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Death Rates Table

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Death Rate Report for United States by County

All Cancer Sites, 2015-2019

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

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Met Healthy People Objective of ***?
Age-Adjusted Death Rate
deaths per 100,000
(95% Confidence Interval)
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CI*Rank⋔
(95% Confidence Interval)
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Average Annual Count
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Recent Trend
Recent 5-Year Trend in Death Rates
(95% Confidence Interval)
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United States *** 152.4 (152.3, 152.6) N/A 598,381 falling falling trend -2.1 (-2.3, -1.8)
Los Angeles County, California *** 135.4 (134.5, 136.4) N/A 14,612 falling falling trend -1.5 (-1.6, -1.5)
Cook County, Illinois *** 156.5 (155.1, 158.0) N/A 9,224 falling falling trend -1.9 (-2.0, -1.7)
Maricopa County, Arizona *** 133.5 (132.1, 135.0) N/A 6,537 falling falling trend -2.7 (-3.8, -1.7)
Harris County, Texas *** 141.6 (139.8, 143.3) N/A 5,550 falling falling trend -2.0 (-2.2, -1.9)
Puerto Rico 8 *** 107.4 (106.0, 108.7) N/A 5,113 falling falling trend -2.8 (-4.6, -1.0)
San Diego County, California *** 140.5 (138.7, 142.2) N/A 5,060 falling falling trend -2.2 (-2.7, -1.7)
Orange County, California *** 129.4 (127.7, 131.1) N/A 4,687 falling falling trend -1.6 (-1.7, -1.5)
Miami-Dade County, Florida *** 128.2 (126.5, 130.0) N/A 4,369 falling falling trend -1.7 (-1.8, -1.6)
Riverside County, California *** 141.3 (139.2, 143.3) N/A 3,739 falling falling trend -1.7 (-1.9, -1.5)
Wayne County, Michigan *** 174.7 (172.1, 177.3) N/A 3,662 falling falling trend -2.1 (-2.6, -1.6)
Clark County, Nevada *** 154.3 (152.0, 156.6) N/A 3,653 falling falling trend -1.7 (-1.8, -1.6)
Kings County, New York *** 130.8 (128.9, 132.7) N/A 3,630 falling falling trend -3.0 (-3.7, -2.3)
Broward County, Florida *** 138.7 (136.6, 140.8) N/A 3,442 falling falling trend -2.5 (-3.0, -1.9)
Queens County, New York *** 121.1 (119.3, 123.0) N/A 3,370 falling falling trend -2.8 (-3.5, -2.1)
Dallas County, Texas *** 148.0 (145.7, 150.4) N/A 3,356 falling falling trend -1.9 (-2.0, -1.7)
Palm Beach County, Florida *** 126.5 (124.5, 128.5) N/A 3,286 falling falling trend -3.6 (-5.5, -1.7)
Philadelphia County, Pennsylvania *** 178.5 (175.7, 181.5) N/A 3,021 falling falling trend -3.0 (-3.9, -2.2)
San Bernardino County, California *** 153.7 (151.2, 156.2) N/A 3,014 falling falling trend -1.6 (-1.8, -1.5)
King County, Washington *** 131.0 (128.9, 133.2) N/A 2,976 falling falling trend -2.5 (-2.9, -2.2)
Cuyahoga County, Ohio *** 171.0 (168.2, 173.8) N/A 2,956 falling falling trend -1.3 (-1.4, -1.2)
Allegheny County, Pennsylvania *** 162.3 (159.6, 165.1) N/A 2,855 falling falling trend -1.8 (-2.1, -1.6)
Tarrant County, Texas *** 150.7 (148.1, 153.3) N/A 2,799 falling falling trend -1.5 (-1.6, -1.4)
Suffolk County, New York *** 142.0 (139.6, 144.4) N/A 2,748 falling falling trend -2.0 (-2.1, -1.9)
Bexar County, Texas *** 144.7 (142.2, 147.2) N/A 2,669 falling falling trend -1.4 (-1.5, -1.3)
Middlesex County, Massachusetts *** 138.1 (135.7, 140.5) N/A 2,630 falling falling trend -2.2 (-2.4, -2.0)
Pinellas County, Florida *** 148.2 (145.5, 150.9) N/A 2,544 falling falling trend -1.6 (-1.9, -1.3)
Sacramento County, California *** 153.3 (150.6, 156.0) N/A 2,537 falling falling trend -1.8 (-2.4, -1.3)
New York County, New York *** 120.5 (118.3, 122.6) N/A 2,450 falling falling trend -3.1 (-3.6, -2.6)
Nassau County, New York *** 127.5 (125.2, 129.9) N/A 2,404 falling falling trend -2.0 (-2.1, -1.9)
Santa Clara County, California *** 116.2 (114.1, 118.3) N/A 2,404 falling falling trend -3.6 (-5.0, -2.2)
