Mortality > Table
Death Rates Table
County |
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 | No | 149.4 (149.3, 149.6) | N/A | 599,666 | falling | -2.0 (-2.2, -1.8) |
Los Angeles County, California | No | 133.3 (132.4, 134.3) | N/A | 14,616 | falling | -1.5 (-1.6, -1.5) |
Cook County, Illinois | No | 152.1 (150.7, 153.6) | N/A | 9,085 | falling | -2.7 (-3.5, -1.8) |
Maricopa County, Arizona | No | 130.1 (128.7, 131.5) | N/A | 6,622 | falling | -2.4 (-2.9, -1.9) |
Harris County, Texas | No | 139.4 (137.7, 141.1) | N/A | 5,610 | falling | -2.0 (-2.1, -1.9) |
Puerto Rico 8 | Yes | 105.5 (104.1, 106.8) | N/A | 5,147 | falling | -2.0 (-3.1, -0.8) |
San Diego County, California | No | 137.2 (135.5, 139.0) | N/A | 5,040 | falling | -2.2 (-2.7, -1.8) |
Orange County, California | No | 127.1 (125.5, 128.8) | N/A | 4,707 | falling | -1.6 (-1.7, -1.5) |
Miami-Dade County, Florida | No | 126.3 (124.6, 128.0) | N/A | 4,385 | falling | -1.7 (-1.8, -1.6) |
Riverside County, California | No | 138.2 (136.3, 140.3) | N/A | 3,767 | falling | -1.7 (-1.9, -1.5) |
Clark County, Nevada | No | 150.8 (148.6, 153.0) | N/A | 3,717 | falling | -1.7 (-1.8, -1.6) |
Wayne County, Michigan | No | 170.5 (168.0, 173.1) | N/A | 3,611 | falling | -2.2 (-2.6, -1.8) |
Kings County, New York | No | 125.4 (123.5, 127.3) | N/A | 3,534 | falling | -5.2 (-6.8, -3.7) |
Broward County, Florida | No | 135.2 (133.2, 137.3) | N/A | 3,439 | falling | -2.6 (-3.1, -2.1) |
Dallas County, Texas | No | 146.3 (144.0, 148.6) | N/A | 3,387 | falling | -1.8 (-1.9, -1.6) |
Queens County, New York | Yes | 116.8 (115.0, 118.6) | N/A | 3,297 | falling | -4.6 (-6.2, -3.0) |
Palm Beach County, Florida | Yes | 122.6 (120.6, 124.6) | N/A | 3,262 | falling | -3.3 (-4.6, -2.0) |
San Bernardino County, California | No | 150.7 (148.2, 153.1) | N/A | 3,030 | falling | -1.6 (-1.7, -1.4) |
Philadelphia County, Pennsylvania | No | 175.2 (172.4, 178.1) | N/A | 3,005 | falling | -2.2 (-2.5, -1.9) |
King County, Washington | No | 127.0 (124.9, 129.1) | N/A | 2,943 | falling | -2.7 (-3.1, -2.3) |
Cuyahoga County, Ohio | No | 168.9 (166.1, 171.7) | N/A | 2,935 | falling | -1.3 (-1.4, -1.2) |
Tarrant County, Texas | No | 149.2 (146.7, 151.7) | N/A | 2,857 | falling | -1.5 (-1.6, -1.5) |
Allegheny County, Pennsylvania | No | 159.3 (156.6, 162.0) | N/A | 2,816 | falling | -1.8 (-2.0, -1.7) |
Suffolk County, New York | No | 139.2 (136.9, 141.6) | N/A | 2,742 | falling | -2.6 (-3.4, -1.8) |
Bexar County, Texas | No | 142.0 (139.6, 144.5) | N/A | 2,686 | falling | -1.4 (-1.5, -1.3) |
Middlesex County, Massachusetts | No | 135.5 (133.2, 137.9) | N/A | 2,621 | falling | -2.2 (-2.4, -2.1) |
Sacramento County, California | No | 150.7 (148.1, 153.4) | N/A | 2,553 | falling | -1.8 (-2.2, -1.4) |
Pinellas County, Florida | No | 143.4 (140.8, 146.1) | N/A | 2,519 | falling | -1.6 (-1.9, -1.4) |
Santa Clara County, California | Yes | 113.5 (111.5, 115.6) | N/A | 2,388 | falling | -2.6 (-3.2, -2.0) |
New York County, New York | Yes | 114.6 (112.5, 116.7) | N/A | 2,373 | falling | -3.3 (-3.8, -2.8) |
Nassau County, New York | No | 124.2 (121.9, 126.5) | N/A | 2,364 | falling | -2.0 (-2.1, -1.9) |
Hillsborough County, Florida | No | 146.7 (144.1, 149.4) | N/A | 2,361 | falling | -1.7 (-1.8, -1.6) |
Alameda County, California | No | 125.0 (122.6, 127.3) | N/A | 2,278 | falling | -2.3 (-2.4, -2.1) |
Oakland County, Michigan | No | 139.2 (136.6, 141.8) | N/A | 2,269 | falling | -1.7 (-1.9, -1.5) |
St. Louis County, Missouri | No | 151.8 (148.8, 154.8) | N/A | 2,091 | falling | -1.3 (-1.4, -1.2) |
Erie County, New York | No | 162.0 (158.8, 165.3) | N/A | 2,069 | falling | -1.3 (-1.3, -1.2) |
Bronx County, New York | No | 135.7 (133.0, 138.4) | N/A | 2,023 | falling | -4.6 (-7.2, -2.0) |
Pima County, Arizona | No | 134.3 (131.6, 137.1) | N/A | 1,985 | falling | -1.5 (-1.6, -1.3) |
Franklin County, Ohio | No | 155.9 (152.8, 159.1) | N/A | 1,953 | falling | -2.2 (-2.4, -1.9) |
Macomb County, Michigan | No | 167.3 (163.9, 170.7) | N/A | 1,923 | falling | -1.0 (-1.1, -0.9) |
Hennepin County, Minnesota | No | 137.3 (134.5, 140.1) | N/A | 1,912 | falling | -1.8 (-2.0, -1.6) |
Orange County, Florida | No | 143.2 (140.3, 146.2) | N/A | 1,893 | falling | -1.7 (-1.8, -1.6) |
Contra Costa County, California | No | 130.5 (127.8, 133.2) | N/A | 1,832 | falling | -2.1 (-2.4, -1.8) |
Baltimore County, Maryland | No | 161.5 (158.1, 165.0) | N/A | 1,785 | falling | -1.5 (-1.7, -1.3) |
Lee County, Florida | No | 122.8 (120.1, 125.6) | N/A | 1,780 | falling | -1.7 (-1.8, -1.5) |
Duval County, Florida | No | 169.1 (165.5, 172.7) | N/A | 1,774 | falling | -1.9 (-2.3, -1.5) |
Milwaukee County, Wisconsin | No | 169.3 (165.7, 173.0) | N/A | 1,741 | falling | -1.1 (-1.2, -1.0) |
Shelby County, Tennessee | No | 169.3 (165.6, 173.0) | N/A | 1,695 | falling | -2.9 (-3.6, -2.1) |
Marion County, Indiana | No | 172.1 (168.4, 176.0) | N/A | 1,669 | falling | -2.5 (-3.4, -1.6) |
New Haven County, Connecticut | No | 143.1 (140.0, 146.3) | N/A | 1,663 | falling | -2.2 (-2.6, -1.9) |
Hartford County, Connecticut | No | 136.8 (133.8, 139.8) | N/A | 1,646 | falling | -1.7 (-1.9, -1.6) |
Montgomery County, Pennsylvania | No | 142.3 (139.2, 145.5) | N/A | 1,641 | falling | -1.7 (-1.9, -1.5) |
Bergen County, New Jersey | No | 127.2 (124.4, 130.1) | N/A | 1,637 | falling | -2.1 (-2.2, -2.0) |
Honolulu County, Hawaii 8 | No | 123.4 (120.7, 126.2) | N/A | 1,636 | falling | -1.1 (-1.3, -0.9) |
Brevard County, Florida | No | 156.0 (152.5, 159.6) | N/A | 1,621 | falling | -4.0 (-5.5, -2.4) |
Hamilton County, Ohio | No | 165.5 (161.9, 169.3) | N/A | 1,615 | falling | -1.7 (-1.9, -1.4) |
Jefferson County, Kentucky | No | 167.9 (164.1, 171.7) | N/A | 1,596 | falling | -1.9 (-2.1, -1.7) |
Westchester County, New York | Yes | 120.1 (117.4, 122.8) | N/A | 1,592 | falling | -2.2 (-2.4, -2.1) |
Ocean County, New Jersey | No | 157.8 (154.1, 161.4) | N/A | 1,573 | falling | -1.5 (-1.6, -1.3) |
Volusia County, Florida | No | 163.2 (159.4, 167.0) | N/A | 1,563 | falling | -1.0 (-1.2, -0.9) |
Worcester County, Massachusetts | No | 150.9 (147.5, 154.4) | N/A | 1,551 | falling | -1.4 (-1.6, -1.3) |
Monroe County, New York | No | 151.2 (147.7, 154.8) | N/A | 1,489 | falling | -1.4 (-1.6, -1.3) |
Fairfield County, Connecticut | No | 122.9 (120.1, 125.8) | N/A | 1,487 | falling | -2.3 (-2.5, -2.1) |
Polk County, Florida | No | 146.0 (142.6, 149.4) | N/A | 1,485 | falling | -1.6 (-1.8, -1.4) |
DuPage County, Illinois | No | 132.6 (129.5, 135.7) | N/A | 1,478 | falling | -1.7 (-1.8, -1.5) |
Pierce County, Washington | No | 154.9 (151.3, 158.5) | N/A | 1,474 | falling | -1.8 (-2.1, -1.5) |
Oklahoma County, Oklahoma | No | 172.4 (168.4, 176.5) | N/A | 1,455 | falling | -0.9 (-1.0, -0.8) |
Essex County, Massachusetts | No | 137.5 (134.2, 140.8) | N/A | 1,439 | falling | -2.4 (-2.6, -2.3) |
Montgomery County, Maryland | Yes | 111.8 (109.2, 114.5) | N/A | 1,435 | falling | -1.9 (-2.1, -1.7) |
Prince Georges County, Maryland | No | 147.4 (143.9, 151.0) | N/A | 1,409 | falling | -2.2 (-2.3, -2.0) |
Pasco County, Florida | No | 161.6 (157.7, 165.5) | N/A | 1,401 | falling | -1.1 (-1.2, -1.0) |
Fulton County, Georgia | No | 140.5 (137.1, 143.9) | N/A | 1,398 | falling | -2.4 (-2.7, -2.2) |
Sarasota County, Florida | No | 132.8 (129.2, 136.5) | N/A | 1,393 | falling | -1.3 (-1.4, -1.1) |
Jefferson County, Alabama | No | 167.4 (163.3, 171.5) | N/A | 1,347 | falling | -1.6 (-1.9, -1.3) |
Ventura County, California | No | 130.7 (127.6, 133.9) | N/A | 1,337 | falling | -1.5 (-1.6, -1.3) |
Fresno County, California | No | 139.5 (136.1, 142.9) | N/A | 1,336 | falling | -1.3 (-1.4, -1.2) |
Mecklenburg County, North Carolina | No | 134.3 (131.0, 137.6) | N/A | 1,333 | falling | -2.5 (-3.0, -2.0) |
San Francisco County, California | Yes | 121.6 (118.7, 124.7) | N/A | 1,328 | falling | -5.0 (-8.8, -1.0) |
Norfolk County, Massachusetts | No | 141.1 (137.6, 144.6) | N/A | 1,323 | falling | -1.9 (-2.0, -1.8) |
Jackson County, Missouri | No | 160.0 (156.1, 164.0) | N/A | 1,322 | falling | -2.5 (-3.5, -1.5) |
Wake County, North Carolina | No | 130.6 (127.4, 133.9) | N/A | 1,318 | falling | -3.1 (-4.1, -2.2) |
Bucks County, Pennsylvania | No | 144.8 (141.3, 148.5) | N/A | 1,318 | falling | -1.7 (-1.8, -1.5) |
Fairfax County, Virginia | Yes | 107.3 (104.6, 110.0) | N/A | 1,298 | falling | -2.5 (-2.7, -2.2) |
Middlesex County, New Jersey | No | 131.1 (127.9, 134.4) | N/A | 1,294 | falling | -2.0 (-2.2, -1.8) |
Snohomish County, Washington | No | 149.9 (146.1, 153.7) | N/A | 1,288 | falling | -1.3 (-1.5, -1.1) |
Baltimore City, Maryland | No | 191.3 (186.6, 196.2) | N/A | 1,287 | falling | -1.7 (-1.9, -1.5) |
Multnomah County, Oregon | No | 149.8 (146.0, 153.7) | N/A | 1,250 | falling | -2.3 (-2.7, -1.8) |
Montgomery County, Ohio | No | 171.5 (167.2, 176.0) | N/A | 1,237 | falling | -1.2 (-1.3, -1.0) |
Salt Lake County, Utah | No | 125.5 (122.3, 128.7) | N/A | 1,234 | falling | -1.1 (-1.3, -0.9) |
Summit County, Ohio | No | 163.4 (159.2, 167.7) | N/A | 1,207 | falling | -1.2 (-1.3, -1.0) |
Travis County, Texas | Yes | 120.8 (117.6, 124.0) | N/A | 1,205 | falling | -2.2 (-2.3, -2.0) |
Tulsa County, Oklahoma | No | 165.8 (161.5, 170.1) | N/A | 1,205 | falling | -1.4 (-1.6, -1.1) |
Essex County, New Jersey | No | 136.1 (132.6, 139.6) | N/A | 1,200 | falling | -5.2 (-9.7, -0.3) |
Monmouth County, New Jersey | No | 139.8 (136.2, 143.5) | N/A | 1,200 | stable | -0.8 (-3.5, 2.1) |
Providence County, Rhode Island | No | 150.7 (146.8, 154.8) | N/A | 1,174 | falling | -1.6 (-1.8, -1.5) |
Kern County, California | No | 148.8 (145.0, 152.8) | N/A | 1,170 | falling | -1.4 (-1.5, -1.2) |
Delaware County, Pennsylvania | No | 157.4 (153.2, 161.6) | N/A | 1,155 | falling | -2.6 (-3.3, -1.9) |
Lake County, Illinois | No | 145.5 (141.7, 149.5) | N/A | 1,141 | falling | -1.6 (-1.8, -1.4) |
San Joaquin County, California | No | 150.8 (146.9, 154.8) | N/A | 1,141 | falling | -1.1 (-1.3, -1.0) |
Bristol County, Massachusetts | No | 152.5 (148.5, 156.7) | N/A | 1,137 | falling | -1.6 (-1.8, -1.5) |
Bernalillo County, New Mexico | No | 135.1 (131.5, 138.7) | N/A | 1,123 | falling | -1.3 (-1.4, -1.2) |
Will County, Illinois | No | 157.6 (153.4, 161.9) | N/A | 1,122 | falling | -1.4 (-1.7, -1.2) |
Marion County, Florida | No | 163.6 (159.0, 168.3) | N/A | 1,119 | falling | -1.4 (-1.8, -1.1) |
San Mateo County, California | Yes | 114.0 (111.0, 117.1) | N/A | 1,110 | falling | -2.6 (-2.9, -2.4) |
Plymouth County, Massachusetts | No | 152.5 (148.4, 156.7) | N/A | 1,088 | falling | -2.2 (-2.5, -1.9) |
Lancaster County, Pennsylvania | No | 144.9 (140.9, 148.9) | N/A | 1,085 | falling | -1.3 (-1.5, -1.2) |
Davidson County, Tennessee | No | 159.3 (155.0, 163.7) | N/A | 1,085 | falling | -2.6 (-3.0, -2.1) |
New Castle County, Delaware | No | 158.8 (154.5, 163.2) | N/A | 1,075 | falling | -1.7 (-1.8, -1.6) |
El Paso County, Texas | No | 131.6 (128.0, 135.2) | N/A | 1,070 | falling | -1.3 (-1.5, -1.2) |
Suffolk County, Massachusetts | No | 136.3 (132.6, 140.1) | N/A | 1,050 | falling | -4.2 (-5.1, -3.3) |
Collin County, Texas | Yes | 118.8 (115.5, 122.2) | N/A | 1,045 | falling | -2.0 (-2.2, -1.8) |
Kent County, Michigan | No | 147.7 (143.6, 151.9) | N/A | 1,043 | falling | -1.2 (-1.3, -1.0) |
Lake County, Indiana | No | 167.5 (162.9, 172.3) | N/A | 1,039 | falling | -1.8 (-2.1, -1.6) |
Gwinnett County, Georgia | No | 136.5 (132.6, 140.4) | N/A | 1,035 | falling | -1.4 (-1.6, -1.3) |
District of Columbia | No | 149.5 (145.4, 153.7) | N/A | 1,031 | falling | -2.4 (-2.5, -2.2) |
Camden County, New Jersey | No | 163.3 (158.8, 168.0) | N/A | 1,012 | falling | -1.8 (-2.0, -1.6) |
Lake County, Florida | No | 152.4 (147.9, 156.9) | N/A | 998 | falling | -1.2 (-1.5, -1.0) |
Anne Arundel County, Maryland | No | 149.6 (145.4, 153.9) | N/A | 997 | falling | -2.3 (-2.8, -1.8) |
Spokane County, Washington | No | 159.6 (155.1, 164.2) | N/A | 997 | falling | -1.0 (-1.2, -0.9) |
El Paso County, Colorado | No | 142.4 (138.4, 146.5) | N/A | 996 | falling | -1.2 (-1.4, -1.0) |
Cobb County, Georgia | No | 136.8 (132.9, 140.8) | N/A | 994 | falling | -3.2 (-4.7, -1.6) |
DeKalb County, Georgia | No | 133.5 (129.7, 137.4) | N/A | 993 | falling | -1.7 (-1.9, -1.5) |
Sonoma County, California | No | 137.5 (133.5, 141.5) | N/A | 978 | falling | -2.3 (-2.8, -1.8) |
Lucas County, Ohio | No | 180.8 (175.7, 186.1) | N/A | 974 | falling | -1.0 (-1.1, -0.9) |
York County, Pennsylvania | No | 162.0 (157.4, 166.7) | N/A | 971 | falling | -1.0 (-1.2, -0.9) |
Hampden County, Massachusetts | No | 156.6 (152.1, 161.2) | N/A | 952 | falling | -1.3 (-1.5, -1.2) |
Westmoreland County, Pennsylvania | No | 158.5 (153.8, 163.3) | N/A | 943 | falling | -1.1 (-1.2, -1.0) |
Genesee County, Michigan | No | 172.0 (167.0, 177.1) | N/A | 938 | falling | -1.7 (-2.2, -1.2) |
Sedgwick County, Kansas | No | 159.2 (154.5, 163.9) | N/A | 929 | falling | -1.0 (-1.4, -0.6) |
Guilford County, North Carolina | No | 148.2 (143.9, 152.7) | N/A | 924 | falling | -1.2 (-1.6, -0.9) |
Manatee County, Florida | No | 122.8 (119.1, 126.7) | N/A | 920 | falling | -2.1 (-2.3, -1.9) |
Burlington County, New Jersey | No | 152.7 (148.2, 157.3) | N/A | 913 | falling | -1.8 (-2.1, -1.6) |
Stark County, Ohio | No | 168.0 (163.0, 173.1) | N/A | 912 | falling | -1.0 (-1.1, -0.8) |
Denver County, Colorado | No | 138.1 (134.1, 142.3) | N/A | 911 | falling | -1.9 (-2.2, -1.5) |
Jefferson County, Colorado 8 | No | 127.5 (123.8, 131.4) | N/A | 911 | falling | -1.6 (-1.8, -1.4) |
Onondaga County, New York | No | 148.3 (143.9, 152.8) | N/A | 901 | falling | -3.0 (-3.8, -2.2) |
Douglas County, Nebraska | No | 156.5 (151.9, 161.3) | N/A | 900 | falling | -1.5 (-1.8, -1.2) |
Jefferson Parish, Louisiana | No | 158.5 (153.8, 163.4) | N/A | 900 | falling | -2.0 (-2.3, -1.7) |
Ramsey County, Minnesota | No | 145.2 (140.9, 149.7) | N/A | 892 | falling | -1.8 (-2.0, -1.6) |
Mobile County, Alabama | No | 173.8 (168.6, 179.1) | N/A | 889 | falling | -1.6 (-1.8, -1.4) |
Stanislaus County, California | No | 158.8 (154.1, 163.6) | N/A | 888 | falling | -1.1 (-1.3, -0.9) |
Chester County, Pennsylvania | No | 134.2 (130.2, 138.3) | N/A | 888 | falling | -1.7 (-1.9, -1.6) |
Knox County, Tennessee | No | 157.8 (153.1, 162.6) | N/A | 887 | falling | -3.1 (-4.6, -1.6) |
Denton County, Texas | No | 123.5 (119.7, 127.4) | N/A | 885 | falling | -2.0 (-2.2, -1.8) |
Greenville County, South Carolina | No | 144.4 (140.1, 148.8) | N/A | 885 | falling | -3.1 (-4.2, -2.0) |
Horry County, South Carolina | No | 163.0 (158.0, 168.2) | N/A | 882 | falling | -1.1 (-1.3, -0.9) |
Montgomery County, Texas | No | 143.4 (139.1, 147.9) | N/A | 873 | falling | -1.9 (-2.2, -1.6) |
Richmond County, New York | No | 145.8 (141.4, 150.3) | N/A | 868 | falling | -1.8 (-2.0, -1.7) |
Morris County, New Jersey | No | 128.9 (125.0, 132.9) | N/A | 868 | falling | -2.4 (-2.7, -2.1) |
Johnson County, Kansas | No | 129.0 (125.2, 133.0) | N/A | 865 | falling | -1.4 (-1.6, -1.2) |
Berks County, Pennsylvania | No | 154.3 (149.6, 159.1) | N/A | 859 | falling | -1.1 (-1.3, -1.0) |
Collier County, Florida | Yes | 102.6 (99.2, 106.1) | N/A | 858 | falling | -2.0 (-2.3, -1.8) |
Union County, New Jersey | No | 130.4 (126.4, 134.5) | N/A | 843 | falling | -2.2 (-2.4, -2.0) |
Hidalgo County, Texas | Yes | 111.8 (108.5, 115.3) | N/A | 841 | falling | -1.0 (-1.2, -0.8) |
Solano County, California | No | 158.1 (153.3, 163.1) | N/A | 841 | falling | -1.3 (-1.5, -1.1) |
Clark County, Washington | No | 152.0 (147.3, 156.8) | N/A | 833 | falling | -1.9 (-2.3, -1.5) |
Arapahoe County, Colorado | No | 126.4 (122.5, 130.4) | N/A | 828 | falling | -1.4 (-1.6, -1.2) |
Seminole County, Florida | No | 145.0 (140.5, 149.6) | N/A | 818 | falling | -1.5 (-1.7, -1.4) |
Fort Bend County, Texas | Yes | 116.3 (112.6, 120.2) | N/A | 806 | falling | -1.8 (-2.2, -1.4) |
Clackamas County, Oregon | No | 146.1 (141.5, 150.8) | N/A | 802 | falling | -1.7 (-2.0, -1.4) |
St. Lucie County, Florida | No | 146.7 (142.0, 151.5) | N/A | 800 | falling | -1.5 (-1.7, -1.3) |
Lane County, Oregon | No | 153.2 (148.4, 158.2) | N/A | 800 | falling | -1.6 (-1.9, -1.2) |
Hudson County, New Jersey | Yes | 121.5 (117.7, 125.4) | N/A | 799 | falling | -2.5 (-2.6, -2.4) |
Washoe County, Nevada | No | 144.4 (139.8, 149.1) | N/A | 796 | falling | -2.0 (-2.3, -1.6) |
Polk County, Iowa | No | 158.4 (153.4, 163.5) | N/A | 792 | falling | -2.0 (-2.9, -1.2) |
Luzerne County, Pennsylvania | No | 164.0 (158.8, 169.4) | N/A | 784 | falling | -1.0 (-1.1, -0.8) |
Waukesha County, Wisconsin | No | 136.5 (132.1, 140.9) | N/A | 783 | falling | -1.9 (-2.4, -1.5) |
Kane County, Illinois | No | 137.4 (133.0, 141.9) | N/A | 780 | falling | -1.7 (-1.9, -1.5) |
Passaic County, New Jersey | No | 134.5 (130.3, 138.9) | N/A | 780 | falling | -2.2 (-2.4, -2.0) |
Washington County, Oregon | No | 125.9 (121.9, 130.0) | N/A | 776 | falling | -3.6 (-6.3, -0.9) |
Dane County, Wisconsin | No | 134.3 (130.0, 138.7) | N/A | 763 | falling | -1.2 (-1.4, -1.0) |
Mohave County, Arizona | No | 177.5 (171.4, 183.8) | N/A | 761 | falling | -1.0 (-1.2, -0.8) |
Placer County, California | No | 130.2 (126.0, 134.6) | N/A | 745 | falling | -1.7 (-2.0, -1.5) |
Hillsborough County, New Hampshire | No | 143.8 (139.1, 148.6) | N/A | 741 | falling | -1.7 (-1.9, -1.5) |
Virginia Beach City, Virginia | No | 148.7 (143.9, 153.6) | N/A | 740 | falling | -1.5 (-1.7, -1.3) |
Pinal County, Arizona | Yes | 117.4 (113.5, 121.4) | N/A | 736 | falling | -1.9 (-2.2, -1.5) |
Charleston County, South Carolina | No | 147.8 (142.9, 152.8) | N/A | 735 | falling | -2.6 (-3.4, -1.9) |
East Baton Rouge Parish, Louisiana | No | 152.5 (147.5, 157.7) | N/A | 730 | falling | -3.5 (-5.4, -1.6) |
Pulaski County, Arkansas | No | 155.5 (150.4, 160.8) | N/A | 724 | falling | -2.3 (-2.9, -1.7) |
Yavapai County, Arizona | No | 150.4 (145.1, 156.0) | N/A | 723 | falling | -0.9 (-1.0, -0.7) |
Escambia County, Florida | No | 179.3 (173.4, 185.4) | N/A | 722 | falling | -1.0 (-1.1, -0.8) |
Forsyth County, North Carolina | No | 155.8 (150.7, 161.1) | N/A | 718 | falling | -1.9 (-2.3, -1.5) |
Hamilton County, Tennessee | No | 148.5 (143.5, 153.5) | N/A | 718 | falling | -4.3 (-5.9, -2.6) |
Butler County, Ohio | No | 164.2 (158.8, 169.8) | N/A | 717 | falling | -1.8 (-2.0, -1.5) |
Lehigh County, Pennsylvania | No | 149.1 (144.2, 154.2) | N/A | 708 | falling | -1.2 (-1.3, -1.0) |
Ada County, Idaho | No | 139.6 (134.9, 144.3) | N/A | 706 | falling | -1.3 (-1.6, -1.1) |
Lorain County, Ohio | No | 162.3 (156.9, 168.0) | N/A | 692 | falling | -1.7 (-2.1, -1.4) |
Allen County, Indiana | No | 163.1 (157.6, 168.7) | N/A | 692 | falling | -1.4 (-1.6, -1.2) |
Santa Barbara County, California | No | 130.0 (125.6, 134.5) | N/A | 687 | falling | -1.3 (-1.5, -1.1) |
Williamson County, Texas | No | 128.9 (124.5, 133.3) | N/A | 685 | falling | -1.7 (-1.9, -1.5) |
Northampton County, Pennsylvania | No | 155.2 (149.9, 160.7) | N/A | 684 | falling | -1.1 (-1.3, -1.0) |
Orleans Parish, Louisiana | No | 150.3 (145.2, 155.6) | N/A | 683 | falling | -3.2 (-3.7, -2.7) |
Richland County, South Carolina | No | 165.5 (159.8, 171.3) | N/A | 676 | falling | -1.4 (-1.6, -1.2) |
St. Charles County, Missouri | No | 141.9 (137.1, 146.9) | N/A | 672 | falling | -1.5 (-1.8, -1.3) |
Barnstable County, Massachusetts | No | 144.8 (139.5, 150.3) | N/A | 661 | falling | -1.4 (-1.6, -1.2) |
Madison County, Alabama | No | 151.1 (145.9, 156.5) | N/A | 659 | falling | -1.7 (-2.0, -1.4) |
Sussex County, Delaware | No | 153.6 (148.0, 159.4) | N/A | 650 | falling | -1.7 (-1.9, -1.5) |
Galveston County, Texas | No | 171.2 (165.2, 177.3) | N/A | 649 | falling | -1.4 (-1.6, -1.2) |
Dakota County, Minnesota | No | 136.9 (132.1, 141.8) | N/A | 646 | falling | -1.5 (-1.7, -1.3) |
Charlotte County, Florida | No | 135.3 (129.8, 141.1) | N/A | 642 | falling | -1.2 (-1.4, -1.0) |
Mercer County, New Jersey | No | 142.0 (137.0, 147.1) | N/A | 640 | falling | -1.8 (-2.0, -1.6) |
Spartanburg County, South Carolina | No | 166.9 (161.0, 172.9) | N/A | 638 | falling | -1.6 (-2.1, -1.2) |
Winnebago County, Illinois | No | 169.7 (163.8, 175.9) | N/A | 638 | falling | -0.8 (-1.0, -0.6) |
Orange County, New York | No | 149.6 (144.3, 155.0) | N/A | 633 | falling | -1.7 (-1.9, -1.6) |
Marion County, Oregon | No | 154.4 (149.0, 160.0) | N/A | 627 | falling | -1.6 (-1.9, -1.2) |
Erie County, Pennsylvania | No | 167.8 (161.8, 174.0) | N/A | 623 | falling | -1.0 (-1.1, -0.8) |
Hernando County, Florida | No | 168.4 (162.1, 174.9) | N/A | 611 | falling | -1.1 (-1.3, -0.9) |
Cumberland County, Maine | No | 148.5 (143.1, 154.0) | N/A | 608 | falling | -2.0 (-2.4, -1.6) |
Rockingham County, New Hampshire | No | 145.1 (139.9, 150.6) | N/A | 606 | falling | -2.5 (-3.1, -1.9) |
Albany County, New York | No | 151.5 (146.0, 157.2) | N/A | 605 | falling | -1.3 (-1.5, -1.1) |
Adams County, Colorado 8 | No | 141.9 (136.7, 147.2) | N/A | 603 | falling | -1.8 (-2.2, -1.4) |
Henrico County, Virginia | No | 152.3 (146.8, 157.9) | N/A | 603 | falling | -1.4 (-1.6, -1.1) |
Madison County, Illinois | No | 168.8 (162.7, 175.1) | N/A | 602 | falling | -1.0 (-1.1, -0.8) |
Gloucester County, New Jersey | No | 167.3 (161.3, 173.6) | N/A | 600 | falling | -2.3 (-2.7, -1.9) |
Tulare County, California | No | 142.8 (137.7, 148.1) | N/A | 598 | falling | -1.2 (-1.4, -1.0) |
St. Louis City, Missouri | No | 174.1 (167.7, 180.8) | N/A | 589 | falling | -2.9 (-3.5, -2.2) |
Chesterfield County, Virginia | No | 151.8 (146.2, 157.5) | N/A | 588 | falling | -1.5 (-1.7, -1.2) |
Citrus County, Florida | No | 172.2 (165.0, 179.7) | N/A | 582 | falling | -0.7 (-1.0, -0.5) |
Anoka County, Minnesota | No | 149.0 (143.5, 154.7) | N/A | 577 | falling | -1.2 (-1.4, -1.0) |
Atlantic County, New Jersey | No | 157.9 (152.1, 163.9) | N/A | 576 | falling | -2.2 (-2.6, -1.8) |
Dutchess County, New York | No | 140.0 (134.8, 145.4) | N/A | 567 | falling | -2.0 (-2.2, -1.8) |
Nueces County, Texas | No | 138.2 (133.0, 143.5) | N/A | 563 | falling | -1.8 (-1.9, -1.6) |
Osceola County, Florida | No | 151.6 (145.9, 157.4) | N/A | 562 | stable | 1.8 (-1.2, 4.9) |
Monterey County, California | Yes | 121.6 (117.1, 126.3) | N/A | 559 | falling | -1.8 (-2.0, -1.6) |
Caddo Parish, Louisiana | No | 176.9 (170.2, 183.8) | N/A | 557 | falling | -1.1 (-1.2, -0.9) |
Greene County, Missouri | No | 153.8 (148.0, 159.7) | N/A | 556 | falling | -1.3 (-1.5, -1.1) |
New London County, Connecticut | No | 148.6 (143.0, 154.4) | N/A | 555 | falling | -1.7 (-2.1, -1.3) |
Mahoning County, Ohio | No | 153.5 (147.7, 159.6) | N/A | 553 | falling | -3.3 (-4.8, -1.9) |
Lexington County, South Carolina | No | 154.8 (149.0, 160.9) | N/A | 552 | falling | -1.4 (-1.7, -1.2) |
Buncombe County, North Carolina | No | 146.3 (140.8, 152.0) | N/A | 551 | falling | -1.5 (-1.7, -1.3) |
San Luis Obispo County, California | No | 134.1 (129.0, 139.4) | N/A | 548 | falling | -1.5 (-1.6, -1.3) |
Brazoria County, Texas | No | 156.6 (150.7, 162.8) | N/A | 548 | falling | -1.7 (-2.0, -1.5) |
St. Joseph County, Indiana | No | 166.8 (160.5, 173.4) | N/A | 548 | falling | -1.0 (-1.2, -0.9) |
St. Clair County, Illinois | No | 168.7 (162.3, 175.3) | N/A | 547 | falling | -1.4 (-1.6, -1.3) |
Lake County, Ohio | No | 158.0 (152.0, 164.2) | N/A | 546 | falling | -1.8 (-2.2, -1.3) |
Washington County, Pennsylvania | No | 170.6 (164.0, 177.3) | N/A | 545 | falling | -1.0 (-1.2, -0.8) |
Dauphin County, Pennsylvania | No | 151.7 (146.0, 157.7) | N/A | 544 | falling | -1.5 (-1.6, -1.3) |
Lackawanna County, Pennsylvania | No | 172.2 (165.5, 179.0) | N/A | 542 | falling | -0.9 (-1.1, -0.7) |
McHenry County, Illinois | No | 154.9 (149.0, 161.0) | N/A | 541 | falling | -2.1 (-2.5, -1.8) |
Washtenaw County, Michigan | No | 139.9 (134.5, 145.3) | N/A | 540 | falling | -1.4 (-1.6, -1.2) |
Cumberland County, North Carolina | No | 170.5 (164.0, 177.1) | N/A | 537 | falling | -1.3 (-1.5, -1.1) |
Indian River County, Florida | No | 152.0 (145.6, 158.7) | N/A | 534 | falling | -1.1 (-1.3, -0.9) |
Oneida County, New York | No | 162.3 (156.0, 168.8) | N/A | 528 | falling | -1.1 (-1.3, -0.9) |
Thurston County, Washington | No | 147.1 (141.4, 153.0) | N/A | 526 | falling | -2.0 (-2.4, -1.6) |
Niagara County, New York | No | 169.4 (162.7, 176.3) | N/A | 518 | falling | -1.0 (-1.2, -0.8) |
Jackson County, Oregon | No | 149.0 (143.1, 155.1) | N/A | 514 | falling | -1.3 (-1.5, -1.0) |
Fayette County, Kentucky | No | 153.0 (147.0, 159.2) | N/A | 513 | falling | -1.7 (-1.9, -1.5) |
Sumter County, Florida | No | 129.9 (122.9, 137.5) | N/A | 513 | falling | -1.2 (-1.6, -0.8) |
Cameron County, Texas | Yes | 117.3 (112.8, 122.0) | N/A | 509 | falling | -1.1 (-1.4, -0.9) |
York County, Maine | No | 161.7 (155.3, 168.4) | N/A | 506 | falling | -1.3 (-1.5, -1.1) |
Somerset County, New Jersey | Yes | 118.7 (114.0, 123.6) | N/A | 506 | falling | -4.0 (-5.9, -2.1) |
Cumberland County, Pennsylvania | No | 142.7 (137.0, 148.5) | N/A | 504 | falling | -1.3 (-1.5, -1.1) |
Bell County, Texas | No | 161.3 (154.9, 167.9) | N/A | 497 | falling | -1.6 (-1.9, -1.2) |
Trumbull County, Ohio | No | 160.6 (154.1, 167.3) | N/A | 497 | falling | -1.9 (-2.6, -1.1) |
Baldwin County, Alabama | No | 155.2 (149.0, 161.7) | N/A | 497 | falling | -1.2 (-1.5, -1.0) |
Larimer County, Colorado | Yes | 122.5 (117.6, 127.5) | N/A | 495 | falling | -1.4 (-1.7, -1.2) |
Harford County, Maryland | No | 155.7 (149.5, 162.1) | N/A | 494 | falling | -1.5 (-1.6, -1.3) |
Butte County, California | No | 166.7 (160.0, 173.7) | N/A | 493 | falling | -1.2 (-1.4, -0.9) |
St. Tammany Parish, Louisiana | No | 151.4 (145.4, 157.7) | N/A | 493 | falling | -1.5 (-1.8, -1.3) |
St. Johns County, Florida | No | 132.8 (127.5, 138.3) | N/A | 493 | falling | -2.1 (-2.4, -1.8) |
Kitsap County, Washington | No | 142.6 (136.8, 148.5) | N/A | 492 | falling | -1.5 (-1.7, -1.3) |
Prince William County, Virginia | No | 129.0 (123.7, 134.5) | N/A | 490 | falling | -2.4 (-2.6, -2.1) |
Chatham County, Georgia | No | 143.5 (137.7, 149.5) | N/A | 480 | falling | -2.4 (-2.8, -2.0) |
Marin County, California | Yes | 111.7 (107.2, 116.4) | N/A | 480 | falling | -2.2 (-2.4, -2.0) |
Rockland County, New York | Yes | 120.0 (115.1, 125.0) | N/A | 476 | falling | -2.3 (-2.4, -2.1) |
Lancaster County, Nebraska | No | 141.9 (136.1, 147.9) | N/A | 472 | falling | -1.4 (-1.6, -1.1) |
Kanawha County, West Virginia | No | 172.5 (165.4, 179.8) | N/A | 470 | falling | -1.3 (-1.5, -1.1) |
Ingham County, Michigan | No | 155.6 (149.2, 162.3) | N/A | 468 | falling | -1.0 (-1.2, -0.7) |
Jefferson County, Missouri | No | 176.7 (169.4, 184.3) | N/A | 467 | falling | -1.2 (-1.4, -0.9) |
Saratoga County, New York | No | 148.5 (142.4, 154.8) | N/A | 467 | falling | -1.4 (-1.6, -1.2) |
Lubbock County, Texas | No | 153.7 (147.4, 160.2) | N/A | 463 | falling | -1.0 (-1.2, -0.8) |
Durham County, North Carolina | No | 144.2 (138.2, 150.3) | N/A | 462 | falling | -2.3 (-2.5, -2.0) |
Harrison County, Mississippi | No | 194.7 (186.7, 203.0) | N/A | 462 | falling | -0.9 (-1.2, -0.6) |
York County, South Carolina | No | 154.3 (147.9, 160.9) | N/A | 462 | falling | -2.7 (-3.4, -1.9) |
Martin County, Florida | No | 127.9 (122.2, 133.8) | N/A | 462 | falling | -1.8 (-2.0, -1.6) |
St. Louis County, Minnesota | No | 157.8 (151.2, 164.6) | N/A | 459 | falling | -0.9 (-1.2, -0.7) |
Gaston County, North Carolina | No | 166.0 (159.1, 173.0) | N/A | 458 | falling | -3.6 (-6.0, -1.2) |
Kalamazoo County, Michigan | No | 150.6 (144.4, 157.0) | N/A | 456 | falling | -1.2 (-1.4, -0.9) |
Jefferson County, Texas | No | 154.7 (148.3, 161.3) | N/A | 453 | falling | -1.5 (-1.8, -1.3) |
Alachua County, Florida | No | 158.1 (151.5, 164.9) | N/A | 452 | falling | -1.5 (-1.7, -1.3) |
Rutherford County, Tennessee | No | 163.1 (156.2, 170.2) | N/A | 452 | falling | -1.4 (-1.6, -1.1) |
Hinds County, Mississippi | No | 170.1 (162.9, 177.4) | N/A | 450 | stable | -0.1 (-0.5, 0.3) |
Ottawa County, Michigan | No | 135.5 (129.9, 141.3) | N/A | 449 | falling | -1.0 (-1.2, -0.8) |
Shasta County, California | No | 166.0 (159.0, 173.3) | N/A | 445 | falling | -1.0 (-1.3, -0.8) |
Brown County, Wisconsin | No | 147.6 (141.4, 154.0) | N/A | 444 | falling | -1.0 (-1.2, -0.8) |
Utah County, Utah | Yes | 116.1 (111.3, 121.2) | N/A | 443 | falling | -0.7 (-0.9, -0.5) |
Cleveland County, Oklahoma | No | 150.1 (143.8, 156.6) | N/A | 441 | falling | -0.8 (-1.0, -0.5) |
McLennan County, Texas | No | 155.2 (148.7, 162.0) | N/A | 439 | stable | 0.8 (-2.6, 4.4) |
Saginaw County, Michigan | No | 159.1 (152.3, 166.1) | N/A | 437 | falling | -1.3 (-1.5, -1.0) |
Anderson County, South Carolina | No | 161.6 (154.8, 168.7) | N/A | 436 | falling | -1.4 (-2.4, -0.4) |
New Hanover County, North Carolina | No | 144.0 (137.8, 150.3) | N/A | 434 | falling | -1.7 (-2.0, -1.5) |
Sullivan County, Tennessee | No | 174.8 (167.3, 182.6) | N/A | 432 | falling | -0.8 (-1.1, -0.6) |
Clermont County, Ohio | No | 166.1 (159.0, 173.5) | N/A | 430 | falling | -1.5 (-1.7, -1.3) |
Montgomery County, Alabama | No | 163.3 (156.3, 170.6) | N/A | 427 | falling | -1.4 (-1.7, -1.2) |
Sangamon County, Illinois | No | 160.6 (153.7, 167.8) | N/A | 426 | falling | -1.0 (-1.3, -0.8) |
Broome County, New York | No | 152.5 (145.9, 159.4) | N/A | 426 | falling | -1.4 (-1.6, -1.1) |
Yakima County, Washington | No | 160.1 (153.3, 167.2) | N/A | 426 | falling | -0.8 (-0.9, -0.6) |
Butler County, Pennsylvania | No | 156.0 (149.3, 163.0) | N/A | 426 | falling | -1.1 (-1.3, -0.9) |
Norfolk City, Virginia | No | 188.8 (180.6, 197.3) | N/A | 424 | falling | -1.6 (-1.8, -1.3) |
Beaver County, Pennsylvania | No | 158.2 (151.3, 165.4) | N/A | 422 | falling | -1.3 (-1.4, -1.1) |
Clay County, Missouri | No | 154.7 (148.1, 161.6) | N/A | 420 | falling | -2.1 (-2.7, -1.6) |
Chesapeake City, Virginia | No | 164.4 (157.2, 171.8) | N/A | 418 | falling | -1.6 (-1.9, -1.3) |
Boulder County, Colorado 8 | Yes | 118.7 (113.6, 124.1) | N/A | 418 | stable | -0.5 (-1.5, 0.5) |
Clay County, Florida | No | 166.3 (159.0, 173.8) | N/A | 418 | falling | -1.3 (-1.5, -1.1) |
Linn County, Iowa | No | 152.0 (145.4, 158.8) | N/A | 417 | falling | -1.1 (-1.3, -1.0) |
Smith County, Texas | No | 145.9 (139.6, 152.4) | N/A | 417 | rising | 5.7 (2.7, 8.7) |
Schuylkill County, Pennsylvania | No | 192.0 (183.6, 200.7) | N/A | 417 | falling | -0.6 (-0.8, -0.4) |
Leon County, Florida | No | 142.0 (135.8, 148.4) | N/A | 416 | falling | -1.8 (-2.1, -1.5) |
Calcasieu Parish, Louisiana | No | 178.4 (170.6, 186.4) | N/A | 416 | falling | -1.3 (-1.5, -1.0) |
Benton County, Arkansas | No | 146.4 (140.1, 152.9) | N/A | 414 | falling | -0.9 (-1.1, -0.6) |
Hawaii County, Hawaii 8 | No | 137.5 (131.4, 144.0) | N/A | 413 | falling | -1.4 (-1.9, -1.0) |
Whatcom County, Washington | No | 147.3 (140.9, 154.0) | N/A | 412 | falling | -1.2 (-1.5, -0.9) |
Frederick County, Maryland | No | 139.0 (133.0, 145.3) | N/A | 410 | falling | -1.6 (-1.9, -1.4) |
Santa Cruz County, California | No | 124.8 (119.3, 130.6) | N/A | 410 | falling | -1.6 (-1.9, -1.3) |
Beaufort County, South Carolina | Yes | 121.2 (115.7, 127.0) | N/A | 409 | falling | -2.4 (-2.9, -1.9) |
Richmond County, Georgia | No | 185.4 (177.3, 193.9) | N/A | 409 | falling | -1.1 (-1.3, -0.8) |
Washington County, Minnesota | No | 137.4 (131.4, 143.7) | N/A | 407 | falling | -1.4 (-1.8, -1.1) |
Litchfield County, Connecticut | No | 140.6 (134.4, 147.1) | N/A | 407 | falling | -1.7 (-2.0, -1.3) |
Vanderburgh County, Indiana | No | 171.6 (164.1, 179.5) | N/A | 406 | falling | -1.1 (-1.3, -1.0) |
Kent County, Rhode Island | No | 167.8 (160.4, 175.6) | N/A | 403 | falling | -1.4 (-1.7, -1.2) |
Racine County, Wisconsin | No | 161.3 (154.2, 168.7) | N/A | 403 | falling | -1.1 (-1.3, -0.9) |
Hamilton County, Indiana | No | 126.8 (121.2, 132.6) | N/A | 403 | falling | -1.6 (-1.9, -1.3) |
Davidson County, North Carolina | No | 175.5 (167.7, 183.5) | N/A | 401 | falling | -0.5 (-0.8, -0.2) |
Shawnee County, Kansas | No | 165.3 (157.9, 172.9) | N/A | 401 | falling | -0.9 (-1.1, -0.7) |
Okaloosa County, Florida | No | 158.0 (151.0, 165.2) | N/A | 400 | falling | -1.3 (-1.6, -1.0) |
Weld County, Colorado 8 | No | 134.1 (128.1, 140.2) | N/A | 399 | falling | -1.5 (-2.1, -1.0) |
Howard County, Maryland | Yes | 115.2 (110.1, 120.5) | N/A | 397 | falling | -2.3 (-2.6, -2.1) |
Muskegon County, Michigan | No | 176.2 (168.3, 184.3) | N/A | 397 | falling | -0.8 (-1.0, -0.5) |
Ulster County, New York | No | 149.9 (143.2, 156.9) | N/A | 396 | falling | -1.7 (-1.9, -1.4) |
Lafayette Parish, Louisiana | No | 154.7 (147.8, 161.9) | N/A | 393 | falling | -2.3 (-2.8, -1.8) |
Peoria County, Illinois | No | 170.1 (162.5, 178.0) | N/A | 393 | falling | -0.9 (-1.2, -0.7) |
Jackson County, Michigan | No | 181.2 (173.0, 189.6) | N/A | 387 | falling | -0.9 (-1.2, -0.6) |
St. Clair County, Michigan | No | 170.9 (163.1, 178.9) | N/A | 385 | falling | -1.1 (-1.3, -0.9) |
Brunswick County, North Carolina | No | 145.4 (138.3, 152.8) | N/A | 383 | falling | -1.6 (-1.9, -1.4) |
Cherokee County, Georgia | No | 143.0 (136.4, 149.8) | N/A | 382 | falling | -1.8 (-3.0, -0.7) |
Aiken County, South Carolina | No | 158.4 (151.1, 165.9) | N/A | 379 | falling | -1.4 (-1.7, -1.1) |
Kent County, Delaware | No | 166.9 (159.3, 174.7) | N/A | 379 | falling | -1.2 (-1.5, -0.9) |
Loudoun County, Virginia | Yes | 117.0 (111.6, 122.5) | N/A | 378 | falling | -2.5 (-2.8, -2.3) |
Merced County, California | No | 154.3 (147.3, 161.5) | N/A | 377 | falling | -1.2 (-1.5, -1.0) |
Anchorage Borough, Alaska | No | 146.1 (139.2, 153.2) | N/A | 376 | falling | -1.4 (-1.7, -1.1) |
Muscogee County, Georgia | No | 180.2 (172.0, 188.7) | N/A | 375 | falling | -0.9 (-1.2, -0.7) |
Bay County, Florida | No | 154.7 (147.7, 162.1) | N/A | 374 | falling | -1.7 (-2.2, -1.2) |
Warren County, Ohio | No | 141.7 (135.3, 148.4) | N/A | 372 | falling | -1.8 (-2.0, -1.5) |
Penobscot County, Maine | No | 175.1 (167.0, 183.5) | N/A | 372 | falling | -1.2 (-1.4, -1.0) |
El Dorado County, California | No | 127.5 (121.6, 133.7) | N/A | 371 | falling | -1.8 (-2.1, -1.5) |
Cambria County, Pennsylvania | No | 168.6 (160.7, 176.9) | N/A | 371 | falling | -0.9 (-1.1, -0.7) |
Licking County, Ohio | No | 167.1 (159.5, 175.1) | N/A | 371 | falling | -1.3 (-1.5, -1.1) |
Sumner County, Tennessee | No | 163.8 (156.3, 171.6) | N/A | 371 | falling | -1.5 (-2.2, -0.8) |
Berrien County, Michigan | No | 161.6 (154.1, 169.4) | N/A | 370 | falling | -1.2 (-1.4, -0.9) |
Fayette County, Pennsylvania | No | 179.6 (171.2, 188.4) | N/A | 369 | falling | -0.9 (-1.2, -0.6) |
Elkhart County, Indiana | No | 157.4 (150.2, 164.9) | N/A | 367 | falling | -0.8 (-1.0, -0.6) |
Livingston County, Michigan | No | 148.0 (141.1, 155.2) | N/A | 367 | falling | -1.6 (-1.9, -1.4) |
Berkeley County, South Carolina | No | 158.2 (150.8, 165.9) | N/A | 366 | falling | -1.7 (-1.9, -1.4) |
Alamance County, North Carolina | No | 169.0 (161.2, 177.1) | N/A | 366 | falling | -0.8 (-1.1, -0.6) |
Franklin County, Pennsylvania | No | 156.9 (149.6, 164.6) | N/A | 356 | falling | -1.0 (-1.2, -0.8) |
Richmond City, Virginia | No | 147.8 (140.7, 155.1) | N/A | 356 | falling | -3.5 (-4.2, -2.8) |
Monroe County, Pennsylvania | No | 157.0 (149.5, 164.7) | N/A | 353 | falling | -2.0 (-2.5, -1.5) |
Douglas County, Oregon | No | 176.7 (168.2, 185.7) | N/A | 352 | falling | -0.8 (-1.0, -0.6) |
Pueblo County, Colorado | No | 152.8 (145.6, 160.4) | N/A | 352 | falling | -0.8 (-1.1, -0.5) |
Kootenai County, Idaho | No | 163.2 (155.5, 171.3) | N/A | 351 | falling | -1.0 (-1.2, -0.7) |
Clayton County, Georgia | No | 155.7 (147.9, 163.8) | N/A | 350 | falling | -1.3 (-1.6, -1.0) |
Monroe County, Michigan | No | 169.7 (161.6, 178.1) | N/A | 347 | falling | -1.1 (-1.3, -0.9) |
Scott County, Iowa | No | 159.4 (151.8, 167.3) | N/A | 346 | falling | -1.0 (-1.3, -0.8) |
Douglas County, Colorado | Yes | 110.3 (105.0, 115.9) | N/A | 345 | falling | -1.9 (-2.3, -1.5) |
Medina County, Ohio | No | 142.9 (136.1, 150.0) | N/A | 345 | falling | -1.4 (-1.6, -1.2) |
Clark County, Ohio | No | 179.4 (170.8, 188.4) | N/A | 345 | falling | -0.9 (-1.2, -0.7) |
Union County, North Carolina | No | 145.8 (138.8, 153.0) | N/A | 345 | falling | -1.5 (-1.8, -1.2) |
Porter County, Indiana | No | 163.0 (155.2, 171.1) | N/A | 344 | falling | -1.1 (-1.3, -0.8) |
Middlesex County, Connecticut | No | 134.8 (128.3, 141.7) | N/A | 342 | falling | -1.6 (-1.8, -1.4) |
Canyon County, Idaho | No | 150.1 (142.9, 157.5) | N/A | 342 | falling | -0.8 (-1.1, -0.5) |
Rock County, Wisconsin | No | 163.7 (155.9, 171.8) | N/A | 341 | falling | -1.0 (-1.3, -0.7) |
Johnston County, North Carolina | No | 161.0 (153.2, 169.1) | N/A | 341 | falling | -1.5 (-1.8, -1.2) |
Newport News City, Virginia | No | 182.6 (173.9, 191.7) | N/A | 340 | falling | -1.2 (-1.4, -1.0) |
Minnehaha County, South Dakota | No | 174.4 (165.9, 183.2) | N/A | 339 | falling | -0.7 (-0.9, -0.4) |
Portage County, Ohio | No | 165.4 (157.4, 173.7) | N/A | 338 | falling | -1.0 (-1.3, -0.7) |
Highlands County, Florida | No | 143.7 (135.8, 152.0) | N/A | 338 | falling | -1.1 (-1.4, -0.8) |
Henry County, Georgia | No | 156.5 (148.8, 164.6) | N/A | 338 | falling | -1.1 (-1.4, -0.8) |
Randolph County, North Carolina | No | 175.5 (167.0, 184.3) | N/A | 337 | falling | -0.6 (-0.9, -0.4) |
Flagler County, Florida | No | 148.5 (140.9, 156.5) | N/A | 337 | falling | -1.1 (-1.5, -0.8) |
Ouachita Parish, Louisiana | No | 188.5 (179.4, 197.9) | N/A | 336 | falling | -0.9 (-1.2, -0.7) |
Santa Rosa County, Florida | No | 152.7 (145.3, 160.4) | N/A | 335 | falling | -1.2 (-1.6, -0.8) |
Carroll County, Maryland | No | 152.7 (145.3, 160.4) | N/A | 335 | falling | -1.5 (-1.8, -1.3) |
