9)	N/A	15	stable	-1.1 (-2.4, 0.2)
Cameron County, Texas	Urban	No	125.4 (120.7, 130.2)	N/A	546	stable	3.1 (-0.8, 5.2)
Cameron Parish, Louisiana	Urban	No	143.8 (108.3, 188.7)	N/A	12	stable	4.0 (-4.6, 27.2)
Camp County, Texas	Rural	No	182.3 (153.2, 215.7)	N/A	30	falling	-1.4 (-2.3, -0.5)
Campbell County, Kentucky	Urban	No	163.7 (153.3, 174.8)	N/A	192	falling	-1.5 (-1.8, -1.2)
Campbell County, South Dakota	Rural	Yes	94.5 (53.0, 179.7)	N/A	3	stable	-1.6 (-3.5, 0.2)
Campbell County, Tennessee	Urban	No	193.1 (177.0, 210.4)	N/A	113	falling	-0.7 (-1.0, -0.3)
Campbell County, Virginia	Urban	No	155.4 (143.4, 168.3)	N/A	131	falling	-1.2 (-1.6, -0.7)
Campbell County, Wyoming	Rural	No	145.1 (127.8, 164.1)	N/A	59	falling	-1.4 (-2.4, -0.2)
Canadian County, Oklahoma	Urban	No	149.3 (140.8, 158.1)	N/A	240	falling	-1.0 (-1.4, -0.6)
Candler County, Georgia	Rural	No	162.4 (133.8, 195.8)	N/A	24	stable	-0.9 (-1.9, 0.2)
Cannon County, Tennessee	Urban	No	194.5 (166.9, 225.9)	N/A	37	stable	-11.6 (-21.6, 0.1)
Canyon County, Idaho	Urban	No	147.8 (141.0, 155.0)	N/A	361	falling	-0.7 (-1.0, -0.3)
Cape Girardeau County, Missouri	Urban	No	149.1 (138.6, 160.3)	N/A	156	falling	-3.0 (-8.4, -0.7)
Cape May County, New Jersey	Urban	No	156.0 (147.5, 164.9)	N/A	286	falling	-1.4 (-1.6, -1.1)
Carbon County, Montana	Urban	Yes	110.3 (89.5, 135.9)	N/A	21	falling	-2.0 (-2.9, -1.2)
Carbon County, Pennsylvania	Urban	No	160.0 (148.9, 171.8)	N/A	165	falling	-1.7 (-6.7, -1.1)
Carbon County, Utah	Rural	No	154.0 (132.3, 178.4)	N/A	38	stable	-0.7 (-7.3, 0.0)
Carbon County, Wyoming	Rural	Yes	112.3 (91.5, 136.7)	N/A	22	falling	-1.6 (-2.7, -0.6)
Caribou County, Idaho	Rural	Yes	120.5 (90.3, 158.3)	N/A	11	falling	-5.4 (-26.3, -0.2)
Carlisle County, Kentucky	Urban	No	250.0 (199.9, 310.3)	N/A	18	rising	1.7 (0.1, 12.2)
Carlton County, Minnesota	Urban	No	156.8 (141.3, 173.6)	N/A	78	stable	-0.7 (-1.5, 0.1)
Caroline County, Maryland	Rural	No	180.0 (162.3, 199.2)	N/A	79	falling	-1.4 (-1.8, -0.9)
Caroline County, Virginia	Rural	No	162.4 (144.9, 181.7)	N/A	65	falling	-1.5 (-2.0, -1.0)
Carroll County, Arkansas	Rural	No	162.6 (145.9, 180.9)	N/A	75	falling	-1.0 (-1.6, -0.4)
Carroll County, Georgia	Urban	No	165.8 (155.7, 176.4)	N/A	209	falling	-3.4 (-9.0, -0.9)
Carroll County, Illinois	Rural	No	169.0 (146.7, 194.3)	N/A	45	falling	-1.1 (-1.7, -0.5)
Carroll County, Indiana	Urban	No	150.4 (131.0, 172.2)	N/A	45	falling	-0.8 (-1.5, -0.2)
Carroll County, Iowa	Rural	No	139.0 (121.4, 158.8)	N/A	48	falling	-0.8 (-1.5, -0.1)
Carroll County, Kentucky	Rural	No	207.0 (173.7, 245.2)	N/A	28	stable	-0.6 (-1.3, 0.1)
Carroll County, Maryland	Urban	No	154.1 (146.9, 161.6)	N/A	355	falling	-1.5 (-1.7, -1.2)
Carroll County, Mississippi	Rural	No	175.6 (146.7, 209.6)	N/A	29	stable	-0.5 (-1.3, 0.4)
Carroll County, Missouri	Rural	No	144.2 (116.8, 177.1)	N/A	20	falling	-1.0 (-1.9, -0.2)
Carroll County, New Hampshire	Rural	No	139.7 (128.9, 151.5)	N/A	141	falling	-1.7 (-2.1, -1.2)
Carroll County, Ohio	Urban	No	167.1 (149.3, 186.7)	N/A	69	stable	-0.4 (-1.1, 0.3)
Carroll County, Tennessee	Rural	No	203.6 (184.1, 224.8)	N/A	84	stable	-0.3 (-0.7, 0.0)
Carroll County, Virginia	Rural	No	152.0 (137.1, 168.4)	N/A	81	stable	-0.6 (-1.2, 0.0)
Carson City, Nevada	Urban	No	169.4 (157.1, 182.5)	N/A	147	falling	-1.3 (-1.7, -0.9)
Carson County, Texas	Urban	No	146.9 (111.7, 191.3)	N/A	12	falling	-1.3 (-2.5, -0.1)
Carter County, Kentucky	Urban	No	203.8 (183.8, 225.6)	N/A	79	falling	-0.9 (-1.5, -0.4)
Carter County, Missouri	Rural	No	207.6 (164.4, 260.3)	N/A	16	stable	0.1 (-1.0, 1.2)
Carter County, Montana	Rural	No	141.8 (79.3, 246.5)	N/A	3	*	*
Carter County, Oklahoma	Rural	No	198.4 (182.7, 215.2)	N/A	122	falling	-0.5 (-0.8, -0.2)
Carter County, Tennessee	Urban	No	159.1 (147.5, 171.5)	N/A	147	falling	-1.2 (-1.6, -0.8)
Carteret County, North Carolina	Rural	No	160.8 (150.5, 171.7)	N/A	200	falling	-1.3 (-1.6, -1.0)
Carver County, Minnesota	Urban	No	123.9 (114.5, 133.8)	N/A	136	falling	-1.5 (-1.9, -1.1)
Cascade County, Montana	Urban	No	143.7 (134.0, 154.0)	N/A	171	falling	-1.4 (-1.7, -1.1)
Casey County, Kentucky	Rural	No	197.8 (172.5, 226.2)	N/A	46	stable	-0.3 (-1.0, 0.4)
Cass County, Illinois	Rural	No	166.1 (139.0, 197.3)	N/A	28	falling	-1.2 (-2.0, -0.5)
Cass County, Indiana	Rural	No	170.1 (154.4, 187.2)	N/A	89	falling	-1.1 (-1.5, -0.6)
Cass County, Iowa	Rural	No	168.6 (144.0, 196.9)	N/A	37	falling	-3.4 (-9.1, -1.0)
Cass County, Michigan	Urban	No	172.5 (159.4, 186.6)	N/A	138	falling	-0.9 (-1.3, -0.5)
Cass County, Minnesota	Rural	No	158.1 (142.4, 175.4)	N/A	85	falling	-0.9 (-1.3, -0.4)
Cass County, Missouri	Urban	No	157.3 (148.1, 167.0)	N/A	225	falling	-0.9 (-1.3, -0.5)
Cass County, Nebraska	Urban	No	137.4 (120.0, 156.8)	N/A	48	falling	-4.9 (-13.5, -1.3)
Cass County, North Dakota	Urban	No	135.4 (127.6, 143.4)	N/A	242	falling	-1.6 (-2.0, -1.3)
Cass County, Texas	Rural	No	191.0 (173.0, 210.7)	N/A	88	falling	-0.6 (-1.1, -0.1)
Cassia County, Idaho	Rural	No	128.4 (109.7, 149.5)	N/A	34	falling	-1.3 (-2.3, -0.2)
Castro County, Texas	Rural	No	138.0 (103.8, 180.0)	N/A	12	falling	-1.7 (-2.7, -0.8)
Caswell County, North Carolina	Rural	No	173.0 (154.0, 194.2)	N/A	64	falling	-1.0 (-1.5, -0.5)
Catahoula Parish, Louisiana	Rural	No	199.9 (164.4, 241.3)	N/A	24	stable	0.1 (-0.7, 1.0)
Catawba County, North Carolina	Urban	No	154.1 (146.7, 161.9)	N/A	333	falling	-1.4 (-2.9, -1.2)
Catoosa County, Georgia	Urban	No	149.2 (138.1, 161.1)	N/A	137	falling	-1.3 (-2.9, -0.8)
Catron County, New Mexico	Rural	Yes	100.3 (73.8, 147.1)	N/A	10	falling	-2.0 (-3.6, -0.1)
Cattaraugus County, New York	Rural	No	153.6 (143.2, 164.7)	N/A	173	falling	-1.6 (-3.8, -1.2)
Cavalier County, North Dakota	Rural	No	160.8 (116.6, 219.2)	N/A	11	falling	-1.4 (-2.5, -0.4)
Cayuga County, New York	Rural	No	146.3 (136.3, 156.9)	N/A	169	falling	-1.0 (-1.5, -0.6)
Cecil County, Maryland	Urban	No	171.3 (161.1, 182.1)	N/A	221	falling	-1.5 (-3.1, -1.2)
Cedar County, Iowa	Rural	No	143.6 (124.0, 166.0)	N/A	41	stable	-0.8 (-1.5, 0.0)
Cedar County, Missouri	Rural	No	157.5 (134.6, 183.7)	N/A	37	stable	-0.7 (-1.6, 0.2)
Cedar County, Nebraska	Rural	No	139.5 (110.8, 174.2)	N/A	19	stable	-0.7 (-1.6, 0.3)
Centre County, Pennsylvania	Urban	No	124.7 (117.4, 132.4)	N/A	222	falling	-1.6 (-1.8, -1.3)
Cerro Gordo County, Iowa	Rural	No	144.8 (131.8, 158.9)	N/A	102	falling	-1.5 (-1.8, -1.1)
Chaffee County, Colorado	Rural	Yes	115.5 (99.1, 134.3)	N/A	39	stable	-1.1 (-2.1, 0.0)
Chambers County, Alabama	Rural	No	165.3 (149.5, 182.5)	N/A	85	falling	-2.4 (-6.3, -1.3)
Chambers County, Texas	Urban	No	162.2 (145.0, 180.9)	N/A	69	falling	-1.5 (-2.2, -0.7)
Champaign County, Illinois	Urban	No	133.0 (125.9, 140.4)	N/A	275	falling	-1.9 (-2.5, -1.6)
Champaign County, Ohio	Rural	No	169.6 (154.1, 186.3)	N/A	92	falling	-0.8 (-1.2, -0.3)
Chariton County, Missouri	Rural	No	173.5 (140.3, 213.5)	N/A	23	stable	-0.3 (-1.1, 0.5)
Charles City County, Virginia	Urban	No	171.0 (139.7, 209.6)	N/A	22	falling	-1.5 (-2.4, -0.5)
Charles County, Maryland	Urban	No	152.4 (144.1, 160.9)	N/A	271	falling	-2.2 (-6.1, -1.7)
Charles Mix County, South Dakota	Rural	No	146.4 (116.2, 182.5)	N/A	18	stable	-0.7 (-1.8, 0.4)
Charleston County, South Carolina	Urban	No	140.3 (135.7, 145.1)	N/A	728	falling	-2.5 (-4.0, -1.9)
Charlevoix County, Michigan	Rural	No	158.8 (141.9, 177.5)	N/A	72	falling	-1.0 (-1.4, -0.5)
Charlotte County, Florida	Urban	No	133.0 (127.6, 138.5)	N/A	658	falling	-1.2 (-1.4, -1.0)
Charlotte County, Virginia	Rural	No	186.8 (159.2, 218.7)	N/A	35	stable	0.6 (-0.9, 5.5)
Charlottesville City, Virginia	Urban	No	140.1 (124.4, 157.3)	N/A	61	falling	-1.9 (-2.3, -1.5)
Charlton County, Georgia	Rural	No	168.5 (140.6, 200.7)	N/A	26	falling	-1.7 (-2.8, -0.3)
Chase County, Kansas	Rural	No	195.8 (135.1, 277.7)	N/A	8	stable	-0.1 (-1.5, 1.2)
Chase County, Nebraska	Rural	No	148.6 (107.8, 202.3)	N/A	10	stable	-0.4 (-1.5, 0.8)
Chatham County, Georgia	Urban	No	138.4 (132.9, 144.2)	N/A	491	falling	-2.3 (-2.9, -2.0)
Chatham County, North Carolina	Urban	No	124.2 (115.7, 133.2)	N/A	172	falling	-1.6 (-2.0, -1.2)
Chattahoochee County, Georgia	Urban	No	204.8 (143.7, 280.5)	N/A	8	falling	-1.9 (-3.0, -0.7)
Chattooga County, Georgia	Rural	No	192.5 (171.8, 215.2)	N/A	65	falling	-0.9 (-1.3, -0.4)
Chautauqua County, Kansas	Rural	No	178.8 (131.3, 241.3)	N/A	11	stable	-0.1 (-1.7, 1.4)
Chautauqua County, New York	Rural	No	154.9 (146.8, 163.3)	N/A	299	falling	-0.9 (-1.2, -0.7)
Chaves County, New Mexico	Rural	No	131.9 (120.5, 144.1)	N/A	103	falling	-2.1 (-9.5, -1.3)
Cheatham County, Tennessee	Urban	No	199.1 (180.9, 218.8)	N/A	97	falling	-0.8 (-1.4, -0.1)
Cheboygan County, Michigan	Rural	No	158.5 (142.0, 177.0)	N/A	76	falling	-1.1 (-1.6, -0.4)
Chelan County, Washington	Urban	No	140.1 (130.3, 150.6)	N/A	159	falling	-1.4 (-1.7, -1.1)
Chemung County, New York	Urban	No	179.6 (168.8, 190.9)	N/A	219	falling	-1.0 (-1.3, -0.7)
Chenango County, New York	Rural	No	159.6 (146.4, 173.8)	N/A	116	falling	-1.3 (-1.6, -1.0)
Cherokee County, Alabama	Rural	No	178.8 (160.4, 199.2)	N/A	74	stable	-0.4 (-1.0, 0.2)
Cherokee County, Georgia	Urban	No	138.7 (132.5, 145.0)	N/A	410	falling	-1.3 (-1.6, -1.0)
Cherokee County, Iowa	Rural	No	151.5 (127.4, 179.6)	N/A	32	stable	-0.5 (-1.4, 0.3)
Cherokee County, Kansas	Urban	No	190.2 (167.4, 215.5)	N/A	53	falling	-0.7 (-1.1, -0.2)
Cherokee County, North Carolina	Rural	No	149.7 (135.0, 166.0)	N/A	88	falling	-1.7 (-5.0, -1.0)
Cherokee County, Oklahoma	Rural	No	199.8 (183.8, 217.0)	N/A	120	stable	-0.2 (-0.6, 0.3)
Cherokee County, South Carolina	Rural	No	179.3 (165.3, 194.1)	N/A	128	falling	-1.6 (-2.5, -1.0)
Cherokee County, Texas	Rural	No	169.0 (155.0, 183.9)	N/A	112	stable	1.8 (-1.4, 8.4)
Cherry County, Nebraska	Rural	No	132.0 (98.9, 174.3)	N/A	12	stable	-1.0 (-2.2, 0.1)
Chesapeake City, Virginia	Urban	No	164.0 (157.0, 171.2)	N/A	433	falling	-1.6 (-1.8, -1.3)
Cheshire County, New Hampshire	Rural	No	148.6 (138.6, 159.2)	N/A	176	falling	-1.2 (-1.7, -0.8)
Chester County, Pennsylvania	Urban	No	128.8 (125.0, 132.7)	N/A	894	falling	-2.5 (-4.5, -1.9)
Chester County, South Carolina	Urban	No	194.2 (175.9, 214.0)	N/A	87	falling	-0.6 (-1.0, -0.2)
Chester County, Tennessee	Urban	No	211.5 (184.7, 241.4)	N/A	47	stable	0.3 (-0.5, 1.2)
Chesterfield County, South Carolina	Rural	No	185.6 (170.0, 202.2)	N/A	112	falling	-1.0 (-5.0, -0.3)
Chesterfield County, Virginia	Urban	No	145.2 (139.9, 150.6)	N/A	606	falling	-1.8 (-2.9, -1.5)
Cheyenne County, Colorado	Rural	No	224.1 (151.0, 326.8)	N/A	6	stable	-0.1 (-2.0, 1.8)
Cheyenne County, Kansas	Rural	No	151.0 (100.1, 222.8)	N/A	7	stable	-0.4 (-1.9, 0.9)
Cheyenne County, Nebraska	Rural	No	171.3 (140.8, 207.2)	N/A	24	stable	-0.5 (-1.7, 0.8)
Chickasaw County, Iowa	Rural	No	163.1 (136.6, 193.9)	N/A	30	stable	-0.5 (-1.3, 0.3)
Chickasaw County, Mississippi	Rural	No	184.8 (160.2, 212.4)	N/A	42	stable	-0.6 (-1.2, 0.0)
Chicot County, Arkansas	Rural	No	224.5 (191.7, 262.0)	N/A	36	stable	-0.1 (-0.9, 0.7)
Childress County, Texas	Rural	No	172.9 (134.1, 220.0)	N/A	14	stable	-0.9 (-2.1, 0.2)
Chilton County, Alabama	Urban	No	171.9 (156.8, 188.1)	N/A	100	falling	-0.7 (-1.2, -0.2)
Chippewa County, Michigan	Rural	No	193.1 (176.0, 211.6)	N/A	98	stable	-0.3 (-0.8, 0.3)
Chippewa County, Minnesota	Rural	No	173.2 (147.1, 203.2)	N/A	35	stable	-0.1 (-0.9, 0.6)
Chippewa County, Wisconsin	Urban	No	141.2 (130.3, 152.8)	N/A	131	falling	-1.2 (-1.7, -0.7)
Chisago County, Minnesota	Urban	No	166.7 (153.1, 181.3)	N/A	116	falling	-1.5 (-2.1, -0.8)
Chittenden County, Vermont	Urban	No	142.3 (134.9, 150.1)	N/A	286	falling	-1.6 (-1.8, -1.3)
Choctaw County, Alabama	Rural	No	152.6 (129.9, 178.9)	N/A	34	falling	-1.7 (-2.4, -1.0)
Choctaw County, Mississippi	Rural	No	144.0 (115.6, 178.3)	N/A	19	falling	-1.1 (-2.1, -0.2)
Choctaw County, Oklahoma	Rural	No	189.1 (163.2, 218.5)	N/A	40	stable	-0.2 (-0.9, 0.6)
Chouteau County, Montana	Rural	No	136.0 (104.3, 176.2)	N/A	13	stable	-0.8 (-1.8, 0.3)
Chowan County, North Carolina	Rural	No	155.1 (133.0, 180.6)	N/A	39	falling	-0.9 (-1.5, -0.3)
Christian County, Illinois	Rural	No	177.8 (161.4, 195.7)	N/A	90	falling	-0.9 (-1.3, -0.4)
Christian County, Kentucky	Urban	No	189.0 (174.6, 204.3)	N/A	131	falling	-0.8 (-1.2, -0.4)
Christian County, Missouri	Urban	No	156.2 (145.6, 167.3)	N/A	167	stable	1.0 (-0.2, 4.3)
Churchill County, Nevada	Rural	No	157.4 (138.7, 178.0)	N/A	55	stable	-3.0 (-5.3, 0.3)
Cibola County, New Mexico	Rural	No	126.7 (110.1, 145.3)	N/A	44	falling	-1.1 (-1.7, -0.4)
Citrus County, Florida	Urban	No	174.8 (167.7, 182.3)	N/A	616	falling	-0.7 (-1.0, -0.5)
Clackamas County, Oregon	Urban	No	139.0 (134.7, 143.5)	N/A	800	falling	-1.8 (-2.4, -1.5)
Claiborne County, Mississippi	Rural	No	203.3 (165.7, 247.2)	N/A	22	stable	-0.7 (-1.6, 0.2)
Claiborne County, Tennessee	Rural	No	194.7 (176.3, 214.6)	N/A	88	falling	-1.4 (-6.8, -0.6)
Claiborne Parish, Louisiana	Rural	No	180.7 (155.2, 209.8)	N/A	39	stable	10.7 (-0.3, 17.3)
Clallam County, Washington	Rural	No	161.5 (152.2, 171.4)	N/A	259	falling	-0.9 (-1.2, -0.6)
Clare County, Michigan	Rural	No	205.1 (187.0, 224.7)	N/A	105	falling	-0.7 (-1.1, -0.2)
Clarendon County, South Carolina	Rural	No	181.0 (164.0, 199.5)	N/A	93	falling	-0.9 (-1.4, -0.4)
Clarion County, Pennsylvania	Rural	No	178.1 (162.0, 195.5)	N/A	97	stable	-0.3 (-0.8, 0.2)
Clark County, Arkansas	Rural	No	188.2 (164.7, 214.4)	N/A	48	stable	-0.3 (-1.0, 0.3)
Clark County, Illinois	Rural	No	183.6 (158.7, 211.7)	N/A	41	stable	-0.1 (-0.8, 0.6)
Clark County, Indiana	Urban	No	172.1 (162.6, 182.0)	N/A	257	falling	-1.4 (-1.7, -1.1)
Clark County, Kansas	Rural	No	155.6 (95.5, 243.7)	N/A	5	stable	-0.2 (-1.9, 1.5)
Clark County, Kentucky	Urban	No	179.0 (162.3, 197.0)	N/A	88	falling	-0.7 (-1.2, -0.2)
Clark County, Missouri	Rural	No	150.0 (117.9, 189.5)	N/A	16	stable	-1.0 (-2.2, 0.2)
Clark County, Nevada	Urban	No	147.3 (145.1, 149.4)	N/A	3,743	falling	-1.6 (-1.8, -1.5)
Clark County, Ohio	Urban	No	172.1 (163.8, 180.8)	N/A	338	falling	-1.0 (-1.3, -0.7)
Clark County, South Dakota	Rural	No	131.7 (92.5, 184.6)	N/A	8	stable	-1.0 (-2.4, 0.3)
Clark County, Washington	Urban	No	149.2 (144.7, 153.8)	N/A	878	falling	-1.9 (-2.6, -1.5)
Clark County, Wisconsin	Rural	No	161.0 (144.4, 179.2)	N/A	72	stable	0.3 (-0.4, 3.0)
Clarke County, Alabama	Rural	No	209.5 (187.8, 233.3)	N/A	72	stable	-0.7 (-1.5, 0.0)
Clarke County, Georgia	Urban	No	140.0 (130.2, 150.4)	N/A	156	falling	-1.4 (-1.7, -1.0)
Clarke County, Iowa	Rural	No	188.8 (156.7, 226.3)	N/A	26	stable	0.1 (-1.0, 1.3)
Clarke County, Mississippi	Rural	No	156.9 (134.5, 182.5)	N/A	37	stable	-0.3 (-1.0, 0.5)
Clarke County, Virginia	Urban	No	140.0 (119.7, 163.6)	N/A	35	falling	-1.5 (-2.3, -0.7)
Clatsop County, Oregon	Rural	No	165.3 (150.9, 181.0)	N/A	106	falling	-1.3 (-1.8, -0.8)
Clay County, Alabama	Rural	No	170.2 (146.3, 197.4)	N/A	38	stable	-0.7 (-1.5, 0.2)
Clay County, Arkansas	Rural	No	206.9 (181.1, 236.0)	N/A	48	stable	-0.2 (-0.8, 0.4)
Clay County, Florida	Urban	No	163.5 (156.6, 170.7)	N/A	440	falling	-1.6 (-3.3, -1.2)
Clay County, Georgia	Rural	No	130.7 (88.9, 190.7)	N/A	7	falling	-4.2 (-18.5, -2.0)
Clay County, Illinois	Rural	No	179.5 (153.1, 209.7)	N/A	35	stable	-0.5 (-1.3, 0.3)
Clay County, Indiana	Urban	No	180.9 (161.5, 202.2)	N/A	66	falling	-0.8 (-1.3, -0.2)
Clay County, Iowa	Rural	Yes	121.2 (102.6, 142.7)	N/A	32	falling	-4.8 (-18.9, -1.1)
Clay County, Kansas	Rural	No	158.1 (129.3, 192.8)	N/A	22	stable	-0.5 (-1.3, 0.4)
Clay County, Kentucky	Rural	No	247.5 (220.1, 277.6)	N/A	63	stable	0.4 (-0.2, 1.0)
Clay County, Minnesota	Urban	No	139.5 (127.2, 152.7)	N/A	98	falling	-0.6 (-1.1, -0.1)
Clay County, Mississippi	Rural	No	170.4 (148.3, 195.3)	N/A	45	stable	-0.5 (-1.1, 0.1)
Clay County, Missouri	Urban	No	153.6 (147.2, 160.4)	N/A	436	falling	-1.9 (-2.9, -1.5)
Clay County, Nebraska	Rural	No	164.4 (126.7, 210.9)	N/A	14	stable	-0.4 (-1.9, 1.0)
Clay County, North Carolina	Rural	No	132.2 (110.3, 158.5)	N/A	31	falling	-1.5 (-2.1, -0.9)
Clay County, South Dakota	Rural	No	160.7 (131.6, 194.6)	N/A	22	stable	-0.7 (-1.8, 0.5)
Clay County, Tennessee	Rural	No	199.7 (166.4, 239.3)	N/A	27	stable	-0.7 (-1.6, 0.2)
Clay County, Texas	Urban	No	153.3 (127.1, 184.3)	N/A	27	stable	-0.6 (-1.3, 0.2)
Clay County, West Virginia	Urban	No	200.3 (166.0, 240.7)	N/A	25	falling	-1.3 (-1.9, -0.6)
Clayton County, Georgia	Urban	No	151.8 (144.3, 159.6)	N/A	364	falling	-1.3 (-1.5, -1.0)
Clayton County, Iowa	Rural	No	166.1 (144.7, 190.4)	N/A	49	falling	-0.8 (-1.3, -0.3)
Clear Creek County, Colorado	Urban	Yes	86.2 (65.0, 113.5)	N/A	13	falling	-2.5 (-3.7, -1.2)
Clearfield County, Pennsylvania	Rural	No	165.6 (155.4, 176.4)	N/A	205	falling	-0.7 (-1.0, -0.4)
Clearwater County, Idaho	Rural	No	155.3 (129.8, 186.3)	N/A	28	stable	-0.6 (-1.5, 0.3)
Clearwater County, Minnesota	Rural	No	164.2 (132.9, 201.5)	N/A	21	stable	-0.5 (-1.3, 0.3)
Cleburne County, Alabama	Rural	No	171.8 (147.8, 199.1)	N/A	38	falling	-1.1 (-1.9, -0.2)
Cleburne County, Arkansas	Rural	No	163.3 (146.8, 181.7)	N/A	78	stable	-0.4 (-0.9, 0.2)
Clermont County, Ohio	Urban	No	160.1 (153.3, 167.2)	N/A	435	falling	-1.4 (-1.7, -1.2)
Cleveland County, Arkansas	Rural	No	157.7 (126.8, 195.2)	N/A	19	falling	-1.4 (-2.6, -0.2)
Cleveland County, North Carolina	Rural	No	183.7 (173.4, 194.6)	N/A	250	stable	-0.3 (-0.6, 0.1)
Cleveland County, Oklahoma	Urban	No	147.9 (141.9, 154.2)	N/A	467	falling	-0.8 (-1.1, -0.5)
Clinch County, Georgia	Rural	No	167.0 (130.0, 211.9)	N/A	15	stable	-0.7 (-1.7, 0.4)
Clinton County, Illinois	Urban	No	142.3 (127.4, 158.6)	N/A	70	falling	-1.3 (-1.9, -0.7)
Clinton County, Indiana	Rural	No	175.5 (157.6, 194.9)	N/A	74	stable	-0.3 (-0.9, 0.3)
Clinton County, Iowa	Rural	No	170.5 (156.7, 185.4)	N/A	118	falling	-0.9 (-1.3, -0.5)
Clinton County, Kentucky	Rural	No	245.1 (208.4, 287.1)	N/A	33	stable	0.0 (-0.8, 0.9)
Clinton County, Michigan	Urban	No	134.2 (124.3, 144.8)	N/A	140	falling	-1.4 (-1.8, -1.0)
Clinton County, Missouri	Urban	No	179.0 (157.6, 202.9)	N/A	53	stable	-0.4 (-0.9, 0.1)
Clinton County, New York	Rural	No	168.0 (157.1, 179.6)	N/A	184	falling	-0.9 (-1.2, -0.6)
Clinton County, Ohio	Rural	No	185.6 (169.7, 202.8)	N/A	105	falling	-0.7 (-1.1, -0.3)
Clinton County, Pennsylvania	Rural	No	150.3 (135.6, 166.3)	N/A	81	falling	-1.5 (-2.1, -0.9)
Cloud County, Kansas	Rural	No	159.7 (129.7, 195.3)	N/A	22	stable	-0.4 (-1.5, 0.7)
Coahoma County, Mississippi	Rural	No	230.8 (204.6, 259.6)	N/A	60	stable	-0.2 (-3.7, 0.3)
Coal County, Oklahoma	Rural	No	228.5 (183.5, 282.7)	N/A	19	stable	15.6 (-0.1, 28.6)
Cobb County, Georgia	Urban	No	133.8 (130.1, 137.7)	N/A	1,025	falling	-1.7 (-2.8, -1.4)
Cochise County, Arizona	Urban	No	148.9 (141.2, 156.9)	N/A	304	falling	-1.1 (-1.3, -0.8)
Cochran County, Texas	Urban	No	193.7 (132.0, 276.3)	N/A	6	stable	-0.5 (-2.1, 1.0)
Cocke County, Tennessee	Rural	No	191.7 (175.1, 209.5)	N/A	107	falling	-0.8 (-1.2, -0.3)
Coconino County, Arizona	Urban	No	125.4 (116.9, 134.3)	N/A	175	falling	-1.3 (-1.6, -0.9)
Codington County, South Dakota	Rural	No	145.9 (129.3, 164.4)	N/A	59	falling	-1.1 (-1.6, -0.5)
Coffee County, Alabama	Rural	No	157.0 (143.8, 171.1)	N/A	108	falling	-1.6 (-4.7, -1.2)
Coffee County, Georgia	Rural	No	169.3 (152.8, 187.2)	N/A	80	falling	-0.7 (-1.2, -0.1)
Coffee County, Tennessee	Rural	No	179.4 (166.0, 193.8)	N/A	136	falling	-0.9 (-1.3, -0.4)
Coffey County, Kansas	Rural	No	139.1 (112.0, 172.1)	N/A	19	falling	-3.0 (-12.1, -1.2)
Coke County, Texas	Rural	No	189.6 (143.1, 250.8)	N/A	12	falling	-1.3 (-2.5, -0.1)
Colbert County, Alabama	Urban	No	173.6 (160.9, 187.2)	N/A	145	falling	-1.0 (-1.3, -0.6)
Cole County, Missouri	Urban	No	138.8 (128.5, 149.8)	N/A	139	falling	-1.9 (-2.7, -1.5)
Coleman County, Texas	Rural	No	225.7 (190.8, 266.7)	N/A	32	stable	0.2 (-0.7, 1.1)
Coles County, Illinois	Rural	No	161.5 (147.3, 176.7)	N/A	102	falling	-1.0 (-1.6, -0.3)
Colfax County, Nebraska	Rural	No	161.6 (129.6, 199.2)	N/A	18	stable	-0.3 (-1.2, 0.6)
Colfax County, New Mexico	Rural	Yes	122.1 (102.2, 145.9)	N/A	29	falling	-1.2 (-1.9, -0.5)
Colleton County, South Carolina	Rural	No	209.4 (192.1, 227.9)	N/A	116	stable	-0.4 (-0.8, 0.1)
Collier County, Florida	Urban	Yes	104.0 (100.7, 107.5)	N/A	897	falling	-1.9 (-2.1, -1.6)
Collin County, Texas	Urban	Yes	116.7 (113.6, 119.9)	N/A	1,114	falling	-1.9 (-2.1, -1.7)
Collingsworth County, Texas	Rural	No	157.8 (101.7, 235.6)	N/A	5	stable	-0.6 (-1.9, 0.5)
Colonial Heights City, Virginia	Urban	No	204.8 (180.3, 231.9)	N/A	54	rising	3.3 (0.2, 11.1)
Colorado County, Texas	Rural	No	168.6 (148.4, 191.1)	N/A	54	falling	-0.9 (-1.5, -0.3)
Colquitt County, Georgia	Rural	No	159.9 (145.0, 176.0)	N/A	86	falling	-1.1 (-1.4, -0.8)
Columbia County, Arkansas	Rural	No	184.8 (162.8, 209.1)	N/A	54	falling	-0.7 (-1.3, -0.2)
Columbia County, Florida	Rural	No	196.4 (183.9, 209.6)	N/A	196	falling	-0.6 (-1.0, -0.2)
Columbia County, Georgia	Urban	No	136.9 (129.1, 145.2)	N/A	234	falling	-2.0 (-2.5, -1.6)
Columbia County, New York	Rural	No	143.5 (133.1, 154.7)	N/A	153	falling	-1.6 (-3.8, -1.3)
Columbia County, Oregon	Urban	No	167.6 (154.5, 181.6)	N/A	128	falling	-1.4 (-1.8, -0.9)
Columbia County, Pennsylvania	Rural	No	163.2 (151.6, 175.6)	N/A	154	falling	-0.6 (-1.0, -0.2)
Columbia County, Washington	Rural	No	174.7 (135.0, 226.6)	N/A	14	stable	-1.8 (-8.5, 0.6)
Columbia County, Wisconsin	Urban	No	155.9 (143.8, 168.9)	N/A	128	falling	-1.1 (-1.5, -0.7)
Columbiana County, Ohio	Rural	No	172.7 (163.4, 182.6)	N/A	271	falling	-0.8 (-1.1, -0.6)
Columbus County, North Carolina	Rural	No	192.3 (178.1, 207.5)	N/A	143	falling	-0.8 (-1.2, -0.4)
Colusa County, California	Rural	No	126.1 (106.8, 147.9)	N/A	31	falling	-1.8 (-2.6, -1.1)
Comal County, Texas	Urban	No	142.0 (134.8, 149.5)	N/A	310	falling	-1.2 (-1.5, -0.8)
Comanche County, Kansas	Rural	No	167.7 (110.0, 255.7)	N/A	5	stable	0.1 (-2.1, 2.3)
Comanche County, Oklahoma	Urban	No	180.7 (170.1, 191.9)	N/A	224	falling	-1.1 (-2.7, -0.8)
Comanche County, Texas	Rural	No	140.7 (118.0, 167.1)	N/A	31	falling	-3.8 (-11.8, -1.7)
Concho County, Texas	Rural	Yes	108.1 (72.2, 159.7)	N/A	6	stable	-1.0 (-2.3, 0.3)
Concordia Parish, Louisiana	Rural	No	187.3 (162.9, 214.6)	N/A	45	falling	-0.8 (-1.2, -0.3)
Conecuh County, Alabama	Rural	No	167.3 (140.5, 198.4)	N/A	31	stable	-1.8 (-15.8, 1.0)
Conejos County, Colorado	Rural	No	156.1 (122.7, 196.5)	N/A	16	stable	-0.7 (-1.7, 0.3)
Contra Costa County, California	Urban	No	126.4 (123.7, 129.0)	N/A	1,823	falling	-2.1 (-2.8, -1.8)
Converse County, Wyoming	Rural	No	139.7 (115.7, 167.7)	N/A	25	falling	-1.8 (-2.7, -0.8)
Conway County, Arkansas	Rural	No	154.6 (134.8, 176.8)	N/A	46	falling	-0.9 (-1.5, -0.3)
Cook County, Georgia	Rural	No	156.0 (133.0, 182.2)	N/A	34	falling	-1.2 (-2.0, -0.3)
Cook County, Illinois	Urban	No	143.1 (141.8, 144.5)	N/A	8,794	falling	-2.8 (-3.5, -2.4)
Cook County, Minnesota	Rural	Yes	101.4 (75.6, 136.6)	N/A	12	stable	-1.6 (-3.6, 0.5)
Cooke County, Texas	Rural	No	166.4 (151.4, 182.5)	N/A	96	falling	-0.9 (-1.4, -0.3)
Cooper County, Missouri	Urban	No	175.1 (150.8, 202.5)	N/A	40	stable	-0.5 (-1.2, 0.2)
Coos County, New Hampshire	Rural	No	162.8 (147.6, 179.6)	N/A	92	falling	-1.3 (-1.9, -0.8)
Coos County, Oregon	Rural	No	178.9 (167.6, 190.8)	N/A	212	falling	-1.0 (-1.3, -0.8)
Coosa County, Alabama	Rural	No	161.6 (134.4, 193.9)	N/A	28	falling	-1.1 (-1.9, -0.3)
Copiah County, Mississippi	Urban	No	172.8 (153.9, 193.5)	N/A	65	falling	-1.1 (-1.6, -0.6)
Corson County, South Dakota	Rural	No	182.9 (122.1, 262.5)	N/A	6	stable	-0.2 (-1.4, 1.0)
Cortland County, New York	Rural	No	159.9 (145.4, 175.5)	N/A	94	falling	-1.0 (-1.5, -0.6)
Coryell County, Texas	Urban	No	177.2 (163.3, 192.0)	N/A	123	falling	-0.7 (-1.1, -0.2)
Coshocton County, Ohio	Rural	No	178.9 (162.6, 196.5)	N/A	94	falling	-0.6 (-1.1, -0.1)
Costilla County, Colorado	Rural	Yes	83.5 (51.9, 131.3)	N/A	5	falling	-5.3 (-29.3, -1.7)
Cottle County, Texas	Rural	No	131.7 (73.2, 231.7)	N/A	3	stable	-1.4 (-3.5, 0.3)
Cotton County, Oklahoma	Urban	No	188.3 (147.9, 237.9)	N/A	16	stable	0.0 (-0.8, 0.8)
Cottonwood County, Minnesota	Rural	No	158.9 (134.2, 187.5)	N/A	33	stable	-0.4 (-1.1, 0.3)
Covington City, Virginia	Rural	No	210.7 (167.6, 262.6)	N/A	18	stable	0.3 (-0.9, 1.5)
Covington County, Alabama	Rural	No	184.6 (169.1, 201.4)	N/A	111	stable	-0.5 (-1.0, 0.0)
Covington County, Mississippi	Rural	No	205.1 (179.6, 233.4)	N/A	48	stable	-0.1 (-0.7, 0.5)
Coweta County, Georgia	Urban	No	148.7 (140.1, 157.6)	N/A	240	falling	-1.4 (-1.8, -0.9)
Cowley County, Kansas	Rural	No	188.7 (171.0, 207.9)	N/A	88	stable	-0.4 (-0.8, 0.0)
Cowlitz County, Washington	Urban	No	185.5 (175.8, 195.7)	N/A	285	falling	-0.6 (-0.9, -0.2)
Craig County, Oklahoma	Rural	No	170.7 (146.1, 198.8)	N/A	36	falling	-1.0 (-1.7, -0.4)
Craig County, Virginia	Urban	No	168.5 (129.5, 218.1)	N/A	14	stable	-0.5 (-1.7, 1.0)
Craighead County, Arkansas	Urban	No	169.8 (159.2, 180.8)	N/A	199	falling	-1.0 (-2.0, -0.6)
Crane County, Texas	Rural	No	173.1 (122.5, 237.5)	N/A	8	stable	-1.3 (-2.8, 0.1)
Craven County, North Carolina	Rural	No	172.7 (162.9, 183.0)	N/A	249	falling	-1.0 (-1.2, -0.7)
Crawford County, Arkansas	Urban	No	179.9 (166.7, 193.9)	N/A	142	falling	-0.9 (-1.2, -0.6)
Crawford County, Georgia	Urban	No	201.2 (170.6, 236.2)	N/A	34	stable	0.0 (-1.0, 1.1)
Crawford County, Illinois	Rural	No	179.2 (157.4, 203.7)	N/A	50	falling	-0.6 (-1.2, -0.3)
Crawford County, Indiana	Rural	No	172.7 (144.2, 205.9)	N/A	28	stable	-0.7 (-1.4, 0.1)
Crawford County, Iowa	Rural	No	127.3 (106.6, 151.0)	N/A	28	falling	-1.2 (-1.9, -0.4)
Crawford County, Kansas	Rural	No	187.0 (169.5, 205.9)	N/A	88	stable	-0.4 (-0.9, 0.1)
Crawford County, Michigan	Rural	No	195.2 (170.5, 223.4)	N/A	49	stable	-0.5 (-7.0, 0.9)
Crawford County, Missouri	Rural	No	201.1 (179.5, 224.9)	N/A	67	stable	-0.3 (-0.8, 0.2)
Crawford County, Ohio	Rural	No	182.5 (167.6, 198.5)	N/A	116	falling	-0.9 (-1.2, -0.5)
Crawford County, Pennsylvania	Rural	No	159.9 (150.0, 170.3)	N/A	209	falling	-1.6 (-3.0, -1.1)
Crawford County, Wisconsin	Rural	No	165.7 (143.6, 190.7)	N/A	45	falling	-0.7 (-1.2, -0.1)
Creek County, Oklahoma	Urban	No	197.3 (184.8, 210.4)	N/A	193	falling	-0.4 (-0.6, -0.1)
Crenshaw County, Alabama	Rural	No	203.9 (174.9, 236.7)	N/A	38	stable	-0.3 (-1.0, 0.5)
Crisp County, Georgia	Rural	No	172.0 (150.2, 196.3)	N/A	48	falling	-1.0 (-1.8, -0.2)
Crittenden County, Arkansas	Urban	No	207.4 (190.1, 226.0)	N/A	111	stable	-1.1 (-8.8, 0.3)
Crittenden County, Kentucky	Rural	No	208.4 (173.9, 248.6)	N/A	27	stable	-0.3 (-1.3, 0.7)
Crockett County, Tennessee	Urban	No	208.5 (179.7, 241.0)	N/A	40	stable	0.2 (-0.5, 1.0)
Crockett County, Texas	Rural	No	248.1 (181.9, 332.2)	N/A	10	stable	-0.3 (-1.9, 1.2)
Crook County, Oregon	Urban	No	146.3 (129.7, 164.9)	N/A	62	falling	-5.7 (-11.1, -2.9)
Crook County, Wyoming	Rural	No	170.4 (136.0, 212.1)	N/A	19	stable	-0.6 (-1.7, 0.5)
Crosby County, Texas	Urban	No	141.7 (104.7, 188.7)	N/A	10	stable	-0.7 (-1.6, 0.3)
Cross County, Arkansas	Rural	No	214.6 (188.1, 244.2)	N/A	49	falling	-0.9 (-6.3, -0.2)
Crow Wing County, Minnesota	Rural	No	148.3 (138.0, 159.4)	N/A	166	falling	-1.1 (-1.4, -0.7)
Crowley County, Colorado	Rural	No	136.6 (97.9, 187.2)	N/A	8	stable	-0.8 (-2.6, 1.1)
Culberson County, Texas	Rural	Yes	107.2 (62.7, 176.5)	N/A	4	stable	24.5 (-3.0, 50.4)
Cullman County, Alabama	Rural	No	152.3 (142.4, 162.8)	N/A	186	falling	-3.0 (-7.1, -1.4)
Culpeper County, Virginia	Urban	No	156.2 (142.6, 170.7)	N/A	101	falling	-1.3 (-1.7, -0.9)
Cumberland County, Illinois	Rural	No	145.1 (118.6, 176.5)	N/A	22	stable	-0.7 (-1.7, 0.4)
Cumberland County, Kentucky	Rural	No	230.0 (189.5, 278.4)	N/A	23	stable	0.4 (-0.7, 1.6)
Cumberland County, Maine	Urban	No	141.3 (136.2, 146.5)	N/A	618	falling	-2.1 (-3.8, -1.7)
Cumberland County, New Jersey	Urban	No	168.1 (159.8, 176.9)	N/A	310	falling	-5.2 (-8.4, -1.2)
Cumberland County, North Carolina	Urban	No	171.8 (165.3, 178.4)	N/A	556	falling	-1.2 (-1.4, -1.0)
Cumberland County, Pennsylvania	Urban	No	138.5 (133.1, 144.2)	N/A	501	falling	-1.3 (-1.5, -1.1)
Cumberland County, Tennessee	Rural	No	160.4 (149.6, 172.0)	N/A	200	falling	-0.9 (-1.2, -0.5)
Cumberland County, Virginia	Rural	No	182.3 (151.5, 218.3)	N/A	28	falling	-1.0 (-1.7, -0.2)
Cuming County, Nebraska	Rural	No	134.9 (107.9, 167.5)	N/A	19	stable	-1.0 (-2.0, 0.0)
Currituck County, North Carolina	Urban	No	144.0 (126.2, 163.8)	N/A	53	falling	-2.1 (-2.6, -1.5)
Curry County, New Mexico	Rural	No	153.9 (138.5, 170.5)	N/A	75	falling	-0.8 (-1.4, -0.2)
Curry County, Oregon	Rural	No	179.6 (162.7, 198.6)	N/A	98	falling	-0.6 (-1.1, -0.2)
Custer County, Colorado	Rural	Yes	110.9 (77.9, 157.2)	N/A	11	stable	-1.6 (-2.9, 0.3)
Custer County, Idaho	Rural	No	152.5 (115.5, 201.7)	N/A	13	stable	-0.2 (-1.3, 1.2)
Custer County, Montana	Rural	No	163.1 (137.1, 193.3)	N/A	29	falling	-1.4 (-2.1, -0.7)
Custer County, Nebraska	Rural	No	134.0 (109.3, 163.4)	N/A	23	stable	-0.6 (-1.5, 0.2)
Custer County, Oklahoma	Rural	No	166.8 (146.6, 189.1)	N/A	51	stable	-0.3 (-1.0, 0.5)
Custer County, South Dakota	Urban	No	137.7 (112.8, 168.8)	N/A	24	falling	-1.3 (-2.3, -0.2)
Cuyahoga County, Ohio	Urban	No	159.5 (156.8, 162.2)	N/A	2,824	falling	-1.6 (-2.3, -1.4)
Dade County, Georgia	Urban	No	177.6 (153.6, 204.7)	N/A	41	stable	-0.7 (-1.4, 0.0)
Dade County, Missouri	Rural	No	172.6 (141.4, 210.1)	N/A	23	stable	-0.4 (-1.1, 0.3)
Dakota County, Minnesota	Urban	No	131.1 (126.6, 135.8)	N/A	662	falling	-1.7 (-3.3, -1.4)
Dakota County, Nebraska	Urban	No	136.5 (115.3, 160.5)	N/A	30	falling	-1.3 (-2.1, -0.5)
Dale County, Alabama	Rural	No	166.6 (152.6, 181.6)	N/A	108	falling	-1.8 (-6.4, -1.0)
Dallam County, Texas	Rural	No	138.1 (100.1, 185.5)	N/A	9	falling	-1.8 (-3.2, -0.5)
Dallas County, Alabama	Rural	No	168.2 (152.4, 185.4)	N/A	89	falling	-5.7 (-12.1, -1.7)
Dallas County, Arkansas	Rural	No	215.3 (176.4, 261.7)	N/A	24	stable	-0.6 (-1.5, 0.3)
Dallas County, Iowa	Urban	Yes	117.6 (108.1, 127.8)	N/A	115	falling	-2.4 (-3.5, -1.9)
Dallas County, Missouri	Urban	No	181.5 (158.4, 207.5)	N/A	47	falling	-0.8 (-1.3, -0.3)
Dallas County, Texas	Urban	No	144.5 (142.3, 146.7)	N/A	3,373	falling	-1.6 (-2.0, -1.5)
Dane County, Wisconsin	Urban	No	132.1 (128.0, 136.4)	N/A	795	falling	-1.6 (-3.3, -1.3)
Daniels County, Montana	Rural	No	143.9 (85.3, 236.2)	N/A	4	falling	-2.0 (-4.1, -0.2)
Danville City, Virginia	Rural	No	202.4 (186.5, 219.4)	N/A	130	stable	6.5 (-0.8, 11.8)
Dare County, North Carolina	Rural	No	147.5 (133.2, 163.3)	N/A	87	falling	-1.3 (-1.9, -0.7)
Darke County, Ohio	Rural	No	164.3 (151.3, 178.3)	N/A	125	falling	-0.6 (-1.0, -0.3)
Darlington County, South Carolina	Urban	No	180.6 (167.7, 194.3)	N/A	156	falling	-0.9 (-1.2, -0.6)
Dauphin County, Pennsylvania	Urban	No	148.6 (143.0, 154.4)	N/A	554	falling	-1.4 (-1.6, -1.3)
Davidson County, North Carolina	Urban	No	173.5 (165.9, 181.4)	N/A	409	falling	-0.5 (-0.9, -0.2)
Davidson County, Tennessee	Urban	No	148.1 (144.0, 152.2)	N/A	1,052	falling	-2.8 (-3.2, -2.4)
Davie County, North Carolina	Urban	No	159.3 (145.8, 174.0)	N/A	107	stable	-0.5 (-1.0, 0.0)
Daviess County, Indiana	Rural	No	154.5 (137.4, 173.3)	N/A	61	falling	-1.0 (-1.3, -0.6)
Daviess County, Kentucky	Urban	No	167.8 (157.9, 178.3)	N/A	222	falling	-1.1 (-1.4, -0.8)
Daviess County, Missouri	Rural	No	148.1 (117.9, 184.5)	N/A	18	falling	-1.3 (-2.2, -0.3)
Davis County, Iowa	Rural	No	167.5 (134.4, 206.7)	N/A	19	stable	-0.1 (-1.2, 0.9)
Davis County, Utah	Urban	Yes	119.6 (114.0, 125.4)	N/A	354	stable	1.7 (-1.0, 4.7)
Davison County, South Dakota	Rural	No	129.7 (111.2, 150.8)	N/A	38	falling	-1.4 (-2.1, -0.7)
Dawes County, Nebraska	Rural	No	172.3 (137.7, 213.7)	N/A	19	stable	-0.8 (-1.9, 0.3)
Dawson County, Georgia	Urban	No	160.3 (142.2, 180.3)	N/A	63	falling	-1.2 (-1.9, -0.2)
Dawson County, Montana	Rural	No	128.7 (102.1, 160.9)	N/A	17	falling	-1.3 (-2.3, -0.3)
Dawson County, Nebraska	Rural	No	138.6 (120.3, 159.0)	N/A	43	falling	-1.1 (-1.7, -0.5)
Dawson County, Texas	Rural	No	167.7 (137.9, 202.0)	N/A	23	stable	-0.2 (-1.1, 0.6)
Day County, South Dakota	Rural	No	133.3 (104.3, 170.8)	N/A	15	falling	-1.3 (-2.4, -0.4)
De Soto Parish, Louisiana	Urban	No	169.1 (150.3, 189.8)	N/A	61	falling	-1.4 (-2.0, -0.8)
De Witt County, Illinois	Rural	No	184.8 (160.2, 212.7)	N/A	42	falling	-0.9 (-1.5, -0.3)
DeBaca County, New Mexico	Rural	No	162.6 (108.0, 247.9)	N/A	6	stable	0.3 (-1.3, 1.8)
DeKalb County, Alabama	Rural	No	160.1 (148.6, 172.3)	N/A	150	falling	-0.9 (-3.6, -0.5)
DeKalb County, Georgia	Urban	No	130.0 (126.3, 133.7)	N/A	1,009	falling	-1.6 (-2.1, -1.5)
DeKalb County, Illinois	Urban	No	167.2 (156.1, 178.9)	N/A	173	falling	-0.6 (-1.0, -0.3)
DeKalb County, Indiana	Rural	No	167.9 (152.6, 184.5)	N/A	92	falling	-0.6 (-1.1, -0.1)
DeKalb County, Missouri	Urban	No	175.7 (147.2, 208.6)	N/A	28	stable	-0.8 (-2.1, 0.5)
DeKalb County, Tennessee	Rural	No	192.9 (170.3, 218.0)	N/A	55	stable	-0.3 (-0.9, 0.3)
DeSoto County, Florida	Rural	No	165.0 (149.5, 181.9)	N/A	89	stable	0.4 (-1.3, 7.9)
DeSoto County, Mississippi	Urban	No	178.1 (169.5, 187.0)	N/A	337	falling	-0.9 (-1.2, -0.6)
DeWitt County, Texas	Rural	No	174.6 (153.6, 198.0)	N/A	52	stable	-0.4 (-1.0, 0.1)
Deaf Smith County, Texas	Rural	No	147.5 (123.1, 175.2)	N/A	27	stable	0.0 (-0.9, 0.8)
Dearborn County, Indiana	Urban	No	176.1 (161.9, 191.3)	N/A	120	falling	-1.0 (-1.5, -0.4)
Decatur County, Georgia	Rural	No	175.0 (156.1, 195.6)	N/A	65	falling	-1.3 (-1.8, -0.8)
Decatur County, Indiana	Rural	No	174.5 (154.8, 196.1)	N/A	59	falling	-0.7 (-1.3, -0.1)
Decatur County, Iowa	Rural	No	168.3 (135.4, 207.9)	N/A	20	stable	-0.4 (-1.5, 0.6)
Decatur County, Kansas	Rural	No	132.7 (87.9, 197.5)	N/A	7	falling	-28.4 (-51.1, -0.3)
Decatur County, Tennessee	Rural	No	186.5 (158.8, 218.5)	N/A	35	stable	-0.5 (-1.2, 0.2)
Deer Lodge County, Montana	Rural	No	149.6 (122.2, 182.7)	N/A	23	falling	-1.2 (-2.1, -0.3)
Defiance County, Ohio	Rural	No	160.9 (145.9, 177.2)	N/A	88	falling	-2.0 (-6.7, -0.8)
Del Norte County, California	Rural	No	177.2 (158.3, 198.0)	N/A	68	falling	-1.2 (-1.8, -0.6)
Delaware County, Indiana	Urban	No	173.2 (163.4, 183.4)	N/A	248	falling	-0.9 (-1.1, -0.6)
Delaware County, Iowa	Rural	No	143.7 (123.9, 166.3)	N/A	40	falling	-0.9 (-1.4, -0.3)
Delaware County, New York	Rural	No	154.0 (141.4, 167.7)	N/A	124	falling	-1.2 (-1.6, -0.8)
Delaware County, Ohio	Urban	No	125.4 (118.9, 132.2)	N/A	288	falling	-1.7 (-2.0, -1.4)
Delaware County, Oklahoma	Rural	No	161.7 (148.0, 176.6)	N/A	114	falling	-1.0 (-1.5, -0.5)
Delaware County, Pennsylvania	Urban	No	149.6 (145.6, 153.7)	N/A	1,112	falling	-2.5 (-3.5, -1.9)
Delta County, Colorado	Rural	No	157.4 (142.3, 174.1)	N/A	89	stable	-0.4 (-0.8, 0.1)
Delta County, Michigan	Rural	No	165.4 (151.0, 181.1)	N/A	107	falling	-0.9 (-1.3, -0.5)
Delta County, Texas	Rural	No	196.5 (154.3, 248.3)	N/A	16	stable	-0.4 (-1.5, 0.8)
Dent County, Missouri	Rural	No	186.0 (160.6, 214.8)	N/A	42	stable	-0.5 (-1.0, 0.0)
Denton County, Texas	Urban	Yes	118.3 (114.8, 121.8)	N/A	941	falling	-2.3 (-3.6, -2.0)