Hillsborough County, Florida *** 151.1 (148.3, 153.9) N/A 2,348 falling falling trend -1.7 (-1.8, -1.6)
Alameda County, California *** 128.0 (125.6, 130.4) N/A 2,290 falling falling trend -2.2 (-2.4, -2.1)
Oakland County, Michigan *** 143.1 (140.4, 145.8) N/A 2,287 falling falling trend -1.5 (-1.6, -1.3)
St. Louis County, Missouri *** 154.7 (151.7, 157.8) N/A 2,110 falling falling trend -1.3 (-1.4, -1.1)
Erie County, New York *** 164.5 (161.3, 167.8) N/A 2,082 falling falling trend -2.3 (-3.6, -1.0)
Bronx County, New York *** 140.7 (138.0, 143.5) N/A 2,059 falling falling trend -3.8 (-6.8, -0.7)
Franklin County, Ohio *** 162.5 (159.3, 165.9) N/A 1,988 falling falling trend -2.1 (-2.4, -1.8)
Pima County, Arizona *** 136.6 (133.9, 139.5) N/A 1,960 falling falling trend -2.0 (-2.9, -1.1)
Hennepin County, Minnesota *** 141.4 (138.5, 144.3) N/A 1,928 falling falling trend -1.8 (-2.0, -1.5)
Macomb County, Michigan *** 169.6 (166.2, 173.1) N/A 1,919 falling falling trend -1.0 (-1.1, -0.8)
Orange County, Florida *** 146.2 (143.1, 149.2) N/A 1,866 falling falling trend -1.7 (-1.8, -1.6)
Contra Costa County, California *** 133.9 (131.1, 136.7) N/A 1,834 falling falling trend -2.2 (-2.5, -1.8)
Baltimore County, Maryland *** 164.0 (160.5, 167.5) N/A 1,789 falling falling trend -1.5 (-1.7, -1.3)
Lee County, Florida *** 127.1 (124.2, 129.9) N/A 1,764 falling falling trend -1.6 (-1.7, -1.5)
Duval County, Florida *** 171.5 (167.9, 175.2) N/A 1,750 falling falling trend -1.9 (-2.3, -1.5)
Milwaukee County, Wisconsin *** 171.1 (167.5, 174.9) N/A 1,744 falling falling trend -1.1 (-1.2, -1.0)
Shelby County, Tennessee *** 174.1 (170.3, 177.9) N/A 1,716 falling falling trend -3.2 (-4.4, -2.1)
Bergen County, New Jersey *** 132.1 (129.2, 135.0) N/A 1,677 falling falling trend -2.1 (-2.2, -1.9)
Marion County, Indiana *** 174.8 (171.0, 178.7) N/A 1,670 falling falling trend -2.7 (-3.8, -1.6)
Hartford County, Connecticut *** 139.9 (136.8, 143.0) N/A 1,661 falling falling trend -1.7 (-1.9, -1.6)
New Haven County, Connecticut *** 144.2 (141.0, 147.4) N/A 1,655 falling falling trend -2.4 (-2.8, -2.0)
Brevard County, Florida *** 163.3 (159.7, 167.1) N/A 1,653 falling falling trend -3.9 (-6.1, -1.6)
Hamilton County, Ohio *** 170.1 (166.3, 173.9) N/A 1,639 falling falling trend -1.6 (-1.9, -1.4)
Montgomery County, Pennsylvania *** 144.3 (141.1, 147.6) N/A 1,635 falling falling trend -1.7 (-1.9, -1.5)
Westchester County, New York *** 124.8 (122.0, 127.6) N/A 1,630 falling falling trend -2.2 (-2.3, -2.0)
Honolulu County, Hawaii 8 *** 124.5 (121.8, 127.4) N/A 1,623 falling falling trend -1.1 (-1.4, -0.9)
Jefferson County, Kentucky *** 170.9 (167.1, 174.8) N/A 1,604 falling falling trend -1.9 (-2.2, -1.7)
Ocean County, New Jersey *** 160.7 (157.0, 164.4) N/A 1,586 falling falling trend -1.4 (-1.6, -1.3)
Worcester County, Massachusetts *** 156.2 (152.7, 159.8) N/A 1,573 falling falling trend -1.4 (-1.6, -1.3)
Volusia County, Florida *** 165.9 (162.0, 169.8) N/A 1,539 falling falling trend -1.0 (-1.2, -0.8)
Fairfield County, Connecticut *** 125.9 (123.0, 128.9) N/A 1,497 falling falling trend -2.3 (-2.5, -2.2)
Monroe County, New York *** 153.2 (149.7, 156.9) N/A 1,483 falling falling trend -1.4 (-1.6, -1.3)
Pierce County, Washington *** 159.3 (155.6, 163.1) N/A 1,480 falling falling trend -1.7 (-2.0, -1.4)
Polk County, Florida *** 150.6 (147.1, 154.2) N/A 1,480 falling falling trend -1.6 (-1.8, -1.3)
Oklahoma County, Oklahoma *** 176.7 (172.6, 180.9) N/A 1,465 falling falling trend -0.8 (-0.9, -0.7)
DuPage County, Illinois *** 133.6 (130.5, 136.8) N/A 1,464 falling falling trend -2.1 (-2.5, -1.7)
Essex County, Massachusetts *** 140.7 (137.4, 144.0) N/A 1,446 falling falling trend -2.4 (-2.6, -2.3)
Montgomery County, Maryland *** 114.6 (111.9, 117.4) N/A 1,434 falling falling trend -1.9 (-2.1, -1.8)