Deschutes County, Oregon | No | 126.6 (120.4, 133.1) | N/A | 334 | falling | -1.7 (-2.0, -1.4) |
Rock Island County, Illinois | No | 162.1 (154.2, 170.4) | N/A | 333 | falling | -1.1 (-1.3, -0.9) |
DeSoto County, Mississippi | No | 179.5 (170.7, 188.5) | N/A | 331 | stable | -5.0 (-11.0, 1.5) |
Iredell County, North Carolina | No | 154.7 (147.1, 162.5) | N/A | 331 | falling | -1.3 (-1.6, -1.0) |
Rowan County, North Carolina | No | 177.1 (168.5, 186.0) | N/A | 330 | falling | -3.3 (-5.1, -1.4) |
Yuma County, Arizona 3 | Yes | 114.6 (108.9, 120.5) | N/A | 329 | falling | -1.0 (-1.4, -0.7) |
Cumberland County, New Jersey | No | 186.2 (177.2, 195.6) | N/A | 329 | falling | -0.9 (-1.0, -0.7) |
Hall County, Georgia | No | 142.4 (135.5, 149.5) | N/A | 329 | falling | -1.3 (-1.7, -1.0) |
Dona Ana County, New Mexico | No | 130.4 (124.0, 137.0) | N/A | 327 | falling | -1.1 (-1.4, -0.9) |
Rensselaer County, New York | No | 157.5 (149.8, 165.6) | N/A | 327 | falling | -2.1 (-2.5, -1.6) |
Catawba County, North Carolina | No | 156.0 (148.3, 163.9) | N/A | 326 | falling | -2.0 (-2.7, -1.4) |
Benton County, Washington | No | 144.1 (137.0, 151.4) | N/A | 325 | falling | -1.9 (-2.4, -1.4) |
Lebanon County, Pennsylvania | No | 157.3 (149.6, 165.4) | N/A | 324 | falling | -1.0 (-1.2, -0.7) |
Washington County, Maryland | No | 161.7 (153.8, 170.0) | N/A | 324 | falling | -1.2 (-1.4, -1.0) |
Washington County, Arkansas | No | 148.4 (141.2, 156.0) | N/A | 324 | falling | -2.0 (-2.5, -1.5) |
Calhoun County, Michigan | No | 179.7 (170.9, 189.0) | N/A | 323 | falling | -0.9 (-1.1, -0.7) |
Kenton County, Kentucky | No | 173.3 (164.7, 182.2) | N/A | 322 | falling | -1.9 (-2.4, -1.4) |
Johnson County, Texas | No | 171.8 (163.3, 180.6) | N/A | 322 | falling | -1.1 (-1.3, -0.8) |
Shelby County, Alabama | No | 126.7 (120.4, 133.2) | N/A | 321 | falling | -1.6 (-2.0, -1.2) |
Schenectady County, New York | No | 151.6 (144.0, 159.5) | N/A | 320 | falling | -1.3 (-1.5, -1.1) |
Tuscaloosa County, Alabama | No | 148.3 (140.9, 155.9) | N/A | 320 | falling | -2.2 (-2.9, -1.6) |
Cabarrus County, North Carolina | No | 145.7 (138.5, 153.1) | N/A | 319 | falling | -2.3 (-2.8, -1.7) |
Davis County, Utah | Yes | 114.1 (108.5, 120.0) | N/A | 319 | stable | 2.4 (-2.5, 7.4) |
Greene County, Ohio | No | 147.4 (140.1, 155.0) | N/A | 318 | falling | -1.5 (-1.8, -1.2) |
Winnebago County, Wisconsin | No | 146.8 (139.5, 154.4) | N/A | 318 | falling | -1.2 (-1.4, -0.9) |
Berkshire County, Massachusetts | No | 145.2 (137.8, 152.9) | N/A | 317 | falling | -1.5 (-1.7, -1.2) |
Richland County, Ohio | No | 177.7 (168.8, 186.9) | N/A | 315 | falling | -0.8 (-1.1, -0.6) |
Yellowstone County, Montana | No | 151.9 (144.3, 159.8) | N/A | 313 | falling | -1.2 (-1.4, -1.0) |
Merrimack County, New Hampshire | No | 151.8 (144.2, 159.9) | N/A | 312 | falling | -4.7 (-9.2, -0.1) |
Outagamie County, Wisconsin | No | 143.5 (136.3, 150.9) | N/A | 312 | falling | -1.4 (-1.7, -1.1) |
Kenosha County, Wisconsin | No | 163.4 (155.2, 172.0) | N/A | 312 | falling | -1.0 (-1.3, -0.8) |
Kennebec County, Maine | No | 168.8 (160.3, 177.8) | N/A | 309 | falling | -1.2 (-1.4, -0.9) |
Chautauqua County, New York | No | 161.5 (153.3, 170.2) | N/A | 308 | falling | -1.0 (-1.2, -0.7) |
Grayson County, Texas | No | 173.0 (164.2, 182.1) | N/A | 308 | falling | -0.9 (-1.2, -0.7) |
Blount County, Tennessee | No | 158.1 (150.1, 166.4) | N/A | 307 | falling | -1.5 (-2.1, -1.0) |
Jackson County, Mississippi | No | 178.0 (169.0, 187.4) | N/A | 307 | falling | -1.3 (-1.5, -1.0) |
Tazewell County, Illinois | No | 160.6 (152.4, 169.1) | N/A | 304 | falling | -1.1 (-1.3, -0.8) |
Mercer County, Pennsylvania | No | 168.4 (159.7, 177.5) | N/A | 303 | falling | -0.8 (-1.0, -0.5) |
Blair County, Pennsylvania | No | 159.1 (150.9, 167.6) | N/A | 302 | falling | -1.8 (-2.2, -1.3) |
Madison County, Indiana | No | 172.9 (164.1, 182.1) | N/A | 301 | falling | -1.0 (-1.2, -0.8) |
La Salle County, Illinois | No | 188.1 (178.4, 198.2) | N/A | 298 | falling | -0.7 (-0.9, -0.5) |
Cape May County, New Jersey | No | 171.3 (162.2, 180.8) | N/A | 298 | falling | -1.3 (-1.5, -1.0) |
Cochise County, Arizona | No | 149.3 (141.5, 157.4) | N/A | 298 | falling | -1.2 (-1.4, -0.9) |
Linn County, Oregon | No | 172.9 (164.0, 182.2) | N/A | 298 | falling | -0.8 (-1.0, -0.5) |
Bibb County, Georgia | No | 162.1 (153.8, 170.7) | N/A | 298 | falling | -1.2 (-1.4, -0.9) |
Washington County, Tennessee | No | 169.6 (160.9, 178.7) | N/A | 298 | falling | -1.0 (-1.2, -0.7) |
Humboldt County, California | No | 168.3 (159.5, 177.4) | N/A | 297 | falling | -1.3 (-1.6, -1.1) |
Fairfield County, Ohio | No | 156.2 (148.2, 164.5) | N/A | 297 | falling | -1.3 (-1.5, -1.1) |
Wyandotte County, Kansas | No | 179.6 (170.4, 189.3) | N/A | 297 | falling | -1.8 (-2.5, -1.2) |
Williamson County, Tennessee | Yes | 122.1 (115.8, 128.7) | N/A | 296 | falling | -2.0 (-2.3, -1.7) |
Skagit County, Washington | No | 157.2 (149.0, 165.7) | N/A | 296 | falling | -0.9 (-1.2, -0.7) |
Henderson County, North Carolina | No | 141.5 (134.0, 149.3) | N/A | 296 | falling | -1.3 (-1.6, -0.9) |
Mesa County, Colorado | No | 136.5 (129.4, 143.8) | N/A | 295 | falling | -1.5 (-1.8, -1.3) |
Onslow County, North Carolina | No | 203.9 (193.4, 214.8) | N/A | 293 | falling | -0.6 (-1.0, -0.3) |
Montgomery County, Tennessee | No | 185.2 (175.5, 195.3) | N/A | 292 | falling | -0.9 (-1.3, -0.6) |
Sussex County, New Jersey | No | 155.2 (147.1, 163.8) | N/A | 291 | falling | -1.6 (-1.8, -1.4) |
Washington County, Rhode Island | No | 150.4 (142.4, 158.7) | N/A | 290 | falling | -1.5 (-1.7, -1.3) |
Robeson County, North Carolina | No | 188.7 (178.8, 198.9) | N/A | 290 | falling | -1.1 (-1.4, -0.7) |
Yolo County, California | No | 137.3 (130.1, 144.6) | N/A | 289 | falling | -1.8 (-2.2, -1.5) |
Ellis County, Texas | No | 159.8 (151.5, 168.5) | N/A | 289 | falling | -1.5 (-1.8, -1.2) |
Hampshire County, Massachusetts | No | 138.4 (131.1, 146.0) | N/A | 286 | falling | -1.6 (-1.9, -1.3) |
Josephine County, Oregon | No | 179.9 (170.2, 190.1) | N/A | 286 | falling | -0.8 (-1.1, -0.5) |
Weber County, Utah | Yes | 122.0 (115.6, 128.6) | N/A | 285 | falling | -1.0 (-1.3, -0.8) |
Johnson County, Indiana | No | 162.8 (154.3, 171.6) | N/A | 284 | falling | -1.0 (-1.3, -0.8) |
Columbiana County, Ohio | No | 182.9 (173.2, 193.1) | N/A | 283 | falling | -0.8 (-1.1, -0.6) |
Lycoming County, Pennsylvania | No | 170.3 (161.3, 179.7) | N/A | 283 | falling | -0.7 (-1.0, -0.5) |
Napa County, California | No | 141.4 (134.0, 149.2) | N/A | 282 | falling | -1.8 (-2.1, -1.5) |
Hampton City, Virginia | No | 176.1 (166.8, 185.8) | N/A | 281 | falling | -1.3 (-1.6, -1.0) |
Wichita County, Texas | No | 184.5 (174.8, 194.6) | N/A | 280 | falling | -3.9 (-6.8, -0.9) |
Florence County, South Carolina | No | 160.9 (152.4, 169.8) | N/A | 279 | falling | -1.4 (-1.7, -1.1) |
Champaign County, Illinois | No | 133.3 (126.2, 140.7) | N/A | 278 | falling | -2.1 (-2.5, -1.8) |
Wayne County, North Carolina | No | 179.0 (169.6, 188.9) | N/A | 277 | falling | -1.2 (-1.5, -0.8) |
Comal County, Texas | No | 139.6 (132.1, 147.4) | N/A | 277 | falling | -1.3 (-1.6, -0.9) |
Maui County, Hawaii 8 | No | 124.5 (117.8, 131.5) | N/A | 277 | falling | -1.4 (-1.8, -1.0) |
Chittenden County, Vermont | No | 143.4 (135.8, 151.4) | N/A | 276 | falling | -1.6 (-1.9, -1.4) |
Santa Fe County, New Mexico | Yes | 114.3 (108.0, 120.9) | N/A | 276 | falling | -1.6 (-1.8, -1.4) |
Cowlitz County, Washington | No | 180.8 (171.1, 191.0) | N/A | 275 | falling | -0.7 (-1.0, -0.4) |
Washington County, Utah | Yes | 107.1 (101.2, 113.2) | N/A | 274 | falling | -1.3 (-1.7, -1.0) |
Calhoun County, Alabama | No | 181.4 (171.7, 191.6) | N/A | 273 | falling | -1.3 (-1.6, -1.0) |
Hendricks County, Indiana | No | 154.5 (146.2, 163.1) | N/A | 273 | falling | -1.5 (-1.7, -1.3) |
Macon County, Illinois | No | 173.7 (164.3, 183.6) | N/A | 271 | falling | -0.8 (-1.1, -0.6) |
Pitt County, North Carolina | No | 146.2 (138.3, 154.4) | N/A | 270 | falling | -1.8 (-2.1, -1.5) |
Forsyth County, Georgia | No | 124.1 (117.4, 131.1) | N/A | 270 | falling | -1.5 (-2.0, -0.9) |
Webb County, Texas | No | 126.0 (119.2, 133.0) | N/A | 270 | falling | -0.8 (-1.1, -0.4) |
Parker County, Texas | No | 164.2 (155.3, 173.5) | N/A | 269 | falling | -1.1 (-1.4, -0.8) |
Stearns County, Minnesota | No | 144.3 (136.6, 152.4) | N/A | 269 | falling | -0.9 (-1.2, -0.7) |
Dorchester County, South Carolina | No | 154.9 (146.5, 163.7) | N/A | 268 | falling | -1.9 (-2.3, -1.5) |
Bay County, Michigan | No | 174.0 (164.5, 184.0) | N/A | 268 | falling | -0.8 (-1.1, -0.6) |
Morgan County, Alabama | No | 171.7 (162.5, 181.4) | N/A | 268 | falling | -0.6 (-0.9, -0.3) |
Rapides Parish, Louisiana | No | 165.4 (156.4, 174.7) | N/A | 267 | falling | -1.4 (-1.6, -1.1) |
Strafford County, New Hampshire | No | 175.7 (166.1, 185.6) | N/A | 266 | falling | -1.1 (-1.4, -0.8) |
Delaware County, Ohio | No | 124.8 (118.0, 131.9) | N/A | 265 | falling | -1.8 (-2.1, -1.5) |
Tangipahoa Parish, Louisiana | No | 179.1 (169.3, 189.3) | N/A | 265 | falling | -1.4 (-1.7, -1.2) |
McLean County, Illinois | No | 149.0 (140.9, 157.4) | N/A | 263 | falling | -1.2 (-1.4, -1.0) |
Hays County, Texas | No | 140.8 (133.0, 148.9) | N/A | 263 | falling | -1.4 (-1.8, -1.0) |
Garland County, Arkansas | No | 159.8 (150.9, 169.1) | N/A | 263 | falling | -1.8 (-2.5, -1.1) |
Charles County, Maryland | No | 157.8 (149.1, 166.8) | N/A | 262 | falling | -1.8 (-2.2, -1.5) |
Jasper County, Missouri | No | 182.5 (172.6, 192.9) | N/A | 262 | falling | -0.9 (-1.3, -0.6) |
Black Hawk County, Iowa | No | 158.8 (150.1, 168.0) | N/A | 261 | falling | -1.2 (-1.5, -1.0) |
Marathon County, Wisconsin | No | 140.9 (133.2, 149.0) | N/A | 259 | falling | -1.2 (-1.5, -0.9) |
Guadalupe County, Texas | No | 147.3 (139.3, 155.7) | N/A | 258 | falling | -1.4 (-1.8, -1.1) |
Taylor County, Texas | No | 168.0 (158.7, 177.6) | N/A | 257 | falling | -0.9 (-1.2, -0.6) |
Delaware County, Indiana | No | 176.5 (166.8, 186.7) | N/A | 257 | falling | -0.9 (-1.1, -0.6) |
Kankakee County, Illinois | No | 182.4 (172.4, 193.0) | N/A | 256 | falling | -1.2 (-1.5, -0.9) |
LaPorte County, Indiana | No | 173.1 (163.5, 183.2) | N/A | 255 | falling | -1.1 (-1.3, -0.8) |
Ashtabula County, Ohio | No | 182.5 (172.4, 193.1) | N/A | 255 | falling | -0.8 (-1.1, -0.5) |
Lee County, Alabama | No | 170.5 (161.0, 180.4) | N/A | 255 | falling | -0.9 (-1.3, -0.5) |
Tippecanoe County, Indiana | No | 146.9 (138.8, 155.3) | N/A | 255 | falling | -1.7 (-2.0, -1.4) |
Etowah County, Alabama | No | 177.2 (167.3, 187.5) | N/A | 254 | falling | -1.0 (-1.3, -0.7) |
Androscoggin County, Maine | No | 175.0 (165.3, 185.2) | N/A | 254 | falling | -1.1 (-1.3, -0.8) |
Northumberland County, Pennsylvania | No | 173.2 (163.5, 183.4) | N/A | 253 | falling | -1.1 (-1.3, -0.8) |
Pickens County, South Carolina | No | 163.6 (154.5, 173.2) | N/A | 253 | falling | -0.9 (-1.1, -0.6) |
Ontario County, New York | No | 152.1 (143.6, 161.0) | N/A | 252 | falling | -1.5 (-1.8, -1.2) |
Wilson County, Tennessee | No | 153.0 (144.5, 161.9) | N/A | 252 | falling | -2.0 (-2.5, -1.5) |
Sebastian County, Arkansas | No | 162.4 (153.4, 171.9) | N/A | 252 | falling | -2.0 (-3.1, -1.0) |
Sevier County, Tennessee | No | 183.3 (173.0, 194.2) | N/A | 252 | falling | -0.4 (-0.7, -0.2) |
Gregg County, Texas | No | 170.9 (161.3, 180.8) | N/A | 249 | falling | -1.4 (-1.6, -1.2) |
Madison County, Mississippi | No | 235.3 (222.0, 249.2) | N/A | 249 | falling | -2.8 (-4.3, -1.3) |
Boone County, Missouri | No | 144.9 (136.8, 153.4) | N/A | 249 | falling | -1.3 (-1.7, -1.0) |
Wood County, Ohio | No | 163.6 (154.5, 173.2) | N/A | 249 | falling | -1.0 (-1.2, -0.8) |
Oswego County, New York | No | 167.0 (157.6, 176.9) | N/A | 248 | falling | -1.1 (-1.4, -0.9) |
Nevada County, California | No | 135.4 (127.5, 143.9) | N/A | 247 | falling | -1.7 (-2.0, -1.4) |
Berkeley County, West Virginia | No | 185.7 (175.1, 196.8) | N/A | 247 | falling | -1.1 (-1.5, -0.7) |
Houston County, Georgia | No | 155.0 (146.3, 164.2) | N/A | 247 | falling | -1.4 (-1.8, -1.0) |
Rankin County, Mississippi | No | 135.9 (128.3, 143.9) | N/A | 247 | falling | -2.5 (-4.1, -0.9) |
Sarpy County, Nebraska | No | 144.7 (136.6, 153.2) | N/A | 247 | falling | -1.3 (-1.7, -1.0) |
Sandoval County, New Mexico | No | 131.4 (123.9, 139.2) | N/A | 246 | falling | -1.3 (-1.6, -1.0) |
Moore County, North Carolina | No | 143.8 (135.4, 152.5) | N/A | 245 | falling | -1.4 (-1.7, -1.1) |
Windham County, Connecticut | No | 162.1 (152.9, 171.7) | N/A | 245 | stable | -0.7 (-1.5, 0.1) |
Clallam County, Washington | No | 159.2 (149.6, 169.3) | N/A | 244 | falling | -1.1 (-1.4, -0.7) |
Craven County, North Carolina | No | 174.6 (164.6, 185.1) | N/A | 244 | falling | -1.0 (-1.3, -0.8) |
Saline County, Arkansas | No | 155.1 (146.4, 164.2) | N/A | 244 | stable | -6.9 (-13.7, 0.5) |
Clark County, Indiana | No | 171.6 (161.9, 181.8) | N/A | 244 | falling | -1.5 (-1.7, -1.2) |
Cleveland County, North Carolina | No | 183.3 (172.9, 194.2) | N/A | 243 | stable | -0.2 (-0.6, 0.1) |
Olmsted County, Minnesota | No | 127.1 (119.9, 134.6) | N/A | 242 | falling | -1.8 (-2.0, -1.5) |
Miami County, Ohio | No | 163.5 (154.2, 173.2) | N/A | 241 | falling | -1.0 (-1.2, -0.8) |
Lawrence County, Pennsylvania | No | 169.1 (159.3, 179.4) | N/A | 240 | falling | -0.9 (-1.2, -0.7) |
Terrebonne Parish, Louisiana | No | 188.2 (177.5, 199.4) | N/A | 240 | falling | -1.0 (-1.3, -0.7) |
Vigo County, Indiana | No | 179.0 (168.8, 189.7) | N/A | 238 | falling | -0.9 (-1.2, -0.5) |
Cass County, North Dakota | No | 138.1 (130.1, 146.4) | N/A | 238 | falling | -1.7 (-2.1, -1.4) |
Wayne County, Ohio | No | 155.0 (146.1, 164.4) | N/A | 238 | falling | -1.2 (-1.4, -0.9) |
Canadian County, Oklahoma | No | 160.8 (151.6, 170.4) | N/A | 238 | falling | -0.8 (-1.2, -0.5) |
Madera County, California | No | 145.2 (137.0, 153.9) | N/A | 238 | falling | -1.1 (-1.4, -0.8) |
Eaton County, Michigan | No | 157.3 (148.3, 166.8) | N/A | 237 | falling | -0.8 (-1.2, -0.5) |
Tolland County, Connecticut | No | 127.6 (120.3, 135.3) | N/A | 237 | falling | -2.0 (-2.2, -1.7) |
Allegan County, Michigan | No | 160.6 (151.3, 170.3) | N/A | 237 | falling | -1.0 (-1.3, -0.7) |
Washington County, Wisconsin | No | 126.5 (119.2, 134.1) | N/A | 236 | falling | -2.5 (-3.3, -1.6) |
Coweta County, Georgia | No | 150.6 (141.8, 159.7) | N/A | 236 | falling | -1.5 (-2.0, -1.0) |
Roanoke City, Virginia | No | 187.5 (176.6, 198.8) | N/A | 236 | falling | -0.9 (-1.1, -0.7) |
Rockingham County, North Carolina | No | 168.7 (158.9, 178.9) | N/A | 236 | falling | -1.4 (-1.8, -1.1) |
Sumter County, South Carolina | No | 179.6 (169.3, 190.4) | N/A | 236 | falling | -1.5 (-2.0, -0.9) |
Allen County, Ohio | No | 173.2 (163.2, 183.7) | N/A | 235 | falling | -0.8 (-1.1, -0.6) |
Warren County, New Jersey | No | 155.6 (146.6, 165.1) | N/A | 235 | falling | -1.2 (-1.5, -1.0) |
Livingston Parish, Louisiana | No | 158.7 (149.5, 168.3) | N/A | 234 | falling | -1.9 (-2.2, -1.6) |
Nassau County, Florida | No | 176.4 (166.1, 187.4) | N/A | 233 | falling | -1.2 (-1.5, -0.8) |
Steuben County, New York | No | 166.6 (156.9, 176.8) | N/A | 232 | falling | -1.2 (-1.4, -0.9) |
Tuscarawas County, Ohio | No | 173.3 (163.2, 184.0) | N/A | 232 | falling | -0.7 (-1.0, -0.4) |
Putnam County, Florida | No | 192.4 (181.0, 204.5) | N/A | 232 | falling | -0.8 (-1.2, -0.4) |
Wicomico County, Maryland | No | 186.6 (175.8, 197.9) | N/A | 231 | falling | -1.2 (-1.6, -0.8) |
Wood County, West Virginia | No | 183.9 (173.2, 195.1) | N/A | 231 | falling | -0.6 (-0.9, -0.3) |
Bradley County, Tennessee | No | 167.8 (158.2, 178.0) | N/A | 231 | falling | -1.0 (-1.3, -0.7) |
St. Lawrence County, New York | No | 159.8 (150.5, 169.6) | N/A | 230 | falling | -1.4 (-1.7, -1.1) |
Cabell County, West Virginia | No | 180.2 (169.7, 191.3) | N/A | 229 | falling | -1.0 (-1.2, -0.7) |
Hunterdon County, New Jersey | No | 127.9 (120.3, 135.8) | N/A | 229 | falling | -2.0 (-2.2, -1.7) |
Sheboygan County, Wisconsin | No | 143.8 (135.4, 152.6) | N/A | 229 | falling | -1.1 (-1.5, -0.8) |
Warren County, Kentucky | No | 173.3 (163.2, 183.8) | N/A | 229 | falling | -1.2 (-1.5, -0.9) |
Lenawee County, Michigan | No | 167.6 (157.8, 177.9) | N/A | 228 | falling | -0.8 (-1.1, -0.6) |
Ector County, Texas | No | 173.4 (163.2, 184.0) | N/A | 226 | falling | -1.1 (-1.4, -0.8) |
Cecil County, Maryland | No | 179.4 (168.8, 190.6) | N/A | 225 | falling | -1.6 (-1.9, -1.2) |
Harnett County, North Carolina | No | 168.9 (159.0, 179.3) | N/A | 225 | falling | -1.3 (-1.6, -1.0) |
Nash County, North Carolina | No | 175.5 (165.1, 186.4) | N/A | 225 | falling | -1.0 (-1.3, -0.8) |
Spotsylvania County, Virginia | No | 150.5 (141.6, 159.8) | N/A | 224 | falling | -1.6 (-2.1, -1.2) |
Imperial County, California | Yes | 122.4 (115.2, 129.9) | N/A | 223 | falling | -2.1 (-2.5, -1.7) |
Henderson County, Texas | No | 173.1 (162.6, 184.1) | N/A | 223 | falling | -1.3 (-1.6, -0.9) |
Daviess County, Kentucky | No | 171.4 (161.3, 182.0) | N/A | 223 | falling | -1.1 (-1.5, -0.8) |
Bossier Parish, Louisiana | No | 156.4 (147.2, 166.0) | N/A | 222 | falling | -1.8 (-2.1, -1.4) |
Paulding County, Georgia | No | 150.3 (141.1, 159.9) | N/A | 222 | falling | -1.7 (-2.1, -1.3) |
Kaufman County, Texas | No | 178.4 (167.8, 189.6) | N/A | 221 | falling | -1.4 (-1.7, -1.2) |
Adams County, Pennsylvania | No | 143.7 (135.1, 152.7) | N/A | 221 | falling | -1.2 (-1.5, -0.9) |
Hardin County, Kentucky | No | 180.6 (169.9, 191.8) | N/A | 221 | falling | -0.8 (-1.1, -0.5) |
Franklin County, Missouri | No | 159.8 (150.3, 169.8) | N/A | 220 | falling | -1.1 (-1.4, -0.8) |
Walworth County, Wisconsin | No | 160.5 (151.0, 170.6) | N/A | 220 | falling | -1.0 (-1.3, -0.7) |
Floyd County, Georgia | No | 177.8 (167.3, 188.8) | N/A | 220 | falling | -1.1 (-1.4, -0.8) |
Burke County, North Carolina | No | 162.3 (152.6, 172.5) | N/A | 220 | falling | -0.7 (-1.0, -0.4) |
La Crosse County, Wisconsin | No | 148.7 (139.8, 158.1) | N/A | 219 | falling | -1.2 (-1.5, -0.9) |
Pennington County, South Dakota | No | 150.9 (141.7, 160.5) | N/A | 219 | falling | -1.3 (-1.6, -0.9) |
Columbia County, Georgia | No | 138.1 (129.8, 146.7) | N/A | 218 | falling | -2.1 (-2.5, -1.8) |
Cass County, Missouri | No | 158.0 (148.6, 167.9) | N/A | 218 | falling | -0.9 (-1.3, -0.5) |
Portsmouth City, Virginia | No | 196.0 (184.3, 208.3) | N/A | 217 | falling | -1.1 (-1.4, -0.8) |
Potter County, Texas | No | 181.5 (170.7, 192.8) | N/A | 217 | falling | -1.1 (-1.4, -0.9) |
Randall County, Texas | No | 140.0 (131.7, 148.7) | N/A | 217 | falling | -0.8 (-1.1, -0.6) |
Comanche County, Oklahoma | No | 179.3 (168.6, 190.4) | N/A | 217 | falling | -0.9 (-1.2, -0.6) |
Tom Green County, Texas | No | 155.7 (146.4, 165.5) | N/A | 216 | falling | -1.1 (-1.4, -0.7) |
Carroll County, Georgia | No | 174.2 (163.8, 185.1) | N/A | 216 | stable | -6.6 (-13.0, 0.2) |
Midland County, Texas | No | 144.6 (135.8, 153.7) | N/A | 216 | falling | -1.2 (-1.5, -0.9) |
Hanover County, Virginia | No | 150.4 (141.3, 159.9) | N/A | 216 | falling | -1.7 (-2.0, -1.4) |
Douglas County, Georgia | No | 162.0 (152.0, 172.4) | N/A | 215 | falling | -1.2 (-1.7, -0.8) |
Howard County, Indiana | No | 184.6 (173.5, 196.4) | N/A | 215 | falling | -0.8 (-1.1, -0.5) |
Pottawattamie County, Iowa | No | 173.7 (163.3, 184.7) | N/A | 215 | falling | -0.9 (-1.2, -0.6) |
Houston County, Alabama | No | 154.4 (145.1, 164.1) | N/A | 215 | falling | -4.0 (-6.3, -1.6) |
Madison County, Tennessee | No | 169.2 (159.0, 180.0) | N/A | 215 | falling | -1.0 (-1.3, -0.7) |
Wayne County, New York | No | 167.4 (157.2, 178.1) | N/A | 215 | falling | -1.1 (-1.4, -0.8) |
Fond du Lac County, Wisconsin | No | 148.3 (139.3, 157.8) | N/A | 214 | falling | -1.0 (-1.3, -0.6) |
Chemung County, New York | No | 176.3 (165.6, 187.6) | N/A | 214 | falling | -1.1 (-1.3, -0.8) |
Centre County, Pennsylvania | Yes | 119.5 (112.3, 127.0) | N/A | 213 | falling | -1.8 (-2.0, -1.5) |
Vermilion County, Illinois | No | 194.0 (182.3, 206.5) | N/A | 213 | falling | -0.6 (-0.9, -0.3) |
Arlington County, Virginia | Yes | 105.4 (99.0, 112.1) | N/A | 212 | falling | -2.4 (-2.6, -2.1) |
Orangeburg County, South Carolina | No | 172.9 (162.3, 184.1) | N/A | 212 | falling | -1.0 (-1.2, -0.7) |
Crawford County, Pennsylvania | No | 165.7 (155.6, 176.5) | N/A | 212 | falling | -1.3 (-1.8, -0.8) |
LaFourche Parish, Louisiana | No | 175.9 (165.3, 187.0) | N/A | 212 | falling | -0.9 (-1.3, -0.5) |
Lauderdale County, Alabama | No | 156.1 (146.6, 166.1) | N/A | 211 | falling | -2.9 (-4.6, -1.2) |
Woodbury County, Iowa | No | 176.4 (165.6, 187.6) | N/A | 210 | falling | -0.6 (-0.8, -0.3) |
Lewis County, Washington | No | 173.7 (163.1, 184.9) | N/A | 210 | falling | -0.9 (-1.2, -0.6) |
Brazos County, Texas | No | 125.8 (118.1, 133.7) | N/A | 209 | falling | -1.8 (-2.1, -1.5) |
Coos County, Oregon | No | 180.5 (169.1, 192.6) | N/A | 209 | falling | -1.0 (-1.3, -0.8) |
Hunt County, Texas | No | 175.1 (164.4, 186.3) | N/A | 208 | falling | -0.8 (-1.2, -0.4) |
Jefferson County, New York | No | 176.7 (165.9, 188.0) | N/A | 207 | falling | -1.0 (-1.3, -0.6) |
Bowie County, Texas | No | 174.6 (163.9, 185.8) | N/A | 207 | falling | -1.2 (-1.5, -0.9) |
Marshall County, Alabama | No | 166.4 (156.3, 177.1) | N/A | 206 | falling | -2.1 (-3.1, -1.1) |
Clearfield County, Pennsylvania | No | 167.7 (157.4, 178.6) | N/A | 206 | falling | -0.7 (-0.9, -0.4) |
St. Landry Parish, Louisiana | No | 202.9 (190.4, 216.0) | N/A | 205 | falling | -0.7 (-1.0, -0.4) |
Caldwell County, North Carolina | No | 170.6 (160.0, 181.7) | N/A | 205 | falling | -0.8 (-1.1, -0.5) |
Talladega County, Alabama | No | 187.6 (176.0, 199.8) | N/A | 205 | falling | -0.8 (-1.1, -0.5) |
Greene County, Tennessee | No | 190.7 (178.8, 203.2) | N/A | 204 | falling | -0.6 (-1.0, -0.2) |
Lapeer County, Michigan | No | 168.6 (158.1, 179.7) | N/A | 204 | falling | -0.9 (-1.3, -0.6) |
Newton County, Georgia | No | 181.8 (170.5, 193.6) | N/A | 204 | falling | -0.8 (-1.2, -0.4) |
Roanoke County, Virginia | No | 136.0 (127.6, 145.0) | N/A | 203 | falling | -0.9 (-1.3, -0.6) |
Muskingum County, Ohio | No | 174.2 (163.4, 185.5) | N/A | 202 | falling | -3.6 (-5.5, -1.6) |
Carteret County, North Carolina | No | 166.9 (156.3, 178.2) | N/A | 202 | falling | -1.3 (-1.6, -1.0) |
Dodge County, Wisconsin | No | 164.6 (154.4, 175.4) | N/A | 202 | falling | -1.0 (-1.3, -0.6) |
Monroe County, Indiana | No | 137.8 (129.3, 146.8) | N/A | 202 | falling | -4.9 (-8.4, -1.2) |
Boone County, Kentucky | No | 143.8 (134.8, 153.3) | N/A | 201 | falling | -2.7 (-3.4, -2.0) |
Maury County, Tennessee | No | 172.6 (161.8, 184.0) | N/A | 201 | falling | -1.2 (-1.5, -0.8) |
Rogers County, Oklahoma | No | 173.6 (162.9, 184.9) | N/A | 201 | falling | -0.8 (-1.2, -0.5) |
Surry County, North Carolina | No | 184.7 (173.2, 196.8) | N/A | 201 | stable | -0.3 (-0.6, 0.1) |
Wright County, Minnesota | No | 147.2 (138.1, 156.8) | N/A | 201 | falling | -1.0 (-1.3, -0.7) |
Grays Harbor County, Washington | No | 174.7 (163.7, 186.4) | N/A | 201 | falling | -1.2 (-1.6, -0.9) |
Lee County, Mississippi | No | 204.9 (192.2, 218.2) | N/A | 201 | falling | -3.7 (-5.0, -2.4) |
Grafton County, New Hampshire | No | 146.6 (137.4, 156.5) | N/A | 200 | falling | -1.8 (-2.1, -1.5) |
Yamhill County, Oregon | No | 144.7 (135.7, 154.2) | N/A | 200 | falling | -1.1 (-1.5, -0.7) |
Scioto County, Ohio | No | 192.5 (180.5, 205.2) | N/A | 200 | falling | -0.9 (-1.1, -0.6) |
Island County, Washington | No | 145.2 (135.8, 155.2) | N/A | 198 | stable | 1.4 (-1.1, 4.0) |
Lancaster County, South Carolina | No | 143.2 (134.1, 152.7) | N/A | 198 | falling | -1.4 (-1.8, -1.0) |
St. Marys County, Maryland | No | 164.7 (154.4, 175.5) | N/A | 198 | falling | -1.1 (-1.5, -0.8) |
Glynn County, Georgia | No | 160.2 (150.0, 170.9) | N/A | 197 | falling | -1.6 (-1.9, -1.2) |
Mendocino County, California | No | 147.4 (137.9, 157.4) | N/A | 196 | falling | -1.5 (-1.8, -1.3) |
Campbell County, Kentucky | No | 172.1 (161.2, 183.5) | N/A | 196 | falling | -1.5 (-1.8, -1.2) |
Orange County, North Carolina | No | 129.2 (121.0, 137.7) | N/A | 196 | falling | -2.7 (-3.3, -2.1) |
St. Clair County, Alabama | No | 175.4 (164.4, 187.1) | N/A | 196 | stable | -0.6 (-1.6, 0.3) |
Raleigh County, West Virginia | No | 179.2 (167.8, 191.3) | N/A | 196 | falling | -0.8 (-1.1, -0.4) |
Erie County, Ohio | No | 163.8 (153.3, 175.0) | N/A | 196 | falling | -1.2 (-1.5, -0.9) |
Manitowoc County, Wisconsin | No | 161.3 (151.0, 172.2) | N/A | 196 | falling | -0.9 (-1.2, -0.5) |
Bedford City and County, Virginia | No | 158.6 (148.5, 169.3) | N/A | 195 | falling | -1.1 (-1.5, -0.8) |
Jefferson County, Ohio | No | 186.7 (174.8, 199.4) | N/A | 195 | falling | -1.1 (-1.4, -0.8) |
Bartow County, Georgia | No | 165.3 (154.7, 176.4) | N/A | 193 | falling | -1.3 (-1.7, -0.9) |
Columbia County, Florida | No | 194.9 (182.5, 208.1) | N/A | 193 | stable | -6.4 (-14.8, 2.9) |
James City County, Virginia | No | 142.1 (132.8, 151.9) | N/A | 193 | falling | -1.0 (-1.5, -0.5) |
Oconee County, South Carolina | No | 155.2 (145.1, 165.9) | N/A | 192 | falling | -1.1 (-1.5, -0.8) |
Geauga County, Ohio | No | 135.7 (127.0, 144.9) | N/A | 192 | falling | -1.5 (-1.8, -1.2) |
Orange County, Texas | No | 184.0 (172.3, 196.2) | N/A | 191 | falling | -1.3 (-1.6, -1.0) |
Faulkner County, Arkansas | No | 153.9 (144.1, 164.2) | N/A | 191 | falling | -0.9 (-1.3, -0.6) |
Flathead County, Montana | No | 136.9 (128.0, 146.2) | N/A | 191 | falling | -1.6 (-2.0, -1.3) |
Wood County, Wisconsin | No | 166.6 (155.8, 178.0) | N/A | 191 | stable | -1.2 (-10.7, 9.3) |
Aroostook County, Maine | No | 162.1 (151.5, 173.4) | N/A | 190 | falling | -1.0 (-1.3, -0.7) |
Dubuque County, Iowa | No | 143.7 (134.5, 153.5) | N/A | 190 | stable | -5.3 (-12.9, 3.0) |
San Juan County, New Mexico | No | 134.5 (125.9, 143.5) | N/A | 190 | falling | -1.4 (-1.8, -1.0) |
Craighead County, Arkansas | No | 165.1 (154.6, 176.1) | N/A | 190 | falling | -0.9 (-1.3, -0.6) |
Creek County, Oklahoma | No | 196.4 (183.8, 209.7) | N/A | 189 | falling | -0.4 (-0.6, -0.1) |
Grand Traverse County, Michigan | No | 138.3 (129.4, 147.8) | N/A | 189 | falling | -1.4 (-1.8, -1.0) |
Newport County, Rhode Island | No | 141.3 (132.1, 151.1) | N/A | 189 | falling | -1.8 (-2.1, -1.5) |
Buchanan County, Missouri | No | 170.3 (159.4, 181.8) | N/A | 188 | falling | -0.9 (-1.3, -0.5) |
Fayette County, Georgia | No | 124.2 (116.1, 132.7) | N/A | 187 | falling | -1.7 (-2.2, -1.2) |
Walton County, Georgia | No | 166.5 (155.8, 177.8) | N/A | 186 | falling | -0.9 (-1.3, -0.5) |
Frederick County, Virginia | No | 161.5 (151.1, 172.5) | N/A | 186 | falling | -1.4 (-1.8, -1.0) |
Putnam County, New York | No | 140.3 (131.2, 149.8) | N/A | 186 | falling | -2.1 (-2.4, -1.8) |
Cumberland County, Tennessee | No | 155.2 (144.4, 166.8) | N/A | 185 | falling | -1.0 (-1.4, -0.6) |
Lake County, California | No | 179.9 (167.9, 192.6) | N/A | 185 | falling | -1.2 (-1.5, -0.9) |
Stafford County, Virginia | No | 143.8 (134.2, 153.8) | N/A | 185 | falling | -2.6 (-3.5, -1.8) |
Walker County, Alabama | No | 205.4 (192.0, 219.5) | N/A | 185 | stable | -0.3 (-0.6, 0.0) |
Kings County, California | No | 144.4 (135.1, 154.2) | N/A | 184 | falling | -1.0 (-1.4, -0.7) |
Albemarle County, Virginia | Yes | 120.6 (112.7, 128.9) | N/A | 184 | falling | -1.6 (-2.0, -1.2) |
Missoula County, Montana | No | 137.6 (128.6, 147.1) | N/A | 184 | falling | -1.2 (-1.6, -0.9) |
Ross County, Ohio | No | 185.7 (173.7, 198.4) | N/A | 184 | falling | -1.0 (-1.3, -0.6) |
Calvert County, Maryland | No | 166.2 (155.3, 177.7) | N/A | 183 | falling | -1.5 (-2.0, -1.1) |
Cullman County, Alabama | No | 161.7 (151.1, 172.9) | N/A | 182 | falling | -0.8 (-1.1, -0.5) |
Klamath County, Oregon | No | 183.9 (171.7, 196.7) | N/A | 182 | falling | -0.6 (-0.9, -0.4) |
Lincoln County, North Carolina | No | 161.8 (151.2, 173.0) | N/A | 182 | falling | -1.0 (-1.3, -0.7) |
Somerset County, Pennsylvania | No | 149.4 (139.5, 160.0) | N/A | 182 | falling | -0.8 (-1.1, -0.5) |
Lawrence County, Ohio | No | 217.5 (203.3, 232.5) | N/A | 182 | stable | 1.1 (-0.1, 2.3) |
Anderson County, Tennessee | No | 161.1 (150.5, 172.3) | N/A | 182 | falling | -1.0 (-1.4, -0.6) |
Navajo County, Arizona | No | 128.6 (120.1, 137.6) | N/A | 181 | falling | -1.4 (-1.7, -1.0) |
Ozaukee County, Wisconsin | No | 135.0 (126.2, 144.4) | N/A | 181 | falling | -1.5 (-1.8, -1.1) |
Pulaski County, Kentucky | No | 201.7 (188.4, 215.8) | N/A | 180 | falling | -0.4 (-0.7, -0.1) |
St. Francois County, Missouri | No | 212.8 (198.9, 227.4) | N/A | 180 | stable | 0.3 (-0.6, 1.2) |
Harrison County, West Virginia | No | 183.3 (171.2, 196.1) | N/A | 179 | falling | -0.9 (-1.2, -0.5) |
Scott County, Minnesota | No | 136.4 (127.3, 145.9) | N/A | 179 | falling | -1.6 (-2.0, -1.2) |
Suffolk City, Virginia | No | 171.3 (160.0, 183.2) | N/A | 178 | falling | -1.7 (-2.0, -1.3) |
Laurens County, South Carolina | No | 191.6 (178.8, 205.1) | N/A | 177 | stable | -0.4 (-0.8, 0.0) |
Grant County, Indiana | No | 187.7 (175.2, 200.9) | N/A | 177 | falling | -0.5 (-0.8, -0.2) |
Mercer County, West Virginia | No | 195.2 (182.0, 209.3) | N/A | 177 | falling | -0.5 (-0.8, -0.2) |
Clinton County, New York | No | 164.8 (153.9, 176.3) | N/A | 176 | falling | -1.0 (-1.3, -0.6) |
Muskogee County, Oklahoma | No | 202.4 (189.0, 216.6) | N/A | 176 | falling | -0.4 (-0.7, -0.2) |
Sutter County, California | No | 152.5 (142.5, 163.1) | N/A | 176 | falling | -1.3 (-1.6, -0.9) |
Pike County, Kentucky | No | 215.0 (200.6, 230.2) | N/A | 176 | falling | -0.4 (-0.7, -0.1) |
Dougherty County, Georgia | No | 166.3 (155.2, 178.0) | N/A | 175 | falling | -1.2 (-1.5, -0.8) |
Whitfield County, Georgia | No | 153.3 (143.2, 164.0) | N/A | 175 | falling | -1.2 (-1.6, -0.9) |
Wilkes County, North Carolina | No | 163.9 (152.9, 175.6) | N/A | 175 | falling | -0.6 (-1.0, -0.3) |
Laramie County, Wyoming | No | 145.8 (136.1, 156.1) | N/A | 174 | falling | -1.5 (-1.9, -1.1) |
Armstrong County, Pennsylvania | No | 159.1 (148.4, 170.6) | N/A | 174 | falling | -1.1 (-1.5, -0.7) |
DeKalb County, Illinois | No | 167.5 (156.4, 179.3) | N/A | 174 | falling | -0.8 (-1.1, -0.4) |
Midland County, Michigan | No | 148.1 (138.2, 158.6) | N/A | 174 | stable | 2.6 (-0.1, 5.4) |
Pottawatomie County, Oklahoma | No | 193.8 (180.9, 207.4) | N/A | 174 | falling | -0.4 (-0.7, -0.1) |
Georgetown County, South Carolina | No | 154.4 (143.5, 166.1) | N/A | 174 | falling | -1.2 (-1.6, -0.9) |
Limestone County, Alabama | No | 147.9 (138.0, 158.3) | N/A | 173 | falling | -2.3 (-3.2, -1.4) |
Van Buren County, Michigan | No | 171.1 (159.5, 183.3) | N/A | 173 | falling | -0.9 (-1.3, -0.6) |
Sullivan County, New York | No | 164.2 (153.2, 175.9) | N/A | 173 | falling | -1.8 (-2.1, -1.5) |
Mason County, Washington | No | 165.1 (153.8, 177.1) | N/A | 173 | falling | -1.2 (-1.6, -0.8) |
Monroe County, Florida | No | 140.0 (130.5, 150.1) | N/A | 173 | falling | -1.7 (-2.0, -1.3) |
Putnam County, Tennessee | No | 177.5 (165.7, 190.0) | N/A | 172 | falling | -0.5 (-1.0, -0.1) |
Cascade County, Montana | No | 151.0 (140.8, 161.8) | N/A | 172 | falling | -1.4 (-1.6, -1.1) |
Cayuga County, New York | No | 151.2 (141.0, 162.0) | N/A | 172 | falling | -1.0 (-1.4, -0.6) |
Indiana County, Pennsylvania | No | 140.6 (131.1, 150.7) | N/A | 172 | falling | -1.4 (-1.6, -1.1) |
Nye County, Nevada | No | 193.3 (179.3, 208.2) | N/A | 172 | stable | -0.3 (-0.8, 0.2) |
Allegany County, Maryland | No | 159.8 (149.0, 171.2) | N/A | 172 | falling | -1.1 (-1.4, -0.8) |
Ascension Parish, Louisiana | No | 144.4 (134.5, 154.8) | N/A | 172 | falling | -2.0 (-2.4, -1.6) |
Rutherford County, North Carolina | No | 166.4 (155.1, 178.4) | N/A | 172 | stable | -0.3 (-2.1, 1.6) |
Cattaraugus County, New York | No | 154.1 (143.7, 165.2) | N/A | 171 | falling | -1.2 (-1.5, -0.8) |
Johnson County, Iowa | No | 124.9 (116.4, 133.8) | N/A | 171 | falling | -2.5 (-3.0, -1.9) |
Warren County, New York | No | 164.8 (153.6, 176.9) | N/A | 171 | falling | -0.9 (-1.3, -0.5) |
Jefferson County, Arkansas | No | 190.0 (177.2, 203.6) | N/A | 171 | falling | -1.0 (-1.3, -0.7) |
Liberty County, Texas | No | 194.5 (181.3, 208.5) | N/A | 171 | falling | -1.5 (-1.9, -1.1) |
Victoria County, Texas | No | 156.3 (145.8, 167.4) | N/A | 171 | falling | -1.2 (-1.6, -0.8) |
Angelina County, Texas | No | 159.6 (148.9, 170.9) | N/A | 170 | falling | -1.5 (-1.8, -1.2) |
Coconino County, Arizona | No | 127.7 (118.9, 136.9) | N/A | 170 | falling | -1.3 (-1.7, -1.0) |
Wilson County, North Carolina | No | 153.3 (142.9, 164.2) | N/A | 170 | falling | -3.1 (-4.8, -1.5) |
Cheshire County, New Hampshire | No | 150.9 (140.6, 161.9) | N/A | 169 | falling | -1.3 (-1.8, -0.9) |
Madison County, Kentucky | No | 174.4 (162.6, 186.8) | N/A | 169 | falling | -1.2 (-1.7, -0.6) |
Chatham County, North Carolina | No | 131.8 (122.7, 141.4) | N/A | 168 | falling | -1.6 (-2.0, -1.2) |
Belmont County, Ohio | No | 161.8 (150.7, 173.6) | N/A | 168 | falling | -1.3 (-1.6, -1.1) |
Eau Claire County, Wisconsin | No | 139.8 (130.3, 149.8) | N/A | 168 | falling | -1.2 (-1.7, -0.8) |
Rockingham County, Virginia | No | 141.8 (132.2, 152.0) | N/A | 167 | falling | -1.6 (-2.4, -0.8) |
Rutland County, Vermont | No | 176.4 (164.2, 189.4) | N/A | 167 | falling | -0.6 (-0.8, -0.4) |
Elmore County, Alabama | No | 172.3 (160.6, 184.8) | N/A | 166 | falling | -1.1 (-1.4, -0.8) |
Walker County, Georgia | No | 171.0 (159.3, 183.3) | N/A | 166 | falling | -2.1 (-2.7, -1.4) |
Franklin County, Massachusetts | No | 148.7 (138.3, 159.9) | N/A | 165 | falling | -1.3 (-1.6, -1.0) |
White County, Arkansas | No | 171.1 (159.5, 183.4) | N/A | 165 | falling | -1.2 (-1.5, -0.9) |
Greenwood County, South Carolina | No | 168.4 (156.9, 180.7) | N/A | 165 | falling | -1.2 (-1.5, -0.9) |
Salem County, New Jersey | No | 183.7 (171.1, 197.2) | N/A | 165 | falling | -1.1 (-1.5, -0.8) |
Bonneville County, Idaho | No | 139.2 (129.7, 149.2) | N/A | 164 | falling | -0.8 (-1.2, -0.4) |
Williamson County, Illinois | No | 172.3 (160.5, 184.8) | N/A | 164 | falling | -1.1 (-1.4, -0.8) |
Polk County, Oregon | No | 149.6 (139.3, 160.5) | N/A | 164 | falling | -0.6 (-1.0, -0.3) |
Wayne County, Indiana | No | 172.9 (160.9, 185.6) | N/A | 163 | falling | -2.1 (-3.2, -0.9) |
Hawkins County, Tennessee | No | 190.8 (177.5, 205.0) | N/A | 162 | stable | -0.1 (-0.5, 0.2) |
Carbon County, Pennsylvania | No | 161.1 (149.9, 173.1) | N/A | 162 | falling | -1.0 (-1.4, -0.6) |
Floyd County, Indiana | No | 167.0 (155.4, 179.3) | N/A | 162 | falling | -1.3 (-1.7, -1.0) |
Alexandria City, Virginia | Yes | 112.6 (104.8, 120.9) | N/A | 162 | falling | -2.6 (-2.9, -2.3) |
Bastrop County, Texas | No | 161.1 (149.8, 173.0) | N/A | 162 | falling | -1.2 (-1.7, -0.8) |
Crow Wing County, Minnesota | No | 153.9 (143.1, 165.5) | N/A | 161 | falling | -1.0 (-1.3, -0.6) |
Walton County, Florida | No | 158.8 (147.7, 170.7) | N/A | 161 | falling | -1.2 (-1.6, -0.7) |
Hancock County, Ohio | No | 161.4 (150.2, 173.2) | N/A | 161 | falling | -0.8 (-1.2, -0.4) |
Cape Girardeau County, Missouri | No | 161.4 (150.2, 173.4) | N/A | 161 | falling | -0.6 (-0.9, -0.3) |
Belknap County, New Hampshire | No | 163.7 (152.1, 176.1) | N/A | 161 | falling | -1.5 (-1.8, -1.2) |
Shiawassee County, Michigan | No | 168.4 (156.7, 180.8) | N/A | 160 | falling | -1.0 (-1.4, -0.7) |
McCracken County, Kentucky | No | 165.5 (153.9, 177.8) | N/A | 160 | falling | -1.1 (-1.4, -0.9) |
Haywood County, North Carolina | No | 148.4 (137.9, 159.7) | N/A | 159 | falling | -1.0 (-1.3, -0.7) |
Darlington County, South Carolina | No | 172.2 (160.1, 185.0) | N/A | 159 | falling | -2.8 (-4.3, -1.3) |
Jefferson County, Wisconsin | No | 143.9 (133.9, 154.5) | N/A | 159 | falling | -1.5 (-1.8, -1.2) |
Washington County, New York | No | 175.8 (163.5, 188.9) | N/A | 159 | falling | -1.2 (-1.5, -0.9) |
Lynchburg City, Virginia | No | 181.3 (168.5, 194.8) | N/A | 159 | falling | -1.0 (-1.3, -0.6) |
Washington County, Ohio | No | 170.0 (158.0, 182.7) | N/A | 159 | falling | -0.7 (-1.0, -0.3) |
Rockdale County, Georgia | No | 158.2 (147.0, 170.1) | N/A | 158 | falling | -1.2 (-1.6, -0.7) |
Augusta County, Virginia | No | 132.8 (123.5, 142.6) | N/A | 158 | falling | -1.5 (-2.0, -1.1) |
Pittsylvania County, Virginia | No | 159.5 (148.1, 171.6) | N/A | 158 | falling | -1.0 (-1.4, -0.6) |
Platte County, Missouri | No | 136.3 (126.8, 146.4) | N/A | 158 | falling | -1.8 (-2.1, -1.5) |
Kershaw County, South Carolina | No | 174.3 (162.0, 187.3) | N/A | 158 | falling | -1.1 (-1.5, -0.8) |
Lowndes County, Georgia | No | 141.0 (131.2, 151.4) | N/A | 158 | falling | -2.8 (-3.7, -1.9) |
Adams County, Illinois | No | 156.2 (145.0, 168.1) | N/A | 157 | falling | -1.6 (-2.0, -1.2) |
Spalding County, Georgia | No | 181.7 (169.0, 195.3) | N/A | 157 | falling | -0.8 (-1.2, -0.4) |
Oxford County, Maine | No | 170.8 (158.5, 183.8) | N/A | 157 | falling | -1.2 (-1.4, -0.9) |
Marion County, Ohio | No | 179.2 (166.7, 192.6) | N/A | 157 | falling | -1.0 (-1.4, -0.5) |
Baxter County, Arkansas | No | 182.9 (169.0, 198.0) | N/A | 157 | falling | -0.7 (-1.0, -0.4) |
Lincoln County, Oregon | No | 171.6 (158.8, 185.4) | N/A | 157 | falling | -1.0 (-1.4, -0.7) |
Bullitt County, Kentucky | No | 160.1 (148.8, 172.2) | N/A | 156 | falling | -1.7 (-2.1, -1.2) |
Burleigh County, North Dakota | No | 129.7 (120.5, 139.4) | N/A | 156 | falling | -1.2 (-1.7, -0.8) |
Twin Falls County, Idaho | No | 153.5 (142.7, 164.8) | N/A | 155 | falling | -0.8 (-1.1, -0.5) |
Forrest County, Mississippi | No | 193.7 (180.1, 208.0) | N/A | 155 | falling | -0.8 (-1.2, -0.5) |