Denver County, Colorado	Urban	No	134.0 (130.0, 138.1)	N/A	875	falling	-3.2 (-5.5, -1.7)
Des Moines County, Iowa	Rural	No	161.2 (146.7, 177.0)	N/A	95	falling	-0.8 (-1.3, -0.2)
Deschutes County, Oregon	Urban	Yes	121.7 (115.8, 127.8)	N/A	341	falling	-2.9 (-7.5, -1.8)
Desha County, Arkansas	Rural	No	201.3 (169.7, 237.6)	N/A	31	stable	6.1 (-0.9, 15.1)
Deuel County, Nebraska	Rural	No	144.0 (89.8, 227.9)	N/A	5	stable	-1.7 (-3.9, 0.1)
Deuel County, South Dakota	Rural	No	127.8 (92.4, 175.0)	N/A	9	stable	-1.2 (-2.5, 0.0)
Dewey County, Oklahoma	Rural	No	162.8 (120.8, 216.3)	N/A	10	falling	-1.1 (-2.1, -0.2)
Dewey County, South Dakota	Rural	No	235.8 (172.0, 314.4)	N/A	10	stable	-0.3 (-1.6, 1.1)
Dickens County, Texas	Rural	No	181.3 (114.6, 280.0)	N/A	5	stable	-0.9 (-2.7, 0.7)
Dickenson County, Virginia	Rural	No	193.4 (167.8, 222.5)	N/A	44	stable	-0.2 (-0.9, 0.6)
Dickey County, North Dakota	Rural	No	138.7 (104.1, 183.1)	N/A	11	stable	-0.5 (-1.6, 0.5)
Dickinson County, Iowa	Rural	No	137.3 (119.0, 158.2)	N/A	47	falling	-1.0 (-1.7, -0.4)
Dickinson County, Kansas	Rural	No	168.8 (147.4, 192.9)	N/A	48	stable	-0.5 (-1.1, 0.0)
Dickinson County, Michigan	Rural	No	140.2 (124.3, 157.9)	N/A	61	falling	-1.2 (-1.7, -0.7)
Dickson County, Tennessee	Urban	No	195.8 (180.8, 211.9)	N/A	132	falling	-0.4 (-0.8, -0.1)
Dillingham Census Area, Alaska ³	Rural	No	178.6 (121.8, 251.7)	N/A	8	stable	-0.5 (-2.4, 1.7)
Dillon County, South Carolina	Rural	No	205.6 (184.7, 228.4)	N/A	75	falling	-0.8 (-1.3, -0.2)
Dimmit County, Texas	Rural	No	175.3 (140.7, 216.3)	N/A	18	rising	13.6 (0.2, 24.9)
Dinwiddie County, Virginia	Urban	No	174.1 (155.6, 194.5)	N/A	68	falling	-1.2 (-1.8, -0.4)
District of Columbia	Urban	No	150.0 (145.9, 154.3)	N/A	1,005	falling	-2.2 (-3.4, -2.1)
Divide County, North Dakota	Rural	No	151.0 (98.0, 228.7)	N/A	6	stable	-1.3 (-2.9, 0.1)
Dixie County, Florida	Rural	No	194.5 (171.6, 220.2)	N/A	56	stable	-0.6 (-1.1, 0.0)
Dixon County, Nebraska	Rural	No	146.0 (112.3, 188.4)	N/A	13	stable	-0.3 (-1.3, 0.8)
Doddridge County, West Virginia	Rural	No	147.7 (118.3, 183.8)	N/A	18	falling	-1.5 (-2.4, -0.7)
Dodge County, Georgia	Rural	No	168.9 (148.1, 192.2)	N/A	48	falling	-1.2 (-1.9, -0.4)
Dodge County, Minnesota	Urban	No	138.8 (118.2, 162.1)	N/A	33	stable	-0.8 (-1.5, 0.0)
Dodge County, Nebraska	Rural	No	163.5 (148.1, 180.3)	N/A	87	stable	-0.3 (-0.7, 0.2)
Dodge County, Wisconsin	Rural	No	160.0 (150.1, 170.5)	N/A	202	falling	-1.5 (-5.2, -1.0)
Dolores County, Colorado	Rural	Yes	90.3 (54.9, 148.7)	N/A	4	stable	-2.0 (-3.9, 0.0)
Dona Ana County, New Mexico	Urban	No	135.7 (129.3, 142.4)	N/A	348	falling	-1.0 (-1.2, -0.7)
Doniphan County, Kansas	Urban	No	187.7 (152.0, 230.2)	N/A	20	stable	-0.4 (-1.2, 0.5)
Donley County, Texas	Rural	No	148.2 (104.1, 208.4)	N/A	8	stable	-0.6 (-1.9, 0.7)
Dooly County, Georgia	Rural	No	143.5 (118.6, 172.9)	N/A	25	stable	1.1 (-1.4, 11.4)
Door County, Wisconsin	Rural	No	129.6 (116.5, 144.3)	N/A	81	falling	-1.2 (-1.8, -0.6)
Dorchester County, Maryland	Rural	No	168.5 (152.4, 186.1)	N/A	87	stable	-1.4 (-2.7, 0.5)
Dorchester County, South Carolina	Urban	No	149.3 (141.2, 157.8)	N/A	266	falling	-1.8 (-3.7, -1.5)
Dougherty County, Georgia	Urban	No	171.9 (160.5, 183.9)	N/A	179	falling	-1.0 (-1.5, -0.6)
Douglas County, Colorado	Urban	Yes	111.7 (106.7, 116.9)	N/A	394	falling	-1.8 (-2.1, -1.3)
Douglas County, Georgia	Urban	No	155.3 (145.6, 165.4)	N/A	211	falling	-1.2 (-1.7, -0.6)
Douglas County, Illinois	Rural	No	170.5 (148.6, 195.1)	N/A	46	falling	-0.7 (-1.3, -0.2)
Douglas County, Kansas	Urban	No	137.1 (127.4, 147.3)	N/A	155	falling	-1.1 (-1.5, -0.7)
Douglas County, Minnesota	Rural	No	141.2 (128.5, 155.0)	N/A	97	falling	-0.8 (-1.3, -0.2)
Douglas County, Missouri	Rural	No	173.9 (149.0, 202.7)	N/A	37	falling	-1.3 (-2.0, -0.5)
Douglas County, Nebraska	Urban	No	152.8 (148.3, 157.3)	N/A	918	falling	-1.5 (-2.1, -1.3)
Douglas County, Nevada	Rural	No	136.1 (125.1, 148.1)	N/A	134	falling	-1.3 (-1.7, -0.9)
Douglas County, Oregon	Rural	No	179.5 (170.8, 188.5)	N/A	359	falling	-0.7 (-0.9, -0.4)
Douglas County, South Dakota	Rural	Yes	113.8 (72.9, 173.8)	N/A	6	stable	-1.4 (-3.1, 0.1)
Douglas County, Washington	Urban	No	141.3 (127.5, 156.4)	N/A	79	falling	-0.8 (-1.3, -0.3)
Douglas County, Wisconsin	Urban	No	167.4 (152.9, 183.1)	N/A	104	falling	-1.5 (-1.8, -1.1)
Drew County, Arkansas	Rural	No	176.1 (152.1, 203.2)	N/A	40	falling	-0.7 (-1.3, -0.1)
DuPage County, Illinois	Urban	No	126.9 (124.0, 129.9)	N/A	1,467	falling	-2.0 (-3.6, -1.7)
Dubois County, Indiana	Rural	No	143.0 (129.2, 157.9)	N/A	83	falling	-1.0 (-1.5, -0.4)
Dubuque County, Iowa	Urban	No	143.3 (134.3, 152.9)	N/A	198	falling	-1.4 (-1.6, -1.1)
Duchesne County, Utah	Rural	No	146.3 (122.3, 173.6)	N/A	27	stable	-0.7 (-1.6, 0.4)
Dukes County, Massachusetts	Rural	Yes	116.6 (100.7, 135.0)	N/A	42	falling	-3.0 (-3.8, -2.5)
Dunklin County, Missouri	Rural	No	215.4 (194.5, 238.0)	N/A	82	stable	-0.4 (-0.9, 0.1)
Dunn County, North Dakota	Rural	No	138.8 (93.3, 199.2)	N/A	7	stable	-1.3 (-3.0, 0.2)
Dunn County, Wisconsin	Rural	No	133.8 (120.0, 148.7)	N/A	73	falling	-0.7 (-1.2, -0.2)
Duplin County, North Carolina	Rural	No	165.0 (151.1, 179.8)	N/A	112	falling	-1.5 (-2.0, -1.0)
Durham County, North Carolina	Urban	No	135.9 (130.3, 141.7)	N/A	458	falling	-3.1 (-4.6, -2.5)
Dutchess County, New York	Urban	No	138.6 (133.5, 143.9)	N/A	580	falling	-2.0 (-2.3, -1.8)
Duval County, Florida	Urban	No	162.9 (159.5, 166.3)	N/A	1,842	stable	-0.9 (-1.8, 1.0)
Duval County, Texas	Rural	No	178.3 (145.7, 216.4)	N/A	22	stable	-0.3 (-1.1, 0.6)
Dyer County, Tennessee	Rural	No	190.9 (173.7, 209.4)	N/A	94	stable	-0.3 (-0.7, 0.2)
Eagle County, Colorado	Rural	Yes	70.9 (60.0, 83.2)	N/A	36	falling	-3.2 (-4.1, -2.0)
Early County, Georgia	Rural	No	177.4 (147.4, 212.2)	N/A	26	stable	-0.7 (-1.4, 0.0)
East Baton Rouge Parish, Louisiana	Urban	No	145.7 (140.9, 150.6)	N/A	723	falling	-2.6 (-4.9, -1.8)
East Carroll Parish, Louisiana	Rural	No	254.8 (207.4, 310.0)	N/A	21	stable	-0.1 (-1.2, 0.9)
East Feliciana Parish, Louisiana	Urban	No	162.3 (141.4, 185.9)	N/A	46	falling	-1.2 (-1.9, -0.6)
Eastland County, Texas	Rural	No	187.3 (164.1, 213.2)	N/A	52	falling	-0.9 (-1.5, -0.2)
Eaton County, Michigan	Urban	No	154.9 (146.1, 164.3)	N/A	239	falling	-0.8 (-1.2, -0.4)
Eau Claire County, Wisconsin	Urban	No	139.2 (130.0, 148.9)	N/A	178	falling	-1.3 (-1.7, -0.8)
Echols County, Georgia	Urban	No	131.8 (83.6, 197.5)	N/A	5	falling	-2.2 (-4.2, -0.1)
Ector County, Texas	Urban	No	185.8 (175.1, 197.0)	N/A	236	stable	3.5 (-0.8, 6.7)
Eddy County, New Mexico	Rural	No	150.4 (137.4, 164.3)	N/A	102	falling	-1.5 (-5.2, -0.9)
Eddy County, North Dakota	Rural	No	160.4 (106.9, 236.3)	N/A	7	stable	0.1 (-15.0, 2.6)
Edgar County, Illinois	Rural	No	168.9 (147.5, 193.1)	N/A	49	falling	-1.0 (-1.5, -0.4)
Edgecombe County, North Carolina	Urban	No	189.9 (175.6, 205.3)	N/A	139	stable	-1.1 (-3.1, 0.4)
Edgefield County, South Carolina	Urban	No	143.1 (126.0, 162.3)	N/A	53	falling	-1.8 (-2.4, -1.2)
Edmonson County, Kentucky	Urban	No	162.0 (136.9, 191.1)	N/A	31	falling	-1.3 (-1.8, -0.8)
Edmunds County, South Dakota	Rural	No	125.4 (89.6, 173.7)	N/A	9	falling	-1.9 (-3.3, -0.5)
Edwards County, Illinois	Rural	No	183.3 (145.7, 229.1)	N/A	18	stable	-0.7 (-1.6, 0.2)
Edwards County, Kansas	Rural	No	241.9 (173.0, 330.8)	N/A	10	stable	1.0 (-0.7, 2.7)
Edwards County, Texas	Rural	No	188.9 (116.7, 299.5)	N/A	5	stable	0.0 (-2.0, 2.1)
Effingham County, Georgia	Urban	No	174.7 (159.7, 190.7)	N/A	109	falling	-0.7 (-1.2, -0.1)
Effingham County, Illinois	Rural	No	157.7 (141.7, 175.1)	N/A	74	falling	-0.9 (-1.4, -0.4)
El Dorado County, California	Urban	No	124.4 (118.7, 130.5)	N/A	373	falling	-1.8 (-2.0, -1.5)
El Paso County, Colorado	Urban	No	137.2 (133.4, 141.1)	N/A	1,010	falling	-1.2 (-1.3, -1.0)
El Paso County, Texas	Urban	No	129.8 (126.4, 133.4)	N/A	1,102	falling	-1.3 (-1.5, -1.1)
Elbert County, Colorado	Urban	Yes	115.8 (98.7, 135.0)	N/A	38	falling	-2.2 (-3.0, -1.0)
Elbert County, Georgia	Rural	No	188.7 (166.7, 213.2)	N/A	57	falling	-0.9 (-1.4, -0.3)
Elk County, Kansas	Rural	No	272.6 (201.3, 366.2)	N/A	12	stable	-0.4 (-2.0, 1.1)
Elk County, Pennsylvania	Rural	No	159.2 (143.8, 176.0)	N/A	84	falling	-1.1 (-1.5, -0.7)
Elkhart County, Indiana	Urban	No	152.8 (145.8, 160.0)	N/A	367	falling	-1.0 (-1.4, -0.8)
Elko County, Nevada	Rural	No	125.4 (111.6, 140.3)	N/A	65	falling	-1.6 (-2.2, -0.9)
Elliott County, Kentucky	Rural	No	176.2 (142.7, 216.6)	N/A	20	falling	-1.6 (-2.7, -0.4)
Ellis County, Kansas	Rural	No	137.8 (119.9, 157.6)	N/A	45	falling	-0.9 (-1.4, -0.3)
Ellis County, Oklahoma	Rural	No	139.6 (98.1, 195.2)	N/A	8	stable	-0.5 (-1.8, 0.8)
Ellis County, Texas	Urban	No	160.8 (152.7, 169.2)	N/A	311	falling	-1.4 (-1.6, -1.1)
Ellsworth County, Kansas	Rural	No	181.3 (144.2, 226.5)	N/A	18	stable	0.0 (-1.1, 1.2)
Elmore County, Alabama	Urban	No	169.4 (158.3, 181.2)	N/A	180	falling	-1.2 (-1.4, -0.9)
Elmore County, Idaho	Rural	No	157.5 (137.5, 179.5)	N/A	47	falling	-1.2 (-1.8, -0.4)
Emanuel County, Georgia	Rural	No	199.2 (176.0, 224.7)	N/A	56	stable	-0.5 (-1.2, 0.2)
Emery County, Utah	Rural	No	124.3 (97.5, 156.6)	N/A	16	falling	-1.4 (-2.6, -0.2)
Emmet County, Iowa	Rural	No	175.7 (145.2, 211.4)	N/A	27	stable	-0.1 (-0.9, 0.6)
Emmet County, Michigan	Rural	No	152.2 (137.6, 168.2)	N/A	86	stable	-0.6 (-1.2, 1.3)
Emmons County, North Dakota	Rural	Yes	120.3 (83.3, 173.4)	N/A	9	falling	-2.3 (-3.4, -1.3)
Emporia City, Virginia	Rural	No	168.1 (129.2, 216.0)	N/A	14	falling	-2.1 (-3.2, -1.1)
Erath County, Texas	Rural	No	147.7 (132.0, 164.8)	N/A	67	falling	-1.1 (-1.8, -0.4)
Erie County, New York	Urban	No	152.0 (149.0, 155.1)	N/A	2,012	falling	-2.4 (-3.7, -1.8)
Erie County, Ohio	Urban	No	154.7 (144.7, 165.3)	N/A	193	falling	-1.3 (-1.6, -1.0)
Erie County, Pennsylvania	Urban	No	162.9 (157.1, 169.0)	N/A	615	falling	-0.9 (-1.2, -0.7)
Escambia County, Alabama	Rural	No	192.0 (175.0, 210.5)	N/A	97	falling	-0.9 (-1.3, -0.5)
Escambia County, Florida	Urban	No	175.7 (169.9, 181.6)	N/A	735	falling	-1.0 (-1.2, -0.8)
Essex County, Massachusetts	Urban	No	130.8 (127.7, 134.0)	N/A	1,418	falling	-2.4 (-2.6, -2.3)
Essex County, New Jersey	Urban	Yes	119.5 (116.4, 122.7)	N/A	1,121	falling	-5.0 (-7.5, -3.2)
Essex County, New York	Rural	No	148.5 (135.3, 163.0)	N/A	100	falling	-1.6 (-2.2, -1.1)
Essex County, Vermont	Rural	No	168.2 (136.1, 208.4)	N/A	20	falling	-1.5 (-2.4, -0.4)
Essex County, Virginia	Rural	No	172.0 (144.2, 204.5)	N/A	30	falling	-1.0 (-1.8, -0.2)
Estill County, Kentucky	Rural	No	213.9 (185.0, 246.5)	N/A	42	stable	0.0 (-0.7, 0.7)
Etowah County, Alabama	Urban	No	179.7 (169.9, 190.0)	N/A	263	falling	-1.0 (-1.5, -0.8)
Eureka County, Nevada	Rural	No	147.7 (84.1, 244.7)	N/A	3	*	*
Evangeline Parish, Louisiana	Rural	No	186.9 (168.0, 207.3)	N/A	74	falling	-0.9 (-1.4, -0.4)
Evans County, Georgia	Rural	No	196.0 (163.0, 234.1)	N/A	26	stable	-0.5 (-1.4, 0.6)
Fairbanks North Star, Alaska	Urban	No	127.9 (116.6, 140.0)	N/A	106	falling	-1.7 (-2.2, -1.0)
Fairfax City, Virginia	Urban	No	239.2 (213.3, 267.4)	N/A	64	stable	4.6 (-0.6, 19.7)
Fairfax County, Virginia	Urban	Yes	103.9 (101.4, 106.5)	N/A	1,299	falling	-2.4 (-3.3, -2.2)
Fairfield County, Connecticut	Urban	Yes	122.5 (119.7, 125.4)	N/A	1,486	falling	-1.7 (-1.9, -1.2)
Fairfield County, Ohio	Urban	No	158.5 (150.6, 166.7)	N/A	314	falling	-1.2 (-1.5, -1.0)
Fairfield County, South Carolina	Urban	No	190.8 (168.9, 215.1)	N/A	62	falling	-0.9 (-1.5, -0.3)
Fall River County, South Dakota	Rural	No	175.8 (143.9, 215.1)	N/A	24	stable	-0.9 (-1.7, 0.0)
Fallon County, Montana	Rural	No	138.3 (88.3, 207.7)	N/A	5	stable	-1.2 (-3.3, 0.8)
Falls Church City, Virginia	Urban	No	154.9 (127.6, 186.4)	N/A	23	stable	14.2 (-2.8, 29.3)
Falls County, Texas	Urban	No	165.3 (142.6, 190.8)	N/A	40	falling	-1.2 (-1.9, -0.7)
Fannin County, Georgia	Rural	No	156.9 (140.1, 175.7)	N/A	78	falling	-1.1 (-1.5, -0.6)
Fannin County, Texas	Rural	No	188.5 (171.5, 207.0)	N/A	93	falling	-0.8 (-1.2, -0.3)
Faribault County, Minnesota	Rural	No	171.3 (147.9, 198.0)	N/A	42	stable	0.0 (-0.6, 0.7)
Faulk County, South Dakota	Rural	No	205.0 (141.1, 293.2)	N/A	8	stable	-0.5 (-2.4, 1.4)
Faulkner County, Arkansas	Urban	No	150.3 (140.9, 160.2)	N/A	195	falling	-1.0 (-1.3, -0.6)
Fauquier County, Virginia	Urban	No	145.6 (134.7, 157.2)	N/A	138	falling	-1.7 (-2.2, -1.2)
Fayette County, Alabama	Rural	No	183.5 (159.2, 210.9)	N/A	45	stable	-0.5 (-1.1, 0.1)
Fayette County, Georgia	Urban	No	126.2 (118.5, 134.5)	N/A	206	falling	-1.6 (-2.0, -1.1)
Fayette County, Illinois	Rural	No	159.9 (140.2, 182.0)	N/A	49	falling	-1.1 (-1.8, -0.4)
Fayette County, Indiana	Rural	No	198.8 (177.3, 222.5)	N/A	66	falling	-0.7 (-1.2, -0.1)
Fayette County, Iowa	Rural	No	132.1 (113.7, 152.9)	N/A	42	falling	-1.3 (-1.9, -0.7)
Fayette County, Kentucky	Urban	No	145.2 (139.5, 151.1)	N/A	501	falling	-1.7 (-1.9, -1.5)
Fayette County, Ohio	Rural	No	194.3 (174.3, 216.1)	N/A	73	stable	-0.4 (-1.0, 0.2)
Fayette County, Pennsylvania	Urban	No	173.9 (165.7, 182.6)	N/A	356	falling	-0.9 (-1.2, -0.6)
Fayette County, Tennessee	Urban	No	147.9 (134.5, 162.5)	N/A	97	falling	-1.5 (-2.1, -0.7)
Fayette County, Texas	Rural	No	133.7 (117.9, 151.3)	N/A	59	falling	-1.3 (-1.9, -0.6)
Fayette County, West Virginia	Urban	No	205.2 (189.3, 222.3)	N/A	132	falling	-0.5 (-0.8, -0.2)
Fentress County, Tennessee	Rural	No	188.2 (165.7, 213.5)	N/A	55	falling	-0.8 (-1.4, -0.1)
Fergus County, Montana	Rural	No	139.9 (117.2, 166.7)	N/A	28	falling	-1.8 (-2.6, -1.0)
Ferry County, Washington	Rural	No	169.7 (138.0, 208.6)	N/A	23	stable	-0.9 (-2.2, 0.7)
Fillmore County, Minnesota	Urban	No	153.6 (134.9, 174.7)	N/A	53	falling	-0.7 (-1.2, -0.2)
Fillmore County, Nebraska	Rural	No	139.7 (109.0, 178.8)	N/A	15	stable	-0.7 (-1.9, 0.4)
Finney County, Kansas	Rural	No	139.0 (121.6, 158.2)	N/A	48	falling	-1.2 (-1.7, -0.7)
Fisher County, Texas	Rural	No	203.5 (150.7, 271.0)	N/A	12	rising	22.1 (0.5, 39.3)
Flagler County, Florida	Urban	No	148.9 (141.6, 156.6)	N/A	361	falling	-1.0 (-1.3, -0.7)
Flathead County, Montana	Rural	No	137.6 (129.1, 146.6)	N/A	206	falling	-1.6 (-1.9, -1.2)
Fleming County, Kentucky	Rural	No	213.3 (184.8, 245.3)	N/A	43	stable	-0.1 (-0.8, 0.7)
Florence County, South Carolina	Urban	No	160.3 (151.9, 169.2)	N/A	283	falling	-1.9 (-6.3, -1.4)
Florence County, Wisconsin	Rural	No	165.6 (126.3, 217.4)	N/A	14	stable	-0.1 (-1.3, 1.2)
Floyd County, Georgia	Urban	No	176.5 (166.0, 187.5)	N/A	219	falling	-1.1 (-1.4, -0.8)
Floyd County, Indiana	Urban	No	167.6 (156.3, 179.5)	N/A	173	falling	-1.3 (-1.6, -0.9)
Floyd County, Iowa	Rural	No	154.4 (133.0, 178.8)	N/A	39	falling	-1.1 (-1.7, -0.5)
Floyd County, Kentucky	Rural	No	225.2 (206.2, 245.7)	N/A	111	falling	-0.6 (-1.0, -0.2)
Floyd County, Texas	Rural	No	163.6 (123.9, 213.1)	N/A	12	stable	-0.5 (-2.0, 0.8)
Floyd County, Virginia	Urban	No	155.0 (133.3, 179.7)	N/A	40	stable	-0.2 (-0.9, 0.7)
Fluvanna County, Virginia	Urban	No	138.9 (122.9, 156.7)	N/A	57	falling	-1.7 (-2.3, -1.0)
Fond du Lac County, Wisconsin	Urban	No	140.4 (131.8, 149.4)	N/A	209	falling	-1.1 (-1.4, -0.7)
Ford County, Illinois	Urban	No	193.9 (166.8, 224.6)	N/A	39	stable	-0.1 (-0.8, 0.5)
Ford County, Kansas	Rural	No	140.5 (122.4, 160.5)	N/A	46	falling	-1.2 (-1.9, -0.6)
Forest County, Pennsylvania	Rural	No	178.5 (143.9, 234.1)	N/A	20	stable	-0.8 (-1.8, 0.2)
Forest County, Wisconsin	Rural	No	157.7 (130.9, 189.7)	N/A	26	falling	-1.2 (-2.1, -0.2)
Forrest County, Mississippi	Urban	No	191.4 (178.1, 205.6)	N/A	157	falling	-0.8 (-1.1, -0.5)
Forsyth County, Georgia	Urban	Yes	118.0 (111.8, 124.4)	N/A	286	falling	-1.5 (-1.9, -1.0)
Forsyth County, North Carolina	Urban	No	156.1 (151.0, 161.4)	N/A	736	falling	-1.6 (-2.1, -1.3)
Fort Bend County, Texas	Urban	Yes	116.5 (112.9, 120.2)	N/A	872	stable	-1.5 (-2.1, 0.3)
Foster County, North Dakota	Rural	No	160.6 (115.8, 220.2)	N/A	9	stable	-0.6 (-2.3, 0.9)
Fountain County, Indiana	Rural	No	225.1 (199.1, 254.0)	N/A	56	stable	-0.3 (-0.9, 0.3)
Franklin City, Virginia	Rural	No	223.1 (186.3, 266.0)	N/A	27	falling	-0.7 (-1.4, -0.1)
Franklin County, Alabama	Rural	No	183.8 (165.5, 203.7)	N/A	76	falling	-1.0 (-1.6, -0.4)
Franklin County, Arkansas	Rural	No	179.1 (155.8, 205.3)	N/A	45	falling	-0.7 (-1.3, -0.1)
Franklin County, Florida	Rural	No	156.4 (132.7, 184.0)	N/A	34	falling	-1.2 (-2.1, -0.4)
Franklin County, Georgia	Rural	No	196.0 (174.5, 219.7)	N/A	64	stable	0.1 (-0.4, 0.7)
Franklin County, Idaho	Urban	Yes	118.6 (95.4, 145.8)	N/A	19	stable	-0.6 (-1.7, 0.7)
Franklin County, Illinois	Rural	No	195.7 (179.3, 213.4)	N/A	110	falling	-0.8 (-1.2, -0.4)
Franklin County, Indiana	Urban	No	173.4 (152.8, 196.2)	N/A	55	stable	-0.4 (-1.0, 0.3)
Franklin County, Iowa	Rural	No	153.7 (126.6, 185.8)	N/A	24	stable	-0.1 (-1.0, 0.9)
Franklin County, Kansas	Rural	No	186.5 (165.9, 209.0)	N/A	63	stable	-0.3 (-0.8, 0.2)
Franklin County, Kentucky	Rural	No	160.8 (147.3, 175.3)	N/A	109	falling	-3.6 (-10.0, -1.6)
Franklin County, Maine	Rural	No	165.3 (148.7, 183.5)	N/A	80	falling	-1.1 (-1.6, -0.6)
Franklin County, Massachusetts	Rural	No	139.7 (129.7, 150.4)	N/A	160	falling	-1.3 (-1.6, -1.0)
Franklin County, Mississippi	Rural	No	161.0 (129.5, 199.0)	N/A	19	falling	-1.2 (-2.2, -0.3)
Franklin County, Missouri	Urban	No	165.6 (156.0, 175.7)	N/A	235	falling	-1.0 (-1.3, -0.7)
Franklin County, Nebraska	Rural	No	185.1 (134.2, 253.4)	N/A	10	stable	9.2 (-1.4, 40.3)
Franklin County, New York	Rural	No	172.9 (158.6, 188.3)	N/A	113	falling	-1.2 (-1.6, -0.8)
Franklin County, North Carolina	Urban	No	159.7 (147.8, 172.4)	N/A	140	falling	-6.9 (-12.9, -1.2)
Franklin County, Ohio	Urban	No	149.3 (146.2, 152.4)	N/A	1,921	falling	-2.1 (-2.4, -1.9)
Franklin County, Pennsylvania	Urban	No	158.9 (151.6, 166.6)	N/A	365	falling	-0.9 (-1.1, -0.7)
Franklin County, Tennessee	Rural	No	153.0 (139.2, 167.9)	N/A	96	falling	-1.4 (-4.2, -1.0)
Franklin County, Texas	Rural	No	175.1 (145.6, 209.5)	N/A	27	stable	-0.5 (-1.3, 0.3)
Franklin County, Vermont	Urban	No	161.8 (147.8, 176.8)	N/A	104	falling	-1.1 (-1.6, -0.6)
Franklin County, Virginia	Urban	No	151.4 (139.7, 164.0)	N/A	137	falling	-0.9 (-1.3, -0.5)
Franklin County, Washington	Urban	No	132.6 (120.7, 145.3)	N/A	98	falling	-2.4 (-5.3, -1.8)
Franklin Parish, Louisiana	Rural	No	180.7 (158.2, 205.8)	N/A	49	falling	-1.2 (-2.0, -0.5)
Frederick County, Maryland	Urban	No	127.1 (121.5, 132.8)	N/A	407	falling	-2.3 (-5.0, -1.8)
Frederick County, Virginia	Urban	No	162.4 (152.3, 173.1)	N/A	200	falling	-1.3 (-1.7, -1.0)
Fredericksburg City, Virginia	Urban	No	154.2 (132.8, 178.0)	N/A	39	falling	-2.0 (-2.8, -1.3)
Freeborn County, Minnesota	Rural	No	145.0 (130.0, 161.6)	N/A	75	falling	-0.7 (-1.1, -0.4)
Freestone County, Texas	Rural	No	185.9 (163.6, 210.7)	N/A	53	stable	-0.4 (-1.0, 0.3)
Fremont County, Colorado	Rural	No	145.4 (133.4, 158.5)	N/A	113	falling	-1.0 (-1.4, -0.6)
Fremont County, Idaho	Rural	No	126.6 (103.4, 153.7)	N/A	22	stable	-0.4 (-1.1, 0.2)
Fremont County, Iowa	Rural	No	155.7 (123.1, 195.9)	N/A	17	stable	-0.9 (-2.3, 0.4)
Fremont County, Wyoming	Rural	No	162.0 (146.6, 178.6)	N/A	87	falling	-0.9 (-1.5, -0.2)
Fresno County, California	Urban	No	138.2 (134.9, 141.6)	N/A	1,353	falling	-1.2 (-1.3, -1.1)
Frio County, Texas	Rural	No	162.7 (136.7, 192.2)	N/A	28	stable	-0.4 (-1.2, 0.4)
Frontier County, Nebraska	Rural	Yes	103.9 (65.7, 162.4)	N/A	5	stable	-1.3 (-3.5, 0.7)
Fulton County, Arkansas	Rural	No	190.1 (163.5, 220.7)	N/A	41	stable	0.0 (-0.8, 0.9)
Fulton County, Georgia	Urban	No	139.6 (136.3, 142.9)	N/A	1,438	falling	-1.9 (-2.3, -0.5)
Fulton County, Illinois	Rural	No	205.6 (188.0, 224.6)	N/A	106	falling	-0.5 (-0.9, -0.1)
Fulton County, Indiana	Rural	No	190.3 (167.7, 215.4)	N/A	55	falling	-0.7 (-1.2, -0.2)
Fulton County, Kentucky	Rural	No	213.6 (171.7, 263.5)	N/A	20	stable	-0.7 (-1.4, 0.0)
Fulton County, New York	Rural	No	164.2 (151.4, 177.9)	N/A	130	falling	-1.1 (-1.5, -0.8)
Fulton County, Ohio	Urban	No	166.4 (151.6, 182.3)	N/A	98	stable	-0.3 (-0.6, 0.2)
Fulton County, Pennsylvania	Rural	No	164.3 (141.8, 190.1)	N/A	39	stable	-0.4 (-1.2, 0.5)
Furnas County, Nebraska	Rural	No	153.8 (114.3, 204.5)	N/A	12	stable	-1.0 (-2.1, 0.0)
Gadsden County, Florida	Urban	No	170.2 (155.5, 186.1)	N/A	104	falling	-1.4 (-1.8, -0.9)
Gage County, Nebraska	Rural	No	168.6 (148.9, 190.7)	N/A	57	stable	-0.4 (-1.0, 0.2)
Gaines County, Texas	Rural	No	147.7 (120.9, 178.3)	N/A	23	stable	-0.8 (-1.7, 0.1)
Galax City, Virginia	Rural	No	285.8 (236.7, 342.8)	N/A	25	falling	-9.6 (-22.5, -2.1)
Gallatin County, Illinois	Rural	No	202.6 (159.1, 256.4)	N/A	16	falling	-0.9 (-1.7, -0.2)
Gallatin County, Kentucky	Urban	No	213.5 (165.8, 270.0)	N/A	18	stable	-0.8 (-1.8, 0.3)
Gallatin County, Montana	Urban	Yes	118.2 (109.0, 127.9)	N/A	131	falling	-1.3 (-1.8, -0.7)
Gallia County, Ohio	Rural	No	188.0 (169.4, 208.3)	N/A	79	stable	-0.4 (-1.0, 0.1)
Galveston County, Texas	Urban	No	161.0 (155.3, 166.8)	N/A	644	falling	-2.0 (-4.5, -1.5)
Garden County, Nebraska	Rural	No	132.4 (88.5, 203.9)	N/A	6	stable	-0.9 (-2.6, 0.7)
Garfield County, Colorado	Rural	Yes	119.5 (107.2, 132.9)	N/A	74	falling	-1.8 (-2.2, -1.3)
Garfield County, Nebraska	Rural	No	135.5 (85.4, 215.0)	N/A	5	stable	-0.4 (-2.3, 1.5)
Garfield County, Oklahoma	Urban	No	170.6 (157.6, 184.5)	N/A	133	stable	-0.4 (-0.8, 0.0)
Garfield County, Utah	Rural	Yes	116.5 (82.0, 161.8)	N/A	8	stable	-1.5 (-3.3, 0.4)
Garfield County, Washington	Rural	No	138.5 (88.6, 212.3)	N/A	6	falling	-2.3 (-3.6, -1.3)
Garland County, Arkansas	Urban	No	154.9 (146.2, 164.0)	N/A	260	falling	-1.9 (-3.0, -1.1)
Garrard County, Kentucky	Rural	No	177.8 (154.1, 204.5)	N/A	43	stable	-0.7 (-1.3, 0.0)
Garrett County, Maryland	Rural	No	131.5 (116.9, 147.7)	N/A	64	falling	-1.0 (-1.5, -0.5)
Garvin County, Oklahoma	Rural	No	229.0 (206.2, 253.7)	N/A	77	stable	0.4 (-0.1, 0.9)
Garza County, Texas	Urban	No	163.2 (118.8, 219.0)	N/A	9	falling	-1.6 (-2.9, -0.3)
Gasconade County, Missouri	Rural	No	163.1 (140.5, 188.9)	N/A	41	falling	-1.0 (-1.6, -0.4)
Gaston County, North Carolina	Urban	No	162.3 (155.6, 169.1)	N/A	468	falling	-1.4 (-1.9, -1.1)
Gates County, North Carolina	Urban	No	157.3 (129.7, 189.8)	N/A	25	falling	-1.4 (-2.2, -0.6)
Geary County, Kansas	Urban	No	169.5 (146.8, 194.6)	N/A	41	falling	-0.9 (-1.7, -0.2)
Geauga County, Ohio	Urban	No	131.9 (123.6, 140.7)	N/A	199	falling	-1.6 (-5.9, -0.9)
Gem County, Idaho	Urban	No	139.4 (120.8, 160.5)	N/A	43	falling	-1.3 (-1.9, -0.6)
Genesee County, Michigan	Urban	No	170.3 (165.3, 175.4)	N/A	937	falling	-1.5 (-3.0, -1.1)
Genesee County, New York	Rural	No	155.0 (143.3, 167.6)	N/A	136	falling	-1.2 (-1.5, -0.8)
Geneva County, Alabama	Urban	No	182.7 (163.8, 203.5)	N/A	72	stable	-0.5 (-1.1, 0.1)
Gentry County, Missouri	Rural	No	223.4 (180.3, 274.6)	N/A	20	stable	0.3 (-0.8, 1.4)
George County, Mississippi	Rural	No	202.5 (177.8, 229.6)	N/A	54	stable	-0.8 (-1.5, 0.0)
Georgetown County, South Carolina	Rural	No	156.0 (145.1, 167.6)	N/A	184	falling	-1.2 (-1.6, -0.7)
Gibson County, Indiana	Rural	No	153.9 (137.5, 171.8)	N/A	67	falling	-1.2 (-1.6, -0.7)
Gibson County, Tennessee	Urban	No	215.8 (200.1, 232.4)	N/A	146	stable	-0.4 (-0.9, 0.1)
Gila County, Arizona	Rural	No	139.1 (128.1, 150.9)	N/A	146	falling	-1.8 (-5.9, -1.2)
Gilchrist County, Florida	Urban	No	194.2 (171.2, 219.8)	N/A	55	stable	-0.6 (-1.4, 0.2)
Giles County, Tennessee	Rural	No	168.5 (151.5, 187.2)	N/A	76	falling	-1.0 (-1.6, -0.4)
Giles County, Virginia	Urban	No	187.5 (164.4, 213.5)	N/A	50	falling	-1.0 (-1.6, -0.4)
Gillespie County, Texas	Rural	No	123.4 (109.6, 138.8)	N/A	69	falling	-1.3 (-1.7, -0.9)
Gilliam County, Oregon	Rural	Yes	72.7 (42.1, 131.0)	N/A	3	falling	-5.1 (-18.2, -2.4)
Gilmer County, Georgia	Rural	No	149.5 (134.3, 166.3)	N/A	81	falling	-1.7 (-2.3, -1.0)
Gilmer County, West Virginia	Rural	No	210.5 (171.6, 256.7)	N/A	21	stable	-0.1 (-1.0, 0.9)
Gilpin County, Colorado	Urban	Yes	108.6 (71.3, 159.2)	N/A	7	*	*
Glacier County, Montana	Rural	No	168.8 (138.7, 203.5)	N/A	23	stable	-0.9 (-1.8, 0.2)
Glades County, Florida	Rural	No	144.7 (123.0, 170.5)	N/A	34	falling	-1.4 (-2.0, -0.6)
Gladwin County, Michigan	Rural	No	185.7 (167.3, 206.0)	N/A	86	falling	-0.7 (-1.3, -0.1)
Glascock County, Georgia	Rural	No	177.2 (121.7, 251.8)	N/A	7	stable	0.8 (-0.8, 2.7)
Glenn County, California	Rural	No	168.5 (149.6, 189.3)	N/A	59	falling	-1.2 (-1.9, -0.6)
Gloucester County, New Jersey	Urban	No	157.4 (151.6, 163.4)	N/A	587	falling	-2.3 (-2.9, -1.9)
Gloucester County, Virginia	Urban	No	181.7 (165.8, 198.9)	N/A	102	falling	-1.2 (-1.6, -0.6)
Glynn County, Georgia	Urban	No	148.8 (139.3, 158.8)	N/A	196	falling	-1.6 (-2.0, -1.3)
Gogebic County, Michigan	Rural	No	135.7 (116.2, 158.6)	N/A	38	falling	-3.7 (-11.8, -1.6)
Goliad County, Texas	Urban	No	136.7 (107.6, 172.9)	N/A	17	falling	-1.4 (-2.7, -0.2)
Gonzales County, Texas	Rural	No	166.6 (144.3, 191.5)	N/A	42	falling	-0.9 (-1.5, -0.3)
Goochland County, Virginia	Urban	No	130.5 (114.7, 148.4)	N/A	54	falling	-2.1 (-2.7, -1.3)
Goodhue County, Minnesota	Rural	No	158.6 (145.4, 172.8)	N/A	113	falling	-0.7 (-1.1, -0.3)
Gooding County, Idaho	Rural	No	133.2 (111.7, 157.9)	N/A	28	falling	-1.1 (-1.9, -0.3)
Gordon County, Georgia	Rural	No	181.1 (166.9, 196.3)	N/A	124	falling	-0.9 (-1.2, -0.4)
Goshen County, Wyoming	Rural	No	181.1 (154.8, 211.3)	N/A	37	stable	-0.1 (-0.8, 0.7)
Gosper County, Nebraska	Rural	No	164.9 (100.9, 259.5)	N/A	5	stable	-0.2 (-2.1, 1.9)
Gove County, Kansas	Rural	No	140.2 (96.9, 201.4)	N/A	7	stable	-0.6 (-2.3, 1.0)
Grady County, Georgia	Rural	No	149.7 (131.9, 169.4)	N/A	54	falling	-2.9 (-6.4, -1.6)
Grady County, Oklahoma	Urban	No	171.9 (158.0, 186.6)	N/A	119	falling	-1.4 (-7.3, -0.5)
Grafton County, New Hampshire	Rural	No	137.2 (128.4, 146.5)	N/A	198	falling	-1.8 (-2.1, -1.5)
Graham County, Arizona	Rural	No	142.7 (126.6, 160.3)	N/A	58	falling	-1.1 (-1.6, -0.5)
Graham County, Kansas	Rural	Yes	118.4 (80.8, 176.6)	N/A	7	falling	-1.9 (-3.5, -0.5)
Graham County, North Carolina	Rural	No	174.4 (143.6, 211.1)	N/A	24	stable	-0.8 (-1.7, 0.2)
Grainger County, Tennessee	Urban	No	185.0 (164.8, 207.2)	N/A	66	falling	-1.7 (-8.8, -0.5)
Grand County, Colorado	Rural	Yes	99.0 (78.3, 123.8)	N/A	19	stable	-1.4 (-2.7, 0.2)
Grand County, Utah	Rural	No	132.8 (106.2, 164.9)	N/A	18	falling	-1.7 (-2.6, -0.7)
Grand Forks County, North Dakota	Urban	No	150.6 (138.1, 164.0)	N/A	112	falling	-1.2 (-1.6, -0.7)
Grand Isle County, Vermont	Urban	No	168.7 (132.6, 212.5)	N/A	18	stable	-1.4 (-2.6, 0.0)
Grand Traverse County, Michigan	Urban	No	140.1 (131.3, 149.5)	N/A	198	falling	-1.3 (-1.7, -0.9)
Granite County, Montana	Rural	Yes	88.7 (57.8, 137.3)	N/A	6	falling	-3.0 (-4.9, -1.2)
Grant County, Arkansas	Urban	No	180.7 (157.5, 206.7)	N/A	45	stable	-0.3 (-1.1, 0.5)
Grant County, Indiana	Rural	No	193.5 (180.8, 206.9)	N/A	182	stable	-0.4 (-0.8, 0.0)
Grant County, Kansas	Rural	No	151.4 (115.2, 195.6)	N/A	12	stable	-0.9 (-2.1, 0.4)
Grant County, Kentucky	Urban	No	187.8 (164.8, 213.2)	N/A	51	falling	-1.0 (-1.6, -0.3)
Grant County, Minnesota	Rural	No	161.7 (126.5, 205.2)	N/A	16	stable	-0.6 (-1.5, 0.2)
Grant County, New Mexico	Rural	No	142.2 (127.1, 158.9)	N/A	76	falling	-1.2 (-1.8, -0.6)
Grant County, North Dakota	Rural	Yes	105.3 (66.6, 167.9)	N/A	5	stable	-1.4 (-3.0, 0.0)
Grant County, Oklahoma	Rural	No	240.4 (186.4, 306.9)	N/A	15	stable	0.9 (-0.3, 2.0)
Grant County, Oregon	Rural	No	172.6 (141.7, 210.3)	N/A	26	stable	7.5 (-1.8, 21.5)
Grant County, South Dakota	Rural	No	140.0 (112.2, 174.0)	N/A	19	falling	-0.9 (-1.7, -0.1)
Grant County, Washington	Rural	No	154.0 (143.3, 165.3)	N/A	160	falling	-0.9 (-1.2, -0.6)
Grant County, West Virginia	Rural	No	155.2 (129.6, 185.2)	N/A	29	stable	-0.7 (-1.6, 0.2)
Grant County, Wisconsin	Rural	No	165.5 (151.7, 180.3)	N/A	114	falling	-0.7 (-1.2, -0.2)
Grant Parish, Louisiana	Urban	No	185.4 (162.4, 210.9)	N/A	49	falling	-1.2 (-1.8, -0.5)
Granville County, North Carolina	Rural	No	169.3 (156.6, 182.9)	N/A	137	falling	-2.4 (-6.3, -1.4)
Gratiot County, Michigan	Rural	No	176.2 (160.5, 193.1)	N/A	96	stable	-0.5 (-1.0, 0.1)
Graves County, Kentucky	Rural	No	186.8 (170.0, 205.0)	N/A	95	falling	-0.5 (-0.9, -0.1)
Gray County, Kansas	Rural	No	159.4 (119.5, 209.1)	N/A	11	stable	-1.3 (-2.8, 0.2)
Gray County, Texas	Rural	No	158.1 (137.2, 181.5)	N/A	42	falling	-0.8 (-1.5, -0.2)
Grays Harbor County, Washington	Rural	No	175.4 (164.6, 187.0)	N/A	209	falling	-1.2 (-1.5, -0.8)
Grayson County, Kentucky	Rural	No	211.0 (189.5, 234.4)	N/A	75	stable	0.2 (-0.2, 0.6)
Grayson County, Texas	Urban	No	176.1 (167.3, 185.2)	N/A	319	falling	-0.8 (-1.1, -0.6)
Grayson County, Virginia	Rural	No	180.1 (157.4, 205.9)	N/A	49	stable	-0.4 (-1.1, 0.3)
Greeley County, Nebraska	Rural	No	187.5 (122.1, 278.8)	N/A	7	stable	-0.3 (-2.5, 1.9)
Green County, Kentucky	Rural	No	201.6 (172.3, 235.1)	N/A	35	stable	0.2 (-0.7, 1.2)
Green County, Wisconsin	Urban	No	149.1 (134.5, 165.0)	N/A	81	falling	-0.8 (-1.3, -0.3)
Green Lake County, Wisconsin	Rural	No	140.2 (122.2, 160.6)	N/A	45	falling	-0.9 (-1.5, -0.2)
Greenbrier County, West Virginia	Rural	No	180.9 (164.8, 198.5)	N/A	100	falling	-0.9 (-1.3, -0.4)
Greene County, Alabama	Urban	No	181.7 (147.6, 222.3)	N/A	22	falling	-1.0 (-1.9, -0.1)
Greene County, Arkansas	Rural	No	173.5 (158.5, 189.6)	N/A	100	stable	-0.6 (-1.1, 0.0)
Greene County, Georgia	Rural	No	133.8 (116.0, 154.1)	N/A	48	falling	-1.6 (-2.3, -0.8)
Greene County, Illinois	Rural	No	187.9 (160.3, 219.6)	N/A	35	stable	-0.6 (-1.4, 0.2)
Greene County, Indiana	Rural	No	201.9 (183.3, 222.1)	N/A	91	stable	0.1 (-0.4, 0.7)
Greene County, Iowa	Rural	No	186.8 (155.1, 224.1)	N/A	27	stable	0.1 (-0.9, 1.1)
Greene County, Mississippi	Rural	No	152.8 (126.8, 182.9)	N/A	25	falling	-1.2 (-1.9, -0.4)
Greene County, Missouri	Urban	No	147.1 (141.6, 152.8)	N/A	552	falling	-1.5 (-3.2, -1.3)
Greene County, New York	Rural	No	172.9 (159.8, 187.0)	N/A	138	falling	-1.3 (-1.8, -0.8)
Greene County, North Carolina	Rural	No	176.3 (153.7, 201.5)	N/A	46	stable	-1.1 (-11.6, 0.7)
Greene County, Ohio	Urban	No	145.6 (138.3, 153.1)	N/A	318	falling	-1.5 (-1.8, -1.1)
Greene County, Pennsylvania	Rural	No	190.1 (173.1, 208.6)	N/A	96	falling	-0.5 (-0.9, -0.1)
Greene County, Tennessee	Rural	No	181.6 (170.2, 193.7)	N/A	199	falling	-1.6 (-4.9, -0.8)
Greene County, Virginia	Urban	No	125.0 (106.7, 145.9)	N/A	35	falling	-1.8 (-2.5, -0.8)
Greenlee County, Arizona	Rural	No	150.8 (117.6, 190.5)	N/A	15	falling	-1.5 (-2.6, -0.3)
Greensville County, Virginia	Rural	No	216.5 (181.0, 257.3)	N/A	28	stable	-0.1 (-1.1, 0.9)
Greenup County, Kentucky	Urban	No	176.2 (160.7, 193.1)	N/A	98	falling	-1.1 (-1.6, -0.6)
Greenville County, South Carolina	Urban	No	139.8 (135.7, 144.1)	N/A	894	falling	-2.4 (-4.4, -1.6)
Greenwood County, Kansas	Rural	No	175.9 (140.5, 219.6)	N/A	19	falling	-1.0 (-2.0, -0.1)
Greenwood County, South Carolina	Rural	No	164.3 (152.8, 176.4)	N/A	160	falling	-1.1 (-1.5, -0.7)
Greer County, Oklahoma	Rural	No	178.8 (137.8, 229.4)	N/A	13	stable	-0.4 (-1.2, 0.4)
Gregg County, Texas	Urban	No	170.1 (160.7, 180.0)	N/A	251	falling	-1.3 (-1.5, -1.1)
Gregory County, South Dakota	Rural	No	147.7 (107.4, 200.9)	N/A	11	stable	-0.4 (-1.3, 0.5)
Grenada County, Mississippi	Rural	No	209.2 (185.8, 235.0)	N/A	61	stable	-0.2 (-0.8, 0.4)
Griggs County, North Dakota	Rural	Yes	91.4 (59.5, 145.8)	N/A	5	stable	-1.5 (-3.4, 0.2)
Grimes County, Texas	Rural	No	156.1 (138.9, 175.0)	N/A	63	falling	-1.3 (-1.8, -0.7)
Grundy County, Illinois	Urban	No	173.4 (158.5, 189.4)	N/A	103	falling	-1.0 (-1.4, -0.6)
Grundy County, Iowa	Urban	No	151.3 (127.6, 178.9)	N/A	30	stable	-0.3 (-1.2, 0.6)
Grundy County, Missouri	Rural	No	162.9 (135.1, 195.6)	N/A	26	stable	-0.8 (-1.8, 0.2)
Grundy County, Tennessee	Rural	No	191.7 (164.9, 222.2)	N/A	39	stable	0.3 (-0.6, 1.3)
Guadalupe County, New Mexico	Rural	No	137.2 (100.5, 185.4)	N/A	9	stable	-0.9 (-2.2, 0.6)
Guadalupe County, Texas	Urban	No	141.6 (134.0, 149.5)	N/A	270	falling	-1.4 (-1.6, -1.0)
Guernsey County, Ohio	Rural	No	190.3 (173.9, 208.0)	N/A	105	falling	-0.8 (-1.2, -0.4)
Guilford County, North Carolina	Urban	No	150.4 (146.1, 154.8)	N/A	952	falling	-1.3 (-1.5, -1.2)
Gulf County, Florida	Rural	No	181.8 (157.4, 209.5)	N/A	44	falling	-1.3 (-2.0, -0.5)
Gunnison County, Colorado	Rural	Yes	112.4 (89.4, 139.5)	N/A	18	falling	-2.2 (-3.3, -1.0)
Guthrie County, Iowa	Urban	No	138.7 (114.3, 167.7)	N/A	25	stable	-0.6 (-1.5, 0.2)
Gwinnett County, Georgia	Urban	No	132.2 (128.5, 136.0)	N/A	1,071	falling	-1.4 (-1.6, -1.3)
Haakon County, South Dakota	Rural	No	142.0 (92.0, 219.3)	N/A	5	stable	-1.1 (-2.9, 0.7)
Habersham County, Georgia	Rural	No	162.3 (148.3, 177.5)	N/A	101	stable	-0.5 (-0.9, 0.1)
Hale County, Alabama	Urban	No	178.5 (153.1, 207.3)	N/A	38	stable	-0.9 (-1.9, 0.0)
Hale County, Texas	Rural	No	150.3 (132.5, 169.8)	N/A	53	stable	-0.4 (-0.9, 0.2)
Halifax County with South Boston City, Virginia	Rural	No	191.7 (175.3, 209.4)	N/A	113	falling	-0.8 (-1.2, -0.3)
Halifax County, North Carolina	Rural	No	197.6 (183.1, 213.1)	N/A	148	falling	-0.6 (-0.9, -0.3)
Hall County, Georgia	Urban	No	140.4 (133.6, 147.4)	N/A	336	falling	-1.3 (-1.6, -0.9)
Hall County, Nebraska	Urban	No	139.8 (127.7, 152.8)	N/A	101	falling	-1.2 (-1.6, -0.9)
Hall County, Texas	Rural	Yes	122.6 (83.7, 179.1)	N/A	6	stable	-0.7 (-2.3, 0.8)
Hamblen County, Tennessee	Urban	No	177.0 (164.6, 190.3)	N/A	154	falling	-0.9 (-1.4, -0.4)
Hamilton County, Florida	Rural	No	198.2 (170.4, 229.6)	N/A	38	falling	-1.5 (-2.0, -1.0)
Hamilton County, Illinois	Rural	No	174.2 (142.8, 211.6)	N/A	23	stable	-0.4 (-1.3, 0.5)
Hamilton County, Indiana	Urban	No	123.7 (118.5, 129.1)	N/A	436	falling	-1.6 (-1.9, -1.3)
Hamilton County, Iowa	Rural	No	138.5 (117.5, 162.8)	N/A	33	falling	-1.6 (-2.3, -0.9)
Hamilton County, Kansas	Rural	No	198.6 (127.4, 295.1)	N/A	5	stable	-0.2 (-1.7, 1.1)
Hamilton County, Nebraska	Rural	No	145.8 (117.9, 179.0)	N/A	20	falling	-1.4 (-2.4, -0.4)
Hamilton County, New York	Rural	No	137.2 (107.4, 178.2)	N/A	16	falling	-1.7 (-2.8, -0.5)
Hamilton County, Ohio	Urban	No	156.4 (152.9, 160.0)	N/A	1,568	falling	-1.7 (-2.2, -1.6)
Hamilton County, Tennessee	Urban	No	146.5 (141.7, 151.5)	N/A	723	falling	-1.9 (-2.3, -1.7)
Hamilton County, Texas	Rural	No	204.8 (170.2, 245.5)	N/A	29	stable	0.1 (-0.6, 0.8)
Hamlin County, South Dakota	Rural	No	177.9 (136.0, 229.2)	N/A	13	stable	-0.1 (-0.9, 0.7)
Hampden County, Massachusetts	Urban	No	152.4 (148.0, 157.0)	N/A	931	falling	-1.3 (-1.5, -1.2)
Hampshire County, Massachusetts	Urban	No	132.1 (125.1, 139.5)	N/A	282	falling	-1.6 (-1.8, -1.3)
Hampshire County, West Virginia	Urban	No	173.9 (154.8, 195.0)	N/A	66	stable	-0.6 (-1.3, 0.2)
Hampton City, Virginia	Urban	No	172.8 (163.7, 182.3)	N/A	283	falling	-1.3 (-1.5, -1.0)
Hampton County, South Carolina	Rural	No	195.0 (171.3, 221.5)	N/A	51	stable	-0.4 (-1.0, 0.3)
Hancock County, Georgia	Rural	No	166.8 (136.6, 203.2)	N/A	23	stable	-1.1 (-2.1, 0.0)