Fulton County, Georgia *** 145.2 (141.7, 148.7) N/A 1,394 falling falling trend -2.4 (-2.6, -2.1)
Prince Georges County, Maryland *** 149.9 (146.3, 153.6) N/A 1,392 falling falling trend -2.2 (-2.3, -2.0)
Pasco County, Florida *** 164.7 (160.7, 168.8) N/A 1,381 falling falling trend -1.1 (-1.2, -0.9)
Jefferson County, Alabama *** 171.6 (167.5, 175.9) N/A 1,367 falling falling trend -1.5 (-1.9, -1.2)
Sarasota County, Florida *** 134.5 (130.8, 138.2) N/A 1,361 falling falling trend -1.3 (-1.5, -1.1)
San Francisco County, California *** 126.7 (123.6, 129.8) N/A 1,359 falling falling trend -1.9 (-2.1, -1.8)
Ventura County, California *** 134.3 (131.0, 137.6) N/A 1,337 falling falling trend -1.4 (-1.6, -1.3)
Jackson County, Missouri *** 164.0 (160.0, 168.1) N/A 1,329 falling falling trend -2.6 (-3.8, -1.4)
Fresno County, California *** 141.0 (137.5, 144.4) N/A 1,324 falling falling trend -1.3 (-1.4, -1.2)
Bucks County, Pennsylvania *** 148.4 (144.8, 152.1) N/A 1,322 falling falling trend -1.7 (-1.8, -1.5)
Norfolk County, Massachusetts *** 143.3 (139.8, 146.9) N/A 1,321 falling falling trend -1.9 (-2.0, -1.7)
Mecklenburg County, North Carolina *** 137.4 (134.0, 140.8) N/A 1,319 falling falling trend -1.8 (-2.0, -1.7)
Wake County, North Carolina *** 135.3 (132.0, 138.8) N/A 1,302 falling falling trend -2.7 (-3.6, -1.7)
Middlesex County, New Jersey *** 134.2 (130.9, 137.5) N/A 1,302 falling falling trend -1.9 (-2.2, -1.7)
Baltimore City, Maryland *** 194.7 (189.8, 199.6) N/A 1,301 falling falling trend -1.7 (-1.8, -1.5)
Snohomish County, Washington *** 156.3 (152.4, 160.3) N/A 1,295 falling falling trend -1.2 (-1.4, -1.0)
Fairfax County, Virginia *** 109.4 (106.7, 112.2) N/A 1,283 falling falling trend -2.5 (-2.7, -2.3)
Multnomah County, Oregon *** 153.0 (149.1, 156.9) N/A 1,250 falling falling trend -2.3 (-2.8, -1.8)
Montgomery County, Ohio *** 173.4 (169.0, 177.9) N/A 1,239 falling falling trend -1.2 (-1.3, -1.0)
Essex County, New Jersey *** 142.5 (138.9, 146.2) N/A 1,236 falling falling trend -2.4 (-2.6, -2.2)
Salt Lake County, Utah *** 127.7 (124.5, 131.1) N/A 1,222 falling falling trend -1.1 (-1.3, -0.9)
Summit County, Ohio *** 166.4 (162.1, 170.7) N/A 1,213 falling falling trend -1.1 (-1.3, -1.0)
Tulsa County, Oklahoma *** 168.2 (163.9, 172.6) N/A 1,196 falling falling trend -1.3 (-1.6, -1.1)
Providence County, Rhode Island *** 155.0 (151.0, 159.1) N/A 1,192 falling falling trend -1.4 (-1.6, -1.3)
Travis County, Texas *** 124.0 (120.7, 127.4) N/A 1,190 falling falling trend -2.2 (-2.3, -2.0)
Monmouth County, New Jersey *** 140.3 (136.6, 144.0) N/A 1,182 falling falling trend -2.7 (-3.0, -2.4)
Delaware County, Pennsylvania *** 161.9 (157.7, 166.3) N/A 1,172 falling falling trend -2.5 (-3.3, -1.7)
Kern County, California *** 150.3 (146.4, 154.3) N/A 1,156 falling falling trend -1.4 (-1.5, -1.2)
San Joaquin County, California *** 155.1 (151.1, 159.3) N/A 1,147 falling falling trend -1.1 (-1.2, -0.9)
Bristol County, Massachusetts *** 155.6 (151.5, 159.8) N/A 1,140 falling falling trend -1.6 (-1.8, -1.5)
Lake County, Illinois *** 148.8 (144.8, 152.8) N/A 1,138 falling falling trend -1.5 (-1.7, -1.4)
San Mateo County, California *** 117.3 (114.2, 120.5) N/A 1,126 falling falling trend -2.6 (-2.9, -2.3)
Bernalillo County, New Mexico *** 138.5 (134.8, 142.2) N/A 1,124 falling falling trend -1.3 (-1.4, -1.1)
Will County, Illinois *** 159.1 (154.8, 163.4) N/A 1,101 falling falling trend -1.4 (-1.7, -1.2)
Davidson County, Tennessee *** 162.9 (158.5, 167.4) N/A 1,093 falling falling trend -3.7 (-4.9, -2.5)
Marion County, Florida *** 162.0 (157.4, 166.7) N/A 1,086 falling falling trend -1.7 (-2.1, -1.4)
Suffolk County, Massachusetts *** 142.6 (138.8, 146.5) N/A 1,079 falling falling trend -4.1 (-5.1, -3.0)
Plymouth County, Massachusetts *** 155.0 (150.8, 159.3) N/A 1,074 falling falling trend -2.1 (-2.4, -1.8)