Hood County, Texas | No | 148.1 (137.4, 159.7) | N/A | 154 | falling | -2.0 (-2.5, -1.5) |
Christian County, Missouri | No | 149.9 (139.3, 161.0) | N/A | 154 | falling | -1.1 (-1.5, -0.7) |
Anderson County, Texas | No | 225.5 (209.6, 242.3) | N/A | 154 | falling | -1.9 (-2.6, -1.1) |
Grant County, Washington | No | 152.7 (141.9, 164.1) | N/A | 154 | falling | -1.0 (-1.3, -0.6) |
St. Croix County, Wisconsin | No | 157.7 (146.5, 169.6) | N/A | 154 | falling | -0.9 (-1.2, -0.5) |
Chelan County, Washington | No | 143.5 (133.2, 154.5) | N/A | 153 | falling | -1.4 (-1.7, -1.1) |
Laurel County, Kentucky | No | 200.8 (186.5, 215.9) | N/A | 153 | stable | -0.5 (-0.9, 0.0) |
Leavenworth County, Kansas | No | 166.2 (154.4, 178.7) | N/A | 153 | falling | -1.5 (-1.9, -1.2) |
Worcester County, Maryland | No | 152.5 (141.2, 164.7) | N/A | 153 | falling | -1.6 (-1.8, -1.3) |
Morgan County, Indiana | No | 169.1 (157.0, 182.0) | N/A | 152 | falling | -0.9 (-1.3, -0.5) |
Bartholomew County, Indiana | No | 149.0 (138.4, 160.1) | N/A | 152 | falling | -2.4 (-3.3, -1.4) |
Kerr County, Texas | No | 151.0 (139.7, 163.2) | N/A | 152 | falling | -1.0 (-1.4, -0.7) |
Matanuska-Susitna Borough, Alaska | No | 159.1 (147.1, 171.8) | N/A | 152 | falling | -1.2 (-1.8, -0.6) |
Roane County, Tennessee | No | 168.9 (156.7, 181.9) | N/A | 152 | falling | -1.0 (-1.3, -0.7) |
Tompkins County, New York | No | 138.8 (128.8, 149.3) | N/A | 152 | falling | -1.5 (-1.8, -1.1) |
Carson City, Nevada | No | 183.3 (170.2, 197.2) | N/A | 152 | falling | -1.2 (-1.6, -0.8) |
Kendall County, Illinois | No | 147.3 (136.7, 158.5) | N/A | 152 | falling | -1.2 (-1.6, -0.9) |
Sampson County, North Carolina | No | 178.2 (165.5, 191.7) | N/A | 151 | falling | -0.7 (-1.1, -0.4) |
Hamblen County, Tennessee | No | 171.0 (158.8, 184.0) | N/A | 151 | falling | -1.1 (-1.6, -0.6) |
Tehama County, California | No | 162.5 (150.8, 175.0) | N/A | 151 | falling | -1.6 (-2.0, -1.2) |
Sauk County, Wisconsin | No | 167.0 (155.0, 179.7) | N/A | 150 | falling | -0.6 (-0.9, -0.2) |
Halifax County, North Carolina | No | 195.0 (180.8, 210.1) | N/A | 150 | falling | -0.7 (-1.0, -0.4) |
Kosciusko County, Indiana | No | 151.2 (140.4, 162.8) | N/A | 150 | falling | -1.0 (-1.3, -0.6) |
Douglas County, Kansas | No | 133.6 (124.0, 143.8) | N/A | 149 | falling | -1.2 (-1.7, -0.8) |
Iberia Parish, Louisiana | No | 180.7 (167.6, 194.6) | N/A | 149 | falling | -1.2 (-1.6, -0.8) |
Columbia County, New York | No | 144.6 (134.0, 156.0) | N/A | 149 | falling | -1.5 (-1.7, -1.3) |
Somerset County, Maine | No | 193.0 (178.9, 208.1) | N/A | 149 | falling | -1.0 (-1.4, -0.7) |
Robertson County, Tennessee | No | 180.5 (167.4, 194.4) | N/A | 149 | falling | -0.9 (-1.3, -0.5) |
Clarke County, Georgia | No | 139.8 (129.8, 150.5) | N/A | 148 | falling | -2.2 (-2.9, -1.5) |
Polk County, Texas | No | 236.3 (218.2, 255.6) | N/A | 148 | stable | -0.2 (-0.7, 0.4) |
Columbia County, Pennsylvania | No | 153.5 (142.4, 165.4) | N/A | 148 | falling | -0.8 (-1.2, -0.4) |
Tuolumne County, California | No | 150.4 (139.2, 162.4) | N/A | 148 | falling | -1.4 (-1.8, -0.9) |
Hancock County, Maine | No | 157.9 (146.2, 170.6) | N/A | 148 | falling | -1.9 (-2.2, -1.6) |
Lauderdale County, Mississippi | No | 149.9 (139.0, 161.4) | N/A | 148 | falling | -3.0 (-3.6, -2.4) |
Barrow County, Georgia | No | 180.5 (167.3, 194.4) | N/A | 147 | stable | -0.5 (-1.0, 0.0) |
Jackson County, Alabama | No | 197.1 (182.6, 212.5) | N/A | 147 | falling | -0.6 (-0.9, -0.3) |
Lowndes County, Mississippi | No | 204.6 (189.8, 220.3) | N/A | 147 | falling | -0.6 (-1.0, -0.2) |
Montcalm County, Michigan | No | 171.1 (158.7, 184.3) | N/A | 147 | falling | -1.0 (-1.4, -0.6) |
Hancock County, Indiana | No | 154.1 (143.0, 166.0) | N/A | 147 | falling | -1.0 (-1.4, -0.6) |
Whiteside County, Illinois | No | 167.5 (155.3, 180.6) | N/A | 147 | falling | -0.5 (-0.9, -0.1) |
Newton County, Missouri | No | 184.8 (171.4, 199.1) | N/A | 146 | falling | -0.5 (-0.8, -0.2) |
Umatilla County, Oregon | No | 161.7 (150.0, 174.1) | N/A | 146 | falling | -0.9 (-1.3, -0.5) |
Blount County, Alabama | No | 186.4 (172.8, 200.7) | N/A | 146 | falling | -0.8 (-1.2, -0.5) |
Pearl River County, Mississippi | No | 195.3 (180.9, 210.6) | N/A | 146 | falling | -0.8 (-1.1, -0.5) |
Sandusky County, Ohio | No | 175.1 (162.3, 188.8) | N/A | 146 | falling | -0.7 (-1.0, -0.4) |
Monongalia County, West Virginia | No | 141.6 (131.2, 152.6) | N/A | 145 | falling | -1.6 (-2.0, -1.1) |
DeKalb County, Alabama | No | 156.8 (145.4, 168.9) | N/A | 145 | falling | -1.9 (-3.0, -0.9) |
Lonoke County, Arkansas | No | 184.7 (171.3, 199.0) | N/A | 145 | falling | -0.8 (-1.2, -0.4) |
Columbus County, North Carolina | No | 176.7 (163.8, 190.6) | N/A | 144 | falling | -1.2 (-1.6, -0.8) |
Bradford County, Pennsylvania | No | 153.3 (141.9, 165.5) | N/A | 144 | falling | -0.7 (-1.1, -0.3) |
Wise County, Texas | No | 182.9 (169.4, 197.2) | N/A | 144 | stable | -0.4 (-0.8, 0.0) |
Henry County, Virginia | No | 165.9 (153.4, 179.3) | N/A | 144 | stable | -0.2 (-0.6, 0.2) |
Franklin County, North Carolina | No | 166.6 (154.3, 179.7) | N/A | 144 | falling | -1.2 (-1.6, -0.8) |
McMinn County, Tennessee | No | 182.5 (169.1, 196.8) | N/A | 143 | falling | -0.9 (-1.4, -0.5) |
Clinton County, Michigan | No | 142.3 (131.8, 153.4) | N/A | 143 | falling | -1.4 (-1.8, -1.0) |
Colbert County, Alabama | No | 177.9 (164.8, 191.9) | N/A | 143 | falling | -0.9 (-1.2, -0.6) |
Gila County, Arizona | No | 136.2 (125.4, 147.8) | N/A | 143 | falling | -1.2 (-1.7, -0.8) |
Madison County, New York | No | 145.2 (134.4, 156.6) | N/A | 143 | falling | -2.2 (-2.7, -1.8) |
Crawford County, Arkansas | No | 177.1 (164.1, 190.9) | N/A | 142 | falling | -1.0 (-1.4, -0.7) |
Carter County, Tennessee | No | 159.0 (147.2, 171.6) | N/A | 142 | falling | -1.2 (-1.7, -0.8) |
Cole County, Missouri | No | 145.7 (135.0, 157.1) | N/A | 142 | falling | -1.8 (-2.2, -1.4) |
Washington County, Oklahoma | No | 187.1 (173.1, 202.0) | N/A | 142 | stable | -0.2 (-0.6, 0.2) |
Van Zandt County, Texas | No | 172.3 (159.5, 186.0) | N/A | 141 | falling | -1.1 (-1.6, -0.6) |
Loudon County, Tennessee | No | 149.1 (137.6, 161.4) | N/A | 141 | falling | -1.5 (-1.9, -1.0) |
Lewis and Clark County, Montana | No | 150.7 (139.4, 162.8) | N/A | 141 | falling | -1.3 (-1.7, -0.9) |
Otter Tail County, Minnesota | No | 137.0 (126.5, 148.2) | N/A | 141 | falling | -1.1 (-1.5, -0.6) |
Yuba County, California | No | 184.9 (171.1, 199.5) | N/A | 141 | falling | -1.1 (-1.5, -0.6) |
Lenoir County, North Carolina | No | 169.5 (156.9, 183.0) | N/A | 141 | falling | -1.1 (-1.5, -0.8) |
Catoosa County, Georgia | No | 157.7 (146.1, 170.1) | N/A | 140 | falling | -1.1 (-1.5, -0.7) |
Windsor County, Vermont | No | 151.7 (140.2, 164.1) | N/A | 140 | falling | -1.2 (-1.6, -0.8) |
Valencia County, New Mexico | No | 139.2 (128.9, 150.2) | N/A | 140 | falling | -1.3 (-1.7, -0.8) |
Venango County, Pennsylvania | No | 162.3 (150.0, 175.5) | N/A | 140 | falling | -1.0 (-1.3, -0.6) |
Bannock County, Idaho | No | 153.4 (142.0, 165.5) | N/A | 140 | falling | -0.7 (-1.2, -0.2) |
Reno County, Kansas | No | 151.9 (140.5, 164.1) | N/A | 140 | falling | -0.7 (-1.1, -0.3) |
Troup County, Georgia | No | 171.7 (159.0, 185.3) | N/A | 140 | falling | -1.1 (-1.4, -0.9) |
Acadia Parish, Louisiana | No | 187.7 (173.7, 202.4) | N/A | 140 | falling | -1.1 (-1.5, -0.8) |
Genesee County, New York | No | 165.5 (153.1, 178.7) | N/A | 139 | falling | -1.1 (-1.4, -0.7) |
Stanly County, North Carolina | No | 160.5 (148.6, 173.2) | N/A | 139 | falling | -1.1 (-1.5, -0.7) |
Livingston County, New York | No | 161.5 (149.3, 174.4) | N/A | 139 | stable | -0.9 (-2.1, 0.3) |
Otsego County, New York | No | 152.9 (141.2, 165.5) | N/A | 139 | falling | -1.1 (-1.6, -0.7) |
Edgecombe County, North Carolina | No | 182.0 (168.3, 196.6) | N/A | 139 | falling | -1.4 (-1.6, -1.2) |
Knox County, Ohio | No | 165.0 (152.7, 178.2) | N/A | 139 | falling | -1.0 (-1.4, -0.6) |
Wagoner County, Oklahoma | No | 139.1 (128.7, 150.1) | N/A | 138 | falling | -1.2 (-1.7, -0.7) |
Benton County, Oregon | No | 127.5 (117.9, 137.7) | N/A | 138 | falling | -1.0 (-1.4, -0.5) |
Monroe County, Tennessee | No | 202.9 (187.4, 219.4) | N/A | 138 | falling | -0.5 (-1.0, -0.1) |
Marion County, West Virginia | No | 173.7 (160.7, 187.7) | N/A | 138 | falling | -0.7 (-1.1, -0.3) |
Cass County, Michigan | No | 175.9 (162.5, 190.1) | N/A | 138 | stable | 0.1 (-1.5, 1.7) |
Lyon County, Nevada | No | 166.1 (153.3, 179.7) | N/A | 138 | falling | -1.6 (-2.1, -1.0) |
Pickaway County, Ohio | No | 195.2 (180.7, 210.7) | N/A | 138 | falling | -0.7 (-1.0, -0.4) |
Rockwall County, Texas | No | 140.2 (129.6, 151.3) | N/A | 138 | falling | -1.5 (-2.0, -1.1) |
Washington County, Virginia | No | 159.1 (146.9, 172.1) | N/A | 138 | falling | -1.1 (-1.5, -0.6) |
Herkimer County, New York | No | 146.3 (135.2, 158.2) | N/A | 137 | falling | -1.5 (-1.8, -1.1) |
St. Joseph County, Michigan | No | 168.1 (155.5, 181.6) | N/A | 137 | falling | -1.1 (-1.5, -0.8) |
Tipton County, Tennessee | No | 196.6 (181.8, 212.3) | N/A | 137 | falling | -0.5 (-1.0, -0.1) |
Tuscola County, Michigan | No | 169.3 (156.5, 183.0) | N/A | 137 | falling | -0.8 (-1.2, -0.4) |
Marquette County, Michigan | No | 146.9 (135.7, 158.9) | N/A | 137 | falling | -0.9 (-1.3, -0.5) |
Jackson County, Georgia | No | 175.1 (161.9, 189.1) | N/A | 136 | falling | -0.9 (-1.4, -0.5) |
Campbell County, Virginia | No | 166.0 (153.5, 179.4) | N/A | 136 | falling | -1.1 (-1.5, -0.7) |
Jefferson County, Tennessee | No | 171.2 (158.2, 185.0) | N/A | 136 | falling | -0.9 (-1.4, -0.4) |
Knox County, Illinois | No | 174.3 (161.0, 188.6) | N/A | 135 | falling | -0.8 (-1.2, -0.3) |
Coffee County, Tennessee | No | 187.4 (173.3, 202.4) | N/A | 135 | falling | -0.8 (-1.2, -0.4) |
Henry County, Indiana | No | 199.8 (184.7, 215.9) | N/A | 135 | stable | -0.3 (-0.6, 0.0) |
Wayne County, Pennsylvania | No | 153.1 (141.4, 165.7) | N/A | 135 | falling | -2.3 (-3.1, -1.6) |
Levy County, Florida | No | 196.1 (180.7, 212.7) | N/A | 135 | falling | -0.5 (-0.9, -0.1) |
Chippewa County, Wisconsin | No | 153.8 (142.1, 166.2) | N/A | 134 | falling | -1.0 (-1.4, -0.6) |
Dickson County, Tennessee | No | 204.6 (189.1, 221.0) | N/A | 134 | falling | -0.5 (-0.8, -0.1) |
Gibson County, Tennessee | No | 200.8 (185.6, 216.9) | N/A | 134 | falling | -0.5 (-0.9, -0.1) |
Carroll County, New Hampshire | No | 145.8 (134.1, 158.5) | N/A | 134 | falling | -1.6 (-2.1, -1.2) |
Granville County, North Carolina | No | 168.9 (156.0, 182.6) | N/A | 134 | falling | -2.9 (-4.2, -1.6) |
Otero County, New Mexico | No | 154.5 (142.8, 166.9) | N/A | 134 | falling | -0.5 (-0.9, -0.1) |
Jackson County, Florida | No | 191.2 (176.7, 206.6) | N/A | 133 | falling | -0.4 (-0.7, -0.1) |
Waupaca County, Wisconsin | No | 162.8 (150.3, 176.3) | N/A | 133 | falling | -1.0 (-1.4, -0.6) |
Harrison County, Texas | No | 153.1 (141.4, 165.5) | N/A | 133 | falling | -1.2 (-1.7, -0.7) |
Franklin County, Virginia | No | 144.6 (133.2, 156.8) | N/A | 132 | falling | -1.1 (-1.5, -0.7) |
Seneca County, Ohio | No | 172.5 (159.2, 186.7) | N/A | 132 | falling | -0.6 (-1.0, -0.2) |
Boyd County, Kentucky | No | 192.7 (178.0, 208.5) | N/A | 132 | falling | -1.0 (-1.4, -0.7) |
Darke County, Ohio | No | 175.3 (161.8, 189.7) | N/A | 132 | falling | -0.5 (-0.8, -0.2) |
Fauquier County, Virginia | No | 145.7 (134.5, 157.5) | N/A | 132 | falling | -1.8 (-2.3, -1.3) |
Natrona County, Wyoming | No | 138.6 (127.9, 150.0) | N/A | 132 | falling | -1.7 (-2.0, -1.3) |
Pender County, North Carolina | No | 159.4 (147.2, 172.5) | N/A | 132 | falling | -1.1 (-1.6, -0.7) |
Le Flore County, Oklahoma | No | 200.5 (185.2, 216.8) | N/A | 132 | stable | -0.4 (-0.8, 0.0) |
Butler County, Kansas | No | 163.9 (151.3, 177.3) | N/A | 132 | falling | -0.6 (-0.9, -0.2) |
Sherburne County, Minnesota | No | 146.3 (135.0, 158.3) | N/A | 131 | falling | -1.3 (-1.8, -0.8) |
Kauai County, Hawaii 8 | No | 126.3 (116.4, 136.9) | N/A | 131 | falling | -1.9 (-2.4, -1.3) |
Russell County, Alabama | No | 200.1 (184.7, 216.5) | N/A | 130 | falling | -0.8 (-1.1, -0.4) |
Fayette County, West Virginia | No | 196.8 (181.4, 213.2) | N/A | 130 | falling | -0.5 (-0.9, -0.2) |
Wood County, Texas | No | 162.2 (149.0, 176.5) | N/A | 130 | falling | -1.2 (-1.7, -0.7) |
Jones County, Mississippi | No | 149.1 (137.6, 161.3) | N/A | 130 | falling | -1.4 (-1.7, -1.0) |
Camden County, Missouri | No | 145.7 (133.9, 158.5) | N/A | 130 | falling | -1.1 (-1.5, -0.7) |
Garfield County, Oklahoma | No | 168.9 (155.9, 182.8) | N/A | 129 | falling | -0.5 (-0.8, -0.1) |
Greene County, New York | No | 169.2 (156.0, 183.4) | N/A | 129 | falling | -1.3 (-1.7, -0.8) |
Jefferson County, West Virginia | No | 181.9 (167.7, 197.0) | N/A | 129 | falling | -1.0 (-1.6, -0.5) |
Suwannee County, Florida | No | 186.7 (172.2, 202.3) | N/A | 129 | falling | -0.7 (-1.2, -0.2) |
Ottawa County, Ohio | No | 180.8 (166.3, 196.4) | N/A | 129 | falling | -0.5 (-0.9, -0.1) |
Siskiyou County, California | No | 170.5 (156.9, 185.3) | N/A | 129 | falling | -0.9 (-1.3, -0.5) |
Pike County, Pennsylvania | No | 138.4 (127.6, 150.2) | N/A | 128 | falling | -1.6 (-2.2, -1.1) |
San Patricio County, Texas | No | 171.0 (157.8, 185.0) | N/A | 128 | falling | -1.2 (-1.6, -0.9) |
Lee County, North Carolina | No | 164.1 (151.4, 177.7) | N/A | 128 | falling | -1.3 (-1.7, -0.9) |
Mifflin County, Pennsylvania | No | 170.6 (157.4, 184.8) | N/A | 128 | falling | -0.5 (-0.9, -0.1) |
Tazewell County, Virginia | No | 194.2 (178.9, 210.6) | N/A | 128 | falling | -0.7 (-1.1, -0.4) |
Columbia County, Wisconsin | No | 163.6 (150.9, 177.2) | N/A | 128 | falling | -1.0 (-1.3, -0.7) |
Fulton County, New York | No | 163.4 (150.6, 177.1) | N/A | 128 | falling | -1.2 (-1.6, -0.9) |
Pope County, Arkansas | No | 165.3 (152.6, 178.9) | N/A | 127 | falling | -3.6 (-6.3, -0.8) |
Payne County, Oklahoma | No | 165.1 (152.3, 178.8) | N/A | 127 | falling | -0.6 (-1.0, -0.3) |
Barry County, Michigan | No | 152.4 (140.5, 165.2) | N/A | 127 | falling | -1.1 (-1.6, -0.6) |
Cherokee County, South Carolina | No | 176.3 (162.5, 191.0) | N/A | 126 | falling | -2.0 (-2.7, -1.2) |
Putnam County, West Virginia | No | 164.9 (152.0, 178.7) | N/A | 126 | falling | -1.1 (-1.5, -0.7) |
Washington County, Vermont | No | 152.2 (140.2, 165.1) | N/A | 126 | falling | -1.4 (-1.8, -1.0) |
Huron County, Ohio | No | 168.6 (155.4, 182.7) | N/A | 126 | falling | -0.5 (-0.8, -0.1) |
Lamar County, Texas | No | 181.3 (167.1, 196.6) | N/A | 126 | falling | -0.9 (-1.3, -0.6) |
Taney County, Missouri | No | 146.7 (135.1, 159.1) | N/A | 126 | falling | -1.4 (-1.8, -1.0) |
Stokes County, North Carolina | No | 175.6 (161.7, 190.5) | N/A | 125 | falling | -1.0 (-1.4, -0.6) |
Carver County, Minnesota | No | 122.9 (113.1, 133.2) | N/A | 125 | falling | -1.5 (-2.0, -1.1) |
Macoupin County, Illinois | No | 181.0 (166.6, 196.3) | N/A | 125 | falling | -0.7 (-1.0, -0.3) |
Montgomery County, Virginia | No | 130.5 (120.3, 141.3) | N/A | 125 | falling | -1.7 (-2.1, -1.4) |
Ogle County, Illinois | No | 170.8 (157.4, 185.1) | N/A | 125 | falling | -0.9 (-1.2, -0.5) |
Warrick County, Indiana | No | 151.4 (139.5, 164.1) | N/A | 125 | falling | -1.4 (-1.8, -1.0) |
Christian County, Kentucky | No | 183.0 (168.7, 198.1) | N/A | 125 | falling | -0.9 (-1.3, -0.5) |
Story County, Iowa | No | 135.7 (125.0, 147.1) | N/A | 124 | falling | -1.0 (-1.3, -0.6) |
Gallatin County, Montana | No | 123.0 (113.2, 133.4) | N/A | 124 | falling | -1.3 (-1.9, -0.8) |
Saline County, Kansas | No | 165.9 (152.8, 179.9) | N/A | 124 | falling | -0.6 (-1.0, -0.1) |
Beaufort County, North Carolina | No | 160.4 (147.3, 174.5) | N/A | 124 | falling | -1.2 (-1.6, -0.8) |
Ashland County, Ohio | No | 163.6 (150.6, 177.5) | N/A | 123 | falling | -0.6 (-1.0, -0.2) |
Calaveras County, California | No | 141.9 (130.2, 154.6) | N/A | 123 | falling | -1.5 (-1.9, -1.1) |
Hopkins County, Kentucky | No | 198.5 (182.7, 215.4) | N/A | 123 | falling | -0.9 (-1.3, -0.4) |
Pittsburg County, Oklahoma | No | 193.4 (178.0, 209.8) | N/A | 123 | falling | -0.5 (-0.9, -0.1) |
Columbia County, Oregon | No | 165.5 (152.3, 179.7) | N/A | 123 | falling | -1.5 (-1.9, -1.0) |
Ionia County, Michigan | No | 164.7 (151.6, 178.6) | N/A | 123 | falling | -1.1 (-1.5, -0.7) |
St. Mary Parish, Louisiana | No | 188.4 (173.5, 204.4) | N/A | 122 | falling | -1.3 (-1.7, -0.8) |
Brown County, Ohio | No | 199.2 (183.4, 216.1) | N/A | 122 | falling | -0.8 (-1.2, -0.4) |
Gordon County, Georgia | No | 183.3 (168.8, 198.7) | N/A | 122 | falling | -0.9 (-1.3, -0.5) |
Hillsdale County, Michigan | No | 184.3 (169.5, 200.2) | N/A | 122 | falling | -0.6 (-1.0, -0.2) |
Carter County, Oklahoma | No | 194.8 (179.4, 211.3) | N/A | 122 | falling | -0.6 (-0.9, -0.3) |
Delaware County, Oklahoma | No | 166.8 (153.0, 181.6) | N/A | 121 | falling | -1.1 (-1.5, -0.7) |
Itasca County, Minnesota | No | 163.5 (150.1, 178.0) | N/A | 121 | falling | -1.1 (-1.5, -0.8) |
Washington Parish, Louisiana | No | 194.0 (178.5, 210.7) | N/A | 121 | falling | -1.0 (-1.4, -0.7) |
McDowell County, North Carolina | No | 178.2 (163.9, 193.6) | N/A | 121 | stable | -0.2 (-0.6, 0.3) |
Delaware County, New York | No | 152.8 (140.3, 166.4) | N/A | 121 | falling | -1.3 (-1.8, -0.9) |
Bedford County, Pennsylvania | No | 147.2 (135.3, 160.1) | N/A | 120 | falling | -0.9 (-1.5, -0.3) |
Knox County, Maine | No | 168.5 (154.7, 183.4) | N/A | 120 | falling | -0.8 (-1.3, -0.4) |
Vermilion Parish, Louisiana | No | 163.6 (150.6, 177.5) | N/A | 120 | falling | -2.5 (-3.4, -1.6) |
Butler County, Missouri | No | 196.1 (180.5, 212.9) | N/A | 120 | falling | -0.7 (-1.1, -0.3) |
Portage County, Wisconsin | No | 137.4 (126.4, 149.2) | N/A | 120 | falling | -1.2 (-1.6, -0.8) |
Hardin County, Texas | No | 164.9 (151.7, 179.0) | N/A | 120 | falling | -2.2 (-2.9, -1.6) |
Grady County, Oklahoma | No | 171.7 (158.0, 186.5) | N/A | 119 | stable | -0.5 (-0.9, 0.0) |
Stephenson County, Illinois | No | 161.7 (148.4, 176.0) | N/A | 119 | falling | -0.7 (-1.1, -0.3) |
Walla Walla County, Washington | No | 145.7 (133.8, 158.4) | N/A | 119 | falling | -0.8 (-1.2, -0.4) |
Vance County, North Carolina | No | 197.6 (181.6, 214.9) | N/A | 119 | falling | -1.1 (-1.5, -0.7) |
Shenandoah County, Virginia | No | 172.8 (158.9, 187.8) | N/A | 119 | falling | -0.8 (-1.1, -0.6) |
Washington County, Mississippi | No | 216.1 (198.4, 235.0) | N/A | 119 | stable | -0.3 (-0.7, 0.1) |
Barron County, Wisconsin | No | 163.1 (149.8, 177.4) | N/A | 118 | falling | -0.9 (-1.2, -0.6) |
Marinette County, Wisconsin | No | 168.8 (154.9, 183.9) | N/A | 118 | falling | -0.9 (-1.3, -0.5) |
Danville City, Virginia | No | 191.8 (176.0, 208.8) | N/A | 118 | falling | -0.8 (-1.2, -0.4) |
Chenango County, New York | No | 163.9 (150.5, 178.3) | N/A | 118 | falling | -1.2 (-1.5, -0.9) |
Crawford County, Ohio | No | 186.1 (171.0, 202.4) | N/A | 118 | falling | -0.9 (-1.2, -0.5) |
Sullivan County, New Hampshire | No | 174.8 (160.4, 190.3) | N/A | 118 | falling | -1.4 (-1.8, -1.0) |
Campbell County, Tennessee | No | 196.2 (180.3, 213.3) | N/A | 118 | falling | -0.7 (-1.0, -0.3) |
Douglas County, Nevada | No | 125.7 (115.0, 137.5) | N/A | 118 | falling | -1.5 (-2.0, -1.1) |
Warren County, Pennsylvania | No | 175.4 (161.1, 191.0) | N/A | 118 | falling | -0.8 (-1.2, -0.4) |
Bulloch County, Georgia | No | 168.4 (154.8, 183.0) | N/A | 117 | falling | -0.9 (-1.4, -0.5) |
Bonner County, Idaho | No | 159.8 (146.4, 174.2) | N/A | 117 | falling | -1.1 (-1.5, -0.7) |
Grand Forks County, North Dakota | No | 168.1 (154.4, 182.6) | N/A | 117 | falling | -0.9 (-1.3, -0.5) |
Sequoyah County, Oklahoma | No | 209.0 (192.1, 227.2) | N/A | 117 | falling | -0.8 (-1.3, -0.3) |
Crittenden County, Arkansas | No | 224.0 (205.8, 243.4) | N/A | 117 | falling | -0.7 (-1.2, -0.2) |
Kay County, Oklahoma | No | 186.9 (171.6, 203.3) | N/A | 117 | stable | -0.2 (-0.6, 0.2) |
Newaygo County, Michigan | No | 169.8 (155.8, 184.9) | N/A | 117 | falling | -1.0 (-1.5, -0.5) |
Sanilac County, Michigan | No | 183.5 (168.4, 199.9) | N/A | 117 | stable | -6.7 (-14.9, 2.2) |
Floyd County, Kentucky | No | 240.4 (220.6, 261.7) | N/A | 116 | falling | -0.5 (-0.9, -0.1) |
Henry County, Illinois | No | 154.3 (141.7, 167.8) | N/A | 116 | falling | -1.0 (-1.4, -0.5) |
Logan County, Ohio | No | 183.7 (168.7, 199.8) | N/A | 116 | falling | -8.0 (-15.2, -0.1) |
Lawrence County, Indiana | No | 171.8 (157.8, 186.8) | N/A | 116 | falling | -0.8 (-1.1, -0.5) |
Ohio County, West Virginia | No | 176.2 (161.4, 192.2) | N/A | 116 | falling | -1.3 (-1.6, -1.0) |
Montgomery County, New York | No | 164.5 (150.9, 179.2) | N/A | 115 | falling | -1.2 (-1.6, -0.7) |
Oneida County, Wisconsin | No | 179.1 (163.9, 195.5) | N/A | 115 | falling | -0.7 (-1.0, -0.3) |
Franklin County, Kentucky | No | 173.3 (159.2, 188.5) | N/A | 115 | falling | -1.4 (-1.8, -1.0) |
Rice County, Minnesota | No | 144.4 (132.7, 157.0) | N/A | 115 | falling | -1.4 (-1.8, -1.0) |
Stephens County, Oklahoma | No | 182.1 (167.0, 198.2) | N/A | 115 | falling | -0.8 (-1.3, -0.3) |
Halifax County with South Boston City, Virginia | No | 198.8 (182.0, 216.9) | N/A | 115 | stable | 3.2 (-0.7, 7.2) |
Marion County, Illinois | No | 207.9 (190.7, 226.4) | N/A | 115 | stable | -0.2 (-0.7, 0.3) |
Nacogdoches County, Texas | No | 158.0 (145.0, 171.9) | N/A | 115 | stable | 3.7 (-5.5, 13.7) |
Ravalli County, Montana | No | 150.2 (137.5, 163.9) | N/A | 115 | falling | -0.8 (-1.3, -0.3) |
Barren County, Kentucky | No | 194.2 (178.4, 211.3) | N/A | 114 | falling | -0.6 (-1.1, -0.2) |
Boone County, Indiana | No | 163.3 (150.0, 177.6) | N/A | 114 | falling | -1.3 (-1.8, -0.9) |
Jefferson County, Pennsylvania | No | 168.6 (154.6, 183.7) | N/A | 114 | falling | -0.6 (-0.9, -0.3) |
Colleton County, South Carolina | No | 207.8 (190.5, 226.4) | N/A | 114 | stable | -0.3 (-0.8, 0.1) |
Duplin County, North Carolina | No | 142.2 (130.4, 154.9) | N/A | 114 | falling | -2.1 (-2.5, -1.7) |
Clinton County, Iowa | No | 162.0 (148.6, 176.3) | N/A | 114 | falling | -1.0 (-1.4, -0.6) |
Lawrence County, Tennessee | No | 193.0 (177.3, 210.0) | N/A | 114 | falling | -0.9 (-1.3, -0.4) |
Rusk County, Texas | No | 166.7 (153.0, 181.3) | N/A | 113 | falling | -1.2 (-1.5, -0.8) |
Laurens County, Georgia | No | 181.0 (166.1, 197.0) | N/A | 113 | falling | -0.8 (-1.3, -0.2) |
Henderson County, Kentucky | No | 186.9 (171.4, 203.5) | N/A | 113 | falling | -0.7 (-1.2, -0.2) |
Tallapoosa County, Alabama | No | 183.0 (167.5, 199.8) | N/A | 113 | falling | -0.7 (-1.2, -0.1) |
Chaves County, New Mexico | No | 144.0 (132.1, 156.6) | N/A | 112 | falling | -1.2 (-1.6, -0.7) |
Thomas County, Georgia | No | 189.8 (174.1, 206.7) | N/A | 112 | falling | -0.9 (-1.3, -0.5) |
Cherokee County, Oklahoma | No | 187.4 (171.8, 204.0) | N/A | 112 | stable | -0.3 (-0.7, 0.2) |
Coryell County, Texas | No | 184.4 (169.2, 200.6) | N/A | 112 | falling | -0.5 (-0.9, -0.1) |
Susquehanna County, Pennsylvania | No | 159.4 (146.1, 173.9) | N/A | 112 | falling | -1.3 (-1.7, -0.9) |
Bedford County, Tennessee | No | 196.6 (180.3, 214.1) | N/A | 112 | falling | -0.6 (-1.0, -0.1) |
Burnet County, Texas | No | 148.5 (135.9, 162.0) | N/A | 112 | falling | -1.6 (-2.0, -1.2) |
Covington County, Alabama | No | 192.5 (176.4, 209.8) | N/A | 112 | stable | -0.4 (-0.9, 0.1) |
Navarro County, Texas | No | 177.8 (163.0, 193.7) | N/A | 111 | falling | -0.9 (-1.4, -0.4) |
Okanogan County, Washington | No | 171.3 (156.8, 187.0) | N/A | 111 | falling | -0.6 (-1.0, -0.3) |
St. Martin Parish, Louisiana | No | 174.2 (159.7, 189.8) | N/A | 111 | falling | -1.4 (-1.8, -1.0) |
Stevens County, Washington | No | 150.3 (137.4, 164.2) | N/A | 111 | falling | -1.2 (-1.6, -0.8) |
Fremont County, Colorado | No | 148.4 (136.0, 161.8) | N/A | 111 | falling | -1.0 (-1.4, -0.5) |
Dearborn County, Indiana | No | 166.8 (152.8, 181.8) | N/A | 111 | falling | -1.2 (-1.7, -0.8) |
Shelby County, Indiana | No | 185.7 (170.2, 202.3) | N/A | 111 | falling | -0.7 (-1.2, -0.2) |
Hancock County, Mississippi | No | 159.7 (146.2, 174.2) | N/A | 111 | falling | -1.1 (-1.5, -0.7) |
Dallas County, Iowa | No | 128.0 (117.4, 139.3) | N/A | 110 | falling | -2.4 (-3.0, -1.8) |
Okeechobee County, Florida | No | 183.3 (168.0, 199.8) | N/A | 110 | falling | -0.9 (-1.4, -0.5) |
Kenai Peninsula Borough, Alaska | No | 151.8 (138.6, 165.9) | N/A | 110 | falling | -1.8 (-2.4, -1.2) |
Lincoln County, Maine | No | 162.0 (148.2, 177.2) | N/A | 110 | falling | -1.5 (-2.0, -1.1) |
Chesterfield County, South Carolina | No | 174.8 (160.1, 190.6) | N/A | 110 | falling | -1.0 (-1.4, -0.6) |
Grant County, Wisconsin | No | 161.2 (147.6, 175.7) | N/A | 110 | falling | -0.6 (-1.1, -0.2) |
Perry County, Pennsylvania | No | 175.1 (160.3, 191.0) | N/A | 110 | falling | -0.7 (-1.1, -0.4) |
Goodhue County, Minnesota | No | 156.9 (143.6, 171.2) | N/A | 109 | falling | -0.8 (-1.2, -0.4) |
Howell County, Missouri | No | 188.3 (172.5, 205.3) | N/A | 109 | falling | -0.6 (-1.0, -0.2) |
Union County, Arkansas | No | 209.1 (191.5, 228.0) | N/A | 109 | falling | -0.6 (-1.0, -0.3) |
Windham County, Vermont | No | 163.9 (149.6, 179.2) | N/A | 109 | falling | -1.3 (-1.7, -0.9) |
Cherokee County, Texas | No | 159.8 (146.4, 174.1) | N/A | 109 | stable | 0.7 (-13.7, 17.4) |
Highland County, Ohio | No | 186.9 (171.1, 203.8) | N/A | 109 | falling | -0.7 (-1.2, -0.1) |
Polk County, Wisconsin | No | 162.3 (148.6, 177.1) | N/A | 109 | falling | -1.0 (-1.4, -0.6) |
Osage County, Oklahoma | No | 159.0 (145.5, 173.6) | N/A | 109 | falling | -0.8 (-1.1, -0.4) |
Chisago County, Minnesota | No | 161.5 (147.9, 176.0) | N/A | 108 | stable | 6.1 (-4.4, 17.8) |
Webster Parish, Louisiana | No | 192.3 (176.0, 209.7) | N/A | 108 | falling | -1.1 (-1.5, -0.8) |
Allegany County, New York | No | 166.9 (152.7, 182.2) | N/A | 108 | falling | -1.9 (-2.3, -1.4) |
Isabella County, Michigan | No | 160.5 (146.9, 175.0) | N/A | 108 | falling | -0.8 (-1.4, -0.3) |
Davie County, North Carolina | No | 164.3 (150.4, 179.4) | N/A | 108 | stable | -0.5 (-1.0, 0.0) |
Preble County, Ohio | No | 187.6 (171.6, 204.7) | N/A | 108 | falling | -0.4 (-0.8, -0.1) |
Richmond County, North Carolina | No | 178.9 (163.8, 195.1) | N/A | 108 | falling | -0.8 (-1.2, -0.4) |
Delta County, Michigan | No | 170.6 (155.8, 186.6) | N/A | 108 | falling | -0.9 (-1.3, -0.5) |
Franklin County, New York | No | 164.5 (150.7, 179.4) | N/A | 108 | falling | -1.4 (-1.8, -1.1) |
Cerro Gordo County, Iowa | No | 153.5 (140.1, 167.9) | N/A | 107 | falling | -1.3 (-1.7, -1.0) |
Hall County, Nebraska | No | 150.0 (137.4, 163.5) | N/A | 107 | falling | -1.1 (-1.5, -0.7) |
Lincoln County, Missouri | No | 171.6 (157.0, 187.2) | N/A | 107 | falling | -0.7 (-1.2, -0.2) |
Dale County, Alabama | No | 168.9 (154.7, 184.1) | N/A | 107 | falling | -2.1 (-3.1, -1.2) |
Athens County, Ohio | No | 165.6 (151.5, 180.7) | N/A | 107 | falling | -1.5 (-1.9, -1.0) |
Clare County, Michigan | No | 210.8 (192.5, 230.6) | N/A | 107 | falling | -0.6 (-1.0, -0.3) |
Huntingdon County, Pennsylvania | No | 156.1 (142.8, 170.4) | N/A | 107 | falling | -0.8 (-1.2, -0.4) |
Amador County, California | No | 143.5 (131.2, 157.0) | N/A | 107 | falling | -1.5 (-2.0, -1.1) |
Coffee County, Alabama | No | 159.6 (146.1, 174.0) | N/A | 107 | falling | -1.1 (-1.5, -0.7) |
Essex County, New York | No | 165.2 (150.9, 180.8) | N/A | 107 | falling | -1.5 (-2.0, -1.0) |
Logan County, West Virginia | No | 218.0 (199.1, 238.3) | N/A | 106 | falling | -1.0 (-1.6, -0.5) |
Franklin County, Vermont | No | 173.3 (158.4, 189.2) | N/A | 106 | falling | -1.1 (-1.5, -0.7) |
Warren County, Tennessee | No | 193.7 (177.2, 211.4) | N/A | 105 | stable | -0.3 (-0.8, 0.2) |
Wayne County, West Virginia | No | 172.4 (157.6, 188.3) | N/A | 105 | falling | -1.7 (-2.1, -1.3) |
Tioga County, Pennsylvania | No | 161.7 (147.7, 177.0) | N/A | 105 | falling | -0.9 (-1.4, -0.4) |
Franklin County, Illinois | No | 178.4 (163.2, 194.9) | N/A | 105 | falling | -1.1 (-1.5, -0.7) |
Whitley County, Kentucky | No | 239.4 (218.9, 261.2) | N/A | 105 | stable | -0.2 (-0.8, 0.4) |
Blue Earth County, Minnesota | No | 142.1 (129.8, 155.2) | N/A | 105 | falling | -1.2 (-1.6, -0.8) |
Walker County, Texas | No | 139.9 (127.9, 152.7) | N/A | 105 | falling | -1.7 (-2.1, -1.2) |
Accomack County, Virginia | No | 192.1 (175.1, 210.5) | N/A | 104 | falling | -1.1 (-1.4, -0.8) |
Guernsey County, Ohio | No | 182.7 (166.9, 199.6) | N/A | 104 | falling | -0.9 (-1.3, -0.5) |
Mayes County, Oklahoma | No | 188.8 (172.5, 206.3) | N/A | 104 | falling | -0.8 (-1.3, -0.4) |
Miller County, Arkansas | No | 191.5 (175.1, 209.1) | N/A | 104 | falling | -0.6 (-1.0, -0.2) |
Warren County, Mississippi | No | 180.3 (164.7, 197.0) | N/A | 104 | falling | -1.0 (-1.4, -0.7) |
Fulton County, Illinois | No | 196.9 (179.9, 215.3) | N/A | 104 | falling | -0.6 (-1.0, -0.1) |
Greenup County, Kentucky | No | 191.2 (174.8, 208.9) | N/A | 104 | falling | -1.0 (-1.5, -0.5) |
Jefferson County, Washington | No | 140.7 (127.3, 155.7) | N/A | 104 | falling | -1.5 (-2.0, -1.0) |
Noble County, Indiana | No | 180.6 (165.0, 197.4) | N/A | 104 | falling | -0.7 (-1.1, -0.2) |
Pettis County, Missouri | No | 190.1 (173.7, 207.6) | N/A | 104 | falling | -0.6 (-1.0, -0.2) |
Shelby County, Ohio | No | 164.8 (150.6, 180.1) | N/A | 104 | falling | -0.6 (-1.0, -0.2) |
Gloucester County, Virginia | No | 194.1 (177.2, 212.2) | N/A | 104 | falling | -1.0 (-1.5, -0.6) |
Okmulgee County, Oklahoma | No | 197.3 (180.3, 215.6) | N/A | 104 | stable | -0.4 (-0.7, 0.0) |
Branch County, Michigan | No | 177.2 (161.9, 193.6) | N/A | 104 | falling | -0.6 (-1.1, -0.1) |
Tioga County, New York | No | 140.1 (128.0, 153.2) | N/A | 104 | falling | -1.8 (-2.2, -1.5) |
Cache County, Utah | Yes | 111.4 (101.9, 121.5) | N/A | 103 | falling | -0.8 (-1.3, -0.4) |
Washington County, Maine | No | 192.5 (175.5, 211.1) | N/A | 103 | falling | -0.8 (-1.2, -0.4) |
Petersburg City, Virginia | No | 262.5 (239.3, 287.4) | N/A | 103 | falling | -0.9 (-1.4, -0.4) |
Roscommon County, Michigan | No | 206.1 (186.3, 228.1) | N/A | 103 | stable | -0.2 (-0.7, 0.3) |
Avoyelles Parish, Louisiana | No | 196.4 (179.4, 214.5) | N/A | 102 | falling | -2.5 (-3.9, -1.0) |
Eddy County, New Mexico | No | 154.9 (141.6, 169.3) | N/A | 102 | falling | -0.8 (-1.2, -0.4) |
Fulton County, Ohio | No | 181.3 (165.5, 198.3) | N/A | 102 | stable | -0.1 (-0.5, 0.2) |
Lea County, New Mexico | No | 159.2 (145.4, 173.8) | N/A | 102 | falling | -1.3 (-1.7, -0.9) |
Mississippi County, Arkansas | No | 212.9 (194.4, 232.7) | N/A | 102 | falling | -0.5 (-1.0, -0.1) |
Oldham County, Kentucky | No | 149.6 (136.4, 163.8) | N/A | 102 | falling | -1.5 (-2.0, -1.0) |
Effingham County, Georgia | No | 172.6 (157.4, 189.0) | N/A | 102 | falling | -0.7 (-1.3, -0.2) |
Polk County, Georgia | No | 198.5 (181.3, 216.8) | N/A | 102 | falling | -0.8 (-1.3, -0.4) |
Wise County, Virginia | No | 199.2 (181.9, 217.9) | N/A | 102 | falling | -0.8 (-1.2, -0.3) |
Clinton County, Ohio | No | 183.0 (167.2, 200.1) | N/A | 102 | falling | -0.7 (-1.1, -0.2) |
Macon County, North Carolina | No | 149.7 (136.2, 164.4) | N/A | 102 | falling | -0.8 (-1.3, -0.4) |
Autauga County, Alabama | No | 151.6 (138.6, 165.6) | N/A | 102 | falling | -1.8 (-2.4, -1.3) |
Queen Annes County, Maryland | No | 142.9 (130.5, 156.3) | N/A | 102 | falling | -1.7 (-2.2, -1.2) |
Nelson County, Kentucky | No | 186.1 (169.8, 203.6) | N/A | 101 | falling | -1.0 (-1.5, -0.5) |
York County, Virginia | Yes | 119.1 (108.9, 130.2) | N/A | 101 | falling | -2.7 (-3.2, -2.1) |
Bristol County, Rhode Island | No | 131.5 (119.9, 144.1) | N/A | 101 | falling | -1.8 (-2.2, -1.3) |
Callaway County, Missouri | No | 181.0 (165.3, 198.0) | N/A | 101 | falling | -0.8 (-1.2, -0.3) |
Culpeper County, Virginia | No | 164.1 (149.9, 179.4) | N/A | 101 | falling | -1.2 (-1.6, -0.9) |
Fairbanks North Star, Alaska | No | 127.3 (115.5, 139.8) | N/A | 101 | falling | -1.7 (-2.3, -1.2) |
Orleans County, New York | No | 182.3 (166.3, 199.5) | N/A | 101 | falling | -0.8 (-1.3, -0.3) |
Waldo County, Maine | No | 164.3 (149.6, 180.2) | N/A | 101 | falling | -1.3 (-1.7, -0.9) |
Bennington County, Vermont | No | 170.1 (155.0, 186.6) | N/A | 101 | falling | -1.0 (-1.4, -0.6) |
Clatsop County, Oregon | No | 168.2 (153.2, 184.5) | N/A | 101 | falling | -1.4 (-1.8, -1.0) |
Henry County, Tennessee | No | 187.0 (170.5, 204.9) | N/A | 101 | falling | -0.7 (-1.1, -0.3) |
Jackson County, Illinois | No | 152.9 (139.4, 167.4) | N/A | 101 | falling | -1.0 (-1.4, -0.5) |
Mecosta County, Michigan | No | 177.7 (161.8, 194.8) | N/A | 101 | falling | -0.6 (-1.0, -0.2) |
Bryan County, Oklahoma | No | 163.4 (149.2, 178.8) | N/A | 100 | falling | -1.4 (-1.9, -1.0) |
Clay County, Minnesota | No | 147.6 (134.7, 161.5) | N/A | 100 | falling | -0.6 (-1.0, -0.1) |
Douglas County, Wisconsin | No | 168.5 (153.6, 184.5) | N/A | 100 | falling | -1.5 (-1.8, -1.2) |
Nez Perce County, Idaho | No | 164.1 (149.6, 179.7) | N/A | 100 | falling | -0.7 (-1.1, -0.3) |
Auglaize County, Ohio | No | 157.5 (143.6, 172.5) | N/A | 100 | falling | -1.0 (-1.5, -0.5) |
Franklin County, Tennessee | No | 165.4 (150.7, 181.2) | N/A | 100 | falling | -0.9 (-1.4, -0.5) |
Hill County, Texas | No | 187.0 (170.4, 205.0) | N/A | 100 | falling | -0.7 (-1.2, -0.2) |
Vernon Parish, Louisiana | No | 218.7 (199.7, 239.0) | N/A | 100 | stable | 0.2 (-0.4, 0.7) |
Dallas County, Alabama | No | 194.7 (177.5, 213.4) | N/A | 100 | falling | -0.8 (-1.2, -0.5) |
McKean County, Pennsylvania | No | 165.0 (150.4, 180.8) | N/A | 100 | falling | -1.2 (-1.7, -0.8) |
Grundy County, Illinois | No | 177.7 (162.2, 194.4) | N/A | 100 | falling | -1.0 (-1.5, -0.5) |
McKinley County, New Mexico | No | 145.4 (132.7, 159.0) | N/A | 100 | falling | -0.7 (-1.2, -0.2) |
Shawano County, Wisconsin | No | 154.2 (140.7, 169.0) | N/A | 99 | falling | -0.7 (-1.1, -0.4) |
Cocke County, Tennessee | No | 180.5 (164.5, 198.0) | N/A | 99 | falling | -0.9 (-1.4, -0.5) |
Des Moines County, Iowa | No | 162.1 (147.7, 177.7) | N/A | 99 | falling | -0.9 (-1.4, -0.3) |
Gadsden County, Florida | No | 158.3 (144.3, 173.4) | N/A | 99 | falling | -1.5 (-1.9, -1.1) |
Greene County, Arkansas | No | 178.1 (162.6, 194.7) | N/A | 99 | stable | -0.5 (-1.0, 0.1) |
Upshur County, Texas | No | 175.2 (159.7, 192.0) | N/A | 99 | falling | -1.4 (-1.9, -0.9) |
Person County, North Carolina | No | 170.0 (154.9, 186.3) | N/A | 99 | falling | -0.9 (-1.5, -0.2) |
Jackson County, Indiana | No | 176.9 (161.4, 193.5) | N/A | 99 | falling | -3.8 (-6.9, -0.7) |
Monroe County, Wisconsin | No | 167.1 (152.3, 182.9) | N/A | 99 | falling | -0.7 (-1.2, -0.2) |
Jessamine County, Kentucky | No | 155.1 (141.4, 169.8) | N/A | 98 | falling | -1.7 (-2.1, -1.3) |
Marshall County, Mississippi | No | 206.8 (188.4, 226.7) | N/A | 98 | falling | -0.8 (-1.2, -0.4) |
Mecklenburg County, Virginia | No | 174.3 (158.6, 191.5) | N/A | 98 | falling | -1.0 (-1.5, -0.6) |
Winona County, Minnesota | No | 152.8 (139.1, 167.5) | N/A | 98 | falling | -1.1 (-1.5, -0.8) |
Escambia County, Alabama | No | 198.1 (180.6, 216.9) | N/A | 98 | falling | -0.8 (-1.2, -0.5) |
Coles County, Illinois | No | 148.9 (135.7, 163.2) | N/A | 98 | falling | -1.1 (-1.7, -0.5) |
Douglas County, Minnesota | No | 155.0 (141.0, 170.2) | N/A | 98 | stable | -0.5 (-0.9, 0.0) |
Gratiot County, Michigan | No | 181.0 (164.9, 198.3) | N/A | 97 | stable | -0.5 (-0.9, 0.0) |
Talbot County, Maryland | No | 123.9 (112.5, 136.6) | N/A | 97 | falling | -1.8 (-2.2, -1.3) |
Newberry County, South Carolina | No | 177.7 (161.8, 194.9) | N/A | 97 | falling | -0.8 (-1.2, -0.4) |
Dyer County, Tennessee | No | 197.0 (179.5, 215.8) | N/A | 97 | stable | -0.5 (-1.0, 0.0) |
Greenbrier County, West Virginia | No | 166.3 (151.3, 182.7) | N/A | 96 | falling | -1.1 (-1.5, -0.7) |
Boone County, Arkansas | No | 169.0 (153.8, 185.4) | N/A | 96 | falling | -0.8 (-1.2, -0.4) |
Marshall County, Indiana | No | 153.8 (140.0, 168.6) | N/A | 96 | falling | -1.1 (-1.5, -0.8) |
Dodge County, Nebraska | No | 181.6 (165.1, 199.5) | N/A | 96 | stable | -0.1 (-0.4, 0.3) |
Clarion County, Pennsylvania | No | 167.8 (152.7, 184.2) | N/A | 95 | falling | -0.6 (-1.2, -0.1) |
Curry County, Oregon | No | 182.8 (165.4, 202.3) | N/A | 95 | falling | -0.6 (-1.1, -0.2) |
Smyth County, Virginia | No | 192.3 (175.0, 211.1) | N/A | 95 | falling | -0.6 (-1.0, -0.2) |
DeKalb County, Indiana | No | 175.4 (159.6, 192.4) | N/A | 95 | falling | -0.6 (-1.0, -0.2) |
Williams County, Ohio | No | 177.9 (161.9, 195.2) | N/A | 95 | falling | -0.7 (-1.1, -0.3) |
Jefferson County, Illinois | No | 174.9 (159.1, 191.8) | N/A | 94 | falling | -0.8 (-1.2, -0.4) |
St. Charles Parish, Louisiana | No | 165.4 (150.3, 181.6) | N/A | 94 | falling | -1.0 (-1.5, -0.6) |
Franklin County, Washington | No | 135.7 (123.3, 148.9) | N/A | 94 | falling | -1.9 (-2.4, -1.4) |
Phelps County, Missouri | No | 172.3 (156.7, 189.1) | N/A | 94 | falling | -1.1 (-1.7, -0.5) |
Champaign County, Ohio | No | 176.1 (160.2, 193.2) | N/A | 94 | falling | -0.7 (-1.1, -0.3) |
Chilton County, Alabama | No | 165.6 (150.7, 181.7) | N/A | 94 | falling | -0.7 (-1.3, -0.2) |
Knox County, Kentucky | No | 230.5 (209.8, 252.9) | N/A | 94 | stable | 0.0 (-0.5, 0.4) |
Stone County, Missouri | No | 147.9 (133.3, 164.1) | N/A | 94 | falling | -1.4 (-1.9, -0.9) |
Apache County, Arizona | Yes | 113.7 (103.4, 124.7) | N/A | 94 | falling | -0.9 (-1.4, -0.3) |
Barry County, Missouri | No | 172.5 (156.8, 189.5) | N/A | 94 | falling | -0.6 (-1.1, -0.1) |
Cortland County, New York | No | 157.9 (143.6, 173.3) | N/A | 94 | falling | -1.6 (-2.2, -1.0) |
Crawford County, Kansas | No | 205.1 (186.5, 225.0) | N/A | 94 | stable | -0.4 (-0.8, 0.1) |
Lawrence County, Missouri | No | 178.9 (162.7, 196.3) | N/A | 94 | falling | -0.8 (-1.2, -0.5) |