Hancock County, Illinois	Rural	No	132.8 (114.7, 153.6)	N/A	41	falling	-1.6 (-2.2, -1.1)
Hancock County, Indiana	Urban	No	154.1 (143.3, 165.5)	N/A	157	falling	-1.0 (-1.3, -0.6)
Hancock County, Iowa	Rural	No	131.3 (107.5, 159.6)	N/A	24	falling	-1.1 (-2.1, -0.1)
Hancock County, Kentucky	Rural	No	185.2 (151.9, 224.2)	N/A	22	stable	-0.8 (-1.9, 0.3)
Hancock County, Maine	Rural	No	155.1 (143.6, 167.4)	N/A	150	falling	-1.8 (-2.2, -1.5)
Hancock County, Mississippi	Urban	No	165.9 (152.1, 180.7)	N/A	116	falling	-0.8 (-1.2, -0.4)
Hancock County, Ohio	Rural	No	155.5 (144.5, 167.0)	N/A	156	falling	-0.8 (-1.1, -0.4)
Hancock County, Tennessee	Rural	No	197.6 (159.8, 242.9)	N/A	21	stable	0.0 (-1.0, 1.0)
Hancock County, West Virginia	Urban	No	168.6 (152.3, 186.5)	N/A	84	falling	-1.1 (-1.6, -0.5)
Hand County, South Dakota	Rural	No	140.3 (97.1, 200.0)	N/A	8	stable	22.2 (-1.7, 41.0)
Hanover County, Virginia	Urban	No	151.0 (142.3, 160.2)	N/A	231	falling	-1.6 (-1.9, -1.2)
Hansford County, Texas	Rural	No	172.1 (128.4, 226.5)	N/A	11	stable	-0.3 (-1.5, 0.9)
Hanson County, South Dakota	Rural	No	264.6 (174.6, 380.5)	N/A	7	rising	2.1 (0.4, 3.9)
Haralson County, Georgia	Urban	No	180.2 (161.1, 201.1)	N/A	67	stable	-0.5 (-1.2, 0.2)
Hardee County, Florida	Rural	No	152.9 (133.6, 174.2)	N/A	46	falling	-0.7 (-1.2, -0.2)
Hardeman County, Tennessee	Rural	No	203.9 (182.8, 227.0)	N/A	70	stable	-0.4 (-0.9, 0.2)
Hardeman County, Texas	Rural	No	135.5 (95.5, 189.6)	N/A	8	stable	-0.9 (-2.5, 0.5)
Hardin County, Illinois	Rural	No	191.2 (146.5, 249.6)	N/A	13	stable	-0.3 (-1.2, 0.7)
Hardin County, Iowa	Rural	No	155.0 (134.4, 178.5)	N/A	45	falling	-1.0 (-1.6, -0.5)
Hardin County, Kentucky	Urban	No	185.2 (174.6, 196.4)	N/A	233	falling	-0.7 (-0.9, -0.4)
Hardin County, Ohio	Rural	No	210.0 (189.2, 232.6)	N/A	78	stable	-0.3 (-0.9, 0.3)
Hardin County, Tennessee	Rural	No	159.0 (142.0, 177.8)	N/A	70	stable	-0.7 (-1.4, 0.1)
Hardin County, Texas	Urban	No	160.3 (147.2, 174.2)	N/A	116	falling	-2.0 (-5.5, -1.5)
Hardy County, West Virginia	Rural	No	156.0 (132.8, 182.7)	N/A	35	falling	-1.1 (-1.7, -0.5)
Harford County, Maryland	Urban	No	148.3 (142.4, 154.4)	N/A	492	falling	-1.5 (-1.6, -1.3)
Harlan County, Kentucky	Rural	No	240.2 (217.7, 264.6)	N/A	89	stable	-1.4 (-8.6, 0.0)
Harlan County, Nebraska	Rural	No	168.2 (124.3, 228.0)	N/A	10	stable	0.1 (-1.2, 1.6)
Harmon County, Oklahoma	Rural	No	196.1 (131.7, 283.3)	N/A	7	stable	0.2 (-1.7, 2.0)
Harnett County, North Carolina	Rural	No	173.4 (163.5, 183.6)	N/A	241	falling	-1.2 (-1.5, -0.8)
Harney County, Oregon	Rural	No	147.2 (119.0, 181.8)	N/A	20	falling	-2.0 (-2.8, -1.2)
Harper County, Kansas	Rural	No	215.6 (172.2, 268.2)	N/A	18	stable	0.0 (-1.1, 1.2)
Harper County, Oklahoma	Rural	No	170.4 (121.7, 235.1)	N/A	8	stable	-0.6 (-2.2, 0.8)
Harris County, Georgia	Urban	No	150.4 (134.5, 167.8)	N/A	70	falling	-1.8 (-2.3, -1.2)
Harris County, Texas	Urban	No	136.3 (134.7, 138.0)	N/A	5,677	falling	-1.9 (-2.0, -1.8)
Harrison County, Indiana	Urban	No	170.1 (154.5, 187.1)	N/A	92	falling	-0.8 (-1.3, -0.3)
Harrison County, Iowa	Urban	No	149.2 (126.7, 175.0)	N/A	33	falling	-11.9 (-20.7, -1.4)
Harrison County, Kentucky	Rural	No	193.0 (169.6, 219.1)	N/A	51	stable	-0.5 (-1.2, 0.2)
Harrison County, Mississippi	Urban	No	185.1 (177.5, 193.0)	N/A	464	falling	-1.3 (-2.3, -1.0)
Harrison County, Missouri	Rural	No	162.1 (131.7, 198.5)	N/A	22	stable	-0.4 (-1.1, 0.3)
Harrison County, Ohio	Rural	No	192.1 (166.4, 221.1)	N/A	43	stable	-0.6 (-1.3, 0.2)
Harrison County, Texas	Urban	No	149.8 (138.4, 161.9)	N/A	135	falling	-2.0 (-3.6, -1.4)
Harrison County, West Virginia	Rural	No	194.0 (181.5, 207.3)	N/A	187	falling	-0.9 (-3.2, -0.6)
Harrisonburg City, Virginia	Urban	No	146.2 (129.8, 164.1)	N/A	60	falling	-1.5 (-2.3, -0.8)
Hart County, Georgia	Rural	No	161.8 (144.5, 180.9)	N/A	68	stable	-0.7 (-1.5, 0.1)
Hart County, Kentucky	Rural	No	197.8 (172.9, 225.5)	N/A	48	stable	-9.6 (-20.7, 0.0)
Hartford County, Connecticut	Urban	No	135.2 (132.2, 138.2)	N/A	1,615	falling	-1.6 (-1.7, -1.6)
Hartley County, Texas	Rural	Yes	119.3 (85.1, 163.5)	N/A	8	falling	-1.6 (-2.8, -0.4)
Harvey County, Kansas	Urban	No	159.5 (143.6, 176.9)	N/A	80	stable	-0.3 (-0.8, 0.2)
Haskell County, Kansas	Rural	Yes	117.7 (74.3, 177.4)	N/A	5	stable	0.4 (-0.9, 2.0)
Haskell County, Oklahoma	Rural	No	205.2 (175.3, 239.3)	N/A	36	stable	-0.5 (-1.1, 0.2)
Haskell County, Texas	Rural	No	182.7 (143.0, 231.9)	N/A	16	stable	-0.3 (-1.6, 0.9)
Hawaii County, Hawaii ⁸	Rural	No	136.7 (130.6, 143.0)	N/A	420	falling	-1.1 (-1.6, -0.6)
Hawkins County, Tennessee	Urban	No	186.7 (173.6, 200.6)	N/A	163	stable	-0.1 (-0.5, 0.3)
Hays County, Texas	Urban	No	137.6 (130.2, 145.2)	N/A	286	falling	-1.3 (-1.6, -0.9)
Haywood County, North Carolina	Rural	No	157.0 (146.2, 168.4)	N/A	171	falling	-0.8 (-1.1, -0.4)
Haywood County, Tennessee	Rural	No	188.0 (164.2, 214.7)	N/A	48	falling	-0.9 (-1.6, -0.2)
Heard County, Georgia	Urban	No	164.1 (136.0, 196.7)	N/A	25	stable	-0.5 (-1.3, 0.4)
Hemphill County, Texas	Rural	Yes	115.4 (71.0, 177.9)	N/A	4	stable	-0.5 (-2.1, 1.0)
Hempstead County, Arkansas	Rural	No	182.7 (160.1, 207.9)	N/A	50	falling	-0.9 (-1.5, -0.2)
Henderson County, Illinois	Rural	No	145.8 (115.5, 183.7)	N/A	18	falling	-1.1 (-2.1, -0.2)
Henderson County, Kentucky	Rural	No	185.1 (169.7, 201.6)	N/A	112	falling	-0.6 (-1.1, -0.2)
Henderson County, North Carolina	Urban	No	145.6 (138.1, 153.6)	N/A	307	falling	-1.1 (-1.4, -0.7)
Henderson County, Tennessee	Rural	No	199.2 (179.2, 220.9)	N/A	76	stable	-0.3 (-0.8, 0.2)
Henderson County, Texas	Rural	No	185.1 (174.4, 196.4)	N/A	240	falling	-1.0 (-1.3, -0.6)
Hendricks County, Indiana	Urban	No	143.7 (136.1, 151.7)	N/A	273	falling	-1.6 (-1.9, -1.3)
Hendry County, Florida	Rural	No	154.3 (137.8, 172.3)	N/A	65	falling	-0.9 (-1.6, -0.2)
Hennepin County, Minnesota	Urban	No	133.8 (131.1, 136.5)	N/A	1,925	falling	-1.8 (-2.1, -1.6)
Henrico County, Virginia	Urban	No	146.7 (141.4, 152.1)	N/A	608	falling	-1.3 (-1.5, -1.1)
Henry County, Alabama	Urban	No	171.8 (149.9, 196.5)	N/A	48	falling	-0.8 (-1.3, -0.2)
Henry County, Georgia	Urban	No	156.5 (149.0, 164.3)	N/A	360	falling	-1.1 (-1.3, -0.8)
Henry County, Illinois	Urban	No	159.2 (146.4, 173.0)	N/A	120	falling	-0.9 (-1.4, -0.5)
Henry County, Indiana	Rural	No	195.5 (180.7, 211.3)	N/A	135	stable	-0.3 (-0.7, 0.1)
Henry County, Iowa	Rural	No	152.6 (133.0, 174.6)	N/A	45	falling	-0.9 (-1.5, -0.2)
Henry County, Kentucky	Urban	No	206.2 (178.9, 236.7)	N/A	44	stable	-0.3 (-0.9, 0.2)
Henry County, Missouri	Rural	No	170.9 (152.1, 191.7)	N/A	63	falling	-3.4 (-10.7, -0.8)
Henry County, Ohio	Rural	No	170.2 (151.9, 190.3)	N/A	66	falling	-0.9 (-1.4, -0.4)
Henry County, Tennessee	Rural	No	186.0 (169.5, 203.9)	N/A	100	falling	-0.7 (-1.1, -0.3)
Henry County, Virginia	Rural	No	171.0 (158.1, 184.9)	N/A	148	stable	-0.2 (-0.7, 0.3)
Herkimer County, New York	Urban	No	142.2 (131.2, 153.9)	N/A	133	falling	-1.4 (-1.8, -1.0)
Hernando County, Florida	Urban	No	165.9 (159.7, 172.3)	N/A	608	falling	-1.0 (-1.2, -0.8)
Hertford County, North Carolina	Rural	No	164.9 (145.3, 186.9)	N/A	54	falling	-1.7 (-2.2, -1.2)
Hettinger County, North Dakota	Rural	No	164.0 (110.0, 239.2)	N/A	7	stable	-1.3 (-2.9, 0.2)
Hickman County, Kentucky	Rural	No	168.8 (132.2, 215.8)	N/A	15	stable	-0.5 (-1.7, 0.8)
Hickman County, Tennessee	Urban	No	213.4 (191.1, 237.8)	N/A	70	stable	-0.3 (-1.0, 0.5)
Hickory County, Missouri	Rural	No	208.4 (174.7, 248.3)	N/A	36	stable	-0.6 (-1.3, 0.2)
Hidalgo County, New Mexico	Rural	No	147.2 (109.7, 196.5)	N/A	10	stable	-0.3 (-1.4, 0.8)
Hidalgo County, Texas	Urban	Yes	114.8 (111.4, 118.2)	N/A	884	falling	-0.9 (-1.1, -0.6)
Highland County, Ohio	Rural	No	193.9 (178.0, 210.8)	N/A	116	stable	-0.6 (-1.1, 0.0)
Highland County, Virginia	Rural	No	155.7 (111.5, 226.5)	N/A	8	falling	-2.0 (-3.6, -0.5)
Highlands County, Florida	Urban	No	142.7 (134.9, 151.0)	N/A	332	falling	-1.0 (-1.3, -0.6)
Hill County, Montana	Rural	No	181.9 (154.7, 212.7)	N/A	34	stable	-0.5 (-1.1, 0.1)
Hill County, Texas	Rural	No	205.2 (187.9, 223.7)	N/A	111	stable	-0.4 (-1.0, 0.2)
Hillsborough County, Florida	Urban	No	144.8 (142.2, 147.5)	N/A	2,395	falling	-1.6 (-1.8, -1.5)
Hillsborough County, New Hampshire	Urban	No	140.4 (135.8, 145.1)	N/A	748	falling	-1.6 (-1.8, -1.4)
Hillsdale County, Michigan	Rural	No	185.5 (170.8, 201.3)	N/A	125	falling	-0.6 (-1.0, -0.1)
Hinds County, Mississippi	Urban	No	171.0 (163.8, 178.4)	N/A	451	stable	0.0 (-0.3, 0.4)
Hitchcock County, Nebraska	Rural	No	234.4 (171.3, 317.4)	N/A	11	stable	0.5 (-0.6, 1.6)
Hocking County, Ohio	Urban	No	183.9 (165.0, 204.5)	N/A	74	falling	-1.3 (-5.1, -0.8)
Hockley County, Texas	Urban	No	166.4 (144.0, 191.4)	N/A	41	stable	-0.8 (-1.6, 0.0)
Hodgeman County, Kansas	Rural	No	164.0 (105.3, 252.3)	N/A	5	stable	-1.2 (-2.9, 0.4)
Hoke County, North Carolina	Urban	No	169.8 (152.3, 188.5)	N/A	77	falling	-1.6 (-2.2, -0.9)
Holmes County, Florida	Rural	No	185.8 (163.8, 210.3)	N/A	54	stable	-0.8 (-1.5, 0.0)
Holmes County, Mississippi	Urban	No	242.0 (212.0, 275.4)	N/A	49	stable	-0.1 (-0.9, 0.6)
Holmes County, Ohio	Rural	No	141.2 (126.2, 157.4)	N/A	67	stable	-0.6 (-1.1, 0.0)
Holt County, Missouri	Rural	No	140.5 (104.6, 187.9)	N/A	12	stable	-0.6 (-1.8, 0.5)
Holt County, Nebraska	Rural	No	146.1 (119.1, 178.2)	N/A	24	stable	-0.8 (-1.7, 0.0)
Honolulu County, Hawaii ⁸	Urban	Yes	118.4 (115.8, 121.0)	N/A	1,670	falling	-1.3 (-1.5, -1.1)
Hood County, Texas	Rural	No	149.0 (138.3, 160.5)	N/A	160	falling	-1.9 (-2.3, -1.3)
Hood River County, Oregon	Rural	No	127.7 (110.1, 147.5)	N/A	39	falling	-4.3 (-11.0, -1.6)
Hoonah-Angoon Census Area, Alaska	Rural	No	146.7 (93.5, 224.8)	N/A	6	stable	5.7 (-7.0, 31.6)
Hopewell City, Virginia	Urban	No	217.8 (193.3, 244.6)	N/A	59	stable	-0.4 (-0.9, 0.1)
Hopkins County, Kentucky	Rural	No	182.7 (167.6, 198.9)	N/A	113	falling	-0.9 (-1.3, -0.4)
Hopkins County, Texas	Rural	No	166.3 (150.5, 183.5)	N/A	84	falling	-1.2 (-1.7, -0.7)
Horry County, South Carolina	Urban	No	161.1 (156.2, 166.1)	N/A	938	falling	-3.3 (-5.4, -1.1)
Hot Spring County, Arkansas	Rural	No	175.8 (158.9, 194.1)	N/A	83	falling	-0.7 (-1.1, -0.3)
Hot Springs County, Wyoming	Rural	No	172.4 (134.7, 220.6)	N/A	16	falling	-0.9 (-1.7, -0.1)
Houghton County, Michigan	Rural	No	172.6 (155.7, 191.0)	N/A	81	falling	-0.9 (-1.3, -0.4)
Houston County, Alabama	Urban	No	154.4 (145.2, 164.1)	N/A	220	falling	-1.2 (-3.5, -0.9)
Houston County, Georgia	Urban	No	146.1 (138.0, 154.7)	N/A	250	falling	-1.5 (-1.8, -1.1)
Houston County, Minnesota	Urban	No	139.0 (120.1, 160.6)	N/A	42	falling	-1.1 (-1.6, -0.6)
Houston County, Tennessee	Rural	No	218.4 (182.4, 260.4)	N/A	27	stable	0.3 (-0.5, 1.1)
Houston County, Texas	Rural	No	153.3 (135.6, 173.1)	N/A	56	falling	-2.1 (-6.4, -1.3)
Howard County, Arkansas	Rural	No	148.7 (124.0, 177.4)	N/A	26	falling	-3.8 (-9.5, -1.9)
Howard County, Indiana	Urban	No	177.6 (166.8, 189.0)	N/A	210	falling	-0.8 (-1.1, -0.5)
Howard County, Iowa	Rural	No	175.9 (146.3, 210.6)	N/A	27	stable	-0.3 (-1.1, 0.6)
Howard County, Maryland	Urban	Yes	112.6 (107.7, 117.6)	N/A	414	falling	-2.3 (-2.5, -2.0)
Howard County, Missouri	Urban	No	145.4 (117.7, 178.2)	N/A	20	falling	-1.3 (-2.1, -0.5)
Howard County, Nebraska	Urban	No	134.8 (104.1, 173.1)	N/A	14	falling	-1.3 (-2.4, -0.3)
Howard County, Texas	Rural	No	159.8 (141.6, 179.8)	N/A	58	falling	-1.0 (-1.5, -0.5)
Howell County, Missouri	Rural	No	190.3 (174.4, 207.5)	N/A	110	falling	-0.6 (-1.0, -0.2)
Hubbard County, Minnesota	Rural	No	146.5 (128.7, 166.5)	N/A	55	falling	-1.1 (-1.8, -0.4)
Hudson County, New Jersey	Urban	Yes	113.4 (109.8, 117.1)	N/A	790	falling	-2.8 (-4.5, -2.6)
Hudspeth County, Texas	Urban	No	258.3 (175.6, 365.3)	N/A	6	*	*
Huerfano County, Colorado	Rural	No	182.5 (149.0, 223.6)	N/A	25	stable	-0.4 (-1.4, 0.7)
Hughes County, Oklahoma	Rural	No	192.5 (164.8, 224.0)	N/A	35	stable	-0.2 (-0.8, 0.5)
Hughes County, South Dakota	Rural	No	165.0 (141.8, 191.2)	N/A	38	stable	-0.1 (-1.0, 0.8)
Humboldt County, California	Rural	No	171.8 (163.0, 180.9)	N/A	311	falling	-1.2 (-1.5, -0.9)
Humboldt County, Iowa	Rural	No	129.0 (104.6, 158.3)	N/A	21	falling	-1.4 (-2.1, -0.7)
Humboldt County, Nevada	Rural	Yes	122.6 (100.1, 148.5)	N/A	22	falling	-4.6 (-17.0, -1.9)
Humphreys County, Mississippi	Rural	No	245.6 (202.5, 295.8)	N/A	25	rising	19.9 (3.2, 32.1)
Humphreys County, Tennessee	Rural	No	192.9 (170.3, 218.2)	N/A	55	stable	-0.7 (-1.3, 0.0)
Hunt County, Texas	Urban	No	172.0 (161.6, 182.9)	N/A	212	falling	-0.8 (-1.2, -0.4)
Hunterdon County, New Jersey	Urban	Yes	117.7 (110.8, 125.0)	N/A	226	falling	-2.1 (-2.3, -1.8)
Huntingdon County, Pennsylvania	Rural	No	154.6 (141.4, 168.9)	N/A	106	stable	-0.8 (-1.2, 0.0)
Huntington County, Indiana	Rural	No	178.6 (162.2, 196.3)	N/A	91	falling	-0.7 (-1.1, -0.3)
Huron County, Michigan	Rural	No	161.0 (146.0, 177.4)	N/A	94	falling	-0.7 (-1.1, -0.4)
Huron County, Ohio	Rural	No	173.6 (160.4, 187.7)	N/A	134	falling	-0.5 (-0.8, -0.2)
Hutchinson County, South Dakota	Rural	No	146.9 (118.1, 182.1)	N/A	20	falling	-1.3 (-2.6, -0.2)
Hutchinson County, Texas	Rural	No	156.8 (135.7, 180.6)	N/A	42	falling	-0.8 (-1.3, -0.3)
Hyde County, North Carolina	Rural	No	148.3 (109.2, 199.1)	N/A	11	stable	-0.7 (-1.9, 0.4)
Hyde County, South Dakota	Rural	No	188.7 (115.8, 303.8)	N/A	5	*	*
Iberia Parish, Louisiana	Rural	No	186.3 (173.0, 200.5)	N/A	153	falling	-1.2 (-1.6, -0.7)
Iberville Parish, Louisiana	Urban	No	195.3 (175.8, 216.4)	N/A	77	falling	-0.9 (-1.3, -0.4)
Ida County, Iowa	Rural	No	177.3 (144.4, 217.1)	N/A	22	stable	-0.4 (-1.5, 0.7)
Idaho County, Idaho	Rural	No	149.9 (131.0, 171.6)	N/A	49	stable	-0.7 (-1.3, 0.0)
Imperial County, California	Urban	Yes	114.3 (107.4, 121.5)	N/A	210	falling	-2.0 (-2.4, -1.7)
Independence County, Arkansas	Rural	No	150.7 (135.5, 167.2)	N/A	75	falling	-1.2 (-1.7, -0.7)
Indian River County, Florida	Urban	No	152.6 (146.2, 159.3)	N/A	555	falling	-1.1 (-1.3, -0.8)
Indiana County, Pennsylvania	Rural	No	137.9 (128.3, 148.1)	N/A	164	falling	-1.3 (-1.7, -1.0)
Ingham County, Michigan	Urban	No	160.9 (154.3, 167.6)	N/A	480	falling	-0.8 (-1.1, -0.1)
Inyo County, California	Rural	No	128.8 (110.8, 149.4)	N/A	41	falling	-1.6 (-2.1, -1.1)
Ionia County, Michigan	Urban	No	162.3 (149.4, 176.1)	N/A	123	falling	-1.0 (-1.4, -0.5)
Iosco County, Michigan	Rural	No	195.2 (176.6, 215.8)	N/A	97	stable	4.4 (-0.9, 10.9)
Iowa County, Iowa	Rural	No	156.9 (135.0, 181.8)	N/A	40	falling	-0.8 (-1.4, -0.2)
Iowa County, Wisconsin	Urban	No	145.0 (126.6, 165.6)	N/A	47	falling	-1.0 (-1.6, -0.3)
Iredell County, North Carolina	Urban	No	145.3 (138.3, 152.6)	N/A	338	falling	-2.5 (-5.8, -0.1)
Irion County, Texas	Urban	No	156.7 (91.9, 257.6)	N/A	4	*	*
Iron County, Michigan	Rural	No	177.2 (151.1, 207.8)	N/A	41	falling	-1.2 (-2.0, -0.6)
Iron County, Missouri	Rural	No	207.7 (176.0, 244.4)	N/A	32	falling	-1.0 (-1.7, -0.3)
Iron County, Utah	Rural	No	125.9 (112.2, 140.8)	N/A	65	stable	-0.8 (-1.5, 0.2)
Iron County, Wisconsin	Rural	No	151.5 (122.6, 188.8)	N/A	22	falling	-1.1 (-2.0, -0.2)
Iroquois County, Illinois	Rural	No	191.3 (172.9, 211.4)	N/A	85	stable	-0.2 (-0.6, 0.2)
Irwin County, Georgia	Rural	No	147.7 (119.5, 181.2)	N/A	20	falling	-1.4 (-2.5, -0.3)
Isabella County, Michigan	Rural	No	180.0 (165.1, 195.9)	N/A	113	stable	-0.7 (-1.2, 0.0)
Isanti County, Minnesota	Urban	No	155.3 (140.3, 171.6)	N/A	81	stable	-0.4 (-0.9, 0.1)
Island County, Washington	Rural	No	146.8 (137.7, 156.6)	N/A	212	falling	-1.2 (-1.5, -0.8)
Isle of Wight County, Virginia	Urban	No	163.1 (148.0, 179.5)	N/A	91	falling	-1.5 (-2.0, -0.9)
Issaquena County, Mississippi	Rural	No	274.8 (165.4, 445.5)	N/A	4	stable	1.3 (-1.0, 3.7)
Itasca County, Minnesota	Rural	No	160.0 (147.0, 174.1)	N/A	123	falling	-1.1 (-1.5, -0.8)
Itawamba County, Mississippi	Rural	No	171.0 (150.8, 193.3)	N/A	54	falling	-0.8 (-1.3, -0.3)
Izard County, Arkansas	Rural	No	169.0 (145.7, 195.7)	N/A	42	falling	-1.3 (-2.1, -0.4)
Jack County, Texas	Rural	No	174.6 (141.2, 214.1)	N/A	19	falling	-1.1 (-2.0, -0.2)
Jackson County, Alabama	Rural	No	191.2 (177.3, 206.0)	N/A	149	falling	-0.7 (-1.0, -0.3)
Jackson County, Arkansas	Rural	No	196.6 (171.0, 225.3)	N/A	44	stable	0.1 (-0.6, 0.9)
Jackson County, Colorado	Rural	No	184.5 (111.6, 299.1)	N/A	4	*	*
Jackson County, Florida	Rural	No	183.5 (169.5, 198.5)	N/A	133	falling	-0.5 (-0.8, -0.1)
Jackson County, Georgia	Rural	No	157.5 (145.5, 170.2)	N/A	134	falling	-3.8 (-11.3, -1.3)
Jackson County, Illinois	Rural	No	169.9 (155.3, 185.7)	N/A	106	falling	-0.7 (-1.2, -0.3)
Jackson County, Indiana	Rural	No	162.9 (148.6, 178.4)	N/A	97	falling	-3.5 (-8.4, -1.7)
Jackson County, Iowa	Rural	No	152.8 (133.2, 174.9)	N/A	47	falling	-0.9 (-1.6, -0.2)
Jackson County, Kansas	Urban	No	133.8 (111.4, 160.0)	N/A	26	falling	-1.4 (-2.2, -0.7)
Jackson County, Kentucky	Rural	No	176.6 (149.0, 208.4)	N/A	31	stable	-0.7 (-1.5, 0.1)
Jackson County, Michigan	Urban	No	172.5 (164.7, 180.7)	N/A	379	falling	-0.9 (-1.2, -0.6)
Jackson County, Minnesota	Rural	No	128.2 (103.6, 157.8)	N/A	22	stable	-0.6 (-1.7, 0.3)
Jackson County, Mississippi	Urban	No	183.0 (174.0, 192.4)	N/A	325	falling	-1.2 (-1.4, -0.9)
Jackson County, Missouri	Urban	No	157.2 (153.4, 161.1)	N/A	1,338	falling	-2.0 (-3.5, -1.5)
Jackson County, North Carolina	Rural	No	131.2 (118.0, 145.6)	N/A	78	falling	-11.5 (-18.5, -2.0)
Jackson County, Ohio	Rural	No	208.2 (188.6, 229.4)	N/A	87	falling	-0.6 (-1.1, -0.2)
Jackson County, Oklahoma	Rural	No	177.8 (156.4, 201.5)	N/A	51	stable	0.0 (-0.5, 0.5)
Jackson County, Oregon	Urban	No	149.3 (143.5, 155.4)	N/A	524	falling	-1.2 (-1.4, -1.0)
Jackson County, South Dakota	Rural	No	215.5 (145.6, 307.7)	N/A	6	stable	-0.2 (-1.9, 1.7)
Jackson County, Tennessee	Rural	No	189.1 (161.7, 220.8)	N/A	37	stable	-0.8 (-1.7, 0.3)
Jackson County, Texas	Rural	No	161.6 (138.0, 188.4)	N/A	35	stable	-0.6 (-1.4, 0.2)
Jackson County, West Virginia	Rural	No	166.4 (149.3, 185.2)	N/A	72	falling	-0.8 (-1.4, -0.2)
Jackson County, Wisconsin	Rural	No	153.7 (134.3, 175.5)	N/A	47	falling	-1.3 (-1.8, -0.7)
Jackson Parish, Louisiana	Rural	No	212.8 (185.9, 243.1)	N/A	48	stable	-0.6 (-1.3, 0.2)
James City County, Virginia	Urban	No	127.0 (118.7, 135.9)	N/A	185	falling	-1.2 (-1.6, -0.7)
Jasper County, Georgia	Urban	No	161.5 (136.9, 189.7)	N/A	32	falling	-1.0 (-1.7, -0.1)
Jasper County, Illinois	Rural	No	157.9 (130.1, 191.0)	N/A	24	falling	-1.0 (-2.0, -0.1)
Jasper County, Indiana	Urban	No	161.2 (144.8, 179.2)	N/A	73	falling	-1.1 (-1.7, -0.4)
Jasper County, Iowa	Urban	No	154.6 (139.9, 170.6)	N/A	85	falling	-1.0 (-1.5, -0.4)
Jasper County, Mississippi	Rural	No	195.6 (170.1, 224.2)	N/A	46	stable	12.5 (-0.4, 20.4)
Jasper County, Missouri	Urban	No	175.0 (165.4, 185.0)	N/A	258	falling	-0.9 (-1.2, -0.5)
Jasper County, South Carolina	Urban	No	148.4 (131.7, 166.9)	N/A	64	falling	-1.3 (-2.0, -0.5)
Jasper County, Texas	Rural	No	191.7 (173.8, 211.1)	N/A	91	falling	-1.0 (-1.6, -0.5)
Jay County, Indiana	Rural	No	178.1 (155.8, 202.8)	N/A	48	stable	-0.2 (-1.0, 0.6)
Jeff Davis County, Georgia	Rural	No	186.3 (158.4, 217.9)	N/A	33	falling	-1.8 (-2.7, -0.8)
Jeff Davis County, Texas	Rural	Yes	110.2 (70.8, 215.5)	N/A	6	stable	-0.8 (-2.8, 1.6)
Jefferson County, Alabama	Urban	No	160.0 (156.1, 164.0)	N/A	1,322	falling	-1.6 (-2.3, -1.4)
Jefferson County, Arkansas	Rural	No	184.1 (171.4, 197.6)	N/A	164	falling	-1.0 (-1.3, -0.7)
Jefferson County, Colorado ⁸	Urban	No	125.5 (121.8, 129.3)	N/A	910	falling	-1.5 (-1.7, -1.3)
Jefferson County, Florida	Urban	No	140.6 (120.0, 164.5)	N/A	36	falling	-1.7 (-2.5, -0.9)
Jefferson County, Georgia	Rural	No	214.3 (186.6, 245.4)	N/A	45	stable	-0.3 (-1.0, 0.4)
Jefferson County, Idaho	Urban	Yes	119.0 (101.1, 139.2)	N/A	33	falling	-2.0 (-11.0, -0.5)
Jefferson County, Illinois	Rural	No	182.9 (166.7, 200.3)	N/A	98	falling	-0.7 (-1.1, -0.3)
Jefferson County, Indiana	Rural	No	188.8 (170.9, 208.2)	N/A	86	stable	-0.6 (-1.1, 0.0)
Jefferson County, Iowa	Rural	No	140.1 (119.2, 164.2)	N/A	36	falling	-0.9 (-1.4, -0.4)
Jefferson County, Kansas	Urban	No	163.3 (141.4, 188.0)	N/A	42	falling	-0.9 (-1.5, -0.3)
Jefferson County, Kentucky	Urban	No	163.3 (159.6, 167.0)	N/A	1,593	falling	-1.8 (-2.1, -1.7)
Jefferson County, Mississippi	Rural	No	197.4 (157.9, 244.4)	N/A	19	stable	-0.7 (-1.6, 0.2)
Jefferson County, Missouri	Urban	No	173.5 (166.4, 180.9)	N/A	477	falling	-1.8 (-4.1, -1.2)
Jefferson County, Montana	Urban	No	190.1 (160.6, 224.1)	N/A	34	stable	-0.9 (-1.7, 0.2)
Jefferson County, Nebraska	Rural	No	175.8 (144.5, 213.6)	N/A	23	stable	-0.5 (-1.6, 0.5)
Jefferson County, New York	Urban	No	164.2 (154.2, 174.7)	N/A	208	falling	-1.2 (-1.5, -0.8)
Jefferson County, Ohio	Urban	No	184.4 (172.4, 197.1)	N/A	189	falling	-1.0 (-1.3, -0.8)
Jefferson County, Oklahoma	Rural	No	237.9 (190.7, 294.5)	N/A	19	stable	0.6 (-0.2, 1.5)
Jefferson County, Oregon	Urban	No	162.6 (142.7, 184.6)	N/A	53	stable	-0.1 (-0.6, 0.5)
Jefferson County, Pennsylvania	Rural	No	160.8 (147.3, 175.5)	N/A	111	falling	-0.7 (-1.1, -0.3)
Jefferson County, Tennessee	Urban	No	163.8 (151.4, 177.1)	N/A	137	falling	-0.9 (-1.4, -0.3)
Jefferson County, Texas	Urban	No	153.6 (147.3, 160.2)	N/A	460	falling	-1.5 (-1.8, -1.3)
Jefferson County, Washington	Rural	No	130.8 (118.2, 144.9)	N/A	103	falling	-2.0 (-2.8, -1.5)
Jefferson County, West Virginia	Urban	No	180.3 (166.4, 195.1)	N/A	132	falling	-0.9 (-1.4, -0.3)
Jefferson County, Wisconsin	Rural	No	139.7 (130.0, 150.0)	N/A	160	falling	-1.5 (-1.7, -1.2)
Jefferson Davis County, Mississippi	Rural	No	178.2 (150.1, 210.7)	N/A	32	falling	-1.1 (-1.9, -0.4)
Jefferson Davis Parish, Louisiana	Urban	No	188.4 (169.6, 208.9)	N/A	76	falling	-0.8 (-1.2, -0.4)
Jefferson Parish, Louisiana	Urban	No	152.8 (148.2, 157.5)	N/A	882	falling	-2.0 (-2.6, -1.8)
Jenkins County, Georgia	Rural	No	166.7 (133.7, 205.9)	N/A	18	stable	-1.0 (-2.0, 0.0)
Jennings County, Indiana	Rural	No	200.4 (179.5, 223.1)	N/A	71	falling	-1.0 (-2.3, -0.5)
Jerauld County, South Dakota	Rural	No	129.6 (79.9, 210.9)	N/A	5	*	*
Jerome County, Idaho	Urban	No	144.9 (123.6, 168.7)	N/A	34	falling	-1.2 (-1.8, -0.7)
Jersey County, Illinois	Urban	No	182.6 (161.7, 205.8)	N/A	58	falling	-0.7 (-1.3, -0.1)
Jessamine County, Kentucky	Urban	No	158.0 (144.4, 172.6)	N/A	104	falling	-1.5 (-1.9, -1.1)
Jewell County, Kansas	Rural	No	152.8 (110.7, 212.4)	N/A	9	falling	-1.3 (-2.4, -0.3)
Jim Hogg County, Texas	Rural	No	195.9 (146.6, 257.2)	N/A	11	stable	-0.5 (-1.9, 0.9)
Jim Wells County, Texas	Rural	No	184.7 (167.2, 203.5)	N/A	85	stable	3.4 (-0.6, 11.0)
Jo Daviess County, Illinois	Rural	No	141.7 (125.2, 160.4)	N/A	62	falling	-1.2 (-1.7, -0.6)
Johnson County, Arkansas	Rural	No	183.4 (162.6, 206.2)	N/A	59	stable	-0.2 (-0.7, 0.4)
Johnson County, Georgia	Rural	No	142.2 (114.5, 175.4)	N/A	19	falling	-1.6 (-2.6, -0.6)
Johnson County, Illinois	Rural	No	156.7 (132.6, 184.6)	N/A	31	falling	-1.0 (-1.9, -0.1)
Johnson County, Indiana	Urban	No	159.9 (151.8, 168.3)	N/A	300	falling	-1.1 (-1.3, -0.7)
Johnson County, Iowa	Urban	Yes	114.6 (106.8, 122.8)	N/A	167	falling	-7.2 (-10.9, -2.7)
Johnson County, Kansas	Urban	No	128.6 (124.8, 132.5)	N/A	896	falling	-1.4 (-1.5, -1.2)
Johnson County, Kentucky	Rural	No	207.5 (184.5, 232.9)	N/A	63	stable	-0.5 (-1.2, 0.1)
Johnson County, Missouri	Rural	No	171.0 (155.5, 187.8)	N/A	92	stable	0.1 (-0.5, 0.8)
Johnson County, Nebraska	Rural	No	162.7 (123.9, 211.4)	N/A	12	stable	-0.9 (-2.2, 0.5)
Johnson County, Tennessee	Rural	No	201.1 (177.9, 226.9)	N/A	59	stable	-0.1 (-1.0, 0.8)
Johnson County, Texas	Urban	No	166.0 (157.8, 174.4)	N/A	325	falling	-1.0 (-1.3, -0.7)
Johnson County, Wyoming	Rural	Yes	121.1 (97.1, 150.9)	N/A	19	falling	-1.7 (-2.9, -0.5)
Johnston County, North Carolina	Urban	No	161.6 (154.0, 169.4)	N/A	367	falling	-1.4 (-1.8, -1.2)
Johnston County, Oklahoma	Rural	No	193.2 (161.0, 230.4)	N/A	27	falling	-0.8 (-1.5, -0.1)
Jones County, Georgia	Urban	No	142.9 (126.2, 161.5)	N/A	55	falling	-1.2 (-1.8, -0.4)
Jones County, Iowa	Urban	No	126.5 (109.3, 146.1)	N/A	41	falling	-1.4 (-1.9, -0.9)
Jones County, Mississippi	Rural	No	156.5 (144.6, 169.1)	N/A	136	falling	-1.2 (-1.5, -0.8)
Jones County, North Carolina	Rural	No	168.7 (139.5, 203.3)	N/A	26	stable	-0.4 (-1.4, 0.7)
Jones County, South Dakota	Rural	No	203.0 (119.2, 346.9)	N/A	4	*	*
Jones County, Texas	Urban	No	160.8 (138.3, 186.1)	N/A	37	stable	-0.6 (-1.2, 0.1)
Josephine County, Oregon	Urban	No	179.4 (169.8, 189.5)	N/A	291	falling	-0.8 (-1.1, -0.5)
Juab County, Utah	Urban	No	159.5 (126.7, 198.0)	N/A	17	stable	-0.4 (-1.8, 1.2)
Judith Basin County, Montana	Rural	No	161.4 (108.7, 239.3)	N/A	6	stable	-1.2 (-3.1, 0.8)
Juneau Borough, Alaska	Rural	No	148.5 (129.8, 169.1)	N/A	51	falling	-1.3 (-2.0, -0.4)
Juneau County, Wisconsin	Rural	No	172.1 (154.4, 191.6)	N/A	72	falling	-1.7 (-4.6, -1.0)
Juniata County, Pennsylvania	Rural	No	164.7 (145.6, 185.9)	N/A	58	falling	-0.7 (-1.2, -0.2)
Kalamazoo County, Michigan	Urban	No	155.3 (149.0, 161.9)	N/A	470	falling	-1.1 (-1.4, -0.8)
Kalkaska County, Michigan	Urban	No	224.8 (197.9, 254.5)	N/A	57	stable	8.1 (-0.3, 14.1)
Kanabec County, Minnesota	Rural	No	158.3 (136.5, 183.1)	N/A	40	falling	-1.4 (-2.2, -0.5)
Kanawha County, West Virginia	Urban	No	170.9 (163.9, 178.3)	N/A	472	falling	-1.6 (-3.8, -1.3)
Kandiyohi County, Minnesota	Rural	No	137.7 (124.5, 152.1)	N/A	85	falling	-1.1 (-1.5, -0.7)
Kane County, Illinois	Urban	No	136.5 (132.2, 140.9)	N/A	789	falling	-1.6 (-1.8, -1.4)
Kane County, Utah	Rural	No	168.8 (135.3, 209.1)	N/A	20	stable	-0.5 (-1.8, 0.9)
Kankakee County, Illinois	Urban	No	171.4 (161.6, 181.6)	N/A	240	falling	-1.2 (-1.5, -0.8)
Karnes County, Texas	Rural	No	178.9 (150.3, 211.5)	N/A	29	stable	-0.5 (-1.3, 0.4)
Kauai County, Hawaii ⁸	Rural	Yes	122.4 (113.0, 132.5)	N/A	133	falling	-2.0 (-2.5, -1.4)
Kaufman County, Texas	Urban	No	173.3 (163.1, 184.0)	N/A	232	falling	-1.4 (-1.7, -1.1)
Kay County, Oklahoma	Rural	No	194.0 (178.4, 210.7)	N/A	120	stable	-0.1 (-0.5, 0.2)
Kearney County, Nebraska	Rural	No	129.4 (99.0, 167.4)	N/A	13	falling	-1.7 (-2.8, -0.8)
Kearny County, Kansas	Rural	No	155.3 (108.1, 216.8)	N/A	7	stable	-0.4 (-2.0, 1.4)
Keith County, Nebraska	Rural	No	157.3 (128.8, 191.6)	N/A	25	stable	-0.6 (-1.4, 0.1)
Kemper County, Mississippi	Rural	No	140.7 (112.3, 175.0)	N/A	19	stable	-0.7 (-1.9, 0.5)
Kenai Peninsula Borough, Alaska	Rural	No	149.9 (137.1, 163.7)	N/A	113	falling	-1.7 (-2.2, -1.0)
Kendall County, Illinois	Urban	No	143.3 (133.3, 153.9)	N/A	160	falling	-1.3 (-1.6, -0.9)
Kendall County, Texas	Urban	No	125.5 (113.4, 138.7)	N/A	83	falling	-1.8 (-2.3, -1.3)
Kennebec County, Maine	Rural	No	165.0 (156.6, 173.7)	N/A	311	falling	-1.2 (-1.4, -0.9)
Kenosha County, Wisconsin	Urban	No	159.3 (151.3, 167.6)	N/A	313	falling	-1.1 (-1.4, -0.8)
Kent County, Delaware	Urban	No	168.1 (160.6, 175.9)	N/A	394	falling	-1.1 (-1.4, -0.9)
Kent County, Maryland	Rural	No	137.1 (119.8, 156.8)	N/A	51	falling	-2.1 (-2.7, -1.4)
Kent County, Michigan	Urban	No	151.8 (147.7, 156.0)	N/A	1,084	falling	-1.1 (-1.2, -0.9)
Kent County, Rhode Island	Urban	No	158.3 (151.3, 165.6)	N/A	402	falling	-1.6 (-2.2, -1.3)
Kenton County, Kentucky	Urban	No	166.6 (158.3, 175.2)	N/A	321	falling	-2.0 (-3.4, -1.6)
Keokuk County, Iowa	Rural	No	159.2 (130.9, 192.7)	N/A	24	stable	-0.7 (-1.6, 0.2)
Kern County, California	Urban	No	145.5 (141.7, 149.4)	N/A	1,176	falling	-1.3 (-1.5, -1.2)
Kerr County, Texas	Rural	No	149.3 (138.1, 161.3)	N/A	153	falling	-1.1 (-1.4, -0.7)
Kershaw County, South Carolina	Urban	No	183.3 (170.7, 196.7)	N/A	166	falling	-1.0 (-1.3, -0.6)
Ketchikan Gateway Borough, Alaska	Rural	No	129.2 (105.6, 156.9)	N/A	22	falling	-4.7 (-20.4, -1.9)
Kewaunee County, Wisconsin	Urban	No	132.1 (114.1, 152.5)	N/A	41	falling	-1.4 (-2.0, -0.8)
Keweenaw County, Michigan	Rural	No	131.6 (85.9, 206.0)	N/A	6	falling	-2.0 (-3.6, -0.2)
Kidder County, North Dakota	Rural	No	140.4 (90.6, 212.7)	N/A	6	falling	-1.9 (-4.1, -0.1)
Kimball County, Nebraska	Rural	No	155.4 (111.1, 214.9)	N/A	10	stable	-0.5 (-1.6, 0.6)
Kimble County, Texas	Rural	No	176.7 (133.7, 232.0)	N/A	14	stable	-1.0 (-1.9, 0.0)
King County, Washington	Urban	No	124.9 (122.8, 126.9)	N/A	2,958	falling	-2.3 (-2.8, -2.0)
King George County, Virginia	Rural	No	147.9 (128.3, 169.6)	N/A	43	falling	-1.7 (-2.4, -0.9)
King William County, Virginia	Urban	No	159.4 (136.2, 185.6)	N/A	36	falling	-1.5 (-2.3, -0.6)
King and Queen County, Virginia	Urban	No	197.7 (159.3, 244.1)	N/A	21	stable	-0.7 (-1.6, 0.2)
Kingfisher County, Oklahoma	Rural	No	157.4 (132.7, 185.7)	N/A	30	stable	-0.3 (-1.0, 0.5)
Kingman County, Kansas	Rural	No	378.1 (326.0, 437.2)	N/A	42	rising	13.0 (5.8, 30.2)
Kings County, California	Urban	No	144.1 (134.9, 153.8)	N/A	187	falling	-0.9 (-1.3, -0.5)
Kings County, New York	Urban	Yes	109.3 (107.7, 111.1)	N/A	3,285	falling	-4.1 (-4.7, -3.7)
Kingsbury County, South Dakota	Rural	No	134.7 (101.2, 177.8)	N/A	12	falling	-1.0 (-2.0, -0.1)
Kinney County, Texas	Rural	No	162.0 (114.9, 225.4)	N/A	9	stable	0.4 (-0.9, 1.9)
Kiowa County, Colorado	Rural	No	143.3 (75.3, 253.8)	N/A	3	*	*
Kiowa County, Kansas	Rural	No	171.3 (117.9, 245.6)	N/A	7	stable	0.2 (-1.5, 1.7)
Kiowa County, Oklahoma	Rural	No	232.0 (193.7, 276.4)	N/A	28	stable	0.5 (-0.4, 1.3)
Kit Carson County, Colorado	Rural	Yes	104.3 (78.2, 137.6)	N/A	11	falling	-1.9 (-3.1, -0.7)
Kitsap County, Washington	Urban	No	138.0 (132.5, 143.6)	N/A	505	falling	-2.9 (-5.5, -1.7)
Kittitas County, Washington	Rural	No	153.9 (139.3, 169.7)	N/A	85	falling	-1.2 (-1.6, -0.6)
Kittson County, Minnesota	Rural	No	179.1 (136.6, 233.7)	N/A	14	stable	-0.5 (-1.6, 0.6)
Klamath County, Oregon	Rural	No	180.0 (168.2, 192.5)	N/A	186	falling	-0.6 (-0.9, -0.3)
Kleberg County, Texas	Rural	No	176.9 (155.9, 199.9)	N/A	53	stable	-0.4 (-1.0, 0.3)
Klickitat County, Washington	Rural	No	151.5 (134.1, 171.0)	N/A	59	falling	-1.2 (-1.7, -0.6)
Knott County, Kentucky	Rural	No	198.0 (170.2, 229.4)	N/A	40	stable	-0.3 (-1.0, 0.4)
Knox County, Illinois	Rural	No	172.6 (159.4, 186.8)	N/A	135	falling	-0.7 (-1.1, -0.3)
Knox County, Indiana	Rural	No	181.0 (164.3, 199.1)	N/A	90	falling	-0.8 (-1.3, -0.4)
Knox County, Kentucky	Rural	No	242.3 (220.8, 265.5)	N/A	96	stable	0.1 (-0.3, 0.6)
Knox County, Maine	Rural	No	155.1 (142.2, 169.2)	N/A	116	falling	-1.0 (-1.5, -0.6)
Knox County, Missouri	Rural	No	185.6 (136.3, 248.9)	N/A	10	stable	0.2 (-1.2, 1.5)
Knox County, Nebraska	Rural	No	131.8 (105.7, 163.8)	N/A	20	stable	-0.5 (-1.9, 0.8)
Knox County, Ohio	Rural	No	163.3 (151.1, 176.4)	N/A	139	falling	-1.0 (-1.4, -0.6)
Knox County, Tennessee	Urban	No	153.0 (148.5, 157.7)	N/A	887	falling	-2.5 (-4.5, -1.6)
Knox County, Texas	Rural	No	208.2 (153.4, 278.5)	N/A	10	stable	0.2 (-1.0, 1.3)
Kodiak Island Borough, Alaska	Rural	No	136.0 (105.8, 171.9)	N/A	16	falling	-2.1 (-3.4, -0.5)
Koochiching County, Minnesota	Rural	No	130.7 (110.5, 154.9)	N/A	31	falling	-1.3 (-2.1, -0.4)
Kootenai County, Idaho	Urban	No	151.4 (144.3, 158.8)	N/A	358	falling	-4.6 (-7.7, -1.2)
Kosciusko County, Indiana	Rural	No	163.6 (152.6, 175.4)	N/A	169	falling	-0.8 (-1.2, -0.5)
Kossuth County, Iowa	Rural	No	132.4 (112.1, 155.9)	N/A	35	falling	-1.2 (-1.7, -0.8)
Kusilvak Census Area, Alaska	Rural	No	207.6 (139.7, 292.7)	N/A	8	*	*
La Crosse County, Wisconsin	Urban	No	140.6 (132.2, 149.5)	N/A	216	falling	-1.3 (-1.6, -1.0)
La Paz County, Arizona ³	Rural	No	175.1 (151.3, 202.4)	N/A	63	rising	2.6 (0.4, 12.4)
La Plata County, Colorado	Rural	Yes	110.3 (99.3, 122.2)	N/A	80	falling	-1.7 (-2.2, -1.2)
La Salle County, Illinois	Rural	No	184.2 (174.7, 194.2)	N/A	292	falling	-0.7 (-0.9, -0.5)
La Salle County, Texas	Rural	No	166.1 (126.3, 214.9)	N/A	12	stable	-1.2 (-2.7, 0.4)
La Salle Parish, Louisiana	Rural	No	176.7 (149.9, 207.3)	N/A	32	falling	-1.1 (-1.9, -0.2)
LaFourche Parish, Louisiana	Urban	No	168.1 (157.8, 179.0)	N/A	203	falling	-0.9 (-1.2, -0.5)
LaGrange County, Indiana	Rural	No	163.0 (145.8, 181.8)	N/A	67	falling	-0.7 (-1.2, -0.1)
LaMoure County, North Dakota	Rural	Yes	114.1 (78.1, 163.5)	N/A	8	falling	-1.2 (-2.5, -0.1)
LaPorte County, Indiana	Urban	No	161.8 (152.7, 171.3)	N/A	249	falling	-1.2 (-1.5, -0.9)
Labette County, Kansas	Rural	No	174.5 (153.5, 197.9)	N/A	53	stable	-0.4 (-1.1, 0.3)
Lac qui Parle County, Minnesota	Rural	No	128.2 (99.9, 163.9)	N/A	17	falling	-1.5 (-2.4, -0.8)
Lackawanna County, Pennsylvania	Urban	No	163.6 (157.2, 170.1)	N/A	527	falling	-1.0 (-1.2, -0.8)
Laclede County, Missouri	Rural	No	187.0 (169.9, 205.5)	N/A	91	falling	-0.7 (-1.1, -0.3)
Lafayette County, Arkansas	Rural	No	162.2 (129.2, 202.9)	N/A	18	falling	-1.5 (-2.6, -0.6)
Lafayette County, Florida	Rural	No	195.3 (158.8, 238.5)	N/A	20	stable	-0.1 (-1.1, 1.2)
Lafayette County, Mississippi	Rural	No	147.4 (132.9, 163.1)	N/A	79	falling	-1.4 (-1.9, -0.9)
Lafayette County, Missouri	Urban	No	171.2 (154.5, 189.4)	N/A	80	falling	-0.5 (-1.0, -0.1)
Lafayette County, Wisconsin	Rural	No	173.3 (149.8, 199.9)	N/A	42	stable	-0.7 (-1.4, 0.1)
Lafayette Parish, Louisiana	Urban	No	158.6 (151.6, 165.7)	N/A	417	falling	-1.9 (-2.7, -1.5)
Lake County, California	Rural	No	169.7 (158.5, 181.6)	N/A	187	falling	-1.3 (-1.6, -0.9)
Lake County, Colorado	Rural	Yes	86.0 (56.3, 125.4)	N/A	6	falling	-2.5 (-4.1, -0.8)
Lake County, Florida	Urban	No	145.6 (141.5, 149.8)	N/A	1,044	falling	-1.3 (-1.5, -1.1)
Lake County, Illinois	Urban	No	137.1 (133.5, 140.8)	N/A	1,123	falling	-1.9 (-3.7, -1.6)
Lake County, Indiana	Urban	No	156.3 (152.0, 160.8)	N/A	1,005	falling	-3.4 (-4.9, -2.2)
Lake County, Michigan	Rural	No	192.9 (166.4, 223.6)	N/A	44	stable	-0.3 (-1.7, 7.0)
Lake County, Minnesota	Rural	No	159.2 (134.4, 188.3)	N/A	33	falling	-1.4 (-2.1, -0.6)
Lake County, Montana	Rural	No	148.4 (133.0, 165.4)	N/A	74	falling	-1.2 (-1.8, -0.7)
Lake County, Ohio	Urban	No	155.3 (149.3, 161.4)	N/A	549	falling	-1.6 (-2.8, -1.3)
Lake County, Oregon	Rural	No	147.9 (120.2, 181.4)	N/A	21	falling	-1.6 (-2.5, -0.7)
Lake County, South Dakota	Rural	No	141.6 (115.0, 173.1)	N/A	22	stable	-0.8 (-1.8, 0.1)
Lake County, Tennessee	Rural	No	194.4 (154.5, 242.4)	N/A	17	stable	-0.9 (-1.8, 0.0)
Lake of the Woods County, Minnesota	Rural	No	141.8 (100.6, 197.5)	N/A	9	stable	-0.9 (-2.1, 0.2)
Lamar County, Alabama	Rural	No	170.3 (146.2, 197.8)	N/A	38	falling	-1.1 (-2.4, -0.6)
Lamar County, Georgia	Rural	No	158.8 (136.4, 184.2)	N/A	38	falling	-1.0 (-1.7, -0.3)
Lamar County, Mississippi	Urban	No	135.2 (123.2, 148.1)	N/A	96	falling	-1.5 (-2.0, -0.9)
Lamar County, Texas	Rural	No	190.8 (176.2, 206.4)	N/A	133	falling	-0.9 (-1.3, -0.6)
Lamb County, Texas	Rural	No	153.7 (128.2, 183.1)	N/A	26	stable	-0.4 (-1.1, 0.3)
Lamoille County, Vermont	Rural	No	154.8 (136.5, 175.1)	N/A	54	falling	-1.0 (-1.5, -0.5)
Lampasas County, Texas	Urban	No	185.5 (164.3, 209.0)	N/A	58	falling	-1.1 (-1.7, -0.4)
Lancaster County, Nebraska	Urban	No	141.8 (136.2, 147.7)	N/A	490	falling	-1.3 (-1.5, -1.0)
Lancaster County, Pennsylvania	Urban	No	140.0 (136.2, 143.9)	N/A	1,094	falling	-1.4 (-1.5, -1.2)
Lancaster County, South Carolina	Urban	No	147.3 (138.3, 156.7)	N/A	213	falling	-1.2 (-1.6, -0.7)