Lancaster County, Pennsylvania *** 145.5 (141.5, 149.5) N/A 1,070 falling falling trend -1.4 (-1.5, -1.2)
New Castle County, Delaware *** 161.3 (157.0, 165.8) N/A 1,068 falling falling trend -1.7 (-1.8, -1.5)
El Paso County, Texas *** 133.7 (130.1, 137.3) N/A 1,067 falling falling trend -1.4 (-1.6, -1.2)
District of Columbia *** 155.0 (150.8, 159.4) N/A 1,048 falling falling trend -2.3 (-2.5, -2.2)
Lake County, Indiana *** 171.9 (167.2, 176.7) N/A 1,048 falling falling trend -1.8 (-2.1, -1.5)
Kent County, Michigan *** 148.0 (143.9, 152.2) N/A 1,020 falling falling trend -1.2 (-1.4, -1.1)
Camden County, New Jersey *** 165.7 (161.1, 170.4) N/A 1,016 falling falling trend -1.8 (-2.0, -1.6)
Collin County, Texas *** 121.2 (117.8, 124.7) N/A 1,012 falling falling trend -2.0 (-2.2, -1.8)
Gwinnett County, Georgia *** 138.4 (134.3, 142.5) N/A 1,007 falling falling trend -1.5 (-1.6, -1.3)
Spokane County, Washington *** 163.7 (159.1, 168.4) N/A 995 falling falling trend -1.0 (-1.2, -0.8)
Cobb County, Georgia *** 141.3 (137.2, 145.4) N/A 990 falling falling trend -1.0 (-1.6, -0.5)
Lake County, Florida *** 157.1 (152.5, 161.8) N/A 988 falling falling trend -1.2 (-1.4, -1.0)
Anne Arundel County, Maryland *** 151.9 (147.6, 156.3) N/A 983 falling falling trend -1.8 (-1.9, -1.6)
DeKalb County, Georgia *** 135.8 (131.9, 139.8) N/A 977 falling falling trend -1.7 (-1.9, -1.5)
Lucas County, Ohio *** 182.5 (177.3, 187.8) N/A 970 falling falling trend -1.0 (-1.1, -0.9)
Sonoma County, California *** 138.4 (134.4, 142.5) N/A 967 falling falling trend -2.7 (-3.5, -1.9)
Westmoreland County, Pennsylvania *** 162.7 (158.0, 167.6) N/A 962 falling falling trend -1.0 (-1.1, -0.9)
El Paso County, Colorado *** 141.7 (137.7, 145.9) N/A 959 falling falling trend -1.2 (-1.4, -1.0)
Hampden County, Massachusetts *** 159.2 (154.6, 163.9) N/A 955 falling falling trend -1.3 (-1.5, -1.1)
York County, Pennsylvania *** 161.4 (156.7, 166.1) N/A 951 falling falling trend -1.1 (-1.2, -0.9)
Guilford County, North Carolina *** 153.3 (148.8, 157.8) N/A 932 falling falling trend -1.1 (-1.4, -0.7)
Genesee County, Michigan *** 173.4 (168.3, 178.6) N/A 931 falling falling trend -1.6 (-2.1, -1.1)
Sedgwick County, Kansas *** 161.2 (156.5, 166.0) N/A 925 falling falling trend -1.5 (-1.8, -1.2)
Burlington County, New Jersey *** 157.5 (152.9, 162.2) N/A 924 falling falling trend -1.5 (-1.7, -1.4)
Denver County, Colorado *** 141.4 (137.3, 145.7) N/A 916 falling falling trend -1.8 (-2.2, -1.5)
Stark County, Ohio *** 170.0 (165.0, 175.2) N/A 913 falling falling trend -0.9 (-1.1, -0.8)
Jefferson County, Colorado 8 *** 129.9 (126.1, 133.8) N/A 909 falling falling trend -1.7 (-1.9, -1.4)
Manatee County, Florida *** 126.6 (122.7, 130.6) N/A 909 falling falling trend -2.1 (-2.3, -1.9)
Onondaga County, New York *** 151.4 (146.9, 156.0) N/A 907 falling falling trend -4.5 (-5.9, -3.0)
Douglas County, Nebraska *** 161.4 (156.6, 166.3) N/A 905 falling falling trend -1.5 (-1.8, -1.2)
Jefferson Parish, Louisiana *** 162.7 (157.9, 167.6) N/A 905 falling falling trend -1.9 (-2.3, -1.6)
Ramsey County, Minnesota *** 148.7 (144.3, 153.2) N/A 901 falling falling trend -1.7 (-1.9, -1.5)
Chester County, Pennsylvania *** 138.7 (134.6, 142.9) N/A 896 falling falling trend -1.7 (-1.9, -1.5)
Stanislaus County, California *** 162.9 (158.0, 167.8) N/A 895 falling falling trend -1.1 (-1.3, -0.9)
Mobile County, Alabama *** 177.7 (172.4, 183.1) N/A 891 falling falling trend -1.5 (-1.8, -1.3)
Knox County, Tennessee *** 162.4 (157.6, 167.3) N/A 890 falling falling trend -1.6 (-2.0, -1.2)
Richmond County, New York *** 150.1 (145.6, 154.7) N/A 880 falling falling trend -1.8 (-2.0, -1.7)
Morris County, New Jersey *** 132.0 (128.0, 136.0) N/A 875 falling falling trend -2.4 (-2.8, -2.0)