Habersham County, Georgia | No | 153.7 (139.9, 168.7) | N/A | 94 | stable | -0.5 (-1.1, 0.0) |
Marshall County, Kentucky | No | 193.4 (175.7, 212.6) | N/A | 94 | stable | -0.5 (-1.0, 0.0) |
Brown County, Texas | No | 167.3 (152.2, 183.8) | N/A | 93 | falling | -0.9 (-1.3, -0.5) |
Greene County, Pennsylvania | No | 179.8 (163.4, 197.6) | N/A | 93 | falling | -0.6 (-1.0, -0.2) |
Livingston County, Illinois | No | 178.8 (162.5, 196.6) | N/A | 93 | falling | -0.8 (-1.2, -0.3) |
Cheatham County, Tennessee | No | 195.9 (177.6, 215.5) | N/A | 93 | falling | -0.8 (-1.5, -0.2) |
Scotland County, North Carolina | No | 198.3 (180.2, 217.8) | N/A | 93 | falling | -0.6 (-1.2, -0.1) |
Graves County, Kentucky | No | 182.0 (165.4, 199.9) | N/A | 93 | falling | -0.6 (-1.0, -0.2) |
Madison County, Ohio | No | 174.4 (158.7, 191.3) | N/A | 93 | falling | -1.3 (-1.8, -0.9) |
Shelby County, Kentucky | No | 163.6 (148.7, 179.7) | N/A | 93 | falling | -1.4 (-2.0, -0.8) |
Harrison County, Indiana | No | 173.6 (157.8, 190.8) | N/A | 93 | falling | -0.9 (-1.4, -0.4) |
Montrose County, Colorado | No | 133.3 (120.9, 146.9) | N/A | 93 | falling | -1.2 (-1.7, -0.7) |
Adams County, Mississippi | No | 207.6 (188.6, 228.2) | N/A | 92 | falling | -0.6 (-1.0, -0.2) |
Carroll County, Tennessee | No | 220.5 (200.4, 242.3) | N/A | 92 | stable | -0.2 (-0.6, 0.1) |
Perry County, Kentucky | No | 267.4 (242.8, 293.9) | N/A | 92 | stable | 0.0 (-0.6, 0.5) |
Boone County, Illinois | No | 143.0 (130.0, 156.9) | N/A | 92 | falling | -1.3 (-1.7, -0.8) |
Bureau County, Illinois | No | 168.9 (153.3, 185.8) | N/A | 92 | falling | -0.8 (-1.2, -0.4) |
Christian County, Illinois | No | 184.5 (167.6, 202.8) | N/A | 92 | falling | -0.8 (-1.2, -0.4) |
Fayette County, Tennessee | No | 147.4 (133.7, 162.4) | N/A | 92 | falling | -1.5 (-2.2, -0.9) |
Lee County, Illinois | No | 179.1 (162.8, 196.9) | N/A | 92 | falling | -0.9 (-1.4, -0.4) |
Yadkin County, North Carolina | No | 167.2 (152.0, 183.8) | N/A | 92 | falling | -0.7 (-1.1, -0.3) |
Adams County, Ohio | No | 245.8 (223.3, 270.2) | N/A | 92 | stable | -0.3 (-0.9, 0.3) |
Warren County, Virginia | No | 183.5 (166.6, 201.7) | N/A | 92 | falling | -1.0 (-1.5, -0.5) |
Beauregard Parish, Louisiana | No | 206.0 (187.3, 226.2) | N/A | 92 | stable | -0.6 (-1.1, 0.0) |
Huron County, Michigan | No | 157.2 (142.6, 173.2) | N/A | 91 | falling | -0.8 (-1.1, -0.4) |
Laclede County, Missouri | No | 191.1 (173.6, 210.0) | N/A | 91 | falling | -0.8 (-1.2, -0.4) |
Coos County, New Hampshire | No | 165.5 (150.2, 182.4) | N/A | 91 | falling | -1.4 (-1.9, -0.8) |
Lamar County, Mississippi | No | 137.9 (125.4, 151.4) | N/A | 91 | falling | -1.6 (-2.1, -1.1) |
Cooke County, Texas | No | 163.9 (148.8, 180.2) | N/A | 91 | falling | -0.8 (-1.3, -0.3) |
Coshocton County, Ohio | No | 173.5 (157.4, 190.9) | N/A | 91 | falling | -0.7 (-1.1, -0.2) |
Dorchester County, Maryland | No | 182.2 (165.2, 200.7) | N/A | 91 | falling | -1.6 (-2.0, -1.2) |
Orange County, Virginia | No | 166.8 (151.5, 183.4) | N/A | 91 | falling | -1.3 (-1.8, -0.8) |
Transylvania County, North Carolina | No | 127.4 (115.0, 141.0) | N/A | 91 | falling | -1.9 (-2.4, -1.3) |
Colquitt County, Georgia | No | 170.4 (154.9, 187.1) | N/A | 91 | falling | -1.0 (-1.3, -0.7) |
DeSoto County, Florida | No | 155.7 (141.3, 171.4) | N/A | 91 | falling | -1.1 (-1.8, -0.4) |
Ward County, North Dakota | No | 132.0 (119.9, 145.0) | N/A | 91 | falling | -1.4 (-1.9, -0.8) |
Monroe County, Mississippi | No | 178.8 (162.2, 196.7) | N/A | 91 | falling | -0.7 (-1.2, -0.1) |
Natchitoches Parish, Louisiana | No | 193.4 (175.6, 212.6) | N/A | 91 | falling | -1.0 (-1.5, -0.5) |
Pasquotank County, North Carolina | No | 176.8 (160.5, 194.4) | N/A | 91 | falling | -1.1 (-1.5, -0.7) |
Cass County, Indiana | No | 173.2 (157.3, 190.4) | N/A | 90 | falling | -1.0 (-1.4, -0.6) |
Muscatine County, Iowa | No | 165.6 (150.3, 182.1) | N/A | 90 | falling | -0.7 (-1.2, -0.2) |
Ottawa County, Oklahoma | No | 213.5 (193.9, 234.8) | N/A | 90 | falling | -0.7 (-1.0, -0.3) |
Dare County, North Carolina | No | 158.4 (143.4, 174.8) | N/A | 90 | falling | -1.4 (-2.0, -0.8) |
Oconto County, Wisconsin | No | 156.4 (141.8, 172.2) | N/A | 90 | falling | -1.0 (-1.5, -0.5) |
Alpena County, Michigan | No | 181.6 (164.7, 200.3) | N/A | 90 | falling | -0.9 (-1.4, -0.5) |
Putnam County, Indiana | No | 188.6 (171.3, 207.3) | N/A | 90 | falling | -0.5 (-0.9, -0.1) |
Rhea County, Tennessee | No | 198.8 (180.5, 218.6) | N/A | 90 | falling | -0.6 (-1.0, -0.2) |
Chester County, South Carolina | No | 198.9 (180.5, 218.8) | N/A | 90 | falling | -0.6 (-1.0, -0.3) |
Chippewa County, Michigan | No | 177.5 (161.2, 195.2) | N/A | 90 | falling | -0.5 (-1.0, -0.1) |
Logan County, Oklahoma | No | 154.2 (139.9, 169.6) | N/A | 90 | falling | -0.9 (-1.4, -0.4) |
Morgan County, Illinois | No | 179.1 (162.3, 197.3) | N/A | 90 | falling | -0.6 (-1.0, -0.2) |
Gladwin County, Michigan | No | 194.8 (176.0, 215.4) | N/A | 89 | falling | -0.7 (-1.3, -0.2) |
Scott County, Missouri | No | 170.2 (154.5, 187.2) | N/A | 89 | falling | -5.3 (-9.1, -1.4) |
Huntington County, Indiana | No | 181.5 (164.7, 199.7) | N/A | 89 | falling | -0.7 (-1.1, -0.3) |
Matagorda County, Texas | No | 189.8 (172.2, 208.8) | N/A | 89 | falling | -0.8 (-1.4, -0.3) |
Murray County, Georgia | No | 193.4 (175.4, 212.7) | N/A | 89 | falling | -0.8 (-1.4, -0.2) |
Emmet County, Michigan | No | 163.1 (147.8, 179.8) | N/A | 89 | falling | -0.6 (-1.1, -0.1) |
Wyoming County, New York | No | 165.2 (149.9, 181.8) | N/A | 89 | falling | -0.8 (-1.2, -0.4) |
Wharton County, Texas | No | 164.1 (148.9, 180.5) | N/A | 89 | falling | -1.4 (-1.7, -1.0) |
Baldwin County, Georgia | No | 161.8 (146.7, 178.1) | N/A | 89 | falling | -0.8 (-1.2, -0.3) |
Defiance County, Ohio | No | 165.9 (150.5, 182.7) | N/A | 89 | falling | -0.6 (-1.0, -0.2) |
Pike County, Mississippi | No | 175.6 (159.3, 193.2) | N/A | 89 | falling | -0.7 (-1.3, -0.1) |
Wilson County, Texas | No | 142.9 (129.6, 157.3) | N/A | 89 | falling | -1.2 (-1.7, -0.6) |
Bolivar County, Mississippi | No | 239.5 (217.0, 263.7) | N/A | 88 | stable | -0.4 (-0.8, 0.1) |
Clarendon County, South Carolina | No | 162.7 (147.1, 179.7) | N/A | 88 | falling | -1.1 (-1.6, -0.6) |
Lee County, Iowa | No | 169.9 (154.0, 187.2) | N/A | 88 | falling | -1.2 (-1.7, -0.8) |
Warren County, Iowa | No | 144.6 (131.2, 159.0) | N/A | 88 | falling | -0.8 (-1.3, -0.3) |
Delta County, Colorado | No | 163.6 (147.7, 181.1) | N/A | 88 | stable | 0.6 (-0.4, 1.7) |
Greene County, Indiana | No | 191.2 (173.3, 210.6) | N/A | 88 | stable | -0.1 (-0.7, 0.5) |
Lincoln County, Oklahoma | No | 182.7 (165.6, 201.1) | N/A | 88 | stable | -0.5 (-1.0, 0.0) |
Elk County, Pennsylvania | No | 169.0 (153.1, 186.4) | N/A | 88 | falling | -1.0 (-1.4, -0.7) |
Union County, Ohio | No | 155.4 (140.8, 171.0) | N/A | 88 | falling | -1.7 (-2.1, -1.3) |
Broomfield County, Colorado 8 | Yes | 120.1 (108.9, 132.0) | N/A | 88 | falling | -3.9 (-6.0, -1.7) |
Medina County, Texas | No | 136.7 (124.0, 150.5) | N/A | 88 | falling | -1.2 (-1.6, -0.7) |
Chambers County, Alabama | No | 181.4 (164.3, 199.9) | N/A | 87 | falling | -0.8 (-1.2, -0.4) |
Clark County, Kentucky | No | 179.9 (163.1, 198.1) | N/A | 87 | falling | -5.8 (-9.9, -1.5) |
Knox County, Indiana | No | 173.8 (157.5, 191.5) | N/A | 87 | falling | -0.9 (-1.3, -0.4) |
Sagadahoc County, Maine | No | 150.0 (135.9, 165.4) | N/A | 87 | falling | -1.7 (-2.2, -1.2) |
Wapello County, Iowa | No | 179.4 (162.5, 197.6) | N/A | 87 | falling | -0.9 (-1.3, -0.4) |
Camden County, Georgia | No | 159.9 (144.7, 176.3) | N/A | 87 | falling | -1.6 (-2.2, -1.0) |
Cowley County, Kansas | No | 183.4 (166.1, 202.2) | N/A | 87 | falling | -0.5 (-0.9, -0.1) |
Iosco County, Michigan | No | 174.4 (157.1, 193.7) | N/A | 87 | falling | -1.2 (-1.6, -0.7) |
Jackson County, Ohio | No | 208.5 (188.9, 229.8) | N/A | 87 | falling | -0.6 (-1.0, -0.1) |
Tift County, Georgia | No | 184.1 (166.9, 202.6) | N/A | 87 | stable | -0.4 (-0.8, 0.0) |
Johnson County, Missouri | No | 160.6 (145.6, 176.7) | N/A | 87 | stable | -1.8 (-3.6, 0.0) |
McCurtain County, Oklahoma | No | 200.8 (181.9, 221.3) | N/A | 87 | falling | -0.7 (-1.1, -0.3) |
Wabash County, Indiana | No | 181.2 (163.6, 200.4) | N/A | 87 | falling | -0.6 (-1.0, -0.2) |
Williamsburg County, South Carolina | No | 186.9 (169.2, 206.3) | N/A | 87 | stable | -0.5 (-1.0, 0.1) |
Alexander County, North Carolina | No | 159.2 (144.2, 175.6) | N/A | 86 | falling | -0.9 (-1.3, -0.4) |
Mercer County, Ohio | No | 155.3 (140.5, 171.4) | N/A | 86 | falling | -0.7 (-1.2, -0.3) |
Iroquois County, Illinois | No | 194.6 (176.0, 215.0) | N/A | 86 | stable | -0.3 (-0.6, 0.1) |
Jasper County, Iowa | No | 159.4 (144.3, 175.8) | N/A | 86 | falling | -0.9 (-1.4, -0.4) |
Kandiyohi County, Minnesota | No | 143.9 (130.1, 158.9) | N/A | 86 | falling | -1.1 (-1.5, -0.7) |
Alcorn County, Mississippi | No | 172.7 (156.4, 190.3) | N/A | 86 | falling | -0.8 (-1.3, -0.3) |
Jasper County, Texas | No | 170.4 (154.1, 188.0) | N/A | 86 | falling | -1.5 (-2.0, -1.0) |
Jefferson County, Indiana | No | 202.0 (182.9, 222.7) | N/A | 86 | stable | -0.5 (-1.0, 0.0) |
Bladen County, North Carolina | No | 167.9 (151.6, 185.6) | N/A | 86 | falling | -1.3 (-1.9, -0.7) |
Cherokee County, North Carolina | No | 154.6 (139.2, 171.8) | N/A | 86 | falling | -1.1 (-1.6, -0.6) |
Harlan County, Kentucky | No | 237.6 (214.9, 262.2) | N/A | 86 | stable | 0.2 (-0.4, 0.8) |
Louisa County, Virginia | No | 162.4 (146.8, 179.3) | N/A | 86 | falling | -1.3 (-1.9, -0.6) |
Scott County, Kentucky | No | 160.5 (145.1, 177.0) | N/A | 86 | falling | -1.7 (-2.2, -1.1) |
Cass County, Minnesota | No | 166.3 (149.9, 184.4) | N/A | 85 | falling | -0.8 (-1.2, -0.4) |
Gallia County, Ohio | No | 203.3 (183.9, 224.4) | N/A | 85 | stable | -0.4 (-0.9, 0.1) |
Hot Spring County, Arkansas | No | 177.7 (160.9, 196.0) | N/A | 85 | falling | -0.8 (-1.2, -0.3) |
Jackson County, North Carolina | No | 144.8 (130.9, 160.0) | N/A | 85 | falling | -1.1 (-1.7, -0.6) |
McClain County, Oklahoma | No | 183.6 (166.2, 202.3) | N/A | 85 | falling | -0.8 (-1.4, -0.2) |
Mower County, Minnesota | No | 148.0 (133.8, 163.5) | N/A | 85 | falling | -1.1 (-1.6, -0.6) |
Webster County, Iowa | No | 164.5 (148.8, 181.6) | N/A | 85 | falling | -0.8 (-1.2, -0.4) |
Cass County, Texas | No | 174.7 (157.9, 193.0) | N/A | 85 | falling | -0.9 (-1.4, -0.4) |
Dubois County, Indiana | No | 148.1 (134.1, 163.3) | N/A | 85 | falling | -0.9 (-1.3, -0.4) |
Isle of Wight County, Virginia | No | 159.9 (144.7, 176.6) | N/A | 85 | falling | -1.5 (-2.1, -1.0) |
Claiborne County, Tennessee | No | 187.1 (169.1, 206.6) | N/A | 85 | falling | -0.7 (-1.2, -0.2) |
Dunklin County, Missouri | No | 211.1 (191.0, 233.0) | N/A | 85 | stable | -0.4 (-0.9, 0.1) |
Lincoln County, Tennessee | No | 169.8 (153.6, 187.3) | N/A | 85 | falling | -1.2 (-1.7, -0.7) |
Stoddard County, Missouri | No | 194.3 (175.7, 214.5) | N/A | 84 | stable | -0.5 (-1.0, 0.0) |
Woodford County, Illinois | No | 160.1 (144.7, 176.8) | N/A | 84 | falling | -0.6 (-1.1, -0.1) |
Clinton County, Pennsylvania | No | 153.6 (139.0, 169.6) | N/A | 84 | falling | -5.4 (-9.4, -1.2) |
Lawrence County, Alabama | No | 180.8 (163.5, 199.5) | N/A | 84 | falling | -0.6 (-1.1, -0.1) |
Ware County, Georgia | No | 180.1 (163.0, 198.7) | N/A | 84 | falling | -0.8 (-1.3, -0.3) |
Tillamook County, Oregon | No | 180.5 (162.6, 200.2) | N/A | 84 | falling | -0.7 (-1.2, -0.2) |
Benton County, Missouri | No | 208.2 (187.0, 231.9) | N/A | 84 | falling | -1.0 (-1.5, -0.5) |
Fannin County, Texas | No | 169.0 (152.9, 186.4) | N/A | 84 | falling | -1.0 (-1.5, -0.6) |
Buffalo County, Nebraska | No | 150.7 (136.3, 166.3) | N/A | 84 | falling | -0.8 (-1.3, -0.2) |
Marion County, Alabama | No | 181.1 (163.7, 200.0) | N/A | 84 | stable | -0.4 (-0.9, 0.2) |
Marshall County, Iowa | No | 149.5 (135.2, 165.1) | N/A | 84 | falling | -1.3 (-1.8, -0.9) |
Lincoln County, Mississippi | No | 187.6 (169.7, 207.0) | N/A | 83 | falling | -0.6 (-1.2, -0.1) |
Perry County, Ohio | No | 180.5 (163.2, 199.4) | N/A | 83 | falling | -0.9 (-1.5, -0.3) |
Marshall County, West Virginia | No | 170.4 (153.8, 188.6) | N/A | 83 | falling | -0.9 (-1.4, -0.5) |
Snyder County, Pennsylvania | No | 140.8 (127.3, 155.4) | N/A | 83 | falling | -1.5 (-1.9, -1.1) |
Panola County, Mississippi | No | 196.9 (177.9, 217.4) | N/A | 83 | falling | -0.7 (-1.3, -0.2) |
Montgomery County, Indiana | No | 154.7 (139.9, 170.7) | N/A | 83 | falling | -1.4 (-1.8, -1.0) |
Pontotoc County, Oklahoma | No | 172.7 (156.2, 190.6) | N/A | 83 | falling | -0.6 (-1.1, -0.2) |
Lincoln County, Nebraska | No | 163.4 (147.6, 180.6) | N/A | 83 | stable | -0.5 (-0.9, 0.0) |
Manistee County, Michigan | No | 183.2 (165.3, 203.0) | N/A | 83 | falling | -1.1 (-1.4, -0.7) |
Hancock County, West Virginia | No | 167.1 (150.8, 185.0) | N/A | 82 | falling | -1.1 (-1.5, -0.6) |
Miami County, Indiana | No | 174.7 (158.0, 192.9) | N/A | 82 | falling | -0.8 (-1.3, -0.4) |
Aransas County, Texas | No | 183.1 (164.5, 203.7) | N/A | 82 | falling | -1.0 (-1.5, -0.5) |
Morrow County, Ohio | No | 175.4 (158.4, 193.8) | N/A | 82 | falling | -0.9 (-1.4, -0.4) |
Beltrami County, Minnesota | No | 146.1 (131.9, 161.4) | N/A | 82 | falling | -1.1 (-1.6, -0.6) |
Lafayette County, Missouri | No | 173.3 (156.6, 191.6) | N/A | 82 | falling | -0.6 (-1.0, -0.1) |
Lincoln Parish, Louisiana | No | 166.7 (150.6, 184.1) | N/A | 82 | falling | -1.1 (-1.5, -0.7) |
Pulaski County, Virginia | No | 145.5 (131.4, 161.0) | N/A | 81 | falling | -1.2 (-1.8, -0.7) |
Obion County, Tennessee | No | 176.4 (159.3, 195.1) | N/A | 81 | falling | -3.5 (-6.0, -1.0) |
Calloway County, Kentucky | No | 165.0 (148.9, 182.4) | N/A | 81 | stable | -0.4 (-0.8, 0.0) |
Hopkins County, Texas | No | 162.9 (147.1, 180.1) | N/A | 81 | falling | -1.4 (-1.9, -0.8) |
Weakley County, Tennessee | No | 178.4 (161.1, 197.3) | N/A | 81 | falling | -0.5 (-0.9, -0.1) |
Houghton County, Michigan | No | 174.8 (157.7, 193.5) | N/A | 81 | falling | -0.9 (-1.3, -0.4) |
Union County, Pennsylvania | No | 130.7 (118.0, 144.6) | N/A | 81 | falling | -1.0 (-1.4, -0.6) |
Carroll County, Virginia | No | 150.6 (135.8, 167.0) | N/A | 80 | falling | -0.6 (-1.2, -0.1) |
Marion County, Iowa | No | 177.3 (160.1, 196.0) | N/A | 80 | stable | -0.3 (-0.7, 0.0) |
Mason County, Michigan | No | 164.5 (148.2, 182.6) | N/A | 80 | falling | -0.9 (-1.4, -0.4) |
St. John the Baptist Parish, Louisiana | No | 167.2 (150.7, 185.1) | N/A | 80 | falling | -1.8 (-2.5, -1.1) |
Union County, South Carolina | No | 197.2 (177.9, 218.4) | N/A | 80 | falling | -0.5 (-0.9, -0.1) |
Caldwell County, Texas | No | 166.3 (150.1, 183.7) | N/A | 80 | falling | -1.1 (-1.7, -0.5) |
Cleburne County, Arkansas | No | 167.0 (150.3, 185.5) | N/A | 80 | stable | -0.4 (-0.9, 0.1) |
Fremont County, Wyoming | No | 148.5 (133.9, 164.4) | N/A | 80 | falling | -1.1 (-1.7, -0.5) |
Webster County, Missouri | No | 173.5 (156.7, 191.8) | N/A | 80 | falling | -1.1 (-1.6, -0.6) |
Garvin County, Oklahoma | No | 220.6 (199.0, 244.0) | N/A | 80 | stable | 0.2 (-0.3, 0.8) |
Randolph County, Illinois | No | 169.6 (153.1, 187.7) | N/A | 80 | falling | -0.7 (-1.2, -0.2) |
Whitley County, Indiana | No | 169.6 (153.0, 187.7) | N/A | 80 | falling | -0.8 (-1.3, -0.3) |
Gilmer County, Georgia | No | 152.5 (137.0, 169.5) | N/A | 80 | falling | -1.8 (-2.5, -1.1) |
Preston County, West Virginia | No | 163.5 (147.4, 181.0) | N/A | 80 | falling | -0.9 (-1.3, -0.4) |
Atascosa County, Texas | No | 140.8 (127.1, 155.6) | N/A | 79 | falling | -1.3 (-1.8, -0.7) |
Fannin County, Georgia | No | 163.3 (146.0, 182.5) | N/A | 79 | falling | -1.1 (-1.5, -0.7) |
Fayette County, Ohio | No | 212.6 (191.7, 235.2) | N/A | 79 | stable | -0.3 (-0.8, 0.2) |
Cheboygan County, Michigan | No | 165.2 (148.4, 183.9) | N/A | 79 | falling | -1.0 (-1.6, -0.4) |
Franklin County, Maine | No | 170.2 (153.1, 189.0) | N/A | 79 | falling | -1.1 (-1.6, -0.7) |
Seneca County, New York | No | 160.7 (144.8, 178.0) | N/A | 79 | falling | -1.2 (-1.8, -0.7) |
Caddo County, Oklahoma | No | 212.9 (192.1, 235.5) | N/A | 79 | stable | 0.2 (-0.4, 0.7) |
Muhlenberg County, Kentucky | No | 180.9 (163.1, 200.2) | N/A | 79 | falling | -0.9 (-1.4, -0.4) |
Montgomery County, Kansas | No | 166.6 (150.0, 184.6) | N/A | 79 | falling | -3.9 (-6.4, -1.3) |
Wexford County, Michigan | No | 164.5 (148.2, 182.2) | N/A | 79 | falling | -4.1 (-6.3, -1.8) |
Overton County, Tennessee | No | 241.8 (217.7, 268.1) | N/A | 78 | stable | -0.1 (-0.6, 0.5) |
Wythe County, Virginia | No | 173.9 (156.7, 192.8) | N/A | 78 | falling | -1.0 (-1.5, -0.6) |
Harvey County, Kansas | No | 154.7 (139.1, 171.7) | N/A | 78 | stable | -0.3 (-0.9, 0.2) |
Isanti County, Minnesota | No | 156.2 (140.9, 172.9) | N/A | 78 | stable | -0.5 (-1.0, 0.1) |
McNairy County, Tennessee | No | 203.0 (182.9, 225.1) | N/A | 78 | stable | -0.3 (-0.8, 0.2) |
Washington County, Texas | No | 138.3 (124.3, 153.7) | N/A | 78 | falling | -1.4 (-1.8, -1.0) |
Becker County, Minnesota | No | 149.4 (134.6, 165.7) | N/A | 78 | falling | -0.9 (-1.3, -0.4) |
Kittitas County, Washington | No | 138.3 (124.7, 153.2) | N/A | 78 | falling | -1.5 (-2.0, -1.1) |
Montgomery County, Illinois | No | 177.4 (159.8, 196.8) | N/A | 78 | falling | -1.2 (-1.6, -0.8) |
Russell County, Virginia | No | 182.1 (163.8, 202.1) | N/A | 78 | stable | -0.5 (-1.0, 0.0) |
Green County, Wisconsin | No | 147.4 (132.8, 163.4) | N/A | 78 | falling | -0.8 (-1.3, -0.3) |
Marshall County, Tennessee | No | 183.9 (165.7, 203.8) | N/A | 78 | falling | -0.7 (-1.2, -0.2) |
Pacific County, Washington | No | 168.2 (150.8, 187.8) | N/A | 78 | falling | -0.9 (-1.5, -0.2) |
Polk County, Minnesota | No | 176.2 (158.5, 195.5) | N/A | 78 | stable | 0.3 (-11.5, 13.8) |
Iberville Parish, Louisiana | No | 191.7 (172.8, 212.3) | N/A | 78 | falling | -1.0 (-1.4, -0.6) |
Riley County, Kansas | No | 139.3 (125.4, 154.3) | N/A | 78 | falling | -0.6 (-1.1, -0.2) |
Logan County, Illinois | No | 193.6 (174.4, 214.6) | N/A | 77 | stable | -0.4 (-0.9, 0.0) |
Watauga County, North Carolina | Yes | 119.9 (107.9, 133.0) | N/A | 77 | falling | -1.5 (-2.1, -0.9) |
La Plata County, Colorado | Yes | 111.8 (100.4, 124.2) | N/A | 77 | falling | -1.8 (-2.3, -1.3) |
St. Bernard Parish, Louisiana | No | 172.4 (154.9, 191.3) | N/A | 77 | falling | -4.5 (-6.7, -2.3) |
Pickens County, Georgia | No | 159.6 (143.3, 177.5) | N/A | 77 | falling | -0.9 (-1.5, -0.3) |
Steuben County, Indiana | No | 154.4 (138.8, 171.4) | N/A | 77 | falling | -1.4 (-1.8, -0.9) |
Val Verde County, Texas | No | 146.9 (132.5, 162.5) | N/A | 77 | stable | 2.3 (-3.3, 8.1) |
Clinton County, Indiana | No | 184.1 (165.7, 204.1) | N/A | 77 | stable | -0.2 (-0.7, 0.2) |
Jefferson Davis Parish, Louisiana | No | 195.9 (176.5, 217.1) | N/A | 77 | falling | -0.7 (-1.1, -0.3) |
Morrison County, Minnesota | No | 154.2 (138.7, 171.1) | N/A | 77 | falling | -0.9 (-1.4, -0.4) |
Union County, Florida | No | 414.5 (372.8, 459.9) | N/A | 77 | stable | -0.1 (-0.9, 0.7) |
Amherst County, Virginia | No | 156.4 (140.6, 173.6) | N/A | 76 | falling | -1.5 (-2.1, -1.0) |
Coffee County, Georgia | No | 162.9 (146.7, 180.5) | N/A | 76 | falling | -0.8 (-1.3, -0.2) |
Waller County, Texas | No | 153.6 (138.2, 170.3) | N/A | 76 | falling | -1.5 (-2.0, -1.1) |
Bell County, Kentucky | No | 201.1 (181.0, 223.1) | N/A | 76 | falling | -0.9 (-1.5, -0.4) |
Dunn County, Wisconsin | No | 141.0 (126.8, 156.3) | N/A | 76 | falling | -0.8 (-1.3, -0.2) |
Scotts Bluff County, Nebraska | No | 150.9 (135.5, 167.7) | N/A | 76 | falling | -0.8 (-1.2, -0.3) |
Ashe County, North Carolina | No | 153.0 (137.4, 170.4) | N/A | 76 | falling | -0.8 (-1.3, -0.3) |
Freeborn County, Minnesota | No | 148.3 (133.1, 165.1) | N/A | 76 | falling | -0.8 (-1.2, -0.4) |
Lafayette County, Mississippi | No | 145.2 (130.6, 160.9) | N/A | 76 | falling | -1.5 (-2.0, -1.0) |
Marion County, South Carolina | No | 172.1 (154.6, 191.2) | N/A | 76 | falling | -1.2 (-1.7, -0.7) |
Starr County, Texas | No | 133.6 (120.5, 147.8) | N/A | 76 | stable | 0.0 (-0.6, 0.6) |
Carroll County, Arkansas | No | 165.7 (148.8, 184.3) | N/A | 76 | falling | -1.0 (-1.6, -0.5) |
Carter County, Kentucky | No | 199.3 (179.3, 221.1) | N/A | 76 | falling | -1.1 (-1.6, -0.6) |
Evangeline Parish, Louisiana | No | 185.4 (166.9, 205.5) | N/A | 76 | falling | -0.9 (-1.4, -0.5) |
Henderson County, Tennessee | No | 199.2 (179.2, 221.1) | N/A | 76 | stable | -0.4 (-0.9, 0.0) |
San Benito County, California | Yes | 120.3 (108.2, 133.3) | N/A | 76 | falling | -2.1 (-2.6, -1.5) |
Hoke County, North Carolina | No | 167.5 (150.1, 186.3) | N/A | 75 | falling | -1.9 (-2.6, -1.3) |
Kendall County, Texas | Yes | 118.9 (106.9, 131.9) | N/A | 75 | falling | -5.0 (-7.5, -2.4) |
Ogemaw County, Michigan | No | 193.5 (173.5, 215.7) | N/A | 75 | falling | -1.3 (-1.8, -0.7) |
Tooele County, Utah | No | 146.6 (131.6, 162.6) | N/A | 75 | falling | -1.2 (-1.7, -0.6) |
Caroline County, Maryland | No | 175.0 (157.5, 194.1) | N/A | 75 | falling | -1.5 (-2.0, -1.0) |
Clark County, Wisconsin | No | 164.7 (148.1, 182.7) | N/A | 75 | falling | -0.7 (-1.3, -0.2) |
Maverick County, Texas | No | 143.6 (129.3, 159.0) | N/A | 75 | stable | -0.2 (-0.7, 0.3) |
Pike County, Ohio | No | 193.0 (173.6, 214.1) | N/A | 75 | stable | -0.3 (-0.9, 0.3) |
Door County, Wisconsin | No | 135.5 (121.0, 151.7) | N/A | 75 | falling | -1.2 (-1.7, -0.7) |
Jackson County, West Virginia | No | 167.0 (150.3, 185.4) | N/A | 75 | falling | -1.0 (-1.6, -0.5) |
Jim Wells County, Texas | No | 160.2 (144.1, 177.6) | N/A | 75 | falling | -0.9 (-1.4, -0.4) |
Schoharie County, New York | No | 152.9 (137.2, 170.1) | N/A | 75 | falling | -1.5 (-1.9, -1.1) |
Silver Bow County, Montana | No | 150.8 (135.6, 167.5) | N/A | 75 | falling | -2.2 (-3.0, -1.3) |
Liberty County, Georgia | No | 164.1 (147.0, 182.4) | N/A | 75 | falling | -1.8 (-2.4, -1.2) |
Garfield County, Colorado | No | 125.0 (112.1, 138.9) | N/A | 74 | falling | -1.8 (-2.2, -1.4) |
Salem City, Virginia | No | 207.4 (186.4, 230.4) | N/A | 74 | stable | -0.4 (-1.0, 0.1) |
Grant County, New Mexico | No | 146.2 (130.4, 163.7) | N/A | 74 | falling | -1.1 (-1.7, -0.5) |
Grayson County, Kentucky | No | 210.3 (188.9, 233.7) | N/A | 74 | stable | 0.2 (-0.2, 0.6) |
Leflore County, Mississippi | No | 232.6 (209.1, 258.2) | N/A | 74 | stable | -0.1 (-0.6, 0.3) |
White County, Tennessee | No | 183.0 (164.5, 203.2) | N/A | 74 | falling | -0.9 (-1.4, -0.4) |
Boyle County, Kentucky | No | 175.2 (157.4, 194.6) | N/A | 74 | falling | -1.3 (-1.8, -0.7) |
Geneva County, Alabama | No | 187.2 (168.1, 208.0) | N/A | 74 | stable | -0.5 (-1.1, 0.1) |
Giles County, Tennessee | No | 169.1 (151.9, 187.9) | N/A | 74 | falling | -0.9 (-1.5, -0.4) |
Montgomery County, Kentucky | No | 215.1 (193.3, 238.8) | N/A | 74 | falling | -0.7 (-1.3, -0.1) |
Randolph County, West Virginia | No | 165.0 (148.1, 183.5) | N/A | 74 | falling | -0.9 (-1.4, -0.4) |
Holmes County, Ohio | No | 158.0 (142.0, 175.4) | N/A | 74 | stable | -0.5 (-1.0, 0.0) |
Independence County, Arkansas | No | 149.8 (134.6, 166.4) | N/A | 74 | falling | -1.2 (-1.7, -0.6) |
Marion County, Tennessee | No | 175.5 (157.6, 195.1) | N/A | 74 | falling | -2.5 (-3.8, -1.1) |
Gillespie County, Texas | No | 131.5 (117.3, 147.4) | N/A | 73 | falling | -1.3 (-1.7, -0.9) |
Hocking County, Ohio | No | 182.4 (163.8, 202.8) | N/A | 73 | falling | -1.1 (-1.6, -0.6) |
Mason County, West Virginia | No | 175.8 (157.8, 195.6) | N/A | 73 | falling | -1.4 (-1.9, -0.9) |
Calumet County, Wisconsin | No | 126.0 (113.1, 140.0) | N/A | 73 | falling | -1.2 (-2.0, -0.4) |
Curry County, New Mexico | No | 149.1 (134.0, 165.4) | N/A | 73 | falling | -1.0 (-1.5, -0.4) |
Juneau County, Wisconsin | No | 179.0 (160.7, 199.2) | N/A | 73 | falling | -1.0 (-1.5, -0.4) |
Bingham County, Idaho | No | 148.3 (133.2, 164.6) | N/A | 73 | falling | -0.7 (-1.2, -0.3) |
Hardin County, Tennessee | No | 170.5 (152.8, 190.0) | N/A | 73 | stable | -0.5 (-1.2, 0.2) |
Llano County, Texas | No | 147.5 (130.3, 167.0) | N/A | 73 | falling | -1.2 (-1.7, -0.7) |
Logan County, Kentucky | No | 198.4 (178.0, 220.6) | N/A | 73 | falling | -0.6 (-1.1, -0.1) |
Sumter County, Georgia | No | 197.9 (177.6, 220.0) | N/A | 73 | falling | -0.6 (-1.1, -0.2) |
Scott County, Virginia | No | 193.3 (173.3, 215.5) | N/A | 73 | falling | -0.6 (-1.1, -0.1) |
Carroll County, Ohio | No | 170.9 (153.2, 190.3) | N/A | 72 | stable | -0.5 (-1.1, 0.2) |
Crawford County, Missouri | No | 209.6 (187.9, 233.3) | N/A | 72 | stable | -0.4 (-0.8, 0.1) |
Lincoln County, Wisconsin | No | 157.1 (140.8, 175.0) | N/A | 72 | falling | -1.2 (-1.6, -0.7) |
Palo Pinto County, Texas | No | 172.8 (154.9, 192.4) | N/A | 72 | falling | -1.3 (-1.8, -0.8) |
Botetourt County, Virginia | No | 133.1 (119.4, 148.1) | N/A | 72 | falling | -1.4 (-1.8, -0.9) |
Addison County, Vermont | No | 134.0 (120.1, 149.3) | N/A | 72 | falling | -1.5 (-2.0, -1.0) |
Brown County, South Dakota | No | 138.2 (123.8, 154.0) | N/A | 72 | falling | -1.2 (-1.7, -0.6) |
Cherokee County, Alabama | No | 167.4 (150.0, 186.7) | N/A | 72 | falling | -0.7 (-1.3, -0.1) |
Saline County, Illinois | No | 205.2 (184.0, 228.3) | N/A | 72 | falling | -0.6 (-1.1, -0.1) |
Union County, Georgia | No | 133.3 (119.3, 149.3) | N/A | 72 | falling | -1.3 (-2.1, -0.5) |
Upson County, Georgia | No | 191.3 (171.7, 212.8) | N/A | 72 | stable | -0.4 (-0.9, 0.1) |
Carlton County, Minnesota | No | 148.0 (132.8, 164.6) | N/A | 72 | stable | -8.0 (-15.8, 0.5) |
Gibson County, Indiana | No | 160.6 (144.1, 178.6) | N/A | 72 | falling | -1.1 (-1.5, -0.7) |
Marion County, Missouri | No | 186.8 (167.5, 207.9) | N/A | 72 | falling | -0.6 (-1.2, -0.1) |
Douglas County, Washington | No | 131.7 (118.1, 146.4) | N/A | 72 | falling | -3.1 (-5.0, -1.2) |
Mineral County, West Virginia | No | 174.6 (156.4, 194.6) | N/A | 71 | falling | -0.8 (-1.4, -0.3) |
Jennings County, Indiana | No | 205.2 (183.9, 228.4) | N/A | 71 | falling | -0.7 (-1.2, -0.2) |
McPherson County, Kansas | No | 154.6 (138.1, 172.7) | N/A | 71 | stable | -0.1 (-0.6, 0.4) |
Pine County, Minnesota | No | 153.7 (137.9, 171.2) | N/A | 71 | falling | -1.0 (-1.6, -0.5) |
Vilas County, Wisconsin | No | 150.5 (134.0, 169.2) | N/A | 71 | falling | -1.4 (-2.0, -0.8) |
Staunton City, Virginia | No | 188.1 (168.4, 209.7) | N/A | 71 | stable | -0.3 (-0.9, 0.3) |
Clinton County, Illinois | No | 144.8 (129.7, 161.3) | N/A | 71 | falling | -1.3 (-1.8, -0.8) |
McLeod County, Minnesota | No | 135.9 (121.9, 151.3) | N/A | 71 | falling | -0.8 (-1.4, -0.2) |
White County, Georgia | No | 151.6 (135.5, 169.3) | N/A | 71 | stable | -0.7 (-1.4, 0.0) |
Adams County, Indiana | No | 169.2 (151.5, 188.4) | N/A | 70 | stable | -0.3 (-0.8, 0.3) |
Benton County, Minnesota | No | 152.6 (136.7, 170.0) | N/A | 70 | falling | -1.4 (-2.0, -0.8) |
Hardin County, Ohio | No | 183.1 (164.0, 203.8) | N/A | 70 | falling | -0.8 (-1.3, -0.2) |
Johnson County, Kentucky | No | 236.1 (211.3, 263.1) | N/A | 70 | stable | -0.3 (-0.8, 0.3) |
Morehouse Parish, Louisiana | No | 202.9 (181.5, 226.3) | N/A | 70 | falling | -0.7 (-1.1, -0.2) |
Ouachita County, Arkansas | No | 197.3 (176.5, 220.1) | N/A | 70 | stable | -0.4 (-1.0, 0.2) |
Waushara County, Wisconsin | No | 165.1 (147.5, 184.7) | N/A | 70 | falling | -0.9 (-1.5, -0.3) |
Lincoln County, Kentucky | No | 207.8 (186.2, 231.4) | N/A | 70 | falling | -0.6 (-1.1, -0.2) |
Scott County, Indiana | No | 232.9 (208.5, 259.4) | N/A | 70 | stable | -0.6 (-1.3, 0.1) |
Stephens County, Georgia | No | 198.0 (177.3, 220.7) | N/A | 70 | stable | -0.3 (-0.8, 0.2) |
Taylor County, Kentucky | No | 204.8 (183.3, 228.3) | N/A | 70 | stable | 0.0 (-0.5, 0.5) |
Adams County, Nebraska | No | 161.5 (144.4, 180.1) | N/A | 70 | falling | -0.9 (-1.2, -0.5) |
Taos County, New Mexico | Yes | 119.3 (106.2, 133.9) | N/A | 70 | falling | -1.4 (-1.9, -0.8) |
Hardeman County, Tennessee | No | 206.8 (185.1, 230.4) | N/A | 69 | stable | -0.3 (-0.9, 0.2) |
Letcher County, Kentucky | No | 220.5 (197.2, 246.2) | N/A | 69 | falling | -0.7 (-1.2, -0.2) |
Marlboro County, South Carolina | No | 197.9 (177.1, 220.7) | N/A | 69 | falling | -1.1 (-1.7, -0.4) |
Pierce County, Wisconsin | No | 146.2 (130.8, 162.9) | N/A | 69 | falling | -1.1 (-1.7, -0.6) |
San Jacinto County, Texas | No | 155.4 (138.7, 173.8) | N/A | 69 | falling | -5.5 (-8.2, -2.6) |
Union County, Mississippi | No | 195.7 (175.3, 217.8) | N/A | 69 | stable | 3.3 (-0.1, 6.8) |
Bryan County, Georgia | No | 204.1 (182.6, 227.4) | N/A | 69 | falling | -0.8 (-1.4, -0.2) |
Vernon County, Wisconsin | No | 154.8 (138.3, 172.9) | N/A | 69 | falling | -0.7 (-1.2, -0.2) |
Wyoming County, Pennsylvania | No | 165.1 (147.6, 184.4) | N/A | 69 | falling | -0.7 (-1.2, -0.2) |
Adams County, Wisconsin | No | 172.1 (153.0, 193.6) | N/A | 69 | stable | -0.6 (-1.2, 0.0) |
Warren County, Missouri | No | 146.3 (131.0, 163.1) | N/A | 69 | falling | -1.6 (-2.2, -1.1) |
Dillon County, South Carolina | No | 177.2 (158.4, 197.6) | N/A | 69 | falling | -1.3 (-1.9, -0.7) |
LaGrange County, Indiana | No | 169.3 (151.5, 188.5) | N/A | 69 | falling | -0.7 (-1.2, -0.1) |
Mingo County, West Virginia | No | 208.0 (185.7, 232.4) | N/A | 69 | falling | -0.8 (-1.2, -0.3) |
Oktibbeha County, Mississippi | No | 160.1 (143.2, 178.5) | N/A | 69 | falling | -1.1 (-1.6, -0.5) |
Jasper County, Indiana | No | 153.9 (137.7, 171.7) | N/A | 68 | falling | -1.2 (-1.7, -0.6) |
Lauderdale County, Tennessee | No | 214.5 (191.9, 239.2) | N/A | 68 | falling | -0.6 (-1.0, -0.2) |
Orleans County, Vermont | No | 161.0 (143.7, 180.1) | N/A | 68 | falling | -1.2 (-1.5, -0.8) |
Page County, Virginia | No | 180.8 (161.7, 201.8) | N/A | 68 | stable | -0.3 (-0.9, 0.3) |
Franklin County, Alabama | No | 174.1 (155.9, 194.0) | N/A | 68 | falling | -1.1 (-1.6, -0.5) |
Texas County, Missouri | No | 170.1 (152.1, 190.0) | N/A | 68 | falling | -0.6 (-1.2, -0.1) |
Clay County, Indiana | No | 190.1 (170.0, 212.1) | N/A | 68 | falling | -0.7 (-1.2, -0.1) |
Madison County, Georgia | No | 177.7 (158.8, 198.3) | N/A | 68 | stable | -0.6 (-1.3, 0.0) |
Pontotoc County, Mississippi | No | 179.8 (160.9, 200.4) | N/A | 68 | falling | -0.8 (-1.4, -0.1) |
Rio Arriba County, New Mexico | Yes | 121.8 (108.9, 136.0) | N/A | 68 | falling | -2.7 (-4.2, -1.2) |
Washington County, Florida | No | 200.9 (179.7, 224.2) | N/A | 68 | stable | -0.3 (-0.9, 0.3) |
Wayne County, Georgia | No | 186.0 (166.4, 207.4) | N/A | 68 | falling | -0.5 (-1.0, -0.1) |
Caledonia County, Vermont | No | 154.5 (137.7, 173.0) | N/A | 68 | falling | -1.0 (-1.5, -0.5) |
Steele County, Minnesota | No | 133.3 (119.1, 148.8) | N/A | 68 | falling | -1.5 (-1.9, -1.1) |
Menominee County, Michigan | No | 160.9 (143.5, 180.5) | N/A | 67 | stable | -0.6 (-1.2, 0.0) |
Pulaski County, Missouri | No | 175.1 (156.6, 195.2) | N/A | 67 | falling | -1.1 (-1.7, -0.5) |
Santa Cruz County, Arizona | Yes | 112.5 (100.6, 125.5) | N/A | 67 | falling | -1.7 (-2.2, -1.1) |
Sweetwater County, Wyoming | No | 161.3 (143.7, 180.5) | N/A | 67 | falling | -0.6 (-1.2, -0.1) |
Van Wert County, Ohio | No | 165.5 (147.8, 184.9) | N/A | 67 | stable | -0.4 (-0.9, 0.1) |
Bradford County, Florida | No | 177.3 (158.6, 197.9) | N/A | 67 | falling | -1.4 (-2.0, -0.9) |
Nicholas County, West Virginia | No | 175.1 (156.1, 196.0) | N/A | 67 | falling | -1.1 (-1.6, -0.6) |
Sunflower County, Mississippi | No | 239.8 (214.4, 267.5) | N/A | 67 | stable | -0.1 (-0.5, 0.3) |
Copiah County, Mississippi | No | 180.1 (160.8, 201.4) | N/A | 67 | falling | -1.1 (-1.5, -0.6) |
Lincoln County, South Dakota | Yes | 114.7 (102.5, 128.0) | N/A | 67 | stable | -0.9 (-3.2, 1.4) |
Toombs County, Georgia | No | 199.2 (178.0, 222.2) | N/A | 67 | falling | -0.9 (-1.5, -0.4) |
Barbour County, Alabama | No | 190.4 (170.0, 212.7) | N/A | 67 | falling | -1.1 (-1.8, -0.4) |
Box Elder County, Utah | Yes | 120.1 (107.4, 133.8) | N/A | 67 | falling | -0.8 (-1.4, -0.1) |
Clarke County, Alabama | No | 188.3 (168.2, 210.6) | N/A | 67 | falling | -0.9 (-1.5, -0.2) |
Pike County, Alabama | No | 181.6 (162.1, 202.9) | N/A | 67 | falling | -1.1 (-1.6, -0.6) |
Abbeville County, South Carolina | No | 175.1 (156.2, 196.0) | N/A | 66 | falling | -0.7 (-1.3, -0.2) |
Brown County, Minnesota | No | 161.7 (143.7, 181.6) | N/A | 66 | stable | -0.5 (-1.0, 0.1) |
Caswell County, North Carolina | No | 180.3 (160.9, 201.8) | N/A | 66 | falling | -1.0 (-1.5, -0.5) |
Poinsett County, Arkansas | No | 207.0 (185.0, 231.1) | N/A | 66 | falling | -0.6 (-1.0, -0.1) |
Effingham County, Illinois | No | 143.5 (128.2, 160.4) | N/A | 66 | falling | -1.0 (-1.5, -0.5) |
Grainger County, Tennessee | No | 188.8 (168.3, 211.5) | N/A | 66 | stable | -0.5 (-1.1, 0.2) |
McIntosh County, Oklahoma | No | 187.3 (166.8, 210.2) | N/A | 66 | stable | -0.5 (-1.2, 0.1) |
Polk County, Missouri | No | 153.9 (137.4, 172.0) | N/A | 66 | falling | -1.4 (-2.0, -0.8) |
Wells County, Indiana | No | 169.2 (151.0, 189.2) | N/A | 66 | stable | -0.5 (-1.2, 0.2) |
Caroline County, Virginia | No | 173.2 (154.6, 193.6) | N/A | 66 | falling | -1.5 (-2.0, -1.0) |
Lee County, Virginia | No | 178.2 (159.0, 199.5) | N/A | 66 | stable | -0.5 (-1.0, 0.0) |
Wasco County, Oregon | No | 167.7 (149.6, 187.6) | N/A | 66 | falling | -0.9 (-1.4, -0.4) |
Yazoo County, Mississippi | No | 222.3 (198.6, 248.1) | N/A | 66 | stable | -0.3 (-0.9, 0.4) |
Neshoba County, Mississippi | No | 191.1 (170.5, 213.6) | N/A | 66 | stable | -0.5 (-1.0, 0.0) |
Seminole County, Oklahoma | No | 199.5 (178.1, 223.0) | N/A | 66 | stable | -0.1 (-0.5, 0.3) |
Oceana County, Michigan | No | 162.5 (144.9, 181.9) | N/A | 66 | falling | -0.9 (-1.5, -0.4) |
Randolph County, Missouri | No | 210.3 (187.8, 234.8) | N/A | 66 | stable | -0.4 (-0.8, 0.0) |
Boone County, West Virginia | No | 200.8 (178.8, 225.1) | N/A | 65 | falling | -1.3 (-1.8, -0.8) |
Chambers County, Texas | No | 167.0 (148.8, 186.8) | N/A | 65 | falling | -1.4 (-2.1, -0.6) |
McDowell County, West Virginia | No | 223.3 (198.8, 250.5) | N/A | 65 | stable | -0.5 (-1.0, 0.0) |
Orange County, Vermont | No | 147.7 (131.5, 165.7) | N/A | 65 | falling | -1.3 (-1.8, -0.7) |
Peach County, Georgia | No | 195.6 (174.4, 218.8) | N/A | 65 | falling | -1.1 (-1.7, -0.6) |
Audrain County, Missouri | No | 191.6 (171.0, 214.2) | N/A | 65 | stable | -0.5 (-1.0, 0.1) |
Sheridan County, Wyoming | No | 142.3 (126.7, 159.4) | N/A | 65 | falling | -1.4 (-1.9, -0.9) |
Charlevoix County, Michigan | No | 149.2 (132.5, 167.9) | N/A | 65 | falling | -1.2 (-1.7, -0.7) |
Crook County, Oregon | No | 161.3 (143.2, 181.3) | N/A | 65 | stable | 0.3 (-1.5, 2.2) |
Harris County, Georgia | No | 140.1 (124.7, 157.0) | N/A | 65 | falling | -2.0 (-2.5, -1.5) |
Meade County, Kentucky | No | 200.0 (178.2, 223.8) | N/A | 65 | falling | -0.8 (-1.4, -0.3) |
Meigs County, Ohio | No | 192.1 (171.2, 215.2) | N/A | 65 | falling | -1.1 (-1.7, -0.6) |
Mille Lacs County, Minnesota | No | 183.7 (163.8, 205.5) | N/A | 65 | stable | -0.5 (-1.1, 0.1) |
Platte County, Nebraska | No | 149.7 (133.4, 167.6) | N/A | 65 | stable | 0.8 (-1.4, 3.0) |
Grimes County, Texas | No | 167.3 (149.1, 187.3) | N/A | 65 | falling | -1.1 (-1.6, -0.6) |
Hickman County, Tennessee | No | 196.3 (175.0, 219.6) | N/A | 65 | stable | -0.5 (-1.2, 0.1) |
Iron County, Utah | No | 134.5 (119.9, 150.4) | N/A | 65 | stable | -0.8 (-1.6, 0.1) |
Lake County, Montana | No | 138.2 (122.9, 155.1) | N/A | 65 | falling | -1.4 (-1.9, -0.9) |
Randolph County, Indiana | No | 171.0 (152.5, 191.5) | N/A | 65 | stable | -0.6 (-1.2, 0.0) |
Ripley County, Indiana | No | 167.6 (149.5, 187.5) | N/A | 65 | stable | -0.5 (-1.1, 0.0) |
Sharp County, Arkansas | No | 205.4 (182.8, 230.7) | N/A | 65 | stable | -0.1 (-0.6, 0.5) |
Buchanan County, Virginia | No | 188.6 (167.9, 211.6) | N/A | 65 | falling | -0.7 (-1.3, -0.1) |
Washington County, Indiana | No | 181.3 (161.6, 202.9) | N/A | 65 | falling | -0.8 (-1.3, -0.4) |
Daviess County, Indiana | No | 163.1 (145.4, 182.4) | N/A | 64 | falling | -0.9 (-1.3, -0.5) |
Haralson County, Georgia | No | 174.5 (155.7, 195.1) | N/A | 64 | stable | -0.6 (-1.3, 0.1) |
Osceola County, Michigan | No | 180.3 (160.5, 202.2) | N/A | 64 | falling | -0.8 (-1.3, -0.4) |
Morgan County, Missouri | No | 188.6 (167.4, 212.2) | N/A | 64 | falling | -0.7 (-1.3, -0.1) |
De Soto Parish, Louisiana | No | 174.7 (155.6, 195.5) | N/A | 64 | falling | -1.4 (-2.0, -0.8) |
Del Norte County, California | No | 170.7 (152.0, 191.3) | N/A | 64 | falling | -1.3 (-1.9, -0.8) |
Lincoln County, West Virginia | No | 222.2 (197.7, 249.1) | N/A | 64 | stable | -0.4 (-1.0, 0.1) |
Chattooga County, Georgia | No | 192.6 (171.6, 215.7) | N/A | 64 | falling | -0.9 (-1.3, -0.5) |
Decatur County, Georgia | No | 186.6 (166.3, 208.7) | N/A | 64 | falling | -1.1 (-1.6, -0.6) |
Hampshire County, West Virginia | No | 176.9 (157.1, 198.8) | N/A | 64 | stable | -0.6 (-1.2, 0.1) |
Lumpkin County, Georgia | No | 152.1 (135.2, 170.7) | N/A | 64 | falling | -1.3 (-2.1, -0.5) |
Malheur County, Oregon | No | 168.1 (149.8, 188.2) | N/A | 64 | stable | -0.4 (-1.0, 0.2) |
Tate County, Mississippi | No | 182.6 (162.7, 204.4) | N/A | 64 | falling | -0.8 (-1.2, -0.3) |
Dickinson County, Michigan | No | 146.9 (130.5, 165.2) | N/A | 63 | falling | -1.1 (-1.6, -0.7) |
Scott County, Tennessee | No | 219.4 (195.5, 245.6) | N/A | 63 | falling | -0.6 (-1.1, -0.1) |
Wakulla County, Florida | No | 169.1 (150.2, 189.7) | N/A | 63 | falling | -1.4 (-2.1, -0.7) |
Erath County, Texas | No | 141.1 (125.7, 158.0) | N/A | 63 | falling | -1.4 (-2.0, -0.9) |
Martin County, North Carolina | No | 166.2 (147.7, 186.8) | N/A | 63 | falling | -2.7 (-3.6, -1.8) |