Lancaster County, Virginia	Rural	No	188.4 (160.3, 221.6)	N/A	49	falling	-1.6 (-2.3, -0.9)
Lander County, Nevada	Rural	No	124.6 (89.4, 169.6)	N/A	9	falling	-2.3 (-3.9, -0.5)
Lane County, Kansas	Rural	No	182.4 (115.9, 282.2)	N/A	5	stable	0.5 (-1.0, 2.0)
Lane County, Oregon	Urban	No	154.9 (150.1, 159.8)	N/A	840	falling	-1.3 (-3.0, -1.1)
Langlade County, Wisconsin	Rural	No	169.4 (149.8, 191.4)	N/A	59	stable	-0.6 (-1.3, 0.2)
Lanier County, Georgia	Urban	No	180.4 (146.5, 220.0)	N/A	21	stable	-0.8 (-1.7, 0.2)
Lapeer County, Michigan	Urban	No	163.2 (153.0, 174.0)	N/A	205	falling	-1.0 (-1.4, -0.6)
Laramie County, Wyoming	Urban	No	159.1 (149.1, 169.7)	N/A	196	falling	-1.1 (-1.6, -0.6)
Larimer County, Colorado	Urban	Yes	119.9 (115.1, 124.7)	N/A	504	falling	-1.3 (-1.5, -1.1)
Larue County, Kentucky	Urban	No	186.6 (159.3, 217.4)	N/A	35	stable	-0.7 (-1.5, 0.1)
Las Animas County, Colorado	Rural	No	153.4 (132.3, 177.8)	N/A	41	stable	8.1 (-0.4, 13.9)
Lassen County, California	Rural	No	143.4 (126.1, 162.4)	N/A	52	falling	-1.5 (-2.0, -0.9)
Latah County, Idaho	Rural	No	138.8 (122.8, 156.4)	N/A	57	stable	-0.7 (-1.3, 0.0)
Latimer County, Oklahoma	Rural	No	175.9 (146.9, 209.9)	N/A	27	falling	-1.1 (-1.9, -0.2)
Lauderdale County, Alabama	Urban	No	148.3 (139.0, 158.2)	N/A	202	falling	-2.8 (-5.8, -1.7)
Lauderdale County, Mississippi	Rural	No	150.4 (139.4, 162.0)	N/A	146	stable	-1.3 (-2.9, 3.2)
Lauderdale County, Tennessee	Rural	No	211.6 (188.9, 236.5)	N/A	66	stable	-0.5 (-0.9, 0.0)
Laurel County, Kentucky	Rural	No	186.2 (172.6, 200.6)	N/A	145	falling	-0.6 (-1.1, -0.1)
Laurens County, Georgia	Rural	No	167.8 (153.9, 182.8)	N/A	111	falling	-0.7 (-1.3, -0.2)
Laurens County, South Carolina	Urban	No	187.8 (175.2, 201.0)	N/A	176	stable	-0.4 (-0.8, 0.0)
Lavaca County, Texas	Rural	No	166.3 (146.7, 188.2)	N/A	57	stable	-0.5 (-1.1, 0.0)
Lawrence County, Alabama	Urban	No	181.3 (164.2, 200.0)	N/A	86	stable	-0.6 (-1.2, 0.0)
Lawrence County, Arkansas	Rural	No	216.7 (190.2, 246.1)	N/A	51	stable	0.0 (-0.6, 0.6)
Lawrence County, Illinois	Rural	No	194.3 (168.1, 223.9)	N/A	41	stable	-0.7 (-1.5, 0.0)
Lawrence County, Indiana	Rural	No	180.4 (165.9, 195.9)	N/A	120	falling	-0.6 (-1.0, -0.3)
Lawrence County, Kentucky	Urban	No	235.3 (206.1, 267.9)	N/A	50	stable	-0.2 (-0.6, 0.3)
Lawrence County, Mississippi	Rural	No	209.5 (177.5, 245.9)	N/A	33	stable	-0.2 (-0.9, 0.6)
Lawrence County, Missouri	Rural	No	183.0 (166.6, 200.7)	N/A	95	falling	-0.7 (-1.1, -0.2)
Lawrence County, Ohio	Urban	No	227.7 (213.0, 243.3)	N/A	186	rising	1.4 (0.5, 3.1)
Lawrence County, Pennsylvania	Urban	No	167.6 (157.9, 177.9)	N/A	239	falling	-0.9 (-1.1, -0.7)
Lawrence County, South Dakota	Rural	No	134.1 (118.0, 152.1)	N/A	55	falling	-1.2 (-1.7, -0.7)
Lawrence County, Tennessee	Rural	No	183.0 (167.6, 199.5)	N/A	108	falling	-0.9 (-1.3, -0.4)
Le Flore County, Oklahoma	Rural	No	208.6 (192.8, 225.5)	N/A	133	stable	-0.3 (-0.6, 0.1)
Le Sueur County, Minnesota	Urban	No	158.6 (141.0, 177.9)	N/A	61	falling	-0.7 (-1.2, -0.1)
Lea County, New Mexico	Rural	No	161.4 (147.6, 176.0)	N/A	106	falling	-1.3 (-1.7, -0.9)
Leake County, Mississippi	Rural	No	187.1 (164.4, 212.3)	N/A	51	falling	-3.0 (-10.7, -1.0)
Leavenworth County, Kansas	Urban	No	157.0 (145.8, 169.0)	N/A	150	falling	-1.5 (-1.9, -1.2)
Lebanon County, Pennsylvania	Urban	No	149.4 (142.0, 157.2)	N/A	318	falling	-1.0 (-1.3, -0.7)
Lee County, Alabama	Urban	No	163.1 (154.3, 172.2)	N/A	272	falling	-3.0 (-6.7, -1.2)
Lee County, Arkansas	Rural	No	221.2 (185.5, 262.6)	N/A	28	falling	-0.8 (-1.6, -0.2)
Lee County, Florida	Urban	No	123.6 (120.9, 126.3)	N/A	1,864	falling	-1.5 (-1.7, -1.4)
Lee County, Georgia	Urban	No	179.9 (159.0, 202.7)	N/A	59	stable	-0.7 (-1.3, 0.1)
Lee County, Illinois	Rural	No	162.4 (146.9, 179.3)	N/A	85	falling	-1.1 (-1.6, -0.6)
Lee County, Iowa	Rural	No	162.2 (146.8, 179.1)	N/A	86	falling	-1.4 (-7.3, -0.4)
Lee County, Kentucky	Rural	No	230.7 (188.3, 280.6)	N/A	22	stable	-0.3 (-1.3, 0.7)
Lee County, Mississippi	Rural	No	201.5 (188.8, 214.8)	N/A	194	stable	-3.1 (-4.9, 0.3)
Lee County, North Carolina	Rural	No	152.4 (140.4, 165.2)	N/A	124	falling	-1.4 (-1.7, -1.0)
Lee County, South Carolina	Rural	No	168.5 (145.0, 195.1)	N/A	40	falling	-3.9 (-11.5, -1.4)
Lee County, Texas	Rural	No	159.7 (137.7, 184.6)	N/A	40	falling	-0.9 (-1.5, -0.2)
Lee County, Virginia	Rural	No	197.2 (176.6, 219.9)	N/A	70	stable	-0.4 (-0.9, 0.2)
Leelanau County, Michigan	Urban	Yes	115.4 (101.2, 131.6)	N/A	57	falling	-1.6 (-2.2, -0.9)
Leflore County, Mississippi	Rural	No	243.3 (219.0, 269.7)	N/A	76	stable	0.0 (-0.5, 0.5)
Lehigh County, Pennsylvania	Urban	No	146.4 (141.6, 151.4)	N/A	711	falling	-1.5 (-3.1, -1.2)
Lemhi County, Idaho	Rural	No	152.9 (125.8, 186.2)	N/A	25	stable	-0.9 (-1.8, 0.1)
Lenawee County, Michigan	Rural	No	158.7 (149.2, 168.6)	N/A	223	falling	-0.9 (-1.2, -0.7)
Lenoir County, North Carolina	Rural	No	164.6 (152.1, 177.8)	N/A	139	falling	-1.2 (-1.6, -0.9)
Leon County, Florida	Urban	No	141.9 (135.9, 148.2)	N/A	431	falling	-1.6 (-1.9, -1.3)
Leon County, Texas	Rural	No	183.9 (160.8, 210.0)	N/A	50	falling	-1.0 (-1.7, -0.3)
Leslie County, Kentucky	Rural	No	241.2 (206.3, 281.0)	N/A	36	stable	0.1 (-0.5, 0.9)
Letcher County, Kentucky	Rural	No	201.1 (178.6, 226.1)	N/A	63	falling	-0.7 (-1.4, -0.1)
Levy County, Florida	Urban	No	190.4 (175.9, 206.0)	N/A	143	falling	-2.0 (-6.5, -0.7)
Lewis County, Idaho	Rural	No	168.7 (122.9, 229.3)	N/A	11	stable	-0.4 (-1.6, 0.9)
Lewis County, Kentucky	Rural	No	224.6 (194.0, 259.0)	N/A	41	stable	-0.2 (-0.8, 0.5)
Lewis County, Missouri	Rural	No	162.6 (133.1, 197.3)	N/A	23	stable	-0.7 (-1.9, 0.6)
Lewis County, New York	Rural	No	140.8 (124.1, 159.4)	N/A	54	falling	-1.8 (-2.3, -1.2)
Lewis County, Tennessee	Rural	No	203.6 (174.9, 236.2)	N/A	39	falling	-0.7 (-1.3, -0.2)
Lewis County, Washington	Rural	No	174.0 (163.5, 185.1)	N/A	216	falling	-0.9 (-1.1, -0.6)
Lewis County, West Virginia	Rural	No	211.6 (186.4, 239.6)	N/A	54	stable	-0.5 (-0.9, 0.0)
Lewis and Clark County, Montana	Urban	No	148.9 (137.9, 160.7)	N/A	145	falling	-1.3 (-1.7, -0.9)
Lexington City, Virginia	Rural	No	177.3 (137.6, 226.9)	N/A	14	falling	-1.4 (-2.7, -0.2)
Lexington County, South Carolina	Urban	No	156.5 (150.7, 162.5)	N/A	573	falling	-1.3 (-1.5, -1.0)
Liberty County, Florida	Rural	No	175.4 (139.1, 219.0)	N/A	17	falling	-1.2 (-2.2, -0.1)
Liberty County, Georgia	Urban	No	169.9 (153.3, 187.8)	N/A	84	falling	-1.7 (-2.2, -1.0)
Liberty County, Montana	Rural	Yes	111.3 (63.4, 186.9)	N/A	4	stable	-1.5 (-3.7, 0.5)
Liberty County, Texas	Urban	No	192.8 (179.9, 206.4)	N/A	177	falling	-1.4 (-1.8, -1.0)
Licking County, Ohio	Urban	No	161.7 (154.2, 169.4)	N/A	367	falling	-1.3 (-1.5, -1.1)
Limestone County, Alabama	Urban	No	135.1 (126.1, 144.7)	N/A	173	falling	-2.4 (-3.2, -1.7)
Limestone County, Texas	Rural	No	168.5 (148.3, 191.0)	N/A	54	falling	-1.3 (-1.8, -0.7)
Lincoln County, Arkansas	Rural	No	167.8 (139.9, 200.1)	N/A	26	stable	-0.1 (-0.8, 0.6)
Lincoln County, Colorado	Rural	No	164.6 (126.1, 212.4)	N/A	13	stable	1.4 (-1.0, 14.1)
Lincoln County, Georgia	Urban	No	161.5 (130.5, 199.0)	N/A	22	falling	-1.6 (-2.4, -0.9)
Lincoln County, Idaho	Rural	No	161.4 (116.5, 218.0)	N/A	9	stable	-0.6 (-2.0, 0.9)
Lincoln County, Kansas	Rural	Yes	120.8 (81.5, 177.8)	N/A	7	stable	-0.2 (-1.5, 1.1)
Lincoln County, Kentucky	Rural	No	208.7 (187.0, 232.6)	N/A	70	falling	-0.4 (-1.9, -0.1)
Lincoln County, Maine	Rural	No	164.1 (150.3, 179.1)	N/A	115	falling	-1.4 (-1.9, -0.9)
Lincoln County, Minnesota	Rural	No	176.1 (138.7, 222.2)	N/A	18	falling	-1.7 (-2.8, -0.8)
Lincoln County, Mississippi	Rural	No	190.3 (172.3, 209.7)	N/A	86	falling	-0.7 (-1.3, -0.2)
Lincoln County, Missouri	Urban	No	179.0 (164.4, 194.5)	N/A	118	stable	-0.6 (-1.2, 0.0)
Lincoln County, Montana	Rural	No	148.1 (130.1, 168.5)	N/A	57	falling	-1.4 (-2.0, -0.8)
Lincoln County, Nebraska	Rural	No	161.3 (145.9, 178.1)	N/A	84	stable	-0.5 (-0.9, 0.0)
Lincoln County, Nevada	Rural	Yes	120.6 (89.3, 162.4)	N/A	10	falling	-1.9 (-2.9, -0.8)
Lincoln County, New Mexico	Rural	Yes	110.6 (96.1, 127.3)	N/A	46	falling	-1.4 (-2.1, -0.7)
Lincoln County, North Carolina	Urban	No	150.2 (140.3, 160.7)	N/A	181	falling	-5.7 (-9.2, -1.2)
Lincoln County, Oklahoma	Urban	No	185.5 (168.3, 204.1)	N/A	89	stable	-0.4 (-0.8, 0.0)
Lincoln County, Oregon	Rural	No	169.9 (157.3, 183.4)	N/A	163	falling	-1.0 (-1.3, -0.6)
Lincoln County, South Dakota	Urban	Yes	113.0 (101.8, 125.2)	N/A	77	stable	-0.8 (-2.4, 3.8)
Lincoln County, Tennessee	Rural	No	172.3 (156.2, 189.9)	N/A	88	falling	-1.0 (-1.6, -0.3)
Lincoln County, Washington	Rural	No	146.2 (121.2, 175.7)	N/A	28	falling	-0.9 (-1.5, -0.3)
Lincoln County, West Virginia	Rural	No	240.2 (214.7, 268.2)	N/A	70	stable	-0.4 (-0.9, 0.3)
Lincoln County, Wisconsin	Rural	No	148.9 (133.4, 166.0)	N/A	72	falling	-1.3 (-1.7, -0.9)
Lincoln County, Wyoming	Rural	Yes	118.3 (98.9, 140.5)	N/A	29	falling	-1.2 (-2.1, -0.2)
Lincoln Parish, Louisiana	Rural	No	157.9 (142.5, 174.7)	N/A	79	falling	-1.2 (-1.6, -0.8)
Linn County, Iowa	Urban	No	143.5 (137.2, 149.9)	N/A	414	falling	-1.3 (-2.2, -1.1)
Linn County, Kansas	Urban	No	182.2 (152.5, 217.0)	N/A	28	stable	0.0 (-0.9, 0.9)
Linn County, Missouri	Rural	No	183.7 (156.2, 215.4)	N/A	34	stable	-0.4 (-1.2, 0.3)
Linn County, Oregon	Urban	No	180.3 (171.3, 189.7)	N/A	315	falling	-0.6 (-0.9, -0.3)
Lipscomb County, Texas	Rural	No	162.0 (111.0, 231.0)	N/A	7	falling	-1.6 (-3.2, -0.2)
Litchfield County, Connecticut	Rural	No	139.1 (133.0, 145.5)	N/A	412	falling	-1.5 (-2.2, -1.3)
Little River County, Arkansas	Urban	No	162.7 (136.6, 192.9)	N/A	29	falling	-1.2 (-2.1, -0.4)
Live Oak County, Texas	Rural	No	151.4 (124.8, 182.5)	N/A	25	falling	-1.0 (-1.9, -0.1)
Livingston County, Illinois	Rural	No	171.6 (155.7, 188.9)	N/A	90	falling	-0.8 (-1.2, -0.4)
Livingston County, Kentucky	Urban	No	225.4 (191.1, 265.1)	N/A	33	stable	0.1 (-0.8, 1.0)
Livingston County, Michigan	Urban	No	146.2 (139.5, 153.1)	N/A	381	falling	-1.6 (-1.8, -1.3)
Livingston County, Missouri	Rural	No	172.2 (147.4, 200.3)	N/A	37	stable	0.1 (-0.6, 0.8)
Livingston County, New York	Urban	No	153.3 (141.5, 165.9)	N/A	134	falling	-1.9 (-4.8, -1.4)
Livingston Parish, Louisiana	Urban	No	158.7 (149.7, 168.1)	N/A	244	falling	-1.7 (-2.0, -1.4)
Llano County, Texas	Rural	No	152.8 (135.2, 172.7)	N/A	76	falling	-1.1 (-1.5, -0.7)
Logan County, Arkansas	Rural	No	186.1 (165.1, 209.4)	N/A	60	falling	-0.7 (-1.2, -0.2)
Logan County, Colorado	Rural	No	133.6 (115.1, 154.4)	N/A	39	falling	-0.8 (-1.3, -0.2)
Logan County, Illinois	Rural	No	183.2 (164.6, 203.5)	N/A	74	stable	-0.5 (-1.0, 0.0)
Logan County, Kansas	Rural	No	181.6 (124.4, 258.6)	N/A	7	stable	-0.4 (-2.0, 1.2)
Logan County, Kentucky	Rural	No	194.0 (174.0, 215.8)	N/A	72	stable	-0.7 (-1.3, 0.0)
Logan County, North Dakota	Rural	Yes	103.0 (58.6, 176.7)	N/A	4	stable	-1.1 (-2.7, 0.3)
Logan County, Ohio	Rural	No	168.7 (154.4, 184.1)	N/A	109	falling	-4.4 (-9.9, -1.1)
Logan County, Oklahoma	Urban	No	152.4 (138.7, 167.3)	N/A	95	falling	-1.1 (-1.5, -0.6)
Logan County, West Virginia	Rural	No	210.8 (192.3, 230.8)	N/A	104	falling	-1.0 (-1.5, -0.6)
Long County, Georgia	Urban	No	160.9 (130.6, 195.9)	N/A	22	falling	-2.0 (-3.1, -0.6)
Lonoke County, Arkansas	Urban	No	173.7 (160.9, 187.3)	N/A	141	falling	-0.9 (-1.4, -0.4)
Lorain County, Ohio	Urban	No	158.4 (153.1, 163.9)	N/A	696	falling	-1.6 (-2.3, -1.4)
Los Alamos County, New Mexico	Rural	Yes	105.9 (88.9, 125.6)	N/A	28	falling	-1.4 (-2.1, -0.6)
Los Angeles County, California	Urban	No	130.3 (129.4, 131.3)	N/A	14,510	falling	-1.5 (-1.6, -1.5)
Loudon County, Tennessee	Urban	No	145.9 (134.8, 157.8)	N/A	146	falling	-1.4 (-1.8, -0.9)
Loudoun County, Virginia	Urban	Yes	114.0 (109.0, 119.2)	N/A	403	falling	-2.4 (-2.6, -2.1)
Louisa County, Iowa	Rural	No	167.5 (138.6, 201.3)	N/A	25	stable	-0.6 (-1.6, 0.4)
Louisa County, Virginia	Rural	No	158.6 (143.6, 175.0)	N/A	89	falling	-1.2 (-1.8, -0.6)
Love County, Oklahoma	Rural	No	215.9 (181.7, 255.3)	N/A	29	stable	0.3 (-0.4, 1.1)
Lowndes County, Alabama	Urban	No	165.2 (136.4, 198.9)	N/A	25	falling	-1.1 (-1.8, -0.3)
Lowndes County, Georgia	Urban	No	142.9 (133.1, 153.3)	N/A	164	falling	-2.6 (-8.9, -1.9)
Lowndes County, Mississippi	Rural	No	188.3 (174.1, 203.3)	N/A	138	falling	-0.6 (-1.1, -0.2)
Lubbock County, Texas	Urban	No	161.0 (154.6, 167.6)	N/A	488	stable	2.4 (-0.8, 5.1)
Lucas County, Iowa	Rural	No	164.0 (135.2, 198.4)	N/A	23	stable	-0.6 (-1.3, 0.0)
Lucas County, Ohio	Urban	No	173.8 (168.7, 179.0)	N/A	940	falling	-3.2 (-4.4, -1.5)
Luce County, Michigan	Rural	No	197.8 (158.0, 246.8)	N/A	19	stable	-1.1 (-2.1, 0.0)
Lumpkin County, Georgia	Urban	No	159.3 (142.1, 178.3)	N/A	67	falling	-1.0 (-1.7, -0.1)
Luna County, New Mexico	Rural	No	145.0 (127.6, 164.3)	N/A	54	falling	-5.7 (-13.0, -0.8)
Lunenburg County, Virginia	Rural	No	159.9 (134.7, 189.2)	N/A	30	falling	-1.0 (-1.8, -0.3)
Luzerne County, Pennsylvania	Urban	No	160.0 (154.9, 165.3)	N/A	770	falling	-1.2 (-3.7, -1.0)
Lycoming County, Pennsylvania	Urban	No	167.5 (158.6, 176.9)	N/A	281	falling	-0.7 (-0.9, -0.5)
Lyman County, South Dakota	Rural	No	207.2 (151.6, 277.8)	N/A	10	stable	-0.7 (-2.2, 1.0)
Lynchburg City, Virginia	Urban	No	185.0 (172.0, 198.9)	N/A	158	falling	-0.8 (-1.2, -0.5)
Lynn County, Texas	Urban	No	189.9 (146.0, 243.6)	N/A	13	stable	-0.1 (-1.4, 1.2)
Lyon County, Iowa	Rural	No	149.2 (123.6, 179.0)	N/A	26	falling	-1.3 (-2.2, -0.4)
Lyon County, Kansas	Rural	No	168.4 (149.7, 189.0)	N/A	62	stable	-0.4 (-1.0, 0.2)
Lyon County, Kentucky	Rural	No	168.9 (139.6, 204.2)	N/A	25	falling	-1.1 (-2.0, -0.1)
Lyon County, Minnesota	Rural	No	144.9 (126.5, 165.2)	N/A	48	stable	-0.4 (-1.1, 0.3)
Lyon County, Nevada	Urban	No	160.1 (147.9, 173.1)	N/A	141	falling	-2.0 (-4.2, -1.5)
Mackinac County, Michigan	Rural	No	148.1 (125.0, 175.7)	N/A	32	falling	-1.8 (-2.6, -1.0)
Macomb County, Michigan	Urban	No	162.6 (159.3, 166.0)	N/A	1,906	falling	-1.0 (-1.1, -0.9)
Macon County, Alabama	Urban	No	181.0 (158.0, 206.8)	N/A	49	falling	-1.3 (-1.8, -0.8)
Macon County, Georgia	Rural	No	163.1 (135.3, 195.4)	N/A	26	falling	-0.8 (-1.4, -0.1)
Macon County, Illinois	Urban	No	170.3 (160.9, 180.2)	N/A	263	falling	-1.5 (-3.4, -1.0)
Macon County, Missouri	Rural	No	199.5 (173.4, 228.8)	N/A	46	stable	-0.5 (-1.2, 0.2)
Macon County, North Carolina	Rural	No	146.1 (133.1, 160.3)	N/A	104	falling	-0.9 (-1.3, -0.4)
Macon County, Tennessee	Urban	No	196.5 (174.3, 220.8)	N/A	60	falling	-1.6 (-5.8, -0.7)
Macoupin County, Illinois	Urban	No	173.0 (158.9, 188.2)	N/A	119	falling	-0.7 (-1.0, -0.3)
Madera County, California	Urban	No	140.1 (132.0, 148.6)	N/A	229	falling	-1.0 (-1.4, -0.7)
Madison County, Alabama	Urban	No	141.4 (136.5, 146.4)	N/A	660	falling	-1.8 (-2.2, -1.6)
Madison County, Arkansas	Urban	No	176.2 (153.0, 202.3)	N/A	43	stable	-0.6 (-1.2, 0.0)
Madison County, Florida	Rural	No	178.8 (156.9, 203.4)	N/A	50	stable	-0.7 (-1.5, 0.2)
Madison County, Georgia	Urban	No	191.5 (172.0, 212.7)	N/A	75	stable	-0.5 (-1.1, 0.2)
Madison County, Idaho	Rural	Yes	99.5 (81.6, 119.8)	N/A	22	falling	-1.8 (-2.5, -1.2)
Madison County, Illinois	Urban	No	169.0 (163.0, 175.3)	N/A	607	falling	-0.9 (-1.1, -0.7)
Madison County, Indiana	Urban	No	170.6 (161.9, 179.6)	N/A	303	falling	-0.9 (-1.2, -0.7)
Madison County, Iowa	Urban	No	166.6 (142.6, 193.7)	N/A	36	falling	-1.1 (-1.8, -0.3)
Madison County, Kentucky	Rural	No	172.2 (160.7, 184.4)	N/A	173	falling	-1.1 (-1.6, -0.5)
Madison County, Mississippi	Urban	No	197.8 (186.4, 209.7)	N/A	238	falling	-5.0 (-5.8, -4.3)
Madison County, Missouri	Rural	No	208.3 (179.4, 241.0)	N/A	39	falling	-0.9 (-1.4, -0.3)
Madison County, Montana	Rural	Yes	114.8 (90.5, 145.2)	N/A	18	falling	-2.5 (-3.7, -1.1)
Madison County, Nebraska	Rural	No	136.9 (121.4, 153.9)	N/A	61	falling	-1.1 (-1.5, -0.7)
Madison County, New York	Urban	No	146.0 (135.1, 157.6)	N/A	141	falling	-1.9 (-4.7, -1.4)
Madison County, North Carolina	Urban	No	150.7 (132.1, 171.6)	N/A	52	stable	1.2 (-1.3, 7.3)
Madison County, Ohio	Urban	No	168.7 (153.3, 185.2)	N/A	91	falling	-1.3 (-1.7, -0.8)
Madison County, Tennessee	Urban	No	163.2 (153.2, 173.8)	N/A	208	falling	-1.0 (-1.3, -0.6)
Madison County, Texas	Rural	No	193.5 (163.3, 227.8)	N/A	30	stable	-0.6 (-1.4, 0.1)
Madison County, Virginia	Rural	No	160.5 (136.0, 188.6)	N/A	34	stable	-0.8 (-1.6, 0.0)
Madison Parish, Louisiana	Rural	No	198.6 (164.2, 238.4)	N/A	25	falling	-1.3 (-2.3, -0.4)
Magoffin County, Kentucky	Rural	No	209.3 (177.2, 246.0)	N/A	32	stable	-0.7 (-1.7, 0.3)
Mahaska County, Iowa	Rural	No	168.9 (148.4, 191.6)	N/A	52	stable	-0.2 (-0.6, 0.3)
Mahnomen County, Minnesota	Rural	No	205.3 (159.1, 261.6)	N/A	14	stable	-0.2 (-0.9, 0.6)
Mahoning County, Ohio	Urban	No	148.6 (142.8, 154.6)	N/A	535	falling	-2.6 (-5.5, -1.6)
Major County, Oklahoma	Rural	No	148.6 (117.1, 186.9)	N/A	17	stable	0.8 (-0.2, 1.8)
Malheur County, Oregon	Rural	No	158.2 (140.8, 177.3)	N/A	62	stable	0.6 (-0.5, 6.8)
Manassas City, Virginia	Urban	No	140.4 (122.4, 160.1)	N/A	49	falling	-1.8 (-2.6, -0.9)
Manassas Park City, Virginia	Urban	Yes	75.8 (55.3, 101.0)	N/A	10	falling	-6.4 (-10.3, -4.7)
Manatee County, Florida	Urban	No	123.9 (120.2, 127.7)	N/A	981	falling	-1.9 (-2.5, -1.7)
Manistee County, Michigan	Rural	No	171.0 (153.7, 190.2)	N/A	79	falling	-1.1 (-1.5, -0.7)
Manitowoc County, Wisconsin	Rural	No	143.4 (133.9, 153.4)	N/A	183	falling	-1.0 (-1.3, -0.7)
Marathon County, Wisconsin	Urban	No	134.9 (127.5, 142.6)	N/A	258	falling	-1.3 (-1.6, -0.9)
Marengo County, Alabama	Rural	No	156.0 (135.3, 179.3)	N/A	43	falling	-15.0 (-23.3, -4.8)
Maricopa County, Arizona	Urban	No	131.3 (129.9, 132.8)	N/A	6,845	falling	-1.4 (-1.5, -1.3)
Maries County, Missouri	Rural	No	184.0 (152.4, 221.4)	N/A	25	stable	-0.6 (-1.6, 0.5)
Marin County, California	Urban	Yes	111.1 (106.6, 115.7)	N/A	492	falling	-2.2 (-2.4, -1.9)
Marinette County, Wisconsin	Rural	No	161.6 (148.1, 176.2)	N/A	118	falling	-0.9 (-1.3, -0.5)
Marion County, Alabama	Rural	No	181.7 (164.5, 200.6)	N/A	84	falling	-0.6 (-4.9, -0.1)
Marion County, Arkansas	Rural	No	183.7 (161.1, 209.3)	N/A	59	falling	-0.8 (-1.4, -0.2)
Marion County, Florida	Urban	No	164.1 (159.5, 168.7)	N/A	1,181	stable	1.2 (-1.0, 2.7)
Marion County, Georgia	Urban	No	143.5 (114.1, 179.5)	N/A	18	stable	-1.1 (-2.1, 0.2)
Marion County, Illinois	Rural	No	204.5 (187.5, 222.8)	N/A	113	stable	-0.2 (-0.8, 0.3)
Marion County, Indiana	Urban	No	171.3 (167.6, 175.1)	N/A	1,681	falling	-1.5 (-2.4, -1.3)
Marion County, Iowa	Rural	No	164.8 (148.5, 182.6)	N/A	78	falling	-0.5 (-0.8, -0.1)
Marion County, Kansas	Rural	No	144.4 (121.8, 170.9)	N/A	31	stable	-0.3 (-1.2, 0.6)
Marion County, Kentucky	Rural	No	160.1 (138.3, 184.5)	N/A	41	falling	-1.2 (-1.9, -0.4)
Marion County, Mississippi	Rural	No	173.2 (153.5, 195.0)	N/A	59	stable	-1.6 (-4.1, 2.8)
Marion County, Missouri	Rural	No	182.1 (163.0, 202.9)	N/A	70	falling	-0.6 (-1.2, -0.1)
Marion County, Ohio	Rural	No	167.1 (155.0, 179.9)	N/A	148	falling	-1.0 (-1.4, -0.6)
Marion County, Oregon	Urban	No	153.0 (147.6, 158.5)	N/A	629	falling	-1.4 (-2.0, -1.2)
Marion County, South Carolina	Rural	No	189.8 (171.0, 210.4)	N/A	80	falling	-0.9 (-1.4, -0.3)
Marion County, Tennessee	Urban	No	178.9 (160.8, 198.8)	N/A	75	falling	-2.1 (-9.4, -0.9)
Marion County, Texas	Rural	No	148.2 (123.7, 177.7)	N/A	28	falling	-1.1 (-2.0, -0.2)
Marion County, West Virginia	Rural	No	179.5 (166.3, 193.7)	N/A	143	falling	-0.6 (-1.1, -0.2)
Mariposa County, California	Rural	No	130.6 (112.4, 151.6)	N/A	44	falling	-1.7 (-2.4, -0.9)
Marlboro County, South Carolina	Rural	No	192.1 (171.9, 214.1)	N/A	70	falling	-1.0 (-1.9, -0.6)
Marquette County, Michigan	Rural	No	151.5 (140.2, 163.6)	N/A	142	falling	-0.9 (-1.3, -0.4)
Marquette County, Wisconsin	Rural	No	190.1 (166.9, 216.5)	N/A	53	stable	-0.2 (-0.8, 0.5)
Marshall County, Alabama	Rural	No	162.8 (152.8, 173.4)	N/A	204	falling	-1.5 (-4.1, -1.0)
Marshall County, Illinois	Urban	No	154.2 (129.7, 182.8)	N/A	30	stable	-0.9 (-1.7, 0.0)
Marshall County, Indiana	Rural	No	153.9 (140.0, 168.8)	N/A	95	falling	-1.1 (-1.5, -0.7)
Marshall County, Iowa	Rural	No	152.9 (138.3, 168.7)	N/A	84	falling	-1.3 (-1.9, -0.6)
Marshall County, Kansas	Rural	No	172.4 (143.5, 206.2)	N/A	28	stable	-0.5 (-1.3, 0.3)
Marshall County, Kentucky	Rural	No	192.8 (175.4, 211.7)	N/A	96	stable	-0.4 (-0.8, 0.0)
Marshall County, Minnesota	Rural	No	150.2 (123.0, 182.7)	N/A	23	falling	-1.1 (-1.9, -0.4)
Marshall County, Mississippi	Urban	No	211.7 (192.8, 232.1)	N/A	98	falling	-0.7 (-1.1, -0.3)
Marshall County, Oklahoma	Rural	No	191.5 (167.2, 218.9)	N/A	47	stable	0.0 (-0.6, 0.6)
Marshall County, South Dakota	Rural	Yes	111.0 (78.7, 154.7)	N/A	8	stable	-0.5 (-1.7, 0.8)
Marshall County, Tennessee	Rural	No	186.5 (168.2, 206.4)	N/A	80	falling	-0.7 (-1.1, -0.2)
Marshall County, West Virginia	Urban	No	163.0 (146.9, 180.7)	N/A	81	falling	-1.1 (-1.6, -0.6)
Martin County, Florida	Urban	No	132.3 (126.5, 138.4)	N/A	477	falling	-1.6 (-1.9, -1.4)
Martin County, Indiana	Rural	No	173.1 (143.6, 207.8)	N/A	26	stable	-0.7 (-1.7, 0.3)
Martin County, Kentucky	Rural	No	212.5 (179.2, 250.7)	N/A	30	stable	-0.5 (-1.3, 0.4)
Martin County, Minnesota	Rural	No	155.6 (136.6, 177.0)	N/A	55	stable	-0.5 (-1.2, 0.2)
Martin County, North Carolina	Rural	No	176.0 (156.7, 197.4)	N/A	66	falling	-1.6 (-2.2, -1.1)
Martin County, Texas	Urban	No	222.0 (165.5, 291.2)	N/A	11	stable	0.1 (-1.4, 1.7)
Martinsville City, Virginia	Rural	No	238.7 (207.3, 274.0)	N/A	43	rising	2.1 (0.3, 10.1)
Mason County, Illinois	Rural	No	199.8 (173.0, 230.2)	N/A	43	stable	-0.6 (-1.4, 0.2)
Mason County, Kentucky	Rural	No	200.0 (174.0, 229.0)	N/A	45	stable	-0.6 (-1.2, 0.0)
Mason County, Michigan	Rural	No	178.2 (161.0, 197.1)	N/A	87	falling	-0.7 (-1.2, -0.3)
Mason County, Texas	Rural	No	198.1 (150.0, 259.9)	N/A	14	stable	14.4 (-0.7, 30.8)
Mason County, Washington	Rural	No	168.1 (156.8, 180.2)	N/A	179	falling	-1.1 (-1.4, -0.6)
Mason County, West Virginia	Rural	No	201.1 (181.5, 222.6)	N/A	81	falling	-1.1 (-1.6, -0.6)
Massac County, Illinois	Urban	No	175.9 (151.1, 204.1)	N/A	39	falling	-0.9 (-1.6, -0.2)
Matagorda County, Texas	Rural	No	187.0 (169.4, 206.0)	N/A	87	falling	-0.7 (-1.2, -0.1)
Matanuska-Susitna Borough, Alaska	Urban	No	162.5 (150.7, 174.9)	N/A	165	falling	-1.0 (-1.5, -0.3)
Mathews County, Virginia	Urban	No	166.5 (137.7, 201.4)	N/A	29	falling	-1.7 (-2.7, -0.9)
Maui County, Hawaii ⁸	Urban	No	129.9 (123.2, 137.0)	N/A	297	falling	-1.1 (-1.6, -0.6)
Maury County, Tennessee	Urban	No	159.4 (149.4, 169.9)	N/A	202	falling	-1.2 (-1.6, -0.8)
Maverick County, Texas	Urban	No	137.7 (123.7, 152.9)	N/A	72	stable	-0.3 (-0.7, 0.3)
Mayes County, Oklahoma	Rural	No	195.7 (178.8, 213.8)	N/A	104	falling	-0.6 (-1.1, -0.1)
McClain County, Oklahoma	Urban	No	178.2 (161.4, 196.3)	N/A	86	falling	-0.7 (-1.2, -0.2)
McCook County, South Dakota	Urban	No	200.5 (158.1, 251.8)	N/A	16	stable	0.7 (-0.5, 1.9)
McCormick County, South Carolina	Rural	No	141.3 (117.5, 170.9)	N/A	31	falling	-2.1 (-2.8, -1.5)
McCracken County, Kentucky	Urban	No	165.9 (154.4, 178.1)	N/A	164	falling	-1.1 (-1.3, -0.8)
McCreary County, Kentucky	Rural	No	223.5 (195.0, 255.2)	N/A	46	falling	-0.8 (-1.5, -0.1)
McCulloch County, Texas	Rural	No	218.2 (181.5, 261.4)	N/A	27	stable	-0.5 (-1.2, 0.3)
McCurtain County, Oklahoma	Rural	No	218.2 (197.8, 240.2)	N/A	88	stable	-0.4 (-0.9, 0.0)
McDonald County, Missouri	Rural	No	202.5 (178.9, 228.3)	N/A	57	stable	-0.6 (-1.2, 0.1)
McDonough County, Illinois	Rural	No	153.0 (134.7, 173.4)	N/A	55	falling	-0.9 (-1.4, -0.4)
McDowell County, North Carolina	Rural	No	194.0 (179.0, 210.0)	N/A	131	stable	0.0 (-0.4, 0.4)
McDowell County, West Virginia	Rural	No	204.2 (181.7, 229.3)	N/A	64	falling	-0.8 (-1.3, -0.3)
McDuffie County, Georgia	Urban	No	174.5 (152.9, 198.5)	N/A	50	falling	-1.9 (-3.7, -1.0)
McHenry County, Illinois	Urban	No	152.4 (146.6, 158.3)	N/A	560	stable	-0.8 (-1.9, 1.0)
McHenry County, North Dakota	Urban	No	158.8 (121.2, 206.1)	N/A	13	stable	-0.8 (-2.2, 0.4)
McIntosh County, Georgia	Urban	No	170.0 (144.3, 200.3)	N/A	36	falling	-1.7 (-2.4, -0.8)
McIntosh County, North Dakota	Rural	No	153.7 (101.3, 229.0)	N/A	9	falling	-2.0 (-4.0, -0.6)
McIntosh County, Oklahoma	Rural	No	203.8 (181.9, 228.0)	N/A	69	stable	-0.4 (-1.0, 0.3)
McKean County, Pennsylvania	Rural	No	161.6 (147.1, 177.3)	N/A	97	falling	-1.2 (-1.6, -0.8)
McKenzie County, North Dakota	Rural	Yes	117.5 (88.8, 151.9)	N/A	12	falling	-2.4 (-3.5, -1.4)
McKinley County, New Mexico	Rural	No	143.0 (130.4, 156.5)	N/A	99	falling	-0.7 (-1.1, -0.2)
McLean County, Illinois	Urban	No	149.5 (141.5, 157.8)	N/A	273	falling	-1.1 (-1.3, -0.9)
McLean County, Kentucky	Urban	No	184.1 (152.4, 221.2)	N/A	25	falling	-0.9 (-1.7, -0.2)
McLean County, North Dakota	Rural	Yes	116.9 (93.6, 145.4)	N/A	19	falling	-1.8 (-2.6, -1.0)
McLennan County, Texas	Urban	No	155.1 (148.7, 161.7)	N/A	456	falling	-1.8 (-2.4, -1.5)
McLeod County, Minnesota	Rural	No	132.9 (119.3, 147.8)	N/A	73	falling	-0.8 (-1.4, -0.1)
McMinn County, Tennessee	Rural	No	189.3 (175.6, 203.9)	N/A	149	falling	-0.8 (-3.6, -0.3)
McNairy County, Tennessee	Rural	No	191.9 (172.4, 213.2)	N/A	75	stable	-0.4 (-0.8, 0.1)
McPherson County, Kansas	Rural	No	137.1 (121.9, 154.0)	N/A	65	stable	-0.3 (-0.8, 0.2)
McPherson County, South Dakota	Rural	Yes	94.6 (61.3, 149.4)	N/A	5	stable	-1.4 (-3.2, 0.1)
Meade County, Kansas	Rural	No	181.0 (134.7, 239.9)	N/A	11	stable	0.3 (-1.1, 1.6)
Meade County, Kentucky	Urban	No	183.5 (163.4, 205.5)	N/A	65	falling	-1.1 (-1.7, -0.4)
Meade County, South Dakota	Urban	No	151.7 (133.6, 171.6)	N/A	54	falling	-1.1 (-1.9, -0.3)
Meagher County, Montana	Rural	No	132.0 (83.8, 209.3)	N/A	5	stable	-1.8 (-3.6, 0.1)
Mecklenburg County, North Carolina	Urban	No	131.3 (128.1, 134.6)	N/A	1,347	falling	-2.6 (-4.5, -1.9)
Mecklenburg County, Virginia	Rural	No	174.0 (158.2, 191.3)	N/A	98	falling	-1.0 (-1.4, -0.6)
Mecosta County, Michigan	Rural	No	183.1 (166.9, 200.6)	N/A	102	falling	-0.5 (-0.9, -0.1)
Medina County, Ohio	Urban	No	139.9 (133.4, 146.7)	N/A	357	falling	-1.4 (-1.6, -1.1)
Medina County, Texas	Urban	No	144.2 (131.1, 158.2)	N/A	93	falling	-1.0 (-1.4, -0.6)
Meeker County, Minnesota	Rural	No	148.4 (130.5, 168.3)	N/A	53	falling	-0.9 (-1.4, -0.4)
Meigs County, Ohio	Rural	No	185.2 (164.1, 208.5)	N/A	60	falling	-1.1 (-1.7, -0.6)
Meigs County, Tennessee	Rural	No	195.7 (166.9, 228.6)	N/A	36	stable	0.3 (-0.6, 1.5)
Mellette County, South Dakota	Rural	No	274.8 (181.1, 401.3)	N/A	6	stable	0.4 (-1.3, 2.3)
Menard County, Illinois	Urban	No	164.1 (138.1, 194.2)	N/A	30	falling	-0.8 (-1.6, -0.1)
Menard County, Texas	Rural	No	138.6 (87.4, 218.5)	N/A	6	stable	-1.7 (-3.7, 0.2)
Mendocino County, California	Rural	No	144.5 (135.4, 154.1)	N/A	207	falling	-1.6 (-1.8, -1.3)
Menifee County, Kentucky	Rural	No	218.0 (176.2, 268.2)	N/A	20	stable	-0.7 (-2.1, 0.9)
Menominee County, Michigan	Rural	No	160.7 (143.7, 179.8)	N/A	69	stable	-0.6 (-1.2, 0.0)
Menominee County, Wisconsin	Rural	No	181.8 (128.6, 250.1)	N/A	8	falling	-2.6 (-4.0, -1.2)
Merced County, California	Urban	No	145.3 (138.6, 152.2)	N/A	367	falling	-1.2 (-1.5, -1.0)
Mercer County, Illinois	Urban	No	176.5 (153.4, 202.6)	N/A	44	stable	-0.3 (-1.0, 0.4)
Mercer County, Kentucky	Rural	No	190.9 (169.7, 214.2)	N/A	62	falling	-1.0 (-1.6, -0.3)
Mercer County, Missouri	Rural	No	195.8 (145.3, 260.8)	N/A	11	stable	1.0 (-0.2, 2.2)
Mercer County, New Jersey	Urban	No	128.9 (124.3, 133.7)	N/A	607	falling	-2.1 (-3.6, -1.9)
Mercer County, North Dakota	Rural	No	149.6 (119.3, 186.1)	N/A	19	stable	-0.7 (-1.6, 0.2)
Mercer County, Ohio	Rural	No	154.5 (139.9, 170.2)	N/A	89	falling	-0.9 (-1.3, -0.4)
Mercer County, Pennsylvania	Rural	No	163.9 (155.3, 172.8)	N/A	297	falling	-0.8 (-1.1, -0.6)
Mercer County, West Virginia	Rural	No	190.4 (177.3, 204.3)	N/A	172	falling	-0.6 (-1.0, -0.3)
Meriwether County, Georgia	Urban	No	176.8 (156.1, 199.8)	N/A	56	falling	-1.0 (-1.6, -0.4)
Merrick County, Nebraska	Urban	No	144.9 (114.5, 182.0)	N/A	17	stable	-0.4 (-1.3, 0.4)
Merrimack County, New Hampshire	Rural	No	148.9 (141.4, 156.7)	N/A	317	falling	-1.1 (-1.4, -0.8)
Mesa County, Colorado	Urban	No	135.0 (128.1, 142.2)	N/A	301	falling	-1.5 (-1.8, -1.2)
Metcalfe County, Kentucky	Rural	No	207.1 (175.4, 243.5)	N/A	31	stable	-0.2 (-1.1, 0.8)
Miami County, Indiana	Rural	No	181.7 (164.7, 200.1)	N/A	87	falling	-0.8 (-1.2, -0.4)
Miami County, Kansas	Urban	No	132.6 (117.9, 148.8)	N/A	61	falling	-1.4 (-2.0, -0.7)
Miami County, Ohio	Urban	No	160.2 (151.1, 169.7)	N/A	244	falling	-1.0 (-1.2, -0.8)
Miami-Dade County, Florida	Urban	No	123.8 (122.2, 125.5)	N/A	4,343	falling	-1.3 (-1.6, -0.3)
Middlesex County, Connecticut	Urban	No	129.0 (122.7, 135.5)	N/A	336	falling	-1.6 (-1.8, -1.4)
Middlesex County, Massachusetts	Urban	No	128.1 (125.9, 130.4)	N/A	2,549	falling	-2.2 (-2.4, -2.1)
Middlesex County, New Jersey	Urban	No	123.3 (120.3, 126.4)	N/A	1,276	falling	-2.2 (-2.3, -2.0)
Middlesex County, Virginia	Rural	No	147.6 (126.1, 173.4)	N/A	37	falling	-1.5 (-2.1, -0.9)
Midland County, Michigan	Urban	No	150.6 (140.7, 161.0)	N/A	183	rising	2.1 (0.6, 4.8)
Midland County, Texas	Urban	No	142.6 (133.7, 151.8)	N/A	206	falling	-1.1 (-1.4, -0.8)
Mifflin County, Pennsylvania	Rural	No	170.1 (156.9, 184.3)	N/A	127	falling	-0.5 (-1.0, -0.1)
Milam County, Texas	Rural	No	168.6 (149.9, 189.2)	N/A	63	stable	-0.5 (-1.1, 0.2)
Millard County, Utah	Rural	No	132.7 (108.3, 161.4)	N/A	22	stable	-0.4 (-1.4, 0.9)
Mille Lacs County, Minnesota	Urban	No	184.1 (164.3, 205.8)	N/A	66	stable	-0.5 (-1.0, 0.1)
Miller County, Arkansas	Urban	No	194.6 (178.1, 212.4)	N/A	105	falling	-0.6 (-1.0, -0.1)
Miller County, Georgia	Rural	No	178.3 (139.7, 225.5)	N/A	16	stable	-0.4 (-1.5, 0.8)
Miller County, Missouri	Rural	No	171.5 (152.4, 192.6)	N/A	61	stable	-0.6 (-1.1, 0.0)
Mills County, Iowa	Urban	No	158.7 (133.9, 187.1)	N/A	31	stable	-0.8 (-1.5, 0.0)
Mills County, Texas	Rural	No	189.7 (147.7, 243.1)	N/A	16	stable	-0.3 (-1.6, 1.0)
Milwaukee County, Wisconsin	Urban	No	164.6 (161.0, 168.3)	N/A	1,673	falling	-3.2 (-5.0, -1.2)
Miner County, South Dakota	Rural	No	155.4 (100.3, 234.5)	N/A	6	stable	0.0 (-1.5, 1.3)
Mineral County, Montana	Urban	No	156.3 (118.7, 205.2)	N/A	14	stable	-0.8 (-2.0, 0.7)
Mineral County, Nevada	Rural	No	201.4 (156.6, 257.3)	N/A	16	stable	-0.6 (-1.7, 0.5)
Mineral County, West Virginia	Rural	No	176.3 (158.1, 196.2)	N/A	74	falling	-0.8 (-1.3, -0.2)
Mingo County, West Virginia	Rural	No	212.5 (189.8, 237.5)	N/A	69	falling	-0.7 (-1.1, -0.3)
Minidoka County, Idaho	Rural	No	139.5 (119.4, 162.2)	N/A	35	falling	-1.3 (-1.9, -0.7)
Minnehaha County, South Dakota	Urban	No	176.4 (168.0, 185.2)	N/A	351	falling	-0.7 (-0.9, -0.4)
Missaukee County, Michigan	Rural	No	165.2 (141.5, 192.2)	N/A	38	stable	-0.6 (-1.4, 0.2)
Mississippi County, Arkansas	Rural	No	209.2 (190.6, 229.2)	N/A	98	falling	-0.6 (-1.0, -0.1)
Mississippi County, Missouri	Rural	No	188.6 (160.3, 221.0)	N/A	32	stable	-0.6 (-1.5, 0.2)
Missoula County, Montana	Urban	No	127.1 (118.5, 136.1)	N/A	174	falling	-4.4 (-10.7, -1.6)
Mitchell County, Georgia	Rural	No	182.2 (160.5, 206.3)	N/A	53	falling	-1.1 (-1.7, -0.5)
Mitchell County, Iowa	Rural	No	153.3 (128.0, 183.1)	N/A	28	falling	-0.9 (-1.7, -0.1)
Mitchell County, Kansas	Rural	No	151.3 (116.1, 195.2)	N/A	14	stable	-0.5 (-1.6, 0.5)
Mitchell County, North Carolina	Rural	No	179.6 (156.1, 206.4)	N/A	46	stable	6.7 (-0.9, 11.4)
Mitchell County, Texas	Rural	No	186.8 (150.0, 230.1)	N/A	18	stable	-0.7 (-1.9, 0.4)
Mobile County, Alabama	Urban	No	169.0 (163.9, 174.2)	N/A	875	falling	-2.1 (-3.7, -1.4)
Modoc County, California	Rural	No	134.2 (109.1, 164.9)	N/A	23	falling	-1.3 (-2.2, -0.4)
Moffat County, Colorado	Rural	No	148.6 (121.7, 179.9)	N/A	23	stable	-0.6 (-1.6, 0.5)
Mohave County, Arizona	Urban	No	172.5 (166.6, 178.7)	N/A	769	falling	-1.4 (-3.4, -1.0)
Moniteau County, Missouri	Urban	No	170.6 (145.3, 199.4)	N/A	33	stable	-0.7 (-1.6, 0.3)
Monmouth County, New Jersey	Urban	No	135.0 (131.5, 138.5)	N/A	1,216	falling	-2.6 (-2.8, -2.4)
Mono County, California	Rural	Yes	48.9 (35.3, 66.6)	N/A	9	falling	-15.2 (-44.7, -4.1)
Monona County, Iowa	Rural	No	156.5 (129.1, 189.3)	N/A	25	falling	-1.3 (-2.1, -0.5)
Monongalia County, West Virginia	Urban	No	139.5 (129.2, 150.4)	N/A	143	falling	-1.5 (-1.9, -1.1)
Monroe County, Alabama	Rural	No	168.1 (147.3, 191.5)	N/A	50	falling	-0.9 (-1.6, -0.2)
Monroe County, Arkansas	Rural	No	211.4 (173.6, 256.4)	N/A	24	stable	-0.5 (-1.4, 0.3)
Monroe County, Florida	Rural	Yes	121.9 (113.7, 130.7)	N/A	174	falling	-3.0 (-6.0, -2.2)
Monroe County, Georgia	Urban	No	153.7 (136.4, 172.6)	N/A	61	falling	-1.4 (-1.9, -0.8)
Monroe County, Illinois	Urban	No	136.0 (121.3, 152.2)	N/A	66	falling	-1.7 (-2.1, -1.2)
Monroe County, Indiana	Urban	No	141.7 (133.0, 150.9)	N/A	206	falling	-1.7 (-3.7, -1.3)
Monroe County, Iowa	Rural	No	170.3 (137.4, 209.7)	N/A	19	stable	0.2 (-0.8, 1.1)
Monroe County, Kentucky	Rural	No	214.8 (182.7, 251.4)	N/A	34	stable	-0.1 (-0.8, 0.6)
Monroe County, Michigan	Urban	No	165.9 (158.1, 174.0)	N/A	358	falling	-1.1 (-1.3, -0.8)
Monroe County, Mississippi	Rural	No	181.6 (164.6, 200.0)	N/A	89	stable	-0.5 (-1.0, 0.1)
Monroe County, Missouri	Rural	No	166.7 (136.6, 202.5)	N/A	24	falling	-1.1 (-2.0, -0.3)
Monroe County, New York	Urban	No	143.8 (140.4, 147.2)	N/A	1,463	falling	-1.7 (-2.3, -1.5)
Monroe County, Ohio	Rural	No	174.5 (149.8, 202.7)	N/A	38	stable	-0.3 (-1.0, 0.3)
Monroe County, Pennsylvania	Rural	No	155.8 (148.4, 163.5)	N/A	356	falling	-1.7 (-3.2, -1.4)
Monroe County, Tennessee	Rural	No	190.2 (175.3, 206.2)	N/A	132	falling	-0.6 (-1.1, -0.1)
Monroe County, West Virginia	Rural	No	177.3 (151.8, 206.7)	N/A	38	stable	-0.3 (-0.9, 0.4)
Monroe County, Wisconsin	Rural	No	159.7 (145.5, 174.9)	N/A	98	falling	-0.7 (-1.1, -0.3)
Montague County, Texas	Rural	No	168.5 (148.7, 190.6)	N/A	55	falling	-1.1 (-1.7, -0.5)
Montcalm County, Michigan	Urban	No	177.3 (164.9, 190.5)	N/A	157	falling	-1.0 (-1.4, -0.6)
Monterey County, California	Urban	Yes	119.2 (114.8, 123.7)	N/A	566	falling	-1.7 (-1.9, -1.5)
Montezuma County, Colorado	Rural	No	137.0 (120.7, 155.2)	N/A	56	falling	-1.2 (-1.6, -0.7)
Montgomery County, Alabama	Urban	No	161.4 (154.6, 168.5)	N/A	434	falling	-1.4 (-1.6, -1.2)
Montgomery County, Arkansas	Rural	No	160.9 (131.9, 195.7)	N/A	26	stable	-0.1 (-1.1, 0.9)
Montgomery County, Georgia	Rural	No	208.8 (170.5, 253.5)	N/A	22	stable	-0.9 (-1.9, 0.2)
Montgomery County, Illinois	Rural	No	178.6 (160.9, 198.1)	N/A	79	falling	-1.1 (-1.5, -0.7)
Montgomery County, Indiana	Rural	No	160.7 (145.4, 177.4)	N/A	84	falling	-1.2 (-1.9, -0.8)
Montgomery County, Iowa	Rural	No	182.5 (153.2, 216.6)	N/A	30	stable	-0.6 (-1.3, 0.0)
Montgomery County, Kansas	Rural	No	168.1 (151.5, 186.2)	N/A	79	falling	-2.1 (-9.4, -0.9)
Montgomery County, Kentucky	Rural	No	207.8 (186.6, 230.8)	N/A	73	falling	-0.7 (-1.3, -0.1)
Montgomery County, Maryland	Urban	Yes	106.9 (104.4, 109.5)	N/A	1,418	stable	-1.5 (-1.9, 0.5)