Greenville County, South Carolina *** 147.6 (143.2, 152.2) N/A 874 falling falling trend -3.2 (-4.5, -1.8)
Berks County, Pennsylvania *** 156.9 (152.2, 161.8) N/A 861 falling falling trend -1.1 (-1.2, -0.9)
Union County, New Jersey *** 133.5 (129.5, 137.7) N/A 852 falling falling trend -2.0 (-2.2, -1.8)
Horry County, South Carolina *** 166.7 (161.4, 172.1) N/A 845 falling falling trend -1.1 (-1.3, -0.8)
Johnson County, Kansas *** 129.2 (125.2, 133.3) N/A 843 falling falling trend -1.4 (-1.6, -1.2)
Collier County, Florida *** 104.6 (101.1, 108.1) N/A 843 falling falling trend -2.0 (-2.3, -1.8)
Denton County, Texas *** 125.6 (121.7, 129.7) N/A 842 falling falling trend -2.0 (-2.2, -1.8)
Montgomery County, Texas *** 145.2 (140.7, 149.8) N/A 839 falling falling trend -1.9 (-2.2, -1.7)
Hidalgo County, Texas *** 113.8 (110.3, 117.3) N/A 837 falling falling trend -1.0 (-1.2, -0.8)
Clark County, Washington *** 157.3 (152.4, 162.2) N/A 829 falling falling trend -1.8 (-2.3, -1.4)
Solano County, California *** 158.5 (153.6, 163.6) N/A 822 falling falling trend -1.3 (-1.5, -1.1)
Arapahoe County, Colorado *** 128.2 (124.2, 132.3) N/A 818 falling falling trend -1.4 (-1.6, -1.2)
Seminole County, Florida *** 148.7 (144.1, 153.4) N/A 814 falling falling trend -1.5 (-1.7, -1.3)
Hudson County, New Jersey *** 125.4 (121.5, 129.4) N/A 810 falling falling trend -2.5 (-2.6, -2.3)
Lane County, Oregon *** 155.5 (150.5, 160.6) N/A 790 falling falling trend -1.1 (-1.3, -0.9)
Luzerne County, Pennsylvania *** 166.1 (160.9, 171.6) N/A 790 falling falling trend -1.0 (-1.2, -0.8)
Clackamas County, Oregon *** 147.5 (142.8, 152.3) N/A 787 falling falling trend -1.8 (-2.1, -1.5)
Washoe County, Nevada *** 147.0 (142.3, 151.8) N/A 787 falling falling trend -5.7 (-10.3, -0.8)
Passaic County, New Jersey *** 137.5 (133.1, 141.9) N/A 786 falling falling trend -2.2 (-2.4, -2.0)
St. Lucie County, Florida *** 149.0 (144.1, 153.9) N/A 784 falling falling trend -1.5 (-1.7, -1.3)
Polk County, Iowa *** 160.5 (155.4, 165.8) N/A 780 falling falling trend -2.6 (-4.1, -1.1)
Washington County, Oregon *** 130.0 (125.8, 134.2) N/A 776 falling falling trend -1.7 (-1.8, -1.5)
Waukesha County, Wisconsin *** 138.1 (133.7, 142.7) N/A 776 falling falling trend -1.9 (-2.4, -1.5)
Fort Bend County, Texas *** 116.1 (112.2, 120.1) N/A 761 falling falling trend -1.9 (-2.3, -1.6)
Mohave County, Arizona *** 183.8 (177.5, 190.4) N/A 755 falling falling trend -0.9 (-1.1, -0.7)
Kane County, Illinois *** 136.6 (132.2, 141.1) N/A 753 falling falling trend -1.7 (-1.9, -1.5)
East Baton Rouge Parish, Louisiana *** 159.6 (154.4, 164.9) N/A 749 falling falling trend -1.4 (-1.6, -1.2)
Placer County, California *** 136.0 (131.6, 140.5) N/A 748 falling falling trend -1.7 (-1.9, -1.5)
Dane County, Wisconsin *** 135.8 (131.3, 140.3) N/A 747 falling falling trend -2.9 (-4.7, -1.1)
Hamilton County, Tennessee *** 156.6 (151.5, 161.9) N/A 740 falling falling trend -2.0 (-2.3, -1.7)
Hillsborough County, New Hampshire *** 147.1 (142.3, 152.1) N/A 739 falling falling trend -1.6 (-1.9, -1.4)
Virginia Beach City, Virginia *** 151.8 (146.8, 156.8) N/A 738 falling falling trend -1.5 (-1.7, -1.3)
Pulaski County, Arkansas *** 160.8 (155.5, 166.2) N/A 732 falling falling trend -2.3 (-3.0, -1.6)
Charleston County, South Carolina *** 152.6 (147.5, 157.8) N/A 730 falling falling trend -2.6 (-3.4, -1.8)
Escambia County, Florida *** 180.6 (174.6, 186.7) N/A 716 falling falling trend -1.0 (-1.2, -0.8)
Lehigh County, Pennsylvania *** 151.2 (146.2, 156.4) N/A 713 falling falling trend -1.2 (-1.3, -1.0)
Forsyth County, North Carolina *** 157.4 (152.2, 162.7) N/A 712 falling falling trend -1.9 (-2.4, -1.5)
Butler County, Ohio *** 166.2 (160.7, 171.9) N/A 710 falling falling trend -1.8 (-2.1, -1.4)
Pinal County, Arizona *** 119.9 (115.8, 124.1) N/A 708 falling falling trend -1.8 (-2.2, -1.5)