Piscataquis County, Maine | No | 200.0 (177.7, 225.1) | N/A | 63 | falling | -0.9 (-1.3, -0.4) |
Scott County, Mississippi | No | 190.8 (170.0, 213.6) | N/A | 63 | falling | -0.7 (-1.3, -0.1) |
Antrim County, Michigan | No | 145.4 (128.8, 164.1) | N/A | 63 | falling | -1.6 (-2.1, -1.0) |
Hopewell City, Virginia | No | 230.7 (205.6, 258.2) | N/A | 63 | stable | -0.3 (-0.8, 0.1) |
Montgomery County, North Carolina | No | 154.0 (136.9, 172.9) | N/A | 63 | falling | -1.4 (-2.0, -0.9) |
Ohio County, Kentucky | No | 197.7 (176.1, 221.5) | N/A | 63 | falling | -0.8 (-1.3, -0.2) |
Austin County, Texas | No | 147.5 (131.2, 165.6) | N/A | 63 | falling | -1.3 (-1.9, -0.8) |
Putnam County, Ohio | No | 133.4 (118.7, 149.6) | N/A | 63 | falling | -1.5 (-2.1, -0.8) |
Upshur County, West Virginia | No | 174.4 (155.2, 195.7) | N/A | 63 | falling | -1.0 (-1.6, -0.5) |
White County, Indiana | No | 175.0 (155.6, 196.5) | N/A | 63 | falling | -0.8 (-1.3, -0.3) |
Franklin County, Kansas | No | 189.2 (168.4, 212.0) | N/A | 63 | stable | -0.4 (-0.8, 0.0) |
Starke County, Indiana | No | 190.6 (169.5, 213.9) | N/A | 63 | falling | -2.3 (-3.9, -0.7) |
Dinwiddie County, Virginia | No | 164.6 (146.4, 184.7) | N/A | 62 | falling | -1.3 (-2.0, -0.7) |
Lyon County, Kansas | No | 162.3 (144.4, 182.0) | N/A | 62 | stable | -0.5 (-1.0, 0.1) |
McDonough County, Illinois | No | 161.4 (143.2, 181.5) | N/A | 62 | falling | -1.0 (-1.5, -0.5) |
Union Parish, Louisiana | No | 191.4 (169.8, 215.3) | N/A | 62 | falling | -1.2 (-1.8, -0.6) |
Washington County, Missouri | No | 193.6 (172.2, 217.0) | N/A | 62 | stable | -0.5 (-1.2, 0.1) |
Waynesboro City, Virginia | No | 206.9 (184.2, 231.9) | N/A | 62 | stable | -0.3 (-0.9, 0.3) |
Brooke County, West Virginia | No | 166.3 (147.6, 187.2) | N/A | 62 | falling | -1.0 (-1.6, -0.5) |
Bandera County, Texas | No | 144.3 (127.5, 163.2) | N/A | 62 | falling | -1.5 (-2.1, -0.9) |
Elko County, Nevada | No | 128.8 (114.4, 144.5) | N/A | 62 | falling | -1.8 (-2.5, -1.1) |
Johnson County, Arkansas | No | 187.7 (166.9, 210.5) | N/A | 62 | stable | -0.3 (-0.9, 0.3) |
Morton County, North Dakota | No | 154.2 (136.9, 173.1) | N/A | 62 | falling | -1.3 (-1.9, -0.6) |
Prentiss County, Mississippi | No | 179.8 (160.0, 201.7) | N/A | 62 | stable | 0.1 (-0.5, 0.7) |
Codington County, South Dakota | No | 157.3 (139.8, 176.6) | N/A | 61 | falling | -1.0 (-1.4, -0.5) |
Hart County, Georgia | No | 150.5 (133.6, 169.1) | N/A | 61 | falling | -0.8 (-1.6, -0.1) |
Polk County, Arkansas | No | 187.9 (166.8, 211.4) | N/A | 61 | falling | -0.8 (-1.3, -0.2) |
Somerset County, Maryland | No | 186.5 (165.7, 209.3) | N/A | 61 | falling | -1.7 (-2.2, -1.2) |
Churchill County, Nevada | No | 185.0 (164.1, 208.1) | N/A | 61 | stable | -0.5 (-1.2, 0.2) |
Hendry County, Florida | No | 137.7 (122.5, 154.2) | N/A | 61 | falling | -1.4 (-2.0, -0.7) |
Marion County, Mississippi | No | 178.2 (158.4, 200.1) | N/A | 61 | falling | -1.6 (-2.5, -0.7) |
Panola County, Texas | No | 184.0 (163.5, 206.7) | N/A | 61 | falling | -1.1 (-1.7, -0.5) |
Ray County, Missouri | No | 186.0 (165.3, 208.9) | N/A | 61 | stable | -0.4 (-1.0, 0.2) |
Fayette County, Indiana | No | 181.2 (160.9, 203.6) | N/A | 61 | falling | -0.9 (-1.4, -0.4) |
Jo Daviess County, Illinois | No | 145.2 (128.6, 164.0) | N/A | 61 | falling | -1.3 (-1.8, -0.7) |
La Paz County, Arizona 3 | No | 136.1 (117.6, 157.4) | N/A | 61 | stable | -1.1 (-2.1, 0.0) |
Madison County, Nebraska | No | 137.8 (122.2, 154.9) | N/A | 61 | falling | -1.1 (-1.5, -0.6) |
Franklin County, Georgia | No | 184.1 (163.6, 206.8) | N/A | 61 | stable | -0.1 (-0.6, 0.5) |
Wyoming County, West Virginia | No | 198.4 (175.5, 223.7) | N/A | 61 | stable | -0.5 (-1.0, 0.1) |
Shelby County, Texas | No | 181.0 (160.8, 203.2) | N/A | 60 | falling | -1.2 (-1.6, -0.8) |
Ashley County, Arkansas | No | 203.7 (180.7, 229.1) | N/A | 60 | falling | -0.8 (-1.4, -0.3) |
Coahoma County, Mississippi | No | 220.1 (195.2, 247.5) | N/A | 60 | falling | -3.4 (-6.6, -0.2) |
Milam County, Texas | No | 160.2 (142.2, 180.2) | N/A | 60 | stable | -0.6 (-1.2, 0.0) |
Trempealeau County, Wisconsin | No | 152.9 (135.7, 171.8) | N/A | 60 | falling | -0.6 (-1.1, -0.2) |
Clay County, Kentucky | No | 250.6 (222.3, 281.7) | N/A | 60 | stable | 0.5 (-0.2, 1.1) |
Henry County, Missouri | No | 170.3 (151.0, 191.7) | N/A | 60 | falling | -6.0 (-11.5, -0.2) |
Johnson County, Tennessee | No | 208.4 (184.9, 234.7) | N/A | 60 | stable | 0.0 (-0.7, 0.7) |
Le Sueur County, Minnesota | No | 159.0 (141.2, 178.5) | N/A | 60 | falling | -0.8 (-1.4, -0.3) |
Macon County, Tennessee | No | 203.7 (180.9, 228.8) | N/A | 60 | stable | -0.4 (-0.8, 0.0) |
Monroe County, Illinois | No | 125.5 (111.3, 141.2) | N/A | 60 | falling | -1.8 (-2.2, -1.3) |
Benton County, Tennessee | No | 228.9 (202.5, 258.3) | N/A | 60 | stable | 0.2 (-0.4, 0.8) |
Campbell County, Wyoming | No | 159.7 (140.6, 180.6) | N/A | 60 | falling | -1.1 (-2.1, -0.1) |
Garrett County, Maryland | No | 123.7 (109.7, 139.4) | N/A | 60 | stable | -11.4 (-24.8, 4.4) |
Union County, Oregon | No | 154.4 (136.6, 174.1) | N/A | 60 | falling | -1.0 (-1.5, -0.5) |
Henry County, Ohio | No | 153.7 (136.3, 172.9) | N/A | 59 | falling | -1.1 (-1.6, -0.6) |
Otsego County, Michigan | No | 160.8 (142.4, 181.1) | N/A | 59 | falling | -0.8 (-1.4, -0.2) |
Winston County, Alabama | No | 157.8 (139.9, 177.7) | N/A | 59 | falling | -1.2 (-1.7, -0.7) |
Fairfield County, South Carolina | No | 172.2 (152.2, 194.5) | N/A | 59 | falling | -1.2 (-1.8, -0.6) |
Harrisonburg City, Virginia | No | 145.7 (129.2, 163.6) | N/A | 59 | falling | -1.5 (-2.2, -0.8) |
Houston County, Texas | No | 159.2 (141.1, 179.4) | N/A | 59 | falling | -1.6 (-2.2, -0.9) |
Butts County, Georgia | No | 197.2 (175.0, 221.7) | N/A | 59 | stable | -0.4 (-1.1, 0.3) |
Mercer County, Kentucky | No | 190.4 (168.8, 214.3) | N/A | 59 | falling | -0.8 (-1.4, -0.1) |
Sabine Parish, Louisiana | No | 170.0 (150.5, 191.6) | N/A | 59 | falling | -1.2 (-1.8, -0.6) |
Benton County, Iowa | No | 158.6 (140.6, 178.5) | N/A | 59 | falling | -1.2 (-1.7, -0.7) |
Klickitat County, Washington | No | 157.6 (139.3, 178.2) | N/A | 59 | falling | -1.2 (-1.7, -0.7) |
Bosque County, Texas | No | 184.3 (162.7, 208.6) | N/A | 59 | stable | 4.9 (-6.8, 18.1) |
DeWitt County, Texas | No | 195.4 (173.2, 220.1) | N/A | 59 | stable | -0.4 (-0.9, 0.1) |
Wayne County, Kentucky | No | 190.7 (168.8, 215.0) | N/A | 59 | falling | -0.6 (-1.1, -0.1) |
Miami County, Kansas | No | 129.6 (114.9, 145.8) | N/A | 58 | falling | -1.5 (-2.1, -0.8) |
Decatur County, Indiana | No | 171.7 (152.2, 193.2) | N/A | 58 | falling | -0.8 (-1.4, -0.2) |
Monroe County, Georgia | No | 150.9 (133.6, 170.0) | N/A | 58 | falling | -1.5 (-2.2, -0.9) |
Park County, Wyoming | No | 122.9 (108.3, 139.0) | N/A | 58 | falling | -1.6 (-2.1, -1.1) |
Prince George County, Virginia | No | 138.3 (122.6, 155.6) | N/A | 58 | falling | -2.2 (-2.9, -1.6) |
Anderson County, Kentucky | No | 212.6 (188.3, 239.3) | N/A | 58 | stable | -0.2 (-0.9, 0.6) |
Fayette County, Texas | No | 122.9 (108.6, 139.0) | N/A | 58 | falling | -1.5 (-2.1, -0.9) |
Howard County, Texas | No | 150.4 (133.3, 169.1) | N/A | 58 | falling | -1.2 (-1.7, -0.8) |
Martin County, Minnesota | No | 165.7 (145.9, 187.8) | N/A | 58 | stable | -0.5 (-1.2, 0.3) |
Morgan County, Colorado | No | 162.8 (144.2, 183.3) | N/A | 58 | stable | -0.5 (-1.2, 0.1) |
Morgan County, West Virginia | No | 199.2 (175.9, 225.2) | N/A | 58 | stable | -0.5 (-1.0, 0.1) |
Uvalde County, Texas | No | 175.2 (155.3, 197.2) | N/A | 58 | falling | -1.1 (-1.7, -0.4) |
Anson County, North Carolina | No | 171.6 (151.8, 193.5) | N/A | 58 | falling | -0.8 (-1.2, -0.3) |
Charlottesville City, Virginia | No | 139.4 (123.4, 157.0) | N/A | 58 | falling | -1.9 (-2.4, -1.5) |
Fluvanna County, Virginia | No | 146.5 (129.8, 165.1) | N/A | 58 | falling | -1.6 (-2.2, -1.0) |
Fentress County, Tennessee | No | 205.8 (181.6, 232.7) | N/A | 58 | falling | -0.7 (-1.3, -0.1) |
Grenada County, Mississippi | No | 209.3 (185.3, 235.8) | N/A | 58 | stable | 0.0 (-0.6, 0.6) |
Hale County, Texas | No | 162.3 (143.9, 182.4) | N/A | 58 | stable | -0.2 (-0.8, 0.3) |
Luna County, New Mexico | No | 165.8 (146.4, 187.2) | N/A | 58 | stable | 0.0 (-0.6, 0.6) |
Orange County, Indiana | No | 204.8 (181.2, 231.0) | N/A | 58 | stable | -0.2 (-0.7, 0.3) |
Russell County, Kentucky | No | 220.2 (194.6, 248.5) | N/A | 57 | stable | -0.1 (-0.7, 0.5) |
Barton County, Kansas | No | 147.2 (129.9, 166.3) | N/A | 57 | stable | -0.6 (-1.2, 0.0) |
Yates County, New York | No | 153.9 (135.9, 173.8) | N/A | 57 | falling | -1.4 (-1.9, -0.9) |
Fairfax City, Virginia | No | 205.4 (181.9, 231.3) | N/A | 57 | falling | -1.5 (-2.4, -0.5) |
Juniata County, Pennsylvania | No | 151.1 (133.6, 170.4) | N/A | 57 | falling | -1.0 (-1.5, -0.4) |
Logan County, Arkansas | No | 177.0 (156.7, 199.7) | N/A | 57 | falling | -0.8 (-1.3, -0.3) |
Sumner County, Kansas | No | 168.8 (149.2, 190.6) | N/A | 57 | falling | -1.1 (-1.6, -0.7) |
Boone County, Iowa | No | 155.9 (137.9, 175.9) | N/A | 57 | stable | -0.5 (-1.0, 0.0) |
Lincoln County, Montana | No | 150.7 (132.6, 171.3) | N/A | 57 | falling | -1.5 (-2.0, -0.9) |
San Miguel County, New Mexico | No | 132.9 (117.4, 150.3) | N/A | 57 | falling | -0.8 (-1.6, -0.1) |
Westmoreland County, Virginia | No | 175.6 (155.0, 198.9) | N/A | 57 | falling | -1.5 (-2.1, -0.9) |
Aitkin County, Minnesota | No | 159.6 (139.6, 182.7) | N/A | 57 | falling | -1.3 (-1.9, -0.7) |
Barnwell County, South Carolina | No | 192.2 (169.8, 217.1) | N/A | 57 | falling | -0.5 (-0.9, -0.1) |
Montague County, Texas | No | 180.3 (159.2, 203.8) | N/A | 57 | stable | -0.5 (-1.7, 0.6) |
Unicoi County, Tennessee | No | 191.6 (169.1, 216.8) | N/A | 57 | stable | -0.2 (-0.7, 0.3) |
Posey County, Indiana | No | 159.5 (140.8, 180.1) | N/A | 56 | falling | -1.2 (-1.7, -0.8) |
Rockbridge County, Virginia | No | 133.2 (117.3, 151.1) | N/A | 56 | falling | -1.7 (-2.3, -1.0) |
Simpson County, Mississippi | No | 158.6 (140.1, 178.9) | N/A | 56 | falling | -1.0 (-1.6, -0.4) |
Asotin County, Washington | No | 143.3 (126.5, 162.2) | N/A | 56 | falling | -1.4 (-2.1, -0.8) |
Baker County, Florida | No | 175.3 (155.1, 197.6) | N/A | 56 | falling | -1.8 (-2.4, -1.1) |
Goochland County, Virginia | No | 152.2 (134.0, 172.6) | N/A | 56 | falling | -1.8 (-2.6, -1.1) |
McDonald County, Missouri | No | 207.7 (183.6, 234.2) | N/A | 56 | stable | -0.4 (-1.1, 0.3) |
Nicollet County, Minnesota | No | 134.1 (118.6, 151.2) | N/A | 56 | falling | -1.2 (-1.9, -0.5) |
Titus County, Texas | No | 160.1 (141.7, 180.3) | N/A | 56 | falling | -1.4 (-2.1, -0.8) |
Winchester City, Virginia | No | 163.9 (145.0, 184.7) | N/A | 56 | falling | -1.5 (-2.0, -0.9) |
Woodford County, Kentucky | No | 156.4 (138.1, 176.7) | N/A | 56 | falling | -3.0 (-4.3, -1.7) |
Meade County, South Dakota | No | 171.1 (151.1, 193.2) | N/A | 56 | falling | -1.0 (-1.8, -0.2) |
Hubbard County, Minnesota | No | 150.5 (132.3, 170.9) | N/A | 56 | falling | -1.1 (-1.8, -0.5) |
Kleberg County, Texas | No | 186.8 (165.2, 210.4) | N/A | 56 | stable | -0.4 (-1.1, 0.3) |
Patrick County, Virginia | No | 173.3 (152.6, 196.7) | N/A | 56 | stable | -0.5 (-1.1, 0.1) |
Allen Parish, Louisiana | No | 188.0 (166.4, 211.8) | N/A | 56 | falling | -1.2 (-2.2, -0.2) |
Jones County, Georgia | No | 144.8 (127.9, 163.4) | N/A | 56 | falling | -1.2 (-1.8, -0.7) |
Meeker County, Minnesota | No | 156.0 (137.8, 176.4) | N/A | 56 | falling | -0.9 (-1.4, -0.4) |
Owen County, Indiana | No | 188.9 (166.6, 213.7) | N/A | 56 | falling | -1.7 (-3.2, -0.1) |
Taylor County, Florida | No | 174.9 (154.4, 197.6) | N/A | 56 | falling | -1.7 (-2.2, -1.2) |
Bourbon County, Kentucky | No | 199.0 (175.7, 224.8) | N/A | 55 | falling | -1.9 (-2.7, -1.0) |
Miller County, Missouri | No | 155.2 (137.1, 175.3) | N/A | 55 | falling | -5.5 (-9.4, -1.5) |
Randolph County, Alabama | No | 162.8 (143.4, 184.3) | N/A | 55 | falling | -0.8 (-1.4, -0.2) |
Trinity County, Texas | No | 205.0 (180.3, 232.9) | N/A | 55 | stable | 0.0 (-0.8, 0.7) |
Polk County, North Carolina | No | 124.6 (108.9, 142.7) | N/A | 55 | falling | -1.5 (-2.0, -1.0) |
Cherokee County, Kansas | No | 191.8 (169.3, 216.8) | N/A | 55 | falling | -0.8 (-1.2, -0.3) |
Lawrence County, Arkansas | No | 223.8 (197.7, 252.8) | N/A | 55 | stable | -0.1 (-0.7, 0.5) |
Lewis County, West Virginia | No | 227.8 (201.1, 257.5) | N/A | 55 | stable | -0.2 (-0.7, 0.2) |
Washburn County, Wisconsin | No | 189.2 (166.2, 215.2) | N/A | 55 | stable | -0.7 (-1.4, 0.0) |
Custer County, Oklahoma | No | 178.9 (157.9, 201.9) | N/A | 55 | stable | -0.1 (-0.7, 0.5) |
Elbert County, Georgia | No | 182.9 (161.2, 207.0) | N/A | 55 | falling | -1.0 (-1.5, -0.5) |
Emanuel County, Georgia | No | 197.5 (174.2, 223.1) | N/A | 55 | falling | -0.7 (-1.3, -0.1) |
Leelanau County, Michigan | Yes | 120.0 (104.7, 137.6) | N/A | 55 | falling | -1.7 (-2.3, -1.1) |
Mahaska County, Iowa | No | 176.0 (155.1, 199.1) | N/A | 55 | stable | 0.0 (-0.4, 0.3) |
Arkansas County, Arkansas | No | 213.3 (188.0, 241.5) | N/A | 54 | stable | -0.6 (-1.1, 0.0) |
Columbia County, Arkansas | No | 180.0 (158.7, 203.6) | N/A | 54 | falling | -0.8 (-1.4, -0.3) |
Franklin County, Indiana | No | 175.2 (154.5, 198.3) | N/A | 54 | stable | -0.4 (-1.0, 0.2) |
Gage County, Nebraska | No | 160.1 (140.9, 181.6) | N/A | 54 | stable | -0.5 (-1.1, 0.2) |
Lewis County, New York | No | 145.8 (128.6, 164.9) | N/A | 54 | falling | -1.8 (-2.3, -1.2) |
Putnam County, Georgia | No | 148.7 (130.7, 168.9) | N/A | 54 | falling | -1.3 (-2.0, -0.5) |
Saline County, Missouri | No | 173.0 (152.5, 195.7) | N/A | 54 | stable | -0.6 (-1.2, 0.1) |
Burnett County, Wisconsin | No | 175.6 (154.0, 200.3) | N/A | 54 | falling | -0.8 (-1.3, -0.2) |
Marion County, Arkansas | No | 176.5 (153.7, 202.3) | N/A | 54 | falling | -0.7 (-1.2, -0.1) |
Tishomingo County, Mississippi | No | 192.3 (169.4, 217.7) | N/A | 54 | falling | -0.8 (-1.5, -0.1) |
Jersey County, Illinois | No | 166.9 (147.1, 188.9) | N/A | 54 | falling | -0.9 (-1.5, -0.3) |
Lamoille County, Vermont | No | 163.0 (143.7, 184.3) | N/A | 54 | falling | -1.0 (-1.5, -0.5) |
Langlade County, Wisconsin | No | 157.1 (138.2, 178.4) | N/A | 54 | falling | -0.8 (-1.5, -0.1) |
Yancey County, North Carolina | No | 166.0 (146.2, 188.3) | N/A | 54 | stable | 0.0 (-0.5, 0.6) |
Fountain County, Indiana | No | 213.3 (188.1, 241.4) | N/A | 54 | stable | -0.4 (-1.0, 0.2) |
Lee County, Georgia | No | 186.4 (163.8, 211.3) | N/A | 54 | stable | -0.5 (-1.2, 0.2) |
Cass County, Nebraska | No | 154.9 (136.3, 175.5) | N/A | 53 | falling | -0.7 (-1.3, -0.1) |
Lavaca County, Texas | No | 156.6 (137.6, 177.9) | N/A | 53 | falling | -0.7 (-1.3, -0.1) |
Glenn County, California | No | 155.3 (137.0, 175.5) | N/A | 53 | falling | -1.4 (-2.0, -0.8) |
Graham County, Arizona | No | 131.5 (116.0, 148.5) | N/A | 53 | falling | -1.4 (-1.9, -0.8) |
Limestone County, Texas | No | 167.6 (147.3, 190.0) | N/A | 53 | falling | -1.4 (-1.9, -0.9) |
Meriwether County, Georgia | No | 170.4 (150.0, 193.2) | N/A | 53 | falling | -1.1 (-1.6, -0.5) |
Morgan County, Tennessee | No | 186.0 (163.8, 210.6) | N/A | 53 | falling | -0.9 (-1.5, -0.2) |
Plumas County, California | No | 149.1 (130.3, 170.6) | N/A | 53 | falling | -1.8 (-2.2, -1.3) |
Polk County, Tennessee | No | 205.5 (180.9, 232.9) | N/A | 53 | falling | -0.9 (-1.6, -0.1) |
Bertie County, North Carolina | No | 172.3 (151.2, 196.0) | N/A | 53 | falling | -1.9 (-2.5, -1.4) |
Fulton County, Indiana | No | 184.4 (162.3, 208.9) | N/A | 53 | falling | -0.9 (-1.4, -0.3) |
Lampasas County, Texas | No | 173.6 (152.9, 196.7) | N/A | 53 | stable | 9.0 (-3.4, 22.9) |
Latah County, Idaho | No | 129.6 (114.1, 146.7) | N/A | 53 | falling | -0.7 (-1.3, -0.1) |
Macon County, Alabama | No | 204.3 (179.2, 232.3) | N/A | 53 | falling | -1.0 (-1.4, -0.6) |
Montezuma County, Colorado | No | 129.6 (113.8, 147.3) | N/A | 53 | falling | -1.3 (-1.8, -0.8) |
Powhatan County, Virginia | No | 135.2 (118.8, 153.4) | N/A | 53 | falling | -2.5 (-3.0, -2.0) |
Tippah County, Mississippi | No | 195.8 (172.4, 221.6) | N/A | 53 | stable | -0.3 (-0.9, 0.2) |
Warren County, North Carolina | No | 152.6 (133.7, 173.9) | N/A | 53 | falling | -1.6 (-2.3, -0.9) |
Bee County, Texas | No | 162.5 (143.3, 183.6) | N/A | 53 | falling | -1.2 (-1.8, -0.6) |
DeKalb County, Tennessee | No | 188.7 (166.1, 213.8) | N/A | 53 | stable | -0.5 (-1.1, 0.1) |
Jasper County, South Carolina | No | 132.8 (116.5, 150.9) | N/A | 53 | falling | -1.4 (-2.2, -0.5) |
McDuffie County, Georgia | No | 188.5 (165.8, 213.6) | N/A | 53 | falling | -2.2 (-3.2, -1.1) |
Breckinridge County, Kentucky | No | 179.2 (157.6, 203.1) | N/A | 53 | falling | -1.3 (-1.7, -0.8) |
Hart County, Kentucky | No | 219.0 (192.7, 248.1) | N/A | 53 | stable | 0.0 (-0.6, 0.7) |
Oconee County, Georgia | Yes | 116.9 (102.9, 132.4) | N/A | 53 | falling | -2.0 (-2.7, -1.4) |
Wyandot County, Ohio | No | 164.5 (144.8, 186.5) | N/A | 53 | stable | -0.3 (-0.8, 0.3) |
Dawson County, Georgia | No | 146.7 (128.6, 167.0) | N/A | 52 | falling | -1.6 (-2.4, -0.7) |
Kent County, Maryland | No | 139.5 (122.5, 158.9) | N/A | 52 | falling | -2.1 (-2.7, -1.5) |
Payette County, Idaho | No | 165.3 (145.5, 187.2) | N/A | 52 | falling | -0.9 (-1.4, -0.4) |
Shelby County, Illinois | No | 142.4 (125.2, 161.7) | N/A | 52 | falling | -1.1 (-1.7, -0.5) |
Grady County, Georgia | No | 157.1 (138.2, 178.1) | N/A | 52 | falling | -3.0 (-4.3, -1.7) |
Edgefield County, South Carolina | No | 135.9 (119.4, 154.2) | N/A | 52 | falling | -2.1 (-2.8, -1.5) |
Pointe Coupee Parish, Louisiana | No | 154.5 (135.6, 175.6) | N/A | 52 | falling | -1.6 (-2.3, -1.0) |
Bibb County, Alabama | No | 186.1 (163.8, 210.7) | N/A | 52 | falling | -0.9 (-1.4, -0.3) |
Colonial Heights City, Virginia | No | 202.7 (178.0, 230.3) | N/A | 52 | falling | -0.9 (-1.5, -0.3) |
Dixie County, Florida | No | 184.9 (162.3, 210.3) | N/A | 52 | falling | -0.7 (-1.4, -0.1) |
New Madrid County, Missouri | No | 207.0 (182.2, 234.7) | N/A | 52 | stable | -0.2 (-0.8, 0.3) |
Washington County, Georgia | No | 190.4 (167.4, 215.9) | N/A | 52 | stable | -0.7 (-1.4, 0.1) |
Crisp County, Georgia | No | 165.2 (145.0, 187.6) | N/A | 52 | falling | -1.4 (-2.2, -0.7) |
Hampton County, South Carolina | No | 195.0 (171.4, 221.3) | N/A | 52 | stable | -0.5 (-1.2, 0.1) |
Leon County, Texas | No | 173.4 (151.9, 197.6) | N/A | 52 | falling | -1.3 (-1.8, -0.6) |
Manassas City, Virginia | No | 155.5 (136.2, 176.6) | N/A | 52 | falling | -1.7 (-2.4, -1.0) |
Marengo County, Alabama | No | 188.7 (165.7, 214.4) | N/A | 52 | falling | -0.8 (-1.4, -0.3) |
Randolph County, Arkansas | No | 200.9 (176.3, 228.3) | N/A | 52 | stable | -0.1 (-0.7, 0.6) |
Sawyer County, Wisconsin | No | 178.0 (155.7, 203.3) | N/A | 52 | falling | -1.2 (-1.9, -0.6) |
Schuyler County, New York | No | 190.1 (166.7, 216.3) | N/A | 52 | stable | -0.7 (-1.3, 0.0) |
Washington County, Iowa | No | 160.8 (141.0, 182.8) | N/A | 52 | stable | -0.2 (-0.8, 0.4) |
Adair County, Missouri | No | 180.2 (158.4, 204.3) | N/A | 51 | falling | -0.7 (-1.3, -0.1) |
Attala County, Mississippi | No | 195.6 (172.0, 221.9) | N/A | 51 | stable | -0.3 (-0.9, 0.4) |
Clay County, Arkansas | No | 221.8 (195.0, 251.8) | N/A | 51 | stable | -0.1 (-0.6, 0.4) |
Conway County, Arkansas | No | 168.5 (148.0, 191.5) | N/A | 51 | falling | -1.0 (-1.6, -0.4) |
George County, Mississippi | No | 197.1 (172.8, 224.0) | N/A | 51 | falling | -0.9 (-1.6, -0.1) |
Hertford County, North Carolina | No | 144.3 (126.5, 164.2) | N/A | 51 | falling | -3.8 (-5.4, -2.2) |
Sullivan County, Indiana | No | 188.2 (165.5, 213.5) | N/A | 51 | falling | -0.7 (-1.2, -0.2) |
Humphreys County, Tennessee | No | 183.9 (161.6, 208.8) | N/A | 51 | stable | -0.6 (-1.2, 0.0) |
Jackson County, Oklahoma | No | 178.5 (157.0, 202.2) | N/A | 51 | stable | 0.1 (-0.4, 0.6) |
Plymouth County, Iowa | No | 140.5 (123.3, 159.6) | N/A | 51 | falling | -1.1 (-1.7, -0.5) |
St. Francis County, Arkansas | No | 163.8 (144.0, 185.7) | N/A | 51 | falling | -2.6 (-3.5, -1.8) |
Bremer County, Iowa | No | 140.1 (123.0, 159.1) | N/A | 51 | falling | -1.3 (-1.8, -0.7) |
Carroll County, Iowa | No | 157.4 (137.8, 179.4) | N/A | 51 | stable | -0.7 (-1.3, 0.0) |
Colorado County, Texas | No | 152.3 (133.4, 173.6) | N/A | 51 | falling | -1.3 (-1.8, -0.7) |
Lawrence County, South Dakota | No | 130.4 (114.1, 148.7) | N/A | 51 | falling | -1.3 (-1.8, -0.7) |
Prince Edward County, Virginia | No | 181.4 (158.9, 206.5) | N/A | 51 | falling | -1.0 (-1.4, -0.7) |
Tyler County, Texas | No | 148.0 (129.8, 168.4) | N/A | 51 | falling | -1.6 (-2.1, -1.1) |
Wabasha County, Minnesota | No | 144.6 (127.0, 164.3) | N/A | 51 | falling | -1.1 (-1.6, -0.5) |
Assumption Parish, Louisiana | No | 171.7 (150.7, 195.1) | N/A | 51 | falling | -1.4 (-2.0, -0.9) |
Fayette County, Illinois | No | 164.1 (144.1, 186.4) | N/A | 51 | falling | -1.2 (-1.9, -0.6) |
Holmes County, Florida | No | 175.9 (154.6, 199.8) | N/A | 51 | falling | -0.9 (-1.6, -0.1) |
Pemiscot County, Missouri | No | 237.0 (208.1, 269.1) | N/A | 51 | stable | -0.1 (-0.6, 0.4) |
Whitman County, Washington | No | 126.8 (111.4, 143.7) | N/A | 51 | falling | -1.2 (-1.7, -0.6) |
Young County, Texas | No | 192.0 (168.4, 218.3) | N/A | 51 | stable | -0.5 (-1.0, 0.0) |
Clinton County, Missouri | No | 177.7 (155.9, 201.9) | N/A | 51 | stable | -0.3 (-0.8, 0.2) |
Concordia Parish, Louisiana | No | 200.6 (176.0, 227.9) | N/A | 51 | falling | -0.7 (-1.2, -0.2) |
Mitchell County, Georgia | No | 174.2 (153.0, 197.6) | N/A | 51 | falling | -1.2 (-1.8, -0.6) |
Currituck County, North Carolina | No | 140.0 (122.5, 159.5) | N/A | 50 | falling | -2.2 (-2.8, -1.6) |
Labette County, Kansas | No | 171.8 (150.4, 195.6) | N/A | 50 | stable | -0.3 (-0.9, 0.4) |
Madison County, North Carolina | No | 147.9 (129.5, 168.6) | N/A | 50 | stable | 1.0 (-2.0, 4.1) |
Vernon County, Missouri | No | 167.2 (146.6, 190.2) | N/A | 50 | falling | -0.7 (-1.3, -0.1) |
Fillmore County, Minnesota | No | 151.3 (132.2, 172.7) | N/A | 50 | falling | -0.8 (-1.2, -0.3) |
Giles County, Virginia | No | 189.8 (166.5, 216.0) | N/A | 50 | falling | -0.9 (-1.5, -0.4) |
Mason County, Illinois | No | 224.5 (196.7, 255.9) | N/A | 50 | stable | -0.5 (-1.1, 0.2) |
Monroe County, Alabama | No | 159.2 (139.5, 181.3) | N/A | 50 | falling | -1.0 (-1.6, -0.4) |
Kalkaska County, Michigan | No | 198.3 (173.5, 226.1) | N/A | 50 | stable | -0.4 (-1.0, 0.1) |
Northampton County, North Carolina | No | 146.2 (127.1, 167.8) | N/A | 50 | falling | -1.5 (-2.1, -0.9) |
Allen County, Kentucky | No | 179.6 (157.5, 204.1) | N/A | 50 | stable | -0.6 (-1.4, 0.1) |
Grant County, Kentucky | No | 185.5 (162.5, 210.8) | N/A | 50 | falling | -1.1 (-1.7, -0.4) |
Jackson County, Wisconsin | No | 167.7 (147.1, 190.6) | N/A | 50 | falling | -1.2 (-1.7, -0.7) |
Sioux County, Iowa | Yes | 113.2 (99.1, 128.8) | N/A | 50 | falling | -1.2 (-1.6, -0.7) |
Union County, Tennessee | No | 185.0 (162.1, 210.5) | N/A | 50 | falling | -0.9 (-1.4, -0.3) |
Brantley County, Georgia | No | 204.8 (179.4, 233.1) | N/A | 50 | stable | -0.6 (-1.4, 0.2) |
Itawamba County, Mississippi | No | 159.6 (140.1, 181.2) | N/A | 50 | falling | -0.9 (-1.4, -0.4) |
Crawford County, Illinois | No | 174.4 (153.0, 198.4) | N/A | 49 | falling | -0.7 (-1.1, -0.3) |
Freestone County, Texas | No | 172.3 (151.0, 196.2) | N/A | 49 | stable | -0.3 (-1.0, 0.3) |
Leake County, Mississippi | No | 177.3 (155.5, 201.4) | N/A | 49 | falling | -4.1 (-6.7, -1.4) |
Covington County, Mississippi | No | 207.5 (181.9, 235.8) | N/A | 49 | stable | -0.2 (-0.8, 0.4) |
Elmore County, Idaho | No | 180.3 (158.0, 204.8) | N/A | 49 | falling | -1.0 (-1.6, -0.4) |
Jefferson County, Oregon | No | 150.1 (131.3, 171.2) | N/A | 49 | stable | -0.4 (-0.9, 0.2) |
Lassen County, California | No | 145.1 (127.2, 165.0) | N/A | 49 | falling | -1.5 (-2.1, -0.9) |
Bristol City, Virginia | No | 187.2 (163.9, 213.4) | N/A | 49 | falling | -13.6 (-24.3, -1.4) |
Dickenson County, Virginia | No | 212.0 (185.4, 241.9) | N/A | 49 | stable | 0.0 (-0.7, 0.7) |
Saluda County, South Carolina | No | 155.3 (136.2, 176.8) | N/A | 49 | falling | -1.3 (-1.9, -0.7) |
Yell County, Arkansas | No | 168.8 (148.0, 192.0) | N/A | 49 | falling | -1.3 (-1.8, -0.8) |
Adair County, Oklahoma | No | 179.8 (157.5, 204.5) | N/A | 48 | falling | -1.1 (-1.6, -0.6) |
Beckham County, Oklahoma | No | 192.8 (168.9, 219.3) | N/A | 48 | stable | -0.6 (-1.2, 0.1) |
Clark County, Arkansas | No | 181.5 (158.7, 206.8) | N/A | 48 | stable | -0.5 (-1.1, 0.1) |
Tattnall County, Georgia | No | 167.9 (147.1, 191.0) | N/A | 48 | falling | -3.4 (-5.0, -1.8) |
Marquette County, Wisconsin | No | 176.4 (153.9, 202.1) | N/A | 48 | stable | -0.3 (-0.9, 0.3) |
Martinsville City, Virginia | No | 273.9 (239.8, 311.9) | N/A | 48 | rising | 3.5 (0.8, 6.3) |
Phillips County, Arkansas | No | 191.6 (167.5, 218.5) | N/A | 48 | falling | -1.4 (-1.9, -0.8) |
Calhoun County, Texas | No | 166.6 (145.8, 189.7) | N/A | 48 | falling | -1.1 (-1.8, -0.5) |
Cross County, Arkansas | No | 214.6 (187.7, 244.6) | N/A | 48 | falling | -1.0 (-1.8, -0.3) |
Finney County, Kansas | No | 149.9 (131.1, 170.6) | N/A | 48 | falling | -1.0 (-1.5, -0.5) |
Hardin County, Iowa | No | 167.1 (145.6, 191.4) | N/A | 48 | falling | -1.0 (-1.6, -0.5) |
Lyon County, Minnesota | No | 147.7 (129.0, 168.5) | N/A | 48 | stable | -0.4 (-1.0, 0.2) |
Todd County, Minnesota | Yes | 122.1 (106.6, 139.6) | N/A | 48 | falling | -2.9 (-4.0, -1.8) |
Clay County, Mississippi | No | 175.5 (153.4, 200.2) | N/A | 48 | stable | -0.6 (-1.2, 0.0) |
Dallas County, Missouri | No | 187.7 (163.9, 214.4) | N/A | 48 | falling | -0.8 (-1.3, -0.3) |
Lawrence County, Kentucky | No | 230.3 (201.2, 262.8) | N/A | 48 | stable | -0.1 (-0.5, 0.3) |
Potter County, Pennsylvania | No | 171.0 (148.8, 196.1) | N/A | 48 | falling | -0.8 (-1.5, -0.2) |
Rowan County, Kentucky | No | 185.8 (162.6, 211.5) | N/A | 48 | stable | 0.0 (-0.8, 0.8) |
East Feliciana Parish, Louisiana | No | 177.3 (154.8, 202.6) | N/A | 48 | falling | -1.1 (-1.7, -0.5) |
Ellis County, Kansas | No | 141.4 (123.4, 161.3) | N/A | 48 | falling | -0.9 (-1.4, -0.3) |
Lancaster County, Virginia | No | 183.5 (156.7, 215.2) | N/A | 48 | falling | -1.7 (-2.3, -1.1) |
Pike County, Illinois | No | 191.4 (167.2, 218.7) | N/A | 48 | stable | -0.2 (-0.9, 0.4) |
Van Buren County, Arkansas | No | 153.7 (134.1, 176.1) | N/A | 48 | falling | -1.2 (-1.8, -0.7) |
Fayette County, Alabama | No | 190.7 (166.5, 217.9) | N/A | 47 | stable | -0.5 (-1.1, 0.2) |
Franklin County, Arkansas | No | 182.4 (159.5, 208.1) | N/A | 47 | falling | -0.7 (-1.4, -0.1) |
Henry County, Alabama | No | 174.4 (152.1, 199.6) | N/A | 47 | falling | -0.7 (-1.2, -0.1) |
Madison County, Florida | No | 169.3 (148.1, 193.2) | N/A | 47 | stable | -0.8 (-1.5, 0.0) |
Paulding County, Ohio | No | 186.4 (162.9, 212.6) | N/A | 47 | falling | -0.8 (-1.3, -0.3) |
Rabun County, Georgia | No | 148.4 (129.2, 170.4) | N/A | 47 | falling | -1.2 (-1.8, -0.6) |
Roane County, West Virginia | No | 220.0 (191.7, 251.9) | N/A | 47 | stable | -0.2 (-0.8, 0.5) |
Edgar County, Illinois | No | 164.9 (144.0, 188.6) | N/A | 47 | falling | -1.0 (-1.5, -0.4) |
Gilchrist County, Florida | No | 173.0 (150.8, 197.9) | N/A | 47 | falling | -1.0 (-1.8, -0.2) |
Harrison County, Kentucky | No | 182.8 (159.8, 208.5) | N/A | 47 | stable | -0.6 (-1.2, 0.0) |
Jackson County, Arkansas | No | 208.0 (181.8, 237.3) | N/A | 47 | stable | 0.3 (-0.4, 1.0) |
Lake County, Michigan | No | 203.8 (176.3, 235.6) | N/A | 47 | stable | 0.0 (-1.4, 1.3) |
Stark County, North Dakota | No | 136.4 (118.8, 155.7) | N/A | 47 | falling | -1.0 (-1.7, -0.4) |
Baker County, Oregon | No | 157.1 (137.0, 180.1) | N/A | 47 | falling | -0.8 (-1.6, -0.1) |
Clayton County, Iowa | No | 157.9 (137.2, 181.5) | N/A | 47 | falling | -1.0 (-1.5, -0.5) |
Saunders County, Nebraska | No | 153.9 (134.3, 175.7) | N/A | 47 | stable | -0.7 (-1.3, 0.0) |
Worth County, Georgia | No | 163.4 (142.5, 186.7) | N/A | 47 | falling | -1.0 (-1.6, -0.4) |
Grayson County, Virginia | No | 170.6 (148.7, 195.5) | N/A | 47 | stable | -0.5 (-1.2, 0.2) |
Mercer County, Illinois | No | 186.3 (162.8, 212.9) | N/A | 47 | stable | -0.3 (-1.0, 0.4) |
Perry County, Illinois | No | 162.5 (141.9, 185.6) | N/A | 47 | falling | -1.0 (-1.6, -0.4) |
Simpson County, Kentucky | No | 202.6 (177.0, 231.2) | N/A | 47 | stable | 0.2 (-0.5, 0.9) |
Smith County, Tennessee | No | 186.9 (163.1, 213.4) | N/A | 47 | stable | 3.3 (-2.3, 9.2) |
St. James Parish, Louisiana | No | 167.7 (146.3, 191.5) | N/A | 47 | falling | -1.6 (-2.2, -0.9) |
Union County, Illinois | No | 176.7 (154.3, 202.0) | N/A | 47 | stable | -0.3 (-0.9, 0.3) |
Williams County, North Dakota | No | 162.1 (141.2, 185.1) | N/A | 47 | falling | -0.6 (-1.1, -0.1) |
Dickinson County, Kansas | No | 158.5 (138.3, 181.2) | N/A | 47 | stable | -0.6 (-1.2, 0.0) |
Eastland County, Texas | No | 163.6 (142.3, 187.6) | N/A | 47 | falling | -1.2 (-1.8, -0.6) |
Wright County, Missouri | No | 176.9 (154.3, 202.3) | N/A | 47 | falling | -0.7 (-1.2, -0.1) |
Butler County, Alabama | No | 158.9 (138.5, 181.9) | N/A | 46 | falling | -0.9 (-1.5, -0.4) |
Ford County, Kansas | No | 148.6 (129.6, 169.6) | N/A | 46 | falling | -1.3 (-1.8, -0.7) |
Jefferson County, Georgia | No | 217.2 (189.6, 248.1) | N/A | 46 | stable | -0.4 (-1.1, 0.4) |
McCreary County, Kentucky | No | 222.7 (194.2, 254.4) | N/A | 46 | falling | -1.0 (-1.8, -0.2) |
Perry County, Indiana | No | 172.0 (150.2, 196.5) | N/A | 46 | stable | -0.6 (-1.3, 0.2) |
Jackson County, Iowa | No | 151.1 (131.6, 173.2) | N/A | 46 | falling | -0.8 (-1.5, -0.2) |
Casey County, Kentucky | No | 196.2 (171.2, 224.4) | N/A | 46 | stable | 8.0 (-5.8, 23.8) |
Dodge County, Georgia | No | 160.1 (139.8, 182.8) | N/A | 46 | falling | -1.2 (-2.0, -0.4) |
Green Lake County, Wisconsin | No | 147.1 (128.2, 168.5) | N/A | 46 | stable | -0.7 (-1.4, 0.0) |
Hutchinson County, Texas | No | 173.2 (150.9, 197.9) | N/A | 46 | falling | -0.8 (-1.2, -0.3) |
Mariposa County, California | No | 145.2 (125.2, 168.2) | N/A | 46 | falling | -1.6 (-2.4, -0.8) |
New Kent County, Virginia | No | 166.4 (144.3, 191.1) | N/A | 46 | falling | -1.6 (-2.3, -0.9) |
Sierra County, New Mexico | No | 167.0 (143.4, 195.1) | N/A | 46 | stable | -0.4 (-1.0, 0.2) |
Brunswick County, Virginia | No | 179.5 (156.3, 205.7) | N/A | 46 | falling | -1.9 (-2.6, -1.3) |
Fayette County, Iowa | No | 144.6 (125.6, 166.1) | N/A | 46 | falling | -1.2 (-1.8, -0.6) |
Hempstead County, Arkansas | No | 150.4 (131.1, 172.1) | N/A | 46 | falling | -1.2 (-1.9, -0.6) |
Jay County, Indiana | No | 167.7 (146.3, 191.6) | N/A | 46 | stable | -0.5 (-1.2, 0.3) |
Lee County, South Carolina | No | 192.0 (167.0, 220.0) | N/A | 46 | falling | -4.3 (-7.6, -1.0) |
Marshall County, Oklahoma | No | 175.7 (152.9, 201.4) | N/A | 46 | stable | -0.4 (-1.1, 0.3) |
Nobles County, Minnesota | No | 163.4 (142.4, 186.8) | N/A | 46 | stable | -0.7 (-1.3, 0.0) |
Adair County, Kentucky | No | 174.7 (152.3, 199.9) | N/A | 46 | falling | -0.8 (-1.5, -0.1) |
Richland Parish, Louisiana | No | 173.5 (151.1, 198.4) | N/A | 46 | falling | -1.7 (-2.3, -1.1) |
Spencer County, Indiana | No | 154.2 (134.2, 176.6) | N/A | 46 | falling | -1.5 (-2.0, -1.0) |
Burleson County, Texas | No | 157.7 (137.2, 180.9) | N/A | 45 | falling | -1.4 (-1.9, -0.8) |
Grant Parish, Louisiana | No | 174.5 (152.1, 199.3) | N/A | 45 | falling | -1.3 (-2.0, -0.7) |
Hardee County, Florida | No | 138.9 (121.3, 158.5) | N/A | 45 | falling | -1.0 (-1.5, -0.4) |
Vermillion County, Indiana | No | 202.2 (176.0, 231.6) | N/A | 45 | falling | -0.8 (-1.5, -0.2) |
Alcona County, Michigan | No | 179.6 (154.3, 210.0) | N/A | 45 | falling | -0.8 (-1.3, -0.4) |
Henry County, Iowa | No | 157.1 (136.9, 179.7) | N/A | 45 | falling | -0.8 (-1.5, -0.2) |
Newton County, Mississippi | No | 168.3 (146.8, 192.3) | N/A | 45 | falling | -1.3 (-2.0, -0.5) |
Montour County, Pennsylvania | No | 154.0 (133.7, 176.9) | N/A | 45 | falling | -1.0 (-1.7, -0.2) |
Morgan County, Georgia | No | 167.4 (145.6, 191.8) | N/A | 45 | falling | -0.8 (-1.6, -0.1) |
Dickinson County, Iowa | No | 138.9 (120.3, 160.2) | N/A | 45 | falling | -1.0 (-1.7, -0.3) |
Douglas County, Illinois | No | 170.1 (147.9, 194.9) | N/A | 45 | falling | -0.8 (-1.4, -0.2) |
Drew County, Arkansas | No | 188.3 (163.8, 215.6) | N/A | 45 | falling | -0.6 (-1.1, -0.1) |
Haywood County, Tennessee | No | 181.1 (157.4, 207.7) | N/A | 45 | falling | -1.0 (-1.7, -0.3) |
Holmes County, Mississippi | No | 215.1 (187.3, 246.1) | N/A | 45 | stable | -0.4 (-1.1, 0.3) |
Lincoln County, New Mexico | Yes | 114.6 (99.1, 132.5) | N/A | 45 | falling | -1.6 (-2.3, -0.8) |
Mason County, Kentucky | No | 198.2 (172.5, 227.0) | N/A | 45 | stable | -0.5 (-1.1, 0.0) |
Poweshiek County, Iowa | No | 154.7 (134.3, 177.9) | N/A | 45 | falling | -0.7 (-1.2, -0.2) |
Robertson County, Texas | No | 185.5 (161.1, 212.8) | N/A | 45 | falling | -1.2 (-1.7, -0.7) |
Chickasaw County, Mississippi | No | 198.0 (172.3, 226.6) | N/A | 44 | stable | -0.6 (-1.2, 0.1) |
Franklin Parish, Louisiana | No | 161.7 (140.6, 185.3) | N/A | 44 | falling | -1.4 (-2.2, -0.7) |
Idaho County, Idaho | No | 136.5 (118.6, 157.2) | N/A | 44 | falling | -1.0 (-1.6, -0.4) |
Nelson County, Virginia | No | 165.1 (142.7, 190.9) | N/A | 44 | stable | -0.6 (-1.3, 0.2) |
Plaquemines Parish, Louisiana | No | 173.6 (151.2, 198.5) | N/A | 44 | falling | -1.6 (-2.4, -0.7) |
Grundy County, Tennessee | No | 221.9 (192.6, 254.8) | N/A | 44 | stable | 0.4 (-0.4, 1.3) |
Macon County, Missouri | No | 184.0 (159.4, 211.8) | N/A | 44 | falling | -0.7 (-1.4, -0.1) |
Taylor County, West Virginia | No | 174.4 (151.8, 200.0) | N/A | 44 | falling | -1.4 (-2.0, -0.7) |
Arenac County, Michigan | No | 163.6 (141.3, 189.1) | N/A | 44 | falling | -1.2 (-1.7, -0.7) |
Gonzales County, Texas | No | 165.9 (144.2, 190.0) | N/A | 44 | falling | -1.2 (-1.8, -0.6) |
Greene County, North Carolina | No | 162.3 (141.0, 186.1) | N/A | 44 | falling | -0.8 (-1.5, -0.1) |
Swain County, North Carolina | No | 216.3 (188.0, 248.0) | N/A | 44 | stable | 0.0 (-0.7, 0.7) |
Wayne County, Tennessee | No | 179.7 (156.4, 206.1) | N/A | 44 | stable | -0.3 (-0.9, 0.4) |
Benzie County, Michigan | No | 138.1 (119.2, 159.8) | N/A | 44 | falling | -1.3 (-2.1, -0.5) |
Buchanan County, Iowa | No | 154.0 (134.0, 176.5) | N/A | 44 | falling | -1.3 (-1.9, -0.7) |
Crawford County, Michigan | No | 169.8 (147.0, 196.2) | N/A | 44 | falling | -0.7 (-1.2, -0.2) |
Henry County, Kentucky | No | 208.8 (181.3, 239.5) | N/A | 44 | stable | -0.3 (-0.8, 0.3) |
Juneau Borough, Alaska | No | 135.6 (117.0, 156.2) | N/A | 44 | falling | -1.4 (-2.1, -0.6) |
Logan County, Colorado | No | 145.8 (126.7, 167.3) | N/A | 44 | falling | -0.7 (-1.2, -0.1) |
West Baton Rouge Parish, Louisiana | No | 144.4 (125.5, 165.5) | N/A | 44 | falling | -2.1 (-2.9, -1.3) |
Berrien County, Georgia | No | 169.4 (147.3, 194.1) | N/A | 44 | falling | -1.5 (-2.0, -1.0) |
Chester County, Tennessee | No | 194.1 (168.8, 222.6) | N/A | 44 | stable | 0.0 (-0.8, 0.8) |
Garrard County, Kentucky | No | 180.0 (156.3, 206.6) | N/A | 44 | falling | -0.8 (-1.6, -0.1) |
Iowa County, Wisconsin | No | 133.0 (115.5, 152.7) | N/A | 44 | falling | -1.1 (-1.7, -0.5) |
Jones County, Iowa | No | 137.3 (119.2, 157.8) | N/A | 44 | falling | -1.4 (-1.9, -0.8) |
Pierce County, Georgia | No | 180.8 (157.1, 207.1) | N/A | 44 | stable | -0.6 (-1.1, 0.0) |
Tama County, Iowa | No | 174.2 (150.9, 200.4) | N/A | 44 | stable | -0.5 (-0.9, 0.0) |
Washington County, Nebraska | No | 159.1 (138.2, 182.6) | N/A | 44 | falling | -0.9 (-1.5, -0.2) |
Wetzel County, West Virginia | No | 170.9 (148.4, 196.6) | N/A | 44 | stable | -0.7 (-1.3, 0.0) |
Fleming County, Kentucky | No | 229.1 (198.9, 262.9) | N/A | 43 | stable | 0.0 (-0.6, 0.6) |
Inyo County, California | No | 146.2 (126.2, 168.9) | N/A | 43 | falling | -1.5 (-2.1, -0.9) |
Knott County, Kentucky | No | 205.9 (178.4, 236.9) | N/A | 43 | stable | -0.4 (-1.0, 0.3) |
Lee County, Texas | No | 180.8 (157.0, 207.6) | N/A | 43 | falling | -0.7 (-1.3, -0.1) |
Marion County, Kentucky | No | 176.5 (153.3, 202.6) | N/A | 43 | falling | -1.1 (-1.9, -0.3) |
Pike County, Missouri | No | 176.3 (153.3, 202.1) | N/A | 43 | falling | -0.5 (-0.9, -0.1) |
Teller County, Colorado | Yes | 122.7 (104.8, 143.0) | N/A | 43 | falling | -2.4 (-3.2, -1.6) |
Barbour County, West Virginia | No | 184.4 (159.8, 212.1) | N/A | 43 | falling | -0.7 (-1.4, -0.1) |
Bates County, Missouri | No | 183.1 (158.8, 210.4) | N/A | 43 | falling | -0.9 (-1.5, -0.3) |
Burke County, Georgia | No | 160.0 (138.6, 183.8) | N/A | 43 | falling | -4.2 (-6.8, -1.6) |
Greene County, Georgia | No | 136.6 (117.5, 158.6) | N/A | 43 | falling | -1.5 (-2.2, -0.8) |
San Juan County, Washington | No | 123.5 (105.7, 144.5) | N/A | 43 | falling | -1.1 (-1.9, -0.4) |
Stone County, Mississippi | No | 205.5 (178.2, 235.9) | N/A | 43 | falling | -1.0 (-1.6, -0.3) |
Wayne County, Mississippi | No | 163.2 (141.8, 187.2) | N/A | 43 | falling | -1.1 (-1.7, -0.5) |
Hancock County, Illinois | No | 140.2 (121.3, 161.8) | N/A | 43 | falling | -1.5 (-2.1, -0.9) |
Choctaw County, Oklahoma | No | 189.8 (164.8, 218.1) | N/A | 43 | stable | -0.1 (-0.7, 0.5) |
Mitchell County, North Carolina | No | 166.6 (143.9, 192.6) | N/A | 43 | falling | -1.0 (-1.5, -0.6) |
Otero County, Colorado | No | 157.6 (136.5, 181.4) | N/A | 43 | stable | -0.7 (-1.4, 0.0) |
Stutsman County, North Dakota | No | 139.4 (120.6, 160.5) | N/A | 43 | falling | -1.1 (-1.7, -0.6) |
Davison County, South Dakota | No | 146.4 (126.7, 168.6) | N/A | 43 | falling | -1.2 (-2.0, -0.4) |
Gogebic County, Michigan | No | 153.7 (132.9, 177.8) | N/A | 43 | falling | -1.3 (-1.9, -0.7) |