Montgomery County, Mississippi	Rural	No	174.7 (145.5, 208.7)	N/A	27	stable	-0.6 (-1.2, 0.0)
Montgomery County, Missouri	Rural	No	207.2 (177.1, 241.6)	N/A	36	stable	-0.4 (-1.2, 0.4)
Montgomery County, New York	Rural	No	160.1 (146.9, 174.3)	N/A	114	falling	-1.1 (-1.6, -0.6)
Montgomery County, North Carolina	Rural	No	151.4 (134.3, 170.4)	N/A	61	falling	-1.3 (-1.8, -0.7)
Montgomery County, Ohio	Urban	No	164.5 (160.2, 168.8)	N/A	1,199	falling	-1.2 (-1.3, -1.1)
Montgomery County, Pennsylvania	Urban	No	133.7 (130.8, 136.8)	N/A	1,604	falling	-1.8 (-2.5, -1.6)
Montgomery County, Tennessee	Urban	No	173.9 (164.8, 183.2)	N/A	299	falling	-1.3 (-4.3, -0.9)
Montgomery County, Texas	Urban	No	139.5 (135.4, 143.8)	N/A	907	falling	-1.9 (-5.2, -1.1)
Montgomery County, Virginia	Urban	No	137.3 (127.0, 148.3)	N/A	134	falling	-1.5 (-1.8, -1.1)
Montmorency County, Michigan	Rural	No	205.5 (174.3, 242.4)	N/A	39	stable	-0.6 (-1.4, 0.3)
Montour County, Pennsylvania	Rural	No	150.1 (129.5, 173.4)	N/A	42	falling	-1.0 (-1.8, -0.3)
Montrose County, Colorado	Rural	Yes	117.9 (106.6, 130.4)	N/A	87	falling	-1.3 (-1.8, -0.7)
Moody County, South Dakota	Rural	No	142.5 (108.5, 184.8)	N/A	13	stable	-0.2 (-1.2, 0.9)
Moore County, North Carolina	Urban	No	151.8 (143.3, 160.7)	N/A	261	falling	-1.2 (-1.5, -0.9)
Moore County, Tennessee	Rural	No	129.9 (98.9, 168.7)	N/A	13	stable	-1.4 (-2.7, 0.2)
Moore County, Texas	Rural	No	132.3 (110.2, 157.4)	N/A	26	falling	-1.3 (-2.0, -0.6)
Mora County, New Mexico	Rural	Yes	120.7 (86.9, 167.2)	N/A	10	stable	-1.1 (-2.8, 0.7)
Morehouse Parish, Louisiana	Urban	No	179.5 (159.8, 201.2)	N/A	64	falling	-0.8 (-1.3, -0.4)
Morgan County, Alabama	Urban	No	159.7 (151.0, 168.8)	N/A	263	falling	-1.3 (-2.8, -0.9)
Morgan County, Colorado	Rural	No	154.7 (136.4, 174.8)	N/A	54	stable	-0.4 (-1.1, 0.3)
Morgan County, Georgia	Urban	No	160.5 (140.5, 183.0)	N/A	48	stable	-0.8 (-1.5, 0.0)
Morgan County, Illinois	Rural	No	182.3 (165.4, 200.6)	N/A	90	falling	-0.6 (-1.0, -0.1)
Morgan County, Indiana	Urban	No	176.2 (164.2, 189.0)	N/A	168	falling	-1.0 (-3.1, -0.4)
Morgan County, Kentucky	Rural	No	201.9 (172.3, 235.5)	N/A	35	stable	0.2 (-0.6, 1.1)
Morgan County, Missouri	Rural	No	188.0 (167.4, 210.9)	N/A	66	falling	-0.7 (-1.3, -0.1)
Morgan County, Ohio	Rural	No	188.7 (163.1, 217.7)	N/A	42	stable	-0.6 (-1.3, 0.2)
Morgan County, Tennessee	Urban	No	189.2 (166.6, 214.3)	N/A	53	stable	-0.7 (-1.3, 0.0)
Morgan County, Utah	Urban	No	131.0 (101.8, 165.8)	N/A	14	stable	-1.3 (-2.4, 0.1)
Morgan County, West Virginia	Urban	No	202.3 (178.5, 228.9)	N/A	58	stable	-0.4 (-1.0, 0.3)
Morrill County, Nebraska	Rural	No	142.7 (105.3, 191.1)	N/A	11	stable	-1.3 (-2.8, 0.1)
Morris County, Kansas	Rural	No	192.9 (151.1, 244.3)	N/A	18	stable	-0.5 (-1.5, 0.5)
Morris County, New Jersey	Urban	Yes	119.6 (116.0, 123.3)	N/A	843	falling	-2.5 (-2.9, -2.3)
Morris County, Texas	Rural	No	192.8 (164.7, 225.0)	N/A	36	stable	-0.8 (-1.5, 0.0)
Morrison County, Minnesota	Rural	No	156.3 (140.9, 173.2)	N/A	80	falling	-0.8 (-1.3, -0.3)
Morrow County, Ohio	Urban	No	172.6 (155.8, 190.8)	N/A	82	falling	-0.8 (-1.2, -0.3)
Morrow County, Oregon	Rural	No	157.2 (128.9, 190.2)	N/A	23	stable	-1.3 (-2.7, 0.1)
Morton County, Kansas	Rural	No	213.2 (154.7, 290.6)	N/A	9	stable	0.3 (-1.0, 1.7)
Morton County, North Dakota	Urban	No	154.4 (137.4, 173.1)	N/A	64	falling	-1.1 (-1.7, -0.4)
Motley County, Texas	Rural	No	146.7 (78.4, 268.6)	N/A	3	stable	-0.8 (-2.8, 1.0)
Moultrie County, Illinois	Rural	No	177.9 (152.3, 206.9)	N/A	36	stable	-0.1 (-0.8, 0.5)
Mountrail County, North Dakota	Rural	No	152.6 (117.4, 194.9)	N/A	14	falling	-1.6 (-2.9, -0.3)
Mower County, Minnesota	Rural	No	136.1 (122.5, 151.0)	N/A	77	falling	-1.1 (-1.6, -0.5)
Muhlenberg County, Kentucky	Rural	No	180.5 (162.9, 199.6)	N/A	80	falling	-0.9 (-1.5, -0.3)
Multnomah County, Oregon	Urban	No	146.5 (142.9, 150.3)	N/A	1,257	falling	-2.1 (-3.3, -1.7)
Murray County, Georgia	Urban	No	189.1 (171.6, 208.0)	N/A	90	falling	-0.8 (-1.3, -0.2)
Murray County, Minnesota	Rural	No	126.1 (102.0, 155.9)	N/A	20	stable	-1.0 (-2.1, 0.2)
Murray County, Oklahoma	Rural	No	186.9 (160.8, 216.5)	N/A	39	falling	-0.9 (-1.7, -0.1)
Muscatine County, Iowa	Rural	No	154.6 (140.0, 170.3)	N/A	87	falling	-0.8 (-1.4, -0.2)
Muscogee County, Georgia	Urban	No	168.9 (161.2, 176.8)	N/A	378	falling	-1.7 (-4.7, -1.2)
Muskegon County, Michigan	Urban	No	177.7 (169.9, 185.8)	N/A	410	falling	-0.7 (-0.9, -0.5)
Muskingum County, Ohio	Rural	No	170.9 (160.3, 182.0)	N/A	202	falling	-2.2 (-4.8, -1.3)
Muskogee County, Oklahoma	Rural	No	197.2 (183.8, 211.3)	N/A	169	falling	-0.4 (-0.7, -0.1)
Musselshell County, Montana	Rural	No	169.2 (129.3, 220.1)	N/A	14	stable	-1.0 (-2.2, 0.2)
Nacogdoches County, Texas	Rural	No	172.0 (158.5, 186.3)	N/A	126	stable	4.3 (-1.0, 9.6)
Nance County, Nebraska	Rural	No	230.6 (170.3, 307.3)	N/A	11	stable	0.3 (-1.1, 1.7)
Nantucket County, Massachusetts	Rural	Yes	111.5 (89.6, 137.4)	N/A	19	falling	-3.9 (-5.2, -3.1)
Napa County, California	Urban	No	132.2 (125.1, 139.7)	N/A	271	falling	-2.0 (-2.4, -1.7)
Nash County, North Carolina	Urban	No	162.4 (152.6, 172.8)	N/A	214	falling	-3.8 (-7.2, -1.2)
Nassau County, Florida	Urban	No	169.2 (159.5, 179.5)	N/A	245	falling	-1.2 (-1.6, -0.8)
Nassau County, New York	Urban	Yes	119.2 (117.0, 121.5)	N/A	2,321	falling	-2.0 (-2.1, -1.9)
Natchitoches Parish, Louisiana	Rural	No	186.1 (168.2, 205.4)	N/A	84	falling	-0.9 (-1.5, -0.3)
Natrona County, Wyoming	Urban	No	143.3 (132.5, 154.7)	N/A	138	falling	-1.5 (-1.8, -1.1)
Navajo County, Arizona	Rural	No	139.9 (131.0, 149.3)	N/A	198	falling	-1.0 (-1.3, -0.6)
Navarro County, Texas	Rural	No	164.6 (150.7, 179.4)	N/A	109	falling	-1.1 (-1.7, -0.4)
Nelson County, Kentucky	Urban	No	193.5 (177.2, 210.9)	N/A	110	stable	1.8 (-0.8, 7.3)
Nelson County, North Dakota	Rural	No	143.6 (104.9, 198.6)	N/A	9	falling	-1.8 (-3.5, -0.4)
Nelson County, Virginia	Urban	No	154.0 (133.0, 178.2)	N/A	44	stable	-0.7 (-1.4, 0.0)
Nemaha County, Kansas	Rural	No	181.7 (151.3, 217.0)	N/A	29	rising	1.7 (0.1, 10.0)
Nemaha County, Nebraska	Rural	No	182.3 (145.7, 226.2)	N/A	19	stable	0.0 (-1.0, 1.0)
Neosho County, Kansas	Rural	No	191.0 (165.7, 219.4)	N/A	44	stable	-0.3 (-0.8, 0.2)
Neshoba County, Mississippi	Rural	No	189.6 (169.2, 211.9)	N/A	65	rising	1.1 (0.1, 4.3)
Ness County, Kansas	Rural	No	145.8 (100.9, 209.5)	N/A	8	stable	0.1 (-1.4, 1.5)
Nevada County, Arkansas	Rural	No	159.3 (129.8, 194.7)	N/A	21	falling	-1.3 (-2.1, -0.5)
Nevada County, California	Rural	No	126.6 (119.0, 134.6)	N/A	243	falling	-1.7 (-2.1, -1.4)
New Castle County, Delaware	Urban	No	154.0 (149.9, 158.2)	N/A	1,088	falling	-1.6 (-1.8, -1.5)
New Hanover County, North Carolina	Urban	No	147.4 (141.2, 153.8)	N/A	449	falling	-1.5 (-1.7, -1.2)
New Haven County, Connecticut	Urban	No	142.7 (139.6, 145.9)	N/A	1,651	falling	-1.9 (-2.4, -1.6)
New Kent County, Virginia	Urban	No	171.6 (149.9, 195.6)	N/A	51	falling	-1.5 (-2.1, -0.7)
New London County, Connecticut	Urban	No	148.8 (143.2, 154.6)	N/A	560	falling	-1.2 (-1.5, -1.0)
New Madrid County, Missouri	Rural	No	232.9 (206.1, 262.7)	N/A	57	stable	0.0 (-0.5, 0.6)
New York County, New York	Urban	Yes	104.2 (102.3, 106.2)	N/A	2,260	falling	-3.5 (-4.0, -3.1)
Newaygo County, Michigan	Rural	No	163.2 (149.8, 177.6)	N/A	118	falling	-1.0 (-1.5, -0.5)
Newberry County, South Carolina	Rural	No	194.7 (177.8, 212.8)	N/A	105	stable	-0.5 (-1.0, 0.0)
Newport County, Rhode Island	Urban	No	125.2 (117.0, 134.0)	N/A	186	falling	-2.2 (-4.9, -1.9)
Newport News City, Virginia	Urban	No	175.3 (166.9, 184.0)	N/A	341	falling	-1.2 (-1.5, -1.0)
Newton County, Arkansas	Rural	No	174.4 (142.7, 212.7)	N/A	24	stable	-0.6 (-1.5, 0.3)
Newton County, Georgia	Urban	No	169.6 (158.8, 180.8)	N/A	197	falling	-0.9 (-1.2, -0.4)
Newton County, Indiana	Urban	No	168.4 (144.0, 196.4)	N/A	36	falling	-2.3 (-11.1, -1.3)
Newton County, Mississippi	Rural	No	159.1 (138.2, 182.5)	N/A	43	falling	-1.4 (-2.1, -0.7)
Newton County, Missouri	Urban	No	180.7 (167.6, 194.6)	N/A	147	falling	-0.6 (-1.0, -0.2)
Newton County, Texas	Rural	No	195.9 (167.3, 228.6)	N/A	38	stable	-0.6 (-1.3, 0.2)
Nez Perce County, Idaho	Urban	No	151.2 (137.7, 165.9)	N/A	97	falling	-0.9 (-1.3, -0.4)
Niagara County, New York	Urban	No	163.1 (156.6, 169.8)	N/A	507	falling	-1.2 (-2.5, -1.0)
Nicholas County, Kentucky	Rural	No	187.8 (150.8, 231.8)	N/A	19	stable	-0.6 (-1.5, 0.2)
Nicholas County, West Virginia	Rural	No	159.2 (141.3, 179.0)	N/A	62	falling	-1.2 (-1.7, -0.7)
Nicollet County, Minnesota	Urban	No	129.8 (115.0, 146.1)	N/A	58	falling	-1.4 (-2.1, -0.6)
Niobrara County, Wyoming	Rural	Yes	110.3 (69.0, 173.0)	N/A	5	falling	-5.1 (-17.4, -2.8)
Noble County, Indiana	Rural	No	170.5 (155.4, 186.7)	N/A	100	falling	-0.7 (-1.2, -0.2)
Noble County, Ohio	Rural	Yes	109.0 (88.9, 132.9)	N/A	28	falling	-1.8 (-2.6, -1.0)
Noble County, Oklahoma	Rural	No	175.1 (147.6, 206.8)	N/A	30	falling	-0.8 (-1.5, -0.1)
Nobles County, Minnesota	Rural	No	141.6 (122.2, 163.3)	N/A	40	falling	-0.8 (-1.5, -0.2)
Nodaway County, Missouri	Rural	No	151.0 (130.3, 174.3)	N/A	41	stable	-0.6 (-1.2, 0.0)
Nolan County, Texas	Rural	No	206.6 (178.7, 237.9)	N/A	41	stable	-0.3 (-0.9, 0.3)
Nome Census Area, Alaska	Rural	No	228.5 (172.1, 295.7)	N/A	14	stable	0.3 (-1.1, 2.0)
Norfolk City, Virginia	Urban	No	178.0 (170.1, 186.2)	N/A	407	falling	-1.6 (-1.8, -1.4)
Norfolk County, Massachusetts	Urban	No	135.3 (132.0, 138.7)	N/A	1,305	falling	-1.9 (-2.2, -1.8)
Norman County, Minnesota	Rural	No	180.0 (144.7, 222.7)	N/A	19	stable	-0.7 (-1.6, 0.2)
North Slope Borough, Alaska	Rural	No	149.0 (105.7, 202.5)	N/A	11	falling	-14.8 (-38.0, -1.5)
Northampton County, North Carolina	Rural	No	160.7 (140.1, 184.2)	N/A	53	falling	-1.2 (-1.8, -0.6)
Northampton County, Pennsylvania	Urban	No	148.9 (143.8, 154.2)	N/A	685	falling	-1.2 (-1.4, -1.0)
Northampton County, Virginia	Rural	No	165.0 (140.7, 193.4)	N/A	38	falling	-1.5 (-2.2, -0.8)
Northumberland County, Pennsylvania	Rural	No	164.4 (154.9, 174.3)	N/A	240	falling	-1.1 (-1.4, -0.8)
Northumberland County, Virginia	Rural	No	140.6 (121.8, 163.6)	N/A	44	falling	-1.9 (-2.6, -1.2)
Northwest Arctic Borough, Alaska	Rural	No	158.5 (112.0, 216.4)	N/A	8	falling	-1.9 (-3.5, -0.1)
Norton City, Virginia	Rural	No	243.5 (185.6, 315.5)	N/A	12	stable	-0.6 (-1.9, 0.7)
Norton County, Kansas	Rural	Yes	121.0 (88.7, 162.8)	N/A	10	falling	-2.1 (-3.5, -0.9)
Nottoway County, Virginia	Rural	No	200.2 (174.2, 229.2)	N/A	44	falling	-0.9 (-1.4, -0.3)
Nowata County, Oklahoma	Rural	No	220.9 (186.7, 260.3)	N/A	31	stable	-0.2 (-1.1, 0.8)
Noxubee County, Mississippi	Rural	No	175.0 (142.9, 212.6)	N/A	22	stable	-0.7 (-1.7, 0.4)
Nuckolls County, Nebraska	Rural	No	168.6 (128.8, 220.4)	N/A	14	falling	-1.4 (-2.6, -0.3)
Nueces County, Texas	Urban	No	138.5 (133.4, 143.8)	N/A	560	falling	-1.6 (-1.8, -1.4)
Nye County, Nevada	Rural	No	169.1 (157.0, 182.2)	N/A	173	falling	-1.9 (-5.1, -1.0)
O'Brien County, Iowa	Rural	No	143.8 (121.2, 169.8)	N/A	33	falling	-0.9 (-1.7, -0.2)
Oakland County, Michigan	Urban	No	137.3 (134.7, 139.8)	N/A	2,311	falling	-1.6 (-2.5, -1.5)
Obion County, Tennessee	Rural	No	183.6 (166.2, 202.6)	N/A	85	falling	-1.0 (-5.1, -0.5)
Ocean County, New Jersey	Urban	No	147.7 (144.3, 151.2)	N/A	1,545	falling	-2.0 (-3.3, -1.6)
Oceana County, Michigan	Rural	No	157.1 (139.8, 176.2)	N/A	65	falling	-0.8 (-1.3, -0.1)
Ochiltree County, Texas	Rural	Yes	108.9 (81.0, 143.3)	N/A	11	falling	-1.9 (-3.1, -0.8)
Oconee County, Georgia	Urban	Yes	120.3 (106.8, 135.1)	N/A	60	falling	-2.0 (-2.6, -1.3)
Oconee County, South Carolina	Rural	No	146.4 (136.7, 156.7)	N/A	186	falling	-1.1 (-1.5, -0.7)
Oconto County, Wisconsin	Urban	No	149.4 (135.4, 164.7)	N/A	90	falling	-1.1 (-1.6, -0.6)
Ogemaw County, Michigan	Rural	No	187.4 (167.2, 210.0)	N/A	72	falling	-1.1 (-1.7, -0.6)
Oglala Lakota, South Dakota	Rural	No	228.8 (180.5, 284.7)	N/A	19	*	*
Ogle County, Illinois	Rural	No	166.3 (153.0, 180.5)	N/A	122	falling	-0.9 (-1.3, -0.5)
Oglethorpe County, Georgia	Urban	No	167.3 (143.3, 194.6)	N/A	36	stable	-0.7 (-1.6, 0.3)
Ohio County, Indiana	Urban	No	161.3 (128.5, 202.0)	N/A	17	falling	-2.1 (-3.7, -1.2)
Ohio County, Kentucky	Rural	No	206.7 (184.8, 230.8)	N/A	67	falling	-0.7 (-1.1, -0.2)
Ohio County, West Virginia	Urban	No	163.2 (149.1, 178.5)	N/A	109	falling	-1.4 (-1.7, -1.1)
Okaloosa County, Florida	Urban	No	153.7 (146.9, 160.8)	N/A	398	falling	-1.3 (-1.6, -1.0)
Okanogan County, Washington	Rural	No	171.4 (156.9, 187.1)	N/A	112	falling	-0.5 (-0.9, -0.1)
Okeechobee County, Florida	Rural	No	197.1 (180.9, 214.5)	N/A	115	falling	-0.6 (-1.1, -0.1)
Okfuskee County, Oklahoma	Rural	No	256.6 (221.4, 296.4)	N/A	39	rising	1.5 (0.6, 6.5)
Oklahoma County, Oklahoma	Urban	No	172.0 (168.0, 176.1)	N/A	1,465	falling	-0.8 (-0.9, -0.7)
Okmulgee County, Oklahoma	Urban	No	200.9 (183.4, 219.8)	N/A	101	stable	-0.2 (-0.5, 0.2)
Oktibbeha County, Mississippi	Rural	No	155.1 (139.0, 172.5)	N/A	71	falling	-1.1 (-1.6, -0.5)
Oldham County, Kentucky	Urban	No	141.9 (129.4, 155.2)	N/A	103	falling	-1.5 (-1.9, -1.0)
Oldham County, Texas	Urban	No	234.5 (143.4, 363.2)	N/A	4	*	*
Olmsted County, Minnesota	Urban	No	128.6 (121.6, 136.0)	N/A	258	stable	2.9 (-1.3, 5.2)
Oneida County, Idaho	Rural	Yes	110.0 (76.8, 154.9)	N/A	7	stable	-0.4 (-2.0, 1.3)
Oneida County, New York	Urban	No	155.5 (149.4, 161.8)	N/A	517	falling	-1.1 (-1.3, -0.9)
Oneida County, Wisconsin	Rural	No	163.8 (149.7, 179.0)	N/A	113	falling	-0.8 (-1.2, -0.5)
Onondaga County, New York	Urban	No	139.7 (135.6, 144.0)	N/A	894	stable	-1.3 (-3.4, 0.8)
Onslow County, North Carolina	Urban	No	193.9 (183.9, 204.3)	N/A	295	stable	-3.4 (-7.9, 0.1)
Ontario County, New York	Urban	No	140.2 (132.2, 148.7)	N/A	243	falling	-1.6 (-1.9, -1.3)
Ontonagon County, Michigan	Rural	No	150.8 (124.2, 187.3)	N/A	24	stable	-0.9 (-2.0, 0.1)
Orange County, California	Urban	No	125.0 (123.4, 126.6)	N/A	4,741	falling	-1.5 (-1.6, -1.5)
Orange County, Florida	Urban	No	136.1 (133.4, 138.9)	N/A	1,928	falling	-1.8 (-3.7, -1.4)
Orange County, Indiana	Rural	No	203.0 (179.6, 228.8)	N/A	58	stable	-0.3 (-0.8, 0.3)
Orange County, New York	Urban	No	141.2 (136.3, 146.4)	N/A	628	falling	-1.9 (-4.1, -1.8)
Orange County, North Carolina	Urban	Yes	118.9 (111.4, 126.9)	N/A	194	falling	-2.7 (-5.5, -2.1)
Orange County, Texas	Urban	No	174.5 (163.1, 186.5)	N/A	181	falling	-1.3 (-1.7, -1.0)
Orange County, Vermont	Rural	No	139.1 (124.0, 156.0)	N/A	66	falling	-1.4 (-2.0, -0.7)
Orange County, Virginia	Rural	No	183.4 (167.2, 201.0)	N/A	99	falling	-1.1 (-1.5, -0.6)
Orangeburg County, South Carolina	Rural	No	176.5 (165.6, 188.0)	N/A	212	falling	-0.9 (-1.2, -0.6)
Oregon County, Missouri	Rural	No	225.2 (190.7, 265.3)	N/A	32	stable	5.8 (-0.6, 15.9)
Orleans County, New York	Urban	No	180.3 (164.4, 197.6)	N/A	99	falling	-0.7 (-1.3, -0.2)
Orleans County, Vermont	Rural	No	162.8 (145.7, 181.7)	N/A	71	falling	-1.1 (-1.4, -0.7)
Orleans Parish, Louisiana	Urban	No	147.7 (142.6, 152.9)	N/A	679	falling	-3.0 (-3.6, -2.6)
Osage County, Kansas	Urban	No	152.2 (129.6, 178.0)	N/A	35	falling	-0.9 (-1.6, -0.2)
Osage County, Missouri	Urban	No	149.2 (124.1, 178.1)	N/A	26	stable	-0.3 (-1.1, 0.5)
Osage County, Oklahoma	Urban	No	165.9 (152.1, 180.8)	N/A	114	falling	-0.7 (-1.0, -0.3)
Osborne County, Kansas	Rural	No	141.0 (103.6, 191.9)	N/A	10	stable	-0.7 (-2.0, 0.6)
Osceola County, Florida	Urban	No	147.0 (141.7, 152.5)	N/A	591	falling	-1.2 (-1.4, -0.9)
Osceola County, Iowa	Rural	No	149.2 (116.9, 189.4)	N/A	16	stable	-0.4 (-1.4, 0.6)
Osceola County, Michigan	Rural	No	174.1 (154.6, 195.7)	N/A	62	falling	-0.8 (-1.3, -0.3)
Oscoda County, Michigan	Rural	No	191.9 (160.7, 229.0)	N/A	30	stable	-0.4 (-1.5, 0.7)
Oswego County, New York	Urban	No	166.0 (156.6, 175.7)	N/A	252	falling	-1.1 (-1.4, -0.8)
Otero County, Colorado	Rural	No	162.2 (140.7, 186.4)	N/A	44	falling	-0.7 (-1.4, -0.1)
Otero County, New Mexico	Rural	No	158.6 (146.6, 171.3)	N/A	136	stable	-0.5 (-0.8, 0.0)
Otoe County, Nebraska	Rural	No	151.5 (129.7, 176.4)	N/A	37	falling	-0.9 (-1.5, -0.2)
Otsego County, Michigan	Rural	No	158.5 (140.6, 178.4)	N/A	61	falling	-1.0 (-1.5, -0.3)
Otsego County, New York	Rural	No	151.5 (139.8, 164.1)	N/A	136	falling	-1.1 (-1.6, -0.6)
Ottawa County, Kansas	Rural	No	143.1 (108.1, 187.1)	N/A	12	stable	-0.9 (-2.0, 0.2)
Ottawa County, Michigan	Urban	No	137.0 (131.5, 142.7)	N/A	478	falling	-0.9 (-1.1, -0.7)
Ottawa County, Ohio	Urban	No	177.4 (163.4, 192.6)	N/A	130	stable	-0.5 (-0.9, 0.0)
Ottawa County, Oklahoma	Rural	No	219.9 (199.5, 242.0)	N/A	89	falling	-0.5 (-0.9, -0.2)
Otter Tail County, Minnesota	Rural	No	141.8 (131.2, 153.2)	N/A	148	falling	-1.0 (-1.4, -0.5)
Ouachita County, Arkansas	Rural	No	194.9 (173.6, 218.4)	N/A	66	stable	-0.4 (-1.0, 0.2)
Ouachita Parish, Louisiana	Urban	No	175.2 (166.7, 184.1)	N/A	328	falling	-1.1 (-1.3, -0.8)
Ouray County, Colorado	Rural	Yes	108.2 (76.4, 152.4)	N/A	9	stable	-2.1 (-4.5, 0.6)
Outagamie County, Wisconsin	Urban	No	142.0 (135.1, 149.3)	N/A	326	falling	-1.4 (-1.7, -1.1)
Overton County, Tennessee	Rural	No	237.8 (213.8, 264.0)	N/A	77	stable	0.0 (-0.5, 0.6)
Owen County, Indiana	Urban	No	184.7 (163.1, 208.8)	N/A	57	stable	-1.9 (-3.5, 0.9)
Owen County, Kentucky	Rural	No	166.0 (138.5, 197.9)	N/A	27	falling	-1.3 (-2.2, -0.4)
Owsley County, Kentucky	Rural	No	265.9 (207.6, 337.0)	N/A	15	stable	0.1 (-0.7, 1.1)
Owyhee County, Idaho	Urban	No	150.9 (123.8, 182.4)	N/A	23	stable	-0.4 (-1.5, 0.8)
Oxford County, Maine	Rural	No	167.7 (155.9, 180.4)	N/A	162	falling	-1.2 (-1.4, -0.9)
Ozark County, Missouri	Rural	No	192.6 (162.1, 228.8)	N/A	33	falling	-0.9 (-1.6, -0.2)
Ozaukee County, Wisconsin	Urban	No	133.5 (124.9, 142.6)	N/A	187	falling	-1.5 (-1.8, -1.1)
Pacific County, Washington	Rural	No	166.8 (149.7, 186.0)	N/A	82	falling	-0.9 (-1.6, -0.3)
Page County, Iowa	Rural	No	152.7 (131.8, 176.7)	N/A	40	stable	-0.7 (-1.4, 0.0)
Page County, Virginia	Rural	No	181.0 (161.9, 202.0)	N/A	69	stable	-0.3 (-0.9, 0.3)
Palm Beach County, Florida	Urban	Yes	119.1 (117.2, 121.1)	N/A	3,251	falling	-2.5 (-4.0, -1.8)
Palo Alto County, Iowa	Rural	No	203.5 (170.6, 241.8)	N/A	30	stable	-0.4 (-1.3, 0.4)
Palo Pinto County, Texas	Rural	No	187.7 (168.9, 208.3)	N/A	77	falling	-1.0 (-1.7, -0.4)
Pamlico County, North Carolina	Rural	No	149.1 (125.9, 176.5)	N/A	37	falling	-1.7 (-2.5, -1.0)
Panola County, Mississippi	Rural	No	194.5 (175.7, 214.8)	N/A	83	falling	-0.7 (-1.1, -0.2)
Panola County, Texas	Rural	No	182.9 (162.2, 205.7)	N/A	60	falling	-0.9 (-1.5, -0.3)
Park County, Colorado	Urban	Yes	110.8 (90.6, 134.7)	N/A	29	stable	-1.0 (-2.3, 0.8)
Park County, Montana	Rural	No	145.8 (126.1, 168.3)	N/A	42	stable	0.5 (-1.3, 5.6)
Park County, Wyoming	Rural	No	126.9 (112.5, 142.9)	N/A	63	falling	-1.5 (-2.0, -0.9)
Parke County, Indiana	Rural	No	152.9 (130.7, 178.2)	N/A	36	falling	-1.2 (-1.8, -0.5)
Parker County, Texas	Urban	No	162.3 (153.8, 171.1)	N/A	288	falling	-1.1 (-1.4, -0.8)
Parmer County, Texas	Rural	No	131.8 (102.6, 166.9)	N/A	14	stable	-0.7 (-2.2, 0.6)
Pasco County, Florida	Urban	No	157.7 (154.0, 161.5)	N/A	1,427	falling	-3.1 (-4.6, -1.2)
Pasquotank County, North Carolina	Rural	No	160.5 (145.4, 177.0)	N/A	86	falling	-1.2 (-1.6, -0.7)
Passaic County, New Jersey	Urban	No	124.9 (120.9, 129.0)	N/A	765	falling	-2.3 (-2.5, -2.1)
Patrick County, Virginia	Rural	No	173.1 (152.5, 196.5)	N/A	57	stable	-0.6 (-1.2, 0.1)
Paulding County, Georgia	Urban	No	145.3 (136.4, 154.5)	N/A	222	falling	-2.1 (-3.7, -1.6)
Paulding County, Ohio	Rural	No	182.7 (159.8, 208.3)	N/A	48	falling	-0.9 (-1.5, -0.3)
Pawnee County, Kansas	Rural	No	149.6 (115.6, 192.1)	N/A	15	stable	-0.3 (-1.3, 0.6)
Pawnee County, Nebraska	Rural	No	156.9 (104.3, 231.2)	N/A	8	stable	-0.1 (-1.7, 1.3)
Pawnee County, Oklahoma	Urban	No	185.2 (160.2, 213.4)	N/A	41	falling	-1.0 (-5.3, -0.3)
Payette County, Idaho	Rural	No	162.7 (143.9, 183.5)	N/A	57	falling	-0.9 (-1.4, -0.4)
Payne County, Oklahoma	Rural	No	177.1 (163.9, 191.2)	N/A	137	stable	-0.4 (-0.9, 0.0)
Peach County, Georgia	Urban	No	185.9 (165.6, 208.2)	N/A	65	falling	-1.2 (-1.7, -0.6)
Pearl River County, Mississippi	Rural	No	194.0 (180.0, 208.9)	N/A	152	falling	-0.7 (-1.1, -0.4)
Pecos County, Texas	Rural	No	147.3 (121.2, 177.3)	N/A	23	stable	5.9 (-0.2, 17.8)
Pembina County, North Dakota	Rural	No	166.9 (134.1, 206.9)	N/A	21	falling	-1.7 (-2.6, -0.8)
Pemiscot County, Missouri	Rural	No	213.0 (185.1, 244.3)	N/A	44	stable	-0.2 (-0.8, 0.4)
Pend Oreille County, Washington	Rural	No	161.1 (138.1, 187.6)	N/A	40	falling	-0.9 (-1.7, -0.1)
Pender County, North Carolina	Urban	No	165.3 (152.7, 178.6)	N/A	136	falling	-0.9 (-1.4, -0.4)
Pendleton County, Kentucky	Urban	No	198.5 (169.6, 231.2)	N/A	36	falling	-0.8 (-1.3, -0.2)
Pendleton County, West Virginia	Rural	No	179.1 (145.0, 221.1)	N/A	22	stable	-0.5 (-1.7, 0.8)
Pennington County, Minnesota	Rural	No	163.0 (137.9, 191.8)	N/A	32	stable	-0.7 (-1.5, 0.0)
Pennington County, South Dakota	Urban	No	153.6 (144.4, 163.3)	N/A	225	falling	-1.1 (-1.4, -0.8)
Penobscot County, Maine	Urban	No	168.7 (160.9, 176.8)	N/A	370	falling	-1.3 (-1.5, -1.1)
Peoria County, Illinois	Urban	No	166.3 (158.9, 174.0)	N/A	392	falling	-1.0 (-1.3, -0.8)
Pepin County, Wisconsin	Rural	No	139.1 (109.3, 175.8)	N/A	16	stable	-1.2 (-2.4, 0.0)
Perkins County, Nebraska	Rural	No	154.2 (104.6, 222.6)	N/A	7	stable	-1.4 (-3.0, 0.0)
Perkins County, South Dakota	Rural	No	145.7 (103.3, 205.6)	N/A	8	stable	0.1 (-1.7, 1.9)
Perquimans County, North Carolina	Rural	No	154.4 (132.4, 180.0)	N/A	39	falling	-1.4 (-2.0, -0.8)
Perry County, Alabama	Rural	No	147.8 (117.7, 184.1)	N/A	18	falling	-5.3 (-22.2, -1.4)
Perry County, Arkansas	Urban	No	170.9 (142.2, 204.5)	N/A	26	stable	-0.3 (-1.0, 0.5)
Perry County, Illinois	Rural	No	166.5 (145.8, 189.7)	N/A	49	falling	-1.0 (-1.5, -0.4)
Perry County, Indiana	Rural	No	159.5 (138.3, 183.3)	N/A	43	stable	-0.8 (-1.6, 0.1)
Perry County, Kentucky	Rural	No	245.2 (222.4, 269.9)	N/A	90	stable	-0.2 (-0.7, 0.4)
Perry County, Mississippi	Urban	No	203.2 (172.4, 238.5)	N/A	32	stable	-0.2 (-1.0, 0.7)
Perry County, Missouri	Rural	No	176.6 (154.5, 201.3)	N/A	48	stable	-0.6 (-1.4, 0.2)
Perry County, Ohio	Urban	No	191.8 (173.7, 211.4)	N/A	88	falling	-0.8 (-1.4, -0.1)
Perry County, Pennsylvania	Urban	No	176.2 (161.5, 191.9)	N/A	113	falling	-0.8 (-1.1, -0.4)
Perry County, Tennessee	Rural	No	152.8 (123.9, 187.5)	N/A	20	falling	-15.0 (-31.5, -1.6)
Pershing County, Nevada	Rural	Yes	109.5 (80.7, 146.5)	N/A	10	falling	-2.4 (-3.5, -1.2)
Person County, North Carolina	Urban	No	170.8 (155.8, 187.0)	N/A	101	falling	-0.8 (-1.4, -0.2)
Petersburg Census Area, Alaska	Rural	No	172.5 (122.0, 239.1)	N/A	8	stable	3.4 (-14.6, 31.7)
Petersburg City, Virginia	Urban	No	246.8 (225.2, 269.9)	N/A	104	falling	-1.0 (-1.4, -0.5)
Pettis County, Missouri	Rural	No	189.0 (172.8, 206.3)	N/A	105	falling	-0.6 (-1.0, -0.1)
Phelps County, Missouri	Rural	No	151.9 (137.6, 167.4)	N/A	86	falling	-1.2 (-1.8, -0.6)
Phelps County, Nebraska	Rural	No	144.1 (117.0, 176.5)	N/A	21	stable	-0.1 (-1.0, 0.8)
Philadelphia County, Pennsylvania	Urban	No	164.7 (162.0, 167.5)	N/A	2,849	falling	-2.9 (-4.4, -1.7)
Phillips County, Arkansas	Rural	No	209.2 (183.0, 238.4)	N/A	49	falling	-1.2 (-1.8, -0.6)
Phillips County, Colorado	Rural	No	139.7 (101.7, 189.3)	N/A	11	falling	-1.2 (-2.4, -0.1)
Phillips County, Kansas	Rural	No	192.8 (149.7, 246.2)	N/A	16	stable	-0.5 (-1.6, 0.5)
Phillips County, Montana	Rural	No	140.3 (103.6, 188.7)	N/A	10	falling	-2.1 (-3.4, -0.9)
Piatt County, Illinois	Urban	No	146.5 (125.5, 170.4)	N/A	37	falling	-1.3 (-2.0, -0.7)
Pickaway County, Ohio	Urban	No	184.4 (170.4, 199.3)	N/A	133	falling	-0.6 (-1.0, -0.3)
Pickens County, Alabama	Urban	No	166.5 (145.3, 190.3)	N/A	46	falling	-1.8 (-4.7, -1.1)
Pickens County, Georgia	Urban	No	158.1 (142.2, 175.5)	N/A	80	falling	-0.9 (-1.5, -0.2)
Pickens County, South Carolina	Urban	No	150.9 (142.4, 159.7)	N/A	249	falling	-1.0 (-1.3, -0.7)
Pickett County, Tennessee	Rural	No	168.5 (130.9, 216.5)	N/A	16	stable	-0.4 (-1.4, 0.6)
Pierce County, Georgia	Rural	No	195.4 (170.9, 222.6)	N/A	48	stable	-0.6 (-1.2, 0.1)
Pierce County, Nebraska	Rural	No	135.5 (105.4, 172.5)	N/A	15	stable	-0.7 (-1.6, 0.2)
Pierce County, North Dakota	Rural	No	139.5 (103.1, 188.0)	N/A	10	falling	-1.5 (-3.0, -0.3)
Pierce County, Washington	Urban	No	152.8 (149.3, 156.3)	N/A	1,512	falling	-1.6 (-2.0, -1.4)
Pierce County, Wisconsin	Urban	No	142.3 (127.3, 158.6)	N/A	69	falling	-1.0 (-1.6, -0.5)
Pike County, Alabama	Rural	No	172.1 (153.3, 192.7)	N/A	64	falling	-1.0 (-1.6, -0.4)
Pike County, Arkansas	Rural	No	174.0 (144.9, 207.9)	N/A	27	stable	-0.4 (-1.3, 0.5)
Pike County, Georgia	Urban	No	203.4 (177.8, 232.0)	N/A	47	stable	-0.6 (-1.3, 0.3)
Pike County, Illinois	Rural	No	193.4 (168.4, 221.6)	N/A	46	stable	-0.2 (-0.9, 0.5)
Pike County, Indiana	Rural	No	187.1 (159.0, 219.2)	N/A	34	stable	-0.4 (-1.3, 0.6)
Pike County, Kentucky	Rural	No	200.5 (186.7, 215.1)	N/A	167	falling	-2.2 (-5.5, -1.0)
Pike County, Mississippi	Rural	No	176.2 (159.9, 193.7)	N/A	90	stable	-0.8 (-1.4, 0.0)
Pike County, Missouri	Rural	No	160.1 (138.1, 184.8)	N/A	39	falling	-4.5 (-10.9, -0.9)
Pike County, Ohio	Rural	No	211.0 (190.3, 233.6)	N/A	79	stable	-0.1 (-0.6, 0.5)
Pike County, Pennsylvania	Rural	No	132.4 (122.3, 143.4)	N/A	135	falling	-1.7 (-2.2, -1.1)
Pima County, Arizona	Urban	No	135.3 (132.6, 138.0)	N/A	2,043	falling	-1.4 (-1.5, -1.3)
Pinal County, Arizona	Urban	No	128.4 (124.3, 132.7)	N/A	789	falling	-1.3 (-1.6, -1.0)
Pine County, Minnesota	Rural	No	166.3 (149.7, 184.5)	N/A	77	falling	-0.8 (-1.3, -0.3)
Pinellas County, Florida	Urban	No	141.8 (139.2, 144.4)	N/A	2,511	falling	-2.2 (-3.9, -1.0)
Pipestone County, Minnesota	Rural	No	180.0 (149.9, 215.2)	N/A	27	stable	-0.3 (-1.2, 0.6)
Piscataquis County, Maine	Rural	No	185.8 (164.3, 210.2)	N/A	59	falling	-0.9 (-1.4, -0.5)
Pitkin County, Colorado	Rural	Yes	65.8 (52.0, 82.7)	N/A	17	falling	-2.4 (-3.5, -1.0)
Pitt County, North Carolina	Urban	No	155.1 (147.0, 163.7)	N/A	282	falling	-1.6 (-1.8, -1.3)
Pittsburg County, Oklahoma	Rural	No	202.7 (187.1, 219.4)	N/A	131	stable	-0.4 (-0.8, 0.0)
Pittsylvania County, Virginia	Rural	No	159.7 (148.3, 171.9)	N/A	160	falling	-1.0 (-1.4, -0.6)
Piute County, Utah	Rural	No	150.8 (91.5, 247.3)	N/A	5	*	*
Placer County, California	Urban	No	129.5 (125.4, 133.7)	N/A	777	falling	-1.7 (-1.9, -1.4)
Plaquemines Parish, Louisiana	Urban	No	179.5 (156.8, 204.7)	N/A	46	falling	-1.5 (-2.3, -0.7)
Platte County, Missouri	Urban	No	128.7 (119.8, 138.1)	N/A	161	falling	-1.8 (-2.1, -1.5)
Platte County, Nebraska	Rural	No	139.6 (124.1, 156.6)	N/A	63	falling	-0.8 (-1.4, -0.1)
Platte County, Wyoming	Rural	No	167.3 (139.5, 200.6)	N/A	27	stable	7.3 (-1.6, 18.4)
Pleasants County, West Virginia	Rural	No	213.1 (174.8, 258.2)	N/A	23	stable	0.0 (-1.1, 1.2)
Plumas County, California	Rural	No	130.3 (113.7, 149.4)	N/A	51	falling	-2.7 (-6.7, -2.0)
Plymouth County, Iowa	Rural	No	133.6 (116.9, 152.2)	N/A	49	falling	-1.3 (-1.8, -0.7)
Plymouth County, Massachusetts	Urban	No	148.5 (144.5, 152.6)	N/A	1,104	falling	-2.0 (-3.9, -1.7)
Pocahontas County, Iowa	Rural	No	162.3 (130.8, 200.6)	N/A	21	falling	-1.1 (-2.0, -0.2)
Pocahontas County, West Virginia	Rural	No	191.1 (157.4, 231.2)	N/A	26	stable	-0.7 (-1.8, 0.4)
Poinsett County, Arkansas	Urban	No	225.4 (201.9, 251.0)	N/A	70	stable	-0.4 (-0.9, 0.1)
Pointe Coupee Parish, Louisiana	Urban	No	170.8 (150.5, 193.3)	N/A	55	falling	-1.3 (-2.0, -0.7)
Polk County, Arkansas	Rural	No	172.5 (151.9, 195.6)	N/A	55	falling	-12.7 (-21.7, -1.8)
Polk County, Florida	Urban	No	147.0 (143.7, 150.5)	N/A	1,542	falling	-1.4 (-1.6, -1.2)
Polk County, Georgia	Rural	No	192.2 (175.1, 210.5)	N/A	97	falling	-0.8 (-1.3, -0.4)
Polk County, Iowa	Urban	No	158.9 (154.0, 163.9)	N/A	822	falling	-1.6 (-3.8, -1.0)
Polk County, Minnesota	Urban	No	169.0 (151.9, 187.7)	N/A	76	falling	-1.0 (-1.6, -0.5)
Polk County, Missouri	Urban	No	158.2 (141.4, 176.6)	N/A	68	falling	-1.2 (-1.9, -0.5)
Polk County, Nebraska	Rural	No	142.7 (107.8, 187.4)	N/A	12	stable	0.0 (-1.3, 1.3)
Polk County, North Carolina	Rural	No	142.6 (124.2, 163.6)	N/A	59	falling	-1.3 (-1.8, -0.7)
Polk County, Oregon	Urban	No	146.2 (136.3, 156.7)	N/A	168	falling	-0.7 (-1.0, -0.3)
Polk County, Tennessee	Urban	No	204.1 (179.8, 231.2)	N/A	54	falling	-0.8 (-1.5, -0.1)
Polk County, Texas	Rural	No	257.2 (237.1, 278.6)	N/A	151	stable	0.1 (-0.5, 0.7)
Polk County, Wisconsin	Rural	No	158.6 (145.4, 172.7)	N/A	114	falling	-1.0 (-1.4, -0.6)
Pondera County, Montana	Rural	No	168.6 (131.2, 214.8)	N/A	16	stable	-1.0 (-2.0, 0.0)
Pontotoc County, Mississippi	Rural	No	203.0 (182.4, 225.3)	N/A	74	stable	2.0 (-0.1, 11.6)
Pontotoc County, Oklahoma	Rural	No	170.6 (154.3, 188.4)	N/A	83	falling	-0.7 (-1.2, -0.1)
Pope County, Arkansas	Rural	No	164.5 (151.8, 178.0)	N/A	128	falling	-0.8 (-1.2, -0.3)
Pope County, Illinois	Rural	No	147.5 (108.9, 201.4)	N/A	12	stable	-0.9 (-2.4, 0.6)
Pope County, Minnesota	Rural	No	147.1 (121.9, 176.7)	N/A	27	falling	-1.0 (-1.7, -0.3)
Poquoson City, Virginia	Urban	No	160.9 (135.5, 190.2)	N/A	29	stable	-1.0 (-2.5, 3.0)
Portage County, Ohio	Urban	No	170.3 (162.2, 178.6)	N/A	354	falling	-0.8 (-1.1, -0.5)
Portage County, Wisconsin	Rural	No	144.4 (133.1, 156.4)	N/A	127	falling	-1.1 (-1.5, -0.7)
Porter County, Indiana	Urban	No	156.2 (148.8, 164.0)	N/A	348	falling	-1.2 (-1.4, -0.9)
Portsmouth City, Virginia	Urban	No	186.1 (174.7, 198.0)	N/A	208	falling	-1.2 (-1.5, -0.9)
Posey County, Indiana	Urban	No	158.7 (140.5, 179.0)	N/A	58	falling	-1.1 (-1.5, -0.6)
Pottawatomie County, Kansas	Urban	No	138.3 (119.3, 159.4)	N/A	40	falling	-1.1 (-1.7, -0.5)
Pottawatomie County, Oklahoma	Rural	No	202.2 (189.0, 216.0)	N/A	182	stable	-0.3 (-0.6, 0.1)
Pottawattamie County, Iowa	Urban	No	174.8 (164.3, 185.9)	N/A	216	falling	-1.0 (-4.0, -0.4)
Potter County, Pennsylvania	Rural	No	169.7 (148.0, 194.4)	N/A	48	falling	-0.8 (-1.4, -0.2)
Potter County, South Dakota	Rural	Yes	108.6 (72.5, 165.3)	N/A	6	stable	-1.4 (-2.9, 0.1)
Potter County, Texas	Urban	No	167.6 (157.5, 178.3)	N/A	210	falling	-1.3 (-1.6, -1.0)
Powder River County, Montana	Rural	Yes	112.1 (59.2, 201.7)	N/A	3	*	*
Powell County, Kentucky	Rural	No	242.1 (207.8, 280.6)	N/A	38	stable	-0.7 (-1.5, 0.1)
Powell County, Montana	Rural	No	144.8 (113.7, 183.3)	N/A	15	falling	-1.6 (-2.5, -0.7)
Power County, Idaho	Rural	No	130.9 (99.9, 169.0)	N/A	12	stable	-1.3 (-2.6, 0.0)
Poweshiek County, Iowa	Rural	No	135.3 (116.7, 156.5)	N/A	41	falling	-0.9 (-1.5, -0.3)
Powhatan County, Virginia	Urban	No	130.6 (115.1, 147.8)	N/A	56	falling	-3.3 (-8.8, -2.4)
Prairie County, Arkansas	Rural	No	159.2 (130.1, 194.2)	N/A	23	falling	-1.3 (-2.5, -0.2)
Prairie County, Montana	Rural	No	219.6 (133.9, 358.8)	N/A	5	*	*
Pratt County, Kansas	Rural	No	157.5 (128.3, 192.2)	N/A	23	stable	-0.6 (-1.5, 0.2)
Preble County, Ohio	Rural	No	178.2 (162.9, 194.8)	N/A	105	stable	-0.5 (-0.9, 0.0)
Prentiss County, Mississippi	Rural	No	188.5 (167.7, 211.4)	N/A	62	stable	0.1 (-0.6, 0.8)
Presidio County, Texas	Rural	Yes	86.5 (60.5, 121.0)	N/A	9	falling	-2.9 (-4.6, -1.5)
Presque Isle County, Michigan	Rural	No	146.5 (125.0, 171.9)	N/A	41	falling	-1.2 (-1.8, -0.6)
Preston County, West Virginia	Urban	No	164.1 (147.9, 181.7)	N/A	79	falling	-0.9 (-1.4, -0.3)
Price County, Wisconsin	Rural	No	138.6 (118.5, 162.1)	N/A	38	falling	-1.0 (-1.9, -0.1)
Prince Edward County, Virginia	Rural	No	187.9 (164.2, 214.3)	N/A	49	falling	-0.8 (-1.2, -0.3)
Prince George County, Virginia	Urban	No	150.1 (133.7, 167.9)	N/A	63	falling	-1.9 (-2.6, -1.1)
Prince Georges County, Maryland	Urban	No	133.4 (130.2, 136.6)	N/A	1,394	falling	-2.5 (-2.8, -2.4)
Prince William County, Virginia	Urban	No	127.7 (122.6, 132.9)	N/A	518	falling	-2.2 (-2.4, -2.0)
Prince of Wales-Hyder Census Area, Alaska	Rural	No	217.8 (169.0, 277.0)	N/A	16	stable	4.9 (-5.8, 20.4)
Providence County, Rhode Island	Urban	No	142.0 (138.3, 145.8)	N/A	1,148	falling	-2.4 (-4.0, -1.2)
Prowers County, Colorado	Rural	No	182.0 (152.9, 215.5)	N/A	29	stable	-0.6 (-1.4, 0.3)
Pueblo County, Colorado	Urban	No	160.8 (153.4, 168.5)	N/A	372	falling	-0.6 (-0.9, -0.4)
Puerto Rico ⁸	Urban	Yes	100.7 (99.5, 102.0)	N/A	5,197	falling	-1.8 (-3.2, -0.3)
Pulaski County, Arkansas	Urban	No	152.8 (147.8, 157.9)	N/A	734	falling	-2.1 (-4.4, -1.6)
Pulaski County, Georgia	Rural	No	144.6 (118.7, 175.5)	N/A	23	falling	-2.0 (-2.9, -1.2)
Pulaski County, Illinois	Rural	No	215.5 (172.7, 267.7)	N/A	19	stable	-0.4 (-1.7, 0.8)
Pulaski County, Indiana	Rural	No	200.8 (172.2, 233.5)	N/A	38	stable	-0.4 (-1.0, 0.2)
Pulaski County, Kentucky	Rural	No	198.8 (185.8, 212.6)	N/A	182	falling	-0.4 (-0.7, -0.1)
Pulaski County, Missouri	Rural	No	176.1 (157.8, 195.9)	N/A	70	falling	-1.1 (-1.7, -0.5)
Pulaski County, Virginia	Urban	No	148.9 (134.5, 164.6)	N/A	83	falling	-1.9 (-10.7, -1.2)
Pushmataha County, Oklahoma	Rural	No	201.5 (172.5, 235.0)	N/A	37	stable	-0.5 (-1.3, 0.4)
Putnam County, Florida	Rural	No	189.3 (177.9, 201.3)	N/A	229	falling	-0.7 (-1.2, -0.3)
Putnam County, Georgia	Rural	No	151.0 (133.0, 171.3)	N/A	57	falling	-1.1 (-1.8, -0.4)
Putnam County, Illinois	Rural	No	162.6 (127.0, 207.2)	N/A	15	falling	-1.6 (-3.0, -0.2)
Putnam County, Indiana	Rural	No	194.1 (176.7, 213.0)	N/A	94	stable	-0.4 (-0.8, 0.1)
Putnam County, Missouri	Rural	No	192.2 (150.6, 244.1)	N/A	16	stable	0.1 (-0.9, 1.2)
Putnam County, New York	Urban	No	129.0 (120.4, 138.1)	N/A	175	falling	-2.2 (-2.5, -1.8)
Putnam County, Ohio	Rural	No	133.3 (118.6, 149.4)	N/A	63	falling	-1.3 (-1.9, -0.7)
Putnam County, Tennessee	Rural	No	186.1 (173.9, 199.0)	N/A	179	stable	-0.4 (-0.9, 0.1)
Putnam County, West Virginia	Urban	No	149.3 (137.3, 162.2)	N/A	119	falling	-1.7 (-3.8, -1.3)
Quay County, New Mexico	Rural	No	166.8 (137.6, 201.5)	N/A	25	falling	-1.1 (-1.9, -0.2)
Queen Annes County, Maryland	Urban	No	145.0 (132.6, 158.3)	N/A	106	falling	-1.6 (-2.1, -1.2)
Queens County, New York	Urban	Yes	103.7 (102.1, 105.4)	N/A	3,120	falling	-3.8 (-4.6, -3.2)
Quitman County, Georgia	Rural	No	162.2 (113.6, 234.3)	N/A	8	stable	-0.8 (-2.6, 1.3)
Quitman County, Mississippi	Rural	No	271.5 (221.1, 330.6)	N/A	22	stable	-0.5 (-1.3, 0.3)
Rabun County, Georgia	Rural	No	154.0 (134.4, 176.5)	N/A	50	falling	-1.1 (-1.7, -0.5)
Racine County, Wisconsin	Urban	No	153.0 (146.2, 160.1)	N/A	393	falling	-1.2 (-1.4, -0.9)
Radford City, Virginia	Urban	No	184.9 (151.2, 223.9)	N/A	22	falling	-0.8 (-1.6, -0.1)
Rains County, Texas	Rural	No	160.4 (136.7, 187.9)	N/A	35	falling	-1.2 (-2.0, -0.3)
Raleigh County, West Virginia	Urban	No	166.6 (155.7, 178.1)	N/A	186	falling	-0.8 (-1.2, -0.5)
Ralls County, Missouri	Rural	No	171.1 (143.1, 203.9)	N/A	28	stable	-0.4 (-1.1, 0.4)
Ramsey County, Minnesota	Urban	No	142.8 (138.5, 147.1)	N/A	895	falling	-1.7 (-2.0, -1.5)
Ramsey County, North Dakota	Rural	No	137.9 (114.3, 165.6)	N/A	25	falling	-1.3 (-2.2, -0.4)
Randall County, Texas	Urban	No	147.3 (138.9, 156.1)	N/A	235	falling	-0.7 (-0.9, -0.4)
Randolph County, Alabama	Rural	No	151.7 (132.9, 172.8)	N/A	51	falling	-0.7 (-1.3, -0.1)