Yavapai County, Arizona *** 150.8 (145.4, 156.4) N/A 698 falling falling trend -0.9 (-1.0, -0.7)
Lorain County, Ohio *** 167.8 (162.2, 173.6) N/A 696 falling falling trend -1.3 (-1.5, -1.1)
Allen County, Indiana *** 166.4 (160.8, 172.1) N/A 694 falling falling trend -1.4 (-1.7, -1.1)
Ada County, Idaho *** 143.1 (138.3, 148.1) N/A 689 falling falling trend -1.3 (-1.6, -1.0)
Northampton County, Pennsylvania *** 157.5 (152.1, 163.0) N/A 683 falling falling trend -1.1 (-1.3, -1.0)
Orleans Parish, Louisiana *** 154.9 (149.6, 160.4) N/A 682 falling falling trend -3.2 (-3.7, -2.6)
Santa Barbara County, California *** 130.2 (125.7, 134.8) N/A 679 falling falling trend -1.3 (-1.5, -1.1)
Barnstable County, Massachusetts *** 151.3 (145.9, 157.0) N/A 676 falling falling trend -1.4 (-1.5, -1.2)
St. Charles County, Missouri *** 146.6 (141.6, 151.7) N/A 671 falling falling trend -1.5 (-1.7, -1.3)
Richland County, South Carolina *** 167.3 (161.5, 173.3) N/A 665 falling falling trend -1.3 (-1.6, -1.1)
Williamson County, Texas *** 132.6 (128.0, 137.3) N/A 662 falling falling trend -1.7 (-1.9, -1.4)
Winnebago County, Illinois *** 174.7 (168.6, 180.9) N/A 648 falling falling trend -0.8 (-1.0, -0.5)
Madison County, Alabama *** 152.9 (147.6, 158.4) N/A 646 falling falling trend -1.7 (-2.1, -1.4)
Galveston County, Texas *** 174.8 (168.6, 181.1) N/A 644 falling falling trend -1.4 (-1.6, -1.2)
Mercer County, New Jersey *** 145.3 (140.2, 150.5) N/A 641 falling falling trend -1.8 (-2.0, -1.6)
Charlotte County, Florida *** 140.1 (134.4, 146.1) N/A 638 falling falling trend -1.2 (-1.4, -1.0)
Dakota County, Minnesota *** 139.3 (134.4, 144.4) N/A 636 falling falling trend -1.4 (-1.6, -1.2)
Spartanburg County, South Carolina *** 170.3 (164.4, 176.5) N/A 634 falling falling trend -1.7 (-2.2, -1.1)
Marion County, Oregon *** 159.7 (154.1, 165.5) N/A 633 falling falling trend -1.5 (-1.9, -1.2)
Sussex County, Delaware *** 157.3 (151.5, 163.3) N/A 630 falling falling trend -1.7 (-1.9, -1.5)
Orange County, New York *** 151.8 (146.4, 157.3) N/A 629 falling falling trend -1.7 (-1.9, -1.6)
Erie County, Pennsylvania *** 169.5 (163.5, 175.8) N/A 624 falling falling trend -0.9 (-1.1, -0.7)
Madison County, Illinois *** 175.4 (169.1, 181.8) N/A 615 falling falling trend -0.9 (-1.1, -0.7)
Albany County, New York *** 155.2 (149.6, 161.0) N/A 610 falling falling trend -1.3 (-1.5, -1.1)
Adams County, Colorado 8 *** 148.0 (142.6, 153.5) N/A 609 falling falling trend -1.7 (-2.0, -1.3)
Hernando County, Florida *** 171.4 (165.0, 178.1) N/A 604 falling falling trend -1.0 (-1.2, -0.8)
St. Louis City, Missouri *** 179.3 (172.8, 186.1) N/A 602 falling falling trend -2.9 (-3.6, -2.1)
Cumberland County, Maine *** 151.0 (145.5, 156.6) N/A 601 falling falling trend -2.1 (-2.5, -1.7)
Rockingham County, New Hampshire *** 148.5 (143.1, 154.1) N/A 601 falling falling trend -2.6 (-3.3, -1.9)
Henrico County, Virginia *** 154.8 (149.1, 160.5) N/A 597 stable stable trend -4.4 (-10.4, 1.9)
Tulare County, California *** 143.4 (138.2, 148.7) N/A 591 falling falling trend -1.2 (-1.4, -1.0)
Gloucester County, New Jersey *** 167.7 (161.5, 174.0) N/A 587 falling falling trend -2.4 (-2.9, -2.0)
Chesterfield County, Virginia *** 155.7 (150.0, 161.7) N/A 586 falling falling trend -1.4 (-1.7, -1.2)
Citrus County, Florida *** 175.2 (167.8, 182.9) N/A 574 falling falling trend -0.7 (-1.0, -0.5)
Atlantic County, New Jersey *** 159.4 (153.5, 165.5) N/A 573 falling falling trend -2.4 (-2.9, -1.9)
Caddo Parish, Louisiana *** 182.7 (175.9, 189.7) N/A 571 falling falling trend -1.0 (-1.2, -0.9)
Anoka County, Minnesota *** 151.6 (146.0, 157.5) N/A 569 falling falling trend -1.2 (-1.4, -0.9)
Nueces County, Texas *** 142.4 (137.1, 147.8) N/A 568 falling falling trend -1.7 (-1.9, -1.5)
Dutchess County, New York *** 141.0 (135.7, 146.5) N/A 562 falling falling trend -2.0 (-2.3, -1.8)