Kewaunee County, Wisconsin | No | 138.7 (120.1, 159.8) | N/A | 43 | falling | -1.4 (-2.0, -0.9) |
Northumberland County, Virginia | No | 136.4 (117.8, 159.2) | N/A | 43 | falling | -2.2 (-2.8, -1.5) |
Stone County, Arkansas | No | 172.3 (148.9, 199.3) | N/A | 43 | falling | -1.3 (-2.0, -0.6) |
Appling County, Georgia | No | 172.8 (149.8, 198.6) | N/A | 42 | falling | -1.0 (-1.7, -0.2) |
Cedar County, Iowa | No | 152.0 (131.6, 175.1) | N/A | 42 | falling | -0.8 (-1.5, -0.1) |
Grant County, Arkansas | No | 169.0 (146.7, 194.0) | N/A | 42 | stable | -0.5 (-1.2, 0.2) |
Jackson Parish, Louisiana | No | 185.3 (160.5, 213.2) | N/A | 42 | falling | -0.8 (-1.5, -0.1) |
Pawnee County, Oklahoma | No | 182.6 (158.3, 210.0) | N/A | 42 | stable | -0.3 (-0.9, 0.3) |
Pike County, Georgia | No | 185.3 (160.7, 212.7) | N/A | 42 | stable | -0.8 (-1.6, 0.0) |
Southampton County, Virginia | No | 155.8 (134.9, 179.5) | N/A | 42 | falling | -1.6 (-2.2, -0.9) |
Brookings County, South Dakota | No | 130.9 (113.5, 150.3) | N/A | 42 | falling | -0.8 (-1.4, -0.2) |
Presque Isle County, Michigan | No | 156.6 (134.0, 183.2) | N/A | 42 | falling | -1.1 (-1.8, -0.4) |
Andrew County, Missouri | No | 170.1 (147.5, 195.6) | N/A | 42 | stable | -0.6 (-1.4, 0.2) |
Bayfield County, Wisconsin | No | 146.8 (126.3, 170.7) | N/A | 42 | falling | -1.9 (-2.7, -1.0) |
Crockett County, Tennessee | No | 215.5 (186.6, 247.8) | N/A | 42 | stable | 0.3 (-0.4, 1.0) |
De Witt County, Illinois | No | 181.7 (157.4, 209.1) | N/A | 42 | falling | -0.9 (-1.5, -0.3) |
Neosho County, Kansas | No | 179.8 (155.5, 207.1) | N/A | 42 | stable | -0.3 (-0.8, 0.2) |
Perry County, Missouri | No | 155.8 (135.0, 179.2) | N/A | 42 | stable | -0.8 (-1.6, 0.0) |
Pickens County, Alabama | No | 144.4 (125.2, 166.0) | N/A | 42 | falling | -3.5 (-5.0, -2.0) |
Cibola County, New Mexico | No | 126.8 (109.9, 145.7) | N/A | 42 | falling | -1.1 (-1.7, -0.5) |
Gray County, Texas | No | 149.9 (130.1, 172.2) | N/A | 42 | falling | -1.0 (-1.6, -0.4) |
Lawrence County, Illinois | No | 194.4 (168.6, 223.5) | N/A | 42 | stable | -0.7 (-1.5, 0.0) |
Winston County, Mississippi | No | 158.4 (137.0, 182.6) | N/A | 42 | stable | -0.9 (-1.7, 0.0) |
Crawford County, Wisconsin | No | 155.4 (134.1, 179.7) | N/A | 42 | falling | -0.7 (-1.3, -0.1) |
Lewis County, Kentucky | No | 223.4 (193.3, 257.3) | N/A | 42 | stable | -0.1 (-0.8, 0.5) |
Ripley County, Missouri | No | 198.3 (171.8, 228.4) | N/A | 42 | stable | -0.1 (-0.8, 0.6) |
Butler County, Kentucky | No | 238.7 (206.6, 274.8) | N/A | 41 | stable | -0.6 (-1.3, 0.0) |
Dent County, Missouri | No | 167.7 (144.6, 193.8) | N/A | 41 | falling | -0.7 (-1.3, -0.2) |
Gasconade County, Missouri | No | 166.6 (143.7, 192.8) | N/A | 41 | falling | -1.0 (-1.6, -0.4) |
Nottoway County, Virginia | No | 187.9 (162.8, 216.2) | N/A | 41 | falling | -1.0 (-1.5, -0.4) |
Stewart County, Tennessee | No | 208.6 (180.4, 240.4) | N/A | 41 | stable | -0.1 (-1.0, 0.8) |
Warren County, Illinois | No | 170.1 (146.9, 196.4) | N/A | 41 | falling | -1.0 (-1.8, -0.2) |
Crenshaw County, Alabama | No | 211.0 (182.3, 243.5) | N/A | 41 | stable | -0.3 (-1.0, 0.4) |
Dade County, Georgia | No | 180.5 (156.1, 208.1) | N/A | 41 | stable | -0.7 (-1.5, 0.1) |
Estill County, Kentucky | No | 208.8 (180.4, 240.8) | N/A | 41 | stable | -0.1 (-0.8, 0.6) |
Jefferson County, Kansas | No | 156.3 (135.1, 180.2) | N/A | 41 | falling | -1.2 (-1.8, -0.5) |
Lafayette County, Wisconsin | No | 168.3 (145.5, 194.1) | N/A | 41 | falling | -0.8 (-1.4, -0.2) |
Yankton County, South Dakota | Yes | 118.9 (102.7, 137.3) | N/A | 41 | falling | -1.3 (-2.0, -0.7) |
Calhoun County, South Carolina | No | 172.5 (148.8, 199.7) | N/A | 41 | stable | -0.5 (-1.4, 0.4) |
Dukes County, Massachusetts | No | 141.4 (121.8, 163.9) | N/A | 41 | falling | -2.2 (-2.8, -1.5) |
Livingston County, Missouri | No | 185.8 (160.5, 214.3) | N/A | 41 | stable | 0.2 (-0.5, 0.9) |
Rockcastle County, Kentucky | No | 185.0 (159.8, 213.3) | N/A | 41 | stable | -0.5 (-1.1, 0.1) |
Wayne County, Illinois | No | 157.4 (136.0, 181.8) | N/A | 41 | falling | -0.7 (-1.4, -0.1) |
Carroll County, Indiana | No | 139.0 (120.1, 160.3) | N/A | 41 | falling | -1.0 (-1.7, -0.3) |
Clarke County, Mississippi | No | 172.2 (149.0, 198.5) | N/A | 41 | stable | -0.1 (-0.7, 0.6) |
Falls County, Texas | No | 171.5 (148.3, 197.6) | N/A | 41 | falling | -1.4 (-2.0, -0.7) |
Ford County, Illinois | No | 207.8 (179.3, 240.2) | N/A | 41 | stable | 0.0 (-0.7, 0.7) |
Gem County, Idaho | No | 146.6 (126.6, 169.3) | N/A | 41 | falling | -1.1 (-1.8, -0.4) |
Iron County, Michigan | No | 177.6 (150.7, 209.1) | N/A | 41 | falling | -1.2 (-1.8, -0.5) |
Morgan County, Ohio | No | 177.5 (153.2, 205.1) | N/A | 41 | stable | -0.7 (-1.5, 0.0) |
Murray County, Oklahoma | No | 206.2 (178.1, 238.0) | N/A | 41 | falling | -0.8 (-1.6, -0.1) |
Alleghany County and Clifton Forge City, Virginia | No | 153.3 (131.9, 177.9) | N/A | 41 | falling | -1.5 (-2.1, -0.8) |
Geary County, Kansas | No | 185.2 (160.3, 212.6) | N/A | 41 | falling | -0.7 (-1.3, -0.1) |
Ste. Genevieve County, Missouri | No | 150.4 (129.9, 173.6) | N/A | 41 | falling | -0.8 (-1.4, -0.2) |
White County, Illinois | No | 179.8 (155.1, 207.9) | N/A | 41 | stable | -0.4 (-1.2, 0.4) |
Brooks County, Georgia | No | 188.5 (162.1, 218.3) | N/A | 40 | stable | -0.4 (-1.1, 0.3) |
Brown County, Indiana | No | 161.3 (138.5, 187.5) | N/A | 40 | stable | -0.7 (-1.6, 0.2) |
Lamar County, Georgia | No | 172.9 (149.2, 199.4) | N/A | 40 | falling | -0.9 (-1.6, -0.2) |
Northampton County, Virginia | No | 179.7 (154.0, 209.5) | N/A | 40 | falling | -1.2 (-1.8, -0.6) |
Park County, Montana | No | 152.6 (131.6, 176.6) | N/A | 40 | stable | 0.7 (-1.1, 2.6) |
Wadena County, Minnesota | No | 185.0 (159.0, 214.5) | N/A | 40 | stable | -0.1 (-0.8, 0.6) |
Carroll County, Illinois | No | 158.2 (135.7, 184.1) | N/A | 40 | falling | -1.3 (-1.8, -0.8) |
Chaffee County, Colorado | Yes | 118.1 (101.8, 137.0) | N/A | 40 | falling | -1.2 (-2.1, -0.2) |
Hockley County, Texas | No | 158.0 (136.6, 181.9) | N/A | 40 | falling | -1.1 (-1.8, -0.3) |
Nolan County, Texas | No | 201.8 (174.3, 232.8) | N/A | 40 | stable | -0.2 (-0.9, 0.4) |
Wayne County, Missouri | No | 182.8 (157.0, 212.4) | N/A | 40 | stable | -0.4 (-1.1, 0.3) |
Ben Hill County, Georgia | No | 182.6 (157.5, 210.9) | N/A | 40 | falling | -2.2 (-3.0, -1.3) |
Cass County, Iowa | No | 185.8 (159.5, 215.7) | N/A | 40 | stable | -3.4 (-6.8, 0.2) |
Faribault County, Minnesota | No | 170.1 (145.8, 197.9) | N/A | 40 | stable | 0.1 (-0.5, 0.7) |
Trigg County, Kentucky | No | 169.2 (145.7, 196.1) | N/A | 40 | falling | -1.6 (-2.2, -1.0) |
Uintah County, Utah | No | 130.9 (113.0, 150.7) | N/A | 40 | falling | -1.9 (-3.0, -0.9) |
Cedar County, Missouri | No | 168.5 (144.8, 195.5) | N/A | 40 | stable | -0.6 (-1.4, 0.3) |
Dawson County, Nebraska | No | 132.5 (114.3, 152.8) | N/A | 40 | falling | -1.2 (-1.7, -0.6) |
Gulf County, Florida | No | 162.0 (139.5, 187.8) | N/A | 40 | falling | -1.8 (-2.5, -1.0) |
Okfuskee County, Oklahoma | No | 247.6 (213.9, 285.5) | N/A | 40 | stable | 0.4 (-0.2, 1.0) |
Taylor County, Wisconsin | No | 132.2 (113.8, 153.2) | N/A | 40 | falling | -1.6 (-2.3, -0.9) |
Buckingham County, Virginia | No | 157.0 (135.5, 181.3) | N/A | 40 | falling | -1.2 (-2.1, -0.2) |
Fulton County, Pennsylvania | No | 171.0 (147.6, 197.7) | N/A | 40 | stable | -0.4 (-1.3, 0.6) |
Richland County, Wisconsin | No | 131.5 (113.2, 152.5) | N/A | 40 | falling | -1.6 (-2.3, -1.0) |
Rush County, Indiana | No | 170.2 (146.8, 196.6) | N/A | 40 | falling | -0.8 (-1.4, -0.2) |
Blackford County, Indiana | No | 209.3 (180.6, 242.0) | N/A | 39 | stable | -0.6 (-1.2, 0.0) |
Braxton County, West Virginia | No | 168.5 (145.3, 195.1) | N/A | 39 | falling | -1.2 (-1.9, -0.4) |
Floyd County, Virginia | No | 154.8 (133.0, 179.7) | N/A | 39 | stable | -0.1 (-0.9, 0.6) |
Fulton County, Arkansas | No | 186.4 (159.0, 217.8) | N/A | 39 | stable | -0.2 (-1.1, 0.6) |
Izard County, Arkansas | No | 160.1 (137.8, 185.8) | N/A | 39 | falling | -1.3 (-2.1, -0.6) |
Jasper County, Mississippi | No | 162.5 (140.0, 188.1) | N/A | 39 | falling | -1.2 (-1.8, -0.5) |
Osage County, Kansas | No | 167.4 (144.2, 193.9) | N/A | 39 | falling | -0.8 (-1.4, -0.1) |
Avery County, North Carolina | No | 142.1 (122.4, 164.6) | N/A | 39 | falling | -1.2 (-1.9, -0.6) |
Chowan County, North Carolina | No | 163.5 (140.1, 190.5) | N/A | 39 | falling | -0.9 (-1.6, -0.3) |
Lamar County, Alabama | No | 180.8 (155.5, 209.5) | N/A | 39 | falling | -1.1 (-1.7, -0.5) |
Shoshone County, Idaho | No | 191.6 (164.3, 222.9) | N/A | 39 | falling | -0.8 (-1.4, -0.1) |
Towns County, Georgia | No | 148.2 (125.2, 175.7) | N/A | 39 | stable | -0.6 (-1.6, 0.3) |
Ashland County, Wisconsin | No | 173.2 (149.1, 200.5) | N/A | 39 | stable | -0.7 (-1.4, 0.0) |
Clark County, Illinois | No | 165.6 (142.5, 191.8) | N/A | 39 | stable | -0.3 (-0.9, 0.4) |
Floyd County, Iowa | No | 150.4 (129.5, 174.2) | N/A | 39 | falling | -1.2 (-1.8, -0.6) |
Madison County, Arkansas | No | 173.0 (149.0, 200.2) | N/A | 39 | falling | -0.7 (-1.3, -0.1) |
Parke County, Indiana | No | 163.1 (140.4, 188.8) | N/A | 39 | falling | -1.2 (-1.9, -0.5) |
Summers County, West Virginia | No | 177.0 (151.9, 206.0) | N/A | 39 | falling | -1.2 (-1.8, -0.5) |
Bamberg County, South Carolina | No | 174.3 (149.5, 202.6) | N/A | 39 | falling | -0.9 (-1.6, -0.3) |
King George County, Virginia | No | 138.7 (119.4, 160.3) | N/A | 39 | falling | -2.0 (-2.8, -1.2) |
Monroe County, West Virginia | No | 169.6 (145.9, 196.9) | N/A | 39 | stable | -0.6 (-1.2, 0.1) |
Perquimans County, North Carolina | No | 152.8 (130.9, 178.3) | N/A | 39 | falling | -1.5 (-2.1, -1.0) |
Richland County, Illinois | No | 159.9 (137.4, 185.6) | N/A | 39 | falling | -1.4 (-2.4, -0.4) |
Jones County, Texas | No | 165.3 (142.6, 190.8) | N/A | 39 | stable | -0.6 (-1.2, 0.0) |
Rusk County, Wisconsin | No | 163.2 (139.4, 190.6) | N/A | 39 | falling | -5.2 (-7.6, -2.6) |
Yalobusha County, Mississippi | No | 207.8 (178.8, 240.8) | N/A | 39 | stable | -0.6 (-1.2, 0.0) |
Harrison County, Ohio | No | 159.8 (137.3, 185.6) | N/A | 38 | falling | -0.9 (-1.6, -0.3) |
Nodaway County, Missouri | No | 148.4 (127.6, 172.0) | N/A | 38 | falling | -0.6 (-1.1, -0.1) |
Pend Oreille County, Washington | No | 160.1 (136.5, 187.4) | N/A | 38 | falling | -1.3 (-2.1, -0.4) |
Bond County, Illinois | No | 160.4 (137.8, 186.1) | N/A | 38 | falling | -1.3 (-2.3, -0.3) |
Cannon County, Tennessee | No | 199.3 (171.3, 230.8) | N/A | 38 | stable | 0.0 (-0.7, 0.7) |
Hamilton County, Florida | No | 202.9 (174.4, 235.1) | N/A | 38 | falling | -1.6 (-2.1, -1.1) |
Meigs County, Tennessee | No | 215.8 (185.0, 250.8) | N/A | 38 | stable | 0.5 (-0.5, 1.4) |
Middlesex County, Virginia | No | 158.6 (136.0, 185.6) | N/A | 38 | falling | -1.3 (-2.0, -0.7) |
Price County, Wisconsin | No | 151.5 (129.9, 176.7) | N/A | 38 | stable | -0.7 (-1.5, 0.0) |
Calhoun County, Florida | No | 185.0 (159.4, 214.0) | N/A | 38 | falling | -0.9 (-1.6, -0.1) |
Delaware County, Iowa | No | 145.8 (125.2, 169.2) | N/A | 38 | falling | -0.9 (-1.4, -0.4) |
Houston County, Minnesota | No | 128.2 (109.8, 149.2) | N/A | 38 | falling | -1.3 (-1.8, -0.8) |
Hughes County, Oklahoma | No | 202.1 (174.0, 233.9) | N/A | 38 | stable | -0.1 (-0.7, 0.5) |
Montmorency County, Michigan | No | 208.6 (175.4, 247.8) | N/A | 38 | stable | -0.7 (-1.5, 0.2) |
Pottawatomie County, Kansas | No | 141.5 (121.7, 163.7) | N/A | 38 | falling | -1.1 (-1.8, -0.5) |
Tipton County, Indiana | No | 167.7 (143.9, 194.9) | N/A | 38 | falling | -0.9 (-1.6, -0.2) |
Appomattox County, Virginia | No | 161.6 (138.8, 187.5) | N/A | 38 | falling | -0.9 (-1.7, -0.1) |
Butler County, Iowa | No | 155.3 (133.0, 181.0) | N/A | 38 | falling | -1.2 (-1.8, -0.5) |
Hickory County, Missouri | No | 187.2 (158.9, 220.9) | N/A | 38 | falling | -1.0 (-1.7, -0.3) |
Hood River County, Oregon | No | 133.6 (114.9, 154.7) | N/A | 38 | stable | -0.7 (-10.1, 9.7) |
Jefferson County, Florida | No | 161.4 (138.3, 187.9) | N/A | 38 | falling | -1.5 (-2.2, -0.8) |
Kingman County, Kansas | No | 353.6 (301.6, 412.9) | N/A | 38 | rising | 17.7 (4.3, 32.9) |
Madison County, Missouri | No | 208.2 (179.1, 241.2) | N/A | 38 | falling | -0.9 (-1.4, -0.3) |
Mississippi County, Missouri | No | 209.4 (180.3, 242.2) | N/A | 38 | stable | -0.6 (-1.4, 0.3) |
Piatt County, Illinois | No | 157.9 (135.5, 183.3) | N/A | 38 | falling | -1.3 (-2.0, -0.6) |
Atoka County, Oklahoma | No | 190.0 (163.2, 220.4) | N/A | 37 | stable | 0.3 (-0.5, 1.2) |
Beadle County, South Dakota | No | 150.8 (129.1, 175.4) | N/A | 37 | falling | -1.2 (-1.8, -0.5) |
Bienville Parish, Louisiana | No | 188.4 (161.3, 219.2) | N/A | 37 | falling | -0.7 (-1.3, -0.1) |
Kanabec County, Minnesota | No | 153.8 (131.8, 178.9) | N/A | 37 | falling | -1.4 (-2.2, -0.7) |
Massac County, Illinois | No | 169.0 (144.9, 196.6) | N/A | 37 | falling | -1.0 (-1.6, -0.3) |
Morris County, Texas | No | 194.2 (166.2, 226.3) | N/A | 37 | falling | -1.0 (-1.7, -0.3) |
Sanders County, Montana | No | 157.2 (133.1, 185.5) | N/A | 37 | falling | -1.4 (-2.0, -0.7) |
Amelia County, Virginia | No | 193.7 (165.9, 225.4) | N/A | 37 | stable | -0.8 (-1.7, 0.1) |
Carbon County, Utah | No | 148.7 (127.5, 172.5) | N/A | 37 | stable | -0.5 (-1.3, 0.2) |
Craig County, Oklahoma | No | 177.1 (152.0, 205.6) | N/A | 37 | falling | -1.0 (-1.5, -0.5) |
Elbert County, Colorado | Yes | 120.4 (102.4, 140.8) | N/A | 37 | falling | -2.2 (-3.1, -1.4) |
Morgan County, Kentucky | No | 226.0 (193.8, 262.4) | N/A | 37 | stable | 0.5 (-0.3, 1.3) |
Pulaski County, Indiana | No | 200.4 (171.9, 232.8) | N/A | 37 | stable | -0.5 (-1.1, 0.2) |
Renville County, Minnesota | No | 159.2 (136.0, 185.7) | N/A | 37 | falling | -0.8 (-1.4, -0.1) |
Woodward County, Oklahoma | No | 151.0 (129.9, 174.8) | N/A | 37 | falling | -1.1 (-2.0, -0.2) |
Jasper County, Georgia | No | 196.1 (168.1, 227.9) | N/A | 37 | stable | -0.8 (-1.6, 0.0) |
Jefferson County, Iowa | No | 137.6 (117.2, 161.0) | N/A | 37 | falling | -1.0 (-1.6, -0.4) |
Larue County, Kentucky | No | 193.2 (165.9, 224.2) | N/A | 37 | stable | -0.6 (-1.3, 0.1) |
Monroe County, Ohio | No | 158.2 (135.6, 184.3) | N/A | 37 | stable | -0.6 (-1.3, 0.1) |
Screven County, Georgia | No | 184.3 (158.0, 214.1) | N/A | 37 | stable | -0.6 (-1.1, 0.0) |
Torrance County, New Mexico | No | 164.5 (140.6, 191.9) | N/A | 37 | falling | -1.0 (-1.7, -0.3) |
Waseca County, Minnesota | No | 145.0 (124.3, 168.4) | N/A | 37 | falling | -1.2 (-1.9, -0.5) |
Washington County, Alabama | No | 159.4 (136.6, 185.3) | N/A | 37 | falling | -0.8 (-1.6, -0.1) |
Breathitt County, Kentucky | No | 222.4 (190.2, 258.7) | N/A | 37 | stable | -0.4 (-1.2, 0.4) |
Iowa County, Iowa | No | 152.0 (130.2, 176.9) | N/A | 37 | falling | -0.8 (-1.3, -0.2) |
Pendleton County, Kentucky | No | 200.0 (171.2, 232.5) | N/A | 37 | falling | -0.8 (-1.4, -0.2) |
Sabine County, Texas | No | 171.0 (145.2, 201.3) | N/A | 37 | falling | -1.1 (-1.8, -0.3) |
Summit County, Utah | Yes | 95.9 (81.2, 112.3) | N/A | 37 | falling | -1.8 (-2.8, -0.8) |
Albany County, Wyoming | Yes | 110.4 (94.5, 128.3) | N/A | 37 | falling | -2.3 (-3.0, -1.6) |
Appanoose County, Iowa | No | 163.4 (140.2, 190.2) | N/A | 37 | stable | 0.0 (-1.0, 1.0) |
Bourbon County, Kansas | No | 178.2 (152.4, 207.6) | N/A | 37 | stable | -0.5 (-1.3, 0.3) |
Haskell County, Oklahoma | No | 192.7 (165.1, 224.3) | N/A | 37 | falling | -0.7 (-1.4, -0.1) |
Pamlico County, North Carolina | No | 148.2 (125.6, 175.0) | N/A | 37 | falling | -1.9 (-2.5, -1.2) |
Red River County, Texas | No | 169.1 (144.5, 197.6) | N/A | 37 | stable | -0.7 (-1.5, 0.1) |
Winneshiek County, Iowa | Yes | 113.6 (97.1, 132.7) | N/A | 37 | falling | -1.5 (-2.2, -0.9) |
Atchison County, Kansas | No | 171.8 (147.1, 199.7) | N/A | 36 | falling | -0.7 (-1.3, -0.1) |
Chippewa County, Minnesota | No | 188.2 (160.4, 220.1) | N/A | 36 | stable | 0.7 (-0.1, 1.5) |
Cook County, Georgia | No | 171.3 (146.9, 198.7) | N/A | 36 | falling | -0.9 (-1.7, -0.1) |
Cooper County, Missouri | No | 156.1 (133.8, 181.4) | N/A | 36 | falling | -0.8 (-1.4, -0.3) |
Goshen County, Wyoming | No | 169.9 (145.2, 198.2) | N/A | 36 | stable | -0.2 (-0.9, 0.4) |
Oglethorpe County, Georgia | No | 167.4 (143.6, 194.6) | N/A | 36 | stable | -0.8 (-1.7, 0.1) |
Sevier County, Utah | No | 142.7 (122.4, 165.5) | N/A | 36 | stable | -0.5 (-1.2, 0.3) |
Seward County, Nebraska | No | 163.2 (139.8, 189.8) | N/A | 36 | falling | -1.5 (-2.7, -0.3) |
Claiborne Parish, Louisiana | No | 158.8 (135.9, 184.8) | N/A | 36 | falling | -1.1 (-1.6, -0.6) |
Marshall County, Illinois | No | 185.1 (158.2, 216.1) | N/A | 36 | stable | -0.6 (-1.4, 0.1) |
Page County, Iowa | No | 137.0 (117.2, 160.0) | N/A | 36 | stable | -0.7 (-1.5, 0.0) |
Vinton County, Ohio | No | 211.8 (181.2, 246.4) | N/A | 36 | stable | -0.5 (-1.1, 0.1) |
Winn Parish, Louisiana | No | 182.7 (156.5, 212.4) | N/A | 36 | falling | -1.0 (-1.6, -0.3) |
Hamilton County, Iowa | No | 149.2 (127.2, 174.4) | N/A | 36 | falling | -1.3 (-1.9, -0.8) |
Otoe County, Nebraska | No | 145.3 (124.1, 169.6) | N/A | 36 | falling | -1.1 (-1.7, -0.4) |
Clay County, Alabama | No | 175.7 (150.3, 204.8) | N/A | 36 | stable | -0.5 (-1.3, 0.4) |
Powell County, Kentucky | No | 236.9 (202.4, 275.9) | N/A | 36 | stable | -0.6 (-1.3, 0.1) |
Clay County, Illinois | No | 180.6 (154.2, 210.7) | N/A | 36 | stable | -0.6 (-1.4, 0.2) |
Hughes County, South Dakota | No | 155.5 (132.9, 181.1) | N/A | 36 | stable | -0.1 (-1.0, 0.8) |
Kossuth County, Iowa | No | 136.0 (115.2, 160.1) | N/A | 36 | falling | -1.4 (-1.8, -0.9) |
Union County, Kentucky | No | 195.7 (167.2, 227.9) | N/A | 36 | stable | -0.7 (-1.4, 0.0) |
Minidoka County, Idaho | No | 142.5 (121.8, 165.8) | N/A | 35 | falling | -1.3 (-2.0, -0.7) |
Moultrie County, Illinois | No | 173.0 (147.7, 201.7) | N/A | 35 | stable | -0.2 (-0.9, 0.5) |
Sibley County, Minnesota | No | 168.4 (143.6, 196.5) | N/A | 35 | stable | -0.5 (-1.1, 0.2) |
Clay County, Iowa | No | 133.5 (113.9, 156.0) | N/A | 35 | falling | -0.8 (-1.5, -0.2) |
Fredericksburg City, Virginia | No | 135.3 (115.7, 157.2) | N/A | 35 | stable | 1.0 (-24.9, 35.8) |
Jackson County, Texas | No | 175.4 (149.9, 204.4) | N/A | 35 | stable | -0.5 (-1.3, 0.3) |
Linn County, Missouri | No | 188.0 (160.1, 220.0) | N/A | 35 | stable | -0.5 (-1.1, 0.2) |
Pike County, Indiana | No | 190.9 (163.0, 222.8) | N/A | 35 | stable | -0.4 (-1.1, 0.4) |
Texas County, Oklahoma | No | 190.9 (163.2, 221.9) | N/A | 35 | rising | 3.7 (1.2, 6.3) |
Decatur County, Tennessee | No | 181.1 (154.4, 211.9) | N/A | 35 | stable | -0.6 (-1.3, 0.2) |
Douglas County, Missouri | No | 140.3 (120.1, 164.0) | N/A | 35 | falling | -1.8 (-2.5, -1.1) |
Greene County, Virginia | No | 139.5 (119.1, 162.6) | N/A | 35 | falling | -1.7 (-2.5, -0.8) |
Walthall County, Mississippi | No | 167.1 (142.7, 194.8) | N/A | 35 | stable | -0.6 (-1.2, 0.0) |
Washington County, North Carolina | No | 178.2 (151.0, 209.7) | N/A | 35 | falling | -1.6 (-2.5, -0.7) |
Banks County, Georgia | No | 142.2 (121.2, 166.1) | N/A | 35 | stable | -1.0 (-2.0, 0.1) |
Buena Vista County, Iowa | No | 137.8 (117.3, 161.0) | N/A | 35 | falling | -1.0 (-1.7, -0.2) |
Charlotte County, Virginia | No | 175.9 (150.1, 205.5) | N/A | 35 | falling | -1.3 (-1.8, -0.7) |
Cherokee County, Iowa | No | 168.0 (142.0, 198.2) | N/A | 35 | stable | -0.4 (-1.1, 0.4) |
Jackson County, Kentucky | No | 191.3 (163.2, 223.2) | N/A | 35 | stable | -0.7 (-1.6, 0.1) |
Leslie County, Kentucky | No | 251.8 (214.9, 293.9) | N/A | 35 | stable | 0.3 (-0.4, 1.0) |
Lewis County, Tennessee | No | 190.7 (162.4, 223.1) | N/A | 35 | falling | -0.7 (-1.3, -0.2) |
Montgomery County, Missouri | No | 195.2 (166.4, 228.3) | N/A | 35 | stable | -0.5 (-1.4, 0.3) |
Pushmataha County, Oklahoma | No | 187.1 (159.7, 218.7) | N/A | 35 | stable | -0.5 (-1.4, 0.3) |
Redwood County, Minnesota | No | 142.1 (120.7, 166.6) | N/A | 35 | falling | -0.9 (-1.4, -0.3) |
Spencer County, Kentucky | No | 163.8 (139.1, 191.7) | N/A | 35 | falling | -1.3 (-2.0, -0.6) |
Webster County, Kentucky | No | 202.6 (172.9, 236.2) | N/A | 35 | falling | -0.8 (-1.4, -0.1) |
Madison County, Iowa | No | 161.1 (137.6, 187.8) | N/A | 35 | falling | -1.1 (-1.9, -0.3) |
Missaukee County, Michigan | No | 149.8 (127.6, 175.2) | N/A | 35 | stable | -0.6 (-1.4, 0.2) |
Newton County, Indiana | No | 164.1 (140.0, 191.6) | N/A | 35 | falling | -1.4 (-2.1, -0.7) |
Calhoun County, Mississippi | No | 172.7 (147.3, 201.7) | N/A | 34 | stable | 0.1 (-0.8, 0.9) |
Harrison County, Iowa | No | 160.6 (136.8, 188.0) | N/A | 34 | falling | -1.2 (-1.7, -0.6) |
Callahan County, Texas | No | 164.9 (140.4, 193.1) | N/A | 34 | stable | -0.5 (-1.2, 0.3) |
Cassia County, Idaho | No | 131.0 (111.9, 152.6) | N/A | 34 | falling | -1.1 (-1.9, -0.2) |
Koochiching County, Minnesota | No | 147.4 (125.1, 173.6) | N/A | 34 | falling | -1.3 (-2.1, -0.5) |
Las Animas County, Colorado | No | 138.9 (117.9, 163.2) | N/A | 34 | falling | -0.6 (-1.2, -0.1) |
Chicot County, Arkansas | No | 204.8 (174.3, 240.0) | N/A | 34 | stable | -0.3 (-1.0, 0.4) |
Cleburne County, Alabama | No | 157.0 (133.8, 183.5) | N/A | 34 | falling | -1.3 (-2.1, -0.4) |
Conecuh County, Alabama | No | 171.7 (145.8, 201.6) | N/A | 34 | falling | -1.5 (-2.2, -0.9) |
Franklin County, Florida | No | 172.6 (146.5, 202.9) | N/A | 34 | stable | -0.8 (-1.6, 0.0) |
Mackinac County, Michigan | No | 163.0 (137.8, 192.7) | N/A | 34 | falling | -1.7 (-2.4, -1.0) |
Marion County, Kansas | No | 163.6 (138.5, 192.8) | N/A | 34 | stable | -0.3 (-1.1, 0.4) |
Monroe County, Kentucky | No | 226.5 (192.9, 264.9) | N/A | 34 | stable | 0.0 (-0.8, 0.8) |
Union County, South Dakota | No | 163.1 (138.8, 190.8) | N/A | 34 | falling | -1.3 (-2.1, -0.6) |
Washington County, Kentucky | No | 204.1 (174.0, 238.3) | N/A | 34 | stable | -0.4 (-1.4, 0.6) |
McCormick County, South Carolina | No | 158.8 (133.9, 189.4) | N/A | 34 | falling | -1.9 (-2.5, -1.3) |
Mills County, Iowa | No | 166.6 (141.7, 195.0) | N/A | 34 | stable | -0.8 (-1.6, 0.0) |
Newton County, Texas | No | 166.4 (140.9, 195.6) | N/A | 34 | falling | -0.9 (-1.6, -0.1) |
Sanpete County, Utah | Yes | 109.4 (93.2, 127.5) | N/A | 34 | falling | -1.6 (-2.4, -0.8) |
Wasatch County, Utah | No | 124.9 (105.7, 146.4) | N/A | 34 | falling | -1.2 (-2.1, -0.4) |
Dakota County, Nebraska | No | 158.2 (134.9, 184.5) | N/A | 34 | falling | -1.2 (-1.9, -0.5) |
Jackson County, Tennessee | No | 164.7 (140.0, 193.6) | N/A | 34 | falling | -1.0 (-1.8, -0.1) |
Jefferson County, Idaho | No | 127.5 (108.4, 148.9) | N/A | 33 | stable | -0.9 (-2.0, 0.1) |
Lunenburg County, Virginia | No | 173.4 (147.1, 203.7) | N/A | 33 | falling | -0.9 (-1.7, -0.2) |
McIntosh County, Georgia | No | 129.4 (109.1, 153.3) | N/A | 33 | falling | -2.7 (-3.3, -2.1) |
O'Brien County, Iowa | No | 140.0 (118.5, 165.0) | N/A | 33 | stable | -0.8 (-1.6, 0.0) |
Bath County, Kentucky | No | 204.2 (173.9, 238.8) | N/A | 33 | stable | -0.1 (-0.7, 0.5) |
Clarke County, Virginia | No | 144.0 (122.5, 169.1) | N/A | 33 | falling | -1.6 (-2.4, -0.7) |
Eagle County, Colorado | Yes | 69.9 (58.5, 82.7) | N/A | 33 | falling | -3.6 (-4.7, -2.6) |
Grundy County, Iowa | No | 166.3 (141.2, 195.3) | N/A | 33 | stable | -0.3 (-1.2, 0.6) |
Hale County, Alabama | No | 157.0 (133.2, 184.2) | N/A | 33 | falling | -1.3 (-2.2, -0.3) |
Madison County, Virginia | No | 163.6 (138.5, 192.6) | N/A | 33 | stable | -0.7 (-1.5, 0.0) |
Magoffin County, Kentucky | No | 203.7 (173.1, 238.7) | N/A | 33 | falling | -1.0 (-1.8, -0.1) |
Blanco County, Texas | No | 162.5 (137.5, 191.7) | N/A | 33 | stable | -0.2 (-1.1, 0.6) |
Lawrence County, Mississippi | No | 205.2 (174.2, 240.5) | N/A | 33 | stable | -0.1 (-0.8, 0.6) |
Wilkes County, Georgia | No | 202.3 (171.1, 238.5) | N/A | 33 | stable | -0.7 (-1.4, 0.1) |
Greene County, Illinois | No | 170.3 (144.8, 199.6) | N/A | 33 | falling | -1.0 (-1.7, -0.2) |
Tallahatchie County, Mississippi | No | 199.9 (170.1, 233.7) | N/A | 33 | stable | -0.4 (-1.1, 0.2) |
Telfair County, Georgia | No | 147.7 (125.6, 173.0) | N/A | 33 | falling | -2.2 (-2.8, -1.5) |
Union County, Iowa | No | 183.0 (154.7, 215.4) | N/A | 33 | stable | -0.6 (-1.4, 0.2) |
Dodge County, Minnesota | No | 136.9 (116.4, 160.1) | N/A | 33 | stable | -0.8 (-1.6, 0.0) |
Galax City, Virginia | No | 363.1 (307.7, 426.4) | N/A | 33 | falling | -17.0 (-30.7, -0.6) |
Smith County, Mississippi | No | 140.9 (119.6, 165.3) | N/A | 33 | falling | -4.9 (-7.5, -2.2) |
Hill County, Montana | No | 174.7 (148.0, 204.8) | N/A | 32 | falling | -0.7 (-1.2, -0.1) |
Martin County, Kentucky | No | 229.9 (195.0, 269.5) | N/A | 32 | stable | -0.6 (-1.4, 0.3) |
Noble County, Ohio | No | 128.0 (106.6, 153.2) | N/A | 32 | falling | -1.7 (-2.4, -0.9) |
West Feliciana Parish, Louisiana | No | 163.9 (138.9, 192.5) | N/A | 32 | falling | -2.2 (-3.1, -1.3) |
Custer County, Montana | No | 187.1 (158.7, 219.8) | N/A | 32 | falling | -1.2 (-1.9, -0.5) |
Richland County, North Dakota | No | 141.6 (119.4, 167.1) | N/A | 32 | falling | -1.1 (-1.8, -0.5) |
Sumter County, Alabama | No | 199.9 (168.2, 236.2) | N/A | 32 | stable | -0.5 (-1.4, 0.4) |
Todd County, Kentucky | No | 208.7 (177.3, 244.3) | N/A | 32 | stable | -0.9 (-1.8, 0.0) |
Amite County, Mississippi | No | 151.4 (127.7, 179.1) | N/A | 32 | falling | -2.2 (-3.2, -1.2) |
Jerome County, Idaho | No | 136.9 (116.2, 160.2) | N/A | 32 | falling | -1.4 (-2.0, -0.8) |
King William County, Virginia | No | 152.0 (128.7, 178.4) | N/A | 32 | falling | -1.5 (-2.4, -0.7) |
Livingston County, Kentucky | No | 214.1 (181.1, 252.3) | N/A | 32 | stable | -0.2 (-1.0, 0.7) |
Scurry County, Texas | No | 161.8 (137.4, 189.4) | N/A | 32 | falling | -1.2 (-2.0, -0.5) |
Colusa County, California | No | 132.5 (112.3, 155.3) | N/A | 32 | falling | -1.9 (-2.8, -1.0) |
Glades County, Florida | No | 124.3 (104.7, 147.5) | N/A | 32 | falling | -2.1 (-2.8, -1.4) |
Scott County, Arkansas | No | 202.0 (171.1, 237.7) | N/A | 32 | stable | -0.5 (-1.5, 0.4) |
Caldwell County, Kentucky | No | 162.9 (137.9, 191.8) | N/A | 32 | falling | -0.9 (-1.5, -0.2) |
Nowata County, Oklahoma | No | 209.1 (177.1, 246.0) | N/A | 32 | stable | -0.5 (-1.4, 0.4) |
Rains County, Texas | No | 155.9 (131.1, 184.9) | N/A | 32 | falling | -1.4 (-2.2, -0.5) |
Sequatchie County, Tennessee | No | 144.5 (121.9, 170.4) | N/A | 32 | falling | -6.8 (-11.8, -1.5) |
Socorro County, New Mexico | No | 133.4 (112.8, 157.1) | N/A | 32 | falling | -1.0 (-1.7, -0.3) |
Wilcox County, Alabama | No | 212.6 (179.6, 250.5) | N/A | 32 | stable | 0.0 (-0.9, 0.8) |
Alleghany County, North Carolina | No | 142.6 (120.4, 168.9) | N/A | 31 | falling | -2.4 (-3.2, -1.5) |
Crawford County, Iowa | No | 135.4 (114.6, 159.2) | N/A | 31 | falling | -1.1 (-1.8, -0.4) |
Edmonson County, Kentucky | No | 168.4 (142.3, 198.6) | N/A | 31 | falling | -1.3 (-1.8, -0.8) |
Jefferson Davis County, Mississippi | No | 180.4 (151.9, 213.3) | N/A | 31 | falling | -1.0 (-1.8, -0.3) |
Sussex County, Virginia | No | 213.6 (180.8, 251.1) | N/A | 31 | falling | -1.4 (-2.1, -0.7) |
Allamakee County, Iowa | No | 139.8 (117.4, 165.7) | N/A | 31 | stable | -0.8 (-1.7, 0.2) |
Gooding County, Idaho | No | 153.6 (130.2, 180.3) | N/A | 31 | falling | -1.0 (-1.8, -0.1) |
Green County, Kentucky | No | 179.0 (151.7, 210.7) | N/A | 31 | stable | 0.1 (-0.8, 1.0) |
Johnson County, Illinois | No | 159.4 (134.8, 187.9) | N/A | 31 | falling | -1.1 (-1.7, -0.4) |
Kingfisher County, Oklahoma | No | 159.2 (134.8, 187.0) | N/A | 31 | stable | -0.2 (-0.9, 0.5) |
La Salle Parish, Louisiana | No | 162.1 (137.4, 190.4) | N/A | 31 | falling | -1.4 (-2.2, -0.6) |
Allen County, Kansas | No | 159.0 (134.1, 187.7) | N/A | 31 | falling | -0.9 (-1.6, -0.3) |
Hardy County, West Virginia | No | 150.1 (126.6, 177.2) | N/A | 31 | falling | -1.2 (-1.8, -0.7) |
Love County, Oklahoma | No | 225.6 (190.7, 265.4) | N/A | 31 | stable | 0.2 (-0.5, 1.0) |
Montgomery County, Iowa | No | 192.4 (161.8, 227.9) | N/A | 31 | stable | -0.5 (-1.2, 0.2) |
St. Clair County, Missouri | No | 167.4 (141.1, 198.7) | N/A | 31 | falling | -1.3 (-2.0, -0.6) |
Clinton County, Kentucky | No | 208.6 (176.1, 246.1) | N/A | 31 | stable | -0.2 (-1.0, 0.5) |
Essex County, Virginia | No | 173.8 (146.1, 206.0) | N/A | 31 | falling | -1.2 (-2.0, -0.3) |
Metcalfe County, Kentucky | No | 205.9 (174.1, 242.7) | N/A | 31 | stable | 0.1 (-0.9, 1.0) |
York County, Nebraska | No | 142.9 (120.3, 168.9) | N/A | 31 | stable | -0.6 (-1.2, 0.0) |
Bollinger County, Missouri | No | 171.0 (144.0, 202.2) | N/A | 30 | falling | -0.9 (-1.7, -0.1) |
Cottonwood County, Minnesota | No | 148.3 (124.7, 176.0) | N/A | 30 | stable | -0.4 (-1.1, 0.3) |
Hamilton County, Texas | No | 216.4 (180.2, 258.6) | N/A | 30 | stable | 0.1 (-0.5, 0.8) |
Iron County, Missouri | No | 181.5 (153.0, 214.6) | N/A | 30 | falling | -1.4 (-2.0, -0.8) |
Los Alamos County, New Mexico | Yes | 114.0 (96.4, 134.2) | N/A | 30 | falling | -1.4 (-2.1, -0.8) |
Oscoda County, Michigan | No | 195.8 (163.3, 234.5) | N/A | 30 | stable | -0.6 (-1.6, 0.4) |
Bledsoe County, Tennessee | No | 144.2 (121.7, 170.2) | N/A | 30 | falling | -1.4 (-2.2, -0.7) |
Buffalo County, Wisconsin | No | 139.3 (117.4, 164.9) | N/A | 30 | falling | -1.3 (-2.0, -0.6) |
Lake County, Minnesota | No | 145.0 (121.4, 173.1) | N/A | 30 | falling | -1.6 (-2.3, -0.9) |
Sevier County, Arkansas | No | 159.4 (134.6, 187.5) | N/A | 30 | falling | -1.4 (-2.1, -0.6) |
Clearwater County, Idaho | No | 176.9 (148.1, 211.2) | N/A | 30 | stable | -0.7 (-1.5, 0.2) |
DeKalb County, Missouri | No | 189.5 (159.8, 223.5) | N/A | 30 | stable | -0.9 (-2.0, 0.2) |
Lincoln County, Arkansas | No | 187.8 (158.7, 221.0) | N/A | 30 | stable | -0.1 (-0.7, 0.6) |
Little River County, Arkansas | No | 162.8 (137.1, 192.5) | N/A | 30 | falling | -1.4 (-2.2, -0.6) |
Ozark County, Missouri | No | 167.6 (139.9, 200.8) | N/A | 30 | falling | -1.3 (-2.0, -0.6) |
Washington County, Illinois | No | 138.9 (116.9, 164.4) | N/A | 30 | falling | -1.2 (-1.9, -0.4) |
Frio County, Texas | No | 161.2 (136.1, 189.6) | N/A | 30 | stable | -0.4 (-1.2, 0.4) |
Montgomery County, Mississippi | No | 191.7 (161.1, 227.2) | N/A | 30 | stable | -0.4 (-0.9, 0.2) |
Cass County, Illinois | No | 182.8 (153.9, 216.0) | N/A | 30 | falling | -1.0 (-1.7, -0.2) |
Clay County, North Carolina | No | 135.5 (112.3, 163.3) | N/A | 30 | falling | -1.6 (-2.1, -1.0) |
Comanche County, Texas | No | 127.5 (107.0, 151.5) | N/A | 30 | falling | -5.1 (-8.2, -2.0) |
Crawford County, Georgia | No | 180.7 (151.3, 214.6) | N/A | 30 | stable | -0.4 (-1.5, 0.8) |
Latimer County, Oklahoma | No | 178.6 (150.2, 211.7) | N/A | 30 | falling | -1.3 (-2.1, -0.5) |
Palo Alto County, Iowa | No | 195.8 (163.8, 233.3) | N/A | 30 | stable | -0.7 (-1.4, 0.1) |
Perry County, Mississippi | No | 181.5 (152.7, 214.7) | N/A | 30 | stable | -0.3 (-1.2, 0.6) |
Barton County, Missouri | No | 165.4 (138.9, 196.0) | N/A | 29 | falling | -0.8 (-1.4, -0.1) |
Carroll County, Kentucky | No | 219.8 (185.0, 259.6) | N/A | 29 | stable | -0.5 (-1.1, 0.2) |
Howard County, Arkansas | No | 159.3 (134.4, 187.8) | N/A | 29 | falling | -4.6 (-7.6, -1.6) |
Poquoson City, Virginia | No | 170.5 (143.7, 201.6) | N/A | 29 | falling | -2.3 (-3.7, -1.0) |
Richmond County, Virginia | No | 197.0 (165.9, 233.3) | N/A | 29 | falling | -0.9 (-1.7, -0.2) |
Schoolcraft County, Michigan | No | 186.3 (156.2, 222.6) | N/A | 29 | stable | -0.3 (-0.9, 0.3) |
Shelby County, Iowa | No | 144.3 (120.7, 172.0) | N/A | 29 | stable | -0.4 (-1.1, 0.4) |
Wright County, Iowa | No | 140.1 (116.6, 167.5) | N/A | 29 | falling | -1.1 (-1.8, -0.3) |
Chickasaw County, Iowa | No | 159.3 (133.4, 189.3) | N/A | 29 | stable | -0.7 (-1.4, 0.1) |
Choctaw County, Alabama | No | 136.0 (114.3, 161.5) | N/A | 29 | falling | -2.0 (-2.7, -1.3) |
Greensville County, Virginia | No | 226.8 (190.5, 268.4) | N/A | 29 | stable | -0.1 (-1.1, 0.9) |
Macon County, Georgia | No | 165.8 (139.0, 196.7) | N/A | 29 | stable | -0.7 (-1.4, 0.0) |
Noble County, Oklahoma | No | 175.0 (147.3, 207.1) | N/A | 29 | falling | -0.9 (-1.4, -0.3) |
Oregon County, Missouri | No | 161.1 (135.3, 191.3) | N/A | 29 | falling | -1.1 (-1.7, -0.5) |
Red Willow County, Nebraska | No | 171.9 (143.6, 204.8) | N/A | 29 | falling | -0.8 (-1.5, -0.1) |
Roosevelt County, New Mexico | No | 142.5 (120.0, 168.1) | N/A | 29 | falling | -1.3 (-2.0, -0.6) |
Willacy County, Texas | No | 129.3 (109.0, 152.5) | N/A | 29 | falling | -1.0 (-1.9, -0.1) |
Camp County, Texas | No | 168.5 (141.3, 199.7) | N/A | 29 | falling | -1.8 (-2.6, -1.0) |
Johnston County, Oklahoma | No | 185.4 (155.7, 219.7) | N/A | 29 | falling | -1.1 (-1.8, -0.4) |
Madison Parish, Louisiana | No | 224.4 (188.6, 265.2) | N/A | 29 | falling | -1.3 (-2.1, -0.5) |
Moniteau County, Missouri | No | 147.1 (123.9, 173.7) | N/A | 29 | falling | -1.0 (-1.9, -0.2) |
Montgomery County, Arkansas | No | 174.1 (144.4, 209.5) | N/A | 29 | stable | -0.2 (-1.0, 0.7) |
Butte County, South Dakota | No | 193.6 (162.5, 229.5) | N/A | 29 | stable | -0.5 (-1.7, 0.8) |
Colfax County, New Mexico | No | 126.9 (105.8, 152.0) | N/A | 29 | falling | -1.1 (-1.8, -0.4) |
Coosa County, Alabama | No | 164.3 (136.8, 196.6) | N/A | 29 | falling | -1.0 (-1.7, -0.3) |
Crawford County, Indiana | No | 184.8 (154.7, 219.7) | N/A | 29 | stable | -0.7 (-1.5, 0.1) |
Jeff Davis County, Georgia | No | 160.8 (135.0, 190.4) | N/A | 29 | falling | -2.4 (-3.1, -1.6) |
Jefferson County, Montana | No | 159.8 (132.9, 191.3) | N/A | 29 | falling | -1.2 (-2.1, -0.2) |
Prowers County, Colorado | No | 178.8 (150.0, 211.8) | N/A | 29 | falling | -0.8 (-1.6, -0.1) |
Uinta County, Wyoming | No | 127.5 (106.5, 151.5) | N/A | 29 | falling | -1.9 (-2.6, -1.2) |
Wabash County, Illinois | No | 157.3 (131.7, 187.1) | N/A | 29 | falling | -1.4 (-2.0, -0.7) |
Washington County, Idaho | No | 161.0 (134.9, 191.8) | N/A | 29 | falling | -1.0 (-2.0, -0.1) |
Blaine County, Idaho | Yes | 97.1 (81.1, 115.5) | N/A | 29 | falling | -2.3 (-3.1, -1.4) |
Coleman County, Texas | No | 196.8 (164.4, 235.1) | N/A | 29 | stable | -0.1 (-0.8, 0.7) |
Houston County, Tennessee | No | 232.8 (195.2, 276.4) | N/A | 29 | stable | 0.5 (-0.2, 1.2) |
Madison County, Texas | No | 172.1 (144.7, 203.3) | N/A | 29 | falling | -1.0 (-1.7, -0.2) |
West Carroll Parish, Louisiana | No | 185.2 (155.4, 219.6) | N/A | 29 | falling | -1.4 (-2.0, -0.7) |
Pennington County, Minnesota | No | 142.7 (119.5, 169.5) | N/A | 28 | falling | -1.1 (-1.8, -0.3) |
Trinity County, California | Yes | 116.3 (96.8, 139.7) | N/A | 28 | falling | -2.2 (-3.1, -1.2) |
Barnes County, North Dakota | No | 157.8 (131.6, 188.6) | N/A | 28 | stable | -0.8 (-1.6, 0.0) |
Duchesne County, Utah | No | 150.1 (126.1, 177.4) | N/A | 28 | stable | -0.8 (-1.8, 0.2) |
Lowndes County, Alabama | No | 202.1 (169.0, 240.4) | N/A | 28 | stable | -0.7 (-1.4, 0.1) |
Walsh County, North Dakota | No | 156.6 (130.7, 186.9) | N/A | 28 | stable | 1.6 (-1.9, 5.3) |
Wilbarger County, Texas | No | 162.2 (135.9, 192.6) | N/A | 28 | stable | -0.7 (-1.3, 0.0) |
Boundary County, Idaho | No | 152.0 (126.6, 181.6) | N/A | 28 | falling | -1.1 (-2.1, -0.1) |
Clay County, Texas | No | 167.0 (139.1, 199.7) | N/A | 28 | stable | -0.5 (-1.3, 0.3) |
Greene County, Mississippi | No | 176.7 (148.3, 209.3) | N/A | 28 | falling | -1.1 (-1.8, -0.3) |
Mathews County, Virginia | No | 145.0 (121.0, 174.6) | N/A | 28 | falling | -2.2 (-3.0, -1.4) |
Monroe County, Arkansas | No | 249.1 (207.6, 297.8) | N/A | 28 | stable | -0.5 (-1.3, 0.3) |
Nemaha County, Kansas | No | 175.1 (145.2, 209.9) | N/A | 28 | stable | -0.4 (-1.2, 0.5) |
Roseau County, Minnesota | No | 130.5 (109.4, 155.0) | N/A | 28 | falling | -1.6 (-2.2, -1.0) |
Sac County, Iowa | No | 163.8 (135.8, 196.8) | N/A | 28 | stable | -0.5 (-1.3, 0.3) |
Seminole County, Georgia | No | 202.5 (169.3, 241.6) | N/A | 28 | stable | -0.5 (-1.4, 0.3) |
Franklin County, Texas | No | 177.6 (147.7, 212.3) | N/A | 28 | stable | -0.6 (-1.3, 0.2) |
Cumberland County, Virginia | No | 178.5 (148.7, 213.3) | N/A | 28 | falling | -1.1 (-1.9, -0.4) |
Deaf Smith County, Texas | No | 148.9 (124.7, 176.3) | N/A | 28 | stable | 0.0 (-0.9, 0.9) |
Franklin City, Virginia | No | 237.8 (198.5, 283.4) | N/A | 28 | falling | -0.9 (-1.6, -0.2) |
Menard County, Illinois | No | 155.5 (129.7, 185.5) | N/A | 28 | falling | -1.1 (-1.9, -0.2) |
Pike County, Arkansas | No | 170.2 (142.6, 202.3) | N/A | 28 | stable | -0.5 (-1.5, 0.5) |
Brown County, Kansas | No | 184.5 (154.2, 220.0) | N/A | 27 | stable | 0.2 (-0.8, 1.3) |
Guthrie County, Iowa | No | 150.0 (124.9, 179.6) | N/A | 27 | stable | -0.5 (-1.3, 0.3) |
Kiowa County, Oklahoma | No | 216.9 (180.8, 258.8) | N/A | 27 | stable | 0.3 (-0.5, 1.1) |
Marshall County, Kansas | No | 162.2 (134.6, 194.6) | N/A | 27 | stable | -0.5 (-1.2, 0.3) |
Rolette County, North Dakota | No | 202.1 (168.7, 240.0) | N/A | 27 | falling | -1.1 (-1.9, -0.2) |
Bleckley County, Georgia | No | 162.4 (135.7, 193.2) | N/A | 27 | falling | -1.8 (-2.7, -0.8) |
Charlton County, Georgia | No | 169.0 (141.5, 200.6) | N/A | 27 | falling | -1.7 (-2.7, -0.6) |
Desha County, Arkansas | No | 166.9 (139.1, 199.1) | N/A | 27 | falling | -1.2 (-1.8, -0.6) |
Lincoln County, Washington | No | 144.2 (119.3, 173.8) | N/A | 27 | falling | -1.1 (-1.7, -0.4) |
Lincoln County, Wyoming | Yes | 111.8 (93.0, 133.5) | N/A | 27 | falling | -1.3 (-2.2, -0.3) |
Saline County, Nebraska | No | 162.5 (135.6, 193.3) | N/A | 27 | stable | -13.3 (-28.5, 5.0) |
Webster County, West Virginia | No | 197.6 (164.1, 237.1) | N/A | 27 | stable | 0.1 (-0.7, 0.8) |
Big Horn County, Wyoming | No | 152.4 (126.7, 182.3) | N/A | 27 | stable | -0.8 (-1.5, 0.0) |