Randolph County, Arkansas	Rural	No	200.2 (175.8, 227.2)	N/A	52	stable	-0.2 (-0.7, 0.4)
Randolph County, Georgia	Rural	No	163.8 (130.0, 205.3)	N/A	18	falling	-1.8 (-2.7, -0.9)
Randolph County, Illinois	Rural	No	174.6 (157.6, 193.2)	N/A	81	stable	-0.6 (-1.1, 0.0)
Randolph County, Indiana	Rural	No	184.2 (164.6, 205.7)	N/A	68	stable	-0.4 (-1.0, 0.2)
Randolph County, Missouri	Rural	No	213.4 (191.0, 238.0)	N/A	68	stable	-0.3 (-0.8, 0.2)
Randolph County, North Carolina	Urban	No	172.0 (163.7, 180.7)	N/A	335	falling	-0.6 (-0.9, -0.3)
Randolph County, West Virginia	Rural	No	180.7 (162.8, 200.2)	N/A	79	falling	-0.6 (-1.1, -0.1)
Rankin County, Mississippi	Urban	No	133.3 (126.0, 140.9)	N/A	257	falling	-2.0 (-5.6, -0.4)
Ransom County, North Dakota	Rural	Yes	116.3 (85.8, 155.8)	N/A	11	falling	-2.0 (-3.1, -1.1)
Rapides Parish, Louisiana	Urban	No	159.8 (151.1, 169.0)	N/A	258	falling	-1.4 (-1.7, -1.1)
Rappahannock County, Virginia	Urban	Yes	115.8 (91.0, 147.5)	N/A	16	falling	-2.0 (-3.1, -0.8)
Ravalli County, Montana	Rural	No	147.9 (135.6, 161.3)	N/A	118	falling	-0.8 (-1.3, -0.3)
Rawlins County, Kansas	Rural	No	136.0 (94.4, 196.8)	N/A	7	falling	-17.1 (-30.3, -0.5)
Ray County, Missouri	Urban	No	198.9 (177.5, 222.5)	N/A	65	stable	-0.3 (-1.0, 0.4)
Reagan County, Texas	Rural	No	223.8 (144.7, 327.3)	N/A	6	stable	0.3 (-1.9, 2.6)
Real County, Texas	Rural	No	238.7 (181.7, 313.9)	N/A	14	rising	4.2 (0.6, 17.8)
Red Lake County, Minnesota	Rural	No	168.3 (123.4, 226.4)	N/A	10	stable	-0.1 (-1.2, 1.0)
Red River County, Texas	Rural	No	198.7 (170.7, 230.7)	N/A	40	stable	-0.4 (-1.2, 0.3)
Red River Parish, Louisiana	Rural	No	193.0 (157.6, 234.8)	N/A	22	stable	0.0 (-1.3, 1.4)
Red Willow County, Nebraska	Rural	No	155.4 (129.1, 186.2)	N/A	27	falling	-0.9 (-1.6, -0.2)
Redwood County, Minnesota	Rural	No	135.8 (115.2, 159.6)	N/A	33	falling	-1.0 (-1.6, -0.4)
Reeves County, Texas	Rural	No	163.8 (134.0, 198.3)	N/A	21	stable	12.5 (-0.3, 23.3)
Refugio County, Texas	Rural	No	171.7 (138.4, 212.2)	N/A	19	stable	-1.1 (-9.6, 0.6)
Reno County, Kansas	Rural	No	148.7 (137.3, 160.9)	N/A	134	falling	-0.6 (-1.1, -0.2)
Rensselaer County, New York	Urban	No	156.1 (148.5, 164.0)	N/A	334	falling	-1.8 (-2.7, -1.5)
Renville County, Minnesota	Rural	No	152.9 (130.4, 178.7)	N/A	36	falling	-0.8 (-1.5, -0.2)
Renville County, North Dakota	Urban	No	141.3 (89.9, 216.5)	N/A	5	stable	0.1 (-1.5, 1.7)
Republic County, Kansas	Rural	No	208.1 (163.5, 263.6)	N/A	18	rising	3.9 (1.3, 15.5)
Reynolds County, Missouri	Rural	No	181.7 (145.6, 225.9)	N/A	19	falling	-1.8 (-4.6, -0.6)
Rhea County, Tennessee	Rural	No	201.0 (182.4, 221.0)	N/A	91	stable	-0.5 (-0.9, 0.0)
Rice County, Kansas	Rural	No	176.4 (145.1, 213.2)	N/A	24	stable	-0.3 (-1.4, 0.8)
Rice County, Minnesota	Rural	No	143.9 (132.2, 156.3)	N/A	117	falling	-1.3 (-1.9, -1.0)
Richardson County, Nebraska	Rural	No	166.5 (136.8, 202.4)	N/A	24	stable	-0.7 (-1.5, 0.2)
Richland County, Illinois	Rural	No	169.2 (146.0, 195.4)	N/A	41	falling	-0.8 (-1.3, -0.2)
Richland County, Montana	Rural	No	162.9 (133.0, 197.8)	N/A	22	falling	-1.0 (-1.8, -0.2)
Richland County, North Dakota	Rural	Yes	116.5 (97.1, 139.1)	N/A	28	falling	-1.4 (-2.1, -0.7)
Richland County, Ohio	Urban	No	170.1 (161.5, 179.1)	N/A	308	falling	-0.9 (-1.1, -0.6)
Richland County, South Carolina	Urban	No	164.3 (158.8, 170.0)	N/A	696	falling	-1.3 (-1.5, -1.1)
Richland County, Wisconsin	Rural	No	138.6 (119.7, 160.2)	N/A	42	falling	-1.4 (-2.1, -0.7)
Richland Parish, Louisiana	Urban	No	172.1 (149.9, 196.8)	N/A	46	falling	-1.6 (-2.2, -1.0)
Richmond City, Virginia	Urban	No	146.5 (139.5, 153.8)	N/A	352	falling	-3.1 (-3.8, -2.7)
Richmond County, Georgia	Urban	No	184.8 (176.7, 193.2)	N/A	417	falling	-1.0 (-1.3, -0.8)
Richmond County, New York	Urban	No	136.2 (132.0, 140.4)	N/A	849	falling	-1.9 (-2.0, -1.8)
Richmond County, North Carolina	Rural	No	199.7 (183.3, 217.4)	N/A	114	stable	-0.4 (-0.9, 0.0)
Richmond County, Virginia	Rural	No	183.9 (153.6, 219.7)	N/A	27	falling	-0.9 (-1.7, -0.1)
Riley County, Kansas	Urban	No	144.6 (130.2, 160.1)	N/A	77	stable	-0.4 (-0.9, 0.1)
Ringgold County, Iowa	Rural	No	198.5 (156.2, 251.1)	N/A	16	stable	0.9 (-0.2, 2.0)
Rio Arriba County, New Mexico	Rural	No	123.5 (110.9, 137.4)	N/A	74	falling	-2.0 (-6.3, -1.0)
Rio Blanco County, Colorado	Rural	No	148.1 (111.2, 193.8)	N/A	11	stable	-0.6 (-1.7, 0.7)
Rio Grande County, Colorado	Rural	No	149.2 (123.3, 179.6)	N/A	25	falling	-0.9 (-1.7, -0.1)
Ripley County, Indiana	Rural	No	160.9 (143.3, 180.2)	N/A	64	falling	-2.1 (-9.4, -1.0)
Ripley County, Missouri	Rural	No	252.8 (217.6, 292.5)	N/A	40	stable	0.6 (0.0, 1.3)
Ritchie County, West Virginia	Rural	No	173.7 (143.1, 210.2)	N/A	24	stable	-0.5 (-1.3, 0.4)
Riverside County, California	Urban	No	140.6 (138.6, 142.6)	N/A	3,870	falling	-1.4 (-1.5, -1.3)
Roane County, Tennessee	Urban	No	160.3 (148.4, 173.1)	N/A	144	falling	-2.5 (-7.0, -1.3)
Roane County, West Virginia	Rural	No	220.9 (192.4, 253.0)	N/A	48	stable	-0.2 (-0.8, 0.4)
Roanoke City, Virginia	Urban	No	184.5 (173.9, 195.6)	N/A	241	falling	-0.9 (-1.1, -0.7)
Roanoke County, Virginia	Urban	No	141.0 (132.6, 150.0)	N/A	215	falling	-0.9 (-1.2, -0.5)
Roberts County, South Dakota	Rural	No	153.4 (125.4, 186.5)	N/A	22	falling	-1.2 (-2.0, -0.3)
Robertson County, Kentucky	Rural	Yes	95.6 (57.5, 157.4)	N/A	4	falling	-14.3 (-39.2, -1.2)
Robertson County, Tennessee	Urban	No	178.9 (166.0, 192.5)	N/A	153	falling	-0.8 (-1.2, -0.4)
Robertson County, Texas	Urban	No	184.7 (160.4, 212.0)	N/A	45	falling	-1.1 (-1.6, -0.5)
Robeson County, North Carolina	Rural	No	198.8 (188.1, 209.8)	N/A	276	falling	-0.6 (-3.1, -0.2)
Rock County, Minnesota	Urban	No	153.6 (126.5, 185.8)	N/A	23	stable	-0.6 (-1.4, 0.2)
Rock County, Wisconsin	Urban	No	156.8 (149.2, 164.7)	N/A	335	falling	-1.0 (-1.3, -0.8)
Rock Island County, Illinois	Urban	No	158.4 (150.6, 166.5)	N/A	330	falling	-1.1 (-1.3, -1.0)
Rockbridge County, Virginia	Rural	No	143.4 (126.9, 162.0)	N/A	61	falling	-1.4 (-2.1, -0.7)
Rockcastle County, Kentucky	Rural	No	209.1 (182.4, 239.1)	N/A	47	stable	-0.3 (-1.0, 0.5)
Rockdale County, Georgia	Urban	No	155.5 (144.8, 166.9)	N/A	167	falling	-1.3 (-1.6, -0.8)
Rockingham County, New Hampshire	Urban	No	136.8 (131.8, 141.9)	N/A	610	falling	-2.5 (-3.8, -2.0)
Rockingham County, North Carolina	Urban	No	168.6 (158.9, 178.8)	N/A	237	falling	-1.4 (-2.2, -1.1)
Rockingham County, Virginia	Urban	No	141.4 (132.0, 151.4)	N/A	175	falling	-1.3 (-4.4, -0.7)
Rockland County, New York	Urban	Yes	112.9 (108.3, 117.7)	N/A	463	falling	-2.4 (-4.0, -2.0)
Rockwall County, Texas	Urban	No	134.8 (124.9, 145.4)	N/A	143	falling	-1.5 (-1.9, -1.0)
Roger Mills County, Oklahoma	Rural	No	162.2 (116.0, 223.4)	N/A	9	stable	-0.4 (-1.9, 1.2)
Rogers County, Oklahoma	Urban	No	168.0 (157.6, 178.8)	N/A	203	falling	-0.9 (-1.2, -0.5)
Rolette County, North Dakota	Rural	No	226.4 (188.8, 269.2)	N/A	27	stable	-0.6 (-1.5, 0.3)
Rooks County, Kansas	Rural	No	143.7 (108.7, 188.7)	N/A	12	falling	-1.8 (-3.7, -0.9)
Roosevelt County, Montana	Rural	No	196.3 (158.0, 241.0)	N/A	20	stable	0.1 (-1.0, 1.2)
Roosevelt County, New Mexico	Rural	No	138.4 (116.6, 163.3)	N/A	29	falling	-1.3 (-2.0, -0.6)
Roscommon County, Michigan	Rural	No	182.8 (164.5, 203.3)	N/A	91	stable	-0.2 (-0.8, 0.3)
Roseau County, Minnesota	Rural	No	129.6 (109.0, 153.5)	N/A	29	falling	-1.5 (-2.1, -0.9)
Rosebud County, Montana	Rural	No	169.6 (133.6, 212.5)	N/A	16	falling	-1.4 (-2.6, -0.1)
Ross County, Ohio	Rural	No	186.8 (174.8, 199.5)	N/A	187	falling	-0.9 (-1.3, -0.5)
Routt County, Colorado	Rural	Yes	96.6 (80.1, 115.6)	N/A	28	falling	-2.5 (-3.4, -1.4)
Rowan County, Kentucky	Rural	No	184.2 (161.3, 209.5)	N/A	48	stable	0.0 (-0.7, 0.8)
Rowan County, North Carolina	Urban	No	165.2 (157.0, 173.6)	N/A	322	falling	-3.3 (-4.8, -2.5)
Runnels County, Texas	Rural	No	195.2 (164.2, 231.2)	N/A	29	stable	-0.5 (-1.3, 0.3)
Rush County, Indiana	Rural	No	196.0 (170.9, 224.0)	N/A	46	falling	-0.7 (-1.3, -0.1)
Rush County, Kansas	Rural	No	207.7 (154.4, 278.0)	N/A	11	stable	0.0 (-1.3, 1.4)
Rusk County, Texas	Urban	No	171.8 (157.8, 186.7)	N/A	116	falling	-1.0 (-1.4, -0.6)
Rusk County, Wisconsin	Rural	No	155.1 (132.6, 181.2)	N/A	39	stable	-0.5 (-1.0, 0.1)
Russell County, Alabama	Urban	No	191.4 (176.5, 207.2)	N/A	129	falling	-1.3 (-5.5, -0.8)
Russell County, Kansas	Rural	No	205.9 (166.2, 253.3)	N/A	22	stable	-0.3 (-1.5, 0.9)
Russell County, Kentucky	Rural	No	207.5 (182.8, 234.9)	N/A	55	stable	-0.2 (-0.8, 0.5)
Russell County, Virginia	Rural	No	187.4 (168.6, 208.1)	N/A	78	stable	-0.4 (-0.9, 0.1)
Rutherford County, North Carolina	Rural	No	173.3 (161.6, 185.7)	N/A	174	stable	0.2 (-1.2, 3.3)
Rutherford County, Tennessee	Urban	No	160.6 (154.0, 167.4)	N/A	477	falling	-1.3 (-1.5, -1.1)
Rutland County, Vermont	Rural	No	164.7 (153.2, 177.0)	N/A	165	falling	-0.8 (-1.0, -0.5)
Sabine County, Texas	Rural	No	171.8 (144.9, 203.6)	N/A	35	falling	-1.0 (-1.7, -0.2)
Sabine Parish, Louisiana	Rural	No	182.7 (161.8, 206.0)	N/A	59	falling	-0.9 (-1.6, -0.3)
Sac County, Iowa	Rural	No	140.5 (115.0, 171.0)	N/A	24	stable	-0.7 (-1.5, 0.1)
Sacramento County, California	Urban	No	146.2 (143.6, 148.8)	N/A	2,583	falling	-1.4 (-2.3, -1.3)
Sagadahoc County, Maine	Urban	No	145.9 (132.6, 160.4)	N/A	92	falling	-1.7 (-2.3, -1.1)
Saginaw County, Michigan	Urban	No	157.7 (150.9, 164.7)	N/A	433	falling	-1.2 (-1.4, -1.0)
Saguache County, Colorado	Rural	No	143.7 (110.0, 186.0)	N/A	15	stable	-0.1 (-1.6, 1.7)
Salem City, Virginia	Urban	No	183.6 (163.9, 205.4)	N/A	66	stable	-0.6 (-1.2, 0.0)
Salem County, New Jersey	Urban	No	161.0 (149.4, 173.4)	N/A	150	falling	-1.3 (-1.6, -0.9)
Saline County, Arkansas	Urban	No	152.4 (144.0, 161.2)	N/A	252	falling	-0.8 (-1.1, -0.4)
Saline County, Illinois	Rural	No	179.9 (160.6, 201.2)	N/A	66	falling	-0.9 (-1.3, -0.4)
Saline County, Kansas	Rural	No	154.8 (142.3, 168.2)	N/A	119	falling	-0.6 (-1.1, -0.2)
Saline County, Missouri	Rural	No	186.2 (164.6, 210.1)	N/A	57	stable	-0.4 (-1.1, 0.4)
Saline County, Nebraska	Rural	Yes	121.7 (99.6, 147.6)	N/A	22	falling	-0.9 (-1.7, -0.1)
Salt Lake County, Utah	Urban	Yes	120.1 (117.0, 123.1)	N/A	1,236	falling	-1.1 (-1.3, -0.9)
Saluda County, South Carolina	Urban	No	164.0 (143.5, 186.9)	N/A	48	falling	-1.0 (-1.6, -0.2)
Sampson County, North Carolina	Rural	No	189.7 (176.1, 204.2)	N/A	149	stable	-0.4 (-0.8, 0.0)
San Augustine County, Texas	Rural	No	177.3 (148.2, 212.2)	N/A	28	falling	-0.9 (-1.6, -0.1)
San Benito County, California	Urban	No	130.1 (117.8, 143.4)	N/A	85	falling	-1.7 (-2.3, -1.0)
San Bernardino County, California	Urban	No	149.3 (146.9, 151.7)	N/A	3,056	falling	-1.4 (-1.9, -1.3)
San Diego County, California	Urban	No	136.5 (134.8, 138.2)	N/A	5,064	falling	-1.6 (-2.6, -1.4)
San Francisco County, California	Urban	Yes	116.3 (113.4, 119.2)	N/A	1,290	falling	-3.2 (-5.5, -2.1)
San Jacinto County, Texas	Urban	No	176.0 (157.9, 195.9)	N/A	77	stable	-0.6 (-1.3, 0.1)
San Joaquin County, California	Urban	No	146.1 (142.3, 150.0)	N/A	1,155	falling	-2.3 (-4.4, -1.4)
San Juan County, New Mexico	Urban	No	131.6 (123.1, 140.5)	N/A	187	falling	-1.3 (-1.7, -0.9)
San Juan County, Utah	Rural	No	128.7 (104.2, 157.3)	N/A	20	stable	-0.3 (-1.4, 1.0)
San Juan County, Washington	Rural	Yes	117.1 (100.9, 136.2)	N/A	46	falling	-1.2 (-1.9, -0.4)
San Luis Obispo County, California	Urban	No	133.1 (127.9, 138.3)	N/A	551	falling	-1.4 (-1.6, -1.2)
San Mateo County, California	Urban	Yes	111.4 (108.4, 114.4)	N/A	1,101	falling	-2.5 (-2.8, -2.3)
San Miguel County, Colorado	Rural	No	129.6 (91.1, 178.2)	N/A	9	*	*
San Miguel County, New Mexico	Rural	No	131.3 (115.8, 148.7)	N/A	57	falling	-0.8 (-1.5, -0.1)
San Patricio County, Texas	Urban	No	175.0 (161.9, 189.0)	N/A	135	falling	-1.2 (-1.5, -0.8)
San Saba County, Texas	Rural	No	157.8 (124.0, 200.0)	N/A	15	stable	-0.2 (-1.4, 1.1)
Sanborn County, South Dakota	Rural	No	134.2 (85.9, 205.0)	N/A	5	falling	-1.6 (-3.1, -0.2)
Sanders County, Montana	Rural	No	154.7 (132.3, 181.1)	N/A	40	falling	-1.3 (-2.0, -0.5)
Sandoval County, New Mexico	Urban	No	130.8 (123.5, 138.4)	N/A	257	falling	-1.2 (-1.4, -0.9)
Sandusky County, Ohio	Rural	No	159.3 (147.2, 172.2)	N/A	135	falling	-4.8 (-9.3, -1.2)
Sangamon County, Illinois	Urban	No	158.0 (151.2, 165.0)	N/A	427	falling	-2.7 (-5.7, -1.5)
Sanilac County, Michigan	Rural	No	176.9 (162.0, 192.9)	N/A	115	falling	-0.7 (-1.2, -0.3)
Sanpete County, Utah	Rural	No	128.1 (110.1, 148.3)	N/A	37	falling	-1.0 (-1.7, -0.3)
Santa Barbara County, California	Urban	No	126.5 (122.2, 130.9)	N/A	683	falling	-1.3 (-1.5, -1.1)
Santa Clara County, California	Urban	Yes	109.9 (107.9, 112.0)	N/A	2,372	falling	-2.3 (-2.9, -1.2)
Santa Cruz County, Arizona	Rural	Yes	110.2 (98.7, 122.9)	N/A	69	falling	-1.7 (-2.3, -1.1)
Santa Cruz County, California	Urban	No	126.9 (121.4, 132.5)	N/A	427	falling	-1.5 (-1.8, -1.2)
Santa Fe County, New Mexico	Urban	Yes	114.2 (108.2, 120.5)	N/A	301	falling	-1.5 (-1.7, -1.3)
Santa Rosa County, Florida	Urban	No	158.5 (151.1, 166.1)	N/A	366	falling	-1.0 (-1.4, -0.6)
Sarasota County, Florida	Urban	No	130.6 (127.1, 134.2)	N/A	1,444	falling	-1.2 (-1.4, -1.1)
Saratoga County, New York	Urban	No	141.8 (136.0, 147.8)	N/A	472	falling	-2.4 (-4.9, -1.5)
Sargent County, North Dakota	Rural	No	168.4 (125.0, 225.0)	N/A	11	stable	-0.4 (-1.5, 0.7)
Sarpy County, Nebraska	Urban	No	146.3 (138.3, 154.5)	N/A	264	falling	-1.3 (-1.6, -0.9)
Sauk County, Wisconsin	Rural	No	158.0 (146.5, 170.1)	N/A	148	falling	-0.6 (-1.0, -0.2)
Saunders County, Nebraska	Urban	No	146.3 (127.6, 167.2)	N/A	47	falling	-0.8 (-1.3, -0.2)
Sawyer County, Wisconsin	Rural	No	149.0 (130.5, 170.2)	N/A	51	falling	-1.6 (-2.3, -0.9)
Schenectady County, New York	Urban	No	146.0 (138.7, 153.7)	N/A	312	falling	-1.4 (-1.6, -1.1)
Schleicher County, Texas	Rural	Yes	114.8 (71.4, 179.7)	N/A	4	falling	-5.6 (-26.7, -0.7)
Schley County, Georgia	Rural	No	177.5 (132.7, 234.2)	N/A	11	falling	-2.3 (-3.5, -1.0)
Schoharie County, New York	Urban	No	165.3 (149.1, 183.2)	N/A	81	falling	-1.3 (-1.7, -0.9)
Schoolcraft County, Michigan	Rural	No	185.5 (155.2, 221.9)	N/A	29	stable	-0.3 (-0.9, 0.3)
Schuyler County, Illinois	Rural	No	144.7 (114.2, 182.5)	N/A	17	stable	-0.7 (-1.6, 0.2)
Schuyler County, Missouri	Rural	No	178.0 (130.6, 238.4)	N/A	10	stable	-0.3 (-1.5, 0.9)
Schuyler County, New York	Rural	No	186.6 (163.9, 212.0)	N/A	53	stable	-0.5 (-1.1, 0.2)
Schuylkill County, Pennsylvania	Rural	No	179.0 (171.0, 187.3)	N/A	395	falling	-3.8 (-6.6, -0.7)
Scioto County, Ohio	Rural	No	202.8 (190.3, 216.0)	N/A	203	falling	-0.7 (-1.0, -0.4)
Scotland County, Missouri	Rural	No	174.1 (130.2, 229.2)	N/A	11	stable	0.0 (-1.2, 1.2)
Scotland County, North Carolina	Rural	No	196.7 (178.5, 216.4)	N/A	90	stable	-0.5 (-1.1, 0.1)
Scott County, Arkansas	Rural	No	202.5 (171.1, 238.8)	N/A	31	stable	-0.5 (-1.4, 0.4)
Scott County, Illinois	Rural	No	194.9 (150.6, 249.8)	N/A	14	stable	0.0 (-0.9, 1.0)
Scott County, Indiana	Rural	No	217.8 (194.9, 243.0)	N/A	69	stable	-0.7 (-1.3, 0.1)
Scott County, Iowa	Urban	No	151.2 (144.0, 158.8)	N/A	337	falling	-2.5 (-6.1, -1.3)
Scott County, Kansas	Rural	Yes	116.1 (84.3, 157.7)	N/A	9	stable	-0.9 (-2.3, 0.5)
Scott County, Kentucky	Urban	No	159.7 (144.6, 176.0)	N/A	87	falling	-1.6 (-2.1, -1.0)
Scott County, Minnesota	Urban	No	127.6 (119.2, 136.5)	N/A	181	falling	-1.7 (-2.1, -1.2)
Scott County, Mississippi	Urban	No	170.6 (151.0, 192.0)	N/A	57	falling	-0.7 (-1.3, -0.1)
Scott County, Missouri	Rural	No	173.1 (157.1, 190.4)	N/A	89	falling	-0.7 (-1.1, -0.3)
Scott County, Tennessee	Rural	No	189.8 (167.5, 214.4)	N/A	54	falling	-13.9 (-20.9, -6.9)
Scott County, Virginia	Urban	No	175.5 (156.1, 197.1)	N/A	65	falling	-0.7 (-1.3, -0.1)
Scotts Bluff County, Nebraska	Rural	No	142.3 (127.5, 158.6)	N/A	73	falling	-0.9 (-1.5, -0.3)
Screven County, Georgia	Rural	No	185.9 (159.9, 215.4)	N/A	39	falling	-0.7 (-1.2, -0.1)
Scurry County, Texas	Rural	No	163.1 (138.3, 191.1)	N/A	31	falling	-1.2 (-2.1, -0.6)
Searcy County, Arkansas	Rural	No	199.7 (166.7, 238.8)	N/A	28	stable	-0.6 (-1.3, 0.1)
Sebastian County, Arkansas	Urban	No	161.4 (152.5, 170.7)	N/A	256	falling	-1.7 (-5.0, -1.1)
Sedgwick County, Colorado	Rural	No	142.5 (97.4, 209.6)	N/A	7	stable	-1.4 (-3.0, 0.0)
Sedgwick County, Kansas	Urban	No	156.1 (151.6, 160.7)	N/A	938	stable	-1.1 (-1.5, 0.3)
Seminole County, Florida	Urban	No	142.2 (137.8, 146.7)	N/A	824	falling	-1.5 (-1.6, -1.3)
Seminole County, Georgia	Rural	No	157.7 (130.0, 190.8)	N/A	25	falling	-1.1 (-1.9, -0.2)
Seminole County, Oklahoma	Rural	No	214.1 (191.7, 238.6)	N/A	69	stable	0.1 (-0.3, 0.4)
Seneca County, New York	Rural	No	151.4 (135.9, 168.4)	N/A	74	falling	-1.2 (-1.7, -0.7)
Seneca County, Ohio	Rural	No	169.6 (156.4, 183.7)	N/A	129	falling	-0.6 (-1.1, -0.2)
Sequatchie County, Tennessee	Urban	No	148.6 (126.5, 174.0)	N/A	35	falling	-5.5 (-14.0, -2.0)
Sequoyah County, Oklahoma	Urban	No	227.1 (209.1, 246.3)	N/A	122	stable	-0.4 (-0.9, 0.1)
Sevier County, Arkansas	Rural	No	166.6 (140.1, 196.7)	N/A	29	falling	-1.2 (-2.0, -0.4)
Sevier County, Tennessee	Rural	No	175.9 (165.9, 186.4)	N/A	249	falling	-5.7 (-9.4, -0.8)
Sevier County, Utah	Rural	No	148.8 (127.8, 172.3)	N/A	37	stable	-0.4 (-1.1, 0.5)
Seward County, Kansas	Rural	No	154.1 (129.7, 181.6)	N/A	29	falling	-1.1 (-1.8, -0.4)
Seward County, Nebraska	Urban	No	151.6 (129.7, 176.5)	N/A	36	falling	-1.6 (-6.1, -0.7)
Shackelford County, Texas	Rural	No	127.2 (84.8, 186.5)	N/A	6	falling	-2.6 (-4.1, -1.3)
Shannon County, Missouri	Rural	No	220.0 (181.9, 265.1)	N/A	25	stable	-0.3 (-1.2, 0.7)
Sharkey County, Mississippi	Rural	No	238.7 (181.3, 310.4)	N/A	13	falling	-1.4 (-2.7, -0.3)
Sharp County, Arkansas	Rural	No	201.5 (178.9, 226.6)	N/A	64	stable	0.0 (-0.7, 0.7)
Shasta County, California	Urban	No	162.4 (155.5, 169.6)	N/A	443	falling	-1.1 (-1.3, -0.8)
Shawano County, Wisconsin	Rural	No	159.0 (145.1, 174.0)	N/A	102	falling	-0.6 (-1.0, -0.1)
Shawnee County, Kansas	Urban	No	158.8 (151.6, 166.3)	N/A	388	falling	-0.9 (-1.2, -0.7)
Sheboygan County, Wisconsin	Urban	No	139.7 (131.6, 148.2)	N/A	230	falling	-1.2 (-1.6, -0.8)
Shelby County, Alabama	Urban	Yes	119.2 (113.4, 125.3)	N/A	326	falling	-3.3 (-7.4, -1.9)
Shelby County, Illinois	Rural	No	166.3 (147.8, 187.0)	N/A	61	falling	-0.8 (-1.5, -0.1)
Shelby County, Indiana	Urban	No	169.2 (154.7, 184.8)	N/A	105	falling	-0.7 (-1.2, -0.1)
Shelby County, Iowa	Rural	No	126.5 (104.9, 152.1)	N/A	27	falling	-2.0 (-8.8, -0.9)
Shelby County, Kentucky	Urban	No	158.6 (144.1, 174.2)	N/A	92	falling	-1.2 (-1.9, -0.5)
Shelby County, Missouri	Rural	No	167.5 (132.9, 210.1)	N/A	17	falling	-1.1 (-2.1, -0.1)
Shelby County, Ohio	Rural	No	167.0 (152.6, 182.5)	N/A	104	stable	-0.5 (-0.9, 0.0)
Shelby County, Tennessee	Urban	No	162.1 (158.5, 165.7)	N/A	1,638	falling	-2.9 (-4.2, -2.2)
Shelby County, Texas	Rural	No	195.4 (174.0, 219.0)	N/A	62	falling	-0.9 (-1.3, -0.4)
Shenandoah County, Virginia	Rural	No	169.1 (155.4, 184.0)	N/A	117	falling	-0.8 (-1.1, -0.5)
Sherburne County, Minnesota	Urban	No	149.0 (137.7, 161.0)	N/A	137	falling	-1.1 (-1.6, -0.6)
Sheridan County, Kansas	Rural	Yes	118.4 (77.7, 179.5)	N/A	6	falling	-1.4 (-2.9, -0.1)
Sheridan County, Montana	Rural	No	191.2 (145.6, 250.3)	N/A	13	stable	-0.5 (-1.8, 0.7)
Sheridan County, Nebraska	Rural	Yes	120.5 (91.7, 158.5)	N/A	12	stable	-0.8 (-1.7, 0.1)
Sheridan County, Wyoming	Rural	No	137.9 (122.9, 154.5)	N/A	66	falling	-1.3 (-1.9, -0.7)
Sherman County, Kansas	Rural	Yes	115.1 (85.6, 153.1)	N/A	11	stable	-1.0 (-2.5, 0.5)
Sherman County, Nebraska	Rural	No	138.5 (96.0, 198.5)	N/A	8	stable	-0.4 (-2.0, 1.2)
Sherman County, Oregon	Rural	No	137.5 (86.0, 217.0)	N/A	5	falling	-2.2 (-4.0, -0.6)
Sherman County, Texas	Rural	Yes	106.6 (62.8, 170.9)	N/A	4	stable	-0.4 (-2.6, 1.7)
Shiawassee County, Michigan	Rural	No	161.8 (150.3, 174.0)	N/A	155	falling	-1.0 (-1.3, -0.7)
Shoshone County, Idaho	Rural	No	153.7 (129.8, 181.4)	N/A	33	falling	-7.4 (-18.2, -1.4)
Sibley County, Minnesota	Rural	No	151.0 (127.5, 178.0)	N/A	32	stable	-0.7 (-1.4, 0.1)
Sierra County, California	Rural	Yes	114.9 (81.2, 165.1)	N/A	8	falling	-1.9 (-3.2, -0.5)
Sierra County, New Mexico	Rural	No	160.8 (138.0, 187.8)	N/A	46	stable	-0.5 (-1.2, 0.1)
Silver Bow County, Montana	Rural	No	156.5 (141.1, 173.3)	N/A	79	falling	-1.7 (-4.5, -1.1)
Simpson County, Kentucky	Rural	No	175.9 (152.5, 202.0)	N/A	43	falling	-2.7 (-10.4, -0.3)
Simpson County, Mississippi	Urban	No	168.7 (149.5, 190.0)	N/A	59	falling	-0.9 (-1.5, -0.2)
Sioux County, Iowa	Rural	Yes	106.5 (93.2, 121.3)	N/A	49	falling	-1.3 (-1.7, -0.8)
Sioux County, North Dakota	Rural	No	181.5 (117.0, 267.0)	N/A	6	stable	-1.9 (-4.7, 1.5)
Siskiyou County, California	Rural	No	165.5 (151.9, 180.2)	N/A	126	falling	-1.0 (-1.3, -0.6)
Sitka Borough, Alaska	Rural	No	139.1 (108.4, 176.3)	N/A	15	falling	-1.5 (-2.5, -0.2)
Skagit County, Washington	Urban	No	155.9 (147.9, 164.2)	N/A	303	falling	-0.9 (-1.2, -0.5)
Skamania County, Washington	Urban	Yes	122.5 (100.9, 148.4)	N/A	25	falling	-2.1 (-3.0, -1.1)
Smith County, Kansas	Rural	No	166.6 (121.3, 227.0)	N/A	11	stable	-0.6 (-1.8, 0.5)
Smith County, Mississippi	Rural	No	161.3 (137.3, 188.8)	N/A	34	falling	-4.0 (-12.9, -1.8)
Smith County, Tennessee	Urban	No	195.8 (171.7, 222.6)	N/A	51	stable	-0.2 (-0.8, 0.5)
Smith County, Texas	Urban	No	150.0 (143.7, 156.6)	N/A	441	rising	3.6 (1.6, 7.5)
Smyth County, Virginia	Rural	No	202.8 (184.6, 222.5)	N/A	98	stable	-0.2 (-0.6, 1.5)
Snohomish County, Washington	Urban	No	149.2 (145.5, 152.9)	N/A	1,326	falling	-1.2 (-1.4, -1.0)
Snyder County, Pennsylvania	Rural	No	147.6 (133.8, 162.6)	N/A	88	falling	-1.4 (-1.8, -0.9)
Socorro County, New Mexico	Rural	No	130.3 (109.7, 154.0)	N/A	30	falling	-1.1 (-1.8, -0.3)
Solano County, California	Urban	No	150.8 (146.2, 155.6)	N/A	829	falling	-1.3 (-1.5, -1.2)
Somerset County, Maine	Rural	No	181.3 (167.8, 195.6)	N/A	145	falling	-1.0 (-1.3, -0.6)
Somerset County, Maryland	Urban	No	200.7 (179.0, 224.6)	N/A	65	falling	-1.5 (-2.0, -1.0)
Somerset County, New Jersey	Urban	Yes	112.5 (108.1, 117.1)	N/A	509	falling	-3.6 (-6.2, -2.5)
Somerset County, Pennsylvania	Rural	No	151.7 (141.7, 162.4)	N/A	186	falling	-0.7 (-1.0, -0.5)
Somervell County, Texas	Rural	No	149.1 (120.8, 183.0)	N/A	20	falling	-1.7 (-2.4, -0.8)
Sonoma County, California	Urban	No	139.6 (135.7, 143.7)	N/A	995	falling	-1.4 (-1.6, -1.2)
Southampton County, Virginia	Rural	No	155.5 (135.5, 178.2)	N/A	45	falling	-1.4 (-2.0, -0.8)
Southeast Fairbanks Census Area, Alaska	Rural	No	156.8 (114.8, 208.6)	N/A	11	stable	-1.0 (-2.2, 0.5)
Spalding County, Georgia	Urban	No	185.8 (173.0, 199.4)	N/A	165	falling	-0.6 (-1.0, -0.2)
Spartanburg County, South Carolina	Urban	No	161.5 (155.9, 167.3)	N/A	650	falling	-1.6 (-3.3, -1.2)
Spencer County, Indiana	Rural	No	154.3 (133.8, 177.4)	N/A	44	falling	-1.4 (-1.9, -0.8)
Spencer County, Kentucky	Urban	No	167.8 (143.2, 195.6)	N/A	37	falling	-1.2 (-1.9, -0.4)
Spink County, South Dakota	Rural	Yes	112.9 (84.1, 149.7)	N/A	12	falling	-1.7 (-2.8, -0.8)
Spokane County, Washington	Urban	No	153.1 (148.8, 157.5)	N/A	1,020	falling	-1.1 (-1.3, -0.9)
Spotsylvania County, Virginia	Urban	No	148.2 (139.6, 157.2)	N/A	233	falling	-1.9 (-5.0, -1.4)
St. Bernard Parish, Louisiana	Urban	No	175.3 (157.4, 194.6)	N/A	76	falling	-3.2 (-6.4, -1.8)
St. Charles County, Missouri	Urban	No	138.8 (134.2, 143.6)	N/A	694	falling	-1.8 (-3.9, -1.5)
St. Charles Parish, Louisiana	Urban	No	171.7 (156.2, 188.4)	N/A	97	falling	-1.0 (-1.4, -0.5)
St. Clair County, Alabama	Urban	No	161.9 (151.7, 172.7)	N/A	195	falling	-1.5 (-2.7, -1.1)
St. Clair County, Illinois	Urban	No	166.2 (159.8, 172.8)	N/A	534	falling	-1.4 (-1.6, -1.2)
St. Clair County, Michigan	Urban	No	168.5 (160.9, 176.4)	N/A	388	falling	-1.1 (-1.3, -0.9)
St. Clair County, Missouri	Rural	No	186.0 (156.2, 221.0)	N/A	32	falling	-1.0 (-1.7, -0.2)
St. Croix County, Wisconsin	Urban	No	141.5 (131.3, 152.3)	N/A	150	falling	-7.6 (-13.1, -1.4)
St. Francis County, Arkansas	Rural	No	186.4 (164.2, 210.8)	N/A	53	falling	-2.0 (-4.3, -1.4)
St. Francois County, Missouri	Rural	No	207.2 (193.7, 221.5)	N/A	179	falling	-0.5 (-0.8, -0.1)
St. Helena Parish, Louisiana	Urban	No	156.3 (130.5, 186.5)	N/A	27	falling	-1.2 (-2.1, -0.2)
St. James Parish, Louisiana	Urban	No	169.6 (148.1, 193.7)	N/A	47	falling	-1.3 (-2.0, -0.6)
St. John the Baptist Parish, Louisiana	Urban	No	163.7 (147.0, 181.9)	N/A	76	falling	-1.8 (-2.7, -1.2)
St. Johns County, Florida	Urban	No	127.4 (122.5, 132.5)	N/A	528	falling	-2.1 (-2.3, -1.8)
St. Joseph County, Indiana	Urban	No	165.9 (159.6, 172.3)	N/A	555	falling	-1.0 (-1.1, -0.8)
St. Joseph County, Michigan	Rural	No	158.7 (146.4, 171.8)	N/A	130	falling	-1.1 (-1.5, -0.8)
St. Landry Parish, Louisiana	Rural	No	206.1 (193.4, 219.3)	N/A	210	falling	-0.7 (-1.0, -0.4)
St. Lawrence County, New York	Rural	No	162.4 (153.1, 172.2)	N/A	239	falling	-1.4 (-1.7, -1.0)
St. Louis City, Missouri	Urban	No	166.4 (160.1, 172.9)	N/A	563	falling	-2.7 (-3.6, -2.3)
St. Louis County, Minnesota	Urban	No	149.6 (143.3, 156.2)	N/A	447	falling	-2.5 (-5.6, -1.4)
St. Louis County, Missouri	Urban	No	149.7 (146.8, 152.7)	N/A	2,066	falling	-1.3 (-1.4, -1.2)
St. Lucie County, Florida	Urban	No	146.6 (142.0, 151.3)	N/A	840	falling	-1.4 (-1.6, -1.2)
St. Martin Parish, Louisiana	Urban	No	175.6 (160.9, 191.3)	N/A	111	falling	-1.3 (-1.8, -0.8)
St. Mary Parish, Louisiana	Rural	No	173.7 (159.5, 189.0)	N/A	116	falling	-1.3 (-1.7, -0.9)
St. Marys County, Maryland	Urban	No	169.4 (159.0, 180.2)	N/A	209	falling	-1.0 (-1.3, -0.7)
St. Tammany Parish, Louisiana	Urban	No	146.3 (140.5, 152.3)	N/A	504	falling	-1.9 (-2.8, -1.7)
Stafford County, Kansas	Rural	No	153.9 (110.8, 210.3)	N/A	10	stable	-0.9 (-2.0, 0.2)
Stafford County, Virginia	Urban	No	142.5 (133.4, 152.1)	N/A	196	falling	-2.0 (-2.5, -1.6)
Stanislaus County, California	Urban	No	156.9 (152.3, 161.6)	N/A	891	falling	-1.0 (-3.1, -0.5)
Stanley County, South Dakota	Rural	No	126.4 (85.1, 184.9)	N/A	6	falling	-2.6 (-3.9, -1.1)
Stanly County, North Carolina	Rural	No	168.8 (156.6, 181.9)	N/A	147	falling	-0.9 (-1.4, -0.6)
Stanton County, Kansas	Rural	No	145.7 (86.1, 233.6)	N/A	4	*	*
Stanton County, Nebraska	Rural	No	129.0 (95.7, 171.4)	N/A	11	stable	-1.4 (-2.9, 0.0)
Stark County, Illinois	Urban	No	167.0 (130.5, 212.7)	N/A	15	stable	-0.9 (-1.8, 0.0)
Stark County, North Dakota	Rural	No	132.3 (115.4, 151.0)	N/A	48	falling	-1.0 (-1.7, -0.4)
Stark County, Ohio	Urban	No	162.3 (157.4, 167.3)	N/A	885	falling	-0.9 (-1.1, -0.8)
Starke County, Indiana	Rural	No	191.6 (170.7, 214.7)	N/A	65	falling	-1.9 (-7.7, -0.6)
Starr County, Texas	Rural	No	127.2 (114.5, 140.9)	N/A	74	stable	-0.1 (-0.6, 0.5)
Staunton City, Virginia	Urban	No	175.6 (157.0, 196.2)	N/A	68	stable	-0.5 (-1.1, 0.2)
Ste. Genevieve County, Missouri	Rural	No	155.6 (134.9, 179.0)	N/A	43	falling	-0.7 (-1.3, -0.1)
Stearns County, Minnesota	Urban	No	146.0 (138.2, 154.1)	N/A	273	falling	-0.8 (-1.1, -0.5)
Steele County, Minnesota	Rural	No	138.2 (124.0, 153.7)	N/A	73	stable	5.7 (-1.3, 10.4)
Stephens County, Georgia	Rural	No	198.8 (179.0, 220.3)	N/A	79	stable	-0.5 (-1.0, 0.1)
Stephens County, Oklahoma	Rural	No	189.7 (174.3, 206.2)	N/A	121	falling	-0.6 (-1.9, -0.2)
Stephens County, Texas	Rural	No	177.3 (145.8, 214.3)	N/A	23	falling	-1.0 (-1.6, -0.5)
Stephenson County, Illinois	Rural	No	163.1 (149.5, 177.7)	N/A	120	falling	-0.7 (-1.1, -0.4)
Steuben County, Indiana	Rural	No	160.9 (145.2, 178.1)	N/A	82	falling	-1.1 (-1.6, -0.6)
Steuben County, New York	Rural	No	172.6 (162.8, 183.0)	N/A	241	falling	-1.0 (-1.3, -0.7)
Stevens County, Kansas	Rural	No	142.0 (102.8, 191.9)	N/A	9	stable	0.2 (-1.5, 2.0)
Stevens County, Minnesota	Rural	No	131.8 (103.1, 166.5)	N/A	16	stable	-0.6 (-1.5, 0.3)
Stevens County, Washington	Urban	No	157.6 (144.8, 171.6)	N/A	121	falling	-1.1 (-1.5, -0.7)
Stewart County, Georgia	Urban	No	232.5 (178.9, 299.2)	N/A	13	stable	0.6 (-0.3, 1.4)
Stewart County, Tennessee	Urban	No	195.1 (167.9, 225.9)	N/A	39	stable	-0.3 (-1.2, 0.8)
Stillwater County, Montana	Urban	No	124.6 (99.4, 155.5)	N/A	19	falling	-1.8 (-2.9, -0.6)
Stoddard County, Missouri	Rural	No	199.3 (180.3, 219.9)	N/A	85	stable	-0.5 (-1.0, 0.0)
Stokes County, North Carolina	Urban	No	166.9 (153.3, 181.6)	N/A	119	falling	-1.0 (-1.4, -0.5)
Stone County, Arkansas	Rural	No	174.4 (150.0, 202.6)	N/A	41	falling	-1.1 (-1.8, -0.3)
Stone County, Mississippi	Urban	No	187.1 (161.0, 216.4)	N/A	40	falling	-1.2 (-1.9, -0.4)
Stone County, Missouri	Rural	No	150.7 (135.9, 167.1)	N/A	94	falling	-1.2 (-1.8, -0.6)
Stonewall County, Texas	Rural	No	219.1 (130.2, 355.2)	N/A	4	stable	-0.4 (-2.3, 1.2)
Storey County, Nevada	Urban	No	133.2 (95.1, 187.2)	N/A	11	stable	-1.7 (-3.5, 0.6)
Story County, Iowa	Urban	No	128.4 (118.1, 139.4)	N/A	120	falling	-3.7 (-9.9, -1.2)
Strafford County, New Hampshire	Urban	No	162.9 (153.9, 172.2)	N/A	261	falling	-1.2 (-1.5, -0.9)
Stutsman County, North Dakota	Rural	No	136.8 (118.6, 157.4)	N/A	44	falling	-1.3 (-1.9, -0.8)
Sublette County, Wyoming	Rural	Yes	112.4 (87.1, 143.8)	N/A	14	falling	-3.0 (-4.2, -1.8)
Suffolk City, Virginia	Urban	No	167.4 (156.5, 178.9)	N/A	183	falling	-1.6 (-2.0, -1.2)
Suffolk County, Massachusetts	Urban	No	130.1 (126.4, 133.8)	N/A	1,008	falling	-3.5 (-4.4, -2.9)
Suffolk County, New York	Urban	No	130.7 (128.4, 132.9)	N/A	2,679	falling	-2.4 (-3.5, -2.2)
Sullivan County, Indiana	Urban	No	173.0 (151.5, 196.9)	N/A	48	falling	-0.8 (-1.5, -0.2)
Sullivan County, Missouri	Rural	No	178.4 (140.4, 224.7)	N/A	16	stable	-0.3 (-1.4, 0.7)
Sullivan County, New Hampshire	Rural	No	159.9 (146.4, 174.5)	N/A	112	falling	-1.5 (-1.9, -1.1)
Sullivan County, New York	Rural	No	149.5 (139.2, 160.5)	N/A	164	falling	-1.8 (-2.1, -1.5)
Sullivan County, Pennsylvania	Rural	No	174.6 (141.5, 217.2)	N/A	22	stable	-0.7 (-1.9, 0.4)
Sullivan County, Tennessee	Urban	No	176.4 (168.9, 184.2)	N/A	438	falling	-0.8 (-1.0, -0.5)
Sully County, South Dakota	Rural	No	127.5 (68.3, 226.8)	N/A	3	stable	-1.7 (-3.8, 0.4)
Summers County, West Virginia	Rural	No	178.3 (152.9, 207.8)	N/A	39	falling	-0.9 (-1.5, -0.3)
Summit County, Colorado	Rural	Yes	69.1 (54.3, 86.6)	N/A	20	stable	-1.9 (-3.2, 0.2)
Summit County, Ohio	Urban	No	160.6 (156.4, 164.9)	N/A	1,194	falling	-1.4 (-2.8, -1.2)
Summit County, Utah	Rural	Yes	97.3 (83.5, 112.8)	N/A	41	falling	-1.6 (-2.5, -0.5)
Sumner County, Kansas	Urban	No	179.9 (159.4, 202.5)	N/A	60	falling	-1.0 (-1.4, -0.5)
Sumner County, Tennessee	Urban	No	160.8 (153.5, 168.3)	N/A	384	stable	0.0 (-1.4, 3.1)
Sumter County, Alabama	Rural	No	179.3 (148.7, 214.8)	N/A	28	stable	-0.6 (-1.4, 0.2)
Sumter County, Florida	Urban	No	132.0 (125.0, 139.5)	N/A	554	falling	-1.0 (-1.4, -0.6)
Sumter County, Georgia	Rural	No	188.3 (168.5, 210.0)	N/A	69	stable	-0.6 (-1.1, 0.0)
Sumter County, South Carolina	Urban	No	177.0 (166.8, 187.7)	N/A	235	falling	-1.4 (-4.4, -1.0)
Sunflower County, Mississippi	Rural	No	221.8 (197.9, 247.9)	N/A	65	stable	-0.3 (-0.7, 0.1)
Surry County, North Carolina	Rural	No	186.7 (175.2, 199.0)	N/A	202	stable	-0.3 (-0.6, 0.1)
Surry County, Virginia	Urban	No	143.8 (113.4, 182.0)	N/A	17	falling	-1.5 (-2.7, -0.3)
Susquehanna County, Pennsylvania	Rural	No	167.2 (153.3, 182.4)	N/A	113	falling	-1.1 (-1.5, -0.7)
Sussex County, Delaware	Rural	No	154.4 (148.8, 160.1)	N/A	691	falling	-1.6 (-1.8, -1.4)
Sussex County, New Jersey	Urban	No	149.3 (141.5, 157.4)	N/A	293	falling	-1.6 (-1.8, -1.4)
Sussex County, Virginia	Urban	No	211.7 (178.6, 249.8)	N/A	31	falling	-1.3 (-2.0, -0.7)
Sutter County, California	Urban	No	143.8 (134.3, 153.9)	N/A	173	falling	-1.4 (-1.7, -1.0)
Sutton County, Texas	Rural	No	173.0 (123.9, 237.6)	N/A	9	stable	-1.1 (-2.6, 0.5)
Suwannee County, Florida	Rural	No	178.4 (164.2, 193.7)	N/A	124	falling	-0.7 (-1.1, -0.2)
Swain County, North Carolina	Rural	No	232.4 (202.7, 265.6)	N/A	47	stable	0.3 (-0.4, 1.1)
Sweet Grass County, Montana	Rural	Yes	109.9 (75.6, 158.5)	N/A	8	stable	-0.7 (-2.3, 0.9)
Sweetwater County, Wyoming	Rural	No	166.7 (149.2, 185.7)	N/A	72	stable	-0.5 (-1.0, 0.1)
Swift County, Minnesota	Rural	No	128.6 (104.0, 158.1)	N/A	21	falling	-1.9 (-2.7, -1.1)
Swisher County, Texas	Rural	No	191.4 (152.5, 238.0)	N/A	17	stable	-0.1 (-0.9, 0.7)
Switzerland County, Indiana	Rural	No	183.6 (151.6, 220.8)	N/A	24	stable	-0.8 (-1.8, 0.3)
Talbot County, Georgia	Urban	No	162.7 (127.6, 206.9)	N/A	16	falling	-3.0 (-16.3, -1.4)
Talbot County, Maryland	Rural	No	133.1 (121.4, 145.9)	N/A	108	falling	-1.6 (-2.1, -1.1)
Taliaferro County, Georgia	Rural	No	184.1 (121.8, 279.5)	N/A	6	*	*
Talladega County, Alabama	Rural	No	180.6 (169.3, 192.5)	N/A	201	falling	-0.8 (-1.1, -0.5)
Tallahatchie County, Mississippi	Rural	No	204.1 (173.3, 239.2)	N/A	32	stable	-0.3 (-1.0, 0.3)
Tallapoosa County, Alabama	Rural	No	169.6 (154.9, 185.5)	N/A	109	falling	-0.7 (-1.3, -0.1)
Tama County, Iowa	Rural	No	169.9 (146.7, 196.1)	N/A	41	stable	-0.4 (-0.9, 0.1)
Taney County, Missouri	Rural	No	156.2 (144.2, 169.0)	N/A	135	falling	-1.2 (-1.7, -0.7)
Tangipahoa Parish, Louisiana	Urban	No	182.2 (172.3, 192.4)	N/A	271	falling	-1.3 (-1.5, -1.0)
Taos County, New Mexico	Rural	Yes	117.3 (104.8, 131.2)	N/A	75	falling	-1.5 (-2.0, -0.9)
Tarrant County, Texas	Urban	No	145.5 (143.0, 147.9)	N/A	2,877	falling	-1.5 (-1.6, -1.4)
Tate County, Mississippi	Urban	No	190.2 (169.6, 212.6)	N/A	66	stable	-0.6 (-1.0, 0.0)
Tattnall County, Georgia	Rural	No	180.4 (158.4, 204.7)	N/A	50	falling	-2.1 (-7.8, -1.0)
Taylor County, Florida	Rural	No	169.1 (148.8, 191.6)	N/A	54	falling	-1.7 (-2.1, -1.2)
Taylor County, Georgia	Rural	No	181.4 (147.0, 222.5)	N/A	21	stable	-0.7 (-1.7, 0.4)
Taylor County, Iowa	Rural	No	123.6 (93.9, 161.4)	N/A	12	stable	-0.5 (-1.5, 0.4)
Taylor County, Kentucky	Rural	No	202.5 (181.4, 225.5)	N/A	71	stable	0.0 (-0.5, 0.5)
Taylor County, Texas	Urban	No	161.5 (152.6, 170.8)	N/A	256	falling	-1.0 (-1.3, -0.7)
Taylor County, West Virginia	Rural	No	181.8 (158.5, 208.1)	N/A	46	falling	-1.2 (-1.8, -0.5)
Taylor County, Wisconsin	Rural	No	138.1 (118.7, 160.1)	N/A	40	falling	-1.4 (-2.1, -0.7)
Tazewell County, Illinois	Urban	No	160.8 (152.6, 169.3)	N/A	304	falling	-1.0 (-1.3, -0.8)
Tazewell County, Virginia	Rural	No	188.6 (173.4, 205.0)	N/A	122	falling	-0.7 (-1.1, -0.2)
Tehama County, California	Rural	No	173.3 (161.2, 186.1)	N/A	162	stable	2.3 (-1.5, 8.3)
Telfair County, Georgia	Rural	No	176.2 (148.6, 208.1)	N/A	30	falling	-1.4 (-2.2, -0.6)
Teller County, Colorado	Urban	No	125.1 (107.8, 144.6)	N/A	48	falling	-2.2 (-2.9, -1.2)
Tensas Parish, Louisiana	Rural	No	200.9 (155.7, 258.2)	N/A	15	stable	-1.3 (-2.8, 0.1)
Terrebonne Parish, Louisiana	Urban	No	184.9 (174.2, 196.0)	N/A	235	falling	-1.0 (-1.3, -0.7)
Terrell County, Georgia	Urban	No	195.4 (161.9, 234.4)	N/A	25	falling	-1.2 (-2.1, -0.5)
Terry County, Texas	Rural	No	168.7 (138.7, 203.4)	N/A	23	stable	-0.5 (-1.4, 0.3)
Teton County, Idaho	Rural	No	140.0 (107.6, 178.7)	N/A	15	*	*
Teton County, Montana	Rural	No	134.9 (105.4, 172.0)	N/A	15	falling	-1.2 (-2.1, -0.2)