Greene County, Missouri *** 158.0 (152.2, 164.1) N/A 562 falling falling trend -1.3 (-1.5, -1.1)
Monterey County, California *** 124.1 (119.4, 128.8) N/A 561 falling falling trend -1.8 (-2.0, -1.5)
St. Joseph County, Indiana *** 172.1 (165.6, 178.8) N/A 557 falling falling trend -1.0 (-1.1, -0.8)
Lake County, Ohio *** 163.6 (157.5, 170.0) N/A 556 falling falling trend -1.1 (-1.3, -0.9)
Mahoning County, Ohio *** 155.9 (149.9, 162.1) N/A 554 falling falling trend -4.1 (-5.7, -2.4)
St. Clair County, Illinois *** 172.3 (165.8, 179.0) N/A 551 falling falling trend -1.5 (-1.6, -1.3)
Washington County, Pennsylvania *** 174.1 (167.5, 181.0) N/A 550 falling falling trend -0.9 (-1.1, -0.7)
New London County, Connecticut *** 149.6 (144.0, 155.5) N/A 550 falling falling trend -1.8 (-2.2, -1.4)
Dauphin County, Pennsylvania *** 155.3 (149.4, 161.4) N/A 549 falling falling trend -1.4 (-1.6, -1.3)
Buncombe County, North Carolina *** 149.6 (143.9, 155.5) N/A 548 falling falling trend -1.5 (-1.7, -1.3)
Lackawanna County, Pennsylvania *** 174.5 (167.8, 181.4) N/A 545 falling falling trend -0.9 (-1.1, -0.7)
San Luis Obispo County, California *** 134.4 (129.3, 139.8) N/A 542 falling falling trend -1.5 (-1.6, -1.3)
Brazoria County, Texas *** 159.6 (153.4, 165.9) N/A 540 falling falling trend -1.7 (-1.9, -1.4)
Oneida County, New York *** 166.2 (159.8, 172.9) N/A 537 falling falling trend -1.1 (-1.3, -0.9)
Osceola County, Florida *** 149.6 (143.9, 155.5) N/A 533 stable stable trend 2.6 (-1.4, 6.8)
Cumberland County, North Carolina *** 172.5 (165.8, 179.3) N/A 532 falling falling trend -1.3 (-1.5, -1.1)
Lexington County, South Carolina *** 153.9 (148.0, 160.0) N/A 528 falling falling trend -1.4 (-1.7, -1.2)
Washtenaw County, Michigan *** 139.8 (134.4, 145.4) N/A 527 falling falling trend -1.5 (-1.7, -1.3)
McHenry County, Illinois *** 154.1 (148.1, 160.3) N/A 524 falling falling trend -2.2 (-2.6, -1.9)
Thurston County, Washington *** 149.6 (143.8, 155.6) N/A 521 falling falling trend -2.0 (-2.5, -1.6)
Jackson County, Oregon *** 155.0 (148.9, 161.3) N/A 520 falling falling trend -1.2 (-1.4, -1.0)
Somerset County, New Jersey *** 125.1 (120.2, 130.1) N/A 518 falling falling trend -4.2 (-6.6, -1.8)
Indian River County, Florida *** 153.4 (146.9, 160.2) N/A 518 falling falling trend -1.1 (-1.3, -0.8)
Cameron County, Texas *** 120.9 (116.3, 125.7) N/A 514 falling falling trend -1.1 (-1.3, -0.9)
Trumbull County, Ohio *** 165.7 (159.1, 172.6) N/A 510 falling falling trend -1.0 (-1.3, -0.8)
Niagara County, New York *** 168.4 (161.7, 175.3) N/A 509 falling falling trend -1.0 (-1.2, -0.9)
York County, Maine *** 167.5 (160.9, 174.4) N/A 509 falling falling trend -1.2 (-1.4, -1.1)
Fayette County, Kentucky *** 155.7 (149.6, 162.0) N/A 509 falling falling trend -1.7 (-1.9, -1.5)
Cumberland County, Pennsylvania *** 146.5 (140.8, 152.5) N/A 505 falling falling trend -1.3 (-1.5, -1.1)
Butte County, California *** 169.0 (162.2, 175.9) N/A 505 falling falling trend -1.2 (-1.4, -0.9)
Bell County, Texas *** 169.3 (162.6, 176.2) N/A 502 falling falling trend -1.5 (-1.8, -1.1)
Kitsap County, Washington *** 147.1 (141.2, 153.3) N/A 495 falling falling trend -1.4 (-1.7, -1.2)
St. Johns County, Florida *** 140.9 (135.3, 146.8) N/A 493 falling falling trend -2.0 (-2.3, -1.7)
Harford County, Maryland *** 158.5 (152.2, 165.0) N/A 491 falling falling trend -1.5 (-1.6, -1.3)
St. Tammany Parish, Louisiana *** 154.4 (148.1, 160.8) N/A 487 falling falling trend -1.5 (-1.7, -1.3)
Sumter County, Florida *** 130.5 (123.3, 138.3) N/A 486 falling falling trend -1.3 (-1.7, -0.9)
Baldwin County, Alabama *** 158.2 (151.9, 164.9) N/A 486 falling falling trend -1.2 (-1.4, -1.0)
Larimer County, Colorado *** 124.6 (119.5, 129.8) N/A 485 falling falling trend -1.4 (-1.7, -1.1)
Chatham County, Georgia *** 149.0 (143.0, 155.1) N/A 485 falling falling trend -2.3 (-2.8, -1.8)