Dooly County, Georgia | No | 133.2 (110.9, 159.3) | N/A | 27 | falling | -2.3 (-3.0, -1.7) |
Fall River County, South Dakota | No | 206.0 (169.9, 249.6) | N/A | 27 | stable | -0.5 (-1.3, 0.3) |
Perry County, Arkansas | No | 172.3 (143.6, 205.9) | N/A | 27 | stable | -0.3 (-1.0, 0.5) |
Calhoun County, Iowa | No | 161.8 (134.1, 194.6) | N/A | 27 | stable | -0.4 (-1.1, 0.2) |
Emmet County, Iowa | No | 181.4 (149.9, 218.4) | N/A | 27 | stable | -0.2 (-1.0, 0.7) |
Forest County, Wisconsin | No | 171.8 (143.1, 205.8) | N/A | 27 | stable | -0.9 (-1.7, 0.0) |
Karnes County, Texas | No | 153.7 (128.3, 182.8) | N/A | 27 | stable | -0.8 (-1.6, 0.1) |
Linn County, Kansas | No | 169.9 (141.5, 203.4) | N/A | 27 | stable | -0.2 (-1.0, 0.7) |
Marion County, Texas | No | 148.0 (122.2, 178.9) | N/A | 27 | stable | -8.6 (-17.4, 1.1) |
Mitchell County, Iowa | No | 147.0 (122.1, 176.3) | N/A | 27 | falling | -1.2 (-1.9, -0.5) |
Bradley County, Arkansas | No | 178.9 (148.8, 213.7) | N/A | 26 | stable | -0.7 (-1.5, 0.1) |
McLean County, Kentucky | No | 196.0 (163.4, 234.0) | N/A | 26 | falling | -0.9 (-1.7, -0.2) |
Moore County, Texas | No | 133.8 (111.6, 159.0) | N/A | 26 | falling | -1.3 (-2.0, -0.6) |
Osage County, Missouri | No | 145.4 (121.1, 173.5) | N/A | 26 | stable | -0.4 (-1.1, 0.3) |
Ralls County, Missouri | No | 162.5 (135.2, 194.6) | N/A | 26 | stable | 3.6 (-20.6, 35.2) |
Heard County, Georgia | No | 166.7 (138.6, 199.2) | N/A | 26 | stable | -0.5 (-1.2, 0.3) |
Ramsey County, North Dakota | No | 148.0 (122.9, 177.4) | N/A | 26 | falling | -1.0 (-1.8, -0.1) |
Runnels County, Texas | No | 163.4 (136.1, 195.4) | N/A | 26 | falling | -0.9 (-1.7, -0.1) |
Seward County, Kansas | No | 138.5 (115.4, 164.6) | N/A | 26 | falling | -1.3 (-2.0, -0.6) |
Butler County, Nebraska | No | 207.0 (172.0, 248.1) | N/A | 26 | rising | 3.4 (0.1, 6.9) |
Fergus County, Montana | No | 130.7 (108.5, 157.1) | N/A | 26 | falling | -1.8 (-2.5, -1.1) |
Monroe County, Missouri | No | 177.9 (147.5, 213.8) | N/A | 26 | falling | -1.1 (-2.1, -0.2) |
Washita County, Oklahoma | No | 171.6 (142.3, 205.6) | N/A | 26 | stable | -0.1 (-1.0, 0.7) |
Watonwan County, Minnesota | No | 157.5 (130.0, 189.7) | N/A | 26 | stable | -0.7 (-1.6, 0.2) |
Converse County, Wyoming | No | 143.2 (118.8, 171.4) | N/A | 26 | falling | -1.8 (-2.8, -0.8) |
Deer Lodge County, Montana | No | 171.8 (142.2, 207.1) | N/A | 26 | falling | -1.0 (-1.7, -0.2) |
Monona County, Iowa | No | 163.3 (134.5, 197.7) | N/A | 26 | falling | -1.3 (-2.1, -0.4) |
Perry County, Tennessee | No | 211.7 (175.7, 253.8) | N/A | 26 | stable | -0.3 (-1.4, 0.8) |
St. Helena Parish, Louisiana | No | 174.1 (144.7, 208.4) | N/A | 26 | falling | -1.1 (-2.0, -0.1) |
Stephens County, Texas | No | 186.8 (155.3, 223.6) | N/A | 26 | falling | -1.1 (-1.7, -0.5) |
Clay County, West Virginia | No | 198.6 (164.7, 238.3) | N/A | 26 | falling | -1.4 (-2.1, -0.7) |
Grant County, West Virginia | No | 128.5 (106.6, 154.5) | N/A | 26 | falling | -1.3 (-2.2, -0.3) |
Greene County, Iowa | No | 163.8 (135.7, 197.2) | N/A | 26 | stable | -0.3 (-1.1, 0.6) |
Lyon County, Iowa | No | 152.9 (126.7, 183.5) | N/A | 26 | falling | -1.2 (-2.1, -0.3) |
Blaine County, Oklahoma | No | 185.4 (153.4, 222.7) | N/A | 25 | stable | -0.5 (-1.3, 0.2) |
Carroll County, Mississippi | No | 147.8 (122.4, 178.0) | N/A | 25 | stable | -0.9 (-1.8, 0.0) |
Catahoula Parish, Louisiana | No | 198.6 (164.7, 237.9) | N/A | 25 | stable | 0.1 (-0.8, 0.9) |
Gates County, North Carolina | No | 151.0 (124.8, 181.7) | N/A | 25 | falling | -1.6 (-2.4, -0.8) |
Jones County, North Carolina | No | 162.1 (133.7, 195.8) | N/A | 25 | stable | 11.1 (-17.2, 49.1) |
Routt County, Colorado | Yes | 94.6 (77.8, 114.0) | N/A | 25 | falling | -2.5 (-3.5, -1.6) |
San Augustine County, Texas | No | 163.0 (134.6, 197.1) | N/A | 25 | falling | -1.2 (-2.0, -0.4) |
Terrell County, Georgia | No | 211.0 (174.6, 253.3) | N/A | 25 | falling | -0.9 (-1.7, -0.1) |
Wilson County, Kansas | No | 187.6 (155.3, 225.5) | N/A | 25 | stable | -0.1 (-0.9, 0.7) |
Anderson County, Kansas | No | 201.2 (166.3, 242.3) | N/A | 25 | stable | -0.9 (-1.8, 0.1) |
Crittenden County, Kentucky | No | 190.9 (158.3, 229.1) | N/A | 25 | stable | -0.5 (-1.5, 0.4) |
Martin County, Indiana | No | 171.2 (142.1, 205.4) | N/A | 25 | falling | -1.0 (-1.9, -0.1) |
McCulloch County, Texas | No | 194.4 (160.4, 234.4) | N/A | 25 | stable | -0.8 (-1.6, 0.0) |
Ontonagon County, Michigan | No | 171.1 (141.0, 211.2) | N/A | 25 | stable | -0.6 (-1.5, 0.3) |
Richardson County, Nebraska | No | 167.9 (138.2, 203.5) | N/A | 25 | stable | -0.5 (-1.4, 0.4) |
Duval County, Texas | No | 171.3 (142.1, 205.1) | N/A | 25 | stable | -0.7 (-1.6, 0.2) |
Keokuk County, Iowa | No | 156.0 (128.4, 188.5) | N/A | 25 | stable | -0.9 (-1.8, 0.0) |
Lamb County, Texas | No | 147.2 (122.1, 176.3) | N/A | 25 | stable | -0.4 (-1.2, 0.4) |
Lee County, Arkansas | No | 197.3 (163.5, 236.8) | N/A | 25 | falling | -1.1 (-1.7, -0.5) |
Pocahontas County, West Virginia | No | 171.4 (140.9, 208.0) | N/A | 25 | stable | -0.9 (-1.8, 0.0) |
Ritchie County, West Virginia | No | 155.1 (128.2, 187.0) | N/A | 25 | stable | -0.8 (-1.6, 0.0) |
Cumberland County, Kentucky | No | 220.4 (182.4, 265.6) | N/A | 25 | stable | -0.1 (-1.2, 1.0) |
Custer County, South Dakota | No | 138.3 (113.7, 168.7) | N/A | 25 | falling | -1.2 (-2.2, -0.2) |
Live Oak County, Texas | No | 134.7 (111.3, 162.1) | N/A | 25 | falling | -1.5 (-2.3, -0.6) |
Van Buren County, Iowa | No | 221.5 (182.9, 267.0) | N/A | 25 | stable | 0.5 (-0.5, 1.6) |
Yellow Medicine County, Minnesota | No | 156.7 (128.8, 189.5) | N/A | 25 | stable | -0.7 (-1.4, 0.1) |
Chariton County, Missouri | No | 189.8 (155.5, 230.7) | N/A | 25 | stable | -0.2 (-0.9, 0.5) |
Searcy County, Arkansas | No | 170.2 (140.5, 205.9) | N/A | 25 | falling | -1.0 (-1.7, -0.3) |
Wilkinson County, Mississippi | No | 212.0 (175.3, 254.7) | N/A | 25 | stable | -0.7 (-1.5, 0.2) |
Early County, Georgia | No | 170.6 (140.9, 205.2) | N/A | 24 | falling | -0.8 (-1.4, -0.1) |
Graham County, North Carolina | No | 166.1 (136.9, 200.9) | N/A | 24 | falling | -1.1 (-1.9, -0.3) |
Jackson County, Kansas | No | 126.5 (104.8, 152.0) | N/A | 24 | falling | -1.4 (-2.2, -0.7) |
Park County, Colorado | Yes | 87.5 (70.1, 108.6) | N/A | 24 | falling | -1.7 (-3.2, -0.2) |
Switzerland County, Indiana | No | 169.8 (140.4, 204.2) | N/A | 24 | stable | -0.9 (-2.0, 0.1) |
Bullock County, Alabama | No | 188.8 (156.1, 226.7) | N/A | 24 | stable | -0.5 (-1.4, 0.4) |
Dallas County, Arkansas | No | 204.9 (168.4, 248.4) | N/A | 24 | stable | -0.8 (-1.6, 0.0) |
Pope County, Minnesota | No | 129.4 (105.7, 157.7) | N/A | 24 | falling | -1.2 (-1.9, -0.4) |
Red River Parish, Louisiana | No | 199.2 (164.5, 239.8) | N/A | 24 | stable | 0.1 (-0.8, 1.1) |
Allendale County, South Carolina | No | 195.8 (160.9, 236.8) | N/A | 24 | falling | -1.2 (-2.0, -0.3) |
Carbon County, Wyoming | No | 127.5 (105.0, 153.6) | N/A | 24 | falling | -1.8 (-2.7, -0.9) |
Cumberland County, Illinois | No | 155.1 (127.7, 187.3) | N/A | 24 | stable | -0.8 (-1.8, 0.3) |
Custer County, Nebraska | No | 135.0 (110.4, 164.2) | N/A | 24 | stable | -0.6 (-1.4, 0.2) |
Lyon County, Kentucky | No | 161.1 (132.3, 196.1) | N/A | 24 | falling | -1.0 (-2.0, -0.1) |
Pratt County, Kansas | No | 159.5 (131.1, 193.1) | N/A | 24 | stable | -0.7 (-1.6, 0.1) |
Quay County, New Mexico | No | 166.5 (136.5, 202.3) | N/A | 24 | falling | -1.1 (-1.9, -0.3) |
Rio Grande County, Colorado | No | 147.7 (121.6, 178.5) | N/A | 24 | falling | -0.9 (-1.7, -0.1) |
Wolfe County, Kentucky | No | 243.9 (200.8, 294.2) | N/A | 24 | stable | -0.6 (-1.7, 0.6) |
Alger County, Michigan | No | 144.1 (118.2, 175.6) | N/A | 24 | stable | -15.9 (-40.8, 19.6) |
Benewah County, Idaho | No | 161.5 (132.7, 195.8) | N/A | 24 | stable | -0.5 (-1.3, 0.4) |
Clarke County, Iowa | No | 181.5 (149.1, 219.5) | N/A | 24 | stable | 0.1 (-0.9, 1.1) |
Dawson County, Texas | No | 163.7 (135.4, 196.4) | N/A | 24 | stable | -0.4 (-1.2, 0.5) |
Louisa County, Iowa | No | 154.8 (127.5, 186.6) | N/A | 24 | stable | -0.8 (-1.8, 0.2) |
Archuleta County, Colorado | Yes | 101.4 (82.3, 124.5) | N/A | 24 | falling | -2.0 (-3.3, -0.7) |
Bacon County, Georgia | No | 171.7 (141.3, 206.9) | N/A | 24 | falling | -1.5 (-2.4, -0.6) |
Baraga County, Michigan | No | 176.8 (145.5, 214.2) | N/A | 24 | stable | -0.5 (-1.2, 0.3) |
Jackson County, Minnesota | No | 141.4 (115.6, 172.2) | N/A | 24 | stable | -0.6 (-1.5, 0.3) |
Lemhi County, Idaho | No | 143.8 (117.4, 176.5) | N/A | 24 | falling | -1.0 (-1.9, -0.1) |
Tyler County, West Virginia | No | 162.6 (133.4, 197.3) | N/A | 24 | falling | -1.3 (-2.0, -0.6) |
Caldwell County, Missouri | No | 186.1 (152.5, 225.4) | N/A | 23 | stable | 0.2 (-0.8, 1.2) |
Evans County, Georgia | No | 177.2 (146.2, 213.3) | N/A | 23 | stable | -0.5 (-1.4, 0.3) |
Gaines County, Texas | No | 154.1 (126.7, 185.3) | N/A | 23 | stable | -0.9 (-1.8, 0.1) |
Hamilton County, Illinois | No | 175.3 (144.1, 212.3) | N/A | 23 | stable | -0.4 (-1.3, 0.5) |
Howard County, Iowa | No | 156.1 (128.2, 189.2) | N/A | 23 | stable | -0.6 (-1.4, 0.3) |
Huerfano County, Colorado | No | 163.9 (132.6, 203.1) | N/A | 23 | stable | -0.5 (-1.5, 0.6) |
Humboldt County, Nevada | No | 134.5 (110.3, 162.4) | N/A | 23 | falling | -1.5 (-2.3, -0.8) |
Radford City, Virginia | No | 177.4 (145.9, 213.6) | N/A | 23 | falling | -1.1 (-2.0, -0.3) |
Rock County, Minnesota | No | 158.0 (129.7, 191.5) | N/A | 23 | stable | -0.5 (-1.3, 0.2) |
Shannon County, Missouri | No | 178.1 (146.5, 215.7) | N/A | 23 | falling | -1.0 (-1.8, -0.1) |
Swift County, Minnesota | No | 152.7 (124.7, 186.0) | N/A | 23 | falling | -1.4 (-2.1, -0.7) |
Tunica County, Mississippi | No | 228.5 (187.4, 276.0) | N/A | 23 | falling | -0.7 (-1.3, -0.1) |
Claiborne County, Mississippi | No | 221.1 (181.2, 267.5) | N/A | 23 | stable | -0.6 (-1.4, 0.2) |
Doniphan County, Kansas | No | 205.4 (168.9, 248.4) | N/A | 23 | stable | -0.4 (-1.3, 0.5) |
Noxubee County, Mississippi | No | 179.3 (146.9, 216.9) | N/A | 23 | stable | -0.7 (-1.6, 0.3) |
Winnebago County, Iowa | No | 133.5 (109.4, 162.3) | N/A | 23 | stable | -0.6 (-1.5, 0.3) |
Adams County, Washington | No | 135.9 (111.9, 163.5) | N/A | 23 | falling | -1.9 (-2.6, -1.2) |
Candler County, Georgia | No | 154.3 (126.9, 186.5) | N/A | 23 | falling | -1.3 (-2.2, -0.3) |
Clay County, South Dakota | No | 179.1 (147.2, 216.0) | N/A | 23 | stable | -0.6 (-1.6, 0.3) |
Clay County, Tennessee | No | 168.4 (138.5, 204.5) | N/A | 23 | falling | -1.0 (-2.0, -0.1) |
Ida County, Iowa | No | 189.3 (155.2, 230.3) | N/A | 23 | stable | -0.1 (-1.1, 0.9) |
Maries County, Missouri | No | 161.7 (132.9, 196.1) | N/A | 23 | stable | -0.9 (-2.0, 0.2) |
Nevada County, Arkansas | No | 179.4 (147.2, 217.5) | N/A | 23 | falling | -1.3 (-1.9, -0.6) |
Newton County, Arkansas | No | 162.8 (132.7, 199.3) | N/A | 23 | stable | -0.8 (-1.6, 0.0) |
Owen County, Kentucky | No | 156.0 (128.1, 188.7) | N/A | 23 | falling | -1.4 (-2.3, -0.5) |
Phelps County, Nebraska | No | 157.9 (129.1, 192.1) | N/A | 23 | stable | -0.1 (-1.1, 1.0) |
Pipestone County, Minnesota | No | 150.3 (123.1, 182.7) | N/A | 23 | stable | -0.6 (-1.5, 0.3) |
Teton County, Wyoming | Yes | 93.3 (76.6, 112.7) | N/A | 23 | falling | -2.6 (-3.5, -1.6) |
Hancock County, Iowa | No | 125.2 (102.4, 152.4) | N/A | 23 | falling | -1.3 (-2.3, -0.2) |
Keith County, Nebraska | No | 159.0 (129.1, 195.0) | N/A | 23 | stable | -0.5 (-1.3, 0.2) |
Ketchikan Gateway Borough, Alaska | No | 140.9 (115.3, 170.7) | N/A | 23 | falling | -1.8 (-2.8, -0.8) |
Lake County, Oregon | No | 161.3 (132.0, 196.7) | N/A | 23 | falling | -1.6 (-2.4, -0.7) |
Lincoln County, Georgia | No | 171.9 (140.3, 209.7) | N/A | 23 | falling | -1.7 (-2.3, -1.0) |
Owyhee County, Idaho | No | 152.9 (125.2, 185.2) | N/A | 23 | stable | -0.2 (-1.4, 0.9) |
Skamania County, Washington | No | 124.2 (101.5, 151.3) | N/A | 23 | falling | -1.9 (-2.9, -1.0) |
Box Butte County, Nebraska | No | 148.2 (120.9, 180.2) | N/A | 23 | stable | -0.8 (-1.6, 0.1) |
Lake County, South Dakota | Yes | 122.6 (99.9, 149.5) | N/A | 23 | falling | -1.4 (-2.3, -0.4) |
Moffat County, Colorado | No | 148.9 (121.9, 180.3) | N/A | 23 | stable | -0.6 (-1.6, 0.3) |
Prairie County, Arkansas | No | 161.0 (131.5, 196.4) | N/A | 23 | falling | -1.3 (-2.2, -0.3) |
Glacier County, Montana | No | 161.7 (132.3, 195.6) | N/A | 22 | falling | -1.1 (-2.1, -0.1) |
Harrison County, Missouri | No | 157.1 (128.0, 191.8) | N/A | 22 | stable | -0.7 (-1.5, 0.1) |
Rice County, Kansas | No | 162.8 (133.0, 197.9) | N/A | 22 | stable | -2.7 (-5.6, 0.2) |
Twiggs County, Georgia | No | 170.0 (138.3, 208.1) | N/A | 22 | falling | -1.0 (-1.8, -0.2) |
Carbon County, Montana | Yes | 116.3 (94.9, 142.3) | N/A | 22 | falling | -2.0 (-2.8, -1.2) |
Perry County, Alabama | No | 176.5 (143.7, 215.2) | N/A | 22 | stable | -0.4 (-1.4, 0.6) |
Quitman County, Mississippi | No | 235.4 (192.8, 285.4) | N/A | 22 | stable | -0.8 (-1.6, 0.0) |
Roberts County, South Dakota | No | 150.7 (122.7, 183.7) | N/A | 22 | falling | -1.2 (-2.0, -0.4) |
Woodruff County, Arkansas | No | 204.4 (166.9, 249.2) | N/A | 22 | stable | -1.0 (-1.9, 0.0) |
Andrews County, Texas | No | 145.7 (119.3, 175.8) | N/A | 22 | falling | -1.3 (-2.1, -0.4) |
Cleveland County, Arkansas | No | 185.2 (151.1, 225.7) | N/A | 22 | falling | -1.5 (-2.6, -0.4) |
East Carroll Parish, Louisiana | No | 277.7 (227.6, 336.0) | N/A | 22 | stable | 0.0 (-0.8, 0.9) |
Gallatin County, Kentucky | No | 226.8 (184.5, 276.1) | N/A | 22 | stable | -0.9 (-1.8, 0.0) |
Hancock County, Kentucky | No | 197.8 (162.0, 239.8) | N/A | 22 | stable | -0.6 (-1.7, 0.5) |
Holt County, Nebraska | No | 134.3 (108.8, 164.9) | N/A | 22 | falling | -1.1 (-1.9, -0.3) |
McLean County, North Dakota | No | 142.9 (116.1, 175.0) | N/A | 22 | falling | -1.5 (-2.3, -0.6) |
Platte County, Wyoming | No | 136.8 (111.9, 167.2) | N/A | 22 | falling | -1.7 (-2.5, -1.0) |
Pleasants County, West Virginia | No | 206.7 (169.2, 251.1) | N/A | 22 | stable | -0.1 (-1.2, 0.9) |
Russell County, Kansas | No | 196.0 (158.1, 241.4) | N/A | 22 | stable | -0.5 (-1.6, 0.5) |
Alamosa County, Colorado | No | 131.4 (107.4, 159.2) | N/A | 22 | stable | -0.5 (-1.2, 0.3) |
Caldwell Parish, Louisiana | No | 164.4 (134.3, 199.7) | N/A | 22 | falling | -1.1 (-2.0, -0.2) |
Clearwater County, Minnesota | No | 162.4 (132.4, 198.1) | N/A | 22 | stable | -0.7 (-1.4, 0.0) |
Iron County, Wisconsin | No | 169.5 (137.9, 210.2) | N/A | 22 | stable | -0.9 (-1.9, 0.1) |
Jefferson County, Nebraska | No | 164.8 (134.8, 201.3) | N/A | 22 | stable | -0.5 (-1.5, 0.4) |
Marshall County, Minnesota | No | 139.2 (113.2, 170.4) | N/A | 22 | falling | -1.4 (-2.2, -0.6) |
Tucker County, West Virginia | No | 176.4 (143.0, 217.1) | N/A | 22 | falling | -1.0 (-1.8, -0.1) |
Turner County, Georgia | No | 205.7 (167.9, 250.1) | N/A | 22 | stable | 0.2 (-0.7, 1.0) |
Cheyenne County, Nebraska | No | 159.0 (129.2, 194.2) | N/A | 22 | stable | -0.7 (-1.9, 0.4) |
Covington City, Virginia | No | 267.3 (217.7, 325.9) | N/A | 22 | stable | -16.5 (-32.9, 3.8) |
Grant County, Oregon | No | 145.1 (116.9, 180.3) | N/A | 22 | stable | 11.6 (-6.5, 33.0) |
Grundy County, Missouri | No | 137.3 (111.8, 167.7) | N/A | 22 | falling | -1.0 (-1.8, -0.2) |
Lee County, Kentucky | No | 222.4 (181.1, 271.3) | N/A | 22 | stable | -0.3 (-1.2, 0.6) |
Monroe County, Iowa | No | 187.6 (153.2, 228.5) | N/A | 22 | stable | 0.2 (-0.7, 1.1) |
Valley County, Idaho | Yes | 120.0 (96.8, 147.9) | N/A | 22 | falling | -2.1 (-3.3, -1.0) |
Ballard County, Kentucky | No | 171.3 (139.7, 209.2) | N/A | 21 | falling | -1.6 (-2.4, -0.7) |
Charles Mix County, South Dakota | No | 164.9 (133.3, 202.2) | N/A | 21 | stable | -0.6 (-1.7, 0.6) |
Choctaw County, Mississippi | No | 165.8 (135.1, 202.6) | N/A | 21 | falling | -1.1 (-2.0, -0.3) |
Dade County, Missouri | No | 164.3 (132.9, 202.3) | N/A | 21 | stable | -0.5 (-1.3, 0.2) |
Essex County, Vermont | No | 181.4 (147.7, 223.0) | N/A | 21 | falling | -1.3 (-2.2, -0.3) |
Ferry County, Washington | No | 162.1 (130.8, 200.3) | N/A | 21 | stable | -1.1 (-2.6, 0.5) |
Hancock County, Georgia | No | 157.8 (128.0, 193.8) | N/A | 21 | falling | -1.4 (-2.3, -0.6) |
Menifee County, Kentucky | No | 217.0 (176.5, 265.2) | N/A | 21 | stable | -0.8 (-2.0, 0.4) |
Pocahontas County, Iowa | No | 172.1 (139.5, 211.7) | N/A | 21 | stable | -0.9 (-1.9, 0.0) |
Pulaski County, Georgia | Yes | 120.6 (98.3, 147.3) | N/A | 21 | falling | -2.8 (-3.6, -1.9) |
Webster County, Mississippi | No | 163.3 (133.0, 198.9) | N/A | 21 | stable | -0.5 (-1.3, 0.3) |
Alexander County, Illinois | No | 207.3 (168.1, 254.6) | N/A | 21 | stable | -0.6 (-1.6, 0.3) |
Big Horn County, Montana | No | 169.7 (137.9, 206.5) | N/A | 21 | falling | -1.9 (-2.9, -1.0) |
Charles City County, Virginia | No | 164.1 (133.3, 202.2) | N/A | 21 | falling | -1.7 (-2.6, -0.9) |
Franklin County, Iowa | No | 130.0 (105.6, 159.3) | N/A | 21 | stable | -0.5 (-1.3, 0.3) |
Lucas County, Iowa | No | 146.3 (119.3, 178.8) | N/A | 21 | falling | -0.8 (-1.5, -0.1) |
Madison County, Idaho | Yes | 98.4 (80.3, 119.2) | N/A | 21 | falling | -1.8 (-2.5, -1.1) |
Sullivan County, Pennsylvania | No | 178.9 (144.8, 222.0) | N/A | 21 | stable | -0.7 (-1.7, 0.3) |
Greene County, Alabama | No | 155.6 (125.8, 191.4) | N/A | 21 | falling | -1.4 (-2.3, -0.6) |
Greenwood County, Kansas | No | 202.4 (162.9, 250.4) | N/A | 21 | stable | -0.7 (-1.7, 0.2) |
Humboldt County, Iowa | No | 137.9 (111.4, 169.5) | N/A | 21 | falling | -1.5 (-2.2, -0.8) |
Lewis County, Missouri | No | 148.5 (121.1, 181.1) | N/A | 21 | stable | -0.8 (-2.0, 0.4) |
Richland County, Montana | No | 167.9 (136.6, 204.3) | N/A | 21 | falling | -0.9 (-1.7, -0.1) |
Wilkinson County, Georgia | No | 156.8 (127.6, 191.5) | N/A | 21 | stable | -1.1 (-2.2, 0.0) |
Bethel Census Area, Alaska | No | 195.0 (153.8, 242.6) | N/A | 21 | stable | -0.6 (-1.7, 0.5) |
King and Queen County, Virginia | No | 190.4 (153.7, 234.7) | N/A | 21 | stable | -0.8 (-1.7, 0.1) |
Marion County, Georgia | No | 159.4 (129.2, 195.6) | N/A | 21 | falling | -1.2 (-2.3, -0.1) |
Montgomery County, Georgia | No | 190.3 (154.3, 232.5) | N/A | 21 | stable | -1.0 (-2.1, 0.1) |
White Pine County, Nevada | No | 159.9 (130.1, 195.1) | N/A | 21 | stable | -0.3 (-1.3, 0.7) |
Adair County, Iowa | No | 170.1 (137.2, 210.0) | N/A | 21 | stable | 0.2 (-0.6, 0.9) |
Beaverhead County, Montana | No | 139.3 (112.6, 171.5) | N/A | 21 | falling | -1.4 (-2.3, -0.4) |
Cloud County, Kansas | No | 149.4 (120.8, 183.6) | N/A | 21 | stable | -0.6 (-1.6, 0.3) |
Pecos County, Texas | No | 127.9 (104.3, 155.4) | N/A | 21 | falling | -2.7 (-3.8, -1.6) |
Jenkins County, Georgia | No | 185.3 (150.5, 226.2) | N/A | 20 | stable | -0.9 (-1.8, 0.1) |
Wayne County, Iowa | No | 197.3 (158.5, 243.9) | N/A | 20 | stable | -0.4 (-1.2, 0.4) |
Irwin County, Georgia | No | 160.0 (129.9, 195.6) | N/A | 20 | falling | -1.4 (-2.4, -0.4) |
Somervell County, Texas | No | 162.1 (131.1, 199.0) | N/A | 20 | falling | -1.6 (-2.4, -0.8) |
Taylor County, Georgia | No | 161.4 (130.9, 198.0) | N/A | 20 | stable | -0.8 (-1.8, 0.2) |
Hamilton County, Nebraska | No | 147.1 (118.7, 181.0) | N/A | 20 | falling | -1.4 (-2.4, -0.4) |
Jasper County, Illinois | No | 131.4 (106.4, 161.5) | N/A | 20 | falling | -1.5 (-2.4, -0.6) |
Lafayette County, Florida | No | 193.8 (157.4, 236.8) | N/A | 20 | stable | -0.1 (-1.3, 1.1) |
Pendleton County, West Virginia | No | 139.2 (112.5, 172.7) | N/A | 20 | falling | -1.2 (-2.2, -0.1) |
Ringgold County, Iowa | No | 215.2 (173.4, 266.5) | N/A | 20 | stable | 1.0 (0.0, 2.0) |
Turner County, South Dakota | No | 154.0 (124.3, 189.6) | N/A | 20 | falling | -1.5 (-2.4, -0.7) |
Zavala County, Texas | No | 162.0 (131.4, 197.8) | N/A | 20 | stable | -0.8 (-1.7, 0.1) |
Fremont County, Idaho | Yes | 121.7 (98.6, 149.0) | N/A | 20 | stable | -0.4 (-1.2, 0.3) |
Kemper County, Mississippi | No | 130.2 (104.9, 160.6) | N/A | 20 | stable | -0.9 (-1.9, 0.1) |
Long County, Georgia | No | 128.0 (102.5, 157.6) | N/A | 20 | falling | -2.7 (-3.8, -1.5) |
Modoc County, California | Yes | 121.6 (97.3, 151.5) | N/A | 20 | falling | -1.5 (-2.4, -0.7) |
Traill County, North Dakota | No | 157.7 (126.7, 194.9) | N/A | 20 | stable | -0.1 (-0.8, 0.6) |
Worth County, Iowa | No | 173.1 (139.6, 213.2) | N/A | 20 | falling | -1.1 (-2.0, -0.1) |
Dawes County, Nebraska | No | 172.7 (138.6, 213.5) | N/A | 20 | stable | -0.8 (-1.9, 0.3) |
Decatur County, Iowa | No | 170.2 (136.4, 210.7) | N/A | 20 | stable | -0.4 (-1.4, 0.6) |
Falls Church City, Virginia | No | 131.3 (106.1, 160.7) | N/A | 20 | falling | -2.3 (-3.3, -1.4) |
Franklin County, Mississippi | No | 171.9 (138.5, 211.9) | N/A | 20 | falling | -1.1 (-2.0, -0.2) |
Johnson County, Georgia | No | 145.0 (117.2, 178.0) | N/A | 20 | falling | -1.7 (-2.7, -0.8) |
Johnson County, Wyoming | No | 131.5 (105.9, 162.8) | N/A | 20 | falling | -1.7 (-2.8, -0.6) |
Stillwater County, Montana | No | 131.1 (105.1, 162.6) | N/A | 20 | falling | -2.0 (-3.2, -0.8) |
Terry County, Texas | No | 137.4 (111.2, 168.1) | N/A | 20 | falling | -0.9 (-1.7, -0.1) |
Trimble County, Kentucky | No | 175.8 (141.7, 216.3) | N/A | 20 | stable | -0.5 (-1.6, 0.6) |
Trousdale County, Tennessee | No | 181.6 (146.7, 222.5) | N/A | 20 | stable | -0.8 (-1.8, 0.2) |
Harper County, Kansas | No | 208.1 (166.9, 258.1) | N/A | 19 | stable | -0.2 (-1.3, 0.9) |
Howard County, Missouri | No | 141.7 (113.9, 174.7) | N/A | 19 | falling | -1.5 (-2.4, -0.6) |
Humphreys County, Mississippi | No | 180.1 (145.2, 221.5) | N/A | 19 | falling | -3.3 (-5.1, -1.6) |
Knox County, Nebraska | No | 123.3 (98.4, 154.1) | N/A | 19 | stable | -0.5 (-1.6, 0.5) |
Pembina County, North Dakota | No | 143.4 (115.1, 178.5) | N/A | 19 | falling | -1.9 (-2.8, -1.0) |
Tillman County, Oklahoma | No | 182.8 (147.4, 225.1) | N/A | 19 | stable | 1.8 (-2.2, 5.9) |
Calhoun County, Arkansas | No | 235.8 (189.5, 291.9) | N/A | 19 | stable | -0.3 (-1.2, 0.7) |
Carroll County, Missouri | No | 134.0 (107.9, 165.5) | N/A | 19 | falling | -1.2 (-2.1, -0.4) |
Cedar County, Nebraska | No | 137.4 (109.9, 170.9) | N/A | 19 | stable | -0.8 (-1.7, 0.1) |
Gilmer County, West Virginia | No | 182.5 (147.5, 224.4) | N/A | 19 | stable | -0.3 (-1.2, 0.6) |
Grand County, Utah | No | 147.7 (118.8, 182.0) | N/A | 19 | falling | -1.5 (-2.3, -0.6) |
Jefferson County, Mississippi | No | 206.3 (165.9, 254.2) | N/A | 19 | stable | -0.6 (-1.4, 0.2) |
Major County, Oklahoma | No | 173.1 (138.5, 214.5) | N/A | 19 | stable | 1.0 (-0.1, 2.1) |
Mercer County, North Dakota | No | 158.2 (126.8, 195.8) | N/A | 19 | stable | -0.5 (-1.4, 0.4) |
Merrick County, Nebraska | No | 158.0 (127.0, 195.2) | N/A | 19 | stable | -0.5 (-1.4, 0.5) |
Murray County, Minnesota | Yes | 121.2 (97.4, 150.7) | N/A | 19 | stable | -1.0 (-2.0, 0.0) |
Union County, Indiana | No | 185.9 (149.9, 229.0) | N/A | 19 | stable | -0.3 (-1.4, 0.7) |
Archer County, Texas | No | 139.2 (112.0, 172.0) | N/A | 19 | falling | -1.5 (-2.3, -0.7) |
Clay County, Kansas | No | 138.5 (110.7, 172.3) | N/A | 19 | stable | -0.6 (-1.4, 0.3) |
Daviess County, Missouri | No | 150.9 (121.5, 186.2) | N/A | 19 | falling | -1.2 (-2.1, -0.3) |
Doddridge County, West Virginia | No | 145.3 (117.0, 179.5) | N/A | 19 | falling | -1.8 (-2.6, -0.9) |
Roosevelt County, Montana | No | 184.7 (148.2, 227.3) | N/A | 19 | stable | 0.0 (-1.2, 1.1) |
Woods County, Oklahoma | No | 162.0 (130.3, 199.8) | N/A | 19 | stable | -0.6 (-1.6, 0.4) |
Yuma County, Colorado | No | 145.7 (117.0, 179.7) | N/A | 19 | stable | 2.4 (-4.1, 9.3) |
Calhoun County, West Virginia | No | 147.9 (118.6, 184.1) | N/A | 19 | falling | -1.3 (-2.3, -0.4) |
Hutchinson County, South Dakota | No | 139.2 (109.8, 175.2) | N/A | 19 | falling | -1.5 (-2.5, -0.3) |
Nicholas County, Kentucky | No | 200.1 (160.9, 246.6) | N/A | 19 | stable | -0.4 (-1.3, 0.4) |
Benton County, Indiana | No | 156.1 (125.4, 192.6) | N/A | 19 | stable | -0.6 (-1.4, 0.3) |
Coffey County, Kansas | No | 149.7 (119.8, 185.7) | N/A | 19 | falling | -1.0 (-1.9, -0.1) |
Goliad County, Texas | No | 161.3 (128.2, 201.3) | N/A | 19 | falling | -1.4 (-2.6, -0.3) |
Hancock County, Tennessee | No | 182.3 (145.7, 226.6) | N/A | 19 | stable | -0.2 (-1.2, 0.7) |
Lafayette County, Arkansas | No | 158.1 (126.5, 197.0) | N/A | 19 | falling | -1.5 (-2.5, -0.5) |
Millard County, Utah | Yes | 112.6 (90.5, 139.0) | N/A | 19 | stable | -0.8 (-2.0, 0.4) |
Morrow County, Oregon | No | 128.3 (102.9, 158.5) | N/A | 19 | falling | -1.9 (-3.0, -0.8) |
Norman County, Minnesota | No | 169.1 (135.1, 210.6) | N/A | 19 | stable | -0.8 (-1.7, 0.1) |
Randolph County, Georgia | No | 157.1 (124.9, 196.7) | N/A | 19 | falling | -2.3 (-3.1, -1.4) |
Warren County, Georgia | No | 213.0 (170.5, 264.9) | N/A | 19 | stable | -0.1 (-1.1, 1.0) |
Wilcox County, Georgia | No | 158.9 (127.9, 195.9) | N/A | 19 | falling | -1.6 (-2.5, -0.7) |
Atkinson County, Georgia | No | 207.7 (166.3, 256.3) | N/A | 18 | stable | -0.3 (-1.5, 0.9) |
Burt County, Nebraska | No | 163.1 (128.7, 205.3) | N/A | 18 | stable | -0.3 (-1.1, 0.6) |
Elliott County, Kentucky | No | 170.1 (136.5, 210.5) | N/A | 18 | falling | -1.9 (-3.1, -0.6) |
Lincoln County, Minnesota | No | 175.2 (137.6, 221.6) | N/A | 18 | stable | 0.1 (-1.5, 1.7) |
Madison County, Montana | Yes | 107.8 (86.4, 135.1) | N/A | 18 | falling | -2.9 (-4.1, -1.7) |
Mitchell County, Texas | No | 199.1 (160.0, 245.0) | N/A | 18 | stable | -0.6 (-1.6, 0.5) |
Pulaski County, Illinois | No | 215.5 (172.2, 268.2) | N/A | 18 | stable | -0.4 (-1.5, 0.8) |
Refugio County, Texas | No | 163.1 (130.7, 202.5) | N/A | 18 | stable | -0.6 (-1.7, 0.5) |
Van Buren County, Tennessee | No | 193.4 (154.3, 241.1) | N/A | 18 | stable | -0.3 (-1.5, 0.9) |
Washakie County, Wyoming | No | 140.4 (112.4, 174.4) | N/A | 18 | stable | -1.0 (-2.0, 0.1) |
Camden County, North Carolina | No | 135.0 (108.2, 166.8) | N/A | 18 | falling | -3.8 (-4.9, -2.6) |
Ellsworth County, Kansas | No | 189.8 (151.7, 236.0) | N/A | 18 | stable | 0.3 (-0.8, 1.3) |
Fulton County, Kentucky | No | 200.1 (159.9, 248.7) | N/A | 18 | falling | -0.7 (-1.4, -0.1) |
Harney County, Oregon | No | 141.3 (113.0, 176.1) | N/A | 18 | falling | -1.8 (-2.6, -1.0) |
Kane County, Utah | No | 161.3 (127.8, 201.8) | N/A | 18 | stable | -0.8 (-2.1, 0.6) |
Oglala Lakota/Shannon County, South Dakota | No | 213.6 (168.5, 265.9) | N/A | 18 | falling | -1.6 (-2.4, -0.8) |
Surry County, Virginia | No | 169.3 (134.5, 212.1) | N/A | 18 | falling | -1.6 (-2.7, -0.5) |
Ward County, Texas | No | 146.8 (117.8, 180.9) | N/A | 18 | falling | -1.3 (-2.2, -0.4) |
Crook County, Wyoming | No | 159.5 (127.1, 198.7) | N/A | 18 | stable | -1.0 (-2.0, 0.1) |
Cuming County, Nebraska | No | 123.1 (97.2, 154.6) | N/A | 18 | falling | -1.0 (-1.9, -0.1) |
Schuyler County, Illinois | No | 154.6 (123.6, 192.7) | N/A | 18 | stable | -0.7 (-1.7, 0.2) |
Summit County, Colorado | Yes | 63.6 (49.4, 80.6) | N/A | 18 | falling | -2.4 (-4.2, -0.5) |
Bracken County, Kentucky | No | 163.1 (130.2, 202.4) | N/A | 18 | stable | -1.0 (-1.9, 0.0) |
Lexington City, Virginia | No | 220.8 (175.0, 277.0) | N/A | 18 | stable | -1.1 (-2.5, 0.2) |
Reeves County, Texas | No | 122.8 (98.5, 151.1) | N/A | 18 | falling | -1.7 (-2.5, -0.9) |
Clinch County, Georgia | No | 208.0 (165.6, 258.5) | N/A | 18 | stable | -0.3 (-1.3, 0.8) |
Delta County, Texas | No | 225.4 (179.2, 281.3) | N/A | 18 | stable | -0.2 (-1.4, 1.0) |
Grand Isle County, Vermont | No | 174.5 (137.2, 219.9) | N/A | 18 | falling | -1.6 (-2.8, -0.3) |
Henderson County, Illinois | No | 147.0 (115.7, 185.9) | N/A | 18 | falling | -1.3 (-2.2, -0.5) |
Lanier County, Georgia | No | 151.2 (120.5, 187.4) | N/A | 18 | falling | -1.3 (-2.2, -0.4) |
Luce County, Michigan | No | 179.3 (142.8, 223.9) | N/A | 18 | falling | -1.5 (-2.6, -0.5) |
San Juan County, Utah | Yes | 109.1 (87.1, 135.0) | N/A | 18 | stable | -0.6 (-1.7, 0.5) |
Stevens County, Minnesota | No | 144.0 (113.8, 180.1) | N/A | 18 | stable | -0.2 (-1.0, 0.6) |
Treutlen County, Georgia | No | 195.2 (155.5, 242.7) | N/A | 18 | stable | -0.1 (-0.8, 0.7) |
Florence County, Wisconsin | No | 222.2 (174.3, 283.1) | N/A | 17 | stable | 0.2 (-1.1, 1.5) |
Forest County, Pennsylvania | No | 154.1 (122.3, 202.7) | N/A | 17 | falling | -1.3 (-2.3, -0.2) |
Fremont County, Iowa | No | 149.2 (118.0, 187.5) | N/A | 17 | stable | -1.2 (-2.5, 0.0) |
Grant County, South Dakota | No | 142.9 (114.0, 178.3) | N/A | 17 | stable | -0.8 (-1.6, 0.0) |
Gunnison County, Colorado | Yes | 109.5 (86.4, 136.9) | N/A | 17 | falling | -2.7 (-3.8, -1.5) |
Haskell County, Texas | No | 179.3 (142.3, 224.9) | N/A | 17 | stable | -0.6 (-1.7, 0.6) |
Lac qui Parle County, Minnesota | No | 138.0 (107.3, 176.6) | N/A | 17 | falling | -1.6 (-2.6, -0.7) |
Liberty County, Florida | No | 179.7 (143.1, 223.3) | N/A | 17 | stable | -1.1 (-2.2, 0.0) |
Nemaha County, Nebraska | No | 168.2 (133.1, 210.7) | N/A | 17 | stable | 0.0 (-0.9, 1.0) |
Pitkin County, Colorado | Yes | 67.1 (52.9, 84.5) | N/A | 17 | falling | -2.7 (-4.0, -1.5) |
Wallowa County, Oregon | Yes | 120.0 (94.2, 152.9) | N/A | 17 | falling | -1.9 (-2.8, -1.1) |
Warren County, Indiana | No | 134.2 (107.1, 167.2) | N/A | 17 | falling | -1.8 (-2.9, -0.7) |
Davis County, Iowa | No | 144.2 (114.3, 180.0) | N/A | 17 | stable | -0.5 (-1.5, 0.7) |
Dawson County, Montana | No | 132.0 (104.4, 165.5) | N/A | 17 | falling | -1.2 (-2.2, -0.2) |
Rappahannock County, Virginia | Yes | 120.8 (95.9, 152.5) | N/A | 17 | falling | -2.2 (-3.2, -1.1) |
Swisher County, Texas | No | 168.3 (133.9, 209.8) | N/A | 17 | stable | -0.4 (-1.1, 0.4) |
Brewster County, Texas | Yes | 110.4 (87.4, 138.8) | N/A | 17 | falling | -1.5 (-2.3, -0.7) |
Buena Vista City, Virginia | No | 185.6 (147.6, 231.6) | N/A | 17 | falling | -1.4 (-2.5, -0.4) |
Cotton County, Oklahoma | No | 199.0 (157.6, 249.2) | N/A | 17 | stable | 0.0 (-0.8, 0.9) |
Gallatin County, Illinois | No | 218.4 (172.1, 275.1) | N/A | 17 | falling | -0.9 (-1.7, -0.2) |
Gentry County, Missouri | No | 172.0 (135.4, 216.5) | N/A | 17 | stable | -0.4 (-1.2, 0.4) |
Pawnee County, Kansas | No | 159.6 (126.4, 200.6) | N/A | 17 | stable | -0.4 (-1.4, 0.5) |
Talbot County, Georgia | No | 145.0 (114.4, 183.5) | N/A | 17 | falling | -1.5 (-2.5, -0.4) |
Carter County, Missouri | No | 192.8 (152.5, 241.5) | N/A | 17 | stable | -0.5 (-1.6, 0.7) |
Jefferson County, Oklahoma | No | 186.2 (146.6, 234.2) | N/A | 17 | stable | 0.1 (-0.7, 1.0) |
Lake County, Tennessee | No | 185.4 (147.3, 231.4) | N/A | 17 | stable | -0.9 (-1.8, 0.0) |
Nantucket County, Massachusetts | No | 129.8 (102.8, 161.8) | N/A | 17 | falling | -3.1 (-4.1, -2.0) |
Ohio County, Indiana | No | 164.2 (130.4, 206.3) | N/A | 17 | falling | -2.4 (-3.8, -1.1) |
Powell County, Montana | No | 159.2 (126.2, 199.7) | N/A | 17 | falling | -1.4 (-2.3, -0.6) |
Benton County, Mississippi | No | 137.4 (108.7, 172.2) | N/A | 16 | stable | -0.7 (-1.9, 0.4) |
Bon Homme County, South Dakota | No | 143.8 (113.1, 181.6) | N/A | 16 | stable | -0.5 (-1.7, 0.6) |
Grand County, Colorado | Yes | 93.9 (73.1, 119.1) | N/A | 16 | stable | -1.5 (-2.9, 0.0) |
Hamilton County, New York | No | 170.3 (132.1, 221.4) | N/A | 16 | falling | -1.5 (-2.6, -0.5) |
Jack County, Texas | No | 142.8 (113.3, 178.2) | N/A | 16 | falling | -1.6 (-2.4, -0.8) |
McCook County, South Dakota | No | 204.0 (161.3, 255.9) | N/A | 16 | stable | 0.6 (-0.5, 1.7) |
Morris County, Kansas | No | 168.2 (130.5, 215.1) | N/A | 16 | stable | -0.7 (-1.7, 0.4) |
Reynolds County, Missouri | No | 153.9 (121.0, 194.7) | N/A | 16 | falling | -2.2 (-3.8, -0.5) |
Rosebud County, Montana | No | 155.1 (122.6, 194.0) | N/A | 16 | falling | -1.8 (-2.9, -0.7) |
Fillmore County, Nebraska | No | 165.6 (130.4, 209.5) | N/A | 16 | stable | -0.5 (-1.6, 0.5) |
Franklin County, Idaho | Yes | 109.2 (86.3, 136.4) | N/A | 16 | stable | -1.0 (-2.0, 0.1) |
Pepin County, Wisconsin | No | 137.2 (108.1, 173.1) | N/A | 16 | stable | -1.1 (-2.3, 0.0) |
Shelby County, Missouri | No | 162.8 (129.0, 204.6) | N/A | 16 | falling | -1.2 (-2.2, -0.2) |
Thurston County, Nebraska | No | 242.1 (191.0, 302.5) | N/A | 16 | stable | 0.5 (-0.7, 1.7) |
Wilkin County, Minnesota | No | 172.0 (135.4, 216.6) | N/A | 16 | stable | -0.6 (-1.5, 0.3) |
Baylor County, Texas | No | 254.2 (199.4, 322.6) | N/A | 16 | stable | -0.3 (-1.5, 0.8) |
Bottineau County, North Dakota | No | 146.3 (114.2, 186.2) | N/A | 16 | stable | -0.9 (-2.3, 0.5) |
Republic County, Kansas | No | 192.2 (146.9, 249.2) | N/A | 16 | stable | 0.3 (-0.6, 1.3) |
Todd County, South Dakota | No | 258.3 (201.7, 324.6) | N/A | 16 | stable | -0.4 (-1.5, 0.7) |
Coal County, Oklahoma | No | 177.4 (139.6, 223.9) | N/A | 16 | stable | -1.0 (-1.9, 0.0) |
Greer County, Oklahoma | No | 201.3 (158.7, 252.8) | N/A | 16 | stable | -0.2 (-0.9, 0.4) |
Lynn County, Texas | No | 207.4 (163.0, 260.9) | N/A | 16 | stable | -0.1 (-1.3, 1.1) |
Musselshell County, Montana | No | 178.0 (138.8, 228.1) | N/A | 16 | stable | -1.0 (-2.1, 0.2) |
Teton County, Montana | No | 151.1 (118.2, 192.0) | N/A | 16 | stable | -1.0 (-2.0, 0.0) |
Valley County, Montana | No | 125.7 (98.0, 160.0) | N/A | 16 | falling | -2.3 (-3.4, -1.1) |
Weston County, Wyoming | No | 145.8 (114.5, 184.3) | N/A | 16 | falling | -1.4 (-2.4, -0.4) |
Atchison County, Missouri | No | 174.4 (135.5, 223.1) | N/A | 16 | stable | 24.0 (-1.3, 55.9) |
Bath County, Virginia | No | 188.4 (147.9, 240.6) | N/A | 16 | falling | -1.0 (-2.0, -0.1) |
Dimmit County, Texas | No | 128.9 (101.3, 162.0) | N/A | 16 | falling | -1.3 (-2.1, -0.4) |
Hot Springs County, Wyoming | No | 175.1 (137.6, 223.0) | N/A | 16 | falling | -0.9 (-1.7, -0.1) |
Osceola County, Iowa | No | 153.0 (119.2, 195.1) | N/A | 16 | stable | -0.2 (-1.2, 0.8) |
Big Stone County, Minnesota | No | 147.8 (114.6, 190.5) | N/A | 15 | falling | -1.7 (-2.6, -0.9) |
Carlisle County, Kentucky | No | 208.4 (163.2, 264.1) | N/A | 15 | stable | -0.4 (-1.6, 0.7) |
Conejos County, Colorado | No | 135.3 (105.9, 171.2) | N/A | 15 | falling | -1.2 (-2.2, -0.2) |
Edwards County, Illinois | No | 151.9 (118.9, 192.6) | N/A | 15 | stable | -0.9 (-1.7, 0.0) |
Mills County, Texas | No | 169.2 (130.8, 218.3) | N/A | 15 | stable | -0.8 (-2.3, 0.6) |
Williamsburg City, Virginia | Yes | 84.5 (66.1, 107.2) | N/A | 15 | falling | -4.1 (-5.3, -2.8) |
Brown County, Illinois | No | 200.1 (157.4, 251.7) | N/A | 15 | stable | -0.4 (-1.6, 0.7) |
Day County, South Dakota | No | 146.3 (112.7, 189.1) | N/A | 15 | falling | -1.4 (-2.4, -0.5) |
Grant County, Kansas | No | 198.7 (155.7, 250.0) | N/A | 15 | stable | -0.5 (-1.6, 0.7) |
Kearney County, Nebraska | No | 154.7 (120.9, 196.1) | N/A | 15 | falling | -1.6 (-2.6, -0.5) |
Nuckolls County, Nebraska | No | 171.2 (132.3, 221.7) | N/A | 15 | falling | -1.3 (-2.4, -0.2) |
Pickett County, Tennessee | No | 159.9 (123.3, 206.6) | N/A | 15 | stable | -0.6 (-1.6, 0.5) |
Pondera County, Montana | No | 157.0 (122.4, 199.9) | N/A | 15 | falling | -1.2 (-2.1, -0.2) |
Putnam County, Missouri | No | 185.4 (145.0, 236.1) | N/A | 15 | stable | 0.1 (-1.1, 1.2) |
Thomas County, Kansas | No | 142.7 (111.5, 180.6) | N/A | 15 | falling | -1.3 (-2.3, -0.2) |
Emery County, Utah | Yes | 114.7 (89.6, 145.1) | N/A | 15 | falling | -2.0 (-3.2, -0.8) |
Hardin County, Illinois | No | 210.1 (162.6, 270.7) | N/A | 15 | stable | -0.5 (-1.5, 0.5) |
Hickman County, Kentucky | No | 182.0 (142.5, 232.1) | N/A | 15 | stable | -0.1 (-1.3, 1.0) |
Kimble County, Texas | No | 184.1 (141.5, 238.4) | N/A | 15 | stable | -1.0 (-1.9, 0.0) |
Mineral County, Montana | No | 176.3 (136.5, 228.0) | N/A | 15 | stable | -0.5 (-1.9, 0.9) |
Nome Census Area, Alaska | No | 246.1 (187.3, 315.8) | N/A | 15 | stable | 0.4 (-1.0, 1.8) |
Owsley County, Kentucky | No | 231.3 (180.1, 294.0) | N/A | 15 | stable | 0.0 (-1.0, 0.9) |
Scott County, Illinois | No | 203.0 (158.3, 258.1) | N/A | 15 | stable | -0.1 (-0.9, 0.8) |
Wabaunsee County, Kansas | No | 145.1 (113.3, 184.4) | N/A | 15 | stable | -0.8 (-1.9, 0.3) |
Mahnomen County, Minnesota | No | 205.7 (160.1, 261.1) | N/A | 15 | stable | -0.2 (-1.0, 0.5) |
Stark County, Illinois | No | 168.2 (130.9, 214.7) | N/A | 15 | stable | -0.8 (-1.7, 0.2) |
Washington County, Kansas | No | 143.7 (111.2, 185.0) | N/A | 15 | stable | -0.7 (-1.8, 0.4) |
Zapata County, Texas | Yes | 109.5 (85.8, 137.6) | N/A | 15 | stable | -0.9 (-2.2, 0.5) |
Boone County, Nebraska | No | 150.7 (116.0, 194.6) | N/A | 15 | stable | 0.0 (-1.1, 1.1) |
Colfax County, Nebraska | No | 127.3 (99.3, 160.9) | N/A | 15 | stable | -0.4 (-1.4, 0.5) |
Sheridan County, Nebraska | No | 143.9 (111.7, 185.2) | N/A | 15 | stable | -0.6 (-1.5, 0.2) |
Spink County, South Dakota | No | 139.9 (107.9, 179.7) | N/A | 15 | falling | -1.5 (-2.5, -0.5) |
Tensas Parish, Louisiana | No | 179.4 (139.5, 230.2) | N/A | 15 | falling | -1.6 (-2.9, -0.4) |
Columbia County, Washington | No | 169.0 (131.5, 218.4) | N/A | 14 | falling | -1.7 (-2.8, -0.6) |
Hamlin County, South Dakota | No | 188.7 (146.4, 240.0) | N/A | 14 | stable | -0.2 (-1.0, 0.7) |
Kodiak Island Borough, Alaska | No | 125.6 (96.0, 160.9) | N/A | 14 | falling | -2.5 (-3.8, -1.2) |
Miller County, Georgia | No | 168.0 (129.9, 215.1) | N/A | 14 | stable | -0.2 (-1.2, 0.8) |
Pierce County, Nebraska | No | 138.7 (107.7, 176.9) | N/A | 14 | stable | -0.6 (-1.5, 0.3) |
Cook County, Minnesota | No | 145.8 (111.0, 190.7) | N/A | 14 | stable | -1.2 (-3.0, 0.6) |
Grant County, Minnesota | No | 150.1 (114.1, 195.0) | N/A | 14 | stable | -0.8 (-1.8, 0.1) |
Mineral County, Nevada | No | 171.8 (132.5, 222.1) | N/A | 14 | stable | -0.8 (-1.9, 0.3) |
Ottawa County, Kansas | No | 167.1 (129.3, 213.9) | N/A | 14 | stable | -0.7 (-1.8, 0.5) |
Putnam County, Illinois | No | 142.9 (110.5, 184.0) | N/A | 14 | falling | -1.6 (-2.9, -0.3) |