Teton County, Wyoming	Rural	Yes	96.5 (79.7, 115.9)	N/A	25	falling	-2.6 (-3.5, -1.4)
Texas County, Missouri	Rural	No	170.3 (151.8, 190.6)	N/A	66	stable	-0.5 (-1.1, 0.1)
Texas County, Oklahoma	Rural	No	163.4 (138.8, 191.0)	N/A	33	stable	-0.7 (-1.5, 0.2)
Thayer County, Nebraska	Rural	No	148.5 (111.2, 196.3)	N/A	13	stable	-0.6 (-1.9, 0.7)
Thomas County, Georgia	Rural	No	176.0 (161.1, 191.9)	N/A	108	falling	-1.0 (-1.4, -0.5)
Thomas County, Kansas	Rural	No	139.9 (109.8, 176.6)	N/A	15	falling	-1.4 (-2.6, -0.3)
Throckmorton County, Texas	Rural	No	124.9 (76.0, 208.3)	N/A	4	stable	-1.0 (-2.7, 0.8)
Thurston County, Nebraska	Rural	No	303.7 (242.9, 374.6)	N/A	18	stable	0.8 (-0.6, 2.1)
Thurston County, Washington	Urban	No	146.0 (140.5, 151.7)	N/A	554	falling	-1.8 (-2.9, -1.4)
Tift County, Georgia	Rural	No	181.0 (164.3, 199.0)	N/A	89	stable	-0.5 (-0.9, 0.0)
Tillamook County, Oregon	Rural	No	176.7 (159.6, 195.5)	N/A	88	falling	-0.6 (-1.1, -0.1)
Tillman County, Oklahoma	Rural	No	186.7 (150.8, 229.8)	N/A	20	falling	-1.1 (-2.1, -0.1)
Tioga County, New York	Urban	No	141.8 (129.8, 154.8)	N/A	109	falling	-1.8 (-2.1, -1.4)
Tioga County, Pennsylvania	Rural	No	162.9 (148.8, 178.2)	N/A	107	falling	-0.9 (-1.4, -0.4)
Tippah County, Mississippi	Rural	No	172.1 (150.4, 196.2)	N/A	47	stable	-0.4 (-1.0, 0.2)
Tippecanoe County, Indiana	Urban	No	151.3 (143.0, 160.0)	N/A	256	falling	-1.5 (-1.8, -1.2)
Tipton County, Indiana	Urban	No	164.3 (141.6, 190.2)	N/A	39	stable	-0.8 (-1.5, 0.0)
Tipton County, Tennessee	Urban	No	193.2 (178.5, 208.7)	N/A	136	falling	-0.5 (-0.9, -0.1)
Tishomingo County, Mississippi	Rural	No	207.6 (184.0, 233.7)	N/A	59	stable	-0.5 (-1.2, 0.1)
Titus County, Texas	Rural	No	164.3 (145.3, 185.2)	N/A	56	falling	-1.3 (-1.9, -0.6)
Todd County, Kentucky	Rural	No	211.0 (179.4, 246.9)	N/A	33	stable	-0.5 (-1.4, 0.5)
Todd County, Minnesota	Rural	No	128.5 (112.7, 146.3)	N/A	53	falling	-1.4 (-2.0, -0.8)
Todd County, South Dakota	Rural	No	285.6 (218.4, 364.9)	N/A	14	rising	2.0 (0.3, 10.5)
Tolland County, Connecticut	Urban	No	134.9 (127.3, 142.8)	N/A	251	stable	2.5 (-1.8, 5.5)
Tom Green County, Texas	Urban	No	148.5 (139.5, 157.9)	N/A	211	falling	-1.1 (-1.4, -0.8)
Tompkins County, New York	Urban	No	124.9 (115.7, 134.6)	N/A	146	falling	-1.6 (-2.0, -1.3)
Tooele County, Utah	Urban	No	140.8 (126.5, 156.2)	N/A	76	falling	-1.1 (-1.6, -0.5)
Toole County, Montana	Rural	No	179.6 (136.0, 233.9)	N/A	12	stable	-0.6 (-1.6, 0.4)
Toombs County, Georgia	Rural	No	192.6 (171.8, 215.4)	N/A	65	falling	-0.8 (-1.4, -0.2)
Torrance County, New Mexico	Urban	No	146.4 (124.9, 171.2)	N/A	35	falling	-1.2 (-1.9, -0.4)
Towner County, North Dakota	Rural	No	131.8 (87.1, 201.0)	N/A	6	stable	-0.9 (-2.5, 0.5)
Towns County, Georgia	Rural	No	126.3 (106.7, 150.2)	N/A	37	stable	-1.0 (-1.9, 0.1)
Traill County, North Dakota	Rural	No	138.3 (109.5, 173.4)	N/A	17	stable	-0.3 (-0.9, 0.4)
Transylvania County, North Carolina	Rural	No	130.7 (118.1, 144.6)	N/A	93	falling	-1.6 (-2.2, -1.1)
Traverse County, Minnesota	Rural	No	197.4 (150.6, 258.3)	N/A	13	stable	-0.3 (-1.7, 1.1)
Travis County, Texas	Urban	Yes	118.5 (115.5, 121.6)	N/A	1,255	falling	-2.1 (-2.5, -2.0)
Trego County, Kansas	Rural	No	168.7 (123.7, 231.2)	N/A	10	stable	-0.2 (-1.4, 0.9)
Trempealeau County, Wisconsin	Rural	No	142.0 (126.1, 159.5)	N/A	61	falling	-0.7 (-1.1, -0.3)
Treutlen County, Georgia	Rural	No	199.9 (158.8, 249.2)	N/A	17	stable	0.3 (-0.4, 1.0)
Trigg County, Kentucky	Urban	No	179.7 (155.1, 207.6)	N/A	42	falling	-1.3 (-1.9, -0.6)
Trimble County, Kentucky	Rural	No	191.7 (156.1, 233.7)	N/A	21	stable	-0.4 (-1.7, 1.0)
Trinity County, California	Rural	Yes	92.4 (77.1, 110.7)	N/A	30	falling	-7.2 (-21.9, -3.7)
Trinity County, Texas	Rural	No	216.1 (189.7, 246.0)	N/A	54	stable	0.2 (-0.5, 0.9)
Tripp County, South Dakota	Rural	Yes	121.1 (90.2, 161.0)	N/A	12	falling	-1.6 (-2.7, -0.6)
Troup County, Georgia	Rural	No	159.7 (147.5, 172.6)	N/A	133	falling	-1.5 (-4.2, -1.2)
Trousdale County, Tennessee	Urban	No	203.4 (167.2, 245.0)	N/A	23	stable	-0.5 (-1.5, 0.7)
Trumbull County, Ohio	Urban	No	155.5 (149.2, 162.0)	N/A	493	falling	-1.9 (-3.4, -1.4)
Tucker County, West Virginia	Rural	No	182.8 (148.7, 224.6)	N/A	23	stable	-0.8 (-1.7, 0.2)
Tulare County, California	Urban	No	150.2 (144.9, 155.5)	N/A	639	stable	1.3 (-1.0, 3.7)
Tulsa County, Oklahoma	Urban	No	160.2 (156.1, 164.4)	N/A	1,209	falling	-1.4 (-1.8, -1.2)
Tunica County, Mississippi	Urban	No	242.0 (198.3, 292.2)	N/A	24	stable	-0.6 (-1.2, 0.1)
Tuolumne County, California	Rural	No	146.2 (135.3, 157.9)	N/A	149	falling	-1.8 (-4.9, -1.3)
Turner County, Georgia	Rural	No	153.4 (123.2, 189.5)	N/A	19	falling	-16.5 (-29.9, -1.5)
Turner County, South Dakota	Urban	No	125.6 (100.0, 156.8)	N/A	18	stable	-1.9 (-17.0, 0.7)
Tuscaloosa County, Alabama	Urban	No	136.5 (129.8, 143.5)	N/A	328	falling	-2.7 (-4.7, -2.0)
Tuscarawas County, Ohio	Rural	No	169.8 (159.8, 180.4)	N/A	226	falling	-0.7 (-1.0, -0.3)
Tuscola County, Michigan	Rural	No	171.9 (159.0, 185.7)	N/A	140	falling	-0.7 (-1.1, -0.3)
Twiggs County, Georgia	Urban	No	189.1 (154.8, 229.9)	N/A	24	stable	-0.8 (-1.5, 0.0)
Twin Falls County, Idaho	Urban	No	143.2 (133.2, 153.9)	N/A	155	falling	-1.7 (-5.7, -0.9)
Tyler County, Texas	Rural	No	164.3 (144.3, 186.8)	N/A	52	falling	-1.3 (-1.8, -0.7)
Tyler County, West Virginia	Rural	No	148.3 (121.6, 180.5)	N/A	22	falling	-1.4 (-2.2, -0.7)
Tyrrell County, North Carolina	Rural	No	196.7 (148.0, 260.1)	N/A	12	stable	-0.7 (-2.2, 0.8)
Uinta County, Wyoming	Rural	No	142.6 (120.5, 167.6)	N/A	32	stable	9.4 (-1.6, 16.4)
Uintah County, Utah	Rural	No	134.4 (116.5, 154.3)	N/A	42	falling	-1.1 (-1.7, -0.3)
Ulster County, New York	Urban	No	140.8 (134.4, 147.5)	N/A	387	falling	-1.7 (-2.0, -1.5)
Umatilla County, Oregon	Rural	No	155.5 (144.3, 167.4)	N/A	147	falling	-1.0 (-1.3, -0.5)
Unicoi County, Tennessee	Urban	No	192.2 (169.8, 217.3)	N/A	57	stable	-0.2 (-0.7, 0.3)
Union County, Arkansas	Rural	No	193.1 (176.3, 211.2)	N/A	102	falling	-0.7 (-1.1, -0.4)
Union County, Florida	Rural	No	387.8 (348.9, 430.1)	N/A	76	stable	-0.3 (-1.4, 0.4)
Union County, Georgia	Rural	No	136.9 (122.8, 152.8)	N/A	77	falling	-1.2 (-1.9, -0.4)
Union County, Illinois	Rural	No	167.3 (145.8, 191.7)	N/A	47	falling	-1.2 (-7.1, -0.5)
Union County, Indiana	Rural	No	171.8 (136.6, 214.2)	N/A	17	stable	-0.3 (-1.3, 0.8)
Union County, Iowa	Rural	No	168.7 (141.7, 199.8)	N/A	30	stable	-0.7 (-1.6, 0.1)
Union County, Kentucky	Rural	No	194.0 (165.9, 225.9)	N/A	36	stable	-0.7 (-1.4, 0.0)
Union County, Mississippi	Rural	No	194.6 (174.1, 217.0)	N/A	67	stable	1.9 (-0.3, 9.9)
Union County, New Jersey	Urban	Yes	119.9 (116.1, 123.7)	N/A	796	falling	-3.4 (-6.2, -1.4)
Union County, New Mexico	Rural	No	171.6 (126.2, 229.9)	N/A	10	stable	-1.0 (-2.2, 0.3)
Union County, North Carolina	Urban	No	141.0 (134.3, 148.0)	N/A	348	falling	-1.5 (-1.8, -1.1)
Union County, Ohio	Urban	No	143.0 (129.8, 157.2)	N/A	91	falling	-1.8 (-2.2, -1.4)
Union County, Oregon	Rural	No	155.5 (137.7, 175.1)	N/A	60	falling	-1.0 (-1.5, -0.5)
Union County, Pennsylvania	Rural	No	130.9 (118.1, 144.9)	N/A	80	falling	-1.0 (-1.4, -0.6)
Union County, South Carolina	Urban	No	189.8 (170.5, 210.8)	N/A	77	falling	-0.5 (-0.9, -0.1)
Union County, South Dakota	Urban	No	150.1 (127.8, 175.5)	N/A	34	falling	-1.4 (-2.2, -0.5)
Union County, Tennessee	Urban	No	195.7 (172.3, 221.8)	N/A	54	falling	-0.8 (-1.3, -0.2)
Union Parish, Louisiana	Urban	No	196.3 (174.5, 220.5)	N/A	64	falling	-1.0 (-1.6, -0.4)
Upshur County, Texas	Urban	No	178.4 (162.7, 195.3)	N/A	101	falling	-1.3 (-1.8, -0.7)
Upshur County, West Virginia	Rural	No	165.8 (147.0, 186.7)	N/A	60	falling	-0.9 (-1.5, -0.3)
Upson County, Georgia	Rural	No	186.1 (166.9, 207.0)	N/A	72	stable	-0.5 (-1.0, 0.1)
Upton County, Texas	Rural	Yes	119.2 (72.8, 184.6)	N/A	4	falling	-2.4 (-3.8, -1.1)
Utah County, Utah	Urban	Yes	114.2 (109.5, 119.0)	N/A	465	falling	-0.7 (-0.9, -0.5)
Uvalde County, Texas	Rural	No	175.3 (154.6, 198.2)	N/A	53	falling	-0.9 (-1.5, -0.2)
Val Verde County, Texas	Rural	No	142.8 (128.2, 158.5)	N/A	71	falling	-1.5 (-2.0, -1.0)
Valdez-Cordova Census Area, Alaska	Rural	Yes	107.3 (78.0, 143.9)	N/A	11	falling	-2.8 (-4.0, -1.5)
Valencia County, New Mexico	Urban	No	140.7 (130.3, 151.7)	N/A	143	falling	-1.2 (-1.7, -0.7)
Valley County, Idaho	Rural	Yes	113.3 (91.9, 139.1)	N/A	23	falling	-2.2 (-3.3, -0.9)
Valley County, Montana	Rural	No	130.9 (102.5, 166.0)	N/A	17	falling	-2.3 (-3.7, -1.0)
Valley County, Nebraska	Rural	No	145.3 (104.9, 198.5)	N/A	10	stable	-0.3 (-1.6, 0.9)
Van Buren County, Arkansas	Rural	No	177.1 (155.4, 201.8)	N/A	52	falling	-0.8 (-1.3, -0.2)
Van Buren County, Iowa	Rural	No	199.2 (163.2, 242.0)	N/A	23	stable	0.2 (-0.8, 1.3)
Van Buren County, Michigan	Rural	No	162.4 (151.3, 174.2)	N/A	169	falling	-0.9 (-1.3, -0.5)
Van Buren County, Tennessee	Rural	No	209.6 (170.5, 256.6)	N/A	22	stable	-0.1 (-1.2, 1.2)
Van Wert County, Ohio	Rural	No	171.0 (153.3, 190.5)	N/A	71	stable	-0.3 (-0.9, 0.2)
Van Zandt County, Texas	Rural	No	168.0 (155.8, 181.1)	N/A	147	falling	-1.1 (-1.6, -0.6)
Vance County, North Carolina	Rural	No	193.1 (176.8, 210.5)	N/A	112	falling	-0.9 (-1.3, -0.5)
Vanderburgh County, Indiana	Urban	No	172.1 (164.5, 180.0)	N/A	407	falling	-1.1 (-1.3, -0.9)
Venango County, Pennsylvania	Rural	No	160.9 (148.6, 174.1)	N/A	139	falling	-0.9 (-1.3, -0.6)
Ventura County, California	Urban	No	128.9 (125.8, 132.0)	N/A	1,347	falling	-1.4 (-1.6, -1.2)
Vermilion County, Illinois	Rural	No	199.6 (187.6, 212.3)	N/A	216	falling	-0.5 (-0.8, -0.2)
Vermilion Parish, Louisiana	Urban	No	174.3 (160.5, 189.0)	N/A	123	stable	0.8 (-1.8, 6.2)
Vermillion County, Indiana	Urban	No	200.7 (174.2, 230.6)	N/A	44	falling	-0.9 (-1.6, -0.1)
Vernon County, Missouri	Rural	No	172.6 (151.0, 196.6)	N/A	49	stable	-0.6 (-1.2, 0.1)
Vernon County, Wisconsin	Urban	No	160.6 (143.8, 179.1)	N/A	72	falling	-0.6 (-1.1, -0.1)
Vernon Parish, Louisiana	Rural	No	191.8 (174.5, 210.4)	N/A	92	stable	-0.2 (-0.8, 0.5)
Victoria County, Texas	Urban	No	156.4 (145.9, 167.4)	N/A	173	falling	-1.1 (-1.6, -0.5)
Vigo County, Indiana	Urban	No	184.4 (174.0, 195.3)	N/A	245	falling	-0.8 (-1.1, -0.4)
Vilas County, Wisconsin	Rural	No	146.9 (131.3, 164.6)	N/A	73	falling	-1.4 (-2.0, -0.8)
Vinton County, Ohio	Rural	No	215.6 (184.8, 250.5)	N/A	37	stable	-0.5 (-1.0, 0.2)
Virginia Beach City, Virginia	Urban	No	144.9 (140.2, 149.7)	N/A	757	falling	-1.5 (-1.7, -1.3)
Volusia County, Florida	Urban	No	160.1 (156.5, 163.8)	N/A	1,584	falling	-1.0 (-1.1, -0.8)
Wabash County, Illinois	Rural	No	167.3 (140.1, 198.9)	N/A	30	falling	-1.2 (-1.9, -0.6)
Wabash County, Indiana	Rural	No	183.2 (166.0, 201.9)	N/A	92	stable	0.3 (-0.6, 4.6)
Wabasha County, Minnesota	Urban	No	143.4 (125.8, 163.2)	N/A	51	falling	-1.0 (-1.5, -0.4)
Wabaunsee County, Kansas	Urban	No	145.6 (114.9, 183.4)	N/A	16	stable	-0.8 (-2.0, 0.4)
Wadena County, Minnesota	Rural	No	191.7 (165.8, 221.0)	N/A	42	stable	0.1 (-0.6, 0.8)
Wagoner County, Oklahoma	Urban	No	145.9 (135.4, 157.0)	N/A	150	falling	-1.1 (-1.5, -0.6)
Wahkiakum County, Washington	Rural	No	148.2 (114.2, 194.0)	N/A	14	stable	-1.1 (-2.3, 0.3)
Wake County, North Carolina	Urban	No	123.9 (120.9, 127.0)	N/A	1,335	falling	-4.3 (-5.8, -3.3)
Wakulla County, Florida	Urban	No	181.5 (162.3, 202.4)	N/A	72	stable	-0.3 (-1.1, 3.6)
Waldo County, Maine	Rural	No	171.2 (156.4, 187.3)	N/A	109	falling	-1.2 (-1.6, -0.8)
Walker County, Alabama	Urban	No	187.6 (175.0, 200.9)	N/A	174	falling	-3.4 (-8.2, -1.2)
Walker County, Georgia	Urban	No	169.4 (157.7, 181.8)	N/A	163	falling	-1.9 (-3.1, -1.4)
Walker County, Texas	Rural	No	134.1 (122.9, 146.1)	N/A	109	falling	-2.1 (-6.7, -1.3)
Walla Walla County, Washington	Urban	No	141.7 (130.4, 153.9)	N/A	123	falling	-0.8 (-1.2, -0.4)
Waller County, Texas	Urban	No	154.2 (139.0, 170.7)	N/A	79	falling	-1.4 (-1.8, -1.0)
Wallowa County, Oregon	Rural	No	151.3 (122.5, 186.8)	N/A	22	falling	-1.3 (-2.4, -0.3)
Walsh County, North Dakota	Rural	No	158.2 (131.5, 189.5)	N/A	27	falling	-1.4 (-2.2, -0.6)
Walthall County, Mississippi	Rural	No	167.7 (142.6, 196.4)	N/A	33	stable	-0.6 (-1.3, 0.1)
Walton County, Florida	Urban	No	153.4 (142.8, 164.6)	N/A	170	falling	-1.2 (-1.6, -0.7)
Walton County, Georgia	Urban	No	168.5 (158.1, 179.4)	N/A	202	falling	-0.9 (-1.2, -0.4)
Walworth County, South Dakota	Rural	No	151.8 (116.7, 196.1)	N/A	14	falling	-1.6 (-3.1, -0.2)
Walworth County, Wisconsin	Rural	No	153.7 (144.5, 163.5)	N/A	220	falling	-1.1 (-1.4, -0.8)
Wapello County, Iowa	Rural	No	183.5 (166.3, 202.1)	N/A	87	falling	-0.8 (-1.2, -0.4)
Ward County, North Dakota	Urban	No	125.4 (113.9, 137.7)	N/A	91	falling	-1.9 (-4.5, -1.4)
Ward County, Texas	Rural	No	137.6 (108.7, 171.9)	N/A	16	falling	-1.3 (-2.2, -0.5)
Ware County, Georgia	Rural	No	177.8 (160.8, 196.3)	N/A	83	falling	-0.8 (-1.3, -0.2)
Warren County, Georgia	Rural	No	176.9 (138.3, 225.0)	N/A	16	stable	-0.4 (-1.5, 0.9)
Warren County, Illinois	Rural	No	187.4 (162.8, 215.0)	N/A	45	stable	-0.8 (-1.8, 0.0)
Warren County, Indiana	Urban	Yes	122.1 (96.7, 153.3)	N/A	16	falling	-1.9 (-3.1, -0.7)
Warren County, Iowa	Urban	No	131.5 (119.3, 144.8)	N/A	87	falling	-1.0 (-1.5, -0.4)
Warren County, Kentucky	Urban	No	173.1 (163.2, 183.4)	N/A	238	falling	-1.2 (-1.5, -0.9)
Warren County, Mississippi	Rural	No	185.0 (169.2, 202.0)	N/A	107	falling	-0.9 (-1.3, -0.6)
Warren County, Missouri	Urban	No	152.6 (137.0, 169.6)	N/A	74	falling	-1.5 (-2.0, -1.0)
Warren County, New Jersey	Urban	No	152.7 (144.0, 161.9)	N/A	241	falling	-1.2 (-1.5, -1.0)
Warren County, New York	Urban	No	150.7 (140.0, 162.0)	N/A	161	falling	-1.5 (-6.0, -1.0)
Warren County, North Carolina	Rural	No	162.0 (142.7, 183.7)	N/A	56	falling	-1.4 (-2.2, -0.6)
Warren County, Ohio	Urban	No	139.4 (133.1, 145.8)	N/A	391	falling	-1.7 (-1.9, -1.5)
Warren County, Pennsylvania	Rural	No	171.1 (156.7, 186.8)	N/A	112	falling	-0.7 (-1.1, -0.3)
Warren County, Tennessee	Rural	No	195.5 (178.8, 213.4)	N/A	105	stable	-0.3 (-0.8, 0.2)
Warren County, Virginia	Urban	No	175.3 (159.3, 192.5)	N/A	94	falling	-1.1 (-1.5, -0.6)
Warrick County, Indiana	Urban	No	152.6 (141.0, 165.1)	N/A	132	falling	-1.4 (-1.8, -0.9)
Wasatch County, Utah	Rural	Yes	111.9 (95.1, 130.7)	N/A	35	falling	-1.5 (-2.3, -0.3)
Wasco County, Oregon	Rural	No	160.9 (143.1, 180.5)	N/A	64	falling	-0.9 (-1.4, -0.4)
Waseca County, Minnesota	Rural	No	160.4 (138.9, 184.6)	N/A	42	falling	-0.9 (-1.6, -0.2)
Washakie County, Wyoming	Rural	No	152.8 (123.5, 188.2)	N/A	20	stable	-0.9 (-1.9, 0.1)
Washburn County, Wisconsin	Rural	No	184.2 (162.0, 209.3)	N/A	57	falling	-0.9 (-1.5, -0.1)
Washington County, Alabama	Rural	No	153.0 (130.5, 178.7)	N/A	35	falling	-0.9 (-1.6, -0.1)
Washington County, Arkansas	Urban	No	147.2 (140.2, 154.5)	N/A	339	falling	-1.9 (-2.5, -1.5)
Washington County, Colorado	Rural	No	156.8 (118.1, 205.9)	N/A	12	stable	-1.0 (-2.4, 0.3)
Washington County, Florida	Urban	No	198.2 (177.1, 221.3)	N/A	68	stable	-0.3 (-0.9, 0.2)
Washington County, Georgia	Rural	No	178.1 (155.5, 203.4)	N/A	47	stable	-0.8 (-1.6, 0.1)
Washington County, Idaho	Rural	No	139.5 (116.1, 167.3)	N/A	27	falling	-1.4 (-2.3, -0.4)
Washington County, Illinois	Rural	No	144.6 (121.8, 171.1)	N/A	30	falling	-1.0 (-1.8, -0.2)
Washington County, Indiana	Urban	No	177.2 (157.9, 198.3)	N/A	65	falling	-1.2 (-3.4, -0.8)
Washington County, Iowa	Urban	No	134.8 (116.9, 154.8)	N/A	44	stable	-0.5 (-1.2, 0.3)
Washington County, Kansas	Rural	No	125.0 (96.3, 162.1)	N/A	13	stable	-0.8 (-2.0, 0.4)
Washington County, Kentucky	Rural	No	178.0 (150.1, 210.1)	N/A	30	stable	-0.5 (-1.5, 0.7)
Washington County, Maine	Rural	No	191.3 (174.1, 210.1)	N/A	101	falling	-0.8 (-1.1, -0.4)
Washington County, Maryland	Urban	No	160.2 (152.6, 168.2)	N/A	337	falling	-1.2 (-1.4, -1.0)
Washington County, Minnesota	Urban	No	133.6 (127.9, 139.6)	N/A	426	falling	-1.5 (-1.8, -1.1)
Washington County, Mississippi	Rural	No	213.3 (195.8, 231.9)	N/A	119	stable	-0.4 (-0.9, 0.0)
Washington County, Missouri	Rural	No	210.7 (188.0, 235.5)	N/A	66	stable	-0.2 (-0.8, 0.5)
Washington County, Nebraska	Urban	No	149.1 (129.1, 171.6)	N/A	42	falling	-1.0 (-1.6, -0.4)
Washington County, New York	Urban	No	165.5 (153.8, 178.0)	N/A	155	falling	-1.3 (-1.6, -0.9)
Washington County, North Carolina	Rural	No	186.1 (156.5, 220.4)	N/A	34	falling	-1.2 (-2.2, -0.2)
Washington County, Ohio	Rural	No	173.7 (161.6, 186.7)	N/A	162	falling	-0.6 (-0.9, -0.3)
Washington County, Oklahoma	Rural	No	179.2 (165.6, 193.8)	N/A	136	stable	-0.3 (-0.7, 0.1)
Washington County, Oregon	Urban	No	126.5 (122.6, 130.6)	N/A	808	falling	-1.6 (-1.7, -1.4)
Washington County, Pennsylvania	Urban	No	165.7 (159.3, 172.3)	N/A	538	falling	-1.0 (-1.2, -0.8)
Washington County, Rhode Island	Urban	No	144.0 (136.5, 151.9)	N/A	296	falling	-1.5 (-1.7, -1.3)
Washington County, Tennessee	Urban	No	166.7 (158.2, 175.5)	N/A	303	falling	-1.1 (-1.6, -0.9)
Washington County, Texas	Rural	No	139.5 (125.5, 154.7)	N/A	80	falling	-1.3 (-1.7, -0.9)
Washington County, Utah	Urban	Yes	112.3 (106.5, 118.4)	N/A	307	falling	-1.1 (-1.4, -0.7)
Washington County, Vermont	Rural	No	146.2 (134.9, 158.4)	N/A	130	falling	-1.5 (-1.9, -1.2)
Washington County, Virginia	Urban	No	164.7 (152.4, 177.8)	N/A	146	falling	-1.0 (-1.4, -0.6)
Washington County, Wisconsin	Urban	No	132.7 (125.4, 140.5)	N/A	254	falling	-1.3 (-1.6, -0.9)
Washington Parish, Louisiana	Rural	No	189.9 (174.5, 206.3)	N/A	119	falling	-1.1 (-1.5, -0.6)
Washita County, Oklahoma	Rural	No	163.0 (134.5, 196.2)	N/A	24	stable	-0.2 (-1.1, 0.7)
Washoe County, Nevada	Urban	No	136.8 (132.4, 141.2)	N/A	801	falling	-2.0 (-2.5, -1.7)
Washtenaw County, Michigan	Urban	No	134.7 (129.6, 140.0)	N/A	545	falling	-1.5 (-1.7, -1.3)
Watauga County, North Carolina	Rural	No	127.2 (114.6, 141.0)	N/A	79	falling	-1.2 (-1.8, -0.6)
Watonwan County, Minnesota	Rural	No	166.9 (139.2, 199.2)	N/A	28	stable	-0.6 (-1.6, 0.4)
Waukesha County, Wisconsin	Urban	No	133.8 (129.6, 138.2)	N/A	797	falling	-1.8 (-3.1, -1.5)
Waupaca County, Wisconsin	Rural	No	160.2 (147.8, 173.5)	N/A	131	falling	-0.9 (-1.3, -0.5)
Waushara County, Wisconsin	Rural	No	157.8 (140.8, 176.8)	N/A	69	falling	-1.0 (-1.5, -0.4)
Wayne County, Georgia	Rural	No	207.1 (186.4, 229.5)	N/A	76	stable	6.4 (-0.2, 10.5)
Wayne County, Illinois	Rural	No	159.2 (137.7, 183.7)	N/A	42	falling	-0.7 (-1.4, -0.1)
Wayne County, Indiana	Rural	No	176.9 (164.8, 189.7)	N/A	168	falling	-1.8 (-6.7, -0.9)
Wayne County, Iowa	Rural	No	160.6 (126.2, 202.9)	N/A	17	stable	-0.8 (-1.8, 0.2)
Wayne County, Kentucky	Rural	No	179.5 (158.1, 203.5)	N/A	54	stable	-10.3 (-20.8, 0.0)
Wayne County, Michigan	Urban	No	164.0 (161.5, 166.5)	N/A	3,540	falling	-2.0 (-2.4, -1.7)
Wayne County, Mississippi	Rural	No	187.7 (164.1, 213.8)	N/A	48	stable	-0.7 (-1.3, 0.0)
Wayne County, Missouri	Rural	No	201.2 (172.4, 234.4)	N/A	39	stable	-0.1 (-0.8, 0.6)
Wayne County, Nebraska	Rural	No	135.1 (105.5, 170.9)	N/A	15	stable	0.0 (-1.3, 1.3)
Wayne County, New York	Urban	No	154.3 (144.7, 164.5)	N/A	204	falling	-1.2 (-1.5, -0.9)
Wayne County, North Carolina	Urban	No	192.2 (182.0, 202.8)	N/A	280	falling	-0.9 (-1.2, -0.5)
Wayne County, Ohio	Rural	No	150.2 (141.6, 159.3)	N/A	237	falling	-1.1 (-1.3, -0.9)
Wayne County, Pennsylvania	Rural	No	156.1 (144.2, 168.9)	N/A	138	falling	-2.1 (-6.8, -1.4)
Wayne County, Tennessee	Rural	No	194.0 (169.4, 221.6)	N/A	46	stable	-0.1 (-0.7, 0.6)
Wayne County, Utah	Rural	No	161.0 (104.6, 239.9)	N/A	6	stable	-0.1 (-1.9, 2.1)
Wayne County, West Virginia	Urban	No	177.5 (162.5, 193.8)	N/A	108	falling	-1.5 (-2.8, -1.1)
Waynesboro City, Virginia	Urban	No	216.6 (193.4, 242.0)	N/A	66	stable	-0.2 (-0.7, 0.4)
Weakley County, Tennessee	Rural	No	183.4 (165.5, 202.9)	N/A	81	stable	-0.3 (-0.7, 0.0)
Webb County, Texas	Urban	No	135.3 (128.3, 142.6)	N/A	289	stable	-0.4 (-0.8, 0.0)
Weber County, Utah	Urban	Yes	122.3 (116.0, 128.8)	N/A	294	falling	-0.9 (-1.2, -0.7)
Webster County, Georgia	Rural	No	140.4 (92.3, 211.1)	N/A	6	falling	-3.5 (-13.5, -1.3)
Webster County, Iowa	Rural	No	157.3 (142.0, 173.9)	N/A	84	falling	-1.0 (-1.4, -0.5)
Webster County, Kentucky	Rural	No	206.0 (175.5, 240.6)	N/A	34	stable	-0.6 (-1.2, 0.0)
Webster County, Mississippi	Rural	No	191.8 (159.6, 229.3)	N/A	26	stable	-0.4 (-1.2, 0.6)
Webster County, Missouri	Urban	No	182.5 (165.2, 201.2)	N/A	84	stable	1.3 (-0.4, 7.0)
Webster County, Nebraska	Rural	No	209.6 (157.8, 276.2)	N/A	12	stable	2.2 (-0.6, 14.7)
Webster County, West Virginia	Rural	No	159.6 (130.0, 195.1)	N/A	22	falling	-5.7 (-13.5, -2.5)
Webster Parish, Louisiana	Rural	No	201.8 (184.6, 220.3)	N/A	108	falling	-0.9 (-1.2, -0.5)
Weld County, Colorado ⁸	Urban	No	131.5 (125.8, 137.5)	N/A	413	falling	-1.5 (-1.9, -1.0)
Wells County, Indiana	Urban	No	165.6 (147.5, 185.5)	N/A	64	stable	-0.5 (-1.1, 0.2)
Wells County, North Dakota	Rural	Yes	113.6 (80.5, 159.7)	N/A	9	falling	-1.2 (-2.3, -0.1)
West Baton Rouge Parish, Louisiana	Urban	No	154.5 (135.2, 175.9)	N/A	49	falling	-2.0 (-2.7, -1.2)
West Carroll Parish, Louisiana	Rural	No	179.7 (149.3, 215.3)	N/A	26	falling	-1.1 (-1.9, -0.4)
West Feliciana Parish, Louisiana	Urban	No	159.8 (135.4, 187.8)	N/A	32	falling	-1.8 (-2.8, -0.7)
Westchester County, New York	Urban	Yes	110.9 (108.4, 113.5)	N/A	1,528	falling	-3.4 (-5.1, -2.7)
Westmoreland County, Pennsylvania	Urban	No	154.2 (149.7, 158.9)	N/A	933	falling	-1.1 (-1.2, -1.0)
Westmoreland County, Virginia	Rural	No	166.7 (146.8, 189.2)	N/A	56	falling	-1.6 (-2.2, -0.9)
Weston County, Wyoming	Rural	No	165.6 (132.1, 206.4)	N/A	18	falling	-1.1 (-2.1, -0.1)
Wetzel County, West Virginia	Rural	No	203.3 (177.9, 231.9)	N/A	49	stable	-0.2 (-0.9, 0.5)
Wexford County, Michigan	Rural	No	163.0 (146.8, 180.6)	N/A	79	stable	-3.1 (-8.2, 1.9)
Wharton County, Texas	Rural	No	154.7 (139.9, 170.7)	N/A	84	falling	-1.3 (-1.7, -0.9)
Whatcom County, Washington	Urban	No	138.6 (132.5, 145.0)	N/A	399	falling	-1.2 (-1.5, -0.8)
Wheatland County, Montana	Rural	No	163.0 (99.8, 254.6)	N/A	5	*	*
Wheeler County, Georgia	Rural	No	137.1 (104.9, 177.0)	N/A	12	stable	-1.3 (-2.6, 0.2)
Wheeler County, Oregon	Rural	Yes	112.8 (70.6, 199.0)	N/A	4	stable	-1.6 (-3.5, 0.4)
Wheeler County, Texas	Rural	No	182.8 (141.0, 234.8)	N/A	14	stable	-0.3 (-1.2, 0.6)
White County, Arkansas	Rural	No	172.2 (160.5, 184.5)	N/A	167	falling	-1.1 (-1.4, -0.8)
White County, Georgia	Rural	No	156.7 (140.1, 175.0)	N/A	70	stable	-0.4 (-1.0, 0.3)
White County, Illinois	Rural	No	161.3 (138.2, 187.8)	N/A	38	stable	-0.7 (-1.5, 0.1)
White County, Indiana	Rural	No	175.5 (156.3, 196.7)	N/A	65	falling	-0.7 (-1.3, -0.2)
White County, Tennessee	Rural	No	176.5 (158.5, 196.3)	N/A	73	falling	-0.9 (-1.3, -0.3)
White Pine County, Nevada	Rural	No	162.3 (132.2, 198.0)	N/A	21	stable	-0.5 (-1.6, 0.8)
Whiteside County, Illinois	Rural	No	167.3 (155.2, 180.3)	N/A	148	stable	-0.5 (-1.0, 0.0)
Whitfield County, Georgia	Urban	No	160.7 (150.4, 171.6)	N/A	185	falling	-1.2 (-1.5, -0.8)
Whitley County, Indiana	Urban	No	186.8 (169.3, 205.8)	N/A	88	falling	-0.6 (-1.0, -0.1)
Whitley County, Kentucky	Rural	No	220.7 (201.1, 241.7)	N/A	97	stable	-0.3 (-1.0, 0.5)
Whitman County, Washington	Rural	No	147.7 (131.0, 166.0)	N/A	59	stable	7.9 (-0.4, 13.5)
Wichita County, Kansas	Rural	No	168.9 (104.5, 260.8)	N/A	5	stable	-0.3 (-2.2, 1.5)
Wichita County, Texas	Urban	No	185.3 (175.4, 195.6)	N/A	275	falling	-0.9 (-1.1, -0.6)
Wicomico County, Maryland	Urban	No	175.3 (164.9, 186.3)	N/A	221	falling	-1.2 (-1.6, -0.8)
Wilbarger County, Texas	Rural	No	171.8 (144.8, 202.8)	N/A	30	stable	-0.6 (-1.4, 0.1)
Wilcox County, Alabama	Rural	No	191.4 (159.6, 228.3)	N/A	28	stable	-0.4 (-1.4, 0.7)
Wilcox County, Georgia	Rural	No	140.7 (112.4, 174.7)	N/A	18	falling	-1.6 (-2.4, -0.7)
Wilkes County, Georgia	Rural	No	213.3 (180.6, 251.0)	N/A	34	stable	-0.5 (-1.2, 0.2)
Wilkes County, North Carolina	Rural	No	164.5 (153.5, 176.2)	N/A	176	falling	-0.8 (-2.9, -0.5)
Wilkin County, Minnesota	Rural	No	166.4 (130.8, 209.9)	N/A	16	stable	-0.5 (-1.6, 0.5)
Wilkinson County, Georgia	Rural	No	166.2 (135.4, 202.8)	N/A	22	stable	-0.9 (-1.9, 0.2)
Wilkinson County, Mississippi	Rural	No	197.6 (161.8, 239.7)	N/A	23	falling	-0.9 (-1.7, -0.1)
Will County, Illinois	Urban	No	153.2 (149.2, 157.3)	N/A	1,141	falling	-1.5 (-1.9, -1.3)
Willacy County, Texas	Rural	No	136.3 (115.2, 160.3)	N/A	30	stable	-0.9 (-1.9, 0.2)
Williams County, North Dakota	Rural	No	133.8 (115.6, 153.8)	N/A	42	falling	-10.2 (-18.9, -1.2)
Williams County, Ohio	Rural	No	167.9 (152.5, 184.7)	N/A	91	falling	-0.7 (-1.1, -0.3)
Williamsburg City, Virginia	Urban	No	139.2 (116.1, 166.6)	N/A	27	falling	-2.6 (-4.2, -1.1)
Williamsburg County, South Carolina	Rural	No	181.9 (164.5, 200.9)	N/A	86	stable	-0.7 (-1.3, 0.0)
Williamson County, Illinois	Rural	No	160.9 (149.6, 172.9)	N/A	155	falling	-3.2 (-6.7, -1.8)
Williamson County, Tennessee	Urban	Yes	120.0 (114.1, 126.2)	N/A	320	stable	-0.3 (-1.6, 2.6)
Williamson County, Texas	Urban	Yes	122.3 (118.3, 126.4)	N/A	727	falling	-1.7 (-1.9, -1.5)
Wilson County, Kansas	Rural	No	178.5 (147.4, 215.3)	N/A	25	stable	-0.2 (-1.1, 0.6)
Wilson County, North Carolina	Rural	No	171.3 (160.1, 183.0)	N/A	185	falling	-1.1 (-1.4, -0.7)
Wilson County, Tennessee	Urban	No	149.5 (141.4, 158.0)	N/A	264	falling	-2.0 (-2.8, -1.5)
Wilson County, Texas	Urban	No	152.9 (139.2, 167.7)	N/A	96	falling	-0.9 (-1.4, -0.2)
Winchester City, Virginia	Urban	No	156.8 (138.7, 176.8)	N/A	56	falling	-1.5 (-2.0, -1.0)
Windham County, Connecticut	Urban	No	159.3 (150.3, 168.8)	N/A	247	stable	-0.6 (-1.2, 0.8)
Windham County, Vermont	Rural	No	152.7 (139.8, 166.7)	N/A	114	falling	-1.4 (-1.8, -1.0)
Windsor County, Vermont	Rural	No	140.7 (129.9, 152.3)	N/A	138	falling	-1.3 (-1.8, -0.9)
Winkler County, Texas	Rural	Yes	121.3 (89.2, 161.4)	N/A	10	falling	-4.9 (-20.6, -1.8)
Winn Parish, Louisiana	Rural	No	184.9 (158.1, 215.3)	N/A	35	falling	-1.2 (-2.0, -0.4)
Winnebago County, Illinois	Urban	No	163.4 (157.6, 169.3)	N/A	627	falling	-2.5 (-5.6, -1.1)
Winnebago County, Iowa	Rural	No	147.9 (122.9, 177.4)	N/A	26	stable	-0.5 (-1.3, 0.3)
Winnebago County, Wisconsin	Urban	No	148.7 (141.4, 156.3)	N/A	324	falling	-1.1 (-1.4, -0.9)
Winneshiek County, Iowa	Rural	Yes	111.7 (95.6, 130.2)	N/A	37	falling	-1.5 (-2.1, -0.9)
Winona County, Minnesota	Rural	No	147.5 (134.2, 162.0)	N/A	96	falling	-1.1 (-1.4, -0.7)
Winston County, Alabama	Rural	No	159.2 (141.3, 179.2)	N/A	60	falling	-1.3 (-1.8, -0.7)
Winston County, Mississippi	Rural	No	164.3 (142.4, 189.0)	N/A	43	falling	-0.8 (-1.6, -0.1)
Wirt County, West Virginia	Urban	No	167.9 (129.0, 216.8)	N/A	14	stable	-0.7 (-1.8, 0.4)
Wise County, Texas	Urban	No	181.3 (168.0, 195.4)	N/A	146	stable	-0.3 (-0.7, 0.1)
Wise County, Virginia	Rural	No	215.9 (197.5, 235.8)	N/A	107	stable	-0.5 (-0.9, 0.0)
Wolfe County, Kentucky	Rural	No	235.8 (191.4, 288.3)	N/A	21	stable	-0.4 (-1.5, 0.9)
Wood County, Ohio	Urban	No	166.5 (157.4, 176.1)	N/A	259	stable	2.1 (-0.9, 4.4)
Wood County, Texas	Rural	No	184.0 (170.2, 198.8)	N/A	152	stable	4.5 (-0.2, 11.7)
Wood County, West Virginia	Urban	No	183.9 (173.2, 195.1)	N/A	234	falling	-0.6 (-0.9, -0.2)
Wood County, Wisconsin	Rural	No	152.1 (142.2, 162.7)	N/A	183	falling	-9.0 (-11.5, -5.7)
Woodbury County, Iowa	Urban	No	166.8 (156.6, 177.6)	N/A	204	falling	-0.7 (-1.0, -0.4)
Woodford County, Illinois	Urban	No	150.7 (135.9, 166.7)	N/A	81	falling	-0.7 (-1.2, -0.2)
Woodford County, Kentucky	Urban	No	163.9 (145.7, 184.0)	N/A	63	falling	-1.2 (-1.8, -0.5)
Woodruff County, Arkansas	Rural	No	167.8 (134.4, 208.7)	N/A	18	falling	-1.1 (-2.1, -0.2)
Woods County, Oklahoma	Rural	No	155.1 (123.6, 192.9)	N/A	18	stable	-0.6 (-1.7, 0.4)
Woodson County, Kansas	Rural	No	169.4 (124.5, 230.2)	N/A	10	falling	-5.3 (-21.5, -0.7)
Woodward County, Oklahoma	Rural	No	145.7 (125.3, 168.6)	N/A	37	falling	-1.5 (-4.3, -0.6)
Worcester County, Maryland	Rural	No	143.6 (132.6, 155.5)	N/A	147	falling	-3.8 (-7.6, -1.9)
Worcester County, Massachusetts	Urban	No	142.4 (139.2, 145.7)	N/A	1,541	falling	-2.1 (-3.7, -1.6)
Worth County, Georgia	Urban	No	162.1 (141.6, 185.1)	N/A	48	falling	-0.9 (-1.5, -0.2)
Worth County, Iowa	Rural	No	135.9 (107.6, 170.8)	N/A	16	falling	-1.3 (-2.3, -0.3)
Worth County, Missouri	Rural	No	167.2 (109.9, 251.0)	N/A	6	stable	0.0 (-1.8, 1.7)
Wrangell Borough, Alaska	Rural	No	175.4 (114.7, 262.9)	N/A	6	stable	-1.8 (-7.6, 4.9)
Wright County, Iowa	Rural	No	141.0 (118.0, 167.9)	N/A	30	falling	-1.6 (-7.8, -1.0)
Wright County, Minnesota	Urban	No	145.6 (136.8, 154.8)	N/A	213	falling	-1.0 (-1.3, -0.6)
Wright County, Missouri	Rural	No	178.7 (155.9, 204.2)	N/A	47	stable	-0.5 (-1.1, 0.1)
Wyandot County, Ohio	Rural	No	160.9 (141.8, 182.1)	N/A	54	falling	-0.7 (-1.5, -0.3)
Wyandotte County, Kansas	Urban	No	166.7 (158.0, 175.8)	N/A	289	falling	-3.4 (-6.0, -2.2)
Wyoming County, New York	Rural	No	152.8 (138.4, 168.4)	N/A	87	falling	-1.0 (-1.4, -0.5)
Wyoming County, Pennsylvania	Urban	No	184.4 (165.5, 205.2)	N/A	75	stable	-0.3 (-1.0, 0.4)
Wyoming County, West Virginia	Rural	No	185.1 (163.4, 209.3)	N/A	59	falling	-0.7 (-1.2, -0.1)
Wythe County, Virginia	Rural	No	172.7 (155.3, 191.7)	N/A	76	falling	-0.9 (-1.4, -0.5)
Yadkin County, North Carolina	Urban	No	167.8 (152.6, 184.3)	N/A	94	falling	-0.6 (-1.0, -0.2)
Yakima County, Washington	Urban	No	159.7 (152.9, 166.7)	N/A	432	falling	-0.7 (-0.9, -0.6)
Yalobusha County, Mississippi	Rural	No	194.5 (166.7, 226.2)	N/A	37	falling	-0.8 (-1.4, -0.2)
Yamhill County, Oregon	Urban	No	143.2 (134.4, 152.5)	N/A	204	falling	-1.9 (-6.0, -1.1)
Yancey County, North Carolina	Rural	No	161.1 (142.4, 182.2)	N/A	56	stable	-0.2 (-0.8, 0.4)
Yankton County, South Dakota	Rural	Yes	119.1 (103.4, 136.9)	N/A	44	falling	-1.4 (-2.0, -0.8)
Yates County, New York	Rural	No	151.1 (133.7, 170.5)	N/A	57	falling	-1.4 (-1.8, -0.9)
Yavapai County, Arizona	Urban	No	149.7 (144.4, 155.1)	N/A	745	falling	-0.8 (-1.0, -0.6)
Yazoo County, Mississippi	Urban	No	241.8 (216.6, 269.2)	N/A	69	stable	-0.1 (-0.7, 0.6)
Yell County, Arkansas	Rural	No	169.1 (147.5, 193.2)	N/A	46	falling	-1.2 (-1.7, -0.7)
Yellow Medicine County, Minnesota	Rural	No	150.5 (122.4, 184.0)	N/A	22	stable	-0.6 (-1.3, 0.1)
Yellowstone County, Montana	Urban	No	146.5 (139.2, 154.1)	N/A	316	falling	-1.2 (-1.4, -0.9)
Yoakum County, Texas	Rural	No	171.6 (130.7, 221.1)	N/A	12	stable	0.6 (-0.8, 2.3)
Yolo County, California	Urban	No	142.4 (135.2, 149.8)	N/A	304	falling	-1.4 (-1.7, -1.1)
York County, Maine	Urban	No	156.6 (150.4, 163.1)	N/A	509	falling	-1.3 (-1.5, -1.1)
York County, Nebraska	Rural	No	145.6 (123.4, 171.2)	N/A	33	stable	-0.6 (-1.1, 0.0)
York County, Pennsylvania	Urban	No	154.3 (149.9, 158.8)	N/A	967	falling	-1.1 (-1.2, -0.9)
York County, South Carolina	Urban	No	154.5 (148.3, 161.0)	N/A	484	falling	-2.0 (-3.9, -1.5)
York County, Virginia	Urban	No	126.6 (116.3, 137.7)	N/A	115	falling	-2.4 (-3.0, -1.8)
Young County, Texas	Rural	No	204.6 (180.0, 232.0)	N/A	53	stable	-0.4 (-1.0, 0.2)
Yuba County, California	Urban	No	165.5 (152.8, 178.9)	N/A	134	falling	-1.2 (-1.6, -0.7)
Yukon-Koyukuk Census Area, Alaska	Rural	No	174.8 (129.5, 231.3)	N/A	11	stable	-0.2 (-1.8, 1.6)
Yuma County, Arizona ³	Urban	Yes	121.6 (115.6, 127.8)	N/A	340	falling	-0.8 (-1.2, -0.4)
Yuma County, Colorado	Rural	No	141.2 (113.5, 174.2)	N/A	19	stable	-0.4 (-1.2, 0.4)
Zapata County, Texas	Rural	No	129.2 (103.3, 159.6)	N/A	17	stable	-0.1 (-1.6, 1.6)
Zavala County, Texas	Rural	No	197.2 (159.9, 240.6)	N/A	20	stable	-0.1 (-1.1, 0.9)
Aleutians East Borough, Alaska ³	Rural	*******	*	*	3 or fewer	*	*
Aleutians West Census Area, Alaska ³	Rural	*******	*	*	3 or fewer	*	*
Arthur County, Nebraska	Rural	*******	*	*	3 or fewer	*	*
Banner County, Nebraska	Rural	*******	*	*	3 or fewer	*	*
Billings County, North Dakota	Rural	*******	*	*	3 or fewer	*	*
Blaine County, Nebraska	Rural	*******	*	*	3 or fewer	*	*
Borden County, Texas	Rural	*******	*	*	3 or fewer	*	*
Bristol Bay Borough, Alaska	Rural	*******	*	*	3 or fewer	*	*
Camas County, Idaho	Rural	*******	*	*	3 or fewer	*	*
Cimarron County, Oklahoma	Rural	*******	*	*	3 or fewer	*	*
Clark County, Idaho	Rural	*******	*	*	3 or fewer	*	*
Daggett County, Utah	Rural	*******	*	*	3 or fewer	*	*
Denali, Alaska	Rural	*******	*	*	3 or fewer	*	*
Dundy County, Nebraska	Rural	*******	*	*	3 or fewer	*	*
Esmeralda County, Nevada	Rural	*******	*	*	3 or fewer	*	*
Foard County, Texas	Rural	*******	*	*	3 or fewer	*	*
Garfield County, Montana	Rural	*******	*	*	3 or fewer	*	*
Glasscock County, Texas	Rural	*******	*	*	3 or fewer	*	*
Golden Valley County, Montana	Rural	*******	*	*	3 or fewer	*	*
Golden Valley County, North Dakota	Rural	*******	*	*	3 or fewer	*	*
Grant County, Nebraska	Rural	*******	*	*	3 or fewer	*	*
Greeley County, Kansas	Rural	*******	*	*	3 or fewer	*	*
Haines Borough, Alaska	Rural	*******	*	*	3 or fewer	*	*
Harding County, New Mexico	Rural	*******	*	*	3 or fewer	*	*
Harding County, South Dakota	Rural	*******	*	*	3 or fewer	*	*
Hayes County, Nebraska	Rural	*******	*	*	3 or fewer	*	*
Hinsdale County, Colorado	Rural	*******	*	*	3 or fewer	*	*
Hooker County, Nebraska	Rural	*******	*	*	3 or fewer	*	*
Kalawao County, Hawaii ⁸	Urban	*******	*	*	3 or fewer	*	*
Kenedy County, Texas	Rural	*******	*	*	3 or fewer	*	*
Kent County, Texas	Rural	*******	*	*	3 or fewer	*	*
Keya Paha County, Nebraska	Rural	*******	*	*	3 or fewer	*	*
King County, Texas	Rural	*******	*	*	3 or fewer	*	*
Lake and Peninsula Borough, Alaska ³	Rural	*******	*	*	3 or fewer	*	*
Logan County, Nebraska	Rural	*******	*	*	3 or fewer	*	*
Loup County, Nebraska	Rural	*******	*	*	3 or fewer	*	*
Loving County, Texas	Rural	*******	*	*	3 or fewer	*	*
McCone County, Montana	Rural	*******	*	*	3 or fewer	*	*
McMullen County, Texas	Rural	*******	*	*	3 or fewer	*	*
McPherson County, Nebraska	Rural	*******	*	*	3 or fewer	*	*
Mineral County, Colorado	Rural	*******	*	*	3 or fewer	*	*
Oliver County, North Dakota	Urban	*******	*	*	3 or fewer	*	*
Petroleum County, Montana	Rural	*******	*	*	3 or fewer	*	*
Rich County, Utah	Rural	*******	*	*	3 or fewer	*	*
Roberts County, Texas	Rural	*******	*	*	3 or fewer	*	*
Rock County, Nebraska	Rural	*******	*	*	3 or fewer	*	*
San Juan County, Colorado	Rural	*******	*	*	3 or fewer	*	*
Sheridan County, North Dakota	Rural	*******	*	*	3 or fewer	*	*
Sioux County, Nebraska	Rural	*******	*	*	3 or fewer	*	*
Skagway Municipality, Alaska	Rural	*******	*	*	3 or fewer	*	*
Slope County, North Dakota	Rural	*******	*	*	3 or fewer	*	*
Steele County, North Dakota	Rural	*******	*	*	3 or fewer	*	*
Sterling County, Texas	Rural	*******	*	*	3 or fewer	*	*
Terrell County, Texas	Rural	*******	*	*	3 or fewer	*	*
Thomas County, Nebraska	Rural	*******	*	*	3 or fewer	*	*
Treasure County, Montana	Rural	*******	*	*	3 or fewer	*	*
Wallace County, Kansas	Rural	*******	*	*	3 or fewer	*	*
Wheeler County, Nebraska	Rural	*******	*	*	3 or fewer	*	*
Wibaux County, Montana	Rural	*******	*	*	3 or fewer	*	*
Yakutat City and Borough, Alaska ³	Rural	*******	*	*	3 or fewer	*	*
Ziebach County, South Dakota	Rural	*******	*	*	3 or fewer	*	*