Rockland County, New York *** 123.4 (118.5, 128.5) N/A 484 falling falling trend -2.2 (-2.4, -2.0)
Marin County, California *** 115.5 (110.9, 120.4) N/A 484 falling falling trend -2.2 (-2.4, -2.0)
Prince William County, Virginia *** 132.1 (126.6, 137.9) N/A 477 falling falling trend -2.4 (-2.6, -2.1)
Kanawha County, West Virginia *** 173.4 (166.2, 180.8) N/A 470 falling falling trend -2.8 (-4.0, -1.6)
Saratoga County, New York *** 153.4 (147.1, 159.9) N/A 469 falling falling trend -1.3 (-1.5, -1.1)
Gaston County, North Carolina *** 173.5 (166.4, 180.8) N/A 468 falling falling trend -1.3 (-1.6, -1.0)
Jefferson County, Texas *** 159.5 (152.9, 166.2) N/A 466 falling falling trend -5.5 (-9.8, -1.1)
Jefferson County, Missouri *** 182.1 (174.5, 189.9) N/A 465 falling falling trend -1.1 (-1.3, -0.9)
Lancaster County, Nebraska *** 143.6 (137.7, 149.7) N/A 465 falling falling trend -1.3 (-1.6, -1.1)
Ingham County, Michigan *** 157.6 (151.1, 164.3) N/A 464 falling falling trend -0.9 (-1.2, -0.6)
Harrison County, Mississippi *** 201.4 (193.1, 210.0) N/A 462 falling falling trend -0.8 (-1.1, -0.5)
St. Louis County, Minnesota *** 161.3 (154.5, 168.3) N/A 460 falling falling trend -0.9 (-1.2, -0.7)
Shasta County, California *** 173.6 (166.4, 181.1) N/A 459 falling falling trend -1.0 (-1.2, -0.7)
Lubbock County, Texas *** 155.2 (148.9, 161.8) N/A 459 falling falling trend -1.0 (-1.2, -0.8)
Martin County, Florida *** 130.0 (124.2, 136.0) N/A 458 falling falling trend -1.8 (-2.0, -1.6)
Durham County, North Carolina *** 148.1 (141.9, 154.5) N/A 457 falling falling trend -2.2 (-2.5, -2.0)
Alachua County, Florida *** 162.6 (155.8, 169.6) N/A 450 falling falling trend -1.2 (-1.4, -1.0)
York County, South Carolina *** 156.3 (149.8, 163.1) N/A 447 falling falling trend -2.7 (-3.6, -1.9)
Kalamazoo County, Michigan *** 150.6 (144.3, 157.1) N/A 444 falling falling trend -1.2 (-1.5, -0.9)
Brown County, Wisconsin *** 150.1 (143.8, 156.6) N/A 444 falling falling trend -1.0 (-1.2, -0.8)
Cleveland County, Oklahoma *** 156.9 (150.3, 163.7) N/A 444 falling falling trend -0.7 (-0.9, -0.4)
Sangamon County, Illinois *** 168.9 (161.7, 176.3) N/A 440 falling falling trend -1.0 (-1.2, -0.8)
Hinds County, Mississippi *** 168.3 (161.1, 175.7) N/A 438 stable stable trend -0.1 (-0.5, 0.4)
Ottawa County, Michigan *** 135.4 (129.7, 141.3) N/A 436 falling falling trend -1.1 (-1.3, -0.8)
Anderson County, South Carolina *** 165.4 (158.4, 172.7) N/A 436 falling falling trend -1.4 (-2.4, -0.4)
Broome County, New York *** 157.0 (150.3, 164.1) N/A 435 falling falling trend -1.3 (-1.5, -1.1)
Montgomery County, Alabama *** 168.6 (161.4, 175.9) N/A 435 falling falling trend -1.4 (-1.6, -1.2)
Saginaw County, Michigan *** 160.5 (153.7, 167.6) N/A 435 falling falling trend -1.3 (-1.5, -1.1)
Sullivan County, Tennessee *** 177.7 (170.1, 185.6) N/A 435 falling falling trend -0.8 (-1.1, -0.5)
Utah County, Utah *** 117.8 (112.8, 122.9) N/A 433 falling falling trend -0.8 (-1.0, -0.5)
Rutherford County, Tennessee *** 162.7 (155.7, 170.0) N/A 432 falling falling trend -1.4 (-1.6, -1.2)
Calcasieu Parish, Louisiana *** 186.4 (178.4, 194.6) N/A 428 falling falling trend -1.2 (-1.5, -0.9)
New Hanover County, North Carolina *** 147.5 (141.2, 154.1) N/A 427 falling falling trend -1.8 (-2.0, -1.5)
Norfolk City, Virginia *** 191.1 (182.8, 199.6) N/A 426 falling falling trend -1.6 (-1.8, -1.3)
Butler County, Pennsylvania *** 159.0 (152.1, 166.1) N/A 425 falling falling trend -1.1 (-1.3, -0.9)
McLennan County, Texas *** 154.0 (147.4, 160.8) N/A 424 falling falling trend -2.1 (-2.6, -1.6)
Beaver County, Pennsylvania *** 158.7 (151.7, 165.9) N/A 422 falling falling trend -1.3 (-1.5, -1.2)
Clermont County, Ohio *** 168.3 (161.0, 175.8) N/A 422 falling falling trend -1.4 (-1.7, -1.2)
Yakima County, Washington *** 160.8 (153.9, 168.0) N/A