Wayne County, Nebraska | No | 124.4 (96.1, 159.0) | N/A | 14 | stable | 0.2 (-0.9, 1.3) |
Broadwater County, Montana | No | 143.4 (109.5, 186.1) | N/A | 14 | falling | -2.1 (-3.4, -0.8) |
Brooks County, Texas | No | 150.7 (116.6, 192.3) | N/A | 14 | stable | -0.8 (-2.0, 0.3) |
Morgan County, Utah | No | 132.5 (102.7, 168.1) | N/A | 14 | falling | -1.3 (-2.4, -0.2) |
Phillips County, Kansas | No | 154.6 (118.2, 200.5) | N/A | 14 | stable | -1.0 (-1.9, 0.0) |
Sharkey County, Mississippi | No | 235.1 (179.5, 303.6) | N/A | 14 | falling | -1.6 (-2.6, -0.6) |
Sullivan County, Missouri | No | 161.4 (124.8, 206.4) | N/A | 14 | stable | -0.3 (-1.2, 0.6) |
Walworth County, South Dakota | No | 138.4 (106.7, 178.8) | N/A | 14 | falling | -1.7 (-2.8, -0.5) |
Audubon County, Iowa | No | 130.5 (100.9, 168.8) | N/A | 14 | stable | -1.0 (-2.3, 0.4) |
McHenry County, North Dakota | No | 161.2 (123.8, 207.7) | N/A | 14 | stable | -0.7 (-1.8, 0.3) |
Mitchell County, Kansas | No | 135.4 (103.0, 176.2) | N/A | 14 | stable | -0.6 (-1.6, 0.4) |
Parmer County, Texas | No | 131.9 (102.3, 167.6) | N/A | 14 | stable | -0.9 (-2.2, 0.4) |
Thayer County, Nebraska | No | 153.0 (115.6, 200.8) | N/A | 14 | stable | -1.0 (-2.2, 0.2) |
Antelope County, Nebraska | No | 128.9 (98.3, 167.6) | N/A | 14 | falling | -1.5 (-2.4, -0.5) |
Cameron County, Pennsylvania | No | 156.4 (118.3, 206.2) | N/A | 14 | falling | -1.5 (-2.9, -0.2) |
Childress County, Texas | No | 170.5 (131.6, 217.7) | N/A | 14 | stable | -0.9 (-2.1, 0.2) |
Clark County, Missouri | No | 124.6 (95.9, 160.6) | N/A | 14 | stable | -1.1 (-2.3, 0.1) |
Clear Creek County, Colorado | Yes | 103.3 (78.2, 134.8) | N/A | 14 | falling | -2.3 (-3.5, -1.0) |
Howard County, Nebraska | No | 136.8 (105.5, 175.8) | N/A | 14 | falling | -1.3 (-2.3, -0.4) |
Hyde County, North Carolina | No | 172.8 (132.8, 223.2) | N/A | 14 | stable | -0.6 (-1.7, 0.5) |
Saguache County, Colorado | No | 124.2 (94.2, 162.5) | N/A | 14 | stable | -0.3 (-2.0, 1.4) |
San Saba County, Texas | No | 136.6 (105.4, 176.0) | N/A | 14 | stable | -0.6 (-1.7, 0.4) |
Tripp County, South Dakota | No | 136.3 (104.3, 177.0) | N/A | 14 | falling | -1.5 (-2.6, -0.4) |
Wheeler County, Texas | No | 180.8 (139.5, 231.8) | N/A | 14 | stable | -0.6 (-1.5, 0.4) |
Yoakum County, Texas | No | 171.4 (132.6, 217.8) | N/A | 14 | stable | 0.1 (-1.2, 1.5) |
Alfalfa County, Oklahoma | No | 148.3 (114.6, 190.6) | N/A | 13 | stable | -0.3 (-1.3, 0.8) |
Coke County, Texas | No | 203.2 (157.0, 263.5) | N/A | 13 | falling | -1.4 (-2.5, -0.3) |
Custer County, Idaho | No | 172.6 (131.7, 226.1) | N/A | 13 | stable | -0.3 (-1.4, 0.9) |
Dickey County, North Dakota | No | 156.5 (120.4, 202.2) | N/A | 13 | stable | -0.7 (-1.8, 0.4) |
Furnas County, Nebraska | No | 177.0 (133.7, 231.6) | N/A | 13 | stable | -1.0 (-2.0, 0.0) |
Kingsbury County, South Dakota | No | 153.2 (118.1, 198.0) | N/A | 13 | stable | -0.9 (-1.9, 0.1) |
Prince of Wales-Outer Ketchikan, Alaska | No | 180.1 (136.1, 234.1) | N/A | 13 | stable | -0.7 (-2.5, 1.2) |
Taylor County, Iowa | No | 136.1 (103.2, 177.4) | N/A | 13 | stable | -0.5 (-1.3, 0.4) |
Wirt County, West Virginia | No | 158.0 (120.7, 204.5) | N/A | 13 | stable | -0.8 (-2.0, 0.5) |
Yukon-Koyukuk Census Area, Alaska | No | 216.2 (164.6, 279.3) | N/A | 13 | stable | 0.2 (-1.3, 1.7) |
Chouteau County, Montana | No | 145.7 (112.0, 188.3) | N/A | 13 | stable | -0.7 (-1.8, 0.5) |
Emporia City, Virginia | No | 168.9 (129.5, 217.8) | N/A | 13 | falling | -2.1 (-3.1, -1.0) |
Grant County, Oklahoma | No | 201.5 (153.3, 261.7) | N/A | 13 | stable | 0.5 (-0.5, 1.5) |
Johnson County, Nebraska | No | 177.0 (136.0, 228.3) | N/A | 13 | stable | -0.8 (-2.1, 0.6) |
Kimball County, Nebraska | No | 205.9 (156.2, 269.7) | N/A | 13 | stable | -0.2 (-1.3, 0.9) |
Wells County, North Dakota | No | 167.7 (125.5, 223.1) | N/A | 13 | stable | -0.7 (-1.7, 0.4) |
Baca County, Colorado | No | 183.3 (138.3, 242.0) | N/A | 13 | stable | -0.5 (-1.7, 0.8) |
Boise County, Idaho | Yes | 97.9 (73.6, 129.8) | N/A | 13 | falling | -2.1 (-3.2, -0.9) |
Calhoun County, Illinois | No | 146.5 (112.9, 190.1) | N/A | 13 | stable | -1.2 (-2.3, 0.0) |
Clay County, Nebraska | No | 143.5 (109.2, 186.1) | N/A | 13 | stable | -0.5 (-1.7, 0.7) |
Craig County, Virginia | No | 146.0 (111.7, 190.3) | N/A | 13 | stable | -1.0 (-2.1, 0.2) |
Juab County, Utah | No | 122.8 (94.3, 156.9) | N/A | 13 | stable | -1.0 (-2.3, 0.4) |
Valdez-Cordova Census Area, Alaska | No | 133.5 (99.4, 175.3) | N/A | 13 | falling | -2.4 (-3.6, -1.2) |
Bland County, Virginia | No | 123.9 (95.1, 160.9) | N/A | 13 | stable | -1.1 (-2.4, 0.3) |
Dixon County, Nebraska | No | 144.8 (110.1, 188.5) | N/A | 13 | stable | -0.4 (-1.5, 0.7) |
Moore County, Tennessee | No | 132.8 (101.3, 172.5) | N/A | 13 | falling | -1.7 (-3.0, -0.5) |
Webster County, Nebraska | No | 214.5 (162.9, 280.3) | N/A | 13 | stable | -0.1 (-1.3, 1.2) |
Adams County, Idaho | No | 152.6 (114.6, 203.5) | N/A | 13 | falling | -1.7 (-3.0, -0.5) |
Mountrail County, North Dakota | No | 134.5 (102.1, 173.6) | N/A | 13 | falling | -1.8 (-3.1, -0.5) |
Bent County, Colorado | No | 153.6 (117.4, 199.3) | N/A | 12 | stable | -0.6 (-1.9, 0.7) |
Ochiltree County, Texas | No | 135.9 (103.4, 175.1) | N/A | 12 | falling | -1.4 (-2.5, -0.4) |
Pope County, Illinois | No | 156.8 (117.2, 210.3) | N/A | 12 | stable | -1.1 (-2.5, 0.4) |
Rooks County, Kansas | No | 144.7 (109.6, 189.6) | N/A | 12 | falling | -2.0 (-3.0, -1.0) |
Wrangell-Petersburg Census Area, Alaska | No | 147.9 (111.8, 193.4) | N/A | 12 | stable | -0.7 (-1.9, 0.4) |
Greenlee County, Arizona | No | 128.4 (97.6, 165.7) | N/A | 12 | falling | -1.6 (-2.7, -0.5) |
Gregory County, South Dakota | No | 152.9 (115.6, 201.8) | N/A | 12 | stable | -0.5 (-1.4, 0.4) |
Kittson County, Minnesota | No | 147.8 (111.3, 195.8) | N/A | 12 | stable | -0.8 (-1.9, 0.4) |
Mason County, Texas | No | 148.1 (109.5, 199.2) | N/A | 12 | falling | -1.6 (-2.6, -0.6) |
Sherman County, Kansas | No | 137.4 (103.8, 179.7) | N/A | 12 | stable | -0.9 (-2.1, 0.4) |
Stewart County, Georgia | No | 171.3 (130.5, 222.3) | N/A | 12 | stable | -0.5 (-1.3, 0.4) |
Wahkiakum County, Washington | No | 135.3 (101.4, 181.9) | N/A | 12 | stable | -1.0 (-2.5, 0.6) |
Wheeler County, Georgia | No | 133.3 (101.6, 172.4) | N/A | 12 | falling | -1.3 (-2.6, -0.1) |
Floyd County, Texas | No | 144.0 (109.3, 187.4) | N/A | 12 | stable | -0.8 (-1.9, 0.4) |
Knox County, Texas | No | 216.6 (163.8, 283.1) | N/A | 12 | stable | 0.0 (-0.9, 0.9) |
La Salle County, Texas | No | 160.2 (122.1, 206.8) | N/A | 12 | stable | -1.4 (-2.9, 0.1) |
Ransom County, North Dakota | No | 138.4 (102.5, 184.5) | N/A | 12 | falling | -1.6 (-2.6, -0.7) |
Sitka Borough, Alaska | Yes | 114.5 (86.6, 149.1) | N/A | 12 | falling | -1.8 (-2.9, -0.7) |
Bear Lake County, Idaho | No | 136.3 (102.7, 178.7) | N/A | 12 | stable | -1.1 (-2.3, 0.2) |
Cherry County, Nebraska | Yes | 121.8 (91.2, 160.9) | N/A | 12 | falling | -1.2 (-2.2, -0.1) |
Deuel County, South Dakota | No | 168.5 (127.2, 221.4) | N/A | 12 | stable | -17.8 (-40.8, 14.3) |
Moody County, South Dakota | No | 132.6 (99.9, 173.5) | N/A | 12 | stable | -0.1 (-1.1, 0.9) |
Scotland County, Missouri | No | 173.8 (131.1, 227.2) | N/A | 12 | stable | 0.1 (-1.0, 1.3) |
Scott County, Kansas | No | 156.9 (118.2, 206.0) | N/A | 12 | stable | -0.4 (-1.5, 0.8) |
Barber County, Kansas | No | 153.7 (115.1, 203.6) | N/A | 12 | falling | -1.1 (-2.1, -0.2) |
Carson County, Texas | No | 131.2 (98.9, 172.2) | N/A | 12 | falling | -1.9 (-2.9, -0.8) |
Dewey County, Oklahoma | No | 164.1 (124.0, 214.6) | N/A | 12 | falling | -1.3 (-2.3, -0.2) |
North Slope Borough, Alaska | No | 221.1 (160.7, 294.2) | N/A | 12 | stable | -0.7 (-2.3, 1.0) |
Washington County, Colorado | No | 147.0 (110.9, 193.2) | N/A | 12 | falling | -1.3 (-2.6, -0.1) |
Blaine County, Montana | No | 147.5 (110.8, 192.9) | N/A | 11 | stable | -1.0 (-2.3, 0.3) |
Castro County, Texas | No | 125.5 (93.9, 164.7) | N/A | 11 | falling | -1.8 (-2.8, -0.7) |
Cavalier County, North Dakota | No | 156.0 (112.9, 213.2) | N/A | 11 | falling | -1.4 (-2.5, -0.3) |
Guadalupe County, New Mexico | No | 176.4 (132.6, 232.0) | N/A | 11 | stable | -0.5 (-1.7, 0.7) |
Holt County, Missouri | No | 156.7 (114.6, 211.3) | N/A | 11 | stable | -0.7 (-1.9, 0.5) |
Lincoln County, Colorado | No | 146.9 (110.8, 192.2) | N/A | 11 | stable | -1.1 (-2.2, 0.0) |
McKenzie County, North Dakota | Yes | 116.4 (87.1, 151.7) | N/A | 11 | falling | -2.3 (-3.3, -1.3) |
Real County, Texas | No | 172.1 (126.3, 233.6) | N/A | 11 | falling | -1.6 (-2.5, -0.7) |
Rush County, Kansas | No | 200.9 (149.3, 269.1) | N/A | 11 | stable | 0.1 (-1.2, 1.4) |
Teton County, Idaho | Yes | 112.1 (82.8, 147.9) | N/A | 11 |
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Calhoun County, Georgia | No | 145.3 (109.0, 190.6) | N/A | 11 | stable | -0.3 (-5.1, 4.8) |
Crosby County, Texas | No | 142.2 (106.9, 186.5) | N/A | 11 | stable | -0.9 (-1.9, 0.1) |
Custer County, Colorado | Yes | 118.1 (83.7, 165.7) | N/A | 11 | falling | -1.8 (-3.4, -0.2) |
Martin County, Texas | No | 208.8 (156.8, 272.3) | N/A | 11 | stable | -0.2 (-1.6, 1.2) |
Mercer County, Missouri | No | 196.9 (146.4, 261.7) | N/A | 11 | stable | 1.0 (-0.3, 2.3) |
Smith County, Kansas | No | 162.4 (118.3, 221.4) | N/A | 11 | stable | -0.7 (-1.8, 0.5) |
Sublette County, Wyoming | Yes | 81.8 (61.2, 107.9) | N/A | 11 | falling | -3.7 (-4.9, -2.5) |
Toole County, Montana | No | 165.3 (123.5, 218.1) | N/A | 11 | stable | -0.8 (-1.8, 0.3) |
Caribou County, Idaho | Yes | 117.4 (88.1, 154.3) | N/A | 11 | stable | 0.4 (-0.9, 1.7) |
Decatur County, Kansas | No | 200.1 (143.3, 276.4) | N/A | 11 | stable | 1.0 (0.0, 2.1) |
Jim Hogg County, Texas | No | 186.9 (139.1, 246.2) | N/A | 11 | stable | -0.7 (-2.0, 0.7) |
Mono County, California | Yes | 57.1 (42.3, 75.8) | N/A | 11 | falling | -3.2 (-4.5, -1.8) |
Norton City, Virginia | No | 201.0 (150.7, 264.3) | N/A | 11 | stable | -1.2 (-2.5, 0.1) |
Southeast Fairbanks Census Area, Alaska | No | 154.0 (113.4, 204.1) | N/A | 11 | stable | -1.1 (-2.5, 0.2) |
Traverse County, Minnesota | No | 154.2 (114.3, 208.4) | N/A | 11 | stable | -0.8 (-2.2, 0.7) |
Tyrrell County, North Carolina | No | 168.2 (126.4, 222.3) | N/A | 11 | stable | -1.1 (-2.6, 0.4) |
Chase County, Nebraska | No | 170.5 (126.6, 227.0) | N/A | 11 | stable | -0.2 (-1.4, 1.0) |
Osborne County, Kansas | No | 159.1 (117.5, 214.7) | N/A | 11 | stable | -0.5 (-1.7, 0.7) |
Rio Blanco County, Colorado | No | 147.2 (109.8, 193.8) | N/A | 11 | stable | -0.5 (-1.8, 0.7) |
Sheridan County, Montana | No | 160.4 (119.6, 215.0) | N/A | 11 | stable | -0.9 (-2.0, 0.3) |
Trego County, Kansas | No | 185.7 (138.2, 250.4) | N/A | 11 | stable | -0.4 (-1.6, 0.8) |
Benson County, North Dakota | No | 149.4 (110.6, 197.6) | N/A | 11 | stable | 0.3 (-1.1, 1.7) |
Elk County, Kansas | No | 216.2 (156.7, 297.0) | N/A | 11 | stable | -0.7 (-2.0, 0.6) |
Hidalgo County, New Mexico | No | 151.7 (112.9, 202.2) | N/A | 11 | stable | -0.3 (-1.4, 0.8) |
Lewis County, Idaho | No | 153.0 (111.1, 208.9) | N/A | 11 | stable | -0.5 (-1.8, 0.8) |
Nance County, Nebraska | No | 199.6 (146.2, 268.4) | N/A | 11 | stable | -0.1 (-1.5, 1.2) |
Polk County, Nebraska | No | 123.9 (91.4, 166.3) | N/A | 11 | stable | -0.3 (-1.4, 0.9) |
Power County, Idaho | Yes | 120.5 (89.5, 159.0) | N/A | 11 | falling | -1.4 (-2.7, -0.1) |
Bailey County, Texas | No | 138.2 (102.6, 182.2) | N/A | 10 | falling | -1.4 (-2.5, -0.2) |
Brule County, South Dakota | No | 128.6 (94.1, 173.1) | N/A | 10 | stable | -1.2 (-2.4, 0.1) |
Ellis County, Oklahoma | No | 171.5 (126.2, 230.0) | N/A | 10 | stable | -0.4 (-1.7, 1.0) |
Kit Carson County, Colorado | Yes | 94.6 (70.2, 125.9) | N/A | 10 | falling | -2.2 (-3.2, -1.0) |
Lander County, Nevada | No | 156.8 (116.6, 207.1) | N/A | 10 | falling | -1.9 (-3.6, -0.2) |
Norton County, Kansas | Yes | 120.6 (88.7, 161.9) | N/A | 10 | falling | -2.2 (-3.5, -0.9) |
Schuyler County, Missouri | No | 160.2 (118.7, 213.0) | N/A | 10 | stable | -0.5 (-1.5, 0.5) |
Storey County, Nevada | No | 141.8 (99.9, 200.3) | N/A | 10 | stable | -1.6 (-3.8, 0.5) |
Valley County, Nebraska | No | 132.9 (98.1, 179.4) | N/A | 10 | stable | -0.6 (-1.9, 0.7) |
Phillips County, Montana | No | 146.3 (107.8, 197.2) | N/A | 10 | falling | -2.0 (-3.1, -0.8) |
Chautauqua County, Kansas | No | 160.2 (115.2, 220.8) | N/A | 10 | stable | -0.2 (-1.8, 1.3) |
Hansford County, Texas | No | 163.4 (120.8, 216.6) | N/A | 10 | stable | -0.9 (-1.9, 0.2) |
Knox County, Missouri | No | 175.0 (127.2, 236.6) | N/A | 10 | stable | 0.1 (-1.2, 1.4) |
Roger Mills County, Oklahoma | No | 174.0 (128.6, 233.1) | N/A | 10 | stable | -0.4 (-1.9, 1.2) |
Winkler County, Texas | No | 130.3 (96.0, 172.8) | N/A | 10 | stable | -0.5 (-1.9, 0.9) |
Cameron Parish, Louisiana | Yes | 104.5 (76.7, 140.0) | N/A | 10 | falling | -6.7 (-9.1, -4.2) |
Clark County, South Dakota | No | 161.3 (117.1, 219.5) | N/A | 10 | stable | -0.5 (-1.8, 0.9) |
Fisher County, Texas | No | 141.4 (103.4, 192.3) | N/A | 10 | stable | -0.9 (-2.0, 0.2) |
Gray County, Kansas | No | 140.0 (102.5, 187.2) | N/A | 10 | falling | -1.8 (-3.2, -0.4) |
Hitchcock County, Nebraska | No | 214.1 (153.4, 294.6) | N/A | 10 | stable | 0.2 (-1.0, 1.3) |
Nelson County, North Dakota | No | 159.2 (117.3, 218.2) | N/A | 10 | stable | -1.4 (-2.8, 0.1) |
Quitman County, Georgia | No | 209.3 (150.8, 290.8) | N/A | 10 | stable | -0.4 (-2.1, 1.4) |
Stanton County, Nebraska | Yes | 120.2 (88.1, 161.3) | N/A | 10 | stable | -1.3 (-2.7, 0.2) |
Clay County, Georgia | No | 172.1 (125.6, 235.6) | N/A | 10 | stable | -1.5 (-2.9, 0.0) |
Dewey County, South Dakota | No | 196.6 (143.2, 262.7) | N/A | 10 | stable | -0.9 (-2.1, 0.3) |
Edwards County, Kansas | No | 235.2 (169.3, 320.9) | N/A | 10 | stable | 1.2 (-0.3, 2.7) |
Harlan County, Nebraska | No | 147.6 (107.1, 203.0) | N/A | 10 | stable | -0.2 (-1.5, 1.2) |
Kinney County, Texas | No | 160.0 (114.6, 219.6) | N/A | 10 | stable | -0.1 (-1.5, 1.3) |
Meade County, Kansas | No | 148.9 (108.2, 202.0) | N/A | 10 | stable | -0.5 (-1.8, 0.8) |
Mora County, New Mexico | Yes | 121.3 (85.0, 170.3) | N/A | 10 | stable | -0.9 (-2.5, 0.7) |
Pierce County, North Dakota | Yes | 120.4 (87.8, 164.8) | N/A | 10 | falling | -2.0 (-3.3, -0.8) |
Red Lake County, Minnesota | No | 155.1 (113.3, 209.8) | N/A | 10 | stable | -0.4 (-1.4, 0.7) |
Schley County, Georgia | No | 151.9 (110.9, 203.8) | N/A | 10 | falling | -2.9 (-4.0, -1.8) |
Stafford County, Kansas | No | 142.7 (103.1, 194.9) | N/A | 10 | stable | -0.9 (-2.0, 0.3) |
Stevens County, Kansas | No | 148.6 (108.8, 198.8) | N/A | 10 | stable | 0.3 (-1.4, 2.1) |
Beaver County, Oklahoma | Yes | 122.0 (88.8, 165.1) | N/A | 9 | falling | -1.9 (-3.1, -0.7) |
Crowley County, Colorado | No | 149.2 (109.2, 200.8) | N/A | 9 | stable | -1.3 (-2.9, 0.3) |
Jewell County, Kansas | No | 151.5 (110.1, 210.7) | N/A | 9 | falling | -1.2 (-2.3, -0.2) |
Manassas Park City, Virginia | Yes | 80.3 (58.2, 107.3) | N/A | 9 | falling | -6.8 (-8.9, -4.7) |
Union County, New Mexico | No | 152.7 (111.1, 206.9) | N/A | 9 | stable | -1.1 (-2.3, 0.1) |
Beaver County, Utah | No | 143.5 (103.9, 193.0) | N/A | 9 | stable | -1.1 (-2.3, 0.1) |
Dallam County, Texas | No | 141.3 (102.6, 189.5) | N/A | 9 | falling | -2.1 (-3.2, -0.8) |
Donley County, Texas | No | 175.3 (124.7, 242.4) | N/A | 9 | stable | -0.5 (-1.7, 0.8) |
Garfield County, Utah | No | 138.7 (99.5, 189.3) | N/A | 9 | stable | -1.4 (-2.9, 0.2) |
Hardeman County, Texas | No | 151.1 (108.9, 206.3) | N/A | 9 | stable | -1.0 (-2.3, 0.3) |
Lincoln County, Nevada | Yes | 102.3 (74.1, 140.3) | N/A | 9 | falling | -2.9 (-3.9, -1.8) |
Phillips County, Colorado | Yes | 119.4 (83.9, 167.0) | N/A | 9 | falling | -1.3 (-2.5, -0.1) |
Adams County, Iowa | No | 147.8 (105.5, 204.6) | N/A | 9 | stable | -0.8 (-1.7, 0.2) |
Catron County, New Mexico | Yes | 92.3 (66.7, 137.5) | N/A | 9 | falling | -2.1 (-3.8, -0.3) |
Franklin County, Nebraska | No | 159.2 (113.1, 222.7) | N/A | 9 | falling | -2.5 (-3.8, -1.2) |
Hanson County, South Dakota | No | 302.1 (213.4, 413.3) | N/A | 9 | rising | 1.9 (0.3, 3.5) |
Perkins County, South Dakota | No | 159.4 (114.3, 221.5) | N/A | 9 | stable | 0.6 (-1.0, 2.2) |
Pershing County, Nevada | Yes | 105.7 (76.5, 143.5) | N/A | 9 | falling | -2.7 (-4.0, -1.4) |
Sargent County, North Dakota | No | 141.3 (102.4, 192.9) | N/A | 9 | stable | -0.6 (-1.7, 0.5) |
Garza County, Texas | No | 144.1 (104.3, 194.3) | N/A | 9 | falling | -1.9 (-3.1, -0.6) |
Lake of the Woods County, Minnesota | No | 137.0 (97.8, 190.4) | N/A | 9 | stable | -0.9 (-2.1, 0.3) |
Lyman County, South Dakota | No | 185.7 (133.8, 252.3) | N/A | 9 | stable | -1.0 (-2.4, 0.4) |
Marshall County, South Dakota | Yes | 121.1 (86.7, 166.2) | N/A | 9 | stable | -0.5 (-1.9, 0.8) |
Woodson County, Kansas | No | 161.4 (114.2, 225.7) | N/A | 9 | stable | 0.7 (-0.6, 2.1) |
Crane County, Texas | No | 194.1 (139.8, 262.0) | N/A | 9 | stable | -1.1 (-2.5, 0.4) |
McIntosh County, North Dakota | No | 139.8 (91.6, 210.9) | N/A | 9 | falling | -2.3 (-3.7, -1.0) |
Aurora County, South Dakota | No | 181.5 (129.1, 251.8) | N/A | 8 | stable | 0.1 (-1.4, 1.7) |
Hartley County, Texas | No | 130.9 (94.2, 177.8) | N/A | 8 | falling | -1.5 (-2.8, -0.1) |
Lincoln County, Idaho | No | 150.7 (107.6, 205.5) | N/A | 8 | stable | -0.6 (-2.1, 1.0) |
Lincoln County, Kansas | No | 157.0 (111.1, 220.4) | N/A | 8 | stable | 0.1 (-1.1, 1.3) |
Morrill County, Nebraska | Yes | 106.1 (75.7, 147.1) | N/A | 8 | falling | -1.8 (-3.2, -0.4) |
Rawlins County, Kansas | No | 160.6 (114.7, 225.8) | N/A | 8 | stable | 0.8 (-0.3, 1.8) |
Crockett County, Texas | No | 186.3 (132.6, 255.8) | N/A | 8 | stable | -1.0 (-2.5, 0.5) |
Dillingham Census Area, Alaska 3 | No | 201.4 (140.2, 279.0) | N/A | 8 | stable | -0.1 (-2.1, 1.9) |
Harper County, Oklahoma | No | 153.3 (108.3, 212.7) | N/A | 8 | stable | -0.7 (-2.1, 0.8) |
Kusilvak/Wade Hampton Census Area, Alaska | No | 187.9 (129.9, 260.5) | N/A | 8 | stable | -1.2 (-2.9, 0.5) |
Perkins County, Nebraska | No | 160.4 (112.0, 226.5) | N/A | 8 | falling | -1.4 (-2.7, -0.1) |
San Miguel County, Colorado | No | 124.1 (84.1, 175.2) | N/A | 8 |
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Sutton County, Texas | No | 153.7 (109.3, 211.9) | N/A | 8 | falling | -1.7 (-3.3, -0.2) |
Sweet Grass County, Montana | Yes | 118.0 (82.8, 167.4) | N/A | 8 | stable | -0.7 (-2.2, 0.8) |
Chase County, Kansas | No | 188.7 (129.9, 268.4) | N/A | 8 | stable | -0.1 (-1.5, 1.3) |
Menominee County, Wisconsin | No | 153.9 (108.9, 212.1) | N/A | 8 | falling | -3.5 (-4.8, -2.1) |
Northwest Arctic Borough, Alaska | No | 155.7 (109.4, 213.5) | N/A | 8 | stable | -1.6 (-3.1, 0.0) |
Presidio County, Texas | Yes | 74.7 (51.9, 105.2) | N/A | 8 | falling | -3.6 (-5.0, -2.2) |
Brown County, Nebraska | No | 143.5 (97.5, 207.7) | N/A | 8 | stable | -1.0 (-2.3, 0.2) |
Glascock County, Georgia | No | 196.1 (138.1, 272.5) | N/A | 8 | stable | 0.8 (-0.9, 2.6) |
Granite County, Montana | Yes | 111.2 (76.5, 163.5) | N/A | 8 | falling | -3.0 (-4.7, -1.2) |
Highland County, Virginia | No | 155.8 (109.0, 229.9) | N/A | 8 | falling | -2.0 (-3.6, -0.5) |
Ness County, Kansas | No | 150.4 (101.6, 218.6) | N/A | 8 | stable | -0.2 (-1.6, 1.2) |
Sherman County, Nebraska | No | 127.2 (86.5, 185.5) | N/A | 8 | stable | -0.2 (-1.8, 1.4) |
Baker County, Georgia | No | 150.9 (105.5, 213.2) | N/A | 8 | stable | -0.8 (-2.7, 1.1) |
Bowman County, North Dakota | No | 137.8 (95.9, 195.8) | N/A | 8 | stable | -0.9 (-2.1, 0.4) |
Emmons County, North Dakota | Yes | 104.5 (71.6, 153.5) | N/A | 8 | falling | -2.3 (-3.3, -1.3) |
Foster County, North Dakota | No | 128.9 (89.6, 183.6) | N/A | 8 | stable | -0.7 (-2.3, 0.9) |
Graham County, Kansas | No | 145.9 (101.7, 210.7) | N/A | 8 | falling | -1.7 (-2.9, -0.4) |
LaMoure County, North Dakota | Yes | 103.7 (68.8, 152.6) | N/A | 8 | falling | -1.4 (-2.5, -0.2) |
Sedgwick County, Colorado | No | 164.0 (111.8, 238.8) | N/A | 8 | stable | -1.0 (-2.5, 0.5) |
Adams County, North Dakota | No | 163.7 (110.2, 240.9) | N/A | 7 | stable | -1.1 (-2.4, 0.2) |
Chattahoochee County, Georgia | No | 163.5 (114.1, 225.2) | N/A | 7 | falling | -2.5 (-3.8, -1.2) |
Harmon County, Oklahoma | No | 203.2 (140.3, 286.8) | N/A | 7 | stable | 0.2 (-1.6, 2.1) |
Jackson County, South Dakota | No | 200.4 (139.3, 280.0) | N/A | 7 | stable | -1.2 (-2.7, 0.4) |
Lake County, Colorado | Yes | 95.4 (65.8, 133.8) | N/A | 7 | falling | -2.6 (-4.1, -1.0) |
Miner County, South Dakota | No | 210.4 (144.6, 300.6) | N/A | 7 | stable | 0.3 (-1.1, 1.7) |
Morton County, Kansas | No | 175.1 (122.4, 246.8) | N/A | 7 | stable | -0.2 (-1.7, 1.2) |
Corson County, South Dakota | No | 207.1 (142.9, 289.3) | N/A | 7 | stable | -0.1 (-1.3, 1.1) |
Cheyenne County, Colorado | No | 251.7 (172.5, 360.1) | N/A | 7 | stable | 18.7 (-3.1, 45.3) |
Eddy County, North Dakota | No | 161.7 (110.9, 234.7) | N/A | 7 | stable | 0.7 (-0.6, 2.1) |
Edmunds County, South Dakota | Yes | 111.0 (76.1, 159.1) | N/A | 7 | falling | -2.2 (-3.5, -0.9) |
Gilpin County, Colorado | Yes | 100.8 (64.8, 149.9) | N/A | 7 |
|
|
Hettinger County, North Dakota | No | 154.0 (104.7, 223.4) | N/A | 7 | stable | -1.1 (-2.7, 0.5) |
Menard County, Texas | No | 151.4 (101.9, 226.8) | N/A | 7 | falling | -1.7 (-3.3, -0.1) |
Ouray County, Colorado | Yes | 80.1 (53.9, 119.0) | N/A | 7 | falling | -3.1 (-5.0, -1.1) |
Skagway Hoonah Angoon Census Area, Alaska 3 | No | 137.6 (93.4, 199.1) | N/A | 7 |
|
|
Worth County, Missouri | No | 182.4 (123.5, 267.1) | N/A | 7 | stable | -0.3 (-1.8, 1.3) |
McPherson County, South Dakota | No | 139.5 (91.4, 210.0) | N/A | 7 | stable | -0.8 (-2.3, 0.7) |
Pawnee County, Nebraska | No | 144.2 (89.2, 223.0) | N/A | 7 | stable | -0.1 (-1.4, 1.3) |
Stanley County, South Dakota | No | 146.5 (100.6, 209.4) | N/A | 7 | falling | -2.6 (-4.0, -1.2) |
Boyd County, Nebraska | No | 174.6 (110.1, 270.1) | N/A | 7 | stable | 0.1 (-1.1, 1.3) |
Costilla County, Colorado | Yes | 98.0 (65.1, 145.5) | N/A | 7 | stable | -1.1 (-3.1, 1.0) |
Hand County, South Dakota | Yes | 103.7 (67.6, 156.4) | N/A | 7 | falling | -1.9 (-3.2, -0.7) |
Kiowa County, Kansas | No | 165.8 (112.1, 240.5) | N/A | 7 | stable | 0.1 (-1.5, 1.7) |
Butte County, Idaho | No | 162.8 (107.1, 240.5) | N/A | 6 | stable | 5.1 (-0.7, 11.3) |
Garden County, Nebraska | No | 174.8 (110.8, 269.9) | N/A | 6 | stable | -0.7 (-2.4, 1.0) |
Hall County, Texas | Yes | 117.5 (79.9, 172.0) | N/A | 6 | falling | -9.2 (-15.6, -2.5) |
Logan County, Kansas | No | 153.9 (101.1, 226.7) | N/A | 6 | stable | -0.5 (-2.1, 1.1) |
Dickens County, Texas | No | 188.1 (123.9, 277.8) | N/A | 6 | stable | -0.8 (-2.5, 0.9) |
Divide County, North Dakota | No | 148.4 (96.8, 223.7) | N/A | 6 | rising | 5.5 (0.8, 10.5) |
Douglas County, South Dakota | Yes | 113.8 (73.8, 172.3) | N/A | 6 | stable | -1.2 (-2.8, 0.4) |
Dunn County, North Dakota | Yes | 119.7 (79.6, 173.4) | N/A | 6 | stable | -1.4 (-2.9, 0.0) |
Hemphill County, Texas | No | 148.3 (100.0, 212.3) | N/A | 6 | stable | -0.6 (-2.2, 1.0) |
Keweenaw County, Michigan | No | 125.8 (80.6, 200.5) | N/A | 6 | falling | -2.1 (-3.5, -0.7) |
Mellette County, South Dakota | No | 265.8 (177.8, 383.4) | N/A | 6 | stable | 0.6 (-1.0, 2.2) |
Potter County, South Dakota | Yes | 117.5 (78.9, 179.0) | N/A | 6 | stable | -1.3 (-2.7, 0.2) |
Sierra County, California | Yes | 98.1 (66.1, 148.6) | N/A | 6 | falling | -1.7 (-3.1, -0.3) |
Comanche County, Kansas | No | 179.3 (120.3, 267.3) | N/A | 6 | stable | 0.5 (-1.2, 2.2) |
Kearny County, Kansas | No | 129.3 (86.3, 187.1) | N/A | 6 | stable | -0.4 (-2.3, 1.5) |
Lane County, Kansas | No | 220.8 (147.6, 327.1) | N/A | 6 | stable | 0.7 (-0.9, 2.3) |
Renville County, North Dakota | No | 144.2 (96.5, 213.0) | N/A | 6 | stable | -0.1 (-1.7, 1.7) |
Schleicher County, Texas | No | 154.6 (103.6, 224.7) | N/A | 6 | stable | 0.3 (-1.7, 2.2) |
Upton County, Texas | No | 154.2 (102.9, 222.3) | N/A | 6 | falling | -2.4 (-3.6, -1.0) |
Webster County, Georgia | No | 132.2 (88.8, 195.8) | N/A | 6 | falling | -2.9 (-4.7, -1.1) |
Bennett County, South Dakota | No | 165.3 (108.5, 241.1) | N/A | 6 | stable | -0.8 (-2.7, 1.0) |
Concho County, Texas | Yes | 119.5 (78.9, 177.9) | N/A | 6 | stable | -0.7 (-2.0, 0.7) |
Edwards County, Texas | No | 187.9 (121.0, 284.2) | N/A | 6 | stable | -0.6 (-2.4, 1.3) |
Gove County, Kansas | No | 122.9 (80.3, 185.2) | N/A | 6 | stable | -0.9 (-2.6, 0.8) |
Shackelford County, Texas | Yes | 109.5 (72.7, 162.1) | N/A | 6 | falling | -2.9 (-4.4, -1.3) |
Sheridan County, Kansas | Yes | 115.6 (76.4, 174.8) | N/A | 6 | falling | -1.7 (-3.0, -0.3) |
Cheyenne County, Kansas | No | 127.6 (80.2, 196.6) | N/A | 6 | stable | -0.3 (-1.9, 1.2) |
DeBaca County, New Mexico | No | 147.9 (97.6, 228.0) | N/A | 6 | stable | 0.0 (-1.4, 1.5) |
Deuel County, Nebraska | No | 165.3 (109.2, 249.9) | N/A | 6 | stable | -1.7 (-3.3, 0.0) |
Faulk County, South Dakota | No | 143.1 (91.2, 218.3) | N/A | 6 | stable | -1.1 (-2.7, 0.7) |
Garfield County, Washington | No | 138.4 (87.9, 213.2) | N/A | 6 | falling | -2.5 (-3.8, -1.1) |
Haskell County, Kansas | No | 126.1 (82.6, 184.9) | N/A | 6 | stable | 0.6 (-1.0, 2.1) |
Hudspeth County, Texas | Yes | 112.1 (73.8, 163.7) | N/A | 6 |
|
|
Sherman County, Texas | No | 157.2 (103.6, 229.8) | N/A | 6 | stable | -0.1 (-1.9, 1.8) |
Sioux County, North Dakota | No | 174.3 (112.7, 255.4) | N/A | 6 | stable | -1.7 (-4.1, 0.8) |
Garfield County, Nebraska | No | 137.6 (85.9, 217.8) | N/A | 5 | stable | 0.3 (-2.7, 3.4) |
Grant County, North Dakota | Yes | 105.0 (67.6, 165.3) | N/A | 5 | stable | -1.2 (-2.7, 0.2) |
Haakon County, South Dakota | No | 156.3 (100.0, 240.8) | N/A | 5 | stable | -1.0 (-2.9, 1.0) |
Robertson County, Kentucky | No | 143.5 (94.4, 216.0) | N/A | 5 | stable | -0.5 (-2.1, 1.1) |
Wichita County, Kansas | No | 190.2 (122.8, 284.4) | N/A | 5 | stable | 0.1 (-1.8, 2.0) |
Burke County, North Dakota | No | 158.0 (102.6, 237.9) | N/A | 5 | falling | -1.7 (-3.1, -0.2) |
Greeley County, Nebraska | Yes | 119.7 (74.9, 187.4) | N/A | 5 | stable | -0.7 (-2.7, 1.4) |
Jerauld County, South Dakota | No | 124.6 (77.8, 197.7) | N/A | 5 |
|
|
Lipscomb County, Texas | Yes | 119.8 (77.6, 178.7) | N/A | 5 | falling | -2.7 (-4.0, -1.3) |
Meagher County, Montana | No | 138.9 (88.0, 219.2) | N/A | 5 | stable | -1.4 (-3.1, 0.4) |
Oneida County, Idaho | Yes | 78.5 (51.1, 117.8) | N/A | 5 | stable | -1.1 (-2.6, 0.5) |
Taliaferro County, Georgia | No | 182.1 (117.3, 280.8) | N/A | 5 |
|
|
Towner County, North Dakota | Yes | 120.6 (78.2, 187.2) | N/A | 5 | stable | -0.9 (-2.3, 0.5) |
Wayne County, Utah | No | 125.1 (79.2, 191.7) | N/A | 5 | stable | -0.9 (-2.7, 1.0) |
Armstrong County, Texas | No | 150.5 (97.1, 231.5) | N/A | 5 |
|
|
Griggs County, North Dakota | Yes | 99.6 (62.1, 161.5) | N/A | 5 | stable | -1.1 (-3.0, 0.9) |
Hamilton County, Kansas | No | 179.7 (115.1, 268.2) | N/A | 5 | stable | -0.4 (-1.8, 1.0) |
Prairie County, Montana | No | 240.2 (146.0, 388.0) | N/A | 5 |
|
|
Clark County, Kansas | No | 153.9 (96.2, 238.3) | N/A | 5 | stable | -0.2 (-2.0, 1.6) |
Cochran County, Texas | No | 131.7 (84.0, 198.8) | N/A | 5 | stable | -0.9 (-2.5, 0.8) |
Collingsworth County, Texas | No | 125.4 (78.8, 191.3) | N/A | 5 | stable | -1.2 (-2.6, 0.2) |
Fallon County, Montana | No | 139.2 (87.3, 211.6) | N/A | 5 | stable | -1.2 (-3.2, 0.8) |
Gosper County, Nebraska | No | 144.9 (89.1, 228.5) | N/A | 5 | stable | -0.2 (-2.0, 1.7) |
Hodgeman County, Kansas | No | 138.1 (87.7, 216.9) | N/A | 5 | falling | -1.6 (-3.0, -0.1) |
Kidder County, North Dakota | Yes | 116.4 (71.9, 183.3) | N/A | 5 | falling | -2.0 (-3.7, -0.3) |
Wheeler County, Oregon | No | 130.0 (82.9, 221.5) | N/A | 5 | stable | -1.2 (-3.3, 0.9) |
Briscoe County, Texas | No | 150.9 (95.4, 239.4) | N/A | 5 |
|
|
Jeff Davis County, Texas | Yes | 89.3 (55.5, 173.3) | N/A | 5 | stable | -1.3 (-3.5, 1.1) |
Judith Basin County, Montana | No | 127.8 (79.8, 203.9) | N/A | 5 | stable | -1.4 (-3.2, 0.5) |
Reagan County, Texas | No | 138.6 (87.0, 208.4) | N/A | 5 | stable | -1.4 (-3.5, 0.7) |
Wheatland County, Montana | No | 137.3 (83.0, 218.5) | N/A | 5 |
|
|
Echols County, Georgia | Yes | 110.0 (68.1, 167.9) | N/A | 4 | falling | -2.2 (-4.1, -0.3) |
Logan County, North Dakota | Yes | 116.8 (69.7, 192.7) | N/A | 4 | stable | -0.9 (-2.4, 0.5) |
Motley County, Texas | No | 208.6 (120.7, 347.6) | N/A | 4 | stable | -0.7 (-2.6, 1.2) |
Camas County, Idaho | No | 283.5 (162.7, 465.9) | N/A | 4 |
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|
Cimarron County, Oklahoma | Yes | 117.7 (70.3, 190.7) | N/A | 4 | stable | -0.5 (-2.4, 1.5) |
Daniels County, Montana | No | 138.6 (80.7, 230.6) | N/A | 4 | falling | -2.0 (-3.8, -0.2) |
Dolores County, Colorado | Yes | 112.0 (68.5, 182.7) | N/A | 4 | stable | -1.5 (-3.5, 0.6) |
Frontier County, Nebraska | Yes | 88.2 (54.1, 142.4) | N/A | 4 | stable | -1.8 (-3.8, 0.3) |
Hyde County, South Dakota | No | 138.6 (83.9, 232.9) | N/A | 4 |
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|
Niobrara County, Wyoming | Yes | 99.4 (61.1, 159.3) | N/A | 4 | falling | -6.1 (-9.1, -3.0) |
Sanborn County, South Dakota | Yes | 115.2 (70.3, 182.6) | N/A | 4 | falling | -1.7 (-3.2, -0.1) |
Stonewall County, Texas | No | 190.5 (112.7, 310.2) | N/A | 4 | stable | -0.2 (-1.9, 1.5) |
Dundy County, Nebraska | No | 123.6 (74.8, 202.8) | N/A | 4 | stable | 0.0 (-1.8, 1.7) |
Gilliam County, Oregon | Yes | 97.0 (58.6, 164.4) | N/A | 4 | stable | -1.6 (-3.8, 0.5) |
Jackson County, Colorado | No | 172.4 (103.9, 280.7) | N/A | 4 |
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McCone County, Montana | No | 134.4 (79.3, 222.6) | N/A | 4 |
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Oldham County, Texas | No | 184.2 (111.0, 288.9) | N/A | 4 |
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Throckmorton County, Texas | No | 127.4 (77.2, 212.5) | N/A | 4 | stable | -0.7 (-2.3, 1.0) |
Aleutians West Census Area, Alaska 3 | Yes | 114.2 (49.6, 214.1) | N/A | 4 |
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Alpine County, California | No | 235.3 (137.9, 389.3) | N/A | 4 |
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Cottle County, Texas | No | 155.8 (93.4, 256.9) | N/A | 4 | stable | -1.1 (-2.8, 0.6) |
Piute County, Utah | No | 158.3 (85.7, 274.7) | N/A | 4 |
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Stanton County, Kansas | No | 132.0 (78.4, 212.4) | N/A | 4 |
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Greeley County, Kansas | No | 220.9 (127.3, 362.9) | N/A | 4 |
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Irion County, Texas | No | 150.3 (87.3, 248.9) | N/A | 4 |
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Liberty County, Montana | Yes | 89.2 (50.8, 150.3) | N/A | 4 | falling | -2.1 (-3.8, -0.4) |
Steele County, North Dakota | Yes | 100.0 (59.0, 168.5) | N/A | 4 | falling | -2.2 (-3.8, -0.6) |
Foard County, Texas | No | 189.0 (99.7, 333.0) | N/A | 3 | stable | 0.2 (-1.8, 2.4) |
Jones County, South Dakota | No | 188.0 (108.5, 326.7) | N/A | 3 |
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Kiowa County, Colorado | No | 132.8 (74.3, 230.4) | N/A | 3 |
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Rock County, Nebraska | Yes | 114.8 (65.0, 205.0) | N/A | 3 | stable | -0.8 (-2.5, 1.0) |
Sherman County, Oregon | Yes | 106.8 (59.3, 186.4) | N/A | 3 | falling | -2.6 (-4.3, -0.9) |
Wallace County, Kansas | No | 159.1 (86.5, 272.1) | N/A | 3 |
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Buffalo County, South Dakota | No | 230.9 (126.3, 381.4) | N/A | 3 |
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Loup County, Nebraska | No | 294.0 (158.3, 528.3) | N/A | 3 |
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Powder River County, Montana | Yes | 91.1 (51.2, 164.4) | N/A | 3 |
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Ziebach County, South Dakota | No | 141.8 (79.4, 231.8) | N/A | 3 |
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Aleutians East Borough, Alaska 3 | *** |
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Arthur County, Nebraska | *** |
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Banner County, Nebraska | *** |
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Billings County, North Dakota | *** |
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Blaine County, Nebraska | *** |
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Borden County, Texas | *** |
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Bristol Bay Borough, Alaska | *** |
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Campbell County, South Dakota | *** |
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Carter County, Montana | *** |
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Clark County, Idaho | *** |
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Culberson County, Texas | *** |
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Daggett County, Utah | *** |
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Denali, Alaska | *** |
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Esmeralda County, Nevada | *** |
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Eureka County, Nevada | *** |
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Garfield County, Montana | *** |
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Glasscock County, Texas | *** |
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Golden Valley County, Montana | *** |
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Golden Valley County, North Dakota | *** |
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Grant County, Nebraska | *** |
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Haines Borough, Alaska | *** |
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Harding County, New Mexico | *** |
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Harding County, South Dakota | *** |
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Hayes County, Nebraska | *** |
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Hinsdale County, Colorado | *** |
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Hooker County, Nebraska | *** |
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Issaquena County, Mississippi | *** |
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Kalawao County, Hawaii 8 | *** |
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Kenedy County, Texas | *** |
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Kent County, Texas | *** |
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Keya Paha County, Nebraska | *** |
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King County, Texas | *** |
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Lake and Peninsula Borough, Alaska 3 | *** |
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Logan County, Nebraska | *** |
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Loving County, Texas | *** |
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McMullen County, Texas | *** |
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McPherson County, Nebraska | *** |
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Mineral County, Colorado | *** |
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Oliver County, North Dakota | *** |
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Petroleum County, Montana | *** |
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Rich County, Utah | *** |
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Roberts County, Texas | *** |
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San Juan County, Colorado | *** |
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Sheridan County, North Dakota | *** |
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Sioux County, Nebraska | *** |
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Slope County, North Dakota | *** |
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Sterling County, Texas | *** |
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Sully County, South Dakota | *** |
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Terrell County, Texas | *** |
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Thomas County, Nebraska | *** |
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Treasure County, Montana | *** |
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Wheeler County, Nebraska | *** |
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Wibaux County, Montana | *** |
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Yakutat City and Borough, Alaska 3 | *** |
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Notes:
Created by statecancerprofiles.cancer.gov on 04/26/2024 6:52 am.
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 will use Kusilvak/Wade Hampton until the next incidence/mortality data release.
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 will use Oglala Lakota/Shannon until the next incidence/mortality data release.
State Cancer Registries may provide more current or more local data.
† 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.
* 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.
Created by statecancerprofiles.cancer.gov on 04/26/2024 6:52 am.
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 will use Kusilvak/Wade Hampton until the next incidence/mortality data release.
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 will use Oglala Lakota/Shannon until the next incidence/mortality data release.
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.
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.
* 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.