Notes:
Created by statecancerprofiles.cancer.gov on 07/15/2025 7:56 pm.

Alaska Census Area Name Change: please note that Wade Hampton Census Area, AK (FIPS code=02270) was renamed effective July 1, 2015, and the new name is Kusilvak Census Area (FIPS Code=02158). This website now uses Kusilvak.

South Dakota County Name Change: please note that Shannon County, SD (FIPS code=46113) was renamed effective May 1, 2015, and the new name is Oglala Lakota County (FIPS Code=46102). This website now uses Oglala Lakota.

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

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

† Death data provided by the National Vital Statistics System public use data file. Death rates calculated by the National Cancer Institute using SEER*Stat. Death rates are age-adjusted to the 2000 US standard population (19 age groups: <1, 1-4, 5-9, ... , 80-84, 85+). The Healthy People 2030 goals are based on rates adjusted using different methods but the differences should be minimal. Population counts for denominators are based on Census populations as modified by NCI.
The US Population Data File is used with mortality data.
‡ 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.

⋔ 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.

Healthy People 2030 Objectives provided by the Centers for Disease Control and Prevention.
³ Due to data availability issues, the time period used in the calculation of the joinpoint regression model may differ for selected counties.

⁸ Due to data availability issues, the time period used in the calculation of the joinpoint regression model may differ for selected counties.

Note: This website still uses Connecticut counties instead of planning regions for consistency of geographies across data topics. If/when all data sources have new planning regions, then this website will switch to using them. 2013 Rural-Urban Continuum Codes will be used for Connecticut counties.

Φ Rural-Urban Continuum Codes provided by the USDA.
Puerto Rico is treated as urban because over 90% of the population lives in urban areas.

* 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).

Please note that the data comes from different sources. Due to different years of data availability, most of the trends are AAPCs based on APCs but some are APCs calculated in SEER*Stat. Please refer to the source for each graph for additional information.

Data for United States does not include Puerto Rico.

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State Cancer Profiles

Death Rates Table

Death Rate Report for United States by CountyAll Cancer Sites, 2018-2022All Races (includes Hispanic), Both Sexes, All AgesSorted by CI*Rank

Death Rate Report for United States by County

All Cancer Sites, 2018-2022

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

Sorted by CI*Rank