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Death Rate Report for United States by County

All Cancer Sites, 2018-2022

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

Sorted by Count

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

Notes:
Created by statecancerprofiles.cancer.gov on 07/05/2025 3:28 pm.

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

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

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

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

† Death data provided by the National Vital Statistics System public use data file. Death rates calculated by the National Cancer Institute using SEER*Stat. Death rates are age-adjusted to the 2000 US standard population (19 age groups: <1, 1-4, 5-9, ... , 80-84, 85+). The Healthy People 2030 goals are based on rates adjusted using different methods but the differences should be minimal. Population counts for denominators are based on Census populations as modified by NCI.
The US Population Data File is used with mortality data.
‡ The Average Annual Percent Change (AAPC) is based on the APCs calculated by Joinpoint. Due to data availability issues, the time period used in the calculation of the joinpoint regression model may differ for selected counties.

⋔ Results presented with the CI*Rank statistics help show the usefulness of ranks. For example, ranks for relatively rare diseases or less populated areas may be essentially meaningless because of their large variability, but ranks for more common diseases in densely populated regions can be very useful. More information about methodology can be found on the CI*Rank website.

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

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

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

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

* Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

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

Data for United States does not include Puerto Rico.

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State Cancer Profiles

Death Rates Table

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

Death Rate Report for United States by County

All Cancer Sites, 2018-2022

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

Sorted by Count